All language subtitles for The.Good.Doctor.S04E03.WEBRip.x264-ION10.eng

Hello.
I'm Freddie Highmore.

The following episode
portrays our hope
for the future,

a future where no one
will have to wear masks

or take other steps
to stay safe from COVID.

Until then,
please protect yourself
and others.

I'm Jordan Allen.

My first year in med school,
I designed an ankle brace

that monitors
extent of immobilization
via a phone app.

When I licensed it
to Bioventus,

I was able to pay off
over half my student loans.

John Lundberg.

I've worked every summer
since I was 16
at Camp Hope Heartland,

a summer program for kids
with cancer in Des Moines,

where I grew up.

Asher Wolke.

Uh, when I was 18,

I left the Hasidic community
that I was raised in.

I realized
if there really was a God,

it had to be a cruel being

that I felt nothing
but contempt for.

That's also when I decided
to go to med school,

and start dating men.

I'm Olivia Jackson.
I'm 25.
From Chicago.

(INHALES DEEPLY)

I play ragtime piano
alone in my apartment.

Is that interesting?

Will Hooper.

Technically,
I'm a professional athlete.

Although in a sport
nobody pays attention to,

and the stipend barely covers
our training expenses,

but I'm on the US National
Rowing team.

Men's Eight.

Hey, I'm Enrique.

I spent last summer
in Costa Rica,

where I learned to surf,
which I'm totally obsessed
with now. (CHUCKLES)

Uh, I had a pretty
interesting encounter
with a saltwater crocodile.

I just thought it was a big...

Why are you wearing
a swimsuit?

Oh, they're actually
hybrid boardshorts.

I like to work hard,

and it's easier to do
when you're comfortable.

Plus, I think
the casual dress
puts patients at ease.

(CHUCKLES LIGHTLY)

Uh...

And Dr. Lim said
that the

shorts were fine.

Hospital policy
requires
all residents to...

He's not a resident.
He's a resident
applicant.

One of six finalists
for four openings.

Now, they'll be
shadowing
for two days.

Give them
the grand tour,
show them the ropes,

feel free to
turn up the heat
a bit.

See how they react
under pressure.

You will be responsible
for supervising them,

so I want your
totally honest input

before I make
any final decisions.

Those shorts...

Let's call them
strike one.

Oh, and in addition
to being an Olympian,

Will Hooper is a Rhodes

and graduated
top of his class
at Stanford.

He is very handsome.

He's very full of himself.

He's ranked first
by every top program,

so whatever you can do
to recruit him to ours,
do it.

I can already give you
my input on the sh...

Don't judge a book
by its boardshorts.

(KNOCK ON DOOR)
(DOOR OPENS)

DR. REZNICK:
You wanted
to see me?

Good morning.

Sorry.
Good morning.

(DOOR CLOSES)
What'd I do wrong?

Just wanted to check in.

See how the new role
was coming along.

Honestly?

You could start our
new supervisor-resident
relationship with a lie.

That's always fun.

Internal medicine is

boring.

Between smokers
and obese diabetics,

seems like all I'm doing
is protecting people
from themselves.

(CHUCKLES)

As a surgical resident,

you never treated
drunk drivers?

Or extracted
random objects
from guys'...

I get it.
People are stupid.

Not my point,
but true.

(SIGHS)

Not the same
adrenaline rush,

but internal medicine
can be rewarding.

Given time,
if you're patient.

Thanks.

That is not how
I thought this meeting
was gonna go.

I thought
one of the nurses
complained about me.

Wasn't just one.

And if it happens again,
this meeting will go exactly
how you thought it would.

(DOOR CLOSES)

Sorry.

I should've just
canceled
the appointment.

You were right.

Dizziness went away
as soon as I stopped

drinking coffee
and Red Bull all day.

No worries.

Can you lie flat
on your back, please?

Yeah.

You get that scar
in a fire?

Sort of.

A homemade Roman candle
when I was 12.

(CHUCKLES)
You'd be surprised

how many of us
at the firehouse
were pyros as kids.

I made a potato gun
for my sixth-grade
science fair.

Almost got me
kicked out of school.

You'll have to
come visit us
sometime.

(INHALES SHARPLY)
You'd fit right in.

JOSH:
You see something?

Don't talk.
Just breathe normally.

