All language subtitles for The.Good.Doctor.S06E13.1080p.WEB.h264-GOSSIP[eztv.re]-eng

[door opens]

Good morning.

Admissions percentages
at top colleges

have dropped
to record lows.

You thinking about
going back to school?

No. No.

I'm thinking about
our son's future.

As in starting a college fund
for the Peanut?

No, I have put the Peanut
on a waitlist

for pre-kindergarten
at McLelland Hall.

Isn't McLelland Hall
that snobby private school

in Menlo Park?

It is one of the top
three feeder schools

for Stanford University.

So, you've not only decided
he's going to college,

you've also picked out
which one.

Given our son's
genetic makeup,

he will probably be
very intelligent

and will require a challenging
academic curriculum.

Or he may not even
enjoy academics.

Whatever he ends up doing
will be his call, not ours.

Whatever pre-kindergarten
he ends up attending

will be our call,
not his.

Hmm.

Oh. No coffee.

Glassy still in his room?

No, I heard him leave
at 6:14.

He's been so sad
about losing his house.

How can you tell
he's sad?

Have you noticed
how quiet he's been?

Yes. It's been nice.

Guess he's just
throwing himself
into his work.

Hmm.

[car alarm chirps]

Dr. Murphy,
little help here?

Hmm.

Give tetanus booster,
clean the wound

-with Betadine, administer--
-No, we got that. It's--

We wanted a second opinion.

Uh, Victor did.

Before these young pups
take a saw to our son's foot,

I'd like to talk
to a supervisor.

The nail's bent.

I am their supervisor,

and we need the saw
to cut the nail, not his foot.

Are you good, Ricky?

[saw whirring]

You all know my angel
for the past 11 years,

-Dr. Lim.
-Oh.

Hey, Roses.
And this is my resident,
Dr. Jordan Allen.

Hi! Roses?

My website's called
"More than 65 Roses."

It's what I called it
when I was diagnosed at five.

Sixty-five roses,
cystic fibrosis.

Okay.

And welcome
to vlog number 458,

going out all around the world.

And what does DLT stand for?

-[cell phone dings]
-Oh, that would be
"double lung transplant."

[imitates air horn]

[both] Whoo! Whoo!

[chuckles] Your new lungs
just arrived.

Oh.

[theme music playing]

I never should've agreed
to let him go.

You didn't.
You just stopped
fighting with me about it.

He's running
a mild fever, 100.4.

Go where?

Church camping trip,
less than an hour away.

Camping can be
very dangerous.

Thank you, Dr. Murphy.

You know, I had my first
fire-roasted s'more
last summer,

so camping
can also be very fun.

Thank you, Dr. Wolke.

Be careful, please.

Victor, he's a doctor.

Just try to trust--

Trust that things
will work out, yep.

-I know.
-[sighs]

You're a Warriors fan, huh?

You like Steph Curry?

I like Draymond.

A rebel. I like it.

Huh. Look at this beast.

Nice job, Ricky.

[thermometer beeps]

His temperature
just jumped two degrees.

Let's get a CBC,
blood cultures,

and a CT of his foot
to check for damage

to the bones and muscles.

[knocking on door]

Dr. Park, how kind of you
to join me.

You paged me.

Have a seat. And, yes,
they're Herman Miller.

Cappuccino, mochaccino,
espresso, latte?

None of those are for you.

Okay, I was wrong.

This is the perfect job
for you.

Your first study has,
what, 800 patients?

But since you've had
four whole days to hire

all the clinical trial nurses
you'll need,

should be easy.

I may be a little behind
and may already have

thirteen patients waiting,
but I will handle it.

With a lot of cappuccinos.

Thanks for your support.

Do you want me
to give you a hand?

I have 90 minutes
before my next surgery.

In exchange
for unlimited use
of your espresso machine.

We'll see.

[CT scan whirs]

Poor Ricky.

He probably just has
a minor infection.

I meant the parents.

They went to two very different
schools of thought
on child rearing.

It's hard on the marriage
but harder on the kid.

