All language subtitles for Chicago.Med.S08E07.WEBRip.x264-ION10

.

- Dr. Marcel exemplifies
the selfless dedication

we here at Gaffney
pride ourselves on.

- Confident, creative--
future of medicine, this guy.

- Do you ever wonder
what it would have been like

if they haven't made us
put Vanessa up for adoption?

- And I made it
very clear to Grant

that I am not interested
in reconnecting with him.

- You felt the need
to tell him that?

- I didn't want there
to be any confusion.

[dramatic music]

- Samir offered me
a spot on his team.

- In the Philippines?

- This is my calling.

- It's been a while.
- 15 years.

- Do you have anything
that you want to say

to me after all this time?

I'd like to try my best
to listen.

- No, come on.

Come on.

That's what I'm talking about.

- Morning, Ethan.
- Morning, Hannah.

- Hey, I'm gonna
hit the showers.

- I'll grab you a juice.

- Thanks.

- You two seem
to be getting along.

- Ah, it's not like that.
We're just friends.

- If you say so.

- What about you?
How are things with April?

- Mm, to be honest, it's much
easier the second time around.

It's like we got all the
big arguments out of the way.

- That's great.
- Yeah.

You know, it turns out,
we were walking down

the same path this entire time
and just didn't know it.

- I think with Hannah and I,
our, uh,

our paths diverged
a long time ago.

- Well, at least
you got someone

to spot you in the gym.

- Zach, you've got incoming.

You're going
to treatment three.

- Okay.

- Dr. Charles,
I don't seem to have

an attending at the moment.

Do you mind looking after Zach?

- Uh, sure.

- Cesar, talk to me.
You're going to three.

- Renee Chapman, 50 years old.
Neighbors called it in.

Said she fell trying
to scale a fence.

Husband's on his way.

- BP 120/80, heart rate 72.

She's experiencing
some mild confusion.

GCS 14
with a possible head injury.

[suspenseful music]

- Whoa, what is this?
- Not my fault.

Talk to whoever's
in charge of scrubs.

- Zach.

- There are no scrubs here.

We're completely wiped out.

- At least we still have
patient gowns.

- Well, what are we supposed
to do about surgeries?

There's no way to maintain

a sterile environment
in street clothes.

- Well,
Goodwin's working on it.

Meanwhile,
we're gonna have to make do

with what we've got.
- What about us?

I can't see patients
dressed like this.

- Mags, this isn't
gonna cut it.

- What do you want me to do,
knit you a sweater?

- Maybe I've got a change
of clothes in my car.

- Actually, why don't we hit
the hospital thrift store?

Maybe we'll find
something presentable.

- That's fine,
but make it fast.

I want the rest of you
back in the ED now.

- Seriously?
- Yes, and no complaints.

I'm already short a doctor
with Vanessa gone.

* *

- Okay, Ms. Chapman.

Good news is,
your chest X-ray looks clear.

No rib fractures.

If it's okay with you, I would
like to send you for a head CT

just to be on the safe side.

Would you mind calling
Radiology to let them know

we're on our way?

- Oh.

I want it out of me.

Oh!

- You want what out of you?

- Oh, where's Dr. Blake?

- You know, Dr. Blake doesn't
actually work here anymore--

- I want it out of me!

- What do you want out of you?
What do you want out of you?

- It's not mine. Get it--ahh!
- Whoa, whoa, whoa!

- Whoa, whoa, whoa, whoa, whoa.
- Oh, God.

- A little help here?
- Get it out of me!

Get it out of me!

Ah!
- Hank, 5 of Haldol now.

Now.

- Get it out!

[screams]

* *

.

- Here, you can see the areas
of white starting to clear.

- I take it
that's a good thing?

- I'd still like to do
a follow-up chest CT,

but I think your body is
taking well to the new lungs.

Any questions?
- Yeah.

What is going on here?

- What do you mean?

- Well, you're dressed
like one of my engineers.

- Believe it or not,
we're out of scrubs.

- So, uh, what,
somebody screwed up?

- Laundry issue.

Every time you think
it can't get worse.

I'm sorry, they need me
downstairs in the ED.

I'll check back soon, okay?

