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00:00:01,085 --> 00:00:02,920
Previously, on The Good Doctor...
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Going to the club or work?
3
00:00:04,338 --> 00:00:06,507
These early calls
need some getting used to.
4
00:00:06,507 --> 00:00:09,009
- Brown Retractor.
- No brown Retractor.
5
00:00:09,009 --> 00:00:10,720
I thought I put it on your tray.
6
00:00:10,720 --> 00:00:12,346
Dr. Kalu is not your peer.
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00:00:12,346 --> 00:00:14,181
He's your employee, you're his boss.
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00:00:14,181 --> 00:00:17,143
I do not plan to give Jared
special treatment.
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00:00:17,143 --> 00:00:19,895
And if I see it,
it won't be good for either of you.
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00:00:20,020 --> 00:00:21,897
I'm not expecting
special treatment.
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00:00:21,897 --> 00:00:24,358
I don't appreciate
being treated like an intern.
12
00:00:24,358 --> 00:00:28,028
Dr. Andrews is judging
my performance off yours
13
00:00:28,028 --> 00:00:29,113
and it is not good.
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You come in with your fancy car,
and your old tricks
15
00:00:32,491 --> 00:00:35,536
and think, "Ta-da. I'm a surgeon."
But you're not.
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00:00:35,703 --> 00:00:37,121
I want to prove I belong.
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When I checked Yara post-op,
I noticed you only used eight sutures
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00:00:40,416 --> 00:00:42,877
and she had a small bleed.
You should've used ten.
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00:00:42,877 --> 00:00:45,171
Dr. Glassman closed the galea and skin.
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- Dr. Glassman skipped two sutures?
- Guess so.
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At what time did you wake up
yesterday morning?
22
00:00:57,683 --> 00:00:59,393
The usual, 5:30. Why?
23
00:00:59,393 --> 00:01:01,645
At lunch, you had a Cobb salad.
24
00:01:01,645 --> 00:01:04,356
450 calories ingested,
assuming you kept it down?
25
00:01:04,356 --> 00:01:06,317
- Yes.
- Did you use a sauna,
26
00:01:06,317 --> 00:01:09,361
engage in rigorous exercise
and/or experience diarrhea?
27
00:01:09,361 --> 00:01:12,656
No, I didn't do any of those things.
What's with the questions?
28
00:01:12,656 --> 00:01:14,950
You made an error
in yesterday's craniotomy.
29
00:01:14,950 --> 00:01:18,662
I'm trying to evaluate various factors
that would negatively impact focus.
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00:01:18,662 --> 00:01:19,872
I made an error?
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You closed with only eight sutures.
The size of the wound required ten.
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We need to figure out why--
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Why do we need to figure out why?
Two sutures.
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00:01:27,588 --> 00:01:29,215
It's a blip. It's not a thing.
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It could be part of a troubling pattern
needing attention--
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00:01:32,802 --> 00:01:36,722
Shaun, the surgery was a success, right?
The patient had a great outcome.
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There is no pattern.
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Goodbye.
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I'm a surgeon and I belong here.
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00:01:50,152 --> 00:01:53,322
I'm a surgeon and I belong here.
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00:01:58,661 --> 00:02:01,539
You are a surgeon and you belong here.
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00:02:03,499 --> 00:02:05,835
I just keep imagining you in the mirror,
43
00:02:05,835 --> 00:02:08,629
like, you have the hair
of Tracee Ellis Ross,
44
00:02:08,629 --> 00:02:11,799
- and the swag of Beyoncé.
- Do not shame my self-care.
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00:02:14,176 --> 00:02:16,303
Affirmations are backed by research.
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FMRI evidence shows a correlation
with positive changes in the brain.
47
00:02:21,851 --> 00:02:24,770
I've just put the finishing touches
on a surprise.
48
00:02:25,229 --> 00:02:26,438
Drum roll, please.
49
00:02:29,108 --> 00:02:31,735
Or not. Well, get your song lists ready
50
00:02:31,735 --> 00:02:34,947
because you are all
officially invited to
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00:02:37,074 --> 00:02:40,494
"Star Karaoke. 7:00 p.m.
until question mark, question mark."
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00:02:40,494 --> 00:02:43,789
It's gonna be a party when there's
double punctuation involved.
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00:02:43,789 --> 00:02:46,959
Just the chance to unwind,
get to know you all better.
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00:02:46,959 --> 00:02:49,837
- Sounds fun. Thanks.
- Prepare to be destroyed.
55
00:02:49,837 --> 00:02:52,339
My "Someone Like You" slays.
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00:02:52,339 --> 00:02:55,926
Need a surgical consult
for a patient with a dislocated patella.
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00:02:56,927 --> 00:02:57,761
Sorry, ER.
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00:02:59,179 --> 00:03:02,057
You two are it. Room One.
59
00:03:07,855 --> 00:03:09,940
When did the chest pains start?
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00:03:10,357 --> 00:03:14,278
I first noticed it Tuesday morning,
along with shortness of breath.
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Are you taking any medications?
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00:03:16,572 --> 00:03:19,366
I started with one,
then switched a few times.
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00:03:21,118 --> 00:03:24,413
- These are used to treat ADHD.
- And brain fog.
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00:03:24,788 --> 00:03:30,586
I'm a COVID long hauler,
and I just started Guanfacine
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00:03:30,586 --> 00:03:35,299
and N-acetylcysteine,
which may actually be helping, finally.
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00:03:35,424 --> 00:03:37,343
When was your initial infection?
67
00:03:37,343 --> 00:03:41,221
Eight months ago. Just felt like
a mild flu. But then it got worse.
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00:03:41,221 --> 00:03:43,724
like someone poured molasses on my brain.
69
00:03:43,724 --> 00:03:45,476
I've done cognitive therapy,
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00:03:45,809 --> 00:03:48,270
memory exercises. Still am.
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00:03:48,437 --> 00:03:50,981
Whatever I can do
to get back in the field.
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00:03:51,815 --> 00:03:53,567
- Which one?
- Clover.
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00:03:54,818 --> 00:03:56,612
I'm an evolutionary biologist.
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00:03:58,447 --> 00:04:02,952
I have been studying how white clover
adapts to environmental changes.
75
00:04:04,912 --> 00:04:07,456
And I'm on indefinite leave.
76
00:04:07,456 --> 00:04:08,999
Please stop talking now.
77
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Bluish skin, low O2 levels,
rapid heart rate.
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00:04:13,796 --> 00:04:17,216
And increasingly labored breathing.
Possible pulmonary embolism.
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00:04:17,216 --> 00:04:19,385
Order a chest CTA and echo, stat.
