Jeff’s Clarke apartment
Natalie Manning: Morning. I have to pick up Owen at Helen's before work.
Jeff Clarke: Yeah, I get it.
Natalie Manning: You know, um, last night was... It was really great.
Jeff Clarke: Yeah, it was.
Natalie Manning: Huh. I don't think I've seen this one before.
Jeff Clarke: Helmand Province. That was our last deployment together.
Natalie Manning: Wow. Jeff looks so young.
Jeff Clarke: Hey, we're good, right?
Natalie Manning: Of course.
Jeff Clarke: Okay.
Natalie Manning: Good. Bye.
Jeff Clarke: See ya.
ER
Ethan Choi: This is what I always carried in the field: gear for fluid resuscitation, hemorrhage control, airway management, basic meds, including OTCs. Always have lots of Pepto. Oh, and tape. Can never have too much tape.
Torres: Yes, sir. It's a lot to take in.
Ethan Choi: I know. When do you deploy?
Torres: 12 weeks, sir.
Ethan Choi: Look, nothing really prepares you for war. But a day in Chicago, the number of gunshots we see, the navy sending corpsmen for a rotation in the ED is a pretty good primer.
Torres: What's that, sir? Is it a quick reference guide?
Ethan Choi: Case notes from the field. Things I thought I shouldn't forget.
Maggie Lockwood: Dr. Choi, we got a drive up and drop.
Ethan Choi: Corpsman, with me.
Torres: Sir.
Street
Jeff Clarke: All right, I got you, buddy. I got you, okay? Hey, what's your name? Cuál es Tu nombre? Huh?
Marco: Marco.
Jeff Clarke: Marco. Marco, okay. You stay with me. We're gonna take care of you. Single GSW. Left flank thoracoabdomen. No exit wound.
Ethan Choi: Weak pulse. Corpsman, cut his shirt off.
Torres: Yes, sir.
Marco: Speaking spanich
Ethan Choi: Hey, hey, corpsman. What do you hear?
Marco: Come on. Hey.
Torres: I have weak breath sounds on the left side.
Ethan Choi: Means the lung is collapsed. Air leaking out is pressurizing his chest. He's got a tension pneumothorax. Breath sounds unilateral and tachycardic, needle the chest. Hold pressure.
Torres: Yes, sir.
Ethan Choi: In. Okay.
Jeff Clarke: Breath sounds improving. Good.
Ethan Choi: Bring in a board. Easy, easy, easy, easy. All right, let's move him on my count. One, two, three.
Jeff Clarke: Respira.
Ethan Choi: Jeff, let's get an AP chest X-ray and prep a chest tube.
Jeff Clarke: Got it.
Torres: He said, "I'm only 18."
Ethan Choi: Welcome to Chi-raq.
Waiting room
Natalie Manning: Alright, now try to stay off the hoverboard for at least a week, Hudson, okay?
Patient: Yeah?
Natalie Manning: Bye. Thank you… Hey, Gayle. Taking your daily lap around our gorgeous grounds?
Gayle: Anything to get out of the pediatric ICU for a minute. I swear, if I hear another monitor beep, I'm gonna nosedive onto Michigan Avenue.
Natalie Manning: And how is little Timmy doing? Hey, cutie!
Gayle: He's had a good month, thanks to Dr. Rhodes. Hoped we'd finally get to go outside today. Probably best we head back upstairs.
Nurse: Dr. Manning?
Natalie Manning: It was nice seeing you, Gayle.
Gayle: You too.
Nurse: Right away.
Natalie Manning: Hi, I'm Dr. Manning.
Mrs: James: Hi. My daughter, Alicia. She stopped nursing. She's only three months old.
Natalie Manning: Okay, well, don't worry. We'll figure out what's going on. Why don't you follow me into the back? I'll take the paperwork. You guys want to go in the back?
Boys: Yep.
Natalie Manning: All right.
Street
Sarah Reese: Okay, got a new favourite: Capgras Syndrome. The belief a familiar person has been replaced with a duplicate.
