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1
00:00:02,691 --> 00:00:05,160
(INDISTINCT CONVERSATIONS)
2
00:00:05,294 --> 00:00:07,262
CLAIRE: Can you pop the trunk?
3
00:00:07,396 --> 00:00:09,164
****
4
00:00:10,299 --> 00:00:12,301
Ah!
5
00:00:12,434 --> 00:00:14,035
(SIGHS)
We made good time.
6
00:00:14,169 --> 00:00:15,804
Thank goodness,
or else we wouldn't have
7
00:00:15,937 --> 00:00:17,506
the full three hours to wait
before our flight.
8
00:00:18,473 --> 00:00:19,474
Great.
9
00:00:19,608 --> 00:00:21,443
****
10
00:00:21,576 --> 00:00:22,477
All right. Thanks.
11
00:00:23,145 --> 00:00:23,878
(TRUNK SHUTS)
12
00:00:25,114 --> 00:00:26,047
All right.
13
00:00:26,181 --> 00:00:27,182
Oh.
14
00:00:29,151 --> 00:00:30,719
Starbucks is on me.
15
00:00:30,852 --> 00:00:32,821
No kidding.
And I'm getting
a cake pop.
16
00:00:32,954 --> 00:00:35,490
****
17
00:00:38,493 --> 00:00:40,362
(CAR DOOR SHUTS)
18
00:00:40,495 --> 00:00:41,863
****
19
00:00:43,031 --> 00:00:44,299
Hey, Dr. Reznick.
20
00:00:44,433 --> 00:00:46,501
****
21
00:00:48,337 --> 00:00:49,704
I thought this was
a surgical mission.
22
00:00:49,838 --> 00:00:52,707
Uh, we're bring...
We're bringing
some support.
23
00:00:52,841 --> 00:00:55,043
Morgan's gonna help
with patient selection
and aftercare.
24
00:00:55,177 --> 00:00:56,077
Oh. That's great.
25
00:00:57,712 --> 00:00:59,581
Ten days, huh?
(CHUCKLES)
26
00:01:00,949 --> 00:01:02,517
****
27
00:01:07,489 --> 00:01:08,857
Can't have you
forgetting me.
28
00:01:08,990 --> 00:01:10,525
I'll be back
before you know it.
(CHUCKLES)
29
00:01:19,168 --> 00:01:21,170
Tickets, passports,
30
00:01:21,303 --> 00:01:24,105
travel wallet
containing quetzales
and American currency.
31
00:01:24,239 --> 00:01:25,274
You've got 'em.
32
00:01:25,407 --> 00:01:27,876
I know,
because I checked.
33
00:01:28,009 --> 00:01:29,043
You all right?
34
00:01:29,178 --> 00:01:30,545
Oh, it's not that heavy.
I got it.
35
00:01:31,413 --> 00:01:32,547
That's not what I meant.
36
00:01:33,848 --> 00:01:36,151
(SIGHS) I'm okay.
37
00:01:36,285 --> 00:01:38,153
I think this trip
will be good.
38
00:01:38,287 --> 00:01:39,421
Change things up.
39
00:01:39,554 --> 00:01:41,156
Focus on
helping other people.
40
00:01:43,091 --> 00:01:45,126
For whatever it's worth,
if you ever need to talk,
41
00:01:45,260 --> 00:01:46,728
you can always call me.
42
00:01:47,996 --> 00:01:49,063
I'm not gonna do that.
43
00:01:49,864 --> 00:01:51,600
I know.
44
00:01:51,733 --> 00:01:54,035
We will not have
any time to shop,
45
00:01:54,169 --> 00:01:56,305
but would you
or Debbie like anything
from duty-free?
46
00:01:56,438 --> 00:01:58,473
****
47
00:01:58,607 --> 00:02:00,842
Guatemala is known
for its rum.
48
00:02:01,676 --> 00:02:02,744
We're okay. Thanks.
49
00:02:04,979 --> 00:02:06,581
Okay.
50
00:02:08,016 --> 00:02:10,151
****
51
00:02:10,285 --> 00:02:11,953
(CAR DOOR SHUTS)
52
00:02:12,086 --> 00:02:13,588
You're on this trip, too?
53
00:02:14,823 --> 00:02:16,157
Yeah, got inspired
last night,
54
00:02:16,291 --> 00:02:18,293
decided to take some
personal days, go help out.
55
00:02:19,428 --> 00:02:20,995
And you're bringing
a toilet seat?
56
00:02:22,731 --> 00:02:23,998
Spoken like someone
57
00:02:24,132 --> 00:02:25,967
who's never been
on one of these
surgical missions.
58
00:02:26,100 --> 00:02:28,102
(AIRPLANE ENGINE ROARING)
59
00:02:28,237 --> 00:02:30,439
****
60
00:02:35,244 --> 00:02:37,446
****
61
00:02:48,223 --> 00:02:50,625
(DONKEYS BRAY)
62
00:03:07,542 --> 00:03:08,843
The airline
will find your bag.
63
00:03:12,314 --> 00:03:13,948
We'll get you some clothes
when we get situated.
64
00:03:15,183 --> 00:03:16,918
(SCOFFS)
65
00:03:19,321 --> 00:03:21,222
****
66
00:03:28,797 --> 00:03:31,032
Would you like
some vitamin B12
to help with exhaustion,
67
00:03:31,165 --> 00:03:32,667
or a motion sickness
wristband?
68
00:03:33,335 --> 00:03:34,536
I have an extra.
69
00:03:34,669 --> 00:03:35,670
No, thanks.
70
00:03:38,172 --> 00:03:39,674
I'm glad we're here.
71
00:03:41,276 --> 00:03:42,243
Yes.
72
00:03:43,177 --> 00:03:44,846
After all the loss
this year.
73
00:03:46,147 --> 00:03:48,783
It's just...
Such an amazing way
74
00:03:48,917 --> 00:03:50,552
to be reminded
what we have
to be grateful for.
75
00:03:51,553 --> 00:03:52,354
(SAPO SPEAKING SPANISH)
76
00:03:52,487 --> 00:03:53,422
Careful!
77
00:03:53,555 --> 00:03:54,756
(TIRES SCREECH)
78
00:03:57,559 --> 00:03:58,693
Let's see.
79
00:04:01,029 --> 00:04:02,597
(SHEEP BLEATING)
80
00:04:02,731 --> 00:04:04,899
Pardon me, sir,
could you please
move your flock of sheep?
81
00:04:05,033 --> 00:04:07,268
My sheep don't like
to be rushed. Be patient.
82
00:04:07,402 --> 00:04:09,003
These people are our guests.
83
00:04:09,137 --> 00:04:10,104
Well, I did not
invite them.
84
00:04:10,238 --> 00:04:11,239
(SPEAKING SPANISH)
85
00:04:11,373 --> 00:04:12,374
We're doctors.
86
00:04:14,175 --> 00:04:17,278
It's been a long trip
and we need
to get to our hotel.
87
00:04:17,412 --> 00:04:19,280
****
88
00:04:21,316 --> 00:04:22,283
Doctor?
89
00:04:24,018 --> 00:04:25,086
You're a doctor?
90
00:04:27,422 --> 00:04:28,623
Of course I am.
91
00:04:30,459 --> 00:04:31,793
(SHEEP CONTINUE BLEATING)
92
00:04:33,562 --> 00:04:34,729
It's a fungus.
93
00:04:36,064 --> 00:04:37,632
It's...
It's a fungus!
94
00:04:39,233 --> 00:04:40,902
(IN ENGLISH) It's a fungus.
95
00:04:41,035 --> 00:04:42,771
(THEME MUSIC PLAYING)
96
00:04:51,045 --> 00:04:52,614
(INSECTS CHIRPING)
97
00:04:52,747 --> 00:04:53,748
(SPEAKING SPANISH)
98
00:04:53,882 --> 00:04:54,949
Thank you!
99
00:04:57,085 --> 00:04:58,186
Whew!
100
00:04:58,319 --> 00:05:00,088
****
101
00:05:00,221 --> 00:05:01,756
Ah.
102
00:05:06,094 --> 00:05:07,161
(IN ENGLISH)
Need help with that?
103
00:05:07,295 --> 00:05:08,630
No, that's
a friend thing.
104
00:05:13,768 --> 00:05:16,337
(INSECTS CHIRPING)
105
00:05:16,471 --> 00:05:19,007
(ROOSTER CROWS)
106
00:05:19,140 --> 00:05:21,776
****
107
00:05:29,451 --> 00:05:31,019
(BRAKES SQUEAL)
108
00:05:42,096 --> 00:05:44,533
Hola, I'm Dr. Mateo Rendon.
