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1
00:00:01,556 --> 00:00:03,058
DR. REZNICK:
Your primary care
doctor was right.
2
00:00:03,192 --> 00:00:04,859
The mass is
on the smaller side.
3
00:00:04,993 --> 00:00:06,595
We'll confirm
with the new images,
4
00:00:06,728 --> 00:00:08,297
but it should
be manageable
with medication.
5
00:00:08,430 --> 00:00:10,299
No surgery needed.
6
00:00:10,432 --> 00:00:13,302
Well, my fiance
will be so relieved.
7
00:00:13,435 --> 00:00:15,437
He's been worried
I'll look like Frankenstein
in all our photos.
8
00:00:16,271 --> 00:00:17,239
Also that
I might die.
9
00:00:18,173 --> 00:00:19,174
When's the big day?
10
00:00:19,908 --> 00:00:21,643
June.
11
00:00:21,776 --> 00:00:23,212
You've been dealing
with wedding planning
12
00:00:23,345 --> 00:00:24,879
on top of
a pituitary tumor?
13
00:00:26,148 --> 00:00:27,682
You deserve a medal.
14
00:00:27,816 --> 00:00:29,484
Our medical record system,
on the other hand,
15
00:00:29,618 --> 00:00:31,153
it has you listed
as female.
16
00:00:32,521 --> 00:00:34,323
Probably because of
the Pap smears.
17
00:00:34,456 --> 00:00:37,326
Software clearly needs
a trans update.
Deep breath.
18
00:00:37,459 --> 00:00:39,594
(BREATHES DEEPLY)
I'll fix it so everything
is correct going forward.
19
00:00:39,728 --> 00:00:41,596
Please confirm
your gender
and pronouns.
20
00:00:41,730 --> 00:00:43,665
Male, he/him/his.
Thanks for asking.
21
00:00:43,798 --> 00:00:45,834
We're the ones with
the messed-up software.
22
00:00:45,967 --> 00:00:48,503
Your scans
from this morning
were just uploaded.
23
00:00:56,545 --> 00:00:59,181
In less than two weeks,
the tumor's doubled in size.
24
00:01:04,052 --> 00:01:06,521
WOMAN:
** You're just too good
to be true
25
00:01:06,655 --> 00:01:08,790
** I can't take my eyes
off of you
26
00:01:08,923 --> 00:01:11,059
** You'd be like heaven
to touch...
27
00:01:11,193 --> 00:01:12,694
FEMALE PARAMEDIC:
34-year-old female,
Zara Norton.
28
00:01:12,827 --> 00:01:14,263
Tachycardic
and delirious.
29
00:01:14,396 --> 00:01:16,265
(CONTINUES SINGING)
Dr. Guerin,
update vitals.
30
00:01:16,398 --> 00:01:17,799
Dr. Wolke,
draw blood for CBC
and electrolytes.
31
00:01:17,932 --> 00:01:19,401
** Oh, pretty baby
32
00:01:19,534 --> 00:01:20,935
** Now that
I've found you, stay **
33
00:01:21,069 --> 00:01:23,272
Pupils are dilated,
but reactive.
34
00:01:23,405 --> 00:01:26,040
Ms. Norton,
smells like you've had
some marijuana?
35
00:01:26,175 --> 00:01:28,743
Mmm-mmm. I just unloaded
a shipment at the dispensary.
36
00:01:28,877 --> 00:01:30,379
Test for THC and
a full tox screen.
37
00:01:30,512 --> 00:01:31,480
I am a peddler.
38
00:01:31,613 --> 00:01:33,882
** Not a user **
39
00:01:34,015 --> 00:01:35,250
Run it.
40
00:01:35,384 --> 00:01:37,118
BP's elevated,
180 over 115.
41
00:01:37,252 --> 00:01:38,587
That could explain
the delirium.
42
00:01:38,720 --> 00:01:40,955
Ooh, that sound high.
Better take my meds.
43
00:01:41,089 --> 00:01:42,857
See, I never miss a...
Oh, no.
44
00:01:44,226 --> 00:01:45,294
Oh, no, that's not it.
45
00:01:45,427 --> 00:01:46,961
BP's climbing,
210 over 120.
46
00:01:47,095 --> 00:01:49,298
Enalaprilat,
1.25 milligrams, IV.
47
00:01:49,431 --> 00:01:50,465
Ms. Norton, do you remember
the name of your medication?
48
00:01:50,599 --> 00:01:52,767
You can
call me Zara.
49
00:01:52,901 --> 00:01:55,103
See? It say right here
on the... (GROANS SOFTLY)
50
00:01:55,237 --> 00:01:57,105
CLAIRE: Okay,
forget about the meds.
She is not taking any.
51
00:01:57,239 --> 00:01:58,973
This is untreated
chronic hypertension.
52
00:01:59,107 --> 00:02:01,109
What if you're wrong?
What if she's on a loop
diuretic for her pressure?
53
00:02:01,243 --> 00:02:01,943
This could cause
renal failure.
54
00:02:02,076 --> 00:02:03,445
(ALARMS BEEPING)
55
00:02:03,578 --> 00:02:04,579
She's heading into
hypertensive crisis.
56
00:02:06,014 --> 00:02:07,081
What if we try
an angiotensin
receptor blocker?
57
00:02:07,216 --> 00:02:08,583
No drug interaction.
58
00:02:08,717 --> 00:02:10,585
Angiotensin
receptor blockers
work too slowly.
59
00:02:10,719 --> 00:02:11,753
I'm giving her
the ACE inhibitor.
60
00:02:11,886 --> 00:02:12,621
(BEEPING CONTINUES)
61
00:02:16,425 --> 00:02:17,592
(BEEPING SLOWS)
BP's
going down.
62
00:02:18,393 --> 00:02:19,394
Nice call.
63
00:02:24,065 --> 00:02:25,800
(THEME MUSIC PLAYING)
64
00:02:36,077 --> 00:02:37,612
Latest budget report.
65
00:02:37,746 --> 00:02:39,314
Yeah, the PDF's
sitting in my inbox.
66
00:02:39,448 --> 00:02:41,316
I'm trying
to ignore it.
67
00:02:41,450 --> 00:02:42,617
And thus...
68
00:02:45,487 --> 00:02:46,788
A sit-down visit?
69
00:02:46,921 --> 00:02:48,022
Just checking in,
see how you're doing.
70
00:02:48,156 --> 00:02:49,891
Okay. You?
71
00:02:50,024 --> 00:02:52,794
Me? I'm... recovering
from the year,
72
00:02:53,662 --> 00:02:54,763
like everybody else.
73
00:02:54,896 --> 00:02:56,798
Pandemic,
the surge.
74
00:02:56,931 --> 00:02:58,633
You were here
for every minute
of every day.
75
00:02:58,767 --> 00:03:00,269
It must have taken a toll.
76
00:03:00,402 --> 00:03:02,671
It... comes with
the territory.
77
00:03:02,804 --> 00:03:05,340
You're not,
uh, stressed
or distracted?
78
00:03:06,608 --> 00:03:09,344
I'm... tired.
79
00:03:09,478 --> 00:03:12,314
Okay. Well,
maybe you should
take some time off.
80
00:03:12,447 --> 00:03:13,415
No.
81
00:03:15,950 --> 00:03:17,486
But thank you.
I'm fine.
82
00:03:22,357 --> 00:03:23,358
You don't seem fine.
83
00:03:28,897 --> 00:03:30,765
Are there issues with
my work performance?
84
00:03:30,899 --> 00:03:32,100
No, you do great work.
85
00:03:32,233 --> 00:03:33,568
Then I'm not sure
why we're having
this conversation.
86
00:03:33,702 --> 00:03:35,069
Because I'm worried
about you.
87
00:03:36,805 --> 00:03:38,740
Because other people
are worried about you.
88
00:03:39,974 --> 00:03:41,676
There's no shame
in struggling
a little bit.
89
00:03:43,011 --> 00:03:44,579
You know,
what would be weird is
90
00:03:44,713 --> 00:03:46,681
if you didn't
struggle at all.
91
00:03:48,216 --> 00:03:51,252
If you need to see someone,
the hospital will
cover the cost.
92
00:03:51,386 --> 00:03:54,255
Great. You'll pay my bills.
93
00:03:54,389 --> 00:03:56,758
And the damage
to my reputation,
who takes care of that?
94
00:03:58,327 --> 00:04:00,762
I don't think that
seeing a therapist
95
00:04:00,895 --> 00:04:02,897
will affect your career.
