1 00:00:00,086 --> 00:00:01,882 You have to work out whatever feelings you're having 2 00:00:01,907 --> 00:00:03,140 about Dr. Marcel. 3 00:00:03,478 --> 00:00:04,609 Fast. 4 00:00:07,126 --> 00:00:08,827 Give me a Narcan inhaler. 5 00:00:12,244 --> 00:00:14,162 You overdosed, but you're gonna be all right. 6 00:00:14,187 --> 00:00:16,029 You're letting this get way too personal, Will. 7 00:00:16,054 --> 00:00:17,054 It's never a good idea. 8 00:00:17,079 --> 00:00:18,539 For God's sake, isn't it personal? 9 00:00:18,628 --> 00:00:20,320 You lost a brother to drugs. 10 00:00:20,345 --> 00:00:21,578 Enough! 11 00:00:23,866 --> 00:00:25,228 I met you this morning. 12 00:00:25,253 --> 00:00:26,820 I'm gonna try to turn things around. 13 00:00:26,845 --> 00:00:28,051 Good. 14 00:00:33,519 --> 00:00:34,685 Hey. 15 00:00:34,788 --> 00:00:36,965 Hi. 16 00:00:46,297 --> 00:00:47,529 I love you. 17 00:00:47,554 --> 00:00:49,078 - Easy. - Oh, God, sorry. 18 00:00:49,103 --> 00:00:50,135 It's only me. 19 00:00:50,160 --> 00:00:51,746 I wasn't expecting that. 20 00:00:51,771 --> 00:00:54,520 Hey, I know work's not the place for ambush affection, 21 00:00:54,555 --> 00:00:56,084 but I couldn't help myself. 22 00:00:56,289 --> 00:00:57,755 I won't hold it against you. 23 00:00:57,780 --> 00:00:59,601 What's up? 24 00:00:59,626 --> 00:01:02,746 I haven't seen a smile this big since Navy beat Army. 25 00:01:03,843 --> 00:01:06,169 Just thinking about being a dad. 26 00:01:06,386 --> 00:01:09,103 Birthday parties, coaching teams. 27 00:01:09,128 --> 00:01:12,925 It's a decade down the road. We are three weeks into IVF. 28 00:01:12,950 --> 00:01:14,182 You know what they say. 29 00:01:14,207 --> 00:01:16,194 "You blink and the kids are grown." 30 00:01:18,212 --> 00:01:19,812 - Hey. - What up? 31 00:01:19,877 --> 00:01:21,685 Pelicans covered the spread. 32 00:01:22,011 --> 00:01:24,025 How many rings do the Pelicans have? 33 00:01:24,099 --> 00:01:25,875 Go Bulls. 34 00:01:25,900 --> 00:01:27,687 Yeah, we'll see. 35 00:01:33,102 --> 00:01:34,768 I'm a horrible person, aren't I? 36 00:01:34,840 --> 00:01:37,024 No, you're human. 37 00:01:37,746 --> 00:01:39,179 What can I do to help? 38 00:01:39,252 --> 00:01:40,955 You got a time machine? 39 00:01:44,492 --> 00:01:45,992 - Hey, you. - Hey. 40 00:01:46,017 --> 00:01:47,543 Date last night. Spill it. 41 00:01:47,568 --> 00:01:48,868 It was nice. 42 00:01:48,893 --> 00:01:53,380 He was polite, handsome, smart, but I don't think so. 43 00:01:53,405 --> 00:01:55,754 Huh, well, polite, smart, and handsome. 44 00:01:55,779 --> 00:01:56,935 - Sounds awful. - All right. 45 00:01:56,960 --> 00:01:59,540 The real reason, he's a psych professor. 46 00:01:59,570 --> 00:02:01,764 I mean, the way he looked at me, I just couldn't shake 47 00:02:01,789 --> 00:02:03,280 the feeling that I was being analyzed. 48 00:02:03,305 --> 00:02:04,542 This is the fourth first date 49 00:02:04,567 --> 00:02:06,192 without even considering a second. 50 00:02:06,217 --> 00:02:07,890 Well, I'm glad you're counting, Mom. 51 00:02:07,915 --> 00:02:09,166 It doesn't matter 52 00:02:09,191 --> 00:02:11,561 because none of those guys were gonna work out anyways. 53 00:02:11,826 --> 00:02:14,630 Wow. ESP. 54 00:02:14,829 --> 00:02:16,263 Say, 55 00:02:16,703 --> 00:02:19,322 do you know when the Saints are gonna win another Super Bowl? 56 00:02:19,999 --> 00:02:21,399 All right, well, 57 00:02:21,495 --> 00:02:23,590 let me know if you get another vision. 58 00:02:25,325 --> 00:02:28,560 All I'm saying is the right second date is out there 59 00:02:28,585 --> 00:02:30,272 and I'll know it when I meet him. 60 00:02:30,878 --> 00:02:32,737 Help, please! My son! 61 00:02:32,762 --> 00:02:35,262 I got him. Where am I going? 62 00:02:35,287 --> 00:02:37,109 - Trauma 1. - Help my husband and son! 63 00:02:37,134 --> 00:02:40,083 Help, help, help, help, help! 64 00:02:42,801 --> 00:02:45,183 Help him. I-I didn't know what to do. 65 00:02:47,810 --> 00:02:52,885 Ow, ow! 66 00:02:54,402 --> 00:02:56,416 Bruising on his neck. Protect it and bag him. 67 00:02:56,454 --> 00:02:58,877 Hold C-spine. What's his name? 68 00:02:59,003 --> 00:03:01,116 - Jamie. - Jamie? 69 00:03:01,251 --> 00:03:05,212 Hey, Jamie, can you hear me? Okay, okay, take it easy. 70 00:03:05,246 --> 00:03:06,858 You're okay. Take it easy. 71 00:03:06,987 --> 00:03:08,543 - What happened? - It was an accident. 72 00:03:08,568 --> 00:03:10,754 Um, I choked him out. 73 00:03:13,309 --> 00:03:14,724 I had to. 74 00:03:21,144 --> 00:03:29,136 - Synced and corrected by martythecrazy - - www.addic7ed.com - 75 00:03:31,895 --> 00:03:33,696 - It all happened so fast. 76 00:03:34,378 --> 00:03:36,291 I didn't realize. I just wanted it to stop. 77 00:03:36,316 --> 00:03:38,479 Jamie was screaming, Dylan was crying, and... 78 00:03:38,504 --> 00:03:39,644 Gordon. 79 00:03:39,788 --> 00:03:41,421 I want you to take a deep breath, okay? 80 00:03:41,627 --> 00:03:43,350 Take a deep breath. 81 00:03:43,604 --> 00:03:45,117 All right. 82 00:03:45,808 --> 00:03:47,151 Have a seat. Sit down. 83 00:03:48,201 --> 00:03:49,672 Okay. 84 00:03:50,075 --> 00:03:51,584 And, um... 85 00:03:52,051 --> 00:03:55,572 I, uh, I just want you to tell me... 86 00:03:55,597 --> 00:03:56,654 Tell me what happened. 87 00:03:56,679 --> 00:03:57,846 Okay. 88 00:03:57,892 --> 00:03:59,277 So I was driving, 89 00:04:00,287 --> 00:04:01,725 talking with Bella, my wife. 90 00:04:01,750 --> 00:04:04,478 The, um, the boys were in the back. 91 00:04:04,547 --> 00:04:06,752 Jamie was playing with his iPad. 92 00:04:06,965 --> 00:04:11,087 Dylan grabbed it from him, but wouldn't give it back. 93 00:04:11,875 --> 00:04:13,712 Jamie can't control his anger. 94 00:04:13,737 --> 00:04:15,233 He started punching Dylan, 95 00:04:15,258 --> 00:04:17,768 got out of his seat belt, got on top of him. 96 00:04:17,793 --> 00:04:19,465 He kept pounding. 97 00:04:20,243 --> 00:04:21,982 Bella couldn't pull him off. 98 00:04:25,597 --> 00:04:30,763 I could hear Jamie's fists cracking against Dylan's face. 99 00:04:31,052 --> 00:04:35,934 He was screaming for help, so I pulled over. 100 00:04:37,672 --> 00:04:39,628 Just threw myself on top of Jamie. 101 00:04:39,653 --> 00:04:40,824 I wrapped my arms around him 102 00:04:40,849 --> 00:04:42,836 and held him as tight as I could. 103 00:04:48,250 --> 00:04:49,727 When he gets like this, the bear hugs 104 00:04:49,752 --> 00:04:51,486 are the only thing that bring him back. 105 00:04:51,567 --> 00:04:54,894 - Bring him back? - From his dark place. 106 00:04:56,330 --> 00:04:59,243 Uh-huh. Okay. 107 00:05:00,271 --> 00:05:01,837 Will you, um, 108 00:05:01,972 --> 00:05:04,028 will you excuse me for a moment, Gordon? 