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Chicago Med
#111 : Le choix du patient

 

Résumé : Le Dr Rhodes et le Dr Choi sont en désaccord sur la décision finale prise par un patient souffrant d'une maladie cardiaque mortelle. Le procès en cours contre le Dr Halstead continue à avancer et Sarah Reese et le Dr Zanetti font leur possible pour sauver un patient présentant une maladie bactérienne mangeuse de chair mal diagnostiquée.

Pendant ce temps, le Dr Manning traite une jeune fille diagnostiqué avec une bactérie contagieuse,  ce qui l'oblige, avec le Dr Halstead, à prendre des mesures pour éviter une épidémie majeure.  

Popularité


4.8 - 5 votes

Titre VO
Intervention

Titre VF
Le choix du patient

Première diffusion
23.02.2016

Première diffusion en France
24.01.2017

Promo Cmed 1x11
Promo Cmed 1x11

  

Diffusions

Logo de la chaîne TF1

France (inédit)
Mardi 24.01.2017 à 21:50
2.66m / 11.6% (Part)

Logo de la chaîne RTL TVI

Belgique (inédit)
Vendredi 20.01.2017 à 21:10

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Etats-Unis (inédit)
Mardi 23.02.2016 à 21:00
6.64m / 1.5% (18-49)

Plus de détails

Scénario : Mary Leah Sutton   

Réalisation Sanford Bookstaver

Guest Starring :  Julie Berman (Dr Zanetti)

Sharon Goodwin’s office

Peter Kalmick: Alicia, we can't agree to this. This is too much.

Alicia Rivera: Then we'll go to mediation, and if you still think it's too much, we'll go to court. I'm very confident in our chances.

Sharon Goodwin: Can't we find a compromise? I'm sure everyone here would like nothing more than to put this behind us.

Alicia Rivera: Easy for you, but since Dr. Halstead resuscitated Mrs. Baker against her wishes, she's been confined to this hospital, fed through a tube, and hooked up to a series of wires, tanks, and catheters with no end in sight. This is not something she'll ever be able to put behind her.

Will Halstead: I never wanted any of that.

Peter Kalmick: Dr. Halstead.

Will Halstead: I did what I did to give you time so...

Sharon Goodwin: Dr. Halstead.

Alicia Rivera: Ms. Goodwin, you have our terms.

ER

Noah Sexton: Okay, so it's my first surgery, and I'm holding this thing called a "Bovie."

Nurse Doris: For cauterizing blood vessels.

Noah Sexton: Yeah, yeah, so the surgeon, he tells me to buzz. He's talking about the Bovie, but I have no idea, so finally I just look at him, and I say, "Bzz."

Nurse Doris: You did not.

April Sexton: Hi.

Noah Sexton: Hey.

April Sexton: Don't you have patients to see?

Noah Sexton: Yeah, I'm on my way. It's just another kid with a earache.

April Sexton: And we've got 20 more in the waiting room. You drinking baby formula?

Noah Sexton: Oh, yes. It's all they had in the back. The vanilla's actually pretty good.

Maggie Lockwood: Incoming!

Paramedic: 35-year-old male found down in his kitchen. Hypotensive at 80 over 40, rate 134, only responsive to pain.

Maggie Lockwood: All right, you're going to Treatment Four. Dr. Rhodes, can you get this, please? We're slammed.

Connor Rhodes: I'm on it. Reese, come with me.

Treatment 4

Connor Rhodes: Ready? One, two, three.

Nurse: All right, let's get him hooked up. Prep a saline line. We're gonna need another one wide open.

April Sexton: O2 sats are 85 and dropping.

Elias: What's happening to me?

Connor Rhodes: We're gonna find that out. We're gonna intubate. Give me a 7.5 ET tube, 20 of Etomidate, and 1 milligram per kilo of ROC.

Sarah Reese: Septic shock?

Connor Rhodes: Maybe, but we need to find a source. Your respiratory muscles are weak. I'm gonna intubate you so that they can rest. Give him 3 grams Unasyn. Send for a CBC, CMP, coags, and lactate. Give me a blood gas and blood and urine for culture.

April Sexton: On it.

Sarah Reese: There's no bleeding or deformity in his legs.

Nurse: We're almost ready.

Sarah Reese: Heartrate is erratic. Watch his pressure.

Connor Rhodes: All right, I am in.

Sarah Reese: Dr. Rhodes.

April Sexton: O2 sats are 98 and he's stable.

Connor Rhodes: No. We need to get him up to the OR now. I have a feeling we're already too late.

OR

Sarah Reese: Patient's spouse is here. He's very anxious. Any updates I can give him?

Sam Zanetti: Tell him his husband's got necrotizing fasciitis and we're debriding the muscle to try and stop the infection.

Sarah Reese: Dr. Rhodes, is that okay?

Connor Rhodes: Uh, yeah. That's fine.

Sam Zanetti: Did a med student seriously just go over my head to you?

