All language subtitles for Chicago Med S05E03 In the Valley of the Shadows

- Oh, no.
Now, you are burning up.

- And now you're on chemo
for breast cancer.

- I'm going to be careful.

- Oh, I'm sorry.
I thought I had a patient.

- Crockett Marcel.

Fourth year.
Surgery.

- Welcome back.
And the concussion?

- I'm taking it slowly.

- I just have to ask,
do you love him?

- My relationship with Phillip
is the only thing

in my life
that's working right now.

- My lymphoma is progressing,

and there's nothing more
they can do.

- I want to be there,
for all of it.

- Egg whites.

- Whoa.

What's all this?

- It's a meringue.

- For breakfast?

- No,
it's for Robin's birthday.

It's for a Baked Alaska.

The meringue goes over
the ice cream and the cake.

- Robin's birthday isn't for
a couple weeks, though, right?

- Yeah.
This is a test run.

- Oh.

- What's the fire
extinguisher for?

- I'm gonna set it on fire.

- Hey, how do you keep
the ice cream from melting?

- That's what
the test run's for.

- Ah.
- What a minute.

- Hey, maybe I should
play hooky today.

Stay home
and be your official taster.

- Ow!

- CeCe?
- Oh, my goodness.

- Honey, what happened?

- I'm getting so clumsy, honey.
- Let me look.

- No, no, please,
please, please.

- All right, I learned
this one in Biophysics.

- Yeah.

- Stop it.

- That's actually pretty cool.

- It's all in the lips, ladies.

- I bet.

- Hey.

Looks like we're paired
together today.

Lucky me.

- Excuse me.

- So, babe, that Crockett guy
is working days now?

What's the deal with him?

- Not sure he's my speed.

Strikes me as someone who
doesn't take things seriously.

- Yeah.

- Dr. Choi.
- Yeah.

- Treatment 4.

- Maggs, Todd Shepard?

Doesn't say what
he's in here for.

- Said he wanted
to discuss it with a doctor.

- No, I'm in the ED now.

Treatment Room 4.

How far away are you guys?

You're positive you'll be here
within the hour?

All right, thanks.

Sorry, I really needed
to make that call.

- That's okay, Todd.

- I go by Shep,
if you don't mind.

- Okay, Shep.

I'm Dr. Choi.
What brings you in today?

- About six weeks ago,
I was diagnosed with GBM.

It's a terminal--

- Terminal brain cancer.
I'm sorry, Shep.

- I've got all my medical
records right here

in case you're interested.

- Are you experiencing
any complications?

- Not exactly.

Excuse me one second.

The phone call I just made
was to a company called CCI.

Camden Cryonics Institute.

They're gonna preserve me
until a cure

can be found for my condition.

They're on their way here now.

- To freeze you?

- It's called vitrification,
but yeah.

- You understand you have to be
declared dead first.

- That's why I'm here.

For you to declare me dead,
so to speak.

- I'm sorry, Shep.
I'm confused.

- The cocktail I've been
drinking contains

amitriptyline, lorazepam,
and 200mg of amphetamines.

It should put me to sleep
in a little over an hour,

and arrest my heart
sufficiently for you

to declare me dead
in about five.

I have a DNI and DNR.
My lawyer assures me--

- Doris, come here.
We gotta pump his stomach.

- Stop.
I refuse treatment.

- Don't listen to him, Doris.

Give me a tube.
- Assault!

This doctor keeps touching me,

I'll sue the whole lot of you.

- Dr. Choi.

Stop.

- Here you can see the fracture
of the distal radius.

Minimal displacement.

- CeCe, are you all right?

Maggie said
you took some kind of fall.

- Broke her wrist.

- My arms aren't as long
as they used to be.

- I've seen worse.

Four to six weeks in a cast,
you'll be fine.

- What?
Four to six weeks?

But wait a minute.

I need to be able
to use my arm.

And there's, like, another
operation we could do?

- Normally, yeah, we would
surgically insert a plate,

shorten your recovery time,

but I really wouldn't
recommend that, Mrs. Charles.

- Why?
- It would just open the door

to a whole host
of other complications.

