All language subtitles for chicago.med.s10e04.720p.web.h264-skyfire_track3_[eng]

- It's a death threat.
I've done this job a long time.

I've pissed off
a lot of people.

- I wouldn't take this lightly.

[tense dramatic music]

- I have determined that

you are a significant danger
to yourself.

- How dare you?

You're gonna sit there

and you're gonna tell me
what's inside my head?

- The only thing we wanna do
is to help you.

- You have a beautiful family.

- Thank you for
taking care of my girl.

- You are gonna see her
when you wake up.

It's gonna be OK.

- Oh, my God.
- She's flatlining.

- No. No!
- Time of death, 22:31.

[Hannah crying]

- I need to see my baby.

- Right now, we need
to get you into surgery.

- Am I gonna be OK?
- That's the priority.

- I'm not going under
until I see Ruby, please.

[tense somber music]

♪ ♪

[Hannah sighs]

- Open a vaginal tray
in the Jada.

- Hemabate is in.
- Give 2 grams of TSA.

- Hi, Ruby.

I'm your mom.

I've loved you for so long.

I want so much for you.

♪ ♪

- She's back in defib.

- Charge to 120.
- Clear.

[defibrillator thumps]

- Right angle retractor.
- No.

- Another milligram of epi.
- She's flatlining.

- No, no.

Come on, come on, come on.

[flatline tone droning]

- Time of death, 22:31.

[tense somber music fading]

- Hey.

Uh, Ms. Wilson's labs
came back.

Everything looks good.
H2 blocker and discharge?

- No.

No, not yet. That's--

[Doris sighs]

- You wanna run another test?

- I'd like to get an MRI of
your chest and your abdomen.

[patient sighs]
- Dr. Asher,

could I steal you for a moment?

- Mm-hmm.
I'll be right back.

- All right.

- Why has this patient been
in the ED over three hours

for heartburn?

- Because heartburn
in pregnancy

can be a sign
of more serious conditions.

- All of which you've already
tested for and ruled out.

- I haven't ruled out
an aortic dissection.

- Her vitals are stable.
Her symptoms don't line up.

- It could be
an unusual presentation.

- You're reaching, Dr. Asher.

- [sighs]

- When was the last time
you went home?

Patient has reflux,

give an H2 blocker
and discharge.

- What's up, guys?

- I had nothing to do with it.

- Me neither.

To be honest,
I was a way bigger Nick fan.

I just find your character
kind of annoying.

No offense.

- None taken, Kai.

[chuckles softly]

[soft dramatic music]

You think maybe people will
forget about this soon?

- I think you gotta expect
a solid month of ribbing.

- Hmm.
- Yeah.

It's not every day
you find out your colleague

was a teen heartthrob.

- Ah.

- But hey, joke's on them, right?

- How do you figure?

- Well, according to Loren,

random women
just throw themselves at you.

- Guilty. Yeah.
[chuckles softly]

- And I bet you're
the only resident here

not drowning
in med school debt.

- Right.

- See you out there, Hollywood.

♪ ♪

- Jackie!
- Hi.

- Oh.

What are you doing here?

- You don't know?

I'm working here.

- Wait, you're the new nurse!
- Yeah.

- [sighs]
I realized I was onboarding

a new transfer today, but
I didn't realize it was you.

But that's great.
- Oh, OK.

Is this--it's--this is--

it's not lost on me that
this could be weird for you.

- What do you mean?

- Well, working with me
after you found me

bleeding on the bathroom floor.
- Stop it.

But no, not at all.

- Maggie, where are we going?

- OK, I gotta go.

- Yeah, of course. Go.
[Maggie sighs]

Dr. Charles.

- Jackie, hello.

- Hi.
I owe you an apology.

[chuckling]
Uh, for my, uh...

colorful word choice
the last time I saw you.

- If memory serves,

"condescending prick"
was a highlight.

- Yeah, yeah.

Well, in my defense,

you were trying to commit me
to a psych ward at the time.

- Totally fair.

- Daniel.

I, uh, need an opinion.

- I'm gonna go
change into my scrubs.

- Great to see you again.

What do you got?

- Headache.

I just hate this texting crap.

- Texting crap?
- Yeah.

It's--it's ruined the already
fragile art of communication.

Boy, I tell ya.

- And, uh, how can I help you
with this one, Dean-o?

- All right, so this is
a message from Margo, right?

"Got time
for an afternoon coffee.

We should talk."

I mean, I don't know.

Is she asking
to move in together,

or is she about
to break up with me?

