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1
00:00:04,070 --> 00:00:05,976
You have to work out
whatever feelings you're having
2
00:00:06,064 --> 00:00:07,631
about Dr. Marcel.
3
00:00:08,111 --> 00:00:09,330
Fast.
4
00:00:11,707 --> 00:00:12,982
Give me a Narcan inhaler.
5
00:00:16,190 --> 00:00:18,192
You overdosed,
but you're gonna be all right.
6
00:00:18,279 --> 00:00:20,063
You're letting this get
way too personal, Will.
7
00:00:20,150 --> 00:00:21,108
It's never a good idea.
8
00:00:21,195 --> 00:00:22,631
For God's sake,
isn't it personal?
9
00:00:22,718 --> 00:00:24,415
You lost a brother to drugs.
10
00:00:24,502 --> 00:00:25,634
Enough!
11
00:00:28,191 --> 00:00:29,310
I met you this morning.
12
00:00:29,398 --> 00:00:30,841
I'm gonna try
to turn things around.
13
00:00:30,929 --> 00:00:32,187
Good.
14
00:00:37,559 --> 00:00:38,647
Hey.
15
00:00:38,734 --> 00:00:40,733
Hi.
16
00:00:50,224 --> 00:00:51,355
I love you.
17
00:00:51,442 --> 00:00:52,574
Easy.
Oh, God, sorry.
18
00:00:52,661 --> 00:00:53,713
It's only me.
19
00:00:53,801 --> 00:00:55,490
I wasn't expecting that.
20
00:00:55,577 --> 00:00:58,791
Hey, I know work's not
the place for ambush affection,
21
00:00:58,879 --> 00:01:00,016
but I couldn't help myself.
22
00:01:00,103 --> 00:01:01,539
I won't hold it against you.
23
00:01:01,626 --> 00:01:03,627
What's up?
24
00:01:03,715 --> 00:01:06,653
I haven't seen a smile this big
since Navy beat Army.
25
00:01:07,879 --> 00:01:10,200
Just thinking
about being a dad.
26
00:01:10,287 --> 00:01:13,080
Birthday parties,
coaching teams.
27
00:01:13,168 --> 00:01:16,878
It's a decade down the road.
We are three weeks into IVF.
28
00:01:16,966 --> 00:01:18,142
You know what they say.
29
00:01:18,229 --> 00:01:20,231
"You blink
and the kids are grown."
30
00:01:22,363 --> 00:01:23,886
Hey.
What up?
31
00:01:23,973 --> 00:01:25,888
Pelicans covered the spread.
32
00:01:25,975 --> 00:01:28,239
How many rings
do the Pelicans have?
33
00:01:28,326 --> 00:01:29,849
Go Bulls.
34
00:01:29,936 --> 00:01:31,938
Yeah, we'll see.
35
00:01:37,160 --> 00:01:38,858
I'm a horrible person,
aren't I?
36
00:01:38,945 --> 00:01:41,904
No, you're human.
37
00:01:41,991 --> 00:01:43,341
What can I do to help?
38
00:01:43,428 --> 00:01:44,951
You got a time machine?
39
00:01:48,563 --> 00:01:49,999
Hey, you.
Hey.
40
00:01:50,086 --> 00:01:51,697
Date last night.
Spill it.
41
00:01:51,784 --> 00:01:53,220
It was nice.
42
00:01:53,307 --> 00:01:57,398
He was polite, handsome, smart,
but I don't think so.
43
00:01:57,485 --> 00:01:59,748
Huh, well,
polite, smart, and handsome.
44
00:01:59,836 --> 00:02:00,924
Sounds awful.
All right.
45
00:02:01,012 --> 00:02:03,578
The real reason,
he's a psych professor.
46
00:02:03,665 --> 00:02:05,932
I mean, the way he looked
at me, I just couldn't shake
47
00:02:06,020 --> 00:02:07,321
the feeling that
I was being analyzed.
48
00:02:07,408 --> 00:02:08,533
This is the fourth first date
49
00:02:08,621 --> 00:02:10,194
without even
considering a second.
50
00:02:10,281 --> 00:02:11,978
Well, I'm glad
you're counting, Mom.
51
00:02:12,065 --> 00:02:13,168
It doesn't matter
52
00:02:13,256 --> 00:02:15,606
because none of those guys
were gonna work out anyways.
53
00:02:15,938 --> 00:02:18,854
Wow.
ESP.
54
00:02:18,941 --> 00:02:20,813
Say,
55
00:02:20,900 --> 00:02:24,033
do you know when the Saints are
gonna win another Super Bowl?
56
00:02:24,120 --> 00:02:25,383
All right, well,
57
00:02:25,470 --> 00:02:27,733
let me know
if you get another vision.
58
00:02:29,300 --> 00:02:32,390
All I'm saying is the right
second date is out there
59
00:02:32,477 --> 00:02:35,088
and I'll know it
when I meet him.
60
00:02:35,175 --> 00:02:37,133
Help, please!
My son!
61
00:02:37,220 --> 00:02:39,571
I got him.
Where am I going?
62
00:02:39,658 --> 00:02:41,399
Trauma 1.
Help my husband and son!
63
00:02:41,486 --> 00:02:44,358
Help, help, help, help, help!
64
00:02:46,839 --> 00:02:49,450
Help him.
I-I didn't know what to do.
65
00:02:52,061 --> 00:02:56,457
Ow, ow!
66
00:02:58,416 --> 00:03:00,505
Bruising on his neck.
Protect it and bag him.
67
00:03:00,592 --> 00:03:02,942
Hold C-spine.
What's his name?
68
00:03:03,029 --> 00:03:05,161
Jamie.
Jamie?
69
00:03:05,248 --> 00:03:09,296
Hey, Jamie, can you hear me?
Okay, okay, take it easy.
70
00:03:09,383 --> 00:03:10,993
You're okay.
Take it easy.
71
00:03:11,080 --> 00:03:12,952
What happened?
It was an accident.
72
00:03:13,039 --> 00:03:14,910
Um, I choked him out.
73
00:03:17,217 --> 00:03:18,914
I had to.
74
00:03:35,807 --> 00:03:37,722
It all happened so fast.
75
00:03:38,020 --> 00:03:39,892
I didn't realize.
I just wanted it to stop.
76
00:03:39,979 --> 00:03:42,155
Jamie was screaming,
Dylan was crying, and...
77
00:03:42,242 --> 00:03:43,374
Gordon.
78
00:03:43,461 --> 00:03:45,027
I want you to take
a deep breath, okay?
79
00:03:45,114 --> 00:03:47,378
Take a deep breath.
80
00:03:47,465 --> 00:03:49,510
All right.
81
00:03:49,597 --> 00:03:50,772
Have a seat.
Sit down.
82
00:03:51,860 --> 00:03:53,819
Okay.
83
00:03:53,906 --> 00:03:55,777
And, um...
84
00:03:55,864 --> 00:03:59,260
I, uh, I just want you
to tell me...
85
00:03:59,348 --> 00:04:00,360
tell me what happened.
86
00:04:00,448 --> 00:04:01,566
Okay.
87
00:04:01,653 --> 00:04:03,872
So I was driving,
88
00:04:03,959 --> 00:04:05,657
talking with Bella, my wife.
89
00:04:05,744 --> 00:04:08,224
The, um, the boys
were in the back.
90
00:04:08,311 --> 00:04:10,488
Jamie was playing
with his iPad.
91
00:04:10,575 --> 00:04:15,580
Dylan grabbed it from him,
but wouldn't give it back.
92
00:04:15,667 --> 00:04:17,059
Jamie can't control his anger.
93
00:04:17,146 --> 00:04:18,887
He started punching Dylan,
94
00:04:18,974 --> 00:04:21,281
got out of his seat belt,
got on top of him.
95
00:04:21,368 --> 00:04:23,849
He kept pounding.
96
00:04:23,936 --> 00:04:25,851
Bella couldn't pull him off.
97
00:04:29,507 --> 00:04:34,425
I could hear Jamie's fists
cracking against Dylan's face.
98
00:04:34,565 --> 00:04:39,430
He was screaming for help,
so I pulled over.
99
00:04:41,388 --> 00:04:43,170
Just threw myself
on top of Jamie.
100
00:04:43,258 --> 00:04:44,477
I wrapped my arms around him
101
00:04:44,565 --> 00:04:46,567
and held him
as tight as I could.
102
00:04:52,010 --> 00:04:53,477
When he gets like this,
the bear hugs
103
00:04:53,565 --> 00:04:55,359
are the only thing
that bring him back.
104
00:04:55,446 --> 00:04:58,753
Bring him back?
From his dark place.
105
00:05:00,015 --> 00:05:03,932
Uh-huh.
Okay.
