1 00:00:01,123 --> 00:00:01,256 . 2 00:00:08,863 --> 00:00:09,231 - Uh... - Ha. 3 00:00:11,300 --> 00:00:14,503 - That wasn't the warm reception I was expecting. 4 00:00:14,536 --> 00:00:16,738 - Sorry. Just thinking about the day ahead. 5 00:00:16,771 --> 00:00:18,573 - Speaking of... 6 00:00:18,607 --> 00:00:21,009 dinner before the recruiting event tonight? 7 00:00:21,042 --> 00:00:22,644 - Oh, yeah. 8 00:00:22,677 --> 00:00:23,945 Inspiring the hearts and minds 9 00:00:23,978 --> 00:00:26,181 of the next generation of Navy sailors. 10 00:00:26,215 --> 00:00:27,282 - [laughs] 11 00:00:27,316 --> 00:00:29,451 Don't sound so excited. 12 00:00:29,484 --> 00:00:31,353 - Wish I could stay, but duty calls. 13 00:00:31,386 --> 00:00:34,923 - Hey, you okay? 14 00:00:34,956 --> 00:00:37,192 You were tossing and turning like crazy last night. 15 00:00:37,226 --> 00:00:40,529 - Yeah, all good, and yes to dinner. 16 00:00:48,036 --> 00:00:50,105 - You're not hearing me, Dr. Halstead. 17 00:00:50,139 --> 00:00:51,673 With the hospital being sued-- 18 00:00:51,706 --> 00:00:55,744 - I'm under a microscope. I get it. 19 00:00:55,777 --> 00:00:57,179 Doesn't make it fair. 20 00:00:57,212 --> 00:00:58,947 - You ignored your patient's wishes 21 00:00:58,980 --> 00:01:01,383 and put the hospital in jeopardy. 22 00:01:01,416 --> 00:01:03,017 It's absolutely fair, 23 00:01:03,051 --> 00:01:05,053 and now you have to deal with the consequences. 24 00:01:05,154 --> 00:01:08,890 You're in for interrogatories, depositions, mediation, 25 00:01:08,923 --> 00:01:10,992 and then possibly a civil trial, 26 00:01:11,025 --> 00:01:13,662 and that doesn't even include what you may have to 27 00:01:13,695 --> 00:01:16,365 go through with the state medical board. 28 00:01:16,398 --> 00:01:17,899 - Yeah. Okay. 29 00:01:17,932 --> 00:01:19,568 - Every move you make will be scrutinized 30 00:01:19,601 --> 00:01:21,803 by Jennifer Baker's attorneys. 31 00:01:21,836 --> 00:01:24,173 Stick to the script. 32 00:01:24,173 --> 00:01:26,641 Don't give them any more ammo. 33 00:01:26,675 --> 00:01:29,077 Until the lawsuit is settled, 34 00:01:29,178 --> 00:01:31,580 you are the perfect doctor. 35 00:01:31,613 --> 00:01:33,182 Are we clear? 36 00:01:35,984 --> 00:01:40,189 Because your future at this hospital... 37 00:01:40,189 --> 00:01:42,324 depends on it. 38 00:01:53,568 --> 00:01:55,937 - Five, six, seven, eight... 39 00:01:55,970 --> 00:01:57,872 Uh-uh, girlfriend. Go to Treatment 4, please. 40 00:01:57,906 --> 00:01:59,508 - You got it. - Thank you. 41 00:01:59,541 --> 00:02:01,243 - Right this way. 42 00:02:02,744 --> 00:02:04,846 - All right. 43 00:02:04,879 --> 00:02:07,316 Reese, why so glum? 44 00:02:07,349 --> 00:02:09,251 - Residency Match picks. - Ah. 45 00:02:09,284 --> 00:02:10,785 - They have to be in by end of day 46 00:02:10,819 --> 00:02:11,986 and I have no clue what to do. 47 00:02:12,020 --> 00:02:13,322 I'm literally choosing 48 00:02:13,355 --> 00:02:14,956 where I'll spend the next four years of my life. 49 00:02:14,989 --> 00:02:17,692 - And probably the rest of your life after that. 50 00:02:17,726 --> 00:02:18,860 - Be nice. 51 00:02:18,893 --> 00:02:21,796 [phone beeps] Dr. Choi, incoming! 52 00:02:21,830 --> 00:02:24,633 - Where are we going, Maggie? - Trauma 2. 53 00:02:24,666 --> 00:02:26,735 - Dad? - Bret Cooper, 17-year-old male, 54 00:02:26,768 --> 00:02:29,604 down on the ice after a hip check--GCS 10, improved to a 12. 55 00:02:29,638 --> 00:02:31,506 - Must have got his bell rung. 56 00:02:31,540 --> 00:02:33,141 - I'm his father. I was there. 57 00:02:33,242 --> 00:02:34,809 He didn't get his bell rung. He barely got hit. 58 00:02:34,843 --> 00:02:36,245 - Bret, I'm Dr. Choi. Can you hear me? 59 00:02:36,278 --> 00:02:38,079 Can you breathe? - Get me off of here! 60 00:02:38,112 --> 00:02:40,649 - All right, let's transfer him. Reese, on your count. 61 00:02:40,682 --> 00:02:43,252 - Okay, nice and easy. One, two, three. 62 00:02:43,285 --> 00:02:45,053 - [groans] Uhh! 63 00:02:45,086 --> 00:02:46,120 - Transfer the oxygen, leave him on the cannula, 64 00:02:46,154 --> 00:02:47,389 and let's get him up on the monitors. 65 00:02:47,422 --> 00:02:49,258 - On it. - Check his sat levels. 66 00:02:49,291 --> 00:02:50,459 - [whimpering] 67 00:02:50,492 --> 00:02:52,060 - Okay. Pupils equal bilaterally and reactive. 68 00:02:52,093 --> 00:02:55,330 - He stayed on his skates the whole time. 69 00:02:55,364 --> 00:02:57,432 - Bret, I need you to focus on me--is there any pain? 70 00:02:57,466 --> 00:03:00,402 - Ah--there! Right where you're touching. 71 00:03:00,435 --> 00:03:01,736 - Your show, Reese. 72 00:03:01,770 --> 00:03:03,572 - He needs a CT head and spine, 73 00:03:03,605 --> 00:03:05,139 and I would get him a chest X-ray. 74 00:03:05,173 --> 00:03:07,041 - Come on, really? - We got this. 75 00:03:07,075 --> 00:03:09,278 - Oh, my God--is it a concussion--What happened, Jack? 76 00:03:09,278 --> 00:03:11,980 - He was battling for a puck along the boards--it's nothing. 77 00:03:12,013 --> 00:03:13,982 - Here we are in the emergency room, Jack. 78 00:03:14,015 --> 00:03:15,884 - Mr. and Mrs. Cooper, I'm gonna need you to step outside. 79 00:03:15,917 --> 00:03:18,019 - Bret had a bad concussion last month. 80 00:03:18,052 --> 00:03:20,922 - Honey, it's not a concussion. 81 00:03:20,955 --> 00:03:22,724 Look, Doc, he's got a scholarship 82 00:03:22,757 --> 00:03:24,359 on the table for Boston College, okay? 83 00:03:24,393 --> 00:03:26,194 Another concussion, they might rescind the offer. 84 00:03:26,295 --> 00:03:28,196 - My eyes--everything's blurry! 85 00:03:28,297 --> 00:03:29,764 - Bret, you have to stay still. 86 00:03:29,798 --> 00:03:32,133 Please, Bret, you have to hold still--hold still, buddy. 87 00:03:32,166 --> 00:03:33,768 - Dad! - Son, you okay? 88 00:03:33,802 --> 00:03:36,505 - Dad! Dad, I can't see! 89 00:03:36,538 --> 00:03:38,307 - Stay still, Bret. - I can't see! 90 00:03:48,350 --> 00:03:48,450 . 91 00:04:06,801 --> 00:04:07,336 - Wake up, Sleeping Beauty. 92 00:04:08,503 --> 00:04:10,405 The cat nap's over. - Oh, yeah. 93 00:04:10,439 --> 00:04:11,573 - They're on their way in. 94 00:04:11,606 --> 00:04:14,643 - How long was I down? - About 20 minutes. 95 00:04:14,676 --> 00:04:16,945 - Oh, it felt like 20 seconds. 96 00:04:16,978 --> 00:04:19,180 - You know you're only supposed to work 12-hour shifts, right? 97 00:04:19,213 --> 00:04:20,515 It's the law. - I know. 98 00:04:20,549 --> 00:04:22,851 But Dr. Downey makes his own rules. 99 00:04:25,253 --> 00:04:27,856 - All right-- - Half a minute more. 100 00:04:27,889 --> 00:04:29,924 [whimpering] Come on. 101 00:04:29,958 --> 00:04:31,693 - Down. 102 00:04:33,695 --> 00:04:35,364 Ticktock. 103 00:04:41,436 --> 00:04:42,837 - Doc, hey. How is he? 104 00:04:42,871 --> 00:04:45,273 - What happened to his eyesight? - His vision's fine. 105 00:04:45,374 --> 00:04:47,709 It was a transient impairment, probably caused by anxiety. 