All language subtitles for the.good.doctor.s06e08

[ Alarm beeping ]

♪♪

[ Beeping stops ]

[ Sighs ]

♪♪

♪♪

Time to get up already?

Mm, for me.

Early department meeting.

You should stay in bed
a while longer.

So should you.

Mm.

How about I put a call in
to Rosalia's,

breakfast burrito,
latte for pickup.
[ Groans ]

20 minutes saved.

If I get back
in that bed,

it's gonna be for more
than 20 minutes.

Oh.

I can be late.

Perez: I told you
to put on a jacket.

And I told you
I'd be fine.

Are you fine?

No.
I'm freezing.

[ Chuckles ]
It's San Jose.

"Winter" is
a relative term.

Eh.

Thanks.
Mm-hmm.

Weren't you wearing that
yesterday?

I crashed at her place.

We were working on a research
project and finished late,

and he slept
on the couch.

Didn't you have
a date?

I rescheduled it.

I gotta get inside and shower
or I'll be late for my call.

See you.

Alright.
See ya.

He's bread crumbing you.

Excuse me?

He's flirtatious,
non-committal.

He's giving you
just enough attention

to keep you on the hook.

He's dropping crumbs.

You'll never get
the full slice.

We're just friends.

I'm fine with that.
[ Cellphone dings ]

Hm. Or maybe you're settling
for whatever he'll give you.

When did the stomach pain
begin?

A couple weeks ago.

I'm on my tenth day of Lupron,
so it could be the side effects.

We're hoping
for an embryo transfer

at the end of the month.

Gotta take care
of this mama.

Other than the pain,
any other --

Emesis, fever, sweats.

[ Groans,
inhales sharply ]

Some tenderness
and distension.

A scar on the right
lower quadrant.

That's
a first date souvenir.

Unofficial first date.

Shaun:
A McBurney's incision.

You had
an open appendectomy.

She had
a ruptured appendix.

I'm an RN.

Oh, it was
a medical meet-cute.

[ Gasping ]
I'm okay.

Shaun: You are not.

There is
an irregularly shaped mass

in the right-side
pelvic region.

You need a CT, stat.

♪♪

Morgan: [ Echoing ]
Can I help you?

Are you okay?

Um, I fell
and hit my head.

Come here.

[ Groans ]

Possible head trauma.

♪♪

Can you give me your name
and date of birth?

Um, Toni Rhodes,

Aug-- August 7, 1995.

Slowly reactive pupils.

Any drugs
or alcohol use?

No. No.

Uh, yes.

I -- I had a couple drinks
last night.

How did I get here?

♪♪

[ Groans ]

And we need a head CT

to check for brain bleed
or skull fractures.

Oh, my stomach is...

How did you get this?

Okay, her abdomen is rigid
and distended.

♪♪

Significant
intraperitoneal hemorrhage

at left upper quadrant.

You're bleeding
from your spleen.

We need to get you
into surgery.

♪♪

-- Captions by VITAC --

♪♪

I reviewed
your patient's ultrasound.

The appearance of that
mixed-echogenic mass is unusual.

Yes.

We --
Keep me posted.

Ooh, you went to Rosalia's?

The breakfast burrito
with the spicy chorizo --

Try molten chorizo.

Totally worth the ulcer
I'm probably getting.

Hard stan.
[ Chuckles ]

I have never been
to Rosalia's.

I recommend it.

Your images are ready,
Dr. Murphy.

There is the mass.

There's a ton of free fluid
surrounding the lesion.

Possible active bleeding and
invasion into adjacent organs.

She needs surgery immediately
for resection of the lesion.

How long
have you had these?

My monster horns?

A few years.

But now they're making it hard
for my glasses to stay on.

[ Chuckles ]

I keep them hidden
with my hair.

You are beautiful,
and you have nothing to hide.

But those glasses do need
to stay put,

so I think we should
remove these growths.

Without shaving my hair
or leaving big scars?

Those are the only options
other doctors have given me.

Those doctors don't know
my technique.

I'll make
a tiny incision here.

It minimizes scars, and it'll
leave your hair intact.

Okay. [ Chuckles ]
Okay?

Put Gwendolyn on my schedule
in the morning.