109
00:05:44,666 --> 00:05:46,968
Dr. Saravia and her team
have spent several months
110
00:05:47,101 --> 00:05:48,202
gathering cases.
111
00:05:48,336 --> 00:05:49,904
From those,
we selected 40.
112
00:05:50,038 --> 00:05:51,339
You're going to want
to save them all.
113
00:05:51,473 --> 00:05:52,807
You will not.
114
00:05:52,941 --> 00:05:54,509
We will perform
12 operations.
115
00:05:54,643 --> 00:05:56,578
I'm Dr. Marcus Andrews,
last-minute addition.
116
00:05:56,711 --> 00:05:57,746
If we could add more cases,
I...
117
00:05:57,879 --> 00:05:58,880
Before I heard
you joined the trip,
118
00:05:59,013 --> 00:06:00,348
we were doing ten surgeries.
119
00:06:00,482 --> 00:06:03,918
My organization
has spent years
building trust.
120
00:06:04,052 --> 00:06:07,155
We save 12 people here,
that trust grows,
121
00:06:07,288 --> 00:06:10,559
more patients come to us,
more doctors volunteer.
122
00:06:10,692 --> 00:06:11,826
But if we lose a patient...
123
00:06:15,296 --> 00:06:18,332
We want surgeries we can do
but the locals couldn't.
124
00:06:18,467 --> 00:06:21,736
Surgeries that don't need
a lot of aftercare.
125
00:06:21,870 --> 00:06:24,038
Twelve patients,
one alternate.
126
00:06:24,172 --> 00:06:26,240
Everyone else gets sent home,
127
00:06:26,374 --> 00:06:29,844
no matter how sick they are
or how sad their story is.
128
00:06:31,846 --> 00:06:34,182
(INDISTINCT CONVERSATIONS)
129
00:06:34,315 --> 00:06:36,685
****
130
00:07:13,421 --> 00:07:15,890
(INDISTINCT CONVERSATIONS)
131
00:07:16,925 --> 00:07:18,827
(CAMERA SHUTTER CLICKING)
132
00:07:18,960 --> 00:07:21,295
****
133
00:07:28,236 --> 00:07:29,237
(SPEAKING SPANISH)
134
00:07:29,370 --> 00:07:30,639
Uh, can you please
tell me what this means?
135
00:07:30,772 --> 00:07:32,040
Family...
136
00:07:32,173 --> 00:07:34,175
Your next of kin.
137
00:07:34,308 --> 00:07:36,811
Oh, well, nobody.
Only Ignacio.
138
00:07:36,945 --> 00:07:37,912
Iggy is my only family.
139
00:07:38,046 --> 00:07:38,913
(DOG WHINES)
140
00:07:40,214 --> 00:07:42,316
(IN ENGLISH)
He says his dog, Iggy.
141
00:07:43,217 --> 00:07:44,485
Ugly dog.
142
00:07:44,619 --> 00:07:47,021
Roberto Kantun Diaz?
(SPEAKING SPANISH)
143
00:07:47,155 --> 00:07:48,322
Yes!
144
00:07:48,456 --> 00:07:49,824
Andrea Torres Tzul?
145
00:07:51,693 --> 00:07:52,927
Aime Navarro Gomez?
146
00:07:56,030 --> 00:07:57,031
Aime Navarro Gomez?
(SPEAKING SPANISH)
147
00:07:57,165 --> 00:07:58,700
Here! Here!
148
00:07:58,833 --> 00:08:01,169
****
149
00:08:01,302 --> 00:08:04,172
(IN ENGLISH) We need
to do an abdominal exam
and ultrasound
150
00:08:04,305 --> 00:08:07,542
to see if there are
any signs of obstruction
or strangulation.
151
00:08:07,676 --> 00:08:09,477
Please remove your
bandage and lie back.
(SPEAKING SPANISH)
152
00:08:09,611 --> 00:08:10,945
Lie down and remove
your bandages.
153
00:08:19,788 --> 00:08:21,856
How long
have you had that?
154
00:08:21,990 --> 00:08:24,425
A year... Maybe more.
155
00:08:24,559 --> 00:08:26,327
MATEO: (IN ENGLISH)
He's had it for a year,
maybe longer.
156
00:08:26,460 --> 00:08:28,830
My neighbor
told me to go to
the hospital in Xela,
157
00:08:28,963 --> 00:08:30,965
but I didn't have enough
for the trip
158
00:08:31,099 --> 00:08:34,302
and I can't go a long time
without working.
159
00:08:34,435 --> 00:08:36,070
I'm the only one
who takes care
of my sisters.
160
00:08:36,204 --> 00:08:38,172
He was told
to go to the hospital,
161
00:08:38,306 --> 00:08:40,341
but he couldn't afford
the trip or to miss work.
162
00:08:40,474 --> 00:08:41,976
He's the sole provider
for his siblings.
163
00:08:43,111 --> 00:08:44,979
Our parents
died two years ago.
164
00:08:46,514 --> 00:08:48,449
Their parents died
two years ago.
165
00:08:48,583 --> 00:08:50,619
****
166
00:08:53,454 --> 00:08:56,257
(IN ENGLISH) She has a large
patent ductus arteriosus.
167
00:08:57,525 --> 00:08:59,894
I've only seen
this condition
in infants.
168
00:09:00,028 --> 00:09:02,563
The blood is reversed.
169
00:09:02,697 --> 00:09:04,699
It's flowing the wrong way.
170
00:09:04,833 --> 00:09:06,000
(MONITOR BEEPS)
171
00:09:08,469 --> 00:09:10,705
We could try going through
the femoral vein,
172
00:09:10,839 --> 00:09:12,573
do a percutaneous
device closure.
173
00:09:12,707 --> 00:09:16,778
She has irreversible
pulmonary hypertension.
174
00:09:16,911 --> 00:09:19,480
It would have been simple
to treat as an infant,
175
00:09:19,614 --> 00:09:24,385
but now closing
the hole will...
Will... Kill her.
176
00:09:26,420 --> 00:09:28,556
****
177
00:09:28,690 --> 00:09:29,724
(SPEAKING SPANISH)
178
00:09:29,858 --> 00:09:32,060
Aime's condition
is much too advanced.
179
00:09:33,928 --> 00:09:36,330
There's nothing we can do.
180
00:09:36,464 --> 00:09:37,398
(WHIMPERS)
181
00:09:37,531 --> 00:09:38,633
I'm sorry.
182
00:09:38,767 --> 00:09:40,735
(CRYING)
(SPEAKING SPANISH)
183
00:09:40,869 --> 00:09:42,403
I'm sorry.
184
00:09:42,536 --> 00:09:43,537
No.
185
00:09:43,672 --> 00:09:45,539
(CRYING) No.
186
00:09:47,441 --> 00:09:49,543
No, no.
187
00:09:49,678 --> 00:09:53,047
(CRYING)
188
00:09:54,683 --> 00:09:57,051
****
189
00:10:00,554 --> 00:10:03,391
(SIGHS)
190
00:10:03,524 --> 00:10:04,959
KARLA: (IN ENGLISH) Tissue?
Uh...
191
00:10:07,996 --> 00:10:09,563
I stock up before
the Americans come.
192
00:10:11,065 --> 00:10:12,266
And the French.
193
00:10:12,400 --> 00:10:15,103
They are surprisingly
sensitive people.
194
00:10:15,236 --> 00:10:17,305
I'm sorry. I know
this isn't helping anyone.
195
00:10:17,438 --> 00:10:19,607
(CHUCKLES NERVOUSLY)
Never apologize
for being human.
196
00:10:19,741 --> 00:10:21,575
I have a strict policy
against it.
197
00:10:23,277 --> 00:10:26,815
This week, you are
not just doing surgery.
198
00:10:26,948 --> 00:10:28,482
You are doing miracles.
199
00:10:28,616 --> 00:10:31,085
You're giving people hope
who had none.
200
00:10:32,353 --> 00:10:34,088
Except for the ones
that we send home to die.
201
00:10:35,724 --> 00:10:37,258
(SIGHS)
202
00:10:37,391 --> 00:10:38,993
Focus on the miracles,
203
00:10:39,127 --> 00:10:40,962
or else you won't be able
to help any of them.
204
00:10:43,732 --> 00:10:46,000
And I will have to get
more tissues.
205
00:10:46,134 --> 00:10:47,668
(CHUCKLES)
206
00:10:48,336 --> 00:10:49,337
Thank you.
207
00:10:52,440 --> 00:10:53,274
(SNIFFLES)
208
00:10:57,511 --> 00:10:59,113
Bastion Alonso Ramos.