106 00:04:47,742 --> 00:04:50,512 - What about his head? Is it another concussion? 107 00:04:50,545 --> 00:04:52,013 - Can't say for sure yet. 108 00:04:52,046 --> 00:04:54,483 We're doing a CT of his head and cervical spine 109 00:04:54,516 --> 00:04:55,984 to make sure there's no bleeding. 110 00:04:56,017 --> 00:04:57,251 That might require surgery. 111 00:04:57,285 --> 00:04:58,620 - Surgery? Oh, God. 112 00:04:58,653 --> 00:05:00,221 - I'm not saying he needs surgery. 113 00:05:00,389 --> 00:05:01,956 We just need to rule everything out. 114 00:05:01,990 --> 00:05:03,392 - Relax, hon, okay? 115 00:05:03,392 --> 00:05:05,727 Let's not get worked up before the tests come back. 116 00:05:05,760 --> 00:05:09,731 It's--it--it's... 117 00:05:09,764 --> 00:05:12,834 it's like... it's like I... 118 00:05:12,867 --> 00:05:17,005 It's like I said before. It--it l-looks worse than it is. 119 00:05:17,038 --> 00:05:20,475 Look, Doc, I played 18 seasons. I took a hit or two. 120 00:05:20,509 --> 00:05:23,044 99% of the time, it was nothing. 121 00:05:23,077 --> 00:05:25,480 I sat out a shift, got right back in. 122 00:05:25,514 --> 00:05:26,981 - Trust me, I get it. 123 00:05:27,015 --> 00:05:29,283 Listen, as soon as we get the tests back, 124 00:05:29,317 --> 00:05:31,786 we'll figure out our next step. 125 00:05:31,820 --> 00:05:33,154 - Okay. 126 00:05:33,187 --> 00:05:34,756 - Thanks. - Sure. 127 00:05:34,789 --> 00:05:35,824 Ma'am. 128 00:05:38,460 --> 00:05:40,228 - It's gonna be fine. 129 00:05:43,798 --> 00:05:44,933 - Whoa. 130 00:05:50,772 --> 00:05:53,141 - Tired, Dr. Rhodes? - No, I feel great. 131 00:05:53,174 --> 00:05:55,444 - Sign for the lungs, and let's move. 132 00:05:55,444 --> 00:05:57,278 - All right. 133 00:05:57,311 --> 00:06:00,281 How long was he waiting? - Half a minute. 134 00:06:04,686 --> 00:06:07,088 - Watch out, please. - Yes. Spoke with Dr. Bucchheit 135 00:06:07,121 --> 00:06:09,458 about Loratazone-- think it's gonna work out. 136 00:06:09,491 --> 00:06:12,026 Hey, Greg, let me call you back. 137 00:06:13,895 --> 00:06:16,898 Dr. Halstead--Will. 138 00:06:16,931 --> 00:06:20,234 - Zoe, how are you? Your hair's different. 139 00:06:20,268 --> 00:06:21,736 I like it. - Yeah? 140 00:06:21,770 --> 00:06:23,371 - Yeah. Thank you. 141 00:06:24,573 --> 00:06:26,475 - Had a great time the other night. 142 00:06:26,475 --> 00:06:28,910 You've officially converted me to a rye whiskey girl. 143 00:06:28,943 --> 00:06:32,481 - It cleanses the soul, or at least the memory. 144 00:06:32,481 --> 00:06:33,815 - Things any better? 145 00:06:33,848 --> 00:06:35,349 - Well, they haven't gotten worse. 146 00:06:35,383 --> 00:06:36,918 Guess that's something. 147 00:06:36,951 --> 00:06:40,555 - Good. Cup half full--my kind of guy. 148 00:06:40,589 --> 00:06:43,391 - Round two soon? 149 00:06:43,492 --> 00:06:45,359 - I'm free tonight. 150 00:06:45,393 --> 00:06:46,961 - I'll call you when my shift's over. 151 00:06:46,995 --> 00:06:48,563 - Yeah. Okay. 152 00:06:51,065 --> 00:06:53,334 - Mr. Anderson, I'm Dr. Halstead. 153 00:06:53,367 --> 00:06:54,503 - Oh, please, call me Tim. 154 00:06:54,536 --> 00:06:56,137 - You got it, Tim. 155 00:06:56,170 --> 00:06:58,039 So you're a diabetic? 156 00:06:58,072 --> 00:07:01,175 - Yeah, since after college. Lucky bastard, I know. 157 00:07:01,209 --> 00:07:03,144 - I see you're on the blood-thinner Warfarin. 158 00:07:03,177 --> 00:07:05,113 How's your INR? - Don't know. 159 00:07:05,146 --> 00:07:07,181 I haven't had it checked in a few weeks. 160 00:07:07,215 --> 00:07:09,584 - Mm-hmm. Let's have a listen. 161 00:07:13,054 --> 00:07:14,155 Uh-huh. 162 00:07:15,590 --> 00:07:17,526 Yeah, you've also had a mitral valve replaced. 163 00:07:17,526 --> 00:07:18,993 I can hear the clicking. 164 00:07:19,027 --> 00:07:20,895 - Yeah, two stent operations, an atherectomy, 165 00:07:20,929 --> 00:07:22,564 and a laser angioplasty. 166 00:07:22,597 --> 00:07:25,266 - And somehow still putting us all to shame. 167 00:07:25,299 --> 00:07:27,536 You look like a Bergdorf's catalog. 168 00:07:27,569 --> 00:07:29,838 - Well, look good, feel good, Dr. Manning. 169 00:07:29,871 --> 00:07:31,740 I was wondering if I would see you. 170 00:07:31,773 --> 00:07:34,843 - Dr. Halstead, you mind if I sit in? 171 00:07:34,876 --> 00:07:36,978 - You don't have to ask. 172 00:07:37,011 --> 00:07:38,279 - So what's going on today? 173 00:07:38,312 --> 00:07:39,914 Last time you were in for a foot infection. 174 00:07:39,948 --> 00:07:41,182 Any reoccurrence? - No, 175 00:07:41,215 --> 00:07:42,551 just a little shortness of breath. 176 00:07:42,584 --> 00:07:44,218 I was cleaning out my attic, 177 00:07:44,252 --> 00:07:46,054 started feeling a little light-headed. 178 00:07:46,087 --> 00:07:48,022 Nothing, really, to worry about, 179 00:07:48,056 --> 00:07:49,290 but, still, better safe than sorry. 180 00:07:49,323 --> 00:07:50,859 - Anything else? 181 00:07:50,892 --> 00:07:52,561 - My left leg's been aching a bit. 182 00:07:52,594 --> 00:07:54,929 - Mr. Anderson is in congestive heart failure. 183 00:07:54,963 --> 00:07:56,898 - Oh? - It's mild. 184 00:07:56,931 --> 00:07:59,200 At least, that's what my last doctor told me. 185 00:07:59,233 --> 00:08:02,270 - But you could still stand to lose some of that fluid. 186 00:08:02,303 --> 00:08:05,273 All right, what we're gonna do--chest X-ray, EKG, labs. 187 00:08:05,306 --> 00:08:08,643 Have IR do an angiogram, check the flow of the leg. 188 00:08:08,677 --> 00:08:10,579 - Here I was, thinking I was gonna make it home 189 00:08:10,612 --> 00:08:12,346 for the Bulls game. 190 00:08:14,015 --> 00:08:15,917 - Don't worry, Tim, we'll get you the wi-fi password. 191 00:08:15,950 --> 00:08:17,819 You can watch the game on your phone. 192 00:08:22,657 --> 00:08:24,058 - Hey. - [murmuring] 193 00:08:24,092 --> 00:08:26,595 - A little overboard. His leg wasn't cold. 194 00:08:26,628 --> 00:08:28,229 A vascular ultrasound, maybe, 195 00:08:28,262 --> 00:08:30,331 but an angiogram's a bit much to start. 196 00:08:30,364 --> 00:08:32,166 - He's a decade-long vasculopath. 197 00:08:32,200 --> 00:08:33,434 His blood vessels are shot. 198 00:08:33,467 --> 00:08:35,269 - He's not indicating. 199 00:08:35,303 --> 00:08:37,906 I hardly think he needs another uncomfortable procedure. 200 00:08:37,939 --> 00:08:39,874 - There's no telling what he needs. 201 00:08:39,908 --> 00:08:42,143 Look, I am not dismissing you, Nat, 202 00:08:42,176 --> 00:08:44,012 but I did the intake. 203 00:08:44,045 --> 00:08:46,147 It's my call. 204 00:08:46,180 --> 00:08:48,983 [tense music] 205 00:08:49,017 --> 00:08:51,886 * 206 00:08:51,920 --> 00:08:53,487 - Thanks. 207 00:08:53,521 --> 00:08:55,023 - Hey. 208 00:08:56,625 --> 00:08:59,427 - Hoo, you look like crap. 209 00:08:59,460 --> 00:09:01,262 - [laughs] Thanks. 210 00:09:01,295 --> 00:09:02,831 Downey boot camp. 211 00:09:02,864 --> 00:09:04,666 - Presume you're on the transplant? 