All language subtitles for The Good Doctor S04E20 WEB [karagara]

How are you feeling?

I want you to feel better.

So if going home
might make you feel better...

...it's a good thing.

So, like, "Come on."
How would you say that?

Venga! Vamos!

Venga! Vamos!

That right?

Okay.

What?

You're smiling.

Oh, my God.

Oh.

Yes!

I approve. Highly.

Oh.

Welcome to Day 1.

We are getting our feet wet

with the three easiest
surgeries.

In O.R. 1, Dr. Rendon and I
have Leon Castillo...

Antibiotic flush.

The incision is open.

Nurse Morales,
I need a Kelly clamp.

Here you go, Dr. Murphy.

Okay, Dr. Murphy,
I'll guide you to the lesion.

No, no, no, no.

Everyone must get to work
on this. Yes, hold on.

I'm so sorry.

We get blackouts
in the mountains all the time.

That's why we have
a generator.

Great.
- Which failed.

You got a guess
when it comes back?

Mmm, sorry, no.

Minutes? Hours?

We wait,

we risk losing the whole day,
dropping three patients.

If I move my patient
by the window,

I can debride the ulcer.

Go. Pray it
stays clear out.

I'll see what I can do
about a herniated bowel.

Can you resect a tumor
without ultrasound?

I will speak to Dr. Andrews
about a revised surgical plan.

Okay. Go.

Thank you so much.

Good luck.

Suction's out.
Same for the electrocautery.

Want to use your fingers?

It would minimize
blood loss.

We could remove the lower lobe
without ultrasound.

Maybe we should close her up
and do this tomorrow.

It would be fatal.

Not to her.

To a patient down the list
that we'll have to drop.

Maybe you're right.

We take
the whole lower lobe.

No, I was not right.

I can locate the tumor
without ultrasound.

Her oxygen is very low.
Ox-Oxygen. Low.

Her oxygen is low.

Oh, I'm so sorry.

Where is Oscar?

He had to go home.

His mom is old
and very sick.

He went home.

To your house?

Yes.

Mmm... Stay? Please?

I can feel pulsations
of an underlying vessel.

Must be the artery.

Feel your way under and make
the dissection plane deeper.

I can feel the bowel.

Sac is free.

You're probably
getting close to a fissure.

I am. The tissue is
becoming less pliable.

A laceration there
would be devastating.

We could wait
a few more minutes
to see if the lights come on.

I don't think we should.

I feel something gravel-like
at the tip of my pickups.

I think that's the surface
of the tumor.

I'm there.

Nice work, Murphy. We have
a clean path to the tumor.

Let's get it out.

Oh.

I guess
we could have waited.

How do you speak English
so well?

I'm American.

Born in Mexico,

but my mom is an L.A.
Mexican-American.

I went to high school
in Santa Monica.

I just fake the accent
for sexiness purposes.

So when's the last time
you were back?

Are we getting
to know each other?

I thought this was
just a fling.

Mmm. So we can chat about
what schools you went to

and where you worked
in Africa,

but old vacations
are a bridge too far?

10 years. Happy?

Quite, in fact.

I have to go for a run.

Now?

You're clearly
not a runner.

I promise to be
very quick.

Like, poof,
and it's gone,

a fleeting
but joyous memory.

Oh, I can feel that
accent-generated sexiness

just vanishing
by the second.

Quick
but perfectly paced.

I'm gonna hold you
to both of those.

Well, the truth is,
I will not be very quick.

Is it going
to hurt a lot?

He wants to know
if it'll hurt.

Oh, no, no, no, no.

We'll be giving you
some meds,

and you'll have
very little pain
after the operation.

We're going to give you
medication,

so that you have very little
pain after the operation.

And before the operation,

we're going to give you
something to help you sleep.

And when you wake up,
your mom will be right there.

He didn't realize he was gonna
be asleep during the surgery.

Nurse Morales,
how would one say,

"You, in addition
to being very efficient,

turn out to be
very perceptive,
as well"?

I feel like you may have added
a few adjectives.

Well, the truth is,
I'm not always so perceptive.

For example...

I was almost sure
you were flirting.

