Party
Tate's Friend: Isn't it finally time you admitted I'm quicker? Old man. Ooh!
Tate Jenkins: These young boys always come out the side of they mouth. Uh, what you run the 40 in at the Combine?
Tate's Friend: Um, 4.46.
Tate Jenkins: That's good, that's fast. 4.42.
Tate's Friend: Ooh! Oh.
Tate Jenkins: If you even, I'm leaving, baby. You got to keep up, know what I'm saying?
Tate's Friend: You got it.
Tate Jenkins: Come on.
April Sexton: I literally have no idea what just happen.
Tate Jenkins: Baby, now you know how I feel when I come pick you up from work. Everybody run around, talking about, "Let me get 50ccs of epi, STAT," or something. I'm like...
April Sexton: 50ccs of epi? You trying to kill my patient?
Tate Jenkins: Baby, mm.
Friend 2: Doc in the house.
Noah Sexton: What's good?
Friend 2: What's going on, man?
Noah Sexton: Good, man.
Friend 2: Hey, let me set you up with a beverage.
Noah Sexton: Yeah, sure, sure.
April Sexton: Noah?
Noah Sexton: Hey. What's up, man?
Tate Jenkins: What's happening, brother?
April Sexton: What's up?
Noah Sexton: Got to get these fellas ready for morning practice. Gonna get your fast break on point tomorrow, I'm telling you.
Friend 3: Sounds good. Come on.
Noah Sexton: All right. I'll be right back.
April Sexton: What's he doing here?
Tate Jenkins: I... He said he wanted to meet some players.
Friend 3: So what's all this, man?
Noah Sexton: All right, so this is my recovery ultra, okay? It's filled with electrolytes and antioxidants.
Friend 3: Yeah, that sounds real good.
Noah Sexton: But first, I want to get you guys started with some B-12, okay?
Tate Jenkins: Babe?
April Sexton: I got to go home.
Tate Jenkins: What's wrong?
April Sexton: Nothing, I just have an early shift in the morning.
Tate Jenkins: Okay, I'll drive you.
April Sexton: No, no, no. Stay with your friends. I-I just texted for a ride.
ER
Maggie Lockwood: Honeymooners with food poisoning, take 'em to four.
April Sexton: You can say it.
Maggie Lockwood: What?
April Sexton: You were right about athletes.
Maggie Lockwood: Ah, what happened?
Mr. Newman: Help!
Maggie Lockwood: Get me a gurney. Dr. Manning, we're going to six.
Ellie Newman: Oh, my stomach is on fire!
Natalie Manning: What's your name, sweetheart?
Mr. Newman: Ellie Newman.
Natalie Manning: It's okay, we're gonna take good care of you, all right?
Maggie Lockwood: Get me a gurney.
Nurse: I'm on it, Maggie.
Maggie Lockwood: Get ready to raise the head.
Natalie Manning: Let's start an IV.
April Sexton: On it.
Natalie Manning: Are you her father?
Mr. Newman: Uh, yeah.
Natalie Manning: She eat anything that could have made her sick?
Mr. Newman: No-she ate what I ate.
Natalie Manning: How old is your daughter?
Mr. Newman: She's 16.
Natalie Manning: She on any medications? Any medical issues we should know about?
Mr. Newman: I-I don't think so. I don't know.
Natalie Manning: When did this start?
Mr. Newman: Uh, last night.
Trauma
Natalie Manning: Did you take any drugs? Alcohol? Were you at a party?
Ellie Newman: No, I was just trying on my prom dress.
Mr. Newman: Oh, baby.
April Sexton: BP is 138/88. Heart rate 112, stats 99%.
Natalie Manning: Give her 0.2 of hydromorphone.
Ellie Newman: No, no drugs!
Natalie Manning: Sweetie, you are in pain. Let us help you.
Ellie Newman: No, I don't want any drugs!
Mr. Newman: She doesn't want to end up like me.
ER
Connor Rhodes: FAST is negative, I-STAT labs are normal.
Natalie Manning: So it's probably not a surgical issue?
Connor Rhodes: I'd like to put a scope in her just to make sure we're not missing anything.
Natalie Manning: Without pain meds?
Connor Rhodes: We could try a non-narcotic. Maybe she'll go for that.
Trauma
Natalie Manning: Hi, Ellie, Mr. Newman, this is Dr. Rhodes, our trauma surgeon. I've asked him to consult. Has Ellie ever experienced this before?
Mr. Newman: Um...
Ellie Newman: A year ago.
Mr. Newman: A year ago.
Natalie Manning: How long did it last?
Ellie Newman: Maybe, like, three weeks.
Connor Rhodes: Your daughter was sick like this for three weeks, and you didn't know?
Mr. Newman: I was...
