All language subtitles for Chicago.Med.S01E15.en

.

[crowd chattering]

[dance music playing]

[laughter]

- Isn't it finally time
you admitted I'm quicker?

Old man.
all: Ooh!

- These young boys
always come out

the side of they mouth.

Uh, what you run the 40 in
at the Combine?

- Um, 4.46.

- That's good, that's fast.
4.42.

- Ooh!
- Oh.

- If you even,
I'm leaving, baby.

You got to keep up,
know what I'm saying?

- You got it.
- Come on.

[both laughing]

- I literally have no idea
what just happened.

- Baby, now you know
how I feel

when I come
pick you up from work.

Everybody run around,
talking about,

"Let me get 50ccs of epi, STAT,"
or something. I'm like--

[laughter]

- 50ccs of epi?
You trying to kill my patient?

- Baby, mm.
- [laughs]

*

- Doc in the house.

- [laughs]
What's good?

- What's going on, man?
- Good, man.

- Hey, let me set you up
with a beverage.

- Yeah, sure, sure.

- Noah?
- Hey.

- What's up, man?

- What's happening, brother?

- What's up?

- Got to get these fellas ready
for morning practice.

Gonna get your fast break
on point tomorrow,

I'm telling you.
- Sounds good. Come on.

- All right.
I'll be right back.

*

- What's he doing here?
- I--

he said he wanted to meet
some players.

*

- So what's all this, man?

- All right, so this is
my recovery ultra, okay?

It's filled with electrolytes
and antioxidants.

- Yeah,
that sounds real good.

- But first, I want
to get you guys started

with some B-12, okay?

[solemn music]

- Babe?
- [sighs]

I got to go home.
- What's wrong?

- Nothing, I just have
an early shift in the morning.

- Okay, I'll drive you.
- No, no, no.

Stay with your friends.
I-I just texted for a ride.

*

- Honeymooners
with food poisoning,

take 'em to four.

- You can say it.

- What?

- You were right
about athletes.

- Ah, what happened?

- Help!
- [groans]

- Get me a gurney.

Dr. Manning,
we're going to six.

- Oh, my stomach
is on fire!

- What's your name,
sweetheart?

- Ellie Newman.
- [groans]

- It's okay, we're gonna take
good care of you, all right?

- Get me a gurney.
- I'm on it, Maggie.

- Get ready to raise the head.
- [gags]

- Let's start an IV.
- On it.

- [coughs]
- Are you her father?

- Uh, yeah.
- She eat anything

that could have made her sick?
- No--she ate what I ate.

- How old is your daughter?
- She's 16.

- She on any medications?

Any medical issues
we should know about?

- I-I don't think so.
I don't know.

- When did this start?

- Uh, last night.
- [moaning]

- Did you take any drugs?

Alcohol?
Were you at a party?

- No, I was just trying on
my prom dress.

- Oh, baby.

- BP is 138/88.
Heart rate 112, stats 99%.

- Give her
0.2 of hydromorphone.

- No, no drugs!

- Sweetie, you are in pain.
Let us help you.

- No, I don't want
any drugs!

- She doesn't want
to end up like me.

[dramatic music]

.

- FAST is negative,
i-STAT labs are normal.

- So it's probably not
a surgical issue?

- I'd like to put
a scope in her

just to make sure we're not
missing anything.

- Without pain meds?

- We could try a non-narcotic.
Maybe she'll go for that.

- [sighs]

Hi, Ellie, Mr. Newman,
this is Dr. Rhodes,

our trauma surgeon.
I've asked him to consult.

- [groans]

- Has Ellie ever
experienced this before?

- Um--
- A year ago.

- A year ago.

- How long did it last?

- Maybe, like, three weeks.

- Your daughter was sick
like this for three weeks,

and you didn't know?

- I was--
- Strung out?

- Yeah.

- [sighs]

- Ellie, we're gonna
give you a painkiller

that's non-narcotic.

- I don't want anything.

- The girl won't even
take two aspirin.

[dark music]

- Did you see a doctor
for your last attack?