Joey Thomas: That's cool.
Sarah Reese: That was an unenthusiastic response, even for you.
Joey Thomas: Sorry. It's the new pathology resident. Mark… He's in my head.
Sarah Reese: What's going on?
Joey Thomas: He's pushing really hard to get drinks after work. Hang out on the weekends. Be pals. It's uncomfortable.
Sarah Reese: Why? Are you worried something bad will happen if you become friends?
Joey Thomas: What? No, it's just I'd rather be colleagues. I got enough friends.
Sarah Reese: Is there a limit to the number of people you can let into your life?
Joey Thomas: Maybe. Yeah. What is all this?
Sarah Reese: Nothing. We're just talking.
Joey Thomas: Okay… I've gotta get back.
Sarah Reese: Are we still on for dinner?
Joey Thomas: Yeah, sure.
Treatment
Natalie Manning: She's gurgling a bit, but there's no obstruction in her throat. She doesn't appear too dehydrated, and her membranes are moist. When did she stop nursing?
Mrs: James: Yesterday. I wasn't too worried at first. My boys were both finicky eaters. But when she wouldn't nurse at all today...
Natalie Manning: Any fever or vomiting?
Mrs: James: No, none. She's been a bit cranky. She's been napping longer than usual, but that's about it.
Son 1: Mama, I'm thirsty.
Mrs: James: Okay, baby, we will get you a drink as soon as we speak to the doctor, okay? All right? No, no, no. I'm so sorry. We go to the park every day. They're exhausted. My husband will be here to help any minute.
Natalie Manning: Don't worry about it. Let's get a CBC, CMP, an abdominal ultrasound and a babygram.
Nurse: Yes, doctor.
Mrs: James: A babygram?
Natalie Manning: An X-ray of her entire body.
Mrs: James: So this could be serious.
Natalie Manning: There's no way to know for sure just yet, but I want to cover all our bases.
Mrs: James: I should've brought her in sooner. It's just with my husband at work...
Natalie Manning: Look, you are juggling three kids. Okay, I get it. I only have one and it's a handful… I will fill you in as soon as we know anything.
Mrs: James: Thank you.
Pathology
Will Halstead: No, Nina, I've ditched cable, cut up my credit cards, and have nothing left to sell on Craigslist. Yet, I'm still in the hole each month when the vig is due.
Nina Shore: Easy there, Vegas. It's med school loans and malpractice insurance, not a note from a bookie.
Will Halstead: Either way, I'm broke… Had to post an ad for a roommate.
Nina Shore: Here, look at this. Come on, it'll make you feel better.
Will Halstead: What is it?
Nina Shore: Molluscum contagiosum. It's a type of pox virus. It's a nasty one, actually. Even so, stunning, right? Like 10 pounds of raspberry rock candy pressed into a 5-pound bag.
Treatment
Mr. McGregor: Come on, you must have a day off, right? Go then! It's summertime, the animals are really playful. Elephants are my favourite. They're so soulful.
April Sexton: Okay, you sold me. This Saturday, I'm at the Lincoln Park Zoo. BP 126 over 82. Heart rate 74. Sats 100%.
Will Halstead: Hi, Mr. McGregor, I'm Dr. Halstead. I understand you fell, hurt both wrists.
Mr. McGregor: Yeah, just a moment of clumsiness, you know. They feel better already now.
April Sexton: Don't be modest. He's here. Let him help.
Mr. McGregor: I put my hands out just trying to catch my fall, you know? 15 years on the street. I guess I'm not as fast as I used to be. Ahh!
Will Halstead: AP and lateral X-rays of both wrists. Have you fallen before, Mr. McGregor?
Mr. McGregor: A few times. So much action in the city nowadays. You stop paying attention for a second... Bam! Face plant… You're a big guy, Dr. Halstead. Football?
Will Halstead: Baseball. Just a fan now, though.
Mr. McGregor: Cubs or Sox?
Will Halstead: Southside pride. Sox all the way.
Mr. McGregor: Ah, I'm a Cubs guy.
