All language subtitles for Chicago.Med.S02E18.720p.AMZN.WEBRip.x264-GalaxyTV

.

- Whoa, whoa, whoa, we're live.

Naima?

- 22-year-old male,

gunshot wound to the abdomen.
GCS 15.

- Dr. Choi, GSW!
- On it!

- BP, 100 over 50.
- Oh, wait a second.

Wait a sec.
Whoa.

- Get this one up to surgery.
- All right, let's go.

- [groaning, coughing]
- Okay, here we go.

Dr. Choi, you're good?
- Good.

- All right, Monique...

Seven treatment rooms
on the East side,

four trauma bays on the West.

Bays three and four combine
to treat gunshot wounds,

a place affectionately
known as Baghdad.

4,000 shootings in Chicago.

Some days, we get...
- [yells]

- A dozen.

- [yelling]

- Drug dispensers are in the
North and South end of the E.D,

extra gurneys, isolations suites
in the ambulance bay.

Uh, Band-Aid, wound dressings,
gauze, and extra weaponry

are in the supply closet
next to the elevator,

which brings us right here
to the command center.

- Deer in the headlights.
- Mm-hmm.

- Nursling?
- Monique Lawson.

She's got her Pediatric Advanced
Life Support certification,

and is doing her E.D.
check-off skills training

with yours truly.

- Be careful, she bites.

- Monique, Doris, move.

- I hardly slept last night.
[laughs]

I couldn't stop thinking.

I mean,
so many people coming in,

horrible injuries.

- And this isn't even
a busy day.

- I just hope I'm up to it.

- Quick, nurses' credo?

- Uh, cure sometimes,
treat often, comfort always.

- Uh-uh.
Don't kill your patient...

all:
Because that's the doctor's job.

- I heard that.
- [laughs]

- Maggie, what you got for me?

- Alzheimer's patient,

here from long-term
care facility.

Hypotensive and high fever
in Treatment 2.

- Any family?
Advanced directives?

- No,
surrogate just passed away,

and no one else was designated,
so it's going to be our call.

Okay, and you need to be
initiating catheter duty.

Patient in Treatment 6.
Have a stab at her.

- Wait, we need to page Will.

- What is it?

- This is Bella Rowan--
Dr. Rowan.

She was Will's teacher,
his mentor.

.

- Lungs are wet.

Does this hurt, Dr. Rowan?

[laboring exhale]

Oh--
- Okay, all right, all right.

- Who are you?

- I'm Dr. Halstead.

- Oh...

- I'm gonna help Dr. Manning
here take care of you.

Is that all right?
- Oh, good.

- Okay.
- Gotta go.

- Why is that?
- Mm, miss my bus.

- Oh, where are you going?

- What?

[coughing]

- Okay, okay, okay...

- [moans]
- Tell you what, Dr. Rowan...

- [moaning]

- We promise to do our best,

to get you out of here
so you can catch that bus.

How's that sound?
- Good.

- Good.
- Good.

[labored breathing]

- All right.

I'll be back to check on you
in a few minutes.

I'm pretty sure she's got
aspiration pneumonia.

- Yeah.
- You start antibiotics?

- Vanc and Zosyn, plus Levophed
to maintain her pressure.

Metabolic panel, urine analysis,

and blood cultures
are all pending.

- She's obviously
been sick for days.

Why did they wait so long
to bring her in?

- I'm sorry, Will.

- Dr. Halstead,
I came as soon as I heard.

I was an O.R. nurse
under Dr. Rowan

when I was starting out.

How is she?

- Not good,
and we're playing catchup.

All right,
let's put in a central line

and get a chest X-Ray,

and I wanna keep close tabs
on her volume status.

Please, keep me updated
every 20 minutes.

- Of course.

- Hey, we went to
Joe's last night.

My sister loves stone crab.

It was nice.

I mean, there were
a lot of years

when Claire wasn't
speaking to me.

- Eh, I'm sure she had
very good reason.

- Well, she can tell you
all about it herself.

- What do you mean?
- She wants to meet you.

She wants to have you
over for dinner.

- By meet, you mean grill?

Make sure I'm worthy
of a Rhodes?

