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1
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Previously on The Good Doctor...
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I've been thinking,
and I need a break from our coffees.
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00:00:06,316 --> 00:00:08,663
If you don't value what the nurses do,
4
00:00:08,698 --> 00:00:10,493
how much can you care about me?
5
00:00:10,527 --> 00:00:13,185
- This is my patient.
- And I'm your boss.
6
00:00:13,220 --> 00:00:15,808
You can either do this with me,
or I'll find someone who will.
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00:00:17,707 --> 00:00:20,503
If you don't trust me, fire me.
8
00:00:20,537 --> 00:00:23,230
And if you do, then stay out of my way.
9
00:00:23,264 --> 00:00:24,886
Are you trying to pick your embryo?
10
00:00:24,921 --> 00:00:28,512
I'm leaning towards a girl.
I have a playbook to work from.
11
00:00:29,063 --> 00:00:31,686
I didn't OD because of you. Or us.
12
00:00:31,721 --> 00:00:34,172
Jordan, if I let myself
get close to you,
13
00:00:34,206 --> 00:00:35,725
I will fall for you.
14
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I can't risk that.
15
00:00:37,796 --> 00:00:40,040
You deserve somebody
who's ready to fully commit,
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00:00:40,074 --> 00:00:41,662
somebody who makes you happy.
17
00:00:41,696 --> 00:00:44,665
Your brain cancer may have returned.
18
00:00:46,080 --> 00:00:47,530
The crib needs to be assembled.
19
00:00:47,564 --> 00:00:50,015
Go. I got this.
20
00:00:50,050 --> 00:00:53,260
There are two screws missing.
21
00:00:53,294 --> 00:00:55,883
Dr. Glassman doesn't have brain cancer,
22
00:00:55,917 --> 00:00:58,709
but there is something wrong
with his brain.
23
00:01:01,785 --> 00:01:04,098
Lea forgot to add the blueberries,
24
00:01:04,132 --> 00:01:05,926
but we can still put them on top.
25
00:01:05,962 --> 00:01:07,170
Sorry.
26
00:01:07,205 --> 00:01:08,516
Not a problem.
27
00:01:08,551 --> 00:01:10,449
Underneath, on top, on the side.
28
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I can eat them here.
I can eat them there.
29
00:01:12,141 --> 00:01:13,383
I can eat them anywhere.
30
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Not Dr. Seuss fans.
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00:01:18,250 --> 00:01:19,907
We need to discuss something
very important.
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After we eat.
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Don't worry, I'm fine, the baby's fine.
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Shaun just wanted to have
a bit of a discussion...
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You forgot two screws
when you built the crib.
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00:01:29,835 --> 00:01:31,937
- Okay.
- Okay, Shaun, slow down.
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00:01:31,971 --> 00:01:33,701
Let's all at least take a seat first.
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We're gonna have a discussion
about a crib?
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00:01:36,187 --> 00:01:39,810
Your CSF DNA test showed
your brain cancer has not returned,
40
00:01:39,845 --> 00:01:41,192
but there is clearly something
41
00:01:41,226 --> 00:01:43,021
impacting your neurological function.
42
00:01:44,712 --> 00:01:48,475
Shaun, the crib has like
100 different parts
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00:01:48,509 --> 00:01:50,649
and instructions without any words.
44
00:01:50,684 --> 00:01:53,273
Just pictures with arrows going
in every possible direction.
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Okay. Thankfully, I was there
to correct your mistake,
46
00:01:56,482 --> 00:01:59,102
but that won't always
be possible in the O.R.
47
00:02:02,144 --> 00:02:03,283
The O.R.?
48
00:02:03,317 --> 00:02:04,858
Yes.
49
00:02:05,651 --> 00:02:07,804
- I would like to do more tests.
- That's not gonna happen.
50
00:02:07,839 --> 00:02:09,874
- That's not gonna happen.
- And... And Dr. Lim should be notified.
51
00:02:09,910 --> 00:02:11,877
That's absolutely not gonna happen!
52
00:02:11,912 --> 00:02:13,914
If your executive function
has deteriorated
53
00:02:13,948 --> 00:02:15,847
- even a small percentage...
- Shaun, just one second.
54
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Just stop for a second.
55
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Two screws?
56
00:02:20,058 --> 00:02:21,818
There's nothing wrong with my brain.
57
00:02:21,853 --> 00:02:23,510
There's nothing wrong
with any part of my body,
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00:02:23,544 --> 00:02:25,891
for that matter,
not that that concerns you.
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00:02:25,926 --> 00:02:29,378
You go to Lim, and you're
gonna look ridiculous.
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00:02:29,412 --> 00:02:31,475
- Doctor...
- That's the end of the discussion!
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And breakfast.
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He's right.
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It's okay. You were just trying...
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I can't go to Dr. Lim
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without conclusive medical evidence.
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00:02:52,746 --> 00:02:55,266
Or maybe he was right.
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00:02:55,300 --> 00:02:57,716
It is just a crib, and he was in a rush.
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Everyone forgets things.
I-I forgot the blueberries.
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00:03:01,134 --> 00:03:03,101
Instead of tests,
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00:03:03,136 --> 00:03:06,346
I can gather data
through direct observation.
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What does that mean?
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Are you gonna spy on him?
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Please put my pancakes in the fridge.
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I will eat them for dinner.
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Good morning.
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00:03:19,980 --> 00:03:21,685
Mind if I join you?
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Sure.
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00:03:28,506 --> 00:03:29,921
How are things in surgical?
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00:03:32,855 --> 00:03:35,201
- Great.
- Great, as in, actually great?
80
00:03:35,237 --> 00:03:37,618
Or great, as in,
"I'm saying the right thing
81
00:03:37,653 --> 00:03:39,586
because he's the president
of the hospital"?
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Both.
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00:03:42,485 --> 00:03:43,866
Well, any feedback you have,
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00:03:43,900 --> 00:03:45,419
you can always come to me.
85
00:03:48,526 --> 00:03:50,217
Sorry to interrupt.
I have a clinic patient
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00:03:50,252 --> 00:03:52,012
who needs a surgical consult.
87
00:03:52,046 --> 00:03:54,877
It's a former patient of yours,
Eddie Richter.
88
00:03:54,911 --> 00:03:56,050
Eddie?
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00:03:56,085 --> 00:03:58,122
I haven't seen him in years.
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00:03:58,156 --> 00:04:00,296
He came in with GI pain and acid reflux.
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00:04:00,331 --> 00:04:03,057
Ultrasound reveals a small mass
on his duodenum.
92
00:04:03,092 --> 00:04:05,129
He'll need surgery to remove it.
93
00:04:05,163 --> 00:04:07,647
I think I can fit that in. Join me.
94
00:04:08,960 --> 00:04:10,962
Dr. Lim scheduled us
with Dr. Park today.
95
00:04:10,996 --> 00:04:12,757
Doctors Park and Lim will understand.
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00:04:12,791 --> 00:04:14,172
This is a unique case.
97
00:04:16,209 --> 00:04:17,831
A small duodenal mass?
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00:04:17,865 --> 00:04:19,350
I don't know.
99
00:04:24,127 --> 00:04:25,369
Eddie!
100
00:04:27,565 --> 00:04:29,291
Long time no see.
101
00:04:29,325 --> 00:04:31,155
I wish it were longer. No offense.
102
00:04:31,189 --> 00:04:33,053
I wasn't planning on
seeing a surgeon today.
103
00:04:33,087 --> 00:04:35,642
Yeah, yeah, fair enough.
I've brought along with me
104
00:04:35,676 --> 00:04:38,091
Doctors Allen and Wolke to assist.
105
00:04:38,127 --> 00:04:40,129
- Hi.
- Nice to meet you.
106
00:04:40,164 --> 00:04:41,682
Judging by the astonishment
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00:04:41,716 --> 00:04:43,167
they are both
desperately trying to hide,
108
00:04:43,201 --> 00:04:45,030
you did not tell them
about my condition.
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00:04:45,065 --> 00:04:47,688
I did not. Very few residents get to see
110
00:04:47,723 --> 00:04:51,071
Epidermodysplasia Verruciformis
outside of a textbook,
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00:04:51,105 --> 00:04:54,074
and I figured this would be an
important learning opportunity.