96
00:04:04,198 --> 00:04:05,099
Says the white guy.
97
00:04:08,503 --> 00:04:09,504
Okay.
98
00:04:11,940 --> 00:04:14,042
Privacy protections
are there for a reason.
99
00:04:14,175 --> 00:04:15,477
No one needs to know.
100
00:04:15,610 --> 00:04:17,011
Thank you for checking in.
101
00:04:20,549 --> 00:04:21,550
(SIGHS SOFTLY)
102
00:04:33,562 --> 00:04:35,830
How you feeling?
Good.
103
00:04:35,964 --> 00:04:38,266
Be better when
I understand what
landed me up in here.
104
00:04:38,400 --> 00:04:40,469
You had an acute
hypertensive crisis.
105
00:04:40,602 --> 00:04:41,903
Oh, I know
my blood pressure's high.
106
00:04:42,036 --> 00:04:43,071
I'm already
on medication for it.
107
00:04:43,204 --> 00:04:43,938
You probably wanna
know what it is.
108
00:04:45,073 --> 00:04:46,341
There's no medication.
109
00:04:48,009 --> 00:04:49,444
We need to do
an echocardiogram
110
00:04:49,578 --> 00:04:51,245
to make sure your heart
wasn't damaged in the crisis.
111
00:04:51,380 --> 00:04:52,381
Fine by me.
112
00:04:53,882 --> 00:04:55,350
Here's 10% discount
113
00:04:55,484 --> 00:04:58,152
on any purchase
over $50 or more
at Z & B Naturals.
114
00:04:58,286 --> 00:05:00,655
I'm Z.
B is my partner Bill.
115
00:05:01,790 --> 00:05:02,857
You're surrounded by pot
all day, every day,
116
00:05:02,991 --> 00:05:03,958
but you never
touch the stuff?
117
00:05:04,092 --> 00:05:05,494
How? Why?
118
00:05:05,627 --> 00:05:06,761
It's just never
been my thing.
119
00:05:09,964 --> 00:05:11,299
Ah.
120
00:05:11,433 --> 00:05:12,333
The name always
trips me up.
121
00:05:12,467 --> 00:05:13,768
Chlorthalidone.
122
00:05:14,703 --> 00:05:15,737
That's for
hypertension.
123
00:05:15,870 --> 00:05:16,938
Yeah, bottle seems
pretty full.
124
00:05:17,071 --> 00:05:18,072
How long have
you been on this?
125
00:05:18,206 --> 00:05:19,641
About six months.
Just refilled it.
126
00:05:20,341 --> 00:05:21,075
Take it every day.
127
00:05:26,815 --> 00:05:27,782
DR. REZNICK: Smile.
128
00:05:28,717 --> 00:05:29,684
Head tilt.
129
00:05:31,085 --> 00:05:32,353
Now he smiles.
130
00:05:33,822 --> 00:05:35,123
Burst of laughter.
131
00:05:35,256 --> 00:05:35,990
(CHUCKLES)
132
00:05:37,358 --> 00:05:38,359
Yeah.
133
00:05:45,634 --> 00:05:47,201
Rio Gutierrez, 29,
134
00:05:47,335 --> 00:05:49,337
pituitary mass
went from manageable
with meds
135
00:05:49,471 --> 00:05:50,972
to likely surgery.
136
00:05:51,105 --> 00:05:54,609
So, talking to the new
radiology resident, huh?
137
00:05:54,743 --> 00:05:58,212
I wanted Dr. D'Souza's opinion
on an intriguing set of scans.
138
00:05:58,346 --> 00:05:59,113
She is very talented.
139
00:06:00,549 --> 00:06:01,382
You're crushing on her.
140
00:06:02,283 --> 00:06:03,017
N... No.
141
00:06:03,785 --> 00:06:05,420
I am not.
I love Lea.
142
00:06:05,554 --> 00:06:06,888
Well, those two things
aren't mutually exclusive.
143
00:06:09,290 --> 00:06:12,226
Mr. Gutierrez's blood
has high levels
of prolactin.
144
00:06:12,360 --> 00:06:14,629
Prolactin is produced
in the pituitary gland.
145
00:06:14,763 --> 00:06:16,297
The tumor could be
secreting it.
146
00:06:16,431 --> 00:06:18,132
Or the tumor
could be reacting to
the high levels of hormones
147
00:06:18,266 --> 00:06:19,200
being produced
elsewhere in the body.
148
00:06:20,502 --> 00:06:22,003
The patient is
a transgender man.
149
00:06:25,707 --> 00:06:26,708
Do an ultrasound.
150
00:06:28,810 --> 00:06:31,212
Advance the probe
until you see
the cardiac chamber.
151
00:06:32,881 --> 00:06:34,415
ENRIQUE: Maybe Zara has
secondary hypertension
152
00:06:34,549 --> 00:06:36,017
due to renal
vascular disease.
153
00:06:36,150 --> 00:06:37,752
She doesn't.
Her creatinine
is 1.2.
154
00:06:37,886 --> 00:06:39,754
Her GFR is
in normal range.
155
00:06:39,888 --> 00:06:42,056
Well, that would
make it unlikely,
but not impossible.
156
00:06:42,190 --> 00:06:44,826
It'd also explain why her
prescribed hypertension
meds weren't working
157
00:06:44,959 --> 00:06:47,028
and why she got better
when you gave her
that ACE inhibitor.
158
00:06:47,161 --> 00:06:48,997
Mmm. Simpler explanation,
she's not taking her meds.
159
00:06:49,130 --> 00:06:50,364
Valve looks
normal.
160
00:06:50,499 --> 00:06:52,233
Should I move on to
the two-chamber view?
161
00:06:52,366 --> 00:06:53,702
Yeah.
162
00:06:53,835 --> 00:06:55,770
We have no reason to
think that she's lying.
163
00:06:55,904 --> 00:06:57,872
She seems to be
telling the truth
about her pot usage.
164
00:06:58,006 --> 00:06:59,974
No THC
in her blood
or urine.
165
00:07:00,108 --> 00:07:02,577
She couldn't possibly
be lying about
something else.
166
00:07:02,711 --> 00:07:04,513
The left ventricle
is thickened,
167
00:07:04,646 --> 00:07:06,881
which is consistent with
untreated hypertension.
168
00:07:07,015 --> 00:07:08,517
(MONITOR BEEPING RAPIDLY)
169
00:07:08,650 --> 00:07:09,383
Heart rate's
climbing.
170
00:07:11,285 --> 00:07:12,854
Cardiac output
is dropping.
171
00:07:12,987 --> 00:07:14,255
Stroke volume
as well.
172
00:07:14,388 --> 00:07:15,757
She's in
cardiogenic shock.
173
00:07:15,890 --> 00:07:16,891
(ALARMS BEEPING)
174
00:07:19,594 --> 00:07:21,262
Would you mind
if I did an ultrasound
on your abdomen?
175
00:07:22,396 --> 00:07:23,798
For a brain tumor?
176
00:07:23,932 --> 00:07:27,502
This is my fiance,
Eli Simpson.
177
00:07:27,636 --> 00:07:28,870
When I heard about
the new scans,
178
00:07:29,003 --> 00:07:29,804
I kind of
stormed the castle.
179
00:07:31,139 --> 00:07:32,073
My hero.
180
00:07:33,207 --> 00:07:34,909
Your prolactin levels
are very high,
181
00:07:35,043 --> 00:07:36,110
which might be caused
by the tumor,
182
00:07:36,244 --> 00:07:37,812
unless another condition
raised your prolactin,
183
00:07:37,946 --> 00:07:38,913
encouraging more growth.
184
00:07:40,181 --> 00:07:41,349
What condition
boosts prolactin?
185
00:07:43,351 --> 00:07:44,819
Do you think
I'm pregnant?
186
00:07:46,387 --> 00:07:48,723
He can't be.
He's on testosterone.
187
00:07:48,857 --> 00:07:50,625
Except for
a few weeks
last month.
188
00:07:50,759 --> 00:07:52,226
I forgot to take my shot
before our trip.
189
00:07:53,828 --> 00:07:54,829
But there's no way that...
190
00:07:54,963 --> 00:07:55,930
You're pregnant.
191
00:08:10,144 --> 00:08:11,646
You went into
cardiogenic shock
192
00:08:11,780 --> 00:08:13,648
because your heart
wasn't pumping
adequately.
