Chicago Med

- Incoming, peds in respiratory distress.

30 seconds out. - We got this.

Hey, love.

What are you doing here?

Aren't you supposed to be home taking care of yourself?

I don't wanna stay at home.

Just can't stop thinking about things.

I'd rather be here, busy.

You sure?

Since we lost the baby,

things with me and tate are just different.

I need to work.

- All right, well, you tell me if you need anything.

Okay? You got this? - Mm-hmm.

You're going to treatment 2.

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.

- Sats? - Uh, low 90s.

Meds didn't do much.

All right, gently.

One, two, three.

Mommy?

- she's just telling her daughter to be calm.

We speak english.

- 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 traveling from? - Ecuador.

- All right, has your daughter ingested any drugs? Alcohol?

Anything we should be aware of? - No.

- Any medical issues we should be aware of?

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.

Definitely volume overloaded.

Let's get five milligrams of lasix iv.

Bp, 108 over 82.

- Heart rate, 110. - 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.

Thank you.

- Incoming. Dr. Manning? - Yep.

Teresa azen, 25.

Persistent vegetative state.

Brought in by her long-term care facility

after blood was discovered in her urine.

- Now let's get vitals, a temp, cbc, cmp, ua with c&s.

Could just be a uti,

but let's look at her kidneys with an ultrasound

to rule out hydro from a stone. - Got it.

- All right, on my count, one, two, three.

Brain injury? - Car crash.

Teresa, I'm dr. Manning.

I'm gonna take good care of you, okay?

g-tube looks good.

Temp, 100.6.

Unresponsive.

No kidney stones. Let's look at the bladder.

How long did you say she was in a vegetative state for?

Five years.

- We need to call the police. This woman is pregnant.

There's vaginal trauma,

which explains the blood in the urine.

Thank you.

- Is this our victim? Both: Yeah.

- It's awful. You ever see anything like this?

- I wish I could say I hadn't. - Okay, let's lift.

One, two, three.

so helpless.

- 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.

- But the rape kit's only supposed to reveal dna

for the past five days.

How is this gonna help? - 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.

- Hey, teresa's parents are here.

Okay.

David and angela azen,

this is detective lindsay and dr. Manning.

- I am so sorry for what happened to your daughter.

- How could someone do this to her?

- Are you gonna catch this monster?

- Yes, we've already opened an investigation,

and finding whoever did this is a top priority for us.

I just want you to know,

we are gonna give your daughter the best possible care.

- Why don't you go spend some time with your daughter?

- 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.

You're not listening!

You don't belong here. Get out!

Get out! - That's enough, tom.

Why don't we go work on your art project?

Who are you?

- Uh, I'm dr. Reese. I'm visiting from chicago med.

He's right.

I don't belong here.

All the doctors think I'm crazy, but I'm not.

Dr. Reese, we're moving on.

She's the worst.

Hey, just so you know,

"crazy" is a word I never use.

- 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.

- She's on a solid dose of morphine.

- Ah. And what about consults?

- Uh, we have two in the micu, one for an aortic valve,

and the other for a potential bypass.

- All right. Let's go have a look, everybody.

- Uh, just a moment. Uh, one more thing...

More of a question, really.

What does a jewish pirate say?

- I beg your pardon, dr. Latham?

- Ah, what does a jewish pirate say?

Ahoy vey.

Get it? Ahoy vey.

all right, that's a...

That is a good one, dr. Latham.

- Jewish humor. Long tradition.

Shall we move on to the micu?

- So I take it that your tms treatments are going well.

- 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.

Oh, uh, well, what is it?

Camaraderie, dr. Rhodes.

Camaraderie.

hey, check out what I got you.

Mousse de maracujá.

Your favorite.

When I was, like, eight.

- Well, still, I thought it might make you feel better.

He's trying, April.

No one knows what to say.

There's nothing to say.

- How were rounds at the youth hospital?

Brutal.

I'm sure there's a more clinical term, but...

I hear ya.

- it's really hard to see so many teenagers

suffering from psychological trauma.

- Yeah, younger patients are the hardest.

Very tough to draw a line between an actual disorder

and good old-fashioned adolescence.

- How do you learn to make that call?

Tourist asks a new yorker,

"how do you get to carnegie hall?"

practice.

Hi.

So teresa is approximately ten weeks along

in her pregnancy. - oh, god.

- Fortunately, termination will be a painless procedure.

Wait, termination?

We don't want that.

We wanna keep the baby.

I'm sorry.

I thought, given the circumstances...

mr. And mrs. Azen,

nothing has to be decided today.

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.

The only part we have left.

- 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.

- Why? Her brain has been injured,

but her body's healthy. - 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.

- But those are just risks, right?

It could all work out.

They are extremely high risks.

- If you have your daughter go through with this pregnancy,

there is a chance that she will not survive.

She's hardly living as it is.

If she dies giving birth, maybe that's a merciful outcome.