106
00:05:04,019 --> 00:05:05,456
Will you, um,
107
00:05:05,543 --> 00:05:08,154
will you excuse me
for a moment, Gordon?
108
00:05:13,289 --> 00:05:17,468
We're gonna take care
of you little, man, okay?
109
00:05:17,555 --> 00:05:18,860
All right.
110
00:05:23,691 --> 00:05:25,127
Ordered a CT.
111
00:05:25,214 --> 00:05:26,390
But I'm almost positive
112
00:05:26,477 --> 00:05:28,783
there's a bilateral
mandible fracture.
113
00:05:28,870 --> 00:05:31,046
Gonna need surgery
to wire it shut.
114
00:05:33,396 --> 00:05:36,574
Man, Ethan.
Kid's only six years old.
115
00:05:37,836 --> 00:05:39,098
Jamie?
116
00:05:40,621 --> 00:05:45,234
He's stable but tormented.
Dad choked him out.
117
00:05:45,321 --> 00:05:49,151
Probably so he couldn't
defend his little brother.
118
00:05:49,238 --> 00:05:51,110
Sometimes I hate the ED.
119
00:05:56,289 --> 00:06:00,119
Jamie, how are you doing?
I'm Dr. Charles.
120
00:06:00,206 --> 00:06:03,818
Um, would you mind
if I looked at your hands?
121
00:06:09,520 --> 00:06:12,000
Fifth metacarpal
is broken on each hand.
122
00:06:12,087 --> 00:06:14,176
That's really gotta hurt.
123
00:06:14,263 --> 00:06:18,006
Um, look, we're gonna get you
completely fixed up.
124
00:06:18,093 --> 00:06:21,575
Okay?
It was nice to meet you.
125
00:06:24,926 --> 00:06:26,667
This is not child abuse.
126
00:06:38,549 --> 00:06:39,825
Thanks, man.
127
00:06:39,934 --> 00:06:41,442
You know,
one of the volunteers works
128
00:06:41,538 --> 00:06:43,192
at a rehab center.
129
00:06:43,423 --> 00:06:46,078
If you'd like, she can tell you
about their program.
130
00:06:46,165 --> 00:06:49,473
Yeah. Sure.
131
00:06:49,560 --> 00:06:51,126
Maybe another time.
132
00:06:54,652 --> 00:06:56,349
If you change your mind,
we're here.
133
00:07:01,659 --> 00:07:03,530
Will.
Yeah?
134
00:07:03,617 --> 00:07:08,143
You have been here for hours.
Go home, get some rest.
135
00:07:08,230 --> 00:07:10,885
Yeah, I could use some sleep
before I start my shift.
136
00:07:10,972 --> 00:07:12,931
Ah, damn it.
It starts in a half hour.
137
00:07:13,018 --> 00:07:14,067
Uh, okay.
All right.
138
00:07:14,155 --> 00:07:15,762
That woman over there,
her name's Susan.
139
00:07:15,850 --> 00:07:17,317
When she comes down,
she's gonna be hungry.
140
00:07:17,405 --> 00:07:19,590
- I stashed some protein bars...
- I know, I saw.
141
00:07:19,677 --> 00:07:22,418
The electrolyte drinks too.
Get to work.
142
00:07:24,159 --> 00:07:25,596
I'll be back later,
you call me
143
00:07:25,683 --> 00:07:28,207
if you need anything.
144
00:07:28,294 --> 00:07:32,254
That's the cry, that one.
145
00:07:32,341 --> 00:07:35,344
It's not "I'm hungry"
or "I'm tired."
146
00:07:35,431 --> 00:07:37,129
It's new.
147
00:07:37,216 --> 00:07:39,914
Okay.
I know, I know, Axel.
148
00:07:40,001 --> 00:07:43,614
You're in pain and my touching
you is only making it worse.
149
00:07:43,701 --> 00:07:45,790
Any changes
in his sleep pattern?
150
00:07:45,877 --> 00:07:47,574
No.
Every baby book I read said
151
00:07:47,661 --> 00:07:49,620
put your child on a schedule
and stick to it.
152
00:07:49,707 --> 00:07:51,535
Been there.
My son's almost four.
153
00:07:51,622 --> 00:07:54,668
I know, I know.
Almost finished.
154
00:07:54,755 --> 00:07:56,931
Okay.
What about diet?
155
00:07:57,018 --> 00:07:58,846
I had to start using formula.
156
00:07:58,933 --> 00:08:00,282
Just not enough hours
in the day
157
00:08:00,369 --> 00:08:03,895
to pump, work, nurse,
do laundry, pump again.
158
00:08:03,982 --> 00:08:07,159
Single mom?
Yeah, me too.
159
00:08:07,246 --> 00:08:10,031
Dad still in the picture?
No, but I'm okay with it.
160
00:08:11,747 --> 00:08:13,902
Well, I'm not seeing anything
out of the ordinary.
161
00:08:14,020 --> 00:08:15,643
I mean, the switch
from breast milk to formula
162
00:08:15,731 --> 00:08:17,517
could be upsetting
Axel's stomach.
163
00:08:17,604 --> 00:08:19,519
Have you noticed
any diarrhea since the change?
164
00:08:19,606 --> 00:08:20,912
Here and there.
165
00:08:20,999 --> 00:08:23,523
But this cry has been
consistent for the last month.
166
00:08:23,610 --> 00:08:26,787
I'll test for allergies,
but infants and crying...
167
00:08:26,874 --> 00:08:28,397
Don't say colic.
168
00:08:28,484 --> 00:08:30,138
I've been
to three pediatricians.
169
00:08:30,225 --> 00:08:32,315
They all diagnosed colic
and sent me home.
170
00:08:33,576 --> 00:08:36,318
No.
Something else is going on.
171
00:08:36,405 --> 00:08:39,670
Run tests, X-rays, scans.
Just please, figure it out.
172
00:08:39,757 --> 00:08:41,323
Okay, well,
why don't we start
173
00:08:41,410 --> 00:08:43,412
with some basic labs
and go from there?
174
00:08:46,067 --> 00:08:47,591
Is that okay?
175
00:08:47,678 --> 00:08:49,505
Sure.
Thank you.
176
00:08:50,855 --> 00:08:53,422
I'll send a nurse in
to get started.
177
00:08:57,252 --> 00:08:59,298
Thank you.
178
00:08:59,385 --> 00:09:02,518
Hey, Jamie, you hungry?
Thirsty?
179
00:09:04,564 --> 00:09:07,523
I know your casts are bulky.
I can help you.
180
00:09:07,610 --> 00:09:09,787
I'll leave the tray
right here just in case.
181
00:09:15,096 --> 00:09:18,186
Hi.
Nice to meet you.
182
00:09:18,273 --> 00:09:20,145
They're talking about me.
183
00:09:24,279 --> 00:09:26,804
About what I did
to my little brother.
184
00:09:29,110 --> 00:09:30,808
I didn't mean to hurt him.
185
00:09:32,446 --> 00:09:33,641
I'm so sorry.
186
00:09:33,729 --> 00:09:36,321
It's okay.
Okay, okay.
187
00:09:41,688 --> 00:09:44,977
Well, after two miscarriages
and five failed IVF attempts,
188
00:09:45,065 --> 00:09:46,313
we'd had enough heartbreak.
189
00:09:46,401 --> 00:09:49,317
We adopted Jamie
when he was a few days old.
190
00:09:49,740 --> 00:09:51,655
Best day of our lives.
191
00:09:51,742 --> 00:09:54,005
Do you know anything
about his birth parents?
192
00:09:54,092 --> 00:09:58,141
Nothing really.
Mom was young, in foster care.
193
00:09:58,229 --> 00:09:59,532
We don't know
anything about dad.
194
00:09:59,619 --> 00:10:01,012
Well, Jamie's 11 now,
195
00:10:01,099 --> 00:10:03,971
so how old was he when
he first started acting out?
196
00:10:04,058 --> 00:10:06,060
As an infant,
he didn't like being held.
197
00:10:06,147 --> 00:10:09,760
Was always fidgety.
Hmm, how about as a toddler?
198
00:10:09,847 --> 00:10:12,545
Sitting still, taking turns,
following directions,
199
00:10:12,632 --> 00:10:13,977
they were all a challenge.
200
00:10:14,065 --> 00:10:17,115
When did Jamie's behavior
start becoming aggressive?
201
00:10:17,202 --> 00:10:18,856
Elementary school.
202
00:10:18,943 --> 00:10:21,772
Fights with classmates
and teachers.
203
00:10:21,859 --> 00:10:23,512
We're homeschooling now.
204
00:10:23,599 --> 00:10:26,907
And your other son, Dylan,
is he adopted as well?
205
00:10:26,994 --> 00:10:28,474
Yeah.
Mm-hmm.
