Under the shower
Ethan Choi: Uh...
Vicki Glass: Ha. That wasn't the warm reception I was expecting.
Ethan Choi: Sorry. Just thinking about the day ahead.
Vicki Glass: Speaking of... Dinner before the recruiting event tonight?
Ethan Choi: Oh, yeah. Inspiring the hearts and minds of the next generation of Navy sailors.
Vicki Glass: Don't sound so excited.
Ethan Choi: Wish I could stay, but Du calls.
Vicki Glass: Hey, you okay? You were tossing and turning like crazy last night.
Ethan Choi: Yeah, all good, and yes to dinner.
Sharon Goodwin’s office
Sharon Goodwin: You're not hearing me, Dr. Halstead. With the hospital being sued...
Will Halstead: I'm under a microscope. I get it… Doesn't make it fair.
Sharon Goodwin: You ignored your patient's wishes and put the hospital in jeopardy. It's absolutely fair, and now you have to deal with the consequences. You're in for interrogatories, depositions, mediation, and then possibly a civil trial, and that doesn't even include what you may have to go through with the state medical board.
Will Halstead: Yeah. Okay.
Sharon Goodwin: Every move you make will be scrutinized by Jennifer Baker's attorneys. Stick to the script. Don't give them any more ammo. Until the lawsuit is settled, you are the perfect doctor. Are we clear? Because your future at this hospital... Depends on it.
ER
Maggie Lockwood: Five, six, seven, eight... Uh-uh, girlfriend. Go to Treatment 4, please.
Natalie Manning: You got it.
Maggie Lockwood: Thank you.
Natalie Manning: Right this way… All right. Reese, why so glum?
Sarah Reese: Residency Match picks.
Maggie Lockwood: Ah.
Sarah Reese: They have to be in by end of day and I have no clue what to do. I'm literally choosing where I'll spend the next four years of my life.
April Sexton: And probably the rest of your life after that.
Maggie Lockwood: Be nice. Dr. Choi, incoming!
April Sexton: Where are we going, Maggie?
Maggie Lockwood: Trauma 2.
Entrance
Bret Cooper: Dad?
Paramedic 1: Bret Cooper, 17-year-old male, down on the ice after a hip check... GCS 10, improved to a 12.
Ethan Choi: Rotate.
Paramedic 2: Must have got his bell rung.
Jack Cooper: I'm his father. I was there. He didn't get his bell rung. He barely got hit.
Trauma 2
Ethan Choi: Bret, I'm Dr. Choi. Can you hear me? Can you breathe?
Bret Cooper: Get me off of here!
Ethan Choi: All right, let's transfer him. Reese, on your count.
Sarah Reese: Okay, nice and easy. One, two, three.
Ethan Choi: Transfer the oxygen, leave him on the cannula, and let's get him up on the monitors.
Sarah Reese: On it.
Nurse: Check his sat levels.
Sarah Reese: Okay. Pupils equal bilaterally and reactive.
Jack Cooper: He stayed on his skates the whole time.
Sarah Reese: Bret, I need you to focus on me... Is there any pain?
Bret Cooper: Ah... There! Right where you're touching.
Ethan Choi: Your show, Reese.
Sarah Reese: He needs a CT head and spine, and I would get him a chest X-ray.
Jack Cooper: Come on, really?
Ethan Choi: We got this.
Joan Cooper: Oh, my God... Is it a concussion... What happened, Jack?
Jack Cooper: He was battling for a puck along the boards... It's nothing.
Joan Cooper: Here we are in the emergency room, Jack.
Maggie Lockwood: Mr. and Mrs. Cooper, I'm gonna need you to step outside.
Joan Cooper: Bret had a bad concussion last month.
Jack Cooper: Honey, it's not a concussion. Look, Doc, he's got a scholarship on the table for Boston College, okay? Another concussion, they might rescind the offer.
Bret Cooper: My eyes... Everything's blurry!
Bret, you have to stay still.
Ethan Choi: Please, Bret, you have to hold still... Hold still, buddy.
Bret Cooper: Dad!
Jack Cooper: Son, you okay?
Bret Cooper: Dad! Dad, I can't see!
Ethan Choi: Stay still, Bret.
Bret Cooper: I can't see!
Ethan Choi: Stay still, Bret. Stay still.
Treatment
Maggie Lockwood: Wake up, Sleeping Beauty. The cat nap's over.
Connor Rhodes: Oh, yeah.
