Chicago Med

The conjoint twins Dot and Lily Cronin

spent an uneventful night in our Pediatric Intensive Unit.

They will be evaluated this morning,

and if they remain stable, the surgical team,

under the supervision of Dr. Frisch and Dr. Latham,

will attempt to separate them.

Lungs sound clear.

The latest chest X-rays are good.

No infiltrates.

Vitals and saturation are stable.

The girls are healthy.

In my opinion, they're strong enough for surgery.

- Dr. Rhodes? - I agree with Dr. Bekker.

Actually, Dr. Rhodes will not be in the operating room.

Dr. Latham and I will be performing

the cardiothoracic portion of the separation.

What?

You've been so involved since the beginning.

What if we spoke to Dr. Frisch?

Believe me, Dot and Lily have

the finest surgeons in the hospital.

We'll be back soon to take the babies to the O.R.

Excuse me.

Connor...

why aren't you on the team?

He pulled himself out.

Why?

Because we lost a patient?

I lost her and her baby,

because of my poor judgment.

I made the wrong call on her treatment.

But the Cronins are counting on you.

They're counting on the team.

She's right.

Look, I can understand if you're having second thoughts.

Yeah.

I'm worried about my sister.

Why? She told you she was going to Las Vegas.

Yeah, but she's not returning my calls or texts.

She's ashamed she stole those drugs

and lied about it.

I still think we could've handled it better.

Handled it better? Emily committed a crime.

She's lucky she wasn't arrested.

As soon as she wants something, I'm sure you'll hear from her.

- Morning. - Good morning.

- What? - Dr. Halstead, incoming.

- Hey, after work... - Mm-hmm?

You wanna meet me on the balcony?

- Okay. - All right.

Monique, with us. Cesar?

Bert Goodwin, 60-year-old male.

Goodwin?

Trauma One.

Neighbors found him unconscious in the garage.

Motor running. Intubated in the field.

Carbon monoxide poisoning.

Tachycardic at 120. BP, 145 over 95.

EKG shows slight ST depressions.

Sats at 92%.

Okay, on my count, one, two, three.

Monique, 12-lead EKG.

We need a carboxyhemoglobin level.

CBC, BMP, coags, lactate, troponins, and a chest X-ray.

- Got it. - Maggie, call the ICU.

Have them set up a hyperbaric chamber.

Copy.

And page Ms. Goodwin. Let her know.

- Is this her husband? - Ex-husband.

How's the position of the twins?

Good for peds surgery.

- CT? - Bit of a shadow in my field.

Can we adjust the light?

Good.

Has everyone got room to work?

No, bypass is in my way.

What if you move the machine to the foot of the bed?

You could run the tubing along the sides.

That way, you won't cross with anesthesia.

Ah. Good idea.

Tell me again why you're not in there.

So, are we good to go?

All right, it's show time.

The pressure in the chamber

unbinds carbon monoxide from hemoglobin.

It allows oxygen to bind.

Now, we've already seen a significant improvement.

Bert's carbon monoxide levels

are down from 55% to 15.

Now, at 10%, we can take him out of the chamber

and lighten the sedation.

He could've pulled into the garage and fallen asleep.

Maybe he had a mild stroke.

We'll test for that.

His girlfriend died, Dr. Halstead.

He tried to kill himself.

Dr. Choi, that homeless girl

that you treated a couple months ago,

she's back with her friend.

They're asking for you.

Hey, Nat...

- Yeah? - You free?

Kiki, Deb, you remember Dr. Manning.

- Hi. - What's going on?

Oh, she's really sick.

BP's 102 over 68.

Heart rate, 112. Temp, 100.

My stomach hurts. Headaches.

You are running a fever, so let's take a look

and see what's going on, all right?

Hey, Deb, you're looking a little under the weather too.

I'm just tired.

Still living on the streets?

It's okay. Not so cold.

Her liver is slightly enlarged.

- I'm gonna be sick. - Okay.

We can help you with the nausea.

4 milligrams of Zofran.

We'll run some tests.

Let's get a CBC, BMP, LFT, hepatitis panel.

Whoa, whoa, whoa, whoa.

Ah. Let's get Deb into a room,

take a look at her.

Okay. Come on, I got ya.

Better run the same labs for Deb too.

Yeah.

Mr. Goodwin, do you remember me?

I'm Dr. Halstead.

- Mr. Goodwin... - I remember.

Good.

Can you follow my finger?

Okay. How 'bout this?

Can you touch your right forefinger to your nose?

Mr. Goodwin, can you try to touch

your right forefinger to your nose or...

Why didn't you just let me die?

We're gonna get you through this.

I'll be back to check on you soon.

I think he'll be okay.

Damn, Bert.

How could you do this?

Can't you think of anyone else but yourself?

Sharon, come on.

It... it's selfish and pathetic.

Not helping right now.

Attempted suicide is an automatic five-day psych hold.

Fine.

Sharon, do you have a minute?

The board wants to meet with you.

Wha... what is it? More complaining about

the money we're spending?

- I have to go. - Sharon...

Look, I... I have a situation to deal with.

Tell them I'll get back to them.

This facility, Holly Oaks,

has a good staff-to-resident ratio.

They also have a nice package of supplemental services:

Art, music, pet therapy.

It's still a nursing home.

It's a cardiac rehab facility.

Why can't I go back to my apartment?

No. You just got a new heart.

You have to be monitored very closely,

particularly for the first three months.

I don't deserve you.

Can we just focus on finding you a place to live?

You're about to be discharged.

But it's true, Sarah...

I don't deserve you.

Dr. Haywood, time to get you in the cardiac chair.

- Can't it wait? - No.

No, you have to change position to prevent pneumonia.

Find a place you like.

We have a public health issue.

Liver panels came back.

Both Kiki and Deb tested positive for Hep A.

Oh, no.

We need to admit them to the PICU.

Yeah, but then what?

It'll only be for a couple days.

Then they'll wanna go back out on the streets,

and they'll be... They'll be contagious.

- Highly contagious. - We have to report this.

I... I understand they live in some kind of encampment?

Yeah, with a bunch of other kids in close quarters.

It's got to be cleared out.

DCFS will have to find homes for these kids.

Meanwhile, let's get a team over there

to see who else is infected,

and immunize everybody who's been exposed.

Natalie and I should go.

We've treated them. They know us, April too.

Okay, I'll stay and look after Kiki and Deb.

All right.

Please, can we have just one more minute?

Yeah. Guys, hold on.

We love you so much.

Are we doing the right thing taking this risk?

Yes.

Look after them, Dr. Rhodes.