OR
Nurse Beth: Off his liver from the stab wound... He's dumping blood.
Nurse Tanya: Get him on the table. Three, two, one, lift.
Connor Rhodes: Vitals?
Nurse Beth: 95 over 50, tachy at 140.
Connor Rhodes: Chris? Chris. Hey, you're bleeding too much, okay? I need to open you up.
Marty Peterson: Etomidate's in.
Connor Rhodes: He go unconscious, or was that you?
Anesthesia Tech: No way to know.
Nurse Tanya: Sats are dropping. 88... 80.
Connor Rhodes: Is he tubed yet?
Anesthesia Tech: Not yet.
Connor Rhodes: Let's get more blood.
Nurse Tanya: Two bags on the transfuser.
Anesthesia Tech: Damn it, I can't get it in.
Connor Rhodes: I'm gonna thread a wire up to you through the neck, help guide the tube down. Central line kit?
Anesthesia Tech: Just give me a few seconds.
Connor Rhodes: I don't have a few seconds.
Nurse Beth: Heart rate's falling. Giving 1 of atropine.
Anesthesia Tech: I can't see it. Got it. I'm in.
Connor Rhodes: Give me a knife. Get Dr. Zanetti in here right now.
Nurse Beth: Heart rate 50.
Connor Rhodes: Hang in there, Chris. Great. Open more laps and keep 'em coming. I'm gonna need around 20… Keep up with me. If we don't pack him fast, he will bleed out and die.
Sam Zanetti: Is he still bleeding?
Connor Rhodes: Liver's packed.
Sam Zanetti: How many units is that?
Nurse Beth: Four blood, four plasma.
Connor Rhodes: Send six more to angio, we're coming soon.
Sam Zanetti: If there's any left. What? He's type AB. I'm just saying. I don't blame you for kicking yourself right now.
Connor Rhodes: For what?
Sam Zanetti: For not taking him straight to angio when he first came in this morning.
Connor Rhodes: He had a penetrating liver trauma with no collateral injury. A wound like that usually stops bleeding on its own. The chest tube was dry. I made the right call.
Sam Zanetti: Maybe, but we'd sure have a lot more type AB in the bank if you'd made the wrong one. Keep suturing, Dr. Rhodes. That diaphragm's not gonna repair itself. All right, let's get a vac on him. You ready?
Connor Rhodes: Almost. Let me clip it. Done. Get him to angio.
Roof
Joey Thomas: Whoa, did you just swipe my Splenda?
Sarah Reese: What? No. I mean, yes, but it's yours?
Joey Thomas: Not technically. Only if you believe in being considerate to other people.
Sarah Reese: Oh, okay, well, here, you can have it.
Joey Thomas: No, that's okay. Sarah Reese. Reese... I'm gonna remember that.
Sarah Reese: No, seriously, you can take it. You don't have to...
Trauma
Sharon Goodwin: Dr. Choi?
Ethan Choi: Jessica Pope. She was found by Fire with a bag over her head. Resuscitated at the scene. In a coma ever since.
Sharon Goodwin: Attempted suicide?
Ethan Choi: Or murder. PD's investigating. The thing is her bone marrow biopsy just came back. No stem cells. Nothing. Looks like it was blasted by chemo.
Sharon Goodwin: Cancer patient. Might explain suicide. Let me know if anything changes.
Ethan Choi: You got it.
Entrance
Jay Halstead: How is she?
Sharon Goodwin: The same. It turns out she was on chemo. What do you guys know about her?
Jay Halstead: Not a lot at this time.
Kelly Severide: That's all that was salvaged from the scene.
Jay Halstead: That's her personal belongings... A couple of books, receipts. We processed them, didn't find anything useful.
Sharon Goodwin: Hey, Daniel, why don't you take a look at this?
Daniel Charles: Never know what you might find. A lot of receipts. Organized. Getting ready for tax season.
Erin Lindsay: Guys? Forensics just came in. They only found her prints at the scene. There's no signs of foul play. All the evidence is pointing to suicide.
Jay Halstead: Excuse me, guys. Hey.
Will Halstead: What's up?
Jay Halstead: Can I ask you a doctor question?
Will Halstead: Sure, come on.
Jay Halstead: Um, Herrmann.
Will Halstead: Yeah.
Jay Halstead: If he'd come in on your watch, would you have waited so long before doing anything?
