08x09 - This Could Be the Start of Something New

[bunniefuu]

- I decided to not tell
Ben about the accident.

There's no benefit
to him knowing.

I don't wanna make it any worse.

- Mazel tov.

Congrats on your
big news, buddy.

- So happy for you guys!

- I'm pretty excited.

- Asking Dayton for $10 million
right after I helped rescue him

kind of feels like
a quid pro quo.

- I think you're setting
your sights too low.

I'm gonna do something even
better for Chicago Med.

- The people who
need us the most

never even make it
through our doors.

When did we decide
that's the way it is?

It can't be. I'm
not gonna let it.

- Ms. Goodwin.

- Dr. Choi, I'm on my
way to the cleaners

to pick up my dress
for your wedding.

- Ah. Can I walk
you to your car?

- Sure. What's on your mind?

- Well, uh, April
and I have always

talked about
bringing health care

to underserved communities.
- Mm-hmm?

- And as you know,
so many folks use

our ED for their primary care,

and we'd like to get to them
before they need to do that.

And one way, we thought, would
be to have a mobile clinic.

- Oh, that's a great idea.

- Yeah.

I got a small
inheritance from my dad,

and April saved up some money.

So we bought a mobile eye clinic

we're refitting
for general care.

- Oh.

And this is something
you could do part-time?

- Full-time.

Ms. Goodwin, after
our honeymoon,

we'd like to start going
out, treating people.

- Dr. Choi, are you
giving me notice?

- Yes, ma'am.

Believe me, this wasn't
an easy decision.

- Is your plan to put
my ED out of business?

- I'm certainly gonna try.

- Good for you.

- That was beautiful.

Really. So, so beautiful.

- Thank you.
- Thank you very much.

Can I ask you a question?

Have we... have we met?

You seem so familiar to me.

- Yes. From the hospital.

I'm Liliana.

I clean your office.

- Wha... Liliana.

- Of course! Oh, my
God, I'm so sorry.

- Oh, no. Please,
I understand.

You only see me in my
uniform, and most of the time,

you're not there when I clean.

- Still, I'm very embarrassed.

- No, please!

- Um.

Anyway, you, Liliana,
are a wonderful singer.

- Thank you.
- Absolutely wonderful.

- Thank you so much.
- Okay. So thank you.

- Maybe I... I'll
see you tomorrow.

- At... at the hospital. Okay.

- Good night.
- Good night.

- We are deeply
grateful to Jack Dayton,

who has made a most generous
gift to our hospital...

This advanced surgical suite,
which he calls O.R. 2.0.

Mr. Dayton?

- Thank you, Ms. Goodwin.

O.R. 2.0 is the fruit
of years of development

by Dayton Corporation
and partners.

I've entrusted it
to this hospital

because, well, Chicago
Med has always been

on the cutting edge
of medical care,

and it has the surgeons
with the talent and skill

to put O.R. 2.0 to good use,

doctors like
Crockett Marcel here.

- That's very kind,
Mr. Dayton. Thank you.

Uh, with the help
of Dr. Dupre,

who headed the
beta-testing team,

I'm still learning all the
bells and whistles here,

so bear with me.

But, uh, I can tell
you a few things.

Uh, the O.R. 2.0 platform
integrates robotics,

immersive computing,
advanced sensory detection,

artificial intelligence,
all to make

the most challenging and
complex surgeries viable.

- And the radiolucent
table allows

for accurate imaging
in any modality,

including X-ray and CT.

The numerous sensors
analyze every data point,

assisting the surgeon in
approach and technique,

even on the level of suggesting
what instrument to use.

- And the surgeon wears
these gloves while operating.

- The sensors assess
the surgeon's efficacy,

hand accuracy, and
risk of complications.

For instance... please.

Okay.

- There's a 10% chance you'll
have a major laceration

of the left anterior
descending artery.

Consider another approach.

- 2.0, to help Dr. Marcel,
can you show him

a 3-D image of the
patient's heart?

- Loading.

- Oh, wow.