(MACHINE BEEPS)

(MACHINE BEEPS)

You have a large tumor
on the wall
of your heart.

Cancer?

I don't know.

But you're definitely
gonna need surgery.

As soon as possible.

(THEME MUSIC PLAYING)

I appreciate you letting me
share your case
with the whole class.

MONICA:
No problem.

I stopped being shy
after the 100th time
I had to do this.

I'll be using a version
of Lejour's technique
I've adapted.

We'll divide the breast
into three pedicles,

and then
redistribute the tissue

and insert
saline implants

to correct the tuberous
breast deformity.

Why would you want
breast implants?

You're beautiful.
And your breasts look fine
just the way they are.

No.
No, they don't.

The base
is constricted,

horizontal development
is deficient,

and the nipple-areola
complex...

Murphy.
It's okay.
He's right.

That's why I'm here.

Thank you.

I know that
you're trying
to be nice.

My friends and family
have been
telling me for years,

"You're beautiful
just the way you are."

But I don't
feel beautiful.

You're 17.

Every girl your age
feels like that.

That can't
be true.

Tuberous
breast deformity
is a rare condition.

We're not
going to debate

a personal decision
the patient's already made.

I've been thinking
about this
since I was 13.

Every time
I look in
the mirror.

I'm about to
start college,

and there is no way
that I'm gonna begin
this new chapter

until I'm fixed.

Great.

You thinking
median sternotomy
or right thoracotomy?

I'm thinking I should finish
my review of the imaging.

Sure. No rush.

Actually, there is
a bit of a rush.

But you know
what I mean.

So, newbies.
What up?
Where y'all from?

Like hometowns,
or...

Med schools.

Why would I care
where you grew up?

Stanford.

Uh, NYU.
Harvard.

Preferred specialties?

Ortho. All the way.

Neuro.

I'm planning
a dual specialty

in neonatal
and pediatric
oncology.

Impressive. Also unlikely.

I know,
it's a ton of work,

but I'm pretty good
at multi-tasking.

In med school, I did
a combined MD/PhD...

What's your mom do?
My mom?

Don't stall.
Just answer.

She teaches
high-school French.

Homemaker.

Surgeon.

Ouch. Dad?

Also a surgeon.

Double ouch.
And yours?

Hasidic rabbi.

You've left
the nest.

Actually, the...
the whole forest.

And yours obviously
works on Wall Street.

But not a trader.

I'm guessing...
an M&A lawyer?

How'd you know?

She's read
your resume,

researched
your social media.

She's probably run
a credit check, too.

And you're under 50, but wear
Brooks Brothers button-downs.

(MONITOR BEEPS)
Are you
done yet?

Left thoracotomy

with a possible incision
into the right atrium

and inter-atrial
septum as needed.

Left atrial approach
through Sondergaard's groove

makes more sense.

Not to me.

He's my patient.

But you're not
a surgeon.

Which is why there is
no reason for you
to be grilling them,

or picking
the approach.

Stop worrying about
protecting your turf.

Stop stepping
all over it.

You're looking at tests
I did for my patient.

How am I stepping
all over your turf?

I think what Dr. Browne
is trying to say is,

given there's no
perfect approach,

maybe it's best
to defer

to the surgical department's
recommendation.

Did he just
mansplain?

Not at all. I...
I was just trying...

So you're just
gonna do it again?

No, I'm just trying...

BOTH: Shut up.

We're gonna
go in through
a left thoracotomy.

Not my preference,

but it'll work.

DR. ANDREWS:
What were you thinking?

You thought
you'd impress me

by undermining the patient's
confidence in my judgment?

I'm sorry.
That wasn't my intent.

And you're
supposed to be
a mentor now,

modeling professional
behavior,

not making it
worse, Murphy.

She questioned
your surgical plan.

I defended it.

How can we both
be wrong?

I don't need you
to defend me.

And I never wanna
have a surgical debate
in front of a patient.

We're not in front of
the patient now.

The patient's breasts
are small
and a bit asymmetrical,

but no woman's breasts
are perfectly shaped.

You're wearing Prada shoes
and a Dolce & Gabbana blouse,

which cost more
than most
med students' rent,

so, clearly,
you understand

your appearance has
a tremendous impact
on how people treat you.

There's a difference
between nice clothes
and a major surgery.

