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Chicago Med
#217 : Jour de deuil

Le Dr Choi et le Dr Halstead discutent dela façon de soigner un patient souffrant d'un accident vasculaire cérébral, tandis que le Dr Manning traite un jeune garçon tombé dans la rivière. Pendant ce temps, le Dr Rhodes examine l'homme qui a sauvé le patient du Dr Manning et souligne l'importance d'apprendre de ses erreurs au Dr. Reese.

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4.63 - 16 votes

Titre VO
Monday Mourning

Titre VF
Jour de deuil

Première diffusion
16.03.2017

Première diffusion en France
13.06.2018

Vidéos

Promo Cmed 2x17

Promo Cmed 2x17

  

Promo (VOSTFR)

Promo (VOSTFR)

  

Diffusions

Logo de la chaîne TF1

France (inédit)
Mercredi 13.06.2018 à 22:50

Logo de la chaîne NBC

Etats-Unis (inédit)
Jeudi 16.03.2017 à 21:00
7.35m / 1.4% (18-49)

Plus de détails

Réalisateur : Fred Berner

Scénario : Jeff Drayer, Danny Weiss et Paul R. Puri

Guests : Jeff Hephner (Jeff Clarke), Roland Buck III (Noah Sexton), Deron J. Powell (Tate Jenkins), Brennan Brown (Sam Abrams), Patti Murin (Nina Shore), Amanda Leigh Cobb (Cheryl Banks), Josh Bywater (David Banks), Jurgen Hooper (Jason Wheeler), Kelvin Roston (Mr. Roth) Ann Joseph (Mrs. Roth), Alex Henderson (Kevin Roth), Jesse Lee Soffer (Jay Halstead), Steve McDonagh (Mr. Wheeler), Lorena Diaz (Doris), Mia Park (Beth), Tonray Ho (Leah) Courtney Roux (Courtney) Alex Weisman (Chout), William Burke (Emmett), Logan Murphy (Dustin Banks)

ER: waiting room

Tate Jenkins: Lunch, one o'clock?

April Sexton: 12:30.

Tate Jenkins: Oh, yeah, right. Hey.

Jason Wheeler: Morning.

Leah: Hey.

ER

Jason Wheeler: Morning, Dr. Halstead.

Will Halstead: Good morning.

Maggie Lockwood: Yeah, yeah, yeah. Wait. Dr. Wheeler, you got one in 3.

Jason Wheeler: Be there in a minute.

Maggie Lockwood: Okay.

Hallway

Jason Wheeler: Morning, Jeff.

Jeff Clarke: Hey, man.

ER

Sharon Goodwin: This is obviously a tremendous shock. Dr. Wheeler was one of us. And the burden of processing all that has happened will be a long and... And difficult one, so there would be no judgment on anyone who would prefer not to be here today.

Daniel Charles: At times like this, talking about anything, even the weather, never hurt anyone, so my colleague Dr. Richardson has made herself available all day. She'll be up in her office if anybody wants to stop by.

Sharon Goodwin: Okay? All right, thank you.

Ethan Choi: Ms. Goodwin, in my experience, the key to maintaining morale in times like this is to keep things running smoothly.

Sharon Goodwin: Of course.

Ethan Choi: Okay if I take Dr. Reese to fill in for the day?

Sharon Goodwin: Dr. Charles?

Sarah Reese: Sure.

Ethan Choi: Thank you. Maggie, waiting room's full. Let's keep 'em moving.

Maggie Lockwood: Trying, Dr. Choi.

Ethan Choi: What have we got?

Maggie Lockwood: Kid who fell in the river about five minutes out, Good Samaritan right behind. Bunch of runny noses and earaches, and abdominal pain in 6.

Ethan Choi: Dr. Manning, you're on the kid. Clarke and Sexton, stand by to assist. Reese, you're on deck. Everyone else, take a room. Let's go. Don't worry. We'll get through this.

Treatment 6

Ethan Choi: Hi. I'm Dr. Choi. Heard you're having some belly pain.

Kevin Roth: Yeah. It's not a big deal.

Mrs. Roth: He fell down the stairs.

Ethan Choi: Really? How'd that happen?

Kevin Roth: Aah! It was nothing.

Mr. Roth: He was carrying a pretty heavy box of books. We're packing up to move next week.

Ethan Choi: And everyone thinks reading's good for you. Might have a broken rib. I'd like to get some scans and make sure there's nothing else going on, but it doesn't look too serious. I'll be back to check on you in a little bit.

Mrs. Roth: Um...

Ethan Choi: Is there anything else?