- No, that's more my father.
Claire's not like that.

She's happy if I'm happy,
and I'm happy.

- I'm not sure if I'm ready
to, uh, meet the family.

- Morning, Dr. Rhodes.

Robin...
- Leah.

- Dr. Bardovi, are you ready for
your first coarctation repair?

- I've been studying cases
all week.

- Good.

- Course there's nothing like
watching the maestro.

- [chuckles]

I will catch you at lunch,
Maestro.

- We'll continue
this conversation later.

Let's go.

- Patient's 13.

Pretty late to get
a coarctation diagnosis.

- Uh, his dad's an oil worker.
He did a stint in Nigeria.

Nobody there caught it.

Knock, knock?

- Dr. Rhodes.
- Mitch, how are you doing?

This is Dr. Bardovi.

She's gonna be assisting me
in the surgery.

Brandon, how are we doing
this morning, bud?

- We are both looking forward
to getting on

the other side of this thing.
Ain't that right, buddy?

- Uh, yeah, sure.

Hey, are you guys gonna have to
saw me open to do this?

- Yes. Yes, we are.
[chuckles]

- I'm not scared.

I'm just wondering if Halloran's
gonna have a cool scar

after the battle of Madigan.

- Halloran?
- It's a character

in some dumb online game
that he plays.

- Dad, it's not a game.
It's fan fiction.

I published a chapter today,

and my followers are gonna wanna
know what happens to Halloran

after he slays the High Locust.

That's you.

- All right, then.
Well, I am honored.

And yes, Halloran's gonna have
a pretty gnarly battle scar.

- Sweet.

- Well, at least one of us
isn't nervous.

- So, coarctation repair.

It sounds complicated,

but it's actually
a relatively simple procedure.

Uh, I'm gonna make an incision
in Brandon's left chest.

We'll place him on
partial bypass,

and then resect, or cut out,

the narrowed portion
of his aorta,

and place a graft.

Now I know all this is a lot,

but any questions,
feel free.

- Uh, yeah, I was doing
some research online,

and it seems that, uh,

Brandon's chicken legs
and his puny size

are because of his condition?

I mean, any chance that
that'll change?

- Uh, obviously, Brandon's
health is our primary concern,

uh, but yes, he may grow
at a more rapid rate

once the blood flow issue
is corrected.

- Good. [exhales]
Okay.

- All right, Brandon,
see ya on the battle field.

- Dr. Reese?

You didn't answer your page.

- Oh, sorry.

I--I was just--

Uh...

When Jason Wheeler jumped,
do you think he was scared?

Was--

I mean, was--was he at peace?

Right before he stepped off,

was there a moment
of regret?

I just--I just can't stop
thinking about him.

- Yeah.

- But see, I--I don't want to,

and then I feel guilty,
because I don't.

- The thing about suicide,

it's never really a lone act.

It tends to leave
a lot of victims in its wake.

I'd be lying if I said I'd been
sleeping too well recently.

But, um--but you and I--

we've got work to do.

- Excuse me.

Sean Adams,
formal Naval aviator,

now flies for
a private charter company.

And he was doing
his pre-flight check

and felt faint.

Co-pilot brought him in.
Says it's not the first time.

Now I checked Mr. Adams out.
Can't find anything wrong.

Probably just dehydrated
and overworked.

Says he feels fine
and wants to go.

- So, um--so why are we here?

- Charter company wants
a psych evaluation.

- Uh-huh.

Co-pilot says he's also been
acting different.

Doesn't go out with
the boys anymore,

naps a lot,

seems to be low energy.
Huh.

- Sounds like depression.

- Possibly.
- In any case,

the company won't let him fly
till you sign off.

- Why don't we have
a little chat?

- Thanks.

- Code blue!

Unresponsive two-year-old.
Quick, what do we do first?

- Check pulse,
start compressions.

- There is no pulse.
- Compressions at what rate?

- 150 beats per minute.
- Good.

You got a team behind you.
What's next?

- I tell them to start bagging.

Pulse check.

- Okay, but there's
still no pulse.

Patient's dying.
What now?

- Use the paddles
to do a quick look.

- Shows v-fib.
She's coding, so?

