All language subtitles for Chicago.Med.S04E01.HDTV.x264-PLUTONiUM.en

I told them that she can stay with us.

- You can't trust her.
- Look, I'm sorry,

but she's coming home with us.

No, Ethan, she's going home with you.

Will you marry me?

This is Gwen Garrett, our new COO.

New? We never had an old COO.

If we lose one girl, we lose them both.

BSD is repaired.

You got an offer tonight, didn't you?

Mayo Clinic.

Of course, you're going to take it.

Would you?

You're suggesting I'm a murderer.

You know what's the
most fascinating thing

about serial killers?

They all can't seem to resist

taking a personal item
from their victims.

Oh, oh, no, Bob.

Dad?

We need a crash cart. Crash cart, now!

We need a crash cart in here.

- There's no pulse.
- Take over compressions.

Start bagging.

Charged to 200. Clear!

Clear!

Resume compressions. Charged to 200.

Clear.

- Resume compressions.
- We need to talk.

Charge to 200.

This way.

This is my father's.

Appreciate your help, Dr. Reese.

Forensics will gather
samples to collect for DNA,

but they may need to take a few of

your father's things to the lab.

I understand.

I know that this isn't easy,

but... but it's the right thing to do.

You're the last person
to tell me what's right.

- Sharon.
- Yo.

Have you heard from Dr. Reese?

She's your resident.
Why would she call me?

Well, she's due back today,
but I was expecting her

at rounds first thing this morning.

Well, she hasn't been in touch.

Let's hope she's okay.

But don't you need to address
our new med students?

- Yeah.
- Yeah.

Ladies and gentleman, this is Dr.
Charles.

- He's our Chief of Psychiatry.
- Good morning, and welcome.

First thing I want to
tell you about is...

- Packing up?
- Yeah, yeah.

Our days of butting
heads are almost over.

Oh, thank God for that.

By the way, did you know
that Rochester, Minnesota,

is the 14th coldest city in the U.S.?

And Chicago's 48, you know.
It's much warmer.

Why don't you just admit it?
You don't want me to go.

- Oh, please.
- Oh, you're going to miss me.

Miss the most egotistical,
ambitious, and arrogant

man I've ever met? Hardly.

Here.

Now that you are a big shot attending,

I'm going to leave you with this.

"Cardiac surgeons fix broken hearts."

We could have had something.

You're the one who's leaving.

Dr. Bekker, Dr. Rhodes.
They need you in the E.D.

- Suspected TRA coming in.
- Yeah.

Trevor Keyes, high-speed decelerating

motor vehicle crash.
Prolonged extrication.

Right arm BP 136/88.
Nothing in his left.

Wife was treated on the scene.

Mr. Keyes, do you know where you are?

Can you squeeze my hand? All
right, minimal response.

Let's transfer him on my count.

One, two, three.

All right, let's go.

Okay, Mr. Keyes, can you touch
your chin to your chest?

- Any pain?
- No.

- Head side-to-side, pain?
- No.

Good, c-spine is cleared.

Let's get a chest x-ray stat. Logroll.

- Dr. Choi?
- Dr. Bekker and Dr. Rhodes.

They're cardiothoracic surgeons.

- X-ray clear.
- This is his wife.

Linda. Please, help my husband.

There's weakness in Mr.
Keyes' left hand,

and it's cold.

- Wide mediastinum.
- What's that mean?

There is a high probability of a

contained rupture in his aorta.

We need to get Mr. Keyes to
the hybrid room right away.

- Okay.
- All right, let's go.

Have anesthesia meet us upstairs,

- and bring esmolol for the road.
- Right away.

Don't worry, baby. It's
gonna be all right.

It's gonna be all right.

Out of the way.

Out of the way! Everybody out.

Out, out, out, out!

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

Linda.

Linda.

- I love you.
- Trev, I love you, too.

- But you're gonna be fine.
- I...

