1 00:00:58,822 --> 00:01:00,966 Thanks. 2 00:01:02,148 --> 00:01:06,183 Wow, some showy new wheels. 3 00:01:06,238 --> 00:01:08,754 Not cheap. What are we talking? 125? 4 00:01:08,793 --> 00:01:09,904 In the neighborhood. 5 00:01:09,940 --> 00:01:11,873 Not one I've ever lived in. 6 00:01:11,908 --> 00:01:12,874 Morning. 7 00:01:12,909 --> 00:01:14,480 Good morning. 8 00:01:15,078 --> 00:01:16,711 Nice looking. 9 00:01:16,747 --> 00:01:20,410 But is she attracted to you or the car? 10 00:01:21,452 --> 00:01:23,385 I'm gonna go find out. 11 00:01:23,420 --> 00:01:24,718 Catch up to you later. 12 00:01:27,089 --> 00:01:28,623 - Hi. - Hi. 13 00:01:28,658 --> 00:01:30,803 - Connor. - Lisette. 14 00:01:31,561 --> 00:01:32,527 That's it. 15 00:01:32,562 --> 00:01:35,296 You got this. Nice job, little man. 16 00:01:35,331 --> 00:01:37,231 I think you got a future architect here. 17 00:01:37,267 --> 00:01:38,766 Or a demolitions expert. 18 00:01:39,969 --> 00:01:41,234 Oh, I get a turn. 19 00:01:41,270 --> 00:01:43,936 Thank you. 20 00:01:43,972 --> 00:01:45,472 Oh, is that good? 21 00:01:45,507 --> 00:01:48,241 You like that? 22 00:01:48,277 --> 00:01:49,776 Told ya. 23 00:01:49,811 --> 00:01:52,145 We'll just have to rebuild it again, now won't we? 24 00:01:52,181 --> 00:01:53,980 Ow! 25 00:01:54,015 --> 00:01:56,449 What happened? 26 00:01:56,485 --> 00:01:58,250 I have no idea. 27 00:01:58,286 --> 00:01:59,685 Are you okay? 28 00:01:59,720 --> 00:02:03,255 Yeah. 29 00:02:03,291 --> 00:02:04,756 "Patton." 30 00:02:04,792 --> 00:02:06,091 "The Evil Dead." 31 00:02:06,126 --> 00:02:07,426 "The Dirty Dozen." 32 00:02:07,461 --> 00:02:09,027 "Texas Chainsaw Massacre." 33 00:02:09,063 --> 00:02:11,763 Come on, all your favorite movies can't be slasher films. 34 00:02:11,799 --> 00:02:13,599 Better than World War II flicks. 35 00:02:13,634 --> 00:02:14,866 They're classics. 36 00:02:14,902 --> 00:02:16,067 What can I get you? 37 00:02:16,102 --> 00:02:19,470 Chai tea latte, almond milk, no water, no foam, extra hot. 38 00:02:19,506 --> 00:02:21,105 You got it. 39 00:02:21,140 --> 00:02:22,940 Black coffee. 40 00:02:22,975 --> 00:02:26,043 It is mystifying how little we have in common. 41 00:02:26,079 --> 00:02:27,278 Luckily, opposites attract. 42 00:02:27,314 --> 00:02:28,946 Works for me. 43 00:02:28,981 --> 00:02:31,882 Got a chai tea latte, no water, no foam, almond milk, 44 00:02:31,918 --> 00:02:32,749 extra hot. 45 00:02:32,784 --> 00:02:34,084 - Thank you. - Really? 46 00:02:34,119 --> 00:02:36,052 Hers comes out first? 47 00:02:36,088 --> 00:02:38,522 He'll pay. Catch you later. 48 00:02:43,429 --> 00:02:45,095 I need a doctor, please! 49 00:02:45,130 --> 00:02:47,231 - What's wrong? Are you hurt? - Not me, a woman, 50 00:02:47,266 --> 00:02:48,998 two blocks over, she's on the ground, isn't moving. 51 00:02:49,034 --> 00:02:49,998 Show me. 52 00:02:55,451 --> 00:02:56,984 Excuse me, excuse me. 53 00:02:57,009 --> 00:02:59,743 Hey, can you hear me? 54 00:02:59,910 --> 00:03:01,877 Can you hear me? Who saw what happened? 55 00:03:01,912 --> 00:03:03,787 She jogged past me, then she just fell. 56 00:03:03,812 --> 00:03:04,889 I called 911. 57 00:03:04,925 --> 00:03:06,992 - God, is she alive? - Barely. 58 00:03:07,017 --> 00:03:08,416 Can't wait on the paramedics. 59 00:03:13,818 --> 00:03:18,075 Synced & corrected by kinglouisxx www.addic7ed.com 60 00:03:18,545 --> 00:03:19,675 I need you. 61 00:03:19,700 --> 00:03:21,296 20-something female went down while jogging. 62 00:03:21,331 --> 00:03:23,064 Barely awake, weak pulse, hypothermic. 63 00:03:23,099 --> 00:03:25,031 Let's get her on the monitors and start a line. 64 00:03:25,067 --> 00:03:26,900 Bolus a liter of warm saline and grab some blankets. 65 00:03:26,935 --> 00:03:29,069 We need to raise her body temp. 66 00:03:30,439 --> 00:03:31,705 She's pretty bundled up. 67 00:03:31,741 --> 00:03:33,407 How long was she exposed to the elements? 68 00:03:33,442 --> 00:03:35,709 On the ground. Two, maybe three minutes. 69 00:03:35,745 --> 00:03:37,878 That's it? And she's hypothermic? 70 00:03:37,913 --> 00:03:38,879 Yeah. 71 00:03:40,415 --> 00:03:41,814 Oh, God. 72 00:03:41,849 --> 00:03:44,216 - There's nothing to her. - Let's get her up. 73 00:03:47,289 --> 00:03:48,588 Okay. 74 00:03:48,623 --> 00:03:50,590 This side. 75 00:03:52,927 --> 00:03:56,162 Hair's brittle and thin, lanugo covering the skin. 76 00:03:56,197 --> 00:03:57,562 Anorexia. 77 00:03:57,598 --> 00:03:59,564 Stethoscope. 78 00:03:59,600 --> 00:04:03,468 BP 88/50, heart rate 50s. 79 00:04:03,504 --> 00:04:05,236 EKG is sinus Brady. 80 00:04:05,272 --> 00:04:07,071 Bilateral crackles. 81 00:04:08,975 --> 00:04:11,176 Her eyes are yellow. She's jaundiced. 82 00:04:14,380 --> 00:04:17,915 God, I can feel right through her to the bed underneath. 83 00:04:17,950 --> 00:04:19,082 Where am I? 84 00:04:19,118 --> 00:04:20,851 Hey, in the hospital. 85 00:04:20,886 --> 00:04:22,252 Can you tell me your name? 86 00:04:22,288 --> 00:04:23,754 Allison. 87 00:04:23,790 --> 00:04:25,489 Allison, I'm Dr. Choi, I'm gonna help you, okay? 88 00:04:25,525 --> 00:04:27,925 I'm okay. I just need to rest. 89 00:04:27,960 --> 00:04:29,860 Let's get a CBC, CMP, LFTs, 90 00:04:29,895 --> 00:04:31,861 a chest x-ray and a 12 lead EKG. 91 00:04:31,896 --> 00:04:33,196 Yep, on it. 92 00:04:39,338 --> 00:04:42,171 Morning, I'm Dr. Halstead. 93 00:04:42,207 --> 00:04:43,807 Asterid. 94 00:04:43,842 --> 00:04:46,275 It looks like you're hurting too. 95 00:04:46,311 --> 00:04:47,977 Need a hit? 96 00:04:48,012 --> 00:04:50,612 Thanks, but let's get you squared away first. 97 00:04:50,648 --> 00:04:51,980 What happened? 98 00:04:52,015 --> 00:04:54,616 I was running up the stairs to the platform 99 00:04:54,652 --> 00:04:55,951 to catch the train. 100 00:04:55,986 --> 00:04:58,019 By the time I got to the last step, 101 00:04:58,055 --> 00:04:58,687 I was... 102 00:04:58,723 --> 00:05:01,122 I was so exhausted, I tripped. 103 00:05:01,158 --> 00:05:03,359 Landed on my arm. 104 00:05:03,394 --> 00:05:04,693 Is it broken? 105 00:05:04,729 --> 00:05:06,494 Well, maybe. We'll get some X-rays. 106 00:05:06,529 --> 00:05:08,396 Lean forward for me. 107 00:05:13,002 --> 00:05:14,535 Ah. 108 00:05:14,571 --> 00:05:16,504 You okay? 109 00:05:16,539 --> 00:05:18,573 I tweaked my back a few months ago. 110 00:05:18,608 --> 00:05:20,808 Free clinic gave me some anti-inflammatories. 111 00:05:20,844 --> 00:05:22,676 Said they'd help. They haven't. 112 00:05:22,711 --> 00:05:25,078 I even crushed them up and snorted them. 113 00:05:25,113 --> 00:05:26,312 What? 114 00:05:26,348 --> 00:05:27,681 Just kidding. 115 00:05:27,716 --> 00:05:29,182 I'm a stand-up comic, 116 00:05:29,217 --> 00:05:31,918 so when I see an opening for a joke, I have to take it. 117 00:05:31,953 --> 00:05:33,887 Well, timing was excellent, I'll give you that. 118 00:05:33,922 --> 00:05:35,655 Where does your back hurt? 119 00:05:35,691 --> 00:05:38,992 Uh, it's a sharp pain down here. 120 00:05:39,027 --> 00:05:39,825 Mm-hmm. 121 00:05:39,861 --> 00:05:42,327 More throbbing up here. 122 00:05:42,363 --> 00:05:44,096 The fall made it worse, didn't it? 123 00:05:44,131 --> 00:05:46,331 Well, I can't say without a CT, 124 00:05:46,367 --> 00:05:48,100 but no bruising or swelling, 125 00:05:48,135 --> 00:05:49,568 so that's a good sign. 126 00:05:49,604 --> 00:05:51,169 Hang tight. The techs will be by soon 127 00:05:51,205 --> 00:05:53,572 to take you up to Radiology. 