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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:04,110 --> 00:00:07,370 - Maggie. - I need to take a minute. 2 00:00:08,890 --> 00:00:11,070 - Don't you feel worn down from your chemo? 3 00:00:11,110 --> 00:00:13,290 If you don't want us to treat you medically, 4 00:00:13,330 --> 00:00:14,770 then you're getting help. 5 00:00:14,810 --> 00:00:17,290 - That Crockett guy, what's the deal with him? 6 00:00:17,340 --> 00:00:19,250 - Not sure he's my speed. Strikes me as someone 7 00:00:19,300 --> 00:00:20,690 who doesn't take things seriously. 8 00:00:20,730 --> 00:00:22,170 - We told your supervisor 9 00:00:22,210 --> 00:00:23,430 we didn't want you treating our daughter. 10 00:00:23,470 --> 00:00:24,690 - I just need to check one last thing. 11 00:00:24,740 --> 00:00:26,350 - Dr. Manning. 12 00:00:26,390 --> 00:00:28,350 I'm gonna wanna oversee all your cases until we know 13 00:00:28,390 --> 00:00:30,610 your TBI isn't adversely affecting your patients. 14 00:00:30,660 --> 00:00:33,800 - You don't have the authority. - It's for your own protection. 15 00:00:38,270 --> 00:00:40,750 I'll go talk to her. 16 00:00:43,840 --> 00:00:45,540 - I know, I know. I'm late. 17 00:00:45,580 --> 00:00:47,630 It was hard getting out of the house this morning. 18 00:00:47,670 --> 00:00:50,200 - You sleep okay? - Got a full eight hours. 19 00:00:50,240 --> 00:00:52,940 I had breakfast. I don't have a headache. 20 00:00:52,980 --> 00:00:54,590 I feel great. 21 00:00:56,940 --> 00:00:59,200 - Toddler in Treatment 6. Nanny brought him in. 22 00:00:59,250 --> 00:01:00,510 Parents just got here. 23 00:01:00,550 --> 00:01:01,900 - A bloody nose? 24 00:01:01,950 --> 00:01:04,210 I'll do the intake and then pass it off to Terry. 25 00:01:04,250 --> 00:01:06,600 This has med student written all over it. 26 00:01:07,260 --> 00:01:10,170 - No, no, no. Lanik wants you to take it. 27 00:01:10,220 --> 00:01:11,740 - But I've got pediatric charts 28 00:01:11,780 --> 00:01:13,440 to follow up on from the night shift. 29 00:01:13,480 --> 00:01:15,480 - I'll take care of them. - Are you kidding? 30 00:01:15,530 --> 00:01:18,440 I was late because traffic sucked, not because of my TBI. 31 00:01:18,490 --> 00:01:20,630 - It's not my decision. 32 00:01:21,920 --> 00:01:23,880 I am fine. 33 00:01:23,930 --> 00:01:26,940 - Natalie... 34 00:01:36,810 --> 00:01:39,460 - Thank you. 35 00:01:43,950 --> 00:01:45,170 - What? 36 00:01:45,210 --> 00:01:47,430 - The wink wasn't exactly natural. 37 00:01:47,470 --> 00:01:49,820 - I was trying to match your sexy. 38 00:01:49,860 --> 00:01:52,300 - Just keep being you. 39 00:01:56,960 --> 00:01:58,870 - You catch any of that? 40 00:01:58,920 --> 00:02:01,310 - You mean you ogling my sister 41 00:02:01,350 --> 00:02:02,790 like she put the gris-gris on you? 42 00:02:02,830 --> 00:02:04,140 - Yeah. - Yes... 43 00:02:04,180 --> 00:02:05,400 it's now burned into my retinas. 44 00:02:05,450 --> 00:02:08,370 - Sorry. Gris-gris? 45 00:02:08,410 --> 00:02:11,980 - It's a voodoo thing... means you're under the spell... 46 00:02:12,020 --> 00:02:13,370 At least I think it does. 47 00:02:13,410 --> 00:02:15,450 Dr. Marcel drops a lot of Cajun nuggets. 48 00:02:15,500 --> 00:02:17,150 - You're starting your surgical residency with him, 49 00:02:17,200 --> 00:02:18,680 not prepping for Mardi Gras. 50 00:02:18,720 --> 00:02:20,290 Speaking of, how's it going? 51 00:02:20,330 --> 00:02:21,850 - It's intense. 52 00:02:21,900 --> 00:02:24,160 I mean, one minute I'm cracking open a chest 53 00:02:24,200 --> 00:02:25,860 and next I'm digging through a belly. 54 00:02:25,900 --> 00:02:27,210 - Just remember there's an actual person 55 00:02:27,250 --> 00:02:28,820 on that table, not just a body. 56 00:02:28,860 --> 00:02:30,030 - Of course. 57 00:02:30,080 --> 00:02:32,600 - Dr. Choi, good morning to you. 58 00:02:32,650 --> 00:02:35,000 Dr. Sexton, right on time. Let's go. 59 00:02:35,040 --> 00:02:36,820 - Cool. 60 00:02:36,870 --> 00:02:39,960 - Hey-hey there, Miss April. - Good morning, Dr. Marcel. 61 00:02:41,920 --> 00:02:44,400 - Noah say anything to you about working with Dr. Marcel? 62 00:02:44,440 --> 00:02:46,180 - Just that he's keeping him really busy, 63 00:02:46,230 --> 00:02:48,280 which I figure is a good thing. 64 00:02:49,790 --> 00:02:51,660 - Yeah. 65 00:02:51,710 --> 00:02:53,190 - I got a question for you. - What? 66 00:02:53,230 --> 00:02:54,670 - Why are you so damn sexy? 67 00:02:54,710 --> 00:02:57,060 - Stop it! How you gonna be talking nasty 68 00:02:57,110 --> 00:02:58,460 in the middle of the hospital? 69 00:02:58,500 --> 00:03:00,500 - I'm not nasty. She's nasty, trust me. 70 00:03:00,540 --> 00:03:02,630 - Well, you two look happy. 71 00:03:02,680 --> 00:03:04,330 - I'm here with my man. What's not to be happy about? 72 00:03:04,370 --> 00:03:05,980 - Where you off to? 73 00:03:06,030 --> 00:03:07,770 - You know I've been doing that volunteer upstairs? 74 00:03:07,810 --> 00:03:09,680 So we gonna go grab a cup of coffee 75 00:03:09,730 --> 00:03:11,510 and then he's gonna walk me upstairs afterwards. 76 00:03:11,560 --> 00:03:13,650 Wait a minute, you should join us. 77 00:03:13,690 --> 00:03:15,510 - Honey, I'm so sorry, it's the E.D. 78 00:03:15,560 --> 00:03:17,260 I gotta skip coffee. 79 00:03:17,300 --> 00:03:18,950 Okay, well, you do, but we don't. 80 00:03:19,000 --> 00:03:22,090 - Uh, sorry, I have a staff meeting in 20 minutes. 81 00:03:22,130 --> 00:03:24,090 - Well, then we gotta drink fast then, right? 82 00:03:24,130 --> 00:03:25,350 Come on, give me some. 83 00:03:25,400 --> 00:03:26,750 - I love you. I'll see you later. 84 00:03:26,790 --> 00:03:27,920 - I love you, too. 85 00:03:27,960 --> 00:03:29,090 - I love you, too, but in a different way. 86 00:03:29,140 --> 00:03:31,230 - Whatever. 87 00:04:46,300 --> 00:04:48,300 - So, Carl, how long has the pain and nausea 88 00:04:48,350 --> 00:04:49,960 been bothering you? 89 00:04:50,000 --> 00:04:51,090 - Uh, kind of lost track. Let's just say years? 90 00:04:51,130 --> 00:04:52,570 - So it comes and goes? 91 00:04:52,610 --> 00:04:54,700 - No, it came and never left. 92 00:04:54,750 --> 00:04:56,280 I've learned how to cope, 93 00:04:56,310 --> 00:04:58,230 but some days I just can't look the other way. 94 00:04:58,270 --> 00:05:00,580 Yeah, today's one of them. 95 00:05:00,620 --> 00:05:03,190 Actually, this is the worst it's ever been. 96 00:05:03,230 --> 00:05:05,150 - Vitals are normal. Afebrile. 97 00:05:05,190 --> 00:05:07,230 - Is this the first time you've seen a doctor for it? 98 00:05:07,280 --> 00:05:10,110 - Here in Chicago. I'm from Tennessee, though. 99 00:05:10,150 --> 00:05:12,540 I was a regular at the Westwood Regional E.D. 100 00:05:12,590 --> 00:05:15,940 Pretty sure every doc there poked, prodded, and scanned me. 101 00:05:15,980 --> 00:05:17,380 - I'll have them forward his records. 102 00:05:17,420 --> 00:05:19,250 - Did Westwood Regional make a diagnosis? 103 00:05:19,290 --> 00:05:21,030 - No...they had a lot of theories. 104 00:05:21,080 --> 00:05:23,570 IBS, IBS-C, ulcer... 105 00:05:23,600 --> 00:05:25,990 One doc thought I had an eating disorder. 106 00:05:26,040 --> 00:05:29,080 Believe me, I would pile on the pounds if I could... 