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These are the user uploaded subtitles that are being translated: 1 00:00:02,313 --> 00:00:03,901 Ohh. 2 00:00:05,040 --> 00:00:06,627 Sorry. 3 00:00:06,662 --> 00:00:07,939 Did I wake you? 4 00:00:07,974 --> 00:00:09,216 Yes. 5 00:00:09,251 --> 00:00:11,598 The baby's pressing on my bladder, 6 00:00:11,632 --> 00:00:15,153 so I have to pee approximately 78 times every night. 7 00:00:15,188 --> 00:00:19,520 We can talk about baby names since we are both awake. 8 00:00:21,410 --> 00:00:24,793 I keep coming back to one name, Kelly. 9 00:00:25,175 --> 00:00:27,787 It reminds me of a Kelly clamp, 10 00:00:27,821 --> 00:00:30,410 and I will think about grasping onto tissue or vessels 11 00:00:30,444 --> 00:00:32,308 every time I'm holding our son. 12 00:00:32,343 --> 00:00:35,415 What about Addison? 13 00:00:35,449 --> 00:00:37,279 Addison Murphy. 14 00:00:37,313 --> 00:00:41,007 Addison is the name of a disease. 15 00:00:41,041 --> 00:00:43,147 I'll worry our son is not producing enough cortisol 16 00:00:43,181 --> 00:00:45,356 or aldosterone. 17 00:00:46,150 --> 00:00:48,462 You can go back to sleep. 18 00:00:48,497 --> 00:00:50,916 I have to go pee again anyway. 19 00:01:01,027 --> 00:01:02,421 Morning! 20 00:01:02,683 --> 00:01:04,789 Pancakes, anyone? 21 00:01:04,824 --> 00:01:07,136 They are not just ordinary pancakes. 22 00:01:07,171 --> 00:01:09,449 They are Dutch baby pancakes. 23 00:01:09,483 --> 00:01:12,762 Also known as Bismarcks, Dutch puffs, and even Hootenannies. 24 00:01:12,797 --> 00:01:14,695 - I looked it up. - That is correct. 25 00:01:14,730 --> 00:01:16,490 They are baked in an oven, not fried. 26 00:01:16,525 --> 00:01:18,147 I was up very early. 27 00:01:18,182 --> 00:01:20,840 Oh, sorry if my frequent bathroom trips kept you up. 28 00:01:20,874 --> 00:01:23,233 Oh, don't be silly. You're making a human. 29 00:01:23,808 --> 00:01:25,361 Thank you. 30 00:01:25,396 --> 00:01:27,881 So, Kelly and Addison are out. 31 00:01:27,916 --> 00:01:29,296 I don't disagree. 32 00:01:29,331 --> 00:01:31,022 How about Munchausen? 33 00:01:31,402 --> 00:01:32,678 Shaun. 34 00:01:32,713 --> 00:01:34,992 - Or Parkinson? - Oh. Ohh. 35 00:01:35,026 --> 00:01:37,164 Our bedroom conversations are meant to be private. 36 00:01:38,115 --> 00:01:39,461 All of them? 37 00:01:39,625 --> 00:01:41,861 Well, it's not like you were talking about... 38 00:01:43,103 --> 00:01:44,242 Never mind. 39 00:01:44,898 --> 00:01:46,089 Let's eat. 40 00:01:48,557 --> 00:01:51,180 A friend on the San Jose school board reached out. 41 00:01:51,215 --> 00:01:54,874 They're looking for someone to give a series of online talks 42 00:01:54,908 --> 00:01:57,531 to high schoolers about careers in medicine, 43 00:01:57,566 --> 00:01:59,499 specifically to young women of color. 44 00:01:59,533 --> 00:02:00,672 That's great. 45 00:02:00,707 --> 00:02:02,314 I thought you'd be perfect. 46 00:02:02,502 --> 00:02:03,503 Oh. 47 00:02:04,953 --> 00:02:07,231 That wasn't the reaction I was expecting. 48 00:02:07,265 --> 00:02:09,404 Maybe Dr. Tooks can do it. 49 00:02:09,439 --> 00:02:11,545 Tooks is a mom. 50 00:02:11,580 --> 00:02:13,823 These high school kids don't see themselves in her. 51 00:02:13,858 --> 00:02:14,894 There's gotta be someone else. 52 00:02:14,928 --> 00:02:16,896 There isn't, which is the whole point. 53 00:02:16,930 --> 00:02:20,175 Only 2% of surgeons in the U.S. are Black. 54 00:02:20,209 --> 00:02:22,073 Don't be afraid to step into the spotlight. 55 00:02:22,108 --> 00:02:25,076 I'm not afraid. I'm just very busy. 56 00:02:25,111 --> 00:02:28,799 Okay. It will only take a couple hours of your time. 57 00:02:29,115 --> 00:02:32,049 "If you can see it, you can be it" is a real thing. 58 00:02:33,325 --> 00:02:36,087 It is not my responsibility to be the one they see. 59 00:02:37,709 --> 00:02:39,056 Okay. 60 00:02:47,650 --> 00:02:49,721 Nathan hit his head on the trampoline frame 61 00:02:49,756 --> 00:02:51,620 at his birthday party two days ago. 62 00:02:51,654 --> 00:02:54,283 He got a bump, but he seemed fine. 63 00:02:55,072 --> 00:02:56,618 Where's Daddy? 64 00:02:57,074 --> 00:02:59,662 I told you. He's away for work helping people. 65 00:02:59,697 --> 00:03:01,112 He'll be back in a few days, okay? 66 00:03:01,147 --> 00:03:04,633 Is it possible to develop a concussion two days later? 67 00:03:04,667 --> 00:03:06,669 Well, let's see if we can find out what's going on. 68 00:03:11,916 --> 00:03:13,510 Nathan, what's your puppy's name? 69 00:03:13,953 --> 00:03:15,437 Patches. 70 00:03:15,471 --> 00:03:17,646 Can I look into Patches' eyes with this little light, 71 00:03:17,680 --> 00:03:19,391 make sure he's okay? 72 00:03:19,855 --> 00:03:22,168 Or you can do it? 73 00:03:22,202 --> 00:03:24,135 Just look in here. 74 00:03:24,170 --> 00:03:26,315 Can you pick this back up and give it to the doctor? 75 00:03:28,174 --> 00:03:30,652 I can't. Where's Daddy? 76 00:03:35,457 --> 00:03:37,200 Can you give me a high five, bud? 77 00:03:38,184 --> 00:03:40,245 Good. Now high ten. 78 00:03:44,707 --> 00:03:47,538 What's happening? Is... Is this a concussion? 79 00:03:47,572 --> 00:03:51,048 It's not a concussion. Your son is having a stroke. 80 00:03:56,170 --> 00:04:04,170 Synced & corrected by -robtor- www.addic7ed.com 81 00:04:09,386 --> 00:04:10,421 You are late. 82 00:04:11,271 --> 00:04:12,307 No, I'm not. 83 00:04:13,253 --> 00:04:15,221 It's 8:01 a.m. 84 00:04:15,255 --> 00:04:17,568 Oh, it... It is now, 85 00:04:17,602 --> 00:04:19,121 but I'm pretty sure it was still 8:00 86 00:04:19,156 --> 00:04:20,329 when I walked through the door. 87 00:04:20,364 --> 00:04:21,951 Were you getting your hair cut? 88 00:04:21,986 --> 00:04:23,988 No. 89 00:04:24,236 --> 00:04:26,238 Are you using drugs again? 90 00:04:27,376 --> 00:04:28,855 No. 91 00:04:28,889 --> 00:04:34,240 You are on probation, and I am responsible for you. 92 00:04:34,274 --> 00:04:35,413 Common signs of drug abuse 93 00:04:35,448 --> 00:04:36,897 include ignoring responsibilities 94 00:04:36,932 --> 00:04:38,658 and secretive behavior. 