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Reality Realm US
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Short filmTranscript
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.
00:09I 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?
00:25I 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!
00:45He's lost too much fun.
00:46Dr. Precious, John.
00:47Bleeding out.
00:47Dr. Wolves!
00:49She's hemorrhaging!
00:50Jeremy Lockhart, 32-year-old male with gastric adenocarcinoma.
01:09Complaining of severe abdominal pain, persistent vomiting, and hematemesis.
01:13Start a liter of normal saline in the AMBO.
01:15Heart rate's 140.
01:16BP's 115 or 72.
01:17This is his wife, Esme.
01:19When did he start to vomit?
01:20Around 2 a.m.
01:21I called 911 as soon as I saw blood.
01:23So you're under the care of Dr. Kingston.
01:25Surgical oncology, is that?
01:26Yes, that's right.
01:28All right, everybody.
01:29On my count.
01:30Ready?
01:30One, two, three.
01:33All right, let's start with four of Zofran and 50 of Fentanyl.
01:36On it.
01:37Jeremy's on a chemo regimen of 5-fluorouracil and cisplatin.
01:41Just finished his last cycle on Friday.
01:43Everything was going smoothly until last night.
01:45Yeah, I've actually tolerated this combo way better than the last one.
01:48Esme?
01:50Jeremy, Dr. 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.
02:04Let's go to Philcital Labs and type and cross 2 and 2 and an abdominal CT.
02:10Thanks.
02:11I'll call Dr. Kingston.
02:12Let him know you're here.
02:13Can I get you anything Esme, a cup of tea?
02:15All right.
02:16Okay.
02:16I'll check back soon.
02:17Thanks.
02:18Dr. Charles, you got a minute?
02:29Yeah.
02:30Patient in 4, Angelica Larson.
02:32She broke her ankle during a gymnastics competition.
02:35In the middle of her beam routine, said she got dizzy, couldn't see straight.
02:39Hate it when that happens.
02:40Yeah.
02:41I ran a full workup of all the usual suspects.
02:44Everything 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.
02:51It's Bomaline.
02:52Oh, I've heard of it.
02:53I mean, it's supposed to be a good drug, but isn't it still in trials?
02:56It is.
02:57Angelica was a phase 2 participant.
02:59And she was allowed to continue on the drug after her trial ended,
03:02under the supervision of one of the study's co-PIs, Dr. Theo Rabari.
03:08I know Theo.
03:09He's actually, he's here at med.
03:10He's doing some research.
03:11I invited him.
03:12Yeah, well, that's why her mom brought her into med.
03:15They were concerned she might be experiencing some new side effects.
03:18Okay.
03:18I'll loop him in.
03:19Thanks.
03:26Hey, Novak.
03:28Wow.
03:29It's really coming down out 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?
03:39That is from one of my patients.
03:41Yeah, she's a gymnast, so that apparently means a lot of sparkles.
03:45Sure, sure.
03:48Do I look like a raver to you?
03:49I mean, there was that rumor you're on meth, so.
03:53What?
03:55Nothing.
03:55Yeah, you'll be shocked to find that I'm not, so.
03:58Good.
03:58Yeah, 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.
04:08But my ass, on the other hand, that's BBL all the way.
04:11Doc did good work.
04:13I should go if I looks good.
04:14Can I let me grab your number?
04:18Do you have a pen?
04:19Pen?
04:20It's very old school.
04:21I like it.
04:22Go.
04:26Hmm.
04:34Didn't think it would be that easy, did you?
04:40East Mercy's dealing with some flooding in their ED,
04:42and their ambulances are going to be diverted to us
04:44and Lakeshore Memorial.
04:46Lucky us.
04:48Our latest shipment of IV fluids is delayed.
04:50We got one CT down,
04:52and construction and treatment seven hit yet another snag.
04:56Do you have any good news to share?
04:58No, not really.
05:00Have we resorted to medieval torture?
05:02What's going on in there?
05:03Some kind of electrical injury.
05:08What happened?
05:09He was working on a downed power line
05:11and it tripped his defibrillator,
05:12and now he keeps shocking him.
05:13Okay, Dr. Ripley,
05:14the magnet isn't disabling the defibrillator.
05:16The escar from the burn's preventing it from working.
05:18His pressure's dropping.
05:19Ah!
05:19Call cardiology.
05:20We need their CID programmer.
05:22There's no time.
05:23His heart can't take much more of this.
