1
00:00:08,446 --> 00:00:11,258
This is kind of fun, right?
It's like being in high school again,

2
00:00:11,328 --> 00:00:13,296
sneaking around to avoid getting caught.

3
00:00:13,330 --> 00:00:15,932
Next, staying out past curfew.

4
00:00:18,557 --> 00:00:19,524
- Ah!
- Oh.

5
00:00:19,558 --> 00:00:21,297
- Are you okay?
- Ah, yeah, I'm fine.

6
00:00:21,322 --> 00:00:22,854
- Will you just...
- Are you sure?

7
00:00:22,893 --> 00:00:25,713
- Is this thing poured in concrete?
- Let me do it.

8
00:00:25,833 --> 00:00:28,001
Ugh.

9
00:00:28,231 --> 00:00:30,328
Now where were we?

10
00:00:32,684 --> 00:00:35,437
Just block it out. Block it out.

11
00:00:39,050 --> 00:00:40,417
What is that?

12
00:00:40,443 --> 00:00:42,073
Mm.

13
00:00:44,826 --> 00:00:46,727
Maybe a rain check?

14
00:00:46,770 --> 00:00:49,163
Wasn't this our rain check?

15
00:00:49,638 --> 00:00:52,034
I hope you brought
your dancing shoes, lady,

16
00:00:52,073 --> 00:00:53,541
'cause it's gonna get lit.

17
00:00:53,717 --> 00:00:54,884
I know this promoter.

18
00:00:54,918 --> 00:00:56,219
He's getting us a table at the club.

19
00:00:56,253 --> 00:00:58,921
- You're gonna wanna Uber.
- Sounds great.

20
00:00:58,956 --> 00:01:01,290
Dr. Choi, you're coming
to my birthday party tonight?

21
00:01:01,325 --> 00:01:02,959
Don't think I'm gonna make it, Doris.

22
00:01:02,993 --> 00:01:05,348
- Happy birthday, though.
- Hmm.

23
00:01:06,096 --> 00:01:08,064
To be honest, I don't really
care if he comes or not.

24
00:01:08,098 --> 00:01:11,234
That was just a courtesy invite.

25
00:01:11,268 --> 00:01:14,904
I can't wait for you
to meet my cousin Paul.

26
00:01:14,938 --> 00:01:17,373
Newly single.

27
00:01:19,910 --> 00:01:21,878
Wait, you're not going to Doris' party?

28
00:01:21,912 --> 00:01:22,979
What're you gonna be doing?

29
00:01:23,013 --> 00:01:24,914
Literally, anything else.

30
00:01:24,948 --> 00:01:26,916
Why you care what Doris
thinks is beyond me.

31
00:01:26,950 --> 00:01:28,985
Do I really have to
explain myself again?

32
00:01:29,019 --> 00:01:31,420
You wanna keep us
a secret at work, fine.

33
00:01:31,455 --> 00:01:34,290
But I'm not gonna spend
my off-time pretending too.

34
00:01:34,324 --> 00:01:38,394
But hey, go have fun with cousin Paul.

35
00:01:38,428 --> 00:01:40,496
Dr. Choi, April, look alive.

36
00:01:40,531 --> 00:01:41,898
You're going to treatment six.

37
00:01:43,500 --> 00:01:46,435
Abena Kwemo, early-20s.
Found dizzy and disoriented.

38
00:01:46,470 --> 00:01:49,772
- BP 150 over 95. Temp 103.
- Huh!

39
00:01:49,806 --> 00:01:51,895
She's having a seizure.
Give her two Ativan IV, stat.

40
00:01:53,335 --> 00:01:55,302
Called East Mercy first,
they said they were full up.

41
00:01:55,327 --> 00:01:56,412
Diverted us here.

42
00:01:58,115 --> 00:01:59,916
There you go.

43
00:01:59,950 --> 00:02:01,918
Alright, let's get her in the bed.

44
00:02:04,388 --> 00:02:06,522
Let's transfer on my count.

45
00:02:06,557 --> 00:02:09,425
Ready. One, two, three.

46
00:02:11,228 --> 00:02:14,997
Nice job.

47
00:02:15,032 --> 00:02:18,434
- Where am I?
- Abena, hey, I'm Dr. Choi.

48
00:02:18,468 --> 00:02:20,269
You're at Gaffney Chicago
Medical Center.

49
00:02:20,304 --> 00:02:22,338
You just had a seizure.
Has that ever happened before?

50
00:02:23,373 --> 00:02:25,508
Let's get her
a liter bolus of normal saline.

51
00:02:25,542 --> 00:02:28,945
Order a CBC with diff, CMP,
utox and draw blood cultures.

52
00:02:28,979 --> 00:02:31,380
Also, let's get a chest
X-ray and a head CT.

53
00:02:31,415 --> 00:02:33,149
Got it.

54
00:02:36,486 --> 00:02:38,187
Dr. Choi.

55
00:02:38,222 --> 00:02:40,156
I noticed these when I was
starting to gown her.

56
00:02:40,190 --> 00:02:44,026
They're on her back too.

57
00:02:44,061 --> 00:02:46,062
Abena, has a doctor ever spoken to you

58
00:02:46,096 --> 00:02:48,130
about these lesions?

59
00:02:48,165 --> 00:02:50,299
I can't remember.

60
00:02:50,334 --> 00:02:55,805
Abena, these are most likely
Kaposi Sarcoma lesions.

61
00:02:55,839 --> 00:02:58,808
KS is an AIDS-defined illness.

62
00:02:58,842 --> 00:03:00,309
I'd like to run a test for HIV.

63
00:03:00,344 --> 00:03:02,845
No, no, no.

64
00:03:02,879 --> 00:03:04,213
Mm, no.

65
00:03:04,248 --> 00:03:05,915
I know it sounds scary,

66
00:03:05,949 --> 00:03:08,985
but AIDS is a manageable disease.

67
00:03:09,019 --> 00:03:10,853
With antiretroviral therapy

68
00:03:10,887 --> 00:03:13,089
we can prevent disease progression.

69
00:03:13,123 --> 00:03:16,392
But first, we need
to confirm you have HIV.

70
00:03:16,426 --> 00:03:18,995
No

71
00:03:19,029 --> 00:03:22,868
Thank you, doctor. No test.

72
00:03:23,066 --> 00:03:25,234
I can't have AIDS.

73
00:03:30,193 --> 00:03:34,632
Synced & corrected by kinglouisxx
www.addic7ed.com

74
00:03:35,241 --> 00:03:37,591
Turns out Abena has been
at East Mercy multiple times

75
00:03:37,623 --> 00:03:40,189
over the past six months for
AIDS-related complications.

76
00:03:40,237 --> 00:03:42,639
Pneumonia, meningitis, candidiasis.

77
00:03:42,673 --> 00:03:45,808
But she's consistently
refused HIV testing.

78
00:03:45,843 --> 00:03:50,357
CT says she has toxoplasmosis
of the central nervous system.

79
00:03:50,592 --> 00:03:53,827
If we admit her, that's
a week-long stay, at least.

80
00:03:53,862 --> 00:03:56,330
What do you mean, "if we admit her"?

81
00:03:56,364 --> 00:03:57,564
What else would we do?

82
00:03:57,599 --> 00:03:59,233
Turf her back to East Mercy.

83
00:03:59,267 --> 00:04:01,293
For the record,
I'm not suggesting we do that.

84
00:04:01,340 --> 00:04:02,479
Of course not.

85
00:04:02,504 --> 00:04:06,306
Dr. Stohl, we are not turfing
someone we know has AIDS.

86
00:04:06,341 --> 00:04:07,741
Ms. Goodwin,

87
00:04:07,776 --> 00:04:10,577
we both know how this story ends.
She dies,

88
00:04:10,612 --> 00:04:14,448
after countless complications
and tests and treatment,

89
00:04:14,482 --> 00:04:16,750
none of which change the inevitable.

90
00:04:16,775 --> 00:04:19,609
So why not put our limited
resources behind the ones

91
00:04:19,644 --> 00:04:22,623
we actually have a shot at saving?

92
00:04:22,657 --> 00:04:26,637
Because I'm not ready to
accept that we can't save her.

93
00:04:27,562 --> 00:04:31,488
Toxoplasmosis can cause
cognitive impairment, no?

94
00:04:31,551 --> 00:04:32,766
Mm-hmm.

95
00:04:32,801 --> 00:04:36,270
So it's possible that she
lacks capacity to give us

96
00:04:36,304 --> 00:04:37,538
informed consent.

97
00:04:37,572 --> 00:04:40,474
She was confused when she came in.

98
00:04:40,508 --> 00:04:43,610
I supposed we could pull psych in.

99
00:04:43,645 --> 00:04:45,913
Thank you.

100
00:04:49,551 --> 00:04:50,951
Hey, got your...

101
00:04:50,985 --> 00:04:54,144
I already took my pills, but thank you.

102
00:04:54,656 --> 00:04:56,805
Alright, then.

103
00:04:57,561 --> 00:04:59,929
Wow, new dress, new earrings.

104
00:04:59,985 --> 00:05:01,619
- What's the occasion?
- No occasion.

