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NovaStream
  • 18 hours ago
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00:00If you're experiencing domestic violence, reach out.
00:09Ask for help.
00:10I'm fine.
00:10It was just a mix-up.
00:12Thank you for saving her life.
00:13I know how much attention you paid to her.
00:15Well, I wish I could have done more.
00:18I saw a buildup of fluid in the abdomen.
00:21You think I have stomach cancer?
00:22We have a baby on the way.
00:24What are we?
00:25We're going to get through this.
00:27John asked me out today.
00:28Why did you say no?
00:30I should have said yes.
00:31I really like John.
00:35There is a tremendous amount of potential in this tech.
00:39You want me to let a machine tell me what's going on with my patient?
00:42We might have gotten off on the wrong foot.
00:44Maybe there is a place for you, Eric Afney.
00:48Hannah!
00:50She's lost too much fun.
00:51Dr. Precious John.
00:52Bleeding out.
00:52Dr. Wolfe!
00:54She's hemorrhaging.
00:55Jeremy Lockhart, 32-year-old male with gastric adenocarcinoma.
01:14Complaining of severe abdominal pain, persistent vomiting, and hematemesis.
01:17Started a liter of normal saline in the AMBO.
01:20Heart rate's 140.
01:20BP's 150.
01:21Number 72.
01:22This is his wife, Esme.
01:24When did he start to vomit?
01:25Around 2 a.m.
01:26I called 911 as soon as I saw blood.
01:28So you're under the care of Dr. Kingston.
01:30Surgical oncology, thanks.
01:31Yes, that's right.
01:33All right, everybody.
01:34On my count.
01:34Ready?
01:35One, two, three.
01:36All right, let's start with four of Zofran and 50 of Fentanyl.
01:41On it.
01:42Uh, Jeremy's on a chemo regimen of 5-flora uracil and cisplatin.
01:46Just finished his last cycle on Friday.
01:48Everything was going smoothly until last night.
01:50Yeah, I've actually tolerated this combo way better than the last one.
01:53Esme?
01:55Jeremy.
01:56Dr. Asher.
01:57You all know each other?
01:58Yeah, long story short, Dr. Asher's been my own personal guardian angel.
02:02How are you holding up?
02:03I've been better, but so long as the chemo keeps doing its job, I can take it.
02:09Let's go to full set of labs and type and cross two and two and an abdominal CT.
02:15Thanks.
02:16I'll call Dr. Kingston.
02:17Let her know you're here.
02:18Can I get you anything Esme?
02:19A cup of tea?
02:20All right.
02:21Okay.
02:21I'll check back soon.
02:22Thanks.
02:31Dr. Charles?
02:32Got a minute?
02:34Yeah.
02:35Patient in four, Angelica Larson.
02:37She broke her ankle during a gymnastics competition in the middle of her beam routine.
02:41Said she got dizzy, couldn't see straight.
02:44Hate it when that happens.
02:45Yeah.
02:45I ran a full workup of all the usual suspects.
02:49Everything came back normal.
02:50But you think there's a psych issue?
02:52Angelica has been on this new anti-anxiety medication the past year.
02:56It's Bomaline.
02:57Oh, I've heard of it.
02:58I mean, it's supposed to be a good drug, but isn't it still in trials?
03:01It is.
03:02Angelica was a phase two participant.
03:04And she was allowed to continue on the drug after her trial ended, under the supervision
03:08of one of the study's co-PIs, Dr. Theo Rabari.
03:12I know Theo.
03:14He's actually, he's here at med.
03:15He's doing some research.
03:16I invited him.
03:17Yeah.
03:18Well, that's why her mom brought her into med.
03:20They were concerned she might be experiencing some new side effects.
03:22Okay.
03:23I'll loop him in.
03:24Thanks.
03:31Hey, Novak.
03:33Wow.
03:33It's really coming down up there, huh?
03:35Oh, it must be nice to be holed up at Club Med on a day like this in your warm pajamas.
03:39Can't lie, it is pretty snug.
03:42You hit up a rave last night?
03:44That is from one of my patients.
03:46Yeah, she's a gymnast, so that apparently means a lot of sparkles.
03:50Sure, sure.
03:51Do I look like a rave or two?
03:54I mean, there was that rumor you're on meth, so.
03:58What?
03:59Nothing.
04:00Yeah, you'll be shocked to find that I'm not, so.
04:03Good.
04:03Yeah, I'd hate to see you mess up those veneers.
04:06Why do you think I have veneers?
04:07I don't know, I thought everyone in Hollywood had them.
04:10It's all natural now.
04:12But my ass, on the other hand, that's BBL all the way.
04:16Doc did good work.
04:18I should go.
