All language subtitles for Chicago.Med.S02E09.720p.AMZN.WEBRip.x264-GalaxyTV

.

- April.
- Huh?

- Cutting board?
- Corner cabinet

by the lazy Susan.

- Yeah.
- And you still haven't

weighed in on the paint choices
that I asked you about.

- Uh, what room is that for
again?

- The den. Come on, Tate.

I've been working
on this remodel for weeks.

- I know. I know.
I'm sorry, babe.

I love that you're
making my house our house.

I love that we set a date
for the wedding.

- But I'm driving you crazy.
- Yep.

- [laughs]
- You know what?

Stuck in a house on TB leave--
I get it.

- I mean, I've been trying
to keep busy,

'cause when I'm not,
I can't help but worry.

- First ultrasound today.

- Yeah.

- It's gonna be perfect.

[chatter, sirens blaring]

- Are you crazy?
Where's your jacket?

- Don't need it.
I love the crisp winter air.

- Yeah, right.
I can see your goose bumps.

- Oh, you mean
my pilomotor reflex?

- Oh, good God.
[both laugh]

- Anyway,
this weather is balmy.

Do you remember that February

when you and Jeff
and me and Lisa

we rented that cabin
at Lake Mendota?

- Yes.
- And then we got hammered

on that box of wine
we found in the pantry.

- Which led to the hot tub.

- Which led to you sneaking
a peek.

- I did not!
Did you?

- No.
Course not.

[both laugh]

- You're terrible.

Ugh! [shivers]

Seems like a lifetime ago.

How'd we lose touch
for so long?

- I'm not sure.

[sirens wailing]

Life of a med student.
Lunch'll wait.

- Ricky Wade, GCS 15,
vitals stable.

- You're going to Treatment 4,
Dr. Choi.

- Trauma to the left ear
with hematoma,

multiple dislocated fingers,

expanding hematoma
of the anterior thigh.

Refused the board and collar.

- I'm not a cripple.
I could'a walked.

- I know. MMA.
Feel no pain, right?

- Any loss of consciousness?
Dizziness?

- Hell no.
That bitch barely connected.

- Cage doc called the fight.

Said it was
a freakin' bloodbath.

- All right.
Let's get an IV in him,

then a gram of Ancef.

[alarm beeps]
The opponent?

- Yep.
You're going to Treatment 3.

- Thanks.
- Cyrus Hammad. GCS 15.

Significant swelling
to his left eye

and bruising on the right flank.

No loss of consciousness,

but the fight doc wanted
to have him looked at anyway.

- You're lucky
that doc stopped the fight.

I would've pounded you
into a living--

- Hey! Not in the cage anymore,
huh? Give it a rest.

History and physical
and a detailed neuro exam.

- Got it.
I'll shout if I need you.

- Yeah.

- Excuse me.
- Yes?

- I'm looking for my brother,
Cyrus Hammad.

- Cheating-ass punks.

What did you do?
Grease some palms?

You know your bro was
getting his ass beat.

- I'm gonna need security
in the ED.

- [grunts]
- Dr. Choi! Stop him!

- Come on! Come on! Come on!
[all shouting at once]

- Chill out!

- Walk away.

You okay?
- Yeah.

[dramatic music]

*

- It's swollen. Let's get
some ice on his thigh and hands.

- Had that A-rab eating mat
in the first round.

Should'a stomped him
into oblivion.

- You've got a lot of blood
in your ear, Mr. Wade.

I need to release the pressure
around the cartilage

or it will cauliflower.

- Skip the lido.

Last thing I need's
a mile-long hospital bill.

- You're gonna feel it.
You sure?

Suit yourself.

- [yells]

Damn it, that hurts
like a mother.

[Ricky yelling]

- Bastard was
all about cheap shots.

- Towel head.
What do you expect?

[grunting, breathing heavily]

- Gonna put a dressing
on the ear

and get a CT head and face.

Also some X-rays of the hands.

What have we got?

- Moderate swelling
in his left orbit,

probable fracture.

- Inbreds. Always go
for the low-hanging fruit.

- Elbow strike?

- Hammerfist.

Sounds bad. I know.
But it was a legal shot.

[pained breathing]

- May have
a couple fractured ribs.