- You know,
considering that my girlfriend

just transferred to another
hospital to get away from me,

I'm not positive that I'm
the guy you should be asking.

Maybe, you know,

consult a member of the, uh,
the female persuasion?

Oh, look,
there's one right there, see.

- Do you--

Hey, Hannah. I, uh--
I need an opinion.

Hannah?
Earth to Hannah.

- Sorry, what? What's up?

- Are you getting any sleep?

- No.

- It wasn't your fault.

- Please, don't. I don't want--

- OK.

[tense somber music]

- We're going to Trauma 1.

- 35-year-old female,
Tessa Myers.

Appears to have experienced

some kind of blunt force trauma
to the eyes.

- Neighbors heard screaming
from her apartment.

PD is investigating it
as a possible assault.

She was highly combative
at the scene.

Tried sedation, but, you know,
she wasn't responding,

so we intubated her for safety.

- She couldn't see.

I think she was afraid
we were her attacker.

- OK, folks, on my count.

One, two, three.

Let's get her on a vent.

- Thank you so much.
- Yeah.

- Thank you.
- Yeah.

- You need me to tap in?
- No, no, I got this one.

- You sure?
- No, go ahead.

Um, why don't you take the
ankle sprain in Treatment 3?

- OK, yeah. Great.

[tense music]

- Her eyeballs are
as hard as marbles.

- Mm.

- She must have
retrobulbar hemorrhages

and orbital compartment
syndrome.

I need to release the pressure.

- Right,
I'll page ophthalmology.

- I mean I need to release
the pressure now.

Get Kai and grab a lac kit.
- Yeah.

- You're gonna slice open
her eyelids?

- I'm gonna cut lateral to her
eyelids, but yes, basically.

♪ ♪

You ever do
a lateral canthotomy?

- One. You?

- This will be my second.

- That's reassuring.

- Scissors.
- Scissors.

♪ ♪

- You ready, Kai?
- Ready.

♪ ♪

- That isn't
from blunt force trauma.

- No.

These are chemical burns.

Someone poured acid
in her eyes.

- Well, good morning,
Ms. Administrator of the Year.

- Bow when you speak to me.
[chuckles]

- Picking up my suit
at the dry cleaner's at lunch.

- Well, thank you again
for doing this for me, Daniel.

- I'll be your arm candy
any day of the week.

[Goodwin chuckles]

But, uh, where's, uh--
where's Dennis?

- Keynote speaker
at an oncology conference.

- Oh.

- What--[sighs]

Where's my--

- What?
- Oh.

- Hmm?

I wonder what,
uh, happened there.

- I don't know.

Maybe it was housekeeping,

but it's odd they didn't
leave a note.

- Hmm. We just gotta
swap out the glass, right?

- Yeah, yeah.

No.

No, that's--

That's not what concerns me.

Listen, Daniel.

A few days ago,
something happened.

- OK.

- I received a letter,

a death threat.

- What?

Sharon, you're just
telling me about this now?

- Well, HR asked me to keep it
quiet while they investigate.

- Well, did they find out
who sent it?

- Not yet,

but working theory is
a disgruntled former employee.

- So, like, maybe somebody
who got let go during the--

the Jackson-Monroe bloodbath
or something?

- Well, they've been
interviewing everyone

who was fired, but so far,

they've just eliminated people.

♪ ♪

- It appears the sole intent
was to blind her.

- Any suspects?

- With crimes of this nature,

it's often
intimate partner violence.

There were no signs of forced
entry at Tessa's apartment.

- Does Tessa live with anyone?
- She did.

Neighbors reported
hearing arguing between Tessa

and her ex-boyfriend
a month ago when he moved out.

We're tracking him down now
to interview him.

- She suffered
significant second-

and third-degree corneal burns.

- And can her vision
be restored?

- Once I surgically debride
the necrotic tissue,

I'll have a better idea
of how much is viable,

but I'm optimistic.

- Thanks, Dr. Baker.
- Of course.

- Let's finish her trauma
workup with a panscan.

Continue to irrigate her eyes,
start topical and IV steroids,

and, uh,
let's wean her sedation.

- Will do, Dr. Ripley.

- Thanks, Maggie.

- Ankle sprain is stable
and ready for discharge,

so where do you need me?

- You know what would
be a huge help?

If you can restock
the supply room.

- Do you not want me
on the floor?

- Oh, we're covered for now.

[sighs] You'd be shocked
how fast we run out

of supplies on a busy morning.

[indistinct PA announcement]

- Asher.

Hey.
- Hey.

- Hi.