Everyone has
different opinions, Dr. Wolke.

Yeah, which they really
need to sort out

before having kids.

My college roommate,
who was Jewish,

married
a wonderful Catholic woman.

They had three children
in quick succession,

started fighting about
how to parent them non-stop.

[Daniel] See, my parents never
fought about us

because my dad
didn't care,

as long as my mom got
me and my brother dressed

and out in time
for chores.

Well...

No hematoma or abscess.

No explanation for the fever.

[Ricky gasps]

My neck, it really hurts.

Okay.

[vomits]

Hey. I got you.

[vomiting continues]

He has tick bites
on his back.

Pink, plump, and spongy.

What's that?

Pneumonia?

In both lungs.

[people chattering
indistinctly]

She's lucky if she has
another week.

Ex vivo lung perfusion.

Maybe we can make
the lungs heal themselves.

That's usually used in cases
involving pulmonary edema.

Get the lungs. Meet me
in the Procedure Room.

Tick bites?

His fever, vomiting,
and sore neck--

-which could be
neurological--
-It's in his brain?

Possibly, but the blood tests
were inconclusive,

so we'd like to do
a lumbar puncture

to check Ricky's
cerebrospinal fluid.

This camp just keeps
getting better and better.

Can we not do this
right now?

I just want to make sure
this never happens again.

And I don't?

I care about our son
every bit as much as you do.

And yet, you keep prioritizing
fun over safety.

Yes, I care about fun,

and socialization,
self-esteem, self-expression--

Yeah, none of which are
as important as his safety.

[scoffs]

I can't do this anymore.

[sighs] Wh--

[sighs]

Got through six so far.
Only one with a minor reaction.

-You?
-Me, too.

So, we are 12 down,
one to go.

[knocking on door]

Mr. Riggs?

Mr. Riggs?

[exhales] Sorry.

I just drifted off.

[chuckles] My fault for
keeping you waiting so long.

So, how are you feeling?

Aside from tired.

Uh, just a bit achy.

Especially my knees
and elbows, hips.

And some mild jaundice.

Other than that,
I feel pretty good.

[chattering indistinctly]

-Hello.
-Oh.

We should sort out
our differences

about child raising.

If this is about
McLelland Hall, Shaun,

-it's not a big deal.
-Oh, no, I have made a list

of 37 other
potential differences.

And I'd love to discuss
them all,

but Andrews just approved
new EMR software

and wants me to run a beta test
on it in the next 24 hours.

-Have you talked to Glassy?
-No.

He didn't come to work today,
but I got a text.

He says that he is okay.

So where is he?

[Dr. Lim] It is not over yet.

Lungs are remarkably
resilient organs

when they are
in a body.

Which is why we have to
convince them they still are.

We give them a blood supply
by hooking them up

to a perfusion machine,

an air supply by hooking
them up to a ventilator,

IV drips
to feed them antibiotics,

and we might just be able
to con them back
into viability.

The next six hours
are crucial.

How will you know
if they're viable?

Our main indicator
is a calculation
called the P/F ratio.

When that reaches at least
400 millimeters of mercury,

those lungs
are good to go.

Mom, relax, it's Dr. L.

[beeping]

Palpate to find
the L3-4 interspace.

Maybe Lea and I
will not be able
to sort out our differences

about child raising and become
angry like Victor and Shelley.

You and Lea are nothing like
Victor and Shelley.

They come from completely
different worlds,

have vastly
different outlooks...

Lea and I are
very different, too.

Insert the spinal needle.

[Asher] And who knows
how much they love each other.

You and Lea, on the other hand,
I know you do. A lot.

And that's
all that matters.

At least, according to
the Hallmark Channel.

I'm in.

Whoa, whoa.
Whoa, whoa, whoa.

The infection has elevated
his intracranial pressure.

Intubate and load him with
levetiracetam and dexamethasone

before his brain herniates.

CSF confirmed
a very rare infection

called Naegleria fowleri.

