All language subtitles for Chicago_Med_S04E14_1080p_HDTV_x264-LucidTV

So I picked a coffee shopng?
For our first dateou can.

In case I needed
to make a quick getaway.

In case I was a dud? Smart.

Very smart. I get it, trust me.

But I'm going to guess that,
because you're letting me

walk you home, maybe not a dud?

You guessed right.

Yeah, I've been here
about nine years now.

Love Lakeview.
Wrigley's right there.

Britt, what are you
doing out here?

I'm sorry.

I went to the store,
wanted some chocolate milk,

but I forgot my keys.
And your jacket?

This is my daughter, Britt.

She's supposed to be staying
inside the apartment.

Please, Mom.
Can you just let me in?

Yes, come on.
Um, Britt has a problem.

She's been clean a few
weeks now and doing great.

It's just the withdrawal
symptoms are hard.

Whoa, whoa, whoa, whoa, whoa.
You okay?

My chest,
it hurts when I breathe.

Okay, um, we need to
get her to a hospital.

What? No.

I'll let 'em know we're coming.

Incoming. Take Baghdad.

Yep.

- Cesar?
- Gabriel Park, 16,

single GSW to the abdomen.
GCS 15, BP 98/66,

heart rate 118, sats 100%.

- I can't move my leg.
- Gabriel, I'm Dr. Rhodes.

You hang in there.
What happened?

Gunman held up the family store.

We were in the back,
stocking the freezer.

And Gabriel was working
the register.

Mr. and Mrs. Park,
why don't you come with me

and let Dr. Rhodes work, okay?
All right.

On my count. One, two, three.

Single bullet hole,
interior abdomen.

Let's get a chest x-ray
and log roll.

On my count, one, two, three.
There we go.

No exit wound.

All right, back down.

Let's find out
where this bullet is.

Everybody clear.

We're gonna take care
of you, Gabe.

- X-ray's up.
- There it is.

All right,
trans abdominal trajectory.

He needs surgery.

Please, my left leg,
I can't feel it.

Gabriel, I'm going to do
everything I can to fix

your leg, but right now I need
to look inside your belly

and make sure that
everything is okay.

You understand me? Good.

Call for blood.

Let's move him over
to the hybrid OR.

Page my team. Let's go.

- Will.
- What's up, Jay?

They just brought that kid in.

He was shot
in a convenience store.

- Okay.
- So we caught the guy,

and we got the gun that he used.

Good. Why are you telling me?

CPD ran the serial number
on it, and it's your gun...

The one that was stolen.

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Hey. Any word on the boy?

I heard it was your gun.
Don't say it, okay?

The last thing I need
right now is a lecture.

I wasn't going to.

It's not like I put the gun
in the shooter's hand.

It was stolen from me.
I know that.

Look, I know this is
a terrible situation.

I just hope you're talking
to someone.

Your therapist or...
Why do you even care?

You said we were done, remember?

Hey, any update on Britt Mills?

Other than learning
from her mom you two

were on your first date?

It had to be awkward
to find her daughter like that.

Yeah.

Britt's echocardiogram
is showing endocarditis.

It happens sometimes with
intravenous drug users.

I bet bacteria from a needle
worked its way to the heart.

What's cardiology saying?

They advise against surgery.
I think we should treat

with a six week course
of antibiotics,

so we need to put
in a PICC line.

PICC line? I don't know.

I mean she's only been clean
a few weeks.

Leaving a catheter in her arm?

That's almost an invitation
to relapse.

But if we don't, she'll have
to come into the hospital

twice a day for infusions.
Got to be another way.

- Dr. Rhodes.
- Thanks.

Connor, is the kid
gonna be okay?

Yeah, he'll definitely live.

We repaired a bunch of small
bowel where the bullet

tore through, but it's still
lodged in his spinal canal.

How bad is it?

Too soon to tell,
but, when he came in,

he said he lost feeling
in his left leg.

We're sending him up to CT,

get a better idea of
what's going on.

Neurology's gonna take
a look at him.

We got it.

Maggie, female mid-30s,
syncopal episode in the field.

Down maybe 30 seconds
before roused by bystanders.

Sydney?

