1 00:00:06,300 --> 00:00:08,927 Sorry, did I wake you? 2 00:00:08,927 --> 00:00:10,012 Yes. 3 00:00:10,929 --> 00:00:12,639 The baby's pressing on my bladder, 4 00:00:12,639 --> 00:00:15,893 so I have to pee approximately 78 times every night. 5 00:00:16,351 --> 00:00:20,481 We can talk about baby names since we are both awake. 6 00:00:22,608 --> 00:00:25,861 I keep coming back to one name... Kelly. 7 00:00:26,612 --> 00:00:28,906 It reminds me of a Kelly clamp. 8 00:00:28,906 --> 00:00:30,991 And I will think about grasping onto tissue 9 00:00:30,991 --> 00:00:33,577 or vessels every time I'm holding our son. 10 00:00:33,577 --> 00:00:36,205 What about Addison? 11 00:00:36,622 --> 00:00:38,540 Addison Murphy. 12 00:00:38,540 --> 00:00:41,418 Addison is the name of a disease. 13 00:00:42,461 --> 00:00:45,798 I'll worry our son is not producing enough cortisol or aldosterone. 14 00:00:47,424 --> 00:00:52,012 You can go back to sleep, I have to go pee again anyway. 15 00:01:02,564 --> 00:01:05,526 Good morning. Pancakes, anyone? 16 00:01:06,109 --> 00:01:08,320 They are not just ordinary pancakes. 17 00:01:08,320 --> 00:01:10,531 They are Dutch baby pancakes, 18 00:01:10,531 --> 00:01:13,826 also known as Bismarcks, Dutch puffs, and even Hootenannies. 19 00:01:13,826 --> 00:01:16,036 - I looked it up. - That is correct. 20 00:01:16,036 --> 00:01:18,831 They're baked in the oven not fried. I was up early. 21 00:01:18,997 --> 00:01:21,917 Sorry if my frequent bathroom trips kept you up. 22 00:01:21,917 --> 00:01:24,253 Don't be silly. You're making a human. 23 00:01:25,045 --> 00:01:26,296 Thank you. 24 00:01:26,672 --> 00:01:30,384 So, Kelly and Addison are out, I don't disagree. 25 00:01:30,509 --> 00:01:32,386 How about Munchausen? 26 00:01:32,928 --> 00:01:34,805 - Shaun... - Or Parkinson? 27 00:01:36,056 --> 00:01:38,308 Our bedroom conversations are private. 28 00:01:39,393 --> 00:01:40,435 All of them? 29 00:01:41,019 --> 00:01:43,230 It's not like we were talking about-- 30 00:01:44,648 --> 00:01:45,816 Never mind. 31 00:01:46,525 --> 00:01:47,568 Let's eat. 32 00:01:49,903 --> 00:01:52,531 A friend on the San Jose schoolboard reached out, 33 00:01:52,531 --> 00:01:56,410 they're looking for someone to give a series of online talks 34 00:01:56,410 --> 00:01:58,745 to high schoolers about careers in medicine. 35 00:01:58,954 --> 00:02:01,164 Specifically to young women of color. 36 00:02:01,164 --> 00:02:03,333 - That's great. - I thought you'd be perfect. 37 00:02:03,917 --> 00:02:04,918 Oh. 38 00:02:06,336 --> 00:02:08,422 That wasn't the reaction I was expecting. 39 00:02:08,422 --> 00:02:10,549 Maybe Dr. Tooks can do it? 40 00:02:10,924 --> 00:02:12,301 Tooks is a mom, 41 00:02:12,301 --> 00:02:14,887 these high schoolkids don't see themselves in her. 42 00:02:15,012 --> 00:02:18,098 - There's gotta be someone else. - There isn't. 43 00:02:18,098 --> 00:02:20,684 Only 2% of surgeons in the U.S. are black. 44 00:02:20,851 --> 00:02:23,353 Don't be afraid to step into the spotlight. 45 00:02:23,353 --> 00:02:26,356 I'm not afraid, I'm just very busy. 46 00:02:26,356 --> 00:02:29,401 Okay. It'll only take a couple hours of your time. 47 00:02:30,277 --> 00:02:32,905 "If you can see it, you can be it" is a real thing... 48 00:02:34,323 --> 00:02:37,242 It's not my responsibility to be the one they see. 49 00:02:39,494 --> 00:02:40,495 Okay. 50 00:02:49,004 --> 00:02:51,256 Nathan hit his head on the trampoline frame 51 00:02:51,256 --> 00:02:52,758 at his birthday party. 52 00:02:52,925 --> 00:02:54,927 He got a bump, but he seemed fine... 53 00:02:56,303 --> 00:02:57,387 Where's daddy? 54 00:02:58,430 --> 00:03:02,392 I told you, he's at work helping people. He'll be back in a few days, okay. 55 00:03:02,392 --> 00:03:05,103 Is it possible to develop a concussion two days later? 56 00:03:05,646 --> 00:03:07,981 Let's see if we can find out what's going on. 57 00:03:13,195 --> 00:03:14,863 Nathan, what's your puppy's name? 58 00:03:15,614 --> 00:03:16,615 Patches. 59 00:03:16,615 --> 00:03:20,369 Can I look into Patches' eyes with this light? Make sure he's okay? 60 00:03:21,161 --> 00:03:23,038 Or you can do it? 61 00:03:23,538 --> 00:03:24,665 Just look in here. 62 00:03:25,248 --> 00:03:27,960 Can you pick this up and give it to the doctor? 63 00:03:29,336 --> 00:03:31,505 I can't. Where's daddy? 64 00:03:36,718 --> 00:03:38,428 Can you give me a high five, bud. 65 00:03:39,137 --> 00:03:41,348 Good. Now high ten. 66 00:03:46,061 --> 00:03:48,647 What is happening? Is this a concussion? 67 00:03:48,772 --> 00:03:50,148 It's not a concussion. 68 00:03:50,732 --> 00:03:52,150 Your son is having a stroke. 69 00:04:10,711 --> 00:04:13,255 {\an8}- You are late. - No, I'm not. 70 00:04:14,506 --> 00:04:15,966 {\an8}It's 8:01 am. 71 00:04:16,425 --> 00:04:18,176 It-- It is now. 72 00:04:18,301 --> 00:04:21,596 But I'm sure it was still 8:00 when I walked through the door. 73 00:04:21,596 --> 00:04:23,306 {\an8}Were you getting your hair cut? 74 00:04:24,266 --> 00:04:25,225 {\an8}No. 75 00:04:25,726 --> 00:04:27,269 Are you using drugs again? 