Doctor ILLEGALLY Resuscitates Patient | Chicago Med | MD TV

Summary

The script follows the emotional journey of Jennifer Baker, a terminal cancer patient who has endured extensive treatments without success. Dr. Halstead tries to enroll her in a new clinical trial, but Jennifer, exhausted from failed treatments, refuses further intervention. Despite her DNR (Do Not Resuscitate) order, Dr. Halstead resuscitates her during a critical moment, against her wishes and legal rights. This causes conflict with the hospital staff, who emphasize respecting Jennifer’s autonomy. The story highlights the ethical dilemmas doctors face when balancing their desire to save lives with honoring patient choices.

Takeaways

• 💊 Jennifer Baker is a cancer patient who has been through difficult treatments, leaving her exhausted and in pain.
• 🏥 Dr. Halstead is advocating for Jennifer to join a new clinical trial for a promising radio-immunotherapy drug.
• 👩‍⚕️ Jennifer expresses her refusal to continue with any more treatments, citing the toll they have taken on her quality of life and her family.
• 📝 Jennifer has a DNR (Do Not Resuscitate) order, which she is adamant about upholding, despite Dr. Halstead's insistence.
• 👨‍👩‍👧 Jennifer's family, particularly her husband, struggles with the decision as they want to explore any remaining treatment options.
• ⚖️ Dr. Halstead, against Jennifer’s wishes and legal DNR, resuscitates her during a critical moment, believing it’s the right decision to save her life.
• 😔 Jennifer’s daughter witnesses the resuscitation and is emotionally distressed, wanting her mother to live but conflicted by her mother's wishes.
• ⚠️ The hospital administration, particularly Ms. Goodwin, reprimands Dr. Halstead for violating Jennifer’s DNR, emphasizing the legal and ethical boundaries he crossed.
• 📜 The ethical dilemma centers around respecting a patient's wishes versus a doctor’s instinct to prolong life with potentially lifesaving treatments.
• ⛔ Dr. Halstead is removed from Jennifer's care, and another doctor is assigned to ensure her wishes are respected going forward.

Q & A

What is the condition of Jennifer Baker at the beginning of the script?

Jennifer Baker is a cancer patient who is out with her arm set and back in normal sinus rhythm.

What does 'DNR' refer to in the context of Jennifer Baker's situation?

DNR stands for 'Do Not Resuscitate,' indicating that Jennifer has a legal document ordering not to be resuscitated.

What is the significance of the clinical trial for non-Hodgkin's lymphoma that Dr. Halstead mentions?

The clinical trial is significant because it involves a new radio-immunotherapy drug that could potentially help Jennifer Baker, who has tried everything else without success.

Why does Dr. Zoe feel that Jennifer Baker should participate in the clinical trial?

Dr. Zoe believes Jennifer fits the profile for the study and that the new cancer drug could be a game changer, offering a chance for more time.

What is Jennifer Baker's reaction to the suggestion of participating in another clinical trial?

Jennifer Baker is resistant to the idea of participating in another trial, expressing that she has tried everything and is done with the side effects and suffering that come with it.

Why does Dr. Manning intervene and attempt to resuscitate Jennifer against her DNR order?

Dr. Manning intervenes because he believes in the potential of the new drug to help Jennifer and feels a moral responsibility to try to save her life, despite her DNR order.

What is the outcome of Dr. Manning's decision to resuscitate Jennifer Baker?

Dr. Manning's decision results in Jennifer being revived and her heart rate becoming stable, which allows the process of getting her into the clinical trial to begin.

How does the hospital administration respond to Dr. Manning's actions?

The hospital administration, represented by Ms. Goodwin, is critical of Dr. Manning's actions, stating that he has put the hospital and himself in a dangerous position by going against Jennifer's DNR order.

What is the final directive given to Dr. Manning regarding Jennifer Baker and her family?

Dr. Manning is instructed to stay away from Jennifer Baker and her family, and Dr. Manning is to be the primary doctor for Jennifer moving forward.

What is the emotional toll on Jennifer's family throughout the script?

The script depicts the emotional toll on Jennifer's family, particularly her husband and daughter, who are torn between wanting to keep her alive and respecting her wishes to stop treatment.

Outlines

00:00

💔 Jennifer Baker’s Battle and Refusal of Further Treatment

Jennifer Baker, a cancer patient, is struggling with the decision to stop treatment. Despite her doctor’s optimism about a new clinical trial for a promising cancer drug, she is adamant that she can no longer continue with treatments that have previously caused her great physical suffering. Her family, including her daughter Bailey, is also present, and Jennifer firmly states that she wants to spend her remaining time with them rather than in hospitals. The doctor attempts to convince her of the potential benefits, but Jennifer remains resolute in her decision.

