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These are the user uploaded subtitles that are being translated: 1 00:00:00,727 --> 00:00:02,528 (ELEVATOR BELL DINGS) 2 00:00:04,313 --> 00:00:05,612 Very nice meeting you. 3 00:00:05,614 --> 00:00:09,282 (♪♪♪) 4 00:00:09,284 --> 00:00:13,053 So, who was that? 5 00:00:13,600 --> 00:00:14,899 A housekeeper. 6 00:00:14,924 --> 00:00:17,091 Leaving your place at 7:00 in the morning? 7 00:00:17,093 --> 00:00:18,492 I was interviewing her. 8 00:00:18,494 --> 00:00:20,649 You're hiring a housekeeper for a studio apartment? 9 00:00:20,696 --> 00:00:21,895 I'm not hiring her. 10 00:00:21,897 --> 00:00:23,397 Her clothes don't match. 11 00:00:23,399 --> 00:00:24,664 Right. 12 00:00:24,666 --> 00:00:25,932 Mm. 13 00:00:28,469 --> 00:00:30,470 You're such an asshat, Shaun Murphy. 14 00:00:30,472 --> 00:00:33,673 (♪♪♪) 15 00:00:33,675 --> 00:00:36,376 (DOOR OPENS) 16 00:00:36,378 --> 00:00:38,645 (DOOR CLOSES) 17 00:00:38,647 --> 00:00:41,081 Today we realize a dream... 18 00:00:41,083 --> 00:00:43,650 seeing our international humanitarian program 19 00:00:43,652 --> 00:00:44,885 come to fruition. 20 00:00:44,887 --> 00:00:48,088 Our cardiothoracic surgeon, Dr. Neil Melendez, 21 00:00:48,090 --> 00:00:52,626 in consultation with our head cardiologist, Dr. Avi Mehta, 22 00:00:52,628 --> 00:00:57,097 evaluated children from Tanzania to Malawi to Guinea. 23 00:00:57,099 --> 00:00:59,332 They screened over 100 candidates, 24 00:00:59,361 --> 00:01:01,445 each of them needing life-saving surgeries. 25 00:01:01,470 --> 00:01:04,404 Ultimately, we decided on a particularly inspiring young boy 26 00:01:04,406 --> 00:01:05,650 named Gabriel, 27 00:01:05,651 --> 00:01:08,285 who hails from the Democratic Republic of Congo, 28 00:01:08,310 --> 00:01:10,377 with severe congenital heart anomalies. 29 00:01:10,379 --> 00:01:12,646 (APPLAUSE) 30 00:01:12,648 --> 00:01:14,714 We identified three perfect candidates... 31 00:01:14,716 --> 00:01:16,216 - children I can actually help. - Hi. Thank you. 32 00:01:16,218 --> 00:01:18,251 - Gabriel wasn't one of them. - Yes and no. 33 00:01:18,253 --> 00:01:19,786 I signed off on your choices. 34 00:01:19,788 --> 00:01:21,588 But I wouldn't have necessarily eliminated Gabriel 35 00:01:21,590 --> 00:01:22,989 based on the echo I saw. 36 00:01:22,991 --> 00:01:24,491 A non-surgeon undermining a surgeon... 37 00:01:24,493 --> 00:01:26,359 on his selection of surgical candidates. 38 00:01:26,361 --> 00:01:29,329 It's healthy when colleagues challenge each others' decisions. 39 00:01:29,331 --> 00:01:30,430 It doesn't make any sense. 40 00:01:30,432 --> 00:01:31,698 We gave you good candidates. 41 00:01:31,723 --> 00:01:34,835 You're not a doctor. Why wouldn't you stick with the list? 42 00:01:34,837 --> 00:01:37,604 There were several intangibles. 43 00:01:37,606 --> 00:01:39,139 (♪♪♪) 44 00:01:39,141 --> 00:01:41,942 Can you say hi to Dr. Melendez? 45 00:01:41,944 --> 00:01:45,745 One of those intangibles, I'm guessing, is cuteness. 46 00:01:45,747 --> 00:01:47,581 (♪♪♪) 47 00:01:47,737 --> 00:01:53,118 Synced & corrected by kinglouisxx www.addic7ed.com 48 00:01:53,143 --> 00:01:57,691 (♪♪♪) 49 00:01:57,693 --> 00:01:59,860 Family displaced during the war. 50 00:01:59,862 --> 00:02:02,462 Mother took care of her husband until he died of yellow fever. 51 00:02:02,464 --> 00:02:04,235 He bled out at home. 52 00:02:04,433 --> 00:02:06,566 A month later, Gabriel was born. 53 00:02:09,670 --> 00:02:10,871 People tend to give more 54 00:02:10,873 --> 00:02:13,373 when the cause is not only noble, but photogenic, 55 00:02:13,375 --> 00:02:16,476 Adorable kids and sympathetic moms may work on donors, 56 00:02:16,478 --> 00:02:17,711 but they won't work on me, 57 00:02:17,713 --> 00:02:19,579 and they certainly won't work on echo results. 58 00:02:19,581 --> 00:02:21,381 Kinda working on me. 59 00:02:22,850 --> 00:02:26,153 Before you say no, at least do your own work-up. 60 00:02:32,627 --> 00:02:35,095 WINNIE: Mommy, why can't I come? 61 00:02:35,097 --> 00:02:37,764 The hospital's worried that children bring in germs. 62 00:02:37,766 --> 00:02:39,533 I won't, Mommy. I promise. 63 00:02:39,535 --> 00:02:42,335 I know, boo. It's just... It's the rules. 64 00:02:42,337 --> 00:02:44,004 Okay, baby. I have to go now. 65 00:02:44,006 --> 00:02:46,339 Do what Aunt Maggie says. I'll call you later, okay? 66 00:02:46,341 --> 00:02:47,774 I love you to the moon... 67 00:02:47,776 --> 00:02:49,155 And back. 68 00:02:49,188 --> 00:02:50,287 I can't imagine voice rest 69 00:02:50,312 --> 00:02:51,578 could be very easy with a 3-year-old. 70 00:02:51,580 --> 00:02:54,915 Yeah. Not very effective for my podcast audience either. 71 00:02:54,917 --> 00:02:56,983 Of which, by the way, I'm a huge fan. 72 00:02:56,985 --> 00:02:59,286 Grim irony, though, right? 73 00:02:59,288 --> 00:03:01,188 A podcaster who loses her voice. 74 00:03:01,190 --> 00:03:03,857 Elizabeth, I'm sure the nodule will be benign 75 00:03:03,859 --> 00:03:05,425 and this'll be nothing more than an inspiration 76 00:03:05,427 --> 00:03:06,593 for another great episode. 77 00:03:06,595 --> 00:03:08,495 If it's not benign, Isabel? 78 00:03:08,497 --> 00:03:09,701 Let's not get ahead of ourselves. 79 00:03:09,726 --> 00:03:11,431 Today we're just focused on removing the nodule 80 00:03:11,433 --> 00:03:12,499 and doing the biopsy. 81 00:03:12,501 --> 00:03:13,900 And you've done everything you could do. 82 00:03:13,902 --> 00:03:15,068 And when the hoarseness started, 83 00:03:15,070 --> 00:03:16,703 you sought early care from the best. 84 00:03:16,705 --> 00:03:17,737 And I sent you to the best. 85 00:03:17,739 --> 00:03:20,058 You work perfectly together, 86 00:03:20,085 --> 00:03:21,752 kind of ping and pong-ish. 87 00:03:21,777 --> 00:03:23,343 - (BOTH CHUCKLE) - CLAIRE: It's nice. 88 00:03:23,345 --> 00:03:24,811 A lot of doctors who are married 89 00:03:24,813 --> 00:03:26,413 are more like miss and match. 90 00:03:26,414 --> 00:03:27,591 (LAUGHS) 91 00:03:27,616 --> 00:03:31,084 Mrs. Bangura, this is Dr. Murphy and Dr. Kalu. 92 00:03:31,086 --> 00:03:33,019 They're gonna help me run some tests on Gabriel. 93 00:03:34,088 --> 00:03:35,422 JARED: I heard that you and Gabriel 94 00:03:35,424 --> 00:03:36,756 have never been away from home before. 95 00:03:36,758 --> 00:03:38,425 I was hoping that these would make him feel welcome. 96 00:03:38,427 --> 00:03:40,961 GEORGIETA: Yes. You are kind. 97 00:03:42,332 --> 00:03:45,106 I brought one for myself, too. 98 00:03:45,567 --> 00:03:48,101 Hey, how 'bout we all do some medicine? 99 00:03:50,471 --> 00:03:54,128 (WOMAN SPEAKING INDISTINCTLY ON P.A.) 100 00:03:54,153 --> 00:04:01,325 (♪♪♪) 101 00:04:01,350 --> 00:04:03,083 He really needs our help. 102 00:04:03,085 --> 00:04:09,522 (♪♪♪) 103 00:04:09,524 --> 00:04:11,191 "He needs our help"? 104 00:04:11,193 --> 00:04:13,526 He sounds like he's got a blow dryer in his chest. 105 00:04:13,528 --> 00:04:15,362 Exactly. Which is why he needs our help. 106 00:04:15,364 --> 00:04:16,730 This is the problem with cardiologists... 