Given your condition, babe,
it's just not worth it.

- They're right, CeCe.

- We'll just let ortho
put a cast on it.

It's the least
worst option, right?

- I'll go talk
to the attending.

- Wait a minute.

- You okay, CeCe?

- She wants to make
a Baked Alaska for Robin.

- It was a flambé.

I was making her
a flambé for her birthday.

- Okay, I'll go to the bakery.

I'll get a big ol' cake,
sparklers,

and we'll do it up nice,
all right?

Daniel,
I hate to pull you away,

but we've got a situation.

- It's fine, you can go.
Go.

It's fine.
I'm fine.

- Be right back.
- I'm fine.

- All right, you all right?
- I'm fine.

- He's committing suicide
right in front of us.

How is this a gray area?

- Well, it's complicated
due to his condition

and his prognosis.

- Have you had
a chance to review

Mr. Shepard's
medical records, Sam?

- Yeah, he's terminal.

I could go in
and do a resection

and aggressively radiate,

but it'd buy him
12 to 15 months tops.

It's a question of when
and not if with this guy.

- And Mr. Shepard has the right
to refuse treatment.

- He's just a kid.

- Not according to the law.
- He's 18.

He's talking about freezing
his brain, for Chrissakes.

He thinks he's living
in some kind of comic book.

- Well, where are we
with cryonics, Sam?

I mean, is it possible
to freeze the brain?

- Yeah, sort of,
but that's the easy part.

Hard part's thawing it out
again and having it still work,

and that ain't even close
to happening.

- Mrs. Goodwin,
I need to lavage

this kid's stomach right now,

or else the drugs
will get into his bloodstream.

We'll be forced
to use supportive measures.

- No, no, Mr. Shepard
has a DNI and a DNR, Dr. Choi.

So unless the hospital
deems him incapable

of making an informed decision,
we have to honor his wishes.

- All right,
so let's ascertain

Mr. Shepard's
decisional capacity,

and then go from there.

Uh, Daniel?

Daniel?

- Yeah.
- Mr. Shepard?

- Yes, I will talk to him.

How long before he starts
to lose consciousness?

- 40, 45 minutes.

- Sharon, a word, please.

There's someone named Paula
over there

saying that she's here
to shadow me.

- Oh, Maggie, I'm sorry.

I intended to speak with you
about that first.

First the next few weeks,

Paula is going to be
your new orientee,

considering how much
you have on your plate.

- Sharon, really, I feel great.

- Don't you feel worn down
from your chemo?

- No.

- And you're happy with your
oncologist at East Mercy?

- They're treating me fine,
Sharon.

And no one here knows anything,

but if I've got
someone shadowing me around,

people here are gonna
start asking questions.

- Well, it's too late.
Paula's yours.

- But I just--
- Humor me.

- Hello, Keisha.
Hi, I'm Dr. Manning.

I hear you hurt your leg.

- She tripped and fell
carrying a cup of hot water

for me out of the microwave.

Spilled all over her leg.

- I'm sorry to hear that.

How about I take a look,
all right?

All right, let's see.

2 to 3% superficial
partial thickness

on the left anterior thigh.

She has a second-degree burn.

- Oh, my God.

- But it should be able to heal

on its own without surgery,

but it will take a few weeks.

I'm gonna do
a quick scrub bedside

just to speed up the process.

Will you start her on an IV?

- Is it gonna hurt her?

- No, I will give
Keisha sedation.

She won't feel a thing.

Thank you for being so still,
Keisha.

You are a very brave girl.

All right,
I'll be back shortly.

- Thank you.

- Hey, guys.

- Hi.
- What are you doing here?

I thought you were
headed to the park.

- Well, we were, but we were
putting some snacks together.

We figured
you might get hungry,

so thought we'd stop by.

- What you got?

- It's a cookie.

It's a cookie?

- Thank you.

I'm gonna eat it
with my lunch, okay?

- Okay.
- Okay.

- Well, why don't we let Mommy
get back to work?

I'll see you.

All right, let's head on out.

Oh, hey.

Don't work too hard.

See this door?

We're gonna walk
through this door here.