212 00:09:04,699 --> 00:09:06,367 - Ex-vivo--have you ever seen one? 213 00:09:06,400 --> 00:09:08,036 The lungs are perfused out-- 214 00:09:08,069 --> 00:09:10,538 - Outside the body, yeah. I know the procedure. 215 00:09:10,639 --> 00:09:15,043 - Yeah, the patient was an NYFD first responder on 9/11. 216 00:09:15,076 --> 00:09:18,246 He developed pulmonary fibrosis from debris exposure. 217 00:09:18,279 --> 00:09:20,481 So no good deed, right? [pager beeping] 218 00:09:20,514 --> 00:09:22,016 - I got to jet. 219 00:09:22,050 --> 00:09:24,653 Your trauma pages are coming to me now. 220 00:09:24,653 --> 00:09:27,255 - Lunch later? - Page me. 221 00:09:29,958 --> 00:09:32,160 - So then I just break up the center 222 00:09:32,193 --> 00:09:33,928 and carry the puck into the zone myself? 223 00:09:33,962 --> 00:09:36,030 - Exactly. You catch the D-man in the neutral zone. 224 00:09:36,064 --> 00:09:37,966 - And I'll be left with a two-on-one. 225 00:09:37,999 --> 00:09:39,868 - Good read. 226 00:09:39,901 --> 00:09:41,202 - Hey, put that away now. 227 00:09:43,537 --> 00:09:46,708 - Good news. CT head and spine were clear. 228 00:09:46,741 --> 00:09:48,542 - No concussion? - No concussion. 229 00:09:48,576 --> 00:09:50,679 - So I'm out of here? 230 00:09:50,679 --> 00:09:52,546 - And off to Chestnut Hill. Go, Eagles. 231 00:09:52,580 --> 00:09:55,016 - Sweet! Thanks, Doc. - Sure. 232 00:09:57,285 --> 00:09:59,721 - Sports aren't really my thing. 233 00:10:01,222 --> 00:10:02,757 - What'd I tell you, hon? 234 00:10:02,791 --> 00:10:04,258 Nothing. The kid's a rock. 235 00:10:04,292 --> 00:10:07,228 Like father, like son. Doc, thanks so much. 236 00:10:07,261 --> 00:10:08,496 - You got it. 237 00:10:11,866 --> 00:10:15,403 - Okay, so let's go tell those bad-news scouts 238 00:10:15,436 --> 00:10:17,605 that the nation's number-one recruit is good to go. 239 00:10:17,638 --> 00:10:20,441 - Dr. Choi, is it possible you missed something? 240 00:10:20,474 --> 00:10:22,076 Bret complains of headaches. - Mom. 241 00:10:22,110 --> 00:10:23,945 - He's had this one for two weeks. 242 00:10:23,978 --> 00:10:25,747 - Joan, enough! 243 00:10:27,381 --> 00:10:31,185 Look, the scan came back clean, honey. 244 00:10:31,219 --> 00:10:35,489 Stop looking for something that isn't there. 245 00:10:35,523 --> 00:10:37,225 - LP? 246 00:10:37,258 --> 00:10:39,761 - Headaches could be a symptom of meningitis. 247 00:10:39,794 --> 00:10:42,030 An infection like that wouldn't show up on the CT. 248 00:10:42,063 --> 00:10:43,597 Could explain why a minor hit 249 00:10:43,631 --> 00:10:45,466 caused such a big reaction earlier. 250 00:10:45,499 --> 00:10:47,836 I think it's best we do a spinal tap. 251 00:10:47,869 --> 00:10:51,105 - Okay, but meningitis, that is treatable, right? 252 00:10:51,139 --> 00:10:53,407 - Hockey can wait for an hour, Jack. 253 00:10:53,441 --> 00:10:55,443 - Okay, Joan. 254 00:10:56,644 --> 00:10:57,979 - So, Bret, 255 00:10:58,012 --> 00:11:00,248 if you could lie on your side 256 00:11:00,281 --> 00:11:02,383 and pull your knees up to your chest, 257 00:11:02,416 --> 00:11:04,218 I'm gonna numb you with a local anesthetic. 258 00:11:04,252 --> 00:11:05,653 Are you okay? 259 00:11:05,754 --> 00:11:07,288 - Feeling a little dizzy. 260 00:11:07,321 --> 00:11:10,491 - Okay. - Bret? Bret! 261 00:11:10,524 --> 00:11:12,426 - Bret! - Bret! 262 00:11:12,460 --> 00:11:13,828 - Bret! - Reese! 263 00:11:17,799 --> 00:11:17,932 . 264 00:11:21,369 --> 00:11:22,003 - Anything hurt? - Not really. 265 00:11:23,772 --> 00:11:25,606 Gonna be stiff tomorrow, though, aren't I? 266 00:11:25,639 --> 00:11:29,077 - Yeah, but pain builds character. 267 00:11:29,110 --> 00:11:30,945 - According to who, exactly? 268 00:11:30,979 --> 00:11:32,380 [both chuckle] 269 00:11:32,413 --> 00:11:34,048 - Bret still needs an LP. You good? 270 00:11:34,082 --> 00:11:36,384 - Uh...fourth period, 271 00:11:36,417 --> 00:11:39,320 bottom of the 9th-- put me back in, Coach. 272 00:11:39,353 --> 00:11:40,789 - Butchered hockey, football, 273 00:11:40,822 --> 00:11:43,324 and baseball in one sentence--impressive. 274 00:11:44,859 --> 00:11:46,294 - Dr. Charles, thanks for coming down. 275 00:11:46,327 --> 00:11:48,696 Quick favor? - Shoot. 276 00:11:48,797 --> 00:11:50,464 - Uh, got a patient, 17-year-old hockey player. 277 00:11:50,498 --> 00:11:52,466 - I heard. Bret "Bear" Cooper. 278 00:11:52,500 --> 00:11:53,902 Dad was a heavy. 279 00:11:53,935 --> 00:11:55,236 Hear the kid's even better. 280 00:11:55,269 --> 00:11:56,838 - Wouldn't have taken you for a jock. 281 00:11:56,871 --> 00:11:59,707 - Oh, come on--sport's the oldest form of group therapy. 282 00:11:59,808 --> 00:12:01,142 We yell. We scream. 283 00:12:01,175 --> 00:12:03,411 Testosterone spikes. 284 00:12:03,444 --> 00:12:05,679 Every now and then, we even get to believe in a miracle. 285 00:12:05,713 --> 00:12:07,415 Your patient... 286 00:12:07,448 --> 00:12:09,818 - It's actually his father Jack that I needed the consult on. 287 00:12:09,818 --> 00:12:12,186 He's exhibiting memory loss, hand tremors, agitation-- 288 00:12:12,220 --> 00:12:14,222 could be Chronic Traumatic Encephalopathy, 289 00:12:14,255 --> 00:12:16,958 but I'd like to rule out anxiety and depression first. 290 00:12:16,991 --> 00:12:18,192 - CTE sounds right. 291 00:12:18,226 --> 00:12:19,427 Get hit in the head that many times, 292 00:12:19,460 --> 00:12:20,929 it's bound to catch up with you. 293 00:12:20,962 --> 00:12:23,364 - Yeah. - Past always does. 294 00:12:26,200 --> 00:12:27,568 - Listen, sorry about the other day. 295 00:12:27,601 --> 00:12:29,570 We got slammed. - I get it. 296 00:12:29,603 --> 00:12:31,305 E.D. never sleeps. 297 00:12:31,339 --> 00:12:33,842 But if you keep skipping our sessions, buddy, 298 00:12:33,842 --> 00:12:36,344 I'm afraid you won't either. 299 00:12:42,250 --> 00:12:45,186 - So finally, as we reintroduce blood into your lungs, 300 00:12:45,219 --> 00:12:47,221 we will manually compress the pulmonary artery 301 00:12:47,255 --> 00:12:50,358 to avoid initial volume overload. 302 00:12:50,391 --> 00:12:52,760 - Hey, can I see those lungs again, please, Doc? 303 00:12:52,861 --> 00:12:54,495 - Yeah, of course. 304 00:12:57,866 --> 00:12:59,633 - Science fiction meets reality. 305 00:12:59,667 --> 00:13:01,702 [both chuckle] 306 00:13:01,735 --> 00:13:04,038 I just hope they work as well once they're in me. 307 00:13:04,072 --> 00:13:05,974 - Believe me, you couldn't be in better hands 308 00:13:06,007 --> 00:13:07,876 than Dr. Downey's. 309 00:13:07,876 --> 00:13:10,244 - We'll see you in the O.R., Mr. Mosconi. 310 00:13:13,647 --> 00:13:15,349 - Your lungs got a Chicago Fire escort 311 00:13:15,383 --> 00:13:17,051 like I have never seen. 312 00:13:17,085 --> 00:13:18,987 - Brothers in arms. 313 00:13:22,891 --> 00:13:25,126 This is really happening. 