All language subtitles for Chicago.Med.S05E18.REPACK.1080p.WEB.H264-METCON

.

- The night that you left,
I kissed Crockett.

I'm sorry.

- April?
Really?

Huh?
All this time acting like this?

Come on!
- Hey!

- I couldn't let you keep
treating patients.

I had to make
your addiction known.

- What you did was a betrayal.
- You're an excellent doctor.

I wasn't about to let you
throw your life away.

- You were right.
They gave me my life back.

[dramatic music]

- It's beautiful, Ben.

- You're beautiful.

- I pronounce you husband
and wife.

[laughter, applause]

- I'll say it till
the day I die:

there is no better pizza
than Chicago deep dish.

- But it's not even pizza.
It's lasagna.

- We're gonna have to agree
to disagree.

- I will not agree to disagree.

No, you are flat wrong.

Flat.
The way that pizza should be.

- Lasagna, huh?

That's good.
Smart lady.

- No, Dr. Charles,
not you too.

- I don't know that--
that you and Dr. Asher were...

- Friends.
- Yeah.

Good.
That's good.

- And?

- And she needs a strong
support system right now.

So I'm glad that she has you
as a--as a friend.

- Look, I get it.

Romantic relationships
are discouraged

during the first year
of recovery.

- Neurochemically, very little
difference between

the dopamine rush that
we get from drugs and alcohol

and the rush that
we get from romance.

- Well, you know,
I'm sure as with anything,

there are exceptions
to the rule.

- I have never actually
seen that go well.

Well, at least not in my,
you know,

three decades of experience
counseling people in recovery.

- Next!

♪

- Hey.

So how are things with Ethan?

- Okay, I guess.

I tried to get him
to talk about it,

and he hasn't wanted to.

- Hmm, maybe that's his way
of processing.

- Yeah.
Maybe.

- Will, you're up.

Ambo's landed.
You're going to Trauma 2.

- All right.

- Evelyn Myers.
49-year-old female

with progressive
early-onset Alzheimer's.

Passed out at home.

Did a 12-lead in the ambo.
She's got peaked T Waves.

- And did she hit her head
when she passed out?

- Her daughter, Molly,
didn't think so.

No overt signs of head trauma.

- I'm pretty sure
that she didn't,

but I was in the other room
when it happened.

I shouldn't have left
her alone.

- Evelyn, I'm Dr. Halstead.

All right, on my count.
One, two, three.

Thanks, guys.
- Yup.

[suspenseful music]

Rhonchi, both sides.

Blunted breath sounds
at the base.

- 2 plus pitting edema.

♪

- Yeah.

♪

Molly, is your mom on any
medications for kidney disease?

- I'm not sure.

She takes something
called Capto...

- Captopril?
- I think so.

Sorry, I'm not with her
every day.

I'm just home
for spring break.

- Any family history
of kidney problems?

- Uh, yeah, yeah.

My grandma, my mom's mom,

she had something wrong with
her kidneys.

My dad will know
what it's called.

- CBC, CMP stat.
- What's going on?

[sighs]

Molly, I told you to call me
if anything happened with Mom.

- Sorry, Dad.
I just freaked out.

- It's okay.

- Hi, I'm Dr. Halstead.
- Elliot.

- Elliot, well,
we still need labs,

but I suspect Evelyn's
in acute renal failure.

In which case,
she needs emergency dialysis.

- No.
No dialysis.

It's against Evelyn's
advance directive.

- Don't listen to him.
He lies.

- Evelyn, honey, you signed
an advance directive.

- Advance directive?
What is that, Dad?

- No, I didn't sign anything.
No.

- You don't want dialysis,
my love.

- Yes, I do.
I do!

Help me!

♪

.

- Hey, take a look.

- Did you get Mrs. Myers'
lab work back?

- She's profoundly uremic
and hyperkalemic.

She's not making urine.

If we don't dialyze her,
she'll die.