- How much you think
that setup cost?

- Gotta be north of 50 mil.

- Surgery on a
whole other level.

Pretty soon, they
won't be needing us.

- Yeah, right.

- What, not impressed, Dean?

- Didn't you ever see
"2001: A Space Odyssey"?

I'm sorry, Dave.

Can't allow you
to do that. Right?

So what are you, uh... you...

You're really doing this
whole mobile clinic thing, eh?

- Yeah. I told Ms.
Goodwin last night.

- Hey, everybody, remember,

this afternoon in
the doctors' lounge,

cupcake party for Ethan
and his bride-to-be.

- Mags, you don't have to...
- None of that.

It's the least we could do.

Dr. Halstead, you and I are up.

- All right.

- 45-year-old male,
Richard Evans.

Head laceration
with retained glass.

- You're going to
treatment three.

- Really, I'm fine.

- You're bleeding
like crazy, babe.

- Vitals are normal.

GCS 15, no LOC.

We're gonna take good
care of you, all right?

- Thank you.

- Okay, on my count.

One, two, three.

I was making a vacuum chamber
out of an old bell jar.

I wanted to show
the kids how you can

boil water at room temperature.

Thank God I tried it
at home first, huh?

- Richard teaches fifth grade.

- I hooked up the
jar to my compressor,

and obviously, it
was not rated for,

what, 6,000 pounds of force.

Boom! Ow!

The jar imploded.

So stupid on my part.

- Hold this for me, would you?
- Yeah.

- Well, it doesn't
look too serious.

A few stitches ought
to fix you right up.

We'll get a head CT
just to make sure.

- Thank you.

- Prep and drape, and get
me a lac tray, please.

- Right, um,

Mr. Evans has an
extensive chart at Med.

- Okay, thanks. Yes, he does.

Richard, you've,
uh, been diagnosed

with pancreatic cancer.

- Yeah.

My surgeons and the tumor
board ruled it inoperable.

- And the tumor is
inside the pancreas

and has invaded the duodenum
and surrounding tissues.

- There's no way to get it all.

- They're just
gonna let him die.

- Honey.

- He's just such a
wonderful person.

His students love him.

I love him.

It's just not right.

- I'm so sorry.

- Thank you.

- Page me when
Mr. Evans is prepped.

- Will do.

- Good morning.

I'm Dr. Archer.

- Mr. Michaels, 65.

Took a spill coming
down the stairs.

- He really hurt himself.

He tore his pants, and his
hands are all scraped up.

- Mr. Michaels is
complaining of pain

in his ankle and right wrist.

- Who's gonna rake the leaves?

- I will, Dad.

This is the second time
he's fallen in a week.

- I gave him Toradol,
15 milligram.

IV for his pain.
There are his X-rays.

Doesn't look like he
fractured anything.

- I agree. What
did you recommend?

- Rest, ice, compression,
and elevation.

- Very good.

- Who's gonna rake the leaves?

- I told you, Dad. I will.

Dr. Archer, can
I speak with you?

- Yes, of course.

- This is just like my mom.

- Uh, what do you mean?

- She d*ed of Alzheimer's.

- Thank you.
- Dang.

Whole new O.R. suite?

That's quite a gift.
- Yeah.

- No strings?

- Well, not that
I can see so far.

- I mean, that is
really some, uh...

- Daniel?

- You remember that piano
bar I was telling you about,

with the amateur night?

I actually finally...

I went last night.
- Really?

- This one lady,
she got up and she

sang this song in... in Polish.

It was so beautiful.

- No kidding.
- Yeah.

And you know what
the crazy thing is?

- Huh?
- She works here, at Med.

- Get out.
- Yeah.

- What, nurse? Doctor?

- Um, you know, it was a...
It was a short conversation.

We didn't, uh...

Uh-oh, uh-oh.

I got to, uh...

I got to... I got
to get to the ED.

I'll... I'll catch you later.

- Your coffee.

- We lost my mom, his wife,
to Alzheimer's a year ago.

And now Dad, with how
he repeats things,

and his balance.

