All language subtitles for chicago-med-3-17-197491

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She still isn't answering.

She's probably not allowed
to have her phone

at the poker table.

She shouldn't be at the
poker table at 7:00 a.m.

She should be back with my
car, so I can get to work.

Babe, it's your day off.

From the hospital.

Emily knows I check on the kids
at the homeless encampment.

They count on me.

They'll understand if
you're a few minutes late.

If Emily's gonna live here,

she needs to get her act
together, make a plan.

This isn't some vacation.

Come on, I'll give you a ride.

I've come to recognize

your expressions pretty well.

This one's my least favorite.

I wish I had better news.

But look...

even though your cardiac
output is decreasing,

you are still highest status
on the transplant list.

You're first in line.

I appreciate your optimism,

Dr. Rhodes,

as always.

- Hang in there, Bob.
- Uh-huh.

You know, for my part,

I'm just not seeing any organic causes.

Excuse me, I... Sorry to interrupt.

Um... Sarah, I've just been
up to see your father.

His stroke volume, systolic
arterial pressure,

and pulse pressure have all
decreased since yesterday.

I... I... I just can't keep
the fluid off of his lungs.

I see.

I promise you, we're
doing everything we can

to find him a new heart, but...

if you wanna say good-bye,

I would consider doing it today.

I'm very sorry.

Okay.

- Synced and corrected by martythecrazy -
- www.MY-SUBS.com -

- How long have you had a fever?

A few days now.

And are you always this short of breath?

Lately, yeah.

Athena, stop!

Hey, Dr. Choi.

Hey, Deb. Can I take
a look at your legs?

Yeah, sure.

How long have you been
getting these spots?

- Why? Are they bad?
- I'm not sure...

but I'd like to prick your
finger to check your blood.

Okay, yeah.

All right.

Ethan, I know, I'm sorry,
I promised I'd be home,

but I had half the table on tilt,

and I just lost track of time.

Whatever. Take the car. I'll get a cab.

I'm not gonna just leave you here.

What can I do to help?

I don't want your help.

Ethan, you don't have to be like that.

He doesn't have to be like that.

Hi. Emily.

- Josh.
- Nice to meet you.

- Uh, cute dog.
- Thank you.

- What kinda tent do you use?
- Uh, it's an old Coleman.

- Has a rain fly.
- Nice.

Hold on.

Josh... I'm seeing some
cells in your blood

called lymphoblasts.

That plus your other symptoms
make me concerned enough

that I'd like to bring
you into the hospital.

Why? What do you think it is?

It could be all sorts of things...

but what I'm worried about is leukemia.

- Isn't that a kind of cancer?
- It is.

Josh, this is important.

Look, I mean, Athena needs me out here.

And if I go back with you,

you're gonna have to call my parents,

the people that adopted me,

and I don't think I want that.

- Did they mistreat you?
- No, no, no, they're okay.

It's just, uh...

things didn't really work
out with them, you know?

You don't have to call
his parents, right?

Em...

Is that true?

You're only 16.

Legally, they need to be notified.

I mean, if his life is on the line,

you could make an exception.

I mean, if you could do that,
I'm sure I could get Deb

to watch Athena, if it's
just for the afternoon.

We could run some tests first,

make sure we know what's going on.

Hey, Deb,

could I ask you a favor?

You shouldn't have done that.

Eventually I'm gonna have
to call his parents.

What are you busting on me for?

Got him to come in, didn't I?

Wow.

One of our patients is well loved.

Actually, they came for me.

- Really?
- Mm.

The enchanting Dr. Bekker.

What?

Uh, seems they're from your father.

- My father?
- Yeah.

Uh, you've been seeing him?

Is, uh... is that a problem?

No, no, it's not a problem.

Just... uh, he's just...

You know what, forget it.

Enjoy the flowers.

Are you two still at it?

At what?

I've barely seen you speak two words

to each other in a week.

Whatever this is, you
need to work it out.

- Everything's fine.
- Oh, everything's fine?

- Mm-hmm.
- Good.

Dr. Manning, Dr. Halstead,

you're up, Treatment Four.

- Hey.
- Hey.

Kevin Parks: He's ten years old.

He woke up with 8 out
of 10 abdominal pain

and a fever of 103.