107 00:04:16,732 --> 00:04:17,931 You're really good at telling people 108 00:04:17,933 --> 00:04:19,199 when something's broken, 109 00:04:19,201 --> 00:04:20,800 not so good at knowing when they can't be fixed. 110 00:04:20,802 --> 00:04:22,535 If that kid is dying, I'm not gonna tell his mother that 111 00:04:22,537 --> 00:04:23,903 unless I'm damn sure. 112 00:04:23,905 --> 00:04:24,938 You heard that heart. 113 00:04:24,940 --> 00:04:25,972 I heard that heart. 114 00:04:25,974 --> 00:04:27,540 And it sounded like crap. 115 00:04:27,542 --> 00:04:29,476 But until we do a transesophageal echo, 116 00:04:29,478 --> 00:04:31,478 I don't know anything. 117 00:04:31,480 --> 00:04:39,019 (♪♪♪) 118 00:04:39,021 --> 00:04:41,187 Do a transesophageal echo. 119 00:04:41,189 --> 00:04:43,590 She has a master's degree in Sociology, 120 00:04:43,592 --> 00:04:46,026 impeccable credentials, excellent references, 121 00:04:46,028 --> 00:04:49,197 and you turned her away because "her clothes didn't match"? 122 00:04:49,222 --> 00:04:50,330 It's relevant. 123 00:04:50,332 --> 00:04:53,667 If a life-skills coach can't select a complementing wardrobe, 124 00:04:53,669 --> 00:04:55,001 they lack life skills. 125 00:04:55,003 --> 00:04:56,970 But she's not gonna pick out your clothes for you. 126 00:04:56,972 --> 00:04:58,338 She's not a nanny. 127 00:04:58,340 --> 00:05:00,895 She's there to help you with problem-solving, 128 00:05:00,919 --> 00:05:02,386 financial, social interactions. 129 00:05:02,411 --> 00:05:04,811 You're doing this because I did not react well 130 00:05:04,813 --> 00:05:06,846 to a man with a gun robbing a store I was in. 131 00:05:06,848 --> 00:05:08,982 Statistically, that is very unlikely 132 00:05:08,984 --> 00:05:10,223 to ever happen to me again. 133 00:05:10,248 --> 00:05:11,885 Social interactions 134 00:05:11,887 --> 00:05:14,054 will happen again and again and again. 135 00:05:14,056 --> 00:05:16,256 It's statistically irrefutable. 136 00:05:16,258 --> 00:05:17,957 And if you learn how to get along with people 137 00:05:17,959 --> 00:05:19,626 a little bit better, you'll have a fuller life. 138 00:05:19,628 --> 00:05:21,027 A happier life. 139 00:05:21,029 --> 00:05:23,430 If you don't like this woman, we'll find somebody else. 140 00:05:23,432 --> 00:05:24,464 I am happy. 141 00:05:24,466 --> 00:05:25,465 You could be happier. 142 00:05:25,467 --> 00:05:27,033 I don't think so. 143 00:05:28,369 --> 00:05:30,303 My neighbor, Lea. 144 00:05:30,305 --> 00:05:33,306 If she were ever in a fire, she'd be rescued first. 145 00:05:33,308 --> 00:05:34,674 Why's that? 146 00:05:34,676 --> 00:05:37,610 Dr. Melendez says attractive people have advantages. 147 00:05:37,612 --> 00:05:38,645 (LAUGHS) 148 00:05:38,647 --> 00:05:40,447 Dr. Melendez says that, does he? 149 00:05:40,449 --> 00:05:41,681 Why is that funny? 150 00:05:41,683 --> 00:05:43,149 I don't know. 151 00:05:43,151 --> 00:05:44,851 It's just, um, some people 152 00:05:44,853 --> 00:05:47,954 consider Dr. Melendez attractive. 153 00:05:47,956 --> 00:05:50,023 So, how's it going with Lea? 154 00:05:50,858 --> 00:05:52,792 She doesn't like me. 155 00:05:52,794 --> 00:05:54,794 CLAIRE: Why do you say that? 156 00:05:54,796 --> 00:05:58,163 - She said I was an asshat. - Yeah? 157 00:05:58,200 --> 00:06:00,033 What was she doing when she said that? 158 00:06:00,035 --> 00:06:03,036 Touching me. She was flirting with you. 159 00:06:03,038 --> 00:06:06,406 Sometimes people say the opposite of what they mean. 160 00:06:06,408 --> 00:06:09,209 Um, they use teasing as a way 161 00:06:09,211 --> 00:06:10,710 of saying something they don't mean 162 00:06:10,712 --> 00:06:12,712 instead of saying something that they do. 163 00:06:12,737 --> 00:06:15,606 I haven't seen any data on the use of antonyms 164 00:06:15,617 --> 00:06:16,916 as a flirting technique. 165 00:06:16,918 --> 00:06:19,958 Okay. Well, um, here's what to look for. 166 00:06:19,998 --> 00:06:21,365 - You ready? - Yes. 167 00:06:21,390 --> 00:06:23,356 Okay. The pretentious giggle. 168 00:06:23,358 --> 00:06:24,758 (GIGGLES) 169 00:06:24,760 --> 00:06:27,494 The, uh... the squirm. 170 00:06:27,496 --> 00:06:29,596 And the hair sweep. 171 00:06:29,598 --> 00:06:31,698 I call it the flirting trifecta. 172 00:06:31,700 --> 00:06:35,301 Hair scuffing is used in both animals and humans, Claire. 173 00:06:35,303 --> 00:06:38,104 Secreting glands are located in the scalp and fur. 174 00:06:38,106 --> 00:06:40,573 Scuffing sends hormones out into the environment 175 00:06:40,575 --> 00:06:43,552 to let a potential mate know they're interested. 176 00:06:43,779 --> 00:06:45,111 Or it could be ringworm. 177 00:06:45,982 --> 00:06:47,180 Yeah. 178 00:06:47,182 --> 00:06:49,516 I suppose you have to factor for that possibility. 179 00:06:52,319 --> 00:06:54,220 Nice touch. 180 00:06:54,222 --> 00:06:55,588 Beauty increases happiness. 181 00:06:55,590 --> 00:06:56,756 Happiness improves outlook. 182 00:06:56,758 --> 00:06:58,158 Still on Mission Carpe Diem. 183 00:06:58,160 --> 00:06:59,659 You might want to try it. 184 00:06:59,661 --> 00:07:00,627 I'm doing fine. 185 00:07:00,629 --> 00:07:02,061 We're having dinner at the sink. 186 00:07:02,063 --> 00:07:04,330 No, we're enjoying dinner at the sink. 187 00:07:04,332 --> 00:07:05,698 Although if you keep talking like that... 188 00:07:05,700 --> 00:07:07,500 - (CELLPHONE RINGING) - Mm. 189 00:07:09,003 --> 00:07:11,301 Andrews. 190 00:07:11,573 --> 00:07:13,535 Well, look again. It has to be there. 191 00:07:14,342 --> 00:07:15,875 Yeah. Okay. 192 00:07:17,445 --> 00:07:18,545 Who was that? 193 00:07:18,547 --> 00:07:19,846 The lab. 194 00:07:19,848 --> 00:07:22,048 They misplaced Elizabeth's specimen. 195 00:07:22,050 --> 00:07:23,750 - Oh, my God. - Don't worry. They'll find it. 196 00:07:23,752 --> 00:07:26,052 Satisfied? 197 00:07:26,054 --> 00:07:28,121 - It's somewhere. - Somewhere else. 198 00:07:28,123 --> 00:07:31,224 I love how everyone in surgery is so fast to blame the lab. 199 00:07:31,226 --> 00:07:32,759 Well, double-checking can't hurt. 200 00:07:32,761 --> 00:07:33,827 Actually it can. 201 00:07:33,829 --> 00:07:34,882 Because you are here 202 00:07:34,907 --> 00:07:36,440 when you should be double-checking surgery. 203 00:07:36,465 --> 00:07:38,832 I saw the specimen go in the container. 204 00:07:38,834 --> 00:07:40,200 It means it has to be here. 205 00:07:40,202 --> 00:07:43,036 No, all that means is that it was put in a container. 206 00:07:43,038 --> 00:07:44,237 It doesn't mean that that container... 207 00:07:44,239 --> 00:07:45,972 was actually put in the surgery refrigerator 208 00:07:45,974 --> 00:07:48,208 or that it was actually picked up by the courier. 209 00:07:48,210 --> 00:07:50,176 He's even worse than we thought. 210 00:07:50,178 --> 00:07:51,778 Yeah. 211 00:07:51,780 --> 00:07:54,214 Hypertrophic obstructive cardiomyopathy, 212 00:07:54,216 --> 00:07:55,815 atrial septal defect, 213 00:07:55,817 --> 00:07:58,351 abnormal insertion of the mitral valve leaflet. 214 00:07:58,353 --> 00:08:01,454 I've never seen so many anomalies in one heart. 215 00:08:04,525 --> 00:08:06,960 I'm sorry I pushed for additional testing. 