105
00:05:01,647 --> 00:05:03,881
Just an impulse buy.

106
00:05:03,916 --> 00:05:05,783
Felt like I needed a fresh start.

107
00:05:05,818 --> 00:05:07,118
You know what?

108
00:05:07,152 --> 00:05:10,154
It might look a
little better on the floor.

109
00:05:10,189 --> 00:05:13,090
No, no, no, no. I can't, I can't.

110
00:05:13,125 --> 00:05:14,926
I gotta get moving.

111
00:05:14,960 --> 00:05:16,727
Doesn't your shift start at 9:00?

112
00:05:16,762 --> 00:05:19,063
Yeah, but I'm on trauma call
today, so they can wait.

113
00:05:19,097 --> 00:05:20,998
Ah! Is that how trauma works?

114
00:05:21,033 --> 00:05:24,101
Come on, whatever happened to
channeling your impulsivity

115
00:05:24,136 --> 00:05:25,837
into other activities?

116
00:05:25,871 --> 00:05:28,739
Wait, wait, wait, wait. My impulsivity?

117
00:05:28,774 --> 00:05:30,141
So what, when I initiate sex,

118
00:05:30,175 --> 00:05:33,811
it's just a symptom of my illness?

119
00:05:33,846 --> 00:05:35,513
Okay, yes.

120
00:05:35,547 --> 00:05:37,815
Sometimes I still wonder
if I'm getting Robin

121
00:05:37,850 --> 00:05:40,585
or if I'm getting...

122
00:05:40,619 --> 00:05:43,421
Okay, I get it. I get it.

123
00:05:43,455 --> 00:05:44,822
But just so you know,

124
00:05:44,857 --> 00:05:48,159
I am feeling more and more
like myself every day.

125
00:05:48,193 --> 00:05:50,161
Well, then, how about dinner
and a movie tonight?

126
00:05:50,195 --> 00:05:54,665
Uh, how about dinner and no movie?

127
00:05:58,537 --> 00:06:00,471
Please, I need someone
to see my daughter.

128
00:06:00,505 --> 00:06:02,106
She can barely walk in a straight line,

129
00:06:02,140 --> 00:06:03,808
her foot keeps dragging,
she's bumping into things...

130
00:06:03,842 --> 00:06:05,610
Ma'am, please take a seat.
As soon as I have a doctor...

131
00:06:05,644 --> 00:06:07,511
Denise, come over here, honey.

132
00:06:07,546 --> 00:06:10,214
Do you see what I mean?

133
00:06:10,249 --> 00:06:11,682
Oh, my God.

134
00:06:11,717 --> 00:06:12,950
Need some help over here!

135
00:06:12,985 --> 00:06:14,952
- We got her.
- Mom!

136
00:06:14,987 --> 00:06:16,654
- Hi there.
- I can't feel my leg.

137
00:06:16,688 --> 00:06:17,655
Okay.

138
00:06:17,689 --> 00:06:18,990
I'm Doctor Halstead.

139
00:06:19,024 --> 00:06:20,858
We're gonna figure out
why that is, alright?

140
00:06:20,893 --> 00:06:24,128
Thank you so much.

141
00:06:24,162 --> 00:06:27,031
She started complaining on the
plane ride home from Australia.

142
00:06:27,065 --> 00:06:30,234
She said that her feet were
tingling, that her legs hurt.

143
00:06:30,269 --> 00:06:32,637
I thought it was just
from sitting so long.

144
00:06:32,671 --> 00:06:33,671
Did Denise do any outdoor activities

145
00:06:33,705 --> 00:06:34,839
while you were there?

146
00:06:34,873 --> 00:06:37,008
- Hiking, swimming?
- No, no hiking.

147
00:06:37,042 --> 00:06:39,176
We picnicked a couple of days.

148
00:06:39,211 --> 00:06:41,212
Deep tendon reflexes are absent.

149
00:06:41,246 --> 00:06:43,714
Okay, I'm gonna ask you
to close your eyes

150
00:06:43,749 --> 00:06:46,717
super tight for me, alright? No peeking.

151
00:06:46,752 --> 00:06:48,085
And when I tap you on the leg,

152
00:06:48,120 --> 00:06:49,587
will you point to which side
I'm tapping on?

153
00:06:49,621 --> 00:06:52,857
Yeah.

154
00:06:55,928 --> 00:06:58,496
Normal sensation to light touch.

155
00:06:58,530 --> 00:07:00,298
Alright, can you lift
your legs for me now?

156
00:07:02,567 --> 00:07:05,236
- That's all I can do.
- Okay.

157
00:07:05,270 --> 00:07:08,072
Let's get a CBC, CMP, ESR, utox,

158
00:07:08,106 --> 00:07:10,675
and a brain and spinal CT and MRI.

159
00:07:10,709 --> 00:07:14,946
And do a full body scan for
rashes and insect bites, okay?

160
00:07:14,980 --> 00:07:16,747
Is she paralyzed?

161
00:07:16,782 --> 00:07:18,616
Let's not get ahead of ourselves, okay?

162
00:07:18,650 --> 00:07:20,217
While she is showing signs of paralysis,

163
00:07:20,252 --> 00:07:21,852
it's most likely temporary.

164
00:07:21,887 --> 00:07:24,855
It's probably a nerve compression
injury from the long flight.

165
00:07:24,890 --> 00:07:26,590
We're gonna run these tests,
and we'll take it from there.

166
00:07:26,625 --> 00:07:31,562
We'll be back soon.

167
00:07:31,596 --> 00:07:33,197
Dr. Reese.

168
00:07:33,231 --> 00:07:34,231
Dr. Charles, I thought you
weren't back till tomorrow.

169
00:07:34,266 --> 00:07:35,700
How're you doing?

170
00:07:35,734 --> 00:07:37,234
How's it all been going on the floor?

171
00:07:37,269 --> 00:07:39,103
Uh, actually, I've been doing
research projects

172
00:07:39,137 --> 00:07:40,104
for the past couple of weeks.

173
00:07:40,138 --> 00:07:41,872
Um...

174
00:07:41,907 --> 00:07:44,275
So you, uh... you haven't been
seeing any patients?

175
00:07:44,309 --> 00:07:46,110
Figured I'd wait till you got back.

176
00:07:46,144 --> 00:07:49,313
Dr. Charles, welcome back.
Mind if I put you to work?

177
00:07:49,348 --> 00:07:52,950
We need a psych evaluation to
determine decisional capacity.

178
00:07:52,985 --> 00:07:55,953
Catch up later?

179
00:07:55,988 --> 00:07:57,888
- Oh.
- Oh, hey.

180
00:07:57,923 --> 00:07:59,090
Hey, Sarah, I was looking for you, um...

181
00:07:59,124 --> 00:08:00,658
I don't know if you heard or not,

182
00:08:00,692 --> 00:08:02,893
but Doris, she's having a
thing tonight, and...

183
00:08:02,928 --> 00:08:05,162
Dr. Sexton, Dr. Rhodes needs
a resident right now.

184
00:08:05,197 --> 00:08:06,797
MVC incoming.

185
00:08:06,832 --> 00:08:07,965
Okay, uh, think about it?

186
00:08:08,000 --> 00:08:09,166
I'll check your temp later.

187
00:08:09,201 --> 00:08:11,235
Dr. Sexton, now!

188
00:08:11,269 --> 00:08:12,737
Yes, ma'am.

189
00:08:12,771 --> 00:08:14,805
Spencer Bouren. 16-year-old male.

190
00:08:14,840 --> 00:08:16,240
Lost control on a patch of ice.

191
00:08:16,274 --> 00:08:17,842
Head-on collision with another vehicle.

192
00:08:17,876 --> 00:08:19,010
- Second driver's en route.
- Alright.

193
00:08:19,044 --> 00:08:20,077
You're going to Trauma 1.

194
00:08:20,112 --> 00:08:21,812
Yep.

195
00:08:21,847 --> 00:08:23,748
He was unconscious
till he woke up in the ambo.

196
00:08:23,782 --> 00:08:29,653
GCS 15. BP 124 over 88.
HR 118. Sats 100%.

197
00:08:29,688 --> 00:08:30,988
Complaining of right hip pain.

198
00:08:31,023 --> 00:08:32,089
Alright, transfer on my count.

199
00:08:32,124 --> 00:08:34,925
One, two, three.

200
00:08:36,828 --> 00:08:38,629
Let's get a chest and pelvic X-ray.

201
00:08:38,663 --> 00:08:40,931
On it. We need a fourth one.

202
00:08:40,966 --> 00:08:43,134
Second driver's rolling in
now; we need you, Dr. Rhodes.

203
00:08:43,168 --> 00:08:44,668
Somebody else has gotta be avail.

204
00:08:44,703 --> 00:08:46,337
I wouldn't tap you out if there was.

205
00:08:46,371 --> 00:08:48,039
- I got him, go.
- Desmond.

206
00:08:48,073 --> 00:08:50,608
Female, mid-30s. Unrestrained.

207
00:08:50,642 --> 00:08:52,643
Hypotensive in the field,
gave her a liter.