And I also understand
the cosmetic surgery industry

is dominated
by male physicians
with a sexist bias.

I've invited you to observe
as a learning opportunity.

So I'd suggest

less lecturing

and more listening.

We'll access the tumor
via an incision

in the chest wall
between your ribs.

It'll be
an easier recovery

than if we opened
your sternum.

Are you sure
you don't want us
to call your family

before we put
you under?

Why? So they can
freak out and worry?

I'd rather just give them
the good news
when it's over.

It is going to be
good news, right?

With a bit of cardiac rehab
and a positive attitude,

which I know you have,

you'll be back sliding
down the fire pole
in no time.

Our firehouse has stairs.

Hmm. Bummer.

LEA: It's a social
media group

where we all
pretend to be ants.

SHAUN: Why?

Because ants don't
care about politics,
sports teams,

or anything else people
get so savage about.

Male ants
develop from
unfertilized eggs,

which means
they don't have a father
and can't have sons.

But they do have
grandfathers
and can have grandsons.

Interesting.

And confusing.

Is it just me,
or are those doctors
watching us?

They're the new
resident applicants.

They're here so Park,
Claire, and I can
evaluate them for Dr. Lim.

So, why are they
standing over there?

Park had a video chat
with Kellan,

and I had a real lunch
with you.

Shaun, you can't just
have them stand there
while you eat.

Part of being
a good boss is
being a good host.

You need to
introduce them
to people.

Like me. Right now.

Come here,
please.

Dr. Allen,
Dr. Lundberg,
Dr. Guerin,

this is
my girlfriend,
Lea.

She runs
the IT department now.

Okay.

Nice to meet you all.
Please join us.

Shaun's been telling me
all about you.

Mmm. N... No.
I haven't.

So, I hope Shaun's
not being
too hard on you.

No, he's been great.

And the case
we're observing is
really interesting.

We're correcting
a 17-year-old girl's
tuberous breasts

with saline implants.

Dr. Allen
told Dr. Andrews
it was unethical.

He got mad.

I didn't say
it was unethical.
I just...

I suppose
I shouldn't have
interfered.

Well, I don't know what
a tuberous breast is,

but I think implants
are way overrated.

That's because
your breasts
are excellent.

Thank you.

That's exactly my point.

Mine aren't huge,

but every guy
who's ever seen them
up close and personal

has been thrilled.

I definitely was.

I am thrilled by
every part of your body.

Sorry. My bad.
Total TMI.

I'm not even bothered
by your adenoidal voice.

Except when you talk
to your mom
on the phone.

But I just put on
headphones.

At least you'll know
he'll be
a totally honest boss.

(MONITOR BEEPING)

DR. REZNICK ON SPEAKER:
The incision's
extended superiorly

to meet the atriotomy,

and then the inter-atrial
septum is opened up.
Retractor.

A Carpentier retractor
is used to visualize
the mitral valve.

That will allow
a clear view
of the tumor.

Can we turn
the channel?

Color commentary's
getting a bit annoying.

DR. REZNICK:
With the right atrium
opened obliq...

(SIGHS)

How's Team Browne?
Any early standouts?

Jackson's a bit timid,
but smart.

Wolke is definitely
enthusiastic.

And your star recruit is...

(INHALES DEEPLY)

pretty full
of himself.

I'm looking for surgeons,
and according to his recs,

he can dissect
and suture
like a pro.

I thought you were also
looking for our input.

He's ranked first
by every top program.

You really think
they're all wrong
and you're right?

So, what brings you
all to the biz?

Had my ACL
reconstructed
in high school,

both my rotators
in college.

I love the idea
of fixing people,

helping them
be the best
they can be.

Surgeons are the ones
with the God complex,
right?

I have that.

I spent my life
speaking Yiddish
and studying the Talmud,

and not shaving
the sides of my hair,

because someone up there
supposedly cares.

Uh, but then
I realized

no one's up there.

No one cares.

No benevolent higher power
is going to save us, so...

(INHALES DEEPLY)

We have to save
each other.

Can you top that?

Definitely not.
Try anyway.

You're obviously smart.
You've got two degrees
from Harvard.

My parents are
Harvard alums,
so...

I'm sure that
helped me get in.

You're not gonna get
hired by undermining
your own...

Something
went wrong.