76 00:04:28,854 --> 00:04:29,896 No. 77 00:04:30,480 --> 00:04:35,485 {\an8}You are on probation and I am responsible for you. 78 00:04:35,485 --> 00:04:38,113 {\an8}Common signs include ignoring responsibilities 79 00:04:38,113 --> 00:04:39,990 {\an8}and secretive behavior. 80 00:04:39,990 --> 00:04:41,450 {\an8}I promise, I'm clean. 81 00:04:41,992 --> 00:04:43,577 {\an8}I'll pee in a cup if you want. 82 00:04:43,577 --> 00:04:44,828 {\an8}Okay. 83 00:04:45,746 --> 00:04:47,456 {\an8}I'm going to assist Dr. Park. 84 00:04:47,456 --> 00:04:50,208 {\an8}You can join the case if your sample comes back clean. 85 00:04:52,044 --> 00:04:53,295 {\an8}I wasn't even late. 86 00:04:55,505 --> 00:04:58,008 {\an8}A chance to help young diverse women 87 00:04:58,008 --> 00:05:00,927 {\an8}and kiss the hospital president's ass at the same time? 88 00:05:01,261 --> 00:05:02,846 {\an8}There's only one answer to that 89 00:05:02,846 --> 00:05:05,223 {\an8}and it starts with a "y" and ends with a "yes." 90 00:05:05,932 --> 00:05:08,977 {\an8}- That didn't work. - I know. But I stand by my point. 91 00:05:09,227 --> 00:05:10,353 Aren't we busy enough? 92 00:05:10,771 --> 00:05:13,982 Why do I have extra homework because I have more melanin? 93 00:05:14,691 --> 00:05:16,526 And why is my Grandma E texting me? 94 00:05:16,526 --> 00:05:18,445 You shouldn't think of it as homework 95 00:05:18,445 --> 00:05:20,947 and you shouldn't think of it as a burden. 96 00:05:20,947 --> 00:05:23,700 You shouldn't think you know what it's like to be me. 97 00:05:24,659 --> 00:05:25,827 Point taken. 98 00:05:27,120 --> 00:05:28,330 What the...? 99 00:05:28,580 --> 00:05:31,083 Okay, can we just focus on our patients, please? 100 00:05:35,837 --> 00:05:38,298 {\an8}Quinque, there you are. 101 00:05:38,298 --> 00:05:40,634 Grandma E? What are you doing here? 102 00:05:40,884 --> 00:05:43,470 I was told they have doctors here. 103 00:05:43,470 --> 00:05:48,642 I've got tightness in my chest, shortness of breath, swollen ankles-- 104 00:05:48,642 --> 00:05:50,644 Didn't you see your doctors in Oakland? 105 00:05:50,644 --> 00:05:56,525 {\an8}Those idiots said my ascites indicated "cirrhosis of the liver" 106 00:05:56,525 --> 00:05:58,276 {\an8}like I'm some kind of drunk. 107 00:05:59,152 --> 00:06:01,780 {\an8}I figured with my family connections, 108 00:06:01,780 --> 00:06:04,241 {\an8}I could get top- shelf care here. 109 00:06:04,241 --> 00:06:06,451 {\an8}I can't be involved in any of your-- 110 00:06:06,451 --> 00:06:07,786 {\an8}But I can. 111 00:06:07,786 --> 00:06:11,915 {\an8}Delighted to meet you Grandma E, I'm Dr. Wolke. 112 00:06:11,915 --> 00:06:16,837 Okay, Jordan baby, you stay and keep an eye on little mister here. 113 00:06:16,837 --> 00:06:19,756 He might try to skate by on his good looks. 114 00:06:22,259 --> 00:06:23,760 {\an8}Can you lean back for me? 115 00:06:26,304 --> 00:06:29,516 Jordan, you never mentioned having a sister. 116 00:06:29,975 --> 00:06:31,601 See, I like him. 117 00:06:32,811 --> 00:06:35,522 Distended jugular veins with increased JVP. 118 00:06:36,356 --> 00:06:38,650 Kussmaul's sign and Pulsus paradoxus. 119 00:06:39,317 --> 00:06:41,611 Maybe I don't like you so much now. 120 00:06:41,611 --> 00:06:43,697 She does have a history of chest radiation. 121 00:06:49,244 --> 00:06:52,164 - Echo-brightness of the pericardium. - What does that mean? 122 00:06:52,164 --> 00:06:56,126 The sac around your heart is inflamed and there are calcium deposits. 123 00:06:57,460 --> 00:06:58,420 Grandma? 124 00:07:00,839 --> 00:07:03,717 - Faint pulses. - Let's do something before she arrest. 125 00:07:03,717 --> 00:07:05,886 Set up an O.R. STAT for a pericardiotomy. 126 00:07:07,971 --> 00:07:11,558 {\an8}No, Rick, stay. I promise I've got this. 127 00:07:12,350 --> 00:07:14,269 {\an8}Sorry to interrupt. We're ready. 128 00:07:17,397 --> 00:07:19,065 {\an8}Can you please talk to my husband? 129 00:07:19,649 --> 00:07:20,734 {\an8}Of course. 130 00:07:21,610 --> 00:07:22,569 This is Doctor Park. 131 00:07:22,569 --> 00:07:25,572 How does a four year old end up with a stroke? 132 00:07:25,572 --> 00:07:27,657 Head trauma is one of the main causes. 133 00:07:27,657 --> 00:07:31,661 I feel like I should get on a plane now, but Linda's telling me to stay. 134 00:07:31,661 --> 00:07:33,413 - How far are you? - Alabama. 135 00:07:33,413 --> 00:07:36,541 We still have people missing after the tornado ripped through. 136 00:07:37,042 --> 00:07:39,127 I can't tell you how to prioritize. 137 00:07:39,127 --> 00:07:42,380 I'm hoping to make your son better well before you could get here. 138 00:07:42,881 --> 00:07:43,882 Thank you. 139 00:07:46,885 --> 00:07:48,011 We're okay. 140 00:07:48,303 --> 00:07:52,224 {\an8}And you'll be back in a few days anyway. Just stay and keep helping. 141 00:07:53,558 --> 00:07:55,477 {\an8}Okay. 142 00:08:01,274 --> 00:08:02,692 {\an8}Evacuating the hematoma. 143 00:08:03,235 --> 00:08:05,153 {\an8}I saw on the Weather Channel 144 00:08:05,153 --> 00:08:08,448 {\an8}that the Alabama tornado was the 15th to reach a four 145 00:08:08,448 --> 00:08:11,076 {\an8}on the Enhanced Fujita scale in the last three years. 