208
00:08:52,677 --> 00:08:54,178
GCS 8. Tubed.

209
00:08:54,212 --> 00:08:55,813
Alright, let's get her in.

210
00:08:57,716 --> 00:08:59,817
Buckles off. Alright.

211
00:08:59,851 --> 00:09:02,653
Gently on my count. One, two, three.

212
00:09:05,090 --> 00:09:06,624
Is she gonna be okay?

213
00:09:06,658 --> 00:09:08,859
Try to relax, bud. Just try to relax.

214
00:09:09,895 --> 00:09:12,129
Lungs are clear.

215
00:09:12,164 --> 00:09:13,697
Clear breath sounds bilaterally.

216
00:09:13,732 --> 00:09:15,699
Trigger the MTP, hang two of O neg.

217
00:09:15,734 --> 00:09:17,034
And give me a kit.

218
00:09:17,069 --> 00:09:19,703
I'm gonna get a cordis in the groin.

219
00:09:21,039 --> 00:09:22,406
Chest X-ray's negative.

220
00:09:22,441 --> 00:09:23,874
What about the pelvis?

221
00:09:23,909 --> 00:09:25,076
Doing it now.

222
00:09:29,014 --> 00:09:30,648
Up.

223
00:09:30,682 --> 00:09:32,149
Dislocated hip.

224
00:09:32,184 --> 00:09:34,018
Must've jammed it when
he slammed on the brakes.

225
00:09:34,052 --> 00:09:35,686
And the longer it's out?

226
00:09:35,720 --> 00:09:37,655
The higher the risk
of avascular necrosis.

227
00:09:37,689 --> 00:09:38,756
Exactly.

228
00:09:38,790 --> 00:09:40,157
Get me the FastSCAN.

229
00:09:40,192 --> 00:09:41,826
You ever reduce a hip?

230
00:09:41,860 --> 00:09:42,927
I've seen it done a bunch of times.

231
00:09:42,961 --> 00:09:44,161
I'll talk you through it.

232
00:09:44,196 --> 00:09:47,064
70 milligrams of ketamine.

233
00:09:49,367 --> 00:09:50,835
You're gonna pull on that hip

234
00:09:50,869 --> 00:09:52,870
until you feel it pop back
into the socket.

235
00:09:52,904 --> 00:09:54,772
Relax, relax, relax, relax.

236
00:09:54,806 --> 00:09:58,809
Relax. Hold tight.

237
00:10:00,212 --> 00:10:02,746
- It popped back in.
- Good work.

238
00:10:02,781 --> 00:10:04,014
Her belly's full of blood.

239
00:10:04,049 --> 00:10:05,783
- BP's dropping.
- Alright, Maggie.

240
00:10:05,817 --> 00:10:07,418
Call the OR,
tell them we're on our way up.

241
00:10:07,452 --> 00:10:10,020
Copy.

242
00:10:10,055 --> 00:10:12,423
Oh, my God. Did I kill her?

243
00:10:16,484 --> 00:10:18,951
Next one is, if I were very sick,

244
00:10:18,985 --> 00:10:22,107
I would like to do everything
possible to prolong my life.

245
00:10:22,209 --> 00:10:25,445
Very true, mostly true, you
don't know, mostly false...

246
00:10:25,479 --> 00:10:28,677
- That's very true.
- Very true.

247
00:10:29,049 --> 00:10:32,185
Yeah, the doctors did explain
to you the benefits

248
00:10:32,219 --> 00:10:34,253
of antiretroviral therapy, didn't they?

249
00:10:34,288 --> 00:10:35,722
That it would prolong your life.

250
00:10:35,756 --> 00:10:37,836
They say I won't get sick anymore.

251
00:10:37,861 --> 00:10:39,125
So could you tell me then,

252
00:10:39,159 --> 00:10:42,228
why it is that you
don't wanna take an HIV test?

253
00:10:43,797 --> 00:10:45,131
Auntie.

254
00:10:45,165 --> 00:10:47,066
What are you doing here?

255
00:10:47,101 --> 00:10:48,868
You should be at work.

256
00:10:48,902 --> 00:10:50,136
Are you the doctor?

257
00:10:50,170 --> 00:10:52,438
I am a doctor, yes. I'm Dr. Charles.

258
00:10:52,473 --> 00:10:55,408
What's wrong with her?
My baby is always getting sick.

259
00:10:55,442 --> 00:10:57,243
I told you on the phone, auntie.

260
00:10:57,277 --> 00:10:58,878
It's just the flu.

261
00:10:58,912 --> 00:11:00,980
I'm going to get better soon.

262
00:11:01,015 --> 00:11:02,982
Right, doctor?

263
00:11:03,017 --> 00:11:04,917
We are working on it.

264
00:11:17,131 --> 00:11:20,967
All done. You were so brave.

265
00:11:21,001 --> 00:11:22,502
Mom, we should have the results back

266
00:11:22,536 --> 00:11:25,471
within an hour or two.

267
00:11:29,209 --> 00:11:33,513
Um, I don't understand.
You said her tests were normal.

268
00:11:33,547 --> 00:11:35,782
- They were, but...
- But she's getting worse.

269
00:11:35,816 --> 00:11:38,484
She can't move her legs at all anymore.

270
00:11:38,519 --> 00:11:40,920
We'll have a much clearer
picture once we receive

271
00:11:40,954 --> 00:11:43,423
the results back on
Denise's cerebrospinal fluid.

272
00:11:43,457 --> 00:11:46,359
And we'll ask the lab
to put a rush on these, okay?

273
00:11:46,393 --> 00:11:47,427
Thank you.

274
00:11:47,461 --> 00:11:49,929
- Yeah.
- Of course.

275
00:11:49,963 --> 00:11:53,132
Will, you saw that girl's CSF.
It was crystal clear.

276
00:11:53,167 --> 00:11:55,468
The lab's not gonna tell us
anything we don't already know.

277
00:11:55,502 --> 00:11:57,937
And it's obviously not
encephalitis, meningitis,

278
00:11:57,971 --> 00:11:59,138
- Guillain-Barre syndrome...
- Hold on then.

279
00:11:59,173 --> 00:12:01,007
Let's not rule out GBS.

280
00:12:01,041 --> 00:12:03,376
It fits her clinical
presentation almost to a T.

281
00:12:03,410 --> 00:12:05,111
I mean, normal blood work,

282
00:12:05,145 --> 00:12:08,448
ascending symmetrical
paralysis, absent reflexes.

283
00:12:08,482 --> 00:12:10,516
Let's just do one more
round of labs first.

284
00:12:10,551 --> 00:12:13,386
Alright, test for heavy metal
poisoning, exotic infection,

285
00:12:13,420 --> 00:12:15,354
and if we don't get anything from those,

286
00:12:15,389 --> 00:12:18,024
I'm all for treating it as GBS, okay?

287
00:12:18,058 --> 00:12:20,460
Alright.

288
00:12:20,494 --> 00:12:22,228
You're supposed to steer into the skid.

289
00:12:22,262 --> 00:12:23,996
Okay, can you flex your knee for me?

290
00:12:24,031 --> 00:12:26,999
Never slam on the brakes.
Why couldn't I remember that?

291
00:12:27,034 --> 00:12:28,134
Now bring it to your chest for me.

292
00:12:28,168 --> 00:12:30,336
There we go.

293
00:12:30,370 --> 00:12:33,306
Dr. Sexton, this is
Spencer's mother, Candace,

294
00:12:33,340 --> 00:12:34,974
and his brother, Terrance.

295
00:12:35,008 --> 00:12:37,143
Goodness.

296
00:12:37,177 --> 00:12:38,878
Is he gonna be okay?

297
00:12:38,912 --> 00:12:41,147
Dislocated his hip, but other than that,

298
00:12:41,181 --> 00:12:42,982
just scrapes and bruises.

299
00:12:43,016 --> 00:12:45,418
We did a CT of his abdomen,
pelvis, and head.

300
00:12:45,452 --> 00:12:47,854
All negative for internal
bleeds and fractures.

301
00:12:47,888 --> 00:12:51,224
Thank you. Doctor Sexton.

302
00:12:51,258 --> 00:12:53,426
Shouldn't have let
you drive by yourself.

303
00:12:53,460 --> 00:12:55,361
He just got his license last week.

304
00:12:55,395 --> 00:12:57,330
Yeah. Took him five tries.

305
00:12:57,364 --> 00:13:00,833
Mom, I hit someone.

306
00:13:00,868 --> 00:13:02,235
A pedestrian?

307
00:13:02,269 --> 00:13:04,370
No, the driver, they just
brought her in here.

308
00:13:04,404 --> 00:13:06,839
She was right over there.
She was bleeding real bad.

309
00:13:06,874 --> 00:13:08,341
- She's in surgery.
- Is she gonna be alright?

310
00:13:08,375 --> 00:13:11,010
I told Spencer the best
trauma surgeon in Chicago

311
00:13:11,044 --> 00:13:14,046
- is working on her.
- What if she doesn't make it?

312
00:13:14,081 --> 00:13:17,517
Don't worry, she... She'll make it.