You ever gonna stop
dodging my calls?

[Hannah takes deep breath]

- I'm not dodging you.

I've just been swamped
with work.

- Are you OK?

I know your case last week
was rough.

- Can we not?

- Yeah, I--I just--

- Yeah, I know,
but I'm just, I'm...

fine.

- Yeah, yeah.

Hannah, I need to apologize.

I never should have blown up
at you like that over Sully.

You were...

just trying to stop me
from imploding my life.

[soft dramatic music]

Sully, of all people,
set me straight.

You believe that?

- Not really.

[chuckles]

♪ ♪

- Can I take you out
to dinner tonight?

To catch up?

[elevator bell chimes]

- You know,
I picked the short straw

and I gotta
work the night shift.

♪ ♪

But soon.

- Soon.

♪ ♪

- All right, just tell me
how this feels, OK?

- Hurts.

- All right.

When were you diagnosed
with Crohn's, Laura?

- Uh, when she
was pretty young.

Five, I think?

- Anything before
the age of six

is considered
to be very early onset.

- You know,
my timeline might be wrong.

She could have been
a little older.

Her mom was always better
at handling that kind of stuff.

I'm not great with details.

- Well, it certainly
looks and sounds

like a Crohn's flare-up to me,

but I'd like to get a few labs
and then just afterwards,

take a CT of Laura's abdomen
just to be sure.

- Uh, is that really necessary?

Laura already went through
all the testing

when she was first diagnosed.

- Because Crohn's affects all
the layers of the intestines,

it can lead to complications
which present like flare-ups.

Things like fistulas,
which, if infected,

can lead to an abscess and--

- Yeah, I just gotta be honest.

Kind of sounds like
a fishing expedition.

Like you're just trying
to pad my bill here.

- Well, that's not the case.

But how about this?

We'll start with just the labs

and if Laura's white blood
cell count comes back normal,

we'll skip the CT, OK?

- That's just taking my blood, right?

- Right.

- I can handle that.

- Is that OK?

- Fine.

- Doris, let's get a CBC, CMP,

CRP, ESR, a lipase,
and a UA, please.

- You got it.
- Thank you.

- Sandra. Hey.

How's Ruby Thompson?

- Oh, baby girl's doing great.

Maintaining her O2 sats
off oxygen.

Just working on
coordinated feeds with Dad,

and she should be able
to go home tomorrow.

- Dad? Elise's--

Elise's husband is here?

- Got in late last night
from Turkey.

I'll let Mr. Thompson know
you're here.

I know he's eager to speak--

- You know,
I gotta get back to the ED,

but I will check back later.

- Oh, OK.

- OK. You're OK, Tessa.
- [muffled shouting]

- You're OK, Tessa.

We have you in restraints

to prevent you
from hurting yourself.

- Tessa, Tessa.
- OK.

- I wanna remove
this tube for you,

but I need you
to calm down first.

Your heart rate and
blood pressure are too high.

Can you try and relax for me?

- [breathing deeply]
- That's it.

Just take nice, deep,
slow breaths.

That's it.
- OK.

- OK, Maggie,
let's get her more upright.

- Yeah.

OK.

I'm gonna bring you up
now, Tessa.

There you go.

- Tessa,
on the count of three,

I want you to cough out
as hard as you can, OK?

One, two, three.

[Tessa coughing]

- I can't be here!
I can't be here!

- You're OK.
You're safe, Tessa.

- What's this?
And what are you giving me?

- Just IV steroids to reduce
the swelling in your eyes.

- Just stop.

- No, it's--
- Remove it now!

- Tessa,
it's to restore your vision.

- I don't want
my vision restored!

- I don't understand.

- I did this to myself.
I don't wanna see!

Let me out!
Just stop, please!

[ominous music]

- Tessa, I'm Dr. Charles.

I was, uh, hoping I could
get just a little more--

- [sighs] Let me guess.

[scoffs] You're a shrink.

- In fact, I am.

- Oh.

Happy day.

- Not your first conversation
with a shrink--

- No.
- Is what I'm getting?

- No.

My entire childhood,

I was dragged from
one psychiatrist to another,

medicated until I was a zombie,
long stays in the psych ward.

It was torture.

- Well, I'm really sorry
to hear that.

- Well, save your pity.

All that to say,
I know my rights.

- OK.

- You can't force treatment
on me against my will

without a court order.

[ominous music]

- Correct.

- And the most you can do

is put me on a 72-hour hold

if you think
I'm a danger to myself.

- Well, I mean,

do you think you're--
you're a danger to yourself?

