.
- You never told me you were in an accident.
I know how it looks.
- How am I supposed to believe you?
[dramatic music]
- We've had a couple very pleasant coffees together.
How about we, um, I don't know, advance to, uh--to dinner?
My apartment. 8:00.
[humming]
- Did I hear something about an inmate from Cook County?
Yeah. Shanked in the neck.
His last name's Archer.
Dad.
It's gonna be okay, my boy.
* *
[buzzer blares]
Sean, what is the matter? What's wrong?
Are you hurt? Are you in trouble?
- Dad, take a breath. - What's wrong?
I'm getting all these calls--
Well, something's come up.
Huh?
I'm getting out.
[soft music]
- You're getting-- you're getting out?
Uh, it--what--really?
- Uh, when? - Tomorrow.
[chuckles softly]
Wow.
And, uh, it's a done deal?
You got 14 months left on your sentence.
- I know. I guess good behavior.
Compassionate release. Overcrowding.
Who cares?
You're getting out.
[both chuckling]
So what's--what's the-- what's next?
You--you-- you going back to school?
Or you gonna get a job or what?
- Oh, right now, I just wanna get to tomorrow.
- Well, I'm--I'm-- I'm happy for you.
[laughs]
* *
Liliana? Fantastic cook.
Man, she made me this dish last night.
Kluski--kluski slaskie? Kluski slaskie.
- [laughing] You can't pronounce it.
- [laughs] I don't have a clue.
I can't pronounce any of the dishes she's made for me.
Wait, "dishes"? Plural?
- I've been over to her house twice for dinner now.
Third one's on the books.
Oh, that's wonderful, Daniel.
I'm so happy for you.
- Thank you. Thank you very much.
How are you doing? How's biz?
- There's still a few supply snags here and there,
but no major headaches.
And I probably just jinxed it.
- Uh-oh. - You know.
It's quiet today doesn't mean it's quiet tomorrow.
- Tell me about it. - [laughing]
- Keep up the good work. - Bye.
Oh, Maggie.
Oh, good morning.
- Morning. I have an idea.
Came to me on the train on the way in.
- Balderdash. - Balder-what?
Dash. It's a party game.
For the next, uh, game night at your place.
It's been a while since you've had one.
- Yeah, not sure when there'll be another one, though.
- No worries. Just putting in the request now.
Hoping to level out the playing field.
Ah.
Balderdash is a solo game,
so you and Ben can't join forces
and destroy the rest of us like you did in Heads Up!
You got this.
Keep working the beta. Flow through the moves.
- I have no idea what any of that means.
[whimpers] Okay.
I think I'm stuck.
No, you're good.
Right leg up on the next hold.
Okay.
Left hand up and over.
There we go.
That's right, Asher. Send it.
- [grunts] - [laughs]
Wow. Nice reach.
- Aah! - Oh!
[groans]
[bell ringing]
5.13. Nice job, Omar.
What do you say?
- Give it another try? - I got close.
- Makes it all the more worth it
when you ring that summit bell.
- [groans] [bell ringing]
Omar? You good, man?
No one on belay. Omar, you clipped in?
- Is he okay? - I don't think so.
Clip in, Omar!
Omar, clip in!
[screaming]
[crack] [groaning]
- Oh, my God. I'll call 911.
[groaning]
Stay with me, man.
Stay with me.
Hi. This is Dr. Hannah Asher.
I need an ambulance at the rock climbing gym off Morgan.
[dramatic music]
* *
.
Courtney, what do we got?
Omar Thomas, 34.
Long fall while indoor rock climbing.
Landed on his heels with axial load.
No loss of consciousness.
Heart rate 120. BP 140/90.
Gave him 4 of morphine in the ambo,
but he's still in pain.
He a friend of yours?
- Gym buddy. - All right.
Omar, we're gonna take good care of you.
Okay, buddy?
Nice and easy. On my count, all right?
One, two, three.
