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Chicago Med
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S1 E15Unfinished Business

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

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

I actually called her to check in.

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

Really? Emily?

O, ye of little faith.

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

What you got?

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?

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

Huh. Nothing about this in her chart?

No. I doubt the family has any idea.

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

What's the story?

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.

Lengths kids will go to to get high these days.

Look, Sharon... CFD and CPD will conduct their own very thorough investigation, and it is in the hospital's best interest, and frankly yours, to not put yourself in the middle.

But I am in the middle, Peter. Carter's my godson. I've known this boy since he was in diapers. He's not some master manipulator. If he lied, it's because he was scared.

Beside the fact that the Singletons are your friends, they are also major donors to this hospital, and there is a multi-million dollar relationship at stake here. So if the kid is gonna get in trouble, please, let PD be the bad guys.

Any word from the ethics committee?

[Charles glances at Emma's treatment room]

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.

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.

Dr. Rhodes, he's braindead.

Is he a donor?

[checking the patient's license] Yeah.

Okay... let's get an angio to confirm brain death, then get a cardiac echo. I've got a patient who needs a heart.

You're wasting your time on this one, Dr. Rhodes. I heard significant mitral regurg on auscultation. There's no way that heart is viable.

Maybe not now, but that doesn't mean I can't fix it. Let's get him up to Radiology now.

Dr. Stohl, we've got incoming.

How many?

25, at least ten critical.

That's too many. We're already swamped. They need to be rerouted to East Mercy or Lakeshore Memorial.

They can't. They're choked up, too. They're trying to send patients to us. So let's get Maggie to double up patients into treatment rooms and trauma bays. Remove the dividing walls to make the space. April, with me. We need to help unload these ambos.

[they enter the ambulance bay and see the number of vehicles, plus more incoming]

Two per room? That's not gonna do it.

No, not even close.

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.

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

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

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

I saw the shooter. I should've... run at him, tackled him, done... something, but instead I just stood there, like a coward, while he mowed people down.

Have you heard of fight or flight? Before that is the freeze. It's an instinct that kicks in when there's no time to think. Not running at that shooter might've saved your life, okay?

So, the officer saw the guy ditch the assault rifle, then he got a shot off, and then he lost him in the crowd.

And you think now he's here?

Yeah, maybe. He was wearing a hoodie. We recovered it at the scene. Tested positive for gunshot residue, and there was blood on it.

So the officer might have shot him.

Well, that's the theory. We're thinking either the paramedics brought him in or he's hiding among the injured, so we're checking all the hospitals against the officer's partial description.

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

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.

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