I told them that she can stay with us.
- You can't trust her. - Look, I'm sorry,
but she's coming home with us.
No, Ethan, she's going home with you.
Will you marry me?
This is Gwen Garrett, our new COO.
New? We never had an old COO.
If we lose one girl, we lose them both.
The VSD's is repaired.
You got an offer tonight, didn't you?
Mayo Clinic.
Of course, you're going to take it.
Would you?
You're suggesting I'm a murderer.
You know what's the most fascinating thing
about serial killers?
They all can't seem to resist
taking a personal item from their victims.
Oh, oh, no, Bob.
Dad?
We need a crash cart. Crash cart, now!
We need a crash cart in here.
- There's no pulse. - Take over compressions.
Start bagging.
Charged to 200. Clear!
Clear!
Resume compressions. Charged to 200.
Clear.
- Resume compressions. - We need to talk.
Charge to 200.
This way.
This is my father's.
Appreciate your help, Dr. Reese.
Forensics will gather samples to collect for DNA,
but they may need to take a few of
your father's things to the lab.
I understand.
I know that this isn't easy,
but... but it's the right thing to do.
You're the last person to tell me what's right.
- Sharon. - Yo.
Have you heard from Dr. Reese?
She's your resident. Why would she call me?
Well, she's due back today, but I was expecting her
at rounds first thing this morning.
Well, she hasn't been in touch.
Let's hope she's okay.
But don't you need to address our new med students?
- Yeah. - Yeah.
Ladies and gentleman, this is Dr. Charles.
- He's our Chief of Psychiatry. - Good morning, and welcome.
First thing I want to tell you about is...
- Packing up? - Yeah, yeah.
Our days of butting heads are almost over.
Oh, thank God for that.
By the way, did you know that Rochester, Minnesota,
is the 14th coldest city in the U.S.?
And Chicago's 48, you know. It's much warmer.
Why don't you just admit it? You don't want me to go.
- Oh, please. - Oh, you're going to miss me.
Miss the most egotistical, ambitious, and arrogant
man I've ever met? Hardly.
Here.
Now that you are a big shot attending,
I'm going to leave you with this.
"Cardiac surgeons fix broken hearts."
We could have had something.
You're the one who's leaving.
Dr. Bekker, Dr. Rhodes. They need you in the E.D.
- Suspected TRA coming in. - Yeah.
Trevor Keyes, high-speed decelerating
motor vehicle crash. Prolonged extrication.
Right arm BP 136/88. Nothing in his left.
Wife was treated on the scene.
Mr. Keyes, do you know where you are?
Can you squeeze my hand? All right, minimal response.
Let's transfer him on my count.
One, two, three.
All right, let's go.
Okay, Mr. Keyes, can you touch your chin to your chest?
- Any pain? - No.
- Head side-to-side, pain? - No.
Good, c-spine is cleared.
Let's get a chest x-ray stat. Logroll.
- Dr. Choi? - Dr. Bekker and Dr. Rhodes.
They're cardiothoracic surgeons.
- X-ray clear. - This is his wife.
Linda. Please, help my husband.
There's weakness in Mr. Keyes' left hand,
and it's cold.
- Wide mediastinum. - What's that mean?
There is a high probability of a
contained rupture in his aorta.
We need to get Mr. Keyes to the hybrid room right away.
- Okay. - All right, let's go.
Have anesthesia meet us upstairs,
- and bring esmolol for the road. - Right away.
Don't worry, baby. It's gonna be all right.
It's gonna be all right.
Out of the way.
Out of the way! Everybody out.
Out, out, out, out!
Come on, let's go, let's go, let's go.
Linda.
- I love you. - Trev, I love you, too.
- But you're gonna be fine. - I...
Trev? Trevor?
- Nothing. - What's happening?
- No pulse. - Trevor.
- Oh, God. - Come on.
Oh, God, Trevor.
- Let's go. - Wrong floor.
- This isn't surgery. - Can't wait.
Got to open his chest now.
- Get me a scalpel. - Connor.
Check his pulse.
- No. - Why? What's happening to him?
His aorta ruptured. I've got to get control.
Here.
Trevor, no, no!
No!
Help me spread his ribs.
Can you feel the hole?
- There's too much blood. - Oh, God.
- His aorta is wide open. - What do you mean?
I'm so sorry. There's nothing I can do.
He's gone.
- He's dead? - I'm sorry.
Trevor's dead?
No!
No, Trevor, no! No!
Trevor, no!
Time of death, 8:23.
