Chicago Med season 10 episode 10 ending explained: What happened to Sully?

Chicago Med season 10, episode 10, titled Broken Hearts, aired on January 22, 2025, delivered another emotionally charged chapter of the hit medical drama. This episode went back to the show’s usual style of focusing on a new medical case each week, while also diving into the personal struggles and emotional journeys of the characters.

One of the main focuses of the episode was a risky surgery to separate conjoined twins, which highlighted the team’s medical skills and the personal challenges they faced. At the same time, Hannah found herself in a tough spot when her sister asked her for a favor that tested her morals and ethics. The episode balanced these storylines with heartfelt character interactions and powerful resolutions.

However, the most tragic moment of the episode revolved around Sully, a patient on medical parole. While his injuries were getting better, Sully’s story took a sudden turn when a blood clot led to his death. This devastating outcome underscored the harsh realities faced by patients and medical professionals alike, leaving Ripley and Lennox grappling with heartbreak.

Chicago Med (Image via Instagram / @nbconechicago)

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Chicago Med season 10 episode 10: Ripley tries to convince Lennox to help Sully

Sully’s storyline in Chicago Med season 10, episode 10 began with the revelation that his injuries were healing, meaning he was set to be discharged back to jail. Ripley— worried that Sully wouldn’t get proper care in prison— looked for other options.

Hannah suggested getting help from the emergency department surgeon who treated Sully as they could be the only one to have a say on his treatment and if there was any more medical supervision required. That surgeon turned out to be Lennox, who is known for her unwillingness to bend rules.

Ripley went to talk to Lennox, planning to discuss Sully’s situation. But before he could, he got caught up in an urgent case involving conjoined twins. After handling that, Ripley brought up Sully again, suggesting Lennox delay his release by ordering more tests.

Dr. Lenox (Image via Instagram / @nbconechicago)

Lennox saw what Ripley was trying to do, and accused him of letting his feelings get in the way. Still, Ripley pushed harder, pointing out the difference in care between Med and the prison hospital.

In a moment of inspiration, Lennox drew parallels between the twins’ case and Sully’s situation, which made her rethink her decision. Even though she wasn’t fully on board, Lennox agreed to do more scans on Sully. The tests revealed a blood clot that led to Sully’s death, leaving Ripley devastated and questioning the limits of his compassion.

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Chicago Med season 10 episode 10: Surgery of the conjoined twins

The most emotional part of Chicago Med season 10, episode 10 focused on the risky surgery to separate conjoined twins, Elijah and Powell. The twins arrived at the emergency department with fluid in their chests, but Lennox and Ripley quickly managed to stabilize them. After further tests, they discovered a tumor that was close to spreading to Elijah’s heart.

This made Dr. Hayes decide to speed up the separation surgery. As Hayes and his team got ready for the operation, Lennox suggested a technique she had used before in Afghanistan. This earned her a place on the surgical team. When Powell learned how urgent the surgery was, he worried about Elijah’s chances of survival and didn’t want to go ahead with it.

Forst and Ripley (Image via Instagram / @nbconechicago)

Lennox, using her own past experiences, helped the twins come to an agreement. Ultimately, they agreed to move forward with the procedure. The surgery went well, and Elijah and Powell were successfully separated, but Powell had a severe stroke after coming off bypass, leaving him dependent on life support.

The devastating outcome highlighted the emotional weight of medical decisions and the unpredictable nature of such complex surgeries. Ripley and Lennox found some comfort in knowing they did everything they could, even though the result was heartbreaking.

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Chicago Med season 10 episode 10: Hannah tries to help her sister

Hannah’s storyline in Chicago Med season 10, episode 10 explored a personal struggle when her sister Lizzie asked her to fake a PCOS diagnosis so she could get funding for another IVF treatment. Hannah was shocked by the unethical request and refused, which led to an emotional argument with Lizzie. Feeling guilty, Hannah turned to Frost and Ripley for advice.

Dr. Archer and Hannah (Image via Instagram / @nbconechicago)

They both told her to stay true to her values while finding a kind way to handle the situation. After thinking it over, Hannah came up with a different plan. She met with Lizzie and gave her a check for $25,000 to pay for the IVF treatment.

Hannah explained that she wanted to help her sister achieve her dream of becoming a mother. Lizzie initially resisted, but Hannah’s heartfelt gesture emphasized the importance of family and unconditional love.

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Fans of the franchise can watch the new episodes of the show on NBC and Peacock.