- That Owen's getting so big.

- Yeah.

- Hey, so listen,
I've been doing some research

on post-traumatic injury
rehabilitation,

and there's this computerized
training program

funded by the Pentagon
that's had some early success.

Now it's not on the market yet,

but Abrams
says there's a beta version

upstairs you can try out.

It might help you
get your memory back.

- Keisha's ready
to be debrided.

- Thanks.

Will you hook her up
to the monitors

and prep her
for 5mgs of etomidate?

- Mm-hmm.

- And I can forward you
the details

on that program if you like.

- Sure.

- This outfit that
you've contracted with, CCI?

- Uh-huh.

- They're gonna store
you indefinitely with the hope

that in the future
there will be a cure

for the cancer
that you have.

- Yeah.

- Sounds expensive.

- I inherited some money
when Gramps died.

Enough to cover it.

- It is pretty far-out stuff,
Shep.

You discussed
any of this with your family?

- I tried.

- Yeah.

They don't...

they don't get it.
They don't understand.

- Look...

you're here to determine
whether I'm sane enough

to make a decision like this,
aren't you?

- Yeah.

- Here's a hypothetical.

If the hospital across
the street could cure me,

wouldn't you feel
ethically compelled

to send me there for treatment?

- I would.

- Well, that's what I'm doing.

Sending myself
to a better hospital.

Only the hospital
I'm going to is in the future.

- Have you really thought about
what that future looks like?

I mean...

It won't be recognizable.

You won't recognize yourself.

I mean, you're trading away...

potentially a year
of your life.

I mean, that's something
priceless for a huge unknown.

I mean,
you understand that, right?

Shep.

Shep.

Look, if we're gonna
keep you alive,

if you're having
any second thoughts,

we need to know that now.

- You know
the Apollo astronauts...

those rockets were just
as likely to blow up

as they were
to propel them into space.

And the calculations made
to bring them home...

they were done
with pencil and paper.

Those astronauts had wives

and kids...

and lives to live.

It had to have been crazy

to climb into one
of those capsules.

Don't you think?

- So?

- Finding somebody doesn't
have the capacity

to make an informed decision,
I mean, it's a high hurdle--

- He's committing suicide.

He's a danger to himself
by definition.

Just put him on a psych hold.

- Yeah,
but if you follow his logic,

he's not committing suicide.

He's doing
precisely the opposite,

and kind of remarkably
clear-headed

about the whole thing.

- Then what about
the medications

he's taking for the GBM?

The steroids,
the anticonvulsives,

those have been known to alter
someone's personality, right?

- Yeah, but, I mean,

we don't have a baseline
to compare it to.

A determination like that
at this point

would be entirely subjective.

- His parents are on their way,
Dr. Charles.

Maybe they'll get here in time
to say good-bye to their son.

- Hey, Dan.
It's Caroline.

She's insistent
on having surgery.

I couldn't talk her out of it.

She's up in ortho.

- Help!

My baby's not breathing.

- Okay, help!
We've got a newborn.

- Baghdad.

Let's go.

Cyanotic and unresponsive.

Let's get her on the monitors,
and start bagging.

Deep lac
on the left anterior chest.

Are you the mom?

- Yes.
Yes, I am.

- What's your name?

- Nicole.
Is she gonna be okay?

- Can you tell me
what happened, Nicole?

- I was driving
to pick up some groceries,

you know,
and all of a sudden,

the contractions started,
like out of nowhere--

- Wait a second.
You were just in labor?

- You delivered
the baby yourself?

- In the backseat of my car.

That was an accident--
- Whoa, whoa.

- I was cutting
the umbilical cord.

I was supposed to do that,
wasn't I?

- That's right.
- Heart rate's coming back up.

- She's still not breathing.
I need to intubate.

Somebody get me
a neonatal pack.

- I can't believe
you're even standing.

Come on,
let's get you looked at.

- I'm not leaving him.

- Nicole, it's a girl.

Come on.
You've lost a lot of blood.

- No.

- Let her stay, Sexton.

- Tube.

I'm in.

Bag and call neonatology.

Can someone
get a chair for Mom here?

