07x01 - You Can't Always Trust What You See
Posted: 09/23/21 11:52
Tell me it's not a game.
Hey, take it easy.
You've got more lies.
Hey, over here. Over here.
[g*nsh*t]
Ethan.
I'd like to name you interim chief.
I'd be honored.
When I was , I got pregnant.
It wasn't difficult for me to find out
you're my birth mother.
I don't want anyone to know about us.
They won't.
My mom was so sick,
I stole meds from Will's trial.
I have a lot of history with Natalie.
I won't apologize for it.
Did you tell her you took them?
You're fired, Dr. Halstead.
I had to.
I was the one who sold
the trial meds for my mom.
[SOMBER MUSIC]
♪
I guess that's everything.
I'm going to be okay.
- I know.
- You?
Yeah.
You need to go back.
Please, call her.
Yeah.
Hey, you better keep in touch.
All right, I'll come find you.
Take care of yourself.
Yeah, you too.
Bye, Natalie.
I look at that spot every day, too.
So I understand Ethan's
physical therapy is going well.
That's what he says, yeah.
Oh, you're in contact, that's good.
Glad he didn't hold a grudge.
A grudge?
Well, come on, you're telling me
that you don't think about that?
The sh**t? Neil? What's his name?
If he'd been put on psych hold...
What? Ethan wouldn't have been shot?
No. You know what?
I never think about that.
Not even for a second. What
I do wonder about, though,
is if any of this would have happened
if you hadn't taken the guy's
appendix out against his will.
That's what I wonder about.
I mean, come on, he was
aiming at you, right?
Sinus tachycardia at .
Sats at . Let's go!
Okay, let's get her to CT.
- Dr. Cooper.
- Hello.
What happened with your patient?
It looks like pulmonary embolism.
- But no DVT?
- No.
So is this due to the insertion
of the cardiac output monitor?
I wouldn't think so.
The Vas-COM is a good device.
Rarely have any problems.
- Excuse me.
- Yeah, sure.
[PHONE CHIMING]
Dr. Halstead.
- Dr. Marcel.
- Yeah.
We've got an open radial fracture.
I need you in five right now.
Yeah.
I can't get a straight story out of him.
We'll figure it out.
I want you to go get something to eat.
All right, now, your
dad's out of the room.
You gonna tell me what really happened?
Those there are puncture wounds.
That's a snakebite. And I gotta
know what kind of snake
so I can take care of you.
I'm gonna be sick.
You're gonna be a lot sicker unless
you tell me what kind of snake.
Rattlesnake.
Mix vials of antivenom
with ml of NS.
Right.
So how'd you meet up
with this rattlesnake?
I stuck my hand in a box.
I'm guessing the snake was in that box?
- Yeah.
- Yeah.
So why the Wild, Wild West?
- Huh?
- Ambo picked you up
on Chicago and Pulaski.
You don't live over there.
Your shoelaces tipped
in yellow and black.
Those are g*ng colors. The boys.
What are you, a cop?
I used to be.
But now I'm a doc. So come on.
- I was with some dudes.
- Uh-huh.
Dudes your daddy don't approve of?
- Yeah.
- Yeah.
All right, so sticking your
hand in a box with a snake,
was that some kind of g*ng
initiation or something,
to see if shorty's got what it takes?
Yeah. Hey, who's got that snake?
Hook him up. I'll be right there.
Maggie, could you do me a favor?
Call CPD, rd District.
Ask for Lieutenant Scott.
- Scott?
- Yeah, my dad.
Tell him I need him to
send one of his guys
and animal control to
pick up a rattlesnake.
Yeah, a rattlesnake.
I'll text you the address.
I want to come back to Med.
It's where I belong.
You know I didn't
steal the trial meds...
Skip it. Are you familiar
with the Vas-COM?
The Vas-COM?
Cardiac output monitor
made by Vasik Labs.
Yeah, no, I know it. It's pricey.
Other monitors are just
as good. What about it?
We're billing Medicare
for its use % more
than any other hospital in the area.
Okay?
Well, if it's being used unnecessarily
and Medicare's being
billed, that's fraud.
And it's an invasive procedure.
So it's also putting people at risk.
Ms. Goodwin, I-I just came
to ask for my job back...
And I heard you.
Dr. Cooper, Matt Cooper,
you have a relationship with him.
Barely.
I mean, he dated my cousin
Moira back in the day.
Well, Dr. Cooper is our biggest
booster of the Vas-COM.
And I suspect it's because
he's getting kickbacks.
Now, I could go to the board,
but his father-in-law sits on it.
So I need something solid,
an admission of wrongdoing,
preferably on tape.
And you're going to get it for me.
Hold on. Wait.
You're saying you want
me to be your spy?
If that's what you want to call it.
But if you want to come back
here and practice medicine,
that's what you're going to have to do.
I don't believe this. You're serious?
As a heart attack. Look, I
have a doctor in my hospital
who's scamming the system
and putting patients at risk.
I'll do whatever it takes to stop him.
Now, are you in or out?
[DRAMATIC MUSIC]
I am so happy to welcome
Dr. Halstead back to the ED.
I know he's been missed.
Yay, Dr. Halstead!
- Yeah!
- Whoo-hoo!
And there are a couple of
folks that you haven't met.
Dr. Dylan Scott, and Dr. Stevie Hammer.
I know Dr. Hammer.
We were in med school together.
Oh, okay. Nice.
All right, thank you, everyone.
All right, everyone,
we've got patients to see.
Hey, don't get me wrong,
I'm thrilled to see Will again,
but I thought that you
weren't inviting him back.
I'll tell you about it later.
So I heard your clinical trial
was a rousing success.
I'm touched. You still care
enough to track my failures.
What brought you back to Chicago?
Home sweet home. What made you stay?
Same.
- Look forward to working with you.
- Likewise.
What's up with you and her?
- The Hammer?
- Uh-huh.
God. Never lets you forget
she was first in our class.
Ah, and you were second?
No.
I'm glad you're back.
Natalie would be happy.
Natalie and April gone. Ethan in rehab.
Get back to work. Treatment six.
Twisted ankle.
It's good to have you back.
Good to be back.
- [ALARM BLARES]
- What do we got?
Lois Durant. , fatigued
and short of breath.
Hey, Lois. I'm Dr. Marcel.
I'm going to be taking
care of you, okay?
BP / . Heart Rate .
Been here before. Lots of times.
Okay. Maggie, can we get
Ms. Durant's chart, please?
You got it.
Okay, folks, we know what
this is. Nice and easy.
On my count, all right? One, two, three.
Where's my doctor?
Lois, I'm your doctor, okay?
Can you come forward
for me a little bit?
There you go. Nice and easy.
Yeah, lungs are wet.
All right, there you go now.
