All language subtitles for S04E21.en

All right, okay.

Coming.

- Morning.
- Hey.

- Are you guys ready to go?
- Getting there.

Emily's still in the bathroom.

She's gonna make us late again.

- Ethan, hold on.
- Em!

Hey!

Em, hurry up!

Can I just have, like,
20 more minutes, please?

We have to get to work.

Look, I'm covered in spit up.
I haven't showered in days.

I'mlook, I'm so exhausted.
Okay, Em, take your time.

You're going to visit Bernie,
right?

Yeah.

We'll take Vincent
and meet you at the hospital.

Thank you so much, April.

Don't say it. I know.

Take Vincent so I can
finish getting ready.

Thank you.

All right.

I saw that they just
put Sophie's surgery

on the schedule.
How's Phillip holding up?

He's trying to stay positive.

He's looking forward
to being on the other side

- of it, though.
- Yeah.

In other news,
a little birdie told me

it was your birthday today.
Yeah?

Did that little birdie happen
to have long, dark hair?

- Don't look at me.
- I never reveal my sources.

So any plans tonight?

No, just dinner with Robin.

So you and Robin have been
spending some time together.

You thinking about rekindling?
Wow.

You are just brimming with
curiosity today, aren't you?

Maggie.

You want me to turn the air on?

No, I'm fine, I'm fine.
I always run hot.

Well, you got through
the polar vortex.

And now you just have
the sweltering Chicago summer

to look forward to.

I'm gonna skip town
before that heat wave hits.

What, you going on
some cruise I don't know about?

Actually, I'ml'm heading
back to Minneapolis.

- Yeah?
- Yeah.

What, for the weekend?

Um, I was gonna fill
you in later.

Hamline made me an offer
I couldn't refuse

to go back and teach,
so I'm going to tie up

some loose ends here
and then head back in a week.

Wellwell, what about...
What about the trial?

What about the...
Your clinical trial?

They're gonna let me continue
my treatment back home.

- It's good.
- Congratulations.

Thank you.

Guess it'll be good to sleep
in your own bed again.

Yeah, yeah. And you know what?

I'm gonna get in that claw-foot
tub you tried to fight me for.

You offered that woman
$10 more than I paid.

You ain't right.
That's a great tub.

Your echo report looks good.

You're gonna have to continue
cardiac rehab

for a couple of weeks.

But best guess,
you're going home tomorrow.

Well, thank God.

'Cause that chef can't make
a poached egg

to save his life.

All the money I'm spending here,

this place should be
Michelin starred.

Look, Dad, I've gotta run,
but I'll be back

to check in later.

Hey, before you go,

happy birthday.

- Shocked I remembered?
- Yeah, frankly.

Well, I will admit
that I almost forgot.

But Carlotta was cleaning out
the attic a few weeks ago

and she found your old
Ninja Turtle mask...

From my seventh birthday?

- Yes.
- Wow, yeah.

Mom made that Donatello
birthday cake from scratch.

She planned every detail.
You mean your nanny.

No, I mean Mom.

Mom was having
a depressive episode.

She'd been in bed for weeks.

That's not how I remember it.

That doesn't surprise me.

Now, what is that
supposed to mean?

You always paint me
as the absentee father

and your mother as the saint,
and I'm telling you

your nanny planned the party.

I paid for it.

And your mom never came.

Why do you feel the need
to disparage her?

- I'm not disparaging her.
- Yes, you are.

- No, I'm not!
- You do this every time.

- I'lll'll come back later.
- No, you stay.

I'm leaving.

Need some help out here.
Got a patient down.

Get a gurney out there.

She's seizing.
She looks like she's full term.

Must be eclamptic.

Lucy, get me ten grams
of magnesium.

- On it.
- Name's Desiree Parker.

She had just signed in.
Husband went to park the car.

Desiree, I'm Dr. Manning.
Can you tell me where you are?

- What? What?
- You're in a hospital.

You just had a seizure.
Let's get her on the backboard.

Yes, Doctor.
Gonna get you into the ER.

All right,
let's lift her on my count.

Ready? One, two, three.

All right.

She's seizing again. Lucy!

- Excuse us.
- Injecting magnesium.

The magnesium isn't working.

Let's get her two milligrams
of Ativan IM.