314 00:13:25,159 --> 00:13:28,362 - It is. We'll see you on the other side. 315 00:13:28,396 --> 00:13:29,763 - Yeah. 316 00:13:33,367 --> 00:13:35,369 - Quite the presentation, Dr. Rhodes. 317 00:13:35,403 --> 00:13:36,905 - I wanted to be thorough. 318 00:13:36,938 --> 00:13:38,772 - Great. 319 00:13:38,806 --> 00:13:41,575 Next time, in English. 320 00:13:41,609 --> 00:13:43,744 Patient's already overwhelmed. 321 00:13:45,513 --> 00:13:46,915 - Okay. 322 00:13:48,482 --> 00:13:50,418 - Start of the second, Bulls are looking strong... 323 00:13:50,451 --> 00:13:53,387 - What's the score? - Bulls are up by 4. 324 00:13:53,421 --> 00:13:54,688 - Nice. 325 00:13:56,557 --> 00:13:59,127 - Dr. Manning, Tim's blood work came back. 326 00:13:59,160 --> 00:14:00,594 INR's high. 327 00:14:00,628 --> 00:14:02,763 - Same thing happened the last time he came in. 328 00:14:02,796 --> 00:14:04,398 All right, let's ease him off the blood thinners 329 00:14:04,432 --> 00:14:06,334 and give him 10mg of Vitamin K 330 00:14:06,367 --> 00:14:08,036 to level off his clotting factors. 331 00:14:08,069 --> 00:14:09,537 - Put in the order. - Thanks. 332 00:14:09,570 --> 00:14:12,473 Oh, those tests that Dr. Halstead ordered? 333 00:14:12,506 --> 00:14:13,942 - All negative. 334 00:14:13,975 --> 00:14:16,477 - Put Tim through all that stress for nothing. 335 00:14:24,953 --> 00:14:29,457 - They won't listen. They're doing a lumbar puncture. 336 00:14:29,490 --> 00:14:33,827 That is exactly what I was trying to tell them. 337 00:14:33,861 --> 00:14:36,464 Okay, yeah. I'll keep you posted, Doc. 338 00:14:36,497 --> 00:14:37,798 Thanks. 339 00:14:37,831 --> 00:14:39,400 - Mr. Cooper? 340 00:14:39,433 --> 00:14:42,736 Dan Charles. Boy, what a pleasure. 341 00:14:42,770 --> 00:14:44,805 - That's quite a grip. 342 00:14:44,838 --> 00:14:47,308 Good for stick handling. You ever played hockey? 343 00:14:47,341 --> 00:14:49,978 - Oh, a million years ago. Only Junior League goalie, 344 00:14:49,978 --> 00:14:52,780 but had one shut-out. Best day of my life. 345 00:14:52,813 --> 00:14:55,016 - Ha. I loved the Junior Leagues. 346 00:14:55,049 --> 00:14:57,986 played the game for no other reason than it was fun. 347 00:14:57,986 --> 00:15:00,354 Don't read too much into that. 348 00:15:00,388 --> 00:15:02,656 You are a shrink, right? 349 00:15:02,690 --> 00:15:04,458 - Oh, boy, what gave me away? 350 00:15:04,492 --> 00:15:06,760 - Well, the team always had a couple on the payroll. 351 00:15:06,794 --> 00:15:08,796 Soft spoken, loved eye contact, 352 00:15:08,829 --> 00:15:10,831 and not to mention the sweater vest 353 00:15:10,864 --> 00:15:12,700 and the Rockports didn't help. 354 00:15:12,733 --> 00:15:15,003 - [laughs] Oh, geez. Well, then you know 355 00:15:15,003 --> 00:15:17,105 exactly what my next question's gonna be. 356 00:15:17,138 --> 00:15:19,007 - How am I feeling? 357 00:15:19,007 --> 00:15:21,009 Conflicted. 358 00:15:21,042 --> 00:15:22,876 I mean, my son is in the E.D., 359 00:15:22,910 --> 00:15:24,645 so as a dad, I'm concerned. 360 00:15:24,678 --> 00:15:26,314 But as a former player, 361 00:15:26,347 --> 00:15:29,550 knowing that leaving it out on the ice is what got us here, 362 00:15:29,583 --> 00:15:31,352 couldn't be more proud. 363 00:15:31,385 --> 00:15:34,188 - Sacrifice in the name of sport-- 364 00:15:34,222 --> 00:15:36,457 wouldn't know anything about that. 365 00:15:36,490 --> 00:15:38,459 I never played hockey. - You know, that's a shame. 366 00:15:38,492 --> 00:15:40,228 I mean, you got great width, you know? 367 00:15:40,261 --> 00:15:42,296 You never thought about playing goalie? 368 00:15:42,330 --> 00:15:45,433 - Mm--more of a bookworm than a bruiser. 369 00:15:45,466 --> 00:15:47,101 - [chuckles] Yeah, I got you. 370 00:15:47,135 --> 00:15:48,936 - The spinal tap's done. 371 00:15:49,037 --> 00:15:51,039 We'll get it off to the lab and go from there. 372 00:15:51,072 --> 00:15:52,373 - Great. 373 00:15:52,406 --> 00:15:53,741 Well, nice to meet you, Doc. 374 00:15:53,774 --> 00:15:55,076 - Real pleasure. 375 00:15:56,444 --> 00:15:58,512 - Short-term memory loss-- - As of now, 376 00:15:58,546 --> 00:16:00,614 CTE's only diagnosable postmortem, 377 00:16:00,648 --> 00:16:03,217 but I'm afraid your instincts are correct. 378 00:16:07,555 --> 00:16:09,057 - You still at it? - Mm-hmm. 379 00:16:09,057 --> 00:16:10,591 - Didn't your mom ever tell you you'd go blind 380 00:16:10,624 --> 00:16:12,226 staring at a screen that long? 381 00:16:12,260 --> 00:16:13,894 - My mother was a litigation attorney 382 00:16:13,927 --> 00:16:16,264 and worked 90-hour weeks. She didn't tell me much. 383 00:16:16,297 --> 00:16:18,132 - Well, guess it's on the nurses then. 384 00:16:18,166 --> 00:16:20,101 All right, this hospital's too far from the city. 385 00:16:20,134 --> 00:16:22,970 You wouldn't last a week in the boonies. 386 00:16:23,071 --> 00:16:25,073 - [laughs] Oh, and this one's way too vanilla. 387 00:16:25,106 --> 00:16:27,908 You've been rolling with us. You got a little flavor now. 388 00:16:27,941 --> 00:16:29,543 - This one's Boston? 389 00:16:29,577 --> 00:16:31,379 Winters are terrible. 390 00:16:33,381 --> 00:16:35,483 All right, you got me on that one. 391 00:16:35,516 --> 00:16:39,587 Maybe...we're angling for you to stay. 392 00:16:39,620 --> 00:16:40,754 - Chicago Med's definitely in the running. 393 00:16:40,788 --> 00:16:42,090 - Ah? 394 00:16:42,123 --> 00:16:43,724 - It's my specialty I'm torn over. 395 00:16:43,757 --> 00:16:45,393 I always thought I'd choose pathology, 396 00:16:45,426 --> 00:16:49,330 but the E.D.'s really... grown on me. 397 00:16:49,363 --> 00:16:50,864 I can't believe I just said that. 398 00:16:50,898 --> 00:16:52,300 - Oh, that's okay, sweetie. 399 00:16:52,333 --> 00:16:55,436 You're not the first lab geek that we've turned. 400 00:17:00,541 --> 00:17:02,476 - You shouldn't be the last one in. 401 00:17:02,510 --> 00:17:03,577 - Patient's ready, Dr. Downey. 402 00:17:03,611 --> 00:17:05,546 - Let's get this show on the road. 403 00:17:05,579 --> 00:17:07,148 - Propofol's going in. 404 00:17:08,582 --> 00:17:11,552 [rapid beeping] 405 00:17:11,585 --> 00:17:13,687 Pressure's tanking. 406 00:17:15,123 --> 00:17:17,125 - No pulse. - Rhodes, on his chest. 407 00:17:20,694 --> 00:17:22,796 Allen, how much epi has he gotten? 408 00:17:22,830 --> 00:17:23,831 - 20 mics. 409 00:17:23,864 --> 00:17:25,933 [flatline tone] 410 00:17:25,966 --> 00:17:28,136 [flatline stops] [steady beeping 411 00:17:28,169 --> 00:17:29,470 - Got a pulse back. 412 00:17:29,503 --> 00:17:31,872 - Good waveform on the A Line. 413 00:17:31,905 --> 00:17:33,474 He's in sinus rhythm. 414 00:17:33,507 --> 00:17:35,509 - Let's TEE. 415 00:17:35,543 --> 00:17:36,710 - All right. 416 00:17:36,744 --> 00:17:39,213 - Here you go, Doctor. - Thank you, Nurse. 417 00:17:43,050 --> 00:17:44,585 - Get in there. 418 00:17:47,155 --> 00:17:49,557 - Show me what I need to see. 419 00:17:49,590 --> 00:17:52,025 - Look at the aortic valve. 