All language subtitles for Chicago Med - 2x08 - Free Will.HDTV.FLEET.en

Have you seen this person?

- His name is Danny.
- Uh-uh.

- He maybe found a shelter.
- Maybe.

Or he could be riding
the train all night

to stay warm.

Ethan,
if you're trying to make me feel better,

- it's not gonna work.
- I'm not.

I'm just saying, we
can't look everywhere,

and it's time to go to work.

Well, you go ahead.
I'm gonna keep looking.

Um, excuse me.

- Excuse me?
- Sarah, Sarah, Sarah.

Lower Wacker is much more
popular this time of year.

We'll check it out
tonight after our shift.

Okay.

- Pat�, sweet breads.
- You ordered a pat� platter

- and sweet breads?
- Yeah.

Pathologists love organ meats.

You recognize that's weird, right?

Ah, I think it's a vitamin D thing.

We don't get much sunshine.

Have a good day.

- Hey, what's up?
- Morning.

Big moving in party tonight, huh?

Evite wouldn't lie.

Yeah, well, we'll be there.

So how's it been so
far, living together?

Only a couple days, but so far so good.

I bet.

Oh, I heard there's a giant
Whole Foods across the street.

That's awesome.

Yeah, it is.

Good.

Well, I'm really happy for you guys.

- Doctor Manning.
- Mm-hmm?

- Treatment 6.
- Got it.

You and Dr. Shore
better be the real deal.

I am bringing a Château Pichon 2005.

Great, wine spritzers.

Don't you dare. Treatment 1.

Hey, uh, did you get
those lab results yet?

They just came in.

Want me to come with you?

Um, I think I better do this myself.

Okay, just tell her if she
needs anything I'm here.

Don't come too close.

My TB's become active.

The spot on your lung's a
half a centimeter larger.

I'm sorry.

I took my meds.

I didn't overexert.
I-I just don't get it.

Thing is, um, that's not all.

- What do you mean?
- This...

- Here, just... just read it.
- Come on, Noah.

Just... Just read it.

Wait...

I'm pregnant?

I'm pregnant.

- Synced and corrected by martythecrazy -
- www.addic7ed.com -

Is it just me, or these Santas seem

- to come out earlier every year?
- Right?

The psych nurse station

still has their
Halloween decorations up?

Any Thanksgiving plans?

Taking Robin out for some sushi.

Good, so the two of you are
spending some time together?

Yeah.

Here and there. Yeah.

Doing great, you know?
I mean, such a great kid.

But you know how it is.

You don't really worry about them.

You worry about the people
they surround themselves with.

Sounds like someone in particular.

No, not really.

Oh, I guess there's this one guy.

You know, a great... great fella.
I mean, we work together.

Terrific surgeon.

But he's got these family issues, man.

Big family issues,

and obviously with
Robin's family history,

it just can all

turn into a bit of a powder keg.

Have you spoken to her about this?

- No.
- Oh.

So you're just keeping
it all to yourself?

Didn't I just tell my shrink?

Daniel.

I don't know.

I might have said something to they guy.

Nothing intrusive. Just, I don't know.

- Some friendly advice.
- Advice?

Yeah.

Daniel.

Don't make the holidays

any more hard than they have to be.

Hey, I know this isn't ideal,
but a couple of weeks,

we should have your
TB back under control.

Yeah, you'll be back in the ED

throwing me shade again in no time.

But how did this happen?

I take birth control.

Uh, my opinion, your TB meds

made your birth control less effective,

and then becoming pregnant
weakened your immune system

to let the TB become active.

Oh, God.

No one could have predicted this, April.

In a few months I'll be
walking down the aisle

with a baby bump.

Yeah, but it's all good. Right?

Yeah.

No, it is, but...

- what about Tate?
- You know Tate.

He'll love it. He's
head over heels for you.

Yeah, right now, but what if I get sick?

What if I can't take care of this baby?

- April...
- He didn't sign up for this.

It's okay.

Go.

I'll check on you soon, okay?

Jim Vance, 38, end stage kidney failure,

suffered a syncopal
episode following dialysis.

- Transplant candidate?
- Too far down the list.

Hi, Mr. Vance. This is Dr. Halstead.