107 00:05:29,130 --> 00:05:31,260 but eating sends me right to the bathroom. 108 00:05:31,300 --> 00:05:33,520 - Vomiting? - Most of the time. 109 00:05:33,570 --> 00:05:35,870 I just can't believe this is what I've been reduced to. 110 00:05:35,920 --> 00:05:37,480 I'm 26. 111 00:05:37,530 --> 00:05:40,180 I should've graduated college, met someone special. 112 00:05:40,230 --> 00:05:41,840 Instead my life is making sure 113 00:05:41,880 --> 00:05:43,840 I always know where the nearest bathroom is. 114 00:05:43,880 --> 00:05:45,580 - We'll figure this out. 115 00:05:45,620 --> 00:05:49,280 Mo, let's get a chest x-ray, KUB, CBC, CMP and a UA. 116 00:05:49,320 --> 00:05:51,100 I know you've seen a lot of doctors for this. 117 00:05:51,150 --> 00:05:52,930 I'll do my best to be the last one. 118 00:05:54,460 --> 00:05:57,150 - Good morning, I'm Dr. Manning. 119 00:05:57,200 --> 00:05:58,900 - I'm Kyle. This is my wife Janet. 120 00:05:58,940 --> 00:06:00,380 This little guy is Lucas. 121 00:06:00,420 --> 00:06:01,940 - Hi, Lucas. 122 00:06:01,990 --> 00:06:03,990 - Hi. - Peek-a-boo! 123 00:06:04,030 --> 00:06:05,730 - Peek-a-boo. 124 00:06:05,770 --> 00:06:07,340 Well, he seems happy. 125 00:06:07,380 --> 00:06:08,430 That's a good start. 126 00:06:08,470 --> 00:06:10,820 Um, I see the bloody nose has stopped. 127 00:06:10,860 --> 00:06:12,130 Can you tell me what happened? 128 00:06:12,170 --> 00:06:13,560 - He was at the park with his nanny 129 00:06:13,610 --> 00:06:15,480 and it just started gushing 130 00:06:15,520 --> 00:06:17,610 and she couldn't reach either of us, so... 131 00:06:17,650 --> 00:06:20,000 since they were around the corner, she brought him here. 132 00:06:20,050 --> 00:06:22,480 - I have a three-year-old and a nanny, I get it. 133 00:06:22,530 --> 00:06:24,050 All right... 134 00:06:24,100 --> 00:06:25,450 - Yeah, the nosebleeds aren't a new thing. 135 00:06:25,490 --> 00:06:27,140 We've been dealing with them all summer. 136 00:06:27,190 --> 00:06:29,460 - Can I see your nose? 137 00:06:29,490 --> 00:06:31,540 Hmm, turbinates are swollen and irritated. 138 00:06:31,580 --> 00:06:33,320 Seasonal allergies? 139 00:06:33,370 --> 00:06:35,680 - Oh, yeah, they've been brutal for all of us this year. 140 00:06:35,720 --> 00:06:38,770 For Lucas, it's nosebleeds and this rash on his arm... 141 00:06:38,810 --> 00:06:39,820 - Hmm... 142 00:06:41,290 --> 00:06:42,980 - Oh, yeah, and that little cough. 143 00:06:43,030 --> 00:06:45,160 - Hey, buddy, can you open your mouth for me? 144 00:06:45,200 --> 00:06:47,470 Real wide, like this. Aah. 145 00:06:47,510 --> 00:06:48,860 Good, good, good. 146 00:06:48,900 --> 00:06:50,990 I am seeing evidence of post-nasal drip. 147 00:06:51,040 --> 00:06:52,480 That's likely what's causing the cough. 148 00:06:52,520 --> 00:06:53,830 Is it worse at night? 149 00:06:53,860 --> 00:06:55,820 - It was, but then we put an atomizer 150 00:06:55,870 --> 00:06:57,560 with eucalyptus oil by his crib. 151 00:06:57,610 --> 00:06:58,650 It's helped a lot. 152 00:06:58,700 --> 00:07:00,660 - Let's take a look. 153 00:07:00,700 --> 00:07:02,570 All right, let's see. 154 00:07:05,830 --> 00:07:08,010 He's a little wheezy. Any fever? 155 00:07:08,050 --> 00:07:10,050 - He felt a little warm yesterday morning. 156 00:07:10,100 --> 00:07:12,660 He-- 157 00:07:12,710 --> 00:07:16,840 He was fussy at breakfast, but by lunch and ever since then, 158 00:07:16,890 --> 00:07:18,930 he's--he's been a bundle of energy. 159 00:07:18,980 --> 00:07:21,590 - Good. Is this the rash you mentioned? 160 00:07:21,630 --> 00:07:23,500 - Yes. 161 00:07:23,550 --> 00:07:25,590 - Have you been using topical hydrocortisone cream on it? 162 00:07:25,640 --> 00:07:27,430 - No, I've been mashing up 163 00:07:27,460 --> 00:07:29,860 a chewable fish oil tablet in his yogurt. 164 00:07:29,900 --> 00:07:33,030 - Oh, okay. Well, if it's working. 165 00:07:35,040 --> 00:07:38,090 All evidence is pointing towards allergies 166 00:07:38,130 --> 00:07:40,790 and an overcautious nanny, but since Lucas may have 167 00:07:40,820 --> 00:07:44,090 had a fever yesterday, I would like to do some blood tests. 168 00:07:45,260 --> 00:07:47,480 Is something wrong? 169 00:07:47,530 --> 00:07:49,350 - We just...have adopted 170 00:07:49,400 --> 00:07:51,360 a naturopathic approach to our health care. 171 00:07:51,400 --> 00:07:53,440 - Well, the thing with blood tests is they will 172 00:07:53,490 --> 00:07:55,580 not introduce anything new into Lucas's system. 173 00:07:55,620 --> 00:07:57,060 There'll just show us 174 00:07:57,100 --> 00:07:58,450 if something's there that shouldn't be. 175 00:08:01,020 --> 00:08:02,800 - Yeah, okay. Go ahead. 176 00:08:02,850 --> 00:08:04,590 - Great. I'll send a nurse in. 177 00:08:06,110 --> 00:08:08,980 - Maggie, Doris said you were looking for me? 178 00:08:09,030 --> 00:08:10,640 - Yes, I've got an appointment this afternoon. 179 00:08:10,680 --> 00:08:13,640 I need you to take over for me while I'm gone. 180 00:08:14,470 --> 00:08:16,770 - No problem. What time will you be back? 181 00:08:16,820 --> 00:08:19,080 - I won't. - Okay. 182 00:08:19,120 --> 00:08:21,520 I guess that's all I need to know. 183 00:08:24,820 --> 00:08:26,560 Monique, what am I missing? 184 00:08:26,610 --> 00:08:29,050 These last few weeks, Maggie's been so short with me. 185 00:08:29,090 --> 00:08:30,740 - It's not just you. The other day, I saw her 186 00:08:30,790 --> 00:08:33,270 sneak into an open treatment room and lie down. 187 00:08:33,310 --> 00:08:35,140 So I asked her if she was feeling okay 188 00:08:35,180 --> 00:08:36,750 and she bit my head off. 189 00:08:36,790 --> 00:08:38,710 - Huh... 190 00:08:40,490 --> 00:08:42,190 - I'm elbow-deep in this guy's belly-- 191 00:08:42,230 --> 00:08:43,760 and it was a big belly, 192 00:08:43,800 --> 00:08:46,240 highly doubtful this fellow ever skipped a meal. 193 00:08:46,280 --> 00:08:48,590 No, not surgical. 194 00:08:48,630 --> 00:08:52,110 So, I go to sew up a hole in the small bowel and bam-- 195 00:08:52,160 --> 00:08:54,420 out pops this critter. 196 00:08:54,460 --> 00:08:57,030 No lie, this thing looks straight at me, 197 00:08:57,070 --> 00:08:59,730 dropped back into the bowel, disappeared. 198 00:09:01,170 --> 00:09:03,520 - What the hell? What was it? 199 00:09:03,560 --> 00:09:06,210 - A tapeworm. Biggest one I ever seen. 200 00:09:06,260 --> 00:09:08,000 Only one I've ever seen. 201 00:09:08,040 --> 00:09:10,430 Eh...also not surgical. 202 00:09:11,570 --> 00:09:14,570 - So--so what did you do? - Went after it. 203 00:09:14,610 --> 00:09:16,400 I stuck ringed forceps into that bowel 204 00:09:16,440 --> 00:09:18,880 and I yanked that ol' worm out. All three feet of him. 205 00:09:18,920 --> 00:09:20,620 Then I sent him off to pathology 206 00:09:20,660 --> 00:09:21,710 and finished the case. 207 00:09:21,750 --> 00:09:23,140 No. 208 00:09:24,540 --> 00:09:27,840 - If Dr. Marcel is taking Noah under his wing, 209 00:09:27,890 --> 00:09:30,370 he should teach more and brag less. 210 00:09:30,410 --> 00:09:33,330 - Yeah, his style is just different than yours. 211 00:09:33,370 --> 00:09:35,150 That's probably why you don't like it. 212 00:09:35,200 --> 00:09:37,460 - Come on, you buy that tapeworm story? 