193
00:08:13,782 --> 00:08:16,918
We did a minor procedure
and installed
an Impella pump,
194
00:08:17,051 --> 00:08:19,020
but it's
a short-term
solution.
195
00:08:19,153 --> 00:08:20,889
I do feel a little
out of breath.
196
00:08:21,022 --> 00:08:23,157
But that might be
just 'cause of you,
Dr. Andrews.
197
00:08:23,291 --> 00:08:24,926
Ms. Norton,
I'm a married man
and your doctor.
198
00:08:25,059 --> 00:08:25,960
(CHUCKLES)
199
00:08:27,495 --> 00:08:28,897
You have
a rare condition.
200
00:08:29,030 --> 00:08:30,699
Certain parts of
your heart muscle
201
00:08:30,832 --> 00:08:32,601
have become
abnormally thick.
202
00:08:32,734 --> 00:08:36,070
So, this wall
in between the chambers,
that's the septum.
203
00:08:36,204 --> 00:08:36,971
That's a normal one.
204
00:08:38,506 --> 00:08:40,041
This is what
yours looks like.
205
00:08:40,809 --> 00:08:41,776
Oh, wow.
206
00:08:41,910 --> 00:08:43,812
It's gonna
require surgery.
207
00:08:43,945 --> 00:08:46,047
We're gonna run a few
more tests to determine
the best approach.
208
00:08:47,849 --> 00:08:49,450
Wait. You gonna be
my surgeon, Dr. Andrews?
209
00:08:49,984 --> 00:08:50,985
I sure will.
210
00:08:51,986 --> 00:08:52,987
And y'all two
gonna be with him?
211
00:08:54,022 --> 00:08:55,389
Yeah.
212
00:08:55,523 --> 00:08:57,826
(CHUCKLES)
My lucky day.
213
00:08:57,959 --> 00:09:00,394
Three doctors of color
taking care of me.
214
00:09:00,528 --> 00:09:02,731
Doctors who won't
talk down to me.
215
00:09:02,864 --> 00:09:04,966
Not exactly
what I'm used to.
216
00:09:05,099 --> 00:09:06,300
You guys know
what I mean.
217
00:09:06,434 --> 00:09:07,936
My mother made me
wear a suit and tie
218
00:09:08,069 --> 00:09:10,571
whenever we went
to the pediatrician.
219
00:09:10,705 --> 00:09:13,708
Put on your Sunday best
just to get on the scale
and touch your toes.
220
00:09:13,842 --> 00:09:17,011
Yeah. Made me so mad,
I wound up
becoming a doctor.
221
00:09:17,545 --> 00:09:18,412
(CHUCKLES)
222
00:09:19,347 --> 00:09:21,249
The testing
confirmed
223
00:09:21,382 --> 00:09:24,085
your tumor is a
hormone-producing
prolactinoma.
224
00:09:24,218 --> 00:09:27,021
And the pregnancy is
about six weeks along.
225
00:09:27,155 --> 00:09:28,923
Do you consider
yourself gay?
226
00:09:30,692 --> 00:09:32,060
I don't think that's...
ELI: Yes.
227
00:09:33,061 --> 00:09:35,363
Because I am gay.
228
00:09:35,496 --> 00:09:38,366
But you have
vaginal intercourse
with your fiance.
229
00:09:38,499 --> 00:09:41,402
That is how
he got pregnant...
Dr. Murphy, that's enough.
230
00:09:41,535 --> 00:09:43,037
I... I just want...
I think you
should leave.
231
00:09:52,480 --> 00:09:53,882
I'm sorry.
232
00:09:54,015 --> 00:09:56,084
That was completely
inappropriate.
233
00:09:58,086 --> 00:09:59,387
Our treatment plan
for your tumor
234
00:09:59,520 --> 00:10:01,255
depends on your plan
for your pregnancy.
235
00:10:02,523 --> 00:10:03,257
So...
236
00:10:07,595 --> 00:10:09,263
We've talked
about kids,
237
00:10:09,397 --> 00:10:12,333
but I always
figured that was
way down the road.
238
00:10:14,368 --> 00:10:15,469
And not this way.
239
00:10:16,570 --> 00:10:17,772
I always assumed
we'd adopt.
240
00:10:20,775 --> 00:10:23,244
I'd have go off T,
and stay off.
241
00:10:25,213 --> 00:10:26,848
If Rio doesn't continue
the pregnancy,
242
00:10:27,648 --> 00:10:28,649
then what happens?
243
00:10:29,718 --> 00:10:31,085
Your hormone levels
would drop quickly,
244
00:10:31,219 --> 00:10:32,787
which would cause
the tumor to shrink.
245
00:10:32,921 --> 00:10:36,124
After that,
we'd use medication,
possibly a minor surgery.
246
00:10:39,193 --> 00:10:40,594
I'd like to terminate
the pregnancy.
247
00:10:44,265 --> 00:10:45,900
ENRIQUE: I looked over
all of Zara's labs.
248
00:10:46,034 --> 00:10:49,637
All signs point to her
taking her hypertension
medicine regularly.
249
00:10:49,771 --> 00:10:53,975
Her MRIs show
significant ventricular
septal thickness,
250
00:10:54,108 --> 00:10:55,409
bad turbulence
jet flow.
251
00:10:56,510 --> 00:10:58,346
There's myocardial
edema, too.
252
00:10:59,613 --> 00:11:02,350
The ACE inhibitors
were a bad call.
253
00:11:02,483 --> 00:11:04,953
Which eventually
sent our patient
into cardiogenic shock.
254
00:11:06,755 --> 00:11:08,522
(KEYBOARD CLACKS,
COMPUTER BEEPS)
255
00:11:08,656 --> 00:11:10,424
Why'd you ignore
what she was telling us?
256
00:11:11,793 --> 00:11:13,194
(SCOFFS SOFTLY)
I made
a medical diagnosis
257
00:11:13,327 --> 00:11:15,696
based on
pattern processing
258
00:11:15,830 --> 00:11:17,131
that we're taught
in med school,
259
00:11:17,265 --> 00:11:21,836
which involves considering,
you know, race, education,
260
00:11:21,970 --> 00:11:24,638
occupation, BMI.
261
00:11:24,773 --> 00:11:26,607
Always sounded like
profiling to me.
262
00:11:30,378 --> 00:11:31,145
(COMPUTER BEEPS)
263
00:11:34,282 --> 00:11:35,683
MAN ON TV:
Yes, we have the rain,
264
00:11:35,817 --> 00:11:37,518
but more impressively,
the wind.
265
00:11:37,651 --> 00:11:39,320
That rain's going to be
coming in sideways.
266
00:11:39,453 --> 00:11:41,689
Just take a look at
how the wind increases
267
00:11:41,823 --> 00:11:43,057
as we progress
throughout the day.
268
00:11:43,191 --> 00:11:44,893
So, this afternoon,
we're talking about
269
00:11:45,026 --> 00:11:46,494
50-mile-per-hour
gusts possible.
270
00:11:46,627 --> 00:11:47,328
Sorry for crashing.
271
00:11:48,262 --> 00:11:49,964
Radiology
doesn't have a TV.
272
00:11:50,098 --> 00:11:50,865
(TV CONTINUES
PLAYING INDISTINCTLY)
273
00:11:52,366 --> 00:11:54,035
You like
The Weather Channel?
274
00:11:55,636 --> 00:11:56,838
I find it soothing.
275
00:11:59,007 --> 00:11:59,874
Would you like
to join me?
276
00:12:02,210 --> 00:12:04,578
And we have more intense
rainfall coming through,
277
00:12:04,712 --> 00:12:07,181
and that's going to
also lead to some
flood potential.
278
00:12:07,315 --> 00:12:08,917
All of us are going
to get into the action.
279
00:12:09,050 --> 00:12:10,584
You got the mountains.
280
00:12:10,718 --> 00:12:13,354
Would you mind
if I lowered the volume
by four output levels?
281
00:12:15,023 --> 00:12:16,024
Oh.
282
00:12:17,025 --> 00:12:18,392
That would be perfect.
283
00:12:18,526 --> 00:12:20,361
All the areas around here
in Northern California,
284
00:12:20,494 --> 00:12:22,096
Modesto,
Stockton,
Sacramento.
285
00:12:22,230 --> 00:12:24,098
(VOLUME DECREASES)
The northern part
of San Francisco...
286
00:12:24,232 --> 00:12:25,033
(TV CONTINUES
PLAYING INDISTINCTLY)
287
00:12:32,841 --> 00:12:35,209
I find the reflection
on the screen
so distracting.