Will Halstead: I won't hold it against you.
Mr. McGregor: Love Wrigley. The way the ivy creeps along the outfield wall, the perfect stripes mowed right into the infield grass. Breathtaking.
Will Halstead: Do you stay near the ball park?
Mr. McGregor: During the season. Sure, why not? You know, it's fun seeing the players. In person, they're larger than life. Moises Alou. Sammy Sosa.
Will Halstead: Oh, yeah? Wow. Must be really exciting.
Mr. McGregor: Oh, yeah!
Will Halstead: Mr. McGregor, after your X-rays, I want to run an EKG. Determine if a cardiac event caused your fall. Sound good?
Mr. McGregor: Sure, yeah.
Will Halstead: All right, we'll see you soon.
Desk
April Sexton: You know, they haven't had elephants at the Lincoln Park Zoo for ages.
Will Halstead: Mm-hmm.
April Sexton: You think he really met those baseball players?
Will Halstead: Not recently. Alou and Sosa's last season with the Cubs was in '04. So, I guess, maybe Mr. McGregor could have seen them outside the park...
April Sexton: Maybe not.
Will Halstead: Unfortunately, homelessness and mental illness often go hand in hand. I'll page Dr. Charles for a consult.
April Sexton: Okay.
ER
Torres: How's Marco doing, sir?
Ethan Choi: Bullet looks to have lodged in the midline between the spine and heart. May even be touching the aorta. Bad spot.
Torres: You get a lot like him? Drive up and drops?
Ethan Choi: Yeah. Easy way to get your boys patched up without having to answer any questions.
Trauma
Ethan Choi: Hey, Marco. A trauma surgeon is gonna come see you. She'll decide how best to proceed.
Marco: Will you cut me open?
Ethan Choi: Probably. If the bullet shifts inside you, it could do a lot of damage.
Marco: No, man.
Ethan Choi: Not "whatever." Lot of you guys come in here and don't make it out… If you do, make it mean something.
Marco: [speaking Spanish] I ain't afraid.
Ethan Choi: Okay.
Marco: [speaking Spanish] Están muertos.
Torres: He's saying that...
Ethan Choi: The usual. Revenge.
PICU
Connor Rhodes: Timothy Williams, eight months old. Diagnosed with Hypoplastic. Left Heart Syndrome. Bryan, can you tell us what that is?
Leah Bardovi: I know. It's a congenital heart defect. Left side of the heart can't efficiently pump blood, so the right side has to pump it to the lungs and the rest of the body.
Connor Rhodes: Correct… Tim is on the heart transplant list. But he's developing fluid around his lungs, a pleural effusion. He requires a thoracentesis to drain it. The patient is sedated, and the ultrasound shows the fluid surrounding his right lung. Lidocaine... Is injected just below the surface of the skin, forming a wheel. We go through the wheel and into the pleural space. Staying above the rib because the blood vessels are below… Go too far, puncture the lung. Once you're in, aspirate the fluid… Give us a minute… Gayle, John, I think it's best that Tim not leave the PICU going forward. No more trips downstairs.
Gayle: You mean keep him on the vent.
Connor Rhodes: He's not oxygenating well. His lungs are very congested.
John: He's gonna get a heart soon. Listen, everything's gonna be okay, you hear me?
Connor Rhodes: I'm gonna check the transplant list. See if there's been any movement.
Gayle: Thanks.
Treatment
Mrs James: Hi.
Natalie Manning: Hi.
Mrs James: My husband, Andre, took the boys to get some food. He'll be back soon. Any news?
Natalie Manning: The blood tests and babygram were okay. Nothing abnormal on the abdominal ultrasound either.
Mrs James: Oh, thank goodness.
April Sexton: Dr. Manning.
Natalie Manning: May I take a look at her?
Mrs James: Yeah.
Natalie Manning: Thank you… Do you have any family history of neuromuscular disease?
Mrs James: No, none.
Natalie Manning: Her deep tendon reflexes are diminished. She's floppy. Her muscles are losing tone.
Mrs James: What is it? What do you see?