Flirting with me.

But if you were,

I'm sure you would've
taken off your wedding ring.

You know,
it's okay to be nervous.

I'm not.

You should be proud.

You did a remarkable thing,
convincing her to come here.

You probably
saved her life.

I'm just gonna sit here
for a little while

in case there's something
that you want to tell me.

Because of me,
my mother will live,

but someone else...

I prayed that she would
get the operation,

but she only did
because Miguel,

the guy with the dog...

Because he got sick.

You're a good person.

And sometimes
that's hard because

you feel things
that you...

You don't deserve
to feel.

But sometimes...

...being good is fun.

Come on.

I've freed the tumor
from the paranasal sinuses.

Periosteal dissector.

It's invading
the orbital floor.

Curved osteotome.

And the ethmoid
and sphenoid, too.

We're gonna have to remove
multiple bones.

Does the hospital have
titanium miniplates and mesh?

Nothing
that would work here.

Could we just
cover the hard palate?

No. We'd give him a few years
of constant pain,

and he'd still wind up with
a fistula that kills him.

Is there a-a private hospital,
specialist, something?

I have a friend
from nursing school.

She works for
a dental surgeon

who fixes all the rich people
in this area.

I can be there and back
in an hour.

Uh, k-keep him stable.
Okay?

Thank you.

I was not fair before
when I was teasing.

You were very fair.
I wasflirting.

And how would your wife
feel?

Well,
she'd be fine with it.

I've heard men
say that to me before.

Well, she told me
a few days ago
that she's moving out.

And, uh...

Well...

She's seeing someone.

So I'm down here,
clearing my head,

deciding if I want to try
to make the marriage work.

By flirting?

I guess I just
wanted to feel...
wanted.

To feel good.

It was selfish.

I'm sorry it made you
feel uncomfortable.

It didn't.

And I think you dowant
to make your marriage work.

That's why
you still wear your ring.

We settled on twenty.

You said four.
- I said twenty.

No. It was four.
We agreed on it.

A boy's life
depends on this.

I'm sorry. I think there was
a misunderstanding.

He's telling us it costs us
20,000 Quetzales now.

And do we have that?
- No.

I can go to an ATM.

No, no, there's no automatic
cashier machine I can use.

This is my fault.

No.

I shouldn't have come.

He sees an American doctor,
knows he can ask for more.

There's a hospital
in Quetzaltenango
a few hours from here.

Offer him this, too.
- No. No, no, no,
no, no, no.

You don't have
to do this.

Ana, just a ring.

Her oxygen level
is much too low.

Oh, God. No.
- The doctor is coming
to give her steroids

to try to stop
the inflammation
in her lungs.

We need a ventilator.

Ventilator?
She has to go
on a ventilator?

Hello.

Hey, Shaun.
How you doing?

I just finished my second
surgery and it went well.

And I am not doing well
at all.

Okay.

Lea is sad.

And I don't know
how to make her less sad.

Do you?

Well, I don't know
if I'm the right person

to talk about this
right now.

Why not?

I just don't think
that right now...

I've always loved that
you've asked me for advice.

And I always will.

But I've noticed...
the last while,

you've needed me
less and less.

I don't know
if you've noticed,
but it got me to thinking

about what Steve told you,
that you're the smart one.

You... You can do anything.

You're good at this.

Better than...

Better than you think.

Ready?

Does it look good?

Beautiful.

Beautiful.

How did you end up
in Guatemala?

Yikes, you're just not good
at flings, are you?

You should be asking me
if I've read the "Kama Sutra,"

my favorite
whipped cream.

It's a good job.

I get to coordinate these
missions, help some people.

So you're the workaholic,

"dedicate your life
to the downtrodden" hero type?

Is that what drives you?

I also get to sometimes have
sex with American doctors.

You're only here
for a week.

We don't need
to bare our souls
to each other.

On the other hand,

I'm only here for a week,
so why not?

You first.

What are you hiding?

I'm not hiding anything.

Okay.

I prefer
a fresh local product,

but if you have
lactose issues...

Wait,
why did you ask me that?

Seriously. Why are we
having this conversation?