OLIVIA: Looks like
they nicked
a pulmonary artery.

No. If they had,
Browne would
be suctioning

instead of Lim
reaching in
with her hands.

ASHER: What are
they doing now?

Nothing.

We can't access
the tumor

without compromising
his entire cardiac
outflow tract.

What about going in
the way I suggested?
The median sternotomy.

The tumor's too far back.
We need to close him up.

Proton beam radiation
would be too toxic
to the heart.

DR. LIM:
So is immunotherapy.

We can't access
the entire
tumor surgically,

and we can't kill it
without killing his heart
along with it.

What if we cut out
the parts
we can access

and try our luck
with chemo
on what's left?

IV doxorubicin
and ifosfamide
might slow the growth,

give him
a few more months.

No, I'm not sending
my patient home with
just a few extra months.

It's better
than nothing.

What about
a transplant?

Not an option.

Heart tumors are
a contraindication.

What if
we transplant
his own heart?

If we take it totally
out of his chest,

we'd have access
to the posterior heart.

We could excise
the tumor,

fix the defect
it left behind,

and then
put it back in.
Cool.

CLAIRE: Mmm.
Not cool.

At least
with a normal
heart transplant,

you'd be getting
a healthy heart.

Her idea keeps the risk
of removing the heart,

and adds the risk
that the heart
we'd be putting back in

has just been
severely compromised

having had a tumor
cut out of it.

He's young, and the part
of his heart not infiltrated
with tumor is strong.

Do a cardiac MRA and see
if the tumor's infiltrated
the coronary arteries.

If it hasn't,
Morgan's idea
could work.

I'll schedule it.

DR. ANDREWS:
Dr. Murphy is dividing
the breast parenchyma

into three pedicles.

Anyone know
where this technique
is derived from?

Breast reduction surgery.

That's right.

And why would I use
a breast reduction
technique

to make the patient's
breasts larger?

The technique
frees up the tissue.

You can bring
the pedicles together

to make
the breasts smaller

or spread them out
over an implant
to make them larger.

DR. ANDREWS:
Very good.

And now I'm going to
turn the sound off.

Don't worry.
Nothing's wrong.

I just wanna talk about
you behind your backs
for a little bit.

So, first impressions.

Murphy?

I like
Dr. John Lundberg.

DR. ANDREWS:
I haven't even
heard him speak yet.

He has the highest
U.S.M.L.E. scores.

And that's important
to you?

(SOFTLY) Yes.

It shows he has
a broad knowledge
of medicine.

What is important
to you?

Well, I'm more interested
in what they can do
with their knowledge,

which is why, so far,
I'm most impressed
with Jordan Allen.

No. No, you said
she undermined you.

Which takes courage
and an assertiveness
that will serve her well.

Then why did you tell her
to stop lecturing you?

It's easier to teach
an aggressive
resident restraint

than a passive one
to assert themselves.

Oh.

What about you, Park?
What's important to you?

I wanna know who I can
stand to be around
for 80 hours a week.

One thing
I learned as a cop,

you don't really
know a person

until you've had
a few drinks
with them.

(MACHINE WHIRRING)

DR. REZNICK:
LAD and circumflex
look clean.

CLAIRE: What's with
the right coronary?

It looks narrowed
at the origin.

It's a bit narrow,
but looks like
a normal variant.

Yeah, but it seems hazy,

like there could be
some tumor infiltration.

What do
you guys think?

Us?
Yeah.

Come take
a look.

I guess...

It's angiogenesis
of the left...
Stop.

Interrupting
a female coworker

is almost as annoying
as mansplaining.

This isn't
a rowing race.

You don't always
have to speak first.

I... do not love
the interruption.

But...

I like the enthusiasm.

What were you
gonna say?

First, um,
I'm not sexist.

Of course not.

He's shifting from
right to left
dominant circulation

to feed blood
to the tumor.

Angiogenesis.
I doubt it.

Surgery already showed
his tumor extending to
the right side, as well.

What were
you gonna say?

The pulmonary artery is
right behind that vessel.

It's causing radiographic
scatter in this area.

The haze is just
an artifact.

His arteries are clean.

I think she's right.

Hmm.

Your idea
might just work.

DR. ANDREWS:
If you invert the sutures
and bury them under the skin,

the scar will be
invisible.