It's just the way it
happened with her.

I'm gonna lose him, too.

- Has he been evaluated?

- No, I guess I
haven't wanted to know.

- I completely understand that.

How long were your mom
and dad married for?

- Oh, gosh.

Right out of high school.

- Oh. Wow.
- Almost 50 years.

Well, then, that's gonna be
a huge loss for him, right?

- Yeah. It was terrible.

You know, I've never
seen him like that.

- You know, it's
entirely possible

that he's still...
Still grieving.

You know, he could be
suffering from depression,

not necessarily Alzheimer's,

and there are other
possibilities too.

I mean, I'm happy to
have a chat with him

and see if I can get a
better sense what's going on.

- Yes, please.

- Go, go, go, go,
go, go, go, go.

Good.

Very nice.

This rate, we might be able
to send you home in a week.

- Hey, how about that?
- Yeah.

You, uh, you getting out of bed?

Moving a couple of times a day?
- Uh-huh.

- Good. Yeah.

Okay. Hey, keep working.

Excuse me, Jack.

Inoperable pancreatic cancer.

Inoperable.
- Was inoperable.

But not with that new O.R.

- Oh, come on. No.

- The image guidance?
Real-time histology?

You could resect
the whole tumor.

- No way.

I'm still getting used
to the technology.

You expect me to dive in
on a surgery like this?

- I think it's a great idea.

It's the perfect
way to demonstrate

what O.R. 2.0 can do.

- Not if the man
dies on the table.

Guys, I... I need some
time to familiarize myself

with the platform.
- There isn't any.

He's already got
lymph involvement.

We wait any longer,
he dies anyways.

- You can do this.

Besides the guidance
you get from the AI,

Dr. Dupre will be
there to assist you.

She knows the system
inside and out.

- Crockett, this man
has zero options.

Let's give him this one.

- Spontaneous hemorrhage,
lower left leg.

Applied tourniquet in the
field to control the bleed.

BP 90/32 after 500
milliliters fluids.

Heart rate 120.

- Maggie.

- All right, on my count.

Ready, one, two, three.

- All right, let's get two
units whole blood in him.

- On it.

- He was in an
accident a week ago.

He had a tibial pseudoaneurysm,
but it stopped bleeding.

- Loosen the tourniquet.
- Okay.

It ruptured.
- Ah.

All right, call the O.R.

Let them know we're coming up.
- Yeah.

- All right.

- Now, I have to emphasize,
this is an experimental,

high-risk surgery.

This is the first
time the platform

is being used on a patient.

If this doesn't go
well, which is likely,

Richard will be robbed of
whatever time he has left.

- That's true, Richard.

You'd be taking a big risk.

- And if I don't?

What... what do I have
to look forward to?

I get weaker and
weaker, more pain,

debilitation, until I'm confined

to a bed with a morphine drip?

No.

I... I don't want that.

I don't want to put
Vicky through that.

- It is not about me, Richard.

Dr. Marcel, all my life, I
have been a science geek.

And here you are,
offering me the chance

to be a part of
something groundbreaking,

that... that science
has made possible.

It's like being given
the chance to be

the first person on the moon.

And... and even if the
worst happens to me...

Hopefully you'll learn
something from it.

That's... that's how
science works, isn't it?

- Well, then, we just
need your signature

on this consent form.

- You're a courageous
man, Richard.

- No.

I'm gonna be asleep.

You're the courageous one.

- Yeah. That a
picture of your wife?

- Yeah.

Sarah.

We were in Maine.

- Oh.

Beautiful woman.
- Mm-hmm.

- Jessica was telling
me that she...

She passed about a year ago?

- Yes. She's gone.

- Oh.

Sorry about that.

- Hmm.

We went to school together.

- Oh, wow.

Knew each other
a long time, huh?

- Yeah. Yeah.

There was this tree
on her front lawn

that we used to go and sit
under and do all our homework.

She was a lot better
at math than I was.

- You know, I have
a daughter too.

I think about Jessica's age.