216 00:08:06,962 --> 00:08:09,471 That only got his mother's hopes up. 217 00:08:10,532 --> 00:08:12,499 Any medication that'll help? 218 00:08:12,501 --> 00:08:14,267 Beta blockers. 219 00:08:14,269 --> 00:08:15,869 Maybe metoprolol. 220 00:08:15,871 --> 00:08:17,470 It's not like they'll get him playing soccer, 221 00:08:17,472 --> 00:08:19,539 but they might help him get to the field to watch. 222 00:08:19,541 --> 00:08:21,841 For a couple of years, anyway. 223 00:08:21,843 --> 00:08:25,022 Better than dying on a table tomorrow. 224 00:08:25,347 --> 00:08:27,714 You tell Aoki. 225 00:08:29,383 --> 00:08:31,317 I'll break it to the mom. 226 00:08:33,420 --> 00:08:34,887 (RHYTHMIC POUNDING) 227 00:08:36,334 --> 00:08:38,544 WOMAN ON P.A.: Dr. Lippman to plastic surgery. 228 00:08:38,570 --> 00:08:40,837 Dr. Lippman to plastic surgery. 229 00:08:40,862 --> 00:08:42,862 (POUNDING CONTINUES) 230 00:08:45,376 --> 00:08:48,211 (POUNDING CONTINUES) (MONITOR BEEPING) 231 00:08:48,213 --> 00:08:50,847 (♪♪♪) 232 00:08:50,849 --> 00:08:55,585 It's called sakara, given by our shaman. 233 00:08:57,821 --> 00:08:59,734 His heartbeat... 234 00:09:00,025 --> 00:09:02,392 it follows the sound. 235 00:09:02,481 --> 00:09:06,182 It reminds it to beat until you fix it. 236 00:09:06,207 --> 00:09:09,909 Mrs. Bangura, I've completed all the tests. 237 00:09:09,911 --> 00:09:11,577 And I'm sorry that you've come all this way... 238 00:09:11,579 --> 00:09:15,975 When Gabriel was in my belly, evil spirits came to him. 239 00:09:16,251 --> 00:09:18,051 Invade his heart. 240 00:09:18,202 --> 00:09:21,549 Our village shaman tried to rid them. 241 00:09:21,899 --> 00:09:24,073 He could not. 242 00:09:24,893 --> 00:09:28,130 Then a vision came to him. 243 00:09:28,229 --> 00:09:31,646 A stronger healer would come. 244 00:09:32,644 --> 00:09:34,514 You. 245 00:09:36,037 --> 00:09:38,971 You will save Gabriel. 246 00:09:41,175 --> 00:09:43,992 I don't know about evil spirits. 247 00:09:44,412 --> 00:09:46,879 All I know is that your son was born 248 00:09:46,881 --> 00:09:48,448 with a heart that I can't fix. 249 00:09:48,450 --> 00:09:49,615 I'm sorry. 250 00:09:49,617 --> 00:09:53,407 I would not have come so far if I did not believe. 251 00:09:57,524 --> 00:10:00,562 We'll give him medicine to make him feel better. 252 00:10:00,895 --> 00:10:02,969 And then you can take him home. 253 00:10:03,098 --> 00:10:13,139 (♪♪♪) 254 00:10:18,011 --> 00:10:21,013 (WOMAN SPEAKING INDISTINCTLY ON P.A.) 255 00:10:25,018 --> 00:10:26,552 CLAIRE: We tell her we're sorry, 256 00:10:26,554 --> 00:10:28,354 we have no news yet, and then... 257 00:10:28,356 --> 00:10:30,275 Nope. You can't say that. It's an expensive word. 258 00:10:30,302 --> 00:10:32,435 - "Sorry"? - You can act sorry. 259 00:10:32,460 --> 00:10:33,659 You can feel sorry. 260 00:10:33,661 --> 00:10:34,994 In fact, you should feel sorry. 261 00:10:34,996 --> 00:10:36,229 You just can't say it. 262 00:10:36,231 --> 00:10:38,131 Okay, uh, "I feel bad for you 263 00:10:38,133 --> 00:10:40,099 - because we made a mistake and..." - Nope. 264 00:10:40,101 --> 00:10:41,940 A mistake isn't a mistake? 265 00:10:41,965 --> 00:10:44,070 Well, it's "an unanticipated outcome 266 00:10:44,072 --> 00:10:45,571 of an expected action." 267 00:10:45,573 --> 00:10:48,040 You can't use language that implies blameworthy conduct. 268 00:10:48,042 --> 00:10:51,144 But if we did lose the specimen, isn't it actually a mistake, 269 00:10:51,146 --> 00:10:53,278 and aren't we sorry, and aren't we blameworthy? 270 00:10:53,302 --> 00:10:54,346 Yes. 271 00:10:54,371 --> 00:10:58,317 Doesn't mean we can make it any easier for her attorney. 272 00:10:58,319 --> 00:10:59,986 Hello, Elizabeth. 273 00:10:59,988 --> 00:11:02,455 I'm Jessica Preston from Risk Management. 274 00:11:02,457 --> 00:11:04,757 - How are you? - I don't like the sound of that. 275 00:11:04,759 --> 00:11:07,059 I know. I really need a new... a new job title. 276 00:11:07,061 --> 00:11:09,896 Seems that we've encountered an unexpected occurrence. 277 00:11:09,936 --> 00:11:11,207 The laboratory has been unable 278 00:11:11,232 --> 00:11:12,698 to locate your tissue specimen. 279 00:11:12,700 --> 00:11:15,201 We don't want you to be unnecessarily alarmed, 280 00:11:15,226 --> 00:11:17,547 but we want you to be fully aware of what's going on. 281 00:11:17,572 --> 00:11:20,740 But ho... How will I know if I have cancer 282 00:11:20,742 --> 00:11:21,874 if you don't find it? 283 00:11:21,876 --> 00:11:23,643 We are looking everywhere. 284 00:11:23,645 --> 00:11:24,810 We will find it. 285 00:11:24,812 --> 00:11:26,879 As long as it's in formalin or a refrigerator, 286 00:11:26,881 --> 00:11:27,914 everything will be fine. 287 00:11:27,916 --> 00:11:28,915 For how long? 288 00:11:28,917 --> 00:11:31,617 At least 24 hours. Maybe even 36. 289 00:11:33,554 --> 00:11:34,754 Well, then you better find it. 290 00:11:34,756 --> 00:11:36,923 (♪♪♪) 291 00:11:36,925 --> 00:11:38,257 Because I will be damned 292 00:11:38,259 --> 00:11:39,926 if I'm gonna have my voice box removed 293 00:11:39,928 --> 00:11:41,460 just because somebody screwed up. 294 00:11:41,462 --> 00:11:45,565 (♪♪♪) 295 00:11:45,567 --> 00:11:48,634 I've implemented a proactive educational plan. 296 00:11:48,636 --> 00:11:50,603 Well, that's terrific, Shaun. 297 00:11:54,841 --> 00:11:57,410 Why are we talking about that here? 298 00:11:57,412 --> 00:11:59,445 I'm not stupid. 299 00:11:59,447 --> 00:12:01,180 I didn't say you were stupid, Shaun. 300 00:12:01,182 --> 00:12:02,415 Nobody said you were stupid. 301 00:12:02,417 --> 00:12:03,916 But sometimes you lack common sense. 302 00:12:03,918 --> 00:12:07,876 - I'm so sorry to have bothered you. - This patient is deaf. 303 00:12:08,523 --> 00:12:10,056 Oh. 304 00:12:14,761 --> 00:12:18,231 I started flirting lessons yesterday. 305 00:12:18,233 --> 00:12:19,699 Flirting lessons. 306 00:12:19,701 --> 00:12:21,667 Wish they'd had that when I was young. 307 00:12:21,669 --> 00:12:25,137 Yes, I learned about the flirting trifecta. 308 00:12:25,139 --> 00:12:26,672 There's the pretentious giggle. 309 00:12:26,674 --> 00:12:28,541 Shaun, what are you getting at? 310 00:12:29,316 --> 00:12:30,598 Flirting, 311 00:12:31,112 --> 00:12:34,647 it requires primarily nonverbal interactions. 312 00:12:34,649 --> 00:12:37,005 Being perceptive in one social dimension 313 00:12:37,028 --> 00:12:39,128 translates well to other social skills. 314 00:12:39,153 --> 00:12:41,454 You're studying flirting. 315 00:12:41,456 --> 00:12:43,756 Are you lonely, Shaun? 316 00:12:43,758 --> 00:12:45,258 'Cause you know there are... 317 00:12:45,260 --> 00:12:47,526 There are websites now where you can... 318 00:12:47,528 --> 00:12:49,595 I like being alone. 319 00:12:49,597 --> 00:12:51,998 Yeah, well, being alone and being lonely 320 00:12:52,000 --> 00:12:53,299 are two different things. 321 00:12:53,301 --> 00:12:56,102 Sometimes we're lonely, and we don't even know it. 322 00:12:56,629 --> 00:12:59,543 How would I know it? 323 00:12:59,874 --> 00:13:02,975 Well, uh, loneliness, 324 00:13:02,977 --> 00:13:05,528 it's kind of a dull... 325 00:13:06,581 --> 00:13:07,680 It's like a dark... 326 00:13:07,682 --> 00:13:09,382 Are you lonely? 