All language subtitles for Chicago.Med.S06E14.WEBRip.x264-ION10 - ne

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.

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.

- 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...

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.

- Okay.
- This isn't necessary!

- 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.

.

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.

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?

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.

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.

- 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.

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.

- 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.

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!

No!

.

Yep, there's the bullet.

- 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

.

- 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.

Will.

Sabeena.

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.

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.

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!

I want a pastry.

- I am famished.

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.

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!

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.

.