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These are the user uploaded subtitles that are being translated: 1 00:00:02,836 --> 00:00:04,963 Grasp is good, 2 00:00:04,963 --> 00:00:08,634 but Steve’s not gaining weight quite as quickly as I’d like. 3 00:00:08,634 --> 00:00:11,136 I’m feeding him every 2 to 3 hours during the day, 4 00:00:11,136 --> 00:00:13,263 every 3 to 4 at night. 5 00:00:13,263 --> 00:00:15,849 And pumping in between to increase milk production. 6 00:00:15,849 --> 00:00:17,434 Well, I’m going to recommend you start supplementing 7 00:00:17,434 --> 00:00:18,936 with formula. 8 00:00:18,936 --> 00:00:21,146 But everyone says "breast is best"? 9 00:00:21,146 --> 00:00:22,314 Dr. Hyland: Breast milk is the ideal. 10 00:00:22,314 --> 00:00:24,608 Right now, Steve just needs a little extra. 11 00:00:24,608 --> 00:00:26,902 Some samples to get you started. 12 00:00:26,902 --> 00:00:29,947 This is an excellent product, and it will make it easier 13 00:00:29,947 --> 00:00:32,574 for me to do more nighttime feedings. 14 00:00:32,574 --> 00:00:35,410 Yeah. 15 00:00:38,705 --> 00:00:40,374 I thought being co-presidents 16 00:00:40,374 --> 00:00:42,501 meant we would do things together. 17 00:00:44,544 --> 00:00:50,300 I was aiming for... you do some things and I do some things. 18 00:00:50,300 --> 00:00:53,428 Funny how your "some things" leads to more work for me. 19 00:00:53,428 --> 00:00:55,180 I have no idea what you’re talking about. 20 00:00:55,180 --> 00:00:58,725 [ Scoffs ] The affiliation deal with San José Med School? 21 00:00:58,725 --> 00:01:01,937 We had to cover the overages because the nurses unionized. 22 00:01:01,937 --> 00:01:03,814 In exchange, we teach a few med students. 23 00:01:03,814 --> 00:01:05,941 [ Scoffs ] You won’t be teaching anyone. 24 00:01:05,941 --> 00:01:07,609 I will have the useless baby docs 25 00:01:07,609 --> 00:01:09,319 wandering around the department 26 00:01:09,319 --> 00:01:11,071 like lost children with scalpels. [ Elevator bell dings ] 27 00:01:11,071 --> 00:01:13,031 We made a good deal. 28 00:01:13,031 --> 00:01:15,701 That’s it. It’s a good deal. 29 00:01:15,701 --> 00:01:31,300 ♪ 30 00:01:31,300 --> 00:01:32,884 Kalu: We should go introduce ourselves. 31 00:01:32,884 --> 00:01:37,097 No, they are baby ducklings, and I will not be their mommy. 32 00:01:37,097 --> 00:01:40,517 Let them imprint on Shaun and Park. 33 00:01:40,517 --> 00:01:42,352 Hi! 34 00:01:42,352 --> 00:01:43,645 Byeee. 35 00:01:43,645 --> 00:01:50,902 ♪ 36 00:01:50,902 --> 00:01:52,738 Park: Hi, I’m Dr. Park. This is Doctor-- 37 00:01:52,738 --> 00:01:54,364 Dr. Shaun Murphy. 38 00:01:54,364 --> 00:01:56,408 I-- I can’t believe it’s really you. 39 00:01:56,408 --> 00:01:58,327 I’m just so excited, I’m about to pee myself. 40 00:01:58,327 --> 00:01:59,786 Please do not. 41 00:01:59,786 --> 00:02:01,830 Of course not. You're-- You’re not a shaker. 42 00:02:01,830 --> 00:02:03,665 There was a March 2012 abstract 43 00:02:03,665 --> 00:02:05,584 that demonstrated a reluctance to shake hands 44 00:02:05,584 --> 00:02:07,461 could be used as a diagnostic marker for ASD. 45 00:02:07,461 --> 00:02:08,962 But I love a good, firm grip. 46 00:02:08,962 --> 00:02:10,047 That’s why they call it a spectrum. 47 00:02:10,047 --> 00:02:12,507 We could shake. 48 00:02:12,507 --> 00:02:14,092 That’s not very firm. 49 00:02:14,092 --> 00:02:16,136 Okay. That’s better. I’m Charlotte Lukaitis. 50 00:02:16,136 --> 00:02:19,139 Nice to meet you, Charlotte. I go by "Charlie" for now, "Dr. Lukaitis" soon. 51 00:02:19,139 --> 00:02:20,349 Only two years away from my goal, 52 00:02:20,349 --> 00:02:21,850 which I’ve had since I was 17, 53 00:02:21,850 --> 00:02:23,560 ever since I saw that viral video of you saving 54 00:02:23,560 --> 00:02:26,396 that boy at the San José Airport using a homemade one-way valve. 55 00:02:26,396 --> 00:02:28,523 It was the coolest, most heroic thing 56 00:02:28,523 --> 00:02:29,983 I’ve ever seen from a person with ASD. 57 00:02:29,983 --> 00:02:31,777 It was very heroic. 58 00:02:31,777 --> 00:02:33,070 I picked San José for medical school 59 00:02:33,070 --> 00:02:34,529 hoping to engineer a run-in with you, 60 00:02:34,529 --> 00:02:35,989 but then your hospital partnered with my school, 61 00:02:35,989 --> 00:02:37,115 and it’s like what Taylor Swift says in "Mastermind"-- 62 00:02:37,115 --> 00:02:38,700 [ Whispers ] Charlie. 63 00:02:38,700 --> 00:02:42,496 [ Chuckles ] Dom helps me when I, you know, talk too much. 64 00:02:42,496 --> 00:02:44,373 [ Normal voice ] Hi, I'm Dominick Hubank. 65 00:02:44,373 --> 00:02:46,041 And we’re happy to have such eager future doctors 66 00:02:46,041 --> 00:02:47,417 joining the team. 67 00:02:47,417 --> 00:02:50,170 Future surgeon. I don’t want to be a surgeon, 68 00:02:50,170 --> 00:02:52,172 but I’m excited for the rotation. 69 00:02:52,172 --> 00:02:55,634 Okay. Charlie, you are on my team. 70 00:02:55,634 --> 00:02:56,593 [ High-pitched voice ] Yes! 71 00:02:56,593 --> 00:03:01,014 ♪ 72 00:03:01,014 --> 00:03:03,934 Captions by VITAC-- 73 00:03:03,934 --> 00:03:11,191 ♪ 74 00:03:11,191 --> 00:03:12,692 Would you like to present? 75 00:03:12,692 --> 00:03:14,236 I’d love to. 76 00:03:15,737 --> 00:03:18,240 Richard Shelford, 53-- 77 00:03:18,240 --> 00:03:20,409 Call me Rich. Not that I’m wealthy. 78 00:03:20,409 --> 00:03:22,911 Right, Rich Shelford, 53 years old-- 79 00:03:22,911 --> 00:03:25,038 Don’t feel a day over 52. 80 00:03:25,038 --> 00:03:26,248 That’s funny. [ Chuckles ] 81 00:03:26,248 --> 00:03:28,542 Okay. This is taking too long. 82 00:03:28,542 --> 00:03:30,627 Please tell us what happened. 83 00:03:30,627 --> 00:03:33,088 He was coughing so hard he couldn’t catch his breath, 84 00:03:33,088 --> 00:03:35,757 and then he fainted and hit his head. 85 00:03:35,757 --> 00:03:37,342 Cough syncope. 86 00:03:37,342 --> 00:03:39,428 He’s thinner and way more tired 87 00:03:39,428 --> 00:03:42,514 than the last time he visited me. Yeah, but I’m fine. 88 00:03:42,514 --> 00:03:44,099 It's just a little cold. 89 00:03:44,099 --> 00:03:46,226 You could barely breathe, Dad. 90 00:03:46,226 --> 00:03:48,437 Um, chest X-ray shows multiple lung nodules 91 00:03:48,437 --> 00:03:50,147 and enlarged lymph nodes in the hilar 92 00:03:50,147 --> 00:03:51,523 and mediastinal areas. 93 00:03:51,523 --> 00:03:53,442 Get an ABG, CBC, perform a bronchoscopy, 94 00:03:53,442 --> 00:03:55,110 and send biopsies to path. 95 00:03:55,110 --> 00:03:57,446 Can you apply a wound dressing using the Turban Technique? 96 00:03:57,446 --> 00:03:58,947 I sure can. 97 00:03:59,990 --> 00:04:02,159 [ Coughs ] 98 00:04:02,159 --> 00:04:03,743 Hey, uh [Clears throat] how long 99 00:04:03,743 --> 00:04:05,370 until we could get out of here? 100 00:04:05,370 --> 00:04:07,747 My daughter, she took some time off work to show me around. 