146 00:08:11,076 --> 00:08:14,663 {\an8}Together they have caused 116 fatalities. 147 00:08:14,829 --> 00:08:17,999 {\an8}Luckily we have people like his Dad who run towards a crisis. 148 00:08:18,375 --> 00:08:21,586 {\an8}But he also has a crisis right here with his son. 149 00:08:21,586 --> 00:08:23,713 He didn't know that when he left. 150 00:08:24,923 --> 00:08:26,883 I'm not seeing an active bleeder. 151 00:08:27,384 --> 00:08:34,099 There is a hyper-vascularized brain parenchyma in this resection cavity. 152 00:08:34,307 --> 00:08:37,269 The major named vessels are all smaller than usual, 153 00:08:37,477 --> 00:08:38,895 and look scarred in. 154 00:08:42,065 --> 00:08:44,192 The hemorrhage was not from hitting his head. 155 00:08:45,902 --> 00:08:49,114 {\an8}This boy and his brain are even sicker than we thought. 156 00:08:51,199 --> 00:08:53,034 {\an8}Lighting the sternal retractor. 157 00:08:54,869 --> 00:08:58,331 {\an8}So why does she call you Queen K? 158 00:08:58,331 --> 00:08:59,833 It's Quinque. 159 00:08:59,833 --> 00:09:02,919 {\an8}Latin for five because I'm the fifth child of six. 160 00:09:03,128 --> 00:09:05,046 Does she call your little brother Sex? 161 00:09:05,046 --> 00:09:07,340 {\an8}Please focus so you don't kill my grandmother. 162 00:09:07,340 --> 00:09:10,176 {\an8}Cauterizing the edges of the sternal periosteum. 163 00:09:12,053 --> 00:09:13,430 She's so charming. 164 00:09:13,763 --> 00:09:15,974 Why didn't you get any of those genes? 165 00:09:16,433 --> 00:09:20,145 {\an8}Charm is one of many layers of a very complicated woman. 166 00:09:20,145 --> 00:09:23,606 Grandma E drove me like a drill sergeant from the day I was born. 167 00:09:23,898 --> 00:09:28,028 Ensure the pericardium is free from both the pleurae and the diaphragm. 168 00:09:30,030 --> 00:09:31,239 15 blade. 169 00:09:36,953 --> 00:09:38,496 I need a new 15 blade... 170 00:09:40,165 --> 00:09:41,249 What's happening? 171 00:09:43,960 --> 00:09:48,006 I can't pierce it. Never seen constrictive pericarditis this severe. 172 00:09:51,551 --> 00:09:53,094 It's completely calcified. 173 00:09:53,094 --> 00:09:56,097 Your grandma has what's known as coconut heart. 174 00:10:03,271 --> 00:10:07,359 Your son has a rare auto-immune disorder called Primary CNS vasculitis. 175 00:10:07,359 --> 00:10:10,820 It's causing inflammation of his blood vessels throughout his brain. 176 00:10:11,946 --> 00:10:15,909 Okay. What are the next steps? 177 00:10:16,409 --> 00:10:18,119 Cyclophosphamide infusions. 178 00:10:18,745 --> 00:10:19,954 That's chemo. 179 00:10:21,039 --> 00:10:23,375 My mother had that when she had breast cancer 180 00:10:23,375 --> 00:10:26,628 and she lost her hair, threw up, got sores all over her mouth. 181 00:10:26,628 --> 00:10:29,130 Letting this go untreated is far worse. 182 00:10:29,130 --> 00:10:32,592 Recurrent brain bleeds, possibly large territory strokes. 183 00:10:32,592 --> 00:10:33,718 They could be fatal. 184 00:10:34,427 --> 00:10:36,930 Nathan will be on some form of immunosuppression 185 00:10:36,930 --> 00:10:38,181 his whole life. 186 00:10:42,394 --> 00:10:43,311 I'm sorry. 187 00:10:44,437 --> 00:10:45,522 Thank you, Doctor. 188 00:10:54,447 --> 00:10:57,867 How do you crack a coconut without puncturing what's underneath? 189 00:10:57,867 --> 00:11:00,078 Constrictive pericarditis. 190 00:11:00,745 --> 00:11:04,082 Please stop saying coconut. It's my grandmother and it's serious. 191 00:11:04,082 --> 00:11:05,583 Not your case. 192 00:11:05,583 --> 00:11:08,920 I'm just having a snack and trying to help-- 193 00:11:12,424 --> 00:11:13,633 We need ideas. 194 00:11:13,758 --> 00:11:17,679 Left anterior thoracotomy and partial excision of the pericardium. 195 00:11:17,679 --> 00:11:20,682 Avoid sternal infection and seems likely the safest route. 196 00:11:20,682 --> 00:11:22,559 It'll require more surgeries. 197 00:11:22,559 --> 00:11:23,810 Please go away. 198 00:11:23,810 --> 00:11:26,104 Wait, what are you advocating for? 199 00:11:26,688 --> 00:11:27,730 Complete removal. 200 00:11:27,730 --> 00:11:29,482 A median sternotomy gives us 201 00:11:29,482 --> 00:11:33,486 clear access to the diseased pericardium from phrenic nerve to phrenic nerve. 202 00:11:33,486 --> 00:11:34,779 It's way too risky. 203 00:11:34,779 --> 00:11:36,948 Complete decortication fixes her heart. 204 00:11:37,490 --> 00:11:38,491 Completely. 205 00:11:40,535 --> 00:11:43,246 You're advocating for an extensive, high-risk surgery. 206 00:11:43,246 --> 00:11:45,331 Meanwhile, partial removal 207 00:11:45,331 --> 00:11:48,042 offers your 70-year-oldgrandmother a shot at full health 208 00:11:48,168 --> 00:11:50,378 for what likely amount to the rest of her life. 209 00:11:50,712 --> 00:11:52,589 Shouldn't you let the patient decide? 210 00:11:52,589 --> 00:11:55,758 No. I don't present something if it's not a viable option. 211 00:11:55,758 --> 00:11:57,218 I think it is viable. 