We gave him Tylenol and a cool bath,

- but nothing's worked.
- Okay.

All right, Kevin, let's
get you up on the bed.

Ow, ow. That hurts.

- That hurts? All right.
- All right, you got it.

- We're gonna figure out why.
- There you go.

Hi, Kevin, I'm Dr. Manning.
This is Dr. Halstead.

Can you show us where it hurts?

- Right here?
- Right there? Okay.

Has anything like this
ever happened before?

No, never.

Abdomen is tender but not rigid,

with no rebound.

Bowel sounds are decreased.
I don't like it.

It could still be his
appendix, Crohn's disease,

ulcerative colitis.

Temp's up to 104.

Give Ibuprofen to start
cooling measures.

Is there any other medical
history we should be aware of?

Yes, he's been diagnosed with PANDAS.

PANDAS?

Uh, Pediatric Autoimmune
Neuropsychiatric Disorder

Associated with Streptococcal Infection.

Kevin started getting tics and OCD

after a strep infection two years ago.

Nobody else could
figure out what it was,

until finally Dr. Kravitz diagnosed him.

Okay, we'll be sure to give him a call.

I've heard of Dr. Kravitz.

He sees a lot of kids
with PANDAS, right?

He's one of the nation's top experts.

I'm guessing Dr. Kravitz put Kevin

on long-term prophylactic antibiotics

to fight the residual strep?

Yes, he did.

CBC, chem panel, blood cultures,

abdominal CT, and hang
a gram of vanco STAT.

We're gonna start him
on some medications

while we run some tests

to try to figure out
what's going on, okay?

We'll be back to check on him shortly.

Thank you.

Hey, you've heard of this Dr. Kravitz.

He labels every kid's

neurological condition as PANDAS.

It's not even an officially
recognized diagnosis.

Either way, right now,

that child is in real
pain with a real fever.

Right, because he's been on
three different antibiotics

for over 12 months,

which we both know has wiped out

all the healthy flora in his gut,

causing a massive superinfection.

I mean, all because his parents
shopped around for a doctor

willing to blame Kevin's
neurologic tics on strep,

instead of admitting

they most likely passed
it on to him genetically.

Okay, but dismissing
them isn't gonna help.

They are upset and worried.

And what they're doing
to try and fix him

might wind up killing him.

Dr. Sexton, Treatment Six is open.

You're up.

We got Frank Larson: 74.

He was found unconscious
in an abandoned warehouse.

Bradycardic at 45, BP's 90 over 60,

respiration's 10, and satting at 91%.

Mr. Larson, do you know where you are?

Let's move him on one, two, three.

Dad? Dad, what happened?

Is he... is he all right?

That's what we're trying to figure out.

Frank, can you hear me?
Can you hear me Frank?

He... he... he goes around
feeding the stray cats,

but he has dementia and he gets lost.

Does he have any other
medical conditions?

No. You're the one examining him.

- What do you think it could be?
- It's hard to say right now.

We need to let the
doctor run some tests.

It looks like he doesn't
have any injuries,

but yes, I would like
to run some more tests

- to figure out what's going on.
- Okay.

- Okay?
- Okay.

Dad, I'll be right here, okay?

I'm right here. I'm not going anywhere.

- Sorry. Big sister moment.
- Yep.

Anyway, let's get an EKG,

CBC, chem panels, troponins,

tox screens, and a head CT.

We'll figure this out.

Dr. Reese, I was just, um...

I was just heading up to...

To check on your dad.

Okay.

Listen, I, um...

I know you've had a very
complicated relationship,

and this is really none of my business,

but... I think that if he should die

before you have a
chance to speak to him,

that that could very
possibly be something

you would come to regret.

My father... Has clearly stated

that he doesn't want me
to be a part of his life,

so, uh, whatever regrets I may have...

I just don't think any
of them will be resolved

by me talking to him.

Okay.

You, uh... you accepting visitors?

It depends.

Is it professional...

or is it personal?

Uh... personal?

Then by all means.

I, um...

I heard about your situation. Mm.

Really so sorry that it's come to this.

Yeah, what can I say?

It's been kind of a chess
game between the two of us,

hasn't it?

I regret that you see it that way.

