All language subtitles for Chicago.Med.S02E17.720p.AMZN.WEBRip.x264-GalaxyTV

.

- Lunch, one o'clock?
- 12:30.

- Oh, yeah, right.

Hey.

- Morning.
- Hey.

- Morning, Dr. Halstead.
- Good morning.

- Yeah, yeah, yeah.
Wait.

Dr. Wheeler, you got one in 3.

- Be there in a minute.
- Okay.

- Morning, Jeff.
- Hey, man.

.

- This is obviously
a tremendous shock.

Dr. Wheeler was one of us.

And the burden of processing
all that has happened

will be a long
and...and difficult one,

so there would be no judgment
on anyone

who would prefer
not to be here today.

- At times like this,
talking about anything,

even the weather,
never hurt anyone,

so my colleague Dr. Richardson

has made herself available
all day.

She'll be up in her office
if anybody wants to stop by.

- Okay? All right, thank you.

- Ms. Goodwin, in my experience,

the key to maintaining morale
in times like this is

to keep things running smoothly.

- Of course.
- Okay if I take Dr. Reese

to fill in for the day?

- Dr. Charles?

- Sure.
- Thank you.

Maggie, waiting room's full.
Let's keep 'em moving.

- Trying, Dr. Choi.
- What have we got?

- Kid who fell in the river
about five minutes out,

Good Samaritan right behind.

Bunch of runny noses
and earaches,

and abdominal pain in 6.

- Dr. Manning,
you're on the kid.

Clarke and Sexton,
stand by to assist.

Reese, you're on deck.
Everyone else, take a room.

Let's go. Don't worry.
We'll get through this.

Hi. I'm Dr. Choi. Heard
you're having some belly pain.

- Yeah. It's not a big deal.
- He fell down the stairs.

- Really? How'd that happen?

- Aah! It was nothing.

- He was carrying a pretty heavy
box of books.

We're packing up to move
next week.

- And everyone thinks reading's
good for you.

Might have a broken rib.
I'd like to get some scans

and make sure
there's nothing else going on,

but it doesn't look too serious.

I'll be back to check on you
in a little bit.

- Um...

- Is there anything else?
- No. It's--

it's just--he's been
a little clumsy lately.

- But that's normal, right?
Tripping over his feet?

He's just growing into his body.

- It's probably nothing,
but since we got some time,

I'll run some blood to rule out
any infections or toxicities

just to be sure.

- Thank you.

- Need any help?
- We got it.

- Mags, put him in Baghdad?
- Already on it, Dr. Choi.

- Dustin Banks, eight years old.

Fell through the ice
into the river.

15 minutes
before he was pulled out.

Heart's in brady-arrest.
Core temp 27 degrees Celsius.

- Cold and dead, Sexton?
What do you think?

- Uh, that he's not dead
until he's warm and dead?

- You just won the first shift
of compressions.

All right. On my count.

One, two, three.

April, I need to intubate.
50 of sux, 10 of etomidate.

- On it.
- Can he hear me? Dustin!

- Whoa, whoa, whoa, whoa.

The doctor will be with you
as soon as she can, okay?

- Jim Kessler, 58.
Had a STEMI

after jumping in the river
to save the kid.

Aspirin and nitro in the field.
Sinus rhythm now 120/80.

- Mr. Kessler, I'm Dr. Reese.
Can you hear me?

- Sure can.
- Great.

On the count of three,
let's move him.

One, two, three.

- Meds are in.
- Maggie, get an ECMO unit.

- Pneumonia season.

Every single one's in use
upstairs.

- He's not gonna wake up till
he's 95 degrees.

What about bypass?

- They're both in surgery.

We can get one down here
in about 90 minutes.

- Then we're gonna have to keep
his heart beating

until we get it.
- Compressions for 90 minutes?

- In five-minute shifts.
And we'll warm him

the best we can
with a left lung lavage.

Jeff, we need two 32-french
chest tubes.

April, get a warmer and all
the saline in the hospital.

Let's go.

- Left lung lavage?
Sure it'll work?

- We're gonna try.

- Dr. Manning, this is
David Banks, Dustin's father.

- Is he gonna be okay?
- It's too soon to tell.

The benefit of hypothermia is
it preserves brain function.

But if we don't warm him
fast enough,

the cold will eventually
overwhelm his body,

so we're gonna circulate warm
saline through his chest cavity

until we can put him
on bypass, okay?