- Need to shock
at 4 joules per kilo?

- Well, move then.
You're losing her.

Charge to 28 joules.

- I'm shocking the patient.

- Great.

You just killed me.

- I did?
- Mm-hmm.

- You forgot to yell "clear"
before shocking.

Just one of those minor details.

Reset.
Let's take it from the top.

Come on.

- It just seems like
everyone's overreacting.

- But you can see
their point of view.

I mean, people put their lives
in your hands.

- And I'm fine.

I've answered your question.
I know what today is.

I know where I am.

- Aside from lack of energy,

your co-pilot says that at times
you seem mildly confused.

- I have no idea
what he's talking about.

[stammers, laughs]

Maybe he's the one
that's confused.

- Mr. Adams, I imagine there's
a lot of pressure at your job.

- I used to land F-14s
on an aircraft carrier.

That's pressure.

- Have you ever had thoughts
of hurting yourself?

- What? No.

- Let's see here.
Are you on any medication?

- You mean do I take anything

that might affect
my performance?

No.

I take a statin,
like 10 million other Americans.

And no, I don't drink,
if that's your next question.

- All right, Mr. Adams,
well, thank you for your time.

Getting, um,
a little ahead of yourself.

Don't you think?

- Well, he is exhibiting
signs of depression,

and there is a high rate
of suicide among pilots.

- Dr. Reese, trust me,

I understand what's on
your mind, but suicidality

should not necessarily be
a default diagnosis.

- So what do you think?

- I think that Mr. Adams
is linear, lucid.

I mean, he's certainly
not confused.

- Are you gonna sign off on him?

- Well, I didn't say that.

I mean, I thought he was
a little defensive

around the medication issue.

- Well, the man has to
prove himself to keep his job.

That would make me defensive.

- And you know what, that could
be all there is to it.

But look, he's a pilot.
Let's just take the extra step.

You know, run a tox screen,
make sure he's clean.

- Okay.

- To your point, depressives
often self-medicate,

so I'm not ruling out
the diagnosis.

- Dr. Rowan's LFTs are high,

her creatinine's
through the roof.

- Kidneys are struggling.

White cell count's high too.

- Multiple organ failure
and pending respiratory failure.

- We need to intubate her.
- What--at her age?

- Nurse!
- No, mm, Will...

you know what this means.
She might never get off.

What if we bridge her
with BiPAP?

That'll take the stress
off the lungs,

until the infection cools.

- We'd still wind up
intubating her,

and we'd have lost time.
- Dr. Halstead...

there's a Mr. Sherwood here
from the nursing home.

He wants to know
how Dr. Rowan is doing.

- I'll be happy to tell him.

Sherwood, is it?

You mind telling me
how you and your staff

let a textbook case
of aspiration pneumonia

go unattended?

- I-I don't think
that happened.

- You don't?

Then--then how was she allowed
to aspirate in the first place?

- Dr. Halstead...
- 'cause I--

I visited her every month.

I knew she had
trouble swallowing.

Your staff knew she had
trouble swallowing.

- Okay, I-I promise you
I'll look into this.

- I'm sure you will.
- Oh, you better.

I mean, that she--that Dr. Rowan
should come to this,

all because you denied her
the most basic--hey!

- Dr. Halstead...

Thank you, Mr. Sherwood.

- Will...

- They're criminals.

.

- You've all achieved
something very special today.

Now you're physicians, doctors.

In a few months,
you'll begin your residencies,

caring for people in need.

If you take one thing away
from me today,

let it be this.

Treat the patient,
not the disease.

- Brought you some Vitner's.
- Ah...

- Triple cheese. [chuckles]
- Thanks.

- Dr. Rowan?

I'm really sorry, Will.

I know how hard it'll be--
- No.

No, if we can get her temp down
and her sats up,

I think we'll be over the hump.

- Hm.

Kay.

I just remember
when my grandma got sick,

how tough it was for my mom.

The options, decisions--
[chuckles]

Seeing my grandma so ill.

It was awful.

- Yeah,
I hear what you're saying.

But, Nina, she can beat this.

Dr. Rowan gave me so much.

Getting her through this,

it's the least I can do.

