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An erratic patient comes to the emergency department claiming that his heart is pounding inside his head and takes drastic measures to stop it, leaving Dr. Choi and Dr. Charles to figure out the best course of action. Dr. Manning works on a young boy with a broken wrist, but her suspicions abound when the facts don't add up, prompting her to report the situation to Goodwin and Dr. Charles, who must make a serious decision. Dr. Rhodes impresses Dr. Downey with his skills inside the operating room, but the pressure takes a toll. Elsewhere, Will receives news about the pending lawsuit, April feels a spark in her social life and Sarah tries to determine the cause of her recent anxiety.