128 00:05:54,542 --> 00:05:55,741 Maggie, which nurse do you have 129 00:05:55,777 --> 00:05:57,442 covering Asterid in Treatment Four? 130 00:05:57,477 --> 00:05:58,743 You're looking at her. 131 00:05:58,779 --> 00:06:00,678 Double duty again, huh? 132 00:06:00,714 --> 00:06:02,680 Yep, twice the work for me, 133 00:06:02,716 --> 00:06:05,550 and yet, it's the hospital's bank account that benefits. 134 00:06:05,585 --> 00:06:08,085 You know, trickle up economics. 135 00:06:08,121 --> 00:06:09,353 Absolutely. 136 00:06:09,389 --> 00:06:11,188 Nice shiner. 137 00:06:11,224 --> 00:06:13,090 I haven't seen one of those on you for a while. 138 00:06:13,126 --> 00:06:14,691 This time, it wasn't my fault. 139 00:06:14,727 --> 00:06:16,560 South side boy. 140 00:06:16,595 --> 00:06:19,763 Somehow, I don't buy it. 141 00:06:19,799 --> 00:06:20,864 What do you need in Four? 142 00:06:20,900 --> 00:06:22,232 AP lateral of the left elbow 143 00:06:22,267 --> 00:06:24,635 and a CT chest and belly with contrast. 144 00:06:24,670 --> 00:06:26,904 You got it. 145 00:06:29,508 --> 00:06:31,040 Dr. Reese. 146 00:06:31,075 --> 00:06:32,742 Welcome back. How are you doing? 147 00:06:32,777 --> 00:06:34,977 Great, great, very eager to dive back in. 148 00:06:35,012 --> 00:06:36,011 Fantastic. 149 00:06:36,047 --> 00:06:38,981 Just for the record, easing back in is okay too, 150 00:06:39,016 --> 00:06:40,650 but thrilled you're here. 151 00:06:40,685 --> 00:06:41,884 How's therapy been going? 152 00:06:41,920 --> 00:06:43,218 Oh, well, it better be going well. 153 00:06:43,254 --> 00:06:45,387 Daily counseling, anger management sessions, 154 00:06:45,423 --> 00:06:46,823 meeting with the hospital attorney. 155 00:06:46,858 --> 00:06:48,389 And remember, not intended to be a punishment. 156 00:06:48,425 --> 00:06:49,825 Oh, no, of course not. 157 00:06:49,860 --> 00:06:51,125 It's actually a great way to grow professionally. 158 00:06:51,161 --> 00:06:52,627 Can't hide from it. It keeps the secrets 159 00:06:52,663 --> 00:06:54,228 - in their pockets. - Wonderful. 160 00:06:54,264 --> 00:06:56,731 20-something woman, agitated and out of control. 161 00:06:56,767 --> 00:06:58,433 PD found her running around in the middle 162 00:06:58,469 --> 00:06:59,901 of the I-90 express lanes. 163 00:06:59,937 --> 00:07:01,603 - What's she on? - Nothing we can tell. 164 00:07:01,638 --> 00:07:04,005 No track marks or tweaking signs, but a lot of rambling. 165 00:07:04,040 --> 00:07:05,339 Our insides, holding in... 166 00:07:05,374 --> 00:07:07,074 Airway's clearly intact. 167 00:07:07,109 --> 00:07:10,478 Obviously has no problem moving four limbs spontaneously. 168 00:07:10,513 --> 00:07:12,580 I'd say my job is done. 169 00:07:12,615 --> 00:07:14,081 She's all yours. 170 00:07:14,116 --> 00:07:15,850 Thank you. 171 00:07:15,885 --> 00:07:19,487 Dr. Charles, Treatment Three, can't wait. 172 00:07:19,522 --> 00:07:22,254 But now I see how everything is filled with water... 173 00:07:22,290 --> 00:07:24,290 Oh, man. Um... 174 00:07:24,325 --> 00:07:25,925 Go ahead, I've got Jane Doe. 175 00:07:25,961 --> 00:07:28,260 Do a full assessment, and we will staff it later. 176 00:07:28,296 --> 00:07:29,596 Thanks. 177 00:07:29,631 --> 00:07:30,630 You good? 178 00:07:30,665 --> 00:07:31,631 I'm good. 179 00:07:31,666 --> 00:07:32,966 Welcome back. 180 00:07:33,001 --> 00:07:34,834 Don't open the box, no. Open the box, no. 181 00:07:34,870 --> 00:07:38,237 Don't open the box. Back and forth, on and off. 182 00:07:39,874 --> 00:07:43,642 Allison, how you doing? 183 00:07:49,383 --> 00:07:53,519 We're here... easy, easy, easy, easy. 184 00:07:53,554 --> 00:07:55,020 Allison, I'm Dr. Charles. 185 00:07:55,055 --> 00:07:57,121 Shrink. 186 00:07:58,424 --> 00:08:00,992 So, um, something tells me 187 00:08:01,027 --> 00:08:03,861 this isn't your first time in an ED. 188 00:08:03,897 --> 00:08:06,964 Not just saline, is it? 189 00:08:07,000 --> 00:08:07,732 D5? 190 00:08:07,767 --> 00:08:10,167 Well, your blood sugar was 44, 191 00:08:10,202 --> 00:08:11,969 so you know, the dextrose... 192 00:08:12,005 --> 00:08:15,171 Treats hypoglycemia and all that comes with it, I know. 193 00:08:15,206 --> 00:08:21,044 But at 170 calories per liter... 194 00:08:22,080 --> 00:08:25,649 If I can get 80 per mile, home to lake and back is four, 195 00:08:25,684 --> 00:08:26,816 that's 320. 196 00:08:26,852 --> 00:08:29,985 So, is your math working out? 197 00:08:30,021 --> 00:08:32,154 Are you gonna be able to burn off those extra calories? 198 00:08:34,458 --> 00:08:36,491 I don't need to be here. 199 00:08:38,596 --> 00:08:41,664 Check my levels, vitamins. 200 00:08:41,699 --> 00:08:43,498 Potassium. 201 00:08:43,534 --> 00:08:45,834 They'll be normal. 202 00:08:45,870 --> 00:08:48,770 What is the go-to trick these days 203 00:08:48,805 --> 00:08:50,605 for, you know, gaming those numbers? 204 00:08:50,640 --> 00:08:52,574 You guys still sucking on lemons 205 00:08:52,609 --> 00:08:56,177 or, I don't know, I heard that guzzling vitamin water 206 00:08:56,212 --> 00:08:58,012 is kind of coming into vogue. 207 00:08:58,048 --> 00:09:00,882 I mean, it's none of my business, but I am curious. 208 00:09:03,586 --> 00:09:06,252 How long has it been going on for? 209 00:09:08,390 --> 00:09:11,357 Five years? 210 00:09:11,393 --> 00:09:14,461 Ten? 211 00:09:14,496 --> 00:09:16,697 15? 15 years? 212 00:09:18,734 --> 00:09:22,802 At least 15 years. 213 00:09:24,572 --> 00:09:28,641 I want to go home. 214 00:09:28,676 --> 00:09:30,643 Okay. 215 00:09:48,428 --> 00:09:50,328 Allison, you know, if you can't get out of bed, 216 00:09:50,363 --> 00:09:54,065 you know that I can't... I can't let you go, right? 217 00:09:54,101 --> 00:09:56,333 And you do know what that means. 218 00:10:01,373 --> 00:10:03,273 500. 219 00:10:03,308 --> 00:10:04,441 5,000. 220 00:10:04,476 --> 00:10:06,143 1,000. 221 00:10:06,178 --> 00:10:07,811 4,000. 222 00:10:07,847 --> 00:10:08,812 1,500. 223 00:10:08,848 --> 00:10:10,347 - 3,000. - Two. 224 00:10:10,382 --> 00:10:12,348 Three. 225 00:10:12,383 --> 00:10:15,284 Fine. 226 00:10:15,319 --> 00:10:17,353 3,000 calories. 227 00:10:17,388 --> 00:10:19,321 And it has to be through your nose. 228 00:10:21,726 --> 00:10:24,200 If this goes. 229 00:10:24,328 --> 00:10:25,628 Mm. 230 00:10:27,065 --> 00:10:28,764 Got yourself a deal. 231 00:10:38,348 --> 00:10:40,169 And following the fingers, you can count, 232 00:10:40,194 --> 00:10:42,222 the count likes to laugh, and he's just a puppet, 233 00:10:42,247 --> 00:10:43,613 sometimes I feel like a puppet, 234 00:10:43,649 --> 00:10:45,348 - with someone operating me... - I'm Dr. Reese. 235 00:10:45,383 --> 00:10:46,880 - Can you tell me your name? - Not operating on me. 236 00:10:46,905 --> 00:10:48,903 Because surgery belongs in another part of the hospital. 