Heard you had some trouble today.

Today,

Tuesday,

last Friday.

Almost every time I get dialysis now.

What happens?

My chest, um, it starts
to... to flutter...

- Uh-huh.
- I feel really weak.

Um, ventricular...

Ectopy.

- Yeah.
- Ectopy.

May be IDH.

Intradialytic hypotension.

In some people, dialysis can cause

an extreme drop in blood pressure,

which prevents enough oxygen
from reaching the heart,

and over time, that
can cause dysrhythmias

or even a heart attack.

So tell the transplant people.

Maybe they can move me up the list.

Well, we can try, but I'm sorry to say,

heart disease usually
moves people down the list,

not up.

- But I'm not even 40 yet.
- I hear you,

and I promise we're gonna do
everything we can to help.

Yeah.

Let's get him on 15 p.o. of kayexalate

and start him on esmolol
to stabilize his rhythm.

Or we could do low-volume dialysis.

We could.

Otherwise we're just
treating the symptoms

and not the actual problem.

- Yeah.
- Great.

- Okay.
- I'll be back in a few.

- Mm.
- We'll see you.

Natalie.

We don't usually disagree
in front of a patient.

I had to say something.

You really think low-volume
dialysis will make a difference?

I mean, it seems like six of one,

- half a dozen the other, no?
- I don't know.

Maybe. Let's find out.

Mm.

Hey, you bringing Clarke tonight?

- Mm-hmm.
- Good.

Pathology party. Not much to look at.

So how's it going with him?

Good. You know, we're just

trying to let it happen.
Not trying to force anything.

- Force anything?
- Like moving in together

for financial reasons or convenience.

- Mm...
- No, I wish Will all the best.

- I just think it's weird.
- 36-year-old male,

penetrating stab wound to the abdomen.

- You're going to Trauma 1.
- Got it.

What happened?

I got jumped in the yard. Three guys.

Why would they do that?
All I do is make friends.

- I need to transfer him.
- Yeah, hold up.

- Okay, he's ready.
- On my count.

One, two, three.

Guys, I got a hole in my gut.

I ain't going anywhere.

Left lower quadrant looks clean.

No major vessels, no bowel.

I can't take it.

You need to put me under,
you do what you gotta do.

No, I think you got lucky on this one,
Mr. Wallace.

CT abdomen, then bring him back.

We can take care of this one here.

- Okay.
- Okay, Doc.

I trust you, but I gotta ask.

After you're done,

am I gonna be able to play the piano?

Hey, come on. Don't
leave me hanging here.

Let me guess,
you never could play it before?

I like you, Doc.

You can stick your fingers
in me any time you want.

- How's he doing?
- Ah, he'll be fine,

though with a nice-looking scar.

Pretty fortunate,
considering it was three against one.

That's actually not the case, Dr. Choi.

Seems he stabbed himself hoping to score

- a holiday from prison.
- What?

I guess when you're
up against 30 to life

for a double homicide,

you look for little diversions.

Her name is Karina
Goff. She's 16 years old

with a history notable
for Williams Syndrome.

Her mom found her
passed out on the couch.

Williams Syndrome. You ever seen it?

No, never. It's a
genetic disorder, right?

Uh-huh. It's commonly associated

with cardiovascular disease,

but even more striking
is their personality.

They produce enormous
amounts of oxytocin,

which is the hormone commonly associated

with feelings of trust and
the desire to be social.

They're very interesting people.

- Hi, Dr. Clarke!
- Hi, Karina.

Wendy, this is Dr.
Latham and Dr. Rhodes.

Karina. Oh, I like your earrings.

- It's a moon and the stars.
- I see that.

So, how we feeling today?

Tired.

Still awake enough to
donate her entire allowance

to UNICEF this morning.

Which is what? The
third time this month?

Is this the first time she's fainted?

Yes.

May I listen to your heart?

Mid-systolic ejection murmur

over the right second intercostal space.

Aortic stenosis?

Probably.

- Let's get an echo.
- Okay.

Can you make me better?

I am gonna try my best.

Okay, dear.

Let the doctor breathe.

- Doctor?
- Uh...

Let us... let us run a few tests.