Maggie Lockwood: They're on their way in.
Connor Rhodes: How long was I down?
Maggie Lockwood: About 20 minutes.
Connor Rhodes: Oh, it felt like 20 seconds.
Maggie Lockwood: You know you're only supposed to work 12-hour shifts, right? It's the law.
Connor Rhodes: I know. But Dr. Downey makes his own rules.
Maggie Lockwood: All right... Half a minute more.
Connor Rhodes: Come on.
Maggie Lockwood: Down. Ticktock.
Waiting room
Jack Cooper: Doc, hey. How is he?
Joan Cooper: What happened to his eyesight?
Ethan Choi: His vision's fine. It was a transient impairment, probably caused by anxiety.
Joan Cooper: What about his head? Is it another concussion?
Ethan Choi: Can't say for sure yet. We're doing a CT of his head and cervical spine to make sure there's no bleeding. That might require surgery.
Joan Cooper: Surgery? Oh, God.
Ethan Choi: I'm not saying he needs surgery. We just need to rule everything out.
Jack Cooper: Relax, hon, okay? Let's not get worked up before the tests come back. It's... It... It's... It's like... It's like I... It's like I said before. It... It l-looks worse than it is. Look, Doc, I played 18 seasons. I took a hit or two. 99% of the time, it was nothing. I sat out a shift, got right back in.
Ethan Choi: Trust me, I get it. Listen, as soon as we get the tests back, we'll figure out our next step.
Joan Cooper: Okay.
Jack Cooper: Thanks.
Ethan Choi: Sure. Ma'am.
Jack Cooper: It's gonna be fine.
ER entrance
April Sexton: Whoa.
Dr. Downey: Tired, Dr. Rhodes?
Connor Rhodes: No, I feel great.
Dr. Downey: Sign for the lungs, and let's move.
Connor Rhodes: All right. How long was he waiting?
Maggie Lockwood: Half a minute.
Woman: Watch out, please.
Hallway
Zoe Roth: Yes. Spoke with Dr. Bucchheit about Loratazone... Think it's gonna work out. Hey, Greg, let me call you back… Dr. Halstead... Will.
Will Halstead: Zoe, how are you? Your hair's different. I like it.
Zoe Roth: Yeah?
Will Halstead: Yeah. Thank you.
Zoe Roth: Had a great time the other night. You've officially converted me to a rye whiskey girl.
Will Halstead: It cleanses the soul, or at least the memory.
Zoe Roth: Things any better?
Will Halstead: Well, they haven't gotten worse. Guess that's something.
Zoe Roth: Good. Cup half full... My kind of guy.
Will Halstead: Round two soon?
Zoe Roth: I'm free tonight.
Will Halstead: I'll call you when my shift's over.
Zoe Roth: Yeah.
Will Halstead: Okay.
Treatment
Will Halstead: Mr. Anderson, I'm Dr. Halstead.
Tim Anderson: Oh, please, call me Tim.
Will Halstead: You got it, Tim. So you're a diabetic?
Tim Anderson: Yeah, since after college. Lucky bastard, I know.
Will Halstead: I see you're on the blood-thinner Warfarin. How's your INR?
Tim Anderson: Don't know. I haven't had it checked in a few weeks.
Will Halstead: Mm-hmm. Let's have a listen… Uh-huh… Yeah, you've also had a mitral valve replaced. I can hear the clicking.
Tim Anderson: Yeah, two stent operations, an atherectomy, and a laser angioplasty.
Natalie Manning: And somehow still putting us all to shame. You look like a Bergdorf's catalog.
Tim Anderson: Well, look good, feel good, Dr. Manning. I was wondering if I would see you.
Natalie Manning: Dr. Halstead, you mind if I sit in?
Will Halstead: You don't have to ask.
Natalie Manning: So what's going on today? Last time you were in for a foot infection. Any reoccurrence?
Tim Anderson: No, just a little shortness of breath. I was cleaning out my attic, started feeling a little light-headed. Nothing, really, to worry about, but, still, better safe than sorry.
Will Halstead: Anything else?
Tim Anderson: My left leg's been aching a bit.
Will Halstead: Mr. Anderson is in congestive heart failure.
Natalie Manning: Oh?
Tim Anderson: It's mild. At least, that's what my last doctor told me.
Will Halstead: But you could still stand to lose some of that fluid. All right, what we're gonna do... Chest X-Ray, EKG, labs. Have IR do an angiogram, check the flow of the leg.