213 00:09:38,860 --> 00:09:41,650 Come on, Dr. Marcel may be a personality, 214 00:09:41,680 --> 00:09:44,160 but he's a good surgeon. 215 00:09:47,600 --> 00:09:49,560 - Carl's labs and x-rays are back. 216 00:09:49,610 --> 00:09:51,010 - What about his medical records 217 00:09:51,040 --> 00:09:52,300 from his previous hospital? 218 00:09:52,350 --> 00:09:53,740 - Still working on it. 219 00:09:53,780 --> 00:09:55,520 Seems Westwood Regional went bankrupt. 220 00:09:55,570 --> 00:09:57,130 I've got a call into the company appointed 221 00:09:57,180 --> 00:09:58,350 to handle patient affairs. 222 00:09:58,400 --> 00:10:00,480 - Thanks, Mon. - Mm-hmm. 223 00:10:03,230 --> 00:10:05,840 - Uh-oh. You look concerned. 224 00:10:05,880 --> 00:10:07,970 - Your white cell count is high, 225 00:10:08,010 --> 00:10:09,620 x-ray showed dilated loops of bowel, 226 00:10:09,670 --> 00:10:11,360 and your overall blood count is low. 227 00:10:11,410 --> 00:10:13,240 - That means more tests, right? 228 00:10:13,280 --> 00:10:15,670 - Yeah. - So what's next? 229 00:10:15,720 --> 00:10:18,110 - Uh, a CT angiogram of your blood vessels 230 00:10:18,160 --> 00:10:20,300 and a CT with contrast for your bowel. 231 00:10:20,330 --> 00:10:22,460 Did you ever have either of these tests before? 232 00:10:22,510 --> 00:10:26,030 - Angiogram... I don't know, maybe. 233 00:10:26,080 --> 00:10:28,560 The CT with contrast-- 234 00:10:28,600 --> 00:10:30,910 is that the scan you drink something first? 235 00:10:30,950 --> 00:10:33,300 Then I've had one of them. 236 00:10:33,340 --> 00:10:35,520 Didn't like that drink at all. 237 00:10:35,560 --> 00:10:37,520 - Well, unfortunately it hasn't gotten any better. 238 00:10:37,570 --> 00:10:40,230 Sorry, man. I'll go put in the order. 239 00:10:40,260 --> 00:10:42,130 - Thanks. 240 00:10:52,970 --> 00:10:56,630 - Patient in T4... 241 00:10:57,500 --> 00:10:59,110 Something worth looking into. 242 00:11:03,590 --> 00:11:06,120 - Don't forget. Don't forget, don't forget, 243 00:11:06,160 --> 00:11:07,810 don't forget legal research regarding 244 00:11:07,860 --> 00:11:09,900 contractor's negligence for the complaint... 245 00:11:09,950 --> 00:11:11,730 Issue. Rule. 246 00:11:11,770 --> 00:11:13,380 - Eunice Kim, 25. 247 00:11:13,430 --> 00:11:15,340 First year associate at some big-time law firm. 248 00:11:15,390 --> 00:11:17,340 Anyway, her roommate called us when the, uh, ranting 249 00:11:17,390 --> 00:11:19,610 and the pacing started to annoy the neighbors. 250 00:11:19,650 --> 00:11:22,390 - She say anything about the last time she slept? 251 00:11:22,440 --> 00:11:24,520 - Yeah, been at least two days. 252 00:11:24,570 --> 00:11:26,740 When we showed up, she was screaming at herself 253 00:11:26,790 --> 00:11:28,620 in the mirror. We tried to calm her, but... 254 00:11:28,660 --> 00:11:30,440 - Yeah, she wouldn't have any of that. 255 00:11:30,490 --> 00:11:32,320 Find any drugs in the apartment? 256 00:11:32,360 --> 00:11:35,270 - Nope. Tons of books, nothing sketchy. 257 00:11:35,320 --> 00:11:36,750 - Charges pending? 258 00:11:36,800 --> 00:11:38,760 - Figured you could help more than lock-up. 259 00:11:38,800 --> 00:11:40,320 - I appreciate it. 260 00:11:40,370 --> 00:11:43,330 Hey, let's get some M-TABs for Eunice. 261 00:11:47,420 --> 00:11:49,200 - Don't forget...don't forget. - Eunice, how you doing? 262 00:11:49,250 --> 00:11:51,160 I'm Dr. Charles. 263 00:11:51,200 --> 00:11:53,250 - IRAC...Issue. Rule. - Eunice. 264 00:11:53,290 --> 00:11:54,550 - IRAC. 265 00:11:54,600 --> 00:11:57,300 - Eunice! Hey, how you doing? 266 00:11:57,340 --> 00:11:58,340 I'm Dr. Charles. You think we could 267 00:11:58,390 --> 00:11:59,790 maybe sit and talk a bit? 268 00:11:59,820 --> 00:12:01,170 - Only a moment. 269 00:12:01,210 --> 00:12:02,210 I don't have anything more to spare. 270 00:12:02,260 --> 00:12:03,740 Oh, I got it! 271 00:12:03,780 --> 00:12:05,300 A motion to strike the affirmative defense. 272 00:12:05,350 --> 00:12:06,920 - Eunice. - Wait, can't do that... 273 00:12:06,960 --> 00:12:08,660 - Eunice! 274 00:12:08,700 --> 00:12:10,790 I can see you're under a whole lot of pressure. 275 00:12:10,830 --> 00:12:12,920 I'd like to give you some medicine to help you 276 00:12:12,970 --> 00:12:14,500 calm down a bit? 277 00:12:14,530 --> 00:12:16,490 You know, maybe think more clearly. 278 00:12:16,530 --> 00:12:19,100 - Think more clearly. - Yeah. 279 00:12:19,150 --> 00:12:20,680 - That might help. - Okay. 280 00:12:20,710 --> 00:12:23,410 - I need to organize. - Yeah. 281 00:12:24,500 --> 00:12:26,330 - I don't know where I am. 282 00:12:26,370 --> 00:12:28,460 - You're in a safe place, Eunice. 283 00:12:40,600 --> 00:12:42,860 - What's going on? - He's losing it. 284 00:12:42,910 --> 00:12:44,300 - I need to get out. 285 00:12:44,340 --> 00:12:45,390 - How much longer till we get the scan? 286 00:12:45,430 --> 00:12:46,520 - Twenty seconds. 287 00:12:46,560 --> 00:12:47,960 - Two milligrams of midazolam. 288 00:12:48,000 --> 00:12:49,780 Carl, it's Dr. Choi. We're almost done. 289 00:12:49,830 --> 00:12:51,520 - I'm gonna be sick! 290 00:12:51,570 --> 00:12:54,180 - Slow breaths. Only ten more seconds. 291 00:12:54,220 --> 00:12:56,140 - I'm not gonna make it. 292 00:12:56,180 --> 00:12:57,880 - Yes, you can. You can do this, Carl. 293 00:12:59,100 --> 00:13:00,190 Five seconds. 294 00:13:00,230 --> 00:13:02,230 Four...three, 295 00:13:02,280 --> 00:13:04,200 two, one. You good? 296 00:13:04,230 --> 00:13:05,930 Get him out, get him out, get him out. 297 00:13:09,590 --> 00:13:13,200 You did it, Carl. Good job, buddy. 298 00:13:13,240 --> 00:13:16,590 It's over. Good job, bud. 299 00:13:18,250 --> 00:13:20,680 I'm sorry. 300 00:13:20,730 --> 00:13:24,040 - It's okay. Hey, it's all right. 301 00:13:24,080 --> 00:13:25,990 Good job, buddy. 302 00:13:33,130 --> 00:13:36,130 - I mean, that's not a normal calf, right? 303 00:13:36,180 --> 00:13:39,360 - Yeah, it's swollen. And you didn't injure it? 304 00:13:39,400 --> 00:13:42,050 - No, nothing. I went to bed, it was fine. 305 00:13:42,100 --> 00:13:44,450 Woke up, thing's a grapefruit. 306 00:13:44,490 --> 00:13:47,150 - Press against my hand. One to ten, how bad's the pain? 307 00:13:47,190 --> 00:13:49,890 - I'd say a seven, maybe an eight. 308 00:13:49,930 --> 00:13:51,020 - That's in line with what I'm thinking. 309 00:13:51,060 --> 00:13:52,890 Blood clot. It's called a DVT, 310 00:13:52,940 --> 00:13:54,550 deep vein thrombosis. 311 00:13:54,590 --> 00:13:56,420 - Seriously? Me? 312 00:13:56,460 --> 00:13:58,030 I exercise a few times a week. 313 00:13:58,070 --> 00:14:00,720 I don't sit for long periods of time. 314 00:14:00,770 --> 00:14:02,600 - Unfortunately not fitting the profile 315 00:14:02,640 --> 00:14:04,730 doesn't mean you can't develop one. 316 00:14:04,770 --> 00:14:06,950 Beating the odds. 317 00:14:06,990 --> 00:14:09,120 Lucky me. 318 00:14:09,170 --> 00:14:13,610 - CBC, BMP, Protein C, S and Factor 5 Leiden. 319 00:14:13,650 --> 00:14:16,650 Let's get Mr. Bowe a DVT scan and put him on a heparin drip. 320 00:14:16,700 --> 00:14:18,260 I'll check on you in a bit, okay? 321 00:14:18,310 --> 00:14:20,180 - Uh, Dr. Halstead, before you leave, 322 00:14:20,220 --> 00:14:23,050 can you grab my phone? Front pocket of my jeans. 