212 00:11:57,218 --> 00:11:58,553 Her surgeon doesn't. 213 00:11:59,471 --> 00:12:01,347 Jordan, go be a granddaughter. 214 00:12:07,896 --> 00:12:11,608 If I hadn't become a surgeon, I think I would've been a writer. 215 00:12:11,608 --> 00:12:14,527 You never told me your grandmother worked at Marcus Books. 216 00:12:14,694 --> 00:12:16,237 Was I supposed to? 217 00:12:16,237 --> 00:12:18,698 I was just a lowly clerk. 218 00:12:18,907 --> 00:12:21,993 It came up when I heard his name was Marcus. 219 00:12:22,368 --> 00:12:23,912 There is nothing lowly 220 00:12:23,912 --> 00:12:26,873 about being at the center of a cultural landmark. 221 00:12:27,290 --> 00:12:30,126 My Auntie Winn used to take me to author readings 222 00:12:30,126 --> 00:12:32,545 by Toni Morrison, Maya Angelou... 223 00:12:32,670 --> 00:12:34,339 and you were there everyday. 224 00:12:34,339 --> 00:12:37,050 I probably served you some cookies. 225 00:12:37,175 --> 00:12:39,260 - Did you ever meet, James Baldwin? - I did. 226 00:12:39,260 --> 00:12:42,347 Okay. She can probably use some rest. 227 00:12:42,722 --> 00:12:44,349 Yes, absolutely. 228 00:12:46,559 --> 00:12:50,772 If you need anything at all, Ms. Evelyn, you know where to find me. 229 00:12:51,064 --> 00:12:53,525 - Thank you, Marcus. - Yes, ma'am. 230 00:12:55,443 --> 00:12:57,946 Marcus Books. Wow! 231 00:12:59,656 --> 00:13:00,865 That was weird. 232 00:13:00,865 --> 00:13:05,828 Not as weird as you refusing to do his mentorship program? 233 00:13:08,706 --> 00:13:11,042 Let's talk about you... 234 00:13:12,961 --> 00:13:14,212 and your heart. 235 00:13:15,255 --> 00:13:19,425 Your pericardium has become hardened, likely from your cancer treatments. 236 00:13:21,010 --> 00:13:23,096 So what happens now? 237 00:13:23,513 --> 00:13:26,224 Dr. Lim has decided on a partial removal. 238 00:13:26,558 --> 00:13:28,685 And you think that's best? 239 00:13:33,189 --> 00:13:37,235 Jordan Jacqueline Allen, you look at me and you tell me, 240 00:13:38,236 --> 00:13:39,946 if you think it's best. 241 00:13:50,999 --> 00:13:53,209 Wow, it took you guys a while to get home? 242 00:13:53,918 --> 00:13:57,171 We went out to dinner. Because Lea thought that-- 243 00:13:57,171 --> 00:14:00,133 Why are you on the floor? What's with the high chairs? 244 00:14:00,133 --> 00:14:02,343 I stopped at Costco on the way home. 245 00:14:02,343 --> 00:14:05,680 Surprisingly diverse selection of wines. 246 00:14:05,680 --> 00:14:08,016 There's an open bottle if you guys want-- 247 00:14:08,016 --> 00:14:10,059 Although that might be empty. 248 00:14:10,893 --> 00:14:12,145 Danger! 249 00:14:12,145 --> 00:14:15,106 I remember wine. Are you drunk? 250 00:14:15,273 --> 00:14:17,150 No. Maybe a little. 251 00:14:17,150 --> 00:14:19,360 I'm baby-proofing. Danger! 252 00:14:19,569 --> 00:14:20,862 Are you okay? 253 00:14:20,862 --> 00:14:23,656 Oh, you guys got to get down here and check this out. 254 00:14:23,656 --> 00:14:27,327 From the baby's perspective, this place is a fricking death trap... 255 00:14:27,327 --> 00:14:29,621 for Nicholas. Place holder name. 256 00:14:29,621 --> 00:14:31,289 We can call him Nick, Nicky. 257 00:14:31,289 --> 00:14:32,582 I like Nicky. 258 00:14:32,874 --> 00:14:34,959 Why did you buy three high chairs? 259 00:14:34,959 --> 00:14:38,463 One's a gift for you, and the other two I'll take back. Danger! 260 00:14:38,463 --> 00:14:39,964 That could be dangerous. 261 00:14:39,964 --> 00:14:42,091 You don't have to buy us anything. 262 00:14:42,091 --> 00:14:43,801 I also got you a nanny cam. 263 00:14:47,055 --> 00:14:49,891 It's-- It's-- It's a teddy bear, 264 00:14:49,891 --> 00:14:52,560 but you wouldn't believe there is a camera inside. 265 00:14:52,894 --> 00:14:56,397 That is very practical... and cute. 266 00:14:57,148 --> 00:15:01,694 Okay. We will not need a highchair or baby proofing for a year. 267 00:15:01,694 --> 00:15:04,572 And we'll not name our son Nick, Nicholas or Nicky, 268 00:15:04,572 --> 00:15:06,491 or any variation thereof. 269 00:15:07,367 --> 00:15:08,409 Okay. 270 00:15:09,160 --> 00:15:11,954 That's fair enough but you're going to want this, 271 00:15:11,954 --> 00:15:15,416 it's a book by Dr. Spock on parenting. 272 00:15:15,541 --> 00:15:17,835 Everyone read this book back in the day, 273 00:15:17,835 --> 00:15:20,046 he was so popular, he ran for president. 274 00:15:20,046 --> 00:15:21,130 Danger. 275 00:15:21,673 --> 00:15:22,757 I'm going to bed. 276 00:15:24,467 --> 00:15:27,178 Yeah, but-- You're going to want to read this 277 00:15:27,178 --> 00:15:29,555 before the baby comes and you get exhausted. 278 00:15:29,555 --> 00:15:30,640 Already there. 279 00:15:38,481 --> 00:15:39,607 Danger! 280 00:15:43,486 --> 00:15:44,612 What were you thinking? 281 00:15:45,530 --> 00:15:47,573 My grandmother deserved the good muffins? 282 00:15:47,573 --> 00:15:49,867 She'll only agree to complete decortication, 283 00:15:49,867 --> 00:15:51,661 which she shouldn't know about. 284 00:15:51,661 --> 00:15:54,247 You do not present a patient with an option 285 00:15:54,247 --> 00:15:56,833 that I've deemed unsafe and wouldn't even perform. 