- 2 days ago
Chicago Med - Season 11 - Episode 07: Double Down
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00:05If 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 blood.
00:51Dr. Precious John.
00:52Bleeding out!
00:52Dr. Wolfe!
00:54She's hemorrhaging!
01:10Jeremy Lockhart, 32-year-old male with gastric adenocarcinoma.
01:14Complaining of severe abdominal pain, persistent vomiting, and hematemesis.
01:17Start a liter of normal saline in the AMBO.
01:20Heart rate's 140.
01:21BP's 150.
01:21Number 72.
01:22And this 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.
01:38All 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.
02:44I hate it when that happens.
02:45Yeah.
02:45I ran a full workup of all the usual suspects.
02:48Everything 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.
03:13I 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.
03:32Hey, Novak.
03:33Wow.
03:33It's already 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
03:38pajamas.
03:39Can't lie, it is pretty snug.
03:41You 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.
03:53Do 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?
04:22Do you have a pen?
04:24Pen?
04:25It's very old school.
04:26I get it.
04:29Here we go.
04:39Didn't think it would be that easy, did you?
04:45East 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.
05:00Do you have any good news to share?
05:03No, not really.
05:05Have we resorted to medieval torture?
05:07What's going on in there?
05:08Some kind of electrical injury?
05:13What 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.
05:25Call 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...
05:45Whoa, whoa, whoa.
05:46What are you doing?
05:55I got it.
05:56Ah!
05:59Are you okay?
06:01I'm fine.
06:03Put pressure on the wound.
06:05Now you can call cardiology.
06:11Don't ever do that.
06:26Hey.
06:27You okay?
06:28Is 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 if 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.
06:46Is it just me, or does she seem like a completely different person lately?
06:50I kind of dig it.
06:52I can't believe I'm going to say this, but I kind of miss the old Lennox.
06:58Hey, Betsy.
07:00This is Dr. Charles, our chief psychiatrist here at Gaffney.
07:03Hi, Betsy.
07:04How are you feeling?
07:06Did Dr. Asher bring you in to convince me to go back on my narcolepsy meds?
07:11She did not.
07:11She just told me that you had recently found out that you were pregnant and had some concerns.
07:17It just feels like no one can tell me definitively if there's any medications that won't pose a risk to
07:21the baby.
07:22Even Dr. Asher.
07:23No offense.
07:24None taken.
07:25Unfortunately, there just haven't been enough narcolepsy studies on the pregnant population that speak in absolutes.
07:31Exactly.
07:32Which is why I would really like to refer you to a fabulous colleague of mine who specializes in sleep
07:40disorders and maternal health.
07:42That would be amazing.
07:44No one I've met with has much experience with both, and they don't want to.
07:56Oh, man.
07:59I wish I could fall asleep like that.
08:01Me too.
08:04Well, you got the insomnia pregnancy thing happening?
08:09Yeah.
08:10Yeah.
08:11When I do finally fall asleep, it's, um, not exactly restful.
08:17I know.
08:18I can relate.
08:20You are pregnant, too?
08:22Unfortunately not, but I swear to God, I didn't feel like a Petoskey and turning for years.
08:27You know, I thought you look a little...
08:30Like crap.
08:31I was...
08:32That's okay.
08:32...going to be a little tired.
08:35Yo, Rip.
08:36Hey.
08:37Just so you know, I'm checking out our new sublet tomorrow.
08:39I might end up in a bag at the bottom of the Chicago River, but I'll be out of your
08:43hair.
08:44What's the hurry?
08:45I just figured since you and Sadie called it quits, you might need your space back.
08:49Oh, I mean, there's really no rush.
08:51The 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 because that mattress in your guest room, I have not slept this good in
09:00years.
09:00Thank you so much.
09:02Yeah.
09:04How are you holding up?
09:05I miss Sadie and Amelia.
09:07A lot.
09:08But, um, Sadie was right to end things.
09:11I'm starting to see that now.
09:14Dr. Ripley, you're up.
09:15Ample'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 into 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, but actually I was more worried about her mind.
09:44Mom.
09:44So the dizziness blurred vision, when did that start?
09:4924 hours ago?
09:52I 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 with pomaline.
10:04Really just fatigue and dry mouth.
10:06Have you been taking the medication at the same time every day?
10:08I take it right after breakfast every morning.
10:11Okay, well, seems like you're right on top of it.
10:15Well, forgive me, because I'm like Dr. Charles.
10:18I have very limited gymnastics knowledge.
10:20But I wonder if this could be the same condition that Simone Biles had.
10:25The twisties?
10:27That happens more when you're midair, doing 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.
