Chicago Med

- And easy on the CrossFit for a while, okay?

- Okay. - Thank you.

Just cleared Treatment 3. Just got to turn it over.

- Sure. - Man, we're up again already?

- Looks like it. - What's going on?

Who are they? - Big brother.

Hey. - Oh.

- Up. - JCAHO.

- Yeah, they're doing a surprise site survey.

- Who's JCAHO? - The Joint Commission.

They rate the performance standards

of hospitals and certify them.

- So far, JCAHO's reports have been positive.

So let's keep it that way.

Stick to protocols and with big smiles.

Dr. Choi, we're gonna need

some of your Navy-inspired discipline today.

- Sorry, I'm with the paramedics today.

- And discipline, that a nice way of saying I'm a tight ass?

- Oh, yes. Tight.

I didn't say that.

- And, uh, getting those docs in line,

isn't that the chief resident's job anyway?

- Wonderful, the guy enforcing the rules

is the one who's always breaking them.

Yeah.

Good luck with that.

Code One team to the ED.

- What do we got? - Nathan Clay.

58-year-old male. "Peeds" versus auto.

GCS 12. Vitals stable.

Gross deformity to the left upper arm.

- Right in here. - Ow.

- Mr. Clay? On my count.

One, two, three.

- Central line and a CVC catheter.

- Right away. - Airway's intact.

Breath sounds clear bilaterally. - Ow!

Tenderness in the left chest

and thoracic spine. What happened here?

- He's walking with his wife on Michigan Avenue.

Suddenly flips out, starts wailing on her.

A couple of Samaritans jumped in to help out.

He takes off right into traffic.

Score one for, uh, karma.

12-lead EKGs, chest x-rays,

CT of the chest, abdomen, and pelvis,

with recons of the TLS spine.

- On it. - Leave me... no.

Leave me alone. I'm fine.

- Laura Clay. 55-year-old female.

GCS 15. - I'm fine.

I need to get to my husband.

- Whoa, whoa, whoa. Ma'am, ma'am, ma'am.

Okay. - Heart rate's tachycardic.

This is all my fault.

Look, I blocked my fall with my hand, not my C spine.

I'm neurologically intact.

- Technical. Are you a doctor?

- Yes, yes, I am. - Laura! Please...

- Dr. Rhodes! - Honey, I'm here.

- Ma'am, stay right there. - I'm right here.

There are too many of them!

- I'm here, my love! - Help me!

- 2... I need restraints. 2 of Versed and 5 of Haldol.

- There are too many of th... - No, not Haldol!

Quetiapine. He's not abusive.

He has Lewy Body Dementia.

- Wait, scratch the Haldol. 25 of quetiapine.

- Laura! - It's all right, my love.

What the hell's Lewy Body?

Debilitating form of dementia.

Alzheimer's meets Parkinson's.

He took a pretty good whack.

He's got a chest bruise, left first rib fracture,

proximal humerus fracture.

- How are his labs? - It's all good.

Calcium was elevated.

I suspect he'll develop a kidney stone down the road,

but it's likely he's had a few before.

Prior heart surgery?

- Says it was a quadruple bypass.

Had it done at Northwestern five years ago.

- He remembers the details? - Yeah, he's lucid.

Somewhat. All right, EKG is normal,

but because of the prior heart surgery,

I'm gonna repeat it every few hours.

He's all yours.

Mr. Clay?

Mr. Clay, I'm Dr. Charles. How are you feeling?

My wife, Laura, where is she?

- She's being treated right now, but will be in shortly.

I hurt her again, didn't I?

This isn't the life she deserves.

Mr. Clay?

Mr. Clay?

- Damn, you got the online thing down, huh?

- There was a time. - Yeah, what's her name?

- Easy. She's taken.

- Vicki. Doctor at the VA.

Oh, man.

There are so many female paramedics

who are gonna be sorry to hear you're off the market.

Couple guys, too.

- Well, you let 'em down easy for me.

All right.

You sure you gonna be okay back here?

'Cause we can just throw Desmond in the back.

Eh, I'm fine.

Ambo's like the Humvee. You sit where there's room.

Comfort's not a factor. - Well, good.

This day's gonna go by quick then.

- Ambo 61, 40-year-old male down in his home.

222 Bromley Avenue.

Some kind of lower extremity insult.

He's in severe pain, possibly trapped.

- Copy Main. Ambo 61 responding.

All right, we're on!

It doesn't make any sense.

I've had Boomer since he was a puppy.

He's super loyal. I leave the room for a second,

he's looking for me.

I had a dog like that.

- He might nip a little, but this was a full-on attack.

- In my experience, dogs can be unpredictable.

Even really friendly ones.

- Sometimes if a dog's in pain, though, he...

He wasn't.

We were playing tug of war, like we always do.

- Dog bites shouldn't be stitched.

They need to stay open

so the wound doesn't become infected.

Also, I'm gonna give you a tetanus shot

and an antibiotic.

- Boomer's healthy. He's had all his shots.

It's just a precaution.

Paul's in trouble down there.

- Did you call 911? - Yes, I'm his neighbor.

Paul?

It's the paramedics.

- Ooh. - Ooh, that's ripe.

- Man, look at this. He's a hoarder.

What do you think?

You good going in there?

- I'm good. - Okay.

Uh, get the truck company here.

Tell 'em they're gonna have to help dig us out,

and grab me a second radio.

You got it.

Paul!

Everything okay?

Okay.

- Third squad caught a high-rise fire.

Dispatch is pulling a truck from up north to help us out.

It'll be a while before they get here.

- In the beginning, I wanted to think it would pass.

Any wife would, but I'm also a neurologist,

and I couldn't ignore his symptoms.

- Oh, so you diagnosed the Lewy Body Dementia?

- Yes, but I got second and third opinions,

and they both agreed it was LBD,

and that was about four years ago.

Four years, really?

You know, Nathan expressed deep regret to me

about the pain that he's caused you.

That kind of insight is rare

for somebody who's been battling LBD for that long.

- Well, my husband was an engineer,

and his brain is wired to solve problems.

Last year, I retired early.

I wanted to devote more time to his cognitive therapy.

Hmm, well, it's been working.

- There's moments when he's lucid.

But more and more, it's this.

Mrs. Clay,

Nathan's latest EKG is still normal.

I want to do another one in a few hours,

but if it is good too, I'll discharge him.

- Thank you, doctor. - Mm-hmm.

- I know that it would be better and safer for the both of us

if Nathan went to a care facility,

but if I do that, then it's over.

And I'm not ready to give up our Sundays

listening to opera.

I know it's hard to imagine, but my Nathan is still in there.

Last week he made me dinner, Florentine lasagna.

He can still cook?

- Well, meals take longer to prepare than they used to,

but...

he does it for me.

He's fighting just as hard as I am.

Hi, honey.

Everything's gonna be okay.

Everything's okay.

How you doing, Ethan?

- Fine, as long as I breathe through my mouth.

- Is it as tight in there as I think it is?

It's worse.

Are you claustrophobic?

Didn't used to be.