Emergency Medicine Chief Resident Dr Ethan Choi (Brian Tee), as we first see him in this episode, seems happy. There is nothing bothering him, apparently. Shortly thereafter, as he walks by Marcel, Choi’s attitude takes on a pronounced snarky tone. One doesn’t need a medical degree to gauge the cause.

Nurse April Sexton, noting the exchange between her boyfriend and Marcel, thinks of herself as a “horrible person.” It’s clear Lockwood thinks she’s overthinking the situation.

With no time to dillydally, as Gordon (Jeb Kreager) and Bella Shaw (Linsey Page Morton) rush their two boys into the ED, Choi’s attention is required. Both of their adopted sons, Jamie Shaw (Jacob Lee Weiss) and Dylan Shaw (Jeffrey Edwards), are in distress. Gordon had no choice but to choke out Jamie before he caused Dylan significant harm. With this being Chicago Med, not that you’d expect anything less, this is a job for Charles. Charles gets the full story from Gordon. After Dylan took an iPad from his brother, Jamie started beating on him.

Elsewhere, we see Dr Noah Sexton (Roland Buck III) tending to Dylan’s needs. Based on his brief conversation with Choi, it’s clear he doesn’t understand what Led to Jamie violently attacking his brother.

Charles, as Nurse Sexton treats Jamie, takes a moment to speak with the patient. The psychiatrist simply wants to look at Jamie’s hands. He could be verifying Gordon’s story. Trust but verify. You get the picture. Charles doesn’t believe child abuse is a factor. Later, we see Jamie troubled about how he attacked his brother. Nurse Sexton tries to console her patient.

Gordon and Bella reveal both of their sons were adopted. With Dylan’s behaviour becoming increasingly erratic, not that the parents hadn’t seen various specialists, Charles recommends a five-day psychiatric hold for Jamie. Elsewhere, Dylan is being operated on.

Charles, in wanting a clearer picture of Jamie, speaks with him one on one. The parents observe the conversation from behind a one-way mirror. It makes me think of an interrogation room setup. As Charles asks questions of Jamie, the patient becomes increasingly fidgety. Jamie’s behaviour, profoundly erratic, is cause for concern. He attacks Charles for no apparent reason. Choi rushes into the room and sedates Jamie before he can seriously harm the psychiatrist. Charles recognises Jamie has “multiple” disorders.

Chief of Services Sharon Goodwin (S. Epatha Merkerson), understanding the urgency Jamie receive immediate treatment, recommends a residential facility. Goodwin tells the parents that she will make the necessary arrangements. Residential facilities such as the kind Jamie will need to stay at are expensive. It is soon revealed the family’s insurance will not pay for the level of treatment Jamie requires.

Stories like these highlights the need for universal healthcare in these United States. People frequently go without the treatment they need because healthcare insurance companies refuse to adequately cover the cost.

Charles isn’t happy with the situation. He pages Choi and Nurse Sexton so that they can be with him when he breaks the bad news to the parents. Whilst the family healthcare insurance is insufficient, Charles reveals there is a solution to the issue. The solution, a legal loophole, is possibly the ugliest thing parents characterised on Chicago Med have ever been asked to consider. When a child is abandoned, something which is always a last resort, Child Protective Services must make him or her a ward of the state. Whilst it might sound insane, given that the state takes full responsibility for abandoned children, medical and psychiatric treatment is a given. This is the only way Jamie will ever see the treatment he requires.

Despite Choi and Nurse Sexton not being happy with the plan they see how important it is for Jamie to receive treatment. The last thing we see of Choi and Nurse Sexton is them assisting Dylan to his parent’s minivan before they drive away from the hospital. Jamie is left behind.

Image Credit: IMDb.com

Halstead is still putting in hours at the unsanctioned illegal off-book safe injection site. Halstead, in this latest episode, is almost late to his shift at the Gaffney Chicago Medical Center’s ED because he spent the night at the safe injection site.

Chloe James (Marquecia Jordan) is Halstead’s patient. She and her husband, David James (Hans Fleischmann), are trying for a baby. The issue the patient faces is that she has a fibroid.

“Fibroids are abnormal growths that develop in or on a woman’s uterus,” according to the medical healthcare website Healthline, “sometimes these tumours become quite large and cause severe abdominal pain and heavy periods.”

Halstead tells Chloe that he doesn’t believe there is anything to worry about. He does insist that she stop self-diagnosing herself via Google. He calls for a consult. Later, when Halstead returns, we see Dr Hannah Asher (Jessy Schram) speaking with Chloe about treatments. Take a moment to look at Asher. Do you recognise her? Do you recall the woman that accidentally overdosed at the safe injection site? That was Asher.

Asher persuades Chloe to have surgery. Both Chloe and her husband, David, feel the risk is worth taking. Chloe fast approaching that stage in life where she might not be able to conceive children. With the couple wanting a child, surgery is really the only viable option.

Halstead confronts Asher about her drug issue. Hannah, knowing that the safe injection site is unsanctioned, twists the argument back on Halstead.

The surgery goes ahead a scheduled. It’s fine. Everything works out. Halstead hovers outside the operating room because he wants to make sure his patient is fine. After the surgery is complete, Halstead and Asher clash heads. He tells her that he’s not going away until she gets the treatment she needs. If he attempts to take her down, Halstead could find himself in serious trouble. She will turn him in without giving it a second thought.