- Well, I've reviewed her
advance directive.

She prepared it shortly after
her Alzheimer's diagnosis,

and I'll tell you,
Mrs. Myers outlined

a number of interventions she
didn't want including dialysis.

And she appointed her husband
to be her proxy

when she could no longer speak
for herself.

- But she can speak
for herself,

and she has changed her mind.

I mean, people can modify
their advanced directives

at any time, right?

- As long as they still have
decisional capacity.

- Well, you do an evaluation

and then we'll take it
from there.

- Great.

- Sharon?
- Yeah.

- Your assistant called.
Michael's plane has landed.

- Oh, good.

It's silly, I know,
but he's 33 years old.

- Mm-hmm.

- I still get nervous
when he flies.

[laughter]

I guess I just feel a lot
better

when I know he's got
two feet back on the ground.

- Well, he's your baby boy.

How long is he in town?
- Just 24 hours.

Interviewing for a sales job
at Kender Bio Systems.

I would love to have
at least one of my kids

living in the city.

- [chuckles]
- Need some help over here!

- [groans]
- This is Nick Elms.

Experiencing severe
abdominal pain.

Haven't finished uploading his
information into the system.

- I can tell you anything
you need to know.

I'm his wife, Alice.

- Trini, where we headed?
- 4's open.

- [groans]
- Just breathe.

- All right, Mr. Elms, we're
gonna take you right here.

- [groans]
- Ready?

One, two, three.
There you go.

All right.
When did the pain start?

- Last night.

Nick has a condition called
familial adenomatous polyposis.

It causes polyps in his--
- Colon and rectum.

I'm familiar.
- [breathes heavily]

- When was he first diagnosed?
- Five years ago.

It had already developed
into colorectal cancer.

He had multiple runs of chemo,

but it came back again
last year.

He developed congestive heart
failure from the chemo.

- Nick, can you tell me

when you had your
last bowel movement?

- Yesterday morning.

No, the day before.

- All right, well, we do need
a CT scan,

but I'm worried there's
a colonic obstruction.

- [groans]
Which means a colostomy, right?

- Mm-hmm.

- My doc warned me
that was coming.

- Well, it may be short term.

In as a little as 12 weeks,
they can reverse--

- That's long term for me, Doc.

I got four months left
at the most.

I really gotta spend it
defecating into a bag?

- [chuckles]

- [groans]

- Hey, Mags, can you page
general surgery for a consult?

Patient is Nick Elms.

Late stage colorectal cancer
due to FAP.

Suspected colonic obstruction.

- Mm-hmm.
- Thank you.

- Got it.

♪

- Hey, Mags.
- Mm-hmm?

- I can do the consult.

- You sure?

I thought you were
clocking out.

- Yeah, well, I got nowhere
to be till cocktail hour.

- [chuckles]
Have at it.

♪

[knock on door]
- Come in.

Bert.

What's up?

- Sorry to show up unannounced.

I spoke with Michael.

With him in town, I thought it
would be a good opportunity

to smooth things over with him.

Our relationship hasn't been
the best since the divorce.

- That's between you
and Michael.

- I just thought
if I told him about us...

- Whoa, whoa, whoa.

Uh, told him what exactly?

- Jus that we've been seeing
each other.

[somber music]

I should've checked
with you first.

- Yeah.
That would've been nice.

And now we're seeing
each other?

We're seeing each other?

- We go out once a week,
Sharon.

What would you call it?

- Look, Bert,
I don't have time for this.

- Okay.

♪

- Babe,
what are you doing here?

And who's your sidekick?

- This is Auggie,
one of my students.

Auggie this is my wife,
Ms. Lockwood.

- Nonsense.
You call me Maggie.

- Hi, Maggie.
- What's going on, little man?

- Auggie has cirrhosis
from something they call

chronic autoimmune...

- Autoimmune chronic hepatitis?
- Yup, that.

