Street
Joey Thomas: So I get this specimen labelled "synovial fluid, left hip." And I'm looking at it, and it's not very viscous. Obviously, I'm thinking maybe it's gout, but there aren't any crystals under the microscope, just cells, so I call the intern who drew it, and he tells me he's trying to rule out cirrhosis, which doesn't make any sense, until I suddenly realize, those weren't monocytes I was seeing, they were PMLs. The guy had drawn it from the left hip, but it was peritoneal fluid… What is the matter with you?
Sarah Reese: Did you see someone following us when we got off the bus?
Joey Thomas: No.
Sarah Reese: I'm pretty sure I did.
Joey Thomas: Who?
Sarah Reese: I don't know. I just can't shake this feeling I'm being followed.
Joey Thomas: Followed?
Sarah Reese: Mm-hmm.
Joey Thomas: Oh, I get it… Don't worry, it's not real.
Sarah Reese: What?
Joey Thomas: You're a first year psych resident.
Sarah Reese: But what does that mean?
Joey Thomas: You spend all day treating very disturbed people. It's only natural that you'd start mirroring some of their disorders. For example, paranoia.
Sarah Reese: I don't know. That sounds kind of condescending.
ER
Ethan Choi: Stacking up here, Maggie, you need to get these patients to the medical force.
Maggie Lockwood: Oh, really? Sorry, Dr. Choi, I didn't notice… Dr. Manning, Hayley Kline, incoming.
Sylvie Brett: Adolescent female, on chemo for non-Hodgkin's lymphoma.
Maggie Lockwood: No, no, no, Baghdad.
Sylvie Brett: Oh, okay.
Doug Kline: Dr. Manning, thank God you're here.
Hayley Kline: Stop the shoes. No shoes.
Elizabeth Kline: Honey, I don't understand.
Doug Kline: She's been talking nonsense.
Sylvie Brett: GCS 10, altered mental status, mostly incoherent. New onset of jaundice.
Maggie Lockwood: April?
April Sexton: Got it.
Trauma
Elizabeth Kline: Her eyes, they're... They're yellow.
Natalie Manning: Hayley, honey, it's Dr. Manning. Do you remember me?
Hayley Kline: I can't find my...
Elizabeth Kline: What's wrong with her?
Ethan Choi: We're gonna find out.
Hayley Kline: No rain. No. No.
Ethan Choi: Let's hang a liter of NS and draw a CBC, BMP, LFT, and lytes.
April Sexton: On it.
Natalie Manning: When was her last dose of chemo?
Doug Kline: Few days ago, I think.
Elizabeth Kline: A week, actually. Oh! Sweetie, honey.
Natalie Manning: She could be in liver failure, which could be causing her brain to swell.
Ethan Choi: GCS is worsening. We need to intubate, protect her airway.
Natalie Manning: I got it.
Doug Kline: Do what you gotta do.
Ethan Choi: 10 of etomidate and a 75 of sux.
April Sexton: Yup.
Natalie Manning: Nine percent… I'm in. Let's get a head CT and belly, Hyperventilate and get labs now with an acetaminophen level.
April Sexton: Got it.
Natalie Manning: Call 'em and tell 'em we're on our way up, we don't have time. You can come with us. Let's go… Hang in there, Hayley.
ER
Maggie Lockwood: Can't you rush those discharges? I need those meds.
Sharon Goodwin: You paged?
Maggie Lockwood: Yeah. Yeah, yeah, yeah, yeah. We're jammed and there's no beds upstairs. I hate to say it, but maybe we should...
Sharon Goodwin: We're not diverting patients to other hospitals.
Maggie Lockwood: I'm just saying...
Sharon Goodwin: Maggie, we're not going on bypass. If the medical floors are filled, call the ICUs, put patients there until beds are available.
Maggie Lockwood: I'll try.
Will Halstead: Sorry for the lack of privacy.
Bart Logan: Oh, no problem. I just want to get outta here.
Will Halstead: When did the pain start?
Bart Logan: About a half hour ago.
Will Halstead: Mm-hmm.
