All language subtitles for Chicago Med s08e11 It Is What It Is, Until It Isnt.eng

- You never told me you
were in an accident.

I know how it looks.

- How am I supposed
to believe you?

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

How about we, um, I don't know,
advance to, uh... to dinner?

My apartment. 8:00.

- Did I hear something about
an inmate from Cook County?

Yeah. Shanked in the neck.

His last name's Archer.

Dad.

It's gonna be okay, my boy.

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Sean, what is the
matter? What's wrong?

Are you hurt? Are
you in trouble?

- Dad, take a breath.
- What's wrong?

I'm getting all these calls...

Well, something's come up.

Huh?

I'm getting out.

- You're getting...
You're getting out?

Uh, it... what... really?

- Uh, when?
- Tomorrow.

Wow.

And, uh, it's a done deal?

You got 14 months
left on your sentence.

- I know. I guess
good behavior.

Compassionate
release. Overcrowding.

Who cares?

You're getting out.

So what's... what's
the... What's next?

You... you... You
going back to school?

Or you gonna get a job or what?

- Oh, right now, I just
wanna get to tomorrow.

- Well, I'm... I'm...
I'm happy for you.

Liliana? Fantastic cook.

Man, she made me
this dish last night.

Kluski... kluski
slaskie? Kluski slaskie.

You
can't pronounce it.

I don't have a clue.

I can't pronounce any of the
dishes she's made for me.

Wait, "dishes"? Plural?

- I've been over to her
house twice for dinner now.

Third one's on the books.

Oh, that's wonderful, Daniel.

I'm so happy for you.

- Thank you. Thank
you very much.

How are you doing? How's biz?

- There's still a few
supply snags here and there,

but no major headaches.

And I probably just jinxed it.

- Uh-oh.
- You know.

It's quiet today doesn't
mean it's quiet tomorrow.

Tell me about it.

- Keep up the good work.
- Bye.

Oh, Maggie.

Oh, good morning.

- Morning. I have an idea.

Came to me on the
train on the way in.

- Balderdash.
- Balder-what?

Dash. It's a party game.

For the next, uh, game
night at your place.

It's been a while
since you've had one.

- Yeah, not sure when there'll
be another one, though.

- No worries. Just putting
in the request now.

Hoping to level out
the playing field.

Ah.

Balderdash is a solo game,

so you and Ben can't join forces

and destroy the rest of us
like you did in Heads Up!

You got this.

Keep working the beta.
Flow through the moves.

- I have no idea what
any of that means.

Okay.

I think I'm stuck.

No, you're good.

Right leg up on the next hold.

Okay.

Left hand up and over.

There we go.

That's right, Asher. Send it.

Wow. Nice reach.

- Aah!
- Oh!

5.13. Nice job, Omar.

What do you say?

- Give it another try?
- I got close.

- Makes it all the more worth it

when you ring that summit bell.

Omar? You good, man?

No one on belay.
Omar, you clipped in?

- Is he okay?
- I don't think so.

Clip in, Omar!

Omar, clip in!

- Oh, my God. I'll call 911.

Stay with me, man.

Stay with me.

Hi. This is Dr. Hannah Asher.

I need an ambulance at the
rock climbing gym off Morgan.

Courtney, what do we got?

Omar Thomas, 34.

Long fall while
indoor rock climbing.

Landed on his heels
with axial load.

No loss of consciousness.

Heart rate 120. BP 140/90.

Gave him 4 of
morphine in the ambo,

but he's still in pain.

He a friend of yours?

- Gym buddy.
- All right.

Omar, we're gonna
take good care of you.

Okay, buddy?

Nice and easy. On
my count, all right?

One, two, three.

- Give me 100 of
fentanyl for the pain.

Lungs are clear.

Belly's soft.

Smelling alcohol on his breath.

- Yeah, we smelled that
too. Think it's beer.

- He wasn't clipped
in. No one on belay.

I don't see him making those
kinds of rookie mistakes

without being impaired.

Okay, Kathleen, uh,

X-rays of his chest, pelvis,
hips, knees, and ankles.

Mindy, CT head, CTLS
abdomen and pelvis,

standard trauma labs
and type and screen.

Let me see your hands.

Ooh, that's a gnarly rope burn.

Yeah. I'll be fine.

- Dr. Asher, Leah's asking
for you in the waiting room.

- All right. Let
me change first.

Cool water and aloe
on those hands.