Mrs. Roth: No. It's... It's just... He's been a little clumsy lately.

Mr. Roth: But that's normal, right? Tripping over his feet? He's just growing into his body.

Ethan Choi: It's probably nothing, but since we got some time, I'll run some blood to rule out any infections or toxicities just to be sure.

Mrs. Roth: No Thank you.

ER

Ethan Choi: Need any help?

Natalie Manning: We got it.

Ethan Choi: Mags, put him in Baghdad?

Maggie Lockwood: Already on it, Dr. Choi.

Courtney: Dustin Banks, eight years old. Fell through the ice into the river. 15 minutes before he was pulled out. Heart's in Brady-arrest. Core temp 27 degrees Celsius.

Trauma

Natalie Manning: Cold and dead, Sexton? What do you think?

Noah Sexton: Uh, that he's not dead until he's warm and dead?

Natalie Manning: You just won the first shift of compressions. All right. On my count. One, two, three. April, I need to intubate. 50 of sux, 10 of etomidate.

April Sexton: On it.

Jeff Clarke: Can he hear me?

David Banks: Dustin!

Maggie Lockwood: Whoa, whoa, whoa, whoa. The doctor will be with you as soon as she can, okay?

ER

Chout: Jim Kessler, 58. Had a STEMI after jumping in the river to save the kid. Aspirin and nitro in the field. Sinus rhythm now 120/80.

Sarah Reese: Mr. Kessler, I'm Dr. Reese. Can you hear me?

Treatment

Jim Kessler: Sure can.

Sarah Reese: Great. On the count of three, let's move him. One, two, three.

Trauma

April Sexton: Meds are in.

Natalie Manning: Maggie, get an ECMO unit.

Maggie Lockwood: Pneumonia season. Every single one's in use upstairs.

Natalie Manning: He's not gonna wake up till he's 95 degrees. What about bypass?

Maggie Lockwood: They're both in surgery. We can get one down here in about 90 minutes.

Natalie Manning: Then we're gonna have to keep his heart beating until we get it.

Noah Sexton: Compressions for 90 minutes?

Natalie Manning: In five-minute shifts. And we'll warm him the best we can with a left lung lavage. Jeff, we need two 32-french chest tubes. April, get a warmer and all the saline in the hospital. Let's go.

Jeff Clarke: Left lung lavage? Sure it'll work?

Natalie Manning: We're gonna try.

ER

Maggie Lockwood: Dr. Manning, this is David Banks, Dustin's father.

David Banks: Is he gonna be okay?

Natalie Manning: It's too soon to tell. The benefit of hypothermia is it preserves brain function. But if we don't warm him fast enough, the cold will eventually overwhelm his body, so we're gonna circulate warm saline through his chest cavity until we can put him on bypass, okay?

April Sexton: Okay, the warmer's on its way, but for this amount of saline, Central Supply needs a doctor's order.

Natalie Manning: Okay. I promise you we are gonna do everything that we can.

Treatment

Sarah Reese: Your EKG shows ST elevations. Definitely a heart attack. Ever had any heart problems before?

Jim Kessler: Little chest pain here and there. My doc's got me on some pills.

Sarah Reese: Okay, well, he should've told you not to jump in a frozen river. The shock is probably what tipped you over the edge.

Jim Kessler: Everybody's a Monday morning quarterback.

Sarah Reese: I don't know what that means, but I do know that we need to assess the extent of your coronary artery disease, so I want to send you up to the cath lab.

Jim Kessler: Long as there's some hot cocoa in it for me, you got a deal.

Sarah Reese: All right. I'll check back in with you soon.

ER

Sarah Reese: Activate the STEMI protocol. And uh, call Dr. Rhodes for a consult.

Doris: You got it.

 

Sarah Reese: He got off lucky. He could've gone into cold shock, v-fib, coagulopathy. What a great but crazy thing to do.

Maggie Lockwood: He probably didn't even think about it. Just saw a kid in trouble and reacted.

 

Jay Halstead: Thank you. Hey, Nat.

Natalie Manning: Hey, Jay.

Jay Halstead: It's a tough day, huh?

Natalie Manning: Yeah.

Jay Halstead: Just hang in there.

Natalie Manning: Thank you.

Treatment 6

Will Halstead: All right. All Kevin's scans show are a broken rib and a pretty good bruise on his kidney, so I agree with Dr. Choi. There's no neurologic reason he fell. He simply slipped.

Ethan Choi: I'd like nephrology to get a look just to be safe, but then he should be okay to leave.

Mrs. Roth: So, he'll be all right to drive across country next week?

