Maggie is talking on the phone at the nurse's station, "Is he OK to bring back to the ER?"
Will's head pops up from the chart he's updating and looks at Maggie.
"We'll be ready." She said looking at Will.
He looks at her and asks, "What's going on?"
She doesn't answer Will, only looks around for Choi but he and April are with a critical patient. He spots Dr. Archer.
"Dr. Archer. Detective Halstead returning from CT, right shoulder dislocation."
"What!" Will exclaims.
Archer and Will look up to see Jay being wheeled back into the trauma room. He's in obvious pain, breathing through his teeth with his eyes screwed shut - face grimaced.
"Got it." Archer answers
"He was given a small dose of Tramadol for the CT." Will tells Archer both walking towards the room as the bed is settled.
"No Will!" Maggie calls and Will stops himself short of following Archer into the room. He turns to look at Maggie.
"Dr. Choi lets you in but you don't have that privilege with Dr. Archer."
Will stops and gives Maggie a nod.
"What happened?" Dr. Archer asks, entering the room.
"Moved his right arm to put a gown on him after the CT was done. Shoulder just popped out." The nurse from CT explains. Jay has the gown draped over him.
"Must not have been in all the way." She reduces.
"Alright Detective Halstead, going to try and make this as comfortable as I can for you."
"Sooner than later." Jay says in a grunt.
The nurse puts an oxygen nasal cannula on Jay. His short choppy pained breaths are exacerbating the pain in his chest.
The x-ray machine snaps over Jay and the images are on the screen.
Archer looks at the screen, "Push Propofol and get ready to reduce."
"Propofol? No. Wait!" Jay protests.
The nurse pauses looking at Dr. Archer
"Trust me, you're going to want it, Detective."
"No I don't!" Jay says intensely
Will hears his brother's raised voice, "Propofol? No!" He bursts into the treatment room.
"You can't give him Propofol!"
Archer looks back at him.
"Will, I don't need you questioning me. I know of the interaction. I'm positive the original dose of Tramadol has run its course. This isn't your patient, now leave the room!"
"Archer." Will stands firm "You can't give him that."
"Will, LEAVE!"
"He's my brother! I'm not going anywhere! Nurse don't give him anything!"
Choi hears the argument and enters the room. "What's going on here?" clearly agitated that two of his Doctors are fighting.
April walks in behind Choi, she walks up to the CT nurse and quietly says, "I got this."
The nurse is eager to leave and does so quickly.
"Dr. Halstead here thinks he can take over the treatment of my patient." Archer explains.
"He was going to give Jay Propofol." Will defends. "Last time he was given that….he didn't react well..it's in his chart."
Choi softens. "Archer, did you look at the patient's chart?"
Archer shakes his head and huffs a "No."
"I'll take it from here Dr. Archer." Choi states. Archer looks between the two Doctors, shakes his head and leaves the room.
Choi looks at Jay who's trying to stifle the pain he's in and then to Will, "What do you suggest?"
"Pain relief, more Tramadol Hydrochloride, it'll work the same with him."
April is waiting for Choi's order, looking between Will and Choi.
"25 mg Tramadol." Choi says looking at April.
Will moves to Jay's left side and stays out of Choi's way.
"Choi's going to help you out."
Jay turns his head to his left to look at Will, left cheek and eye swollen, eye partially closed and his irregular breathing pained. "No propofol." He's starting to panic. "Will...No….I can't."
"Easy….Easy…" Will calms putting his hand on Jay's left shoulder. "Don't worry, you're not getting that. Try to relax, concentrate on your breathing."
Jay moves his left hand over his diaphragm.
"I know lying flat doesn't help." Will comments watching Jay's movement and looks at Choi.
"We can raise him up a bit." Choi answers the unasked question.
Will smiles a "Thank you" and raises the head of the bed slightly.
The Tramadol only takes a few minutes to start working. Jay's eyes are closed but he's not sleeping. His breathing has a slight huff to it but he's looking less pained. Will looks to Choi signaling that Jay's ready. Choi walks to Jay's right side, taking note of the brace on Jay's right wrist.
"Alright Jay, here we go."
Choi grabs Jay's right forearm just above his elbow with his right hand and places his left hand on Jay's right shoulder. He starts to massage the shoulder, trying to relax the muscles.
"Just try to relax, give me your arm." shaking it slightly
"Mmmm" Jay responds.
Choi continues massaging and starts to manipulate Jay's arm. He keeps Jay's elbow stationary and pivots his wrist away from his body, turning the shoulder joint outward. Choi watches Jay for any discomfort. Jay is still. Choi continues massaging the shoulder and now upper arm, slowly manipulating Jay's arm further.