- Synced and corrected by martythecrazy - - www.addic7ed.com -
- We shouldn't have lost the patient.
His aorta burst. What could you have done?
When we were in the E.D.,
he hadn't yet suffered the fatal rupture.
If we'd been able to repair his injury there,
he'd still be alive.
The problem was the time it took
transferring him upstairs.
But the E.D. isn't equipped to perform
the kind of procedure you're talking about.
- That's Dr. Rhodes's point. - There needs to be
a hybrid operating room in the E.D.
Fully equipped to perform emergency cardiac surgery.
An O.R. in the E.D.
We have lost far too many patients
on the way to the O.R.
Actually, I like the idea,
but converting a trauma room into a surgical suite...
It's not an inexpensive proposition.
I'll tell you what. Write up a proposal.
I'll have it on your desk in an hour.
Dr. Rhodes, with your background
in both trauma and CT, you'd be the ideal person
to head a program like this.
If the board okays it, I'd like you to stay.
I'm sorry, Ms. Goodwin, but I start
at the Mayo Clinic on Monday.
Hey.
- That looks so good on you. - I agree.
You know, we should get serious about a date.
- Book a venue. - A venue?
I was thinking more of like a city hall-type thing.
I don't know, a few friends. Maybe dinner after.
What, no, I already talked to Father Brady.
He promised us a Saturday at St. Ursula's.
Man, I got a whole neighborhood to invite.
We need a hall.
Dr. Manning, Dr. Halstead, with me.
Okay.
- Desmond? - 25-year-old deaf male
Peter Rush.
Intractable headache, disoriented.
Sensitivity to light. GCS 15.
- Vomited times two in the ambo. - Maggie, will you help us?
Yep.
Would you like an interpreter?
- Yes. - She's certified.
Let's sheet transfer. One, two, three.
Heart rate 112, BP 122/76.
- Normal sinus rhythm. - These two take care of you.
This is his fiancée, Bonnie.
Have you been deaf since birth?
No, 14. Mumps.
She says he had cochlear implant surgery
a month ago. It's due to be activated.
Chest is clear, regular rate rhythm S1 and 2.
Sick!
And let's give him four milligrams of ondansetron.
Got it.
She says it's meningitis from the implant.
She warned him not to get it.
We don't know that he has meningitis.
His neck exam is normal.
And meningitis can occur after surgery,
but it's not common.
Let's get a CBC, BMP,
- and cultures times two. - Right.
And let's send him up for a head CT.
Okay, I'll put in the order.
- Thank you. - Yeah.
April.
Hey, April, can I get a second?
Emily's really turned her life around.
She's clean, going to AA.
She's got a job, sells cosmetics.
And you're telling me this why?
I'm bringing Emily to Conner's party,
and she'd like to talk to you.
- Why? - She feels bad.
She should.
Emily wants to make amends. It's a part of the program.
Emily has a drug problem and a gambling problem.
She stole opioids from the hospital,
- I know. - She needs to be in rehab.
- I... - She needs psychotherapy...
I know. But she's really trying.
One step at a time.
Mr. Jackson,
these are student doctors, Curry and McNeal.
They're going to help me sew you up.
- Okay. - McNeal, glove up.
Curry, why don't you get him an IV
and hang a bag of normal saline?
- That's a nurse's job. - I'm sorry?
I said, that's a nurse's job.
Every doctor should know how to put in an IV.
I do know how, but I don't see the point.
That's not something I'm ever going to be doing.
I'm not going into patient care.
- Is there a problem? - No, sir.
Ms. Curry, when you are on my service,
you will do exactly what's expected of you.
Do you understand?
Mr. Jackson is a machinist,
and he cut his forearm in the shop.
- What do you make of the wound? - Mm, pretty clean.
Edges are smooth. Nylon suture?
You'd better take another look.
Oh.
That's actually a pretty deep cut.
So how do you obliterate the dead space?
- Um... - Absorbable stitch.
Right, right.
- You're a doctor? - Medical student.
You're a big guy.
What's the matter, couldn't play football?
Let's numb that arm.
You don't have meningitis.
On the other hand, we don't know why
you're having these symptoms.
Your sensitivity to light concerns us,
so we'd like to do some more blood work,
including a genetic test, just to cover our bases.
You'll have to stay here overnight.
We'll try to find you a bed upstairs.
Otherwise, we will make you
as comfortable as possible down here.
The good news is we've talked to your audiologist,
and we can turn on your cochlear implant.
Yes, I want it. Thank you.
Yes, I'm doing it.