No one
will ever know
we were here.

Nice work,
both of you.

(MONITOR BEEPING)
Her BP's dropping.

Push fluids,
start IV pressors.
Check for bleeding.

(RAPID BEEPING)
She's in V-tach.
Move in the crash cart.

No bleeding.
No hematomas.

SHAUN: Charging.
(DEFIBRILLATOR POWERS UP)

SHAUN: Clear.

(DEFIBRILLATOR THUMPS)

(RAPID BEEPING CONTINUES)

(BEEPING SLOWS)

Sinus rhythm.
Her BP is stabilizing.

(MONITOR BEEPING REGULARLY)

Get her to the ICU.
I want post-op labs,
CTA chest,

and full 24-hour
cardiac telemetry.

We need to figure out
what just happened.

(MONITOR BEEPING)

She's stable,

but diffuse
delta wave slowing.

Minimal
brain activity.

An undiagnosed metabolic
disorder could've caused

an adverse reaction
to the anesthesia.

Yeah, but her pre-op labs
were all normal.

It's gotta be
some sort of hidden
heart condition.

You're big on opinions.
How are you with ideas?
What would you do next?

I'd check train of fours

and reverse the paralytics
with neostigmine.

If Dr. Murphy's right,
she should wake up.

Smart.
But risky.

The meds will
stress her heart.

If Park's right,
she could arrest again.

I saw a similar case
last year. In Borneo.

You interned
at a hospital
in Borneo?

Uh, no. I, uh, volunteered
at an orangutan
rescue foundation.

Our guide,
a local villager,
fell out of a tree.

He was, like,
80 feet up.

How is falling
out of a tree similar
to a patient arresting

during breast
reconstruction
surgery?

Well, he broke his back,

uh, but when we got him
to the hospital,

I found he also had
heart damage
from rheumatic fever

and metabolic abnormality
from iodine deficiency.

It's rare here,
but it's common there.

We only realized it
when we ran
a nuclear profusion scan

of his entire body.

Good catch.

But a scan that extensive
requires multiple
radioactive tracers.

You think her heart
could handle that?

Not tonight.

I'll get consent
from the mom.

We'll do it
first thing
in the morning.

Once we confirm
atrial closure,

we'll put
the heart back in.

Dr. Lim will
reconnect
the aorta

and the superior
venous connections,

while I connect
the inferior.

During my
sub-internship,

I assisted on multiple
heart transplants.

Even sutured
the atrial cuff
in one.

I got to scrub in on
a liver transplant once.

The... The patient died.

What'd you learn?

That bile duct leaks
are a lot harder to detect
than bleeds.

Good. Next time,
I'd lead with that

instead of
the patient's death.

Are you all
done yet?

Why?

Dr. Park wants
everyone to join him
in the break room.

(UPBEAT MUSIC PLAYING
ON STEREO)

I'm Alex Park.

I'm a former amateur
martial arts
competitor

who once thought
it'd be fun to spar
with a pro boxer

visiting my dad's gym.

And that guy was,
uh, Mike Tyson.

Who's Mike Tyson?

He's a guy
from The Hangover.

With the tiger
and the tattoo
on his face.

Nice.
You've just revealed
you're crazy and old.

I've seen the musical
Wicked over 50 times.

The San Francisco tryout,
Broadway, Chicago.

I've even seen
a friend's boyfriend's
niece play Glinda

at Stagedoor summer camp.

Nerd. Next.

(CLEARS THROAT)
I'm Claire Browne.

Um, I love music,

but I hate musicals,
and, um, I don't...

I don't really like
to talk about myself,
so it's Shaun's turn.

My name is
Dr. Shaun Murphy.

I used to
not like music,

but my girlfriend, Lea,
she changed my mind.

I also like to watch
The Weather Channel
on TV.

And...

(SHUDDERS)

I think pickles
are disgusting.

(LAUGHTER)

Cops know
how to manage up.

Managing down's
another story.

Well, he's mature,
thoughtful,

doesn't have an ego.

Neither does Murphy,

but do you think
that qualifies him to
supervise First Years?

Well, Murphy's smart,

brutally honest,
has no regard
for social convention.

(CHUCKLES) Mmm.

It works
for Bill Belichick.

The Patriots
are the most corrupt,
dishonest organization

in the history of the NFL.

