Chicago Med

***

Ehi.

Look like you could use an aspirin.

What time did you make it home from Molly's last night?

- I didn't. - Oh.

Walk of shame? I mean, I've been there.

Dr. Rhodes, I need you.

I'm not on Trauma today, Maggie.

Not a Trauma. Robert Haywood, Dr. Reese's dad,

CFD just arrived with a STEMI alert.

Yeah.

Courtney, you're going to T Two.

Robert Haywood, 58-year-old male

with known history of heart failure, CAD, and...

Ischemic cardiomyopathy. Yeah, he's my patient.

Heart rate, 95. BP, 88 over 44.

New onset angina unrelieved

with nitro and aspirin in the field.

EKG shows ST elevations.

It feels like someone's squeezing.

I know, Bob, you're having a heart attack.

Just try to stay calm, okay?

All right, everybody, on my count.

One, two, three. There we go.

Maggie, you paged.

It's your dad.

- The ambo just brought him in. - What?

Irregular heartbeat. He's in a-fib.

Four of morphine,

esmolol drip, and an aspirin.

Rapid ventricular rate, 210.

He's in SVT and hypotensive. We need to cardiovert.

Give me the paddles.

All right, 5 of valium.

- Charge to 75 joules. - Charged.

Sync and clear.

Back to sinus rhythm. Rate, 88.

All right, Maggie, call the cath lab.

- Tell 'em we're on our way up. - I got you.

- Ready? - Wait.

All right. Let's go.

Come on, Sarah, you can ride up with us.

Sarah?

We stented your right coronary artery,

and we placed a balloon pump.

Now, your ejection fraction is low,

so I'm afraid that you're gonna have to stay in the ICU...

Until a heart becomes available.

Mm-hmm.

It's just as I predicted.

Though, I'll admit, I didn't expect to end up here so soon.

You are at the highest status on the transplant list.

But only for 30 days.

If I don't get a heart by then...

Ah, we'll... we'll cross that bridge when we get there?

Took the words right out of my mouth, Bob.

I'll see you soon, all right? All right.

Oh, Dr. Rhodes,

do you know if, uh, Sarah's here today?

Uh, I'm not sure about that,

but I can check on it for you.

Hey. I heard about your dad.

I'm sorry. If you need to talk or...

I don't.

But thanks.

Dr. Sexton, heads up.

- This is Henry Lee. - How are you doing, Mr. Lee?

You're going to Treatment Two.

Congestive heart failure and metastatic stage four

non-small-cell lung cancer.

Stopped chemo last month.

All right, Mr. Lee.

Hey, Henry.

There's my girl.

You two know each other?

Old friends.

Henry used to come into the ED once a month

for his heart meds.

Been missing you around here, man.

Okay, where does it hurt, Mr. Lee?

Faster to tell you where it doesn't hurt.

Give 5 of morphine IV.

Bibasilar crackles.

Add 20 of Lasix and order a chest X-ray.

Henry has a history of malignant pleural effusions.

Every time they drain my lungs,

suckers just heal right back up.

Okay, well, we can put in a drainage tube.

No, no, no more procedures.

No needles, no tubes.

I'm done with all that.

Yes, sir.

Henry's cancer's everywhere.

Hey, does he have any family?

Not that I know of. His wife is deceased.

I'm pretty sure he lives alone.

Okay, well, we'll have to transfer him

to a hospice facility.

I'm sorry, April.

Choi, Halstead, walk with me.

CFD's inbound with two teenage boys

burned in a house fire,

one of which is Carter Singleton the Third.

Singleton?

Yes, as in the soon-to-be-constructed.

Singleton Center for Diagnostic Radiology.

Huge donors, and Goodwin's godson, so...

- VIP. Yeah. - Yeah.

You're going to Treatment Six. Desmond?

16-year-old male, 22% second-degree burns.

BP, 120 over 82. Heart rate, 110.

- A friend's right behind. - Bo? Where's Bo?

Bo Williams, 17 years old.

85% third degree burns.

Couldn't get a BP, but palpable radial pulse of 112.

Kids a real hero. When we got there,

he was giving his buddy CPR on the lawn.

Okay, gently, one, two, three.

- 100 of fentanyl for the pain. - Yes.

- Thank you, Desmond. - Yep.

All right, lungs are clear.

Where'd you learn to do CPR?

- Boy Scouts. - Carter, I'm here.

Is Bo gonna be okay?

He's with Dr. Choi, one of the best.

He's taking very good care of him.

Groin line's in.

I'm having trouble bagging him.

- His chest is cooked. - He needs a chest escharotomy.

- Scalpel? - You're gonna do it here?

No choice. His chest can't expand.

Gotta release the skin tension.

Ms. Goodwin?

Oh, my God, Carter!

Lydia, careful.

Sharon, is he gonna be okay?

Carter suffered second-degree burns.

They're gonna be painful to the touch for a while.

Dr. Halstead, Lydia and Maurice Singleton.

Son, uh, how... How did this happen?

Is Bo all right?

Were you with Bo?

That boy is nothing but trouble.

That's not true, Mom.

You know you are not allowed to go over to his house.

Lydia, just lighten up a little bit, please.

Uh, Maria, wash the burns with soap and water,

apply Silvadene cream, and I'll be back to help dress him.

Thank you, Dr. Halstead.

Here, please.

That kid's in pretty bad shape.

Have you notified his parents?

They were visiting some friends over in Lake Geneva.

Driving back now.

That's terrible news to come home to.

Yeah.

All right.

- Hey. - Hey.

So, sidelined for the conjoined twins surgery,

and now you're doing procedures before your morning coffee?

- I like the fight in you. - I'm a glutton for punishment.

Latham made his choice clear.

You know, it's not over until the first incision.

Start playing nice, maybe you'll be holding the scalpel.

Are you all of a sudden rooting for my success?

Not at all, I just hate winning by default.

Bruce Hammond, 34.

Blunt trauma to the chest

following a high-speed car accident.

Negative echo, but a small left hemothorax

and a sternal fracture.

CT's negative for aortic injury.

Yes, but Radiology read that there might be

a small pericardial effusion.

Since he's got a hemothorax, let's put a chest tube in

and see what comes out,

and if he needs surgery,

we can do a high left thoracotomy.

Hold on.

Is that a blush of contrast over the right atrium?

If there's a hole in his heart, he needs a median sternotomy.

Good eye, Dr. Bekker.

If it is a blush, we can't afford to ignore it.

I don't know, opening him up is highly aggressive,

and we don't know whether the contrast

is inside or outside of his heart.

If the majority is in favor of sternotomy...

- I'll follow. - Excellent.

Dr. Bekker, you'll lead. Dr. Rhodes, you'll assist.

Mm-hmm.

Oh, don't look so pained.

I think you just earned yourself some good will.

When did Emma's pain start?

About an hour ago, halfway through ballet class.

I wasn't sure if I should bring her in,

but her mom would have my head if something happened to her.

I was worried that it might be appendicitis.

No, appendicitis would be pain on her right side,

but I would like to get an ultrasound.

You know, when I was young, I wanted to take ballet,