209
00:10:59,247 --> 00:11:01,182
Twelve-year-old
baseball fan.
210
00:11:01,315 --> 00:11:03,284
Roots for
the St. Louis Cardinals.
211
00:11:03,417 --> 00:11:05,186
Also, he has
an ameloblastoma.
212
00:11:05,319 --> 00:11:07,288
Not a lot of baseball fans
in Guatemala.
213
00:11:07,421 --> 00:11:11,192
You've been here before,
or do you enjoy
reading Wikipedia?
214
00:11:11,325 --> 00:11:14,295
I did a medical mission here
during my residency.
215
00:11:14,428 --> 00:11:17,331
Oh, that explains
"Dr. Toilet Seat."
216
00:11:18,900 --> 00:11:20,201
You already
have a nickname.
217
00:11:20,334 --> 00:11:23,537
****
218
00:11:23,671 --> 00:11:24,705
Good afternoon, Bastion.
219
00:11:28,142 --> 00:11:29,410
I'm Dr. Andrews.
(SPEAKING SPANISH)
220
00:11:29,543 --> 00:11:32,280
Good afternoon, Bastion.
This is Dr. Andrews.
221
00:11:32,413 --> 00:11:33,347
(SPEAKING SPANISH)
222
00:11:33,481 --> 00:11:34,715
Hello, Dr. Andrews.
223
00:11:34,849 --> 00:11:36,050
Hola!
224
00:11:37,551 --> 00:11:38,820
What is that?
Let me see.
225
00:11:42,590 --> 00:11:44,325
(LAUGHS) Oh.
226
00:11:44,458 --> 00:11:46,560
That looks like
Yadi Molina.
227
00:11:46,694 --> 00:11:49,697
(IN ENGLISH)
Yes! It's Yadi Molina.
St. Louis Cardinals.
228
00:11:49,831 --> 00:11:51,099
Mm-hmm.
229
00:11:51,232 --> 00:11:53,701
So, are you a better
hitter or catcher?
230
00:11:53,835 --> 00:11:56,004
****
231
00:11:58,506 --> 00:12:00,374
****
232
00:12:38,112 --> 00:12:40,114
He has a hepatic adenoma
233
00:12:40,248 --> 00:12:41,782
in the right lobe
of his liver.
234
00:12:41,916 --> 00:12:43,417
Does not appear cancerous.
235
00:12:43,551 --> 00:12:45,486
No. For now.
236
00:12:45,619 --> 00:12:47,288
The lesion is localized,
well-circumscribed,
237
00:12:47,421 --> 00:12:49,690
and not close
to portal vein branches.
238
00:12:49,824 --> 00:12:51,092
(SPEAKING SPANISH)
239
00:12:51,225 --> 00:12:53,761
There's a tumor
in Adelmo's liver,
but it's not cancer.
240
00:12:53,895 --> 00:12:56,797
The doctor believes
they can remove it.
241
00:12:56,931 --> 00:12:58,532
He's a good candidate.
242
00:12:58,666 --> 00:13:00,935
****
243
00:13:01,069 --> 00:13:02,236
(CHUCKLES)
244
00:13:07,241 --> 00:13:09,177
ALL: Thank you.
245
00:13:09,310 --> 00:13:10,611
Cheers!
246
00:13:10,744 --> 00:13:12,580
(LAUGHS)
247
00:13:12,713 --> 00:13:14,148
(SPEAKING SPANISH)
248
00:13:14,282 --> 00:13:16,050
I can continue like this
for a long time.
249
00:13:16,184 --> 00:13:17,585
But you have
a strange accent.
250
00:13:17,718 --> 00:13:20,254
It's not from Guatemala,
or Mexican.
251
00:13:20,388 --> 00:13:22,223
Did you spend some time
in Venezuela?
252
00:13:22,356 --> 00:13:24,758
In the library
where I grew up,
253
00:13:24,893 --> 00:13:26,594
they had some
tapes named,
254
00:13:26,727 --> 00:13:28,462
(IN ENGLISH)
"Speak Spanish
like a Spaniard."
255
00:13:28,596 --> 00:13:29,964
(SPEAKING SPANISH)
256
00:13:30,098 --> 00:13:33,267
I listened to them
every night
until they broke.
257
00:13:33,401 --> 00:13:35,669
(IN ENGLISH) Oh, thank you.
I thought you put
this kid in the "no" pile.
258
00:13:35,803 --> 00:13:37,438
I decided to take
a closer look
at the images.
259
00:13:37,571 --> 00:13:39,140
See where the mass
is thinning
the orbital floor
260
00:13:39,273 --> 00:13:40,841
and extending up
near the skull base?
261
00:13:40,975 --> 00:13:43,177
But that's exactly
what you can't do.
262
00:13:43,311 --> 00:13:45,446
Reconsider?
Weigh issues?
263
00:13:46,747 --> 00:13:48,649
Let emotional
and personal attachment
264
00:13:48,782 --> 00:13:50,451
influence
treatment decisions.
265
00:13:50,584 --> 00:13:52,286
Chicharrones?
266
00:13:52,420 --> 00:13:53,187
There's no beveling
or erosions.
267
00:13:54,222 --> 00:13:56,124
I can stay extracranial
268
00:13:56,257 --> 00:13:59,493
and create a bony plane
to resect the superior tumor.
269
00:13:59,627 --> 00:14:02,263
Did that sound
too emotional?
270
00:14:02,396 --> 00:14:04,032
Even if you stay
out of the brain,
271
00:14:04,165 --> 00:14:07,801
two major arteries
are involved.
He could bleed out.
272
00:14:07,936 --> 00:14:10,604
(UPBEAT SPANISH MUSIC
PLAYING OVER SPEAKERS)
273
00:14:10,738 --> 00:14:12,173
Can I get
one of those, please?
274
00:14:12,806 --> 00:14:13,841
Gracias.
275
00:14:13,975 --> 00:14:15,109
(CRUNCHING)
276
00:14:15,243 --> 00:14:16,945
****
277
00:14:24,118 --> 00:14:25,853
(SHEEP BLEATING)
278
00:14:25,987 --> 00:14:27,922
****
279
00:14:32,160 --> 00:14:33,361
(SPEAKING SPANISH)
280
00:14:33,494 --> 00:14:36,330
Apply it twice a day,
for ten days.
281
00:14:38,499 --> 00:14:40,368
Thank you,
Dr. Shaun Murphy.
Thank you.
282
00:14:41,469 --> 00:14:42,503
You're welcome.
283
00:14:42,636 --> 00:14:44,338
****
284
00:14:48,609 --> 00:14:49,610
(SPEAKING SPANISH)
285
00:14:49,743 --> 00:14:51,512
My chest hurts,
and so does my arm.
286
00:14:51,645 --> 00:14:53,414
And sometimes,
my hand feels cold,
287
00:14:53,547 --> 00:14:56,550
or it's as if I wasn't able
to feel it at all.
288
00:14:56,684 --> 00:14:59,353
(IN ENGLISH) It could be
angina or a blockage,
289
00:14:59,487 --> 00:15:01,555
which requires
bypass surgery.
290
00:15:01,689 --> 00:15:03,824
We should do an EKG before
he goes to the cath lab...
291
00:15:04,993 --> 00:15:06,360
You don't have a cath lab.
292
00:15:07,195 --> 00:15:08,129
(SPEAKING SPANISH)
293
00:15:08,262 --> 00:15:09,930
Stretch out
your arm, please.
294
00:15:10,064 --> 00:15:11,865
Turn your head
to the side.
295
00:15:13,867 --> 00:15:14,735
(IN ENGLISH)
Feel his pulse.
296
00:15:16,837 --> 00:15:19,073
****
297
00:15:19,207 --> 00:15:20,508
There isn't one.
298
00:15:20,641 --> 00:15:21,642
(SPEAKING SPANISH)
299
00:15:21,775 --> 00:15:23,077
Turn your head forward.
300
00:15:23,211 --> 00:15:25,179
****
301
00:15:27,381 --> 00:15:29,383
(IN ENGLISH)
His pulse is back.
302
00:15:31,219 --> 00:15:33,754
It's not
a cardiac problem.
303
00:15:33,887 --> 00:15:36,357
He has thoracic
outlet syndrome.
(SPEAKING SPANISH)
304
00:15:36,490 --> 00:15:39,493
Dr. Saravia
has just showed me that
the nerves and arteries
305
00:15:39,627 --> 00:15:42,096
in your neck and chest
are being compressed
by your ribs.
306
00:15:42,230 --> 00:15:43,697
It's a very rare condition,
307
00:15:43,831 --> 00:15:47,901
that may cause blood clots
or an embolism...