323 00:14:23,100 --> 00:14:24,800 - Sure. 324 00:14:24,840 --> 00:14:27,710 - I kept the swollen calf under wraps 'cause I didn't want 325 00:14:27,750 --> 00:14:29,840 my fiancée to freak out, 326 00:14:29,890 --> 00:14:31,770 but I think we're to the point where I-- 327 00:14:31,800 --> 00:14:33,240 I better let her know what's going on. 328 00:14:33,280 --> 00:14:34,800 - Gotcha. 329 00:14:39,420 --> 00:14:41,200 - Oh, man. 330 00:14:42,900 --> 00:14:44,550 - That's one angry belly. 331 00:14:44,600 --> 00:14:46,300 - What's going on? 332 00:14:46,340 --> 00:14:48,030 - Surgical consult. 333 00:14:48,080 --> 00:14:50,030 - I didn't call for one. 334 00:14:50,080 --> 00:14:52,650 - It was only a matter of time. Good find, Noah. 335 00:14:52,690 --> 00:14:55,470 - Dr. Marcel, Dr. Sexton, can I speak with you outside? 336 00:15:00,090 --> 00:15:01,740 All this stalking around the E.D., 337 00:15:01,790 --> 00:15:03,220 peeking in on patients... 338 00:15:03,270 --> 00:15:06,050 You hanging outside Carl's room earlier, 339 00:15:06,100 --> 00:15:07,540 you were sniffing for surgical cases. 340 00:15:08,620 --> 00:15:10,230 And Noah's your intern. 341 00:15:10,270 --> 00:15:11,930 Best you can do is show him how to poach patients? 342 00:15:11,970 --> 00:15:14,580 - Whoa, poaching implies stealing. 343 00:15:14,630 --> 00:15:16,550 I hardly think that applies in Carl's case, 344 00:15:16,580 --> 00:15:18,240 seeing as how you were gonna call us anyway. 345 00:15:18,280 --> 00:15:21,070 - Possibly. - Possibly? 346 00:15:21,110 --> 00:15:23,020 Dr. Choi, Carl's belly was so hot 347 00:15:23,070 --> 00:15:24,850 it nearly burned my hands. 348 00:15:24,900 --> 00:15:27,030 There's an issue in there that requires surgical attention. 349 00:15:27,070 --> 00:15:29,420 Or do my hands deceive me? 350 00:15:29,470 --> 00:15:32,120 - No, CT showed a partial small bowel obstruction 351 00:15:32,160 --> 00:15:34,340 with a likely transition point. 352 00:15:35,040 --> 00:15:37,730 - So, it is surgical. - Possibly. 353 00:15:38,390 --> 00:15:40,560 The CT imagery is poor because Carl 354 00:15:40,610 --> 00:15:42,260 was agitated during the scan. 355 00:15:42,310 --> 00:15:44,360 I'm not comfortable making any treatment decisions 356 00:15:44,390 --> 00:15:47,000 before I know exactly what's causing the obstruction. 357 00:15:48,140 --> 00:15:50,050 So I'm ordering an MRI. 358 00:15:50,100 --> 00:15:52,060 Pending the results, 359 00:15:52,100 --> 00:15:54,970 I'll let you know if a surgical consult is needed. 360 00:15:55,970 --> 00:15:58,100 - Okay. 361 00:15:58,150 --> 00:15:59,970 I apologize for overstepping. 362 00:16:00,020 --> 00:16:03,410 Protocol, etiquette. They mean something. 363 00:16:03,460 --> 00:16:07,370 I'll do better at remembering that, okay. 364 00:16:14,550 --> 00:16:17,510 - Doris, uh, any word from the lab on Lucas's tests? 365 00:16:17,560 --> 00:16:19,120 - Not yet. 366 00:16:19,170 --> 00:16:20,650 Word's out your case screams allergies. 367 00:16:20,690 --> 00:16:22,340 It's probably last in line. 368 00:16:23,780 --> 00:16:25,350 - Maggie. 369 00:16:25,390 --> 00:16:26,780 - Yeah? 370 00:16:26,830 --> 00:16:29,130 - There are patients waiting to be seen 371 00:16:29,180 --> 00:16:32,090 and I have absolutely nothing going on. 372 00:16:32,140 --> 00:16:34,830 - Light case load. Lanik was very clear. 373 00:16:34,880 --> 00:16:36,180 - This is ridiculous. 374 00:16:36,230 --> 00:16:38,490 - Then talk to Lanik and stop bugging me. 375 00:16:38,540 --> 00:16:41,330 You're giving me one more headache that I don't need. 376 00:16:41,360 --> 00:16:43,370 - Okay... 377 00:16:44,890 --> 00:16:47,330 - Look, I'm sorry. 378 00:16:47,370 --> 00:16:49,500 I have somewhere to be and I can't be late. 379 00:16:49,550 --> 00:16:52,980 April, I'm leaving. 380 00:16:56,730 --> 00:16:58,900 - Eunice, how you doing? 381 00:16:58,950 --> 00:17:02,120 I'm, uh, happy to see that, um... 382 00:17:02,170 --> 00:17:04,910 you seem to be a little better. 383 00:17:04,950 --> 00:17:08,520 - Embarrassed is more like it. 384 00:17:09,220 --> 00:17:14,090 It's all a blur, but I know I wasn't...myself. 385 00:17:14,140 --> 00:17:17,180 - I understand how-- how scary that can feel. 386 00:17:17,230 --> 00:17:19,840 - It can't happen again. 387 00:17:19,880 --> 00:17:23,800 Now on, no matter how busy I am, I'll make time for sleep. 388 00:17:23,840 --> 00:17:25,620 - Sleep is crucial, 389 00:17:25,670 --> 00:17:28,890 but counseling, medication, 390 00:17:28,930 --> 00:17:31,630 other lifestyle changes are all things we need to talk about. 391 00:17:31,680 --> 00:17:33,770 - Little extreme, no? 392 00:17:33,810 --> 00:17:36,770 I mean, I had a panic attack, not a nervous breakdown. 393 00:17:36,810 --> 00:17:38,380 - Wasn't a panic attack. 394 00:17:38,420 --> 00:17:40,200 I'm--I'm quite sure that you were experiencing 395 00:17:40,250 --> 00:17:44,210 a manic episode, Eunice, systematic of bipolar disorder. 396 00:17:45,730 --> 00:17:47,170 - No... 397 00:17:47,210 --> 00:17:49,950 no, no, no. I can't have bipolar. 398 00:17:50,000 --> 00:17:52,390 I have $300,000 in student loans 399 00:17:52,440 --> 00:17:54,140 and my salary doesn't even make a dent. 400 00:17:54,180 --> 00:17:56,180 I need to make partner. 401 00:17:56,220 --> 00:17:57,570 Takes most lawyers five years. 402 00:17:57,610 --> 00:18:00,530 I'm on track to do it in three. 403 00:18:00,570 --> 00:18:02,920 Can't you just give me more of that medication? 404 00:18:02,970 --> 00:18:04,750 Or something else? 405 00:18:04,800 --> 00:18:06,500 - The thing is, 406 00:18:06,540 --> 00:18:08,490 bipolar disorder doesn't really work that way. 407 00:18:08,540 --> 00:18:11,060 Unless you address it comprehensively, 408 00:18:11,110 --> 00:18:13,320 the manic episodes will likely return. 409 00:18:13,370 --> 00:18:15,200 They'll increase in intensity and can even be followed 410 00:18:15,240 --> 00:18:16,850 by cycles of depression. 411 00:18:16,890 --> 00:18:18,420 - But I know the signs now. 412 00:18:18,460 --> 00:18:20,070 I can get out in front of it if I start to feel off. 413 00:18:20,120 --> 00:18:21,690 Control it. 414 00:18:21,730 --> 00:18:24,350 - I don't think anybody can control this, 415 00:18:24,380 --> 00:18:27,640 you know, not even somebody as determined as you. 416 00:18:28,340 --> 00:18:30,820 But, Eunice, you can absolutely learn how to manage it. 417 00:18:30,860 --> 00:18:32,340 Why don't you let me admit you 418 00:18:32,390 --> 00:18:33,910 and let's start looking for a stable medication? 419 00:18:33,950 --> 00:18:36,170 - No, I'd like to be discharged. 420 00:18:37,040 --> 00:18:38,570 Today's not a wash, yet. 421 00:18:38,610 --> 00:18:41,480 I can still put in some face time at the firm. 422 00:18:44,880 --> 00:18:48,360 Look, I know the criteria for involuntary commitment. 423 00:18:49,880 --> 00:18:52,670 Legally, you can't keep me here. 424 00:19:03,200 --> 00:19:05,160 - Does the furrow of your brow 425 00:19:05,200 --> 00:19:08,030 suggest a surgical consult is now needed? 426 00:19:09,340 --> 00:19:11,300 - MRI revealed a focal solitary mass 427 00:19:11,340 --> 00:19:12,820 in the distal pancreas. May be a cyst. 428 00:19:12,860 --> 00:19:14,650 - I concur. 429 00:19:14,690 --> 00:19:17,170 Gotta assume it's what's riling Carl's belly up so fiercely. 