Dr. Isidore Latham quotes from Chicago Med

So, after reading the material I gave you, you told me that you suspected...

Dr. Isidore Latham

That I'm on the autism spectrum. That I have Asperger's.

Right. So, how'd you feel if I told you that I thought that your diagnosis could very well be correct?

Dr. Isidore Latham

Relieved, actually. My whole life, I've never understood why people treated me the way they did. I felt there had to be something wrong with me.

Not wrong. I mean, it's jut different wiring. That's all.

Dr. Isidore Latham

Is there anything we can do to change that wiring?

Well, our wiring is pretty much our wiring, but there's a whole bevy of strategies out there. I mean, medications, social skills training, to help you recognize body language. There's also a new therapy called TMS, but I'd probably recommend you going the traditional routes first.

Dr. Isidore Latham

TMS?

Transcranial Magnetic Stimulation. It's so far FDA approved only for depression, but there is anecdotal evidence that it can benefit people with spectrum disorders. I only mention it because we have a machine here at the hospital.

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Dr. Isidore Latham

I have recently been diagnosed with an autism spectrum disorder. Asperger's.

[slightly confused] Okay.

Dr. Isidore Latham

I'm not revealing this to elicit sympathy from you, or as a means to justify my behavior. I simply feel it might be beneficial for you to know.

I think it might be.

Dr. Isidore Latham

I am unable to discern whether you're being sarcastic or not. That's part of the disorder. It also makes it difficult for me to improvise from my set routine. I confess, I... I'm uneasy about the surgery we are about to perform. Can I rely on you to help me through it?

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Sharon Goodwin

Because of emergency surgeries, and a pregnant mother's serious bleeding disorder, we have used almost all of our O-negative. We can either treat Benjamin or Josh, but not both.

Dr. Will Halstead

Benjamin needs an angio emolization more urgently than Josh needs surgery.

Dr. Natalie Manning

How can you say that? Josh isn't compensating for his blood loss as well. He's in worse shape.

Dr. Will Halstead

I understand you're trying to protect your patient, but you're being emotional.

Dr. Natalie Manning

[insulted] Emotional? And what are you being?

Sharon Goodwin

Our recommendation needs to be based solely on clinical criteria. So I'm handing it over to the triage team.

Dr. Isidore Latham

Dr. Rhodes, your opinion?

I have to agree with Dr. Halstead that Benjamin needs angio embolization more urgently than Josh needs surgery.

Dr. Isidore Latham

Not the issue. We're here to decide who has the best chance of survival, so...

Unfortunately, even if Benjamin gets the embolization, there's only a 15% chance that the bleeding in his pelvis will stop.

Dr. Isidore Latham

Exactly. Whereas with Dr. Manning's patient, as the pressure in his thighs builds, the bleeding will eventually slow. Worst case, Josh loses a leg, but there is no question he has the best chance of survival.

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Dr. Isidore Latham

Dr. Choi, what are you doing?

Putting in an IO.

Dr. Isidore Latham

Can I speak with you?

Hang on one second. Almost...

Dr. Isidore Latham

Now.

[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. 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.

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.

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I envied you today. Making those decisions clinically, not letting your emotions interfere.

Dr. Isidore Latham

Dr. Rhodes, are you saying you envy my autism?

A little bit, yeah.

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Dr. Isidore Latham

Dr. Rhodes. I've been thinking about your pulmonary thrombectomy. I can't help but wonder if Dr. Bekker didn't... what's the word? Manipulate me for her own gain.

I-I wouldn't worry about it, Dr. Latham.

Dr. Isidore Latham

I know that fellows compete for the most challenging cases to improve their résumés. Perhaps in the end, you fared better than Dr. Bekker.

Is that why you gave me the transplant?

Dr. Isidore Latham

I'm not sure. Sometimes my motivations are a mystery to me, to be honest.

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Dr. Isidore Latham

Why is Mr. Willis insisting on surgery? Despite my explicit recommendations to the contrary?

Dr. Latham, I...

Dr. Isidore Latham

Did you go behind my back?

No. He asked if he had options. So I told him. I, in no way, suggested...

Dr. Isidore Latham

[muttering in frustration] You've shown extremely poor decision-making today. From this point on, you are not to set foot in the O.R. until I deem you ready to return. Do you understand?

You're benching me?

Dr. Isidore Latham

For the foreseeable future. Yes.