- But he couldn't find
anything.

He sent me
to a psychologist.

But I'm not making this up.

- Don't worry, Ellie, we're
gonna get to the bottom of this.

- [sighs]

*

- I don't know,
she's in a lot of pain.

Maybe it is psychological.

- I'll page Dr. Charles.

- Dr. Rhodes?
- Yep.

- Your sister's
on line two.

- Uh, right, tell her
I need to reschedule.

- Like you did last week?

- Yes, Maggie,
like I did last week.

- Ms. Rhodes,
he's with a patient.

He said he won't be able
to make lunch today,

but he'll call you back
to reschedule.

Okay.
- Hey, Maggie.

Do you by any chance know
of a good contractor?

- For what?

- I'm thinking
about turning the basement

into a man cave
for Bert.

- Oh,
trying to buy him off

so he'll stop bugging you
about retiring.

- Something like that.

- Yeah, I got a cousin,
not too big a crook.

- Text me his number.

- I will.

Dr. Halstead.

- Maggie.

- I got a patient in two

that's from your old hood,
Canaryville.

Thought you might
be interested.

- Sure.

Vitals?

- BP 164/90,
heart rate 92, Sat 99%.

- Okay, Mr....Tucker.

- You got to be kidding me.
[laughs]

Ginger Spice is
our doctor.

- No way.
- Ginger Spice?

- Ah, what they called me
back at De La Salle.

- How about we get
a real doctor?

- Dr. Halstead is a real doctor,
an excellent doctor.

- It's okay Reese,
this is how

we gentlemen relate
in Canaryville.

Andrew, what's going on
with that leg?

- Swelled up
during my truck route.

Pain won't let up.

- Push on my hand,
like you're stepping on the gas.

Come on.
- [exhales]

- All right, how long ago
did the pain start?

- About 12 hours.

- Why didn't you
say something?

I would've had Pete
take over your deliveries.

- Wasn't this bad
at first.

- You on any medication?
- No.

- Still smoke?

- Been cutting back.

- Alcohol?

- Not much
since this one bumped me up

to transpo coordinator.

Gotta be ready to cover
any driver who calls out.

- Hey, you should ask Ginger
about the fight

we had in high school.

Caught him staring
at my girl.

How many times I knock you
on your ass?

A hundred?

- Sounds about right.

Ever had any pain or swelling
like this before?

Any shortness of breath?
- No.

- Okay, well, we're gonna start
with some basic labs

and get a duplex scan
of your legs

and we'll take it
from there.

- So, where you living now,
Ginger?

Gold Coast?

- Not quite.

I'll get those orders
started.

- Were they always
like that?

- The Tucker brothers were
very popular,

and they loved sticking it
to us lesser mortals.

Go ahead and order an ultrasound
of Mr. Tucker's leg.

- April.

- Hi.

How's my guy?

- Better.
- Much better.

Coming in for Eric's check-up
upstairs.

- Cool.

- Hold on, hold on.

You got little hands.
See if you can untangle these.

- I can do it.
- All right.

Please?

Just wanted to make sure
you're okay.

You left in a bit
of a hurry.

- Look, um...I don't know
if this was such a good idea.

- Wait, what do you mean?

- Last night,
just not my scene.

- It's not mine either.
I'm--okay, it used to be,

but I got Eric now.
Things are different.

Just wanted you to meet
some old friends, that's all.

- Mm-hmm.
Yeah, I don't know.

I have to get
back to work.

- Daddy,
I did it!

- [chuckles]
Good job.

- Bye.

- [whimpering]

- It's a tough
situation, man.

16 years old,
taking care of herself

and her
heroin-addicted father,

doing it for years.

- She said she was
trying on her prom dress,

I mean, could that have been
some kind of trigger,

and maybe the pain
is psychosomatic?

- Possibly,
I don't really know enough

to make that call.

- We have to figure out
what's going on.

The only way we're gonna do that
is if we scope her.

- We can't,
unless we get her to accept

pain meds or an anesthetic.
- Uh-huh.