And keep me updated
on him, okay?

- Thank you.
- You got it.

- Hey, Leah. You needed me?

Name's Jodie Dunner.

Says she's having an
endometriosis flare-up.

She's been crying
since she signed in.

Okay. Thank you.

Ms. Dunner, I'm Dr. Asher.

I hurt so bad.

- Endometriosis
is... it's cruel.

I'm a yoga teacher.

I practice patience
for a living,

but this pain, it's...

Come on.

Let me help you to an exam room.

Uh, is it my turn?

Triage system.

Your pain's bumping you
to the front of the line.

Here.

- Hook him up. I'll
be right there.

- Hey.
- How's Omar?

- Bilateral tibiotalar
dislocations.

No broken spine or pelvis.

No fractured femurs.

Liver and spleen
are still intact.

I figured you'd agree
that that's good news.

It is.

It's just Omar's
BAC was only .04.

What's that, two beers?

He wasn't drunk,
so why'd he fall?

Maybe he just made a mistake.

Dr. Marcel, Dr. Lieu,

something's not right
with Mr. Thomas.

Mr. Thomas?

What happened to my legs?

Justin?

Yeah, Omar, it's me.

You were in an accident
at the gym this morning,

and you fell.

Dislocated both your ankles.

What? I did?

Where am I?

What... what
happened to my legs?

- You had an
accident, Mr. Thomas.

You fell, injured your ankles.

Justin?

- All right, hang in
there for me, Mr. Thomas.

Uh, Dr. Lieu, doors.

Some, uh... Some
sort of memory loop?

Maybe a whiplash
injury, concussion?

- I literally caught him
when he hit the ground.

He didn't hit his head.

The summit bell.

He kept ringing it.

Same sort of loop
like he's doing now.

But it was before the fall.

- All right, first things first.

Let's reduce his dislocation.

Soon as that's done,

let's pull in
Dr. Charles, okay?

- Just so you know,
I've never officially

been diagnosed
with endometriosis.

- Yeah, I noticed
that in your chart.

My sister,
though, she has it.

We're so alike.

- Tender?
- Yeah.

In my back.

Your back? Really?

Endo pain is primarily
focused in the pelvic area.

Uh, I don't know.

I guess it's radiating.

About to start my
period. Maybe that's why.

- All right, well, I'd
like to run some tests,

do a bimanual exam,
then an ultrasound.

- Sure. Yeah, anything. I
just want to feel better.

Do you think I could get
something now, though?

For the pain?

How about Tylenol?

- Okay. If you
think it'll help.

- 1,000 milligrams
acetaminophen.

- That's it? For
this degree of pain?

- Yeah, I want to hold off
on anything stronger for now.

Okay.

- Dr. Halstead,
you're going to five.

Cesar, talk to me.

- Aaron Curtis, 22.
Severe abdominal pain.

He doubled over at work
while stocking shelves.

BP 133/86. Heart rate 99.

Sats 100%.

2 of morphine given in the ambo.

All this ain't necessary.

- Maybe, but you're here
now, so let us check you out.

- Okay, on my count.
One, two, three.

Thank you.

- Look, my manager
at the grocery store,

that's who called the ambulance.

He's just overreacting.
That's all.

- Sorry we can't take
your word for it.

- Hey, Aaron, your stomach pain,

did it just start this morning,
or you been feeling it a while?

- I don't know. Couple days.

Can you describe it?

Dull? Sharp? In between?

Aah!

- Ooh.
- Okay. Sharp.

KUB.

We're gonna grab some
X-rays, see what's going on.

- I know it's uncomfortable,
but stay still, okay, Aaron?

Please...

just let me up out of here.

X-ray up. Clear.

That's a bullet, Aaron.

You were shot?

Okay, let's turn him.

Nice and easy.

There you are.

Partially healed entry
wound in the left flank.

I'd guess it's a few days old.

What happened, Aaron?

Aaron?

Triple contrast CT.

Maybe it'll tell us something.

- Were you able to get
anything out of him?

Nope.

He won't share the what, when,

or why of his gunshot.

- Yeah, something
sketchy went down.

So, Aaron, here's
where we are, okay?

The bullet is resting

just above the neck
of your pancreas.

Do I need an operation?

- Trauma surgeon
doesn't think so.

Then I could bounce?

- The pancreas is
very unforgiving.

Just because you're stable now

doesn't mean you're
out of the woods.

There's one more thing.