05:24The next erbhythmia could kill him.
05:26Who are you?
05:26Lina Martinez, third-year medical student.
05:28That's great.
05:29Please move.
05:29Excuse me.
05:30Now, give me 10 cc's of 1% 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.
05:41What are you doing?
05:42What are you doing?
05:42What are you doing?
05:42What are you doing?
05:44What are you doing?
05:46Oh, I got it.
05:51Ah!
05:52Are you okay?
05:56I'm fine.
05:58Put pressure on the wound.
06:00Now you can call cardiology.
06:02Oh.
06:03Don't ever do that.
06:09Hey.
06:23You okay?
06:24Is your hand all right?
06:25I'm awake now.
06:27Don't need that second cup of coffee.
06:29You know, I could have helped if you let me know what you were thinking.
06:32Well, I didn't have time to stop and explain.
06:35I thought that was obvious.
06:36Is 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.
06:55This is Dr. Charles, our chief psychiatrist here at Gaffney.
06:58Hi, Betsy.
06:59How are you feeling?
07:00Did 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.
07:12It 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.
07:19None 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.
07:38That 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.
07:57Me too.
07:59Well, you 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.
08:13I 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 a 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.
08:57How are you holding up?
09:01I miss Sadie and Amelia a lot, but, um, Sadie was right then 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.
09:12It 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, but actually I was more worried about her mind.
09:39Mom.
09:40So the dizziness blurred vision, when 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 pomaline?
09:52Well, it's possible.
09:53Highly unlikely.
09:55Sorry to interrupt, Dr. Charles.
09:56We've just had very few documented side effects with pomaline.
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, well, 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.
10:16But I wonder if this could be the same condition that Simone Biles had.
10:20The twisties?
10:21That 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 bonally.
10:37Well, look, this is all really helpful.
10:39Um, Dr. Abari and I are going to go compare notes and then get back to you soon with a plan.
10:45Okay?
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, we should probably think about ramping her down off the pomaline.
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 to 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 unless absolutely necessary.
11:23Understood.
11:24How about this?
11:25How about we see what the MRI says and go from there?
11:30Plan.
11:33Sounds good.
11:36Jeremy's CT scan shows that his tumor isn't responding to the new chemo.
11:44Well, that doesn't sound good.
11:46So he switches to a different chemo, right?
11:48Uh, no, I'm afraid not.
11:50What?
11:51Why?
11:52Well, further chemo wouldn't yield any meaningful improvement.
11:56What about a clinical trial or surgery?
11:59Any aggressive treatment won't change the progression of your disease.
12:03So 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.
12:26It's okay.
12:27I 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 without 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 is 39 weeks.
12:56Any sooner would pose risk to the baby and to you.
13:01I know Dr. Kingston said further treatment was futile, but...
13:07Is there any way we can buy Jeremy a little more time?
13:11Being a family, even just for a moment, would 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, so I didn't want to miss that.
13:32Oh, yeah?
13:33Why's that?
13:34Well, since you always downplay everything as a rule, I figured it must be big, so...
13:39Out with it.
13:44Wait.
13:44Wait.
13:45Are you sick?
13:47No.
13:48No.
13:48Fine.
13:51Hannah and I are having a baby.
13:56Are you serious?
14:03Yeah.
14:05And no, we're not dating, and yes, it was just a one-time thing, and yes, we're going to be co-parenting.
14:12Okay.
14:13Okay.
14:14Um...
14:15Um...
14:16Wow.
14:19More importantly, I just want you to know that, um...
14:22I'm not going to let having this child get in the way of our relationship.
14:27Dad.
14:28I'm 39 years old.
14:31I don't feel threatened or replaced.
14:34Okay.
14:35I'm just glad this is happening before I have kids.
14:38Why is that?
14:40Can you imagine having an aunt or an uncle younger than you?
14:44Smart Alec.
14:45Congratulations, Dad.
14:52Thank you, son.
14:54Theo.
14:55Can I get a word, bud?
15:17Yeah.
15:19Angelica's IV site was occluded, so I flushed it.
15:22Buddy, it's all good.
15:23I just never seen you.
15:24I didn't know that you were interested in doing the hands-on stuff.
15:28That's all.
15:29Yeah.
15:30I guess being here has made me realize how much I miss the face time of patients.
15:35Look, anytime you want to shadow me here in the ED, you're more than welcome.
15:40Oh, yeah?
