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Chicago Med
#216 : Prisonnier de son corps

Le Dr Reese est contactée pour aider un adolescent en difficulté dans un établissement psychiatrique et le Dr Manning essaie d'aider des parents à prendre une décision concernant la grossesse surprise de leur fille comateuse. April commence à faire face aux répercussions de sa vie personnelle. Pendant ce temps, le Dr. Choi et le Dr. Rhodes travaillent pour sauver une jeune fille d'Equateur qui s'est effondrée à mi-vol, ainsi que sa mère, qui a fait de grands sacrifices pour sa fille.

 

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4.36 - 14 votes

Titre VO
Prisoner's Dilemma

Titre VF
Prisonnier de son corps

Première diffusion
09.03.2017

Première diffusion en France
06.06.2018

Vidéos

Promo (VO)

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Diffusions

Logo de la chaîne TF1

France (inédit)
Mercredi 06.06.2018 à 23:35

Logo de la chaîne NBC

Etats-Unis (inédit)
Jeudi 09.03.2017 à 21:00
6.29m / 1.1% (18-49)

Plus de détails

Réalisatrice : Laura Belsey

Scénario : Joseph Sousa

Guests : Ato Essandoh (Isidore Latham), Jeff Hephner (Jeff Clarke), Roland Buck III (Noah Sexton), Brennan Brown (Sam Abrams), Jenny Bacon (Angela Azen), Doris Morgado (Zulmira Céspedes), Morgan Lily (Nanvy Leigh), Jurgen Hooper (Jason Wheeler), Sophia Bush (Erin Lindsay), Guy Massey (David Azen), Cara Greene (Anita Baker), Isabella Blythe Suarez (Bruna Céspedes), Jeremy Shouldis (Marty Peterson), Courtney Roux (Courtney), Cesar Jamie (Cesar), Lorena Diaz (Doris), Mia Park (Beth), Andrew Brooks (Tom), Becca Hurd (Teres Azen)

ER

Maggie Lockwood: Incoming, peds in respiratory distress. 30 seconds out.

Ethan Choi: We got this.

Maggie Lockwood: Hey, love. What are you doing here? Aren't you supposed to be home taking care of yourself?

April Sexton: I don't wanna stay at home. Just can't stop thinking about things. I'd rather be here, busy.

Maggie Lockwood: You sure?

April Sexton: Since we lost the baby, things with me and Tate are just different. I need to work.

Maggie Lockwood: All right, well, you tell me if you need anything. Okay? You got this?

April Sexton: Mm-hmm.

Maggie Lockwood: You're going to Treatment 2.

Courtney: Emergency landing at O'Hare. 7-year-old girl collapsed mid-flight. Acute shortness of breath started on the plane. One albuterol and one racemic epi given en route.

Ethan Choi: Sats?

Courtney: Uh, low 90s. Meds didn't do much.

Treatment 2

Ethan Choi: All right, gently. One, two, three.

Bruna Cespedes: Mommy?

Zulmira Cespedes: [speaking Spanish]

April Sexton: She's just telling her daughter to be calm.

Zulmira Cespedes: We speak English.

Ethan Choi: Lungs sound congested... Rhonchi throughout. Let's get a chest X-ray. I'm Dr. Choi. I'm gonna be taking care of your daughter. Where are you travelling from?

Zulmira Cespedes: Ecuador.

Ethan Choi: All right, has your daughter ingested any drugs? Alcohol? Anything we should be aware of?

Zulmira Cespedes: No.

Ethan Choi: Any medical issues we should be aware of?

Zulmira Cespedes: She can never get enough air. Her lips are always blue. Her whole life, the doctor in my village... She says she can't help. We were going to Minneapolis to see a heart doctor.

Ethan Choi: Definitely volume overloaded. Let's get five milligrams of Lasix IV.

Jeff Clarke: BP, 108 over 82.

April Sexton: Heart rate, 110.

Ethan Choi: Could be a pulmonary issue, or any number of congenital heart defects. Let's get an EKG, and call CT. We're gonna do everything we can for your daughter.

Zulmira Cespedes: Thank you.

ER

Maggie Lockwood: Incoming. Dr. Manning?

Natalie Manning: Yep.

Maggie Lockwood: Teresa Azen, 25. Persistent vegetative state. Brought in by her long-term care facility after blood was discovered in her urine.

Natalie Manning: Now let's get vitals, a temp, CBC, CMP, UA with C&S.

Treatment

Natalie Manning: Could just be a UTI, but let's look at her kidneys with an ultrasound to rule out hydro from a stone.

Doris: Got it.

Natalie Manning: All right, on my count, one, two, three. Brain injury?

Maggie Lockwood: Car crash.

Natalie Manning: Teresa, I'm Dr. Manning. I'm gonna take good care of you, okay? G-tube looks good.

Doris: Temp, 100.6.

Natalie Manning: Unresponsive… No kidney stones. Let's look at the bladder… How long did you say she was in a vegetative state for?

Maggie Lockwood: Five years.

Natalie Manning: We need to call the police. This woman is pregnant.

Later

Natalie Manning: There's vaginal trauma, which explains the blood in the urine. Thank you.

Erin Lindsay: Is this our victim?

Natalie Manning: Yeah. It's awful. You ever see anything like this?

