All language subtitles for chicago med s06e09.For the Want of a Nail.eng

Dean Archer,

my senior medical officer in the Navy.

Why don't you shadow me
to get the lay of the land?

It's an ED. I think I know the lay.

There's one thing I need
to be clear about.

In this ED, I'm in charge.

The trial needs a chance
to prove the drug can work.

I can help you start sorting
through those files.

Thanks, April.

Wouldn't it be great if the
boys could grow up together?

They want to adopt Auggie.

See how happy he was today?

It's okay, baby.

He should be with his brother.

Auggie's gone, huh?

Mm-hmm.

Took off with the Carters this morning.

I'm heading over to the Med thrift shop

to donate the stuff he left behind.

Must be hard right now.

Mm, he's with his brother.
He's safe, he's happy.

When Ben and I took him in,
that's all we wanted for him.

And you'll stay in contact?

Yeah, we're talking
about heading out to California

to see him this summer.

It'll be here before you know it.

Yeah.

- Morning, Dr. Manning.
- Morning, Dr. Marcel.

How's your mom recuperating?
Any problems with the LVAD?

- She's feeling great.
- Good.

She wanted me to express her gratitude.

Oh, well, you know,
I hear it's important

to impress the mom
when squiring the daughter.

Mm.

I so wanna make out with you right now.

Oh.

But not here.

Perhaps some other time, then, my lady.

Mm.

Hey, Will.

Do you have any updates
on the clinical trial?

I have some free time now.

Well, last few days I've just
been combing through data.

Kind of a one-person job.

Maybe I can search
the recent patient files?

See if any of them are good candidates?

Sure. That'd be great.

Okay.

Ramona Davis, 30 years old,
BP 122 over 80,

HR 115, sats 100%.

- Ramona, what happened?
- My foot... it's excruciating.

Mm-hmm.

Dispatch told us she called 911

after shooting herself
in the foot with a nail gun.

How'd you get that gash on your head?

She was passed out when we found her.

Yeah. 'Cause it hurts like hell.

Okay, well, we're gonna
take good care of you

and then give you something
for the pain.

One, two, three.

All right. Thanks, guys.

Breath sounds bilaterally.

Ramona, can you move your head
up and down, side to side?

Good, C-spine's clear.

Let's get a head CT on the books.

Wait a minute. Where am I?

You're at the hospital, Ramona.

You had an accident.

No, no, no, no. Which... which hospital?

Chicago Med.

I was supposed to go to East Mercy.

Don't worry.

We're gonna take good care of you here.

Need to get that shoe off
to get an X-ray.

No, don't, don't, don't.

Ramona, we're just trying to figure out

- the best way to get this...
- No, I said don't touch it!

No doctor at Chicago Med is treating me!

- Okay, ma'am, please...
- No!

- All right.
- All right.

I need restraints!

It's okay, it's okay.

Settle down.

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for www.addic7ed.com

I was nailing down some lattice.

I... I... I thought I was aiming
the nail gun at the ground.

I shot myself; it was stupid.
Can I go now?

Yeah, but you told us that
you fell and hit your head?

To knock yourself out,

you gotta assume that's gonna
be a pretty serious bump.

But I'm sure they can
figure it out at East Mercy.

So you want to go
to East Mercy 'cause you think

that you're gonna get
better treatment there?

Yeah. They don't tie you to your bed.

Huh.

Well, if you think that
you can calm down a little bit,

I don't see why we can't take those off.

How does that sound?

Okay.

Great...

Great.

Can you send me to East Mercy now?

Ramona, we are required
to make sure you're stable

before we transfer you.

There's a nail in my foot.
It is not going to kill me.

No, but let us do a CT, okay?

Make sure there's no serious
injury from your fall.

And then we'll send you on your way.

If that's what it takes, okay, okay.

I'll let radiology know.

But no one touches the nail.

Ah, thank you.

Hey, care for a cup?

Poured me an extra one by mistake.

Thanks, but I'm trying to kick caffeine.

Ah. More for me, then.

- Doing scheduling, huh?
- Yeah.

More 12-hour shifts.

I liked to stick to eight-hour shifts

back when I was running Milbrook.

Keeps the troops fresh.