[groaning]
- Give me 100 of fentanyl for the pain.
[tense music]
Lungs are clear.
* *
Belly's soft.
Smelling alcohol on his breath.
- Yeah, we smelled that too. Think it's beer.
- He wasn't clipped in. No one on belay.
I don't see him making those kinds of rookie mistakes
without being impaired.
Okay, Kathleen, uh,
X-rays of his chest, pelvis, hips, knees, and ankles.
Mindy, CT head, CTLS abdomen and pelvis,
standard trauma labs and type and screen.
Let me see your hands.
Ooh, that's a gnarly rope burn.
Yeah. I'll be fine.
- Dr. Asher, Leah's asking for you in the waiting room.
- All right. Let me change first.
Cool water and aloe on those hands.
And keep me updated on him, okay?
- Thank you. - You got it.
- Hey, Leah. You needed me?
Name's Jodie Dunner.
Says she's having an endometriosis flare-up.
She's been crying since she signed in.
Okay. Thank you.
Ms. Dunner, I'm Dr. Asher.
[groans]
I hurt so bad.
- Endometriosis is--it's cruel.
- [laughs] I'm a yoga teacher.
I practice patience for a living,
but this pain, it's...
Come on.
Let me help you to an exam room.
Uh, is it my turn?
Triage system.
Your pain's bumping you to the front of the line.
- Here. - [exhales shakily]
- Hook him up. I'll be right there.
- Hey. - How's Omar?
- Bilateral tibiotalar dislocations.
No broken spine or pelvis.
No fractured femurs.
Liver and spleen are still intact.
I figured you'd agree that that's good news.
It is.
It's just Omar's BAC was only .04.
What's that, two beers?
He wasn't drunk, so why'd he fall?
Maybe he just made a mistake.
Dr. Marcel, Dr. Lieu,
something's not right with Mr. Thomas.
Mr. Thomas?
What happened to my legs?
Justin?
Yeah, Omar, it's me.
You were in an accident at the gym this morning,
and you fell.
Dislocated both your ankles.
What? I did?
Where am I?
What--what happened to my legs?
- You had an accident, Mr. Thomas.
You fell, injured your ankles.
Justin?
- All right, hang in there for me, Mr. Thomas.
Uh, Dr. Lieu, doors.
Some, uh-- some sort of memory loop?
Maybe a whiplash injury, concussion?
- I literally caught him when he hit the ground.
He didn't hit his head.
The summit bell.
He kept ringing it.
Same sort of loop like he's doing now.
But it was before the fall.
- All right, first things first.
Let's reduce his dislocation.
Soon as that's done,
let's pull in Dr. Charles, okay?
- Just so you know, I've never officially
been diagnosed with endometriosis.
- Yeah, I noticed that in your chart.
- [sighs] My sister, though, she has it.
[laughs] We're so alike.
[exhales sharply]
- Tender? - Yeah.
In my back.
Your back? Really?
Endo pain is primarily focused in the pelvic area.
Uh, I don't know.
I guess it's radiating.
About to start my period. Maybe that's why.
- All right, well, I'd like to run some tests,
do a bimanual exam, then an ultrasound.
- Sure. Yeah, anything. I just want to feel better.
Do you think I could get something now, though?
For the pain?
How about Tylenol?
- Okay. If you think it'll help.
- 1,000 milligrams acetaminophen.
- That's it? For this degree of pain?
- Yeah, I want to hold off on anything stronger for now.
Okay.
[intercom beeps]
- Dr. Halstead, you're going to five.
Cesar, talk to me.
- Aaron Curtis, 22. Severe abdominal pain.
He doubled over at work while stocking shelves.
BP 133/86. Heart rate 99.
Sats 100%.
2 of morphine given in the ambo.
All this ain't necessary.
- Maybe, but you're here now, so let us check you out.
[sighs]
- Okay, on my count. One, two, three.
[groans]
Thank you.
