Dr. Daniel Charles quotes from Chicago Med

When Jason Wheeler jumped, do you think he was scared? Was... I mean, was... was he at peace? Right before he stepped off, was there a moment of regret? I just... I just can't stop thinking about him.

Dr. Daniel Charles

Yeah.

But see, I... I don't want to, and then I feel guilty because I don't.

Dr. Daniel Charles

The thing about suicide, it's never really a lone act. It tends to leave a lot of victims in its wake. I'd be lying if I said I'd been sleeping too well recently. But, um... but you and I... we got work to do.

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[her ex-husband's new girlfriend is being treated at the hospital] So I hear they went zip-lining in Costa Rica.

Dr. Daniel Charles

I thought it was South America somewhere.

You knew about this? Daniel.

Dr. Daniel Charles

I went and had drinks with Bert about a month ago, and, you know, he let it slip.

A month ago? And you've just been sitting on this?

Dr. Daniel Charles

Well, I kinda thought it was more up to Bert to tell you, and I advised him to do exactly that.

Yeah, well, he didn't.

Dr. Daniel Charles

I'm sorry. You know, it's not so easy staying neutral throughout all this, you know. You want me to choose sides, I'll pledge my loyalty to you right now.

Not necessary. I gotta get back to work.

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Dr. Daniel Charles

Elliot is very troubled. The poor kid is just consumed with sexual thoughts.

Aren't most kids his age?

Dr. Daniel Charles

Yeah, but he's been raised to believe that sex is wrong unless it's for procreation. And repressing his natural urges is triggering aggressive impulses, which he's struggling to control.

Aggressive?

Dr. Daniel Charles

He fetishizes blondes. Stalks them.

We're talking about a sexual predator?

Dr. Daniel Charles

Not a psychopath. I mean, he has a conscience. I mean, I think he could definitely benefit from therapy, but I'm not ruling out those meds.

Chemical castration, really?

Dr. Daniel Charles

It's temporary, Ethan. Raping somebody isn't.

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SGStan Gallagher

So a kid got beat up. What does he need a psychiatrist for?

Dr. Daniel Charles

Well, Elliot was caught peeping on girls in the shower at school.

DGDebbie Gallagher

Oh, my god.

SGStan Gallagher

Wait 'till I get him home.

Dr. Daniel Charles

But much more troubling are some violent impulses that, so far, he hasn't acted upon.

And there is something we can do.

Dr. Daniel Charles

Elliot wants us to give him a medication that would turn off his testosterone. This would significantly decrease his sex drive and make it much easier for him to control these impulses, but we do need your permission to do it.

SGStan Gallagher

"Turn off his testosterone"? What exactly are you talking about?

Dr. Daniel Charles

The medical term is chemical castration.

DGDebbie Gallagher

What?

Dr. Daniel Charles

It's completely reversible. The idea would be to combine it with traditional therapy with the hope of ultimately weaning him off the medication.

SGStan Gallagher

No. No way.

Dr. Daniel Charles

Elliot could very well be on the verge of acting out on some very disturbing impulses, including rape.

DGDebbie Gallagher

He would never do anything like that.

SGStan Gallagher

You people are sick.

Dr. Daniel Charles

Again, this was your son's idea.

Elliot is torn up about this. He's scared he may not be able to stop himself.

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Dr. Kwon just told me Robin's coming in to be evaluated. I'm so sorry to hear that.

Dr. Daniel Charles

Yeah, thanks. Just, um, I'm hoping for the best.

He chose me as the resident to do her initial evaluation.

Dr. Daniel Charles

Really?

Yeah, he said you spoke very highly of me. Thank you.

Dr. Daniel Charles

Well, I didn't tell him anything that wasn't true.

I imagine it must be hard to have to stay at arm's length from your daughter's treatment, but - and this goes without saying, but I just want to say it anyway - Dr. Kwon and I will do everything we can to make sure Robin gets the best possible care.

Dr. Daniel Charles

Dr. Reese, I have complete confidence in you. And there's anything I can do to help, you just let me know.

I will.

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How dare you admit Robin behind my back? She is my patient. You didn't examine her. You didn't treat her.

Dr. Daniel Charles

You didn't see her apartment.

I don't care what you saw! You should've come to me first.

Dr. Daniel Charles

I didn't have time, Dr. Reese. She was leaving the hospital.

Yes, because I gave her the night to think about it. I know she needs to be admitted!

Dr. Daniel Charles

I thought... I thought that she was masking it from you.

No! We were making progress. I was trying to get her to admit herself voluntarily. To take ownership of the idea so she'd be in the best state of mind to accept treatment. I needed to earn her trust for that, and now that chance is gone. You had to run around sticking your nose in everything instead of letting me do my job.

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Dr. Daniel Charles

[about his daughter Robin] I really appreciate your being here. Support from friends and family is crucial for the therapeutic process, so thank you.

Committed against her will? She can't even shower by herself. That is some theraputic process.

Dr. Daniel Charles

Oh, I think we all wish this could've happened differently, but, you know, at least she's getting the care that she needs, and she's safe and secure.

No. She's locked up. In prison. It's not the same thing. This place is what is gonna drive her crazy. She needs to be out of here.

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Dr. Daniel Charles

[Robin has been brought into Med after a psychotic break] So, you, um... you starting to figure out why I didn't want her leaving the hospital?

She was rational. She was lucid.