And when he showed up
at school this morning,

he sounded winded.

He was running
a slight fever as well.

- All right, little man.

Why don't you come with me,
fellas?

We're going right here.

Babe, why don't you help Auggie
hop up and grab a seat?

- All right.

- Why don't you scoot back,
Auggie?

There you go.

And I am gonna grab you

all the fruit snacks
you could want.

- I don't have any money.

- You're a very important
person, Auggie.

The fruit snacks
are on the house.

♪

Give me a sec.

♪

Earl.

Do you mind keeping my friend
Auggie company for a sec?

- Oh, no.
Not at all.

- Awesome.
Auggie, this is Earl.

He works here.

- Hey, big man.

All right, buddy,
give me some.

Bop, bam, boom.

- Did you get ahold
of his parents?

- Auggie's in foster care.

I haven't been able to reach
his foster mom, Ruth, just yet.

But I'll keep trying.
- All right.

I'll go get a doctor
and some fruit snacks.

Oh, babe,
did you remember to--

- To call the spa
at the resort?

We're booked
for a couples massage

on the beach
tomorrow morning.

- [squeals]

- Joy, you fractured
your distal fibula.

It doesn't require surgery,

but you'll need to be
in a boot for 6-8 weeks.

- I feel like I'm cursed.

You know, I started
this diet two months ago.

I can't lose any weight.

That's why I joined the gym.

I thought I had
to exercise more.

- Babe, what happened?

You passed out
on the treadmill?

- Dr. Choi, Nurse Sexton,
this is Max, my fiancé.

I was telling them the reason
I joined the gym

is 'cause I was having trouble
losing weight.

- You look great.
- Max!

It's not about that, right?

Now I just wanna get healthier.

- Well, Joy, there are certain
conditions

that could make weight loss
difficult,

but most of them
are commonly treatable.

While you're here,
we can run some tests

if you don't mind
waiting a bit.

- Sounds good.

- April,
let's get a CBC, FSH, TSH,

and a cortisol level to start.

- Okay.
- We'll see you in a bit.

- All right.
Thanks.

- Hey Ethan, listen, man, I...

- How'd it go?

- Evelyn definitely does not
have decisional capacity.

I mean, she didn't understand
the treatment being offered

or even that she had
an issue with her kidneys

in the first place.

- Did she seem depressed?
Suicidal?

- No, I wouldn't say that.

- So, she still possesses
the will to live.

She just can't articulate it
clearly.

- Well, except that when
she was of sound mind,

she made it very clear
in writing and to her husband--

- Who she seems highly
suspicious of, by the way.

- That's not uncommon.

I mean, it's often
the primary caregivers

that get the brunt
of the paranoia

in situations like this.

- Well, I--I don't know.

Maybe it's worth convening
an ethics committee then?

- An ethics committee?

- Yeah, just get some
other perspectives.

- Will, I don't think
that's necessary.

I gave her a very thorough
evaluation.

I'm confident in my assessment.

- Yeah, but ultimately,
it is subjective.

Your opinion--
- That's right.

My professional opinion,
which is based on--

- Decades of experience.
I know.

- That's right.
Decades of experience.

[tense music]

I'll see ya.

♪

.

- Oh.

Why does it look like that?

- Ascites.

Fluid accumulates
in the peritoneal cavity.

Can happen in patients
with cirrhosis.

- [groans]

- Did you tell Ruth that your
belly was hurting this morning?

- She goes to work
before the school bus comes.

- Auggie, I'm going to need
to do a procedure

called paracentesis.

What I'll do is I'll insert
a needle--

- A needle into my tummy
to get all the bad stuff out.

It's not so bad, Mr. Campbell.
Just sounds scary.

- So I'll be performing
the abdominal portion

of the surgery robotically,

while Dr. Castaneda works
endoscopically from below.

Dr. Manning.
Perfect timing.