Tim Anderson: Here I was, thinking I was gonna make it home for the Bulls game.
Natalie Manning: Don't worry, Tim, we'll get you the Wi-Fi password. You can watch the game on your phone.
Entrance
Natalie Manning: Hey. A little overboard. His leg wasn't cold. A vascular ultrasound, maybe, but an angiogram's a bit much to start.
Will Halstead: He's a decade-long vasculopath. His blood vessels are shot.
Natalie Manning: He's not indicating. I hardly think he needs another uncomfortable procedure.
Will Halstead: There's no telling what he needs. Look, I am not dismissing you, Nat, but I did the intake. It's my call.
ICU
Connor Rhodes: Thanks. Hey.
Sam Zanetti: Hoo, you look like crap.
Connor Rhodes: Thanks. Downey boot camp.
Sam Zanetti: Presume you're on the transplant?
Connor Rhodes: Ex-vivo... Have you ever seen one? The lungs are perfused out...
Sam Zanetti: Outside the body, yeah. I know the procedure.
Connor Rhodes: Yeah, the patient was an NYFD first responder on 9/11. He developed pulmonary fibrosis from debris exposure. So no good deed, right?
Sam Zanetti: I got to jet. Your trauma pages are coming to me now.
Connor Rhodes: Lunch later?
Sam Zanetti: Page me.
Trauma 2
Bret Cooper: So then I just break up the center and carry the puck into the zone myself?
Jack Cooper: Exactly. You catch the D-man in the neutral zone.
Bret Cooper: And I'll be left with a two-on-one.
Jack Cooper: Good read.
Joan Cooper: Hey, put that away now.
Ethan Choi: Good news. CT head and spine were clear.
Joan Cooper: No concussion?
Ethan Choi: No concussion.
Bret Cooper: So I'm out of here?
Ethan Choi: And off to Chestnut Hill. Go, Eagles.
Bret Cooper: Sweet! Thanks, Doc.
Ethan Choi: Sure.
Sarah Reese: Sports aren't really my thing.
Jack Cooper: What'd I tell you, hon? Nothing. The kid's a rock. Like father, like son. Doc, thanks so much.
Ethan Choi: You got it.
Jack Cooper: Okay, so let's go tell those bad-news scouts that the nation's number-one recruit is good to go.
Joan Cooper: Dr. Choi, is it possible you missed something? Bret complains of headaches.
Bret Cooper: Mom.
Joan Cooper: He's had this one for two weeks.
Jack Cooper: Joan, enough! Look, the scan came back clean, honey. Stop looking for something that isn't there.
Sarah Reese: LP?
Ethan Choi: Headaches could be a symptom of meningitis. An infection like that wouldn't show up on the CT. Could explain why a minor hit caused such a big reaction earlier. I think it's best we do a spinal tap.
Jack Cooper: Okay, but meningitis, that is treatable, right?
Joan Cooper: Hockey can wait for an hour, Jack.
Jack Cooper: Okay, Joan.
Sarah Reese: So, Bret, if you could lie on your side and pull your knees up to your chest, I'm gonna numb you with a local anesthetic. Are you okay?
Bret Cooper: Feeling a little dizzy.
Sarah Reese: Okay.
Jack Cooper: Bret?
Sarah Reese: Bret! Bret!
Jack Cooper: Bret!
Joan Cooper: Bret!
Ethan Choi: Reese! Little help!
Treatment
Ethan Choi: Anything hurt?
Sarah Reese: Not really. Gonna be stiff tomorrow, though, aren't I?
Ethan Choi: Yeah, but pain builds character.
Sarah Reese: According to who, exactly?
Ethan Choi: Bret still needs an LP. You good?
Sarah Reese: Uh... Fourth period, bottom of the 9th... Put me back in, Coach.
Entrance
Daniel Charles: Butchered hockey, football, and baseball in one sentence... Impressive.
Ethan Choi: Dr. Charles, thanks for coming down.
Daniel Charles: Quick favour? Shoot.
Ethan Choi: Uh, got a patient, 17-year-old hockey player.
Daniel Charles: I heard. Bret "Bear" Cooper. Dad was a heavy. Hear the kid's even better.
Ethan Choi: Wouldn't have taken you for a jock.
Daniel Charles: Oh, come on... Sport's the oldest form of group therapy. We yell. We scream. Testosterone spikes. Every now and then, we even get to believe in a miracle. Your patient...