- Hey, Maggie.
- Hey.

Dr. Lanik, you're
going to treatment 3.

Went from GCS 12 to 14
with a sternal rub,

supplemental oxygen,
and 250 mils normal saline.

Monitor showing multiple PVCs.
I fainted.

Yes, and we're going to take
very good care of you.

BP's a little low, 100/66,
and heart rate, 78.

But I'm not sure
if she's beta blocked.

Okay, transfer on my count.
One, two, three.

She's got a tunneled cath
in the left upper chest.

That's for dialysis.
She's on the list for a kidney.

- Hey, order a 12-lead EKG.
- All right.

- Am I gonna be okay?
- Yes, you are.

Where's that x-ray?

Okay, clear.

Ms. Curry?
Ooh, mild fluid overload.

- So?
- Cardiac enzymes,

BMP, CBC,
blood cultures times two.

Yeah, give her a dose of vanc.

25 milligrams per kilogram.
On it.

Repeat her vitals and let me
know when her labs are back.

Okay.

Okay.

- You know this patient?
- She grew up near me.

Came in a couple weeks ago
with sepsis.

I should have
seen her immediately.

Feels like somebody sitting
on my chest

and my back at the same time

ever since we got back from

that cross country ski trip
two days ago.

I never felt anything like this.

This isn't like him.
Patrick's always so healthy,

even if he sort of let himself
go the last few years.

Really, Alice?

It's your medical history.

It's relevant, isn't it?

Yeah.

Does the pain extend down
your arm or up to your jaw?

- No.
- Does this hurt?

Out of ten,
ten being the most painful.

I guess a five.

Okay, let's get
a CBC, CMP, troponins,

and set Mr. Novak up for an EKG.

Patrick?

- No pulse.
- What?

- He's not breathing, bag him.
- Got it.

But he's got
normal sinus rhythm.

There's no pulse.

He's in PEA. Call a code.

- Patrick?
- We need help in here!

- Need an airway!
- Look.

He just opened his eyes.
He's breathing on his own.

Thank God.

Honey, are you okay?

- Patrick?
- Asystole.

- Milligram of epi, now.
- Wha...

Intubate him.

Hold off.
Patient's breathing on his own.

Can someone tell me
what is happening?

Your husband is
in cardiac arrest,

but as long as
I'm doing compressions,

he's getting oxygen
to his brain.

We'll keep at it until
his heart takes over.

Honey, Patrick. I'm right here.

You're saying it's not
just the withdrawal?

I have a heart infection?

Symptoms of endocarditis
usually come on slowly

and they're often mistaken
for heroin withdrawal.

The chest pains you were
feeling this morning.

We can treat endocarditis
with long-term antibiotics,

which normally involve leaving
a catheter in the arm.

A PICC line.

It's okay, I'm used to needles.

Britt, we really get how
tricky early sobriety can be

and we just want to put you in

the best possible position
to succeed.

So if we're gonna
give you this PICC line,

there's something else
we'd also like you to consider.

- What?
- Well, it's a drug

called Naltrexone that blocks
the effects of opioids

on the brain's limbic system,

essentially making it
impossible to get high.

There's a drug that'll stop me

from getting high?
Let's do that.

Listen, Naltrexone is by
no means a magic bullet,

and it comes with
certain very real risks.

The thing is, Britt,
you can't take it

unless you've been opioid free
for at least 14 days.

If there are any opioids
in your system,

the Naltrexone could trigger
severe side effects.

- I'm clean.
- For over two weeks.

Okay, well, it's also crucial
for you to understand,

if you were to use, it could
very well lead to an overdose.

I'm not going to. Ever.

She's been trying so hard.

Okay, well, we just need
to do a urine test

to be safe and... and we're set.

- Okay.
- This is great, I mean...

- Ava.
- Hello, Connor.

Um...

how's the hand?

It's much better.
It was my fault.

I should have
gotten my hand out of the way.

Well, maybe I could have
been a little more careful.

Look, I am sorry that
I haven't been able

to come by to check on you.
It's okay.

I know we're not in
the best of places right now.

- Yeah.
- Dr. Rhodes.

Once again, you are doing
your best to ruin my day.