- Thank you, Dr. Marcel.
- You bet.

Jack. Okay.

- Crockett.
- Yeah.

- We need to talk
about Baltimore.

- Baltimore?

Wait, the transplant
conference?

- Mm-hmm.
They had a keynote drop.

You might want to throw
together some slides.

- What's the topic?
- Ischemic preconditioning.

- Wait, that's--
- Pamela Blake.

Apparently, she had a setback.

Took a leave so
she could return to rehab.

Lucky you.

[apprehensive music]

* *

- How come I don't see any
scrubs coming off this truck?

- There was an electrical short
in the Cicero plant last night.

Took out a whole bank
of dryers.

- But I thought we had backups
in the warehouse.

- I don't have
any drivers available.

- You know something?

You are a veritable laundry
list of excuses today, Harry.

I know that we are
in the process of negotiating

our new service contract,
but please,

please tell me you're not
holding my scrubs hostage.

- Ms. Goodwin, maybe you
should go talk to your CFO.

[suspenseful music]

* *

- For a thrift store,
I didn't do so bad.

- I don't know.
I feel like a bank teller.

- No.

I'd say more like
a substitute teacher.

- Oh, okay, this is ridiculous.

I'm changing back
into my workout clothes.

- Help! Help!

- What's going on?
We're doctors.

- She's having a baby.

- Hey, what's your name?

- Maya Safro.

- Hi, I'm Dr. Halstead.

Is it okay if I remove this?

- Okay, mind if I
check you out?

Okay, what's your due date,
Maya?

- Two weeks around
Thanksgiving.

- This is your first baby?

- Yes. Oh.

- Deep breaths.

We'll get you inside
so we can take a look at you.

- Are you the father?
- I'm her neighbor.

She called me for a ride
when her water broke.

- Here we go.
- Let me help.

- She stabbed herself?
Oh, my God.

- Fortunately, we were able
to restrain her

before she did any real damage.

- Mr. Chapman.

Dr. Marcel.

I assisted Dr. Blake
on Renee's kidney transplant.

- Oh, of course. I remember.

Where's Dr. Blake?

- Unfortunately, she's moved
on, taking a new position.

What do we know?

- Seems like Renee
experienced some kind

of paranoid delirium.

- What, like a psychosis?

- Mm-hmm, of sorts.
Yeah.

- Well, this is not
like her at all.

I mean, you can ask Dr. Marcel.

She has such an ordered mind.

- Mathematician, right?

- Yeah, top of her field,
fluids and mechanics.

In fact, she's being awarded
the Abel Prize

in Oslo next month.

- Wow.

Seth, can you think
of any changes

to her behavior
in the last few months?

- Yeah.

It started, like,
about a month ago.

She was confused, agitated.

- Huh.

- Hey, Zach.

Did you include
a complete metabolic panel?

- Let's also make sure
we get that head CT too.

- Yes, sir.

- Hey, she's gonna
be all right, right?

- Look, we're absolutely gonna

get to the bottom of this,
all right?

Probably just a good idea
to wait for some

of these test results before
we start looking at next steps.

- Any pregnancy complications
we should know about?

- Besides some
bizarre cravings,

it's been relatively smooth,
but I just have to say,

I'm, like,
itching like crazy today.

- I'd be worried
if you weren't.

At this stage, your hormones
are running wild,

and itching is totally normal
in a full term pregnancy.

- Hey, are you the guy
that brought her in?

Security is about
to tow your van.

- What?

- Hey, Gus, sorry!
Thanks again!

- All right.

I'd like to do an exam.

- Hey, Maya, anyone
you'd like us to call?

- Unfortunately not.

I moved down here
for school in the spring,

and all my family's
up in New York.

- And the baby's father?

- Not in the picture.

- Aw, I love your socks.

- Thank you.

- Could you put your heels more
in the stirrups?

- Yes.

- All right.

- You know, I was gonna hold
off on the sex of the baby,

but I only made it to week 15.

I just couldn't wait
to meet her.

- Well, I've got good news
for you, Maya.

Your wait is over.

You're about
6 centimeters dilated,

which means this little girl
is coming today.

- Oh, my God!