Will Halstead: That's a tough call. It's been a while since my surgical residency. And, you know, I wasn't there for the exam, so it's hard to say.
Jay Halstead: Yeah, just in general.
Will Halstead: In general? Yeah, I probably would have gone in. But, uh, again, I wasn't there.
Jay Halstead: Right. Thanks.
Will Halstead: Don't.
Natalie Manning: Hey, what you got?
Maggie Lockwood: Hey. Don't forget our date this afternoon.
Natalie Manning: We don't seriously have to do this. You know, I did go to med school. Oof. He's gonna be a kickboxer.
Maggie Lockwood: Thank you. Nat, I'm your birthing buddy. Which means I take you on every tour and watch you sign every form this hospital and the State of Illinois demands.
Jay Halstead: Hey, Nat.
Natalie Manning: Hey.
Maggie Lockwood: Wait a second. You have an 80-year-old woman to go see in treatment 5.
Natalie Manning: All right.
Jay Halstead: I thought Will said you were a pediatrician?
Natalie Manning: I am...
Maggie Lockwood: Combined pediatrics and ER residency, which mean she sees everybody.
Jay Halstead: Hm, fancy.
Natalie Manning: My birthing buddy. So what else did Will tell you about me, huh?
Jay Halstead: Huh? Nothing. I mean, nothing.
Treatment
Natalie Manning: Hi. I'm Dr. Manning.
Michael Shepperd: Hi, I'm Michael.
Natalie Manning: Temperature 101. Mrs. Shepperd, how are you feeling? Mrs. Shepperd, how long have you had this fever? Are you her son?
Michael Shepperd: Uh, yes. But I don't live here. I just flew in this morning.
Natalie Manning: Does your mother have dementia?
Michael Shepperd: Not that I know of.
Natalie Manning: When was the last time you spoke to her?
Michael Shepperd: Uh, maybe three months ago? Her birthday, I guess. Honestly, I don't know much about what's going on with her. They are treating her for mouth cancer. Last I heard, it was going okay.
Natalie Manning: I don't see anything. Although it's possible it's cleared. Do you have the name of her doctor?
Michael Shepperd: No.
Natalie Manning: All right. Well, we need to find the source of her fever. Could be a simple urinary tract infection, which would also account for the disorientation. I'll start her on antibiotics, but I want to run some tests. Hopefully, we'll get her feeling better soon. A nurse will be in shortly.
Michael Shepperd: Thanks.
Entrance
April Sexton: You're coming with me. My baby brother. Now he is here to learn, so don't go easy on him.
Maggie Lockwood: Always toughest on family. Remember that last third-year that rotated here?
April Sexton: The one they admitted into psych because he was picking holes into his skin?
Maggie Lockwood: No, the one that hanged himself with his stethoscope.
Noah Sexton: You guys are funny.
April Sexton: No, they're serious. Where's Sarah? I want her to show him around.
Maggie Lockwood: I don't know. Oh, hey, Reese. April's little brother needs a tour.
Noah Sexton: Does she have to call me that?
Sarah Reese: Okay.
Maggie Lockwood: Mm-hmm.
Sarah Reese: Hi. Be there in a minute.
Treatment
Ethan Choi: No change in her labs yet. Let's run another test in four hours.
Sarah Reese: Dr. Choi?
Ethan Choi: Yeah?
Sarah Reese: I heard about the bone marrow depletion. It's the focus of my research. There are so many discrete causes and variations, I thought we could run a few extra tests to rule out any possible...
Ethan Choi: Whatever you think, Reese. Titrate her nor epi to keep her MAP at 60. We'll need to up the rate on her vent.
Nurse: Okay.
Daniel Charles: I'm not convinced.
Sharon Goodwin: About what?
Daniel Charles: Jessica Pope had a confirmation for a round-trip ticket from Paris six months from now, okay? Presumably when she's in remission. A person... a conservative, responsible person... With cancer? They don't do that unless they have high hopes. Right? So she's sick, but she thinks she's getting better. Why would she kill herself? Something's hinky.
Sharon Goodwin: "Hinky"? Did you just say "hinky"?
Daniel Charles: Humour me. Women almost always leave suicide notes. Where's the note?
Well, maybe it was destroyed in the fire.
Sharon Goodwin: Or maybe it wasn't a suicide. Have you been binging on "Mannix" again?
Daniel Charles: You don't like it, stop sending me box sets for Christmas.