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00:04:19,551 --> 00:04:20,678
I have to go.
81
00:04:33,148 --> 00:04:37,277
You will need this. I sent one half
of a high-volume order to your printer.
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00:04:37,820 --> 00:04:41,824
- These are Glassman's op reports?
- For the last three months.
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00:04:41,824 --> 00:04:45,661
January to March. October to December
is printing in Park's and my office.
84
00:04:45,661 --> 00:04:48,789
So you sent reports for, like,
100 surgeries to my printer?
85
00:04:48,789 --> 00:04:52,751
No. 176 surgeries. 473 pages.
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00:04:52,751 --> 00:04:55,170
I've emailed operations
to replace your toner.
87
00:04:55,170 --> 00:04:57,214
Many elements are in color.
88
00:04:57,214 --> 00:04:59,675
And why exactly do you need all of this?
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00:05:00,342 --> 00:05:03,012
To find out if his mistake was "a blip".
90
00:05:16,942 --> 00:05:19,069
Second time I've dislocated my knee.
91
00:05:19,445 --> 00:05:22,031
First was a few months ago, I think?
92
00:05:22,031 --> 00:05:24,199
That was the sprained ankle.
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00:05:24,199 --> 00:05:26,076
The dislocation was last year.
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00:05:26,243 --> 00:05:29,830
Your MRI shows no associated damage
to bones or ligaments.
95
00:05:30,914 --> 00:05:34,126
She's also been complaining
about dizziness,
96
00:05:34,460 --> 00:05:37,504
swollen ankles, maybe menopause related.
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00:05:37,838 --> 00:05:40,591
Dr. Reznick wants her
on hormone replacement therapy.
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00:05:40,591 --> 00:05:43,302
{\an8}Orion insisted
I get everything checked out
99
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{\an8}before she leaves and moves
6,000 miles away to live alone.
100
00:05:48,015 --> 00:05:50,851
{\an8}I'm moving to Prague next week,
for a new job.
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00:05:50,851 --> 00:05:53,437
And you can visit me anytime
you want, Mom.
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00:05:53,437 --> 00:05:54,897
Not with a busted knee.
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00:05:55,064 --> 00:05:56,690
To move forward with HRT,
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00:05:56,690 --> 00:06:00,235
I need to confirm all your medications
over the last five years.
105
00:06:02,446 --> 00:06:04,531
There was a purple triangle one.
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00:06:04,531 --> 00:06:09,328
But they took me off that last year.
And an orange-shaped one.
107
00:06:09,328 --> 00:06:10,871
I'll review it with you.
108
00:06:12,414 --> 00:06:15,667
We need to see how your knee's moving.
Lay back, please.
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00:06:19,546 --> 00:06:21,507
{\an8}Go ahead with the exam, Dr. Kalu.
110
00:06:22,382 --> 00:06:24,885
{\an8}- I thought I'd observe.
- It's a knee exam,
111
00:06:24,885 --> 00:06:27,179
{\an8}not a multi-ligament reconstruction.
112
00:06:27,179 --> 00:06:29,807
You told me last time
not to assume I know everything.
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00:06:29,807 --> 00:06:31,975
This is just making me do your job.
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00:06:37,272 --> 00:06:40,984
That sounded like an apneic spell.
Check her tonsils.
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00:06:40,984 --> 00:06:41,944
Ms. Garcia?
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00:06:47,908 --> 00:06:49,326
Did I fall asleep again?
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Yes.
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00:06:50,744 --> 00:06:53,205
Could I take a quick look in your mouth?
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Kissing tonsils.
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00:06:57,918 --> 00:07:01,255
They're so enlarged, they're touching
and obstructing your airway,
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00:07:01,255 --> 00:07:04,883
causing severe apnea.
You need a tonsillectomy right away.
122
00:07:10,139 --> 00:07:13,016
{\an8}No pulmonary embolism,
but multiple cardiac issues,
123
00:07:13,142 --> 00:07:15,144
severe narrowing of the pulmonic valve,
124
00:07:15,144 --> 00:07:18,856
{\an8}hypertrophied right ventricle
an opening between the lower chambers.
125
00:07:18,856 --> 00:07:22,317
This set of defects almost looks like
Tetralogy of Fallot, but--
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00:07:22,317 --> 00:07:23,443
It is.
127
00:07:24,903 --> 00:07:28,073
She has the fourth malformation.
Overriding aorta.
128
00:07:28,073 --> 00:07:30,868
I've never seen Tet in an adult before.
129
00:07:32,494 --> 00:07:34,288
{\an8}How is she still alive?
130
00:07:36,039 --> 00:07:39,126
Hang on a sec.
I have to write everything down now.
131
00:07:40,502 --> 00:07:43,005
{\an8}Tet is almost always diagnosed in infancy.
132
00:07:43,005 --> 00:07:45,090
Doctors missed it in your case.
133
00:07:45,257 --> 00:07:47,009
{\an8}You have a rare presentation.
134
00:07:47,009 --> 00:07:49,428
{\an8}The right ventricle obstruction
is balanced
135
00:07:49,428 --> 00:07:51,680
{\an8}by an increased flow
into the left ventricle.
136
00:07:51,805 --> 00:07:55,934
{\an8}Damage from COVID disrupted the balance.
The virus may have saved your life.
137
00:07:56,059 --> 00:07:59,104
Very few undiagnosed Tet patients
survive past childhood.
138
00:07:59,104 --> 00:08:01,023
{\an8}A mere 2% make it to 40.
139
00:08:01,023 --> 00:08:04,026
{\an8}I would've just dropped dead
at some point?
140
00:08:04,026 --> 00:08:05,694
It's very likely.
141
00:08:05,694 --> 00:08:09,656
{\an8}We can remove that risk
with two separate procedures.
142
00:08:09,656 --> 00:08:12,451
{\an8}First, we'll close the extra vessels
that have formed
143
00:08:12,451 --> 00:08:14,369
to compensate for your heart defects.
144
00:08:14,369 --> 00:08:17,331
Then we'll do a surgery
to repair those defects.
145
00:08:19,625 --> 00:08:23,378
{\an8}Is it possible the Tet is connected
to my long COVID symptoms?
146
00:08:23,378 --> 00:08:25,839
Could fixing my heart clear up my head--
147
00:08:27,007 --> 00:08:28,050
The brain?
148
00:08:29,134 --> 00:08:31,178
{\an8}No, I'm sorry.
149
00:08:41,104 --> 00:08:42,481
You snagged our table.
150
00:08:43,357 --> 00:08:46,443
- Beat Hawks and Nuñez to it.
- You're a champion.
151
00:08:46,443 --> 00:08:49,446
One Splenda, half sugar
in the raw, light almond milk.