What year was she born?

- Um, 1985?

- Okay.

And then, how old
would that make her?

- Um, let me think, now.

Um, '85 to...

- You know what,
it's not important.

Look, I can't remember
what I had for breakfast.

You know, and my daughter,
she's actually always

giving me these, like,
memory quizzes, you know?

The other day she was,

"Hey, Dad, can you
say these random words

back to me in order?"

You know, like, cow,
window, umbrella.

Can you do that?

- Say them back?
- Yeah, in order.

Cow, window, umbrella.

- Cow.

Um...

Umbrella.

- Not easy, right?

- No.

- Ethan, April just
brought in her father.

Treatment five.
- Her father? What?

- Chest pains. He insists
that you treat him.

It's crazy, right?

The day before your wedding.

- Ethan.
- Hey.

- Thanks God.

- Marcia, hi.

What's going on? Chest pains?

When did they start?
- It's no big deal.

- I saw him wince,
rub his chest.

He didn't want to
tell me what it was.

I had to pull it out of him.

- They come and go.

I mean, so much
trouble for nothing.

- Papai, chest pains
are not nothing, okay?

He wouldn't even let
me call an ambulance,

but I gave him some
aspirin on the way over.

- Good.
- He never complains.

He went a year with that hernia.

- Well, your heart
and chest sound good,

but April was right
about your chest pains.

We're gonna have to
give you a full workup.

- Oh!
- Yeah.

- Really?
- Yes, really.

- Uh, let's start with an EKG.

- Yeah.

- Ethan, can I talk to you?
- Yeah, sure.

Hey, we'll be right
back, all right?

Excuse us.

- Do you think we should
postpone the wedding?

- Oh, I don't know.

We might, but let's see what
the tests show first, okay?

- Okay.
- Hey.

Yeah?

- So your dad has
excellent recall,

going back to talking about
your mom when they were kids.

So long-term memory is intact.

I did notice some
short-term memory issues,

and he's having a little...

Little difficulty concentrating.

- It's just like
Mom all over again.

You know, she was such a
smart and funny person,

but eventually Alzheimer's
took everything away.

- Just so you know, Jessica,
this is a cursory examination

that I gave him.

I'm not prepared to
make that diagnosis yet.

- You said that what's
happening to him

might be depression
because my mom d*ed.

- And it very well might be.

- Yeah, and I read
that a lot of people

that have Alzheimer's have lost
a loved one, just like my dad.

- Well, that hasn't been
established as a cause.

Many Alzheimer's patients
haven't lost loved ones.

- I think you want your
dad to have a full workup

with his internist, and
a, uh, a neurologist

who specializes in dementia.

I've got a great list,
if you want a referral.

- All right.

- I'll get his discharge
paperwork going.

- Hey.
- Hey.

- Did you see?

You got a full house.

- What?
- The amphitheater.

- Hey.

What's going on?

- Who are all those people,
and why are they here?

- Some are doctors,
some tech, some media.

I invited them.
- Why?

- For the launch,
of course. 2.0.

- No, no, no, no.

That surgery's hard
enough without having

a bunch of looky-loos.

Now, get rid of them.
- Hey, Crockett. Relax.

They're friends, all right?
They're rooting for us.

- For God's sakes,
Jack. Do you understand?

This is not a simulation.

There's a human
being on that table.

- I know. And you're
gonna save his life.

- And what if I don't?

What if he dies?

- I'm not worried about that.

- Well, you should be.

I am.
- I know the tech.

I've been working
on it for years.

I promise you, it
won't let you down.

- You know tech, but
you don't know surgery.

Send them away.

- No, I'm not gonna do that.

- Jack...

- Crockett, this
is not who you are.

You're the man who
ran into that tunnel,

who saved my life,
who saved Nathaniel's.

Now, come on.

Have a little faith in yourself.

- Here's those referrals
I was telling you about.

My cell number's on there too.

Please call me any time.

- He's seizing.

Dad!

- Okay, let's get
him back in the room.

- Need some help here.

