All language subtitles for Chicago.Med.S06E14.1080p.WEB.H264-STRONTiUM

.

- I can't find the artery.

I can't find...

- Dean, you can do this.

Dr. Charles helped me,
and he can help you, too.

PTSD just doesn't go away,
Dean.

- I don't need therapy.

- I have a daughter, Vanessa.

I found out that she was
in medical school.

- So you don't intend
to see her again?

- Of course I want to.

- What was your impression
of her?

- Good candidate.
It'd be great to get her.

- Medication was supposed
to be sent back to Kender.

- Package for Kender.

- Someone already
picked that up.

Is it even
that big of a deal though?

- I'm gonna have to find them
one way or another.

[dramatic music]

- Welcome and congratulations.

You've all done well enough
to get this far.

But this ED only accepts
one med student a year

from this audition,
so these next few weeks

are your one and only
opportunity to impress.

No pressure.

Now, you're new,
so I'm expecting some mistakes,

but I'm also expecting you
to display the confidence

to push through those mistakes.

And if some of the nurses
take a liking to you,

that wouldn't hurt either.

- So which one of them
are you so keen on?

- Huh?

- The student application
that you asked me to move

to the top of the pile,
Vanessa Taylor?

- That's her right there.

- Ah, how do you know her,
friend of the family?

- No, residency fair.
She just stood out.

- Maggie, hi!

I'm not sure if you remember me
or not, but--

- Of course I do.
You led me to Beecher Hall.

- And you played the Scarecrow
in middle school.

- Scarecrow?
- Good memory.

Vanessa Taylor, this is--
- Sharon Goodwin.

I was up last night
doing research

because I couldn't sleep.

I'm a bit excited
if you can't tell.

- Pleased to meet you,
Ms. Taylor.

- Yeah, I should get back
to the group,

but thank you both
for this opportunity.

- She's a go-getter.
- [chuckles]

[soft music]

- Good morning.
- Morning.

Oh, hey, Dean.
You wanna grab lunch today?

Wednesday is Reuben day.

- This wouldn't happen
to be your subtle attempt

to sit me down for one of your
casual check-ins, would it?

- Busted.
- Yeah.

Well, tell you what,
you have my full permission

to tell Dr. Choi that we spoke
if it gets him off your back.

- Everybody who works here
has got to do this,

including Dr. Choi,
but it's no big deal.

It'll take five minutes.

We can talk about gardening
if you want.

I just gotta cross you
off my list.

- Thing is, I've found
that what works best for me is

when I steal away for some
quiet personal time every day.

Unfortunately, I found
that the only time I have

for that is my lunch hour.

You understand.

- Look, I am gonna have
to pin you down eventually...

[alarm blares]

Or Goodwin's gonna
get mad at me.

- Yeah, they're playing
my song.

♪

- Treatment 4.

- Neil Dietrich, 24,

collapsed at the park
with severe abdominal pains.

Wouldn't let us take
his vitals,

but we were able to get
a saliva swab, COVID negative.

- What's going on, Neil?

- It's just a stomachache,
okay?

Whatever's wrong with me,
probably go away on its own.

- I don't know,
I think maybe you should

give us professionals a shot.

One, two, three.
- [groans]

- Okay.
- This isn't necessary!

[tense music]

Stop, leave me alone!
- 100.9.

- You have a fever, Neil,

your body's way of telling us
something's wrong.

- Yeah, I'll be fine.

- And that pain
you're experiencing,

I can make that go away easy.

Little morphine will
have you feeling

like it's a day at the spa.

- No, please, leave me alone!

- Okay, well,
if you won't let us treat you,

maybe there's something else
we can do to help?

- No, nothing
you can do will matter.

- How could you
possibly believe

that nothing we do will matter,
nothing?

- Because--
- Because?

Come on, Neil, level with me.
I can take it.

- Because none of this is real,
okay?

It's just
a computer simulation.

[dramatic music]

♪

.

- It's obvious.

Every facet of our lives
has been preprogrammed.

The richest 1% of the world
owns 99%

of basically everything.

How's that possible?
- Excellent question.