15:41That'd be great.
15:41Yeah, man.
15:42Text me.
15:43We'll set it up.
15:43Okay.
15:43Hey, Angelica's ready to head up for an MRI.
15:47Do you know where her mom is?
15:49Uh, Terry went up to get a coffee.
15:51Um, I'll go see if we can find her and bring her up.
15:53Thanks.
15:58Is everything okay?
15:59Yeah.
16:00Yeah, yeah, yeah.
16:01Um, do me a favor.
16:03Can you get that MRI back?
16:05Just call me first.
16:06Sure.
16:08Yeah.
16:10Hey, I was visiting your cousin.
16:12Boston was a blast.
16:15We actually spent time outside in the dead of winter.
16:17Yeah, damn that Chicago winter, huh?
16:20Need a tattoo?
16:22That's, uh, can't seem to get that number right, you know?
16:26Novak wrote it when Dr. Frost asked for her number.
16:30It was adorkable.
16:31So, the rumors are true.
16:33Congrats.
16:34It's not, like, a thing.
16:36Yet.
16:38I didn't actually get her number, Casey.
16:40Something tells me you will.
16:44I 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, please stop.
16:56Oh.
16:57Have you ever decided to make that triangle square?
17:00Give me a call.
17:02Yeah.
17:03The procedure is called a cytoreduction with HIPEC.
17:09Once we remove all visible signs of the tumor, we'd insert a catheter-containing chemotherapy
17:14into the abdominal cavity.
17:16The catheter is attached to a perfusion machine, which heats the chemo.
17:19Why is it heated?
17:20Well, there's evidence that hot chemo increases its ability to penetrate and kill cancer cells.
17:25It will immediately target any of the micrometastases that we can't see.
17:29And this could buy me enough time to meet my daughter?
17:31If you survive the surgery, potentially.
17:34But as I said to Dr. Asher when she presented me with this idea, your PCI score and your significant
17:40comorbidities make this a tremendously risky proposition.
17:44What are the chances he won't survive?
17:48Doesn't matter.
17:49Either way, I'm going to die.
17:50But you need to understand that your post-surgery quality of life will be bleak at best.
17:55You'll be bedridden.
17:56You'll have a colostomy bag.
17:59What would you do in my position?
18:03If it meant I could meet my baby, I'd roll the dice and fight for more life.
18:13That's all I want.
18:14I 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 situations.
18:24What do you always call it?
18:26A nuclear submarine situation.
18:29Takes two keys to launch.
18:38Then let's do it.
18:40Well, I don't have to tell you that time is of the essence.
18:43So, I'd like to schedule your surgery for today.
18:46I am ready when you are.
18:47All right.
18:48We'll book an OR and we'll get you prepped.
18:49Dr. Lennox?
18:56Nurse Doris asked me to get a history on the John Doe in treatment six.
19:00Who are you?
19:01We met this morning.
19:02Elena Martinez.
19:03Third year medical student.
19:07Seriously?
19:08You asked me to move?
19:09Right.
19:10Yes.
19:10Sorry.
19:11Please continue.
19:12So, I tried to take a history, but the patient won't wake up.
19:16Maybe he's dead.
19:18I can tell when a patient is dead.
19:20Are you sure?
19:22Yeah, patients generally stop breathing after death.
19:24This guy's still kicking, just very intoxicated.
19:27What's his what alcohol?
19:280.275.
19:29No wonder he's passed out.
19:31Who brought him in?
19:33Paramedics.
19:33He's got a laceration along his left forearm and bruising on the right knuckle.
19:37They find him at the bar.
19:38He was actually at the drugstore.
19:39The pharmacist noticed him stumbling and slurring his words.
19:44Dr. Lennox?
19:46His name is Devin Carter.
19:48So you know him?
19:50He and his wife, Faye, were in the ED last month.
19:57Tell a nurse to hang a liter of saline and we'll deal with his injuries when he sobers up.
20:01I can stitch him up.
20:02Don't touch him.
20:03Just come find me when he's awake.
20:06You okay?
20:16Oh, yeah.
20:19Just taking a moment before I send a patient off to surgery.
20:24Tough case.
20:25Yeah, it is.
20:27Clearly the hormones are raging.
20:32Hey.
20:32Did you ever tell John how you feel?
20:39Um, no.
20:41Cold feet?
20:43Epic bad timing.
20:46He moved on to Novak pretty fast.
