All language subtitles for Chicago.Med.S04E01.WEBRip.x264-ION10

.

♪

- I told them that
she can stay with us.

- You can't trust her.
- Look, I'm sorry,

but she's coming home with us.

- No, Ethan,
she's going home with you.

- This is Gwen Garrett,
our new COO.

We never had an old COO.

- If we lose one girl,
we lose them both.

- BSD is repaired.

- You got an offer tonight,
didn't you?

- Mayo Clinic.

- Of course,
you're going to take it.

- You're suggesting
I'm a murderer.

- You know what's the
most fascinating thing

about serial killers?

They all can't seem to resist

taking a personal item
from their victims.

- Oh, oh, no, Bob.

♪

- We need a crash cart.
Crash cart, now!

We need a crash cart in here.

- There's no pulse.
- Take over compressions.

- Start bagging.

- Charged to 200.
Clear!

- Clear!

- Resume compressions.
Charged to 200.

Clear.

Resume compressions.
- We need to talk.

- Charge to 200.

♪

- This way.

This is my father's.

- Appreciate your help,
Dr. Reese.

Forensics will gather samples
to collect for DNA,

but they may need
to take a few of

your father's things
to the lab.

- I understand.

♪

- I know that this isn't easy,

but...but it's
the right thing to do.

- You're the last person
to tell me what's right.

♪

- Sharon.
- Yo.

- Have you heard
from Dr. Reese?

- She's your resident.
Why would she call me?

- Well, she's due back today,
but I was expecting her

at rounds first thing
this morning.

- Well, she hasn't
been in touch.

Let's hope she's okay.

But don't you need to address
our new med students?

- Yeah.
- Yeah.

- Ladies and gentleman,
this is Dr. Charles.

He's our Chief of Psychiatry.
- Good morning, and welcome.

First thing I want to
tell you about is...

- Yeah, yeah.

Our days of butting heads
are almost over.

- Oh, thank God for that.

By the way, did you know that
Rochester, Minnesota,

is the 14th coldest city
in the U.S.?

And Chicago's 48, you know.
It's much warmer.

You don't want me to go.

- Oh, please.
- Oh, you're going to miss me.

- Miss the most egotistical,
ambitious, and arrogant

man I've ever met?
Hardly.

- Here.

Now that you
are a big shot attending,

I'm going to leave you
with this.

"Cardiac surgeons
fix broken hearts."

♪

- We could have had something.

- You're the one who's leaving.

- Dr. Bekker, Dr. Rhodes.
They need you in the E.D.

Suspected TRA coming in.
- Yeah.

- Trevor Keyes,
high-speed decelerating

motor vehicle crash.
Prolonged extrication.

Right arm BP 136/88.
Nothing in his left.

Wife was treated on the scene.

- Mr. Keyes, do you know
where you are?

Can you squeeze my hand?
All right, minimal response.

Let's transfer him on my count.

One, two, three.

- All right,
let's go.

- Okay, Mr. Keyes, can you
touch your chin to your chest?

Any pain?
- No.

- No.

- Good, c-spine is cleared.

Let's get a chest x-ray stat.
Logroll.

- Dr. Bekker and Dr. Rhodes.

They're
cardiothoracic surgeons.

- X-ray clear.
- This is his wife.

- Linda.
Please, help my husband.

- There's weakness in
Mr. Keyes' left hand,

and it's cold.

- Wide mediastinum.

- There is a
high probability of a

contained rupture in his aorta.

- We need to get Mr. Keyes
to the hybrid room right away.

- Okay.
- All right, let's go.

Have anesthesia
meet us upstairs,

and bring esmolol for the road.
- Right away.

♪

- Don't worry, baby.
It's gonna be all right.

It's gonna be all right.
- Out of the way.

Out of the way!
Everybody out.

Out, out, out, out!

Come on, let's go,
let's go, let's go.

Linda.

- Linda.

I love you.
- Trev, I love you, too.