- CT orbits and facial bones
to start,

chest X-ray for the ribs?

- Thanks.

- [indistinct]

I should hit up Rasheed.

Get these jackasses
in the parking lot,

show them how the towel heads
do it.

- Aamir, let it go.

- This is why you fight, Cyrus.

- Not anymore.

You can't control ignorance,

only how you react.

Surah Al shura verse 40.

[speaking Arabic]

- Scans may take a while.

Moving around's gonna hurt
like hell.

How's a bit of morphine sound?

- Like heaven.

- Findings showed that people
with higher confidence tend

to use open,
expansive postures.

- Sure. Runner crosses
the finish line,

throw their hands up
in victory.

- Exactly. Conversely,
those who are timid or defensive

make themselves small.

They'll slouch in their seats,

cross their arms,
their legs,

and actually what is really cool
is, um--

- Hey. How you guys doing?

- Good, good.
- So far, so good.

You know, just another day.

Um, so, dinner tonight?
Our usual spot?

- You got it.
- Good.

Bye.

- I will catch you guys later.

- [clears throat loudly]

Crossed arms.

- What?
- Crossed arms.

Sorry.
- Hey, Daniel?

I need you to evaluate
a potential organ recipient

to see if she's a candidate
for transplant.

Her name's Meghan Scott.
LVAD. Still in SICU.

I know it's delicate,

but if you could get it back
to me by the end of the day?

- I will do my very best.

- Thank you.

- Yeah. For two at 8:00 p.m.

Great. Thank you.

- Look at you, all smiles.

Hot date?

- Surprise date.
- Oh, shh.

- I'm taking Nina to this
French restaurant on Monroe,

Cochon Volant Brasserie.
- Nice.

- Actually, it's
Cochon Volant Brasserie.

- Dr. Stohl.

- Personally,
I prefer Alinea.

It's American molecular
gastronomy at its finest.

Highly ranked
on the S.Pelligrino list.

- Didn't realize you were back
from your sabbatical already.

- Or that you spoke French.

- Enough to get by.

- Something I can do for you,
Dr. Stohl?

- My "sabbatical" was

a World Health Organization
assignment.

I advised nongovernmental
emergency medical teams

on how best to respond and treat
SODs.

Sudden Onset Disasters.

We should sit down
and talk about it.

- Sure. Sounds great.

- Who is that?

- The troll.

- Our beloved
Chief of Emergency Medicine.

- Okay.

- Talk about
sudden onset disasters.

- I've been sober
almost three years.

It's--it's not been easy.

Temptation never really
goes away.

- But you've done it, Mom.

- Um, you been going
to meetings?

- Alcoholics Anonymous?
I tried,

but the endless talk
about hitting rock bottom--

I know it's supposed to be
cathartic,

but it just put me
in a worse mental space.

- So, no meetings, no therapy.

Um, any relapses?

Wow. Well, it's remarkable that
you've been able to stay sober.

Congratulations.

- Thank you.

- I--I started meditating

and setting small,
achievable goals,

and of course, Bria.

- The crew
Mom used to hang with--

I helped her see they were
bad influences.

She dropped them all.

No more bars, nightlife.

She's a homebody now.

- It's senior year. Must be nice
to have Mom home more.

- Is college in the picture?
- Yes.

But not right away.

- We've agreed I'd
take a year off before applying.

- [coughing]

I'm sorry.

A bit parched.

I just--I just want this
to be over.

- It's just important
that you understand that...

this would be a life-changing
event, the surgery,

and could really shake up
your and Bria's routine,

so it's very important
that you--

you have a postsurgical plan
in place.

- I plan to keep doing
what I've been doing.

Going solo has worked.

I need to make sure
it keeps working.

- What's the status
with the room change, Maggie?

These guys next-door
to each other are like napalm.

- I'm working on it, Dr. Choi.

- Thanks.

Hey, man. Where you headed?

- [sighs]
To grab a pop.

- Vending machine's
in the waiting room, that way.

- So that's how it's gonna be?

Whatever.

- Hey, don't let those ass-wipes
get to you.

Just trying to be tough guys.

- No, Jeff.

It goes deeper.

Not many families with the
last name Choi where I grew up.

Know the type all too well.

- Dr. Manning,
you're going to Trauma 3.