152
00:08:49,446 --> 00:08:50,989
Now who's the champion?
153
00:08:55,285 --> 00:08:58,288
- I have something for you.
- Really?
154
00:09:05,587 --> 00:09:08,674
{\an8}An agreement acknowledging
a consensual relationship.
155
00:09:08,674 --> 00:09:13,553
I, Marcus Andrews, would like
to take you Dalisay Villanueva on a date.
156
00:09:13,845 --> 00:09:17,808
And as hospital president,
I've already signed it.
157
00:09:19,768 --> 00:09:20,978
{\an8}This is so romantic.
158
00:09:22,062 --> 00:09:23,105
Give me the pen.
159
00:09:30,320 --> 00:09:32,614
- Dinner this weekend?
- Let me see.
160
00:09:33,448 --> 00:09:35,826
{\an8}I'm needed on the ward. Sorry.
161
00:09:35,826 --> 00:09:37,703
- Lock it down later?
- Sure.
162
00:09:46,003 --> 00:09:48,130
{\an8}- Iced coffee?
- I'm good.
163
00:09:49,131 --> 00:09:50,590
{\an8}How about hot coffee?
164
00:09:52,968 --> 00:09:56,013
In honor of Daphne's
successful tonsillectomy.
165
00:09:56,013 --> 00:09:57,556
I got a few options.
166
00:09:59,057 --> 00:10:00,058
Is that a latte?
167
00:10:03,854 --> 00:10:05,939
{\an8}It was a routine tonsillectomy.
168
00:10:06,064 --> 00:10:10,694
Those were unusually large tonsils.
Good thing her daughter brought her in.
169
00:10:12,779 --> 00:10:15,240
You think Daphne was better off
not breathing?
170
00:10:15,240 --> 00:10:19,661
{\an8}I don't think it's a daughter's job
to make sure mom goes to the doctor.
171
00:10:21,913 --> 00:10:22,831
It's Daphne.
172
00:10:25,625 --> 00:10:29,254
- Heart rate's spiked, she's hypoxic.
- Turn up oxygen to max.
173
00:10:32,591 --> 00:10:34,634
Loud murmur, right ventricle
and atrium.
174
00:10:34,634 --> 00:10:37,763
Chronic damage from apnea could have
increased the pressure,
175
00:10:37,763 --> 00:10:39,431
causing right heart failure.
176
00:10:39,681 --> 00:10:42,309
- BP's dropping.
- Get her to the cath lab.
177
00:10:47,606 --> 00:10:49,358
{\an8}Positioning coiling system.
178
00:10:50,192 --> 00:10:51,693
{\an8}Two vessels left to close.
179
00:10:53,362 --> 00:10:54,905
Deploying the coil.
180
00:10:57,324 --> 00:10:59,701
Her O2 sats are dropping.
181
00:10:59,868 --> 00:11:04,206
Her infundibular muscle is clamping down.
She is having a Tet spell.
182
00:11:06,875 --> 00:11:09,002
Give phenylephrine and 100% oxygen.
183
00:11:09,002 --> 00:11:11,546
I have never seen one in person before.
184
00:11:12,714 --> 00:11:17,094
We need to move blood up to the lungs.
Give her a bolus and up the opiates.
185
00:11:20,597 --> 00:11:23,725
If we don't stop the spasm,
she could have permanent brain damage.
186
00:11:34,820 --> 00:11:38,115
The chance of a future infundibular spasm
is very high.
187
00:11:40,075 --> 00:11:42,577
Tet repair surgery
will be much more risky.
188
00:11:50,168 --> 00:11:52,838
Pressure in Daphne's lungs
is critically high,
189
00:11:52,963 --> 00:11:55,048
Not a routine tonsillectomy at all.
190
00:11:55,841 --> 00:11:57,592
Puncturing the atrial septum.
191
00:11:59,010 --> 00:12:01,304
Right heart is decompressing.
192
00:12:01,430 --> 00:12:04,558
Give nitric oxide to relax
and dilate the vasculature.
193
00:12:04,558 --> 00:12:07,894
Her apnea really did a number
on her pulmonary vessels.
194
00:12:07,894 --> 00:12:10,147
No wonder she's clumsy, forgetful.
195
00:12:10,147 --> 00:12:13,316
She's been sleeping
oxygen-deprived for decades.
196
00:12:13,316 --> 00:12:16,486
Still doesn't make her
her daughter's responsibility.
197
00:12:16,486 --> 00:12:19,823
{\an8}Would you want Kellan to put his life
on hold to take care of you?
198
00:12:19,823 --> 00:12:23,743
{\an8}Not his whole life, no.
But I don't think being overly-devoted
199
00:12:23,743 --> 00:12:26,997
is the worst quality in a kid.
Remove the catheters.
200
00:12:27,873 --> 00:12:31,668
I was one of six growing up.
Only girl. Mom and Dad worked a lot.
201
00:12:31,668 --> 00:12:34,921
So I was basically second mom
since kindergarten.
202
00:12:35,797 --> 00:12:37,757
{\an8}I love my brothers.
203
00:12:38,967 --> 00:12:41,011
{\an8}but there's a lot you miss out on
204
00:12:41,011 --> 00:12:43,763
if you're all about
caring for someone else.
205
00:12:48,435 --> 00:12:51,771
{\an8}She's throwing a lot of PVCs.
Maybe an electrolyte issue?
206
00:12:54,691 --> 00:12:56,568
BP is dropping, heart rate 172.
207
00:12:56,568 --> 00:12:59,988
Barely getting a pulse. She's in v-tach.
Defib paddles.
208
00:13:17,422 --> 00:13:19,216
BP and heart rate stabilizing.
209
00:13:20,800 --> 00:13:23,261
Get a new chemistry, chest X-ray, EKG.
210
00:13:23,261 --> 00:13:26,473
We need to learn
what else is going on with her heart.
211
00:13:35,357 --> 00:13:37,400
Please don't disturb my materials.
212
00:13:37,776 --> 00:13:40,028
{\an8}Which are what exactly?
213
00:13:40,028 --> 00:13:42,864
{\an8}Dr. Glassman made
an uncharacteristic surgical error.
214
00:13:42,864 --> 00:13:46,660
{\an8}I am determining if it was an anomaly
or part of a pattern.
215
00:13:46,660 --> 00:13:48,870
{\an8}Glassman must be pleased about that.
216
00:13:48,870 --> 00:13:51,873
He is not. You are being sarcastic.
217
00:13:51,873 --> 00:13:55,752
Performance review is a standard practice,
benefits doctors and patients.
218
00:13:55,752 --> 00:13:58,755
I've noted three additional errors
from last four months.