Trev? Trevor?

- Nothing.
- What's happening?

- No pulse.
- Trevor.

- Oh, God.
- Come on.

Oh, God, Trevor.

- Let's go.
- Wrong floor.

- This isn't surgery.
- Can't wait.

Got to open his chest now.

- Get me a scalpel.
- Connor.

Check his pulse.

- No.
- Why? What's happening to him?

His aorta ruptured. I've
got to get control.

Here.

Trevor, no, no!

No!

Help me spread his ribs.

Can you feel the hole?

- There's too much blood.
- Oh, God.

- His aorta is wide open.
- What do you mean?

I'm so sorry. There's nothing I can do.

He's gone.

- He's dead?
- I'm sorry.

Trevor's dead?

No!

No, Trevor, no! No!

Trevor, no!

Time of death, 8:23.

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- We shouldn't
have lost the patient.

His aorta burst. What
could you have done?

When we were in the E.D.,

he hadn't yet suffered
the fatal rupture.

If we'd been able to
repair his injury there,

he'd still be alive.

The problem was the time it took

transferring him upstairs.

But the E.D. isn't equipped to perform

the kind of procedure
you're talking about.

- That's Dr. Rhodes's point.
- There needs to be

a hybrid operating room in the E.D.

Fully equipped to perform
emergency cardiac surgery.

An O.R. in the E.D.

We have lost far too many patients

on the way to the O.R.

Actually, I like the idea,

but converting a trauma room
into a surgical suite...

It's not an inexpensive proposition.

I'll tell you what. Write up a proposal.

I'll have it on your desk in an hour.

Dr. Rhodes, with your background

in both trauma and CT,
you'd be the ideal person

to head a program like this.

If the board okays it,
I'd like you to stay.

I'm sorry, Ms. Goodwin, but I start

at the Mayo Clinic on Monday.

Hey.

- That looks so good on you.
- I agree.

You know, we should get
serious about a date.

- Book a venue.
- A venue?

I was thinking more of like
a city hall-type thing.

I don't know, a few friends.
Maybe dinner after.

What, no, I already
talked to Father Brady.

He promised us a Saturday at St.
Ursula's.

Man, I got a whole
neighborhood to invite.

We need a hall.

Dr. Manning, Dr. Halstead, with me.

Okay.

- Desmond?
- 25-year-old deaf male

Peter Rush.

Intractable headache, disoriented.

Sensitivity to light. GCS 15.

- Vomited times two in the ambo.
- Maggie, will you help us?

Yep.

Would you like an interpreter?

- Yes.
- She's certified.

Let's sheet transfer. One, two, three.

Heart rate 112, BP 122/76.

- Normal sinus rhythm.
- These two take care of you.

This is his fiancée, Bonnie.

Have you been deaf since birth?

No, 14. Mumps.

She says he had cochlear implant surgery

a month ago. It's due to be activated.

Chest is clear, regular
rate rhythm S1 and 2.

Sick!

And let's give him four
milligrams of ondansetron.

Got it.

She says it's meningitis
from the implant.

She warned him not to get it.

We don't know that he has meningitis.

His neck exam is normal.

And meningitis can occur after surgery,

but it's not common.

Let's get a CBC, BMP,

- and cultures times two.
- Right.

And let's send him up for a head CT.

Okay, I'll put in the order.

- Thank you.
- Yeah.

April.

Hey, April, can I get a second?

Emily's really turned her life around.

She's clean, going to AA.

She's got a job, sells cosmetics.

And you're telling me this why?

I'm bringing Emily to Conner's party,

and she'd like to talk to you.

- Why?
- She feels bad.

She should.

Emily wants to make amends.
It's a part of the program.

Emily has a drug problem
and a gambling problem.

She stole opioids from the hospital,

- I know.
- She needs to be in rehab.

- I...
- She needs psychotherapy...

I know. But she's really trying.

One step at a time.