237 00:10:48,969 --> 00:10:52,632 Each part separated by a floor, a floor made of marble or wood. 238 00:10:52,671 --> 00:10:53,788 Can you tell me how you got here? 239 00:10:53,813 --> 00:10:55,804 Cooking things through at a slow heat. 240 00:10:55,850 --> 00:10:57,983 - The temperature cooks evenly... - Where do you live? 241 00:10:58,008 --> 00:11:00,009 Through me to the core of my eyes and my brain, 242 00:11:00,044 --> 00:11:01,358 and none of it will stop. 243 00:11:01,383 --> 00:11:02,913 Watching the whirring, watching the whirring, 244 00:11:02,938 --> 00:11:05,347 go, go, go, go, go, go, go. 245 00:11:05,382 --> 00:11:06,949 Foot, foot, left, right, left, right. 246 00:11:06,984 --> 00:11:08,951 Back and forth, on and off, on and off, on and off. 247 00:11:08,986 --> 00:11:13,054 Back and forth, on and off, the switch, the light switch breaking... 248 00:11:13,089 --> 00:11:14,679 Meds first, talk later? 249 00:11:14,703 --> 00:11:18,170 Please. Uh, let's get her Risperdal M-TAB 250 00:11:18,206 --> 00:11:19,973 two milligrams, should calm her down. 251 00:11:20,008 --> 00:11:21,407 All right. 252 00:11:21,442 --> 00:11:22,868 I don't know why I let you talk me 253 00:11:22,893 --> 00:11:24,253 out of coming here yesterday. 254 00:11:24,278 --> 00:11:27,480 I'm fine, it's just a really bad cold. 255 00:11:27,516 --> 00:11:29,982 It's our first vacation together. 256 00:11:30,017 --> 00:11:31,850 Emergency room's not on the itinerary. 257 00:11:31,886 --> 00:11:33,451 Temp's 100.4. 258 00:11:33,487 --> 00:11:35,186 See, Hannah, it's barely a fever. 259 00:11:35,222 --> 00:11:38,182 God forbid he let on that he's sick. 260 00:11:38,245 --> 00:11:40,099 - I've got a stubborn one also. - Mm. 261 00:11:40,127 --> 00:11:42,861 Me too. 262 00:11:42,897 --> 00:11:45,697 Lymph nodes are enlarged. 263 00:11:45,733 --> 00:11:47,798 All right. 264 00:11:48,735 --> 00:11:51,468 I'm gonna have you open your mouth for me. 265 00:11:51,504 --> 00:11:53,270 He hasn't eaten in three days. 266 00:11:53,305 --> 00:11:57,141 He can barely sip water. It hurts that bad. 267 00:11:57,176 --> 00:11:58,475 Throat's pretty raw. 268 00:11:58,511 --> 00:12:00,044 Tonsils are swollen. Yellow exudate. 269 00:12:00,079 --> 00:12:01,846 - What's that? - Pus. 270 00:12:01,881 --> 00:12:03,547 Maybe an infection. 271 00:12:03,582 --> 00:12:05,281 See, we should've come yesterday. 272 00:12:05,316 --> 00:12:07,216 I'll get a rapid strep test. 273 00:12:07,252 --> 00:12:09,886 And let's get a CBC and BMP also. 274 00:12:09,922 --> 00:12:11,387 I'm sorry. 275 00:12:11,423 --> 00:12:14,057 I just wanted the trip to be perfect. 276 00:12:14,092 --> 00:12:16,059 And I just want you to be healthy. 277 00:12:16,094 --> 00:12:18,461 Well, hopefully we can solve both of your problems. 278 00:12:18,496 --> 00:12:20,763 I'll be back shortly. 279 00:12:28,873 --> 00:12:30,372 What, you keeping a secret? 280 00:12:30,407 --> 00:12:32,875 - Hey. - "Your Toddler and You." 281 00:12:32,910 --> 00:12:34,409 Is this business or pleasure? 282 00:12:34,445 --> 00:12:35,477 Both. 283 00:12:35,512 --> 00:12:38,245 I'm looking for ideas on how to get Owen to like me. 284 00:12:38,281 --> 00:12:40,048 What makes you think he doesn't? 285 00:12:40,083 --> 00:12:41,415 Oh, I don't know. 286 00:12:41,451 --> 00:12:43,551 You worry too much. 287 00:12:43,587 --> 00:12:45,352 Hey, Owen's number one in Natalie's life. 288 00:12:45,388 --> 00:12:48,355 If I can't make it work with him, I got no shot with her. 289 00:12:48,391 --> 00:12:49,991 Well, let me break down toddlers for you. 290 00:12:50,026 --> 00:12:51,593 They eat, sleep, poop, and play. 291 00:12:51,628 --> 00:12:54,728 Help 'em out with any one of those things, and you're gold. 292 00:12:54,763 --> 00:12:56,429 Radiologist's report. 293 00:12:56,465 --> 00:12:58,999 Asterid's arm X-ray and CT scans. 294 00:12:59,034 --> 00:13:00,433 - And no fractures? - Mm-hmm. 295 00:13:00,469 --> 00:13:01,835 Just soft tissue swelling. 296 00:13:01,870 --> 00:13:03,704 Let's wrap her elbow up and put it in a sling. 297 00:13:03,739 --> 00:13:05,939 Got it. 298 00:13:05,975 --> 00:13:08,108 Whoa. 299 00:13:08,143 --> 00:13:09,743 What is it? 300 00:13:09,778 --> 00:13:11,677 Her CT. 301 00:13:13,214 --> 00:13:15,180 I need Connor and Dr. Neal in Urology. 302 00:13:15,216 --> 00:13:17,483 I got it. 303 00:13:18,720 --> 00:13:20,419 3,000 calories? 304 00:13:20,454 --> 00:13:21,921 It's all she's willing to accept. 305 00:13:21,956 --> 00:13:23,255 Why are you negotiating? 306 00:13:23,290 --> 00:13:25,625 Dangerously low albumin, renal insufficiency. 307 00:13:25,660 --> 00:13:27,559 5'6" and less than 70 pounds. 308 00:13:27,595 --> 00:13:29,694 Dr. Charles, I carried her in, she was nothing. 309 00:13:29,730 --> 00:13:31,630 She needs high-calorie, long-term nutrition. 310 00:13:31,665 --> 00:13:33,064 I agree. 311 00:13:33,100 --> 00:13:34,966 Then what are you doing? 312 00:13:35,002 --> 00:13:37,769 Anorexia is actually the most deadly mental illness 313 00:13:37,804 --> 00:13:38,837 that there is. 314 00:13:38,872 --> 00:13:41,372 Every instinct she has is telling her to resist this, 315 00:13:41,407 --> 00:13:43,307 and I don't want to push her any harder than she'll let us. 316 00:13:43,343 --> 00:13:45,409 - Then let me push her. - No. 317 00:13:45,445 --> 00:13:46,944 I made a deal, we have to honor it. 318 00:13:46,979 --> 00:13:49,713 Trust me, it's her best shot. 319 00:13:50,683 --> 00:13:53,117 Listen, we get 3,000, and you'll go back for more. 320 00:13:53,152 --> 00:13:54,551 - Of course. - Dr. Choi, 321 00:13:54,586 --> 00:13:56,920 Allison's parents are here. Waiting room. 322 00:13:56,956 --> 00:13:58,789 Thanks, Mags. 323 00:13:58,824 --> 00:14:02,359 I'll fill them in and place the feeding tube. 324 00:14:05,530 --> 00:14:09,265 Is she the worst case you've ever seen? 325 00:14:09,300 --> 00:14:12,601 Healthy BMI is 18 to 25. 326 00:14:12,637 --> 00:14:15,304 Hers is 11. 327 00:14:15,339 --> 00:14:16,839 If she's going to survive, 328 00:14:16,875 --> 00:14:19,508 we can't afford to make any mistakes here. 329 00:14:19,544 --> 00:14:22,678 She's killing herself. 330 00:14:22,713 --> 00:14:25,113 So, um, so catch me up on Jane Doe. 331 00:14:25,149 --> 00:14:26,514 Um, no idea on her. 332 00:14:26,550 --> 00:14:28,850 Maggie is working with PD to get a name. 333 00:14:28,886 --> 00:14:31,019 Tox screen is clean, this isn't drug-induced. 334 00:14:31,055 --> 00:14:32,688 And I'm thinking bipolar mania. 335 00:14:32,723 --> 00:14:34,856 Rapid speech, psychomotor agitation, 336 00:14:34,892 --> 00:14:37,524 flight of ideas, plus she hasn't bathed in days. 337 00:14:37,560 --> 00:14:39,526 So, presumably, she went manic 338 00:14:39,562 --> 00:14:41,495 and fled wherever she was living? 339 00:14:41,530 --> 00:14:43,864 - Mm-hmm. - You started her on Risperdal? 340 00:14:43,900 --> 00:14:45,599 It hasn't made a dent. 341 00:14:45,634 --> 00:14:47,467 I want to double the dose and add a second mood stabilizer. 342 00:14:47,503 --> 00:14:49,303 You ruled out all the possibilities? 