All language subtitles for The Good Doctor (2017) - S04E17

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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:01,923 --> 00:00:03,325 Don't put any food down the sink. 2 00:00:03,458 --> 00:00:05,026 Garbage disposal's broken. 3 00:00:05,160 --> 00:00:07,396 I'll call the landlord. All right. 4 00:00:07,529 --> 00:00:08,997 He took a week to call the plumber 5 00:00:09,131 --> 00:00:10,365 when we lost the hot water, 6 00:00:10,499 --> 00:00:12,234 but I guess this doesn't matter as much. 7 00:00:12,367 --> 00:00:14,936 We'll just use the regular trash. 8 00:00:15,070 --> 00:00:16,338 Yes. 9 00:00:20,809 --> 00:00:24,279 10% to 15% of known pregnancies end in miscarriage. 10 00:00:24,413 --> 00:00:25,714 This wasn't unusual. 11 00:00:28,550 --> 00:00:30,018 No. You're right. 12 00:00:30,152 --> 00:00:32,754 We're not the only people to go through this. 13 00:00:32,887 --> 00:00:35,490 The best thing to do is to just get back to normal. 14 00:00:37,058 --> 00:00:38,593 Hmm. 15 00:00:38,727 --> 00:00:41,029 I'm glad you're going back into work. 16 00:00:41,163 --> 00:00:43,698 Couple more days of rest, and I'll be doing that, too. 17 00:00:47,936 --> 00:00:50,305 Are you sure you're all right? 18 00:00:52,574 --> 00:00:55,009 "All right" is stretching it, 19 00:00:55,144 --> 00:00:56,511 but yeah. 20 00:00:57,412 --> 00:00:59,013 We just need some time. 21 00:01:03,051 --> 00:01:05,587 **** 22 00:01:17,199 --> 00:01:19,401 (EXHALES DEEPLY) 23 00:01:19,534 --> 00:01:22,204 **** 24 00:01:26,375 --> 00:01:28,610 (MELANCHOLIC VERSION OF THEME MUSIC PLAYING) 25 00:01:46,161 --> 00:01:47,696 How you feeling? 26 00:01:47,829 --> 00:01:48,763 All right. 27 00:01:51,766 --> 00:01:53,134 How's Lea doing? 28 00:01:53,268 --> 00:01:55,136 She thinks we need time. I agree. 29 00:01:56,505 --> 00:01:57,772 Hey, Shaun. How are you feeling? 30 00:01:59,308 --> 00:02:02,277 All right. And Lea thinks we need time. 31 00:02:02,411 --> 00:02:04,145 Well, I didn't expect to see you here. 32 00:02:04,279 --> 00:02:05,947 You have a few days leave. I thought you'd be home. 33 00:02:06,080 --> 00:02:08,116 I prefer to work. 34 00:02:08,250 --> 00:02:09,384 (INDISTINCT RADIO CHATTER) 35 00:02:09,518 --> 00:02:12,754 Well, we respect your judgment. 36 00:02:12,887 --> 00:02:13,955 Bon appetit. 37 00:02:14,088 --> 00:02:16,157 **** 38 00:02:19,894 --> 00:02:22,897 Gastric reflux causing projectile vomiting. 39 00:02:23,031 --> 00:02:24,699 **** 40 00:02:27,436 --> 00:02:30,605 I'm clearing your schedule for the next... How many days? 41 00:02:30,739 --> 00:02:35,176 Oh. Well, that is up to my lovely and talented doctors. 42 00:02:35,310 --> 00:02:37,246 Welcome to St. Bonaventure, Senator Clark. 43 00:02:37,379 --> 00:02:38,647 Oh, please. Marian. 44 00:02:38,780 --> 00:02:41,115 Oh, Marian, I am a huge supporter. 45 00:02:41,250 --> 00:02:43,352 You had my vote in the presidential primaries. 46 00:02:43,485 --> 00:02:45,354 Thank you, Dr. Browne. 47 00:02:45,487 --> 00:02:46,988 Oh, Claire. Claire. 48 00:02:47,121 --> 00:02:49,224 If only there'd been another couple million like you. 49 00:02:49,358 --> 00:02:50,259 (CHUCKLES) Yeah. 50 00:02:54,296 --> 00:02:57,031 It's okay. Nothing wrong with a balanced ticket. 51 00:02:57,165 --> 00:02:59,768 I was in my hotel this morning, going over my speech, 52 00:02:59,901 --> 00:03:02,904 when this started happening to my face. 53 00:03:03,037 --> 00:03:04,739 Whole left side went rogue, 54 00:03:04,873 --> 00:03:07,242 blinking and twitching like crazy. 55 00:03:07,376 --> 00:03:08,510 Has it happened before? 56 00:03:08,643 --> 00:03:09,844 This was the third time. 57 00:03:09,978 --> 00:03:11,846 Fortunately, all in private. 58 00:03:11,980 --> 00:03:13,982 Needless to say, I had to cancel my appearance. 59 00:03:14,115 --> 00:03:15,350 Can I see that again? 60 00:03:15,484 --> 00:03:17,319 Oh. I'm sorry. I just deleted it. 61 00:03:19,321 --> 00:03:21,856 The only thing worse than people seeing my twitchy face in person 62 00:03:21,990 --> 00:03:23,825 is them seeing my twitchy face on a hacked video. 63 00:03:23,958 --> 00:03:25,794 Mm. 64 00:03:25,927 --> 00:03:28,663 So, how do we go about deleting it from my body? 65 00:03:29,764 --> 00:03:31,333 It's a hemi-facial spasm. 66 00:03:31,466 --> 00:03:32,701 We should do an MRI 67 00:03:32,834 --> 00:03:34,235 to rule out the more serious possible causes. 68 00:03:34,369 --> 00:03:35,637 Which are? 69 00:03:35,770 --> 00:03:38,239 Aneurysm, MS, possibly a brain tumor. 70 00:03:38,373 --> 00:03:40,074 (SIGHS) What are the less serious causes? 71 00:03:40,208 --> 00:03:42,811 Stress, exhaustion, too much coffee. 72 00:03:42,944 --> 00:03:44,513 (CHUCKLES) Well, that's my job description. 73 00:03:44,646 --> 00:03:48,016 Which can be treated with Botox injections and Ativan. 74 00:03:48,149 --> 00:03:49,551 Ah. Sold. 75 00:03:49,684 --> 00:03:51,520 We still need to do the MRI. 76 00:03:52,921 --> 00:03:54,723 Do both. 77 00:03:54,856 --> 00:03:58,560 Oh. As Claire knows, I always have to control the agenda. 78 00:03:58,693 --> 00:04:00,762 **** 79 00:04:03,898 --> 00:04:06,267 Hi. Artie Hill. 80 00:04:06,401 --> 00:04:08,202 I have mild heart failure. 81 00:04:08,337 --> 00:04:09,270 I'm Dr. Park. 82 00:04:09,404 --> 00:04:10,405 How do you know 83 00:04:10,539 --> 00:04:11,540 you have mild heart failure? 84 00:04:11,673 --> 00:04:14,609 I'm tired, and I've been having palpitations. 85 00:04:14,743 --> 00:04:17,446 We'll run tests, but if it makes you feel better, 86 00:04:17,579 --> 00:04:18,647 a lot of people have palpitations, 87 00:04:18,780 --> 00:04:20,749 and it doesn't usually mean heart failure. 88 00:04:20,882 --> 00:04:23,251 Yeah, but I was just talking to my doctor on the phone, 89 00:04:23,385 --> 00:04:24,619 and he told me I have heart failure. 90 00:04:25,687 --> 00:04:26,988 The doctor who did my bypass. 91 00:04:27,121 --> 00:04:29,424 Your bypass? 92 00:04:29,558 --> 00:04:31,893 He told me I should go to the nearest emergency room. 93 00:04:32,026 --> 00:04:34,128 I was in the park, looking at the cherry trees, 94 00:04:34,262 --> 00:04:36,230 and I started feeling funny, so I called... 95 00:04:36,365 --> 00:04:37,265 When was this bypass? 96 00:04:37,399 --> 00:04:38,733 Um... A month ago. 97 00:04:40,335 --> 00:04:41,936 Paul Nakano. 98 00:04:42,070 --> 00:04:44,573 I performed his surgery at San Jose General. 99 00:04:44,706 --> 00:04:48,076 Mr. Hill, I hope you took a taxi, as I asked you to. 100 00:04:48,209 --> 00:04:49,210 It was only three blocks. 101 00:04:51,446 --> 00:04:53,748 If you don't mind, I'd like to get a 12-lead EKG, 102 00:04:53,882 --> 00:04:56,451 cardiac CT, and bloodwork. 