Ellie Newman: Strung out?
Mr. Newman: Yeah.
Natalie Manning: Ellie, we're gonna give you a painkiller that's non-narcotic.
Ellie Newman: I don't want anything.
Mr. Newman: The girl won't even take two aspirin.
Connor Rhodes: Did you see a doctor for your last attack?
Ellie Newman: But he couldn't find anything. He sent me to a psychologist… But I'm not making this up.
Natalie Manning: Don't worry, Ellie, we're gonna get to the bottom of this.
ER
Connor Rhodes: I don't know, she's in a lot of pain. Maybe it is psychological.
Natalie Manning: I'll page Dr. Charles.
Maggie Lockwood: Dr. Rhodes?
Connor Rhodes: Yep.
Maggie Lockwood: Your sister's on line two.
Connor Rhodes: Uh, right, tell her I need to reschedule.
Maggie Lockwood: Like you did last week?
Connor Rhodes: Yes, Maggie, like I did last week.
Maggie Lockwood: Ms. Rhodes, he's with a patient. He said he won't be able to make lunch today, but he'll call you back to reschedule… Okay.
Sharon Goodwin: Hey, Maggie. Do you by any chance know of a good contractor?
Maggie Lockwood: For what?
Sharon Goodwin: I'm thinking about turning the basement into a man cave for Bert.
Maggie Lockwood: Oh, trying to buy him off so he'll stop bugging you about retiring.
Sharon Goodwin: Something like that.
Maggie Lockwood: Yeah, I got a cousin, not too big a crook.
Sharon Goodwin: Text me his number.
Maggie Lockwood: I will… Dr. Halstead.
Will Halstead: Maggie.
Maggie Lockwood: I got a patient in two that's from your old hood, Canaryville. Thought you might be interested.
Will Halstead: Sure.
Treatment 2
Will Halstead: Vitals?
Sarah Reese: BP 164/90, heart rate 92, Sat 99%.
Will Halstead: Okay, Mr... .Tucker.
Brian Tucker: You got to be kidding me. Ginger Spice is our doctor.
Andrew Tucker: No way.
Sarah Reese: Ginger Spice?
Will Halstead: Ah, what they called me back at De La Salle.
Brian Tucker: How about we get a real doctor?
Sarah Reese: Dr. Halstead is a real doctor, an excellent doctor.
Will Halstead: It's okay Reese, this is how we gentlemen relate in Canaryville. Andrew, what's going on with that leg?
Andrew Tucker: Swelled up during my truck route. Pain won't let up.
Will Halstead: Push on my hand, like you're stepping on the gas… Come on. All right, how long ago did the pain start?
Andrew Tucker: About 12 hours.
Brian Tucker: Why didn't you say something? I would've had Pete take over your deliveries.
Andrew Tucker: Wasn't this bad at first.
Will Halstead: You on any medication?
Andrew Tucker: No.
Will Halstead: Still smoke?
Andrew Tucker: Been cutting back.
Will Halstead: Alcohol?
Andrew Tucker: Not much since this one bumped me up to transpo coordinator. Gotta be ready to cover any driver who calls out.
Brian Tucker: Hey, you should ask Ginger about the fight we had in high school. Caught him staring at my girl. How many times I knock you on your ass? A hundred?
Will Halstead: Sounds about right. Ever had any pain or swelling like this before? Any shortness of breath?
Andrew Tucker: No.
Will Halstead: Okay, well, we're gonna start with some basic labs and get a duplex scan of your legs and we'll take it from there.
Brian Tucker: So, where you living now, Ginger? Gold Coast?
Will Halstead: Not quite. I'll get those orders started.
ER
Sarah Reese: Were they always like that?
Will Halstead: The Tucker brothers were very popular, and they loved sticking it to us lesser mortals. Go ahead and order an ultrasound of Mr. Tucker's leg.
Tate Jenkins: April.
April Sexton: Hi. How's my guy?
Eric Jenkins: Better.
Tate Jenkins: Much better. Coming in for Eric's check-up upstairs.
April Sexton: Cool.
Tate Jenkins: Hold on, hold on. You got little hands. See if you can untangle these.
Eric Jenkins: I can do it.
Tate Jenkins: All right. Please? Just wanted to make sure you're okay. You left in a bit of a hurry.
April Sexton: Look, um... I don't know if this was such a good idea.
Tate Jenkins: Wait, what do you mean?
April Sexton: Last night, just not my scene.
Tate Jenkins: It's not mine either. I'm... Okay, it used to be, but I got Eric now. Things are different. Just wanted you to meet some old friends, that's all.
April Sexton: Mm-hmm. Yeah, I don't know. I have to get back to work.
Eric Jenkins: Daddy, I did it!