But you're gonna be fine.
- I--

Trevor?

- Nothing.

- No pulse.
- Trevor.

Oh, God.
- Come on.

Oh, God, Trevor.

- Let's go.
- Wrong floor.

This isn't surgery.
- Can't wait.

Got to open his chest now.

♪

Get me a scalpel.
- Connor.

- Check his pulse.

- No.
What's happening to him?

- His aorta ruptured.
I've got to get control.

- Here.

- Trevor, no, no!

No!

- Help me spread his ribs.

♪

- There's too much blood.
- Oh, God.

- His aorta is wide open.

- I'm so sorry.
There's nothing I can do.

- He's gone.

- I'm sorry.

Trevor's dead?

No!

No, Trevor, no!
No!

Trevor, no!

- Time of death, 8:23.

♪

.

- We shouldn't
have lost the patient.

- His aorta burst.
What could you have done?

- When we were in the E.D.,

he hadn't yet suffered
the fatal rupture.

If we'd been able
to repair his injury there,

he'd still be alive.

The problem was
the time it took

transferring him upstairs.

- But the E.D.
isn't equipped to perform

the kind of procedure
you're talking about.

- That's Dr. Rhodes's point.
- There needs to be

a hybrid operating room
in the E.D.

Fully equipped to perform
emergency cardiac surgery.

- An O.R. in the E.D.

- We have lost
far too many patients

on the way to the O.R.

- Actually, I like the idea,

but converting a trauma room
into a surgical suite--

it's not an
inexpensive proposition.

I'll tell you what.
Write up a proposal.

- I'll have it on your desk
in an hour.

- Dr. Rhodes,
with your background

in both trauma and CT,
you'd be the ideal person

to head a program like this.

If the board okays it,
I'd like you to stay.

- I'm sorry, Ms. Goodwin,
but I start

at the Mayo Clinic on Monday.

- Hey.

- That looks so good on you.
- I agree.

- You know, we should
get serious about a date.

Book a venue.

I was thinking more of like
a city hall-type thing.

I don't know, a few friends.
Maybe dinner after.

- What, no, I already talked
to Father Brady.

He promised us a Saturday
at St. Ursula's.

Man, I got a whole neighborhood
to invite.

We need a hall.

- Dr. Manning,
Dr. Halstead, with me.

- Okay.

- 25-year-old deaf male

Peter Rush.

Intractable headache,
disoriented.

Sensitivity to light.
GCS 15.

Vomited times two in the ambo.

- Yep.

- Would you like
an interpreter?

- Yes.
- She's certified.

- Let's sheet transfer.
One, two, three.

- Heart rate 112,
BP 122/76.

Normal sinus rhythm.
- These two take care of you.

This is his fiancée, Bonnie.

♪

- Have you been deaf
since birth?

- No, 14. Mumps.

- She says he had
cochlear implant surgery

a month ago.
It's due to be activated.

- Chest is clear,
regular rate rhythm S1 and 2.

- Sick!

- And let's give him four
milligrams of ondansetron.

- Got it.

- She says it's meningitis
from the implant.

She warned him not to get it.

- We don't know
that he has meningitis.

His neck exam is normal.

- And meningitis can occur
after surgery,

but it's not common.

Let's get a CBC, BMP,

and cultures times two.
- Right.

- And let's send him up
for a head CT.

- Okay, I'll put in the order.

- Thank you.
- Yeah.

- April.

Hey, April, can I get a second?

Emily's really
turned her life around.

She's clean, going to AA.

She's got a job,
sells cosmetics.

- And you're
telling me this why?

- I'm bringing Emily
to Conner's party,

and she'd like to talk to you.

- She feels bad.

- She should.

- Emily wants to make amends.
It's a part of the program.

- Emily has a drug problem
and a gambling problem.

She stole opioids
from the hospital,

- I know.
- She needs to be in rehab.