308
00:15:48,036 --> 00:15:49,403
(IN ENGLISH)
He doesn't
seem happy.
309
00:15:50,904 --> 00:15:52,173
Did I translate wrong?
310
00:15:52,306 --> 00:15:55,109
No. Your Spanish is perfect.
311
00:15:55,243 --> 00:15:57,911
But you left out
that his problem
can be fixed.
312
00:15:58,046 --> 00:15:58,946
(SPEAKING SPANISH)
313
00:15:59,080 --> 00:16:00,281
It can be remedied.
314
00:16:00,414 --> 00:16:01,449
Oh, okay.
315
00:16:03,317 --> 00:16:04,418
Okay.
316
00:16:05,919 --> 00:16:08,122
I am not good
at communication.
317
00:16:08,256 --> 00:16:09,823
In two languages.
318
00:16:09,957 --> 00:16:12,626
****
319
00:16:12,760 --> 00:16:13,761
(SPEAKING SPANISH)
320
00:16:13,894 --> 00:16:18,466
The nurse should
come momentarily.
321
00:16:20,734 --> 00:16:23,804
(IN ENGLISH) The translator
should be here soon. Um...
322
00:16:23,937 --> 00:16:25,139
If you want,
I can translate.
323
00:16:25,273 --> 00:16:26,307
Oh, you can
speak English?
324
00:16:26,440 --> 00:16:28,242
We lived in the U.S.
for a few years.
325
00:16:28,376 --> 00:16:30,178
Uh, my mother
cleaned houses.
326
00:16:30,311 --> 00:16:31,645
I watched Grey's Anatomy.
327
00:16:31,779 --> 00:16:32,980
(LAUGHS) Oh.
328
00:16:33,114 --> 00:16:36,117
Well, being a surgeon
is not much like that.
329
00:16:37,385 --> 00:16:40,354
Ms. Garza, can you show me
where you feel pain?
330
00:16:41,922 --> 00:16:42,890
(SPEAKING SPANISH)
331
00:16:43,023 --> 00:16:43,891
Show them where
it hurts you, Mom.
332
00:16:45,359 --> 00:16:46,527
Here.
333
00:16:46,660 --> 00:16:49,797
And do you have
indigestion or cramping
334
00:16:49,930 --> 00:16:52,866
or ever feel like
you might throw up?
335
00:16:53,000 --> 00:16:55,569
She wants to know
if you have indigestion
or cramping.
336
00:16:55,703 --> 00:16:57,238
Do you feel like you
might throw up?
337
00:16:59,540 --> 00:17:00,641
Sometimes.
338
00:17:01,875 --> 00:17:03,677
(IN ENGLISH) "Sometimes."
339
00:17:03,811 --> 00:17:05,846
But she's lying.
It's always.
340
00:17:08,616 --> 00:17:10,551
She has fevers, too,
and throws up.
341
00:17:13,854 --> 00:17:16,023
I need to feel your abdomen.
Can you lie on the bed for me?
342
00:17:16,157 --> 00:17:17,225
(SPEAKING SPANISH)
343
00:17:17,358 --> 00:17:18,526
She has to feel
your stomach, Mom.
Lie down.
344
00:17:22,530 --> 00:17:23,664
Okay.
345
00:17:25,966 --> 00:17:27,568
Mm.
346
00:17:27,701 --> 00:17:28,669
(GRUNTS)
347
00:17:30,003 --> 00:17:32,506
Ms. Garza, I think
you have gallstones.
348
00:17:33,807 --> 00:17:35,509
We will have to
run some tests,
349
00:17:35,643 --> 00:17:37,511
but it is likely
that you will need surgery.
350
00:17:41,048 --> 00:17:42,049
(SPEAKING SPANISH)
351
00:17:42,183 --> 00:17:45,219
Mom, the doctor believes
you have gallstones.
352
00:17:45,353 --> 00:17:47,588
They need to do a test
to be sure,
353
00:17:47,721 --> 00:17:50,391
but you need surgery.
354
00:17:51,459 --> 00:17:54,228
No, no.
Not surgery.
355
00:17:54,362 --> 00:17:56,063
I came here for medicine.
356
00:17:56,197 --> 00:17:57,498
(WHISPERING)
357
00:17:57,631 --> 00:17:58,799
You told me
they were gonna
give me medicine.
358
00:17:58,932 --> 00:18:00,601
Don't be stubborn.
Do what the doctor says.
359
00:18:02,436 --> 00:18:04,104
If she
doesn't want surgery,
why is she here?
360
00:18:06,207 --> 00:18:08,609
(IN ENGLISH) I told her
you would have pills
that would help her.
361
00:18:09,810 --> 00:18:11,879
I told her I wouldn't eat
until she came.
362
00:18:12,012 --> 00:18:14,282
****
363
00:18:14,415 --> 00:18:16,250
I have to work.
364
00:18:17,117 --> 00:18:18,419
I need to take care of you.
365
00:18:18,552 --> 00:18:20,621
She says
she can't miss work.
366
00:18:20,754 --> 00:18:22,022
She needs
to take care of me.
367
00:18:27,228 --> 00:18:29,563
I-I need you
to translate accurately.
368
00:18:32,200 --> 00:18:34,635
My mother
was very sick, too.
369
00:18:34,768 --> 00:18:35,769
(SPEAKING SPANISH)
370
00:18:35,903 --> 00:18:38,739
Her mother
also was very sick.
371
00:18:38,872 --> 00:18:41,275
CLAIRE: And she tried
to hide her pain,
372
00:18:41,409 --> 00:18:45,579
but children know
when people are suffering,
especially their mothers.
373
00:18:47,581 --> 00:18:49,082
She tried to hide her pain,
374
00:18:49,217 --> 00:18:52,586
but kids know
when people
are suffering.
375
00:18:54,087 --> 00:18:56,224
Especially
when it's their mother.
376
00:18:59,260 --> 00:19:01,629
CLAIRE: You can't take care
of your daughter
377
00:19:01,762 --> 00:19:03,264
if you do not
take care of yourself.
378
00:19:05,899 --> 00:19:07,935
You can't take care
of your daughter
379
00:19:08,068 --> 00:19:09,603
if you don't take care
of yourself.
380
00:19:13,707 --> 00:19:16,043
(SIGHS)
381
00:19:16,176 --> 00:19:17,778
****
382
00:19:21,282 --> 00:19:23,016
DR. ANDREWS: (IN ENGLISH)
Did you review Bastion's file?
383
00:19:23,150 --> 00:19:24,585
Doing a bifrontal
trepanation
384
00:19:24,718 --> 00:19:26,186
and reconstructing
the skull base
385
00:19:26,320 --> 00:19:27,955
could prevent
brain herniation.
386
00:19:28,088 --> 00:19:29,957
What about risk
of CSF leak?
387
00:19:30,090 --> 00:19:33,827
It reduces with
a multilayer duraplasty
using a pericranial flap.
388
00:19:33,961 --> 00:19:36,163
DR. LIM: I say
five sentences
to a patient.
389
00:19:36,297 --> 00:19:37,465
You say five words.
390
00:19:37,598 --> 00:19:38,766
A nurse wanted me
to give this to you.
391
00:19:38,899 --> 00:19:40,268
Because medical jargon
does nothing
392
00:19:40,401 --> 00:19:42,536
but scare them
and waste our time.
393
00:19:42,670 --> 00:19:44,104
All they care about is,
can we help...
394
00:19:44,238 --> 00:19:45,706
Yes or no?
395
00:19:45,839 --> 00:19:47,508
****
396
00:19:49,009 --> 00:19:50,878
(SIGHS)
397
00:20:00,087 --> 00:20:02,356
****
398
00:20:07,027 --> 00:20:09,162
DR. REZNICK: Your son's
heart valves are damaged.
399
00:20:09,297 --> 00:20:10,498
(SPEAKING SPANISH)
400
00:20:10,631 --> 00:20:11,665
Your son's heart valves
are damaged.
401
00:20:13,601 --> 00:20:16,236
It's probably the result of
his rheumatic fever last year.
402
00:20:16,370 --> 00:20:17,905
(ANA SPEAKING SPANISH)
403
00:20:18,038 --> 00:20:20,374
Probably as a result
of the rheumatic fever
he had last year.
404
00:20:21,809 --> 00:20:23,176
Because of his heart,
405
00:20:24,211 --> 00:20:26,514
we can't remove
his liver tumor.
406
00:20:28,516 --> 00:20:30,050
I-It makes the surgery
too risky.
407
00:20:32,286 --> 00:20:34,187
I'm very sorry.
