- Dr. Daniel Charles: Could you, uh... could you fill me in? I understand that you ran into Nancy on... on rounds this morning?
- Dr. Sarah Reese: Yes.
- Dr. Daniel Charles: Uh-huh. Could you have said anything to make her think it was a good idea to come over here and... and see you?
- Dr. Sarah Reese: All I said was "crazy" isn't a word I ever use.
- Dr. Daniel Charles: Huh. Gotta be very careful the way we talk to younger psych patients. You know, they're much more vulnerable to mixed messages. She seems to think that you're some sort of ally.
- Dr. Sarah Reese: I... am. Aren't we all?
- Dr. Daniel Charles: To get her the right treatment, of course, but this is a young woman who purposefully drank extremely toxic chemicals. I mean, Nancy's been diagnosed with borderline personality disorder. She has severe bouts of manic depression.
- Dr. Sarah Reese: [reading the chart he hands her] Uncontrollable hysteria, paranoid delusions.
- Dr. Daniel Charles: People who suffer from these disorders can be very persuasive, very manipulative, and a danger to themselves, so we just... we have to be careful. We wouldn't want to put her in a position where she wanted to harm herself again.
- Dr. Sarah Reese: It's my fault.
- Dr. Daniel Charles: Why'd you say that?
- Dr. Sarah Reese: I gave her false hope. I told her I believed she was stable when she clearly isn't.
- Dr. Daniel Charles: Well, I'm not sure I agree. I mean, just made her case a little tougher, but I'm still gonna file the appeal.
- Dr. Sarah Reese: Why would you do that when she just tried to kill herself?
- Dr. Daniel Charles: 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 psychatrist who doesn't believe a word she says. I mean, given these odds, I can absolutely understand why she'd fall into despair.
- Dr. Natalie Manning: [performing an ultrasound on a patient] No kidney stones. Let's look at the bladder.
- [noticing something unusual]
- Dr. Natalie Manning: How long did you say she was in a vegetative state for?
- Maggie Lockwood: Five years.
- Dr. Natalie Manning: We need to call the police. This woman is pregnant.
- Erin Lindsay: Is this our victim?
- Dr. Natalie Manning: Yeah. It's awful. You ever seen anything like this?
- Erin Lindsay: I wish I could say I hadn't.
- Maggie Lockwood: Okay, let's lift. One, two, three.
- Dr. Natalie Manning: So helpless.
- Erin Lindsay: 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.
- Maggie Lockwood: But the rape kit's only supposed to reveal DNA for the past five days. How is this gonna help?
- Erin Lindsay: 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.
- Dr. Natalie Manning: I am so sorry for what happened to your daughter.
- Angela Azen: How could someone do this to her?
- Dave Azen: Are you gonna catch this monster?
- Erin Lindsay: Yes. We've already opened an investigation, and finding whoever did this is a top priority for us.
- Dr. Natalie Manning: I just want you to know we are gonna give your daughter the best possible care.
- Dr. Daniel Charles: How were rounds at the youth hospital?
- Dr. Sarah Reese: Brutal. I'm sure there's a more clinical term, but...
- Dr. Daniel Charles: I hear ya.
- Dr. Sarah Reese: It's really hard to see so many teenagers suffering from psychological trauma.
- Dr. Daniel Charles: Yeah, younger patients are the hardest. Very tough to draw a line between an actual disorder and good, old-fashioned adolescence.
- Dr. Sarah Reese: How do you learn to make that call?
- Dr. Daniel Charles: Tourist asks a New Yorker "How do you get to Carnegie Hall?". Practice.
- Dr. Natalie Manning: So, Teresa is approximately ten weeks along in her pregnancy.
- Angela Azen: Oh, god.
- Sharon Goodwin: Fortunately, termination will be a painless procedure.
- Angela Azen: Wait. Termination? We don't want that.
- Dave Azen: We want to keep the baby.
- Dr. Natalie Manning: I'm sorry. I thought, given the circumstances...
- Sharon Goodwin: Mr. and Mrs. Azen, nothing has to be decided today.
- Angela Azen: No, we've made up our mind. It is terrible what happened to our daughter, but even if it came from a rape, the baby's still part of Teresa.
- Dave Azen: The only part we have left.
- Sharon Goodwin: In your daughter's condition, I have to tell you, taking this pregnancy to term would be extremely difficult.
- Angela Azen: Why? Her brain has been injured, but her body's healthy.
- Dr. Natalie Manning: 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.
- Dave Azen: But those are just risks, right? It could all work out.
- Sharon Goodwin: They are extremely high risks.
- Dr. Natalie Manning: If you have your daughter go through with this pregnancy, there is a chance that she will not survive.
- Angela 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.
- Sharon Goodwin: There is another issue to consider. Given the abuse your daughter has undergone, do you believe that she would want to keep this pregnancy?
- Sharon Goodwin: In any case, you are Teresa's guardians, and therefore speak on her behalf. Your wishes will be honored.
- Dr. Will Halstead: Talk to me, Cesar.
- Paramedic Cesar: Suicide attempt. Fifteen year old female from County Psych. She swallowed bleach, sodium hydroxide, and some sort of rust remover.
- Dr. Will Halstead: Hydrofluoric acid. Okay, call toxicology, get an NG tube in her, push an amp of calcium gluconate, and hang a magnesium drip. Watch for V-tach, and get a psych consult.
- Jason Wheeler: Got it.
- Nancy Leigh: You have to get Dr. Reese for me. I need to talk to her.
- Nancy Leigh: I wasn't trying to commit suicide. I was trying to see you.
- Dr. Sarah Reese: Do you believe it's okay to hurt yourself?
- Nancy Leigh: How else could I get to you? It's not like I can ask for a phone call.
- Dr. Sarah Reese: Nancy, you... you could seriously hurt or even killed yourself.
- Nancy 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.
- Dr. Sarah Reese: Hey, I'm sorry, but I'm... I'm not your psychiatrist.
- Nancy 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.
- Dr. Sarah Reese: No. If that were the situation, it would be reasonable to defend yourself.
- Nancy 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.
- Dr. Sarah Reese: How's she doing?
- Dr. Will Halstead: Well, we've flushed her pretty good. She'll be medically cleared soon, and will have to go back to the psych hospital. You buy her story?
- Dr. Sarah Reese: I don't know. She's on a six month psych hold. Does she seem like she requires that much time locked up?
- Dr. Will Halstead: Don't ask me. Psych's way too spongy. In med school, my headshrink professor took us to the mall and asked us to point out people we thought were mentally ill. No one could agree.
- Dr. Sarah Reese: Hm.
- Dr. Will Halstead: That is when I knew I wanted to be an ED doc. Much clearer business.
- Dr. Sarah Reese: Yeah. I wish there was a way to evaluate Nancy like an ED doc.
- Dr. Will Halstead: Well, maybe there is. Like I tell my residents, always go back to the history.