- I--
- She needs psychotherapy--

- I know.
But she's really trying.

One step at a time.

- Mr. Jackson,

these are student doctors,
Curry and McNeal.

They're going to help me
sew you up.

- Okay.
- McNeal, glove up.

Curry, why don't you
get him an IV

and hang a bag
of normal saline?

- That's a nurse's job.

- I said,
that's a nurse's job.

- Every doctor should know
how to put in an IV.

- I do know how,
but I don't see the point.

That's not something
I'm ever going to be doing.

I'm not going into
patient care.

- No, sir.

Ms. Curry, when you are
on my service,

you will do exactly
what's expected of you.

Do you understand?

Mr. Jackson is a machinist,

and he cut his forearm
in the shop.

What do you make of the wound?
- Mm, pretty clean.

Edges are smooth.
Nylon suture?

- You'd better
take another look.

- Oh.

That's actually
a pretty deep cut.

- So how do you obliterate
the dead space?

- Um...
- Absorbable stitch.

- Right, right.

- Medical student.

- You're a big guy.

What's the matter,
couldn't play football?

Let's numb that arm.

- You don't have meningitis.

- On the other hand,
we don't know why

you're having these symptoms.

- Your sensitivity to light
concerns us,

so we'd like to do
some more blood work,

including a genetic test,
just to cover our bases.

You'll have to
stay here overnight.

We'll try to find you
a bed upstairs.

Otherwise, we will make you

as comfortable
as possible down here.

- The good news is we've
talked to your audiologist,

and we can turn on
your cochlear implant.

- Yes, I want it.
Thank you.

♪

Yes, I'm doing it.

- They're having an argument.
- Yeah.

- Maybe we should step out.

♪

.

Dr. Reese, there you are.

I am very glad to see you.
- I'm not staying.

I'm leaving Med. I'm continuing
my residency at Baylor.

- Oh.
- I think people here

would, uh, always
look at me and think,

oh, there's that doctor,

the one whose father
murdered those girls.

I could live with that.

It's you.

- All that time

you suspected my father,
you never told me anything.

- Sarah, look,
I was trying to protect you

until I was absolutely certain.
I mean, surely--

- I can't trust you.
I can never trust you.

- You have every right
to be upset,

and I hope that we have
some time to talk through this,

but please, don't leave.

- Every time I'd see your face,
I would remember...

when I walked into that room
and saw my father on the floor.

I--

I saw it in your eyes.

You were going to
let him die.

- Hi.

- Hi, Peter,
this is Helen Moore,

the hospital's audiologist.

- So, let me get this on you,
and then I can activate it.

- No.

I don't want it.
- I--I don't understand.

- Bonnie, she think because
of this, I don't love her.

♪

I want Bonnie
more than my hearing.

- If you change your mind,
let your doctors know.

Yeah, I've seen this before.

Implants are controversial
among the deaf.

For Bonnie, deafness
is a culture, a community.

She thinks we're trying to fix
a problem that isn't a problem.

- 45-year-old female.

Found delusional and agitated.
- Put her in treatment 4.

- No obvious injuries,
no meds given in the field.

- All right,
get ready to rotate.

Take them in, Angel.
Dr. Choi?

- Can't leave this GSW.
Terry, start the work-up.

See if you can get a history.
I'll be there soon.

- I'm going to call Psych.
Where's Monique?

Monique, get in here.

- Let's transfer on my count.
- It's his fault.

It's his fault!
- One, two, three.

- Ma'am, can you
tell us your name?

Do you know where you are?

- Over there. Look.
It's his fault.

- We need to sedate her.
- It's his fault.

It's his fault.
- You should wait for Dr. Choi.

- He told me to work her up.
I can't with her like this.

10 of haloperidol.
- Stop it before it's too late.

Stop him. Stop.
Stop him before it's too late.

Stop him before
it's too late.

Stop him
before it's too late.

Stop him before...
it's too late.

- Let's let her calm down

before we
take off the restraints.

