All language subtitles for S05E13 Pain Is for the Living

You have to work out whatever
feelings you're having

about Dr. Marcel.

Fast.

Give me a Narcan inhaler.

You overdosed, but you're
gonna be all right.

You're letting this get
way too personal, Will.

It's never a good idea.

For God's sake, isn't it personal?

You lost a brother to drugs.

Enough!

I met you this morning.

I'm gonna try to turn things around.

Good.

Hey.

Hi.

I love you.

- Easy.
- Oh, God, sorry.

It's only me.

I wasn't expecting that.

Hey, I know work's not the
place for ambush affection,

but I couldn't help myself.

I won't hold it against you.

What's up?

I haven't seen a smile this
big since Navy beat Army.

Just thinking about being a dad.

Birthday parties, coaching teams.

It's a decade down the road.
We are three weeks into IVF.

You know what they say.

"You blink and the kids are grown."

- Hey.
- What up?

Pelicans covered the spread.

How many rings do the Pelicans have?

Go Bulls.

Yeah, we'll see.

I'm a horrible person, aren't I?

No, you're human.

What can I do to help?

You got a time machine?

- Hey, you.
- Hey.

Date last night. Spill it.

It was nice.

He was polite, handsome,
smart, but I don't think so.

Huh, well, polite, smart, and handsome.

- Sounds awful.
- All right.

The real reason, he's
a psych professor.

I mean, the way he looked at
me, I just couldn't shake

the feeling that I was being analyzed.

This is the fourth first date

without even considering a second.

Well, I'm glad you're counting, Mom.

It doesn't matter

because none of those guys
were gonna work out anyways.

Wow. ESP.

Say,

do you know when the Saints are
gonna win another Super Bowl?

All right, well,

let me know if you get another vision.

All I'm saying is the right
second date is out there

and I'll know it when I meet him.

Help, please! My son!

I got him. Where am I going?

- Trauma 1.
- Help my husband and son!

Help, help, help, help, help!

Help him. I-I didn't know what to do.

Ow, ow!

Bruising on his neck.
Protect it and bag him.

Hold C-spine. What's his name?

- Jamie.
- Jamie?

Hey, Jamie, can you hear me?
Okay, okay, take it easy.

You're okay. Take it easy.

- What happened?
- It was an accident.

Um, I choked him out.

I had to.

- Synced and corrected by martythecrazy -
- www.addic7ed.com -

It all happened so fast.

I didn't realize. I
just wanted it to stop.

Jamie was screaming,
Dylan was crying, and...

Gordon.

I want you to take a deep breath, okay?

Take a deep breath.

All right.

Have a seat. Sit down.

Okay.

And, um...

I, uh, I just want you to tell me...

Tell me what happened.

Okay.

So I was driving,

talking with Bella, my wife.

The, um, the boys were in the back.

Jamie was playing with his iPad.

Dylan grabbed it from him,
but wouldn't give it back.

Jamie can't control his anger.

He started punching Dylan,

got out of his seat belt,
got on top of him.

He kept pounding.

Bella couldn't pull him off.

I could hear Jamie's fists
cracking against Dylan's face.

He was screaming for
help, so I pulled over.

Just threw myself on top of Jamie.

I wrapped my arms around him

and held him as tight as I could.

When he gets like this, the bear hugs

are the only thing that bring him back.

- Bring him back?
- From his dark place.

Uh-huh. Okay.

Will you, um,

will you excuse me for
a moment, Gordon?

We're gonna take care of
you little, man, okay?

All right.

Ordered a CT.

But I'm almost positive

there's a bilateral mandible fracture.

Gonna need surgery to wire it shut.

Man, Ethan. Kid's only six years old.

Jamie?

He's stable but tormented.
Dad choked him out.

Probably so he couldn't
defend his little brother.

Sometimes I hate the ED.

Jamie, how are you doing?
I'm Dr. Charles.

Um, would you mind if I
looked at your hands?

Fifth metacarpal is
broken on each hand.

That's really gotta hurt.