109 00:05:09,383 --> 00:05:11,966 We're gonna take care of you little, man, okay? 110 00:05:13,577 --> 00:05:15,113 All right. 111 00:05:19,902 --> 00:05:21,461 Ordered a CT. 112 00:05:21,486 --> 00:05:22,601 But I'm almost positive 113 00:05:22,626 --> 00:05:25,060 there's a bilateral mandible fracture. 114 00:05:25,308 --> 00:05:27,465 Gonna need surgery to wire it shut. 115 00:05:29,765 --> 00:05:33,033 Man, Ethan. Kid's only six years old. 116 00:05:34,203 --> 00:05:35,536 Jamie? 117 00:05:36,974 --> 00:05:41,562 He's stable but tormented. Dad choked him out. 118 00:05:41,587 --> 00:05:44,279 Probably so he couldn't defend his little brother. 119 00:05:45,591 --> 00:05:47,652 Sometimes I hate the ED. 120 00:05:52,655 --> 00:05:56,201 Jamie, how are you doing? I'm Dr. Charles. 121 00:05:56,412 --> 00:05:59,737 Um, would you mind if I looked at your hands? 122 00:06:05,960 --> 00:06:08,333 Fifth metacarpal is broken on each hand. 123 00:06:08,358 --> 00:06:10,030 That's really gotta hurt. 124 00:06:10,356 --> 00:06:14,549 Um, look, we're gonna get you completely fixed up. 125 00:06:14,729 --> 00:06:18,018 Okay? It was nice to meet you. 126 00:06:21,116 --> 00:06:23,003 This is not child abuse. 127 00:06:34,456 --> 00:06:36,022 Thanks, man. 128 00:06:36,256 --> 00:06:37,788 You know, one of the volunteers works 129 00:06:37,813 --> 00:06:39,412 at a rehab center. 130 00:06:39,606 --> 00:06:42,214 If you'd like, she can tell you about their program. 131 00:06:42,375 --> 00:06:44,989 Yeah. Sure. 132 00:06:45,729 --> 00:06:47,396 Maybe another time. 133 00:06:50,942 --> 00:06:52,742 If you change your mind, we're here. 134 00:06:58,274 --> 00:06:59,867 - Will. - Yeah? 135 00:06:59,892 --> 00:07:03,967 You have been here for hours. Go home, get some rest. 136 00:07:04,324 --> 00:07:07,092 Yeah, I could use some sleep before I start my shift. 137 00:07:07,187 --> 00:07:09,499 Ah, damn it. It starts in a half hour. 138 00:07:09,524 --> 00:07:10,583 Uh, okay. All right. 139 00:07:10,608 --> 00:07:12,104 That woman over there, her name's Susan. 140 00:07:12,129 --> 00:07:13,662 When she comes down, she's gonna be hungry. 141 00:07:13,687 --> 00:07:16,104 - I stashed some protein bars... - I know, I saw. 142 00:07:16,129 --> 00:07:18,727 The electrolyte drinks too. Get to work. 143 00:07:20,021 --> 00:07:21,418 I'll be back later, you call me 144 00:07:21,443 --> 00:07:23,026 if you need anything. 145 00:07:24,522 --> 00:07:28,860 That's the cry, that one. 146 00:07:28,885 --> 00:07:31,571 It's not "I'm hungry" or "I'm tired." 147 00:07:31,596 --> 00:07:33,063 It's new. 148 00:07:33,281 --> 00:07:36,249 Okay. I know, I know, Axel. 149 00:07:36,274 --> 00:07:39,712 You're in pain and my touching you is only making it worse. 150 00:07:40,292 --> 00:07:42,124 Any changes in his sleep pattern? 151 00:07:42,149 --> 00:07:43,801 No. Every baby book I read said 152 00:07:43,826 --> 00:07:46,038 put your child on a schedule and stick to it. 153 00:07:46,063 --> 00:07:47,929 Been there. My son's almost four. 154 00:07:47,999 --> 00:07:50,980 I know, I know. Almost finished. 155 00:07:51,005 --> 00:07:53,272 Okay. What about diet? 156 00:07:53,462 --> 00:07:55,226 I had to start using formula. 157 00:07:55,251 --> 00:07:56,663 Just not enough hours in the day 158 00:07:56,688 --> 00:08:00,545 to pump, work, nurse, do laundry, pump again. 159 00:08:00,570 --> 00:08:03,113 Single mom? Yeah, me too. 160 00:08:03,393 --> 00:08:06,577 - Dad still in the picture? - No, but I'm okay with it. 161 00:08:08,138 --> 00:08:10,147 Well, I'm not seeing anything out of the ordinary. 162 00:08:10,172 --> 00:08:11,929 I mean, the switch from breast milk to formula 163 00:08:11,954 --> 00:08:13,663 could be upsetting Axel's stomach. 164 00:08:13,688 --> 00:08:15,891 Have you noticed any diarrhea since the change? 165 00:08:15,916 --> 00:08:17,392 Here and there. 166 00:08:17,417 --> 00:08:19,765 But this cry has been consistent for the last month. 167 00:08:20,018 --> 00:08:22,972 I'll test for allergies, but infants and crying... 168 00:08:22,997 --> 00:08:24,597 Don't say colic. 169 00:08:24,773 --> 00:08:26,421 I've been to three pediatricians. 170 00:08:26,446 --> 00:08:28,395 They all diagnosed colic and sent me home. 171 00:08:29,835 --> 00:08:32,379 No. Something else is going on. 172 00:08:32,652 --> 00:08:35,891 Run tests, X-Rays, scans. Just please, figure it out. 173 00:08:36,389 --> 00:08:37,799 Okay, well, why don't we start 174 00:08:37,824 --> 00:08:39,769 with some basic labs and go from there? 175 00:08:42,199 --> 00:08:43,733 Is that okay? 176 00:08:43,758 --> 00:08:45,669 Sure. Thank you. 177 00:08:46,597 --> 00:08:49,135 I'll send a nurse in to get started. 178 00:08:53,222 --> 00:08:55,205 Thank you. 179 00:08:55,379 --> 00:08:58,909 Hey, Jamie, you hungry? Thirsty? 180 00:09:00,582 --> 00:09:03,559 I know your casts are bulky. I can help you. 181 00:09:03,757 --> 00:09:06,165 I'll leave the tray right here just in case. 182 00:09:11,234 --> 00:09:14,346 Hi. Nice to meet you. 183 00:09:14,440 --> 00:09:16,545 They're talking about me. 184 00:09:20,399 --> 00:09:22,772 About what I did to my little brother. 185 00:09:25,299 --> 00:09:27,273 I didn't mean to hurt him. 186 00:09:28,231 --> 00:09:29,425 I'm so sorry. 187 00:09:29,450 --> 00:09:32,395 It's okay. Okay, okay. 188 00:09:36,761 --> 00:09:39,429 Well, after two miscarriages and five failed IVF attempts, 189 00:09:39,454 --> 00:09:40,893 we'd had enough heartbreak. 190 00:09:40,991 --> 00:09:43,567 We adopted Jamie when he was a few days old. 191 00:09:44,313 --> 00:09:45,889 Best day of our lives. 192 00:09:46,255 --> 00:09:48,225 Do you know anything about his birth parents? 193 00:09:48,806 --> 00:09:52,901 Nothing really. Mom was young, in foster care. 194 00:09:52,926 --> 00:09:54,221 We don't know anything about dad. 195 00:09:54,246 --> 00:09:55,604 Well, Jamie's 11 now, 196 00:09:55,629 --> 00:09:58,317 so how old was he when he first started acting out? 197 00:09:58,434 --> 00:10:00,839 As an infant, he didn't like being held. 198 00:10:00,864 --> 00:10:03,706 - Was always fidgety. - Hmm, how about as a toddler? 199 00:10:04,018 --> 00:10:07,266 Sitting still, taking turns, following directions, 200 00:10:07,315 --> 00:10:08,460 they were all a challenge. 201 00:10:08,485 --> 00:10:11,541 When did Jamie's behavior start becoming aggressive? 202 00:10:11,566 --> 00:10:13,299 Elementary school. 203 00:10:13,324 --> 00:10:16,225 Fights with classmates and teachers. 204 00:10:16,594 --> 00:10:18,219 We're homeschooling now. 205 00:10:18,352 --> 00:10:21,808 And your other son, Dylan, is he adopted as well? 206 00:10:21,833 --> 00:10:23,230 - Yeah. - Mm-hmm. 207 00:10:23,255 --> 00:10:26,543 It was initially Jamie's idea. He wanted to be a big brother. 