04:18Can I maybe grab your number?
04:21Do you have a pen?
04:24Pen?
04:25It's very old school.
04:26I could...
04:29Go.
04:39Didn't think it would be that easy, did you?
04:41East Mercy's dealing with some flooding in their ED, and their ambulances are going to
04:48be diverted to us and Lakeshore Memorial.
04:51Lucky us.
04:53Our latest shipment of IV fluids is delayed.
04:55We got one CT down, and construction and treatment seven hit yet another snag.
05:01Do you have any good news to share?
05:03No, not really.
05:03Have we resorted to medieval torture?
05:07What's going on in there?
05:08Some kind of electrical injury?
05:10What happened?
05:14He was working on a downed power line, and it tripped his defibrillator, and now keeps
05:17shocking him.
05:18Okay, Dr. Ripley, the magnet isn't disabling the defibrillator.
05:21The escar from the burn's preventing it from working.
05:23His pressure's dropping.
05:24Call cardiology.
05:25We need their CID programmer.
05:27There's no time.
05:28His heart can't take much more of this.
05:29The next arrhythmia could kill him.
05:30Who are you?
05:31Lina Martinez, third-year medical student.
05:33That's great.
05:34Please move.
05:34Excuse me.
05:35Now, give me 10 cc's of 1% lidocaine.
05:38What are you thinking?
05:39Here's a lido.
05:40Dr. Lennox?
05:42And a scalpel.
05:43You want to fill me in on...
05:46Whoa, whoa, whoa.
05:46What are you doing?
05:54I got it.
05:57Are you okay?
06:01I'm fine.
06:03Put pressure on the wound.
06:05Now you can call cardiology.
06:12Don't ever do that.
06:24Hey.
06:27You okay?
06:29Is your hand all right?
06:30I'm awake now.
06:32Don't need that second cup of coffee.
06:34You know, I could have helped
06:35if you let me know what you were thinking.
06:37Well, I didn't have time to stop and explain.
06:40I thought that was obvious.
06:45Is it just me,
06:47or does she seem like a completely different person lately?
06:50I kind of dig it.
06:51I can't believe I'm going to say this,
06:54but I kind of miss the old Lennox.
06:58Hey, Betsy.
07:00This is Dr. Charles,
07:01our chief psychiatrist here at Gaffney.
07:03Hi, Betsy.
07:04How are you feeling?
07:06Did Dr. Asher bring you in
07:08to convince me to go back on my narcolepsy meds?
07:11She did not.
07:12She just told me that you had recently found out
07:14that you were pregnant and had some concerns.
07:17It just feels like no one can tell me definitively
07:19if there's any medications
07:20that won't pose a risk to the baby,
07:22even Dr. Asher.
07:23No offense.
07:24None taken.
07:25Unfortunately, there just haven't been
07:27enough narcolepsy studies
07:28on the pregnant population that's speaking absolutes.
07:31Exactly.
07:32Which is why I would really like to refer you
07:35to a fabulous colleague of mine
07:37who specializes in sleep disorders
07:41and maternal health.
07:42That would be amazing.
07:44No one I've met with has much experience with both,
07:47and...
07:48and they don't...
07:51they don't want to...
07:55Oh, man.
07:59I wish I could fall asleep like that.
08:01Me too.
08:02Well, you got the insomnia pregnancy thing happening?
08:10Yeah.
08:11Yeah.
08:11When I do finally fall asleep,
08:13it's, um...
08:15not exactly restful.
08:17I know.
08:18I can relate.
08:20You are pregnant, too?
08:22Unfortunately not,
08:23but I swear to God,
08:24I feel like I've been tossing and turning for years.
08:27You know,
08:28I thought you look a little...
08:30Like crap.
08:31I was...
08:32That's okay.
08:32...gonna be a little tired.
08:35Yo, Rip.
08:36Hey.
08:37Just so you know,
08:37I'm checking out our new sublet tomorrow.
08:39I might end up in a bag
08:40at the bottom of the Chicago River,
08:41but I'll be out of your hair.
08:44What's the hurry?
08:45I just figured since you and Sadie called it quits,
08:47you might need your space back.
08:49No, I mean,
08:49there's really no rush.
08:52The company's kind of nice, to be honest.
08:54You sure about that?
08:55Yeah.
08:55Oh, good.
08:56I was hoping you'd say that
08:57because that mattress in your guest room,
08:58I have not slept this good in years.
09:00Thank you so much.
09:02Yeah.
09:04How are you holding up?
09:05I miss Sadie and Amelia a lot,
09:08but, um,
09:10Sadie was right then things.
09:11I'm starting to see that now.
09:14Dr. Ripley, you're up.
