- Dr. Daniel Charles: I really appreciate your being here. Support from friends and family is crucial for the therapeutic process, so thank you.
- Dr. Connor Rhodes: Committed against her will? She can't even shower by herself. That is some theraputic process.
- Dr. Daniel Charles: Oh, I think we all wish this could've happened differently, but, you know, at least she's getting the care that she needs, and she's safe and secure.
- Dr. Connor Rhodes: No. She's locked up. In prison. It's not the same thing. This place is what is gonna drive her crazy. She needs to be out of here.
- Dr. Ethan Choi: April, today's Match Day. Did Noah land here at Med?
- April Sexton: Texted him a dozen times. No response. They're only taking one local student, so that makes me think he didn't get it.
- Dr. Ethan Choi: Or maybe he just wants to tell you in person. No news could be good news, too.
- April Sexton: Let's hope. Barboleta branca.
- [seeing his expression]
- April Sexton: It means "white butterfly" in Portugese.
- Dr. Ethan Choi: Yeah, that doesn't clear things up.
- April Sexton: It's a Brazillian supersition. So if the first butterfly you see in the year is white, it's good luck. I saw one a few weeks ago.
- Dr. Ethan Choi: Technically, doesn't that only bring you luck? Wouldn't Noah need to have seen this white...
- April Sexton: Seriously? You really want to analyze the cosmic power of an insect sighting?
- Dr. Ethan Choi: Probably an argument I don't win, huh?
- Maggie Lockwood: Keoni? What did you do?
- Keoni: No clue.
- Maggie Lockwood: Jeff, with me. We're going to Treatment 2.
- Keoni: Doing a DIY reno on the bar. Been tripping over construction supplies all week. Must have twisted my ankle. Didn't notice 'til it got really bad.
- Jeff Clarke: All right, let's take a look. Hop up there. Take a look at this flat tire. These your construction boots?
- Keoni: I'm Hawaiian, brah. Slippers are multipurpose.
- Jeff Clarke: [taking his flip-flop off] You got a nail in your foot, dude.
- Keoni: You're kidding?
- Jeff Clarke: It doesn't hurt?
- Keoni: Been barefoot or in slippers since I could walk. Callouses so tough I could walk on hot coals and wouldn't even flinch.
- Jeff Clarke: Let's get a CBC, a CMP, and a tetanus, and have Danny come down with a portable x-ray machine.
- Maggie Lockwood: Okay. You've been living in Chicago twenty years, Keoni. Put on some shoes.
- Keoni: And give up the endless summer? Never.
- Jeff Clarke: Hey, man. I got your labs.
- Keoni: Good news only, please.
- Jeff Clarke: Can I sit?
- Keoni: Uh-oh.
- Jeff Clarke: Everything's normal except your blood glucose. It's extremely high.
- Keoni: Diabetes.
- Jeff Clarke: Yes. I'm gonna start you on IV fluids and insulin and order hemoglobin A1C. Get a better reading on your sugar levels.
- Keoni: Diabetes can make your feet numb. That's why I didn't realize I had a nail in my foot, isn't it?
- Jeff Clarke: Yeah.
- Keoni: I've been sick for a while.
- Jeff Clarke: Look, the important thing: we caught it. Some lifestyle adjustments, and you'll get way out ahead of this thing.
- Keoni: Yeah, sure.
- Jeff Clarke: Look, I get it. Change isn't easy, but in the long run, it's the only way.
- Dr. Will Halstead: Allison's LP results. Encephalitis.
- Dr. Natalie Manning: Oh, my god. HSE?
- Dr. Will Halstead: Yeah. Fever, neuro issues, seizures, now the coma. Virus fits the symptoms.
- Dr. Natalie Manning: Yeah. I just didn't see it coming. I mean, she's only thirteen. Herpes?
- Dr. Natalie Manning: Allison's pelvic exam yielded evidence of vaginal trauma: perforated hymen, mucosal tears, severe edema, swelling. All clear evidence of sexual assault.
- Sharon Goodwin: Timeline?
- Dr. Will Halstead: Yeah, the status of the bruising indicates the trauma took place about five to seven days ago, consistent with the incubation period of the encephalitis.
- Sharon Goodwin: Poor baby. All right, I'll active the rape protocols and notify P.D. This case is now a crime.
- Jay Halstead: I suppose I can't talk to the girl for some time, right?
- Dr. Natalie Manning: No. Um, the mom thinks the stepdad might've done it.
- Jay Halstead: Wouldn't surprise me. That's where I was gonna start.