219
00:13:58,755 --> 00:14:02,175
{\an8}- I don't see a pattern.
- Dural tear on scar tissue,
220
00:14:02,175 --> 00:14:05,762
{\an8}closing with a running nylon
instead of Monocryl. That a mistake?
221
00:14:05,762 --> 00:14:08,598
{\an8}Dr. Glassman has always used
subcutaneous Monocryl.
222
00:14:08,598 --> 00:14:11,059
These are variations, minor missteps.
223
00:14:11,059 --> 00:14:13,812
Pore through four months
of any surgeon's reports
224
00:14:13,812 --> 00:14:16,648
- and you'll find discrepancies like this.
- No.
225
00:14:16,648 --> 00:14:19,150
- Yes.
- Not in mine.
226
00:14:19,693 --> 00:14:22,904
- That's probably true.
- Yeah.
227
00:14:22,904 --> 00:14:26,950
If you're not finding a pattern,
maybe it's because there isn't one.
228
00:14:29,995 --> 00:14:31,454
My patient is awake.
229
00:14:33,081 --> 00:14:35,875
Does this mean you can't do
the Tet repair?
230
00:14:36,084 --> 00:14:40,213
{\an8}There's a medication, propranolol,
that'll significantly reduce the risk
231
00:14:40,213 --> 00:14:42,424
of having another spasm during surgery.
232
00:14:42,424 --> 00:14:46,761
But 'cause of your long COVID,
you're at risk for some rare side effects.
233
00:14:46,761 --> 00:14:48,680
- Are they serious?
- Yes.
234
00:14:48,680 --> 00:14:51,683
Not some, like nausea,
vomiting, muscle aches.
235
00:14:51,683 --> 00:14:54,894
But others,
such as hypoglycemia or visual--
236
00:14:54,894 --> 00:14:56,271
Start with propranolol.
237
00:14:56,271 --> 00:14:59,524
Good chance you won't experience
the side effects.
238
00:14:59,524 --> 00:15:02,110
But we'll need to keep a close eye on you.
239
00:15:03,278 --> 00:15:07,324
And are those patients ahead of her
also seniors with diabetes?
240
00:15:07,324 --> 00:15:10,702
{\an8}Do not hang up,
or I'll head down to do this in person.
241
00:15:10,869 --> 00:15:12,037
I'll wait.
242
00:15:13,371 --> 00:15:14,331
Hey.
243
00:15:16,374 --> 00:15:19,836
{\an8}There is a great new Portuguese spot
I read about.
244
00:15:19,836 --> 00:15:23,298
{\an8}I can make reservations for us
Friday or Saturday at 7:00?
245
00:15:24,924 --> 00:15:29,054
{\an8}I'm working a double both days.
Been hectic since Baker and Linh left.
246
00:15:29,054 --> 00:15:32,223
- Two travelers are starting Monday.
- I need staff nurses.
247
00:15:32,223 --> 00:15:33,516
They're highly skilled.
248
00:15:33,516 --> 00:15:36,895
Doesn't matter.
Travel nurses disrupt workflow,
249
00:15:36,895 --> 00:15:38,897
don't build long-term relationships.
250
00:15:39,022 --> 00:15:41,650
We don't have the resources
for permanent staff.
251
00:15:41,650 --> 00:15:45,695
You just hired a new full-time resident
to replace someone who left recently.
252
00:15:45,695 --> 00:15:47,656
That was Lim's department.
253
00:15:47,906 --> 00:15:49,949
Yes. Great. I'm sending her down.
254
00:15:51,076 --> 00:15:53,286
- Sorry. We'll talk later?
- Of course.
255
00:15:56,164 --> 00:15:58,541
So you're watching to see if I throw up?
256
00:15:58,541 --> 00:16:00,877
Or faint, seize or have muscle spasms.
257
00:16:05,840 --> 00:16:08,385
You know, before COVID, my brain was.
258
00:16:09,844 --> 00:16:13,890
I did evolutionary patterns, genetic...
259
00:16:16,768 --> 00:16:19,229
how genes go together.
260
00:16:20,689 --> 00:16:21,606
The sequence.
261
00:16:24,109 --> 00:16:27,612
Now my brain can't handle
the sequence of brushing my teeth.
262
00:16:29,072 --> 00:16:32,409
My focus, my working memory, all of the...
263
00:16:34,160 --> 00:16:35,286
Oh, my...
264
00:16:35,954 --> 00:16:38,081
The executive function.
265
00:16:40,417 --> 00:16:42,961
It's not always happening.
266
00:16:46,047 --> 00:16:49,342
Please page Dr. Wolke to monitor her
and stay until he comes.
267
00:16:51,428 --> 00:16:53,096
Push your hand against mine.
268
00:16:53,680 --> 00:16:56,349
The pattern is errors
in executive function.
269
00:16:56,349 --> 00:17:00,729
- I'm in the middle of something.
- Your brain cancer may have returned.
270
00:17:06,735 --> 00:17:09,446
- All errors tied to executive function.
- Shaun.
271
00:17:09,446 --> 00:17:13,199
Specifically procedural memory
in the dorsolateral prefrontal cortex,
272
00:17:13,199 --> 00:17:15,493
a common site for a recurrent glioma,
273
00:17:15,493 --> 00:17:18,413
which strongly suggests
your cancer has returned.
274
00:17:18,413 --> 00:17:20,790
My last scan came back completely clear.
275
00:17:20,790 --> 00:17:23,042
- I'm fine.
- Last scan was six months ago.
276
00:17:23,042 --> 00:17:26,963
These errors are from last four months.
You need another scan.
277
00:17:26,963 --> 00:17:29,591
- The evidence is very compelling.
- It's not.
278
00:17:29,591 --> 00:17:31,801
I perform complex surgeries,
279
00:17:31,801 --> 00:17:35,138
more so than any other doctor
on this staff, by the way.
280
00:17:35,138 --> 00:17:36,931
So the percentages would dictate
281
00:17:36,931 --> 00:17:41,060
that I might make more minor
and irrelevant missteps,
282
00:17:41,060 --> 00:17:43,146
if that's what you wanna call 'em.
283
00:17:43,146 --> 00:17:45,231
The rate of errors has increased.
284
00:17:45,231 --> 00:17:47,525
Yeah, 'cause I take on tougher cases.
285
00:17:47,525 --> 00:17:48,985
The ones no one else will.
286
00:17:48,985 --> 00:17:51,696
- No. You need another MRI, now.
- Shaun,
287
00:17:51,696 --> 00:17:56,993
what I need is to get back to my patient,
and you need to knock first, next time.