Bart Logan: I was gonna ignore it, but my neighbor, he's a nurse, and so he said I should get it checked out. I don't like hospitals.
Will Halstead: I hear ya. Where exactly is the pain?
Bart Logan: Here. Uh, the belly button.
April Sexton: Dr. Halstead?
Will Halstead: Mr. Logan, do you have a history of A-fib?
Bart Logan: What's that?
Will Halstead: An irregular heartbeat.
Bart Logan: No. Is it serious?
Will Halstead: Oh, very common, but something we should look into. What about this? This hurt?
Bart Logan: No.
Will Halstead: This?
Bart Logan: Yeah, there.
Will Halstead: Well, good news, your belly's soft and you're not guarding, meaning you're not tensing when I touch you.
Bart Logan: Oh, so it's probably nothing, right? I mean, it's probably something I ate.
Will Halstead: I hope so, but let's just... Let's just be safe… Let's order a chest x-ray, KUB and lactate, CBC, amylase lipase, check his basic chemistry.
April Sexton: Right.
Bart Logan: How long is that all gonna take?
Will Halstead: Uh, do you know, not long. We'll get you outta here as soon as possible.
Henry Collins’s room
Connor Rhodes: Tolerated the surgery well, Mr. Collins. Your chest sounds good.
Henry Collins: That's great.
Isidore Latham: Let me… Mr. Collins, we're gonna have to redo your aortic valve replacement.
Henry Collins: What?
Connor Rhodes: Dr. Latham?
Isidore Latham: Apical systolic murmur.
Connor Rhodes: I didn't hear it.
Isidore Latham: It's subtle.
Connor Rhodes: I'm sorry, I still don't hear it.
Isidore Latham: Call the OR, have them set up for an emergent aortic valve take back.
Nurse: Right away.
Henry Collins: You're gonna have to operate again, really?
Connor Rhodes: Dr. Latham, if I may. Excuse us.
Henry Collins: Ah.
Hallway
Connor Rhodes: We're gonna put him through it again? Shouldn't we at least get an echo to confirm?
Isidore Latham: The valve will fail. If you need to assuage your doubts, we can do an echo on the table. Meanwhile, I'm changing into my scrubs.
Treatment
Ethan Choi: Here is the reason for your tummy ache, Shannon. You have an obstruction in your stomach.
Cynthia: Oh, dear.
Ethan Choi: It's not a growth. It's clearly a foreign object. What did you eat?
Shannon: Nothing.
Ethan Choi: You must have swallowed something.
April Sexton: It's the only way it could've gotten there.
Shannon: I don't know.
Cynthia: Honey, think. What could it be?
Shannon: I had some of those little carrots.
Ethan Choi: No, a carrot wouldn't reflect x-rays. This is dense. It's metal or ceramic, maybe some kind of toy.
Cynthia: Honey?
Shannon: I don't know. Won't it just come out eventually? You know, peristalsis.
Ethan Choi: Well, whatever this is, I don't want it moving through you. It could cut the bowel, and that would be serious. With your permission, I'd like Shannon the have an endoscopy. We'll sedate her, put a scope down her esophagus, and get the thing out… It shouldn't be a problem.
Shannon: Oh, God.
April Sexton: Don't worry. It'll be over before you know it.
Cynthia: All right.
CT
Sam Abrams: Well, you were right, Diffuse cerebral edema with effacement of the sulci and ventricles.
Natalie Manning: Yeah.
Sam Abrams: Get her up to PICU.
Hallway
Natalie Manning: I'm sorry, but the CT shows that there is significant swelling in Hayley's brain… The cause is acute liver failure.
Doug Kline: Acute?
Natalie Manning: There are things we can do for her. We have her on medication that will help reduce the swelling. This is Dr. Abrams, he's a neurosurgeon. I've called him to consult.
Sam Abrams: I'm gonna put in a drain to relieve the pressure on your daughter's brain.
Natalie Manning: With your permission, of course.
Elizabeth Kline: Are you talking about brain surgery?
Sam Abrams: I do it bedside. It's not a difficult procedure.
Elizabeth Kline: My baby. My poor baby.