Thank you,
Dr. Andrews.

Yes.

Toni's CT
came back clean.

No fractures
or intracranial bleeding,

so she's clear
for surgery.

Hm.

We need to finish our research
for tomorrow?

I'll spring for pizza.

Have you ever heard
of bread crumbing?

Does it involve pigeons?

No.
[ Chuckles ]

It's when two people
hang out a lot.

One wants to be
more than friends,

and the other
isn't clear.

Question is, what should
the first person do --

be patient or move on?

Asking for a friend.

I'd say real personal connection
can be rare, invaluable,

whether the context
is romantic or platonic.

I'll see you inside.

♪♪

Asher: There are tentacles
of scar tissue

reaching into every organ.

Multiple abscesses
and infection burden.

We will need
several drains.

100 cc already.
This infection is crazy.

So, things with you and Lim
are still sorta awkward?

Dr. Lim and I have
a professional relationship

centered on medicine.

The mass is adherent
to the pelvic wall,

colon, bladder, uterus.

But you guys
used to be closer.

Do you miss that?

Cutting through
more tissue.

Dr. Lim is
Chief of Surgery,

I am an attending.

A medical focus is logical
and productive.

We've reached the mass.

Cutting into the capsule.

Wait.

Oh, my God, is that...?

A surgical towel.

♪♪

Have my special
ex lap tray ready.

Transfuse two units
and stay two ahead.

Place a Foley catheter
now.

Her hematocrit's
in the toilet.

A fall shouldn't have caused
this much damage.

Perez: She was high
when she came in.

No telling what
could've happened.

How about we hold that
judgment till her tox
results come back?

Placing arterial line now.

Sluggish pupils, memory loss,
confusion -- she's using.

Not judgment, just recognize
certain behavior when I see it.

She's hemodynamically unstable.
Debate later.

Right now, we need
to stop this bleed.

Dr. Allen, why aren't you
placing the catheter?

There's severe bruising
and signs of major trauma

in her pelvic region.

I think she was raped.

We were able to save
your spleen,

but you bled a lot
during the surgery

for reasons
we don't understand yet.

We need to run more tests.

When we were placing
your catheter,

we discovered some bruising
and signs of trauma

in your pelvic region.

We're worried you may have been
sexually assaulted.

[ Exhales sharply ]

No, that's...
just not possible.

Your urine testing also
came back positive for Rohypnol.

It's often associated
with date rape.

No, I-I...

I went out for drinks
with my friend.

We were celebrating
his new job.

I watched the bartender
mix my drinks.

I was tipsy,
but I wasn't drunk.

The bruises must be from
when I tripped.

I would remember if
what you're saying happened.

Rohypnol can cause
short-term amnesia.

I'm sure this information
is a shock.

We're here
to support you.

The best way
to gather evidence

as to what happened
is to do a rape kit.

No, I -- I don't
need that.

I was with my friend.

He wouldn't let anything
happen to me.

You don't have to decide
right now.

Get some rest.

We'll let you know when
your latest labs come back.

♪♪

[ Sighs ]

A retained surgical item?

It's a towel that was left
in you after a procedure.

It is adherent
to several vital organs.

We could not remove it
without irreversibly damaging --

Left behind by who?

My doctor?

Let's focus on getting it out
first, and then we can --

Who performed
my appendectomy?

Broder, I think.
But --

The count of sponges
and other items

inside the surgical cavity
is done by the lead scrub nurse.

But you may
discuss this later.

Okay. So who was
the lead scrub nurse?

Gomez, maybe, or Kraus.

I really don't remember.

But you were
definitely there.

Are you blaming this
on me?

You were one of the nurses.

I mean, shouldn't you
have noticed?

I was circulating,
not scrub.

No way I was the one
who did this.

A minute ago
you can't remember,

but now you're sure
you didn't do it.

Maybe we should
move on to --
Why are you
attacking me?

I just found out I have
an infected towel in my gut

that will require
major surgery,

and you're making this
about you.

You're acting like
this was my fault.

It doesn't matter
whose fault it was.

We will approach the towel
like a sarcoma --

perform
an en bloc resection,

bypass any intertwined
vital arterial structures,

and finish with
a thorough debridement.

