Chicago Med - Season 11 Episode 07- Double Down
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00:00If you're experiencing domestic violence, reach out.
00:04Ask for help.
00:05I'm fine. It was just a mix-up.
00:07Thank you for saving her life.
00:08I know how much attention you paid to her.
00:10Well, I wish I could have done more.
00:14I saw a buildup of fluid in the abdomen.
00:16You think I have stomach cancer?
00:18We have a baby on the way. Whatever.
00:20We're gonna get through this.
00:22John asked me out today.
00:23Why did you say no?
00:24I should have said yes.
00:26I really like John.
00:30There is a tremendous amount of potential in this tech.
00:34You want me to let a machine tell me what's going on with my patient?
00:37We might have gotten off on the wrong foot.
00:39Maybe there is a place for you here at Gaffney.
00:43Hannah!
00:45She's lost too much blood.
00:46Dr. Precious dropping out.
00:47Bleeding out!
00:47Oh, glow!
00:48Dr. Precious!
00:49She's hemorrhaging!
00:50Jeremy Lockhart, 32-year-old male with gastric adenocarcinoma, complaining of severe abdominal pain, persistent vomiting, and hematemesis.
01:13Start a liter of normal saline in the Ambo. Heart rate's 140, BP's 115, or 72.
01:17This is his wife, Esme.
01:19When did he start to vomit?
01:20Around 2 a.m. I called 911 as soon as I saw blood.
01:23So you're under the care of Dr. Kingston, surgical oncology, thanks.
01:26Yes, that's right.
01:28All right, everybody. On my count. Ready? One, two, three.
01:33All right, let's start with four of Zofran, 50 of Fentanyl.
01:36On it?
01:37Uh, Jeremy's on a chemo regimen of 5-flora uracil and cisplatin. Just finished his last cycle on Friday. Everything was going smoothly until last night.
01:45Yeah, I've actually tolerated this combo way better than the last one.
01:48Has me?
01:50Jeremy.
01:51Dr. Asher.
01:52You all know each other?
01:53Yeah, long story short, Dr. Asher's been my own personal guardian angel.
01:57How are you holding up?
01:59I've been better, but so long as the chemo keeps doing its job, I can take it.
02:02Let's go to Fulcital Labs and type and cross two and two and an abdominal CT.
02:10Thanks. I'll call Dr. Kingston. Let her know you're here.
02:13Can I get you anything? Ask me a cup of tea.
02:15All right.
02:16Okay. I'll check back soon.
02:17Thanks.
02:26Dr. Charles, you got a minute?
02:29Yeah.
02:29Patient in four, Angelica Larson. She broke her ankle during a gymnastics competition. In the middle of her beam routine, said she got dizzy, couldn't see straight.
02:39Hate it when that happens.
02:40Yeah. I ran a full workup of all the usual suspects. Everything came back normal.
02:45But you think there's a psych issue?
02:47Angelica has been on this new anti-anxiety medication the past year. It's Bomaline.
02:51Oh, I've heard of it. I mean, it's supposed to be a good drug, but isn't it still in trials?
02:56It is. Angelica was a phase two participant. And she was allowed to continue on the drug after her trial ended, under the supervision of one of the study's co-PIs, Dr. Theo Rabari.
03:08I know Theo. He's actually, he's here at med. He's doing some research. I invited him.
03:12Yeah. Well, that's why her mom brought her into med. They were concerned she might be experiencing some new side effects.
03:18Okay. I'll look them in.
03:19Thanks.
03:26Hey, Novak. Wow. It's really coming down up there, huh?
03:30Ah, must be nice to be holed up at club med on a day like this in your warm pajamas.
03:34Can't lie, it is pretty snug.
03:37You hit up a rave last night?
03:38Ah, that is from one of my patients. Yeah, she's a gymnast, so that apparently means a lot of sparkles.
03:45Sure, sure.
03:48Do I look like a rave or to you?
03:49I mean, there was that rumor you're on meth, so.
03:53What?
03:54Nothing. Yeah, you'll be shocked to find that I'm not, so.
03:58Good. Yeah, I'd hate to see you mess up those veneers.
04:01Why do you think I have veneers?
04:02I don't know. I thought everyone in Hollywood had them.