- Look, my manager at the grocery store,
that's who called the ambulance.
He's just overreacting. That's all.
- Sorry we can't take your word for it.
- Hey, Aaron, your stomach pain,
did it just start this morning, or you been feeling it a while?
- I don't know. Couple days.
Can you describe it?
Dull? Sharp? In between?
Aah!
- Ooh. - Okay. Sharp.
KUB.
We're gonna grab some X-rays, see what's going on.
- I know it's uncomfortable, but stay still, okay, Aaron?
Please...
just let me up out of here.
- X-ray up. Clear. [machine beeps]
That's a bullet, Aaron.
You were shot?
Okay, let's turn him.
Nice and easy.
[groaning]
There you are.
Partially healed entry wound in the left flank.
I'd guess it's a few days old.
What happened, Aaron?
Aaron?
Triple contrast CT.
Maybe it'll tell us something.
* *
.
- Were you able to get anything out of him?
Nope.
He won't share the what, when,
or why of his gunshot.
- Yeah, something sketchy went down.
So, Aaron, here's where we are, okay?
The bullet is resting
just above the neck of your pancreas.
Do I need an operation?
- Trauma surgeon doesn't think so.
Then I could bounce?
- The pancreas is very unforgiving.
Just because you're stable now
doesn't mean you're out of the woods.
There's one more thing.
By law, gunshot wounds have to be reported to the police.
Aaron...
If you're in trouble, maybe we can help you.
You just gotta talk to us.
- It doesn't matter what I say.
[tense music]
* *
Hmm.
Vegan portabella mushroom jerky.
Yeah, low in sodium.
- Lower on taste. - Mm.
- Your kidneys thank you. - Huh.
Well, they better. What's up?
Ah, OpioHealth,
that new AI program that the hospital's testing out
to assess a patient's risk of opioid abuse?
- Yeah, it's one of those new technologies
designed to sniff out doctor shoppers, yeah?
- Yeah, well, I ran my endometriosis patient's name
through it, Jodie Dunner.
She was red-flagged.
Well, I can see why.
That's a lengthy prescription history.
Opioids, benzos, barbiturates.
Yeah, reads like a classic pill-seeker.
- And given that her primary complaint was back pain,
I thought so too.
But now, I'm not so sure.
- Uh, okay. What do you need?
Second opinion.
The AI program tagged her as high-risk.
That means if it is endo,
I'm locked out of prescribing her meds, but...
As chief of the ED,
I can override the OpioHealth program.
[sighing] Yes.
Dean, you know my past.
It takes one to know one, but Jodie...
I'm just not getting that vibe from her.
Mm.
[chuckles]
Maggie?
Maggie.
- Oh, I'm sorry. What do you need?
- Treatment seven is cleared and turned over.
Everything good?
Yeah, of course.
Okay.
Hey, they're done.
[indistinct conversation]
So he, uh, tell you what happened?
- No, he probably doesn't want to dig his hole any deeper.
And what does that mean?
- Area South Robbery-Homicide's working a case off 91st
from last week.
Mini-mart got stuck up.
Clerk pulled a gun, tried to protect himself.
Took one to the chest.
Didn't make it.
- And you think Aaron's your guy?
- The description we got on the offender:
male, Black, average height, medium build, hoodie.
Clerk fired off a round before he went down.
Separate blood on the scene shows he hit someone.
- Detective working the case is on his way over.
We're gonna sit on the room until he gets here.
- All right. Thanks, guys.
Be advised...
- I know these guys are just chasing leads, but...
- Male, Black, average height, medium build?
That could be a lot of people, Will.
- Yeah, and getting shot doesn't mean you're a criminal.
- I mean, the way that Aaron took my hand at the intake,
the way he looked into my eyes...
I felt it too.
- I mean, I don't know if he did it or not...
but I'm certain that they've already made up their minds.
* *
- S... [sighs]
So I fell while I was climbing.