I think that's
a reasonable option.

Well, right now, your opinion
doesn't mean a lot.

I just need a minute.

I'll be out
in the hall.

[ Monitor beeping ]

She's...not conscious.

She's syncopal.

She fainted?
[ Monitor alarm ]

Naveen.
BP spiking.

Oh, my God.
Heart rate's up.

Possible bleed
or septic shock.

Crash airway tray!

An additional abscess cavity
in the towel may have ruptured.

We need to get her
back to the O. R.

♪♪

You wanted to see me?
Hey.

Yeah, I'm double booked
tomorrow.

You'll be scrubbing in
with Dr. Annanian

for Gwendolyn's surgery.

But she was so impressed
with you.

She's really excited
to have you as her surgeon.

Well, it's a meeting
I can't miss.

But Dr. Annanian has
my surgical plan.

I'll check in
afterwards.

The rupture caused
widespread peritonitis.

This infection is way worse
than before.

Aggressively irrigate,
debride, and suction.

We need to control
the infection.

Send tissue and fluid
to the micro lab

so we can focus
her antibiotics.

[ Monitor alarm ]

Big drop in BP.

Heart rate spiking.

She isn't tolerating
surgery.

We need to close her
again.

Sutures.

Wait,
what about the towel?

We can't operate until her BP
and O2 sats are under control.

She'll need to remain sedated
and intubated

until she stabilizes.

And we need to find a new
approach to removing the towel.

Once she's closed,
I can dive into research.

I will consult
with Dr. Lim.

[ Door opens ]

I would like
a surgical consult.

The Mukherjee case?

The mass on the CT was
a retained surgical towel.

And is acutely infected
and adherent to vital organs.

The patient blames her wife,
who was a surgical nurse

during the appendectomy --
circulating, not scrub.

If we could stick
to the medical --

The patient
didn't understand

the count was not
her wife's responsibility.

They argued quite a --

The most pressing issue
is the towel

poisoning her
from the inside.

What is your plan
to remove it?

That...

is what I am here
to discuss.

You are an attending,
Dr. Murphy.

And your patient
has a few hours

before she's stable enough
for any procedure.

Research RSIs and
brainstorm possible
solutions with your team.

Then, if you still need
a consult, my door is open.

♪♪

How's
Toni's platelet count?

Still dropping.

Did you do
an anti-platelet antibody?

Waiting on results.

Order another PRBC transfusion
to get her hematocrit up.

Any progress
on the rape kit?

She doesn't want
to talk about it.

I can't blame her.

It's an invasive process
that only serves to prove

something horrible happened
that she doesn't remember.

Her brain may not be able
to remember, but her body does.

And chances are, eventually,
it will all come back.

Shouldn't we respect
her wishes?

I mean, we don't want her
to feel like

she's being assaulted
all over again.

Denying what happened
doesn't change the fact

that it happened.

[ Cellphones ding ]

It's Toni -- Code Gray.

Toni: [ Crying ]
No, please, please, stop!

She woke up screaming,
and she pulled out her IV.

Just stay away from me!

We just want to help you.

Toni, you're okay.

We're here with you.

It's not real.

Can you breathe with me?

[ Breathes deeply, shakily ]

[ Monitor alarm ]

You're okay.

You're not in danger
anymore.

I...

had a nightmare.

Her gown.

I need to take a look
at that.

Okay?

♪♪

The spleen repair
didn't work.

♪♪

[ Elevator bell dings ]
Shaun: Over the course
of your long career,

you have removed
five retained sponges.

That is statistically higher
than any surgeon in the region.

Special skill on my résumé
right under juggling.

My patient has
a retained towel

that has caused sepsis
with multi-organ involvement.

I would like
a surgical consult.

Perfect request
for your department head.

Dr. Lim said I should tackle
the problem on my own.

Well,
that's interesting.

She is right.

I am an attending.

But your RSI experience would be
very helpful on this case.

Alright,
I'll take a look.

♪♪

Thank you.

Nurse Villanueva,

why is Gwen's surgery
still on my schedule?

She panicked when I told her
it'd be another surgeon.

She really wants you.
Assure the patient

she's in great hands
with Dr. Annanian,

and take her
off my rotation.