- I thought this patient
was agitated.

- She was.
I sedated her.

Without waiting for me?

- Well, I couldn't examine her.
- Well now, neither can I.

You're a medical student.

You're not authorized
to order medication.

- But she was
delusional, psychotic.

- And you are not qualified
to make that diagnosis,

or any diagnosis.

The patient's emotional state
could have been

something entirely physical,
and therefore

easily treatable,
like a UTI, for instance.

But now,
we can't determine that

because you knocked her out.

You ought to
be written up for this.

- Dr. Charles, it was--

- I'm right here.

- Supervise your
medical students!

♪

- I wasn't told
the board was in session.

- Dr. Rhodes,
impressive proposal.

Unfortunately, we have to pass.

- A C-Arm. That's anywhere
from 1.7 million to 2.5.

Uh, booms and lights, 200,000.

Two large ceiling-mounted
hi-def screens.

Do I need to continue?
- No hospital I know of

has a hybrid O.R. in the E.D.

Not to mention
the huge PR benefit

in Med being the first--

- The investment
is not worth the expense.

I recommended
that the board pass.

They agreed.

- Well...

thank you for trying.

- I think it would be a mistake
for the hospital to lose this.

.

- In Yiddish, "bon voyage"
is for gezunterhait.

In Hebrew, however,
we say leich l'shalom,

which literally means
"go towards peace,"

but it has a deeper meaning

of going towards
greater spiritual perfection.

I'd like to wish you that,
Dr. Rhodes.

Leich l'shalom.

♪

- April.
- Emily.

- I want to apologize
for everything that happened.

It was all my fault.

I'm trying to make up
for what I did.

I'm trying to
turn my life around, and...

a lot of that
is because of you.

You believed in me, and...

I'm--I'm really sorry
I disappointed you.

Be right back.

- There you go.
- Thank you.

- Did you get a chance
to check out that venue?

- No.

I'm sorry, I left it
at the hospital.

- Yeah, well, I brought it.
- Oh.

- Natalie, look,
if you don't want

to get married, just say so.

Where is this coming from?

- You don't seem to care
about the ceremony,

or the reception.
It took you a week to say yes.

- And I said yes,
and I meant it.

- But you act like our marriage
is no big deal.

- Of course it's a big deal.

But a church wedding,
a reception.

I've done all that before.

- I haven't
been married before.

I want the whole thing.
- Just so you know,

a wedding is not a marriage.

- Glad you
cleared that up for me.

- Will.
- No, I'm just

overwhelmed with
your enthusiasm.

I'm going to get some food.

- Hey, Maggie.
Have you seen Ava?

Ms. Goodwin.

Hey, have you seen Dr. Bekker?

She said she was
coming tonight.

- Uh, no, I haven't.

- Maybe she
got stuck in surgery.

- Maybe.

- So let's get four of the
flutes over here, one more.

And then, we'll have a nice
arrangement right here.

Great.

- Dr. Bekker.

- Of course, this way.
I'll be right back.

- Creating a hybrid O.R.
in the E.D.

would be expensive,
and the hospital

is not willing
to make the commitment.

However, if private donors
such as yourself

would earmark contributions
for the project,

the board would be incentivized
to make the investment.

- Right.

- I wouldn't expect
you personally

to fund the entire project.

I would think
with your connections,

you could raise it with
just a few phone calls.

Well...

And you'd be running
this project?

- No, Dr. Rhodes--
Connor will be.

- I thought he was off
to the Mayo Clinic.

- I believe he'll
stay in Chicago

if the program gets funded.

- Well, as I'm sure
you're aware,

my son and I have not had
the easiest of relationships.

I'd want my involvement
kept anonymous.

- Of course, I understand.

- Let me think about it.

- I'm afraid this
is time-sensitive.

- Oh.

♪

I have an idea.

Why don't we go to dinner,
discuss this further?

♪

.