- Maybe I should go.
- No, no, you stay, Dr. Bekker.

This concerns you, too.
Two months ago, you operated on

a gunshot victim,
Shawn Corcoran?

- Yeah?
- And you assisted?

He died, and someone is alleging

that you brought him to the ICU
with his abdomen left open

when you should have closed him.

And then, you lightened
his anesthesia prematurely

while contributing to his death.

Who made these allegations?

It was an anonymous complaint.

Unfortunately, the hospital
oversight committee is obliged

to do a root cause analysis
into the case.

You'll both be interviewed.
And then what?

Well, if the committee finds
that the charges have merit,

you, Dr. Rhodes,
will be brought before

a peer review board.

But hopefully
that does not happen.

Your hybrid OR has cost
this hospital a fortune,

but it has made
for some good PR.

The last thing I need is
a scandal involving its chief.

Connor, peer review?
You could lose your license.

Yeah.

Mr. Davis, you're back.

Yeah, it's starting to feel
like we live here.

But I'm just a little bit
worried about Sophie.

- What's the matter with her?
- She's not eating

like she should, and she's
sleeping more than usual.

All right, well, why don't
you lay her down right here

and I'll take a look, okay?

Okay. You're okay.

Just right here. Hey.

You're all right.

- 100.1.
- She is running a fever.

I'm not seeing
anything unexpected.

Okay.

Don't worry,
we'll figure this out.

Put in an IV and check
the patency of the g-tube.

It could just be she's not

getting her fluids
and nutrition in.

- Right.
- This have anything to do

with her heart condition?
I don't know yet.

Um, it could just be
that, right now,

she's not getting
the nourishment she needs.

But let's just
check the tube first,

and then, we'll go
from there, okay?

- Okay.
- All right.

Ms. Hawkins, your tests show
potassium 9.2,

chloride 115,
BUN 105, and creatinine 6.

- What that mean?
- It means your dialysis

hasn't been working.

When was the last time
that you went to the center?

A few days ago. Why?

And did they mention any
problems with your flow rates?

Because your catheter
is clotted.

Maybe told you to come to the
hospital and get it replaced?

Something like that,
maybe, yeah.

But then I got too sick.

That's okay,
we'll get it all fixed up,

and get you emergency dialysis.

Meanwhile, we need
to lower your potassium.

Let's give her an amp
of bicarbonate,

ten units regular insulin,
an amp of D50,

and then,
8.4 grams of patiromer.

Got it.

All of that?

It's really bad, isn't it?

You need a new kidney.

I'm gonna see
if I can get you moved up

on the transplant list.

Maggie...

You're taking
such good care of me.

Thank you.

No more ski trips, I promise.

I know you didn't want to go.

Dr. Halstead,
should we get him on ECMO?

We can't put a patient on ECMO

unless we have a plan
to get him off it.

- Then what can we do?
- This is it.

There's nothing else.

I'm not gonna stop
until his pulse comes back.

You need a break.
Let me take over for a while.

All right. Switch.

Hey, you good?

I'll be right back.

Based on my experience,

it's definitely
the best course of action.

Okay.

Hey, Sam.

What's the report
on the GSW victim?

Since when is he your patient?

Come on, Sam.

Bullet lodged
in his cord at T12,

hematoma surrounding the cord.

Kid's hemiplegic
on his left side,

right leg still works.

Wait, so there's a chance
he'll regain feeling

in his left leg
when you pull the bullet out?

No, we're leaving it in.
Removing the bullet risks

substantial bleeding along
with more potential damage

to the spinal cord,
which could result

in the kid being paraplegic.

Well, isn't that worth the risk

if it means he might gain
full function back?

Well, I'd rather have one
good leg than two bad ones.

Wait, look, we're talking
about a kid, here.

Okay, with his whole life
ahead of him.

Halstead, no one asked
for your uninformed opinion,

and the family's
made their decision.

Go back to the ED
and put a Band-Aid on someone.

Good news, the urine tox
screen came back clean.

I wasn't worried.

Monique, let's administer
the first dose of Naltrexone,

then send her up
to the IR for a PICC line.

Could you turn
on your side, please?