We'll be back with our recommendations.

Great.

I thought maybe Sunday we
can go to the Field Museum.

- That sounds good.
- DNA Center has an exhibit

on the reproductive habits of sharks

that's supposed to be great.

I'm sorry. What were you saying?

Danny still hasn't checked
in on Facebook, has he?

- No.
- He'll turn up.

You don't know that.

He's helpless and alone out there.

And you've been out there
every day looking for him.

There's nothing else you can do.

I could have let him stay with me

- when he asked.
- No, Reese, you couldn't have.

That's not your responsibility.

Mm-hmm.

He found you when he
needed you in the past.

He'll turn up.

I said get out of here.

I just wanna talk to the doctor.

You better get out of my face,
man; I'm not playing.

I just wanted to know if you're okay.

- Do I look like I'm okay, man?
- Excuse me?

Sir, is everything okay in here?

Uh, yeah.

I'm Ian.

Jim's brother.

Some brother.

Go ahead. Tell 'em.

- Jim...
- Go ahead and tell 'em, man!

Tell 'em.

I'm a perfect match to donate my kidney.

Right,

and he'd rather watch me
die than give it to me.

I love my brother.

I'd love to give him my kidney.

What's stopping you?

I'm HIV-positive.

But giving him a kidney would
be giving him HIV as well.

I'm guessing by his reaction
that he doesn't know?

Not a clue.

May I ask why don't you tell him?

Because Jim is...

incredibly homophobic.

He thinks homosexuality is

disgusting,

deviant behavior.

Yeah, well, but right now,

he thinks you're willing to let him die.

Well, right now...

Right now he hates me
for what I'm doing,

but if I tell him this,

he'll hate me for who I am.

I understand.

But just so you know,

if you don't tell him soon,
it may be too late.

Hey, uh, hello.

Hey.

You better put that mask on.

I-I brought you some
stuff from home, okay?

- Thank you.
- All right.

All right, so,

how you feeling?

- Sit down.
- Why?

What is it?

I'm pregnant.

Pregnant? Are you sure?

You... you're on the pill.

My TB meds screwed things up.

I'm sorry. I know we
didn't plan for this.

I know this changes everything.

Yeah.

We're gonna have a baby.

Oh, you can't see. Um...

Okay. Now put that back on.

Babe, we slept in the
same bed last night.

Put it back on.

It's a beautiful thing, honey.

It really is.

Ms. Charles,
what brings you to the ED today?

Yellow fever? Plague?

Eh, just a plain old cough.

Things have not been the same
since the swine flu died down.

Well, don't worry.

They'll be another epidemic one day.

Eh, that's what I keep telling myself.

You know, gotta stay positive.

I never figured you for an optimist.

Are you kidding me?

I still root for the White Sox.

- Wow.
- I do.

- How do you do it?
- I would love to tell you.

I don't know. Maybe over drinks tonight?

That sounds great. Really.

Uh...

I'm just not sure your
father would approve.

Wha... did he say something to you?

No, not... not really.

He just mentioned something in passing.

Huh.

I see.

Ms. Goff, hi.

So we got Karina's test results.

The large vessel leaving her heart

has become severely congested.

It's making her heart
work harder and harder

and... and decreasing
the amount of oxygen

that it can deliver.

That's why she's become
so tired and listless.

Oh, God. What do we do?

Well, we recommend an operation

to either fix the aortic
valve or replace it.

- Heart surgery?
- Yes.

Hi, Dr. Rhodes!

What're you guys talking about?

Dr. Rhodes was just
explaining your test results.

Hey, Karina,
why don't we get you back to bed?

There you are.

So, based on what I am seeing,

I believe you need surgery.

Will that make me better?

Well, there are never any guarantees,

but, if things go well,

then, yes, it will.

Good! Then I wanna do it.

It's not that simple, sweetheart.

We need to think about this.

- Give the doctor and I a minute.
- Okay.

We'll be right back.

I know you think surgery
has the best odds,

but I also know that Williams patients

have a much higher chance

of not surviving general anesthesia.

I completely understand,
but the fact is,

her condition is quite advanced

and she did express that
she wants the surgery.

She doesn't understand.

She says that just to please you.

