- Dr. Ethan Choi: [a patient has a gun up his rectum] He says he has no idea how the gun got up there.
- Sharon Goodwin: All right, what are our options?
- Dr. Ethan Choi: It's not gonna be easy getting it out. It's just past his sphincter.
- Jeff Clarke: Plus, the hammer's cocked. So if there's a live round in there...
- Sharon Goodwin: Seriously?
- Dr. Stanley Stohl: Could do some real damage... 22 single-shot derringer. That's a big kick for a little gun.
- Sharon Goodwin: So we work up a plan to get him to the O.R. Page the surgeon on call.
- Dr. Ethan Choi: Ms. Goodwin, I think it'd be safer to do it here. Jeff and I both have weapons experience. We sedate him, try to slide it out. If we can't make it, then we call in surgery.
- Jeff Clarke: I'm in.
- Maggie Lockwood: Should we call CPD?
- Sharon Goodwin: Yes. We'll need enough body armor and gear to protect whoever's in there with him. And let's keep this area clear.
- Dr. Stanley Stohl: And I'll keep the cameraman away from all this. It's unsafe, and frankly, it's distasteful.
- Sharon Goodwin: We'll have to put the procedure on hold.
- Dr. Ethan Choi: Why?
- Sharon Goodwin: Our patient just confessed to a crime. That means the gun is considered evidence. And since his father convinced him to withdraw consent, we'll have to secure a warrant to remove it.
- Laura Green: What were you doing to my daughter?
- Dr. Daniel Charles: I was trying to confirm a diagnosis. Um... I... I want neurology to run some tests, but based on this and Ariel's history, I think that she has a condition called mirror touch synesthesia.
- Laura Green: What?
- Dr. Daniel Charles: It's a condition that... that causes her to experience the physical sensations and emotions of the people that she's interacting with as her own. My left knee hurts, Ariel feels it in her right. I slap my right cheek, she feels like her left is being slapped. She's mirroring me.
- Dr. Natalie Manning: Her stomach; she's responding to your ulcer, not imitating you. She's literally feeling your pain.
- Laura Green: Whoever heard of such a thing?
- Dr. Daniel Charles: It's a pretty recent discovery, the existence of these mirror neurons.
- Laura Green: Is there a cure?
- Dr. Daniel Charles: Not yet, but there are... coping strategies we can teach her to help her manage her condition.
- Laura Green: [her cell phone buzzes] Uh... I'm sorry, I... I have to get this.
- [answer the call as she leaves]
- Laura Green: Yeah?
- Dr. Natalie Manning: I cannot believe this woman.
- Dr. Daniel Charles: How's that old saying go? You can lead a horse to water, but you can't make it gaze at its own reflection.
- Dr. Isidore Latham: I have recently been diagnosed with an autism spectrum disorder. Asperger's.
- Dr. Connor Rhodes: [slightly confused] Okay.
- Dr. Isidore Latham: I'm not revealing this to elicit sympathy from you, or as a means to justify my behavior. I simply feel it might be beneficial for you to know.
- Dr. Connor Rhodes: I think it might be.
- Dr. Isidore Latham: I am unable to discern whether you're being sarcastic or not. That's part of the disorder. It also makes it difficult for me to improvise from my set routine. I confess, I... I'm uneasy about the surgery we are about to perform. Can I rely on you to help me through it?
- Ed Mikulski: Whoa, where's that camera guy?
- Dr. Will Halstead: Hey, listen. About that... I'm sorry. This promo video has been a huge invasion in your privacy. Now, I know you were hesitant to sign the release, so...
- [handing the form to him]
- Dr. Will Halstead: ...you rip that up if you want, and we will not use any of the footage.
- Ed Mikulski: Let me ask you a question, Dr. Halstead. Do I look familiar to you? I mean, from before today?
- Dr. Will Halstead: I don't think so. Why?
- Ed Mikulski: I recognize you. You sometimes park in that lot across the street. I work there as an attendant. Almost twenty years now.
- Dr. Will Halstead: I'm sorry, I never really payed attention.
- Ed Mikulski: Oh, no, that's okay. I don't make much of an impression. I've had more than enough privacy for one person. So I'm okay having that violated now if it means I wasn't invisible to the very end. I just want my life to have meant something.
- Dr. Stanley Stohl: What appears to be the problem here?
- Dr. Will Halstead: There appears to be some irregularities with the patient's heart.
