All language subtitles for Chicago.Med.S02E01.720p.AMZN.WEBRip.x264-GalaxyTV

.

- Chicago Med, we're inbound
with a 24-year-old female,

Cheryl Martin, high-speed
collision on Route 30,

T-boned on the passenger
side.

34 weeks pregnant,
chest and belly pain.

Heart rate 124,
BP 102 over 80.

- Got it.
We'll be waiting.

Dr. Halstead?
- Maggie?

- Incoming helo,
ten minutes out.

[tense music]

*

- Double cappuccino.

*

- What are you doing
with my phone?

- I'm posting this.

*

*

- My little girl...
please...

*

- Baghdad.

- Page OB.
- Got it.

- Maggie.
- Yep.

- Dad?
- I'm here, honey.

- You need an assistant?
- Sure.

- Coming through.
- Need x-rays, chest and pelvis.

- Got it.
- Sir, what is your name?

- Ray.

- Why don't you come with me
and let the doctors

do their work, okay?
This way.

- Dad, Dad, please.
- Stay right here.

He'll be right here, sweetie.

- On my count,
one, two, three.

- I need the ultrasound.

- Should I start
a femoral line?

- I'll do that.
- Okay, get a triple...

- Excuse me.

Lungs are wet.

Belly's soft but tender.

Get a CBC, type and screen,
KB and coags.

If she's RH negative,
give RhoGAM.

- Got good heart tones
and fetal movement.

Baby and placenta
look okay.

- I'm in.

Clear!

Natalie.

- Left hemothorax.
She's bleeding.

- Put in a chest tube
and give her back

all the blood you get out.

- We're going to put a tube
in your chest, okay?

- My baby?
- Won't hurt the baby.

Betadyne, lidocaine.
- I got it.

- [whimpers]

- [breathing heavily]

- I'm in.

- Secure the tube
and let's get her over to CT.

- [panting]

- We're taking your daughter up
for a CAT scan; you can come.

- Dr. Rhodes.

Welcome to CT surgery.

- Dr. Latham, thank you.

- I'll be supervising
your fellowship.

- I look forward to it.

- Dr. Downey thought
very highly of you.

I'm curious.
There are rumors.

Did you kill him?

- I'm sorry?

- Did you?

- Well, yes, I killed him and
several other patients as well.

- You're being sarcastic.

- Yes, Dr. Latham.
I am being sarcastic.

- I can see why you might have
found that inappropriate.

Oh, I should tell you...

You weren't my first choice
for this fellowship.

I preferred a young woman
from Groote Schuur,

but I was out-voted.
Hmm.

Such is life.

That being said, I hope
we will work well together.

- Sputum test was negative.

Chest is clear.

Night sweats?

- No.
- Good.

TB's still latent.

- For now.

- No reason it shouldn't
stay that way.

Anything I need to know?

- I worry about Tate
and his son.

- They've been tested, April,
They're negative.

And you're not contagious.

- I know, I know,
but...

- What?

- I just don't feel...

clean.

- New residents settling in?

- Yeah. Now I just got to keep
'em from killing people.

- July 1st is not a good day
to need a hospital.

[chuckles]

- And how are you doing?

- Cleaned out Bert's desk
this morning.

Thought it would make me
feel better.

It didn't.
- Mm.

- Good morning.
- Dr. Choi.

- Our new Chief Resident
will need this.

E.D. staff contact list.
- Thank you.

- Oh, and one more thing.

I know I got the Chief
Resident's gavel here somewhere.

- [chuckles]
- [laughing]

- Funny.
By the way, Maggie,

I've got some ideas
to improve patient flow.

- Oh.
Can't wait to hear about them.

I hate killing their dreams.

- No, you like to let them
hang themselves.

- Morning.

- Hey.

Here are my scheduling sheets.

Last Chief Res gave them
to me.

- Thanks, but I've got
my own system.

How we ran sick bay
on the carrier.

- Hey, Dr. Choi,
I'm taking off.

I texted you I'm switching
shifts with Elise Baker.

- Right, yeah.

- And she also--she called.

She said she's going to be
a little late.

She has to take her kid in
for shots.