Erin Lindsay: I wish I could say I hadn't.

Maggie Lockwood: Okay, let's lift. One, two, three.

Natalie Manning: So helpless.

Erin Lindsay: We're looking into all of the employees at Teresa's facility. We're checking visitor logs, security footage. We'll find out who had access to her and to her floor.

Maggie Lockwood: But the rape kit's only supposed to reveal DNA for the past five days. How is this gonna help?

Erin Lindsay: I hate to say this, but the likelihood in a case like this... Is that the offender's been assaulting her regularly, maybe even daily.

Sharon Goodwin: Hey, Teresa's parents are here.

Natalie Manning: Okay.

ER

Sharon Goodwin: David and Angela Azen, this is Detective Lindsay and Dr. Manning.

Natalie Manning: I am so sorry for what happened to your daughter.

Angela Azen: How could someone do this to her?

David Azen: Are you gonna catch this monster?

Erin Lindsay: Yes, we've already opened an investigation, and finding whoever did this is a top priority for us.

Natalie Manning: I just want you to know, we are gonna give your daughter the best possible care.

Sharon Goodwin: Why don't you go spend some time with your daughter?

County Psych

Anita Baker: We have 18 patients on this floor, all suffering from serious mental illnesses. Since age 13, Henry has been battling anorexia nervosa coupled with borderline personality disorder. Evelyn struggles with schizophrenia, auditory hallucinations, paranoia. We have her on a new anti-psychotic, hoping that'll curb her violent tendencies. Patients might be here anywhere from six weeks to six months.

Tom: You're not listening! You don't belong here. Get out! Get out!

Anita Baker: That's enough, Tom. Why don't we go work on your art project?

Nancy Leigh: Who are you?

Sarah Reese: Uh, I'm Dr. Reese. I'm visiting from Chicago Med.

Nancy Leigh: He's right. I don't belong here. All the doctors think I'm crazy, but I'm not.

Anita Baker: Dr. Reese, we're moving on.

Nancy Leigh: She's the worst.

Sarah Reese: Hey, just so you know, "crazy" is a word I never use.

Surgery

Connor Rhodes: And we've got Ms. Perreira... Post op day two. We removed her chest tube and wires this morning. She is tolerating a diet, and looking good.

Marty Peterson: She's on a solid dose of morphine.

Isidore Latham: Ah. And what about consults?

Beth: Uh, we have two in the MICU, one for an aortic valve, and the other for a potential bypass.

Connor Rhodes: All right. Let's go have a look, everybody.

Isidore Latham: Uh, just a moment. Uh, one more thing... More of a question, really. What does a Jewish pirate say?

Connor Rhodes: I beg your pardon, Dr. Latham?

Isidore Latham: Ah, what does a Jewish pirate say? Ahoy vey. Get it? Ahoy vey.

Connor Rhodes: All right, that's a... That is a good one, Dr. Latham.

Isidore Latham: Jewish humour. Long tradition. Shall we move on to the MICU?

Connor Rhodes: So I take it that your TMS treatments are going well.

Isidore Latham: Yes, I've been picking up on all sorts of subtleties in the way people communicate. For instance, it never dawned on me the profound purpose behind sharing a joke.

Connor Rhodes: Oh, uh, well, what is it?

Isidore Latham: Camaraderie, Dr. Rhodes. Camaraderie.

ER

Noah Sexton: Hey, check out what I got you. Mousse de Maracujá. Your favorite.

April Sexton: When I was, like, eight.

Noah Sexton: Well, still, I thought it might make you feel better.

Maggie Lockwood: He's trying, April. No one knows what to say.

April Sexton: There's nothing to say.

 

Daniel Charles: How were rounds at the youth hospital?

Sarah Reese: Brutal. I'm sure there's a more clinical term, but...

Daniel Charles: I hear ya.

Sarah Reese: It's really hard to see so many teenagers suffering from psychological trauma.

Daniel Charles: Yeah, younger patients are the hardest. Very tough to draw a line between an actual disorder and good old-fashioned adolescence.

Sarah Reese: How do you learn to make that call?

Daniel Charles: Tourist asks a New Yorker, "How do you get to Carnegie Hall?" Practice.

Treatment

Natalie Manning: Hi. So Teresa is approximately ten weeks along in her pregnancy.

Angela Azen: Oh, God.

Natalie Manning: Fortunately, termination will be a painless procedure.

Angela Azen: Wait, termination? We don't want that.

David Azen: We wanna keep the baby.

Natalie Manning: I'm sorry. I thought, given the circumstances...

Sharon Goodwin: Mr. and Mrs. Azen, nothing has to be decided today.

Angela Azen: No, we've made up our mind. It is terrible what happened to our daughter, but even if it came from a rape, the baby's still part of Teresa.

David Azen: The only part we have left.

Sharon Goodwin: Yes, and I can understand that, but in your daughter's condition, I have to tell you, taking this pregnancy to term would be extremely difficult.

Angela Azen: Why? Her brain has been injured, but her body's healthy.

Natalie Manning: No. At five years in a persistent vegetative state, it's not. This is a high risk situation for pulmonary embolism, sepsis, colonic obstruction, respiratory failure.

David Azen: But those are just risks, right? It could all work out.

