Dr. Ethan Choi quotes from Chicago Med

Dr. Ethan Choi

Mr. Janichek's scans were negative for concussion or any other acute injury.

Peter Kalmick

All right, dodged that bullet.

Dr. Ethan Choi

[handing Sharon a tablet] But we did notice something else unrelated to his being sprayed.

Sharon Goodwin

An enlarged spleen?

Dr. Ethan Choi

Yes.

Peter Kalmick

This our fault?

Dr. Ethan Choi

No. I ordered an enzyme activity level test to follow up. It showed Mr. Janichek is suffering from a genetic disorder called Gaucher's disease. An enzyme deficiency which presents with a vague constellation of symptoms; malaise, anemia, low platelets.

Peter Kalmick

Please tell me there's a treatment. Because we cannot assault a man and then inform him he has an incurable disease.

Dr. Ethan Choi

His spleen is dangerously enlarged, so it has to be removed, but the deficiency itself is easily treatable with regular enzyme replacement infusions.

Sharon Goodwin

All right. You'll inform the patient.

Dr. Ethan Choi

Yes, ma'am.

Sharon Goodwin

Thank you.

Dr. Ethan Choi

I should say that Mr. Janichek will find this to be good news.

Peter Kalmick

A genetic disease?

Dr. Ethan Choi

He's been suffering a long time, unable to find a diagnosis. In fact, I was ready to send him home. We never would have ordered that pan scan if Dr. Reese hadn't done what she did. She might have saved his life.

Dr. Ethan Choi

You're wasting your time.

Dr. Daniel Charles

You do understand that we have an obligation to try to get addicts into a program before they leave the hospital?

Dr. Ethan Choi

Yeah, but clearly, she doesn't want our help.

Dr. Daniel Charles

We don't know that. We almost never get through on the first shot.

Dr. Ethan Choi

She won't even talk to you, Dr. Charles.

Dr. Daniel Charles

Ethan, somebody puts up a wall like that... they're usually trying to protect something. That's often worth chipping away at.

Dr. Ethan Choi

3,000 calories?

Dr. Daniel Charles

It's all she's willing to accept.

Dr. Ethan Choi

Why are you negotiating? Dangerously low albumin, renal insufficiency. 5'6" and less than 70 pounds. Dr. Charles, I carried her in, she was nothing. She needs high-calorie, long-term nutrition.

Dr. Daniel Charles

I agree.

Dr. Ethan Choi

Then what are you doing?

Dr. Daniel Charles

Anorexia is actually the most deadly mental illness that there is. Every instinct she has is telling her to resist this, and I don't want to push her any harder than she'll let us.

Dr. Ethan Choi

Then let me push her.

Dr. Daniel Charles

No. I made a deal, we have to honor it. Trust me, it's her best shot.

Dr. Sam Abrams

Eh, she's got a mass in her sinus, possibly a tumor. We need a biopsy.

Dr. Ethan Choi

Yeah, but look at the cross-sections.

Dr. Sam Abrams

[seeing the scan] I don't understand.

Dr. Ethan Choi

Neither do we.

Dr. Sam Abrams

It's moving.

Dr. Ethan Choi

How are you holding up?

Maggie Lockwood

Trying to keep it together for him. To be honest, Ethan... I'm scared.

Dr. Ethan Choi

Even if the worst happens, Barry's not criminally responsible. The shooting was instigated by someone else.

April Sexton

It was... it was self-defense.

Maggie Lockwood

I know, but... how is Barry supposed to carry that burden?

Dr. Sarah Reese

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

Dr. Ethan Choi

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

Dr. Sarah Reese

Diabetic ketoacidosis?

Dr. Ethan Choi

Blood sugar's normal.

Dr. Sarah Reese

Liver failure?

Dr. Ethan Choi

Ammonia level's normal.

Dr. Sarah Reese

Tumor?

Dr. Ethan Choi

Chest x-ray and all the CTs were clean.

Dr. Sarah Reese

The scar on her cheek?

Dr. Ethan Choi

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.

April Sexton

[asking Daniel and Sarah for a psych consult] Did I just hear them say they're going to talk to a demon?

Dr. Ethan Choi

Speaking of which, I wonder what my sister's doing. Think she's burned down my apartment yet?

April Sexton

I actually called her to check in.

Dr. Ethan Choi

And?

April Sexton

She wanted to know where the laundry detergent is, even asked if we had anything we wanted her to throw in the load.

Dr. Ethan Choi

Really? Emily?

April Sexton

O, ye of little faith.

Dr. Will Halstead

What's the story?

Jay Halstead

Well, Carter said that Bo was, uh, cooking up BHL. [seeing he doesn't understand] Uh, butane hash oil. You blast marijuana with enough butane, and you get pure THC.

Dr. Ethan Choi

Lengths kids will go to to get high these days.

Dr. Ethan Choi

[about his homeless patient and his adopted parents] He's never really gonna be able to love them back, is he?

Dr. Daniel Charles

By our definition? Unlikely.

Dr. Ethan Choi

I don't know who to feel more sorry for, the parents or him.

Dr. Ethan Choi

Ms. Goodwin, we're stabilizing patients, but if we can't get them to surgery, we'll start losing them. Unless something changes, the ED's gonna collapse.

Sharon Goodwin

Well, if you have an idea, now's the time.

Dr. Ethan Choi

Casualty collection areas. Designated zones for specific treatments, especially surgical eval. Doctors stay put, patients shuttle between zones.

Sharon Goodwin

An assembly line. All right, you set it up in Triage, I'll spread the word.

April Sexton

So much blood. I can still smell the iron in the air. You okay?

Dr. Ethan Choi

Still shaking. Crazy thing is it's the most gratifying day I've ever had as a doctor. I don't know what to feel.