20:49I'm sorry.
20:49Wait, they're dating?
20:51They're circling each other.
20:53Okay, so make a move.
20:57Make a move?
20:58He asked me out and I said I don't date co-workers.
21:01I don't want to give the poor guy whiplash.
21:03Okay, well, I mean, if John and Novak were an official couple, I'd agree with you.
21:08But it doesn't sound like that's the case.
21:11So tell John how you feel.
21:14Just put it out there.
21:19I'm not comfortable with that.
21:22Okay.
21:23Fair enough.
21:26I just, I think that we need to do the things that make us happy while we still have the time.
21:33Your case is a tough one, huh?
21:35I'm sorry.
21:43His blood alcohol is .275 and his injuries could be defensive wounds.
21:47Maybe he got into it with Faye and she tried to fight back.
21:51Which means she could be much worse off than him right now.
21:53Okay.
21:55Let me see what I can find out.
22:01Hey.
22:03Angelica's MRI is completely normal.
22:05Phew.
22:06Why am I completely unsurprised?
22:08Well, I let Dr. Rabari know and get this.
22:10He asked me to order a serum retinal test.
22:13What?
22:14How do you get from a clean MRI to a weight of an A test?
22:17No clue.
22:20Look, I hope I'm not speaking out of turn, but Dr. Rabari is reaching.
22:25It's like he's trying to find any other cause for Angelica's symptoms other than the momoline.
22:29Tell me about it.
22:32Wreck hockey, huh?
22:34Yeah.
22:35A guy came out of nowhere, checked me against the boards, and then I hit my head against the glass, went down.
22:42And then the moron skated over my arm.
22:46Ouch.
22:47On purpose.
22:48No.
22:49Accidents happen.
22:51I punched you guys.
22:54Can you make a fist for me?
22:57I'll release and wiggle your fingers.
23:01Okay.
23:02Well, I don't think anything's broken.
23:03I don't think anything's broken.
23:05I don't think anything's broken.
23:05That's a relief.
23:07So, when they brought you in, you were passed out.
23:11What happened there?
23:12I, uh, I was hurting pretty bad after the game, and I thought I could drink it off.
23:18But, obviously, I went a little too hard.
23:19But, obviously, I went a little too hard.
23:20How'd you end up at a pharmacy?
23:22I got it in my head that I could fix myself up with some Neosporin and an ace bandage.
23:27Huh.
23:28Right.
23:29Well, it's going to take a little more than that.
23:32You, uh, you need stitches.
23:34Sure.
23:35You want to give Faye a call?
23:39Huh.
23:40Good memory.
23:44Uh, you know, she's actually out of town visiting her dad.
23:49And I don't think she'd be too happy about this, so.
23:52Yeah, yeah, I hear you.
23:54Well, uh, just sit tight, and, uh, I'll be back soon to stitch up and get you some pain
23:58meds, okay?
24:01He's lying.
24:02Agreed.
24:03But how do we prove it?
24:09Let's call Faye.
24:28That is a bad idea.
24:41Do you have a better one?
24:42Yeah, 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.
24:53Dr. Ripley, Ambles two minutes out.
24:55Single MVC, you're on deck.
24:57Hold on a sec.
24:58Just keep Devin here until I'm back.
25:03Hey there.
25:04Uh, Dr. Frost told me that you ordered a serum retinol test for Angelica.
25:09Yes, I had a hunch.
25:12Results are back.
25:15Whoa, 240.
25:17That is a toxic level of vitamin A, explains the dizziness in the blurred vision.
25:23Seems like we found our culprit.
25:25Yeah, and it wasn't bumbling after all.
25:28What do you know?
25:30Is there a problem?
25:31No, not at all.
25:33I mean, good catch.
25:35Vitamin A toxicity, pretty rare.
25:37I mean, certainly wouldn't have been my first guess, I can tell you that much.
25:41Wasn't my first guess either.
25:43Wouldn't have been my tenth guess.
25:44How'd you get there?
25:46When I saw Angelica with her hair down, I noticed it was a lot thinner than I remembered.
25:51And she confirmed that it was falling down in the shower, Lady Lisa.
25:54So you went into a room to flush her IV while her mom was out getting coffee?
26:01What are you getting at, Dr. Charles?
26:03Well, it's just a little curious.
26:04You know, you order a targeted lab for a very common substance that conveniently covers
26:09all of Angelica's symptoms and exonerates bumbling for your trial and the process?
