Original subtitles

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

- Hey! - Hi, Dad.

Sorry, Mom. I've got to go.

Whoa, whoa, whoa. What'd I do?

Nothing. You are perfect.

- Bye, honey. - Bye. See you this evening.

- How are you feeling? - Fantastic.

They're giving me the steroids in the infusion.

So I feel like I could run a marathon.

Look what I found.

Remember that trip we took to Mackinac Island

when Robin was three?

No cars, nothing but horses.

I remember that "Rainbow Brite" t-shirt.

Nothing but saltwater taffy and ice cream.

What a trip. That was a great trip.

No, it wasn't, Danny. You were horribly depressed.

You stayed in the hotel room, laid in the bed,

and stared at the ceiling.

I kept telling Robin that you wouldn't come down,

because Daddy didn't feel good.

Wow.

I mean, I remember maybe a couple of dark days.

But, um, on the whole, didn'tdidn't we have...

Danny, what are you doing?

I just thought you'd like seeing these pictures.

That's all, you know.

I know you were trying to rewrite history

to paint a pretty picture

of a happy marriage and it wasn't always like that.

It's pure fantasy, Danny.

I know Med is not a for-profit organization...

But this report?

If my board saw numbers like this,

they'd be calling for a vote of no confidence.

Mr. Rhodes, you can see that one reason

for our fiscal issues is the E.D.'s Hybrid Room

which you only partially funded.

I think the rest of the Board would agree with me

that my contributions have been more than generous.

No, in fact, what I'm seeing is a lot of your pet projects

not working out so well.

Let's look at the refurbishment of the VIP wing.

A lot of empty beds there.

After Dr. Downey's death,

we became less of aaa destination hospital

for our CT patients.

We're still in the process of re-branding.

But in the meantime, since you were such a vocal advocate

of the Hybrid O.R., Sharon,

it seems only fair that you should find cuts

in other departments to make up for some of our losses.

Well, I will certainly take a look.

But I'd hate to put us in legal jeopardy

or lose our reputation

as the premier medical center of the Midwest.

Well said, Sharon. Very, very well said.

We certainly would not want that.

Mom, seriously, I'm fine.

That's not what you said this morning.

You could hardly get out of bed.

Jenny Simpson, 17. Abdominal pain.

Hi. I'm Dr. Manning. This is Dr. Choi.

Hi.

Mom and dad?

EEvie. That's my husband, Joel.

Hi.

This is so unnecessary.

Itit was probably that sketchy salad I had last night.

Remember I said it smelled weird?

Jenny's been in pain since we left Fort Wayne three days ago.

Hoosiers? Winter getaway?

College tour. Jenny got into Northwestern.

Perfect SATs.

Wow, congratulations.

Jenny, are you feeling any nausea?

I mean, a little but I'm better now.

I don't know why you guys are freaking...

Honey.

We thought maybe appendicitis.

No rebound tenderness.

Heart rate 103.

I told you itit's just food poisoning.

All right, well, I'd still like to do a quick ultrasound

just to see if I can get a visual on the appendix, okay?

An ultrasound?

- It'll just take a second. - No, II don't want that.

- Honey. - I want to go.

Jenny, appendicitis is serious,

but it's easily treatable if we catch it early.

But I have to take a look to do that, okay?

Jenny.

Okay. I guess.

Great.

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Well, good news is, it doesn't look like appendicitis.

So what is it?

Well, it's hard to tell just yet.

But I would like to run some tests

just to rule a few things out if that's all right.

- Of course. - Yeah, absolutely.

Monique, CBC, BMP, coags and a quant hCG.

We'll be back to check in

once we get the test results in.

Thank you.

Did you see how scared she got

when I mentioned the ultrasound?

Yeah, she was pretty defensive.

You thinking what I'm thinking? Pregnancy?

Thinking an endometrium, but I didn't see an embryo.

Well, she could've had a miscarriage or an abortion.

But whatever it is,

she is definitely trying to keep her parents in the dark.

Yeah, but I don't think that's going to be possible.

Heads up, Maggie.

There's probably going to be more spending cuts coming down.

More?

Gwen hasn't met her goals and she's feeling the heat.

We're already short-staffed.

We're using those cheapo central line kits.

What more does Gwen want?