Sharon Goodwin: They are extremely high risks.

Natalie Manning: If you have your daughter go through with this pregnancy, there is a chance that she will not survive.

Angela Azen: She's hardly living as it is. If she dies giving birth, maybe that's a merciful outcome. Sometimes, I've wished for that.

Natalie Manning: There is another issue to consider. Given the abuse your daughter has undergone, do you believe that she would want to keep this pregnancy?

Sharon Goodwin: In any case, you are Teresa's guardians, and therefore speak on her behalf. Your wishes will be honoured.

Treatment

Connor Rhodes: So based on the echo and the CT scans, your daughter is suffering from a congenital heart condition known as Tetralogy of Fallot. It's a condition that puts a significant amount of stress on the heart, and it's something that needs to be addressed surgically.

Zulmira Cespedes: I can pay. I bought travel insurance.

Connor Rhodes: It's an emergency surgery. We would operate regardless.

Isidore Latham: We'll take your daughter to the pediatric ICU, and get her ready.

Ethan Choi: Are you all right? I know this is a lot.

Zulmira Cespedes: I'm fine.

Bruna Cespedes: Mommy?

Zulmira Cespedes: [Speaking Spanish]

Ethan Choi: Whoa, whoa, whoa, whoa, whoa, you sure you're okay? Maybe I should take a look at you.

Zulmira Cespedes: No, no. I haven't had anything to eat... No sleep. I'll be okay.

ER

Jeff Clarke: Hey, April, so sorry to hear about the baby. How you holding up?

April Sexton: It's okay. I'm okay. [Speaking Spanish]

Bruna Cespedes: [Speaking Spanish]

April Sexton: [Speaking Spanish]

 

Will Halstead: T-2. Talk to me, Cesar.

Cesar: Suicide attempt. 15-year-old female from County Psych. She swallowed bleach, sodium hydroxide, and some sort of rust remover.

Will Halstead: Hydrofluoric acid. Okay, call toxicology, get an NG tube in her, push an amp of calcium gluconate, and hang a magnesium drip. Watch for V-tach, and get a psych consult.

Jason Wheeler: Got it.

Nancy Leigh: You have to get Dr. Reese for me. I need to talk to her.

Treatment 2

Nancy Leigh: I wasn't trying to commit suicide. I was trying to see you.

Sarah Reese: Do you believe it's okay to hurt yourself?

Nancy Leigh: How else could I get to you? It's not like I can ask for a phone call.

Sarah Reese: Nancy, you... You could have seriously hurt or even killed yourself.

Nancy Leigh: You have to help me get out of there. They locked me up after I got in a fight with my mom, but she's bipolar... Has been for years.

Sarah Reese: Hey, I'm sorry, but I'm... I'm not your psychiatrist.

Nancy Leigh: My mom came at me with a hammer while I was sleeping. I was trying to defend myself. That doesn't make me crazy.

Sarah Reese: No. If that were the situation, it would be reasonable to defend yourself.

Nancy Leigh: See? You're the only one who said that. All the other doctors think I'm psychotic, but my mom's the one who's crazy.

Daniel Charles: Dr. Reese? Could I speak to you for a second?

Sarah Reese: I'll be right back.

ER

Daniel Charles: Yeah, could... Could you, uh... Could you fill me in? I understand that you ran into Nancy on... On rounds this morning?

Sarah Reese: Yes.

Daniel Charles: Uh-huh. Could you have said anything to make her think it was a good idea to come over here and... And see you?

Sarah Reese: All I said was "crazy" isn't a word I ever use.

Daniel Charles: Huh. Gotta be very careful the way we talk to younger psych patients. You know, they're much more vulnerable to mixed messages. She seems to think that you're some sort of ally.

Sarah Reese: I am. Aren't we all?

Daniel Charles: To get her the right treatment, of course, but this is a young woman who purposefully drank extremely toxic chemicals. I mean, Nancy's been diagnosed with borderline personality disorder. She has severe bouts of manic depression.

Sarah Reese: Uncontrollable hysteria, paranoid delusions.

Daniel Charles: People who suffer from these disorders can be very persuasive, very manipulative, and a danger to themselves, so we just... We have to be careful. We wouldn't wanna put her in a position where she wanted to harm herself again.

PICU

Ethan Choi: Ms. Cespedes? Can I get your signature on this consent? This gives us permission to operate… Ms. Cespedes, you don't look well to me. You could've picked up a virus while traveling. May I please check your pulse?

April Sexton: Is everything all right?

Zulmira Cespedes: I told you I'm fine.

Ethan Choi: Please. Let's go back to the Emergency Department, and let me take a look at you.

Zulmira Cespedes: Just show me where the bathroom is, please.

Ethan Choi: Yeah.

April Sexton: Follow me.

Treatment

Natalie Manning: Hey. Her parents here?

Maggie Lockwood: No, making calls outside... Looking for a new care facility.

Natalie Manning: Mm. Did you hear they wanna keep the pregnancy?

Maggie Lockwood: Mm-hmm. When you can't talk, you don't get to say nothing.

Natalie Manning: Yeah, well, I don't think it's the right thing.

Maggie Lockwood: Mm.

Natalie Manning: Maggie? Did you see that?

Maggie Lockwood: Mm-hmm.