- No. I didn't drink the stuff.

I put it in an eyedropper,
so do the math.

I don't want to die.

I just don't want to see.

Why?

[somber music]

I don't have a clue.

But if you're gonna
put me on a hold,

please just do it now.

- I really just wanted to talk.

- Yeah, I'm done talking.

♪ ♪

- I learned so much shadowing
many of you last week.

It got me thinking

you all should have
the opportunity

to learn from
each other's cases,

so I'm instituting
a weekly ED case review.

I will choose
a recent case of note,

and we will discuss
how we arrived

at either a good
or bad outcome.

What happened?
What did we get right?

What did we get wrong?

Any questions?

- Are these mandatory?

- They are an excellent
educational opportunity

that I hope everyone
will take advantage of.

But no, Doris, not mandatory.

[indistinct chatter]

I'd like us to look
at Elise Thompson's case today,

your maternal mortality
from last week.

Be prepared to present the
sequence of clinical events.

OK?

- Mm-hmm.

- I confirmed with Mirabelle

that no one from housekeeping
broke the frame.

As a precaution,
we'll change your locks

and install cameras
inside and outside your office.

- OK, we're also gonna need
additional security

for the donor gala tonight.

- Unfortunately, it's gonna
be impossible to get people

this close to the event.

- Sharon--

- Look, if you're concerned
about the hospital's

potential liability,
I'll sign a release, OK?

- I was more concerned
about your safety.

- [sighs]

I'm sorry.

- Look, if the roles
were reversed--

- I would ask you to stay home.

I know.

Look, I'll--

I'll ask Daniel to accept
the award on my behalf.

- OK.

- Hey.

Laura Finley's labs
just posted.

- Thank you.
- Yeah.

- I'm not seeing
anything concerning.

- Mm.

- Did you get the info on her
previous primary care doctor?

I wanna see
what they had her on.

- Well, I asked her dad,

but he couldn't
remember the doctor's name.

- Really?
- Mm-hmm.

Mr. Finley was able to tell me
Laura's medications and doses,

so I made a note in the chart.

- Off the top of his head?

- Mm-hmm.

- That's pretty impressive
for a guy

who isn't good with details.

And I thought she hasn't had
an appetite for days.

Do me a favor, Doris,
and hold off

on uploading Laura's labs
to the patient portal.

If her dad asks--

- I'll let him know that
we're waiting on the results.

- Yeah.

- This ain't my first rodeo, kid.

- Noted.

- So I didn't get much
out of her at all.

But if I were to guess,

I would say that she was
suffering from some form

of body integrity
identity disorder.

- Isn't that people who want to
have a healthy limb amputated

or be paralyzed?

- Those are
the more common cases,

but there have been reports
in the literature

of people who, you know, wanna
be blind or visually impaired.

This condition is excruciating
to live with,

leading some sufferers,
you know,

to take drastic action,
as you can see.

- If I don't operate soon,

Tessa can lose
more than just her eyesight.

If she develops
orbital cellulitis

and it travels to her brain
via the optic nerve,

she can develop
a cavernous sinus thrombosis

or meningitis.

- This could kill her.

- Hey.

Ah, there you go.
- Hey.

- So, uh, to what do I--

- Hey.
- Owe this--

- Have you spoken to Sean?

- Sean? No.
No, not for a couple of days.

Why?

- I had to let him go
from the rehab facility.

- What? What--what happened?
- Right.

Well, Sean and I, we have
very different philosophies

when it comes
to addiction treatment.

I mean,
you've seen that yourself.

- So--so what, you let him go
over a difference of opinion?

- Of course not.

Sean was becoming combative
with patients.

- Combative? How so?

- Uh, it's his way
or the highway.

And that's not how I operate.

You know, my patients,
they don't need lectures.

They need understanding.

- It'd be nice
if you could afford some

of that understanding to Sean,
but, uh--

- Excuse me?

- Ugh.
Margo, he's an ex-con.

- Uh-huh.
- Do you get it? All right?

It's not easy finding work.

This could be
incredibly destabilizing

to him and his sobriety.

- I get that this is
a very difficult situation

and I know how much
you care about Sean.

But that is--

it's wildly unfair.

I care about Sean, too,

but I'm not gonna be held
responsible for his sobriety.

- I'm not holding
you responsible.

I'm just asking you
to give him another chance.

- Or--

is this gonna
be a problem for us?

- Margo, you--you--

[scoffs]
You fired my kid.

Did you not think this
would have an effect on me?