- They're having an argument. - Yeah.
Maybe we should step out.
Yeah?
Dr. Reese, there you are.
- I am very glad to see you. - I'm not staying.
I'm leaving Med. I'm continuing my residency at Baylor.
- Oh. - I think people here
would, uh, always look at me and think,
oh, there's that doctor,
the one whose father murdered those girls.
I could live with that.
It's you.
- It's me? - All that time
you suspected my father, you never told me anything.
Sarah, look, I was trying to protect you
until I was absolutely certain. I mean, surely...
I can't trust you. I can never trust you.
You have every right to be upset,
and I hope that we have some time to talk through this,
but please, don't leave.
Every time I'd see your face, I would remember...
when I walked into that room and saw my father on the floor.
I...
I saw it in your eyes.
You were going to let him die.
Hi.
Hi, Peter, this is Helen Moore,
the hospital's audiologist.
So, let me get this on you, and then I can activate it.
No.
- I don't want it. - I... I don't understand.
Bonnie, she think because of this, I don't love her.
I want Bonnie more than my hearing.
If you change your mind, let your doctors know.
Yeah, I've seen this before.
Implants are controversial among the deaf.
For Bonnie, deafness is a culture, a community.
She thinks we're trying to fix a problem that isn't a problem.
- Courtney? - 45-year-old female.
- Found delusional and agitated. - Put her in treatment 4.
No obvious injuries, no meds given in the field.
All right, get ready to rotate.
Take them in, Angel. Dr. Choi?
Can't leave this GSW. Terry, start the work-up.
See if you can get a history. I'll be there soon.
I'm going to call Psych. Where's Monique?
Monique, get in here.
- Let's transfer on my count. - It's his fault.
- It's his fault! - One, two, three.
Ma'am, can you tell us your name?
Do you know where you are?
Over there. Look. It's his fault.
- We need to sedate her. - It's his fault.
- You should wait for Dr. Choi.
He told me to work her up. I can't with her like this.
- 10 of haloperidol. - Stop it before it's too late.
Stop him. Stop. Stop him before it's too late.
Stop him before it's too late.
Stop him... Stop him before it's too late.
Stop him before... it's too late.
Let's let her calm down
before we take off the restraints.
I thought this patient was agitated.
She was. I sedated her.
You sedated her? Without waiting for me?
- Well, I couldn't examine her. - Well now, neither can I.
You're a medical student.
You're not authorized to order medication.
But she was delusional, psychotic.
And you are not qualified to make that diagnosis,
or any diagnosis.
The patient's emotional state could have been
something entirely physical, and therefore
easily treatable, like a UTI, for instance.
But now, we can't determine that
because you knocked her out.
You ought to be written up for this.
- Dr. Charles, it was... - Be quiet. Where's Dr. Choi?
I'm right here.
Supervise your medical students!
I wasn't told the board was in session.
Dr. Rhodes, impressive proposal.
- Unfortunately, we have to pass. - And why is that?
A C-Arm. That's anywhere from 1.7 million to 2.5.
Uh, booms and lights, 200,000.
Two large ceiling-mounted hi-def screens.
- Do I need to continue? - No hospital I know of
has a hybrid O.R. in the E.D.
Not to mention the huge PR benefit
in Med being the first...
The investment is not worth the expense.
I recommended that the board pass.
They agreed.
Well...
thank you for trying.
I think it would be a mistake for the hospital to lose this.
In Yiddish, "bon voyage" is for gezunterhait.
In Hebrew, however, we say leich l'shalom,
which literally means "go towards peace,"
but it has a deeper meaning
of going towards greater spiritual perfection.
I'd like to wish you that, Dr. Rhodes.
Leich l'shalom.
- April. - Emily.
I want to apologize for everything that happened.
It was all my fault.
I'm trying to make up for what I did.
I'm trying to turn my life around, and...
a lot of that is because of you.
You believed in me, and...
I'm... I'm really sorry I disappointed you.
Be right back.
Can I get you a drink?
- There you go. - Thank you.
Did you get a chance to check out that venue?
No.
I'm sorry, I left it at the hospital.
- Yeah, well, I brought it. - Oh.
Natalie, look, if you don't want
- to get married, just say so. - What?
Where is this coming from?
You don't seem to care about the ceremony,
or the reception. It took you a week to say yes.
And I said yes, and I meant it.
But you act like our marriage is no big deal.
Of course it's a big deal.
But a church wedding, a reception.
I've done all that before.
I haven't been married before.
- I want the whole thing. - Just so you know,
a wedding is not a marriage.