206
00:10:28,561 --> 00:10:31,651
It was initially Jamie's idea.
He wanted to be a big brother.
207
00:10:31,738 --> 00:10:35,046
And in the beginning, Dylan's
presence seemed to calm Jamie.
208
00:10:35,133 --> 00:10:38,186
He would push his stroller,
feed him his bottle,
209
00:10:38,274 --> 00:10:39,485
let him climb all over him.
210
00:10:39,572 --> 00:10:43,924
They are so...
were so close.
211
00:10:44,011 --> 00:10:46,100
I'm assuming that
Jamie's been evaluated
212
00:10:46,187 --> 00:10:47,406
by a psychiatrist.
213
00:10:47,493 --> 00:10:48,624
Several.
214
00:10:48,711 --> 00:10:51,105
They all just head
to the diagnosis.
215
00:10:51,192 --> 00:10:53,281
Intermittent
explosive disorder,
216
00:10:53,368 --> 00:10:55,893
comorbid ADHD,
217
00:10:55,980 --> 00:10:58,896
disruptive mood
dysregulation disorder.
218
00:10:58,983 --> 00:11:01,942
Tell me, what meds
is he on right now?
219
00:11:02,029 --> 00:11:06,033
Risperidone, valproic acid,
lithium, Adderall, Tenex.
220
00:11:06,120 --> 00:11:08,906
They all work for a bit,
but then...
221
00:11:08,993 --> 00:11:11,082
He always ends up
in his dark place.
222
00:11:11,169 --> 00:11:12,387
Yeah.
223
00:11:14,128 --> 00:11:16,304
Mr. and Mrs. Shaw,
Dylan's out of surgery.
224
00:11:16,391 --> 00:11:18,002
I'll take you to recovery.
225
00:11:18,089 --> 00:11:19,786
Look, what I'd like to do
226
00:11:19,873 --> 00:11:22,006
is admit Jamie
for a five day hold.
227
00:11:22,093 --> 00:11:24,095
That'll give us a chance
to assess the situation
228
00:11:24,182 --> 00:11:26,053
and come up with some
treatment options for you.
229
00:11:26,140 --> 00:11:28,316
Anything.
Please, just help him.
230
00:11:28,403 --> 00:11:29,448
Yeah.
231
00:11:34,975 --> 00:11:36,194
Shh.
He's out.
232
00:11:36,281 --> 00:11:38,979
Cried himself to sleep.
What'd the tests say?
233
00:11:39,066 --> 00:11:40,851
The labs were normal.
234
00:11:40,938 --> 00:11:43,375
But the babygram revealed
a mild bowel distention.
235
00:11:43,462 --> 00:11:44,680
There are no obstructions.
236
00:11:44,767 --> 00:11:47,422
However, the stool
in Axel's diaper was watery.
237
00:11:47,509 --> 00:11:49,163
That suggests a GI issue.
238
00:11:49,250 --> 00:11:50,991
Okay.
What do you do for that?
239
00:11:51,078 --> 00:11:51,905
Endoscopy.
240
00:11:51,992 --> 00:11:53,472
So under a general anesthesia,
241
00:11:53,559 --> 00:11:55,822
a surgeon will guide
a camera down Axel's throat
242
00:11:55,909 --> 00:11:58,303
into his GI tract
to search for abnormalities.
243
00:11:58,390 --> 00:12:00,784
And if necessary,
we'll do a colonoscopy as well.
244
00:12:00,871 --> 00:12:02,742
Mm.
Can I be there?
245
00:12:03,961 --> 00:12:05,484
I wouldn't recommend that.
246
00:12:05,571 --> 00:12:09,401
I mean, seeing the scope inside
Axel, it might be upsetting.
247
00:12:09,488 --> 00:12:12,404
No, I really wanna be there.
Are you sure?
248
00:12:12,491 --> 00:12:15,015
Because I can't overstate
how distressing
249
00:12:15,102 --> 00:12:17,148
this procedure can be
for a parent to watch.
250
00:12:17,235 --> 00:12:19,498
I mean, seeing your child
on the table, unconscious...
251
00:12:19,585 --> 00:12:22,327
I'll be okay.
252
00:12:22,414 --> 00:12:23,545
All right.
253
00:12:23,632 --> 00:12:25,634
Techs will be by shortly
to bring up Axel.
254
00:12:25,721 --> 00:12:27,114
I'll be there as well.
255
00:12:29,769 --> 00:12:32,163
Signed.
Thank you.
256
00:12:34,600 --> 00:12:35,949
Hey, Doris.
257
00:12:36,036 --> 00:12:38,865
Julia, the mom in Treatment
III, did you get a read?
258
00:12:38,952 --> 00:12:40,432
I like her.
259
00:12:40,519 --> 00:12:43,609
I wish all parents would
handle the ED that smoothly.
260
00:12:43,696 --> 00:12:45,263
You don't think
she's too composed?
261
00:12:45,350 --> 00:12:47,134
I mean, her son is
clearly in distress
262
00:12:47,221 --> 00:12:48,440
and she hasn't even
broken a sweat.
263
00:12:48,527 --> 00:12:50,746
Oh, there's that
Manning ESP again.
264
00:12:50,833 --> 00:12:52,357
Okay.
265
00:12:52,444 --> 00:12:55,229
She asked me to run more tests
on her baby than necessary,
266
00:12:55,316 --> 00:12:57,449
and now she wants to be
front row when he gets scoped.
267
00:12:57,536 --> 00:12:59,407
You don't think
that's a little odd?
268
00:12:59,494 --> 00:13:02,106
Uh, if you say so.
269
00:13:03,890 --> 00:13:05,196
Call Dr. Frisch.
270
00:13:05,283 --> 00:13:07,415
I wanna put Axel on today's
schedule for an endoscopy.
271
00:13:07,502 --> 00:13:09,722
She's busy.
Omphalocele repair.
272
00:13:09,809 --> 00:13:11,245
Gonna be locked away all day.
273
00:13:11,332 --> 00:13:13,508
But I'm free to take care of it
right now if you'd like.
274
00:13:13,595 --> 00:13:15,684
Okay.
Thanks.
275
00:13:15,771 --> 00:13:18,513
Meet you upstairs.
Ms. Doris?
276
00:13:18,600 --> 00:13:20,200
Thank you.
Sure.
277
00:13:20,288 --> 00:13:22,421
Nurse April.
Dr. Marcel.
278
00:13:26,478 --> 00:13:28,741
Okay, stomach
and esophagus appear normal.
279
00:13:28,828 --> 00:13:30,569
Let's reset for a colonoscopy.
280
00:13:33,093 --> 00:13:35,226
Julia, are you okay?
281
00:13:35,313 --> 00:13:36,880
You don't have
to keep watching, you know.
282
00:13:36,967 --> 00:13:38,229
No, I'm okay.
283
00:13:38,316 --> 00:13:39,926
It's just I have a scrape
on my stomach.
284
00:13:40,013 --> 00:13:41,188
I forgot to change the bandage
285
00:13:41,275 --> 00:13:42,973
and it's beginning
to slide around.
286
00:13:43,060 --> 00:13:44,670
Why don't I have a nurse
change that out for you
287
00:13:44,757 --> 00:13:45,932
when we're back in the ED?
288
00:13:46,019 --> 00:13:48,587
Oh, okay.
Yeah.
289
00:13:48,674 --> 00:13:50,110
Thanks.
Yeah.
290
00:13:50,197 --> 00:13:52,373
Somehow I keep scraping
myself right there.
291
00:13:52,460 --> 00:13:54,985
I don't know how.
Mom brain, I guess.
292
00:13:59,206 --> 00:14:01,469
Ooh, ooh.
Right there.
293
00:14:01,556 --> 00:14:04,081
Okay.
Sharp or dull pain, Chloe?
294
00:14:04,168 --> 00:14:06,344
I think both.
Is that even possible?
295
00:14:06,431 --> 00:14:08,172
Unfortunately.
296
00:14:14,874 --> 00:14:16,267
How long have you
been feeling off?
297
00:14:16,354 --> 00:14:18,530
I don't know.
A couple weeks?
298
00:14:18,617 --> 00:14:20,967
Three months.
She downplays everything.
299
00:14:21,054 --> 00:14:24,231
We just got married.
300
00:14:24,318 --> 00:14:26,190
I figured the pain
was just nervous energy,
301
00:14:26,277 --> 00:14:29,845
but the wedding's behind us now
and I still feel "blah."
302
00:14:29,932 --> 00:14:31,195
Any constipation?
Bloating?
303
00:14:31,282 --> 00:14:34,459
She hasn't pooped in a week.
304
00:14:34,546 --> 00:14:36,461
So Chloe, I'm gonna need
to take a closer look
305
00:14:36,548 --> 00:14:37,766
to see what's going on.