- Frankly, I--

I wasn't thinking about you
at all, Dean.

♪ ♪

- You think she's faking her
symptoms at her dad's behest?

- I doubt she's ever been
diagnosed with Crohn's.

But since there's no definitive
test, it's easy to fake.

- OK, but why?

You thinking
Munchausen by proxy?

Dad's looking for attention?

- I think it's
the medication he's after.

All right, look.

These are the drugs
that Adam claims

his daughter was prescribed.

This immunosuppressant alone,

4,000 a month
without insurance.

It was just in the news, right?

After the price skyrocketed--

- People started selling it
on the black market.

This is, um--

this is a pretty
bold accusation.

We're talking not
only insurance fraud,

but faking a kid's illness.

That's--
that's medical child abuse.

You know I gotta loop
in DCFS, right?

- That's why I came to you.

All right? I need an attending
to sign off.

- Look, I agree there are
a lot of red flags here,

but once DCFS get involved,
it's out of our hands.

It becomes their investigation.

- Look, I wouldn't
be ringing the alarm

if I didn't smell smoke.

[soft suspenseful music]

- All right,
I'll make the call.

♪ ♪

- Jackie.
- Hmm?

- You did such a great job
with the supply closet.

Uh, I wanted to see
if you wouldn't mind

tackling the Pyxis next?

The narcotics need
to be verified--

- If me working in the ED is
gonna be a problem for you--

- It's not.
- OK.

Then why am I being relegated
to softball cases

and restocking purgatory?

- Oh, no. I'm just trying
to ease you back in,

let you get a lay of the land,
and--

- I've worked plenty of shifts
at the ED.

I know where things are.

- But, Jackie,
it's your first day back.

I just--

I just need to make sure
that you're--

- Stable?

- No, ac--acclimated.

- You know,
so much of this job is

seeing people through
the worst day of their life.

After what I just went through,

I have never been
better equipped to do that.

But if you don't trust me
with the patients, say so.

♪ ♪

- [sighs]

- [scoffs]

- [sighs]

- At that point, Dr. Lenox
and I rushed Elise to the OR

for an exam under anesthesia.

My initial assumption was
bleeding due to uterine atony,

however, there was no blood
found in the vaginal vault.

We opened the abdomen
and discovered

a ruptured subcapsular hematoma
of the liver.

Elise quickly went into DIC
and couldn't coagulate.

She exsanguinated
and then coded.

- Thank you, Dr. Asher.

So how did we get here,
to a sentinel event,

something we never want,
a maternal mortality?

Is there anything Dr. Asher
could have done differently

to affect the outcome?

- Obviously,
hindsight is 20/20,

so this is absolutely
not a judgment on Dr. Asher.

- We can do without
the sugar coating.

We're all adults here.

- If an abdominal ultrasound
had been ordered

prior to delivery, the hematoma
might have been discovered

before it ruptured.

- Sure, that's quite, um...

possible,
but there was no indication

to order an abdominal
ultrasound prior to delivery.

- Didn't Mrs. Thompson's
liver function test

come back elevated?

- Barely elevated.

Uh, but it was in line
with what you'd expect

to see in pre-eclampsia.

- She also complained
of abdominal pain

when she was admitted.

- Her abdominal pain was mild

and her belly was soft
and non-tender.

- I realize it wouldn't
be anyone's first suspicion--

- Or their 50th suspicion.

Nobody thinks
subcapsular hematoma

from mildly elevated LFTs and
abdominal pain in pregnancy.

- I thought it.

- Oh, give me a break.

You don't know what
you're talking about.

- Excuse me?

- Yeah, now you're just
running your mouth.

- OK. Wow, uh, I thought
this was an open discussion.

I didn't realize we'd be
subject to personal attacks

for merely expressing
an opposing point of view.

- Oh, I'm not attacking you.
Believe me.

- But if that's the case...

- You'll know
when I'm attacking you.

- I can find better ways
to occupy my time.

- Why don't we, um,
pick this up next week?

Hopefully,
everyone can brush up

on their discussion etiquette
before then.

- Hey.
What is up with you?

- What are you talking about?

- I don't need you to fight
my battles for me, OK?

- OK. Yeah, OK.

- Dr. Lenox?

I want to respond
to your question.

If I missed anything in regards
to Elise Thompson's care.

- OK.

- I think I made a fair point.

I've been thinking
about this a lot.

N-nonstop, actually.

Why didn't I order an abdominal
ultrasound post-delivery?

- Because you're not a psychic.

Archer was right.

No doctor would have suspected
a subcapsular hematoma.