04:05It's all natural now.
04:07But my ass, on the other hand, that's, that's BBL all the way.
04:11Doc did good work.
04:13Um, I should go.
04:13Can I let me grab your number?
04:17Do you have a pen?
04:19Pen? It's very old school.
04:21I like it.
04:24Here we go.
04:25Didn't think it would be that easy, did you?
04:40East Mercy's dealing with some flooding in their ED, and their ambulances are going to be diverted to us and Lakeshore Memorial.
04:45Fuck yes.
04:46Fuck!
04:47Fuck!
04:47Our latest shipment of IV fluids is delayed. We got one CT down, and construction and treatment seven hit yet another snag.
04:55Do you have any good news to share?
04:57No, not really.
04:58Fuck!
04:59Have we resorted to medieval torture? What's going on in there? Some kind of electrical injury?
05:04Ah!
05:08What happened?
05:08Ah!
05:09He was working on a downed power line, and it tripped his defibrillator, and now it keeps shocking him.
05:13Okay, Dr. Ripley, the magnet isn't disabling the defibrillator. The escar from the burn's preventing it from working.
05:18His pressure's dropping.
05:19Ah!
05:19Call cardiology. We need their CID programmer.
05:22There's no time. His heart can't take much more of this. The next erythmia could kill him.
05:25Who are you?
05:26Lina Martinez, third-year medical student.
05:28That's great. Please move.
05:29Excuse me. Now, give me ten cc's of one percent lidocaine.
05:33What are you thinking?
05:34Here's a lido.
05:35Dr. Lennox?
05:37And a scalpel.
05:38You want to fill me in on...
05:40Whoa, whoa, whoa. What are you doing?
05:49Oh, I got it.
05:51Ah!
05:54Are you okay?
05:56I'm fine.
05:58Put pressure on the wound.
06:00Now you can call cardiology.
06:07Don't ever do that.
06:19Hey. You okay? Is your hand all right?
06:25I'm awake now. Don't need that second cup of coffee.
06:29You know, I could have helped if you'd let me know what you were thinking.
06:32Well, I didn't have time to stop and explain. I thought that was obvious.
06:41Is it just me, or does she seem like a completely different person lately?
06:45I kind of dig it.
06:47I can't believe I'm going to say this, but I kind of miss the old Lennox.
06:54Hey, Betsy. This is Dr. Charles, our chief psychiatrist here at Gaffney.
06:58Hi, Betsy. How are you feeling?
07:01Did Dr. Asher bring you in to convince me to go back on my narcolepsy meds?
07:06She did not.
07:07She just told me that you had recently found out that you were pregnant and had some concerns.
07:11It just feels like no one can tell me definitively if there's any medications that won't pose a risk to the baby, even Dr. Asher.
07:18No offense. None taken.
07:20Unfortunately, there just haven't been enough narcolepsy studies on the pregnant population that speak in absolutes.
07:26Exactly.
07:27Which is why I would really like to refer you to a fabulous colleague of mine who specializes in sleep disorders and maternal health.
07:37That would be amazing.
07:39No one I've met with has much experience with both, and they don't want to.
07:50Oh, man.
07:54I wish I could fall asleep like that.
07:56Me too.
07:57Well, you've got the insomnia pregnancy thing happening?
08:05Yeah.
08:06Yeah.
08:06When I do finally fall asleep, it's, um, not exactly restful.
08:12I know. I can relate.
08:15You are pregnant, too?
08:17Unfortunately not, but I swear to God, I feel like I've been tossing and turning for years.
08:22You know, I thought you look a little...
08:25Like crap.
08:26I was...
08:27That's okay.
08:27...gonna be a little tired.
08:30Yo, Rip.
08:31Hey.
08:32Just so you know, I'm checking out our new sublet tomorrow.
08:34I might end up in a bag at the bottom of the Chicago River, but I'll be out of your hair.
08:39What's the hurry?
08:40I just figured since you and Sadie called it quits, you might need your space back.
08:44Oh, I mean, there's really no rush.
08:47The company's kind of nice, to be honest.
08:49You sure about that?
08:50Yeah.
08:50Oh, good.
08:51I was hoping you'd say that because that mattress in your guest room, I have not slept this good in years.