- No problem, thanks.

- Sure you don't want
these sheets?

- No, I got it.

- Dr. Choi, we need you.

Chout, talk to me.

- Emmie Miles,
15-year-old girl.

Found unconscious,
suspected opioid overdose.

She appeared to have smoked
a fentanyl patch.

- Okay, we're going to
treatment--

- Six.
I got it, Maggie.

- All right.
- You give her NARCAN?

- Five times.
She responded in the ambo.

Just slid back into overdose.

- All right, let's move her.

On my count.
Ready?

One, two, three.

April, let's give her another
two milligrams NARCAN

and hang a drip.
- Got it.

- Bring her down slowly, don't
want to precipitate withdrawal.

Chout, fentanyl patch.
This girl try to kill herself?

- No idea, Doc.

- Grande quad half-caf
nonfat no whip mocha.

- Not half-caf.

Three shots regular,
one shot decaf.

- Okay.
So what happened to your knee?

- I'm embarrassed to say,
I tripped over a suitcase.

Missed my conference
in Lyon.

At least I got
to practice French

with an orthopedic nurse
from Montreal.

So, Dr. Reese,
the reason why I'm here,

uh, aside from the coffee,
of course,

is that Med has
a residency opening for you.

- I'll take it.
- On my service.

- Psychiatry?
- Enough foam, enough foam.

- Okay.

Um...
Dr. Charles, thank you,

but I've never considered
psychiatry.

I don't think I'm equipped.

- I think you have
all the tools.

You're a problem solver.

You pay attention.

And look at how beautiful
you're making my coffee

despite all my meddling.

- But...I don't know how
to talk to people.

- It's actually more
about listening than talking.

- Grande quad 3/4-caf
nonfat no whip mocha.

- I tell you what.

How about you come
and spend the day with me,

and then see
what you think.

- She has a contained rupture
of the aorta.

A pseudoaneurysm.

- That's how we read it.

- It's leaking.

Let's get her up to
the cath lab, fix it.

- Cheryl's 34 weeks pregnant.

Wouldn't that irradiate
the baby?

- Well, it's not ideal,
but it's very little radiation.

- What about surgery?
- That's the other option.

- We'd have to put her
on bypass.

We can't protect
the baby's heart rate.

- So let's give her
a c-section.

Take the baby
out of the equation.

- No. She could still carry
this baby to term.

- Natalie, you are very
concerned about the baby,

but what about the mother?

She is lying there
with an aortic injury.

- [breathing heavily]

Honey.
- Dad.

- Your daughter has some damage
to her aorta.

It's what we call
a pseudoaneurysm.

And it caused a leak
in the vessel wall.

- Sometimes a leak like this
will stop on its own.

If that's the case,
then Cheryl will be able

to carry the baby to term.

So at this point, we're just
going to wait and watch.

- We're going to take her up
to the ICU

where we can keep
a close eye on her.

- Whatever you think is best.

Oh, my chest.
Oh!

- Mr. Buckner?
- Daddy!

- He's having an M.I.
- Dad?

- Oh, oh.
- Daddy, what's happening?

- No pulse.
Code blue!

Radiology hallway!
We need a crash cart.

- Yes, Doctor.
- Daddy!

- We're going to take care
of him; just lie still.

Just stay here.

- Nat, get a quick look.
- [crying]

- He's in v-fib.
Charge to 200.

Hold compressions.
Clear!

- Clear.

- Still in v-fib.
Clear!

- Clear.

- Daddy.
- Sinus rhythm.

- We got a pulse.
- He's back.

- Let's get him up
to the cath lab now.

On my count. One, two three.
- Daddy. Daddy!

Daddy!

- All right, let's go.

- Morning, Dr. Choi.
- Morning.

- This your fentanyl OD?
- Yes.

- Sarah,
are you back?

- I've invited Dr. Reese
to become a psych resident.

- That's great.
- You think so?

- Absolutely.

I'm a great believer
in psychiatry.

- Huh, interesting.

- Dr. Charles, this is the
patient's mother, Mrs. Miles.

- Nice to meet you,
Mrs. Miles.

This is my colleague,
Dr. Reese.

- I don't understand this.

