Grant tell baby Michael's parents that he has LCADD (long-chain acyl-CoA dehydrogenase deficiency), a rare genetic condition that prevents the baby from process any fat. He has brought the genome sequencing results and Reese calls Dr. In the morning, at the hospital, Joey wakes Reese, who fell asleep while watching the baby, with her phone battery dead, and missed her graduation. Reese stays at the hospital overnight instead, watching over the baby. Manning tells Reese to leave and enjoy her graduation, and tells her the baby is stable in the PICU. Joey says he understands that that she is reconsidering her decision to specialise in pathology, and tells her that it enables them to do work that that doesn't put them face to face with suffering patients, which he himself cannot cope with. Noticing that she is distracted, Joey asks Reese what is happening and Reese says she is preoccupied with the baby, who is suffering. Reese goes to Pathology, where Joey helps her with the sequencing the baby's genome. In the PICU the baby collapses again and is again recovered by Dr. Manning send for genetic sequencing from the baby and both parents, to find the exact cause of the problem. The baby's heart slows, and they intervene, bringing his vitals back up and moving him to the Pediatric Intensive Care Unit (PICU). The specialist tells the parents that they could be carrying recessive genes, which would explain why they don't show symptoms. Deirdre Grant who indicates that the baby Michael probably has cardiomegaly, a genetic disease causing inflammation of the heart. Natalie Manning and Reese bring in a pediatric specialist, Dr. The baby has an enlarged liver, and the parents tell Manning that the baby has been lethargic recently. Natalie Manning and Reese attend to a six month old baby, Michael, who is suffering from diarrhea and vomiting, brought in by his parents. Manning adds that she can't get used the ring not being there.ĭr. Manning tells her that she has decided it was time to take it off, referring to her husband Jeff's death. Natalie Manning isn't wearing her wedding ring, and asks if she lost it again, but Dr. In the E.R., Maggie Campbell notices that Dr. Joey suggests that Reese and he go out to celebrate instead, and he will be at the graduation cheering for her. Joey asks if Reese's mother will be attending, and Reese tells him that she couldn't make it but sent her a cheque instead. The episode begins with Sarah Reese and Joey Thomas walking into the hospital, and talking about Reese's upcoming graduation from residency that night. Halstead pushes April to get an X-Ray following a serious fall. Sharon learns that her husband is leaving her. Reese deal with an infant patient with multiple medical issues. Downey that his liver cancer has spread to the brain and is not curable.
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