306
00:14:37,853 --> 00:14:40,291
We'll get some X-rays,
a pelvic and a rectal.
307
00:14:40,378 --> 00:14:42,467
Just keeping
the sexy flowing, aren't I?
308
00:14:42,554 --> 00:14:45,296
Till death do us part.
309
00:14:45,383 --> 00:14:47,298
Well, a nurse will come in
and get things going.
310
00:14:47,385 --> 00:14:49,517
Congratulations,
Mr. and Mrs. James.
311
00:14:51,649 --> 00:14:52,661
- Crockett.
- Yeah?
312
00:14:52,749 --> 00:14:53,755
Perfect timing.
313
00:14:53,843 --> 00:14:55,480
Single vehicle accident
landing now.
314
00:14:55,567 --> 00:14:57,786
Massive trauma.
I'll have Baghdad ready.
315
00:14:57,873 --> 00:14:59,049
Got it.
316
00:15:01,138 --> 00:15:03,096
What do you got?
Lucy Seaver, 20.
317
00:15:03,183 --> 00:15:05,490
GCS 3.
Intubated in the field.
318
00:15:05,577 --> 00:15:08,058
Bilateral femur fractures
and traction splints.
319
00:15:08,145 --> 00:15:10,234
SATS 100% on oxygen.
320
00:15:10,321 --> 00:15:12,801
Okay, Lucy, don't be afraid.
You're in the ED.
321
00:15:12,888 --> 00:15:14,064
We're gonna take
good care of you.
322
00:15:14,151 --> 00:15:15,630
Parents should be here
any second.
323
00:15:15,717 --> 00:15:16,892
They were on the scene.
324
00:15:16,979 --> 00:15:18,155
They were in the car
behind Lucy.
325
00:15:18,242 --> 00:15:20,331
They saw the crash?
And the aftermath.
326
00:15:20,418 --> 00:15:22,855
Lucy's car was so mangled,
it took us 20 minutes
327
00:15:22,942 --> 00:15:25,031
to extricate her
and get her in the ambo.
328
00:15:25,118 --> 00:15:26,163
Okay, all right.
Here we go.
329
00:15:26,250 --> 00:15:28,948
On my count.
One, two, three.
330
00:15:30,471 --> 00:15:31,472
All right.
331
00:15:36,216 --> 00:15:38,262
Good breath sounds
bilaterally.
332
00:15:42,004 --> 00:15:44,572
Belly's hard as a rock.
BP's 70s.
333
00:15:44,659 --> 00:15:46,313
Two of plasma,
two of blood on the transfuser.
334
00:15:46,400 --> 00:15:48,707
Trigger the MTP.
Let's fast her.
335
00:15:52,145 --> 00:15:56,062
Ton of soft tissue damage.
Glass everywhere.
336
00:15:56,149 --> 00:15:58,108
All right, no, scrap the X-ray.
No time.
337
00:15:58,195 --> 00:15:59,370
Give me that wand.
338
00:16:05,071 --> 00:16:06,464
Fast is positive.
339
00:16:06,551 --> 00:16:08,074
Yeah, I gotta get
into her belly.
340
00:16:08,161 --> 00:16:11,817
All right, let's go.
Let's open up the Hybrid OR!
341
00:16:11,904 --> 00:16:12,992
All right.
Oh, my God.
342
00:16:13,079 --> 00:16:14,254
Get her prepped, all right?
Lucy!
343
00:16:14,341 --> 00:16:17,518
Let's get her on the move.
All right.
344
00:16:17,605 --> 00:16:20,130
Mr. and Mrs. Seaver,
if you will.
345
00:16:20,217 --> 00:16:21,870
Your daughter's been
seriously injured.
346
00:16:21,957 --> 00:16:24,351
She needs immediate surgery
to control internal bleeding.
347
00:16:24,438 --> 00:16:26,223
It's fixable?
She's gonna live?
348
00:16:26,310 --> 00:16:28,486
We will do everything we can.
349
00:16:40,062 --> 00:16:41,412
Huh.
350
00:16:41,499 --> 00:16:43,675
So, uh, so what is
your favorite sport?
351
00:16:43,762 --> 00:16:46,243
Football, I guess.
352
00:16:46,330 --> 00:16:49,115
Bears fan?
My dad likes them.
353
00:16:49,202 --> 00:16:51,900
I like the Chiefs.
Oh, really?
354
00:16:51,987 --> 00:16:54,251
Oh, how'd that happen?
The quarterback.
355
00:16:54,338 --> 00:16:56,949
I saw a video of him throw
the ball out of the stadium.
356
00:16:57,036 --> 00:16:59,908
That was cool.
I saw that clip too.
357
00:16:59,995 --> 00:17:02,911
And you're right.
It was cool.
358
00:17:02,998 --> 00:17:06,219
You know, I was wondering
if we could talk a bit about...
359
00:17:06,306 --> 00:17:08,178
about what happens.
360
00:17:08,265 --> 00:17:12,356
You know, about how it feels
when you start to get upset.
361
00:17:14,923 --> 00:17:17,056
I don't know.
Kind of...
362
00:17:18,971 --> 00:17:20,233
It's fuzzy.
363
00:17:20,320 --> 00:17:25,499
Fuzzy. So kind of like,
um, like a dream?
364
00:17:25,586 --> 00:17:27,588
I guess.
365
00:17:27,675 --> 00:17:30,983
And...and when it happens,
I mean, what does it, uh,
366
00:17:31,070 --> 00:17:32,463
what does it feel like?
367
00:17:32,550 --> 00:17:34,943
I mean, like,
you know, in here?
368
00:17:35,030 --> 00:17:38,164
I mean, do you feel
anything in your body?
369
00:17:38,251 --> 00:17:40,906
Feels like I'm gonna explode.
370
00:17:40,993 --> 00:17:42,168
Wow.
371
00:17:42,255 --> 00:17:45,737
I'm sorry.
That must be really scary.
372
00:17:45,824 --> 00:17:47,304
Do you want to take
a little break?
373
00:17:47,391 --> 00:17:48,609
I want this off.
It's sticking to me.
374
00:17:48,696 --> 00:17:50,437
I can't stand it.
Okay, okay.
375
00:17:50,524 --> 00:17:52,352
Don't touch me!
Don't touch me!
376
00:17:52,439 --> 00:17:54,137
I hate you!
I hate you!
377
00:17:54,224 --> 00:17:56,095
Let go!
Stop it!
378
00:17:56,182 --> 00:17:58,141
Go away!
Stop it!
379
00:17:58,228 --> 00:17:59,446
- Go away!
- Two of haldol!
380
00:17:59,533 --> 00:18:01,274
Go away!
Stop it, no!
381
00:18:01,361 --> 00:18:03,755
No, I don't want meds!
Stop!
382
00:18:03,842 --> 00:18:06,845
Stop it, no!
Stop! No!
383
00:18:06,932 --> 00:18:09,625
I don't want meds, stop!
Stop it!
384
00:18:12,087 --> 00:18:14,838
I wish I could tell you
exactly what happened in there,
385
00:18:14,926 --> 00:18:17,682
what triggered Jamie,
but honestly, I can't.
386
00:18:17,769 --> 00:18:19,118
I have reviewed
his medical records,
387
00:18:19,205 --> 00:18:20,711
I've spoken with several
of his doctors,
388
00:18:20,799 --> 00:18:23,949
and what is clear to me
is that your son is struggling
389
00:18:24,036 --> 00:18:27,996
with multiple impulse control
and mood regulation disorders.
390
00:18:28,083 --> 00:18:30,129
So what do we do?
We just want to help him.
391
00:18:30,216 --> 00:18:32,000
Well, it's the hospital's
recommendation
392
00:18:32,087 --> 00:18:35,221
that Jamie be admitted
to a residential facility
393
00:18:35,308 --> 00:18:38,311
where he can receive
sustained clinical care
394
00:18:38,398 --> 00:18:40,705
as well as supportive therapy.
395
00:18:40,792 --> 00:18:42,620
A residential facility?
Mm-hmm.
396
00:18:42,707 --> 00:18:45,318
Yeah.
Mrs. Shaw, Jamie is 11.
397
00:18:45,405 --> 00:18:46,667
Puberty is fast approaching.
398
00:18:46,754 --> 00:18:48,278
And that surge of hormones
399
00:18:48,365 --> 00:18:52,456
is just gonna undoubtedly
exacerbate his conditions.
400
00:18:52,543 --> 00:18:54,849
It'll just make him more
difficult to treat in general.
401
00:18:54,936 --> 00:18:56,851
You know, find
the right balance of meds.
402
00:18:56,938 --> 00:18:59,071
And a specialized setting
like this will have
403
00:18:59,158 --> 00:19:03,206
the behavioral resources
Jamie needs for the future.
