All language subtitles for Chicago.Med.S05E19 E

.

- That day, when I found out
I couldn't have children--

- You pushed me away and ran
into another man's arms.

[dramatic music]

- This is Auggie,
one of my students.

I haven't been able
to reach his foster mom.

- It's too much, and I can't.

- They don't want the sick kid.

- DCFS is gonna start looking

for a new
foster placement tomorrow.

And we'll spend the night
with Auggie.

- You wanna come up?

- I just wonder
if that's a good idea.

There's actually
very little difference

between drug addiction...

- And romance addiction?

Let's go up and discuss it.

Did you really use
all of my floss?

- I told you,
if we're gonna keep doing this,

I need a toothbrush.

- I don't know.

I feel like it gives a guy

too great a sense of security.

- Or does it just
prevent cavities?

- No, that is
a gateway toiletry.

And before I know it,

you're gonna have
your own curling iron here.

You'll have your own loofah.

- You've clearly given this
a great deal of thought.

- Maybe a little bit.

[laughs]

It's been a really good
couple of weeks.

- Yeah, it has.

And not just us.

I mean, you been knocking it
out of the park.

I mean, work,
everything, rehab.

I'm really proud of you.

[tender music]

♪

- Just so you know,

the more you kiss me,

the more it makes me think

I should get you
that toothbrush.

- Oh, yeah?
- Mm-hmm.

Yeah.
- Hmm?

[laughs]

- So what's nice is, as we
progress through the surgery,

we can slide
the retractor down.

There you go.

Go ahead and bring
that blade down.

Now, you wanna keep
the most tension on,

so go ahead and tighten it up.

- Hey, April.

Never mind.

- Ethan!

Ethan.
Hey.

He was just showing me
some new equipment.

- I'm sure he was.

- I'm his Hybrid OR nurse.
You know that.

Learning is part of the job.
- Right.

- What is this?

You're sleeping on the couch?
You want nothing to do with me?

Why do you care?

[dramatic music]

♪

Dr. Marcel, I'm sorry.
- No, it's all good.

I gotta deal
with some inventory anyway.

We'll finish up later.

Morning, Dr. Manning.
- Morning, Crockett.

How's your day?
- Great.

- You realize you
say that every day?

- Every day is great.

- We got two traumas coming in.

Dr. Choi, you're going to two.

Dr. Marcel,
take her to Baghdad.

- Copy.

[alarm blaring]
- What do we got?

- Zach Brand, 15.

Says he fell off an overpass.

- Is that true?
You fell?

- Fractured his left arm.

He's got a pretty good
bruise on his head.

GCS 13, pressure
and heart rate are good.

- All right, Zach.
Any of this hurt?

- [groans]
- All right, he looks stable.

Let's get a chest X-ray
and a pan scan just to be safe.

Let's get ready to transfer.

Oh, wait a second.

Zach, where did
this glass come from?

Zach?

Hey, we'll figure this out.

All right,
let's transfer on my count.

Ready?
One, two, three.

- I've got Terrie Cross,
intubated in the field.

Status post MVC,
car versus divider,

GCS 3T, BP 95/60,

heart rate 130s,
satting at 86%.

- Yeah,
I'm not liking this rhythm.

Get me an EKG with tropes
and trauma labs.

Let's go.
- She's coding.

No pulse.

- Get him up for those scans.

I'll check in as soon
as you're back.

[tense music]

- Here we go.

Come on, folks.
We know what this is.

- What's up?

- She's in V-fib.
Let's go.

On my count.

One, two, three.

[machinery beeping]

Give me the paddles.
Charge to 200.

- This could be
a blunt cardiac arrest.

- Charged.

- Open it up.

Clear.

[machinery beeping]

- I got a pulse.

- Sinus tach.
- For now.

What happened?
- Single-vehicle crash.

- Any drugs or alcohol
on board?

- Rapid tox was negative.

- Why'd she hit the median?
Stroke, seizure?

- Wait, wait, wait.
She's got glass shards on her.

So does the kid in Trauma 2.
It's from her windshield.

- How do you know?
- He fell off an overpass.

- And landed on her.

[dramatic music]

♪

.

- No breath sounds on the left.

Let's set her up
for a chest tube.

What do you got?

- Some fluid on the right,
but I can't find her spleen.