Speak of the devil.

She's got a big fish coming into the VIP wing.

Ooh!

Wow!

Man, I love it.

Thanks.

It's a lot easier to manage.

Hey.

New hairdo?

Hey.

It looks good.

So we still on? Drinks for tonight?

Um, I'm sorry.

I can't. Something came up.

Something?

Yeah.

Um, tomorrow then?

That's not going to work either.

This weekend?

Can I let you know?

Yeah. No big deal.

New hairdo?

Women don't do that for no reason.

I'm guessing there's a guy.

You're suddenly an expert on women.

Too bad, Choi.

I'll be using what's called the "David Procedure"

to resect your aneurysm.

It will allow us to preserve your native valve.

Our Chief of CT, Dr. Latham,

is going to be assisting me on the operation.

Do you have any questions, concerns?

No concerns. My people did their research.

You were at the top of the list,

just under the late Dr. Downey.

Dr. Rhodes was Dr. Downey's star protégé.

I'm aware.

I wanted to let you know, Mr. Montero,

that as you recuperate, we can offer you spa-like amenities.

Massage, facials.

With your doctor's permission, of course.

We also have a concierge at your disposal.

Here is a list of all our personal services

and our menu options.

You can almost forget you're in the hospital.

Why is Dr. Rhodes scheduled to operate on Mr. Montero?

It's out of my hands.

Dr. Rhodes is on the trauma service.

I'm the attending in CT.

Mr. Montero's case should've come to me.

Dr. Bekker,

Mr. Montero specifically requested Dr. Rhodes

and Mr. Montero gets what he wants.

Jenny Simpson's test results.

What's going on with you and Phillip?

Are you seeing him?

You know, like, seeing him, seeing him?

I thought it was headed that way.

He is a lovely guy, Maggie.

But so is Big Red.

It is way more complicated than that and you know it.

Ethan.

Jenny, where are your parents?

They went to get coffee.

We have to ask you something.

Jenny, we got your blood work back

and it indicates pregnancy.

No, I'm not pregnant.

- Let us explain. - I'm not pregnant.

We understand how hard this is.

But your test results and your symptoms

shows that maybe you had a miscarriage or...

No. No, I didn't. I don't want to talk about it.

Jenny, in order for us to treat you properly,

we really need to know what happened.

Please, we are not here to judge you.

- No. - We want to help you.

The whole thing was stupid.

So stupid.

When I found out that I was pregnant,

I didn't know what to do.

I'm finishing high school and I'm going to college.

I understand.

So I went online andand I read about these pills.

And what were they?

Mife-something.

Mifepristone?

Did you take the follow up pill Misoprostol?

I couldn't get it. Not without a doctor.

Jenny, that's why you're in so much pain.

Without the second pill, you haven't fully aborted yet.

Help me.

Please.

Just don't tell my parents.

They'll hate me and they'll never forgive me.

Please.

I think you might be underestimating them.

No, I know them and you can't tell them.

Jenny, I'm sorry...

We're not going to tell your parents

but I am going to give you the second pill

so that you can expel whatever is left in your uterus, okay?

- Thank you. - Yeah.

Nat, she's a minor.

We can't give her medications without her parents' consent.

Yes, we can.

Dr. Manning?

Have you found out what's wrong with our daughter?

We were actually just discussing that.

Unfortunately we're still waiting on some test results.

The best thing you can do right now is just be patient.

Waitwait, that's it?

You have no idea?

I know how frustrating this must be

but I promise you, we are doing everything possible for Jenny.

I'm sure that you are.

Come on, hon.

What do you think you're doing?

I'm honoring my patient's wishes.

- And lying to her parents? - I did not lie to them.

You withheld the truth, Nat.

They have a right to know. A legal right.

That's Jenny's call.

If you have a problem with it, take it up with Goodwin.

Dr. Lanik, FBI medics have landed.

April, you're up.

Special Agent Sam Pearson.

Low speed motor vehicle collision.

GCS 10, LOC on site, nasal airway in place.

Hey, I know this guy. Let me work him up.

Self-starter. Who am I to interfere?

Okay, on my count.

One, two, three.

Hang in there, Sam. I got you.

What's the story? Air bags deployed,

but his chest caught most of the impact.