343 00:14:49,338 --> 00:14:52,206 You know, schizoaffective disorder, 344 00:14:52,241 --> 00:14:54,808 temporal lobe epilepsy, delirium, 345 00:14:54,843 --> 00:14:55,809 other mood disorders? 346 00:14:55,844 --> 00:14:57,677 Why? Mania can be diagnosed 347 00:14:57,713 --> 00:14:59,612 through pattern recognition just like I've done, 348 00:14:59,647 --> 00:15:01,314 and there's been no clinical indication to keep digging 349 00:15:01,349 --> 00:15:02,548 for anything else. 350 00:15:02,584 --> 00:15:05,518 Just humor me, okay, doctor? 351 00:15:05,553 --> 00:15:07,286 Look, it's your first day back, 352 00:15:07,322 --> 00:15:09,189 before you add any other meds, 353 00:15:09,224 --> 00:15:10,389 just check all the boxes, 354 00:15:10,425 --> 00:15:12,224 see if you don't think it's necessary. 355 00:15:12,259 --> 00:15:15,227 Physical, neural exam, motor function, 356 00:15:15,262 --> 00:15:17,462 head CT, all that stuff, okay? 357 00:15:17,497 --> 00:15:19,765 - Okay. - Okay, good. 358 00:15:21,602 --> 00:15:24,203 I wish there was something I could do. 359 00:15:24,238 --> 00:15:25,503 Hi, guys, 360 00:15:25,539 --> 00:15:27,372 Uh, so, Tommy, you do not have strep. 361 00:15:27,407 --> 00:15:29,573 But your body is most likely fighting off 362 00:15:29,609 --> 00:15:30,908 a bacterial infection. 363 00:15:30,944 --> 00:15:32,910 So, I'm gonna start you on clindamycin, 364 00:15:32,946 --> 00:15:34,411 which is an oral antibiotic. 365 00:15:34,447 --> 00:15:36,480 Whatever the bug, it'll take care of it. 366 00:15:36,515 --> 00:15:38,082 So we can get out of here? 367 00:15:38,118 --> 00:15:41,819 Yes, but please, just try to take it easy the next few days. 368 00:15:41,855 --> 00:15:44,755 As cliché as it is, rest is the best medicine. 369 00:15:44,790 --> 00:15:48,391 I won't let him leave the hotel, promise. 370 00:15:50,095 --> 00:15:51,161 Ow! 371 00:15:51,196 --> 00:15:53,263 Are you okay? 372 00:15:53,298 --> 00:15:55,232 My ankle. 373 00:15:55,267 --> 00:15:57,433 Why don't you let me take a look? 374 00:16:05,542 --> 00:16:07,409 Whoa, that's really red. 375 00:16:07,444 --> 00:16:10,179 - You didn't feel anything? - Uh-uh. 376 00:16:12,250 --> 00:16:13,348 Hot and fluctuant. 377 00:16:13,384 --> 00:16:14,884 - I and D it? - Yeah. 378 00:16:14,919 --> 00:16:16,685 Now, I'm gonna make a small incision, 379 00:16:16,720 --> 00:16:18,620 so that we can get a sample, okay? 380 00:16:18,656 --> 00:16:20,188 All right, and when I ask you to, 381 00:16:20,223 --> 00:16:21,189 I'm gonna have you take a deep breath, 382 00:16:21,224 --> 00:16:23,457 and exhale for me, okay? 383 00:16:25,796 --> 00:16:27,461 All right, this is gonna hurt a little bit, all right? 384 00:16:27,497 --> 00:16:30,231 Just take a deep breath in. 385 00:16:30,267 --> 00:16:32,233 Good. 386 00:16:32,269 --> 00:16:33,935 And another one. 387 00:16:34,971 --> 00:16:36,369 And again. 388 00:16:36,405 --> 00:16:37,370 Good. 389 00:16:38,507 --> 00:16:40,307 One last time. 390 00:16:41,343 --> 00:16:43,376 Great job. 391 00:16:43,412 --> 00:16:44,711 All right, here comes the incision. 392 00:16:44,746 --> 00:16:47,380 Ow! 393 00:16:49,084 --> 00:16:50,550 Oh. 394 00:16:50,585 --> 00:16:51,819 Is that what's in my throat? 395 00:16:51,854 --> 00:16:53,485 How did it get in his ankle? 396 00:16:53,521 --> 00:16:55,554 Let's just wait and see what the lab says. 397 00:16:55,589 --> 00:16:58,124 Bad news, though, you guys are gonna have to hang out here 398 00:16:58,159 --> 00:16:59,558 a little bit longer, I'm sorry. 399 00:17:01,696 --> 00:17:04,931 All right, you need anything, I'll be close by. 400 00:17:08,002 --> 00:17:10,836 Bacteria can travel once it enters the bloodstream, 401 00:17:10,871 --> 00:17:13,438 but for a new infection to manifest that fast... 402 00:17:13,473 --> 00:17:14,906 Yeah, something's definitely going on. 403 00:17:14,942 --> 00:17:16,574 - See you in the lab, okay? - Yeah. 404 00:17:19,046 --> 00:17:20,846 It's cancer? 405 00:17:20,881 --> 00:17:24,482 Yeah, it's likely renal cell carcinoma. 406 00:17:24,517 --> 00:17:28,418 The tumor extends from inside your left kidney, 407 00:17:28,454 --> 00:17:30,487 into the inferior vena cava, 408 00:17:30,522 --> 00:17:33,924 and up into the right atrium of your heart. 409 00:17:35,228 --> 00:17:37,027 You never had a sprained back. 410 00:17:37,063 --> 00:17:39,763 The pain is from ureteral compression. 411 00:17:39,798 --> 00:17:41,999 You were exhausted running up the stairs 412 00:17:42,034 --> 00:17:43,700 because the tumor was blocking blood 413 00:17:43,736 --> 00:17:46,002 from returning to your heart. 414 00:17:49,174 --> 00:17:52,041 Asterid, you following us? 415 00:17:52,077 --> 00:17:55,178 Yeah, I'm just trying to find a joke 416 00:17:55,213 --> 00:17:56,645 to cope with all of this. 417 00:17:56,681 --> 00:17:58,047 That's okay. 418 00:17:58,083 --> 00:17:59,949 We'll find the funny after you've beaten this. 419 00:17:59,985 --> 00:18:01,449 Mm-hmm. 420 00:18:01,485 --> 00:18:03,886 Seriously, I'm not dying? 421 00:18:03,921 --> 00:18:04,987 No. 422 00:18:05,022 --> 00:18:09,024 No, the cancer is treatable. The tumor is operable. 423 00:18:09,059 --> 00:18:11,526 Now, to get all of it, I'm gonna have to involve 424 00:18:11,561 --> 00:18:13,128 other surgeons, and unfortunately, 425 00:18:13,163 --> 00:18:15,397 we will have to remove your left kidney. 426 00:18:15,432 --> 00:18:17,899 But you can live just fine with one. 427 00:18:20,603 --> 00:18:23,237 I know it's a lot to take all at once. 428 00:18:23,273 --> 00:18:24,238 You don't get it. 429 00:18:24,274 --> 00:18:26,040 I do open Mic night. 430 00:18:26,075 --> 00:18:29,743 Those gigs don't come with health care plans. 431 00:18:29,779 --> 00:18:33,747 And the three jobs that I do have barely cover the rent. 432 00:18:33,783 --> 00:18:36,416 So... I can't pay for this. 433 00:18:36,451 --> 00:18:38,218 You don't have to. 434 00:18:39,788 --> 00:18:41,922 The tumor invading your heart is life-threatening, 435 00:18:41,957 --> 00:18:45,525 and that means that Medicaid will cover the surgery 436 00:18:45,560 --> 00:18:47,928 and the resulting recovery. 437 00:18:47,963 --> 00:18:49,862 It's not gonna cost me anything? 438 00:18:49,898 --> 00:18:51,731 No. 439 00:18:51,766 --> 00:18:53,933 We're gonna take care of you. 440 00:18:57,204 --> 00:18:59,771 Allison, I'm gonna put this tube in your nose. 441 00:18:59,807 --> 00:19:02,441 When you feel it in your throat, I need you to swallow. 442 00:19:04,478 --> 00:19:07,279 Allison, you understand? 443 00:19:07,315 --> 00:19:09,080 Okay, here we go. 444 00:19:17,590 --> 00:19:19,257 Swallow. 445 00:19:19,292 --> 00:19:21,625 Allison, swallow. 446 00:19:21,661 --> 00:19:24,462 There you go. 447 00:19:24,497 --> 00:19:26,629 It's going in, nice job. 448 00:19:26,665 --> 00:19:28,398 It's going to work this time. 449 00:19:28,434 --> 00:19:30,400 We've tried helping her for years. 450 00:19:30,436 --> 00:19:32,135 Doctors, rehabs. 451 00:19:32,171 --> 00:19:34,972 No matter what we do, she just keeps withering away. 452 00:19:35,007 --> 00:19:37,640 Sometimes, being out of options is what it takes 453 00:19:37,676 --> 00:19:40,210 to instill desire to get better. 