All language subtitles for Chicago.Med.S04E17.The.Space.Between.Us.1080p.AMZN.WEB-DL.DDP5.1.H.264-KiNGS

All right, Caroline,

we'll have your infusion ready
in just a minute.

If you feel nauseous
just let us know

and we'll get you some Zofran.

Okay.

Think maybe we could just
give her some preemptively?

Sheshe got nauseous
the first three infusions.

I'm fine.

Danny, I can ask
for my own meds, thank you.

Of course you can,
I'm justl'm just trying to...

Wait, wait a second.

Don't start the infusion yet.

Heather? Heather, sorry.

Um, I'm just curious,

is nausea a side-effect
of the drug?

No, itit's an effect

of the infusion process
in general.

Well, what kind
of side effects are you seeing

from patients who are getting
thethe drug

as opposed to those
who are getting the placebo?

This is a blinded trial.

You know I can't disclose
that kind of information.

Of course, of course you can't.

I mean, not that I'd
ever tell her.

I just wanna be able to manage
her expectations, that's all.

Dan, I'm not gonna tell you

whether she's on drug
or placebo.

What are you doing?

Trying to take care
of my wifemy ex-wife.

I know that you're worried
about Cece,

but this is exactly
what got you into trouble

when you were married.

Okay, look, I'm just gonna go
get her a glass of water.

Hey, we got a patient in 2.

Cystic fibrosis, temp 103.

Third time he's been in
the last month.

That doesn't sound good.

Here.

Been meaning
to give you that back.

Hi, Ben, I'm Dr. Halstead.

- This is Dr. Manning.
- Hi.

How long have you had the fever?

Started last night.

Do you know what antibiotics
usually work for you?

Not many.

The last few times
they went straight to Imipenem.

Okay.

500 of Imipenem, CBC,
BMP, cultures times three,

chest x-ray, PA, and a lateral.

I'm sorry, one second.

That's okay.

Hey.

I just parked.

I'm walking. I love you.

I love you, too.

- It's my girlfriend.
- Aww.

Lisa.

She can come in if she wants.

Actually, she can't.

Um, she has cystic fibrosis too.

Well, CF isn't contagious.

But CF patients carry
many different strains

of drug-resistant bacteria.

The fear is that by sharing
the same air,

they'll cross-infect each other.

So you've never been
in the same room?

We met in
an online support group.

Lots of video chatting.

Um, but that's all gonna change
once we each get new lungs.

You have to tell them
you're status 1A.

I'm status 1A.

This is why she makes me
bring her everywhere.

Glad to hear you're 1A.

Three severe infections
in a month,

you're gonna need those lungs
sooner than later.

All right, well, I'll call over

to the transplant coordinator,
and in the meantime

hopefully the antibiotics will
help get your fever down, okay?

Poor kids.

So in love and they can't even
be together.

April, are you taking
Mr. Lane in 6?

- Going now.
- Awesome.

- Don?
- Yeah?

I have some stretchers
in the ambo bay.

Can you take care of that?
Yeah, I'll get them.

Thank you so much.

- Hey.
- Hey.

Hey, Ava.

Robin.

So, I heard you rounded
on my mom this morning.

How's her new valve doing?
She is looking great.

I don't foresee any problems.
Good.

And did you see
the vertical farming exhibit

at the Smart I told you about?

I'm telling you,
the future is aeroponics.

We get 120 days of rain a year.

I don't see us running out
of water.

It's not about the water.

It's about feeding
130 million new babies a year.

- Okay.
- Have you seen it?

No, but...
But I'll make a point to.

Thank you.

Obviously, it is over
some people's heads.

That's a vertical farming joke.

- No.
- Yeah.

Nope, nope, nope.

Anyway, I know my mom's
scheduled for an echo tomorrow,

so once you get the results...

My God, help me!

Please, help me! Get me out!

Help!

Hey, hey, hey, don't move!
April, give me a hand!

- Robin, go call Goodwin!
- Sir, sir?

Can you hear me, sir?

It's locked!

I got an idea!

- Don!
- Don?

Hang on, Don!

- Use this!
- Clear!

I'll go call CFD!

Kill the engine. Stay with him!

Got it.

- What do we got?
- Hey, hey.