- Okay, the warmer's on its way,
but for this amount of saline,

Central Supply needs
a doctor's order.

- Okay. I promise you we are
gonna do everything that we can.

- Your EKG shows ST elevations.
Definitely a heart attack.

Ever had any heart problems
before?

- Little chest pain
here and there.

My doc's got me on some pills.

- Okay, well,
he should've told you

not to jump in a frozen river.

The shock is probably
what tipped you over the edge.

- Everybody's
a Monday morning quarterback.

- I don't know what that means,

but I do know
that we need to assess

the extent of your
coronary artery disease,

so I want to send you
up to the cath lab.

- Long as there's some hot cocoa
in it for me, you got a deal.

- All right. I'll check back
in with you soon.

Activate the STEMI protocol.

And uh, call Dr. Rhodes
for a consult.

- You got it.

- He got off lucky.

He could've gone into
cold shock, v-fib, coagulopathy.

What a great but crazy thing
to do.

- He probably didn't
even think about it.

Just saw a kid in trouble
and reacted.

- Thank you.

- Hey, Nat.

- Hey, Jay.

- It's a tough day, huh?

- Yeah.

- Just hang in there.

- Thank you.

- All right. All Kevin's scans
show are a broken rib

and a pretty good bruise
on his kidney,

so I agree with Dr. Choi.

There's no neurologic reason
he fell.

He simply slipped.

- I'd like nephrology
to get a look just to be safe,

but then he should be okay
to leave.

- So, he'll be all right to
drive across country next week?

- Mom.
- Shh. Let the doctor talk.

- Might be a little
uncomfortable,

but he'll be fine.

- Thank you for all your help.
- You got it.

- My advice: bring some pillows.

- Lead levels and Lyme titers?

Pretty aggressive workup for a
kid who just slipped and fell.

- Nothing wrong with
covering our bases.

- Hey, Maggie?
- Mm-hmm?

- How's the resuscitation going?

- Getting 20 people
from 5 different departments

to work seamlessly together--

what could go wrong?

- Mm. Well, you keep me updated.
- Yeah.

- Let me ask you:
did Dr. Wheeler have

any interpersonal issues
with anyone on staff?

- I mean, I don't know.
I don't think so.

But he was making
some pretty big mistakes lately.

- Yeah, and it was getting worse
after the drinking incident.

- Mm-hmm.
- Was there anything

that, um, might have been
weighing on him?

- I mean, you can tell that he
was losing his confidence.

- Hm. Um, okay, then.
I'll let you get back to work.

- All right.

I'm sorry.
Can I help you?

- I was told to ask for you.
- Okay.

- I'm Dr. Wheeler's father.

- I need help!
Can somebody help me?

- What happened?
- I don't know.

He--he can't move.

- Kevin, squeeze my fingers.

Just--wait, wait.

- Can you feel my hand?

- All right,
let's get him to CT, now.

- What? What's happening?

- I think your son's
having a stroke.

- So, the episodes
that he's been having recently

could've been TIAs.

They may have been coming
for some time.

- Well, it's possible.
But the CT looks negative.

- It is. However,
there can be a delay

before an embolic stroke
shows up on the scan.

- Exactly.
Which is why we need an MRI.

- Right.
- An MRI? That'll take an hour.

His stroke could be evolving
right before our eyes.

- If it is a stroke.
- His left side's

completely paralyzed--
what else could it be?

- I don't know.
That's why I want an MRI.

- Every minute we wait to
break up the clot in his brain

increases the odds of his
paralysis becoming permanent.

He needs tPA.

- Whoa, well,
he's also got a bruised kidney.

tPA could cause
a massive hemorrhage.

We cannot risk that

until we know for sure
what we're treating.

- You've still got more
than a two-hour window for tPA.

I can get him in and out
of the MRI in 40 minutes.

- Good. Do it.

- I'm sorry about your resident.

- He wasn't my resident.

Yeah. Thanks.

- Yeah, it's awful.

I mean, residency--
who doesn't consider doing it?

Still, you never think
anybody actually will.

- You thought about suicide?
- Of course. Didn't you?

- No.

- Huh. That's unusual.

- You have moderate
three-vessel disease.

But given the fact that you've
already had a cardiac event,

it is my recommendation

that we do a coronary artery
bypass graft.

- This is pretty major surgery,
right?

- It is, but you are
an excellent candidate.

So I'd like to give your heart
a day to rest,

and then we can get you
on the schedule for tomorrow.