112
00:04:54,108 --> 00:04:55,972
They definitely failed
the bedside manner part.
113
00:04:56,007 --> 00:04:57,457
I'm sorry.
114
00:04:57,491 --> 00:04:59,907
Eh, heartthrobs like me
and Brad Pitt are used to it.
115
00:05:03,470 --> 00:05:11,470
Synced & corrected by -robtor-
www.addic7ed.com
116
00:05:13,852 --> 00:05:15,992
Any deep pain or tenderness here?
117
00:05:16,027 --> 00:05:17,201
A little.
118
00:05:17,235 --> 00:05:18,340
How's business?
119
00:05:18,374 --> 00:05:20,549
Oh, fantastic. Thank the Lord.
120
00:05:20,583 --> 00:05:22,206
Eddie is an amazing carpenter.
121
00:05:22,240 --> 00:05:23,414
He built Isabel and I
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00:05:23,448 --> 00:05:27,487
this stunning mahogany
live edge dining table.
123
00:05:27,521 --> 00:05:31,481
I have no idea what that is,
but it sounds delightful.
124
00:05:32,181 --> 00:05:34,148
Yeah. Not much good for guitar,
125
00:05:34,183 --> 00:05:36,220
but I can still wield a power tool.
126
00:05:36,254 --> 00:05:37,841
You'll need to use
a carotid pulse monitor
127
00:05:37,876 --> 00:05:39,188
and upper thigh for BP.
128
00:05:39,223 --> 00:05:40,740
Got it.
129
00:05:41,535 --> 00:05:43,227
How painful are the growths?
130
00:05:43,261 --> 00:05:46,022
I mean, that depends.
They're basically just huge warts,
131
00:05:46,057 --> 00:05:47,852
so face, not much.
132
00:05:47,886 --> 00:05:49,198
Hands, a little.
133
00:05:49,233 --> 00:05:50,543
Feet, a lot.
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00:05:51,683 --> 00:05:53,340
I'm blessed.
135
00:05:53,375 --> 00:05:54,583
The Lord knows that a pretty face
136
00:05:54,617 --> 00:05:56,688
can only get a handyman in trouble.
137
00:05:56,723 --> 00:06:00,416
Dr. Reznick gave us a really
good view with her ultrasound,
138
00:06:00,451 --> 00:06:03,730
but I'd like an MRI and a
biopsy to better assess the lesion.
139
00:06:03,764 --> 00:06:06,077
Ah, might as well get
my money's worth, huh?
140
00:06:06,370 --> 00:06:08,027
It's good seeing you, Eddie.
141
00:06:13,774 --> 00:06:15,431
The team doc's playing it safe.
142
00:06:15,466 --> 00:06:16,777
It was a damn curveball.
143
00:06:16,812 --> 00:06:19,055
Well, even a damn double-A curveball
144
00:06:19,090 --> 00:06:21,195
comes in at, what, 80, 85?
145
00:06:21,230 --> 00:06:23,336
It can still do some damage,
helmet or no.
146
00:06:23,370 --> 00:06:25,821
Two weeks isn't a long time
to be in concussion protocol.
147
00:06:25,855 --> 00:06:28,789
Okay, well, I-I didn't
have a concussion.
148
00:06:28,824 --> 00:06:30,895
I mean, I barely even had
a headache, so...
149
00:06:33,242 --> 00:06:34,657
Can I help you, Dr. Murphy?
150
00:06:34,692 --> 00:06:37,557
I came to observe. Please continue.
151
00:06:41,181 --> 00:06:43,908
Your ImPACT scores
are a bit worse than baseline.
152
00:06:43,942 --> 00:06:45,047
Okay, that's one test.
153
00:06:45,081 --> 00:06:47,682
I mean, I-I passed all the others,
154
00:06:48,050 --> 00:06:50,017
but the doc still won't clear me.
155
00:06:50,052 --> 00:06:51,847
It's not a bad idea
to play it safe, though.
156
00:06:51,881 --> 00:06:53,331
It is your brain we're talking about.
157
00:06:53,366 --> 00:06:56,403
I mean, you're an outfielder,
so you don't need one just now...
158
00:06:56,438 --> 00:06:59,483
...but you are gonna retire someday.
159
00:06:59,517 --> 00:07:01,581
Look, if I don't get back
on the field ASAP,
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00:07:01,615 --> 00:07:03,573
I won't have a career to retire from.
161
00:07:05,654 --> 00:07:08,277
I wouldn't have come to the best
brain doctor in town otherwise.
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00:07:09,796 --> 00:07:11,373
Alright. We'll take a look.
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Do a neuro and get me an MRI.
164
00:07:15,974 --> 00:07:18,356
An MRI? For a concussion?
165
00:07:18,391 --> 00:07:20,841
Well, he's got some dilation
of his left pupil.
166
00:07:20,876 --> 00:07:23,050
Probably not significant,
167
00:07:23,085 --> 00:07:25,674
but if we're gonna override
the team doctor,
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00:07:25,708 --> 00:07:27,779
we better be sure, hmm?
169
00:07:27,814 --> 00:07:30,195
- On it.
- The MRI is a good idea.
170
00:07:30,230 --> 00:07:32,094
I did not notice the dilated pupil.
171
00:07:32,128 --> 00:07:33,267
Well, thank you.
172
00:07:33,302 --> 00:07:35,200
Not a problem since it's not your case.
173
00:07:35,235 --> 00:07:36,823
But it is an interesting case,
174
00:07:36,857 --> 00:07:38,997
even if I did not know that
when I came here.
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00:07:39,032 --> 00:07:40,896
Since I've cleared my schedule,
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I would like to continue observing.
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00:07:42,518 --> 00:07:45,279
You cleared your schedule
of people with actual ailments?
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Mmm.
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00:07:47,040 --> 00:07:48,835
Okay, fine. Observe all you want.
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00:07:48,869 --> 00:07:50,388
I will.
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00:07:50,423 --> 00:07:51,907
Both you and the case.
182
00:07:53,874 --> 00:07:57,671
Oh, there's no bleeding
or hematoma in your groin,
183
00:07:57,706 --> 00:08:00,640
which means you're doing fantastic.
184
00:08:02,538 --> 00:08:04,298
Her color looks better.
185
00:08:04,333 --> 00:08:06,303
Everything looks better.
186
00:08:07,198 --> 00:08:09,994
I just got off the phone
with Eden's social worker.
187
00:08:10,028 --> 00:08:12,065
She's having trouble
finding foster parents
188
00:08:12,099 --> 00:08:14,481
who are willing to take
a newborn with Turner Syndrome.
189
00:08:14,516 --> 00:08:15,724
Well, it's not that difficult.
190
00:08:15,758 --> 00:08:18,105
Her long-term symptoms
might not even be that severe.
191
00:08:18,140 --> 00:08:21,833
Still, Eden will always
need special care.
192
00:08:29,326 --> 00:08:32,499
It'll take a minute for
the lidocaine to take effect.
193
00:08:32,534 --> 00:08:34,225
You may feel some discomfort
194
00:08:34,259 --> 00:08:35,985
when the scope goes down your throat.
195
00:08:36,019 --> 00:08:37,375
Got it.
196
00:08:38,229 --> 00:08:41,128
I assume you've discussed
surgical removal
197
00:08:41,163 --> 00:08:43,545
of your EV growths with Dr. Andrews?
198
00:08:43,579 --> 00:08:44,960
Yeah. No, he wanted to try,
199
00:08:44,994 --> 00:08:47,169
but obviously, there's the risk
of nerve damage,
200
00:08:47,203 --> 00:08:49,054
plus they would just grow back.
201
00:08:49,620 --> 00:08:51,640
This is how I was meant to be.
202
00:08:52,001 --> 00:08:53,934
Lord works in mysterious ways.
203
00:08:53,969 --> 00:08:55,315
But surgeons don't.
204
00:08:56,420 --> 00:08:59,043
The risk of nerve damage
is actually quite small,
205
00:08:59,077 --> 00:09:02,356
and I'd imagine easier
to live with than the pain
206
00:09:02,391 --> 00:09:04,255
and lack of mobility and...
207
00:09:04,289 --> 00:09:05,739
Repulsiveness?
208
00:09:06,257 --> 00:09:08,224
No, no. I-I was...