327 00:13:12,352 --> 00:13:15,261 Yeah, sometimes. 328 00:13:15,390 --> 00:13:17,957 You know, sometimes very much. 329 00:13:21,305 --> 00:13:23,273 You should learn the trifecta. 330 00:13:23,298 --> 00:13:30,436 (♪♪♪) 331 00:13:30,438 --> 00:13:32,104 Hey. Um, hey. 332 00:13:32,106 --> 00:13:33,439 We're looking for a lost specimen 333 00:13:33,441 --> 00:13:35,241 that I am positive left the O.R. 334 00:13:35,243 --> 00:13:36,809 And I'm positive it didn't make it to the lab. 335 00:13:36,811 --> 00:13:38,511 And since you're the link between the two, 336 00:13:38,513 --> 00:13:41,180 we wanted to ask you about your 3:00 run yesterday. 337 00:13:41,182 --> 00:13:42,515 So, you took everything 338 00:13:42,517 --> 00:13:44,317 that was in the refrigerator in the O.R.? 339 00:13:44,319 --> 00:13:46,052 In the refrigerator, out of the refrigerator. 340 00:13:46,054 --> 00:13:47,353 Everything that's meant to go, I took. 341 00:13:47,355 --> 00:13:49,155 - Did you stop on the way? - No. 342 00:13:49,157 --> 00:13:50,723 Straight from the surgery to the lab, 343 00:13:50,725 --> 00:13:51,824 just like the rules say. 344 00:13:51,826 --> 00:13:53,592 Well, did you stop at the restroom 345 00:13:53,594 --> 00:13:55,528 or the... the coffee machine, the cafeteria? 346 00:13:55,530 --> 00:13:57,396 You know, believe it or not, I can go a whole 30 minutes 347 00:13:57,398 --> 00:13:59,265 without stopping for a cream puff. 348 00:13:59,267 --> 00:14:00,299 We're just desperate. 349 00:14:00,301 --> 00:14:01,634 All we care about is the specimen 350 00:14:01,636 --> 00:14:03,169 and avoiding a full-on investigation. 351 00:14:03,170 --> 00:14:05,281 Investigation? 352 00:14:05,786 --> 00:14:08,207 Yeah. Yeah, yeah. 353 00:14:08,209 --> 00:14:09,342 I-I-I-If we don't find it, 354 00:14:09,344 --> 00:14:11,243 then the legal department gets involved. 355 00:14:11,245 --> 00:14:12,912 Everyone who was in contact with it, 356 00:14:12,914 --> 00:14:14,680 who might have been in contact with it 357 00:14:14,682 --> 00:14:16,169 goes under a magnifying glass. 358 00:14:16,194 --> 00:14:17,316 I'm not looking forward to it. 359 00:14:17,318 --> 00:14:19,485 You looking forward to it? She's not looking forward to it. 360 00:14:19,487 --> 00:14:21,687 They're gonna check your social media, your computer. 361 00:14:21,689 --> 00:14:24,090 - Blood tests. - Blood tests. 362 00:14:24,092 --> 00:14:26,425 But if you find it before then...? 363 00:14:26,427 --> 00:14:27,560 Then life goes on. 364 00:14:27,562 --> 00:14:28,961 The same as it always has. 365 00:14:30,296 --> 00:14:31,831 I did stop. 366 00:14:31,833 --> 00:14:32,965 At the cafeteria. 367 00:14:32,967 --> 00:14:35,267 The cashier is smokin'. 368 00:14:35,269 --> 00:14:37,870 I might have been distracted for a little while. 369 00:14:38,573 --> 00:14:41,261 Okay. Thanks. 370 00:14:42,843 --> 00:14:52,806 (♪♪♪) 371 00:14:52,831 --> 00:15:02,205 (♪♪♪) 372 00:15:02,230 --> 00:15:04,630 (TOILET FLUSHES) 373 00:15:04,632 --> 00:15:09,402 (♪♪♪) 374 00:15:09,404 --> 00:15:11,424 (TOILET FLUSHES) 375 00:15:11,449 --> 00:15:12,648 (♪♪♪) 376 00:15:12,673 --> 00:15:15,061 (TOILET FLUSHES) 377 00:15:15,086 --> 00:15:24,293 (♪♪♪) 378 00:15:24,318 --> 00:15:26,899 Water. 379 00:15:27,422 --> 00:15:29,455 Always more water. 380 00:15:29,457 --> 00:15:31,424 (♪♪♪) 381 00:15:31,426 --> 00:15:32,858 Even more. 382 00:15:32,860 --> 00:15:35,628 (♪♪♪) 383 00:15:35,630 --> 00:15:38,218 (SIGHS) 384 00:15:38,243 --> 00:15:39,909 I know. It's scary. 385 00:15:39,934 --> 00:15:44,437 (♪♪♪) 386 00:15:44,439 --> 00:15:47,173 You are good with children. 387 00:15:47,175 --> 00:15:48,641 You are father? 388 00:15:48,643 --> 00:15:49,975 No. 389 00:15:49,977 --> 00:15:51,857 - One day, I hope. - (MONITOR BEEPING RAPIDLY) 390 00:15:54,816 --> 00:15:58,717 (♪♪♪) 391 00:15:58,719 --> 00:16:00,953 Page rapid response team, STAT. 392 00:16:00,955 --> 00:16:10,963 (♪♪♪) 393 00:16:10,965 --> 00:16:14,033 (♪♪♪) 394 00:16:15,145 --> 00:16:16,477 Has he developed endocarditis? 395 00:16:16,502 --> 00:16:18,582 His echo didn't reveal vegetations 396 00:16:18,612 --> 00:16:20,237 on his valves or... 397 00:16:20,373 --> 00:16:22,573 endocardium. 398 00:16:22,575 --> 00:16:24,475 He has not developed a fever. 399 00:16:24,477 --> 00:16:26,145 Let's be sure. Get blood cultures. 400 00:16:26,170 --> 00:16:28,810 - Order them times two, 15 minutes. - It's in the wrong place. 401 00:16:28,835 --> 00:16:35,106 (♪♪♪) 402 00:16:35,131 --> 00:16:37,169 It was in the wrong place. 403 00:16:37,373 --> 00:16:39,325 Okay. 404 00:16:39,415 --> 00:16:41,415 Times two. 15 minutes apart. 405 00:16:41,417 --> 00:16:50,958 (♪♪♪) 406 00:16:50,960 --> 00:16:52,193 Hey. 407 00:16:52,195 --> 00:16:55,162 Um, Leonard says that he stops by here to see you. 408 00:16:55,164 --> 00:16:56,797 (CHUCKLES) Yeah. 409 00:16:56,799 --> 00:16:58,966 He pretends the cafeteria is on his route. 410 00:16:58,968 --> 00:17:00,468 Like I don't know where the lab is. 411 00:17:00,470 --> 00:17:02,169 Yesterday around 3:00, Gwen. 412 00:17:02,171 --> 00:17:04,538 Notice anything on the food trays that wasn't food? 413 00:17:04,540 --> 00:17:06,464 Around 3:00? (BLOWS) 414 00:17:06,620 --> 00:17:07,952 Just the usual... 415 00:17:07,977 --> 00:17:12,704 uh, Tupperware, sunglasses, cellphones, a condom. 416 00:17:12,806 --> 00:17:14,348 Around 4:00, I found a glass eye. 417 00:17:14,350 --> 00:17:16,083 You see a biohazard bag? 418 00:17:16,085 --> 00:17:19,220 Uh, the ziplock bag with the red circles? 419 00:17:19,222 --> 00:17:20,659 Yeah. 420 00:17:21,475 --> 00:17:23,141 C'mon. 421 00:17:23,269 --> 00:17:26,604 (♪♪♪) 422 00:17:26,606 --> 00:17:29,340 You can move the mitral valve. 423 00:17:29,365 --> 00:17:31,132 Thanks for the visual aid. 424 00:17:31,134 --> 00:17:33,134 You can't move the mitral valve. 425 00:17:33,136 --> 00:17:35,425 Now, if Mr. Potato Head had an atrial septal nose 426 00:17:35,457 --> 00:17:36,923 - and hypertrophic obstructive... - I believe... 427 00:17:36,948 --> 00:17:38,881 I believe the abnormal insertion 428 00:17:38,908 --> 00:17:40,941 - of the mitral valve can be... - Stop. 429 00:17:40,943 --> 00:17:43,477 (♪♪♪) 430 00:17:43,479 --> 00:17:45,826 Follow me. 431 00:17:46,851 --> 00:17:50,686 Pretty sure I saw a biohazard bag in here yesterday. 432 00:17:50,720 --> 00:17:52,329 You're lucky you came when you did. 433 00:17:52,354 --> 00:17:54,921 It's due to get dumped in two hours. 434 00:17:55,306 --> 00:17:58,025 Ugh, dentures. They're the worst. 435 00:17:58,027 --> 00:17:59,560 You know, every patient gets a denture cup 436 00:17:59,585 --> 00:18:00,665 with their name on it. 437 00:18:00,690 --> 00:18:03,197 So, tell me, why are the dentures never in the cup? 438 00:18:03,199 --> 00:18:05,099 And if they are, it's the wrong cup? 439 00:18:05,101 --> 00:18:07,435 One of life's mysteries. 440 00:18:07,437 --> 00:18:10,771 Biohazard bag sighting. 441 00:18:10,773 --> 00:18:12,807 A biohazard bag for a coin purse? 442 00:18:12,809 --> 00:18:13,808 Really? 