09:15Ambul's two minutes out.
09:16On my way.
09:21It wasn't even the most difficult part of my routine.
09:24I was just doing a pivot turn
09:25into an arabesque when I fell off the beam.
09:28This is going to set me back months.
09:31So much for my big comeback.
09:33Comeback?
09:34I insisted Angelica take a break from gymnastics for a while.
09:38Which I'm struggling to make up for.
09:39It was taking a toll on her body,
09:41but actually I was more worried about her mind.
09:44Mom.
09:45So the dizziness blurred vision,
09:47when did that start?
09:4924 hours ago?
09:50I guess it was more like a week.
09:54Could this be a side effect of the pomaline?
09:57Well, it's possible.
09:58Highly unlikely.
09:59Sorry to interrupt, Dr. Charles.
10:01We've just had very few documented side effects
10:03with pomaline,
10:04really just fatigue and dry mouth.
10:06Have you been taking the medication
10:07at the same time every day?
10:09I take it right after breakfast every morning.
10:11Okay.
10:12Well, seems like you're right on top of it.
10:15Well, forgive me,
10:16because I'm like Dr. Charles.
10:18I have very limited gymnastics knowledge.
10:21But I wonder if this could be the same condition
10:23that Simone Biles had.
10:25The twisties?
10:27That happens more when you're midair
10:28doing things like flips and dismounts.
10:30How about before the competition?
10:32You experience any nerves or anything?
10:35Not really.
10:36I was feeling pretty chill.
10:38That's great, Angelica.
10:40I know that wasn't always the case before a pomaline.
10:42Well, look, this is all really helpful.
10:45Dr. Abari and I are going to go compare notes
10:47and then get back to you soon with a plan, okay?
10:53An MRI will rule out
10:55any neurological or vestibular causes.
10:57We should absolutely do that.
10:59But?
11:00But if it comes back clean,
11:02we should probably think about ramping her down
11:04and off the bumbling, right?
11:06See if her symptoms subside.
11:08But hey, look,
11:09I completely understand what's at stake here.
11:11We don't want an emerging negative side effect
11:13to blow back on your published findings.
11:16Well, this isn't about what is best for me
11:18or the study.
11:19This is about what is best for Angelica.
11:22She's finally got her life back,
11:24and I would hate to do anything to disrupt that
11:26unless absolutely necessary.
11:28Understood.
11:29How about this?
11:30How about we see what the MRI says
11:32and go from there?
11:34Plan.
11:38Sounds good.
11:44Jeremy's CT scan shows that his tumor
11:46isn't responding to the new chemo.
11:49Well, that doesn't sound good.
11:50So he switches to a different chemo, right?
11:53Uh, no, I'm afraid not.
11:55What?
11:55Why?
11:57Well, further chemo
11:58wouldn't yield any meaningful improvement.
12:01What about a clinical trial or surgery?
12:04Any aggressive treatment
12:06won't change the progression of your disease.
12:09So this is it?
12:11I'm so sorry, Jeremy.
12:15How long do I have?
12:17A matter of weeks, maybe a month.
12:21That's not enough time to meet our baby.
12:23It's okay, honey.
12:28It's okay.
12:31It's okay.
12:39I should be the one comforting him right now.
12:45Hey, you just got the worst news of your life.
12:48You were allowed to fall apart.
12:49Jeremy, is there any way I can be induced early
12:52without jeopardizing the baby's health?
12:54I'll be 31 weeks on Friday.
12:56That's me.
12:57The earliest we could possibly induce you is 39 weeks.
13:01Any sooner would pose risk to the baby and to you.
13:04I know Dr. Kingston said further treatment was futile,
13:11but is there any way we can buy Jeremy a little more time?
13:16Being a family, even just for a moment,
13:19would mean everything to us.
13:26Hey, Sean.
13:28Hey.
13:29Hi.
13:29Good to see you.
13:30Thanks for coming by.
13:31Of course, I always do when I'm in town.
13:34Plus, you said you had some news,
13:36so I didn't want to miss that.
13:37Oh, yeah?
13:38Why's that?
13:39Well, since you always downplay everything as a rule,
13:42I figured it must be big, so...
13:44out with it.
13:49Wait.
13:51Are you sick?
13:52No, no.
13:53I'm fine.
13:56Hannah and I are having a baby.
13:57Are you serious?
14:08Yeah.
14:10And, no, we're not dating.
14:12And, yes, it was just a one-time thing.
14:14And, yes, we're gonna be co-parenting.
14:17Um...
14:22Oh, wow.
14:24More importantly, I just want you to know that, um...
14:27I'm not gonna let having this child
14:31get in the way of our relationship.
14:33Dad.