95 00:04:38,691 --> 00:04:40,832 I promise you, I'm clean. 96 00:04:40,867 --> 00:04:42,524 I'll pee in a cup if you want. 97 00:04:42,558 --> 00:04:44,059 Okay. 98 00:04:44,767 --> 00:04:46,424 I'm going to assist Dr. Park. 99 00:04:46,459 --> 00:04:49,606 You can join the case if your sample comes back clean. 100 00:04:50,394 --> 00:04:52,706 I wasn't even late. 101 00:04:54,294 --> 00:04:56,952 Sorry, a chance to help young, diverse women 102 00:04:56,986 --> 00:04:58,678 and kiss the hospital president's ass 103 00:04:58,712 --> 00:05:00,059 at the same time? 104 00:05:00,093 --> 00:05:01,405 There's only one answer to that. 105 00:05:01,439 --> 00:05:04,684 It starts with a "Y," ends with a "Yes." 106 00:05:04,718 --> 00:05:06,410 - That didn't work. - I know, I should've bailed. 107 00:05:06,444 --> 00:05:07,997 But I stand by my point. 108 00:05:08,032 --> 00:05:09,447 Aren't we busy enough? 109 00:05:09,482 --> 00:05:11,277 And why do I have the burden of extra homework 110 00:05:11,311 --> 00:05:12,902 just because I have more melanin than you? 111 00:05:12,926 --> 00:05:13,778 _ 112 00:05:13,813 --> 00:05:15,384 And why is my Grandma E texting me right now? 113 00:05:15,419 --> 00:05:16,627 You shouldn't think of it as homework, 114 00:05:16,661 --> 00:05:19,733 and you definitely shouldn't think of it as a burden. 115 00:05:19,928 --> 00:05:22,413 And you shouldn't think you know what it's like to be me. 116 00:05:23,461 --> 00:05:24,566 Point taken. 117 00:05:24,600 --> 00:05:25,601 Hm. 118 00:05:25,636 --> 00:05:27,018 What the...? 119 00:05:27,500 --> 00:05:30,330 Okay, can we just focus on our patients, please? 120 00:05:30,468 --> 00:05:31,538 Thank you. 121 00:05:34,403 --> 00:05:37,061 Quinque, there you are. 122 00:05:37,096 --> 00:05:39,546 Grandma E, what are you doing here? 123 00:05:39,581 --> 00:05:42,204 I was told they have doctors here. 124 00:05:42,239 --> 00:05:44,792 I've got tightness in the chest, 125 00:05:44,827 --> 00:05:47,416 shortness of breath, swollen ankles. 126 00:05:47,451 --> 00:05:49,315 Why didn't you go see your doctors in Oakland? 127 00:05:49,349 --> 00:05:53,905 Those idiots said that my ascites indicated 128 00:05:53,940 --> 00:05:57,771 I had "cirrhosis of the liver" like I'm some kind of a drunk. 129 00:05:57,806 --> 00:06:00,498 And I figured, with my family connections, 130 00:06:00,533 --> 00:06:02,949 I could get some top-shelf care here. 131 00:06:02,983 --> 00:06:05,124 I can't be involved in any of your... 132 00:06:05,158 --> 00:06:06,746 But I can. 133 00:06:06,780 --> 00:06:09,473 Delighted to meet you, Grandma E. 134 00:06:09,507 --> 00:06:10,784 I'm Dr. Wolke. 135 00:06:10,819 --> 00:06:13,235 Okay. Jordan, baby, you stay 136 00:06:13,270 --> 00:06:15,651 and keep an eye on little mister here. 137 00:06:15,686 --> 00:06:18,461 He might try to skate by on his good looks. 138 00:06:18,516 --> 00:06:19,828 Ah. 139 00:06:21,312 --> 00:06:22,699 Can you lean back for me? 140 00:06:25,109 --> 00:06:28,457 Jordan, you never mentioned having a sister. 141 00:06:28,492 --> 00:06:30,957 See? I like him. 142 00:06:31,268 --> 00:06:34,981 Distended jugular veins with increased JVP. 143 00:06:35,015 --> 00:06:37,839 Kussmaul's sign and pulsus paradoxus. 144 00:06:38,157 --> 00:06:40,607 Maybe I don't like you so much now. 145 00:06:40,642 --> 00:06:42,677 She does have a history of chest radiation. 146 00:06:47,890 --> 00:06:49,375 Echo-brightness of the pericardium. 147 00:06:49,409 --> 00:06:50,893 What does that mean? 148 00:06:50,928 --> 00:06:53,137 The sac around your heart is inflamed. 149 00:06:53,172 --> 00:06:55,232 There are calcium deposits. 150 00:06:56,544 --> 00:06:57,545 Grandma? 151 00:06:59,592 --> 00:07:01,007 All right, those are faint pulses. 152 00:07:01,041 --> 00:07:02,560 Okay, if we don't do something, she's gonna arrest. 153 00:07:02,595 --> 00:07:04,783 Set up an OR stat for a pericardiotomy. 154 00:07:06,633 --> 00:07:08,359 No, Rick, stay. 155 00:07:08,394 --> 00:07:11,155 I-I promise I've got this. 156 00:07:11,190 --> 00:07:13,019 Sorry to interrupt. We're ready. 157 00:07:16,056 --> 00:07:17,713 Can you please talk to my husband? 158 00:07:18,129 --> 00:07:19,756 Of course. 159 00:07:20,199 --> 00:07:21,579 This is Dr. Park. 160 00:07:21,614 --> 00:07:24,375 How does a four-year-old end up with a stroke from bumping his head? 161 00:07:24,410 --> 00:07:26,412 Head trauma's one of the main causes. 162 00:07:26,446 --> 00:07:28,310 Well, I feel like I should get on a plane now, 163 00:07:28,345 --> 00:07:29,725 but Linda's telling me to stay. 164 00:07:29,760 --> 00:07:31,210 How far are you? 165 00:07:31,244 --> 00:07:33,177 Alabama. We still have people missing 166 00:07:33,212 --> 00:07:34,855 after the tornado ripped through. 167 00:07:35,593 --> 00:07:37,871 I can't tell you how to prioritize, 168 00:07:37,906 --> 00:07:39,563 but I can tell you I'm hoping to make your son better 169 00:07:39,597 --> 00:07:41,496 well before you could get here. 170 00:07:41,530 --> 00:07:42,773 Thank you. 171 00:07:45,431 --> 00:07:47,018 We're okay. 172 00:07:47,053 --> 00:07:48,503 You'll be back in a few days anyway, 173 00:07:48,537 --> 00:07:51,121 so just stay and keep helping. 174 00:07:52,400 --> 00:07:53,780 Okay. 175 00:08:00,031 --> 00:08:01,792 Evacuating the hematoma. 176 00:08:01,826 --> 00:08:05,209 I saw on the Weather Channel that the Alabama tornado 177 00:08:05,244 --> 00:08:08,454 was the 15th to reach a 4 on the Enhanced Fujita Scale 178 00:08:08,488 --> 00:08:09,869 in the last 3 years. 179 00:08:09,903 --> 00:08:13,562 Together, they have caused 116 fatalities. 180 00:08:13,597 --> 00:08:15,184 Luckily, we have people like his dad 181 00:08:15,219 --> 00:08:17,048 who run towards a crisis. 182 00:08:17,083 --> 00:08:20,604 But he also has a crisis right here with his son. 183 00:08:20,638 --> 00:08:22,537 He didn't know that when he left. 184 00:08:23,745 --> 00:08:26,092 I'm not seeing an active bleeder. 