443 00:18:13,810 --> 00:18:15,976 (SIGHS) 444 00:18:15,978 --> 00:18:18,412 Finally, a septal myectomy 445 00:18:18,414 --> 00:18:19,880 will open the outflow tract, 446 00:18:19,882 --> 00:18:21,716 and the mitral valve can be re-implanted 447 00:18:21,718 --> 00:18:23,617 into a more normal position. 448 00:18:23,619 --> 00:18:25,619 Thank you. That's my idea. 449 00:18:25,621 --> 00:18:27,755 Can you do this procedure on Gabriel? 450 00:18:27,757 --> 00:18:29,670 No. 451 00:18:29,824 --> 00:18:31,824 It's a terrible idea, and it won't work. 452 00:18:31,873 --> 00:18:33,861 So, what was the point of this dog and pony show? 453 00:18:33,863 --> 00:18:36,697 'Cause you seemed keen on making medical decisions for me. 454 00:18:36,699 --> 00:18:38,099 So just insubordination? 455 00:18:38,101 --> 00:18:40,968 And we were probably gonna wind up coming to you anyway. 456 00:18:40,970 --> 00:18:43,270 Once Dr. Murphy gets an idea, he stays with it, 457 00:18:43,272 --> 00:18:44,839 regardless of what anyone says. 458 00:18:44,841 --> 00:18:46,698 This can work. 459 00:18:46,762 --> 00:18:48,706 Yes, this can work. 460 00:18:48,874 --> 00:18:51,975 And it would be a great idea if the boy had two hours to live. 461 00:18:52,048 --> 00:18:55,516 Is fear of failure a good reason not to do this? 462 00:18:57,686 --> 00:18:59,527 No. 463 00:18:59,679 --> 00:19:01,612 But you know what is? 464 00:19:01,669 --> 00:19:04,870 The thought that he might have a few more birthdays... 465 00:19:04,927 --> 00:19:06,927 or make a best friend. 466 00:19:06,929 --> 00:19:08,896 And... I don't know. 467 00:19:08,898 --> 00:19:11,232 I'm not sending him home in a box. 468 00:19:11,234 --> 00:19:13,400 (CELLPHONE VIBRATES) 469 00:19:13,402 --> 00:19:15,232 We got to go. 470 00:19:15,257 --> 00:19:16,937 Gabriel's arrhythmia, it's gotten worse. 471 00:19:18,240 --> 00:19:19,740 ELIZABETH: You still haven't found it? 472 00:19:19,742 --> 00:19:21,976 I can get Ms. Preston to address any questions... 473 00:19:21,978 --> 00:19:23,911 She wasn't in the surgery. You were. 474 00:19:23,913 --> 00:19:27,034 She is the point person for all therapeutic misadventures. 475 00:19:27,037 --> 00:19:29,037 Are you kidding me? 476 00:19:29,062 --> 00:19:32,897 I may lose my voice for absolutely no reason, 477 00:19:32,922 --> 00:19:34,522 and you are using canned jargon. 478 00:19:34,524 --> 00:19:37,124 That sample cup doesn't have toothpaste 479 00:19:37,431 --> 00:19:40,206 or socks or sunblock in it, okay? It has my life! 480 00:19:40,784 --> 00:19:45,166 (♪♪♪) 481 00:19:45,168 --> 00:19:47,201 I'm sorry. 482 00:19:49,114 --> 00:19:50,681 Thank you. 483 00:19:50,840 --> 00:19:53,040 (SIGHS) 484 00:19:56,954 --> 00:19:59,556 - Good for you. - Yeah, right. 485 00:19:59,582 --> 00:20:01,982 - just broke about eight rules. - Maybe. 486 00:20:01,984 --> 00:20:03,851 "Ms. Preston" won't hear about it from me. 487 00:20:03,853 --> 00:20:05,786 (CHUCKLES) 488 00:20:05,788 --> 00:20:07,788 You should go find that sample, though. 489 00:20:07,790 --> 00:20:09,290 (♪♪♪) 490 00:20:09,292 --> 00:20:10,858 Thanks. 491 00:20:10,860 --> 00:20:13,735 (♪♪♪) 492 00:20:13,858 --> 00:20:17,187 The meds aren't working. The question is why. 493 00:20:17,800 --> 00:20:21,669 M-Maybe the arrhythmia is just another manifestation 494 00:20:21,671 --> 00:20:23,161 of Gabriel's L.V. dysfunction. 495 00:20:23,205 --> 00:20:25,493 We should still be seeing at least a modest decline 496 00:20:25,518 --> 00:20:27,885 - in his ectopy. - Maybe his gradient is worse. 497 00:20:27,887 --> 00:20:29,507 We could try calcium channel blockers. 498 00:20:29,585 --> 00:20:32,319 There's a much simpler explanation. 499 00:20:32,415 --> 00:20:39,453 (♪♪♪) 500 00:20:39,455 --> 00:20:41,956 MELENDEZ: Good news about his endocarditis... 501 00:20:41,958 --> 00:20:43,023 heart inflammation. 502 00:20:43,025 --> 00:20:44,925 His tests are normal. 503 00:20:44,927 --> 00:20:47,194 But we still are concerned. 504 00:20:47,196 --> 00:20:50,395 For some reason, his medication isn't helping. 505 00:20:50,420 --> 00:20:52,654 Our best explanation is... 506 00:20:52,735 --> 00:20:55,169 he hasn't been taking his medication. 507 00:21:09,551 --> 00:21:11,652 I am trying to save his life. 508 00:21:11,654 --> 00:21:12,835 But withholding his medicine? 509 00:21:12,907 --> 00:21:15,408 By keeping him here. 510 00:21:15,458 --> 00:21:17,324 If he takes the medicine and becomes better, 511 00:21:17,326 --> 00:21:18,959 you send him to die. 512 00:21:18,961 --> 00:21:21,595 But there is nothing else that we can do for him here. 513 00:21:21,597 --> 00:21:25,593 You do not understand where I live, what it is like. 514 00:21:26,369 --> 00:21:28,726 I don't know your village. 515 00:21:29,405 --> 00:21:31,605 But I do know what it's like to be poor. 516 00:21:33,308 --> 00:21:35,177 I grew up with nothing. 517 00:21:35,278 --> 00:21:36,477 My sister was disabled. 518 00:21:36,479 --> 00:21:38,911 My parents couldn't afford her meds or treatments. 519 00:21:39,025 --> 00:21:43,224 And it killed them, and me, to watch her suffer. 520 00:21:44,077 --> 00:21:48,354 But when nothing can be done, nothing can be done. 521 00:21:49,285 --> 00:21:51,425 You became a doctor? 522 00:21:52,717 --> 00:21:55,518 You did not accept being poor. 523 00:21:56,395 --> 00:21:58,099 No. 524 00:21:58,943 --> 00:22:01,936 Then you do not understand at all. 525 00:22:04,873 --> 00:22:07,638 We want for everything... food. 526 00:22:07,877 --> 00:22:11,334 Peace. Medicine. 527 00:22:12,599 --> 00:22:16,583 But our greatest want is hope. 528 00:22:16,585 --> 00:22:19,286 (♪♪♪) 529 00:22:19,288 --> 00:22:22,056 If we leave here, we leave hope behind. 530 00:22:22,058 --> 00:22:30,431 (♪♪♪) 531 00:22:30,433 --> 00:22:31,699 Okay. 532 00:22:31,897 --> 00:22:34,183 I'll do what I can. 533 00:22:37,302 --> 00:22:38,714 I dropped by to see Elizabeth. 534 00:22:38,763 --> 00:22:40,721 Not surprisingly, she's very upset. 535 00:22:40,842 --> 00:22:42,787 There wasn't much I could offer in the way of comfort. 536 00:22:42,828 --> 00:22:44,161 If only people did their jobs. 537 00:22:44,249 --> 00:22:45,582 Which people? 538 00:22:45,634 --> 00:22:49,702 Scrub nurses, couriers, lab techs... 539 00:22:49,704 --> 00:22:51,571 That's a curiously limited list. 540 00:22:51,573 --> 00:22:52,906 I did the surgery correctly. 541 00:22:52,908 --> 00:22:54,374 I don't think it's too much to expect others 542 00:22:54,376 --> 00:22:56,142 to do their jobs correctly, as well. 543 00:22:56,144 --> 00:22:57,914 So, not your fault, not your problem. 544 00:22:57,994 --> 00:22:59,694 What are you trying to do, make me feel guilty? 545 00:22:59,815 --> 00:23:01,948 Yes. I want you to feel horrible. 546 00:23:01,950 --> 00:23:03,683 That's the only thing that's gonna make you change. 547 00:23:03,685 --> 00:23:05,652 - Into what? - The guy I married. 548 00:23:05,654 --> 00:23:08,421 The guy who cared more about patients than politics. 549 00:23:08,423 --> 00:23:10,256 Ah, okay, I get it. 550 00:23:10,258 --> 00:23:13,126 This is about me vying for president of the hospital. 551 00:23:13,128 --> 00:23:14,661 Which we discussed at length, 552 00:23:14,663 --> 00:23:17,441 which you said you were 100% behind me on. 553 00:23:17,476 --> 00:23:19,042 I didn't realize how far behind. 