Well, she may not be able to make

a completely informed decision,

but she does know how she feels.

She's under 18. It's
my decision to make.

Shouldn't we at least let her
be a part of the conversation?

Dr. Rhodes,
Karina is not like your other patients.

I want options.

Okay.

Uh, let me talk to Dr. Latham.

See if he has any ideas.

What did you tell Connor?

Come again?

Did you tell him to stay away from me?

- No.
- You said something.

- I might have ind...
- Who I date

is not your concern.

You are absolutely right. 100%.

You are unbelievable.

I'm sorry. I was wrong.

If I worry about you, I can't help it.

Okay, well, that's gonna need to stop.

Can't do it. I'm your dad.

I know I haven't won any
awards in that department...

This is not a referendum on you.

I'm sorry I wasn't there.
I'm sorry I wasn't a father.

Okay, see? That... that right there.

Why does it always go back to that?

Does it ever occur to
you that I have moved on?

I... didn't.

Not only am I past it,

but I really... I do not care.

So you can feel as guilty as you want,

but you being overinvolved
in my life now

is not gonna cut it.

Hey, Doc.

We gotta stop meeting like this, right?

Ah, you giving me the
silent treatment, huh?

Hey, you think I could get a TV in here?

You and I could watch a little, uh...

"Family Feud."

Not enough time.

I'm stitching you up
and then you're leaving,

which means you won't be needing those.

Ah, come on. Why you gotta be like that?

Because you're not here on vacation.

Hey, give me a break here. I'm injured.

By your own hand, I hear.

You wanna play that game?

I am extremely depressed,

and you know what?

That makes me wanna hurt myself.

- Excuse me?
- You heard me.

You heard me too.

I am gonna hurt myself!

And we all know what that means.

We have no choice.

I'll call Dr. Charles
for a psych consult.

That's right you will.

He's in v-tach. Stop the dialysis.

Pulse is thready. Shortness of breath.

Lost his pulse. We
gotta defibrillate now.

- Bag him.
- Get me the paddles.

- What's going on?
- Charge to 200.

He's in cardiac arrest.

Clear.

Still in v-tach.

Come on. Charge to 300.

Sinus rhythm.

Jim, can you hear me?

He's stable for now.

Jim?

I need to talk to you.

I gotta tell you something.

- There she is.
- Thank you.

Yeah, of course.

Hey, uh, is there somewhere
we can go talk for a minute?

Did you find Danny?

Um...

He's...

he's dead, isn't he?

Yes.

I'm so sorry.

Hey.

Hey, you did everything you could.

This is Sarah Reese.

Hi, are you family? A friend?

No, I'm his doctor.

I was his doctor.

Was he beaten to death?

It looks that way.

We won't know for sure

until we have the
results of the autopsy.

Hey.

Your sputum cultures just came back.

It turns out you don't have regular TB.

Uh, it's multi-drug resistant.

Okay, so...

I'm gonna have to be on

three or four meds instead of one?

Uh, it's not quite that simple.

Uh, it's only susceptible to one drug,

but it's completely susceptible,
so it'll definitely work,

but...

this medication

can cause neural tube
defects in a growing fetus.

But not always. There's just a chance.

Well, there... There
must be something else.

I... they couldn't
have tested everything.

They have.

Well, tell them to test it again.

I mean, try something.

There's nothing else to try.

I just placed the order.

The first dose should
be up in a little while.

I'm sorry, April.

Spoke to your patient, Mr. Wallace.

Let me guess, not a suicide risk.

Garden variety sociopath.
He's an opportunist.

Knows all the buzz words.
Not a sincere bone in his body.

Good enough for me.

Let's start discharge
paperwork on Treatment 4.

Chalk one up for the good guys.

Hi, Mr. Vance. Your rhythm looks good.

How are you feeling?

Disgusted.

Given your latest reaction,

I'd like to try something different.

A medication called midodrine
to raise your blood pressure,

followed by a special course
of low-calcium dialysate.

Will it work?

To be honest, it's a long shot.

But it's our best option.

Just tell me.

How long have I got?

You're experiencing cardiac events

with every dialysis,

and you need dialysis three days a week,

so realistically,

it can happen at any time.