- Enter the patient's
first and last name,

select an urgency level,

pick your labs,
and then hit submit.

- Okay.

- Excuse me...
- Yep.

- I'm looking for my husband,
Sean Adams.

- He's in Treatment 4.
I'll page his doctor.

- Thank you.

- How's it look?

- Systolic's still 50 higher
in the arms,

but that's not uncommon
right after surgery.

It should come down
in the next 24 hours or so.

It looks like Halloran slayed
the High Locust after all.

- Hey, um, so how much longer

before he's up
and running around?

- Uh, well,
over the next few months,

you should see
an increase in energy

and some improvement
in muscle development.

- Oh, thanks.
I can't tell ya.

I've been dreaming about the day
I could get out in the yard

and toss a football with my son,
like my dad did with me.

- Well, hopefully
that'll happen.

Right now, why don't you
just let him get some rest?

- See, Mr. Adams,
as part of our evaluation,

we run a toxicology screen,

and I'm happy to say
that yours was normal.

- I told you I don't take drugs.

- However, we did find
something else.

Profound anemia.
- Anemia?

- It could explain
your feeling faint.

- Okay, I-I guess I gotta
eat more steak. [chuckles]

- It's actually
more serious than that.

We need to transfuse you

with several units of blood
right away.

We also need to find out
what's causing it,

so I'd like to admit you for
a battery of scans and tests.

- Uh-uh, I've got my own doctor.

I'll make an appointment
with him.

- Mr. Adams, we don't want you
to leave in this condition.

You're not well.
- I feel fine.

- Sean, are you sure about that?

- Yes, and a car ride home

and sleeping in my own bed
isn't gonna hurt me.

- That may not be true.

I-I emphatically recommend
that you take Dr. Choi's advice.

- As far as
the psych evaluation goes,

am I in the clear?

- Well, not listening
to your physician

isn't the greatest sign to me.

- Well, you're not the only
psychiatrist in Chicago.

I'll get a referral
from my primary.

- Sean...
- Viv, we're going.

Hand me my clothes.

Please get me whatever paperwork
I need to sign,

so I can get out of here.

- I'll be back shortly.

- Something's
just not right with him.

- I agree.
- But is it physical or mental?

- Your guess is as good as mine.

Unfortunately, we have
no grounds to hold him.

- I'll get the paperwork ready.

- Okay,
so your patient is in SVT.

What do you do?

- Um, cardiovert at 7 joules.

- Right.

So she's back in sinus rhythm.
What now?

- Check her vitals...
- Mm-hmm.

- Establish IV access,

provide fluids if her BP
drops below 75 systolic.

- And?
The adenosine? You got a dose?

- Um...

Adenosine is scratched out.

- Calculate then.

Your patient's gonna
revert back to SVT.

Come on.
- Um...

- It's a life and death
situation here.

- 6.5 milligrams of adenosine.

- * Dum, dum, duh-dum

* Dum, dum, dum, dum,
dum, dum, dum *

- It's 0.65, not 6.5.
Here.

- Oh... [sighs]
I'm sorry.

- [sighs]

- What happened?
- He can't feel his left arm.

- All right,
left BP is 80 over 30.

Check the right.
Sat's at 70.

Hey, Brandon,
can you squeeze my hand?

- [gasps] No.
No, I can't.

- Okay.
- Right arm's 150 over 100.

- What's--what's going on?

- All right, legs are cold.
We need a CT angio now!

- Got it!

- Dad?
- What is happening?

- Brandon's not getting blood
to his left arm,

but I need
a picture of it to see.

It's possible that the graft
we put in has become occluded.

- Occlud--occluded?
What does that mean?

- The first surgery
may not have worked.

- So you have to do it again?

- It may be
more complicated than that.

- She's in v-fib!

- Paddles.
Start compressions.

- Will, I'll break her ribs.
- Charge to 200 joules.

Star compressions now!

- Are you sure?
I--

- Out of my way.
- No, Will.

[valve hissing]

- Are we charged?
- 200 joules.

- Holding the CPR.
Clear.

One milligram of epi,
charge to 200 again.

- 200.
- All right, clear.

.

