Let me know if anything makes you feel uncomfortable, okay? Yes, ma'am. Alright, Mr. Cray.
Uh, Reverend Cray, actually. Okay, Reverend. How old is Lindsay?
Fourteen. How long is this gonna take? And I'm only asking that because we gotta get down to Cedar Rapids.
I'm preaching at a revival meeting tomorrow. Okay, well just figure out what's going on here first and take it from there. Have you ever felt pain like this before?
Her last pregnancy she'd get sick like this, but not with all this blood. Last pregnancy? Lindsay, what happened with your last pregnancy? Did you carry the term?
She had what they called a spontaneous miscarriage. That was four months ago. Well, it doesn't look like she's pregnant now.
However, I am seeing some irregularities in the lining of her uterus. Perhaps something that didn't move through when she had her miscarriage. All right, I'm going to do a pelvic exam now. Are you all right with that? You can come outside.
There's a waiting area. We'll give your daughter a little more privacy. My daughter?
Lindsay's my wife. This marriage is legal? That guy and a 14-year-old girl? Her father gave us consent and a judge signed off on it, so yeah.
What about her mother? She died when Lindsay was only three. That man should be arrested. Right, but on what charges?
Rape, coercion, whatever. This girl is a kid. She obviously had no choice in the matter.
He barely lets her speak. Can we call in the police? Family services? Well, unfortunately, we're required to respect Michigan state law. How's the girl doing?
She's undergoing a DNC to get rid of any products from her prior miscarriage. Yeah, which the Reverend only okayed because he wants Lindsay to be able to conceive as soon as possible. I realize this is distasteful for all of us, but I implore both of you to do your best not to let your personal feelings interfere with the care of this patient or the law.
What am I supposed to do? I'm not sure I can be in the same room as that guy. You go home, I'll deal with this. You keep trying to push me out the door.
Yes, I'm concerned about you. I don't know why you're being so stubborn. I'm gonna go see how the DNC is going.
I'm not sure I should be talking to you alone. Was that what he told you? Listen. I'm not sure how you feel about being married, but the one advantage that it does give you is that you are considered, by law, to be medically emancipated. Emancipated?
It means you have the right to make your own medical decisions. Does chemo really make it so I can't have a baby? No, and Lindsay, it's clearly your best and safest bet in moving forward. What are you doing? Nothing.
I was just conferring with my patient. Lindsay, regardless of what this man thinks or wants, it is your body and your choice. That is all right. We've decided.
So what do you want to do? We step outside with you. Forget your hands off of me.
From the start, you have been willful and argumentative. My patient has the right to decide how she wants to treat her cancer. The cancer is you. You've been treating Lindsay like she's a child, not a woman. She is a child.
She's 14. Just because you had some judge sign off on what's obviously a case of abuse does not magically decree her a woman. And now you want to play games with her health? You are a bully and a predator!
I'm the charge nurse, sir. How can I help you? Yes, I want this bitch removed from my wife's care. I heard he called you a bitch. Not really what matters here.
Just got an earful from the good reverend. If he takes Lindsay out of this hospital, she will never get the care that she needs. Every patient is allowed a second opinion. But she'll die. It's abuse, plain and simple.
She's right. I admire your advocacy, Dr. Manning, but you're off the case. Dr. Halstead will be primary until the patient can be discharged.
I swear I have a mind to knock the hell out of that sink. Will! I do not need my boyfriend to defend my honor right now.
Okay, what I need is for... Ow! Natalie, you alright? Yeah, I just... Natalie!
Natalie! Ned! So you lost consciousness as well? Mm.
You had difficulty concentrating? I don't know. Maybe. Have you been more irritable than usual? Yes.
Sorry. It's true. Look, I've got to get out of here.
I have a patient I need to go see. Sorry, you don't get to go back in the game. Mitch Trubisky, you have a concussion.
I'll need a head CT to wear out any bleeds. Let me make a call to imaging. Thanks, Sam.
I need to go talk to Lindsay before she's discharged. Natalie. What?
Goodwin removed you from her care. You don't remember that? She did? Oh, no.
I really messed this up, Will. No, you didn't. Yes, I did. She was asking me about chemo. I mean, I was this close to convincing her to get treatment.
But I just had a little longer with her. Maybe it's not too late. Non-usable behavior.
No, you're absolutely right. And again, I want to apologize for Dr. Manning's behavior. It was entirely unprofessional. Very aggressive. It was pushy.
Well, between you and me, this is not the first time we've had a problem with her. She can get emotional. Women, right?
I have to check up on a patient in orthopedics. Let me, Monique, help Reverend Cray here with discharge paperwork, would you? Patient's name is Lindsey Cray. Monique will take great care of you. Good luck and God bless, Reverend.
I will be praying for you and your wife. Thank you. You're very welcome. Where's the Reverend?
He's filling out the paperwork needed to take you out of here. I can't keep you here much longer. I know you have some big decisions to make.
But I won't be able to get you the medical attention you need unless you speak up right now. My mother died when she was 19. She had ovarian cancer. My great-grandmother, too.
Because it's the family curse. I'm sorry to hear that. The lady doctor said something earlier about a hysterectomy. Dr. Manning, yes. Now that is only if you get sicker.
With the right medicine, you have a great chance of beating this. You can live a long life, have a family someday. Are those things I'm supposed to look forward to?
No, I want a hysterectomy. A hysterectomy is really not necessary at this point. I don't care.
Some women have their breasts removed if they have the cancer gene, just so they don't get it later, right? But you are so young. A hysterectomy is irreversible. You will not be able to become pregnant and have children.
Ever. You don't know my life. You don't understand.
Bring a kid into this world. Dr. Manning said it was my decision. What is going on here? Lindsay has decided to have a hysterectomy. Over my dead body?
She is my wife. I make the decisions. Sir, please move. You lay so much as a finger on her, and I will sue you to kingdom come.
We have her consent. You lied to me. She can't make that kind of decision for herself. She was obviously coerced. He forced you to sign this, didn't he?
No. It was my decision. You have two seconds to step aside, Mr. Krayer. I will have you forcibly removed from the premises.
You go through with this, Lindsay, and you will be banished by the church, the community, everything. You will be diminished in the eyes of the Lord. Do you understand? Hey. Hey.
Someone told me about a standoff between you and Cray. Yeah. Were you able to talk to Lindsay?
I was. Is she going to start chemo? She's having a hysterectomy. I tried to talk her out of it, believe me, but she was adamant. It's a drastic step to take, but I can see why she took it.
That girl will finally have her say. She's just a kid, Nan. She's tough.
Women are tough. Tougher than you think. I guess I got a lot to learn about this kind of stuff.
Trust me, you are way further along than most. Way, huh?