- Two of Ativan.

- All right, Paul.
Don't worry. We got you.

- Okay, Paul, we're just
gonna give you some medicine

to calm this down a
little, all right?

- Okay, on the bed.

One, two, three.

Head CT, Dr. Charles?

- Why?

- Although there was nothing
about headaches or nausea

in your father's history,
we should rule out

a brain mass or a bleed.

- Has he complained about
any of those symptoms,

or pins and needles of any kind?

- No.

- We should do the head CT.

If that comes back normal,
which I suspect it will,

we need to do a spinal tap.

- Good to see you.
- Good to see you too.

- April?

- Hey.
- Hey.

I'm sorry about your father.

That's some stress you
don't need right now.

- Hey. Good news.

Uh, his troponins were normal.

There's no indication
he had a heart att*ck.

- Oh, God.

- That's such good news.

You two, congratulations.

There are big changes ahead.

- Thank you, Ms. Goodwin.
- Thank you.

- So, wow.

So you think it was
just stress-induced?

- Uh, you mean a panic att*ck?

There were no other
symptoms, no dizziness

or difficulty breathing.

- Well, weddings
can be stressful.

- Yeah.

- But it's normal,
though, right?

- Hmm?
- To have, like, anxiety.

- You feeling anxious, April?

- No!

I'm... well... not more than
anyone else would be, right?

I mean, it's a big step.

Marriage. Like...

- Yes. Yes.

- Like Ms. Goodwin
just said, big changes.

- Wait, I... you're not
having doubts, are you?

- No.

Not... not doubts.

I'm just... Ethan, you've
never been married before.

I've never been married before.

- When you asked if we
should postpone the wedding,

um, do you want to
postpone the wedding?

- Of course not.

I'm so good.

So can you just get his
discharge papers going,

and I'll let Dad
know the good news?

- Sure.
- Okay.

- Okay.

- Okay, pancreas head and
proximal duodenum are out.

Can we have a real-time
scan side-by-side

with pre-op, please?

- Loading.

- Nice work.

- Okay, uh, can I get a
vivo histology assessment

on the margins, please?

- Margins are clear.

- All right.

Time to start reconstruction.

- Caution.

Do not sacrifice venous
return to the small bowel.

You need to preserve
the proximal arcade.

- Yes, I'm aware.

My line of sight is limited.

- The robotic scanner can
transilluminate the branches.

- Okay.

Uh, I need more views of
the small bowel vasculature.

- Lucky break. We
have enough length.

- Yeah.

Primary anastomosis is possible.

- Assessment is correct.

- Okay.

Here we go.

Suture.

- Suture spacing is too wide.

Risk for post-op
anastomotic leak.

- No... I've done lots
of anastomoses this way,

without leak.

- Risk for post-op
anastomotic leak.

- Suturing too close
risks tearing the tissues.

- Risk assessment re-evaluated.

Continue suturing.

- Thank you.

- Once I have exposure
to Grant's artery,

I'll have you...
- Deflate the tourniquet?

- Yeah.

And, uh, I'm gonna
need to get proximal

and distal control of the, uh...

Oh, God.

- What?

- You know what, uh...

Why don't you just
go ahead and start,

and, uh, I'll be in in a minute.

- What? Where are you going?

- Call of nature.
- You all right?

You were just there.

- I'm fine.

- It looks good on you.

Yeah?

- Hey, you guys are all set.

- Okay, great.

Uh, I got to head back to work.

- Bye.
- All right.

See you at the church tomorrow.

- You got it.

- You ready, Dad?

Afonso!

- The pain.
- Dad?

- It's back. It's
worse. I'm sorry.

- No, it's okay,
Papai. It's okay.

- Let's get you back in
bed. Okay. All right.

- What's wrong with him?

- All his tests were normal,
but there's something else

I want to look into.

April, let's get a CT.

- Okay.

I'll have Maggie
let Radiology know.

- We'll be back as soon as
we get the results, okay?

- Dan, you know where Maggie is?

I got the cupcakes
for the party.