- Got it.
- Ted Baylor. 21-year-old male.

Friends found him
in his dorm room

hooked up to the Xbox
and unresponsive.

Gave him fluids and oxygen
in the field.

- Glucose level?
- Blood sugar's 800.

- That's sky-high.

- See the train kept rolling
without me.

- Yep. Welcome back.
We missed you.

- All right. On my count.

One, two, three.

- Mr. Baylor? Mr. Baylor?

He's out. Sternal?
- Yep.

- There he is.

Mr. Baylor,
do you know where you are?

- Hospital.

- Okay. He's able to speak
and protect his airway.

- Good breath sounds.
Lungs are clear.

- Maintaining oxygen saturation.

- All right,
let's keep him on the O2,

bolus another liter of fluid,

and start an insulin drip.

- Labs?

- What do you think?

- Likely diabetic ketoacidosis,

so, CBC, CMP, VBG,

hemoglobin, A1-C,
and another Accu-Chek.

For cardiac,
troponin and an EKG.

- Nice job.

[alarm sounding]
- Help! Help!

Something's wrong!

- I got it. What happened?

[alarm sounding]

What happened?

- He was talking,
and then his eyes rolled back.

I--I don't--

- Get a [indistinct]
right away.

- Got a pulse,
but he can't protect his airway.

- We need to intubate.
Draw up meds.

20 of etomidate, 100 of sux.

- Is he gonna be okay?
- We'll see.

[dramatic music]

*

Hold the meds.

Don't need them.
No gag reflex.

I'm in. Bag him.

Let's get an OG tube down
to decompress his stomach.

[respirations]

- Pupil's blown.
- Must have a head bleed.

Page neurosurgery.
We need a stat head CT.

.

- Hi.

- Dr. Manning, I presume?

- [chuckles]
- I know. Corny.

- A little. But making jokes?
Feeling better?

- Compared to before?

I mean, it still feels
like I got hit by a truck.

What happened?

- Your body wasn't producing
enough insulin

to control your blood sugar,

so it spiked
and it knocked you out.

- Is it diabetes?
- Yes.

- Ugh.

- But the crisis period is over.

Your blood sugar levels are
improving.

- [grunts]

- You okay?

- It's just a little tender.

- Do you mind
if I take a look?

- Oh!

- Pain scale, one to ten?

- 12.

- Okay.

How long has your stomach
been hurting?

- A few days.

I mean, it's winter break.

Just more cheap beer and pizza
than usual.

I figured it was
just indigestion.

Is it the diabetes?

- No.

Gallstones.

I would like to run
some additional blood tests

and get an MRCP,

a more detailed scan
of your stomach, okay?

- Mm-hmm.
- Is there anyone

I can call for you?

- No. My dad's on his way.

- All right.

- He had them.

Gallstones.

They're a fat person's problem,
aren't they?

- They are often tied
to obesity.

Diabetes as well.

But, you know,
with lifestyle changes,

these things are manageable.

- You mean like diet
and exercise?

- You're only 21.

It'd be easier than you think.

I'll be back shortly.

- [sighs]

[saw buzzing]

*

- Massive hemorrhaging
in his brain.

Trying to get the swelling
under control.

- Decompressive craniectomy.

Opening up the skull
should relieve the pressure.

- Yeah, but right before
they put him under,

he had a Cushing's reflex.

Dropped his heart rate,

and his BP went
through the roof.

- Hang in, man.

[indistinct chatter]

- Mm-hmm. Yeah.

All right, I'll check.

Sure. Uh-huh.

- Everything okay?

- Yeah. Why wouldn't it be?

- So, uh--
so, Meghan Scott.

- I got to say
I have some reservations.

- But she's three years sober
and committed to staying clean.

- Yeah. Without a plan
or strategy to avoid relapse.

Addiction is never conquered.
Only managed.

- But she's got a support system
in her daughter.

Bria's involved.

- Maybe too involved.

I mean, by delaying college,

she is valuating
her mother's life over her own,

and as admirable
as that may seem,

it just doesn't tend to last.

- Meghan's sick.
It makes sense

that she'd want
to take care of her.

- There's a very fine line
between a healthy support system

and an unhealthy dependence.

