All language subtitles for Chicago.Med.S08E04.WEBRip.x264-ION10

.

- Dr. Halstead, pharmacy
won't release the medication.

- I've got an idea.

- There's
a region-wide shortage.

I can't have it
turning into the Wild West.

- I think we're already there.

- I'm a recovering addict.

I need to earn my reputation
back with everyone.

But with you, it doesn't feel
like that's ever gonna happen.

[tense music]

- You suffered a stroke.

- If I can't operate again,
what does it matter?

- If it had been me
on the table,

I'm pretty sure he would
have done the same thing.

Hey.
Sorry I'm late, Dean.

I don't know what was going on
with traffic today.

- I got caught up in it too.
You know,

you can blame the HyperTrain
unveiling for that one.

It shut down the Red Line.
A lot more people on the road.

- HyperTrain?
- Yeah.

You know,
Jack Dayton's new toy.

- Oh, yeah.

Jack Dayton.
Right, Mr. Megabucks.

- Yeah.
Yeah, sure, genius.

That HyperTrain is supposed

to revolutionize
public transportation

by moving twice the speed
of the L.

Meanwhile, it takes
us schmucks in cars

twice as long to get to work.

- How come Blake's locker
is empty?

- You hadn't heard?
Blake tendered her resignation.

She's taking a job
at Brigham and Women's.

- Boston?
- Uh-huh.

Guess she's good enough
to perform surgery again.

- When did all this happen?
- Oh, I don't know.

I got an email about it
last night.

- When is she leaving?
She can't leave.

I need to talk to her.

- You probably
blame yourself, huh?

No answer?

[hangs up]
- Voicemail.

All right.
I got to go talk to her.

I'll be back in an hour, OK?
- All right.

Just don't make it
any more than that.

- Hey, Candace.
I'm Dr. Asher.

- Hi.
- All right.

Well, it says in here
that you are at 28 weeks.

- Mm-hmm.
- So how's your pregnancy been?

- You know,
it was going great,

but my lower back
started hurting

about a week ago,
this sharp pain.

And it's only gotten worse.
- Mm-hmm.

- And I called my OB
this morning.

And she told me
to come here right away.

- OK. Have you had any
abdominal pains, any cramping?

- No.
No, just my back.

- OK, CBC, CMP,
and urine cultures, please.

- Ooh.

- You OK?
- No, no, no.

It's good.
She's, um...

She's kicking.
I'm sorry.

I've had three miscarriages
over the last six years.

And I'm alone right now with
my husband away on business,

so I'm kind of on edge.

- Well,
that's totally understandable.

Let's get your feet up here,
get you comfy.

We'll put you
on a fetal heart rate monitor

just to make sure that
that baby is happy and healthy.

All right?
I'll be right back.

- Thank you.

- Maggie, you're back.
- Hey.

Yeah.
- How was your honeymoon?

It was Paris, right?
- Mm-hmm.

[speaking French]

- Mm, nice.

- Oh, wait.

Paris sounds so great.

I've never been anywhere.

I have a passport.
I've just never used it.

- It'll happen.

- [chuckles]

- Thank you.

Dr. Asher.

Just a reminder, you still need
to submit your urine sample

for your weekly drug test.

- Right.
Of course.

I've been doing it
the last six months now.

How could I forget?

- OK, then.

[indistinct chatter]

- Nope.
No pedestrian access here.

- Oh, come on, man.

My friend's building
is up on Ontario.

- Sorry, the barricade
is here for a reason.

Jack Dayton, he's showing off
his new HyperTrain down there.

[ground rumbling]
- Whoa!

[screaming]

What happened?

- The train jumped the tracks!
[coughing]

- Hey, come on!
Come on!

Are there more people
down there?

Come on, come on.
Let's go, let's go.

Go.
Come on.

[coughing]

Hello?

Is anybody in there?

- Help!

- Hello?

- Over here!

♪

- Hello?

- Help us, please!
Help us!

- Hold on!
I'm coming!

♪

.

- Oh, over here!

Hey!

Oh, thank God.