- [takes deep breath]

If you say so, let's do it.

- Great. By the way,
it's a pleasure to meet you.

I hear that you are
quite the hero.

- [chuckles] No.

Just lucky I happened
to be there.

- Well, either way, thank you.

- H-how did you know
he needed help?

- What do you mean?
He was drowning.

- No. I understand.
But what went through your head

the moment before you jumped in?

Was it--was it
an actual decision,

or was it more like
an instinct kicking in?

- I don't know.

- We should let you
get your rest.

Dr. Reese will be back

when we have a room
ready for you upstairs.

Dr. Reese?

Dr. Reese, are you okay?

- What? Yeah. I'm fine.

Yeah, everything's fine.
I'm gonna go check on the room.

- Where is he? My son, Dustin.
Where--

- Mrs. Banks?
Hi. I'm Dr. Manning.

Your son is right here.

But let me just explain to you
what's going on first, okay?

- Cheryl, I don't know
what happened. I was right--

- This is your fault!

You are a terrible father.

- Mrs. Banks, please,

let me just explain to you
what's going on, okay?

- Hey. How come you're getting
a snack? It's time for lunch.

- I'm sorry. We've been slammed.
I got to get back.

- Okay. But you could've texted

and saved me the drive
across town.

- I told you
I haven't had a second.

- You had time to get a snack,
though.

- Fine. You win.
- That's a great answer.

- I'm sorry my dying patient
inconvenienced you.

- Come on, April.
- What do you want me to say?

- That's just how you justify
everything--your work.

- Now you're gonna start in
on my work?

- Nah. I'm going.
Rather eat by myself anyway.

- You ever seen this before?

A resident ending it like this?

- Unfortunately, I have. Yeah.
Several times.

You know that 400 doctors

take their own lives
every year, right?

Most of any profession.

I don't have a lot of evidence
to back this up,

but I got a strong hunch
it's got something to do

with taking people who have
a powerful desire to help

and throwing them into a game

where the odds are
just stacked against them.

I mean, this I do know:
situations like this,

it's never just one thing.

It's always a complex set
of circumstances,

and, um, you know,
trying to figure it out,

trying to assign blame--

it's pretty pointless.

- Hey, thanks for getting him
a bed so fast.

[takes deep breath]

Tough day, huh?

You and Dr. Wheeler
were friends?

- No. I hardly knew him.

He came to me...

twice...

asking about pills,
about therapy.

And that wasn't really
what he was asking for.

He was asking for help.

I don't know why he came to me,
but he did, and now he's dead.

What kind of terrible
psychiatrist am I gonna be?

- You can't jump in
and save everyone, Reese.

It's just not possible.

- It's not that I didn't
jump in to save him.

I didn't even see
that he was drowning.

- Dr. Rhodes, better come here.

- [wheezing, gasping]

- BP's dropping,
ST segments are elevated.

- [groaning, gasping]

- He's barely got a pulse.

- He's in cardiogenic shock.
It must be another MI.

We're gonna balloon-pump him.

Bolus heparin, start dopamine,
dobutamine.

Get him on high-flow O2.
- Got it.

- I'll tell the cath lab
we're coming.

- There's no time.
We're gonna do it here.

- We're--

how will we know
if we're in the right place?

- If he bleeds out, we'll know
we punctured the iliac.

If he stops breathing, then we
perforated into the mediastinum.

But if we don't get his blood
pressure back up right now,

none of that's gonna matter
anyways.

- [groaning, gasping]

- Hang in there, Jim.

Let me know when you see it.

- Almost there. Got it.

- Almost there, Jim.

I got you.

All right, turn it on.

Come on, come on,
come on, come on...

- Pressure's coming up.
70/35.

80/40.

.

- Still no improvement.

- He's always been so healthy.

What could cause a stroke
in a 15-year-old?

- Not much. And he's negative
for the usual suspects,

so if his MRI is positive,
we'll have to start looking

for less common causes.

- I'm not gonna have to stay
overnight, am I?

- Kevin, not now.

- Dr. Halstead, Dr. Choi?

- Excuse us.

MRI?
- Yeah.

- Still no evidence of a stroke.
This can't be right.

- Well, it may not be.

It says it's a poor study
due to patient movement.

- So it's inconclusive.

- Tell MRI we're sending him
back up for a repeat scan.

- Are you kidding?
If this is a stroke,

we're running out of time.

- Doesn't his affect strike you
as weird? So little concern?

