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SEASON 1

Chicago Med · Season 1

Chicago Med Season 1 quotes

227 quotes · page 7 of 16

S1 E15Unfinished Business

LGLaura Green

She can really feel the pain of everyone she sees?

LGLaura Green

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.

There's no way you could have known.

LGLaura Green

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

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...

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

AMAdam Moore

I'm not withholding them.

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

AMAdam Moore

It's not about me.

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

AMAdam Moore

It's his decision.

Excuse me?

AMAdam Moore

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

That doesn't mean you can just stop trying.

AMAdam Moore

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.

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.

AMAdam Moore

Gabe does understand.

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

AMAdam Moore

No. I won't authorize that.

AMAdam Moore

He's breathing so hard.

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

AMAdam Moore

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.

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

AMAdam Moore

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.

[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?

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.

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

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.

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

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.

This was a total disaster.

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.

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

I just saw her tulpa talk her off a ledge.

I have no idea what to think.

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.

What happened?

JWJason Wheeler

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

No pulse.

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

On it.

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

Abruption from the trauma?

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

Dr. 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.

Page OB?

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

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.

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

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

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

[insulted] Emotional? And what are you being?

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

Dr. Rhodes, your opinion?

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

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.

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. Choi, what are you doing?

Putting in an IO.

Can I speak with you?

Hang on one second. Almost...

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

Copy.

[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.

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.

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.

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

JKJack Kellogg

I just want my meds.

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.

JKJack Kellogg

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

Shut your mouth.

Dr. Charles.

JKJack Kellogg

Maybe I should just go.

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

JKJack Kellogg

What? Seventy-two hours?

You wanted my attention, and now you have it.

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

Well, he did fall off a building.

Craniotomy, right?

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

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

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.

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.

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

The CPS working?

A-line pulsatility is decreasing.

Heart's beating less and less on its own.

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

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

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

Well, why aren't we doing it?

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

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

Not if it does more harm than good.

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."

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

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.

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