I tried 911, but there's no
service down here, of course.

I'm Jack Dayton.
- Yeah, I know.

Are you hurt?
- I can't tell.

My leg's stuck.
[strains]

- Easy, easy, easy.

All right.
Here we go.

One, two, three.

- [grunts] Ow!

- Come here.

Your left knee.
Here, sit down.

Let me take a look
at that knee.

- It can wait.
- I'm a doctor.

- Over there
in the conductor's compartment.

His name is Nathaniel.
He works for me.

He was driving the train.
Come on.

- Nathaniel,
can you hear me, bud?

Keep your weight
off that left knee.

Hey, buddy.
Can you hear me?

- Ah!
- There you go.

- Ah, ah!

- All right.
I think we can pull him out.

- [weakly]
I can't--I can't breathe.

- Looks like the lithium ion
battery got dislodged,

hit him in the chest.

OK.

All right.
Here we go.

All right,
I want you to--

I want you to grab him
by his ankles.

Nathaniel, I'm gonna bring you
up a little bit, OK?

- OK.

- [screams in pain]

- Keep going.
Right here.

- Yeah.
- Right here.

OK, OK.

It's gonna be all right.
It's gonna be all right.

I got you, buddy.
I got you.

There you go.

- [groaning]
- OK, look at me.

Nathaniel,
you have a flailed chest

and likely
a hemopneumothorax, OK?

- What does that mean?

- He broke several ribs
on both sides,

which is now causing
a free-floating segment.

His lung is likely collapsed,

and his chest is filled
with blood and air.

- Let's get him out of here.
- No, no, no, no.

[rumbling]

Sounds like the tunnel
is still coming down around us.

- Yeah,
then we better move quick.

Come on.
- No, no, no.

If we try to move him,
we could make it worse.

- All right, then.
I'll go get some help.

- No, it's too dangerous
the way I came in.

All right?
- So what do we do?

- We wait until CFD comes
to get us out.

It's the safest option,
all right?

I need to get control
of this bleed.

I need to create a pressure
dressing for this wound.

Give me your tie.

Hang in there
for me, Nathaniel.

And you're gonna
feel some pressure, OK?

- OK.

[screams in pain]

- Morning, Dr. Taylor.

- Hey.

Rose, Emmanuel,
this is Dr. Halstead.

- Hi. Sorry to hear
you're feeling poorly, Rose.

Dr. Taylor thought
I might be able to help.

- The more, the merrier.
I'm well-accustomed to doctors.

- My wife has type 1 diabetes
and hypertension.

- But Rose is here today
because of a chronic UTI.

Her internist prescribed her
several rounds of antibiotics,

but none of them
have done anything.

So I sent a urine test
with cultures.

- Mm-hmm.

Multi-resistant
fungal infection.

- "Fungal" is such
an unpleasant word, isn't it?

A lot of medical words are--

phlegm, discharge.

- Rose taught
11th grade English composition

for 32 years.

Words are her thing.

- Some are
just naturally embarrassing,

like having a fungus.

- Well, no need to be
embarrassed here, Rose.

It says it's sensitive
to voriconazole

and amphotericin only.

So voriconazole.
200 milligrams. IV.

- Um, I had the same thought,
but there's a problem.

- It's on the shortage list.
- For three weeks now.

- What about
this other medication?

- Let us talk it over.
We'll be right back.

Amphotericin B is old-school.

They call it amphoterrible.
- I know.

And Rose's kidneys
are already compromised

because of her diabetes.

Her creatinine is 2.8 to start.

Ampho will knock them out
and put her in dialysis,

or worse,
kill her.

- It has to be voriconazole.

Let's start calling around
hospitals, pharmacies,

see if they have any.
- No, I already did.

Everyone I talked to
in Chicago was out.

I'm not sure
what the next move is,

which is
why I dragged you into this.

I mean, what do you do
if you can't get the only drug

that'll treat an infection?

- The pain is localized
to her back.

- It says here
her UA is dirty.

- Yeah, that's not normal
for a urine dip,

but it also doesn't scream
infection either.