"Ah….AHH…..just…" Jay protests the movement.
"Almost Jay." Choi continues the manipulation.
"ARRGH JESUS!" Jay growls as his shoulder slips into place.
"There it is. There it is." Choi says and moves his arm around ensuring the shoulder is back in place. Satisfied, he places Jay's arm across his stomach.
"Let's get another look."
The x-rays are quickly taken and Choi studies the screen.
"Looks good. Jay get some rest." He says to Jay, whose eyes are closed and humbles "Thank you." Choi pats his leg, looks at Will, motions to the hall, "A word."
Will walks into the hall with Choi. "I know. I know. I shouldn't be in there with him but Ethan, Archer was going to…"
"Stop Will." Choi stops Will's explanation. "I was going to say 'Thank you'. Archer should have looked at Jay's chart before administering any medication."
Will nods relieved.
"I'm going to look at the CT scans but I can tell you even without seeing them I'm keeping him overnight for observation."
"Thank you, Ethan."
Choi nods and walks away.
Will rubs his hand over his face and then the back of his neck, trying to rub the stress and tension away. Then he walks to the waiting room.
In the waiting room Hailey plays with her coffee cup, it's empty but if she still has it no one will ask her if they can get her a cup and she wants to be left alone. She replays what she saw of the operation. She thinks: How the Patrol Officer was on Jay even though he was in obvious distress. How could he keep Jay down when he was having trouble breathing and in pain. The Officer didn't know Jay was a cop. Had he treated other offenders like this? Has she?
She's lost in her thoughts when Will walks up, "Hey Hailey."
Hailey quickly looks up and gets up. "How is He?"
"See for yourself." Will motions for her to follow him walking towards Jay's room, stopping for a second to talk to a nurse.
They walk into Jay's room. The bed is raised and Jay looks like he's sleeping. His right elbow is supported with a pillow and his wrist is over his hip. A nasal cannula is crooked because of the swelling on the left side of his face. But overall, he doesn't look like he's in pain.
Will had picked up an ice pack without Hailey noticing, he snaps it activating it, and places it on Jay's face.
Jay grunts a protest, both the cold and the pressure isn't welcome. He slowly opens his eyes. His left eye doesn't open fully but it doesn't stop Jay from looking around the room. His eyes wide, he finds Hailey's and relaxes the same way when he looked at her in the car.
Will's tablet alerts. He positions the pillow to support the ice pack. He picks and reads from the tablet.
"Well, Jay." Will starts. Hailey and Jay both look at him. "Your Injured On Duty Report just got longer, dislocated shoulder, another broken wrist, a fracture of the lower sternum, hairline fracture of the left cheekbone...oh yeah, and a slight concussion."
"There has to be a better way of getting time off." Will says looking at Jay trying to make light of the situation. But Jay's face shows pain and his left hand is over his diaphragm again.
The nurse Will talked to walks in and hands Will a long bag filled with ice. Will takes it and walks toward Jay.
"I know. I know." Will says, gently moving Jay's left hand away. He places the ice in its place. A sharp intake of air and a quiet "AH Ah ahh"
Will watches Jay as the pain dissipates. Then looks at Hailey. She doesn't hide her concern.
"The original x-ray showed what looked to be rib fractures on each side of the lower sternum, they're not fractures. Costochondral separation. The cartilage on each side of your chest." Will motions over Jay's chest. "Is separated from the ribs. One on each side actually." He looks at Jay. Jay blinks trying to understand.
"That sounds painful." Hailey comments.
"It is but the ice will help" Will replies looking at Hailey then back to Jay, who is still not really following.
Will becomes concerned and moves closer to Jay. Jay follows Will's motion, eyes barely open but doesn't say anything. Will shines his pen light over his eyes.
"Urgh...Will ….stop." Jay responds quickly, screwing his eyes shut.
"You are in there." Will states
"Yes." Jay says, keeping his eyes closed.
Will recognizes what's going on and dims the rooms' lights.
"Better?"
Jay quietly grunts.
Hailey looks to Will for an explanation.
"Light sensitivity and big words are not the best combinations for a concussion, no matter how slight." He looks to Jay. "Sorry, Jay."
Will looks at Hailey. "He's going to be moved to a room for observation overnight. Be reassessed in the morning."
She listens to what Will says but she's looking at Jay lying in the bed. Jay's breathing is better but not smooth and shorter than normal. She takes a breath and sighs.
"He'll be OK Hailey. I give it till morning before he's asking to go home."
Hailey looks at Will and smiles but before she can respond, her phone alerts. She reads the message.
"I got to go." She says looking at Will then at Jay again "keep me updated?"
"Of course."