209
00:09:08,259 --> 00:09:09,699
It's alright.
210
00:09:10,226 --> 00:09:11,400
I know how I look.
211
00:09:12,436 --> 00:09:15,715
I see the frightened kids,
people laughing,
212
00:09:15,749 --> 00:09:16,992
staring.
213
00:09:18,338 --> 00:09:19,926
I just try my best to keep
my eyes and arms open
214
00:09:19,960 --> 00:09:21,755
to all of God's gifts.
215
00:09:25,345 --> 00:09:29,314
Cannot imagine taking an
80-mile-an-hour baseball to the dome.
216
00:09:29,349 --> 00:09:30,937
Some guys in the majors throw over 100.
217
00:09:30,971 --> 00:09:32,110
Phew.
218
00:09:33,491 --> 00:09:36,287
I don't see any edema
or evidence of a hematoma.
219
00:09:37,012 --> 00:09:38,462
Neither do I.
220
00:09:38,496 --> 00:09:40,498
The anisocoria's probably harmless.
221
00:09:40,533 --> 00:09:43,363
Twenty percent of people actually
have one pupil larger than the other.
222
00:09:45,538 --> 00:09:46,815
You play any sports?
223
00:09:46,849 --> 00:09:49,542
I played football and baseball
in high school. Why?
224
00:09:49,576 --> 00:09:53,097
I have a friend who runs a
sports program for at-risk teens.
225
00:09:53,131 --> 00:09:54,892
I've been helping coaching
some indoor football,
226
00:09:54,926 --> 00:09:56,621
I mean soccer.
227
00:09:57,204 --> 00:09:59,379
She's always looking for help
from positive role models.
228
00:09:59,413 --> 00:10:02,451
Yeah, I've...
I've never coached kids before.
229
00:10:02,486 --> 00:10:05,247
Mainly just making sure they
have fun and stay off the streets.
230
00:10:05,281 --> 00:10:06,904
And my friend's super cool.
231
00:10:06,938 --> 00:10:08,664
She's cute, too.
232
00:10:11,529 --> 00:10:13,497
Well, helping kids sounds great,
233
00:10:13,531 --> 00:10:15,084
but I'm trying to get a year in recovery
234
00:10:15,119 --> 00:10:16,465
before I start dating.
235
00:10:16,500 --> 00:10:17,639
Damn, my bad.
236
00:10:17,673 --> 00:10:19,157
Oh, it's no big deal. I just...
237
00:10:19,192 --> 00:10:21,470
No, I mean the... The anisocoria.
238
00:10:25,060 --> 00:10:27,372
Definitely not harmless.
239
00:10:27,407 --> 00:10:29,236
Or a concussion.
240
00:10:35,691 --> 00:10:37,313
You have multiple cerebral aneurysms,
241
00:10:37,348 --> 00:10:39,246
which puts you in danger
of a brain hemorrhage.
242
00:10:41,663 --> 00:10:43,181
So, what now?
243
00:10:43,216 --> 00:10:45,494
Well, we're gonna map
the precise vessels involved,
244
00:10:45,529 --> 00:10:47,945
take some pictures
of the inside of your brain.
245
00:10:47,979 --> 00:10:49,299
It's called a...
246
00:10:50,188 --> 00:10:52,510
Cerebral angiogram.
247
00:10:53,053 --> 00:10:54,503
We'll feed a catheter into your brain
248
00:10:54,538 --> 00:10:55,711
through an artery in your wrist.
249
00:10:55,746 --> 00:10:57,195
You'll be sedated. It's harmless.
250
00:10:57,230 --> 00:10:59,991
As soon as we get the results,
we'll map out a surgical plan.
251
00:11:01,752 --> 00:11:02,856
B-Brain surgery?
252
00:11:02,891 --> 00:11:06,316
Hey. Best brain doc in town, right?
253
00:11:12,866 --> 00:11:14,040
It just keeps getting worse.
254
00:11:14,074 --> 00:11:16,698
The tumor has significantly
damaged the bile duct.
255
00:11:16,732 --> 00:11:18,492
Eddie's gonna need a surgical resection
256
00:11:18,527 --> 00:11:21,012
or possibly a major GI reconstruction.
257
00:11:21,047 --> 00:11:22,462
The poor guy.
258
00:11:22,496 --> 00:11:25,016
As if one rare and devastating
disease wasn't enough.
259
00:11:25,051 --> 00:11:27,709
Well, the surgery is manageable.
260
00:11:27,743 --> 00:11:29,745
I've known Eddie for years.
He's always been the embodiment
261
00:11:29,780 --> 00:11:31,954
of, "What doesn't kill you
makes you stronger."
262
00:11:31,989 --> 00:11:33,197
Who needs strength
263
00:11:33,231 --> 00:11:35,637
when you're cradled
in the Lord's loving arms?
264
00:11:36,580 --> 00:11:37,995
Given his situation,
don't you think his,
265
00:11:38,029 --> 00:11:41,930
"I'm just thankful for all God's
gifts" attitude's just a bit crazy?
266
00:11:41,964 --> 00:11:44,588
I find the strength he draws
from his faith very inspiring.
267
00:11:44,622 --> 00:11:45,968
Except that his faith has inspired him
268
00:11:46,003 --> 00:11:48,143
to not do the only thing
that would actually help him.
269
00:11:48,177 --> 00:11:51,802
Get an octreoscan to confirm
that his liver, pancreas,
270
00:11:51,836 --> 00:11:53,458
and lymph nodes aren't involved.
271
00:11:53,812 --> 00:11:55,262
On it.
272
00:11:55,913 --> 00:11:58,300
- You should probably go and...
- Referee?
273
00:11:58,325 --> 00:11:59,786
Assist.
274
00:12:04,159 --> 00:12:06,748
The radiolabeled tracer
will light up any areas
275
00:12:06,782 --> 00:12:08,628
infiltrated by the tumor.
276
00:12:09,026 --> 00:12:11,166
Will I get spidey strength, too?
277
00:12:11,200 --> 00:12:13,478
Can I get you flat
on your back for the scan?
278
00:12:13,513 --> 00:12:14,825
That won't be too painful, will it?
279
00:12:14,859 --> 00:12:16,792
No. Sure, I'll be alright.
280
00:12:17,931 --> 00:12:19,726
Is there any family
you'd like to contact?
281
00:12:19,761 --> 00:12:22,487
No, it's just me. I live alone.
282
00:12:22,522 --> 00:12:26,077
If you don't mind my asking,
E.V. is genetically inherited.
283
00:12:26,112 --> 00:12:28,735
I'd assume at least one of
your parents suffered from it?
284
00:12:28,770 --> 00:12:29,909
Yeah, they both did.
285
00:12:29,943 --> 00:12:32,808
Did they both also decide
against surgical treatment?
286
00:12:32,843 --> 00:12:35,811
Well, my parents were circus performers,
287
00:12:35,846 --> 00:12:37,744
made a living off their appearance,
288
00:12:37,779 --> 00:12:39,781
so I doubt they wanted any treatment.
289
00:12:39,815 --> 00:12:40,954
Can't say that for sure, though.
290
00:12:40,989 --> 00:12:43,621
They gave me up,
uh, right after I was born.
291
00:12:44,302 --> 00:12:46,926
I'm sure they were trying to
protect you from the life they had.
292
00:12:46,960 --> 00:12:49,307
Heh. No, from what I found out,
293
00:12:49,342 --> 00:12:51,827
they thought a family act
would be too sad
294
00:12:51,862 --> 00:12:53,967
and ruin the gig,
so they didn't want me around.
295
00:12:54,519 --> 00:12:55,762
That's horrible.
296
00:12:55,797 --> 00:12:57,218
Not at all.
297
00:12:57,661 --> 00:12:58,799
I grew up in foster homes.
298
00:12:58,834 --> 00:13:01,941
I had one mom who was a minister,
299
00:13:01,975 --> 00:13:04,012
introduced me to the power of the Lord.
300
00:13:04,046 --> 00:13:07,395
And then, when I was older,
I had a dad who was a carpenter.
301
00:13:08,395 --> 00:13:09,776
Taught me everything I know.
302
00:13:11,536 --> 00:13:13,677
I've always been blessed.
303
00:13:18,751 --> 00:13:21,995
Advancing the catheter to
assess posterior circulation.