Kevin Roth: Mom.

Mr. Roth: Shh. Let the doctor talk.

Will Halstead: Might be a little uncomfortable, but he'll be fine.

Mr. Roth: Thank you for all your help.

Will Halstead: You got it.

Ethan Choi: My advice: bring some pillows.

ER

Will Halstead: Lead levels and Lyme titers? Pretty aggressive workup for a kid who just slipped and fell.

Ethan Choi: Nothing wrong with covering our bases.

 

Sharon Goodwin: Hey, Maggie? Mm-hmm?

Maggie Lockwood: How's the resuscitation going? Getting 20 people from 5 different departments to work seamlessly together... What could go wrong?

Sharon Goodwin: Mm. Well, you keep me updated.

Maggie Lockwood: Yeah.

Sharon Goodwin: Let me ask you: did Dr. Wheeler have any interpersonal issues with anyone on staff?

Maggie Lockwood: I mean, I don't know. I don't think so. But he was making some pretty big mistakes lately.

Sharon Goodwin: Yeah, and it was getting worse after the drinking incident.

Maggie Lockwood: Mm-hmm.

Sharon Goodwin: Was there anything that, um, might have been weighing on him?

Maggie Lockwood: I mean, you can tell that he was losing his confidence.

Sharon Goodwin: Hm. Um, okay, then. I'll let you get back to work.

Maggie Lockwood: All right. I'm sorry. Can I help you?

Mr. Wheeler: I was told to ask for you.

Maggie Lockwood: Okay.

Mr. Wheeler: I'm Dr. Wheeler's father.

 

Mrs. Roth: I need help! Can somebody help me?

Will Halstead: What happened?

Mrs. Roth: I don't know. He... He can't move.

Treatment 6

Will Halstead: Kevin, squeeze my fingers.

Mrs. Roth: Just... Wait, wait.

Will Halstead: Can you feel my hand?

Ethan Choi: All right, let's get him to CT, now.

Mr. Roth: What? What's happening?

Ethan Choi: I think your son's having a stroke.

Mrs. Roth: Oh, my God, Kevin, no.

CT: Observation room

Ethan Choi: So, the episodes that he's been having recently could've been TIAs. They may have been coming for some time.

Will Halstead: Well, it's possible. But the CT looks negative.

Sam Abrams: It is. However, there can be a delay before an embolic stroke shows up on the scan.

Will Halstead: Exactly. Which is why we need an MRI.

Sam Abrams: Right.

Ethan Choi: An MRI? That'll take an hour. His stroke could be evolving right before our eyes.

Will Halstead: If it is a stroke.

Ethan Choi: His left side's completely paralyzed... What else could it be?

Will Halstead: I don't know. That's why I want an MRI.

Ethan Choi: Every minute we wait to break up the clot in his brain increases the odds of his paralysis becoming permanent. He needs tPA.

Will Halstead: Whoa, well, he's also got a bruised kidney. TPA could cause a massive hemorrhage. We cannot risk that until we know for sure what we're treating.

Sam Abrams: You've still got more than a two-hour window for tPA. I can get him in and out of the MRI in 40 minutes.

Will Halstead: Good. Do it.

Sam Abrams: I'm sorry about your resident.

Will Halstead: He wasn't my resident. Yeah. Thanks.

Sam Abrams: Yeah, it's awful. I mean, residency... Who doesn't consider doing it? Still, you never think anybody actually will.

Will Halstead: You thought about suicide?

Sam Abrams: Of course. Didn't you?

Will Halstead: No.

Sam Abrams: Huh. That's unusual.

Treatment

Connor Rhodes: You have moderate three-vessel disease. But given the fact that you've already had a cardiac event, it is my recommendation that we do a coronary artery bypass graft.

Jim Kessler: This is pretty major surgery, right?

Connor Rhodes: It is, but you are an excellent candidate. So I'd like to give your heart a day to rest, and then we can get you on the schedule for tomorrow.

Jim Kessler: If you say so, let's do it.

Connor Rhodes: Great. By the way, it's a pleasure to meet you. I hear that you are quite the hero.

Jim Kessler: No. Just lucky I happened to be there.

Connor Rhodes: Well, either way, thank you.

Sarah Reese: H-how did you know he needed help?

Jim Kessler: What do you mean? He was drowning.

Sarah Reese: No. I understand. But what went through your head the moment before you jumped in? Was it... Was it an actual decision, or was it more like an instinct kicking in?

Jim Kessler: I don't know.

Connor Rhodes: We should let you get your rest. Dr. Reese will be back when we have a room ready for you upstairs. Dr. Reese?