408
00:20:34,322 --> 00:20:37,124
****
409
00:20:37,257 --> 00:20:41,395
Due to his heart, we can't
remove the tumor in his liver
410
00:20:41,529 --> 00:20:43,697
because it makes
the surgery very risky.
411
00:20:45,966 --> 00:20:47,167
We are very sorry.
412
00:20:48,769 --> 00:20:51,405
****
413
00:20:57,010 --> 00:20:58,346
(IN ENGLISH)
Thank you, Doctor.
414
00:21:00,548 --> 00:21:01,915
Uh, no, I'm sorry.
415
00:21:02,049 --> 00:21:04,618
W-We can't
do the operation
on your son.
416
00:21:04,752 --> 00:21:05,786
He...
I'm not sure he...
417
00:21:05,919 --> 00:21:06,887
(SPEAKING SPANISH)
418
00:21:07,020 --> 00:21:08,155
But you tried.
419
00:21:08,288 --> 00:21:10,624
****
420
00:21:10,758 --> 00:21:11,725
(IN ENGLISH)
Thank you for trying.
421
00:21:13,026 --> 00:21:13,994
God bless you.
422
00:21:14,595 --> 00:21:16,730
****
423
00:21:25,439 --> 00:21:26,907
(SPEAKING SPANISH)
424
00:21:27,040 --> 00:21:28,809
Everything's gonna be okay.
425
00:21:28,942 --> 00:21:30,978
Don't worry.
426
00:21:32,380 --> 00:21:33,947
(INAUDIBLE)
427
00:21:34,081 --> 00:21:36,417
****
428
00:21:48,562 --> 00:21:49,730
Leon Castillo.
429
00:21:49,863 --> 00:21:51,499
Twenty-two-year-old male.
430
00:21:51,632 --> 00:21:53,934
Large, non-reducible
umbilical hernia.
431
00:21:54,067 --> 00:21:55,703
He's the sole provider
for his siblings...
432
00:21:55,836 --> 00:21:57,871
No personal details.
They're irrelevant.
433
00:21:58,005 --> 00:21:59,673
Two children's survival
depends on his.
434
00:21:59,807 --> 00:22:01,409
Seems relevant to me.
435
00:22:01,542 --> 00:22:03,944
Decisions need to be based
on medical data alone.
436
00:22:04,077 --> 00:22:06,880
This can't turn into a contest
of whose life is more tragic.
437
00:22:07,014 --> 00:22:08,181
There would be
too many winners.
438
00:22:12,185 --> 00:22:13,787
Without surgery,
439
00:22:13,921 --> 00:22:16,624
the hernia's
at a very high risk
for strangulation.
440
00:22:16,757 --> 00:22:18,492
It's a fast, simple procedure,
441
00:22:18,626 --> 00:22:20,628
and he will almost certainly
have a full recovery.
442
00:22:20,761 --> 00:22:24,197
From a surgery
he could survive
another 15 years without.
443
00:22:25,433 --> 00:22:27,300
Replacing the valve
with a bioprosthetic
444
00:22:27,435 --> 00:22:29,970
means he won't need
to be on blood thinners
forever.
445
00:22:30,103 --> 00:22:31,505
DR. REZNICK:
But he'll probably need
follow-up surgeries
446
00:22:31,639 --> 00:22:32,940
to replace the replacement.
447
00:22:33,073 --> 00:22:35,275
Well, this guy's an athlete,
a football star.
448
00:22:35,409 --> 00:22:36,343
Is that relevant?
449
00:22:36,477 --> 00:22:39,146
****
450
00:22:39,279 --> 00:22:41,582
Yes, because his underlying
cardiac health is excellent.
451
00:22:41,715 --> 00:22:43,417
He should make
a full recovery.
452
00:22:43,551 --> 00:22:45,486
Unfortunately,
his dental health isn't.
453
00:22:45,619 --> 00:22:48,989
He has cavities,
which puts him at
high risk for endocarditis,
454
00:22:49,122 --> 00:22:51,358
which would contribute
to valve deterioration.
455
00:22:51,492 --> 00:22:53,326
A total abdominal colectomy
456
00:22:53,461 --> 00:22:56,664
offers her an
80% to 90% chance
at full recovery.
457
00:22:56,797 --> 00:22:59,366
Otherwise healthy,
no complicating factors.
458
00:22:59,500 --> 00:23:02,369
The tumor could be
removed using
ultrasound-guided surgery.
459
00:23:02,503 --> 00:23:04,572
But she has no access
to post-op chemo
and radiation.
460
00:23:04,705 --> 00:23:06,474
The mass is round,
localized.
461
00:23:06,607 --> 00:23:08,709
No signs of infiltration
in the adjacent structures.
462
00:23:08,842 --> 00:23:10,343
Minimal chance
of recurrence.
463
00:23:10,478 --> 00:23:12,112
If you get all of it.
464
00:23:12,245 --> 00:23:14,548
****
465
00:23:14,682 --> 00:23:16,349
She just got married
last week...
466
00:23:16,484 --> 00:23:17,485
Dr. Reznick.
467
00:23:17,618 --> 00:23:18,552
...which is
medically relevant,
468
00:23:18,686 --> 00:23:20,053
because studies
have shown
469
00:23:20,187 --> 00:23:22,189
optimistic people
have better
long-term prognosis.
470
00:23:22,322 --> 00:23:23,757
And she is full of hope.
471
00:23:23,891 --> 00:23:25,859
****
472
00:23:32,132 --> 00:23:34,001
Uh, there's a boy.
473
00:23:34,134 --> 00:23:35,368
He needs blankets. Uh.
(SPEAKING SPANISH)
474
00:23:35,503 --> 00:23:36,837
Blankets, please?
475
00:23:36,970 --> 00:23:37,938
There.
476
00:23:38,071 --> 00:23:39,372
Thank you.
477
00:23:39,507 --> 00:23:41,274
(INDISTINCT CONVERSATIONS)
478
00:23:47,180 --> 00:23:48,882
(BABY FUSSING)
479
00:23:50,818 --> 00:23:53,386
****
480
00:24:03,196 --> 00:24:04,898
(SIGHS)
481
00:24:07,835 --> 00:24:09,069
CLAIRE: The gallstones
482
00:24:09,202 --> 00:24:11,104
are intermittently
blocking the bile duct,
483
00:24:11,238 --> 00:24:14,107
which could lead
to ascending cholangitis,
sepsis, and death.
484
00:24:14,241 --> 00:24:15,909
Her condition
might respond
to medication.
485
00:24:16,043 --> 00:24:17,177
No, it's extremely unlikely
486
00:24:17,310 --> 00:24:18,612
given how advanced
her symptoms are.
487
00:24:18,746 --> 00:24:19,913
But she has
a non-surgical option.
488
00:24:20,781 --> 00:24:22,249
Bastion doesn't.
489
00:24:22,382 --> 00:24:23,984
It's a miracle
he made it to 12.
490
00:24:24,117 --> 00:24:26,319
Without surgery,
he will not see 15.
491
00:24:26,453 --> 00:24:27,921
He's unable
to eat solid foods.
492
00:24:28,055 --> 00:24:29,957
He's already showing
signs of malnutrition.
493
00:24:30,090 --> 00:24:31,859
Shaun's surgical plan
is very ambitious.
494
00:24:31,992 --> 00:24:34,628
It runs the risk
of graft failure
and necrosis.
495
00:24:34,762 --> 00:24:36,296
You could leave this boy
worse off.
496
00:24:36,429 --> 00:24:39,099
Meanwhile, Edna's surgery
is straightforward,
497
00:24:39,232 --> 00:24:41,969
and she is all
her daughter
has in the world.
498
00:24:42,102 --> 00:24:45,706
Who a person is
cannot be completely separated
from their medical care.
499
00:24:45,839 --> 00:24:47,207
And I'm done
pretending it can be.
500
00:24:47,340 --> 00:24:49,009
****
501
00:24:52,379 --> 00:24:54,514
(SIGHS)
502
00:24:54,648 --> 00:24:56,950
We've got a mom
who needs a simple procedure
she might live without...
503
00:24:59,853 --> 00:25:01,054
Or a son whose
only shot at life
504
00:25:01,188 --> 00:25:03,724
is a very
complicated surgery
505
00:25:03,857 --> 00:25:05,225
that may not work.
506
00:25:05,358 --> 00:25:07,027
****
507
00:25:19,206 --> 00:25:21,208
****
508
00:25:27,447 --> 00:25:29,249
(ALL GASP, CHUCKLE)
509
00:25:29,382 --> 00:25:31,018
****
510
00:25:35,656 --> 00:25:38,291
We have to focus
on the miracles.
511
00:25:38,425 --> 00:25:40,227
(SIGHS)
512
00:25:42,029 --> 00:25:43,230
Let's go eat.