- Good morning, Dr. Marcel.
Robots and endoscopes?

Doesn't sound like
a colostomy.

- Yeah, Nick and Alice and I
were discussing it

and we're gonna take
a different approach.

Transanal Total Mesorectal
Excision.

TaTME.

- I'm sorry, forgive me.
I'm not familiar with it.

I am aware of TME,
which is a major surgery.

- Right, well, this is a new
approach

that allows for better
visualization

and removal of tumors
in the lower rectum.

- Well, I'm sure
you've explained the risks

to Nick and Alice.

- I sure have.
Yeah?

- We're ready to move
Mr. Elms upstairs.

- Great.
All right.

So I'll see you
in a couple hours.

- Thanks. Dr. Marcel.
- All right.

Alice, I'll see you.

♪

- Crockett.
- Yeah?

Why would you suggest
a radical surgery

for a terminal patient?

Even if it's successful,

it is highly unlikely
it's gonna save his life.

- But it could buy him
more time

and a better quality of life.

- Yeah, if he doesn't die
on the table,

which is a real risk,
given his heart problems.

- And I didn't sugarcoat
that risk.

- He has seen many surgeons,

and none of them have put
this option on the table.

- Yeah, 'cause most of them
are gutless,

obsessed with their stats.

- Okay, you say gutless.
I'd say pragmatic.

- Oof.

I see us edging towards
a semantics debate.

I know when I'm out
of my depth.

♪

- [sighs]

- Why don't you just
stay with me?

- No, the company's putting me
up at the Peninsula.

- Ooh, fancy!
They must really want you.

- Mm-hmm.
- [chuckles]

- So I gotta ask about
this nonsense Dad was talking.

It's not for real, right?

[both sigh]

Wait, you're not seriously
considering taking Dad back?

- Michael.

- He--he walked out after
35 years of marriage.

Ink was barely dry
on the divorce papers

when he started seeing
someone else.

- Your father and I
had a drink.

Maybe he read more into it.

- So you're not dating
or anything?

- No.

- I figured he was full of it.

[chuckles]

So are we still on for dinner?

I got us a reservation
at Swift & Sons for seven.

- No, no, no!
That's too expensive!

- Only the best for my mom!
- [chuckles]

- And the company's paying
for it.

[laughter]

- Hey, are you busy tonight?

This new Thai place opened up
in the neighborhood.

Wanna give it a whirl?
- Let's give it a whirl.

- Seven-ish?

- Works for me.

- Dr. Choi,
something's wrong!

[machines beeping]

- 5 of Ativan.

Has Joy ever had
a seizure before?

- No.
Never.

Joy?
Babe?

Well, I thought you said
all her labs were normal.

- They were.
- Meds are in.

- Well, so, is this like
an allergic reaction

to something you gave her?

- We only gave her ibuprofen,
and she's had that before.

♪

- "TaTME: Innovative Surgery
for Rectal Cancer,"

co-authored
by Crockett Marcel, M.D.

- Oh, you
internet stalking me, Manning?

- Don't flatter yourself.

I found it when I was
researching the procedure.

- Good for you.

- You spent your lab-year
studying the technique.

You did your fellowship
in the surgical center

that helped pioneer it.

- Which makes me, what?

Highly qualified to perform
the procedure?

- No, it makes you biased

and motivated by
professional advancement.

♪

- You see what you want to see.
Excuse me.

♪

- You are potentially
costing Nick

the chance to see
the birth of his child.

What, so you can get a shot at
performing a complex surgery?

- I answer to my patients,
not to you.

♪

- Sats are down to 85.
- Get her on a mask.

- What's wrong with her?

- She has fluid in her lungs.
Another dose of Lasix.

- I gave her 10mg an hour ago.
It's not working.

- Just do it.

Where's your father?
- We went to get his coffee.

- Stats are still dropping.

- You have to do something!
Help her!

- Molly,
I would need to intubate.