Um, look, we're gonna get
you completely fixed up.

Okay? It was nice to meet you.

This is not child abuse.

Thanks, man.

You know, one of the volunteers works

at a rehab center.

If you'd like, she can tell
you about their program.

Yeah. Sure.

Maybe another time.

If you change your mind, we're here.

- Will.
- Yeah?

You have been here for hours.
Go home, get some rest.

Yeah, I could use some sleep
before I start my shift.

Ah, damn it. It starts in a half hour.

Uh, okay. All right.

That woman over there,
her name's Susan.

When she comes down,
she's gonna be hungry.

- I stashed some protein bars...
- I know, I saw.

The electrolyte drinks too.
Get to work.

I'll be back later, you call me

if you need anything.

That's the cry, that one.

It's not "I'm hungry" or "I'm tired."

It's new.

Okay. I know, I know, Axel.

You're in pain and my touching
you is only making it worse.

Any changes in his sleep pattern?

No. Every baby book I read said

put your child on a
schedule and stick to it.

Been there. My son's almost four.

I know, I know. Almost finished.

Okay. What about diet?

I had to start using formula.

Just not enough hours in the day

to pump, work, nurse,
do laundry, pump again.

Single mom? Yeah, me too.

- Dad still in the picture?
- No, but I'm okay with it.

Well, I'm not seeing anything
out of the ordinary.

I mean, the switch from
breast milk to formula

could be upsetting Axel's stomach.

Have you noticed any
diarrhea since the change?

Here and there.

But this cry has been
consistent for the last month.

I'll test for allergies,
but infants and crying...

Don't say colic.

I've been to three pediatricians.

They all diagnosed colic
and sent me home.

No. Something else is going on.

Run tests, X-rays, scans.
Just please, figure it out.

Okay, well, why don't we start

with some basic labs and go from there?

Is that okay?

Sure. Thank you.

I'll send a nurse in to get started.

Thank you.

Hey, Jamie, you hungry? Thirsty?

I know your casts are bulky.
I can help you.

I'll leave the tray right
here just in case.

Hi. Nice to meet you.

They're talking about me.

About what I did to my little brother.

I didn't mean to hurt him.

I'm so sorry.

It's okay. Okay, okay.

Well, after two miscarriages
and five failed IVF attempts,

we'd had enough heartbreak.

We adopted Jamie when
he was a few days old.

Best day of our lives.

Do you know anything
about his birth parents?

Nothing really. Mom was
young, in foster care.

We don't know anything about dad.

Well, Jamie's 11 now,

so how old was he when he
first started acting out?

As an infant, he didn't
like being held.

- Was always fidgety.
- Hmm, how about as a toddler?

Sitting still, taking turns,
following directions,

they were all a challenge.

When did Jamie's behavior
start becoming aggressive?

Elementary school.

Fights with classmates and teachers.

We're homeschooling now.

And your other son, Dylan,
is he adopted as well?

- Yeah.
- Mm-hmm.

It was initially Jamie's idea.
He wanted to be a big brother.

And in the beginning, Dylan's
presence seemed to calm Jamie.

He would push his stroller,
feed him his bottle,

let him climb all over him.

They are so... were so close.

I'm assuming that
Jamie's been evaluated

by a psychiatrist.

Several.

They all just head to the diagnosis.

Intermittent explosive disorder,

comorbid ADHD,

disruptive mood dysregulation disorder.

Tell me, what meds is he on right now?

Risperidone, valproic acid,
lithium, Adderall, Tenex.

They all work for a bit, but then...

He always ends up in his dark place.

Yeah.

Mr. and Mrs. Shaw,
Dylan's out of surgery.

I'll take you to recovery.

Look, what I'd like to do

is admit Jamie for a five day hold.

That'll give us a chance
to assess the situation

and come up with some
treatment options for you.

Anything. Please, just help him.

Yeah.

Shh. He's out.

Cried himself to sleep.
What'd the tests say?

The labs were normal.

But the babygram revealed
a mild bowel distention.

There are no obstructions.

However, the stool in
Axel's diaper was watery.