Natalie Manning: I know PVS patients do that, and it's just a reflex, but didn't it seem like there was more going on?

Maggie Lockwood: Ah, wishful thinking.

Natalie Manning: Teresa, can you hear me? If you can hear me, please open your eyes… Teresa, if you can hear me, squeeze my hand.

Maggie Lockwood: In my time at the vent farm, I've seen this a lot... Blinking, spasms, sudden jerks of movement. Never ends up meaning what you want it to.

Natalie Manning: Let's get a CT brain.

Maggie Lockwood: On a five-year coma patient?

Natalie Manning: Just in case.

ER

Jason Wheeler: Hey, Sarah, you, uh... You got a second?

Sarah Reese: Hm?

Jason Wheeler: I heard that, uh, most of the psych residents get therapy.

Sarah Reese: Yeah.

Jason Wheeler: Have you tried it?

Sarah Reese: Uh-huh. Um, I'm... I'm sorry. Can we talk later?

Jason Wheeler: Sure. Yeah.

 

Sarah Reese: How's she doing?

Will Halstead: Well, we've flushed her pretty good. She'll be medically cleared soon, and will have to go back to the psych hospital. You buy her story?

Sarah Reese: I don't know. She's on a six-month psych hold. Does she seems like she requires that much time locked up?

Will Halstead: Don't ask me. Psych's way too spongy. In med school, my head-shrink professor took us to the mall, and asked us to point out people we thought were mentally ill. No one could agree.

Sarah Reese: Hm.

Will Halstead: That is when I knew I wanted to be an ED doc. Much clearer business.

Sarah Reese: Yeah. I wish there was a way to evaluate Nancy like an ED doc.

Will Halstead: Well, maybe there is. Like I tell my residents, always go back to the history.

OR

Bruna Cespedes: Mommy? Mommy? Where's my mommy?

Connor Rhodes: Hey, Bruna, she's out in the waiting room right now.

Bruna Cespedes: I need her.

Connor Rhodes: You're gonna be okay, sweetheart. We're gonna take very good care of you. Marty, uh, now might be a good time to start the sedation.

Bruna Cespedes: Please, I want my mommy.

Isidore Latham: Hold on, Marty. I would want my mom too if I were in a new place with new people… You know what? Everyone here has one job, and that is to make you feel better. And by the time we're finished, you won't have trouble breathing. You won't faint on airplanes. You'll be a healthy little girl. How does that sound to you?

Bruna Cespedes: You can really fix me?

Isidore Latham: Yes. Now I need you to do something for me. Can you count to 100?

Bruna Cespedes: In Spanish?

Isidore Latham: Mm-hmm. And by the time you're finished, your mother will be right next to you. I promise.

Bruna Cespedes: Uno... Dos... Tres...

Hallway

Ethan Choi: Hey, April.

Jeff Clarke: Is she still in there?

April Sexton: Says she's okay, but keeps vomiting. Won't open the door, so I called maintenance. Zulmira...

Jeff Clarke: Zulmira, open the door, please.

Janitor: Hold on. I got this.

Toilet

April Sexton: Just give me a minute.

Zulmira Cespedes: Stay away. It was the only way I could get her to America.

Ethan Choi: April, what's going on?

Zulmira Cespedes: I'll be fine. She just needed a good hospital.

April Sexton: Okay, uh... She's overdosing!

Jeff Clarke: How do you know?

April Sexton: She's a drug mule.

Treatment

Jeff Clarke: Blood glucose is good, but tachycardic as hell.

April Sexton: BP's 150 over 110. Heart rate, 150.

Ethan Choi: There's still two packets in your stomach. One of them appears to be leaking. We need to know. Is it cocaine?

April Sexton: Just so we can help you. [Speaking Spanish]

Zulmira Cespedes: Yes.

Ethan Choi: Okay, we need to get these out now before they burst. Let's get an EGD scope and 70 milligrams of ketamine.

Zulmira Cespedes: You can't take it out.

Ethan Choi: You'll die of an overdose if any more cocaine leaks into your intestine.

Zulmira Cespedes: Can you give me medicine?

Ethan Choi: No, we need to remove them.

Zulmira Cespedes: Would you give it to the police?

Ethan Choi: We'll explain the situation to them.

Zulmira Cespedes: No, I can't go to prison in my country. They'll kill me. Bruna needs me. She will starve without me.

Ethan Choi: Tell Goodwin we need a court order to remove the drug packets.

April Sexton: She'll be dead by the time it's approved.

Ethan Choi: Call PD. Maybe they can bring a warrant in time.

Zulmira Cespedes: [Speaking Spanish]

April Sexton: Zulmera, if you don't let us remove those packets, you will die. [Speaking Spanish]

Zulmira Cespedes: I-I can't go to prison.

April Sexton: Do you want Bruna to wake up from surgery and learn that her mother has died? You can't help her in any way if you're dead. Let us keep you alive, please.

Zulmira Cespedes: Okay.

Jeff Clarke: All right, come on, let's go.

Ethan Choi: Yeah.

ER

Natalie Manning: You think there's any chance of brain activity?

Will Halstead: I don't see how. A lot of brain volume loss and atrophy. This is not the healthy brain of a 25-year-old.

