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Chicago Med - Season 11 - Episode 05: What's Hiding in the Dark

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Transcript
00:00You
00:05Last couple months have been amazing, but we don't even know what this is yet. Whatever this is. I'm in
00:14Amelia
00:16Yeah, I do it
00:19Well, I'm starting a parenting journey at this point in your life
00:24Sometimes I worry about how this is gonna work you and I raising a kid together
00:29So pretty, what's your name? Sharon, you're tired, aren't you?
00:34I
00:34It's okay, Bert. You can just sit
00:46I think your doorbell's broken. It worked fine. I was sleeping. What happened to your key? I lost it
00:55You know what? You were sleeping? Since when do you sleep past six?
00:59Since when are you up before noon?
01:01And what's with the suit? Is this a Halloween costume?
01:05This is a hundred percent polyester I'll have you now. That's not good. It's for work
01:11Hey, you got a bike? Uh, yeah, I got a bike. Sorry
01:14You got a job that requires you to wear something besides a ratty t-shirt?
01:18Well, I see that you're currently enjoying one of my ratty. I don't want to miss your breakfast rush
01:23Hey, what's up, dude? Look, I didn't know. I thought she was single. Oh, I'm her brother. No. Oh, well,
01:31cool. Uh, nice to meet you, man
01:33Yeah, um, have you seen my pants?
01:38I think they're by the couch
01:40Oh, thanks
01:41Uh, just let me use the bathroom
01:46Aye, aye, Cap
01:48Impulse pie?
01:49No, what are you even doing here, Cap?
01:52Oh, so, um, do you still have mom's ring?
01:55I, uh, kind of got some important news
01:57Might want to sit down for this
02:01Okay, uh, I am proposing to my girlfriend
02:04Oh, how far along is she?
02:06Seriously, Katie, Gemma is the most amazing person on the planet
02:09We're hanging out in Andersonville tonight
02:11You should stop by and meet her
02:14Guess I'll be heading out there
02:15Oh, get out
02:17All right
02:17Quick eats?
02:20Or is this like a quick eat?
02:22Hell of a tip
02:23Cap
02:24What? I'm happy for both of you
02:26Sex makes the world go round
02:28Yeah, sometimes I get to meet some pretty cool people
02:34So do you have mom's ring or are you gonna save it for the delivery, dude?
02:42So it's just the ultrasound today, right?
02:45Uh, yeah
02:48Hi
02:51I'm Dr. Lavelle
02:53Dr. Clark had to step out to do a delivery
02:55So I'm gonna be doing your ultrasound today, okay?
02:58Okay, yeah, uh, sure
03:00Before we get started, two very important questions
03:03Question number one
03:05Do either of you know who I was supposed to be?
03:09Your cat
03:10I'm the cat that went viral for looking like Eugene Levy
03:13Remember he had those funny markings on his fur like eyebrows?
03:16Oh, you know, I'm not really active on Instagram
03:18It's time to move on to tick-tock
03:21Anyway
03:23Question two
03:24Do we want to learn the baby's sex today?
03:26Yes, we would
03:27I'd rather not
03:28So, um
03:30I was
03:32Kind of thinking it would be nice if we kept it a surprise
03:35Oh, you really think we need any more surprises?
03:39I mean, why is learning the sex so important?
03:41I mean, who would help to figure out the design of the nursery?
03:46You could always do a gender neutral theme
03:48Outer space, the ocean, woodland creatures
03:52Oh, yes, those are great ideas, thanks
03:54Yeah, I'm really not worried about the nursery
03:57Okay, well then we'll just revisit it at our next visit
04:03I'll make a note for Dr. Clark
04:05Are you ready?
04:06Yeah, all right
04:09Okay
04:11Knock, knock
04:12We were supposed to meet at Lou Mitchell's for breakfast this morning, birthday boy
04:16I told you to get my text
04:17I'm so sorry
04:18I can't do it today
04:19This day has turned into an actual freaking nightmare
04:21I'm so sorry
04:22Yeah, we got your text
04:23We chose to ignore it
04:24Did you really think we were going to let you wriggle away from any and all humiliation?
04:29Do your colleagues realize how old you are?
04:32Oh, hey
04:34This guy is 65 today
04:36Tell a friend
04:37Would you have a lighter by any chance?
04:39Oh, almost forgot your present
04:41Smoke, but um
04:42Oh, this was obviously Howie's idea
04:46Ta-da!
04:48Whoa!
04:49Oh, here we go
04:51Shippers
04:51Guys, they're gorgeous
04:53Are they fancy?
04:55That's my name
04:57I don't even play golf
04:59Uh, not yet you don't
05:01You're always talking about how the ED is a young person's game
05:04Certainly you must be getting tired of fighting the same old fight
05:08Make a wish
05:14Not even 9 a.m. and we're already getting Halloween injuries
05:17So glad I'm off tonight
05:19Big plans?