304
00:13:25,827 --> 00:13:27,552
Dr. Murphy, do you mind if I ask,
305
00:13:27,587 --> 00:13:28,726
qhy are you observing us?
306
00:13:29,762 --> 00:13:31,349
I don't mind.
307
00:13:33,006 --> 00:13:34,525
Why are you observing us?
308
00:13:34,559 --> 00:13:35,802
I am not observing you.
309
00:13:35,837 --> 00:13:38,840
I observing this case
because it is interesting.
310
00:13:38,874 --> 00:13:40,634
Also, because it is Dr. Glassman's,
311
00:13:40,669 --> 00:13:41,808
and he may display additional symptoms
312
00:13:41,843 --> 00:13:42,913
that will help me diagnose
313
00:13:42,947 --> 00:13:45,812
his deteriorating executive function.
314
00:13:45,847 --> 00:13:47,331
So you're worried because he forgot
315
00:13:47,365 --> 00:13:49,195
a couple of stitches on a routine close?
316
00:13:49,219 --> 00:13:50,253
Stop.
317
00:13:54,579 --> 00:13:57,513
The third aneurysm is low lying
at the basilar trunk.
318
00:13:57,548 --> 00:13:59,930
That will be very difficult to clip.
319
00:14:00,378 --> 00:14:01,897
And dangerous.
320
00:14:01,932 --> 00:14:05,176
Definitely a very interesting case.
321
00:14:18,914 --> 00:14:20,605
You sure you should be doing that?
322
00:14:20,640 --> 00:14:22,746
Changing bandages or singing?
323
00:14:23,377 --> 00:14:24,585
Both.
324
00:14:28,234 --> 00:14:30,167
She's gonna be leaving soon.
325
00:14:30,201 --> 00:14:31,547
I'll be fine.
326
00:14:40,004 --> 00:14:42,006
No, I'm not overreacting.
327
00:14:42,041 --> 00:14:45,630
He is covered in these tree-like
growths but refuses surgery.
328
00:14:45,665 --> 00:14:48,047
But everyone acts
as if he's so inspiring.
329
00:14:48,081 --> 00:14:49,393
It's a pretty brave choice.
330
00:14:49,427 --> 00:14:50,981
No, it's a stupid choice.
331
00:14:51,015 --> 00:14:53,638
Living in isolation
and unnecessary pain,
332
00:14:53,673 --> 00:14:54,950
all because of his belief
333
00:14:54,985 --> 00:14:57,435
in the Magical Mystery Tour
that is religion.
334
00:14:57,470 --> 00:14:58,920
Well, given your family history,
335
00:14:58,954 --> 00:15:00,922
I see why this patient is
a little triggering for you.
336
00:15:00,956 --> 00:15:02,578
Okay, I'm not triggered.
337
00:15:02,613 --> 00:15:05,179
This has nothing to do with my family.
338
00:15:05,823 --> 00:15:08,757
Religion is the opiate of the masses.
339
00:15:08,792 --> 00:15:10,966
You know, Marx got a lot wrong,
but not that one.
340
00:15:11,001 --> 00:15:12,450
Why don't we talk about something else?
341
00:15:12,485 --> 00:15:15,350
I mean, look at terrorism,
the countless wars,
342
00:15:15,384 --> 00:15:18,629
the KKK, al-Qaeda,
bombed abortion clinics,
343
00:15:18,663 --> 00:15:20,596
the assault on women's rights,
not to mention
344
00:15:20,631 --> 00:15:23,876
the rampant persecution
of the LGBTQIA community.
345
00:15:23,910 --> 00:15:25,843
I mean, you either have to have
your head in the sand
346
00:15:25,878 --> 00:15:28,156
or be a complete moron not to see that.
347
00:15:28,918 --> 00:15:29,919
Mmm.
348
00:15:30,779 --> 00:15:33,126
This is done. Will you grab the salad?
349
00:15:48,072 --> 00:15:51,144
Sorry. I was looking
for a place to meditate.
350
00:15:51,179 --> 00:15:52,801
It's okay.
351
00:15:52,836 --> 00:15:57,231
I came here to decompress
before I head home.
352
00:16:01,879 --> 00:16:03,196
Jordan.
353
00:16:05,710 --> 00:16:07,505
The other night at karaoke,
354
00:16:07,540 --> 00:16:10,232
I shouldn't have tried to
give you relationship advice.
355
00:16:10,267 --> 00:16:12,510
I mean, you don't need me for that...
356
00:16:14,336 --> 00:16:16,096
or anything else, really.
357
00:16:19,379 --> 00:16:21,209
You're everything.
358
00:16:26,076 --> 00:16:27,042
Thanks.
359
00:16:31,152 --> 00:16:32,878
Sorry, I gotta go.
360
00:16:35,740 --> 00:16:37,604
He started vomiting blood
and then lost consciousness.
361
00:16:37,639 --> 00:16:39,158
Get two units PRBC, stay two ahead,
362
00:16:39,192 --> 00:16:40,918
- and place an NG tube.
- On it.
363
00:16:40,953 --> 00:16:43,610
Eddie, can you hear me? Eddie?
364
00:16:47,752 --> 00:16:49,202
The tumor's caused
a severe duodenal ulcer
365
00:16:49,237 --> 00:16:51,756
and major hemorrhaging
in his upper GI tract.
366
00:16:51,791 --> 00:16:54,421
Yeah. We can't excise it
if we can't stop the bleed.
367
00:16:54,456 --> 00:16:57,030
We could do it in two steps,
endoscopy to stop the bleed
368
00:16:57,064 --> 00:16:58,763
and a partial duodenectomy
to remove the tumor.
369
00:16:58,798 --> 00:17:02,156
But it'd be safer to debulk
the tumor after the scope
370
00:17:02,191 --> 00:17:03,872
and follow up with
aggressive chemotherapy.
371
00:17:03,906 --> 00:17:05,666
Chemo would increase the pace
of the E.V. growths.
372
00:17:05,701 --> 00:17:07,082
Which he doesn't seem bothered by.
373
00:17:07,117 --> 00:17:08,531
Doesn't mean we should make it worse.
374
00:17:08,566 --> 00:17:10,085
Well, it's better than
bleeding out in the OR.
375
00:17:10,120 --> 00:17:11,806
He's not going to bleed out.
376
00:17:12,260 --> 00:17:14,124
We can solve both the GI bleed
377
00:17:14,157 --> 00:17:17,954
and totally excise the tumor
with a pancreaticoduodenectomy.
378
00:17:17,990 --> 00:17:20,819
A Whipple while the patient
is hemorrhaging?
379
00:17:20,854 --> 00:17:23,029
That's even more risky
than combining the scope and...
380
00:17:23,064 --> 00:17:26,584
I'm aware of that,
but unlike your department chief,
381
00:17:26,618 --> 00:17:27,896
I'm not interested in whether residents
382
00:17:27,931 --> 00:17:29,553
approve of my decisions.
383
00:17:29,587 --> 00:17:31,117
Get him prepped.
384
00:17:31,865 --> 00:17:33,212
We'll approach all three aneurysms
385
00:17:33,246 --> 00:17:34,938
from a left-sided craniotomy.
386
00:17:34,972 --> 00:17:38,389
Even though the ICA aneurysm
is on the right side?
387
00:17:38,424 --> 00:17:39,839
Yes.
388
00:17:40,840 --> 00:17:42,669
We'll go after the basilar first,
389
00:17:42,704 --> 00:17:44,257
as that is the most challenging.
390
00:17:44,292 --> 00:17:46,432
What about the ipsilateral PCOM?
391
00:17:46,466 --> 00:17:48,917
It's pressing the third nerve
and may rupture soon.
392
00:17:48,952 --> 00:17:50,781
If you'd let me finish,
393
00:17:50,815 --> 00:17:53,181
step two will be the PCOM,
394
00:17:53,577 --> 00:17:55,516
and after that,
395
00:17:55,717 --> 00:17:58,099
we'll cut across the infield
and go after the ICA.
396
00:17:58,133 --> 00:17:59,445
Have you considered...
397
00:17:59,479 --> 00:18:01,757
Shaun, will you stop?
Will you just please stop?
398
00:18:01,792 --> 00:18:03,552
I'm fine. I know what I'm doing.