ER

Will Halstead: Zoe.

Zoe Roth: Hi.

Will Halstead: You know that woman that you helped me get into the clinical trial?

Zoe Roth: Jennifer Baker?

Will Halstead: Could you find out how she's doing? You know, side effects, tumour burden.

Zoe Roth: Isn't she still suing you?

Will Halstead: I just want to know if she's at least showing some improvement.

Zoe Roth: Will, it's a Phase III study. All that information is confidential… I'll see what I can do.

Will Halstead: Thank you.

Zoe Roth: Okay.

 

Will Halstead: Hey.

Natalie Manning: Hey.

Will Halstead: So how are you doing?

Natalie Manning: I'm good.

Will Halstead: That's good. We should, you know, talk.

Natalie Manning: Yeah, but not here.

Will Halstead: Yeah. No. No. Right.

Treatment

Mrs. Kane: Okay. You're gonna be fine.

Natalie Manning: Hi. I'm Dr. Manning. This is Dr. Halstead. You must be Shiloh. I heard you had a bit of a headache, huh?

Mrs. Kane: It started yesterday. She's also had a 103 fever since last night.

Natalie Manning: Did you try Tylenol or ibuprofen?

Mrs. Kane: Tylenol usually works, but this time it didn't touch her. That's why we're here.

Natalie Manning: You mind if I take a look?

Will Halstead: How about any nausea or vomiting?

Mrs. Kane: She threw up once. That definitely concerned me.

Mr. Kane: But there hasn't been any purulent discharge, so I doubt it's bacterial.

Natalie Manning: Well, we can't rule anything out yet.

Mrs. Kane: So you're going to do cultures, right?

Will Halstead: Well, first things first. Anyone you know have similar symptoms?

Mr. Kane: No, not that I know of.

Natalie Manning: Do you feel stiff or achy back here?

Shiloh Kane: Yeah. When I move my head.

Mrs. Kane: Wait. Are you thinking meningitis?

Will Halstead: Well, with fever, headache, and neck stiffness, it's definitely possible.

Mr. Kane: Possible or probable? Because she hasn't shown increased drowsiness or experienced any photophobia.

Will Halstead: Are you MDs?

Mr. Kane: No. Engineers.

Natalie Manning: Well, like we said, meningitis is a possibility, so the next step is to do some tests.

Shiloh Kane: What kind of tests?

Natalie Manning: Well, we're gonna do two pokes in your arm and one poke in your back so we can figure out what's going on and get rid of this headache. Is that okay with you? Yeah? Okay. All right, well, we'll be back in. Thank you.

ER

Will Halstead: Professor told me hardest part of pediatrics... Never the kids.

Desk

Will Halstead: Nice. Who sent you those?

Maggie Lockwood: Not mine. Goodwin's anniversary. 32 years… Dr. Choi, incoming.

Ethan Choi: Got it.

Maggie Lockwood: Treatment Six.

Paramedic: Ken Gallagher. 57-year-old male with an LVAD. Called 911 with severe abdominal pain and epigastric tenderness. Vitals are stable.

Treatment 6

Ethan Choi: Mr. Gallagher, on a scale of one to ten, how bad is your pain?

Ken Gallagher: A zillion.

Ethan Choi: All right, let's move him. On my count. One, two, three.

Nurse: High dose antibiotics set up please.

Ethan Choi: That's a left ventricle assist device, right? An LVAD?

Ken Gallagher: Unfortunately, yes.

Ethan Choi: No guarding or rebound tenderness. Has this happened before?

Ken Gallagher: There's a hole in my stomach. It never stops.

Ethan Choi: You've been diagnosed with an ulcer?

Ken Gallagher: Diagnosed, scoped, transfused, scoped again.

Ethan Choi: Doesn't sound like you've had an easy time. Okay, you're gonna feel a little p...

Ken Gallagher: Feel a little pressure. Like I said, not my first rodeo.

Ethan Choi: All right. You on any ulcer meds?

Ken Gallagher: Three of 'em. What is it this time? Abscess? Breakthrough bleeding?

Ethan Choi: May be a trace of blood in there. Get me an NG tube, and call GI for an endoscopy. I want a better look.

Ken Gallagher: No, no. Can't I just show you my last six endoscopies? It's still the same stomach.

Ethan Choi: Well, I'll give you something for the pain, but we have to try and figure out how to get this ulcer under better control.

Ken Gallagher: I'll tell you how. Get rid of this thing.

Ethan Choi: Not a good idea. That thing, the LVAD, is pumping your blood for you.

Ken Gallagher: Yeah, and all my problems started right after I got it.

Ethan Choi: I understand, but it's better you follow up on that with your cardiologist.

Ken Gallagher: My cardiologist is an arrogant SOB.

Ethan Choi: Come on.

Ken Gallagher: Fine.

Ethan Choi: I'll have cardiothoracic down to take a look.

Ken Gallagher: Thank you… Man, do I hate that stuff.