April Sexton: A baby's natural position is to flex the legs. When straightened, there should be some resistance.
Natalie Manning: Let's get a CT of her head. I want to make sure that there's no swelling in her brain.
Mrs James: Swelling in her brain?
Natalie Manning: I don't know that's the case. But we just have to check. If the CT comes back negative, then we'll do a lumbar puncture to test her spinal fluid.
Mrs James: Why?
Natalie Manning: That'll let us know if she has an infection.
Mrs James: My poor baby.
Natalie Manning: Just hang in there, okay? We'll know more soon.
ER
April Sexton: That is one sick baby. What do you think's going on?
Natalie Manning: I have no idea.
Jeff Clark: Surgeon ordered chest CT. I'll let you know what's up.
Treatment
Daniel Charles: Then what happened?
Mr. McGregor: So they were all looking at me and clapping, right? So I started dancing too. We partied all afternoon.
Daniel Charles: Sounds like a blast.
Mr. McGregor: You know, there'll probably be another fiesta next week. Families rent that restaurant for them all the time. You should check it out.
Daniel Charles: All day party do me good.
ER
Will Halstead: What was he telling you about?
Daniel Charles: A quinceañera he attended last week. Didn't miss a detail about the people he met, the clothes they wore, the venue. I mean, he really thinks he was there.
Will Halstead: But he wasn't.
Daniel Charles: I know the place he's talking about, or I knew it. Closed 10, 11 years ago. It's a Starbucks now.
Will Halstead: Schizophrenia?
Daniel Charles: Some kind of delusional disorder. I mean, he also admitted that he binge drinks sometimes. Even though he's sober now, could be alcoholic hallucinosis. I'm gonna order an antipsychotic, see if we can narrow this down.
Will Halstead: Well, for being homeless the last 15 years, he seems pretty okay with it. Lucky guy.
Daniel Charles: Lucky guy? Everything okay there, Doc?
Will Halstead: Money problems. Pretty embarrassing. Kind of all-consuming, actually.
Daniel Charles: Buy you lunch?
Will Halstead: I'd rather you write me a check.
Daniel Charles: Get in line there, amigo.
Treatment
Mrs James: Her lips are turning blue! What's happening?
Natalie Manning: She is in respiratory distress, unable able to contract her diaphragm and chest muscles enough. I need to intubate, now.
Ethan Choi: Broselow tape.
Maggie Lockwood: Mr. and Mrs. James, I'm gonna need you to step outside, please.
Ethan Choi: Sats are falling. Heart rate stable.
Natalie Manning: Pharynx is collapsing around the scope. I need crich pressure! Suction.
Nurse: Suction
Ethan Choi: Sats still falling. 40%. Heart rate's dropping. It's at 60. Atropine?
Natalie Manning: Not yet.
Ethan Choi: It's been a minute… Heart rate 30. O2 sat is zero. We're running out of time.
Natalie Manning: I got it! I'm in! Give the atropine.
Nurse: Right away. 0.5 IDA.
Ethan Choi: Sats coming up. Heart rate 130. Sats 99.
Maggie Lockwood: How long did it take to intubate?
Ethan Choi: Almost two minutes.
Natalie Manning: Pupils are fixed and dilated. Call PICU for a bed.
Maggie Lockwood: Got you.
Natalie Manning: Have to go talk to the family.
Ethan Choi: Want me to join you?
Natalie Manning: No, no, I got this. But thank you.
ER
Mark: Okay, well, how about Thursday?
Joey Thomas: I'm busy Thursday too. Pretty busy week.
Sarah Reese: Run something by you, Dr. Charles?
Daniel Charles: Shoot.
Sarah Reese: I was speaking with a colleague this morning. My age, intelligent, compassionate, a great person. But shy.
Daniel Charles: Asocial?
Sarah Reese: Not a loner per Se, but comfortable being alone. Recently, he's been presented with an opportunity to expand his social circle. He wants nothing to do with it.
Daniel Charles: So? What are you thinking?