399
00:18:03,587 --> 00:18:05,106
My memory is intact.
400
00:18:05,140 --> 00:18:07,057
Does anyone have an actual objection
401
00:18:07,081 --> 00:18:08,350
to the surgical plan?
402
00:18:08,799 --> 00:18:10,007
- No.
- Nope.
403
00:18:10,042 --> 00:18:12,113
Thank you. It is extensive
404
00:18:12,147 --> 00:18:16,220
and could put Ricky at risk
for future seizures.
405
00:18:16,255 --> 00:18:18,705
And your outburst could
indicate a lack of impulse control,
406
00:18:18,740 --> 00:18:21,053
which is a symptom
of executive dysfunction.
407
00:18:21,087 --> 00:18:24,884
I am exhibiting extraordinary
impulse control as we speak.
408
00:18:24,918 --> 00:18:28,267
As to the risks,
I have clipped over 2,000 aneurysms.
409
00:18:28,301 --> 00:18:31,219
Tomorrow morning,
I'm going to clip three more.
410
00:18:34,307 --> 00:18:36,447
Put Ricky on the schedule.
411
00:18:36,482 --> 00:18:38,346
Go home. Get some sleep.
412
00:18:42,177 --> 00:18:45,111
It's not milk and cookies,
but it'll have to do for now.
413
00:18:46,595 --> 00:18:49,322
Oh, sorry.
I was gonna take care of that.
414
00:18:49,357 --> 00:18:52,015
Why? Did Park tell you to?
415
00:18:52,049 --> 00:18:54,017
Dr. Park? No. I just got off my break,
416
00:18:54,051 --> 00:18:56,295
- and I was going to...
- Great news.
417
00:18:56,329 --> 00:18:58,883
I just got off the phone
with her social worker.
418
00:18:58,918 --> 00:19:00,540
She found a foster family.
419
00:19:02,749 --> 00:19:05,338
Lucky girl. You've got a home.
420
00:19:14,106 --> 00:19:16,039
I know you were hoping
for a pancake dinner,
421
00:19:16,073 --> 00:19:18,662
but I was thinking maybe we
could go to Barone's instead.
422
00:19:18,696 --> 00:19:21,251
I'm really craving a meatball.
423
00:19:21,285 --> 00:19:24,012
Yes, Dr. Glassman is not only
highly experienced.
424
00:19:24,047 --> 00:19:26,497
He has above average intelligence.
425
00:19:26,532 --> 00:19:28,327
I don't know. He is an A's fan.
426
00:19:29,190 --> 00:19:31,847
I have not noticed any symptoms
427
00:19:31,882 --> 00:19:34,091
significant enough to alert Dr. Lim,
428
00:19:34,126 --> 00:19:36,611
but even with a decline
in executive function,
429
00:19:36,645 --> 00:19:38,854
he might not show serious deficits.
430
00:19:38,889 --> 00:19:40,373
I think we should definitely
discuss it further,
431
00:19:40,408 --> 00:19:42,203
over sauteed artichokes.
432
00:19:42,237 --> 00:19:44,584
I am not hungry,
but I will come and keep you company
433
00:19:44,619 --> 00:19:46,419
while I continue to work.
434
00:19:49,210 --> 00:19:51,695
If Glassy can still do brain surgery
435
00:19:51,729 --> 00:19:54,284
and you haven't seen
any serious deficits...
436
00:19:54,318 --> 00:19:57,977
There is definitely something
wrong with his brain.
437
00:19:58,011 --> 00:20:00,462
He's getting older.
It happens to everyone.
438
00:20:00,497 --> 00:20:02,671
This is not just aging.
439
00:20:02,706 --> 00:20:04,259
I know Dr. Glassman.
440
00:20:05,605 --> 00:20:08,357
Do you think Glassman
is a danger to his patients?
441
00:20:12,229 --> 00:20:13,612
No.
442
00:20:14,702 --> 00:20:15,906
Not yet.
443
00:20:17,169 --> 00:20:20,827
Then let's go to Barone's
and eat some meatballs
444
00:20:20,862 --> 00:20:23,934
and chicken wings that I will
enjoy for a few glorious hours
445
00:20:23,968 --> 00:20:25,970
until the indigestion kicks in.
446
00:20:29,836 --> 00:20:31,079
You are right.
447
00:20:32,253 --> 00:20:33,924
Meatball, stat.
448
00:20:40,399 --> 00:20:43,229
That's the last
anastomosis. Remove the clamp.
449
00:20:46,991 --> 00:20:48,993
Looks like the sutures are holding.
450
00:20:49,028 --> 00:20:51,341
I can't believe we did
a Whipple in under six hours.
451
00:20:51,375 --> 00:20:52,997
That's gotta be a record.
452
00:20:53,032 --> 00:20:56,587
More importantly, no more tumor,
no more bleeding ulcer.
453
00:20:56,622 --> 00:20:58,071
Went even better than I'd hoped.
454
00:20:58,106 --> 00:21:00,281
Gotta give the good Lord his due.
455
00:21:01,213 --> 00:21:02,835
Eddie is truly blessed.
456
00:21:04,802 --> 00:21:06,942
We need a few more
4-0 prolenes on a Castro
457
00:21:06,977 --> 00:21:08,979
and two surgical drains.
458
00:21:18,540 --> 00:21:21,025
Hey. You got your gear for tonight?
459
00:21:21,060 --> 00:21:22,372
Yep.
460
00:21:22,406 --> 00:21:23,959
Dug out the old football cleats.
461
00:21:23,994 --> 00:21:25,375
Awesome.
462
00:21:25,409 --> 00:21:27,353
Samira's really looking forward
to meeting you.
463
00:21:28,895 --> 00:21:30,828
Don't worry. I respect your recovery.
464
00:21:30,863 --> 00:21:32,900
- I'm not trying to set you up.
- Thank you.
465
00:21:33,693 --> 00:21:34,970
Jordan also told me she'd kill me
466
00:21:35,005 --> 00:21:36,627
if I did anything
to tempt you off your path.
467
00:21:38,836 --> 00:21:41,322
You and Dr. Allen were talking about me?
468
00:21:41,356 --> 00:21:43,677
Yeah. She was just making sure I
knew what you were dealing with.
469
00:21:44,739 --> 00:21:46,361
She's definitely looking out for you.
470
00:21:58,097 --> 00:22:00,099
My head. It's gonna explode.
471
00:22:00,133 --> 00:22:03,516
He has a thunderclap headache
and double vision.
472
00:22:03,551 --> 00:22:06,381
His left eyelid's droopy,
looks like complete third nerve palsy.
473
00:22:06,416 --> 00:22:07,831
Left pupil non-reactive to light.
474
00:22:07,865 --> 00:22:09,384
The PCOM aneurysm must have ruptured.
475
00:22:09,419 --> 00:22:11,766
We need to get him to the OR, stat.
476
00:22:11,800 --> 00:22:13,315
Page Dr. Glassman.
477
00:22:17,944 --> 00:22:19,014
Scalpel.
478
00:22:28,955 --> 00:22:31,441
Intracranial pressure is dropping.
479
00:22:31,475 --> 00:22:32,890
We've bought him some temporary relief.
480
00:22:32,925 --> 00:22:35,962
Can we see the CT scans,
the new ones, please?
481
00:22:38,413 --> 00:22:40,104
Given the subarachnoid hemorrhage,
482
00:22:40,139 --> 00:22:42,624
the risk of the previous
surgical plan has increased.
483
00:22:42,659 --> 00:22:44,557
I can still clip
the two smaller aneurysms,
484
00:22:44,592 --> 00:22:47,215
then ligate and bypass the ruptured one.
485
00:22:47,250 --> 00:22:48,906
We should consider coil embolization
486
00:22:48,941 --> 00:22:50,218
of the ruptured aneurysm.
487
00:22:50,253 --> 00:22:52,220
We treat that now and then
come back for the other two
488
00:22:52,255 --> 00:22:53,704
once Ricky has recovered.
489
00:22:53,739 --> 00:22:56,362
Then he has to come in every
six months for an angiogram,
490
00:22:56,397 --> 00:22:59,400
weakening his muscles,
damaging his coordination,
491
00:22:59,434 --> 00:23:01,194
effectively ending his pro career.
492
00:23:01,229 --> 00:23:02,656
That's your recommendation?