- Given her family history,

we have to take her concern
for addiction very seriously.

- Okay, so what do we do?

- Well, how about

a good, old-fashioned
topical numbing agent?

You know, worth a shot.

- [whimpering]

- That's okay, sweetie,
we will take care of them.

Dr. Choi, April.
Doris, open that door.

Neela Desai, 32 weeks pregnant
and contracting.

- Got it.

- Let's rotate
the chair.

- Mommy.
- Go with the nurse, okay?

- Let's take them
to the break room

to get a snack, okay?
- [breathing heavily]

- Okay, Mama.

- We're going to take care
of your mommy,

and then we're gonna come
and get you, okay?

- [groans]

- Okay, let's go.
- Go ahead, love,

take them to the break room.

- Lie back so
the doctor can examine you.

There you go.
- [groaning]

- Take this out, please.
- Okay.

- Okay,
you're in good hands, love.

- [breathing heavily]
Okay.

I can't have this baby.

It's not due
for another two months.

- Page O.B.
- BP 142/90.

- That's high, probably due
to anxiety or the pain.

Just to be safe,
I'm gonna order some labs, okay?

- [moans]

[dramatic music]

- You're gonna feel
a little pressure.

She's bleeding
from the cervix.

Grab six gram mag bolus,
and call O.B.,

tell 'em
we're coming up.

- Wait, what's going on?

- Ms. Desai, you may be
experiencing an abruption.

Your placenta is separating
from the wall of your uterus.

The overall picture suggests
something called

pre-eclampsia
with HELLP syndrome.

- What--what does that mean?

- It means we need to deliver
this baby now.

- No, no, no, no, no.
- I know.

32 weeks is more premature
than we like, but right now,

your baby's safer outside
of your body than inside.

- Yeah, I can't deliver
this baby premature,

this is not my baby.

*

I'm a surrogate.
I'm carrying this baby

for someone else.

I need to carry it to term
or I don't get paid.

- If we don't deliver now,
this condition could be fatal

for both you
and the baby.

- Yeah, I need the money.
- Ms. Desai, I don't--

- No!

No, we just got out
of the shelter, okay?

I'm not putting my boys
through another Chicago winter

in one,
so please, help me.

- It was nice
talking to you.

- How'd she do
on the psych eval?

- In my opinion,
Ms. Desai is competent,

capable of making
her own decisions.

Mentally, she's stable.

- How can she be stable?

She's risking her life
and the baby's.

- She has no genetic connection
to that baby, Ethan.

Another couple's fertilized egg
is implanted in her womb.

For her, it's about
making enough money

to take care of her kids.

- Then that's it, then.

We have to respect
the patient's wishes.

We can't force her
to deliver.

- You expect me to just wait
for her to die?

- Well, I'll call
her surrogacy agency,

see if they can help us
find a solution.

[dramatic music]

*

- Trucks are on their way,
just running a little late.

We're backed up with me
out of the office today.

Let me call you back.

You finally figured out
what's going on?

- Duplex scan shows that
the swelling of your leg

is being caused by a DVT.
Deep vein thrombosis.

- A what?
- Okay, English, Halstead.

- You've got a blood clot
in your leg.

- So how do you fix it?
- Blood thinners.

Enoxaparin is
where I'd start.

- Hold on.

Most of the time,
administering blood thinner

like enoxaparin would be
the right answer,

but given Andrew's history,
I'm leery of doing that.

It could cause
intra-cranial hemorrhaging.

- Bleeding?

- Yes, in the brain.

I remember you getting
into your fair share of scuffles

back in high school.
Is that still the case?

- Only when the Packers
are in town.

- When you've experienced
trauma to the head,

blood thinners are more likely
to make your brain bleed,

cause you to stroke...
possibly die.

- Whoa.

- I'm gonna make sure
that doesn't happen.

For now, I'd like to get
a CT scan of your head

to establish a baseline,
then we'll wait and see.

- Wait, that's your plan?
Wait and see?

- A nurse will be by
to take you for that scan.

- Well, I hope you know
what you're doing, Ginger.