Yeah, we tried that.

But I found this is better
for patient care.

- Less handovers.
- Mm-hmm.

Well, sure.

As long as you don't burn
your team out in the process.

- Well.
- Huh?

Specifically if they're not
drinking caffeine.

Hey, I've been meaning to ask you.

How you adjusting so far?

It's a good fit.

And, uh, you and me?

I'm good, I'm good
with the chain of command.

Dr. Choi,

I could use another set of eyes.

I just sent you the deets.

Yeah, sure.

We should grab a drink after work, hmm?

All right, Cap'n.

Mr. and Mrs. Campos?

- Hi, I'm Dr. Choi.
- Ah.

Louisa, please. And this is Hector.

I hear you're having
some trouble breathing.

Patient's reported a fever

that spikes up and down erratically.

Sustained period of shortness of breath.

Looks like your ears are swollen.

- Does it hurt when I touch it?
- It's pretty itchy, too.

Yeah, okay.

Can you tell me when was

the first time you started feeling sick?

About three days ago.

He works at a meatpacking
plant out in Cicero.

They've had a bunch of
COVID outbreaks in the past.

I was worried that there might
be another.

I'm just... I'm so relieved that
that test came out negative.

That's a good start.

We're supposed to see our
granddaughter in two weeks.

She's turning one.

We still haven't met her
due to social distancing.

Sure.

His lungs sound congested.

- How are his sats?
- 89 and trending lower.

All right, let's up him
to high-flow cannula.

Okay.

What do you think this might be?

Hard to say.
Perhaps some kind of pneumonia.

But let's grab a chest X-ray
and a CT to rule out PE.

Also a CBC, BMP, blood
and urine cultures as well.

Roger.

We'll figure out
what's causing this, okay?

- Excuse me.
- Thank you.

And this here is a subdural
hematoma with mass effect.

So what?

Ramona, you have a bleed in your brain

from where you hit your head.

- Not gonna stop on its own.
- It requires a craniotomy.

It's a pretty significant surgery.

We had a deal.

I get the scan that you wanted,

you let me go to the hospital
of my choice.

If we don't treat this soon,
you will die.

So let me go treat it.

Ramona, could you give us a second?

Dr. Halstead?

Okay, what is with her and East Mercy?

I have no idea, but I think
we gotta let her go.

Wait a minute. What?

This bleed in her brain
is a ticking time bomb.

Which is why we have to do it right now.

I mean, she's clearly not
gonna change her mind,

so the sooner we get her over there,

the sooner she gets
the treatment she needs.

I'll arrange the transfer.

I'll set up the ambo

and forward her scans
over to East Mercy.

Natalie?

Darby.

Hi, I haven't seen you
in, like, forever.

Yeah. It's been over a year now.

Wow.

Our kids go to preschool together.

- Ah.
- How's Owen been doing?

He's driving his grandmother crazy.

- How's Sebastian?
- Driving me crazy.

I forgot you worked here.
I would've asked to see you.

You're in good hands
with Dr. Archer here.

If you don't mind me asking,
what brought you in today?

A pain you would not believe.

Like someone stabbing me with a harpoon.

Well, I don't see
anything here that's acute,

but I would like to send
you to get a CT scan

if you don't mind.

Should give us a clearer picture.

Sure. CT away.

Hopefully, we can get
the kids together soon.

Yeah, see ya.

Hey, Dean. About that ultrasound.

Mm-hmm?

So I'm not trying to step
on any toes, here.

Maybe you didn't want to say anything

in front of the patient,

but I was seeing some swelling
around the gallbladder.

Well, perhaps.

But the bile duct was still
normal-size in character,

there's no evidence of stones or fluid

around the gallbladder,

and only a mild amount of thickening.

But the gallbladder wall was inflamed

and it's not normal

and it could still be causing
her symptoms.

Why don't we wait for the CT scan

before jumping to any conclusions?

Okay?

- Um, excuse me.
- Mm-hmm?

Where can I put this for donation?

Leave it on the counter.

- Okay.
- Thanks.

This baby blanket, how much is it?

$5.

Oh. Too much.

Oh, here, and I'll keep this.
I've changed my mind.

Okay.

Hi, I, uh, couldn't help
but overhear over there.