454 00:19:40,245 --> 00:19:42,245 X-ray. 455 00:19:49,287 --> 00:19:51,887 Tube's in. 456 00:19:51,922 --> 00:19:54,223 I'm gonna turn on the pump now. 457 00:20:13,276 --> 00:20:15,576 Allison, Allison. Look at me, look at me. 458 00:20:15,612 --> 00:20:16,978 - Slow breaths. - I can't. 459 00:20:17,013 --> 00:20:18,512 Yes, you can. You can do this. 460 00:20:18,547 --> 00:20:20,514 - You're fine, you're... - No, no, stop. 461 00:20:20,549 --> 00:20:22,616 - Just relax, just relax. - Stop it. 462 00:20:22,651 --> 00:20:24,418 I can't do it. 463 00:20:24,453 --> 00:20:26,786 I need it out! 464 00:20:26,822 --> 00:20:29,256 Hold on, hold on, hold on. No, no, no, no, no! 465 00:20:33,229 --> 00:20:34,360 We'll try again. 466 00:20:34,396 --> 00:20:35,961 No. 467 00:20:35,997 --> 00:20:37,096 I'm done. 468 00:20:37,132 --> 00:20:38,197 Allison! 469 00:20:38,233 --> 00:20:40,033 I said I'm done. 470 00:20:40,068 --> 00:20:42,601 Why don't we give Dr. Choi a moment to prepare another tube? 471 00:20:42,637 --> 00:20:45,138 - Maybe we can... - You're not hearing me. 472 00:20:46,541 --> 00:20:48,508 I want my lawyer. 473 00:20:50,545 --> 00:20:53,863 I'm serious. Get my phone. 474 00:20:53,920 --> 00:20:57,027 I'm calling my lawyer now. 475 00:21:06,639 --> 00:21:10,208 Will, I'll come find you when we're done. 476 00:21:10,243 --> 00:21:11,676 I'm good. 477 00:21:11,712 --> 00:21:13,345 Kidney free? 478 00:21:13,624 --> 00:21:16,848 Yep, from everything but the renal vein. 479 00:21:17,452 --> 00:21:21,685 I'm vessel looping the inferior vena cava below it now. 480 00:21:21,915 --> 00:21:23,247 I'm curious. 481 00:21:23,291 --> 00:21:24,955 You score a date tonight? 482 00:21:25,385 --> 00:21:27,354 I did. 483 00:21:27,760 --> 00:21:29,292 How's it going on your end? 484 00:21:29,588 --> 00:21:32,195 Opening the right atrium. 485 00:21:32,231 --> 00:21:34,765 I can see the bulb of the tumor. 486 00:21:36,267 --> 00:21:37,867 There we go. 487 00:21:37,902 --> 00:21:39,469 Your turn. 488 00:21:39,504 --> 00:21:40,737 All right. 489 00:21:40,772 --> 00:21:43,473 Tumor is one long stalk now. 490 00:21:43,508 --> 00:21:47,665 I'm gonna tease it out as we remove the kidney. 491 00:21:48,134 --> 00:21:50,548 Kidney is detached. 492 00:21:50,982 --> 00:21:54,583 And here we go. 493 00:21:54,789 --> 00:21:57,464 All right. 494 00:21:57,917 --> 00:21:59,292 Got it. 495 00:21:59,371 --> 00:22:02,066 - One piece? No stragglers? - It's whole. 496 00:22:02,340 --> 00:22:03,773 Impressive. 497 00:22:03,816 --> 00:22:06,884 Bet your mojo's gonna last all night long. 498 00:22:06,920 --> 00:22:08,819 Lucky girl. 499 00:22:08,997 --> 00:22:11,454 We will conquer the evil beast that live inside, 500 00:22:11,489 --> 00:22:13,536 and I shout them out, out, out, out. 501 00:22:13,567 --> 00:22:16,593 And the winds blow by, and carry my breath into the sky. 502 00:22:16,628 --> 00:22:18,983 God's shouting down and carries my clothes 503 00:22:19,008 --> 00:22:20,030 into your head. 504 00:22:20,065 --> 00:22:21,563 And I will conquer the evil beast that live inside... 505 00:22:21,588 --> 00:22:23,946 Thanks, Trudy. Dr. Reese? 506 00:22:24,436 --> 00:22:26,102 I just got off the phone with PD. 507 00:22:26,137 --> 00:22:29,104 A woman named Melissa Withers filed a missing persons report 508 00:22:29,139 --> 00:22:30,439 about her sister, Jamie. 509 00:22:30,474 --> 00:22:32,340 Description matches your Jane Doe. 510 00:22:32,401 --> 00:22:34,587 Out, out, out, out, out, out, I pray. 511 00:22:34,612 --> 00:22:37,245 And to follow the pages as they turn, thumbing through. 512 00:22:37,281 --> 00:22:39,949 Do you got a phone number for Melissa? 513 00:22:39,984 --> 00:22:41,183 For Melissa. 514 00:22:50,994 --> 00:22:53,394 Déjà vu. 515 00:22:54,959 --> 00:22:57,364 I had pneumonia, right after college. 516 00:22:57,389 --> 00:22:59,958 Spent two weeks in the hospital, Waukesha, Wisconsin. 517 00:22:59,998 --> 00:23:02,063 Let me guess. Same vending machines? 518 00:23:02,099 --> 00:23:03,631 It's amazing. 519 00:23:03,667 --> 00:23:05,834 Cafeteria makes a great smoothie. 520 00:23:05,869 --> 00:23:08,336 No, I-I want to stay close to Tommy. 521 00:23:08,371 --> 00:23:10,638 I'll find something. 522 00:23:14,544 --> 00:23:17,679 Hey, so, the clindamycin is not gonna work. 523 00:23:17,714 --> 00:23:20,848 Bacteria pulled from his ankle: gram-positive cocci. 524 00:23:20,883 --> 00:23:22,416 - A staph infection. - Yeah. 525 00:23:22,451 --> 00:23:24,852 So, let's switch to IV Vancomycin. 526 00:23:24,887 --> 00:23:27,387 Staph can be a sticky bug. We need to be more aggressive. 527 00:23:27,423 --> 00:23:29,656 - Okay. - Thank you. 528 00:23:30,592 --> 00:23:32,592 So we clear to try another feeding tube? 529 00:23:32,628 --> 00:23:34,994 Um, no. 530 00:23:35,030 --> 00:23:36,095 We are not. 531 00:23:36,131 --> 00:23:39,265 Apparently, Allison was prepared for this moment. 532 00:23:39,301 --> 00:23:43,236 She's already had papers drawn up to prevent forcible feeding. 533 00:23:43,271 --> 00:23:45,604 Hospital lawyers don't want to fight it. 534 00:23:45,640 --> 00:23:47,207 That's insane. 535 00:23:47,242 --> 00:23:48,541 They'll just let her die? 536 00:23:48,576 --> 00:23:49,909 Well, legally, they don't have a move. 537 00:23:49,945 --> 00:23:51,510 Precedent's already been set in the courts. 538 00:23:51,546 --> 00:23:53,879 In each case, the patient's wishes were upheld. 539 00:23:53,914 --> 00:23:56,748 So we go to the parents. Don't they have a say? 540 00:23:56,783 --> 00:23:58,283 Allison's an adult, Ethan. 541 00:23:58,319 --> 00:24:01,854 I mean, ultimately, she decides her own fate. 542 00:24:01,889 --> 00:24:03,856 So, there's nothing we can do? 543 00:24:03,891 --> 00:24:06,191 Look, after seven years, 544 00:24:06,227 --> 00:24:09,026 anorexia is considered severe and enduring. 545 00:24:09,062 --> 00:24:12,529 This poor lady has been struggling for more than 15. 546 00:24:12,565 --> 00:24:16,767 Her entire being is fixated on gaining control, 547 00:24:16,802 --> 00:24:19,237 and holding onto it. 548 00:24:19,272 --> 00:24:21,072 Even if it kills her. 549 00:24:21,107 --> 00:24:23,440 So regardless of the injunction, 550 00:24:23,476 --> 00:24:25,776 or her parents love... 551 00:24:27,512 --> 00:24:30,080 The odds of her recovery are... 552 00:24:36,188 --> 00:24:38,788 Hey, there. 553 00:24:38,823 --> 00:24:40,090 How you feeling? 554 00:24:40,125 --> 00:24:43,125 All things considered, fantastic. 555 00:24:43,160 --> 00:24:44,193 I mean... 556 00:24:44,228 --> 00:24:47,396 I'm down a kidney, but at least it didn't cost me 557 00:24:47,431 --> 00:24:49,731 an arm and a leg. 558 00:24:49,767 --> 00:24:52,467 See, you got your sense of humor back. 559 00:24:52,503 --> 00:24:53,802 Kind of. 560 00:24:53,837 --> 00:24:55,938 Yeah, that was pretty awful, huh? 561 00:24:55,973 --> 00:24:59,974 Look, jokes aside, thank you. 562 00:25:00,010 --> 00:25:01,209 Sure. 563 00:25:01,244 --> 00:25:04,612 So, I'm gonna be back to check on you in a couple hours, 564 00:25:04,647 --> 00:25:07,181 but before we head out, any questions? 