14:34I'm 39 years old.
14:37I don't feel threatened or replaced.
14:39Okay?
14:39I'm just glad this is happening before I have kids.
14:43Why's that?
14:45Can you imagine having an aunt or an uncle
14:47younger than you?
14:49Smart Alec.
14:54Thanks.
14:56Congratulations, Dad.
14:57Thank you, son.
15:00Thank you, son.
15:19Theo!
15:21Can I get a word, bud?
15:22Yeah.
15:24Angelica's IV site was occluded,
15:26so I flushed it.
15:27Buddy, it's all good.
15:28I've just never seen you.
15:29I didn't know that you were
15:31interested in doing the hands-on stuff.
15:33That's all.
15:34Yeah.
15:34I guess being here
15:36has made me realize
15:38how much I miss the face time of patients.
15:40Look,
15:41anytime you want to shadow me
15:43here in the ED,
15:44you're more than welcome.
15:45Oh, yeah?
15:45That'd be great.
15:46Yeah, man.
15:47Text me.
15:47We'll set it up.
15:48Okay.
15:49Hey, Angelica's ready to head up her MRI.
15:52Do you know where her mom is?
15:54Uh, Terry went up to get a coffee.
15:56Um, I'll go see if we can find her.
15:57Bring her up.
15:57Thanks.
15:59Is everything okay?
16:04Yeah.
16:05Yeah, yeah, yeah.
16:06Um, do me a favor.
16:08Can you get that MRI back?
16:10Just call me first.
16:11Sure.
16:12Yeah.
16:15Hey, I was visiting your cousin.
16:18Boston was a blast.
16:20We actually spent time outside
16:21in the dead of winter.
16:22Yeah, damn that Chicago winter, huh?
16:25Need a tattoo?
16:25Uh, it's, uh, can't seem to get that number right, you know?
16:31Novak wrote it when Dr. Frost asked for her number.
16:34It was adorkable.
16:36So, the rumors are true.
16:38Congrats.
16:39It's not like a thing.
16:41Uh, yet.
16:42I didn't actually get her number, Casey.
16:46Something tells me you will.
16:47Oh, I think it's adorkable.
16:52Oh.
16:53Uh-uh.
16:54Well, well, well.
16:56Looks like you're in a classic love triangle.
16:59For the love of God, please stop.
17:01Oh.
17:02Have you ever decided to make that triangle square?
17:05Give me a call.
17:06Yeah.
17:11The procedure is called a cytoreduction with HIPEC.
17:14Once we remove all visible signs of the tumor,
17:16we'd insert a catheter-containing chemotherapy
17:19into the abdominal cavity.
17:20The catheter is attached to a perfusion machine,
17:23which heats the chemo.
17:24Why is it heated?
17:25Well, there's evidence that hot chemo
17:28increases its ability to penetrate and kill cancer cells.
17:30It will immediately target any of the micrometastases
17:32that we can't see.
17:33And this could buy me enough time to meet my daughter?
17:36If you survive the surgery, potentially.
17:39But as I said to Dr. Asher
17:40when she presented me with this idea,
17:42your PCI score and your significant comorbidities
17:46make this a tremendously risky proposition.
17:50What are the chances he won't survive?
17:52Doesn't matter.
17:54Either way, I'm gonna die.
17:55But you need to understand
17:56that your post-surgery quality of life
17:58will be bleak at best.
18:00You'll be bedridden, you'll have a colostomy bag.
18:03What would you do in my position?
18:08If it meant that I could meet my baby,
18:11I'd roll the dice,
18:14fight for more life.
18:18That's all I want.
18:21I don't know, Jeremy.
18:22I don't want you to be in pain.
18:23Hey, I can handle the pain.
18:24But this is one of those, um...
18:28those situations.
18:29What do you always call it?
18:30A nuclear submarine situation.
18:34It takes two keys to launch.
18:43Then let's do it.
18:45Well, I don't have to tell you
18:46that time is of the essence,
18:48so I'd like to schedule your surgery for today.
18:50I am ready when you are.
18:52All right, we'll book an OR,
18:53and we'll get you prepped.
18:59Dr. Lennox?
19:01Your stores asked me to get a history
19:02on the John Doe in treatment six.
19:05Who are you?
19:06We met this morning.
19:07Elena Martinez,
19:08third year medical student.
19:09Seriously?
19:13You asked me to move?
19:14Right.
19:15Yes, sorry.
19:16Please continue.
19:17So I tried to take a history,
19:19but the patient won't wake up.
19:21Maybe he's dead.
19:23I can tell when a patient is dead.
19:25Are you sure?
19:27Yeah, patients generally
19:28stop breathing after death.