- So do that.
- I can't.

It's against your mom's
advanced directive.

- Mom, you have
to listen to me, okay?

You want the doctor
to help you, right?

Mom, please.

- [moans]

- What was that, Mom?

- [moans]

Molly?
- That's right.

It's me.
It's Molly.

She hasn't called me Molly
in months.

- Evelyn?

Do you want me
to save your life?

Yeah, I need a verbal response.

Do I have your permission
to intubate, to save your life?

Yes or no?

- Yes.

- Intubation.
Give 70 of ketamine.

- Mom, it's gonna be okay.

♪

- Okay, I'm in.
Bag her.

- Oh, my God.
What the hell did you just do?

♪

.

- I mean, really.
This is like déjà vu.

Getting sued didn't teach you

why you don't ignore
an advance directive?

Ms. Goodwin, this is a
completely different situation.

I wasn't ignoring
the patient's wishes,

I was honoring them,

and her daughter will
back me up on that.

[knock on door]
- Yes?

- Peter Kalmick is waiting
for you in the board room.

- Tell him I'll be right there.

Excuse me while I attempt
to clean up your mess.

♪

- Dr. Charles,
you weren't there.

- Oh, come on, Will.

An Alzheimer's patient has
a fluctuation in cognition

doesn't mean they've recovered
their decisional capacity.

I mean, when Evelyn was making
her wishes known,

she certainly understood that.

The most important thing
she understood

is that eventually this disease

was going to take everything
from her.

Signing that piece of paper

was her final act
of self-determination.

♪

- Alice.
- Dr. Manning.

I was just heading up
to pre-op to meet Nick.

- Oh, good.
I'm so glad I caught you.

You know, everything just moved
to quickly this morning.

I wanted to make sure that you
are onboard with the surgery.

- I'm not.

- Well, did you tell Nick
how you feel?

- I begged him not to do it,

especially after Dr. Marcel
warned us about the risks,

but Nick was adamant.

He said he wanted to help
improve

the treatment options
for our son,

even if it meant he may not
live to see him.

- Your son.

He could inherit the FAP gene.

- There's a 50% chance.

- [sighs]

- This pregnancy was
a surprise.

When we found out,
all Nick could think about

was our baby's future,

and doing everything he could

to prevent our son
from facing the same fate.

[somber music]

♪

- Trini, will you take over
for a minute?

I'll be right back.
A word outside?

Auggie's primary physician
sent over his medical records.

Turns out he's supposed to have
paracentesis every two weeks,

but he hasn't shown up to his
last couple appointments.

- No wonder his ascites
got so bad.

- Yeah, I'm calling
Child Protective Services.

- Yeah, whoa, whoa, whoa.
Hold on a second.

- Dr. Lanik, can you please
wait

until we speak
to his caregiver?

Maybe there's
a reasonable explanation.

- I thought she was MIA.

- I'm working on trying
to reach her.

- [sighs]
Fine.

You have until 4:00, but if she
is not here in the flesh,

I'm making the call.

[tense music]

- Maybe you don't want
to take care of her anymore.

- You know that isn't true.

You know I'd do anything
for your mom.

- Then you can't let her die.
I won't let you!

- Honey...

♪

- Ms. Myers?

My name is Sharon Goodwin.

I'm in charge of patient
services here at the hospital.

- Yeah, I saw you talking
to my dad.

What if I don't want
the doctors

to take out my mom's
breathing tube?

Would I have to sue my dad?

- Well...

Before we get into logistics,

are you sure
you want to do that?

Do you really believe
your father isn't acting

in your mother's
best interests?

- [sniffles]

I mean, he loves her.
I just...

I don't want to lose her.

[sobs]
I don't know what to do.

My mom kept me in the dark
about all of this.

[somber music]

- You know, when parents
don't share things

with their children,

it's usually out of a desire
to protect them.

