All language subtitles for Chicago Med s08e10 A Little Change.eng

[soft laughter]

- After our honeymoon, we'd
like to start treating people.

Are you giving me notice?

Yes, ma'am.

[both grunting]

- Come on, Dean.
What's going on?

Is there anything I can do?

You can keep it to yourself.

Justin Lieu.

I spent a decade
doing search and rescue

before deciding on med school.

I'm Liliana.

I clean your office.

- Would you like
to have some coffee with me?

How about now?

[car horn honks]
[crash]

Are you having an affair?

No. Never.

He thinks
that we need time apart.

- And thanks
to Mr. Dayton's generosity,

Chicago Med is able
to provide

a whole new level
of surgical intervention.

I know the tech.

I promise you,
it won't let you down.

- You know tech,
but you don't know surgery.

- Jack Dayton has bought
controlling interest

in the Gaffney Medical Group.

- So I guess
he's in charge now.

[tense music]

* *

- Man, I've been seeing
these 2.0 ads everywhere.

Kind of makes me wish
I needed surgery.

- Yeah.
These are a lot of signs.

- I guess
there are worse things

than having
Jack Dayton's PR machine

- in our corner, though, right?
- Hey, look.

As long as he keeps us ahead
of the supply shortages,

- I am not complaining.
- You know what?

Come to think of it,
I saw a whole new shipment

of PPE came in.

- Let me catch up
with you later.

Hey, Maggie.

Oh, hey, Sharon.

How you doing?

I'm OK.

You know, Ben used to make
me breakfast every morning.

- You two
still aren't talking, huh?

- Uh-uh.

- Well, I know it must be hard
not having him around,

so I'm here
if you ever need to talk.

- I know.
Thank you.

Liliana.

Good morning, Daniel.

- What a pleasant way
to start the day.

- Thank you, though
I just finished my shift.

I am on my way out.

- You know
what I've been thinking?

We've had a couple of
very pleasant coffees together.

How about we, um,

I don't know,
advance to dinner?

OK, sure.

- You want
to pick the restaurant?

- Should I?
- Better idea.

Let me cook.
I'll make zrazy.

- Zrazy. Fantastic.
What is that?

- It's Polish dish.
It's my grandmother's recipe.

OK.

- So my apartment, 8:00?
- Great.

- I'll text you my address.
- I will see you there.

What have we got?

- Martha Kittle,
75 years old.

Took a bad spill
in her kitchen.

- Let's get you
checked out, Martha.

I need an X-ray
in treatment five.

Grandma!

I hear you, Alexander.

I'm coming, Grandma.

Where are they taking her?

- Just into her room
to check her out.

You can go in with her
if you want.

What's that?

- That's an X-ray machine.

- Will it hurt her?
- No, no.

That's just so the doctor
can help your grandmother.

- Are you OK?
- Yeah.

His name's Alexander.

Looks to me like he could be
on the autism spectrum.

He's having trouble
making sense

of what's going on
with his grandmother.

Leave her alone!

- Oh!
- Get away from her!

- She's just trying
to get an X-ray.

- Yeah, Alexander.
It's OK.

- I'm not going
to let you hurt her.

- Alexander, how about
we get you a little space?

Would that be good?
Let's get you some space.

Thank you, Nancy.

Let's go home, Grandma.

Alexander, please stop.

Let's go home.

I need to be here.

And I need you
to calm down, please.

These are nice people.

They're trying to help me.

I'm sorry.

I...

- [shushing]
- [sobbing]

* *

.

- Oh, again?
- Yeah.

Is Jack Dayton gonna have

fresh donuts for us every day?

I suppose these aren't allowed
on your renal diet.

- I'm sorry.
- Don't be.

You're the one missing out
on my cranberry juice.

- Whoa.
Brand-new espresso machine?

Yeah, a generous gift

bestowed upon us
by Jack Dayton.

- Well, hopefully,
these upgrades

extend to patient care too.

- Yeah, you keep
telling yourself that, pal.

Dean won't be swayed

by Dayton's new shiny toys
and sweets.