And I'm hearing a systolic murmur.
Have you had that problem before?
It's okay.
Yeah, you're retaining fluids.
Let's set up for a bedside echo.
- Okay.
- Call my doctor.
Okay. Well, let's have a look
at your chart, all right?
What?
- Hey, Maggie.
- Yeah.
Hey, where's Ms. Durant's chart?
We don't have it.
She's one of the Kender trial patients.
- So?
- Well, when Kender pulled the trial,
thanks to Dr. Halstead,
they took all the records.
And now they won't release them.
Okay. Well, it looks like
she's in heart failure.
So I'll need her history.
Well, you're in luck.
The aforementioned Dr.
Halstead is in the house.
I'm sure he'd be happy to share
his knowledge of the patient.
- [SIGHS] Perfect.
- Yeah.
Halstead, I could use
your help in three.
Hey, Lois, you remember Dr. Halstead?
There's my doctor.
Lois, what happened?
You were doing so good a few months ago.
Don't... know.
Lois, can you lay back for me?
There you go.
How's your son? Terence, right?
Did he finish law school?
- You remember.
- Sure.
Yeah, I'm seeing severe
mitral valve regurgitation.
Yeah, Ventricular pressure's really low.
Yeah. Let's give Lois morphine mg IV.
That'll help dilate your blood vessels,
make it easier for your heart to pump.
And of Lasix IV, please.
It'll get rid of some of the fluid.
We'll check back, see how you're doing.
This makes no sense.
Lois only had mild regurgitation
six months ago,
and she was doing better
on the trial meds.
Oh, man, I think we're looking
at hypertrophic cardiomyopathy.
Well, can't really tell
from the echo windows.
But morphine should work.
Well, I hope you were
able to assist Dr. Marcel.
I remember the patient.
Yeah. Got to tell you, it wasn't
my idea to bring you back.
Thanks, Dean.
And, hey, congratulations
on being made Chief.
I mean, it's what you wanted
all along, wasn't it?
Dr. Archer.
Thank you.
Looking forward to
your next train wreck.
- Ow!
- Hey, Ms. Brooks.
- I'm Dr. Archer.
- Hey.
I'm Emma. Gemma's sister.
Gemma and Emma.
Dr. Taylor, why isn't Gemma gowned?
She refused unless her
sister was also gowned.
We always dress alike.
- Uh-huh. May I?
- Mm-hmm.
- Ow! Ow! Ow!
- Okay.
So I understand that you're suffering
from abdominal pain and bloating?
- Really bad.
- Okay. Well, I can help with that.
- Start an IV hydromorphone . mg.
- Got it.
Can you put a needle in my arm, too?
I'm sorry, you said what?
Oh, we'd like a needle in my arm, too.
I'm sorry, no, I can't do that.
Both sisters were born
with only one ovary.
And Gemma has a history
of ovarian cysts.
Which is not necessarily problematic.
I do need to check your
belly with ultrasound.
- Here you are.
- Thank you.
Okay, I'm going to raise your blouse.
If you could lower your jeans for me.
It's going to be a little cold.
Okay, here we go.
[WHIMPERING]
Okay. Yeah. I see free fluid,
which indicates an ovarian
cyst has likely burst.
I'm going to do more imaging to confirm.
And I'm going to track your hemoglobin.
Now, if your blood count drops,
you will need surgery,
and we may have to remove your ovary.
Then you'll have to take mine out, too.
I'm sorry?
- We're identical.
- In every way.
Well, we just want to make sure we know
what we're dealing with here.
Dr. Taylor, what would you recommend?
A CBC, BMP,
transvaginal ultrasound,
and a pregnancy test.
- Okay. Good. Good.
- She's not pregnant.
Well, just standard fare.
We'll get back to you.
[UNEASY MUSIC]
- Page Dr. Charles.
- Got it.
We're the last people
who need a psychiatrist.
- We're very happy.
- I'm really glad to hear that.
I'm feeling much better.
It's probably the hydromorphone,
the pain medication we gave you.
Look, the tests have showed
that a cyst has ruptured,
and there's bleeding.
Well, Gemma, you need an operation,
and if we can't save your ovary,
we do have to remove it.
Just as long as they take mine, too.
- Why is that?
- So we have the same scar.
But not just that.
We always planned to get
pregnant at the same time.
And If she can't, I can't either.
Oh, okay. All right.
So have you guys always
dressed exactly alike?
- No.
- No.
When we were kids, our
mother wouldn't let us.
We hated that.
As soon as we could, we moved out.
Remember the first time we
bought matching dresses?
It was heaven.
Now we do everything together.
Hmm? Everything?
Eat, sleep, take showers.
- Go to the bathroom.
- Wow.
COVID was actually really good for us.
How's that?
Lockdown, we were with
one another and no one else
for a year and a half.
Brought us even closer.
Kind of hard to... to tell
where one of you begins,
and the other one ends.
Exactly.
- We're one person.
- We're one person.
So look, it's not unusual
for monozygotic twins
to have a very strong bond.
- So that's normal?
- No.
Not at all. Not to this extent.
We're looking at an extreme
lack of individuation here.
What does that mean?
Well, normally, when children
develop, even identical twins,
they start to form a sense of self,
you know, an individual identity.
Somehow, with these two, that
just... it just never happened.
All right. All right.
Okay, so they're... well,
what's the word I'm supposed to use?
Delusional? And now
he's going to tell us
that they have decisional capacity
and that we can't force treatment.
- That's correct.
- Yeah. See?
I've been over it with
them a couple of times,
and they fully understand
the potential consequences.
So what do we do?
Well, we certainly can't
operate on the healthy twin.
Are you seriously thinking
that I was considering that?
You know, with your history,
I mean, I guess you just never know.
Is there any chance that this
will resolve without surgery?
Yeah, a small one.
I mean, we can keep an
eye on her hemoglobin,
but if it drops lower or
she becomes unstable,
then we have to take her to the OR.
With their consent.
Okay.
Hey, Will, I wanted to tell you,
I know your brother, Jay.
Really? How's that?
Used to be in the same line of work.
No kidding?
Dr. Scott, we need a peds
consult over in Baghdad.
Ten-year-old girl. Extremely lethargic.
- Catch you later.
- Yeah.
It's not a diabetic issue.
Blood glucose is normal.
- Heat exhaustion?
- No.
We hung fluids. She hasn't responded.
Hey, Jasmine. Can you hear me?
She's never like this.
Jasmine? Hey.
I wanna go home.
That's better.
Now, can you squeeze my fingers?
Good. Other side.
Honey, do what the doctor says.
Jasmine, come one.
There you go. Thank you.
Motor and speech intact.
Does Jasmine have any
pre-existing conditions
that we should know about?
Well, when she was born,
they told me that she had sickle cell.