I mean, did you see
during the evaluation

Meghan needed her daughter's
help to reach a glass of water

that was literally
right in front of her?

Look, it's a gut-wrenching
process,

and we just have to remember

that we give Meghan a heart,

we could be denying one
to somebody who is

just as deserving

and might have
a better chance of success.

- So Meghan's a no?

- No, I didn't say that.

I just--

I just want to sit with it
a little longer.

- Okay.

- That gallbladder's
really inflamed.

It's full of stones.

But it doesn't look
like any have dropped

into the common bile duct.

- Oh, but it's only a matter
of time before one does

and causes a major obstruction.

- Right.

Well, play it safe,
remove the gallbladder?

- Yes, except his latest labs.

Calcium's low.
Amylase, lipase, white cells

are all through the roof.

- Gallstone pancreatitis. Man.

- The swelling is really bad.

[sighs]

Right now I think we should
up his IV fluids

and start a course
of IV nutrition.

- Should buy him a few days,

give his pancreas time
to cool off.

Good idea.
- Good.

- What does this mean?

His pupils are nonreactive?

- The bleeding in Cyrus's brain

has caused significant injury.

Despite the surgeon's
best efforts,

Cyrus has slipped into
a persistent vegetative state.

- A coma?

- But he can wake up, no?

It's possible?

- I'm sorry, but it's
more likely he stays like this

or devolves to brain death.

- That referee--

he should've stopped the fight
earlier.

Cyrus was dominant.

- The crowd--
they cheered for blood.

They wanted to see
the Muslim boy get killed.

[somber music]

*

- Hey.
- Hey.

Oh! [laughs]
All bundled up?

You--you realize
your pilomotor reflex is

the first step
towards frostbite?

- Yeah. Something like that.

- So you know, I've been sitting
on this for a while now,

and, uh,
it might sound silly,

but I believe if couples are
good travel partners,

then they have what it takes
to have a future.

So what do you think?

New Orleans?
Drinks, food, music.

- I--
[clears throat]

"I sometimes imagine
it was the other way around:

that Lisa was your wife
and Natalie was mine."

- What are you talking about?

- I said that to Jeff.

That's why we all lost touch.

He didn't want us
to hang out anymore.

- I don't understand.

- Right when Lisa and I
started to go sideways,

you and Jeff met me
out at Twin Anchors

for moral support.

- Yeah. I remember.

- You were up at the bar
ordering a round,

and I was looking at you,
and I just said it.

- Why?

- 'Cause my marriage was
falling apart

and I was a little bit drunk,

and right at that moment,
it was true.

Jeff, of course, flipped out,

and I mean,
if you weren't there,

it might've gotten ugly.

- And you're
just telling me this now?

- I know. I should've told you
this morning when you asked.

- This morning?

How about when you showed up
as a med student?

Or before we slept together,

or before I let you
into my life?

Unbelievable.

Hi.

- Setting up grocery delivery.

Farewell,
supermarket temptations.

- Well,
that's a good first step.

- Mm-hmm.
- You know there's some great

apps for tracking calories too.

- That's way down the line.
I mean,

after I get a handle on GMOs,
gluten,

organic versus farm-fresh.

I--it's why I like fast food.
It's simple.

- You know what?
Why don't I page

the hospital's nutritionist,

have her come in for a consult?

- [takes deep breath]

- You okay?

- I've just been feeling

a little bit short of breath,
and--

- Just come on now?

- A couple minutes ago.

Is it a reaction
to all the meds, or--

- No. They're just sparking
your immune system.

It shouldn't affect
your breathing.

Sit up for me?

Lungs are clear.
Is the extra oxygen helping?

- No, not really.

- Will? Will, I need a hand.

Stat portable chest X-ray.

- What's going on?
- Blood sugar's normal.

White cells, amylase, lipase--
they're all down.

Everything's good,
except now he can't breathe.

- What's happening?

- Your blood pressure
and oxygen levels keep dropping,

so we're gonna take
a chest X-ray

to try to figure out why.

- Mass in the lung.

- [labored breathing]
- I'm hearing a rub.

It wasn't there before.

- All right. Let's get an echo.

- I can't breathe.

- O2 keeps dropping.
Switching to a full face mask.

- Pericardial effusion.

- What does that mean?

- Keep this on.