565 00:25:07,217 --> 00:25:10,318 Just one. My right leg is achy. 566 00:25:10,353 --> 00:25:12,520 Around the shin. 567 00:25:12,555 --> 00:25:14,956 Never felt it before. 568 00:25:14,991 --> 00:25:18,758 Maybe a side effect from the anesthesia? 569 00:25:18,794 --> 00:25:20,193 Could be. 570 00:25:20,229 --> 00:25:23,797 Let me speak with the anesthesiologist 571 00:25:23,832 --> 00:25:25,032 and see what he thinks. 572 00:25:25,067 --> 00:25:27,301 Right now, you just get some rest. 573 00:25:30,306 --> 00:25:32,205 Leg pain? That's not from the anesthesia. 574 00:25:32,241 --> 00:25:34,506 No, but let's not say it out loud without an X-ray. 575 00:25:34,542 --> 00:25:35,641 I'll get it going. 576 00:25:35,676 --> 00:25:36,642 Hannah. 577 00:25:37,845 --> 00:25:38,811 Hannah? 578 00:25:38,846 --> 00:25:40,479 Oh, my God. Tommy? 579 00:25:40,514 --> 00:25:42,348 Help. Help! 580 00:25:44,185 --> 00:25:46,352 What's happening? 581 00:25:48,856 --> 00:25:51,022 Temp's up to 104. He's tacky. 582 00:25:51,058 --> 00:25:53,791 BP's 94/62. Septic shock. 583 00:25:53,827 --> 00:25:55,360 First dose of Vanc didn't work. 584 00:25:55,395 --> 00:25:58,830 Bolus a liter of normal saline, and push IV Tylenol. 585 00:25:58,865 --> 00:26:01,632 Tommy, can you open your mouth for me? 586 00:26:02,936 --> 00:26:04,202 What are you looking for? 587 00:26:04,237 --> 00:26:06,504 Abscesses that weren't there earlier. 588 00:26:06,539 --> 00:26:08,638 Nothing dental or oral. 589 00:26:08,674 --> 00:26:10,941 Help me search his skin. 590 00:26:17,749 --> 00:26:18,949 Nothing on this side. 591 00:26:18,985 --> 00:26:20,784 Here either. 592 00:26:20,819 --> 00:26:22,786 Get a cooling blanket. 593 00:26:24,490 --> 00:26:27,230 He should be getting better, but he's only getting worse. 594 00:26:27,480 --> 00:26:30,093 It's gonna be okay. It's okay. 595 00:26:38,228 --> 00:26:39,494 Hey. 596 00:26:39,580 --> 00:26:40,712 Hi. 597 00:26:40,737 --> 00:26:42,169 Tommy's latest labs. 598 00:26:42,205 --> 00:26:44,005 He doesn't have a staph infection. 599 00:26:44,040 --> 00:26:46,565 Vancomycin-Resistant Enterococcus. 600 00:26:46,643 --> 00:26:48,175 - The super bug? - Yeah. 601 00:26:48,211 --> 00:26:50,211 And one that is not easy to get. 602 00:26:50,246 --> 00:26:53,548 VRE's a nosocomial infection. It lives in hospitals. 603 00:26:53,583 --> 00:26:55,884 I don't think I've ever seen it contracted anywhere else. 604 00:26:55,909 --> 00:26:57,128 Hannah. 605 00:26:57,153 --> 00:26:58,652 She had pneumonia a decade ago. 606 00:26:58,677 --> 00:27:00,320 Was hospitalized for two weeks. 607 00:27:00,355 --> 00:27:02,523 Could've picked it up then, had it ever since. 608 00:27:02,558 --> 00:27:04,124 Asymptomatic carrier. 609 00:27:04,159 --> 00:27:05,914 Intimate relationship, 610 00:27:05,939 --> 00:27:08,073 lots of ways she could've passed it on. 611 00:27:08,254 --> 00:27:10,989 Okay, let's start Tommy on IV Linezolid, 612 00:27:11,033 --> 00:27:13,066 swab Hannah's nose and throat for the bacteria, 613 00:27:13,101 --> 00:27:14,300 confirm she's the source. 614 00:27:14,336 --> 00:27:17,336 - Got it. - Thank you. 615 00:27:42,763 --> 00:27:46,898 Oh, Dr. Charles, our Jane Doe is Jamie Walker, 616 00:27:46,934 --> 00:27:48,366 an aspiring chef in culinary school. 617 00:27:48,401 --> 00:27:49,700 Huh. 618 00:27:49,735 --> 00:27:52,369 A month ago, she started staying up all night, 619 00:27:52,404 --> 00:27:54,504 reading the Bible, and writing a manifesto. 620 00:27:54,540 --> 00:27:56,406 Last week, she dropped out of school 621 00:27:56,442 --> 00:27:58,676 and hasn't been seen home in four days. 622 00:27:58,711 --> 00:28:00,911 Now, my original findings, 623 00:28:00,947 --> 00:28:03,180 combined with her sudden onset drop, 624 00:28:03,215 --> 00:28:05,782 lack in functioning, her decreased need for sleep, 625 00:28:05,817 --> 00:28:08,417 her grandiose thinking combined with hyper-religiosity, 626 00:28:08,453 --> 00:28:10,286 it is what I thought: bipolar mania. 627 00:28:10,321 --> 00:28:13,255 So, exams, lab results didn't poke any holes? 628 00:28:13,291 --> 00:28:14,624 No, I never go to them. 629 00:28:14,659 --> 00:28:16,358 I filled in the blanks with the added history. 630 00:28:16,394 --> 00:28:19,929 Wait, so, you got all that, 631 00:28:19,965 --> 00:28:22,764 a detailed, chronological history, from a patient 632 00:28:22,800 --> 00:28:23,765 in a manic state? 633 00:28:23,801 --> 00:28:24,766 I... well, no, 634 00:28:24,802 --> 00:28:26,101 it came from collateral. 635 00:28:26,136 --> 00:28:27,936 I found and spoke with her sister, Melissa. 636 00:28:27,972 --> 00:28:31,406 Dr. Reese, I thought we were checking all the boxes. 637 00:28:31,441 --> 00:28:33,108 You know, doing it by the book? 638 00:28:33,143 --> 00:28:35,777 I-I confirmed my diagnosis. 639 00:28:35,813 --> 00:28:37,212 Does it matter how I got there? 640 00:28:37,247 --> 00:28:39,214 Yes, when you're on probation, it does. 641 00:28:39,249 --> 00:28:42,083 It does matter how you got there. 642 00:28:42,118 --> 00:28:43,884 Um, you're... you're right. 643 00:28:43,920 --> 00:28:45,419 Okay. 644 00:28:45,454 --> 00:28:49,991 So, um... so what's the next move, for your patient? 645 00:28:50,026 --> 00:28:51,458 I want to admit her to the psych ward. 646 00:28:51,494 --> 00:28:53,293 She hasn't responded to any of her meds. 647 00:28:53,329 --> 00:28:55,630 And what meds would those be? 648 00:28:55,665 --> 00:29:00,834 I doubled the Risperdal and added Depakote. 649 00:29:00,869 --> 00:29:02,636 Also without filling you in. 650 00:29:02,671 --> 00:29:03,970 Okay, 651 00:29:04,006 --> 00:29:06,640 Well, um, you know, with bipolar, 652 00:29:06,675 --> 00:29:07,941 all those meds, 653 00:29:07,976 --> 00:29:09,743 should've made some kind of dent, 654 00:29:09,778 --> 00:29:13,079 so I'd like to take a look. 655 00:29:16,350 --> 00:29:18,917 The cancer metastasized to her tibia. 656 00:29:18,953 --> 00:29:20,152 Likely months ago. 657 00:29:20,187 --> 00:29:21,787 No discomfort upon admission? 658 00:29:21,822 --> 00:29:24,322 It was drowned out by the back pain from her kidney. 659 00:29:24,358 --> 00:29:25,590 Once that was alleviated... 660 00:29:25,626 --> 00:29:27,826 Her body registered the new problem. 661 00:29:27,862 --> 00:29:29,327 So, did we catch it in time? 662 00:29:29,363 --> 00:29:31,262 Let's start Asterid on a high dose bolus 663 00:29:31,297 --> 00:29:33,330 of Interleukin-2, see if she responds. 664 00:29:33,366 --> 00:29:35,099 If she doesn't, she may be a candidate 665 00:29:35,135 --> 00:29:36,768 for our phase three trial of Pazopanib, 666 00:29:36,803 --> 00:29:37,935 a chemotherapy agent. 667 00:29:37,971 --> 00:29:39,503 I'm gonna pull Ortho in, as well. 668 00:29:39,539 --> 00:29:43,207 Excuse me, Dr. Rhodes, Halstead, may I speak with you? 669 00:29:47,213 --> 00:29:49,980 I'm cancelling Asterid's move to Oncology. 670 00:29:50,015 --> 00:29:51,214 - What? - Instead, 671 00:29:51,249 --> 00:29:52,849 I'm going to find a bed for her 672 00:29:52,885 --> 00:29:54,617 in a safety net hospital. 673 00:29:54,653 --> 00:29:56,319 Med is a premiere cancer center. 674 00:29:56,354 --> 00:29:58,354 - You're gonna transfer her? - I don't have a choice. 