Where does it hurt, Neil?
- I'll be fine.

It's possible
because the game is rigged.

- All right, and who exactly is
playing the game?

- All real people are players.
They have no choice.

I mean, obviously, there's some
form of higher intelligence

that created the simulation
for a reason.

- Which is?

- That's what I'm trying
to find out,

but clearly, some part of it is
to keep real people compliant.

- Are you--are you
a real person?

- The real question is,
are you a real person,

or are you an NPC?

- What's that?

- A non-player character--
a computer construct

to maintain order
of the simulation.

- Well, despite
our different beliefs,

I think we can all agree
that with the fever

and the intermittent stabbing
pain that you are unwell,

and perhaps now's a good time
to do something about that.

- No, I'm sorry, I'm not gonna
change my mind on this.

- Neil, let's say you're right.

What I'd understand is
that your pain

is obviously very real to you.

And all we're trying to do is
figure out what's causing it.

You don't want to let us
do that?

- No, 'cause you could reverse
the effects of the red pill.

- The red pill?

- There's this red pill you
take that initiates the process

of waking you up outside
of the simulation.

- So you took one
of these red pills?

- Yeah, thankfully.

- Whatever you ingested might
be making you sick.

- See, that's exactly
what an NPC would say.

But you know what?
You're right.

Whatever I'm feeling right now,

it's probably just the red pill
starting to work,

and if that's what it takes
to wake up in the real world,

so be it.

[dramatic music]

How much longer do I have
to stay here?

- Give Dr. Archer and I
a couple minutes,

and we'll be right back.

♪

- Well, if he hasn't poisoned
himself with whatever he took,

he probably has appendicitis.
- Yeah.

Look, I mean,
there's always a psych hold,

but it'll just antagonize him,

and we'll never find out
what he took.

Slow roll the paperwork a bit.
- Yeah, all right.

- I wanna study up a bit
on this whole simulation thing

a bit, see if I can get
in better sync with his logic.

- Logic?

He thinks we're living
in a computer game.

- Hopefully, we will dispel him
of that notion.

- It's called the emergency
room for a reason.

Working fast is key but not at
the expense of working smart.

If you could do both,
that's what we're looking for.

Good morning, Ms. Royko.

Patient here is 62 years old.

She's experiencing
a persistent headache,

some blurry vision, and has
a known history of diabetes.

All right,
what's your differential?

- I suspect hypertension.
Do we know her BP yet?

- 226 over 115.

- That would certainly qualify
as hypertension,

and what would your course
of treatment be?

- I'd push 10 of hydralazine.
- Well done.

Doris, push 10 of hydralazine,

as recommended
by student doctor Mims here.

Excuse us.
Moving on.

- Vanessa, hey.

I couldn't help but notice,

it seemed like you had
the answer yourself.

- Obviously,
she has hypertension.

I raised my hand.
I just didn't get called on.

And frankly, I think Cardizem
would be better

than hydralazine.

- If I may, word of advice:

It wouldn't hurt to assert
yourself a little bit more.

- Student doctor Taylor.

You with us or not?

- [wheezing]

- Maggie, we need a room!

- What's going on
with your mom?

- She's been passing out
intermittently,

started before breakfast.

- What's Maggie doing here?
What?

- Carol, we're gonna take
good care of you--Herbert!

- Okay, I'm gonna call
the cardiologist

and tell them to come down.

- No, no, no, Nat,
I'm gonna page Dr. Young.

You go be with your mom.

♪

- Will, what are you doing
in here?

- What do you mean?
I'm up, and it's your mother.

She's having syncopal episodes?

- Yeah, I think it, um...

might have something to do
with the LVAD?

- Okay, well,
her lungs are clear,

so that's a good sign.

But your extremities are
super cold, Carol.

- I know.
- Let's do an EKG.

♪

- Thank you for stepping in,

but I've paged Dr. Young,
and, um...

I think that we can manage
until they come down.

- Please, don't go.

I'm really scared, Will.
Could you stay, please?

- I'm not going anywhere,
Carol.

I promise.

We'll just get
some preliminary tests going,

give Dr. Young a head start.
- All right.

- I'll run a panel.