- Dr. Stanley Stohl: What kind of irregularities?
- Dr. Will Halstead: It's not where it's supposed to be.
- Dr. Stanley Stohl: Basic anatomy is usually covered in the first year of med school, Dr. Halstead.
- Dr. Will Halstead: I think he might be dextrocardic. I'm about to get a chest x-ray.
- Dr. Connor Rhodes: Why is this backwards?
- Dr. Will Halstead: It's not. He's got sinus inversus totalis. All his major visceral organs...
- Dr. Connor Rhodes: Are reversed from their normal position inside of his body.
- Dr. Will Halstead: More like a mirror image, but yeah.
- April Sexton: So wild. How often do you see someone with this?
- Dr. Will Halstead, Dr. Connor Rhodes: Never.
- Dr. Will Halstead: Ms. Goodwin, if you have a second...
- Sharon Goodwin: You know, Dr. Halstead, there was a meeting last week, uh, open to anyone who had concerns about the video. I don't recall seeing you there.
- Dr. Will Halstead: I was not there, but...
- Sharon Goodwin: Dr. Stohl has assured me that the camera won't get in the way of us treating our patients, if that's your worry.
- Dr. Will Halstead: It's one of them, yeah.
- Sharon Goodwin: I'm gonna tell you, I'm proud of this E.D. I've assembled the finest staff in the city, and if even one patient decides to come here because they saw this video on our website, then I think it's well worth it. Don't you?
- Dr. Richardson: Remind me again why you're here, Sarah.
- Dr. Sarah Reese: Uh, Dr. Charles said undergoing therapy would help me become a better psychiatrist. And thus far, I have to say he's right. I'm learning so much.
- Dr. Richardson: I hate to break this to you, Sarah, but what you're doing here now is not undergoing therapy.
- Dr. Sarah Reese: It's not?
- Dr. Richardson: It feels more like you're auditing a class.
- Dr. Richardson: [positioning Sarah in front of a mirror] Look. What do you see?
- Dr. Sarah Reese: Um...
- Dr. Richardson: Do you feel self-conscious?
- Dr. Sarah Reese: A little.
- Dr. Richardson: Good. Self-conscious is what we're going for. You know what makes you better at this job? Being present. Being honest. Especially with yourself. Try it. First thought, best thought.
- Dr. Sarah Reese: Um... Yeah, I... I... I... I don't know what to... what to tell you. I mean, I've led such a mundane life. My... my problems seem so pedestrian.
- Dr. Richardson: Problems. That's a great start.
- Dr. Ethan Choi: What do we have here?
- Jeff Clarke: Dr. Choi, this is Rey Ochoa, who insisted there is nothing at all wrong with him.
- Dr. Ethan Choi: That's weird. Charge nurse said he was found doubled over on the floor of a gas station bathroom screaming out in pain.
- Rey Ochoa: I wasn't screaming in pain. Only gay-ass punks do that.
- Dr. Ethan Choi: Rey, you might not be aware, but I'm a Navy Flight Surgeon, still in active reserve. And Jeff here was an Army Ranger. Seen plenty of men screaming out in pain.
- Jeff Clarke: Tougher guys than me.
- Dr. Ethan Choi: So... how about we take a look?
- Rey Ochoa: How about you suck me?
- Dr. Ethan Choi: Seen this movie before. Even when he says he has something lodged up his rectum.
- Jeff Clarke: Seriously?
- Dr. Ethan Choi: See how he's hunched up on the gurney, trying to take the pressure off the rear end? Plus all the lip. The embarrassment makes them combative.
- Jeff Clarke: All right. I'll try and get an x-ray.
- Dr. Natalie Manning: The second you focus on one pain, it disappears, or shifts someplace else entirely. First it was her stomach, then her forehead. We move her into another room and now it's her sinuses.
- Dr. Daniel Charles: Hm. Yeah, tricky hitting a moving target.
- Dr. Natalie Manning: And listen, I am predisposed to side with anyone against the mother, but I don't know that she's wrong about her daughter.
- Dr. Daniel Charles: You think she might be faking it?
- Dr. Natalie Manning: I had her record sent over, and amongst other things, she's been worked over for achalasia, abdominal migraine, cyclic vomiting syndrome. All negative. It does not appear to be something physiological.
- Dr. Daniel Charles: Why don't I have a little chat?