It's a brain-eating amoeba
that's caused serious
cerebral swelling.

We need to put Ricky
in a barbiturate-induced coma

and surgically place a port
into the center of his brain.

Then we will flood it
with antibiotics,

which will hopefully
reduce the edema.

And he contracted this
from a tick?

Oh, no, it's contracted
via contaminated water
through the nose.

So... So he got it from
the swimming hole at camp?

That's a good guess.

But Ricky's way too anxious
around water

to ever put his head under,
let alone get water
up his nose.

Naegleria Fowleri
has also been found

in untreated
swimming pools,

-nasal rinses,
water heaters--
-Nasal rinses?

If unboiled tap water
is used.

I gave him a nasal rinse
the morning he left for camp.

He had a runny nose.

That is a better guess.

Excuse me.

Riggs has fatigue,
joint pain,

impaired mental acuity,

tachycardia,
and mild liver failure.

-Thanks.
-Maybe he has
a pre-existing condition.

In which case he should've
been eliminated

by any remotely competent
screening process.

Those protocols were in place
before you came on board.

I'll remind the CRO of that
when I tell them,
on my first day--

that their $4 million trial
needs to be trashed.

How about you save
the doomsday predictions

until after
the blood panel results?

Lab is on the way
to the OR.

[door opens]

It hasn't been six hours yet,
has it?

Six and a quarter.

[beeping]

[monitor chirps]

You want company?

Thanks.

Hello.
Where is Victor?

Beating himself up
somewhere.

I just wish
that made a difference.

Do you love each other?

Yeah. Of course.

We've always been
oil and water.

That's how
my dad describes us.

Victor grew up in Belgrade,
I grew up in Berkeley.

Different religions,
politics,

socio-economic status.

But when I got pregnant,

we knew we had
a lot of issues to work out.

And we did.

And then Ricky
was born, and...

we suddenly started
arguing over...

when can he safely
eat tree nuts?

How high should he climb
on the jungle gym?

When can he stay
with a babysitter?

Those little things
were the ones

we could never
work out.

But, yes, we still love
each other.

It's just that...

I'm not sure
love is enough anymore.

[Brecka] Still waiting,
still hoping.

That's kinda what we do,
isn't it, Roses?

And the wait is over.

I'm sorry.

We've put you back
on the list.

You're at the very top.

I deserved this.

I wanted those lungs.

[sighs] I wanted
someone to die.

Brecka.

Honey, should we...
Should we finish?

No.

[rake clanks]

-[Shaun] Hello, Dr. Glassman.
-Geez! Man!

Shaun, you might try knocking
next time,

although, you know,
that might be a little tough.

What are you
looking for?

Oh, you know...

my life.

Just my life.

[object thuds]

Not yet.

I think I'm gonna keep at it
for a bit.

Okay.

No. This is on me.
You can head home.

Thanks.

I will miss
your big-screen LED TV.

It was old.

It had a pixel line
down the right side.

Did you love Ilana?

What? Did I love Ilana?

Yeah, of course.

Did you love Debbie?

Yeah, I loved Debbie.
Where is this going,
Shaun?

That wasn't enough for you
to get over your differences.

How do I know if
love will be enough

for me and Lea to get over
our differences?

Well, you won't know.

I mean, how can you know?
You can't know.

I do not like worrying
about this.

[Dr. Glassman]
Well, look, I mean,

Lea had some doubts
a little while ago, right?

And you both
got over that.

Yes, because I was
very supportive.

Okay, well,
there you go.

But differences about
child raising seem to be bigger

-than normal differences.
-Well, yeah.

I mean, having a child,
I mean, that's big.

That's huge.
That's a shift.

It shifts everything,
marriage, everything.

I do not want a shift
in our marriage.

Well, maybe it'll shift
for the better.

Aardy's eye.

The first thing
I ever bought Maddie

was a stuffed aardvark.

Back in the day,
I performed a 21-hour surgery.

I removed an astrocytoma

from the medulla
of the brainstem.

It was heroic.
It put me on the map.