- I'm afraid, Mommy.

- It's okay, baby.

The doctor said
it wasn't going to hurt.

- That's right, Keisha.

Now you may feel a little
drowsy from the medication.

It's okay to close
your eyes and go to sleep.

Monique?

- She's a little hypotensive.
Is it okay to proceed?

- BP?
- 96/60.

- That's not too low.
She's probably just dehydrated.

Push the meds.

- She's been complaining
about feeling lethargic

for a couple weeks now.

Her pediatrician
couldn't find anything wrong.

I've been getting on her
lately for being so lazy.

What's going on?

- She's seizing.
Push 1 of Ativan.

- BP's crashing.
60/40.

- Bolus 500ml of normal saline.

- Keisha, talk to me.

- Ma'am, I'm gonna need you
to move over here.

- I need to intubate.
Draw 50 of sux.

- What's happening
with my little girl?

- Your phone connects
to the Carepoint

you're using, right?
- Uh-huh.

- I'm super-familiar
with that, FYI.

Got my MICN
certification last year,

so whenever you're ready for me

to do an incoming call, I can--

- You know what'd be
really helpful?

You checking all the drug
expiration dates.

- The drug expirations?

- Yeah. There are dates
stamped on every package.

You can start
with Pyxis over there,

and then of course,
all the crash carts.

- Okeydokey.

- Yeah.

Okeydokey.

- Girl sedated on a vent?
- Mm-hmm.

- Any idea
what caused her to crash?

- Apparently, Keisha fell
when she burned herself.

Maybe she bumped her head
and caused an epidural bleed.

- Walk me through
what you know.

Maybe I can help.

- The mother said Keisha
ran a bit of a fever last week,

but the pediatrician
couldn't find

anything out of the ordinary.

She was a little hypotensive

when I had Monique
push the ketamine,

but nothing
to precipitate this.

- Ketamine?

You mean etomidate, right?

- What?

- You had Monique
push etomidate.

I heard you call it earlier.

Yeah, it's right here
on the chart.

- That's strange.

I-I don't know
how I confused those two.

Whatever.
It doesn't matter.

There's no real
clinical difference.

- You feeling all right, Nat?

Any headaches,
problems concentrating--

- I misspoke, Will.

Let's not make
a big deal out of it.

- What did you put
in her side there?

- Well, your daughter's got
a collapsed lung.

That tube's gonna help
her breathe.

- So how long until I'll be
able to get her out of here?

- It's gonna be a while.

It'll be okay.

- Have you thought
of a name yet?

- Not really.

- Okay, you don't need
to do this right now,

but before you leave,
you're gonna need to fill out

these forms
for the birth certificate.

And we need to let your OB know
that you delivered already.

If you give me a name--

- I didn't really have an OB.

I mean, I had one,

but they were all the way
across town

near where
the baby's father lives,

and we recently split, so...

- Oh.

I'm sorry.

- Here, I'll fill out
as much as I can.

- Oh, your hand.

Melissa, may I have
some gauze, please?

You know,
I can't do any more than this

without getting you admitted.

- It's okay.
I'm all right.

- You need to see a doctor,
if for no other reason

than to make sure you've passed
all your placenta.

Dr. Marcel, isn't that right?

- Please,
don't separate me from my baby.

She needs me with her.

- How about we just
get you registered?

That way, we can get you
out of these clothes

and into something
more comfortable,

then you can stay here
with your child.

- Okay.
Thank you.

- April here
will scare you up some scrubs.

- I'm sorry, Dr. Marcel?
- Mm-hmm?

- She really needs
to be examined.

- Ah, relax, Sexton.

We just saved a baby's life.
That's good news.

- Look, something seems
off with mom.

Why is she so resistant
to being seen by a doctor?

- Who knows?

Maybe she took a little
something-something

to get her through the birth,
and now she's afraid

of having her baby taken away.

I don't know,
and neither do you.

- But if she didn't
just deliver this baby,

it's our responsibility
to find out.

Maybe we could figure out a way

to draw her blood,
check her hCG levels--

- Oh.

You draw anyone's blood
without consent,

that's considered assault.