Ethan Choi: It's actually his father Jack that I needed the consult on. He's exhibiting memory loss, hand tremors, agitation... Could be Chronic Traumatic Encephalopathy, but I'd like to rule out anxiety and depression first.
Daniel Charles: CTE sounds right. Get hit in the head that many times, it's bound to catch up with you.
Ethan Choi: Yeah.
Daniel Charles: Past always does.
Ethan Choi: Listen, sorry about the other day. We got slammed.
Daniel Charles: I get it. E.D. never sleeps. But if you keep skipping our sessions, buddy, I'm afraid you won't either.
ICU bedroom
Connor Rhodes: So finally, as we reintroduce blood into your lungs, we will manually compress the pulmonary artery to avoid initial volume overload.
Ray Mosconi: Hey, can I see those lungs again, please, Doc?
Connor Rhodes: Yeah, of course.
Ray Mosconi: Science fiction meets reality… I just hope they work as well once they're in me.
Connor Rhodes: Believe me, you couldn't be in better hands than Dr. Downey's.
Dr. Downey: We'll see you in the O.R., Mr. Mosconi.
Connor Rhodes: Your lungs got a Chicago Fire escort like I have never seen.
Ray Mosconi: Brothers in arms. This is really happening.
Connor Rhodes: It is. We'll see you on the other side.
Ray Mosconi: Yeah.
ICU
Dr. Downey: Quite the presentation, Dr. Rhodes.
Connor Rhodes: I wanted to be thorough.
Dr. Downey: Great… Next time, in English. Patient's already overwhelmed.
Connor Rhodes: Okay.
Treatment
Video: Start of the second, Bulls are looking strong...
Natalie Manning: What's the score?
Tim Anderson: Bulls are up by 4.
Natalie Manning: Nice.
ER
April Sexton: Dr. Manning, Tim's blood work came back. INR's high.
Natalie Manning: Same thing happened the last time he came in. All right, let's ease him off the blood thinners and give him 10mg of Vitamin K to level off his clotting factors.
April Sexton: Put in the order.
Natalie Manning: Thanks. Oh, those tests that Dr. Halstead ordered?
April Sexton: All negative.
Natalie Manning: Put Tim through all that stress for nothing.
Jack Cooper: They won't listen. They're doing a lumbar puncture. That is exactly what I was trying to tell them… Okay, yeah. I'll keep you posted, Doc. Thanks.
Daniel Charles: Mr. Cooper? Dan Charles. Boy, what a pleasure.
Jack Cooper: That's quite a grip. Good for stick handling. You ever played hockey?
Daniel Charles: Oh, a million years ago. Only Junior League goalie, but had one shut-out. Best day of my life.
Jack Cooper: Ha. I loved the Junior Leagues. Played the game for no other reason than it was fun. Don't read too much into that. You are a shrink, right?
Daniel Charles: Oh, boy, what gave me away?
Jack Cooper: Well, the team always had a couple on the payroll. Soft spoken, loved eye contact, and not to mention the sweater vest and the Rockports didn't help.
Daniel Charles: Oh, geez. Well, then you know exactly what my next question's gonna be.
Jack Cooper: How am I feeling? Conflicted. I mean, my son is in the E.D., so as a dad, I'm concerned. But as a former player, knowing that leaving it out on the ice is what got us here, couldn't be more proud.
Daniel Charles: Sacrifice in the name of sport... Wouldn't know anything about that. I never played hockey.
Jack Cooper: You know, that's a shame. I mean, you got great width, you know? You never thought about playing goalie?
Daniel Charles: Mm... More of a bookworm than a bruiser.
Jack Cooper: Yeah, I got you.
Ethan Choi: The spinal tap's done. We'll get it off to the lab and go from there.
Jack Cooper: Great. Well, nice to meet you, Doc.
Daniel Charles: Real pleasure.
Walking
Daniel Charles: Short-term memory loss... As of now, CTE's only diagnosable postmortem, but I'm afraid your instincts are correct.
Desk
April Sexton: You still at it?
Sarah Reese: Mm-hmm.
April Sexton: Didn't your mom ever tell you you'd go blind staring at a screen that long?
Sarah Reese: My mother was a litigation attorney and worked 90-hour weeks. She didn't tell me much.
April Sexton: Well, guess it's on the nurses then. All right, this hospital's too far from the city. You wouldn't last a week in the boonies.