208 00:10:26,601 --> 00:10:29,603 And in the beginning, Dylan's presence seemed to calm Jamie. 209 00:10:29,827 --> 00:10:32,895 He would push his stroller, feed him his bottle, 210 00:10:32,920 --> 00:10:34,196 let him climb all over him. 211 00:10:34,221 --> 00:10:38,019 They are so... were so close. 212 00:10:38,586 --> 00:10:40,823 I'm assuming that Jamie's been evaluated 213 00:10:40,848 --> 00:10:42,115 by a psychiatrist. 214 00:10:42,140 --> 00:10:43,283 Several. 215 00:10:43,308 --> 00:10:45,313 They all just head to the diagnosis. 216 00:10:45,854 --> 00:10:47,878 Intermittent explosive disorder, 217 00:10:47,903 --> 00:10:50,481 comorbid ADHD, 218 00:10:50,656 --> 00:10:53,721 disruptive mood dysregulation disorder. 219 00:10:53,746 --> 00:10:55,984 Tell me, what meds is he on right now? 220 00:10:56,569 --> 00:11:00,719 Risperidone, valproic acid, lithium, Adderall, Tenex. 221 00:11:00,744 --> 00:11:03,612 They all work for a bit, but then... 222 00:11:03,637 --> 00:11:05,803 He always ends up in his dark place. 223 00:11:05,828 --> 00:11:06,998 Yeah. 224 00:11:08,743 --> 00:11:10,926 Mr. and Mrs. Shaw, Dylan's out of surgery. 225 00:11:10,951 --> 00:11:12,564 I'll take you to recovery. 226 00:11:12,690 --> 00:11:14,564 Look, what I'd like to do 227 00:11:14,589 --> 00:11:16,600 is admit Jamie for a five day hold. 228 00:11:16,772 --> 00:11:18,757 That'll give us a chance to assess the situation 229 00:11:18,782 --> 00:11:20,822 and come up with some treatment options for you. 230 00:11:20,847 --> 00:11:23,021 Anything. Please, just help him. 231 00:11:23,046 --> 00:11:24,179 Yeah. 232 00:11:29,821 --> 00:11:30,967 Shh. He's out. 233 00:11:30,992 --> 00:11:33,832 Cried himself to sleep. What'd the tests say? 234 00:11:33,857 --> 00:11:35,434 The labs were normal. 235 00:11:35,459 --> 00:11:38,068 But the babygram revealed a mild bowel distention. 236 00:11:38,093 --> 00:11:39,265 There are no obstructions. 237 00:11:39,290 --> 00:11:42,100 However, the stool in Axel's diaper was watery. 238 00:11:42,125 --> 00:11:44,014 That suggests a GI issue. 239 00:11:44,039 --> 00:11:45,670 Okay. What do you do for that? 240 00:11:45,695 --> 00:11:46,730 Endoscopy. 241 00:11:46,755 --> 00:11:48,277 So under a general anesthesia, 242 00:11:48,302 --> 00:11:50,575 a surgeon will guide a camera down Axel's throat 243 00:11:50,600 --> 00:11:53,148 into his GI tract to search for abnormalities. 244 00:11:53,173 --> 00:11:55,466 And if necessary, we'll do a colonoscopy as well. 245 00:11:55,547 --> 00:11:57,538 Mm. Can I be there? 246 00:11:58,662 --> 00:12:00,195 I wouldn't recommend that. 247 00:12:00,220 --> 00:12:03,852 I mean, seeing the scope inside Axel, it might be upsetting. 248 00:12:04,011 --> 00:12:07,076 - No, I really wanna be there. - Are you sure? 249 00:12:07,101 --> 00:12:09,802 Because I can't overstate how distressing 250 00:12:09,827 --> 00:12:11,900 this procedure can be for a parent to watch. 251 00:12:11,925 --> 00:12:14,012 I mean, seeing your child on the table, unconscious... 252 00:12:14,037 --> 00:12:15,538 I'll be okay. 253 00:12:16,714 --> 00:12:18,054 All right. 254 00:12:18,079 --> 00:12:20,323 Techs will be by shortly to bring up Axel. 255 00:12:20,348 --> 00:12:21,847 I'll be there as well. 256 00:12:24,237 --> 00:12:26,838 - Signed. - Thank you. 257 00:12:29,107 --> 00:12:30,573 Hey, Doris. 258 00:12:30,598 --> 00:12:33,145 Julia, the mom in Treatment III, did you get a read? 259 00:12:33,637 --> 00:12:35,237 I like her. 260 00:12:35,262 --> 00:12:38,249 I wish all parents would handle the ED that smoothly. 261 00:12:38,274 --> 00:12:40,075 You don't think she's too composed? 262 00:12:40,100 --> 00:12:41,755 I mean, her son is clearly in distress 263 00:12:41,780 --> 00:12:43,245 and she hasn't even broken a sweat. 264 00:12:43,270 --> 00:12:45,466 Oh, there's that Manning ESP again. 265 00:12:45,801 --> 00:12:47,113 Okay. 266 00:12:47,138 --> 00:12:49,739 She asked me to run more tests on her baby than necessary, 267 00:12:49,764 --> 00:12:52,087 and now she wants to be front row when he gets scoped. 268 00:12:52,112 --> 00:12:53,923 You don't think that's a little odd? 269 00:12:54,109 --> 00:12:56,633 Uh, if you say so. 270 00:12:58,414 --> 00:12:59,813 Call Dr. Frisch. 271 00:12:59,838 --> 00:13:02,218 I wanna put Axel on today's schedule for an endoscopy. 272 00:13:02,243 --> 00:13:04,398 She's busy. Omphalocele repair. 273 00:13:04,423 --> 00:13:05,889 Gonna be locked away all day. 274 00:13:05,914 --> 00:13:08,286 But I'm free to take care of it right now if you'd like. 275 00:13:08,469 --> 00:13:10,282 Okay. Thanks. 276 00:13:10,489 --> 00:13:12,950 Meet you upstairs. Ms. Doris? 277 00:13:12,975 --> 00:13:14,637 - Thank you. - Sure. 278 00:13:14,873 --> 00:13:17,423 - Nurse April. - Dr. Marcel. 279 00:13:21,079 --> 00:13:23,395 Okay, stomach and esophagus appear normal. 280 00:13:23,420 --> 00:13:25,548 Let's reset for a colonoscopy. 281 00:13:27,946 --> 00:13:29,856 Julia, are you okay? 282 00:13:29,971 --> 00:13:31,664 You don't have to keep watching, you know. 283 00:13:31,689 --> 00:13:32,700 No, I'm okay. 284 00:13:32,725 --> 00:13:34,586 It's just I have a scrape on my stomach. 285 00:13:34,611 --> 00:13:35,994 I forgot to change the bandage 286 00:13:36,019 --> 00:13:37,422 and it's beginning to slide around. 287 00:13:37,447 --> 00:13:39,110 Why don't I have a nurse change that out for you 288 00:13:39,135 --> 00:13:40,640 when we're back in the ED? 289 00:13:40,781 --> 00:13:43,215 Oh, okay. Yeah. 290 00:13:43,265 --> 00:13:44,798 - Thanks. - Yeah. 291 00:13:44,823 --> 00:13:47,056 Somehow I keep scraping myself right there. 292 00:13:47,098 --> 00:13:49,887 I don't know how. Mom brain, I guess. 293 00:13:53,949 --> 00:13:56,281 Ooh, ooh. Right there. 294 00:13:56,306 --> 00:13:58,711 Okay. Sharp or dull pain, Chloe? 295 00:13:58,736 --> 00:14:00,934 I think both. Is that even possible? 296 00:14:00,959 --> 00:14:02,625 Unfortunately. 297 00:14:09,837 --> 00:14:11,303 How long have you been feeling off? 298 00:14:11,328 --> 00:14:13,061 I don't know. A couple weeks? 299 00:14:13,091 --> 00:14:15,776 Three months. She downplays everything. 300 00:14:15,801 --> 00:14:18,903 We just got married. 301 00:14:19,013 --> 00:14:20,991 I figured the pain was just nervous energy, 302 00:14:21,016 --> 00:14:24,538 but the wedding's behind us now and I still feel "blah." 303 00:14:24,563 --> 00:14:26,112 Any constipation? Bloating? 304 00:14:26,221 --> 00:14:28,369 She hasn't pooped in a week. 305 00:14:29,057 --> 00:14:30,881 So Chloe, I'm gonna need to take a closer look 306 00:14:30,906 --> 00:14:32,001 to see what's going on. 307 00:14:32,026 --> 00:14:34,477 We'll get some X-rays, a pelvic and a rectal. 