April Sexton quotes from Chicago Med

Nurse April Sexton

Shooting in a movie theater. Mass casualties. About to get crazy. EMT four minutes out.

Dr. Will Halstead

[ambulances roll up] Check that, they're here.

Nurse April Sexton

Something doesn't make sense.

Sharon Goodwin

What's that?

Nurse April Sexton

Shooting in a movie theater, and we've only had one GSW, and that was the shooter. Where are the rest of the gunshot victims?

Dr. Will Halstead

Mr. Gleason, you broke your leg pretty bad. We're gonna have to evaluate this and...

Dr. Natalie Manning

He's seizing.

Dr. Will Halstead

Mr. Gleason? All right, milligram of Ativan.

April Sexton

On it.

Dr. Natalie Manning

It's a Grand mal seizure. He ever have this before?

April Sexton

Not that I've seen. Milligram of Ativan.

Dr. Will Halstead

He's withdrawing. He's going in delirium tremens.

April Sexton

Never seen him get DTs before. It's gonna be bad, isn't it?

Dr. Will Halstead

Is it ever good?

Dr. Will Halstead

It's not my job to listen. I'm a doctor. It's my job to decide what's best for him.

April Sexton

That is exactly why I'm a nurse.

April Sexton

[notices Dr. Reese looking at her] What are you thinking?

Dr. Sarah Reese

Anxiety is a powerful emotion. Would you say that you feel more nervous about the situation or fearful of the future?

April Sexton

I-I don't know. Both, I guess.

Dr. Sarah Reese

How have you been sleeping? Waking up at night? Earlier than you'd like? [April and Maggie look at each other and start giggling] What?

April Sexton

Oh, my God. You're shrinking me. [to Maggie, amused] Three weeks in psych, and she's Freud.

Dr. Connor Rhodes

What happened?

I-I-I don't know. She was alert and talking a few minutes ago.

Dr. Jeff Clarke

No pulse.

Dr. Connor Rhodes

All right, Clarke, intubator. April, miligram of epi.

April Sexton

On it.

Dr. Connor Rhodes

Wheeler, get on her chest now. She's hemorrhaging.

Dr. Jeff Clarke

Abruption from the trauma?

Dr. Connor Rhodes

That might explain just a vaginal bleed, but not this. She's bleeding around her IV.

April Sexton

Dr. Rhodes.

Dr. Connor Rhodes

All right, likely an amniotic fluid embolism. Impact from the accident forced amniotic fluid into her bloodstream, disrupted her clotting factors. Trigger the MTP. We need to get this baby out now.

April Sexton

Page OB?

Dr. Connor Rhodes

No, there's no time. We've got about four minutes to deliver or we're gonna lose her and the baby.

Dr. Isidore Latham

Dr. Choi, what are you doing?

Dr. Ethan Choi

Putting in an IO.

Dr. Isidore Latham

Can I speak with you?

Dr. Ethan Choi

Hang on one second. Almost...

Dr. Isidore Latham

Now.

Dr. Ethan Choi

[to April] I'm in. He's 95% TBSA. Calculate his fluid based on Parkland, and run everything through the warmer.

April Sexton

Copy.

Dr. Isidore Latham

[stepping outside] I thought I told you to make him comfortable and move on.

Dr. Ethan Choi

Dr. Latham, standing by while a patient dies is not in my job description.

Dr. Isidore Latham

He has full thickness burns over 90% of his body. There is no chance of recovery.

Dr. Ethan Choi

He's awake, talking, lucid, not in any pain.

Dr. Isidore Latham

As you well know, he's not in pain because his cutaneous nerves have been destroyed by the burn. Very soon, his organs will begin to shut down. He is going to die. And treating him will only take resources away from patients who have a chance of survival.

April Sexton

The CPS working?

Dr. Will Halstead

A-line pulsatility is decreasing.

April Sexton

Heart's beating less and less on its own.

Dr. Will Halstead

But it's only been a few hours. The meds need a while to build in her system.

April Sexton

And we can't speed up the process? [seeing his reaction] We can?

Dr. Will Halstead

IVIG and plasmapheresis. It's a method to block Melody's immune system from attacking heart muscle as it tries to clear the infection.

April Sexton

Well, why aren't we doing it?

Dr. Will Halstead

The science is unproven. The unknowns worry me. The risk of anaphylaxis, additional infections, inflammatory side effects.

April Sexton

Well, she already coded. Another one could be right around the corner. Isn't it worth trying anything?

Dr. Will Halstead

Not if it does more harm than good.

I hardly slept last night. I just couldn't stop thinking. I mean, so many people coming in, horrible injuries.

April Sexton

And this isn't even a busy day.

I just hope I'm up to it.

Maggie Lockwood

Quick, nurses' credo?

Uh... cure sometimes, treat often, comfort always.

Maggie Lockwood

Uh-uh. Don't kill your patient.

Because that's the doctor's job.

Dr. Natalie Manning

[approaching] I heard that.

April Sexton

What is all this about malware and decryption keys?

Sharon Goodwin

It's a ransom note. We've been hacked.

April Sexton

We cannot do this, Ethan.

Dr. Ethan Choi

He was clear in his decision.

April Sexton

Because you pressured him, made him feel like he had to choose right now.

Dr. Ethan Choi

No, I gave him his medical options, and he decided on what was best for him. Don't put this on me.

April Sexton

It is on you. Your hands may have been tied by his advance directive, but giving him heparin knowing it's lethal, that's assisted suicide.

Dr. Ethan Choi

April, we can't save Gary, but one organ donor can save up to eight lives. One tissue donor can improve the lives of up to fifty others. Because of him, fifty-eight people get a second chance. Put in the order for heparin.

April Sexton

No.

Dr. Ethan Choi

Then I'll do it myself.

Dr. Ethan Choi

We know she has AIDS. She knows she has AIDS. Her aunt must know on some level, this isn't the flu.

April Sexton

Yeah, but there's a difference between knowing something and saying it out loud. You say it out loud, and it's real.

April Sexton

Nancy Buckley's results?

Dr. Natalie Manning

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

April Sexton

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?

April Sexton

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.

April Sexton

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

Dr. Natalie Manning

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

Natalie Manning

[treating a baby] What's going on?

April Sexton

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.

April Sexton

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

Natalie Manning

I don't think so.

April Sexton

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.

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?