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Chicago Med
All S1

S1 E15Unfinished Business

You know, Dr. Choi, there's a pretty important statute, known as the HIPPA privacy rule, that protects every patient's personal health information from being shared with anybody else.

You heard her, Ms. Goodwin. She wants us to help her niece.

Still, it's not for you to tell her. That's the rule.

[turning to leave, he stops at the door] With all due respect, if all we were gonna do is follow the rules, we should've done what Stohl wanted and turfed her back to East Mercy.

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

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. 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.

I'm sorry, are you reassigning me?

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

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

AKAbena Kwemo

These are your patients?

They were my patients, yes. They died in the '80s. I was their nurse. It was a terrifying time. Some days, we lost two, three patients. See, we barely understood what AIDS was back then, let alone how to treat it.

AKAbena Kwemo

I don't want to see these anymore.

I know. It's hard, isn't it? I could only imagine who they might've been, what they might've done with their lives, if they had a chance. They had such promise.

AKAbena Kwemo

These patients, how many of them died alone without their families?

Far, far too many.

AKAbena Kwemo

I don't want to live without my family.

And I'm sure they don't want to live without you. I can see it in your aunt's eyes. I know that look. She's terrified of losing you. You're so young, Abena. Don't rob yourself of a future that these young people could only dream about. I lost a lot of patients. I don't want to add you to this folder.

I'm a charge nurse, and I'm hanging IV bags.

I know, Maggie. You're short-staffed.

For a month. When are we gonna hire more nurses?

We can't afford it. It's not in the budget.

Sharon, we are required to have one nurse for two beds. That's twelve nurses per shift. Four shifts, that's 48 nurses. Right now, I only have 42.

Well, even it out with overtime.

Time and a half? How is that supposed to save us money?

It doesn't, but overtime comes out of a different account. We still look good. Work with me.

Nancy Buckley's results?

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.

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.

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.

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

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

All right, dodged that bullet.

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

An enlarged spleen?

This our fault?

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.

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

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

All right. You'll inform the patient.

Yes, ma'am.

Thank you.

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

A genetic disease?

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.

How'd it go with Dr. Chapman?

Uh, it was fine. She's fine.

Good. Is there an issue?

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.

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.

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. 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.

Really?

You're wasting your time.

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

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

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

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

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

Can you cover for me tomorrow?

Sure. Are you getting sick?

No, I'm headed to Minneapolis.

That sounds even worse. Why are going there? [realizing] Oh, is that where Robin moved to?

Yeah, it is.

So this is, what, a misguided attempt to win her back?

Forget I asked.

No, I'm happy to do it. Mostly because I find your gift for self-flagellation fascinating.

What is that supposed to mean?

Just that, from what I've gathered, this sounds like a fool's errand.

[sarcastic] CT's own Dr. Phil? Thank you.

Doctor who?

[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?

I don't think so.

I'll go see if his labs are back.

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

What, you keeping a secret?

[taking his book] "Your Toddler and You". Is this business or pleasure?

Both. I'm looking for ideas on how to get Owen to like me.

What makes you think he doesn't.

[indicating his black eye] Oh, I don't know.

[she laughs] You worry too much.

Hey, Owen's number one in Natalie's life. If I can't make it work with him, I got no shot with her.

Well, let me break down toddlers for you. They eat, sleep, poop, and play. Help 'em out with any one of those things, and you're gold.

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