493
00:23:03,956 --> 00:23:06,494
The treatment is a much safer option.
494
00:23:07,649 --> 00:23:08,995
He's 19.
495
00:23:09,030 --> 00:23:11,377
He has lots of life
to consider after baseball.
496
00:23:11,412 --> 00:23:13,206
I'm confident in what I promised.
497
00:23:13,241 --> 00:23:15,001
I'm confident that I can deliver it.
498
00:23:15,036 --> 00:23:18,384
Your experience mitigates
the increased risks
499
00:23:18,419 --> 00:23:20,490
of the craniotomy,
but it does not eliminate them.
500
00:23:20,524 --> 00:23:22,181
The patient should decide.
501
00:23:24,079 --> 00:23:25,596
Fine.
502
00:23:25,978 --> 00:23:28,463
Let's wake him up
and present both plans.
503
00:23:31,984 --> 00:23:35,159
The surgery went better
than we could have hoped.
504
00:23:35,194 --> 00:23:37,092
We removed the tumor,
505
00:23:37,127 --> 00:23:39,944
and your liver and pancreas
are working great.
506
00:23:41,165 --> 00:23:43,030
So when do I get to go home?
507
00:23:44,030 --> 00:23:46,239
Well, we need to keep an eye
on you for a couple days.
508
00:23:46,274 --> 00:23:47,931
I took the liberty of
getting you a few things
509
00:23:47,965 --> 00:23:49,622
to help pass the time.
510
00:23:52,625 --> 00:23:53,799
Thank you.
511
00:23:57,216 --> 00:23:59,672
I'm so grateful to you all.
512
00:24:00,150 --> 00:24:02,773
I've spent so much time on my own,
I can forget how wonderful it is
513
00:24:02,808 --> 00:24:04,760
to have other people there
who care about you.
514
00:24:14,682 --> 00:24:18,271
Hey. Sorry. I got
a little aggro last night.
515
00:24:18,306 --> 00:24:20,066
My family was big on dinner debate time.
516
00:24:20,722 --> 00:24:21,827
Okay.
517
00:24:23,035 --> 00:24:24,830
That's all you have to say?
518
00:24:24,864 --> 00:24:27,741
I have a blood draw to do, so...
519
00:24:28,834 --> 00:24:30,491
It was just a philosophical discussion.
520
00:24:30,525 --> 00:24:32,700
It's not like we got
into a fight, right?
521
00:24:32,734 --> 00:24:34,331
No, we didn't.
522
00:24:43,089 --> 00:24:44,988
- It was awful.
- Terrible.
523
00:24:46,748 --> 00:24:48,474
Somebody's in a good mood.
524
00:24:48,509 --> 00:24:49,751
Indeed I am.
525
00:24:49,786 --> 00:24:51,028
It's the Eddie effect.
526
00:24:51,063 --> 00:24:53,376
Our patient radiates positivity.
527
00:24:53,410 --> 00:24:54,860
It's oddly contagious.
528
00:24:54,894 --> 00:24:57,103
It's got me wondering
why I'm always so focused
529
00:24:57,138 --> 00:24:59,899
on choosing the right path instead of...
530
00:24:59,934 --> 00:25:02,711
just being open to God's gifts.
531
00:25:02,746 --> 00:25:04,795
Sorry.
532
00:25:06,389 --> 00:25:09,046
My gift is using my stomach
as a speedbag.
533
00:25:14,120 --> 00:25:16,053
I don't know what's worse...
534
00:25:16,088 --> 00:25:17,745
that I might not walk out of here,
535
00:25:17,779 --> 00:25:20,299
or walking out knowing that
I'll never play ball again.
536
00:25:20,333 --> 00:25:24,786
Yes. That is the question
you need to answer.
537
00:25:24,821 --> 00:25:27,064
Don't get stuck on worst-case scenarios.
538
00:25:28,618 --> 00:25:30,378
I worked real hard to get here,
you know?
539
00:25:30,413 --> 00:25:32,104
And I... And I got
people counting on me...
540
00:25:32,138 --> 00:25:33,623
Hey, hey, hey.
541
00:25:33,657 --> 00:25:35,901
Shut out the noise.
542
00:25:35,935 --> 00:25:37,247
Other people are gonna have opinions,
543
00:25:37,281 --> 00:25:38,731
whether you swing 3-0,
544
00:25:38,766 --> 00:25:40,906
whether you don't take the extra base.
545
00:25:40,940 --> 00:25:43,149
Whatever decision you make,
546
00:25:43,184 --> 00:25:45,117
that's gonna be the right decision.
547
00:25:53,624 --> 00:25:57,179
You know, uh, there's a...
There's a saying
548
00:25:57,903 --> 00:25:59,500
back in the DR...
549
00:26:00,753 --> 00:26:02,755
"You can't walk off the island."
550
00:26:07,035 --> 00:26:08,451
You gotta take big swings.
551
00:26:13,352 --> 00:26:15,147
Let's fix all the aneurysms now.
552
00:26:17,365 --> 00:26:18,435
Good call.
553
00:26:28,022 --> 00:26:30,576
You'll need to keep
the wound site clean and dry.
554
00:26:30,611 --> 00:26:32,958
And be sure to monitor
her caloric intake closely.
555
00:26:32,992 --> 00:26:35,098
Babies with Turner Syndrome
have difficulty swallowing
556
00:26:35,132 --> 00:26:36,755
and tongue dysfunction.
557
00:26:36,789 --> 00:26:37,963
Turner Syndrome?
558
00:26:37,997 --> 00:26:39,758
Will she need additional surgeries?
559
00:26:39,792 --> 00:26:42,726
Yes, but not for a few years.
560
00:26:42,761 --> 00:26:46,523
With things like this,
it's best to take it one step at a time.
561
00:26:46,558 --> 00:26:49,595
We were hoping to foster to adopt.
562
00:26:49,630 --> 00:26:52,805
And these long-term medical issues...
563
00:26:52,840 --> 00:26:54,358
they're significant.
564
00:26:54,393 --> 00:26:57,051
When it comes to medicine,
Google is not your friend.
565
00:26:58,397 --> 00:27:02,781
Patrick, Annie,
I know it all sounds scary,
566
00:27:02,815 --> 00:27:05,646
and you have every right to be nervous.
567
00:27:06,509 --> 00:27:08,131
But you can do this.
568
00:27:09,339 --> 00:27:11,065
Eden needs you.
569
00:27:24,181 --> 00:27:25,976
Wouldn't it be best for Eden
570
00:27:26,011 --> 00:27:28,358
if you found someone more qualified?
571
00:27:32,396 --> 00:27:34,303
I'll let Social Services know.
572
00:27:48,192 --> 00:27:49,985
What's the score?
573
00:27:51,726 --> 00:27:54,315
How am I doing? My executive function.
574
00:27:54,349 --> 00:27:55,868
What's the score?
575
00:27:55,903 --> 00:27:58,284
It is not a score, it is data,
576
00:27:58,319 --> 00:28:00,666
and I am not ready
to draw my conclusions.
577
00:28:00,701 --> 00:28:02,047
Well, you're wasting your time.
578
00:28:02,081 --> 00:28:04,739
You should focus on people
who actually need you.
579
00:28:04,774 --> 00:28:06,710
I'm fine.
580
00:28:07,086 --> 00:28:09,087
I am focused on you...
581
00:28:11,056 --> 00:28:14,300
because for most of my life,
you've watched out for me.
582
00:28:16,406 --> 00:28:18,639
No one asked you to do it.
583
00:28:19,133 --> 00:28:20,516
You chose to.
584
00:28:24,241 --> 00:28:26,450
Sometimes when I didn't want you to.
585
00:28:28,978 --> 00:28:30,393
I'm very glad you did.
586
00:28:33,078 --> 00:28:36,406
So no matter what anyone,
including you, says,
587
00:28:37,366 --> 00:28:39,618
I am going to watch out for you.
588
00:28:46,747 --> 00:28:48,714
What are you talking about?
It's fantastic.
589
00:28:48,749 --> 00:28:50,578
These are incredible, seriously.
590
00:28:52,684 --> 00:28:53,961
I didn't mean to interrupt.
591
00:28:53,995 --> 00:28:56,964
No, Dalisay was just showing me
her watercolor landscapes.