I dislocated both my ankles,
and they're set now.
And that's what these casts are for.
Exactly.
And we were talking about next steps.
- Can you remember what we said? - Right.
Yeah, you said-- you said that...
You said-- [sighs]
Damn it! [monitor beeping rapidly]
I don't--I don't know.
Omar, you had a big fall.
- It's not okay. Why can't I remember?
What--what is happening to me?
Um, Omar,
your--your blood pressure is getting a little high,
so we're gonna give you some medicine to bring it back down.
Just breathe in through your nose.
[inhales deeply]
- Out through the mouth. - [exhales deeply]
[beeping regulates]
In through the nose...
and out through the mouth.
Okay. You know what, buddy?
I'm gonna let you rest a little bit,
but I want you to be assured
we're gonna figure this out.
Uh, in the meantime,
can I get you another sandwich?
You kind of mangled that one.
No? All right.
I will, uh, check back in a bit.
Clearly, he's got some kind of short-term memory issue,
uh, which is understandably stressing him out a little bit.
I mean, you know Omar, right?
Can you tell me a little bit about him?
- He's only been climbing a few years,
but he's a star at the gym.
He trains hard. Disciplined. Driven.
- All right. So more of a type A?
- You thinking he had a mental break
from pushing himself too hard?
- Well, memory loss can be a result
of a number of psychiatric conditions,
but it can also be neurologic.
You know what I want to do?
I want to get a nutrition panel.
- See what we get, go from there? - Okay.
- Thank you. - Yeah.
- Any discomfort? - Kind of.
Mm?
Can you be more specific?
How does this feel?
Um, I guess pressure.
- Pressure, like I'm pressing on your abdomen?
- Yeah. Sorry. It's just hard to describe.
- Okay. Pressing farther up now, near your diaphragm.
How does this feel?
Same, I guess.
Okay.
Not sharp, stabbing?
No, just...like pressure.
- Okay, Jodie, I don't think this is endometriosis.
But to be sure, I'm gonna run some tests.
CT, MRI, diagnostic lap.
Lap? What's that?
Uh, laparoscopy.
We insert a scope into your abdomen,
check out what's going on.
- Surgery? - Yeah.
And unfortunately, we won't be able
to give you pain meds beforehand,
'cause it might interfere with the results.
Okay. I get it.
Hey, it'll be all right.
- Uh, pupils practically pinpoint.
Overall listlessness.
Yeah, all signs she's high.
Her tox screen was likely a false negative.
She probably loaded up on water before coming in,
knew it could dilute her urine sample.
- Yeah, doubt she saw a mountain of tests
coming her way, and I didn't get the sense
that she knew that they were phony.
No, my guess is that right now,
she's planning her escape
before any social workers become involved.
I believed her,
or I don't know, maybe I just wanted to believe her.
- Look, you--you thought Jodie was in pain, okay?
You didn't care what kind. You just wanted to help.
* *
- How long has the detective been with Aaron?
About ten minutes.
He's not talking to him either.
[chiming]
- He was sitting there, and then his eyes rolled back.
And he just slumped.
Aaron?
[monitor beeping]
Aaron? Bag him.
- BP's a mess. 88/50 and falling.
Roll him.
Huge melanotic stool.
He's bleeding into his GI tract.
Two units of blood on the rapid transfuser.
Already on it.
Watch your step.
All right, we're moving. CT. Let's go.
Let's go, let's go, let's go.
.
- You said I didn't need surgery.
Well, that was before.
Your condition has deteriorated.
The bullet has eroded
into the, uh, the neck of the pancreas.
That means it's touching the organ,
making it bleed into the tube that drains your intestines.
It won't stop on its own?
It may...or it may not.
The safest option is to go in, take out the bullet,
and remove the damaged area of the pancreas.
No. No surgery. No.
- Look, Aaron, your, uh, blood pressure's unstable.
You've lost a lot of blood.