26:14You can't be serious.
26:16You think I would dose a patient to protect the results of a study?
26:21Isn't the more likely explanation that Angelica or Terry are hiding something from us?
26:26You know what?
26:27I'd like to think I'm pretty good at detecting when people are concealing things from me.
26:30Is that right?
26:33Yeah.
26:35Look.
26:37We have the results.
26:38Let's just go and ask Terry and Angelica directly.
26:42Fine by me.
26:51Wait.
26:52Wait.
26:52Hey.
26:54I love you.
27:00I love you too.
27:02So much.
27:05Thanks for not trying to stop me.
27:07Oh.
27:09Like anyone ever could.
27:11I really outdid it with the man flu this time, didn't I?
27:16We're a ridiculous pair, huh?
27:21Well, I wouldn't have it any other way.
27:22I'll see you soon, okay?
27:47I'll see you soon.
27:49I'll see you soon.
27:52That felt like goodbye.
28:09You just focus on bringing that little girl into the world.
28:14Okay.
28:15I'll see you soon.
28:15I'll see you soon.
28:16I'll see you soon.
28:16I'll see you soon.
28:17I'll see you soon.
28:18I'll see you soon.
28:19I'll see you soon.
28:20I'll see you soon.
28:21I'll see you soon.
28:22Angelica uses a daily multivitamin,
28:27but she's been on it for years without an issue.
28:29I showed Dr. Frost my food log.
28:31Which he shared with me,
28:32and 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?
28:41Yeah.
28:42Sometimes athletes take things to enhance their performance.
28:47You mean steroids?
28:49Of course not.
28:50Angelica, you can't be loose with the truth here.
28:53Your 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?
29:04I believe you.
29:05Glad somebody does.
29:09The only thing I use to enhance my performance is glitter.
29:13Which is totally allowed, by the way.
29:15How often do you use glitter?
29:20Mostly just on competition days.
29:22Had a fair amount of those recently, haven't you?
29:24She's had qualifying events every other day for the past month.
29:28Right.
29:29And do you mind me asking, what kind of products do you use to apply the glitter?
29:34Um, so much.
29:37Uh, hair gel, body butter, eye 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, and tretinoin.
30:01What's wrong?
30:02Well, retinol is just another name for vitamin A, and tretinoin is actually the strongest form of it.
30:09Not supposed to be available for over-the-counter use.
30:13More 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 toxicity,
30:23but it can happen with prolonged use of high-dose topical retinoids.
30:29I've been literally poisoning myself with glitter.
30:32You have, but you stop using these products immediately, your body will clear the excess vitamin A in a matter of weeks.
30:40I'm sorry that I accused you.
30:43I get it. I went overboard last year.
30:46And you were right to make me take a break.
30:49But I'm fine now, okay? I promise.
30:52Okay. But your glitter days are over.
30:56You'd shine plenty without it.
30:59How 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.
31:16Hey. Hey.
31:17Been looking for you.
31:18Here I am.
31:19I just wanted to apologize for Casey earlier.
31:22She's, uh...
31:23A lot.
31:25I was gonna say, an acquired taste.
31:28Yeah, Casey's gonna be Casey.
31:30Yeah. Facts.
31:32Were you good?
31:33Yeah.
31:34Okay. Good.
31:36John?
31:37Yeah.
31:39I should have said yes when you asked me out the other week.
31:42Oh.
31:43Please, just listen.
31:48I'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.
31:56I create obstacles and unrealistic rules that keep my life as simple and as uncomplicated as possible.
32:06We missed our window.
32:07And, and I'm fine with that.
32:10This, this isn't a declaration of love.
32:14And Novak is pretty damn great.
32:18Yeah.
32:19Why say anything now, though?
32:25Because I needed to.
32:28Thanks.
32:38This tumor's more involved than the CT alluded.
32:41Give me a little more counter-attraction. I'm gonna start to lyze these adhesions.
32:45Hope you didn't feel bulldozed in presenting the surgery to the Lockhart's.
32:49Bulldozed by two ED dwellers?
32:51Please.
32:54Typical boy.
32:56What's typical?
32:58You hotshots upstairs looking down at us emergency department plebs.
33:03I gather from what you told Jeremy today, you have kids?
33:07A son. Sean. Yeah.
33:10You?
33:12Nope. Never wanted him.
33:15I don't hear regret in your voice.