05:20Uh, Sadie and I are taking Amelia trick-or-treating
05:24Really?
05:25Really?
05:25Well, so that's kind of turned into a, uh, what a bit of a thing
05:28Yeah, a really nice thing
05:30Dr. Ripley, you're on deck going to treatment for
05:33Eight-year-old boy fall down at school
05:34Trauma to the face
05:35Teacher rode in with him
05:36It's all right, pal
05:37No rest for the weary
05:38Actually, Dr. Charles, you need a two
05:40It's a possible psych issue
05:41Hmm
05:42Trick or treat
05:44Lucas, early eight-year-old male
05:46Two centimeter through and through laceration
05:47Middle of the lip
05:48Lower two front teeth went through the skin
05:50It's okay, Lucas
05:51This is his teacher, Ms. Herrera
05:52You're safe
05:52These doctors are going to help you
05:54How did this happen?
05:55He was running
05:56Tripped and hit his chin on a curb
05:58Okay
05:59Hi Lucas, I'm Dr. Ripley
06:01We're going to take you for a little ride, okay?
06:03On my count
06:03One, two, three
06:07Lucas, do you mind if I move this jacket a little
06:09Just so I can take a look?
06:11It might take him a minute to warm up
06:13Did he get overstimulated by all the Halloween costumes?
06:16Northbrook doesn't allow costumes at school
06:18Could I, uh, speak with one of you outside?
06:22Of course
06:23Thanks, guys
06:25Lucas
06:27I don't even know what to call it
06:28He became extremely agitated and tried running away from school
06:32Thank God he tripped
06:33Northbrook Academy is on a very busy road
06:36If he had run into the street, I don't know what would have happened
06:39Ms. Herrera, are you aware that you're bleeding?
06:41What?
06:43It's just a small cut
06:44I didn't think it was that bad
06:45What happened?
06:46Get away!
06:49Lucas, Lucas
06:50I'm not gonna hurt you, okay?
06:51I'm a doctor, I'm here to help
06:52No, you're not
06:52You're not a doctor
06:53You're one of the bad people
06:55The bad people?
06:57The monsters!
06:59You're all monsters!
07:14So the baby is measuring right where it should be
07:17One thing I did want to mention is the nuchal translucency is on the high end of normal
07:22Uh, what's the measurement?
07:24It's, uh, 3.0
07:25An increase in the NT, that can be a sign of chromosomal and genetic abnormalities, right?
07:31Yes, but given that all of Hannah's blood work was normal, I'm really not stressed about it
07:35Oh, I'm glad you're not, but I am stressing
07:37Uh, what can we do for this?
07:40Um, nothing
07:41At the moment, we can bring Hannah back in a few weeks for an early anatomy scan
07:45Is that the game plan? Watch and wait?
07:47I mean, that is what I would recommend for my own patient
07:49So, I mean, I don't think it's necessary at this point, but we could discuss doing an amniocentesis to
07:56No, no, no
07:57Sorry, no
07:58Uh, my non-invasive prenatal testing and genetic carrier screenings were both normal, so
08:04So what about the genetic issues that don't show up on those tests?
08:08Can you diagnose those conditions with an amnio?
08:14Yes
08:15Yes, but it is also totally overkill at this moment
08:20Totally
08:20And it's not worth the risk, trust me, I'm an OB
08:25Okay, all right, all right
08:27But you can't always use the trust me, I'm an OB, I know best card
08:31Okay, well then how about the it's my body and I'm not doing it card, is that okay?
08:36Cool, cool, cool
08:37Well, I think that's everything, do either of you guys have any other questions?
08:42No
08:42For me?
08:43Thank you, Dr. Martha
08:47So, why do you think Lucas attacked you with scissors?
08:51He didn't attack me
08:53Well, then how would you characterize what happened?
08:55He was terrified, trying to protect himself
08:59Right, terrified of?
09:01Me
09:02Yeah
09:03Any history of mental illness you know about?
09:06No, not to my knowledge at least
09:08Okay, no recent injuries or any kind of health issues?
09:13Lately, Lucas has just been a bit more subdued, down in the dumps, like not quite himself
09:21Interesting, and how long ago did you start to notice that?
09:25A few days ago
09:26We had parent-teacher conferences on Friday, I was going to check in with his foster parents then
09:30Oh, how long has Lucas been in foster care?
09:33Since he was six, he's been with his current foster parents, Tim and Lisa, for about a year, I think
09:39I've been reaching out to them, but it just keeps going to voicemail
09:43And does he seem pretty happy with them, you think?