ER

Connor Rhodes: Dr. Reese, are you okay?

Sarah Reese: What? Yeah. I'm fine. Yeah, everything's fine. I'm gonna go check on the room.

 

Cheryl Banks: Where is he? My son, Dustin. Where...

Natalie Manning: Mrs. Banks? Hi. I'm Dr. Manning. Your son is right here. But let me just explain to you what's going on first, okay?

David Banks: Cheryl, I don't know what happened. I was right...

Cheryl Banks: This is your fault! You are a terrible father.

Natalie Manning: Mrs. Banks, please, let me just explain to you what's going on, okay?

Waiting room

Tate Jenkins: Hey. How come you're getting a snack? It's time for lunch.

April Sexton: I'm sorry. We've been slammed. I got to get back.

Tate Jenkins: Okay. But you could've texted and saved me the drive across town.

April Sexton: I told you I haven't had a second.

Tate Jenkins: You had time to get a snack, though.

April Sexton: Fine. You win.

Tate Jenkins: That's a great answer.

April Sexton: I'm sorry my dying patient inconvenienced you.

Tate Jenkins: Come on, April.

April Sexton: What do you want me to say?

Tate Jenkins: That's just how you justify everything... Your work.

April Sexton: Now you're gonna start in on my work?

Tate Jenkins: Nah. I'm going. Rather eat by myself anyway.

ER

Will Halstead: You ever seen this before? A resident ending it like this?

Daniel Charles: Unfortunately, I have. Yeah. Several times… You know that 400 doctors take their own lives every year, right? Most of any profession. I don't have a lot of evidence to back this up, but I got a strong hunch it's got something to do with taking people who have a powerful desire to help and throwing them into a game where the odds are just stacked against them. I mean, this I do know: situations like this, it's never just one thing. It's always a complex set of circumstances, and, um, you know, trying to figure it out, trying to assign blame... It's pretty pointless.

 

Connor Rhodes: Hey, thanks for getting him a bed so fast… Tough day, huh? You and Dr. Wheeler were friends?

Sarah Reese: No. I hardly knew him… He came to me... Twice... Asking about pills, about therapy. And that wasn't really what he was asking for. He was asking for help… I don't know why he came to me, but he did, and now he's dead… What kind of terrible psychiatrist am I gonna be?

Connor Rhodes: You can't jump in and save everyone, Reese. It's just not possible.

Sarah Reese: It's not that I didn't jump in to save him. I didn't even see that he was drowning.

Doris: Dr. Rhodes, better come here.

Treatment

Connor Rhodes: BP's dropping, ST segments are elevated.

Sarah Reese: He's barely got a pulse.

Connor Rhodes: He's in cardiogenic shock. It must be another MI. We're gonna balloon-pump him. Bolus heparin, start dopamine, dobutamine. Get him on high-flow O2.

Sarah Reese: Got it. I'll tell the cath lab we're coming.

Connor Rhodes: There's no time. We're gonna do it here.

Sarah Reese: We're... How will we know if we're in the right place?

Connor Rhodes: If he bleeds out, we'll know we punctured the iliac. If he stops breathing, then we perforated into the mediastinum. But if we don't get his blood pressure back up right now, none of that's gonna matter anyways… Hang in there, Jim… Let me know when you see it.

Sarah Reese: Almost there. Got it.

Connor Rhodes: Almost there, Jim. I got you… All right, turn it on… Come on, come on, come on, come on...

Sarah Reese: Pressure's coming up. 70/35.  80/40.

Connor Rhodes: Okay. Get him ready to go upstairs.

Treatment 6

Ethan Choi: Still no improvement.

Mr. Roth: He's always been so healthy. What could cause a stroke in a 15-year-old?

Will Halstead: Not much. And he's negative for the usual suspects, so if his MRI is positive, we'll have to start looking for less common causes.

Kevin Roth: I'm not gonna have to stay overnight, am I?

Mrs. Roth: Kevin, not now.

Doris: Dr. Halstead, Dr. Choi?

Will Halstead: Excuse us.

ER

Will Halstead: MRI?

Doris: Yeah.

Ethan Choi: Still no evidence of a stroke. This can't be right.

Will Halstead: Well, it may not be. It says it's a poor study due to patient movement.

Ethan Choi: So it's inconclusive.

Will Halstead: Tell MRI we're sending him back up for a repeat scan.

Ethan Choi: Are you kidding? If this is a stroke, we're running out of time.

Will Halstead: Doesn't his affect strike you as weird? So little concern?