No.

You told her
you'd do the surgery.

You can tell her that
you're not going to do it.

What about a minimally
invasive surgery --

cutting up the towel,
removing it piece by piece

through a single port?

That won't work.

Where it's stitched
to the organs,

the infected tissue
puts her at high risk.

An aggressive gross total
resection of all organs invaded

by the towel plus all infected
and necrotic tissue

is the best option
for long-term survival.

That procedure
risks major bleeds,

and we'd have to remove
her uterus.

They're planning a family,

and Naveen is supposed
to carry the baby.

That will also be impossible
if she is dead.

That's elegantly put.

The wife of the patient
is here, right?

Explain the options
to her,

and see how she wants us
to proceed.

They had an argument
before her last surgery.

She will not be pleased with
her wife making that decision.

Just go talk to her.

♪♪

We figured out
why you've been bleeding.

You have a condition
known as ITP.

Your immune system
is destroying your platelets.

Can you fix it?

There is medication
that can help.

And we need to remove
your spleen.

Why didn't you just do that
during my earlier surgery?

We weren't aware
of your ITP.

It's a condition that
can be triggered by trauma.

The ITP complicates
our approach.

Usually, we'd remove your spleen
through your abdomen,

but that risks
a catastrophic bleed.

We can remove
your spleen vaginally

with minimal incisions.

There's less risk
of bleeding.

[ Sighs ]

Okay, let's do it.

I'm hoping you'll let us do
a rape kit before the procedure.

I already told you,
no.

[ Screaming ]

The transvaginal approach
will destroy

all evidence
of the sexual assault.

No.

I don't care.

Without the kit,
you'll have no proof.

[ Glass shatters ]

You're right.

I believe that something
terrible happened to me.

But that is true whether or not
I go chase down the boogeyman.

But it could help.

Nothing will help.

Don't let whoever did this
to you get away with it.

He already has.

Doing a rape kit
is not going to unrape me.

♪♪

Go ahead
with the surgery.

We need your decision.

Is there any way to do
the total resection

without removing
Naveen's uterus?

No.

She's dreamed of being pregnant
her whole life.

I can't choose this
for her.

You can.

We understand
how difficult this is.

She'll never forgive me.
She will.

I mean, it's obvious
Naveen loves you.

She already blames me
for what's happening.

If I'm the one that takes away
her chance to carry a child...

You are right.

If you choose
the gross resection

and your wife
loses her uterus,

it is likely
she will never forgive you.

But that is irrelevant.

This is your decision.

You have to make it.

Whatever happens next.

♪♪

Do the total resection.

♪♪

♪♪

I haven't seen you around here
for a while, huh?

Forgot how relationships can eat
into discretionary time.

Doesn't exactly sound
like a complaint.

It's not.

Shaun came to me
with a surgical consult.

Your RSI record.
Smart.

He did it because
you sent him away.

Well,
part of the Chief's job

is to empower their attendings
to find their own solutions.

Sounds like Shaun did.

A lot of ways to empower
an attending.

And I chose one.

Because you're still angry
with Shaun?

Okay.

How long are you
gonna keep that up?

How about
as long as I want?

Okay, you be as mad at Shaun
for as long as you need to be.

Thanks
for the permission.

Just so you know,
it's toxic.

And not just for Shaun.

Spare me.

You're not concerned for anyone
other than Shaun.

I have to
get back to work.

♪♪

Dr. Andrews.

I rescheduled
my finance meeting.

But in the future,

I'm requesting a scrub nurse
who respects my role

as surgeon
and hospital president.

When I was in the hospital,
you sat at my bedside.

You helped me recover
when I wasn't sure I wanted to.

That meant a lot.

Personal attention with patients
is important

even when you're president.

♪♪

The laparoscopic
splenectomy

is a great alternative
to the transvaginal --

Toni's surgery is already
scheduled for this evening.

And she asked that you be
removed from her case.

She may regret
not taking action on this

for the rest of her life.

That's her decision,
not yours.

I got your message,
Shaun.

What's so urgent?

I have added you
to Naveen's surgical team.

Please get ready to scrub in
in 30 minutes.

You have a surgical plan
in place, Shaun.