288
00:18:02,123 --> 00:18:04,292
"It's the greening of the trees."
289
00:18:05,168 --> 00:18:06,544
My turn.
290
00:18:08,546 --> 00:18:11,007
Trying to get my cognitive exercises in.
291
00:18:11,007 --> 00:18:12,467
What're you memorizing?
292
00:18:12,467 --> 00:18:15,136
It's a poem from The Carrying, Ada Limón.
293
00:18:15,970 --> 00:18:17,972
The collection is mostly about.
294
00:18:19,724 --> 00:18:22,769
not having the life
you thought you'd have, I guess.
295
00:18:24,479 --> 00:18:28,900
The one I was just reading.
it's about spring coming.
296
00:18:29,359 --> 00:18:31,277
"Instructions on Not Giving Up."
297
00:18:31,986 --> 00:18:35,073
- Sounds useful.
- Too bad I can't read it all at once.
298
00:18:35,990 --> 00:18:37,992
I've just graduated from haikus.
299
00:18:38,535 --> 00:18:41,830
Never even thought to look at a poem
before I got sick.
300
00:18:42,664 --> 00:18:45,416
Didn't have the patience for it,
or the time.
301
00:18:46,042 --> 00:18:47,961
That's basically all I read now.
302
00:18:48,753 --> 00:18:51,172
Started writing, too, as kind of a...
303
00:18:52,173 --> 00:18:53,550
creative therapy.
304
00:18:55,426 --> 00:18:58,555
There was a kind of poetry
305
00:18:58,555 --> 00:19:01,641
to the genetic variations
in white clover, too.
306
00:19:05,228 --> 00:19:06,896
I'd give anything to...
307
00:19:12,110 --> 00:19:15,238
Your blood pressure's dropping,
heart rate's climbing.
308
00:19:15,363 --> 00:19:17,490
- I'm dizzy.
- Checking your glucose.
309
00:19:21,536 --> 00:19:23,830
She's having a seizure. Crash cart now.
310
00:19:26,291 --> 00:19:29,460
{\an8}We thought it was your heart,
but it's a kidney issue.
311
00:19:29,586 --> 00:19:32,338
Narrowing of your renal arteries,
which was exacerbated
312
00:19:32,338 --> 00:19:35,008
by the pulmonary hypertension,
causing kidney failure.
313
00:19:35,008 --> 00:19:38,511
- This is 'cause of my sleep apnea?
- We believe so. Yeah.
314
00:19:40,346 --> 00:19:44,017
Can she get a transplant?
I can do a test, see if I'm a match.
315
00:19:44,017 --> 00:19:47,645
Unfortunately, your other health concerns
rule out a transplant.
316
00:19:47,645 --> 00:19:52,066
But a renal artery bypass would allow
your kidneys to heal on their own.
317
00:19:52,233 --> 00:19:55,737
There's risk of complications.
Some quite serious.
318
00:19:56,404 --> 00:20:00,825
But in success, you could live
a full, independent life.
319
00:20:03,119 --> 00:20:06,581
But serious, as in I could die?
320
00:20:07,040 --> 00:20:09,584
Some complications can be fatal.
321
00:20:09,584 --> 00:20:12,003
But the risk is relatively low.
322
00:20:13,171 --> 00:20:15,173
Are there other options?
323
00:20:15,173 --> 00:20:16,883
Well, there's dialysis,
324
00:20:17,008 --> 00:20:20,887
but you'd need multiple sessions a week
for the rest of your life.
325
00:20:24,349 --> 00:20:30,229
That's less risky, but I don't think
I could handle all that on my own.
326
00:20:30,396 --> 00:20:35,068
Mom, if you want to choose the dialysis,
I'll stay in San Jose.
327
00:20:37,612 --> 00:20:38,655
I'm sorry.
328
00:20:39,739 --> 00:20:43,451
- I don't want to keep you.
- You have nothing to be sorry for.
329
00:20:44,160 --> 00:20:49,374
You know, all this time you've been sick
and struggling, and I judged you.
330
00:20:50,500 --> 00:20:51,834
But your new job.
331
00:20:54,337 --> 00:20:55,505
It's just a job.
332
00:21:03,972 --> 00:21:09,268
So the medication you gave me
to make my surgery safer
333
00:21:09,727 --> 00:21:11,980
will actually make it more risky?
334
00:21:12,438 --> 00:21:13,356
That's right.
335
00:21:14,107 --> 00:21:18,528
But without that medication, I'm much more
likely to have another Tet spell.
336
00:21:18,528 --> 00:21:21,698
Yes, and possibly more severe
than the last time.
337
00:21:22,615 --> 00:21:28,538
Brain fog, all my deficits.
could get worse?
338
00:21:30,456 --> 00:21:31,958
For possibly forever?
339
00:21:33,376 --> 00:21:34,460
Yes.
340
00:21:36,045 --> 00:21:40,758
But if we don't do the Tet repair,
your heart will stop at some point.
341
00:21:43,469 --> 00:21:46,514
I've already been through
losing my thoughts,
342
00:21:47,598 --> 00:21:48,808
my whole self.
343
00:21:53,187 --> 00:21:54,689
I can't do that again.
344
00:21:59,360 --> 00:22:01,404
Find another way to fix my heart.
345
00:22:19,338 --> 00:22:23,551
New idea. We go back to the old idea
and just do the surgery.
346
00:22:23,551 --> 00:22:26,471
It's a nonstarter.
We need to present a way to help her Tet
347
00:22:26,471 --> 00:22:27,847
without triggering her Tet.
348
00:22:27,847 --> 00:22:31,184
A percutaneous valve and VSD closure
could help with blood flow.
349
00:22:31,184 --> 00:22:34,979
That involves catheters in the heart,
which would cause the muscle to spasm.
350
00:22:34,979 --> 00:22:37,440
All right. It's time for some WWSMD.
351
00:22:37,440 --> 00:22:40,068
Whatever you and Jerome do
on your own time is--
352
00:22:40,068 --> 00:22:41,861
"What would Shaun Murphy do?"
353
00:23:18,064 --> 00:23:21,400
What about a shunt?
It would improve blood flow.
354
00:23:21,400 --> 00:23:23,986
Buy a few months to continue
her cognitive recovery.
355
00:23:23,986 --> 00:23:27,698
When she feels better about her heart,
maybe she lets us fix her heart.
356
00:23:27,698 --> 00:23:30,284
Her Tet would likely kill her before that.
357
00:23:30,284 --> 00:23:36,207
But placing a shunt won't trigger a spell,
making it something she'd actually accept.
358
00:23:40,086 --> 00:23:41,295
I'll take it to her.