- Connor?

- Hey.
- Hey.

Looks like I need
to check into the ER

to spend any time
with you.

- Claire, I'm sorry,
it's just been

really busy around here.

- You're avoiding me.

- I'm not avoiding you.

- It's because of Dad,
isn't it?

You hate that
I don't hate him.

You're not being fair.

Listen, Mom's suicide,
I know you blame him, but--

but Mom had
real problems.

- That's not exactly
how I remember it.

- That's because,
believe it or not,

Dad tried to shield us.

He kept us away when Mom
spiraled into a black hole.

You don't remember,
but I do.

Call me, Connor...
when you're ready.

[dark music]

*

- Noah?

- Hey.

- What were you doing
last night?

- Just a little
entrepreneurship.

Big market
for banana bags--

- Noah.

- What?
It's a legitimate business.

- You're not a doctor yet,
you're not supposed to be

sticking needles
in people.

- Yeah,
but I'm gonna be.

- This is why
we all worked so hard

to send you
to medical school?

So you could keep
a bunch of party animals

from getting hangovers?

- I'm just trying to earn
a few extra bucks,

only way I can
pay you back.

- I never asked you
to pay me back.

- I want to.
And what about Mom and Dad?

- Oh, so you're just doing this
to help the family?

- April,
let me do my thing.

- You are so full of it.

- And you're mad at me?

- All right, this is gonna
numb your mouth and throat.

You're still gonna feel
some pressure in your esophagus.

It's the best we can do
without anesthetic.

Hopefully you'll be able
to tolerate the scope.

- Mm-hmm.
Okay.

- Here's this.

- [sighs]

- Okay, here we go.

[tense music]

- [gags]

[groaning]

- You okay?

*

- [gagging]

- Slow, deep breaths
through your nose, okay?

Here, squeeze my hand.

- Ellie, I'm gonna do this
as fast as I can.

I'm sorry.

- [gagging]

*

[coughs]
- It's okay.

- [panting]
- It's okay.

- [groans]
I'm sorry.

- It's okay.

Nurse Doris is gonna
stay with you.

Just give us a second.

- [whimpers]
- Thank you.

I have got to talk
to her father.

- [whimpering]

*

- Mr. Newman, I can't stand
to see your daughter

in this much pain.

I need your permission
to give Ellie pain medication.

- I don't tell Ellie
what to do.

It's sort of a deal we have
with each other.

- I understand, but we just need
to sedate her this once,

so we can perform
the endoscopy.

This will not turn her
into an addict.

Your daughter is
overwhelmed with pain

and depleted
from vomiting.

She cannot make
the best decision in this state.

But Ellie's a minor.
You are her father.

You can make
this decision.

- I don't know.

I don't--
I don't know.

- Ellie needs you to step up,
Mr. Newman, to be her father.

*

- [sighs]
Um...

[sniffs]

*

Okay.
Uh, do it.

Do what you have to do,
I guess.

- Okay, thank you.

- Yeah.

*

- [gasping]

- Okay, he can't breathe!
Help him, Halstead, help him!

- Sinus tach?
- 133.

- Sat?
- 86.

- He threw
a pulmonary embolism.

- Embolism? What is that?
- Get oxygen on him.

- Okay, what is going on?
- Need some help in here!

- You should have given him
the blood thinners!

- Hey, you need to step
out of the room, now.

- My brother, you are killing--
- Reese!

- Hey! Hey!

- Get a crash cart in here!

- Give me the bag.

- He's turning blue!

- [groans] He's too big to lift.
I'm intubating here.

- Come on, hey, breathe.
- 20 of etomidate

and 100 of sux, now!
- Yes, Doctor.

- All right.

- Breathe, Andy.

Come on, Andy.

What's he doing?

- Okay, I'm in.

Call the MICU
and the pulmonary team,

get 'em down here
immediately.

- What is happening?
Why isn't he breathing?

- Clot moved from his leg
to his lung.

- What did you do
to my brother?

[dramatic music]

- Heart rate's up to 130.
BP's rising.