101 00:04:07,747 --> 00:04:09,374 She’s got her own business. 102 00:04:09,374 --> 00:04:11,626 Works as a tech consultant for a few companies around the Valley. 103 00:04:11,626 --> 00:04:13,462 Dad. Let the man brag. 104 00:04:13,462 --> 00:04:15,964 It’s every proud father’s right. Yeah. 105 00:04:15,964 --> 00:04:18,717 Hold this, please. Oh. 106 00:04:18,717 --> 00:04:20,302 [ Clears throat ] 107 00:04:20,302 --> 00:04:22,762 Man: Basic Turban Technique for head bandaging. 108 00:04:22,762 --> 00:04:26,349 Step one, tie the ends of two bandages together in a knot. 109 00:04:26,349 --> 00:04:28,268 Step two, starting from one ear... 110 00:04:28,268 --> 00:04:30,020 The patient was a good sport about it, 111 00:04:30,020 --> 00:04:31,480 but his daughter was not happy. 112 00:04:31,480 --> 00:04:33,774 A wound dressing is very low stakes. 113 00:04:33,774 --> 00:04:36,443 Did Charlie do a bad job following the tutorial? 114 00:04:36,443 --> 00:04:39,237 Uh, no. Actually, the dressing was pretty decent. 115 00:04:39,237 --> 00:04:41,114 But the point is, the patient’s family were uncomfortable. 116 00:04:44,618 --> 00:04:45,994 I think someone should tell her 117 00:04:45,994 --> 00:04:48,747 no more how-to videos in front of patients. 118 00:04:48,747 --> 00:04:51,082 Oh. You can if you want. 119 00:04:55,337 --> 00:04:57,380 We were able to repair your skull fracture 120 00:04:57,380 --> 00:04:59,216 and evacuate a large subdural hematoma. 121 00:04:59,216 --> 00:05:01,218 Lucky day. Is there a Wi-Fi password? 122 00:05:01,218 --> 00:05:03,595 I need to get League Pass in here. 123 00:05:03,595 --> 00:05:05,347 Uh, the accident report says 124 00:05:05,347 --> 00:05:07,891 that you stepped right in front of an oncoming car. 125 00:05:07,891 --> 00:05:10,477 I just didn’t see it. Big day today. 126 00:05:10,477 --> 00:05:13,063 I got the Clips and the points, the money line, and the over. 127 00:05:13,063 --> 00:05:14,940 And it’s the last leg of a six-team parlay 128 00:05:14,940 --> 00:05:16,233 that I need to come through. 129 00:05:16,233 --> 00:05:17,734 That's a lot of action. 130 00:05:17,734 --> 00:05:21,071 Well, having some skin in the game makes life more fun. 131 00:05:22,739 --> 00:05:27,661 Hey, you’re The Dominator. 132 00:05:27,661 --> 00:05:31,164 Uh, just "Dom" now. My football days are behind me. 133 00:05:31,164 --> 00:05:33,041 That pancake block you had against Stanford? 134 00:05:33,041 --> 00:05:34,834 Cleared the way for that 75-yard run? 135 00:05:34,834 --> 00:05:37,254 Made me 10 grand, that one play! 136 00:05:37,254 --> 00:05:38,755 Why aren’t you in the league? 137 00:05:38,755 --> 00:05:41,591 Decided I wanted to help people instead of hurt them. 138 00:05:41,591 --> 00:05:43,593 Okay, let’s draw blood for post-op hematocrit. 139 00:05:43,593 --> 00:05:46,137 Once the brain swelling comes down, you can go. 140 00:05:48,848 --> 00:05:50,976 Have you done a blood draw yet? 141 00:05:50,976 --> 00:05:52,602 It’s my first day out of the classroom. 142 00:05:52,602 --> 00:05:54,646 5 bucks he gets an A. 143 00:05:54,646 --> 00:05:55,730 No. 144 00:05:57,691 --> 00:05:59,526 [ Cellphone chiming ] 145 00:05:59,526 --> 00:06:03,113 Alright. You’re going to palpate for a vein. 146 00:06:03,113 --> 00:06:05,782 Oh, and remember, when introducing the needle, 147 00:06:05,782 --> 00:06:09,703 always bevel up and insert the tube into the vacutainer. 148 00:06:09,703 --> 00:06:13,707 And you just passed phlebotomy 101. 149 00:06:13,707 --> 00:06:15,500 Oh, God. 150 00:06:15,500 --> 00:06:16,918 [ Thud ] 151 00:06:19,337 --> 00:06:21,882 You could be up five right now. 152 00:06:21,882 --> 00:06:23,967 [ Laughing ] He went down. 153 00:06:23,967 --> 00:06:25,969 I mean, hard. 154 00:06:25,969 --> 00:06:28,179 Frontal and parietal lobes look clear. 155 00:06:29,598 --> 00:06:31,433 Dom: [ Sighs ] I’m sorry. 156 00:06:31,433 --> 00:06:34,269 I did deadlifts and squats this morning. 157 00:06:34,269 --> 00:06:35,687 Didn’t have time to eat breakfast. 158 00:06:35,687 --> 00:06:37,272 Feeling okay now? 159 00:06:37,272 --> 00:06:39,649 My ego took a hit, but I’ll be okay. 160 00:06:40,942 --> 00:06:43,987 Whoa! Is that our patient’s brain? 161 00:06:43,987 --> 00:06:46,781 Mm. You just passed anatomy 101. 162 00:06:46,781 --> 00:06:48,408 [ Chuckles ] Which part's the front? 163 00:06:48,408 --> 00:06:49,701 Oh, spoke too soon. 164 00:06:49,701 --> 00:06:51,077 This is the axial plane, 165 00:06:51,077 --> 00:06:52,245 which means we’re looking down from the top. 166 00:06:53,872 --> 00:06:55,498 [ Computer beeps ] 167 00:06:55,498 --> 00:06:57,083 These are the temporal and occipital lobes here. 168 00:06:57,083 --> 00:06:58,793 Also clear. How can you tell? 169 00:06:58,793 --> 00:07:00,587 We injected gadolinium, which leaks out 170 00:07:00,587 --> 00:07:02,047 around the areas of injury 171 00:07:02,047 --> 00:07:04,716 and makes them show up brighter on the scan. 172 00:07:04,716 --> 00:07:06,509 Like that? 173 00:07:08,470 --> 00:07:12,098 Yeah. Like that. 174 00:07:12,098 --> 00:07:13,350 That’s a tumor, 175 00:07:13,350 --> 00:07:15,477 completely interwoven with his brain stem 176 00:07:15,477 --> 00:07:18,897 and cranial nerves and extending to his upper spinal cord. 177 00:07:18,897 --> 00:07:21,399 I guess we know why he didn’t see that car. 178 00:07:21,399 --> 00:07:25,528 ♪ 179 00:07:25,528 --> 00:07:27,656 Charlie: You are descending through the larynx 180 00:07:27,656 --> 00:07:30,158 to the trachea and onto the carina. 181 00:07:30,158 --> 00:07:32,327 Nicely identified. Thank you. 182 00:07:32,327 --> 00:07:34,954 Positive affirmations are empowering for people with ASD. 183 00:07:34,954 --> 00:07:36,581 "My autism is awesome." 184 00:07:36,581 --> 00:07:39,876 Onto the bronchi and bronchioles. 185 00:07:39,876 --> 00:07:42,712 I use Taylor Swift mnemonics. Do you guys do that, too? 186 00:07:42,712 --> 00:07:44,964 No. I do. 187 00:07:44,964 --> 00:07:46,591 I wonder if ours are the same. 188 00:07:46,591 --> 00:07:47,842 Basic airway anatomy-- 189 00:07:47,842 --> 00:07:49,844 L, T, C, B, B. 190 00:07:49,844 --> 00:07:53,556 "Lover," "Treacherous," "Cardigan," "Babe," and "Bejeweled." 191 00:07:53,556 --> 00:07:56,059 I used "Bad Blood" for both bronchi and bronchioles. 192 00:07:56,059 --> 00:07:57,102 Two for one. 193 00:07:57,102 --> 00:07:59,562 Mm. He knows one song. 194 00:08:00,689 --> 00:08:02,774 ♪ 195 00:08:02,774 --> 00:08:07,904 Look at the patches on the bronchial mucosa. 196 00:08:07,904 --> 00:08:11,866 There’s a luminal narrowing from the enlarged lymph nodes. 