185 00:08:26,126 --> 00:08:30,717 There is a hyper-vascularized brain parenchyma 186 00:08:30,752 --> 00:08:32,994 in this resection cavity. 187 00:08:33,030 --> 00:08:35,584 Oh, the major named vessels are all smaller than usual 188 00:08:35,619 --> 00:08:37,552 and look scarred in. 189 00:08:40,692 --> 00:08:43,632 The hemorrhage was not from hitting his head. 190 00:08:44,628 --> 00:08:47,844 This boy and his brain are even sicker than we thought. 191 00:08:49,633 --> 00:08:51,973 Widening the sternal retractor. 192 00:08:53,637 --> 00:08:57,054 So, why does she call you Queen K? 193 00:08:57,088 --> 00:08:58,573 It's Quinque. 194 00:08:58,607 --> 00:09:01,817 Latin for five because I'm the fifth child of six. 195 00:09:01,852 --> 00:09:03,785 So does she call your little brother "Sex"? 196 00:09:03,819 --> 00:09:06,028 Please focus so you don't kill my grandmother. 197 00:09:06,063 --> 00:09:09,115 Cauterizing the edges of the sternal periosteum. 198 00:09:10,723 --> 00:09:12,483 She's so charming. 199 00:09:12,518 --> 00:09:15,106 Why didn't you get any of those genes? 200 00:09:15,141 --> 00:09:19,283 Charm is one of the many layers of a very complicated woman. 201 00:09:19,318 --> 00:09:22,528 Grandma E drove me like a drill sergeant from the day I was born. 202 00:09:22,562 --> 00:09:25,772 Ensure the pericardium is free from both the pleurae and the diaphragm. 203 00:09:28,706 --> 00:09:30,294 15 blade. 204 00:09:34,273 --> 00:09:35,377 Oh. 205 00:09:35,679 --> 00:09:37,394 We need a new 15 blade. 206 00:09:38,544 --> 00:09:39,993 What's happening? 207 00:09:41,995 --> 00:09:43,342 I can't pierce it. 208 00:09:43,376 --> 00:09:46,137 Never seen constrictive pericarditis this severe. 209 00:09:50,245 --> 00:09:52,247 It's completely calcified. 210 00:09:52,281 --> 00:09:54,698 Your grandma has what's known as a coconut heart. 211 00:10:00,442 --> 00:10:04,319 Your son has a rare auto-immune disorder called primary CNS vasculitis. 212 00:10:04,354 --> 00:10:07,967 It's causing inflammation of his blood vessels throughout his brain. 213 00:10:09,111 --> 00:10:10,664 Okay, um... 214 00:10:11,561 --> 00:10:13,322 Wh-What are the next steps? 215 00:10:13,356 --> 00:10:15,181 Cyclophosphamide infusions. 216 00:10:15,842 --> 00:10:17,222 That's chemo. 217 00:10:18,361 --> 00:10:20,329 My mother had that when she had breast cancer. 218 00:10:20,363 --> 00:10:21,944 And she... she lost her hair, 219 00:10:21,968 --> 00:10:23,608 she threw up, she got sores all over her mouth. 220 00:10:23,642 --> 00:10:26,128 Letting this go untreated is far worse... 221 00:10:26,162 --> 00:10:29,579 Recurrent brain bleeds, possibly large territory strokes. 222 00:10:29,614 --> 00:10:31,231 It could be fatal. 223 00:10:31,265 --> 00:10:35,620 Nathan will be on some form of immunosuppression his whole life. 224 00:10:39,357 --> 00:10:40,393 I'm sorry. 225 00:10:41,281 --> 00:10:43,076 Thank you, Doctor. 226 00:10:51,394 --> 00:10:52,775 How do you crack open a coconut 227 00:10:52,810 --> 00:10:54,761 without puncturing what's underneath? 228 00:10:54,795 --> 00:10:57,140 Constrictive pericarditis. 229 00:10:57,728 --> 00:10:59,419 Please stop saying "coconut." 230 00:10:59,444 --> 00:11:01,136 It's my grandmother and it's serious. 231 00:11:01,266 --> 00:11:02,854 Not your case. 232 00:11:02,889 --> 00:11:06,168 I'm just having a snack. And trying to help. 233 00:11:06,202 --> 00:11:07,442 Mm-hmm. 234 00:11:09,550 --> 00:11:10,807 We need ideas. 235 00:11:10,832 --> 00:11:12,755 Left anterior thoracotomy 236 00:11:12,780 --> 00:11:14,585 and partial excision of the pericardium. 237 00:11:14,610 --> 00:11:17,613 Avoids sternal infection and seems likely the safest route. 238 00:11:17,638 --> 00:11:19,467 It will require more surgeries. 239 00:11:19,583 --> 00:11:20,929 Please go away. 240 00:11:20,954 --> 00:11:23,041 What... What are you advocating for? 241 00:11:23,737 --> 00:11:24,876 Complete removal. 242 00:11:24,911 --> 00:11:26,017 Hear me out. 243 00:11:26,042 --> 00:11:29,062 A median sternotomy gives us clear access to the diseased pericardium 244 00:11:29,087 --> 00:11:30,330 from phrenic nerve to phrenic nerve. 245 00:11:30,364 --> 00:11:31,883 That's way too risky. 246 00:11:31,918 --> 00:11:35,470 Complete decortication fixes her heart... completely. 247 00:11:37,682 --> 00:11:40,390 You are advocating for an extensive, high-risk surgery. 248 00:11:40,425 --> 00:11:44,378 Meanwhile, a partial removal offers your 70-year-old grandmother 249 00:11:44,413 --> 00:11:46,252 a shot at full health for what will likely amount 250 00:11:46,276 --> 00:11:47,657 to the rest of her life. 251 00:11:47,692 --> 00:11:49,142 Shouldn't you let the patient decide? 252 00:11:49,176 --> 00:11:50,488 No. 253 00:11:50,522 --> 00:11:52,800 I don't present something if it's not a viable option. 254 00:11:52,835 --> 00:11:54,099 I think it is viable. 255 00:11:54,133 --> 00:11:55,615 Her surgeon doesn't. 256 00:11:56,541 --> 00:11:58,535 Jordan, go be a granddaughter. 257 00:12:04,589 --> 00:12:07,060 If I hadn't become a surgeon, I think I would've been a writer. 258 00:12:07,085 --> 00:12:08,708 I would've... 259 00:12:08,766 --> 00:12:11,700 You never told me your grandmother worked at Marcus Books. 260 00:12:11,815 --> 00:12:13,368 Was I supposed to? 261 00:12:13,393 --> 00:12:16,189 I was just a lowly clerk. 262 00:12:16,214 --> 00:12:19,371 It came up when I heard his name was Marcus. 263 00:12:19,396 --> 00:12:21,924 There is nothing lowly about being at the center 264 00:12:21,948 --> 00:12:24,351 of a cultural landmark. 265 00:12:24,376 --> 00:12:26,827 My Auntie Winn used to take me to author readings 266 00:12:26,852 --> 00:12:29,786 by Toni Morrison, Maya Angelou. 267 00:12:29,811 --> 00:12:31,261 And you were there every day! 268 00:12:31,377 --> 00:12:33,827 I probably served you some cookies. 269 00:12:33,852 --> 00:12:35,200 You ever meet James Baldwin? 270 00:12:35,225 --> 00:12:36,364 - I did. - What? 271 00:12:36,389 --> 00:12:37,528 Okay. 272 00:12:37,553 --> 00:12:39,797 She can probably use some rest. 273 00:12:39,822 --> 00:12:41,824 Yes. Absolutely. 