Dr. Daniel Charles

I warned you.

Robin was fine, okay? Suddenly, she just...

Dr. Daniel Charles

Suddenly, look at her now! This is on you. You did this.

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I have been reviewing Robin's history just to make sure we haven't missed anything, and... well, uh, some of her symptoms, they're not consistent with a psychiatric disorder.

Dr. Daniel Charles

Dr. Reese...

Let her finish.

Two days ago when Robin came to the hospital, she was running a mild fever, 100.2, and her BP was elevated. Now, at the time, we didn't think anything of it...

Dr. Daniel Charles

That's cause it's a very mild fever. And of course her BP was elevated. She was on a forced hold. She was agitated.

But when Robin was brought in today, it seemed she was experiencing visual hallucinations. Now, auditory hallucinations indicate a mental disorder, but visual hallucinations should be considered organic until proven otherwise.

Dr. Daniel Charles

I think we all wish that Robin had a treatable physical condition rather than...

I want to check her ceruloplasmin levels and run an FTA-ABS, as well as an MRI and EEG to rule out scelerosis and epilepsy.

Of course. Do it.

[Dr. Reese leaves]

What's the matter with you?

Dr. Daniel Charles

She's trying to make me feel better. And bless her, but she's grasping at straws. Come on.

Are you so blinded by your fear that Robin inherited her problems from you that you won't even entertain an alternative?

Dr. Daniel Charles

False hope, Sharon. Come on. I don't need any.

You don't know that. Where's the Daniel who leaves no stone unturned when diagnosing a patient? Where's the Daniel who never gives up? Don't you think your own daughter deserves that much?

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I was wrong to take Robin out of the hospital. I'm sorry.

Dr. Daniel Charles

Well... I have certainly been wrong, too. Seeing the whole thing through the prism of my own fears.

Since I was a kid, I always wondered if there was something I could've done to stop my mom from killing herself. I obviously couldn't save my mom, but I was sure as hell gonna try and save Robin.

Dr. Daniel Charles

You know, at one point, I considered bringing that up. Decided it probably wouldn't have been helpful.

[they share a snicker] Yeah, probably not.

Dr. Daniel Charles

Well, she's not gonna want to have anything to do with me after all this is over, that's for sure.

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MMMarshall Matthews

Dr. Charles, prosecution's calling a rebuttal witness. What do I need to know about Sarah Reese?

Dr. Daniel Charles

What?

MMMarshall Matthews

[they see Sarah walk past with Peter Stone] Tell me your own resident isn't here to poke holes in your testimony.

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Dr. Daniel Charles

Oh, there you are, Dr. Reese. Uh, you'll be happy to know that Mr. Kellogg was found guilty.

I'm not happy, but I am satisfied with that verdict. He'll still receive treatment in jail.

Dr. Daniel Charles

Through the Department of Corrections? You have any idea what their success rate is? In that environment? His chances of rehabilitation are practically nil. Not that it really matters, because more than likely his temper will get him killed within a week.

Those outbursts are an act calculated to convince you he's crazy.

Dr. Daniel Charles

Is that what he was doing? Dr. Reese, I've been evaluating psychiatric patients for more than thirty years. Is it conceivable to you that I might have more insight into his behavior than you do?

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You paged about a consult?

Dr. Daniel Charles

Yeah. Yeah. Um... 50-something guy, post-op after getting shot by a patient.

Is this a joke?

Dr. Daniel Charles

No. I'm serious. Give me your clinical evaluation of my recovery.

No residual anger or fear.

Dr. Daniel Charles

Mm-hmm.

Normal intellectual and emotional functioning. You seem like you have moved on.

Dr. Daniel Charles

Yeah. And you should, too.

Excuse me?

Dr. Daniel Charles

I'm just wondering if today was less about your patient and more about lingering fears for our safety. It is certainly true that a very few patients can be dangerous. But the overwhelming majority are... harmless, and in fact very grateful for our help. Only they can't get that help if you come to work scared.

I'm not scared.

Dr. Daniel Charles

This is not an accusation, Doctor. I just want you to know that every psychiatrist goes through this at some point or another. And then it passes. And it'll pass for you, too.

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Dr. Daniel Charles

How'd that metal detector thing turn out?

I changed my mind.

Dr. Daniel Charles

Really?

Yeah. I saw a woman today who almost killed her baby because she didn't trust us. And I thought "How can we encourage people to trust us more if we don't show them trust first?".

Dr. Daniel Charles

Couldn't agree more.

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Dr. Daniel Charles

So, what are you thinking?

Schizophrenia.

Dr. Daniel Charles

Yeah, that was my initial thought, but now I'm not so sure.

Seriously? His, uh, paranoia that there's something living inside him, and his attempt to remove it, is literally a textbook definition of a somatic delusional disorder.

Dr. Daniel Charles

I'm stuck on the level of premeditation. You know, sterilization with Betadine, the clean incision, doing it near a hospital... all that kind of forethought, it's just not consistent with schizophrenic psychosis.

So he's a germaphobe with a steady hand. It doesn't mean he's not schizophrenic.

Dr. Daniel Charles

Mm, could be true, too.

So, um... start him on anti-psychotics and reassess when his mind's clear?

Dr. Daniel Charles

I'm just not there yet. My gut tells me it's chemical. You know, like maybe a methamphetamine overdose. Before we go any further, let's run a tox screen, see if he's just... high.