103 00:04:56,585 --> 00:04:58,953 Ordinarily, I'd be thinking about volume overload as the cause... 104 00:04:59,087 --> 00:05:01,656 But in this case, sodium and B.U.N. are normal. 105 00:05:01,790 --> 00:05:04,926 The next thing I'd look at is a post-op myocardial infarction. 106 00:05:05,059 --> 00:05:06,761 But in this case, the troponins are normal. 107 00:05:08,797 --> 00:05:09,798 So you know what I'm thinking? 108 00:05:09,931 --> 00:05:12,667 Yes. You did your job too damn well. 109 00:05:12,801 --> 00:05:15,269 The heart's been so strengthened from the bypass 110 00:05:15,404 --> 00:05:17,105 that it's revealed a weakness in the valve. 111 00:05:17,238 --> 00:05:18,473 It can't handle the pump pressure. 112 00:05:18,607 --> 00:05:19,774 Hmm. 113 00:05:22,844 --> 00:05:24,646 Dr. Nakano was my Chief of Surgery 114 00:05:24,779 --> 00:05:25,847 when I was a resident. 115 00:05:27,115 --> 00:05:28,149 Hmm. 116 00:05:28,282 --> 00:05:29,317 So, when do you want to open him up? 117 00:05:29,451 --> 00:05:31,085 I'm hoping never. 118 00:05:31,219 --> 00:05:32,421 Have either of you ever done 119 00:05:32,554 --> 00:05:35,089 a transcatheter aortic valve replacement? 120 00:05:35,223 --> 00:05:37,025 I've read about it. 121 00:05:37,158 --> 00:05:39,160 It's minimally invasive and way preferable 122 00:05:39,293 --> 00:05:41,530 to opening up the patient for the second time in a month. 123 00:05:41,663 --> 00:05:43,765 Well, I look forward to learning from you again. 124 00:05:43,898 --> 00:05:44,799 Hmm. 125 00:05:47,301 --> 00:05:49,003 (GRUNTS) 126 00:05:52,340 --> 00:05:53,842 (MONITOR BEEPING) 127 00:05:53,975 --> 00:05:57,812 Oh. Excuse me! Sir? Person in the hall? 128 00:06:03,685 --> 00:06:05,019 Oh, sorry. 129 00:06:05,153 --> 00:06:07,622 Hello. I am Dr. Shaun Murphy. I am a surgeon. 130 00:06:08,890 --> 00:06:10,992 Uh, I-I can't find my socks. 131 00:06:11,125 --> 00:06:12,661 And I can't find the button to call someone. 132 00:06:17,499 --> 00:06:18,700 Ah. (CHUCKLES) 133 00:06:18,833 --> 00:06:19,768 Now, why would they put it there? 134 00:06:19,901 --> 00:06:20,902 You can't even see it. 135 00:06:21,035 --> 00:06:22,136 What about the socks? 136 00:06:27,709 --> 00:06:29,410 (ARTIE CLEARS THROAT) 137 00:06:29,544 --> 00:06:31,012 I have mild heart failure. 138 00:06:31,145 --> 00:06:33,047 I was in the park, looking at the cherry trees... 139 00:06:33,181 --> 00:06:35,550 Cherry trees aren't in bloom at this time of year. 140 00:06:35,684 --> 00:06:37,051 Well, I can still look at them, though. 141 00:06:37,185 --> 00:06:38,687 They don't disappear just because the blossoms fall. 142 00:06:40,188 --> 00:06:43,558 Mm. I can get you socks from the pre-op supplies area. 143 00:06:43,692 --> 00:06:45,860 Ah, yes. I remember those crappy socks they give you. I'll take 'em. 144 00:06:47,496 --> 00:06:49,598 Why do you guys keep it so cold in here? 145 00:06:49,731 --> 00:06:50,865 My feet are freezing. 146 00:06:51,566 --> 00:06:53,868 **** 147 00:06:57,706 --> 00:06:59,207 WOMAN 1: (ON TV) It's beautiful to look at 148 00:06:59,340 --> 00:07:01,209 if you're inside and don't have to go anywhere. 149 00:07:01,342 --> 00:07:03,745 And you might not want to go anywhere if you don't... 150 00:07:03,878 --> 00:07:05,079 WOMAN 2: Take care of Arthur. 151 00:07:05,213 --> 00:07:07,248 But he lost his silly head and shot Br... 152 00:07:07,381 --> 00:07:09,718 Every night, we have three clients a week 153 00:07:09,851 --> 00:07:10,752 who think I'm waiting tables... 154 00:07:10,885 --> 00:07:13,855 (INSTRUMENTAL MUSIC PLAYING) 155 00:07:13,988 --> 00:07:15,757 (TV SHUTS OFF) 156 00:07:15,890 --> 00:07:18,159 (CELL PHONE RINGING) 157 00:07:18,292 --> 00:07:20,461 **** 158 00:07:20,595 --> 00:07:21,362 (CELL PHONE BEEPS) 159 00:07:25,800 --> 00:07:26,968 (SIGHS) 160 00:07:33,274 --> 00:07:36,244 We'll use a pigtail catheter to place the guide wire, 161 00:07:36,377 --> 00:07:39,413 then run a delivery catheter through an 18 French sheath 162 00:07:39,548 --> 00:07:43,317 to ferry the new valve through the femoral artery to the heart. 163 00:07:43,451 --> 00:07:46,688 Then we inflate a balloon that expands the new valve 164 00:07:46,821 --> 00:07:48,890 and installs it right inside his current one. 165 00:07:49,023 --> 00:07:50,525 SHAUN: That would kill him. 166 00:07:55,029 --> 00:07:56,497 He has cold feet. 167 00:07:56,631 --> 00:07:58,533 Who are you? 168 00:07:58,667 --> 00:08:00,301 I'm Dr. Shaun Murphy. 169 00:08:01,135 --> 00:08:02,904 He's one of my residents. 170 00:08:03,037 --> 00:08:04,873 Oh. Artie has cold feet? 171 00:08:05,006 --> 00:08:06,207 He's afraid of the procedure? 172 00:08:06,340 --> 00:08:09,310 No, I think Dr. Murphy means it literally. 173 00:08:09,443 --> 00:08:10,478 The patient has cold feet. 174 00:08:10,612 --> 00:08:12,547 Is his body temperature dropping? 175 00:08:12,681 --> 00:08:15,349 No, his core body temperature is stable at 98.5. 176 00:08:15,483 --> 00:08:17,952 He rarely has cold feet. I got him socks. 177 00:08:20,088 --> 00:08:22,991 You're gonna need to draw some dotted lines here for me. 178 00:08:23,124 --> 00:08:26,294 Okay. Cold feet means impaired circulation, 179 00:08:26,427 --> 00:08:27,862 which means constricted blood flow from the heart, 180 00:08:27,996 --> 00:08:29,497 which means a damaged vessel. 181 00:08:29,631 --> 00:08:31,499 If we try to push the new valve through the damaged area, 182 00:08:31,633 --> 00:08:32,967 it will rip open, killing him. 183 00:08:33,602 --> 00:08:35,003 "Damaged vessel"? 184 00:08:35,136 --> 00:08:36,838 Yes. You make a mistake during the bypass, 185 00:08:36,971 --> 00:08:38,573 most likely a tear in the aorta. 186 00:08:39,841 --> 00:08:41,109 I didn't make a mistake. 187 00:08:41,242 --> 00:08:43,678 Mm, you caused an aortic dissection. 188 00:08:43,812 --> 00:08:45,379 Shaun, this man has more cardiac experience 189 00:08:45,513 --> 00:08:48,449 than everyone in this room times ten. 190 00:08:48,583 --> 00:08:51,285 A lot of people have cold feet. My wife has cold feet. 191 00:08:51,419 --> 00:08:53,354 Everyone has cold feet in a hospital. 192 00:08:54,656 --> 00:08:57,491 Yes. We should perform an angio on Mr. Hill. 193 00:08:57,626 --> 00:08:59,393 That will show the aortic dissection. 194 00:08:59,527 --> 00:09:02,163 This man recently underwent an open heart surgery. 195 00:09:02,296 --> 00:09:04,232 He's gonna have valve replacement. 196 00:09:04,365 --> 00:09:06,635 We don't need to load him up with yet another procedure 197 00:09:06,768 --> 00:09:08,269 when there was no mistake. 