Chicago Med

Ben and I are getting a divorce.

I really just wanna move on.

I'll be around the ED more often if I can ever help out.

Are you flying anywhere today?

- No, shift just ended. - Treatment seven.

Welcome to the team, Dr. Johnson.

Something's wrong with Dad.

He's forgetting things.

It's getting worse.

He doesn't know where he is.

Damn.

You've already flamed out of two hospitals,

and you're doing your best to flame out of a third?

So I'm not fired?

Medical ethics course.

If I were you, I'd take notes.

Wow.

How does that make you feel?

I'm not sure.

It is what it is.

- Good morning, Peter. - Morning, Maggie. Dr. Ahmad.

Do we have a notary in house?

I have some papers to sign.

Yeah, Edward.

I'll send him down at the end of the day.

You need some help?

- Are you a doctor? - I am. What happened?

I don't know. I've never seen this man before.

He was wandering a couple blocks from here.

He kept saying, "Help Betty."

He's really cold.

Okay, let's get him inside.

Betty.

Dr. Sorensen.

No, I'm Dr. Ripley.

Nancy, he's hypothermic.

I need blankets and warm IV bags.

On it. You're going to five.

Okay.

Help Betty.

Betty?

Hey, Daniel.

- Morning. - Good morning.

When was the last time you saw Bert?

Not for a while.

I mean, come to think of it,

I did call him a couple weeks ago,

and he was in a hurry.

Said he'd call me back, and I'm now realizing he never did.

Yeah, and is that something you've noticed...

- his memory? - Not really.

I mean, that could happen to any of us.

I mean, I do that stuff all the time.

Why? Are you worried about him?

I don't know, but Tara is.

And he was here.

He fell when he was watching Isaiah.

He fell?

Yeah, nothing serious, but he did twist his knee.

He just seemed a little confused,

and I wouldn't be concerned,

but Bert does have a family history of dementia.

We should probably have him checked out.

To get Bert to see a doctor for anything is an ordeal.

- You know that. - Right, tell me about it.

But he's coming here today for a follow-up on his knee.

Oh, well, why don't I just, you know,

spontaneously stop by, have a little chat?

That would be great.

Thank you.

Hi, Alex.

- Hi. - I'm Dr. Ahmad.

Emily. My husband, Mark.

So I see that your heart rate is fast.

I don't feel it.

But his watch says it's at 140.

It's probably nothing, but that's why we brought him in.

Well, your watch isn't lying, 140.

Rest of your vitals are good.

Is there anything bothering you?

No, I feel fine.

Normally, he eats like a horse,

but the last couple of days, he's hardly had anything.

I just wasn't hungry.

Lungs sound good.

Lymph nodes aren't swollen.

Any tenderness?

Mm-mm.

What about here?

Yeah, a little bit.

What does that mean?

I'm not sure, but I'd like to order a CT to find out.

- Okay. - I'll put the order in.

I'll be back to check on you soon.

- Thank you. - Yeah.

Thank you.

- Loren? - Maggie.

Kaitlin Neeley, 28, septic shock.

Leukocytosis and hypotensive.

BP 80/43, temp 103.5.

She was pregnant.

Water broke at 15 weeks pre-viability.

That was two weeks ago.

It's not there. It's not there.

No, don't say it.

- No, no. - Honey, everything's okay.

We're at the hospital. They're gonna take care of you.

They were driving here, but she got so sick, they had to pull over.

Rural clinic didn't have the capabilities to care for her,

- so they called me. - Okay.

Can I help?

No, unfortunately, this is OB.

- Hannah. - Yeah.

Kaitlin Neeley, 15 weeks, water broke.

White blood count is high.

This is her husband, Eric.

All right, Maggie, start a second IV.

- You got it, Doc. - Did they perform a D&E?

No, the doctor said they had to wait

for her to pass the remains on her own.

Okay, CBC, CMP, lactate, and blood cultures.

Oh, honey!

Honey!

I need to start your wife on antibiotics immediately.

Do you know if she's allergic to any?

- She isn't. - Okay.

Triple up... ampicillin, clindamycin, gentamicin.

Copy that.

Your wife is very sick,

but we're gonna take good care of her.

She's been carrying fetal remains for two weeks.

Oh, my God. And she couldn't get a D&E?

No, her doctor wouldn't do it.

Why?

How's our patient?

Better.

Temp's come up to 95.

How is his cognition?

Sir.

Can you tell us your name?

Jimmy.

Did you hurt yourself?

- Maybe hit your head? - No.

Betty.

Who's Betty?

My sister.

No ID, but he had this Post-it in his pocket.

It's a telephone number.

What happened to Betty? Where is she?

Home. She got sick.

Get Dr. Sorensen.

Is... is that her doctor or your doctor?

Dr. Sorensen.

Does he work at this hospital?

- Yes, here. - Okay.

Okay, see if you can find this Dr. Sorensen

and try that number.

We're gonna take good care of you, Jimmy.

Okay?

Oh, thank you.

Dr. Charles?

I've got an elderly patient,

severely hypothermic.

No visible injuries, um,

but he's pretty out of it.

No ID other than a phone number.

I'm thinking he's got dementia or maybe wandered away

- from a care facility. - Oh.

You wanna give me your take?

Sure.

His name's Jimmy.

Shoot me his chart. Give me a couple minutes.

Yeah.

Hi, Alex. Mr. and Mrs. Foster.

This is Dr. Marcel. He's one of our surgeons.

I've asked him to consult.

Surgeon? Why?

Well, Radiology said that Alex's CT was equivocal,

meaning it was inconclusive.

But what it did show is a possible appendicitis.

And from my experience, with Alex's elevated heart rate

and loss of appetite,

I believe that is, indeed, the case.

So I'd like to operate.

Wait, so you're not sure it's appendicitis?

No.

Why do I have to have an operation?

Because if it is appendicitis and your appendix bursts,

that would put you at risk of an infection in the belly,

and that could be life-threatening.

Oh.

But we can avoid that with a minimally invasive

laparoscopic surgery done with a camera

through several small incisions...

what we call a Band-Aid surgery.

I agree with Dr. Marcel.

A laparoscopic appendectomy is the best course of action.

Most likely, he'd be done in half an hour.

Mom? Dad?

Yeah, okay.