197 00:08:11,866 --> 00:08:14,077 This definitely isn’t pneumonia. 198 00:08:14,077 --> 00:08:16,579 Cool. My first medical mystery. 199 00:08:16,579 --> 00:08:18,581 Can I page Dr. Murphy? 200 00:08:18,581 --> 00:08:21,584 ♪ 201 00:08:24,254 --> 00:08:26,673 Did you ever cut quartz countertops? 202 00:08:28,133 --> 00:08:30,093 [ Chuckles ] 203 00:08:30,093 --> 00:08:34,639 Yeah, I started off in a fabrication shop. 204 00:08:34,639 --> 00:08:36,057 How’d you know that? 205 00:08:36,057 --> 00:08:38,184 Cutting quartz produces toxic fine-dust particles 206 00:08:38,184 --> 00:08:40,687 that have embedded in your airway and lungs. 207 00:08:40,687 --> 00:08:42,897 You have silicosis. 208 00:08:42,897 --> 00:08:45,191 It’s like watching a magic trick. 209 00:08:45,191 --> 00:08:49,237 Uh, my doc said it was just a recurring pneumonia. 210 00:08:49,237 --> 00:08:51,489 Silicosis can often be misdiagnosed 211 00:08:51,489 --> 00:08:53,074 until it’s too late. 212 00:08:53,074 --> 00:08:55,577 You will need a bilateral lung transplant. 213 00:08:57,954 --> 00:09:00,331 He needs new lungs? Yes. 214 00:09:00,331 --> 00:09:02,375 With your declining respiratory function 215 00:09:02,375 --> 00:09:03,668 and extensive damage, 216 00:09:03,668 --> 00:09:05,670 you should be prioritized for transplant. 217 00:09:05,670 --> 00:09:10,508 But you will need full-time home care for the rest of your life. 218 00:09:10,508 --> 00:09:13,511 But I live alone, back in Florida. 219 00:09:13,511 --> 00:09:16,890 Dad, one step at a time. 220 00:09:16,890 --> 00:09:19,100 I think you should get the surgery here, 221 00:09:19,100 --> 00:09:20,268 then move in with me. 222 00:09:20,268 --> 00:09:22,187 I can’t do that. Of course you can. 223 00:09:22,187 --> 00:09:23,772 Your career has just taken off. 224 00:09:23,772 --> 00:09:25,064 I’m not gonna burden you. 225 00:09:25,064 --> 00:09:28,443 It’s not a burden. You’re my dad. 226 00:09:28,443 --> 00:09:31,738 You peeled my oranges and coached my soccer team. 227 00:09:31,738 --> 00:09:34,991 Then you put me through college and business school. 228 00:09:34,991 --> 00:09:37,160 Let me take care of you. 229 00:09:37,160 --> 00:09:44,250 ♪ 230 00:09:44,250 --> 00:09:46,461 Someone raised his girl right. 231 00:09:46,461 --> 00:09:49,756 ♪ 232 00:09:49,756 --> 00:09:51,341 Shaun: Okay. 233 00:09:51,341 --> 00:09:54,177 We will call a transplant coordinator. 234 00:09:57,514 --> 00:09:58,807 Where’s Steve? 235 00:09:58,807 --> 00:10:00,391 Down the hall, flirting with the nurses. 236 00:10:00,391 --> 00:10:02,727 I need you to write me a prescription for domperidone. 237 00:10:02,727 --> 00:10:04,312 It increases breast milk production. 238 00:10:04,312 --> 00:10:06,147 All the mom message boards say so. 239 00:10:06,147 --> 00:10:08,525 It is not approved as a lactation aid anywhere. 240 00:10:08,525 --> 00:10:10,401 Doctors in Canada and Mexico are using it off-label. 241 00:10:10,401 --> 00:10:12,278 Does Steve not like the formula 242 00:10:12,278 --> 00:10:13,613 Dr. Hyland recommended? 243 00:10:13,613 --> 00:10:15,031 I don’t like it, Shaun. 244 00:10:15,031 --> 00:10:17,909 I feel like-- I feel like a failure as a mom. 245 00:10:17,909 --> 00:10:20,954 But you are not a failure. 246 00:10:20,954 --> 00:10:23,581 You are following all the recommended guidelines. 247 00:10:23,581 --> 00:10:25,166 In fact, the only guideline you’re not following 248 00:10:25,166 --> 00:10:27,418 is supplementing with formula as advised. 249 00:10:27,418 --> 00:10:29,838 [ Sighs ] 250 00:10:29,838 --> 00:10:31,673 Shaun... 251 00:10:31,673 --> 00:10:34,759 I’ve been wanting to be a mom for so long, 252 00:10:34,759 --> 00:10:38,721 and part of that is my body is supposed to give Steve 253 00:10:38,721 --> 00:10:42,058 everything he needs, and mine won’t. 254 00:10:42,058 --> 00:10:43,601 And I hate it. 255 00:10:47,313 --> 00:10:48,314 [ Knock on door ] 256 00:10:48,314 --> 00:10:50,483 Come in. 257 00:10:50,483 --> 00:10:52,235 Good. You’re both here. 258 00:10:52,235 --> 00:10:54,154 An invite to Baby Eden's Sip and See. 259 00:10:54,154 --> 00:10:55,530 So everyone can officially meet her 260 00:10:55,530 --> 00:10:58,199 in a cute dress instead of a hospital gown. 261 00:10:58,199 --> 00:11:00,702 Is Dr. Glassman going? I think so. 262 00:11:00,702 --> 00:11:02,954 Then I do not want to go. 263 00:11:02,954 --> 00:11:04,789 I thought you and Glassy had worked things out. 264 00:11:04,789 --> 00:11:06,749 He took Steve the other night. 265 00:11:06,749 --> 00:11:08,877 Hmm. Who cares if he’s there? 266 00:11:08,877 --> 00:11:10,837 As long as you and that gorgeous baby make it. 267 00:11:10,837 --> 00:11:12,714 Wouldn't miss it. 268 00:11:12,714 --> 00:11:14,007 Isn’t being a mom great? 269 00:11:14,007 --> 00:11:16,301 The greatest. 270 00:11:16,301 --> 00:11:18,678 You just said you feel like a failure. 271 00:11:18,678 --> 00:11:20,722 I think that is because of a postpartum decrease 272 00:11:20,722 --> 00:11:23,558 in estrogen and progesterone. 273 00:11:23,558 --> 00:11:25,393 Did you just call me hormonal? 274 00:11:25,393 --> 00:11:28,188 No, actually reduced hormonal. Okay, Shaun. 275 00:11:28,188 --> 00:11:30,315 Time to go. This is my office. 276 00:11:30,315 --> 00:11:32,025 Let’s not have it be your gravesite. 277 00:11:38,406 --> 00:11:41,326 Huh. There’s gotta be something you can do. 278 00:11:41,326 --> 00:11:42,702 We can’t safely remove the tumor 279 00:11:42,702 --> 00:11:45,163 without permanent injury to your brain stem. 280 00:11:45,163 --> 00:11:46,956 If you survive the surgery at all. 281 00:11:48,917 --> 00:11:51,544 I’m sorry. I know it’s a lot to take in. 282 00:11:51,544 --> 00:11:53,838 But there's-- there’s new technology all the time. 283 00:11:53,838 --> 00:11:55,673 Nadal's back with the stem cells, 284 00:11:55,673 --> 00:11:57,091 and Bartolo Colón-- 285 00:11:57,091 --> 00:11:58,635 Experimental treatments on athletes' 286 00:11:58,635 --> 00:12:00,428 orthopedic injuries are completely different 287 00:12:00,428 --> 00:12:01,804 than brain surgery. 288 00:12:01,804 --> 00:12:03,848 C-Could you remove some of the tumor? 289 00:12:03,848 --> 00:12:06,851 Buy me more time? How about chemo? 290 00:12:06,851 --> 00:12:08,978 This type of cancer doesn’t respond to chemo. 291 00:12:08,978 --> 00:12:10,563 We did read a paper in class 292 00:12:10,563 --> 00:12:12,899 about a TCR approach. Could that be something? 293 00:12:12,899 --> 00:12:14,150 That was only done a few times, 294 00:12:14,150 --> 00:12:15,443 and never with brain stem involvement. 295 00:12:15,443 --> 00:12:16,986 TCR. 296 00:12:16,986 --> 00:12:18,655 It's my new favorite letters. 