That suggests a GI issue.

Okay. What do you do for that?

Endoscopy.

So under a general anesthesia,

a surgeon will guide a
camera down Axel's throat

into his GI tract to
search for abnormalities.

And if necessary, we'll
do a colonoscopy as well.

Mm. Can I be there?

I wouldn't recommend that.

I mean, seeing the scope inside
Axel, it might be upsetting.

- No, I really wanna be there.
- Are you sure?

Because I can't overstate
how distressing

this procedure can be
for a parent to watch.

I mean, seeing your child on
the table, unconscious...

I'll be okay.

All right.

Techs will be by shortly
to bring up Axel.

I'll be there as well.

- Signed.
- Thank you.

Hey, Doris.

Julia, the mom in Treatment
III, did you get a read?

I like her.

I wish all parents would
handle the ED that smoothly.

You don't think she's too composed?

I mean, her son is clearly in distress

and she hasn't even broken a sweat.

Oh, there's that Manning ESP again.

Okay.

She asked me to run more tests
on her baby than necessary,

and now she wants to be front
row when he gets scoped.

You don't think that's a little odd?

Uh, if you say so.

Call Dr. Frisch.

I wanna put Axel on today's
schedule for an endoscopy.

She's busy. Omphalocele repair.

Gonna be locked away all day.

But I'm free to take care of
it right now if you'd like.

Okay. Thanks.

Meet you upstairs. Nurse Doris.

- Thank you.
- Sure.

- Nurse April.
- Dr. Marcel.

Okay, stomach and
esophagus appear normal.

Let's reset for a colonoscopy.

Julia, are you okay?

You don't have to keep
watching, you know.

No, I'm okay.

It's just I have a
scrape on my stomach.

I forgot to change the bandage

and it's beginning to slide around.

Why don't I have a nurse
change that out for you

when we're back in the ED?

Oh, okay. Yeah.

- Thanks.
- Yeah.

Somehow I keep scraping
myself right there.

I don't know how. Mom brain, I guess.

Ooh, ooh. Right there.

Okay. Sharp or dull pain, Chloe?

I think both. Is that even possible?

Unfortunately.

How long have you been feeling off?

I don't know. A couple weeks?

Three months. She downplays everything.

We just got married.

I figured the pain was
just nervous energy,

but the wedding's behind us
now and I still feel "blah."

Any constipation? Bloating?

She hasn't pooped in a week.

So Chloe, I'm gonna need
to take a closer look

to see what's going on.

We'll get some X-rays,
a pelvic and a rectal.

Just keeping the sexy
flowing, aren't I?

Till death do us part.

Well, a nurse will come
in and get things going.

Congratulations, Mr. and Mrs. James.

- Crockett.
- Yeah?

Perfect timing.

Single vehicle accident landing now.

Massive trauma. I'll
have Baghdad ready.

Got it.

- What do you got?
- Lucy Seaver, 20.

GCS 3. Intubated in the field.

Bilateral femur fractures
and traction splints.

SATS 100% on oxygen.

Okay, Lucy, don't be afraid.
You're in the ED.

We're gonna take good care of you.

Parents should be here any second.

They were on the scene.

They were in the car behind Lucy.

- They saw the crash?
- And the aftermath.

Lucy's car was so mangled,
it took us 20 minutes

to extricate her and
get her in the ambo.

Okay, all right. Here we go.

On my count. One, two, three.

All right.

Good breath sounds bilaterally.

- Belly's hard as a rock.
- BP's 70s.

Two of plasma, two of
blood on the transfuser.

Trigger the MTP. Let's FAST her.

Ton of soft tissue damage.
Glass everywhere.

All right, no, scrap the X-ray.
No time.

Give me that wand.

FAST is positive.

Yeah, I gotta get into her belly.

All right, let's go. Let's
open up the Hybrid OR!

- All right.
- Oh, my God.

- Get her prepped, all right?
- Lucy!

Let's get her on the move. All right.

Mr. and Mrs. Seaver, if you will.

Your daughter's been seriously injured.