554 00:23:19,067 --> 00:23:20,834 You think I've left you behind? 555 00:23:20,836 --> 00:23:22,368 Hmm. 556 00:23:22,370 --> 00:23:25,244 Uh, Tuesday... 557 00:23:25,307 --> 00:23:27,040 "Capital expenditures meeting delayed. 558 00:23:27,042 --> 00:23:28,041 Will be late." 559 00:23:28,043 --> 00:23:31,277 Wednesday... "Fundraising event ran over. Don't wait up." 560 00:23:31,279 --> 00:23:33,179 - Thursday... - Iz, there are things about my job... 561 00:23:33,181 --> 00:23:34,184 Right. 562 00:23:34,449 --> 00:23:36,067 "Not your fault." 563 00:23:39,019 --> 00:23:48,595 (♪♪♪) 564 00:23:48,597 --> 00:23:49,629 SHAUN: Hello. 565 00:23:50,033 --> 00:23:51,673 Hey. 566 00:23:51,844 --> 00:23:55,078 Did you know that specimens in formalin go to one place, 567 00:23:55,103 --> 00:23:57,137 exempt specimens somewhere else, 568 00:23:57,139 --> 00:23:58,605 aerobic and anaerobic cultures... 569 00:23:58,607 --> 00:23:59,839 two different places? 570 00:23:59,841 --> 00:24:02,175 Um, radioactive, medical device, 571 00:24:02,177 --> 00:24:04,110 forensic specimens... all different? 572 00:24:04,112 --> 00:24:05,545 And all handled by different staff? 573 00:24:05,547 --> 00:24:06,513 Did you know that? 574 00:24:07,311 --> 00:24:08,811 Yes. 575 00:24:08,961 --> 00:24:10,060 Oh. 576 00:24:10,085 --> 00:24:12,118 I made a chart, too. 577 00:24:12,120 --> 00:24:14,721 A qualitative observation log of what you taught me. 578 00:24:14,723 --> 00:24:15,922 What did I teach you? 579 00:24:15,924 --> 00:24:17,483 Flirting. 580 00:24:17,559 --> 00:24:19,926 Every time I saw someone flirt, I noted it 581 00:24:19,928 --> 00:24:21,494 and cross-referenced the subject, 582 00:24:21,496 --> 00:24:24,097 object, and nonverbal gestures. 583 00:24:24,099 --> 00:24:25,532 (CHUCKLES) I knew it. 584 00:24:25,534 --> 00:24:27,200 Gwen, the cashier. 585 00:24:27,202 --> 00:24:30,170 She made out that it was all the courier, but... 586 00:24:30,172 --> 00:24:31,371 That's my name. 587 00:24:31,373 --> 00:24:33,006 Yes. You made flirting gestures. 588 00:24:33,008 --> 00:24:34,384 - No, I didn't. - Yes, you did. 589 00:24:35,090 --> 00:24:36,843 You brushed your hair back. 590 00:24:37,324 --> 00:24:40,604 Right hand, side sweeping. 591 00:24:41,612 --> 00:24:43,660 At Dr. Melendez? 592 00:24:43,685 --> 00:24:46,424 No, I don't think so. Shaun. 593 00:24:46,621 --> 00:24:48,221 - No. - Yes. 594 00:24:48,223 --> 00:24:49,856 You were at the nurses station, 595 00:24:49,858 --> 00:24:51,858 and he said, "Good for you," 596 00:24:51,860 --> 00:24:54,235 and you said, "Yeah, right. I just broke about eight rules," 597 00:24:54,329 --> 00:24:56,596 and smiled and giggled and brushed your hair back. 598 00:24:56,598 --> 00:24:59,232 (♪♪♪) 599 00:24:59,234 --> 00:25:01,034 "Ms. Preston" won't hear about it from me. 600 00:25:01,036 --> 00:25:03,870 (CHUCKLES) 601 00:25:03,872 --> 00:25:06,239 (♪♪♪) 602 00:25:06,241 --> 00:25:08,241 It's possible you have ringworm. 603 00:25:09,977 --> 00:25:12,645 Shaun, sometimes people toss their hair... 604 00:25:12,647 --> 00:25:14,147 just 'cause it's in their face. 605 00:25:14,149 --> 00:25:15,848 MELENDEZ: Murphy. 606 00:25:15,850 --> 00:25:17,417 I'd like you to elaborate on your idea. 607 00:25:17,419 --> 00:25:19,252 Mm, my terrible idea? 608 00:25:19,254 --> 00:25:20,520 That's the one. 609 00:25:20,522 --> 00:25:22,722 (CHUCKLES) 610 00:25:22,724 --> 00:25:32,699 (♪♪♪) 611 00:25:32,701 --> 00:25:33,900 (♪♪♪) 612 00:25:33,902 --> 00:25:36,569 You can move the anterior leaflet of the valve 613 00:25:36,571 --> 00:25:37,670 and reattach it. 614 00:25:37,811 --> 00:25:40,280 No, we can't. 615 00:25:40,542 --> 00:25:43,343 This is an exact replica of the kid's heart, 616 00:25:43,345 --> 00:25:46,090 and there's no anchor point to reattach it. 617 00:25:46,348 --> 00:25:48,014 So that part of your idea is still terrible. 618 00:25:48,016 --> 00:25:50,028 Okay. 619 00:25:50,622 --> 00:25:52,088 But the rest of it? 620 00:25:52,130 --> 00:25:53,997 We're dealing with a huge septum... 621 00:25:54,022 --> 00:25:55,355 25 millimeters. 622 00:25:55,357 --> 00:25:56,823 What would that number be in a healthy kid? 623 00:25:56,825 --> 00:25:58,224 About 8. 624 00:25:58,226 --> 00:25:59,826 If we go anywhere near that number, 625 00:25:59,828 --> 00:26:02,762 we won't have enough support for the valve. 626 00:26:04,765 --> 00:26:08,901 But let's say we took that down to 20... 627 00:26:08,903 --> 00:26:10,403 (CHUCKLES) That won't be enough 628 00:26:10,405 --> 00:26:12,772 to relieve the outflow obstruction. 629 00:26:15,709 --> 00:26:17,235 Okay. 630 00:26:17,646 --> 00:26:19,279 18. 631 00:26:20,648 --> 00:26:22,148 Okay. 632 00:26:22,150 --> 00:26:32,125 (♪♪♪) 633 00:26:32,127 --> 00:26:42,135 (♪♪♪) 634 00:26:42,137 --> 00:26:52,211 (♪♪♪) 635 00:26:52,213 --> 00:27:02,188 (♪♪♪) 636 00:27:02,190 --> 00:27:12,198 (♪♪♪) 637 00:27:12,200 --> 00:27:15,768 (♪♪♪) 638 00:27:15,770 --> 00:27:16,998 Let's take him off bypass. 639 00:27:17,023 --> 00:27:24,554 (♪♪♪) 640 00:27:24,579 --> 00:27:26,813 (FLATLINE) 641 00:27:26,815 --> 00:27:29,382 (♪♪♪) 642 00:27:29,384 --> 00:27:30,583 He's dead. 643 00:27:30,585 --> 00:27:32,643 Again. 16. 644 00:27:33,096 --> 00:27:34,768 CLAIRE: I'm really tired. 645 00:27:36,282 --> 00:27:39,659 I used to think that I wanted to be... 646 00:27:39,661 --> 00:27:41,527 the best surgeon in history. 647 00:27:41,529 --> 00:27:43,383 But my new goal? 648 00:27:43,408 --> 00:27:47,177 Is just not to get washed out of my residency. 649 00:27:47,202 --> 00:27:49,102 (FOOTSTEPS APPROACHING) 650 00:27:49,482 --> 00:27:52,052 CLAIRE: You have a surgery now? 651 00:27:52,440 --> 00:27:53,539 No. 652 00:27:53,541 --> 00:27:55,104 I'm here to see how I can help. 653 00:27:55,128 --> 00:27:57,662 The Chief of Surgery joining the search party? 654 00:27:57,687 --> 00:27:59,086 Should I take a selfie, 655 00:27:59,088 --> 00:28:00,655 show my friends that this really happened? 656 00:28:00,657 --> 00:28:02,273 This is a team problem. 657 00:28:02,306 --> 00:28:06,231 - It should be a team solution. - How do you get a boss like this? 658 00:28:06,296 --> 00:28:08,229 What do we know so far? 659 00:28:08,231 --> 00:28:13,801 (♪♪♪) 660 00:28:13,803 --> 00:28:15,369 Let's take him off bypass. 661 00:28:15,370 --> 00:28:17,916 (♪♪♪) 662 00:28:17,941 --> 00:28:19,840 (MONITOR BEEPING) 663 00:28:19,842 --> 00:28:23,978 (♪♪♪) 664 00:28:23,980 --> 00:28:26,480 (MONITOR BEEPING) 665 00:28:26,482 --> 00:28:29,650 His outflow is perfect at 13 millimeters. 666 00:28:30,235 --> 00:28:32,118 - Which is irrelevant... - (FLATLINE) 667 00:28:32,249 --> 00:28:34,549 ...the mitral valve doesn't have enough support to close. 668 00:28:35,259 --> 00:28:36,962 He's dead. 669 00:28:38,528 --> 00:28:40,161 Again. 670 00:28:40,163 --> 00:28:41,629 (♪♪♪) 671 00:28:41,631 --> 00:28:43,006 JESSICA: Dr. Browne. 672 00:28:43,131 --> 00:28:45,066 Any reason you assumed responsibility 673 00:28:45,091 --> 00:28:46,983 on behalf of the hospital... 674 00:28:47,103 --> 00:28:49,884 told Elizabeth you were "sorry"? 