All language subtitles for Chicago.Med.S06E16.WEB.x264-PHOENiX[eztv.re]-eng

- He cut me open

and rewired my circuitry.

- Dean, we don't
medicate patients

to get the answers we want.

- 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.

- If I told Vanessa the
truth... that I'm her mother...

- I don't know, Maggie.

Once you take that step...
- I know.

- Got my interview for

Med's nurse practitioner
program today.

You forced me into a procedure

that I am not supposed to do.

- As a nurse practitioner,

I thought you'd welcome
the challenge.

- How'd your interview go?
- My God.

- Who gave
an unauthorized patient

our trial drug?
- Me.

- You realize you have
compromised the trial?

Not to mention your career.

- I stole meds
from Will's trial,

and now my mom
is dying in there,

and she needs a new heart.

- Hey, Nat.
Hey.

We found a donor heart
for your mom.

It's on the way.
- Really?

- Yeah.
But it's not perfect.

Come on.
I'll explain.

So the donor is
a 50-year old woman,

type AB like your mom,

and her thoracic cavity
was very similar in size.

- Good.
- There are issues.

The heart has
already been refused

for several recipients
by their physicians.

- Why?
- The organ

has a intracardiac tumor
in the left ventricle.

- Sarcoma?
- No, myxoma.

- Benign, okay.

Well, then you
can remove the myxoma

before Dr. Latham
implants the heart.

That's doable.

- Yes, but
there's another issue.

- The heart was harvested
in Los Angeles.

Under normal circumstances,
by the time it arrived,

it would be outside
the window or viability.

- Then why are we
even suggesting this?

- Because of how
it's being transported.

- Warm perfusion,
an experimental procedure

still in its trial phase.

A machine profuses the
donor heart with warm blood.

Ergo the name.

- It should prevent tissue
damage, keep it functional.

- "Should"?

You're already suggesting
a dicey heart

that could turn out
to be useless.

- We'll apprise your mother
of all the risks.

- But her blood type
is rare, Nat.

Even though she's high
on the list,

it'd be unlikely to find
a heart that matches.

- Highly unlikely.

- Okay.

- Got a 70-year old male,
Pavel Zorin,

came in last night,

minor injuries
after assaulting his landlord.

Claimed there were rats
in his apartment.

Agitated, combative,
probably delusional.

- "Probably"?

- Well, most of the time,
he was babbling in Russian,

no one around to translate.

When he came in,
he was clutching these.

Psych resident sedated him,
put him on a 72-hour hold,

and now, they're just
taking him upstairs.

- Lease, naturalization papers,

a bunch of old documents
in Russian.

Unfortunately my Cyrillic's
a little rusty.

- Well, I'm sure I could find
a translator for you.

- I'm actually thinking
about Mischa Lankov.

- Didn't he retire?
- Well, he's in the process of,

but something tells me
he'd want to help out

a fellow countryman.
Why don't we give him a call?

- All right.

- On our way home,
we pass by that Jamaican place,

pick up some jerk chicken?

- Sure.

Today's her last day here.

- You're doing the right thing,
Mags.

You can't tell her.

- I know.

- I've got to go to work.

I will see you later.

- Okay.

- Hi.

- Just one second, okay?
One second.

Are you ready, Mom?

This was my mother's

and I want you to have it.

- You're gonna be okay, Mom.

How about this?
I will keep it for you.

- Okay.
- Okay.

Let's go.

I'm right here with you, Mom.
- Okay.

- Thanks, guys.
All right, thank you.

- You okay?

Just one second.
I love you, Mom.

- I love you.

- There it is.

Nat, it's gonna work out.

Okay?

Okay.

- Dr. Marcel,
Mrs. Conte is prepped.

Please start on the myxoma.

Okay.

- I'm so sorry for missing
yesterday's appointment.

I got caught up with a case.

I really appreciate
you seeing me today.

- April, you're
a very good candidate

for our nurse
practitioner program,

and most of your
recommendations are excellent.

- Most?
- Well, there was one.

- What was the issue?

- An ED doc had some concerns
about your judgement.

