Chicago Med

- Another "3-oh" Prolene. - Here.

Homestretch, Peter.

Just finishing up the aortic connection.

Then we'll start you back up.

Talking to the patient while they're out,

that's a new one.

- It's a nice touch. - Actually, not new.

Just the first time you've noticed.

Thought I'd made more of an impression on you.

The way you can turn a compliment into a dig,

it's quite the skill, Dr. Bekker.

Don't be so sensitive, Dr. Rhodes.

Okay, donor heart is fully attached.

- All right. - Let's get the pacer leads on.

Yes, doctor.

- 100 beats per minute, Marty. - We're set.

Okay then, turn it on.

Excellent contractility in the left and right ventricles.

- No distension. - Healthy color.

Take off bypass?

Looks like this one's going to take, Peter.

There's no better sight, is there, Dr. Bekker?

Can't argue with that.

- No, no, no! - Losing color. It's cyanotic.

Global contractility's way down.

Left and right ventricles severely distended.

Hyperacute rejection.

Donor heart's failing. We need to get it out now.

Damn it. Okay, back on bypass.

Okay, Peter obviously goes back on the transplant list,

but for right now, I only see two options:

- ECMO or an artificial heart. - ECMO's quick and easy.

Peter's on bypass, so the cannulas are already in place.

Downside, he'd be confined to the ICU and likely intubated.

- I'm leaning artificial. - That is a huge surgery.

Peter's already been on the table for over four hours.

The risk of complications, especially stroke?

But if all goes well, he could get out of bed,

walk around, maybe even go home.

Peter waited a year for his first donor heart,

two and a half for the one that just failed.

There's no telling how long the next will take.

Then I guess you really only have one option.

It's Peter's wife, Jane.

Not the post-op conversation I was planning for.

Dr. Rhodes, Dr. Halstead called from the E.D.

while you were in surgery,

asked that you find him the moment you're free.

- Thank you. - Mm.

It's Dan Kennet, my giant-cell myocarditis patient.

- He's back. - Go. I've got this.

All right.

April, this thing tonight, how big we talking?

It's my little cousin's 15th birthday, okay?

It's gonna be some of her friends,

a few family members, low-key.

Yeah, right. You always say that.

Then I get there and it's Carnival.

In Brazilian culture,

fifteen's a huge birthday for a girl.

Baile De Debutante.

- Uh, did you Google that? - Yeah.

Okay, that's really cute.

Oh, you're gonna bring your sister?

I wasn't planning on it.

Come on, you guys have been talking.

Things are going well, right?

Yeah, but Emily's always been kind of a wild card.

I don't wanna spend the whole night worrying

she'll do something to offend your family.

Plus, she probably has a poker game.

Lame.

All right, I'm not gonna push.

I'd really like to meet her, though.

You will...

one day.

He fainted?

Yeah, getting out of the shower.

When I pressed for details,

he confessed to being light-headed all week.

Labs?

Yeah, troponin's way too high.

Left ventricular ejection fraction is 10%.

I've been treating Dan for six months.

Steroids, calcium channel blockers,

ace inhibitors, beta blockers,

no matter what I try, he just keeps getting worse.

Where is he on the transplant list?

Way too low.

Don't let him give up.

Aww.

Hey, Dan. Hey, Sheila.

Hey. We're back too soon.

Listen, Dan, your heart is failing,

so I'm going to adjust the meds that you're already on

and add IV dobutamine.

IV?

Guess I'm not going home today, am I?

Yeah, we've gotta get the inflammation

of your heart muscle under control.

How long in the ICU?

I'm not sure, I'm sorry.

Hey, little B.

Hi.

The hospital has a daycare center.

- I can, uh, call... - No, no.

Having them close keeps me... keeps my spirits up.

Good. That's what we want.

I'll see you guys soon, all right?

All right.

Hey, take it from the old guy,

ease up or you get a bunch of these.

What are you grinding on?

My dad asked me to cosign on a loan.

Huh.

Northwestern offered him a tenure-track position.

He's gonna buy a place in Chicago.

- Isn't that great news? - Yeah.

I can get through the most arcane medical jargon,

but legalese? Impossible.

I just wanna know what I'm signing.

- Is that too much to ask? - Not at all.

Cosigning a loan is a big deal.

- Mm. - If the borrower defaults,

you're on the hook for the money, right?

Mm-hmm.

Another little piece of advice from the old guy:

Finances and family,

they don't always mix.

Oh, no, Dr. Charles, my dad is good for the money.

He just needs me to cosign

because identity theft messed up his credit a few years ago.

Huh.

So when did your back start bothering you?

Oh, it's been killing me since last night.

Listen, I probably overdid it in my spin class.

I've been working on my stamina.

We're off to Italy tonight, bike trip through Tuscany...

- Oh, yeah? - Our 30th anniversary.

- Congratulations. - Thanks.

All right, so let me know if you feel anything tender...

- Okay. - Okay?

The spinning, is that a new activity to prep for the trip?

Um, yeah. And also, I've been trying to lose the...

Twenty-ish pounds I gained over the winter.

Obviously, it's not working.

But muscle weighs more than fat, isn't that right?

Don't answer that.

Are you on any medications, Mrs. Davis?

Yeah, I'm on hormone replacement therapy.

I'm at high risk for osteoporosis,

so I started the hormones after menopause.

- No midline abnormalities. - Okay.

Is, uh... do you have any burning with urination?

Um, no, although lately,

it does seem like I have to go every ten minutes.

Our granddaughter just got out of diapers.

I guess I'm on my way into them.

Well, looks like it's just a muscle strain.

Really?

Yeah, a 10 of Flexeril and 800 of Ibuprofen.

And, uh, I'll check back in an hour,

see how you're feeling.

- Thanks. - Yeah.

- Muscle strain. - Mm.

- Maggie... - Uh-huh?

I need a doctor in the waiting room.

Got it. Dr. Choi, we're up.

LaShawn, hold onto this.

- Be quiet, please! - Are you okay?

Clear out, clear out. Here, here, here.

Sir, take this chair and move it, please, thank you.

She kept falling over onto the person next to her.

I can't wake her up.

Ma'am... ma'am, can you hear me?

She's snoring, so she's protecting her airway.

Able to breathe, good pulse.

Who is she? Patient here to be seen?

No idea, she never checked in with me.

Anyone know who she is?

Mags, see if there's an ID.

Yeah. I got it.

Illinois driver's license. Her name is Rachel Wexler.

30 years old, lives in Evanston.

- That's not close. - No.

Don't know why she's here, but she's a patient now.

All right, get ready to clear out.

Move, people, move, move, move, move, move, move!

Go, go, go, go, go, go, go, go!

- Doris, Treatment Four. - What do we got?

Fell asleep, now won't wake up.

- OD? - That's my guess.

A drop and dash, or maybe a last fling,

before coming in to get treatment.

- Doris, push 2 of Narcan. - Yep.

Mags, any more info from her purse?

Wallet, keys, makeup, gum,

birth control pills, and cigarettes, nothing helpful.

BP, 104 over 68, heartrate, 72,

pulse ox, 99%, EKG, normal sinus rhythm.