- What do you mean
can't find it?

- I mean it's not there.

- It's gotta be
in there somewhere.

[dramatic music]

♪

- Go back up.

Right there.

That's the tip.

- Can't be.
It's too high.

- That's right,
'cause it's in her chest.

All right, she must have
ruptured her diaphragm.

- Chest tubes ready.
- No, she's hypotensive.

We're going
to the Hybrid OR now.

- No, no, no, no.
Stop.

If it's a tension pneumo,
we can't move her

till we decompress the lung.

- There's no time.
I'll do it in the OR.

Let's go.
Come on.

♪

Easy, easy.

♪

- We just wanted
to come say a quick hello

before we finished up
the paperwork.

- Of course.

Maggie, Madeline's found

foster parents for Auggie.

- That's great.

He can't wait to get out
of the hospital.

- [laughs]

- So...

- What a sweet kid.
- [laughs]

- He is.

Except when he doesn't get
his Nutella for breakfast.

Oh, and he doesn't like

anything
but bubblegum toothpaste.

No fruit flavors
and definitely not mint.

- As you can see, Maggie
has become quite attached

in the past couple of weeks.

- We know how it is.

We've been fostering
for 12 years.

- Auggie is going
to a loving family.

So let's cross the Ts,
dot the Is.

Hopefully, you'll be able
to take him home tonight.

- Who's winning?

- We both have
16 life points left.

But as soon as my Jace
uses his Ultimate,

he's toast.

- [chuckles]

I have no idea
what's going on.

- [laughs]

So what did you think
of those people?

- They're nice.
- Yeah?

- I'm sorry, you two,
but I gotta get to school.

Finish this later?
- Wanna drag it out?

- Mm...

I'm good.
[laughter]

Okay, honey.

Keep an eye on this guy.

- Oh, I will.

You mind if I take a look?

- Okay.
- Yeah?

- [winces]
- Ooh.

Your tummy hurt?
- Mm-hmm.

♪

- You getting cold?

You know what I'm gonna do?

I'm gonna ask my friend
Dr. Manning

to come and take a look at you,

just to make sure
everything's all right.

- Okay.

- [sighs]

Meanwhile, why don't
you get some rest?

And when Mr. Campbell comes...

Don't go easy on him.

- [chuckles]

♪

- Hey, Zach.

So we got your scans back.

Good news.
It's just a simple fracture.

- Okay.

- And your parents
are on their way.

- [sighs]

- Mind if I check your eyes?

So...

how did you go over
the edge of that overpass?

- The railing was kinda low,
I guess.

[tense music]

- Okay.

But, uh...

I mean, were you fooling around
with your friends?

You lose your balance?

♪

- Could--
could we do this later?

My--my head really hurts.

- Sure.

But I do wanna make sure
that you're okay

and that something like this
doesn't happen again.

So...

I'll have
another doctor come in

and see you in a bit, okay?

Maybe you'll feel
up to talking then.

♪

- I have to ask.

- Do I think he jumped?
Yeah, I do.

- We're out looking
for witnesses now,

but if he did jump,

we'll have to arrest him
for vehicular endangerment

and possibly manslaughter.
- Easy, Rosado.

If Zach attempted suicide,

first thing that happens,
we put him on a psych hold.

Hey, Trini.

Call Dr. Charles.
Tell him we need a consult.

♪

- What do we got?

- Marcie Burton,
19 weeks pregnant

with mild vaginal bleeding,
vitals stable.

- Okay, thanks.

- I called the ambulance
just to be safe.

- Good.
Hi, Marcie.

I'm Dr. Halstead.
This is student doctor Curry.

- I'm not losing the baby,
am I?

- We're gonna take a look
right now.

When did the bleeding start?

- This morning.

It wasn't much,
but it hasn't stopped.

- This will be a little cold.

- Is it moving?

Is it okay?

- Well, the fetus is fine,

but you do have
placenta previa.

- Is that bad?

- It depends.

It could be
if the bleeding gets worse.

- Then you need to stop it.

- We are certainly gonna do
everything we can--

- I have brain cancer.

- I'm sorry?

[somber music]

- Stage IV.

Which means this is my
last chance to have a family.

♪

- How long ago
were you diagnosed?

- Eight months.

- Though her tumor's
been stable lately,

and the scans have been good.

