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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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