Original subtitles

Come on.

Stop looking at me.

Pancakes. The Peanut is thrilled.

You are wearing the maternity jeans I bought you.

Glad you're happy about that.

You're 28 weeks pregnant.

Your weight has increased 21.5 pounds, and our baby is moving lower.

At least there's pancakes.,

- We need to buy a minivan. - No, we don't.

The Striped Tomato has no infant safety features.

Shaun, I just surrendered to maternity jeans,

this is not the right time for broaching the "Mom-mobile."

When would be the right time?

These are amazing. Did you use buttermilk?

Greek yogurt?

I'll email you my list of child-safe vehicles.

We can discuss it during lunch.

Sonja Baylor?

Who's the Code Gold? Taylor Swift? Did her broken heart give out?

Better. Roland Barnes.

The green tech guy?

- He's attacked by a tiger. - In San Jose?

At his animal rescue in Santa Cruz mountains,

concierge doc called to say they're on the way.

San Jose General is much closer.

- Why'd he come here? - Because of you.

Deep chest wall lacerations, multiple rib fractures, hemopneumothorax.

I stabilized him.

But he needs a CT, Stat.

- Dr. Kalu. - Dr. Andrews.

Good to see you, Dr. Murphy.

Hello, Jared.

A famous billionaire and a cute reunion?

This is almost Swift-worthy.

Is Leo a decent poker player?

Us Weekly has photos of Roland coming out of his game last week.

Won my Lambo off him.

No sign of trauma to the liver or spleen.

Beyonce did a private show for his birthday?

It was awesome.

No major intra-peritoneal hematoma.

Moving on to the chest.

So, how does one go from St. Bon's resident

to concierge doc for the fifth richest man in the world?

I was working at Denver Memorial when I met Roland,

at a fundraiser hosted by my parents.

His wife collapsed during the silent auction. Nutmeg allergy.

I gave her epi, then helped her outbid John Legend

for a weekend at an underwater hotel.

Roland hired me that night.

Why does he need a personal physician?

Does he often get attacked by wild animals?

Chronic sciatica.

And he travels a lot, so there's vaccines. Plus botox injections,

cholesterol scrips, medical advice for friends and family.

Why'd you leave St. Bons?

He was fired for assaulting an attending who harassed Claire,

then he sued the hospital.

- You're that guy. - Yeah.

I heard Andrews wasn't your biggest fan.

I'm surprised he let me in the building.

Depressed and dislocated sternum, manubrium, and rib fractures.

Too fragmented for standard sternal reconstruction.

He still does this?

Always makes my day.

I have an idea.

This is why I brought Roland here.

It's a girl.

We're naming her Esther.

We hope she'll be brave and selfless like Queen Esther.

Baddest bitch in the Bible.

How are that mud's going?

- Fine. - Any excessive discharge?

A couple of days ago, I was on a walk and was a little like I peed myself.

Could that be from the MilliDox?

No. You're actually on the placebo.

Your amniotic fluid is a bit low.

We should admit you for further testing.

He asked for you. Inoperable leiomyosarcoma

with major vascular involvement.

What're you doing here?

I'm dying.

My doctors say there's nothing they can do for me.

I'm hoping you can.

We should get a CT and PET scan.

Fine.

We'll completely rebuild your sternum

and anterior chest wall with donor bones

and titanium plates. It's a very complicated surgery.

Jared says you're a damn good surgeon.

Yes, I am a damn good surgeon.

He is. And I'll be overseeing your care every step of the way.

Appreciate the personal attention. I want Jared there, too.

Jared is my doctor.

Dr. Kalu will be read in on every major decision.

I want him in the OR.

I'll fast-track your surgical privileges.

Something's going on between you two.

I'm very perceptive that way.

It's a long story.

Saw in his chart he's from Phoenix.

He broke his arm a couple years ago in a Tae Kwon Do match, your sport.

So I'm going with he's your Johnny Lawrence

who cheated during the match at the All Valley tournament.

I've been watching a lot of Cobra Kai.

He slept with my wife.

So, yes to the cheating. No to the tournament.

This is from six months ago.

This is from today.

A leiomyosarcoma should've progressed more than that.

Maybe they had the diagnosis wrong.

Release the pectoral muscles from attachment medially.

Should I place the low profile plate?

Don't you need to create a landing zone for the fixation?

He is right.

Get a better exposure by elevating the right pectoral from the ribs.

I understand SF General's Cardiac Unit is named after your boss.

And that he sponsored a surgical exchange program with Haiti.

Would you like to place the screws?

Very much so.

Thank you, Dr. Andrews.

Drill guide, self-tapping screws.

Feels good.

You have been very polite to Dr. Kalu despite having fired him.

Is that because you want a donation from Roland?

- It's okay. - It's true.