09:46It's hard to say, I mean, Lucas is one of those kids who rarely complains about anything
09:51So even if he wasn't happy, I'm not sure he'd tell me
09:55Okay
09:56You know what? It's good to know
09:58Thank you, Miss Rivera, this has all been really helpful
10:01Of course, of course
10:02Lucas is just such a sweet boy
10:04I really hate to see him like this
10:06We are going to get to the bottom of this, I promise you
10:10Thank you
10:13Mitch
10:14How's he doing?
10:16I'm pretty freaked out
10:18What do you think is going on? Early onset schizophrenia?
10:21That would be very early, just highly unusual
10:24It doesn't really align with the presentation
10:26The teacher just told me that he hasn't really been himself the last few days
10:30I'm just wondering, I don't know, if there's a trigger in there somewhere
10:32I, uh, I did see in his chart that, uh, he's in foster care
10:37Yeah, she just told me
10:39I'm gonna let him chill out for a bit and then just, I don't know, go back in and see
10:43if I can get him to talk to me
10:44Okay?
10:45Yeah
10:49Geez, another body
10:51Oh, that room's giving me the heebie-jeebies
10:53I think there's a spirit of the deceased hanging out in there
10:56Okay, I'll bite
10:57Why would anybody hang around treatment five longer than they have to?
11:00They're looking to take more spirits with them, obviously
11:03The last three patients we put in there have died
11:05No, that's not
11:06Mm-hmm
11:07Oh, actually, yeah, you're right
11:09Yeah, my gut says it's the spirit of Mr. Crowley
11:12You know, that elderly gentleman who said I looked like a young Goldie Hawn
11:16And then he died of MI
11:17Didn't he have cataracts in both eyes?
11:19Okay, that's beside the point, Dr. Archer
11:22We need some help over here
11:23Trauma three is open
11:24What's going on?
11:25This is my roommate, Jenny Rozelle
11:26Her period's been really bad
11:28And she hasn't left our dorm room in two days
11:29I went to go check on her after my intro to econ class this morning
11:32And she was burning up
11:33I called my dad who's a doctor
11:35Oh, he's a dermatologist
11:36But he knows the basic stuff
11:37And he said that I should call campus health
11:39But Jenny kept saying no and she was fine
11:41And she wouldn't let me call
11:42You did the right thing bringing her in
11:43We're gonna help you into the bed, okay, Jenny?
11:45Here, let me give you my number
11:46I'll get it from you, Amy
11:47Let's give the doctor some room
11:48Bye, Jenny
11:49Feel better
11:50Temps 102.3
11:52She's tachycardic
11:53Heart rate's 143
11:54BP 80 over 45
11:55I'm gonna palpate your abdomen, Jenny
11:57Let me know if anything feels tender
12:01Her uterus is enlarged
12:03Ultrasound
12:03Let's give four of morphine
12:05And hang a liter of saline
12:11Her endometrial lining is thickened
12:13And I'm seeing pockets that could be air
12:15Endometritis
12:16Or pelvic inflammatory disease
12:18Let's order a sepsis panel and an HCG test
12:21In the meantime, start Zosyn IV
12:23And Lupin Dr. Asher
12:24We're gonna get you feeling better, Jenny
12:30You want some jam and butter on your toast?
12:35Maybe just some butter, huh?
12:40Oh, oh
12:43Okay
12:45Never mind
12:51You know, I went to see Isaiah in his preschool recital on Tuesday
12:57And you gotta see the little three-piece suit that Tara had him in
13:02You know, I think I have a picture for you
13:05Let's see
13:06It was so ridiculous, but so stinking cute
13:11Look at this
13:13Any something?
13:17Who is that handsome little guy?
13:20Hey, Tamika
13:21He looks like a mini-you, Bert
13:23This is our grandson, Isaiah
13:26He is a cutie pie
13:29Yeah, and believe me
13:30He knows it
13:31Uses it to get anything he wants out of his mother
13:38How are we doing today, Bert?
13:41Fine
13:44Who's your grandson dressing up as?
13:47Um, you know, one of those, uh, superheroes all of his little friends have obsessed on
13:53I-I can't remember the name
13:56Look, you don't want to spill that
13:57Don't touch that
13:58I just wanted to move it out of the way so you won't spill it
14:03Bert?
14:04You could just leave that on the table
14:05Come on, let's leave this on the table
14:07Give me the plate, okay?
14:09I don't want you here!
14:11You think I'll want to be?
14:16You think I'll want to be?
14:37Morning, Sharon
14:39Hey
14:41Uh, I know I look a mess
14:43No, no, you look-you look fine, you okay?
14:46Uh, any dementia in their family?
14:49Yeah, my Uncle Paul, my mother's brother
14:51Do you remember the anger phase?