Opening me up means he gets the bullet.
I know how it works.
He gonna use it to tie me to the robbery.
- Are you saying that you were there?
- I was there, but I didn't rob nobody.
Definitely didn't shoot nobody.
I was getting a sandwich on my way to work.
Went to the counter to pay, and next thing I know,
a guy's jacking the place.
I mean, he got a gun.
Clerk got a gun.
They firing.
I ran.
I felt getting hit, but...
I just kept running.
It's been a week, though.
Why didn't you come forward,
tell the police, us, when you first came in?
- Because trust has to go both ways.
- Look, I grew up bouncing house to house in foster care.
Spent time living on the street too.
People like me...
it don't matter what really happened.
We gonna get blamed for it.
I ain't the guy.
I swear.
- Look, Aaron, your pancreas is bleeding,
and without surgery, your life could be at stake.
- And if I get it, my life could be over.
I seen people get convicted and sent away forever.
They were innocent too.
I'm gonna take my chance the bleeding stops on its own
rather than put my fate in his hands.
No surgery.
Okay.
[monitor beeping rapidly]
She's seizing.
4 milligrams of Ativan.
Naloxone on standby.
- Overdose? - It looks like it.
- Thought you had eyes on her. - I did.
I was watching her like a hawk so she couldn't bolt
before the addiction counselor came down.
- So she hasn't used at all recently?
Not a chance.
- [beeping regulates] - Okay.
So if not an OD, maybe withdrawal?
Yeah, doubt it.
She's missing all the telltale symptoms.
Agitation, runny nose, watery eyes, dilated pupils.
- Well, endometriosis doesn't trigger seizures.
So if not an OD and not withdrawal, what is it?
- Let's get a CT head and chest,
this time for real.
- Hey, so I, uh--
I got Omar's nutrition panel back.
Serious B1 deficiency.
Body can't generate B1.
We only get it from food.
This low a level means Omar's not eating enough.
- Probably been malnourished for a while now.
- Eating disorders aren't uncommon
- in the rock climbing community. - Really?
- You're fighting gravity with only fingertips and toes,
so lighter's better.
- Uh, what do you say we hang some IV nutrients?
Those memory issues should resolve pretty quick.
[phone buzzing]
Will, he's here.
- Thanks for coming. - Uh-huh.
So I, uh, looked at the security video
- from the mini-mart. - Yeah.
Crap footage and bad angles.
You can tell something's going on,
but you don't know who's doing what.
Eyewitness statements?
All over the place.
- So no proof that Aaron's the offender,
but no proof that he's not either.
No. I spoke with the manager
at the grocery store where he stocks shelves.
Said he always comes in early. Leaves late.
"Aaron's a great guy. Wish I had more like him."
His words.
- He ever been in trouble before?
- No run-ins with the police.
No criminal record. No contact card.
No gang affiliation.
So what do you think, Kevin?
- Uh, I mean, it's not my case, Maggie.
- Hey, look, I know we're asking you
to speak out of turn, but Aaron's passing on a surgery
he desperately needs over this.
- Well, you know, I like to say
that there's always a why before there's a who.
There is no why for Aaron in this robbery.
I mean, I don't believe that he's good for it,
but that's the way I see it.
I mean, the state's attorney is hungry.
With an election coming up, he might see it differently.
- Right. - All right. Thanks, man.
- Yeah. I'll be here if you need me.
- Good seeing you. - Mm-hmm.
- So, Jodie, we've got an answer.
Okay.
- Your back pain is not from endometriosis.
It is from a Pancoast tumor.
- Whoa. A tumor? - Yes.
It's a rare lung cancer.
Your body's response to it caused pinpoint pupils
and ultimately your seizure.
So it's right here.
- Oh, God. That's in me?
- It is, but it doesn't appear to have metastasized.
Do you know what that means, metastasized?
Um...I'm not sure.
- It means that the cancer hasn't spread.