- Mm-hmm.
- I checked the shortage list,

and I know that
the contrast dye supply is low.

- It's currently restricted.
- Yes.

But protocol also states
that if a patient needs a CT--

- OK, did you ultrasound her
for a kidney stone?

- No.
- Why don't you?

- Kidney stones usually present
in pregnant women

with peritonitis or flank pain.
- Right.

- Candace only
has low back pain.

- Sure. You can still
ultrasound her to check.

- I could,
but as we both know,

ultrasound is not
very sensitive for a stone.

A CT would give me
a much better picture

of what's actually going on.
- OK.

So if the ultrasound doesn't
show anything conclusive,

you'll order the CT, yeah?

- I'll do an ultrasound then.
- Right.

And you might want to start her
on empiric antibiotics too.

In case it's pyelonephritis,
you should get ahead of that.

- I mean, like,
it's perfectly natural

for a teenager
to want distance from--

from their parents, right?
But I don't know.

Recently, it just seems like
she doesn't want anything

to do with me at all anymore.

- That may only be temporary.

And it's healthy
for your daughter

to seek out
this kind of independence.

- You think that I, of all
people, wouldn't know that?

But I don't know, man.

It's been a...

surprisingly difficult pill
to swallow, you know?

And that kind of dovetails
with this other issue

that I'm having at work, right,

involving being there for
patients in difficult times.

I mean, I'm used to living

in those uncomfortable moments,
right?

I mean, it's what we do.

You know
what I'm talking about.

You've been doing this
a long time.

- Mm-hmm.
- But recently,

when, say,
I have to give a patient,

like, a really tough diagnosis,
right,

like, tell them
or the people that they love

that they have
a lifelong mental illness--

- Their lives are over.

- Yeah.

And I've been haunted
by these moments, right?

They stick with me.

It's like sometimes
they stare back at me.

Sometimes they cry.

Sometimes they don't know
what to do, nor should they.

But you know what?
Maybe I should.

Dr. Greenwell?

- Please, go on.

- Are you all right?

- My chest.

[labored breathing]

I think--I think I might
be having a heart attack.

- Dr. Greenwell! Otis!

Dr. Greenwell?

Dr. Greenwell?

- What do we got?
- Otis Greenwell, 52 years old.

Collapsed
into a glass coffee table.

EKG was normal.

Multiple lacerations
to the forearm.

We applied pressure dressings
en route

and gave him an aspirin.

- He was having chest pains.

Make sure he gets
a complete cardiac workup.

- Will do, Dr. Charles.

- I'll be right out here,
Dr. Greenwell, OK?

- He's a doctor?

- Yeah.
My therapist, in fact.

So take good care of him, OK?

- Pulse is weak.

He's likely in hemorrhagic
shock from all the blood loss.

- Please,
am I going to die?

- I'm gonna do everything
in my power

to make sure
that doesn't happen, OK?

All right.

[distant creaking]

- Anyone there?
Anyone in there?

- Yeah, yeah!
Hey, help us!

- Hey, Severide?

Severide, is that you?

It's Crockett!

- Crockett?
Hey, what's going on in there?

What's the situation?

- There's three of us in here!

Two of us are OK,
but the train's conductor,

he's badly hurt.

He's pretty shocky.

- This passageway
is too narrow.

We'll try and widen it
and get a backboard through.

It might take a while.
- No.

No, listen to me.
We can't wait.

I need you to get me
some supplies off the ambo,

and I need you to call Med.

I need them to send some things
you don't have.

- Copy that!

Just hold tight, Crockett!

- Nathaniel
doesn't have that long.

If we're gonna save him, we got
to do it right here, right now.

[tense music]

.

- People,
I don't have many details,

but Crockett is down
in the tunnel

trying to help those
who are injured.

I do know that
he is in touch with CFD

and appears to be safe
at this time.

And I'll update you as soon
as I hear anything more.

Thank you.

- Jeez.

I hope he's OK.

- Yeah.

Come on.

[elevator dings]

Ms. Goodwin, we were
just coming to find you.