There's fluid built up
around your heart.

It's constricting it
from beating.

Bolus another liter of fluid.

Get 125mg Solu-Medrol IV

and a Levophed drip.
- Yes, Doctor.

- Page Dr. Rhodes. We need

to tap this fluid off his heart.

Five minutes ago
he was getting better,

and now he's sicker
than when he came in.

.

[monitors beeping]

[soft dramatic music]

*

- Okay.

So the fluid's
from acute pericarditis.

- Stemming from the mass
in his lungs.

- Drain's a temporary fix,

but his heart is
really struggling.

CT chest will show
exactly what we're dealing with.

- He presented
with hyperglycemia

and gallstone pancreatitis.

There was absolutely no evidence
of a heart problem.

- My time with Dr. Downey,
now Dr. Latham

the one constant:

cardiac events can strike
without warning.

- Thought he was on the mend.

- So did I.

- Look. About earlier--

- Dr. Manning?
- Yeah?

- Ted's father has arrived.

I can fill him in.

- No. I'll do it.

Hi. Dr. Manning.

- [groaning]

[squelching]

[breathing heavily]

- Okay.

Hard part's done.

Big muscle bleeder down deep.

Stick tying it now.

- [groaning]

The A-rab,

Cyrus.

You wheeled him out of here,
but he never came back.

What happened?

- Turn for the worse.

- He knew the risk
when he stepped inside the cage.

It's the cost of doing business.

- Shower and change the dressing
every day.

It'll take at least two
to three weeks to heal.

Pack the wound.

Get him out of here.

- Bulky, swollen lymph nodes

and a clear primary mass

in the right lower lobe
of the lung.

- Non-small cell lung cancer?

- [sighs]
The biopsy results are pending,

but I'm almost certain
they'll confirm it.

I'm gonna talk to Dr. Latham
about surgical options.

- All right.
I'll consult with oncology,

get their opinion as well.

- Yeah.

Hey. Sorry, Nat.

- Thank you.
- Yeah.

- Hey, Dr. Charles.

Um, speak with you a second?

- What's up?
- Yeah, so, my--

my heart patient Meghan Scott--

I hadn't heard anything,

so is there something going on
with the transplant eval?

- Well, I know you know
that we're not supposed

to be talking about this,
but unofficially,

her history of addiction
makes her very high risk.

- Wh--
I understand her history,

but we're talking
about her future here.

- Well, her future's
precisely the issue.

I'm sorry, Dr. Rhodes,
but the--

the clearance process--
it's unforgiving.

- No, no, no, no.
Dr. Charles, you spent what?

All of an hour with her?

I've known Meghan
and her daughter Bria

for months now.

- You've known her
within a controlled environment.

The invasive surgery,

the powerful opiates
for pain management,

the rigorous
medication schedule,

the constant check-ups

to make sure she's
not rejecting the organ.

- So you're gonna seal her fate
with a checklist, then?

She doesn't get a heart,
she dies.

She's looking at six months,
maybe a year.

- Do you honestly think
that I don't know that?

Someone's got to make the tough
decisions here, Dr. Rhodes.

I'd thank you to let me
do my job.

- Amniotic fluid level
looks okay.

Same with nuchal translucency.

Fetal heart rate is 180,
nice and strong.

- Aw, yeah, that's a boy.

What's up, little man? Already
looking like a linebacker.

- Um, she looks
like a scientist to me.

Dr. Lee? Something wrong?

- At 12 weeks,
optimal crown chin length is

26 millimeters.

Your fetal measurement is 23.

- Is that still
within the normal range?

- Yes, but on the low end.

Something we need
to keep an eye on.

- Low measurement--
what does it mean?

- The main concern is
anencephaly,

a neural tube defect
that can cause the brain

to develop abnormally.

- Is it because of my TB meds?

.

- [sighs]
She said the TB meds could

possibly be affecting the baby.

That doesn't mean--

- I know.

But what if they are?

You can't stop taking them.

So, where does that leave us?

Look. You're 12 weeks.

If we're considering--

- We're not.

- April,

it's not what I want either,

but if your health is
in question,

the quality of life of our baby
is threatened, I--

we need to understand

this gets riskier,
more complicated

after 14 weeks.

- Tate, I am Catholic.