286 00:15:56,833 --> 00:15:58,501 - It's unacceptable. - You're right. 287 00:15:59,377 --> 00:16:01,754 I felt like your plan was a little conservative-- 288 00:16:01,754 --> 00:16:03,172 You are a resident, 289 00:16:03,881 --> 00:16:07,343 your feelings about my decisions are not relevant. 290 00:16:08,594 --> 00:16:11,431 - I'll tell her I was wrong. - And convince her I'm right. 291 00:16:11,431 --> 00:16:13,099 Or find her another hospital. 292 00:16:15,935 --> 00:16:17,061 Yes, ma'am. 293 00:16:20,148 --> 00:16:21,566 Your muffins are ready. 294 00:16:34,620 --> 00:16:36,289 How's he handling the chemo? 295 00:16:37,039 --> 00:16:38,374 You doing okay, bud? 296 00:16:41,002 --> 00:16:44,297 Nathan, can you answer Doctor Park, please? Is everything okay? 297 00:16:44,756 --> 00:16:45,715 No. 298 00:16:50,762 --> 00:16:52,430 You're right. It's not okay. 299 00:16:53,014 --> 00:16:54,974 Okay, those aren't toys. 300 00:16:56,642 --> 00:16:57,894 We okay, mom? 301 00:16:58,519 --> 00:17:00,855 He's got dozens of new toys for his birthday... 302 00:17:00,855 --> 00:17:03,733 he shouldn't have to be building castles with pill bottles. 303 00:17:05,568 --> 00:17:06,444 I'm sorry. 304 00:17:07,695 --> 00:17:10,156 You shouldn't be trying to do all of this alone. 305 00:17:10,990 --> 00:17:14,660 My husband is saving lives. I can't pull him away from that. 306 00:17:15,745 --> 00:17:16,913 I can. 307 00:17:18,498 --> 00:17:19,707 Give me your phone. 308 00:17:31,260 --> 00:17:33,679 Hi Rick, Doctor Park. 309 00:17:39,435 --> 00:17:40,478 You okay? 310 00:17:42,063 --> 00:17:43,397 Yeah. I'm fine. 311 00:17:47,401 --> 00:17:48,611 But you are not. 312 00:17:49,779 --> 00:17:50,988 What happened? 313 00:17:51,823 --> 00:17:55,034 I was wrong to question Dr. Lim's surgical advice. 314 00:17:56,661 --> 00:17:57,870 She is the best. 315 00:17:57,870 --> 00:18:00,039 I hope to be her someday. 316 00:18:00,790 --> 00:18:04,168 And if she thinks the partial removal of the pericardium 317 00:18:04,168 --> 00:18:07,129 is the best course of action, then I agree with her. 318 00:18:08,506 --> 00:18:09,632 Okay. 319 00:18:11,676 --> 00:18:13,219 Then that's what I'll do. 320 00:18:15,012 --> 00:18:20,017 But why did you go against her advice in the first place? 321 00:18:23,104 --> 00:18:26,232 I felt like I needed to do extra. 322 00:18:26,774 --> 00:18:28,067 To be a hero. 323 00:18:28,901 --> 00:18:29,902 Why? 324 00:18:30,653 --> 00:18:34,073 Since I was little, you told me I had to work twice as hard, 325 00:18:34,073 --> 00:18:36,409 be twice as good as everybody else. 326 00:18:39,745 --> 00:18:41,122 After all these years, 327 00:18:41,122 --> 00:18:45,626 I'm still striving to be good enough for you. 328 00:18:47,336 --> 00:18:49,422 Now see that's a lot of pressure. 329 00:18:50,882 --> 00:18:57,555 But it's what the world requires from people that look like you and me. 330 00:19:02,768 --> 00:19:04,437 When is my daddy coming? 331 00:19:04,437 --> 00:19:07,607 Your daddy is getting on a plane, he's gonna be back soon. 332 00:19:07,607 --> 00:19:10,693 But now, we have to see if the medicine is working, okay? 333 00:19:10,693 --> 00:19:13,988 If it is, can I stop taking it? 334 00:19:14,697 --> 00:19:17,658 I'm so sorry. You still need it. 335 00:19:19,869 --> 00:19:21,120 I hate it. 336 00:19:23,748 --> 00:19:24,790 I know. 337 00:19:27,877 --> 00:19:31,464 Let's play a game, like hide and seek, okay? 338 00:19:32,715 --> 00:19:33,966 Here, lie down. 339 00:19:34,842 --> 00:19:37,637 You get to go in the tunnel. 340 00:19:38,971 --> 00:19:41,641 And stay very still so nobody can find you... 341 00:19:41,891 --> 00:19:45,061 I'll come back and get you when the coast is clear. Sound good? 342 00:19:54,153 --> 00:19:55,655 You are very good with him. 343 00:19:56,572 --> 00:19:57,865 Starting the imaging. 344 00:19:57,865 --> 00:19:58,991 Thanks. 345 00:20:00,576 --> 00:20:04,288 Nathan, you're about to hear some banging. It's just the machine 346 00:20:04,288 --> 00:20:06,791 but remember to stay really still, okay? 347 00:20:06,916 --> 00:20:08,000 I am. 348 00:20:10,753 --> 00:20:12,588 Try a little harder, okay, bud? 349 00:20:16,133 --> 00:20:19,387 Motion artifact, we might have to sedate him. 350 00:20:19,387 --> 00:20:21,347 Those are not artifacts. 351 00:20:22,682 --> 00:20:27,395 He does not have CNS Vasculitis, he has Moyamoya disease. 352 00:20:30,982 --> 00:20:32,358 What the heck is that? 353 00:20:32,358 --> 00:20:35,569 A narrow carotid artery is reducing blood flow to his brain. 354 00:20:36,404 --> 00:20:39,156 This area here, looks like a puff of smoke? 355 00:20:39,949 --> 00:20:41,909 That's what moyamoya means in Japanese, 356 00:20:42,410 --> 00:20:44,704 A bunch of new, tiny vessels have developed 357 00:20:44,704 --> 00:20:46,497 to circumvent the blockage, 358 00:20:46,497 --> 00:20:50,793 but because the vessels are abnormal, they're prone to bleeds. 359 00:20:51,502 --> 00:20:55,756 We can fix the problem with a very interesting brain surgery. 