308 00:14:34,945 --> 00:14:37,223 Just keeping the sexy flowing, aren't I? 309 00:14:37,248 --> 00:14:39,195 Till death do us part. 310 00:14:40,131 --> 00:14:42,131 Well, a nurse will come in and get things going. 311 00:14:42,157 --> 00:14:44,444 Congratulations, Mr. and Mrs. James. 312 00:14:46,312 --> 00:14:47,355 - Crockett. - Yeah? 313 00:14:47,380 --> 00:14:48,531 Perfect timing. 314 00:14:48,556 --> 00:14:50,339 Single vehicle accident landing now. 315 00:14:50,364 --> 00:14:52,496 Massive trauma. I'll have Baghdad ready. 316 00:14:52,521 --> 00:14:53,754 Got it. 317 00:14:55,847 --> 00:14:57,904 - What do you got? - Lucy Seaver, 20. 318 00:14:57,929 --> 00:15:00,195 GCS 3. Intubated in the field. 319 00:15:00,220 --> 00:15:02,940 Bilateral femur fractures and traction splints. 320 00:15:02,965 --> 00:15:04,964 SATS 100% on oxygen. 321 00:15:04,989 --> 00:15:07,352 Okay, Lucy, don't be afraid. You're in the ED. 322 00:15:07,377 --> 00:15:08,746 We're gonna take good care of you. 323 00:15:08,771 --> 00:15:10,109 Parents should be here any second. 324 00:15:10,134 --> 00:15:11,400 They were on the scene. 325 00:15:11,425 --> 00:15:12,864 They were in the car behind Lucy. 326 00:15:12,889 --> 00:15:14,878 - They saw the crash? - And the aftermath. 327 00:15:14,974 --> 00:15:17,474 Lucy's car was so mangled, it took us 20 minutes 328 00:15:17,499 --> 00:15:19,612 to extricate her and get her in the ambo. 329 00:15:19,637 --> 00:15:20,970 Okay, all right. Here we go. 330 00:15:20,995 --> 00:15:23,802 On my count. One, two, three. 331 00:15:24,819 --> 00:15:25,879 All right. 332 00:15:30,777 --> 00:15:33,002 Good breath sounds bilaterally. 333 00:15:36,472 --> 00:15:39,093 - Belly's hard as a rock. - BP's 70s. 334 00:15:39,118 --> 00:15:40,922 Two of plasma, two of blood on the transfuser. 335 00:15:40,947 --> 00:15:43,705 Trigger the MTP. Let's fast her. 336 00:15:46,726 --> 00:15:50,710 Ton of soft tissue damage. Glass everywhere. 337 00:15:50,735 --> 00:15:52,893 All right, no, scrap the X-ray. No time. 338 00:15:52,918 --> 00:15:54,439 Give me that wand. 339 00:15:59,474 --> 00:16:01,145 Fast is positive. 340 00:16:01,170 --> 00:16:02,770 Yeah, I gotta get into her belly. 341 00:16:02,795 --> 00:16:05,831 All right, let's go. Let's open up the Hybrid OR! 342 00:16:05,977 --> 00:16:07,382 - All right. - Oh, my God. 343 00:16:07,407 --> 00:16:08,929 - Get her prepped, all right? - Lucy! 344 00:16:08,954 --> 00:16:12,189 Let's get her on the move. All right. 345 00:16:12,214 --> 00:16:14,256 Mr. and Mrs. Seaver, if you will. 346 00:16:14,676 --> 00:16:16,465 Your daughter's been seriously injured. 347 00:16:16,490 --> 00:16:18,926 She needs immediate surgery to control internal bleeding. 348 00:16:18,951 --> 00:16:20,895 It's fixable? She's gonna live? 349 00:16:20,920 --> 00:16:23,270 We will do everything we can. 350 00:16:34,586 --> 00:16:35,960 Huh. 351 00:16:36,258 --> 00:16:38,282 So, uh, so what is your favorite sport? 352 00:16:38,734 --> 00:16:40,910 Football, I guess. 353 00:16:40,977 --> 00:16:43,629 - Bears fan? - My dad likes them. 354 00:16:43,774 --> 00:16:46,323 - I like the Chiefs. - Oh, really? 355 00:16:46,669 --> 00:16:49,069 - Oh, how'd that happen? - The quarterback. 356 00:16:49,094 --> 00:16:51,516 I saw a video of him throw the ball out of the stadium. 357 00:16:51,567 --> 00:16:54,535 - That was cool. - I saw that clip too. 358 00:16:54,622 --> 00:16:56,604 And you're right. It was cool. 359 00:16:57,676 --> 00:17:00,487 You know, I was wondering if we could talk a bit about... 360 00:17:01,015 --> 00:17:02,568 about what happens. 361 00:17:02,748 --> 00:17:06,883 You know, about how it feels when you start to get upset. 362 00:17:09,491 --> 00:17:11,814 I don't know. Kind of... 363 00:17:13,614 --> 00:17:15,083 It's fuzzy. 364 00:17:15,169 --> 00:17:19,515 Fuzzy. So kind of like, um, like a dream? 365 00:17:20,183 --> 00:17:21,825 I guess. 366 00:17:22,338 --> 00:17:25,339 And... and when it happens, I mean, what does it, uh, 367 00:17:25,726 --> 00:17:27,200 what does it feel like? 368 00:17:27,244 --> 00:17:29,733 I mean, like, you know, in here? 369 00:17:29,758 --> 00:17:32,453 I mean, do you feel anything in your body? 370 00:17:33,244 --> 00:17:35,539 Feels like I'm gonna explode. 371 00:17:35,606 --> 00:17:36,872 Wow. 372 00:17:36,928 --> 00:17:40,010 I'm sorry. That must be really scary. 373 00:17:40,427 --> 00:17:41,905 Do you want to take a little break? 374 00:17:41,930 --> 00:17:43,333 I want this off. It's sticking to me. 375 00:17:43,358 --> 00:17:45,102 - I can't stand it. - Okay, okay. 376 00:17:45,133 --> 00:17:47,213 Don't touch me! Don't touch me! 377 00:17:47,238 --> 00:17:48,895 I hate you! I hate you! 378 00:17:48,920 --> 00:17:50,798 Let go! Stop it! 379 00:17:50,823 --> 00:17:52,828 Go away! Stop it! 380 00:17:52,853 --> 00:17:54,571 - Go away! - Two of Haldol! 381 00:17:54,596 --> 00:17:56,086 Go away! Stop it, no! 382 00:17:56,111 --> 00:17:58,406 No, I don't want meds! Stop! 383 00:17:58,431 --> 00:18:01,498 Stop it, no! Stop! No! 384 00:18:01,523 --> 00:18:04,013 I don't want meds, stop! Stop it! 385 00:18:07,038 --> 00:18:09,931 I wish I could tell you exactly what happened in there, 386 00:18:09,956 --> 00:18:12,388 what triggered Jamie, but honestly, I can't. 387 00:18:12,520 --> 00:18:14,078 I have reviewed his medical records, 388 00:18:14,103 --> 00:18:15,631 I've spoken with several of his doctors, 389 00:18:15,656 --> 00:18:18,888 and what is clear to me is that your son is struggling 390 00:18:18,913 --> 00:18:22,934 with multiple impulse control and mood regulation disorders. 391 00:18:23,060 --> 00:18:25,264 So what do we do? We just want to help him. 392 00:18:25,289 --> 00:18:26,982 Well, it's the hospital's recommendation 393 00:18:27,007 --> 00:18:30,302 that Jamie be admitted to a residential facility 394 00:18:30,445 --> 00:18:33,516 where he can receive sustained clinical care 395 00:18:33,541 --> 00:18:35,632 as well as supportive therapy. 396 00:18:35,856 --> 00:18:37,794 - A residential facility? - Mm-hmm. 397 00:18:37,819 --> 00:18:40,015 Yeah. Mrs. Shaw, Jamie is 11. 398 00:18:40,176 --> 00:18:41,673 Puberty is fast approaching. 399 00:18:41,698 --> 00:18:43,463 And that surge of hormones 400 00:18:43,488 --> 00:18:47,211 is just gonna undoubtedly exacerbate his conditions. 401 00:18:47,643 --> 00:18:49,944 It'll just make him more difficult to treat in general. 402 00:18:49,975 --> 00:18:51,924 You know, find the right balance of meds. 403 00:18:51,949 --> 00:18:54,341 And a specialized setting like this will have 404 00:18:54,366 --> 00:18:58,265 the behavioral resources Jamie needs for the future. 405 00:18:58,290 --> 00:19:01,854 And it'll be a safe place for him right now. 406 00:19:03,465 --> 00:19:05,855 - Anything for our son. - All right. 