359
00:23:42,505 --> 00:23:46,384
I can stay only 45 minutes.
Have to review Dr. Glassman's OR videos.
360
00:23:46,384 --> 00:23:49,428
- Didn't you do that?
- Not for glioma recurrence symptoms.
361
00:23:49,428 --> 00:23:51,806
New evidence will convince him
to get a scan.
362
00:23:51,806 --> 00:23:55,935
You binged months of data in one day.
You'll have a clearer head in the morning.
363
00:23:55,935 --> 00:23:59,021
Until then, here we are. Karaoke rager.
364
00:23:59,021 --> 00:24:01,732
- Yay.
- It is "yay". We have a song list.
365
00:24:01,732 --> 00:24:05,820
Plus Jared's our friend. He just
moved back. Celebration is in order.
366
00:24:05,820 --> 00:24:08,364
I will review the videos in the morning.
367
00:24:10,116 --> 00:24:11,784
Sounds pretty wild in there.
368
00:24:11,784 --> 00:24:14,954
Because maybe
369
00:24:14,954 --> 00:24:19,250
You're gonna be the one that saves me
370
00:24:19,584 --> 00:24:22,003
And after all
371
00:24:27,508 --> 00:24:28,885
I was just warming up.
372
00:24:29,260 --> 00:24:31,929
- Where is everyone?
- There is a lot of food.
373
00:24:32,096 --> 00:24:35,057
Yeah, I had it catered.
You're the first to arrive.
374
00:24:35,474 --> 00:24:40,771
And so far, last minute rain checks
from Morgan, Park, Asher, Danny.
375
00:24:42,481 --> 00:24:43,441
And Jerome.
376
00:24:45,735 --> 00:24:47,278
So it's just us four.
377
00:24:47,278 --> 00:24:50,781
Which means that all these snacks
378
00:24:50,781 --> 00:24:53,910
and song binders are for us.
379
00:24:54,869 --> 00:24:59,582
Yes. The low turnout is the perfect
opportunity to discuss symptoms.
380
00:25:00,082 --> 00:25:03,544
In your recent surgeries
with Dr. Glassman, do you recall observing
381
00:25:03,544 --> 00:25:06,547
any balance issues,
tremors or motor weakness?
382
00:25:11,427 --> 00:25:13,638
That sounds like the perfect option.
383
00:25:14,430 --> 00:25:16,557
How soon can you do the shunt procedure?
384
00:25:16,557 --> 00:25:19,018
I'll try to schedule it for tomorrow.
385
00:25:23,814 --> 00:25:26,275
I've had a strange year myself.
386
00:25:29,403 --> 00:25:34,283
Eleven months ago, I was attacked
and paralyzed from the waist down.
387
00:25:35,618 --> 00:25:38,621
I thought it was permanent.
Almost everyone did.
388
00:25:41,249 --> 00:25:45,503
At first, all I wanted was to walk again.
389
00:25:46,712 --> 00:25:50,466
I was ready to risk my life
to get back to the old me.
390
00:25:51,592 --> 00:25:57,056
But as time went on, I started
to appreciate my new life.
391
00:25:57,848 --> 00:25:58,933
My new self.
392
00:26:01,435 --> 00:26:05,481
I started a new relationship
that wouldn't have happened otherwise.
393
00:26:07,858 --> 00:26:09,986
In many ways, my life improved.
394
00:26:09,986 --> 00:26:13,072
You recognize you walked in
to tell me this story?
395
00:26:14,657 --> 00:26:18,327
I only agreed to do the surgery
once I knew my life wasn't at risk.
396
00:26:18,327 --> 00:26:20,663
And even then, I had doubts.
397
00:26:22,581 --> 00:26:26,294
I liked who I'd become.
I wanted to hold on to her.
398
00:26:30,131 --> 00:26:31,048
I'm not...
399
00:26:33,926 --> 00:26:35,219
losing my mind...
400
00:26:37,138 --> 00:26:38,389
all over again.
401
00:26:41,058 --> 00:26:44,020
You don't strike me
as someone who's lost her mind.
402
00:27:01,120 --> 00:27:04,665
That covers the thrombectomy.
In February, you assisted--
403
00:27:04,665 --> 00:27:07,710
Okay. I'm playing the pregnant lady card.
404
00:27:09,253 --> 00:27:11,422
- We're going, Shaun.
- Okay.
405
00:27:12,548 --> 00:27:14,258
Thank you. Goodbye.
406
00:27:16,135 --> 00:27:17,970
I should head out, too.
407
00:27:19,096 --> 00:27:20,014
Early morning.
408
00:27:25,519 --> 00:27:28,814
Maybe focus on being a first year resident
409
00:27:28,814 --> 00:27:32,943
before adding party planner
to your resume.
410
00:27:35,196 --> 00:27:37,782
The catering
may have been a bridge too far.
411
00:27:37,782 --> 00:27:38,824
Yeah.
412
00:27:43,871 --> 00:27:45,831
I bounced around growing up.
413
00:27:46,916 --> 00:27:50,669
at different schools, cities, countries.
414
00:27:51,921 --> 00:27:53,923
But wherever we were,
415
00:27:53,923 --> 00:27:57,927
my parents had a big house
and I knew how to throw a party.
416
00:28:01,263 --> 00:28:04,767
Closest I get to feeling like I fit.
417
00:28:07,019 --> 00:28:09,021
Old habits die hard, I guess.
418
00:28:11,440 --> 00:28:13,275
Fitting in takes time.
419
00:28:14,443 --> 00:28:17,530
But I never have, anywhere.
420
00:28:21,909 --> 00:28:25,496
Maybe not everyone finds their place.
421
00:28:31,127 --> 00:28:33,671
Daphne is getting septic. We have to go.
422
00:28:41,345 --> 00:28:43,097
- Morning.
- Hello.
423
00:28:46,767 --> 00:28:50,146
- You should not have that.
- I'm permitted 12 ounces a day.
424
00:28:50,146 --> 00:28:51,272
Experts agree.
425
00:28:51,272 --> 00:28:54,859
Yes, but that was brewed
when I woke up at 3:30 a.m.
426
00:28:56,610 --> 00:29:00,448
- You make it through the videos?
- Yes, and integrated the observations
427
00:29:00,448 --> 00:29:04,910
Doctors Kalu and Allen made last night
regarding possible glioma symptoms.
428
00:29:06,787 --> 00:29:08,747
I am now ready to present Dr. Glassman
429
00:29:08,747 --> 00:29:12,042
with the revised evidence,
which is very compelling.
430
00:29:16,338 --> 00:29:19,633
Thankfully, your infection
is responding to the antibiotics.