513
00:25:48,068 --> 00:25:49,603
Okay, so,
look at the nail bed.
514
00:25:49,737 --> 00:25:52,372
Karla said if you see
alternating redness
515
00:25:52,505 --> 00:25:55,008
with the pulse, that's a sign
of aortic insufficiency.
516
00:25:56,309 --> 00:25:59,079
So, your heart is fine,
and your cuticles are great.
517
00:25:59,212 --> 00:26:00,848
I get manicures.
518
00:26:00,981 --> 00:26:03,917
(UPBEAT SPANISH MUSIC
PLAYING OVER SPEAKERS)
519
00:26:04,051 --> 00:26:05,518
Ah, you like?
520
00:26:06,419 --> 00:26:07,187
It's a national treasure.
521
00:26:08,488 --> 00:26:11,024
No. I just wanted
the experience.
522
00:26:12,626 --> 00:26:14,862
I shouldn't have any more.
First day of surgery tomorrow.
523
00:26:14,995 --> 00:26:16,029
Oh, no, I'm good.
Mm.
524
00:26:20,734 --> 00:26:23,570
(ANA LAUGHS)
525
00:26:23,704 --> 00:26:25,605
Ah.
(BOTH LAUGH)
526
00:26:25,739 --> 00:26:27,007
You are terrible
at this!
527
00:26:27,140 --> 00:26:29,042
I am terrible,
but I look fantastic.
528
00:26:29,176 --> 00:26:30,577
Watch this.
529
00:26:30,711 --> 00:26:32,813
(LAUGHS)
I'll get us
another round.
530
00:26:32,946 --> 00:26:34,447
(LAUGHS) Okay.
(SPEAKING SPANISH)
531
00:26:34,581 --> 00:26:36,283
Tequila, two, please.
532
00:26:36,416 --> 00:26:37,617
Mm.
533
00:26:38,952 --> 00:26:39,953
(IN ENGLISH)
What's going on
over there?
534
00:26:41,554 --> 00:26:43,290
Uh, I'm getting
my ass kicked in darts.
535
00:26:44,057 --> 00:26:45,058
You're flirting.
536
00:26:46,393 --> 00:26:47,895
Just being nice.
537
00:26:48,028 --> 00:26:50,297
Well, don't be so nice
that you regret it
when you get home.
538
00:26:50,430 --> 00:26:52,265
****
539
00:26:53,734 --> 00:26:55,869
You have nothing
to worry about.
540
00:26:56,003 --> 00:26:57,070
I guarantee it.
541
00:26:59,172 --> 00:27:00,607
All right,
I'm gonna grab a cab
back to the hotel.
542
00:27:00,741 --> 00:27:01,875
Okay.
543
00:27:05,078 --> 00:27:06,479
(ANA SPEAKING SPANISH)
544
00:27:06,613 --> 00:27:08,849
Up, down, to the center
and to the belly.
545
00:27:09,717 --> 00:27:10,951
Good night, guys.
546
00:27:11,084 --> 00:27:12,119
****
547
00:27:14,788 --> 00:27:17,624
(INSECTS CHIRPING)
548
00:27:17,758 --> 00:27:20,293
Uh, Hotel Provincia?
549
00:27:20,660 --> 00:27:21,661
Yeah.
550
00:27:25,132 --> 00:27:26,734
Mind if I tag along?
551
00:27:26,867 --> 00:27:28,435
Big day tomorrow.
Sure.
552
00:27:28,568 --> 00:27:30,103
(ENGINE STARTS)
553
00:27:37,510 --> 00:27:39,212
(INDISTINCT CONVERSATIONS)
554
00:27:39,346 --> 00:27:41,114
****
555
00:27:43,583 --> 00:27:45,118
I saw you break the news
to that boy's dad.
556
00:27:47,587 --> 00:27:48,421
You want to talk about it?
557
00:27:58,766 --> 00:28:00,033
Morgan.
558
00:28:02,903 --> 00:28:05,372
I just wanted to know
if you're okay.
559
00:28:05,505 --> 00:28:07,507
You don't get
to ask me that anymore.
We're not friends.
560
00:28:09,176 --> 00:28:10,878
You drew a line.
561
00:28:11,011 --> 00:28:14,481
So don't ask me how I am
and then pretend to be
some nice guy who cares,
562
00:28:14,614 --> 00:28:16,049
when you obviously don't.
563
00:28:16,183 --> 00:28:17,785
****
564
00:28:22,990 --> 00:28:24,858
I-I just
got a text from Karla.
565
00:28:24,992 --> 00:28:26,326
Miguel is crashing.
566
00:28:26,459 --> 00:28:27,861
Shaun and I
are gonna head back
to the hospital.
567
00:28:27,995 --> 00:28:29,997
****
568
00:28:40,373 --> 00:28:41,508
(HORN HONKS IN DISTANCE)
569
00:28:41,641 --> 00:28:43,343
(SIGHS) Eight?
570
00:28:43,476 --> 00:28:44,544
I'm only fluent in six.
571
00:28:46,046 --> 00:28:47,514
(CHUCKLES) I didn't
set out to learn them.
572
00:28:47,647 --> 00:28:49,817
I just picked them up
as I moved around.
573
00:28:49,950 --> 00:28:52,953
Oh, so you're an accidental
language genius?
574
00:28:53,086 --> 00:28:54,387
(BOTH CHUCKLE)
575
00:28:58,258 --> 00:29:00,160
So, what are
some of these places,
576
00:29:00,293 --> 00:29:01,929
I mean, that you
moved around to?
577
00:29:02,062 --> 00:29:03,363
Uh, I was born in Mexico.
578
00:29:03,496 --> 00:29:05,999
Went to medical school
in New Haven.
579
00:29:06,133 --> 00:29:07,600
Did my residency
in Chicago.
580
00:29:07,734 --> 00:29:11,404
Stayed a while in Syria,
Haiti, the Congo.
581
00:29:11,538 --> 00:29:13,473
You throw in your stop
at Yale to impress me?
582
00:29:13,606 --> 00:29:15,408
I threw in my stop
at the Congo
to impress you.
583
00:29:16,576 --> 00:29:18,211
(CHUCKLES)
584
00:29:23,951 --> 00:29:25,018
(MATEO SPEAKING SPANISH)
585
00:29:25,152 --> 00:29:26,619
Hey, this is not the way
to the Provincia Hotel.
586
00:29:26,753 --> 00:29:28,488
Where are you taking us?
587
00:29:28,621 --> 00:29:29,722
We're gonna make a stop.
588
00:29:30,891 --> 00:29:31,791
Do you want money?
589
00:29:31,925 --> 00:29:33,526
I don't need your money.
590
00:29:35,062 --> 00:29:36,897
****
591
00:29:38,365 --> 00:29:39,432
(IN ENGLISH)
What's happening?
592
00:29:40,767 --> 00:29:43,603
Don't be too alarmed,
but we're being kidnapped.
593
00:29:43,736 --> 00:29:46,239
****
594
00:29:54,081 --> 00:29:56,116
(FROGS CROAKING)
595
00:29:56,249 --> 00:29:58,151
****
596
00:30:10,297 --> 00:30:11,831
(ENGINE SHUTS OFF)
597
00:30:13,266 --> 00:30:14,334
(SPEAKING SPANISH)
598
00:30:14,467 --> 00:30:16,469
Come in, please!
Hurry!
599
00:30:16,603 --> 00:30:18,271
****
600
00:30:22,375 --> 00:30:23,443
This is my niece.
601
00:30:23,576 --> 00:30:25,112
She's been in labor
for 14 hours.
602
00:30:25,245 --> 00:30:26,646
MATEO: (IN ENGLISH)
Fourteen hours like this.
603
00:30:28,181 --> 00:30:29,016
(DR. LIM SPEAKING SPANISH)
604
00:30:29,149 --> 00:30:30,483
Hello. I'm a doctor.
605
00:30:30,617 --> 00:30:31,985
(IN ENGLISH) Uh, can you
handle the additional talking?
606
00:30:32,119 --> 00:30:33,320
(SPEAKING SPANISH)
607
00:30:33,453 --> 00:30:34,687
We're here to help you
and your baby, okay?
608
00:30:34,821 --> 00:30:35,989
We're going to
examine you, yeah?
609
00:30:36,123 --> 00:30:37,290
It hurts so bad!
610
00:30:37,424 --> 00:30:38,358
Yes, here we go.
611
00:30:40,160 --> 00:30:42,495
Well, the baby's head is down,
so position's not a problem.
612
00:30:42,629 --> 00:30:43,964
(PANTING)
613
00:30:48,135 --> 00:30:48,868
I can't hear anything.