407 00:19:05,880 --> 00:19:08,268 I'll take care of all the arrangements. 408 00:19:12,908 --> 00:19:15,246 Okay. Looking good. 409 00:19:15,406 --> 00:19:18,143 Four tears in the small bowel mesentery tied off. 410 00:19:18,168 --> 00:19:20,644 Liver's packed and hemostatic. 411 00:19:22,295 --> 00:19:23,694 Pressure's no good. 412 00:19:25,180 --> 00:19:26,621 We maxed out on pressors? 413 00:19:26,646 --> 00:19:28,183 Yeah, and I've given ten units of blood 414 00:19:28,208 --> 00:19:29,409 and ten of plasma. 415 00:19:29,434 --> 00:19:32,349 - She's still bleeding somewhere. - I don't... 416 00:19:33,474 --> 00:19:35,371 Hematoma on the pelvis. 417 00:19:35,396 --> 00:19:37,001 Bigger than my first look and growing. 418 00:19:37,026 --> 00:19:38,904 Gotta assume the pelvis is shattered and bleeding. 419 00:19:38,929 --> 00:19:40,739 Okay, team, new deal. Preperitoneal packs. 420 00:19:40,764 --> 00:19:41,896 Let's go. 421 00:19:45,481 --> 00:19:47,108 Hey, Chloe. How you feeling? 422 00:19:47,133 --> 00:19:48,614 Like a stuffed turkey. 423 00:19:48,639 --> 00:19:51,045 X-Rays show your bowel is FOS. 424 00:19:51,560 --> 00:19:53,497 - Full of... - Stool. 425 00:19:53,522 --> 00:19:56,316 The pelvic suggests your uterus is enlarged. 426 00:19:56,341 --> 00:19:58,605 So I suspect a fibroid is sitting on the uterus, 427 00:19:58,630 --> 00:20:00,162 putting pressure on the rectum. 428 00:20:00,187 --> 00:20:01,599 You were right. 429 00:20:01,624 --> 00:20:03,388 The last few weeks, she was scouring the web 430 00:20:03,413 --> 00:20:06,432 with her symptoms, and fibroid fit the bill. 431 00:20:06,556 --> 00:20:08,282 Yeah, we're trying to have a baby. 432 00:20:08,307 --> 00:20:10,882 Internet says fibroids hinder the ability to conceive. 433 00:20:10,907 --> 00:20:12,943 Not all fibroids are created equal. 434 00:20:13,348 --> 00:20:14,981 Hey, I'm gonna order a pelvic ultrasound 435 00:20:15,006 --> 00:20:16,230 and a gyne consult. 436 00:20:16,255 --> 00:20:18,955 I'll check back soon. And no more Googling, okay? 437 00:20:18,980 --> 00:20:20,416 Doctor's orders. 438 00:20:21,722 --> 00:20:23,182 How's it going with your six-month-old? 439 00:20:23,207 --> 00:20:24,207 Dead end. 440 00:20:24,232 --> 00:20:26,293 Nothing's jumping out in any of the labs 441 00:20:26,318 --> 00:20:28,632 and the endoscopy and colonoscopy report. 442 00:20:28,657 --> 00:20:30,511 I'm starting to wonder if it's really baby Axel 443 00:20:30,536 --> 00:20:31,824 who's the one that's sick. 444 00:20:31,849 --> 00:20:32,855 What do you mean? 445 00:20:32,880 --> 00:20:35,922 The mom, she's just... She's got this air about her, 446 00:20:36,080 --> 00:20:37,917 this nonchalance that screams, 447 00:20:38,110 --> 00:20:40,792 "Yeah, my baby's in the ED, but it's just another day." 448 00:20:40,871 --> 00:20:42,893 Well, it wouldn't be the first time we see a parent 449 00:20:42,918 --> 00:20:45,359 pretend their child was sick to get attention. 450 00:20:45,384 --> 00:20:47,410 Yeah, unfortunately. 451 00:20:47,964 --> 00:20:50,178 - Have you seen Dr. Charles? - He's upstairs. 452 00:20:50,264 --> 00:20:51,720 - I'll page him for you. - Thanks. 453 00:20:51,752 --> 00:20:52,926 Yeah. 454 00:20:53,309 --> 00:20:55,330 Dr. Manning, it's Julia. 455 00:20:55,355 --> 00:20:57,315 There's something you need to see. 456 00:20:58,433 --> 00:20:59,948 You know, I had my appendix taken out 457 00:20:59,973 --> 00:21:01,332 when I was in 10th grade. 458 00:21:01,357 --> 00:21:03,150 All right. Well, let's take a look. 459 00:21:04,676 --> 00:21:07,890 Oh, my God. This is a fistula. 460 00:21:08,589 --> 00:21:12,715 Basically a tunnel between your small bowel and your skin. 461 00:21:12,904 --> 00:21:15,338 The green fluid is leaking from your intestines. 462 00:21:15,363 --> 00:21:16,746 - Seriously? - Mm-hmm. 463 00:21:16,832 --> 00:21:18,531 I've been getting these scrapes for years. 464 00:21:18,556 --> 00:21:19,754 They heal up. 465 00:21:19,779 --> 00:21:21,974 It's been my intestines oozing out? 466 00:21:22,034 --> 00:21:24,202 The tissue sample taken during Axel's endoscopy, 467 00:21:24,227 --> 00:21:25,674 I'd like it biopsied. 468 00:21:25,921 --> 00:21:28,065 Biopsy? You're testing for cancer? 469 00:21:28,090 --> 00:21:29,205 No. Something new. 470 00:21:29,230 --> 00:21:31,381 And now I'm thinking you may have it as well. 471 00:21:31,548 --> 00:21:33,141 The test that I ran on your son, 472 00:21:33,166 --> 00:21:35,018 I'd like to run on you as well. 473 00:21:35,704 --> 00:21:37,284 Okay. 474 00:21:38,143 --> 00:21:40,479 All right. Pelvis is packed. 475 00:21:40,612 --> 00:21:42,383 Bleeding's under control. 476 00:21:42,431 --> 00:21:44,806 Call ICU and tell them Lucy's coming up to rewarm. 477 00:21:44,958 --> 00:21:47,016 Something's wrong. Pressure's still in the toilet. 478 00:21:47,041 --> 00:21:49,927 - 74 over 38, falling. - What? 479 00:21:49,952 --> 00:21:52,631 - She's peri-arrest. - She's still bleeding? 480 00:21:53,915 --> 00:21:56,950 The abdomen is dry. Pelvis is contained. 481 00:21:56,975 --> 00:21:59,109 I mean, we're hemostatic, Marty. 482 00:21:59,134 --> 00:22:00,413 She's bradying down. 483 00:22:01,542 --> 00:22:03,325 - No pulse. - Come on. 484 00:22:07,259 --> 00:22:08,767 Milligram of EPI. 485 00:22:11,617 --> 00:22:12,893 EPI's in. Pulse check? 486 00:22:12,918 --> 00:22:14,304 Go. 487 00:22:15,218 --> 00:22:16,571 Still nothing. 488 00:22:18,027 --> 00:22:19,864 Come on, Lucy. 489 00:22:20,133 --> 00:22:21,755 Hold compressions. 490 00:22:24,301 --> 00:22:25,625 Be good. 491 00:22:27,063 --> 00:22:28,874 - Asystole. - Come on. 492 00:22:29,948 --> 00:22:32,562 Come on, Lucy. Come on. 493 00:22:38,147 --> 00:22:39,315 Damn it. 494 00:22:52,975 --> 00:22:56,310 Time of death, 16:17. 495 00:22:58,875 --> 00:23:02,992 Okay, everyone, clear the room, please. 496 00:23:03,020 --> 00:23:05,268 I'd like a moment alone with my patient. 497 00:23:18,229 --> 00:23:19,709 What's going on? 498 00:23:20,725 --> 00:23:22,509 There's room for Jamie at Meyerbrook, 499 00:23:22,534 --> 00:23:24,241 which is the only residential facility 500 00:23:24,266 --> 00:23:25,864 capable of handling his needs. 501 00:23:25,889 --> 00:23:28,215 Unfortunately, neither his private insurance 502 00:23:28,240 --> 00:23:29,957 nor state Medicaid is gonna cover the cost. 503 00:23:29,982 --> 00:23:32,127 What about an individual care grant from the state? 504 00:23:32,152 --> 00:23:33,696 I already looked into it. It's no help. 505 00:23:33,721 --> 00:23:35,066 Yeah, the grant's so underfunded, 506 00:23:35,091 --> 00:23:37,414 it wouldn't come close to what's needed. 