313
00:13:21,054 --> 00:13:23,089
Small liver lac.

314
00:13:23,123 --> 00:13:26,292
Spleen is shattered.

315
00:13:26,326 --> 00:13:28,928
Looks like a Grade 4.

316
00:13:28,962 --> 00:13:32,231
Actively bleeding from the hilum.

317
00:13:32,266 --> 00:13:35,268
Short gastrics are avulsed, as well.

318
00:13:37,604 --> 00:13:40,039
Hey, Dr. Rhodes, it's Noah.

319
00:13:40,073 --> 00:13:42,475
I'm a little busy here, Noah.
What do you need?

320
00:13:42,601 --> 00:13:43,668
Yeah, I just wanted to check in

321
00:13:43,702 --> 00:13:45,703
on the status of the patient.

322
00:13:45,738 --> 00:13:48,139
I don't know yet.

323
00:13:48,173 --> 00:13:50,475
Okay, yeah, sure.

324
00:13:56,348 --> 00:13:57,649
It's just, um,

325
00:13:57,683 --> 00:14:01,052
the kid who hit her
is really freaking out.

326
00:14:01,086 --> 00:14:03,254
Yeah, I can't help that, Noah.

327
00:14:03,289 --> 00:14:05,990
Well, if I could just tell
them that she's gonna be okay...

328
00:14:06,025 --> 00:14:07,592
No.

329
00:14:07,626 --> 00:14:10,328
Don't ever do that.

330
00:14:13,399 --> 00:14:15,667
Wait a minute, she won't
consent to being tested

331
00:14:15,701 --> 00:14:18,269
because she'd rather die
than have her family find out

332
00:14:18,304 --> 00:14:20,104
that she has AIDS.

333
00:14:20,139 --> 00:14:23,174
And you're saying she's capable
of making rational decisions?

334
00:14:23,208 --> 00:14:26,177
Just because you don't like
the decision she's making,

335
00:14:26,211 --> 00:14:28,413
doesn't mean
she's incapable of making it.

336
00:14:28,447 --> 00:14:31,349
Growing up in Africa, HIV-related stigma

337
00:14:31,383 --> 00:14:34,419
and discrimination was probably
something she witnessed

338
00:14:34,453 --> 00:14:37,188
on a daily basis.

339
00:14:37,222 --> 00:14:38,690
- Is that her aunt?
- Vera.

340
00:14:38,724 --> 00:14:40,191
Abena lives with her.

341
00:14:40,225 --> 00:14:42,360
Rest of the family is back in Ghana.

342
00:14:42,394 --> 00:14:44,429
Well, she knows she's not being forced

343
00:14:44,463 --> 00:14:46,431
to tell her aunt, right?

344
00:14:46,465 --> 00:14:48,466
She understands we have
strict privacy rules here.

345
00:14:48,500 --> 00:14:50,134
Doesn't matter.

346
00:14:50,169 --> 00:14:51,803
She's convinced that
if she takes the test,

347
00:14:51,837 --> 00:14:54,539
starts the antiretrovirals,
that they'll figure it out.

348
00:14:54,573 --> 00:14:56,607
But the lesions won't give her away.

349
00:14:56,642 --> 00:14:59,310
Come on, she's living under
the same roof, for chrissakes.

350
00:14:59,345 --> 00:15:01,585
If she wants to continue
concealing this,

351
00:15:01,610 --> 00:15:03,476
- she needs to start treating it.
- Well, you gotta convince her.

352
00:15:03,501 --> 00:15:04,632
You have to convince her.

353
00:15:04,657 --> 00:15:07,042
I'm sorry I can't just rubberstamp this.

354
00:15:07,086 --> 00:15:09,487
Dr. Choi, Abena is
complaining of nausea.

355
00:15:09,521 --> 00:15:12,757
Great, now she'll need a GI consult.

356
00:15:12,791 --> 00:15:15,626
Just add it to her tab.

357
00:15:15,661 --> 00:15:17,562
Her tab?

358
00:15:17,596 --> 00:15:20,131
Sharon, I know you're
under a lot of pressure...

359
00:15:20,165 --> 00:15:23,067
Daniel, we're trying to save her life.

360
00:15:23,102 --> 00:15:24,435
Look, just for argument's sake,

361
00:15:24,470 --> 00:15:26,838
let's say the toxo
is causing impairment,

362
00:15:26,872 --> 00:15:27,839
and we force the test.

363
00:15:27,873 --> 00:15:29,273
Then what?

364
00:15:29,308 --> 00:15:30,575
Somebody shoves pills down her throat

365
00:15:30,609 --> 00:15:32,076
for the rest of her life?

366
00:15:32,111 --> 00:15:33,444
I mean, no court is
ever going to mandate...

367
00:15:33,479 --> 00:15:36,414
Please someone help! Please!

368
00:15:36,448 --> 00:15:38,249
My daughter, she can't breathe.

369
00:15:38,283 --> 00:15:39,584
Okay.

370
00:15:39,618 --> 00:15:41,419
Hey, Denise. Look at me.

371
00:15:41,453 --> 00:15:45,590
Deep breaths for me, okay? In and out.

372
00:15:45,624 --> 00:15:48,259
Can you squeeze my hand?

373
00:15:48,293 --> 00:15:50,795
Can you lift your arms for me?

374
00:15:52,831 --> 00:15:54,332
What's happening?

375
00:15:54,366 --> 00:15:55,767
The paralysis is moving up her spine.

376
00:15:55,801 --> 00:15:56,834
10 of etomidate and 50 of sux.

377
00:15:56,869 --> 00:15:58,603
We're intubating.

378
00:16:03,308 --> 00:16:05,109
You're gonna put that down her throat?

379
00:16:05,144 --> 00:16:06,878
Okay, why don't we give
the doctors some room to work?

380
00:16:06,912 --> 00:16:08,446
No, please, please,
I wanna stay with my daughter.

381
00:16:08,480 --> 00:16:10,114
It's okay, we'll stay right here.

382
00:16:10,149 --> 00:16:12,517
Okay.

383
00:16:26,942 --> 00:16:28,145
Couldn't do much of a neuroexam

384
00:16:28,170 --> 00:16:29,582
with her sedated and intubated,

385
00:16:29,606 --> 00:16:32,474
but if I had to guess,
I'd say she's paralyzed.

386
00:16:32,509 --> 00:16:34,575
Thanks, Sam.

387
00:16:35,853 --> 00:16:37,521
Doing the hokey pokey there, Halstead?

388
00:16:37,547 --> 00:16:39,748
- Huh?
- Your foot.

389
00:16:40,017 --> 00:16:41,984
Oh. Yeah, it just fell asleep.

390
00:16:42,110 --> 00:16:44,571
- Kinda banged it this...
- No, never mind.

391
00:16:44,603 --> 00:16:46,303
You were right.

392
00:16:46,338 --> 00:16:49,106
We should have started IVIG and
plasma exchange way earlier.

393
00:16:49,141 --> 00:16:50,841
It was a mistake to wait.

394
00:16:50,876 --> 00:16:53,110
No, you called it... I don't
think it is GBS anymore.

395
00:16:53,145 --> 00:16:55,579
- It's progressing too rapidly.
- Nothing else it could be.

396
00:16:55,614 --> 00:16:57,114
I mean, GBS is the only thing
on our differential

397
00:16:57,149 --> 00:16:58,949
that makes a modicum of sense

398
00:16:58,984 --> 00:17:01,952
When did E.D. doctors get
so polite with each other?

399
00:17:01,987 --> 00:17:05,623
Are you two dating or something?

400
00:17:05,657 --> 00:17:06,824
Never mind.

401
00:17:06,858 --> 00:17:09,093
Start with IVIG and plasmapheresis.

402
00:17:09,127 --> 00:17:10,594
At this point we're ready to
throw the kitchen sink

403
00:17:10,629 --> 00:17:11,796
at this thing.

404
00:17:11,830 --> 00:17:14,965
Page me when her sedation wears off.

405
00:17:16,668 --> 00:17:20,271
- You okay?
- Yeah.

406
00:17:20,305 --> 00:17:22,039
Keep your head still.

407
00:17:22,074 --> 00:17:24,341
Eyes forward for me.

408
00:17:25,911 --> 00:17:27,712
Hey there, folks, I'm Dr. Rhodes.

409
00:17:27,746 --> 00:17:28,779
Spencer, we met when
you first came in...

410
00:17:28,814 --> 00:17:31,282
Did she make it?

411
00:17:31,316 --> 00:17:33,217
Due to patient confidentiality,

412
00:17:33,251 --> 00:17:36,721
I can't give you any details,
but I did wanna let you know,

413
00:17:36,755 --> 00:17:39,123
she pulled through.

414
00:17:41,059 --> 00:17:43,194
Can I visit her?

415
00:17:43,228 --> 00:17:45,362
Please, I just wanna tell her
that I'm sorry.

416
00:17:45,397 --> 00:17:47,064
Would that be alright?

417
00:17:47,099 --> 00:17:49,200
I'll tell you what,
I'll check with her husband.