288
00:12:38,612 --> 00:12:39,580
So do I.
289
00:12:52,093 --> 00:12:53,127
Could I
290
00:12:55,696 --> 00:12:56,497
do this?
291
00:13:41,275 --> 00:13:42,276
Nurse paged me.
292
00:13:44,979 --> 00:13:45,947
Is something wrong?
293
00:13:47,581 --> 00:13:48,482
I've changed my mind.
294
00:13:51,819 --> 00:13:52,921
I want to keep the baby.
295
00:13:58,459 --> 00:13:59,860
Since you're continuing
the pregnancy,
296
00:13:59,994 --> 00:14:01,930
we'll need to surgically
remove the prolactinoma.
297
00:14:03,064 --> 00:14:05,633
So, you'll cut
into his brain?
298
00:14:05,766 --> 00:14:07,668
Our safest option
is to go in through
the nasal cavity
299
00:14:07,801 --> 00:14:11,405
in what's known as
a transsphenoidal surgery,
TSS for short.
300
00:14:11,539 --> 00:14:13,908
It's less invasive
than our other option.
301
00:14:15,176 --> 00:14:16,377
That still
sounds dangerous.
302
00:14:17,511 --> 00:14:18,879
I've made up my mind.
303
00:14:19,013 --> 00:14:20,314
Do I get any say in this?
304
00:14:23,617 --> 00:14:26,154
I'm all for us
having a family,
but I'm not ready to...
305
00:14:26,287 --> 00:14:27,888
No one's ever ready
for kids.
306
00:14:28,022 --> 00:14:30,624
Yesterday, you said that
you never considered
getting pregnant,
307
00:14:30,758 --> 00:14:32,326
and now you're willing
to risk your life for it.
308
00:14:37,165 --> 00:14:38,332
When I was about seven,
309
00:14:39,600 --> 00:14:41,335
I had this one refuge.
310
00:14:43,671 --> 00:14:45,974
I'd hang a quilt
over a couple chairs
311
00:14:46,107 --> 00:14:48,342
and hide out
with my two buds,
312
00:14:50,244 --> 00:14:51,946
Foxie the Fox
and Fuzz the Lion,
313
00:14:53,547 --> 00:14:54,348
and I'd imagine,
314
00:14:55,549 --> 00:14:56,350
I was the dad.
315
00:14:59,887 --> 00:15:02,023
And they were
my twin little guys,
316
00:15:03,024 --> 00:15:04,425
fraternal, obviously.
317
00:15:06,660 --> 00:15:07,428
We were a family.
318
00:15:11,032 --> 00:15:13,434
When I transitioned,
I put that dream aside.
319
00:15:14,702 --> 00:15:16,737
At least, as far as
them coming from me.
320
00:15:16,870 --> 00:15:17,871
But now...
321
00:15:22,210 --> 00:15:23,377
Whether we planned it
or not,
322
00:15:24,845 --> 00:15:25,879
this is our baby.
323
00:15:32,386 --> 00:15:34,522
How soon can you
do the surgery?
324
00:15:34,655 --> 00:15:36,424
I'll order
an image-guidance MRI
to get things started.
325
00:15:46,700 --> 00:15:49,303
CLAIRE: Based on
the cardiac MRI
and catheterization,
326
00:15:49,437 --> 00:15:50,938
there are two
treatment options.
327
00:15:51,072 --> 00:15:53,341
Myectomy, basically
open heart surgery,
328
00:15:53,474 --> 00:15:55,976
and alcohol
septal ablation,
329
00:15:56,110 --> 00:15:59,413
where we use the alcohol
to kill targeted sections
of the heart muscle.
330
00:16:00,314 --> 00:16:02,516
Well, what would
you recommend?
331
00:16:02,650 --> 00:16:05,919
The surgery
is more invasive,
tougher recovery,
332
00:16:06,054 --> 00:16:07,821
but better efficacy
long-term.
333
00:16:07,955 --> 00:16:09,957
The ablation
is less dangerous,
334
00:16:10,091 --> 00:16:13,227
but you're more likely to need
further medical interventions.
335
00:16:14,295 --> 00:16:16,030
Now, you call that
a recommendation?
336
00:16:16,164 --> 00:16:18,132
There are pros
and cons to both.
337
00:16:18,266 --> 00:16:20,168
Uh, you'll need
to weigh them.
338
00:16:20,301 --> 00:16:21,302
I'll give you
some time.
339
00:16:22,936 --> 00:16:24,772
You always want to
take care of people,
Dr. Browne?
340
00:16:24,905 --> 00:16:25,639
Pretty much.
341
00:16:26,574 --> 00:16:28,476
Me, too.
342
00:16:28,609 --> 00:16:31,445
Oh. Well, you run
a marijuana dispensary.
343
00:16:31,579 --> 00:16:33,381
It's not all about
getting people high.
344
00:16:33,514 --> 00:16:37,085
No, maybe not,
but I'm guessing
most of your clientele...
345
00:16:37,218 --> 00:16:38,952
My Great-Aunt Lucy
had pancreatic cancer.
346
00:16:42,090 --> 00:16:43,157
A year, she hung on.
347
00:16:44,325 --> 00:16:45,326
In agony.
348
00:16:46,994 --> 00:16:50,698
Marijuana was the only thing
that helped her eat or sleep.
349
00:16:50,831 --> 00:16:52,466
Doctors didn't
give her anything
for the pain?
350
00:16:53,334 --> 00:16:54,468
They suggested
ibuprofen.
351
00:16:56,704 --> 00:16:58,372
Now, you know doctors
are 22% less likely
352
00:16:58,506 --> 00:17:00,674
to give pain meds
to Black patients
353
00:17:00,808 --> 00:17:02,676
than to white patients
with the same symptoms.
354
00:17:04,678 --> 00:17:07,481
My point is,
you and I,
we're a lot alike.
355
00:17:09,150 --> 00:17:11,018
We're both strong, Black women
finding our way in the world,
356
00:17:11,152 --> 00:17:14,188
but one of us knows more
about medicine than the other.
357
00:17:14,322 --> 00:17:18,359
So, I'd like to know,
what would you do
in my situation?
358
00:17:22,530 --> 00:17:24,798
The open myectomy
is a bigger risk
359
00:17:24,932 --> 00:17:27,501
but offers more
long-term benefits.
360
00:17:30,138 --> 00:17:30,871
I've made my decision.
361
00:17:34,442 --> 00:17:35,509
I'm with you,
Dr. Browne.
362
00:17:36,810 --> 00:17:37,911
Book the myectomy.
363
00:17:46,019 --> 00:17:48,689
Here's the Rio Gutierrez
imaging for your
upcoming TSS.
364
00:17:48,822 --> 00:17:50,391
Set that
on the table,
please.
365
00:17:54,662 --> 00:17:56,430
I, um...
366
00:17:56,564 --> 00:17:58,699
I noted the tumor's
suprasellar expansion
367
00:17:58,832 --> 00:18:02,102
and surrounding edema
and splaying
of circle of Willis.
368
00:18:02,236 --> 00:18:03,704
That is very helpful.
369
00:18:07,040 --> 00:18:08,041
Bye, Dr. Murphy.
370
00:18:11,579 --> 00:18:12,980
You're safe, Shaun.
She's gone.
371
00:18:13,113 --> 00:18:14,448
Not really.
372
00:18:15,583 --> 00:18:17,718
Dr. D'Souza
is still in my brain.
373
00:18:17,851 --> 00:18:18,586
I don't like it.
374
00:18:19,587 --> 00:18:20,554
We kissed.
375
00:18:21,855 --> 00:18:22,923
When?
What?
376
00:18:23,056 --> 00:18:24,925
I have so many
thoughts about her,
377
00:18:25,058 --> 00:18:27,595
and I have
so many questions
I want to ask Rio.
378
00:18:27,728 --> 00:18:29,062
Wouldn't he get
more pleasure for...
379
00:18:29,197 --> 00:18:30,331
Questions you're not
supposed to ask him.
380
00:18:30,464 --> 00:18:32,065
The kiss, Shaun.
When did you kiss?
381
00:18:32,200 --> 00:18:33,767
Last night.
In my dream.
382
00:18:35,403 --> 00:18:39,540
If I can't ask questions,
how do I understand?
383
00:18:39,673 --> 00:18:41,575
My... My brain...
