
Also known as: Folk medicine poisoning
Pregnant patient at 35 weeks consumes excessive amounts of Tía Carina cocoa (a folk medicine containing ergotamines) in an attempt to self-induce labor before deportation. The toxicity causes severe nausea, vomiting, and contractions that mimic labor but are not true labor.
Also known as: Early labor
Addison makes the ethically complex decision to medically induce labor at 35 weeks (5 weeks early) for Reina so her baby can be born as a U.S. citizen before she is deported. The episode centers on the risks of premature delivery versus the baby's future prospects in El Salvador.
Also known as: Transgender
10-year-old patient assigned female at birth consistently identifies as male, experiencing distress from being forced to live as a girl. Cooper and Violet diagnose Gender Identity Disorder and discuss hormone-blocking therapy options with resistant parents. The case highlights the psychological toll of forcing a child to live as the wrong gender.
Also known as: Baby with no brain
Amelia continues her pregnancy knowing her baby has anencephaly (no brain development). She plans to carry to term and donate the baby's organs for transplant, signing consent forms before delivery. The episode shows her emotional struggle as she feels the baby move.