- Ron.

I don't have time
to start another pregnancy.

And my baby will be viable
in just a few more weeks.

So please, help me.

- Okay.

Let me go over your chart

and have obstetrics come down
and take a look.

And we'll figure out
where to go from there.

- Thank you.

♪

- Call Dr. Asher.

- Dr. Asher?
What--are you sure?

- Yeah.

She's the best.

[dramatic music]

♪

- He has a GI bleed
and his liver's getting worse.

- What are you gonna do?

- Send him
for a TIPS procedure.

- You think he needs
something that invasive?

- Any more damage moving
forward will be irreversible.

Sooner we can take the pressure
off his vasculature,

the better.
- [sighs]

He was really hoping to go home
with his new family today.

- TIPS has
a pretty quick recovery.

Maybe tomorrow?

- Yeah.

- I'm gonna call over to IR.
- Okay.

Thanks.

- Rhythm's not great.
We gotta move.

- I'm on it.

I need better exposure.

Okay, you remember how I showed
you to insert the larger blade?

- Yes, I do.

♪

[grunts]

- No, slide it all the way.

- Okay.

[grunts]
- Loosen it up, loosen it up.

- Okay, got it.
- Okay, good.

Let's do this.

♪

Nope, I need a better angle.

- Okay.
How do I know--

- Okay, hold on.
Switch with me.

- She's not gonna hold out if
you can't get this going soon.

- Yeah, I gotcha, Marty.

Okay.

Here we go.
Don't let go.

- Sorry, Dr. Marcel.
- Don't sweat it.

Just get a 2-0 ready
for the diaphragm.

One, two, three.

♪

.

- Dr. Marcel.
- Yeah.

- I think you should start

training a new nurse

for the hybrid room.

- What are you talking about?

- I slowed you down today.

- No, hey, it was a tough case

with new equipment.

- No, it was because
of the whole thing with Ethan.

It got in the way.

And there's no excuse for that.

- Look, April, you're my nurse.

And you're the best.

I'm not gonna train
anyone else.

Okay?

- Okay.

- Dr. Choi,
Zach's parents are here.

- He fell off the overpass?
How is he?

- Is he all right?

- Zach has a broken arm

that he's getting cast
right now.

But otherwise, just some
scrapes and bruises.

- [sighs]
- Oh, thank God.

- Mr. and Mrs. Brand,
I'm Dr. Charles.

I haven't actually
met Zach yet,

but I was looking forward

to saying hello
in a few minutes.

- Psychiatry...
I don't understand.

- I just wanna ask him
a few questions,

get a better sense
of what happened.

- What does that mean?

- Well, uh, just that.

- Wait--don't tell me
you think he jumped.

- Based on Dr. Choi's
assessment,

it seems like there
might be a possibility.

And so I just--

I wouldn't be doing my job
if I didn't

say a quick hello.

- Oh, my God.
- Honey, no, no.

That's ridiculous.

It's those kids
he hangs out with.

They're wild.

They were probably
goofing around

and it went too far.

- Mm, very possible.

- But it's not so easy

to accidentally fall off
one of those things.

- You know what?

I bet he got pushed
by that homeless guy.

- Yeah.
- Homeless guy?

- Yeah, there's this man
who stands on that overpass

screaming all day.

He's psychotic and dangerous.

- Huh.
Okay.

Well, uh, I'm sure
the police will look into that.

But in the meantime,
we just wanna make sure

we're not missing anything.

- Zach could've
died today, okay?

The last thing he needs
is to be interrogated

by a shrink.

Now, which one's his room?

- Treatment 5.

Are we gonna have
a hard time with them?

- The dad?
Yeah.

The mom?
Not so sure.

[knock at door]

- Hey, Mom.

- Hey.

Okay.

Michael.

Tell me.

- Meet the newest
clinical device specialist

for Kender Bio Systems!

[laughter]

- You got the job.
- Yeah.

Joining the Kender team
right here.

- Here at Med?
- Mm-hmm.

Given the size of the contract,
they need more people.

- That's wonderful.

[laughs]

- Mom, I know you always
wanted me to be a doctor.

- Michael, I just wanted you...

both: To be happy.

- I know, but believe me.

Kender's training is like
going to med school.

I'll know more about
the devices than the docs.

And I'll be in the OR
right alongside them.