Ethan Choi: It's a lot worse without it. Okay. I have a feeling you know the drill.

Entrance

Daniel Charles: Ron.

Ron Unger: Hey, Dan. I haven't seen you in a while. Oh, it'd be more often if you'd show up at poker now and again.

Daniel Charles: Maybe I'd show up more often if you didn't keep taking my money.

Ron Unger: Yeah, I'd stop taking your money if you didn't touch your chin whenever you bluffed.

Daniel Charles: Wait. I have a tell? Really? Really?

Ron Unger: Anyway, I try to stay out of here. Private practice doc in a hospital is never good news.

Daniel Charles: Patient of yours get admitted?

Ron Unger: Necrotizing fasciitis.

Daniel Charles: Oh, man. That is a bear.

Ron Unger: Been seeing me for ten years. Good guy. I'll see you, Dan.

Daniel Charles: Take it easy.

ER

Maggie Lockwood: Nat, the little girl with the fever, Shiloh Kane. Her lab results. They said it was urgent.

Natalie Manning: April, get the patient from two into isolation and order a chest X-Ray and CT head, and put the rest of the family in another room for culture times three, and no matter what, do not let anyone leave.

April Sexton: Okay.

Maggie Lockwood: What's going on?

Natalie Manning: Get me on the phone with the CDC. Immediately.

Isolation

Mrs. Kane: How dangerous is this?

Natalie Manning: It depends. Haemophilus influenza B can often be contained with the antibiotics we're giving her now, but not always.

Mrs. Kane: And if it's not contained?

Natalie Manning: It can cause hearing loss, brain injury... Even death.

Mr. Kane: Well, I've never even heard of it. How'd she get it?

Natalie Manning: Well, that is the question. It's part of the standard vaccination regimen. Is Shiloh vaccinated?

Mrs. Kane: No.

Will Halstead: Are any of them?

Natalie Manning: Type B is transmitted by saliva, which makes incidental contacts like Dr. Halstead and I not at risk, but any of her long-term close contacts are. We'll notify the school, but in the meantime, you'll each need to be immunized.

Mr. Kane: I'm not sure we want that.

Natalie Manning: Mr. Kane, I think it's very...

Will Halstead: Your children are at serious risk.

Mrs. Kane: We feel vaccinations pose a serious risk as well.

Will Halstead: That is not true.

Mr. Kane: Doctors are about intervention. I get it. But left alone, the body has a perfectly good immune system, and once you start injecting it with foreign proteins and preservatives, you can't help but change that.

Mrs. Kane: Right now, all our other children seem to be fine, and Shiloh's in there all alone. Can we just go be with her?

Natalie Manning: Of course you can. We'll send someone in to watch your other children. Thank you.

ER

Will Halstead: So what? You're just gonna let them off the hook?

Natalie Manning: They're scared to death right now. It is not the time to push. I will talk to them again later, okay?

Treatment 6

Connor Rhodes: His colouring is pristine. The LVAD is working perfectly. I just don't see what else we can do at this time.

Ken Gallagher: This is not pristine.

Connor Rhodes: I understand. Unfortunately, GI ulcers are not uncommon with these devices.

Ken Gallagher: Yeah, apparently neither is torture. I can't live like this.

Ethan Choi: Well, fortunately, the LVAD is temporary. Just a bridge until you can get a heart transplant.

Ken Gallagher: Come on, do you know where I am on the list? Your heart will fail before I get one.

Ethan Choi: That's not true. There are a lot of factors.

Ken Gallagher: You're a surgeon, right?

Connor Rhodes: Mm-hmm.

Ken Gallagher: Take it out.

Connor Rhodes: Excuse me?

Ken Gallagher: Take the damn thing out.

Connor Rhodes: Mr. Gallagher, I'm... I'm... I'm... I'm sure you understand. Your heart is too weak to pump on its own. The device is doing it for you.

Ken Gallagher: I don't care, and I don't have a family. It's my heart. I want it out.

Ethan Choi: That's not possible, because if we take it out, you will die.

Connor Rhodes: I'm sorry.

ICU

Jim: Is Dr. Unger coming back?

Sarah Reese: Dr. Unger? I don't know. Was he...

Jim: He was starting to explain things, but his office kept paging him, so he had to go.

Sarah Reese: Oh.

Jim: But it sounded bad.

Sarah Reese: Necrotizing fasciitis is what people call "flesh-eating bacteria," but that's a misnomer. It doesn't actually eat. It just spreads very quickly. Even with surgery and antibiotics, once it starts moving, we hardly ever catch up.

Jim: That's what Dr. Unger was saying.

Sarah Reese: Is he Elias's regular doctor?

Jim: Yeah. I mean, not regular. He hardly ever went. Monday was the first time he'd been in, like... Two years.

Sarah Reese: He saw Dr. Unger two days ago?

Jim: Yeah. He had a pimple on his arm that was bugging him.