05:01

💔 The Tragic Moment: A Daughter’s Plea and a Doctor’s Defiance

In a highly emotional scene, Jennifer Baker goes into a medical crisis, and her daughter Bailey pleads with the doctors to save her mother. Despite Jennifer’s DNR (Do Not Resuscitate) order, Dr. Halstead overrides the directive and orders resuscitation, believing he is acting in her best interest. Other medical staff, including Dr. Manning, express concerns about the legality and ethics of the decision, but Halstead insists on continuing treatment. The conflict between following Jennifer’s wishes and the doctor’s drive to save her unfolds as tensions rise within the team.

Keywords

💡Cancer Patient

A cancer patient is an individual who has been diagnosed with cancer, a group of diseases characterized by the uncontrolled growth and spread of abnormal cells. In the script, Jennifer Baker is a cancer patient who has undergone extensive treatment with no success, highlighting the central theme of the video which revolves around her struggle with the disease and the medical community's efforts to find a cure.

💡DNR (Do Not Resuscitate)

A DNR order is a legal document that instructs healthcare providers not to perform cardiopulmonary resuscitation (CPR) in the event of cardiac or respiratory arrest. In the video, Jennifer Baker is considering a DNR, indicating her desire to avoid aggressive medical interventions and to focus on quality of life rather than prolonging her struggle with cancer.

💡Clinical Trial

A clinical trial is a research study that tests the safety and effectiveness of new medical interventions, such as drugs, devices, or therapies. The script mentions a clinical trial for a new asthma drug and a radio immunotherapy drug for non-Hodgkin's lymphoma, showcasing the ongoing efforts in medical research to find new treatments for diseases.

💡Radio Immunotherapy

Radio immunotherapy is a type of cancer treatment that uses radioactive materials attached to antibodies to target and destroy cancer cells. In the video, the discussion of a radio immunotherapy drug for non-Hodgkin's lymphoma represents a cutting-edge approach to cancer treatment, emphasizing the theme of hope and the pursuit of new medical breakthroughs.

💡End Stage

End stage refers to the final phase of a disease where it is no longer responsive to treatment and the focus shifts to palliative care. Jennifer Baker is described as being in the end stage of her cancer, which underscores the gravity of her condition and the challenges faced by both the patient and the healthcare providers.

💡False Hopes

False hopes are expectations of positive outcomes that are not grounded in reality or are unlikely to occur. In the script, Jennifer's husband expresses his frustration with the numerous false hopes they have encountered, reflecting the emotional toll that the pursuit of medical treatments can have on patients and their families.

💡Resuscitate

Resuscitate means to revive someone whose heart has stopped or who is not breathing. The script includes a dramatic scene where Dr. Halstead decides to resuscitate Jennifer against her DNR order, raising ethical questions about the doctor's responsibility to respect a patient's wishes versus the instinct to save a life.

💡Ethical Dilemma

An ethical dilemma is a situation that requires a choice between options that involve conflicting moral principles or values. The video presents an ethical dilemma when Dr. Halstead decides to resuscitate Jennifer, despite her DNR order, highlighting the complex decisions that healthcare providers must make in the face of life and death.

💡Palliative Care

Palliative care is medical care focused on providing relief from the symptoms and stress of a serious illness, rather than curing the disease. Jennifer expresses her desire for palliative care, indicating her preference for comfort and quality of life over further aggressive treatments.

💡Medical Director

A medical director is a senior physician who oversees the medical services and staff within a healthcare facility. In the script, Dr. Halstead seeks permission from the medical director to admit Jennifer to a clinical trial, illustrating the hierarchical structure and decision-making processes within a hospital.

💡Legally Binding Document

A legally binding document is a written agreement that creates obligations recognized and enforceable by law. Jennifer's DNR order is described as a legally binding document, emphasizing the importance of respecting a patient's autonomous decisions regarding their medical care.

Highlights

Jennifer Baker, a cancer patient, is back in normal sinus rhythm after a treatment.

Jennifer has been through a difficult journey with cancer over the past few years.

A discussion about a Do Not Resuscitate (DNR) order and its implications for Jennifer's care.

Dr. Halstead's conversation with Ian about a new asthma drug and a clinical trial for non-Hodgkin's lymphoma.

Zoe's proposal to include Jennifer in a clinical trial for a radio immunotherapy drug.

The clinical trial is closed, but Zoe seeks an exception for Jennifer's case.

Jennifer is informed about the clinical trial and her potential qualification.

Jennifer expresses her reluctance to participate in another trial due to the side effects.

Dr. Manny tries to convince Jennifer to reconsider the trial for the sake of her family.

A pharmaceutical representative mentions total remissions in the clinical trial.

Jennifer's husband is torn between her wishes and the potential of the trial.

Jennifer goes into cardiac arrest, and her husband is faced with a difficult decision.

Against medical protocol, Dr. Halstead decides to resuscitate Jennifer.

Jennifer's daughter, Bailey, is present during the resuscitation, adding emotional weight to the scene.

Jennifer's heart rate becomes erratic after resuscitation, and her condition is monitored.