Remind me again
what medications she's on?

- What?

- I assume
she's on a beta blocker.

- Yes, uh...

Metoprolol 25 milligrams
twice daily,

plus Lasix the same,

and rosuvastatin, I believe
10 milligrams once a day.

- Okay.

- And don't forget about
that new pill you gave me.

The one that's supposed
to help my heart pump.

- New one?

- Yes, I put her
on a fish oil supplement,

that's all.

- No, it's a little blue pill.

I'll show it to you.
It's in my bag.

- No, no, no, Mom, Mom.
Your bag is in the car.

- Well, I'll just go get it.
- No, Mom, you don't need it.

- I need the stuff
that's in there.

- Okay, okay, Mom, Mom, Mom,
I have to go move the car.

I will bring it in.
I'll be right back, okay?

- All right.
- Okay.

♪

.

- You're each gonna be working
one-on-one with the attendings.

Dr. Driskell here
will have your assignments.

Follow him.

Taylor.
- Yes, sir?

- You start with me.

- [gagging and coughing]

- You can't go on
like this, Neil.

- I have to.

It's the only way to see
what real life is.

Oh, good, no red pill.

- Neil, are you familiar
with the butterfly dream?

You know,
the Chinese philosopher

who dreamt he was a butterfly?

- Yeah, only he woke up only
to question whether or not

he was the butterfly
or the man.

- Right.

- You're not gonna convince me
I'm wrong

just 'cause there have been
other philosophies

about hypothetical simulations.

- Well, but what struck me is
that he did wake up, right?

And then was able
to acknowledge

that one of those experiences
was reality, right?

- You're making my point, okay?
I'm trying to wake up.

That's my goal.

I know what I'm doing.
- I've heard that before.

So...

a few years back
in Afghanistan,

I was working alongside
this joint task force

hunting down
Taliban extremists.

Let me tell you, we saw
some pretty gnarly stuff

that you would not believe.

These soldiers,

they didn't come any tougher.

When they had a mission,
that was all that mattered.

Even with the worst injuries,

they would not be deterred.

- I get that.
- I know you do.

But sometimes
those same injuries

that they ignored ended up
killing them.

These were preventable deaths,

and I do not want to see
that happening to you, Neil.

- You don't seem to understand,
okay.

I can handle death.
I have to die to live.

- Having witnessed
that firsthand,

that is patently untrue.

- Look, well...

it's just, whatever you think
you saw over there,

none of that actually happened.

You just think that it did.
- Okay.

- It's part of the game.

- All right.

- [groans]

I-I told you not to touch me!
- Hey.

No, no, I'm sorry, sorry.

I just wanted to find out
where you're most sensitive,

that's all.
- [groans]

- Dr. Charles, a word, please?

He's guarding
his lower right quadrant.

He has appendicitis.
I've seen this a hundred times.

All right, if we don't do
anything about it,

his appendix will rupture,
and, if that happens,

his whole life is gonna be
in jeopardy.

- I'm aware of what
a ruptured appendix means,

but why did you palpate him?

- He wouldn't let me come
near him otherwise, right?

I needed to get a read on him.
He's not even gonna get a scan.

- I completely get
how upsetting it must be

to hear
your military experience

characterized that way, but,
Dean, that guy's delusional.

- I think you misread
the moment, Dr. Charles.

Right, I don't blame you for
thinking that's what you saw,

okay, but I was honestly
trying to make a diagnosis,

and now that I have,

I think it's time for you
to get a court order,

so we can force treatment.

- You know,
if and when I determine

that the patient lacks
decisional capacity,

I will absolutely reach out
to a judge.

- "If"?
Are you kidding me?

This guy's a box
of loose screws.

- Well, no, actually,
he's a patient.

[dramatic music]

♪

- Where are they taking me?
- To get an echo, Carol.

- A transthoracic
echocardiogram will show us

exactly how your heart pumps.

- And this could be because
of the LVAD, right?

- We'll see.

- Mom, it's
a really simple procedure.

I'll be right here
when you get out.

Okay?

I love you.

♪

- Hey.
- Hey.

- Sorry, didn't mean
to startle you.