198 00:09:11,806 --> 00:09:16,110 Studies show that old people are less likely to admit mistakes 199 00:09:16,244 --> 00:09:18,179 because they are less aware when they've made one. 200 00:09:23,685 --> 00:09:27,188 Okay, Dr. Murphy, you've told us your thoughts on this case. 201 00:09:27,321 --> 00:09:29,724 It's my understanding that you have a few days of leave. 202 00:09:29,858 --> 00:09:30,792 I suggest you take them. 203 00:09:30,925 --> 00:09:32,761 I prefer to continue working. 204 00:09:32,894 --> 00:09:34,528 Then do it somewhere else. 205 00:09:34,663 --> 00:09:36,497 **** 206 00:09:43,471 --> 00:09:44,706 SHAUN: You... 207 00:09:44,839 --> 00:09:46,407 Will kill him. 208 00:09:46,540 --> 00:09:48,643 **** 209 00:09:59,921 --> 00:10:01,389 You think my surgeon is wrong? 210 00:10:01,522 --> 00:10:02,791 Yes. 211 00:10:02,924 --> 00:10:05,559 And you're, like, a-a real doctor, right? 212 00:10:05,694 --> 00:10:07,428 I am a real doctor. 213 00:10:07,561 --> 00:10:11,733 No offense, but best heart guy around 214 00:10:11,866 --> 00:10:15,804 versus the guy who happened to be passing my room when I needed socks. 215 00:10:15,937 --> 00:10:18,006 Why shouldn't I let Dr. Nakano do what he thinks I need? 216 00:10:18,139 --> 00:10:20,174 If anything goes wrong, he can fix it. 217 00:10:20,308 --> 00:10:23,311 It could be difficult. 218 00:10:24,612 --> 00:10:26,247 The tip of the catheter would be likely 219 00:10:26,380 --> 00:10:27,816 to rupture your weakened aorta, 220 00:10:27,949 --> 00:10:28,983 ripping it open and causing you 221 00:10:29,117 --> 00:10:30,118 to hemorrhage into your chest 222 00:10:30,251 --> 00:10:32,486 and bleed out in a matter of minutes. 223 00:10:32,620 --> 00:10:34,255 If you survived, 224 00:10:34,388 --> 00:10:36,891 you'd have severe anoxic brain damage. 225 00:10:38,192 --> 00:10:40,294 But it's unlikely you'd survive. 226 00:10:40,428 --> 00:10:41,996 **** 227 00:10:43,765 --> 00:10:45,800 Go home. 228 00:10:46,768 --> 00:10:49,637 Is Mr. Hill requesting the angio? 229 00:10:49,771 --> 00:10:53,074 He's not just requesting. He's demanding. 230 00:10:53,207 --> 00:10:55,076 This is why you take a leave of absence when you need one. 231 00:10:55,209 --> 00:10:56,444 You're not thinking clearly 232 00:10:56,577 --> 00:10:58,112 or you never would have pulled a stunt like this. 233 00:10:59,814 --> 00:11:01,515 I prefer to stay at work. 234 00:11:01,649 --> 00:11:03,517 I could assist with E.R. consults. 235 00:11:06,454 --> 00:11:09,457 Dr. Murphy, because I'm being professional, 236 00:11:09,590 --> 00:11:12,126 you may not understand how angry I am right now. 237 00:11:17,465 --> 00:11:19,901 Will you do what Mr. Hill wants? 238 00:11:20,034 --> 00:11:21,202 What you want, you mean? 239 00:11:22,670 --> 00:11:24,505 Yes, we'll do it. You've forced our hand. 240 00:11:27,141 --> 00:11:28,476 Good. 241 00:11:28,609 --> 00:11:31,145 **** 242 00:11:39,587 --> 00:11:41,155 I would have fired him. 243 00:11:45,159 --> 00:11:46,360 (CHUCKLES) 244 00:11:46,494 --> 00:11:48,662 Honey, when Freya brings you a dead rat, 245 00:11:48,797 --> 00:11:50,531 she's offering you a gift. 246 00:11:50,664 --> 00:11:53,067 PETE: (CHUCKLES) I know. I waited until she was gone 247 00:11:53,201 --> 00:11:54,368 so she wouldn't see me toss it away. 248 00:11:54,502 --> 00:11:56,037 (CHUCKLES) Wish you were here. 249 00:11:56,170 --> 00:11:57,538 You could strike the right balance 250 00:11:57,671 --> 00:11:59,707 between enthusiasm and discouragement. 251 00:11:59,841 --> 00:12:02,076 Oh. Honey, I gotta go. My doctors are here. 252 00:12:02,210 --> 00:12:03,477 You sure everything is okay there? 253 00:12:03,611 --> 00:12:06,247 Absolutely. These shots are working like a charm. 254 00:12:06,380 --> 00:12:07,548 Love you! Love you. 255 00:12:07,681 --> 00:12:08,682 Mwah. 256 00:12:11,285 --> 00:12:12,253 The shots are not doing the job. 257 00:12:12,386 --> 00:12:13,922 What else do you have for me? 258 00:12:14,055 --> 00:12:17,125 I had another episode. It was shorter, but still there. 259 00:12:17,258 --> 00:12:19,994 The MRI shows a branch off the basilar artery 260 00:12:20,128 --> 00:12:21,395 that's compressing the facial nerve. 261 00:12:21,529 --> 00:12:24,432 Unfortunately, you have a "tortuous" artery. 262 00:12:24,565 --> 00:12:27,035 Where it should be straight, it bends and twists. 263 00:12:27,168 --> 00:12:28,536 Bad news is, it'd be a nightmare 264 00:12:28,669 --> 00:12:29,938 to try and address this surgically. 265 00:12:30,071 --> 00:12:31,272 Good news... 266 00:12:31,405 --> 00:12:33,141 Is, other than some twitching, 267 00:12:33,274 --> 00:12:35,243 which is minimized by the Botox, 268 00:12:35,376 --> 00:12:36,544 it's not causing any other problems. 269 00:12:36,677 --> 00:12:37,912 Exactly. 270 00:12:38,046 --> 00:12:40,381 (SIGHS) Aside from the complete destruction 271 00:12:40,514 --> 00:12:42,050 of all I want to achieve in life. 272 00:12:43,551 --> 00:12:45,219 Melodramatic, yet true. 273 00:12:46,520 --> 00:12:48,422 These episodes keep happening, 274 00:12:48,556 --> 00:12:51,125 eventually one of them will get caught on video. 275 00:12:51,259 --> 00:12:53,594 Ten minutes later, it'll be all over social media. 276 00:12:53,727 --> 00:12:55,629 My opponents will mock me relentlessly. 277 00:12:55,763 --> 00:12:57,798 I think a lot of people would have sympathy for you. 278 00:12:57,932 --> 00:13:00,234 We don't vote for people we feel sympathy for. 279 00:13:00,368 --> 00:13:01,970 We want strong leaders. 280 00:13:02,103 --> 00:13:04,906 We want the symbol more than the reality. 281 00:13:05,039 --> 00:13:06,908 **** 282 00:13:07,775 --> 00:13:10,444 Please help me. 283 00:13:10,578 --> 00:13:12,546 Unfortunately, there's nothing we can do. 284 00:13:12,680 --> 00:13:14,548 We'll see what we can come up with. 285 00:13:14,682 --> 00:13:16,250 **** 286 00:13:20,754 --> 00:13:22,823 (BEEPING) 287 00:13:22,957 --> 00:13:27,195 ** Last night I came out I was so damn manic... 288 00:13:27,328 --> 00:13:28,662 (SIGHS) 289 00:13:30,098 --> 00:13:35,336 ** I don't even know Where I went wrong 290 00:13:35,469 --> 00:13:37,171 ** But I went wrong 291 00:13:37,305 --> 00:13:40,508 **** 292 00:13:40,641 --> 00:13:44,278 ** And it's times like these That I swear to God 293 00:13:44,412 --> 00:13:47,681 ** Oh, that my mother can't See me and if she did 294 00:13:47,815 --> 00:13:51,219 ** I don't know how I would keep it together 295 00:13:51,352 --> 00:13:53,421 ** I don't know How I would keep it ** 296 00:13:53,554 --> 00:13:54,989 (SPEAKER BEEPS, MUSIC STOPS) 297 00:14:15,176 --> 00:14:16,177 Shaun? 298 00:14:23,952 --> 00:14:25,886 You shouldn't be here. 299 00:14:26,020 --> 00:14:28,923 Andrews is pissed at you, with good reason. 300 00:14:29,057 --> 00:14:30,658 There's no need to make him any more angry. 