- She was cold
after her C-section.

She was shivering.

- Completely normal
after childbirth.

- Or it's a sign of shock.

- I understand you are
hell-bent on finding something

you did wrong here.

But if you want
to assign blame,

it lands squarely on the doctor

who examined Elise
at her checkup two weeks prior.

If Elise had been correctly
diagnosed with pre-eclampsia

at that appointment, she would
have been induced immediately,

and the hematoma never
would have developed.

I agree that Elise died
because of negligence,

but it wasn't yours.

And I don't know why I'm
explaining any of this to you.

You're too smart a doctor

to actually think
this is your fault.

- Hey, Dr. Frost.

How much longer
on those test results?

I'd really like
to get Laura home.

- Uh, let me go and check
with the lab, all right?

- Well, maybe you could just

call us when
the results come in.

Like I said, we--
we know what this is,

and we know what medication
she needs, so--

- Right.

See, but, uh,
I can't write the prescription

until I get the lab results,
so--

- OK, yeah.
Then I think we're gonna go.

- Uh, Mr. Finley, hi.

I'm Dr. Ripley.
I'm an attending here at Med.

- How do you know my name?

- Dr. Frost asked me to consult
on your daughter's case.

- She's having
a Crohn's flare-up.

That doesn't take two doctors
to diagnose.

Laura, baby, it's time to go.
Come on.

- You're actually
not free to leave.

- Get your stuff together.
Let's go now.

- OK.

[tense music]

- Hey, look, don't do this, OK?

Please don't cause a scene
in front of your daughter.

- All right.
- Oh.

Hey, stop!
Hey, stop it! Let go of him!

Let go of him!
Let go of him!

Stop.
- OK, I can--

I can explain.
OK, it's not--

[slurring words]

- [screaming] No, Dad!
- Seizing.

- Seizure!
- Dad!

- I need backup over here.

- Get a pillow for his head!

- Grab an IV setup,

two of Ativan,
and the glucometer.

- Please!
Please help him! Please!

- We are, Laura, OK?
I promise.

It's all right.

- He has something
called neurosarcoi--

- Neurosarcoidosis?

- He hasn't been able
to get his meds for months.

- Do you know what he's on?

- Same ones he told the nurse.

They're his meds, not mine.

- Neurosarcoidosis
and Crohn's are treated

with overlapping medications.

- Why did your dad
go off his meds?

- Couldn't afford them anymore.

He lost his health insurance.

- Dr. Ripley, Dr. Frost,
Madeline Gastern is here.

- Who's that?

- Uh, show her
to the consultation room.

- Yeah.

- Hang tight.
We'll be right back, OK?

Madeline's with DCFS.

Just, uh,
follow my lead in there, OK?

- Can we just tell her
the truth?

- That Adam was using his kid
to commit insurance fraud?

- That he couldn't
afford his medications

and obviously was desperate.

- Means won't necessarily
justify the ends with DCFS.

The less we say, the better.

- Nancy, have you seen Jackie?

- Uh, I think she said
she was going to the bathroom,

but it was a while ago.

- I got so bad, I was causing
a lot of blood loss.

And, you know, as a nurse,
I knew how dangerous that was.

I knew it could--

I knew it could kill me.

But I couldn't stop

because it was the only time
I felt any relief.

Living just felt unbearable.

Tessa, I don't--

I don't presume to know how
any of this feels for you.

- It feels a lot like that.

- Yeah.

- Unbearable.

I can't focus my attention
anywhere, on anything.

It's just this...

constant barrage.

It's all coming at me at once.

It's like a waking nightmare.

- You know, when you experience
a visual overload like that

when your brain is taking in
more information

than it can handle,
it becomes overwhelmed.

And a very real, tangible,

physiological response
is triggered.

You know, there have been
some really promising

therapeutic breakthroughs
in the last few years,

like, uh, using,
you know, neurofeedback

and brain-computer interfaces.

And--
- No, I--

I can't give up the relief
that I finally feel

just on the off-chance that
a therapy might help.

It took me a really long time

to build up the courage
to do this.

And I don't wanna die, but--

- You can't go back
to living like that.

- No.

- Well, I'm not a doctor,
so I can't tell you

what the odds are
of these therapies working

or if you're gonna feel
the relief you feel right now.

But what I can tell you is
that about 2 1/2 months ago,

oh, I--

I was ready to choose relief
over everything else.

But I woke up this morning

so grateful to the people
in my life who intervened and--

[soft dramatic music]

And didn't let me do something
I couldn't undo.