- Congrats, Maya.

- All right, now I'm
gonna do an ultrasound

to check on the baby.

Okay?

Okay.

So Maya, it appears
your baby's breech.

- What does that mean?

- It just means that her head's
facing the wrong direction.

- Well, she's gonna be okay,
right?

- Oh, yes.
It's very common.

It just means we need
to deliver via C-section.

- You mean like surgery?
- Yes, but don't worry.

It is totally safe.

And you can be
with us and awake

the entire time if you want.

- Okay. Okay.

- Okay. Hey, Doris.
- Yeah.

- Can we open up the hybrid OR?

- Yeah.

- Hey.
- Hey.

- Where'd you get the scrubs?

- I do my own laundry.

- Every night?

- Every night
for precisely this reason.

- Is that some kind
of navy thing,

the way you were trained?

Flanked by a bunch
of Dudley Do-Rights.

Awesome.
[monitor beeping]

- Ethan, Kai, incoming.
[alarm blares]

Courtney,
you're going to Baghdad.

- Talk to me, Court.

- 36-year-old inmate stabbed
in the anterior lateral

right neck in County.

Bleeding stopped
with direct pressure.

Intubated en route with sux
and etomidate, GCS 3.

- All right, looks like
there's no active bleeding.

Let's get him ready
for a transfer.

* *

Everybody ready?

Ready, one, two, three.

- Heart rate 94, BP 130/87.

Sats 100%.

- Breath sounds are bilateral.

Let's get him on a ventilator.

- Did I hear something
about an inmate

coming in from Cook County?

- Someone get me an X-ray.

- Yeah, shanked in the neck.

Oh, you'll love
this coincidence.

His last name is Archer.

Sean Archer.

- Yeah, it's a small world.

- Yeah.

- Wonder who this guy
pissed off.

No active bleeding.

A big old hematoma
in the neck, though.

- Here, let me look at that.

- X-ray's here.

- Hold.

- Hold on.
I'm feeling something in here.

Let's get a neck X-ray as well.

Make sure there's no
retained foreign body.

- Hey, D.
- Not now. Not now.

* *

- Renee's test results.

Thyroid function is good.

No endocrine problem.

CT head is clean.

- Yeah, no family history
of mental illness either.

No?
- No.

- So far, anyway,
no organic explanation

for Renee's psychosis.

- So where does that leave us?

- Wait.

What immunosuppressant
is she on?

- Tacrolimus.
- Oh, crap.

- What?
- Cyclosporine wouldn't work?

- Well, we tried that
pre-transplant,

but Renee was allergic
to everything in that class.

The tacrolimus
was our last option.

Why do you ask?

- We suspect that Renee's
psychosis is being caused

by the immunosuppressant
that she's been taking

to protect her new kidney.

- Her tacrolimus?
Are you sure?

- We've just about ruled out
every other possibility.

- But the surgery
was ten months ago.

- As strange as it might sound,
reactions like this

can occur even years
after surgery.

- So we should just take her
off her meds then, right?

- I wish it were
that easy, Seth.

But without
the immunosuppressants,

Renee's body
will reject the new kidney.

- After all this time?

- Unfortunately, yes.

- So what are we
supposed to do?

- Well, the next step would be
to try an antipsychotic.

There's a drug
called olanzapine.

We would like to start her
on a small dose

and then see if that helps.

[apprehensive music]

- Hey, Seth.

Don't worry.

We're gonna get this
under control, okay?

* *

- Damn.

Looks like the shank must have
broken off in his neck.

- Right, can we get him up
to the OR, please?

What are you standing
around here for?

Just do it.

Tell the OR that I'm bringing
up the neck exploration, okay?

- D.
- Yeah, one second.

Uh, sorry, can we get
the shackles off him?

He's not going anywhere,
all right?

- Dean, Dean, Dean. Hey, Dean.
- What is it?

- Sean's in jail.

Last time I asked,
you said he was out west.

What's going on?

- It's a long story.

Okay, I promise I will
get you caught up.

I promise.
- Okay.

- But I got to go scrub now.

I cannot stand here.

- Neil's on call
in trauma today.

Let's let him operate.
He's as good as it gets.