- Look, Ms. Scott,
I think I know who that is,

and I just want to say...
- No need to explain, April.

Trauma surgeons can be
a prickly bunch.

- So it was a trauma surgeon?
- Let's put that aside.

I see that we've received
all of your transcripts,

so I think
I have everything I need.

- Apparently the episode
was triggered

when he saw a rat
in his apartment.

- Mr. Zorin,
in September of 1980,

was committed to the Leningrad
Special Psychiatric Hospital.

- "Special"?
What's that,

for bigwigs, for party members?

- No, it's more likely
for a particular type

of mental illness.

It says here he suffered from...

How would I say it,

sluggish schizophrenia?

- "Sluggish"?
I'm...

I'm not familiar with that...
That particular diagnosis.

Are you?
- Not really.

I mean, I've heard
the term back then

when I was a psych resident
in Moscow, but sorry.

I wish I could have
been more help.

- Misha, could you just give me
a few more minutes?

Help me talk to the patient.

- Daniel, I...
- Five minutes tops.

I just...
I might need a translator.

Mr. Zorin, I'm Dr. Charles,
and... and this is Dr. Lankov.

How are you feeling?

Mr. Zorin,
do you understand me?

Do you speak English?

- Mr. Zorin, you're safe here.

You are absolutely safe here.

Mischa?

- Five of haldol,
five of haldol please.

Got it.

- Mischa, you all right?

- Hey.
Morning.

- Morning.

Look, Dean.
We need to talk.

Am I that late?

- This is really tough,

but I've got serious concerns
about our working together.

- Really?
Why?

- It's a lot of things.

Look, I know we got off
to a rocky start,

and I take full responsibility
for that.

But I... I don't know.

I thought you and I
were in a good place now.

- Take yesterday for example,

the way you lied to the patient.

Come on, man.

I was just trying to establish
a rapport so I can treat her.

There's nothing
in the Hippocratic Oath

that says I can't do that.

- That's just the latest.
- Tell me something.

Is there something going on
with you, Ethan,

that I don't know about?

I mean, this is
all so out of the blue.

- Don't do that.
Don't make this...

- No, no, no.
Come on.

Because you ambushed me
right here,

and you lay
this whole thing on me.

- We were going to have
this conversation somewhere.

I thought
it would be better out here.

- All right, I've got to be
honest with you, Ethan.

I'm getting the feeling here,
and I hope I'm wrong,

but maybe you just hired
your old CO

so you could knock him down
a few pegs, maybe.

- That's not true,
and you know it.

- Is it?

- Tell me it's not a game.
Here you are.

Here I am.
You think that just happened?

- You remember Mr. Dietrich.

He's my patient
with appendicitis.

- I do.
- I wasn't sick.

I was about to wake up.
I was about

to see the real world, but then
you NPCs took the red pill out.

- All we did was removed
your ruptured appendix.

- Yeah, to save your life.

- Yeah, more lies.
- Hey, hey.

Take it easy, okay?
Let's talk about this.

- Yeah, what's the point?

Everything that you say
is programmed.

- Hey, hey, hey, hey, over
here, over here, over here.

- Whoa, whoa, whoa, whoa, whoa.

- I'm the one
who took out the red pill.

- No, no, no, no, no.
I'm the Chief of the ED, okay?

I'm responsible for everything
that happens there.

- It doesn't matter, okay?

You're both the same,
but guess what?

I'm not one and zeroes.
I'm real!

- Okay.

And you're deleted.

Ethan, Ethan?

- Maggie, I've got a GSW
in staff parking

and another person
with head trauma.

I need two stretchers and
the rapid response team stat.

- There's no exit wound.
The bullet is still in you.

How you doing, Ethan?
Talk to me.

- Okay.
- No, Ethan.

- Dr. Archer, Baghdad's ready.
Dr. Halstead.

- I'm on it.
- I'm right here, okay?

I'm right here.

- Ethan?

- So...

what... what happened down there?

- It's a hiatal hernia.

Acts up sometimes.

- Really?
- You know, I thought...

I thought maybe it had
something to do with something,

you know, that Mr. Zorin said.