420 00:17:52,059 --> 00:17:54,027 - Valve area's .6. 421 00:17:54,061 --> 00:17:56,630 - Cardiologist said it was only mild to moderately stenotic. 422 00:17:56,664 --> 00:17:57,798 - I know, but this is critical. 423 00:17:57,831 --> 00:17:59,400 He needs a new valve. 424 00:17:59,433 --> 00:18:01,702 - How long have the lungs been perfusing? 425 00:18:01,735 --> 00:18:04,172 - Including transport, at least six hours. 426 00:18:04,172 --> 00:18:06,507 They're good for another five to six, 427 00:18:06,540 --> 00:18:08,542 but we can't transplant until we fix that valve. 428 00:18:08,576 --> 00:18:10,611 - Keep him deep--between his lungs and the blockage, 429 00:18:10,644 --> 00:18:12,180 he won't tolerate going under again. 430 00:18:12,180 --> 00:18:14,682 You and I need to figure out a plan quickly. 431 00:18:16,284 --> 00:18:18,652 [alarm] - Code blue, treatment 1. 432 00:18:18,686 --> 00:18:21,455 Code blue, treatment 1. 433 00:18:21,489 --> 00:18:22,890 - What happened? 434 00:18:22,923 --> 00:18:24,525 - A second ago, he was perfectly stable. 435 00:18:24,558 --> 00:18:26,560 We were talking. - Hold compressions. 436 00:18:26,594 --> 00:18:28,429 [flatline tone] No pulse. 437 00:18:28,462 --> 00:18:31,199 - What's going on? - I don't know. 438 00:18:32,633 --> 00:18:33,701 No breath sounds. 439 00:18:33,734 --> 00:18:35,035 - V-Fib! 440 00:18:39,240 --> 00:18:39,340 . 441 00:18:40,007 --> 00:18:40,774 - Charge to 200 joules. - Charging. 442 00:18:42,676 --> 00:18:44,945 Charged. - Everyone clear. 443 00:18:44,978 --> 00:18:47,047 [beep beep] Nat, back away. 444 00:18:47,080 --> 00:18:49,016 - No, just give me one more second. 445 00:18:49,049 --> 00:18:50,418 I see the cords. 446 00:18:50,451 --> 00:18:52,520 I'm almost in. 447 00:18:52,553 --> 00:18:54,788 All right, tube's in. Let's go. 448 00:18:54,822 --> 00:18:56,224 - Everyone clear! 449 00:18:57,691 --> 00:19:00,228 - Nothing. Copy. O.R. on standby. 450 00:19:00,228 --> 00:19:01,262 - Round of epi. - Got it. 451 00:19:01,295 --> 00:19:03,897 - Charging. - Charged. 452 00:19:03,931 --> 00:19:05,233 - Clear! - Clear. 453 00:19:05,233 --> 00:19:06,600 [beep beep] [thump] 454 00:19:07,601 --> 00:19:08,836 - Still in fib. 455 00:19:08,869 --> 00:19:10,238 - Nat, you take over compressions. 456 00:19:10,271 --> 00:19:12,072 Don't stop for anything. April, where's that epi? 457 00:19:12,105 --> 00:19:13,474 - Epi's in. 458 00:19:13,507 --> 00:19:15,576 - Clear. Clear! 459 00:19:15,609 --> 00:19:17,878 [beep beep] [thump] 460 00:19:17,911 --> 00:19:19,947 - [murmurs in background] - CPR. Epi again. 461 00:19:19,980 --> 00:19:21,315 Follow it with an amp of bicarb. 462 00:19:21,349 --> 00:19:22,950 - Yes, Doctor. 463 00:19:25,286 --> 00:19:27,421 - Asystole--he's got no pulse. 464 00:19:28,656 --> 00:19:30,458 - I got it. 465 00:19:36,063 --> 00:19:37,665 - Will. 466 00:19:40,534 --> 00:19:45,138 Will, he's gone. 467 00:19:45,172 --> 00:19:48,108 [dramatic music] 468 00:19:48,141 --> 00:19:53,281 * 469 00:19:53,281 --> 00:19:56,317 Time of death--14:21. 470 00:20:11,198 --> 00:20:13,934 - Balloon valvuloplasty will stabilize the valve 471 00:20:13,967 --> 00:20:15,769 and allow us to do the transplant. 472 00:20:15,803 --> 00:20:17,037 - It's only a stopgap. 473 00:20:17,070 --> 00:20:18,105 In a month we're back at square one 474 00:20:18,138 --> 00:20:19,673 needing to replace the valve, 475 00:20:19,707 --> 00:20:22,075 only now the patient's fresh off a transplant. 476 00:20:22,109 --> 00:20:24,412 - Then we open him up, replace the aortic valve, 477 00:20:24,445 --> 00:20:26,213 and do the transplant afterwards. 478 00:20:26,246 --> 00:20:27,848 - I don't want him open that long. 479 00:20:27,881 --> 00:20:30,083 Invites a whole host of complications. 480 00:20:30,117 --> 00:20:31,652 - Okay. 481 00:20:33,721 --> 00:20:35,656 How about this? 482 00:20:35,689 --> 00:20:39,092 We do the valve replacement and the lung transplant 483 00:20:39,126 --> 00:20:40,928 at the same time. 484 00:20:40,961 --> 00:20:43,764 - We'll do a trans-aortic valve replacement first-- 485 00:20:43,797 --> 00:20:45,132 less invasive. 486 00:20:45,165 --> 00:20:47,067 Cardiologist can go in through the groin via catheter 487 00:20:47,100 --> 00:20:48,469 to fix the valve. 488 00:20:48,502 --> 00:20:51,805 Once they're done, we'll move on with the transplant. 489 00:20:51,839 --> 00:20:52,940 - Yes, sir. 490 00:20:55,509 --> 00:20:57,244 - A brain infection-- like meningitis? 491 00:20:57,277 --> 00:20:59,880 - You can treat this with antibiotics, can't you? 492 00:20:59,913 --> 00:21:02,750 - Possibly. We did catch this one early. 493 00:21:02,783 --> 00:21:04,785 This is cerebritis, not meningitis, 494 00:21:04,818 --> 00:21:06,487 which is not only serious 495 00:21:06,520 --> 00:21:08,356 but stems from some underlying condition, 496 00:21:08,356 --> 00:21:10,090 one we have yet to find. 497 00:21:10,123 --> 00:21:12,025 - So...more tests? 498 00:21:12,059 --> 00:21:13,527 - Afraid so. 499 00:21:13,561 --> 00:21:15,496 - Hey. 500 00:21:15,529 --> 00:21:17,965 Third period, son. We got this. 501 00:21:17,998 --> 00:21:20,167 - Mr. Cooper... 502 00:21:20,200 --> 00:21:21,902 mind if I talk to you for a second? 503 00:21:21,935 --> 00:21:23,404 - Yeah, sure. 504 00:21:26,474 --> 00:21:27,941 - Hang tight. 505 00:21:27,975 --> 00:21:29,843 We're gonna get to the bottom of this. 506 00:21:32,980 --> 00:21:34,281 Hey. 507 00:21:34,382 --> 00:21:36,650 - Hey. 508 00:21:36,684 --> 00:21:39,987 - Look, I couldn't help but notice earlier-- 509 00:21:40,020 --> 00:21:41,755 - The CTE. 510 00:21:41,789 --> 00:21:43,290 - Yeah. - Yeah, I know. 511 00:21:43,391 --> 00:21:46,794 I know. I got it under control. 512 00:21:46,827 --> 00:21:48,596 - Mr. Cooper, the disease is progressive. 513 00:21:48,629 --> 00:21:50,631 - You think I don't know that? 514 00:21:50,664 --> 00:21:52,400 I have a private physician, 515 00:21:52,400 --> 00:21:53,867 a team doctor from when I played, 516 00:21:53,901 --> 00:21:55,869 and he says it's not too bad. 517 00:21:55,903 --> 00:21:57,004 - And Bret? 518 00:21:57,037 --> 00:21:59,440 - Bret is fine. All right? 519 00:21:59,473 --> 00:22:01,842 The game's changed, huh? Safer. 520 00:22:01,875 --> 00:22:03,210 Better equipment, better penalty regulations-- 521 00:22:03,243 --> 00:22:05,513 - Does he know? 522 00:22:05,546 --> 00:22:07,214 - Well, I don't really see 523 00:22:07,247 --> 00:22:09,016 how that's any of your damn business. 524 00:22:09,049 --> 00:22:10,050 - Bret deserves the truth. What kind of father 525 00:22:10,083 --> 00:22:11,952 keeps his kid in the dark? 526 00:22:11,985 --> 00:22:13,754 - Hey, you watch what you say to me! 527 00:22:13,787 --> 00:22:14,788 - Dr. Choi! 528 00:22:23,063 --> 00:22:26,734 I apologize for my colleague, sincerely. 529 00:22:26,767 --> 00:22:27,968 Why don't you, um, 530 00:22:28,001 --> 00:22:29,703 why don't you go check on your wife and son? 531 00:22:29,737 --> 00:22:31,304 I'm very sorry about that. 532 00:22:31,338 --> 00:22:34,341 - Okay. Thanks. 