Well, the Seahawks suck.

So, how's your experience
been here?

It's been good.

Did you consider
any other programs

or was this
your first choice?

This was my only choice.

Why do you hate God?

Oh. Uh, actually,

I don't believe
there is a God.

I thought maybe
it was because

you believed
he hated homosexuals.

(CHUCKLES)
I... I don't think
this is something

that we should be
discussing at work.

Why not?

Well, because
it's personal.

Do you have
a boyfriend?

I... I'm sorry,
but you can't ask that
question in a workplace.

Dr. Park,
he wants us to
get to know you.

How can I do that
without asking
personal questions?

I have a girlfriend,
and she is
very important to me.

It affects my life
in every way.

Probably should've
thought of that
before you told her

how much her voice
annoyed you.

I said it didn't
bother me.

It... It was a compliment.

What I heard is
you criticizing
her voice,

and you bringing
her mother into it.

You're in trouble.

What about Browne?

She may have
as much problem being
a leader as Murphy,

and without his gifts.

She has
her own gifts.

Yeah, dealing with patients
and their families.

But with her colleagues,
she can be insecure.

Her assertiveness
has always been
a question mark for me.

They've all got areas
that need improving,

but I've gotten to know
Browne a bit better
these past few months.

She's stronger
than she looks.

When's the last time
you saw anyone digging
a ditch in a suit and tie?

Surgeons don't dig ditches.

They help people
at the most vulnerable
time in their life.

And you shouldn't take
the responsibility on

if you're not fully
committed to it.

You're entering
a new phase
in your career,

position of authority.

Maybe my clothes
are making you
feel disrespected.

No.

The truth is,

I just hate wearing anything
that makes me feel like

a suit.

DR. REZNICK:
Great news.

I was able to get
Sowinski on anesthesia
for tomorrow.

Uh, why?
What happened to Foley?

Nothing,
I just think
Sowinski's better.

And we definitely need
the A-team on this.

Yeah, I...
I agree.

Which is why I went
out of my way
to get Foley.

But Foley
doesn't do well
under pressure.

Remember
that time...
Morgan.

You need to butt out.
You're not a surgeon.
This is not your job.

My job is to help my patient
through the entire
treatment process.

The best anesthesiologist
for transplant surgery
is Sowinski.

And I've already
cleared it with Lim,
so that's who it's gonna be.

Deal with it.

(DOOR OPENS, CLOSES)

Are you mad at me?

I said your voice
doesn't bother me.

It was a compliment.

Actually, what you said
is that you love
my breasts so much

that with the help of
noise-canceling headphones,

you're willing to put up
with my annoying voice.

Yes.

Not a compliment.

Oh.

So you are mad at me?

I'm not mad, Shaun.
I'm just busy,

trying to keep, like,
a billion bots and hackers
out of our network.

(MOUSE CLICKING)

Actually, no.
I'm not doing that.

Gonna go home.

You want to have
some tequila, stat?

We also have
some pizza left.

No, I don't want
tequila or pizza.

(LAPTOP SLAMS SHUT)
That must mean
you're mad.

I'm just... upset.

And confused.

And I really don't think
there is anything
you can do about it,

so you just
need to stop trying
and leave me alone.

SHAUN:
She's not
mad at me.

JORDAN:
She's definitely
mad at you.

She doesn't usually
hide what she thinks.

ENRIQUE:
She's not
mad at him.

She knows
how he is,
how he talks.

She's mad at herself.
And scared.

We all have stuff that
we're insecure about.

That's why
it's so risky
falling in love.

We all hope
that when we let
our guard down,

it's for
the one person that
doesn't see our flaws.

So, what do I do?

You were being honest.
You can't apologize
that away.

You gotta figure out what
she needs to feel secure
in the relationship again.

Don't look at me.
I'm single.

It's not my place
to comment on
your personal life.

You have an opinion.
Let's hear it.

Fine.

Can you zoom in
on her skull base?

DR. PARK:
I can, but why?

We're worried about
her heart and
metabolic abnormalities.

We shouldn't be.
Not anymore.

You and Dr. Murphy
were both wrong.

She doesn't have
a cardiac
or metabolic issue.

She has poor blood flow
in the artery supplying blood

to the area of her brain
that controls consciousness.

A small clot in her
artery of Percheron.