Ethan Choi: He's a confused teenager who's probably also in shock.

Will Halstead: Well, I don't like it. It doesn't add up.

Ethan Choi: And we should figure it out after we treat what may soon become permanent paralysis.

Will Halstead: I'm not gonna risk a massive haemorrhage and a transfusion for no reason. He's going back to MRI.

 

Sarah Reese: Hey.

Connor Rhodes: Hey.

Sarah Reese: I just spoke with CCU. Mr. Kessler's pressure still isn't coming up.

Connor Rhodes: Okay. We'll give it a few more minutes, and if it doesn't improve, I'll have to operate.

Sarah Reese: Okay.

Connor Rhodes: Wheeler came to me, too, Reese, when we had that pile-up in the blizzard, and the pregnant woman almost bled out. He took it hard. I had the chance to reassure him, but I didn't.

Sarah Reese: All right. I appreciate that you're trying to make me feel better, but it doesn't. I'm gonna go check on Mr. Kessler.

 

Noah Sexton: Whoa! Whoa, whoa, whoa.

April Sexton: Noah.

Noah Sexton: Sorry. Sorry, sorry, sorry. Let me... Let me help you. Hey, um, I saw you and Tate getting a little edgy. Are you okay?

April Sexton: I'm fine.

Noah Sexton: Yeah? Okay, good. I just don't want you to, you know...

April Sexton: What? Screw things up?

Noah Sexton: What? No, no. I just want you to be happy... With a guy... Who was a all-pro wide receiver three times. Three times, right?

Trauma

Natalie Manning: Okay, everybody, the bypass machine just opened up. We need to get him upstairs now.

Cheryl Banks: So you'll be able to warm him up?

Natalie Manning: Much faster, yes.

David Banks: And it hasn't been too long, right? He might still be okay?

Natalie Manning: We won't know about his neurological function until he wakes up, but this is definitely a step in the right direction.

David Banks: Thank you, Dr. Manning.

Natalie Manning: Of course.

David Banks: I can't tell you how much we both appreciate this.

April Sexton: He's ready to go.

Natalie Manning: Okay. Let's do it.

ER

Sharon Goodwin: Hold on.

Natalie Manning: Ms. Goodwin?

Sharon Goodwin: They need the bypass machine upstairs for an emergency case.

Cheryl Banks: What do you mean, an emergency?

Sharon Goodwin: It's for Mr. Kessler, the man who saved your son. They need to operate on him immediately.

Cheryl Banks: But it was promised to us! We've been waiting for it. Plus that man would want Dustin to have it. There can't be a bigger emergency than this. My son is dying. Are you just gonna stand there and do nothing?

Sharon Goodwin: Mrs. Banks, Dustin still has options, other ways of continuing to warm. Mr. Kessler does not. Without surgery, he will die.

Cheryl Banks: My son is going to die. Tell her.

Natalie Manning: Put him back on the monitors.

Cheryl Banks: Wait. Wait! Are you giving up?

Natalie Manning: No. But Ms. Goodwin is right. We can try peritoneal lavage to speed things up.

Cheryl Banks: You are his doctor. You're supposed to fight for your patients. My son is only eight years old. What kind of a monster are you?

Sharon Goodwin: Mrs. Banks.

Natalie Manning: Mrs. Banks, I am truly, truly sorry.

Trauma

Natalie Manning: April, set up for the lavage.

April Sexton: On it.

ER

Ethan Choi: The waiting room's backed up again, Maggie.

Maggie Lockwood: I'm doing my best, Dr. Choi.

Ethan Choi: We need to do better.

 

Ethan Choi: Too many people losing focus today. It's dangerous.

Daniel Charles: Is that right?

Ethan Choi: That patient in there, Kevin, 15-year-old with hemi-paresis, but his attending is fixated on his mood rather than his symptoms.

Daniel Charles: What do you mean?

Ethan Choi: He seems a little detached. But he's just a kid trying to play it cool. So now we're wasting valuable time ordering scan after scan when we should be treating him.

Daniel Charles: Well, I mean, surely this attending gave you his reasons, right?

Ethan Choi: He did. But I think the incident this morning is clouding his judgment. I'm not sure he should be working today.

Daniel Charles: Really?

Ethan Choi: Dr. Charles, we're in the business of saving lives, and the moment people lose confidence in their leader, the fight is lost. We've already had one casualty today. I won't have another.

Treatment 6

Daniel Charles: Kevin, how are you? I'm Dr. Charles.

Kevin Roth: Hey.

Daniel Charles: I understand you're having a little trouble with your left side.