08:55Thank you so much.
08:57Yeah.
08:59How are you holding up?
09:00I miss Sadie and Amelia a lot.
09:03But, um, Sadie was right to end things.
09:07I'm starting to see that now.
09:09Dr. Ripley, you're up.
09:10Ample's two minutes out.
09:11On my way.
09:14It wasn't even the most difficult part of my routine.
09:19I was just doing a pivot turn into an arabesque when I fell off the beam.
09:23This is going to set me back months.
09:26So much for my big comeback.
09:28Comeback?
09:29I insisted Angelica take a break from gymnastics for a while.
09:33Which I'm struggling to make up for.
09:34It was taking a toll on her body.
09:37But actually, I was more worried about her mind.
09:39Aw.
09:39Um...
09:40So, the dizziness blurred vision.
09:42When did that start?
09:4424 hours ago?
09:47I guess it was more like a week.
09:49Could this be a side effect of the bomoline?
09:52Well, it's possible.
09:53Highly unlikely.
09:54Sorry to interrupt, Dr. Charles.
09:56We've just had very few documented side effects with bomoline.
09:59Really just fatigue and dry mouth.
10:01Have you been taking the medication at the same time every day?
10:04I take it right after breakfast every morning.
10:06Okay.
10:07Well, seems like you're, uh, right on top of it.
10:10Well, forgive me.
10:12Because I'm like Dr. Charles.
10:13I have very limited gymnastics knowledge.
10:15But I wonder if this could be the same condition that Simone Biles had.
10:20The twisties?
10:22That happens more when you're midair doing things like flips and dismounts.
10:25How about before the competition?
10:27You experience any nerves or anything?
10:30Not really.
10:31I was feeling pretty chill.
10:33That's great, Angelica.
10:35I know that wasn't always the case before bomoline.
10:37Well, look, this is all really helpful.
10:39Um, Dr. Abari and I are gonna go compare notes
10:42and then get back to you soon with a plan, okay?
10:48An MRI will rule out any neurological or vestibular causes.
10:52We should absolutely do that.
10:54But?
10:55But if it comes back clean,
10:57we should probably think about ramping her down off the bomoline.
11:01Right?
11:01See if her symptoms subside.
11:03But hey, look, I completely understand what's at stake here.
11:06We don't want an emerging negative side effect
11:08to blow back on your published findings.
11:11Well, this isn't about what is best for me or the study.
11:14This is about what is best for Angelica.
11:17She's finally got her life back
11:19and I would hate to do anything to disrupt that
11:21unless absolutely necessary.
11:23Understood.
11:24How about this?
11:25How about we see what the MRI says
11:27and go from there?
11:30Plan.
11:33Sounds good.
11:33Jeremy's CT scan shows that his tumor
11:41isn't responding to the new chemo.
11:44Well, that doesn't sound good.
11:45So he switches to a different chemo, right?
11:48Uh, no, I'm afraid not.
11:50What?
11:51Why?
11:52Well, further chemo
11:53wouldn't yield any meaningful improvement.
11:55What about a clinical trial or surgery?
11:59Any aggressive treatment
12:01won't change the progression of your disease.
12:04So this is it?
12:06I'm so sorry, Jeremy.
12:10How long do I have?
12:12A matter of weeks, maybe a month.
12:16That's not enough time to meet our baby.
12:20It's okay, honey.
12:23It's okay.
12:24It's okay.
12:34I should be the one comforting him right now.
12:40You just got the worst news of your life.
12:43You were allowed to fall apart.
12:45Is there any way I can be induced early
12:47without jeopardizing the baby's health?
12:49I'll be 31 weeks on Friday.
12:51That's me.
12:52The earliest we could possibly induce you
12:54is 39 weeks.
12:56Any sooner would pose risk to the baby
12:58and to you.
13:01I know Dr. Kingston said
13:03further treatment was futile,
13:06but is there any way
13:08we can buy Jeremy a little more time?
13:11Being a family,
13:12even just for a moment,
13:14would mean everything to us.
13:15Hey, Sean.
13:23Hey.
13:24Hi.
13:24Good to see you.
13:25Thanks for coming by.
13:26Of course.