Emmie doesn't use drugs.

- A fetanyl patch
is a very high dose

of a very strong opioid.

This is a difficult question,
but I have to ask it.

Do you think there's any chance
that your daughter

could have been trying
to take her own life?

- No, absolutely not.

She's very popular.
She has hundreds of friends.

She has no reason
to kill herself.

- Do you have any idea how she
might have gotten

hold of the patch?

- My mother has cancer.

She's prescribed fentanyl
patches for pain.

I suppose she could--

- Would you mind
if we talk with her for a bit?

- Please.
Go ahead.

- Thank you.

Honey, I'll be back
in a couple of minutes, hmm?

- Hi, Emmie,
how are you feeling?

I'm Dr. Charles.

- And I'm Dr. Reese.

- Can you tell us
what happened today?

- Leave me alone.

- We're concerned about you,
Emmie.

And we need to understand
what happened

so that we can take care
of you.

- We just want to help.

- You know what?
Why don't we come back later.

And maybe you'll feel
like talking then.

You know who the most unhappy
people in the world are?

- Hmm?
- 15-year-old girls.

- I remember.

- Mom said Emmie had
hundreds of friends.

Hyperbole?
- Maybe not.

She could have hundreds
of friends.

- Oh, like that.

- Girls her age
share everything.

They judge everything.
Maybe Emmie was shamed,

and that led
to a suicide attempt.

- Let me know what you find.
- Mm-hmm.

- Nice bunch of newbies.

- [chuckles]

- Maybe even the Ice Princess
will finally find somebody.

- The "Ice Princess"?

- Yeah, Dr. Manning,
who else?

- Just a princess?
Why not the Ice Queen?

- It was a joke.

[whispering]
It was a joke.

- Dr. Halstead.

HR informed me that you
still haven't supplied them

with current malpractice
insurance.

- Well, I'm trying
to find a carrier

that will write me
a policy.

- I'm guessing that's because
of the lawsuit.

- Doesn't make sense.
The suit was dropped.

- But to an insurance company,
you still look like a bad risk.

Attending physicians
must provide

their own malpractice
insurance.

Now, the hospital could give you
a grace period of two weeks,

but after that--
- I understand.

- Look, I know you and I
have had our ups and downs,

but I don't want
to lose you.

So I'll make a few calls.

- Thank you.

- You may not want
to thank me.

I guarantee, your insurance
will not come cheap.

- Courtney?
- 33-year-old male,

peds versus auto,
GCS 15.

Bruising to the right orbit,
no loss of consciousness.

- All right, wait a second.
Dr. Choi.

- Got a GSW in Baghdad.
Where's Baker?

- Took her kid in for shots,
remember?

- I'll take it.
- What room, Dr. Choi?

- Trauma 3.
- You heard your Chief Resident.

Let's go.
- It's--it's occupied.

- Dr. Choi.

Go to Trauma 2.
Rotate.

- Patient told me
he's HIV positive.

- That's right, be careful.
- No problem.

On my count.
One, two, three.

- Get out.

- Can you tell me
your name, sir?

- Greg Allen.

- Can you tell me
how this happened?

- Crossing the street.
Wasn't looking.

Will somebody please call
my wife?

The number's in my wallet.
- I will.

- Lungs are clear.

- I'll take it from here.
- I got it.

- I'll take it.

Thank you.
- I'm HIV positive.

- Okay.
Follow my finger.

- All right,
retractor's in.

Looks good.

- Let's harvest.
Check the LIMA pulse.

- The LIMA looks small.
How about the saphenous vein?

- No. The left internal
mammary artery

is always the first
and best option.

- I understand.
It's just...

Dr. Downey preferred the
saphenous vein to a small LIMA.

- LIMA pulse is good.
Let's start freeing it up.

- If you're sure.

- Ben Zona!
Al ta'atzben otti!

I know what I'm doing and I
don't like to be contradicted

by a fellow
while I am operating!

[exhales sharply]

- And Emmie does have
hundreds of friends.

623 to be exact.

She's on a lot
of social media platforms.

- 623 friends?
Yikes.

Who do you invite
to the birthday party?