Sarah Reese: And what did Dr. Unger do?

Jim: He didn't think it was anything to worry about. I mean, it was just a pimple. It hurt him more yesterday, so we called, but we never heard back… I-I guess it wasn't just a pimple.

Sarah Reese: No.

Hallway

Zoe Roth: Jennifer's nurses say she's tolerating the trial really well. No nausea or vomiting. No muscle pain. No cognitive dysfunction. It's as good as a report as you could ask for.

Will Halstead: Thank you. I really appreciate this.

ER

Maggie Lockwood: Hey. Sweet, sweet man, your husband. If you want, I'll have someone take them to your office.

Sharon Goodwin: No. Keep 'em here for now. They brighten up the place.

Maggie Lockwood: Works for me. What are you guys doing tonight?

Sharon Goodwin: Same as every year. Gibson's. Bert orders the T-bone, and I get the sea bass.

Maggie Lockwood: Best steak house in Chicago and you get the fish?

Sharon Goodwin: It's delicious.

 

Sarah Reese: Do you know a doctor in private practice named Unger?

April Sexton: Yeah.

Sarah Reese: Is he reputable?

April Sexton: Why?

Sarah Reese: He missed a diagnosis, and now that patient's probably going to die.

April Sexton: Truthfully, he's missed a few in the last few months.

Sarah Reese: Can you pull up a list of his patients who've been here recently? April.

April Sexton: Okay. Just keep my name out of it.

Sarah Reese: Mm-hmm.

April Sexton: You didn't get this from me.

Announcement: Code blue.

Treatment 6

Connor Rhodes: He's in respiratory distress. What happened?

Nurse: Get the crash cart. Let's get him flat. He's unresponsive. Prep a tray.

Ethan Choi: BP's not registering.

Connor Rhodes: He's wet as a sponge. We're gonna intubate.

Nurse: I can't find the pulse.

Ethan Choi: He won't have one. LVAD's the pump. It bypasses the heart.

Connor Rhodes: His device must have failed. His heart's too weak to pump blood on its own. That's why his lungs are soaked.

Nurse: Prepping now. I got a 14 and a 16 standing by.

Ethan Choi: No. The LVAD battery. He did this to himself.

Sam Zanetti: What do we got?

Connor Rhodes: Respiratory distress and acute heart failure.

Sam Zanetti: I'll start a subclavian… He take that out himself?

Connor Rhodes: Looks that way.

Sam Zanetti: Suicide mission. Not today, buddy.

Connor Rhodes: And I'm in. Vent setting's AC 16, tidal volume 500, peep of 5, and O2 at 100%.

Ethan Choi: Battery's back in.

Sam Zanetti: Pushing pressors.

Ethan Choi: He's pinking up.

Sam Zanetti: BP is 100 over 65 and climbing.

Connor Rhodes: He's stable.

Ethan Choi: Nice save.

Sam Zanetti: I'll call upstairs. He's gonna need to be admitted.

ER

Sharon Goodwin: Dr. Halstead, I need a word with you.

Office

Sharon Goodwin: Why were you poking around the clinical trial wing?

Will Halstead: I didn't talk to her.

Sharon Goodwin: I instructed you not to go anywhere near Jennifer Baker.

Will Halstead: But I heard good news. Jennifer hasn't had any of the usual side effects. She's doing great in her treatment.

Sharon Goodwin: That's beside the point. You blatantly disregard the one thing I asked you not to do.

Will Halstead: This could mean she's on the road to remission, and then I'm sure they'll drop the lawsuit.

Sharon Goodwin: You don't know that. You know, I have tried to be supportive of you, but one more misstep and I will suspend you. You will be barred from this hospital until the lawsuit is settled, and when it is, I will recommend to the board that you be terminated… I'm done.

ER

Sarah Reese: Excuse me, Ms. Goodwin.

Sharon Goodwin: What is it?

Sarah Reese: Um, what exactly is the protocol for reporting medical misconduct?

Sharon Goodwin: Nurse? Doctor? Who?

Sarah Reese: Doctor. Dr. Unger.

Sharon Goodwin: Let's take this up to my office.

Sharon Goodwin’s office

Sarah Reese: Over the past two years, Dr. Unger has increasingly missed routine diagnoses. In the past three months alone there have been four separate incidents. A UTI that led to pyelonephritis, abdominal pain that turned into a ruptured appendix, a leg rash that turned out to be a DVT, and now an infected pimple that's led to necrotizing fasciitis.

Sharon Goodwin: You know this guy. What are your thoughts?

Daniel Charles: We went to medical school together, and he's a caring, thorough physician. Been my personal doctor for years. Never missed a thing.

Sarah Reese: He missed those, and they're only the ones that came in here.

Sharon Goodwin: Thank you, Reese. We'll look into it. In the meantime, don't share your concerns with anyone else.

Sarah Reese: I worry about his patients. Dr. Unger should lose his license. At the very least, his hospital privileges.