Kevin Roth: Oh, yeah.

Daniel Charles: Yeah.

Kevin Roth: How you doing with that? I know it can be a little scary.

Daniel Charles: It's not that big a deal.

Nurse: Excuse me, Dr. Charles, this patient's schedule for an MRI.

Daniel Charles: Yes. Okay. Well, um, nice to meet you.

Kevin Roth: Yeah.

OR

Connor Rhodes: Metz and DeBakeys… Let's get him cannulated for bypass, and get me a sheet of woven patch.

Beth: Woven patch? I thought we were doing a three-vessel CABG.

Connor Rhodes: Change of plans. This isn't an MI. Page Dr. Reese. Tell her I need her now. 3.0?

ER

Sharon Goodwin: How's he doing?

Natalie Manning: Still only 89 degrees.

Sharon Goodwin: Look, I know Dr. Wheeler had a difficult time here. Did he ever talk to you about it?

Natalie Manning: No.

Sharon Goodwin: Was there anyone he might have talked to? A confidant?

Natalie Manning: Honestly, I have no idea.

Sharon Goodwin: Okay.

Natalie Manning: Uh, Ms. Goodwin?

Sharon Goodwin: Yes?

Natalie Manning: I spent eight months working alongside someone who was in so much pain that he took his own life, and I never even noticed… Am I a monster?

Sharon Goodwin: No, Dr. Manning. No, you're not.

Street

Emmett: Excuse me. I'm looking for my friend. Is this the visitors entrance?

Daniel Charles: Uh, for the ED, yeah. Has he been admitted yet?

Emmett: I don't know. He said he can't move his arm or leg. It sounds really bad.

Daniel Charles: His name wouldn't be Kevin, by any chance, would it?

Emmett: Yeah, it is.

Daniel Charles: Huh. Tell me: is your buddy, like, a real cool customer? You know, like a James Dean type?

Emmett: Who's James Dean?

Daniel Charles: What I mean is, um, is he the kind of guy that doesn't really get too worked up about stuff?

Emmett: Kevin? You're kidding. They're making him move to California. Of course he's worked up.

Daniel Charles: He's got to move?

Emmett: Yeah. They're just dragging him away.

Daniel Charles: Huh. You're gonna miss him, huh?

Emmett: Yeah.

Daniel Charles: Sorry... Tell me your name. I'm Dr. Charles.

Emmett: Emmett.

Daniel Charles: Emmett. Nice to meet you. Um, I think that there might be a chance that we could help your friend. Could we go see him together?

Emmett: Yeah. Okay.

OR

Sarah Reese: Dr. Rhodes, why did you bring me here? I can't assist on a bypass graft.

Connor Rhodes: We're not doing a bypass graft.

Sarah Reese: What? But I...

Connor Rhodes: Look.

Sarah Reese: A ventricular septal defect?

Connor Rhodes: From necrosis. Lack of blood flow from his heart attack at the river caused a small patch of muscle to die.

Sarah Reese: That's impossible to find. How did you even know to look?

Connor Rhodes: You see this discoloration?

Sarah Reese: Uh-huh.

Connor Rhodes: I missed this once. Guy died before we even got him off the table… I know that you feel like you let Wheeler down, like you missed the signs of him needing help. As doctors, all we can do is learn from that and try not to miss them again.

ER

Will Halstead: Maggie, when's Kevin Roth getting back from MRI?

Maggie Lockwood: Didn't you get Dr. Choi's message? He took your patient to interventional radiology.

Will Halstead: What?

Interventional radiology

Will Halstead: Do not administer that tPA! Dr. Choi, now.

Hallway

Will Halstead: The hell are you doing?

Ethan Choi: His window's nearly closed. I had no choice.

Will Halstead: No, you don't have a choice. I'm your attending.

Ethan Choi: And you're not willing to do what the patient needs.

Will Halstead: So, you're 100% sure of the correct clinical course? Because to me, this is not a clear-cut case.

Ethan Choi: Doesn't mean we can avoid making the hard decisions.

Will Halstead: Even if those decisions might kill him?

Daniel Charles: Gentlemen, if we could take a beat, this young man might help us shed some light on the situation.

Interventional radiology

Emmett: Hey, man.

Kevin Roth: Emmett, what are you doing here?

Emmett: I was worried.

Kevin Roth: You were worried about me?

Emmett: Yeah, man. Your text said you couldn't move. I didn't know if you were dying or paralyzed. I just came as fast as I could.

Doctor Lounge

Maggie Lockwood: Oh, Mr. Wheeler, I'm sorry. I'll give you some time.