418
00:17:49,234 --> 00:17:51,335
She's just coming off of anesthesia,

419
00:17:51,369 --> 00:17:54,338
but maybe in an hour or two.

420
00:17:55,707 --> 00:17:56,974
Mom, an hour or two?

421
00:17:57,008 --> 00:17:58,342
Coach will have my head if I'm late.

422
00:17:58,376 --> 00:17:59,410
Oh, big game?

423
00:17:59,444 --> 00:18:00,878
Regionals.

424
00:18:00,912 --> 00:18:03,147
We can't leave your brother here alone.

425
00:18:03,181 --> 00:18:04,882
Spencer's fine.

426
00:18:04,916 --> 00:18:07,918
Really, and I'll keep an eye
on him while you're gone.

427
00:18:07,953 --> 00:18:09,720
Yeah.

428
00:18:09,755 --> 00:18:11,756
Go. Stay for the game.

429
00:18:11,790 --> 00:18:13,657
Are you sure you're gonna
be okay, honey?

430
00:18:13,692 --> 00:18:16,393
I'm fine.

431
00:18:16,428 --> 00:18:18,162
Thank you, Dr. Sexton.

432
00:18:18,196 --> 00:18:21,732
- Thanks, doc.
- Of course.

433
00:18:31,376 --> 00:18:32,910
Excuse me, Dr. Reese.

434
00:18:32,944 --> 00:18:35,179
You drive a silver Nissan Versa, right?

435
00:18:35,213 --> 00:18:37,882
Yeah, that's my car. Why?

436
00:18:40,318 --> 00:18:41,919
That's all that's missing?

437
00:18:41,953 --> 00:18:45,422
Just my gym bag. Nothing of any value.

438
00:18:45,457 --> 00:18:47,191
You know, I know who did this.

439
00:18:47,225 --> 00:18:49,360
Um, her name is Edith Lake.
Slashed my tires too.

440
00:18:49,394 --> 00:18:50,961
Hold on a sec.

441
00:18:50,996 --> 00:18:52,730
You witnessed this person
slashing your tires?

442
00:18:52,764 --> 00:18:54,465
- No, no, but she...
- And how do you know her?

443
00:18:54,499 --> 00:18:56,300
She came into the ED a few weeks back.

444
00:18:56,334 --> 00:18:58,068
Uh, assaulted me.

445
00:18:58,103 --> 00:18:59,303
Did you report it?

446
00:18:59,337 --> 00:19:00,905
I am reporting it now.

447
00:19:00,939 --> 00:19:03,307
Dr. Reese, I don't think
it was that lady.

448
00:19:03,341 --> 00:19:04,475
This is the fourth break-in
we've had this month.

449
00:19:04,509 --> 00:19:06,243
Whoever did this

450
00:19:06,278 --> 00:19:08,379
probably wasn't targeting
your car in particular.

451
00:19:08,413 --> 00:19:10,848
Well, aren't you gonna dust
for fingerprints?

452
00:19:12,918 --> 00:19:14,051
Here's the address of the website

453
00:19:14,085 --> 00:19:15,719
to retrieve your police report.

454
00:19:15,754 --> 00:19:18,422
You can use it to file
a claim with your insurance.

455
00:19:20,292 --> 00:19:23,494
We know she has AIDS.
She knows she has AIDS.

456
00:19:23,528 --> 00:19:26,730
Her aunt must know on some
level, this isn't the flu.

457
00:19:26,765 --> 00:19:28,232
Yeah, but there's a difference

458
00:19:28,266 --> 00:19:31,235
between knowing something
and saying it out loud.

459
00:19:31,269 --> 00:19:33,470
You say it out loud, and it's real.

460
00:19:33,505 --> 00:19:36,240
April, it's real whether
it's said or not.

461
00:19:40,979 --> 00:19:43,480
She's having trouble breathing.

462
00:19:43,515 --> 00:19:45,916
Ma'am, please step back.

463
00:19:45,951 --> 00:19:48,786
- Ma'am, please put these on.
- Why?

464
00:19:48,820 --> 00:19:51,322
Is she contagious?

465
00:19:51,356 --> 00:19:54,124
It's a universal precaution.

466
00:19:55,460 --> 00:19:58,162
She's got fluid in her lungs.

467
00:19:58,196 --> 00:20:00,197
Sats down to 86.

468
00:20:00,232 --> 00:20:02,266
Okay, let's get her on a mask
with 15 liters.

469
00:20:02,300 --> 00:20:04,335
Let's get a sputum sample
and another chest X-ray.

470
00:20:04,369 --> 00:20:05,536
And call pulmonology.

471
00:20:05,570 --> 00:20:07,271
Excuse me.

472
00:20:07,305 --> 00:20:10,774
Ma'am, please put these on
before you touch your niece.

473
00:20:10,809 --> 00:20:13,143
I'm doing everything I can.

474
00:20:25,090 --> 00:20:26,523
Any improvement?

475
00:20:26,558 --> 00:20:29,293
Denise's Hughes' functional
grade is still 5.

476
00:20:29,327 --> 00:20:31,495
- Is she triggering the vent?
- No.

477
00:20:31,529 --> 00:20:32,997
The IVIG isn't working.

478
00:20:33,031 --> 00:20:34,131
It's way too soon to know that.

479
00:20:34,165 --> 00:20:35,499
Give it some time.

480
00:20:35,533 --> 00:20:37,401
I think we need to try
immunosuppressant...

481
00:20:37,435 --> 00:20:39,837
- Are you okay?
- What the...

482
00:20:39,871 --> 00:20:41,972
What happened?

483
00:20:42,007 --> 00:20:44,408
I don't know.

484
00:20:44,442 --> 00:20:46,510
My foot went numb, and just gave out.

485
00:20:50,615 --> 00:20:52,883
And I can't move my foot.

486
00:20:56,454 --> 00:20:57,488
Alright.

487
00:20:57,522 --> 00:20:59,256
Where are we going, doc?

488
00:20:59,291 --> 00:21:03,160
Dr. Rhodes got the a-okay
from Melody's husband.

489
00:21:03,194 --> 00:21:05,229
Is that the name of the woman I hit?

490
00:21:05,263 --> 00:21:08,599
- Melody?
- Yeah.

491
00:21:08,633 --> 00:21:11,168
- Okay, ready to roll?
- Yeah.

492
00:21:11,202 --> 00:21:12,937
Alright, so now you can be honest.

493
00:21:12,971 --> 00:21:15,039
One on one, you or your brother?

494
00:21:15,073 --> 00:21:18,108
Definitely me.

495
00:21:18,143 --> 00:21:19,510
You okay, buddy?

496
00:21:19,544 --> 00:21:21,045
Yeah.

497
00:21:21,079 --> 00:21:23,247
I can get you a Tylenol.
Tylenol, please.

498
00:21:23,281 --> 00:21:25,349
Nah, nah. It's...

499
00:21:25,383 --> 00:21:27,418
It's just this...

500
00:21:27,452 --> 00:21:29,453
Stress headache.

501
00:21:29,487 --> 00:21:31,555
Hey, hey, hey, hey. Spencer?

502
00:21:31,589 --> 00:21:33,524
Spencer.

503
00:21:33,558 --> 00:21:35,859
No pulse. I need a crash cart over here.

504
00:21:35,894 --> 00:21:38,629
Coming right away. Here we go.

505
00:21:38,663 --> 00:21:40,097
Left pupil's blown.

506
00:21:40,131 --> 00:21:42,232
Start bagging, amp of epi.
What happened?

507
00:21:42,267 --> 00:21:44,468
I don't know, he was talking one second,

508
00:21:44,502 --> 00:21:46,070
said he had a headache,

509
00:21:46,104 --> 00:21:47,538
and then he started slurring his words.

510
00:21:47,572 --> 00:21:50,040
Alright, charge to 200.

511
00:21:50,075 --> 00:21:51,976
Charging.

512
00:21:52,010 --> 00:21:54,378
Clear.

513
00:21:54,412 --> 00:21:56,447
Resume compressions. Another amp of epi.

514
00:21:56,481 --> 00:21:58,248
Charge 200 again.

515
00:21:58,283 --> 00:21:59,550
Charged.

516
00:21:59,584 --> 00:22:04,388
Clear.

517
00:22:04,422 --> 00:22:06,957
Asystole.

518
00:22:06,992 --> 00:22:09,960
Come on, bud. Come on.

519
00:22:09,995 --> 00:22:11,428
Come on.

520
00:22:11,463 --> 00:22:13,297
Noah.

521
00:22:13,331 --> 00:22:15,899
Hey, come on, Spencer.

522
00:22:15,924 --> 00:22:17,592
Noah, stop.

523
00:22:25,900 --> 00:22:28,201
Time of death, 16:29.

524
00:22:45,490 --> 00:22:47,523
We won't know for sure until
we get the ME's report,

525
00:22:47,548 --> 00:22:48,679
but from the looks of it,

526
00:22:48,704 --> 00:22:53,609
I'd say it was
a delayed epidural hematoma.

527
00:22:54,298 --> 00:22:58,014
But Spencer's...
Spencer's CTs were clean, and...

528
00:22:58,302 --> 00:23:00,336
Must've developed
after the initial scan.