19:29This guy's still kicking,
19:30just very intoxicated.
19:32What's his what alcohol?
19:330.275.
19:34No wonder he's passed out.
19:36Who brought him in?
19:38Paramedics.
19:38He's got a laceration
19:39along his left forearm
19:40and bruising on the right knuckle.
19:42They find him at the bar?
19:43He was actually at the drugstore.
19:44Pharmacists noticed him stumbling
19:45and slurring his words.
19:49Dr. Lennox?
19:51His name is Devin Carter.
19:53So you know him?
19:55He and his wife, Faye,
19:56were in the ED last month.
20:02Tell a nurse to hang a liter of saline,
20:04and we'll deal with his injuries
20:05when he sobers up.
20:06I can stitch him up.
20:07Don't touch him.
20:08Just come find me
20:09when he's awake.
20:19You okay?
20:21Oh.
20:23Yeah.
20:23Just...
20:24Taking a moment
20:26before I send a patient
20:27off to surgery.
20:29Tough case?
20:30Yeah, it is.
20:32Clearly the hormones are raging.
20:34Hey, did you ever tell John
20:41how you feel?
20:43Um, no.
20:46Cold feet?
20:48Epic bad timing.
20:51He moved on to Novak pretty fast.
20:54I'm sorry.
20:54Wait, they're dating?
20:55They're circling each other.
20:58Okay.
20:59So, make a move.
21:02Make a move?
21:03He asked me out,
21:04and I said I don't date coworkers.
21:06I don't want to give the poor guy whiplash.
21:08Okay, well, I mean,
21:09if John and Novak were an official couple,
21:11I'd agree with you,
21:13but it doesn't sound like that's the case.
21:16So, tell John how you feel.
21:20Just put it out there.
21:22I'm not comfortable with that.
21:27Okay.
21:28Fair enough.
21:31I just, I think that we need to do the things
21:33that make us happy
21:34while we still have the time.
21:38Your case is a tough one, huh?
21:42I'm sorry.
21:48His blood alcohol is 0.275,
21:50and his injuries could be defensive wounds.
21:52Maybe he got into it with Faye
21:54and she tried to fight back.
21:55Which means she could be much worse off
21:57than him right now.
21:58Okay.
21:59Let me see what I can find out.
22:06Hey.
22:08Angelica's MRI is completely normal.
22:10Phew.
22:11Why am I completely unsurprised?
22:13Well, I let Dr. Rabari know
22:14and get this.
22:15He asked me to order a serum retinol test.
22:17What?
22:18Heading in from a clean MRI
22:20to a light of an A test.
22:22No clue.
22:25Look, I hope I'm not speaking out of turn,
22:27but Dr. Rabari is reaching.
22:30It's like he's trying to find
22:31any other cause for Angelica's symptoms
22:32other than the melmaline.
22:34Tell me about it.
22:37Wreck hockey, huh?
22:39Yeah.
22:40A guy came out of nowhere,
22:42checked me against the boards,
22:43and then I, uh,
22:45I hit my head
22:45against the glass,
22:46went down,
22:47and then the moron
22:48skated over my arm.
22:50Ow.
22:51Ouch.
22:52On purpose?
22:53No.
22:53Accidents happen.
22:56I punched you guys.
23:00Can you make a fist for me?
23:04Now release
23:05and, uh,
23:05wiggle your fingers.
23:07Mm-hmm.
23:07Okay.
23:08Well, I don't think anything's broken.
23:10That's a relief.
23:12So, uh,
23:13when they brought you in,
23:14you were, uh,
23:14passed out.
23:16What happened there?
23:18I, uh,
23:19I was hurting pretty bad
23:20after the game,
23:21and I thought I could drink it off,
23:23but obviously I went a little too hard.
23:25How'd you end up at a pharmacy?
23:27I got it in my head
23:28that I could fix myself up
23:30with some Neosporin
23:31and an Ace bandage.
23:32Right.
23:34Well,
23:35it's gonna take
23:36a little more than that.
23:37You, uh,
23:37you need stitches.
23:39Yeah, sure.
23:40You want to give Faye a call?
23:44Huh.
23:45Good memory.
23:49Uh,
23:50you know,
23:50she's actually out of town
23:51visiting her dad,
23:53and I don't think
23:54she'd be too happy about this,
23:56so...
23:57Yeah, yeah,
23:58I hear you.
23:58Well, uh,
23:59just sit tight,
24:00and, uh,
24:01I'll be back soon
24:02to stitch you up
24:03and get you some pain meds,
24:04okay?
24:06He's lying.
24:07Agreed,
24:08but how do we prove it?
24:14Let's call Faye.
24:15It is back.