- This is my son, Ethan.

- Exactly why you shouldn't
be doing the surgery.

Come on, man.
You know I'm right.

All right, hey, don't worry.

I'll stay with Sean
the whole time, all right?

- Yeah.
- All right.

* *

.

[indistinct chatter]

- I'm sorry, Sharon.

- Oh. Excuse me, Sharon?

- Fred's on a call with the
board for the next hour or so.

Is there something
I can help you with?

- Well, I don't know if
Mr. Meachem has heard or not,

but we didn't get our
delivery of scrubs today.

- Fred is aware, yes.

- Maybe you should
ask him to come out.

- Is this really an emergency?

- Young man, scrubs are
critical in maintaining

the integrity
of our operating rooms.

- We still have
surgical gowns, correct?

- And what do you expect them
to wear underneath?

He should know that
besides putting our staff

and patients at risk,
we're opening ourselves up

for potential lawsuits.

We should cancel
all elective surgeries

until we iron this out.

- That would be a
big hit to the P&L.

- That's why I'm here
to see Mr. Meachem.

- I'll call your office
as soon as this breaks up,

Ms. Goodwin.

- Thank you.

- Ta-da.

- Trail mix.
- Vanessa's favorite.

The kind with dried pineapple
and chocolate in it.

And I wrote her
a little note too.

- Aw.

- I hope she knows how much
we all miss her.

- If she doesn't,

she will by the time
she gets this package.

- Hey, sweetie.

- Hey, Ben.
What are you doing here?

- Student of mine
fell off the jungle gym.

Ambo said they were
taking her here.

Name's Mira Holloway.
- Oh.

Yeah, she's in treatment 4.

Come on.

- Doctor looks
no older than Mira.

- Aw, she's in good hands.

Don't worry.

- Ms. Goodwin,
is this really all we got?

- I'm sorry.

Yes, it's the best we have.

- It's kind of itchy.

- Yeah, they're fine.
We'll make do.

- Why are you looking
at me like that?

- It's okay.
I was just worried about you.

- Renee, how are you doing?

Can you tell me
how you're feeling right now?

- How long have I been here?

- Since this morning.
You had a fall.

You had the Zoom with Oslo,
but I had it all rescheduled.

- Oslo.

- The Abel prize.

They're handing it out
next month?

- That's nice.

- You know what?

Seth, I think we
should let your wife

rest for a little bit.

Renee, we'll be back
in just a few minutes, okay?

- Okay.

[suspenseful music]

* *

- What's wrong with her?

- Well, the olanzapine has
pretty severely obtunded her.

- Obtunded?
- Oh, I'm sorry.

It just means that she's
slower to react to stimuli.

- It's not an
uncommon side effect.

- This is gonna
wear off, right?

- The thing is, Seth,
is that when the tacrolimus

is in play, like it is
with this side effect,

that the pharmacology just
becomes a lot more delicate.

- But we can lower the dose.

- She's already had
the lowest dose.

And frankly, her affect is just
extremely pronounced already.

- Did I read somewhere
that aripiprazole

has a less sedative effect?

Would that work better?

- You know, at this point,
it's worth a try.

So why don't we let the
olanzapine clear her system

and then give her
some aripiprazole

and see if we get
to a better place?

* *

- This suit is driving me nuts.

- Tell me about it.
I'm schvitzing like crazy.

Okay, I can see the baby.

Almost there, Maya.

The baby flipped
to transverse back down.

- What does that mean?

- Just means
she's a little stuck.

[alarm beeping]
It's gonna take a bit longer.

Grab the bandage scissors and
extend the uterine incision.

Mm-hmm.

- Hey, Dean.
- Yeah?

- It looks like we got
another prisoner coming in.

- What?
[alarm blares]

- Baghdad!

- Deke Niemann,
37-year-old male,

blunt trauma to the chest,
abdomen, and back.

Ended up in a
physical confrontation

with a correction officer.

- [wheezing]
Bastard got me with a baton.

- Cermak transferred
this one over.

Here is the X-rays they took.
- I'll pull these up.

* *

- On my count, one, two.

- Easy, man! That hurts.