Let's check her vitals
and get her some oxygen.

Well, there's the fetus
but she's not even close

to full term.
Maybe 20, 21 weeks.

But she's so big.

Whoa, that's all free fluid.
Maybe she's cirrhotic.

No, no, she has cancer.

My wife.

She has ovarian cancer.

Stage four.

Thanks.

What is it? What's wrong?

- Honey.
- It's okay.

Um, Desi, your CT scan
shows that your cancer

has metastasized to your brain.

God.

There's a large tumor
on your right temporal lobe.

That's what caused your seizure.

I knew the risk I was taking

when I decided
against treatment.

Yeah, we,

got the diagnosis when we were
three months along

with the pregnancy. With Elijah.

That's his name.

I was already stage four.

It was highly unlikely that
treatment would be successful.

Unlikely, not impossible.

I didn't want any interventions

that could harm the baby.

What are our options?

Well, given the size
and location of the tumor,

um, a craniotomy is recommended
to resect it.

Brain surgery?

That could hurt Elijah, right?

Well, they would take
every precaution,

but, yes, general anesthesia
does pose a small risk

for the fetus.
Then, no, I won't do it.

Desi, we agreed

not to take treatment
off the table completely,

especially as
circumstances evolve.

Could you give us some time
to discuss it?

Of course.

Getting dolled up.

Where you headed?

Having breakfast with my sister.

Denise is in town?

Third time this month.

Little sneak's been dating
someone in Streeterville.

Finally agreed to make
the introductions.

Does she...

Never mind.

No, spit it out.

Probably a dumb question,
but does she date men or women?

Well, every trans woman
is different.

But Denise dates men.

Speaking of... Denise!

Look at you! You look awesome!

Stop it. Hey, Will.

- Hi.
- I'm serious.

She isn't lying.

Well, if I look good,
I owe it to Trevor.

We've been on a low carb kick.

Um, no, you can thank
your folks for that.

I see good genes
run in the family.

Okay.

He's a keeper.
Trevor, this is Will Halstead.

- Nice to meet you.
- Nice to meet you.

I got you covered. Have fun.

Thank you. Well, come on.

Yeah, good luck, man.

You're gonna need it
with those two.

Okay.

Matt Jacobson, 14-year-old male.

Fell attempting
a skateboard trick.

It hurts!

Complaining of pain
to the left forearm.

- Vitals stable.
- All right.

You notify his parents?
Dad's right behind us.

Keep breathing, kid.
I know that it hurts.

Just try to keep breathing.

He, was screaming his
head off the whole way here.

All right.

On my count. One, two, three.

Thank you, you guys.

Hey, Matt, did you put your
arms out in front of you

to break your fall?
I can't remember.

All right, easy there.

Breath sounds are normal.
Dad, did you see what happened?

No, I was in the house.

I got to him as quick
as I could.

But I don't move so fast. Yeah.

All right, Matt,
can you move your head for me?

My arm hurts so bad.

All right, just touch your
chin to your chest, then.

Make it stop hurting, please!

He's too distracted
to clear the C-spine.

Let's take care of his pain
and then we'll reassess.

Monique, get a line in
and give 4 of morphine.

No, no, no, I hate needles.
Can't you give me pills?

They're gonna take a lot
longer to work, bud.

- I don't want a needle.
- Just give him a pill.

Please.

All right, fine.
Give 7.5 hydrocodone.

Once the pain subsides,
we'll do a chest x-ray,

AP and lateral x-rays
of both arms.

Be right back, okay?

It hurts.

Dr. Rhodes, you smell alcohol

- on dad's breath?
- Yeah.

- He reeked of it.
- It hurts!

Hey.

Just the lady I was looking for.

What's up?

You still friendly
with the chairman

of the anthropology department
at University of Chicago?

Yes, I just saw him
last weekend at a fundraiser

for the Boys & Girls Club. Why?

Well, you know,
they've been trying

to recruit CeCe for years.

And I was just thinking...
Daniel.

What? Come on.

They would jump
at the opportunity to have her

on the faculty.

And let's face it,
she should stay in Chicago

and stick with
the same medical team.

Why don't you just
tell her how you feel?

Do you have the number?

- All right.
- Send it to me.

Sent.

Thank you.

Emily should be here soon.
I'll hang with him till then.