24:45Good idea.
24:46Do you have a better one?
24:47Yeah, we call CPD,
24:48ask him to do a welfare check.
24:50Devin and Faye live in the burbs
24:51outside of CPD's jurisdiction,
24:52and with the storm outside,
24:54the local police are gonna be swamped,
24:55and this won't be a priority.
24:58Dr. Ripley,
24:59Ambles two minutes out,
25:00single MVC,
25:01you're on deck.
25:02Hold on a sec.
25:02Just keep Devin here
25:03until I'm back.
25:08Hey there.
25:09Dr. Frost told me
25:11that you ordered
25:12a serum retinol test
25:13for Angelica.
25:14Yes.
25:15I had a hunch.
25:16Results are back.
25:20Whoa.
25:21240.
25:22That is a toxic level
25:24of vitamin A,
25:25explains the dizziness
25:26in the blurred vision.
25:28Seems like we found
25:29our culprit.
25:30Yeah.
25:31And I wasn't bumbling
25:32after all.
25:33What do you know?
25:33Is there a problem?
25:36No.
25:37Not at all.
25:38I mean, good catch.
25:40Vitamin A toxicity,
25:41pretty rare.
25:42I mean, certainly
25:43wouldn't have been
25:44my first guess,
25:45I can tell you that much.
25:46Wasn't my first guess either.
25:48Wouldn't have been
25:48my tenth guess.
25:49How'd you get there?
25:51When I saw Angelica
25:52with her hair down,
25:52I noticed it was
25:53a lot thinner
25:54than I remembered.
25:56And she confirmed
25:57that it was falling
25:57out in the shower lately, so.
25:59So you went into a room
26:02to flush your IV
26:03while her mom was
26:04out getting coffee?
26:06What are you getting at,
26:07Dr. Charles?
26:08Well, it's just
26:08a little curious.
26:09You know, you order
26:10a targeted lab
26:11for a very common substance
26:13that conveniently covers
26:14all of Angelica's symptoms
26:15and exonerates bowling
26:17for your trial
26:18in the process?
26:19You can't be serious.
26:21You think I would dose
26:22a patient to protect
26:24the results of a study?
26:26Isn't the more likely
26:27explanation that Angelica
26:29or Terry are hiding
26:30something from us?
26:31You know what?
26:32I'd like to think
26:32I'm pretty good
26:33at detecting when people
26:34are concealing things
26:35from me.
26:36Is that right?
26:37Yeah.
26:40Look.
26:42We have the results.
26:43Let's just go and ask
26:44Terry and Angelica
26:45directly.
26:47Fine by me?
26:56Wait.
26:56Wait.
26:57Hey.
27:02I love you.
27:05I love you, too.
27:07So much.
27:10Thanks for not
27:10trying to stop me.
27:12Oh.
27:13Like anyone ever could.
27:16I really outdid it
27:17with the man flu
27:18this time, didn't I?
27:18We're a ridiculous pair,
27:22huh?
27:26Well, I wouldn't have
27:27it any other way.
27:31I'll see you soon,
27:32okay?
27:32I'll see you soon.
27:54That felt like goodbye.
28:13Hey.
28:14You just focus on bringing
28:16that little girl
28:16into the world.
28:17Okay?
28:18Angelica uses a daily
28:31multivitamin, but she's
28:33been on it for years
28:34without an issue.
28:35I showed Dr. Frost
28:36my food log.
28:37Would you share with me
28:38and nothing on the list
28:38would cause vitamin A
28:39toxicity?
28:41Angelica, I know
28:42comebacks, you know,
28:42can be tough.
28:44Take anything for a
28:45shortcut?
28:46Shortcuts?
28:46Yeah.
28:48Sometimes athletes
28:49take things to
28:50enhance their performance.
28:53You mean steroids?
28:54Of course not.
28:56Angelica, you can't be
28:57loose with the truth here.
28:58Your health depends on it.
29:00You think I'd do that?
29:02I think you feel a lot
29:03of pressure to catch
29:03back up with the team.
29:05Gymnasts get disqualified
29:06for taking steroids.
29:08I would never do that,
29:09okay?
29:10I believe you.
29:11Glad somebody does.
29:12The only thing I use to
29:16enhance my performance
29:17is glitter, which is
29:19totally allowed, by the
29:20way.
29:22How often do you use
29:25glitter?
29:26Mostly just on
29:27competition days.
29:28Had a fair amount of
29:29those recently, haven't
29:30you?
29:30She's had qualifying
29:31events every other day
29:32for the past month.
29:34Right.
29:35And do you mind me
29:36asking what kind of
29:37products do you use to
29:38apply the glitter?
29:39Um, so much.