Sharon Goodwin: All right, okay. Next year, it'll be "Sanford and Son."
Daniel Charles: Dr. Halstead? Do you think that your policeman brother might do you a little favour?
Hallway
Noah Sexton: This place is ginormous. Good thing I got GPS.
Sarah Reese: Oh, it won't do you any good. Radiology's right above us. Between the MRI and the fluoroscope, there's no way you get an accurate signal around here… Uh, here we go. Uh, excuse me. I need a mass spectrometry right away on this sample.
Irma Dunn: A mass spec?
Sarah Reese: Yes, and if I could get that stat.
Irma Dunn: And you want it stat?
Sarah Reese: Yeah, see, we have this patient...
Irma Dunn: Joey!
Joey Thomas: Yeah?
Irma Dunn: Got a request for a mass spec.
Sarah Reese: Oh, hey, Joey.
Joey Thomas: Reese.
Sarah Reese: Um... About that Splenda thing... We've got a woman who is in a coma, and I really need to figure out why. So if you could just please do this for her...
Joey Thomas: Okay.
Sarah Reese: Okay? Wait, really? You will?
Joey Thomas: Yes.
Sarah Reese: Seriously, thank you so much. And just to... Just to reconfirm, we need that stat.
Joey Thomas: I heard you.
Waiting Room
Kelly Severide: Jay got it from Will. He said if it was him, that's what he would've done.
Gabriella Dawson: Well, so... Does that mean none of this should've happened?
Kelly Severide: Sounds like it. I'm gonna go find out.
ICU
Connor Rhodes: How much blood is coming from the vac?
Nurse Doris: About 250 mils. Pressure's still low.
Kelly Severide: You think it might've helped if you hadn't waited so long?
Connor Rhodes: Excuse me?
Kelly Severide: If you'd operated on him when we brought him in. Not waited.
Connor Rhodes: Are you talking to me about medicine right now?
Kelly Severide: I'm talking to you about my friend.
Connor Rhodes: Look, I'm gonna say this once. Because he is my friend too. I did what was right.
Kelly Severide: Well, some of your fellow docs don't agree.
Connor Rhodes: Really? Odd that they would share that with you and not me.
Office
Sam Zanetti: Your patient, Herrmann, he's stable?
Connor Rhodes: He's still on the vent, but, yeah.
Sam Zanetti: In the O.R. when I said what I did... You know that I'm only hard on the good surgeons, right?
Connor Rhodes: Is that right?
Sam Zanetti: Yeah, I'm not gonna change because we're sleeping together. If you've got some male power thing where you can't get it up unless I constantly applaud your surgical prowess...
Connor Rhodes: Did you say something to Fire about me mishandling him?
Sam Zanetti: What?
Connor Rhodes: You heard me.
Sam Zanetti: You think that I would do something like that?
Connor Rhodes: Somebody did.
Sam Zanetti: If you think for one second that I would undermine a colleague, no matter how I felt about his choices... Maybe I need to reassess this.
Entrance
Will Halstead: Sorry to ask you this, but Dr. Charles, he's on a thing about that attempted suicide. He's not buying it.
Jay Halstead: What's not to buy? You heard the report. There's no signs of foul play.
Will Halstead: I know. But could you just take one more look? Turn over a few rocks?
Jay Halstead: Ugh, come on.
Will Halstead: All right, how about a pound of smoked trout from Calumet?
Jay Halstead: All right, two and you got a deal.
Will Halstead: My man.
Jay Halstead: Shut up.
Will Halstead: You're my hero.
Voice: Mass trauma incoming.
Maggie Lockwood: Dr. Choi, Baghdad incoming!
Ethan Choi: Baghdad. Noah, with me.
Noah Sexton: Dr. Choi, uh, what...
Chout: Get used to this. Gunshot. The one thing you can always count on in Chicago.
Ethan Choi: What do we got?
Noah Sexton: 22-year-old male, shot in the left lower back, no exit wound. 140 over 80, heart rate 60, minimal blood loss.
Trauma
Ethan Choi: Okay, those are good numbers. ABC's intact. On my count. One, two, three. Get his clothes off and roll him over. Chest and pelvis X-ray, KUB.
Nurse: Got it.
Ethan Choi: Get him dressed.
Nurse: Yes, Dr. Choi. Here. Get an H and H and let's dress. You're gonna need to call for a rudder.