431
00:29:19,758 --> 00:29:22,928
The infection started
around your dialysis port,
432
00:29:22,928 --> 00:29:25,055
that could easily happen again.
433
00:29:26,098 --> 00:29:29,059
The renal artery bypass
is still an option.
434
00:29:29,059 --> 00:29:30,603
It's too risky.
435
00:29:30,603 --> 00:29:32,104
So is sepsis.
436
00:29:33,689 --> 00:29:36,817
Thank you, doctor,
but I'll settle for being alive.
437
00:29:37,401 --> 00:29:38,527
You shouldn't.
438
00:29:40,279 --> 00:29:42,031
You deserve more than that.
439
00:29:42,907 --> 00:29:45,993
I know you've had a whole life
of feeling sick and stuck
440
00:29:45,993 --> 00:29:48,412
and repeating the same old bad patterns.
441
00:29:48,537 --> 00:29:51,707
But your past does not have
to tell your future where to go.
442
00:29:55,419 --> 00:29:59,423
You can choose a different path,
and who you're going to be on it.
443
00:30:01,383 --> 00:30:03,928
And let your daughter do the same.
444
00:30:08,557 --> 00:30:10,559
Prague is beautiful in the spring.
445
00:30:47,846 --> 00:30:51,141
We've scheduled a shunt placement
for this afternoon.
446
00:30:52,059 --> 00:30:56,939
- And that whole speech last night?
- I stand by it, but it's your decision.
447
00:31:02,278 --> 00:31:05,322
I've been waiting
for the old me to come back.
448
00:31:09,535 --> 00:31:11,870
and that person may not exist anymore.
449
00:31:14,039 --> 00:31:14,915
And...
450
00:31:17,668 --> 00:31:19,962
maybe I should be okay with that.
451
00:31:25,175 --> 00:31:26,760
Do the Tet repair.
452
00:31:41,483 --> 00:31:43,319
Releasing the proximal clamp.
453
00:31:45,321 --> 00:31:47,281
What made Daphne change her mind?
454
00:31:47,573 --> 00:31:50,492
Dr. Allen has a way
of getting through to people.
455
00:31:54,705 --> 00:31:58,000
Blood flow looks obstructed.
There's a kink in the graft.
456
00:31:59,668 --> 00:32:02,671
We could redo it.
But most likely it happens again.
457
00:32:05,591 --> 00:32:08,844
We could anchor the bypass
off of the aorta instead.
458
00:32:09,887 --> 00:32:12,181
At that angle, less chance of a kink.
459
00:32:14,933 --> 00:32:15,976
That could work.
460
00:32:28,197 --> 00:32:30,574
- Extending the incision.
- Sternal saw.
461
00:32:35,245 --> 00:32:36,830
Starting the sternotomy.
462
00:32:38,666 --> 00:32:41,418
O2 dropped to 78. Sixty-five.
463
00:32:41,418 --> 00:32:43,003
She's having a Tet spell.
464
00:32:43,003 --> 00:32:45,714
Give her 500cc fluid bolus
and 100% oxygen,
465
00:32:46,090 --> 00:32:48,842
Giving a mini-bolus
to increase pulmonary flow.
466
00:32:51,762 --> 00:32:55,099
Oxygen sat's on 50. Forty-five.
467
00:32:55,099 --> 00:32:56,725
Come on, come on.
468
00:32:59,061 --> 00:33:01,730
{\an8}Give her more oxygen and up the opiates.
469
00:33:02,439 --> 00:33:04,316
It has stopped registering.
470
00:33:22,251 --> 00:33:23,669
O2 is rising.
471
00:33:25,629 --> 00:33:27,381
Heart rate's stabilizing.
472
00:33:30,342 --> 00:33:32,678
She was in prolonged gross hypoxia.
473
00:33:33,178 --> 00:33:35,806
That could extend cognitive deficits.
474
00:33:37,391 --> 00:33:38,308
or worse.
475
00:33:38,434 --> 00:33:40,436
We won't know until she wakes.
476
00:33:40,561 --> 00:33:43,731
Let's get her on bypass
before she has another one.
477
00:33:45,774 --> 00:33:46,817
Okay.
478
00:33:48,068 --> 00:33:50,362
To a successful renal artery bypass.
479
00:33:50,362 --> 00:33:54,950
Cheers. Facilitated by a moving speech
from a wise and persuasive surgeon.
480
00:33:54,950 --> 00:33:57,953
With a great surgical save by a guy
481
00:33:57,953 --> 00:34:00,998
who's about to have
some life changing tacos.
482
00:34:00,998 --> 00:34:01,999
Okay.
483
00:34:06,128 --> 00:34:09,173
Oh, my God. Okay, this is amazing.
484
00:34:09,173 --> 00:34:12,593
- It's amazing.
- Told you. Blue. Corn. Tortilla.
485
00:34:13,218 --> 00:34:14,720
I could get used to this.
486
00:34:18,432 --> 00:34:19,975
You have some lettuce.
487
00:34:19,975 --> 00:34:22,936
Here. No, mirror image.
488
00:34:24,104 --> 00:34:25,481
- Now?
- No.
489
00:34:25,606 --> 00:34:26,857
No laughing.
490
00:34:26,857 --> 00:34:30,068
No. Right. Very serious matter.
491
00:34:34,239 --> 00:34:35,741
Here, let me.
492
00:34:36,700 --> 00:34:39,328
There. Just.
493
00:34:51,715 --> 00:34:53,258
We should go.
494
00:34:54,051 --> 00:34:55,052
Yeah.
495
00:34:55,052 --> 00:34:58,180
We need to get back early
for Daphne post-op.
496
00:34:58,305 --> 00:34:59,348
Yeah, right.
497
00:35:09,858 --> 00:35:13,278
The bypass went smoothly
and post-op labs look good.
498
00:35:13,278 --> 00:35:14,947
We expect a full recovery.
499
00:35:15,864 --> 00:35:17,241
How are you feeling, Mom?
500
00:35:18,951 --> 00:35:22,996
I am breathing.
501
00:35:23,747 --> 00:35:26,375
Kind of feels like
the first time in my life.
502
00:35:27,668 --> 00:35:31,505
The post-op swelling
from the tonsillectomy has gone down.
503
00:35:31,839 --> 00:35:34,299
You're finally breathing
without any obstruction.
504
00:35:34,299 --> 00:35:36,426
You need to stay on top
of your medications
505
00:35:36,426 --> 00:35:39,179
and follow-up visits,
observe some dietary guidelines.
506
00:35:39,179 --> 00:35:41,890
But the discharge plan lays it all out.
507
00:35:43,016 --> 00:35:44,518
I'll be there to help, Mom.