Maggie Lockwood: Oh, and this one's way too vanilla. You've been rolling with us. You got a little flavour now.
April Sexton: This one's Boston? Winters are terrible… All right, you got me on that one. Maybe... We're angling for you to stay.
Sarah Reese: Chicago Med's definitely in the running.
Maggie Lockwood: Ah?
Sarah Reese: It's my specialty I'm torn over. I always thought I'd choose pathology, but the E.D.'s really... Grown on me. I can't believe I just said that.
Maggie Lockwood: Oh, that's okay, sweetie. You're not the first lab geek that we've turned.
OR
Connor Rhodes: You shouldn't be the last one in.
Dr. Vorspan: Patient's ready, Dr. Downey.
Dr. Downey: Let's get this show on the road.
Dr. Vorspan: Propofol's going in… Pressure's tanking… No pulse.
Dr. Downey: Rhodes, on his chest… Allen, how much EPI has he gotten?
Dr. Vorspan: 20 mics.
Connor Rhodes: Got a pulse back.
Dr. Downey: Good waveform on the A Line.
Dr. Vorspan: He's in sinus rhythm.
Dr. Downey: Let's TEE.
Dr. Vorspan: All right.
Nurse: Here you go, Doctor.
Dr. Vorspan: Thank you, Nurse… Get in there.
Dr. Downey: Show me what I need to see.
Connor Rhodes: Look at the aortic valve.
Dr. Vorspan: Valve area's .6.
Dr. Downey: Cardiologist said it was only mild to moderately stenotic.
Connor Rhodes: I know, but this is critical. He needs a new valve.
Dr. Downey: How long have the lungs been perfusing?
Connor Rhodes: Including transport, at least six hours. They're good for another five to six, but we can't transplant until we fix that valve.
Dr. Downey: Keep him deep... between his lungs and the blockage, he won't tolerate going under again. You and I need to figure out a plan quickly.
ER
Announcement: Code blue, treatment 1. Code blue, treatment 1.
Treatment 1
Will Halstead: What happened?
April Sexton: A second ago, he was perfectly stable. We were talking.
Will Halstead: Hold compressions. No pulse.
Natalie Manning: What's going on?
Will Halstead: I don't know… No breath sounds.
April Sexton: V-Fib!
Natalie Manning: Crash cart!
Will Halstead: Charge to 200 Joules.
April Sexton: Charging… Charged.
Will Halstead: Everyone clear… Nat, back away.
Natalie Manning: No, just give me one more second. I see the cords. I'm almost in. All right, tube's in.
April Sexton: Let's go.
Will Halstead: Everyone clear!
Nurse: Nothing. Copy. O.R. on standby.
Will Halstead: Round of EPI.
April Sexton: Got it.
Will Halstead: Charging.
Nurse: Charged.
Will Halstead: Clear!
Natalie Manning: Clear. Still in fib.
Will Halstead: Nat, you take over compressions. Don't stop for anything. April, where's that EPI?
April Sexton: EPI's in.
Will Halstead: Clear. Clear! CPR. EPI again. Follow it with an amp of bicarb.
April Sexton: Yes, Doctor.
Natalie Manning: Asystole... He's got no pulse.
Will Halstead: I got it.
Natalie Manning: Will… Will, he's gone… Time of death... 14:21.
OR
Connor Rhodes: Balloon valvuloplasty will stabilize the valve and allow us to do the transplant.
Dr. Downey: It's only a stopgap. In a month we're back at square one needing to replace the valve, only now the patient's fresh off a transplant.
Connor Rhodes: Then we open him up, replace the aortic valve, and do the transplant afterwards.
Dr. Downey: I don't want him open that long. Invites a whole host of complications.
Connor Rhodes: Okay… How about this? We do the valve replacement and the lung transplant at the same time.
Dr. Downey: We'll do a trans-aortic valve replacement first... Less invasive. Cardiologist can go in through the groin via catheter to fix the valve. Once they're done, we'll move on with the transplant.
Connor Rhodes: Yes, sir.
Trauma 2
Joan Cooper: A brain infection... Like meningitis?
Jack Cooper: You can treat this with antibiotics, can't you?
Ethan Choi: Possibly. We did catch this one early. This is cerebritis, not meningitis, which is not only serious but stems from some underlying condition, one we have yet to find.
Bret Cooper: So... More tests?
Ethan Choi: Afraid so.
Jack Cooper: Hey. Third period, son. We got this.