- No, it's okay, I, um...

been a little on edge today.

- Yeah, saw your mom was here.

- Yeah, Dr. Young still doesn't
know what's going on,

but something's affecting
her circulation enough

to cause her to pass out.

- Oh, I'm sorry to hear that.

- She's up for an echo now,

so we should know more soon.

- Well, hope the echo brings
some good news.

- Thank you.
- See you.

- See ya.

♪

- Hey, Doris.
What's going on in there?

- We got a drug addict in there
whose veins are shot to hell.

Can't get a peripheral in.

Ethan's asking for a--
- Triple lumen kit?

Here you go.
- Thanks.

- Listen, I'm feeling
a little restless

just directing traffic.

I got an itch
to slip on the glove.

How 'bout you and me swap
places for the day?

- I get to hold the brick?

- Thank you.

Here you go, Dr. Choi.

- What happened to Doris?
- You got me instead.

You disappointed?
- Never.

So you ever insert
a central line?

- Plenty of times
in med school, yes, sir.

- Show me what you got then.

- All right, Shawn.

I'm gonna get you prepped
for this.

Pull down your gown.

Lidocaine?

- Yes, of course.
Thank you, Maggie.

- Ethan?

Goodwin's requesting
your presence

at the 2:30 budget meeting.

- All right,
I'll be right there.

- Taylor.

You think you can
handle this yourself?

- Yes, of course, Dr. Choi.

I'm confident I can do this
on my own.

- I've assisted a million.
I've got her back.

- Great.

Any problems,
you notify an attending.

I'll be back in a bit.

♪

- Crockett.
- Yeah?

- You're up.
- Okay.

- Cesar, Baghdad.
- What do we got?

- Edgar Fuentes, 25, took a GSW
to the leg in a drive-by.

Vitals are stable.

Applied a pressure dressing
en route.

Bleeding's controlled.

- Okay, Mr. Fuentes,
I'm Dr. Marcel.

I'll be taking care of you.
Okay?

- This hurts like hell.
- Yeah.

- He was working on the car
out front.

He wasn't even doing anything.
- Right.

- My wife Rosa, our baby Ada.

- Well, I'm sorry we all had
to meet this way.

Okay, folks, on me.

Ready, set, lift.
- [groans]

- Nice and easy, you're okay.

Can you wiggle your toes
for me?

- Yeah, but hurts.

- We got two wounds,
lateral thigh.

Nowhere near the blood vessel.

Probably through and through,

but let's get an x-ray
just to prove it.

50 fentanyl, please.

You're gonna be okay,
Mr. Fuentes.

♪

- Come here, come here.
All right.

Look, he's gonna be okay.
It's just a flesh wound.

All right?
- It looks so much worse.

- We're gonna get an x-ray
just to be sure.

- Oh, my God.

- Is she okay?

- Huh?
- Your baby, is she okay?

- Ada?
- May I?

♪

- What?
What?

♪

- Hey, sweetheart.

♪

- What is that?
- Your baby's been shot.

- What?
- I need help in here!

- Oh, my God!
No!

[sobbing]
No!

.

- Yep, there's the bullet.

[exhaling heavily]

Pressure's still low.
- Want me to hang another unit?

- No, let's do it up in the OR.
Let's move now.

- I heard the gunfire, but I
didn't hear a window break.

- It could have come
through the wall.

I've seen it before.
- She was bundled up.

She seemed fine--she wasn't
bleeding or anything.

- Pressure from the swaddle
probably stopped the flow

of blood.

- How could I not have noticed?
- You didn't do anything wrong.

Look, I'm gonna do everything
in my power

to save your baby's life.

All right, let's go.

- Put back pressure
on the syringe,

and walk the needle down
the clavicle

until you hit the vein.

- I lost the vacuum.
- It's just filled with air.

- I must have hit the lung.
- Worry about that later.

We still have a line to put in.

Now pull the needle back,

and eject the air.

Now try again
until you find the vein.

- Wait a minute.
What's going on?

- It's okay, Shawn.
We're working on it.

Go ahead.

- All right.
I'm drawing blood.