It's okay, we got you.
What hurts the most, Don?

- My leg!
- He's bleeding really bad.

- Yeah.
- It's too much blood.

Am I gonna die?
Don't talk like that.

We're gonna get you out of here.

Something cut his thigh.

It looks like
it must have been the artery.

I can't reach it.

Hey, give me an 18-gaugue
IV catheter with an EJ line

and four units of O-neg
on the rapid transfuser.

- Got it.
- April!

April, you can't go under there!

- It's okay, I got it!
- It hurts so bad, it hurts!

Definitely arterial blood.
Maybe femoral.

Can you get a tourniquet
above it?

It's too high.
It's too high to clamp, too.

If I can just
pinch my fingers around it...

Okay, I got it.

I pinched it off.

Hey, hey, be careful up there!

Please, please.

Don't let anything happen to me.

April, you gotta get
out of there.

I'm not letting his artery go.

She is the only thing that's
keeping him alive right now.

CFD's gonna be here soon.

Hold on.

Sir?

Sir, can you tell me your name?

He's got a loud
diastolic rumble.

It could be an embolic stroke.

Which would mean
he passed out while driving.

We need to get him up to CT!
Okay, let's move him!

Get the gurney in here!

- Clear out, folks.
- All right!

All right, let's move him!
Come on!

On my count. One, two, three.

All right, all right, all right.

Let's go. There we go.

Ethan, page me when you're
ready to move Don, okay?

Yeah!

All right, let's go, let's go!

Curry, we've got ambulances
lining up outside of the lobby!

- Go help them!
- Absolutely.

I got you.

This is Sandy Glenn
and her husband, Drew.

Passed out in her home
this morning.

GCS 15, vitals stable.

I'm Elsa Curry,
third-year medical student.

Can you tell me what happened?

I was just making some tea,

then suddenly I saw stars.

I found her on the floor.

Has this ever happened before?

No.

But she does have
multiple sclerosis.

Relapsing/remitting.

Could it be the start
of a new episode?

Yeah, it's possible.
Any other symptoms?

Visual disturbances,
pain, incontinence?

No, nothing like that.

Okay, transfer on my count.

One, two, three.

Okay, yeah,
you've also got some dry skin,

marked pallor,
and some peripheral edema.

Have you been losing any weight?

Maybe a little, but not much.

All right, then my attending
and I are gonna order

a full set of labs and have
neuro come down to take a look.

I'll be back in a little bit.

- April!
- Hey!

We got here as fast as we could.

- Kelly?
- April, you hit?

No, no, no, I'm fine. It's Don.

We gotta get him out of here.

Just hold tight. We got it.

Cruz, how's it look?

His leg's stuck
in the wheel well.

Okay, but how long
till we get him out?

Well, we have to stabilize
the car with airbags

and secure it with cribbing

before we can even attempt
to remove that leg.

We move too quick, whole thing
will come down on top of him.

- All right, keep me posted.
- Yeah.

Hey, Don?
Hey, you hang in there, okay?

- I'll try my best.
- Good.

We're working on a way
to get you out soon.

Hey, come on.
I'll take over from here.

No, don't leave me.
Don't leave me.

No, it's fine.

You're not gonna fit
under here, anyways.

Look, April,
I can squeeze my way in.

I said I'm fine.

Dr. Choi.

How's he doing?
He's lost a lot of blood.

April's pinching off
his femoral artery,

but he's still bleeding
into his pelvis.

We've got him
on the rapid transfuser.

I'm gonna have Dr. Lanik
take over from here.

- What? Why?
- April's in danger.

We need someone in charge
who's not as close to her.

Ms. Goodwin,
I hear what you're saying,

but April and I,
we're just coworkers.

It's fine.

Okay.

Mr. Nichols, I'm Dr. Rhodes.

This is Dr. Bekker.

How are you feeling?

Um, sore, but okay.

I'm so sorry
about what happened.

I was getting so numb and dizzy,

and I just wanted
to get here, and...

You passed out
while you were driving.

Mr. Nichols, your scans show

that you have a tumor growing
in your heart.

It's called a myxoma.

Now, it is most likely benign,
which means

that it won't spread
to the rest of your body,

but it is large enough
that pieces are breaking off

and causing you
to have small strokes.