614
00:30:51,804 --> 00:30:53,840
The cab driver,
he had a-a-a cup
of coffee in his cab.
615
00:30:53,974 --> 00:30:55,042
Have him get it.
616
00:30:55,175 --> 00:30:56,476
(SPEAKING SPANISH)
617
00:30:56,609 --> 00:30:58,311
Um, a cup of coffee
from the taxi...
Go get it quickly!
618
00:31:00,480 --> 00:31:01,648
Please tell her
I have to check her cervix.
619
00:31:01,781 --> 00:31:03,183
The doctor will check
your cervix.
620
00:31:03,316 --> 00:31:05,818
Okay, yes, that's fine.
621
00:31:05,953 --> 00:31:07,154
(WHIMPERING, PANTING)
622
00:31:09,089 --> 00:31:10,057
She's fully dilated.
623
00:31:10,190 --> 00:31:13,260
****
624
00:31:13,393 --> 00:31:14,394
Okay, tear out the bottom,
hand it to me.
625
00:31:22,002 --> 00:31:23,236
I can hear a heartbeat.
626
00:31:24,137 --> 00:31:25,638
The baby has decels.
627
00:31:25,772 --> 00:31:27,040
(WHIMPERS, GROANS)
628
00:31:27,174 --> 00:31:28,108
Oh, no, no!
Don't push!
629
00:31:28,241 --> 00:31:29,242
Don't push!
630
00:31:29,376 --> 00:31:30,944
(WHIMPERS)
631
00:31:31,078 --> 00:31:33,713
(IN ENGLISH) He became
short of breath and then
lost consciousness.
632
00:31:33,846 --> 00:31:35,915
I believe his
thoracic outlet syndrome
633
00:31:36,049 --> 00:31:39,152
caused a clot in his arm,
which went into his lungs.
634
00:31:39,286 --> 00:31:41,754
That would explain
the drop in blood pressure
and respiratory rate.
635
00:31:41,888 --> 00:31:44,691
But not his elevated
end tidal CO2 level.
636
00:31:44,824 --> 00:31:47,794
That is inconsistent
with a pulmonary embolism.
637
00:31:50,397 --> 00:31:51,698
What is it
consistent with, Shaun?
638
00:31:51,831 --> 00:31:55,035
****
639
00:32:06,479 --> 00:32:09,216
His brain. A clot
that traveled from his arm
640
00:32:09,349 --> 00:32:10,450
through a hole
in his heart
into his aorta
641
00:32:10,583 --> 00:32:11,951
and up to his brain.
642
00:32:12,085 --> 00:32:13,953
****
643
00:32:17,457 --> 00:32:18,391
(GAGS)
644
00:32:19,759 --> 00:32:22,862
His gag reflex
is only active
on one side.
645
00:32:22,996 --> 00:32:25,232
I was right.
He has a small clot
in the brain stem
646
00:32:25,365 --> 00:32:26,299
near the respiratory center.
647
00:32:27,734 --> 00:32:29,469
Well, we can
surgically remove
a clot in his lung,
648
00:32:29,602 --> 00:32:30,403
but in his brain...
649
00:32:31,804 --> 00:32:33,306
We can't do that here.
650
00:32:33,440 --> 00:32:36,809
If we have TPA,
we could break it up.
651
00:32:36,943 --> 00:32:38,245
TPA? No.
652
00:32:39,446 --> 00:32:41,648
But we have
a snake venom derivative.
653
00:32:43,516 --> 00:32:44,717
I-It does the same thing,
more or less.
654
00:32:50,257 --> 00:32:51,324
MATEO: (IN ENGLISH)
Any movement at all?
655
00:32:51,458 --> 00:32:52,425
None.
656
00:32:52,559 --> 00:32:53,593
No cord presentation.
657
00:32:53,726 --> 00:32:55,262
Maybe her pelvis
is too narrow?
658
00:32:55,395 --> 00:32:56,229
The heart rate's
getting slower.
659
00:32:56,363 --> 00:32:57,997
(GROANS)
Wait, wait, wait.
660
00:32:58,131 --> 00:32:59,166
I can feel a hand
by the face.
661
00:32:59,299 --> 00:33:00,600
(GROANING)
662
00:33:00,733 --> 00:33:02,169
The baby's
sucking its thumb.
663
00:33:02,302 --> 00:33:03,636
That's why
it's not progressing.
664
00:33:03,770 --> 00:33:06,206
I can do an episiotomy,
try to pull the baby out,
665
00:33:06,339 --> 00:33:08,007
but with the arm
where it's at,
I'm probably gonna
666
00:33:08,141 --> 00:33:10,077
break the clavicle and damage
the brachial plexus nerve.
667
00:33:11,644 --> 00:33:12,812
Reach inside
668
00:33:12,945 --> 00:33:14,814
find the baby's finger,
and pinch it hard.
669
00:33:15,948 --> 00:33:17,950
****
670
00:33:27,094 --> 00:33:28,461
It worked.
(CHUCKLES)
671
00:33:29,762 --> 00:33:30,997
(SPEAKING SPANISH)
672
00:33:31,131 --> 00:33:33,466
Okay, dear,
now we are going
to push, okay?
673
00:33:33,600 --> 00:33:34,867
Push.
Push.
674
00:33:35,001 --> 00:33:37,637
(STRAINING)
675
00:33:37,770 --> 00:33:38,805
****
676
00:33:38,938 --> 00:33:40,473
(BABY COOING)
677
00:33:42,742 --> 00:33:45,112
****
678
00:33:48,014 --> 00:33:49,015
(SPEAKING SPANISH)
679
00:33:49,149 --> 00:33:50,650
I'm sorry...
680
00:33:51,884 --> 00:33:52,985
Um...
681
00:33:54,187 --> 00:33:55,488
(IN ENGLISH) Do you
speak English?
682
00:33:55,622 --> 00:33:56,589
(SPEAKING SPANISH)
683
00:33:56,723 --> 00:33:57,924
No. I don't speak English.
684
00:33:59,726 --> 00:34:01,094
(SPEAKING SPANISH)
685
00:34:01,228 --> 00:34:03,196
My name is Lea...
686
00:34:03,330 --> 00:34:04,531
(IN ENGLISH) I'm with
the Americans.
687
00:34:05,965 --> 00:34:07,167
Mm.
688
00:34:07,300 --> 00:34:09,202
I'm Sofia.
689
00:34:09,336 --> 00:34:11,971
He is my husband, Oscar.
690
00:34:13,340 --> 00:34:16,576
And she is Isabela.
691
00:34:16,709 --> 00:34:17,910
(CHUCKLES)
692
00:34:20,079 --> 00:34:21,514
Isabela.
693
00:34:23,150 --> 00:34:25,218
She is perfecta.
694
00:34:26,153 --> 00:34:27,920
(BABY COOING)
695
00:34:29,722 --> 00:34:31,224
Um...
696
00:34:35,662 --> 00:34:38,431
I found these
in my suitcase.
697
00:34:38,565 --> 00:34:40,333
My mom got them for...
698
00:34:42,302 --> 00:34:43,870
It gets cold in here.
699
00:34:44,003 --> 00:34:45,738
A gift for Isabela.
700
00:34:46,473 --> 00:34:47,774
(CHUCKLES)
701
00:34:50,443 --> 00:34:51,544
Thank you.
702
00:34:55,248 --> 00:34:57,384
Would you like
to hold her?
703
00:35:00,220 --> 00:35:03,122
****
704
00:35:06,826 --> 00:35:08,295
Uh.
705
00:35:08,428 --> 00:35:10,297
No, gracias.
706
00:35:10,430 --> 00:35:11,864
Uh, I have to go.
707
00:35:14,501 --> 00:35:15,468
(SIGHS)
708
00:35:18,070 --> 00:35:20,573
****
709
00:35:28,080 --> 00:35:29,682
(BABY CRYING)
(SPEAKING SPANISH)
710
00:35:29,816 --> 00:35:30,750
Congratulations, Mom.
711
00:35:32,719 --> 00:35:33,686
(SPEAKING SPANISH)
712
00:35:33,820 --> 00:35:34,954
What a good-looking boy!
713
00:35:35,087 --> 00:35:38,090
****
714
00:35:50,102 --> 00:35:52,972
****
715
00:35:55,742 --> 00:35:57,043
Shaun's keeping
an eye on Miguel.
716
00:35:58,945 --> 00:35:59,846
Okay.
717
00:36:02,114 --> 00:36:03,350
(SIGHS)
718
00:36:03,483 --> 00:36:05,618
****
719
00:36:11,724 --> 00:36:15,027
You know, it's okay
to not be okay.