508
00:35:47,479 --> 00:35:48,605
No.
509
00:35:50,440 --> 00:35:51,567
You won't.
510
00:35:56,029 --> 00:35:58,156
You need to live your own life.
511
00:36:01,577 --> 00:36:04,663
But I will accept FaceTime calls.
512
00:36:06,039 --> 00:36:10,669
And once I recover, I'll come visit.
513
00:36:15,048 --> 00:36:17,718
I hear that Prague
is beautiful in the spring.
514
00:36:21,597 --> 00:36:23,265
It sounds like a plan.
515
00:36:34,735 --> 00:36:37,237
Things not go well with Glassy?
516
00:36:37,237 --> 00:36:39,281
He returned the files with a note
517
00:36:39,281 --> 00:36:42,743
saying he did not look at them
and does not intend to.
518
00:36:42,743 --> 00:36:44,161
I'm sorry.
519
00:36:44,161 --> 00:36:47,164
It probably was a mistake
to leave them for him to read.
520
00:36:47,164 --> 00:36:51,168
I'll reorder the files and go to
his office to review with him.
521
00:36:51,168 --> 00:36:53,086
He doesn't want to see them.
522
00:36:53,086 --> 00:36:55,505
But he doesn't know
about the new evidence.
523
00:36:55,505 --> 00:36:57,257
Maybe he doesn't want to know.
524
00:36:57,257 --> 00:37:00,427
Cancer survivors have to live
with an uncertainty--
525
00:37:00,427 --> 00:37:02,930
Knowing is better than not knowing.
526
00:37:05,057 --> 00:37:09,061
If he's not ready to look at this,
you can't force him.
527
00:37:10,520 --> 00:37:16,026
Maybe he's scared, Shaun.
And I think maybe you're scared, too.
528
00:37:17,653 --> 00:37:19,780
We're about to have a baby.
529
00:37:20,238 --> 00:37:21,740
You're about to be a dad.
530
00:37:22,574 --> 00:37:27,162
And I think you're worried about family
and Glassman is a part of that.
531
00:37:28,330 --> 00:37:31,625
But if you keep pushing,
you risk damaging
532
00:37:31,625 --> 00:37:34,878
one of the most important relationships
in your life.
533
00:37:48,558 --> 00:37:49,851
- Hey.
- Hey.
534
00:37:53,146 --> 00:37:56,858
I've been thinking, and I need a break
from our coffees.
535
00:37:56,858 --> 00:37:58,110
Dalisay.
536
00:37:58,235 --> 00:38:00,570
I don't think dinner's
a good idea, either.
537
00:38:00,570 --> 00:38:03,782
So we have a different point of view
about hospital business.
538
00:38:03,782 --> 00:38:06,118
That doesn't change
the way I feel about you.
539
00:38:06,118 --> 00:38:08,620
On or off the clock, I'm the same person.
540
00:38:09,037 --> 00:38:11,873
To me, if you don't value
what the nurses do,
541
00:38:11,873 --> 00:38:16,586
enough to treat us like a resource
to invest in, not a line item to be cut.
542
00:38:17,713 --> 00:38:19,548
How much can you care about me?
543
00:38:20,966 --> 00:38:24,970
And to be honest,
if that is your point of view,
544
00:38:27,431 --> 00:38:30,308
it undercuts the respect I have for you.
545
00:38:40,777 --> 00:38:46,241
Harper Louise Decrane, March 30th, 1994.
546
00:38:46,616 --> 00:38:48,535
And do you know why you're here?
547
00:38:49,494 --> 00:38:51,163
For my heart issues.
548
00:38:53,707 --> 00:38:55,333
I had another Tet spell, didn't I?
549
00:38:56,460 --> 00:39:00,297
We'll need to conduct more tests.
But your speech and memory seem intact,
550
00:39:00,297 --> 00:39:03,592
and with regard to your heart,
we expect a full recovery.
551
00:39:03,592 --> 00:39:07,512
And with time, you may recover
your full cognitive abilities as well.
552
00:39:08,055 --> 00:39:09,014
Maybe.
553
00:39:10,557 --> 00:39:14,686
But for now,
I'll just focus on being here.
554
00:39:30,285 --> 00:39:34,456
"It's the greening of the trees
that really gets to me.
555
00:39:36,124 --> 00:39:38,877
When all the shock of white and taffy
556
00:39:38,877 --> 00:39:42,297
leave the pavement strewn
with the confetti of aftermath,
557
00:39:44,174 --> 00:39:45,801
the leaves come.
558
00:39:46,593 --> 00:39:48,762
patient, plodding.
559
00:39:50,013 --> 00:39:53,809
a green skin growing over
whatever winter did to us.
560
00:39:55,811 --> 00:39:59,564
a return to the strange idea
of continuous living,
561
00:39:59,898 --> 00:40:03,276
despite the mess of us,
the hurt, the empty."
562
00:40:04,236 --> 00:40:05,612
Shaun, what?
563
00:40:06,571 --> 00:40:09,866
Lea thinks that because I am going
to be a dad,
564
00:40:10,617 --> 00:40:12,577
I am worried about my family.
565
00:40:14,663 --> 00:40:15,914
Okay.
566
00:40:15,914 --> 00:40:18,917
She also thinks you are scared.
567
00:40:20,335 --> 00:40:21,878
I'm not scared, Shaun. I'm fine.
568
00:40:21,878 --> 00:40:25,799
She says if you don't want to do the scan,
I should let it go.
569
00:40:29,386 --> 00:40:30,595
She...
570
00:40:32,848 --> 00:40:34,224
is right.
571
00:40:36,101 --> 00:40:37,686
Good. Thank you.
572
00:40:39,771 --> 00:40:41,231
I am scared.
573
00:40:54,828 --> 00:40:56,037
Dr. Glassman.
574
00:41:00,667 --> 00:41:04,212
I am asking you to do the scan.
575
00:41:05,755 --> 00:41:06,923
Because...
576
00:41:08,633 --> 00:41:11,970
the data and the evidence are sound.
577
00:41:17,809 --> 00:41:18,977
And because...
578
00:41:26,651 --> 00:41:30,989
it would be hard to lose my father
just as I am about to become one.
579
00:41:38,872 --> 00:41:40,457
Do the scan for me.
580
00:41:52,552 --> 00:41:55,055
Shaun, I'll do the scan.
581
00:42:13,657 --> 00:42:15,492
"'Fine, then, I'll take it,'
582
00:42:15,951 --> 00:42:21,164
the tree seems to say. A new slick leaf
unfurling like a fist to an open pond.
583
00:42:22,123 --> 00:42:23,416
'I'll take it all.'"
44983
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