Sharon Goodwin: That's not your call to make. Thank you.

Daniel Charles: So why'd you really ask me in here?

Sharon Goodwin: I'm starting an investigation. I didn't want you blindsided. This could get ugly.

Isolation

Natalie Manning: Hey there. Where are your parents?

Shiloh Kane: My dad took my brother and sister home. My mom's in the bathroom. She'll be right back.

Natalie Manning: Well, that's okay. I just came in to check on you.

Shiloh Kane: Why do you have to wear the mask?

Natalie Manning: Because the bacteria that's making you sick is contagious, which means other people can get it, and I have to be particularly careful because I have a newborn baby, and I wouldn't want to get him sick.

Shiloh Kane: People always going to have to wear masks around me?

Natalie Manning: No, because this medicine that we're giving you, it's gonna make you all better. You let me know if there's anything that you need, okay?

Shiloh Kane: Even strawberry Jell-O?

Natalie Manning: Absolutely.

Dr. Downey’s office

Dr. Downey: Yes?

Connor Rhodes: Dr. Downey, you mind?

Dr. Downey: Nope.

Connor Rhodes: What's that?

Dr. Downey: "Ka Hana No'eau I Ka Hulu." The art of the feather.

Connor Rhodes: Oh.

Dr. Downey: I am a rank amateur, but it's good for the hands. What's on your mind?

Connor Rhodes: I have a patient. He's had an LVAD for four months. Been experiencing unremitting pain, fatigue. He has little to no control over his bodily functions.

Dr. Downey: That happens, unfortunately.

Connor Rhodes: It's been rough, and he is not a candidate for a artificial heart.

Dr. Downey: Where is he on the transplant list?

Connor Rhodes: Pretty far down. Chances of being moved up are slim to none.

Dr. Downey: And he wants you to take it out.

Connor Rhodes: Yeah.

Dr. Downey: Do it.

Connor Rhodes: But he'll die.

Dr. Downey: I am a cardiothoracic surgeon… The patient has asked you to remove it, yes?

Connor Rhodes: In no uncertain terms.

Dr. Downey: Then honour his wishes… I hope when my time comes to be so lucky as to have someone extend me the same consideration.

Desk

Natalie Manning: Bad news?

Will Halstead: Well, Goodwin took the paddle to me… I'm okay.

Natalie Manning: My shift's over in a little, and I was gonna go to Shiloh's school to help give out booster shots. Why don't you come with us?

Will Halstead: Sure.

Natalie Manning: All right. Van will be outside in ten.

Will Halstead: Okay.

 

Maggie Lockwood: Hey. You have a second?

April Sexton: What's up?

Maggie Lockwood: Did you give Keflex to the kid with the ear infection in three?

April Sexton: No, why?

Maggie Lockwood: Because he was supposed to get Azithro. He's allergic to Keflex.

April Sexton: What happened?

Maggie Lockwood: I mean, nothing terrible. He's okay. But it could have been lethal.

April Sexton: Who else was on that side? Doris? Robert?

Maggie Lockwood: No, she was on a break, and he was with other patients. I'll keep asking around.

April Sexton: You man your desk. I'll find out.

Maggie Lockwood: Yeah? Okay, thanks.

Noah Sexton: Come on, girl, just...

ICU

Ethan Choi: Where's Mr. Gallagher?

Nurse: Dr. Rhodes just took him to surgery.

Ethan Choi: Surgery?

Nurse: To remove his LVAD.

OR

Ethan Choi: You're removing the LVAD? You didn't consult me.

Connor Rhodes: The only person I needed to consult was the patient.

Ethan Choi: I thought we were on the same page with this… What you're doing is assisted suicide.

Connor Rhodes: The patient understands the consequences. He made an informed decision.

Ethan Choi: What about you? You're killing him.

Connor Rhodes: It is what the patient wants. It's ethical, and it's legal.

Ethan Choi: I can't let you do it.

Connor Rhodes: Are you really gonna try and stop me, Dr. Choi?

ER

April Sexton: Noah.

Noah Sexton: Whoa… What?

April Sexton: The kid with the ear infection. You were supposed to give him azithro.

Noah Sexton: I did.

April Sexton: No, you gave him Keflex instead.

Noah Sexton: Really? Are you sure?

April Sexton: Oh, my God. The kid is allergic to Keflex.

Noah Sexton: O-okay. D-did he... Did he go into anaphylactic shock?

April Sexton: No, luckily, they caught it in time.

Noah Sexton: Okay.

April Sexton: Okay? It's not okay. This could have been really serious.

Noah Sexton: But it wasn't.

April Sexton: Don't you understand what you did?

Noah Sexton: I made a mistake, but nobody died. Anybody could have done what I did. Who sets up the pharmacy bin?

April Sexton: Don't look for someone else to blame.

Noah Sexton: I'm just saying... Wait, wait, are you... Are you gonna write me up?

April Sexton: I don't know.