Dr. Kalu and I didn't part on the best terms.

But I'm happy you found your niche.

And I believe in the work we do here. Roland Barnes can help us do even more.

I told Roland this was the best hospital in the state.

When we get him healthy, I'd be happy to tell him again.

BP's dropping. Cardiac output's awful.

He's in heart failure.

The cardiac contusion was missed on CT.

Need a balloon pump to help his heart circulate more blood.

We need to get it in five minutes or he dies.

BP's stabilized.

Cardiac output is improving. He should make a full recovery,

but he should not get so close to jungle cats in the future.

In the OR... I've really missed that.

Then why did you stop being a surgeon?

Working for Roland was too interesting an opportunity to pass up.

Is sciatica interesting to you?

It's more...

- I came as soon as I heard... Poor Rolly. - Hey.

This is my girlfriend, Dalia.

Hi.

You...

I've seen you on the bus... in a perfume ad.

Fern test confirms it's a premature rupture of the membranes.

We should terminate before an infection sets in.

What about in-patient expectant management and antibiotics?

PPROM pregnancies can be carried to term.

Rarely. When they are, babies are likely to have

cerebral palsy, neurologic abnormalities,

- intellectual disability. - We'll tell them,

but this is a badly wanted pregnancy.

They've been trying for five years.

Had two first trimester miscarriages already.

Saving the baby may be her priority.

But saving her is ours.

Sonja is our patient.

We should explain her options but recommend termination.

Morgan is right.

But be clear about the options.

The seat springs allow the car seat to move more than one inch,

which creates additional injury risk.

There are no over shoulder seatbelts for the car seat,

no crumple zone, and you'd have to install a roll-cage,

which still wouldn't be as reliable as one built in.

Since you hate minivans, I have looked into hatchbacks

and SUVs with sufficient safety features.

It's not just about hating minivans.

- What is it about? - I love this car.

It's my history.

My brother and I restored it, used to drive it to shows at the Fillmore.

You and I took it on our first road trip. I can't sell it.

Then we do not have to. As long as you never put the Peanut in it.

We still need a family car.

Yeah, we do.

Roland's awake.

But it's possible that we could save our baby?

You'd have to live here.

We'd monitor you every day, give you prophylactic antibiotics

and steroids when the baby gets closer to viability.

To be clear, even with all that, you may still develop

a serious uterine infection that could require a hysterectomy

or cause fatal complications.

I think we should terminate.

What would you do...

if it was your baby?

Termination is the safest.

I was talking to Dr. Allen.

I would... pray on it.

And then?

I want to know what you would do.

I think I... would try to save the baby.

We have to fight for our Esther.

We need a biopsy before we can give you any definitive answer.

Okay.

So when do we do that?

I'll give you a referral to take to another doctor.

If I wanted another doctor, I would have.

- I don't have to treat you. - But you will.

You're not a quitter.

You worked hard to save your marriage.

You never tapped out in a fight.

I always admired your persistence.

And kind of hated it, too.

Looking back at my life,

I don't like the view.

I hurt...

a lot of people.

That's the real reason that I came here.

For forgiveness.

The intra-aortic balloon pump worked.

You won't need a new heart.

Great.

So when can I get out of here?

Not for a few days.

We need to monitor you for post-surgical complications.

Your heart rate is elevated.

Have you been exerting yourself?

She did most of the exerting.

I need 1,000 mg levetiracetam and 4 mg lorazepam. Stat.

Is Rolly gonna be okay?

Roland had a seizure.

You should sit down.

Dalia was there.

Naked.

They were having sex.

Dalia and I aren't together,

she's with Roland.

That's part of the gig.

I pretend she's with me, so Roland's wife doesn't get suspicious.

Okay.

You think the sex caused seizure?

Arousal can increase the heart rate by 38%

and if his brain was deprived of oxygen,

it'd cause a seizure, which would mean

his heart's still not pumping enough blood.

Does it bother you to have to lie on a regular basis?

It's not my favorite responsibility, but it's a great job, so...

Why is it a great job?

On my last day, you told me that one day I'd be very happy.

But I was miserable.

I felt like a failure.

Then I met Roland, and he saw something in me.

This guy that I really admired, that the world admired, he valued me.

I don't mind flying private to Amsterdam

to have rijsttafel with the Queen of Netherlands.

I also said you would fulfill your potential.

I'm not doing that?

No.

Sciatica.

Thanks for reminding me I'm still a failure.

I'll get a BNP Test and echo to check out his heart.

Inject saline to get us to submucosal plane.

- Why'd you stay on the case? - There's the tumor.

He was right. I take my obligations seriously.

Take four samples.

Not because some part of you wants to forgive him?

Withdraw the scope slowly.

He doesn't deserve it.

Let's start with a sofa.

Let's take a look.