Do you have a second?
- Sure.

- My patient,
Rose Fremont,

has a serious fungal infection
that needs treating.

And the only drug
that can help her,

voriconazole, is unavailable
all throughout Chicago.

- Well, could be just
another region-wide shortage.

I'll reach out to our suppliers
out of state.

The army, navy,
and national guard

might be resources as well.

Just do what you can for her
in the meantime.

- OK. She's gonna need pressors
to keep her blood pressure up.

- Speaking of the army,
I heard about your brother.

- Yeah, Jay needed a change.

I think it'll be good for him.

- Ah.
Well, I know you two are close.

I'll make those calls.

- Adia, talk to me.

- Trey Bruso, 22.
BP 138/80.

Heart rate, 104.

Fell off a ladder
while painting a house.

- I hate hospitals.

- OK, we won't
take that personally,

but we'll still try
to get you back up

on that ladder soon,
all right?

OK, everyone.
Let's get ready for a transfer.

OK, ready?

One, two, three.

- [labored breathing]

- No breath sounds
on the right side.

We need an X-ray!

- I want out of here!

- The faster
we can get this done,

the faster you can leave,
Trey, all right?

Just relax.
Relax.

- Stand back.

- 40% pneumothorax
to the right chest.

Let's get a chest tube.
28 french.

- Sorry, Ethan.

There's a problem.

- I sent the last Pleur-evac
out to the tunnel collapse.

Crockett requested it.

- This is ridiculous.
- Relax, Kai.

- Dr. Marcel shouldn't
be putting a chest tube

in someone
under those conditions anyway.

It's not a sterile environment.
- Oh, really?

You think I should have sent
him a note explaining that?

- So now our patient
needs a chest tube,

and we can't connect it
to a drainage system.

How is that supposed to work?

- The Helmand Province.
Remember?

- Oh, yeah.
I'll hit up central supply.

- Yeah, you want help?
- No, I'm good.

It's like riding a bike.

- One of you guys want to tell
me what you're talking about?

- Pay attention, Kai.
You might learn something.

Mind if I join you?

- Candace, this is Dr. Archer,
Chief of the ED.

He's been consulting
on your case.

- How you doing, Candace?
- My back really hurts.

- Well, hopefully, that
won't be the case much longer,

so bear with us.

Was I right
about the kidney stones?

- I'm not seeing any stone,

but I am seeing
some hydronephrosis

on her left kidney.

- Ah.
- What does that mean?

- Your kidney is not
draining effectively,

so it's a little swollen.

I'm concerned that
it might be infected,

so it's a good thing
that Dr. Asher here

has already started you
on antibiotics.

- Will it hurt the baby?

- The sooner we get ahead
of it, the better.

Give her four of morphine
for the pain and call urology.

- Excuse us, Candace.

We don't know for certain
that it's a kidney infection.

- If it walks like
a kidney infection

and talks like
a kidney infection--

- Hydronephrosis is not
uncommon in pregnant women.

When a uterus gets enlarged,
it can cause urine to back up

and dilate the kidneys.

It doesn't confirm
an infection.

- I appreciate
your determination

to get a definitive diagnosis,

but you are
overthinking this one.

- You know,
I just have this feeling

that I'm never gonna
pass some test of yours.

- Oh, God.
All right.

Look, I'm getting squeezed
by a lot of shortages,

including contrast dye.

And if the antibiotics
don't work

and if her back pain
gets worse,

then you can send her for a CT.

- [sighs]

- I removed the shards,
redressed his wounds.

- Did you
get his labs back yet?

- Yeah, he's not having an MI.

Though his heart rate was
elevated when he came in,

there's no sign
of a cardiac event at all.

I mean, he's in good health,
but he said he's not sleeping.

- Huh.
Shoot me his chart.

- Yeah.

- [chuckles]
Well, this is awkward.

- Oh, come on.

We're both doctors, Otis.
Stuff happens, right?

- But let's face it, Dan.

I'm supposed to be
taking care of you.