Mr. Jackson,

these are student doctors,
Curry and McNeal.

They're going to help me sew you up.

- Okay.
- McNeal, glove up.

Curry, why don't you get him an IV

and hang a bag of normal saline?

- That's a nurse's job.
- I'm sorry?

I said, that's a nurse's job.

Every doctor should know
how to put in an IV.

I do know how, but I
don't see the point.

That's not something I'm
ever going to be doing.

I'm not going into patient care.

- Is there a problem?
- No, sir.

Ms. Curry, when you are on my service,

you will do exactly
what's expected of you.

Do you understand?

Mr. Jackson is a machinist,

and he cut his forearm in the shop.

- What do you make of the wound?
- Mm, pretty clean.

Edges are smooth. Nylon suture?

You'd better take another look.

Oh.

That's actually a pretty deep cut.

So how do you obliterate the dead space?

- Um...
- Absorbable stitch.

Right, right.

- You're a doctor?
- Medical student.

You're a big guy.

What's the matter,
couldn't play football?

Let's numb that arm.

You don't have meningitis.

On the other hand, we don't know why

you're having these symptoms.

Your sensitivity to light concerns us,

so we'd like to do some more blood work,

including a genetic test,
just to cover our bases.

You'll have to stay here overnight.

We'll try to find you a bed upstairs.

Otherwise, we will make you

as comfortable as possible down here.

The good news is we've
talked to your audiologist,

and we can turn on
your cochlear implant.

Yes, I want it. Thank you.

Yes, I'm doing it.

- They're having an argument.
- Yeah.

Maybe we should step out.

Yeah?

Dr. Reese, there you are.

- I am very glad to see you.
- I'm not staying.

I'm leaving Med. I'm continuing
my residency at Baylor.

- Oh.
- I think people here

would, uh, always look at me and think,

oh, there's that doctor,

the one whose father
murdered those girls.

I could live with that.

It's you.

- It's me?
- All that time

you suspected my father, you
never told me anything.

Sarah, look, I was trying to protect you

until I was absolutely certain.
I mean, surely...

I can't trust you. I
can never trust you.

You have every right to be upset,

and I hope that we have some
time to talk through this,

but please, don't leave.

Every time I'd see your
face, I would remember...

when I walked into that room and
saw my father on the floor.

I...

I saw it in your eyes.

You were going to let him die.

Hi.

Hi, Peter, this is Helen Moore,

the hospital's audiologist.

So, let me get this on you,
and then I can activate it.

No.

- I don't want it.
- I... I don't understand.

Bonnie, she think because
of this, I don't love her.

I want Bonnie more than my hearing.

If you change your mind,
let your doctors know.

Yeah, I've seen this before.

Implants are controversial
among the deaf.

For Bonnie, deafness is
a culture, a community.

She thinks we're trying to fix a
problem that isn't a problem.

- Courtney?
- 45-year-old female.

- Found delusional and agitated.
- Put her in treatment 4.

No obvious injuries, no
meds given in the field.

All right, get ready to rotate.

Take them in, Angel. Dr. Choi?

Can't leave this GSW.
Terry, start the work-up.

See if you can get a history.
I'll be there soon.

I'm going to call Psych.
Where's Monique?

Monique, get in here.

- Let's transfer on my count.
- It's his fault.

- It's his fault!
- One, two, three.

Ma'am, can you tell us your name?

Do you know where you are?

Over there. Look. It's his fault.

- We need to sedate her.
- It's his fault.

- It's his fault.
- You should wait for Dr. Choi.

He told me to work her up. I
can't with her like this.

- 10 of haloperidol.
- Stop it before it's too late.

Stop him. Stop. Stop him
before it's too late.

Stop him before it's too late.

Stop him... Stop him
before it's too late.

Stop him before... it's too late.

Let's let her calm down

before we take off the restraints.

I thought this patient was agitated.

She was. I sedated her.

