Dr. Sarah Reese quotes from Chicago Med

You know, I've been wondering about something you said earlier today about... about not feeling safe in the ED.

Dr. Sarah Reese

It was just an innocuous comment. Heat of the moment.

Reese, you and me, we're both- we're both psychiatrists, right? I mean, "innocuous comment", really?

Dr. Sarah Reese

Dr. Charles, I know today was not my finest hour, but... what with my car getting broken into and Noah getting punched.

Sarah, I get it. You know, this can be a very chaotic, often downright scary work environment. And you know what? It's not necessarily for everybody. I... I chose emergency psychiatry 'cause it was the right thing for me at the time.

Dr. Sarah Reese

I'm sorry, are you reassigning me?

Of course not. I'm just saying there are other options.

Dr. Sarah Reese

No. Not for me. I want to be in the ED.

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How'd it go with Dr. Chapman?

Dr. Sarah Reese

Uh, it was fine. She's fine.

Good. Is there an issue?

Dr. Sarah Reese

I prefer to come back to your service.

I understand. Really, I do, but I-I think it's very important that you explore a different clinical approach.

Dr. Sarah Reese

Yeah, well, Dr. Charles, I'm not an idiot. Um, I know you think my anxiety, my PTSD, if you will, stems directly from your being shot, that our working together is negatively affecting my mental health. But... first of all, um, these are my issues, and I'm working on them, and second of all, you chose to bring me into psychiatry. So I'm not about to let you pawn me off onto that Dr. Chapman when you're the psychiatrist I want to be. Um... I mean, I-I almost lost you once. I-I don't want to lose you again.

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Ah, the old Chapman flow charts. Oh, yeah. Number seven. That there's a doozy. Step seven? Dr. Reese, the truth is I feel responsible for letting your situation get out of hand the way it did. It was my job to, well, guide you and teach you and make you a better doctor, and I... I let you down.

Dr. Sarah Reese

Dr. Charles...

But ultimately, some relationships are just better... kept intact, which is why, if you'd still like to, when you return, I-I would very much welcome you back on my service.

Dr. Sarah Reese

Really?

Really.

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Dr. Sarah Reese

[about a 65 pound woman] Is she the worst case you've ever seen?

A healthy BMI is between 18 and 25, her's is 11. If she's going to survive, we can't afford to make any mistakes.

Dr. Sarah Reese

She's killing herself.

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Dr. Sarah Reese

I did my two-week suspension. I am in therapy. I am not supposed to be afraid anymore. I am a psychiatrist. Rule number one is to connect with your patients, and I could not even look her in the eye.

Look, the good news is that you recognize the problem. Right? Sarah, nobody learns how to master their fears in two weeks, trust me. It just doesn't happen. Not even somebody as determined as you are.

Dr. Sarah Reese

Okay. You know, when, um... when Allison died today, I saw myself, because she could not change. But I have to. I have to. I just don't know how. You have to help me. Dr. Charles.

Of course. Of course. Of course I will.

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[at a prison] Dr. Reese, this is Officer Kowalski. He will be our escort for the day.

Dr. Sarah Reese

Hi.

KOfficer Kowalski

First time?

Dr. Sarah Reese

Mm-hmm.

KOfficer Kowalski

You'll be fine. Just don't feed the animals. Uh, sign the visitor waiver, please.

Dr. Sarah Reese

Waiver?

Basically says that if we, um, get taken hostage, that the state won't negotiate our release. Just standard procedure.

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You shouldn't feel bad.

Dr. Sarah Reese

Why not? I am the one who asked for this. It was stupid.

Not stupid. Ambitious.

Dr. Sarah Reese

I have no business trying to treat a patient like that. I can't help him or myself.

You know, the irony is that guy is so much more scared of you than you are of him.

Dr. Sarah Reese

I doubt that.

What, are you kidding me? Guy like Hector, not gonna let you in. A shrink? He's utterly terrified of what you might find; you know, what he might have to face, you know, so he does the jailhouse thing.

Dr. Sarah Reese

What do you mean?

Convicts survive by demonstrating dominance, by going straight to attack mode. It's how they do it.

Dr. Sarah Reese

So he manipulated me.

These guys are experts at-at spotting vulnerability. You know? And Mr. Ramirez exploited yours.

Dr. Sarah Reese

And so he got the response he was hoping for. [thinking for a moment] I want to go back in.

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Dr. Sarah Reese

Dr. Charles, I know I didn't take your approach today...

You didn't take my approach? You directly defied my orders, and put yourself and your patient in real danger.

Dr. Sarah Reese

Ben isn't dangerous. I think I just proved that.