Finally, somebody recognizes my interior design genius.

It looks nice.

- Very. - Hey. I love this. I'll take it.

No. This is literally the first thing you've sat on.

Okay, I'll sit in 10 other ones, and then I'll take this one.

No. If you know you like something, stick with it.

Like my car.

Shaun wants to buy a minivan.

You want to put an infant in a '75 Gran Torino?

No, it's not safe for a baby.

But...

it is...

cool.

Even when I'm going to my super grown-up job,

in my lady-boss pantsuit,

I get out of that car and I'm cool.

And soon, I'll be just another 30-something mom in a practical car,

baby seat in the back and spit-up on my shirt.

Maddie's mom used to warn me to take two shirts

whenever I went out with the baby.

I learned the hard way.

How do I want this baby so badly,

but feel so icked out about being a mom?

Define "icked out."

Like...

- I know. - Okay. That's well said.

You got mixed emotions. Welcome to the human condition.

I'm gonna take this one.

Her fever spiked, she's in a lot of pain.

Her heart rate's 117. Fetal heart rate 180.

They're both tachycardic.

500 milligrams acetaminophen and start ampicillin.

This is the infection we were worried about.

Your baby is very unlikely to survive,

and your life is in danger.

We need to terminate now.

But her heart's still beating.

Esther can only stay alive in utero.

And as long as she's in there, you'll keep getting sicker.

I'm so sorry.

I'm here. We can get through this.

We can try again.

No.

Your baby needs at least two more weeks to be viable.

And if we wait that long, you will probably die.

"If I perish, I perish."

That's what Queen Esther said

before she risked her life for her family.

Sonja...

"If I perish...

I perish."

According to the BNP test and echo,

your seizure wasn't related to heart trauma.

The EEG will let us assess your brain.

So what's your pitch?

Hospital presidents don't supervise EEGs.

I've been impressed by your Global Engineers Initiative.

I think we can do the same with medicine.

Train doctors from the developing world to take care of their people.

What makes St. Bon's the place to do it?

We're hands on here. Our residents don't just do appies and lap choles.

With the guidance of our attendings, they come up with complex treatments,

untangle the thorniest ethical dilemmas

and learn how to provide top-notch patient care.

If we could sponsor more residents from the developing world,

we'll send them home ready to serve communities.

But Jared, who I trust with my life,

wasn't good enough to be one of those residents. You fired him.

You saw something in him I missed.

But I'm seeing it now. I've granted him full access.

Very politic answer. What do you think, has he earned my money?

I learned a tremendous amount at St. Bon's.

As you've experienced, the care is top-notch.

Unfortunately, the food isn't.

Text Dalia and ask her to bring us back some of those pork buns from Yank Sing.

Dalia went into the city?

To meet up with friends.

You're okay with that?

Why wouldn't I be?

No reason.

All right, let's start this.

Close your eyes and relax.

Labs confirm Sonja has chorioamnionitis.

We should add gentamicin.

That'll damage the baby's kidneys.

It's our only way to keep Sonja alive.

Buys us time to convince her to terminate. She's being suicidal.

Risking your life for your child is considered admirable.

Not if you're both going to die, because of the false hope you gave her.

I answered her question.

You gave her permission.

We're supposed to at least try to be objective.

Objectivity is a myth, especially on this subject.

I know the pain Sonja's grappling with.

So do I.

I was in med school, on birth control, and I got pregnant anyway.

I wasn't ready for a kid.

I was scared.

And sad.

And relieved.

It was a medical procedure I had years ago,

and I'm at peace with it now.

Most women are.

Because it was their choice,

a choice you got to make and I did, too. Let Sonja make hers.

It's not our job to help patients choose death.

Her lungs are failing.

Her O2 sats are falling, fever's climbing.

Intubation cart.

Administer propofol and rocuronium.

We need to sedate you so we can intubate.

That'll keep you breathing. But the only way...

You can't kill her.

Esther's life before mine.

- Sonja, please... - Promise me.

- I can't... - Promise me.

Anthony...

I...

I promise.

I love you.

Check out the activity in the left frontal lobe on Roland's EEG.

Interictal spikes.

They're very small, likely incidental.

Roland's selfish and possessive.

He hates it when people have fun without him.

But today he was fine with Dalia hanging with friends.

Being unselfish is a symptom.

Maybe one of his wounds got infected?

Bacterial encephalitis from the claws or teeth?

This could be subtle edema.

Plus behavior changes and interictal spikes.

Sounds like neurocysticercosis.

- A tapeworm cyst... - With larva in the brain.

It would take a tape worm weeks

to fully form larva and cysts in his brain.

The attack was two days ago.

Roland's last "local safari" was about two months ago.

And he fell into a giant pile of tiger crap...

We can remove the cyst and larva

with stereotactic navigation and hydrodissection.