675 00:28:50,707 --> 00:28:52,807 Because I was. 676 00:28:56,130 --> 00:28:59,099 Well, I hope we don't see the price tag on that. 677 00:29:01,171 --> 00:29:03,527 And I think you're out of time. 678 00:29:03,597 --> 00:29:11,628 (♪♪♪) 679 00:29:11,699 --> 00:29:13,799 Let's take him off bypass. 680 00:29:13,896 --> 00:29:17,798 (♪♪♪) 681 00:29:17,800 --> 00:29:19,734 (MONITOR BEEPING) 682 00:29:19,736 --> 00:29:25,306 (♪♪♪) 683 00:29:25,308 --> 00:29:26,941 Yes. 684 00:29:29,225 --> 00:29:30,911 14 millimeters. 685 00:29:31,350 --> 00:29:33,015 Exactly. 686 00:29:33,216 --> 00:29:34,570 Yeah. 687 00:29:34,688 --> 00:29:36,711 Exactly. 688 00:29:37,186 --> 00:29:41,968 Our margin of error is exceedingly low. 689 00:29:42,091 --> 00:29:44,398 Good luck. 690 00:29:44,527 --> 00:29:46,406 You believe in luck? 691 00:29:46,496 --> 00:29:50,398 It's something people say in difficult situations. 692 00:29:52,981 --> 00:29:54,247 Neither do I. 693 00:29:54,460 --> 00:29:55,493 Again. 694 00:29:55,518 --> 00:29:57,187 (♪♪♪) 695 00:29:57,285 --> 00:30:00,553 ISABEL: The reality is, even if we found your specimen now, 696 00:30:00,984 --> 00:30:03,670 it's unlikely that it'd still be viable. 697 00:30:07,316 --> 00:30:10,084 You don't know if I have cancer, 698 00:30:11,012 --> 00:30:12,778 and there's no way to find out. 699 00:30:14,599 --> 00:30:19,745 So my choices are surgery I may not need... 700 00:30:21,548 --> 00:30:24,084 ...that will leave me without speech, 701 00:30:25,335 --> 00:30:27,319 or I do nothing and maybe die. 702 00:30:28,264 --> 00:30:30,850 Unfortunately, yes. 703 00:30:31,307 --> 00:30:39,347 (♪♪♪) 704 00:30:39,349 --> 00:30:41,802 Oh 705 00:30:43,110 --> 00:30:47,779 That ancient light, weigh 706 00:30:48,024 --> 00:30:49,396 Mm-mm-mm 707 00:30:49,654 --> 00:30:55,428 Mm-mm-mm-mm-mm On your shoulders 708 00:30:56,199 --> 00:30:59,925 And the river of time 709 00:31:00,216 --> 00:31:06,191 Love is all that's left to lose 710 00:31:07,053 --> 00:31:12,056 Love is all that's left to lose 711 00:31:14,083 --> 00:31:17,485 Oh-oh-oh, oh-oh-oh 712 00:31:17,620 --> 00:31:20,994 Oh-oh-oh-oh, oh-oh 713 00:31:21,047 --> 00:31:24,282 Oh-oh-oh, oh-oh-oh 714 00:31:24,527 --> 00:31:27,931 Oh-oh-oh-oh, oh-oh 715 00:31:28,099 --> 00:31:31,540 Lust, love 716 00:31:31,673 --> 00:31:35,017 I'm not alone anymore 717 00:31:35,104 --> 00:31:38,696 Lust, love 718 00:31:38,789 --> 00:31:43,759 I'm not alone anymore 719 00:31:43,957 --> 00:31:45,723 (♪♪♪) 720 00:31:45,748 --> 00:31:50,623 This ancient life 721 00:31:50,720 --> 00:31:52,787 (♪♪♪) 722 00:31:52,789 --> 00:31:56,138 This ancient life - Knife. 723 00:31:56,255 --> 00:31:57,670 Mm-mm-mm 724 00:32:10,113 --> 00:32:11,780 3 hours, 30 minutes. 725 00:32:12,011 --> 00:32:14,578 You didn't want him on bypass any longer than five hours. 726 00:32:14,580 --> 00:32:18,576 (♪♪♪) 727 00:32:18,843 --> 00:32:22,287 "Wynken and Blynken are two little eyes, 728 00:32:22,413 --> 00:32:25,296 and Nod is a little head, 729 00:32:25,883 --> 00:32:28,398 and the wooden shoe that sailed the skies 730 00:32:28,530 --> 00:32:30,663 is a wee one's trundle-bed. 731 00:32:31,156 --> 00:32:36,710 (VOICE BREAKING) So shut your eyes while Mother sings... 732 00:32:37,028 --> 00:32:39,862 (♪♪♪) 733 00:32:39,864 --> 00:32:41,630 MELENDEZ: How's it look, Dr. Murphy? 734 00:32:41,632 --> 00:32:44,900 (♪♪♪) 735 00:32:44,902 --> 00:32:47,403 14 millimeters. 736 00:32:47,405 --> 00:32:49,138 Exactly. 737 00:32:49,140 --> 00:32:50,172 Perfect. 738 00:32:50,174 --> 00:32:53,309 (♪♪♪) 739 00:32:53,311 --> 00:32:55,589 His septal tissue... 740 00:32:55,590 --> 00:33:00,026 (♪♪♪) 741 00:33:00,051 --> 00:33:02,837 It's stiffer than I anticipated. 742 00:33:02,864 --> 00:33:10,870 (♪♪♪) 743 00:33:10,895 --> 00:33:13,618 I don't think this is gonna be enough for adequate outflow. 744 00:33:13,643 --> 00:33:17,810 (♪♪♪) 745 00:33:17,835 --> 00:33:20,766 I'm taking the septum down to 13. 746 00:33:21,072 --> 00:33:25,007 Okay, the valve wasn't supported at 13. 747 00:33:25,009 --> 00:33:26,275 The patient died. 748 00:33:26,277 --> 00:33:28,010 That was a model, not a patient. 749 00:33:28,012 --> 00:33:31,172 We're at five hours and three minutes. 750 00:33:31,816 --> 00:33:36,819 (♪♪♪) 751 00:33:36,821 --> 00:33:38,754 We're taking him down to 13. 752 00:33:38,756 --> 00:33:45,227 (♪♪♪) 753 00:33:45,229 --> 00:33:47,226 Field. 754 00:33:47,999 --> 00:33:51,100 All quiet for the time-out. 755 00:33:51,102 --> 00:33:52,801 Patient is Elizabeth McLaren. 756 00:33:52,803 --> 00:33:53,936 No known allergies. 757 00:33:53,938 --> 00:33:56,038 We'll be doing a total laryngectomy 758 00:33:56,040 --> 00:33:57,773 with a Gluck Sorenson U-shaped incision. 759 00:33:57,775 --> 00:33:58,907 Is everyone in agreement? 760 00:34:00,510 --> 00:34:01,577 Antibiotics in? 761 00:34:01,579 --> 00:34:03,646 One gram of cefotaxime has been infused. 762 00:34:03,648 --> 00:34:04,913 We anticipate a specimen. 763 00:34:04,915 --> 00:34:06,849 I've requested labels be printed. 764 00:34:06,851 --> 00:34:08,608 Pen. 765 00:34:08,986 --> 00:34:10,719 Prepare to intubate. 766 00:34:12,555 --> 00:34:13,689 Dentures. 767 00:34:14,658 --> 00:34:16,525 You've gotta hold the surgery. 768 00:34:16,527 --> 00:34:19,228 Uh... just give me a little time. 769 00:34:19,230 --> 00:34:24,333 (♪♪♪) 770 00:34:24,335 --> 00:34:26,535 That's 13. 771 00:34:26,537 --> 00:34:32,408 (♪♪♪) 772 00:34:32,410 --> 00:34:34,671 Damnit. (BREATHES DEEPLY) 773 00:34:34,879 --> 00:34:36,718 Too thin? 774 00:34:37,401 --> 00:34:41,358 The valve doesn't have adequate support. 775 00:34:41,519 --> 00:34:43,519 It won't be able to close. 776 00:34:43,521 --> 00:34:46,755 (♪♪♪) 777 00:34:46,757 --> 00:34:48,412 I was wrong. 778 00:34:48,469 --> 00:34:58,477 (♪♪♪) 779 00:34:58,502 --> 00:35:02,571 (♪♪♪) 780 00:35:02,573 --> 00:35:03,572 Whoa. 781 00:35:03,574 --> 00:35:06,775 There's a reattachment point. 782 00:35:06,777 --> 00:35:08,444 We must not have seen it at 14 783 00:35:08,446 --> 00:35:10,846 'cause it was obscured by the subvalvular tissue. 784 00:35:10,848 --> 00:35:14,583 We can use that as an anchor point and move the valve. 785 00:35:14,585 --> 00:35:17,152 Your terrible idea just got a hell of a lot better. 786 00:35:17,154 --> 00:35:18,220 Stitch. 787 00:35:18,222 --> 00:35:20,956 5 hours, 23 minutes. 788 00:35:20,958 --> 00:35:30,966 (♪♪♪) 789 00:35:30,968 --> 00:35:35,971 (♪♪♪) 790 00:35:35,973 --> 00:35:37,239 Hey. 791 00:35:37,241 --> 00:35:38,307 Dentures. 792 00:35:38,309 --> 00:35:39,608 They always end up in the wrong cup, 793 00:35:39,610 --> 00:35:41,577 which is why they're so hard to get back to the owner. 794 00:35:41,579 --> 00:35:42,778 - Okay. - Right. 795 00:35:42,780 --> 00:35:44,747 What if the label on the specimen was wrong? 796 00:35:44,749 --> 00:35:47,015 What... What if the nodule is here, 797 00:35:47,017 --> 00:35:48,584 but the container has the wrong name on it? 798 00:35:48,586 --> 00:35:50,452 Okay, I'm reconciling the operative records 799 00:35:50,454 --> 00:35:52,421 to the surgery schedule to the specimen. 800 00:35:52,423 --> 00:35:54,377 I'll read the cases, check the containers, 801 00:35:54,402 --> 00:35:55,801 and feel like a jerk for judging you. 802 00:35:55,826 --> 00:35:58,227 Well, you're only a jerk if I'm right. 