So how do you fix it?

Normally we'd
remove it surgically,

but yours has grown
extremely large.

We would like to put you
on the transplant list.

Find you a new, healthy heart.

Couldn't that take a while?

What if I have another stroke?
I could die.

Removing the tumor
is a very difficult procedure.

If we try and are unsuccessful,
your body won't be able

to tolerate a transplant
later on.

But it's possible
you could get it all.

It's possible.

Then let's do it.

Mr. Nichols,
I appreciate how eager you are

to take care of this,

but land wewould really
advise against that.

This thing
almost killed me today.

Please, take it out.

Well, the risks are significant,

but if you'd prefer
to take them,

of course we'll do everything
we can to fix this.

Yes.

Thank you.

All right, then.

Ava, you realize what we are
committing ourselves to?

I do.

We get one shot
at opening him up.

If we do it and we don't
succeed, he's gonna die.

We can do it.

Hi, Ben.

So, good news.

A new pair of lungs
have become available.

Really?

My God, Ben! That's amazing!

Yeah, they're flying in now.

Should be here
in a couple of hours.

So I'm getting them today?

I'll call surgery now.

Hey, you here for your check-up?

- That we are.
- Hi, Sophie.

I think she's waking up.

I hope the, umthe doctors
will warm his fingers up.

I heard
they charge extra for that.

But maybe I can put in
a good word.

I'll call surgery for Ben.

Thanks.
Why don't I take you guys up?

Great, yeah.

Everything's all right.

All right.

Dr. Choi!

Don needs you right now.

I can't breathe.

What happened?

He just started wheezing
a minute or two ago.

It's just getting worse.
I can't breathe.

I can't breathe.

He's having
a transfusion reaction.

We gotta stop the blood.

Give me 50 milligrams
of diphenhydramine, stat.

What's happening to me?
Am I gonna be okay?

You're having
an allergic reaction.

They're gonna have
to stop the blood.

But I'm still bleeding, right?

All right.

- Cruz!
- Yeah?

How close are you?

Leg's almost free,

but there's a lot
of jagged metal down here.

We gotta move this whole thing
at least eight inches,

stabilize it
before we can move anybody.

It's gonna be a while.

I can't give him anymore blood.

How long is a while?
What can I tell you?

We're working.

April?

Just let me switch out with you.

Ethan, I am not leaving him.

Okay, so, anemic, hypoglycemic.

Low vitamin B12 and calcium.

EKG changes.

It ain't good,

but it doesn't look like
an exacerbation of her MS.

No, it looks like anorexia,
but she's not underweight.

Which doesn't necessarily
exclude the disorder.

Let's go say hi.

I'm Dr. Charles.

Ms. Curry wanted me to...
To say a quick hello.

Were my test results bad?

We're worried
about your nutrition.

Have you been experiencing
any digestive issues

or decreased appetite?

No.

No? Okay, that's good.

Are you concerned
about your weight at all, or...

Or even, say,
your appearance in general?

I'm not anorexic.

I have a tapeworm.

A tapeworm?

Yes, I infected myself
on purpose for my MS.

There's this thing
called helminthic therapy...

Yeah, for autoimmune diseases.

It'sit's really cutting edge.

- You've heard of it?
- Yes.

Basically, the hypothesis
is that a worm infestation

can activate your immune system

to fight against
certain conditions.

You know, there's actually
quite a few centers

that are doing clinical trials.

She couldn't get in
to any of them.

Have you discussed this
with your neurologist?

'Cause there are
several new therapies for MS.

And, you know, modulators...
Steroids, Cytoxan.

I've tried everything.

But since I started this,

I haven't had an episode
in three months.

Really?

Okay, what is
your normal remission rate?

Because anything longer
than two standard deviations

and we could probably publish
a case study.

Um, could you excuse us
for a second?

Ms. Curry.

Ms. Curry, I appreciate
your enthusiasm,

but these trials are held under
strict medical supervision.

She's doing it on her own.

I know, but this is the
front line of immunotherapy.

I mean, we could find
a positive result.

That woman passed out today
from malnourishment.

That's what we're treating here.

Or we can work with her.