592
00:28:56,998 --> 00:28:58,793
She's a wonderful painter.
593
00:28:58,828 --> 00:29:00,726
Really? I had no idea.
594
00:29:00,761 --> 00:29:03,600
There's increased output
in his J.P. drains.
595
00:29:04,040 --> 00:29:06,061
That's not surprising,
considering your EV.
596
00:29:07,319 --> 00:29:08,769
Send a sample to the lab
and add meropenem
597
00:29:08,803 --> 00:29:10,858
to his antibiotic regimen,
just to be safe.
598
00:29:13,497 --> 00:29:15,776
Your recovery looks to be on track.
599
00:29:15,810 --> 00:29:17,501
And we've made significant advances
600
00:29:17,536 --> 00:29:20,021
in plastic surgery techniques
since your last consult.
601
00:29:20,056 --> 00:29:21,954
Yeah, I don't doubt it.
602
00:29:21,989 --> 00:29:23,611
But we both know
it would still be painful,
603
00:29:23,646 --> 00:29:26,331
and they'd just grow back anyway.
604
00:29:26,856 --> 00:29:29,418
There's one thing I've learned
from the home reno business,
605
00:29:30,411 --> 00:29:32,482
"If it ain't broke, don't fix it."
606
00:29:35,209 --> 00:29:36,831
A proverb for the ages.
607
00:29:45,875 --> 00:29:46,945
I wanted to say goodbye.
608
00:29:46,979 --> 00:29:48,843
The foster parents backed out.
609
00:29:48,878 --> 00:29:51,189
She's scrambling to find someone else.
610
00:29:58,163 --> 00:29:59,820
I don't have another family lined up.
611
00:30:02,029 --> 00:30:03,375
Can you give me more time?
612
00:30:05,997 --> 00:30:07,101
N-No.
613
00:30:08,414 --> 00:30:11,960
Eden needs a home, and I know
the perfect person to foster her.
614
00:30:13,212 --> 00:30:14,317
Me.
615
00:30:29,608 --> 00:30:31,196
One down, two to go.
616
00:30:33,888 --> 00:30:36,546
It's been five hours.
Do you need a break?
617
00:30:36,580 --> 00:30:38,375
Not when I have a 30-year-old Macallan
618
00:30:38,410 --> 00:30:41,031
waiting for me at the finish line.
619
00:30:41,344 --> 00:30:42,932
Fenestrated aneurysm clip.
620
00:30:44,934 --> 00:30:46,107
We've got an intra-op rupture.
621
00:30:46,142 --> 00:30:47,281
Bleed is massive.
622
00:30:47,315 --> 00:30:48,869
Suction. Both of you, suction.
623
00:30:48,903 --> 00:30:50,387
Let's keep this field clear.
624
00:30:50,422 --> 00:30:51,664
Should we try balloon occlusion?
625
00:30:51,699 --> 00:30:53,183
- Or a flow diverting stent?
- No.
626
00:30:53,218 --> 00:30:54,529
We should adjust the clips
627
00:30:54,564 --> 00:30:56,255
to get better proximal
and distal control
628
00:30:56,290 --> 00:30:59,431
and pivot to a Muslin wrapping.
629
00:30:59,465 --> 00:31:02,260
Push 6 mg bolus adenosine.
630
00:31:04,608 --> 00:31:06,265
We're gonna stop the heart.
631
00:31:06,300 --> 00:31:07,888
Push it, please. Push it.
632
00:31:10,960 --> 00:31:13,583
Aneurysm clips.
633
00:31:14,964 --> 00:31:18,519
Oh. That is very innovative.
634
00:31:18,553 --> 00:31:19,865
Inducing a brief cardiac arrest
635
00:31:19,900 --> 00:31:22,488
reduces blood flow to the aneurysm.
636
00:31:22,523 --> 00:31:24,939
Gives us time to apply the clips.
637
00:31:34,811 --> 00:31:39,057
Okay. Let us proceed with
the parent vessel reconstruction.
638
00:31:39,091 --> 00:31:42,646
One more time,
fenestrated aneurysm clip.
639
00:31:42,681 --> 00:31:43,924
Thank you.
640
00:31:45,339 --> 00:31:46,996
That was exciting.
641
00:31:52,795 --> 00:31:55,004
He's in Vfib,
642
00:31:55,038 --> 00:31:56,833
not responding to chest
compressions or epi...
643
00:31:56,868 --> 00:31:58,248
We need to shock him. Charge to 200,
644
00:31:58,283 --> 00:31:59,663
and push another milligram of epi.
645
00:31:59,698 --> 00:32:00,803
He must have thrown a clot.
646
00:32:00,837 --> 00:32:02,011
Clear!
647
00:32:30,625 --> 00:32:33,769
Time of death, 7:34.
648
00:32:37,184 --> 00:32:40,773
His underlying illness
weakened his immune system
649
00:32:40,808 --> 00:32:43,949
and made his blood
more susceptible to clots.
650
00:32:44,959 --> 00:32:46,512
There's nothing we could have done.
651
00:32:56,686 --> 00:32:58,481
Do you know what hospital you're in?
652
00:32:58,515 --> 00:32:59,862
St. Bonaventure.
653
00:32:59,896 --> 00:33:01,346
And why are you here?
654
00:33:01,380 --> 00:33:04,970
Aneurysms, which you were
supposed to fix.
655
00:33:05,005 --> 00:33:07,800
Which we did. And we did quite well.
656
00:33:07,835 --> 00:33:09,837
In fact, if you stick to your rehab,
657
00:33:09,872 --> 00:33:12,391
you might be back
on the field by mid-season.
658
00:33:14,946 --> 00:33:16,671
Thank you, Dr. Glassman.
659
00:33:19,916 --> 00:33:22,229
You got a surgery that can
help me hit a curveball?
660
00:33:22,263 --> 00:33:24,541
Try hitting a knuckleball.
661
00:33:24,576 --> 00:33:27,717
You don't know what it is
until, pfft, it's too late.
662
00:33:27,751 --> 00:33:29,063
That's old school.
663
00:33:29,926 --> 00:33:31,238
I haven't even seen one in a game.
664
00:33:31,272 --> 00:33:33,033
Oh, I used to throw
a knuckleball, actually,
665
00:33:33,067 --> 00:33:34,551
back in the day.
666
00:33:34,586 --> 00:33:36,553
I tried to be a pitcher.
667
00:33:36,588 --> 00:33:38,693
But I didn't have a fastball...
668
00:33:46,425 --> 00:33:48,531
And then you
have no idea where it's gonna go
669
00:33:48,565 --> 00:33:50,084
'cause it had just a...
670
00:33:52,500 --> 00:33:54,054
Just a slight amount of spin.
671
00:33:59,738 --> 00:34:00,778
You heard?
672
00:34:03,235 --> 00:34:05,134
Thank you for checking on me.
673
00:34:06,342 --> 00:34:07,550
Andrews was right.
674
00:34:07,584 --> 00:34:09,103
There's nothing more we could have done.
675
00:34:11,174 --> 00:34:13,280
I'm really sorry about your patient,
676
00:34:13,313 --> 00:34:15,420
but I actually came to tell you
677
00:34:15,454 --> 00:34:18,290
that I'm meeting up
with some friends tonight.
678
00:34:18,664 --> 00:34:20,804
I'm gonna go back to my place after.
679
00:34:22,391 --> 00:34:23,946
Okay.
680
00:34:25,913 --> 00:34:27,949
But what's wrong?
681
00:34:27,984 --> 00:34:29,917
Nothing.
682
00:34:29,952 --> 00:34:32,846
I've been meaning to see
these folks for a while, and...
683
00:34:33,990 --> 00:34:35,958
we're meeting near my place.
No big deal.
684
00:34:36,600 --> 00:34:38,310
Well, it's starting to feel like one.
685
00:34:39,616 --> 00:34:42,189
Clearly, you're mad.
Please tell me what I did.
686
00:34:45,036 --> 00:34:47,986
Sometimes having a conversation with you
687
00:34:48,625 --> 00:34:50,523
feels like combat.
688
00:34:50,558 --> 00:34:52,629
Well, I was just stating my opinion.
689
00:34:52,664 --> 00:34:55,943
No, you were obliterating all
other opinions, including mine.
