Chicago Med season 6, episode 5 recap: When Your Heart Rules Your Head

CHICAGO MED -- "When Your Heart Rules Your Head" Episode 605 -- Pictured: (l-r) Brian Tee as Ethan Choi -- (Photo by: Elizabeth Sisson/NBC)
CHICAGO MED -- "When Your Heart Rules Your Head" Episode 605 -- Pictured: (l-r) Brian Tee as Ethan Choi -- (Photo by: Elizabeth Sisson/NBC) /
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Chicago Med
CHICAGO MED — “When Your Heart Rules Your Head” Episode 605 — Pictured: (l-r) Roland Buck III as Noah Sexton, Yaya DaCosta as April Sexton — (Photo by: Elizabeth Sisson/NBC) /

Chicago Med season 6, episode 5 recap.

This week’s Chicago Med featured the return of Noah Sexton, and Noah brought a whole new round of trouble with him when he resurfaced at the hospital.

Wednesday’s episode “When Your Heart Rules Your Head” saw Noah (recurring guest star Roland Buck III) discover that his next patient was a local doctor with a connection to the Sexton family. It was a difficult case for Noah, who made a decision that changed his life forever.

Meanwhile, Noah’s sister April (Yaya DaCosta) butted heads with Dr. Will Halstead (Nick Gehlfuss) over a patient that she had a personal connection to, and somebody else in the Med universe was revealed to be expecting.

Click through this slideshow to find out what happened in the latest Chicago Med episode for each of your favorite characters, starting with:

Choi, Noah and Crockett

Noah returns to the hospital after finishing his rotation; “I need him where I can see him,” says his sister, just before he jumps in to help Crockett with a husband and wife who have been brought in after a gas leak. Noah recognizes the man as Dr. Coleman, who runs a local clinic; Coleman’s wife dies just moments later. It might be the quickest patient death in Chicago Med history.

Crockett follows up on Coleman’s test results with Noah and the two realize that it wasn’t the gas leak that caused their problems. Crockett wants to discuss the man’s abnormal blood work; why does he have an extremely high level of drugs in his system? Dr. Coleman shockingly reveals that he had agreed to mercy-kill his wife, who was suffering from ALS, and intended to commit suicide with her.

When the two tell Dr. Ethan Choi (Brian Tee) about this, they expect that he’ll “sweep this under the rug,” to quote Crockett. But the ED chief points out that assisted suicide is illegal in the state of Illinois and says he’s going to call the police. Chicago PD‘s Kevin Atwater (LaRoyce Hawkins) soon arrives and confirms that Coleman will be arrested for his wife’s murder as soon as the doctors are done with him.

Noah tries to apologize to Coleman, and Chicago Med has him reveal that the other man inspired him to become a doctor because the other man helped save his father’s life years ago. Coleman is still grieving his wife and talking about how living without her is his punishment. As he finishes up Noah leaves a giant syringe of lidocaine within Coleman’s reach; the man jams it into his neck and commits suicide after all. Noah’s blase attitude toward trying to save him tells Choi that this was not a mistake (he couldn’t be more obvious), and Choi informs Noah that he’ll have to tell the cops what Noah did, making him criminally liable.

What happens next is what Chicago Med fans have seen so many times before: April goes to Choi to protect Noah. She uses their former engagement as leverage, saying “If you won’t do it for him, do it for me.”

It’s not a shock that Choi then tells Atwater there’s nothing else he needs to know. He does, however, fire Noah for negligence—and we know it’s because of April that he lied to Atwater, because he leaves with the “If it had been anyone else…” line. Noah tells April that he won’t fight his firing because he stands by what he did, and that she’s always going to feel responsible for him.

What happens next? He has a line on a residency in Atlanta and then wants to come back and take over Dr. Coleman’s clinic. It’s anyone’s guess if we’ll actually ever see him again or he’ll go the way of characters like Connor Rhodes and Sarah Reese.