Sarah Reese: His reaction, actually his overreaction, screams avoidant personality disorder.
Daniel Charles: Hm. This is a colleague?
Sarah Reese: A close one. Probably why I never noticed that he meets four of the seven APD criteria outlined in the DCM. The psych fits, doesn't it?
Daniel Charles: Clinically, yeah, I guess.
Sarah Reese: Well, I'm gonna have to talk to him about this, but I don't want him to feel criticized or rejected… Excuse me, I've got some reading to do.
Will Halstead: Do you think "cat lover" means "cat" or "cats"?
Maggie Lockwood: Does it matter?
Will Halstead: Good point. Pass. What's cosplay?
Maggie Lockwood: Oh.
Will Halstead: Yeah, okay, another pass. The roommate search is not going well.
Maggie Lockwood: You're trolling the Internet. What'd you expect?
Will Halstead: It's the hospital community page. I don't know, someone like me.
Maggie Lockwood: Oh, you mean, like, a slightly anal, overly stubborn, rule breaking, control freak? Good luck.
Will Halstead: Really? When I'm already down?
April Sexton: Mr. McGregor's EKG and troponin results are normal. Cardiac event didn't cause his fall. Stroke?
Will Halstead: Maybe. Or a bleed. Either way, could affect his balance. Let's get a CT.
PICU
Mr. James: So what does that mean?
Natalie Manning: There could have been a brain injury due to lack of oxygen. We're running a cerebral flow study to make sure that blood is reaching her brain.
Mrs. James: This isn't happening… Yesterday, I was... I was singing to her in the bathtub. And now, she's hooked up to all these machines...
John: Dr. Rhodes!
Announce: Code blue. Code blue.
Nurse: No pulse.
Connor Rhodes: Start compressions. Get him off the vent and bag him! .07 milligrams of epi. He's in V-fib. Charge to 15 joules.
Nurse: Charge 15. Charged.
Connor Rhodes: Hold compressions. Clear! We're back in sinus rhythm.
Nurse: We have a pulse.
Gayle: My God.
Mrs. James: This is the floor where babies die.
Sharon Goodwin’s office
Connor Rhodes: He's fourth on the organ transplant list, but he doesn't have time. If, by some chance, four hearts do become available, one still has to be an HLA match.
Sharon Goodwin: I know the odds seem bleak, but children under a year have to receive organs from similarly-aged donors. The pool of recipients is smaller...
Connor Rhodes: Yes, but so is the pool of donors. Ms. Goodwin, I can't perform another thoracentesis. His lungs are too weak. Without a transplant, he's gonna die. I'm contacting the other doctors on the donor list. I-I'm pleading my case...
Sharon Goodwin: Okay. I have a contact at Gift of Hope, a friend of a friend. Hold on… I will do my best to get Timothy pushed to the top of the UNOS list, but you know how delicate these matters are.
Connor Rhodes: Thank you.
Sharon Goodwin: Dr. Rhodes? Be careful.
ER
Maggie Lockwood: Hey.
April Sexton: Hey.
Maggie Lockwood: Still no sparkly on the finger. Does that mean you made a decision?
April Sexton: Not yet.
Maggie Lockwood: April, the guy proposed two months ago. You owe him an answer.
April Sexton: I know. It's complicated. He told me I could quit my job. I'm worried that means he thinks I'm a housewife... I'm not a housewife. In his house, no less, the one he shared with his ex. It's a huge decision. And it's all happened so fast. And, of course, then there's the TB. I mean, the whole thing just really makes me anxious… What? What are you thinking?
Sarah Reese: Anxiety is a powerful emotion. Would you say that you feel more nervous about the situation or fearful of the future?
April Sexton: I-I don't know. Both, I guess.
Sarah Reese: How've you been sleeping? Waking up at night? Earlier than you'd like?
April Sexton: What? Oh, my God. You're shrinking me. Three weeks in psych, and she's Freud.
Sarah Reese: What? She said "anxious" and "worried." Those are emotions that convey distress.
Treatment
Mr. McGregor: Meigs Field is beautiful. The sun reflects off the water with the blues and the greens, and the luminescence...