14:54Oh, he would rage at my poor mother
14:57Using all sorts of very strong language we didn't even think he knew
15:00You won't ever hear me call my ex-husband a saint
15:06But one thing he never did
15:08Not
15:11Once during the entirety of our marriage
15:15Did he raise his voice at me?
15:18You know, when Bert got mad, he got softer, not louder
15:24I could count on one hand the number of times he raised his voice
15:28And they've all happened since his diagnosis
15:31Including this morning
15:34I'm sorry, I'm sorry
15:35And you know that's not even why I'm upset
15:40I'm just really mad at myself because
15:46I lost it, I yelled back at him
15:49Okay, Sharon, listen to me
15:51You are navigating highly stressful uncharted waters with someone who you really did not
15:57See yourself going through this with
16:00Yeah, but
16:01It's Bert going through it
16:04Yes
16:05And you're going through it too
16:08Let me get myself to get
16:10Okay
16:11Okay
16:18She definitely has endometritis, high white count, elevated procalcitonin and lactate
16:23And her roommate said she's having a bad period
16:26But her pregnancy test is positive
16:28And I didn't see an embryo on her ultrasound
16:32Yeah, her thick and uterine lining is likely from retained product
16:37She's having a miscarriage
16:43Lucas, how you feeling?
16:44No, no, please go away
16:45Lucas, I'm not going to hurt you
16:47Get away
16:47I promise I'm not going to hurt you, buddy
16:49Hey, do you think you could describe to me what it is that you're seeing that's making you so upset?
16:54Please don't hurt me
16:55Go away, go away
16:57Hey, you know what?
16:58Miss Herrera told me that you like to draw
17:01And that you're actually pretty good at it
17:04Is that true?
17:04Go away
17:06Okay, well, you know something I've learned about drawing is that
17:10If I draw a picture of something that I'm scared of it can make it quite a lot less scary
17:15for me
17:16Do you think that you might be able to draw a picture for me?
17:18You could just use my iPad, draw with your finger?
17:21You think you might be able to do that for me?
17:24Okay
17:25You go, don't look at me
17:26I'm just going to hand it to you
17:27Fuck you
17:48And then I'm going to Sanoma
17:49Wow.
17:51Who is this?
17:57It's you.
18:03The pregnancy hormone can take several weeks
18:05to leave your body,
18:07which is why you still have a positive pregnancy test.
18:10Jenny, is there anyone you want to call?
18:12Maybe your parents?
18:13No.
18:14Please, you can't tell my parents.
18:16Okay, I won't.
18:17You're an adult and I won't tell them
18:19or anyone else without your permission.
18:25Am I in trouble?
18:26We just, we want to get you feeling better, okay?
18:29The reason you're sick is because your uterus
18:31has retained parts of your placenta,
18:32which has become infected.
18:34You will need surgery to remove this.
18:36I need surgery?
18:37Yes, but it is a minor and very safe procedure.
18:41In the meantime, I would like to collect vaginal cultures
18:44so we can pinpoint the bacteria
18:45that's causing your infection.
18:46Is that okay with you?
18:48Hmm.
18:49Okay.
18:51Okay, let me just grab a nurse to assist.
18:57Keep looking at the wall, keep looking at the wall.
19:00I'm just sliding over here.
19:01Okay.
19:02Now look, you don't have to look at me
19:04and I promise I won't move any closer.
19:10Lucas, across my heart I'm not a monster,
19:12but I absolutely believe that when you look at me,
19:15that's what you see.
19:16Because I think that your brain is playing a trick on you.
19:20A trick?
19:21Yeah.
19:22And I'm going to prove that to you right now
19:24by taking a picture of myself.
19:30Now I'm going to show it to you.
19:32Here.
19:32Here comes the iPad.
19:34It's okay.
19:38That's you?
19:39Yeah.
19:40Not a monster, right?
19:43No.
19:46Okay, Jenny, so you're going to feel my hand on your thigh.
19:49Okay, so back you on.
19:52All right, now you're going to feel a little pressure.
19:55I know, I'm sorry.
19:57I know that the infection makes it extra, extra tender,
20:02so I will be gentle.
20:05Dr. Asher, you ready for the swab?
20:08Dr. Asher.
20:13Um, yeah, sorry.
20:14I just culture a swab, please.
20:22Dr. Asher, I'll be right back.
20:24Okay, I will be right back.
20:26Wait, wait, where are you going?
20:28Dr. It's okay.
20:28I'll be right back, I promise.
20:35Jenny's pelvic exam revealed a second-degree perineal tear,
20:38and I saw umbilical cord coming from her cervix.
20:42I felt like something was off with her demeanor,
20:44but I wasn't sure if she was in shock or hiding something.