- Don't tell me
you don't remember

the story
of "Hansel and Gretel," right?

The witch fattening them up?

- You think Jack Dayton
wants to eat us?

- Guy seems to have
a big appetite.

- Dr. Lieu, you're with me today.
- Sure thing, Dr. Archer.

- Dr. Archer,
we've got one coming down

from the helicopter pad.

Use Baghdad.

What do we got?

- Brandon Thompson,
34-year-old male.

Restrained driver in MVC.

Intubated en route.

500 milliliters of fluid
in the field.

HR 120.
BP stable, 130 over 82.

- What happened?
- Drove his car off road.

Barreled through the woods
until smashing into a tree.

- All right, on my count.
Ready?

One, two, three.

All right.
Lungs are clear.

Bilateral breath sounds.

OK.

Pupils are equal and reactive.

Fast him.

No free fluid.

- Put in an A-line
and blood gas.

Doris, I'm gonna need
a chest and pelvis X-ray

as well as a EKG
and a PanScan.

Got it.

- Must have lost control
of the car.

Wonder why.

- Let's hope he can wake up
and tell us.

- I'm sorry,
we didn't get a chance

to introduce ourselves before.

This is Dr. Cuevas.
I'm Dr. Charles.

- Is now a good time?
- Of course.

Go ahead, Alexander.

What do you say?

I'm sorry.

I was wrong.

I didn't know
what was happening.

Alexander, you know what?

This can be
a very confusing place.

You have absolutely nothing
to worry about, OK?

Are you gonna fix Grandma?

- We're gonna do
our very best.

- Martha, I would like to go
over your X-rays with you.

- Alexander,
maybe you could go get a snack?

- There's some vending machines
in the waiting room.

I can take you.

- There's some money
in my purse.

Thanks for not sharing anything
in front of Alexander.

It's hard for him
knowing I'm in pain.

- Ms. Kittle,
when you fell,

you suffered
an intertrochanteric fracture.

You broke your hip.

Perhaps more concerning,

you've got lytic lesions
on your bones

that are causing areas
of weakness.

- That's probably
because of the cancer.

Stage 4 lymphoma.
It's metastasized to my bones.

Very sorry to hear that.

It is what it is.

I've decided not to treat it,

though I do take medication
for the pain.

The doctors say I might have
only a few more months.

Does Alexander know?

- I'm struggling to find
the right way to tell him.

I understand.

Listen, Martha, you are
gonna need some surgery, OK?

But I want you to know
that we're gonna do

everything we can
to make this workable

for Alexander.

Surgery?

- You're gonna need
to have your hip pinned.

- What's the recovery time
for that?

- At least a month,
but likely longer.

An orthopedic surgeon can give
you a more accurate estimate.

I'll page the ortho resident
on call to come down.

- Don't, please. I can't go
through a surgery like that.

Who will take care
of Alexander?

- There isn't
another family member

who might be able to help?

No, not since he was a baby.

It's always just
been the two of us.

- Right. No friend that
he feels comfortable with or--

You saw how he was earlier.

Blowups like that happen
at least once a day.

No one I know would want
to take that on.

- Then what we're gonna do is
we're gonna appoint

a short-term guardianship.

- Alexander won't listen
to anyone but me.

I'm the only one
who can calm him down.

So no surgery.

Grandma?

Look.
[chuckles]

Can I have it?

Yes, but not before lunch.

- Hi, Sophia.
I'm Dr. Halstead.

Are you her mom?

Her swim coach, Cindy.

Her dad should be here soon.

He lives a few hours away.

Sophia goes to St. Joseph Prep
here in the city.

- Oh, the boarding school,
right?

- Mm-hmm.
- OK.

So what's going on, Sophia?

I don't know honestly.

It was the weirdest thing.

- Sophia and her teammates
were practicing

their individual medley races,

and right after Sophia
made her last flip turn,

she fell behind all the others.

Then she stopped swimming
altogether.

- I think I felt something
in my chest,

but then I passed out.

OK if I give a quick listen?

Oh, it was terrifying.

I mean, she was just
floating there, face down.

