Chicago Med (TV Series)

Trust Your Gut (2017)

Torrey DeVitto: Natalie Manning

Photos 

Quotes 

• Don Adams : A metabolic... disorder caused her death?

  Natalie Manning : The precise term is "ornthine transcarbamylase deficiency", or OTC. You see, Myra's liver was missing a vital enzyme that helps break down protein.

  Ethan Choi : Something as simple as eating a burger could cause toxic levels of ammonia to build up in her blood and attack her nervous system.

  Carol Adams : But Myra was a vegan.

  Natalie Manning : Which is how she was able to avoid symptoms for so long, but when she pushed herself and didn't eat - finals, the fellowship - her body started breaking down muscle, which released protein into her blood.

  Carol Adams : So, you mean she'd be alive right now if she'd just... eaten?

  Don Adams : If this disease is genetic, that means one of us gave it to her.

  Natalie Manning : Yes. Um, it is passed through the X chromosome, from mother to child, but...

  Ethan Choi : OTC sufferers exhibit totally normal liver function. That's why all of Myra's tests came back clean.

  Natalie Manning : Yeah. We were only able to diagnose her once Eric explained his lethargy and sickness after eating. We believe he has the defect, as well, and has been self-medicating with drugs.

• Natalie Manning : Good news. Helen's gonna watch Owen tonight.

  Will Halstead : "Watch" as in all night?

  Natalie Manning : Mm-hmm.

  Will Halstead : Yes!

  Natalie Manning : Just one thing I ask.

  Will Halstead : Anything.

  Natalie Manning : That you shave.

  Will Halstead : You don't like the sandpaper feel, huh?

  Natalie Manning : Mm-mm.

  Will Halstead : You ask a lot.

  Natalie Manning : Mm.

  Will Halstead : But okay.

• Ethan Choi : I'm gonna order an echo, check for heart vegetations.

  Natalie Manning : You're thinking sepsis, but her white blood cell count was totally normal.

  Ethan Choi : Everything was normal the last time she was here, too, but she's back, even worse than before.

  Natalie Manning : Ethan, these two ED visits could be totally unrelated.

  Ethan Choi : No, I think they missed something last time.

  Natalie Manning : Missed what?

  Ethan Choi : I don't know.

• Ethan Choi : Hey, Nat, I was speaking with Eric; the drugs, he's self-medicating. Since he was a kid, he's gotten sick after eating protein. Myra was a vegan; avoided protein.

  Natalie Manning : You're thinking that's what made her sick, too?

  Ethan Choi : Last month, when Myra was feeling confused, she was fasting while studying.

  Natalie Manning : Ketosis. Her body was starving, so it started digesting muscle as fuel, which released protein into her blood. Okay, well, that explains what made her sick last month, but what about today?

  Ethan Choi : The fellowship.

  Natalie Manning : She probably wasn't eating again.

  Ethan Choi : I think this is OTC. A metabolic disorder fits.

  Natalie Manning : You were right. The visits were connected.

• Natalie Manning : [worn out at the end of shift]  Day like today... mm.

  Will Halstead : [putting his arm around her]  Tell me about it.

  Natalie Manning : You make a really nice pillow.