301 00:14:30,791 --> 00:14:32,493 That's why I'm hiding. 302 00:14:32,626 --> 00:14:34,162 I couldn't wait in the lounge 303 00:14:34,295 --> 00:14:36,597 because the walls are glass and people could see me. 304 00:14:36,730 --> 00:14:38,532 "Wait"? What are you waiting for? 305 00:14:38,666 --> 00:14:41,069 When they see that I was right, they'll let me come back. 306 00:14:41,202 --> 00:14:42,670 I want to be prepared. 307 00:14:42,803 --> 00:14:44,038 I'm reading about options in aortic dissection. 308 00:14:44,172 --> 00:14:46,140 Shaun, no. Yes. 309 00:14:46,274 --> 00:14:49,477 Once they do the angio, they'll see the evidence. 310 00:14:49,610 --> 00:14:51,545 Dr. Andrews won't be angry anymore. 311 00:14:51,679 --> 00:14:52,913 They did the angio. 312 00:14:53,047 --> 00:14:54,882 Mm. 313 00:14:55,016 --> 00:14:56,917 Oh. 314 00:14:57,051 --> 00:14:59,520 No. No, they... They couldn't. 315 00:14:59,653 --> 00:15:01,189 They did it. 316 00:15:01,322 --> 00:15:02,356 I was there. You were wrong. 317 00:15:03,824 --> 00:15:04,858 But... 318 00:15:07,061 --> 00:15:09,263 Cold feet... It was a focused angio. 319 00:15:09,397 --> 00:15:11,565 I saw the ascending aorta and the aortic root. 320 00:15:11,699 --> 00:15:13,234 There was no sign of dissection. 321 00:15:13,367 --> 00:15:15,436 **** 322 00:15:15,569 --> 00:15:17,338 They're giving the patient a chance to rest 323 00:15:17,471 --> 00:15:18,606 before scheduling the TAVR. 324 00:15:21,042 --> 00:15:22,476 We all make mistakes. 325 00:15:22,610 --> 00:15:24,212 **** 326 00:15:25,913 --> 00:15:27,348 But I think you should leave the building 327 00:15:27,481 --> 00:15:28,416 while you're still forgivable. 328 00:15:29,850 --> 00:15:32,220 **** 329 00:15:41,829 --> 00:15:44,398 **** 330 00:15:52,873 --> 00:15:59,113 ** There's a hole In the drywall still not fixed 331 00:15:59,247 --> 00:16:03,751 ** I just haven't Gotten around to it 332 00:16:03,884 --> 00:16:06,620 ** And besides 333 00:16:06,754 --> 00:16:11,725 ** I'm starting To get used to the gaps 334 00:16:11,859 --> 00:16:14,295 **** 335 00:16:17,831 --> 00:16:23,437 ** Say you wish you could Find some way to help 336 00:16:23,571 --> 00:16:27,975 ** Not to be so hard on myself 337 00:16:28,109 --> 00:16:33,814 ** So why is it easy For everyone else? 338 00:16:33,947 --> 00:16:36,784 ** I'm not always like this 339 00:16:36,917 --> 00:16:40,788 ** There's always tomorrow I guess ** 340 00:16:40,921 --> 00:16:42,223 **** 341 00:16:43,291 --> 00:16:45,459 NURSE VILLANUEVA: Lea. Yeah. 342 00:16:45,593 --> 00:16:46,760 How are you? 343 00:16:46,894 --> 00:16:48,129 I'm good. 344 00:16:51,232 --> 00:16:52,700 It happened to me, too. 345 00:16:52,833 --> 00:16:54,835 **** 346 00:16:54,968 --> 00:16:56,170 Twice. 347 00:17:04,945 --> 00:17:07,981 CLAIRE: We could bypass the basilar artery. 348 00:17:08,116 --> 00:17:10,184 A 25% mortality rate, sure. 349 00:17:13,121 --> 00:17:15,055 How about stereotactic radiosurgery? 350 00:17:15,189 --> 00:17:16,824 No, she wouldn't like it. 351 00:17:16,957 --> 00:17:18,859 It takes months to see any kind of improvement. 352 00:17:18,992 --> 00:17:20,261 It's interesting. 353 00:17:20,394 --> 00:17:22,463 The fact that you like this person makes you willing 354 00:17:22,596 --> 00:17:24,298 to make really stupid decisions that could kill her. 355 00:17:29,237 --> 00:17:31,105 We could meet in the middle. 356 00:17:31,239 --> 00:17:34,508 Tortuous or not, the main basilar isn't causing the spasms. 357 00:17:34,642 --> 00:17:36,477 So we leave it alone and just sling up 358 00:17:36,610 --> 00:17:38,146 the branch of the artery that's applying the pressure. 359 00:17:39,380 --> 00:17:40,514 Nice. 360 00:17:42,983 --> 00:17:44,285 I have two predictions to make. 361 00:17:46,053 --> 00:17:47,888 One, she'll come up with a rationalization 362 00:17:48,021 --> 00:17:50,724 to justify not telling her husband about this surgery, 363 00:17:50,858 --> 00:17:53,026 and two, you'll come up with a rationalization 364 00:17:53,161 --> 00:17:55,196 to justify forgiving her for that. 365 00:17:59,533 --> 00:18:00,701 You wouldn't have fired him. 366 00:18:04,238 --> 00:18:06,874 He's dealing with some personal issues, 367 00:18:07,007 --> 00:18:10,110 and I remember you giving me some slack once 368 00:18:10,244 --> 00:18:11,679 when I screwed up. 369 00:18:11,812 --> 00:18:13,914 Well, you were facing a challenging surgery, 370 00:18:14,047 --> 00:18:15,716 and your girlfriend, who I never liked, by the way, 371 00:18:15,849 --> 00:18:16,817 dumped you, so... 372 00:18:16,950 --> 00:18:18,319 You knew about the dumping? 373 00:18:18,452 --> 00:18:20,120 (CHUCKLING) Oh, yeah. I just didn't know why. 374 00:18:23,056 --> 00:18:25,693 She wanted a commitment. Said I didn't love her enough. 375 00:18:25,826 --> 00:18:27,127 And I told her I loved her, 376 00:18:27,261 --> 00:18:28,729 but I didn't have time to get into it 377 00:18:28,862 --> 00:18:30,063 because I had an esophagus to reconstruct. 378 00:18:30,198 --> 00:18:31,765 (CHUCKLES) 379 00:18:33,066 --> 00:18:34,302 Why did you help me? 380 00:18:34,435 --> 00:18:36,937 I mean, why me and not Penzer? 381 00:18:37,070 --> 00:18:39,139 He was always number one in our class. 382 00:18:39,273 --> 00:18:40,441 I was always second. 383 00:18:40,574 --> 00:18:42,410 Where's Penzer now? 384 00:18:42,543 --> 00:18:44,578 What, you think I've been following the guy's career for the past 20 years? 385 00:18:47,615 --> 00:18:49,317 He's at the NIH, making policy. 386 00:18:49,450 --> 00:18:51,285 That's Penzer. 387 00:18:51,419 --> 00:18:53,421 Great mind, great hands, 388 00:18:54,722 --> 00:18:55,989 but I knew he'd never be a surgeon. 389 00:18:58,359 --> 00:18:59,593 He didn't love it enough. 390 00:19:15,008 --> 00:19:15,843 (KNOCK ON DOOR) 391 00:19:20,414 --> 00:19:22,583 (CELL PHONE RINGS) 392 00:19:22,716 --> 00:19:25,353 I can wait. Oh, this can, too. 393 00:19:25,486 --> 00:19:27,321 Just letting the phone get to 10%, 394 00:19:27,455 --> 00:19:29,623 then I'll run the gauntlet of well-wishers and head out. 395 00:19:31,158 --> 00:19:32,626 Yeah. I'm one of them. 396 00:19:45,172 --> 00:19:47,241 When my grandma died, 397 00:19:48,309 --> 00:19:51,011 I remember a whole relay 398 00:19:51,144 --> 00:19:53,481 of the mothers of the church bringing food to the house. 399 00:19:54,948 --> 00:19:56,650 They all loved my grandma. 400 00:19:58,819 --> 00:20:02,356 The older ladies got their best hats and gloves out 401 00:20:02,490 --> 00:20:04,157 for the service. 402 00:20:04,292 --> 00:20:05,859 **** 403 00:20:05,993 --> 00:20:10,030 Pastor made a special prayer at the gravesite. 404 00:20:11,532 --> 00:20:14,302 We all told stories about her. 405 00:20:14,435 --> 00:20:15,669 There were rituals. 