- [groans]

- I'm afraid she'll have
a dysrhythmia.

- [groaning]

- Push 50 of fentanyl.

- No! What's that?
No, what's that?

- It's gonna help you.
- [groans] No!

- Ellie?
- Wait, no!

- Ellie,
we have to do this.

It'll help us figure out
what's going on with you.

- No!
- It's okay.

It'll only help.

- [whimpers]
[cries]

- It's okay.
- [groans]

- It's okay.

.

- Nothing?

- No.

[sighs]

Maybe her condition
is psychological.

- Dr. Manning,
a quick word?

- Yeah.

- I understand that
you gave Ellie a narcotic.

- The numbing spray
wouldn't work.

Sedating her was the only way
we could perform the endoscopy.

- Was it worth it?

- The endoscopy was
inconclusive.

- Mm-hmm.

I thought that we concluded
that staying away from narcotics

was this Ellie's
top priority.

- Yes, but she's a minor.

She wasn't in any condition
to make decisions.

- And what condition
was her father in, hmm?

Was he sober when
you asked his consent?

- She was in so much pain.

It was the right call to make.

- I think it might have felt
like the right call

for you, Doctor.

For Ellie,
gonna have to wait and see.

- Our clients are people who are
desperate to have children.

Ms. Desai is helping a couple
realize that dream.

- But her life
is in jeopardy.

- We--we'd like to understand
the arrangement

your clients have
with our patient.

- Well, she has graciously
allowed our clients' baby

to develop in her womb.

In turn, they give her
a living stipend

for every week she nurtures
that child.

- She specifically said
she needs the payout.

What's that?

- In the spirit of inspiring
a healthy baby,

our clients have promised
a bonus

should Ms. Desai
carry to term.

- That's what she's
killing herself for.

- Ms. Allen, this contract seems
to be incentivizing our patient

to put her health at risk.
Is there any way to alter this?

- How so?

- Well, perhaps she would
deliver the baby now

if she knew
she was still eligible

for at least a part
of that bonus.

- Unfortunately, our clients
have stipulated

that they do not wish to adopt
a premature baby.

- It's their baby.

- According to the law,
my clients are

under no obligation
to adopt this child.

- Wait.

Then who's responsible
for this baby?

- If the bio parents choose
not to adopt,

Ms. Desai is welcome
to keep the child

or surrender it
to the state.

- Welcome to keep it?

- Ms. Allen, this contract
seems to protect everyone

but Ms. Desai
and that baby.

- I'm sorry,
but that is the arrangement

she willingly agreed to.

If you have
any further questions,

please feel free
to call my office.

[dramatic music]

*

- Uh...

*

- This embolism,

it happened 'cause of you.

She said you were
supposed to give him something,

but you didn't.

- I'm telling you,
I know your brother.

I saw Jimmy Doyle
knock him out cold.

I'm sure that happened
more than once.

Andy's too high a risk
for blood thinners.

- You made the wrong call,

and now Andy's got
this clot in his lungs.

You're an uppity bastard,

you don't give a rat's ass
about us.

- Back off, Brian.
Back off.

- Hey, I want a doctor
who knows what he's doing.

- You want a new doctor,
is that it?

- Yeah.

A good one.

- Okay.
I'm done.

*

- Noah showed me some selfies
he took with Tate's friends.

- I want to strangle him.

- [chuckles]
Noah or Tate?

- Noah. He's hooking these
ballers up with banana bags.

- Oh, very enterprising.
- [sighs]

- Tate's idea?

- No, he thought he was
doing Noah a favor,

giving out his card.

- Still, what'd I tell you
about athletes?

- Hey, Noah is what he is.

It's not Tate's fault.

- Then what're you mad
at him for?

- I don't know...

Oh, God, I'm not.

Tate?

Uh...how was his check-up?

- Wasn't too bad.
I mean, he cried twice, but--

- Did not.

- I'm just playing.

- Of course not.
You're too brave for that.

Hey, Eric,
you mind if I have

a really quick word
with your dad?