274 00:12:43,503 --> 00:12:46,539 If you need anything at all, Miss Evelyn, 275 00:12:46,563 --> 00:12:48,094 you know where to find me. 276 00:12:48,168 --> 00:12:50,757 - Thank you, Marcus. - Yes, ma'am. 277 00:12:52,213 --> 00:12:54,836 Marcus Books. Wow! 278 00:12:56,732 --> 00:12:58,227 That was weird. 279 00:12:58,252 --> 00:13:03,183 Not as weird as you refusing to do his mentorship program. 280 00:13:05,753 --> 00:13:08,313 Let's talk about you... 281 00:13:10,188 --> 00:13:11,224 and your heart. 282 00:13:12,259 --> 00:13:14,917 Your pericardium has become hardened, 283 00:13:14,952 --> 00:13:17,030 likely from your cancer treatments. 284 00:13:17,875 --> 00:13:20,291 So what happens now? 285 00:13:20,440 --> 00:13:23,581 Dr. Lim has decided on a partial removal. 286 00:13:23,615 --> 00:13:25,790 And... And you think that's best? 287 00:13:30,001 --> 00:13:34,214 Jordan Jacqueline Allen, you look at me and you tell me 288 00:13:35,351 --> 00:13:37,250 if you think it's best. 289 00:13:47,961 --> 00:13:50,619 Wow. It took you guys a while to get home, huh? 290 00:13:50,977 --> 00:13:54,290 We went out to dinner because Lea thought that... 291 00:13:54,315 --> 00:13:56,179 Why are you on the floor? 292 00:13:56,204 --> 00:13:57,447 What's with the high chairs? 293 00:13:57,472 --> 00:13:59,716 I stopped at Costco on the way home. 294 00:13:59,741 --> 00:14:02,986 Surprisingly diverse selection of wines. 295 00:14:03,011 --> 00:14:05,185 There's an open bottle if you... if you guys want, 296 00:14:05,210 --> 00:14:08,040 although that might be empty. 297 00:14:08,098 --> 00:14:09,168 Danger. 298 00:14:09,229 --> 00:14:11,197 Oh, I remember wine. 299 00:14:11,318 --> 00:14:12,354 Are you drunk? 300 00:14:12,388 --> 00:14:14,218 No. Maybe a little. 301 00:14:14,252 --> 00:14:15,322 I'm baby-proofing. 302 00:14:15,357 --> 00:14:16,461 Danger. 303 00:14:16,496 --> 00:14:17,843 Are you okay? 304 00:14:17,877 --> 00:14:20,396 Oh, you guys gotta get down here and check this out. 305 00:14:20,431 --> 00:14:21,949 From the baby's perspective, 306 00:14:21,984 --> 00:14:23,813 this place is a frickin' death trap... 307 00:14:23,848 --> 00:14:25,643 for Nicholas. 308 00:14:25,677 --> 00:14:26,816 Placeholder name. 309 00:14:26,851 --> 00:14:28,163 We can call him Nick or Nicky. 310 00:14:28,197 --> 00:14:29,819 I like Nicky. 311 00:14:29,854 --> 00:14:31,994 Okay, why did you buy three highchairs? 312 00:14:32,029 --> 00:14:34,777 Well, one's a gift for you, and the other two I'll take back. 313 00:14:34,812 --> 00:14:35,799 Danger. 314 00:14:35,834 --> 00:14:37,294 That could be dangerous. 315 00:14:37,329 --> 00:14:39,036 Y-You don't have to buy us anything. 316 00:14:39,070 --> 00:14:41,245 I also got you a nanny cam. 317 00:14:44,099 --> 00:14:47,068 It's a... it's... it's a teddy bear, 318 00:14:47,093 --> 00:14:49,889 but you wouldn't believe it, there's a camera inside. 319 00:14:50,047 --> 00:14:54,085 That is very practical. And cute. 320 00:14:54,110 --> 00:14:58,487 Ugh, okay. We will not need a highchair or baby-proofing for a year. 321 00:14:58,512 --> 00:15:01,446 And we will not name our son Nick, Nicholas, or Nicky, 322 00:15:01,471 --> 00:15:03,344 or any variation thereof. 323 00:15:04,371 --> 00:15:05,441 Okay. 324 00:15:05,888 --> 00:15:07,374 Okay, well, that's fair enough. 325 00:15:07,409 --> 00:15:08,996 But you... you're gonna want this. 326 00:15:09,031 --> 00:15:12,386 It's a book by Dr. Spock on parenting. 327 00:15:12,420 --> 00:15:14,795 Everyone read this book back in the day. 328 00:15:14,830 --> 00:15:17,063 He was so popular, he ran for president. 329 00:15:17,097 --> 00:15:18,661 Danger. 330 00:15:18,696 --> 00:15:20,215 I'm going to bed. 331 00:15:21,768 --> 00:15:24,115 Yeah, but you're gonna want to r-read this 332 00:15:24,150 --> 00:15:26,236 before the baby comes and you get exhausted. 333 00:15:26,270 --> 00:15:28,161 Already there. 334 00:15:35,565 --> 00:15:37,049 Danger! 335 00:15:40,511 --> 00:15:41,719 What were you thinking? 336 00:15:42,664 --> 00:15:44,735 That my grandmother deserved the good muffin? 337 00:15:44,760 --> 00:15:47,073 She told me she will only agree to complete decortication, 338 00:15:47,098 --> 00:15:48,754 which she shouldn't even know about. 339 00:15:48,794 --> 00:15:51,383 You do not present a patient with an option 340 00:15:51,408 --> 00:15:53,721 that I have deemed unsafe and wouldn't even perform. 341 00:15:53,746 --> 00:15:55,897 - It's unacceptable. - You're right. 342 00:15:56,696 --> 00:15:59,147 I felt like your plan was a little conservative, but I... 343 00:15:59,172 --> 00:16:00,898 You are a resident. 344 00:16:00,923 --> 00:16:04,364 Your feelings about my decisions are not relevant. 345 00:16:05,665 --> 00:16:06,977 I'll let her know I was wrong. 346 00:16:07,002 --> 00:16:08,762 And convince her I'm right. 347 00:16:08,787 --> 00:16:10,237 Or find her another hospital. 348 00:16:12,957 --> 00:16:13,992 Yes, ma'am. 349 00:16:16,663 --> 00:16:18,613 Um, your muffins are ready. 350 00:16:29,622 --> 00:16:31,797 How's he handling the chemo? 351 00:16:31,831 --> 00:16:33,393 You doing okay, bud? 352 00:16:35,796 --> 00:16:38,005 Nathan, can you answer Dr. Park, please? 353 00:16:38,039 --> 00:16:39,489 Is everything okay? 354 00:16:39,938 --> 00:16:40,939 No. 355 00:16:45,857 --> 00:16:47,756 You're right. It's not okay. 356 00:16:48,636 --> 00:16:50,776 Okay, these aren't toys. 357 00:16:51,777 --> 00:16:53,572 We okay, Mom? 358 00:16:53,607 --> 00:16:55,850 He got dozens of new toys for his birthday. 359 00:16:55,885 --> 00:16:59,198 He shouldn't have to be building castles with pill bottles. 360 00:17:00,476 --> 00:17:01,683 I'm sorry. 361 00:17:02,997 --> 00:17:05,621 Maybe you shouldn't be trying to do all of this alone. 362 00:17:05,925 --> 00:17:10,037 My husband's saving lives. I can't pull him away from that. 363 00:17:11,072 --> 00:17:12,142 I can. 364 00:17:13,780 --> 00:17:15,057 Give me your phone. 