10:39I know that wasn't always the case before a boomerling.
10:42Well, look, this is all really helpful.
10:44Um, Dr. Abari and I are going to go compare notes and then get back to you soon with a
10:49plan.
10:49Okay?
10:53An MRI will rule out any neurological or vestibular causes.
10:57We should absolutely do that.
10:59But?
11:00But if it comes back clean, we should probably think about ramping her down off the bumbling.
11:06Right?
11:06See if her symptoms subside.
11:08But hey, look, I completely understand what's at stake here.
11:11We don't want an emerging negative side effect to blow back on your published findings.
11:16Well, this isn't about what is best for me or 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 unless absolutely necessary.
11:28Understood.
11:29How about this?
11:30How about we see what the MRI says and go from there?
11:34Plan.
11:38Sounds good.
11:44Jeremy's CT scan shows that his tumor isn't responding to the new chemo.
11:48Well, 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 wouldn't yield any meaningful improvement.
12:01What about a clinical trial or surgery?
12:04Any aggressive treatment won'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.
12:25It's okay, honey.
12:28It's okay.
12:31It's okay.
12:43I 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.
12:50Is there any way I can be induced early without jeopardizing the baby's health?
12:54I'll be 31 weeks on Friday.
12:56That's me.
12:56The earliest we could possibly induce you is 39 weeks.
13:01Any sooner would pose risk to the baby and to you.
13:06I know Dr. Kingston said further treatment was futile, but...
13:12Is there any way we can buy Jeremy a little more time?
13:16Being a family, even just for a moment, would mean everything to us.
13:26Hey, Sean.
13:28Hey.
13:29Hi.
13:29Good to see you.
13:30Thanks for coming by.
13:31Of course.
13:32I always do when I'm in town.
13:34Plus, you said you had some news, so I didn't want to miss that.
13:37Oh, yeah?
13:37Why's that?
13:39Well, since you always downplay everything as a rule, I figured it must be big, so...
13:44Out with it.
13:49Wait.
13:51Are you sick?
13:52No.
13:53No.
13:53Fine.
13:55Hannah and I are having a baby.
14:05Are you serious?
14:07Yeah.
14:10And no, we're not dating, and yes, it was just a one-time thing, and yes, we're gonna be co
14:16-parenting.
14:21Um...
14:23Wow.
14:24More importantly, I just want you to know that, um, I'm not gonna let having this child get
14:31in the way of our relationship.
14:32Dad.
14:34I'm 39 years old.
14:36I don't feel threatened or replaced.
14:39Okay.
14:40I'm just glad this is happening before I have kids.
14:43Why's that?
14:44Can you imagine having an aunt or an uncle younger than you?
14:49Smart Alec.
14:56Congratulations, Dad.
14:57Thank you, son.
15:19Theo.
15:21Can I get a word, bud?
15:22Yeah.
15:24Angelica's IV site was occluded, so I flushed it.
15:27Buddy, it's all good.
15:28I just never seen you.
15:29I didn't know that you were interested in doing the hands-on stuff.
15:33That's all.
15:34Yeah.
15:34I guess being here has made me realize how much I miss the face-time of patients.
15:40Look, anytime you want to shadow me here in the ED, you'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.
15:50Hey, 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.
15:55Um, I'll go see if we can find her and bring her up.
15:57Thanks.
16:03Is everything okay?
16:04Yeah.
16:05Yeah, yeah, yeah.
16:06Um, do me a favor.
16:08You get that MRI back?
16:10Just call me first.
16:11Sure.
16:12Yeah.
16:15Hey.
16:16I was visiting your cousin.
16:18Boston was a blast.
16:20We actually spent time outside in the dead of winter.
16:22Yeah, damn that Chicago winter, huh?
16:25New tattoo?
16:26Uh, 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.
16:43I didn't actually get her number, Casey.
16:46Something tells me you will.
16:49I think it's adorkable.
16:52Oh, well, 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.
17:07Yeah.
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
17:18into 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
17:27increases its ability to penetrate and kill cancer cells.
17:30It will immediately target any of the micrometastases
17:32that we can't see.
17:34And 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 when she presented me
17:41with this idea, your PCI score
17:44and 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 going to 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.
18:01You'll have a colostomy bag.
18:03What would you do in my position?
18:08If it meant that I could meet my baby,
18:12I'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.
18:25But this is one of those, um...
18:28those situations.
18:29What do you always call it?
18:30A nuclear submarine situation.
18:34Takes 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?
19:01Nurse Doris asked me to get a history
19:02on the John Doe in Treatment 6.
19:04Who are you?
19:06We met this morning.