But it doesn't seem to bother her
other than getting some
pain once in a while.
Head CT?
Yeah, but I doubt it'll tell us anything
we don't already know. Maggie?
Right here.
You need to send Jasmine
in for a head CT.
All right. I'll let Radiology know.
Ooh! Ooh!
- Are you all right?
- Yeah.
Fine. Just a little stiff.
We also need to set up for
an exchange transfusion.
- Okay.
- A transfusion?
- Blood?
- Yeah.
We believe your daughter's condition
is because of her sickle cell.
Blood with normal cells
will help her feel better.
I'll make sure they red cell phenotype.
Aleesha, you'll give us the best match.
We'll talk with you after Jasmine
has had her scan, okay?
All right.
So do you think a guy who orders
the same thing every day
is dependable or boring?
Depends on the man.
Hey, Matt.
Will.
Hey, I thought they gave you the boot.
Turns out they can't live without me.
If this guy's done bothering you,
I'll take a chicken Caesar.
Thanks, Skyler.
- It's been a while, huh?
- How's Moira?
Good. And married.
Wow, I blew that one.
I'm sure you're doing fine.
I'm married now.
Trying to be a good boy.
You're not busy. We should get a drink.
Catch up.
Yeah, sure.
Chicken Caesar.
- Hey, good to see you, man.
- Yeah. Take care.
Dr. Archer, Dr. Taylor.
- Ow... ow!
- [ALARM BLARING]
Help her!
Another milligram of hydromorphone.
She's tachycardic and
hypotensive. Temp's .
All right. Only one unit of blood.
- And a unit of FFP.
- Got it.
All right, Gemma, you are bleeding.
We need to get you up
to surgery right now.
- Take us both.
- I cannot do that.
Then no surgery.
All right, listen to me, okay?
You could bleed to death.
You understand? You could die.
You have to save her.
Take me to surgery.
[ALARM BLARING, WHISTLE BLOWING]
Anything? Hmm? Any ideas?
Okay, let's get you on your back.
Let's get you on your
back. One, two, three.
Her pain's lessened. Fever's down.
The antibiotics are working,
but for how long?
Yeah. Okay, thanks.
We don't have anything more to say.
If you really want to save Gemma,
you have to operate on me first.
You know, I've been thinking
about our first conversation.
And you mentioned that you...
you both wanted to get
pregnant at the same time.
And I-I absolutely appreciate
how much joy that that would bring you.
We'll be okay.
I'm sure you will.
But you also said that sometimes
you like to think of yourself
- as one person.
- We are one person.
Okay. Well, genetically, anyway,
you absolutely are, right?
You were born from a single egg.
You share the same genes.
Yeah, we know that. So?
So if one of you were to
have a baby, say, Emma,
with her one ovary,
were to get pregnant,
well, it might as well
be Gemma's child too.
- That's true.
- So, in a sense,
you would be bringing a child
into the world together, right?
And I just still think
that that would be
a tremendously satisfying, joyful
experience for the both of you,
I mean, wouldn't it?
That sounds kind of nice, Emmie.
We'll think about it.
Okay.
Your daughter's scans confirm
what we had suspected.
Jasmine suffered a stroke.
What? Stroke?
She's a little girl.
The abnormal shape of
the red blood cells
can cause the blood to become thicker,
which can cause clotting
and lead to stroke.
When Jasmine was diagnosed,
didn't your doctor tell you about that?
No.
Yeah. Kids with sickle cell
should have a type of scan,
a Transcranial Doppler, once a year,
to see if they're prone to stroke.
I'm guessing nobody told
you about that either.
No.
And they should be on a
medicine called Hydroxyurea.
What is that?
It helps the red blood cells
maintain a normal shape.
Are you saying this
shouldn't have happened?
Jasmine, she shouldn't
be sick like this?
I'm sorry, Ms. Russell.
Oh, my God.
- I let this happen.
- No.
- My baby.
- No, this... this was not your fault.
I'm her mother.
I'm her mother.
I'm supposed to protect her.
This is your doctors' fault.
They should've told you.
It doesn't appear that Jasmine's
stroke was very severe.
She'll recover,
and we can make sure that
this never happens again.
She's getting a transfusion,
and she should get better right away.
I just wanna be with her.
Why didn't anyone tell her?
Where were you working before here?
Grosse Pointe. Beaumont Hospital.
Ah. Well, this happens a lot
to kids who have sickle cell.
Less than % get screened.
On the other hand,
kids with cystic fibrosis.
Well, they get a case manager,
regular check-ups.
'Cause most CF patients are white.
Mm-hmm.
Yeah, I get it.
So the twins have agreed
to Gemma's surgery?
Yeah, that's what I hear.
Good news, right?
Yeah. Sounds like you
played into their fantasy.
Yeah, maybe a bit.
But can't really address
their psychiatric issues
if one of them is dead.
[SMALL LAUGH] Whatever you say.
Cesar, what have we got?
-year-old female.
Hour prior to arrival, she had
an ataxic gait, garbled speech.
Lost consciousness in the
ambo, and we intubated.
No corneal reflexes. No gag.
Nancy, Dr. Taylor, with me.
- Help her, please.
- Sir... sir,
we're going to take care of her. Angel.
How are things with you and Dr. Taylor?
Ugh!
She keeps her distance.
And I try to keep mine.
Well, it's not so easy.
Not easy for most mothers,
but you'll keep trying.
Right.
- Ooh, Dr. Halstead.
- Yeah.
So?
Yeah, I said we should go
out for drinks, catch up.
Good.
Matt didn't seem that enthusiastic.
- I don't know if it'll happen.
- Well, you'll make it happen.
Dr. Halstead.
Excuse me.
BP's even lower.
Yeah. I was afraid the
morphine wouldn't work.
I need to take her to surgery.
And do what exactly?
Replace the valve. Unhook her. Let's go.
Well, the primary
problem isn't the valve.
It's the outflow track. It's obstructed.
She needs a completely
different procedure
from what you're suggesting.
What I see is severe mitral
valve regurgitation
and an enlarged heart. Let's go.
Okay, guys, come on.
Crockett, you asked me to consult
- because you know I know this patient.
- I understand.
But I don't have precise measurements,
and we don't have a cardiac cath.
So, do a cardiac cath.
You'll see I'm right.
I don't have time to screw around, Will.
With her condition this bad,
I need to operate now.
Yeah, and the bigger the procedure
the bigger the fee, right?
But, hey, Medicare's paying for it.
Keep going. What was that?
You think that's what I'm about?
Padding my bill?
No. No, I don't. Forget it, man.
That's my patient.
I'm taking her to surgery.
We all set with the valve sizers?
Yeah. We've got both mechanical
- and biosynthetic valves.
- Good.