We are trying everything we have.

Okay.

Wait.

You wouldn't give me your kidney

'cause of the virus, right?

But what if I don't care?

Would you give it to me then?

- But you'll get infected.
- HIV, it's better than dying.

Would you do it?

Yeah.

Of course.

Then let's do that. I want his kidney.

Mr. Vance,
you are severely immunocompromised.

If you received an HIV-positive organ,

if you contracted HIV in any way,

it could immediately progress to AIDS,

and that would most likely kill you.

Do it.

Let's just do it.

As your doctor, I strongly...

Excuse...
uh, will you excuse us for a moment?

Thank you.

We should look into this.

Look into what?
Purposely giving someone HIV?

He knows the risks. What does he have?

Days? A couple of weeks?

That's the thing. We don't know.

Uh, he could surprise us,

and make it long enough
to get a healthy kidney.

We could put him on carnitine,
try sodium modeling.

That's grasping at straws.

Yes, a transplant is dangerous,

but if it works, it
could give him years.

It's unethical and illegal.

Even if you found a
surgeon willing to do it,

the minute anyone found out,
our licenses would be revoked.

So we get a special dispensation.

That man is dying in there.

The least we could do
is give him a chance.

Natalie... I'm sorry.

As the attending physician,
I cannot sign off on this.

Fine.

Then I'll figure it out myself.

I'm gonna call the OR,

see if they can bump
anybody till tomorrow.

Dr. Rhodes, any news?

We were actually just about to see you.

Uh, the final reading of the echo showed

even more significant
disease than we thought.

We need to consider scheduling
surgery immediately.

Where's Karina?

That patient in there, where did she go?

I told her to stay in her room.
Where is she?

We'll find out. Check the ambulance bay.

- You don't know where she is?
- Ma'am, just...

Karina?

Karina?

She's in here.

Sweetie,
I need you to step away from that man.

Get away from him! Out of there.

- Mom, it's okay.
- No, it's not okay.

- That man is dangerous.
- But I was just saying hi.

Okay, okay, I know, sweetie.

Can't take my eyes off
you for one minute.

It's my fault.

No, that's not true.

Of course it is.

I told him we could remove the chip.

I encouraged him to run away.

You empowered him to make decisions.

That's what good doctors do.

But they were the wrong decisions.

It was the wrong outcome.

And now he's dead.

I mean, who knows.

If I'd have told him to wait,

maybe the police would have
come and broken up the ring

and he'd be free.

I was careless with his life.

Dr. Reese...

you're anything but careless.

Sometimes the best advice, you know,

it's just not enough.

Dangerous thing about psychiatry,

it can sometimes give
those of us who practice it

the illusion of control.

But the human brain,

it's...

it is the most complex,
mysterious object

in the universe.

That means that what we do,

it...

it just doesn't come
with any guarantees.

I don't think that makes
me feel any better.

I know.

It never does.

It must be hard.

It is.

She is such a bright light.

A breath of fresh air.

You should see how people
spark up when they see her,

and how happy it makes Karina.

It's like she feeds off of it.

If you don't operate...

I'll be taking that from her.

Do the surgery.

We'll get her upstairs shortly.

- Dr. Halstead?
- Yeah?

Um, April is refusing to
take her new medication.

She won't listen to me. I...

I just don't know what to do.

You know I'm here to convince
you to change your mind.

I'm a nurse.

I stopped listening to
doctors a long time ago.

I know it doesn't make sense,

but there's another
life inside of me now.

How can I take a medicine
that could endanger it?

Hopefully it won't.

Hopefully.

I see a lot of hopeful
people come in here

and we tell them we're
doing everything we can.

If I take that medication

and something happens to this baby,

then I didn't do everything I could.

I can't live with that.

April, you've been put into
an impossible situation,

and I can't tell you what to do,

but if you don't take this medication,

there is a very high chance

both you and your baby will die.

It's unbelievable.

Health and Human Services won't okay

that HIV kidney transplant?

Won't even consider it.

Our local contact at the FDA.

Deals with compassionate
use and experimental drugs.

Might as well try everything. Thank you.

Yeah.

Looks like our time together's up.

Mm, yeah, you got me, Doc.