- Dr. Natalie Manning: Seriously, Jay, I don't know how you go to work and do this every day.
- Jay Halstead: I could say the same thing for you.
- April Sexton: We cannot do this, Ethan.
- Dr. Ethan Choi: He was clear in his decision.
- April Sexton: Because you pressured him, made him feel like he had to choose right now.
- Dr. Ethan Choi: No, I gave him his medical options, and he decided on what was best for him. Don't put this on me.
- April Sexton: It is on you. Your hands may have been tied by his advance directive, but giving him heparin knowing it's lethal, that's assisted suicide.
- Dr. Ethan Choi: April, we can't save Gary, but one organ donor can save up to eight lives. One tissue donor can improve the lives of up to fifty others. Because of him, fifty-eight people get a second chance. Put in the order for heparin.
- April Sexton: No.
- Dr. Ethan Choi: Then I'll do it myself.
- Jay Halstead: I spoke to the parents together and independently.
- Dr. Natalie Manning: And?
- Jay Halstead: I don't like the stepdad for the guy. He offered to give a polygraph and submit his DNA. Offenders don't usually behave that way.
- Dr. Will Halstead: Any other leads?
- Jay Halstead: Allison's comprehensive tox screen detected trace amounts of triazolam in her blood. That's a benzo, right?
- Dr. Natalie Manning: Yeah. A sedative hypnotic with amnestic properties.
- Jay Halstead: The stepdad's an accountant. I don't see him getting his hands on that.
- Dr. Natalie Manning: Unless maybe he was prescribed it. I mean, it is sometimes used for insomnia.
- Dr. Will Halstead: Yeah, it definitely puts you out. The hospital uses it mostly to treat patient anxiety, usually before procedures, MRIs scans, things like that.
- Jay Halstead: So she could have gotten it here. Did you give it her before the CT scan?
- Dr. Natalie Manning: No.
- Dr. Will Halstead: [checking his tablet] No.
- Jay Halstead: Another doctor then, maybe. Did the mom mention any other recent medical issues?
- Dr. Natalie Manning: No, nothing. Other than the symptoms that brought her in today.
- [remembering something]
- Dr. Natalie Manning: Braces. Allison did just get her braces on.
- Dr. Will Halstead: Dentists also sometimes use triazolam.
- Sharon Goodwin: Making a break for it, Keoni? Really?
- Keoni: Seemed like a good idea at the time. Figured Maggie was sending over a shrink.
- Sharon Goodwin: Oh, no. You get me.
- Keoni: I apprecite the red carpet, but there's nothing you can do. In the back of my mind, I knew it was diabetes. I should've never come to the hospital.
- Sharon Goodwin: Because what, denial is a good solution?
- Keoni: You don't understand, Sharon. My family, diabetes kills. Now it's my turn.
- Sharon Goodwin: Your genetics don't doom you, Keoni.
- Keoni: No? I eat healthy. I don't drink the coladas or the daiquiries that I make at the bar. I exercise. Yet here I am. I did what I was supposed to do.
- Sharon Goodwin: Yeah, and unfortunately, people like you and I have to do that and more to break the cycle. Yes, I have diabetes, too. And I've lost family also.
- Keoni: I didn't know.
- Sharon Goodwin: Many don't. And it's not because I'm hiding it, but because I've got it under control. And I have for the last fourteen years. There are people in this hospital who have to surrender. You have an opportunity.
- [handing him a pamphlet]
- Sharon Goodwin: You better take it.
- Jeff Clarke: Hey, Keoni. Wanted to say goodbye. You good?
- Keoni: Work in progress, but I'll get there. Heard you're taking off for the sunshine.
- Jeff Clarke: Oahu. You're my last patient.
- Keoni: A native Hawaiian. Must be fate.
- Janelle Nicholson: The orthodontist? I was in the waiting room the whole time just checking my e-mails. When she came out, she smiled, showed me her braces, didn't seem any different.
- Dr. Will Halstead: The police suspect instead of nitrous, he used triazolam. It knocked her out, ensured she had no memory of the assault.
- Kevin: Sick bastard.
- Dr. Natalie Manning: I know this is a lot to process, but once Allison is stronger, the detective would like to come in and ask her a few questions.
- Janelle Nicholson: Look, Ali just had a brush with death, and all she cares about is if she can still go to the junior high dance. She's so innocent. I don't want to take that from her. One day we'll have to, but not today.
- Dr. Natalie Manning: We understand. We'll be back in the morning to check on her.