Uh... uh, I would hope that you would...

Ha.

It's ironic.

You made me cut Sarah out of my life

to get a heart,

and I end up with neither.

Robert, it was never my intention

to have you cut Sarah out of your life.

Semantics.

Uh, in any case...

you play a good game.

Dr. Bekker...

- You're looking lovely.
- Thank you.

And thank you for the flowers.

That was quite unnecessary.

Did you like them?

They're beautiful.

Though, I must admit, the money
would've been better spent

as part of your donation
to the department.

Speaking of which, I glanced
at that information

you gave me concerning...

Da Vinci robotic surgical system?

Yes, that's, uh... It
was very impressive,

but a little technical for
a layman like myself.

Perhaps you could explain
the details to me?

- Of course.
- How 'bout tonight?

Over dinner?

Mr. Rhodes...

the flowers? Dinner?

Is it me or are you trying
to make your son crazy?

Dr. Bekker... you are...

an intelligent...

attractive, dynamic woman,

and if this makes Connor crazy,

then so be it.

Look, I and the entire
cardiothoracic department

truly appreciate your patronage,

but you and I are going
to keep our relationship

on a professional level.

Oh... all right.

I'll have the head of
philanthropy services

give you a call this afternoon.

Thank you.

- Dr. Rhodes, Trauma Three.
- Yep.

All right, Brett, what do we got?

David Gray: 50-year-old bystander

in an attempted robbery.

He got shot in the head. GCS, 6.

He's only responding to painful stimuli.

We couldn't intubate in the field.

All right, give me an intubation kit.

- 150 of mannitol, 500 of keppra.
- Got it.

All right, on my count,

one, two, three.

Entry wound, left
parietal skull, no exit.

Get a neurosurg down here ASAP.

- And get me a Cordis kit.
- Yep.

There we go.

No reactions to light.

All right, I'm in.

No corneal reflex either.
We're losing him.

Cordis kit.

Brainstem reflexes are
completely absent,

and his pupils are fixed and blown.

He was responding to pain in the ambo.

Dr. Rhodes, he's GCS 3.

Dr. Rhodes, he's braindead.
Is he a donor?

Yeah.

Okay... let's get an angio
to confirm brain death,

then get a cardiac echo.

I've got a patient who needs a heart.

You're wasting your time
on this one, Dr. Rhodes.

I heard significant mitral
regurg on auscultation.

There's no way that heart is viable.

Maybe not now, but that
doesn't mean I can't fix it.

Let's get him up to Radiology now.

- A drug overdose?
- Opioids.

Your father's tox screen
showed extremely high levels.

Bolus him with 2 of narcan,
then start a drip.

It can't be. My dad doesn't do drugs.

I mean, he... he never has. He...
he doesn't even drink.

- What about pain medication?
- He doesn't take anything.

You need to run some more tests.

Ma'am, Dr. Sexton has run
all the appropriate...

Is there anything around the house?

Um, Vicodin? Tylenol with codeine?

No, I... I cleaned all the
medicine cabinets out.

We don't have anything.

Hmm, then he may have gotten
it outside the house.

What? You think I'm letting
him shoot up or something?

- No, I'm just saying...
- Look, your test is wrong.

You need to redo it.

These tests, they are
usually pretty accurate...

And I know my father.

Look, if you need to consult
with another doctor,

- then maybe...
- No.

I'll redo the test.

But in the meantime,

I'm gonna give him some medicine

to reverse the opioids,

just so we can try and wake him up.

- Okay.
- Thanks.

Administer the narcan.

Hi.

So, Kevin's scans
indicate toxic megacolon.

It's a dangerous intestinal infection

caused by an overgrowth of
opportunistic bacteria.

Which is most likely due to
his long-term antibiotic use.

So the new medicine you're
giving him should fix it?

It's not that simple.

Kevin's bowel is so inflamed,

it's become dangerously dilated.

And if it perforates, it's a
life threatening situation,

which is why we need to release
the pressure from his colon

to try and prevent that.

We appreciate your help,

but we've spoken with Dr. Kravitz,

and he wants Kevin
transferred over there.

Dr. Kravitz says if we
treat him incorrectly,

it's only going to make Kevin's
neurologic symptoms worse.