529
00:23:00,370 --> 00:23:01,637
It happens sometimes, Noah.

530
00:23:01,672 --> 00:23:03,806
There's no way to predict or prevent it.

531
00:23:05,476 --> 00:23:09,412
Maggie, let's get the mom in
here so we can break the news.

532
00:23:13,050 --> 00:23:15,618
I told her Spencer was gonna be okay.

533
00:23:16,754 --> 00:23:20,356
I don't know what
I'm gonna say to her now.

534
00:23:20,390 --> 00:23:24,127
I can break the news, if you want.

535
00:23:24,161 --> 00:23:26,028
No.

536
00:23:26,063 --> 00:23:29,699
I appreciate the offer, Dr. Rhodes,

537
00:23:29,733 --> 00:23:31,567
but I really should do it.

538
00:23:31,602 --> 00:23:35,171
I'll go lean on the ME
for a cause of death.

539
00:23:54,892 --> 00:23:56,626
No.

540
00:23:57,861 --> 00:24:00,163
I can't feel anything, Sam.

541
00:24:00,197 --> 00:24:03,166
Alright, press down on the
gas pedal as hard as you can.

542
00:24:05,202 --> 00:24:06,536
Have you been ill at all recently?

543
00:24:06,570 --> 00:24:09,205
Is it possible you're immunocompromised?

544
00:24:09,239 --> 00:24:10,339
How about any interactions
with the patient?

545
00:24:10,374 --> 00:24:12,108
Any needle sticks?

546
00:24:12,142 --> 00:24:13,743
Is there a chance you exchanged
fluids somehow or...

547
00:24:13,777 --> 00:24:15,578
The only direct contact
I had with the patient

548
00:24:15,612 --> 00:24:17,180
was when she collapsed.
I carried her into the ED.

549
00:24:17,214 --> 00:24:18,414
How about you?

550
00:24:18,448 --> 00:24:19,782
Are you experiencing any numbness

551
00:24:19,817 --> 00:24:20,783
or tingling in your lower extremities?

552
00:24:20,818 --> 00:24:22,418
No.

553
00:24:22,452 --> 00:24:24,587
We haven't even established
what Denise has yet,

554
00:24:24,621 --> 00:24:26,355
let alone if it's contagious.

555
00:24:26,390 --> 00:24:28,591
You think it's a coincidence,
your paralysis?

556
00:24:30,494 --> 00:24:31,727
Where are you with your differential?

557
00:24:31,762 --> 00:24:34,297
We're operating under the hypothesis

558
00:24:34,331 --> 00:24:35,698
that she had Guillain-Barré syndrome.

559
00:24:35,732 --> 00:24:37,099
Well, that's obviously a dead end.

560
00:24:37,134 --> 00:24:39,235
GBS isn't contagious.

561
00:24:39,269 --> 00:24:40,870
I'm gonna get started on the LP.

562
00:24:40,904 --> 00:24:42,572
Collect everything you've got
thus far on the girl.

563
00:24:42,606 --> 00:24:44,240
Every test you gave her, you give him.

564
00:24:44,274 --> 00:24:47,243
See if we can find any patterns.

565
00:24:47,277 --> 00:24:49,579
Now, Dr. Manning.

566
00:25:06,663 --> 00:25:08,297
Let's give her another bolus of fluids.

567
00:25:08,332 --> 00:25:10,700
She's still pretty dehydrated.

568
00:25:16,440 --> 00:25:18,741
Sats aren't improving much.

569
00:25:32,689 --> 00:25:35,358
Dr. Choi.

570
00:25:35,392 --> 00:25:37,260
How is Abena doing?

571
00:25:37,294 --> 00:25:38,828
Now it looks like
she's developing a pulmonary...

572
00:25:38,862 --> 00:25:42,632
Mr. Doctor.

573
00:25:42,666 --> 00:25:44,867
My niece isn't getting any better.

574
00:25:44,902 --> 00:25:46,669
How can this be the flu?

575
00:25:46,703 --> 00:25:48,838
Ma'am, I completely
understand your frustration.

576
00:25:48,872 --> 00:25:52,341
Don't think I don't know
what's going on here.

577
00:25:52,376 --> 00:25:55,278
We are immigrants with no insurance,

578
00:25:55,312 --> 00:25:57,713
so you think you don't have
to give us your best care...

579
00:25:57,748 --> 00:26:01,384
Ms. Kwemo, I assure you we're
doing everything in our power...

580
00:26:01,418 --> 00:26:03,719
Are you?

581
00:26:03,745 --> 00:26:06,980
I don't believe that.

582
00:26:07,024 --> 00:26:08,991
You're right, Ms. Kwemo.
There's more we can do.

583
00:26:09,026 --> 00:26:10,526
There are other tests we could run.

584
00:26:10,560 --> 00:26:12,328
Tests we need Abena's consent for.

585
00:26:12,362 --> 00:26:15,298
Dr. Choi, I need to speak
to you in private for a moment.

586
00:26:18,502 --> 00:26:20,836
Excuse us, please.

587
00:26:26,243 --> 00:26:30,212
You know, Dr. Choi, there's
a pretty important statute,

588
00:26:30,247 --> 00:26:32,715
known as the HIPAA privacy rule,

589
00:26:32,749 --> 00:26:36,585
that protects every patient's
personal health information

590
00:26:36,620 --> 00:26:40,489
from being shared with anybody else.

591
00:26:40,524 --> 00:26:42,892
You heard her, Ms. Goodwin.

592
00:26:42,926 --> 00:26:44,694
She wants us to help her niece.

593
00:26:44,728 --> 00:26:47,396
Still, it's not for you to tell her.

594
00:26:47,431 --> 00:26:49,865
That's the rule.

595
00:26:52,869 --> 00:26:55,604
With all due respect,

596
00:26:55,639 --> 00:26:57,340
if all we were gonna do
is follow the rules,

597
00:26:57,374 --> 00:26:58,574
we should've done what Stohl wanted,

598
00:26:58,608 --> 00:27:01,544
and turfed her back to East Mercy.

599
00:27:09,619 --> 00:27:12,021
Hey, Maggie told me about your car.

600
00:27:12,055 --> 00:27:13,589
Those punks.

601
00:27:13,623 --> 00:27:15,524
You know, I've got this great guy...

602
00:27:15,559 --> 00:27:17,293
glass, body, repairs.

603
00:27:17,327 --> 00:27:18,761
Do you wanna give him a call?

604
00:27:18,795 --> 00:27:20,896
I should really call
my insurance company.

605
00:27:20,931 --> 00:27:22,531
Hold off on that.

606
00:27:22,566 --> 00:27:23,933
Come on, join me on rounds.

607
00:27:23,967 --> 00:27:25,701
Take your mind out of it for a bit.

608
00:27:25,736 --> 00:27:27,370
I want you to meet this Jane Doe.

609
00:27:27,404 --> 00:27:28,604
That you were the one that
was supposed to...

610
00:27:28,638 --> 00:27:29,605
You were supposed to stay with him...

611
00:27:29,639 --> 00:27:31,440
You know what?

612
00:27:31,475 --> 00:27:33,376
I really should get a head
start with the insurance.

613
00:27:33,410 --> 00:27:34,877
It always takes forever
to reach a human.

614
00:27:34,911 --> 00:27:38,414
Alright.

615
00:27:38,448 --> 00:27:41,450
When you were knocking on the
other side of the bathroom...

616
00:27:48,825 --> 00:27:51,627
Spencer's family just got here.

617
00:27:51,661 --> 00:27:55,898
They already suspect it's bad news.

618
00:27:55,932 --> 00:27:58,868
Just don't keep them waiting too long.

619
00:28:00,937 --> 00:28:03,072
- Okay.
- Okay.

620
00:28:25,395 --> 00:28:28,497
Something happened
to Spencer, didn't it?

621
00:28:28,532 --> 00:28:31,000
He suffered a cardiac arrest.

622
00:28:31,034 --> 00:28:32,835
We think there might have been

623
00:28:32,869 --> 00:28:34,970
an acute hemorrhage in his brain.

624
00:28:35,005 --> 00:28:38,474
What are you saying?

625
00:28:38,508 --> 00:28:41,644
He... He's dead?

626
00:28:41,678 --> 00:28:43,646
We tried our best to resuscitate him,

627
00:28:43,680 --> 00:28:45,381
but there was nothing we could do.

628
00:28:45,415 --> 00:28:48,551
Oh... Oh, my God.

629
00:28:48,585 --> 00:28:50,853
My...

630
00:28:50,887 --> 00:28:52,855
My baby boy.

631
00:28:52,889 --> 00:28:55,124
Oh, God. Oh, God.

632
00:28:55,158 --> 00:28:57,693
Ma'am.

633
00:28:57,727 --> 00:29:00,963
I-I am so sorry for your loss.

634
00:29:00,997 --> 00:29:03,532
You said he would be okay.

635
00:29:03,567 --> 00:29:05,801
At the time, given the
information that I knew...

636
00:29:05,836 --> 00:29:07,002
You killed him.