The only thing you proved to me is that you're reckless and insubordinate, and I have half a mind to suspend you again.

Dr. Sarah Reese

The last few months, you've been preaching to me that I can either see my patients as a threat or as an opportunity. Was I afraid in there? Yes. But my fear no longer controls me. I control it, and now Ben controls his, too.

You are missing the point! I appreciate that exposure therapy has given you a newfound sense of confidence, but it does not make you all-knowing and invincible. What you just did in there was unbelievably stupid.

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Dr. Reese, how was your dinner with your dad?

Dr. Sarah Reese

It was good. Uh, I mean, I'm glad we're talking again. He's funny, smart.

You don't sound entirely convinced.

Dr. Sarah Reese

Well, it's just kinda hard to look past the last twenty years. I know he wrote me those letters, but... there were other ways to contact me if he wanted. Makes me wonder.

Well, you know what, I've always been immensely impressed with your instincts, so... no reason to stop listening to them now.

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Dr. Sarah Reese

Dr. Halstead has a point. Is this man, this pedophile, really being rational?

Funny enough, it sounds to me like he is.

Dr. Sarah Reese

So we just have to, uh, stand by and watch him kill himself?

Not treating your cancer is not the same thing as committing suicide. I mean, it's his decision. He's allowed to make it. More to the point, I think what he may be trying to do is looking for a way to... escape his urges.

Dr. Sarah Reese

By dying.

Dr. Reese, have you ever seen a pedophile's PET scan?

[she shakes her head 'no']

The prefrontal cortex and the putamen, they... they light up. There's a very good chance that pedophilia could be genetically hardwired into the brain.

Dr. Sarah Reese

There-there-there's nothing he can do about it?

Well, yes and no. I mean, the thinking is you can't change the hardware, but the software is another question, and it sounds to me like... like that's what Mr. Thomas has been trying to do. If you look at it from his perspective, the whole thing seems quite rational.

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Dr. Sarah Reese

Well, she's not catatonic. Whatever knocked her out, it's not psychiatric. What'd her tox screens show?

Yeah, she's clean. Blood alcohol, arterial gases, and all other labs, too.

Dr. Sarah Reese

Diabetic ketoacidosis?

Blood sugar's normal.

Dr. Sarah Reese

Liver failure?

Ammonia level's normal.

Dr. Sarah Reese

Tumor?

Chest x-ray and all the CTs were clean.

Dr. Sarah Reese

The scar on her cheek?

Plate from an old fracture. No apparent connection to her unconsciousness.

Maggie Lockwood

[approaching] Just got off the phone with PD. Ruzek ran Rachel's name through the system. She got busted a few times: DUI and possession.

Dr. Sarah Reese

And yet a clean tox and BAC. Hmm, the plot thickens. Good luck.

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Dr. Sarah Reese

First you're treating my father, and now you're blackmailing him?

What?

Dr. Sarah Reese

You heard me.

Look, I don't know what he told you...

Dr. Sarah Reese

He said you're jealous of our relationship, that you have some twisted paternal feelings for me, that you threatened him, and said if he didn't stay away from me, you'd sabotage his chances of getting on the list.

I threatened him? Wh... sabotage?

Dr. Sarah Reese

Yes.

I'm a shrink in a sweater vest, not a secret agent.

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Dr. Sarah Reese

I know what you're gonna say. I should not have lied to Joanna. It was wrong. She's just a desperate, troubled woman, not a psychopath.

I agree.

Dr. Sarah Reese

She's not, but am I? Am I a psychopath?

What?

Dr. Sarah Reese

Look how easily I lied to her, how I coldly manipulated her.

In this context, that's hardly an indication of psychopathy.

Dr. Sarah Reese

Well, how about my life? Would you say that I'm able to form lasting relationships? I mean, I have no real friends, no significant romantic attachments. I think I have emotions, but maybe they aren't real. Maybe they're just imitative.

You just told me that you felt guilty about lying to a patient, which means that you have a conscience, which means that you're not a psychopath.

Dr. Sarah Reese

Whatever you wanna call it, I am my father's daughter.

Well... well, you're also my resident, and I find you to be a... a deeply compassionate person, who's capable of great empathy. I just never would've roped you into this whole psychiatry thing if I wasn't entirely convinced of that.

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David

I saw the shooter. I should've... run at him, tackled him, done... something, but instead I just stood there, like a coward, while he mowed people down.

Dr. Sarah Reese

Have you heard of fight or flight? Before that is the freeze. It's an instinct that kicks in when there's no time to think. Not running at that shooter might've saved your life, okay?