- Hold on,
we have to recuff him.

- X-ray's up.

- Hemopneumothorax on the left.

- Get a chest tube tray.
Prep and drape.

Push 100 of fentanyl,
2 of Versed.

One of your coworkers trucked
this guy up pretty good.

- Totally justified.

He had a weapon in his hand,

was considered
armed and dangerous.

- A weapon?

Was this the guy who--

- Who shanked
the other guy, yeah.

- We're ready for you, doctor.

- [groaning]

[panting]
Help me, doc.

I can't breathe.

- I can push the chest tube
if you want.

- No.

I got it.

* *

.

- Renee.

Renee.

Honey!

What's wrong with her?

- I mean, she's--
she's catatonic.

- Waxy rigidity.
- I don't understand.

- She's having
an even more extreme

reaction to the aripiprazole.

- Will it get better?

- Unfortunately, it's this
class of drugs, right?

These anti-psychotics
that typically

mitigate this very unfortunate
side effect of tacrolimus.

And sometimes they work,
sometimes they don't.

- So she's never gonna
get back to her normal self?

- As long as she's taking
this immunosuppressant,

it's unlikely.

- I can't believe this.

Getting this new kidney
was supposed

to give Renee her life back.

And now today--

I cannot watch my wife
suffer like this anymore.

I want to take her off
the immunosuppressant drugs

once and for all.

- Uh, Seth.

Seth, come on.

We talked about this.

Her kidney won't survive.
- I don't care.

- Think about everything
Renee went through.

All those years on dialysis,
you really think

she wants to get back to that?

- I know my wife.

If she had to choose between
her body and her mind,

it's not even close.

- You're serious about this?

Renee waited six years
for someone

to give her that kidney,
and you just want to--

what, you want to kill it?

[suspenseful music]

* *

- Okay, okay,
so what if we remove it

and put it back
into the donor pool?

Is that possible?

- Well, I mean,
that would be unprecedented.

We'd have to go to the
ethics committee with that.

- Seth, I really think
we need to slow down here,

and at the very least,
give Renee a chance

to weigh in for herself.

- Look at her!

She cannot make this decision.

I have her advance directive.
It's my choice, right?

- She is certainly impaired,

and if you have
the advance directive--

- Uh-uh, no.

- This is what she would want.

Remove the kidney.
Give it to someone else.

- Sorry, you're going have
to find another surgeon.

I don't want anything
to do with this, okay?

* *

- No, no, no, I'll tell her.

Okay. Sharon, it's Cheryl.

Says that you're
all set for tomorrow

At 10:45 a.m. with Meachem.

- No, no, no. Uh-uh.

Hey.

Tomorrow?

Doesn't Fred realize
this can't wait?

You're kidding.

No, no.

That's all. Thank you.

- So?

- Evidently,
he has a 2:00 tee time.

- Hey.

Good news.
- They get the blade out?

- Yeah, tied off
the external jugular,

and Neil's confident
it missed his esophagus.

Sean's gonna be okay.

- Thank you. Thanks.

- How's Mira doing?

- Evidently,
her X-rays look good.

Zach's talking about
possibly running

some more tests, though.
- Oh.

- There's a whole lot
of trail mix in there.

- Yeah, it was kind of
Vanessa's thing.

It's gonna cost
a fortune shipping it

to the Philippines, though.

- Hey, Maggie.

Oh, good, I see you haven't
sent that box off yet.

I just found the perfect thing
in the back of my closet.

Vanessa's gonna love it.

My old varsity jacket.
- Oh.

- Of course, you always
wore it more than me,

but hey, you also looked
better in it, too, so.

Hey.

- Hey.

- Um.

This is my husband, Ben.

Ben, this is Vanessa's
biological father,

Grant Young.

- Well, it's a pleasure
to meet you finally.

- Likewise.

* *

- Hey, hey. Whoa, whoa.
Where are you taking him?

- CT scan.

- On whose orders?

- Dr. Choi.

- Hey.

Hey, what's with the chest CT?

- I'm looking at the
post-insertion X-ray.

I'm concerned there's
still a hemothorax.

- I placed that chest tube.

It's fine.
- I'm sure you're right,

but there could be
a retained clot.