Tate Jenkins: Good job.
April Sexton: Bye.
Daniel Charles: It's a tough situation, man. 16 years old, taking care of herself and her heroin-addicted father, doing it for years.
Natalie Manning: She said she was trying on her prom dress, I mean, could that have been some kind of trigger, and maybe the pain is psychosomatic?
Daniel Charles: Possibly, I don't really know enough to make that call.
Connor Rhodes: We have to figure out what's going on. The only way we're gonna do that is if we scope her.
Natalie Manning: We can't, unless we get her to accept pain meds or an anesthetic.
Connor Rhodes: Uhhuh.
Daniel Charles: Given her family history, we have to take her concern for addiction very seriously.
Connor Rhodes: Okay, so what do we do?
Daniel Charles: Well, how about a good, old-fashioned topical numbing agent? You know, worth a shot.
Maggie Lockwood: That's okay, sweetie, we will take care of them. Dr. Choi, April. Doris, open that door. Neela Desai, 32 weeks pregnant and contracting.
Ethan Choi: Got it.
Maggie Lockwood: Let's rotate the chair.
Kid: Mommy.
Neela Desai: Go with the nurse, okay?
Maggie Lockwood: Let's take them to the break room to get a snack, okay?
Treatment
Nurse: Okay, Mama.
Maggie Lockwood: We're going to take care of your mommy, and then we're gonna come and get you, okay?
Nurse: Okay, let's go.
Maggie Lockwood: Go ahead, love, take them to the break room.
April Sexton: Lie back so the doctor can examine you.
Maggie Lockwood: There you go. Take this out, please. Okay. Okay, you're in good hands, love. Okay.
Neela Desai: I can't have this baby. It's not due for another two months.
Ethan Choi: Page O.B.
April Sexton: BP 142/90.
Ethan Choi: That's high, probably due to anxiety or the pain. Just to be safe, I'm gonna order some labs, okay? You're gonna feel a little pressure. She's bleeding from the cervix. Grab six gram mag bolus, and call O.B., tell 'em we're coming up.
Neela Desai: Wait, what's going on?
Ethan Choi: Ms. Desai, you may be experiencing an abruption. Your placenta is separating from the wall of your uterus. The overall picture suggests something called pre-eclampsia with HELLP syndrome.
Neela Desai: What... What does that mean?
Ethan Choi: It means we need to deliver this baby now.
Neela Desai: No, no, no, no, no.
Ethan Choi: I know. 32 weeks is more premature than we like, but right now, your baby's safer outside of your body than inside.
Neela Desai: Yeah, I can't deliver this baby premature, this is not my baby… I'm a surrogate. I'm carrying this baby for someone else. I need to carry it to term or I don't get paid.
Ethan Choi: If we don't deliver now, this condition could be fatal for both you and the baby.
Neela Desai: Yeah, I need the money.
Ethan Choi: Ms. Desai, I don't...
Neela Desai: No! No, we just got out of the shelter, okay? I'm not putting my boys through another Chicago winter in one, so please, help me.
Daniel Charles: It was nice talking to you.
ER
Ethan Choi: How'd she do on the psych eval?
Daniel Charles: In my opinion, Ms. Desai is competent, capable of making her own decisions. Mentally, she's stable.
Ethan Choi: How can she be stable? She's risking her life and the baby's.
Daniel Charles: She has no genetic connection to that baby, Ethan. Another couple's fertilized egg is implanted in her womb. For her, it's about making enough money to take care of her kids.
Sharon Goodwin: Then that's it, then. We have to respect the patient's wishes. We can't force her to deliver.
Ethan Choi: You expect me to just wait for her to die?
Sharon Goodwin: Well, I'll call her surrogacy agency, see if they can help us find a solution.
Treatment 2
Brian Tucker: Trucks are on their way, just running a little late. We're backed up with me out of the office today. Let me call you back… You finally figured out what's going on?
Will Halstead: Duplex scan shows that the swelling of your leg is being caused by a DVT. Deep vein thrombosis.
Andrew Tucker: A what?
Brian Tucker: Okay, English, Halstead.
Will Halstead: You've got a blood clot in your leg.
Brian Tucker: So how do you fix it?
Sarah Reese: Blood thinners. Enoxaparin is where I'd start.
Will Halstead: Hold on. Most of the time, administering blood thinner like enoxaparin would be the right answer, but given Andrew's history, I'm leery of doing that. It could cause intra-cranial hemorrhaging.
Andrew Tucker: Bleeding?
Will Halstead: Yes, in the brain. I remember you getting into your fair share of scuffles back in high school. Is that still the case?
Andrew Tucker: Only when the Packers are in town.
Will Halstead: When you've experienced trauma to the head, blood thinners are more likely to make your brain bleed, cause you to stroke... Possibly die.