By law, gunshot wounds have
to be reported to the police.

Aaron...

If you're in trouble,
maybe we can help you.

You just gotta talk to us.

- It doesn't matter what I say.

Hmm.

Vegan portabella mushroom jerky.

Yeah, low in sodium.

- Lower on taste.
- Mm.

- Your kidneys thank you.
- Huh.

Well, they better. What's up?

Ah, OpioHealth,

that new AI program that
the hospital's testing out

to assess a patient's
risk of opioid abuse?

- Yeah, it's one of
those new technologies

designed to sniff out
doctor shoppers, yeah?

- Yeah, well, I ran my
endometriosis patient's name

through it, Jodie Dunner.

She was red-flagged.

Well, I can see why.

That's a lengthy
prescription history.

Opioids, benzos, barbiturates.

Yeah, reads like a
classic pill-seeker.

- And given that her primary
complaint was back pain,

I thought so too.

But now, I'm not so sure.

- Uh, okay. What do you need?

Second opinion.

The AI program tagged
her as high-risk.

That means if it is endo,

I'm locked out of
prescribing her meds, but...

As chief of the ED,

I can override the
OpioHealth program.

Yes.

Dean, you know my past.

It takes one to know
one, but Jodie...

I'm just not getting
that vibe from her.

Mm.

Maggie?

Maggie.

- Oh, I'm sorry.
What do you need?

- Treatment seven is
cleared and turned over.

Everything good?

Yeah, of course.

Okay.

Hey, they're done.

So he, uh, tell
you what happened?

- No, he probably doesn't want
to dig his hole any deeper.

And what does that mean?

- Area South Robbery-Homicide's
working a case off 91st

from last week.

Mini-mart got stuck up.

Clerk pulled a gun,
tried to protect himself.

Took one to the chest.

Didn't make it.

- And you think
Aaron's your guy?

- The description we
got on the offender:

male, Black, average height,
medium build, hoodie.

Clerk fired off a round
before he went down.

Separate blood on the
scene shows he hit someone.

- Detective working the
case is on his way over.

We're gonna sit on the
room until he gets here.

- All right. Thanks, guys.

Be advised...

- I know these guys are
just chasing leads, but...

- Male, Black, average
height, medium build?

That could be a lot
of people, Will.

- Yeah, and getting shot
doesn't mean you're a criminal.

- I mean, the way that Aaron
took my hand at the intake,

the way he looked
into my eyes...

I felt it too.

- I mean, I don't know
if he did it or not...

but I'm certain that they've
already made up their minds.

S...

So I fell while I was climbing.

I dislocated both my ankles,

and they're set now.

And that's what
these casts are for.

Exactly.

And we were talking
about next steps.

- Can you remember what we said?
- Right.

Yeah, you said...
You said that...

You said...

Damn it!

I don't... I don't know.

Omar, you had a big fall.

- It's not okay. Why
can't I remember?

What... what is happening to me?

Um, Omar,

your... your blood pressure
is getting a little high,

so we're gonna give you some
medicine to bring it back down.

Just breathe in
through your nose.

Out through the mouth.

In through the nose...

and out through the mouth.

Okay. You know what, buddy?

I'm gonna let you
rest a little bit,

but I want you to be assured

we're gonna figure this out.

Uh, in the meantime,

can I get you another sandwich?

You kind of mangled that one.

No? All right.

I will, uh, check back in a bit.

Clearly, he's got some kind
of short-term memory issue,

uh, which is understandably
stressing him out a little bit.

I mean, you know Omar, right?

Can you tell me a
little bit about him?

- He's only been
climbing a few years,

but he's a star at the gym.

He trains hard.
Disciplined. Driven.

- All right. So
more of a type A?

- You thinking he
had a mental break

from pushing himself too hard?

- Well, memory loss
can be a result

of a number of
psychiatric conditions,

but it can also be neurologic.

You know what I want to do?

I want to get a nutrition panel.

- See what we get, go from there?
- Okay.

- Thank you.
- Yeah.

- Any discomfort?
- Kind of.

Mm?

Can you be more specific?

How does this feel?

Um, I guess pressure.

- Pressure, like I'm
pressing on your abdomen?

- Yeah. Sorry. It's
just hard to describe.

- Okay. Pressing farther up
now, near your diaphragm.

How does this feel?

Same, I guess.

Okay.

Not sharp, stabbing?

No, just... like pressure.

- Okay, Jodie, I don't
think this is endometriosis.

