Chicago Med

Dr. Latham.

- Dr. Rhodes. Light day today.

- That's good, 'cause we just got a call from mercy hospital

over in rock island.

They have a young woman with a type a aortic dissection

who needs a valve-sparing root replacement.

Rare, difficult procedure.

- Mm-hmm, and none of the surgeons there

have any experience with it.

- Have the air ambulance bring her in,

and I'll clear an or.

I'm afraid we can't.

She's multi-trauma from a car accident,

and she's too unstable to travel.

- Then they'll have to perform a standard repair.

- Dr. Latham, I... - I do not like to travel.

- I can understand that given your situation...

- you can say it. My asperger's.

- Dr. Latham, these cases are indeed rare.

And while I have assisted you on one before,

I would like to be able to say I have done one running lead.

Now, it's only a 20-minute chopper flight,

and we don't even have to spend the night.

This is important to you.

It is.

- perhaps I shouldn't be so rigid.

A broadening experience might do me good.

All right, dr. Rhodes.

You'll get your procedure.

We'll even spend the night.

A hotel...

Gonna be interesting.

I'll let them know.

- More like five under. - It was ten under.

- I just like to be careful, okay?

I have a history.

hey, guys.

- Morning. - Hey.

That a new stethoscope?

Oh, yeah.

Owen got a hold of the last one, so...

- Hey, those stuffed animals are not gonna diagnose themselves.

ah, all right, blondie.

Coffee later? - You got it, red.

Have a good day.

- Hey, babe. You forgot your lunch.

- Tate, I could've gotten something here.

- Potato chips, pickles, and a zagnut bar?

Pregnant ladies get to pretty much eat

anything they want, huh?

- We could fill you with a gallon of hormones,

then analyze your diet.

Enjoy your lunch.

- Thank you. - You're welcome.

- Incoming, dr. Manning. Treatment 2.

Got it.

Gabe moor, eight years old,

with advanced non-hodgkin's lymphoma,

found seizing at home, temp 104.

One milligram of versed in the field.

- All right, hang in there, okay?

All right, on my count.

One, two, three.

- All right, get this out of here please.

Compression bags.

Equal and reactive to light.

Does he see oncology here?

Yeah, dr. Hurwitz.

Get his current med list

and give a dose of vanco and ceftriaxone.

Vanco and ceftriaxone, got it.

- Does he have a mother we should call?

She passed when he was a baby.

Okay.

- Dad? - I'm right here.

These doctors are gonna take good care of you.

He's seizing!

Give one of ativan, push 500 milligrams dilantin.

Oh, my god.

- Let's get some labs, cbc, cmp, ct head,

blood cultures, and an eeg.

The seizure may be caused by his fever.

However, it is possible that the cancer's spread to his brain.

When was his last scan? - Couple of months ago.

Let's get an infused mri.

I just want to see if the cancer's spread, okay?

Okay.

- Dr. Manning? - Yeah.

Excuse me, please.

I just called the pharmacy.

Dad hasn't filled gabe's chemo in three months.

He's withholding his medication.

- Maybe he filled it someplace else?

- His oncologist ordered straight through the hospital.

No other way to get it.

- He's just waiting for his son to die?

Mr. Moore.

We are aware that your son was prescribed

a new oral chemo, and that you have been withholding it.

I'm not "withholding" them.

- I understand that you're a single father

and that this must be incredibly hard for you...

it's not about me.

- But if you are willingly keeping your son

off of his meds, then we...

it's his decision.

Excuse me?

Gabe's.

He's been through four courses of chemo.

The nausea, the pain,

the drugs to treat the nausea and the pain...

It was awful.

- That doesn't mean you can just stop trying.

- He begged me all through the last course.

But I wouldn't stop it.

And it didn't help at all.

None of them helped.

So this time, I let him decide.

He can't decide.

He's eight years old, okay?

His brain is literally not developed enough

to process this.

Life and death and forever are concepts

that he cannot fully understand yet.

Gabe does understand.

I'm sorry,

but we need to start your son on his new chemo.

No. I won't authorize that.

- I will be back soon to check on your son.

- Dcfs can have a court order to start the chemo in two hours.

- Let's get the mri result first...

See if the cancer's spread so much

that it's no longer even treatable.

- ms. Holloway, I'm dr. Halstead.

I hear you had some trouble today.

- I fell down. Big deal.

- Well, says here your troponin level is .08.

That means you fell down because

you were having a small heart attack.

Ever had any heart trouble before?

- I don't know. I don't go to doctors.

Dr. Halstead?

- Your blood glucose is 458. You're diabetic?

That's what they say.

Let's get a vbg.

Give her 10 units of iv regular insulin

and bolus her a liter of ns.

I'll call endocrine for a consult

and let cardiology know we're admitting her.

Admitting me?

Yeah, that's right.

Diabetes can cause numerous problems,

including coronary artery disease.

I want to admit you to run a few tests on your heart

and more importantly, get your diabetes under control.

- Nope. Not gonna happen.

Why is that?

- Are you gonna feed zachary taylor

and millard fillmore?

I'm sorry?

My cats.

Named after the first 12 presidents.

- Let's start getting your sugar down,

and we'll talk in a little bit.

- Got us a crazy cat lady. - Mm-hmm.

Drs. Rhodes and latham,

mayor hendrix.

Call me jim.

My family and I can't thank you enough for coming.

- I assure you we will do everything we can

for your daughter.

- If there's anything that you need,

please let bob or me know.

- We will. Thank you.

- Must be hard staying upbeat under such trying circumstances.

Guess if you're a politician,

it's expected.

Tough case?

- Kids get sick. I understand that.

But seeing what their parents do to them...

That drives me nuts.

Yeah.

Coffee time?

That's right.

Uh, I'm sorry.

I'm swamped.

Oh, no problem.

Lunch maybe.

- Absolutely. - Okay.

Hey, will? - Yeah?

- Did you and natalie ever have a thing?

What?

Natalie and me? No.

I mean, we're good friends, and, you know,

she's a great doctor, but we never dated or anything.

Okay.

besides, who cares?

The only person in the world I have a thing for right now

is you.

You're such a charmer.