13:27I always do when I'm in town.
13:29Plus, you said you had some news,
13:31so I didn't want to miss that.
13:32Oh, yeah?
13:33Why's that?
13:34Well, since you always downplay everything as a rule,
13:37I figured it must be big,
13:38so I'm out with it.
13:44Wait.
13:46Are you sick?
13:47No.
13:48No, I'm fine.
13:51Hannah and I are having a baby.
13:52Are you serious?
14:03Yeah.
14:05And no, we're not dating,
14:07and yes, it's just a one-time thing,
14:09and yes, we're gonna be co-parenting.
14:16Um...
14:16Wow.
14:19More importantly,
14:20I just want you to know that, um...
14:22I'm not gonna let
14:24having this child
14:26get in the way of our relationship.
14:28Dad.
14:29I'm 39 years old.
14:31I don't feel threatened or replaced.
14:34Okay.
14:35I'm just glad this is happening
14:36before I have kids.
14:38Why's that?
14:40Can you imagine having an aunt
14:42or an uncle younger than you?
14:44Smart Alec.
14:49Thanks.
14:51Congratulations, Dad.
14:52Thank you, son.
15:14Theo!
15:15Could I get a word, bud?
15:17Yeah.
15:19Angelica's IV site was occluded,
15:21so I flushed it.
15:22Buddy, it's all good.
15:23I just never seen you.
15:24I didn't know that you were
15:26interested in doing the hands-on stuff.
15:28That's all.
15:29Yeah.
15:29I guess being here
15:31has made me realize
15:33how much I miss the FaceTime of patients.
15:35Look,
15:36anytime you want to shadow me
15:38here in the ED,
15:39you're more than welcome.
15:40Oh, yeah?
15:40That'd be great.
15:41Yeah, man.
15:42Text me.
15:42We'll set it up.
15:43Okay.
15:44Hey,
15:45Angelica's ready to head up for MRI.
15:47Do you know where her mom is?
15:49Uh,
15:49Terry went up to get a coffee.
15:51Um,
15:51I'll go see if we can find her.
15:52Bring her up.
15:53Thanks.
15:53Thanks.
15:53Is everything okay?
15:59Yeah.
16:00Yeah, yeah, yeah.
16:01Um,
16:02do me a favor.
16:03You get that MRI pack?
16:05Just call me first.
16:06Sure.
16:08Yeah.
16:10Hey,
16:11how was visiting your cousin?
16:13Boston was a blast.
16:15We actually spent time outside
16:16in the dead of winter.
16:17Yeah,
16:18damn that Chicago winter,
16:19huh?
16:20Any tattoo?
16:20It's, uh,
16:23can't seem to get that number right,
16:25you know?
16:26Novak wrote it
16:27when Dr. Frost asked for her number.
16:30It was adorkable.
16:31So,
16:31the rumors are true.
16:33Congrats.
16:34It's not like a thing.
16:36Uh,
16:37yet.
16:38I didn't actually get her number,
16:40Casey.
16:41Something tells me you will.
16:42I think it's adorkable.
16:47Oh.
16:48Uh-uh.
16:49Well, well, well.
16:51Looks like you're in a classic love triangle.
16:54For the love of God,
16:55please stop.
16:56Oh.
16:57If you ever decide to make that triangle square,
17:00give me a call.
17:02Yeah.
17:06The procedure is called a cytoreduction with HIPEC.
17:09Once we remove all visible signs of the tumor,
17:11we'd insert a catheter-containing chemotherapy
17:14into the abdominal cavity.
17:16The catheter is attached to a perfusion machine,
17:18which heats the chemo.
17:19Why is it heated?
17:20Well,
17:20there's evidence that hot chemo
17:23increases its ability to penetrate
17:24and kill cancer cells.
17:25It will immediately target
17:26any of the micrometastases that we can't see.
17:29And this could buy me enough time
17:30to meet my daughter?
17:31If you survive the surgery,
17:33potentially.
17:34But as I said to Dr. Asher
17:36when she presented me with this idea,
17:38your PCI score
17:39and your significant comorbidities
17:41make this a tremendously risky proposition.
17:45What are the chances he won't survive?
17:47Doesn't matter.