Mr. Wheeler: Why did he do it? Even if he was having trouble, why?

Maggie Lockwood: I don't know… Did you ever see Jason do that trick where you'd pull a card out of the deck and it turns out it's in his pocket?

Mr. Wheeler: Yeah. When he was a kid.

Maggie Lockwood: Yeah. I saw him do it once up on the pediatric oncology ward. I guess he used to go up there a couple times a week to do magic for the kids. And oh, man, did they love it. He did this thing where he would pull a lemon out of his ear, and then out of one of the kids' ears, and then out of another, and they'd be rolling on the ground. Just ten minutes in their day where they didn't have to think about whatever terrible illness they had… I didn't know your son very well. And I've seen a lot of doctors come through here. He would've been a good one.

Mr. Wheeler: Thank you.

Maggie Lockwood: Yeah.

ER

Mrs. Roth: We had no idea.

Daniel Charles: It seems like he's been harbouring thoughts and feelings that he wasn't comfortable expressing, and his body found a way to express them for him.

Mrs. Roth: So he wasn't actually paralyzed?

Daniel Charles: No. But he was experiencing real symptoms. It's why we call it a conversion disorder. It's the physical manifestation of a psychological desire.

Mr. Roth: Desire? Sounds like you're saying he wanted to be paralyzed.

Daniel Charles: I'm saying he didn't want to move. And his subconscious decided that having a serious medical condition might be a good way to accomplish that.

Mrs. Roth: That sounds crazy.

Daniel Charles: Crazy, no. Complicated, sure. But if you think about it as a whole, an understandable response to what must have seemed like an impossible situation. I mean, having to leave somebody that he couldn't tell you about, somebody for whom he had very strong feelings.

Mr. Roth: But if he was so upset, why didn't he seem to care about being paralyzed?

Daniel Charles: Compartmentalization is just part of the condition. But trust me: your son cares. I mean, he cares a great deal.

Will Halstead: Just to be safe, we'd like to observe him in the hospital overnight.

Daniel Charles: Then probably a good idea for the three of you to sit down and have a talk.

Ethan Choi: They're getting a room for him upstairs. I'll let you know when it's ready.

Mr. Roth: Thank you.

 

Ethan Choi: Damn.

Daniel Charles: The funny thing about feelings: you know, we think that if we push them down hard enough, that they'll disappear. Never quite works out that way.

Ethan Choi: I could've killed him.

Will Halstead: Yeah, well, you didn't.

Trauma

David Banks: Cheryl? Cheryl, I was watching him every second, and then Ben called about this thing, and I had to look it up on my phone. And I know you never take your eyes off the kids for a minute, and I'm always working, and you're a far better parent than I am. I'm sorry… I don't know what else to tell you… I'm just so sorry.

Noah Sexton: I'm tagging you out. There's a couch in the lounge that's free. I'll grab you in 20.

April Sexton: Thanks. There's something else I have to do.

Cafeteria

April Sexton: Hey.

Tate Jenkins: Hey.

April Sexton: Listen, I'm sorry about earlier, going off on you like that.

Tate Jenkins: Okay.

April Sexton: But...

Tate Jenkins: But what?

April Sexton: I know that you blame me for the miscarriage.

Tate Jenkins: April...

April Sexton: No. Admit it. No matter how many times you're told that my working had nothing to do with it, you just... You won't let it go. But it's bigger than that. You would've had me quit my job a year ago, before I was even pregnant… You want a different kind of woman.

Tate Jenkins: I want you. I love you. I just imagined a different kind of life.

April Sexton: I know… I hope you find everything you want.

Tate Jenkins: You too. You too.

ER

Will Halstead: Amazing what the mind can do, isn't it?

Daniel Charles: Mm. Keeps me employed. That's for sure.

Will Halstead: You know, Wheeler... Maybe what happened wasn't my fault, but I didn't help.

Daniel Charles: Hey, join the club. Look, not for nothing, helping people is just... Just about the hardest job there is.

Will Halstead: You've been doing it... What? 25, 30... Several years? What... What's the secret?

Daniel Charles: Well, I'm still looking for that, but if I had to guess, I'd say it had something to do with, you know, just keep showing up, keep doing your job, put one foot in front of the other, 'cause when you start to get all tangled up in here, you know, that's when, I mean, it can just paralyze you.

Will Halstead: Yeah. Still, it's gonna be a while before I can sleep again.

Daniel Charles: Dr. Halstead? I think we're lucky to have you here. You keep up the good work.

 

Jeff Clarke: Hey. I think he's waking up.