29:42Uh, hair gel, body
29:45butter, eye shadow, lip
29:47gloss.
29:48Do you happen to have
29:49any of those with you
29:50today?
29:51Yeah, in my bag.
30:00Sodium hyaluronate,
30:03rosic oil, shea butter,
30:04retinol, and retinoin.
30:07What's wrong?
30:08Well, retinol is just
30:10another name for vitamin
30:11A, and tretinoin is
30:13actually the strongest
30:14form of it.
30:15Not supposed to be
30:17available for over-the-counter
30:18use.
30:19More than half the
30:20ingredients in these
30:21products contain forms
30:22of vitamin A.
30:23You know, it's unusual
30:24for your body to absorb
30:26enough vitamin A
30:26through the skin to
30:27cause toxicity, but
30:29can happen with
30:31prolonged use of
30:32high-dose topical
30:34retinoids.
30:35I've been literally
30:35poisoning myself with
30:37glitter.
30:37You have, but you
30:40stop using these
30:41products immediately,
30:42your body will clear the
30:43excess vitamin A in a
30:44matter of weeks.
30:46I'm sorry that I
30:48accused you.
30:49I get it.
30:49I went overboard last
30:51year.
30:52And you were right to
30:53make me take a break.
30:55But I'm fine now, okay?
30:57I promise.
30:58Okay.
30:59But your glitter days
31:01are over.
31:01You'd shine plenty without
31:04it.
31:06How did you figure out it
31:08was her glitter?
31:09Oh, it was, um, it was
31:10Dr. Rabari's idea to, uh,
31:12order the serum retinol test.
31:15Just glad that we got to the
31:17bottom of it.
31:21Hey.
31:22Hey.
31:23I'm looking for you.
31:24Here I am.
31:24I just wanted to apologize
31:26for Casey earlier.
31:28She's, uh...
31:29A lot.
31:30I was gonna say
31:31an acquired taste.
31:34Yeah, Casey's gonna be Casey.
31:35Yeah, facts.
31:37Were you good?
31:38Yeah.
31:39Okay, good.
31:40John?
31:43Yeah?
31:44I should have said yes
31:46when you asked me out
31:46the other week.
31:48Oh.
31:49Please, just listen.
31:54I've had feelings for you
31:55for a long time.
31:57I think you knew that
31:58from the start.
31:59But I get in my head.
32:00I overthink things.
32:02I create obstacles
32:03and unrealistic rules
32:04that keep my life
32:05as simple
32:05and as uncomplicated
32:07as possible.
32:07We missed our window
32:12and-and I'm fine with that.
32:16This-this isn't
32:17a declaration of love.
32:19And Novak
32:21is pretty damn great.
32:23Yeah.
32:25Uh-why
32:27say anything now?
32:29No.
32:30Because I needed to.
32:33Thanks.
32:37This tumor's more involved
32:44than the CT alluded.
32:46Give me a little more
32:47counter-traption.
32:48I'm gonna start
32:48to lyse these adhesions.
32:50I hope you don't feel
32:51bulldozed
32:51into presenting
32:52the surgery
32:52to the Lockhart's.
32:54Bulldozed
32:55by two ED dwellers?
32:57Please.
32:57Typical boy.
33:01What's typical?
33:03Well, you
33:03hot shots upstairs
33:04looking down
33:05at us
33:06emergency department
33:07plebs.
33:09I gather
33:10from what you told
33:10Jeremy today
33:11you have kids?
33:13A son.
33:14Sean.
33:15Yeah.
33:16You?
33:17Nope.
33:17Never wanted him.
33:20I don't hear regret
33:21in your voice.
33:22It was the right
33:23choice for me.
33:26Do I hear a but?
33:27You hear an and.
33:29I admire the bond
33:31between parents
33:32and their children.
33:33It is powerful.
33:35You still married?
33:37Uh, no.
33:38It's not for
33:40a long time.
33:43Same.
33:44You single?
33:48I am.
33:50Same.
33:53How do you feel
33:54about music
33:54in the O.R.,
33:55Dr. Archer?
33:56Only if it's
33:57good music.
33:59You know
33:59Cannonball Adderley?
34:01One of the greats.
34:03Hey, Kelly,
34:04start my mix.
34:05Come in.
34:19Hey,
34:20got your text.
34:21Theo,
34:22come on in.
34:22Got a meeting in ten.
34:24I'll be quick.
34:24I promise.
34:26Um,
34:26look,
34:27I, uh,
34:29I owe an apology.
34:30I thought you were
34:32overprotecting your,
34:34your bumbling study,
34:36and I was wrong.
34:37And I'm,
34:37I'm sorry.
34:39You questioned my integrity.