17:49Either way, I'm gonna die.
17:50But you need to understand
17:51that your post-surgery quality of life
17:54will be bleak at best.
17:55You'll be bedridden,
17:56you'll have a colostomy bag.
17:58What would you do in my position?
18:00If it meant I could meet my baby,
18:05I'd roll the dice
18:08and fight for more life.
18:13That's all I want.
18:16I don't know, Jeremy.
18:17I don't want you to be in pain.
18:18Hey, I can handle the pain.
18:20But this is one of those, um,
18:23those situations.
18:24What do you always call it?
18:25A nuclear submarine situation.
18:28It takes two keys to launch.
18:38Then let's do it.
18:40Well, I don't have to tell you
18:41that, uh, time is of the essence,
18:43so I'd like to schedule
18:45your surgery for today.
18:46I am ready when you are.
18:47All right, we'll book an OR
18:48and we'll get you prepped.
18:54Dr. Lennox,
18:56your stores asked me to get a history
18:57on the John Doe in treatment six.
19:00Who are you?
19:01We've met this morning.
19:02Lena Martinez,
19:03third-year medical student.
19:07Seriously?
19:08You asked me to move?
19:09Right.
19:10Yes, sorry.
19:11Please continue.
19:12So I tried to take a history,
19:14but the patient won't wake up.
19:16Maybe he's dead.
19:17I-I can tell when a patient is dead.
19:20Are you sure?
19:21Yeah, patients generally
19:23stop breathing after death.
19:24This guy's still kicking,
19:25just very intoxicated.
19:27What's his blood alcohol?
19:280.275.
19:29No wonder he's passed out.
19:31Who brought him in?
19:33Paramedics.
19:33He's got a laceration
19:34along his left forearm
19:35and bruising on the right knuckle.
19:37They find him at the bar?
19:38He was actually at the drugstore.
19:39Pharmacists noticed him
19:40stumbling and slurring his words.
19:41Dr. Lennox?
19:46His name is Devin Carter.
19:48So you know him?
19:50He and his wife, Faye,
19:51were in the ED last month.
19:57Tell a nurse
19:58to hang a liter of saline
19:59and we'll deal with his injuries
20:00when he sobers up.
20:01I can stitch him up.
20:02Don't touch him.
20:03Just come find me when he's awake.
20:11You okay?
20:16Oh.
20:18Yeah.
20:18Just...
20:20Taking a moment
20:21before I send a patient
20:22off to surgery.
20:24Tough case.
20:25Yeah, it is.
20:27Clearly the hormones are raging.
20:31Hey.
20:34Did you ever tell John
20:36how you feel?
20:38Um, no.
20:41Cold feet?
20:43Epic bad timing.
20:46He moved on to Novak
20:47pretty fast.
20:49I'm sorry.
20:49Wait, they're dating?
20:50They're circling each other.
20:53Okay.
20:54So, make a move.
20:57Make a move?
20:58He asked me out
20:59and I said
21:00I don't date coworkers.
21:01I don't want to give
21:01the poor guy whiplash.
21:03Okay.
21:03Well, I mean,
21:04if John and Novak
21:05were an official couple,
21:06I'd agree with you.
21:08But it doesn't sound
21:10like that's the case.
21:11So,
21:12tell John how you feel.
21:15Just
21:15put it out there.
21:19I'm not
21:19comfortable with that.
21:22Okay.
21:23Fair enough.
21:26I just,
21:27I think that we need
21:27to do the things
21:28that make us happy
21:29while we still have the time.
21:30your case is a tough one,
21:35huh?
21:38I'm sorry.
21:43His blood alcohol
21:44is 0.275
21:45and his injuries
21:46could be defensive wounds.
21:47Maybe he got into it
21:48with Faye
21:49and she tried
21:50to fight back.
21:50Which means she could be
21:51much worse off
21:52than him right now.
21:53Okay.
21:54Let me see what
21:55I can find out.
22:01Hey,
22:03Angelica's MRI
22:04is completely normal.
22:05Phew.
22:06Why am I
22:07completely unsurprised?
22:08Why let Dr. Rabari know?
22:09And get this,
22:10he asked me to order
22:11a serum retinal test.
22:13What?