A CT will give us
a better image of the damage.

- Oh, you didn't think about
running it by me first?

- We both know you can't
be the doctor of record

on this patient, Dean.
- Come on.

- Look, if anything
were to happen--

- What are you saying,
that I can't remain objective?

- I know I couldn't
if I were in your shoes.

Look, man, maybe you're
a better man than me,

but why put yourself
in that position?

- It's a good thing you're not
wearing my shoes then.

- If you can't stand down,

I'll have to take this up
with Goodwin.

Please don't make me do that.

* *

- Here she comes.

Oh, got her.

[baby crying]

[hopeful music]

- Hey.

- [laughing] What a sweet baby.

- Yes, she is.

- We'll get her cleaned up.

- [sighs]
- You okay?

- Yeah, it's just this suit.

- [murmuring indistinctly]

- Say hi to Mama.

[alarm beeping]
Maya?

Maya.

Maya! Maya!

Bag her!

She was fine a second ago.

[suspenseful music]

- Heart rate's down to 60.

- Amniotic fluid embolism?

- She's not coagulopathic.

I mean, it could be,
but it's not a classic AFE.

- Hold on.

Snoring respirations.

- Check her pupils.

- Pinpoint.

- I think she might be OD'ing.

- An overdose?
How is that possible?

- I don't know, but we need
to get Narcan now.

Now!

- Maya?

Are you with us?

- Yeah. Yes.

What happened? What happened?

* *

.

- So you're really
heading to the links?

- Aetna's senior VP is in town.

Said we've got
a pressing matter.

- But we've got pressing
matters here as well.

- The surgical scrubs, right?

I was told we found a solution.

Hazmat suits?

- More of a Band-Aid
than a solution.

- Yeah, whatever you call it,
it'll do for now.

- Fred, I don't know
if you're aware,

but the hospital's kind of
falling apart lately.

And it's not a good look
when the guy

who's supposed to be
holding the glue

is off working on his handicap
on a weekday.

- Lakeview Linens is trying
to jam a 30% increase

down my throat, Sharon.

The hospital just
can't roll over

and accept terms like that,

not if you want to keep
the doors open.

Scrubs are something we
can do without for a bit

if we need to.
- You're wrong.

Besides maintaining a clean
and safe environment in the OR,

they give our people
a sense of purpose,

instill our patients
with the confidence

that we know what we're doing.

That lowly piece of clothing

has an incalculable effect
on the healing process.

- I can't work with
incalculable, Sharon.

I need a number.

- You know, I don't have
any good options here.

So I'm gonna recommend
that we postpone

all elective surgeries
until this thing is resolved.

- 48 hours.

Please. I know they'll cave.

- I'm sorry, Fred.

I don't have a choice.

[tense music]

- I swear, I've never
done a drug in my life.

And of course, I would never
do anything to harm my baby.

- I'm not here to make
any accusations.

I promise.

We just have to do
our due diligence.

- Is this gonna keep me
from taking my baby home?

- We're gonna do
everything we can to try

and stop that from happening.
- Yeah.

Let's start by running
a few tests,

and we can take it
from there, okay?

- Look, Maya, you have
been through so much today.

Just try and rest.

We'll be back
to check on you soon, okay?

* *

- So?

- If I had to say,
she's telling the truth.

- So no need to call DCFS?

- Not yet, anyway.

She consented to testing,

so we can run a hair sample,
which will tell us

if this really was a one-off.

I'll report back.
- All right.

Thanks, Nellie.
- Yeah.

- I just don't get it.

How can she be fine one minute
and OD'ing the next?

- I mean, there was probably
a certain amount of adrenaline

that kept her alert,
and then baby came,

and the effects
of the drugs hit her.

- Yeah, but what drugs?

- That's the million dollar
question.

- Yeah.
- You've still got that rash?

- It's like they sewed those
suits out of poison ivy.

- Try popping an antihistamine.

I'm gonna go check on the baby.

- So the ethics committee
is mulling it over.

And get this:

Organ Donors of America
already found an HLA match

for Renee's kidney.

- So it's happening.
- Well, who knows?