365 00:17:26,260 --> 00:17:27,399 Hi, Rick. 366 00:17:27,986 --> 00:17:29,159 Dr. Park. 367 00:17:32,646 --> 00:17:34,233 Mm. 368 00:17:34,514 --> 00:17:35,860 You okay? 369 00:17:37,167 --> 00:17:39,208 Yeah, I'm fine. 370 00:17:42,345 --> 00:17:43,795 But you're not. 371 00:17:45,003 --> 00:17:46,841 What happened? 372 00:17:46,945 --> 00:17:50,553 I was wrong to question Dr. Lim's surgical advice. 373 00:17:51,754 --> 00:17:53,204 She's the best. 374 00:17:53,393 --> 00:17:56,085 I hope to be her someday. 375 00:17:56,110 --> 00:17:59,044 And if she thinks the partial removal of the pericardium 376 00:17:59,069 --> 00:18:02,486 is the best course of action, then I agree with her. 377 00:18:03,711 --> 00:18:04,678 Okay. 378 00:18:06,714 --> 00:18:08,362 Then that's what I'll do. 379 00:18:10,416 --> 00:18:15,495 But why did you go against her advice in the first place? 380 00:18:18,070 --> 00:18:23,351 I felt like I needed to do extra, to be a hero. 381 00:18:24,007 --> 00:18:25,630 Why? 382 00:18:25,875 --> 00:18:29,292 Since I was little, you told me I had to work twice as hard, 383 00:18:29,317 --> 00:18:31,699 be twice as good as everybody else. 384 00:18:35,144 --> 00:18:37,391 After all these years, I'm... 385 00:18:38,656 --> 00:18:41,659 still striving to be good enough for you. 386 00:18:42,595 --> 00:18:44,597 Yeah, see, that's a lot of pressure. 387 00:18:46,098 --> 00:18:49,723 But it's what the world requires 388 00:18:49,757 --> 00:18:53,282 from people that look like you and me. 389 00:18:58,100 --> 00:18:59,860 When's my daddy coming? 390 00:18:59,885 --> 00:19:03,026 Your daddy's getting on a plane. He's gonna be back soon. 391 00:19:03,051 --> 00:19:05,847 But now, we have to see if the medicine's working, okay? 392 00:19:05,927 --> 00:19:09,413 If it is, can I stop taking it? 393 00:19:09,915 --> 00:19:11,814 I'm so sorry. 394 00:19:11,848 --> 00:19:13,056 You still need it. 395 00:19:15,088 --> 00:19:16,434 I hate it. 396 00:19:18,728 --> 00:19:20,281 I know. 397 00:19:22,985 --> 00:19:26,649 Let's play a game, like hide-and-seek, okay? 398 00:19:27,832 --> 00:19:29,235 Okay, lie down. 399 00:19:29,805 --> 00:19:32,843 You get to go in the tunnel. 400 00:19:34,196 --> 00:19:37,027 And stay very still so nobody can find you. 401 00:19:37,052 --> 00:19:39,172 I'll come back and get you when the coast is clear. 402 00:19:39,196 --> 00:19:40,430 Sound good? 403 00:19:49,018 --> 00:19:51,424 You are very good with him. 404 00:19:51,618 --> 00:19:53,102 Starting the imaging. 405 00:19:53,300 --> 00:19:54,969 Thanks. 406 00:19:55,512 --> 00:19:57,756 Nathan, you're about to hear some banging. 407 00:19:57,791 --> 00:19:59,551 It's just the machine. 408 00:19:59,586 --> 00:20:01,277 But remember to stay really still, okay? 409 00:20:01,933 --> 00:20:03,072 I am. 410 00:20:05,794 --> 00:20:07,675 Try a little harder, okay, bud? 411 00:20:10,942 --> 00:20:13,116 Ah, motion artifact. 412 00:20:13,151 --> 00:20:14,704 We might have to sedate him. 413 00:20:14,739 --> 00:20:16,810 Those are not artifacts. 414 00:20:17,795 --> 00:20:20,202 He does not have CNS vasculitis. 415 00:20:20,227 --> 00:20:22,747 He has moyamoya disease. 416 00:20:26,267 --> 00:20:27,683 What the heck is that? 417 00:20:27,717 --> 00:20:31,410 A narrow carotid artery is reducing blood flow to his brain. 418 00:20:31,445 --> 00:20:34,828 This area here, looks like a puff of smoke? 419 00:20:34,862 --> 00:20:37,313 That's what moyamoya means in Japanese. 420 00:20:37,347 --> 00:20:39,864 A bunch of new, tiny vessels have developed 421 00:20:39,888 --> 00:20:41,973 to circumvent the blockage. 422 00:20:42,007 --> 00:20:44,071 But because the vessels are abnormal, 423 00:20:44,490 --> 00:20:46,080 they're prone to bleeds. 424 00:20:46,115 --> 00:20:50,602 We can fix the problem with a very interesting brain surgery. 425 00:20:50,637 --> 00:20:52,400 Well, so... so now that you're done 426 00:20:52,435 --> 00:20:55,365 poisoning our son with chemo that he didn't need, 427 00:20:55,400 --> 00:20:58,023 we should trust you to crack open his skull? 428 00:20:58,058 --> 00:21:01,095 We will use a small craniotomy to access... 429 00:21:01,130 --> 00:21:03,995 I get why you're frustrated. 430 00:21:04,029 --> 00:21:07,930 Moyamoya is rare and notoriously hard to diagnose. 431 00:21:07,964 --> 00:21:10,967 Many kids get chemo they don't need for a lot longer. 432 00:21:12,905 --> 00:21:16,175 We're hoping to do Nathan's first brain surgery tomorrow. 433 00:21:18,354 --> 00:21:20,356 He needs more than one? 434 00:21:20,390 --> 00:21:22,348 What's brain surgery? 435 00:21:23,635 --> 00:21:25,326 Hey. 436 00:21:27,501 --> 00:21:30,021 It's how we're gonna make you all better. 437 00:21:30,055 --> 00:21:31,643 No more chemo? 438 00:21:31,678 --> 00:21:32,955 No more chemo. 439 00:21:32,989 --> 00:21:34,715 Are you gonna be here? 440 00:21:35,111 --> 00:21:37,476 My plane got cancelled, buddy. 441 00:21:37,511 --> 00:21:39,168 But, uh... but, look, I-I promise 442 00:21:39,202 --> 00:21:41,951 I'm gonna be there as soon as I can, okay? 443 00:21:42,244 --> 00:21:44,764 Can Patches get brain surgery, too? 444 00:21:45,672 --> 00:21:46,776 N-No. 445 00:21:46,801 --> 00:21:49,217 Patches is a stuffed animal. 446 00:21:49,488 --> 00:21:51,127 It does not have a brain. 447 00:22:17,758 --> 00:22:18,863 Oh. 448 00:22:39,953 --> 00:22:41,057 Ohh! 449 00:22:42,196 --> 00:22:43,763 Oh! 450 00:22:44,440 --> 00:22:46,390 I just peed in our bathtub. 451 00:22:49,100 --> 00:22:50,757 Glassman has to go. 452 00:23:01,577 --> 00:23:02,612 Aah! 453 00:23:02,647 --> 00:23:04,338 - Sorry! - Hey! 454 00:23:04,373 --> 00:23:05,546 Sorry! 455 00:23:41,795 --> 00:23:43,383 First years. 456 00:23:49,406 --> 00:23:50,821 You are late again. 457 00:23:50,851 --> 00:23:53,267 Come on. Like one minute. 458 00:23:53,294 --> 00:23:54,329 And last time... 459 00:23:54,354 --> 00:23:57,288 Your drug test from yesterday was negative. 460 00:23:57,313 --> 00:23:59,259 You are not using. 