Noah Sexton: April, you'd do that to me?

April Sexton: If this happens Ag... If anything like this happens again...

Noah Sexton: Look, it won't. It won't. I will be really careful. Okay? Don't worry. It's all good… It's all good.

School

Will Halstead: Hey.

Principal: Hi, I'm the principal. We're lining the kids up in the auditorium. Here are the consent forms.

Natalie Manning: Thank you.

ICU

Announcement: Code blue, ICU.

Nurse: Excuse me, sir. Excuse me… There's no pulse.

Jim: What... What's happening?

Nurse: He's unresponsive.

Sarah Reese: He's in V-tach.

Dr. Unger: Cardiac arrest.

Jim: What? Elias!

Sarah Reese: Give me the paddles. Charge to 200.

Nurse: Charging to 200… Here.

Sarah Reese: Clear?

Nurse: Clear. Nothing. Stand by.

Sarah Reese: All right, 1 milligram of EPI.

Nurse: Got it, milligram of EPI… 1 of EPI.

Jim: Elias, come on. Elias!

Sarah Reese: Again. Clear.

Nurse: Clear.

Jim: Please, please, save him. Please, please. Come on. Save him.

Sarah Reese: Again. Clear.

Nurse: Clear.

Sarah Reese: Another milligram of EPI… Doctor...

Jim: Oh, my God, no.

Sarah Reese: Time of death 15:22.

Jim: No! No!

Dr. Unger: I'm sorry, Jim.

Jim: Don't touch me.

Ken Gallagher’s room

Sam Zanetti: What changed your mind?

Connor Rhodes: Downey.

Sam Zanetti: Right, you and Downey, the Dynamic Duo… Oh, that wasn't fair. I still don't agree with your call, but I can see why you made it.

Daniel Charles’s office

Dr. Unger: Awful day today.

Daniel Charles: So what happened with this... With this patient?

Dr. Unger: It presented as a superficial skin infection. Elias didn't have any fever, no nausea. He certainly didn't manifest any risk factors for necrotizing fasciitis. He was nondiabetic, not in renal failure. So I gave him an oral Doxy, and I sent him on his way… I misdiagnosed him. I feel like hell.

Daniel Charles: Hey, everybody makes mistakes, but tell me if I'm wrong. Maybe you didn't used to make so many?

Dr. Unger: Our own little morbidity immortality, huh? Dan, I see upwards of 50 patients a day now. I can't cut back. Between the lousy reimbursements and my overhead, I need that many just to stay afloat, and then there's the paperwork. I had to hire two people just to deal with it.

Daniel Charles: Health care bureaucracy. I mean, it's tough on both the patient and the doc.

Dr. Unger: You know, when a young person comes and they ask me, "Should I go into medicine?" you know what I tell them? No way. Go get an MBA and enjoy your life.

School

Natalie Manning: That didn't hurt, did it? Oh, you are so brave.

 

Will Halstead: Was that the shot?

Kid: Nope.

Will Halstead: That's just the alcohol to make sure your arm is clean.

Kid: Is that the shot?

Will Halstead: Nope. I'm gonna give it to you on the count of three, okay? One, two...

Kid: Where's three?

Will Halstead: That's it. You got the shot.

 

Girl: Mrs. Schroeder's not feeling well.

Classroom

Natalie Manning: Have your teacher call 911, and tell the other doctor I need him. Can you breathe?

Will Halstead: Natalie!

Natalie Manning: Epiglottitis. Airway's blocked. Mouth-to-mouth isn't working. Get me something… Help me hold her hands down… Hurry.

Will Halstead: Natalie, here.

Natalie Manning: I know it's hard, but try slow even breaths, okay?

Will Halstead: Mouth-to-mouth? She's type B, Natalie. What were you thinking?

Natalie Manning: I had to do something… The ambulance is on its way. You're gonna be okay.

ER

Natalie Manning: Theresa Schroeder. Haemophilus influenza B. Criched her in the field.

Maggie Lockwood: The ENT is waiting for you in trauma three.

Natalie Manning: All right.

Mrs. Kane: Terry? Shiloh's teacher?

Will Halstead: This is what happens when you don't vaccinate.

Mr. Kane: You don't know that this was Shiloh's fault.

Will Halstead: That lady almost died, and she may have infected my friend, who has a newborn baby.

Mr. Kane: Terry's probably sick because her immune system is shot from a lifetime of vaccinations.

Will Halstead: That's ridiculous.

Mr. Kane: You docs, you think you know it all. How... How many times you been wrong? Urine therapy? Radium for diarrhea? How many approved drugs need to be pulled every year 'cause they're killing people? Fen-phen or Vioxx, Raptiva.

Will Halstead: There's no evidence the HIB vaccine has any negative side effects.

Mrs. Kane: How can you be sure? Kids get the vaccine when they're babies. Who knows what the long-term effects will be?

Mr. Kane: For Shiloh's long-term health and happiness, we'll risk a treatable childhood illness.