19:07Lena Martinez,
19:08third-year medical student.
19:12Seriously?
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.
19:22I 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
19:45stumbling and 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?
20:22Yeah.
20:24Just...
20:25Taking a moment
20:26before I send a patient
20:27off to surgery.
20:29Tough case?
20:30Yeah, it is.
20:31Clearly the hormones are raging.
20:36Hey.
20:39Did you ever tell John how you feel?
20:43Um, no.
20:46Cold feet?
20:48Epic bad timing.
20:51He moved on to Novak pretty fast.
20:53I'm sorry.
20:54Wait, they're dating?
20:56They're circling each other.
20:58Okay.
20:59So, make a move.
21:02Make a move?
21:03He asked me out,
21:04and I said,
21:05I don't date coworkers.
21:06I don't want to give the poor guy whiplash.
21:08Okay, well,
21:09I mean,
21:09if John and Novak
21:10were an official couple,
21:11I'd agree with you,
21:12but
21:14it doesn't sound like
21:15that's the case,
21:16so
21:18tell John how you feel.
21:20Just
21:21put it out there.
21:23I'm not
21:24comfortable with that.
21:27Okay.
21:28Fair enough.
21:31I just,
21:32I think that we need to do
21:33the things that make us happy
21:34while we still have the time.
21:38Your case is a tough one,
21:40huh?
21:42I'm sorry.
21:48His blood alcohol is 0.275,
21:50and his injuries
21:51could be defensive wounds.
21:52Maybe he got into it
21:53with Faye,
21:54and she tried to fight back.
21:55Which means she could be
21:56much worse off
21:57than him right now.
21:58Okay.
21:59Let me see what I can find out.
22:06Hey.
22:08Angelica's MRI
22:08is completely normal.
22:10Pfft.
22:11Why am I completely
22:12unsurprised?
22:13Why don't let Dr. Rabari know?
22:14I get this.
22:15He asked me to order
22:16a serum retinal test.
22:17What?
22:18How do you get from
22:19a clean MRI
22:20to a light of an A test?
22:22No clue.
22:25Look,
22:25I hope I'm not speaking
22:26out of turn,
22:27but Dr. Rabari
22:28is reaching.
22:30It's like he's trying
22:30to find any other cause
22:31for Angelica's symptoms
22:32other than the melmaline.
22:34Tell me about it.
22:37Wreck hockey, huh?
22:39Yeah.
22:40The guy came out of nowhere,
22:42checked me against the boards,
22:44and 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.
22:55All right.
22:57I punched you guys.
23:00Can you make a fist for me?
23:04Now release,
23:05and, uh,
23:05wiggle your fingers.
23:07Okay.
23:08Well,
23:08I don't think anything's broken.
23:10That's a relief.
23:12So, uh,
23:13when they brought you in,
23:14you were, uh,
23:15passed out.
23:16What happened there?
23:18I, uh,
23:19I was hurting pretty bad
23:20after the game,
23:21and I thought I could
23:22drink it off,
23:23but obviously
23:24I went a little too hard.
23:25How'd you end up
23:26at 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.
23:33Huh.
23:33Right.
23:34Well,
23:35it's gonna take
23:36a little more than that.
23:37You, uh,
23:37you need stitches.
23:38Yeah, sure.
23:40You want to give Faye a call?
23:44Huh.
23:45Good memory.
23:48Uh,
23:49you know,
23:50she's actually out of town
23:51visiting her dad,
23:53and I don't think
23:54she'd be too happy
23:55about this,
23:56so.
23:57Yeah,
23:57yeah,
23:58I hear you.
23:58Well, uh,
24:00just sit tight,
24:00and, uh,
24:01I'll be back soon
24:02to stitch up
24:03and get you some
24:03pain meds,
24:04okay?
24:06He's lying.
24:07Agreed,
24:08but how do we prove it?
24:14Let's call Faye.
24:17Okay.
24:37Let's call Faye.
24:45It is a bad idea.
24:46Do you have a better one?
24:47Yeah,
24:47we call CPD,
24:48ask him to do a welfare check.
24:50Devin and Faye
24:50live in the burbs
24:51outside of CPD's jurisdiction,
24:52and with the storm outside,
24:54the local police
24:54are 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
25:03and time back.
25:08Hey there,
25:09uh,
25:10Dr. Frost told me
25:11that you ordered
25:11a 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 it wasn't
25:32bumbling after all.
25:33What do you know?
25:35Is there a problem?
25:36No,
25:37not at all.
25:38I mean,
25:38good catch.
25:40Vitamin A toxicity,
25:41pretty rare.