637
00:29:07,037 --> 00:29:09,538
I had every reason to believe...

638
00:29:09,573 --> 00:29:10,906
- I'm sorry!
- You killed my baby brother.

639
00:29:10,941 --> 00:29:12,408
You killed him!

640
00:29:12,442 --> 00:29:13,509
Stop, stop, man.

641
00:29:13,543 --> 00:29:15,578
Terrance, stop!

642
00:29:15,612 --> 00:29:17,880
Security!

643
00:29:17,914 --> 00:29:19,148
Someone, we need help!

644
00:29:19,182 --> 00:29:21,517
Hey! Hey.

645
00:29:21,551 --> 00:29:22,885
Get off, get off, get off.

646
00:29:22,919 --> 00:29:24,520
Easy, easy, easy, easy. Shh, shh.

647
00:29:25,555 --> 00:29:26,755
Are you okay?

648
00:29:32,625 --> 00:29:35,382
- That kid got you pretty good.
- Yeah.

649
00:29:35,453 --> 00:29:39,148
You're looking at two
to three stitches tops.

650
00:29:40,354 --> 00:29:42,722
PD wants to know if you
wanna press charges, Noah.

651
00:29:42,756 --> 00:29:45,191
Well, of course he does.
He was assaulted.

652
00:29:45,225 --> 00:29:47,326
I asked Noah.

653
00:29:47,361 --> 00:29:49,445
Nah, I don't wanna press charges.

654
00:29:49,470 --> 00:29:51,093
That family has already
been through enough.

655
00:29:51,565 --> 00:29:53,265
Okay.

656
00:29:55,790 --> 00:29:57,358
You're gonna let him get away with this?

657
00:29:57,446 --> 00:29:59,914
Sarah, he just found out
his brother died.

658
00:29:59,948 --> 00:30:03,217
- How is he supposed to respond?
- Not like that.

659
00:30:04,486 --> 00:30:05,987
- Maggie.
- Mm-hmm, wait a second...

660
00:30:06,021 --> 00:30:08,556
Maggie, why wasn't security
in the room from the start?

661
00:30:08,590 --> 00:30:10,144
That's not the established protocol.

662
00:30:10,169 --> 00:30:11,492
Well, it should be, okay?

663
00:30:11,527 --> 00:30:14,495
Reactions to a loved one's
death can be unpredictable.

664
00:30:14,670 --> 00:30:16,137
There should always be a guard nearby

665
00:30:16,203 --> 00:30:18,671
when a family member is being informed.

666
00:30:18,706 --> 00:30:20,340
How are we supposed to do our jobs

667
00:30:20,374 --> 00:30:23,309
if we don't feel safe and protected?

668
00:30:39,894 --> 00:30:43,696
Hi, do you mind if I come in?

669
00:30:43,731 --> 00:30:45,765
My name is Sharon Goodwin.

670
00:30:45,799 --> 00:30:48,368
I'm in charge of
Patient and Medical Services

671
00:30:48,402 --> 00:30:49,669
here at Gaffney.

672
00:30:49,703 --> 00:30:51,337
Are you the boss?

673
00:30:51,372 --> 00:30:55,275
Uh, something like that.

674
00:30:55,309 --> 00:30:57,310
- Where's your aunt?
- Cafeteria.

675
00:30:57,344 --> 00:30:59,879
Went to get dinner.

676
00:30:59,914 --> 00:31:03,850
Uh, I'd like to share
something with you.

677
00:31:03,884 --> 00:31:06,019
Okay.

678
00:31:15,029 --> 00:31:17,130
Marie Castilla.

679
00:31:17,164 --> 00:31:18,865
Very bright.

680
00:31:18,899 --> 00:31:21,134
Expert Scrabble player.

681
00:31:21,168 --> 00:31:24,804
Beat me every time.

682
00:31:26,907 --> 00:31:29,342
That's Danny Dimoulas.

683
00:31:29,376 --> 00:31:33,479
Had this big baritone laugh.

684
00:31:33,514 --> 00:31:36,749
It would just shake the floor.

685
00:31:36,784 --> 00:31:39,319
Sometimes I still hear it.

686
00:31:43,524 --> 00:31:47,093
Felix Ramadei.

687
00:31:47,127 --> 00:31:49,495
He was a huge sci-fi nerd.

688
00:31:49,530 --> 00:31:51,931
Wouldn't have much to say,

689
00:31:51,966 --> 00:31:53,766
but if you got him talking

690
00:31:53,801 --> 00:31:56,903
about galaxies and space travel, well,

691
00:31:56,937 --> 00:31:59,739
there went your whole afternoon.

692
00:31:59,773 --> 00:32:01,274
These are your patients?

693
00:32:01,308 --> 00:32:04,043
They were my patients, yes.

694
00:32:04,078 --> 00:32:06,412
They died in the '80s.

695
00:32:06,447 --> 00:32:09,382
I was their nurse.

696
00:32:09,416 --> 00:32:12,051
It was a terrifying time.

697
00:32:12,086 --> 00:32:15,888
Some days we lost two, three patients.

698
00:32:15,923 --> 00:32:20,960
See, we barely understood
what AIDS was back then,

699
00:32:20,995 --> 00:32:22,762
let alone how to treat it.

700
00:32:22,796 --> 00:32:25,064
I don't want to see these anymore.

701
00:32:25,099 --> 00:32:28,034
I know. It's hard, isn't it?

702
00:32:28,068 --> 00:32:31,804
I could only imagine
who they might've been,

703
00:32:31,839 --> 00:32:36,042
what they might've done
with their lives,

704
00:32:36,076 --> 00:32:38,878
if they had a chance

705
00:32:38,912 --> 00:32:42,315
They had such promise.

706
00:32:42,349 --> 00:32:46,085
These patients,
how many of them died alone

707
00:32:46,120 --> 00:32:48,287
without their families?

708
00:32:48,322 --> 00:32:52,358
Far, far too many.

709
00:32:54,328 --> 00:32:56,329
I don't want to live without my family.

710
00:32:56,363 --> 00:32:59,966
And I'm sure they don't want
to live without you.

711
00:33:00,000 --> 00:33:03,436
I can see it in your aunt's eyes.

712
00:33:03,470 --> 00:33:05,471
I know that look.

713
00:33:05,506 --> 00:33:08,541
She's terrified of losing you.

714
00:33:12,046 --> 00:33:15,915
You're so young, Abena.

715
00:33:15,949 --> 00:33:20,820
Don't rob yourself of a future

716
00:33:20,854 --> 00:33:23,990
that these young people
could only dream about.

717
00:33:27,227 --> 00:33:31,330
I lost a lot of patients.

718
00:33:31,365 --> 00:33:34,133
I don't wanna add you to this folder.

719
00:33:59,193 --> 00:34:02,895
April, Abena is asking for you.

720
00:34:08,102 --> 00:34:10,636
I'll take the test.

721
00:34:10,671 --> 00:34:14,540
Abena, I need verbal
confirmation as to what test.

722
00:34:14,575 --> 00:34:18,177
I want to take the HIV test.

723
00:34:39,399 --> 00:34:41,934
These just came in from radiology.

724
00:34:41,969 --> 00:34:44,403
Finally. Thank you.

725
00:34:46,440 --> 00:34:48,541
Damn, I'm not seeing anything.

726
00:34:48,575 --> 00:34:50,409
Why was Will getting a brain MRI?

727
00:34:50,444 --> 00:34:52,345
What's going on, Natalie?

728
00:34:52,379 --> 00:34:53,546
Is he okay?

729
00:34:53,580 --> 00:34:55,214
- Dr. Manning.
- Yeah.

730
00:34:55,249 --> 00:34:57,049
The PICU called.
It's your patient, Denise.

731
00:34:57,084 --> 00:34:59,385
They need you upstairs.

732
00:35:03,590 --> 00:35:05,224
All of a sudden I saw her leg move,

733
00:35:05,259 --> 00:35:07,059
and then she reached out for me.

734
00:35:07,094 --> 00:35:10,229
Reflexes are all back to normal.

735
00:35:10,264 --> 00:35:13,065
Denise, I'm gonna have you
stand for me now, okay?

736
00:35:13,500 --> 00:35:15,001
Okay.

737
00:35:16,603 --> 00:35:18,104
That's great.

738
00:35:18,138 --> 00:35:19,572
Alright, now I'm gonna
have you walk to me,

739
00:35:19,606 --> 00:35:21,207
and I'm gonna let go, alright?

740
00:35:21,241 --> 00:35:23,709
- Okay.
- Let's go.

741
00:35:29,249 --> 00:35:30,917
Sam, what am I missing?

742
00:35:30,951 --> 00:35:32,285
Best guess? Some kind of toxin

743
00:35:32,319 --> 00:35:34,387
needed to work
its way out of her system.

744
00:35:34,421 --> 00:35:37,089
But how that got to Will?
I have no idea.

745
00:35:37,124 --> 00:35:38,424
Contagion is one thing,

746
00:35:38,458 --> 00:35:41,127
but this is more like a game of tag.

747
00:35:41,161 --> 00:35:44,230
- Thank you, Dr. Manning.
- Aw.