He wants to give him an infusion of IVlg

to prevent that.

Kevin's tics are the least
of his problems right now.

We need to focus on
treating his infection.

We want that too,

but Kevin's tics are a big problem.

They're odd, and the kids at school

are starting to stare at him.

We just don't wanna do anything

- to compromise his future.
- I understand, but...

We'll do the IVig here.

Natalie...

That would work.

Great, we'll get started right away.

- Thank you so much.
- Yeah.

Why are you indulging them like this?

Indulging them?

You know full well the IVlg

will have exactly zero
therapeutic benefit.

It's keeping Kevin in the hospital.

Why are you being so negative?

I'm just being realistic.

The more you humor then, the
less likely they'll ever be

to seek out an actual effective therapy

for what is most likely a
genetic neurologic condition.

So what do you want me to do, Will?

Have them sign out and leave?

- Nah, you should just
give them a placebo: IVlg.

If that's what's gonna
allow us to do our job,

then that's exactly what I'm gonna do.

Just a little bit longer.

I need to get back to Athena.

I'm still waiting on a few more tests,

so please, don't go anywhere yet.

Dr. Charles...

I've got a runaway kid
with confirmed leukemia,

but I can't get him to give me

his parents' contact information,

and Oncology won't begin treatment

till they're sure he's
not gonna be living

in a tent on the streets
during his recovery.

Figure his parents
might have abused him?

Apparently not.

He's adopted, but he says
they're nice people.

It just wasn't a good fit.

And you're sure he
understands the danger here?

Cancer? Life or death?

Says he does, but I don't know.

- Let me have a chat with him.
- Thanks.

There's too much retrograde flow.

The leaflet's totally eaten away.

Shame to have an otherwise
perfectly good heart

go to waste.

It's not gonna go to waste.

Excuse me?

This heart is an HLA
match for my patient.

I'm gonna do a valve repair.

You're joking.

Get him prepped for surgery, thanks.

You're going to do major
surgery on this heart,

which by itself contains
significant morbidity

and mortality, and then turn around

and transplant it into someone else?

Uh-huh.

You'll kill the recipient on the table.

So don't scrub in.

I'm sure with your active social life,

there are things you'd
rather be doing anyways.

Now, if you will excuse me,

I am going to prep for my valve repair.

Ms. Larson...

the retests once again show
high levels of opioids.

I'm sorry.

Well, then why isn't he waking up?

Should we be doing something else?

Well, with overdoses that
large, it can sometimes...

Dr. Sexton...

Okay, um, we need to step out.

Let's clear the room.

- Wha... what's going on?
- Step out.

That white powder on his jacket,

I'm guessing that's fentanyl.

- What's that?
- A synthetic opiate.

Now, he could have either inhaled it

or even just touched it,

but it's 100 times stronger than heroin.

That could explain why the
narcan's moving so slow.

But how did he get it?

They smuggle it in from China

and cut it in abandoned buildings.

All your dad had to do was
brush up against some

while he was feeding stray cats.

We're notifying CPD, CFD,

anyone who might've come in contact,

Now, um, you have to test it,
but I think we have fentanyl.

Okay, I'll set up the decon protocol

out in the ambulance bay,
and I'll call Goodwin.

- Doris, door.
- Okay, got it.

We will get you back in the
room, but please come.

You gotta strip.

I feel fine. Come on, Maggie.

You come on.

Even absorbed through the
skin, fentanyl can cause

mental status changes and
respiratory distress.

- Strip.
- She's right, Cesar.

Go get some clean clothes.

I don't like this at all, Maggie.

We got too many sick people
in here to take any chances.

We need to scrub down the
back half of the ED,

and put us on bypass until
we get the go-ahead

from the decontamination team.

- Yes, ma'am.
- All right.

All finished.

You okay, Kevin?

Can I have a word?

Kevin's latest scans
show increasing edema

across the wall of his bowel,

indicating lack of blood flow.

At this point, we need to
consider surgical resection.

Surgery?

Shouldn't we finish the IVig first

to see if it helps?

He can keep getting it,

but we really need to move him upstairs.

We need to call Dr. Kravitz.

Mr. and Mrs. Parks, your son
is running out of time.

