Criminal Minds · Season 1, Episode 15
“Unfinished Business” · Season 1, Episode 15
In this episode: Dean Winchester (940), Damon Salvatore (715), Sam Winchester (665), Olivia Benson (637), Stephen Fry (608), Narrator (554), Clark Kent (523), Nate (486)
I spoke to my mom today. Told her I was a psych resident.
Oh, just now you're telling her?
Well, yeah. I knew how she'd react. And I was right. She... laughed. She said I was the last person she could ever imagine being a psychiatrist.
Wow. Real vote of confidence there.
So this was your idea?
Dr. Choi volunteers at the zoo.
Normally we wouldn't bring an animal in here, but we couldn't diagnose without a CT.
Well, that's fine, but I'm not a veterinarian.
She needs a cardiothoracic surgeon.
You've done this procedure many times.
Oh, yeah, I have. On human beings.
Same plumbing, just bigger. Crack her chest and plug the hole.
Are we sure that we're all comfortable spending our time and the hospital's resources to save an animal?
Dr. Rhodes, zoos rent pandas from the Chinese government for a million dollars a year. Why? Because people love pandas. So if we save this one, it's a public relations coup for this hospital. One which will lead to much needed donations to save human lives. And... and there's an issue beyond that. I've learned that there are less than 2,000 pandas left in the world.
Connor, we should do whatever we can to keep her alive.
So, you volunteer at the zoo, huh?
Yeah.
How come?
You'll laugh.
Just try me.
[sighs] All right. A few hours ago I lost a kid who was shot. Another one. So much of my work...stabbings, shootings...i's dark, man. Worst of human nature. But animals...not to say they don't kill each other, but they don't do it out of malice. They're innocent. They're light.
My mom keeps saying I'm doing this for attention, but... god, who likes seeing doctors?
Your leg okay?
All of a sudden, my knee hurts.
This place freaks me out even worse than school.
What freaks you out about school?
Everything. There's so much drama. It makes me crazy anxious. Sometimes I hide, sometimes I get into fights.
That's what happened today?
[Ariel glances at something, and Daniel notices she's looking at her mother]
I looked up schizophrenia online. It says it can start in late adolescence.
Mm, not usually as early as fourteen, but... I mean, are you hearing or seeing things that other people aren't?
No. But... sometimes, it's like... my feelings aren't my own. Like they're someone else's.
Do you think I'm crazy?
Uh, not really my favorite word, but no. No, I don't.
[a patient has a gun up his rectum] He says he has no idea how the gun got up there.
All right, what are our options?
It's not gonna be easy getting it out. It's just past his sphincter.
Plus, the hammer's cocked. So if there's a live round in there...
Seriously?
Could do some real damage... 22 single-shot derringer. That's a big kick for a little gun.
So we work up a plan to get him to the O.R. Page the surgeon on call.
Ms. Goodwin, I think it'd be safer to do it here. Jeff and I both have weapons experience. We sedate him, try to slide it out. If we can't make it, then we call in surgery.
I'm in.
Should we call CPD?
Yes. We'll need enough body armor and gear to protect whoever's in there with him. And let's keep this area clear.
And I'll keep the cameraman away from all this. It's unsafe, and frankly, it's distasteful.
What were you doing to my daughter?
I was trying to confirm a diagnosis. Um... I... I want neurology to run some tests, but based on this and Ariel's history, I think that she has a condition called mirror touch synesthesia.
What?
It's a condition that... that causes her to experience the physical sensations and emotions of the people that she's interacting with as her own. My left knee hurts, Ariel feels it in her right. I slap my right cheek, she feels like her left is being slapped. She's mirroring me.
Her stomach; she's responding to your ulcer, not imitating you. She's literally feeling your pain.
Whoever heard of such a thing?
It's a pretty recent discovery, the existence of these mirror neurons.
Is there a cure?
Not yet, but there are... coping strategies we can teach her to help her manage her condition.
[her cell phone buzzes]' Uh... I'm sorry, I... I have to get this. [answers the call as she leaves] Yeah?
I cannot believe this woman.
How's that old saying go? You can lead a horse to water, but you can't make it gaze at its own reflection.
I have recently been diagnosed with an autism spectrum disorder. Asperger's.
[slightly confused] Okay.
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.
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?
She can really feel the pain of everyone she sees?
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.
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?
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.
I'm not withholding them.
I understand that you're a single father and that this must be incredibly hard for you...
It's not about me.
But if you are willingly keeping your son off of his meds, then we...
It's his decision.
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.
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.
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.
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.
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.
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.
You know, it used to be if a doctor told a patient to do something, they just did it.
You been binging on Dr. Quinn, Medicine Woman again?
No, I'm just saying things were different.
[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?
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.
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