- Mm-hmm. She isn't always
very nice to the other girls.

- Not very nice?

- She wasn't shamed.
She's the shamer.

- Interesting.

Well, so what do you think?

- Maybe...Emmie realized
she really hurt someone,

and she felt guilty.

- Guilty enough
to kill herself?

- Hmm, I don't know.

- You know what?

We got to get Emmie
to open up.

Next time Mom takes a break,

jump in there,
give it another shot.

- Uh, Dr. Charles, wait.
Where are you going?

- Well, I just thought Emmie
might be more comfortable

talking to a woman...

and somebody her own age.

- But I don't know
what to say or what to ask.

- I think that once
you get in there,

you'll discover that you do.

- Thank you.
It's just...

I hate standing around.

I mean, I've had a lot
of experience,

and this guy won't let me
do anything.

I know he's your friend
and I'm sure

he's a really good doctor,
but...

- Mm-hmm.

- I don't know.

- Jeff, can I--
can I ask you something?

- Yeah.

- Do I seem like a--
an ice princess?

- A what?

- A nurse called me
that today.

Do I come across as rigid
or uptight?

- Really?
Come on.

Do you remember back when
the four of us were hanging out?

You were the one who always
kept the party going.

Do you remember that one time
we were at a Greek restaurant?

There was a wedding party
next to us,

and they were breaking plates.

So you got us
to start breaking plates,

and the next thing you know,
you're standing on the table,

and you were waving your arms
and you were yelling, like,

"Opa! Opa!"
You were crazy.

- Oh, my God, yes.
- You remember that?

- The bouzouki player
wanted me to join the band.

- That's right. That was great.
- Mm-hmm, yeah.

- [laughing]
- Yeah, it really was.

Mmm.

- See, I told you.
Everything's gonna be okay.

- I still have to be on
antibiotics

for another five months.

- Hey, we--we'll be all clear
by New Year's.

So, tonight,
you're gonna come over.

I'll cook dinner.

- I'll see how I feel
after work.

- Okay.
All right.

You're not contagious,
honey.

- Doesn't hurt to be careful.

- Okay.

- Hey.

How are you feeling?

Your, um, your blood pressure
looks good.

And your heart rate--
- Are you a shrink?

- Uh, no.

I'm barely a doctor.

I just graduated
medical school.

I was, uh, checking out
your Instagram photos.

[chuckles]

And you look
really beautiful.

I always hate the way
I look in photos.

- Yeah.

You need to take a lot.

- You do?

- I took about 100
to get that one.

- Oh.

- I have to look perfect
or I won't send it.

You've been reading
my tweets too?

- Mm-hmm.

- You must think
I'm a horrible person.

- Why would I think that?

- 'Cause of what I say
about other girls.

- No.

No, I, um...

I just think you're under
a lot of pressure to be perfect.

- Oh, God.

- Emmie?
- I'm not--I'm not perfect.

- Emmie, nobody is.

- You don't understand.

Look.

It's vitiligo.

I Googled it.
You can't cure it.

It's gonna spread
all over my body.

Every--everybody's gonna
make fun of me.

My life is ruined.
[sobbing]

- Emmie, did you try
to kill yourself?

- I don't know.

- You don't know?

- I just--I just wanted it
all to go away.

[sobbing]

- I'm gonna take
a skin scraping; is that okay?

- He extubated easily,
and the graft is in.

You were right
about using the LIMA.

- True,
but he's hemolyzing.

His urine output
is marginal and pink.

- Neither's uncommon
after being on pump.

Nothing to suggest
he won't make a full recovery.

- There's also nothing
to suggest he will.

- Dr. Latham.

Um...

I realize, like every doctor
who teaches here,

you have your own methods.

But, I assume,
if I have an opinion,

you'd like to hear it.

- Well, of course.
Why?

- Well, it's just that you
seemed very upset in the O.R.

- Did I?

- Yes.

- I'm not upset.

- I can't see!
Help me!

- Mr. Allen?

- I can see out of
my right eye.

- Dr. Wheeler!

- I can't see out of
my right eye!

- The CT showed a hematoma.

Check the intraocular pressure.

- Where's my wife?
- She's on her way.