384
00:18:41,709 --> 00:18:44,578
My... My brain isn't behaving
the way I want it to.
385
00:18:44,712 --> 00:18:45,646
How do I make it stop?
386
00:18:50,318 --> 00:18:51,785
You're attracted
to Dr. D'Souza.
387
00:18:52,753 --> 00:18:53,621
Why does that
bother you?
388
00:18:56,457 --> 00:19:00,994
When I was with Carly
and had feelings for Lea,
389
00:19:01,128 --> 00:19:03,831
it meant
I was supposed
to be with Lea.
390
00:19:03,964 --> 00:19:06,367
What if this means
I'm supposed to be
with Dr. D'Souza?
391
00:19:06,500 --> 00:19:09,102
No.
You've loved Lea
for years.
392
00:19:09,237 --> 00:19:11,605
This is just...
attraction.
393
00:19:13,707 --> 00:19:16,977
But shouldn't loving Lea
make it go away?
394
00:19:18,646 --> 00:19:21,615
Relationships would be
a lot easier
if it worked that way.
395
00:19:23,717 --> 00:19:25,152
You're feeling guilty.
396
00:19:25,286 --> 00:19:28,188
I say take Lea out
for a nice dinner,
something special.
397
00:19:28,322 --> 00:19:30,358
And tell her
about my crush.
398
00:19:30,491 --> 00:19:32,159
I need to
let Lea know.
399
00:19:32,293 --> 00:19:33,394
No, definitely not.
No, you do not.
400
00:19:35,296 --> 00:19:37,565
I want to get your thoughts
on the suprasellar extension
of the tumor
401
00:19:37,698 --> 00:19:38,932
for this TSS.
You remember
Sarah Pepper?
402
00:19:39,066 --> 00:19:40,634
Runs nephrology
at S.F. Regional?
403
00:19:41,435 --> 00:19:43,003
Always wears
a shawl?
404
00:19:43,136 --> 00:19:46,374
So, during the staff
meeting last week,
she fell apart.
405
00:19:46,507 --> 00:19:48,642
Screaming, crying in front
of the whole department.
Totally nuts.
406
00:19:49,510 --> 00:19:52,079
Rough day
at the office.
407
00:19:52,212 --> 00:19:54,482
Wonder how you'd approach
and resect without getting
a CSF leak.
408
00:19:55,148 --> 00:19:56,817
Yeah.
409
00:19:56,950 --> 00:19:59,520
Place a lumbar drain,
then infuse saline
and do Valsalva maneuver.
410
00:20:00,020 --> 00:20:01,389
Okay.
411
00:20:01,522 --> 00:20:04,224
Apparently,
Pepper's meltdown
was so over the top,
412
00:20:04,358 --> 00:20:05,926
the hospital forced her
to take a leave.
413
00:20:07,361 --> 00:20:08,662
How long?
Unspecified.
414
00:20:10,097 --> 00:20:12,500
She's always been
a little crazy.
415
00:20:12,633 --> 00:20:15,969
Last I checked,
eccentric and emotional
didn't qualify as crazy.
416
00:20:16,103 --> 00:20:16,904
Thanks for taking a look.
417
00:20:23,677 --> 00:20:25,012
I read that
cisgender people
418
00:20:25,145 --> 00:20:28,081
often reduce
transgender people
to their genitalia,
419
00:20:28,215 --> 00:20:29,383
and that
that is offensive.
420
00:20:30,318 --> 00:20:31,685
Did I do that
to you and Rio?
421
00:20:32,753 --> 00:20:33,687
Yes.
422
00:20:35,389 --> 00:20:36,524
I'm sorry.
423
00:20:39,860 --> 00:20:41,695
Rio will be going
into surgery soon.
424
00:20:43,731 --> 00:20:45,699
He's been asking for you.
425
00:20:45,833 --> 00:20:46,700
You haven't been
answering your phone.
426
00:20:48,168 --> 00:20:49,269
Thanks for
letting me know.
427
00:20:54,107 --> 00:20:56,243
He is very confusing
to me, too.
428
00:20:56,377 --> 00:20:58,679
Rio has worked
so hard,
429
00:20:58,812 --> 00:21:01,715
he had a bilateral
subcutaneous mastectomy
430
00:21:01,849 --> 00:21:03,417
and takes hormone
replacement therapy,
431
00:21:03,551 --> 00:21:08,422
but now he is choosing
the most female act.
432
00:21:11,124 --> 00:21:13,026
It's not female
if Rio's doing it.
433
00:21:17,064 --> 00:21:19,099
Y... Yes.
434
00:21:19,232 --> 00:21:21,902
And he must have dealt
with a lot of prejudice
435
00:21:22,603 --> 00:21:24,137
during his transition.
436
00:21:24,271 --> 00:21:25,939
I dealt with prejudice.
437
00:21:26,073 --> 00:21:27,975
My brother helped me.
Does he have a brother?
438
00:21:30,043 --> 00:21:31,745
His family
doesn't talk to him.
439
00:21:36,884 --> 00:21:39,987
And now Rio is
having brain surgery.
440
00:21:43,424 --> 00:21:44,458
He is very brave.
441
00:21:45,959 --> 00:21:46,927
You can stay here.
442
00:21:52,099 --> 00:21:54,968
I have a patient,
Zara Norton.
443
00:21:55,102 --> 00:21:57,304
We, uh...
We diagnosed her
with HOCM.
444
00:21:57,438 --> 00:21:58,939
I saw the file.
445
00:21:59,072 --> 00:22:01,775
Dr. Guerin expressed
some concerns
446
00:22:01,909 --> 00:22:04,678
about my initial handling
of the case in the ER.
447
00:22:06,279 --> 00:22:10,350
He thinks
I stereotyped her,
based on her race.
448
00:22:10,484 --> 00:22:11,218
Do you think you did?
449
00:22:13,454 --> 00:22:15,022
She was crashing.
450
00:22:15,155 --> 00:22:17,658
I had to make a call.
I didn't have a lot
to go on.
451
00:22:20,093 --> 00:22:21,629
Glassman came
to see me
this morning.
452
00:22:22,930 --> 00:22:25,298
Someone told him
I'm unstable
and need help.
453
00:22:25,433 --> 00:22:26,567
Any idea where
he heard that?
454
00:22:29,002 --> 00:22:30,337
I asked for help.
You can, too.
455
00:22:30,471 --> 00:22:31,672
You're a resident.
No one cares
if you need help.
456
00:22:33,607 --> 00:22:35,776
I got this job in part
457
00:22:35,909 --> 00:22:39,513
because my main competition,
a man, backed me.
458
00:22:39,647 --> 00:22:42,015
The second anyone thinks
I can't handle this...
459
00:22:42,149 --> 00:22:43,183
No one is gonna
think that...
460
00:22:43,316 --> 00:22:44,718
They will if you keep
telling them I'm a mess.
461
00:22:45,352 --> 00:22:47,521
You have PTSD.
462
00:22:47,655 --> 00:22:49,122
You shouldn't be ashamed.
463
00:22:49,256 --> 00:22:51,825
Says the women
who just profiled
a Black female patient.
464
00:22:54,394 --> 00:22:55,395
You judged her,
465
00:22:56,363 --> 00:22:58,999
just like people
will judge me
466
00:22:59,132 --> 00:23:00,968
and whisper that I've always
been a little intense,
467
00:23:01,101 --> 00:23:03,003
so no wonder I was asked
to step down.
468
00:23:04,472 --> 00:23:05,205
(SIGHS SOFTLY)
469
00:23:07,941 --> 00:23:08,909
Nobody needs to know.
470
00:23:10,210 --> 00:23:11,211
(SCOFFS)
471
00:23:12,045 --> 00:23:12,846
Exactly.
472
00:23:15,382 --> 00:23:17,184
You tell me that
it doesn't matter.
473
00:23:17,317 --> 00:23:19,252
You tell me everyone
will understand,
474
00:23:19,386 --> 00:23:21,755
and then you tell me
to keep it to myself.
475
00:23:21,889 --> 00:23:23,491
Should I be ashamed,
or shouldn't I be?
476
00:23:25,258 --> 00:23:27,928
All right, Ms. Norton,
time to head to pre-op.
477
00:23:30,864 --> 00:23:32,165
ZARA: What's in the bag,
handsome?
478
00:23:32,299 --> 00:23:35,703
I like to know
what goes into my body.
479
00:23:35,836 --> 00:23:39,072
Uh, cefazolin.
It's a prophylactic antibiotic
we give before surgeries.