297 00:12:18,655 --> 00:12:20,615 Whatever they stand for, let’s do that. 298 00:12:20,615 --> 00:12:26,287 ♪ 299 00:12:26,287 --> 00:12:29,666 TCR means we would saw up through your mandible 300 00:12:29,666 --> 00:12:32,168 and dislocate your lower jaw. 301 00:12:32,168 --> 00:12:34,003 Then we cut open from the roof of your mouth 302 00:12:34,003 --> 00:12:37,090 to the back of your throat-- that’s just to access the tumor. 303 00:12:37,090 --> 00:12:39,717 That tumor is woven into your brain stem. 304 00:12:39,717 --> 00:12:42,387 Removing it would very likely leave you quadriplegic, 305 00:12:42,387 --> 00:12:47,433 unable to speak or move, if you survive the surgery. 306 00:12:47,433 --> 00:12:51,145 Okay. Maybe it’s not my favorite. 307 00:12:51,145 --> 00:12:53,064 But let’s try. 308 00:12:55,066 --> 00:12:58,987 Sal, you should enjoy your remaining time. 309 00:12:58,987 --> 00:13:02,156 Travel. Connect with family. 310 00:13:02,156 --> 00:13:08,830 ♪ 311 00:13:08,830 --> 00:13:10,498 Who am I gonna connect with? 312 00:13:13,292 --> 00:13:15,545 Wife kicked me out when I gambled away 313 00:13:15,545 --> 00:13:19,590 the kids' college fund. 314 00:13:19,590 --> 00:13:22,343 None of them have talked to me for years. 315 00:13:22,343 --> 00:13:27,557 ♪ 316 00:13:27,557 --> 00:13:30,893 I got a break coming my way. 317 00:13:30,893 --> 00:13:33,229 I can feel it. 318 00:13:33,229 --> 00:13:40,194 ♪ 319 00:13:43,531 --> 00:13:45,033 We’ve got our annual presentation 320 00:13:45,033 --> 00:13:46,409 to the managed care companies. 321 00:13:46,409 --> 00:13:48,286 They want detailed reports on patient outcomes 322 00:13:48,286 --> 00:13:49,954 for diabetes, geriatrics-- 323 00:13:49,954 --> 00:13:51,289 That’s great. Schedule that for never. 324 00:13:51,289 --> 00:13:52,749 No, I’ve set it for tomorrow at 9:00. 325 00:13:52,749 --> 00:13:54,083 That’s the wrong answer. 326 00:13:54,083 --> 00:13:56,502 Unfortunately, I have back-to-back surgeries. 327 00:13:56,502 --> 00:13:59,255 Thank goodness I have a partner to do the things I can’t. 328 00:13:59,255 --> 00:14:04,218 ♪ 329 00:14:04,218 --> 00:14:06,304 [ Siren wailing in distance ] 330 00:14:08,181 --> 00:14:09,474 Oh. 331 00:14:10,808 --> 00:14:12,393 You know, med students are allowed to eat 332 00:14:12,393 --> 00:14:14,228 with the residents. I find the sound of people chewing 333 00:14:14,228 --> 00:14:16,105 to be unsettling. 334 00:14:22,361 --> 00:14:24,822 Well, if you want some guidance and you don’t mind 335 00:14:24,822 --> 00:14:26,824 the sound of sipping noises, 336 00:14:26,824 --> 00:14:29,160 Jordan and I can take you for coffee. 337 00:14:29,160 --> 00:14:35,833 [ Imitating Marilyn Monroe ] ♪ Happy Birthday, Dear Daddy ♪ 338 00:14:35,833 --> 00:14:37,376 Ha-- [ Gasps ] 339 00:14:37,376 --> 00:14:40,129 Uh, baby, let me call you right back. 340 00:14:40,129 --> 00:14:41,464 [ Cellphone clicks ] 341 00:14:43,216 --> 00:14:44,759 Where did you get your bra? 342 00:14:44,759 --> 00:14:47,595 I’ve always been intrigued by lace. Is it okay? 343 00:14:47,595 --> 00:14:50,681 Kind of busy right now. Can we talk upstairs later? 344 00:14:50,681 --> 00:14:53,476 What are you doing? Just talking to a friend. 345 00:14:53,476 --> 00:14:56,395 You called him "Daddy," but your dad’s upstairs. 346 00:14:56,395 --> 00:14:59,649 [ Scoffs ] He’s a client, a regular. 347 00:14:59,649 --> 00:15:02,235 He paid me five grand for a last-minute session. 348 00:15:02,235 --> 00:15:04,570 Lucky for me, he’s into exhibitionism. 349 00:15:04,570 --> 00:15:05,822 Five grand? That’s more than I made 350 00:15:05,822 --> 00:15:08,282 a whole month waitressing, including tips. 351 00:15:08,282 --> 00:15:10,535 Do people tip sex workers? 352 00:15:10,535 --> 00:15:12,954 Charlie, this isn’t any of our business, so... 353 00:15:12,954 --> 00:15:14,664 Plenty of people know what I do. 354 00:15:14,664 --> 00:15:17,792 Just not my actual father. 355 00:15:17,792 --> 00:15:19,919 Please, you cannot say anything to him. 356 00:15:19,919 --> 00:15:22,672 Of course not. [ Cellphone dings ] 357 00:15:22,672 --> 00:15:25,174 Ah. Good news. 358 00:15:25,174 --> 00:15:27,135 Donor lungs just became available. 359 00:15:27,135 --> 00:15:29,345 "Happy birthday, Daddy," indeed. 360 00:15:29,345 --> 00:15:33,683 ♪ 361 00:15:37,562 --> 00:15:39,856 The donor's upstairs on life support. 362 00:15:39,856 --> 00:15:41,732 His family is ready to withdraw care. 363 00:15:41,732 --> 00:15:43,317 We’ll take you for some additional testing, 364 00:15:43,317 --> 00:15:45,278 but the transplant could happen as soon as tomorrow. 365 00:15:45,278 --> 00:15:47,155 Rich: Wow. You’ll need a bedroom on the ground floor 366 00:15:47,155 --> 00:15:49,323 and an easily accessible bathroom. 367 00:15:49,323 --> 00:15:50,908 I can convert my office. 368 00:15:50,908 --> 00:15:53,578 As long as you have privacy elsewhere for your work. 369 00:15:53,578 --> 00:15:54,996 Whoa, whoa, whoa. [ Chuckles ] 370 00:15:54,996 --> 00:15:56,622 Why'd you say "work" like that? 371 00:15:56,622 --> 00:16:00,126 I mean, how much privacy do you need for tech consultations? 372 00:16:01,544 --> 00:16:04,088 Charlie’s speech pattern can be a bit unusual. 373 00:16:04,088 --> 00:16:05,381 Her autism is awesome. 374 00:16:05,381 --> 00:16:08,176 Thank you. Don’t mention it. Really. 375 00:16:08,176 --> 00:16:10,303 Do not. Love you, Daddy. 376 00:16:10,303 --> 00:16:12,597 So many daddies, so little time. 377 00:16:12,597 --> 00:16:15,433 Whoa, whoa. 378 00:16:15,433 --> 00:16:18,644 What does that mean? Uh, Dad, nothing. 379 00:16:18,644 --> 00:16:21,564 I’m not asking you. I’m asking her. 380 00:16:21,564 --> 00:16:24,692 ♪ 381 00:16:24,692 --> 00:16:26,402 Saying "observe" isn’t enough. 382 00:16:26,402 --> 00:16:28,279 You need to tell them, "Don’t speak." 383 00:16:28,279 --> 00:16:31,157 I realize that now. So does The Dominator. 384 00:16:32,241 --> 00:16:34,619 What are your thoughts about the TCR? 385 00:16:34,619 --> 00:16:35,870 You’re considering the surgery? 386 00:16:35,870 --> 00:16:36,871 It’s either that or do nothing 387 00:16:36,871 --> 00:16:38,623 and Sal is dead in a year. 388 00:16:38,623 --> 00:16:41,709 A year is a year. You’re not his executioner. 389 00:16:41,709 --> 00:16:42,960 So you wouldn’t do it? 390 00:16:42,960 --> 00:16:45,504 No, I’m not making this decision for you. 391 00:16:45,504 --> 00:16:48,591 You’re an attending now. Your surgery, your call. 392 00:16:52,011 --> 00:16:53,596 [ Clattering ] 393 00:16:57,642 --> 00:16:59,101 What are you doing? 394 00:16:59,101 --> 00:17:00,937 Work order says deliver them here. 395 00:17:00,937 --> 00:17:02,313 Signed by the president. 396 00:17:06,567 --> 00:17:08,778 Co... president. 397 00:17:11,489 --> 00:17:12,907 Kalu: Once Rich’s questions picked up speed, 398 00:17:12,907 --> 00:17:15,493 it wasn’t long before Charlie mentioned "sex worker." 