It's big for a baby blanket,
but it's teddy bear-soft.

How much is it? I'm on a tight budget.

No, it's a gift.

- You mean it?
- Yeah, please.

- Thank you so much.
- My pleasure.

- I'm Maggie, by the way.
- Tionne.

- Is this your first?
- Mm-hmm.

You have kids?

I...

Tionne, you're bleeding.

- Oh, my God.
- I got you.

I'm a nurse over at Med
around the corner.

Get me an ambulance, please.

I can't afford a fancy
hospital like Chicago Med.

It won't be an issue, I promise you.

Just hold on to me, okay?
We'll figure it out.

Tionne stopped hemorrhaging
once we arrived.

How are you feeling otherwise?

Fine. Till today.

This will pinch.

All right, Tionne.

I wanna give you an exam, but first,

I wanna do an ultrasound
to see where your placenta is.

Did your doctor tell you
your placenta's low?

No, I don't got a doctor.
I have no insurance.

All right.

Well, I'm gonna press this down
on your belly

and take a look, okay?

All right.

Now let's look.

Okay.

Well, your placenta is covering
your cervix.

Tionne, it's probably what
caused the bleeding.

- Is the baby okay?
- It appears so, yes.

But I'm gonna take a look inside now

and see what's going on, okay?

Okay.

Thank you.

Tionne, you're bleeding heavily again.

We need to get you
to the operating room.

- The operating room?
- Yes.

You need surgery to deliver your baby.

And cut me open?

It's what's best for your baby, okay?

Tionne, is there anyone
that we can call?

Someone that should be here
with you right now?

Um, my mom's taking care
of my grandma Downstate.

She can't get here till tomorrow.

Can Maggie come with?

So someone's there for the baby
while I'm asleep?

You're gonna be fine, Tionne.

Okay.

This picture's showing
some bilateral infiltrates.

I'm confused.
Does he have pneumonia or not?

Certainly not full-blown
pneumonia at this point, no.

Did you see the tips
of his fingers and toes?

How blue they're getting?

The scan's showing he has a lot
of inflammation in his body.

It could be affecting his circulation.

If I don't make it through this,

give my cross to the baby.

Hector, don't talk like that.

Let's up his oxygen, get a mask on him.

Hey, Hector.

If I had to guess, you've got
some kind of infection,

so we're gonna start you

on some broad-spectrum antibiotics,

see what effect they have.

And in the meantime, we'll take
a closer look at your blood,

try to get our arms around
what's going on, okay?

It's okay.

Something's not adding up, Dr. Choi.

His symptoms say pneumonia for sure,

but he's not producing a steady cough

and his white count's totally normal.

And then there's that crazy ear thing?

I'm sorry to be a buttinsky,
but I love a tricky diagnosis.

- You mind if I take a look?
- Sure.

You think maybe it's
an HIV-related syndrome?

Let's test to definitively rule it out.

Also scan his legs.

See if there's any signs of DVT.

Well, you'd have seen them on the scan

if it was a pulmonary embolism, now.

Now, I think young Driskell
here is on to something.

His inflammation
of the ear cartilage, yeah?

Well, Dr. Choi thinks
it's most likely a rash

or a reaction to the infection.

Well, or it could be the key
to this whole thing.

You know, they say if you hear
hoofbeats, think horses.

But if I were you, Dr. Driskell,

I'd be on the lookout for zebras.

Maybe sarcoidosis
or peripheral vasculitis?

I'm gonna hold off on that, Dean.

Give the antibiotics a chance
to take effect.

Occam's razor and all.

I wanna check off all the boxes

before we go hunting for zebras.

That's certainly
a viable strategy as well.

Dr. Archer?

CT just sent over the scans
you requested for Treatment 4.

Ah, thank you, thank you.

And I apologize if I overstepped.

Okay. Could you hold on, please?

Dr. Charles, wait.

I am on the line with East Mercy.

There's a problem.

I'm not treating her.

Ramona Davis has been trouble
for a long time.

- Frequent flier?
- Yes.

Every two, three weeks
for the past year.

She shows up,
insists that only I treat her.

She's obsessed with me.

Last week, she came in.