- Well, sometimes the stress

of dealing with
the patient can set it off.

- What was that word that he
kept on repeating?

It's Russian slang for
a psychiatric hospital.

And I'm guessing

that's where he developed
his phobia to rats.

- So rats in a hospital?

- Do you have
something stronger?

- Are you sure
that's a good idea,

I mean, for hiatal hernia?

No, of course not.

- Boy.
- You know what?

There's an emergency
down in the ER.

- Sure.
- You going to be all right?

Yeah, yeah.

- Do you mind just waiting
a few more minutes

until I get back?

I just had a couple more
questions about the patient.

You know what?

I'll get you some Lansoprazole,
make you feel better.

All right?
Be right back.

- Hang a unit of O blood,
and trigger the MTP.

- Satting at 85.

- He's not protecting
his airway.

Start bagging.
I'll intubate.

Twenty of etomidate, 100 of SUX.

- X-ray.

- Ethan, you're going
to be all right.

- Okay, I'm in.
- BP, 90 over 55.

Heart rate, 119.
Blood's going in.

- Clear.

We have left side hemothorax.

I'll put in a tube.

- No, I'll do it.

Okay, hang two more units
on the rapid transfuser.

- BP 100 over 70.
Heart rate, 110.

- Better.
Let's take him to CT.

My... what happened?

- He got shot by this guy.

- Right with me, trauma two.

- Neil Dietrich, 25...
- Go away.

Suspected concussion.

- He took the red pill away.
Delete.

- You know he was here
a couple weeks ago, right?

Patient of Dr. Archer's.
I consulted on the case.

Completely delusional,

thinks he's living in some kind
of computer simulation.

- He took the red pill away!

- Image is lousy, too much
scatter from the bullet.

We need an MRI.

- No, can't.
The bullet is pseudoferrous.

It will heat it up.
All right.

We can assume
he's got a cord hematoma.

He needs surgery.
- Well, hold on.

The hematoma may
or may not be a problem.

- All right, look.
The bullet is near the cord.

All right? This can be more
than just spinal shock.

Early decompression is the
right course of action here.

- Well, what if you injure
the cord, create a CSF leak?

Then he's paralyzed.

Profusion precautions
in the ICU,

hematoma could very well
resolve on its own.

- Yeah, unlikely.
All right.

And I've spent a career
treating gunshot wounds.

- I think my tenure in the ED
in Chicago

gives me some insight into GSW.

- Your animosity towards
Dr. Choi is well-known.

You've resented his authority
ever since he was made chief.

I don't think you're capable

of making an
impartial clinical assessment.

- Whatever my issues
with Ethan might be...

- They aren't affecting
his clinical judgement.

- As if you're in a position
to judge.

I am taking him into surgery.

- Hey, surgery is
a neurosurgeon's decision,

not yours.
- That's right.

- Okay.

Okay.
Fine.

Call neurosurgery,
but know this, both of you,

that every minute
we delay surgery

puts Dr. Choi at greater risk.

- Mischa, I am so sorry.

- Dr. Marcel,
I have a patient on bypass.

Her chest is open.
Where is my heart?

- Dr. Latham, I thought
I mentioned the myxoma invaded

the interior mitral leaflet.

- Yes, but the clock is ticking.

How much longer?
- Hold on.

- Dr. Marcel?

- I'm still repairing
the leaflet.

Okay.
Here we go.

It's all yours.

Let's proceed.
- Okay.

Thank you.

Where would you like to begin?

- On the kidney.
- Okay.

- All right,
lighten the sedation.

- Ethan, can you hear me?

- Ethan?

- Ethan, this is Sam.
Can you blink your eyes?

Ethan, can you blink?

Okay, good.

Can you wiggle your toes?

- Ethan, come on.
Try to wiggle your toes.

- Okay.

- It's clear there's a weakness
in his lower extremities.

- Perhaps my input's not needed.

- Sam, what do you suggest?

- Well, if we don't take him
to be operated on

as soon as possible,
then it will only get worse.

- Why don't I just go home?
- Laminectomy, right?

- Yes, laminectomy.