You sedated her? Without waiting for me?

- Well, I couldn't examine her.
- Well now, neither can I.

You're a medical student.

You're not authorized
to order medication.

But she was delusional, psychotic.

And you are not qualified
to make that diagnosis,

or any diagnosis.

The patient's emotional
state could have been

something entirely
physical, and therefore

easily treatable, like
a UTI, for instance.

But now, we can't determine that

because you knocked her out.

You ought to be written up for this.

- Dr. Charles, it was...
- Be quiet. Where's Dr. Choi?

I'm right here.

Supervise your medical students!

I wasn't told the board was in session.

Dr. Rhodes, impressive proposal.

- Unfortunately, we have to pass.
- And why is that?

A C-Arm. That's anywhere
from 1.7 million to 2.5.

Uh, booms and lights, 200,000.

Two large ceiling-mounted
hi-def screens.

- Do I need to continue?
- No hospital I know of

has a hybrid O.R. in the E.D.

Not to mention the huge PR benefit

in Med being the first...

The investment is not worth the expense.

I recommended that the board pass.

They agreed.

Well...

thank you for trying.

I think it would be a mistake
for the hospital to lose this.

In Yiddish, "bon voyage"
is for gezunterhait.

In Hebrew, however, we
say leich l'shalom,

which literally means
"go towards peace,"

but it has a deeper meaning

of going towards greater
spiritual perfection.

I'd like to wish you that, Dr. Rhodes.

Leich l'shalom.

- April.
- Emily.

I want to apologize for
everything that happened.

It was all my fault.

I'm trying to make up for what I did.

I'm trying to turn my
life around, and...

a lot of that is because of you.

You believed in me, and...

I'm... I'm really sorry
I disappointed you.

Be right back.

Can I get you a drink?

- There you go.
- Thank you.

Did you get a chance to
check out that venue?

No.

I'm sorry, I left it at the hospital.

- Yeah, well, I brought it.
- Oh.

Natalie, look, if you don't want

- to get married, just say so.
- What?

Where is this coming from?

You don't seem to care
about the ceremony,

or the reception. It took
you a week to say yes.

And I said yes, and I meant it.

But you act like our
marriage is no big deal.

Of course it's a big deal.

But a church wedding, a reception.

I've done all that before.

I haven't been married before.

- I want the whole thing.
- Just so you know,

a wedding is not a marriage.

Glad you cleared that up for me.

- Will.
- No, I'm just

overwhelmed with your enthusiasm.

I'm going to get some food.

Hey, Maggie. Have you seen Ava?

Ms. Goodwin.

Hey, have you seen Dr. Bekker?

She said she was coming tonight.

Uh, no, I haven't.

Maybe she got stuck in surgery.

Maybe.

So let's get four of the
flutes over here, one more.

And then, we'll have a nice
arrangement right here.

- Great.
- Mr. Rhodes?

- Dr. Bekker.
- Have you got a minute?

Of course, this way. I'll be right back.

Creating a hybrid O.R. in the E.D.

would be expensive, and the hospital

is not willing to make the commitment.

However, if private
donors such as yourself

would earmark contributions
for the project,

the board would be incentivized
to make the investment.

Right.

I wouldn't expect you personally

to fund the entire project.

I would think with your connections,

you could raise it with
just a few phone calls.

Well...

And you'd be running this project?

No, Dr. Rhodes... Connor will be.

I thought he was off to the Mayo Clinic.

I believe he'll stay in Chicago

if the program gets funded.

Well, as I'm sure you're aware,

my son and I have not had the
easiest of relationships.

I'd want my involvement kept anonymous.

Of course, I understand.

Let me think about it.

I'm afraid this is time-sensitive.

Oh.

You know what? I have an idea.

Why don't we go to dinner,
discuss this further?

_

_

Hey, Peter Rush's these test results.

- Oh, man.
- Yeah.

What is it?