533 00:22:39,513 --> 00:22:41,449 - He's keeping it from Bret. 534 00:22:41,482 --> 00:22:43,250 - And so you thought threatening him 535 00:22:43,283 --> 00:22:44,885 would make him more forthcoming? 536 00:22:44,918 --> 00:22:46,887 That's my conversation anyway. Why didn't you page me? 537 00:22:46,920 --> 00:22:48,622 - Wouldn't have helped-- guy's in total denial. 538 00:22:48,656 --> 00:22:49,757 - Oh, he is? 539 00:22:49,790 --> 00:22:52,626 Huh. [scoffs] 540 00:22:52,660 --> 00:22:56,096 This is why you go to therapy 541 00:22:56,129 --> 00:22:59,232 and why you stick with it. 542 00:23:10,478 --> 00:23:11,879 - [whispers] Come on. 543 00:23:13,514 --> 00:23:16,016 What the hell? 544 00:23:21,054 --> 00:23:24,124 Can I talk to you for a minute? 545 00:23:24,157 --> 00:23:26,494 Why did you administer vitamin K to my patient 546 00:23:26,494 --> 00:23:28,696 without consulting me? 547 00:23:39,339 --> 00:23:41,809 - His clotting was slow. 548 00:23:41,842 --> 00:23:43,243 It's standard protocol, 549 00:23:43,276 --> 00:23:45,378 and I think you mean our patient. 550 00:23:45,412 --> 00:23:48,682 - Your protocol may have caused a pulmonary embolism. 551 00:23:48,716 --> 00:23:50,684 - You have no grounds to say that. 552 00:23:50,718 --> 00:23:52,620 Any number of things could've happened. 553 00:23:52,653 --> 00:23:54,555 He has been battling his vasculopathy for years. 554 00:23:54,588 --> 00:23:58,391 - Oh, so now he was a ticking time bomb? 555 00:23:58,425 --> 00:23:59,627 - That's not what I said, 556 00:23:59,660 --> 00:24:02,029 and if you had listened, you'd know that. 557 00:24:02,062 --> 00:24:03,697 - I heard you loud and clear. 558 00:24:03,731 --> 00:24:07,067 You thought nothing was wrong, and where is Tim now? 559 00:24:11,705 --> 00:24:14,542 He was stable when I left him. 560 00:24:14,575 --> 00:24:16,710 - You better think about what you're saying right now. 561 00:24:16,744 --> 00:24:19,079 - Nat, that vitamin K made him throw a clot. 562 00:24:19,112 --> 00:24:20,614 - You don't know that. 563 00:24:20,648 --> 00:24:23,951 - If you hadn't interfered, he'd still be here. 564 00:24:25,553 --> 00:24:29,322 - No, this is not about me. 565 00:24:29,356 --> 00:24:31,759 This is about you and the mess that you made 566 00:24:31,792 --> 00:24:34,562 when you resuscitated Jennifer Baker against her DNR. 567 00:24:34,562 --> 00:24:39,466 Well, blaming me for this is not gonna make that right. 568 00:24:39,567 --> 00:24:42,570 [tense music] 569 00:24:48,609 --> 00:24:48,742 . 570 00:24:53,914 --> 00:24:55,115 - Hey, I paged you twice. 571 00:24:58,819 --> 00:25:00,621 - Shouldn't you be operating? 572 00:25:00,654 --> 00:25:03,290 - No, the patient arrested. Cardiologist is doing a TAVR, 573 00:25:03,323 --> 00:25:07,094 and I had a minute and figured we might grab a bite to eat. 574 00:25:07,127 --> 00:25:08,228 - Sit. 575 00:25:14,434 --> 00:25:17,337 - I--you know, maybe I'm missing something. 576 00:25:17,370 --> 00:25:20,674 I-I just--I pitched Downey 577 00:25:20,708 --> 00:25:23,043 at least four solutions, right? 578 00:25:23,076 --> 00:25:25,345 Not one bullet hit its mark. 579 00:25:25,378 --> 00:25:27,447 You know, half the time, I feel like I'm the chosen one. 580 00:25:27,480 --> 00:25:29,416 The other half, I feel like I'm failing him. 581 00:25:29,449 --> 00:25:33,120 I just can't get a read on the guy. 582 00:25:34,988 --> 00:25:37,858 - Mind if we talk about something else? 583 00:25:40,628 --> 00:25:43,697 - Is there something we should be talking about, 584 00:25:43,731 --> 00:25:45,365 'cause I get the feeling-- 585 00:25:45,398 --> 00:25:47,701 [beeping] 586 00:25:47,735 --> 00:25:50,904 Damn, uh...I gotta go. 587 00:25:50,938 --> 00:25:53,874 Look, we'll pick this up later, okay? 588 00:25:53,907 --> 00:25:55,308 - Yeah. 589 00:25:59,647 --> 00:26:02,182 - Often, brain infections are caused 590 00:26:02,215 --> 00:26:07,520 by inflammation in the sinuses and in the ears. 591 00:26:07,554 --> 00:26:09,489 Your ears look okay. 592 00:26:10,658 --> 00:26:13,226 - Always know you wanted to be a doctor? 593 00:26:13,260 --> 00:26:15,763 - Yes. - Huh. 594 00:26:15,796 --> 00:26:17,264 - And no. 595 00:26:17,297 --> 00:26:20,133 As a kid, I was intrigued by anatomy, 596 00:26:20,167 --> 00:26:22,002 dissecting frogs and looking at their organs 597 00:26:22,035 --> 00:26:23,937 under the microscope. 598 00:26:23,971 --> 00:26:26,206 But here I am in the E.D. 599 00:26:27,574 --> 00:26:29,076 I never thought I'd be dealing with people 600 00:26:29,109 --> 00:26:31,444 in their most difficult times. 601 00:26:34,214 --> 00:26:36,383 And you? 602 00:26:36,416 --> 00:26:38,085 Hockey... 603 00:26:38,118 --> 00:26:39,452 [both chuckle] 604 00:26:39,486 --> 00:26:41,488 Hockey is... Well, it's so... 605 00:26:41,521 --> 00:26:44,291 - Vicious? - Well, yeah. 606 00:26:44,324 --> 00:26:45,726 - [laughs] Yeah. 607 00:26:45,759 --> 00:26:46,960 - I don't understand 608 00:26:46,994 --> 00:26:50,063 how someone could risk all of their teeth for a game. 609 00:26:50,097 --> 00:26:53,366 - [chuckles] My dad played pro, 610 00:26:53,400 --> 00:26:56,569 and I was skating before I could walk. 611 00:26:56,603 --> 00:26:58,972 Even if I wanted a different career, 612 00:26:59,006 --> 00:27:01,909 nothing else would feel right on me. 613 00:27:01,942 --> 00:27:04,712 Guess you can't escape who you are. 614 00:27:07,514 --> 00:27:09,817 - You've got a little dried blood in your nose, 615 00:27:09,850 --> 00:27:11,852 but it's probably just because of the fall. 616 00:27:11,885 --> 00:27:13,120 - Oh, no, I had a nosebleed this morning. 617 00:27:13,153 --> 00:27:14,722 I get 'em all the time. 618 00:27:14,722 --> 00:27:16,223 - All the time? 619 00:27:16,256 --> 00:27:18,792 - Yeah, it's no big deal. 620 00:27:18,826 --> 00:27:21,729 - Can I take a look in your mouth, please? 621 00:27:21,729 --> 00:27:23,030 - Okay. 622 00:27:23,063 --> 00:27:26,033 [tense music] 623 00:27:26,066 --> 00:27:30,103 * 624 00:27:30,137 --> 00:27:32,740 - I'll be right back. 625 00:27:36,176 --> 00:27:37,644 - Ms. Goodwin? - Yeah? 626 00:27:37,745 --> 00:27:40,180 - My schedule--I would like to be on different shifts 627 00:27:40,213 --> 00:27:41,782 than Dr. Halstead. - Oh? 628 00:27:41,815 --> 00:27:43,884 - I think it's in the best interest of our patients. 629 00:27:43,917 --> 00:27:45,385 It's nothing personal. 630 00:27:45,418 --> 00:27:47,654 - It sounds personal. You two at odds? 631 00:27:47,755 --> 00:27:49,389 - That's putting it mildly. 632 00:27:49,422 --> 00:27:51,058 - Listen, I couldn't honor your request 633 00:27:51,091 --> 00:27:52,492 even if I wanted to. 634 00:27:52,525 --> 00:27:54,227 With the hospital under scrutiny, 635 00:27:54,261 --> 00:27:56,296 any changes with Dr. Halstead 636 00:27:56,329 --> 00:27:58,966 could be interpreted as culpability. 