But to be sure, I'm
gonna run some tests.

CT, MRI, diagnostic lap.

Lap? What's that?

Uh, laparoscopy.

We insert a scope
into your abdomen,

check out what's going on.

- Surgery?
- Yeah.

And unfortunately,
we won't be able

to give you pain
meds beforehand,

'cause it might interfere
with the results.

Okay. I get it.

Hey, it'll be all right.

- Uh, pupils
practically pinpoint.

Overall listlessness.

Yeah, all signs she's high.

Her tox screen was
likely a false negative.

She probably loaded up on
water before coming in,

knew it could dilute
her urine sample.

- Yeah, doubt she saw
a mountain of tests

coming her way, and I
didn't get the sense

that she knew that
they were phony.

No, my guess is that right now,

she's planning her escape

before any social
workers become involved.

I believed her,

or I don't know, maybe I
just wanted to believe her.

- Look, you... you thought
Jodie was in pain, okay?

You didn't care what kind.
You just wanted to help.

- How long has the
detective been with Aaron?

About ten minutes.

He's not talking to him either.

- He was sitting there, and
then his eyes rolled back.

And he just slumped.

Aaron?

Aaron? Bag him.

- BP's a mess.
88/50 and falling.

Roll him.

Huge melanotic stool.

He's bleeding into his GI tract.

Two units of blood on
the rapid transfuser.

Already on it.

Watch your step.

All right, we're
moving. CT. Let's go.

Let's go, let's go, let's go.

- You said I didn't
need surgery.

Well, that was before.

Your condition has deteriorated.

The bullet has eroded

into the, uh, the
neck of the pancreas.

That means it's
touching the organ,

making it bleed into the tube
that drains your intestines.

It won't stop on its own?

It may... or it may not.

The safest option is to go
in, take out the bullet,

and remove the damaged
area of the pancreas.

No. No surgery. No.

- Look, Aaron, your, uh,
blood pressure's unstable.

You've lost a lot of blood.

Opening me up means
he gets the bullet.

I know how it works.

He gonna use it to
tie me to the robbery.

- Are you saying
that you were there?

- I was there, but
I didn't rob nobody.

Definitely didn't shoot nobody.

I was getting a sandwich
on my way to work.

Went to the counter to
pay, and next thing I know,

a guy's jacking the place.

I mean, he got a gun.

Clerk got a gun.

They firing.

I ran.

I felt getting hit, but...

I just kept running.

It's been a week, though.

Why didn't you come forward,

tell the police, us,
when you first came in?

- Because trust has
to go both ways.

- Look, I grew up bouncing
house to house in foster care.

Spent time living
on the street too.

People like me...

it don't matter what
really happened.

We gonna get blamed for it.

I ain't the guy.

I swear.

- Look, Aaron, your
pancreas is bleeding,

and without surgery, your
life could be at stake.

- And if I get it, my
life could be over.

I seen people get convicted
and sent away forever.

They were innocent too.

I'm gonna take my chance the
bleeding stops on its own

rather than put my
fate in his hands.

No surgery.

Okay.

She's seizing.

4 milligrams of Ativan.

Naloxone on standby.

- Overdose?
- It looks like it.

- Thought you had eyes on her.
- I did.

I was watching her like a
hawk so she couldn't bolt

before the addiction
counselor came down.

- So she hasn't used
at all recently?

Not a chance.

Okay.

So if not an OD,
maybe withdrawal?

Yeah, doubt it.

She's missing all the
telltale symptoms.

Agitation, runny nose,
watery eyes, dilated pupils.

- Well, endometriosis
doesn't trigger seizures.

So if not an OD and not
withdrawal, what is it?

- Let's get a CT head and chest,

this time for real.

- Hey, so I, uh...

I got Omar's
nutrition panel back.

Serious B1 deficiency.

Body can't generate B1.

We only get it from food.

This low a level means
Omar's not eating enough.

- Probably been malnourished
for a while now.

- Eating disorders
aren't uncommon

- in the rock climbing community.
- Really?

- You're fighting gravity
with only fingertips and toes,

so lighter's better.

- Uh, what do you say we
hang some IV nutrients?

Those memory issues should
resolve pretty quick.

Will, he's here.

- Thanks for coming.
- Uh-huh.

So I, uh, looked at
the security video

- from the mini-mart.
- Yeah.

Crap footage and bad angles.

You can tell
something's going on,

but you don't know
who's doing what.