- Ah, she's up in surgery.

I'll take those.

- Surgery?

- Oh, not her.

- Uh, the guy she was
in the accident with.

- What accident?

- Last week, when
she got T-boned.

- Oh.

Thanks.

- Auto accident?

- Ben.

- You never told me you
were in an accident.

- I wasn't hurt.
- That's not the point.

You never told me you
were in an accident.

- I didn't want to upset you.

- Upset me?

Who were you with?

Who's the guy in
surgery? Was it Grant?

Is that why you didn't
want to tell me?

Was it?
- No.

He was just showing
me his car and...

- Showing you his car.

I go out of town, he's
showing you his car.

- Ben, I know how
it looks, but...

- Are you having an affair?

- No! Never.

- How am I supposed
to believe you?

- Ben, wait.

Ben.

- There's every indication
that we were able to entirely

remove the patient's
tumor, and, uh,

we're optimistic for his future.

- Now, bear in mind,
the patient's tumor

was considered completely
inoperable before O.R. 2.0.

- And thanks to Mr. Dayton's
generosity, Chicago Med

is able to provide our patients
with the best possible outcome

through a whole new level
of surgical intervention.

Thank you.

- Dr. Dupre, a moment, please.

What the hell happened in there?

You had to override the AI.

- It wasn't 2.0's fault.
- It gave me bad advice.

- That was because of me.

I was overly cautious.

I programmed 2.0 for someone
that was less proficient.

The risk threshold was too low.

But you are a very skilled
surgeon, Dr. Marcel.

The AI learns.

Believe me, you will not
have this problem again.

- So Paul, we think that we have

a much better idea about
what's been going on with you.

- Is it what I thought?
- It's not.

The lumbar puncture showed
elevated protein levels,

which means there's
inflammation present.

The good news, there's
no sign of any infection.

- So it looks like
inflammation is the cause

of your father's symptoms.

- Inflammation from what?

- The immune system
attacking the brain.

- It's a condition called
autoimmune encephalitis.

- Why? Why would that happen?

- We don't know.

It can be caused by a tumor,

but that's not the
case with your father.

- And it's just one of
those medical mysteries

that just haven't
been solved yet.

The good news is that
it's entirely treatable.

- We're going to give your
father high-dose steroids,

and this will reduce
the brain inflammation

and lessen the immune response.

- His balance?
His memory loss?

- We think that they're
all gonna improve.

And, uh, hopefully
pretty quickly too.

- Hear that, Dad?

They're gonna make you better.

- Thank you.

Hi.

We know what's
causing your pain.

- Okay.

- You have a condition
called myocardial bridging.

- That doesn't sound good.

- Well, you actually
were born with it.

- It's a condition where one
of your coronary arteries

runs through your heart muscle,
instead of on top as it should.

- Right, so when the
heart compresses,

it reduces blood flow to that
artery, causing your pain.

- Now, we can address it with
a procedure called unroofing.

It's where a surgeon cuts
through your heart muscle,

just to relieve the pressure.

- Heart surgery?

So... so I'm going
to miss the wedding?

- No.
- No, no, no, no, no.

This isn't an emergency.

You should schedule
the surgery soon,

but uh, we can wait
till after the wedding.

You're gonna be fine, Pai.

All right, um, I'm gonna
go text Noah and tell Mai.

- Okay.

- Uh, I'll be right back, okay?

- Hey, April.

Look.

I'm nervous too.

- You are?
- Yeah.

Here I am, asking you
to change your life,

leave your practice,
and I worry one day

you'll say, "What have I done?
This whole thing is crazy."

- I couldn't sleep last night.

I was just thinking,
like, what if...

I don't know, Ethan realizes

I'm not the person
he thinks I am?

What if in a couple of years,
he's sorry he married me?

- No, no. Hey.

- I don't want to let you down.

- I don't want to
let you down, either.

- Well, maybe that's
a good place to start.

- Hey, Maggie.

How's Grant?

- Oh, he's fine. The
surgery went well.

- Oh, good.