748
00:35:45,365 --> 00:35:47,667
Well, tag, now you're it.

749
00:35:53,273 --> 00:35:55,007
Nat, what are you doing?
You shouldn't be...

750
00:35:55,042 --> 00:35:56,442
Just look at your MRI.

751
00:35:56,476 --> 00:35:58,110
You see that bump above
your coronal suture?

752
00:35:58,145 --> 00:35:59,345
Yeah.

753
00:35:59,379 --> 00:36:01,347
First I thought it was a mole, but...

754
00:36:01,381 --> 00:36:03,416
What is it?

755
00:36:03,450 --> 00:36:04,650
Ah, there it is.

756
00:36:04,685 --> 00:36:06,118
There what is?

757
00:36:06,153 --> 00:36:07,119
Mm.

758
00:36:07,154 --> 00:36:08,120
Nat.

759
00:36:08,155 --> 00:36:10,122
- Gotcha.
- Ow!

760
00:36:10,157 --> 00:36:12,158
What is that? A tick?

761
00:36:12,192 --> 00:36:13,292
Wait, is this Lyme disease?

762
00:36:13,327 --> 00:36:15,761
Nope. Tick paralysis.

763
00:36:15,796 --> 00:36:19,699
The salivary gland
produces a nerve toxin.

764
00:36:19,733 --> 00:36:23,436
This guy came all the way from
Australia, courtesy of Denise.

765
00:36:23,470 --> 00:36:25,137
It must've detached from her scalp,

766
00:36:25,172 --> 00:36:26,539
but stayed in her hair,

767
00:36:26,573 --> 00:36:28,774
and when you picked her up,
it attached to you.

768
00:36:28,809 --> 00:36:31,444
But if it was off her by the
time we got Denise into the ED,

769
00:36:31,478 --> 00:36:33,646
how come the paralysis
kept moving up her body?

770
00:36:33,680 --> 00:36:35,615
It typically worsens for a few hours,

771
00:36:35,649 --> 00:36:38,317
once the tick is removed.

772
00:36:38,352 --> 00:36:40,052
So I'm not out of the woods yet.

773
00:36:40,087 --> 00:36:42,488
Nope, but the paralysis
is mass-dependent,

774
00:36:42,522 --> 00:36:44,624
so it shouldn't move
as quickly up your body.

775
00:36:44,658 --> 00:36:47,326
But you still have
to spend the night in the ICU.

776
00:36:47,361 --> 00:36:49,695
I gotta get this to Serology.

777
00:36:51,098 --> 00:36:52,465
Don't move.

778
00:36:52,499 --> 00:36:54,500
Haha.

779
00:36:56,236 --> 00:36:58,037
Hey, you need a ride somewhere?

780
00:36:58,071 --> 00:37:00,673
No, no, thank you. I have a ride.

781
00:37:03,210 --> 00:37:04,577
You know, I've been wondering

782
00:37:04,611 --> 00:37:06,379
about something you said
earlier today about...

783
00:37:06,413 --> 00:37:10,049
about not feeling safe in the ED.

784
00:37:10,083 --> 00:37:13,052
It was just an innocuous comment.

785
00:37:13,086 --> 00:37:14,420
Heat of the moment.

786
00:37:14,454 --> 00:37:15,688
Reese, you and me, we're both...

787
00:37:15,722 --> 00:37:18,658
we're both psychiatrists, right?

788
00:37:18,692 --> 00:37:20,393
"Innocuous comment," really?

789
00:37:20,427 --> 00:37:23,763
Dr. Charles, I know today
was not my finest hour, but...

790
00:37:23,797 --> 00:37:26,098
What with my car getting broken
into and Noah getting punched.

791
00:37:26,133 --> 00:37:27,533
Sarah, I get it.

792
00:37:27,567 --> 00:37:29,502
You know, this can be a very chaotic,

793
00:37:29,536 --> 00:37:33,072
often downright scary work environment.

794
00:37:33,106 --> 00:37:35,574
And you know what? It's not
necessarily for everybody.

795
00:37:35,609 --> 00:37:38,544
I chose emergency psychiatry

796
00:37:38,578 --> 00:37:41,213
because it was the right thing
for me at the time.

797
00:37:41,248 --> 00:37:42,214
I'm sorry, are you reassigning me?

798
00:37:42,249 --> 00:37:43,616
Of course not.

799
00:37:43,650 --> 00:37:45,217
I'm just saying
there are other options...

800
00:37:45,252 --> 00:37:47,119
No. Not for me.

801
00:37:47,154 --> 00:37:49,355
I want to be in the ED.

802
00:37:49,389 --> 00:37:50,523
Okay.

803
00:37:50,557 --> 00:37:52,124
Look, I promise we won't need to

804
00:37:52,159 --> 00:37:53,359
have this conversation again.

805
00:37:53,393 --> 00:37:56,228
I had a bad day. That's all.

806
00:37:56,263 --> 00:37:58,597
It's nothing I can't deal with.

807
00:38:06,840 --> 00:38:08,474
I got lucky, I guess.

808
00:38:08,508 --> 00:38:10,710
My paralysis hasn't progressed
up past my knees.

809
00:38:10,744 --> 00:38:12,078
Lucky?

810
00:38:12,112 --> 00:38:14,280
Getting latched on by a tick?

811
00:38:16,249 --> 00:38:18,250
Must've been the red hair.

812
00:38:18,285 --> 00:38:20,319
There's not a creature in
the world that can resist this.

813
00:38:20,354 --> 00:38:22,555
That's very true.

814
00:38:22,589 --> 00:38:24,223
I gotta go.

815
00:38:24,257 --> 00:38:26,092
Doris is gonna kill me
if I'm late to her party.

816
00:38:26,126 --> 00:38:27,593
Thanks, Maggie. Have fun.

817
00:38:27,627 --> 00:38:29,795
Bye.

818
00:38:35,168 --> 00:38:39,438
Well, you know what the best part

819
00:38:39,473 --> 00:38:42,575
about being in an isolation room is?

820
00:38:42,609 --> 00:38:45,144
The privacy.

821
00:38:48,281 --> 00:38:51,317
I don't have to be home
for another couple of hours.

822
00:38:51,351 --> 00:38:54,286
- Oh, really?
- Mm-hmm.

823
00:38:54,321 --> 00:38:56,389
Hmm.

824
00:38:57,891 --> 00:39:01,527
So, you can still feel
everything above the knees?

825
00:39:03,830 --> 00:39:06,832
We should probably make sure.

826
00:39:18,311 --> 00:39:20,713
How do you think it's going in there?

827
00:39:20,747 --> 00:39:22,314
I can't tell.

828
00:39:22,349 --> 00:39:23,349
I mean, Vera's still in there.

829
00:39:23,383 --> 00:39:24,650
She hasn't left.

830
00:39:24,684 --> 00:39:27,286
- That's a good sign, right?
- Yeah.

831
00:39:27,320 --> 00:39:28,454
Coming, April?

832
00:39:31,858 --> 00:39:34,794
Yeah, um,

833
00:39:34,828 --> 00:39:38,364
my boyfriend and I will meet you there.

834
00:39:38,398 --> 00:39:39,832
Good for you.

835
00:39:39,866 --> 00:39:41,834
Pick up your jaw, Doris.

836
00:39:46,239 --> 00:39:48,974
What... changed?

837
00:39:51,211 --> 00:39:52,645
Good night.

838
00:39:52,679 --> 00:39:55,514
Noah.

839
00:39:55,549 --> 00:39:56,982
Are you okay?

840
00:39:57,017 --> 00:39:58,818
You're still up for Doris' party?

841
00:39:58,852 --> 00:40:02,188
Nah, I'm... I'm just gonna head home.

842
00:40:08,462 --> 00:40:10,696
We're the next party of two.

843
00:40:10,730 --> 00:40:13,699
That's pretty. You should get it.

844
00:40:13,733 --> 00:40:16,635
Meh, I have more than enough scarves.

845
00:40:20,540 --> 00:40:23,876
- Oh, this is us.
- Oh.

846
00:40:30,484 --> 00:40:31,717
You coming?

847
00:40:31,751 --> 00:40:34,353
Yeah.

848
00:40:46,566 --> 00:40:47,900
Could I help you, ma'am?

849
00:40:47,934 --> 00:40:49,902
Um, yeah, can you unlock this case?

850
00:40:49,936 --> 00:40:52,371
Sure. You have a FOID card?

851
00:40:52,405 --> 00:40:53,572
A FOID card?

852
00:40:53,607 --> 00:40:56,809
A Firearm Owner Identification card?

853
00:40:56,843 --> 00:40:59,778
The application takes
a couple of months to process.

854
00:40:59,813 --> 00:41:02,381
- That long?
- It's required.

855
00:41:02,415 --> 00:41:05,584
Uh, we could start
the paperwork tonight,

856
00:41:05,619 --> 00:41:08,420
but in the meantime,

857
00:41:08,455 --> 00:41:11,257
pepper spray can make a gal feel safe.

858
00:41:18,421 --> 00:41:23,421
Synced & corrected by kinglouisxx
www.addic7ed.com