- Pressure's high.

He's got a retrobulbar
hemorrhage.

- He needs a lateral
canthotomy.

- The patient
is HIV positive.

- Now,
or he'll lose the eye.

- [whimpering]
Help me.

- Clamp.
- [whimpering]

- Here.

- Surgical scissors.
- Here.

- [whimpering]

[moaning]

[breathing heavily]

- Your vision will return
in a little while.

- Did Dr. Wheeler tell you
to perform that procedure?

- It was an emergency.

The patient could have
gone blind in that eye.

- Then why didn't Dr. Wheeler
perform it?

- You'll have to ask
Dr. Wheeler.

- You're a medical student.

You're not allowed to do
an invasive procedure

unless ordered to do so
by a doctor.

- I've done a lateral
canthotomy

the third year on optho.

- You're not on optho.

You're in the E.D.,
and there are rules.

And unless you figure that out,
you're gonna get yourself

kicked out of here
and med school.

You understand?

- I hear you.

- Do you want me
to write him up?

- No.

It's for his own good.

I know what happens
when you don't follow protocol.

It's not personal.

- Why didn't you tell me that
you were coming back to Med?

- I didn't know
until this morning.

- So you'll be back
in the E.D.?

- Uh, not exactly.

Dr. Charles wants me to be
a psych resident.

- You?

- Is that such a shock?

- I just didn't realize that you
had an interest in that.

- I didn't.

I don't.
I...

I don't know.
What do you see?

- I wish people
wouldn't diagnose themselves.

They always screw it up.
- Hmm.

- Your patient doesn't have
vitiligo.

She has tinea veriscolor.

- A yeast infection?
- Yeah.

- That's wonderful.

- You know, I'm gonna miss
the smell of coffee on you.

- It's a little early to tell,
but my initial assessment

is that your father
is doing well post-op.

- Thank you.
- Mm-hmm.

- Dr. Rhodes.

- Excuse us.

- You can see.

The leak from her pseudoaneurysm
is increasing.

- I still think
we should watch it.

- Natalie,
if she goes into labor,

it could rupture
and kill her.

We gotta take care
of this now.

We'll take Cheryl
to the Hybrid Room.

I'll shield the baby with
a lead blanket and stent her.

We'll have OB standing by.
If anything goes wrong,

they can perform
an emergency c-section.

Nat, we've got
to deal with this.

- I'll page OB.

[door opens, closes]

[footsteps approaching]

- Doctor?

- I was with his daughter
when he crashed.

How is he?

- Mr. Buckner is in and out
of non-sustained v-tach.

Heart rate spikes to 180.

- How long has it
been going on?

- 15 minutes.

We've started
an amiodarone infusion.

- Should suppress
his arrhythmia.

- Your lips to God's ear.

- Ready to cannulate.

- Seeing decels on the
fetal heart rate down to 110.

- In position
to place the stent.

- Dr. Manning's right.
I don't like that tracing.

- Just a little bit longer.

- Heart rate's down to 100.
[electronic beeping]

96.

- No time.
The baby's in distress.

We have to get her out now.
- Okay.

[indistinct chatter]

- Last heart rate was 85.

- Cut the cord.

Dr. Manning.

She's all yours, Dr. Rhodes.

- Okay, fluoro on.
Let's go.

I'm not hearing anything.
How's the baby?

- First APGAR 6
but already improving.

How's mom?
- Hanging in there.

Placing the stent now.

And deploy.

It's in.
Well-seated.

- [crying]

- His creatinine levels
hit 2.5.

- Is he responding
to diuretics?

- No.
- [exhales sharply]

I'm not sure why
his kidneys aren't working.

Possibly post CPR
and pump.

Call renal, see what
the nephrologists suggest.

- Your little girl
is doing just fine.

- Oh, look at you.

Oh, thank you.

- Cheryl.

I'm afraid your father
is not doing very well.

- What do you mean?

- I'm gonna go check on him.

I'll let you know.

- Please take me to him.

- Cheryl, you just had
an emergency c-section.

- Take me and my baby.

- I can't do that.
- Please.

My dad.

- Pressure's dropping.