507 00:23:37,439 --> 00:23:38,780 So what's plan B? 508 00:23:38,810 --> 00:23:41,608 Well, you know, I'm gonna just try and use 509 00:23:41,633 --> 00:23:44,143 the five-day hold to normalize his meds as best I can. 510 00:23:44,168 --> 00:23:46,331 And I do know a brilliant guy who specializes 511 00:23:46,356 --> 00:23:48,362 in these kind of disorders I want to refer him to. 512 00:23:48,395 --> 00:23:50,026 An outpatient service? 513 00:23:50,051 --> 00:23:51,888 Jamie pummeled Dylan over an iPad. 514 00:23:51,913 --> 00:23:54,837 The kid's jaw's wired shut. He's only six years old. 515 00:23:54,862 --> 00:23:56,737 He's going to invade his brother's space again. 516 00:23:56,762 --> 00:24:00,149 And when that happens, and Jamie loses his temper, 517 00:24:00,580 --> 00:24:02,371 I'm worried he could kill Dylan. 518 00:24:02,396 --> 00:24:03,581 I don't like it either, Ethan, 519 00:24:03,606 --> 00:24:06,110 but I mean, you know, I can't hold him here forever. 520 00:24:06,135 --> 00:24:09,812 I get it, but we have an obligation to protect Dylan. 521 00:24:10,034 --> 00:24:12,406 And he needs our help just as much as Jamie. 522 00:24:20,354 --> 00:24:22,548 Dr. Halstead, the gyne attending on-call 523 00:24:22,573 --> 00:24:24,023 came down a few minutes ago. 524 00:24:24,048 --> 00:24:26,751 - She's with Chloe right now. - Great, thanks. 525 00:24:27,167 --> 00:24:28,704 If you feel comfortable with that. 526 00:24:28,729 --> 00:24:30,198 Yeah. 527 00:24:35,252 --> 00:24:38,292 Dr. Hannah Asher, gynecology. 528 00:24:39,940 --> 00:24:42,653 - Will Halstead. - It's nice to meet you. 529 00:24:43,445 --> 00:24:45,374 Yeah. Likewise. 530 00:24:45,573 --> 00:24:47,643 I was just explaining to Chloe and David 531 00:24:47,668 --> 00:24:49,661 that I reviewed her pelvic ultrasound. 532 00:24:49,686 --> 00:24:51,935 Considering the location and size of the fibroid, 533 00:24:51,960 --> 00:24:53,650 I believe removing it surgically 534 00:24:53,675 --> 00:24:55,001 is the best course of treatment. 535 00:24:55,026 --> 00:24:57,331 A myomectomy? By who, when? 536 00:24:57,562 --> 00:24:59,471 Me. Today. 537 00:25:00,406 --> 00:25:03,661 Chloe, David, you should know this surgery can be risky. 538 00:25:03,774 --> 00:25:06,881 Yes, I've explained the pros and cons, Dr. Halstead. 539 00:25:07,000 --> 00:25:08,951 Was clear that while this is a big operation, 540 00:25:08,976 --> 00:25:10,490 it's also a common one. 541 00:25:10,515 --> 00:25:13,311 Nevertheless, complications could rise. 542 00:25:14,064 --> 00:25:16,388 So I would suggest non-surgical options. 543 00:25:16,413 --> 00:25:18,690 Hormone therapy will shrink the fibroid. 544 00:25:18,872 --> 00:25:20,663 Well, that's what Dr. Asher said. 545 00:25:20,688 --> 00:25:23,149 But to ensure that it doesn't grow back, 546 00:25:23,174 --> 00:25:24,845 Chloe would have to go on the pill. 547 00:25:24,870 --> 00:25:26,677 We're anxious to start a family. 548 00:25:26,702 --> 00:25:28,385 The pill takes that off the table. 549 00:25:28,410 --> 00:25:30,544 In the short term, yes. But not permanently. 550 00:25:30,569 --> 00:25:32,654 Actually, it kind of does. 551 00:25:32,822 --> 00:25:34,739 I'm 41, Dr. Halstead. 552 00:25:34,764 --> 00:25:37,298 Our window for getting pregnant is already closing. 553 00:25:37,458 --> 00:25:40,424 If I choose hormones, I might as well slam it shut. 554 00:25:40,449 --> 00:25:42,927 We appreciate your passion, Dr. Halstead. 555 00:25:43,103 --> 00:25:45,752 But surgery is the best for us. 556 00:25:46,212 --> 00:25:47,845 I'll get that started. 557 00:25:47,964 --> 00:25:49,989 It was so nice meeting both of you. 558 00:25:50,499 --> 00:25:51,832 Doctor. 559 00:25:54,367 --> 00:25:56,241 Excuse me just a moment. 560 00:25:56,839 --> 00:25:59,845 Doctor Asher? Doctor. 561 00:26:00,408 --> 00:26:01,635 Hmm? 562 00:26:01,660 --> 00:26:03,724 - You can't perform this surgery. - Hmm? 563 00:26:03,749 --> 00:26:05,328 I mean, you shouldn't even be working. 564 00:26:05,353 --> 00:26:08,108 Look, thank you for your help last week, but I'm better now. 565 00:26:08,212 --> 00:26:09,807 I'm over that hump. 566 00:26:09,832 --> 00:26:11,465 So heroin addiction is like a cold? 567 00:26:11,490 --> 00:26:13,106 What, you just get over it? 568 00:26:13,131 --> 00:26:14,543 What I saw at that injection site... 569 00:26:14,568 --> 00:26:16,268 Was me having a bad day. 570 00:26:16,467 --> 00:26:17,733 - A bad day? - Mm-hmm. 571 00:26:17,758 --> 00:26:19,153 You... 572 00:26:21,469 --> 00:26:22,954 You OD'd. 573 00:26:24,137 --> 00:26:25,958 For all I know, you're high right now. 574 00:26:25,983 --> 00:26:27,176 Right. 575 00:26:27,201 --> 00:26:28,966 But how many all-nighters you pull over there 576 00:26:28,991 --> 00:26:30,531 since I saw you last, huh? 577 00:26:30,815 --> 00:26:33,557 Three? Four? 578 00:26:34,642 --> 00:26:36,909 Maybe I should be the one worried about your judgment. 579 00:26:36,934 --> 00:26:38,166 Don't twist this. 580 00:26:38,191 --> 00:26:40,411 I'm not an addict about to operate. 581 00:26:40,726 --> 00:26:43,385 You step into that OR, you put Chloe's life in jeopardy. 582 00:26:43,410 --> 00:26:46,418 I would never risk the well-being of a patient. 583 00:26:48,247 --> 00:26:51,750 Not that it is any of your business, I'm sober now. 584 00:26:52,421 --> 00:26:54,595 I'd expect an addict to say that. 585 00:26:56,297 --> 00:26:58,731 Chloe is in good hands with me. 586 00:27:07,849 --> 00:27:11,693 Axel has Crohn's disease? But he's only six months old. 587 00:27:11,718 --> 00:27:14,309 Well, it's rare in children, let alone infants, 588 00:27:14,334 --> 00:27:15,664 but not unheard of. 589 00:27:15,689 --> 00:27:17,241 Isn't Crohn's a diet thing? 590 00:27:17,266 --> 00:27:19,137 I mean, Axel's barely started on solids. 591 00:27:19,162 --> 00:27:20,549 Well, diet aggravates Crohn's, 592 00:27:20,574 --> 00:27:21,697 but it's not the cause. 593 00:27:21,722 --> 00:27:22,739 Genetics is. 594 00:27:22,764 --> 00:27:25,017 Crohn's tends to cluster in families. 595 00:27:25,042 --> 00:27:27,005 Whoa, my test results... 596 00:27:27,030 --> 00:27:28,629 Show that you have Crohn's as well. 597 00:27:28,664 --> 00:27:31,426 The fistula is just evidence of the severity. 598 00:27:31,451 --> 00:27:32,751 This doesn't make sense. 599 00:27:32,776 --> 00:27:34,302 If I've got Crohn's badly enough 600 00:27:34,327 --> 00:27:37,167 to burn a hole in my skin, shouldn't it bother me? 601 00:27:37,361 --> 00:27:39,628 Well, fistulas themselves are painless, 602 00:27:39,653 --> 00:27:42,944 but yes, a Crohn's flare-up is excruciating. 603 00:27:42,969 --> 00:27:45,203 You should be in pain. Agony. 604 00:27:45,228 --> 00:27:47,974 Yeah, well, I don't feel a thing. 