- Hey, Peter Rush's
these test results.

- Oh, man.
- Yeah.

- Peter, your deafness
wasn't caused by mumps.

It was caused
by a genetic disease

that you tested positive for,
Usher syndrome.

- And it's what caused
the symptoms

you are now experiencing.

- So some of your symptoms
can be addressed,

but Usher syndrome
causes a condition

called retinitis pigmentosa.

A progressive deterioration
of eyesight.

- I'm sorry, Peter,

but retinitis pigmentosa
is untreatable.

- No cure.

I'm going blind?

- Yes, you will experience
a significant loss in vision,

and maybe even blindness.

- Oh, God.

- We know this is
a lot to process.

A genetic disease specialist
will come down to discuss

what you can expect,
and what measures

can be taken to help.

- Maybe you want Bonnie
to come here for that?

- No, she can't find out.

- But you're getting married.
She will find out.

- She broke it off.

Now, it's all for the best.

I don't want her
coming back out of pity.

- You don't--
- She should be with someone

who won't be a burden to her.

♪

Sarah called.

Asked me to send her stuff.

She thought maybe she left
her case log here.

- Oh, uh, yeah.
Um...

Right here.

- Okay.
You know, I really liked Sarah.

I always hoped, you know,
something might happen, or...

But I guess with all
that she was going through,

never really had a real chance.
- Yeah.

I'm sorry about that, Noah.

- Yeah.

You know, she once told me
that, um...

the way you brought her
into psych helped her.

That you were the dad
she always wanted.

♪

- Uh, I've just been dizzy,
a little tired.

Getting these headaches.

- She's also complaining
of diarrhea.

Vitals are mostly normal,
a little soft on the pressure.

BP 95/58, heart rate 110.

- The patient is my sister,
so I'll leave you and April

to do the exam.

I'll be back to look in on you.
- Okay

- What--right.

I'm Elsa Curry,
third year medical student.

I'm going to examine you.

- Oh, um, no.
Um, I'm sorry.

I'm sorry, uh...

Peter's not up--for--

Okay.

Who told you?

Did you?
- No, no.

- No.

- She wants to know why
Peter's acting like this.

- It's up to Peter to tell her.

- You can tell her.

- Peter has a condition
called Usher syndrome,

which caused him
to lose his hearing

and will also cause him
to lose his sight.

♪

- All right, now,
let's move on to the budget.

The first line item to discuss
is marketing and PR.

Actually, let's table
that discussion.

- Dr. Bekker, Dr. Rhodes,
thank you for joining us.

I have good news.

The hospital received
donations earmarked

for your ED hybrid O.R.,
and the Board

has decided to provide
matching funds.

- We're going ahead
with your proposal.

- Well, I am very happy
to hear that.

- But there is one stipulation,
Dr. Rhodes.

You have to stay
and run the program.

- Emily's test results.

- No.

You're not sick.
You're pregnant.

- You didn't suspect
that might be the case?

- I mean, I have been
throwing up a lot.

- Do you even know
who the father is?

- Yeah, of course I know
who the father is.

What do you think I am?
It's Bernie.

- He's in my AA group.

- You're not supposed to date

people in your AA group.

- Look, he's been sober
for six years.

He's a responsible person.

You call this responsible?

I don't believe you.

- Oh, God, I didn't
mean it to happen.

What am I going to do now?

.

- Look, you were right.
Everything you said was right.

I'm an idiot, a total idiot.
- Ethan, don't.

You were just
trying to help her.

You were trying to be
a good big brother.

- And look at
the mess she's made.

- I know.

- Emily can't have this baby.

- Come on.

She has a history
of drug abuse.

She's sleeping with some guy
in her AA group.

- If you're going
where I think you're going--

- April, two months ago,
Emily was homeless.

Who know when
she'll run away again?

She's completely unstable, and
she might start using again.

Harm the fetus.
- And she might not.

- What kind of life
can she give a child?