406 00:20:18,739 --> 00:20:20,874 We said goodbye to the past. 407 00:20:27,348 --> 00:20:29,717 You're saying goodbye to the future. 408 00:20:37,591 --> 00:20:38,959 I'm sorry for your loss. 409 00:20:39,092 --> 00:20:41,094 **** 410 00:21:03,684 --> 00:21:05,218 And how soon could I get out of here? 411 00:21:05,353 --> 00:21:08,389 If all goes well, a day, maybe two at most. 412 00:21:08,522 --> 00:21:10,090 Oh. You hear that, Cal? 413 00:21:10,223 --> 00:21:10,958 Rebooking for Thursday. 414 00:21:11,759 --> 00:21:12,793 There was an "if" there. 415 00:21:12,926 --> 00:21:14,227 That's strange. I heard a "when." 416 00:21:16,263 --> 00:21:19,099 Now, I will be appointing Cal as my healthcare surrogate while I'm under. 417 00:21:20,634 --> 00:21:22,936 Mm, uh, most people appoint their spouse. 418 00:21:23,070 --> 00:21:24,672 Or at least notify them. 419 00:21:24,805 --> 00:21:26,306 He'll just try to talk me out of this. 420 00:21:26,440 --> 00:21:27,675 Because he loves me. 421 00:21:27,808 --> 00:21:30,644 Whereas Cal is using me to find a better position, 422 00:21:30,778 --> 00:21:32,913 but knows exactly what I want. 423 00:21:33,046 --> 00:21:34,915 (CHUCKLES) 424 00:21:35,048 --> 00:21:38,018 So... Let's fix my broken brain. 425 00:21:38,151 --> 00:21:39,753 **** 426 00:21:42,823 --> 00:21:44,124 (DOOR OPENS) 427 00:21:52,265 --> 00:21:53,434 I got your text. 428 00:21:58,406 --> 00:22:00,608 I'm a good diagnostician. 429 00:22:01,475 --> 00:22:02,943 Of course you are. 430 00:22:03,076 --> 00:22:04,077 Sit down. You... You want to sit? 431 00:22:04,712 --> 00:22:05,679 No. 432 00:22:06,714 --> 00:22:08,816 I accounted for every symptom. 433 00:22:08,949 --> 00:22:10,851 I listened to the patient's history. 434 00:22:10,984 --> 00:22:13,687 Someone's feet were cold. 435 00:22:13,821 --> 00:22:16,123 Okay? Uh, just... Sometimes that means something. 436 00:22:16,256 --> 00:22:18,158 Sometimes it doesn't. This time, it didn't. 437 00:22:18,291 --> 00:22:19,627 S-So what? 438 00:22:20,761 --> 00:22:22,496 What are you still doing here, Shaun? 439 00:22:22,630 --> 00:22:23,964 Wh... Do you not want to go home? 440 00:22:25,766 --> 00:22:28,068 You gotta go home. You suffered a loss. 441 00:22:28,201 --> 00:22:29,302 You gotta... 442 00:22:29,437 --> 00:22:30,804 You gotta deal with it. You gotta face it. 443 00:22:32,005 --> 00:22:32,873 Mm. 444 00:22:33,874 --> 00:22:35,876 Why do I have to "face it"? 445 00:22:36,009 --> 00:22:38,479 What does that mean? It happened. 446 00:22:38,612 --> 00:22:40,380 **** 447 00:22:40,514 --> 00:22:41,815 Yeah. 448 00:22:42,850 --> 00:22:44,317 It did happen. 449 00:22:44,452 --> 00:22:46,820 It happened, okay? 450 00:22:47,821 --> 00:22:48,822 Go home 451 00:22:49,623 --> 00:22:51,124 and be with Lea. 452 00:22:51,258 --> 00:22:53,393 **** 453 00:23:07,941 --> 00:23:10,110 Oh, Claire. I'm happy to see you. 454 00:23:10,243 --> 00:23:12,746 Uh, it seems the reporters have discovered I'm here, 455 00:23:12,880 --> 00:23:16,249 so poor Cal has gone off to craft a believable explanation. 456 00:23:16,383 --> 00:23:18,919 So, what's something a person might be hospitalized for 457 00:23:19,052 --> 00:23:21,388 that says "I'm an unstoppable force"? 458 00:23:21,522 --> 00:23:24,091 You want me to provide you with a good lie? 459 00:23:24,224 --> 00:23:25,225 Yeah. 460 00:23:35,168 --> 00:23:36,436 But you must be scared. 461 00:23:36,570 --> 00:23:38,071 I'm terrified. 462 00:23:39,540 --> 00:23:42,810 **** 463 00:23:42,943 --> 00:23:44,311 You know, when I'm scared, 464 00:23:46,279 --> 00:23:47,881 I think about Evvie Sinclair. 465 00:23:51,719 --> 00:23:53,253 You were the commencement speaker 466 00:23:53,386 --> 00:23:54,755 at my high school graduation. 467 00:23:55,355 --> 00:23:56,590 Oh. 468 00:23:56,724 --> 00:23:57,991 I was a bit of a mess back then. 469 00:23:58,125 --> 00:23:59,960 I had no idea what I was gonna do with my life 470 00:24:00,093 --> 00:24:01,795 or what I could do with my life. 471 00:24:03,030 --> 00:24:07,067 And you told us about Evvie Sinclair, 472 00:24:07,200 --> 00:24:10,904 born with Turner Syndrome, small in stature, 473 00:24:11,038 --> 00:24:13,941 facial abnormalities, speech impairment. 474 00:24:15,375 --> 00:24:17,611 But she just had 475 00:24:17,745 --> 00:24:20,614 a desperate need to learn. 476 00:24:22,683 --> 00:24:24,585 And against her parents' wishes, 477 00:24:25,619 --> 00:24:26,920 she started high school. 478 00:24:28,221 --> 00:24:29,356 And... 479 00:24:30,390 --> 00:24:31,825 And I just remember thinking... 480 00:24:33,460 --> 00:24:36,664 If Evvie can go through those doors 481 00:24:36,797 --> 00:24:38,331 and walk down those halls... 482 00:24:41,268 --> 00:24:43,503 I went home that day, and I applied to 11 colleges. 483 00:24:43,637 --> 00:24:44,972 (CHUCKLES) 484 00:24:46,674 --> 00:24:48,609 So, I am a doctor... 485 00:24:50,644 --> 00:24:52,279 Because of you. 486 00:24:52,412 --> 00:24:53,847 And Evvie. 487 00:24:53,981 --> 00:24:55,616 Mm. 488 00:24:55,749 --> 00:24:57,718 That was a great story. 489 00:24:58,819 --> 00:25:00,287 Rickie Demarest. 490 00:25:00,420 --> 00:25:02,355 He was my campaign manager before Cal. 491 00:25:03,824 --> 00:25:06,259 He made up some lovely stuff. 492 00:25:06,393 --> 00:25:08,328 **** 493 00:25:17,370 --> 00:25:18,471 (DOOR OPENS) 494 00:25:21,408 --> 00:25:22,876 You're back early. 495 00:25:23,844 --> 00:25:25,713 Dr. Andrews sent me home, 496 00:25:25,846 --> 00:25:27,981 and Dr. Glassman thinks we should talk. 497 00:25:51,639 --> 00:25:54,642 Dr. Glassman is not a counselor. 498 00:25:54,775 --> 00:25:56,076 He's a neurosurgeon. 499 00:26:00,047 --> 00:26:01,214 And a sometimes annoying person. 500 00:26:01,348 --> 00:26:02,282 I'm gonna make some tea. 501 00:26:07,087 --> 00:26:09,022 (CELL PHONE RINGS) Oh. It's your mother. 502 00:26:09,156 --> 00:26:10,323 No, no, no, no, no. Hello. 503 00:26:10,457 --> 00:26:12,025 PAM: Hi, Shaun. How are you? 504 00:26:12,159 --> 00:26:14,027 I'm... Well. 505 00:26:14,728 --> 00:26:16,563 Lea... 506 00:26:16,697 --> 00:26:18,431 Can't talk to you now. 507 00:26:18,565 --> 00:26:21,735 Oh, you're both home. I wanted to ask about strollers. 508 00:26:21,869 --> 00:26:24,071 The one Lea likes, I read a review 509 00:26:24,204 --> 00:26:26,173 that said the front wheel keeps coming off. 510 00:26:26,306 --> 00:26:28,341 I'm sure she won't listen, so I'm gonna send a link. 511 00:26:28,475 --> 00:26:30,577 You should read it, too. 512 00:26:30,711 --> 00:26:32,946 Yes. Thank you. 513 00:26:33,080 --> 00:26:34,247 You don't want your little girl 514 00:26:34,381 --> 00:26:35,816 pitching headfirst onto the sidewalk. 