605 00:27:49,379 --> 00:27:51,425 This is weirding you out, isn't it? 606 00:27:51,450 --> 00:27:53,394 It's definitely unusual. 607 00:27:58,983 --> 00:28:00,403 Or actually, 608 00:28:01,159 --> 00:28:04,312 maybe it's... maybe it's rare. 609 00:28:05,268 --> 00:28:06,803 Let me ask you a question. 610 00:28:06,828 --> 00:28:09,753 What emotion are you feeling right now? 611 00:28:10,711 --> 00:28:12,340 I'm not sure what you mean. 612 00:28:12,365 --> 00:28:14,381 Well, I just told you that you and your son have 613 00:28:14,406 --> 00:28:16,131 an inflammatory bowel disease. 614 00:28:16,156 --> 00:28:18,086 What are you feeling? Stress? 615 00:28:18,111 --> 00:28:19,875 Anxiety? Fear? 616 00:28:19,991 --> 00:28:22,573 Confusion, that's for sure. 617 00:28:23,646 --> 00:28:25,753 You know, I'd like to run one more test. 618 00:28:26,071 --> 00:28:27,625 - Okay? - Okay. 619 00:28:27,650 --> 00:28:28,882 Okay. 620 00:28:34,276 --> 00:28:36,997 Bea, it's taking too long. Check with Dr. Asher. 621 00:28:37,022 --> 00:28:39,760 Again? I've already gone in there twice for you, Dr. Halstead. 622 00:28:39,785 --> 00:28:41,694 Please, I'm treating Chloe in the ED. 623 00:28:41,719 --> 00:28:43,470 I just want to make sure Dr. Asher's 624 00:28:43,495 --> 00:28:45,079 got everything under control. 625 00:28:45,104 --> 00:28:47,784 - Fine. - Thank you. 626 00:28:55,582 --> 00:28:58,050 Dr. Asher said, "Go away." 627 00:28:58,825 --> 00:29:00,738 Nope, staying right here. 628 00:29:06,960 --> 00:29:09,496 Hey, I got your page. 629 00:29:09,571 --> 00:29:11,405 You have a new plan to help Jamie? 630 00:29:12,192 --> 00:29:15,586 Yeah. Yep, I do. 631 00:29:17,838 --> 00:29:19,310 So, Mr. and Mrs. Shaw, 632 00:29:19,335 --> 00:29:21,769 I have given this a tremendous amount of thought. 633 00:29:21,794 --> 00:29:24,967 I've consulted with... With numerous colleagues, 634 00:29:24,992 --> 00:29:26,438 with social workers, 635 00:29:26,463 --> 00:29:29,326 with our Executive Director of Patient Services. 636 00:29:30,201 --> 00:29:32,698 Jamie needs to be at the Meyerbrook 637 00:29:32,723 --> 00:29:34,071 Residential Facility. 638 00:29:34,096 --> 00:29:36,229 So the insurance companies, they agreed to pay? 639 00:29:36,254 --> 00:29:37,445 No. 640 00:29:37,470 --> 00:29:40,999 Both your private insurance and Medicaid won't budge. 641 00:29:41,130 --> 00:29:43,820 Then I'm confused. 642 00:29:44,107 --> 00:29:46,685 There is a way to force Medicaid 643 00:29:46,710 --> 00:29:49,010 to cover Meyerbrook's cost in full. 644 00:29:49,646 --> 00:29:51,590 It's called a psychiatric lockout. 645 00:29:51,683 --> 00:29:53,249 But it will require you 646 00:29:53,274 --> 00:29:55,779 to surrender Jamie to this hospital. 647 00:29:55,922 --> 00:29:59,573 Surrender? I don't understand. 648 00:29:59,598 --> 00:30:02,840 If you were to leave Jamie here and refuse to come back, 649 00:30:02,896 --> 00:30:05,930 Child Protective Services would have to take custody of him. 650 00:30:06,010 --> 00:30:09,626 Then, as a ward of the state, legally, Illinois would have 651 00:30:09,651 --> 00:30:12,722 to provide him with the mental health services that he needs. 652 00:30:13,211 --> 00:30:15,979 - Meyerbrook? - This is insane. 653 00:30:16,375 --> 00:30:19,225 - We're not doing this. - So there's no other way? 654 00:30:19,265 --> 00:30:21,465 I'm so sorry, but there just isn't. 655 00:30:22,084 --> 00:30:24,520 We would absolutely find a way for you to maintain contact 656 00:30:24,545 --> 00:30:26,350 with Jamie, but you also need to know 657 00:30:26,375 --> 00:30:29,967 that legally, you won't have any say in his care. 658 00:30:34,736 --> 00:30:36,392 We're still his parents. 659 00:30:36,973 --> 00:30:38,865 This doesn't change that. Nothing changes that. 660 00:30:38,890 --> 00:30:40,556 No. No, no, no. 661 00:30:40,581 --> 00:30:42,631 We're not abandoning our son. 662 00:30:42,656 --> 00:30:45,023 Mrs. Shaw, you will not be abandoning him. 663 00:30:45,340 --> 00:30:48,015 This... this won't be forever. 664 00:30:49,669 --> 00:30:51,918 Jamie needs us to do this. 665 00:31:00,686 --> 00:31:02,103 When? 666 00:31:02,590 --> 00:31:04,592 I cannot imagine how agonizing 667 00:31:04,617 --> 00:31:06,408 this decision must be. 668 00:31:07,035 --> 00:31:10,433 But the sooner Jamie starts to heal, 669 00:31:10,551 --> 00:31:12,484 the sooner you all can look forward 670 00:31:12,509 --> 00:31:14,343 to becoming a family again. 671 00:31:14,456 --> 00:31:16,756 Bella. 672 00:31:19,089 --> 00:31:20,925 It's to save him. 673 00:31:54,611 --> 00:31:56,744 Everything is going to be okay. 674 00:31:56,769 --> 00:31:58,470 Hey, buddy. It's gonna be okay, buddy. 675 00:31:58,495 --> 00:32:00,255 Right now, it's the best thing. 676 00:32:00,280 --> 00:32:02,513 You'll be better, and so you're just gonna stay 677 00:32:02,538 --> 00:32:04,568 with the doctors. 678 00:32:04,593 --> 00:32:06,999 - You're okay, baby. - No, no. 679 00:32:07,024 --> 00:32:08,396 Please. I'll be better. 680 00:32:08,421 --> 00:32:10,803 - I didn't mean to! - It's okay. 681 00:32:10,828 --> 00:32:13,592 Please, I want to go home. I want to go home. 682 00:32:13,617 --> 00:32:15,953 Please, Mom. 683 00:32:48,308 --> 00:32:49,825 Dr. Marcel? 684 00:32:49,850 --> 00:32:52,740 Lucy's parents are still in the waiting room. 685 00:32:52,765 --> 00:32:54,725 - You haven't told them... - She should be alive. 686 00:32:54,750 --> 00:32:56,915 Well, it's been over an hour. 687 00:32:56,963 --> 00:32:59,786 They need to know that their daughter has passed. 688 00:32:59,811 --> 00:33:03,778 I won't speak to them until I can explain how she died. 689 00:33:04,598 --> 00:33:06,463 Why I couldn't save her. 690 00:33:14,855 --> 00:33:16,862 Can you give me some light? 691 00:33:18,121 --> 00:33:19,657 Right here. 692 00:33:22,066 --> 00:33:26,092 Every other injury was either a tear or a rip in the skin. 693 00:33:26,554 --> 00:33:28,391 This one's a hole. 694 00:33:30,194 --> 00:33:32,078 Something embedded inside. 695 00:33:32,103 --> 00:33:34,319 More shrapnel from the windshield? 696 00:33:34,344 --> 00:33:36,161 It doesn't really feel like glass. 697 00:33:36,208 --> 00:33:38,928 Can you, uh, swing that X-Ray machine around? 698 00:33:49,248 --> 00:33:50,570 Go ahead. 699 00:33:58,408 --> 00:33:59,903 That's a bullet. 700 00:34:00,569 --> 00:34:02,452 Lucy was shot? 701 00:34:10,646 --> 00:34:13,858 Lucy was shot? How? 702 00:34:14,421 --> 00:34:18,646 She was driving down the highway alone in the car. 703 00:34:18,676 --> 00:34:20,778 The steep angle of entry shows that the bullet struck 704 00:34:20,803 --> 00:34:23,895 from above and launched into Lucy's pelvis. 705 00:34:23,989 --> 00:34:26,826 It severed her external iliac artery. 