20:46Do you know how far along she was?
20:48Dr. Based on the size of the tear in the cord,
20:50I suspect close to full-term.
20:53So where's the baby now?
21:01And she won't tell you what she did with the baby?
21:04She won't even admit there was a baby.
21:06Well, if she delivered days ago
21:08and left a newborn somewhere, it...
21:11it could still be alive.
21:13I'm very much in need of medical attention.
21:15Okay, I don't see any way around it.
21:17I have to report this to CPD.
21:20We need to find that baby.
21:22Okay, so what do we do with Jenny in the interim?
21:24Antibiotics alone won't clear up the infection,
21:26and now she's refusing surgery.
21:28Well, we have to honor her wishes,
21:29but if her condition worsens and she becomes incapacitated,
21:33then the hospital should assume decision-making authority
21:37over her medical care.
21:39Agreed. Thank you.
21:40You're welcome.
21:42What I'm thinking right now is that Lucas is suffering
21:45from something called prosopometamorphopsia,
21:47or PMO for short.
21:50Colloquially known as, believe it or not,
21:53demon face syndrome.
21:54Yeah, well, that's certainly accurate.
21:57Yeah.
21:57Very rare neurological disorder of visual perception.
22:01So this isn't a hallucination.
22:03Exactly.
22:04It's a distortion, which is a very different thing.
22:07Now, for some people, it only occurs
22:10with a real, live human being, right?
22:12Not 2-D imagery.
22:13Sure enough, when I showed Lucas a picture of my face,
22:16it looked completely normal to him.
22:17So what triggers PMO?
22:19You know, we know so little about it,
22:21but I would like to get him an MRI to rule out
22:23the most serious known cause,
22:26which is traumatic brain injury.
22:27Hmm.
22:28You think something might have happened at his foster home,
22:31and an injury that wasn't reported?
22:33I sure hope not.
22:35What the hell?
22:37I don't know.
22:44So how the hell did this happen?
22:45Mr. Crowley.
22:48Uh, who?
22:49The spirit haunting this room.
22:51And we're done here.
22:57Hey.
22:57Hi, I'm on hold with insurance waiting to fight with them
23:00over my latest claim.
23:01Hashtag prosthetic problems, am I right?
23:04Your costume for tonight.
23:06Thank you very much.
23:06Hello?
23:08Hello?
23:09Hello?
23:09Hello?
23:09Yes, I have my policy number.
23:11It's on my insurance card, which is...
23:15Damn it.
23:16It's at home.
23:17Come on, baby.
23:18We gotta go right now.
23:19But you said I could have a snack.
23:21I know.
23:21I, uh, I could take you to the cafe while you run home.
23:24No, no, you're working.
23:25And Doris will text me if I'm needed.
23:27And then what you do is Amelia.
23:29I will set her up with a coloring book in the doctor's lounge.
23:32Thanks, but she can have a snack at home.
23:35I'm hungry now.
23:37Amelia, we're going.
23:39Now.
23:40No, no, don't put me back on hold.
23:41I'm getting the card.
23:43I'll see you tonight.
23:44Yeah.
23:49Oh, Daniel.
23:51Hey.
23:52What's up?
23:53Um, I forgot to wish my dearest friend a happy birthday this morning.
23:57You did?
23:58Maybe, uh, your dearest friend ain't so unhappy you forgot.
24:01Well, happy Halloween birthday, anyway.
24:05Uh, did I see Howie and Franklin wandering around here earlier?
24:11You sure did.
24:12Gifted me a pricey set of golf clubs.
24:14Made me blow out a candle on a damn brand muffet.
24:17Well, it sounds like they want their old med school pal to join them in retirement.
24:21They're so excited about it all, you know?
24:24I find it depressing.
24:26Yeah, but it could be your glorious third act.
24:29You know, I guess we have to ask ourselves what we want to do with the time we have left.
24:34I clearly have to change my thinking.
24:36You know, I certainly don't want to outlast my useless around here.
24:40Are you kidding?
24:40We're the glue holding this thing together.
24:42Damn right we are.
24:44You're damn right we are.
24:45And you're gonna figure it out and so am I.
24:48I'm taking your word for it.
24:49Okay.
24:49How's your day going?
24:51Uh, I had a rough morning with Bert.
24:55What happened?
24:56Uh, I'll tell you some other time.
25:00You want to grab a coffee later?
25:02Yeah.
25:04Hey, uh, Lucas's foster parents are waiting in your office.
25:07On my way right now.
25:09Yeah.
25:10I'm sorry we couldn't get here sooner.
25:12We were up visiting our eldest daughter in Milwaukee.
25:15Well, the good news is no evidence of brain injury or structural abnormalities of any kind on
25:21Lucas's scans.