Hey, Will.
My scrub nurse told me you were up here.
Yeah. Patient from the clinical trial.
Oh, so already a history
of heart failure?
- Mm-hmm.
- Hmm.
Not using a Vas-COM to
monitor cardiac output.
I guess not.
Vas-COM's really a lot more accurate.
Oh, yeah?
I don't want to step on any toes here,
but, um, you might want to suggest it.
Yeah, sure.
- Crockett.
- Yeah.
Dr. Cooper thinks you
should use a Vas-COM.
Oh?
Hey, Matt.
Well, I've got this handled, bud.
Old set-up's just fine, all right?
Yeah. Sorry, your patient.
Didn't mean to intrude.
Yeah. Okay, then.
Vas-COM really should
be standard of care.
Well, he'll come around.
Okay, let's replace the valve.
- Hold on.
- What?
This doesn't look valvular.
TEE indicates a sub-aortic
outflow obstruction.
Can you calculate a gradient for me?
Gradient is MM of mercury.
Consistent with hypertrophic
cardiomyopathy.
Yeah.
All right, folks, change of plans.
We are not gonna replace the valve.
We're gonna move to a myectomy.
[DRAMATIC MUSIC]
♪
How's Ms. Jasmine doing?
She's sleeping.
Good.
Why don't you step out?
Hmm?
There's some coffee over
at the Nurses' Station.
Could use some.
Oh... ooh!
- Oh, God.
- Let me help you. Okay.
- Here, I got you.
- No. Please, I'm okay.
No, let's just get you
where you can lie down.
I'm going to get you two ready, okay?
- All right.
- Come on.
Just take it easy.
Come right here.
- Okay.
- Nice and slow.
All right.
[GROANS] I...
I don't need anything.
Your knees are giving
you a lot of trouble.
Aleesha, let the doctors
take a look, okay?
Did you injure yourself?
No.
Burning sensation?
- Let's get an x-ray.
- Okay.
Clear.
Your knees are severely arthritic.
How long have they been like this?
I don't know. Few months.
Have you seen a doctor?
Told me to take some aspirin.
We're going to give you something
a little more effective.
Toradol, mg, IM.
Your hips seem to be giving
you a lot of pain as well.
Aleesha?
Yeah.
There you go.
I have to ask...
are you living in your car?
No.
Why'd you ask me that?
You're very young to have
such advanced arthritis.
And you're not overweight. I'm sorry.
I don't mean to embarrass you,
but I've seen arthritis
like this in people
who sleep sitting up in
the confines of a car.
I'm only asking so that we can help you.
Aleesha?
It's okay. It's okay.
We're going to get you some
meds to manage the pain,
maybe a brace.
Get you in a physical therapy program.
The important thing is exercise.
Gotta get you moving.
It's going to be okay.
[SOMBER MUSIC]
♪
Okay.
That was an impressive call.
But how'd you guess they
were sleeping in their car?
Oh, you mean, the Grosse Pointe thing?
Actually, I was surprised
you didn't catch it.
I mean, don't cops have a lot of
experience with homeless folks?
Oh, you mean like, "Move
along, you can't sleep here"?
- Yeah, just like that.
- Yeah.
Yeah.
I need a doctor.
You better go in.
You need to call it.
Time of death, .
I am so sorry.
The stroke was too massive.
There was nothing that we could do.
I know that was hard.
I'm sorry.
Dr. Halstead.
Ms. Goodwin, I can't do this.
I am not the guy for what you need.
I'm uncomfortable.
I don't like being suspicious
of people, lying.
So if my staying here is dependent
on doing this for you,
I'd just as soon work somewhere else.
Hold on. I was expecting
this conversation.
I've got something I want you to see.
- What's this?
- A recent case.
Young man, years old.
After insertion of a Vas-COM catheter,
he developed infection, gangrene.
Spent two weeks in the
ICU, and lost his leg.
If the Vas-COM was indeed
an unnecessary procedure,
then this was a tragedy that
never should've happened.
Okay.
So it's not a big procedure.
Probably won't take more
than an hour. You ready?
Okay, Camila?
Gemma, I'm going to
put you to sleep now.
Can you count back from ten?
Ten, nine...
How are you doing?
Emma, I know what a difficult
decision this was for you
and your sister. I do.
We always wanted to have babies.
You can.
And, trust me,
I know that you would come to
think of them as both of yours.
What?
I'm sorry.
For what?
You're sorry for what, Emma?
I didn't want her to do it.
- She wouldn't listen.
- Do what?
No. No.
- Stop the surgery!
- What the hell, Dan?
They switched places. That's not Gemma.
It's not her.
While your dad's getting the car,
we got a minute to talk.
Oh, man.
Your little knucklehead friends?
You're done with them. I mean it.
You see that cop over there?
He works the West Side.
He sees you over there,
he's going to tell me,
and I'm going to tell your dad.
Ah, there he is now.
Thanks, Doc.
Yeah. He's a fine young man.
Keep an eye on him. I don't
want to see him here again
You can count on that.
I still don't see how
he got bit by a snake.
Yeah, we have to ask him that.
Seems like we need to have a
discussion when we get back home.
Hey, stay safe, all right?
People care about you.
Well, they have matching scars now.
Maybe that'll be enough to satisfy them.
You know, I've been doing
this almost years.
Mm.
- Never have I ever...
- [LAUGHING]
I mean, not even close.
Yeah, they really did
hoodwink us, didn't they?
But at least you caught it
before I took her ovary out.
I'd say that's a win.
What? You're wondering
if I'm being genuine, huh?
See, that's the curse of being a shrink.
Hmm.
Hey, so you were right.
You did know your patient.
You know, Natalie's mom is doing well.
In large part thanks to you.
That's nice to hear.
You miss her?
Yeah.
Yeah, me too.
I'll see you tomorrow.
Yeah. See you tomorrow.
You're admitting this
patient with sickle cell?
Yeah. Just waiting on a bed upstairs.
Good work today.
They'll bring in a cot for Aleesha.
Kid has to have a stroke
for her mom to get a bed.
Med's running a gene therapy
trial for sickle cell.
Possible cure.
If I can enroll Jasmine,
Aleesha will have a bed
for more than just a night.
Mom? It's me, Mom.
Hi.
Can I come inside?
Step over that.
It's taken me a while to find you.
What happened to the van?
Broke down.
You been taking your meds?
I thought you moved.
I'm back now.
Here, let me have a listen.
I ran out.
I'll get you more pills.
Deep breath.
You sound a little congested.
Yeah. Well, just so you
know, I got vaccinated.
I'm not stupid.
Okay.
But Mom, please, we've got
to get you off the streets.
- I can take care of myself.
- No.
You're not doing that.
No. I'm not going to
let you live like this.