Honey...

Are you...
Are you sure about this?

This is a really big step.

Yes, Mom. I'm sure.

Just a little pinch, okay?

- That's it.
- Thank you, both.

I understand what she does
for a living,

but she's been responsible
with her health.

No...

She's not high risk.

Yes. I understand.

That about Sydney?

Yeah, she's on the bottom
of the transplant list

because she's a sex worker.

When she came in,
I kept her waiting.

I didn't take her seriously.

I didn't realize
that she was septic.

Maybe if I hadn't
kept her waiting,

this wouldn't have happened.

Maggie, you don't know that.

You know, we grew up a couple
blocks from each other.

Huge difference,
those couple blocks.

[somber music[

April?

I want you to do
a blood draw on me.

A blood draw?

Maggie, you cannot be serious.

Treatment 4's open. Let's go.

- She's not breathing.
- Sats are down to 60%.

- Start bagging.
- Sats are coming back up.

- 88, 93.
- Need to intubate.

I'm in. Bag her.

Call for a vent
and get a chest x-ray.

- She's stable for now.
- What's wrong with her?

I don't know yet, but we're
gonna get to the bottom of it.

Come back, Patrick. Please?

Just come back.

Dr. Halstead,
it's been ten minutes.

No.

Stay with me please, baby.

Excuse me. Will, I need a word.

Gabriel and his parents
are now saying

they want the surgery
to remove the bullet.

Glad to hear it.

You had no right
interfering with my patient.

Hey, all I did was make sure
they knew their options.

No, you went in there
and advocated for a surgery

that they had decided against.

Connor, this kid shouldn't
have to live

the rest of his life
with only one good leg.

No, he shouldn't,
but what happened happened,

and we can't change that.

Well, maybe we can.

Maybe he can go back
to the way he was.

Will, I get it, man.
It was your gun.

You might have
some messed up idea

that this was
somehow your fault,

but pushing for that surgery,

the kid could wind up
in a wheelchair.

Or he could be made whole again.

I have a patient to attend to.

Help, help!
Somebody help my daughter!

- Excuse me.
- Need noodle.

- Not noodle...
- She's seizing,

5 milligrams of Ativan.

Okay, meds are in.

Dan, help her,
help her, help her!

BP 154 over 94. Heart rate 118.

- Sats 92%.
- She's stable.

How did that happen?
Was it the injection?

No, only if Britt
had drugs in her system.

Butbut she didn't.

Did she?

Maggie, come with me.

We need the room.

I'm on the transplant committee.

I am notified about
every HLA match.

Did you really think
I wouldn't find out

that you planned
to donate a kidney?

Well, I hoped you wouldn't,

because I didn't want to have
this discussion with you.

Maggie, undergoing surgery
for a patient,

an irreversible procedure,

is a violation
of professional boundaries.

I'm sorry, but I don't care.

So who are you doing it for?

For her or for you?

- For me?
- Well, look.

I've gone through
Sydney's records.

She was already in septic shock
when she came in, Maggie.

We did everything
we could for her.

So if this is coming out of
some misplaced sense of guilt...

She's at the bottom
of the transplant list.

She's never gonna get a kidney,

and she's gonna die
if I don't give her mine.

But have you stopped
to consider your own health?

- Wha...
- Donating puts you at risk,

Maggie, for infection,

hypertension,
intestinal obstruction...

Those are
very rare side effects.

Okay, but what if
your remaining kidney fails?

People who donate kidneys do
just fine, and you know that.

It is still an ethical
violation and I can'tl just...

I can't let you do this.

Sharon, there's nothing
that you can do

that's gonna stop me.

Actually, there is.

You're out of
paid sick leave days.

You can't take
the time off to recover...

Not without jeopardizing
your employment.

Lose my job? You would do that?

Maggie, yes, I would.

She could have died.

My baby could have died.

I'm just stumped as to how...

How she passed the urine test.

I don't know.

Jackie.

It was mine. It was my urine.

She swore that she was clean,
and then, when you said

she was gonna have to do
a drug test, she told me.

She told me
she'd shot up a week ago.

And you went ahead anyway?

Sheshe said
that it wasn't that much.