690
00:34:55,978 --> 00:34:57,703
And calling me a complete
moron in the process.
691
00:34:57,738 --> 00:34:59,291
I have never said that you were a moron.
692
00:34:59,326 --> 00:35:00,753
- I said...
- Ash, I didn't grow up
693
00:35:00,777 --> 00:35:01,811
discussing religion
694
00:35:01,845 --> 00:35:03,502
or quoting Marx at the dinner table.
695
00:35:03,537 --> 00:35:05,263
That doesn't mean
I don't value your opinion.
696
00:35:05,297 --> 00:35:07,265
It doesn't seem like it
when you take a sledgehammer
697
00:35:07,299 --> 00:35:08,335
to my every argument.
698
00:35:08,369 --> 00:35:10,095
I can give you 100 examples
of times when...
699
00:35:10,130 --> 00:35:12,132
This is not another argument
for you to win.
700
00:35:16,688 --> 00:35:18,034
I have to get to dinner.
701
00:35:32,152 --> 00:35:33,981
I'm so sorry.
702
00:35:35,500 --> 00:35:38,411
If you want some company
or someone to talk to...
703
00:35:39,844 --> 00:35:41,950
It's alright. I'll be okay.
704
00:35:42,701 --> 00:35:43,909
I know.
705
00:35:43,991 --> 00:35:45,377
But...
706
00:35:45,855 --> 00:35:49,031
if you change your mind,
I've got your back.
707
00:35:49,065 --> 00:35:50,239
Like you've had mine.
708
00:35:51,240 --> 00:35:52,689
Thank you.
709
00:35:56,038 --> 00:35:57,246
You...
710
00:35:59,903 --> 00:36:01,250
really see me.
711
00:36:03,769 --> 00:36:08,858
I think maybe you and I
could be gifts to each other.
712
00:36:11,536 --> 00:36:13,779
And we should be open to that.
713
00:36:17,714 --> 00:36:20,717
I have no idea what it looks
like for us to move forward.
714
00:36:23,686 --> 00:36:25,515
We'll figure it out.
715
00:36:43,809 --> 00:36:45,270
Dalisay.
716
00:36:45,811 --> 00:36:47,468
Dr. Andrews.
717
00:36:47,503 --> 00:36:51,109
Your landscapes you
showed Eddie before he...
718
00:36:53,854 --> 00:36:57,375
I think you shared them with him
because he was so open-hearted.
719
00:37:00,400 --> 00:37:03,705
See, my whole life, I've believed
720
00:37:04,106 --> 00:37:07,751
that success only came
from constant striving,
721
00:37:09,007 --> 00:37:12,044
constant dissatisfaction
with where I was
722
00:37:12,079 --> 00:37:13,908
or what I'd accomplished.
723
00:37:13,943 --> 00:37:17,052
Contentment was a sign of complacency.
724
00:37:17,291 --> 00:37:19,328
That's no way to go through life.
725
00:37:19,362 --> 00:37:20,930
I know.
726
00:37:21,364 --> 00:37:25,810
And I know I didn't
show you enough respect,
727
00:37:26,603 --> 00:37:28,337
and I didn't make enough effort
728
00:37:28,371 --> 00:37:31,926
to see things from your point of view.
729
00:37:32,996 --> 00:37:35,195
But I want to change.
730
00:37:36,138 --> 00:37:39,969
I want to value the people I care about
731
00:37:40,003 --> 00:37:41,868
and who might care about me.
732
00:37:46,734 --> 00:37:50,462
And if I haven't screwed up
too badly, then maybe one day,
733
00:37:50,497 --> 00:37:55,423
I'll be worthy enough
to see those landscapes.
734
00:38:00,817 --> 00:38:02,025
How about dinner?
735
00:38:02,060 --> 00:38:04,200
You pick me up at 7:30, Saturday.
736
00:38:04,235 --> 00:38:06,375
We can try that Filipino place.
737
00:38:11,863 --> 00:38:14,693
Why would you say that?
738
00:38:14,728 --> 00:38:16,143
- You know...
- Oh, man.
739
00:38:16,178 --> 00:38:18,283
Hey, what else do you say
in that situation?
740
00:38:18,318 --> 00:38:20,112
I think I agree with the guy.
741
00:38:20,147 --> 00:38:22,080
I mean, I think he's... I think...
742
00:38:24,393 --> 00:38:25,808
You were right.
743
00:38:25,842 --> 00:38:29,846
I have a tendency to go
scorched earth in a debate
744
00:38:29,881 --> 00:38:31,572
because I just want to win.
745
00:38:31,607 --> 00:38:34,170
I lose sight of what's
important because I'm...
746
00:38:35,266 --> 00:38:36,888
I-I'm a moron.
747
00:38:36,922 --> 00:38:38,372
But today, I realized
748
00:38:38,407 --> 00:38:42,342
I shouldn't take anything
or anyone for granted.
749
00:38:45,429 --> 00:38:50,228
You showed me what
it truly means to belong,
750
00:38:51,213 --> 00:38:53,007
to not be an island.
751
00:38:55,596 --> 00:38:59,324
And I just feel so blessed
to be in your life.
752
00:39:04,467 --> 00:39:06,331
Uh, and you should order
the salmon carpaccio.
753
00:39:06,366 --> 00:39:08,954
It's delightful here. It's like butter.
754
00:39:13,787 --> 00:39:15,237
Is your boyfriend
really that passionate,
755
00:39:15,271 --> 00:39:16,893
or is he a little insane?
756
00:39:19,310 --> 00:39:20,690
Both.
757
00:39:26,869 --> 00:39:28,475
Hi.
758
00:39:28,802 --> 00:39:32,046
I thought I'd stop by,
see how you and Eden are settling in.
759
00:39:32,081 --> 00:39:33,496
We're fine, so far.
760
00:39:33,531 --> 00:39:34,808
I think.
761
00:39:36,154 --> 00:39:38,639
I'm fairly sure I have
everything Eden needs,
762
00:39:38,674 --> 00:39:40,883
though peds might find
a few things missing
763
00:39:40,917 --> 00:39:43,368
from their inventory this month.
764
00:39:43,403 --> 00:39:45,646
I don't see one of these.
765
00:39:47,177 --> 00:39:48,592
Oh.
766
00:39:48,617 --> 00:39:50,240
Oh, Eden will love it.
767
00:39:51,779 --> 00:39:52,883
Thank you.
768
00:39:56,554 --> 00:39:58,210
Toys.
769
00:39:58,245 --> 00:40:00,385
Onesies. I need to get a stroller...
770
00:40:00,420 --> 00:40:02,318
Hey, you'll handle it.
771
00:40:02,353 --> 00:40:05,287
It's the perfect practice run
for when your own comes along.
772
00:40:07,875 --> 00:40:10,119
I'm going off my IVF meds.
773
00:40:10,153 --> 00:40:12,018
I'm not doing another cycle.
774
00:40:13,467 --> 00:40:15,055
Eden,
775
00:40:15,089 --> 00:40:17,649
she's what I've been waiting for.
776
00:40:18,955 --> 00:40:20,716
She's my daughter.
777
00:40:37,319 --> 00:40:40,770
This is a knuckleball, and it fooled me.
778
00:40:40,805 --> 00:40:43,704
I thought it was Dr. Glassman's
cancer returning,
779
00:40:43,739 --> 00:40:45,672
but it is damage to Dr. Glassman's brain
780
00:40:45,706 --> 00:40:47,812
as a result of a mini-stroke.
781
00:40:54,543 --> 00:40:56,683
If that were the case,
the area would have smooth edges.
782
00:40:56,717 --> 00:40:58,823
Mmm, usually, yes.
But rare presentations
783
00:40:58,857 --> 00:41:00,963
can show abnormalities
like these rough edges,
784
00:41:00,997 --> 00:41:04,380
particularly when the patient
has had radiation treatment.
785
00:41:06,486 --> 00:41:09,351
It explains why his memory
has been impacted,
786
00:41:09,385 --> 00:41:11,279
especially during periods
of intense focus
787
00:41:11,313 --> 00:41:14,038
involving many sequential steps.
788
00:41:16,419 --> 00:41:18,585
It is permanent.
789
00:41:23,192 --> 00:41:25,746
He shouldn't be doing surgery anymore.
58561
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