399 00:17:15,493 --> 00:17:17,078 Shortly thereafter, he banned Grace from the room 400 00:17:17,078 --> 00:17:19,372 and called off the surgery. 401 00:17:19,372 --> 00:17:23,626 Okay. His oxygen saturation is decreasing. 402 00:17:23,626 --> 00:17:26,045 He is profoundly hypoxic. Rich needs new lungs now. 403 00:17:26,045 --> 00:17:27,213 I told him that. 404 00:17:27,213 --> 00:17:28,589 He booked a flight back to Florida. 405 00:17:28,589 --> 00:17:29,924 Said he’ll get on the transplant list there. 406 00:17:29,924 --> 00:17:32,468 No, no, no. His lungs cannot handle transport. 407 00:17:32,468 --> 00:17:34,428 Charlie’s mistake is endangering our patient’s health. 408 00:17:34,428 --> 00:17:36,264 Our patient is doing that all on his own. 409 00:17:36,264 --> 00:17:38,015 But Rich would not be upset 410 00:17:38,015 --> 00:17:39,809 if Charlie had not revealed-- She didn't violate 411 00:17:39,809 --> 00:17:41,060 any HIPAA laws. 412 00:17:41,060 --> 00:17:42,436 The only thing she did wrong 413 00:17:42,436 --> 00:17:43,896 was not keep Grace’s secret life a secret. 414 00:17:43,896 --> 00:17:46,482 Which kind of sounds 415 00:17:46,482 --> 00:17:50,152 like something you might have done back in your first year. 416 00:17:50,152 --> 00:17:51,445 Hmm. 417 00:17:54,156 --> 00:17:57,034 Our patient needs a bilateral whole-lung lavage 418 00:17:57,034 --> 00:17:58,703 in order to get home safely. 419 00:17:58,703 --> 00:18:01,038 Please get his consent. 420 00:18:01,038 --> 00:18:03,207 Charlie can do scut work. 421 00:18:05,626 --> 00:18:07,336 Park: Dissecting the tumor from the ventral surface 422 00:18:07,336 --> 00:18:08,713 of the pons and cranial nerves. 423 00:18:08,713 --> 00:18:10,256 [ Device beeping ] 424 00:18:10,256 --> 00:18:12,049 [ Sighs ] 425 00:18:12,049 --> 00:18:14,635 Applied too much pressure. Bleeder. 426 00:18:14,635 --> 00:18:17,263 Oh, God. What? Dom, it’s not even real. 427 00:18:17,263 --> 00:18:19,390 Oh, God. [ Thud ] 428 00:18:19,390 --> 00:18:21,058 Again? Again. 429 00:18:21,058 --> 00:18:22,018 [ Device beeping ] 430 00:18:23,728 --> 00:18:25,813 Have you eaten? 431 00:18:25,813 --> 00:18:28,858 Two double cheeseburgers, fries, coleslaw, cottage cheese, 432 00:18:28,858 --> 00:18:30,901 a pudding, and fruit salad. 433 00:18:33,112 --> 00:18:34,488 You know, hemophobia can make 434 00:18:34,488 --> 00:18:36,866 for a pretty rough surgical rotation. 435 00:18:36,866 --> 00:18:39,535 You got any idea how to get over it? 436 00:18:39,535 --> 00:18:41,245 I gotta. 437 00:18:41,245 --> 00:18:43,247 [ Chuckles ] My brother and I, we have this deal 438 00:18:43,247 --> 00:18:46,876 to become family docs, then move back home. 439 00:18:46,876 --> 00:18:51,797 When our mother got sick, we saw how lousy medical care can get. 440 00:18:51,797 --> 00:18:53,382 You could try exposure therapy, 441 00:18:53,382 --> 00:18:55,468 watch a few hours of blood draws. [ Gags ] 442 00:18:55,468 --> 00:18:57,428 Ooh, there’s a twist. 443 00:18:57,428 --> 00:18:58,846 You good? 444 00:18:58,846 --> 00:19:00,139 Okay. Just breathe. 445 00:19:00,139 --> 00:19:01,766 [ Gags ] 446 00:19:03,559 --> 00:19:05,186 [ Sighs ] 447 00:19:07,605 --> 00:19:09,190 [ Device beeping ] 448 00:19:10,483 --> 00:19:12,151 [ Beeping continues ] 449 00:19:12,151 --> 00:19:13,736 [ Sighs ] 450 00:19:13,736 --> 00:19:15,196 [ Device beeping continuously ] 451 00:19:16,572 --> 00:19:18,699 [ Sighs ] 452 00:19:18,699 --> 00:19:24,789 ♪ 453 00:19:24,789 --> 00:19:26,165 [ Device beeping ] 454 00:19:30,294 --> 00:19:32,421 [ Sighs deeply ] 455 00:19:32,421 --> 00:19:35,132 Shaun doesn’t like her? But she worships him. 456 00:19:35,132 --> 00:19:36,425 Charlie blabbed to the patient, 457 00:19:36,425 --> 00:19:38,344 blew up his double lung transplant. 458 00:19:38,344 --> 00:19:41,389 Double lumen endotracheal tubes and clamps. 459 00:19:41,389 --> 00:19:43,265 My guy did the same thing, but in reverse. 460 00:19:43,265 --> 00:19:44,934 Mentioned a virtually impossible surgery. 461 00:19:44,934 --> 00:19:46,268 Now the patient wants it. 462 00:19:46,268 --> 00:19:47,770 I think I actually saw smoke 463 00:19:47,770 --> 00:19:49,563 [Laughs] come out of Park's ears. 464 00:19:49,563 --> 00:19:51,649 Well, 20% of med school students don’t make it, 465 00:19:51,649 --> 00:19:53,526 and most of that happens during surgical rotation. 466 00:19:53,526 --> 00:19:55,820 I wonder which one of our ducklings goes first? 467 00:19:55,820 --> 00:19:57,279 10 bags of saline. 468 00:20:00,157 --> 00:20:02,743 Oh, you’re gonna need a cart. 469 00:20:02,743 --> 00:20:05,496 The big guy’s on a mission. I’ll take the girl. 470 00:20:05,496 --> 00:20:07,790 [ Gasps ] I’ve never said those words before. 471 00:20:07,790 --> 00:20:10,292 Done with my scut work. 472 00:20:10,292 --> 00:20:12,628 You guys need a cart. 473 00:20:12,628 --> 00:20:14,088 I’ll be right back. 474 00:20:14,088 --> 00:20:17,007 ♪ 475 00:20:21,262 --> 00:20:22,263 Hey. 476 00:20:24,807 --> 00:20:27,309 Are you not going to go to Morgan’s baby thing 477 00:20:27,309 --> 00:20:29,645 because I might be there? 478 00:20:29,645 --> 00:20:32,398 Yes. 479 00:20:32,398 --> 00:20:34,900 Well, that’s pretty dumb. 480 00:20:34,900 --> 00:20:37,528 Don’t you think it’s time we moved past this stuff? 481 00:20:37,528 --> 00:20:39,864 No. 482 00:20:39,864 --> 00:20:42,450 Well, I’m trying to. 483 00:20:42,450 --> 00:20:45,870 I’m the one who should be mad at you. 484 00:20:45,870 --> 00:20:49,457 You should have met Steve on the day he was born. 485 00:20:49,457 --> 00:20:52,042 Yes. I should have. I should have done that. 486 00:20:53,294 --> 00:20:56,922 I was pretty upset back then. 487 00:20:58,507 --> 00:21:01,260 You humiliated me, and I’m not a surgeon now 488 00:21:01,260 --> 00:21:04,680 partly because of you. 489 00:21:04,680 --> 00:21:06,307 Did you forget that? 490 00:21:09,852 --> 00:21:13,731 That is not an apology. 491 00:21:13,731 --> 00:21:21,906 ♪ 492 00:21:27,077 --> 00:21:30,873 Drained 9th liter of effluent. 493 00:21:30,873 --> 00:21:33,501 Left lung output is looking clearer. 494 00:21:33,501 --> 00:21:37,129 Did everyone look at Grace’s cam-girl site? 495 00:21:37,129 --> 00:21:39,590 What is she doing here? 496 00:21:39,590 --> 00:21:42,134 She was done with scut work. 497 00:21:42,134 --> 00:21:43,969 Infusing another liter of saline. 498 00:21:43,969 --> 00:21:47,223 Grace put herself online because she wants customers. 499 00:21:47,223 --> 00:21:48,599 I’m giving her what she wants. 500 00:21:48,599 --> 00:21:50,184 You actually subscribed? 501 00:21:50,184 --> 00:21:52,645 I am a feminist, and she’s very beautiful. 