404
00:19:03,293 --> 00:19:07,340
And it'll be a safe place
for him right now.
405
00:19:08,440 --> 00:19:10,778
- Anything for our son.
- All right.
406
00:19:10,865 --> 00:19:13,346
I'll take care
of all the arrangements.
407
00:19:17,959 --> 00:19:20,310
Okay.
Looking good.
408
00:19:20,397 --> 00:19:22,921
Four tears in the small bowel
mesentery tied off.
409
00:19:23,008 --> 00:19:26,098
Liver's packed and hemostatic.
410
00:19:27,273 --> 00:19:28,187
Pressure's no good.
411
00:19:29,884 --> 00:19:31,756
We maxed out on pressors?
412
00:19:31,843 --> 00:19:32,844
Yeah, and I've given
ten units of blood
413
00:19:32,931 --> 00:19:34,193
and ten of plasma.
414
00:19:34,280 --> 00:19:36,674
She's still bleeding somewhere.
I don't...
415
00:19:38,545 --> 00:19:40,199
Hematoma on the pelvis.
416
00:19:40,286 --> 00:19:41,983
Bigger than my first look
and growing.
417
00:19:42,070 --> 00:19:43,898
Gotta assume the pelvis
is shattered and bleeding.
418
00:19:43,985 --> 00:19:45,509
Okay, team, new deal.
Preperitoneal packs.
419
00:19:45,596 --> 00:19:46,640
Let's go.
420
00:19:50,470 --> 00:19:51,906
Hey, Chloe.
How you feeling?
421
00:19:51,993 --> 00:19:53,734
Like a stuffed turkey.
422
00:19:53,821 --> 00:19:56,563
X-rays show
your bowel is FOS.
423
00:19:56,650 --> 00:19:58,652
Full of...
Stool.
424
00:19:58,739 --> 00:20:01,264
The pelvic suggests
your uterus is enlarged.
425
00:20:01,351 --> 00:20:03,440
So I suspect a fibroid
is sitting on the uterus,
426
00:20:03,527 --> 00:20:05,093
putting pressure on the rectum.
427
00:20:05,180 --> 00:20:06,573
You were right.
428
00:20:06,660 --> 00:20:08,314
The last few weeks,
she was scouring the web
429
00:20:08,401 --> 00:20:11,491
with her symptoms,
and fibroid fit the bill.
430
00:20:11,578 --> 00:20:13,101
Yeah, we're trying
to have a baby.
431
00:20:13,188 --> 00:20:15,800
Internet says fibroids
hinder the ability to conceive.
432
00:20:15,887 --> 00:20:18,237
Not all fibroids
are created equal.
433
00:20:18,324 --> 00:20:19,847
Hey, I'm gonna order
a pelvic ultrasound
434
00:20:19,934 --> 00:20:21,414
and a gyne consult.
435
00:20:21,501 --> 00:20:23,677
I'll check back soon.
And no more Googling, okay?
436
00:20:23,764 --> 00:20:24,983
Doctor's orders.
437
00:20:26,716 --> 00:20:28,291
How's it going
with your six-month-old?
438
00:20:28,378 --> 00:20:29,422
Dead end.
439
00:20:29,509 --> 00:20:31,119
Nothing's jumping out
in any of the labs
440
00:20:31,206 --> 00:20:33,687
and the endoscopy
and colonoscopy report.
441
00:20:33,774 --> 00:20:35,428
I'm starting to wonder
if it's really baby Axel
442
00:20:35,515 --> 00:20:36,777
who's the one that's sick.
443
00:20:36,864 --> 00:20:38,213
What do you mean?
444
00:20:38,300 --> 00:20:40,781
The mom, she's just...
she's got this air about her,
445
00:20:40,868 --> 00:20:43,001
this nonchalance that screams,
446
00:20:43,088 --> 00:20:45,612
"Yeah, my baby's in the ED,
but it's just another day."
447
00:20:45,699 --> 00:20:47,832
Well, it wouldn't be
the first time we see a parent
448
00:20:47,919 --> 00:20:50,443
pretend their child was sick
to get attention.
449
00:20:50,530 --> 00:20:53,011
Yeah, unfortunately.
450
00:20:53,098 --> 00:20:55,492
Have you seen Dr. Charles?
He's upstairs.
451
00:20:55,579 --> 00:20:56,536
I'll page him for you.
Thanks.
452
00:20:56,623 --> 00:20:57,929
Yeah.
453
00:20:58,016 --> 00:21:00,148
Dr. Manning, it's Julia.
454
00:21:00,235 --> 00:21:01,846
There's something
you need to see.
455
00:21:03,717 --> 00:21:04,892
You know,
I had my appendix taken out
456
00:21:04,979 --> 00:21:06,285
when I was in 10th grade.
457
00:21:06,372 --> 00:21:07,852
All right.
Well, let's take a look.
458
00:21:09,680 --> 00:21:13,379
Oh, my God.
This is a fistula.
459
00:21:13,466 --> 00:21:17,601
Basically a tunnel between
your small bowel and your skin.
460
00:21:17,688 --> 00:21:20,038
The green fluid is leaking
from your intestines.
461
00:21:20,125 --> 00:21:21,735
Seriously?
Mm-hmm.
462
00:21:21,822 --> 00:21:23,389
I've been getting
these scrapes for years.
463
00:21:23,476 --> 00:21:24,608
They heal up.
464
00:21:24,695 --> 00:21:27,045
It's been my intestines
oozing out?
465
00:21:27,132 --> 00:21:29,352
The tissue sample taken
during Axel's endoscopy,
466
00:21:29,439 --> 00:21:30,744
I'd like it biopsied.
467
00:21:30,831 --> 00:21:32,833
Biopsy?
You're testing for cancer?
468
00:21:32,920 --> 00:21:34,095
No.
Something new.
469
00:21:34,182 --> 00:21:36,576
And now I'm thinking
you may have it as well.
470
00:21:36,663 --> 00:21:37,882
The test that I ran
on your son,
471
00:21:37,969 --> 00:21:40,754
I'd like to run on you as well.
472
00:21:40,841 --> 00:21:43,017
Okay.
473
00:21:43,104 --> 00:21:45,455
All right.
Pelvis is packed.
474
00:21:45,542 --> 00:21:47,370
Bleeding's under control.
475
00:21:47,457 --> 00:21:50,024
Call ICU and tell them
Lucy's coming up to rewarm.
476
00:21:50,111 --> 00:21:52,113
Something's wrong.
Pressure's still in the toilet.
477
00:21:52,200 --> 00:21:54,899
74 over 38, falling.
What?
478
00:21:54,986 --> 00:21:57,380
She's peri-arrest.
She's still bleeding?
479
00:21:58,859 --> 00:22:01,775
The abdomen is dry.
Pelvis is contained.
480
00:22:01,862 --> 00:22:03,864
I mean, we're hemostatic,
Marty.
481
00:22:03,951 --> 00:22:04,952
She's bradying down.
482
00:22:06,563 --> 00:22:07,825
No pulse.
Come on.
483
00:22:12,046 --> 00:22:13,308
Milligram of epi.
484
00:22:16,573 --> 00:22:17,704
Epi's in.
Pulse check?
485
00:22:17,791 --> 00:22:18,966
Go.
486
00:22:20,402 --> 00:22:21,391
Still nothing.
487
00:22:23,318 --> 00:22:25,016
Come on, Lucy.
488
00:22:25,103 --> 00:22:26,496
Hold compressions.
489
00:22:29,382 --> 00:22:30,413
Be good.
490
00:22:32,066 --> 00:22:35,026
Asystole.
Come on.
491
00:22:35,113 --> 00:22:37,624
Come on, Lucy.
Come on.
492
00:22:43,091 --> 00:22:44,208
Damn it.
493
00:22:57,962 --> 00:23:01,313
Time of death, 16:17.
494
00:23:03,881 --> 00:23:07,798
Okay, everyone,
clear the room, please.
495
00:23:07,972 --> 00:23:10,017
I'd like a moment alone
with my patient.
496
00:23:23,336 --> 00:23:25,643
What's going on?
497
00:23:25,816 --> 00:23:27,295
There's room for Jamie
at Meyerbrook,
498
00:23:27,382 --> 00:23:28,949
which is the only
residential facility
499
00:23:29,036 --> 00:23:30,647
capable of handling his needs.
500
00:23:30,734 --> 00:23:33,127
Unfortunately, neither
his private insurance
501
00:23:33,214 --> 00:23:34,694
nor state Medicaid
is gonna cover the cost.
502
00:23:34,781 --> 00:23:37,131
What about an individual
care grant from the state?
503
00:23:37,218 --> 00:23:38,524
I already looked into it.
It's no help.