25:22Oh, thank God.
25:23So then what's causing these distortions?
25:25I was kind of hoping that we could figure that out together.
25:28His teacher said that he hasn't been, I don't know, himself recently?
25:34Yeah, he doesn't seem to be sleeping well, right?
25:36He's exhausted in the morning.
25:38And I think he's having some sensitivity to light.
25:41He keeps squinting and covering his eyes, saying his head hurts.
25:45I just chalked it up to a growth spurt.
25:48It's so tough to tell with Lucas.
25:49You know, if something's really wrong, he's such a sweet kid.
25:52He doesn't want to be a bother.
25:53You know, that could be a pediatric migraine.
25:56And those are much less intense than the adult version, but absolutely can be caused by lack
26:03of sleep and are a known trigger for PMO.
26:06Will the distortions go away?
26:08They will.
26:09And that can take anywhere from a few hours to a few weeks.
26:13But unfortunately, they're very likely to return, which is why I'd like to refer you
26:17to a colleague of mine who is a very skilled neuropsychiatrist.
26:21And he can help you put together a treat.
26:24What's wrong?
26:25We'll certainly make the appointment, but, um, well, we don't actually know how much
26:30longer we're going to be in Lucas's life.
26:33Yeah, we got a call from his caseworker, Sheila, last week.
26:36His biological parents are trying to regain custody.
26:38We're going to fight it.
26:39We've started the process of filing for adoption.
26:42Okay.
26:43You happen to know why Lucas was put in foster care initially?
26:48Both of his parents are addicts.
26:50Yeah, they claim they're sober now, that they're turning their lives around.
26:53And, you know, maybe they are, but...
26:55Right, right.
26:57You think there's any chance that Lucas might know,
27:00that he might be aware that his biological parents are trying to get him back?
27:02No, no, he doesn't know anything.
27:04We didn't want to scare him unnecessarily.
27:07Okay, look, I'm going to hit the book, see if I can figure out
27:11a way to get Lucas a bit of immediate relief.
27:14Okay?
27:15That'd be great.
27:16Thanks.
27:17I didn't, I didn't deliver a baby.
27:19Jenny, Dr. Asher saw the umbilical cord, which means you must have cut it.
27:23Otherwise it would...
27:24No, I didn't.
27:24Please, I just want to leave.
27:26I know you want to leave.
27:26I know you're really scared right now, but the...
27:29Oh my God, it's happening.
27:31Let me take a look, okay?
27:35What's going on?
27:35She's starting to hemorrhage.
27:36Okay, Jenny, listen to me.
27:38If we don't operate now, you will bleed to death.
27:39I don't want to die.
27:40Okay, then let us take you to surgery, okay?
27:43Okay.
27:44Call the OI.
27:45Jenny, listen to me.
27:46I know that you're afraid of getting in trouble,
27:48but the best thing you can do right now is tell the truth.
27:50Where's that baby?
27:52I buried her.
27:56I'm sorry.
27:57I'm so sorry.
27:58I'm sorry.
28:06He went into V-fib.
28:07Crowley's at it again.
28:09All right.
28:09Charged at 120.
28:11Charged.
28:12Clear.
28:14No pulse.
28:15No pulse.
28:15Resuming compression.
28:16Charged.
28:16200 milligram of epi, please.
28:19Clear.
28:21No pulse.
28:22And the odor on 300 milligrams.
28:24Charged 200.
28:25Charged.
28:26Clear.
28:29Back to sinus rhythms.
28:31See?
28:32No such thing as ghosts.
28:35What is that?
28:36What happened?
28:37What is that?
28:38What's going on?
28:38I don't know.
28:39Hey, we lost power in here.
28:43You can't tell me that wasn't.
28:45Ah, coincidence.
28:49Ghost.
28:53See, you know, green tinted glasses help with light sensitivity.
28:57So, ophthalmology had a bunch of these lying around.
29:00But it turns out, they also help reduce distortions caused by PLO.
29:08Open your eyes, pal.
29:13Hey there.
29:14I'm not scary looking anymore.
29:16You look just like your picture.
29:18Just a little more handsome, right?
29:21Huh?
29:25You look like Tim and Lisa again.
29:27We are Tim and Lisa.
29:31Honey, can I ask you something?
29:33Are you having trouble sleeping?
29:36We won't get mad, okay?
29:37Remember what we always tell you.
29:39If you can't sleep or if you're having bad dreams, you can always come wake us up.
29:43Right.
29:44Lucas, I'm just curious.
29:46I've been wondering if maybe you might have heard Tim and Lisa talking to your caseworker,
29:51Sheila, about possibly going back to live with your, with your mom and dad?
29:57Baby, it's okay if you did.
29:59You can tell us.