All right, I... I can take him.

He's still sleeping. I got it.

Thank you.

Hey.

You got a pep in your step.

Trevor knock it out of the park?

The guy's a prince.

I can't believe Denise
kept him hidden for so long.

Poor thing was so nervous,
she didn't eat a bite.

Well, maybe she was worried
her big sister

wouldn't approve.

I mean, you can be a little
judgmental at times.

I think you mean discerning.

Whatever.
Where are you going, anyway?

Forgot my phone in the car.
Be back in a sec.

All right.

Hey!

Denise.

Hey, Denise.

You all right? I'm fine, really.

Your lip's bleeding. Let me...

I said I'm fine.
I just need to call me an Uber.

Listen, why don't
you come inside?

Let me check you out properly.

Looks like you're banged up
pretty good.

I'm not coming inside, Will.

And you can't mention
this to Maggie.

Promise me.
I won't mention it to Maggie.

But you gotta
let me examine you.

I don't...

Denise?

Whoa. Denise.

Denise?

Denise? My God.

- What happened?
- She fainted.

Where? How?

And where's Trevor?

He had to, um...

Let her fill you in
when she's feeling better.

Is treatment four open?

Okay. Here, this way.

All right.

Given the kid's description
of what happened,

I'd expect a Colles
or Smith fracture.

But this is not
a fracture from a fall.

And with the bruising pattern,

I'd say he was struck
with something.

Like a cane.

You think his father did this?

I think there's
a strong possibility, yeah.

It's odd, though,
that he brought his son in.

I mean, usually they try
to hide the abuse

or delay seeking
medical treatment.

There's something
off here, Miss Goodwin.

I-I know it.

Okay.

Pull social work in to do
an evaluation and have them

check for any pending
or prior claims of abuse,

but let's wait to involve DCFS
until we're absolutely sure.

- Of course. Thank you.
- All right.

Dr. Rhodes, Matt's requesting
more meds for the pain.

Really? Come on.

That kid is 120 pounds
soaking wet.

He's had two tabs
of hydrocodone.

He should be high as a kite.

Do me a favor.

Get a new urine sample
and run a tox.

On it.

Caleb, I was just headed to you.

Have you and Desi made
a decision about surgery?

Not exactly. Um, can we...?

Sure.

My wife and I,
we agreed that if the cancer

progressed quickly that
she would reconsider treatment.

The tumor in her brain,
it could be impairing

her judgment, right?

Yes, it's a possibility, but...

So maybe she can't
make this decision.

Caleb, I understand that
you're overwhelmed,

but Desi did appear to have
all of her faculties...

Hey, I know my wife.

She's not thinking clearly.
I'm telling you.

Okay, um, I will have
the head of psychiatry

- evaluate Desi.
- Thank you.

You said she fainted.
What happened to her face?

Her lip is busted.
It looks like she got hit.

I told you you're gonna have
to talk to your sister.

Wait.

Did Trevor do this?

So this is why you didn't
want us to meet.

- You told her?
- He didn't have to.

How long has Trevor been
putting his hands on you?

He hasn't.
He just lost his temper today.

It's my fault.
I was pushing his buttons.

- We have to call the cops.
- Don't!

Say anything and I'll deny it.

Why?
What is wrong with you, Denise?

No, I don't expect you
to understand, okay?

Look, Trevor may not be perfect,

but at least he loves me for me.

Loves you?
This man doesn't love you.

He preys on you.
He preys on you because he can.

- Mags, let me talk to you.
- Look at your face!

Come on. Let's go.

Denise, sit tight.

I'm gonna have plastics come
take a look at that lip.

- What?
- Listen.

You shoot from the hip
and we all love that about you,

but maybe try a softer approach.

Sometimes the truth hurts.

What's going on?

I couldn't find Emily.
She wasn't in Bernie's room.

He said she hasn't come by yet.

I'll call her.

I did already.
She didn't pick up.

I left a voicemail.

She had a really rough
night with Vincent.

I don't think she slept
more than an hour.

I know it's a lot.

I just hope she's not falling
back to her old ways.

Well, she's made a lot of
strides these last few months.

Let's try to give her
the benefit of the doubt.

All right.

I'll run Vincent down
to the daycare center,

see if they have room for him.
Okay.

