Dr. Natalie Manning quotes from Chicago Med

Bruce Kim? Turns out he wasn't in Buffalo. He was in Aruba with another woman. Tested inconclusive for Zika.

Dr. Natalie Manning

What? Well, we have to tell Shannon.

We can't. Not without violating his confidentiality. He refuses to tell her.

Dr. Natalie Manning

That's ridiculous. I mean, if he was HIV positive, we could break confidentiality. Doesn't Zika get the same exemption?

No. Unfortunately, Zika's so new, there's no legal precedent.

Dr. Natalie Manning

But what if they have sex? What if he infects the fetus? I mean, you've seen babies with microcephaly.

Natalie, I have spent the last hour trying to find a way around HIPPA. I've got nothing. He'll come after the hospital, and my license, incidentally.

Dr. Natalie Manning

So you're just giving up?

There's nothing we can do. We can't justify breaking the law over an inconclusive test result.

[she sighs, and he sees the gears in her head turning]

I know what you're thinking. Don't do anything.

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Dr. Natalie Manning

What did you do?

I made some calls. Since Zika's a public health emergency, the CDC has to investigate all inconclusive test results.

Dr. Natalie Manning

I'm impressed.

Natalie, back there, were you gonna...?

Dr. Natalie Manning

Let's just say it is a good thing you showed up when you did.

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Nancy Buckley's results?

Dr. Natalie Manning

Yeah, it's not a hernia. It's what I thought, her CT shows appendicitis.

But her charts said her appendix was removed when she was a teenager.

Dr. Natalie Manning

That's not the only thing that's off. [showing her an image on her tablet] Tubal ligation clips. She had her tubes tied. Why wouldn't she put that in her history?

Maybe she didn't want her mom to know. Might be a touchy subject for them.

Dr. Natalie Manning

You know what, Nancy said she always wanted to have kids. This doesn't feel right.

Well, either way, she's going to need surgery.

Dr. Natalie Manning

Yeah, on an organ she thinks she doesn't have.

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Natalie Manning

[treating a baby] What's going on?

He's inconsolable. I've tried rocking him, swaddling him, singing. Nothing I do calms him down. Heart rate's in the 190s. O2 stats have been dropping.

Natalie Manning: Has he been feeding?

No, nothing. Is it possible he's still in shock from the cold?

Natalie Manning

I don't think so.

I'll go see if his labs are back.

Natalie Manning

That won't be necessary. He's addicted to heroin. He's going through withdrawal.

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Dr. Natalie Manning

[to parents, after their preemie baby dies] I don't know what to say.

JHJoanna Harris

We got to hold our child, and hope that he was able to feel our love.

Dr. Natalie Manning

I'm sure that he did.

JHJoanna Harris

[hugs Natalie] Thank you.

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Dr. Natalie Manning

So, your wife tells me that Ben hasn't had any of his childhood vaccinations.

AAaron

Oh, god, here we go. Really? You had to tell her? You know how these people think, honey.

WWendy

Yeah, I had to tell her.

AAaron

If you notice, Doctor, our son is doing just fine.

Dr. Natalie Manning

Yeah, maybe he's just fine, but your niece is in there with whooping cough, most likely because of him, because of you.

AAaron

You don't know that.

Dr. Natalie Manning

That baby is suffering horribly. She could die.

WWendy

Aaron!

AAaron

Look, I'm sorry, but I have to do what I think is right. I have to protect my son.

Dr. Natalie Manning

Oh, you think you're protecting him? Do you have any idea how dangerous an ED is for a child without immunity? Do not assume that there aren't more idiots like you out there.

AAaron

Excuse me?

Dr. Natalie Manning

And who knows what these kids might have. Measles, mumps, polio. Get your son out of here. [he doesn't move] I'm serious. Get your son out of here now.

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That guy who didn't immunize his kid, did I hear you call him an idiot? That was a very Will Halstead moment.

Dr. Natalie Manning

I just... I can't stand it. No matter how much science we give people, no matter how much proof, they just go on believing what they wanna believe. I mean, the guy who started this whole anti-vac thing has been completely discredited. So what is wrong with people? Why do they keep clinging to this myth?

Mass hysteria.

Dr. Natalie Manning

Yeah, and that baby pays the price.

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Natalie, you can't sit on this.

Dr. Natalie Manning

If I report it, Catherine will likely be removed as Sam's guardian. I wanna pull in social services.

This goes beyond family counseling. It's a criminal matter. She intentionally stopped trach care to cause her son's death.

Dr. Natalie Manning

To end his suffering. You know, she looked into moving to a state where assisted suicide is legal? But because Sam isn't terminally ill and can't express his wishes, he didn't qualify.

Exactly. Which means you can't be certain this is what he wants.

Dr. Natalie Manning

No one knows what Sam wants more than his mother.

Then she needs to go to court and make her case, petition a judge to get his feeding tube removed. Look, Natalie, I'm not arguing she's wrong, but what she did is illegal. You have to call the police.

Dr. Natalie Manning

No.

Then I will.

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[after Natalie proposes an experimental treatment] You gave him those drugs?

Dr. Natalie Manning

Mm-hmm.

I told you not to, and you did it anyway.

Dr. Natalie Manning

His wife wanted to give 'em a try.

You shouldn't have even suggested it.

Dr. Natalie Manning

She deserved a choice.

You went behind my back. I can't believe you did that.

Dr. Natalie Manning

You wouldn't listen to me.

I did listen to you. I just hope you haven't put a nail in this man's coffin.

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Dr. Natalie Manning

Hey, Dr. Charles, you got a sec? I've got a case I'd like to run by you.

What you got?

Dr. Natalie Manning

My patient, Emma, nine, she presented with abdominal pain on the left side, so I did a quick bedside scan to check her ovaries. It's actually testicular torsion.

Testicular torsion?

Dr. Natalie Manning

Yes. The ultrasound showed an absence of uterus and ovaries, but she has undescended testes.

Huh. Nothing about this in her chart?

Dr. Natalie Manning

No. I doubt the family has any idea.

Okay. Page Pediatric Urology. We need to get a plan together.

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Dr. Natalie Manning

Any word from the ethics committee?

[Charles glances at Emma's treatment room]

Dr. Natalie Manning

No way. No way they're gonna allow this.

Because, technically, they have both Judy and Emma's consent, and because testicular torsion is a medical emergency, the hospital feels obligated to act.

Dr. Natalie Manning

But the assent was coerced.

Yeah, but coercion's very difficult to prove, and the truth is that in the majority of these cases, the courts do side with the parents. The board's worried about a negligence suit.

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Dr. Natalie Manning

[after Will plays basketball with his brother Jay] Hey. How was the game?

I filed a protest with the league commissioner.

Dr. Natalie Manning

So you lost?