Ethan Choi: Mr. Cooper... Mind if I talk to you for a second?
Jack Cooper: Yeah, sure.
Ethan Choi: Hang tight. We're gonna get to the bottom of this.
Entrance
Ethan Choi: Hey.
Jack Cooper: Hey.
Ethan Choi: Look, I couldn't help but notice earlier...
Jack Cooper: The CTE. Yeah. Yeah, I know. I know. I got it under control.
Ethan Choi: Mr. Cooper, the disease is progressive.
Jack Cooper: You think I don't know that? I have a private physician, a team doctor from when I played, and he says it's not too bad.
Ethan Choi: And Bret?
Jack Cooper: Bret is fine. All right? The game's changed, huh? Safer. Better equipment, better penalty regulations...
Ethan Choi: Does he know?
Jack Cooper: Well, I don't really see how that's any of your damn business.
Ethan Choi: Bret deserves the truth. What kind of father keeps his kid in the dark?
Jack Cooper: Hey, you watch what you say to me!
Daniel Charles: Dr. Choi! I apologize for my colleague, sincerely. Why don't you, um, why don't you go check on your wife and son? I'm very sorry about that.
Jack Cooper: Okay. Thanks.
Ethan Choi: He's keeping it from Bret.
Daniel Charles: And so you thought threatening him would make him more forthcoming? That's my conversation anyway. Why didn't you page me? Wouldn't have helped...
Ethan Choi: Guy's in total denial.
Daniel Charles: Oh, he is? Huh. This is why you go to therapy and why you stick with it.
Office
Will Halstead: Come on. What the hell?
Entrance
Will Halstead: Can I talk to you for a minute? Why did you administer vitamin K to my patient without consulting me?
Office
Natalie Manning: His clotting was slow. It's standard protocol, and I think you mean our patient.
Will Halstead: Your protocol may have caused a pulmonary embolism.
Natalie Manning: You have no grounds to say that. Any number of things could've happened. He has been battling his vasculopathy for years.
Will Halstead: Oh, so now he was a ticking time bomb?
Natalie Manning: That's not what I said, and if you had listened, you'd know that.
Will Halstead: I heard you loud and clear. You thought nothing was wrong, and where is Tim now? He was stable when I left him.
Natalie Manning: You better think about what you're saying right now. Nat, that vitamin K made him throw a clot.
Natalie Manning: You don't know that.
Will Halstead: If you hadn't interfered, he'd still be here.
Natalie Manning: No, this is not about me. This is about you and the mess that you made when you resuscitated Jennifer Baker against her DNR. Well, blaming me for this is not gonna make that right.
Cafeteria
Connor Rhodes: Hey, I paged you twice.
Sam Zanetti: Shouldn't you be operating?
Connor Rhodes: No, the patient arrested. Cardiologist is doing a TAVR, and I had a minute and figured we might grab a bite to eat.
Sam Zanetti: Sit.
Connor Rhodes: I... You know, maybe I'm missing something. I-I just... I pitched Downey at least four solutions, right? Not one bullet hit its mark. You know, half the time, I feel like I'm the chosen one. The other half, I feel like I'm failing him. I just can't get a read on the guy.
Sam Zanetti: Mind if we talk about something else?
Connor Rhodes: Is there something we should be talking about, 'cause I get the feeling... Damn, uh... I gotta go. Look, we'll pick this up later, okay?
Sam Zanetti: Yeah.
Trauma 2
Sarah Reese: Often, brain infections are caused by inflammation in the sinuses and in the ears… Your ears look okay.
Bret Cooper: Always know you wanted to be a doctor?
Sarah Reese: Yes.
Bret Cooper: Huh.
Sarah Reese: And no. As a kid, I was intrigued by anatomy, dissecting frogs and looking at their organs under the microscope. But here I am in the E.D… I never thought I'd be dealing with people in their most difficult times… And you? Hockey... Hockey is... Well, it's so...
Bret Cooper: Vicious?
Sarah Reese: Well, yeah.
Bret Cooper: Yeah.
Sarah Reese: I don't understand how someone could risk all of their teeth for a game.
Bret Cooper: My dad played pro, and I was skating before I could walk. Even if I wanted a different career, nothing else would feel right on me. Guess you can't escape who you are.
Sarah Reese: You've got a little dried blood in your nose, but it's probably just because of the fall.
Bret Cooper: Oh, no, I had a nosebleed this morning. I get 'em all the time.
Sarah Reese: All the time?