22:13How do you get
22:14from a clean MRI
22:15to a weight of an A test?
22:17No clue.
22:20Look,
22:21I hope I'm not speaking
22:21out of turn,
22:22but Dr. Rabari
22:23is reaching.
22:25It's like he's trying
22:25to find any other cause
22:26for Angelica's symptoms
22:27other than the momoline.
22:29Tell me about it.
22:30Wreck hockey, huh?
22:34Yeah.
22:35Ah,
22:36guy came out of nowhere,
22:37checked me against
22:38the boards,
22:39and then I,
22:39uh,
22:40I hit my head
22:40against the glass,
22:41went down,
22:42and then the moron
22:43skated over my arm.
22:45Ow.
22:46Ouch.
22:47On purpose.
22:48No.
22:48Accidents happen.
22:51I punched the guys.
22:55Can you make a fist
22:56for me?
22:59Now release
23:00and, uh,
23:00wiggle your fingers.
23:02Okay.
23:03Well,
23:03I don't think
23:04anything's broken.
23:05That's a relief.
23:07So, uh,
23:08when they brought you in,
23:09you were, uh,
23:09passed out.
23:11What happened there?
23:13I, uh,
23:14I was hurting pretty bad
23:15after the game,
23:16and I thought
23:17I could drink it off,
23:18but obviously
23:19I went a little too hard.
23:20How'd you end up
23:21at a pharmacy?
23:22I got it in my head
23:23that I could fix myself up
23:25with some Neosporin
23:26and an Ace bandage.
23:28Heh.
23:29Right.
23:29Well,
23:30it's gonna take
23:31a little more than that.
23:32You, uh,
23:32you need stitches.
23:34Yeah, sure.
23:35You wanna give Faye a call?
23:39Heh.
23:40Good memory.
23:44Ah,
23:45you know,
23:45she's actually out of town
23:46visiting her dad,
23:48and I don't think
23:49she'd be too happy
23:50about this,
23:51so...
23:51Yeah, yeah,
23:53I hear you.
23:53Well, uh,
23:54just sit tight,
23:55and, uh,
23:57I'll be back soon
23:57to stitch up
23:58and get you some
23:58pain nets, okay?
24:01He's lying.
24:02Agreed,
24:03but how do we prove it?
24:09Let's call Faye.
24:11Okay.
24:11Yeah.
24:19Yeah.
24:20Yeah.
24:20it is a bad idea do you have a better one yeah we call cpd ask him to do a welfare check
24:44devin and faye live in the burbs outside of cpd's jurisdiction and with the storm outside
24:49the local police are going to be swamped and this won't be a priority dr ripley ambles two minutes
24:55out single mvc you're on deck just keep devin here until i'm back
24:59hey there uh dr frost told me that you ordered a serum retinol test for angelica yes i had a hunch
25:11results are back whoa 240 that is a toxic level of vitamin a explains the dizziness in the word
25:21vision seems like we found our culprit yeah and it wasn't bumbling after all what do you know
25:28is your problem no not at all i mean good catch vitamin a toxicity pretty rare i mean certainly
25:38wouldn't have been my first guess i can tell you that much wasn't my first guess either
25:42wouldn't have been my tenth guess how'd you get there when i saw angelica with her hair down i
25:47noticed it was a lot thinner than i remembered and she confirmed that it was falling out in the
25:53shower lately so so you went into a room to flush your ivy while her mom was out getting coffee
26:00what are you getting at dr charles well it's just a little curious you know you order a targeted lab
26:06for a very common substance that conveniently covers all of angelica's symptoms and
26:10exonerates bowling for your trial in the process you can't be serious you think i would dose a patient
26:18to protect the results of a study isn't the more likely explanation that angelica or terry are hiding
26:25something from us you know what i'd like to think i'm pretty good at detecting when people are
26:29concealing things from me that ring yeah look we have the results let's just go and ask terry and
26:40angelica directly fine by me
26:43wait wait
26:52hey
26:54i love you
26:58i love you too
27:01so much
27:03thanks for not trying to stop me
27:06like anyone ever could
27:10i really outdid it with the man flu this time didn't i
27:14we're a ridiculous pair huh
27:17well i wouldn't have it any other way
27:23i'll see you soon okay
27:27i'll see you soon
27:49i'll see you soon
27:55that felt like goodbye