515 00:26:35,949 --> 00:26:37,550 Oh, no. 516 00:26:37,685 --> 00:26:39,052 No. We wouldn't. 517 00:26:39,186 --> 00:26:40,187 (QUIETLY) Just hang up. Just... 518 00:26:40,320 --> 00:26:42,890 Okay. I should go. 519 00:26:43,023 --> 00:26:45,025 And now that we know it's a girl, I was wondering... 520 00:26:45,158 --> 00:26:47,427 I already bought a onesie with little dinosaurs on it. 521 00:26:47,560 --> 00:26:48,561 Unbelievably cute. 522 00:26:48,696 --> 00:26:49,997 Mm. Cute. Yes. 523 00:26:50,130 --> 00:26:51,932 Okay, that sounds good. 524 00:26:52,065 --> 00:26:53,066 I am due at the hospital. 525 00:26:53,200 --> 00:26:54,467 Just a quick question. 526 00:26:54,601 --> 00:26:56,970 Since it's not a boy, the dinosaurs will have to go. 527 00:26:57,104 --> 00:26:58,371 I'm... What would be nice for a girl? 528 00:26:58,505 --> 00:26:59,873 I don't... I don't know. 529 00:27:00,007 --> 00:27:01,074 There's one with ballet shoes. 530 00:27:01,208 --> 00:27:02,209 That's stupid. 531 00:27:02,342 --> 00:27:03,643 Why would you have to change it? 532 00:27:03,777 --> 00:27:05,645 A girl would like dinosaurs just as much as a boy. 533 00:27:05,779 --> 00:27:08,081 Dinosaurs are fascinating. You need to shut up. 534 00:27:09,717 --> 00:27:10,784 Um... 535 00:27:12,585 --> 00:27:13,921 (PAM SIGHS) 536 00:27:14,054 --> 00:27:15,388 Shaun? (CELL PHONE BEEPS) 537 00:27:15,522 --> 00:27:18,325 **** 538 00:27:25,165 --> 00:27:28,601 As you all know, Senator Clark is a very competitive person. 539 00:27:28,736 --> 00:27:30,904 She tore her meniscus while charging the net 540 00:27:31,038 --> 00:27:32,439 to return a drop shot. 541 00:27:32,572 --> 00:27:34,607 For the record, it was match point, which she won. 542 00:27:34,742 --> 00:27:36,009 She underwent... 543 00:27:36,143 --> 00:27:38,846 I wonder if he negotiates employment contracts. 544 00:27:38,979 --> 00:27:41,448 And thanks to the terrific doctors here at St. Bonaventure, 545 00:27:41,581 --> 00:27:43,483 she will be back fighting for you before you know it. 546 00:27:43,616 --> 00:27:45,152 Senator Clark wanted to thank all... 547 00:27:45,285 --> 00:27:47,254 Oh, did you hear that? We're terrific. 548 00:27:47,387 --> 00:27:49,189 You must be. You repaired her meniscus through her head. 549 00:27:49,322 --> 00:27:52,125 It's no one's business why she's here. 550 00:27:52,259 --> 00:27:54,494 And there's the rationalization I've been waiting for. 551 00:27:54,627 --> 00:27:56,496 If this was someone you didn't like, 552 00:27:56,629 --> 00:27:58,331 these character flaws would reveal some deep problem 553 00:27:58,465 --> 00:28:00,300 worthy of your eternal judgment, but since... 554 00:28:00,433 --> 00:28:01,935 You're head of department. 555 00:28:02,069 --> 00:28:03,603 I'm sure you've had to spin things sometimes. 556 00:28:04,571 --> 00:28:06,039 "Spin things"? Sure. 557 00:28:06,173 --> 00:28:07,908 Lie? No. 558 00:28:08,041 --> 00:28:10,077 Just one more example of how Senator Clark has been able... 559 00:28:10,210 --> 00:28:12,045 And that was an example of both. 560 00:28:12,179 --> 00:28:14,681 (CELL PHONES CHIME) 561 00:28:14,815 --> 00:28:16,216 Marian isn't waking up. 562 00:28:18,185 --> 00:28:22,022 And to that end, she's already making calls and sending e-mails. 563 00:28:22,155 --> 00:28:24,091 Oh. And texts. 564 00:28:24,224 --> 00:28:25,692 She just told me to wrap it up. 565 00:28:25,826 --> 00:28:27,961 (LAUGHTER) 566 00:28:28,095 --> 00:28:30,163 **** 567 00:28:35,502 --> 00:28:36,837 I yelled at your mother. 568 00:28:37,637 --> 00:28:38,872 Yeah. 569 00:28:40,473 --> 00:28:43,743 I misdiagnosed a patient. 570 00:28:43,877 --> 00:28:45,412 That's why they sent me home. 571 00:28:48,115 --> 00:28:49,682 I'm not behaving normally. 572 00:28:51,718 --> 00:28:53,220 Neither am I. 573 00:28:53,353 --> 00:28:55,622 But maybe this is normal for where we're at. 574 00:29:00,660 --> 00:29:03,763 Dr. Glassman talked about "facing my loss," 575 00:29:03,897 --> 00:29:05,565 but I don't know what that means, 576 00:29:05,698 --> 00:29:07,935 and even if we could face it, 577 00:29:08,068 --> 00:29:10,871 won't we just hurt ourselves for no reason? 578 00:29:11,004 --> 00:29:12,605 I don't know. 579 00:29:12,739 --> 00:29:15,708 I don't think grief has an actual solution. 580 00:29:15,843 --> 00:29:18,211 It has to. I can't stay this way. 581 00:29:24,251 --> 00:29:26,920 Claire told me about this support group. 582 00:29:29,456 --> 00:29:33,060 I'm not sure we can just force ourselves past this. 583 00:29:39,766 --> 00:29:42,402 The cold feet are not a coincidence. 584 00:29:42,535 --> 00:29:44,271 **** 585 00:29:44,404 --> 00:29:48,942 If they do the TAVR procedure, they'll kill the patient. 586 00:29:49,076 --> 00:29:50,610 For a different reason. 587 00:29:50,743 --> 00:29:53,246 **** 588 00:29:58,051 --> 00:29:58,986 (DOOR CLOSES) 589 00:29:59,119 --> 00:30:01,788 (MONITOR BEEPING) 590 00:30:01,922 --> 00:30:03,223 **** 591 00:30:03,356 --> 00:30:05,758 NAKANO: The guide wire's in place. 592 00:30:05,893 --> 00:30:07,427 I'm preparing to deliver the valve. 593 00:30:07,560 --> 00:30:08,896 (DOOR OPENS) 594 00:30:09,029 --> 00:30:10,197 SHAUN: Okay, you... You have to stop. 595 00:30:10,330 --> 00:30:11,631 If that valve goes through... 596 00:30:11,764 --> 00:30:12,832 Get out of here, Murphy. No. 597 00:30:12,966 --> 00:30:16,003 If that valve goes through, he'll die. 598 00:30:16,136 --> 00:30:18,438 Call Security. I thought it was an aortic dissection, but I was wrong. 599 00:30:18,571 --> 00:30:20,840 The cold feet are from a coarctation... No. 600 00:30:20,974 --> 00:30:23,476 No. No, no. It's too close. 601 00:30:23,610 --> 00:30:24,777 You're too close. Stop! 602 00:30:24,912 --> 00:30:26,679 Stop! Stop, please! Stop! (ALARM BLARING) 603 00:30:26,813 --> 00:30:28,481 B.P.'s spiking. 200 over 100. 604 00:30:28,615 --> 00:30:30,017 Heart rate's up. He's gonna stroke. 605 00:30:30,150 --> 00:30:31,284 Give him nitro and cardene! 606 00:30:32,986 --> 00:30:34,654 I'm pulling out. (ALARM BLARING) 607 00:30:35,989 --> 00:30:37,690 (BLARING STOPS) 608 00:30:37,824 --> 00:30:38,858 B.P.'s dropping. 609 00:30:40,260 --> 00:30:41,461 He's starting to stabilize. 610 00:30:41,594 --> 00:30:43,130 **** 611 00:30:45,798 --> 00:30:46,533 Okay. 612 00:30:50,570 --> 00:30:51,671 Dr. Murphy? 613 00:30:52,805 --> 00:30:54,007 Go on. 614 00:30:56,709 --> 00:30:59,512 Dr. Nakano did not make a mistake in the bypass. 615 00:30:59,646 --> 00:31:00,680 He did everything right. 616 00:31:02,983 --> 00:31:06,486 But Mr. Hill has a congenital narrowing of the abdominal aorta. 