Bret Cooper: Yeah, it's no big deal.
Sarah Reese: Can I take a look in your mouth, please?
Bret Cooper: Okay.
Sarah Reese: I'll be right back.
ER
Natalie Manning: Ms. Goodwin?
Sharon Goodwin: Yeah?
Natalie Manning: My schedule... I would like to be on different shifts than Dr. Halstead.
Sharon Goodwin: Oh?
Natalie Manning: I think it's in the best interest of our patients. It's nothing personal.
Sharon Goodwin: It sounds personal. You two at odds?
Natalie Manning: That's putting it mildly.
Sharon Goodwin: Listen, I couldn't honour your request even if I wanted to. With the hospital under scrutiny, any changes with Dr. Halstead could be interpreted as culpability. It's status quo until the dust clears. You know, when I'm faced with a snarling dog, I try to remind myself it's self-preservation that's making him show his teeth.
Hallway
Sarah Reese: Sinuses and ears were clear of infection, but Bret gets frequent nosebleeds, has since he was a kid, and he's got dilated vessels on the inside of his mouth.
Ethan Choi: You're thinking HHT?
Sarah Reese: It's rare, but it fits the symptoms.
Ethan Choi: Okay, let's get a CT chest and belly and see what comes back.
Sarah Reese: Okay.
Ethan Choi: Reese, good call.
Morgue
Pathologist: No sign of foreign bodies. No abnormalities in my external exam. What's your theory?
Will Halstead: Pulmonary embolism. He came into the E.D. with mild CHF and was dead in a couple hours.
Pathologist: I'm gonna start with the chest then… A pulmonary embolism wouldn't manifest this much blood. Give me some suction… Definitely not a PE. Give me your hand… You feel that?
Will Halstead: Mmhmm.
Pathologist: You feel the hole? Ruptured aortic aneurysm. He didn't stand a chance.
Will Halstead: So I was wrong.
Pathologist: Nothing you or anyone else could've done.
Will Halstead: Yeah.
Trauma 2
Bret Cooper: Just go at him right there...
Joan Cooper: Hey, Bret.
Ethan Choi: Mr. and Mrs. Cooper, Bret, we got our chest CT back. Why don't we have a seat?
Joan Cooper: Okay.
Bret Cooper: Okay.
Sarah Reese: Bret has a condition called Hereditary Hemorrhagic Telangiectasia or HHT.
Bret Cooper: HHT? What's that?
Jack Cooper: Hey, hey, it's okay, son.
Ethan Choi: It causes the blood vessels in different parts of the body to form fragile bundles called arterial venous malformations. These AVMs can sometimes allow bacteria to seep into the blood and spinal fluid and cause an infection.
Joan Cooper: Is it curable?
Ethan Choi: It's manageable. The AVMs can be repaired, but they have a tendency to recur.
Jack Cooper: Okay, so what does it mean?
Bret Cooper: I can still play, right?
Ethan Choi: We'll try to monitor any AVMs that might develop, but if there's an AVM we don't know about, one wrong hit, and you could suffer a catastrophic bleed. Look, I'm sorry, Bret, but it's my recommendation that you quit hockey.
Jack Cooper: Okay, listen, if he's had this his whole life, why is it only a problem now?
Bret Cooper: Yeah...
Jack Cooper: You know what? I am getting a second opinion.
Joan Cooper: Hey, it's gonna be okay, sweetie.
Ethan Choi: Mind if we have a minute?
Joan Cooper: I'll be right outside.
Bret Cooper: You said if I take the wrong hit, you're saying I could die?
Ethan Choi: That's what I'm saying. Listen to me. I know what you're thinking. "One in a million hit can't happen to me," but it can… It can. I know. Think about it.
Sarah Reese: You'll find another path... And it'll feel right. I'm sure of it.
Hallway
Will Halstead: I was so certain I was right. I did everything I could, covered every single base...
Zoe Roth: I'm sure you did.
Will Halstead: The worst part... I attacked a colleague…A friend.
Zoe Roth: You're under a lot of pressure. Everyone knows that. If you apologize, I'm Dr. Manning will understand… It's her, right? Why don't we rain-check dinner tonight? It's okay.
Will Halstead: Thanks, Zoe.
OR
Connor Rhodes: We are ready to transplant.
Dr. Downey: Not yet. You cut too shallow. If the vessels are too long. They could thrombose. Here, trim the atrial cuff. Not too deep… Not too quickly… Don't want to damage the vessel… Good. All right, let's get the lungs in.