- April, it's my baby too.

Don't I at least get
to discuss this?

- We are not terminating
this pregnancy.

- So how long would I have
to do chemo for?

- That's up to the oncologist.

Generally, it's given in cycles
between one and four weeks long

followed by a period of rest.

- How many cycles?

- One average, four to six.

- What about side effects?
The Internet lists thousands.

- It all depends
on how Ted's body reacts.

But yes,
the side effects can add up.

And because of the
gallstone pancreatitis,

they may even be exacerbated.

- Well, all of this
sounds awful.

Um, what am I looking at
with surgery?

- Removal of the mass
via thoracotomy.

I'll open your chest
and peel away the growth

from whatever it's attached to.

- But my pancreatitis--
a few--a few hours ago

it was too dicey
for gallbladder surgery.

How is it okay with all of this?

- Your cardiac function is
compromised.

Preventing heart failure has
to be our chief concern.

- [crying] Dad, I don't know
what I'm gonna do.

I feel like if I make the wrong
decision right now

I'm gonna--
I'm gonna die.

- Do you need an answer
right now?

- Ted, look, I understand
this is all overwhelming,

but you're very sick.

The sooner we start
fighting back--

- Emergency radiation.

Yeah, a single dose intended
only to stabilize

the mass in your lung.

It'll give the pancreatitis
a few more days to heal,

and it'll give you and your dad
more time

to decide on a treatment.

- And if I still choose surgery
after,

it'll be safer, right?

- Theoretically, yes.

- When can I do it?
The radiation.

- Today. I will set it up
with the radiation oncologist.

- You gonna just stand there
staring,

or are you gonna come in?

I can't get this frickin'
coffee ring off of--

what's on your mind?

- I know you have reservations,

but I've been reading

about how others have
managed addiction

in unorthodox ways.

There's meditation.
Meghan already does that.

Predicting your weak spots.

She's cut off friends
that were bad influences.

- The problem
with these techniques is

that they're all solo endeavors.

What Meghan needs is the support
of a sober community.

- But she's been successful
without one.

And she's got Bria,

all the reason in the world
to stay sober.

- Won't be enough.

I've been treating addiction
for over 20 years.

And trust me.
I know of what I speak.

My brother lost his battle with
addiction about 14 years ago.

- I am sorry.

- I want Meghan to succeed
just as badly as you do.

But I look at her, and I--

I see my little brother.

He tried to do it solo too.
It just doesn't work.

And I can't in good conscience
recommend her

to the Transplant Committee

without one good, solid,
clinical reason

that might give her a chance
to succeed.

I've been looking for it.
Just--I just can't find it.

- Okay.

- Hey. Okay to discharge
the asthmatic in Treatment 2?

- Yeah. Prednisone and albuterol
scrips are with the clerk.

They've been going
for the last several hours,

trading places.

- They believe prayer can
bring him out.

- What are you doing over here?

- I just, um--

I'm not sure.

- You've been discharged.
Go home.

- You're showing your face
around here?

[indistinct].

- Is he gonna wake up?

- Like you care.
You did this to him. Murderer!

- It's not my fault.
We b--we both wanted to win.

- Go home, Ricky.
- God will punish you.

You will burn in hell!

- Aamir!

Enough.

Come.

Pray with us.

- I'm s--
[voice breaks]

[crying]
I'm sorry.

[sniffles]

[somber music]

*

- Dr. Halstead, a moment.
- Yeah?

- Dr. Manning's patient
Ted Baylor--

I understand surgery was
proposed,

but that radiation will be
tried first.

- As a short-term measure.

- Yeah, well,
it's the size of the mass

that's killing him.

Radiation only stalls
its growth.

It doesn't--
doesn't shrink it.

- Well, Dr. Manning's opinion
and mine

is that radiation is
a much safer option right now.

- Well, you're the attending.
Keep me posted.

- Hey, Daniel, I haven't gotten
your report on Meghan Scott.

How's it going?

- Still dotting the Is,
crossing the Ts.

- You know, I know
these evaluations are difficult,

but if you're looking for
something and not finding it,

maybe it's not there.

- I said I'd have it for you
before the end of the day,

and I will.

- Okay.

- From now on, clean nutrition,

lots of cardio,

diet and exercise.