You're perfectly capable of
executing that plan.

It is my responsibility
as attending to create

the conditions most likely to
result in a positive outcome.

Which you've done.

Which include the presence of
a surgeon with RSI experience.

Shaun, you're -- you've always
been confident

in -- in the O. R.

[ Scoffs ]
What is this about?

Having a surgeon with
relevant experience present

in case I need advice.

Well,
what if I'm busy?
You're not.

What exactly about this case
is so concerning --

You have more
RSI experience

than any surgeon
in this hospital.

That is why I would like you
in this surgery.

Please?

Alright, fine.
I'll be there.

Please get changed.

[ Monitor beeping ]

I can't reach the highest point
from here.

Best way to hide the scars
is to go in above her hair line.

We'll need to shave
some of her hair.

Maybe not.

Someone get me a comb.

Moving on
to the hysterectomy.

Please clamp
the uterine horns.

♪♪

Grasping round ligament,

midway to the inter--
internal inguinal...

Infection
of the muscular layer

of the uterine wall
has reduced.

Maybe we can
save her uterus.

♪♪

♪♪

Shaun?

Come on.

Shaun.

Stick to the plan.

You cannot save
the uterus.

[ Breathes shakily ]

Okay.

You are right.

Necrosis
is too advanced.

Transfixion sutures
and hemoclip.

♪♪

Hey.

I wanted to see
how you're doing.

Naveen is
recovering well.

The surgery turned out
as expected.

You hesitated
in the O. R.

What was that about?

I wanted to save
her uterus.

Why'd you get stuck on
not doing the hysterectomy?

The patient wants
to carry a child.

Well,
that's very empathetic.

I guess you -- you developed
a personal connection?

Luna made
the right decision

even if her wife
will never forgive her.

Are you worried that
this will hurt their marriage?

It doesn't matter, okay?
It doesn't matter.

What matters is that
she is alive.

We saved her life.

Well, that is one thing
that matters.

So is losing
a personal connection --

No, the medicine is --

Shaun,
is this about Lim?

What -- What about her?

I don't know.
I just -- It's...

Lim is still
up-- upset with you.

She's still mad at you.

D-Does that bother you?

Dr. Lim and I have
a professional relationship --

No.
No, you don't.

And you need
to fix that.

The two of you need
to sort that out.

I don't know what
you want me to do.

I want you and Lim
to talk to each other.

She does not want to talk
to me.

That depends on what
you have to say.

I have nothing to say.

Shaun, Lim is hurting,
okay?

You are hurting.

Tell her that.

I mean, maybe --
maybe she'll forgive you.

Maybe --
Maybe she won't.

I don't know.

But the two of you
have to resolve this

for both of your sakes
and mine.

♪♪

Dr. Lim and I have
a professional relationship.

I do not need
to talk to her.

I have to finish
my op note now.

♪♪

I've never done a splenectomy
that way either.

Cool surgery,
not the coolest circumstances.

Our patient went through
something terrible

and my initial reaction
was to judge her...

same way people judge me.

Don't beat yourself up.

You didn't know.

You're a good friend.

I know.

[ Chuckles ]

But...

I've been waiting
to be more than that,

and I don't think
I should do that anymore.

I'm gonna take a rain check
on research

and reschedule my date.

I think that's good.

You deserve
to be happy.

[ Cellphone dings ]

I have to go
prep Toni.

♪♪

[ Monitor beeping ]

I owe you an apology
for pressuring you.

I didn't do
a rape kit.

And I've always
regretted it.

And I didn't want you
to feel the same.

[ Sighs ]

I was in medical school.

He was a friend
of a friend.

Somewhere along the way,
he became a stalker.

One night he showed up
at a bar I was at.

He followed me home.

I hated the idea of being seen
as a victim...

...so I never told anyone.

♪♪

♪♪

I let that creep go.

And now I'll never know
how many other women he hurt.

But that's my regret.

And it's not fair
to put that on you.

♪♪

[ Breathing heavily ]

[ Sniffles ]

♪♪

[ Crying ]

♪♪

♪♪

I knew he liked me.

I should have
made sure

that he knew
it wasn't a date.

I shouldn't have had
a drink.

I...