637 00:27:58,999 --> 00:28:02,169 It's status quo until the dust clears. 638 00:28:02,202 --> 00:28:06,539 You know, when I'm faced with a snarling dog, 639 00:28:06,573 --> 00:28:08,776 I try to remind myself 640 00:28:08,809 --> 00:28:10,610 it's self-preservation 641 00:28:10,643 --> 00:28:12,913 that's making him show his teeth. 642 00:28:18,285 --> 00:28:20,120 - Sinuses and ears were clear of infection, 643 00:28:20,153 --> 00:28:21,789 but Bret gets frequent nosebleeds, 644 00:28:21,789 --> 00:28:23,356 has since he was a kid, 645 00:28:23,390 --> 00:28:25,793 and he's got dilated vessels on the inside of his mouth. 646 00:28:25,793 --> 00:28:27,160 - You're thinking HHT? 647 00:28:27,194 --> 00:28:29,062 - It's rare, but it fits the symptoms. 648 00:28:29,096 --> 00:28:30,463 - Okay, let's get a CT chest and belly 649 00:28:30,497 --> 00:28:32,565 and see what comes back. - Okay. 650 00:28:32,599 --> 00:28:35,836 - Reese, good call. 651 00:28:42,575 --> 00:28:43,844 - No sign of foreign bodies. 652 00:28:43,877 --> 00:28:45,712 No abnormalities in my external exam. 653 00:28:45,813 --> 00:28:47,314 What's your theory? 654 00:28:47,347 --> 00:28:48,816 - Pulmonary embolism. 655 00:28:48,849 --> 00:28:51,218 He came into the E.D. with mild CHF 656 00:28:51,251 --> 00:28:53,453 and was dead in a couple hours. 657 00:28:53,486 --> 00:28:56,389 - I'm gonna start with the chest then. 658 00:28:57,891 --> 00:29:01,094 [saw buzzing] 659 00:29:01,128 --> 00:29:03,163 [bones cracking] 660 00:29:12,840 --> 00:29:15,642 A pulmonary embolism wouldn't manifest this much blood. 661 00:29:15,675 --> 00:29:17,244 Give me some suction. 662 00:29:23,650 --> 00:29:26,954 Definitely not a PE. Give me your hand. 663 00:29:31,091 --> 00:29:34,027 You feel that? - Mm-hmm. 664 00:29:34,061 --> 00:29:35,896 - You feel the hole? 665 00:29:37,297 --> 00:29:40,633 Ruptured aortic aneurysm. He didn't stand a chance. 666 00:29:40,667 --> 00:29:42,569 - So I was wrong. 667 00:29:42,602 --> 00:29:44,972 - Nothing you or anyone else could've done. 668 00:29:46,907 --> 00:29:48,876 - Yeah. 669 00:29:50,577 --> 00:29:52,679 - [murmuring] Just go at him right there... 670 00:29:52,712 --> 00:29:54,514 [whistle blows] [crowd noise] 671 00:29:54,547 --> 00:29:57,885 [Bret continues murmuring] 672 00:29:57,885 --> 00:29:59,519 - Hey, Bret. 673 00:30:01,354 --> 00:30:05,725 - Mr. and Mrs. Cooper, Bret, we got our chest CT back. 674 00:30:05,758 --> 00:30:07,527 Why don't we have a seat? 675 00:30:07,560 --> 00:30:09,696 - Okay. 676 00:30:09,729 --> 00:30:10,998 - Okay. 677 00:30:15,869 --> 00:30:18,138 - Bret has a condition 678 00:30:18,171 --> 00:30:22,742 called hereditary hemorrhagic telangiectasia or HHT. 679 00:30:22,775 --> 00:30:25,212 - HHT? What's that? 680 00:30:25,245 --> 00:30:26,880 - Hey, hey, it's okay, son. 681 00:30:26,914 --> 00:30:29,216 - It causes the blood vessels in different parts of the body 682 00:30:29,249 --> 00:30:32,752 to form fragile bundles called arterial venous malformations. 683 00:30:32,785 --> 00:30:35,855 These AVMs can sometimes allow bacteria to seep into the blood 684 00:30:35,889 --> 00:30:38,225 and spinal fluid and cause an infection. 685 00:30:38,258 --> 00:30:40,727 - Is it curable? - It's manageable. 686 00:30:40,760 --> 00:30:41,895 The AVMs can be repaired, 687 00:30:41,929 --> 00:30:44,131 but they have a tendency to recur. 688 00:30:44,164 --> 00:30:46,699 - Okay, so what does it mean? 689 00:30:46,733 --> 00:30:48,936 - I can still play, right? 690 00:30:50,904 --> 00:30:53,974 - We'll try to monitor any AVMs that might develop, 691 00:30:54,007 --> 00:30:57,077 but if there's an AVM we don't know about, 692 00:30:57,110 --> 00:30:59,746 one wrong hit, and you could suffer a catastrophic bleed. 693 00:31:01,648 --> 00:31:03,083 Look, I'm sorry, Bret, 694 00:31:03,116 --> 00:31:05,385 but it's my recommendation that you quit hockey. 695 00:31:07,154 --> 00:31:09,389 - Okay, listen, if he's had this his whole life, 696 00:31:09,422 --> 00:31:11,158 why is it only a problem now? 697 00:31:11,191 --> 00:31:13,126 - Yeah... 698 00:31:15,462 --> 00:31:20,700 You know what? I am getting a second opinion. 699 00:31:23,971 --> 00:31:28,175 - Hey, it's gonna be okay, sweetie. 700 00:31:33,313 --> 00:31:35,815 - Mind if we have a minute? 701 00:31:35,848 --> 00:31:37,584 - I'll be right outside. 702 00:31:43,623 --> 00:31:48,795 - You said if I take the wrong hit, 703 00:31:48,828 --> 00:31:50,430 you're saying I could die? 704 00:31:50,463 --> 00:31:52,765 - That's what I'm saying. 705 00:31:52,799 --> 00:31:55,235 Listen to me. I know what you're thinking. 706 00:31:55,268 --> 00:31:58,338 "One in a million hit can't happen to me," 707 00:31:58,371 --> 00:32:00,273 but it can. 708 00:32:02,209 --> 00:32:04,677 It can. 709 00:32:04,711 --> 00:32:06,313 I know. 710 00:32:08,015 --> 00:32:09,882 Think about it. 711 00:32:12,485 --> 00:32:14,054 [pat pat] 712 00:32:20,093 --> 00:32:22,629 - You'll find another path... 713 00:32:25,632 --> 00:32:27,367 And it'll feel right. 714 00:32:27,400 --> 00:32:29,636 I'm sure of it. 715 00:32:35,408 --> 00:32:37,944 - I was so certain I was right. 716 00:32:38,045 --> 00:32:40,647 I did everything I could, covered every single base-- 717 00:32:40,680 --> 00:32:42,382 - I'm sure you did. 718 00:32:42,415 --> 00:32:44,484 - The worst part-- 719 00:32:44,517 --> 00:32:47,120 I attacked a colleague. 720 00:32:47,154 --> 00:32:48,421 A friend. 721 00:32:48,455 --> 00:32:49,822 - You're under a lot of pressure. 722 00:32:49,856 --> 00:32:52,692 Everyone knows that. 723 00:32:52,725 --> 00:32:54,394 If you apologize, 724 00:32:54,427 --> 00:32:59,766 I'm Dr. Manning will understand. 725 00:32:59,799 --> 00:33:01,668 It's her, right? 726 00:33:04,337 --> 00:33:06,739 Why don't we rain-check dinner tonight? 727 00:33:08,075 --> 00:33:09,809 It's okay. 728 00:33:11,078 --> 00:33:13,113 - Thanks, Zoe. 729 00:33:33,233 --> 00:33:35,135 - We are ready to transplant. 730 00:33:35,168 --> 00:33:38,171 - Not yet. You cut too shallow. 731 00:33:38,205 --> 00:33:40,507 If the vessels are too long. They could thrombose. 732 00:33:40,540 --> 00:33:43,610 Here, trim the atrial cuff. 733 00:33:48,548 --> 00:33:51,784 Not too deep. 734 00:33:51,818 --> 00:33:54,121 Not too quickly. 735 00:33:54,121 --> 00:33:56,022 Don't want to damage the vessel. 736 00:33:59,926 --> 00:34:02,129 Good. 737 00:34:02,162 --> 00:34:03,963 All right, let's get the lungs in. 738 00:34:05,132 --> 00:34:07,134 - Maybe you should take over. 739 00:34:07,167 --> 00:34:09,969 - Let's get the lungs in. 740 00:34:10,002 --> 00:34:11,271 - Yes, sir. 741 00:34:12,939 --> 00:34:15,775 - The aortic cannula's loose. [rapid beeping] 742 00:34:15,808 --> 00:34:17,844 - BP and sats falling. 743 00:34:17,877 --> 00:34:20,913 - Get him clamped now or he's gonna bleed out. 744 00:34:20,947 --> 00:34:23,716 [beeping continues] 745 00:34:23,750 --> 00:34:26,719 [tense music] 746 00:34:31,191 --> 00:34:31,324 . 