Brian Tucker: Whoa.
Will Halstead: I'm gonna make sure that doesn't happen. For now, I'd like to get a CT scan of your head to establish a baseline, then we'll wait and see.
Brian Tucker: Wait, that's your plan? Wait and see?
Will Halstead: A nurse will be by to take you for that scan.
Brian Tucker: Well, I hope you know what you're doing, Ginger.
Waiting room
Claire Rhodes: Connor?
Connor Rhodes: Hey.
Claire Rhodes: Hey. Looks like I need to check into the ER to spend any time with you.
Connor Rhodes: Claire, I'm sorry, it's just been really busy around here.
Claire Rhodes: You're avoiding me.
Connor Rhodes: I'm not avoiding you.
Claire Rhodes: It's because of Dad, isn't it? You hate that I don't hate him… You're not being fair. Listen, Mom's suicide, I know you blame him, but... But Mom had real problems.
Connor Rhodes: That's not exactly how I remember it.
Claire Rhodes: That's because, believe it or not, Dad tried to shield us. He kept us away when Mom spiraled into a black hole. You don't remember, but I do… Call me, Connor... When you're ready.
ER
April Sexton: Noah?
Noah Sexton: Hey.
April Sexton: What were you doing last night?
Noah Sexton: Just a little entrepreneurship. Big market for banana bags...
April Sexton: Noah.
Noah Sexton: What? It's a legitimate business.
April Sexton: You're not a doctor yet, you're not supposed to be sticking needles in people.
Noah Sexton: Yeah, but I'm gonna be.
April Sexton: This is why we all worked so hard to send you to medical school? So you could keep a bunch of party animals from getting hangovers?
Noah Sexton: I'm just trying to earn a few extra bucks, only way I can pay you back.
April Sexton: I never asked you to pay me back.
Noah Sexton: I want to. And what about Mom and Dad?
April Sexton: Oh, so you're just doing this to help the family?
Noah Sexton: April, let me do my thing.
April Sexton: You are so full of it.
Noah Sexton: And you're mad at me?
Trauma
Connor Rhodes: All right, this is gonna numb your mouth and throat. You're still gonna feel some pressure in your esophagus. It's the best we can do without anesthetic. Hopefully you'll be able to tolerate the scope.
Ellie Newman: Mm-hmm. Okay.
Connor Rhodes: Here's this… Okay, here we go.
Natalie Manning: You okay? Slow, deep breaths through your nose, okay? Here, squeeze my hand.
Connor Rhodes: Ellie, I'm gonna do this as fast as I can. I'm sorry.
Natalie Manning: It's okay. It's okay.
Ellie Newman: I'm sorry.
Natalie Manning: It's okay. Nurse Doris is gonna stay with you. Just give us a second. Thank you… I have got to talk to her father.
Waiting room
Natalie Manning: Mr. Newman, I can't stand to see your daughter in this much pain. I need your permission to give Ellie pain medication.
Mr. Newman: I don't tell Ellie what to do. It's sort of a deal we have with each other.
Natalie Manning: I understand, but we just need to sedate her this once, so we can perform the endoscopy. This will not turn her into an addict… Your daughter is overwhelmed with pain and depleted from vomiting. She cannot make the best decision in this state. But Ellie's a minor. You are her father. You can make this decision.
Mr. Newman: I don't know. I don't... I don't know.
Natalie Manning: Ellie needs you to step up, Mr. Newman, to be her father.
Mr. Newman: Um... Okay. Uh, do it. Do what you have to do, I guess.
Natalie Manning: Okay, thank you.
Mr. Newman: Yeah.
Treatment 2
Brian Tucker: Okay, he can't breathe! Help him, Halstead, help him!
Will Halstead: Sinus tach?
Sarah Reese: 133.
Will Halstead: Sat?
Sarah Reese: 86.
Will Halstead: He threw a pulmonary embolism.
Brian Tucker: Embolism? What is that?
Will Halstead: Get oxygen on him.
Brian Tucker: Okay, what is going on?
Will Halstead: Need some help in here!
Brian Tucker: You should have given him the blood thinners!
Will Halstead: Hey, you need to step out of the room, now.
Brian Tucker: My brother, you are killing...
Will Halstead: Reese!
Brian Tucker: Hey! Hey!
Sarah Reese: Get a crash cart in here!
Will Halstead: Give me the bag.
Brian Tucker: He's turning blue!
Will Halstead: He's too big to lift. I'm intubating here.
Brian Tucker: Come on, hey, breathe.
Will Halstead: 20 of etomidate and 100 of sux, now!
Nurse: Yes, Doctor.
Will Halstead: All right.
