All language subtitles for The Good Doctor (2017) - S04E09

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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 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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