One of the other coaches helped
me get her out of the pool.

And she was unconscious
at first.

And then after a few seconds,
she came to, thank goodness.

- Anything like this
ever happened before?

No, never.

- Sophia is
a fantastic swimmer.

I broke the state record

for the 200-meter breaststroke
last year.

Wow. Impressive.

All right, let's get
a chest X-ray, CBC,

CMP, EKG, and cardiac labs.

And why don't we
get Sophia a gown?

- Hey, is this the hospital
Jack Dayton bought?

It is.

- Any chance
I'll get to see him?

- You're 16 and you keep up
with Jack Dayton?

When Jack Dayton was 16,

he'd already created
the beta version

of what would become
SapphireCash.com.

- You know a lot about him?
- Of course.

I'm a dev.

- Dev?
- Developer.

It's hard not to look up
to somebody like Jack Dayton.

- Unfortunately, I doubt Jack
will make an appearance today.

He's a pretty busy guy.
Sorry.

But we'll get these tests
and figure out what's going on.

- Sound good?
- Mm-hmm.

Yeah.

I swear,

I would never wish Crohn's
disease on my worst enemy.

- The gastric tube
is definitely clogged.

You called it, Roy.

- That's the fourth time
in the last three months.

- Yeah.
You flushing it out?

I've used warm water,

seltzer, soda,

everything short of Drano.

- OK, well, let's upsize
the tube a little bit.

- Come on, Dr. Marcel.
It's a temporary solution.

There's got to be
something better

than this game
of musical tubes.

- Yeah, look, I get
that you're frustrated, Roy,

but we got
to get you nutrition somehow.

You don't understand.

I can't take this.

I need to eat something.

- Look, sadly,
that's not possible anymore

because
of your esophageal strictures.

You won't be able
to get the food down.

- What about
my surgical options?

I read online you can remove
and replace my esophagus.

Can we do something like that?

- Well, if I do that,
I'll need to replace it

by reconstructing
a new esophagus

from a part of your stomach
or intestine.

But it's
a complicated procedure,

especially for you.

Look, you've had a lot
of surgeries over the years,

and all of that resulting scar
tissue makes it very difficult

to find a piece of intestine
that can work.

But you could try, right?

Too much can go wrong.

- How much worse
can it be than this?

You worried you might kill me?

I can't stand the idea

of having
to keep living like this.

[voice breaks]
I'm serious.

I don't know
how much longer I could go on.

I hear you, Roy.

All right, well...

let me have a think on it, OK?

Dr. Dupre, morning.

Can you input that for me?

- Dr. Marcel,
I couldn't help but overhear

you discussing
what sounded to be

like an Ivor Lewis operation

on a Crohn's patient
with a hostile abdomen.

Eavesdropping much?

Not intentionally.

Look, I would love to offer
2.0 services for the operation.

Thanks, but I told him

we're not gonna go
the surgical route.

Roy's Crohn's disease and
adhesions from prior surgeries

make him a very high risk
and poor surgical candidate.

- I think
this is the perfect case

to take advantage
of 2.0's imaging.

If 2.0 is gonna
revolutionize surgery,

this is exactly the kind of
case it should be used on.

- You know, Roy's situation
is very precarious.

I'm not convinced
2.0 can make a difference.

- I understand
your reservations,

but don't you think
it's worth exploring?

[tense music]

* *

[knocks on door]

You must be Sophia's dad.

- Glen Eastman.
I'm sorry I'm late.

I live out in Rochelle.
Got here as soon as I could.

- I'm glad you made it.
I'm Dr. Halstead.

I have your lab results.

I'll step outside.

No, Coach, please stay.

- You're basically family,
Cindy.

She's been a wonderful
influence in Sophia's life

over the past few years,

especially since
I live so far away.

OK.

Well, the good news is your
labs and EKG came back normal.

- Any idea
what did cause this then?

- Not yet,
but I'd like to test Sophia

for something called
Brugada syndrome.

It's a very rare disorder
that causes arrhythmias

or irregular heartbeats,

especially
if someone who has it

overexerts themselves
like you did swimming today.