480
00:23:39,206 --> 00:23:39,940
Makes sense.
481
00:23:41,942 --> 00:23:44,377
Hey, what was the med
y'all gave me when I first
got here to the ER?
482
00:23:45,579 --> 00:23:48,015
Enalaprilat.
It's an ACE inhibitor.
483
00:23:48,148 --> 00:23:49,182
Isn't that
for hypertension?
484
00:23:49,316 --> 00:23:50,183
Mmm-hmm.
485
00:23:51,985 --> 00:23:53,286
But I thought
I already told y'all
486
00:23:53,420 --> 00:23:54,755
I was on meds
for my blood pressure.
487
00:23:55,789 --> 00:23:57,057
You did.
488
00:23:57,190 --> 00:23:58,325
So, you figured
I needed more?
489
00:24:02,095 --> 00:24:03,296
Or did you
not believe me?
490
00:24:17,410 --> 00:24:18,411
I'm sorry.
491
00:24:22,449 --> 00:24:23,416
You must be scared.
492
00:24:25,218 --> 00:24:26,787
You shouldn't have to
be scared alone.
493
00:24:27,621 --> 00:24:28,589
(SNIFFLES)
494
00:24:29,122 --> 00:24:30,090
I love you.
495
00:24:31,058 --> 00:24:31,925
I love you, too.
496
00:24:37,230 --> 00:24:37,965
Eli.
497
00:24:40,568 --> 00:24:41,835
I can't see you.
498
00:24:41,969 --> 00:24:44,538
I'm right here, babe.
499
00:24:44,672 --> 00:24:46,439
Can you follow this
with your eyes?
500
00:24:49,442 --> 00:24:50,844
It keeps disappearing.
501
00:24:50,978 --> 00:24:52,145
You've lost
peripheral vision.
502
00:24:52,279 --> 00:24:54,014
The tumor is impinging
on the optic fibers.
503
00:24:54,147 --> 00:24:55,949
We can't perform
the TSS surgery.
504
00:25:02,255 --> 00:25:04,291
DR. LIM:
With the tumor's
continued growth,
505
00:25:04,424 --> 00:25:07,961
the best remaining option is
the open pterional craniotomy.
506
00:25:08,095 --> 00:25:11,531
But it is higher risk
with a lengthier recovery.
507
00:25:11,665 --> 00:25:14,367
All of which is
on top of the potential
for gender dysphoria
508
00:25:14,501 --> 00:25:15,736
during pregnancy.
509
00:25:15,869 --> 00:25:17,638
Is that
still a concern?
510
00:25:19,840 --> 00:25:21,675
I think back to before
I started taking T,
511
00:25:22,643 --> 00:25:24,044
how terrible
that felt.
512
00:25:27,280 --> 00:25:28,982
The thought
of feeling that
all over again...
513
00:25:33,120 --> 00:25:35,155
We could go back
to the original plan.
514
00:25:37,858 --> 00:25:38,992
You mean terminate
the pregnancy?
515
00:25:40,661 --> 00:25:42,195
The tumor should
shrink on its own.
516
00:25:46,299 --> 00:25:50,437
After everything you've done
to get where you are
in your life,
517
00:25:50,570 --> 00:25:53,373
it's scary to think about
doing something that would
put that at risk.
518
00:25:55,843 --> 00:25:56,810
(SIGHS)
519
00:25:57,510 --> 00:25:59,012
This is my next step.
520
00:26:00,648 --> 00:26:03,250
I'm ready to take it,
even if I'm scared.
521
00:26:06,353 --> 00:26:08,388
You have to take risks
sometimes, Dr. Lim.
522
00:26:18,666 --> 00:26:20,367
Thank you.
523
00:26:20,500 --> 00:26:22,202
Shouldn't you
be prepping Zara
for surgery?
524
00:26:22,335 --> 00:26:23,837
It's canceled.
525
00:26:23,971 --> 00:26:25,505
She wants to
be transferred to
a different hospital.
526
00:26:27,975 --> 00:26:31,044
One where she won't be
"racially profiled
into heart failure."
527
00:26:33,914 --> 00:26:34,915
(SIGHS SOFTLY)
528
00:26:39,820 --> 00:26:42,055
Shaun, you okay?
529
00:26:45,225 --> 00:26:47,828
SHAUN:
I am having thoughts
I don't want to have.
530
00:26:47,961 --> 00:26:50,463
Both Park and Jordan
say I shouldn't tell you.
531
00:26:52,232 --> 00:26:53,633
But you're going to,
aren't you?
532
00:26:55,903 --> 00:26:57,437
Yes, I am.
533
00:26:57,570 --> 00:26:59,239
I have a work crush.
534
00:26:59,372 --> 00:27:01,875
Also, my patient is
a pregnant trans man...
535
00:27:02,009 --> 00:27:03,076
Okay, one at a time, Shaun.
536
00:27:03,744 --> 00:27:06,346
About this... crush?
537
00:27:06,479 --> 00:27:08,248
Her name is
Dr. Cintia D'Souza.
538
00:27:08,381 --> 00:27:10,117
She is a second-year
radiology resident.
539
00:27:10,250 --> 00:27:12,452
Last night,
I dreamed we were in
the Residents' Lounge,
540
00:27:12,585 --> 00:27:14,621
watching The Weather Channel,
and then we started kissing...
541
00:27:14,755 --> 00:27:15,488
Okay, I got it.
542
00:27:17,691 --> 00:27:19,359
Are you mad?
543
00:27:19,492 --> 00:27:21,128
Park and Jordan were right.
I shouldn't have told you.
544
00:27:22,429 --> 00:27:25,032
No. I'm not mad.
545
00:27:25,165 --> 00:27:28,101
A little surprised,
but that's okay.
546
00:27:31,705 --> 00:27:33,106
I'm still attracted
547
00:27:34,041 --> 00:27:35,108
to other guys
sometimes.
548
00:27:35,976 --> 00:27:36,977
N... No.
549
00:27:37,978 --> 00:27:39,379
No. What? Who?
550
00:27:39,512 --> 00:27:40,513
It doesn't matter.
Who?
551
00:27:41,949 --> 00:27:45,786
There... Okay, there is
this one physical therapist...
552
00:27:45,919 --> 00:27:46,920
N... No.
553
00:27:47,387 --> 00:27:48,355
No.
554
00:27:48,822 --> 00:27:49,823
No.
555
00:27:53,593 --> 00:27:57,597
What if we're attracted
to other people
556
00:27:57,731 --> 00:28:00,768
because there is
something wrong
with our relationship?
557
00:28:02,770 --> 00:28:05,705
You're not planning on
kissing Dr. D'Souza
in real life?
558
00:28:05,839 --> 00:28:06,840
No.
559
00:28:06,974 --> 00:28:08,842
Or working late with her,
560
00:28:08,976 --> 00:28:11,244
doing some
X-rays alone,
561
00:28:11,378 --> 00:28:14,514
where you might
end up leaning over
the same light box.
562
00:28:14,647 --> 00:28:17,017
We don't use
light boxes anymore.
563
00:28:22,022 --> 00:28:24,157
And I don't plan to
work late with her.
564
00:28:24,291 --> 00:28:27,160
Then I don't think
either of us has anything
to be worried about.
565
00:28:27,795 --> 00:28:28,796
(INHALES SHARPLY)
566
00:28:39,840 --> 00:28:42,175
I have to go prep for
a pterional craniotomy.
567
00:28:49,349 --> 00:28:51,351
I'm Dr. Glassman,
president of the hospital.
568
00:28:52,719 --> 00:28:54,587
Unless you're here
to drive me
to S.F. Regional,
569
00:28:54,721 --> 00:28:56,089
you can head
right back on out.
570
00:28:57,891 --> 00:29:00,894
I apologize
for your experience
in the emergency room.
571
00:29:01,028 --> 00:29:02,595
That's mighty white
of you.
572
00:29:03,831 --> 00:29:05,999
(SIGHS SOFTLY)
573
00:29:06,133 --> 00:29:09,036
I don't recommend that you
transfer to S.F. Regional,
574
00:29:09,169 --> 00:29:10,537
or any other hospital,
for that matter.
575
00:29:10,670 --> 00:29:13,106
I'm sure they got
the same fancy equipment,
576
00:29:13,240 --> 00:29:15,208
same shiny sets
of diplomas
y'all got here,
577
00:29:15,342 --> 00:29:17,377
and maybe a few less
racist doctors.