Daniel Charles: How you doing there, Mr. McGregor?
Mr. McGregor: Hey, Dr. Charles, how are you?
Daniel Charles: Who you, um... Who are you talking to?
Mr. McGregor: It was the nurse, yeah. She mentioned how she walks her dog along the lakefront. Took off from there. Let me tell you something, doctor. There was a time I used to hate hospitals. But that's before I noticed the details. The staff floating through the halls like angels... There! Do you see that? White light surrounding. Oh! Beautiful aura.
Daniel Charles: You know, I missed the beginning. You were talking about your favourite spot. Where was that?
Mr. McGregor: South end of Meigs Field.
Daniel Charles: You excuse me one second?
Mr. McGregor: Absolutely. I'm here if you need me.
ER
Daniel Charles: Mr. McGregor get his antipsychotics yet?
Will Halstead: Yes. 2 milligrams of Risperidone. Little over three hours ago.
Daniel Charles: You'd think it'd be making a dent in his symptoms by now. Not really happening… Give me a shout when the CT results come in.
Will Halstead: You got it.
PICU
Connor Rhodes: Hey, can I talk to you for a second?
Natalie Manning: Sure.
Connor Rhodes: Not here.
Roof
Natalie Manning: What? No! No! Absolutely not. I'm still working on a diagnosis. What you're asking me to do is premature and completely unethical.
Connor Rhodes: Natalie, please. You're running a cerebral blood flow test for Alicia. You clearly think brain death is a possibility.
Natalie Manning: A possibility. But I will not get those test results back for another few hours.
Connor Rhodes: So all I'm asking is that you speak to Alicia's family about organ donation. Look, just let me run an HLA test. Just to see if she's a match, just in... Should the worst happen.
Natalie Manning: Okay, you know that… If I do that, I'm insinuating to her parents that she's definitely gone… You are putting me in a terrible position.
Connor Rhodes: You're right… When Tim was born, he wasn't breathing. I performed his first surgery. When he came to, I was the first person he saw. And he put his hand around my finger… Please, Nat. I-I can't lose this kid.
ER
Ethan Choi: So, it's about 2:00 in the morning, pitch black out. We start taking fire. Small arms. Just a few bad guys. One of our guys drops into a wadi for cover. Wham. Gets hit right in the foot.
Torres: Oh, man.
Ethan Choi: When I get to him he's writhing in agony. I shine my light on his boot, see two tiny puncture wounds.
Torres: So what was going on?
Ethan Choi: Slowly, I light up the wadi, and right there, staring back at me, is a cobra.
Torres: Get the hell out.
Ethan Choi: Hood flared. Ready to strike again.
Torres: Man, that's insane.
Jeff Clarke: We just heard. Our banger, Marco? CT chest showed the bullet isn't in the midline or touching the aorta. It's in the left paraspinal muscles.
Ethan Choi: Surgeon gonna go in and get it?
Jeff Clarke: No. Says it's harmless. Safer just to leave it there. Should be as good as new in a few days.
Torres: And back on the street.
Ethan Choi: Yeah.
Torres: Snakes here too.
PICU
Mrs. James: Organ donation? So Alicia's brain dead?
Natalie Manning: The test results have not come back yet.
Mr. James: Then why are you even here asking us to cut up our baby?
Natalie Manning: No, that's not what I'm saying.
Mrs. James: Have you given up on her?
Natalie Manning: No! No, I swear, I'm doing everything in my power to diagnose your daughter.
Mr. James: I don't believe this! Alicia's life is hanging in the balance, our baby girl!
Mrs. James: Andre, just...
Mr. James: She's saying there's no hope. But there is. Alicia is still alive. She's supposed to be our doctor.
Natalie Manning: Mr. James, please… I know that this is difficult to process, but the reality is, we don't know what the test results are gonna say and right now there's a baby fighting to survive, a baby just like Alicia.
Mrs. James: What would it require?
Natalie Manning: We already have Alicia's blood. All I'm asking is that you allow us to test it.