Brian Tucker: Breathe, Andy. Come on, Andy. What's he doing?
Will Halstead: Okay, I'm in. Call the MICU and the pulmonary team, get 'em down here immediately.
Brian Tucker: What is happening? Why isn't he breathing?
Will Halstead: Clot moved from his leg to his lung.
Brian Tucker: What did you do to my brother?
Trauma
Nurse: Heart rate's up to 130. BP's rising.
Natalie Manning: I'm afraid she'll have a dysrhythmia… Push 50 of fentanyl.
Ellie Newman: No! What's that? No, what's that?
Natalie Manning: It's gonna help you.
Ellie Newman: No!
Natalie Manning: Ellie?
Ellie Newman: Wait, no!
Natalie Manning: Ellie, we have to do this. It'll help us figure out what's going on with you.
Ellie Newman: No!
Natalie Manning: It's okay. It'll only help. It's okay. It's okay.
Later
Natalie Manning: Nothing?
Connor Rhodes: No… Maybe her condition is psychological.
Daniel Charles: Dr. Manning, a quick word?
Natalie Manning: Yeah.
ER
Daniel Charles: I understand that you gave Ellie a narcotic.
Natalie Manning: The numbing spray wouldn't work. Sedating her was the only way we could perform the endoscopy.
Daniel Charles: Was it worth it?
Natalie Manning: The endoscopy was inconclusive.
Daniel Charles: Mm-hmm. I thought that we concluded that staying away from narcotics was this Ellie's top priority.
Natalie Manning: Yes, but she's a minor. She wasn't in any condition to make decisions.
Daniel Charles: And what condition was her father in, hmm? Was he sober when you asked his consent?
Natalie Manning: She was in so much pain. It was the right call to make.
Daniel Charles: I think it might have felt like the right call for you, Doctor. For Ellie, gonna have to wait and see.
Sharon Goodwin’s office
Ms. Allen: Our clients are people who are desperate to have children. Ms. Desai is helping a couple realize that dream.
Ethan Choi: But her life is in jeopardy.
Sharon Goodwin: We... We'd like to understand the arrangement your clients have with our patient.
Ms. Allen: Well, she has graciously allowed our clients' baby to develop in her womb. In turn, they give her a living stipend for every week she nurtures that child.
Ethan Choi: She specifically said she needs the payout. What's that?
Ms. Allen: In the spirit of inspiring a healthy baby, our clients have promised a bonus should Ms. Desai carry to term.
Ethan Choi: That's what she's killing herself for.
Sharon Goodwin: Ms. Allen, this contract seems to be incentivizing our patient to put her health at risk. Is there any way to alter this?
Ms. Allen: How so?
Sharon Goodwin: Well, perhaps she would deliver the baby now if she knew she was still eligible for at least a part of that bonus.
Ms. Allen: Unfortunately, our clients have stipulated that they do not wish to adopt a premature baby.
Ethan Choi: It's their baby.
Ms. Allen: According to the law, my clients are under no obligation to adopt this child.
Sharon Goodwin: Wait. Then who's responsible for this baby?
Ms. Allen: If the bio parents choose not to adopt, Ms. Desai is welcome to keep the child or surrender it to the state.
Ethan Choi: Welcome to keep it?
Sharon Goodwin: Ms. Allen, this contract seems to protect everyone but Ms. Desai and that baby.
Ms. Allen: I'm sorry, but that is the arrangement she willingly agreed to… If you have any further questions, please feel free to call my office.
Sharon Goodwin: Uh...
Treatment 2
Brian Tucker: This embolism, it happened 'cause of you.
Sarah Reese: She said you were supposed to give him something, but you didn't.
Will Halstead: I'm telling you, I know your brother. I saw Jimmy Doyle knock him out cold. I'm sure that happened more than once. Andy's too high a risk for blood thinners.
Brian Tucker: You made the wrong call, and now Andy's got this clot in his lungs. You're an uppity bastard, you don't give a rat's ass about us.
Will Halstead: Back off, Brian. Back off.
Brian Tucker: Hey, I want a doctor who knows what he's doing.
Will Halstead: You want a new doctor, is that it?
Brian Tucker: Yeah. A good one.
Will Halstead: Okay. I'm done.
ER
Maggie Lockwood: Noah showed me some selfies he took with Tate's friends.
April Sexton: I want to strangle him.
Maggie Lockwood: Noah or Tate?
April Sexton: Noah. He's hooking these ballers up with banana bags.
Maggie Lockwood: Oh, very enterprising. Tate's idea?
April Sexton: No, he thought he was doing Noah a favour, giving out his card.
Maggie Lockwood: Still, what'd I tell you about athletes?
April Sexton: Hey, Noah is what he is. It's not Tate's fault.