461 00:23:59,284 --> 00:24:01,342 So what is causing your tardiness? 462 00:24:03,470 --> 00:24:05,403 Look, I'm sorry. 463 00:24:05,428 --> 00:24:07,671 I've been doing really well. 464 00:24:07,696 --> 00:24:09,836 And the reason I'm doing so well... 465 00:24:09,861 --> 00:24:11,932 is my daily meeting. 466 00:24:11,957 --> 00:24:13,338 Sets my mind right. 467 00:24:13,363 --> 00:24:16,313 It's kinda far, and there's morning traffic. 468 00:24:18,794 --> 00:24:21,861 Support is very important. 469 00:24:23,828 --> 00:24:26,693 And so is punctuality. 470 00:24:26,718 --> 00:24:30,411 I'm going to map a complex double-barrel vascular bypass. 471 00:24:38,686 --> 00:24:40,791 Mnh! Dang it! 472 00:24:40,826 --> 00:24:42,320 That's the sixth time you've killed my grandmother. 473 00:24:42,344 --> 00:24:43,897 It wasn't working with the rongeur. 474 00:24:43,932 --> 00:24:45,554 I'm trying to sell Lim on a little more power. 475 00:24:45,588 --> 00:24:46,727 I just need to find the right torque. 476 00:24:46,762 --> 00:24:47,866 That's reassuring. 477 00:24:48,304 --> 00:24:51,223 Stop hovering. Go visit, visitor. 478 00:24:52,319 --> 00:24:54,804 Convincing Evelyn Allen to do a surgery, 479 00:24:54,839 --> 00:24:57,980 after convincing her not to, was a little bumpy. 480 00:24:59,205 --> 00:25:01,241 Details, please. 481 00:25:01,363 --> 00:25:04,193 I took the opportunity to explain how much pressure 482 00:25:04,217 --> 00:25:05,505 she's put on me over the years, 483 00:25:05,539 --> 00:25:07,127 and she took that opportunity 484 00:25:07,162 --> 00:25:09,267 to make me feel inadequate once again. 485 00:25:09,302 --> 00:25:12,661 I never thought of you as someone who lacks for confidence. 486 00:25:14,040 --> 00:25:15,352 Fake it 'til you make it. 487 00:25:16,619 --> 00:25:19,968 You're a resident in one of the top surgical programs. 488 00:25:20,002 --> 00:25:21,503 You've already made it. 489 00:25:23,131 --> 00:25:25,633 All I see is the ground I've still got to cover. 490 00:25:32,670 --> 00:25:34,085 Mnh! 491 00:25:34,120 --> 00:25:35,809 How's it going? 492 00:25:36,122 --> 00:25:37,951 Not ready for prime time. 493 00:25:46,235 --> 00:25:52,207 This STA anatomy is ideal as a donor vessel to bypass the blockage. 494 00:25:52,241 --> 00:25:55,175 So, we'll reroute the scalp vessel into the brain here. 495 00:25:57,729 --> 00:25:59,455 Gonna give you a little tip. 496 00:25:59,490 --> 00:26:01,319 Next time a child asks if you could do surgery 497 00:26:01,354 --> 00:26:04,322 on his stuffed animal so that he feels less scared? 498 00:26:04,357 --> 00:26:05,806 Say yes. 499 00:26:05,841 --> 00:26:08,717 I was only telling him the truth. 500 00:26:10,190 --> 00:26:11,251 Oh. 501 00:26:11,286 --> 00:26:13,711 This branch of the middle cerebral artery 502 00:26:13,745 --> 00:26:15,575 looks like an ideal recipient. 503 00:26:15,609 --> 00:26:19,186 You're about to be a father. Children are illogical. 504 00:26:19,617 --> 00:26:22,137 And we can place temporary clips for vascular control, 505 00:26:22,162 --> 00:26:25,752 and then anastomose the STA to the MCA using 10-0 Prolenes. 506 00:26:28,001 --> 00:26:31,315 I was very logical as a child. 507 00:26:31,349 --> 00:26:35,146 I did not like being talked to like I was dumb, 508 00:26:35,181 --> 00:26:38,011 and I definitely did not like being lied to. 509 00:26:38,046 --> 00:26:40,358 That child there felt that if his Dalmatian 510 00:26:40,393 --> 00:26:43,603 went through this scary thing with him, he'd be less scared. 511 00:26:46,709 --> 00:26:50,023 If can embrace another person's thought process, 512 00:26:50,058 --> 00:26:51,956 it can strengthen the relationship. 513 00:26:54,401 --> 00:26:59,130 Lea thinks she should not have to pee in the tub... 514 00:26:59,155 --> 00:27:01,122 which I understand. 515 00:27:10,457 --> 00:27:12,865 No kidnapping my grandmother. 516 00:27:14,047 --> 00:27:17,085 I asked him to do a lap around the floor. 517 00:27:17,119 --> 00:27:19,466 I needed a change of scenery. 518 00:27:19,501 --> 00:27:22,745 Well, you've had your lap, now back to your cell. 519 00:27:22,780 --> 00:27:24,264 Thanks for the tour, Speedy. 520 00:27:24,299 --> 00:27:26,473 Speedy? 521 00:27:26,508 --> 00:27:29,787 I'm guessing it's because I was sprinting through here this morning. 522 00:27:29,821 --> 00:27:31,478 Yeah, I was late. 523 00:27:31,513 --> 00:27:32,652 Second time this week. 524 00:27:32,686 --> 00:27:36,261 Snooze buttons... the devil's plaything. 525 00:27:36,295 --> 00:27:39,866 I was actually at a Narcotics Anonymous meeting this morning. 526 00:27:39,900 --> 00:27:41,143 I go every day. 527 00:27:41,178 --> 00:27:43,490 "Confess your sins to each other 528 00:27:43,525 --> 00:27:46,631 and pray for each other so you may be healed." 529 00:27:47,149 --> 00:27:49,401 James 5:16. 530 00:27:49,634 --> 00:27:51,326 Amen to that. 531 00:27:51,360 --> 00:27:53,224 Good for you, young man. 532 00:27:57,677 --> 00:27:59,230 There's gotta be a closer meeting. 533 00:27:59,265 --> 00:28:00,852 I've tried the closer one. 534 00:28:00,887 --> 00:28:02,958 The hard-liners who run it think that 535 00:28:02,992 --> 00:28:05,961 wearing a suit and tie is the key to staying sober. 536 00:28:05,995 --> 00:28:09,588 Start your own meeting, here at the hospital. 537 00:28:10,552 --> 00:28:12,485 Set your own tone. 538 00:28:12,519 --> 00:28:14,719 And you're never late for work again. 539 00:28:14,753 --> 00:28:17,075 I'm not... 540 00:28:17,110 --> 00:28:18,974 I'm not qualified to be a leader. 541 00:28:19,008 --> 00:28:21,252 No such thing. 542 00:28:21,287 --> 00:28:23,060 Leaders lead. 543 00:28:23,183 --> 00:28:24,701 Simple as that. 544 00:28:26,570 --> 00:28:28,054 Hm. 545 00:28:32,474 --> 00:28:34,441 You are annoying. 546 00:28:34,576 --> 00:28:36,509 Well, nice to see you, too, Shaun. 547 00:28:36,543 --> 00:28:38,545 Not to me, but to Lea. 548 00:28:38,580 --> 00:28:40,961 And I want to keep our relationship strong. 