[suspenseful music]

And I know that living
right now is so painful.

But I promise you
it's worth fighting for.

♪ ♪

- So what's up?
[Ripley sighs]

- I threw you under the bus.
I--I--

- What?

- I said you're a new resident,
still learning the ropes,

and you confused DCFS
with case management.

- [sighs]

Did it work or, like--

- Like a charm.

And it especially
helped that, uh--

well, yeah.

- What's this?
- [chuckles]

My daughter just
loved your show growing up.

- [chuckles]

- Uh, Dr. Ripley said

you wouldn't mind
taking a picture?

- Yeah. Of--of course.
- [laughs]

Let's do it.
- He'd love to.

- [laughing]
Jenny is gonna freak.

[laughter]

- OK.
On the count of three.

Say "Nick of Time."

One, two, three.

both: "Nick of Time"!
[both chuckle]

♪ ♪

[tense music]

- Can I help you?

♪ ♪

- [stammering] Ms. Goodwin, hi.

- You know my name.

What's yours?

- My name is Fred Murray.

I work with the HVAC crew.

- And what are you doing
in my office?

- Well, I came through
last night to clean the vents

and, um--

[sighs] Gosh, I'm real sorry.

I--I knocked over your picture
with one of my tools.

- Oh.

- Spent all day trying
to find the same frame.

I went to, like, ten
different stores. [chuckles]

I know it's
not exactly the same.

- It's close enough.

Thank you, Mr. Murray.

[soft peaceful music]

♪ ♪

[Ruby crying]

♪ ♪

- [sighs]

[knocks on window]

[Ruby crying]
- Yes.

- Mr. Thompson?

I'm Dr. Hannah Asher.
We spoke on the phone.

- Oh, you're, uh--

you were Elise's doctor.

- Again,
I can't begin to express

how sorry I am for your loss.

- Thank you.

- I wish with all my heart
that I could have saved Elise.

[soft somber music]

I only knew her
for a short time, but--

- Ah. [chuckles softly]

But she makes an impression,
doesn't she?

[chuckling] Yeah.

And you, you made an impression
on her, too.

When she called me
after Ruby here was born,

she said she wished you were
her OB the whole pregnancy.

That you were the first doctor
to really listen to her.

Oh. Oh, that's OK.

OK. Yeah, I got you.

I got you. I got you.

Yeah.

[softly] Yeah.

Do you wanna hold her?
[Ruby squeals excitedly]

- Oh, yeah, I'd love that.
Yeah.

- Yeah? OK.

Here you go.

- Hi, baby.

- Yeah, it's OK.

- Hi, Ruby. Oh, oh.

[Ruby cooing]
Hi, Ruby.

[softly] Hi, Ruby.

Oh, boy. Let me put you--

[tender music]

She's so beautiful.

- Just like her mama.

♪ ♪

- So looks like, uh,

Tessa's gonna let us
call her ex-boyfriend.

- That's a good sign, right?
- I think so.

Apparently,
he broke up with her

over her refusal to get help.

And she cut her family off
years ago.

And I guess ultimately,
he just couldn't handle

feeling like he was
the only one

responsible for her well-being.

- If Tessa is willing
to reach out to him,

maybe it's a sign that
she's ready to get help.

- That's my hope.

- Yeah.

- Listen, Mags, I just--

I just can't help wondering

wouldn't Jackie be of more use

if she was just back
on the floor

instead of stuck
in some supply closet?

- It's not that I don't trust
Jackie with patients.

I think she's
an excellent nurse.

I just don't want anything to
throw her off and trigger her.

Maybe I feel--

feel responsible for her.

- Jackie had to be cleared by
a whole team of psychiatrists

to come back to work,
and they knew

she would be returning
to an environment

where she was gonna
encounter trauma, right?

Emotional,
physical on a daily basis.

They clearly felt
she was ready.

And I gotta tell you
based on my experience

of Jackie back at work today,

I have to agree.

So, uh, I don't know.

Think about it?

[somber music]

♪ ♪

- I asked someone from our
case management department

to come meet with you.

And they are going to
go over your options

and help you enroll in a local
medication assistance program.

In the meantime,
we'll send you home

with a month's supply
of everything that you need

to help get through the gap.

On the house, so to speak.

♪ ♪

- Yeah, sorry.
It's just, uh--

[sniffles and chuckles]

It's--it's been so hard

trying to navigate this
after I lost my job.

I probably spent over 50 hours
on the phone.

Sent hundreds of emails,

you know, filled out
one application after another.

So when you tell me
you're gonna help...