Maggie Lockwood: Then what're you mad at him for?
April Sexton: I don't know... Oh, God, I'm not.
Hallway
April Sexton: Tate? Uh... How was his check-up?
Tate Jenkins: Wasn't too bad. I mean, he cried twice, but...
Eric Jenkins: Did not.
Tate Jenkins: I'm just playing.
April Sexton: Of course not. You're too brave for that. Hey, Eric, you mind if I have a really quick word with your dad? Take a seat for a second right over there, hun… I'm sorry. I shouldn't have made this about you when it wasn't. It's my brother. I really did not like what he was doing at that party.
Tate Jenkins: I get you.
April Sexton: I really like being with you. I don't want that to stop.
Tate Jenkins: Me either. Look, I was just helping Noah out because, hey, that's your little brother. But I'll let my guys know, no more.
April Sexton: Uh, no, that's sweet, but if they want to hire him, they can go right ahead. Noah is making his own way, and I'm done fighting it.
Tate Jenkins: Okay.
April Sexton: Hey, Eric? How about an ice cream sandwich? If it's okay with your dad.
Eric Jenkins: I want an ice cream sandwich.
Tate Jenkins: Let's get you an ice cream sandwich.
April Sexton: Yay.
ER
Kendra Perringtor: Under flouro we'll get a precise picture of the clot burden, then we can lyse it. Let's get him into the elevator.
Will Halstead: What's happening?
Sarah Reese: Dr. Perrington is taking him to the cath lab for a clot buster… If you're right about Andrew's head traumas, giving him a clot buster is worse than giving him blood thinners.
Will Halstead: I gave my medical opinion. The patient and his brother did not want to listen. Perrington's an attending. It's out of my hands now.
Locker room
Will Halstead: Rough day?
Natalie Manning: Yeah. I just...
Will Halstead: What?
Natalie Manning: I just... I can't believe what I just did. I have this teenage patient who adamantly refused drugs of any kind because addiction runs in her family, and I just convinced her heroin-addict father to let me give her pain meds anyway. What was I thinking? What?
Will Halstead: Well, I hate to say it, but going against a patient's wishes because you think you know better sounds like something you'd bust my balls for… What's wrong with this kid anyway?
Natalie Manning: I wish I knew.
Ellie Newman: Get away!
Natalie Manning: That's her.
ER
Nurse: Dr. Manning! Need some help over here.
Ellie Newman: I don't want the spiders on me.
Nurse: It's okay, relax.
Natalie Manning: Ellie, what's happening?
Ellie Newman: Please, get the spiders off of me!
Natalie Manning: Get me five of Haldol.
Ellie Newman: Get them off of me!
Natalie Manning: Page Doctor Charles.
Maggie Lockwood: Got you.
Natalie Manning: Ellie, there's nothing there.
Ellie Newman: No, no, no!
Natalie Manning: Ellie!
Ellie Newman: Get them off! No, there's nothing there.
Connor Rhodes: What's going on? Hey!
Natalie Manning: Shh, shh, shh, shh.
Nurse: Dr. Manning.
Connor Rhodes: What's going on?
Natalie Manning: I don't know.
Connor Rhodes: Okay, okay.
Natalie Manning: It's okay. It's okay. It's okay.
Trauma
Natalie Manning: Acute stomach pain and vomiting, but the endoscopy comes back clean. Then she has a psychotic episode? You were right. Never should have given her the narcotic. Although that could not have caused the hallucinations. I'm at a loss. I guess this is in your court. Whatever she's suffering from must be psychological.
Daniel Charles: You know, I'm not sure that I agree. When you scoped her, you gave her a benzo or an opiate?
Natalie Manning: Fentanyl.
Daniel Charles: Huh. An opiate. Was it effective?
Natalie Manning: Very. Why?
Daniel Charles: I got a hunch that the stomach pain and the psychotic episode might be related, and if that's the case, whole thing would in fact be entirely physiological. Will you excuse me for a second?
Natalie Manning: Sure.
Meeting room
Daniel Charles: Say, you mind if I ask you a couple personal questions?
Mr. Newman: No.
Daniel Charles: When did you, um, start using drugs?
Mr. Newman: Wow, um...
Daniel Charles: Just so you know, only asking 'cause it might help us figure out what's wrong with Ellie. Near as you can remember, when did you start using?
Mr. Newman: Uh... I'd say high school.
Daniel Charles: And you experiment with various things, or go straight to heroin, or?
Mr. Newman: Oh. Oh.
ER
Ethan Choi: Nat?
Natalie Manning: Yeah.
Ethan Choi: I could use your help with a patient.
Natalie Manning: What is it?
Ethan Choi: I can't get through to her. I thought maybe you could talk to her... As a mother.