- Now I don't know about you,
but I like being a doctor,

and not going to jail.

- If you won't help me,
I'll call DCFS in

to interview her.

Nicole's a righty, by the way.

- So?

- So...

if she actually
injured her hand

while cutting
the umbilical cord,

wouldn't it more likely be

the free hand that got cut?

- Hey.
- Hey.

- So, what's up?

- I understand
you're considering

undergoing surgery
to repair your wrist.

- Yeah.

- As your oncologist,

I need to strongly urge you

against that
course of treatment.

- That's exactly what he said.
Did you tell her to say that?

- Absolutely not.

- Your immune system
is profoundly

compromised by the chemo.

The risk of post-surgical
infection is very high.

I advise against
even minor surgery

unless absolutely necessary.

- This is absolutely
necessary because I'm making

a Baked Alaska for my daughter,

and I cannot do that
with, like, a cast on my hand.

- Caroline.

Robin would happily
celebrate her birthday

with a supermarket cupcake if
she knew what the risks were.

- This isn't about
what Robin wants.

This is about what I want.

- Why don't
I give you two some privacy.

- What?

- How about we just
have them put

a temp cast on it overnight,

and then we can mull over
the pluses, the minuses--

- Dr. Charles,
sorry to interrupt,

but you've been down to the ED.

And they specifically
asked for you, Dr. Charles.

- Go, Daniel.

Go, please.

- Heather.

Can you do me a favor
and please try and make sure

she does not get cleared
for surgery until I get back?

- Daniel.
- Please.

I just want to make sure
she doesn't make

any rash decisions.

Thank you.

- For the record,

CCI neither condones
nor endorses

the preemptive precipitation
of clinical death.

That said,
we are a service company.

- Sure.

- Hope the parents
aren't gonna be too much

of an impediment on this.

I don't want to step
on anyone's toes here,

but time really is
of the essence.

The second he's declared dead,
we need to start.

- Is this what you're using
to freeze him?

- We don't freeze anyone.

We're gonna vitrify him.

We replace his blood with
a medical-grade antifreeze.

As soon as his body temp
hits minus 124 degrees Celsius,

the body's liquid rises
so high in viscosity,

no molecule can budge.

Takes about three hours.

- You paged me?

- Yeah.

Parents wanted to speak
with you.

Mr. and Mrs. Shepard, please.

This is Dr. Charles.

- Why is no one stopping
my boy from doing this?

- Todd just turned 18.

He can't make a decision
like this for himself.

- He's bradying down.

- What's that?

- His heart stopped.

- Well, do something.

- I'm not legally
authorized to.

- Please.

We only have so much time
left with him.

- We're not ready
for him to die yet.

- Have you noticed
any personality changes

in Shep since diagnosis?

- I don't know.

- Has he been
more impetuous, stubborn,

less willing
to listen to reason?

- Yes, of course.

- I'm deeming the patient
decisionally incapacitated.

As next of kin,
you have the right

to make medical decisions
on his behalf.

- Should we attempt
to resuscitate?

- Yes.

- All right,
get me a crash cart!

Start bagging.

Quick-look paddles.
Hey, give us some room!

- How long will he need
to stay on support?

- Until the drugs
work through his system.

A few more hours at least.

- Thank you, Doctor.

- Sure.

Guess you guys rushed here
for nothing.

- Well, transfer's
already paid for,

so we'll stand by
if it's all the same.

Just in case.

- You can hang in that room
for the time being.

I didn't think you were buying
my personality change argument.

- Just erred
on the side of caution.

You know, gave everybody
a little more time.

- You made the right call.

- Hope so.

- So what, you forbade me
from having the surgery?

Really?

So we get married,
and now I have to ask

for permission for stuff,
is that right?

- I wasn't...

Come here.
Come here.

I'm not forbidding anything.

I just want to make sure
that we have enough

time to think this through.

- I thought about it.
I want the surgery.

- For a Baked Alaska?
- Yes.

- Do you know
how crazy that sounds?

- It's not about
the Baked Alaska.

It's about me showing love
to the people

I care about the way I want to.

- Look, I know I'm not the best
cook in the world,

but I can figure out a whisk.