360 00:20:55,881 --> 00:20:59,844 So now that you're done poisoning our son with chemo that he didn't need, 361 00:21:00,177 --> 00:21:02,471 we should trust you to crack open his skull? 362 00:21:02,471 --> 00:21:05,933 We will use a small craniotomy to access-- 363 00:21:05,933 --> 00:21:08,019 I get why you're frustrated. 364 00:21:08,853 --> 00:21:12,481 Moyamoya is rare and notoriously hard to diagnose. 365 00:21:12,690 --> 00:21:15,776 Many kids get chemo they don't need for a lot longer. 366 00:21:17,778 --> 00:21:20,448 We're hoping to do Nathan's first brain surgery tomorrow. 367 00:21:23,451 --> 00:21:24,660 He needs more than one? 368 00:21:25,286 --> 00:21:26,662 What's brain surgery? 369 00:21:28,956 --> 00:21:29,915 Hey. 370 00:21:32,501 --> 00:21:34,795 It's how we're going to make you all better. 371 00:21:34,795 --> 00:21:36,255 No more chemo? 372 00:21:36,422 --> 00:21:37,590 No more chemo. 373 00:21:37,590 --> 00:21:39,258 Are you going to be here? 374 00:21:40,051 --> 00:21:41,844 My plane got cancelled, buddy, 375 00:21:42,470 --> 00:21:46,265 but look, I promise I'm going to be there as soon as I can, okay? 376 00:21:47,141 --> 00:21:49,393 Can Patches get brain surgery, too? 377 00:21:50,561 --> 00:21:55,649 No. Patches is a stuffed animal, it does not have a brain. 378 00:22:49,245 --> 00:22:50,871 I just peed in our bathtub. 379 00:22:54,041 --> 00:22:55,501 Glassman has to go. 380 00:23:08,764 --> 00:23:10,599 - Hey! - Sorry! 381 00:23:47,219 --> 00:23:48,637 First years. 382 00:23:55,811 --> 00:23:57,062 You are late again. 383 00:23:57,062 --> 00:23:59,523 C'mon. Like one minute. 384 00:23:59,523 --> 00:24:00,691 Last time... 385 00:24:00,691 --> 00:24:03,527 Your drug test from yesterday was negative, 386 00:24:03,527 --> 00:24:07,656 you are not using. So what is causing your tardiness? 387 00:24:09,992 --> 00:24:11,285 Look, I'm sorry. 388 00:24:12,077 --> 00:24:13,495 I've been doing really well. 389 00:24:14,246 --> 00:24:16,207 And the reason I'm doing so well 390 00:24:16,582 --> 00:24:17,875 is my daily meeting. 391 00:24:18,542 --> 00:24:22,922 Sets my mind right. It's kinda far. And there's morning traffic. 392 00:24:25,299 --> 00:24:28,135 Support is very important. 393 00:24:30,471 --> 00:24:32,598 And so is punctuality. 394 00:24:33,307 --> 00:24:36,852 I'm going to map a complex double-barrel vascular bypass. 395 00:24:46,445 --> 00:24:48,989 - Dang it. - That's the 6th time you've killed her. 396 00:24:48,989 --> 00:24:51,867 It wasn't working with the rongeur, need little more power. 397 00:24:51,867 --> 00:24:54,286 - And the right torque. - That's reassuring. 398 00:24:54,954 --> 00:24:57,581 Stop hovering and go visit, visitor. 399 00:24:58,832 --> 00:25:01,293 Convincing Evelyn Allen to do a surgery, 400 00:25:01,293 --> 00:25:04,296 after convincing her not to, was a little bumpy. 401 00:25:05,631 --> 00:25:07,216 Details, please. 402 00:25:08,008 --> 00:25:09,843 I took the opportunity to explain 403 00:25:09,843 --> 00:25:12,012 how much pressure she's put on me, 404 00:25:12,012 --> 00:25:15,516 and she took that opportunity to make me feel inadequate once again. 405 00:25:16,183 --> 00:25:19,436 I've never thought of you as someone who lacks for confidence. 406 00:25:20,521 --> 00:25:21,981 Fake it till you make it. 407 00:25:23,065 --> 00:25:26,485 You're a resident in one of the top surgical programs. 408 00:25:26,485 --> 00:25:27,945 You've already made it. 409 00:25:29,697 --> 00:25:32,199 All I see is the ground I've still got to cover. 410 00:25:40,499 --> 00:25:41,959 How's it going? 411 00:25:42,543 --> 00:25:44,295 Not ready for primetime. 412 00:25:52,803 --> 00:25:58,600 This S.T.A. anatomy is ideal as a donor vessel to bypass the blockage. 413 00:25:58,600 --> 00:26:01,645 So we'll reroute the scalp vessel into the brain here. 414 00:26:04,273 --> 00:26:06,775 Gonna give you a little tip. Next time a child asks 415 00:26:06,775 --> 00:26:08,986 if you could do surgery on his stuffed animal 416 00:26:08,986 --> 00:26:11,864 so that he feels less scared? Say yes. 417 00:26:12,364 --> 00:26:14,950 I was only telling him the truth. 418 00:26:17,745 --> 00:26:21,957 This branch of the middle cerebral artery looks like an ideal recipient. 419 00:26:21,957 --> 00:26:24,918 You're about to be a father. Children are illogical. 420 00:26:26,211 --> 00:26:28,589 We can place temporary clips for vascular control, 421 00:26:28,589 --> 00:26:32,343 and then anastomose the STA to the MCA using 10-0 prolenes. 422 00:26:34,470 --> 00:26:37,348 I was very logical as a child. 423 00:26:37,765 --> 00:26:41,560 I did not like being talked to like I was dumb 424 00:26:41,560 --> 00:26:44,396 and I definitely did not like being lied to. 425 00:26:44,396 --> 00:26:46,565 That child there felt that if his Dalmatian 426 00:26:46,565 --> 00:26:48,650 went through this scary thing with him, 427 00:26:48,650 --> 00:26:50,110 he would be less scared. 428 00:26:53,197 --> 00:26:56,283 If you can embrace another person's thought process, 429 00:26:56,492 --> 00:26:58,285 it can strengthen the relationship. 