- Well, you're gonna have
plenty of opportunity

to do that,
all right?

What do you think happened?
- I don't know.

I just--
I must have passed out.

- Happen before?
- No.

- Dr. Hudgins said

that you were having
a hard time sleeping.

- Yeah. I haven't been
sleeping much recently, no.

- What would you say
to the idea

that maybe what you had
was a little panic attack?

- Well, let's say that
it was a panic attack.

I guess maybe it could
have been the result

of a buildup of stressors.

- All right.
All right.

I'm wondering
what those might be.

I mean, when it happened,
I was talking

about the difficulty
that I've been having

giving bad news to patients.

Does that sound right?

- I actually don't remember.

Look, I really just
want to go home, OK?

- OK.
[machinery beeping rapidly]

Except your heart rate
is going back up.

- I'm--I'm sure it'll be fine.

- Yeah, yeah.
You're all right.

It's not a heart attack, OK?
Just breathe.

- OK.

Oh!
Oh, the pain, it's back!

- Five of Valium, please.

Look at me.
Look at me.

In through the nose,
out through the mouth.

In through the nose.

- OK, secure!

- OK, first bag coming to ya!

All right!

- OK, got it!

OK, looks good.

Put that over there
by Nathaniel.

- OK, will do.

- OK, send the next one!

- All right!

Pull!

[rope snagging]

- It's stuck.

It's caught on something.

- Pull harder!

- Jack, I need you.
- Yeah, coming.

- Give me a hand
with this Pleur-evac.

- Yeah, got it.

[rumbling]

- Crockett!
[both coughing]

- You OK?

- I'm stuck.

[tense music]

♪

.

- Oh, no.

OK, yes.
Thank you for letting me know.

That was CFD.

There's been a secondary
collapse in the subway tunnel.

They lost contact
with Dr. Marcel.

- Do they know if he's OK?

- It's unclear.

They said they're doing
everything they can

to tunnel him out now.

- OK.

- Dr. Asher, we need you.

[machine beeping rapidly]

- [retching]
- What happened?

- She wasn't complaining
of nausea,

and then
she just started vomiting.

- OK, let me see.

101.2.

- Is this all
from a kidney infection?

- Well, let's get her up
to radiology for a CT.

- Thank you.

- I can move my arm freely
on the other side.

If I could just get the
right angle to pull it out...

- Hey, Nathaniel?

Nathaniel, can you hear me?

I think
he's losing consciousness.

- He's gonna stop
protecting his airway.

- Come on.
What can I do?

- Throw your weight
against me.

Square in the back.

Give it everything you got.

- What are you talking about?

- You hit me just right.

Pop my shoulder out
of its socket.

I think
I can reposition myself

to get the leverage I need
to pull my arm free.

Come on, Nathaniel
doesn't have much longer.

- I could break your arm.
- Just do it.

[tense music]

♪

OK.

- Ready?
- Now.

[crunch]
Aah!

[weakly]
That did it.

Pull my arm free.

[groans]

Grab my wrist.

I want you to pull my arm
straight out in front of me.

I need to pop my shoulder back
in the socket.

Go, go, go, go!
Go, go, go!

[pop]
Aah!

Oh, I'm good.

I'm good.
I'm good.

- Crockett, listen, if
we don't get out of here fast,

this whole wall
and everything above us

could come crashing down
any second.

- Nathaniel is the priority.

Come on.
I need your help.

You got your phone on you?
- Yeah.

- All right.
I need some light.

All right, Nathaniel.

We're gonna get you fixed up.
OK, buddy?

I want you to take the blood
out of that red bag.

And there should be
some tape in there.

I want you to tear me
a little piece.

And there's a needle
in that bag.

I want you to pull that out
and get that ready for me.

- Got it.

- All right, this might feel
a little uncomfortable.

OK, buddy?

There you go.
- [groans]

- I know, I know.
Easy, easy, easy.

He's lost a lot of blood.

We need to get
his blood pressure back up

before we do anything else.

You got that needle prepped?

- Yeah.

- We got to sedate him,
intubate him.