Park
Natalie Manning: Alicia's a match.
Connor Rhodes: Yeah… I know this wasn't easy… Thank you.
Natalie Manning: You know, as a doctor, you want to do everything in your power to save your patient. And I am. But it's just now, if I save my patient, it means yours won't make it.
ER
Will Halstead: Mr. McGregor has a pituitary tumour.
Daniel Charles: A big one.
Will Halstead: Appears to be pressing on the optic chiasm. Which, if his vision is impaired, could explain why he fell.
Daniel Charles: How long do you think it's been there?
Will Halstead: Based on the size, a decade. Maybe even longer.
Daniel Charles: Huh. Meigs Field was torn down in '03. In '04, Sammy Sosa and Moises Alou were still fixtures at Wrigley. The restaurant where the quinceañera took place was still open for business… All the while, Mr. McGregor's tumour is likely growing. Putting pressure on his optic chiasm.
PICU
Connor Rhodes: He's still really congested. Order a chest X-ray and give him 5 milligrams of Lasix to try and clear some of the fluid.
Gayle: Dr. Rhodes, it seems like he's getting worse pretty quickly. Is he gonna make it to the transplant? Do you know what we did last month? We bought a car seat. We were so sure that we were gonna beat the PICU, finally take our baby boy home.
Connor Rhodes: The fight is not over yet. The important thing for you right now is to try and stay in the present.
ER
Jeff Clarke: What do we got?
Paramedic: Joy Billings, 44 year old female. Triple zero. GSW to the chest. 18 Gauge IV in the right AC. No drugs given per protocol.
Maggie Lockwood: Baghdad's alive!
Ethan Choi: Down time?
Paramedic: Roughly eight minutes.
Ethan Choi: What happened?
Paramedic: Watching TV with her kids. Rival gangs start blasting at each other outside. Stray bullet ripped into the house.
Trauma
Ethan Choi: All right, let's move her on my count. Ready, one, two, three.
Nurse: Call the blood bank.
Torres: Police get the shooters?
Paramedic: Yeah. Buddies of the kid from this morning, Marco.
Ethan Choi: Breath sounds bilaterally.
Jeff Clarke: She's lost a lot of blood.
Ethan Choi: Trigger the MTP. Hang blood on the rapid transfuser. Maggie, need a trauma surgeon now.
Maggie Lockwood: She's in the OR. Three minutes.
Ethan Choi: That's too long. Chest tray.
Torres: You're gonna cut her open?
Ethan Choi: First incision… Second incision… Corpsman, need you to take over so I can cross clamp her aorta.
Torres: Yes, sir.
Ethan Choi: Back and forth as if you were clapping… In. Hold compressions. Resume compressions. Milligram of epi… Hold… Resume… Hold… Beat, damn it, beat. Come on.
Jeff Clarke: Asystole.
Ethan Choi: Beat. Beat! Come on… Time of death: 15:42.
Torres: And Marco is gonna go home.
PICU
Gayle: Dr. Rhodes? Is there a donor in the hospital for Timmy? We heard a rumour. It's her child, isn't it? Her little girl? They're the only new patients on the floor. We've been here for eight months; we know everybody else. It has to be her.
Connor Rhodes: I'm sorry, Gayle. But HIPAA regulations won't allow me to discuss another patient.
Alicia’s room
Natalie Manning: Hi… The spinal tap was clean. I've ruled out all the common causes. We must be looking at something rare. Have you had any foreign visitors? Anyone outside of your normal social circle?
Mrs. James: No.
Natalie Manning: Has your house been sprayed with pesticides?
Mrs. James: No, none of that. Nothing. No.
Natalie Manning: I'd like to reach out to toxicology...
Mr. James: Would you look at them over there, watching like vultures! Why don't they show some damn respect!
Mrs. James: Andre.
Mr. James: My fault, son. I shouldn't have shouted.
Natalie Manning: Mr. and Mrs. James, I'm so sorry you're going... Those... Those grass stains. When you take the boys to the park, what do you do with Alicia?