25:42I mean,
25:43certainly
25:44wouldn't have been
25:44my first guess,
25:45I can tell you that much.
25:46Was my first guess
25:47either.
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.
25:55And she confirmed
25:56that it was falling
25:57out in the shower
25:58lately, so.
25:59So you
26:01went into a room
26:02to flush your IV
26:03while her mom was
26:04out getting coffee?
26:06What are you getting
26:07at, Dr. Charles?
26:08Well,
26:08it's just a little curious.
26:09You know,
26:10you order a targeted lab
26:11for a very common substance
26:13that conveniently covers
26:14all of Angelica's symptoms
26:15and exonerates bone
26:17and for your trial
26:18and 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.
26:55Wait, wait.
26:58Hey.
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?
27:20We're a ridiculous pair, huh?
27:25Well, I wouldn't have it
27:27any other way.
27:31I'll see you soon, okay?
27:52I'll see you soon.
28:11That felt like goodbye.
28:14You just focus on bringing
28:16that little girl
28:16into the world.
28:19Okay?
28:30Angelica uses a daily
28:31multivitamin,
28:32but she's been on it
28:33for years without 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 toxicity?
28:41Angelica, I know
28:41comebacks, you know,
28:43can be tough.
28:44Take anything for a shortcut?
28:46Shortcuts?
28:47Yeah.
28:48Sometimes athletes
28:49take things to
28:51enhance their performance.
28:53You mean
28:53steroids?
28:54Of course not.
28:56Angelica, you can't
28:57be loose with the truth here.
28:58Your health depends on it.
29:00You think I'd do that?
29:01I think you feel
29:02a lot of pressure
29:03to catch back up
29:04with the team.
29:05Gymnasts get disqualified
29:06for taking steroids.
29:08I would never do that, okay?
29:10I believe you.
29:11Glad somebody does.
29:14The only thing I use
29:16to enhance my performance
29:17is glitter,
29:18which is totally allowed,
29:20by the way.
29:22How often do you
29:24use glitter?
29:26Mostly just
29:27on competition days.
29:28Had a fair amount
29:29of those recently,
29:30haven't you?
29:30She's had qualifying events
29:32every other day
29:32for the past month.
29:34Right.
29:35And do you mind me asking
29:36what kind of products
29:37do you use
29:38to apply the glitter?
29:39Um, so much.
29:42Uh, hair gel,
29:44body butter,
29:46eyeshadow,
29:46lip gloss.
29:48Do you happen to have
29:49any of those with you
29:50today?
29:51Yeah, in my bag.
30:01Sodium hyaluronate,
30:02rosic oil,
30:03shea butter,
30:04retinol,
30:05and tretinoin.
30:07What's wrong?
30:09Well,
30:10retinol is just another name
30:11for vitamin A
30:12and tretinoin is actually
30:13the strongest form of it.
30:15Not supposed to be
30:16available for
30:18over-the-counter use.
30:19More than half
30:20the ingredients
30:20in these products
30:21contain forms
30:22of vitamin A.
30:23You know,
30:23it's unusual
30:24for your body
30:25to absorb enough
30:26vitamin A
30:26through the skin
30:27to cause toxicity,
30:29but can happen
30:31with prolonged use
30:32of high-dose
30:33topical retinoids.
30:34I've been literally
30:35poisoning myself
30:36with glitter.
30:37You have,
30:38but you stop
30:40using these products
30:41immediately,
30:42your body will clear
30:43the excess vitamin A
30:44in a matter of weeks.
30:46I'm sorry
30:47that I accused you.
30:49I get it.
30:49I went overboard
30:50last year.
30:52And you were right
30:53to make me take a break.
30:55But I'm fine now,
30:56okay?
30:56I promise.
30:58Okay.
30:59But your glitter days
31:01are over.
31:02You shine plenty
31:04without it.
31:06How did you figure out
31:08it was her glitter?
31:08Oh, it was, um,
31:10it was Dr. Rabari's
31:11idea to, uh,
31:12order this serum
31:13retinol test.
31:15Just glad that we
31:16got to the bottom
31:17of it.
31:21Hey.
31:22Hey.
31:23I'm looking for you.
31:23Here I am.
31:25I just wanted to
31:26apologize for Casey
31:27earlier.
31:28She's, uh...
31:29a lot.
31:30I was gonna say,
31:32an acquired taste.
31:34Yeah, Casey's gonna be Casey.
31:35Yeah, facts.
31:37Were you good?
31:38Yeah.
31:39Okay, good.
31:41John?
31:42Yeah?
31:44I should have said yes
31:45when 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.
31:56I think you knew that
31:58from the start.
31:58But 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.