- He's a confused teenager
who's probably also in shock.

- Well, I don't like it.
It doesn't add up.

- And we should figure it out
after we treat

what may soon become
permanent paralysis.

- I'm not gonna risk
a massive hemorrhage

and a transfusion for no reason.

He's going back to MRI.

- Hey.
- Hey.

- I just spoke with CCU.
Mr. Kessler's pressure

still isn't coming up.

- Okay. We'll give it
a few more minutes,

and if it doesn't improve,
I'll have to operate.

- Okay.

- Wheeler came to me, too,
Reese,

when we had that pile-up
in the blizzard,

and the pregnant woman
almost bled out.

He took it hard.

I had the chance
to reassure him, but I didn't.

- All right.
I appreciate that you're trying

to make me feel better,
but it doesn't.

I'm gonna go check
on Mr. Kessler.

- Whoa! Whoa, whoa, whoa.
- Noah.

- Sorry. Sorry, sorry, sorry.

Let me--
let me help you.

Hey, um, I saw you and Tate
getting a little edgy.

Are you okay?
- I'm fine.

- Yeah? Okay, good. I just don't
want you to, you know--

- What? Screw things up?

- What? No, no.

I just want you to be happy...

with a guy...who was a all-pro
wide receiver three times.

Three times, right?

- Okay, everybody, the
bypass machine just opened up.

We need to get him upstairs now.

- So you'll be able
to warm him up?

- Much faster, yes.

- And it hasn't been too long,
right? He might still be okay?

- We won't know about
his neurological function

until he wakes up,
but this is definitely a step

in the right direction.

- [sighs]

Thank you, Dr. Manning.
- Of course.

- I can't tell you how much
we both appreciate this.

- He's ready to go.
- Okay. Let's do it.

- Hold on.
- Ms. Goodwin?

- They need the bypass machine
upstairs for an emergency case.

- What do you mean,
an emergency?

- It's for Mr. Kessler,
the man who saved your son.

They need to operate on him
immediately.

- But it was promised to us!
We've been waiting for it.

Plus that man would
want Dustin to have it.

There can't be a bigger
emergency than this.

My son is dying.

Are you just gonna stand there
and do nothing?

- Mrs. Banks,
Dustin still has options,

other ways of continuing
to warm.

Mr. Kessler does not.
Without surgery, he will die.

- My son is going to die.
Tell her.

- Put him back on the monitors.

- Wait. Wait!

Are you giving up?

- No. But Ms. Goodwin is right.

We can try peritoneal lavage
to speed things up.

- You are his doctor.
You're supposed to fight

for your patients.

My son is only eight years old.

What kind of a monster are you?

- Mrs. Banks.

- Mrs. Banks,
I am truly, truly sorry.

April, set up for the lavage.
- On it.

- The waiting room's backed up
again, Maggie.

- I'm doing my best, Dr. Choi.

- We need to do better.

Too many people losing focus
today. It's dangerous.

- Is that right?

- That patient in there, Kevin,

15-year-old with hemi-paresis,

but his attending is fixated
on his mood

rather than his symptoms.

- What do you mean?

- He seems a little detached.

But he's just a kid
trying to play it cool.

So now we're wasting valuable
time ordering scan after scan

when we should be treating him.

- Well, I mean,
surely this attending

gave you his reasons, right?

- He did.

But I think the incident
this morning

is clouding his judgment.

I'm not sure
he should be working today.

- Really?

- Dr. Charles, we're in
the business of saving lives,

and the moment people lose
confidence in their leader,

the fight is lost.

We've already had one casualty
today.

- Kevin, how are you?

I'm Dr. Charles.
- Hey.

- I understand you're having
a little trouble

with your left side.

- Oh, yeah.
- Yeah.

- How you doing with that?
I know it can be a little scary.

- It's not that big a deal.

- Excuse me, Dr. Charles,

this patient's schedule
for an MRI.

- Yes.
Okay.

- Metz and DeBakeys.

Let's get him cannulated
for bypass,

and get me a sheet
of woven patch.

- Woven patch? I thought we were
doing a three-vessel CABG.

- Change of plans.
This isn't an MI.

Page Dr. Reese.
Tell her I need her now.

3.0?

- How's he doing?
- Still only 89 degrees.

- Look, I know Dr. Wheeler had
a difficult time here.

Did he ever talk to you
about it?

- No.
- Was there anyone

he might have talked to?

A confidant?

- Honestly, I have no idea.
- Okay.