Treatment
April Sexton: Dr. Choi.
Ethan Choi: Ms. Desai, we can't delay this delivery any longer.
Neela Desai: No, please.
Natalie Manning: Ms. Desai, I'm Dr. Manning. I'm sorry you're going through such a rough time right now. I know when my water broke, I was a mess. I wasn't ready to deliver either.
Neela Desai: I told Dr. Choi, I can't have this baby now. My boys are counting on me to keep a roof over their heads.
Natalie Manning: I understand. I have a son. I would do anything for him, but do you understand what's happening in your body right now? The proteins from your placenta are poisoning your blood, and at any moment you could have an eclamptic seizure that could kill you and this baby… Ms. Desai, your boys would rather spend 100 Chicago winters in a shelter than a lifetime without their mother. Don't orphan them for this money… Neela, look at me. Look at me, Neela. Dr. Choi is gonna take you up to OB, and you are going to deliver this baby… For your boys… Okay.
Ethan Choi: Call OB, tell them we're on our way.
ER
Brian Tucker: Halstead! Why'd you dump us?
Will Halstead: Dump you? You dumped me, said you wanted another doctor.
Brian Tucker: So?
Will Halstead: So.
Brian Tucker: Do I look like a doctor? Who cares what I think? You're the smartest guy I know.
Will Halstead: Listen, I don't know what it is you want, but Andy's in good hands with Dr. Perrington. She knows what she's doing…
Brian Tucker: Hey. What happened to that stand-up kid from high school?
Will Halstead: What?
Brian Tucker: We respected you.
Will Halstead: Funny way of showing it.
Brian Tucker: Hey, no matter how many times we knocked you on your ass, you always got back up. Ginger never stayed down. I don't care about this other doctor. I care about my brother. You know him. God sakes, you even remembered the fight with Jimmy Doyle. You said he could get a... A brain bleed? And that could kill him, right?
Will Halstead: That's right.
Brian Tucker: Then shouldn't you stop this?
OR
Kendra Perringtor: Oxygen looks good. Let's turn up the propofol. Let's administer the tPA.
Will Halstead: Wait!
Kendra Perringtor: What's going on?
Will Halstead: I want to make sure we're giving Mr. Tucker the proper treatment.
Kendra Perringtor: He's no longer your patient, Dr. Halstead.
Brian Tucker: He thinks what you're doing could make his brain bleed.
Kendra Perringtor: Excuse me. Your brother's CT was clean except for old hygromas. That means the risk is very low.
Will Halstead: I grew up with this patient and seen him take a lot of hits to the head over the years. Those hygromas are indicative of old subdurals. He's at a much higher risk than his CT shows. We need to implant an IVC filter to prevent future clots, but as far as the current clot's concerned, I think we should hold off and let him ride it out.
Kendra Perringtor: Dr. Halstead is a resident... A doctor in training. I am an attending physician and a Board Certified Critical Care Specialist. I'm telling you, your brother is perfectly able to handle this treatment.
Will Halstead: He's not.
Brian Tucker: We're going with Dr. Halstead, what he says.
Kendra Perringtor: All right.
Trauma
Natalie Manning: How're you feeling, Ellie?
Ellie Newman: You gave me drugs.
Natalie Manning: I'm sorry, I didn't feel like we had a choice.
Ellie Newman: And what're these?
Daniel Charles: You had what we call a delusional episode.
Ellie Newman: So I'm going crazy?
Daniel Charles: No, we actually think that it might be related to your stomach pain.
Natalie Manning: Did you change your diet at all in anticipation of wearing your prom dress?
Ellie Newman: Yeah, a little. I... I just started eating salads at lunch.
Daniel Charles: Can you remember, your last attack... A year ago... Had you also changed your diet then?
Ellie Newman: I guess, I... I was going to a volleyball tournament in Florida, and I wanted to, you know, wear a bathing suit. Why?
Natalie Manning: We believe you may have a disease called AIP, Acute Intermittent Porphyria.
Daniel Charles: It's a genetic condition that causes severe stomach pain along with episodes of psychosis. Carbohydrates actually help control it, and we think that your latest flare-up was probably helped along by your recent change in diet.
Ellie Newman: That's what's making me feel like this?
Natalie Manning: We think so. Long term, AIP can be treated and managed. In the short term, an opiate will help to ease your pain.
Ellie Newman: An opiate?
Natalie Manning: You don't have to worry. We will carefully manage your dosage.
Ellie Newman: As long as I don't turn out like my dad.
Daniel Charles: Ellie, your father helped lead us to this diagnosis. Again, it's a genetic condition… He probably has it and has very likely been self-medicating all these years.
Ellie Newman: You mean that that's why he's an addict?