She claimed she lost feeling
in her hands,

but it was clear she was making it up.

And was this the first time

it seemed like she was faking symptoms?

First time I called her on it.

She flipped out,
accused me of malpractice,

threatened to sue me, the hospital.

It got pretty intense.

You know, that might explain

why she showed up
with a nail in her foot.

I mean, if she had actually
made it over to you today,

there's no way you could say
she was making that up.

- Excuse me, Dr. Bridges.
- Look, I've gotta run.

I hope Ramona gets the help she needs,

but I can't be the one
to give it to her.

Completely get it.

Thank you for your time, Doctor.

I'll cancel the ambo.

So if you're right and she
injured herself with the nail,

then you can put her on a psych hold.

But even on a hold,
she could still refuse surgery.

Yeah, she still has
decisional capacity, right?

Okay.

But we gotta convince her
to stay and have the surgery.

Her life is at stake.

Dean,

Darby says you're discharging her?

I wrote her a script
for extra-strength Pepcid,

see how she fares.

You mind if I take a look at the CT?

See?

Nothing here tells a different
story than the ultrasound.

Still seems to me that
the gallbladder is infected.

Well, I disagree

and I'm just trying to spare
the patient an operation.

Well, what if it's
an operation that she needs?

Maybe a second opinion
from a surgeon is warranted?

Well, I also happen to be a
board-certified surgeon myself,

but thanks very much
for your input, Dr. Manning.

Excuse me.

What doctor refuses to treat a patient?

My dad is a doctor
and he went out of his way

to help anyone who needed it
no matter what.

You know, I can't speak for your father,

but I know plenty of doctors

who decide not to engage with patients,

you know, for a number of reasons.

Like what?

Well, for instance,
let's say if the doctor feels

that there's a lack of boundaries.

Boundaries between Dr. Bridges and me?

Listen, Dr. Bridges made it
very clear to me

it's important to him

that you get the medical care
that you need.

- He did?
- Yeah.

Well, I, um...

I-I do know that doctors won't
operate on their loved ones.

That's right.

It's considered an ethical issue

if a doctor is too close
to their patient.

Of course.

Dr. Bridges has feelings for me.

It all makes sense now.

In any case, how about
we get you into surgery?

- Okay.
- Great.

Is there anybody that you would
like me to call, or...

But could you call Dr. Bridges

and let him know
that I'm getting the operation?

Be happy to do that for you.

Oh, and how about I tell the surgeons

to take that nail out of
your foot while they're at it?

What do you say?

Okay.

Great.

Okay. I'll be back in a bit.

Ultrasound for Mr. Campos came up clean.

There's no evidence of DVT.

Dr. Choi.

My Hector can't breathe!

Sats in the 70s.
Heart rate's dropping, too.

BP 97 over 68.

Hector? He's not protecting his airway.

We need to intubate.
20 of etomidate, 100 of sux.

He was all right a minute ago.

Oh, my God! Please don't let him die!

Why is this happening?

Baby's not coming.

I need to extend my hysterotomy.

When I saw now, Maggie,
give me fundal pressure.

Got it.

Now.

Okay. There we go.

- Suction.
- All righty.

- Okay, buddy.
- I got him.

Here we go.

There.

Heart rate is 140.

Gonna get ready to rotate.

Huh.

- Is that a dimple?
- Unfortunately, yes.

So your gallbladder appears
to be inflamed.

I suggest we remove it.
Better safe than sorry.

It's a relatively simple procedure.

I'll go in with an itty, bitty,
little scope

and just slide it right out of there.

You'll barely notice the scars.

- And this pain will go away?
- Possibly,

if the gallbladder is the issue.

Which I believe it is.

Okay, then.

I'm here already, so...

Let's do it.

Okay, we'll get you upstairs
in a jiff, all right?

- Thank you.
- You bet.

Doc.

Have them set up for
a laparoscopic cholecystectomy

pronto, would you?

- Yeah.
- Great.

Boy, boy, boy.

You two must be pretty pleased
with yourselves, aren't you?

Excuse me?

Yeah, the only way a patient
can get a second opinion

in the ED is
to ask for a doctor by name.

So?

So Darby's never even been
a patient here at Med.