Hi, buddy. Hello.

Hey, Desi. How are you feeling?

Okay. Just a bit, um, drowsy.

That's from the Ativan.
Should wear off soon.

In the meantime,
I wanted to introduce you

to Dr. Charles.
He's our head of psychiatry.

Psychiatrist. Why?

Desiree, I just wanna ask you
a couple of quick questions

- if that's okay.
- You canmeDesi.

- I'm sorry?
- Call me...

Bag her.

Desi!

What's going on?

Let's give them some room.

Her right pupil is dilated
and sluggish.

I need to tube her
and send her to CT stat.

I suspect edema.
It's a swelling in the brain.

20 of etomidate, 100 of sux.

- Do the surgery!
- Mr. Parker...

I'm her surrogate
decision maker.

I said do it. Now.

Where are the pills?

I don't know what
you're talking about.

Did you take them already?

Just tell me.
Where are the pills?

Hey, hey.
What's going on in here?

Guy abused his son
and came here to score opioids.

- Are you insane?
- I ran a tox on Matt.

He hasn't taken any
of the pills we've given him.

Meanwhile I search the Illinois
Prescription Database.

Turns out Mr. Jacobson here
has been flagged

as a frequent flier.

I swear to God I didn't lay
a hand on my son.

And I sure as hell didn't
take his pain meds!

Take a drug test
to prove it, then.

I don't have to prove
anything to you!

All right, look,
I have a better idea.

Why don't we all go speak
with Matt, all right?

Please.

I took the pills.

Dr. Rhodes ran a tox screen,
Matt.

They're not in your system. So?

Maybe the test was wrong.

We're going around
in circles, Miss Goodwin.

That's it.

I'm calling Child
Protective Services.

No. No, my dad never touched me.

Please don't call them.

They're right here.

Fine, he told him
to pocket them.

Dr. Rhodes.

How did you hurt
yourself today, Matt?

Did you really fall off
your skateboard?

Son. Just tell us the truth.

You won't get in trouble.

- I slammed my arm in the door.
- On purpose?

I'm so sorry, Dad.

I'm so sorry.

I just wanted to help you.

I got into a awful car wreck
about ten years ago.

My back's been
a mess ever since.

Doc had me on Oxy which was
working pretty well,

but then some new
government guidelines,

something came out.

Yes, the CDC introduced new
prescribing recommendations.

A response to the opioid crisis.

With opioids, there is always
the concern with, um,

overdose or misuse.

Yeah, well, I wasn't misusing.

Hit up just about every doctor
in the city.

But no one would write me
a new prescription.

And how are you currently
managing your pain?

Drinking, mostly.

I thought I did
a better job hiding it.

But, God, I can't believe
he'd personally harm himself

to try and get me pills.

Well, Mr. Jacobson,
I'll give you

the contact information
of a general practitioner

in Schaumburg.

I'm confident he'll be able
to help you.

- I appreciate it.
- Sure.

Mr. Jacobson, um,

for what it's worth,
I am very, very sorry.

I apologize, Miss Goodwin.

II justl...

I can't believe
that I was so off base.

Well, I appreciate
your intent, Dr. Rhodes.

But next time just
ask more questions

before you start accusing.

Well, Denise, your blood
sugar's pretty low.

I suspect that's what
caused you to faint.

'Cause you haven't
been eating enough.

Thanks to Trevor. Am I right?

What, he told you
to lose weight?

Just lay off, okay?

I'm gonna have a nurse
put an IV in.

Give you some fluids and bring
you a glass of orange juice.

Fine, but can I leave
after that, please?

Yeah, that should do it.

I'll send the nurse in now.

My sister needs protection
from that monster.

I want you to report what you
saw today to the police and...

Maggie, I can't do that.

Excuse me?

Look, I want to see
that prick behind bars, too.

But what if she's not ready
to leave him?

Which I don't think she is.

I think Denise will be better
off if we convince her

to report it herself
and walk away.

My sister won't do that!

I got an idea.

Grab your coat
and meet me out front.

Daniel, do you believe
Mrs. Parker lacked the capacity

to refuse brain surgery?

I never got a chance
to evaluate her.

But a tumor in that area
certainly has the potential

to affect reasoning,
understanding...

Desi has been consistent
in her refusal of treatment

since her initial diagnosis.