Take a seat for a second
right over there, hun.

I'm sorry.

I shouldn't have made this
about you when it wasn't.

It's my brother.

I really did not like
what he was doing at that party.

- I get you.

- I really like
being with you.

- [laughs softly]

- I don't want that
to stop.

- Me either.

Look, I was just
helping Noah out

because, hey,
that's your little brother.

But I'll let my guys know,
no more.

- Uh, no, that's sweet,
but if they want to hire him,

they can go right ahead.

Noah is making his own way,
and I'm done fighting it.

- Okay.

[moving music]

- Hey, Eric?

How about an ice cream sandwich?
If it's okay with your dad.

- I want
an ice cream sandwich.

- Let's get you
an ice cream sandwich.

- Yay.

- Under flouro we'll get
a precise picture

of the clot burden,
then we can lyse it.

Let's get him
into the elevator.

- What's happening?

- Dr. Perrington is
taking him to the cath lab

for a clot buster.

If you're right
about Andrew's head traumas,

giving him a clot buster
is worse

than giving him
blood thinners.

- I gave my medical opinion.
The patient and his brother

did not want to listen.

Perrington's an attending.
It's out of my hands now.

Rough day?

- Yeah.
I just...

- What?
- [sighs]

I just--I can't believe
what I just did.

I have this teenage patient
who adamantly refused

drugs of any kind because
addiction runs in her family,

and I just convinced
her heroin-addict father

to let me give her
pain meds anyway.

What was I thinking?

[sighs]

What?

- Well, I hate to say it, but
going against a patient's wishes

because you think
you know better

sounds like something
you'd bust my balls for.

- [groans]

- What's wrong with this kid
anyway?

- I wish I knew.

[phone vibrates, rings]

- [screaming in the distance]

Get away!

- That's her.

- [screams]
- Dr. Manning!

- Need some help over here.
- I don't want the spiders

on me.
- It's okay, relax.

- Ellie,
what's happening?

- Please, get the spiders
off of me!

- Get me five of Haldol.
- Get them off of me!

- Page Doctor Charles.
- Got you.

- Ellie, there's nothing there.
- No, no, no!

- Ellie!
- Get them off!

- No, there's nothing there.

- What's going on?
Hey!

Shh, shh, shh, shh.
- Dr. Manning.

- What's going on?
- I don't know.

- [whimpering]
- Okay, okay.

- It's okay.
It's okay.

- [sobbing]

- It's okay.

.

- Acute stomach pain
and vomiting,

but the endoscopy
comes back clean.

Then she has
a psychotic episode?

[sighs]

You were right.

Never should have given her
the narcotic.

Although that could not have
caused the hallucinations.

[sighs]
I'm at a loss.

I guess this is
in your court.

Whatever she's suffering from
must be psychological.

- You know,
I'm not sure that I agree.

When you scoped her,

you gave her a benzo
or an opiate?

- Fentanyl.

- Huh.
An opiate.

Was it effective?

- Very.
Why?

- I got a hunch
that the stomach pain

and the psychotic episode
might be related,

and if that's the case,

whole thing would in fact be
entirely physiological.

Will you excuse me
for a second?

- Sure.

- Say, you mind if I ask you
a couple personal questions?

- No.

- When did you, um,
start using drugs?

- Wow, um--

- Just so you know,
only asking 'cause it might

help us figure out
what's wrong with Ellie.

Near as you can remember,
when did you start using?

- Uh...

I'd say high school.

- And you experiment
with various things,

or go straight to heroin,
or?

- Oh.
Oh.

- Nat?
- Yeah.

- I could use your help
with a patient.

- What is it?

- I can't get through to her.

I thought maybe you could
talk to her...

as a mother.

- Dr. Choi.

- Ms. Desai, we can't delay
this delivery any longer.

- No, please.

- Ms. Desai,
I'm Dr. Manning.

I'm sorry you're going through
such a rough time right now.

I know when my water broke,
I was a mess.

I wasn't ready
to deliver either.

- I told Dr. Choi,
I can't have this baby now.