430 00:19:17,220 --> 00:19:19,660 He needs a distal pancreatectomy. 431 00:19:19,700 --> 00:19:22,050 You take out the section of pancreas housing the mass, 432 00:19:22,090 --> 00:19:23,480 no more chaos downstream. 433 00:19:23,530 --> 00:19:25,220 - Whoa, that is a huge procedure. 434 00:19:25,270 --> 00:19:26,700 Not to mention, it won't do a thing for Carl 435 00:19:26,750 --> 00:19:28,010 if the mass isn't the issue. 436 00:19:28,050 --> 00:19:29,230 - If the mass isn't the problem, 437 00:19:29,270 --> 00:19:30,880 then what are we looking at? 438 00:19:30,920 --> 00:19:32,660 - Carl's been suffering for years. 439 00:19:32,710 --> 00:19:34,360 The mass could have been there the whole time, unchanged, 440 00:19:34,410 --> 00:19:36,020 which means it's likely not a factor. 441 00:19:36,060 --> 00:19:38,370 - Or the mass has been growing over time. 442 00:19:38,410 --> 00:19:40,190 We leave it in, the inflammation worsens, 443 00:19:40,240 --> 00:19:41,980 the bowel completely obstructs, 444 00:19:42,020 --> 00:19:43,850 then perforates, and Carl becomes septic. 445 00:19:43,890 --> 00:19:46,680 The first step of that potentially fatal catastrophe 446 00:19:46,720 --> 00:19:48,330 is a fever, which, 447 00:19:48,380 --> 00:19:51,250 by the looks of him, has set in. 448 00:19:52,820 --> 00:19:55,510 - 100.6, but holding. 449 00:19:55,560 --> 00:19:57,250 - Yeah, for now. 450 00:19:57,300 --> 00:19:58,430 - You operate on his pancreas and you're wrong, 451 00:19:58,470 --> 00:19:59,470 it does way more harm than good. 452 00:19:59,520 --> 00:20:01,220 - But if I'm correct, he lives. 453 00:20:01,260 --> 00:20:02,690 - And I don't like ifs. 454 00:20:04,180 --> 00:20:05,660 Carl will be treated medicinally until 455 00:20:05,700 --> 00:20:07,700 his previous scans arrive and I can compare them 456 00:20:07,740 --> 00:20:09,400 against today's MRI. 457 00:20:09,440 --> 00:20:11,310 - Uh, that's gonna be a problem. 458 00:20:11,360 --> 00:20:13,970 - His medical records from Westwood Regional 459 00:20:14,010 --> 00:20:15,790 are being held hostage. 460 00:20:24,760 --> 00:20:26,500 - This is a mess. 461 00:20:26,550 --> 00:20:28,030 You know, Westwood Regional's bankruptcy 462 00:20:28,070 --> 00:20:30,420 has created the legal equivalent of a battle royale. 463 00:20:30,460 --> 00:20:32,810 - MRS... Medical Record Services. 464 00:20:32,860 --> 00:20:35,420 I'm assuming they control Westwood's patient charts? 465 00:20:35,470 --> 00:20:38,860 - Correct, it's MRS that have the files on lockdown. 466 00:20:38,910 --> 00:20:40,830 They're actually threatening to destroy them. 467 00:20:40,860 --> 00:20:42,650 - My main concern right now is Carl 468 00:20:42,690 --> 00:20:44,560 and my opinion has not changed. 469 00:20:44,610 --> 00:20:47,390 His distal pancreas is wreaking havoc and it needs to come out. 470 00:20:47,440 --> 00:20:49,310 - Without Carl's previous scans, which it's clear 471 00:20:49,350 --> 00:20:51,310 we're not gonna get, you can't prove that's the fix. 472 00:20:51,350 --> 00:20:54,360 - No, I cannot. - Then you shouldn't operate. 473 00:20:54,400 --> 00:20:56,710 The pancreas is the most unforgiving organ in the body. 474 00:20:56,750 --> 00:20:58,180 The potential for surgical complications 475 00:20:58,230 --> 00:20:59,750 is through the roof. 476 00:20:59,800 --> 00:21:02,230 - True, but God only gave us so many heartbeats. 477 00:21:02,280 --> 00:21:04,320 No sense in Carl running out of his early. 478 00:21:04,370 --> 00:21:06,410 - Uh, excuse me, is there something going on 479 00:21:06,460 --> 00:21:07,990 here that I should know about? 480 00:21:08,020 --> 00:21:10,680 - Nothing I'm aware of. Dr. Choi? 481 00:21:13,980 --> 00:21:16,940 - Then give me recommendations. 482 00:21:18,160 --> 00:21:19,730 - Let me operate now 483 00:21:19,770 --> 00:21:21,510 before his bowel perforates and it's too late. 484 00:21:21,560 --> 00:21:23,120 - Ms. Goodwin, it's a risky procedure 485 00:21:23,170 --> 00:21:24,520 that may be unnecessary. 486 00:21:24,560 --> 00:21:26,740 Let me admit Carl for more tests. 487 00:21:29,430 --> 00:21:33,700 - Hi, I'm sorry, the lab took longer than expected. 488 00:21:33,740 --> 00:21:36,090 So Lucas's BUN, creatinine, 489 00:21:36,140 --> 00:21:38,440 and white cell count are all elevated. 490 00:21:38,490 --> 00:21:41,660 That suggests dehydration. 491 00:21:42,400 --> 00:21:44,880 And between the white cell count, his persistent cough, 492 00:21:44,930 --> 00:21:46,710 and the post-nasal drip, 493 00:21:46,760 --> 00:21:48,500 it's likely a bacterial sinus infection. 494 00:21:48,540 --> 00:21:50,370 - Okay. Thanks, Dr. Manning. 495 00:21:50,410 --> 00:21:51,850 - Yeah. 496 00:21:51,890 --> 00:21:53,330 - So what do you think? 497 00:21:53,370 --> 00:21:55,500 We could make popsicles from coconut water. 498 00:21:55,550 --> 00:21:57,110 That should help with the dehydration. 499 00:21:57,160 --> 00:21:59,330 - Yeah, maybe add an herbal antihistamine, too 500 00:21:59,380 --> 00:22:00,770 I can pick up some powdered quercetin 501 00:22:00,810 --> 00:22:01,940 at the farmer's market. 502 00:22:01,990 --> 00:22:03,380 - Great. 503 00:22:03,430 --> 00:22:05,440 - I'm sorry, perhaps a more immediate treatment... 504 00:22:05,470 --> 00:22:08,120 - You mean antibiotics? No, not after last time. 505 00:22:08,170 --> 00:22:10,610 - Lucas had an ear infection last year. 506 00:22:10,650 --> 00:22:12,390 The doctor prescribed amoxicillin. 507 00:22:12,430 --> 00:22:14,960 One dose and he broke out in hives everywhere. 508 00:22:15,000 --> 00:22:16,830 - I mean, his recovery from the antibiotic was 509 00:22:16,870 --> 00:22:18,400 worse than the ear infection. 510 00:22:18,440 --> 00:22:20,090 And since then, if there are natural options 511 00:22:20,140 --> 00:22:22,620 without side effects, we try those first. 512 00:22:22,660 --> 00:22:25,230 - Look, like you two, my son's health comes 513 00:22:25,270 --> 00:22:28,450 before anything else. But, you know, sometimes 514 00:22:28,490 --> 00:22:29,750 there's just some things that 515 00:22:29,800 --> 00:22:31,410 a holistic approach alone won't cure. 516 00:22:31,450 --> 00:22:32,980 - We agree. 517 00:22:33,020 --> 00:22:34,320 A sinus infection isn't one of them, though. 518 00:22:34,370 --> 00:22:36,980 - You're right. Over time, natural remedies 519 00:22:37,020 --> 00:22:40,590 may help his immune system resolve the infection, 520 00:22:40,640 --> 00:22:42,030 but the dehydration... 521 00:22:42,070 --> 00:22:44,680 Lucas needs more than popsicles. 522 00:22:44,730 --> 00:22:47,600 At least let me give him an electrolyte drink. 523 00:22:47,640 --> 00:22:49,170 - How much? 524 00:22:49,210 --> 00:22:50,950 - 24 ounces to sip throughout the day. 525 00:22:50,990 --> 00:22:52,430 - 24 ounces through a sippy cup? 526 00:22:52,470 --> 00:22:53,950 He won't do it. 527 00:22:54,000 --> 00:22:55,350 - Is there another way? 528 00:22:55,390 --> 00:22:56,650 - Saline IV. 529 00:22:56,700 --> 00:22:58,620 And I know it's another needle, 530 00:22:58,650 --> 00:23:01,000 but no side effects. I promise. 531 00:23:02,050 --> 00:23:06,100 - Saline but no antibiotics. 532 00:23:06,140 --> 00:23:07,620 - Understood. 