Eyewitness statements?

All over the place.

- So no proof that
Aaron's the offender,

but no proof that
he's not either.

No. I spoke with the manager

at the grocery store
where he stocks shelves.

Said he always comes
in early. Leaves late.

"Aaron's a great guy.
Wish I had more like him."

His words.

- He ever been in
trouble before?

- No run-ins with the police.

No criminal record.
No contact card.

No gang affiliation.

So what do you think, Kevin?

- Uh, I mean, it's
not my case, Maggie.

- Hey, look, I know
we're asking you

to speak out of turn, but
Aaron's passing on a surgery

he desperately needs over this.

- Well, you know, I like to say

that there's always a
why before there's a who.

There is no why for
Aaron in this robbery.

I mean, I don't believe
that he's good for it,

but that's the way I see it.

I mean, the state's
attorney is hungry.

With an election coming up,
he might see it differently.

- Right.
- All right. Thanks, man.

- Yeah. I'll be
here if you need me.

- Good seeing you.
- Mm-hmm.

- So, Jodie, we've
got an answer.

Okay.

- Your back pain is
not from endometriosis.

It is from a Pancoast tumor.

- Whoa. A tumor?
- Yes.

It's a rare lung cancer.

Your body's response to
it caused pinpoint pupils

and ultimately your seizure.

So it's right here.

- Oh, God. That's in me?

- It is, but it doesn't
appear to have metastasized.

Do you know what that
means, metastasized?

Um... I'm not sure.

- It means that the
cancer hasn't spread.

- So it'll make it
easier to treat.

The tumor can be
removed surgically.

It's called resection.

Do you understand?

I...

I think so.

- Okay, Jodie, Dr. Archer
and I are gonna step outside.

We'll be right back, okay?

That was not an
informed consent.

Postictal confusion
from the seizure?

- Could be, or it could be

another complication
from the tumor.

There were some glimmers
of recognition, though.

- Yeah. I'll call
psych, get their take.

Okay.

65, 58, 51.

- Keep going?
- No, it's good stuff.

How about that word
sequence I gave you?

Let's give that a shot.

Um, San Antonio.

Bubblegum.

- Shoelace, ice skate, stapler.
- Excellent.

Well, looks like your memory's
certainly coming back.

Justin, man...

I'm sorry for putting
you through all this.

I have a tendency
to overdo things.

- Actually, wondering if we
could talk to you about that.

Maybe discuss your
eating habits.

Oh, yeah.

I can see how that looks now.

Right after the world
shut down 'cause of COVID,

I started getting
these headaches.

And I read online

if you drink two pints
of beer a day, it helps,

so I started drinking
two pints a day.

But it didn't work,
so I added exercise.

Rock climbing was
perfect, 'cause it was...

It was outside, socially
distant, challenging,

but now I was...

I was sporting this beer belly,

so I... I started dieting.

- And I noticed that you...

You only ate the... the
tomato and the lettuce

out of your sandwich, so
I'm assuming vegetarian?

Uh, and keto.

- And keto?
- Yeah.

Wow, okay.

So you mentioned that this...

This all started with
headaches, right?

Are you still getting those?

Actually, uh, yeah.

- Yeah, I do.
- Okay.

I want you to do
something for me.

I want you to look at my finger.

Follow my finger
with just your eyes,

without moving your head, okay?

- Mm-hmm.

- What the hell? I...
I can't move my eyes.

- It's okay.
- No, I can't move my eyes.

- No, it's all right.
Just close 'em.

No,
but what's wrong?

- I can't move my eyes!
- Close your eyes, all right?

- Close your eyes.
- Okay.

Okay, order an MRI.

I'm scared.

Oh, I'm... I'm...
I'm really scared.

- It's all right, Omar.
Keep 'em closed, all right?

Keep 'em closed.

- Any progress?
- No.

- Well, we'll just have
to keep hanging blood

and hope for the best.

Dr. Halstead.

Ms. Lockwood.

We've positively matched blood

from pads discarded in
Aaron's treatment room

to blood at the crime scene.

Pads?

The melanotic stool.

We rushed him to CT.

Anything tossed on
the floor is detritus,

fair game for evidence.

- Blood links Aaron
to the crime scene,

and that bullet inside him is
gonna link him to the clerk.

- Which only proves that
the clerk shot Aaron,

not that he's the offender.

- That isn't my
distinction to make.