Daniel Charles: Well, more like a contributing factor. He probably experienced the same pain that you did when he was your age, and without proper help or diagnosis, came up with his own way to treat it.
OR
Ethan Choi: Baby's in distress… We've got fetal bradycardia. It's not getting oxygen.
Dr. Patchefsky: Almost there… Baby's apneaic. Suction.
Ethan Choi: Come on, come on… She looks good.
Dr. Patchefsky: Premature but healthy. Let's get her to the NICU.
Ethan Choi: Wait. It's a girl.
Dr. Patchefsky: Don't you want to see your baby?
Neela Desai: I ca... I can't.
Ethan Choi: Ms. Desai...
Neela Desai: No… Take it away.
OR
Kendra Perringtor: He's stabilized. Not as bad as we thought. Maybe we don't need to push the clot busters.
Brian Tucker: You were right.
Will Halstead: Just glad he's okay… Excuse me.
Hallway
Kendra Perringtor: Doctor Halstead. Just curious, you planning on applying for a job here when your residency is complete?
Will Halstead: First choice.
Kendra Perringtor: I'm on the hiring committee, and if I were you, I'd be looking for other hospitals.
ER
Connor Rhodes: What's going on in there? They look like they're celebrating.
Natalie Manning: Yeah. We ran a PBG test on Ellie and confirmed the diagnosis. We also did one on her father, and it turns out he has it too, but he never knew it… All her life she just thought he was an addict who didn't care. Now she sees it was just his way of coping.
OB
Sharon Goodwin: Any issues?
Ethan Choi: She was born shy of four pounds and her lungs are underdeveloped, but I think two months in the NICU will plump her up and get her breathing properly.
Sharon Goodwin: That's good to hear.
Ms. Allen: I'm sorry, but I have some unfortunate news. Our clients have pulled out.
Sharon Goodwin: What?
Ms. Allen: They don't feel equipped to deal with the complications that come with a premature baby.
Sharon Goodwin: This is a healthy baby. She just needs some extra attention.
Ms. Allen: I understand. You know, my heart goes out to Neela... All she's been through. But I'm not giving up. I'm sure we can find an adventurous couple willing to take on that little bundle of joy. And maybe we can get a little something for Neela too.
Ethan Choi: Of course, you'll get a fee as well.
Ms. Allen: Need to make a quick call, excuse me.
Ethan Choi: Is this a happy ending?
Sharon Goodwin: Dr. Choi, this is as happy as it's going to get.
Waiting room
Daniel Charles: Mr. Newman.
Mr. Newman: Yeah, hey.
Daniel Charles: Hey. Very excited to hear that you and your daughter finally got a diagnosis.
Mr. Newman: It's good.
Daniel Charles: Yeah, it's great. Hey, will you step over into my office here for a second? You know, sometimes people get new perspective, how they got into a situation, they reevaluate getting out of it, you know, and if that were the case, I just wanted to offer my assistance, you know? Kicking heroin is a tremendous undertaking, really shouldn't be attempted alone.
Mr. Newman: Uh, yeah. You know, I appreciate that. Thank you.
Daniel Charles: Yeah, I work with these alternative rehabs, you know, who use psychoactives like Ibogaine. They've been having extraordinary success. I just... Well, you know, put that on the table.
Mr. Newman: Yeah, well, you know. Like I said, I appreciate it, and... You know, I think I-I think I got it handled, you know? So I'm gonna have a smoke.
Daniel Charles: Okay, man.
Mr. Newman: Thank you. Good luck.
Daniel Charles: Hey, just... Just in case, you know?
Mr. Newman: Great. Thank you.
Hallway
Ms. Allen: How's she doing?
Sharon Goodwin: I suggest you stay as far away from me as possible. What you're doing may be legal, but it sure as hell isn't right. No reputable surrogacy agency would have ever given Neela a contract like that.
Ms. Allen: This is an emotional process. I can understand you're upset.
Sharon Goodwin: Don't you dare patronize me. What you do... Let's call it what it is... Human trafficking.
Shop
Claire Rhodes: I don't know, I think that maybe we should put the caps on this. I feel like it looks a little bit incomplete, and maybe if we bring that one down here, and yes...
Connor Rhodes: Claire?
Claire Rhodes: Well.
Connor Rhodes: Um... Any chance you're free for dinner?
Claire Rhodes: Yeah, I think I can make that work… Let me just grab my coat.
Molly’s
Will Halstead: Leave it to you to find the nearest bar.
Brian Tucker: Homing instinct. Let me buy you a drink.
Will Halstead: Okay.
Brian Tucker: What'll you have, one of those fancy fresh-squeezed cocktails?
Will Halstead: With my med school loans? I stick to beer.
Brian Tucker: Another for me. And the same for my friend.