- So it'll make it easier to treat.
The tumor can be removed surgically.
It's called resection.
Do you understand?
I...
I think so.
- Okay, Jodie, Dr. Archer and I are gonna step outside.
We'll be right back, okay?
That was not an informed consent.
Postictal confusion from the seizure?
- Could be, or it could be
another complication from the tumor.
There were some glimmers of recognition, though.
- Yeah. I'll call psych, get their take.
Okay.
.
65, 58, 51.
- Keep going? - No, it's good stuff.
How about that word sequence I gave you?
Let's give that a shot.
Um, San Antonio.
Bubblegum.
- Shoelace, ice skate, stapler. - Excellent.
Well, looks like your memory's certainly coming back.
- Justin, man... [sighs]
I'm sorry for putting you through all this.
I have a tendency to overdo things.
- Actually, wondering if we could talk to you about that.
Maybe discuss your eating habits.
Oh, yeah.
I can see how that looks now.
[sighs]
Right after the world shut down 'cause of COVID,
I started getting these headaches.
And I read online
if you drink two pints of beer a day, it helps,
so I started drinking two pints a day.
But it didn't work, so I added exercise.
Rock climbing was perfect, 'cause it was--
it was outside, socially distant, challenging,
but now I was...
I was sporting this beer belly,
so I--I started dieting.
- And I noticed that you--
you only ate the--the tomato and the lettuce
out of your sandwich, so I'm assuming vegetarian?
Uh, and keto.
- And keto? - Yeah.
Wow, okay.
So you mentioned that this--
this all started with headaches, right?
Are you still getting those?
Actually, uh, yeah.
- Yeah, I do. - Okay.
I want you to do something for me.
I want you to look at my finger.
Follow my finger with just your eyes,
without moving your head, okay?
- Mm-hmm.
- What the hell? I--I can't move my eyes.
- It's okay. - No, I can't move my eyes.
- No, it's all right. Just close 'em.
- [stammering] No, but what's wrong?
- I can't move my eyes! - Close your eyes, all right?
- Close your eyes. - Okay.
Okay, order an MRI.
I'm scared.
Oh, I'm--I'm-- I'm really scared.
- It's all right, Omar. Keep 'em closed, all right?
Keep 'em closed.
- Any progress? - No.
- Well, we'll just have to keep hanging blood
and hope for the best.
Dr. Halstead.
Ms. Lockwood.
We've positively matched blood
from pads discarded in Aaron's treatment room
to blood at the crime scene.
Pads?
The melanotic stool.
We rushed him to CT.
Anything tossed on the floor is detritus,
fair game for evidence.
- Blood links Aaron to the crime scene,
and that bullet inside him is gonna link him to the clerk.
- Which only proves that the clerk shot Aaron,
not that he's the offender.
- That isn't my distinction to make.
It's my understanding that Aaron requires surgery.
This is a warrant for the bullet once it's removed.
- You're out of luck. He declined the procedure.
And by law, the state can't force him to have it.
True, but Aaron's a minor.
ID he's been using to get a job, rent an apartment,
it's fake.
Turns out, a few months ago,
he ran away from his latest foster family.
Been pretending to be of age to cover his trail.
Aaron's DCFS paperwork.
He's only 17, so yes, the state can compel surgery,
and we'd like that bullet in the process.
[tense music]
[whirring]
- Been asking myself how Omar didn't realize
he was moving his whole head instead of just his eyes.
And then I remembered this avalanche victim.
By the time we got there, he had dug himself free.
His hands were jet black with frostbite,
but he didn't realize it until we pointed it out.
- It's crazy, right, how the brain
recognizes problems long before we do
and instinctively compensates?
Image up.
- Oh, okay. Look. Right here.
Wait, Gene, can you-- can you blow that section up?
- Mm-hmm.
So we got microadenoma
pressing against the pituitary gland.
Not that big either, which is probably
why CT didn't pick it up this morning.