She needs immediate surgery
to control internal bleeding.

It's fixable? She's gonna live?

We will do everything we can.

Huh.

So, uh, so what is your favorite sport?

Football, I guess.

- Bears fan?
- My dad likes them.

- I like the Chiefs.
- Oh, really?

- Oh, how'd that happen?
- The quarterback.

I saw a video of him throw
the ball out of the stadium.

- That was cool.
- I saw that clip too.

And you're right. It was cool.

You know, I was wondering if
we could talk a bit about...

about what happens.

You know, about how it feels
when you start to get upset.

I don't know. Kind of...

It's fuzzy.

Fuzzy. So kind of like,
um, like a dream?

I guess.

And... and when it happens,
I mean, what does it, uh,

what does it feel like?

I mean, like, you know, in here?

I mean, do you feel
anything in your body?

Feels like I'm gonna explode.

Wow.

I'm sorry. That must be really scary.

Do you want to take a little break?

I want this off. It's sticking to me.

- I can't stand it.
- Okay, okay.

Don't touch me! Don't touch me!

I hate you! I hate you!

Let go! Stop it!

Go away! Stop it!

- Go away!
- Two of Haldol!

Go away! Stop it, no!

No, I don't want meds! Stop!

Stop it, no! Stop! No!

I don't want meds, stop! Stop it!

I wish I could tell you exactly
what happened in there,

what triggered Jamie,
but honestly, I can't.

I have reviewed his medical records,

I've spoken with several
of his doctors,

and what is clear to me is
that your son is struggling

with multiple impulse control
and mood regulation disorders.

So what do we do? We
just want to help him.

Well, it's the hospital's
recommendation

that Jamie be admitted to
a residential facility

where he can receive
sustained clinical care

as well as supportive therapy.

- A residential facility?
- Mm-hmm.

Yeah. Mrs. Shaw, Jamie is 11.

Puberty is fast approaching.

And that surge of hormones

is just gonna undoubtedly
exacerbate his conditions.

It'll just make him more
difficult to treat in general.

You know, find the
right balance of meds.

And a specialized setting
like this will have

the behavioral resources
Jamie needs for the future.

And it'll be a safe place
for him right now.

- Anything for our son.
- All right.

I'll take care of all the arrangements.

Okay. Looking good.

Four tears in the small
bowel mesentery tied off.

Liver's packed and hemostatic.

Pressure's no good.

We maxed out on pressors?

Yeah, and I've given ten units of blood

and ten of plasma.

- She's still bleeding somewhere.
- I don't...

Hematoma on the pelvis.

Bigger than my first look and growing.

Gotta assume the pelvis is
shattered and bleeding.

Okay, team, new deal.
Preperitoneal packs.

Let's go.

Hey, Chloe. How you feeling?

Like a stuffed turkey.

X-rays show your bowel is FOS.

- Full of...
- Stool.

The pelvic suggests your
uterus is enlarged.

So I suspect a fibroid is
sitting on the uterus,

putting pressure on the rectum.

You were right.

The last few weeks, she
was scouring the web

with her symptoms, and
fibroid fit the bill.

Yeah, we're trying to have a baby.

Internet says fibroids hinder
the ability to conceive.

Not all fibroids are created equal.

Hey, I'm gonna order
a pelvic ultrasound

and a gyne consult.

I'll check back soon. And
no more Googling, okay?

Doctor's orders.

How's it going with your six-month-old?

Dead end.

Nothing's jumping out
in any of the labs

and the endoscopy and
colonoscopy report.

I'm starting to wonder
if it's really baby Axel

who's the one that's sick.

What do you mean?

The mom, she's just... She's
got this air about her,

this nonchalance that screams,

"Yeah, my baby's in the ED,
but it's just another day."

Well, it wouldn't be the
first time we see a parent

pretend their child was
sick to get attention.

Yeah, unfortunately.

- Have you seen Dr. Charles?
- He's upstairs.

- I'll page him for you.
- Thanks.

Yeah.

Dr. Manning, it's Julia.