I mean, you know,
ethics committee

tends to bog down when
the surgeon of record

goes missing, you know?

Won't weigh in.

- I'm guessing
from your tone, you, uh,

you think this is
the right thing to do?

- I think it's better
than the alternative.

If Renee goes off
the immunosuppressants,

her kidney won't survive,
right?

At least this way, somebody
else might really benefit.

- You know, Renee's transplant
was the first time

Pamela showed me how
to resize a renal artery.

She had this great cheat
where she would split

the artery to match the size.

Mechanical genius.

- Always was
a brilliant surgeon.

- Who may never operate again.

I made a decision for her,
and look what happened.

- I know this is
complicated for you, okay?

But you cannot let
what happened with Pamela

affect how you approach
this case.

But from where I'm sitting,
Seth's a good man.

Got his wife's
best interests at heart,

and most important of all,
he knows her mind.

- And what if he's wrong?

- Buddy, I just don't
really think that

it's our place to judge that.

[pensive music]

* *

- Hey.
- Hey.

- Chest scan came back
for our friend over there.

Confirms a whole bunch
of rib fractures

and a retained
hemopneumothorax.

- Yeah, with the
mild right shift,

looks like his chest
is still under tension

even with the chest tube.

- Was the tube placed properly?

- Yeah, but it's clotted off.

Not tidaling.
We need to replace it.

[alarm beeping]

- Heart rate's in the 40s.

- He's bradying down.
Start bagging.

Check for pulse.

[suspenseful music]

- No, I don't feel one.

- All right,
tension pneumothorax.

- Start CPR.

Thoracotomy tray.

All right, hold for a second.

* *

- Whoa.

Feel that rush of air?

Still no pulse.

- He's fibrillating.

- Give me the internal paddles.

Charge to 50.

- All charged.

- All right.

Clear.

- I got a rhythm.

- Pulse is back.

That was fricking insane.

- Call the OR.

* *

- Zach's saying
he won't discharge Mira

until she gets an MRI.

- Well, he's just dotting
his I's and crossing his T's.

It doesn't mean that
she's not doing okay.

- Yeah, well, it's causing
Mira's mom a little anxiety.

And why is it
taking him so long?

- Well, Ben, you do know
that we're short staffed.

Right?

I'm sure that Radiology

will get to Mira
as soon as they can.

- You know, if I knew
this place was gonna be

this unresponsive,
I would have told the ambo

take her to another hospital.

- Wait, am I sensing a bit
of a hostility here?

Does this have to do
with Grant bringing in

that jacket in today?

- Not at all.

Why would I be
bothered by that?

- You shouldn't be.

- Really?

I do seem to remember
you telling me

that you weren't gonna
have anything to do with him.

- Ben, this isn't about me.

It's about Vanessa.

- Yeah.

It's always about Vanessa.

- Hey, Maggie.

Sorry to bother you.

You got a second?

- Yeah, she's free.

- Yeah, Joe.

Hey, your C-section, Maya.

You got a tox back?
- No, not yet. Why?

- Well, get this,
I was talking to security,

that guy who brought her in.

When they were towing his van,
they got a hit on his tags.

PD took him into custody.

Turns out he was
transporting carfentanil.

Maybe Maya got exposed.

- Well, maybe we all did.

We went to that car
to pull her out.

- It could be why
you were itchy all day.

Nothing to do
with the hazmat suits.

We need to get you into decon.

Where's Will?

[tense music]

* *

- Will?
- I'll get the Narcan.

- Hey, hey, no, no, no, no, no.
Hey, hey, hey.

Will, whoa, whoa, whoa, whoa.
Stay with me. Come on.

It's on his shirt.

- Here you go.

- Hey, come on.

* *

You okay?

- Shh, stay down. Stay down.

- Uh-huh.

- We need to decontaminate now.

- Yeah.
- Okay, come on.

.

- Hey, you okay?

- Yeah, I think so.

- The first half hour
is when you feel it the most,

but after that, the drug
should clear your system.

- Yeah.
You should probably go first.

- I'm not letting you
out of my sight.

Oh, come on.
What's the big deal?

How many times have we
seen each other naked?

Hey.

- Thanks.