- I'm so proud of you.

- Oh, I gotta hook up
with my supervisor.

Take you to lunch?
- It's a date.

- All right.

[both chuckling]

[indistinct radio chatter]

- Zach, how you doing?
I'm Dr. Charles.

- He's a psychiatrist.

Legally, we have
to let him talk to you.

- Harris.

- I'm really just here
to help, Zach,

and was hoping to ask you
a few quick questions

about what happened today.

- O-okay.

- Okay, so this morning,
you left your house.

And where were you headed?

- Nowhere,
I was just taking a walk.

- Okay.

By yourself?

- Yeah.
- Okay.

Got it.

So you get
to this overpass and...

and what happened then?

- Tell him about
that homeless man, Zach.

Like you told us.

- Yeah, there was--

there was this guy
who was yelling

and acting crazy.

- Right.

- And, uh,
he started shoving me,

and I tried
to get out of the way,

but he--he wouldn't stop,
and...

before I knew it,
I--I lost my balance.

[dramatic music]

- All right.

Well, um...

you know, Zach's been
through a lot today.

Has anybody asked him
if he wants anything to eat?

- No.
- No?

Are you hungry, buddy?

How about a sandwich?

- Maybe--maybe turkey.
- Okay.

Um, why don't we
get going on that?

And then when we get back,

maybe we can talk
a little bit more, okay?

Nice to meet you, Zach.

- Thank you.

- You know his parents
coached him to say that.

Are they worried
he's gonna get arrested?

- Probably.

- Look, even if Zach
won't admit he jumped,

we gotta put him
on a psych hold

for his own good.

- Forced hold?

Taking a minor away
from his parents

is a very high bar to clear,
you know?

More importantly,
it doesn't really tend to work

unless you get buy-in
from the whole family.

- We can't let a suicidal kid
walk out of here.

- I hear you.

Look, let's see what a
turkey sandwich gets us, okay?

Moms love to see
their kids get fed.

- Her cervix isn't handling
the weight of the growing fetus

and is starting to open up.

She's already
dilated one centimeter.

- Then she's going
to lose the pregnancy.

- Maybe not.

I'd like to try her
on progesterone,

see if we can stop her
from dilating any farther.

- Wait, is that safe?

I mean, given
her increased chance

of infection and bleeding?

- This is a unique situation,

due to her limited time frame.

This pregnancy
is very important to her.

I'd like to try and save it.

- Okay, then.
Thanks.

♪

- Dr. Halstead,
I've read the literature

on cervical insufficiency
with bleeding

in high-risk patients,

and trying to intervene

is not the standard of care.

- Dr. Asher is the specialist.

I trust her.

- She's had a drug problem.

- That is irrelevant.

You're way out of line,
Ms. Curry.

♪

[machinery beeping]

- He's cold.

And he's getting
a little short of breath.

What's taking IR so long
to get him down for his TIPS?

- They're always backed up.
I'll give them a call.

♪

- Wait, he's not even
on the schedule.

- What?

I put the order in an hour ago.

- Uh-uh, it says he's
been denied by DCFS.

Can they do that?
- I don't know.

- Come on.

♪

Madeline--

- If this is about Auggie,
I'm sorry.

But until the Kramers
get final approval,

the state is still
Auggie's legal guardian.

- He's getting worse.
He needs this.

- According to the Illinois
health service protocols,

TIPS is only indicated

if two other
previous treatments fail.

- That's just a guideline.

Every patient is different.

- Which is why I've
already escalated this

to a physician mediator
appointed by the state.

- That's gonna take days.

He needs this now!

- Look, he's at risk for
encephalopathy, peritonitis--

- I understand--

- Madeline, he needs someone
to advocate for him.

- And I'm trying my best.

There's nothing else I can do.

♪

.

- Dr. Lanik, do you remember
Auggie Roberts?

- Foster kid.
Sure.

- He's getting worse.

I was wondering,
could you write a note

saying that he'd do well
to receive a TIPS procedure?

- Well, he's upstairs now.
Get his pediatrician to do it.

- She did, but there's
some red tape.

I thought if we
had a double doc,

we could convene an ethics
committee and we could--

- Oh, so my quick note
is turning into an afternoon

in front of a committee?
- Dr. Lanik--

- Maggie, I have
patients to see.