Wewe can modify her diet,

we canwe can give her
higher calorie foods...

The patient has a parasite,

and it is clearly undermining
her health.

Dr. Charles, I really...

Let's start with
400 milligrams of Albendazole

and hang a liter of D5W.

Thanks.

Looks like things between you
and Phillip are going well.

He's still having a tough time,

but it's slowly getting better.

He's lucky to have you.

Dr. Halstead, Dr. Manning,
Ben's sats are dropping.

Please, help him.

Sats are down to 82.

No breath sounds on the left.

It's likely a pneumothorax.

- I'll get a chest tube kit.
- Wait.

Do you know how many
chest tubes you've had before?

Four.

His lungs
are likely scarred as-is.

Another chest tube will only
jeopardize his ability

to receive a transplant.

But the new lungs
are still an hour out.

I don't think he'll make it
like this.

I can make it.

We can give him steroids
and put him on a mask.

It's worth a try.

Okay, let's give him
60 milligrams

of methylprednisolone
and up the O2 to ten liters.

Hang in there, Ben.

We're gonna send you up
to prep for surgery soon.

Hey, hey, hey, hey, hey. Ethan?

He is losing consciousness.
We gotta get him out of here.

Hey, Don? Don, can you hear me?

- I'm so tired.
- Stay with me, Don.

Kelly, you guys ready to go yet?

The back wheels
are still too unstable.

We need a little bit more time.
No, we don't have more time.

Don's lost too much blood.

We're not moving anyone
until it's safe.

No, Ethan...

I'm sorry, April.

Kelly!

He's dying.
We have to move him now.

Dr. Choi, is that true?

- How unstable is the car?
- It's not where we'd like it.

If we move now, can't
promise you it won't collapse.

Kelly!

Do it!

You start pressors,
I'll up his fluids.

Keep working.
We're waiting till it's safe.

- Ethan!
- We're waiting.

What's going on?

Turned into a tension pneumo.
We have to needle it.

His sats aren't coming up.
It's not working.

The new lungs
are still 15 minutes away.

He's not gonna make it
that long.

We have to do a chest tube.

If we do it, he may not
be able to get a transplant.

We have to do this.

- Get the chest tube kit.
- No, wait!

I'm sorry.

Sats are down to 71.

What about his transplant?

We don't have a choice.

Okay, making the incision.

I'm in.

Sats back up to 80.

83.

All right, tell radiology

he needs a stat chest CT
before he goes to the OR.

I can't get an angle on this.

Reflect the atrium.

That's as far back
as it's gonna go.

I can't get around it.

Damn it.

The tumor's extended
too far into the auricle.

And into the valve
and the SA node.

I don't see how we're ever
gonna get the margins clear.

We may have
to close him back up.

But we can't close him back up.

He's never gonna survive
another procedure.

We need to fix this today.

Let me try it from here.

Reflect the atrium.
Yes, sir. Forceps.

Right here.

Dr. Rhodes?

They're ready to extract
the patient from under the car.

Okay.

Keep dissecting.

It's the only option we have.

- Go grab a board.
- Ethan.

Hey, team's in place.

Soon as he's out, Maggie and I
will bind the pelvis

while you clamp off the artery.

Whoa, why isn't he on
the rapid transfuser?

He had a reaction to the blood.

We had to take him off.

And he's been down there
this long?

Yeah.

He's lost too much blood

and his pressure's
in the toilet.

Even if we are perfect on this,
it might not be enough.

I know.

Man, I know
that this is delicate,

but is Don an organ donor?

I don't know.

The driver.

He needs a new heart.

God.

Yeah.

Don, Don, it's time
to get you out of here.

You have lost a lot of blood.
I know.

Your condition
is extremely serious,

and you know
that in cases like this,

we'd like to have a plan.

You wanna know
if I'm an organ donor.

You're a healthcare worker,
Don, you understand.

You said you were gonna save me.

I know. We are, Don.

Don, we're gonna do everything

that we possibly can...

I don't want to die.

Stop, guys, you're scaring him.

- April, please.
- Get me out.

- Just get me out.
- Don, Don?

Kelly, we gotta go now.

- Let's move!
- Ready?

- Up on blue!
- Copy that.

Up on blue.

