Chicago Med

.

Oh, my God.

Is this why you ended things with me?

Ended things with you?

Did you go out with my daughter?

- There are several tumors. - Is it malignant?

- We'll send the tissue for pathology.

Is that your wedding ring?

- The Chief of ED at Andrew's hospital

is retiring.

Andrew wants to put me up for the job.

- It's been nice, you know, having my old rival back.

But, uh, you gotta do what's right for you.

- Is my 5:30 Thursday still available?

- I'm trying to lighten my patient load.

- I deserve a little more of an explanation.

After 20 years, I don't-- I don't make the cut?

- I have developed feelings for you, Daniel.

Thank you.

- Oh, hi. - Hey, there.

- I was just on my-- - What are you doing?

You go.

- I'm on my way up to Medical Records.

Need to sign a few charts.

Nice to see you.

Have a good day.

Hey. Hey, Lonnie?

Look, I accept the fact

that you can't treat me anymore,

and I--I respect that.

But, I--it's also--

it's important for me to tell you

that--that the-- the work we did together?

Um, you really helped me. A lot.

And I wanted to thank you for it.

I appreciate that, Dan.

Okay, take care.

Hey.

Daniel? - Hey.

- You seeing her in person again, huh?

- No, you know, she, um--she dumped me.

- She's been your therapist for years.

What happened?

- She developed feelings for me.

- Feelings? - Yeah, romantic feelings, man.

She give you a referral?

- Well, sure, but I mean, you know,

changing shrinks is not exactly like changing sneakers.

You know? - True, true.

Are you okay? - Yeah.

How're you doing?

- You know, I think I left my phone in the car.

Look, I'm going to be here all day,

so if you want to talk some more...

I'm fine.

But thank you, and I'll see you around.

All right.

- You're going to T2. Thank you.

- Hey, biopsy results come back yet?

- Not yet, but the lab promises

that sometime today.

- You know there's a good chance it's benign.

I'm not so sure.

I had cancer before. - Oh.

It's just--

- You're afraid your cancer's come back.

breathing shakily]

Chest sounds good.

X-rays, a lot better.

As long as he continues to improve,

I don't see any reason why we can't discharge him.

- Oh. - It still hurts.

- Yeah, well, pneumonia's no joke, D-man.

Look, I'ma give your mom some medicine

to make you feel better, okay?

Due to his pneumonia,

it'll be a couple weeks before he can

go back on chemo. - Okay.

Any word from Terrell?

No.

And he's never stayed away this long.

This isn't like him.

- Thank you. - Sure.

Morning, Ms. Goodwin.

Dr. Shentu.

- Seems like the Med staff is adapting well

to our new guidelines.

Yournew guidelines.

And you really think so?

- In any case, I appreciate the cooperation.

My God, look out!

Please, help me! - We got you.

It's okay, it's okay.

- I need a 911 and the emergency response team

out front, main entrance.

Single vehicle crash, driver responsive.

The patient's car hit a concrete barrier.

The airbag deployed,

but no visible signs of injury.

Heart rate's steady.

- Having a lot of generalized pain.

- Okay, everyone, let's get ready.

Got it? On my count.

One, two, three.

Okay, let's get a cannula and IV in.

Let's put her up on a monitor, draw trauma labs.

We need x-rays stat.

- Yup. - Dr. Shentu.

BP 95/65.

- Heart rate and sats not picking up.

Cycle it again.

Clear.

Chest is okay.

No hemo or pneumothorax. Mediastinum is normal.

Ultrasound? Thank you.

Fast is negative.

Got an ID.

Name's Gia Lindahl.

- I can see if there's a history.

- She's too distracted to clear her C-spine.

Let's keep the collar on for now.

Dr. Shentu, pupils?

Yeah. Spare penlight?

Pupils equal and reactive. Little sluggish.

- Ms. Lindahl, can you hear me?

Ms. Lindahl?

GCS 12.

She is a patient here.

One of the first we treated for COVID.

Been back a few times with long-haul symptoms.

- Give her 50 mics of fentanyl.

Let's get a pelvis x-ray,

and let's send her up to CT for a pan scan,

and make sure we add a tox to her blood and urine.

Yep.

- Dr. Shentu, why don't you see this through?

Uh, certainly.

- And Dr. Taylor, you run point.

Doris, let's get the doctor a pair of scrubs.

Okay.

- Did you just assign the compliance officer

to a medical case?

He's a critical care doctor

who's credentialed at Med.

- He's a bureaucrat. A suit.

- Nevertheless, I know you'll be accommodating.

- Yeah, do me a favor, keep me briefed

on Dr. Shentu's performance today.

Sure.

.

Oh, God.

Why does my body feel like it's on fire?

Given everything we've seen,

we think you have a condition called fibromyalgia.

Let's give her another 50 of fentanyl.

Fibromyalgia?

- We've seen it in long-haul COVID patients

like yourself; there's even a name, "Fibro-COVID."

What causes it?

- We think it's due to a problem in the way

that the spinal cord and the brain

process pain signals.

It's not life-threatening, but it is--

It's terrible.

- We need a rheumatology consult,

but for right now, we're giving you

more pain meds so you can get some rest,

all right?

The good news, Gia?

According to your scans,

there were no serious injuries with your crash.

Oh, I'm so sorry.

I should have never driven myself.

- Dr. Taylor and I are just happy you're safe

and getting the treatment you need.

- Fibromyalgia. - That's tough.

Yeah.

So how are you thinking of treating her?

- There's data on patients responding very well

to Xyrem. - Xyrem?

As I recall, it's not FDA-approved for fibromyalgia.

- Right. - Yeah, it's only approved

for cataplexy and narcolepsy.

We'd be using it off-label.

And per your new mandates,

our doctors can't prescribe off-label meds

without the patient's consent.

- And she's sedated now, so she can't.

- Well, then as soon as she wakes,

we'll, uh, explain the situation

and ask for consent.

- Yeah, seems like your only option.

Dr. Scott!

I understand we're doing a transplant

on a patient of yours. - Yeah, yeah.

I was glad you and Dr. Blake got the case, man.

- Well, we're gonna take good care of her, all right?

Thank you.

- Dylan, I could use an extra set of hands in here.

30-something male. GCS 10.