32:11We missed our window
32:12and-and I'm fine
32:14with that.
32:15This-this isn't
32:17a declaration
32:17of love.
32:19And
32:20Novak
32:21is pretty damn great.
32:23Yeah.
32:25Uh-why
32:26say anything now?
32:29No.
32:30Because I needed to.
32:33Thanks.
32:43This 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?
32:56Please.
32:59Typical boy.
33:01What's typical?
33:03You hot shots
33:04upstairs looking down
33:05at us
33:06emergency department
33:07plebs.
33:09I gather
33:10from what you told
33:10Jeremy today
33:11you have kids?
33:12A 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 choice
33:24for 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?
33:57Only if it's
33:57good music.
33:59You know
33:59Cannonball Adderley?
34:01One of the greats.
34:03Hey, Kelly,
34:04start my mix.
34:16Come in.
34:19Hey, I got your text.
34:21Theo, come on in.
34:22Got a meeting in ten.
34:24I'll be quick.
34:24I promise.
34:26Um, look,
34:27I, uh,
34:29I owe an apology.
34:31I thought you were
34:33overprotecting your,
34:35your bumbling study,
34:36and I was wrong.
34:37And I'm,
34:37I'm sorry.
34:39You questioned
34:39my integrity.
34:41I know.
34:42Is something
34:43going on with me?
34:44I, I,
34:44I don't know what it is.
34:46I'm looking into it,
34:47but it's like
34:47affecting my judgment.
34:48You know,
34:49and I just reached
34:50an unfair conclusion.
34:52And again,
34:53I, I apologize.
34:57If I'm being honest
34:58with myself,
34:59maybe I was
35:00spinning the lack
35:01of side effects
35:01with Angelica
35:02and her mom a bit.
35:03Buddy, I get it.
35:04The studies are
35:04a 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.
35:12Not for nothing.
35:14Your vitamin A
35:16glitter glue connection?
35:18That was pretty impressive.
35:20I don't know, man.
35:22Maybe, uh,
35:24maybe we're a team.
35:26Maybe.
35:29Oh, hey.
35:30You know that patient
35:32you asked me
35:32to 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.
35:48I'm just waiting
35:49on the log jam
35:50to clear upstairs
35:51so we can get you
35:52to CT.
35:54CT?
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 need that
36:04for a cut on my arm.
36:06Well, you said
36:07you hit your head, right?
36:08On the glass
36:08before you went down?
36:10Yeah.
36:12I, but I didn't
36:13hit it that hard.
36:14Well, still,
36:15it's concussion protocol.
36:16I get in some pretty
36:17big trouble
36:18if it turned out
36:18I get a brain bleed.
36:20Look, Doc,
36:21I, my head feels fine.
36:24So,
36:25can you help a guy out
36:26and stitch me up
36:29so I can go home?
36:31Tell you what,
36:32as soon as you're back
36:33from CT,
36:34you'll be first
36:34on my list.
36:35I promise.
36:41Just hang tight.
36:43You got it.
36:55The 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.
37:02Vidal stable.
37:03Okay.
37:04Starting to separate
37:05the plane around
37:06the artery.
37:08What the hell is that?
37:15What 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.
37:25Get vitals manually.
37:27We have to keep
37:27the graspers completely still.
37:29The slightest shift
37:30could lacerate
37:31the splenic artery.
37:32We're flying blind here.
37:34What the hell
37:34are the generators.
37:35The hospital
37:36should have switched
37:36over by now.
37:37Would you please
37:38find out what's going on?
37:39Blood pressure's down
37:4080 over 40.
37:41If you don't do something
37:41soon, Jeremy could die
37:42on the table.
37:54Vang?
38:03Hey, it's Dr. Caitlin Lennox
38:06from Chicago Med.
38:07He's dead!
38:17Let's go ahead.
38:43Hey?
38:48Hey?
38:51Hey!
39:10Hey!
39:24Hey!
39:29Hey!
39:36Oh, my God!
39:37Vic?
39:41You okay?
39:42I'm here.
39:43I'm here.
39:46I'm going to sit you up to help you breathe.
39:48It's going to hurt, but I'm going to do it really fast, okay?
39:50One, two, three.
40:01You're okay.
40:02I'm going to get you out of here.
40:17One second, one second.
40:19Okay.
40:24Come on, come on.
40:30I don't have service down here, so I have to go upstairs to call for help.
40:33Please don't leave me.
40:34I'm not leaving you, I promise.
40:36I'll be right back.
41:12I don't have service down here.
41:14I don't have service down here.
41:56I don't have service down here.
41:58I don't have service down here.
42:00I don't have service down here.
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