Let's get it in.

- Okay, ready?
- Yep.

- One, two, three.
- There we go.

- Gonna roll him!
- Yep!

- Roll!
- Roll!

You're good.

- Clamp?
- Clamp!

- All right, April.
- Yep!

Faster, let's go!
He's gonna bleed out!

Clamps are on!

Heartrate's 140!
Sats are dropping!

Let's go, let's move!
All right, on my count!

One, two, three!

Let's go!
Come on, let's move, people!

He's crashing!

All right, let's move!
Move, move!

Whoa, what's going on?

Dr. Latham called
the transplant off.

What do you mean?
The new lungs are ready to go.

The chest tube caused
a hemothorax,

and that's on top of the damage

from all his
previous procedures.

He'd bleed out before
we even got the new lungs in.

Nothing we've tried
has touched his infection.

If he doesn't get this
transplant, he's going to die.

Dr. Latham says his lungs
are completely fused

to his chest wall.

It's just not possible.

I'm sorry.

God!

God, here.

God.

- God.
- You okay?

God. Yeah, I'm okay.

Hang a bag of Zofran.

No, I don't want any Zofran.

Honey, youyou're nauseous.

It'll make you feel
so much better.

Go get the Zofran.
No, I don't want any Zofran.

I take the Zofran, I get tired.

When I get tired, I nap,

and then I can't sleep at night.

I don't want any Zofran.

Okay, well, we can get you
something to help you sleep.

Ask Dr. Singh
to write an order for, um...

Will you stop it, please?

Okay, will you leave, please?

I want you to get out.

Okay, okay.

I'll be back in a little while...

20, 30 minutesjust to see if
you're still feeling nauseous.

No!

Don't come back!

I want you out!

How's Don?

His pelvis
is completely shattered.

It's still touch and go.

What?

If he doesn't make it,
that's a heart wasted.

He was terrified, Ethan.

It was wrong of you to ask him.

- How could we not?
- He wanted us to save him.

And we are!
We're doing everything we can!

You did not
do everything you could.

You should have
gotten Don out sooner.

That car could have collapsed.

I wanted to make sure
he was safe.

No, you wanted to make sure
I was safe!

But I wasn't
your patient, Ethan.

He was.

Okay, so, um,
if you email me the details,

I'll follow up with you
in a week

and we can take it from there.

Ms. Curry? What are you doing?

She wanted to be discharged.

She's severely anemic.

She could pass out before
she gets to the parking lot.

I mean, I scheduled a visit
with a nutritionist

and I'm gonna
monitor her closely.

Ms. Glenn?

You're aware that this worm
puts you at risk

of pancreatitis,
heart disease, arrhythmia...

I know, but it's the only
thing that's helped my MS.

Trust me, correlation
is not necessarily causation.

What does that mean?

He doesn't think that
the absence of MS symptoms

is related to the tapeworm.

Not what I said.

Whether it's helping you
or not, the side effects

are seriously endangering
your health.

I don't agree.

I know how I feel,
and I'm going home.

Well, then, I'm sorry,
you leave me no choice

but to put you on a psych hold.

- What?
- You can't make her stay here!

I'm afraid I can.

Right now, your wife
is a danger to herself.

My job is to protect her.
Earl, back in 4.

NoDr. Charles,
what are you doing?

- Come with me, ma'am.
- Let go of me!

Hey, what are you doing?

- You can't keep me here!
- Dr. Charles!

- You can't keep me here!
- Get off of her!

Hey, my mom,

she was feeling some tightness
in her chest before, so...

Yeah, of course.

I'lll'll check on her
as soon as I can.

Okay, thankhey.

- What's the matter?
- Tough case.

We allowed this patient
to talk us into removing

his cardiac myxoma

when we should have
done a transplant

and now, well,
he's probably gonna die.

Why can't you remove it?

Well, itit's too extensive.

We'd never get it all.

Could you get it all
with an autotransplant?

You're talking about
completely removing

his heart from his body.

I mean, we could get
at the whole tumor,

but the damage is so extensive

the odds of reimplantation
are miniscule.

That might not be true.

The chief of CT
back at my hospital?

He did a 12-patient trial
on reimplantation

after ice bath dissection.