I'll help you.
We'll do it together.

- No, no.
No!

Time is precious, Daniel.

And I don't want
to spend four weeks

not being able
to use my hand.

You knew who I was
when you signed on for this.

You knew who I was.

- No, this isn't
what I signed up for.

You being reckless
with your health,

that wasn't the deal.

There's too much to lose here.

I think you're being
a little selfish.

- So now I'm being selfish?
Really?

- I mean,
I just found you again.

I want to have as much time
with you as possible,

and... kind of hoping
you feel the same way.

- I do, but you know what?
This is my choice.

Period.

You hear that?

Period.

- I tried to get her
to let us examine her,

but she refused,
and given the circumstances

of the delivery--

- No, you did the right thing
calling Child Services, April.

That's what we're here for.

Excuse me.

Ms. Burke.

Nicole?

- Nicole, you gotta wake up.

We need to ask you
a few questions.

- She was feeling
pretty anxious about her baby,

so I gave her Ativan.

Should wear off
in an hour or so.

- Melissa, you'll notify us
when she wakes up?

- Of course.

- Thank you.

- I cannot believe that you
would undermine me like that.

- Excuse me?

- You knew I was calling
DCFS in to talk to her.

You sedated her on purpose.

- Please.

- You know what,
you don't want to help, fine.

Just do me a favor.
Stay out of my way.

- Goodwin got you a lackey?

What did you do
to get such special treatment?

- I'm just training her, Doris.

It's not permanent.

- That's not what I heard.

- Hmm.

- Good thing I checked these.

Look how many
had almost expired.

You know, if you want, I could
rework things moving forward?

- Great.

- So what's next?

- Actually, I'd love
a cup of coffee.

- Okay, I'll run down
to the cafeteria.

- I prefer Dark Matter coffee.
- Oh.

- There's one
about 12 blocks from here.

Why don't you
go get me a red-eye,

and get yourself
whatever you want?

- Thanks.
I'll be back in a jiff.

- Hey, um, Keisha's father
Darrell arrived.

Had a lot of questions.

- I know.
I need to go talk to them.

I'm not avoiding them.

I just don't have
the answers yet.

- What'd her CT show?

- Came back negative.
No bleed.

- Blood work?

- Glucose and sodium
are a little low,

but otherwise normal.

I'm gonna do an LP,
make sure we're not looking

at something like meningitis.

- You sure that's necessary?

She spiking a fever?

- Well, not today,
but her mom

said she was last week,

so I gotta check it
off my list.

- Hey, you want me
to take over Keisha for you?

- What?
Why?

- I just, Nat,
it's been a long week.

You know, you were
out of action for a while.

I'd understand if you're
feeling a little rusty.

Maybe you should look into that
program I mentioned earlier.

- This is because I misspoke,
isn't it?

You are fixated on me
getting my memory back.

Why?

- Nat, I just want you
to get better.

- I don't think that's it.

I think it's about you.

You want me to remember why
I came to see you that night,

so that maybe I'll...

tell you something
you want to hear.

- Natalie, no.

- Stop it.

I am fine.

And I don't appreciate
you talking to Dr. Abrams

about my health behind my back.

Monique, will you prep Keisha
for an LP?

- Okay.
- Thanks.

- Actually, Monique,
hold off on that.

I didn't want
to have to tell you this,

but I'm taking over
the patient.

The parents have lost
confidence in you.

They brought their daughter in
to have her burn looked at,

and now she's in a coma.

- Will, please don't do this.

- I'm sorry.

They want you off the case.

- Juliette!

- 23-year-old female,
found down,

intubated in the field,
18 gauge in the left arm.

She's eviscerated.

- Baghdad.

- Bowels wrapped
in moist saline gauze.

She's gotten
500 mils of crystalloid.

- Let's go, everybody.
Let's go, let's go.

- All right, on my count.

One, two, three.

Get her on the monitors.

- Heart rate's 130.
BP, 72/44.

- Trigger the MTP.

Open the hybrid room.

- I got you.

Open the hybrid.

- Oh, man.

Her uterus is cut hide open.

Looks like she was pregnant.