My wife works tirelessly

to try to fix our son's problems,

and if she has any hesitation at all,

then we need to listen to her.

How 'bout I call Dr. Kravitz

and explain the situation to him, okay?

- Could you do that?
- Of course.

- Is there a bathroom nearby?
- Right down the hall.

So, you're just gonna
keep encouraging them

to follow this quack?

Now is not the time to start
an argument with them.

You know, it must be
nice always being right.

Sorry?

From the moment we started this case,

everything's been your way.

"We can't do this, we have to do that."

What are you talking about?

I'm talking about everything
always being done your way:

how we treat patients,

what we can or can't tell them...

What?

Whether you and I are
together or split up

or on a break.

Is that what this is about? You and me?

Because it definitely wasn't my idea

to go hook up with some woman in a bar.

I told you, it went nowhere.

Oh, and that's supposed
to make me feel better?

I made a mistake.

I'm not perfect.

But at least I admit it.

I don't think I'm perfect.

Okay, all I can say, Natalie,
is that it's very hard

for us mere mortals
to measure up to you.

Thanks, Officer Burgess,
I appreciate your help.

What are you still doing here?

I wanted to see how Josh is doing.

He's not letting us treat him.

Luckily, PD's got a lead on his parents.

Wait, you said you weren't
going to call his parents.

I said I'd end up calling
them eventually.

Yeah, but you don't have to.

I mean, there are other ways to do this.

This is what Josh needs to stay alive.

You don't know what Josh needs.

And you do?

Look, you're not adopted.

You don't know what it's like.

Josh needs a bone marrow transplant,

and he won't get it if he's
living on the streets.

So you're just gonna
do whatever you want?

Yeah, because you always
know better than everyone.

No, I don't,

but I do know that
when his immune system

is obliterated by chemo,
he's gonna need to recover

in a stable, clean environment,

and if you're too irresponsible
to understand that,

then stay out of my way.

Mrs. Parks?

I'm sorry, I was just finishing up.

Are you all right?

I'm just stressed.

- Does that help?
- What?

The handwashing.

It used to...

in high school,

but I stopped for a long
time, till Kevin got sick.

Having a child with uncontrollable tics

must be so stressful.

That's why we've seen so many doctors.

My husband likes answers.

Does he know about this?

He's already got enough
that he didn't sign up for.

What would be the point?

It might help you and Kevin.

I don't see how.

Kathy, you have OCD, like Kevin,

and it's not caused by
any bacterial infection.

It's genetic,

something a child inherits
from the parents.

I appreciate your concern,

but please,

just take care of Kevin's intestines.

I'll worry about the rest.

Excuse me, are you all right?

Um, sorry, I'm... I'm fine.

I'm Dr. Reese from Psychiatry.

Can I help?

Uh...

my dad ran into some trouble today.

He has dementia.

Oh, I'm sorry. I know
that's really hard.

It's completely normal

to feel overwhelmed.

It's like he's a different person.

And sometimes, I wonder if maybe...

If maybe it would be better if he...

Does that make me a horrible person?

No.

No, it doesn't make you horrible.

Almost anyone in your position
would have these thoughts.

Talked to your patient. Nice kid.

Is he still insisting on

going back to the homeless encampment?

He feels pretty strongly about it.

Is he suicidal?

Nope, he definitely seems to wanna live.

Then he shouldn't object so
much to me calling his parents.

I need to spend a little
more time with him,

but off the top of my head,

I'd say that Josh is dealing with

a classic case of attachment disorder.

Does that explain why
he'd rather risk his life

than live with his parents
for a couple of months?

I know it seems bizarre,

but those two years that
he was at the orphanage,

it's that critical period

when babies need parental
affection the most.

And if they're in a facility
where they don't get it,

their brains actually
become wired differently,

leaving them poorly adapted
to cope with the complexities

of giving and receiving love,

I mean, sometimes for the
rest of their lives.

I hear what you're saying, Dr.
Charles...

But Josh has his whole life

to live as far from his
parents as he wants,

if we treat his cancer.

- Scissors to Dr. Bekker.
- Scissors.

So, what's the story with you
and my friend with the flowers?

I'm definitely picking
up on some rancor.

How do I put this? Uh...

my father and I have always had an...