- Maggie, would you please open
the hybrid OR?

- Unless you want to
take him upstairs.

- It's better for the patient
to avoid the trip.

Hybrid OR will do.

- Where is he?
- Treatment five.

- Mischa?

- He was found in
the parking garage,

seems to have
fallen down the stairs.

Respiration is 10,
smells of alcohol.

- He lose consciousness?

- Can't say, but you see
the head injury.

- Mischa, can you tell me
what happened?

Mischa, can you hear me?
Do you know where you are?

- We need to clear a C Spine.
- Leave the collar on.

Send him up for head
and neck CT.

Hang in there, buddy.

We'll get you all fixed up,
okay?

- Bullet's accessible.

- I just heard about Ethan.
How's he doing?

- They got the bullet.

- Hematoma is minimal.
You can close.

- Hold on, there are
retropulse bone fragments.

- Yeah, I'm aware of that.
- But we need to extract them.

- His spine is decompressed.
That's all we need to do.

Any damage from the fragments
already been done,

and we'll only make things
worse, going after them.

- No, listen, we're here.
We're open.

Let's find the fragments,
and then we'll fuse the spine.

- That's a longer, riskier,
more invasive surgery.

- But it will allow Ethan

to begin the recovery process
immediately.

- Yeah, if he isn't paralyzed.

Chasing bone fragments is
more dangerous than it's worth.

- Dr. Abrams
makes a good point.

- That is so distracting.
Would you turn that off please?

- You should close
him and start...

Damn it.

- Maybe Ethan needs
a neurosurgeon

who's more confident
in his abilities.

- That person doesn't exist.

- Well, then.

- What do we know
about Dr. Choi?

- He's still in surgery.

- Okay, listen.
He e-mailed me last night

and said, from among
the med students auditioning,

he decided to go
with Vanessa Taylor

to come back and rotate
in the ED.

- At first I thought
about quashing it,

but then that wouldn't be fair
to Ms. Taylor.

- No.
- I take it

you haven't told her
who you are.

Good.

I'm counting
on your professionalism

to treat her like
any other med student.

- Absolutely.
- I mean it, Maggie.

No favoritism,
no special treatment.

Dr. Virani, a word, please?

- Of course.

- How are you feeling?
- Terrible.

- Well, I mean, you did drink

almost 800 milliliters
of 90 proof whiskey.

- I'm so sorry
about the whiskey.

I normally don't
drink that much.

- Look, I'm sorry, again, for
dashing out on you like that

and leave you hanging
for so long,

but it turns out that
a member of our staff was shot

by a delusional patient.

Yeah, he's in surgery now.

My God.

- Mischa, here's what
you can do for me, all right?

You can tell an old friend...
what's really going on here?

- Your Mr. Zorin
was never psychotic,

and the worst thing
you can do for him

is confine him
to the psychiatric ward.

- Do you know him?

- No, not personally, but I
have known others like him.

The sluggish schizophrenia
is a phony diagnosis,

which was given

to political dissidents

in order to incarcerate them,

and specific
psychiatric hospitals

were nothing more than prisons,

awful places,

and that's why Mr. Zorin
reacted so violently

when he woke up
and realized where he was:

his worst nightmare.

Yeah.
In the Soviet Union,

psychiatry was weaponized.

It was used to punish.

- So, Mischa, were you already
practicing at this point?

- You're asking,
did I participate?

You can't understand
that we were trained

that Soviet Union

was the most perfect
form of government,

and if someone was against it,

they had to be insane.

Political deviance was
a failure to grasp reality.

I mean, still though,

that must have been
very difficult.

- It was a different world.

It's like this man
who shot your colleague.

We were all delusional.

- The heart is in place.

- Okay, steroid.
- Dosing.

Remove the cross clamp.

- Okay.

- It's not beating.
- Give it a moment.

- I need to step out.

- Come on.

- Hey, she's good.

- We were able
to pace the heart,

and once we got it jump-started,

it continued on its own.

- My God.
- Yeah, contractions were good.

The repaired mitral valve
is working well.

She's going to be okay.
They're closing her up now.