He hasn't published yet
but he got good results.

- What kind of results?
- Greater than 50%.

"Greater than 50%"? You're sure?

Yeah, I can get you
the details on the procedure.

Do it, fast.

I'm gonna be back in the OR.

- Thank you.
- Yeah.

Okay.

I gotta go.

Hey.

Four months ago,
we were getting married.

Today I gave her
her house key back.

I know.

What do I do?

Come on.

Let's get back to work.

Don's still in surgery.
It's not going well.

If he dies,
I accept full responsibility.

I looked at the notes,
spoke with CFD.

Lieutenant Severide said

you were faced
with some tough decisions,

especially regarding April.

You tried to warn me.

Being responsible
for people's lives

is never easy, Dr. Choi.

Let's all just hope that
things work out for the best.

Yes, ma'am.

The antibiotics
aren't working, are they?

No, they're not.

Lisa.

I spoke with
the transplant coordinator.

No one ahead of you on the list
can get here

before the donor lungs expire,

which means you're up next.

To get a transplant?

Yes.

I can't.

Not if he's going to die.

He's septic.

He has a DNR.

Therethere's nothing you can do.

I can be here with him.

I have to be here.

He's amazing.

Never complains.

Most people born
with something like this

would say, "Why me?"

But Ben, he's always saying,
"Why not me?"

He taught me to be grateful
for what I have.

And I am.

I understand.

But you need these lungs, too.

I still have time.

Another pair will come up. Lisa-

- No.

I'm sorry.

No.

Mind if I come in?

Not at all.

You okay?

What, you mean
that whole thing down there?

I mean, I wish
it hadn't come to that,

but, yeah, I'm fine.

Didn't look that way to me.

Now, we've worked together
a long time, Daniel.

You usually empower
your patients

to make their own choices.

Putting that woman
on a psych hold?

Sharon, I made
a clinical decision

for her own wellbeing.

Don't know what to tell you.

Look, I know watching Cece
go through treatment

has been very hard on you.

It's making you feel
a little helpless.

But...

bringing your emotions to work?

I really don't like this.

You have a better idea?

You don't know how you're
going to restart his heart.

Robin's on the phone right now.

She'll have answers for us soon.

Robin.

Not a cardiothoracic surgeon,

not even an amiable
country doctor.

I trust her.

Why isn't Lisa in surgery?

You told her she was next up.

She won't leave Ben.

Not while he's still alive.

Lisa, you and Ben have never
been able to be together.

But what if there was a way
you could be?

Not through a pane of glass.

We could?

Yes.

It could only be
for a minute, though,

because you'd have to agree
to take the new lungs.

No.

I can't.

Don't you think Ben
would want you to have them?

I can't leave him now.

It wouldn't be leaving him.

It'd be giving him what
you both have always wanted.

Lisa, this is
the memory you'll have

for the rest of your life.

The one moment
you were truly together.

Okay.

Okay.

Lisa, no.

It's okay.

It's okay. I promise, Ben.

Love you, Ben.

I love you.

It's outrageous, I...

What recourse do we have?

My husband's talking
to our lawyer.

We're going to sue you.

That won't be necessary.

I'm releasing the psych hold.
You can go home.

What?

I'm discharging you.
You're free to go.

Okay.

Well, good luck.
Hope you feel better.

Follow up with her neurologist.

Stay on top of those labs,
and, um...

keep me updated
as to her progress.

- Of course.
- Thank you.

You know there's
no published data

on intracardiac pacemaker use
in reimplanted hearts?

I am aware.

So do you have a plan
for what to do

if it doesn't catch?

No.

Great.

All right, here we go.

Well, will you look at that?

All right, we still have
a lot of work to do.

Let's get him off bypass.
Yes, Doctor.

V-fib.

He's DNR.
Nothing more we can do.

Time of death, 1942.

They were able
to set his pelvis.

They actually think he'll make
a full recovery.

Are you all right?

I was worried about you today.

Did it clould my judgment?

Maybe.

But either way,
there's no place for that here.

Thank you.

For caring.

Lisa, I'm so sorry.

Ben has passed.

- Natalie!
- Yeah?

You and I...

we have some good memories.

Don't we?

Yes, we do.