502 00:21:52,645 --> 00:21:54,730 Her site offers tasteful nude portraits, 503 00:21:54,730 --> 00:21:57,149 sensual shower videos, and gritty bondage. 504 00:21:57,149 --> 00:21:59,401 No amount of money is worth selling your body. 505 00:21:59,401 --> 00:22:02,112 Uh, $3.6 million a year might be. 506 00:22:02,112 --> 00:22:03,614 What about you, Dr. Murphy? 507 00:22:03,614 --> 00:22:06,075 How would you feel if your son ended up doing sex work? 508 00:22:09,453 --> 00:22:10,871 What if he ends up sick 509 00:22:10,871 --> 00:22:13,499 from cutting quartz countertops for a living? 510 00:22:13,499 --> 00:22:18,128 ♪ 511 00:22:18,128 --> 00:22:21,131 We can clear Rich to fly home. 512 00:22:21,131 --> 00:22:23,592 But I need to talk to him first. 513 00:22:27,471 --> 00:22:30,057 [ Footsteps in distance ] 514 00:22:36,856 --> 00:22:39,191 How long ago did she wake up? 515 00:22:39,191 --> 00:22:42,027 About an hour or so. I just fed her. 516 00:22:52,288 --> 00:22:53,998 [ Sniffles ] 517 00:22:57,585 --> 00:22:59,545 The patient wants to go for it, 518 00:22:59,545 --> 00:23:05,134 and there’s a non-zero chance it works. 519 00:23:05,134 --> 00:23:06,719 So do it. 520 00:23:06,719 --> 00:23:10,472 Only the best of the best could pull this off. 521 00:23:10,472 --> 00:23:12,141 And what if that’s you? 522 00:23:14,768 --> 00:23:16,729 I’ve been in the O.R. with you. 523 00:23:16,729 --> 00:23:18,355 I know your steadiness, 524 00:23:18,355 --> 00:23:21,775 your precision, your persistence. 525 00:23:21,775 --> 00:23:26,363 ♪ 526 00:23:26,363 --> 00:23:28,198 I believe you can do this. 527 00:23:28,198 --> 00:23:32,745 ♪ 528 00:23:32,745 --> 00:23:35,039 [ Eden babbling ] 529 00:23:35,039 --> 00:23:37,708 Maybe Eden should decide. 530 00:23:37,708 --> 00:23:39,460 She agrees with her mama. 531 00:23:39,460 --> 00:23:40,753 [ Babbling continues ] 532 00:23:40,753 --> 00:23:42,922 [ Chuckles, sniffles ] 533 00:23:42,922 --> 00:23:45,382 [ Inhales, exhales deeply ] 534 00:23:45,382 --> 00:23:50,846 ♪ 535 00:23:53,098 --> 00:23:55,434 You are able to fly home now. 536 00:23:57,853 --> 00:24:00,439 But you should listen to your daughter. 537 00:24:08,072 --> 00:24:11,992 Dad, please. 538 00:24:11,992 --> 00:24:13,827 Dr. Murphy says it’s very unlikely 539 00:24:13,827 --> 00:24:16,872 they’ll find another donor match before you die. 540 00:24:16,872 --> 00:24:20,751 Take the lungs. 541 00:24:20,751 --> 00:24:24,254 You don’t have to live with me. I’ll find a place for you. 542 00:24:26,840 --> 00:24:28,884 You have to stop what you’re doing. 543 00:24:31,804 --> 00:24:33,972 No. 544 00:24:33,972 --> 00:24:36,308 I like what I do. 545 00:24:36,308 --> 00:24:39,436 I’m successful, and I’m not hurting anyone. 546 00:24:39,436 --> 00:24:41,063 You’re hurting me. 547 00:24:41,063 --> 00:25:01,125 ♪ 548 00:25:01,125 --> 00:25:04,712 My son, Steve, is three weeks old. 549 00:25:06,422 --> 00:25:09,049 I have been thinking about what he might do when he gets older 550 00:25:09,049 --> 00:25:12,177 that I would not approve of. 551 00:25:14,388 --> 00:25:19,393 But I can’t imagine not wanting him in my life 552 00:25:19,393 --> 00:25:22,187 unless he was cruel or unkind to others. 553 00:25:24,064 --> 00:25:26,316 She is kind and generous. 554 00:25:26,316 --> 00:25:28,444 She loves you and wants to care for you. 555 00:25:28,444 --> 00:25:30,529 She seems like a very good person. 556 00:25:30,529 --> 00:25:35,409 ♪ 557 00:25:35,409 --> 00:25:37,619 You did raise Grace right. 558 00:25:37,619 --> 00:25:43,959 ♪ 559 00:25:52,217 --> 00:25:53,969 You’re a gambling addict who showed up here 560 00:25:53,969 --> 00:25:56,638 having already thrown everything away. 561 00:25:56,638 --> 00:25:58,474 The only way I do this surgery 562 00:25:58,474 --> 00:26:02,102 is if I know you’ll make better use of the extra time. 563 00:26:03,562 --> 00:26:05,981 This doesn’t seem ethical. It's not. 564 00:26:09,318 --> 00:26:12,279 Convince me you’ll lead a life worth saving. 565 00:26:20,704 --> 00:26:25,626 My name is Sal Zacharia, and I have a gambling addiction. 566 00:26:25,626 --> 00:26:29,713 I promise I will get treatment. 567 00:26:29,713 --> 00:26:31,131 And you’ll reach out to your ex-wife, 568 00:26:31,131 --> 00:26:32,382 try to reconnect with your family. 569 00:26:32,382 --> 00:26:35,135 How is this any business of yours? 570 00:26:40,682 --> 00:26:42,518 Tell me why I should believe you. 571 00:26:44,144 --> 00:26:50,651 ♪ 572 00:26:50,651 --> 00:26:54,196 Because I die if you don’t. 573 00:26:54,196 --> 00:27:00,410 ♪ 574 00:27:00,410 --> 00:27:02,663 I don’t wanna die. 575 00:27:02,663 --> 00:27:09,294 ♪ 576 00:27:09,294 --> 00:27:11,130 Let’s get prepped for surgery. 577 00:27:22,641 --> 00:27:26,311 Scrub your arms to three inches above the elbow. 578 00:27:26,311 --> 00:27:28,313 How did you get Rich to change his mind? 579 00:27:28,313 --> 00:27:31,024 Did you trick him? I related to him as a father. 580 00:27:31,024 --> 00:27:34,069 I have become very good at displaying empathy. 581 00:27:34,069 --> 00:27:36,446 Neurotypicals are weird. Yes, they are. 582 00:27:36,446 --> 00:27:39,533 Rinse your hands and arms from fingertips to elbows, 583 00:27:39,533 --> 00:27:41,785 one direction only. 584 00:27:41,785 --> 00:27:46,331 I am displaying empathy now, by allowing you into the O.R. 585 00:27:46,331 --> 00:27:48,667 You should be grateful I was able to fix the case. 586 00:27:48,667 --> 00:27:50,377 Hands up, and don’t touch anything. 587 00:27:55,382 --> 00:27:57,843 Charlie: My first time being gowned and gloved. 588 00:27:57,843 --> 00:27:59,636 Do we get to shave his chest? 589 00:27:59,636 --> 00:28:01,138 Nurse Villanueva: It was done in pre-op. 590 00:28:01,138 --> 00:28:03,181 Oh, I shave my own body hair, 591 00:28:03,181 --> 00:28:04,182 so I’m great at it. 592 00:28:04,182 --> 00:28:05,809 Not my chest, though. 593 00:28:05,809 --> 00:28:07,436 I mean, my underarms, my legs, my-- Kalu: Charlie-- 594 00:28:07,436 --> 00:28:09,897 Shaun: Okay. Please stop talking. 595 00:28:09,897 --> 00:28:13,191 I-I...was just trying to... 596 00:28:14,943 --> 00:28:18,488 You cannot touch your skin. 597 00:28:18,488 --> 00:28:21,074 I didn’t, I touched my earring. 598 00:28:21,074 --> 00:28:23,577 You can’t touch any non-sterile item. 599 00:28:27,122 --> 00:28:29,458 You’ve just contaminated the surgical field. 600 00:28:29,458 --> 00:28:30,834 You have to re-scrub in, 601 00:28:30,834 --> 00:28:33,503 and we have to re-drape everything. 602 00:28:33,503 --> 00:28:35,923 You’re speaking very loudly. Go read the literature 603 00:28:35,923 --> 00:28:38,258 on operating-room sterile technique. 604 00:28:38,258 --> 00:28:40,135 That won’t help. I’m an auditory learner. 605 00:28:40,135 --> 00:28:43,597 You need to leave. 