Doug Kline: It's okay, honey.
Natalie Manning: We are gonna do everything that we can for her… I...
Food truck
Ethan Choi: Chicken salad, chicken wings, chicken tenders. Don't you have anything without chicken?
Seller: Dude, can you read the sign? We only do chicken, and we do it "clucking" well. Next!
April Sexton: You don't eat chicken anymore?
Ethan Choi: Since I got my parrot, you know, eating birds doesn't feel right.
April Sexton: Uh, can I get chicken tenders?
Street
Danny: Dr. Reese?
Sarah Reese: Danny. You've been following me.
Danny: I had to talk to you. Well...
Sarah Reese: Mmhmm.
Danny: You were nice to me.
Sarah Reese: We know what's going on. That woman with you was not your mother and you're being sex trafficked.
Danny: They make me do things that I don't want to do.
Sarah Reese: We can help you, Danny.
Danny: No. No, nobody can.
Sarah Reese: But you came to me. Why?
Danny: I can't take it anymore… I want to kill myself.
ER
Maggie Lockwood: I twisted arms, got a few beds, but we're still shy, but I'm sure there's more up there. You know how those ICU nurses are. They always keep spares for emergency.
Sharon Goodwin: Yeah, right. We both played that game. Go up there, light a fire. If you get any push-back, call me.
Maggie Lockwood: Will do.
Daniel Charles’s office
Sarah Reese: Danny said he'd get back in touch.
Daniel Charles: When he does, you should refer him to the psych clinic.
Sarah Reese: Well, he won't go. He's afraid to come into the hospital or any clinic. He's afraid the traffickers will find out and he only wants to see me outside.
Daniel Charles: Bad idea.
Sarah Reese: Dr. Charles, he's suicidal.
Daniel Charles: So, let me get this straight. You are gonna give him psychotherapy in the parking lot once a week? Dr. Reese, this patient... Any patient has gotta be treated in the proper clinical setting.
Sarah Reese: He feels a connection to me.
Daniel Charles: Let me ask you something. You feel like you're the only one who can help? Only one who understands him?
Sarah Reese: No. No, it's just...
Daniel Charles: Just what?
Sarah Reese: I care about him.
Daniel Charles: Cut it off. You're too involved.
Sarah Reese: But I-I-I don't understand.
Daniel Charles: What happens if you don't get the rosy outcome you're looking for?
Sarah Reese: I think I can deal with that.
Daniel Charles: No. Crucial part of my job is protecting my staff. You are headed down a dangerous path. Step away… We clear? Good.
ER
April Sexton: Mr. Logan's lab work.
Will Halstead: Albumin's a little low, creatinine a little high.
April Sexton: Yeah, so's his lactate.
Will Halstead: Yeah, thanks, April.
April Sexton: Yeah.
Will Halstead: Mr. Logan. How are you feeling?
Bart Logan: Pretty good.
Will Halstead: And the pain in your belly?
Bart Logan: That's about the same. No worries. I'd sure like to get outta here.
Will Halstead: This is a... This is the last X-Ray of your abdomen. It shows some vague dilation, not enough to be a real concern, but your labs too, they're just slightly off the norm.
Bart Logan: So?
Will Halstead: So I'm not comfortable discharging you just yet, till I know for sure what's going on. I'd like to do a CT scan of your abdomen.
Bart Logan: Really?
Will Halstead: Humour me.
Bart Logan: Fine. Whatever you say.
Will Halstead: All right.
OR
Isidore Latham: Sternum closing looks good. Dr. Bardovi, any help with closing skin?
Leah Bardovi: No, sir. Amazing how effortlessly you throw 8-0 stitches. You too, Dr. Rhodes.
Hallway
Natalie Manning: Hey.
Connor Rhodes: Oh, hey.
Elevator
Connor Rhodes: Your friend, Izzy Latham, that guy hears heart sounds that are practically undetectable.
Natalie Manning: It's the same when we play music. He has an unbelievable ear.
Connor Rhodes: I mean, my hearing is good, but this patient today, Latham caught a murmur, I didn't. It just sounded fine to me.