Hear me?
[MELANCHOLY MUSIC]
♪
Hey, take it easy.
You've got more lies.
Hey, over here. Over here.
[g*nsh*t]
Ethan.
I'd like to name you interim chief.
I'd be honored.
When I was , I got pregnant.
It wasn't difficult for me to find out
you're my birth mother.
I don't want anyone to know about us.
They won't.
My mom was so sick,
I stole meds from Will's trial.
I have a lot of history with Natalie.
I won't apologize for it.
Did you tell her you took them?
You're fired, Dr. Halstead.
I had to.
I was the one who sold
the trial meds for my mom.
[SOMBER MUSIC]
♪
I guess that's everything.
I'm going to be okay.
- I know.
- You?
Yeah.
You need to go back.
Please, call her.
Yeah.
Hey, you better keep in touch.
All right, I'll come find you.
Take care of yourself.
Yeah, you too.
Bye, Natalie.
I look at that spot every day, too.
So I understand Ethan's
physical therapy is going well.
That's what he says, yeah.
Oh, you're in contact, that's good.
Glad he didn't hold a grudge.
A grudge?
Well, come on, you're telling me
that you don't think about that?
The sh**t? Neil? What's his name?
If he'd been put on psych hold...
What? Ethan wouldn't have been shot?
No. You know what?
I never think about that.
Not even for a second. What
I do wonder about, though,
is if any of this would have happened
if you hadn't taken the guy's
appendix out against his will.
That's what I wonder about.
I mean, come on, he was
aiming at you, right?
Sinus tachycardia at .
Sats at . Let's go!
Okay, let's get her to CT.
- Dr. Cooper.
- Hello.
What happened with your patient?
It looks like pulmonary embolism.
- But no DVT?
- No.
So is this due to the insertion
of the cardiac output monitor?
I wouldn't think so.
The Vas-COM is a good device.
Rarely have any problems.
- Excuse me.
- Yeah, sure.
[PHONE CHIMING]
Dr. Halstead.
- Dr. Marcel.
- Yeah.
We've got an open radial fracture.
I need you in five right now.
Yeah.
I can't get a straight story out of him.
We'll figure it out.
I want you to go get something to eat.
All right, now, your
dad's out of the room.
You gonna tell me what really happened?
Those there are puncture wounds.
That's a snakebite. And I gotta
know what kind of snake
so I can take care of you.
I'm gonna be sick.
You're gonna be a lot sicker unless
you tell me what kind of snake.
Rattlesnake.
Mix vials of antivenom
with ml of NS.
Right.
So how'd you meet up
with this rattlesnake?
I stuck my hand in a box.
I'm guessing the snake was in that box?
- Yeah.
- Yeah.
So why the Wild, Wild West?
- Huh?
- Ambo picked you up
on Chicago and Pulaski.
You don't live over there.
Your shoelaces tipped
in yellow and black.
Those are g*ng colors. The boys.
What are you, a cop?
I used to be.
But now I'm a doc. So come on.
- I was with some dudes.
- Uh-huh.
Dudes your daddy don't approve of?
- Yeah.
- Yeah.
All right, so sticking your
hand in a box with a snake,
was that some kind of g*ng
initiation or something,
to see if shorty's got what it takes?
Yeah. Hey, who's got that snake?
Hook him up. I'll be right there.
Maggie, could you do me a favor?
Call CPD, rd District.
Ask for Lieutenant Scott.
- Scott?
- Yeah, my dad.
Tell him I need him to
send one of his guys
and animal control to
pick up a rattlesnake.
Yeah, a rattlesnake.
I'll text you the address.
I want to come back to Med.
It's where I belong.
You know I didn't
steal the trial meds...
Skip it. Are you familiar
with the Vas-COM?
The Vas-COM?
Cardiac output monitor
made by Vasik Labs.
Yeah, no, I know it. It's pricey.
Other monitors are just
as good. What about it?
We're billing Medicare
for its use % more
than any other hospital in the area.
Okay?
Well, if it's being used unnecessarily
and Medicare's being
billed, that's fraud.
And it's an invasive procedure.
So it's also putting people at risk.
Ms. Goodwin, I-I just came
to ask for my job back...
And I heard you.
Dr. Cooper, Matt Cooper,
you have a relationship with him.
Barely.
I mean, he dated my cousin
Moira back in the day.
Well, Dr. Cooper is our biggest
booster of the Vas-COM.
And I suspect it's because
he's getting kickbacks.
Now, I could go to the board,
but his father-in-law sits on it.
So I need something solid,
an admission of wrongdoing,
preferably on tape.
And you're going to get it for me.
Hold on. Wait.
You're saying you want
me to be your spy?
If that's what you want to call it.
But if you want to come back
here and practice medicine,
that's what you're going to have to do.
I don't believe this. You're serious?
As a heart attack. Look, I
have a doctor in my hospital
who's scamming the system
and putting patients at risk.
I'll do whatever it takes to stop him.
Now, are you in or out?
[DRAMATIC MUSIC]
I am so happy to welcome
Dr. Halstead back to the ED.
I know he's been missed.
Yay, Dr. Halstead!
- Yeah!
- Whoo-hoo!
And there are a couple of
folks that you haven't met.
Dr. Dylan Scott, and Dr. Stevie Hammer.
I know Dr. Hammer.
We were in med school together.
Oh, okay. Nice.
All right, thank you, everyone.
All right, everyone,
we've got patients to see.
Hey, don't get me wrong,
I'm thrilled to see Will again,
but I thought that you
weren't inviting him back.
I'll tell you about it later.
So I heard your clinical trial
was a rousing success.
I'm touched. You still care
enough to track my failures.
What brought you back to Chicago?
Home sweet home. What made you stay?
Same.
- Look forward to working with you.
- Likewise.
What's up with you and her?
- The Hammer?
- Uh-huh.
God. Never lets you forget
she was first in our class.
Ah, and you were second?
No.
I'm glad you're back.
Natalie would be happy.
Natalie and April gone. Ethan in rehab.
Get back to work. Treatment six.
Twisted ankle.
It's good to have you back.
Good to be back.
- [ALARM BLARES]
- What do we got?
Lois Durant. , fatigued
and short of breath.
Hey, Lois. I'm Dr. Marcel.
I'm going to be taking
care of you, okay?
BP / . Heart Rate .
Been here before. Lots of times.
Okay. Maggie, can we get
Ms. Durant's chart, please?
You got it.
Okay, folks, we know what
this is. Nice and easy.
On my count, all right? One, two, three.
Where's my doctor?
Lois, I'm your doctor, okay?
Can you come forward
for me a little bit?
There you go. Nice and easy.
Yeah, lungs are wet.
All right, there you go now.
And I'm hearing a systolic murmur.
Have you had that problem before?