Can't put anything over on you.

I sent his prescription
ahead to the prison pharmacy.

Great.

Yeah, you're a real tough guy, huh?

Took my best shots.

Bang, bang, bang. You just deflected 'em

like Captain freaking America.

I'm sorry your stay
was not satisfactory.

Satisfactory?

What the hell?

Get me a portable chest X-ray, stat.

On it.

Doctor's too smart for
a stupid con like me.

- Lungs are clear.
- Doctor.

Come on.

Did he swallow anything?

Not that I saw.

Wait, what are those?

They look like little stars.

They must have lacerated his esophagus.

Get him up to surgery now.

Wires are in. Chest is dry.

Let's close the sternum.

Dr. Vorspan,
was the patient wearing any earrings?

No, why?

They think she gave
'em to that convict downstairs,

and he swallowed them.

You think you've seen everything.

- We'll need wire cutters soon.
- Yes, doctor.

You know they did a
study once on oxytocin.

College students exposed
to high levels of it

just started giving their money away.

Did you see how freely she
interacted with that man?

Just a total stranger?

I've never been good at that.

It's just a symptom of
her genetic condition.

True.

But maybe that's not
entirely a bad thing.

Any luck getting someone
to approve the transplant?

Nope. Got stonewalled by everybody.

I'm sorry.

Yeah.

Time to go tell Jim the bad news.

- I'll come with.
- No.

No, I'll do it.

I'm the one who got his hopes up, so...

What're you gonna tell him?

The truth.

That the one thing he
needs most in the world

is right in front of him
and he can't have it,

and he doesn't even have a choice.

Natalie.

There's still one thing we
can do to make this legal.

What're you talking about?

He's already said he's willing
to deal with HIV infection.

Let's give him the option.

Wait, are you serious?

It's his decision.

We'd just be giving him a choice.

You realize the implications of this?

I do,

but if we wanna save his life,
is there any other way?

Mr. Vance, I'm afraid that

as things stand, there
is no possible way

you can receive your brother's kidney.

Wait, so there's nothing
at all that we can do?

No, not as things currently stand.

Even though I know the risk?

Even though I wanna do it?

That's correct.

It is illegal to give an infected organ

to a non-infected recipient.

That's the terrible irony
because if you already had HIV,

the procedure would be legal.

Now, obviously, we can't give you HIV.

No, but...

but he can.

And you do have a choice.

How's he doing?

Gonna be off solid food for a while.

Could be a lot of scarring.

We should know more in a few days.

I guess he got his vacation after all.

Yeah.

I just can't believe I let him win.

Really?

Does this look like a win to you?

He got what he wanted.

So he's a patient that
came here to be treated.

That should have been your focus.

Are you saying I should
have let him have his way?

You know, my grandfather used to say,

"Never wrestle with a pig."

You both get dirty,

"but the pig likes it."

She's gonna be fine.

Back to herself.

"Audentes Fortuna iuvat."

"Fortune favors the bold."

Congratulations, Dr. Rhodes.

Good night, Dr. Latham.

Hey, Sox fan.

Hey.

Is it too late for those drinks?

What about not upsetting my father?

Why stop now?

Okay.

- You need anything?
- Uh, no, I'm good.

- Thank you.
- All right.

- Hey.
- Hey.

This is a really great place.

I love the breakfast nook.

- Yeah, thanks.
- Mm-hmm.

Are you feeling good about today?

Yeah. Yeah, I am.

Good.

Hey, everybody.

Um, thank you so much for coming.

Uh, celebrating with the people
who know Will and me best,

it means a lot,

but there is something that most
of you may not know about Will.

Uh, he's still got a lot
of med school debt...

But he paid part of his way through it

by singing at Irish weddings.

What?

- No, no.
- Come on, come on.

Yeah, you paying half
the rent now, buddy.

- Come on.
- No, seriously.

These people are trying
to have a good time.

- Everybody wants you to.
- Come on.

- Just one song.
- Okay, Ms. Goodwin.

One song. She's the boss.

That's right.

- Can you hold this?
- Yes.

You guys think you're funny, don't you?

I know we're funny.

All right...

- Synced and corrected by martythecrazy -
- www.addic7ed.com -