Hallway
Natalie Manning: Yeah, he's not Superman, you know? I mean, knowing Izzy, he's worked very hard at it, probably listened to a lot of hearts. But you're a first-year fellow. You'll get it.
ER
Ethan Choi: Hey, Nat?
Natalie Manning: Yeah?
Ethan Choi: I pulled this out of the gut of a 14-year-old girl. Any idea what it is?
Natalie Manning: I've never seen anything like it.
Ethan Choi: Me neither. Care to find out?
Natalie Manning: Yeah.
Treatment
Ethan Choi: Shannon, Mrs. Fisher, this is Dr. Manning.
Natalie Manning: Hi.
Cynthia: Hi.
Ethan Choi: We removed this foreign body from your stomach.
Cynthia: That was inside her?
Natalie Manning: What is it?
Ethan Choi: Shannon.
Shannon: It's mine, I need it back.
Cynthia: Is that something you made in the basement?
Natalie Manning: You made that?
Cynthia: Tell them what it is.
Shannon: It's a prototype.
Natalie Manning: For what?
Shannon: A robot.
Ethan Choi: A robot?
Shannon: The idea is, you swallow it.
Natalie Manning: You swallowed that?
Shannon: And it can clear blockages or repair intestinal wall without surgery.
Ethan Choi: Excuse me, clear blockages? It caused a blockage.
Shannon: Okay, so it needs work.
Natalie Manning: What exactly goes on in your basement?
Cynthia: Shannon and her friends, they call themselves bio-hackers.
Shannon: I'm a body-hacker. Kyle and Jen are bio-hackers.
Natalie Manning: Bio-hackers, genetic engineering, a bunch of kids?
Cynthia: They make things, the DIY generation, turned our basement into a lab. I can hardly get to the washing machine. And I do not want you experimenting on yourself.
Ethan Choi: I'll second that.
Natalie Manning: Yeah, seriously, this was very dangerous. You could have cost yourself an operation.
Cynthia: You listen to the doctors.
Shannon: Can I have it back? Please?
Ethan Choi: That's up to your mom.
ER
Natalie Manning: Body hacking? They could really hurt themselves. Shouldn't we report this to someone?
Ethan Choi: Who? It's not illegal. It's just crazy.
Natalie Manning: Oh. Excuse me.
Ethan Choi: Kids, where do they get these ideas? Listen to me, I sound like my dad.
Natalie Manning: Your dad would be right.
Ethan Choi: Still, makes you wonder what goes on there.
Natalie Manning: Mm. See ya.
Ethan Choi: Thanks.
Hallway
Maggie Lockwood: I just came from 3 West. They said they have a Mr. Isaac Johnson who was just transferred from your ICU. How can he still be listed there? You should have a free bed.
ICU
Nurse: We just didn't get around to clearing the computer, but we already gave that bed to an ortho patient.
Maggie Lockwood: Yeah, yeah, yeah, yeah… What about that room?
Nurse: Oh, that's the red room.
Maggie Lockwood: The red room?
Nurse: That's what the docs call it. They won't let us put their patients there.
Maggie Lockwood: Why?
Nurse: They think it's bad luck.
Maggie Lockwood: Say what?
Nurse: Three patients have died in there in the last two weeks. They think it's bad luck.
Maggie Lockwood: Doctors. Nguyen won't operate without orange socks, Bernstein's gotta play "Mandy" in every single surgery... Drives the OR nurses nuts, and now this… Dr. Rhodes. I see you got a patient in the SICU.
Connor Rhodes: Emergent redo aortic valve.
Maggie Lockwood: How do you feel about transferring him into that room?
Connor Rhodes: Given the choice, I'd rather not.
Maggie Lockwood: Really, Dr. Rhodes, you?
Connor Rhodes: Why take a chance?
Maggie Lockwood: All right, let's fight fire with fire… You know that Hawaiian guy that you talked to me about?
Connor Rhodes: Yeah, Keoni?
Maggie Lockwood: Yeah, the one who owns the bar.
Connor Rhodes: Yeah.
Maggie Lockwood: Can you put me in touch with him?