30:00Yeah.
30:02I heard you crying and I just wanted to see what was wrong.
30:05I know I'm supposed to knock on your door, but...
30:09But what?
30:11I didn't want to, because that would be a mistake.
30:15A mistake?
30:16Why would that be a mistake?
30:18Because you're not supposed to bother people when the door's closed.
30:21Who told you that?
30:24Your mom and dad tell you that?
30:27What else did they tell you was a mistake?
30:29I'm not supposed to talk about it.
30:31Lucas, look at me.
30:33You are not going to get in any trouble, buddy.
30:34You are safe here.
30:36Do you understand me?
30:38You won't tell them.
30:39I swear.
30:48Being too loud.
30:51Cleaning up my toys.
30:53Sneaking food.
30:56And, um, what would mom and dad do if you made a mistake?
31:05They would scream really bad words at me.
31:09If you time it in my bed, you won't let me have anything to eat.
31:14Oh, baby.
31:16I don't want to go back there.
31:18Don't make me go back there.
31:19It's okay.
31:20No.
31:20I want to stay here.
31:22It's okay.
31:29Hey, how'd it go?
31:30She drew it well.
31:31We were able to remove the placenta and stop the bleeding.
31:33Good.
31:34I wanted to let you know we located the baby.
31:36And?
31:37As we expected, she was deceased.
31:40Any signs indicating how the baby died?
31:42Still born.
31:43Emmy believes she died in utero weeks ago.
31:45So, what does that mean for Jenny, legally speaking?
31:49Legally, it doesn't take all charges off the table.
31:51That's at the discretion of the ASA, but it does remove the most serious one.
31:55I'm going to come by tomorrow to talk with her again.
31:57That is, if she hasn't lawyered up by then.
32:00Which, honestly, Hannah, I would advise her to do.
32:04Good.
32:12Hey.
32:16Are your throats going to feel a little sore from the tube?
32:21Did they find her?
32:25Yeah.
32:27I didn't know what to do.
32:32When she came out, she wasn't...
32:36There was no sound.
32:37Okay, Jenny, I just want you to rest, okay?
32:40I tried.
32:42I know CPR.
32:44I took a class, and I tried, but she wasn't breathing, and I just...
32:51She was still born, Jenny.
32:55She had already died in your uterus weeks earlier.
33:00But if I had called 911, they could have shocked her heart.
33:04They could have...
33:04No, no, no, no.
33:07There's nothing you could have done.
33:10Nothing.
33:13Can I ask?
33:16Why didn't you ever go see a doctor to discuss your options?
33:22I didn't know I was pregnant.
33:25I mean, no, not for sure.
33:28I never took a pregnancy test.
33:31Why not?
33:35Because that would have made it real.
33:53You talked to DCFS?
33:55I did.
33:57Reunification with Lucas' bio parents is being put on hold,
34:00pending a thorough investigation.
34:02And if that goes away, I think it will.
34:04Kids can have themselves a nice new set of parents.
34:07Come on.
34:09You're a real-life superhero.
34:10You banished the monsters.
34:12Sure did.
34:13Eight years too late.
34:22Hey, I thought your shift was over hours ago.
34:26Oh, it was.
34:28What are you still doing here?
34:30I didn't feel like going home yet.
34:32Yeah?
34:33One of those days, huh?
34:36Want to talk about it?
34:38I don't, thanks.
34:40Do you, uh, want to come by and help me pass out candy?
34:45You pass out candy?
34:47As opposed to, what, bopping for apples?
34:51Turning off all the lights and pretending no one's home.
34:53Yeah, miss my yearly opportunity to eat my weight miniature Snickers?
34:58No way.
34:59Okay, well, Snickers, fine.
35:01I mean, I've just, I've been super craving chocolate lately.
35:06Must be having a girl you're craving sweets.
35:08Yeah, that's just an old lifestyle.
35:11So what do you think you're having?
35:13No clue.
35:13Really?
35:14You don't have like a sixth sense or anything like that?
35:16My gosh, Leanne was positive.
35:19She knew we were having a boy by week six.
35:21Yeah, I really just haven't thought too much about it.
35:25Huh.
35:31What's, huh?
35:33I just find it interesting, that's all.
35:36It's just, uh...
35:36Okay, why are you analyzing me?
35:38Oh, Hannah, I'm not analyzing.
35:39Yes, you are.
35:41Look, if you want to find out the sex so bad, go ahead and do it.
35:44We don't need to make every decision together.
35:45Oh, please, I'm not trying to...
35:46Look, I'm just going to go home.
35:47I feel like we could use a little space.
36:06Can you share some of your candy with me?
36:08Yeah.
36:08Yeah?
36:09The lights are really nice.
36:11Mmm.