It's okay.
Yeah, you're retaining fluids.
Let's set up for a bedside echo.
- Okay.
- Call my doctor.
Okay. Well, let's have a look
at your chart, all right?
What?
- Hey, Maggie.
- Yeah.
Hey, where's Ms. Durant's chart?
We don't have it.
She's one of the Kender trial patients.
- So?
- Well, when Kender pulled the trial,
thanks to Dr. Halstead,
they took all the records.
And now they won't release them.
Okay. Well, it looks like
she's in heart failure.
So I'll need her history.
Well, you're in luck.
The aforementioned Dr.
Halstead is in the house.
I'm sure he'd be happy to share
his knowledge of the patient.
- [SIGHS] Perfect.
- Yeah.
Halstead, I could use
your help in three.
Hey, Lois, you remember Dr. Halstead?
There's my doctor.
Lois, what happened?
You were doing so good a few months ago.
Don't... know.
Lois, can you lay back for me?
There you go.
How's your son? Terence, right?
Did he finish law school?
- You remember.
- Sure.
Yeah, I'm seeing severe
mitral valve regurgitation.
Yeah, Ventricular pressure's really low.
Yeah. Let's give Lois morphine mg IV.
That'll help dilate your blood vessels,
make it easier for your heart to pump.
And of Lasix IV, please.
It'll get rid of some of the fluid.
We'll check back, see how you're doing.
This makes no sense.
Lois only had mild regurgitation
six months ago,
and she was doing better
on the trial meds.
Oh, man, I think we're looking
at hypertrophic cardiomyopathy.
Well, can't really tell
from the echo windows.
But morphine should work.
Well, I hope you were
able to assist Dr. Marcel.
I remember the patient.
Yeah. Got to tell you, it wasn't
my idea to bring you back.
Thanks, Dean.
And, hey, congratulations
on being made Chief.
I mean, it's what you wanted
all along, wasn't it?
Dr. Archer.
Thank you.
Looking forward to
your next train wreck.
- Ow!
- Hey, Ms. Brooks.
- I'm Dr. Archer.
- Hey.
I'm Emma. Gemma's sister.
Gemma and Emma.
Dr. Taylor, why isn't Gemma gowned?
She refused unless her
sister was also gowned.
We always dress alike.
- Uh-huh. May I?
- Mm-hmm.
- Ow! Ow! Ow!
- Okay.
So I understand that you're suffering
from abdominal pain and bloating?
- Really bad.
- Okay. Well, I can help with that.
- Start an IV hydromorphone . mg.
- Got it.
Can you put a needle in my arm, too?
I'm sorry, you said what?
Oh, we'd like a needle in my arm, too.
I'm sorry, no, I can't do that.
Both sisters were born
with only one ovary.
And Gemma has a history
of ovarian cysts.
Which is not necessarily problematic.
I do need to check your
belly with ultrasound.
- Here you are.
- Thank you.
Okay, I'm going to raise your blouse.
If you could lower your jeans for me.
It's going to be a little cold.
Okay, here we go.
[WHIMPERING]
Okay. Yeah. I see free fluid,
which indicates an ovarian
cyst has likely burst.
I'm going to do more imaging to confirm.
And I'm going to track your hemoglobin.
Now, if your blood count drops,
you will need surgery,
and we may have to remove your ovary.
Then you'll have to take mine out, too.
I'm sorry?
- We're identical.
- In every way.
Well, we just want to make sure we know
what we're dealing with here.
Dr. Taylor, what would you recommend?
A CBC, BMP,
transvaginal ultrasound,
and a pregnancy test.
- Okay. Good. Good.
- She's not pregnant.
Well, just standard fare.
We'll get back to you.
[UNEASY MUSIC]
- Page Dr. Charles.
- Got it.
We're the last people
who need a psychiatrist.
- We're very happy.
- I'm really glad to hear that.
I'm feeling much better.
It's probably the hydromorphone,
the pain medication we gave you.
Look, the tests have showed
that a cyst has ruptured,
and there's bleeding.
Well, Gemma, you need an operation,
and if we can't save your ovary,
we do have to remove it.
Just as long as they take mine, too.
- Why is that?
- So we have the same scar.
But not just that.
We always planned to get
pregnant at the same time.
And If she can't, I can't either.
Oh, okay. All right.
So have you guys always
dressed exactly alike?
- No.
- No.
When we were kids, our
mother wouldn't let us.
We hated that.
As soon as we could, we moved out.
Remember the first time we
bought matching dresses?
It was heaven.
Now we do everything together.
Hmm? Everything?
Eat, sleep, take showers.
- Go to the bathroom.
- Wow.
COVID was actually really good for us.
How's that?
Lockdown, we were with
one another and no one else
for a year and a half.
Brought us even closer.
Kind of hard to... to tell
where one of you begins,
and the other one ends.
Exactly.
- We're one person.
- We're one person.
So look, it's not unusual
for monozygotic twins
to have a very strong bond.
- So that's normal?
- No.
Not at all. Not to this extent.
We're looking at an extreme
lack of individuation here.
What does that mean?
Well, normally, when children
develop, even identical twins,
they start to form a sense of self,
you know, an individual identity.
Somehow, with these two, that
just... it just never happened.
All right. All right.
Okay, so they're... well,
what's the word I'm supposed to use?
Delusional? And now
he's going to tell us
that they have decisional capacity
and that we can't force treatment.
- That's correct.
- Yeah. See?
I've been over it with
them a couple of times,
and they fully understand
the potential consequences.
So what do we do?
Well, we certainly can't
operate on the healthy twin.
Are you seriously thinking
that I was considering that?
You know, with your history,
I mean, I guess you just never know.
Is there any chance that this
will resolve without surgery?
Yeah, a small one.
I mean, we can keep an
eye on her hemoglobin,
but if it drops lower or
she becomes unstable,
then we have to take her to the OR.
With their consent.
Okay.
Hey, Will, I wanted to tell you,
I know your brother, Jay.
Really? How's that?
Used to be in the same line of work.
No kidding?
Dr. Scott, we need a peds
consult over in Baghdad.
Ten-year-old girl. Extremely lethargic.
- Catch you later.
- Yeah.
It's not a diabetic issue.
Blood glucose is normal.
- Heat exhaustion?
- No.
We hung fluids. She hasn't responded.
Hey, Jasmine. Can you hear me?
She's never like this.
Jasmine? Hey.
I wanna go home.
That's better.
Now, can you squeeze my fingers?
Good. Other side.
Honey, do what the doctor says.
Jasmine, come one.
There you go. Thank you.
Motor and speech intact.
Does Jasmine have any
pre-existing conditions
that we should know about?
Well, when she was born,
they told me that she had sickle cell.