There's no way she'd know who you were,

unless somebody slipped her your name.

Dean, I understand you're upset, okay?

No one likes to be disagreed with.

You went behind my back.

Regardless of how this played out, Dean,

I'm involved now and I happen to agree

- with Dr. Manning's diagnosis.
- Okay.

But you also happen to be in cahoots.

I'm sorry. Cahoots?

You guys are having an
intimate relationship, right?

Aren't you?

We are professional colleagues

and that is all that should concern you.

This morning,

I saw the way you two were
looking at each other.

- Okay, forget that guy.
- Mm-hmm.

- You okay?
- Yeah.

All right. I'm gonna head upstairs.

- You page me if you need me.
- Okay.

Just forwarded you a
new patient chart from Sunday.

Stage two heart failure.

Might be a good candidate for the trial.

All right. Let me take a look.

Sabeena, nice to see you.

I have a meeting upstairs.
Can I borrow you for a moment?

Sure.

Be right back.

Good news.

We're closing enrollment on the trial.

Turns out you're such
an effective recruiter,

we have more than enough data
to work with moving forward.

Well, that is good news.

Kender's CEO asked if you golf.

I do not golf, but give me
a week and I'll figure it out.

I expect nothing less from you.

This patient I sent you might
be perfect.

Virani just told me
we're closing admissions.

So you can stop looking for candidates,

but refer that one to cardiology.

Thanks anyway.

Bone marrow biopsy came back negative.

We CAT scanned his brain,
abdomen, and pelvis.

All totally normal.
No evidence of malignancy.

Maybe we should be looking
for autoimmune issues.

Perhaps, but his ANA is normal.

I mean, you can't rule out an
autoimmune disorder entirely.

But a tissue biopsy suggests
it's not sarcoidosis.

So in other words,
we still don't know anything?

You might wanna get
Infectious Disease on this.

Thanks, Doc.

Uh, Ethan.

If you don't mind,

I've been giving your case some thought.

And based on the symptoms that
your patient's been exhibiting,

I think he may have some
rare autoinflammatory syndrome.

It's called VEXAS.

VEXAS? Never heard of that.

It's a genetic mutation.

They've only diagnosed, like, 25 cases.

Symptoms include blood clots, fevers,

inflammation of the cartilage,
and lung tissue.

It would certainly explain

the crazy constellation of symptoms,

but I'm still not looking
for zebras yet.

I know, I'm sorry for getting
in your face over this.

But, uh,

I just don't want to be doing
to you what was done to me.

What are you talking about?

Uh, some doctor sticking his neck in,

questioning the care I'm giving.

Who?

I was just double doc'd
by Manning and Marcel.

They sent my patient up to surgery

against my medical advice.

- Okay.
- Yeah.

And they're secretly dating,

which, frankly, raises ethical concerns.

I didn't know.

But, um, plenty of doctors
have dated in the past.

I admit I have myself.

It's never really been an issue before.

Well, but you can see
how it would be, right?

Let's say they made a mistake
with this patient.

It could make them susceptible
to a malpractice suit.

And you've got to believe that
the hospital

would want cover
over something like that.

I hear you, Dean, but honestly,

I've got bigger issues
to deal with at the moment.

Well, it's your ship.

Here he is.

I'm Dr. Watkins, Tionne.
Meet your baby boy.

Oh, my God.

- He's so beautiful.
- Yes, he is.

I can't believe he's mine.

When can I take him home?

I wanna keep him under
observation for a few weeks

on account of how early he was.

You should also know
that he has a birth defect.

Spina bifida occulta.

What... what does that mean?

His vertebrae
didn't fully form in utero.

There are small gaps in
between the bones of his spine.

- Is he going to live?
- Oh, yes.

I know it sounds bad,

but I've seen many babies born
with spina bifida

who grow up to be just fine.

How did it happen?

It could've been a number of things.

Your genetics,

something about the environment
you were living in

during pregnancy, your nutrition.

Something I ate?

Or more like an insufficient
amount of folic acid.

That's a nutrient that's found
in vitamin B-rich foods.

- How was I supposed to know?
- Most women don't.

They find out from their doctor.

I can't believe I hurt my baby.

No. I promise you, Tionne.

I'm so sorry.