- Dr. Natalie Manning: I would appreciate that. Thank you.
- Dr. Natalie Manning: What's up with the limp?
- Dr. Daniel Charles: Rehab. My physio's got me doing these Swiss ball squats. It's freaking brutal.
- Ariel Green: My mom keeps saying I'm doing this for attention, but... god, who likes seeing doctors?
- Dr. Daniel Charles: Your leg okay?
- Ariel Green: All of a sudden, my knee hurts.
- Dr. Daniel Charles: Hm.
- Ariel Green: This place freaks me out even worse than school.
- Dr. Daniel Charles: What freaks you out about school?
- Ariel Green: Everything. There's so much drama. It makes me crazy anxious. Sometimes I hide, sometimes I get into fights.
- Dr. Daniel Charles: That's what happened today?
- [Ariel glances at something, and Daniel notices she's looking at her mother]
- Ariel Green: I looked up schizophrenia online. It says it can start in late adolescence.
- Dr. Daniel Charles: Mm, not usually as early as fourteen, but... I mean, are you hearing or seeing things that other people aren't?
- Ariel Green: No. But... sometimes, it's like... my feelings aren't my own. Like they're someone else's.
- Dr. Daniel Charles: Hm.
- Ariel Green: Do you think I'm crazy?
- Dr. Daniel Charles: Uh, not really my favorite word, but no. No, I don't.
- Dr. Jason Wheeler: Your guy's scans came back. Sinus opacification and invasion through the cribiform plate. It's mucormycosis, most likely. And Stohl wanted to send him home. Who looks like he doesn't know basic anatomy now? It's an amazing catch, Dr. Halstead.
- Dr. Will Halstead: [Wheeler leaves] I knew it.
- Maggie Lockwood: Yeah. You the man, Will. But this is bad news for your patient, right?
- Dr. Will Halstead: [quietly, as Maggie leaves] Yeah.
- Dr. Natalie Manning: Hey. Any progress?
- Dr. Daniel Charles: Definitely stressed out and anxious. Whether it rises to the level of a disorder, I don't know. She mentioned a potentially unhealthy association with food, but I'm just... I'm not getting an eating disorder vibe from her, you know?
- Dr. Natalie Manning: No, me neither. Her weight is normal for her height. She's not showing any signs of malnourishment.
- Dr. Daniel Charles: And she says her stomachache's gone, her headache's gone. Her knee is hurting her now. I was thinking we could give her a benzo, see if alleviating her anxiety might tell us something about her physical symptoms?
- Dr. Natalie Manning: Unfortunately, we don't have time. The mom wants to leave now.
- Dr. Daniel Charles: You're saying you want to undergo a TMS treatment to prepare you to operate?
- Dr. Isidore Latham: Yes. I was going to talk to Dr. Weyland today, but she's unavailable.
- Dr. Daniel Charles: Yeah, well, she would tell you the same thing that I'm about to, which is no.
- Dr. Isidore Latham: Why not?
- Dr. Daniel Charles: You shouldn't do anything risky, let alone perform open-heart surgery. It would be derelict.
- Dr. Isidore Latham: Tell me, then, what is the solution?
- Dr. Daniel Charles: Well, the solution is to realize that you don't have to carry all the weight on your shoulders. You have an excellent team. Rely on your team, rely on Connor.
- Dr. Isidore Latham: No, I can't. I see the world differently now. The sarcasm, the hidden agendas. Even when my window is closed, I know they're there. I have no one to rely on now but myself.
- Dr. Daniel Charles: I think you'll find that that's not the case.
- Sharon Goodwin: [Jeff was hit by a bullet during the removal of a gun from a patient's rectum] How's our human shield doing?
- Dr. Ethan Choi: Just finished washing it out now.
- Jeff Clarke: That's what I get for trusting a squid with a firearm.
- Laura Green: She can really feel the pain of everyone she sees?
- Dr. Natalie Manning: Yes.
- Laura Green: Oh, god. I can't imagine how hard this has been for her. I took her to every specialist. I... I did what the doctors told me to. I thought she was faking.
- Dr. Natalie Manning: There's no way you could have known.
- Laura Green: I am hurting my own daughter. How am I supposed to protect her from this if I'm part of the problem?
- Dr. Natalie Manning: It won't be easy. But... she feels what she sees. If she sees a happy person, she feels happiness. And if she sees someone who's constantly anxious...