Connor Rhodes: Yeah, sure.
Maggie Lockwood: Thank you.
CT
Will Halstead: Okay, so since you couldn't tolerate the oral contrast, the images are non-specific... We can't tell much. Luckily, there's no evidence of perforation or free fluid.
Bart Logan: And you know what? That pain I was feeling, it's gone.
Will Halstead: Really?
Bart Logan: Yeah… That doesn't hurt at all. So, I can go home, right?
Will Halstead: I'm sorry, no. I think you need an operation.
Bart Logan: Surgery?
Will Halstead: Immediately.
Bart Logan: No, no, I told you, it doesn't hurt anymore.
Will Halstead: Well, in this case, that's not a good sign. When a section of the bowel dies, at first you can't feel it. We need to remove that section while there's still time, otherwise it could be fatal… Page Dr. Rhodes right now.
Nurse: Mm-hmm.
PICU
Sam Abrams: How long has she been on chemo?
Natalie Manning: Multiple courses over the last year.
Sam Abrams: To get to this. We're still in the Dark Ages… Done… Peds cases.
Hallway
Natalie Manning: You can go in now.
Doug Kline: How is she?
Natalie Manning: Um... It's too soon to tell. While we have her on dialysis, that'll take over the function of her liver.
Elizabeth Kline: Is our daughter dying?
Natalie Manning: Uh, no… No, she's not. With dialysis she will stabilize and her labs should improve. Unfortunately, the... The damage to her liver could be permanent. She may need a transplant.
Elizabeth Kline: Oh, my God, a liver transplant?
Doug Kline: Another operation?
Natalie Manning: I know...
Elizabeth Kline: She's been through so much.
Natalie Manning: I know. I know, but... Hayley's a fighter. I've seen these things turn around. We're not giving up. She could pull out of this.
Doug Kline: Thank you.
CT
Nurse: Little more. Toward me.
Observation room
Will Halstead: We're on borrowed time right now. We need to get him up there now.
Connor Rhodes: No, look, I am looking at the scan myself and I am telling you I am not taking him up for surgery.
Will Halstead: Connor, he's got an ischemic bowel.
Connor Rhodes: So show me the scan.
Will Halstead: It's inconclusive.
Connor Rhodes: Exactly. So you are asking me to take him up for a laparoscopy... Possibly an open laparotomy... On what, your hunch?
Will Halstead: Okay, look, he was in A-fib when he came in.
Connor Rhodes: Uh-huh.
Will Halstead: Made me think right off, a clot had embolized to the gut. Now his bowel sounds are gone and he's distended.
Connor Rhodes: The differential for what you're describing is a mile long... Gastroenteritus to inflammatory bowel disease.
Will Halstead: This man's bowel is dying. I felt it with my hands.
Connor Rhodes: Your hands?
Will Halstead: Yes.
Connor Rhodes: If it wasn't for what I just went through with Latham today, I would say no… Fine, but for both our sakes, I hope you're right.
Roof
Natalie Manning: Hey, Dr. Charles. Do you have a second?
Daniel Charles: Of course.
Natalie Manning: I did something today that I shouldn't have… I have a patient, an 11-year-old girl... Non-Hodgkin's lymphoma. I've been treating her for some time now. Her name's Hayley. She came back in today in acute liver failure with acute cerebral edema.
Daniel Charles: Sorry to hear it.
Natalie Manning: Yeah. Dr. Abrams put in a ventricular drain. We've got her on liver dialysis, waiting for a transplant.
Daniel Charles: Sounds about right.
Natalie Manning: This, on top of her lymphoma, I mean, she is in very bad shape, Dr. Charles. Like... And I told her parents that she could pull out of it, that I've seen it happen before.
Daniel Charles: Haven't you?
Natalie Manning: Uh, I gave them hope and I don't think there is any.
Daniel Charles: Well, you really know that, though?
Natalie Manning: I didn't give them an honest assessment, though. I let my feelings get in the way because I so much want Hayley to pull through. I didn't act professionally. I didn't prepare them for...
