- Dr. Sarah Reese: You just get good news or bad news?
- Dr. Ethan Choi: My coma patient, this morning he mentioned a Koran verse: Surah Al shura 40. "The recompense of an evil deed can only be an evil equal to it; but whoever pardons and makes reconciliation, their reward is due from God."
- Dr. Sarah Reese: In the psych world, it's called complimentarity. You know, kindness begets kindness. Hostility, hostility.
- Dr. Ethan Choi: Yeah. An hour ago, those two hated each other, but then his father extends a hand.
- Dr. Sarah Reese: Dr. Charles calls it flipping the script.
- Dr. Ethan Choi: Don't know if I could have done it.
- Dr. Sarah Reese: Yeah. Not many people can.
- Dr. Sarah Reese: You're recommending Meghan to the hospital's Transplant Committee.
- Dr. Daniel Charles: Uh-huh.
- Dr. Sarah Reese: Well, what happened?
- Dr. Daniel Charles: Well, um... if you must know, a member of my junior staff drew my attention to the fact that, um, I was so focused on her risk factors that I was blind to the one personality trait that my late brother did not have.
- Dr. Sarah Reese: What?
- Dr. Daniel Charles: Grit.
- Dr. Sarah Reese: One's ability to persevere in the face of obstacles. A clean clinical reason.
- Dr. Daniel Charles: I mean, the stressors are still there, as are significant future challenges, but I like to think that the determination that's kept her clean the past three years is gonna help her go the distance.
- Dr. Sarah Reese: Mm-hmm. Hey, what made you think of grit?
- Dr. Daniel Charles: Fatherhood.
- Dr. Ethan Choi: You've got a lot of blood in your ear, Mr. Wade. I need to release the pressure around the cartilage or it will cauliflower.
- Ricky Wade: [a nurse hands over a needle] Skip the lido. Last thing I need's a mile-long hospital bill.
- Dr. Ethan Choi: You're gonna feel it. You sure?
- [Ricky just stares at him]
- Dr. Ethan Choi: Suit yourself.
- Ricky Wade: [yelling in pain as Dr. Choi opens the cartilage] Damn it, that hurts like a mother.
- Dr. Sarah Reese: [Dr. Charles was asked to evaluate a potential organ donor recipient] So, uh... so, Meghan Scott.
- Dr. Daniel Charles: I got to say I have some reservations.
- Dr. Sarah Reese: But she's three years sober and committed to staying clean.
- Dr. Daniel Charles: Yeah. Without a plan or strategy to avoid relapse. Addiction is never conquered. Only managed.
- Dr. Sarah Reese: But she's got a support system in her daughter. Bria's involved.
- Dr. Daniel Charles: Maybe too involved. I mean, by delaying college, she is valuating her mother's life over her own, and as admirable as that may seem, it just doesn't tend to last.
- Dr. Sarah Reese: Meghan's sick. It makes sense that she'd want to take care of her.
- Dr. Daniel Charles: There's a very fine line between a healthy support system and an unhealthy dependence. I mean, did you see during the evaluation Meghan needed her daughter's help to reach a glass of water that was literally right in front of her? Look, it's a gut-wrenching process, and we just have to remember that we give Meghan a heart, we could be denying one to somebody who is just as deserving and might have a better chance of success.
- Dr. Sarah Reese: So Meghan's a no?
- Dr. Daniel Charles: No, I didn't say that. I just... I just want to sit with it a little longer.
- Dr. Connor Rhodes: So, the fluid's from acute pericarditis.
- Dr. Natalie Manning: Stemming from the mass in his lungs.
- Dr. Connor Rhodes: Drain's a temporary fix, but his heart is really struggling. CT chest will show exactly what we're dealing with.
- Dr. Natalie Manning: He presented with hyperglycemia and gallstone pancreatitis. There was absolutely no evidence of a heart problem.
- Dr. Connor Rhodes: My time with Dr. Downey, now Dr. Latham, the one constant: cardiac events can strike without warning.
- Dr. Sarah Reese: I know you have reservations, but I've been reading about how others have managed addiction in unorthodox ways. There's meditation. Meghan already does that. Predicting your weak spots. She's cut off friends that were bad influences.
- Dr. Daniel Charles: The problem with these techniques is that they're all solo endeavors. What Meghan needs is the support of a sober community.
- Dr. Sarah Reese: But she's been successful without one. And she's got Bria, all the reason in the world to stay sober.
- Dr. Daniel Charles: Won't be enough. I've been treating addiction for over twenty years. And trust me. I know of what I speak. My brother lost his battle with addiction about fourteen years ago.
- Dr. Sarah Reese: I am sorry.
- Dr. Daniel Charles: I want Meghan to succeed just as badly as you do. But I look at her, and I... I see my little brother. He tried to do it solo, too. It just doesn't work. And I can't in good conscience recommend her to the Transplant Committee without one good, solid, clinical reason that might give her a chance to succeed. I've been looking for it; just... I just can't find it.
- Dr. Natalie Manning: He was dead before the first alarm even went off. C.O.D. tumor lysis syndrome.
- Dr. Will Halstead: No way.
- Dr. Natalie Manning: You know, the radiation was supposed to stabilize the mass. Instead, it caused it to burst. I might as well have just given Ted a lethal injection, because that is essentially what happened.
- Dr. Will Halstead: Natalie, this is not on you. There are no predictors for tumor lysis syndrome. It is monumentally rare, even more so in young people. And the few times that it does occur, overwhelmingly it's a reaction to chemo, not radiation.
- Dr. Natalie Manning: It still feels like I missed something.
- Dr. Will Halstead: Well, you didn't. No doctor sees gallstone pancreatitits with diabetes and thinks volatile cancerous chest mass.
- Dr. Natalie Manning: And yet here it is.
- Dr. Will Halstead: Ted's death is not your fault.