- It's crazy.
[chuckles]

We're right back
where we started.

- What do you mean?

- Well, when we first met,
you were Narcanning me.

- I guess we're even.

- There's no need
to keep score.

[soft sentimental music]

* *

- Here you go.

- A recipient giving up
a perfectly healthy kidney.

20 years in this biz, and I've
never seen anything like this.

- Yeah.

- Thanks, Crockett.
- Yeah.

- Dr. Hutchins, thank you
for taking such good care

of my Mira today.

And you, Mr. Campbell.

Your husband's a saint.

- Thank you.

That's what they tell me.

* *

Ben, listen.

- I got to run...
- But--

- If I'm gonna
make bowling league.

I'll try not to wake you
when I come in.

- Prepare to be excited.

Come on.

- That's all of 'em.

- We'll have the rest here
tomorrow.

- Thanks, Harry.

- I thought you said that
you struck out with Fred.

- I thought I did.

- Oh, man.
- So what happened?

- They got here sooner
than I wanted.

I was hoping to be here
for the big surprise.

- So this is all your doing.

- So it turns out these guys
are in discussion with us

about upgrading their fleet.

I spoke to the president,
made it clear

that I wouldn't feel good
doing business with a company

that's trying to chisel a civic
institution like Chicago Med.

And they promised that
they wouldn't raise

their prices anytime soon.

- Oh, that's very nice.

Thanks, Jack.
- Just trying to help.

Oh, hey, let's get a shot
with these scrubs, yeah?

It'd be good
for your social media feed.

- Ready?

- It's nice to have
a guardian angel.

- Yeah, but not really
a viable business strategy

for the long run, is it?
- No.

- So if I'm hearing correctly,
I was experiencing psychosis

due to the immunosuppressants,

but the antipsychotic
had a dulling effect.

- That's right.

- And you decided that
removing my kidney

was the best solution?

- Honey, I didn't
know what else to do.

- My mind to me an empire is.

I would have done
the same thing.

- God, I--

- Though I guess we have to get
used to all of this again.

- We'll get through
it together.

- Thank you for taking
such good care of me.

I love you.

* *

- So the drugs
were on my socks?

- Yeah, we think that they were
slowly leaching carfentanil

into your skin all day,

which is what caused you
to overdose.

- I just can't believe this.

You know, Gus dealing drugs,
I had no idea.

What about the baby?

- Thankfully,
she was not exposed.

- We know that this might not
have been the birth

you had planned for,
but the good news is that

you and baby
are healthy and safe.

- Thank you.

Thank you both.

- [sighs] I never thought
I'd be so relieved

to put on a pair of scrubs.

- Are you hungry?

There's this great new
burrito stand over on Lake.

- I think I'm gonna try to hit
a meeting on the way home,

just be on the safe side.

You are welcome
to join if you want.

- Ah, that's okay.

After today, I'm pretty sure

I'm never gonna
touch this stuff again.

- See you tomorrow?

- Good night.

* *

- Guy get out of surgery yet?

- Yeah.

He'll be kept in the ICU
a couple of days before they--

- Discharge back into custody.

- Yeah.

- Heh.

Boy, some father
I turned out to be, huh?

My son dropped out
of my life for 15 years,

then dropped into addiction,
prison.

And just today, I helped
save the life of a guy

who tried to kill him

and who very well
may try to kill him again.

Yeah?

I mean, I had
exactly one job...

Protect my boy.

And I failed.

- I could tell you that...
[sighs]

That you didn't have a choice,
that we took an oath.

But I don't think
that'd be much comfort.

How come you didn't let me know
what's going on with Sean?

- I was ashamed.

Yeah.

Okay.

[phone chimes]

- Hey. Hey, Dean.

- Yeah.

- It's Sean.

[apprehensive music]

Come on.

- All right.
He's ready to extubate.

- Kai, I can do that.

- It's all right. I got it.
- Please.

This is my son.

- Oh.

* *

- Where am I?

- You're in the hospital, Sean.

You just got out of surgery.

- Dad.

- It's gonna be okay, my boy.

You're okay.

It's gonna be okay.

* *

[dramatic music]

* *

[wolf howls]