That sounds serious.

In the very worst cases,

it can cause the heart
to stop altogether.

But there are treatments

that will prevent that
from happening.

That's why I'd like
to do another EKG.

But this time, I'd like
to administer a medication

called procainamide that will
trigger an irregular EKG result

if Sophia does in fact
have Brugada syndrome.

We've got to do it, right?

So we know either way.

- All right, I'll have a nurse
get you set up right away.

Brandon's CT.

He's got a grade 2
splenic crack with no blush.

- All right.
What's your recommendation?

- Track his hemoglobins
over the next 24 hours.

As long as it remains stable,

I don't see any need
for surgical intervention.

He also passed
a spontaneous breathing test.

- Good.
Let's extubate.

Here you go.

Brandon, we're gonna remove
your endotracheal tube now, OK?

- All right, Brandon, I'm
just gonna loosen the strap.

There you go.
Nice and easy.

Breathe.

- [coughing]
- Good job.

- [strained]
Is Tiffany OK?

Tiffany?

- My wife.
Did they bring her here?

I don't understand.

Was she in the car?

Yes.

She's pregnant.

In labor.

Where is she?

.

- Just spoke to the local
fire department on the scene.

I'm afraid they didn't
find anyone else there.

What?

No, I--what are--
what are you saying?

Brandon, are you sure

you're not misremembering
what happened?

I'm not making this up.

She was sitting
right next to me.

I can prove it.
Just--where's my phone?

OK.

Look, this dot on the map
is her cell phone.

That's right by Interstate 55.

That's where I crashed, right?

OK, I'll go back there myself
if I have to.

- Brandon, you're in no shape
to leave the hospital.

- We're gonna get on top
of this. You just sit tight.

Please.

This is what she looks like.

- We'll do everything we can
to find her.

- Doris,
call the Illinois State Police

and the local
sheriff department.

Tell them we've pinned
a possible location.

- I should go out there
to help them.

I have experience
in search and rescue.

- Yeah, but there are
other people for that.

Look, back in Colorado,

hikers would go missing
all the time.

We would have
a designated incident commander

and experienced hasty teams
at the ready

with helicopters and trucks
and commtech.

I'm not sure the local sheriff
has those kind of resources.

Maybe I can make up
for some of that.

- Yeah,
you're not a helicopter.

- But I do have 63 rescues
under my belt.

For Tiffany and her baby

to have
the best chance of survival,

I need to be out there.

I can bring the hospital
to her.

Dr. Asher.

Hmm? What's up?

- There's a pregnant woman
missing out in the woods

and Dr. Lieu here
seems to be convinced

that he needs to join
the search and rescue.

I want you to go with him.

She's reportedly in labor, OK?

63 rescues, huh?

Make Tiffany number 64.

- The stomach is just
too fibrotic and scarred

to manipulate
into an esophagus.

- How about a colonic
interpositioning?

Can you use his colon?

- There's too many strictures
throughout the bowel,

not to mention
the extensive adhesions

we can't see on the scans.

Look, I want this to work.
I do.

I hate that Roy
has to suffer this much,

but I'm not gonna open him up

and risk further damage
to his intestine

without a plan in place, OK?

- Perhaps a better angle
can help.

2.0, show us the digital twin
for patient Roy Tooley.

[whirring]

Based on Roy's charts
and scans,

2.0 has created this twin
that is anatomically identical.

Feel free to poke around
in there.

What do you mean?

- I've enabled a function
with 2.0

that allows you
to manipulate the hologram

using the sensory gloves.

Here, try it.

OK.

OK.

Here we go.

- Area of bowel has previous
intestinal anastomosis.

Neat trick.

But it's just a hologram.

There's no telling how
Roy's body would respond

to any of this in real life.

- 2.0 can simulate
the real-life responses

based on an extensive database
of previous surgical input

while continuously
recalibrating

to incorporate
Roy's personal data as well.

Mm.

- Look, if you're worried
about that little hiccup

where 2.0 questioned
your suturing technique,

it won't happen again.