504
00:23:38,611 --> 00:23:39,960
Yeah, the grant's
so underfunded,
505
00:23:40,047 --> 00:23:42,397
it wouldn't come close
to what's needed.
506
00:23:42,484 --> 00:23:43,703
So what's plan B?
507
00:23:43,790 --> 00:23:46,445
Well, you know,
I'm gonna just try and use
508
00:23:46,532 --> 00:23:48,969
the five-day hold to normalize
his meds as best I can.
509
00:23:49,056 --> 00:23:51,477
And I do know a brilliant guy
who specializes
510
00:23:51,565 --> 00:23:53,289
in these kind of disorders
I want to refer him to.
511
00:23:53,377 --> 00:23:54,975
An outpatient service?
512
00:23:55,062 --> 00:23:56,586
Jamie pummeled Dylan
over an iPad.
513
00:23:56,673 --> 00:23:59,589
The kid's jaw's wired shut.
He's only six years old.
514
00:23:59,676 --> 00:24:01,591
He's going to invade
his brother's space again.
515
00:24:01,678 --> 00:24:05,682
And when that happens,
and Jamie loses his temper,
516
00:24:05,769 --> 00:24:07,335
I'm worried
he could kill Dylan.
517
00:24:07,422 --> 00:24:08,815
I don't like it
either, Ethan,
518
00:24:08,902 --> 00:24:11,035
but I mean, you know,
I can't hold him here forever.
519
00:24:11,122 --> 00:24:14,952
I get it, but we have
an obligation to protect Dylan.
520
00:24:15,039 --> 00:24:17,041
And he needs our help
just as much as Jamie.
521
00:24:25,397 --> 00:24:27,573
Dr. Halstead,
the gyne attending on-call
522
00:24:27,660 --> 00:24:28,922
came down a few minutes ago.
523
00:24:29,009 --> 00:24:32,186
She's with Chloe right now.
Great, thanks.
524
00:24:32,273 --> 00:24:34,275
If you feel comfortable
with that.
525
00:24:34,362 --> 00:24:36,060
Yeah.
526
00:24:40,281 --> 00:24:43,110
-Dr. Hannah Asher,
gynecology.
527
00:24:45,286 --> 00:24:48,246
Will Halstead.
It's nice to meet you.
528
00:24:48,333 --> 00:24:50,378
Yeah.
Likewise.
529
00:24:50,465 --> 00:24:52,555
I was just explaining
to Chloe and David
530
00:24:52,642 --> 00:24:54,339
that I reviewed
her pelvic ultrasound.
531
00:24:54,426 --> 00:24:56,689
Considering the location
and size of the fibroid,
532
00:24:56,776 --> 00:24:58,299
I believe
removing it surgically
533
00:24:58,386 --> 00:24:59,518
is the best course
of treatment.
534
00:24:59,605 --> 00:25:02,216
A myomectomy?
By who, when?
535
00:25:02,303 --> 00:25:05,437
Me.
Today.
536
00:25:05,524 --> 00:25:08,658
Chloe, David, you should know
this surgery can be risky.
537
00:25:08,745 --> 00:25:11,617
Yes, I've explained the pros
and cons, Dr. Halstead.
538
00:25:11,704 --> 00:25:13,880
Was clear that while
this is a big operation,
539
00:25:13,967 --> 00:25:15,534
it's also a common one.
540
00:25:15,621 --> 00:25:19,016
Nevertheless,
complications could rise.
541
00:25:19,103 --> 00:25:21,235
So I would suggest
non-surgical options.
542
00:25:21,322 --> 00:25:23,934
Hormone therapy
will shrink the fibroid.
543
00:25:24,021 --> 00:25:25,413
Well, that's what
Dr. Asher said.
544
00:25:25,500 --> 00:25:28,068
But to ensure
that it doesn't grow back,
545
00:25:28,155 --> 00:25:29,723
Chloe would have to go
on the pill.
546
00:25:29,811 --> 00:25:31,463
We're anxious
to start a family.
547
00:25:31,550 --> 00:25:33,247
The pill takes that
off the table.
548
00:25:33,334 --> 00:25:35,380
In the short term, yes.
But not permanently.
549
00:25:35,467 --> 00:25:37,687
Actually, it kind of does.
550
00:25:37,774 --> 00:25:39,427
I'm 41, Dr. Halstead.
551
00:25:39,514 --> 00:25:41,908
Our window for getting pregnant
is already closing.
552
00:25:41,995 --> 00:25:45,172
If I choose hormones,
I might as well slam it shut.
553
00:25:45,259 --> 00:25:48,045
We appreciate
your passion, Dr. Halstead.
554
00:25:48,132 --> 00:25:51,265
But surgery is the best for us.
555
00:25:51,352 --> 00:25:52,876
I'll get that started.
556
00:25:52,963 --> 00:25:55,530
It was so nice
meeting both of you.
557
00:25:55,617 --> 00:25:56,836
Doctor.
558
00:25:59,404 --> 00:26:01,885
Excuse me just a moment.
559
00:26:01,972 --> 00:26:04,365
Doctor Asher?
Doctor.
560
00:26:05,380 --> 00:26:06,511
Hmm?
561
00:26:06,599 --> 00:26:07,954
You can't perform
this surgery.
562
00:26:08,042 --> 00:26:08,634
Hmm?
563
00:26:08,722 --> 00:26:10,673
I mean, you shouldn't even
be working.
564
00:26:10,823 --> 00:26:12,929
Look, thank you for your help
last week, but I'm better now.
565
00:26:13,157 --> 00:26:14,724
I'm over that hump.
566
00:26:14,811 --> 00:26:16,334
So heroin addiction
is like a cold?
567
00:26:16,421 --> 00:26:18,031
What, you just get over it?
568
00:26:18,118 --> 00:26:19,598
What I saw
at that injection site...
569
00:26:19,685 --> 00:26:21,295
Was me having a bad day.
570
00:26:21,382 --> 00:26:22,557
A bad day?
Mm-hmm.
571
00:26:22,644 --> 00:26:24,342
You...
572
00:26:26,561 --> 00:26:28,999
You OD'd.
573
00:26:29,086 --> 00:26:30,740
For all I know,
you're high right now.
574
00:26:30,827 --> 00:26:32,045
Right.
575
00:26:32,132 --> 00:26:33,786
But how many all-nighters
you pull over there
576
00:26:33,873 --> 00:26:35,745
since I saw you last, huh?
577
00:26:35,832 --> 00:26:39,531
Three?
Four?
578
00:26:39,618 --> 00:26:41,794
Maybe I should be the one
worried about your judgment.
579
00:26:41,881 --> 00:26:43,013
Don't twist this.
580
00:26:43,100 --> 00:26:45,755
I'm not an addict
about to operate.
581
00:26:45,842 --> 00:26:48,366
You step into that OR, you
put Chloe's life in jeopardy.
582
00:26:48,453 --> 00:26:51,586
I would never risk
the well-being of a patient.
583
00:26:53,327 --> 00:26:57,331
Not that it is any of
your business, I'm sober now.
584
00:26:57,418 --> 00:26:59,507
I'd expect an addict
to say that.
585
00:27:01,335 --> 00:27:03,511
Chloe is in good hands
with me.
586
00:27:13,347 --> 00:27:17,089
Axel has Crohn's disease?
But he's only six months old.
587
00:27:17,177 --> 00:27:19,658
Well, it's rare in children,
let alone infants,
588
00:27:19,745 --> 00:27:21,225
but not unheard of.
589
00:27:21,312 --> 00:27:22,530
Isn't Crohn's a diet thing?
590
00:27:22,617 --> 00:27:24,576
I mean, Axel's barely started
on solids.
591
00:27:24,663 --> 00:27:25,882
Well, diet
aggravates Crohn's,
592
00:27:25,969 --> 00:27:27,144
but it's not the cause.
593
00:27:27,231 --> 00:27:28,188
Genetics is.
594
00:27:28,275 --> 00:27:30,495
Crohn's tends to cluster
in families.
595
00:27:30,582 --> 00:27:32,497
Whoa, my test results...
596
00:27:32,584 --> 00:27:34,107
Show that you have
Crohn's as well.
597
00:27:34,194 --> 00:27:36,762
The fistula is just evidence
of the severity.
598
00:27:36,849 --> 00:27:38,024
This doesn't make sense.
599
00:27:38,111 --> 00:27:39,809
If I've got Crohn's
badly enough
600
00:27:39,896 --> 00:27:42,986
to burn a hole in my skin,
shouldn't it bother me?
601
00:27:43,073 --> 00:27:44,988
Well, fistulas themselves
are painless,
602
00:27:45,075 --> 00:27:48,469
but yes, a Crohn's flare-up
is excruciating.
603
00:27:48,556 --> 00:27:50,689
You should be in pain.
Agony.