There's something you need to see.

You know, I had my appendix taken out

when I was in 10th grade.

All right. Well, let's take a look.

Oh, my God. This is a fistula.

Basically a tunnel between your
small bowel and your skin.

The green fluid is leaking
from your intestines.

- Seriously?
- Mm-hmm.

I've been getting these
scrapes for years.

They heal up.

It's been my intestines oozing out?

The tissue sample taken
during Axel's endoscopy,

I'd like it biopsied.

Biopsy? You're testing for cancer?

No. Something new.

And now I'm thinking you
may have it as well.

The test that I ran on your son,

I'd like to run on you as well.

Okay.

All right. Pelvis is packed.

Bleeding's under control.

Call ICU and tell them
Lucy's coming up to rewarm.

Something's wrong. Pressure's
still in the toilet.

- 74 over 38, falling.
- What?

- She's peri-arrest.
- She's still bleeding?

The abdomen is dry.
Pelvis is contained.

I mean, we're hemostatic, Marty.

She's bradying down.

- No pulse.
- Come on.

Milligram of EPI.

EPI's in. Pulse check?

Go.

Still nothing.

Come on, Lucy.

Hold compressions.

What have you got?

- Asystole.
- Come on.

Come on, Lucy. Come on.

Damn it.

Time of death, 16:17.

Okay, everyone, clear the room, please.

I'd like a moment alone
with my patient.

What's going on?

There's room for Jamie at Meyerbrook,

which is the only residential facility

capable of handling his needs.

Unfortunately, neither
his private insurance

nor state Medicaid is
gonna cover the cost.

What about an individual
care grant from the state?

I already looked into it. It's no help.

Yeah, the grant's so underfunded,

it wouldn't come close
to what's needed.

So what's plan B?

Well, you know, I'm
gonna just try and use

the five-day hold to normalize
his meds as best I can.

And I do know a brilliant
guy who specializes

in these kind of disorders
I want to refer him to.

An outpatient service?

Jamie pummeled Dylan over an iPad.

The kid's jaw's wired shut.
He's only six years old.

He's going to invade his
brother's space again.

And when that happens, and
Jamie loses his temper,

I'm worried he could kill Dylan.

I don't like it either, Ethan,

but I mean, you know, I can't
hold him here forever.

I get it, but we have an
obligation to protect Dylan.

And he needs our help
just as much as Jamie.

Dr. Halstead, the gyne
attending on-call

came down a few minutes ago.

- She's with Chloe right now.
- Great, thanks.

If you feel comfortable with that.

Yeah.

Dr. Hannah Asher, gynecology.

- Will Halstead.
- It's nice to meet you.

Yeah. Likewise.

I was just explaining
to Chloe and David

that I reviewed her pelvic ultrasound.

Considering the location
and size of the fibroid,

I believe removing it surgically

is the best course of treatment.

A myomectomy? By who, when?

Me. Today.

Chloe, David, you should know
this surgery can be risky.

Yes, I've explained the pros
and cons, Dr. Halstead.

Was clear that while
this is a big operation,

it's also a common one.

Nevertheless, complications could rise.

So I would suggest
non-surgical options.

Hormone therapy will
shrink the fibroid.

Well, that's what Dr. Asher said.

But to ensure that it
doesn't grow back,

Chloe would have to go on the pill.

We're anxious to start a family.

The pill takes that off the table.

In the short term, yes.
But not permanently.

Actually, it kind of does.

I'm 41, Dr. Halstead.

Our window for getting
pregnant is already closing.

If I choose hormones, I
might as well slam it shut.

We appreciate your passion, Dr.
Halstead.

But surgery is the best for us.

I'll get that started.

It was so nice meeting both of you.

Doctor.

Excuse me just a moment.

Doctor Asher? Doctor.

Hmm?

- You can't perform this surgery.
- Hmm?

I mean, you shouldn't even be working.

Look, thank you for your help
last week, but I'm better now.

I'm over that hump.

So heroin addiction is like a cold?

What, you just get over it?

What I saw at that injection site...