549 00:28:40,996 --> 00:28:43,826 She feels your presence has taken over our apartment, 550 00:28:43,861 --> 00:28:45,794 and she wants her space back. 551 00:28:45,828 --> 00:28:48,141 I overstepped with the baby-proofing? 552 00:28:48,176 --> 00:28:49,625 And suggesting names. 553 00:28:49,660 --> 00:28:51,144 And the Dr. Spock thing? 554 00:28:51,179 --> 00:28:52,973 And there's more. The nanny cam... 555 00:28:53,008 --> 00:28:54,285 Okay, okay, okay. 556 00:28:57,233 --> 00:29:00,857 It was fun thinking about your baby 557 00:29:00,882 --> 00:29:03,782 and the future, and... 558 00:29:03,915 --> 00:29:07,056 Maybe it has been a nice distraction. 559 00:29:08,403 --> 00:29:09,680 Yes, it was. 560 00:29:09,714 --> 00:29:11,647 Which you've needed since your house burned down 561 00:29:11,682 --> 00:29:13,062 and you lost all of your belongings 562 00:29:13,097 --> 00:29:15,030 and you have no place to live. 563 00:29:15,064 --> 00:29:17,061 Yes. Thank you, Shaun. 564 00:29:17,096 --> 00:29:22,401 Dr. Glassman, you are not exactly my family. 565 00:29:22,436 --> 00:29:24,248 I get it. I-I know, Shaun. 566 00:29:24,283 --> 00:29:27,082 But I consider you to be the baby's grandfather. 567 00:29:37,742 --> 00:29:38,950 Wow. 568 00:29:41,574 --> 00:29:43,056 Thank you. 569 00:29:43,990 --> 00:29:46,510 I never thought that would happen for me. 570 00:29:49,465 --> 00:29:50,432 Thank you. 571 00:29:58,038 --> 00:29:59,247 You can stay. 572 00:29:59,281 --> 00:30:01,525 I will tell Lea, and she will change her mind. 573 00:30:01,559 --> 00:30:03,837 No, no, no. I'm going to go. 574 00:30:03,872 --> 00:30:05,080 Where? 575 00:30:07,945 --> 00:30:09,360 I don't know. 576 00:30:12,027 --> 00:30:13,546 Can I get you a magazine? 577 00:30:13,640 --> 00:30:15,255 No, thank you. 578 00:30:16,747 --> 00:30:18,611 Are your pillows positioned okay? 579 00:30:18,645 --> 00:30:21,269 Okay, you're doing it again. 580 00:30:21,912 --> 00:30:22,868 What? 581 00:30:22,893 --> 00:30:25,067 That thing you've been doing since you were little 582 00:30:25,092 --> 00:30:27,351 where you're just fussing over people, 583 00:30:27,959 --> 00:30:31,521 when it's you that's in need. 584 00:30:33,142 --> 00:30:34,730 Okay, come on. 585 00:30:34,765 --> 00:30:36,422 Tell me. 586 00:30:39,459 --> 00:30:42,115 You just met Dr. Perez, 587 00:30:42,462 --> 00:30:44,910 and you were so nice and supportive. 588 00:30:48,157 --> 00:30:50,125 Do you know how long I've waited for you to say, 589 00:30:50,159 --> 00:30:55,061 "Good job" to me, or, "Wow, you're a doctor"? 590 00:30:57,857 --> 00:31:00,634 Do you know who Rebecca Crumpler is? 591 00:31:01,930 --> 00:31:03,241 No. 592 00:31:03,276 --> 00:31:06,762 She was the first Black female doctor. 593 00:31:06,797 --> 00:31:11,146 And when I read about her, I wanted to be just like her. 594 00:31:11,180 --> 00:31:15,806 But, unfortunately, I didn't know who she was, either... 595 00:31:15,840 --> 00:31:18,981 until you were in med school. 596 00:31:21,846 --> 00:31:27,990 Quinque, I have been impressed by you 597 00:31:28,025 --> 00:31:31,915 since you were in kindergarten. 598 00:31:35,101 --> 00:31:36,965 Grandma? 599 00:31:36,999 --> 00:31:38,297 Grandma? 600 00:31:40,002 --> 00:31:41,210 What's going on? 601 00:31:41,245 --> 00:31:42,557 She's having trouble breathing. 602 00:31:43,972 --> 00:31:45,304 She's hypotensive. 603 00:31:48,252 --> 00:31:50,703 Jugular vein distention has increased. 604 00:31:50,737 --> 00:31:51,876 Her heart is failing. 605 00:31:52,599 --> 00:31:54,638 Tell me you got through a practice run. 606 00:31:54,672 --> 00:31:56,847 I was coming to say we were postponing the surgery 607 00:31:56,881 --> 00:31:58,275 so we could practice more. 608 00:32:06,815 --> 00:32:08,127 What are you hanging? 609 00:32:09,465 --> 00:32:10,673 Uh, it's... 610 00:32:12,511 --> 00:32:14,789 You can read, obviously. 611 00:32:15,514 --> 00:32:17,377 Is this okay? I'm sorry. 612 00:32:17,412 --> 00:32:19,069 I should've cleared it with you first. 613 00:32:19,103 --> 00:32:20,630 Yes, you should have. 614 00:32:21,469 --> 00:32:25,162 Because I would've told you to use the small conference room up on 6. 615 00:32:25,351 --> 00:32:27,763 It's quieter up there, and the room has blinds... 616 00:32:28,458 --> 00:32:30,149 to help with the "anonymous" part. 617 00:32:31,253 --> 00:32:32,323 Thanks. 618 00:32:43,852 --> 00:32:45,440 This is Park. 619 00:32:45,475 --> 00:32:49,099 I had to fly to San Francisco. I'm just grabbing a cab now. 620 00:32:49,133 --> 00:32:52,136 Can you... Can you hold the surgery until I get there? 621 00:32:52,171 --> 00:32:53,448 We can't. 622 00:32:53,483 --> 00:32:55,519 If he hemorrhages again... 623 00:32:55,554 --> 00:32:57,521 Well, can... can... Can you put him on the phone? 624 00:32:57,556 --> 00:32:59,212 He's already sedated. 625 00:33:00,490 --> 00:33:02,492 But what if... what if this was my last chance 626 00:33:02,526 --> 00:33:04,045 to talk to him? 627 00:33:06,806 --> 00:33:10,514 I'll treat Nathan like my own son, I promise. 628 00:33:13,028 --> 00:33:14,271 Thank you. 629 00:33:19,923 --> 00:33:21,683 Try to puncture the pericardium 630 00:33:21,718 --> 00:33:23,927 and grab an edge so we can start to peel the shell. 631 00:33:23,961 --> 00:33:24,997 Mm! 632 00:33:25,031 --> 00:33:26,826 Apply more pressure. 633 00:33:28,448 --> 00:33:30,287 We might need to use another tool to pierce it. 634 00:33:30,311 --> 00:33:31,566 Let's try the rongeur. 635 00:33:36,180 --> 00:33:38,493 - Ah! - Perforation of the myocardium. 636 00:33:38,528 --> 00:33:40,184 Manually tamponading the hole. 637 00:33:40,219 --> 00:33:41,979 Pledgeted sutures. 638 00:33:43,015 --> 00:33:45,535 The pericardium's just too calcified. 639 00:33:45,569 --> 00:33:47,053 It's adherent to the myocardium. 640 00:33:47,088 --> 00:33:48,710 So what do we do? 641 00:33:48,745 --> 00:33:51,805 Repair the perforation. After that, I'm open to ideas. 642 00:33:52,438 --> 00:33:53,819 We could put her on bypass. 