Natalie Manning: But even with some atrophy, couldn't there still be consciousness?

Will Halstead: What was her Glasgow Coma score?

Natalie Manning: There was no response.

Will Halstead: Yeah, this woman is in a persistent vegetative state... My guess, for the rest of her life.

Natalie Manning: But I'm almost sure I saw something in her eyes, like she was aware of us talking about her or something.

Will Halstead: Maybe you want that so much, you're projecting?

Natalie Manning: I... I don't know. I do feel terrible for her. She's pregnant. She was sexually assaulted at her care facility, and her parents wanna keep the baby. I just... If I could somehow get through to Teresa, she might finally have a say in what happens to her.

Will Halstead: I'm sorry, Natalie.

Natalie Manning: You know what, I want a neurology consult. Have Abrams take a look.

Daniel Charles’s office

Sarah Reese: Dr. Charles, do you have a minute?

Daniel Charles: I do.

Sarah Reese: In order to get a more complete history, I contacted the officer who arrested Nancy and her mother. He sent me his report. It said they often get called to Nancy's house on domestic disputes involving the mother. She's been in and out of jail for assault. In fact, she is at County right now. Please take a look.

Daniel Charles: This could just mean that, you know, mental illness runs in... In Nancy's family, and she and her mom suffer from the same disorder.

Sarah Reese: Or it could mean that Nancy was wrongfully committed by an unstable mother. The one thing we know for sure... It was her mother's testimony that got Nancy committed, and her mother's an unreliable witness.

OR

Beth: We have a seven-year-old female, here for reconstruction of Tetralogy of Fallot.

Isidore Latham: Once we are in the chest and on bypass, we will relieve the right ventricular outflow tract stenosis. Scalpel? I want you to observe as I start at the sternal notch and cut to the xiphoid.

Connor Rhodes: Dr. Latham? Dr. Latham, is everything okay?

Isidore Latham: Yes, yes, Dr. Rhodes.

Treatment

Jeff Clarke: All right, I got it.

April Sexton: Okay, one left. She'll be waking soon. Dose her again with ketamine?

Ethan Choi: No, let's just finish this.

Jeff Clarke: Okay.

Ethan Choi: Go ahead, Jeff.

April Sexton: Almost there.

Jeff Clarke: All right, I got it. Okay, pulling it out.

April Sexton: I think it burst in her esophagus.

Ethan Choi: Give her 20 more of labetalol, and start an esmolol drip. Jeff, get the crash cart ready, and give me the nitro.

Jeff Clarke: Got it.

Zulmira Cespedes: [Speaking Spanish]

April Sexton: Just lie back. Stay calm.

Ethan Choi: She's having a cocaine-induced heart attack. Giver her two of Versed IV. Open your mouth, open your mouth. I'm gonna spray nitroglycerin under your tongue. It'll make you feel better.

April Sexton: ST segments are improving.

Ethan Choi: Does your chest still hurt?

Zulmira Cespedes: No.

April Sexton: Sats are good.

Jeff Clarke: Okay, heart rate, 120s.

Ethan Choi: She's out and stable.

Jeff Clarke: Okay, what's the call?

Ethan Choi: We don't have a choice. We got to report it.

April Sexton: Look, this was the only way she could get her daughter the operation she needed. Why can't we destroy it? Who would that harm?

Ethan Choi: Smuggling cocaine is a serious crime. If she made it to her dealers, people would've been harmed, possibly kids. She can't just get away with that.

April Sexton: She hasn't. Look at her. Five minutes ago, her heart wasn't beating.

Jeff Clarke: April...

April Sexton: No. She wasn't trying to deliver it. She was trying to flush it.

Ethan Choi: To destroy evidence.

April Sexton: As of now, it's a victimless crime. She is a good mother, who did the only thing she knew how to help her daughter.

Ethan Choi: If we destroy this packet, we'll be committing a crime. We don't have a choice.

Jeff Clarke: He's right.

Ethan Choi: Sorry.

Hallway

Sharon Goodwin: Dr. Manning.

Natalie Manning: Yes.

Sharon Goodwin: Where are we with Teresa's treatment?

Natalie Manning: I'd like to run a few more blood tests to rule out any potential infection, and I'd also like to look into physical therapy.

Sharon Goodwin: Are there any medical issues you're still treating?

Natalie Manning: No, um, we've treated the vaginal bleeding.

Sharon Goodwin: Then it's time to discharge her. Her parents have found a new care facility, and they're eager to get their daughter settled in.

Natalie Manning: How do we know Teresa will be safe? How do we know she won't get abused again? She has suffered so much. I just...

Sharon Goodwin: Just what? What can you do? We all wish we could do more, but our job is to treat the ailment that brought the patient in, and that's all… It's time to give her back to her parents.

OR

Isidore Latham: We've finished the repair, and now coming off bypass.

Connor Rhodes: We're off bypass.

Isidore Latham: At the end of any surgery, when the patient has been...

Marty Peterson: Pulmonary artery pressure is 50. Coming up to 70.

Isidore Latham: And the left ventricular?

Beth: 100.

Isidore Latham: Well, let's not get excited. She'll ride it out.

Beth: It's dropping... 80.

Connor Rhodes: Should we put her back on bypass?