My boys are counting on me
to keep a roof over their heads.

- I understand.

I have a son.
I would do anything for him,

but do you understand
what's happening

in your body
right now?

The proteins from your placenta
are poisoning your blood,

and at any moment you could have
an eclamptic seizure

that could kill you
and this baby.

Ms. Desai,
your boys would rather spend

100 Chicago winters
in a shelter

than a lifetime
without their mother.

Don't orphan them
for this money.

Neela, look at me.
Look at me, Neela.

Dr. Choi is gonna
take you up to OB,

and you are going to deliver
this baby.

For your boys.

[rousing music]

*

Okay.
- [sobs]

- Call OB, tell them
we're on our way.

- [sobbing]

*

[sobbing]

- Halstead!
Why'd you dump us?

- Dump you?
You dumped me,

said you wanted
another doctor.

- So?

- So.

- Do I look like a doctor?
Who cares what I think?

You're the smartest guy
I know.

- Listen, I don't know
what it is you want,

but Andy's in good hands
with Dr. Perrington.

She knows what she's doing.
- Hey.

What happened to that
stand-up kid from high school?

- What?

- We respected you.

- Funny way of showing it.

- Hey, no matter how many times
we knocked you on your ass,

you always got back up.
Ginger never stayed down.

I don't care
about this other doctor.

I care about my brother.
You know him.

God sakes, you even remembered
the fight with Jimmy Doyle.

You said he could get a--
a brain bleed?

And that could kill him,
right?

- That's right.

- Then shouldn't you
stop this?

- Oxygen looks good.
Let's turn up the propofol.

Let's administer the tPA.

- Wait!

- What's going on?

- I want to make sure
we're giving Mr. Tucker

the proper treatment.

- He's no longer your patient,
Dr. Halstead.

- He thinks what you're doing
could make his brain bleed.

- Excuse me.
Your brother's CT was clean

except for old hygromas.
That means the risk is very low.

- I grew up with this patient
and seen him take

a lot of hits to the head
over the years.

Those hygromas are indicative
of old subdurals.

He's at a much higher risk
than his CT shows.

We need to implant an IVC filter
to prevent future clots,

but as far as
the current clot's concerned,

I think we should hold off
and let him ride it out.

- Dr. Halstead is a resident--
a doctor in training.

I am an attending physician

and a Board Certified
Critical Care Specialist.

I'm telling you, your brother
is perfectly able

to handle this treatment.

- He's not.

*

- We're going with Dr. Halstead,

what he says.

- All right.

*

- How're you feeling,
Ellie?

- You gave me drugs.

- I'm sorry, I didn't feel like
we had a choice.

- And what're these?

- You had what we call
a delusional episode.

- So I'm going crazy?

- No, we actually think
that it might be

related to
your stomach pain.

- Did you change
your diet at all

in anticipation of wearing
your prom dress?

- Yeah, a little.
I--

I just started eating salads
at lunch.

- Can you remember,
your last attack--a year ago--

had you also changed
your diet then?

- I guess, I--

I was going to a volleyball
tournament in Florida,

and I wanted to, you know,
wear a bathing suit.

Why?

- We believe you may have
a disease called AIP,

Acute Intermittent Porphyria.

- It's a genetic condition
that causes severe stomach pain

along with episodes
of psychosis.

Carbohydrates actually
help control it,

and we think that
your latest flare-up

was probably helped along
by your recent change in diet.

- That's what's making me
feel like this?

- We think so.

Long term, AIP can be
treated and managed.

In the short term, an opiate
will help to ease your pain.

- An opiate?

- You don't have to worry.

We will carefully manage
your dosage.

- As long as I don't
turn out like my dad.

- Ellie, your father helped
lead us to this diagnosis.

Again,
it's a genetic condition.

He probably has it
and has very likely

been self-medicating
all these years.

- You mean that
that's why he's an addict?

- Well, more like
a contributing factor.

He probably experienced
the same pain that you did

when he was your age,
and without proper help

or diagnosis, came up
with his own way to treat it.