28:07you just focus on bringing that little girl into the world
28:12angelica uses a daily multivitamin but she's been on it for years without an issue
28:29i showed dr frost my food log
28:31would you share with me and nothing on the list would cause vitamin a toxicity
28:35angelica i know comebacks you know can be tough
28:38take anything for a shortcut
28:40shortcuts yeah sometimes athletes take things to enhance their performance
28:47you mean steroids of course not
28:50angelica you can't be loose with the truth here your health depends on it
28:55you think i'd do that
28:56i think you feel a lot of pressure to catch back up with the team
28:59gymnasts get disqualified for taking steroids
29:02i would never do that okay
29:05i believe you
29:06glad somebody does
29:07the only thing i use to enhance my performance is glitter which is totally allowed by the way
29:15how often do you use glitter
29:20mostly just on competition days
29:23had a fair amount of those recently haven't you
29:25she's had qualifying events every other day for the past month
29:28right and do you mind me asking what kind of products do you use to apply the glitter
29:34um so much
29:36uh hair gel body butter
29:40eye shadow lip gloss
29:43do you happen to have any of those with you today
29:45yeah in my bag
29:47sodium hyaluronate rosehip oil shea butter retinol
30:00and tretinoin
30:02what's wrong
30:03well retinol is just another name for vitamin a and tretinoin is actually the strongest form of it
30:10not supposed to be available for over-the-counter use
30:14more than half the ingredients in these products contain forms of vitamin a
30:17you know it's unusual for your body to absorb enough vitamin a through the skin to cause
30:23toxicity
30:23but
30:24can happen with prolonged use of
30:27high dose topical retinoids
30:29i've been literally poisoning myself with glitter
30:32you have
30:33but
30:34you stop using these products immediately
30:37your body will clear the excess vitamin a in a matter of weeks
30:40i'm sorry that i accused you
30:43i get it
30:44i went overboard last year
30:46and you were right to make me take a break
30:49but i'm fine now okay
30:51i promise
30:53okay
30:54but
30:55your glitter days are over
30:56you
30:58shine plenty without it
31:00how did you figure out it was her glitter
31:03oh it was um it was dr rabari's idea to uh order this serum retinol test
31:09just glad that we got to the bottom of it
31:12hey
31:17hey
31:18i'm looking for you
31:18here i am
31:19i just wanted to apologize for casey earlier
31:22she's uh
31:24a lot
31:25i was gonna say
31:26an acquired taste
31:28yeah casey's gonna be casey
31:30yeah
31:31thanks
31:31were you good
31:33yeah
31:34okay
31:34good
31:35john
31:37yeah
31:38i should have said yes
31:41when you asked me out the other week
31:42oh
31:44please just listen
31:45i've had feelings for you for a long time
31:51i think you knew that from the start
31:53but i get in my head
31:55i overthink things
31:57i create obstacles and unrealistic rules that keep my life as simple and as uncomplicated as possible
32:02we missed our window
32:07and and i'm fine with that
32:09this this isn't a declaration of love
32:13and novak is pretty damn great
32:17yeah
32:19why
32:22say anything now
32:23now
32:24because i needed to
32:26thanks
32:29this tumor's more involved than the ct alluded
32:40give me a little more counter-attraction i'm gonna start to lyze these adhesions
32:44i hope you didn't feel bulldozed
32:46and presenting the surgery to the law cards
32:48bulldozed by two ed dwellers
32:51please
32:52typical boy
32:55what's typical
32:57well you hot shots upstairs looking down at us emergency department plebs
33:02i gather from what you told jeremy today you have kids
33:07a son
33:08sean
33:09yeah
33:10you
33:11nope never wanted him
33:13i don't hear regret in your voice
33:17it was the right choice for me
33:20do i hear a but
33:22you hear an and
33:24i admire the bond between parents and their children
33:27it is powerful
33:29you still married
33:31uh no
33:33it's
33:34not for