Daniel Charles: Nat, you can't torture yourself… Really hard drawing these lines, you know? When do we know we've become too involved? At the very least, you can't fault yourself for caring… You know? I don't think Hayley's parents would want anything less. Right?
Natalie Manning: Yeah... Yeah... Thank you.
ER
Daniel Charles: Dr. Reese, got a second?
Meeting room
Daniel Charles: Years ago, I had a private practice. I saw patients on a regular basis. One of them was a musician, young lady in her 20s, talented, funny, suffered from bouts of depression and anxiety, but we were working through it… You know, she's a brave lady. Really liked her, looked forward to our sessions together… One night, I got a phone call. 3:00 a.m… She had... Jumped off the roof of her building… Left a note… "Sorry, I'm done." I couldn't understand why she killed herself. You know. Went over my notes, looking for cues, you know, things I could've done differently... Replayed our conversations over and over in my head, wondering what I could've said or done… Hm… Never got over it. Sold my practice, you know, went into emergency psychiatry. Swore I would never get that involved in anyone's life again… Look, Sarah, it was wrong of me to dismiss your feelings for Danny. You know, my issues are my issues, not yours… Look, I really need you to trust me. Seeing him outside a clinical setting is a terrible idea, especially given the people he's involved with. But... But if you insist on...
Sarah Reese: I do.
Daniel Charles: Well, then grab your coat, 'cause I want to introduce you to someone who can help, the right way.
OR
Connor Rhodes: Inject the indocyanine green, please.
Mary Peterson: Going in.
Connor Rhodes: Let's get the lights… The area that's not lit up is about a foot and a half of dead bowel… Lights, please… You were right. Gotta open him up.
Intelligence break room
Erin Lindsay: So this hypothetical patient... Female?
Sarah Reese: Male, hypothetically.
Erin Lindsay: Okay. And you say he was implanted with a tracking device?
Sarah Reese: Yes.
Erin Lindsay: Innovative… We... We usually see human trafficking victims who've been branded or tattooed, but not this… How old is he?
Sarah Reese: Um...
Daniel Charles: Oh, we don't have consent to get any more specific.
Erin Lindsay: Sure. You want to help this boy get out of the life… It's complicated… Traffickers control their victims in a number of ways... Psychologically through fear and emotional abuse... And physically… Drugs… Torture… He's up against a lot. I think it'll help him open up if he feels like he can trust you.
Daniel Charles: Pretty sure he already does.
Erin Lindsay: Great. Once he tells you that he's ready to involve us, just call me, and we'll start looking at ways to extricate him, but in the meantime, you have to be really careful. His fears are legitimate. If these traffickers find out that he's trying to get out... That he could potentially become a witness against them... They'll kill him.
PICU
Natalie Manning: Dr. Abrams?
Sam Abrams: Tell me if you concur.
Natalie Manning: Her pupils are large, sluggish.
Doug Kline: What does that mean?
Natalie Manning: No… Wait. Wait.
Doug Kline: What aren't you telling us?
Sam Abrams: Unfortunately, the swelling in your daughter's brain is so severe that it's affecting the brain stem.
Nurse: B.P.'s spiking. 200 over 100, heart rate's falling.
Natalie Manning: She's crashing.
Sam Abrams: Call a code.
Natalie Manning: She's in v-fib! 1 milligram of epi, charge to 200! Now! Hold compressions. Clear.
Sam Abrams: Still in v-fib.
Natalie Manning: Charge for 200, another milligram of epi. Hold compressions… Clear.
Sam Abrams: V-fib's... Fine v-fib.
Nurse: Asystole.
Natalie Manning: I'm so sorry. She's gone.
Elizabeth Kline: Gone?
Doug Kline: Are you... Are you sure?
Natalie Manning: Yes. Yes. May we stop?
Elizabeth Kline: Stop?
Natalie Manning: I need your permission.
Doug Kline: Yes, please, for God's sake, let her be.
Elizabeth Kline: No, no, no. No, no, no, come on. Come on, baby, come on. Baby, come on… No! No! No!
Shannon’s home.
Ethan Choi: I hope this isn't inconvenient. I'm just concerned about what Shannon and her friends are up to.