578
00:29:19,246 --> 00:29:22,015
Well, apparently,
that doesn't seem
to be the case.
579
00:29:22,149 --> 00:29:25,819
I pulled data on
comparable hospitals
within 100 miles,
580
00:29:26,920 --> 00:29:29,990
did numbers on
surgical outcomes
581
00:29:30,123 --> 00:29:34,427
and patient satisfaction,
aggregated by race.
582
00:29:34,561 --> 00:29:38,598
Apparently,
we're doing well,
comparatively.
583
00:29:42,202 --> 00:29:45,405
Your argument is that
your hospital may be
racially biased,
584
00:29:45,538 --> 00:29:47,707
but it's less racially biased
than these other hospitals?
585
00:29:49,709 --> 00:29:51,044
Yeah. Pretty much.
586
00:29:52,745 --> 00:29:54,514
Stay at St. Bonaventure,
587
00:29:54,647 --> 00:29:57,951
the president of the hospital
will monitor your care
every step of the way.
588
00:29:59,452 --> 00:30:00,453
For whatever it's worth,
589
00:30:01,955 --> 00:30:03,256
I don't think
you can do
better than that.
590
00:30:14,101 --> 00:30:16,269
She's gonna stay,
on one condition.
591
00:30:17,704 --> 00:30:18,771
That you're
off the team.
592
00:30:30,150 --> 00:30:32,219
DR. LIM:
Dr. Park, please open
Sylvian fissure.
593
00:30:32,352 --> 00:30:33,921
DR. PARK:
Arachnoid knife
and Rhoton dissector.
594
00:30:34,054 --> 00:30:34,787
(MONITOR BEEPING)
595
00:30:36,123 --> 00:30:38,291
Tumor is visible.
596
00:30:39,993 --> 00:30:41,294
What makes someone
a man?
597
00:30:43,363 --> 00:30:45,999
I thought it was
just the chromosomes,
598
00:30:46,133 --> 00:30:47,667
but that must
not be it,
599
00:30:47,800 --> 00:30:50,637
which makes things
confusing
and difficult,
600
00:30:50,770 --> 00:30:52,505
and I know Rio
was uncomfortable
when he...
601
00:30:52,639 --> 00:30:54,841
Life is uncomfortable.
602
00:30:54,975 --> 00:30:58,311
It hits you with
tough situations and
you muscle through them.
603
00:30:58,445 --> 00:31:00,047
I see a tiny bleed
in the circular sinus.
604
00:31:00,180 --> 00:31:01,314
Pack it with Floseal.
605
00:31:08,288 --> 00:31:10,157
(ALARM BEEPING)
DR. LIM: Someone give me
an update.
606
00:31:10,290 --> 00:31:12,225
DR. PARK: We got a drop
in end tidal CO2
and oxygen sat.
607
00:31:12,359 --> 00:31:14,161
DR. LIM:
See any evidence
of exposed air cells?
608
00:31:14,294 --> 00:31:17,730
No. But waxing
bone edges
just to be safe.
609
00:31:17,864 --> 00:31:21,734
But the tumor thinned
the sellar floor
and sphenoid wall.
610
00:31:21,868 --> 00:31:23,203
DR. LIM: Making it
permeable to oxygen.
611
00:31:25,172 --> 00:31:26,673
It's an air embolism.
612
00:31:26,806 --> 00:31:29,042
(ALARMS BEEPING)
JORDAN: BP's dropping.
613
00:31:32,245 --> 00:31:33,546
Dr. Lim,
what should we do?
614
00:31:39,052 --> 00:31:40,820
(BEEPING FADES,
VOICES SPEAKING INDISTINCTLY,
ECHOING)
615
00:31:43,756 --> 00:31:44,524
(ALARM BEEPING)
616
00:31:45,225 --> 00:31:46,226
(VOICES ECHOING)
617
00:31:48,561 --> 00:31:49,963
(BEEPING CONTINUES)
(VOICES ECHOING)
618
00:31:56,970 --> 00:31:58,605
Saline gauze,
619
00:31:58,738 --> 00:32:01,074
tilt the table to
eliminate the negative
air pressure gradient,
620
00:32:01,208 --> 00:32:02,075
and place
a central line.
621
00:32:03,676 --> 00:32:04,711
This will stop
the air leak
622
00:32:04,844 --> 00:32:06,513
and allow us to access
the air bubble.
623
00:32:06,646 --> 00:32:08,615
DR. PARK:
Inserting Bunegin
air-aspirating cath.
624
00:32:11,484 --> 00:32:13,386
You are 2 centimeters
from the superior
vena cava.
625
00:32:15,622 --> 00:32:17,624
Aspirate the right atrium
until you don't see
any more air bubbles.
626
00:32:21,861 --> 00:32:22,595
(BEEPING SLOWS)
627
00:32:28,901 --> 00:32:30,070
Nice save, Dr. Lim.
628
00:32:31,804 --> 00:32:33,773
Let's get this tumor out.
629
00:32:33,906 --> 00:32:36,476
DR. ANDREWS: Make your
transverse aortotomy with
Potts scissors, Dr. Wolke.
630
00:32:38,445 --> 00:32:42,115
ASHER: Extending
the muscular incision
down to the mid-ventricle.
631
00:32:42,249 --> 00:32:43,283
DR. ANDREWS:
There's the
myectomy site.
632
00:32:45,318 --> 00:32:46,486
There's the aberrant
muscle bundle.
633
00:33:11,644 --> 00:33:12,645
Get her off bypass,
634
00:33:13,580 --> 00:33:14,447
see how she does.
635
00:33:24,557 --> 00:33:25,458
(MONITOR BEEPING)
636
00:33:27,927 --> 00:33:28,928
How's the cardiac output?
637
00:33:30,630 --> 00:33:31,464
ENRIQUE: Reduced
and insufficient.
638
00:33:33,200 --> 00:33:36,703
Low output could mean
we need to further reduce
the septum.
639
00:33:36,836 --> 00:33:38,505
Unless it means that
we reduced it too much.
640
00:33:38,638 --> 00:33:39,972
Damaged the cardiac
electrical conductors
641
00:33:40,107 --> 00:33:41,308
that control
the heart rate.
(ALARM BEEPING)
642
00:33:41,441 --> 00:33:42,542
She's having
third-degree
heart block.
643
00:33:43,343 --> 00:33:44,344
Enrique's right.
644
00:33:45,312 --> 00:33:46,179
We took
too much muscle.
645
00:33:47,514 --> 00:33:48,581
DR. ANDREWS:
Put her back
on bypass.
646
00:33:48,715 --> 00:33:51,050
We could
augment the wall
with a bovine patch.
647
00:33:51,184 --> 00:33:52,885
Still wouldn't insulate
the electrical system.
648
00:33:53,019 --> 00:33:55,488
She'd still be at risk
of complete heart block
and cardiac arrest.
649
00:33:59,359 --> 00:34:01,861
CLAIRE: We could insert
a dual chamber pacer.
650
00:34:01,994 --> 00:34:04,364
She won't need
the conduction system
in the wall of her heart
651
00:34:04,497 --> 00:34:05,665
to control her heart rate.
652
00:34:08,501 --> 00:34:09,502
Let's go!
653
00:34:15,375 --> 00:34:16,143
How was
the craniotomy?
654
00:34:17,144 --> 00:34:18,411
It went well.
655
00:34:18,545 --> 00:34:19,579
The patient
is in recovery.
656
00:34:23,383 --> 00:34:25,885
Your text said
you have good news.
657
00:34:26,018 --> 00:34:27,019
And by good news, I mean
bad news for Dr. D'Souza.
658
00:34:28,255 --> 00:34:30,590
Plenty of great stuff
to crush a crush.
659
00:34:31,324 --> 00:34:32,525
First observation,
660
00:34:33,993 --> 00:34:35,395
she smells
like cinnamon.
661
00:34:37,029 --> 00:34:37,764
Mmm.
662
00:34:39,632 --> 00:34:42,101
Which is more puzzling
than irritating.
663
00:34:42,235 --> 00:34:45,505
Actually kind of nice.
Which is obviously
not helpful.
664
00:34:45,638 --> 00:34:48,675
Oh, okay.
She does this weird
self-grooming gesture
665
00:34:48,808 --> 00:34:50,410
where she tucks
her hair
behind her ear.
666
00:34:52,612 --> 00:34:54,614
And then sorta
massages her ear.
667
00:34:54,747 --> 00:34:56,716
Also n... not helpful.
