Dr. Sarah Reese quotes from Chicago Med

Dr. Sarah Reese

Yes, and the suit was how Edward dealt with his wife's death. See, I'm concerned that if he leaves, he's just gonna go get another one, and that will lead him right back here. Some knucklehead will see him in that costume and pick a fight. "Let's see how tough you are, Super-guy."

Dr. Daniel Charles

Hm. It's possible, but... is he having any suicidal thoughts?

Dr. Sarah Reese

No.

Dr. Daniel Charles

And he's certainly not a danger to others. He literally presented saving a woman's life. I mean, he just doesn't meet the criteria for a psychiatric hold.

Dr. Sarah Reese

It's my fault.

Dr. Daniel Charles

Why'd you say that?

Dr. Sarah Reese

I gave her false hope. I told her I believed she was stable when she clearly isn't.

Dr. Daniel Charles

Well, I'm not sure I agree. I mean, just made her case a little tougher, but I'm still gonna file the appeal.

Dr. Sarah Reese

Why would you do that when she just tried to kill herself?

Dr. Daniel Charles

Losing hope is a not a sign of mental illness. It's a sign of being human. I mean, the poor girl; she has a violent, unstable mother, and her fate is in the hands of this psychiatrist who doesn't believe a word she says. I mean, given these odds, I can absolutely understand why she'd fall into despair.

I wasn't trying to commit suicide. I was trying to see you.

Dr. Sarah Reese

Do you believe it's okay to hurt yourself?

How else could I get to you? It's not like I can ask for a phone call.

Dr. Sarah Reese

Nancy, you... you could seriously hurt or even killed yourself.

You have to help me get out of there. They locked me up after I got in a fight with my mom, but she's bipolar; has been for years.

Dr. Sarah Reese

Hey, I'm sorry, but I'm... I'm not your psychiatrist.

My mom came at me with a hammer while I was sleeping. I was trying to defend myself. That doesn't make me crazy.

Dr. Sarah Reese

No. If that were the situation, it would be reasonable to defend yourself.

See? You're the only one who said that. All the other doctors think I'm psychotic, but my mom's the one who's crazy.

Dr. Connor Rhodes

You and Dr. Wheeler were friends?

Dr. Sarah Reese

No, I hardly knew him. He came to me - twice - asking about pills, about therapy. And that wasn't really what he was asking for. He was asking for help. I don't know why he came to me, but he did, and now he's dead. What kind of terrible psychiatrist am I gonna be?

Dr. Connor Rhodes

You can't jump in and save everyone, Reese. It's just not possible.

Dr. Sarah Reese

It's not that I didn't jump in to save him. I didn't even see that he was drowning.

Dr. Sarah Reese

They won't need me in the ED tomorrow, so I'll be back on your service.

Dr. Daniel Charles

Thank you. Thanks. I'll see you tomorrow.

Dr. Sarah Reese

Everybody comes to you, don't they? With all their pain? And you just have to absorb it. How are you doing today?

Dr. Daniel Charles

It was awful. It's just awful.

Dr. Sarah Reese

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.

Dr. Sarah Reese

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.

Sharon Goodwin

Our server has been corrupted and shut down, and until we can restore the system, we'll be operating under downtime procedure. That means paper charts.

Maggie Lockwood

Oh, and no tablets, people. Hand 'em over.

Dr. Sarah Reese

So we have no access to anyone's medical records? How... how do we do stuff?

Sharon Goodwin

Well, there was a time not so long ago when we actually treated patients without the aid of computers. Imagine that. Tell them, Dr. Charles.

Sharon Goodwin

[reluctant to hand over his tablet] Can I keep it if I promise not to use it?

Maggie Lockwood

Sorry, Dr. Charles, IT needs to check them all out.

Dr. Sarah Reese

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.

Dr. Sarah Reese

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

Dr. Daniel Charles

Really?

Dr. Sarah Reese

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.

Dr. Sarah Reese

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.

Dr. Sarah Reese

I will.

Dr. Sarah Reese

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.

Dr. Sarah Reese

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.

Dr. Sarah Reese

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.

Dr. Sarah Reese

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.

Dr. Sarah Reese

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...

Sharon Goodwin

Let her finish.

Dr. Sarah Reese

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.

Dr. Sarah Reese

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...

Dr. Sarah Reese

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.

Sharon Goodwin

Of course. Do it.

Sharon Goodwin

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.

Sharon Goodwin

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.

Sharon Goodwin

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?

Dr. Sarah Reese

Were you aware that Dr. Charles was testifying in Kellogg's defense?

Sharon Goodwin

I found out today. Dr. Charles wants him remanded to a psychiatric facility.

Dr. Sarah Reese

Which means he won't go to jail. That's absurd. The man came here and tried to kill a medical health professional because he wanted attention.

Sharon Goodwin

Well, I'm as upset as you are. I'm the one who found him bleeding on the sidewalk.

Dr. Sarah Reese

Jack Kellogg is a devious sociopath. He'll con his way out of mental institution and be back on the streets. We have a responsibility, a public responsibility, to make sure that doesn't happen.

Sharon Goodwin

Unfortunately, Dr. Reese, there's nothing you or I can do. It's up to the jury.

Dr. Daniel Charles

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

Dr. Sarah Reese

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.

Dr. Sarah Reese

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?

Dr. Sarah Reese

You paged about a consult?

Dr. Daniel Charles

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

Dr. Sarah Reese

Is this a joke?

Dr. Daniel Charles

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

Dr. Sarah Reese

No residual anger or fear.

Dr. Daniel Charles

Mm-hmm.

Dr. Sarah Reese

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

Dr. Daniel Charles

Yeah. And you should, too.

Dr. Sarah Reese

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.

Dr. Sarah Reese

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.

Dr. Daniel Charles

So, what are you thinking?

Dr. Sarah Reese

Schizophrenia.

Dr. Daniel Charles

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

Dr. Sarah Reese

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.

Dr. Sarah Reese

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.

Dr. Sarah Reese

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.

Dr. Sarah Reese

I heard about Jack Kellogg. I am so sorry. It's exactly what you said would happen.

Dr. Daniel Charles

Uh, he was a very troubled man who brought things on himself.

Dr. Sarah Reese

Yes, but if he had been remanded to a psychiatric facility, like you wanted, uh... I-I-I just feel so awful.

Dr. Daniel Charles

Listen, Dr. Reese, if you're thinking that in some way this might've been your fault, it just wasn't. He was a very self-destructive guy, and there's just no guarantee the outcome would've been any different no matter where he ended up.