Your... your cupcake
party's starting.

- Right.

- What's the matter?

- Ben.

He found out about the accident.

- Oh, no.

- There's nothing I could say.

He thinks that we
need time apart.

- Oh, Maggie.

I'm so sorry.

- I don't know what to do.

- Hey, Sharon.

You... you got a second?

- Yeah, sure.

- So um, you remember
the... the singer that I was

telling you about, who,
you know, I saw last night,

who works here?
- Yeah, yeah.

- Yeah, she's... she's with
the housekeeping department.

- Okay.

- Yeah, and, um...

I was thinking about
asking her out.

Am I completely frigging crazy?

- Daniel, you're
being impulsive?

- You know, life
full of surprises?

I don't know what to tell you.

- Well, tell me about her.

- She, um, sings like a
dream and cleans my office.

That's all... that's all I got.

It's... it's a little awkward,
though, don't you think?

- Well, there... there is an
unequal power dynamic, but...

- Exactly, and I don't
want her to feel obligated.

- Listen, Daniel, you're...

It's not like you're
her supervisor.

- Sharon, I think
it's too fraught.

It's too fraught. You know.

Thank you. Good talk.

I appreciate it.
I'm gonna bag it.

- Oh... Okay.

- Hey, uh, Grant's
coming around.

He's doing well.

- That's good.
- Yeah.

- Hey, Dean, have you
seen a nephrologist?

- Nephrologist? What
are you talking about?

- Last week, you asked my
opinion on an ultrasound.

The renal artery was
clearly stenotic.

- Yeah, that was a... a patient.

- Yeah, and today, all
those trips to the loo.

- Med-zone Nancy Drew.

- Dean.

Tell me, what's going on?

- Yeah, I... I'm
seeing a nephrologist.

- And?

Interstitial
nephritis,

papillary necrosis.

There's more.

- How? Why?

- Hits... those hits
I took to my kidneys,

I've taken too many NSAIDS
for the busted ribs.

It's stupid.

- Well, how are
you being treated?

- Uh, he's putting
me on a renal diet.

If that doesn't turn
things around, then I'll...

- Dialysis?
- Yes.

And then, well... you know.

- I'm so sorry.

- It's gonna resolve.

- Is there anything I can do?

- Yeah, you can
keep it to yourself.

- Of course.

- Dr. Charles!
- Oh, hey, Liliana.

How are you doing?
- Are you looking for me?

Did I miss something
in your office?

- No, not at all.
- Oh.

- Um, I was, uh...

Hey, would you like
to... Would you like

to get some... some coffee?

- Get coffee? For you?

- No, no, no, no. With me.

Would you like to
have some coffee...

Have some coffee with me?

- You're asking me out?

- Yeah.

- Uh...

- Look, if I'm being
presumptuous, I'm so sorry.

I don't know anything about
you, your personal life.

You could be involved with
somebody, in which case...

- No, I'm not.

You're serious?

- Yeah.

Uh, look, if I've gotten off on
the wrong foot here, I really...

No, no, no, no.

I'd like to have
coffee with you.

When?

- Any time you want. I mean...

- How about now?

- What a good...
That's a great idea.

Let's
have some coffee now.

- I just have to change.

- Cool. Okay.

I'll... I'll... I'll
just... I'll wait out here.

- Good.
- Good.

- Phew.

- Since it is your intention
to enter the covenant

of holy matrimony,

join your hands and
declare your consent

before God and this church.

- I, Ethan, take you,
April, to be my wife.

I promise to always
be faithful to you,

in good times and in bad,

in sickness and in
health, to love you,

and to honor you, all
the days of my life.

- I, April, take you,
Ethan, to be my husband.

I promise to be faithful to you,

in good times and in bad,

in sickness and in
health, to love you,

and to honor you, for
all the days of my life.

- May I have the rings?

- Oh, my God. Sharon.

- What?

- The board was just informed.

Jack Dayton has bought
controlling interest

in the Gaffney Medical Group.

- What?

So I guess he's in charge now.