Was me having a bad day.

- A bad day?
- Mm-hmm.

You...

You OD'd.

For all I know, you're high right now.

Right.

But how many all-nighters
you pull over there

since I saw you last, huh?

Three? Four?

Maybe I should be the one
worried about your judgment.

Don't twist this.

I'm not an addict about to operate.

You step into that OR, you put
Chloe's life in jeopardy.

I would never risk the
well-being of a patient.

Not that it is any of your
business, I'm sober now.

I'd expect an addict to say that.

Chloe is in good hands with me.

Axel has Crohn's disease? But
he's only six months old.

Well, it's rare in children,
let alone infants,

but not unheard of.

Isn't Crohn's a diet thing?

I mean, Axel's barely
started on solids.

Well, diet aggravates Crohn's,

but it's not the cause.

Genetics is.

Crohn's tends to cluster in families.

Whoa, my test results...

Show that you have Crohn's as well.

The fistula is just
evidence of the severity.

This doesn't make sense.

If I've got Crohn's badly enough

to burn a hole in my skin,
shouldn't it bother me?

Well, fistulas themselves are painless,

but yes, a Crohn's
flare-up is excruciating.

You should be in pain. Agony.

Yeah, well, I don't feel a thing.

This is weirding you out, isn't it?

It's definitely unusual.

Or actually,

maybe it's... maybe it's rare.

Let me ask you a question.

What emotion are you feeling right now?

I'm not sure what you mean.

Well, I just told you that
you and your son have

an inflammatory bowel disease.

What are you feeling? Stress?

Anxiety? Fear?

Confusion, that's for sure.

You know, I'd like to
run one more test.

- Okay?
- Okay.

Okay.

Bea, it's taking too long.
Check with Dr. Asher.

Again? I've already gone in there
twice for you, Dr. Halstead.

Please, I'm treating Chloe in the ED.

I just want to make sure Dr. Asher's

got everything under control.

- Fine.
- Thank you.

Dr. Asher said, "Go away."

Nope, staying right here.

Hey, I got your page.

You have a new plan to help Jamie?

Yeah. Yep, I do.

So, Mr. and Mrs. Shaw,

I have given this a
tremendous amount of thought.

I've consulted with...
With numerous colleagues,

with social workers,

with our Executive Director
of Patient Services.

Jamie needs to be at the Meyerbrook

Residential Facility.

So the insurance companies,
they agreed to pay?

No.

Both your private insurance
and Medicaid won't budge.

Then I'm confused.

There is a way to force Medicaid

to cover Meyerbrook's cost in full.

It's called a psychiatric lockout.

But it will require you

to surrender Jamie to this hospital.

Surrender? I don't understand.

If you were to leave Jamie
here and refuse to come back,

Child Protective Services would
have to take custody of him.

Then, as a ward of the state,
legally, Illinois would have

to provide him with the mental
health services that he needs.

- Meyerbrook?
- This is insane.

- We're not doing this.
- So there's no other way?

I'm so sorry, but there just isn't.

We would absolutely find a way
for you to maintain contact

with Jamie, but you also need to know

that legally, you won't
have any say in his care.

We're still his parents.

This doesn't change that.
Nothing changes that.

No. No, no, no.

We're not abandoning our son.

Mrs. Shaw, you will not
be abandoning him.

This... this won't be forever.

Jamie needs us to do this.

When?

I cannot imagine how agonizing

this decision must be.

But the sooner Jamie starts to heal,

the sooner you all can look forward

to becoming a family again.

Bella.

It's to save him.

Everything is going to be okay.

Hey, buddy. It's gonna be okay, buddy.

Right now, it's the best thing.

You'll be better, and so
you're just gonna stay

with the doctors.

- You're okay, baby.
- No, no.

Please. I'll be better.

- I didn't mean to!
- It's okay.

Please, I want to go home.
I want to go home.

Please, Mom.

Dr. Marcel?

Lucy's parents are still
in the waiting room.

- You haven't told them...
- She should be alive.

Well, it's been over an hour.