He's not protecting his airway, got to intubate.

20 of etomidate, 100 of sux. Get an x-ray in here.

Meds are in.

Heart rate 124, BP 132/88, sats 95.

I'm in. Bag him.

Good breath sounds bilaterally. Let's get that chest x-ray.

Yes, Doctor.

Clear.

Chest shows multiple rib fractures

and bilateral pulmonary contusions.

I need a CBC, CMP, blood gas, and coags.

I'm seeing PVCs on the monitor.

Got it.

Is he going to be okay?

Ingrid.

He's in rough shape, but stable for now.

Were you with him?

Yeah.

- Let me check you out. - No, I'm fine. I'm fine.

Justjust keep my partner alive.

Dr. Manning boxed us into this situation.

You want to talk about boxed in?

The only reason we're in this situation

is because Jenny had no options.

The family lives in Indiana.

Where she would need parental consent.

And she was afraid to talk to them,

so there was nowhere else to go

so she went online to find medication.

This generation's back alley abortion.

We don't make the laws but we have to obey them.

Jenny's a minor and that means we have to tell her parents

before we treat.

No, her pregnancy test is still positive.

Therefore, under the law, she is emancipated.

She was pregnant. Not anymore.

Technically she still is.

Ms. Goodwin.

I'll admit it's a thin argument.

Emancipation covers a woman's decisions

regarding her pregnancy,

but, my understanding

is that Ms. Simpson has already made her choice.

So we betray this girl's trust?

Well, that's not what I'm suggesting.

We have to obey the law and tell her parents.

That's not exactly right either.

If we had provided a medical abortion,

which we didn't, then yes.

The state of Illinois says

we're obligated to inform the parents.

But since she obtained the medication herself

out-of state, I'm not so sure.

So you intend to keep the parents in the dark

based on a technicality?

No, because our patient asked us to keep it confidential.

Look, I would suggest you continue to treat her

according to her wishes

until our lawyers make a determination.

Thank you, Ms. Goodwin.

Why are you here?

I'm scrubbing in on your surgery.

No, Dr. Latham is assisting.

He reconsidered.

So just like that, he pulled out.

What did you say to him? Really, Connor?

Why wasn't I consulted?

Don't worry. It's been made very clear to me

that Mr. Montero is your patient.

I'm only here as your humble assistant.

By the way, I had my last HIV test.

I'm clear.

I'm glad to hear it.

Since you were the one who so carelessly cut me,

I thought you might be.

How is she?

Cuts and scrapes. Nothing serious.

Ingrid.

How's Sam?

Wait and see right now.

Can I get you anything?

No.

Haven't seen you at the dog park lately.

It'swork.

I'll keep you posted on Sam.

Where are we?

The PVCs were all unifocal,

but his airway pressures are bad.

PaO2's at 50 and peak pressure's at 55.

All this from a car crash?

They said he wasn't even going that fast.

He shouldn't be this sick.

Crank the O2 and increase his PEEP to 12.

See if we can improve his oxygenation.

Okay.

These bruises.

They don't look like they're from an air bag.

They're too extensive.

The air bag shouldn't have touched his legs.

We still waiting on those CT scans?

Radiology's been slammed all morning.

Get him moved up. Don't take no for an answer.

These injuries just don't add up.

You got it.

Proximal anastomosis done.

I'm working on the distal now.

Temp's coming up. 33 degrees.

We need to move faster.

Look, I realize that,

but the graft is coming down unevenly.

If I keep tugging, I could tear the aorta.

A suggestion?

What?

Try pulling on the non-coronary commissure.

I think that'll move the graft into proper position.

Okay.

That did it, thank you.

Of course.

All right, let's finish the anastomosis.

No, I haven't told him, but I don't feel good about it.

Don't you think he has a right to know?

I've got to go. I'll talk to you later.

You need something?

No.

Okay.

Help! Dr. Manning! Dr. Choi!

My God.

- Help her! - I feel dizzy.

Jenny, keep looking at me. Keep talking, okay?

Mom.

You'll be okay, honey. Mommy is right here.

- I don't feel good. - God.

What is happening to my daughter?

There's so much blood.

It's a gynecologic hemorrhage.

She's passing retained tissue...

We need to control the bleed.