Mrs. James: I lay her down on her stomach for tummy time.
Natalie Manning: You know what? I'd like to consult with infectious diseases. Excuse me, please.
Treatment
Will Halstead: Pupils are reactive. Mr. McGregor, can you follow the light with your eyes? How 'bout now? Mr. McGregor, how many fingers am I holding up?
Mr. McGregor: Three.
Will Halstead: And now?
Mr. McGregor: One.
Will Halstead: Good job. I'll be right back.
ER
Daniel Charles: Legally blind?
Will Halstead: He can detect sharp lights and block images, probably how he made out my size earlier. But anything more than a few feet away is likely just a blur.
Daniel Charles: His pituitary tumour, is it operable?
Will Halstead: I'll have neuro consult, but I suspect it's a prolactinoma. If so, medication alone should shrink it enough to ease the pressure on the optic chiasm.
Daniel Charles: So he's gonna get some of his sight back.
Will Halstead: 15 years. Homeless, essentially blind. I mean, that's a crap hand. He should be pissed. Yet, he's happy as can be… Crazy I got this patient today.
Daniel Charles: My experience, we get the patients we need.
Sarah Reese: You've created a monster, you know that? Turns out, the English language is primarily comprised of buzzwords for borderline personality disorders. Now that I know them, I can't have a conversation without immediately seeing the psych in people, which is clearly an impulsive reaction, which, by the way, could also suggest a borderline personality disorder. I mean, I can't even not analyze myself. Now I'm using double negatives.
Daniel Charles: You're a first year psych resident. Compulsive diagnosing is par for the course. My first year, I was convinced that a friend of mine had dissociative identity disorder because suddenly he would only listen to Euro-Disco. Really. My advice: think less, listen more. You'll be just fine.
Torres: Sir, just wanted to thank you for today.
Ethan Choi: My pleasure.
Torres: I'm spent. Not gonna be easy over there.
Ethan Choi: You'll get through it.
Torres: The medicine, sure. The rest... Well, I just hope can handle my emotions as well as you.
Ethan Choi: Good luck.
PICU
Mr. James: Botulism? Isn't that a food thing?
Mrs. James: I'm still breastfeeding.
Natalie Manning: Most cases actually come from contaminated soil. It can be absorbed through the skin.
Mrs. James: The park. Tummy time.
Mr. James: Is it treatable?
Natalie Manning: Yes. Yes. We will start Alicia on an antitoxin that will provide antibodies to stop the disease's progress.
Mrs. James: But what about the vent?
Natalie Manning: The neurotoxin from the bacteria is what caused the muscle weakness. I believe she'll make a full recovery.
Mr. James: Thank you so much, doctor.
Pathology
Nina Shore: Hey.
Will Halstead: Hey. What's it this time?
Nina Shore: Gout.
Will Halstead: Ah. May I?
Nina Shore: What do you think?
Will Halstead: An explosion of brilliant crystals like Hawaiian shave ice.
Nina Shore: Hm.
Will Halstead: I know how you pathologists love food references.
Nina Shore: Yes, we do.
Breakroom
Connor Rhodes: Yeah, uh... Okay. No, I-I understand. Thanks for your time, Dr. Laurel… Damn it.
Natalie Manning: It's gonna come through.
Connor Rhodes: How do you do it? They're just babies.
Natalie Manning: Well... On rough days, I call Helen. Ask her to watch Owen for a few extra hours while I do something to decompress. A good meal, a long walk. Just… Something to let my emotions settle… I find a safe space… See you tomorrow.
Connor Rhodes: Night.
Street
Sarah Reese: Hey. How'd the rest of your day go?
Joey Thomas: Not so sure I want to talk about work.
Sarah Reese: Yeah, I may have overstepped a little bit earlier.
Joey Thomas: So you were analyzing me?
Sarah Reese: Unintentionally, though. I'll make it up to you with burgers at Au Cheval? You can tell me all about how the Bears are doing.
Joey Thomas: But you know nothing about football.
Sarah Reese: Exactly.