617 00:31:06,619 --> 00:31:08,655 He's had that coarctation for year, but never knew 618 00:31:08,788 --> 00:31:10,490 because his body compensated for the poor circulation 619 00:31:10,623 --> 00:31:11,925 by raising his blood pressure, 620 00:31:12,059 --> 00:31:14,161 which caused his heart to deteriorate, requiring a bypass. 621 00:31:14,294 --> 00:31:15,895 The stronger, repaired heart put pressure on the valve, 622 00:31:16,029 --> 00:31:17,097 and his blood pressure dropped. 623 00:31:17,230 --> 00:31:19,466 No more compensation. 624 00:31:19,599 --> 00:31:20,968 His feet got cold. 625 00:31:21,101 --> 00:31:23,303 And I could get the guide wire up there, 626 00:31:23,436 --> 00:31:25,738 but the valve delivery system would be too big 627 00:31:25,872 --> 00:31:28,775 to fit through the coarctation without damaging the vessel. 628 00:31:28,908 --> 00:31:30,243 Yes. 629 00:31:31,644 --> 00:31:32,579 We'll have to open him up. 630 00:31:33,981 --> 00:31:37,550 And the valve will have to be replaced directly... 631 00:31:37,684 --> 00:31:38,418 Through surgery. 632 00:31:40,553 --> 00:31:42,489 I hope you'll join us for that. 633 00:31:42,622 --> 00:31:44,124 **** 634 00:31:53,000 --> 00:31:54,334 How's Cal gonna spin this? 635 00:31:54,467 --> 00:31:56,036 Her latest tennis match went into extra sets? 636 00:31:57,170 --> 00:31:58,538 (COMPUTER BEEPS) 637 00:32:00,373 --> 00:32:02,142 JORDAN: Slinged branch looks good, 638 00:32:02,275 --> 00:32:05,278 no conflict with the seventh nerve, 639 00:32:05,412 --> 00:32:07,380 no bleeds, no strokes. 640 00:32:09,516 --> 00:32:11,084 The basilar is dilated. 641 00:32:11,218 --> 00:32:13,086 And compressing her brain stem. 642 00:32:13,220 --> 00:32:15,122 (COMPUTER BEEPS) She's stopped breathing. 643 00:32:15,255 --> 00:32:16,723 We need to intubate. Get the airway cart. 644 00:32:16,856 --> 00:32:19,259 **** 645 00:32:26,899 --> 00:32:28,768 CAL: Tell them she's gonna be at the conference. 646 00:32:28,901 --> 00:32:31,104 And if they keep asking, tell them the Senator believes 647 00:32:31,238 --> 00:32:33,306 anyone not ready to commit on climate change action 648 00:32:33,440 --> 00:32:35,008 is on the wrong side of history. 649 00:32:35,142 --> 00:32:37,377 Just never use that phrase more than once a month. 650 00:32:37,510 --> 00:32:39,246 He has to run. (CELL PHONE BEEPS) 651 00:32:39,379 --> 00:32:41,314 The sling procedure went fine, 652 00:32:41,448 --> 00:32:43,750 but the basilar artery was less stable than we hoped. 653 00:32:43,883 --> 00:32:45,452 It's gotten even more dilated 654 00:32:45,585 --> 00:32:47,787 and is causing progressive neurological deficits. 655 00:32:47,920 --> 00:32:50,423 We have no choice but to bypass the artery. 656 00:32:50,557 --> 00:32:52,025 The last surgery was dangerous. 657 00:32:52,159 --> 00:32:53,293 This one way more so. 658 00:32:55,062 --> 00:32:55,795 What do you need me to sign? 659 00:32:56,929 --> 00:32:58,665 We should inform her husband. 660 00:32:58,798 --> 00:33:00,600 There is a one in four chance that she could die. 661 00:33:00,733 --> 00:33:02,635 **** 662 00:33:05,938 --> 00:33:08,275 If I told Pete that, he'd be at the airport in half an hour, 663 00:33:08,408 --> 00:33:10,310 and everyone would know that Marian is in this hospital 664 00:33:10,443 --> 00:33:11,678 for something this serious. 665 00:33:11,811 --> 00:33:13,780 She has a brain aneurysm. That doesn't make her weak. 666 00:33:13,913 --> 00:33:15,448 Even worse. It makes her mortal. 667 00:33:16,649 --> 00:33:18,385 Her husband has a right to be here. 668 00:33:18,518 --> 00:33:20,553 A moral right. To destroy her career. 669 00:33:20,687 --> 00:33:21,954 Which is what I'm protecting her from. 670 00:33:24,091 --> 00:33:25,458 This is just a game to you, isn't it? 671 00:33:25,592 --> 00:33:27,094 Yeah. The game they make you play 672 00:33:27,227 --> 00:33:28,461 before you can do anything real. 673 00:33:29,596 --> 00:33:33,466 **** 674 00:33:33,600 --> 00:33:35,702 (MONITOR BEEPING) 675 00:33:41,441 --> 00:33:44,344 NAKANO: Valve placed. Leaflets mobile. 676 00:33:45,778 --> 00:33:48,881 SHAUN: New valve is perfectly seated in the annulus. 677 00:33:49,015 --> 00:33:51,484 No regurgitation, flow in both coronary arteries. 678 00:33:52,819 --> 00:33:54,487 I'm about to close up. 679 00:33:54,621 --> 00:33:55,988 DR. PARK: Looks like we've got a paravalvular leak. 680 00:33:57,390 --> 00:33:59,259 We need to go back and fix this. 681 00:33:59,392 --> 00:34:00,560 NAKANO: Irrigate and check the image. 682 00:34:00,693 --> 00:34:02,095 **** 683 00:34:09,936 --> 00:34:12,172 No leak. 684 00:34:12,305 --> 00:34:14,707 Slight excess from the washing jets in the mechanical valve. 685 00:34:14,841 --> 00:34:15,808 Normal finding. 686 00:34:15,942 --> 00:34:18,411 **** 687 00:34:18,545 --> 00:34:20,213 Wow. You're very good. 688 00:34:20,347 --> 00:34:21,781 I think he knows that. 689 00:34:21,914 --> 00:34:22,882 Still nice to hear. 690 00:34:24,184 --> 00:34:26,052 Closing up now. 691 00:34:26,186 --> 00:34:27,520 Two-oh Vicryl suture. 692 00:34:28,588 --> 00:34:31,591 **** 693 00:34:47,807 --> 00:34:49,909 DR. LIM: Retracting temporal lobe and cerebellum... 694 00:34:50,042 --> 00:34:51,378 Very carefully. 695 00:34:51,511 --> 00:34:53,246 CLAIRE: Vascular anatomy is fully exposed, 696 00:34:53,380 --> 00:34:55,047 avoiding the tortuous area. 697 00:34:55,182 --> 00:34:56,549 JORDAN: Radial artery graft length 698 00:34:56,683 --> 00:34:58,318 looks to be a perfect fit. 699 00:34:58,451 --> 00:35:00,553 **** 700 00:35:02,755 --> 00:35:04,224 Anastomosing with 9-0 Prolene. 701 00:35:07,860 --> 00:35:09,862 Temporal lobe's swelling. (ALARM BLARING) 702 00:35:09,996 --> 00:35:11,698 CLAIRE: B.P. and heart rate are plummeting. 703 00:35:11,831 --> 00:35:13,566 Drop her CO2, full propofol burst suppression. 704 00:35:14,701 --> 00:35:15,768 Widen the craniotomy. 705 00:35:15,902 --> 00:35:17,604 With the cerebellum herniating outward? 706 00:35:17,737 --> 00:35:19,739 We do that, she may never walk normally again. 707 00:35:21,441 --> 00:35:22,275 If she didn't want a twitch... 708 00:35:22,409 --> 00:35:23,576 Drill. 709 00:35:26,078 --> 00:35:29,316 (DRILL WHIRRING) 710 00:35:29,449 --> 00:35:32,519 Open the arachnoid plane and release CSF collections. 711 00:35:32,652 --> 00:35:34,587 Reduce the pressure from the inside. 712 00:35:34,721 --> 00:35:36,289 For her, it's worth the risk. 713 00:35:36,423 --> 00:35:39,726 (BLARING CONTINUES) 714 00:35:39,859 --> 00:35:41,561 Arachnoid dissector. 715 00:35:41,694 --> 00:35:43,963 **** 716 00:35:50,470 --> 00:35:53,105 There was a patient admitted this morning I think you should see. 717 00:35:53,240 --> 00:35:54,541 You thinking of Mrs. Cavanaugh? 