533 00:23:07,660 --> 00:23:09,270 - Thank you. - Thank you. 534 00:23:11,800 --> 00:23:13,620 - Dr. Halstead. The blood thinner, 535 00:23:13,670 --> 00:23:15,020 I don't think it's working. 536 00:23:15,060 --> 00:23:17,020 The calf's still huge 537 00:23:17,060 --> 00:23:19,200 and my foot's starting to swell up, too. 538 00:23:20,020 --> 00:23:21,500 - You having trouble breathing? 539 00:23:21,550 --> 00:23:23,240 - More like, uh, winded. 540 00:23:27,680 --> 00:23:29,120 - I wanna send you for a CT. 541 00:23:29,160 --> 00:23:30,860 I gotta get a better look at that clot. 542 00:23:32,080 --> 00:23:34,300 This'll help you breathe better. 543 00:23:34,340 --> 00:23:36,260 Get ahold of your fiancée? 544 00:23:36,300 --> 00:23:37,610 - Voicemail. 545 00:23:37,650 --> 00:23:39,080 She's, uh, still looking at dresses. 546 00:23:39,130 --> 00:23:41,300 Pretty sure she's not checking her phone. 547 00:23:42,310 --> 00:23:43,650 - So when's the big day? 548 00:23:43,700 --> 00:23:47,440 - Spring. Still debating locations. 549 00:23:48,920 --> 00:23:52,100 - Congratulations. Techs will be by in a few. 550 00:23:53,060 --> 00:23:55,930 - ...surgery. It's your choice. 551 00:23:55,970 --> 00:23:57,230 Okay. - Thank you. 552 00:23:57,280 --> 00:23:58,500 - All right. 553 00:24:00,890 --> 00:24:04,020 - So I explained both of your positions. 554 00:24:04,070 --> 00:24:07,030 Philosophically, he agrees with you, Dr. Choi, 555 00:24:07,070 --> 00:24:09,550 preferring a conservative approach. 556 00:24:09,590 --> 00:24:13,600 But realistically, he's in pain and desperate to feel better, 557 00:24:13,640 --> 00:24:15,770 so he chose the surgery. 558 00:24:15,820 --> 00:24:19,300 Dr. Marcel, Mr. Harris is now your patient. 559 00:24:22,780 --> 00:24:25,700 - All right, let's do this. 560 00:24:25,740 --> 00:24:28,090 See you in the OR. 561 00:24:31,400 --> 00:24:33,490 - This is huge. 562 00:24:46,890 --> 00:24:48,720 - Eunice? 563 00:24:50,720 --> 00:24:52,240 You're right. 564 00:24:53,770 --> 00:24:55,900 I can't control this. 565 00:24:57,600 --> 00:24:59,950 I need help. 566 00:25:02,470 --> 00:25:04,300 - Well, you're gonna get it. 567 00:25:06,610 --> 00:25:08,780 Come on. 568 00:25:19,060 --> 00:25:21,330 - How long will the CT take? 569 00:25:21,360 --> 00:25:22,320 - Just a few moments. 570 00:25:22,360 --> 00:25:24,190 He'll be back before you know it. 571 00:25:24,230 --> 00:25:27,450 - Okay, 'cause I haven't been able to reach my fiancée 572 00:25:27,500 --> 00:25:30,890 and my phone's at, like, 4%, so... 573 00:25:30,940 --> 00:25:32,810 - I'll call her. 574 00:25:32,850 --> 00:25:35,290 - Thanks. Her name's Aubrey... 575 00:25:35,330 --> 00:25:37,590 Her number's my emergency contact. 576 00:25:37,640 --> 00:25:39,860 - I got it. 577 00:25:43,860 --> 00:25:45,560 - Wait, now you think it's pneumonia? 578 00:25:45,600 --> 00:25:47,170 - It's a possibility. 579 00:25:47,210 --> 00:25:48,560 - We thought you were going to tell us we could go home. 580 00:25:48,610 --> 00:25:50,960 I mean, Lucas isn't dehydrated anymore, right? 581 00:25:51,000 --> 00:25:52,960 - Right, but he is still wheezing 582 00:25:53,000 --> 00:25:54,790 and his temperature has ticked up. 583 00:25:54,830 --> 00:25:57,960 - The nurse said it was 99.3. Is that even a fever? 584 00:25:58,010 --> 00:26:00,180 - He looks fine. He's up, he's active. 585 00:26:00,230 --> 00:26:02,360 - On the outside, he may look normal, 586 00:26:02,400 --> 00:26:04,140 but on the inside, 587 00:26:04,190 --> 00:26:06,750 pneumonia is notorious for its slow progression. 588 00:26:06,800 --> 00:26:08,280 - Or it is just a sinus infection, 589 00:26:08,320 --> 00:26:10,280 which you've been saying all day 590 00:26:10,320 --> 00:26:11,630 until apparently right now. 591 00:26:11,670 --> 00:26:12,850 - Okay. 592 00:26:14,280 --> 00:26:16,890 How would you know for sure if it's pneumonia or not? 593 00:26:16,940 --> 00:26:19,810 - A chest x-ray. - You're kidding, right? 594 00:26:19,860 --> 00:26:22,340 We said no to antibiotics. We're definitely not letting 595 00:26:22,380 --> 00:26:24,510 you zap Lucas full of radiation. 596 00:26:24,560 --> 00:26:27,180 These hospitals... you scare people with diagnoses 597 00:26:27,210 --> 00:26:29,340 and then you sell them on treatments they don't need 598 00:26:29,390 --> 00:26:31,210 that actually make them sicker. 599 00:26:31,260 --> 00:26:32,740 - Dr. Manning, we'd like to go home, okay? 600 00:26:32,780 --> 00:26:35,000 If Lucas doesn't improve, we'll take him to our doctor. 601 00:26:35,040 --> 00:26:38,310 - A doctor? An actual M.D.? 602 00:26:38,350 --> 00:26:41,220 - No, he's a holistic healer. 603 00:26:41,270 --> 00:26:44,530 - Hmm, so his answer for pneumonia is gonna be what? 604 00:26:44,580 --> 00:26:47,110 Oil of oregano? Horseradish with lemon? 605 00:26:47,140 --> 00:26:49,580 - Look, you don't agree with alternative medicine, fine. 606 00:26:49,620 --> 00:26:51,100 But don't insult us. 607 00:26:51,150 --> 00:26:53,370 - I'm trying to inform you. - Dr. Manning? 608 00:26:53,410 --> 00:26:55,930 - Yes. - Speak with you a moment? 609 00:26:55,980 --> 00:26:58,200 - Please excuse me. 610 00:27:03,860 --> 00:27:05,560 - What's going on? 611 00:27:05,600 --> 00:27:08,380 - My boy with the bloody nose, it may very well be pneumonia, 612 00:27:08,430 --> 00:27:11,000 but his parents won't allow me to do a chest x-ray. 613 00:27:11,040 --> 00:27:12,860 They'd rather go home and take their chances 614 00:27:12,910 --> 00:27:14,690 with herbs and teas. 615 00:27:14,740 --> 00:27:16,210 - Let me see the chart. 616 00:27:19,700 --> 00:27:21,090 These symptoms, okay. 617 00:27:21,130 --> 00:27:22,830 Pneumonia has to be on the differential. 618 00:27:22,870 --> 00:27:24,700 - Yeah. - Let me talk to them. 619 00:27:24,750 --> 00:27:26,570 - Okay. 620 00:27:26,620 --> 00:27:28,400 - Alone. 621 00:27:41,980 --> 00:27:43,370 - Do what you need to do. 622 00:27:43,420 --> 00:27:45,370 - Thank you for working with us. 623 00:27:47,420 --> 00:27:49,290 They agreed to the chest x-ray. 624 00:27:50,690 --> 00:27:52,610 This is the second time this month parents have 625 00:27:52,640 --> 00:27:54,170 lost faith in your judgment. 626 00:27:54,210 --> 00:27:56,300 - They may be upset now. 627 00:27:56,340 --> 00:27:58,740 They won't be when I'm right. 628 00:27:58,780 --> 00:27:59,950 - I gotta tell you, these labs, 629 00:28:00,000 --> 00:28:01,430 they look like a sinus infection, 630 00:28:01,480 --> 00:28:03,960 so you better be right that it's pneumonia. 631 00:28:15,580 --> 00:28:18,450 - Hello, hello, hello. 632 00:28:18,500 --> 00:28:20,770 This is your last week, huh? 633 00:28:20,800 --> 00:28:23,370 Oh, girlie. You're looking good. 634 00:28:23,410 --> 00:28:25,760 Girlfriend's a champ. 635 00:28:25,810 --> 00:28:28,030 You still working on my sweater? 636 00:28:28,070 --> 00:28:29,590 Thank you. 637 00:28:29,640 --> 00:28:32,730 That's a good catch. 638 00:28:34,860 --> 00:28:36,730 - Maggie. 639 00:28:37,950 --> 00:28:39,690 - Caroline. 640 00:28:40,910 --> 00:28:43,610 - I am so sorry. I didn't know. 641 00:28:44,780 --> 00:28:47,220 - No one does, except for Sharon, 642 00:28:47,260 --> 00:28:50,350 and I'd like to keep it that way, please. 643 00:28:50,400 --> 00:28:53,140 - Yeah. I've been there. 644 00:28:54,490 --> 00:28:57,010 You mind if I sit? 645 00:28:58,100 --> 00:28:59,800 Girl, you got a whole bag hanging. 