2.0 is here to assist,
not hinder.

- Well, I guess there's no harm
in running a simulation.

OK, we ready?

OK, it all looks normal so
far, just like the first time.

Push the procainamide.

[machine beeping steadily]

[machines beeping slows]

So see the slope that gradually
descends after each heartbeat?

I don't feel any different.

You're not supposed to.

The medication only changes
the EKG reading

if you have Brugada syndrome.

- So does this mean
Sophia has it?

I'm afraid so, yeah.

A cardiologist
will walk you through it,

but, Sophia,
you're going to need

an implantable cardioverter
defibrillator, an ICD.

What's that?

- It's a device
that monitors your heartbeats.

And if you were to ever have

another
heart-stopping arrhythmia,

it will deliver a very
small shock to your heart

to restore regular rhythm.

It's a procedure typically done
in a cath lab OR,

but after four to six weeks,
Sophia should be able

to resume all normal
activities, including swimming.

- Wait, you mean
I can't swim at all until then?

- You will need
to take a break.

- Um, that's gonna be a problem
for regionals.

If Sophia doesn't compete in
the upcoming meet in two weeks,

she'll be ineligible
for future events.

- That means I won't be able
to compete at state.

Can't we put this surgery off
until later?

- That makes me
a little nervous.

- I agree. It's best to
take care of this right away.

- OK, we'll do it.
- Dad.

- Dr. Halstead is saying
your heart could stop beating.

You don't understand, Dad.

You're not around, and
you hardly come to my meets.

If I don't compete at state,
that screws up my chances

of going out for the Olympics
a year from now.

- I'm sorry, honey.
It's just too risky.

There'll be
plenty more opportunities

for you to compete
in the future.

- Yeah, I will have someone
from cardiology

come speak with you.

- Well, thank you very much.
You've been really helpful.

Huh.

So that's the mayor's office
for people with disabilities

with a very promising referral
for a short-term guardian

who has extensive experience

working with adults
with special needs.

- Well, that's good.
- Yeah.

Hopefully,
Martha will sign off on it.

We need some help in here.

Alexander!

Help him!

What's going on?

OK, he's unresponsive,
and he's not breathing.

Oh, God.

His lips are turning blue.

- Pinpoint pupils.
Did he take something?

- It looks like he's overdosed.
- Do something, please.

Narcan.

[inhales sharply]

- Alexander, are you all right?
You OK?

- What happened?
- You're OK, baby.

You're OK.

I don't feel good.

- You're going to be fine.
Don't worry.

.

- The car crashed
through this fence here.

The car then careened
into the woods

until an oak tree brought it
to a halt right about here.

There was no sign
of a passenger,

so we went ahead
and had it towed.

- Sheriff, I found these
about 100 yards due east.

Those are Tiffany's.

Brandon had the same picture
on his phone.

- Deputy Russell,
this is Dr. Lieu and Dr. Asher.

They treated the driver
at Chicago Med.

[whistles]
Bring over Brix.

Has Brix helped you out

on other search and rescues
before?

- No, but he once found
12 kilos of blow

buried in a local trailer park.

Hopefully, he'll be able

to find a pregnant woman
in the woods.

- Sheriff Parker, we'd like to
head out with the first team.

We can provided
immediate medical support.

Works for me.

First team, let's head out.
Let's go.

Let's grab our supplies.

Here?

- Vascular pedicle
is too short.

This looks promising.

Left colon just past
the splenic flexure.

Tissue is extremely friable.

Many adhesions.
Easy to tear.

Well, it seems 2.0

has already assessed
all my options.

So why don't we just skip
to the part

where it tells me what segment
of the bowel to pull up?

2.0, your recommendation?

- Abort
esophageal reconstruction.

- You're kidding me.
- Place gastric tube

and commit
to liquid enteral nutrition.

- Well, Roy's already
been doing all of that,

so what was the point
of any of this?

Hold on.

2.0, what is the prognosis

of an esophageal reconstruction
with this patient?

48% chance of success.

48%? Those are decent odds.

Why would 2.0 insist
this will fail?