Isidore Latham: Uh... uh, we... We... I think we should... We... We... Should, uh...

Marty Peterson: She's throwing PVCs.

Beth: 75.

Connor Rhodes: Pulmonary hypertension's getting worse. Your graft has to be stenotic. Bypass, Dr. Latham. We need to fix the graft.

Isidore Latham: We could try a, uh... Uh, pul-pulmonary vasodilator.

Connor Rhodes: Vasodilator's not gonna do it. We need to open her back up.

Marty Peterson: Blood pressure's dropping rapidly. We're losing her.

Connor Rhodes: Dr. Latham...

Beth: She's peri-arrest.

Connor Rhodes: Dr. Latham... Step away, Dr. Latham. Step away. Marty, re-dose of heparin. Let's get her back on bypass. I'm reopening the heart.

ER

Noah Sexton: There you are. Hey, how 'bout we, um... How 'bout we hang out after work? Yeah, maybe go get some of your favourite fries or something.

April Sexton: Noah, please. I get it, but... Just give me some space, okay?

Treatment 2

Daniel Charles: So I understand that you believe that you've been wrongfully committed. Is that right?

Nancy Leigh: Yes, definitely.

Daniel Charles: Mm-hmm. Ever been hospitalized before, Nancy?

Nancy Leigh: Besides for the night my mom attacked me with a hammer? No.

Daniel Charles: Huh. You wanna tell me a little bit about your mom?

Nancy Leigh: I would. Finally.

Anita Baker: Hi, Nancy. How are you?

Nancy Leigh: Okay.

Anita Baker: I'm Dr. Baker, Nancy's psychiatrist.

Daniel Charles: Dan Charles. Nice to meet you. This is Dr. Halstead, and I think you know Dr. Reese.

Anita Baker: Yes, I'm glad to see our girl here is in good hands. When will she be discharged?

Will Halstead: Oh, she's clear. We just need to remove the NG tube, and she'll be ready to go.

Anita Baker: Good.

Daniel Charles: Do you mind? Could I get a quick word outside?

Anita Baker: Of course.

ER

Daniel Charles: Are you aware that Nancy's mother has an extensive arrest record?

Anita Baker: No, I wasn't. Why?

Daniel Charles: Well, it seems that she might've been committed largely based on her mother's version of events.

Anita Baker: Dr. Charles, Nancy was committed because I deemed her a threat to herself and others.

Daniel Charles: I... I was just wondering if you thought that there was any chance that, uh, your assessment might've been coloured by a potentially unreliable history given by the mother.

Anita Baker: My assessment was coloured by 20 years of experience in adolescent psychiatry. And quite frankly, I don't appreciate being second-guessed by a doctor who's only known my patient for one afternoon.

Daniel Charles: I just saw the potential for a biased narrative, and I wanted to make sure you had all the facts.

Anita Baker: A biased narrative. As Nancy's court-appointed doctor, I'd advise you to worry about your own patients, Dr. Charles.

 

Maggie Lockwood: Hey, are you discharging her?

Natalie Manning: I just finished the paperwork now.

Sam Abrams: Dr. Manning.

Natalie Manning: Yes.

Sam Abrams: Your coma patient... Given the... Abysmal treatment she received at that facility, I couldn't help but wonder what other ways they might've failed her, so I reviewed her history.

Natalie Manning: Did you find anything?

Sam Abrams: I'm afraid not, but I do have one question. What time of day did you perform that neuro exam?

Natalie Manning: Morning. Why?

Sam Abrams: Well, sometimes, traumatic brain injuries result in a patient developing irregular sleep/wake circadian cycles, so it's possible Teresa's become nocturnal. I suggest we try that test again.

Natalie Manning: Great.

Treatment

Natalie Manning: Mr. and Mrs. Azen... This is Dr. Abrams, Chief of Neurosurgery. Do you mind if we perform one more test on your daughter?

David Azen: Well, the EMTs from her new facility are on their way.

Sam Abrams: It should just take a moment.

Natalie Manning: Teresa, if you can hear me, please open your eyes.

Angela Abrams: I've asked her that a million times.

Natalie Manning: I know. Just bear with me a moment. Teresa, if you can hear me, please move your eyes side to side. I'm sorry. I finished Teresa's discharge. As soon as her transportation arrives...

Sam Abrams: Hold on. There's a condition called locked-in syndrome. If your daughter has it, she'd be conscious, but she wouldn't be able to move her eyes side to side. She could, however, move them... Well, let's see. Teresa... I need you to move your eyes up and down for me, please. Up and down.

Natalie Manning: Did you see that?

David Azen: What was that?

Natalie Manning: Teresa, if you can hear me, please move your eyes up and down again.

Angela Azen: Oh, my God.

ER

Angela Azen: I don't understand. How did you wake her from the coma?

Sam Abrams: I didn't. Uh, I don't believe she ever was in a coma.

Angela Azen: What?

Sam Abrams: We need more tests to be certain, but it's my opinion that her accident caused a stroke to the brain stem, which included the basilar artery.

David Azen: What does that mean?

Natalie Manning: The stroke left her completely paralyzed, but still conscious. Locked-in syndrome... She's awake, but locked in her body.

Angela Azen: All these years? She's always been awake?

Natalie Manning: Yes.