606 00:28:43,597 --> 00:28:45,098 Okay? 607 00:28:45,098 --> 00:28:46,600 Leave now. 608 00:28:46,600 --> 00:28:50,395 ♪ 609 00:28:50,395 --> 00:28:51,772 [ Kalu sighs ] 610 00:28:53,899 --> 00:28:54,942 [ Knock on door ] 611 00:28:57,569 --> 00:28:58,946 That looks fun. 612 00:28:58,946 --> 00:29:01,406 [ Breast pump whirring ] 613 00:29:01,406 --> 00:29:04,159 Why did you e-mail "Will not attend"? 614 00:29:04,159 --> 00:29:05,702 You’re clearly skipping my baby’s party 615 00:29:05,702 --> 00:29:07,537 because you feel like a failure as a mom. 616 00:29:07,537 --> 00:29:08,997 But you’re not. And that’s stupid. 617 00:29:08,997 --> 00:29:10,374 And how can I help if you won’t just tell me 618 00:29:10,374 --> 00:29:12,167 that you’re having breastfeeding problems? 619 00:29:12,167 --> 00:29:14,503 Mm. I’m sorry. 620 00:29:14,503 --> 00:29:16,713 I feel like a jerk complaining to you about all of this. 621 00:29:16,713 --> 00:29:18,507 I know I’m lucky to breastfeed at all, 622 00:29:18,507 --> 00:29:22,219 and I am not being rational. 623 00:29:22,219 --> 00:29:24,930 You’re not the only one failing. 624 00:29:29,267 --> 00:29:32,270 When Eden cries during the night, 625 00:29:32,270 --> 00:29:34,815 Alex is the one who wakes up. 626 00:29:34,815 --> 00:29:36,024 Every time. 627 00:29:36,024 --> 00:29:38,110 During one of his overnight shifts, 628 00:29:38,110 --> 00:29:42,239 I slept through my own baby crying for almost 20 minutes. 629 00:29:42,239 --> 00:29:45,909 I mean, that’s actual neglect. 630 00:29:47,244 --> 00:29:49,162 Yeah, I’m pretty sure child protective services 631 00:29:49,162 --> 00:29:51,039 is downstairs. Shut up, raisin boobs. 632 00:29:51,039 --> 00:29:53,792 [ Laughs ] Mm. 633 00:29:54,918 --> 00:29:59,131 You are the greatest mom. 634 00:29:59,131 --> 00:30:01,174 Adopting a baby with Turner syndrome, 635 00:30:01,174 --> 00:30:02,843 caring for her after two heart surgeries, 636 00:30:02,843 --> 00:30:06,805 and somehow throwing a party while being so put together. 637 00:30:06,805 --> 00:30:08,640 And I use formula exclusively. 638 00:30:08,640 --> 00:30:14,271 ♪ 639 00:30:19,776 --> 00:30:23,280 Finally got the last box removed from my office. 640 00:30:23,280 --> 00:30:25,866 Space is a little tight. And yet, I found some. 641 00:30:25,866 --> 00:30:27,075 Well, that’s excellent use 642 00:30:27,075 --> 00:30:29,578 of your co-presidential powers. 643 00:30:29,578 --> 00:30:32,080 I owe you. Oh, my God, can we please stop? 644 00:30:32,080 --> 00:30:35,333 Can we-- Can we just have a truce? 645 00:30:35,333 --> 00:30:37,586 I’ll think about it. Please? 646 00:30:37,586 --> 00:30:38,920 I promise, from here on in, 647 00:30:38,920 --> 00:30:41,298 I will check in with all the big stuff. 648 00:30:41,298 --> 00:30:44,509 Okay? No more gotchas. 649 00:30:44,509 --> 00:30:46,386 All: Happy birthday! 650 00:30:48,263 --> 00:30:50,057 I sent the memo out this morning. 651 00:30:51,933 --> 00:30:53,185 80? 652 00:30:55,187 --> 00:30:57,898 You look really good for your age. 653 00:31:10,619 --> 00:31:12,412 [ Footsteps approaching ] 654 00:31:12,412 --> 00:31:14,164 I got booted out of my first surgery 655 00:31:14,164 --> 00:31:16,124 for contaminating the sterile field. 656 00:31:16,124 --> 00:31:17,417 I’m probably about to join you. 657 00:31:17,417 --> 00:31:19,586 I fainted twice at the sight of blood. 658 00:31:19,586 --> 00:31:21,088 I'm already sweating and seeing little black dots. 659 00:31:21,880 --> 00:31:24,883 What? Feel better? 660 00:31:24,883 --> 00:31:27,260 That activated your sympathetic nervous system. 661 00:31:27,260 --> 00:31:30,388 More blood flow means you won’t faint. 662 00:31:30,388 --> 00:31:32,307 Too bad I can’t do that to myself. 663 00:31:32,307 --> 00:31:34,601 Try snapping your glove against your wrist. 664 00:31:34,601 --> 00:31:39,439 ♪ 665 00:31:39,439 --> 00:31:42,067 [ Monitor beeping ] 666 00:31:53,870 --> 00:31:56,039 Alright. Let's cut. 667 00:31:56,039 --> 00:32:01,419 ♪ 668 00:32:01,419 --> 00:32:04,047 [ Saw whirring ] 669 00:32:04,047 --> 00:32:21,648 ♪ 670 00:32:21,648 --> 00:32:23,859 Stair-step mandibulotomy complete. 671 00:32:23,859 --> 00:32:26,820 Dr. Wolke, dissect to the floor of the mouth posteriorly, 672 00:32:26,820 --> 00:32:29,197 then swing the tongue medially and the mandible laterally. 673 00:32:31,449 --> 00:32:34,536 Transecting eustachian tube and elevating the pharynx 674 00:32:34,536 --> 00:32:36,121 off the longus colli muscles. 675 00:32:36,121 --> 00:32:37,247 [ Squelching ] 676 00:32:38,456 --> 00:32:41,543 We now have access to the upper cervical spine and clivus. 677 00:32:43,712 --> 00:32:45,505 Now comes the hard part. 678 00:32:45,505 --> 00:32:50,427 ♪ 679 00:32:50,427 --> 00:32:53,597 Bring the Fabricius robot in. Get the arms in position. 680 00:32:53,597 --> 00:32:56,349 Have the Rhoton dissector and ultrasonic aspirator ready. 681 00:32:56,349 --> 00:33:07,986 ♪ 682 00:33:12,908 --> 00:33:15,660 [ Monitor beeping ] 683 00:33:15,660 --> 00:33:20,540 ♪ 684 00:33:20,540 --> 00:33:23,335 Park: 25-degree angled Rhoton dissector. 685 00:33:23,335 --> 00:33:26,087 [ Beeping continues ] [ Machine whirring ] 686 00:33:26,087 --> 00:33:31,134 ♪ 687 00:33:31,134 --> 00:33:32,719 Dissecting a safe plane between the tumor 688 00:33:32,719 --> 00:33:35,305 and the ventral surface of the pons and cranial nerve. 689 00:33:35,305 --> 00:33:43,605 ♪ 690 00:33:43,605 --> 00:33:45,273 Final step. 691 00:33:45,273 --> 00:33:47,567 Too deep here and the guy's permanently paralyzed. 692 00:33:47,567 --> 00:34:19,474 ♪ 693 00:34:19,474 --> 00:34:20,976 All tumor's out. 694 00:34:26,189 --> 00:34:27,774 And heart is still beating. 695 00:34:30,819 --> 00:34:33,822 [ Applause ] 696 00:34:33,822 --> 00:34:51,256 ♪ 697 00:34:51,256 --> 00:34:52,257 [ Gagging ] 698 00:34:52,257 --> 00:34:53,675 I’m not okay. 699 00:34:53,675 --> 00:34:58,054 ♪ 700 00:35:03,393 --> 00:35:06,146 Grace: Dad. Hmm? 701 00:35:06,146 --> 00:35:10,150 Hey. Hey! You’re here. 702 00:35:10,150 --> 00:35:11,443 Of course. 703 00:35:14,279 --> 00:35:18,199 How do you feel? [ Breathes deeply ] 704 00:35:18,199 --> 00:35:21,578 Like I can breathe again. 705 00:35:21,578 --> 00:35:23,580 Good. 706 00:35:23,580 --> 00:35:26,791 I found a place that can help with your meals and medicine. 707 00:35:34,674 --> 00:35:37,636 You know, I-- I’d really like to stay with you. 708 00:35:40,555 --> 00:35:43,016 If the offer still stands. 709 00:35:46,811 --> 00:35:49,230 Of course it does. 710 00:35:49,230 --> 00:35:51,399 Yeah? Yeah. 711 00:35:51,399 --> 00:35:58,782 ♪ 712 00:35:58,782 --> 00:36:00,116 [ Smooches ] 713 00:36:00,116 --> 00:36:01,993 You’re a good person. 714 00:36:03,995 --> 00:36:06,581 [ Inhales, exhales deeply ] 715 00:36:06,581 --> 00:36:13,463 ♪ 716 00:36:18,426 --> 00:36:19,886 Hello. 