Monique, hang a unit of typed and crossed-matched blood,

give her 0.2 milligrams of methergine IM,

and I need a stat CBC and coags.

Wait, we need her parental consent.

Ethan.

To start the transfusion and administer the medication.

Yeah, whwhatever you need to do.

Go ahead.

I may have distorted the graft with that last stitch.

I'm doing this backhand. Do you have a better angle?

I think so.

Dr. Rhodes's phone.

Take a message.

All right, last couple of stitches

then we're coming off pump.

- Dr. Rhodes? - I said take a message.

Dr. Rhodes, he says it's an emergency.

All right.

Look, I'm in the middle of an operation.

What?

Is this some kind of joke?

How do I know that?

All right. All right, all right.

Whatwhat do you want me to do?

What is it?

Okay, yeah, okay.

Yeah, look.

No, I won't hang up. I promise.

- I have to leave. - What?

Finish the anastomosis.

Check the competency of the valve.

Connor, no!

You've done this before. You'll be fine.

- That's not... - No!

I'm notl'm not hanging up. I promise.

All right, we have a patient on the table.

Let's get back to work.

I just left the operating room.

I'm headed out now.

You finished already, Dr. Rhodes?

No, I'm still here. Okay, I won't hang up.

Dr. Rhodes?

No, I'm still here. I'm still here.

The elevator is really slow.

Look, I'm moving as fast as I can, man, I promise.

Can I talk to her?

Okay, okay, okay, okay.

I'll do whatever you say.

All right, I'm leaving now.

Just please, don't hurt her.

Robin, it's Dad.

Can you, um, can you call me as soon as you get this?

My bank is on the corner of LaSalle and Van Buren.

I'll be there in 20 minutes.

Trudy, it's Dan Charles.

I-I need to speak to Hank Voight immediately.

What the hell is going on with Dr. Rhodes?

What do you mean?

Halfway through Mr. Montero's surgery,

he left the O.R. and the hospital.

What?

You know how important this patient is to us

and if his outcome is less than perfect,

I will fire Dr. Rhodes

and that'll be the least of his problems.

I'll sue him and then I'll bring him up on charges.

I know there is a reasonable explanation for this.

If this blows up, Sharon,

he won't be the only one without a job.

I'm heading east on Lake.

You're lateyou said you'd be there in 20 minutes.

I can't help the traffic.

Are you playing games with me?

I am doing the best I can!

Whatever happens to Robin, that's on you, man!

Justjust don't touch her!

Move! Move!

Since your patient, Jenny Simpson, is a minor,

legal is concerned about liability.

Of course they are.

Bottom line, if you feel the need

for any further medical procedures,

you must obtain parental consent.

Good, thank you.

This isn't right.

I'm sorry, Dr. Manning, but you've given her Methergine.

- Yes? - Yes.

So let's hope she passes any retained tissue

and that should take care of it.

Hi.

Could we have a moment to examine Jenny?

Of course.

When are we going to know something?

Honey, let them do their job.

Come on.

Thank you.

How are you feeling, Jenny?

Not good?

Well, I'm going to do an internal exam, okay?

So I just need you to lift up your legs just like that

and then just let them fall open.

Perfect. Um, and I apologize.

This is going to be a little uncomfortable, okay?

Thank you.

All right, you ready?

You okay?

What is it?

Well, your body hasn't expelled all the tissue

related to the pregnancy.

The medication we gave you is supposed to help

but unfortunately, you're still bleeding.

It means you're going to need a D&C, dilation and curettage,

a surgical procedure to remove the tissue.

But we do need your parents' permission for this.

N-no. You can't tell them.

We have to.

Jenny, your temperature is elevated,

which means you could be developing endometritis,

which is a very serious infection.

It could be life-threatening.

No. No, no!

Jenny, I know you're afraid of what your parents will say,

but they love you and they would never want to lose you.

So I'm going to go talk to them, okay?

Wait.

My mom...

Ask my mom to come in.

Okay.

Mrs. Simpson, Jenny would like to talk to you.

Um, hey, why don't you, go get a cup of coffee?

I-I think this is mother-daughter talk.

No, it'll be okay.

Agent Pearson's CT results.

Is something wrong?

Sam's CAT scan.