Ethan Choi: Log roll. No exit wound. So our first job is... ?
Noah Sexton: To find the bullet.
Ethan Choi: Minor shrapnel but no missile. Log roll. Blood in the rectum. Where do you think the bullet is now?
Noah Sexton: In the rectum?
Ethan Choi: Remember the X-ray. On the ground or in his underwear. What's the problem with holes, Anthony?
Anthony: Things come out of them, Dr. Choi.
Ethan Choi: Things come out of them. Sir, are you still feeling any pain? 5 of morphine… Whoa. Wait, hold the morphine. Where does it hurt?
Patient: My leg.
Ethan Choi: How did this happen?
Patient: Chump just shot me.
Ethan Choi: What were you doing when you got shot?
Patient: I'm doing business, but the buyer thought he could stiff me. So I decked his ass. Next thing I know he pulls a strap, so I bolted.
Ethan Choi: Thigh and leg films, now. Now where's the bullet?
Anthony: X-ray clear!
Noah Sexton: His thigh?
Ethan Choi: Knee. Got him while he was running, leg flexed all the way up. No pulse. Bullet could've lodged in the popliteal artery. Let's get him to CT for an angiogram... Go!
Patient: Hey, they gonna catch this guy?
Ethan Choi: The buyer? Just be happy you'll live to sling another day.
Noah Sexton: I'm sorry, Dr. Choi. I've been up reading about gunshot wounds, but it's just...
Ethan Choi: Hey. Not the last gunshot you'll see.
Treatment
Natalie Manning: What's going on?
Nurse: Fever's up, pressure's down, and now she's not responding.
Natalie Manning: Could be the sedation. But she's also uremic, acidotic, and her BUN's through the roof. Something's not right. All right, let's get this PICC line out and broaden her to Zosyn.
Nurse: Okay.
Michael Shepperd: What's going on?
Natalie Manning: She's got a urinary tract infection, okay? But the antibiotics aren't touching it. More importantly, her kidneys are shutting down and we don't know why.
Michael Shepperd: What do you mean you don't know?
Natalie Manning: Mrs. Shepperd? Carol?
Michael Shepperd: This is bad, right? Can't you do something?
Natalie Manning: We're giving her fluids, antibiotics, and medication to increase her blood pressure.
Michael Shepperd: Will that work?
Natalie Manning: Have you been able to find any recent history? Any records we can check? Anybody you've been able to talk to?
Michael Shepperd: No, I told you, I don't know who to talk to. I haven't been around.
Natalie Manning: Look, I'm not blaming you, okay? But I just met your mother this morning, and I'm working without a history here.
Nurse: Excuse me, sir.
Entrance
Joey Thomas: Hey. Uh, got those tests on Jessica Pope that Reese wanted. Have you seen her?
Noah Sexton: Man, that was fast.
Joey Thomas: I said I'd do it. I did it. Where is she?
Noah Sexton: Uh, in radiology. Yeah, but I'll make sure she gets them.
Kelly Severide: Hey.
April Sexton: Hey. How's Herrmann doing?
Kelly Severide: He's still unconscious. Looks like hell.
April Sexton: Cindy must be out of her mind.
Kelly Severide: She's hanging in there. Hey, by the way, there's a guy in here, I swe... Dead ringer for your brother.
April Sexton: That's 'cause he is my brother.
Kelly Severide: They're really gonna let Noah become a doctor? Does he know an ass from an elbow yet? 'Cause I swear I saw him flailing around back there.
April Sexton: All right, it's his first day. He'll be fine.
Kelly Severide: Okay. Well, at least he's got a big sister to turn to when he needs someone to show him how it's done.
April Sexton: Yeah, he does.
Kelly Severide: Someone responsible. Conscientious.
April Sexton: Learned it from the Girl Scouts.
Kelly Severide: Meet up with me tonight. Dinner?
April Sexton: Okay.
Trauma
Ethan Choi: The neupogen's not working. Let's give her 80 of methylprednisolone.
Nurse: Okay.
Noah Sexton: Um, Dr. Choi?
Ethan Choi: Yeah?
Noah Sexton: Test results on this patient.
Ethan Choi: What is this?
Noah Sexton: A mass spectrometry. To get a fingerprint of everything her body's absorbed over the last several days as well as some key biomarkers.
Ethan Choi: How'd you pull that off? Good idea, Noah.