Awesome.

You're not a failure.

Seriously?

Four guesses?

I got it in two.

What's up with you?

You lose a patient?

Actually, I might save one.

Joe.

Mia's Joe?

Waiting on his biopsy results.

They asked me to forgive him.

What'd you say?

I refused.

You would've, too.

Maybe.

I'm capable of letting things go.

I can let things go.

I prioritized my career for a day,

which you decided was unacceptable.

Even after I changed my mind.

How long did it take you to forgive Mia?

Dr. Park?

Your diagnosis is in.

Right this way. Guys, be careful. You've got history, you're carrying.

There's a couple of steps. Be careful.

Thanks, guys. First door on the right.

Stadium seats?

Authentic, Candlestick Park stadium seats. Got them from a broker.

- Very cool. - Right?

- Thanks for the inspiration. - You're welcome.

Your turn next. Get your coat.

You have a stromal tumor in your stomach, and a small lesion on your liver.

We can remove both.

You'll be cancer free.

That's incredible.

Thank you.

You get it, right?

You're not dying.

Yes.

This is amazing.

I'm so grateful.

- But-- - That's not why you came here.

Sonja will likely be in multiorgan failure within the next 48 hours.

When that happens, Esther will not survive.

But if we terminate now, Sonja still can.

You can save your wife's life.

It's all up to you.

He says...

he says he can't do it.

He needs to keep his promise.

I know what to do.

Sorry, man.

Bring it.

Are you okay?

A worm laid eggs in my skull.

Larva.

You were right. Murphy's the best.

What would you say to a hundred million dollars?

I'd say that's remarkably generous.

You can't accept it.

You are not medically fit to be making any major decisions

because of the larva.

I closed a huge deal last week with Mr. Worm as my consigliere.

I feel pretty competent.

Well, I'd be happy to accept your money after the surgery.

Sonja. It's okay.

I turned off your sedation.

I need to talk to you.

I'm gonna let go of your hands, but you can't pull out the tube.

When I was 18,

I had an abortion.

That child would have been 11 now.

Just starting middle school.

Every time I see a kid that age,

I think about who they would have become.

Or what kind of mom I would have been.

I believe God's forgiven me.

That's kind of His thing.

And I believe God picked you from motherhood.

You are so strong.

So brave...

with such a deep capacity for love.

But your Esther, isn't developed enough to survive outside the womb.

The infection will kill both of you.

I told you if I were you, I would try to save the baby.

I prayed for a miracle.

I don't know why it didn't come today.

The only way...

for you to be the mom God wants you to be...

is to let Esther go.

Please sign this consent form.

Yes.

Speculum.

If your soul has not yet left your body,

I baptize you, Esther...

Cervix is sufficiently dilated.

Is the name of the Father,

and of the Son,

and of the Holy Spirit.

Amen.

Amen.

- Amen. - Amen.

The margins were clean. We were able to get all the tumors.

No additional metastasis.

Your prognosis is excellent.

Thank you.

I forgive you.

Thank you.

Extracting the cyst...

and larva.

Awesome.

- And I might hurl. - Let's close.

Can Dr. Kalu do the closing?

Be my guest.

4-0 neurolon.

You said you miss being a surgeon.

If you complete your residency here, you can do more than closing.

I doubt he wants to go from five star restaurants to hospital vending machines.

Actually, someone helped me realize I'd love a second chance here.

The Chief of Surgery is responsible for all hiring decisions in her department.

I've learned a lot about myself.

How to better communicate, how to manage challenging personalities.

I hear Roland can be a handful.

Prepared me for tough patients and attendings.

My surgical skills is still sharp.

Andrews let me do Roland's closing.

I'm impressed.

Murphy really wants you on his team, that carries weight.

But I don't have any openings for third year residents.

I understand.

But I do have a slot for a first year.

I'm so sorry...

for your loss.

So our Esther will always be with me.

Someday,

maybe we can tell her brothers and sisters all about her.

This car is perfect for the Peanut.

And pretty cool, too.

Let's take this rocketship for a ride.

Dr. Andrews?

Here's your check.

And this is what happens when you poach my employees.

This is so good, especially after a day like today.

To our differences.

Excuse me.

Time to exercise my reproductive freedom.

I'm doing a third round of IVF.

Gonna go jab yourself

in the belly alone in the hospital bathroom?

Gimme.

I am a doctor.

Have at it.

To reuniting with old friends.

And a mommy mocktail with fresh rosemary.

Yum. Love having bougie Kalu back.

To Jared...

fulfilling his potential as my new first year resident.

It's probably Glassy.

- You Doctor Shaun Murphy? - Yes.

I'm an attending surgeon at St. Bonaventure hospital.

You've just been served.

You're being sued for malpractice.

It wasn't Doctor Glassman.