My elective surgeries
were booked out for a year.

I was in a zone,
like playing scratch golf.

And then
Ilana got pregnant.

[chuckles]

She didn't want
to stop working.

She had
a real-estate thing.

She was doing very well.
I didn't want to stop working.

I wanted to stay
on the map.

And then
we brought Maddie home.

That first night...

everything changed.

Hmm.

Go talk to Lea.

I tried.

She had to run a beta test
on new EMR software.

Well, then, you'll have to wait
until she's done.

[monitor beeps]

[beeping]

[door opens]

All I had on my DVR
was a marathon of Shark Tank.

Can't say I was in the mood
to be staring

at Mr. Wonderful's
bald head,

so why not
entertain myself

by watching some
hot lung perfusion action?

I'm not one
to kink shame.

Coffee and cronuts
from Chaz's Bakery.

I'm happy
for the company.

Noomie's not much
of a conversationalist.

-N-Noomie?-My pet name for them.

From the Greek word
for lungs, pneumonas.

I thought it was better
than Lung-ie.

Yeah,
I may be losing it.

-Cronut.
-[chuckles]

-Mmm.
-Any progress?

Negligible.

I keep doing the same thing
over and over,

hoping for
a different outcome.

Yeah, I'm definitely
losing it.

Then do
something different.

Okay.

Doubling up on antibiotics,
and we can add steroids.

This will either
hammer out the infection...

or the lungs.

[keyboard clacking]

How's Glassy?

Very sore
and very sooty.

-Mmm.
-[door closes]

We need to talk.

About our 37 differences?

I thought of two more.

Shaun, as you know,
I'm kinda busy right now,

so you'll have to settle
for me agreeing that,

yes, we'll have many,
many differences,

but in time, we'll be able
to work them out and--

That's what Victor
and Shelley thought,

and now they are talking
about separating.

I don't know who
Victor and Shelley are.

But in any event,
I have at least two more hours
of work to do tonight.

[keyboard clacking]

Okay.

-You're waiting,
aren't you?
-Yes.

I am very patient.

You arevery patient

and very understanding.

And you were so good with me
on our babymoon.

If you could just channel
some of that--

On our babymoon,
I thought love was enough.

That's...kind of
a big thing

to drop on me
this late at night.

You were too busy to discuss it
in the morning,

so I talked
to Dr. Glassman about it,

and he said having a child
will shift our dynamics.

And if it does,
we can talk about it then.

So if we can't talk
about our dynamics now,

how about
our differences?

Apparently
we have 39 of them,

so we're gonna need
a serious chunk of time,

and I'm pretty sure
they'll keep,

because we're kinda committed
to having a kid together,

whether love
is enough or not.

Shaun, I'm just...
I'm way too tired to have

a productive conversation
about this right now, okay?

Okay.

[door opens]

[door closes]

[beeping]

[monitor chirps]

[sighs]

It's time to call it.

I had a half an hour
left on my call

when she first came
to the ER,

coughing blood,
vitals on the floor.

When we opened her up,
her lungs looked like

they belonged
to a 70-year-old.

Didn't think she'd make it
through the night.

She was eight.

[sighs] I couldn't go home.

I stayed with her
that night.

And then, the next morning,
she just...

opened her eyes,
looked at me,

and told me she liked
my French braid.

Once I call it...

I have to go up there
and tell her I failed her.

[sighs]

Got Riggs'
latest test results.

Turns out he did have
a pre-existing condition--

hemochromatosis.

So the jerk lied about it
to get into the study.

That's your assumption?

He got $3,500
to participate.

I think it's a pretty
sound assumption.

But whether
he lied or not,

it means the screeners
are incompetent.

That's gotta take a toll.

Expecting the worst
of everybody.

I'd rather be
pleasantly surprised
than bitterly disappointed.

And that's the worldview
you want to impart
to your future child,

"Assume the worst
of everyone"?

-[alarm beeping]
-Help!

We need help in here!

What's happening?

Add a milligram of lorazepam.
He's seizing.

