It's Halloween on Chicago Med, and the spookiest thing about the latest episode will be finding out how Charles and Goodwin are going to team up after he finally learned the truth last week. He and Goodwin cleared the air and intend to take on Sloan together. But after Goodwin's rocky first shift as a nurse, Charles will get into some hot water with another coworker over a love one's diagnosis.
Chicago Med season 12 episode 4 begins with Goodwin waiting in the parking garage getting secret information about Miranda from Peter, another board member, but Goodwin needs to learn what Miranda's up to. Frost gets a push from Dr. Hart about pursuing an attending position, and Ripley also tells him to put himself up for chief resident to get a leg up on attending.
While Asher and Archer disagree about Mabel's Halloween costume, Sloan announces that Ripley will take over for Archer as interim ED chief. Archer's called in to treat Dr. Abrams' ex-wife when she's brought in by their daughter. Asher and Kai-Tanaka take on a pregnant patient who took a fall, but Asher rushes her into labor. The woman's husband pleads with Asher to save them.
Asher tries to save a mother and her newborn baby
Ripley and Goodwin consult with a patient named Nara whose preparing for a transplant and a trip to Italy for her 10th anniversary, but she's experiencing abdominal pain that could from her cancer. Rather than making Goodwin call her oncologist, Dennis Washington, Ripley will put the call in to her ex. Frost and Wu treat a young patient with severe redness on his arm.
Asher successfully delivers the patient's baby via C-section, but she's immediately in distress and the mother begind to hemmorhage. It's chaos in the OR as they all work to save both lives. Charles meets with Abrams' ex-wife Cynthia and daughter Lucy, who called Abrams into the ED. They begin bickering right away. Archer arrives with her test results, and Cynthia sends Abrams away.
She has a kidney infection from her catheter, and Archer wants to admit her for observation. Back in the OR, Archer and the team continue to work to save the mother and her baby. Unfortunately, the baby's time of death is called after 20 minutes of trying to resuscitate.
Charles notices concerning behaviors in Abrams' daughter
Dennis arrives at Gaffney and is surprised to see Goodwin on the floor as a nurse. Ripley reveals that Nara has a gallstone, but she's out of the running for the transplant because tumor has grown too large. Ripley and Dennis talk about the possibility of taking a biopsy of the tumor, which could take them down a different treatment route. She agrees to the biopsy.
Asher's patient wakes up from surgery and reunites with her husband, and she has to break the bad news that their baby didn't survive. The parents cry when Asher tells them that she was beautiful. Kai-Tanaka asks if they would like to hold their daughter. A nurse wheels the baby in, and Asher hands the baby over to her parents. She has to look away to keep from crying.
Charles meets up with Lucy and learns that she's working on a PhD and taking care of her mother. She doesn't understand how she was doing the catheter incorrectly when she particular. Charles notices certain behaviors in Lucy that brings him to tell Abrams that Lucy might need more help. Abrams takes an affront to Charles' concerns and pushes back.
Abrams' daughter Lucy has a panic attack
Frost and Wu agree on their young patient's test results, and she talks to him about being chief resident. But she tells him the cons about being the chief resident, which includes a lot of paperwork and other admin things. He seems to rethink his decision. Dennis apologizes to Goodwin about how their relationship ended and how he blamed her for what happened with losing his job.
He also admits that he still loves her. The confession is interrupted by an incoming patient. As Frost and Wu see off Caleb, he feels a strange symptom in his chest, and he's no longer able to be discharged. Archer meets Asher on the roof. She's still emotional about the baby. He shares a story about losing a baby patient after Sean was born. She beats herself up for being unprofessional and showing emotion when telling the patients the news. Archer assures her she did nothing wrong.
Abrams catches Lucy exhibiting the obsessive behaviors that Charles warned her about. He overlooks the situation and she begins to have a panic attack. Charles enters the room to talk her through the panic attack and calm her down. The pressure of caring for her mother is weighing too heavily on her.
Ripley and Dennis inform Nara that the biopsy revealed she has a different form of cancer than she had originally been diagnosed, and this form could be cured. Abrams and Cynthia talk about Lucy. Charles believes she has OCD and suggest getting her into a treatment facility. Abrams offers his help to Cynthia. Frost and Wu realize that Caleb's brown teeth has something to do with his illness.
Asher and Archer's relationship progresses after a hard day
Goodwin catches up with Nara's wife, who's in tears. She was planning to leave Nara before she was diagnosed. Goodwin gives her the advice that she doesn't have to make decisions about their future right away. Meanwhile, Asher's patient awakens from sleeping without any memory of what has happened to her or her baby. She has a form of amnesia that's temporary.
But she will continue to forget what they tell her until her memory improves. Frost and Wu use a special light from dermatology to see the discoloration in his teeth that's caused by a genetic disease that's causing his condition but is now treatable. Frost confronts Wu about making it seem like solving the case was her idea while they were talking to Archer. She's coming for you job, Frost!
Abrams talks with Lucy and attempts an apology, which she doesn't necessarily want or need from him. She makes him promise that he will take care of her mother while she takes care of herself. Frost learns that Wu manipulated him into dropping out as chief resident and decides to submit his application to Dr. Hart. Now they're in competition.
Goodwin sees off Dennis and doesn't appear to have interest in getting back together. Peter arrives with more of Miranda's secrets to share. He tells her that Miranda wasn't advising them to look for Gaffney's new CEO; she wants to be the next CEO of the hospital. When Asher gets home, there are dozens of costumes laid out for Mabel. She kisses Archer and falls into an embrace.
Chicago Med airs new episodes Wednesdays at 8/7c on NBC and next-day on Peacock.
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