If we don't remove it fast,
she's never going to wake up.

(MONITOR BEEPING)

(SOFTLY)
That's amazing.

No, it's not.

The heart's totally
outside of the body
and still beating.

It's like it has
a mind of its own.

She should've started
the reimplantation
by now.

Is everything okay,
Dr. Lim?

DR. LIM: The tumor
had tendrils invading
the right atrial wall.

We took
so much tissue to
get a clear margin,

there's not enough left
to reconstruct his
heart's inflow chambers.

How about
expanded
PTFE graft?

There's not enough
atrial remnant
to attach the graft.

You could use
the septal wall.

He's got
dense conduction
fibers there.

It could cause
heart arrhythmias.
Not if you use...

(MONITOR BEEPS RAPIDLY)
He's got low
arterial pressure.

He's springing leaks
at the cannulation sites.

It's a bleeding disorder
caused by prolonged bypass.

You need to
get his heart
back in ASAP.

Morgan, we can't
put the heart back in
with two missing chambers.

DR. ANDREWS:
(DISTORTED)
It's a rare complication,

but a blood clot is
a risk in any surgery.

DR. PARK:
It's too deep in the brain
for open surgery.

If we go rooting around
in there,

we'd definitely damage
the PCA
and kill her.

We could inject
a dissolving agent
into the clot.

There's a 50% probability
it won't fully dissolve,

which could leave her
with permanent weakness
and cognitive difficulties.

JORDAN: Assuming
she wakes up at all.

We need to remove the clot
with a stent retriever.

If we rupture
the posterior
cerebral artery,

she'll die on the table.

Or total recovery.

That's how she came
into this hospital.

That's how she's leaving.

Prep her for
stent retrieval.

(MONITOR BEEPING)

I'm hanging platelets
and fresh frozen plasma.

His pressure is
still in the toilet,

but the bleeding
is slowing down.

Not for long.

Small intestine submucosa
has the right compliance

to shape
the chamber walls, but...

There isn't enough
to cover
that much area.

Use too little
and he'll have heart
failure in a month.

I know.
That's the "but."

How thick is
his deep fascia?

If it's over
2 millimeters...

DR. LIM: Morgan.

Get out.

I'm sorry. I'll...
I'll be quiet.

No, you won't.
You can't.

So leave
the OR gallery.

Now.

We need 2.6-millimeter-thick
tissue with perfect compliance

for arterial filling
and contractile pressures.

If it was just the valve,
we'd use a bovine
pericardial graft.

But cow heart tissue
is not durable enough
to do an entire chamber.

But pig bladder tissue
is just right.

I've used it for bladder
reconstructive surgeries,
but never hearts.

Let's rebuild
the entire atrial
walls with it.

Get down to the tissue
procurement lab

and get 200 centimeters
of porcine bladder tissue.

(MONITOR BEEPING)

Her EEG delta waves
are slowing further.

DR. ANDREWS:
She only has one vessel
feeding her thalamus.

That's why
the clot landed
where it did.

I'm approaching
the artery of Percheron.

I'm one millimeter
from the clot.

Stop right there.

If we disrupt this clot,

we could cause
a shower of emboli
into her brain.

Deploying the retriever.

(MONITOR BEEPING RAPIDLY)

EEG just went flatline.

Calm down.
I'm almost...

Got it.

Blood's flowing
through the artery.

Her brain tracing's
looking better.

(MONITOR BEEPING REGULARLY)

This should fill the gap
between the inferior
and superior vena cava

when the new chambers
get sewn in.

Where's that graft?

I need more sponges.
The bleeding
is getting worse.

(MONITOR BEEPING RAPIDLY)
Oh, he's tanking.

Can you
push epi?

I already did.
He's maxing out.

I'm running out
of ways to keep
his pressure up.

I got it.

They had 205 centimeters
of it.

Thank you.

If you want to gown up,
you can watch
from down here.

Definitely.
Thanks.

I thought telling her
how much I love her

in front of other people
would make her feel good.

But Dr. Guerin said
I made her feel insecure,
and scared.

Women are sensitive.

When commenting
on their flaws,

total honesty is
a high-risk procedure.

That sounds sexist.

Aren't men
also insecure
about their flaws?

Men are much,
much worse.

And also,
we're really stupid.

Okay.