Cynthia: Believe me, they won't mind. They love to show off their lab, little mad scientists.
Ethan Choi: But you're very supportive.
Cynthia: They get so excited. They think they can do anything… Listen, I had to give Shannon back that gizmo. She said she'd never speak to me if I didn't… Shannon, look who's here.
Street
Sarah Reese: What you're describing... The suicidal thoughts, the, um, sense of hopelessness, lack of energy... These are all signs of depression… And I can prescribe you medications that could help, but I think we need to address something more fundamental.
Danny: What do you mean?
Sarah Reese: Hey, Danny, when we... When we examine a patient who's in prison, we have to ask ourselves, "Is this person really depressed" or are they just living in a situation that is so awful, so inherently depressing, that any person would have these feelings. So what I'm saying... Sorry, um... If you were living in a better situation, you might not be depressed.
Danny: You mean leave them?
Sarah Reese: Yes.
Danny: No. No, no, I-I can't. These people, they'll hurt me.
Sarah Reese: We can protect you.
Danny: What about the heroin? I need it, you know that. They give it to me.
Sarah Reese: We can get you off of heroin. You won't need it anymore.
Danny: They'll find me. They will, they always do.
Sarah Reese: Well, of course they do, they put a tracking device... A chip in you, but we can take it out, and then they won't be able to find you.
Danny: You don't know these people. They're too smart.
Sarah Reese: Okay, Danny, you don't have to make any decisions right now. I just want you to know, things can be different.
Danny: This was a bad idea. I shouldn't have come. This was a bad idea. No!
Sarah Reese: No, Danny. Danny!
Danny: No!
Kid area
Ethan Choi: I heard. I'm sorry.
Natalie Manning: Yeah. We ran the code, all the time knowing it was hopeless.
Ethan Choi: Yeah.
Natalie Manning: I failed her.
Ethan Choi: You did everything you could.
Natalie Manning: No, I did everything I could, and it wasn't enough. I felt helpless, Ethan, watching that little girl slip away. How many more kids like Hayley are we gonna have to lose?
Ethan Choi: Nat, you know that patient of mine you saw today, Shannon?
Natalie Manning: Yeah.
Ethan Choi: I was worried about her, so I went to see her lab… Nat, you can't believe it... They're doing gene sequencing… One kid's trying to make an affordable Hep C drug, another's trying to bio-engineer chicken meat so we never have to kill another chicken.
Natalie Manning: Okay.
Ethan Choi: These kids... Are doing stuff in a basement that ten years ago you could only do at a major university or hospital lab… You should go… It'll make you feel better.
Natalie Manning: Make me feel better?
Ethan Choi: Nat, when we find the cure for cancer, it might just come out of a lab like that one.
ICU
Connor Rhodes: Keoni.
Keoni: Howzit, brah?
Connor Rhodes: Good, good.
Keoni: That's the room?
Maggie Lockwood: That's it.
Keoni: Not a healing atmosphere.
Maggie Lockwood: Can you do anything?
Keoni: Oh, yeah.
Connor Rhodes: What?
Maggie Lockwood: You said he told you that certain abilities ran in his family.
Connor Rhodes: The shaman thing? Seriously?
Maggie Lockwood: Show some respect, Dr. Rhodes, the term is "kahuna." And for a man who thinks a room can be unlucky, you're one to judge.
ER
Paramedic: Just calm down. It's okay, just calm down.
April Sexton: Dr. Choi, incoming. Trauma 2's open.
Paramedic: 19-year-old male, found on the street with a self-inflicted wound to the right flank.
Danny: Hey, Sarah!
Ethan Choi: April, page Dr. Reese.
April Sexton: Yeah.
Paramedic: GCS 15 but lethargic. BP 110 over 60, about 200 of blood loss at the scene.
Danny: I need Dr. Reese!
Trauma 2
Ethan Choi: Looks superficial, but there's still a lot of bleeding. Type and cross and hang a unit.
April Sexton: Right.
Ethan Choi: And a liter of normal saline.
April Sexton: Yup.
Sarah Reese: Danny?
Ethan Choi: He cut himself.