- Crockett, thank you.
- Yeah.

- Thank you.

God.

I wasn't fair to you.

I wasn't fair,
and I wasn't honest.

- Look, I understand
why you cut me out.

I just wish you felt
you could've trusted me.

- How is that for irony?

I was always talking to you
about commitment,

that you needed to trust.
- Yeah.

Look, Natalie.
I want you to know...

Regardless of everything,

I'll always be grateful to you.

- Why?

- Well, my life was
pretty empty till I met you.

Closed off, a lot of fears.

You showed me what could be,

how to take a chance.

- Any news?

- Still too soon.

Everything all right
with Goodwin?

- BP 90 over 48,

heart rate 50,

85 over 42.
Heart rate, 45.

- He's in shock.
Betty, what's going on?

- We haven't lost any blood.
- God...

- I didn't give him
anything different.

It's not a reaction to the meds.

- Volume status?

- Good, and he was
ventilating fine.

- It's not cardiac or pulmonary.

- Ventral and lateral cords
are well-decompressed,

no active bleeding.

- It's neurogenic shock.

Something must be pushing
on the cord ventrally.

- 81 over 40, heart rate 39.

- Betty, up his meds
and pressers.

- On it.

- Okay, paddles ready
in case he codes.

- Heart rate's down to 35.
- He's bradycardic.

- Dean's brilliant idea
is going to kill Ethan.

- Dopamine drip, Riluzole 50
milligrams down the NG tube,

and start
the Solumedrol protocol.

- You need to decompress
the other side of the spine.

- I know what I need to do.

- Still falling, 73 over 39,
heart rate 33.

- Goddammit.

- Rod distractor
and set screwdriver.

Distracting the spine now.

- He's gonna code any second.

- Done.

- Vitals improving.

90 over 55, heart rate 43.

Now 110 over 65, heart rate 60.

- Drill.
Get the second rod in.

Then you can close.

- We'll need O-Maxon
and a large needle driver.

There.
All worked out.

- They did it.

- And?

- He pulled through.

Thank God.

This day...

- I got to see Ms. Goodwin.

I'll be right back.

- It's my understanding that
you took drugs from the trial

and gave them to Dr. Manning's
mother without authorization.

- That's correct.

- As a result, Dr. Halstead,

Kender has pulled the trial
from this hospital,

which you know has major
financial implications.

There's the immediate loss
of revenue, of course,

but it's also safe to assume
that Kender will be reluctant

to run trials here
in the future.

You have anything to say?

- Ms. Goodwin, I was trying

to help a patient
in desperate need.

- At the expense of the trial

and all the other patients
that might benefit from it.

You know,
you asked me last summer

why I didn't name you
as chief of the ED,

and it's precisely this kind
of reckless behavior

that, at this point, I have
no choice but to address.

You're fired, Dr. Halstead.

- Heard you're going to be
joining us.

Congratulations.
- Thank you.

- Believe me, you're gonna
get an education.

- I know.
- Congratulations, Vanessa.

- Thank you!

- I heard.
Congratulations.

- Thank you.

We need to talk after work.

- Okay.

- Ethan?

Hi.

- April.
- How you doing?

- I'm okay.

- You would say that if you
were lying on a bed of nails.

The bullet was lodged at T6.
You had a laminectomy.

Dr. Archer insisted
on a corpectomy

to remove bone fragments, and...

it was the right call.

They say you'll need PT

but that eventually you'll have
a very good outcome.

Ethan...

ever since you and I broke up...

I've tried really,
really hard to move on from us.

But seeing you brought in
this morning on that gurney...

Everything just
came back to me...

Just how much I love you.

- Come in.

- Ms. Goodwin.
- Dr. Archer.

I understand
you did yeoman's work

treating Dr. Choi today.

I just did what
I thought he'd want.

- I assume he'll have
a protracted convalescence.

You know, when Dr. Choi hired
you, he sang your praises.

He had great faith
in your abilities,

and everything that I've seen
lately only supports that.

So, if you're willing...

I'd like to name you
interim chief of the ED

until Dr. Choi
can resume his duties.