- Uh, Ms. Goodwin?
- Yes?

- I spent eight months
working alongside someone

who was in so much pain
that he took his own life,

and I never even noticed.

Am I a monster?

- No, Dr. Manning.

No, you're not.

- Excuse me.
I'm looking for my friend.

Is this the visitors entrance?

- Uh, for the ED, yeah.

Has he been admitted yet?

- I don't know. He said
he can't move his arm or leg.

It sounds really bad.

- His name wouldn't be Kevin,
by any chance, would it?

- Yeah, it is.
- Huh.

Tell me: is your buddy, like,
a real cool customer?

You know,
like a James Dean type?

- Who's James Dean?

- What I mean is, um,

is he the kind of guy
that doesn't really get

too worked up about stuff?

- Kevin? You're kidding.

They're making him move
to California.

Of course he's worked up.
- He's got to move?

- Yeah.
They're just dragging him away.

- Huh.

You're gonna miss him, huh?

- Yeah.

- Sorry--tell me your name.
I'm Dr. Charles.

- Emmett.
- Emmett. Nice to meet you.

Um, I think
that there might be a chance

that we could help your friend.

Could we go see him together?
- Yeah. Okay.

- Dr. Rhodes,
why did you bring me here?

I can't assist
on a bypass graft.

- We're not doing
a bypass graft.

- What? But I--
- Look.

- A ventricular septal defect?

- From necrosis.

Lack of blood flow from
his heart attack at the river

caused a small patch of muscle
to die.

- That's impossible to find.
How did you even know to look?

- You see this discoloration?
- Uh-huh.

- I missed this once.

Guy died before we even got him
off the table.

I know that you feel
like you let Wheeler down,

like you missed the signs
of him needing help.

As doctors, all we can do
is learn from that

and try not to miss them again.

- Maggie, when's Kevin Roth
getting back from MRI?

- Didn't you get
Dr. Choi's message?

He took your patient
to interventional radiology.

- What?

Do not administer that tPA!

Dr. Choi, now.

The hell are you doing?

- His window's nearly closed.
I had no choice.

- No, you don't have a choice.
I'm your attending.

- And you're not willing to do
what the patient needs.

- So, you're 100% sure
of the correct clinical course?

Because to me, this is not
a clear-cut case.

- Doesn't mean we can avoid
making the hard decisions.

- Even if those decisions
might kill him?

- Gentlemen,
if we could take a beat,

this young man might help us
shed some light

on the situation.

- Hey, man.
- Emmett,

what are you doing here?

- I was worried.

- You were worried about me?

- Yeah, man. Your text said
you couldn't move.

I didn't know if you were dying
or paralyzed.

I just came as fast as I could.

- Oh, Mr. Wheeler, I'm sorry.

I'll give you some time.

- Why did he do it?

Even if he was having trouble,
why?

- I don't know.

Did you ever see Jason
do that trick

where you'd pull a card
out of the deck,

and it turns out
it's in his pocket?

- Yeah. When he was a kid.

- Yeah. I saw him do it once

up on the pediatric
oncology ward.

I guess he used to go up there
a couple times a week

to do magic for the kids.

And oh, man, did they love it.

He did this thing where he would
pull a lemon out of his ear,

and then out of one
of the kids' ears,

and then out of another,

and they'd be rolling
on the ground. [laughs]

Just ten minutes in their day
where they didn't have to think

about whatever terrible illness
they had.

I didn't know your son
very well.

And I've seen a lot of doctors
come through here.

He would've been a good one.

- [sniffling]
Thank you.

- Yeah.

- We had no idea.
- It seems like he's been

harboring thoughts and feelings

that he wasn't comfortable
expressing,

and his body found a way
to express them for him.

- So he wasn't
actually paralyzed?

- No. But he was experiencing
real symptoms.

It's why we call it
a conversion disorder.

It's the physical manifestation
of a psychological desire.

- Desire?
Sounds like you're saying

he wanted to be paralyzed.

- I'm saying he didn't want
to move.

And his subconscious decided

that having a serious medical
condition might be

a good way to accomplish that.
- That sounds crazy.

- Crazy, no.
Complicated, sure.

But if you think about it
as a whole,

an understandable response
to what must have seemed

like an impossible situation.

I mean, having to leave somebody
that he couldn't tell you about,

somebody for whom he had
very strong feelings.

- But if he was so upset,

why didn't he seem to care
about being paralyzed?