But it doesn't seem to bother her
other than getting some
pain once in a while.
Head CT?
Yeah, but I doubt it'll tell us anything
we don't already know. Maggie?
Right here.
You need to send Jasmine
in for a head CT.
All right. I'll let Radiology know.
Ooh! Ooh!
- Are you all right?
- Yeah.
Fine. Just a little stiff.
We also need to set up for
an exchange transfusion.
- Okay.
- A transfusion?
- Blood?
- Yeah.
We believe your daughter's condition
is because of her sickle cell.
Blood with normal cells
will help her feel better.
I'll make sure they red cell phenotype.
Aleesha, you'll give us the best match.
We'll talk with you after Jasmine
has had her scan, okay?
All right.
So do you think a guy who orders
the same thing every day
is dependable or boring?
Depends on the man.
Hey, Matt.
Will.
Hey, I thought they gave you the boot.
Turns out they can't live without me.
If this guy's done bothering you,
I'll take a chicken Caesar.
Thanks, Skyler.
- It's been a while, huh?
- How's Moira?
Good. And married.
Wow, I blew that one.
I'm sure you're doing fine.
I'm married now.
Trying to be a good boy.
You're not busy. We should get a drink.
Catch up.
Yeah, sure.
Chicken Caesar.
- Hey, good to see you, man.
- Yeah. Take care.
Dr. Archer, Dr. Taylor.
- Ow... ow!
- [ALARM BLARING]
Help her!
Another milligram of hydromorphone.
She's tachycardic and
hypotensive. Temp's .
All right. Only one unit of blood.
- And a unit of FFP.
- Got it.
All right, Gemma, you are bleeding.
We need to get you up
to surgery right now.
- Take us both.
- I cannot do that.
Then no surgery.
All right, listen to me, okay?
You could bleed to death.
You understand? You could die.
You have to save her.
Take me to surgery.
[ALARM BLARING, WHISTLE BLOWING]
Anything? Hmm? Any ideas?
Okay, let's get you on your back.
Let's get you on your
back. One, two, three.
Her pain's lessened. Fever's down.
The antibiotics are working,
but for how long?
Yeah. Okay, thanks.
We don't have anything more to say.
If you really want to save Gemma,
you have to operate on me first.
You know, I've been thinking
about our first conversation.
And you mentioned that you...
you both wanted to get
pregnant at the same time.
And I-I absolutely appreciate
how much joy that that would bring you.
We'll be okay.
I'm sure you will.
But you also said that sometimes
you like to think of yourself
- as one person.
- We are one person.
Okay. Well, genetically, anyway,
you absolutely are, right?
You were born from a single egg.
You share the same genes.
Yeah, we know that. So?
So if one of you were to
have a baby, say, Emma,
with her one ovary,
were to get pregnant,
well, it might as well
be Gemma's child too.
- That's true.
- So, in a sense,
you would be bringing a child
into the world together, right?
And I just still think
that that would be
a tremendously satisfying, joyful
experience for the both of you,
I mean, wouldn't it?
That sounds kind of nice, Emmie.
We'll think about it.
Okay.
Your daughter's scans confirm
what we had suspected.
Jasmine suffered a stroke.
What? Stroke?
She's a little girl.
The abnormal shape of
the red blood cells
can cause the blood to become thicker,
which can cause clotting
and lead to stroke.
When Jasmine was diagnosed,
didn't your doctor tell you about that?
No.
Yeah. Kids with sickle cell
should have a type of scan,
a Transcranial Doppler, once a year,
to see if they're prone to stroke.
I'm guessing nobody told
you about that either.
No.
And they should be on a
medicine called Hydroxyurea.
What is that?
It helps the red blood cells
maintain a normal shape.
Are you saying this
shouldn't have happened?
Jasmine, she shouldn't
be sick like this?
I'm sorry, Ms. Russell.
Oh, my God.
- I let this happen.
- No.
- My baby.
- No, this... this was not your fault.
I'm her mother.
I'm her mother.
I'm supposed to protect her.
This is your doctors' fault.
They should've told you.
It doesn't appear that Jasmine's
stroke was very severe.
She'll recover,
and we can make sure that
this never happens again.
She's getting a transfusion,
and she should get better right away.
I just wanna be with her.
Why didn't anyone tell her?
Where were you working before here?
Grosse Pointe. Beaumont Hospital.
Ah. Well, this happens a lot
to kids who have sickle cell.
Less than % get screened.
On the other hand,
kids with cystic fibrosis.
Well, they get a case manager,
regular check-ups.
'Cause most CF patients are white.
Mm-hmm.
Yeah, I get it.
So the twins have agreed
to Gemma's surgery?
Yeah, that's what I hear.
Good news, right?
Yeah. Sounds like you
played into their fantasy.
Yeah, maybe a bit.
But can't really address
their psychiatric issues
if one of them is dead.
[SMALL LAUGH] Whatever you say.
Cesar, what have we got?
-year-old female.
Hour prior to arrival, she had
an ataxic gait, garbled speech.
Lost consciousness in the
ambo, and we intubated.
No corneal reflexes. No gag.
Nancy, Dr. Taylor, with me.
- Help her, please.
- Sir... sir,
we're going to take care of her. Angel.
How are things with you and Dr. Taylor?
Ugh!
She keeps her distance.
And I try to keep mine.
Well, it's not so easy.
Not easy for most mothers,
but you'll keep trying.
Right.
- Ooh, Dr. Halstead.
- Yeah.
So?
Yeah, I said we should go
out for drinks, catch up.
Good.
Matt didn't seem that enthusiastic.
- I don't know if it'll happen.
- Well, you'll make it happen.
Dr. Halstead.
Excuse me.
BP's even lower.
Yeah. I was afraid the
morphine wouldn't work.
I need to take her to surgery.
And do what exactly?
Replace the valve. Unhook her. Let's go.
Well, the primary
problem isn't the valve.
It's the outflow track. It's obstructed.
She needs a completely
different procedure
from what you're suggesting.
What I see is severe mitral
valve regurgitation
and an enlarged heart. Let's go.
Okay, guys, come on.
Crockett, you asked me to consult
- because you know I know this patient.
- I understand.
But I don't have precise measurements,
and we don't have a cardiac cath.
So, do a cardiac cath.
You'll see I'm right.
I don't have time to screw around, Will.
With her condition this bad,
I need to operate now.
Yeah, and the bigger the procedure
the bigger the fee, right?
But, hey, Medicare's paying for it.
Keep going. What was that?
You think that's what I'm about?
Padding my bill?
No. No, I don't. Forget it, man.
That's my patient.
I'm taking her to surgery.
We all set with the valve sizers?
Yeah. We've got both mechanical
- and biosynthetic valves.
- Good.
Hey, Will.
My scrub nurse told me you were up here.