Dr. Halstead is reprimanded for disregarding Jennifer's DNR and the hospital's protocols.

Jennifer is stabilized and preparations are made to include her in the clinical trial.

The hospital administration orders Dr. Halstead to stay away from Jennifer and her family.

Transcripts

jennifer baker cancer patient where are

we out with her her arm is set and she's

back in normal sinus rhythm i'm actually

looking at her history right now

ian

and she's been through hell the past few

years

yeah

what a dnr

is she considering her family

at this point she may think it's the

best thing i don't know

zoe

dr halstead good morning i know i was

supposed to call you back i should have

i'm sorry i understand you're you're

busy

hey

smb has an outstanding new asthma drug

would you prefer some two samples no

thanks listen i wrote a prospectus on a

clinical trial you're doing for

non-hodgkin's lymphoma a radio

immunotherapy drug felter mom very

promising that's the one listen i got

this patient she's tried everything

nothing's worked i'm pretty sure she

fits the profile for your study i'm

sorry but the trial's closed it's fall

zoe this woman is end stage she's got a

kid i'm looking for anything to give her

more time i get it but she's trying

please

let me make a call to our medical

director

no promises though

thanks

mrs baker

i have some very good news

a pharmaceutical company is conducting a

clinical trial that you qualify for

a new cancer drug

i was able to get you in

mrs baker

sal can you take bailey outside

yeah

yeah sure yeah

come on honey girl let's go find

something to eat i'm drawing all right

you can do that when you come back

okay

oh thank you

the trials oncologist is gonna need to

examine you i'd like to set that up as

soon as possible sorry

no more trials

mrs baker you know how i feel but this

is very promising a new radio

immunotherapy drug very similar to

tosatumo map which you've done before

but this worked mr hall said you're not

listening to me

i'm done

i've tried everything

you have nothing to lose

yes i do

the drugs make me sick and weak and

exhausted i throw up i'm in constant

pain and my family suffers as much as i

do but you may react differently to this

it could be a game changer that's what

the last half dozen doctors said

and yet here we

are dr manny

i think we should let mrs baker rest

i know you're trying to help

but i can't do this anymore

i want to live out the rest of my life

with the people i love

i'm not in a hospital

we

understand we'll check back later

after all said

yeah thanks for the help in there

what is with you last time i checked

we're supposed to be saving lives she

has made her wishes very clear she can't

just give up

my mother died of cancer if she had

access to a drug like this she might

still be alive

mr baker

ah

jen's feeling a little nauseous so

pop usually makes her feel better that

clinical trial i mentioned

it's really worth a shot

would you talk to her

i know what she's gonna say all right

this is off the record but i spoke to

the pharmaceutical rep and she told me

they've had some remissions

total remissions

please

you know i would do anything to keep my

wife alive

but

she's

she's had so many false hopes

okay you know i'll try

i'll try

code blue treatment 5

code

mommy

mommy it's okay it's okay she's in a

better place

did you ask her

she wouldn't she's wrong mr baker let me

resist she's got a dnr she doesn't have

to die i don't know you wanted to live

you told me no i don't will don't tell

me to resuscitate daddy i don't know

please let me try i don't know please

well don't do this

get the cart in here well stop i have to

april the carton no mommy mommy

now

what are you doing daddy please help her

nope

one milligram of happy mr baker take

your daughter out okay come on well you

can't do this

will stop

i'm tubing here natalie please take over

compress

don't do this doris you take over

compressions no well this is illegal

i'll take responsibility

do it

no

seven point five et cube and four

maclaurin just called yes doctor

she's still in fifa i'm charging 200.

will

will let her go

clear

clear

will stop

stop

i said claire

[Music]

continue cpr

charging to 200.

clear

got a pulse good

get an ekg and redraw labs cmp and

tropes yes doc what have you done

your heart rate is erratic let's watch

your opinion she's going to thank me

[Music]

how we doing

[Music]

excuse me bailey

i'm gonna check mommy's heart

still stable

she's off all blood pressure drips

we can start the process of getting her

in the trial

[Music]

we just want to be left alone right now

[Music]

here

dr halstead

ms gooden would like to see you in her

office

did he tell you to resuscitate his wife

her husband wants her in the trial he

agrees with me yes or no did he tell you

to resuscitate his wife

no

but he wanted me to

and how exactly did you divine that i

couldn't just let her die for no reason

well there is a reason she has a legally

binding document ordering you not to do

so and don't i as her doctor have a

moral responsibility that supersedes

that document no you do not and you know

that ms goodwin she was out of her mind

from the pain and the illness she did

not understand what this drug could do

for her i did this is not about you it's

about her and what she wanted

you have put this hospital and yourself

in an extremely dangerous position i

hope you understand the gravity of your

actions

get her out of the e.d and up to the

nicu

dr manning will be primary now

i want you

to stay away from jennifer baker

and her family are we clear on that

yes

[Music]

you