604
00:27:50,776 --> 00:27:54,693
Yeah, well,
I don't feel a thing.
605
00:27:54,780 --> 00:27:57,391
This is weirding you out,
isn't it?
606
00:27:57,478 --> 00:27:58,828
It's definitely unusual.
607
00:28:04,268 --> 00:28:06,705
Or actually,
608
00:28:06,792 --> 00:28:10,709
maybe it's...
maybe it's rare.
609
00:28:10,796 --> 00:28:12,015
Let me ask you a question.
610
00:28:12,102 --> 00:28:16,367
What emotion
are you feeling right now?
611
00:28:16,454 --> 00:28:17,847
I'm not sure what you mean.
612
00:28:17,934 --> 00:28:19,587
Well, I just told you
that you and your son have
613
00:28:19,674 --> 00:28:21,589
an inflammatory bowel disease.
614
00:28:21,676 --> 00:28:23,287
What are you feeling?
Stress?
615
00:28:23,374 --> 00:28:25,463
Anxiety?
Fear?
616
00:28:25,550 --> 00:28:29,119
Confusion, that's for sure.
617
00:28:29,206 --> 00:28:31,774
You know, I'd like to run
one more test.
618
00:28:31,861 --> 00:28:33,036
Okay?
Okay.
619
00:28:33,123 --> 00:28:34,124
Okay.
620
00:28:39,956 --> 00:28:42,219
Bea, it's taking too long.
Check with Dr. Asher.
621
00:28:42,306 --> 00:28:43,655
Again?
622
00:28:43,742 --> 00:28:45,178
I've already gone in there
twice for you, Dr. Halstead.
623
00:28:45,265 --> 00:28:47,224
Please, I'm treating
Chloe in the ED.
624
00:28:47,311 --> 00:28:48,834
I just want to make sure
Dr. Asher's
625
00:28:48,921 --> 00:28:50,618
got everything under control.
626
00:28:50,705 --> 00:28:53,012
Fine.
Thank you.
627
00:29:01,368 --> 00:29:04,371
Dr. Asher said, "Go away."
628
00:29:04,458 --> 00:29:06,156
Nope, staying right here.
629
00:29:12,640 --> 00:29:14,904
Hey, I got your page.
630
00:29:14,991 --> 00:29:16,775
You have a new plan
to help Jamie?
631
00:29:18,081 --> 00:29:20,910
Yeah.
Yep, I do.
632
00:29:23,608 --> 00:29:24,870
So, Mr. and Mrs. Shaw,
633
00:29:24,957 --> 00:29:27,264
I have given this
a tremendous amount of thought.
634
00:29:27,351 --> 00:29:30,615
I've consulted with...
with numerous colleagues,
635
00:29:30,702 --> 00:29:31,921
with social workers,
636
00:29:32,008 --> 00:29:35,794
with our Executive Director
of Patient Services.
637
00:29:35,881 --> 00:29:38,144
Jamie needs to be
at the Meyerbrook
638
00:29:38,231 --> 00:29:39,580
Residential Facility.
639
00:29:39,667 --> 00:29:41,626
So the insurance companies,
they agreed to pay?
640
00:29:41,713 --> 00:29:43,106
No.
641
00:29:43,193 --> 00:29:46,457
Both your private insurance
and Medicaid won't budge.
642
00:29:46,544 --> 00:29:49,460
Then I'm confused.
643
00:29:49,547 --> 00:29:52,115
There is a way
to force Medicaid
644
00:29:52,202 --> 00:29:55,161
to cover Meyerbrook's cost
in full.
645
00:29:55,248 --> 00:29:56,902
It's called
a psychiatric lockout.
646
00:29:56,989 --> 00:29:58,599
But it will require you
647
00:29:58,686 --> 00:30:01,254
to surrender Jamie
to this hospital.
648
00:30:01,341 --> 00:30:05,041
Surrender?
I don't understand.
649
00:30:05,128 --> 00:30:08,348
If you were to leave Jamie
here and refuse to come back,
650
00:30:08,435 --> 00:30:11,395
Child Protective Services would
have to take custody of him.
651
00:30:11,482 --> 00:30:15,051
Then, as a ward of the state,
legally, Illinois would have
652
00:30:15,138 --> 00:30:18,750
to provide him with the mental
health services that he needs.
653
00:30:18,837 --> 00:30:21,971
Meyerbrook?
This is insane.
654
00:30:22,058 --> 00:30:24,756
We're not doing this.
So there's no other way?
655
00:30:24,843 --> 00:30:28,064
I'm so sorry,
but there just isn't.
656
00:30:28,151 --> 00:30:30,283
We would absolutely find a way
for you to maintain contact
657
00:30:30,370 --> 00:30:31,981
with Jamie,
but you also need to know
658
00:30:32,068 --> 00:30:35,375
that legally, you won't have
any say in his care.
659
00:30:40,380 --> 00:30:42,295
We're still his parents.
660
00:30:42,382 --> 00:30:44,080
This doesn't change that.
Nothing changes that.
661
00:30:44,167 --> 00:30:46,082
No.
No, no, no.
662
00:30:46,169 --> 00:30:48,040
We're not abandoning our son.
663
00:30:48,127 --> 00:30:50,825
Mrs. Shaw, you will not
be abandoning him.
664
00:30:50,912 --> 00:30:53,219
This...this won't be forever.
665
00:30:55,178 --> 00:30:56,962
Jamie needs us to do this.
666
00:31:06,319 --> 00:31:07,842
When?
667
00:31:07,929 --> 00:31:09,975
I cannot imagine
how agonizing
668
00:31:10,062 --> 00:31:12,630
this decision must be.
669
00:31:12,717 --> 00:31:16,025
But the sooner
Jamie starts to heal,
670
00:31:16,112 --> 00:31:18,027
the sooner you all
can look forward
671
00:31:18,114 --> 00:31:20,029
to becoming a family again.
672
00:31:20,116 --> 00:31:22,292
Bella.
673
00:31:24,642 --> 00:31:26,209
It's to save him.
674
00:31:29,821 --> 00:31:36,306
♪
675
00:31:59,938 --> 00:32:02,071
Everything is
going to be okay.
676
00:32:02,158 --> 00:32:03,898
Hey, buddy.
It's gonna be okay, buddy.
677
00:32:03,985 --> 00:32:05,552
Right now,
it's the best thing.
678
00:32:05,639 --> 00:32:07,946
You'll be better,
and so you're just gonna stay
679
00:32:08,033 --> 00:32:10,470
with the doctors.
680
00:32:10,557 --> 00:32:12,298
You're okay, baby.
No, no.
681
00:32:12,385 --> 00:32:13,865
Please.
I'll be better.
682
00:32:13,952 --> 00:32:16,085
I didn't mean to!
It's okay.
683
00:32:16,172 --> 00:32:19,001
Please, I want to go home.
I want to go home.
684
00:32:19,088 --> 00:32:21,046
Please, Mom.
685
00:32:54,079 --> 00:32:55,298
Dr. Marcel?
686
00:32:55,385 --> 00:32:58,301
Lucy's parents are still
in the waiting room.
687
00:32:58,388 --> 00:33:00,651
You haven't told them...
She should be alive.
688
00:33:00,738 --> 00:33:02,348
Well, it's been over an hour.
689
00:33:02,435 --> 00:33:05,308
They need to know
that their daughter has passed.
690
00:33:05,395 --> 00:33:09,921
I won't speak to them until
I can explain how she died.
691
00:33:10,008 --> 00:33:11,618
Why I couldn't save her.
692
00:33:20,932 --> 00:33:23,804
Can you give me some light?
693
00:33:23,891 --> 00:33:25,066
Right here.
694
00:33:27,678 --> 00:33:31,856
Every other injury was either
a tear or a rip in the skin.
695
00:33:31,943 --> 00:33:33,510
This one's a hole.
696
00:33:35,860 --> 00:33:37,818
Something embedded inside.
697
00:33:37,905 --> 00:33:39,864
More shrapnel
from the windshield?
698
00:33:39,951 --> 00:33:41,518
It doesn't really
feel like glass.
699
00:33:41,605 --> 00:33:44,477
Can you, uh, swing
that X-ray machine around?
700
00:33:54,792 --> 00:33:56,141
Go ahead.
701
00:34:04,018 --> 00:34:06,108
That's a bullet.
702
00:34:06,195 --> 00:34:08,284
Lucy was shot?
703
00:34:16,855 --> 00:34:20,535
Lucy was shot?
How?
704
00:34:20,731 --> 00:34:24,865
She was driving down
the highway alone in the car.
705
00:34:24,952 --> 00:34:27,085
The steep angle of entry
shows that the bullet struck
706
00:34:27,172 --> 00:34:30,044
from above and launched
into Lucy's pelvis.