- Well, 2.0 has
a default setting.

Not to support
any surgical procedure

that has less
than a 50% chance of success.

But I am going
to lower that threshold.

You are good to go.

OK.

Here we go.

Starting from square one, 2.0.

- The left colon has
the best odds of viability.

- Yeah, I see it.
Looks pretty good.

Oh.

Yeah, that section
looks long enough.

Seems like
it has adequate blood flow.

- I think
this could actually work.

Yeah.

OK, well, let's do
a couple of practice rounds,

and then we can bring in
the real Roy.

OK, from the top.
Let's go.

Alexander, how are you doing?

- Can I see Grandma now?
- Very soon.

- We want to keep you
on IV fluids,

that tube that's in your arm,
just a little while longer.

Make sure you feel better.

- In the meantime,
we're hoping you can help us

figure out
exactly what happened.

I think I fainted.

- Any idea
why that might have happened?

Can you remember
eating anything different

than you normally do,
like anything at all?

No.

Think real hard, Alexander.

We're here to help you.

I know.

- Alexander, are you, um--

are you a candy person?

- Do you like candy?
- Yes.

- I'm just wondering
if there's any chance

you could have looked
in your grandma's purse

and seen red and blue pills

and thought
that they were candy maybe?

- I don't eat anything
unless Grandma lets me.

I have to ask.

- Like the soda this morning
from the vending machine?

- Uh-huh.

She said I could.
She opened it for me.

- I guess it doesn't matter
what I think.

- We're very sorry,
Mr. Eastman.

What's going on?

- Sophia's refusing
to stop swimming competitively.

She's petitioned a judge

to issue a stay
on her ICD implantation.

Well, how is that possible?

Her father signed off,
and she's a minor.

- She's filing
for emancipation.

- What? She's gonna need
her father's consent, right?

Well, in most cases, yes.

- But she's been
living independently

at her boarding school
these last few years

on a swimming scholarship,
so the court may grant her

emancipation regardless
of what her father wants.

She has a heart disorder,

and you're telling me
a judge is, what?

Gonna let her ignore it?

It's out of our hands now.

We're sorry.

Great. Yeah, OK.

As long as we have

an automated external
defibrillator on standby,

you are OK to compete.

- That another doctor
you were talking to there?

A friend who's in contact

with the state's
competitive committee.

- Sophia, you do realize
the more you exert yourself,

the higher the chances
this happens again?

- Which is why we're looking
into precautionary measures

- that don't require surgery.
- There aren't any.

- I've trained
my whole life for this,

and I'm not about
to throw it all away

just because I passed out once.

- Sophia,
if another arrhythmia occurs,

you may not get the chance
to go to the Olympics.

Dr. Halstead.

You could die.

May I have a word?

Ms. Goodwin,

she's taking medical advice
from a swim coach.

- You need to give
this girl some space.

I don't like it
any more than you do,

but it's time to step away.

- Is Alexander OK?
- He's gonna be.

But, you know, Martha,
there was, um,

a pretty significant amount
of opiates in his bloodstream.

And, you know,
it occurred to me

that given
your stage 4 cancer pain,

it would be
completely understandable

if you were carrying around,
you know,

just a lot of
very strong medicine with you

all the time, right?

And at first,
I thought that maybe--

I don't know, maybe Alexander
was looking in your purse,

and I don't know,
he mistook the medicine

for candy or something.

But then he told me
pretty explicitly

that he never puts anything
in his mouth

without your permission.

So, Martha,
I have to ask you,

did you--

did you put a bunch of pills
in his soda this morning?

- I didn't know
what else to do.

When I got my diagnosis,

I thought if I could just
hold on a little longer,

maybe when he got a bit older,

he could manage by himself.

But then I realized
that was never gonna happen.

- You know, there
are other options, though.

- Martha--
- I've tried them.

I put Alexander
in different group homes,

but he wouldn't eat,

wouldn't sleep.

He'd sob and bang the ground
with his fists until they bled.

Every time,
it was a disaster.

- So you thought
that he would--

he would be better off dead?

- I love Alexander more
than I've loved anybody.