Will Halstead: So no child should be vaccinated, right? You want your kids in a school where no one's protected from polio, smallpox.

Natalie Manning: Will, enough.

Will Halstead: No. You trot out this pseudoscience, but what you really want is for every other kid to be vaccinated so yours can be safe.

Mrs. Kane: He has no right to speak to us like that.

Natalie Manning: You're right, he shouldn't have spoken to you that way. I'm very sorry.

Parking

Natalie Manning: Hey. You know they're never gonna vaccinate their other kids after that, right?

Will Halstead: I know. I know. I shouldn't have shot my mouth off.

Natalie Manning: It was because of me, wasn't it? Because I was exposed… I think it was very gallant.

Will Halstead: You do?

Natalie Manning: Maybe we should talk about that kiss.

Will Halstead: You asked why I treat you so badly, why I say things I wouldn't say to anybody else. I'm like a little kid with a crush on a girl, so what does he do? He pulls her pigtails… Look, I understand if you don't feel the same way.

Natalie Manning: No. Listen, pl... Please. I don't know what I would do without you. But there is just so much in my life that I haven't figured out yet.

Will Halstead: You don't have to explain, Natalie; I... I... I get it.

Natalie Manning: No, I don't... I don't think you do. I am not trying to let you down gently or put you off. I'm just not in that place yet.

Will Halstead: Okay. I'm gonna go check on the teacher. You should get a booster.

Natalie Manning: Okay.

Entrance

Sharon Goodwin: I'm sorry, Dr. Unger. I didn't have a choice. I'll need your hospital ID.

Dr. Unger: Okay.

ER

Noah Sexton: It's not hard to make a still. It's basic chem.

April Sexton: Noah?

Noah Sexton: Hey.

April Sexton: I just wanted you to know that I am gonna file an incident report.

Noah Sexton: What's going on? Is someone making you do this?

April Sexton: No, no. It's my decision.

Noah Sexton: Seriously?

April Sexton: Yeah.

Noah Sexton: Hey, hey, look, look. I get it. I screwed up. But you're supposed to be here for me, not dime me out… You know what? You... You're just pissed because I'm the doctor and you're not.

April Sexton: Noah, you are my brother, and I love you...

Noah Sexton: Mm.

April Sexton: But you need to grow up. Look at me. If you're gonna be a doctor, I want you to be a good one.

Parking

Sharon Goodwin: Dr. Halstead, what are you doing?

Will Halstead: Agh, car wouldn't start. Waiting on a tow.

Sharon Goodwin: Ah, always a perfect way to end the day.

Will Halstead: Yeah.

Sharon Goodwin: Mm.

Will Halstead: Ms. Goodwin? I'm sorry I've been so much trouble.

Sharon Goodwin: Yes, Dr. Halstead. You have been a monumental pain in the ass.

Will Halstead: I know.

Sharon Goodwin: Good.

Will Halstead: Oh, and congratulations on your anniversary.

Sharon Goodwin: Thank you.

Will Halstead: I heard you've been married a long time.

Sharon Goodwin: I have.

Will Halstead: How do you do that?

Sharon Goodwin: Stay out of each other's way and never forget an anniversary. Good night.

Will Halstead: Good night.

Connor Rhodes’s home

Connor Rhodes: That was... Whew. It was a rough day.

Sam Zanetti: I have something to show you.

Connor Rhodes: Johns Hopkins, huh?

Sam Zanetti: Head of trauma.

Connor Rhodes: That's quite an offer.

Sam Zanetti: Yeah, it is.

Connor Rhodes: I hope you let them down gently… You know, Baltimore gets very cold too.

Sam Zanetti: I know.

Molly’s

Daniel Charles: Looks like we had the same kind of day. Sweet and strong, please.

Ethan Choi: I had a patient who wanted his LVAD removed. He got what he wanted. Now he's dead.

Daniel Charles: Huh. I guess I took out an LVAD myself today.

Ethan Choi: How do we ever know what we're doing is right?

Daniel Charles: It's tricky. I mean, the first part of the Hippocratic Oath is clear, right? "Do no harm." Then it goes on to say, "I will remember that there is art to medicine as well as science." So it's tricky.

Ethan Choi: It ever get any easier?

Daniel Charles: Hope so.

Kikavu ?

Au total, 83 membres ont visionné cet épisode ! Ci-dessous les derniers à l'avoir vu...

Chalvi 
24.08.2017 vers 00h

diana62800 
07.08.2017 vers 03h

mapema 
28.07.2017 vers 12h

brucas59 
27.07.2017 vers 14h

Linstead77 
23.07.2017 vers 02h

CastleBeck 
28.06.2017 vers 17h

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Supersympa (23:45)

Par contre je crois qu'il a pas de "vraie fin" à Beauty and The Beast

Supersympa (23:46)

Bonne soirée.

Visiteur 9043915 (23:46)

Ah oki ben je verrai bien jvai regarder tt ca ?