You think
I'm being dishonest.

What do you think
I'm hiding?

I don't know.

But between your excessive
need to exercise,

the alarms going off
that you never answer

when you're around me,

and the nightmares
that you have every night,

you're hiding something.

Let's get ready
for the day.

You ready to start?

Almost.

There's three kinds of foreign
doctors who come down here.

The first,
they care too much.

All the people
they can't save, it,
uh, overwhelms them.

The second care too little,
and that has problems
of its own.

Hmm.

And the third group,

they find a way
to distance themselves

so they can do their job.

I better be
in that group.

You're in your own group.

You care so deeply.

But that only gives you
more strength.

Thank you.

Well, let's go.

Entering
the peritoneal cavity.

I need
a long retractor.

Long retractor.

That's not
just gallstones.

There is an immobile,
irregularly shaped mass.

She's got
gallbladder cancer,

and it's spread
to the surface of the liver.

It will double
the duration of the surgery.
- Triple.

You're looking
at 12 hours at least.

I'll need to swap
with one of you.

That's not possible.
Neither of us are prepped.

It would be endangering
two patients instead of one.

We can't
just close her up.

Unfortunately, we can.

I'm sorry,
but you've never led
anything like this.

I think we should
let her keep going.

What's the worst
that can happen?

Beyond death?
- This patient
was gonna die anyway.

Claire at least gives her
a fighting chance.

Okay.

What happened
to the ventilator?

They took it away.
They needed it
for the surgery.

The doctors needed it.

The doctors needed it?

And where's the nurse?

The nurse?

Busy. Lots of work.

Okay.

I'll stay.

Stay here
no matter how long it takes.

Is there a problem?

Yeah.
The patient returned.

Leon, the guy
with the ventral hernia,

checked himself out last night
and went to work.

In construction.

He reherniated?
How bad?

About an inch of bowel
is incarcerated,
probably ischemic.

He'll be dead in days
unless we operate on him.

Can you fit him in after
your skull reconstruction?

Not without big risks
to both of them.

What about
the other surgeons?

You think I'd be here
if anyone else was free?

Give him some morphine.

Until when?

It sucks
but it's his own fault.

We told him
he needed to rest.

This isn't some tech bro
in San Francisco

waltzing out to party.

He needed to keep his job and
not watch his family starve.

If we operate on him, we don't
operate on someone else.

I'll operate on Leon.

I've been doing P.T.
the last year.

It's been going great.

You really think
you can handle the surgery?

I know I can.

I think I can do it
without any pain.

We need to do
a cross-clamp resection.

Have you ever done one?
- I've seen one.

When I was an intern.

Freeing up the vein.

Freeing up the vein.

Dividing the pedicles.

Separating the pedicles.

Transecting the segments.

Transection of the segments.

Okay. Step two.

That doesn't look ideal.

It's a midline
ventral defect.

Also, the tissue planes
are friable.

We're gonna need
component separation.

I'm gonna cut the posterior
rectus sheath,

mobilizing soft tissue
off of the external
oblique fascia

and then incise it.

Common femoral artery's
almost completely occluded.

I'll prep the inflow
anastomosis site.

I have PTSD.

I have nightmares
because of it.

I exercise to help me
manage my symptoms.

And the alarm on my phone

is to remind me to take
my daily cocktail

of Fluoxetine, Prazosin,
and Quetiapine.

Can you tunnel
the bypass graft
in the subcutaneous plane?

I'll get a clamp through.

I lost a good friend
a year ago

and then lost more
to COVID

and then spent a lot of time
denying I had an issue.

Running from pain.

In the future,
I'm hoping to do

more running toward things
than away from them.

I'm ready for the graft.

Oh.
Oh, it's my turn.

You're exhausted.
You should lie down.

No. No.

10 minutes.

Ten minutes.

I'm good.
I'll rest next.

Me next.

10 minutes.

Thank you.

If you need a break...

I'm fine.
Just cramped a little.

I'm done.

I can take over.

This ventral wall defect
is huge.

Yeah.

Two Kocher clamps.

Heart rate is spiking.

B.P.'s dropping.
She's crashing.