Trauma

David Banks: Hey, buddy.

Cheryl Banks: Dustin!

Natalie Manning: He's trying to breath. Hang on, Dustin. We're gonna take this tube out, okay?

Cheryl Banks: Hang in there, buddy.

David Banks: We're right here, buddy, okay?

Natalie Manning: We'll take this out.

Cheryl Banks: Dustin?

David Banks: Can you hear us, buddy? Hey.

Natalie Manning: There we go. All right, sweetheart.

Cheryl Banks: Dustin!

Natalie Manning: Bilateral breath sounds are present. Pupils are equal and reactive to light. Hey, Dustin, if you can hear me, can you tell me who this is?

Dustin Banks: Mom?

Cheryl Banks: Oh, my God.

Natalie Manning: Let's d/c the lung lavage, but keep the peritoneal going until he's 98 degrees, okay?

April Sexton: Got it.

Natalie Manning: We're gonna need to observe him for a few days, but this is a very good sign.

Cheryl Banks: Dr. Manning?

Natalie Manning: Yes?

Cheryl Banks: I'm sorry about what I said earlier. Thank you. Thank you for everything that you've done.

Natalie Manning: I'm just happy we were able to save your boy.

ER

Sharon Goodwin: How about that?

Daniel Charles: I guess every now and then we get lucky.

Sharon Goodwin: Yeah. How'd it go with Dr. Richardson? She stay busy?

Daniel Charles: Uh, nobody showed.

Sharon Goodwin: Nobody?

Daniel Charles: Yeah, but that's... You know, it takes time. Trust me. People are dealing in their own way.

Sharon Goodwin: When I took this job, Daniel, I wanted to create an environment where we would never lose someone. Everyone would look out for each other. I thought I did. But then today I found out there was a very troubled young man in our midst, and not a single person knew him. I failed.

Daniel Charles: Sharon, come on.

Sharon Goodwin: No, no. You... You got to wonder about all the ones who don't jump off the ledge... What's going through their heads, how this job is affecting them… I worry about these people, Daniel… I worry about them.

Daniel Charles: I know you do. I know you do.

Sharon Goodwin: I wish I could protect them.

Morgue

Nina Shore: He's right here, Ethan.

Ethan Choi: I'm so sorry.

Daniel Charles’s office

Sarah Reese: They won't need me in the ED tomorrow, so I'll be back on your service.

Daniel Charles: Thank you. Thanks. I'll see you tomorrow.

Sarah Reese: Everybody comes to you, don't they? With all their pain? And you just have to absorb it… How are you doing today?

Daniel Charles: It was awful. It's just awful.

Kikavu ?

Au total, 88 membres ont visionné cet épisode ! Ci-dessous les derniers à l'avoir vu...

whistled15 
30.04.2022 vers 12h

cappie02 
13.12.2021 vers 16h

SeySey 
21.09.2021 vers 16h

Ocepk80 
08.02.2021 vers 12h

pilato 
04.06.2020 vers 15h

pretty31 
12.11.2019 vers 10h

Derniers commentaires

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schumi  (19.09.2019 à 23:08)

Bon alors là mort de wheeler n'est pas du tout une surprise mais la façon dont elle est abordée est super pertinente. Voir la façon dont tout le monde réagir et se remet en question est très intéressant et rend cet épisode vraiment spécial.

brucas59  (07.08.2017 à 17:17)

L'épisode était très prenant. La mort de Wheeler était assez prévisible, on voyait bien dans les épisodes précédents que ça n'allait pas. Je trouve ça juste triste qu'il ait fait ça à l'hôpital, rendant un petit peu tout le monde responsable de ne pas avoir su l'aider. Son père était vraiment triste et j'ai beaucoup aimé ce que Maggie lui a dit, même si ce n'est qu'un petit réconfort.

Chacun réagit à sa manière et c'était beau de voir tout le monde se remettre en question et se demander ce qu'ils auraient pu faire et comment changer les choses et faire mieux à partir de maintenant.

J'ai adoré ce qu'a dit Goodwin à Charles à la fin comme quoi elle veut créer une atmosphère de confiance où chacun puisse se confier et compter sur les autres. Seul Wheeler ne l'a pas ressenti... Heureusement que les autres oui !

Contributeurs

Merci aux 4 rédacteurs qui ont contribué à la rédaction de cette fiche épisode

CLD85 
Emmalyne 
Minamous 
serieserie 
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Chicago Med, S08E01 (inédit)
Mercredi 21 septembre à 20:00

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Mercredi 21 septembre à 21:00

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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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