- Well, I'd be honored,

and I'll do my best to

maintain the standards he's set.

- Good.
I think he'd be pleased.

- Yeah, thank you.
Thanks.

- It doesn't matter what happens

or where you take me, okay?
It's all fake.

My real body
is floating in a tank, drugged,

interfacing
with the master computer.

Are you listening to me?

- How did we get here?

There's just so many troubled,
lost souls.

- Mischa, do you remember
the delusional patient

I was telling you about,

you know,
the one who shot my colleague?

- Yes.

- Well, you compare
yourself to him,

saying that living
in the Soviet Union

was like living
in a different reality, right?

And I was thinking,

the difference is
is that this guy,

I mean, he's insane.
He's clinically delusional,

whereas you
and your colleagues...

- Daniel, why do you
torture me with this?

- Mischa, I'm so sorry.
- That's not at all my intention.

I'm actually trying
to figure out a way

that we might help Mr. Zorin.

- "We"?

How can I possibly help
this poor man?

- You know what?

I think that you might be
ideally suited to the task.

I think...

these were a mistake.
Let's get them off.

- April?
This just came in for you.

- From the NP admissions
department.

- Yep.

- Boy.
- Okay.

I got accepted!

- Of course you did!
How about that?

- Hey.

- Listen, I...

I love my parents.

They're caring,
wonderful people.

They adopted me
when I was an infant.

But you know that.

You know, I...

I kept wondering why
you were so interested in me,

why you would look at me
the way that you do.

You know, my parents,
they always said to me

that they would help me
find my birth mother,

but I wasn't interested.

I mean, I was happy.
What would've been the point?

Anyways, it...

it wasn't difficult for me
to find out who you were.

- Vanessa, I...
- I've worked my whole life

to get where I am.

If anybody thought
I was accepted here

just because
I'm your daughter...

- I... no.

That was entirely
on your own merit, honestly.

I had nothing to do with it.

- I hope so,

because I'm not going
to give up this opportunity.

- You shouldn't.
There's no reason to.

- I don't want anyone
to know about us.

- Of course, and...

they won't.

- What did you want, Maggie?

- I just...

I wanted to meet you.

- It wasn't right.

You coming into my life like
this,

it... it just wasn't right.
- I know, I...

- Mom?
- Natalie.

- Hi.

Am I alive?

Yes.
You are alive,

and you are going to live
for a long, long time.

Mrs. Conte.

- Thank you?

Who was that?

- He is the best CT surgeon
in Chicago.

Wow.

- Hey, Carol.
You did great.

Nat, can I see you a sec?

- Sure.
- Yeah.

- Mom, I'll be right back, okay?

- Okay.

- It's about Will.
- What about him?

- Goodwin fired you?

- Just let it go, Nat.

- Because of my mom's pills?

Will, did you tell her
you took them?

Answer me!
- I had to.

- Why?

- It's everything, everything
we've been through,

everything we've been
to each other.

What else could I do?

- Tell the truth.

- No, I think a change
will do me good.

- No, Will, I'm sorry.
I cannot let you do this.

- Nat, I'm okay.
Really.

- Will, please don't do this.

- It's done, Nat, so...

it's done.

- Hey.

You up for a little visit?

- Yes, ma'am.

- No, no, please don't.

You know, when I saw you
get shot this morning,

I immediately thought,
"Hate crime,"

and I've since learned
that wasn't the case.

- No.

- But that's exactly
where my mind went.

This has been a difficult year,

the madness, the heartache.

I have to admit, Dr. Choi,
I'm a little bit shell-shocked.

- I know.

- Yeah.
I'm sure you do.

Well, I'll let you rest.

You need to heal.

- We all do.

Ms. Goodwin?

- I may be down,
but I want to get back up.

- I'm counting on that,
Dr. Choi.

I'm counting on that.

- Ms. Goodwin?
- Yeah.

- You have got to reinstate
Dr. Halstead.

- Dr. Manning, I realize
that you two are close...

- No, you don't understand.

I was the one who stole
the trial meds for my mom.

I am the reason the trial
was canceled, not Will.

He said that to protect me.