Bilateral diffuse pulmonary white out,

bilateral subclinical pneumothoraces,

sternal fracture, subcapsular liver hematoma...

What does all that mean?

Looks like blast lung.

These injuries were not caused by a car crash.

Ingrid, what really happened?

Tell me.

Will it affect how you treat him?

Of course it will!

- What happened? - Okay.

Wethere was an explosion and Sam took the brunt of it.

What kind of explosion?

A meth lab.

What are we talking about then?

Acetone peroxide? Red phosphorus?

Yes.

What else can you tell us?

Ingrid!

God's sakes, Will, isn't that enough?

Convert him to lung protective ventilation.

Drop the tidal volume to 4 cc's per kilo and up his rate to 28.

On it.

You. I knew it.

I knew it all along.

You had no right to keep this from us.

It was Jenny's wish.

Well, of course she didn't want us to find out.

She knew it was wrong.

What she did waswas murder.

Mrs. Simpson, um,

you should know that Jenny didn't want to tell you

because she was afraid you wouldn't love her anymore.

No...

No.

No, no, no.

Listen, no matter what your beliefs are,

that's your daughter and she's very sick.

Look, can I give the consent for the D&C

without my husband?

Yes.

Do whatever you have to do to save my daughter.

Just don't tell Joel what happened.

I don't want this to destroy my family.

But doesn't he have the right to know?

He's her father.

Actually...

Actually, he isn't.

And no, I never told him.

All right, I'm here.

Ginny, Ginny, hi. Hi.

Hello, Dr. Rhodes, what can I do for you?

I need to take $50,000

out of my money market account in cash.

Cash?

Yes and please, I am in a bit of a hurry.

It'll take a few minutes.

I'm not sure the tellers have that much on hand.

I may need to go into the vault.

Ginny, whatever it takes, just please do it. Thank you.

All right, did you hear that?

It's going to take awhile.

No. No, no, no, no, no.

I-I-I-I didn't call them. I swear!

No, no. No, no, no. They... Theythey can't be outside!

I didn't call them! Please! Please!

No, no, no! Don't hang up!

I am getting you the money!

Hello? Hello, you there? Youhello?

No. No, no, no, no, no, no, no!

No!

No! No, no, no, no!

I told you not to call the police!

They saw you! They're going to kill her!

- They're not. - You don't know that.

- Yes, I do. - Dr. Rhodes.

Robin was never kidnapped.

No, she was. I-I-I-I-I heard her.

I heard her scream!

- It wasn't her, buddy. - No, it's a scam.

Dr. Rhodes, it's a scam.

Scam?

When I finally reached Robin,

she had no idea what I was talking about.

Youyou spoke to her and she's fine?

Was never in any danger.

Watch out.

BP 92 over 56. Heart rate 48.

Sats 73 and dropping.

He's bradying down.

Bilateral tension pneumothoraces.

Two needle kits?

Yeah, gotta decompress his chest.

What's happening?

Air's leaking into his chest from his lungs.

Now his lungs can't inflate.

Second needle?

Sats and heart rate climbing.

Set up for bilateral chest tubes.

Otherwise his lungs are just going to collapse again.

Right.

We'll need to send him up to the ICU and get him on ECMO.

Is this because you didn't know?

It didn't help, Ingrid.

Evie.

What's happening? Where are they taking her?

They'll explain.

We're starting your daughter on broad spectrum antibiotics

and we're taking her up to surgery.

Why?

Wewe were unable to stop her bleeding,

and also we were concerned she could become septic.

God.

The procedure to address this is simple, very low-risk.

In all likelihood,

she'll be able to go home with you tomorrow.

Okay.

I'm still not clear.

This procedure...

It's to remove degenerating tissue

that's trapped in her uterus.

- Her uterus? - That's right.

Okay, as long as she's going to be all right.

Yeah.

Do you have any further questions?

- No. No. - Okay.

Then why don't we have someone take you up

to the waiting area?

Monique, take Mr. Simpson upstairs to join his wife.

Sure. This way, sir.

Thank you.

Robin.

- Hey. - My God.

It's okay. I'm fine.

I wasuh, I-I was just so worried.

You knowDad, you know I go swimming during lunch.

Do I know that?

I don't think I know that.

Yeah, well, maybe you should listen.