- Perfect.

- Well done.
- What about the lung?

I should go tell Dr. Choi.

- Let's just finish
the procedure, okay?

- So physically there is
something very wrong with you.

By all indications, your
appendix is about to burst.

So what I'm asking is if you
would please

just let us do a scan.

- I'm not getting a scan.

No matter what it would show,

it's just
the simulation's explanation

of what the red pill is doing.

- Neil, I respect
your point of view.

But you need to understand

that my reality is
that I'm a doctor,

and I can't just let you die,

which is why I'm seriously
considering going

to talk to a judge
this afternoon

about taking away your ability

to make
your own medical decisions.

- What, because you think
I'm delusional?

Of course you would think that.

- That's actually
not what I said.

- Can I ask you something?

Why is it that my belief is
the one being questioned?

♪

- Hey, I'm sorry to pull you
out of your meeting,

but it's important.

- What's going on?

- So I have
an appendicitis patient

who's refusing treatment
because he believes

that we're living
in a computer simulation.

- A what?

- Yeah, I know,
it's--he's nuts.

- Just page Dr. Charles.

- Well, no, see,
Dr. Charles is the problem.

He's dragging his heels
on forcing the treatment

that the guy needs.

- Is it emergent?
- I believe it is, yeah.

- All right, what can I do?
- Well, I want you to weigh in.

With another sensible voice
in the room,

maybe the two of ours
can drown his out.

- I'll take a look,

but I can't imagine
double doc-ing Dr. Charles

on a decisional capacity
ruling.

- Uh-huh.

You know what?
Forget it.

I'm not interested in having
a courtesy consult.

- Dean, I know how frustrating
it is to be in your position.

I've butted heads
with Dr. Charles

on the same issue in the past.

- Oh, yet now you sit
on your hands?

- Watch it, Dean.

♪

- You're right, you're right.

I was--I was over the line.

♪

- All clear.

♪

- Just like I thought.

There's a pneumothorax.

- This happens all the time,

even to
the most seasoned doctors.

It happened to Ethan last week.
Don't beat yourself up.

- I'll go find Dr. Choi.

- Or...

you can fix it yourself.

- Insert a chest tube?

- Mm-hmm, you're comfortable
doing that, right?

- Sure, but I--
- Listen, Vanessa.

Everyone makes mistakes,

but this way you can show
Dr. Choi

that you know how to correct
yours on your own.

♪

- I don't know.

- If you want to win
a permanent spot in this ED,

this is how you do it.

- All right.
Yeah, let's do it.

♪

- Hey, Shawn?

It appears that when we did
the procedure,

we hit your lung.

It's nothing serious,

but in order to fix
the problem,

we're gonna have to put a tube
in your chest,

and we need your consent.

- Is it necessary?

- Unfortunately, it is,

but we're gonna numb you up,

we're gonna give you
a little bit more sedation,

and you'll hardly feel
anything.

- Okay.
- All right.

♪

You lay back and relax.

♪

- How'd it go?

- No luck.
- No CT, okay.

♪

- Nurse Sexton!

♪

- Yes?

- He's not protecting
his airway.

I need to intubate him.
Get a line.

Order a CT.
Call the OR.

Make sure they have a room open

in case we need to bring him up
to surgery.

- Wait, didn't Neil say that
he didn't want to be treated?

- He did,
but now he's unconscious.

- So you're just gonna
disregard what he wanted?

- When a patient is no longer
able to make medical decisions,

and there's no one to stand up
for them,

the hospital assumes
power of attorney.

20 of etomidate, 100 of sux.

Should I not intubate him?
He doesn't have a DNI.

Tell me!

♪

- I have to admit, when your
mother came in this morning,

I assumed it was because
her heart was on the brink

of failure, but that's not
what the echo is showing.

- Looks like her heart is
beating more effectively.

- I mean, when you have
the kind of underlying disease

Carol does, the heart can
behave inconsistently,

but rarely does it show
this kind of improvement.

- Yeah, that is odd.

- So why does my mom keep
passing out?

- It's a phenomenon called
"suck down."

The heart's contracting so hard

that the ventricle wall is
getting sucked

into the LVAD, too.