675 00:29:58,390 --> 00:30:00,023 She doesn't have insurance, 676 00:30:00,059 --> 00:30:02,125 and I know the hospital won't cover the bill 677 00:30:02,161 --> 00:30:04,194 her treatments are going to generate. 678 00:30:04,229 --> 00:30:06,361 She has emergency coverage from Medicaid. 679 00:30:06,397 --> 00:30:08,397 Right, but that only pays for procedures 680 00:30:08,432 --> 00:30:10,632 related to removal of the tumor. 681 00:30:10,668 --> 00:30:12,401 The bone cancer is new, 682 00:30:12,436 --> 00:30:14,636 and not immediately life-threatening. 683 00:30:14,672 --> 00:30:17,639 We can't throw Asterid out. 684 00:30:17,675 --> 00:30:20,710 A minute clinic misdiagnosed her renal cell carcinoma 685 00:30:20,745 --> 00:30:22,043 as a back sprain. 686 00:30:22,079 --> 00:30:23,377 If we put her in the system, 687 00:30:23,413 --> 00:30:24,679 she might fall through the cracks again. 688 00:30:24,715 --> 00:30:26,514 You have pulled strings before, 689 00:30:26,549 --> 00:30:29,050 you made the numbers work, just do it again. 690 00:30:29,086 --> 00:30:30,318 Do you know what kind of numbers 691 00:30:30,353 --> 00:30:31,686 we're talking about here? 692 00:30:31,722 --> 00:30:34,055 $100,000? 693 00:30:34,091 --> 00:30:36,357 $200,000? 694 00:30:36,392 --> 00:30:38,759 What kind of dream world are you living in? 695 00:30:40,963 --> 00:30:43,230 Do you want me to inform the patient? 696 00:30:46,902 --> 00:30:49,069 No, we'll do it. 697 00:30:53,575 --> 00:30:56,909 - Sitting in pews... - Hi, I'm Dr. Charles. 698 00:30:56,945 --> 00:31:00,346 Four days ago, we could have somewhat of a conversation, 699 00:31:00,381 --> 00:31:02,381 and now, I don't know if she's eaten. 700 00:31:02,416 --> 00:31:04,250 Between her work and school, 701 00:31:04,285 --> 00:31:06,385 I thought Jamie was just stressed. 702 00:31:06,420 --> 00:31:08,354 I didn't realize she was having a breakdown. 703 00:31:08,389 --> 00:31:09,922 None of this is on you. 704 00:31:09,958 --> 00:31:12,391 Um, Jamie? 705 00:31:12,426 --> 00:31:15,360 I'd like to examine you now. Would that be all right? 706 00:31:15,395 --> 00:31:17,262 Three locked up inside. 707 00:31:17,297 --> 00:31:19,097 Wanted everything for it, everything, everything. 708 00:31:19,133 --> 00:31:22,700 Everything. So much my arms can't even hold them all... 709 00:31:22,736 --> 00:31:24,602 Clear, prominent disinhibition. 710 00:31:24,638 --> 00:31:26,872 Hasn't let up since my first exam. 711 00:31:26,907 --> 00:31:28,573 Consistent with bipolar mania. 712 00:31:28,608 --> 00:31:30,574 - Let me go. - You see this? 713 00:31:30,609 --> 00:31:31,976 In her eyes? 714 00:31:32,011 --> 00:31:33,443 What? 715 00:31:33,479 --> 00:31:36,446 Yellowish brown circles around her irises. 716 00:31:36,482 --> 00:31:38,415 I think they're Kayser-Fleischer rings. 717 00:31:38,450 --> 00:31:40,885 And weeks, days and weeks 718 00:31:40,920 --> 00:31:43,587 flipping in the calendar, the bright light burns the trees, 719 00:31:43,622 --> 00:31:45,055 leaves, falling, stop falling, too many... 720 00:31:45,091 --> 00:31:46,456 too many people crowding. 721 00:31:46,492 --> 00:31:48,424 Too many people. Bright light burns the trees. 722 00:31:48,459 --> 00:31:50,293 Leaves falling. Entirely too many people. 723 00:31:50,328 --> 00:31:54,964 Um... your sister is in culinary school. 724 00:31:55,000 --> 00:31:58,101 Has she ever said anything to you about... about copper, 725 00:31:58,136 --> 00:31:59,335 using copper pots? 726 00:31:59,370 --> 00:32:01,570 Yeah, I think so. 727 00:32:01,606 --> 00:32:04,639 Something about them being the best heat conductors. 728 00:32:04,675 --> 00:32:06,141 I don't know anything about cooking. 729 00:32:06,177 --> 00:32:07,642 Does that mean something to you? 730 00:32:07,678 --> 00:32:09,611 Dr. Reese? 731 00:32:09,646 --> 00:32:12,347 - Wilson's disease. - What's that? 732 00:32:12,382 --> 00:32:14,416 It's a genetic disorder, 733 00:32:14,451 --> 00:32:18,153 um, where com... copper accumulates in the body. 734 00:32:18,189 --> 00:32:19,688 Jamie's use of copper cookware 735 00:32:19,723 --> 00:32:22,489 could've accelerated the buildup 736 00:32:22,525 --> 00:32:24,658 that led to this manic episode. 737 00:32:24,694 --> 00:32:27,461 If this is Wilson's disease, is there a cure? 738 00:32:27,496 --> 00:32:30,331 Um, no, but there is treatment to manage it, 739 00:32:30,366 --> 00:32:32,200 and she... she would get better. 740 00:32:32,235 --> 00:32:34,535 Oh, thank God. 741 00:32:34,570 --> 00:32:37,438 Dr. Reese, could I just have a word outside? Thank you. 742 00:32:37,473 --> 00:32:39,339 And twitching. Wiggle, wriggle, wiggle... 743 00:32:41,877 --> 00:32:46,012 So, you couldn't even get close enough to your patient 744 00:32:46,048 --> 00:32:47,480 to examine her eyes? 745 00:32:47,515 --> 00:32:49,983 She was so agitated... 746 00:32:50,018 --> 00:32:51,184 - Dr. Reese. - Help! 747 00:32:56,390 --> 00:32:58,190 No pulse. V-fib. Charge to 200. 748 00:33:03,231 --> 00:33:05,130 - Charged. - Clear. 749 00:33:05,166 --> 00:33:07,532 Oh, my poor baby. 750 00:33:07,568 --> 00:33:10,236 One milligram epi. Charge to 200 again. 751 00:33:10,271 --> 00:33:12,670 - Epi's in. Charged. - Clear. 752 00:33:16,776 --> 00:33:19,710 Asystole. We can't shock her anymore. 753 00:33:19,746 --> 00:33:22,380 Oh, my God. What's he doing? 754 00:33:25,352 --> 00:33:27,385 Come on, come on. 755 00:33:27,420 --> 00:33:30,187 She's suffered enough. Please, stop. 756 00:33:49,073 --> 00:33:50,506 Time of death 18:21. 757 00:34:11,682 --> 00:34:13,392 We're looking for Dr. Halstead. 758 00:34:13,417 --> 00:34:15,470 Here to transfer an Asterid Morgan to County. 759 00:34:15,518 --> 00:34:17,220 Right, one sec. 760 00:34:20,482 --> 00:34:22,581 - Will? - Yeah? 761 00:34:22,606 --> 00:34:24,806 They're here. 762 00:34:27,855 --> 00:34:30,489 Hey, guys. Come with me. 763 00:34:32,814 --> 00:34:34,114 I got this from Hannah? 764 00:34:34,149 --> 00:34:35,815 How? I don't have a sore throat. 765 00:34:35,851 --> 00:34:37,570 No fever, aches, pains, I'm not sick. 766 00:34:37,595 --> 00:34:39,084 You don't have an active infection, 767 00:34:39,120 --> 00:34:41,253 but since your pneumonia, you've been contagious. 768 00:34:41,288 --> 00:34:42,755 For ten years? 769 00:34:42,790 --> 00:34:44,222 I work in an office, 770 00:34:44,258 --> 00:34:46,224 cross paths with dozens of people every day, 771 00:34:46,260 --> 00:34:48,761 not to mention boyfriends before Tommy. 772 00:34:48,796 --> 00:34:49,995 No one else has ever gotten sick. 773 00:34:50,031 --> 00:34:51,263 We're gonna run some tests 774 00:34:51,298 --> 00:34:52,765 and find out exactly what it is. 775 00:34:52,800 --> 00:34:54,466 Honey, I am so sorry. 776 00:34:54,501 --> 00:34:57,268 It's not your fault. You had no idea. 777 00:34:57,303 --> 00:34:58,903 Besides, I'm feeling better. 778 00:34:58,938 --> 00:35:00,738 It means that these antibiotics are working, right? 779 00:35:00,774 --> 00:35:01,739 Yes. 780 00:35:01,775 --> 00:35:02,940 Put Hannah on them. 781 00:35:02,976 --> 00:35:04,341 - Yeah. - Kill whatever bug 782 00:35:04,377 --> 00:35:06,110 she's been dragging around for the last ten years. 