Noah Sexton: I-I... Yeah. Yeah, no problem, Dr. Choi. Just wanted to help.
Entrance
Jay Halstead: Turned over some rocks on the Jessica Pope case like you asked me to.
Will Halstead: And?
Jay Halstead: Had the documents lab restore some papers from her place. And they found this.
Will Halstead: Thank you.
Will Halstead: Dr. Charles.
Daniel Charles: Suicide note?
Will Halstead: Mm-hmm. But she didn't do it because she was sick.
Daniel Charles: "My fault because I trusted him. "I'm a fool. I can't live with this betrayal."
Will Halstead: Maybe a lover?
Daniel Charles: Is this the whole thing?
Will Halstead: That's all they could restore.
Ethan Choi: What's going on?
Daniel Charles: Jessica Pope. Suicide after all.
Ethan Choi: Really? Because I just got some very weird test results. They confirm she's dying from an overdose of chemo.
Will Halstead: What's weird about that?
Ethan Choi: The results also show that... She never had cancer.
Daniel Charles: Just a very weird case, you know? Turns out Jessica Pope did try and commit suicide. But that's not what's killing her. It's an overdose of chemo for a cancer she does not have.
Sharon Goodwin: She was misdiagnosed?
Daniel Charles: And over-treated.
Sharon Goodwin: Someone needs to have their license taken away.
Daniel Charles: Yeah. At the very least.
Room
Tour Guide: Once you begin labour, a small monitor will be placed on your abdomen to assess the fetus's heart rate.
Natalie Manning: Which she just said five minutes ago.
Jessica: In some cases, a small electrode will be placed on the fetus's scalp. This might be a bit uncomfortable, and yet...
Natalie Manning: And yet you have flat-screen TVs and still use a pulse ox instead of capnography. Can we go?
Maggie Lockwood: Shh-shh-shh.
Jessica: I know you medical professionals like to think you already know all this, and maybe you do, but it wouldn't hurt to let those who are here to learn have that chance. How about showing them a little respect, okay?
Maggie Lockwood: We were just wondering if you knew that internal monitoring increases the risk of an infection without offering a comparable amount of clinical benefit.
Natalie Manning: Her mother was a midwife. She grew up with this stuff.
Maggie Lockwood: We're also wondering why, if you really want to respect these women, you'd have them stand around for an hour while you talk about how the TV can play soothing sounds of nature. Because if they stand around much longer, these babies are gonna start dropping out right in front of you. Then you're gonna hear some sounds of nature.
Jessica: Good point. You are so right. We should keep this moving. Let's go take a quick look at the maternity ward.
Maggie Lockwood: Come on. Let's get out of here.
Natalie Manning: Yeah.
ICU
Sam Zanetti: I was paged?
Connor Rhodes: Hey.
Sam Zanetti: Oh.
Connor Rhodes: Look... This isn't an excuse. I am just trying to give you a little context here. I have a father, whom you met, who's made it his life's mission to undermine me. Maybe that's made me a little sensitive at times.
Sam Zanetti: You have trust issues.
Connor Rhodes: You could put it that way.
Sam Zanetti: I can handle that... How is he?
Connor Rhodes: He's stable… I got to go.
Call: Dr. Rhodes to the ED, stat.
ER Entrance
Connor Rhodes: What do we got?
Sylvie Brett: 25-year-old witnessed seizure in the street. She was clipped by a swerving car. GCS 3, intubated in the field, 102 over 60, tachy at 110.
Nurse: Prep the table, let's get him on the monitor.
Connor Rhodes: All right, on my count. One, two, three. Give me a laryngoscope to confirm the tube...
Nurse: Doctor?
Connor Rhodes: X-rays of the chest and pelvis, then to CT for a pan-scan.
Nurse: Yes, Doctor.
Will Halstead: This isn't a trauma. She went down before she was hit.
Connor Rhodes: But we don't know the damage. She was hit by a car.
Will Halstead: Because she had a seizure.
Nurse: She's tachy. Sats are down.
Will Halstead: 500 milligrams of Keppra.
Nurse: Yes, Doctor.
April Sexton: She's got a chemo port.
Will Halstead: I'm telling you, the money's in the seizure. We got to figure that out. Get a CBC, CMP, HCG, and a tox screen. Tell CT we're going for head only, not the whole body.
Connor Rhodes: No, tell CT that we're going for the whole body. Now. Must be nice, having so many opinions.