718 00:35:54,674 --> 00:35:56,609 That's a good idea, Dr. Park. 719 00:35:56,743 --> 00:35:58,845 We'd welcome another take 720 00:35:58,978 --> 00:36:03,450 as to whether she's a good candidate for inserting an ICD. 721 00:36:03,583 --> 00:36:06,052 I'll consult just on that question, if you'd like me to. 722 00:36:07,820 --> 00:36:09,422 But I won't join in the O.R. 723 00:36:10,423 --> 00:36:11,991 I'm quitting surgery. 724 00:36:12,124 --> 00:36:14,193 **** 725 00:36:14,327 --> 00:36:16,629 I don't understand. When did you decide... 726 00:36:17,964 --> 00:36:19,266 Fifteen minutes ago. 727 00:36:22,669 --> 00:36:25,638 I nearly closed up without doing a final antibiotic lavage. 728 00:36:27,307 --> 00:36:28,841 But you didn't. 729 00:36:28,975 --> 00:36:30,643 Nurse Barker prompted you with the syringe. 730 00:36:32,345 --> 00:36:33,813 It was a tiny error. 731 00:36:33,946 --> 00:36:36,416 There was no contamination of the field. 732 00:36:36,549 --> 00:36:38,985 Many surgeons don't even do a final lavage. 733 00:36:39,118 --> 00:36:42,389 I always told myself once I started making tiny errors, 734 00:36:42,522 --> 00:36:43,990 I'd stop before I made a big one. 735 00:36:44,123 --> 00:36:45,492 Paul, 736 00:36:45,625 --> 00:36:47,294 we almost lost a patient today. 737 00:36:47,427 --> 00:36:48,160 You were still rattled. 738 00:36:49,762 --> 00:36:50,830 Thank you, Marcus. 739 00:36:52,699 --> 00:36:54,567 But I made this plan years ago, 740 00:36:54,701 --> 00:36:57,270 because I knew that when the time came, 741 00:36:57,404 --> 00:37:00,039 I'd look for reasons why whatever I did wrong 742 00:37:00,172 --> 00:37:03,543 was tiny, minor, didn't count. 743 00:37:05,211 --> 00:37:06,279 That's when I made the rule. 744 00:37:07,347 --> 00:37:09,015 Everything counts. 745 00:37:09,148 --> 00:37:10,550 **** 746 00:37:13,820 --> 00:37:17,390 Dr. Murphy, it was nice sewing with you. 747 00:37:17,524 --> 00:37:19,158 **** 748 00:37:30,703 --> 00:37:32,204 (DOOR CLOSES) 749 00:37:35,708 --> 00:37:37,143 (WATER RUNNING) 750 00:37:42,248 --> 00:37:43,783 (MONITOR BEEPING) 751 00:37:53,192 --> 00:37:55,127 (SIGHS) You gave us a scare. 752 00:37:56,396 --> 00:37:57,730 But all good now. 753 00:38:00,367 --> 00:38:02,735 You're mad at me. 754 00:38:02,869 --> 00:38:04,236 About little Evvie. 755 00:38:04,371 --> 00:38:06,005 (SIGHS) 756 00:38:06,138 --> 00:38:08,441 Well, Evvie inspired me. 757 00:38:09,976 --> 00:38:12,345 I took strength from her for years. 758 00:38:14,180 --> 00:38:15,214 Now it's all fiction. 759 00:38:18,017 --> 00:38:22,054 Fictional lives can save real lives. 760 00:38:22,188 --> 00:38:26,125 Four years ago, I used that story on the Senate floor. 761 00:38:26,258 --> 00:38:29,362 I got my bill passed by one vote. 762 00:38:29,496 --> 00:38:33,332 That lie helped millions of people with disabilities. 763 00:38:35,267 --> 00:38:37,136 I'm really proud of that lie. 764 00:38:37,269 --> 00:38:39,539 **** 765 00:38:53,119 --> 00:38:56,322 I'm heading out to have a drink with Dr. Nakano. 766 00:38:56,456 --> 00:38:59,959 Are you going to try to talk him out of leaving surgery? 767 00:39:00,092 --> 00:39:01,794 No. 768 00:39:01,928 --> 00:39:05,732 I'm going because no one's meant to shoulder loss alone. 769 00:39:05,865 --> 00:39:07,467 And I'm the one who should be with him tonight. 770 00:39:08,501 --> 00:39:09,636 Why? 771 00:39:11,003 --> 00:39:13,540 Because we love the same thing. 772 00:39:13,673 --> 00:39:17,109 And he knows no one would understand what he's lost more than I would. 773 00:39:17,243 --> 00:39:19,812 **** 774 00:39:32,959 --> 00:39:35,194 **** 775 00:39:40,567 --> 00:39:42,735 I have been thinking... 776 00:39:42,869 --> 00:39:45,204 About all the people you've helped, including me. 777 00:39:46,773 --> 00:39:48,875 And about not... 778 00:39:50,710 --> 00:39:52,545 Sharing the danger you were in with your husband. 779 00:39:54,280 --> 00:39:56,683 Probably not sharing a lot of other things. 780 00:39:58,384 --> 00:40:02,054 And it struck me that... (SIGHS) 781 00:40:02,188 --> 00:40:03,923 Being in a marriage like that must be lonely. 782 00:40:08,060 --> 00:40:10,429 You can't trust him to lie. 783 00:40:12,231 --> 00:40:15,935 So you end up sharing more of yourself with a guy like Cal, 784 00:40:16,068 --> 00:40:18,170 who is a hired gun and who's gonna end up 785 00:40:18,304 --> 00:40:20,573 working for somebody else two years from now. 786 00:40:25,411 --> 00:40:27,113 The fact that Pete and I don't talk shop 787 00:40:27,246 --> 00:40:28,881 doesn't make our marriage less than wonderful. 788 00:40:35,387 --> 00:40:36,388 Another lie? 789 00:40:39,091 --> 00:40:41,661 **** 790 00:40:48,601 --> 00:40:50,136 Hey, hey! 791 00:40:50,269 --> 00:40:53,305 How 'bout those Devils, huh? (CHUCKLES) 792 00:40:53,439 --> 00:40:56,308 But before I go all fan girl about last night's game, 793 00:40:56,442 --> 00:40:59,912 let's talk about the upcoming climate change conference. 794 00:41:00,046 --> 00:41:01,814 I have to tell you guys a story 795 00:41:01,948 --> 00:41:04,183 about a little boy who lives on the Outer Banks 796 00:41:04,316 --> 00:41:06,018 of South Carolina, 797 00:41:06,152 --> 00:41:08,287 whose home is about to be washed away... 798 00:41:10,557 --> 00:41:16,095 ** I think if I fail again 799 00:41:16,228 --> 00:41:20,432 ** That I know You're still listening 800 00:41:20,567 --> 00:41:24,571 ** Maybe it's all gonna Turn out all right... 801 00:41:24,704 --> 00:41:28,274 (SIGHS) I could get another mug, or I could wash these. 802 00:41:28,407 --> 00:41:29,942 It's a tough decision. 803 00:41:31,310 --> 00:41:32,579 Mm. 804 00:41:32,712 --> 00:41:34,146 I should probably tell you, 805 00:41:34,280 --> 00:41:35,815 I didn't get to calling the landlord. 806 00:41:38,851 --> 00:41:40,219 And maybe ten minutes ago, 807 00:41:40,352 --> 00:41:42,655 I saw a couple fruit flies near the drain, so... 808 00:41:42,789 --> 00:41:46,693 ** I have to believe that it is 809 00:41:46,826 --> 00:41:48,661 ** Have to believe... 810 00:41:48,795 --> 00:41:51,798 (SIGHS) So... Yeah. 811 00:41:55,301 --> 00:41:57,937 (VOICE BREAKING) Now it's my fault if we're... 812 00:41:58,070 --> 00:41:59,338 If we get bugs. 813 00:41:59,471 --> 00:42:02,975 **** 814 00:42:03,109 --> 00:42:07,714 ** When I tell you that it is 815 00:42:07,847 --> 00:42:12,318 ** Oh, it's not for my benefit 816 00:42:12,451 --> 00:42:17,757 ** Maybe it's all gonna Turn out all right 817 00:42:17,890 --> 00:42:21,093 ** Oh, I know that it's not 818 00:42:21,227 --> 00:42:26,398 ** But I have to believe That it is ** 819 00:42:26,532 --> 00:42:28,000 (SNIFFLES) 820 00:42:31,203 --> 00:42:33,005 (CLOSING THEME MUSIC PLAYING) 54653

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