717 00:36:19,886 --> 00:36:21,429 I would like a report on what you’ve learned 718 00:36:21,429 --> 00:36:23,765 from the sterile techniques manual. 719 00:36:23,765 --> 00:36:24,974 I’ll e-mail it. 720 00:36:24,974 --> 00:36:26,726 I’m reorganizing for peak efficiency. 721 00:36:26,726 --> 00:36:28,603 Making a great day greater. 722 00:36:28,603 --> 00:36:29,938 [ Chuckles ] 723 00:36:31,564 --> 00:36:34,150 No. Excuse me. Today was not a great day. 724 00:36:34,150 --> 00:36:35,777 Nor was yesterday. 725 00:36:35,777 --> 00:36:40,323 You made several big mistakes and dozens of small ones. 726 00:36:40,323 --> 00:36:42,784 My anatomy professor told us it’s okay to make mistakes-- 727 00:36:42,784 --> 00:36:44,702 that’s how we learn. 728 00:36:44,702 --> 00:36:49,416 Your professor is wrong. And so is this re-organization. 729 00:36:49,416 --> 00:36:52,710 I had everything in the proper place. 730 00:36:52,710 --> 00:36:55,255 Restore it, then go home. 731 00:36:55,255 --> 00:37:02,429 ♪ 732 00:37:02,429 --> 00:37:05,098 [ Cellphone clicking ] 733 00:37:11,438 --> 00:37:13,732 [ Sighs ] Looks like we both caught a break. 734 00:37:13,732 --> 00:37:15,150 Mm. 735 00:37:16,359 --> 00:37:17,777 Hmm. 736 00:37:19,696 --> 00:37:21,406 Is Janet your ex-wife? 737 00:37:23,616 --> 00:37:25,160 Nice. 738 00:37:25,160 --> 00:37:26,202 Looks like she’s pretty excited 739 00:37:26,202 --> 00:37:27,579 about you getting into treatment. 740 00:37:27,579 --> 00:37:29,581 Mm. 741 00:37:29,581 --> 00:37:30,790 [ Cellphone chimes ] 742 00:37:34,961 --> 00:37:38,047 And you got a confirmation for the bets you just placed. 743 00:37:40,341 --> 00:37:42,051 [ Grumbles ] 744 00:37:45,180 --> 00:37:47,557 [ Cellphone clicking ] 745 00:37:47,557 --> 00:37:49,017 [ Groans ] 746 00:37:49,017 --> 00:38:04,616 ♪ 747 00:38:04,616 --> 00:38:07,494 Good luck, Sal. [ Mumbles ] 748 00:38:07,494 --> 00:38:13,458 ♪ 749 00:38:13,458 --> 00:38:15,752 [ Sirens wailing in distance ] 750 00:38:15,752 --> 00:38:32,268 ♪ 751 00:38:32,268 --> 00:38:33,728 You okay? 752 00:38:34,938 --> 00:38:37,440 Dr. Murphy doesn’t appreciate efficient organization skills 753 00:38:37,440 --> 00:38:38,816 when he sees it. 754 00:38:41,945 --> 00:38:44,447 Hmm. [ Sucks teeth ] 755 00:38:44,447 --> 00:38:47,116 I do. That doesn’t matter very much. 756 00:38:47,116 --> 00:38:48,910 You’re not my hero. 757 00:38:55,792 --> 00:38:57,252 Sure about that? 758 00:38:59,212 --> 00:39:01,297 [ Taylor Swift's "Bejeweled" plays ] 759 00:39:01,297 --> 00:39:03,132 [ Singing ] ♪ Best believe I’m still bejeweled ♪ 760 00:39:03,132 --> 00:39:04,551 ♪ When I walk in the room ♪ 761 00:39:04,551 --> 00:39:07,428 ♪ I can still make the whole place shimmer ♪ 762 00:39:07,428 --> 00:39:08,846 ♪ And when I meet the band, they ask ♪ 763 00:39:08,846 --> 00:39:10,807 ♪ "Do you have a man?" ♪ 764 00:39:10,807 --> 00:39:13,268 ♪ I can still say, "I don’t remember" ♪ [ Laughs ] 765 00:39:13,268 --> 00:39:14,978 Both: ♪ Familiarity breeds contempt ♪ 766 00:39:14,978 --> 00:39:16,563 ♪ Don’t put me in the basement ♪ 767 00:39:16,563 --> 00:39:19,107 ♪ When I want the penthouse of your heart ♪ 768 00:39:19,107 --> 00:39:21,901 ♪ Diamonds in my eyes ♪ 769 00:39:21,901 --> 00:39:26,573 ♪ I polish up real, I polish up real nice ♪ 770 00:39:26,573 --> 00:39:29,367 [ Both laugh ] 771 00:39:29,367 --> 00:39:30,994 That’s that smile I like to see. Whoo! 772 00:39:30,994 --> 00:39:32,328 Taylor: ♪ Shimmer ♪ 773 00:39:35,832 --> 00:39:38,167 You’re so sweet. 774 00:39:40,253 --> 00:39:42,839 Morgan: Formula? You were right. 775 00:39:42,839 --> 00:39:45,758 No guilt, okay? I’m proud of you. 776 00:39:45,758 --> 00:39:49,220 Also, supplementing has advantages for Mama. 777 00:39:49,220 --> 00:39:52,765 Bless your dear, dear soul. 778 00:39:52,765 --> 00:39:54,058 [ Sighs deeply ] 779 00:39:59,147 --> 00:40:00,982 Because we’ve had a long couple of days 780 00:40:00,982 --> 00:40:02,609 with our new babies. 781 00:40:06,487 --> 00:40:09,574 My first med school rotation was oncology. 782 00:40:09,574 --> 00:40:11,701 I was doing patient intake, and I asked a woman 783 00:40:11,701 --> 00:40:14,412 if she’d been keeping up with her mammograms. 784 00:40:14,412 --> 00:40:16,289 It was a follow-up to a double mastectomy. 785 00:40:16,289 --> 00:40:17,707 [ Stifled laughter ] 786 00:40:17,707 --> 00:40:20,168 [ Laughter ] 787 00:40:20,168 --> 00:40:21,794 Mine was obstetrics. 788 00:40:21,794 --> 00:40:23,922 It was my first delivery, 789 00:40:23,922 --> 00:40:25,465 and the doctor handed me the newborn, 790 00:40:25,465 --> 00:40:28,593 and I said, "Ew," like, out loud. 791 00:40:28,593 --> 00:40:30,470 [ Laughter ] 792 00:40:30,470 --> 00:40:33,181 When I was in my first ever surgery, open heart, 793 00:40:33,181 --> 00:40:35,475 the attending asked me what the ACT was. 794 00:40:35,475 --> 00:40:38,561 I proudly said, "Activated clotting time." 795 00:40:38,561 --> 00:40:40,021 She said, "I know what it stands for. 796 00:40:40,021 --> 00:40:41,189 I need you to tell me the number." 797 00:40:41,189 --> 00:40:42,815 [ Laughter ] Wow. 798 00:40:42,815 --> 00:40:45,902 Mm-hmm. That attending could have thrown me out of the O.R. 799 00:40:45,902 --> 00:40:49,072 But she mentored me instead. 800 00:40:49,072 --> 00:40:50,406 Yeah. 801 00:40:52,033 --> 00:40:54,285 To taking care of our ducklings. 802 00:40:54,285 --> 00:40:55,703 Yeah. 803 00:41:06,756 --> 00:41:12,136 I have heard valid arguments both for and against sex work. 804 00:41:12,136 --> 00:41:13,554 Are you considering a career change? 805 00:41:13,554 --> 00:41:16,724 But it doesn’t matter. 806 00:41:16,724 --> 00:41:20,269 It is okay for family to disagree. 807 00:41:22,188 --> 00:41:24,982 Being a family who argues is more important 808 00:41:24,982 --> 00:41:27,110 than not being a family at all. 809 00:41:30,655 --> 00:41:34,492 I’m sorry it took me so long to meet you. 810 00:41:34,492 --> 00:41:37,704 I look forward to spending some more time together. 811 00:41:37,704 --> 00:41:39,455 Okay? 812 00:41:39,455 --> 00:41:41,582 ♪ ...to be alive ♪ 813 00:41:41,582 --> 00:41:43,960 He was saying that for me. 814 00:41:45,837 --> 00:41:47,755 Hi. 815 00:41:47,755 --> 00:41:51,884 ♪ And as long as that's true, we've got everything ♪ 816 00:41:51,884 --> 00:41:54,095 ♪ Fly away ♪ I got ya. 817 00:41:54,095 --> 00:41:56,347 ♪ I bet we could ♪ 818 00:41:56,347 --> 00:41:58,433 ♪ We got it good ♪ 819 00:42:01,352 --> 00:42:03,187 ♪ We got it good ♪ 820 00:42:07,066 --> 00:42:32,008 ♪ 821 00:42:32,258 --> 00:42:34,177 ♪ 822 00:42:36,596 --> 00:42:38,056 [ Man laughs ] 823 00:42:41,309 --> 00:42:42,977 ♪ 59549

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