Chicago Med

- The night that you left, I kissed Crockett.

I'm sorry.

- April? Really?

Huh? All this time acting like this?

Come on! - Hey!

- I couldn't let you keep treating patients.

I had to make your addiction known.

- What you did was a betrayal. - You're an excellent doctor.

I wasn't about to let you throw your life away.

- You were right. They gave me my life back.

It's beautiful, Ben.

You're beautiful.

- I pronounce you husband and wife.

- I'll say it till the day I die

there is no better pizza than Chicago deep dish.

- But it's not even pizza. It's lasagna.

- We're gonna have to agree to disagree.

I will not agree to disagree.

No, you are flat wrong.

Flat. The way that pizza should be.

Lasagna, huh?

That's good. Smart lady.

- No, Dr. Charles, not you too.

- I don't know that that you and Dr. Asher were...

- Friends. - Yeah.

Good. That's good.

And?

- And she needs a strong support system right now.

So I'm glad that she has you as aas a friend.

Look, I get it.

Romantic relationships are discouraged

during the first year of recovery.

- Neurochemically, very little difference between

the dopamine rush that we get from drugs and alcohol

and the rush that we get from romance.

- Well, you know, I'm sure as with anything,

there are exceptions to the rule.

- I have never actually seen that go well.

Well, at least not in my, you know,

three decades of experience counseling people in recovery.

Next!

Hey.

So how are things with Ethan?

Okay, I guess.

I tried to get him to talk about it,

and he hasn't wanted to.

- Hmm, maybe that's his way of processing.

- Yeah. Maybe.

Will, you're up.

Ambo's landed. You're going to Trauma 2.

All right.

- Evelyn Myers. 49-year-old female

with progressive early-onset Alzheimer's.

Passed out at home.

Did a 12-lead in the ambo. She's got peaked T Waves.

- And did she hit her head when she passed out?

- Her daughter, Molly, didn't think so.

No overt signs of head trauma.

- I'm pretty sure that she didn't,

but I was in the other room when it happened.

I shouldn't have left her alone.

Evelyn, I'm Dr. Halstead.

All right, on my count. One, two, three.

Thanks, guys. - Yup.

Rhonchi, both sides.

Blunted breath sounds at the base.

2 plus pitting edema.

Yeah.

Molly, is your mom on any medications for kidney disease?

I'm not sure.

She takes something called Capto...

- Captopril? - I think so.

Sorry, I'm not with her every day.

I'm just home for spring break.

- Any family history of kidney problems?

Uh, yeah, yeah.

My grandma, my mom's mom,

she had something wrong with her kidneys.

My dad will know what it's called.

- CBC, CMP stat. - What's going on?

Molly, I told you to call me if anything happened with Mom.

- Sorry, Dad. I just freaked out.

It's okay.

- Hi, I'm Dr. Halstead. - Elliot.

- Elliot, well, we still need labs,

but I suspect Evelyn's in acute renal failure.

In which case, she needs emergency dialysis.

- No. No dialysis.

It's against Evelyn's advance directive.

- Don't listen to him. He lies.

- Evelyn, honey, you signed an advance directive.

- Advance directive? What is that, Dad?

- No, I didn't sign anything. No.

- You don't want dialysis, my love.

- Yes, I do. I do!

Help me!

.

Hey, take a look.

- Did you get Mrs. Myers' lab work back?

- She's profoundly uremic and hyperkalemic.

She's not making urine.

If we don't dialyze her, she'll die.

- Well, I've reviewed her advance directive.

She prepared it shortly after her Alzheimer's diagnosis,

and I'll tell you, Mrs. Myers outlined

a number of interventions she didn't want including dialysis.

And she appointed her husband to be her proxy

when she could no longer speak for herself.

- But she can speak for herself,

and she has changed her mind.

I mean, people can modify their advanced directives

at any time, right?

- As long as they still have decisional capacity.

Well, you do an evaluation

and then we'll take it from there.

Great.

- Sharon? - Yeah.

- Your assistant called. Michael's plane has landed.

Oh, good.

It's silly, I know, but he's 33 years old.

Mm-hmm.

- I still get nervous when he flies.

I guess I just feel a lot better

when I know he's got two feet back on the ground.

Well, he's your baby boy.

How long is he in town? - Just 24 hours.

Interviewing for a sales job at Kender Bio Systems.

I would love to have at least one of my kids

living in the city.

Need some help over here!

This is Nick Elms.

Experiencing severe abdominal pain.

Haven't finished uploading his information into the system.

- I can tell you anything you need to know.

I'm his wife, Alice.

- Trini, where we headed? - 4's open.

Just breathe.

- All right, Mr. Elms, we're gonna take you right here.

Ready?

One, two, three. There you go.

All right. When did the pain start?

Last night.

Nick has a condition called familial adenomatous polyposis.

It causes polyps in his - Colon and rectum.

I'm familiar.

- When was he first diagnosed? - Five years ago.

It had already developed into colorectal cancer.

He had multiple runs of chemo,

but it came back again last year.

He developed congestive heart failure from the chemo.

Nick, can you tell me

when you had your last bowel movement?

Yesterday morning.

No, the day before.

- All right, well, we do need a CT scan,

but I'm worried there's a colonic obstruction.

Which means a colostomy, right?

Mm-hmm.

- My doc warned me that was coming.

Well, it may be short term.

In as a little as 12 weeks, they can reverse

That's long term for me, Doc.

I got four months left at the most.

I really gotta spend it defecating into a bag?

- Hey, Mags, can you page general surgery for a consult?

Patient is Nick Elms.

Late stage colorectal cancer due to FAP.

Suspected colonic obstruction.

- Mm-hmm. - Thank you.

Got it.

- Hey, Mags. - Mm-hmm?

I can do the consult.

You sure?

I thought you were clocking out.

- Yeah, well, I got nowhere to be till cocktail hour.

Have at it.

Come in.

Bert.

What's up?

Sorry to show up unannounced.

I spoke with Michael.

With him in town, I thought it would be a good opportunity

to smooth things over with him.

Our relationship hasn't been the best since the divorce.

- That's between you and Michael.

- I just thought if I told him about us...

Whoa, whoa, whoa.

Uh, told him what exactly?

- Jus that we've been seeing each other.

I should've checked with you first.

- Yeah. That would've been nice.

And now we're seeing each other?

We're seeing each other?

- We go out once a week, Sharon.

What would you call it?

- Look, Bert, I don't have time for this.

Okay.

- Babe, what are you doing here?

And who's your sidekick?

- This is Auggie, one of my students.