But after I fell this morning,
I couldn't stop thinking,

if I can't be there for him,
who will?

[sobbing]

I'm sorry.

[sniffles]
I'm so sorry.

- It looks like
Brix wants to cross.

[barking]

- Let's split up.
You guys cross.

Dr. Asher and I will stay
on this side, move downstream.

- Cover more ground that way.
- You got it.

So what was that about?

- Brix has been trained
to detect drugs and contraband.

It's not the same skillset

as searching
for a missing person.

I'm just not sure
it makes sense

for Tiffany to cross the stream
in her state.

- All right, see this twig here?
- Yeah.

- How it's broken
about waist level?

You think Tiffany did that?

- It's high off the ground.
Some human did.

Check this out.

- Looks like fresh blood to me.
- Could be Tiffany's.

Sheriff, this is Dr. Lieu.

We've got blood droplets
just off the creek

in grid D5 on the map.

We're marking it off now.

Copy that.

- She's close.
Come on.

.

OK, gonna take the left colon

just up
to the middle colic artery.

- Tissue appears viable.
Adequate blood supply.

OK, good.

I'm gonna resect.
GIA stapler.

Thank you.

Is something wrong?

- Colon looks OK, but the
small bowel looks much better.

It's got
a good vascular pedicle.

Appears more freely mobile.

Might be better
for the reconstruction.

- Small bowel interposition
is not recommended.

Why is that?

- There's no dataset
to guide you.

- I don't need a data set.
I just need a viable bowel.

OK, but first,
let's remove the esophagus.

- Once you take the esophagus
out, there's no turning back.

Scalpel, please.

[elevator dings]

Mr. Dayton, hi.

I'm Will Halstead,
one of the ED docs.

- Sorry. Mr. Dayton's
on a very tight schedule.

- Oh, I understand,
but I have a patient,

a teenager,
who has a heart condition.

She needs a procedure,
and she's refusing

because it'll get in the way
of her competitive swimming.

But I think you might be able
to change her mind.

Why would she listen to me?

She's into computers.

She idolizes you.
I wouldn't be asking otherwise.

- Mr. Dayton, you have to be
in San Francisco by 8:00 p.m.

- I've got
a very important meeting.

It can't be rescheduled.

- All I'm asking for
is a few minutes.

Convincing Sophia
to get this procedure,

it could save her life.

- I appreciate your concern
for your patient,

but I really do
have a plane to catch.

- Why did you even
buy a hospital

if you don't care
about the patients in it?

Excuse me?

- You know,
when you took over Med,

I hoped it might have
something to do

with a desire to help people,

but clearly,
that was naive on my part.

We're nothing to you.

Just another toy to play with.

Have a safe flight.

There.

Tiffany.

Hey, Tiffany.
We're doctors.

- We're here to help you.
- What's happening?

- You were in a car accident.
- [groaning]

She's cold to the touch.

We're gonna put a tarp
under you, OK?

Here we go.

Lift up just a little.

Great job.

OK, I'm gonna
remove your jacket

so we can put a warming blanket
on you.

Sheriff, this is Dr. Lieu.

We've located Tiffany
in grid C7.

Track the orange markers,
and you'll find us.

- Copy.
On our way.

- Tiffany,
I'm gonna examine you, OK?

- Am I bleeding?
- You're in labor.

She's disoriented.

Could be from the head lash
or from hypothermia.

- [grunts]
- Abdomen's hard as a rock.

Most likely placenta abruption.

Baby's not getting
enough blood or oxygen.

- Heart rate 110,
BP 90 over 42.

Hand me the fetal doppler.

Help me.

- It's gonna be OK, Tiffany.
We're trying, OK?

Just hang on in there.

Ooh.

- Baby's heart rate
is down to 80.

She's completely dilated.

- All right.
Hang in there, Tiffany.

- Tiffany, we're gonna need
to deliver your baby right now.

So when I tell you,
you're gonna push

as hard as you can, OK?

May we interrupt?

You OK, Grandma?

I will be.

How about you?

- [sighs] I feel--

I'm feeling better now.