And you have a waiting room
full of them to process.

- Three centimeters,
you're still progressing.

- So what do we do now?

- Well, we can try
increasing the progesterone,

give you a little more time to
see if we can turn this around.

- I agree.
- Are you sure?

The longer we wait,

the greater the chance
of a serious complication.

- I don't believe
we're there yet.

- What do you think
we should do?

- Terminate the pregnancy.

At this point,
it's the safest option.

- What?
No.

[sobbing]

- Ms. Curry is a medical
student, not a doctor.

- I need to have this baby!

[soft dramatic music]

So my husband can have someone
to love him as much as I do...

and someone he can love.

If I can have that...

then I'm okay to die.

♪

- We'll increase your meds
and check back in a little bit.

♪

- You gonna get your nose
out of that laptop?

- I'm sorry, Mom.
I just got so much prep to do.

Let me ask you,
Dr. Latham, CT surgeon--

you know if he's into
anything, any hobbies?

- No, not really.
We don't socialize.

- A lot of CT surgeons
are into cars.

You know, vintage, racing?

- Yeah, that doesn't sound
like Dr. Latham.

[laughter]

- How about Dr. Abrams?

I hear his wife makes
some kind of power drink.

Is he a gym rat?
- Why are you asking this?

- Well, I'm gonna
be working with these guys.

It'd be nice to have
something to talk about.

- Well, what about the medical
devices they'll be using?

- Well, that's a given.

But you know how touchy
these surgeons can be.

Since I'm gonna
be coaching them,

I want to establish a rapport.

- Well, our surgeons
are at the top of their game.

I doubt if they
need any coaching.

- Sure.

It's just, we have a lot
of exciting new products

I'll be introducing them to.

And, you know, business
is all about relationships.

♪

- I'm sorry, Dr. Charles,

but the Brands' lawyer
is here,

and apparently
you can't speak to Zach

until legal gets it
straightened out.

- Mr. and Mrs. Brand,
just wanna let you know

the field officers have
completed their investigation.

- Did they find
that homeless man?

- No.

In fact, we couldn't find
any eyewitnesses at all.

- So Zach can go?

- Well, hold on.

There's still one more witness,

the woman who was
driving the car.

- Oh, for God's sake.

Are you just trying
to get my son arrested?

- No, I'm trying to get him
the help he needs.

- Mr. and Mrs. Brand,
if it turns out

that Zach did in fact jump,

then I would be able--
hopefully with your blessing--

to put him on a hold and
we can start to address this.

He would likely be charged.

But I will personally
advocate for him

and, under the circumstances,

can practically guarantee
he would not be prosecuted.

- My son is not suicidal.

- The driver's
still unconscious.

If she wakes up,
we'll question her then.

But in the meantime, I can't
keep him here any longer.

I gotta let him go.

- [exhales]
Thank you.

- Rosado...

don't let them leave just yet.

I'll be right back.

♪

- Crockett, I need you
to wake her up.

- What?
Why?

- The boy needs our help.

All right,
she's our only chance.

If she confirms he jumped,

we can give him
the help he needs.

- Yeah, I'm sorry.
She's not ready.

- Why not?
Huh?

She's overbreathing the vent.
Her vitals are stable.

- I just rebuilt her diaphragm
and her belly's open.

She's not there yet.
- Come on, man.

You're telling me you
can't lighten her sedation

for five minutes?

- If I wake her up now,

she could still go
into metabolic crisis.

- And if you don't, there's
a severely troubled kid

who can't get
the help he needs.

- Well, I don't know
what to tell you, man.

But I'm gonna do what's best
for my patient.

♪

- If that boy tries
to kill himself again...

That's on you.

♪

[alarm blaring]

- His pressure's dropping.

We need more suction, blood,
and drugs to intubate.

- What happened?

- He was coughing,
and then he just

started throwing up blood.

- Esophageal varices.

The pressure must've
opened one up.

Auggie, I need you
to calm down, okay?

We're gonna take
good care of you.

- Auggie.
Auggie, listen to me.

- No!
- Auggie.

- Drugs are in.
- I know this is scary.

But you're so brave.

I need you to be brave
just a little bit longer.

Can you do that for me?

- All right.
- He's out.

♪

I'm in.
Bag him.

All right, let's get him up
to the IR for a TIPS.