- Wait, what?
Where's the baby?

Where's this woman's baby?

- There was no baby on site.

- It had to have been Nicole.

Okay, this woman who did this,

her name is Nicole Burke.

She is in the NICU right now
with the baby.

Come on,
I'll show you.

- Stop!

Let the police do their job,
Sexton.

Come here and help me retract.

- You have to go up there fast.

Oh, my God.
- I need some more lap sponges.

- So what do you think?

Can we save the uterus?

- I don't know.

It's looking pretty ratty.

Even if we can fix it,
she'd run the risk

of it rupturing
with a future pregnancy.

I'd just do a hysterectomy.

- Well, she's only 23,

and I'm not sure
her baby's gonna survive.

I'm gonna try and save it.

- I'll go scrub,
but for the record,

this is against
my better judgment.

- You scrubbing in
or not, Maggs?

- I'm coming.

- Oh, hey, Maggie,
are you all right?

Should I jump in?
I'm certified.

- I'm fine.

- Why does this keep happening?

- The drugs he took
are making his heart stop,

and until
they clear his system...

- Feels like only yesterday
we were waiting to see

what college he would get into.

Now...

We just couldn't let him
go through

with that plan of his,
you know?

The--the thought
of his head just...

floating in a canister
in a warehouse somewhere...

- Shep told me that he tried
to talk to you two about this.

Is that right?

- Yeah.

- I don't know
if it's any comfort, but...

I was genuinely impressed
with how much thought

that he had put into this,

and how much sense
that it made to him.

- Please, Dr. Charles,
tell us what we're missing.

- Mrs. Shepard, I've been doing
this for a while,

and on a good day,

I'm just starting to think

I might be learning my way
around the human mind.

But trying to fathom
the thinking of someone

that's confronting
their own mortality...

unless you're the one that's
looking down that tunnel,

I just don't know
it's possible.

I think what we need to do
is try and listen,

understand,

and respect that it's
their journey to go on alone.

- They got his heart
back in rhythm.

You should go be with him.

What we need to do?

You give us the power
to make a decision,

and then judge us
for making it?

- Mr. Shepard, believe me,
I'm not judging anybody.

- Anyone from rheumatology
showed up yet?

- No.

- Lean on them, okay?

And run another set of labs.

- Mm-hmm.
- Oh, hey, there, again.

- Hi, Owen.
- Hi, Will.

- After we got done
in the park,

we went to the movies,

and then we figured we would
come here and wait for Mommy.

- Hey, Phillip?

- Yeah?

- Not so sure
this is the best place

for kids, you know?

Some scary stuff happens here
that maybe they can't unsee.

- Oh, yeah.

That's a good point.

Um...

There we go.

Now there's nothing to unsee.

Right?

- We told your supervisor

we didn't want you
treating our daughter anymore.

- I know, I just need
to check one last thing.

- Dr. Manning.

I'll have to ask you to stay
away from this patient.

- I was wrong.

Okay, etomidate and ketamine
are not the same thing.

A big difference
is that etomidate unmasks

adrenal insufficiencies.

- While ketamine doesn't.

- Yes.

You see the pigment spots
on Keisha's foot?

They are a sign
that her adrenal glands

are not producing
enough cortisol.

- 100mg of hydrocortisone.

- I don't understand.

- Cortisol helps the body
handle stress.

In its absence,
even the stress

of being examined
by a doctor was enough

to plummet Keisha into a coma.

- BP's improving.

- Her color's coming back.

- She's trying
to open her eyes.

- Oh, my baby girl.

- She's super cold.

I'm having trouble
keeping her pressure up.

You need to pack her up now
and get out.

- I told you
it wasn't worth it.

- A knot, and I'm done.

- You're pushing it,
Dr. Marcel.

- And...

there, done.

- Looks better than I thought.

- Let's temp-close
and get her upstairs.

Open up a vac sponge.

Maggie?

- I need to take a minute.

- Maggs.

Sexton!

Scrub in.

- Hey.

If you need to go home early,

I'm more than willing
to cover for you.

- You cover for me.

Your first day.

A little constructive
criticism, Paula.