Please forgive me.

- How you feeling?
- I'm fine.

I don't see what the big deal was.

Did you talk to Dr. Bridges?

You know, I did.

Um, we were able to have
a nice, long talk this time.

And, you know,
he told me about your dad.

I was so sorry to hear
that he passed away last year.

What did he say about me?

Well, really, we
mostly talked about your dad,

you know, and how rough
that must've been on you.

I mean, I know how hard it was
on me when my dad died.

Yeah.

Yeah, it was terrible.

He...

- he was a wonderful man.
- Yeah.

And you know, Dr. Bridges said

that he was actually the one
who tried to save him, right?

And that's how...
that's how you met him.

I really don't want to talk about this.

Where is my stuff?

I want to call Dr. Bridges,
let him know I'm okay.

I totally get
that it makes you uncomfortable

to talk about Dr. Bridges and your dad.

- Really, I...
- Okay, okay.

I see where you're going with this.

My father and Dr. Bridges have
nothing to do with each other.

Dr. Bridges cares for me

so much so that
he wouldn't even treat me.

You said so yourself.

Well, no. You actually said that.

I just confirmed that it
would've been an ethical issue

if Dr. Bridges had feelings for you.

But wait... are you saying, Ramona,

that you don't feel like
your father cared for you?

I want to talk to Dr. Bridges right now.

Ramona, I'm so sorry, but...

Dr. Bridges doesn't want to talk to you.

But you said that he wanted
me to get the care that I need.

He does because he's your doctor.

But that's all that he is.

Ramona...

I'm really worried about you

and particularly the circumstances

surrounding your injuries, right?

Which is why I want to hold you

here at the hospital for a few days

because, well, frankly,

I'm concerned that
you're a danger to yourself.

My injuries?

You've seen the nail in my foot.

You think I put it there on purpose?

This is outrageous.

Get me that walker in the corner.

Listen, I can understand why
you're upset; really, I can.

But there's something important
going on here

and we're gonna have to talk
about it sooner or later.

- If you won't get it, I will.
- No, Ramona.

Ramona, you need to stay in bed.

Ramona, Ramona...

I will sue you.
I will sue this hospital.

- Walter, Walter!
- No, stop!

- Ramona, you need to...
- No, stop!

No!

Back in bed. Soft restraints, please.

Get off! Let go of me! Let go of me!

No! You can't do this! No! Let go of me!

Stop, please!

Two of Ativan.

- Hey, Nat.
- Hey.

So, uh, you and Crockett?

- Dean told you.
- Yeah.

All right, look. He was about
to send a patient home

with a severely infected
gallbladder, okay?

We wouldn't have known about it
had I not sent Crockett in.

- It was the right thing to do.
- Sure.

But being right about the medicine

doesn't excuse the way
you went about things.

Fine. It won't happen again.

And listen.

If you and Crockett are seeing
each other outside of work,

then you'll need to go to HR

and declare that that's the case.

What? Oh, come on.

Did you declare your
relationship with April to HR?

No, we didn't and we probably should've.

But April and I were never
in the position

to double doc anybody.

But HR? Really, Ethan?

I'm just trying to protect
you and the hospital

from any legal recourse.

Okay?

So please take it seriously.

Oh, my God.

- Thank you.
- Madeline.

Are you here to see Tionne Jefferson?

She put in a request
with the charge nurse.

Why?

Is she giving her baby over to DCFS?

Maggie, you know
I can't reveal those details.

I'm so annoyed with him right now.

- With Ethan or Archer?
- Both, I guess.

But mostly Ethan.

You don't want to go to HR?

It's a violation
of our privacy, Crockett.

Yeah, okay. Then forget it.

Well, Ethan's not just gonna
let this go.

- So...
- Right.

Okay.

So we go to HR. No big deal.

Right?

I mean, unless you have reservations.

No.

It's just the whole
going public of it all.

You know, I can just hear
what people are gonna say.

- It's... it's...
- Oh.

So that's what this is about.

You're worried about
what other people think.

I'm... no.

But you do have reservations.

Okay. Your call, Nat.

I'm gonna get out of these scrubs.

Ethan.