- Compartmentalization is
just part of the condition.

But trust me: your son cares.

I mean, he cares a great deal.

- Just to be safe,
we'd like to observe him

in the hospital overnight.

- Then probably a good idea
for the three of you

to sit down and have a talk.

- They're getting a room
for him upstairs.

I'll let you know
when it's ready.

- Thank you.

- Damn.

- The funny thing
about feelings:

you know, we think that if we
push them down hard enough,

that they'll disappear.

Never quite works out that way.

- I could've killed him.

- Yeah, well, you didn't.

- Cheryl?

Cheryl, I was watching him
every second,

and then Ben called
about this thing,

and I had to look it up
on my phone.

And I know you never take your
eyes off the kids for a minute,

and I'm always working,

and you're a far better parent
than I am.

I'm sorry.

I don't know what else
to tell you.

I'm just so sorry.

- I'm tagging you out.

There's a couch in the lounge
that's free.

I'll grab you in 20.

- Thanks.

There's something else
I have to do.

- [sighs] Hey.

- Hey.

- Listen,
I'm sorry about earlier,

going off on you like that.

- Okay.
- But--

- But what?

- I know that you blame me
for the miscarriage.

- April--
- No. Admit it.

No matter how many times
you're told

that my working had nothing
to do with it,

you just--you won't let it go.

But it's bigger than that.

You would've had me
quit my job a year ago,

before I was even pregnant.

You want a different kind
of woman.

- I want you.

I love you.

I just imagined
a different kind of life.

- [stifled sob]

[sighs]

I know.

I hope you find everything
you want.

- Amazing what the mind can do,
isn't it?

- Mm. Keeps me employed.
That's for sure.

- You know, Wheeler--

maybe what happened wasn't
my fault,

but I didn't help.

- Hey, join the club.

Look, not for nothing,
helping people is just--

just about the hardest job
there is.

- You've been doing it--what?
25, 30...several years?

What--what's the secret?

- Well, I'm still looking
for that,

but if I had to guess,
I'd say it had something to do

with, you know,
just keep showing up,

keep doing your job, put
one foot in front of the other,

'cause when you start to get
all tangled up in here,

you know, that's when, I mean,
it can just paralyze you.

- Yeah.

Still, it's gonna be a while
before I can sleep again.

- Dr. Halstead?

I think we're lucky
to have you here.

You keep up the good work.

- Hey. I think he's waking up.

- Hey, buddy.
- Dustin!

- He's trying to breath.
Hang on, Dustin.

We're gonna take this tube out,
okay?

- Hang in there, buddy.

- We're right here, buddy, okay?

- We'll take this out.

- Dustin?
- Can you hear us, buddy? Hey.

- There we go.
- [coughs]

- All right, sweetheart.
- Dustin!

- Bilateral breath sounds are
present.

Pupils are equal
and reactive to light.

Hey, Dustin,
if you can hear me,

can you tell me who this is?

- Mom?

- Oh, my God.

- Let's d/c the lung lavage,
but keep the peritoneal going

until he's 98 degrees, okay?
- Got it.

- We're gonna need
to observe him for a few days,

but this is a very good sign.

- Dr. Manning?

- Yes?

- I'm sorry about what I said
earlier.

Thank you. Thank you
for everything that you've done.

- I'm just happy we were able
to save your boy.

[sobs]

- How about that?

- I guess every now and then
we get lucky.

- Yeah.

How'd it go with Dr. Richardson?

She stay busy?

- Uh, nobody showed.

- Nobody?
- Yeah, but that's--you know,

it takes time.

Trust me. People are dealing
in their own way.

- When I took this job, Daniel,

I wanted to create
an environment

where we would never
lose someone.

Everyone would look out
for each other.

I thought I did.

But then today I found out

there was a very troubled
young man in our midst,

and not a single person
knew him.

I failed.

- Sharon, come on.
- No, no.

You--you got to wonder
about all the ones

who don't jump off the ledge--

what's going
through their heads,

how this job is affecting them.

[sighs] I worry
about these people, Daniel.

I worry about them.

- I know you do.
I know you do.

- I wish I could protect them.

- He's right here, Ethan.

- I'm so sorry.

- They won't need me
in the ED tomorrow,

so I'll be back on your service.

- Thank you.

Thanks. I'll see you tomorrow.

- Everybody comes to you,
don't they?

With all their pain?

And you just have to absorb it.

How are you doing today?

.

[dramatic music]

*