No pulse.
- Call a code.

- Will, start compressions.

- Epi, one milligram.

- Charge to 200.
- Code blue.

- All right,
hold compressions.

Clear.
- Clear.

- Fine v-fib.

- 200 again.
- Charging 200.

- Hold.

Clear.
- Clear.

- Let me do it.

- He's asystole.

He's gone, Connor.

- Vasopressin 40. Now.
[sustained beep]

- Dr. Rhodes,
the patient is dead.

Time of death, 15:20.

[machine beeps]

[machine beeps]

Connor.

[machine beeps]

[machine beeps]

[machine beeps]

- Daddy.

Look.

It's your granddaughter.

- [exhaling slowly]

- Daddy?

Oh, no.

[crying]

- I've never seen anything
like that.

- Oh, no.

- Baruch dayan emet.

- [muffled crying]

- Dr. Reese,
how's our patient?

- I gave her
ketoconazole cream.

Her fungal infection
should be gone in a week.

- Excellent.
- Mm-hmm.

Dr. Charles, I've decided
I will take that residency

in psychiatry.

I see now that by combining
my clinical knowledge

with psychology,
maybe I really can help people.

- I am so glad
to hear that.

You're not talking about Emmie
though, are you?

- Um...
- Listen,

you very skillfully treated
a superficial skin infection.

Unfortunately, neither of us
have done anything to address

the profound underlying
psychological issues

that she suffers from.

I'm just saying, you know,

our patient
has a long way to go.

- Oh. Yes.

- Anybody ever tell you
the etymology

of the word "psychiatry"?

The medical treatment
of the soul.

Isn't that marvelous?

So, worry not,
Dr. Reese.

We all--all of us
have a long way to go

in healing our souls.

- Dr. Choi.
- Yes?

My patient waited 2 1/2 hours
for a treatment room,

but I understand Treatment 1
has been free all day.

- Yeah.
- Wonderful.

I'd sure like to know where
Noah Sexton disappeared to.

- 35 grand a year.

- Huh?
- What my malpractice

is going to cost.

And that's on top
of my student loans,

which now
because I'm an attending,

I have to start paying off.

How's your "sick bay" system
working?

- [chuckles]

I will take those
scheduling sheets after all.

- You can have 'em.

Well, you know, the thing
I learned early on,

the nurses,
they run everything anyway.

- Yeah.

- You know,

I saw a dead man
come back to life today.

Makes all this other stuff
seem kinda small.

- Do you think she's on
pre-exposure prophylaxis?

- Pretty standard with HIV.
Why?

- Doesn't look like he's afraid
he'll infect her.

- Well, there's very
little risk, April.

Learn to deal
with things, April.

Life's not perfect.

But it is pretty great.

- Hey, Dad.
- Hi, sweetie.

- Let me check your phone.

I want to see
how many "likes" we got.

- "Likes"?
- The selfie we took.

22.
Hey, you know what we should do?

- What?

- We should take one in front
of Dylan's Candy Bar.

That'll make
everybody jealous.

- Yeah, you know
what we should do?

We should go live in a cave
with no electricity

until you're about 35 years old.
That's what we should do.

- Daddy.
- What?

- April.

- Hey.

[thunder rumbling]

- So--so how are we feeling
after work?

- Good.

- Then dinner tonight?

You --you like my raviolis,
right?

- I tolerate your ravioli.

- [chuckles]

- Are you sure you're okay
with everything?

Me, the whole package?

- Baby, I'm sure.

- I'll make the garlic bread.
- [chuckles]

Come on.
[both laughing]

- Oh.
[chuckles]

Mm.
I got these.

- Thanks.
- [sighs]

- I'll get 'em next time.
- Okay.

- You know, I didn't expect
to see you here.

- My mother-in-law insisted
on taking Owen for the night.

She says I need a life.
[laughing]

[both laughing]

- Ah.
- Ahem.

My car is, um,
is over there.

- Okay, I'll walk you to it.
- No, no.

You don't have to do that.

- Okay.

My apartment is just
around the block anyway, so...

- Okay.

Well...
good night.

- You want to come by
for a night cap?

- Yeah.

Yeah, I do.