706 00:34:26,915 --> 00:34:29,391 - Shot from above? - Yes. 707 00:34:29,705 --> 00:34:31,824 Now, the police will run ballistics. 708 00:34:31,849 --> 00:34:34,465 But they believe, and science backs it up, 709 00:34:34,490 --> 00:34:36,779 that someone, somewhere in the city, 710 00:34:36,804 --> 00:34:38,448 fired a gun into the air. 711 00:34:38,473 --> 00:34:40,917 And when that bullet came down, 712 00:34:41,861 --> 00:34:43,775 it struck Lucy. 713 00:34:44,337 --> 00:34:47,413 Someone. Somewhere. 714 00:34:47,689 --> 00:34:49,932 And now our daughter is dead? 715 00:34:51,948 --> 00:34:53,525 I'm so sorry. 716 00:34:55,757 --> 00:34:58,176 The nurse will come to take you to see Lucy. 717 00:34:59,264 --> 00:35:00,703 Excuse me. 718 00:35:06,068 --> 00:35:10,026 Hey, the additional blood work you ordered on Axel's mom. 719 00:35:10,703 --> 00:35:12,370 Oh, wow. 720 00:35:12,747 --> 00:35:15,860 This whole time, my take on Julia has been off. 721 00:35:16,161 --> 00:35:17,632 Way off. 722 00:35:20,024 --> 00:35:22,580 ? We love fun ? 723 00:35:22,842 --> 00:35:25,700 ? We're going out and having some ? 724 00:35:25,963 --> 00:35:28,412 ? We love fun ? 725 00:35:28,581 --> 00:35:31,260 ? You know we're gonna have a ton ? 726 00:35:31,502 --> 00:35:33,379 Never heard that song before. 727 00:35:33,461 --> 00:35:36,029 "We Love Fun" by The Bouncing Souls. 728 00:35:36,336 --> 00:35:38,635 I don't know any real lullabies. 729 00:35:39,246 --> 00:35:41,988 Julia, all day, I've been troubled by your demeanor 730 00:35:42,013 --> 00:35:44,609 because you didn't seem worried about Axel. 731 00:35:45,078 --> 00:35:48,490 But now I know you really aren't worried. 732 00:35:48,585 --> 00:35:52,010 And I suspect you've never felt anxious, depressed, 733 00:35:52,035 --> 00:35:54,763 or even afraid your entire life, have you? 734 00:35:54,930 --> 00:35:57,003 No, not really. 735 00:35:57,399 --> 00:35:59,488 Same goes for physical pain, doesn't it? 736 00:36:00,894 --> 00:36:03,349 Kind of feels like this is a trick question or something. 737 00:36:03,374 --> 00:36:05,498 No. Okay. 738 00:36:05,683 --> 00:36:09,219 So when I had my son, labor was a beast. 739 00:36:09,351 --> 00:36:12,650 Intense pressure, cramps, spasms. 740 00:36:12,675 --> 00:36:14,329 But you didn't feel any of that, did you? 741 00:36:14,354 --> 00:36:15,520 Nope. 742 00:36:15,545 --> 00:36:17,887 Whole thing just kind of tingled. 743 00:36:18,013 --> 00:36:20,588 But I've always had an extremely high pain tolerance. 744 00:36:20,764 --> 00:36:21,865 I know. 745 00:36:21,890 --> 00:36:23,429 There's something wrong with me, right? 746 00:36:23,454 --> 00:36:25,608 My friends have been saying it forever. 747 00:36:26,554 --> 00:36:29,455 Wait, is there something wrong with me? 748 00:36:29,480 --> 00:36:30,740 No. 749 00:36:30,765 --> 00:36:32,799 No, but there is something missing from you. 750 00:36:32,930 --> 00:36:35,630 So we all have what's called a FAAHP1 pseudogene. 751 00:36:35,764 --> 00:36:38,186 Your preliminary blood work shows that you have a rare 752 00:36:38,211 --> 00:36:41,212 microdeletion which affects your insensitivity to pain. 753 00:36:41,237 --> 00:36:42,341 When I was a kid, 754 00:36:42,366 --> 00:36:44,214 my dad would say everyone else were wimps. 755 00:36:44,700 --> 00:36:48,969 That we were a hardy breed, that pain was just a word. 756 00:36:48,994 --> 00:36:52,076 Well, microdeletion is a genetic thing. 757 00:36:52,162 --> 00:36:54,429 So it's likely that your father and other family members 758 00:36:54,454 --> 00:36:55,592 have it as well. 759 00:36:59,998 --> 00:37:01,364 Julia? 760 00:37:08,849 --> 00:37:10,493 What's wrong? 761 00:37:11,090 --> 00:37:13,522 I passed Axel the gene for Crohn's, 762 00:37:13,673 --> 00:37:16,308 but not the one so he won't be tortured by it. 763 00:37:17,096 --> 00:37:19,229 And if I didn't know when I hurt myself, 764 00:37:19,254 --> 00:37:21,583 I wouldn't have known when I hurt my son. 765 00:37:21,646 --> 00:37:23,904 I probably made the bath too hot. 766 00:37:24,170 --> 00:37:26,507 - Didn't dress him warm enough... - Hey. 767 00:37:26,532 --> 00:37:28,615 You knew it wasn't colic. 768 00:37:28,743 --> 00:37:31,419 You knew to bring your son into the ED. 769 00:37:32,715 --> 00:37:35,334 You may not feel everything he feels, 770 00:37:35,541 --> 00:37:37,007 but you're his mother. 771 00:37:37,142 --> 00:37:39,622 You'll always know what he needs. 772 00:37:49,958 --> 00:37:51,865 Uh, keep going. Grab her husband. 773 00:37:51,890 --> 00:37:53,421 I'll meet you in recovery. 774 00:37:55,828 --> 00:37:57,903 Wonderful. You're still here. 775 00:37:57,928 --> 00:38:00,138 - Is Chloe okay? - Yeah, she's fine. 776 00:38:00,163 --> 00:38:02,143 Operation was flawless. 777 00:38:02,843 --> 00:38:04,477 This time. 778 00:38:05,735 --> 00:38:08,198 How about you and I keep our distance from one another? 779 00:38:08,223 --> 00:38:09,365 Yeah, fine. 780 00:38:09,390 --> 00:38:11,139 Just as soon as you stop treating patients 781 00:38:11,164 --> 00:38:12,686 and seek treatment for your addiction. 782 00:38:12,711 --> 00:38:13,897 Screw you, Halstead. 783 00:38:13,922 --> 00:38:15,576 In that case, I'm going to submit a letter 784 00:38:15,601 --> 00:38:17,186 to the hospital's Chief Medical Officer. 785 00:38:17,211 --> 00:38:18,761 And that decision will be made for you. 786 00:38:18,786 --> 00:38:20,379 That's a stupid idea. 787 00:38:20,534 --> 00:38:23,361 You out me, I out your own involvement 788 00:38:23,386 --> 00:38:25,917 in a not-quite-legal injection site. 789 00:38:25,942 --> 00:38:28,247 So if I go down, so do you. 790 00:38:30,254 --> 00:38:32,092 So if you want to report me, 791 00:38:33,909 --> 00:38:35,576 have at it, cowboy. 792 00:38:43,976 --> 00:38:46,305 - Hey. - Hey. 793 00:38:46,330 --> 00:38:47,961 Heard you had a rough one today. 794 00:38:48,053 --> 00:38:50,491 - You all right? - Yeah. 795 00:38:50,758 --> 00:38:52,658 The little boy and his mom. 796 00:38:52,739 --> 00:38:55,105 Your, uh, ESP pan out? 797 00:38:55,706 --> 00:38:57,943 Not even close. 798 00:39:02,560 --> 00:39:05,200 - I'll see you tomorrow. - Night. 799 00:39:16,542 --> 00:39:17,856 Hey. 800 00:39:20,939 --> 00:39:22,709 Today sucked. 801 00:39:23,085 --> 00:39:25,176 Yes, it did. 802 00:39:25,411 --> 00:39:30,459 We just don't have enough psychiatric resources for kids. 803 00:39:30,588 --> 00:39:33,072 And unfortunately, the Shaws won't be 804 00:39:33,097 --> 00:39:35,840 the last family to face a lockout. 805 00:39:36,037 --> 00:39:39,129 But Jamie will get the help he needs. 806 00:39:40,183 --> 00:39:42,150 And that's a good thing. 807 00:39:59,241 --> 00:40:02,835 Hey, buddy. Come on, let's go. 808 00:40:28,811 --> 00:40:34,951 - Synced and corrected by martythecrazy - - www.addic7ed.com -