That it wouldn't matter.

You have to understand,
this has been going on

for such a long time.
I've tried everything.

I got her a therapist.
I-I got her a job.

I hardly ever leave her alone.

And still, every morning,
I wake up and I find

that she's figured out
some other way to get high.

The Naltrexone gave me hope
that it would save her.

Also could've killed her.

Jackie, I cannot even imagine
how brutal this must be.

But I'm gonna
be very honest with you.

As a parent, I understand
the need to protect your child,

and as long
as you keep doing that,

she's never going to get better.

The committee's running
a little behind.

Ava, you are blameless
in all of this.

I made every decision in the OR.

Dr. Bekker,
they're ready for you.

- Hi.
- Hi.

Sophie's MRI shows
an abscessan area of swelling

in the right frontal lobe
of her brain.

It's an infection.

Howwhy...

It can happen in children
with congenital heart disease.

Bacteria originating
from the heart

travels up to their brain.

So the neurosurgeons would
like to take her up to

the operating room to have
a catheter placed

and the abscess drained.

A catheter in her head?

The good news is, is that
the abscess is small enough

so that she won't need
a craniotomysurgery.

When my wife found out
she had a brain aneurysm.

The doctors said
it was small enough

that she didn't need
to have surgery,

and then it killed her.

I can't make you any promises,

but I can tell you that this is

an entirely different situation.

I'm hopeful. You should be, too.

Okay.

Let me check for a pulse.

- Move.
- Patrick, come back!

No. No, you hang on, Patrick.

Please.

You hang on, Patrick.

- Dr. Halstead.
- God.

No...

I'm sorry.

It's my fault.

I did this to him.

Okay, we are ready
to start your dialysis.

- Sydney?
- She's in V-Fib.

It's her potassium. Call a code.

Code blue! Get Lanik in here.

Start bagging.

Still in V-fib. Paddles.

Charge to 200.

Charged.

Clear.

Still in V-fib.

Milligram of epi.

- Epi is in.
- Charge again.

- Charged.
- Clear.

Back in sinus rhythm.

Another round
of insulin, glucose,

and two amps of bicarb. Got it.

Sydney, I'm right here.

- Sam, don't do the surgery.
- Are you on drugs?

You're the one
who pushed for this.

I was wrong.

It wasn't a clinical decision.
It was emotional.

Yeah, well, it's too late.

- Please, talk to the family.
- I already have.

You made such
a compelling case for surgery

that they're determined
to go through with it.

Well, tell them you refuse
to do the surgery.

I did.

They said
they'd get another surgeon.

At least if I do it, there's
a decent chance of success.

Come in.

Maggie?

I'm applying for the
Family Medical Leave Act...

to get the time off I'll need
for recovery from surgery.

You're determined to do this
no matter what I say?

Yes.

Why, Maggie?

Why is this patient
so different from any other?

She isn't.

I see so much suffering
every day...

Day after dayand there's
nothing I can do about it.

But this time I can,
this one time.

I can.

It's just impossible to think
that I would stand by

and let her do this to herself.

Well, it's completely
counterintuitive.

I mean, as parents,
we're programmed

to fix our children's
problems, right?

Dr. Charles,
did you release Britt?

- She's gone.
- Britt?

Britt! Britt!

She took her clothes, too.

Where's she gonna go
with a PICC line?

She went to get high.

Let's just hope she doesn't OD.

Hey.

You were right.

I felt guilty.

Hoped I could
turn back the clock.

Make it like the whole thing
never happened.

Yeah.

If he wakes up
worse than before,

I'll never forgive myself.

Let's just hope for the best.

Connor.

I heard you're facing
the oversight committee.

What's that all about?

Old case, pro forma.
It's no big deal.

She's not answering
any of my texts.

I knew I shouldn't have
taken my eyes off her.

Jackie...

You don't understand.
I'm her mother.

I have to find her.

And how many times
have you done that already?

Dr. Rhodes?

Dr. Rhodes, please.

Dr. Latham, I want it
to be clear that I bear

full responsibility
for Mr. Corcoran's surgery

and its outcome.

Be that as it may,
we didn't call you in

to hear your statement.
We called you in to apologize.