- Hey.

- Dr. Halstead
decided to intubate.

You know, this woman is
the reason I stayed in nursing.

My first year as an O.R. nurse,

I actually thought
about quitting.

- You?
- Oh, I had a rough time.

[chuckles]

There was this, um,
surgery I scrubbed on.

I think it was a vascular case.

The resident asked for
a ten blade scalpel.

It slipped out of my hand,
dropped in the incision.

- Oh, my God.
- It didn't hurt the patient,

but that resident reamed me out.

Dr. Rowan stepped in,
called him out,

said everyone in the O.R.
deserved civility.

Everyone.

Bella Rowan.

Wonderful woman.

Extraordinary teacher.

- Sean?
Sean, oh, my God.

Oh, my God.
Uh, help, someone!

Help my husband, please.

- Okay, hey,
I need a gurney here.

- Whoa!
Mr. Adams, can you hear me?

- What's wrong with him?
- Unresponsive,

has a pulse.
Let's get him in a room.

- Bring it over here.

- [whimpers]

- Let's transfer on my count.
Ready, one, two, three.

[grunts]
- [whimpers]

- Here we go.
- All right, he's not breathing.

Get a laryngoscope
and a 7.5 ET tube.

- Sean!
- Trauma 1 to prep.

- He's totally flaccid.
Don't need drugs.

- Monique, you start the IV.

- Okay.

- Sean...

- Okay, you stand right here.
- Okay.

- He's got a massive
upper GI bleed.

His stomach's
filling with blood.

I'm in.
April, listen to his lungs.

- Yep.

Good breath sounds bilaterally.

- All right,
hang two units of blood

and get another four ready.
- What's going on?

Why--why is this happening?
- I don't know,

but we're gonna find out.

[valve hissing]
- Hang saline.

- Saline's up.
- All right, stay on it.

- Got your page.

- Dr. Rowan's latest labs.

I am so sorry.
She's in acute renal failure.

Hyperkalemic and still acidotic.

- All right, we'll start her on
low flow dialysis.

It should correct
her electrolytes and PH.

- Will...

- I won't stand by
and let her die.

Tell April to call renal.

- [sighs]

- Graft occlusion is a possible
outcome of any vascular surgery.

It's nobody's fault.

Okay, so there are
two options, right?

We could either--
- Just let me handle this, okay?

Mitch, a moment?

- Uh...

What is it?

- So the CT revealed
that the graft

I placed in
Brandon's chest kinked,

causing re-coarctation,

or essentially a, uh--
a narrowing of his aorta.

- Like before?

- I'm sorry.

- So--so what?
We're just back at square one?

- Yes, but this time,
things are more complicated.

Now I can repair the graft
by placing a stent,

and we would do that
in the cath lab.

But the stent will cover

the opening of his left
subclavian artery.

That will cut off circulation
to his left arm,

meaning Brandon
will lose that arm.

- Lose his arm?
- Mm-hmm.

- Uh, no.

No--[stammers]--he can't.
He can't.

It--there must be
something else you can do.

- I'm sorry, but no.

I'm afraid this is
our only viable option.

- Oh, God.

- Hey, look, Mitch,

why don't you go be
with your son, okay?

We'll take him up
to surgery soon.

I'm very sorry.

- [sighs]

- Pardon me, Dr. Rhodes.

I know you must've had
a very good reason,

but you didn't present
the other option,

the carotid subclavian bypass.

Wouldn't that preserve
Brandon's arm?

- Dr. Bardovi, 20 to 30%
of young patients

will stroke out
and possibly die

when you clamp their carotid.

It's too big of a risk.
- Okay, but still--

- It's too big of a risk.

- What was that all about?

- Look, this boy's father--
I know the type.

I grew up with one.

He wants his son to be
something he isn't.

He'll choose the bypass.
It's too dangerous.

- But it's his decision,
not yours.

- I already opened
Brandon up once.

I'm not gonna do it again.

I'm not gonna risk
this boy's life

just to save his arm.

.

- Huge gastric ulcer.

That's where all the blood
was coming from.

- Were you able to stop
the bleeding?

- Yeah, GI cauterized it,
but that's not the headline.