[Asher] Because his ICPs
are in the 40s.

Cerebral edema's
gotten worse.

If we don't open up
Ricky's skull immediately,

he will die.

Removing large hemicrani
skull flap.

Performing
wide dural opening.

[Daniel] Look at the monitor.

EEG's all over the place.
He's still seizing.

[Shaun] Place an additional EVD
and increase propofol
to burst suppress.

[Asher] Eh, but he's maxed out.

If we give him any more
propofol, we could kill him.

If we don't, the seizures
will definitely kill him.

[monitor warbling]

[Shaun] Oh. We can remove
the damaged cortex

in the left anterior
temporal lobe

using ECoG and pre-op imaging
to guide us.

[Daniel] Cut out
part of his brain?
That's a little extreme.

[Asher] It is the area
that's causing the seizures.

[Asher] It'll just be
a tough sell
to his parents.

[Shaun] Which is why
you will help.

Okay, please keep him
stabilized with iced LR
to the cortical surface.

[Asher] Uh...

[doors sliding]

[Jenn] "The country flew past
as if they were seeing it

from the windows
of an express train.

Faster and faster
they raced,

but no one got tired
or out of breath."

We can save the last chapter
for later.

There is no later.

Where's Dr. L?

She wasn't ready to give up
on your lungs.

There's still a chance?

Dr. Lim thinks so.

♪ Your glass is on your side ♪

Let's finish.

♪ And tell someone you love
How much you need them ♪

♪ To be strong ♪

♪ Hold on ♪

"Chapter 16.

Farewell
to the Shadowlands."

[Asher] We would cut out
a small piece of his cortex.

It's already been damaged
by the infection.

Removing it may be the only way
to keep him alive.

But how would that
affect him?

There are areas
of the brain

that are significantly
less essential than others.

This part only impacts
his speech and memory,

probably not long-term.

So he might not be able
to talk or know who we are?

We wouldn't be able
to fully assess him
until he wakes up.

Ricky's skull is open.

We should do it.

Uh, th-this is
a very good hospital,

these are
very smart doctors.

And someone very wise
once told me that, uh,

"Sometimes you just
have to trust that
things will work out."

Okay.

Hmm.

[Riggs] Hemochromatosis?

You never noticed
the symptoms until now?

Joint pain, fatigue,
mental fuzziness?

Well, I turn 58 next week.

I mean, I haven't felt
a day over 30 until now.

It is very unlikely
your hemochromatosis

went from 0 to 60
in a week.

Is it possible
you gave the screeners
someone else's blood?

You think I cheated?
For the money?

No, Mr. Riggs,
I'm just trying to--

You're a blood donor
in the 20-gallon club?

Yeah, regular donor,
last 30 years.

When was the last time
you donated?

Two months ago, just before
I started this trial.

And you're not allowed
to donate while you're
in the trial.

Well, see,
that's the downside.

I actually enjoy
those cookies.

[chuckles]

I'll make sure you get all
the cookies you want,
Mr. Riggs.

[dog barking in distance]

Don't you think
it's time to come home?

No.

[chuckles]

Well, in that case...

I wanted to make you
something delicious

like you've made us,

but I'm not a very good cook,
and everything's closed.

So, I hope you like

hot-dog-flavored
potato chips

and Nutty Buddies.

Mmm.

Yeah.

Nail polish?

Father-daughter time.

Maddie insisted that
she paint my fingernails

a sparkly rainbow color.

[chuckles]

The next day, my first patient
was very uncomfortable.

That's when I realized
I forgot to remove
the nail polish.

That's a nice memory.

Oh, sit.
No, sit, sit, sit.

[sighs]
So many memories.

The Halloween
Maddie wanted to go as a ham

because we'd just seen
To Kill a Mockingbird.

But she wanted the ham
to be made
out of an actual ham.

And then, one night,
the wind was blowing so hard,

it blew
her bedroom door shut.

She was convinced that
her grandmother's ghost

had come back
to visit her.