- Apologize?
- Dr. Bekker made it

eminently clear
that all of your decisions

were sound
both medically and ethically.

I reviewed Mr. Corcoran's chart
and, given the severity

of his injuries,
find no reason to disagree.

I'm not sure that Dr. Bekker
knows the details of the case.

Dr. Rhodes, the committee
has determined that

you are not at fault
for Mr. Corcoran's death.

You may go.

You told them that I did
everything

in the patient's best interest?

Yeah.

You and I both know

that some of my actions
were questionable.

We have no way of knowing

if they had any effect
on the outcome.

Still, the oversight
committee should have heard...

Why, so you can face peer
review and lose your license?

Connor, I did it for you.

I'd do anything for you.

Sam?

I was able to remove the bullet

without causing any more trauma.

So?

He'll be fine.

Thank you.

You know, your behavior
today has been erratic,

irrational, and impulsive

Hardly qualities one wants
to see in a physician.

You need to get your head
out of your ass.

There's nothing
you can do right now.

We just have to wait and see

how Sophie responds
to the antibiotics.

Why don't you go home
and get some sleep?

Okay.

Come in.

Mrs. Goodwin, um...

I'm not entirely comfortable
with how things were left

with the oversight committee.

I am.

I just don't think that
Mr. Corcoran's case

was accurately presented.

I'm guessing you're talking
about when you lightened

his sedation so
Detective Halstead

could interview him.

- Yes.
- And wasn't that done

in an attempt to save
Will Halstead's life?

I assume when you made
that decision

you hoped Mr. Corcoran
would survive.

Mrs. Goodwin, lightening
Mr. Corcoran's sedation

might have contributed
to his death.

Might have.
There's no way to know.

He was gravely injured
when he was brought in.

You know, I was reminded today,

in our effort
to help people that

we sometimes find ourselves
in situations where

what's right and what's wrong
isn't entirely clear.

And we can only hope
that the decisions we do make

are coming from the right place.

Go home, Dr. Rhodes.

- Hey.
- Gabriel pulled through.

He's gonna be fine.

Glad to hear it.
For both of you.

Yeah.

Sam Abrams told me
to get my head out of my ass.

He's right.

Don't be too hard on yourself.

It was a tough call. I get it.

- I gotta find Nat.
- Night.

Congratulations, Connor.
Heard you got a pass.

And I'm sure you thought
I was the snitch.

You know,
the thought crossed my mind.

I wish I could take credit,
but your patient croaked

in the ICU and I didn't even
know about it,

so I guess the question is,
who was the snitch?

Why now?

Months after the fact.

Got an enemy out there.

So you'll be in tomorrow?

Yeah,
I'll see you in the morning.

- Dr. Manning?
- You can call me Natalie.

Natalie.

If it weren't for you,

I don't know how
I would get through this.

- So thank you.
- Yeah.

- Have a good night.
- You too.

- Natalie.
- Yeah?

What's going on?

What?

I came to apologize and tell you

I wanna start taking
therapy seriously.

That's great.

But I find you hugging this guy.

- Will, I...
- No, tell me something.

Was it all really about me
having a gun or was it about

another guy and you just
couldn't tell me?

I don't even know
what to say to that.

That man just lost his wife.
His baby could die.

He is all alone.

He needs someone
to be there for him.

So do I, Natalie.

So do I.

What are you doing out here?
Aren't you going home?

I've been thinking
who was in the hybrid OR

who knew about my decision who
had the expertise to judge it.

You think it was Marty?

Or Sofia?

No, if they'd had a problem

they would have raised it
at the time.

I think it was you.

What?

I-I defended you.

Exactly. You're...

You're like a pyromaniac that
sets a fire just to put it out.

Why in God's name
would I do that?

For the same reason
you slept with my father

and put your hand
where you knew I would cut it.

- What?
- To keep me tied to you.

Risk my health?

Like you said,
you'd do anything, right?

This is insane.

My God, can you hear yourself?

Ava, I think you got a problem

and I think you need
to get some help.

I've done nothing
but support you and help you.

You're the one with
the problem, Connor.

You're the one
who should get some help.

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