- unhealthy competition.
- Competition?

You're a cardiothoracic surgeon.

What is there to compete over?

Well... next time you two get together,

you can ask him about it.

Snip.

Let's take him off pump. Paddles.

And clear.

No retrograde flow.

Congratulations, we
have a working valve.

I'm gonna go let my patient know

that he's about to get a new heart.

Okay, I'll let her know.

- Sharon?
- Yeah?

That was Peter Kalmick.

Apparently the board

is refusing to let us go on bypass.

They're overriding my decision?

They didn't find sufficient reason

to take such drastic action.

There were enough opioids
on that man's coat

- to drop a herd of elephants.
- Yep.

You keep us on bypass.

I'll deal with the board. I got you.

Mr. and Mrs. Logan?

I'm Dr. Choi. I've been
taking care of Josh.

Thank you so much for contacting us.

Of course. Please.

Uh, he's run away before,
but he'd always come back,

and then this time...

We contacted the police.

We tried every way we could to find him.

I do have to warn you,

calling you was my idea, not his,

but he's very ill and he needs help,

so please, no matter how this goes,

try to understand and be patient.

Of course.

He's right over here.

April...

my patient in Two didn't go
for anymore tests, did he?

Doesn't look like it.

I'm sorry. Just give me a minute.

Leah, did you see my patient?

16-year-old boy, tall, brown hair?

Yeah, I think so.

Left with a young woman
about 20 minutes ago.

Now, this shows distribution
of aggregate hospital costs

and stays by payer for
our last fiscal year.

Excuse me...

I'm sorry to interrupt.

Ms. Goodwin.

As Executive Director of
Patient and Medical Services,

the safety of our staff and patients

is my responsibility.

There are few substances

more dangerous and
terrifying than fentanyl.

Even a minute amount inhaled

or absorbed through the skin

can cause an overdose and even death,

and while I understand going on bypass

costs this hospital money,

if just one person goes
into respiratory failure

from coming in contact with this drug,

I guarantee...

that the damage to this
hospital's reputation

will be far costlier.

So, I'm sure you'll all agree

that keeping us on bypass

is medically and fiscally

the best course of action.

Well...

since you put it like that...

Thank you.

I'll be in my office

if anyone has anymore questions.

Sharon...

You shouldn't have done that.

I don't see that I had a choice.

Listen, I'm up here with them, okay?

I hear which way the wind is blowing,

and lately, the board feels

that you are not making decisions

that are aligned with this
hospital's interests.

Well, I'm sorry, Peter,

but I thought this
hospital's foremost interest

was in treatment of patients.

You're not hearing me,
and you keep taking

an adversarial position
vis-à-vis the board

and they will fire you.

Hey, Dad.

Sarah...

So nice of you to come.

I just wanted to, um,
see how you're doing.

Did you?

- No ulterior motive?
- What?

Sure you didn't come here to
make yourself feel better

by doing the right thing?

That this visit isn't all about you?

Dad, n...

Maybe I'm not the only one

with personality disorder.

Are you serious?

Oh, don't be so sensitive.

Come now.

Let's see what I can do

to leave you with a good memory.

Kay, this was clearly a mistake.

Should we sit and reminisce?

Perhaps order some hot cocoa?

Goodbye, Dad.

No, stay.

Let's focus...

on getting you some closure.

I found your dad a heart.

Thank you.

We're gonna take him to
do the transplant now.

- Dr. Choi?
- Please wait here a second.

What do you think you're doing?

He wanted to come back to Athena,

- so I called us an Uber.
- Emma, I get it.

He needs his dog, and I don't
wanna take that for him,

but right now, he needs
our help even more.

- This isn't a game.
- Like I don't know that?

But you don't understand him. I do.

I've been there.

What do you mean? You've been homeless?

Yeah.

But that's not important.

What matters is that this dog

is the only thing in the
world Josh can relate to.

I think he needs her so much

that if he had to go on without her,

he'd rather die.

All right.

Tell Josh to pack his clothes,
and we'll take the dog with us.

H... help! Somebody!

Uh, wh... wh... what's going on?

Wh... what's happening?

His lungs are full of fluid.
He must've been coming to

and inhaled against his glottis.

Sats down to 83.