It's my understanding that
Aaron requires surgery.

This is a warrant for the
bullet once it's removed.

- You're out of luck. He
declined the procedure.

And by law, the state
can't force him to have it.

True, but Aaron's a minor.

ID he's been using to get
a job, rent an apartment,

it's fake.

Turns out, a few months ago,

he ran away from his
latest foster family.

Been pretending to be of
age to cover his trail.

Aaron's DCFS paperwork.

He's only 17, so yes, the
state can compel surgery,

and we'd like that
bullet in the process.

- Been asking myself
how Omar didn't realize

he was moving his whole head
instead of just his eyes.

And then I remembered
this avalanche victim.

By the time we got there,
he had dug himself free.

His hands were jet
black with frostbite,

but he didn't realize it
until we pointed it out.

- It's crazy,
right, how the brain

recognizes problems
long before we do

and instinctively compensates?

Image up.

- Oh, okay. Look. Right here.

Wait, Gene, can you... Can
you blow that section up?

- Mm-hmm.

So we got microadenoma

pressing against
the pituitary gland.

Not that big either,
which is probably

why CT didn't pick
it up this morning.

- Well, the brain lesion
explains Omar's headaches,

but the eye lock?

- Well, you see this sort of
diffusion right around here?

I'm pretty sure that's a bleed,

which would
definitely, you know,

put pressure on
the cranial nerves

and could cause a lock.

- Omar's headaches started
almost three years ago.

Eye lock only set
in 30 minutes ago,

which means the bleed had to
have started just before then.

- I think it might've
happened this morning

when I was first talking to him.

- The BP spike?
- Yeah.

A jolt of hypertension
like that,

it'd absolutely trigger a bleed.

So the lesion is the root

of all of Omar's issues.

How do we fix it?

- Well, we don't.
Neurosurgery does.

So there's a slowness

to Jodie's thought
process that's evident,

but she grasped that she's ill,

that there's a tumor present,

that we recommend
it be resected,

and the consequences if
she doesn't have surgery.

Okay, four for four.

Sounds like she's capable
of giving consent.

So I'll get it, and then
I'll get her up to the OR.

Okay.

- The hospital's new AI
pegged Jodie as a drug-seeker.

We almost let her walk
because of an algorithm.

Opiates are a problem.

I get building tools
to help solve it.

- Yeah, except patients are
falling through the cracks.

Well, luckily, not today.

No...

but I'm worried about tomorrow.

I mean, it's a warrant.

- Do we even have a move?
- Well, perhaps.

Legally, Med only has to operate

if Aaron's life is
at stake, so is it?

- BP's in the toilet.
He's still bleeding.

Without surgery,
it only gets worse.

- Okay, there's no
projectile to hand over

if it never comes
out, so, Dr. Marcel,

is there a way to operate
and stop Aaron's bleeding

without removing the bullet?

- That's what I've
been debating.

The bullet is in a
terrible position,

right on the neck
of the pancreas.

All the damage is...
It's directly below it.

So it's gotta come out, then.

I didn't say that.

Well, I'm confused.

How do you get to the
damaged area of the pancreas

if the bullet's in the way?

- I'm just gonna have
to slip in around it.

- I am all for helping
to curb opiate abuse,

but this OpioHealth
AI is flawed.

The program has bugs,
and Med shouldn't use it.

- Look, analytics
that help identify

a patient's risk for misusing
opioids protect our liability.

This is a program Med
should absolutely be using.

- Liability is
the driving force?

What about patient care?

- You know that's
not what I'm saying.

Plus, OpioHealth, it's not meant

to supplant a
doctor's diagnosis.

- But it does! It sows
seeds of distrust.

My patient today, the
scrips in her file,

the ones that got
her red-flagged,

they were for her aging cat.

Veterinarian put it in her name.

- And I'm sorry about that,
but if you look hard enough

into any AI program, you are
gonna find outlier cases.

- The night shift had a
patient a few weeks ago

who got flagged for filling
scrips in multiple states.

Turns out he was a pilot.

His pharmacies depend on
what route he's flying.

- Yes, there are
some growing pains,

but algorithms
are not the enemy.

They can help
predict which patient

is most likely to benefit
from a particular treatment,

estimate ICU probabilities,

whether a patient's
gonna deteriorate or die

- after being discharged.
- Peter, we get it.

You're a believer.

But Dr. Asher's
problem is less with AI

and more with this
specific program.

And frankly, I
share her concerns.