707
00:34:30,131 --> 00:34:33,178
It severed
her external iliac artery.
708
00:34:33,265 --> 00:34:35,789
Shot from above?
Yes.
709
00:34:35,876 --> 00:34:38,052
Now, the police
will run ballistics.
710
00:34:38,139 --> 00:34:40,664
But they believe,
and science backs it up,
711
00:34:40,751 --> 00:34:42,753
that someone,
somewhere in the city,
712
00:34:42,840 --> 00:34:44,537
fired a gun into the air.
713
00:34:44,624 --> 00:34:48,106
And when that bullet came down,
714
00:34:48,193 --> 00:34:50,369
it struck Lucy.
715
00:34:50,456 --> 00:34:53,720
Someone.
Somewhere.
716
00:34:53,807 --> 00:34:56,157
And now our daughter is dead?
717
00:34:58,290 --> 00:34:59,683
I'm so sorry.
718
00:35:01,946 --> 00:35:05,428
The nurse will come
to take you to see Lucy.
719
00:35:05,515 --> 00:35:06,994
Excuse me.
720
00:35:12,304 --> 00:35:16,917
Hey, the additional blood
work you ordered on Axel's mom.
721
00:35:17,004 --> 00:35:18,876
Oh, wow.
722
00:35:18,963 --> 00:35:22,271
This whole time,
my take on Julia has been off.
723
00:35:22,358 --> 00:35:23,881
Way off.
724
00:35:26,231 --> 00:35:28,929
♪ We love fun
725
00:35:29,016 --> 00:35:32,063
♪ We're going out
and having some ♪
726
00:35:32,150 --> 00:35:34,674
♪ We love fun
727
00:35:34,761 --> 00:35:37,590
♪ You know we're gonna
have a ton ♪
728
00:35:37,677 --> 00:35:39,679
Never heard that song before.
729
00:35:39,766 --> 00:35:42,247
"We Love Fun"
by The Bouncing Souls.
730
00:35:42,334 --> 00:35:45,294
I don't know
any real lullabies.
731
00:35:45,381 --> 00:35:47,992
Julia, all day, I've been
troubled by your demeanor
732
00:35:48,079 --> 00:35:51,125
because you didn't seem
worried about Axel.
733
00:35:51,212 --> 00:35:54,390
But now I know
you really aren't worried.
734
00:35:54,477 --> 00:35:58,002
And I suspect you've never felt
anxious, depressed,
735
00:35:58,089 --> 00:36:00,918
or even afraid
your entire life, have you?
736
00:36:01,005 --> 00:36:03,616
No, not really.
737
00:36:03,703 --> 00:36:05,836
Same goes for physical pain,
doesn't it?
738
00:36:07,185 --> 00:36:09,448
Kind of feels like this is
a trick question or something.
739
00:36:09,535 --> 00:36:11,755
No.
Okay.
740
00:36:11,842 --> 00:36:15,541
So when I had my son,
labor was a beast.
741
00:36:15,628 --> 00:36:18,762
Intense pressure,
cramps, spasms.
742
00:36:18,849 --> 00:36:20,329
But you didn't feel
any of that, did you?
743
00:36:20,416 --> 00:36:21,504
Nope.
744
00:36:21,591 --> 00:36:24,028
Whole thing just
kind of tingled.
745
00:36:24,115 --> 00:36:27,292
But I've always had an
extremely high pain tolerance.
746
00:36:27,379 --> 00:36:28,467
I know.
747
00:36:28,554 --> 00:36:29,947
There's something wrong
with me, right?
748
00:36:30,034 --> 00:36:32,602
My friends have been
saying it forever.
749
00:36:32,689 --> 00:36:35,518
Wait, is there
something wrong with me?
750
00:36:35,605 --> 00:36:36,910
No.
751
00:36:36,997 --> 00:36:39,043
No, but there is something
missing from you.
752
00:36:39,130 --> 00:36:41,741
So we all have what's called
a FAAHP1 pseudogene.
753
00:36:41,828 --> 00:36:44,440
Your preliminary blood work
shows that you have a rare
754
00:36:44,527 --> 00:36:47,443
microdeletion which affects
your insensitivity to pain.
755
00:36:47,530 --> 00:36:48,618
When I was a kid,
756
00:36:48,705 --> 00:36:50,794
my dad would say
everyone else were wimps.
757
00:36:50,881 --> 00:36:55,102
That we were a hardy breed,
that pain was just a word.
758
00:36:55,189 --> 00:36:58,236
Well, microdeletion
is a genetic thing.
759
00:36:58,323 --> 00:37:00,543
So it's likely that your father
and other family members
760
00:37:00,630 --> 00:37:01,544
have it as well.
761
00:37:06,244 --> 00:37:08,072
Julia?
762
00:37:15,340 --> 00:37:16,994
What's wrong?
763
00:37:17,081 --> 00:37:19,823
I passed Axel
the gene for Crohn's,
764
00:37:19,910 --> 00:37:23,087
but not the one
so he won't be tortured by it.
765
00:37:23,174 --> 00:37:25,176
And if I didn't know
when I hurt myself,
766
00:37:25,263 --> 00:37:27,831
I wouldn't have known
when I hurt my son.
767
00:37:27,918 --> 00:37:30,181
I probably made
the bath too hot.
768
00:37:30,268 --> 00:37:32,662
Didn't dress him warm enough...
Hey.
769
00:37:32,749 --> 00:37:34,751
You knew it wasn't colic.
770
00:37:34,838 --> 00:37:38,842
You knew to bring your son
into the ED.
771
00:37:38,929 --> 00:37:41,627
You may not feel
everything he feels,
772
00:37:41,714 --> 00:37:43,107
but you're his mother.
773
00:37:43,194 --> 00:37:46,110
You'll always know
what he needs.
774
00:37:47,590 --> 00:37:54,205
♪
775
00:37:55,946 --> 00:37:57,861
Uh, keep going.
Grab her husband.
776
00:37:57,948 --> 00:37:59,297
I'll meet you in recovery.
777
00:38:02,082 --> 00:38:03,954
Wonderful.
You're still here.
778
00:38:04,041 --> 00:38:06,391
Is Chloe okay?
Yeah, she's fine.
779
00:38:06,478 --> 00:38:09,002
Operation was flawless.
780
00:38:09,089 --> 00:38:12,223
This time.
781
00:38:12,310 --> 00:38:14,399
How about you and I keep
our distance from one another?
782
00:38:14,486 --> 00:38:15,531
Yeah, fine.
783
00:38:15,618 --> 00:38:17,533
Just as soon as you
stop treating patients
784
00:38:17,620 --> 00:38:18,708
and seek treatment
for your addiction.
785
00:38:18,795 --> 00:38:20,057
Screw you, Halstead.
786
00:38:20,144 --> 00:38:21,711
In that case,
I'm going to submit a letter
787
00:38:21,798 --> 00:38:23,234
to the hospital's
Chief Medical Officer.
788
00:38:23,321 --> 00:38:24,670
And that decision
will be made for you.
789
00:38:24,757 --> 00:38:26,716
That's a stupid idea.
790
00:38:26,803 --> 00:38:29,588
You out me,
I out your own involvement
791
00:38:29,675 --> 00:38:32,286
in a not-quite-legal
injection site.
792
00:38:32,373 --> 00:38:34,550
So if I go down, so do you.
793
00:38:36,465 --> 00:38:40,164
So if you want to report me,
794
00:38:40,251 --> 00:38:41,818
have at it, cowboy.
795
00:38:50,261 --> 00:38:52,306
Hey.
Hey.
796
00:38:52,393 --> 00:38:54,091
Heard you had
a rough one today.
797
00:38:54,178 --> 00:38:56,833
You all right?
Yeah.
798
00:38:56,920 --> 00:38:58,748
The little boy and his mom.
799
00:38:58,835 --> 00:39:01,751
Your, uh, ESP pan out?
800
00:39:01,838 --> 00:39:04,318
Not even close.
801
00:39:09,019 --> 00:39:12,457
I'll see you tomorrow.
Night.
802
00:39:22,685 --> 00:39:24,077
Hey.
803
00:39:27,124 --> 00:39:28,734
Today sucked.
804
00:39:28,821 --> 00:39:31,520
Yes, it did.
805
00:39:31,607 --> 00:39:36,525
We just don't have enough
psychiatric resources for kids.
806
00:39:36,612 --> 00:39:39,179
And unfortunately,
the Shaws won't be
807
00:39:39,266 --> 00:39:41,965
the last family
to face a lockout.
808
00:39:42,052 --> 00:39:46,404
But Jamie will get
the help he needs.
809
00:39:46,491 --> 00:39:48,406
And that's a good thing.
810
00:40:05,684 --> 00:40:08,905
Hey, buddy.
Come on, let's go.
58758
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