And then
we're gonna hook him up

to that portable ventilator
there, OK?

OK.

I'm gonna get you out
of here, OK?

We've got to get that halfway
into the chamber.

There we go.

- Anything else I can do?

- Yeah, why don't you get us
a little bit more light,

if you can?

- You get a collapsed lung
to re-expand

by evacuating the excess air
in the chest with a chest tube.

- And you hook it
to a water seal drainage system

to keep the air from
coming back through the tube.

- That's right,
but what if you don't have

a commercial drainage system?

You have to make one.
Three bottles.

Bottle number one is
the collection bottle.

All the fluid and air
that exits the chest tube

comes here first.

Now the fluid stays, but
the air is still on the move,

so we have to reroute that air
through this tube here,

into bottle number two,
the water seal.

- And that water keeps the air
from heading back

the other way.
- Exactly.

Bottle number three
is for suction.

We connect this bottle
to the regulator in the wall,

and it creates
a negative pressure vacuum

that sucks all the air
through all three bottles

but only to the level of water
in the suction bottle.

- Makes sense,
but kind of primitive.

- But it works.

- Two of Versed,
100 fentanyl?

- Yeah.

- Fentanyl is in.

- Go ahead.
Put it in the tube.

- Lidocaine.

Scalpel.

♪

- And that's
how you DIY a drainage system.

- OK.

Let's secure the tube.
- OK.

- So there isn't
any voriconazole anywhere

because the FDA
cited the manufacturer

for workplace issues.

And until that gets resolved,

there will continue to be
a production delay.

- So that's it?

Rose might die because
the manufacturer screwed up?

- Look, it infuriates me too.

What can be done for Rose
right now?

- We can try
to mitigate her symptoms.

But unless we treat
the infection,

she's going to get worse.

- All right.
I'll keep searching on my end.

And if anything comes up,
I'll let you know.

- Look, I wouldn't mention this
if we weren't desperate,

but I had a friend
in medical school

who was able to get
pharmaceutical-grade drugs.

- What do you mean?

- For students who wanted
to pull all-nighters.

Usually, it was like
Ritalin or Adderall,

but it seemed like
he had access to everything.

- You're talking like
some kind of drug dealer.

- It's illegal, yes,
but we're out of options.

- How would we even know
the drugs are legit?

- He has relationships
with pharmacists.

The quality of the medicine
is not an issue.

- Vanessa,
we could lose our licenses,

maybe even go to jail.

I want to help Rose,
I do,

but not that way.

No, we can't.

- The light helps. Thanks.
- Yeah.

- OK, Nathaniel is sedated.

Hand me this tube
when I ask for it, OK?

- Yeah.
- All right.

OK, intubating.

OK, tube.

OK, tube is in.

[machinery beeping]
OK, we're in business.

OK.

I'm still not hearing
enough breath sounds

in the left chest.

We have to drain the blood.
He needs a chest tube.

Can you fetch me that jumpbag,

the one with the Pleur-evac,
please?

- Yeah.

- Candace's CT results.

Retrocecal appendicitis.

- Really?

Well, that's not something
you see every day.

- No, it's not.

And the fact that her appendix
is angled medially

explains
why she only had back pain.

- Uh-huh.

Change her antibiotics
to ceftriaxone and Flagyl.

Call the OR and have them open
for a lap appy.

- I'll join you,

in case anything goes wrong
with the pregnancy.

- Mm-hmm.

- My heat.
[machinery beeping rapidly]

- She's not making any sense.

- Pressure is down.
MAP's 45.

- Her septic shock
is getting worse.

- Add vasopressin and increase
the Levophed to 20 mics.

- My feet...

are cold.

- Is there nothing else
you can do for her?

- Yeah, place a foley and
update me on her urine output.

- That's it?

I'm begging you, please!

- I'll be right back.

♪

.

- How are you feeling?

- A little sheepish.

I think you might be on
to something

with this panic attack idea.

- I mean,
what do you think's going on?

