- Connor Rhodes: [about a juvenile transplant patient] We have to put him on ECMO.
- Ava Bekker: What?
- Connor Rhodes: He's satting in the 80s and wearing down. His respiratory muscles are going to give out.
- Ava Bekker: But ECMO could introduce an infection. It's a partial contraindication of surgery.
- Connor Rhodes: And Kansas is a two-hour flight. We have to keep him oxygenated 'till the lungs get here.
- Ava Bekker: Those lungs only last four hours. If anything goes wrong before they get here, and he's stuck on ECMO, we may not be able to get him off. He could die.
- Connor Rhodes: Then we make sure that nothing goes wrong.
- April Sexton: How was the night shift?
- Ethan Choi: Only got puked on twice.
- April Sexton: Then it was a good night.
- Daniel Charles: Dr. Reese, how was your dinner with your dad?
- Sarah Reese: It was good. Uh, I mean, I'm glad we're talking again. He's funny, smart.
- Daniel Charles: You don't sound entirely convinced.
- Sarah Reese: Well, it's just kinda hard to look past the last twenty years. I know he wrote me those letters, but... there were other ways to contact me if he wanted. Makes me wonder.
- Daniel Charles: Well, you know what, I've always been immensely impressed with your instincts, so... no reason to stop listening to them now.
- April Sexton: [leaving a patient] Syncope, weight loss, hemoptysis. He's got cancer, right?
- Will Halstead: A lot of people are more afraid of getting the diagnosis than the actual treatment.
- Will Halstead: We found a large growth in your larynx. It's almost certainly cancer.
- Vic Thomas: All right.
- Will Halstead: Now, the good news is we have an excellent oncology department, so I'd like to arrange for a biopsy and a consultation, so that they can determine...
- Vic Thomas: It's okay. I'm not interested.
- Will Halstead: Mr. Thomas, the sooner you begin treatment, the better your chances of survival.
- Vic Thomas: You don't understand. I'm... I'm ready to die.
- Will Halstead: I know it's a lot of information, and it can seem overwhelming, but I...
- Vic Thomas: I said no.
- Will Halstead: Can you tell me why you're so resistant to treatment?
- Vic Thomas: Because I've made it 56 years without molesting a child, and I can't stand it anymore.
- Will Halstead: I'm sorry?
- Vic Thomas: I'm a pedophile. And I wanna die.
- Ava Bekker: A transfusion is going to increase his antibody county. His PRA's already at 50. If it hits 80, we can't use those lungs.
- Connor Rhodes: You think I don't know that? We don't have a choice.
- Ava Bekker: We wouldn't be in this situation if you hadn't insisted on ECMO in the first place.
- Connor Rhodes: You keep pointing out problems. What I need are solutions, so if you don't have any, just... just get out of my way, okay?
- Sarah Reese: Dr. Halstead has a point. Is this man, this pedophile, really being rational?
- Daniel Charles: Funny enough, it sounds to me like he is.
- Sarah Reese: So we just have to, uh, stand by and watch him kill himself?
- Daniel Charles: Not treating your cancer is not the same thing as committing suicide. I mean, it's his decision. He's allowed to make it. More to the point, I think what he may be trying to do is looking for a way to... escape his urges.
- Sarah Reese: By dying.
- Daniel Charles: Dr. Reese, have you ever seen a pedophile's PET scan?
- [she shakes her head 'no']
- Daniel Charles: The prefrontal cortex and the putamen, they... they light up. There's a very good chance that pedophilia could be genetically hardwired into the brain.
- Sarah Reese: There-there-there's nothing he can do about it?
- Daniel Charles: Well, yes and no. I mean, the thinking is you can't change the hardware, but the software is another question, and it sounds to me like... like that's what Mr. Thomas has been trying to do. If you look at it from his perspective, the whole thing seems quite rational.
- Dr. Sam Abrams: Well, I don't see any tumors or signs of stroke. Robert Haywood, is he one of your prison patients?
- Daniel Charles: Um, no. Why?
- Dr. Sam Abrams: He's a criminal, right?
- Daniel Charles: Not that I know of.
- Dr. Sam Abrams: Decreased activity in the lower frontal lobe, significant reductions in the orbital prefrontal cortex, which is the regulator of morality and aggression.
- Daniel Charles: Oh, psychopath.
- Dr. Sam Abrams: Well, in my opinion, the best thing you can do for this patient is to put a pillow over his head.