Will Halstead: I have opinions about how I handle incoming patients. I don't like that QT on the monitor.
Nurse: On it.
Connor Rhodes: You by any chance share those opinions with your brother?
Will Halstead: What, Herrmann? Look, Jay asked, so I told him.
Girlfriend: What's happening?
Nurse: Can you come this way, please?
Girlfriend: No! Dani!
Nurse: Come this way with me.
Will Halstead: She's in V-tach.
April Sexton: 70 over 30. She's crashing.
Will Halstead: I can't get a pulse.
Connor Rhodes: Start compressions. Give me the paddles, now.
April Sexton: We're losing her.
Connor Rhodes: Charge to 200. Clear!
Both: Clear.
Connor Rhodes: Milligram of epi.
April Sexton: 1 of epi.
Connor Rhodes: Clear!
Both: Clear.
Girlfriend: Stay with us, Dani! For the baby!
Connor Rhodes: Clear!
Both: Clear.
Girlfriend: What's... What's that? What's going on?
Connor Rhodes: Another milligram of epi. Now.
April Sexton: Dr. Rhodes...
Connor Rhodes: Now.
April Sexton: 1 of epi.
Connor Rhodes: Stop compressions… Time of death, 16:21.
Girlfriend: No!
Entrance
Sarah Reese: You take credit for the labs I ordered?
Noah Sexton: What?
Sarah Reese: The mass spec was my idea.
Noah Sexton: Okay. Um, I'm sorry.
Sarah Reese: "Sorry"?
Noah Sexton: Yeah, okay? Look, it just came out. I don't know why. I was just nervous and I just wanted him to like me.
Sarah Reese: What about me?
Noah Sexton: Come on. You know how med school is. It's so competitive. Okay, look, I'll do whatever it takes to make things right.
Sarah Reese: You'll tell Dr. Choi?
Noah Sexton: Yes. I promise.
Sarah Reese: You better.
Noah Sexton: Look. Wait, wait, wait… Don't tell my sister. Please.
Natalie Manning: Hey. I heard about your patient. I'm sorry.
Will Halstead: 25 years old. Early ovarian cancer. Girlfriend didn't know any details. Said Dani didn't like to talk about it.
Natalie Manning: So young.
Will Halstead: Yeah, it gets worse. Girlfriend's pregnant.
Natalie Manning: Oh.
Will Halstead: Whoa, what the... What's that all about?
Natalie Manning: My patient's son. He's gonna have questions.
Will Halstead: And you don't have answers.
Natalie Manning: 80 years old in renal failure, unknown cause.
Will Halstead: Any other history?
Natalie Manning: She's being treated for an oral carcinoma, but standard chemo protocol should not box her kidneys.
Will Halstead: So what are you gonna do?
Natalie Manning: Dialysis?
Will Halstead: And avoid him forever? Look, you know who you could talk to? Who you might really be able to help?
Natalie Manning: Who?
Will Halstead: Dani's girlfriend. Come on.
Natalie Manning: The pregnant one? Who just lost her partner? I'm supposed to understand and have some special piece of advice 'cause the same thing happened to me? Where is she?
Will Halstead: Let's go.
Treatment
Natalie Manning: I'm Dr. Manning, Natalie. I heard about what happened. I am so sorry. I understand.
Sharon Goodwin’s office
Connor Rhodes: You wanted to see me?
Sharon Goodwin: Yes, come in. The patient that was hit by a car...
Connor Rhodes: Yeah, Dani Frank.
Daniel Charles: I'd like to expedite the autopsy.
Connor Rhodes: Everything I did was by the book. She was nonresponsive, and until I could rule out a bleed...
Daniel Charles: Not questioning your performance for a second. Dr. Choi's patient, Jessica Pope. She's dying from an overdose of chemo.
Sharon Goodwin: And we know Dani had a chemo port.
Daniel Charles: And she seized before she was hit by the car. Could indicate an overdose.
Sharon Goodwin: Dr. Charles wants to make sure these two cases aren't related.
Connor Rhodes: Okay. Yeah, I'll get pathology on it.
Hallway
Will Halstead: Did you tell Severide what I said to you in confidence?
Jay Halstead: What?
Will Halstead: About Herrmann?
Jay Halstead: You never said that was in confidence.
Will Halstead: Great. In the future, do me a favour. Don't ask me any more hypothetical questions.