Glad you cleared that up for me.
- Will. - No, I'm just
overwhelmed with your enthusiasm.
I'm going to get some food.
Hey, Maggie. Have you seen Ava?
Ms. Goodwin.
Hey, have you seen Dr. Bekker?
She said she was coming tonight.
Uh, no, I haven't.
Maybe she got stuck in surgery.
Maybe.
So let's get four of the flutes over here, one more.
And then, we'll have a nice arrangement right here.
- Great. - Mr. Rhodes?
- Dr. Bekker. - Have you got a minute?
Of course, this way. I'll be right back.
Creating a hybrid O.R. in the E.D.
would be expensive, and the hospital
is not willing to make the commitment.
However, if private donors such as yourself
would earmark contributions for the project,
the board would be incentivized to make the investment.
Right.
I wouldn't expect you personally
to fund the entire project.
I would think with your connections,
you could raise it with just a few phone calls.
Well...
And you'd be running this project?
No, Dr. Rhodes... Connor will be.
I thought he was off to the Mayo Clinic.
I believe he'll stay in Chicago
if the program gets funded.
Well, as I'm sure you're aware,
my son and I have not had the easiest of relationships.
I'd want my involvement kept anonymous.
Of course, I understand.
Let me think about it.
I'm afraid this is time-sensitive.
Oh.
You know what? I have an idea.
Why don't we go to dinner, discuss this further?
_
Hey, Peter Rush's these test results.
- Oh, man. - Yeah.
What is it?
Peter, your deafness wasn't caused by mumps.
It was caused by a genetic disease
that you tested positive for, Usher syndrome.
And it's what caused the symptoms
you are now experiencing.
What does that mean?
So some of your symptoms can be addressed,
but Usher syndrome causes a condition
called retinitis pigmentosa.
A progressive deterioration of eyesight.
- My eyesight? - I'm sorry, Peter,
but retinitis pigmentosa is untreatable.
No cure.
I'm going blind? I'm going blind?
Yes, you will experience a significant loss in vision,
and maybe even blindness.
Oh, God.
We know this is a lot to process.
A genetic disease specialist will come down to discuss
what you can expect, and what measures
can be taken to help.
Maybe you want Bonnie to come here for that?
No, she can't find out.
But you're getting married. She will find out.
She broke it off.
Now, it's all for the best.
I don't want her coming back out of pity.
- You don't... - She should be with someone
who won't be a burden to her.
Yeah?
Hey, Dr. Charles? Sarah called.
Asked me to send her stuff.
She thought maybe she left her case log here.
Oh, uh, yeah. Um...
Right here.
Okay. You know, I really liked Sarah.
I always hoped, you know, something might happen, or...
But I guess with all that she was going through,
- never really had a real chance. - Yeah.
I'm sorry about that, Noah.
Yeah.
You know, she once told me that, um...
the way you brought her into psych helped her.
That you were the dad she always wanted.
Dr. Choi?
Emily, what's wrong?
Uh, I've just been dizzy, a little tired.
Getting these headaches.
She's also complaining of diarrhea.
Vitals are mostly normal, a little soft on the pressure.
BP 95/58, heart rate 110.
The patient is my sister, so I'll leave you and April
to do the exam.
- I'll be back to look in on you. - Okay
- Ms. Curry? - What... right.
I'm Elsa Curry, third year medical student.
I'm going to examine you.
Oh, um, no. Um, I'm sorry.
I'm sorry, uh...
Peter's not up... for...
_
Okay.
Why are you here?
Who told you?
Did you? No, no.
- Did you? - No.
She wants to know why Peter's acting like this.
It's up to Peter to tell her.
You can tell her.
Peter has a condition called Usher syndrome,
which caused him to lose his hearing
and will also cause him to lose his sight.
All right, now, let's move on to the budget.
The first line item to discuss is marketing and PR.
Actually, let's table that discussion.
Dr. Bekker, Dr. Rhodes, thank you for joining us.
I have good news.
The hospital received donations earmarked
for your ED hybrid O.R., and the Board
has decided to provide matching funds.
We're going ahead with your proposal.
Well, I am very happy to hear that.
But there is one stipulation, Dr. Rhodes.
You have to stay and run the program.
Emily's test results.
No.
You're not sick. You're pregnant.
Really?
You didn't suspect that might be the case?
I mean, I have been throwing up a lot.
Do you even know who the father is?
Yeah, of course I know who the father is.
What do you think I am? It's Bernie.
- Who's Bernie? - He's in my AA group.