Yeah. Patient from the clinical trial.
Oh, so already a history
of heart failure?
- Mm-hmm.
- Hmm.
Not using a Vas-COM to
monitor cardiac output.
I guess not.
Vas-COM's really a lot more accurate.
Oh, yeah?
I don't want to step on any toes here,
but, um, you might want to suggest it.
Yeah, sure.
- Crockett.
- Yeah.
Dr. Cooper thinks you
should use a Vas-COM.
Oh?
Hey, Matt.
Well, I've got this handled, bud.
Old set-up's just fine, all right?
Yeah. Sorry, your patient.
Didn't mean to intrude.
Yeah. Okay, then.
Vas-COM really should
be standard of care.
Well, he'll come around.
Okay, let's replace the valve.
- Hold on.
- What?
This doesn't look valvular.
TEE indicates a sub-aortic
outflow obstruction.
Can you calculate a gradient for me?
Gradient is MM of mercury.
Consistent with hypertrophic
cardiomyopathy.
Yeah.
All right, folks, change of plans.
We are not gonna replace the valve.
We're gonna move to a myectomy.
[DRAMATIC MUSIC]
♪
How's Ms. Jasmine doing?
She's sleeping.
Good.
Why don't you step out?
Hmm?
There's some coffee over
at the Nurses' Station.
Could use some.
Oh... ooh!
- Oh, God.
- Let me help you. Okay.
- Here, I got you.
- No. Please, I'm okay.
No, let's just get you
where you can lie down.
I'm going to get you two ready, okay?
- All right.
- Come on.
Just take it easy.
Come right here.
- Okay.
- Nice and slow.
All right.
[GROANS] I...
I don't need anything.
Your knees are giving
you a lot of trouble.
Aleesha, let the doctors
take a look, okay?
Did you injure yourself?
No.
Burning sensation?
- Let's get an x-ray.
- Okay.
Clear.
Your knees are severely arthritic.
How long have they been like this?
I don't know. Few months.
Have you seen a doctor?
Told me to take some aspirin.
We're going to give you something
a little more effective.
Toradol, mg, IM.
Your hips seem to be giving
you a lot of pain as well.
Aleesha?
Yeah.
There you go.
I have to ask...
are you living in your car?
No.
Why'd you ask me that?
You're very young to have
such advanced arthritis.
And you're not overweight. I'm sorry.
I don't mean to embarrass you,
but I've seen arthritis
like this in people
who sleep sitting up in
the confines of a car.
I'm only asking so that we can help you.
Aleesha?
It's okay. It's okay.
We're going to get you some
meds to manage the pain,
maybe a brace.
Get you in a physical therapy program.
The important thing is exercise.
Gotta get you moving.
It's going to be okay.
[SOMBER MUSIC]
♪
Okay.
That was an impressive call.
But how'd you guess they
were sleeping in their car?
Oh, you mean, the Grosse Pointe thing?
Actually, I was surprised
you didn't catch it.
I mean, don't cops have a lot of
experience with homeless folks?
Oh, you mean like, "Move
along, you can't sleep here"?
- Yeah, just like that.
- Yeah.
Yeah.
I need a doctor.
You better go in.
You need to call it.
Time of death, .
I am so sorry.
The stroke was too massive.
There was nothing that we could do.
I know that was hard.
I'm sorry.
Dr. Halstead.
Ms. Goodwin, I can't do this.
I am not the guy for what you need.
I'm uncomfortable.
I don't like being suspicious
of people, lying.
So if my staying here is dependent
on doing this for you,
I'd just as soon work somewhere else.
Hold on. I was expecting
this conversation.
I've got something I want you to see.
- What's this?
- A recent case.
Young man, years old.
After insertion of a Vas-COM catheter,
he developed infection, gangrene.
Spent two weeks in the
ICU, and lost his leg.
If the Vas-COM was indeed
an unnecessary procedure,
then this was a tragedy that
never should've happened.
Okay.
So it's not a big procedure.
Probably won't take more
than an hour. You ready?
Okay, Camila?
Gemma, I'm going to
put you to sleep now.
Can you count back from ten?
Ten, nine...
How are you doing?
Emma, I know what a difficult
decision this was for you
and your sister. I do.
We always wanted to have babies.
You can.
And, trust me,
I know that you would come to
think of them as both of yours.
What?
I'm sorry.
For what?
You're sorry for what, Emma?
I didn't want her to do it.
- She wouldn't listen.
- Do what?
No. No.
- Stop the surgery!
- What the hell, Dan?
They switched places. That's not Gemma.
It's not her.
While your dad's getting the car,
we got a minute to talk.
Oh, man.
Your little knucklehead friends?
You're done with them. I mean it.
You see that cop over there?
He works the West Side.
He sees you over there,
he's going to tell me,
and I'm going to tell your dad.
Ah, there he is now.
Thanks, Doc.
Yeah. He's a fine young man.
Keep an eye on him. I don't
want to see him here again
You can count on that.
I still don't see how
he got bit by a snake.
Yeah, we have to ask him that.
Seems like we need to have a
discussion when we get back home.
Hey, stay safe, all right?
People care about you.
Well, they have matching scars now.
Maybe that'll be enough to satisfy them.
You know, I've been doing
this almost years.
Mm.
- Never have I ever...
- [LAUGHING]
I mean, not even close.
Yeah, they really did
hoodwink us, didn't they?
But at least you caught it
before I took her ovary out.
I'd say that's a win.
What? You're wondering
if I'm being genuine, huh?
See, that's the curse of being a shrink.
Hmm.
Hey, so you were right.
You did know your patient.
You know, Natalie's mom is doing well.
In large part thanks to you.
That's nice to hear.
You miss her?
Yeah.
Yeah, me too.
I'll see you tomorrow.
Yeah. See you tomorrow.
You're admitting this
patient with sickle cell?
Yeah. Just waiting on a bed upstairs.
Good work today.
They'll bring in a cot for Aleesha.
Kid has to have a stroke
for her mom to get a bed.
Med's running a gene therapy
trial for sickle cell.
Possible cure.
If I can enroll Jasmine,
Aleesha will have a bed
for more than just a night.
Mom? It's me, Mom.
Hi.
Can I come inside?
Step over that.
It's taken me a while to find you.
What happened to the van?
Broke down.
You been taking your meds?
I thought you moved.
I'm back now.
Here, let me have a listen.
I ran out.
I'll get you more pills.
Deep breath.
You sound a little congested.
Yeah. Well, just so you
know, I got vaccinated.
I'm not stupid.
Okay.
But Mom, please, we've got
to get you off the streets.
- I can take care of myself.
- No.
You're not doing that.
No. I'm not going to
let you live like this.
Hear me?
[MELANCHOLY MUSIC]
♪