Chicago Med

.

- I have no idea how you kept your cool like that.

- What good would I be to you with a busted hand?

- They are your second-best attributes.

- I think our girl Milena might be a drug dealer.

Lieutenant Regina Jeffords.

- What the hell is going on here?

- She's needed on the street today.

- This was taken at your Police Academy graduation.

- Guess it takes one to know one, huh?

Dr. Shentu, I was wondering

if you'd like to go to a concert with me tonight.

Yes. I would love to go.

Vasik settled with the feds.

- As whistleblowers, you are entitled

to a percentage of the settlement.

- Donated some, but, uh, I decided to keep the money.

- So word is you and Randall got together on your day off.

Spill it.

We had brunch, it was fun.

But it's been a minute since I've heard from him.

Maybe he's just busy?

- I have a three-day limit when it comes to ghosting.

Gotta stick to it.

- I get it-- don't want to get invested

if there's nothing there.

- I don't hear from him today, moving on.

Too bad.

But I guess I would too.

- Patient's Kayla Miller, ten-day-old newborn.

Fussy, not eating, copious vomiting,

fever, distended abdomen.

- Labs? - What you'd expect.

White count's high, sodium's low,

electrolytes all out of whack.

- How's the ultrasound look? - Not good.

Was hoping a fresh set of eyes will help.

- And, uh, how are the parents doing?

Young and scared.

Kayla's their first, but they know something's very wrong.

Right.

It's okay, Kayla.

Mommy's here.

- Kendrick, Lucy, this is Dr. Marcel.

Hi, how are you?

You'll help our baby?

- I'll do my very best, yeah. She been crying a lot?

- Yeah, it's been a couple days.

Yeah.

Okay, let's figure out what's going on.

May I? - Yeah.

Thank you--hey.

Hi, Kayla.

Hi, sweetheart.

- I know, Kayla, you're uncomfortable.

I'm sorry.

This is my fault.

I'm breastfeeding her wrong

or messing something else up. - No.

- Lucy and I, we don't know what we're doing.

That's why Kayla's sick.

- No, no, no. She has an infection.

This has nothing to do with either one of you.

Hey, Dr. Scott.

Think I'm seeing the same thing you did.

Pneumatosis.

Mm-hmm.

So Kayla's bowel is dilated,

and there's air in the wall of her small intestine.

I suspect there's a problem with the blood supply.

- Why? - I don't know.

But to find out, I'll have to operate and take a look.

- Surgery? - Yeah.

Oh, my God, no.

She's only ten days old.

- Unfortunately, surgery's the only way

to figure out what's going on.

Okay.

- Is there anyone we can call for you?

Family?

We don't have any.

- It's--it's just the three of us.

- No, no, I hear you, and it sounds interesting.

But, uh, I gotta pass.

It's not for me.

No, Kevin, it--

Okay, hang up on me.

Let me guess.

Your reward money is burning a hole

in other people's pockets?

Yeah, my cousin.

He's asking for a loan so he can open a cannabis dispensary.

Huh.

- Yeah, third one to hit me up too.

Mind you, not a peep from any of them

when I was living on Jay's couch, though.

Well, you've said no.

Maybe word will travel.

- No, no, don't get me wrong, I wanna help.

It's just after taxes, med school bills,

malpractice insurance,

1.2 million isn't nearly as much as you'd think.

- Still, that's a nice chunk of change to play with.

No playing for me.

I'm getting out of debt,

locking the rest in savings, and keeping it there.

You seeing this, Dylan?

Yeah.

A lot of purple.

Intestines are dead.

Yeah.

From the jejunum to the cecum.

All has to come out.

.

- Couple of days ago, I noticed

she was walking slower.

This morning, she stumbled going up the stairs.

It was like her legs just gave out.

- Varsha, I told you, I just lost my balance.

I should have used the handrail.

I'm sure there are other people here in far worse shape.

Help them.

Indian mothers.

House could be on fire and she'd still say

everything's fine.

I think that's most mothers.

- You too? - Oh, yeah.

Okay.

Can you press against my hand?

Okay, well, your muscle tone feels normal,

but clearly, there's a loss of motor function.

And it just started this week?

- Yes. - Actually, my legs

have been feeling heavy this past month.

What?

Are you serious? - I'm an old lady.

This is what happens.

You get weaker.

- Kiran, can you close your eyes for me?

Which foot am I touching?

I don't know.

What do you think's going on?

Not sure yet.

Could be a lumbar or thoracic spine issue.

Or it could be autoimmune.

I'm just speculating, but Guillain-Barrè Syndrome

and MS do come to mind.

Oh.

Mom?

I have a cousin with MS.

For real?

Apparently, I don't know anything about you.

What's next here?

- A scan of your spine and a neuro consult.

- I'm sorry to take up so much of your time, Doctor.

- Please, Ms. Patel, you have nothing to be sorry about.

- So Kayla has what's called a necrotizing enterocolitis.

The condition inflames the intestinal tissue

and causes it to die.

- In Kayla's case, we suspect

it's the result of a birth defect

that prevented her intestines from developing

the way they should have during pregnancy.

- I've removed most of her small intestine,

but she's very sick.

These machines and tubes,

they'll fix her?

No.

They're temporary, not a solution.

What is?

A transplant.

Kayla cannot survive without new intestines.

Unfortunately, infant organs need to come

from infant donors, and, uh...

They're in very short supply.

Oh, God.

My baby could die?

Jack Baker, 32-year-old male.

Unrestrained driver, high speed MVC.

GCS 8, BP 100/60, heart rate 124.

Intubated in the ambo. - That's a lot of glass.

He go through the windshield? - Yeah.

Fog on the Eisenhower.

Cars start slamming their brakes.

He doesn't see until it's too late.

Swerved, lost control, launched off the road.

- All right, transfer on my count.

One, two, three.

All right, let's see what we got here.

Multiple lacerations, face, neck, arms, legs.

All right, likely closed fractures.

Femur, forearm, God knows where else.

He wasn't alone in the car.

His wife, Rose, was in the passenger seat.

Truck company is still trying to extricate her.

- All right, the story just keeps getting better.

Breath sounds left clear,

right diminished.

Hey, Mike, can you please set up for a chest X-ray?

Got it.