She also agreed to consider
additional treatment

if the disease progressed.

Well, is there any
written record explicitly

stating her wishes?
Just the advanced directive.

Which clearly
establishes her husband

as her surrogate decision maker.

This isn't right.

Her husband is taking advantage
of the situation.

But doesn't the fact that she
granted him power of attorney

in the first place demonstrate
a bond of trust?

A bond that he is breaking
by completely disregarding

her wishes.

If we operate and anything
happens to the fetus...

I'm sorry, Dr. Manning, but
the advanced directive stands.

Will you guys excuse me
really quick?

I will be right back, sorry.

Maggie! Hey, beautiful.

What do I owe the pleasure?
Don't you touch me.

Come near my sister again,
respond to a text,

answer a phone call,
and I will call the cops.

I don't know what she told you,

but you know your sister.
She's a drama queen.

Don't you try me.

That's what you
came down here for?

Warn me to stay away?
That's right.

What's it gonna be?

Could have saved
yourselves a trip.

I was done with
that freak anyways.

You better back up...

Go ahead.

Take your shot.

- Connor!
- Hi, Carlotta.

Hi. Come inside.

Thank you.

Is this what you're looking for?

Yeah, that's it. Thank you.

Um, Carlotta,

are there any other albums

between '88 and '94?

Don't see any. Why?

Well, there's hardly
any pictures of my mom.

Your poor mother.

So much of the time
she wasn't feeling herself.

Hey, baby. Call me back.

- I didn't mean to...
- Denise.

If you're here to lecture me,
you can save your breath.

I already signed
my discharge papers.

- Trevor's not gonna pick up.
- How do you know?

- I went to talk to him.
- You what?

You won't be hearing from him.

No, no. Trevor wouldn't...

He wouldn't run scared.
You're lying.

I told him I knew
about his abuse.

And I was never gonna
let him hurt you again.

- You had no right.
- Denise...

- What did he say?
- He said...

He said you meant a lot to him.

He was really upset.

Devastated.

But I gave him no choice.

I told him that if he ever
spoke to you again,

I was gonna call the cops.

You stay out of my life, Maggie.

Denise.

- CeCe.
- Hey.

Hey.

How did everything go with
youryour check up?

Good. Good, good.

Great. Listen.

Are you doing anything tonight?
Do you have any plans?

No.

'Cause I am having dinner
with the head

of the anthropology department
at U of C.

Okay.

There's a position
opening up next semester.

So what's that got
to do with me?

Well, I just thought you'd...
You'd like to join us

because the position
sounds great.

I mean, two classes a semester,
sabbatical every three years,

you couldyou
could write your book.

I already have a position
at Hamline.

I know, butbut
this way you could...

You could stay in Chicago.

You could keep working
with Dr. Singh.

Maybe I don't want
to stay in Chicago.

Have you ever thought of that?

Damn, Danny, sometimes
you don't know when to quit.

Can you heat up his bottle?

It's on the top shelf
in the fridge.

You got it.

Ethan? Come here.

All of Emily's clothes are gone.

So is her suitcase.

Dr. Charles?

You know where Dr. Manning is?

I think she's with
another patient.

But, um, they should be coming
to prep Desi for surgery

very soon.
No, no, it's not that.

Without the operation,
Desi's never gonna wake up,

is she?

It's unlikely.

So she'd lose the baby, right?

Well, not necessarily.

Plan would be to continue
to treat the swelling

in her brain with steroids
which should allow her

to remain on the ventilator
long enough to deliver

via C-section once the fetus
becomes viable in a few weeks.

You mean she'd become
one human incubator.

You know, that's not
the term that I would use.

But, um...

I know what she
would want me to do.

I just...

You're terrified.

Desi and I were just kids
when we met.

Freshman year of college.

You know, we've really
grown up together.

You know, we've seen each
other through everything

and she knows me
better than anyone.

Yeah.

And you know her
better than anyone.

Which is why she trusted you
to become her voice

when she was no longer able
to speak for herself.

And, Caleb, look.

Letting go of someone that
you love when every instinct

is telling you to hold on,
to fight,

I mean, it's the hardest
thing in the world.

But Desi knew that you
were up to the task.

Now you just have to come
to believe that you are, too.

Mags?