When can we go home?

Alexander...

I-I can't go home.

- You have to.
You live there.

I know, but I'm very sick.

I'll help you get better.

- Oh, baby,
I wish you could,

but I'm the kind of sick
that never gets better.

Then I'll stay here with you.

You can't.

- Why?
Did I do something wrong?

- No. No, you didn't
do anything wrong.

This wasn't your fault at all.

But I'm not able
to care for you anymore.

- Alexander, we're gonna help
you find somebody who can, OK?

You stay out of this.

- Alexander, no.
Listen to me, please.

You need to trust Dr. Charles.

He can help you
in ways that I can't.

But I want you, Grandma.

Alexander, you are so special

and deserve the very best
this world has to offer.

I just can't give that
to you anymore.

Someone else can.

And I'm going to need you
to let them.

Can you do that for me?

I love you, Grandma.

Baby, I love you so much.

I love you with all my heart.

- OK, Tiffany,
we're gonna go again.

- You ready?
- Yeah.

Push.

- [groaning]
- You got it.

- You're doing great, Tiffany.
- Keep pushing.

- You're doing great.
Come on.

- I can't.
I can't.

- Yes, you can.
You're almost there.

I promise.

Here we go again.

Push.

[screams]

Yes.

It's a girl.

You got a little girl.

[baby crying]

.

- Well, Sophia, your discharge
paperwork is complete.

You're free to go.

- [knocks on door]
- Sorry.

Hope this is the right room.

You're Jack Dayton.

You must be Sophia.

Dr. Halstead here tells me
you're quite the swimmer.

- She is.
- She is also a fan of yours.

- Well,
that's very kind of you.

You know, one of the perks
of owning my own hospital

is getting to know
the patients.

So I thought I'd come by
and say hello.

- Hi.
- Hi.

Now you love swimming,
but I also hear

that you have an interest
in computers, right?

Tell me about that.

- Well,
I'll leave you all to talk.

What are you developing?

[hopeful music]

* *

- All right.
We'll take it from here.

Thank you.

Nice work out there.

- Looks like Alexander
and his guardian

are off to a good start.

Yeah, well,

thank God for that anyway.

Yeah.

- I really do appreciate
you stepping in, Mr. Dayton.

She's a smart girl, Sophia.

Glad she changed her mind
about having the procedure.

Yeah, curious.

What did you say
to get through to her?

- Oh, well, it turns out
we have a lot in common.

I told her how I used to be
a bit of an athlete myself.

Basketball was my thing.
But I also loved computers.

So when I messed up my back,
couldn't play for a little bit,

I still had this other passion.

And, well,
it worked out well for me.

I think it gave her
a whole new perspective.

- OK, look,
about what I said earlier--

- No one ever talks to me
like that.

I'd like to apologize.

Save it.

I can respect
a straight shooter,

especially one so committed
to his patients.

Glad to know I have you
on my team, Dr. Halstead.

Now if you'll excuse me,
I have a plane to catch.

- You know, if this week's
contrast study goes well

and shows there are no leaks,

Roy will get to taste food for
the first time in three months.

Man, he is gonna be thrilled.

He has you to thank for that.

No.

I had already given up
on this surgery.

If it hadn't been
for you insisting on 2.0,

I don't think
we'd be here right now.

- The AI is not perfect yet,
but it's evolving.

I hope I am too.

* *

That's a beautiful family.

Yeah.

They're so lucky they found
their way back to each other.

Maggie.

I mean, first Vanessa left.

Now Ben is gone.

Oh, boy.

That zrazy is spectacular.

Granny knew
what the heck she was doing.

She did.

I'm so glad you enjoyed it.

- Listen, Liliana,
I just want to apologize

if I've been
a little bit glum tonight.

I had a brutal day,
and I happened--

- You help people with
their problems all day long.

Once in a while,

one or two of these problems
will follow you home.

- Yeah.
- Yeah.

Ah, you are my guest.

You sit.

OK. Thank you.

[humming]

[singing in Polish]

* *

.

[tense music]

* *

[wolf howls]

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