- Well, the brain lesion explains Omar's headaches,
but the eye lock?
- Well, you see this sort of diffusion right around here?
I'm pretty sure that's a bleed,
which would definitely, you know,
put pressure on the cranial nerves
and could cause a lock.
- Omar's headaches started almost three years ago.
Eye lock only set in 30 minutes ago,
which means the bleed had to have started just before then.
- I think it might've happened this morning
when I was first talking to him.
- The BP spike? - Yeah.
A jolt of hypertension like that,
it'd absolutely trigger a bleed.
So the lesion is the root
of all of Omar's issues.
How do we fix it?
- Well, we don't. Neurosurgery does.
So there's a slowness
to Jodie's thought process that's evident,
but she grasped that she's ill,
that there's a tumor present,
that we recommend it be resected,
and the consequences if she doesn't have surgery.
Okay, four for four.
Sounds like she's capable of giving consent.
So I'll get it, and then I'll get her up to the OR.
Okay.
- The hospital's new AI pegged Jodie as a drug-seeker.
We almost let her walk because of an algorithm.
Opiates are a problem.
I get building tools to help solve it.
- Yeah, except patients are falling through the cracks.
Well, luckily, not today.
No...
but I'm worried about tomorrow.
I mean, it's a warrant.
- Do we even have a move? - Well, perhaps.
Legally, Med only has to operate
if Aaron's life is at stake, so is it?
- BP's in the toilet. He's still bleeding.
Without surgery, it only gets worse.
- Okay, there's no projectile to hand over
if it never comes out, so, Dr. Marcel,
is there a way to operate and stop Aaron's bleeding
without removing the bullet?
- That's what I've been debating.
The bullet is in a terrible position,
right on the neck of the pancreas.
All the damage is-- it's directly below it.
So it's gotta come out, then.
I didn't say that.
Well, I'm confused.
How do you get to the damaged area of the pancreas
if the bullet's in the way?
- I'm just gonna have to slip in around it.
.
- I am all for helping to curb opiate abuse,
but this OpioHealth AI is flawed.
The program has bugs, and Med shouldn't use it.
- Look, analytics that help identify
a patient's risk for misusing opioids protect our liability.
This is a program Med should absolutely be using.
- Liability is the driving force?
What about patient care?
- You know that's not what I'm saying.
Plus, OpioHealth, it's not meant
to supplant a doctor's diagnosis.
- But it does! It sows seeds of distrust.
My patient today, the scrips in her file,
the ones that got her red-flagged,
they were for her aging cat.
Veterinarian put it in her name.
- And I'm sorry about that, but if you look hard enough
into any AI program, you are gonna find outlier cases.
- The night shift had a patient a few weeks ago
who got flagged for filling scrips in multiple states.
Turns out he was a pilot.
His pharmacies depend on what route he's flying.
- Yes, there are some growing pains,
but algorithms are not the enemy.
They can help predict which patient
is most likely to benefit from a particular treatment,
estimate ICU probabilities,
whether a patient's gonna deteriorate or die
- after being discharged. - Peter, we get it.
You're a believer.
But Dr. Asher's problem is less with AI
and more with this specific program.
And frankly, I share her concerns.
As soon as the board approved testing OpioHealth,
I reached out to the parent company
for clarity on how they amass and interpret their data.
They have yet to share any information,
and they claim that it would infringe
upon their proprietary algorithm.
Look.
If OpioHealth isn't comfortable
sharing how their program works,
I'm just not comfortable using it.
And given the growing number of errant cases,
I'm going to petition the board
to remove the program hospital-wide.
- You're gonna be picking a fight,
and not just with the board but with Jack Dayton.
- Eh, so be it. - Okay.
[monitor beeping]
- Okay. There's the papilla. Gonna cannulate.
Moving into the pancreatic duct.
- 2.0, visualize the neck of the pancreas.
Loading.