I suspect your mother knew
how painful it would be

for you to know her wishes.

And she didn't want
to place the burden

of carrying them out
on your shoulders.

- She put a lot
on my dad's shoulders.

- Yes.

Because she knew
he could handle it.

But you're right, it is a lot,

and he's going to need you.

You're going
to need each other.

♪

[machine whirrs]

- Dr. Marcel,
you should be seeing me.

- Yup, seeing your sponge now.

Nice to finally meet up.

Okay, let's bring
the pressure down to 12.

- Ready to take the rectum out?

- You bet.

Here we go, Nick.

[suspenseful music]

♪

- Joy, your seizure was caused
by high levels of ammonia

in your blood.

- How'd she get ammonia
in her blood?

- Testing revealed Joy
has a urea cycle disorder.

It's a genetic condition
that causes a deficiency

in one of the six enzymes

responsible for removing
ammonia from the bloodstream.

- But if it's genetic, why was
I never diagnosed as a child?

- With milder forms
of the disorder,

often undiagnosed until
a trigger unmasks it.

Such as childbirth--

- Another possible trigger
can be a dramatic increase

in protein intake.

- Could you be taking in more
protein with your new diet?

- Not really.

I actually cut out red meat
and most dairy.

- What about protein bars
or shakes?

- No.
I drink green smoothies.

- Triggers aside,
how do you treat it?

- Well, you're going to have
to be on an enzyme supplement

for the rest of your life,

and maintain
a very low protein diet.

- We can manage that.
Right, babe?

- Yeah.

- Joy, just so you understand,

if you don't regulate
your protein intake,

there can be
serious consequences.

- Understood.

- Now, even a few
high protein meals--

- I said I understand,
Dr. Choi.

What, do you think because
I'm fat I have no self-control?

- No.
Not at all.

I'm just suggesting
if protein is the trigger--

- Yeah, and I just told you
that it wasn't.

- Dr. Choi, may I speak with
you outside, please?

- Excuse us.

What?
- You're so suspicious of Joy.

I can't help but wonder
if you're projecting.

- I'm not projecting anything.

The only trigger
that makes sense is protein.

So she's either lying about
what she's eating,

or she's in denial.

♪

.

- I am so sorry
I missed your calls.

My manager doesn't allow us
to check our messages

while we're working.

- This should never
have happened.

We know that Auggie has missed

his last two doctor's
appointments.

- And I'm really sorry
about that.

I--I do my best
to get him there,

but the clinic's 40 miles
from my house.

I--I don't have a car, and I
can't always get off of work.

- Is there someone else
that could help out?

Maybe a babysitter
that could take him?

- Who's gonna pay for that?

- Ms. Johnson, we're supposed
to report this as neglect.

But if we do that, they might
remove Auggie from your home.

- Maybe you should.
- What?

- Maybe you should report it.

[somber music]

I love that little boy.

I love him, but...

But it's too much.

It's too much.

And I can't.

♪

- Alice.

♪

- He did well, Alice.
Real well.

You can visit him in
the recovery room shortly.

- Oh, thank God.
- [chuckles]

- [sobs]

♪

- So, what happens now?

- Evelyn's family
is gonna take her home

to receive hospice care
until she dies.

- I wasn't trying to prove
you wrong today,

if that's what
you're thinking.

- Will, I never thought of you
as a spiteful person.

But we all have a tendency
to put blinders on

when we're confronted
with things

that we don't wanna hear.

♪

- [indistinct chatter]

♪

- That's why we thought
it would be better

for you go live
with another family.

- Since she can't always
take you to the doctor

when you need it.

She doesn't want you
to get sick again, Auggie.

- I know it's scary going
to live somewhere new.

- I'm not scared.

I know why she doesn't
want me.

- Oh, sweetie, it's not
that she doesn't want you.

She just--
- No one wants a sick kid.

♪

- Max, I know Joy wants
to be discharged,

but this meal plan she's on,
is she adhering to it?