643 00:33:53,853 --> 00:33:58,340 Gently peel off the calcified pericardium bit by bit. 644 00:33:58,375 --> 00:34:00,515 And then repair the damage as we go? 645 00:34:00,550 --> 00:34:01,930 That's like poking holes in a bucket 646 00:34:01,965 --> 00:34:04,554 and then hoping we can plug them before all the water leaks out. 647 00:34:04,588 --> 00:34:06,175 I have an idea. 648 00:34:06,209 --> 00:34:07,591 Go ahead. 649 00:34:07,626 --> 00:34:09,739 It's called the waffle procedure. 650 00:34:10,111 --> 00:34:12,838 I found a novel study that said dense calcified plaques 651 00:34:12,872 --> 00:34:15,702 can be scored into multiple cross-hatched sections. 652 00:34:15,737 --> 00:34:17,256 No removal at all? 653 00:34:17,289 --> 00:34:19,120 Exactly. The shell stays in its place, 654 00:34:19,153 --> 00:34:22,561 but the heart has room to expand and contract as it beats. 655 00:34:23,606 --> 00:34:24,746 Mortality rate? 656 00:34:24,780 --> 00:34:25,954 Under 8%. 657 00:34:29,958 --> 00:34:31,338 Talk me through it. 658 00:34:31,373 --> 00:34:33,388 Okay. Ultrasonic scalpel. 659 00:34:34,894 --> 00:34:38,143 Start by incising the calcified pericardium. 660 00:34:42,764 --> 00:34:45,284 ICG angio looks great. 661 00:34:45,318 --> 00:34:50,113 Dr. Perez, you may do the dural closure, then replace the skull flap. 662 00:34:54,431 --> 00:34:55,994 Before we close... 663 00:34:58,090 --> 00:34:59,747 We're almost a full hour ahead of schedule. 664 00:34:59,781 --> 00:35:02,370 Why not go ahead with the bypass in his other hemisphere? 665 00:35:02,404 --> 00:35:04,303 Mm, that is not the plan. 666 00:35:04,337 --> 00:35:05,822 Simultaneous bilateral surgery 667 00:35:05,856 --> 00:35:07,547 risks altering brain flow too much. 668 00:35:07,582 --> 00:35:09,101 It could cause another bleed. 669 00:35:09,135 --> 00:35:11,635 But maybe there's a way to reduce that risk. 670 00:35:12,207 --> 00:35:14,589 The wait for the follow-up surgery will be hell on the parents, 671 00:35:14,624 --> 00:35:16,522 the whole time knowing their son's brain... 672 00:35:16,556 --> 00:35:18,800 The parents' stress is not medically relevant. 673 00:35:18,835 --> 00:35:20,435 I know, Shaun, but, please... 674 00:35:22,321 --> 00:35:24,064 Can you think of any other way? 675 00:35:44,136 --> 00:35:46,517 An encephaloduroarteriosynangiosis 676 00:35:46,552 --> 00:35:49,451 of the left side would be relatively low risk. 677 00:35:49,486 --> 00:35:51,522 We could safely do that now. 678 00:35:52,185 --> 00:35:53,634 Thank you. 679 00:36:00,186 --> 00:36:01,768 Rick, Linda. 680 00:36:05,813 --> 00:36:07,482 The surgery went well. 681 00:36:29,920 --> 00:36:32,612 There she is. 682 00:36:32,647 --> 00:36:34,234 Right on schedule. 683 00:36:34,269 --> 00:36:35,650 How do you feel? 684 00:36:37,598 --> 00:36:42,224 Like I can breathe, for the first time in a long time. 685 00:36:43,105 --> 00:36:44,831 Thank Dr. Lim for me. 686 00:36:47,109 --> 00:36:48,110 I will. 687 00:36:50,642 --> 00:36:53,265 Somebody's all puffed up. 688 00:36:53,461 --> 00:36:54,600 Uh... 689 00:36:55,465 --> 00:36:57,122 You did something. 690 00:36:59,979 --> 00:37:02,829 The surgical team got a little stuck. 691 00:37:03,386 --> 00:37:05,147 I just gave them a new idea. 692 00:37:06,681 --> 00:37:08,510 Good job. 693 00:37:10,132 --> 00:37:13,550 Wow! You're a doctor. 694 00:37:13,998 --> 00:37:15,552 Wow. Okay. 695 00:37:15,586 --> 00:37:17,844 You're just laying it on a little too thick now. 696 00:37:25,424 --> 00:37:26,519 Looking good. 697 00:37:27,236 --> 00:37:28,355 How are you feeling? 698 00:37:29,526 --> 00:37:30,907 Okay. 699 00:37:32,641 --> 00:37:34,021 Can you give me a high five? 700 00:37:36,089 --> 00:37:37,364 High ten? 701 00:37:39,058 --> 00:37:40,956 - Hey, good job! - Good job, buddy! 702 00:37:40,991 --> 00:37:42,164 Good boy, buddy. 703 00:37:43,519 --> 00:37:45,106 Where's Patches? 704 00:37:45,131 --> 00:37:47,457 He is right here. 705 00:37:55,165 --> 00:37:57,995 You did do the brain surgery on him. 706 00:37:58,020 --> 00:38:01,955 No, I just put bandages on its head to make you feel better. 707 00:38:03,310 --> 00:38:04,794 I do. 708 00:38:25,038 --> 00:38:27,109 Uh, I'm sorry. There's a meeting. 709 00:38:27,134 --> 00:38:29,723 I know. NA, right? 710 00:38:29,902 --> 00:38:33,628 Uh, yeah. 711 00:38:34,231 --> 00:38:36,717 It took me a few minutes to get the courage to come in. 712 00:38:41,887 --> 00:38:44,514 It's just us. Sorry. 713 00:38:45,849 --> 00:38:48,143 Where two or more are gathered... 714 00:38:52,861 --> 00:38:55,795 Oh, um, have a seat, please. 715 00:39:04,160 --> 00:39:05,161 Hm. 716 00:39:07,180 --> 00:39:09,320 Um, hi. 717 00:39:10,114 --> 00:39:12,462 I'm Danny. Um... 718 00:39:13,885 --> 00:39:16,301 I am an addict. 719 00:39:27,546 --> 00:39:29,335 Almost show time. 720 00:39:29,369 --> 00:39:31,574 Don't say it like that. You're making me nervous. 721 00:39:31,609 --> 00:39:34,276 Be yourself. That's more than enough. 722 00:39:38,577 --> 00:39:40,476 Hi, everybody. 723 00:39:42,283 --> 00:39:44,112 There's so many of you. 724 00:39:45,173 --> 00:39:46,830 That's so good to see. 725 00:39:48,444 --> 00:39:50,169 I'm Dr. Jordan Allen, 726 00:39:50,194 --> 00:39:54,232 and I am a third-year surgical resident at St. Bonaventure Hospital. 727 00:40:00,430 --> 00:40:01,776 Where's Glassy? 728 00:40:01,943 --> 00:40:05,361 He will not be staying with us anymore. 729 00:40:05,549 --> 00:40:07,639 He moved out? 730 00:40:07,664 --> 00:40:11,565 Yes. We had a talk and decided it was best. 731 00:40:11,762 --> 00:40:13,488 Did you tell him I was complaining about him? 732 00:40:13,523 --> 00:40:14,558 Yes. 733 00:40:14,593 --> 00:40:16,215 Oh, Shaun! 734 00:40:16,249 --> 00:40:17,630 Now I feel horrible. 735 00:40:18,424 --> 00:40:21,036 Oh. You don't need to. 736 00:40:21,071 --> 00:40:23,809 He found a vacant apartment just down the hall. 737 00:40:24,775 --> 00:40:26,708 In this building? 738 00:40:26,743 --> 00:40:28,771 - Yes. - He's our next-door neighbor? 739 00:40:28,805 --> 00:40:31,161 Our next-door neighbor's next-door neighbor. 52362

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