803 00:35:58,229 --> 00:36:00,829 (♪♪♪) 804 00:36:00,831 --> 00:36:02,686 Pump time? 805 00:36:02,767 --> 00:36:04,900 6 hours, 48 minutes. 806 00:36:04,902 --> 00:36:09,638 (♪♪♪) 807 00:36:09,640 --> 00:36:11,573 Get Mehta in here. 808 00:36:12,776 --> 00:36:15,043 Let's take him off bypass. 809 00:36:42,954 --> 00:36:45,288 12 seconds. Should I get the paddles? 810 00:36:45,587 --> 00:36:48,154 Not yet. Come on, Gabriel. 811 00:36:49,556 --> 00:36:51,257 How long has he been on bypass? 812 00:36:51,259 --> 00:36:52,992 Nearly two hours too long. We need to jump-start... 813 00:36:52,994 --> 00:36:54,293 Not yet! 814 00:36:54,295 --> 00:36:57,029 (♪♪♪) 815 00:36:57,031 --> 00:37:01,400 (MONITOR BEEPING SLOWLY) 816 00:37:02,869 --> 00:37:03,936 Yeah. 817 00:37:03,938 --> 00:37:06,005 Yes! 818 00:37:06,007 --> 00:37:08,007 (SIGHS) 819 00:37:08,009 --> 00:37:11,577 (♪♪♪) 820 00:37:11,579 --> 00:37:13,879 Dr. Murphy, close him up. 821 00:37:13,881 --> 00:37:15,681 Allman Brown's "Sons and Daughters" 822 00:37:15,683 --> 00:37:21,861 And I will hold you tight (POUNDING) 823 00:37:21,900 --> 00:37:26,869 Like the moon in the arms of the sky 824 00:37:26,894 --> 00:37:28,494 (POUNDING CONTINUES) 825 00:37:28,496 --> 00:37:34,581 And I will keep you warm 826 00:37:34,745 --> 00:37:35,709 I will build a fire in this house 827 00:37:35,837 --> 00:37:38,459 It's beating just fine on its own. 828 00:37:40,908 --> 00:37:42,508 And I'll build a fire 829 00:37:42,510 --> 00:37:47,091 You fetch the water, and I'll lay the table 830 00:37:47,649 --> 00:37:53,005 And in our hearts, we still pray for sons and daughters 831 00:37:53,154 --> 00:37:54,820 Marcus. 832 00:37:54,845 --> 00:37:57,325 And all those evenings out in the garden 833 00:37:57,369 --> 00:37:59,902 The red, red wine 834 00:37:59,927 --> 00:38:04,063 These quiet hours turning to years 835 00:38:04,065 --> 00:38:05,931 (BREATHING SHAKILY) 836 00:38:05,933 --> 00:38:10,136 There was a specimen cup in the O.R. prior to your surgery. 837 00:38:10,138 --> 00:38:12,638 It was supposed to be used for a bullet removal, 838 00:38:12,640 --> 00:38:15,174 but they left the bullet in the body, 839 00:38:15,176 --> 00:38:18,611 and the cup was used accidentally for your specimen. 840 00:38:18,724 --> 00:38:21,185 Not only was it in formalin, 841 00:38:21,275 --> 00:38:24,343 but it was refrigerated and fresh as a daisy. 842 00:38:24,678 --> 00:38:27,925 Elizabeth, you don't have cancer. 843 00:38:28,056 --> 00:38:30,890 (CRYING) 844 00:38:34,094 --> 00:38:36,746 Thank you. 845 00:38:37,031 --> 00:38:39,265 Doctor. 846 00:38:41,111 --> 00:38:42,779 And I'll build a fire 847 00:38:42,835 --> 00:38:47,537 You fetch the water, and I'll lay the table 848 00:38:47,575 --> 00:38:51,777 And in our hearts, we still pray for sons and daughters 849 00:38:51,779 --> 00:38:54,013 (LAUGHS) 850 00:38:54,015 --> 00:38:56,182 And all those evenings out in the garden 851 00:38:56,184 --> 00:38:57,650 Intangibles. 852 00:38:57,652 --> 00:39:00,586 The red, red wine 853 00:39:00,588 --> 00:39:07,441 These quiet hours turning to years 854 00:39:07,499 --> 00:39:08,698 Hello. 855 00:39:08,763 --> 00:39:10,090 Hello. 856 00:39:10,164 --> 00:39:12,531 - I had a very good day today. - Yes, you did. 857 00:39:12,533 --> 00:39:14,867 - That was a hell of an operation. - Yes. 858 00:39:14,869 --> 00:39:16,639 And I caught Claire flirting. 859 00:39:16,664 --> 00:39:17,730 With you? 860 00:39:17,755 --> 00:39:20,530 - Shaun, I think you might be mis... - With Dr. Melendez. 861 00:39:20,875 --> 00:39:23,476 - Ah, Dr. Melendez. - I conducted observations, 862 00:39:23,478 --> 00:39:25,745 successfully interpreted them, and logged them. 863 00:39:25,747 --> 00:39:27,947 Romance in a spreadsheet. 864 00:39:27,949 --> 00:39:29,281 I love it. 865 00:39:29,283 --> 00:39:33,267 I was aware of the cues even when Claire wasn't. 866 00:39:33,494 --> 00:39:35,861 I think she needs a life-skills coach. 867 00:39:35,957 --> 00:39:38,324 Extrapolating. I like that, too. 868 00:39:38,326 --> 00:39:39,425 That's great, Shaun. 869 00:39:39,427 --> 00:39:41,627 You're paying attention. You're learning. 870 00:39:41,629 --> 00:39:44,398 And when we find you a life coach, 871 00:39:44,423 --> 00:39:45,756 one with a fashion sense, 872 00:39:45,800 --> 00:39:47,533 then you're gonna be learning better, 873 00:39:47,535 --> 00:39:49,502 you're gonna be learning faster. 874 00:39:49,504 --> 00:39:52,225 (♪♪♪) 875 00:39:52,250 --> 00:39:54,585 Are you giving up on me? 876 00:39:54,909 --> 00:39:56,983 What? 877 00:39:57,186 --> 00:39:59,241 No. I haven't given up on you. 878 00:39:59,266 --> 00:40:02,133 I don't want a stranger helping me. 879 00:40:02,583 --> 00:40:04,984 I know, Shaun. 880 00:40:04,986 --> 00:40:06,561 But... 881 00:40:07,634 --> 00:40:10,216 And I can't... (SIGHS) 882 00:40:10,324 --> 00:40:12,944 I can't always be there. I-I... 883 00:40:13,083 --> 00:40:16,220 I can't always help you the way you need to be helped, 884 00:40:16,245 --> 00:40:18,178 the way you deserve to be helped. 885 00:40:18,203 --> 00:40:20,704 I don't want a stranger helping me. 886 00:40:20,802 --> 00:40:24,336 (♪♪♪) 887 00:40:24,338 --> 00:40:27,473 (DOOR OPENS) 888 00:40:27,475 --> 00:40:29,708 (DOOR CLOSES) 889 00:40:29,710 --> 00:40:33,312 (♪♪♪) 890 00:40:33,314 --> 00:40:34,824 CLAIRE: Congratulations. 891 00:40:35,086 --> 00:40:36,852 You too. 892 00:40:36,928 --> 00:40:38,795 On your mad sleuthing skills. 893 00:40:38,820 --> 00:40:41,520 Something to fall back on if this surgery thing gets old. 894 00:40:41,522 --> 00:40:43,656 (LAUGHS) 895 00:40:43,658 --> 00:40:45,512 JESSICA: You did a nice job, Claire. 896 00:40:45,537 --> 00:40:47,946 - Thanks. - And here is our price tag. 897 00:40:47,971 --> 00:40:49,338 We've been served. 898 00:40:49,758 --> 00:40:51,931 But we found it. Elizabeth's fine. 899 00:40:51,933 --> 00:40:52,998 I know. 900 00:40:53,023 --> 00:40:54,802 But we put her through two days of hell, 901 00:40:54,827 --> 00:40:56,827 and she wants to make sure it doesn't happen to anybody else. 902 00:40:56,852 --> 00:40:58,051 I mean, good for her. 903 00:41:01,565 --> 00:41:03,370 What is this? 904 00:41:03,617 --> 00:41:05,550 Gabriel's pacemaker. 905 00:41:05,661 --> 00:41:07,962 I heard you were brilliant again today. 906 00:41:09,716 --> 00:41:10,816 I got lucky. 907 00:41:10,818 --> 00:41:16,121 (♪♪♪) 908 00:41:16,244 --> 00:41:18,958 Do you think Armen would kill me if I got a pet hedgehog? 909 00:41:18,960 --> 00:41:20,492 I mean, I read that they're actually pretty... 910 00:41:20,494 --> 00:41:22,494 - Lea. - Yes, Shaun? 911 00:41:23,496 --> 00:41:25,952 You look absurd in that sweater. 912 00:41:26,033 --> 00:41:32,304 (♪♪♪) 913 00:41:32,462 --> 00:41:34,599 I have apples. 914 00:41:34,856 --> 00:41:37,062 Do you want an apple? 915 00:41:39,613 --> 00:41:41,521 Yeah. 916 00:41:41,949 --> 00:41:44,583 (LOCK DISENGAGES, DOOR OPENS) 917 00:41:44,584 --> 00:41:46,050 (♪♪♪) 918 00:41:46,106 --> 00:41:50,606 Synced & corrected by kinglouisxx www.addic7ed.com71437

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