The poor blood circulation
is leading to a lack

of cerebral perfusion.

- Well, what do we do now?

- I'm going to consult
with Dr. Latham

as soon as he gets
out of surgery.

There's a chance he'll want
to sew the left ventricle shut

to help the LVAD
work effectively.

- Well, I mean, this is
good news, right?

- I hesitate to call it
good news

until we figure out exactly
what's going on.

- Thank you, Dr. Young.
- Thank you.

- Wow.

- That's not something
you see every day.

- Yeah.

- Must be the fish oil
she's taking.

- What are you doing?

Will, why are you going
through my mom's bag--

what are you doing?

- Let's see what these magical
supplements look like.

- God, this is so--Will!

- Nope, that's
the beta blocker.

- Stop.

- That's the statin,
and those two are Lasix.

Where'd they go, Natalie?
- What are you talking about?

- The trial drugs
that went missing?

The blue pills.
I know you took them.

What'd you do with them?

- I can't believe
you're accusing me of this.

- The improved function
in your mom's left ventricle.

Your sudden interest
in the drug's side effects

last week.

Come to think of it,
you never did tell me the name

of that trial patient
with the dry cough.

I wonder who it is.
- Please, come on.

This is ridiculous!

- You are dosing your mother

with an untested clinical trial
drug, Natalie,

without supervision
or monitoring.

We don't know how the drug
interacts with an LVAD.

It could kill her.

You need to come clean
right now.

- Will...

Will, I--
- Just give me that.

- No, Will, wait, wait.
Wait!

You heard the cardiologist.

Mom's heart is pumping harder.
The drugs could be working.

- We don't know that for sure.

- Please, I was desperate,

and everything you said
about the drug was good.

I didn't think I was putting
Mom in any danger.

- This is really bad, Nat.

- Will, please.

Please.
Please...

.

[knocking]

- Am I interrupting?
- Not at all.

I was just talking to a judge,

trying to get a court order
so we could treat Neil,

but without definitive proof
of his medical condition,

he couldn't help us.

- Well, it doesn't matter

because Dr. Archer
took Neil up to surgery

and is removing his appendix
right now.

- Wait, Neil agreed to that?

- No, but he went
into respiratory distress

and needed to be intubated.

- Leaving Dean to make medical
decisions on his behalf?

- Yeah.

I saw how frustrated Dr. Archer
was with Neil before.

- Definitely.

- It got me thinking,

could he have...

could he have
overmedicated Neil

to knock him unconscious?

- Oh, God.

[soft dramatic music]

♪

- Will.

- Sabeena.

[laptop shuts]

I didn't know you were
coming in today.

- Just passing through.

Thought I'd see
how you were doing.

I have a meeting
with the head lab technician.

- Yeah, no,
everything's all good here.

Just taking a break.

- Okay.

- Hey, the drug we're testing,

any idea how it might affect
a patient with an LVAD?

- The drug's an inotrope--
essentially, a chemical LVAD.

Why would anyone do that?

- Just a hypothetical.

- I can't imagine why it would
ever be prescribed

in that situation.

But listen, we're a few months
out from seeking FDA approval.

If there's a patient suffering
any adverse reaction,

it needs to be reported.
- No.

Nothing like that.

[dramatic music]

♪

- The baby's still hypotensive.

I don't know if she's gonna
survive this.

- Trying to find the source
of the bleed.

♪

- What do you want me to do?

- Just keep giving her
more blood.

- Okay.

- Come on.

- Hey, Shawn, how you doing?

- Much better, thank you.
- Let's check your work.

Line placement looks good...

As does this chest tube,

though I don't remember
our patient requiring one.

- Well, sir, when I made
my first attempt

at placing the central line,

I noticed air coming out
of the syringe, so I--

- So she ordered an x-ray
to see if there was a pneumo.

And there was, so she--
- Yeah, I understand.

Student doctor Taylor, can I
have a word with you outside?

We'll be right back, Shawn.

♪

Placing a chest tube is
considered a surgical procedure

that requires prior consent
from the patient.

- We okayed it
with the patient.