33:35a long time
33:37same
33:38you single
33:40i am
33:44same
33:46how do you feel about music in the o.r. dr archer
33:51only if it's good music
33:53you know cannonball utterly
33:55one of the greats
33:58hey kelly
33:59start my mix
34:00come in
34:12hey
34:15got your text
34:16theo come on in
34:17got a meeting in ten
34:18i'll be quick
34:19i promise
34:20um
34:21look
34:22i uh
34:23i owe an apology
34:25i thought you were
34:27over protecting your
34:29your bumbling study
34:31and i was wrong
34:31and i'm
34:33i'm sorry
34:33you questioned my integrity
34:35i know
34:37is something going on with me
34:39i don't know what it is
34:41i'm looking into it
34:42but it's like affecting my judgment
34:43you know
34:44and i just reached
34:45an unfair conclusion
34:47and again
34:48i apologize
34:49if i'm being honest with myself
34:53maybe i was spinning the lack of side effects
34:56with angelica and her mom a bit
34:58buddy i get it
34:59this study is a really big deal
35:00but dr charles i would never sacrifice a patient's health
35:04of course you wouldn't
35:05i know that
35:06not for nothing
35:08your vitamin a
35:11glitter glue connection
35:12i was pretty impressive
35:15i don't know man
35:16maybe uh
35:18maybe we're a team
35:19maybe
35:21oh hey
35:25you know that patient you asked me to keep an eye on
35:28yeah
35:28just tried to leave
35:30it's getting antsy
35:31okay thanks
35:33everything okay?
35:38i thought you said you'd be right back
35:40yeah
35:41yeah sorry
35:42um
35:43just waiting on the log jam to clear upstairs
35:46so we can get you to ct
35:48ct
35:49what
35:50what is that?
35:51oh um
35:52computed tomography scan
35:53it's an imaging test
35:54it'll
35:54give me a better idea of the extent of the injuries
35:57oh okay
35:58and we need that for a cut
36:00on my arm
36:00well you said you hit your head right
36:03on the glass
36:03before you went down
36:04yeah
36:06i did
36:07but i didn't hit it that hard
36:08well still it's
36:10it's concussion protocol
36:11i get in some pretty big trouble
36:13if it turned out i get a
36:14brain bleed
36:15look
36:15doc
36:16i
36:17my head feels fine
36:18so
36:19you help a guy out
36:21and
36:22stitch me up
36:23so i can go home
36:25tell you what
36:26as soon as you're back from ct
36:29you'll be first on my list
36:30i promise
36:31hang tight
36:37you got it
36:40the tumor has local extension into the splenic artery
36:53i mean the ligature please
36:54after that last unit
36:56base deficit is zero
36:57vital stable
36:57okay
36:58starting to separate the plane around the artery
37:02what the hell is that
37:04what happened
37:11i'm guessing the storm knocked the power out
37:13what about jeremy
37:14how will they
37:14it's okay it's okay
37:15the hospital has backup generators
37:17they'll kick in any second
37:17i'll start bagging
37:20get vitals manually
37:22we have to keep the graspers completely still
37:24the slightest shift could lacerate the splenic artery
37:27we're flying blind here
37:29what the hell are the generators
37:30the hospital should have switched over by now
37:32would you please find out what's going on
37:34blood pressure's down 80 over 40
37:35if you don't do something soon jeremy could die on the table
37:38hey
37:49hey
37:59it's dr caitlin lennox from chicago med
38:02let's go
38:32it's dr caitlin lennox from chicago med
38:39hey
38:40hey
38:44hey
38:46hey
38:47hey
38:51hey
38:56hey
38:57hey
38:58hey
38:59hey
39:00hey
39:28hey
39:30hey
39:31hey
39:32hey
39:34hey
39:35hey
39:36hey
39:37hey
39:38hey
39:39hey
39:40hey
39:41hey
39:42hey
39:43hey
39:44hey
39:45hey
39:46hey
39:47hey
39:48hey
39:49hey
39:50You're okay. I'm going to get you out of here.
39:59Thank you. Thank you.
40:12One second. One second.
40:14Okay.
40:20I don't have service on you, so I have to go upstairs and call for help.
40:28Please don't leave me.
40:29I'm not leaving you. I promise. I'll be right back.
40:32I'll be right back.
40:50I'll be right back.
41:20I'll be right back.
41:50I'll be right back.
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