- Yeah.

- Because her tests results

and what she's saying,
they don't add up.

Max...

- Okay, um...

I have an idea of
what's going on.

Sometimes I wake up
in the middle of the night,

and I hear Joy downstairs
in the kitchen.

And in the morning,
there's food missing

from the fridge
and the pantry.

- Have you ever talked to her
about it?

- No, I'm guessing
she's real self-conscious.

That's why she does it
after I'm asleep.

- Yeah.

Sounds like she may have
a binge-eating disorder.

I like to bring in psychiatry
to come speak with her.

- No.

I know her, and an ambush
will just humiliate her.

- This has to be dealt
with now.

If she overloads on protein
again, it could kill her.

- God.
- Tell you what.

I'll let you speak
with Joy first.

Come on.

♪

- I can't do this.

Joy doesn't binge in
the middle of the night.

I've been slipping protein
powder in her green smoothies.

- Why?

- I read protein powder
can make you gain weight

by increasing
your overall caloric--

- Why were you trying
to make Joy gain weight?

- I wasn't trying
to make her gain weight,

I was trying to keep her
from losing weight.

I know it sounds insane.
- And criminal.

- I wasn't gonna do it forever.

Just long enough for--
for her to get discouraged

and stop dieting.

And I never meant to hurt her.

I was scared that
if Joy lost weight,

she'd leave me.

[tense music]

- You need to tell Joy
the truth or I will.

♪

- [chuckles]

- So Alice and I were talking,
Doc,

and while we really
would like

to name our son
in your honor....

- Oh!

- We're just not sure
about Crockett.

[laughter]

- It is a statement.
That's for sure.

- I don't suppose
you have a middle name

that's a little more...

- [groans]
- Nick? Nick?

Honey, what's wrong?

- Okay, take slow,
deep breaths.

Nice and easy, okay?

Nick, bud?
Talk to me.

Let's get a mask on him.

- [wheezing]

- Let's go.
Come on.

Drop it.

- Heart rate's 133.
BP's 77.

- Nick, Nick.
I need you to breathe.

Hey, Nick?
- He's in VFib!

- Nick, honey, wake up.
- Nick!

No pulse.
All right, let's go.

Bag him.
Milligram of epi.

Let's go.
Come on.

Paddles and charge to 200.

- Oh, my God!
[paddles whirr]

- Nick?

- Charged.
Clear.

- Let's go.
Come on.

♪

Another round of epi.
Let's go.

Charge 200.
- Charged.

Clear!

♪

- Nick?
Nick, can you hear me?

- I am right here, honey.

Nick.

- Epi and charge.
Let's go.

- Clear.

♪

- You'll be fine.

- He's asystole.

- No...

Come on!

♪

- No.

No.
No.

♪

No.
No.

No.

- Time of death,
16:54.

- [sobs]

No!

[somber music]

♪

.

- Thank you so much,
Ms. Gastern.

Bye-bye.

DCFS is going to start looking

for a new foster placement
for Auggie tomorrow.

- What about tonight?

- Well, I got him a bed
on the peds floor.

And since Earl is back
for night shift,

he promised that
he would try to check in

on Auggie upstairs.

[cell phone vibrates]
- That's good.

Taxi's here.
We should...

- Right.

♪

Baby.

Just, uh...
- Yeah.

Okay.

I'll call the airline
and the hotel, reschedule.

And we'll spend the night
with Auggie.

- You know how amazing you are?

- Mmm.
[chuckles]

You're pretty amazing
yourself, Mr. Ben Campbell.

- I'm a lucky man.

- Go ahead,
and yes, you are.

♪

- Oh, thank you.
- Joy.

You should know what Max did
was a form of assault.

And I can call CPD, and you can
press charges against him.

- No, no, you don't have
to call them.

I'm not pressing charges.

- Joy, he lied to you,
betrayed your trust.