Let's go.

It's emergent now.
No need for consent.

♪

.

- What do you think?
- Dr. Asher, Dr. Halstead!

[alarm blaring]

- Oh, oh, okay.

She's losing the pregnancy.

- Marcie, I'm sorry, but we
need to get the fetus out now.

- No, no!
- Marcie.

It's okay.
It's okay.

- [sobbing]
Dr. Halstead,

please don't let my baby die.

- Hannah.

- Okay, we could try
what's called a cerclage.

It's a procedure
to tie your cervix closed.

But in your case,
we would have to go

in through the abdomen.
- What?

With the placement of her
placenta and her bleeding,

that would be extremely risky.

- How risky?

- Well, the chances of
catastrophic bleeding are high.

- Not to mention
the significant

cardiac risks of anesthesia.

- It's true.
There's no guarantee at all

that you would survive this.

- Hon, that sounds
like a bad idea.

- Do it.

- Marcie, we can
always try again.

- No, we can't!
You know that.

Do it!
[sobbing]

- All right, let's go.
Come on.

- Marcie, no!

- I love you.
That's why I have to do this.

[dramatic music]

♪

- Come on.
- Elsa, call the OR.

- Dr. Halstead, this is crazy.

I'm sorry.
That woman is gonna die.

- That's a risk
she's willing to take.

- What--are you doing this

because of your feelings
for Dr. Asher?

- Call the OR--now.

♪

- Please, it is a mistake

to send Zach home.

I believe your son
is depressed.

- Depressed?
I hate that word.

It's just an excuse
for weakness.

Our son is not weak.

- Dr. Charles.

- [sighs]

I think that we have said

everything there is to say,
Dr. Choi.

Unless, of course,
there's something

that either of you feel like
you--you might have left out.

- Her vitals look good.
How's her rhythm been?

- Stable.

Dr. Marcel was talking
about lightening her sedation.

- Yeah, I'll take care of it.

[tense music]

♪

Don't try to talk.

You're intubated
in the hospital.

You're safe.

I just need to know.

Did you see the boy
who landed on your car?

♪

Okay.

Did he get pushed...

Or did he jump?

♪

Please.

Just think.

You were driving
toward the bridge.

He was on it.

You saw him.

♪

Did he jump?

♪

Okay.

♪

- Mr. Brand, uh, we forgot
to validate your parking.

Come with me.

- I'll be right back.

♪

- Mrs. Brand.

I think that
your son needs help.

Now, I recognize

that your family situation
is complicated.

And I can't imagine
how challenging that must be

under the circumstances.

But listen.
Here's my card.

I hope you will call me--
anytime

of the day or night.

All right?

The only thing
that you don't wanna do

is let your son
go through this alone.

- [sighs]
Thank you.

- Okay.

♪

- Oh, hey.
How's he doing?

- He finally got his procedure,
no thanks to you.

- Maggie.

You know that
under the circumstances,

I did everything I could.

- Did you?

Because it took him
hemorrhaging

for him to get this.

- I can see the cervix.

Hold it gently
so I can get it isolated.

- Mm-hmm.
It's bleeding.

- It's too vascular.
Laps to me.

Give her a gram of TXA.

♪

- Still bleeding.
More laps.

[alarm blaring]
- Pressure's dropping.

- We may need
to terminate the procedure.

- Watch her rhythm.
She's throwing PVCs.

- I think we need to call it.
Switch to a hysterotomy.

- No, no, no.
Her water's still intact,

and we've got plenty
of blood in reserve.

We can still do this.
- Are you sure?

- Yes.

- Okay.
Talk me through it.

- Release the laps so I can
get some celox in there.

♪

- Lap?

♪

All right, it's working.
Bleeding's slowed.

- Okay, hold it steady
so I can get it packed.

♪

- We did it.
How's she look?

- BP is coming back up,

but I still can't shake
these irregular beats.

- Okay, then we're not
out of the woods yet.

Let's get ready
to place the stitch.

- Where is he?

Where is he?

You got a lot of nerve
interfering with my patient!

- I had to.
The boy needed help.

- The boy.
Don't kid yourself.

This wasn't about him.
It was about me.

- The hell it was.

- You've been pushing
against me all day, man.

- Because you deserved it.
- Oh, come on!

You know what this is about.
It's about April.