Jay Halstead: Fine. Then don't ask me to bring you any more sensitive materials from police investigations.
Hallway
Nurse Tanya: Her pressure's been dropping since the dialysis started.
Natalie Manning: She might be too weak to handle it because of her fever.
Treatment
Natalie Manning: Turn her levophed up to 10.
Michael Shepperd: I should've been there for her. Maybe this wouldn't have happened.
Natalie Manning: You don't know that.
Michael Shepperd: Now what?
Natalie Manning: Her pressure's bottoming out.
Nurse Tanya: O2 sats 92... 89.
Natalie Manning: Turn her levophed up to 20 and stop the dialysis.
Michael Shepperd: Hey, what's going on?
Natalie Manning: She won't arouse. She's not protecting her airway. Someone get me a crash cart! We need to intubate.
Nurse Tanya: Copy. Scope.
Natalie Manning: She's biting down. Give me 20 of etomidate, 100 of rocuronium.
Nurse Tanya: Copy.
Natalie Manning: She's dropping!
Nurse Tanya: 20 of etomidate.
Natalie Manning: Come on.
Nurse Tanya: 100 of rocuronium. O2 down to 87.
Natalie Manning: Got it!
Nurse Tanya: O2 down to 84. 83.
Natalie Manning: Give me some cricoid pressure.
Nurse Tanya: Can you see the cords?
Natalie Manning: Uh-huh. I'm in.
Nurse Tanya: 81... 84… 88… 91… 97… 100.
Natalie Manning: She's stable. Take over bagging. Hook her up on a vent. Excuse me.
Entrance
Daniel Charles: Dr. Halstead tells me that your chemo patient, despite your continuing efforts, continues to decline.
Natalie Manning: Carol Shepperd. Yes.
Daniel Charles: Dr. Choi has a patient in similar circumstances, though it turns out that she never had cancer at all.
Natalie Manning: You know, now that you mention it, Carol has oral cancer, but I've never been able to find a tumour. I thought maybe it had cleared.
Daniel Charles: I think it'd be a good idea to run some biomarkers, just confirm she had cancer in the first place.
Natalie Manning: You think there might be a connection between Ethan's patient and mine?
Daniel Charles: I hope not.
Office
April Sexton: How'd it go today?
Noah Sexton: What, somebody say something?
April Sexton: No. I'm just asking.
Noah Sexton: Uh, today? It was fine. Yeah, it's just, um, I'm trying to memorize these emergency protocols. You know, all the flow charts and decision points. I don't know when to shock, when to give meds, like, how many joules, what's the doses...
April Sexton: Okay. Look, it's not so much about memorization as just thinking logically. V-fib. We shock because electricity resets the current. But in asystole, there's no current. So we push meds instead.
Noah Sexton: See, you just have a way of putting things. Okay, hey, um, how about I bring over pizza tonight, and you help me study?
April Sexton: Noah, you're gonna be fine.
Noah Sexton: No, I'm not. I'm drowning here. Really. Please? I need you.
April Sexton: All right.
Noah Sexton: Oh, thank you, thank you... I love you too, April.
ICU
Gabriella Dawson: Hey. Any change on Herrmann yet? Think you can get him off the vent?
Connor Rhodes: We are waiting on the next round of labs before...
Call: Code blue.
Nurse Dina: Room five.
Kelly Severide: Hey, guys, get in here! He was fine a second ago.
Connor Rhodes: He's not ventilating.
Nurse Dina: Airway pressure's 40.
Connor Rhodes: I don't hear great breath sounds on the right.
Nurse Dina: Pulmonary embolism?
Connor Rhodes: He's deviated to the left. I think it's a tension pneumo.
Nurse Dina: But he's already got a chest tube.
Connor Rhodes: Yeah, I know. Give me a 3-inch 16-gauge angiocath.
Kelly Severide: You sure about this?
Connor Rhodes: Back off! He has air in place of a collapsed lung. It's squeezing the other lung shut.
Nurse Dina: Airway pressure's back down to 26.
Connor Rhodes: Yup. Chest tube's clotted up.
Nurse Dina: Good call, Dr. Rhodes.
Connor Rhodes: Rhodes. Yeah, I'll be right there. Set him up for another chest tube. I'll be right back.
Kelly Severide: Hey. Thank you.
Connor Rhodes: Yeah.
Hallway
Will Halstead: Hey.
Connor Rhodes: Hey.