- Baby's in distress.

[tense music]

*

We've got fetal bradycardia.
It's not getting oxygen.

- Almost there.

- Baby's apneaic.
Suction.

*

- Come on, come on.

*

She looks good.

- Premature but healthy.
Let's get her to the NICU.

- Wait.

[baby cries]

It's a girl.

- Don't you want to see
your baby?

- I ca--I can't.

- Ms. Desai--
- No.

[baby crying]

Take it away.

.

- He's stabilized.
Not as bad as we thought.

Maybe we don't need to push
the clot busters.

- You were right.

- Just glad he's okay.

Excuse me.

- Doctor Halstead.

Just curious, you planning
on applying for a job here

when your residency
is complete?

- First choice.

- I'm on the hiring committee,
and if I were you,

I'd be looking
for other hospitals.

[dramatic music]

*

- What's going on in there?

They look like
they're celebrating.

- Yeah.
We ran a PBG test on Ellie

and confirmed
the diagnosis.

We also did one on her father,
and it turns out

he has it too,
but he never knew it.

All her life she just thought
he was an addict

who didn't care.

Now she sees it was just
his way of coping.

- Any issues?

- She was born
shy of four pounds

and her lungs are
underdeveloped,

but I think two months
in the NICU will plump her up

and get her
breathing properly.

- That's good to hear.

- I'm sorry, but I have
some unfortunate news.

Our clients have
pulled out.

- What?

- They don't feel equipped
to deal with the complications

that come
with a premature baby.

- This is a healthy baby.

She just needs
some extra attention.

- I understand.

You know, my heart goes out
to Neela--

all she's been through.

But I'm not giving up.

I'm sure we can find
an adventurous couple

willing to take on
that little bundle of joy.

And maybe we can get a little
something for Neela too.

- Of course,
you'll get a fee as well.

- Need to make a quick call,
excuse me.

[baby crying]

- Is this a happy ending?

- Dr. Choi, this is as happy
as it's going to get.

[solemn music]

*

- Mr. Newman.

- Yeah, hey.
- Hey.

Very excited to hear
that you and your daughter

finally got a diagnosis.

- It's good.
- Yeah, it's great.

Hey, will you step over
into my office here

for a second?

You know, sometimes people
get new perspective,

how they got
into a situation,

they reevaluate
getting out of it,

you know, and if that
were the case,

I just wanted to offer
my assistance, you know?

Kicking heroin is
a tremendous undertaking,

really shouldn't be
attempted alone.

- Uh, yeah.

You know, I appreciate that.
Thank you.

- Yeah, I work with these
alternative rehabs, you know,

who use psychoactives
like Ibogaine.

They've been having
extraordinary success.

I just--well, you know,
put that on the table.

- Yeah, well, you know.
[clears throat]

Like I said, I appreciate it,
and...

you know, I think I-I think
I got it handled, you know?

So I'm gonna
have a smoke.

- Okay, man.

- Thank you
- Good luck.

Hey, just--

just in case,
you know?

- [clears throat]
Great.

Thank you.

- How's she doing?

- I suggest you stay
as far away from me as possible.

What you're doing
may be legal,

but it sure as hell
isn't right.

No reputable
surrogacy agency

would have ever given Neela
a contract like that.

- This is an emotional process.

I can understand you're upset.

- Don't you dare
patronize me.

What you do--
let's call it what it is--

human trafficking.

[tense music]

*

[siren wails in distance]

*

*

- I don't know,
I think that maybe

we should put the caps on this.
I feel like it looks

a little bit incomplete,
and maybe

if we bring that one down here,
and yes--

- Claire?

- Well.

- Um...any chance
you're free for dinner?

- Yeah, I think I can
make that work.

Let me just grab my coat.

[poignant music]

*

- Leave it to you
to find the nearest bar.

- Homing instinct.

Let me buy you a drink.

- Okay.

- What'll you have,

one of those fancy
fresh-squeezed cocktails?

- With my med school loans?
I stick to beer.

- Another for me.

And the same
for my friend.

*