36:11I like your costume.
36:12Want to go with us?
36:13Can I, Mom?
36:14Oh, don't you want to stay with us, honey?
36:16I want to go with them, please?
36:19Uh, okay.
36:20But you need to stay where I can see you at all times.
36:24If you can't see me, you've gone too far.
36:26Okay.
36:28Come on!
36:30Not too fast, Amelia.
36:31Slow down.
36:32You should be fine.
36:35I'm not exactly running yet, and Amelia moves fast.
36:39Well, I got eyes on her.
36:40I have to see her.
36:46You don't trust me?
36:49No, I don't trust me.
36:54I swear I wasn't always such a helicopter parent.
36:57Then my daughter fell down a literal well, and now...
37:02I never want to let her out of my sight.
37:05I'm afraid if I look away for even a second,
37:09the ground will swallow her up again.
37:14That's what it looked like when she fell.
37:16I couldn't see the wall at first.
37:18It was too dark.
37:20It looked like the earth just suddenly swallowed her whole.
37:28I can't imagine anything more terrifying.
37:32And obviously, this relieves only, at most,
37:36point zero zero zero zero one percent of the crushing responsibility you must feel at all times.
37:43Just so you know, whenever I'm around, I got eyes on her too.
37:50I'm not gonna let anything out.
37:54I know.
37:56I know you won't.
38:04Where is she, though?
38:06She's right there.
38:09Thank goodness.
38:11Come on.
38:12Hey, Kip, I'm sorry, but I'm just not gonna make it tonight.
38:15It's been a long day, and I'm beat.
38:17So tell Gemma that I'm looking forward to meeting her another time, okay?
38:20Tell her yourself.
38:21What are you doing here?
38:23I knew you'd bail, so I came here to personally escort you.
38:26Kip, you can't just...
38:26No, no, no, no, Kip!
38:27Anything, okay?
38:28You're coming.
38:30Katie, I am in love.
38:31For the first time in my life,
38:33I am buying paper towels and toilet paper in bulk.
38:36That's Gemma's doing.
38:38I'm thinking and planning ahead,
38:39because I actually see a future with this woman.
38:45You do seem different.
38:48Grown-up job, grown-up relationship.
38:51Mm-hmm, that's the Gemma effect.
38:52And I suppose figuring out that I'm not hurling towards a early death
38:56doesn't hurt either.
38:57Although I see that it's had the opposite effect on you.
39:00I mean, having one night stands with the quick eats guy,
39:03it's not really your style.
39:04Yeah, well, you don't really know anything about my style.
39:07I think that we both know each other better than we'd like to admit.
39:12I'm really happy for you.
39:14Then rally and come to the bar for an hour.
39:18Fine, all right.
39:19Let's go to the bar and meet your future first wife.
39:24And if you do want Mom's ring to propose...
39:27Ah, forget about that.
39:28I think that was a tad premature.
39:31I don't want to creep Gemma out by proposing two months in.
39:34True. You should let your action figure collection do that for you.
39:39Besides, uh, you should keep the ring for when you get married.
39:44That's what Mom would have wanted.
39:48Thank you, Anna Banana.
39:50You are such a lifesaver.
39:52I just feel so much better having somebody in the house, you know?
39:55Everything in the fridge is yours except, of course, my Mugu guy pan.
39:59That's right, baby. No Mugu for you, Goo.
40:01All right. I'll call you from Miami. Love ya.
40:05Have fun at that conference.
40:07Oh, I can't wait.
40:08Oh, wait. Hold on.
40:11I think it's a call from Burt's facility.
40:15This is Sharon Goodwin.
40:19Tameka?
40:21Uh, what?
40:24Is he okay?
40:26Well, did you call the paramedics?
40:30All right. I'm on my way. I'll see you shortly.
40:33What happened?
40:34Uh, I don't exactly know. Burt had a fall.
40:36What? I gotta go.
40:38Should I come? I'm serious.
40:39Oh, no. Your flight.
40:40Daniel, please don't change your plans.
40:42Let me see what's going on, and I'll keep you posted.
40:45Okay. Yeah.
40:45You promise?
40:46I promise.
40:49I heard him fall. I don't know if he tripped over something.
40:52Did he hit his head?
40:53I think so.
40:54There's a gash in the back.
40:55And he was already unconscious when you got to him?
40:58No, no.
40:59He was still opening his eyes at first, and then he stopped.
41:20He was still opening up.
41:27We'll keep moving.
41:28Bye-bye.
41:29Bye-bye.
41:30Bye-bye.
41:32Bye-bye.
41:35Bye-bye.
41:39Bye-bye.
41:42Bye-bye.
41:44Bye-bye.
41:46Bye-bye.
41:56Transcription by CastingWords
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