- No, you don't wanna go there.

- No, I wanna end this.

So what's it gonna take?

You need to hit me?
That it?

Huh, big man?
Go on.

Take your best shot!

♪

There it is.

There it is.

.

- Okay, and snip.

- Okay, cerclage is complete.
Ready to close.

- Her pressure's dropping
and she's got ectopy.

[alarm blaring]

- I don't see anything.

- It's here.
She's hemorrhaging!

- The placenta.

- We need to terminate
the pregnancy.

Trigger the MTP and convert
to a hysterotomy now.

- What do you need?
- Cut the cerclage.

- She's in V-fib.

- Damn it, give me a scalpel!
Start CPR!

- Starting compressions.

[tense music]

- Charged.

♪

- Placenta out.
- Charge to 200.

- Get some blood in her.

♪

- Charged.

- All right, clear.

- Still in V-fib.

- No pulse.
- Charge to 200.

♪

- Give her an amp of epi!

♪

- Charged.

- Clear!

[sustained high-pitched tone]

- Come on,
give another amp of epi.

Charge to 200!

- Hannah.

- What are you waiting for?
Shock her!

- She bled out.

[dramatic music]

♪

- Time of death: 18:04.

♪

- Hannah.

♪

- Oh, boy.

You, uh...

you all right?

- Did Zach leave?

- Uh, yeah.

You know, I was finally able

to talk to his mom alone.

Poor thing.
I don't know.

She did take my card.

- I don't get it.

The boy's so deeply troubled,

but the dad just
doesn't wanna face it.

- Well,

you know, maybe it's just

easier for him to focus

his anxiety
and anger elsewhere

rather than face the pain
of looking at the--

the real problem, you know?

Anyway...

see you tomorrow.

♪

- Now the Amulet of Krogg.
What do I do with it?

- No, it's Kroog.

- Kroog.

- [chuckles]

- Okay.
I'll be right back.

And I'm gonna beat you.

- Is he going to be okay?

- Now, at least.

- [exhales]
Good.

But I'm afraid
I've got some bad news.

The foster family backed out.

They felt he would just be
too much to handle.

♪

- So he'll have
to go back on the list?

- I'm afraid so.

I'm sorry.

♪

- Sharon.

- Yeah?

- We'll do it.

We'll foster him.

- Maggie,
you don't have to do--

- No.

We want to.

- Are you sure?

Okay.
I'll let DCFS know.

[uplifting music]

♪

- [sighs]
Mr. Burton.

I'm so sorry.

- My wife made it very clear
what she wanted.

Thank you for honoring
her wishes.

I always knew
this day would come.

But still...

it's so hard.

[somber music]

♪

[sobbing]

♪

- Hey, Hannah.

Today was a tough one.

But you made
the right decision.

- Yeah, but...

doesn't make it any easier.

♪

I need...

I need to go
to an NA meeting.

- Okay.

I'll drive you.

♪

- Hey, Mom.
I'll see you tomorrow.

- Ah.
See you tomorrow.

- Dr. Lanik.

- Hey, Michael.

Your son is a good salesman.

- Yeah?

- Yeah, he somehow knew
I was a scotch drinker.

Gave me this great bottle
of single malt.

♪

- Your eye okay?

- Yeah, I'll live.

♪

- So you sure have been
making a lot of new friends

since coming over
to the day shift.

- Yeah.
That's what I do.

Make friends.

- Are you okay, Crockett?

- Oh, yeah.
That lidocaine works fast.

- That's not what I meant.
- I know what you meant.

Let's just keep it
at the lidocaine.

♪

- [sighs]

♪

- [exhales]

Really?

You hit him?

- You know,

the thing is, April...

[sighs]
It was so easy for me

to see Crockett
as the problem.

- Yeah, and I told you.

Whatever happened between
me and him in the past--

- Yeah.
I know.

I get it now.

Because the real problem
was always right here.

Between us.

[somber music]

April, whatever it is
you want...

[sighs]

It isn't me.

- Ethan, that's not true.
What are you--

Where are you going?
What are the bags for?

- I'm gonna find a hotel.
- No!

Ethan, stop!
Listen.

- Just--just take as long as
you need to find a new place.

- What?
Ethan!

♪

[sobbing] Oh, God.

♪

[wolf howls]