646 00:28:59,840 --> 00:29:01,890 You ain't going nowhere no time quick. 647 00:29:04,630 --> 00:29:06,280 - Okay. 648 00:29:06,330 --> 00:29:09,250 Come on. - Come on. 649 00:29:09,290 --> 00:29:11,640 Come on. 650 00:29:15,810 --> 00:29:18,600 So where's the badness? 651 00:29:18,640 --> 00:29:20,510 - In my breast. 652 00:29:20,560 --> 00:29:22,470 - And what's the prognosis? 653 00:29:22,520 --> 00:29:25,440 - Still waiting to see how I respond to chemo stage. 654 00:29:25,480 --> 00:29:27,750 - Okay, I been there. 655 00:29:27,780 --> 00:29:29,610 - Sisters in arms. 656 00:29:31,570 --> 00:29:33,310 So you know this keeping a secret thing, 657 00:29:33,350 --> 00:29:35,880 it's not gonna--it's not gonna be that easy, right? 658 00:29:35,920 --> 00:29:38,230 - I'm managing. - Oh. 659 00:29:38,270 --> 00:29:41,880 Cancer's a heavy lift and I know it sounds like a cliché, 660 00:29:41,930 --> 00:29:44,800 but there's strength in community. 661 00:29:44,840 --> 00:29:47,150 - And pity. - Mm-hmm. 662 00:29:47,190 --> 00:29:50,280 - And obligation... and I don't want any of that. 663 00:29:50,330 --> 00:29:52,070 - I hear you. 664 00:29:52,110 --> 00:29:54,850 I was afraid to tell my friends, too. 665 00:29:54,900 --> 00:29:57,680 But once I let them in, 666 00:29:57,720 --> 00:29:59,860 I let my friends be my friends. 667 00:30:02,380 --> 00:30:05,560 It was a real comfort. 668 00:30:11,220 --> 00:30:13,520 - It's time to heal with steel, Dr. Sexton. 669 00:30:13,570 --> 00:30:16,220 Incision is yours. What's it gonna be? 670 00:30:16,270 --> 00:30:18,100 - Midline? 671 00:30:18,140 --> 00:30:19,660 - Is that question or a statement? 672 00:30:19,700 --> 00:30:21,140 - Midline. 673 00:30:21,180 --> 00:30:22,790 - Okay, then what? 674 00:30:22,840 --> 00:30:25,060 - Divide and tie off the falciform ligament. 675 00:30:25,100 --> 00:30:26,320 - Keep going... 676 00:30:26,360 --> 00:30:28,670 - Eviscerate the patient and... 677 00:30:28,710 --> 00:30:31,020 find the transition point of the small bowel. 678 00:30:31,060 --> 00:30:33,670 - I like what I'm hearing. Don't stop now. 679 00:30:33,720 --> 00:30:36,110 - Uh, we open the lesser sack, 680 00:30:36,150 --> 00:30:38,030 take down the lienocolic ligament... 681 00:30:38,070 --> 00:30:39,420 - We'll take good care of you, I promise. 682 00:30:39,460 --> 00:30:41,590 By your side the whole time... - Dr. Marcel? 683 00:30:41,640 --> 00:30:43,600 What are you doing? 684 00:30:44,600 --> 00:30:46,990 - This isn't an easy surgery. I'm just letting Carl know 685 00:30:47,040 --> 00:30:49,220 that we're gonna take special care of him. 686 00:30:49,250 --> 00:30:50,390 - You think he can hear you? 687 00:30:50,430 --> 00:30:52,040 - Unsure... 688 00:30:52,080 --> 00:30:55,040 but what the body can't hear, perhaps the soul can. 689 00:30:55,610 --> 00:30:57,910 That said, Carl needs to know exactly what's going to happen. 690 00:30:57,960 --> 00:31:00,220 So, continue, Dr. Sexton. 691 00:31:00,270 --> 00:31:02,930 - Isolate the spleen, 692 00:31:02,960 --> 00:31:06,620 put a curved eight around the hilum, 693 00:31:06,660 --> 00:31:08,230 and then take the spleen out. 694 00:31:08,270 --> 00:31:11,060 From there we mobilize the distal pancreas 695 00:31:11,100 --> 00:31:13,760 and put a TA 90 stapler across it. 696 00:31:13,800 --> 00:31:16,540 - Okay, let's get started. 697 00:31:25,730 --> 00:31:26,950 - Hey! 698 00:31:26,990 --> 00:31:29,510 Sorry I'm late. Patient surprised me... 699 00:31:29,560 --> 00:31:30,910 in a good way. 700 00:31:30,950 --> 00:31:32,730 Not always the case. 701 00:31:35,520 --> 00:31:37,560 How you doing? How's your day going? 702 00:31:37,610 --> 00:31:39,740 - You know what? 703 00:31:39,780 --> 00:31:42,390 I am so happy. 704 00:31:42,440 --> 00:31:44,050 You know? 705 00:31:44,090 --> 00:31:45,700 I wish everyone could feel this way. 706 00:31:45,750 --> 00:31:48,760 - Hmm. Nice. 707 00:31:49,920 --> 00:31:52,190 - You know what, let's make some lasagna. 708 00:31:52,230 --> 00:31:54,230 I'm gonna make some. 709 00:31:54,280 --> 00:31:56,410 - I love your lasagna. 710 00:31:56,450 --> 00:31:58,280 - I do. 711 00:31:59,370 --> 00:32:00,980 - All right, let's invite Sharon over. 712 00:32:01,020 --> 00:32:02,630 It'd be nice to hang out with friends. 713 00:32:02,680 --> 00:32:04,640 - Done. - I love that. 714 00:32:04,680 --> 00:32:07,110 Come on, lasagna. 715 00:32:09,810 --> 00:32:11,810 - Thank you. 716 00:32:29,050 --> 00:32:31,790 - Nurse moved me up to the oxygen mask... 717 00:32:31,840 --> 00:32:33,720 but I still can hardly breathe. 718 00:32:33,750 --> 00:32:38,320 - Yeah, your CT shows a large proximal pulmonary embolism. 719 00:32:38,360 --> 00:32:39,710 It means the blood clot 720 00:32:39,760 --> 00:32:41,370 from your leg has moved to your lungs. 721 00:32:42,850 --> 00:32:44,280 - I played tennis yesterday. 722 00:32:44,330 --> 00:32:47,020 Now I don't have the energy to sit up? 723 00:32:47,070 --> 00:32:48,810 Why is this happening, Dr. Halstead? 724 00:32:48,850 --> 00:32:50,290 - Well, we'll figure that out later. 725 00:32:50,330 --> 00:32:51,550 Right now we need to deal with that clot. 726 00:32:51,590 --> 00:32:52,940 I'm gonna send you up to IR 727 00:32:52,990 --> 00:32:54,290 to treat it endoscopically, okay? 728 00:32:54,340 --> 00:32:56,340 Let's go. 729 00:32:56,380 --> 00:33:01,040 - Were you able to get in touch with my fiancée, Aubrey? 730 00:33:03,480 --> 00:33:05,140 - No, and I'm really sorry. 731 00:33:05,170 --> 00:33:07,040 I was about to and I got pulled away. 732 00:33:07,090 --> 00:33:09,220 I promise I will call her as soon as you're on the move. 733 00:33:13,790 --> 00:33:15,660 - Neal? 734 00:33:15,710 --> 00:33:17,500 Neal! 735 00:33:18,800 --> 00:33:21,070 No pulse, VF on the monitors. Bag him. 736 00:33:24,410 --> 00:33:26,280 Paddles, charge to 200. 737 00:33:29,940 --> 00:33:31,980 - Charged. 738 00:33:32,680 --> 00:33:34,720 - Clear. 739 00:33:38,600 --> 00:33:40,560 Epi, one milligram. 740 00:33:43,780 --> 00:33:45,430 - Epi's in. 741 00:33:46,780 --> 00:33:49,130 - Okay, here we go. 742 00:33:49,170 --> 00:33:50,780 Clear. 743 00:33:54,400 --> 00:33:56,400 No, no, no, no. Another round of epi. 744 00:34:00,620 --> 00:34:02,100 Come on, Neal. 745 00:34:06,630 --> 00:34:08,070 Clear. 746 00:34:14,290 --> 00:34:16,600 - Asystole. 747 00:34:16,640 --> 00:34:18,470 - Damn it! 748 00:34:21,810 --> 00:34:24,380 Time of death, 17:48. 749 00:34:45,620 --> 00:34:47,140 - Tough one, Halstead. 750 00:34:47,190 --> 00:34:48,410 But don't sweat the review. 751 00:34:48,450 --> 00:34:49,750 I looked over the chart 752 00:34:49,800 --> 00:34:51,760 and the PE is clearly the cause of death. 753 00:34:51,800 --> 00:34:53,370 There's nothing you could've done. 754 00:34:53,410 --> 00:34:55,670 - Dr. Halstead, 755 00:34:55,720 --> 00:34:58,110 Neal's fiancée Aubrey just arrived. 756 00:34:58,160 --> 00:35:00,910 - Hello? Mama, I'm here. 757 00:35:02,860 --> 00:35:06,390 I don't know; they're not telling me anything. 758 00:35:09,210 --> 00:35:13,910 I don't know... Can you please just come now? 759 00:35:24,230 --> 00:35:26,800 - No complications. 760 00:35:26,840 --> 00:35:30,450 Lucky for us, too, 'cause Carl's bowel was in bad shape. 