My dad, too.

- That's the enthusiasm
I was hoping to hear.

- I'm getting a second chance.

I'm not wasting a day of it.

- Good for you.

- [sighs]

Okay, let's do this.

- Natalie, hey.

- [exhales sharply]

- I am so sorry that I didn't
say something sooner.

I was afraid I'd lose you.

Say something, please.

- I was terrified
to move on from Jeff.

Even more afraid
to get involved with you,

my husband's best friend.

And yet I thought
there is no one

Jeff would approve of me being
in a relationship with

more than you.

And you let me think that.

[alarm sounds]
- He's coding! I need help!

- What happened?
- He just dropped.

- Take over compressions.

- Got it. I got it. I got it.
- No pulse. V fib.

Charge 200.
- Charging.

[electricity builds]

- Hold compressions.

Clear.

Resume compressions.

Another milligram epi.
Charge to 300.

- Charging.
[electricity builds]

- Hold compressions.

Clear.

[monitor flatlining]

- Asystole.

[flatlining]

- You gonna call it?

- Time of death 17:32.

[dramatic music]

.

[somber music]

*

- He was dead before
the first alarm even went off.

C.O.D. tumor lysis syndrome.

- No way.

- You know, the radiation was
supposed to stabilize the mass.

Instead it caused it to burst.

I might as well have just
given Ted a lethal injection,

because that is essentially
what happened.

- Natalie, this is not on you.

There are no predictors
for tumor lysis syndrome.

It is monumentally rare--

even more so in young people.

And the few times
that it does occur,

overwhelmingly,
it's a reaction to chemo,

not radiation.

- It still feels
like I missed something.

- Well, you didn't.

No doctor sees gallstone
pancreatitis with diabetes

and thinks volatile
cancerous chest mass.

- And yet here it is.

[sighs]

- Ted's death is not your fault.

- You just get good news
or bad news?

- My coma patient--

this morning,
he mentioned a Qur'an verse:

Surah Al shura 40.

"The recompense of an evil deed

"can only be an evil
equal to it;

"but whoever pardons
and makes reconciliation,

their reward is due from God."

- In the psych world,
it's called complementarity.

You know,
kindness begets kindness.

Hostility, hostility.

- Yeah.

An hour ago,
those two hated each other,

but then his father extends
a hand.

- Dr. Charles calls it
"flipping the script."

- Don't know
if I could've done it.

- Yeah. Not many people can.

[chatter]

- Okay, what is with you?

No invitation to sit down?

Usually I can't sneak past you.

- I'm just a little preoccupied.

I--I got to figure something out
fast, and I'm at a roadblock,

and I can't find my way
around it.

- Okay. I--
I will leave you to it.

Hey, uh,

if you're going through hell,
keep going.

Isn't that
what you always taught me?

- Well, technically it was
Winston Churchill, but--

- Well, still,
it's never let me down.

- Hm.

Good.

[soft dramatic music]

*

- [laughs softly]
Mom.

[light music]

- You're recommending Meghan

to the hospital's
Transplant Committee.

- Uh-huh.
- Well, what happened?

- Well, if you must know,

a member of my junior staff

drew my attention
to the fact that, um,

I was so focused
on her risk factors

that I was blind
to the one personality trait

that my late brother
did not have.

- What?

- Grit.

- One's ability to persevere
in the face of obstacles--

a clean clinical reason.

- I mean,
the stressors are still there,

as are significant
future challenges,

but I like to think
that the determination

that's kept her clean
the past three years

is gonna help her go
the distance.

- Mm-hmm.

- Hey, what made you think
of grit?

- Fatherhood.

- Rough one today, huh?

- To say the least.

- Well, not to pile on,

but Dr. Stohl just informed me
that he'd like to use you case

for the next
Morbidity and Mortality Review,

trace your steps.

- An M&M? Oh, my God.

- Well, it's not an inquisition.
It's just a learning tool

for the medical staff.

- You tell Dr. Stohl that?

[takes deep breath]

Okay, night.

- All righty. Good night.

[soft dramatic music]

*

- What now?

Can't kick me out of here too.

- I'm not here to do that.

I was thinking

we got off to a rough start.

Let me make it up to you.

*

Two beers. My tab.

*