They need to know that
their daughter has passed.

I won't speak to them until
I can explain how she died.

Why I couldn't save her.

Can you give me some light?

Right here.

Every other injury was either
a tear or a rip in the skin.

This one's a hole.

Something embedded inside.

More shrapnel from the windshield?

It doesn't really feel like glass.

Can you, uh, swing that
X-ray machine around?

Go ahead.

That's a bullet.

Lucy was shot?

Lucy was shot? How?

She was driving down the
highway alone in the car.

The steep angle of entry
shows that the bullet struck

from above and launched
into Lucy's pelvis.

It severed her external iliac artery.

- Shot from above?
- Yes.

Now, the police will run ballistics.

But they believe, and
science backs it up,

that someone, somewhere in the city,

fired a gun into the air.

And when that bullet came down,

it struck Lucy.

Someone. Somewhere.

And now our daughter is dead?

I'm so sorry.

The nurse will come to
take you to see Lucy.

Excuse me.

Hey, the additional blood work
you ordered on Axel's mom.

Oh, wow.

This whole time, my take
on Julia has been off.

Way off.

♪ We love fun ♪

♪ We're going out and having some ♪

♪ We love fun ♪

♪ You know we're gonna have a ton ♪

Never heard that song before.

"We Love Fun" by The Bouncing Souls.

I don't know any real lullabies.

Julia, all day, I've been
troubled by your demeanor

because you didn't seem
worried about Axel.

But now I know you
really aren't worried.

And I suspect you've never
felt anxious, depressed,

or even afraid your
entire life, have you?

No, not really.

Same goes for physical
pain, doesn't it?

Kind of feels like this is a
trick question or something.

No. Okay.

So when I had my son,
labor was a beast.

Intense pressure, cramps, spasms.

But you didn't feel
any of that, did you?

Nope.

Whole thing just kind of tingled.

But I've always had an
extremely high pain tolerance.

I know.

There's something wrong with me, right?

My friends have been saying it forever.

Wait, is there something wrong with me?

No.

No, but there is something
missing from you.

So we all have what's
called a FAAHP1 pseudogene.

Your preliminary blood work
shows that you have a rare

microdeletion which affects
your insensitivity to pain.

When I was a kid,

my dad would say everyone
else were wimps.

That we were a hardy breed,
that pain was just a word.

Well, microdeletion is a genetic thing.

So it's likely that your father
and other family members

have it as well.

Julia?

What's wrong?

I passed Axel the gene for Crohn's,

but not the one so he
won't be tortured by it.

And if I didn't know
when I hurt myself,

I wouldn't have known
when I hurt my son.

I probably made the bath too hot.

- Didn't dress him warm enough...
- Hey.

You knew it wasn't colic.

You knew to bring your son into the ED.

You may not feel everything he feels,

but you're his mother.

You'll always know what he needs.

Uh, keep going. Grab her husband.

I'll meet you in recovery.

Wonderful. You're still here.

- Is Chloe okay?
- Yeah, she's fine.

Operation was flawless.

This time.

How about you and I keep our
distance from one another?

Yeah, fine.

Just as soon as you
stop treating patients

and seek treatment for your addiction.

Screw you, Halstead.

In that case, I'm going
to submit a letter

to the hospital's Chief
Medical Officer.

And that decision will be made for you.

That's a stupid idea.

You out me, I out your own involvement

in a not-quite-legal injection site.

So if I go down, so do you.

So if you want to report me,

have at it, cowboy.

- Hey.
- Hey.

Heard you had a rough one today.

- You all right?
- Yeah.

The little boy and his mom.

Your, uh, ESP pan out?

Not even close.

- I'll see you tomorrow.
- Night.

Hey.

Today sucked.

Yes, it did.

We just don't have enough
psychiatric resources for kids.

And unfortunately, the Shaws won't be

the last family to face a lockout.

But Jamie will get the help he needs.

And that's a good thing.

Hey, buddy. Come on, let's go.

- Synced and corrected by martythecrazy -
- www.addic7ed.com -