He lost his IV.

Uh, do something! Save him!

Just so you understand,
with the lack of oxygen,

there's no guarantee that he won't have

new physical or neurological deficits.

Just save him, please.

Do you understand what Dr.
Sexton is saying?

He's my father. Please,
don't let him die.

Okay, give 20 of Lasix, 20
of etomidate, 50 of sux.

Open an intubation kit and
a central line kit, now.

- Can you intubate?
- Yeah.

Sats at 65.

He's in PEA. Bag him.

Give me a milligram of epinephrine.
I'll start CPR.

Epinephrine's in.

He's still in PEA. Another milligram.

- Second milligram in.
- Come on, Dad.

Still in PEA. Another milligram.

Third milligram's in.

What? No. No, no, no, no.

I'm sorry.

Daddy!

Time of death, 17:13.

I'm sorry.

His abdomen's more distended,

and his pain is getting worse.

Like I was saying, we need
to take him up to surgery.

Dale, maybe we should let them.

Are you sure that that's necessary?

Did you even talk to Dr. Kravitz?

He says that general anesthesia
will exacerbate Kevin's PANDAS.

You're not hearing me.

At the moment, that is
not our biggest concern.

- But Dr. Kravitz says...
- Forget about Dr. Kravitz.

Kevin doesn't have PANDAS.

His tics are from me.

What are you talking about?

He has OCD.

It's not from step; it's genetic.

He inherited it from me.

It's a far more likely explanation.

So the antibiotics, the... all of it...

He never needed them.

It's... it's my fault.

All my fault.

Why didn't you tell me you had OCD?

I thought if you knew
something was wrong with me,

you wouldn't love me.

Do the surgery.

Dale, wait...

We'll get Kevin ready to go upstairs.

His temperature is 99.6.

It could signal the onset of infection,

which would be a contraindication

for performing the transplant.

He won't get the heart?

No, I'm sorry.

He always runs warm.

- What?
- My dad, um...

his temperature always runs high.

It's normal for him,

which would mean that
this isn't an infection.

You're sure? Because if that's the case,

then he could still get the heart.

Yes, I'm sure he's fine.

Let's get Dr. Haywood up to the O.R.

Yes, sir.

All right.

Ejection fraction looks good.

Normal rate and rhythm.

I think we did it.

- Well done, Dr. Rhodes.
- You as well.

Dr. Mehta, will you please close?

- Yes, sir.
- Thank you.

I must admit, despite
your overall surliness,

your determination today

in the face of great odds was admirable.

I will take that as a compliment.

You should.

I'm gonna go take my flowers home.

Ava...

It's not that it's my
dad you're dating...

I wish that you weren't
dating anybody at all.

As long as we're making confessions,

I was never dating your father.

But you didn't mind me thinking so.

No, I didn't mind.

Oh, Josh.

- Hello, Josh.
- Hi.

Uh, Dr. Choi told us
about what's going on,

and we're gonna get through
this, honey, together.

I'm sorry I caused you so much trouble.

We're just glad to see you again,

and that you're safe.

Josh will need to stay
here for about two weeks,

but after that, he's agreed
to go home with you,

if you let him bring his dog.

- Of course.
- Anything.

- What's its name?
- Athena.

Well, we'll take care of Athena.

Please follow me.

Uh, we'll get Athena
after we settle Josh in.

Of course.

He's never really gonna be
able to love them back, is he?

By our definition?

Unlikely.

I don't know who to feel more sorry for,

the parents or him.

Thanks.

Really?

For what?

You did good today.

Maybe we could use you around here.

Athena...

It'd be so hard to do that all alone.

What?

It's just...

I know when mom and dad get old,

at least we'll face it together.

Kevin's fever is coming down,
and his numbers all look great.

- I think he's gonna be okay.
- Thank you, Dr. Manning.

At least they can start getting Kevin

- the help he needs.
- Yeah.

Hey, Will...

I'm not perfect.

I have got a million
fears and insecurities

about being a doctor, a mother,

everything.

It's exhausting.

But yes, sometimes, I...

push it too far.

It's okay.

I understand.

Good.

It still doesn't mean you get
a pass for the other night.

Looks like he's gonna live.

Yeah.

Now what?

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