What can I do now?

I've already said
my stupid stuff.

I don't want her
to be upset
with me.

I have a thought.

I think this run
of sutures will hold it
to the annulus,

but I'm worried
about leaks.

We can put
a second row of
pledgeted sutures

to make sure
it's hemostatic.

That is unreal.

It's a work
of art.

Now let's get it back in

while we can
still get him
off bypass alive.

(FLATLINE)

CLAIRE:
Re-perfusing the heart.

(EKG BEEPING)
DR. LIM:
We've got a rhythm.

(MONITOR BEEPING REGULARLY)

(MONITOR BEEPING)

(BREATHES DEEPLY)

Hey.

There was
a complication

during the
reconstruction surgery.

A clot,
which caused you
to lapse into a coma.

We performed
a second surgery
on your brain,

which was successful.

Um...

You're gonna be fine.

But my breasts...

The clot occurred
after we finished
inserting the implants.

I think you're gonna
be very pleased
with the results.

Thank you.

Yep.

I... think
I'm sorry.

Dr. Guerin said I should
never say anything that
might sound negative

to a girlfriend.

And Dr. Glassman
said total honesty is
a high-risk procedure

with a girlfriend.

It's better to
show my love than
try to explain it.

But I want to be
totally honest
with you.

(SIGHS SOFTLY)

I don't like your body
because it's excellent.

I like it
because it's yours.

And I love
hearing you talk.

When I hear
your voice,

especially
when I've had
a difficult day,

I find it
comforting.

Now I want to
hug you. Can I?

I'd like that.

I love you.

Thank you.

For your total honesty.

(SIGHS)

(MONITOR BEEPING)

DR. REZNICK:
Your surgery went well.

With some time
in rehab,

you should be
back to work
in a month.

Thank you.

Don't thank me.
Thank your surgeon.

She did all
the important stuff.

Lim's golden boy is in.
Nothing we can do
about that.

So that leaves
three openings.

The thought of working
with Will Hooper
for the next two years...

If Dr. Lim
thinks he'll be
a good resident,

I'm sure she has
good reasons.

She probably thinks
arrogance is helpful
to a surgeon.

Well, we could try
to change her mind.

Eh, she asked us to
evaluate the applicants,
not her.

She asked us to be
totally honest.

Eh, "totally honest"
is a relative term

when you're telling
your boss
she's totally wrong.

So, Hooper's in.
Who else?

Dr. Andrews likes
Dr. Jordan Allen.

Oh, I do, too.
She's confident,
driven.

She won't take
a lot of hand-holding,

and keeping Andrews happy
keeps us happy.

That leaves two more.
Who's next?

Asher Wolke
is very up-front
about who he is.

I like that.
He's definitely eager.

And he couldn't be
more open
to learning.

Agree.

That leaves
one more.

BOTH: John Lundberg.

Smart, professional,
mature.

He's a no-brainer.

Lundberg's in.

Lundberg's out.

He stopped by
my office
before he left.

Said he's no longer
interested.

He said
you all were
unprofessional.

Drinking at work.

Asking inappropriate
questions.

Dating drama.

Mmm-hmm.

So, who's your alt?
Olivia Jackson
or Boardshorts?

Olivia knows her stuff,
but she's a bit insecure.

Her answers sound
like questions.

I like Boardshorts.
He's sensitive.

Like a woman.

I vote for
both of them.

That's not an option.
We don't have the budget.

(SIGHS)

Hooper is the worst.

The person
I said was the best?

He is arrogant
and obnoxious.

If he works here,
we'll hate him,

the work will suffer,
and we'll either
kill patients

or we'll kill him.

And there is no way
that you don't see that,
which makes me think...

You do.

This was a test.

You just wanted
to see if we'd be
totally honest.

Well done.
(CHUCKLES)

Hooper is definitely
the worst.

I only let him shadow
as a favor
to a board member.

I figured I'd give him
a second chance

after his obnoxious
interview.

And also do
a little experiment.

(LAUGHS)

So...

It's Jordan, Asher,

Olivia, and Enrique.

To the next phase
of your surgical training.

You helped pick them.

As senior residents,
it's now your job
to help train them.

And don't take this
responsibility lightly,

because if you don't
train them well,

people will die.

(CLOSING THEME MUSIC PLAYING)