783 00:35:06,146 --> 00:35:08,279 I'm afraid it's not that simple. 784 00:35:08,314 --> 00:35:11,182 You see, as a carrier, you're colonized with the bacteria. 785 00:35:11,217 --> 00:35:13,784 Which means it lives in too many places in your body 786 00:35:13,819 --> 00:35:17,587 for the antibiotic to be effective. 787 00:35:17,622 --> 00:35:19,255 You mean... 788 00:35:19,291 --> 00:35:21,291 I've got this forever? 789 00:35:21,326 --> 00:35:22,993 I'm afraid so. 790 00:35:23,028 --> 00:35:24,661 Then I could give it to Tommy again. 791 00:35:24,697 --> 00:35:28,964 With precautions, the risk of reinfection can be reduced. 792 00:35:29,000 --> 00:35:30,800 This can't be... this can't be happening. 793 00:35:30,835 --> 00:35:33,002 We can deal with it. 794 00:35:33,037 --> 00:35:35,204 - Yeah. - We'll figure it out. 795 00:35:39,643 --> 00:35:41,043 This sucks. 796 00:35:41,079 --> 00:35:43,713 We do everything right and still come up short. 797 00:35:45,482 --> 00:35:47,148 All right, let's go. 798 00:35:48,185 --> 00:35:50,185 Screw this. 799 00:35:50,220 --> 00:35:52,653 Stop, she's not going anywhere. 800 00:35:52,689 --> 00:35:54,555 Sorry, we have transfer orders. 801 00:35:54,591 --> 00:35:55,790 And I am overriding them. 802 00:35:55,826 --> 00:35:57,391 Dr. Rhodes, what's going on? 803 00:35:57,427 --> 00:35:59,660 It's okay, Asterid. It's just a miscommunication. 804 00:35:59,696 --> 00:36:01,830 I'm gonna take care of it. 805 00:36:01,865 --> 00:36:04,664 Go ahead and put her back. 806 00:36:04,700 --> 00:36:06,166 Whatever you say. 807 00:36:06,202 --> 00:36:08,802 Sign here, so this doesn't come down on us. 808 00:36:17,446 --> 00:36:19,546 Connor, what are you doing? 809 00:36:19,581 --> 00:36:22,348 I got this. Don't worry. 810 00:36:32,026 --> 00:36:34,693 I did my two-week suspension. 811 00:36:34,729 --> 00:36:36,695 I am in therapy. 812 00:36:36,731 --> 00:36:40,531 I am not supposed to be afraid anymore. 813 00:36:40,567 --> 00:36:41,933 I am a psychiatrist. 814 00:36:41,969 --> 00:36:43,869 Rule number one is to connect with your patients, 815 00:36:43,904 --> 00:36:46,537 and I could not even look her in the eye. 816 00:36:46,573 --> 00:36:50,541 Look, the good news is that you recognize the problem. 817 00:36:50,577 --> 00:36:51,943 Right? 818 00:36:51,979 --> 00:36:55,880 Sarah, nobody learns how to master their fears 819 00:36:55,915 --> 00:36:58,382 in two weeks, trust me. 820 00:36:58,417 --> 00:36:59,750 It doesn't happen. 821 00:36:59,786 --> 00:37:01,919 Not even somebody as determined as you are. 822 00:37:04,257 --> 00:37:05,256 Okay. 823 00:37:06,959 --> 00:37:09,426 You know what? Um, when Allison died today, 824 00:37:09,461 --> 00:37:13,562 I saw myself, because she could not change. 825 00:37:16,401 --> 00:37:19,535 But I have to... I have to. I just don't know how. 826 00:37:22,174 --> 00:37:23,807 You have to help me, Dr. Charles. 827 00:37:23,842 --> 00:37:25,641 Of course. 828 00:37:25,677 --> 00:37:27,376 Of course. Of course I will. 829 00:37:27,412 --> 00:37:29,377 Okay. 830 00:37:35,419 --> 00:37:37,252 Hey, how's it going? 831 00:37:37,288 --> 00:37:40,522 They haven't taken their eyes off each other. 832 00:37:44,094 --> 00:37:46,427 Hey, Hannah, here are some pamphlets 833 00:37:46,462 --> 00:37:47,995 on universal precautions. 834 00:37:48,031 --> 00:37:50,832 I thought they might be helpful for you and Tommy. 835 00:37:50,867 --> 00:37:53,767 Yeah, uh, I don't need them. 836 00:37:53,803 --> 00:37:56,103 You don't? 837 00:37:56,139 --> 00:37:58,973 There's only one thing to do. 838 00:38:02,978 --> 00:38:06,412 Will you give this to Tommy tomorrow? 839 00:38:08,116 --> 00:38:10,483 I couldn't tell him myself. 840 00:38:10,518 --> 00:38:11,818 Hannah... 841 00:38:11,854 --> 00:38:13,786 I love him. 842 00:38:13,822 --> 00:38:15,956 I can't put him at risk. 843 00:38:24,165 --> 00:38:26,932 Dealing with TB, Tate and I, 844 00:38:26,968 --> 00:38:30,269 the pressure it put on our relationship... 845 00:38:30,304 --> 00:38:32,037 I get it. 846 00:38:47,653 --> 00:38:51,489 Uh-huh. Same here. 847 00:39:03,068 --> 00:39:04,234 Where are you gonna put it? 848 00:39:04,270 --> 00:39:06,303 - Right there. - Right there? 849 00:39:06,338 --> 00:39:09,172 Oh, that's gonna be beautiful. 850 00:39:09,208 --> 00:39:11,673 You like it standing up like that? 851 00:39:13,044 --> 00:39:15,844 Oh, I'll take that as a no. 852 00:39:17,215 --> 00:39:19,148 Oh. 853 00:39:23,021 --> 00:39:24,586 Special delivery. 854 00:39:24,622 --> 00:39:27,022 What did you do? 855 00:39:27,057 --> 00:39:28,924 Hey, little man. 856 00:39:28,959 --> 00:39:31,927 Look what I have for ya. 857 00:39:31,962 --> 00:39:34,195 - A car. - A truck! 858 00:39:34,231 --> 00:39:36,597 It is! 859 00:39:36,633 --> 00:39:38,400 Is this because of that? 860 00:39:38,435 --> 00:39:40,201 I'm reading up on child development. 861 00:39:40,237 --> 00:39:42,370 Emotional modeling, active engagement. 862 00:39:42,406 --> 00:39:45,739 I thought maybe the best way to bond might just be a bribe. 863 00:39:46,976 --> 00:39:48,875 Owen, do you like the car? 864 00:39:48,911 --> 00:39:50,210 - Yeah. - Yeah? 865 00:39:50,246 --> 00:39:52,212 Want to get in, try it out? 866 00:39:52,248 --> 00:39:53,847 Take it for a spin. 867 00:39:53,882 --> 00:39:55,715 - Oh! - Ah. 868 00:39:55,751 --> 00:39:59,420 I'm so sorry. Are you okay? 869 00:40:01,389 --> 00:40:03,389 - Does he hate me? - What? 870 00:40:03,425 --> 00:40:04,390 No. 871 00:40:04,426 --> 00:40:05,591 Of course not. 872 00:40:05,626 --> 00:40:07,593 Hey, how could he hate you? 873 00:40:07,628 --> 00:40:08,594 I don't know. 874 00:40:09,831 --> 00:40:11,897 Look, you and I are lucky. 875 00:40:11,933 --> 00:40:14,633 A pair of black eyes, it's nothing. 876 00:40:15,971 --> 00:40:17,370 Let's go get you some ice. 877 00:40:17,405 --> 00:40:19,471 Come on. 878 00:40:24,811 --> 00:40:26,644 - Dr. Rhodes. - Excuse me. 879 00:40:26,680 --> 00:40:28,646 A moment. 880 00:40:28,682 --> 00:40:31,149 Asterid's transfer to County... 881 00:40:31,185 --> 00:40:33,118 I'm sure you can imagine my surprise 882 00:40:33,153 --> 00:40:35,919 when I learned it was suddenly unnecessary. 883 00:40:35,955 --> 00:40:37,554 Yeah, it, uh... 884 00:40:37,590 --> 00:40:39,957 it turns out that the hospital's charitable fund 885 00:40:39,993 --> 00:40:41,959 has enough money to cover her costs. 886 00:40:41,995 --> 00:40:45,496 It does now. It seems a six-figure donation 887 00:40:45,531 --> 00:40:49,500 was made a few hours ago anonymously. 888 00:40:49,535 --> 00:40:52,435 - That's good timing, I guess. - Mm. 889 00:40:52,471 --> 00:40:53,769 Good night. 890 00:40:53,805 --> 00:40:57,073 Dr. Rhodes, 891 00:40:57,109 --> 00:40:58,975 be careful. 892 00:40:59,011 --> 00:41:01,536 Patients are going to keep coming. 893 00:41:01,679 --> 00:41:03,413 And as wealthy as you may be, 894 00:41:03,504 --> 00:41:06,754 your checkbook won't be able to keep up. 895 00:41:07,052 --> 00:41:09,127 But it did today. 896 00:41:10,968 --> 00:41:12,667 Good night, Ms. Goodwin. 897 00:41:20,167 --> 00:41:25,167 Synced & corrected by kinglouisxx www.addic7ed.com