You have an insanely inflated
sense of your own capabilities.

You know,
"I'm certified doing this,

so I did my dissertation
on that."

Please!

Get out.

- I'm sorry, but I refuse
to be spoken to like that.

- Is she gonna make it?

- Yeah, she lost
a lot of blood,

but, yeah, I'm hopeful.

- Do we know any more
about what happened?

- The victim's name
is Louisa Nash.

She and the assailant
were coworkers.

This morning,
Ms. Burke invited Louisa over

to give her
some old baby clothes.

When her guard was down,
she chloroformed her

and forcibly removed the baby.

- Who would ever do
something like that?

- She lost her son recently
to leukemia.

Maybe she had
some sort of mental breakdown,

I don't know.

We were lucky,

we got an anonymous tip
about Ms. Burke,

and that helped us
find Louisa in time.

- Suspect's hand
needs redressing.

Is that something
you can do here?

- I got it.

- Take care of my baby, okay?

Tell him I'll come for him
as soon as I can.

- This is getting to be
a bit of a circus.

- Here, I'll take you out
the back way.

- What's going on?

- They're withdrawing support.

- My wife and I decided

we're going to honor
our son's wishes.

- This way, maybe someday,
we'll get our son back.

- Time of death, 19:42.

- So I'm thinking this might
have been precipitated

by some kind
of underlying cause.

Maybe Addison's disease?

I'm gonna have endocrinology
come down and see her.

- Thought it was clear
I was gonna be the primary.

- I'm sorry,
but once I realized

what caused her to crash,
I had to act quickly.

I mean, Keisha could've died.

Oh. My ride's here.

- Adrenal crisis
should've been on

your differential
from the start.

- It was an odd presentation.

- Or you just weren't
thinking straight.

I'm gonna want to oversee
all your cases

moving forward,
until we know for sure

your TBI isn't adversely
affecting your patients.

- Are you serious?

There's nothing wrong with me.

You don't have the authority.

- I was hoping
we could do this off-book.

If not, we can formalize it
with Lanik and Goodwin.

I'm happy to talk to them.

Natalie...

It's for your own protection.

- Why do I feel like
you're punishing me

for something else?

Ready to go?

- Yep.

- Louisa?

Can you open your eyes for me?

Hey.

You're at Gaffney Chicago
Medical Center, in the ICU.

You sustained some injuries
that required us

to perform extensive surgery,
but you are okay.

- Would you like to meet
your baby girl?

Here she is.

We got lucky,
police finding her in time.

- Can I trust you
to keep a secret?

- Yeah. What?

- You know how that monster
was so antsy

to get out of here earlier?

- Mm-hmm.

- Well, Dr. Marcel gave her

enough Ativan to knock her out,
and while she was,

he drew some blood
and had her hCG levels checked

to see if she really delivered
that baby.

- What?
- You can't tell anyone, April.

Crockett could get fired.

He's such a badass.

Do you know
if he's seeing anybody?

- No, I don't.

- Paula quit?
- Yeah.

She said, and I quote,

the ED wasn't
a healthy environment for her.

- I had a feeling
she couldn't cut it.

- You chased her off, Maggie.

- And I told you
that I don't need the help.

- You're being stubborn.

I have a hospital to run.

So, if you don't want us
to treat you medically,

then you're getting help.

- April?
- Yeah?

- Thank you for scrubbing in
for me today.

- Yeah.

- I'd like to start

training you to take over
the position formally.

- Sure, of course.

- It'll help me take
some stuff off my plate.

- Does that mean
I'd be working with Dr. Marcel?

- Is that a problem?

- No.

- Start tomorrow.

- Okay.

- Thank you.

- Thank you.

- Do you really think
I'll get better care here

than at East Mercy?

- Hey.
- Why didn't you wait for me?

- Because you were
still on rounds

and Sharon offered me
a ride home.

- How did your, um--
how'd your surgery go?

- I didn't get it.

- You didn't?
- No.

They're, um, gonna check
my wrist again

in four weeks to see
if I still need a cast.

- I'll get that for you.

- You best not mess up
my Baked Alaska.

- No, ma'am.