430 00:27:01,038 --> 00:27:05,209 Lea thinks she should not have to pee in the tub, 431 00:27:05,584 --> 00:27:07,169 which I understand. 432 00:27:17,096 --> 00:27:19,473 No kidnapping my grandmother. 433 00:27:20,599 --> 00:27:25,854 I asked him to do a lap around the floor, I needed a change of scenery. 434 00:27:25,854 --> 00:27:28,482 Well, you had your lap, now back to your cell. 435 00:27:29,191 --> 00:27:30,609 Thanks for the tour, Speedy. 436 00:27:31,402 --> 00:27:32,736 Speedy? 437 00:27:33,028 --> 00:27:35,864 I was sprinting through here this morning. 438 00:27:36,490 --> 00:27:37,741 I was late. 439 00:27:37,908 --> 00:27:39,034 Second time this week. 440 00:27:39,034 --> 00:27:42,663 Snooze buttons are the devil's plaything. 441 00:27:43,122 --> 00:27:46,166 I was actually at a Narcotics Anonymous meeting this morning. 442 00:27:46,375 --> 00:27:47,543 I go every day. 443 00:27:47,543 --> 00:27:50,963 "Confess your sins to each other and pray for each other 444 00:27:50,963 --> 00:27:53,090 so that you may be healed." 445 00:27:53,799 --> 00:27:55,634 James 5:15-16. 446 00:27:56,176 --> 00:27:57,344 Amen to that. 447 00:27:57,344 --> 00:27:59,263 Good for you, young man. 448 00:28:04,184 --> 00:28:07,396 - There's got to be a closer meeting. - I've tried the closer one... 449 00:28:07,396 --> 00:28:09,022 The hardliners who run it think 450 00:28:09,022 --> 00:28:12,317 that wearing a suit and tie is key to staying sober. 451 00:28:12,317 --> 00:28:15,988 Start your own meeting, here at the hospital. 452 00:28:16,989 --> 00:28:20,993 Set your own tone, and you're never late for work again. 453 00:28:22,035 --> 00:28:25,372 No, I'm not qualified to be a leader. 454 00:28:25,372 --> 00:28:27,166 No such thing. 455 00:28:27,749 --> 00:28:31,128 Leaders lead, simple as that. 456 00:28:39,052 --> 00:28:40,596 You are annoying. 457 00:28:41,138 --> 00:28:42,890 Well, nice to see you too, Shaun. 458 00:28:42,890 --> 00:28:44,892 Not to me, but to Lea, 459 00:28:44,892 --> 00:28:47,311 and I want to keep our relationship strong. 460 00:28:47,311 --> 00:28:50,481 She feels your presence has taken over our apartment 461 00:28:50,481 --> 00:28:52,107 and she wants her space back. 462 00:28:52,107 --> 00:28:54,526 I overstepped with the babyproofing. 463 00:28:54,526 --> 00:28:57,571 - And suggesting names. - And the Dr. Spock thing. 464 00:28:57,571 --> 00:28:59,281 And there's more, the nanny cam. 465 00:28:59,281 --> 00:29:00,782 Okay, okay. Okay. 466 00:29:03,702 --> 00:29:09,875 It's was fun, thinking about your baby, and the future. 467 00:29:10,584 --> 00:29:13,545 Maybe it has been a nice distraction. 468 00:29:14,963 --> 00:29:16,048 Yes, it was. 469 00:29:16,048 --> 00:29:18,509 Which you've needed since your house burned down 470 00:29:18,509 --> 00:29:21,345 and you have no place to live. 471 00:29:21,345 --> 00:29:23,013 Yes, thank you, Shaun. 472 00:29:23,639 --> 00:29:28,852 Dr. Glassman, you are not exactly my family. 473 00:29:28,852 --> 00:29:30,646 I get it. I know, Shaun. 474 00:29:30,896 --> 00:29:33,357 But I consider you to be the baby's grandfather. 475 00:29:44,284 --> 00:29:45,452 Wow. 476 00:29:48,247 --> 00:29:49,373 Thank you. 477 00:29:50,457 --> 00:29:52,918 I never thought that would happen for me. 478 00:29:55,546 --> 00:29:56,755 Thank you. 479 00:30:04,721 --> 00:30:07,808 You can stay. I will tell Lea and she will change her mind. 480 00:30:07,808 --> 00:30:10,060 No, no, no. I'm going to go. 481 00:30:10,310 --> 00:30:11,770 Where? 482 00:30:14,439 --> 00:30:15,774 I don't know. 483 00:30:18,485 --> 00:30:20,028 Can I get you a magazine? 484 00:30:20,028 --> 00:30:21,780 No, thank you. 485 00:30:23,240 --> 00:30:25,117 Are your pillows positioned okay? 486 00:30:25,450 --> 00:30:27,578 Okay, you're doing it again. 487 00:30:28,287 --> 00:30:29,413 What? 488 00:30:29,413 --> 00:30:31,707 The thing you've doing since you were little... 489 00:30:31,707 --> 00:30:33,375 just fussing over people... 490 00:30:34,751 --> 00:30:37,838 when it's you that's in need. 491 00:30:39,506 --> 00:30:42,134 Okay, c'mon. Tell me. 492 00:30:46,013 --> 00:30:48,015 You just met Dr. Perez, 493 00:30:48,932 --> 00:30:51,268 and you were so nice and supportive. 494 00:30:54,479 --> 00:30:56,773 Do you know how long I've waited for you to say 495 00:30:56,773 --> 00:31:00,986 "Good job" to me. Or "Wow, you're a doctor." 496 00:31:04,406 --> 00:31:06,908 Do you know who Rebecca Crumpler is? 497 00:31:08,535 --> 00:31:09,620 No. 498 00:31:09,620 --> 00:31:12,956 She was the first black female doctor. 499 00:31:13,248 --> 00:31:17,586 And when I read about her, I wanted to be just like her. 500 00:31:17,586 --> 00:31:21,590 But unfortunately, I didn't know who she was either 501 00:31:22,257 --> 00:31:25,344 until you were in med school. 502 00:31:28,347 --> 00:31:34,061 Quinque... I've been impressed by you 503 00:31:34,770 --> 00:31:38,398 since you were in kindergarten. 504 00:31:40,984 --> 00:31:42,110 Grandma. 505 00:31:43,320 --> 00:31:44,571 Grandma. 