You don't have to act
like nothing happened.

- No, I know what Max did
was so messed up,

but we talked it out.

You know, and he was acting

from a place of fear
and insecurity, and...

you know, Max is a good person.

Okay, I know his heart.

♪

Can I just go?

♪

- Take care.

♪

- Unbelievable.

- If it were me,
I'd be furious.

- Anyone would.
- Really?

- Of course.
- Then why aren't you?

- What?
- Ethan, I lied to you.

- Oh, God.
April...

- I betrayed your trust.

- Look, what do you want me
to say?

That I can't believe you kissed
someone else?

Someone we work with?

You want to know how crazy it
makes me

that I have to see that
son of a bitch every day?

Is this what you want to hear?
- Yeah, I do.

I want to know what
you're feeling.

- Why?
Why couldn't you just tell me?

Why did it take physically
harming yourself to come clean?

Are you in love with him?

- What?
No!

Of course not.

It was just
a meaningless attraction.

- Well, if it's
so meaningless,

why are we even
talking about it?

- Because I--

you deserve to know everything.

Ethan, I love you.

I made a mistake.

That day, when I found out
I couldn't have children--

- You pushed me away and ran
into another man's arms.

♪

- Hey.

- You called it.

Played out just like
you said it would.

- You don't know
what killed Nick.

- He was tachycardic,
hypotensive, and desatting.

Classic trifecta.
Had to be a PE.

- If that's the case, then
the clot could have been there

prior to the surgery.

I mean, Nick had pretty much
been bedridden for months.

- Surgery caused it.
End of story.

- You don't know that.

- You know...

if I hadn't put that surgery
on the table,

chances are
he'd still be alive.

♪

- Crockett.

♪

Sometimes in the ED,
we get tunnel vision.

All we can see is the patient
in front of us.

But Nick could see past that,
beyond his own benefit,

and I think you did too.

♪

You know, with new surgery,
the more you do it,

the better you'll get,
the more lives you'll save.

And maybe you couldn't save
Nick's,

but maybe someday,
you'll save his son's.

♪

- Hey!

We still on for The Green Mill,
Crockett?

The next set starts in an hour.

- Yeah, of course, darling.

Okay.
Good night, Dr. Manning.

- Night.

♪

[chuckles]

♪

- [clears throat]

- Hey, Mom, you look nice.

- [chuckles]
Thank you.

- What's Dad doing here?
- I invited him.

- It's good to see you, son.

- If he's staying,
I'm leaving.

- Sit down.

Now this Cold War you've
got going with your father

ends tonight.

- After what he did to you?
Forget it.

- You don't know
the full story.

- What are you talking about?

- Look...

I thought I was protecting you
and David and Tara

by not talking to you
about the divorce.

But it was painful.

- Yeah,
and Dad caused that pain.

- Son, the end
of any relationship,

especially one with
a 35-year history,

is complicated.

But the bottom line, Michael,

is you can spend
your whole life looking back

and pointing fingers,

or you could choose
to move forward.

I--I don't know what's
to come of your father and me,

but it's time for this family
to start healing.

You need your father,

and your father needs you.

♪

Let's start by having dinner.

♪

- You wanna come up?

I cleared out
my liquor cabinet,

but I do have a pretty stellar
tea collection.

But you know, if tea
is not your thing,

I can make a gin and tonic,
sans the gin.

- No, it's not...

I want to come up.
I do.

I just wonder
if that's a good idea.

- Okay.

- You may be surprised
to hear this,

but there's actually very
little neurochemical difference

between drug addiction--

- And romance addiction?

And should something go wrong
inside the relationship,

it increases the chances
of relapse.

- Yeah.

- I've been going
to the meetings, Will.

This stuff's been drilled
into my head.

♪

- So, um, what do we do?

♪

- Let's go up and discuss it.

♪

[dramatic music]

♪

[wolf howls]

[jingle]