Sarah Reese: Were you trying to kill yourself?
Danny: No, I-I tried to cut it out... The chip.
Ethan Choi: The chip?
Sarah Reese: Oh...
Danny: I want... I want to live. I want to get away from them. Help me.
Sarah Reese: Okay.
Shannon’s lab
Shannon: We're culturing gut bacteria over here. Maybe we can re-program some E. coli Nissle to boost the immune system.
Natalie Manning: But Nissle's not dangerous. Still, what level of safety are you operating at?
Shannon: BSL-1. Maybe 1 1/2. What we're doing here doesn't need more than that.
Natalie Manning: And who's supervising all of this?
Shannon: Ms. Herbert, our biology teacher. But I don't think she really gets what we're doing. She just tries to make sure we don't kill ourselves… Oh! This is cool… Kyle, show her the ear. He took a slice of apple and implanted it with HeLa cells.
Kyle: The cellulose in the apple is kinda like scaffolding for the cells to grow on.
Natalie Manning: Wow. That really looks like an ear.
Kyle: Well, it's not. I carved it to make it look like one.
Shannon: But it's not apple anymore either.
Natalie Manning: Well, when I was your age, I was working with hippocampal cultures, studying the transduction pathways with short interfering DNA… I know, big deal, so 1995.
Shannon: You were a science geek too?
Natalie Manning: Mm-hmm. And I would've killed to have a place like this… Let me ask you a question. What do you know about non-Hodgkin's lymphoma?
Shannon: Blood cancer. Body produces a lot of abnormal lymphocytes.
Natalie Manning: How'd you like to give it a shot?
ICU
Keoni: The room is clear.
Connor Rhodes: Clear?
Keoni: For lack of a better word.
Maggie Lockwood: All right, now. Everybody, you heard the man. The room is good now. I'm sending patients up. No argument.
Connor Rhodes: Okay.
Maggie Lockwood: Mahalo.
Keoni: Mahalo nui.
Connor Rhodes: Come on, you don't actually think that there was anything wrong with the room, right?
Keoni: Oh, yeah. It's just physics.
Connor Rhodes: Physics?
Keoni: Vibrations from sound waves. They create micro movements in things. They imprint themselves. So, stuff in a room... Tables, chairs, walls... They get changed very slightly, but they get changed. A lot of grief and anger in there... Left its mark. Not helpful to the ill.
Connor Rhodes: So how do you fix that?
Keoni: You can't erase things, but you can write over them.
ER
Daniel Charles: Big first step. Remember, it's just the beginning.
Ethan Choi: What do you want to do with this?
Sarah Reese: I'll take it.
Break room
Connor Rhodes: Hey, I just checked in on Mr. Logan, he's doing fine. He said to say thank you, and he would like to know when he's going home… That was a tough diagnosis you made… How could you be so sure?
Will Halstead: When I was a fourth year, I did a rotation with this amazing surgeon... Real old-school. Unbelievable diagnostician. Didn't need a scan. She had such... Great hands. Just by touch she could tell if a patient had cystic fibrosis, renal cysts… They don't make 'em like that anymore.
Connor Rhodes: I think I know one… You know, it's a good thing I didn't know what I didn't know before I became a doctor. I don't think that I would've.
Will Halstead: Oh, who would? Good night.
Connor Rhodes: Good night, Will.
Retirement home
Will Halstead: Hey, looking good… Hello, Dr. Rowan.
Dr. Rowan: Hello.
Will Halstead: Here you go.
Dr. Rowan: Oh.
Will Halstead: How are you today?
Dr. Rowan: Oh, fit as a fiddle… Mom said we're going to take a train.
Will Halstead: Perfect. I love trains… You know, Dr. Rowan, you were my teacher.
Dr. Rowan: Was I?
Will Halstead: That's right. You were a surgeon… The best.
Dr. Rowan: Oh, how about that?
Will Halstead: Yeah. And I wanted to tell you, today, what you taught me saved a man's life.
Dr. Rowan: Oh.
Will Halstead: Thank you.
Dr. Rowan: Oh, you're welcome.