- It doesn't matter.
- Of course it matters.

- No.
You're not Catholic.

It's a life.
We have to protect it.

I want to apologize
for earlier.

You really need to learn
how to follow protocol, okay?

But I shouldn't have snapped
at you like that.

I'm dealing with a, uh,
with a loss.

- Thank you.

- Coming in.

And your paperwork is done.

- I got to go tell Bernie.
I don't know how he'll take it.

I hope he's happy,
but, God, what if he's not?

I can't cope with this
by myself.

I--I can't
have this baby alone.

- Emily, you're not alone.

- Oh, yeah, but Ethan's
so mad at me.

- He'll come around.

And I'm here for you.

- We'll figure this out.

Okay.

- Now, I'm going to be sending
a series of beeps.

First very soft, inaudible.

When you can hear the beeps,
let me know.

- Wait, yes.

I can hear it, yes.
- Good.

Tell me, Peter,
can you hear my voice?

- Oh, God.
Yes, I can.

I can hear again.

♪

- She said that
she'll be his eyes,

and he'll be her ears.

- Ms. Garrett, I know
we've had our differences,

but I'm very happy you approved
the hybrid O.R. down here.

Sharon, if you would.

You go behind my back and
get these token contributions

for about a quarter
of the cost.

The hospital is out millions
for your pet project.

- The Board could have
refused the money.

- No, it couldn't,
and you know that.

These are some of
our biggest donors.

They want a hybrid O.R.,
they get a hybrid O.R.

You locked us in.

Are you going to fight me
on every one of my decisions?

- Depends on the decision.

♪

- Well, I'm glad I know
where we stand.

Our Chief of Emergency
Medicine, Dr. Stohl.

Very much your man.

- I think Dr. Stohl
is very much is own man.

- I have not been happy
with his performance of late.

We're not going to
renew his contract.

- Really, you'd
take this out on him?

- Stay out of my way.

♪

- They don't start serving
for another hour.

- Sit.

- Hanger steak,
planked whitefish,

and for vegetarians,
lentil and chickpea stew.

- Thank you.

- Dishes to try
for our reception.

You take care of the venue,
I'll take care of the caterer.

You know, eyes and ears.

Here, try.

- Mmm.
That's really good.

- Mm-hmm.

♪

- Here you go, Dr. Rhodes.
- Thanks, man.

Ava, hey.

So I was--I was looking into
what you were talking about,

Rochester, and you are right.
It is very cold.

- Yeah, so anyway,

I told the Board I was going
to stay here at Med.

- Yeah, I mean,
if the program is a success,

then it could be
a very big deal.

- It's a better career move
than Mayo.

- Exactly.
- Okay.

Well, I guess I don't
need to remind you.

You're no longer
on the CT service.

- Yet, you did.

- From now on, when you
bring a patient upstairs,

I decide the course
of treatment.

- Now, you see,
if I'd gone to Mayo,

that's exactly the kind of
collegial interaction

I would have missed.

♪

♪

- Dr. Charles.

Here to gloat?
- No.

Just dropped by to, uh...

let you know
Sarah's leaving Chicago.

You'll probably
never see her again.

My daughter?

She put me here.

- Huh. I thought you
put yourself here.

- It's all circumstantial.
You know that.

Where are the bodies?

If I could get
a halfway decent lawyer,

instead of that idiot P.D.
in his cheap suit.

You know, when I was having
my heart attack,

you weren't going to save me,
were you?

You were going to let me die.

♪

All right, do it now.
Kill me.

You've had your fun.
Enough.

No one would want to go on
living like this, anyway.

- I'm sorry you're having
such a hard time.

I'll talk to your doctor
and see if he'll

boost your anti-depressants.

- And I'm the one
without a conscience?

- No, don't worry about it.
It's gonna get better.

It always does.

Really.

In my experience, psychopaths
adjust extraordinarily well

to almost any situation.

Even, you know, this one.

♪