Peter, your deafness
wasn't caused by mumps.

It was caused by a genetic disease

that you tested positive
for, Usher syndrome.

And it's what caused the symptoms

you are now experiencing.

What does that mean?

So some of your symptoms
can be addressed,

but Usher syndrome causes a condition

called retinitis pigmentosa.

A progressive deterioration of eyesight.

- My eyesight?
- I'm sorry, Peter,

but retinitis pigmentosa is untreatable.

No cure.

I'm going blind? I'm going blind?

Yes, you will experience a
significant loss in vision,

and maybe even blindness.

Oh, God.

We know this is a lot to process.

A genetic disease specialist
will come down to discuss

what you can expect, and what measures

can be taken to help.

Maybe you want Bonnie
to come here for that?

No, she can't find out.

But you're getting married.
She will find out.

She broke it off.

Now, it's all for the best.

I don't want her coming
back out of pity.

- You don't...
- She should be with someone

who won't be a burden to her.

Yeah?

Hey, Dr. Charles? Sarah called.

Asked me to send her stuff.

She thought maybe she
left her case log here.

Oh, uh, yeah. Um...

Right here.

Okay. You know, I really liked Sarah.

I always hoped, you know,
something might happen, or...

But I guess with all that
she was going through,

- never really had a real chance.
- Yeah.

I'm sorry about that, Noah.

Yeah.

You know, she once told me that, um...

the way you brought her
into psych helped her.

That you were the dad she always wanted.

Dr. Choi?

Emily, what's wrong?

Uh, I've just been
dizzy, a little tired.

Getting these headaches.

She's also complaining of diarrhea.

Vitals are mostly normal, a
little soft on the pressure.

BP 95/58, heart rate 110.

The patient is my sister,
so I'll leave you and April

to do the exam.

- I'll be back to look in on you.
- Okay

- Ms. Curry?
- What... right.

I'm Elsa Curry, third
year medical student.

I'm going to examine you.

Oh, um, no. Um, I'm sorry.

I'm sorry, uh...

Peter's not up... for...

_

Okay.

Why are you here?

Who told you?

Did you? No, no.

- Did you?
- No.

She wants to know why
Peter's acting like this.

It's up to Peter to tell her.

You can tell her.

Peter has a condition
called Usher syndrome,

which caused him to lose his hearing

and will also cause him
to lose his sight.

All right, now, let's
move on to the budget.

The first line item to
discuss is marketing and PR.

Actually, let's table that discussion.

Dr. Bekker, Dr. Rhodes,
thank you for joining us.

I have good news.

The hospital received
donations earmarked

for your ED hybrid O.R., and the Board

has decided to provide matching funds.

We're going ahead with your proposal.

Well, I am very happy to hear that.

But there is one stipulation, Dr.
Rhodes.

You have to stay and run the program.

Emily's test results.

No.

You're not sick. You're pregnant.

Really?

You didn't suspect that
might be the case?

I mean, I have been throwing up a lot.

Do you even know who the father is?

Yeah, of course I know
who the father is.

What do you think I am? It's Bernie.

- Who's Bernie?
- He's in my AA group.

- Your AA group?
- You're not supposed to date

people in your AA group.

Look, he's been sober for six years.

- He's a responsible person.
- Responsible?

You call this responsible?

I don't believe you.

Oh, God, I didn't mean it to happen.

What am I going to do now?

You were right. Everything
you said was right.

- I'm an idiot, a total idiot.
- Ethan, don't.

You were just trying to help her.

You were trying to be
a good big brother.

And look at the mess she's made.

I know.

- Emily can't have this baby.
- What?

Come on.

She has a history of drug abuse.

She's sleeping with some
guy in her AA group.

If you're going where I
think you're going...

April, two months ago,
Emily was homeless.

Who know when she'll run away again?

She's completely unstable, and
she might start using again.

- Harm the fetus.
- And she might not.