Angela Azen: She heard everything we said... I said.

David Azen: And she was conscious... While some monster assaulted her?

Angela Azen: Oh, my poor baby.

Natalie Manning: I know, it's so terrible. I'm so sorry. But at least you haven't lost her.

Sam Abrams: It's possible that some of her paralysis is the result of spasticity, and it's therefore treatable with muscle relaxants and physical therapy.

Angela Azen: Wait, will she get better?

Sam Abrams: She'll never be fully functional, but she should regain some movement.

Natalie Manning: We can also order an infrared eye-tracking device that'll allow Teresa to communicate through a computer.

David Azen: Communicate?

Sam Abrams: Yeah. And she'll be able to put together words and sentences.

Natalie Manning: You'll be able to have a conversation with your daughter again.

Angela Azen: A conversation? With my little girl?

David Azen: Thank you.

Natalie Manning: We'll give you time alone with your daughter now… Thank you.

Treatment 1

Nancy Leigh: Sarah? Th-they're telling me to get dressed. They're sending me back.

Sarah Reese: I know. I'm sorry.

Nancy Leigh: Sarah, please, help me.

Sarah Reese: I tried. I did, but Dr. Baker has conservatorship over you. According to the courts, she has to be the one to change the diagnosis, and we couldn't change her mind. Hey, I'm not giving up, and you can't either. Stay strong. We'll figure something else out. Okay? Give me a second.

ER

Sarah Reese: Dr. Charles, I know I don't have any definitive proof, but she is sane. I know it. We can't let her go back.

Daniel Charles: Slow down, Dr. Reese.

Sarah Reese: Dr. Baker just doesn't want to admit that she misdiagnosed her.

Daniel Charles: You know what, I happen to agree with you. I'm filing an appeal.

Sarah Reese: You... you don't think she's mentally ill?

Daniel Charles: Can't be positive, but either way, she should not be locked up on a long-term hold based solely on her mother's testimony.

Will Halstead: Need some help!

Nurse: Treatment 1.

Treatment 1

Sarah Reese: What happened?

Will Halstead: Give me some pressure. Must've grabbed the scalpel from the cart. Tourniquet her arm, and give me a hemostat.

Sarah Reese: It's tied.

Nancy Leigh: I-I'm not crazy, Sarah. I-I'm not.

PICU

Connor Rhodes: Surgery turned out well today.

Isidore Latham: Thanks to you, Dr. Rhodes.

Connor Rhodes: It's been a long day, Dr. Latham. How 'bout a drink? Señorita Cespedes… [Speaking Spanish]

Zulmira Cespedes: Gracias.

Ethan Choi: We need to talk to Goodwin.

Sharon Goodwin’s office

Sharon Goodwin: Trafficking of cocaine is a felony. That means calling the DEA, Homeland, the whole nine yards.

April Sexton: All that over one packet?

Sharon Goodwin: Well, if the evidence is just this one that doesn't demonstrate intent to traffic and sell. Were there more?

April Sexton: No. The one packet is all we found.

Jeff Clarke: That's correct.

Sharon Goodwin: Dr. Choi? Anything to add? Dr. Choi...

Ethan Choi: No.

Sharon Goodwin: Then that's that.

Hallway

April Sexton: Thank you, Dr. Choi.

Ethan Choi: Do not put me in that position again... Either of you.

April Sexton: I don't know that I helped Zulmera. She still has to deal with the people whose drugs she lost.

Jeff Clarke: Ah, she is a resourceful woman. She's gonna do what she needs to take care of that little girl.

April Sexton: I had to at least try to help her. If I had a child, I would've done the same thing.

Jeff Clarke: I know.

April Sexton: Thank you. And thank you for earlier... About the baby.

ER

Sarah Reese: It's my fault.

Daniel Charles: Why'd you say that?

Sarah Reese: I gave her false hope. I told her I believed she was stable when she clearly isn't.

Daniel Charles: Uh, I'm not sure I agree. I mean, just made her case a little tougher, but I'm still gonna file the appeal.

Sarah Reese: Why would you do that when she just tried to kill herself?

Daniel Charles: Losing hope is not a sign of mental illness. It's a sign of being human. I mean, the poor girl... She has a violent, unstable mother, and her fate is in the hands of this psychiatrist who doesn't believe a word she says. I mean, given those odds, I can absolutely understand why she'd fall into despair.

 

Will Halstead: Had to prove me wrong, didn't ya? Looks like you're gonna get your wish. She will have a say in her future.

Molly’s

Connor Rhodes: Dr. Latham, you decide on that drink after all?

Isidore Latham: Maimonides... 12th century rabbi and physician. He said that the risk of a wrong decision is preferable to the terror of indecision. I have never had a moment like today before I started my TMS treatments.

Connor Rhodes: I wouldn't worry. I doubt it'll happen again.

Isidore Latham: Hm. That girl was more than just a surgical challenge. She became a human being to me. I lost my detachment. I cannot afford that. I'm ending my treatments, at least for the time being.

Connor Rhodes: Well, I'm sorry that you feel like you have to make that decision, but I trust your judgement.

Isidore Latham: Hm. When you started your fellowship, I told you that you were not my first choice. After working with you these last months, I would like to say that I cannot imagine a finer surgeon or person than you, Dr. Rhodes.

