Chicago Med quotes

She can really feel the pain of everyone she sees?

Dr. Natalie Manning

Yes.

Oh, god. I can't imagine how hard this has been for her. I took her to every specialist. I... I did what the doctors told me to. I thought she was faking.

Dr. Natalie Manning

There's no way you could have known.

I am hurting my own daughter. How am I supposed to protect her from this if I'm part of the problem?

Dr. Natalie Manning

It won't be easy. But... she feels what she sees. If she sees a happy person, she feels happiness. And if she sees someone who's constantly anxious...

Dr. Natalie Manning

We are aware that your son was prescribed a new oral chemo, and that you have been withholding it.

I'm not withholding them.

Dr. Natalie Manning

I understand that you're a single father and that this must be incredibly hard for you...

It's not about me.

Dr. Natalie Manning

But if you are willingly keeping your son off of his meds, then we...

It's his decision.

Dr. Natalie Manning

Excuse me?

Gabe's. He's been through four courses of chemo. The nausea, the pain, the the drugs to treat the pain, it was awful.

Dr. Natalie Manning

That doesn't mean you can just stop trying.

He begged me all through the last course. But I wouldn't stop it. And it didn't help at all. None of them helped. So this time, I let him decide.

Dr. Natalie Manning

Well, he can't decide. He is eight years old, okay? His brain is literally not developed enough to process this. Life and death and forever are concepts that he cannot fully understand yet.

Gabe does understand.

Dr. Natalie Manning

I'm sorry, but we need to start your son on his new chemo.

No. I won't authorize that.

He's breathing so hard.

Dr. Natalie Manning

He's septic. We need to give the antibiotics time.

He'd scream out in his sleep when it first started, and get these pains. But he kept on fighting. I quit my job to take care of him.

Dr. Natalie Manning

Then help him keep fighting. Tell him that there's a chance this new chemo could work.

Look at him. He's not fighting anymore. He's done. And I will not flog him against his wishes. My boy deserves better than that.

Dr. Will Halstead

You know, it used to be if a doctor told a patient to do something, they just did it.

Maggie Lockwood

You been binging on Dr. Quinn, Medicine Woman again?

Dr. Will Halstead

No, I'm just saying things were different.

Dr. Sarah Reese

[after "meeting" a patient's alternate personality] Obviously, she is profoundly disturbed, which we should have known when she first said "tulpa". Why are we treating her like she is sane when she isn't?

Dr. Daniel Charles

Wouldn't that be a little too easy, though? I mean, sure, we could, you know, slap a label on her, put her in some diagnostic box, pour some medicine on top; but sometimes it's a little more complicated than that.

Dr. Sarah Reese

She had an argument with her made-up friend while her subconscious crashed the car. It seems pretty simple to me.

Dr. Daniel Charles

Grace is definitely a fractured personality. But it's all the more reason that we have a responsibility to dig deeper and figure out why.

Dr. Sarah Reese

Right. I'm sorry, Dr. Charles, but I like boxes. None of this makes any sense. It is all so subjective. I hate it. I mean, where's the science?

Dr. Daniel Charles

Dr. Reese, every medical discipline, psychiatry included, is as much art as it is science.

Dr. Sarah Reese

Well, I don't see the science or the art. You know, everybody was so surprised when I went into this; me, the lab geek. Well, they were right. I don't belong here.

Dr. Sarah Reese

This was a total disaster.

Dr. Daniel Charles

I'm not so sure that's true. I mean, from Grace's perspective, this could be as close to a win as we can get.

Dr. Sarah Reese

She just chose her tulpa over her husband; her tulpa that almost killed her.

Dr. Daniel Charles

I just saw her tulpa talk her off a ledge.

Dr. Sarah Reese

I have no idea what to think.

Dr. Daniel Charles

Like it or not, the line between psychological illness and a coping mechanism is a blurry one. I mean, just 'cause we don't give them names and voices doesn't mean we don't all have different sides. I mean, our personalities change based on... how much sleep we get, how hungry we are. Hell, intestinal bacteria could be the determining factor in our emotions. Look... I know you think of yourself as an analytical thinker and a scientist, and that you're wondering if you have a place in psychiatry right now. But I also see this other Sarah in there, and she's filled with intuition and compassion, humanity. And when you put 'em both together, like during Grace's panic attack today, then I see a sensational psychiatrist.

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.

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?

Dr. Connor Rhodes

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...

Dr. Connor Rhodes

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.

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.

Dr. Connor Rhodes

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?

Dr. Connor Rhodes

A little bit, yeah.

Dr. Daniel Charles

Mr. Kellogg, I am so grateful that you're still alive, and that I get to treat you.

I just want my meds.

Dr. Daniel Charles

Yeah. It really doesn't work that way. You see, your behavior indicates a pretty profound personality disorder. Off the cuff, among other things, I'd say you're probably a malignant narcissist with over sadistic impulses.

You've got no right to talk to me...

Dr. Daniel Charles

Shut your mouth.

Dr. Sarah Reese

Dr. Charles.

Maybe I should just go.

Dr. Daniel Charles

No, no, no. I'm so sorry, but I gotta put you on a seventy-two hour psychiatric hold; for your own good.

What? Seventy-two hours?

Dr. Daniel Charles

You wanted my attention, and now you have it.

Sharon Goodwin

Case coming your way. Window washer fell thirty-three stories. Should be DOA, but still alive. Barely.

Dr. Connor Rhodes

Thirty-three?

Sharon Goodwin

Press will be all over this. Hospital PR's gonna be involved. Get ready for your close-up.

Dr. Connor Rhodes

Thirty-three stories. God. Massive subdural hemorrhage. Significant left shift. Big mass effect is crushing his brain inside of his skull.

Dr. Sam Abrams

Well, he did fall off a building.

Dr. Connor Rhodes

Craniotomy, right?

Dr. Sam Abrams

To what end? He's coagulopathic. I go in and take out the clot, it'll just re-accumulate.

Dr. Connor Rhodes

No, I don't think so. I'm actively giving him plasma, platelets, and cryo.

Dr. Sam Abrams

Which improves his overall chances of survival from 1% to 2. I'm not opening up his skull. I question whether he's even strong enough for this CT, but that was your call.

Dr. Connor Rhodes

If the pressure on his brain isn't relieved, it's over. That's 100%. I got him this far. He'll get through surgery.

Dr. Sam Abrams

All the king's horses and all the king's men... guess they should've gone to you.

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.

Dr. Sarah Reese

Yes, and the suit was how Edward dealt with his wife's death. See, I'm concerned that if he leaves, he's just gonna go get another one, and that will lead him right back here. Some knucklehead will see him in that costume and pick a fight. "Let's see how tough you are, Super-guy."

Dr. Daniel Charles

Hm. It's possible, but... is he having any suicidal thoughts?

Dr. Sarah Reese

No.

Dr. Daniel Charles

And he's certainly not a danger to others. He literally presented saving a woman's life. I mean, he just doesn't meet the criteria for a psychiatric hold.