Are you okay?

Me and Denise...

We'd just gotten close again.

And now...

I probably lost her for good.

Clear!

- Dad?
- Epi.

Charge again to 200.
What happened?

We don't know.

He flipped into V-fib.
Might have had an MI.

Charging. Charged.

Clear.

Epi, charge to 200.

I'm taking over.

Charged. Clear.

- Asystole.
- Epi.

Meds are in.

Come on!

Come on, Dad! Come on!

Come on!

Connor, he'd already been
down ten minutes

by the time you got here.

Connor.

No!

Time of death, 1742.

Hi.

We'll be moving Desi
up to pre-op

and Dr. Abrams will be waiting
for us up there.

- No.
- I'm sorry?

No surgery.

Can you give us a moment?

Caleb, are you sure?

Yeah.

The cancer took everything
away from Desi.

But this is the one thing
she was determined

not to let it touch.

She's been so brave.

For me, for Elijah.

The least I can do is try to
have an ounce of her courage.

Em, it's me again. Call me back.

Took a lot of rocking
but Vincent's finally asleep.

- She still not picking up?
- No.

I'm gonna talk
to Bernie tomorrow

and let him know Emily's gone.

And after tonight,
I'll keep Vincent at my place

tilltill Bernie's released.

The baby can stay here.

- April, no.
- What?

I already know his routine. Hey.

His stuff is here.

Vincent's not
your responsibility.

It's no problem. Really.

Listen.

I'm not sure how long
this is gonna last.

Even after Bernie's out
of the hospital,

the guy...
Guy doesn't have a job.

If Emily doesn't come back,

Vincent may be with me
for the foreseeable future.

With us.

I'm not gonna let you
do this alone.

- April...
- What?

Anyone else would have bailed
on this whole mess

a long time ago.

But you're still here.

Because it's you, Ethan.

I was coming to tell my dad
that he was right.

And that my mother wasn't
at my seventh birthday party.

In fact, sheshe wasn't there
for most of my life.

I turned her into
this doting, perfect mother.

Turns out it was all fiction.

All these years, I blamed
my dad for her death.

I thought that it was
his cheating that drove her

- to kill herself.
- Hey.

Hey.

You were just trying
to make sense of it.

What else am I inventing?

I'll go check on Vincent.

Ethan, uhwhoa. What's going on?

- Where have you been?
- Look, I'm so sorry.

I was feeling really overwhelmed

and I kinda freaked out.

You ditched your son.

I know it was really
irresponsible for me

to just take off,
but I only made it

to St. Louis before
turning back.

I couldn't leave Vincent.

Hey, sweetie. It's Mama.

Are you ready to go for a ride?

Do you know what time it is?
Where are you going?

Back to the hospital
to see Bernie.

ICU's no place for a baby.

- It's fine.
- No.

Vincent's staying here.

Excuse me?

Give me my son.
You can't keep him from me.

No, I'm not keeping
him from you.

But Vincent needs consistency.

Em, this is no kind
of life for Vincent, all right?

You need to come up with a plan.

All right, all right.

I'll put him back to bed
and stay here tonight.

If that's okay with you, April.

Yeah, of course.

And in the morning
I'll figure something out.

With or without Bernie.

I promise.

Honey.

Hey. Hey.

- Hey.
- Hey.

I wasn't sure that you
were gonna show.

So what's up?

Um, so that's a really...
That's a good situation

- at Hamline.
- Yeah.

Y-yeah, yeah. Do that.

Right?

Yeah.

What's this?

You're resigning from Med.

Caroline, these last few
months with you,

I don'tl don't understand it.
It's crazy.

It's feltit's felt likelike...

Like coming home.
I wanna go with you.

Danny.

I want to marry you.

Again.

I lied.

There was nothere was
no offer from Hamline.

They didn't ask me to come back.

- They didn't?
- No.

I found out a couple days ago

that my lymphoma is progressing

and the clinical trial
isn't working

and there's nothing more
they can do.

And I'm sorry. I'm sorry.

I shouldn't have lied
about any of that.

I just thought that it would be
better for everyone

if I just left.
I want to be there.

For all of it. All of it.

You know,
in sickness and in health?

If you'll have me.

Please don't make me
get down on one knee.

I don't think I'd ever be able
to get back up.