Sean's endoscopy shows chronic
caustic esophageal erosions.

And his chest X-Ray...

- Pneumonitis.
- Yeah.

This is a pattern
suggestive of ingesting

some sort of hydrocarbon.

- Isn't that in
cleaning products?

- And lighter fluid,
motor oil, gasoline.

Extremely toxic,
so we must be talking about

low doses over
a long period of time.

- So I was right.

We should be concerned
he's suicidal.

- Why assume he's doing this
to himself?

- Well, what, you think
someone's poisoning him?

- I don't know.
It's possible.

I had a case where a wife
was slipping something

into her husband's food.

- So you think it's his wife?

- You know, hydrocarbons
are extremely noxious,

so he would've smelled it.
- Not necessarily.

They're all over
any aircraft hanger.

With constant exposure,
he could be nose blind.

- I don't know.
Suicide?

Attempted murder?

I think it might be
something else altogether.

- I just checked in
on Dr. Rowan.

I heard you ordered dialysis.

- She's in renal failure.

That's the appropriate
treatment.

- I understand
the medicine, doctor.

Even if you dialyze her--
- I am.

- Even if you dialyze her,

she's unlikely
to come off the vent.

That means she'll be bedridden.

Eventually, she'll need
a tracheostomy.

You've already broken her ribs.

Now she'll have bed sores,
a feeding tube.

Shouldn't quality of life
be a consideration?

- I mean, remember that
ballplayer I told you about?

He was a pitcher with one arm.
He was one of the best.

All right, so,
you know, be strong.

We can do this.

I mean, the important thing
is that you're gonna be alive.

And healthy.

We'll figure out the rest, okay?
Together.

- Mitch...
- Yeah.

- Guys, if you can hold on
for a second.

Have a word with you?
- Okay, buddy.

- So, I've been thinking
about Brandon's case,

and there is
something else we can try.

[device whirs]
- Wrong angle.

You need to go in perpendicular,
or you'll stay in the cortex.

- Okay.

[device whirring]

- You're too shallow.

You need to keep on drilling
until you hub the needle.

- Not like that.

Who taught her how to do an IO?
An orangutan?

- Okay.
She'll get there.

We've all gone through this.
Just take it slowly.

Go ahead.

[device whirs]

There you go.

- White board says
carotid subclavian bypass.

It's just, I thought--

- I presented both options
to the patient's father.

As I suspected, he chose
the carotid subclavian bypass.

- And you're gonna do
a great job, Dr. Rhodes.

You're an exceptional surgeon,
and it is an honor to be--

- Dr. Bardovi,
you don't have to do that.

You're a fine surgeon,

and trust me,
I'm a less than perfect teacher.

- Mr. Adams,
can I ask you, um--

you ever find yourself
doing something

that you know you shouldn't,

but you just can't stop?

- I have no idea
what you're talking about.

[chuckles]

My wife would say that I--
I watch too much football.

- [chuckles]

Can I tell you
my dirty little secret?

I went through this phase

where I would come home
every night,

cut my nails every night,
like down to the quick.

Hm, couldn't stop.

On some level, I must've
been satisfying some urge,

but my hands were bleeding.

[stammers]

It wasn't good.

- And the point of this?

- The point is that I
understand compulsive behavior.

You know, it's not rational.
You can't explain it.

You just--you just do it.

Yeah, but eventually,

like with me,
your fingers bleed,

or something similar.

And it just starts to--
to cost you too much,

and you wanna stop.

I mean, you realize that
it's interfering with your life,

and you--you just
really, really wanna stop.

Sean, I think you have
a compulsion,

and you're tired,

and you're also getting scared.

I mean, who wouldn't be scared?

All that--all that blood?
All that vomiting?

- Yes.

I'm tired.

- Mr. Adams,
we think you're ingesting

something very harmful.

Can you tell us what it is?

Mr. Adams, please,
we can help you.

- Gasoline.

- I'm sorry?
Say again?

.

- Is my husband crazy?

Why would anyone
drink gasoline?

- I know it's very difficult
to fathom,

but I'm quite sure that
your husband is suffering from

a psychiatric disorder
known as Pica,

which involves the compulsive
consumption of non-nutritive,

and sometimes
even hazardous, substances.