Because at this point,

it's kind of difficult
to ignore the fact

that in both instances,

I was talking
about the difficulty

that I've been having
giving patients bad news

when you were triggered.

- Yeah.

I read journals all the time
to keep up, stay fresh.

- Uh-huh, OK.

- I recently read about
sporadic fatal insomnia, SFI.

You heard of it?

- You know, I'm familiar
with familial fatal insomnia.

It's a genetic
brain disorder, right?

- Yes.
SFI is a variant.

It's nongenetic
and even more rare.

It starts
with a mild inability to sleep

that progressively worsens

until it robs you of
your faculties and kills you.

- Right,
and so,

you're concerned
that you might have this

or that you're developing it?

- I know it's irrational,
but I--I can't help it.

I'm really scared.

- Well, I mean, have you
thought about getting tested?

- No, I can't do that.

- Hey, a simple PET scan

will tell you everything
you need to know.

- But that's the problem.

If I test positive,
my life is over.

Every last second I have
will be consumed by that.

[voice breaks]
I won't be able to function.

- But, I mean, aren't you kind
of consumed by it already?

- [sobbing]
I'm so tired.

- Well, I mean,
of course you are.

Look, have you thought about,
I don't know,

what clarity might bring
to this scenario?

Look, if you test negative,

you get a good night's sleep,
right? That's easy.

But even if you test positive,
which is unlikely,

look, I mean,
it'd be difficult,

but wouldn't it also kind of,
I don't know, inform

how you want to spend the rest
of the time you had left?

People you might want
to hang out with?

The places
you might want to go?

I don't know,
it just seems to me

that there's an upside
to clarity both ways.

- I'll get the scan.

- Voriconazole,
the antifungal?

Yeah, thought I'd check anyway.
Thank you.

- Will.

Voriconazole.
200-milligrams. Tablets.

I know it's an IV, but the
bioavailability is the same.

- Where'd you get them?

- It turns out
someone did have it.

- No.

- Will.

These are the real deal
from a pharmacy.

The prescription was filled
two months ago.

Check the label. I've already
called and verified it.

- And your friend just happened
to have them?

- He said that sometimes

people empty out
their medicine cabinets,

and they turn over the contents
to him.

That's how he got these.
- That's called diversion.

It's a crime.

- Rose will likely die
from this infection.

You know that.

- Even if you were
to give her these pills,

how are you gonna explain it
in her chart?

- I don't know.

I guess
we wouldn't put them in?

She needs these pills, Will.

- There's only one way
to do this.

No, no.
You stay here.

Hey, Nancy.
Could you give us a moment?

- Sure.

- Thank you.

Emmanuel,
I found some voriconazole.

- Oh, thank God.

- But I can't give it to Rose.

- I don't understand.
- Yeah.

The pills weren't acquired
through the proper channels.

But I assure you, this is
the antifungal Rose needs.

It will knock out
her infection.

It will save her life.

I just can't legally
give them to her,

but you can.

It's your decision.

Dr. Taylor and I
cannot know about this.

We'll check back
in a little while.

[tense music]

♪

.

- You put your blood,
sweat, and tears

into a project like this train.

You try to anticipate
every potential catastrophe,

only to be undone
by rusty old tracks

and cracked tunnel walls.

- So it was the tunnel's fault?

- It's not my train's.

Let me guess,
you're one of those

"never explain,
never complain" guys, yeah?

- Yeah, well, this day
wasn't good for me either.

[machinery beeping]

- What's that?
- Oh, the battery on the vent.

It's dying.

- Why are you down here,
Crockett?

- What do you mean?

- A train crashes,
and a tunnel collapses,

and you run in.

Why?

- I--I just did.

- You want to know
why I created this train?

To change the world.

Chicago first,
but soon,

every other city
would see a faster,

more efficient,
cost-effective,

environmentally-friendly mode
of transportation.

Jack Dayton has done it again.

A brilliant innovator.
A hero.

That's the portrait I try
to paint for the media anyway.

The truth is,
I developed this train

to make me another fortune.

Money and ego have
been the motivation

behind almost every decision
I've ever made.

Every good deed.