- "We"?
- Maggie and myself.

- Consent for the procedure can
only be obtained

by a licensed physician.

Neither you nor Nurse Lockwood
qualify.

- I'm sorry, I didn't realize--

- You acted recklessly.

By not notifying
your supervisor,

you put me and the ED at risk.

♪

- Don't worry, I'll fix this.

Ethan.

Listen, Vanessa was just
following my instructions--

- She's gonna be a doctor.

What happens in that treatment
room is her decision.

- But this is my fault.

She's a top-notch student.
She's head of her class.

- What are you talking about?

Student doctor Vanessa Taylor,
I was assisting her.

I gave her some bad advice,

but she solved
the problem herself.

- Mags, why are you going
so far

out of your way to help
this student?

- Please, Ethan, give her
a second chance.

She shouldn't have to pay
for my mistake.

- I'll give it
some consideration.

- Thank you.

- Why were you assisting her?

♪

- Doris and I just switched
places for a bit.

♪

I have to relieve her now.

♪

- So I understand that we have
an update on our patient?

- Unfortunately,
we waited so long

his appendix perforated,

so I removed it,
washed his belly out,

and he's recovering in the ICU.

- How did that happen exactly?

- Well, he stopped protecting
his airway,

so I had to intubate him.

- Which then gave you
the authority

to make medical decisions
for him?

- Whoa, hey, if I hadn't come
upon Neil when I did,

oh, he'd be dead.

He'd stopped breathing.

- From appendicitis?
- Mm-hmm.

- You know that'd be a first,
right?

- He was septic.
His appendix ruptured.

And why the hell am I getting
the third degree?

You're the one who was

about to almost let
a crazy person kill themselves!

- Dean, stop!
- No, no, no.

Remember, at the end
of the day,

it's my word versus Neil's--

the guy who thinks this whole
thing is a game of Tetris!

- Enough.
Dean, take a walk.

♪

Someone want to tell me
what's going on?

.

- Mr. and Mrs. Fuentes.

- Is my Ada okay?

- She's currently
on a breathing machine

up in the PICU.

Now, we're not
out of the woods yet,

but I was able to stop
the bleeding.

She's alive.

- Thank you, Dr. Marcel.

- Yeah, my pleasure.

- I don't know what I would
have done if we'd lost her.

- She's gonna be all right.

[soft music]

Well, hopefully, we'll get her
extubated tomorrow.

In the meantime,
Nurse Trini here,

she's gonna escort you
up to the PICU here in a bit.

You can see her, okay?

- Thank you.
- Yeah, my pleasure.

♪

- Thanks.

- Hey.
- Hey.

- You been in surgery?
- Yeah.

Seven-month-old baby
with a GSW.

She's gonna be okay though.

- Are you?

- Yeah.

Yeah, I'm gonna be fine.
Thanks.

- Listen, I wanted to talk
to you about something,

but I was a little nervous
about how you might take it,

which I know is
out of my control, so--

- Natalie, you got a minute?
It's about your mom.

- Oh.
Yeah.

- Go ahead.
- Sorry.

♪

- I feel incredible.

- Your hands are warm,

and your color is starting
to come back.

- Oh!

[gasps]
I want a pastry.

I am famished.
- [laughs]

Okay, well,
I will get you one.

Go and take a seat.
- I will get it myself.

Let me feel like
a normal human being again.

- Okay, well, we'll be
right over there.

- Okay.

- This is amazing.
What changed?

- I tried a little experiment
before the surgeons weighed in.

I turned her LVAD as low
as it could go

to see what would happen.

- And?

- Her heart's functioning fine
with barely any assist.

In fact, now the LVAD's
just getting in the way.

- Does that mean the--

- It appears as if the drug
is working.

We should keep her overnight,
monitor her,

but looks good.

- I wish I could go
back in time,

just insist that my mom
signed up for the trial meds.

We can't ask Kender for
a compassionate use exemption,

and who knows what they'll do
when they find out.

[soft music]

- Maybe they don't need
to find out.

♪

Here.

♪

How many pills
do you have left?

- Maybe a week's worth.

- I'll try to secure more
before she runs out.

