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S1 E15

Criminal Minds · Season 1, Episode 15

“Unfinished Business” quotes from Criminal Minds

74,544 quotes · page 4377 of 4970

“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)

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.

[in the hope of walking again, their patient has been getting stem cell injections in Mexico]

Good luck? Ethan, are you kidding?

Nat, I've met combat vets who have been paralyzed. The feelings of inferiority can be overwhelming. If you told them a bottle of snake oil might help them walk again, they'd drink it every time.

So you agree with what Nick's doing?

I understand it, Nat.

It's my fault.

Why'd you say that?

I gave her false hope. I told her I believed she was stable when she clearly isn't.

Well, I'm not sure I agree. I mean, just made her case a little tougher, but I'm still gonna file the appeal.

Why would you do that when she just tried to kill herself?

Losing hope is a not a sign of mental illness. It's a sign of being human. I mean, the poor girl; she has a violent, unstable mother, and her fate is in the hands of this psychiatrist who doesn't believe a word she says. I mean, given these odds, I can absolutely understand why she'd fall into despair.

Is this our victim?

Yeah. It's awful. You ever seen anything like this?

I wish I could say I hadn't.

Okay, let's lift. One, two, three.

So helpless.

We're looking into all of the employees at Teresa's facility. We're checking visitor logs, security footage. We'll find out who had access to her and to her floor.

But the rape kit's only supposed to reveal DNA for the past five days. How is this gonna help?

I hate to say this, but the likelihood in a case like this is that the offender's been assaulting her regularly, maybe even daily.

In your daughter's condition, I have to tell you, taking this pregnancy to term would be extremely difficult.

AAAngela Azen

Why? Her brain has been injured, but her body's healthy.

No. At five years in a persistent vegetative state, it's not. This is a high risk situation for pulmonary embolism, sepsis, colonic obstruction, respiratory failure.

DADave Azen

But those are just risks, right? It could all work out.

They are extremely high risks.

If you have your daughter go through with this pregnancy, there is a chance that she will not survive.

AAAngela Azen

She's hardly living as it is. If she dies giving birth, maybe that's a merciful outcome. Sometimes, I've wished for that.

There is another issue to consider. Given the abuse your daughter has undergone, do you believe that she would want to keep this pregnancy? In any case, you are Teresa's guardians, and therefore speak on her behalf. Your wishes will be honored.

NLNancy Leigh

I wasn't trying to commit suicide. I was trying to see you.

Do you believe it's okay to hurt yourself?

NLNancy Leigh

How else could I get to you? It's not like I can ask for a phone call.

Nancy, you... you could seriously hurt or even killed yourself.

NLNancy Leigh

You have to help me get out of there. They locked me up after I got in a fight with my mom, but she's bipolar; has been for years.

Hey, I'm sorry, but I'm... I'm not your psychiatrist.

NLNancy Leigh

My mom came at me with a hammer while I was sleeping. I was trying to defend myself. That doesn't make me crazy.

No. If that were the situation, it would be reasonable to defend yourself.

NLNancy Leigh

See? You're the only one who said that. All the other doctors think I'm psychotic, but my mom's the one who's crazy.

You and Dr. Wheeler were friends?

No, I hardly knew him. He came to me - twice - asking about pills, about therapy. And that wasn't really what he was asking for. He was asking for help. I don't know why he came to me, but he did, and now he's dead. What kind of terrible psychiatrist am I gonna be?

You can't jump in and save everyone, Reese. It's just not possible.

It's not that I didn't jump in to save him. I didn't even see that he was drowning.

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