Will Halstead: Look, I wasn't there when Herrmann came in. It wasn't my place to say anything. I shouldn't have.
Autopsy room
Daniel Charles: Gentlemen.
Will Halstead: Dr. Charles.
Connor Rhodes: Dani OD'ed on chemo. That explains why she seized in the street.
Daniel Charles: That's not the troubling part. Yeah, she was loaded up on chemo. But this woman... Never had cancer.
Sharon Goodwin’s office
Daniel Charles: Two patients in one day overdose on chemo... And neither had cancer.
Sharon Goodwin: Which, I must admit, does seem suspicious.
Connor Rhodes: Well, it could be a new oncologist in town making incorrect diagnoses.
Ethan Choi: Or even just mixing up a few charts.
Daniel Charles: Yeah, but even then, why the overdoses? And on the same day?
Sharon Goodwin: What do we know about these women?
Daniel Charles: Jessica's note said she felt betrayed.
Will Halstead: And Dani's girlfriend said Dani was upset about something, but wouldn't talk about it.
Daniel Charles: Something was going on with both of these women.
Sharon Goodwin: Yeah, but we don't have any medical records, no information that might link them. I'm gonna to get in touch with some local oncologists, see if there have been any problems with their chemo or if they've had other patients in the same condition. Thank you.
Connor Rhodes: Sure.
Sharon Goodwin: You're gloating, Daniel. You know Mannix would never gloat.
Daniel Charles: Oh, yeah, he would. I wouldn't, but he would.
ER entrance
Kelly Severide: Hey. Did you hear? Herrmann woke up.
April Sexton: That man's a fighter. He's gonna pull through.
Kelly Severide: Calls for champagne. Maybe we can get into Morton's.
April Sexton: Can we do it another night?
Kelly Severide: Second thoughts?
April Sexton: No.
Kelly Severide: Yeah. Well, what?
April Sexton: I have to help Noah study.
Kelly Severide: Noah?
April Sexton: How about tomorrow?
Kelly Severide: Never changes, does it?
April Sexton: What?
Kelly Severide: April, you've been putting him ahead of you your whole life. You should be the one with the stethoscope.
April Sexton: I have a stethoscope.
Kelly Severide: You know what I mean. I'm not... You wanted to be a doctor. You're twice as smart as him. You're just doing this to put him through med school.
April Sexton: You know my parents. You think I had a choice? It was always the boy who was gonna become a doctor.
Kelly Severide: And I get that. I understand. But you're grown up now. When does it stop?
April Sexton: You know what? Thank you for your concern, but I'm fine, and I don't need your advice.
Office
Joey Thomas: Two mass specs, one day. Some kind of record.
Sarah Reese: What?
Joey Thomas: I just delivered another one. They made it sound like a really big deal. You must be some kind of hero now.
Sarah Reese: Hmm. Yeah, not exactly.
Joey Thomas: See you.
Sarah Reese: Hey. I know you got those results back to me way faster than humanly possible.
Joey Thomas: You said you needed them stat, like, 600 times.
Sarah Reese: Hey, tomorrow, can I buy you a cup... Of coffee?
Treatment
Michael Shepperd: Hey, she opened her eyes. That's good, right?
Natalie Manning: Mrs. Shepperd? Can you hear me? She is still in kidney failure. And her infection hasn't cleared. That's why we're still seeing the delirium. But, yes, that is a good sign.
Michael Shepperd: If she does get better, should I bring her to New York? Or would she be too sick to travel? I could consider staying here a while.
Natalie Manning: You can figure all that out later.
Michael Shepperd: I want to do something. Something to help her.
Natalie Manning: I understand. Just sit with her. Be with her.
Michael Shepperd: I'm here, Mom. I'm here.
Entrance
Sharon Goodwin: Natalie.
Natalie Manning: Yeah?
Sharon Goodwin: Carol Shepperd's biomarkers just came back. She never had cancer.
Natalie Manning: You're sure? So she is just like Ethan's patient.
Daniel Charles: And Dr. Rhodes' patient, Dani. That's three today.
Natalie Manning: Oh, my God.
Daniel Charles: Three women all cancer-free overdosed on chemo. Somebody's doing this on purpose.
Natalie Manning: Do you think a doctor's doing this? Giving false diagnoses and overdosing?
Daniel Charles: I do.
Sharon Goodwin: It's a long way from "do no harm." I've called the police. They're on their way.