668
00:34:56,849 --> 00:34:58,418
Okay. I'm sorry.
I'm sorry.
(CHUCKLES)
669
00:34:59,051 --> 00:35:00,052
Mmm-hmm.
670
00:35:00,187 --> 00:35:02,389
Okay.
At the salad bar,
671
00:35:02,522 --> 00:35:05,392
she used the cucumber tongs
to reach for the cucumbers,
672
00:35:06,659 --> 00:35:07,927
and then the tomatoes.
673
00:35:11,498 --> 00:35:12,732
And the olives.
674
00:35:13,900 --> 00:35:14,634
(SIGHS)
675
00:35:15,235 --> 00:35:16,569
And the pickles.
676
00:35:18,271 --> 00:35:19,272
Ugh.
Mmm.
677
00:35:20,207 --> 00:35:21,174
Mmm-hmm.
678
00:35:53,406 --> 00:35:54,374
Hey.
679
00:35:56,443 --> 00:35:57,444
Hey.
680
00:35:59,912 --> 00:36:01,013
I can see all of you.
681
00:36:06,753 --> 00:36:08,355
How'd...
How'd we do?
682
00:36:08,488 --> 00:36:12,592
Great. We got
all of the mass,
vision is restored.
683
00:36:12,725 --> 00:36:14,794
You have every reason
to expect a full recovery
684
00:36:15,895 --> 00:36:16,663
and a healthy pregnancy.
685
00:36:20,567 --> 00:36:21,601
We're gonna be dads.
686
00:36:22,101 --> 00:36:23,102
(BOTH CHUCKLE)
687
00:36:25,972 --> 00:36:26,706
Are you ready?
688
00:36:29,809 --> 00:36:31,644
I've never been
a pregnant man before.
689
00:36:34,146 --> 00:36:36,316
You'll always be
the best man that
I've ever known.
690
00:36:38,318 --> 00:36:39,319
(CHUCKLES)
691
00:36:50,863 --> 00:36:53,132
Came to see
how you were doing.
692
00:36:53,266 --> 00:36:55,868
Dr. Andrews told me
you was the one who
figured out how to save me.
693
00:37:01,207 --> 00:37:02,675
Still don't change
what went down
earlier, though.
694
00:37:09,516 --> 00:37:10,983
When I got to med school,
695
00:37:15,187 --> 00:37:17,690
people took one look at me
and they thought they knew
exactly who I was.
696
00:37:19,191 --> 00:37:20,860
Black girl
on financial aid.
697
00:37:22,962 --> 00:37:24,697
She must not be
that smart.
698
00:37:24,831 --> 00:37:26,933
She must have gotten
a lot of breaks.
699
00:37:28,234 --> 00:37:29,702
She'll probably need
a lot more.
700
00:37:35,241 --> 00:37:35,975
And I worked...
701
00:37:38,110 --> 00:37:40,647
I worked so hard
702
00:37:40,780 --> 00:37:41,714
to prove them wrong,
703
00:37:42,815 --> 00:37:44,283
that I wasn't
who they thought I was,
704
00:37:44,417 --> 00:37:46,285
that I deserved
to be there, that I...
705
00:37:47,019 --> 00:37:48,220
(SIGHS) that I fit in.
706
00:37:54,661 --> 00:37:56,128
When you came
into the ER,
707
00:37:59,399 --> 00:38:01,000
loud and messy,
708
00:38:03,736 --> 00:38:05,938
I saw... (SIGHS)
709
00:38:06,072 --> 00:38:10,743
I saw everything
I have tried hard
not to be.
710
00:38:14,847 --> 00:38:16,616
And I think
it made me angry.
711
00:38:22,789 --> 00:38:24,123
(VOICE BREAKING)
And I'm ashamed of that.
712
00:38:27,427 --> 00:38:28,595
And I'm really sorry.
713
00:38:32,799 --> 00:38:34,000
I used to be that way.
714
00:38:37,670 --> 00:38:40,206
But I got tired of
working that hard to make
white people comfortable.
715
00:38:56,823 --> 00:38:58,190
You two heading out
for the night?
716
00:38:59,258 --> 00:38:59,992
(EXHALES SHARPLY)
717
00:39:01,861 --> 00:39:03,530
We sure are.
718
00:39:03,663 --> 00:39:06,165
How did
the craniotomy go,
Shaun?
719
00:39:06,298 --> 00:39:08,801
(SNIFFS)
Did you guys get
all the prolactinoma?
720
00:39:10,136 --> 00:39:10,870
Yes.
721
00:39:12,639 --> 00:39:14,040
Is that
cafeteria salad?
722
00:39:16,443 --> 00:39:17,610
Are there pickles
in there?
723
00:39:19,846 --> 00:39:20,813
Did you want some?
724
00:39:20,947 --> 00:39:23,450
You know,
I'm good.
Thank you.
725
00:39:23,583 --> 00:39:24,617
Shaun, did you...
726
00:39:25,752 --> 00:39:27,820
No, thank you.
Mmm-hmm.
727
00:39:33,526 --> 00:39:36,328
It does help to focus
on her irresponsible
salad bar practices
728
00:39:36,463 --> 00:39:37,997
and dietary
preferences.
729
00:39:38,130 --> 00:39:40,833
I've got
a ton of strategies
to manage discomfort.
730
00:39:41,367 --> 00:39:42,334
So do I.
731
00:39:45,905 --> 00:39:46,839
Hey.
DR. LIM: Hey.
732
00:39:48,475 --> 00:39:49,842
To replenish
your supply,
733
00:39:50,843 --> 00:39:51,844
and a peace offering.
734
00:39:52,879 --> 00:39:55,648
I wasn't aware
we were at war.
735
00:39:55,782 --> 00:39:58,851
Well, seemed like
my gossip about Pepper
kind of landed wrong.
736
00:40:00,653 --> 00:40:02,188
Bad day.
737
00:40:02,321 --> 00:40:03,790
Sorry to
crash the party.
738
00:40:03,923 --> 00:40:06,626
Dr. Glassman wanted me
to show this to you two.
739
00:40:08,561 --> 00:40:11,598
I asked Lea
to run some numbers on
various metrics by race,
740
00:40:11,731 --> 00:40:14,467
and the results
are not great,
741
00:40:14,601 --> 00:40:16,435
especially when it comes
to pain management.
742
00:40:16,569 --> 00:40:19,872
We are under-treating
African-American
and Latinx patients
743
00:40:20,006 --> 00:40:22,675
by a considerable margin.
744
00:40:22,809 --> 00:40:24,243
I think I need a little
of that peace offering.
745
00:40:24,376 --> 00:40:25,878
Help yourself.
746
00:40:26,012 --> 00:40:27,780
Anyone else?
No. Thank you.
747
00:40:30,349 --> 00:40:31,718
Uh... me, neither.
748
00:40:38,791 --> 00:40:39,792
I...
749
00:40:42,394 --> 00:40:43,763
Started taking
sertraline.
750
00:40:45,765 --> 00:40:46,766
For PTSD.
751
00:40:47,366 --> 00:40:48,334
(SIGHS)
752
00:40:49,736 --> 00:40:50,737
Sorry to hear that.
753
00:40:52,739 --> 00:40:53,906
You doing okay?
754
00:40:57,243 --> 00:40:57,977
Not really.
755
00:41:00,179 --> 00:41:00,913
But I'm
756
00:41:02,549 --> 00:41:03,382
working on it.
757
00:41:04,817 --> 00:41:05,918
Okay.
758
00:41:09,756 --> 00:41:11,924
Dr. Browne,
good work.
759
00:41:14,326 --> 00:41:15,327
Thank you.
760
00:41:25,204 --> 00:41:25,938
(SIGHS)
761
00:41:42,689 --> 00:41:43,856
I apologized
to Zara.
762
00:41:47,660 --> 00:41:50,997
She pointed out
I spent med school
763
00:41:52,732 --> 00:41:54,667
trying to make
white people
comfortable.
764
00:41:58,971 --> 00:41:59,972
I mean, she's right.
765
00:42:01,173 --> 00:42:02,341
It wasn't
just med school.
766
00:42:05,444 --> 00:42:06,412
Exhausting,
isn't it?
767
00:42:09,949 --> 00:42:10,983
But we had to
do it, right?
768
00:42:12,852 --> 00:42:13,853
To be here?
769
00:42:31,671 --> 00:42:33,405
(CLOSING THEME MUSIC PLAYING)
52699
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