761 00:35:30,490 --> 00:35:32,710 Dr. Marcel was right to push for surgery. 762 00:35:32,760 --> 00:35:35,030 - Yeah, he was right. This time. 763 00:35:35,060 --> 00:35:36,450 But Dr. Marcel's style, 764 00:35:36,500 --> 00:35:37,670 the risks he's willing to take... 765 00:35:37,720 --> 00:35:39,200 - Man, Ethan, can't you even 766 00:35:39,240 --> 00:35:40,940 enjoy the moment, man? 767 00:35:40,980 --> 00:35:45,070 I mean, we won. We saved his life. 768 00:35:45,120 --> 00:35:48,080 - Yeah. - Yeah. 769 00:35:50,210 --> 00:35:51,820 Okay. 770 00:35:51,860 --> 00:35:54,380 - Noah...Noah. 771 00:35:58,780 --> 00:36:00,350 I'm sorry. 772 00:36:00,390 --> 00:36:02,220 I should be celebrating. 773 00:36:02,260 --> 00:36:03,520 If we'd waited like I wanted, 774 00:36:03,570 --> 00:36:05,740 Carl's bowel would've perforated. 775 00:36:05,790 --> 00:36:07,310 - Well, it turned out okay. 776 00:36:07,360 --> 00:36:09,240 - Yeah, Noah... 777 00:36:09,270 --> 00:36:12,050 I want you to succeed, you know that. 778 00:36:14,190 --> 00:36:16,490 - After two years of Dr. Choi boot camp, 779 00:36:16,540 --> 00:36:19,240 and what I've seen from Dr. Marcel... 780 00:36:19,280 --> 00:36:21,540 don't know why I wouldn't. 781 00:36:30,640 --> 00:36:34,250 - You ever need anything... questions, advice... 782 00:36:34,300 --> 00:36:35,520 just want to talk something out... 783 00:36:35,560 --> 00:36:37,120 - Yeah, I know where to find you. 784 00:36:39,340 --> 00:36:41,260 I gotta get back to recovery. 785 00:36:41,300 --> 00:36:43,740 I wanna be there when Carl wakes up. 786 00:36:43,780 --> 00:36:45,740 - Go, go. 787 00:36:51,270 --> 00:36:54,230 - Or maybe you can't go to bed. 788 00:36:54,270 --> 00:36:56,320 - Why? 789 00:36:56,360 --> 00:36:58,100 - Maggie? 790 00:36:59,320 --> 00:37:01,190 You okay? 791 00:37:03,190 --> 00:37:05,590 - Maggie, what's going on? 792 00:37:51,980 --> 00:37:53,720 - Honey? 793 00:37:53,770 --> 00:37:55,950 - I'm in the kitchen! 794 00:37:55,990 --> 00:37:58,300 - Are you sure that we don't need any more wine? 795 00:37:58,340 --> 00:38:02,170 It's very easy for me to just sort of jump back... 796 00:38:04,080 --> 00:38:05,340 Hey, Bert. 797 00:38:05,390 --> 00:38:06,520 - Hey, wine's coming, Dan. 798 00:38:06,560 --> 00:38:08,610 Got red and white. 799 00:38:08,650 --> 00:38:10,960 I know both go well with CeCe's lasagna. 800 00:38:11,000 --> 00:38:12,780 - Honey, honey, dinner's almost ready, 801 00:38:12,830 --> 00:38:14,260 so will you set the table? 802 00:38:14,310 --> 00:38:15,790 The dishes are already out there--please. 803 00:38:15,830 --> 00:38:18,620 - Mmm...let me. The least I can do. 804 00:38:18,660 --> 00:38:19,880 - Thanks, Bert. 805 00:38:19,920 --> 00:38:21,230 - Good to see you, pal. 806 00:38:21,270 --> 00:38:22,620 - Hey, man, how you doing? 807 00:38:22,660 --> 00:38:24,880 - Oh, I'm good, good. Yeah. 808 00:38:26,890 --> 00:38:29,030 - Sharon's gonna be here, like, any minute. 809 00:38:29,060 --> 00:38:31,020 Why didn't you tell me Bert was coming? 810 00:38:31,060 --> 00:38:33,060 - Because if I told, I know you wouldn't have invited her. 811 00:38:33,110 --> 00:38:35,590 And three people don't exactly make a "couples" dinner party. 812 00:38:35,630 --> 00:38:38,330 - Couples? What are you doing? 813 00:38:38,380 --> 00:38:40,820 - I do not wanna hear how you think this is a bad idea. 814 00:38:40,860 --> 00:38:43,160 - It's way beyond a bad idea. It's atrocious. 815 00:38:43,210 --> 00:38:45,510 - Okay, yes, I am meddling. And I would've preferred 816 00:38:45,560 --> 00:38:47,600 to warm Sharon up to the idea, 817 00:38:47,650 --> 00:38:49,830 but I happen to be a little short on time. 818 00:38:49,870 --> 00:38:51,570 - You cannot spring this on them unannounced. 819 00:38:51,610 --> 00:38:53,000 These people went through a terrible divorce. 820 00:38:53,040 --> 00:38:54,780 They haven't talked to each other for a year. 821 00:38:54,830 --> 00:38:56,870 - Danny, you and I found our way back to each other. 822 00:38:56,920 --> 00:38:59,670 Who says Sharon and Bert can't do the same thing? 823 00:38:59,700 --> 00:39:02,050 I just want them to be happy, that's it. 824 00:39:02,090 --> 00:39:04,400 - Well, you can't manipulate people to doing what you want 825 00:39:04,450 --> 00:39:06,190 if it's not what they want. 826 00:39:17,550 --> 00:39:22,470 - Hey, I remembered that CeCe's lasagna 827 00:39:22,510 --> 00:39:25,900 pairs well with both red and white, so... 828 00:39:25,940 --> 00:39:27,730 - That's right, it does. It's good with-- 829 00:39:27,770 --> 00:39:30,820 it's good with red and--and with white. 830 00:39:32,340 --> 00:39:34,470 And rosé. 831 00:39:34,520 --> 00:39:36,350 - Daniel... 832 00:39:36,390 --> 00:39:37,780 - Sharon. 833 00:39:41,310 --> 00:39:43,610 - Bert. 834 00:39:46,660 --> 00:39:48,790 - So, who's hungry? 835 00:39:53,710 --> 00:39:55,840 - You said an x-ray would confirm pneumonia. 836 00:39:55,890 --> 00:39:58,060 - I thought it would. - But you still aren't sure? 837 00:39:58,110 --> 00:39:59,720 - And now you want to try to pump our son 838 00:39:59,760 --> 00:40:01,500 full of antibiotics again? 839 00:40:01,550 --> 00:40:03,080 - To be safe, yes. - No. 840 00:40:03,110 --> 00:40:04,900 We have been here for hours agreeing to things 841 00:40:04,940 --> 00:40:06,460 we're not comfortable with. 842 00:40:06,510 --> 00:40:07,990 No more. We're going home. 843 00:40:08,030 --> 00:40:11,470 - I'm sorry, but I won't approve that discharge. 844 00:40:11,510 --> 00:40:14,120 - Then get me your boss. Now. 845 00:40:17,080 --> 00:40:19,610 Hey, hey, I need to see a supervisor. 846 00:40:19,650 --> 00:40:20,960 - We're calling our lawyer. 847 00:40:21,000 --> 00:40:23,480 - Lucas most likely has pneumonia. 848 00:40:23,520 --> 00:40:25,870 He needs these antibiotics now. 849 00:40:25,920 --> 00:40:28,050 - No! - You're not hearing me. 850 00:40:28,090 --> 00:40:31,530 Pneumonia for toddlers can be fatal. 851 00:40:31,580 --> 00:40:33,060 - Janet, get Lucas now. 852 00:40:33,100 --> 00:40:35,270 - No, you're endangering his life. 853 00:40:35,320 --> 00:40:36,930 - We are taking our son, 854 00:40:36,970 --> 00:40:38,760 so either get out of the way or I'll go through you. 855 00:40:40,110 --> 00:40:41,640 - Security! - Hey, open the door! 856 00:40:41,670 --> 00:40:43,930 Are you out of your mind? 857 00:40:43,980 --> 00:40:45,590 - I won't let you take him! - We need Security! 858 00:40:45,630 --> 00:40:47,330 - Open the door! 859 00:40:47,370 --> 00:40:49,370 Hey, open this door! 860 00:40:49,420 --> 00:40:51,770 Baby, it's gonna be okay. - Open the door, please. 861 00:40:51,810 --> 00:40:53,160 - Open the door. - Now. 862 00:40:53,210 --> 00:40:56,040 - Lucas, it's okay. It's okay, honey. 863 00:40:56,080 --> 00:40:57,640 - Come on, don't you have a key? 864 00:40:57,690 --> 00:41:01,470 Please! Hey, don't you dare--no! 865 00:41:01,520 --> 00:41:02,950 Please. 866 00:41:03,000 --> 00:41:04,910 Lucas, it's okay, honey, it's okay. 867 00:41:04,960 --> 00:41:06,700 - It's okay, buddy... 868 00:41:06,740 --> 00:41:08,130 Everything's gonna be all right. 869 00:41:08,180 --> 00:41:10,660 - Open this door! 870 00:41:10,700 --> 00:41:13,880 You gotta be kidding me. Open this door! 63398

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