[sniffles]

[sighs]

Thank you.

♪ ♪

- Dr. Lenox, hey. Hi.
- Hi.

- Uh, any chance you can spare
Dr. Asher on the night shift?

- Does Dr. Asher want that?

- Who wants to work
the night shift?

- Dr. Asher.

- [chuckles]

Wait, what?

- She requested it.

- Hey, man.

I-I really
jumped the gun today.

- Eh, you were right.

There was something fishy
going on.

- Yeah, but I could have
saved everyone some grief

had I dug a little deeper
and not rushed to judgment.

I have a hard time
giving people

the benefit of the doubt, sometimes.

Parents especially.

- Mm.
Maybe, uh--

maybe a little projection
going on there?

- Yeah, maybe. [chuckles]

- Card-carrying member of the
Crappy Parents Club myself,

if it's any consolation.

- Yeah?
- Yeah.

- What'd they do?

- Just your run-of-the-mill
abandonment.

Yours?

- They managed--

mismanaged my career.

Stole a lot of money from me.

I worked basically
my entire childhood,

and I have nothing
to show for it.

In fact, I'm very much drowning
in med school debt, so--

- Oh, man.
I'm--I'm sorry.

- Hey, I'm not so hard up

I can't buy you a beer
for saving my ass today.

- [chuckles]

Another time.

- Sure thing.

- Hey.

[pounds on door]

Hey.
[pounding on door]

Hey, why haven't you responded

to any of my messages?

- What?

- Yeah, I left, like,
100 texts.

- You're not exaggerating.
Sorry.

I've been listening to a book
on tape while I pack.

- Pack?

All right.

I think you're being,

you know,
a little premature here.

I think if you just

sit down with Margo,

you apologize,
you can get your old job back.

- I don't want my job back.
She was right to let me go.

- All right, fine.

Then I'll--I'll meet with
the head of valet at Med

and we'll see if your
old job is available.

- That's not necessary.

- Come on!
- Dad.

I'm gonna be OK.

[soft dramatic music]

- Yeah, I just don't wanna
see anything derail you.

You have come so far.

- This is not gonna derail me.

I'm actually--
[chuckles]

I'm actually looking forward
to a fresh start.

I'm gonna go down
to Florida for a bit

and stay with Mom.

♪ ♪

- Sorry, no, no, this--
this--[chuckles]

This is me trying not
to have a knee-jerk response

to you going to live
with your mother.

[groans] How am I doing?

- Admirably.
- Mm.

Don't go, Son.

- I'm not leaving today.

And actually,

if you could take the time off,

I was hoping that maybe
you'd want to...

drive down with me?

♪ ♪

A little Archer
father-son road trip?

- I wouldn't miss it.

♪ ♪

- Oh, Daniel.

Daniel, wait up.

I can't run
in these high heels.

- I thought
I was flying solo tonight.

- Uh, change of plans.

- Everything OK?

- Better than OK.
I'll tell you in the car.

I'll ride with you?

- Arm candy, chauffeur?

Damn, I'm a Renaissance man.
- [laughs]

- Let's go.
- [laughing] OK.

♪ ♪

- Hospital food for dinner
your first night back?

Way too soon.

You gotta work your way back up
to that.

- I know.
I'm regretting it already.

- [chuckles]
- But, you know,

the hubs and the kid,
they're, uh--

they're out of town.
They're visiting Carl's mom.

I didn't wanna cook for one.

I am so beat.

I forgot how much
it wears you out

being on your feet all day
like that.

- Well, rest up.
You've got a big day tomorrow.

Check the board.

You're on trauma service
with Dr. Archer.

Good night.

- Good night.

[soft suspenseful music]

- Hey.
What are you still doing here?

It's almost midnight.

- I, uh--

I had a sudden urge
to work the night shift.

I hope that's OK.

- Company will be nice.

I was about to, uh,

forage the vending machine
for some sustenance.

You wanna join?
- Absolutely.

[soft dramatic music]

♪ ♪

So you're just gonna
work yourself into the ground?

- You run, I work.

- So that's
your coping mechanism?

- That and daily NA meetings.

Been going every morning
before work.

- Did you--

- It's the first time
in almost four years

that I thought about it.

♪ ♪

I thought about using.

♪ ♪

But I didn't.

♪ ♪

- I know I haven't...

proven myself
to be very reliable, but...

I really wanna be someone
you can lean on, Hannah.

♪ ♪

Way to be literal.
- [laughs]

♪ ♪

[dramatic music]

♪ ♪

[wolf howls]