Why? What happened?

I don't know.

Edna's bleeding out. At this
rate, she has minutes to live.

There is post-op blood around
the liver, nothing crazy.

The surgical drain
also has blood.

No evidence of bile leak.

Okay, so the patient
could have G.I. bleed
unrelated to surgery

or a leak into the liver
from the hepatectomy.

Yes. Which one?

Mmm, what's
the surgical drain output

over the last half-hour?

If it's over 200 cc,
the answ...

It's 200 cc. Exactly.

Oh.
- Yeah.

I think
it's the stomach.

The clotted blood
in the N.G. tube

could be holding back
a flood.

An intrahepatic bleed
is statistically more likely.

I still think
it's the stomach.

But I came to you
for a reason.

Okay, thanks.

Claire.

Neither of us knows for sure,
but...

...you are good at this.

Better than you think.

B.P.'s almost
bottomed out. What do we do?

Stomach.

You did good work.

I just had to close
and clean up.

The patient's in recovery,
doing well.

I need a friend.

I hadn't really given up
on being a surgeon.

P.T. was going great.

Uh...
almost no pain at all.

And...

it's all dumb because
I like being an internist.

I just...

hate...

...failing.

Seriously?
This is funny?

A little.

Never seen you vulnerable.

Your face gets
kind of ugly.

Shut up.

You didn't fail.

You never fail.

For three years
I've watched you kick ass.

At everything.

You inspire me.

And annoy me.

Small price to pay.

Your mom's
gonna be all better.

Her lungs sound good,

without retractions.

But there's only one way

to be sure that the steroids
have worked.

Stop bagging.

Hopefully she can breathe
on her own now.

Goodbye.

No, no.

We need to go sleep a little.
And you do as well.

We need to sleep.

No,
she doesn't finish yet.

She needs to say goodbye.

She already said goodbye.

It's one of the three phrases
she knows
in Castilian Spanish.

Oh, I want...
her to hold my baby.

She wants you
to hold her baby.

Ooh.

She is so beautiful.

Bastion.

I'm sorry
I've been weird...

For a year.

I really do
care about you.

I wish you and Heather
the best.

Well, it's a bit late
for that.

I broke up with Heather.

When?

Last night.

No.
- Yeah.

Because...

You think you love me?

I do.

I think I love you, too.

I committed a crime.

My first year
of my residency,

I... I was arrested
for pot possession.

The cops were jerks,

I argued with them,
and...

It got physical.

When my court date
came around, I skipped.

And now there's
an active warrant out for me

in the States.

That's why
I haven't been back.

But what if I got a lawyer,
got this cleared up?

What if I was to start
running toward things?

Would you be interested
in a visitor in San Jose?

There's something
I want to ask you.

I think
you should take the job.

Of course she wasn't gonna
poach you without asking me.

I can't speak the language.

I don't know anyone here.

I just started
a relationship with my father.

I-I'm not ready.

All legit concerns.

But what I didn't hear
was one single reason

you don't want
to do this.

You've spent
so many years thinking

your heart
was a liability...

It made you care too much,
it hurt too much.

But maybe here...

...maybe here, caring too much
is exactly what's needed.

Okay.

Aww.

This is about time.

You were far too good
for us, anyway.

Aww.

Proud of you, Dr. Browne.

Mmm.

Love you.

I'm never quite sure
what you're thinking.

Many things.

That I'm sad.

That this airport
is the only one I've been to

without a Cinnabon.

That people need
to move forward.

That...

I hope
you're moving forward.

I think I am, Shaun.

What do we do now?

I don't know.

I've never hugged you,
Claire.

I'm not going to Hershey.

Are you done being sad?

No.

But right now, I know
I won't be sad forever.

And I don't think I would've
gotten there without you.

I want to spend
the rest of my life with you.

I want to spend my life
with you, too, Lea.

Will you marry me?

Of course. I love you.

I love you, too.

We are getting married.

Yeah.

We are getting married.

We are getting married!

Congratulations.

Thank you.

Okay.

I have to tell Claire.

Okay.

Ten, nine...

Scalpel.

Yes, Doctor.

Welcome.