Every good deed has
really been self-serving,

unlike you.

- [scoffs] No.

- What?

- Believe me, Jack, I...

I am far from selfless.

[rumbling]

- Crockett?

Ah, hey.

OK, so what do you guys say?

Want to get out of here?

- [chuckles]

[knocks at door]

- My results.

- Negative.

- [laughing] Oh.

Oh, good God.

Oh, thank God.

- Hopefully, you can
get a little sleep now.

- [chuckles]

I can't thank you enough, Dan.

- Hey, I'm just really happy
it turned out the way it did.

- But I think

we should stop seeing
each other professionally,

I'm afraid.

I'm sorry,
but this has been

a massive breach
of therapeutic boundaries.

- You know what,
I would actually really like

to continue,
if it's OK with you.

- You want me to stay on
as your therapist after this?

- What, are you kidding me?

I mean, all this experience
has done for me today

is humanize you.

We might have hit the fast
forward button a little bit,

but, Otis, do you have any idea
how difficult it is out there

to find a practitioner
who will just, you know,

listen and talk
and be present?

All I saw today
was the kind of,

I don't know,
humanity, right,

that made me really want
to keep working with you,

if you're good with it.

- Sure.

- Good.

- Everyone,
gather around, please.

Everyone?
- Good news.

We've just been informed
that Dr. Marcel is safe,

and he and his patients,
including Jack Dayton,

are en route.

[cheers and applause]

- All right, everybody.
Let's get back to work.

- So how'd it go?

- Uh, good.

- You showed Dr. Choi how to
do that thing with the bottles?

- Yeah, I did.

- In Afghanistan,
we had a whole lot of GSWs

without a whole lot
of equipment,

but we did have bottles.

- Cool.

- Yeah, it's cool.

In any case,
he is a good teacher.

Hey, and FYI, Dr. Marcel
is a pretty good teacher too.

- Hmm.

- Excuse me.

Nice work today, Dr. Asher.

- Thank you.
- Yeah.

Your patient got lucky.
She had a good doctor.

- And which one of us is that?

- Well, we both know.

Listen, your weekly drug test,
we can dispense with that.

- Great.

- Pressure is stable and
has been for some time now,

even without the pressors.

- We'll have to wait
for your cultures to come back,

but I'd wager
the infection is resolving.

- I feel--what's the word
I'm looking for?

- Relieved?

- Sanguine.

Good word.
People don't use it enough.

- It certainly seems like
she's getting back to normal.

- Well, hopefully,
if this all continues,

you can go home tomorrow.

- We can't thank you enough.

- It worked.

- Yeah, look.

We did what we had to do,

but no one can ever
know about this.

Ever.

- They're here!

- Nathaniel Perry,
34 years old.

Chest was crushed
in a train crash.

- Dr. Marcel intubated him
in the field

and placed a chest tube.

- All right, I got him.
All right.

- You're going to two.

- Mr. Dayton, sorry to meet you
under these circumstances.

Sharon Goodwin, executive
director of patient services.

- And I'm Dr. Choi.
Let's get you checked out.

- All right, and Crockett said
I'm gonna needed an MRI.

- Will do.

- Where is Crockett?
- He's OK, right?

- Yeah, he said
he had to see someone

and that it couldn't wait.

- Pamela?

Pamela, please.

Pamela, please talk--

- Crockett, are you OK?

- Yeah.
Where's your mom?

- She left for Boston
this morning.

I'm sending these things on
to her.

- I need to tell her something.

- Yeah, she saw you called.

She didn't want to talk to you.

- I get it.

Could you tell her something
for me?

Just tell her

I haven't been
entirely honest with her.

Honest with myself, really.

- Oh?

- Your mom never would
have risked her ability

to perform surgery.

I mean, you said so yourself
when she was on the table.

But I made the decision
I wanted anyway.

It was selfish.

I didn't want to lose her.

But I guess I lost her anyway.

- I'm sorry.

- You take care, Ava.

- You, too, Crockett.

♪

.

[tense music]

♪

[wolf howls]