Wanted to sleep in our bed
for the next two weeks.

You didn't come here
just to feed me
junk food, did you?

I thought you might need
someone to talk to.

I'm fine.

Hmm.

I know someone
you should talk to.

I know.

But this was easier.

Mmm.

Hot dogs
should not be a flavor.

"All their life
in this world

and all their adventures
in Narnia

had only been the cover
and the title page.

Now, at last, they were
beginning chapter one

of the great story

which no one on earth
has read,

which goes on forever,

in which
every chapter is better
than the one before."

♪ Coming home
With your song
In my heart ♪

Checking in.

Need me to
up your morphine?

Couldn't hurt.

♪ ...in my heart ♪

♪ Ooh, ooh ♪

♪ Coming home with your song
In my heart ♪

Hey, I changed my mind.

About the vlog.

Wonderful.

♪ Cry out in the cold ♪

♪ Chasing hours
And your hand... ♪

Go for it.

Hey, Roses.

I'm back.

The DLT didn't
really work out,

so...

this is gonna be
my last update.

I wasn't even
gonna do this.

I was gonna flip off
Dylan Thomas

and go gently
into that good night.

But...

I couldn't leave
without saying goodbye.

And that...

it's okay to be hurt...

I am...

that my life's
been cut short.

But the upside
to all of this

is that I feel something
I never thought I would.

It's gratitude.

I'm grateful
to my sweet mother

and [wheezing]

to the people
who keep hope alive.

♪ ...song in my heart ♪

Like Dr. L and...

[wheezing]

♪ ...with your song
In my heart ♪

[alarm blaring]

Crash cart!

She's in full
respiratory failure.

-We need to intubate her.
-No.

We need to let her go.

[Brecka wheezing]

[beeping]

[beeping rapidly]

Noomie hit 402.
Get Brecka to the OR.

The lungs are good.

We should intubate.

Yes.

[monitor warbling]

-Ricky?
-Dr. Murphy!

Ricky, can you hear us?

Hello.

Do you know
where you are?

Do you know
your name?

I'm Ricky Pavlovic.

I'm in the hospital

because I stepped
on a rusty nail at church camp.

But I would still like to go
back there next year.

[chuckles]

Welcome home, Noomie.

So Riggs is a lifelong
blood donor.

Which totally eliminated
his symptoms.

Until he started
this trial.

He's not allowed to donate
till it's over,

so there was nothing wrong
with the protocols,

nobody was incompetent,

and Riggs isn't
a big fat liar.

In fact,
he's a legit hero.

Maybe my worldview does need
a little adjustment.

I prefer Italian roast.

Noted.

Ready to take Noomie
for a test run?

That's what she named
your lungs.

It was a weird night.

Start small.

♪ I see all the light
That lifts us ♪

-♪ Hitting on the edges
Of our wings ♪
-[inhales]

♪ Choirs of stars
Gathered before us ♪

[breathing deeply]

♪ To light the path
Beneath our feet ♪

♪ Ooh-ooh-ooh ♪

♪ Ooh-ooh-ooh ♪

♪ Hey, courage
Be my compass ♪

♪Start a fire deep within ♪

♪ 'Cause I run
With everything
And nothing ♪

Thanks for coming.

We should talk.

♪ ...where to begin ♪

♪ We fall ♪

♪ We fly ♪

♪ We'll all be, we'll all be
We'll all be alright ♪

Number 39,

dietary restrictions.

-Other than breast milk--
-[gasps]

Oh, I felt a kick.

♪ We'll all be
We'll all be ♪

-♪ We'll all be alright ♪
-Oh!

This is very exciting.

[all laugh]

Come here.

Think of all the new memories
waiting to be made.

♪ We fall ♪

♪ We fly ♪

Hey, let's go home.

♪ We'll all be, we'll all be
We'll all be alright ♪

Number 39,
other than breast milk,

I don't think that Peanut

should have any dairy products
before six months.

Easy peasy.
Number 38?

♪ We'll all be
We'll all be
We'll all be alright ♪