I don't even know

if I told him to stop.

♪♪

What if I didn't?

It is not your fault.

He took away
your choice.

And now you have to do
what's best for you,

whatever that is.

Toni,
time for surgery.

♪♪

Not yet.

♪♪

There's still
a little swelling,

but you'll have
minimal scarring.

They're gone.

Now those glasses
will stay put.

Nice job with my braids.

Wasn't me.

Always wanted a daughter,
so I learned to braid.

Well, you might've found
a nice side hustle.

[ Chuckles ]

[ Sighs ]

Thank you,
Dr. Andrews.

You're welcome.

♪♪

♪♪

Are you okay
to continue?

Yes.

♪♪

♪♪

Are you okay
to continue?

Yes.

♪♪

[ Camera shutter clicks,
camera whirs ]

♪♪

[ Camera shutter clicks,
camera whirs ]
Nurse: [ Echoing ]
Are you okay to continue?

[ Camera shutter clicks,
camera whirs ]

♪♪

Are you okay to continue?

♪♪

Are you okay to continue?

Are you okay to continue?

[ Camera shutter clicks,
camera whirs ]

Naveen, in the process
of removing the towel,

we also had to take
your uterus.

We're so sorry.

There was no other way?

[ Sighs ]

Yes,
but I told them...

I told them to do it.

I needed you to survive.

Because you mean everything
to me.

And I failed at
my most important job --

keeping you safe.

I failed you five years ago
in the O. R.

and again yesterday.

I was so focused
on defending myself,

I wasn't thinking about
what you were going through,

how scared you were.

And I'm so, so sorry.

Whatever you need,
if -- if you want me here

every step of the way,
or...

out of the picture
completely...

You better be here
every step of the way...

...because I love you
more than anything, too.

♪♪

I'm sorry.

♪♪

How's she doing?

Surgery went well.

Her platelet count is turning
in the right direction.

Good.

And beyond
the physical?

Too early to tell.

Recovery's a process.

All that time
we were together,

why didn't you tell me?

Because I don't need
anyone's pity,

yours included.

It's in the past.

What you did for Toni,
that was really brave.

I'm here if you ever need
someone to be brave for you.

Thank you.

♪♪

I need to talk to you
about your surgery.

I can't change
what happened,

and I do not owe you
an apology.

Dr. Murphy.

But I am sorry
for other things.

In my RSI surgery today,
the medical choice was clear,

but I did not
want to proceed

because I knew what
the consequences would be.

In your surgery,
the medical choice was clear,

and I did proceed,

but I did not know
what the consequences would be.

I saved your life,

but my decision
also caused you harm.

When I saw you hurt
and bleeding...

...I saw my brother Steve,
when he died.

When I thought
I might lose you

the way I lost him,
I did not like that.

♪♪

I am sorry...

this...

has been very hard
for you.

A medicine-only relationship
is -- is not easy.

I...

It is not what I want.

I have missed
your friendship.

♪♪

I have missed you.

[ Breathes shakily ]

This has been...

...really hard.

[ Sniffles ]

And my life is in
a good place now.

I'm happy.

But [sniffles]

still angry
sometimes.

It may take a while
to let that go.

But...

...I've missed you,
too, Shaun.

♪♪

Hey.

You know, I love being the boss,
but connecting with patients

is the reason I got into
medicine in the first place.

And you made me
remember that.

Thank you.

You're welcome.

Could I buy you a drink

as an apology
for being a pompous ass?

[ Elevator bell dings ]
No.

Unless you throw in
some wings and fries.

Tough negotiator.

You know it.

♪♪

Shaun came to see me.

We talked.

Thank you.

You're welcome.

Join me?

I'm sure we can find
some cucumber water

around here somewhere.

Late dinner with Clay.

Good night.

♪♪

♪♪

Hey.

Hey.

Good night.

♪♪

♪♪

What was that?

I don't know.

♪♪

♪♪

You're back.
Yes.

You told me I was isolating
myself in my other office.

Shaun, there's something
you should know.

Lim, when she was in her chair
and adjusted her position,

there was flexion and rotation
in the psoas and in the glutes.

There was movement.

She could walk again.

♪♪

♪♪

♪♪

♪♪