- Dr. Sarah Reese: Dr. Charles. Um... about what happened with that patient...
- Dr. Daniel Charles: Yeah, that was unfortunate.
- Dr. Sarah Reese: No, what I mean, um, is there was no way you could have known.
- Dr. Daniel Charles: It's emergency medicine, Dr. Reese. We make these evaluations very quickly, and these kind of things happen.
- Dr. Sarah Reese: Of course. I... I was just concerned because of your history.
- Dr. Daniel Charles: Oh. Look, I have lost patients to suicide before, and I undoubtedly will again. I, uh... I appreciate your concern, but it's just the... it's the cost of doing business.
- Dr. Daniel Charles: Mr. Kellogg, I am so grateful that you're still alive, and that I get to treat you.
- Jack Kellogg: 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.
- Jack Kellogg: You've got no right to talk to me...
- Dr. Daniel Charles: Shut your mouth.
- Dr. Sarah Reese: Dr. Charles.
- Jack Kellogg: 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.
- Jack Kellogg: What? Seventy-two hours?
- Dr. Daniel Charles: You wanted my attention, and now you have it.
- 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.
- 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 worst 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. Ethan Choi: Jeff, dispatch said mass casualty.
- Jeff Clarke: Only been on site a few minutes, but it's at least a dozen vehicles. Maybe more.
- Sharon Goodwin: We've got a pre-dawn pileup; multiple traumas en route. White-out conditions, staff snowed in at home, no supplies coming in. We need to make do with who and what we've got on hand.
- Maggie Lockwood: All right, Dr. Manning and Halstead, let's decompress the ED. Anyone who's stable kicks back into the waiting area.
- Dr. Will Halstead: Copy.
- Maggie Lockwood: Dr. Wheeler, be ready to glove up.
- Jason Wheeler: Got it.
- Maggie Lockwood: April, we need every room we've got. Let's clear the hallways, supply rooms; anywhere we can fit a bed. Let's go, people.
- 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: What happened?
- Jason Wheeler: I-I-I don't know. She was alert and talking a few minutes ago.
- 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.
- 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 amniotioc 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.
- Maggie Lockwood: All right, now for waiting room drama. His name is Jack Kellogg. Came in for a Xanax refill.
- Jack Kellogg: [irritably to no one in particular] How long do you have to wait around here?
- Maggie Lockwood: Got bumped from his treatment room. Doesn't seem like an emergency to me. Might just be hunting for drugs. But if you think differently, I'll send him upstairs.
- Dr. Daniel Charles: Did he threaten to hurt anybody or himself?
- Maggie Lockwood: No. He's just a pain in the ass.
- Dr. Daniel Charles: Mr. Kellogg? I'm Dr. Charles.
- Jack Kellogg: I've been waiting for over two hours. Nobody cares. I'm just a number.
- Dr. Daniel Charles: I'm very sorry. We have a major pileup on the highway and we're in a triage situation...
- Jack Kellogg: It's not my problem.
- Dr. Daniel Charles: Okay, well, what seems to be the trouble?
- Jack Kellogg: Cut the crap, all right? Blah, blah, blah. I'm out of my meds.
- Dr. Daniel Charles: Did you call your doctor?
- Jack Kellogg: He's out. Why else would I be here? How hard is it for you to write me a prescription?
- Dr. Daniel Charles: Well, we wanna make sure you get the right medication, the proper dosage.
- Dr. Sarah Reese: [approaching] Doc... Dr. Charles.
- Dr. Daniel Charles: [to Kellogg] Could you hold on a second?
- Dr. Sarah Reese: I'm sorry, but there's an emergency in the psych ward. A patient attacked a nurse. They need you.
- Dr. Daniel Charles: Leah, there was a fellow out here before, a Mr. Kellogg?
- Dr. Leah Bardovi: That guy.
- Dr. Daniel Charles: Yeah, did you see what happened to him?
- Dr. Leah Bardovi: Stormed out. Said he was tired of waiting. You should've heard the language. I don't appreciate being talked to like that.
- Maggie Lockwood: Dr. Charles, the brother of that patient that you saw in the waiting room; the one who left.
- Dr. Daniel Charles: [sarcastic] Oh, Jack Kellogg. Great.
- [taking the phone]
- Dr. Daniel Charles: This is Dr. Charles. Please tell your brother that I'm... what? I'm... I'm so, uh, very s... uh, i-is there anything that we can... hello?
- [hanging up, stunned]
- Dr. Daniel Charles: Jack Kellogg shot himself. He's dead.
- Dr. Sarah Reese: Earl, I got your text. What's the emergency?
- Security Guard Earl: I found this guy holed up in the patient room, not even registered. Had his feet up, watching TV liked he owns the place. Said he was Dr. Charles' pateint, so I brought him here.
- Dr. Sarah Reese: [stunned to see Jack Kellogg] But your brother called and said...
- Jack Kellogg: It wasn't my brother. It was me.
- Dr. Sarah Reese: Dr. Charles thought you were dead.
- Jack Kellogg: Well, maybe I finally got through to him. Think he'll see me now?