Visiteur 9043915 (23:46)

Bonne soiree merci

Supersympa (23:46)

De rien.

grims (05:46)

Joyeux anniversaire spyfafa !!! Que ta journée soit belle !

Spyfafa (10:29)

Merci grims

Locksley (12:48)

Tout chaud sorti du four : Joyeux anniv' Spy' !

Sonmi451 (14:12)

Joyeux anniversaire Spy'!

CastleBeck (14:17)

Oh! Joyeux anniversaire Spy!

Supersympa (14:25)

Bonjour à tous et un joyeux anniversaire à Spyfafa.

Spyfafa (14:55)

Merci bien Oh un gâteau Lock', j'espère que c'est les beignets à la confiture de Robin (HypnoCook) : )

Stephye75 (17:16)

Happy B day Spyfafa

cordelia (18:29)

bon anniversaire

cordelia (18:30)

dans rizzoli et isles saison 7 episode 9 la mère de rizzoli dit qu'elle a 2 enfants alors qu'elle a tommy ...

Spyfafa (21:59)

Merci ! Bonne soirée à vous

Supersympa (22:00)

Bonne soirée Spy.

Visiteur 816546 (00:22)

Qq a vu les 10 premiers episodes de la saison 6 d engrenage?

Visiteur 816546 (00:24)

ca me soule d'attendre 4 semaines pour voir le 11 et 12

Supersympa (00:24)

Jamais vu...^^

Visiteur 816546 (00:24)

jai trop de questions et de suppositions ca m'agace

Supersympa (00:26)

Patience et longueur de temps font plus que force ni que rage...

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Message supprimé par pretty31

Supersympa (00:27)

Pardon ?

Sonmi451 (08:24)

Bon vendredi tout le monde. ^^

pretty31 (10:08)

5872

Supersympa (13:59)

Bonjour et bonne journée à toutes et tous.

Supersympa (16:43)

Comment ça va tout le monde ?

alex80980 (13:48)

salut buffy the best

alex80980 (13:49)

les hypno alternative c cool

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Hello, à 11 jours de la reprise de Blacklist aux US, de nombreuses infos nous parviennent...

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Photos, résumé mais surtout les premières images de la saison 5 qui ne peuvent que vous faire sourire...

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Red et Liz en mode décontracté, cela vaut un petit détour.

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Vous pouvez également profiter de votre passage pour voter à la Photo de la Quinzaine ou commenter le calendrier de septembre, on compte sur vous

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Bon week-end!

serieserie (00:02)

Plus que 23h57 minutes pour voter pour les créations de l'HypnoDesign! N'hésitez pas à y repasser!

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@serie² : quel sens de la précision !

grims (10:54)

Le quartier Outlander vous propose une toute nouvelle animation ! il s'agit de voter pour les scènes et répliques que vous avez préférées !

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Nous vous attendons nombreux pour l'épisodes 1 de la saison 3 "The Battle Joined" vous pouvez voter jusqu'à demain matin je compte sur vous !

grims (10:55)

Venez faire bouger cette animation

serieserie (12:34)

11h26 minutes pour voter à l'HypnoDesign! On oublie pas et on met des petites

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Bonjour à tous ! Le shérif a une nouvelle cible en vue (PDM). Venez voter sur le quartier de Robin des Bois. A tout de suite !

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Nouveau sondage chez Ma sorcière Bien Aimée: c'est une rentrée magique! emportez ce que vous voulez! on vote et on commente. Merci.

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Un sondage sur la saison 2 vous attend sur le quartier This Is Us. Venez nous dire pourquoi vous avez hâte au retour de la série. Merci!

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De nouveau sondage vous attendent sur les quartier Ally McBeal, Roswell et Cougar Town! Merci

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Nous vous attendons nombreux merci

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Coucou à tous ! un nouveau design vous attend sur le quartier Vikings !!! venez nombreux pour le commenter ! merci et bonne journée

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Nouveau design et nouveau sondage sur le quartier New-York Unité Spéciale, si vous avez 5 min, n'hésitez pas à passer

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Sondage "magique" chez Ma sorcière Bien aimée; n'héitez pas à venire voter ; il y a du choix pour tous! merci...

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C'est quoi, ces mots? n'hésitez pas à VOTER et à commenter...merci.

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Coucou à tous ! un nouveau design vous attend sur le quartier Vikings !!! venez nombreux pour le commenter ! merci et bonne journée

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Qui dit nouveau quartier, dit souvent animation d'ouverture. Ne manquez pas celle de Lethal Weapon et venez enquêter avec Riggs et Murtaugh. Merci

CastleBeck (15:20)

Si vous préférez répondre à des sondages, commenter des calendriers ou des designs, vous êtes les bienvenus également Bonne journée.

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CastleBeck est en tête pour gagner l'Oscar du mois sur HypnoClap ! Vous aussi venez participer au quartier, donner votre avis sur un film !

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