What kind of life can she give a child?

- It doesn't matter.
- Of course it matters.

No. You're not Catholic.

It's a life. We have to protect it.

Mr. McNeal?

I want to apologize for earlier.

You really need to learn how
to follow protocol, okay?

But I shouldn't have
snapped at you like that.

I'm dealing with a, uh, with a loss.

Thank you.

Coming in.

And your paperwork is done.

I got to go tell Bernie. I
don't know how he'll take it.

I hope he's happy, but,
God, what if he's not?

I can't cope with this by myself.

I... I can't have this baby alone.

Emily, you're not alone.

Oh, yeah, but Ethan's so mad at me.

He'll come around.

- And I'm here for you.
- You are?

We'll figure this out.

Okay?

Okay.

Now, I'm going to be
sending a series of beeps.

First very soft, inaudible.

When you can hear the
beeps, let me know.

Wait, yes.

- I can hear it, yes.
- Good.

Tell me, Peter, can you hear my voice?

Oh, God. Yes, I can.

I can hear again.

She said that she'll be his eyes,

and he'll be her ears.

Ms. Garrett, I know we've
had our differences,

but I'm very happy you approved
the hybrid O.R. down here.

Are you, Dr. Stohl?

Sharon, if you would.

You go behind my back and get
these token contributions

for about a quarter of the cost.

The hospital is out millions
for your pet project.

The Board could have refused the money.

No, it couldn't, and you know that.

These are some of our biggest donors.

They want a hybrid O.R.,
they get a hybrid O.R.

You locked us in.

Are you going to fight me on
every one of my decisions?

Depends on the decision.

Well, I'm glad I know where we stand.

Our Chief of Emergency Medicine, Dr.
Stohl.

Very much your man.

I think Dr. Stohl is
very much is own man.

I have not been happy with
his performance of late.

We're not going to renew his contract.

Really, you'd take this out on him?

Stay out of my way.

They don't start serving
for another hour.

Sit.

Hanger steak, planked whitefish,

and for vegetarians,
lentil and chickpea stew.

Thank you.

What's all this?

Dishes to try for our reception.

You take care of the venue,
I'll take care of the caterer.

You know, eyes and ears.

Here, try.

Mmm. That's really good.

- Yeah?
- Mm-hmm.

- Here you go, Dr. Rhodes.
- Thanks, man.

Ava, hey.

So I was... I was looking into
what you were talking about,

Rochester, and you are right.
It is very cold.

- Yeah?
- Yeah, so anyway,

I told the Board I was
going to stay here at Med.

Really?

Yeah, I mean, if the
program is a success,

then it could be a very big deal.

It's a better career move than Mayo.

- Exactly.
- Okay.

Well, I guess I don't
need to remind you.

You're no longer on the CT service.

Yet, you did.

From now on, when you
bring a patient upstairs,

I decide the course of treatment.

Now, you see, if I'd gone to Mayo,

that's exactly the kind
of collegial interaction

I would have missed.

Dr. Charles.

- Here to gloat?
- No.

Just dropped by to, uh...

let you know Sarah's leaving Chicago.

You'll probably never see her again.

Is that supposed to wound me?

My daughter?

She put me here.

Huh. I thought you put yourself here.

It's all circumstantial. You know that.

Where are the bodies?

If I could get a halfway decent lawyer,

instead of that idiot P.D.
in his cheap suit.

You know, when I was
having my heart attack,

you weren't going to save me, were you?

You were going to let me die.

All right, do it now. Kill me.

You've had your fun. Enough.

No one would want to go on
living like this, anyway.

I'm sorry you're having
such a hard time.

I'll talk to your
doctor and see if he'll

boost your anti-depressants.

And I'm the one without a conscience?

No, don't worry about it.
It's gonna get better.

It always does.

Really.

In my experience, psychopaths
adjust extraordinarily well

to almost any situation.

Even, you know, this one.

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