- Clear view of the bullet. It's right on the duct.
- Uh-huh.
Slipping around it.
Okay. Deploy the stent.
Looking good.
The bullet is fully excluded by the stent.
It is no longer eroding into the duct.
Yeah.
That should stop the bleed.
Okay.
- Hey, Omar. How you feeling?
- Uh, my eyes are moving. [laughs softly]
My, uh--my headache's gone, so that's a win.
I'm pretty--pretty embarrassed over my comedy of errors.
Don't be.
Stuff like this happens, you know?
- Oh, anyway, I promise, this is--
this is never gonna happen again.
I'm gonna rehab my legs.
I'm gonna get on a new diet.
And I'm gonna add yoga, meditation.
I'm gonna add a new sleep regimen.
- Easy, Omar. You know what they say.
Mountains have a way of dealing with overconfidence.
Get better first.
Then I'll see you at the gym.
[soft music]
- "Mountains have a way of dealing with overconfidence."
You know, I kind of like that.
I am no mountain climber and I cannot see
any rock walls in my future, so I guess I'm wondering,
if I were to kind of use that every now and then,
would that be considered stolen valor?
Not in my book.
Applies to everybody.
* *
Ah, there she is.
Pit bull.
I heard you stuck it to legal while I was in surgery.
- [chuckles] - Nice.
Goodbye, OpioHealth.
But that's only here at Med.
Program's still in hospitals all over the country.
You know, a lot of other patients
could be unfairly labeled.
Might even be me one day.
Oh...
- Entered my name into the system.
Yeah?
- Was immediately red-flagged.
So it doesn't...
doesn't matter how long I've been sober.
That algorithm has branded me forever.
[tense music]
* *
- The capabilities are endless.
- I'm telling you. - Yeah.
Give me ten minutes to change up.
- And I'll meet you in post-op. - Yeah.
- Hey. - Hey.
You two saved Aaron's life today,
in more ways than one.
Nine years of R&D.
Never imagined that 2.0 could be used as a tool for medicine
and social justice.
It's a good day.
[light knocking]
Hey, Dean.
- Rumor is that you keep a bottle in your desk drawer.
- Who told you that? - [chuckles]
- Shut the door. - [laughs]
[glasses clinking]
So, uh...
Sean's being paroled tomorrow.
- That's great. - Yeah...
- Isn't it? - Yeah.
Yeah, I just--I just want him to have a fair shot.
That's all.
Well, why wouldn't he?
Eh, you know, these days,
we're all just, uh, data points for AI to analyze, you know?
This patient of mine today,
she was just defined by her--
her prescription history, right?
And tomorrow, someone could be defined
by their medical records, you know,
their banking information, their...
their criminal background, right?
It's supposed to be, work hard enough,
you can be anything you want,
but if Sean gets out, he's just a--
a rating some computer program spits out.
I mean, all I can say is,
in my book, character counts, you know?
I can't believe I'm the only one who still thinks that way.
- Well, sure hope not. [chuckles]
[soft music]
* *
- There you are. - Hey.
So PD arrested someone
in connection with the robbery-homicide.
Aaron's not their prime suspect anymore.
Yeah, I spoke to Kevin.
Said he's gonna be cleared.
Heading towards a happy ending.
Thankfully.
And despite the truth, Aaron almost lost everything.
Mm.
Mags, you okay?
Ben and I are separated.
And I don't know if we're on a path
to getting back together or...
Divorce.
Oh, Mags.
I'm so sorry.
I love Ben with all my heart,
and despite that truth, I...
I might lose everything.
[somber music]
* *
[buzzer blares]
- I was thinking about our talk yesterday,
about what's next.
Yes.
Yes to school. Yes to a job.
Yes to everything.
I want to do it right this time, Dad.
Will you help me?
Yeah.
Us against the world, son.
Us against the world.
[hopeful music]
* *
.
[dramatic music]
* *
[wolf howls]