- For some, it's paint chips.

For others, dirt.

For your husband, it's gasoline.

- Why?

- There's no unified theory
as to the cause.

All we know is that it manifests
itself as a compulsion,

an irresistible urge,
against one's conscious wishes.

- [sighs]
Can he stop?

- Probably not on his own,

but if he'll allow us,
we can help him.

- Okay.

We'll do whatever it takes
to get him healthy.

- Before we discuss
the course of psychotherapy,

I'd like to talk to
you and your husband

about repairing
the physical damage.

- Of course.
- Thanks.

- Yes.

- He could've killed himself.

Sometimes we get a win, right?

- Sometimes we get a win.

- If you take one thing away
from me today,

let it be this:

treat the patient,
not the disease.

- Good.
You haven't started.

- Just finished the line.
Why?

- You were right.
We shouldn't do this.

- What changed your mind?

- Treat the patient,
not the disease.

Our patient
wouldn't have wanted this.

April, 10 milligrams
of morphine,

and hang a drip, please.

Dr. Rowan...

I'm going to extubate you.

I promise
you won't feel any pain.

- I'll let you two
be alone with her now.

- [coughing]

- Okay, going to start
the carotid anastomosis.

Everybody get ready.

We're going to clamp
the left carotid.

Carla, tell me if you see
any change on the EEG.

- Right.

- Peripheral cross clamp
times two?

Carotid is cross-clamped.
- Brain waves look good.

- Okay, eleven blade,
followed by 5-0 prolene.

Let's sew this graft in quickly.

- Brain waves
flattening on the right.

He's impending infarct.

- We only have four minutes of
hypoxia before deficits occur.

- Do we unclamp him?

We can still call this off
and take him to the cath lab.

It's safer.

Dr. Rhodes...

- No.
This kid's not losing his arm.

Coming around
the front wall now.

- Left side brain's 50,
right side's 70.

- Dr. Bardovi, follow me.
Eyes on the field.

- Dr. Rhodes, you need to get
those clamps off.

- Thank you, Marty,
I'm almost there.

- Left side's 30,
right side's 50.

- Okay, done.

Coming off cross clamp.

Cross clamps are off.

I've reestablished flow.

- EEG is normalizing.

You have a good wave pattern.

- He's good.

- Nice work, Dr. Rhodes.

- Okay, everyone,
let's get set up for the stent.

- Good night.
- Good night.

- How could you do this to us?

- Uh, excuse me?
- My husband told me.

He'll lose his pilot's license.

We'll lose everything.

- I'm very sorry.
Uh, I had no choice.

I am legally obligated
to report him.

- It's his life.

- I called the FAA.
I had to.

Every time he gets on a plane,
he puts his own life

and the lives of
all of his passengers at risk.

I know this wasn't, um,

necessarily the win
that you were looking for,

but at least we saved
a man's life.

See you in the morning?

- I heard the surgery went well.

- Yeah, thankfully.

- [chuckles]

Yeah, don't worry,
I won't tell anyone.

- Tell 'em what?
- Mm, that you were scared.

- Oh, that's what you think,
huh?

- Yeah.

- [sighs] Man,
you're definitely a Charles.

You're very perceptive.
- Hm.

- I was after that first time.

I was--I was afraid.

I was afraid
I was gonna lose him.

- [soft exhale]

I have fears of my own,
you know.

- Cholera? Typhus?
- [chuckles] Yeah.

And relationships.
[chuckles]

There are a lot of pitfalls
in dating a surgeon.

It's crazy hours,
stress of the job--

- Great case, Dr. Rhodes.
Very impressive.

And thanks for
the vote of confidence.

- Fawning women
falling at your feet.

Yeah, I don't know if
I can compete with all of that.

[laughs]

- You don't have to compete.

I'm all in.

- So your sister...

[both laugh]

Let's see, is she a red
or white wine drinker?

- Mm, white.

Not Chardonnay.
Uh, Sauvignon Blanc.

- Will?
- [sniffles]

- Hey.

I'm--I'm so sorry for your loss.

- [sobbing]