- Your AA group? - You're not supposed to date
people in your AA group.
Look, he's been sober for six years.
- He's a responsible person. - Responsible?
You call this responsible?
I don't believe you.
Oh, God, I didn't mean it to happen.
What am I going to do now?
You were right. Everything you said was right.
- I'm an idiot, a total idiot. - Ethan, don't.
You were just trying to help her.
You were trying to be a good big brother.
And look at the mess she's made.
I know.
- Emily can't have this baby. - What?
Come on.
She has a history of drug abuse.
She's sleeping with some guy in her AA group.
If you're going where I think you're going...
April, two months ago, Emily was homeless.
Who know when she'll run away again?
She's completely unstable, and she might start using again.
- Harm the fetus. - And she might not.
What kind of life can she give a child?
- It doesn't matter. - Of course it matters.
No. You're not Catholic.
It's a life. We have to protect it.
Mr. McNeal?
I want to apologize for earlier.
You really need to learn how to follow protocol, okay?
But I shouldn't have snapped at you like that.
I'm dealing with a, uh, with a loss.
Thank you.
Coming in.
And your paperwork is done.
I got to go tell Bernie. I don't know how he'll take it.
I hope he's happy, but, God, what if he's not?
I can't cope with this by myself.
I... I can't have this baby alone.
Emily, you're not alone.
Oh, yeah, but Ethan's so mad at me.
He'll come around.
- And I'm here for you. - You are?
We'll figure this out.
Okay?
Okay.
Now, I'm going to be sending a series of beeps.
First very soft, inaudible.
When you can hear the beeps, let me know.
Wait, yes.
- I can hear it, yes. - Good.
Tell me, Peter, can you hear my voice?
Oh, God. Yes, I can.
I can hear again.
She said that she'll be his eyes,
and he'll be her ears.
Ms. Garrett, I know we've had our differences,
but I'm very happy you approved the hybrid O.R. down here.
Are you, Dr. Stohl?
Sharon, if you would.
You go behind my back and get these token contributions
for about a quarter of the cost.
The hospital is out millions for your pet project.
The Board could have refused the money.
No, it couldn't, and you know that.
These are some of our biggest donors.
They want a hybrid O.R., they get a hybrid O.R.
You locked us in.
Are you going to fight me on every one of my decisions?
Depends on the decision.
Well, I'm glad I know where we stand.
Our Chief of Emergency Medicine, Dr. Stohl.
Very much your man.
I think Dr. Stohl is very much is own man.
I have not been happy with his performance of late.
We're not going to renew his contract.
Really, you'd take this out on him?
Stay out of my way.
They don't start serving for another hour.
Sit.
Hanger steak, planked whitefish,
and for vegetarians, lentil and chickpea stew.
Thank you.
What's all this?
Dishes to try for our reception.
You take care of the venue, I'll take care of the caterer.
You know, eyes and ears.
Here, try.
Mmm. That's really good.
- Yeah? - Mm-hmm.
- Here you go, Dr. Rhodes. - Thanks, man.
Ava, hey.
So I was... I was looking into what you were talking about,
Rochester, and you are right. It is very cold.
- Yeah? - Yeah, so anyway,
I told the Board I was going to stay here at Med.
Really?
Yeah, I mean, if the program is a success,
then it could be a very big deal.
It's a better career move than Mayo.
- Exactly. - Okay.
Well, I guess I don't need to remind you.
You're no longer on the CT service.
Yet, you did.
From now on, when you bring a patient upstairs,
I decide the course of treatment.
Now, you see, if I'd gone to Mayo,
that's exactly the kind of collegial interaction
I would have missed.
Dr. Charles.
- Here to gloat? - No.
Just dropped by to, uh...
let you know Sarah's leaving Chicago.
You'll probably never see her again.
Is that supposed to wound me?
My daughter?
She put me here.
Huh. I thought you put yourself here.
It's all circumstantial. You know that.
Where are the bodies?
If I could get a halfway decent lawyer,
instead of that idiot P.D. in his cheap suit.
You know, when I was having my heart attack,
you weren't going to save me, were you?
You were going to let me die.
All right, do it now. Kill me.
You've had your fun. Enough.
No one would want to go on living like this, anyway.
I'm sorry you're having such a hard time.
I'll talk to your doctor and see if he'll
boost your anti-depressants.
And I'm the one without a conscience?
No, don't worry about it. It's gonna get better.
It always does.
Really.
In my experience, psychopaths adjust extraordinarily well
to almost any situation.
Even, you know, this one.
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