How were they even able to pull this off?

I mean, they must've known so much about you.

The cops said they must've hacked my email.

I mean, apparently this sort of scam has been happening a lot.

I'm really sorry.

I-I-I've got to get back to the O.R.

I'm fine, Connor. Go.

- Okay, thank you. - And change your passwords.

Dr. Rhodes?

Ms. Goodwin, I will explain everything when I can

but Iright now I have got to get back to the O.R.

There's no hurry.

- Mr. Montero? - Did fine.

They're closing him up now.

Um...

that's good.

Since you ran out in the middle of the surgery,

I'd say it's very good.

And now you have time to tell me what happened.

Hey.

Sam is stable, on ECMO.

That'll take the strain off his lungs so they can heal.

He's got a long road ahead of him but he should pull through.

Good.

And look, I'm sorry.

Even if I had known earlier what caused his injuries,

I don't think it would have made a difference.

Thank you.

You can go and see him.

Okay.

You're still not gonna tell me what happened?

We're fortunate Dr. Bekker was able to take over

for Dr. Rhodes when he became incapacitated.

She is a brilliant surgeon

and she's proven herself a worthy successor to Dr. Downey.

Thank you.

You're most welcome.

I think we can all agree that, thanks to Dr. Bekker,

we're on our way to becoming

a destination hospital once again.

I heard what happened.

That's awful.

But Robin's okay? It was just a scam?

- Yeah. - So cruel.

Well, thank you for stepping in.

Of course.

I'm going to go write up my notes.

Looks like it all worked out well for her.

Yeah.

Dr. Choi, Dr. Manning.

I thought Jenny might be hungry.

And I wanted to thank you.

The OB said she's gonna be fine.

Yes, everything went well.

Yeah. She's a good girl.

Mr. Simpson.

Take care.

I will. Thanks.

That man's being lied to by us, his wife, his daughter.

I don't get you, Ethan.

You believe that everyone has a right to make decisions

about their own body.

It's not that. It's the dishonesty.

Listen, some people don't want honesty.

They find living with a lie to be a lot easier.

Not me.

April?

April, it's Ethan.

Ethan, what are you doing?

Ifif you're seeing another guy,

just tell me the truth.

Yyou have no right to come to my apartment

demanding anything.

You keep making excuses. You cut your hair.

My hair? So what?

Just be honest with me. I can handle it.

You're going to wake the baby.

Emily.

Why don't you come in?

- Hey. - Hey.

They're probably not going to extubate him for a few days.

You should go home, get some rest.

Okay.

Will, it wasn't because of security

that I didn't tell you.

I trust you.

Then why?

I just didn't want to burden you with it.

Ingrid.

I'm not really good at letting people in,

but I do know...

sometimes burdens are easier to bear if they're shared.

You can tell me.

Tell me.

That raid on the meth lab?

The suspect was supposed to be alone,

but he had his kids with him.

Twins, girls, six years old.

And, um, rather than surrender, he lit a match.

Um...

After the explosion when the smoke started to clear,

I could see that Sam was down.

And then I, um...

I just saw bits of them everywhere

and then in the middle of all it...

I-I saw a little girl's toy, a pink unicorn.

It was perfect.

There wasn't a scratch on it.

I got you.

Bernie just needs some time.

So April said I could stay with her.

But what's he doing at his wife's?

- He left her. - He did.

But he misses her and he misses his daughter.

So we talked about it and thought it would be good

if they spent some time together and, you know,

just work things out.

Work what things out? He has a baby.

- Your baby. - She knows that.

Obviously you're fine with this.

They're doing the best they can, Ethan.

It doesn't sound that way to me.

See, this is why I didn't want him to know.

Okay, come here.

Don't you want to meet your nephew?

Come here, Em.

Come on.

His name is Vincent.

Vincent.

After Grandpa.

You know, I did cut my hair because of a guy.

Vincent likes to pull on it.

Yes, I got that.

Hey, Ma?

So Dad has had a bit of a rough day

and wants to know if we can all go out to dinner together.

So why isn't he asking me himself?

I wouldn't want you to think

that I was being manipulative.

Tell him I like steak.

Not for nothing, you were absolutely right this morning

about Mackinac Island.

Okay, now you're being really manipulative.

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