720
00:36:17,730 --> 00:36:19,832
I j...
721
00:36:19,966 --> 00:36:21,701
Every time I feel like
things are getting better...
722
00:36:23,270 --> 00:36:24,637
It's there again.
723
00:36:27,307 --> 00:36:28,641
Yeah, I know.
724
00:36:30,042 --> 00:36:31,644
Like it comes in waves.
725
00:36:33,846 --> 00:36:35,648
Eventually, it subsides.
726
00:36:37,384 --> 00:36:38,551
It's a process.
727
00:36:39,986 --> 00:36:41,688
It's a terrible process.
728
00:36:44,156 --> 00:36:45,958
And it's one you don't
have to go through alone.
729
00:36:51,197 --> 00:36:52,665
Shaun has no idea,
does he?
730
00:36:53,866 --> 00:36:55,435
No.
731
00:36:59,739 --> 00:37:01,774
He's doing great,
important work.
732
00:37:01,908 --> 00:37:03,543
I don't want
to interfere with that.
733
00:37:05,044 --> 00:37:06,112
And...
734
00:37:08,381 --> 00:37:09,682
He can't fix it.
735
00:37:11,951 --> 00:37:13,252
It's not about fixing it.
736
00:37:15,221 --> 00:37:19,158
It's about the two of you
just being in this together.
737
00:37:19,292 --> 00:37:21,494
****
738
00:37:23,530 --> 00:37:24,697
(SIGHS)
739
00:37:25,498 --> 00:37:26,466
(KARLA SPEAKING SPANISH)
740
00:37:26,599 --> 00:37:27,767
He's waking up.
741
00:37:30,403 --> 00:37:32,204
What happened?
742
00:37:32,339 --> 00:37:33,373
(SPEAKING SPANISH)
743
00:37:33,506 --> 00:37:35,308
You had an embolism,
744
00:37:35,442 --> 00:37:37,544
but we were able
to give you treatment.
745
00:37:39,846 --> 00:37:43,950
Can I still have
the operation tomorrow?
746
00:37:44,083 --> 00:37:45,418
(FINNEAS' WHAT THEY'LL
SAY ABOUT US PLAYS)
747
00:37:45,552 --> 00:37:48,087
No, I'm afraid not.
748
00:37:50,557 --> 00:37:51,558
Tiziana?
749
00:37:52,659 --> 00:37:54,026
(IN ENGLISH)
Tiziana, wake up.
750
00:37:54,160 --> 00:37:56,228
Hey, I need you
to tell your mother
something.
751
00:37:57,129 --> 00:37:58,130
We're gonna do her surgery.
752
00:38:00,032 --> 00:38:01,133
(SPEAKING SPANISH)
753
00:38:01,267 --> 00:38:03,169
Mom, Mom,
they're going to do
your operation!
754
00:38:03,302 --> 00:38:04,504
(LAUGHS)
755
00:38:04,637 --> 00:38:05,638
** It might take patience
756
00:38:05,772 --> 00:38:08,107
** And when you wake up...
757
00:38:08,240 --> 00:38:12,712
You told me
that I could die
without that surgery.
758
00:38:12,845 --> 00:38:16,816
** So don't you give up
759
00:38:16,949 --> 00:38:18,718
** We've got the time...
760
00:38:18,851 --> 00:38:20,086
(BOTH LAUGH)
761
00:38:20,219 --> 00:38:22,422
** To take the world...
762
00:38:22,555 --> 00:38:23,556
Thank you!
763
00:38:23,690 --> 00:38:24,724
(SPEAKING SPANISH)
764
00:38:24,857 --> 00:38:26,292
You're welcome.
765
00:38:26,426 --> 00:38:32,965
** And make it better
than it ever was **
766
00:38:33,099 --> 00:38:35,201
(INSECTS CHIRPING)
767
00:38:35,334 --> 00:38:37,036
(DOG WHINES)
768
00:38:38,304 --> 00:38:40,306
****
769
00:38:40,440 --> 00:38:41,441
(SIGHS)
770
00:38:41,574 --> 00:38:42,942
(IN ENGLISH) That was...
771
00:38:43,075 --> 00:38:44,076
It was.
772
00:38:51,618 --> 00:38:52,752
(SPEAKING SPANISH)
773
00:38:52,885 --> 00:38:54,353
Good night, Audrey Lim.
774
00:39:00,927 --> 00:39:01,794
You know...
775
00:39:05,131 --> 00:39:07,233
I'm not really tired.
776
00:39:12,605 --> 00:39:14,073
(IN ENGLISH) Me either.
777
00:39:23,149 --> 00:39:26,653
Tomorrow,
I will be removing
an adenocarcinoma
778
00:39:26,786 --> 00:39:28,988
from a young woman's
mediastinum.
779
00:39:29,121 --> 00:39:32,659
(SPITS) That can be
a very dangerous area
780
00:39:32,792 --> 00:39:33,826
because of the vasculature.
781
00:39:37,029 --> 00:39:38,665
It will be
an excellent challenge.
782
00:39:40,500 --> 00:39:42,401
Are you coming to bed?
783
00:39:42,535 --> 00:39:43,836
I would like
to turn off the light.
784
00:39:49,809 --> 00:39:52,011
I don't want
to ruin your trip.
785
00:39:54,380 --> 00:39:56,015
You're having
such a good time.
786
00:39:56,148 --> 00:39:57,249
But...
787
00:39:58,150 --> 00:39:59,819
I'm not.
788
00:39:59,952 --> 00:40:02,388
W-What's wrong?
Are you sick?
789
00:40:02,522 --> 00:40:04,423
Did you open your mouth
in the shower?
790
00:40:04,557 --> 00:40:05,758
That is very common.
791
00:40:07,527 --> 00:40:09,128
I'm just...
792
00:40:09,261 --> 00:40:11,430
Sad.
793
00:40:11,564 --> 00:40:14,767
Every time something
reminds me of the baby,
I get even sadder.
794
00:40:14,901 --> 00:40:18,237
I'm glad you're doing
better than I am.
795
00:40:18,370 --> 00:40:20,406
I'm glad you're happy, but...
796
00:40:20,540 --> 00:40:23,275
Sometimes, you being happy
makes me feel worse.
797
00:40:25,845 --> 00:40:26,946
I hate that I feel that way,
798
00:40:27,079 --> 00:40:28,681
and I didn't even
want to tell you,
799
00:40:28,815 --> 00:40:29,916
but I think
I need to tell you.
800
00:40:31,984 --> 00:40:32,885
I'm sorry.
801
00:40:34,854 --> 00:40:37,757
Do you want me
to not talk about work?
802
00:40:38,958 --> 00:40:41,293
No. I can't
ask you to do that.
803
00:40:41,427 --> 00:40:42,729
Yes, you can.
804
00:40:42,862 --> 00:40:44,597
I want you
to feel better.
805
00:40:44,731 --> 00:40:45,898
It won't help, Shaun.
806
00:40:47,099 --> 00:40:48,701
What will help?
807
00:40:51,203 --> 00:40:53,706
(SIGHS)
808
00:40:53,840 --> 00:40:55,241
Nothing.
809
00:40:55,374 --> 00:40:58,545
****
810
00:40:58,678 --> 00:41:00,146
I miss her so much.
811
00:41:02,849 --> 00:41:05,852
I mean, even looking at your
blue eyes breaks my heart,
812
00:41:05,985 --> 00:41:07,419
because I dreamed
she would have them.
813
00:41:12,592 --> 00:41:14,661
(SNIFFLES)
814
00:41:14,794 --> 00:41:17,163
(SIGHS) My parents
are really worried,
815
00:41:18,765 --> 00:41:19,766
been calling all the time.
816
00:41:21,701 --> 00:41:23,936
They want me to come back
to Hershey for a while.
817
00:41:25,872 --> 00:41:26,973
They think it'll help.
818
00:41:30,943 --> 00:41:31,978
Do you...
819
00:41:33,980 --> 00:41:34,947
Want to?
820
00:41:39,485 --> 00:41:42,521
I think it would be
good for me
to get some time away.
821
00:41:43,623 --> 00:41:44,957
From everything.
822
00:41:46,458 --> 00:41:48,628
****
823
00:41:55,968 --> 00:41:57,604
I'm sorry you're sad.
824
00:41:58,638 --> 00:42:00,973
****
825
00:42:06,478 --> 00:42:08,648
****
826
00:42:17,023 --> 00:42:19,158
(SIGHS)
827
00:42:19,291 --> 00:42:21,828
****
828
00:42:29,869 --> 00:42:31,638
(CLOSING THEME MUSIC PLAYING)
51722
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