- Will, I do not want to put
you in this position.

- Let me worry about that.

In the meantime, I think
we should talk to Dr. Young

about removing her LVAD
altogether.

We want to try our chances
on the transplant list.

- Are you sure?
- Yes.

Natalie, if we can keep
from getting caught,

your mom may not ever
need a transplant.

♪

- I don't even know
what to say.

- No one else can find out
about this.

You understand?
- Yeah.

♪

- Neil, how you doing?

♪

Neil, this is my colleague,
Dr. Choi.

- Hey, Neil.

I'd like to discuss
what happened today.

- It was working, the red pill.

I was finally gonna be able
to experience reality,

a world that's not constantly
trying to manipulate me,

and then you so-called doctors,

you took that away.

- Can you tell us more
about that?

- Like you don't already know.

- Well, you know,
we're actually trying

to get a better picture
of what happened this afternoon

when Dr. Archer checked in
on you.

Can you walk us through that--
what you remember, anyway?

- He cut me open
and rewired my circuitry,

so that I'll never be able
to unplug from the simulation.

Even if I could get
another red pill,

it doesn't matter, okay?

I'm stuck here forever!

[sobbing]

- Buddy, we're gonna get you
out of here

as soon as possible, okay?

♪

Not necessarily the most
reliable witness, poor guy.

- No, but at least he's alive.
- Yeah.

- In any case, I'm gonna go
have a talk with Dean.

♪

- Oh, my goodness.

- Be right back.
- Hey, Carol.

- Hi.

- Hey, so I saw
on the surgery schedule

that they're removing
Carol's LVAD?

- It was actually causing
her problems,

but they lowered it,
and she got better.

- Wow, with her level
of heart disease,

never seen that.

Is this what you wanted
to tell me?

- Yeah, I just--

I was afraid of
how you'd take it, you know?

I didn't want you to feel
responsible or anything.

- No, I get it.

- Good.

Well, I should get
back in there,

but I'll see you tomorrow,
okay?

- Sure.

- Vanessa, hey.

Good news, I spoke to Dr. Choi.

He realizes now that what
happened was entirely my fault.

In fact, he told me
that he admired your handiwork.

Said that your chest tube
was placed spot-on.

So trust me, if nothing else,

he's gonna remember
who you are now.

Hey, you should feel good
about today.

- Look, I'd really appreciate
it if you didn't tell me

how I should feel
about being humiliated.

- I'm sorry, that wasn't
my intention.

I was just trying to help.

♪

- You know what?

While I'm here
these next few weeks,

I'd just prefer
if you left me alone.

♪

- Vanessa, I--
- Maggie.

Everything okay?

- Yes, I was just talking

to student doctor
Vanessa Taylor, and--

- You know, I should've known

when I saw her this morning.

She's your daughter.

♪

She doesn't know, does she?

♪

- No, and I don't intend
to tell her, so--

- Oh, Maggie.

What happens
if these three weeks

turn into something
more permanent?

What if she's accepted?

- I'll manage it.

I'm telling you,
this is not gonna be a problem.

- Looks to me
like it already is.

♪

- Sorry.

My character was being
called into question,

and I overreacted,

and I let my emotions
get the best of me.

- Did you snow him to force him
into surgery?

- Why would I do that?

No, no, really,
why would I risk my job

and my career for that?

Why would I do that?
- I don't know, Dean.

But given the circumstances
that happened today, I...

it certainly seems plausible.

- What do you want me to say?

You want me to tell you
that I can't sleep nights,

and I'm always looking
over my shoulder.

That's the way
it's been for years.

Is that what you want to hear?
- Of course not.

I want you to be okay.

- The idea of looking
at what happened over there,

putting that
under a microscope...

no way.

I'm not doing that.
That scares the hell out of me.

- That's why I keep pushing you

to talk to a psychiatric
professional--

if not Dr. Charles,
then someone else.

- Yeah, I will, I will.
- I'm serious, man.

- I promise you, I will.

Promise.

- Dean, if you want
to keep working here,

you have to deal
with your issues.

♪

♪

.

[dramatic music]

♪

[wolf howls]