747 00:34:33,826 --> 00:34:34,394 - Got it. He's clamped. 748 00:34:35,928 --> 00:34:37,630 - And the pressure is improving. 749 00:34:41,834 --> 00:34:44,904 - Let's get the lungs in and get him off the pump. 750 00:34:46,239 --> 00:34:48,408 - Are you all right? 751 00:34:48,441 --> 00:34:50,977 - You're gonna have to take lead from here. 752 00:34:55,081 --> 00:34:57,317 - Okay, I'll cover you. 753 00:34:57,350 --> 00:34:58,951 I'm ready for the lung. 754 00:34:58,985 --> 00:35:00,720 - Here, Doctor. 755 00:35:04,224 --> 00:35:06,726 - Bronchus first, 756 00:35:06,759 --> 00:35:09,629 followed by the left atrial cuff 757 00:35:09,662 --> 00:35:11,798 and the pulmonary artery. 758 00:35:13,733 --> 00:35:14,901 Good. 759 00:35:14,934 --> 00:35:17,804 Let's start sewing. 760 00:35:17,837 --> 00:35:19,872 - 4-0 prolene. 761 00:35:25,312 --> 00:35:27,280 - And that's the cerebellum. 762 00:35:27,314 --> 00:35:29,249 [continues murmuring] 763 00:35:35,722 --> 00:35:38,625 - You see what Bret tweeted? 764 00:35:38,658 --> 00:35:40,293 - "Off my skates for a couple of days, 765 00:35:40,327 --> 00:35:41,928 but I'll be back at All Star Clinics, 766 00:35:41,961 --> 00:35:44,130 stronger than ever. #downbutnotout." 767 00:35:44,231 --> 00:35:45,432 Seriously? 768 00:35:45,465 --> 00:35:47,834 He's still gonna play? 769 00:35:47,867 --> 00:35:49,536 I told him he could die. 770 00:35:51,304 --> 00:35:53,840 - Boys will always want to be better than their fathers, 771 00:35:53,873 --> 00:35:56,843 which is precisely what their fathers want. 772 00:35:56,876 --> 00:35:58,911 - Ready to go? 773 00:36:01,514 --> 00:36:03,983 "What price glory," right? 774 00:36:12,292 --> 00:36:14,827 - Headed out? Made your decision? 775 00:36:14,861 --> 00:36:17,364 - Yep, just now. 776 00:36:17,397 --> 00:36:20,533 - Let me guess-- E.D. strikes again. 777 00:36:20,567 --> 00:36:23,570 - No--pathology. 778 00:36:23,603 --> 00:36:24,871 - What? 779 00:36:25,938 --> 00:36:27,874 - It's the patients. 780 00:36:27,907 --> 00:36:30,076 They come in, and you want to help them. 781 00:36:30,109 --> 00:36:31,978 You care about them, so you try to connect, 782 00:36:32,011 --> 00:36:33,880 and, just when you think you're getting through, 783 00:36:33,913 --> 00:36:35,915 they go back to what they were doing before. 784 00:36:35,948 --> 00:36:37,984 And it's like you were never even there-- 785 00:36:38,017 --> 00:36:40,487 like everything you did was for nothing. 786 00:36:40,520 --> 00:36:43,656 I can't take a life of that. 787 00:36:43,690 --> 00:36:45,492 I'll see you tomorrow. 788 00:36:57,304 --> 00:36:59,306 - I am in no mood, Will. 789 00:36:59,306 --> 00:37:01,574 - I get it. 790 00:37:01,608 --> 00:37:03,876 Natalie, I'm sorry. 791 00:37:03,910 --> 00:37:07,580 It wasn't the vitamin K. I was wrong. 792 00:37:07,614 --> 00:37:08,681 - You, wrong? 793 00:37:08,715 --> 00:37:10,650 Amazing. 794 00:37:10,683 --> 00:37:12,652 - Yeah. 795 00:37:12,685 --> 00:37:14,120 I've been an ass, 796 00:37:14,153 --> 00:37:17,357 not just today-- since last week-- 797 00:37:17,390 --> 00:37:20,993 Before that. 798 00:37:21,027 --> 00:37:24,096 I should not have yelled at you. 799 00:37:24,130 --> 00:37:27,400 - Why do you always take things out on me? 800 00:37:27,434 --> 00:37:30,337 You invite me in, and then you push me back. 801 00:37:30,337 --> 00:37:33,973 You ask for my opinion, and then you completely ignore me. 802 00:37:34,006 --> 00:37:36,075 It hurts, Will. 803 00:37:36,108 --> 00:37:40,246 You wouldn't treat anyone else like this, so why me? 804 00:37:44,116 --> 00:37:45,952 - Don't you know? 805 00:37:47,820 --> 00:37:49,789 - No. 806 00:38:39,271 --> 00:38:41,474 - Mr. Mosconi's gas exchange is good. 807 00:38:41,508 --> 00:38:42,609 We'll rest him overnight, 808 00:38:42,642 --> 00:38:44,411 hopefully extubate him in the morning. 809 00:38:44,444 --> 00:38:47,179 - I thought maybe you'd be at home resting 810 00:38:47,213 --> 00:38:49,982 after that episode in the O.R. 811 00:38:50,016 --> 00:38:51,918 - Episode? 812 00:38:54,086 --> 00:38:56,656 - You didn't need me to take over. 813 00:38:59,191 --> 00:39:00,760 - I've usually found, Dr. Rhodes, 814 00:39:00,793 --> 00:39:03,563 that when given responsibility, people rise to the occasion. 815 00:39:06,699 --> 00:39:10,837 I know the last few weeks have been...challenging, 816 00:39:10,870 --> 00:39:12,304 and I'd be lying if I said the months to come 817 00:39:12,338 --> 00:39:15,442 will be any easier. 818 00:39:15,475 --> 00:39:18,344 I have an impossible amount to teach you 819 00:39:18,445 --> 00:39:21,013 in a diminishing amount of time. 820 00:39:22,815 --> 00:39:26,152 You don't have to show me how smart you are, 821 00:39:26,185 --> 00:39:28,320 and you don't have to please me. 822 00:39:29,622 --> 00:39:32,024 Just learn. 823 00:39:46,238 --> 00:39:48,307 - He's breathing on his own. 824 00:39:51,043 --> 00:39:52,845 - Indeed he is. 825 00:40:06,058 --> 00:40:07,860 - Sorry about dinner. 826 00:40:07,894 --> 00:40:09,829 - Wasn't sure you were gonna show. 827 00:40:13,232 --> 00:40:15,868 - I-- - What is it? 828 00:40:23,375 --> 00:40:25,344 - I've been talking to Dr. Charles, 829 00:40:25,377 --> 00:40:27,480 the hospital psychiatrist. 830 00:40:27,514 --> 00:40:30,917 Shared some things about my service--tough things. 831 00:40:30,950 --> 00:40:32,351 - You don't have to explain. I know. 832 00:40:32,384 --> 00:40:35,021 - I thought if I didn't think about it or talk about it... 833 00:40:37,056 --> 00:40:39,191 - I'm here. 834 00:40:43,295 --> 00:40:45,197 - My dad was Navy. 835 00:40:45,231 --> 00:40:46,899 - That why you enlisted? 836 00:40:46,933 --> 00:40:48,635 - It just always seemed like 837 00:40:48,668 --> 00:40:51,103 that was what I was gonna do. 838 00:40:51,137 --> 00:40:53,039 - There's a room full of kids in there 839 00:40:53,072 --> 00:40:55,141 who are gonna ask you about your service. 840 00:40:55,174 --> 00:40:57,209 What are you gonna tell 'em? 841 00:40:58,611 --> 00:41:00,880 - That I'd do it again. 842 00:41:07,654 --> 00:41:12,058 [pop music plays] 843 00:41:12,091 --> 00:41:15,261 - Scotch--rocks. Thanks. 844 00:41:17,096 --> 00:41:18,865 Who's winning? 845 00:41:18,898 --> 00:41:21,267 - The Blackhawks by one. 846 00:41:21,300 --> 00:41:22,569 - Nice. 847 00:41:26,739 --> 00:41:28,074 - Thanks. 848 00:41:36,048 --> 00:41:38,585 We haven't exactly been the same since I started with Downey. 849 00:41:38,618 --> 00:41:42,021 - No, we haven't. 850 00:41:43,455 --> 00:41:46,793 - Sam, I know this can't be easy for you... 851 00:41:49,862 --> 00:41:53,933 But if you're gonna make me choose between you and Downey... 852 00:41:53,966 --> 00:41:56,302 - It's gonna be Downey. 853 00:41:58,070 --> 00:41:59,171 - Yeah. 854 00:42:04,043 --> 00:42:07,847 - I'm not gonna make you choose. 855 00:42:07,880 --> 00:42:10,850 [somber music] 856 00:42:10,883 --> 00:42:18,825 *