As soon as the board
approved testing OpioHealth,

I reached out to
the parent company

for clarity on how they amass
and interpret their data.

They have yet to
share any information,

and they claim that
it would infringe

upon their
proprietary algorithm.

Look.

If OpioHealth isn't comfortable

sharing how their program works,

I'm just not
comfortable using it.

And given the growing
number of errant cases,

I'm going to petition the board

to remove the program
hospital-wide.

- You're gonna be
picking a fight,

and not just with the
board but with Jack Dayton.

- Eh, so be it.
- Okay.

- Okay. There's the
papilla. Gonna cannulate.

Moving into the pancreatic duct.

- 2.0, visualize the
neck of the pancreas.

Loading.

- Clear view of the bullet.
It's right on the duct.

- Uh-huh.

Slipping around it.

Okay. Deploy the stent.

Looking good.

The bullet is fully
excluded by the stent.

It is no longer
eroding into the duct.

Yeah.

That should stop the bleed.

Okay.

- Hey, Omar. How you feeling?

Uh, my eyes are moving.

My, uh... my headache's
gone, so that's a win.

I'm pretty... pretty embarrassed
over my comedy of errors.

Don't be.

Stuff like this
happens, you know?

- Oh, anyway, I
promise, this is...

This is never
gonna happen again.

I'm gonna rehab my legs.

I'm gonna get on a new diet.

And I'm gonna add
yoga, meditation.

I'm gonna add a
new sleep regimen.

- Easy, Omar. You
know what they say.

Mountains have a way of
dealing with overconfidence.

Get better first.

Then I'll see you at the gym.

- "Mountains have a way of
dealing with overconfidence."

You know, I kind of like that.

I am no mountain
climber and I cannot see

any rock walls in my future,
so I guess I'm wondering,

if I were to kind of use
that every now and then,

would that be
considered stolen valor?

Not in my book.

Applies to everybody.

Ah, there she is.

Pit bull.

I heard you stuck it to
legal while I was in surgery.

Nice.

Goodbye, OpioHealth.

But that's only here at Med.

Program's still in hospitals
all over the country.

You know, a lot
of other patients

could be unfairly labeled.

Might even be me one day.

Oh...

- Entered my name
into the system.

Yeah?

- Was immediately red-flagged.

So it doesn't...

doesn't matter how
long I've been sober.

That algorithm has
branded me forever.

- The capabilities are endless.

- I'm telling you.
- Yeah.

Give me ten minutes
to change up.

- And I'll meet you in post-op.
- Yeah.

- Hey.
- Hey.

You two saved
Aaron's life today,

in more ways than one.

Nine years of R&D.

Never imagined that 2.0 could
be used as a tool for medicine

and social justice.

It's a good day.

Hey, Dean.

- Rumor is that you keep a
bottle in your desk drawer.

Who told you that?

Shut the door.

So, uh...

Sean's being paroled tomorrow.

- That's great.
- Yeah...

- Isn't it?
- Yeah.

Yeah, I just... I just want
him to have a fair shot.

That's all.

Well, why wouldn't he?

Eh, you know, these days,

we're all just, uh, data points
for AI to analyze, you know?

This patient of mine today,

she was just defined by her...

Her prescription history, right?

And tomorrow, someone
could be defined

by their medical
records, you know,

their banking
information, their...

their criminal
background, right?

It's supposed to be,
work hard enough,

you can be anything you want,

but if Sean gets
out, he's just a...

A rating some computer
program spits out.

I mean, all I can say is,

in my book, character
counts, you know?

I can't believe I'm the only
one who still thinks that way.

Well, sure hope not.

- There you are.
- Hey.

So PD arrested someone

in connection with
the robbery-homicide.

Aaron's not their
prime suspect anymore.

Yeah, I spoke to Kevin.

Said he's gonna be cleared.

Heading towards a happy ending.

Thankfully.

And despite the truth, Aaron
almost lost everything.

Mm.

Mags, you okay?

Ben and I are separated.

And I don't know
if we're on a path

to getting back together or...

Divorce.

Oh, Mags.

I'm so sorry.

I love Ben with all my heart,

and despite that truth, I...

I might lose everything.

- I was thinking about
our talk yesterday,

about what's next.

Yes.

Yes to school. Yes to a job.

Yes to everything.

I want to do it
right this time, Dad.

Will you help me?

Yeah.

Us against the world, son.

Us against the world.

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