33:16It 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 not for a long time.
33:36Same.
33:38You single?
33:39I am.
33:40Same.
33:42How do you feel about music in the O.R., Dr. Archer?
33:47Only if it's good music.
33:49You know Cannonball Adderley?
33:50One of the greats.
33:51Hey, Kelly, start my mix.
33:59Come in.
34:13Hey, got your text.
34:15Theo, come on in.
34:17Got a meeting in ten.
34:18I'll be quick.
34:19I promise.
34:21Um, look, I, uh, I owe an apology.
34:25I thought you were overprotecting your, your bumbling study and I was wrong.
34:32And I'm, I'm sorry.
34:34You questioned my integrity.
34:36I know.
34:38Is something going on with me?
34:39I, uh, I don't know what it is.
34:40I'm looking into it.
34:41But it's like affecting my judgment.
34:43You know?
34:44And I just reached an unfair conclusion.
34:47And again, I, I apologize.
34:52If I'm being honest with myself, maybe I was spinning the lack of side effects with Angelica and her mom a bit.
34:58Buddy, I get it. The studies are 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.
35:07Not for nothing.
35:09Your vitamin A glitter glue connection.
35:13That was pretty impressive.
35:15I don't know, man.
35:16Maybe, uh, maybe we're a team.
35:20Maybe.
35:24Oh, hey.
35:25You know that patient you asked me to keep an eye on?
35:27Yeah.
35:28Just tried to leave.
35:30It's getting antsy.
35:31Okay, thanks.
35:34Everything okay?
35:38I thought you said you'd be right back.
35:40Yeah.
35:41Yeah, sorry.
35:42Um, just waiting on the, the log jam to clear upstairs so we can get you to CT.
35:48CT.
35:49What, what is that?
35:50Oh, um, computed tomography scan.
35:52It's an imaging test that'll give me a better idea of the extent of the injuries.
35:56Oh, okay.
35:57And we, we need that for a cut on my arm.
36:00Well, you said you hit your head, right?
36:02On the glass?
36:03Before you went down?
36:05Yeah.
36:06I, but I didn't hit it that hard.
36:09Well, still, it's, it's concussion protocol.
36:11I, I get in some pretty big trouble if a turdike had a brain bleed.
36:14Look, doc, I, my head feels fine.
36:18So, you help a guy out and stitch me up so I can go home.
36:25Tell you what, as soon as you're back from CT you'll be first on my list.
36:29I promise.
36:36Hang tight.
36:38You got it.
36:49The tumor has a local extension into the splenic artery.
36:52I meant ligature, please.
36:54After that last unit, base deficit is zero.
36:56Vital stable.
36:57Okay.
36:58Starting to separate the plane around the artery.
37:03What the hell is that?
37:09What happened?
37:10I'm guessing the storm knocked the power out.
37:12What about Jeremy?
37:13How will they-
37:14It's okay, it's okay.
37:15The hospital has backup generators.
37:16They'll kick in any second now.
37:19I'll start bagging.
37:20Get vitals manually.
37:21We have to keep the graspers completely still.
37:24The slightest shift could lacerate the splenic artery.
37:27We're flying blind here.
37:28What the hell are the generators?
37:29The hospital should have switched over by now.
37:31Would you please find out what's going on?
37:33Blood pressure's down 80 over 40.
37:35If you don't do something soon, Jeremy could die on the table.
37:37If you don't do something soon, Jeremy could die on the table.
37:38Geo, can you do something sue?
37:39You can go find out if you want to see it.
37:41I think you do somethingesses, go home to someone else's house.
37:42Don't turn out of door.
37:43I think we want to knock the edges out.
37:44You've got them too.
37:48Hey!
38:01Chicago Med!
38:31Faye?
38:39Faye?
38:43Faye?
38:45Faye?
39:01Faye?
39:05Faye?
39:19Faye?
39:31Oh, my God, babe.
39:36You okay?
39:37I'm here.
39:38I'm here.
39:41I'm gonna sit you up to help you breathe.
39:43It's gonna hurt, but I'm gonna do it really fast, okay?
39:46One, two, three.
39:56You okay?
39:57I'm gonna get you out of here.
40:01One second.
40:13One second.
40:14Okay.
40:19Oh, come on, come on, come on.
40:25I 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.
40:31I'll be right back.
40:40I'll be right back.
40:46Oh, my God.
41:16Oh, my God.
41:46Oh, my God.
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