I checked in with the lab,

saw your patient's bone marrow
sample's there for testing,

so I asked the tech to go ahead

and take a look at the myeloid cells.

See if your patient has VEXAS after all.

- Hector's not your patient.
- Oh.

Well, see, I thought you said
that it wasn't such a big deal

about Manning and Marcel before, so.

Look, I didn't think it was an issue

that they were in a relationship,

not that it's okay

to start running tests
on other doctors' patients.

Ah, well, little hard knowing
which rules to follow

when some of them aren't enforced.

You're being disingenuous.

You're right.

Anyway, I'm just letting you know

you might hear something
about this VEXAS.

Dr. Charles. There you are.

I was just on my way to see you.

Ramona, shouldn't you...
shouldn't you be in bed?

I slipped my restraints.

I really needed to talk to you.

I have a confession to make.

Okay.

You were right.

I did shoot myself with
a nail gun to see Dr. Bridges.

Uh-huh.

And there's something wrong with me.

I know that now.

Well, you know, sometimes, um,

being honest with yourself,
that can be very freeing.

It's just...

a lot, you know?

To lose your dad.

And it's so helpful

to find people
who know what that feels like.

Right. Like Dr. Bridges.

No.

No, I was talking about you.

I am so lucky to have met you.

You don't need to be nervous around me.

I am very comfortable around you.

And I'm pretty sure
that you're going to be

the best doctor I've ever had.

Miss Davis.

- There you are.
- Hi, Miss Davis.

You gave us quite a scare.
Let's go back upstairs.

Yeah.

Really good idea for you
to get some rest now.

Okay, Ramona?

Um, I will, um,

I will make sure that I look
in on you tomorrow, okay?

Good night.

Goodbye, Dr. Charles.

I really can't wait.

Okay. There.

I saw that DCFS was here.

You're thinking about giving
your baby up for adoption?

I don't deserve him.

Tionne, there's no evidence
that you're responsible

for your baby's birth defect.

But I could've been.

I made so many mistakes in my life.

What if I mess up again?

What if I can't take care of him right?

You can.

You're not alone. You got family.

And there's support groups
for new moms in your situation.

I can put you in touch.

I've been planning.
I can get him what he needs.

But maybe what he really needs

is a better mother.

I gave my baby up for adoption.

I was 16.

Seemed like the right thing
to do at the time.

But there was this voice in
the back of my head that...

That told me not to do it.

And I ignored it.

And that voice, now, is all that I hear.

You love that little boy.

I can see it.

And I think that's all that matters.

All I'm saying is that...

make sure that whatever
decision you make...

You don't end up living a life
of regret.

Hey, Dean.

You were right.

Genetic sequencing found that mutation.

It's VEXAS.

Hot damn.

I've already started treatment.
Just... amazing catch, man.

Thanks. Thank you.

And, um,

again, sorry for overstepping.

- No, no need.
- Okay.

All right.

Maggie.

I heard you came back today.

- Is everything okay?
- It is now.

I'm thinking about reconnecting
with my daughter.

Wow.

Is that even a possibility?

Mm-hmm.

There's a program affiliated with DCFS

that helps birth parents

track down the children
they put up for adoption.

Spoke to Madeline Gastern
and it may take a while, but...

I might be able to make it happen.

Sharon?

Well, that's a big move to make.

Are you sure about this?

There's a wound in my heart
that won't heal

and Auggie leaving
has only made it worse.

- I have to do something.
- I understand.

But it's been over 20 years.

That child is a grown woman now.

All the more reason to do it.

She and I can finally have
all of our questions answered.

But have you considered

maybe she hasn't been asking
those questions?

Look, I'm not saying don't do it.

Just be prepared, Maggie.

She may not want to reconnect.

- Crockett.
- Yeah?

- Hey.
- Hey.

- You headed home?
- Yep.

Here.

"Consensual Relationship Declaration"?

What, are you gonna start
a bonfire or something?

Look...

everything I said earlier was
coming from a place of fear.

Okay?

I don't have reservations about us.

And the last thing I wanna do
is break things off, so...

Mm.

You wanna know how I feel?

Of course.

You got a pen?

Yes.

- Can you turn around?
- Okay.

You are too much.

You know people are gonna talk.

So let 'em.