34:41I know.
34:43Is something going on with me?
34:44I, uh,
34:44I don't know what it is.
34:46I'm looking into it,
34:47but it's like affecting my judgment.
34:49You know?
34:49And I just reached
34:50an unfair conclusion.
34:52And again,
34:53I apologize.
34:54If I'm being honest with myself,
34:59maybe I was spinning
35:00the lack of side effects
35:01with Angelica and her mom a bit.
35:03Buddy,
35:03I get it.
35:04Studies are a really big deal.
35:05But Dr. Charles,
35:06I would never sacrifice
35:08a patient's health.
35:09Of course you wouldn't.
35:10I know that.
35:13Not for nothing.
35:14Your vitamin A
35:16glitter glue connection?
35:18That was pretty impressive.
35:20I don't know, man.
35:22Maybe, uh,
35:23maybe we're a team.
35:26Maybe.
35:29Oh, hey.
35:31You know that patient
35:32you asked me to keep an eye on?
35:33Yeah.
35:34Just tried to leave.
35:35It's getting antsy.
35:37Okay, thanks.
35:40Everything okay?
35:43I thought you said
35:44you'd be right back.
35:46Yeah.
35:47Yeah, sorry.
35:48Um,
35:48just waiting on the,
35:50the log jam to clear upstairs
35:51so we can get you
35:52to CT.
35:54CT?
35:55What,
35:55what is that?
35:56Oh, um,
35:57computed tomography scan.
35:58It's an imaging test.
35:59It'll give me a better idea
36:01of the extent of the injuries.
36:02Oh, okay.
36:03And we,
36:04we need that for a cut
36:05on my arm.
36:06Well, you said
36:07you hit your head, right?
36:08On the glass
36:08before you went down?
36:11Yeah.
36:12I,
36:12but I didn't hit it that hard.
36:14Well, still,
36:15it's,
36:15it's concussion protocol.
36:16I,
36:16I get in some pretty big trouble
36:18if it turned out
36:18I get a brain bleed.
36:20Look,
36:21doc,
36:21I,
36:22my head feels fine.
36:24So,
36:25can you help a guy out
36:26and stitch me up
36:28so I can go home?
36:31Tell you what,
36:32as soon as you're back
36:33from CT,
36:34you'll be first on my list.
36:35I promise.
36:41Just hang tight.
36:43You got it.
36:44The tumor has local extension
36:56into the splenic artery.
36:58I'm in the ligature, please.
36:59After that last unit,
37:01base deficit is zero.
37:02Vital stable.
37:03Okay.
37:04Starting to separate
37:05the plane around the artery.
37:08What the hell is that?
37:09What happened?
37:16I'm guessing the storm
37:17knocked the power out.
37:18What about Jeremy?
37:19How will they...
37:19It's okay,
37:20it's okay.
37:20The hospital has backup generators.
37:22They'll kick in any second now.
37:24I'll start bagging.
37:26Get vitals manually.
37:27We have to keep
37:27the graspers completely still.
37:29The slightest shift
37:30could lacerate
37:31the splenic artery.
37:33We're flying blind here.
37:34What the hell
37:34are the generators?
37:35The hospital should have
37:36switched over by now.
37:37Would you please find out
37:38what's going on?
37:39Blood pressure's down
37:4080 over 40.
37:41If you don't do something soon,
37:42Jeremy could die on the table.
37:53May?
38:04May?
38:04It's Dr. Caitlin Lennox
38:06from Chicago Med.
38:09I justines from Chicago Med.
38:13I can't believe it.
38:14What?
38:18I can't believe it.
38:27Bye?
38:29Bye?
38:33Bye?
38:36Bye!
38:39Hey!
38:41Hey!
38:43Hey!
38:45Hey!
38:47Hey!
38:49Hey!
38:51Hey!
39:09Hey!
39:11Hey!
39:25Hey!
39:35Oh, my God!
39:37You okay?
39:39I'm here.
39:41I'm here.
39:43I'm here.
39:45I'm gonna sit you up to help you breathe.
39:47It's gonna hurt, but I'm gonna do it really fast, okay?
39:49One, two, three.
40:01You're okay.
40:03I'm gonna get you out of here.
40:17One second. One second.
40:19Okay.
40:25Come on, come on.
40:27I don't have service down here, so I have to go upstairs and call for help.
40:31Please don't leave me.
40:33I'm not leaving you. I promise.
40:35I'll be right back.
40:37Go, go, go.
40:39I'll be right back.
40:49We got down.
40:51We got down here.
40:53We got down here.
40:55We gotta...
40:57We got down.
40:59Oh, my God.
41:29Oh, my God.
41:59Oh, my God.
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