Connor Rhodes: Thank you.

Isidore Latham: Well, let's leave it at that.

Connor Rhodes: Yeah.

Isidore Latham: I would like a drink. Scotch for me... Neat. And another for my friend.

ER

April Sexton: Hey.

Noah Sexton: Look, I'm... I'm sorry. Okay, I... I... I don't know what to say. I got no clue what you're going through, but I wish I could help.

Kikavu ?

Au total, 92 membres ont visionné cet épisode ! Ci-dessous les derniers à l'avoir vu...

whistled15 
30.04.2022 vers 12h

cappie02 
12.12.2021 vers 04h

SeySey 
21.09.2021 vers 16h

Ocepk80 
08.02.2021 vers 12h

pilato 
03.06.2020 vers 15h

pretty31 
12.11.2019 vers 10h

Derniers commentaires

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schumi  (19.09.2019 à 23:05)

C'est clair que le cas de la fille comateuse nous laisse un peu sur notre faim. Mais au moins elle va pouvoir communiquer désormais.. 

Moi aussi Nathalie m'agace un peu avec son côté je sais tout mais c'est un bon médecin.

Et c'est trop triste pour april mais heureusement elle peut compter sur noah. 

man0n49  (21.03.2017 à 21:03)

Je suis à la bourre dans Chicago Med. 

C'était un épisode très sympa. Je trouve par contre que dans Chicago Med les médecins en fond vraiment car leur tête. Par exemple Nathalie qui est en têté comme d'habitude (là elle a eu de la "chance" la jeune femme n'était pas dans coma), mais en faite ça m'énerve qu'elle souhaite toujours avoir raison, alors qu'elle faisait des leçons de morale à Will !

Pauvre April c'est pas facile pour elle !! J'ai beaucoup aimé son frère qui essaye de la soutenir, c'est très sympa de sa part.

Je suis une fan de Sara, je suis vraiment heureuse que dans Cmed on aborde la psychologie. Et je pense que Charles est assez fière d'elle, et il est toujours là pour elle, et il l'a protège .

Bref bon épisode, avec Erin présente qui n'a pas servie à grand chose je trouve dommage.

C'est marrant j'ai aussi posté le message sur le forum avant de lire vos commentaires les filles et on n'est bien d'accord sur Nat !!

Et pareil j'aurais aimé savoir qui a fait sa à la commateuse, je ne sais pas si ça ve se suivre dans l'épisode suivant. 

serieserie  (14.03.2017 à 14:09)

Pourquoi me soudoyer? On ne sait pas! (Pas encore ça viendra peut être) mais on en a jamais parlé dans CPD donc ^^' Soudoie moi autant que tu veux, tu me ferras juste gagner des sous!

Pour April, elle se veut forte c'est clair, j'ai vraiment aimé la voir craqué dans les bras de son frère.

Natalie elle m'énerve un peu avec son côté je-sais-tout et j'ai-toujours-raison... J'aurai presque aimé que la comateuse le soit vraiment pour lui casser son délire!

Et Reese, elle est top, j'adhère de plus en plus à ce personnage qui était étrange en début de saison 1!

arween  (14.03.2017 à 14:04)

April m'a beaucoup touché dans cet épisode. C'est une battante mais là, j'avoue que ça fait beaucoup pour une seule personne. Son frère se révèle plus intelligent que je ne l'aurais cru au départ (faut dire que je ne l'appréciait pas du tout) mais il est présent pour sa soeur, c'est le plus important.

Reese continue de faire les choses au feeling et ça lui réussit plutôt bien. Je pense qu'elle fera un très bon psy car elle a pas mal de ressenti face à ses patients. Je suis un peu déçue qu'on ne sache pas finalement si la jeune fille avait une maladie mentale ou non.

Mais le plus frustrant reste l'histoire de la jeune femme comateuse. C'est très frustant de ne pas savoir qui lui a fait une chose pareille car j'ai des soupçons mais pas de réponse ! Je vais peut-être soudoyer serie² pour avoir une réponse ^^ Heureusement que le docteur Manning a chercher plus loin pour savoir si cette personne pouvat se réveiller ! Je ne suis pas toujours d'accord avec sa façon de faire, elle veut toujours que ça soit fait comme elle le pense, mais pour une fois, je pense qu'elle a eu raison.

Contributeurs

Merci aux 3 rédacteurs qui ont contribué à la rédaction de cette fiche épisode

CLD85 
Emmalyne 
serieserie 
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Chicago Med, S08E01 (inédit)
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Chicago Fire, S10E22 (inédit)
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7.03m / 0.8% (18-49)

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Chicago Med, S07E22 (inédit)
Mercredi 25 mai à 20:00
6.43m / 0.7% (18-49)

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Chicago Fire, S10E21 (inédit)
Mercredi 18 mai à 21:00
6.79m / 0.7% (18-49)

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Chicago Med, S07E21 (inédit)
Mercredi 18 mai à 20:00
6.24m / 0.6% (18-49)

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Chicago Fire, S10E20 (inédit)
Mercredi 11 mai à 21:00
6.78m / 0.7% (18-49)

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Chicago Med, S07E20 (inédit)
Mercredi 11 mai à 20:00
6.37m / 0.6% (18-49)

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