Connor Rhodes: Maybe you should take over.
Dr. Downey: Let's get the lungs in.
Connor Rhodes: Yes, sir.
Dr. Downey: The aortic cannula's loose.
Dr. Vorspan: BP and sats falling.
Dr. Downey: Get him clamped now or he's gonna bleed out… Got it. He's clamped.
Dr. Vorspan: And the pressure is improving.
Dr. Downey: Let's get the lungs in and get him off the pump.
Connor Rhodes: Are you all right?
Dr. Downey: You're gonna have to take lead from here.
Connor Rhodes: Okay, I'll cover you. I'm ready for the lung.
Nurse: Here, Doctor.
Dr. Downey: Bronchus first, followed by the left atrial cuff and the pulmonary artery… Good. Let's start sewing.
Connor Rhodes: 4-0 Prolene.
ER
Daniel Charles: And that's the cerebellum.
Sarah Reese: You see what Bret tweeted?
Ethan Choi: "Off my skates for a couple of days," but I'll be back at All Star Clinics, "stronger than ever. #Downbutnotout." Seriously? He's still gonna play? I told him he could die.
Daniel Charles: Boys will always want to be better than their fathers, which is precisely what their fathers want.
Jack Cooper: Ready to go?
Daniel Charles: "What price glory," right?
Maggie Lockwood: Headed out? Made your decision?
Sarah Reese: Yep, just now.
April Sexton: Let me guess... E.D. strikes again.
Sarah Reese: No... Pathology.
April Sexton: What?
Sarah Reese: It's the patients. They come in, and you want to help them. You care about them, so you try to connect, and, just when you think you're getting through, they go back to what they were doing before. And it's like you were never even there... Like everything you did was for nothing. I can't take a life of that. I'll see you tomorrow.
Locker room
Natalie Manning: I am in no mood, Will.
Will Halstead: I get it. Natalie, I'm sorry. It wasn't the vitamin K. I was wrong.
Natalie Manning: You, wrong? Amazing.
Will Halstead: Yeah. I've been an ass, not just today... Since last week... Before that… I should not have yelled at you.
Natalie Manning: Why do you always take things out on me? You invite me in, and then you push me back. You ask for my opinion, and then you completely ignore me. It hurts, Will. You wouldn't treat anyone else like this, so why me?
Will Halstead: Don't you know?
Natalie Manning: No.
ICU
Dr. Downey: Mr. Mosconi's gas exchange is good. We'll rest him overnight, hopefully extubate him in the morning.
Connor Rhodes: I thought maybe you'd be at home resting after that episode in the O.R.
Dr. Downey: Episode?
Connor Rhodes: You didn't need me to take over.
Dr. Downey: I've usually found, Dr. Rhodes, that when given responsibility, people rise to the occasion… I know the last few weeks have been... Challenging, and I'd be lying if I said the months to come will be any easier. I have an impossible amount to teach you in a diminishing amount of time… You don't have to show me how smart you are, and you don't have to please me… Just learn.
Connor Rhodes: He's breathing on his own.
Dr. Downey: Indeed he is.
Navy
Ethan Choi: Sorry about dinner.
Vicki Glass: Wasn't sure you were gonna show.
Ethan Choi: I...
Vicki Glass: What is it?
Ethan Choi: I've been talking to Dr. Charles, the hospital psychiatrist. Shared some things about my service... Tough things.
Vicki Glass: You don't have to explain. I know.
Ethan Choi: I thought if I didn't think about it or talk about it...
Vicki Glass: I'm here.
Ethan Choi: My dad was Navy.
Vicki Glass: That why you enlisted?
Ethan Choi: It just always seemed like that was what I was gonna do.
Vicki Glass: There's a room full of kids in there who are gonna ask you about your service. What are you gonna tell 'em?
Ethan Choi: That I'd do it again.
Molly’s
Connor Rhodes: Scotch... Rocks. Thanks. Who's winning?
Sam Zenatti: The Blackhawks by one.
Connor Rhodes: Nice… Thanks… We haven't exactly been the same since I started with Downey.
Sam Zenatti: No, we haven't.
Connor Rhodes: Sam, I know this can't be easy for you... But if you're gonna make me choose between you and Downey...
Sam Zenatti: It's gonna be Downey.
Connor Rhodes: Yeah.
Sam Zenatti: I'm not gonna make you choose.