506 00:31:46,698 --> 00:31:49,368 - What's going on? - She's having trouble breathing. 507 00:31:50,327 --> 00:31:51,620 She's hypotensive. 508 00:31:54,956 --> 00:31:57,918 Jugular vein distension is increased, her heart is failing. 509 00:31:59,086 --> 00:32:00,962 Tell me you got through a practice run. 510 00:32:00,962 --> 00:32:04,591 We were postponing the surgery so we could practice more. 511 00:32:15,352 --> 00:32:16,645 What are you hanging? 512 00:32:18,188 --> 00:32:19,481 It's a... 513 00:32:21,149 --> 00:32:22,859 You can read obviously. 514 00:32:24,111 --> 00:32:27,489 Is this okay? I'm sorry, I should have cleared it with you first. 515 00:32:27,489 --> 00:32:28,782 Yes, you should have. 516 00:32:30,075 --> 00:32:33,620 Because I'd have told you to use the small conference room up on six. 517 00:32:33,745 --> 00:32:36,081 It's quieter up there, and the room has blinds, 518 00:32:36,873 --> 00:32:38,667 to help with the "anonymous" part. 519 00:32:39,918 --> 00:32:40,961 Thanks. 520 00:32:52,556 --> 00:32:53,724 This is Park. 521 00:32:53,724 --> 00:32:57,561 I had to fly to San Francisco, I'm just grabbing a cab now. 522 00:32:57,561 --> 00:33:00,564 Can you hold the surgery until I get there? 523 00:33:00,564 --> 00:33:03,483 We can't. If he hemorrhages again... 524 00:33:03,859 --> 00:33:05,861 Or, can you put him on the phone? 525 00:33:06,069 --> 00:33:07,654 He's already sedated. 526 00:33:09,030 --> 00:33:10,866 But what if this was my last chance 527 00:33:10,866 --> 00:33:12,117 to talk to him? 528 00:33:15,203 --> 00:33:17,205 I'll treat Nathan like my own son. 529 00:33:17,706 --> 00:33:18,915 I promise. 530 00:33:21,543 --> 00:33:22,669 Thank you. 531 00:33:28,759 --> 00:33:30,260 Try to puncture the pericardium 532 00:33:30,260 --> 00:33:32,971 and grab an edge so we can start to peel the shell. 533 00:33:33,597 --> 00:33:35,140 Apply more pressure. 534 00:33:36,850 --> 00:33:38,935 We may need another tool to pierce it. 535 00:33:38,935 --> 00:33:40,187 Let's try the rongeur. 536 00:33:45,066 --> 00:33:46,902 Perforation of the myocardium. 537 00:33:46,902 --> 00:33:49,821 Manually tamponading the hole. Pledgeted sutures. 538 00:33:51,656 --> 00:33:53,867 The pericardium's just too calcified. 539 00:33:53,867 --> 00:33:55,577 It's adhering to the myocardium. 540 00:33:55,577 --> 00:33:56,995 So what do we do? 541 00:33:56,995 --> 00:33:59,831 Repair the perforation, after that, I'm open to ideas. 542 00:34:00,749 --> 00:34:02,167 We could put her on bypass. 543 00:34:02,167 --> 00:34:06,505 Gently peel off the calcified pericardium bit by bit, 544 00:34:06,797 --> 00:34:10,008 - and repair damage as we go. - Poking holes in a bucket 545 00:34:10,008 --> 00:34:12,928 and hoping we can plug them before the water leaks out. 546 00:34:12,928 --> 00:34:14,304 I have an idea. 547 00:34:14,930 --> 00:34:17,557 - Go ahead. - It's called the Waffle procedure. 548 00:34:18,517 --> 00:34:20,101 I found a novel study, it said 549 00:34:20,101 --> 00:34:24,064 dense calcified plaques can be scored into multiple cross hatched sections. 550 00:34:24,064 --> 00:34:25,524 No removal at all? 551 00:34:25,524 --> 00:34:27,484 Exactly. The shell stays in place, 552 00:34:27,484 --> 00:34:30,737 but the heart has room to expand and contract as it beats. 553 00:34:31,988 --> 00:34:33,114 Mortality rate? 554 00:34:33,114 --> 00:34:34,533 Under 8% 555 00:34:38,537 --> 00:34:39,788 Talk me through it. 556 00:34:39,788 --> 00:34:41,623 Okay. Ultrasonic scalpel. 557 00:34:43,250 --> 00:34:46,336 Start by incising the calcified pericardium. 558 00:34:51,508 --> 00:34:53,510 ICG angio looks great. 559 00:34:53,802 --> 00:34:56,805 Doctor Perez, you may do the dural closure, 560 00:34:56,805 --> 00:34:58,557 then replace the skull flap. 561 00:35:02,978 --> 00:35:04,145 Before we close... 562 00:35:06,481 --> 00:35:09,651 We're ahead of schedule. Why not go ahead with the bypass 563 00:35:09,651 --> 00:35:12,737 - in his other hemisphere? - That is not the plan. 564 00:35:12,737 --> 00:35:15,907 Simultaneous bi-lateral surgery risks altering brain flow, 565 00:35:15,907 --> 00:35:17,450 it could cause another bleed. 566 00:35:17,450 --> 00:35:20,036 But maybe there's a way to reduce that risk. 567 00:35:20,662 --> 00:35:24,833 The wait will be hell on the parents, the whole time knowing their son's brain-- 568 00:35:24,833 --> 00:35:27,127 The parents' stress is not medically relevant. 569 00:35:27,127 --> 00:35:28,795 I know, Shaun, but please... 570 00:35:30,839 --> 00:35:32,465 Can you think of any other way? 571 00:35:52,903 --> 00:35:56,114 An encephalo-duro-arterio-synangiosis of the left side 572 00:35:56,114 --> 00:35:57,741 would be relatively low risk. 573 00:35:58,033 --> 00:35:59,868 We could safely do that now. 574 00:36:00,827 --> 00:36:01,953 Thank you. 575 00:36:08,793 --> 00:36:09,961 Rick, Linda! 576 00:36:14,382 --> 00:36:15,717 The surgery went well. 577 00:36:39,866 --> 00:36:43,995 There she is, right on schedule. 578 00:36:44,579 --> 00:36:45,705 How do you feel? 579 00:36:47,582 --> 00:36:49,709 Like I can breathe. 580 00:36:50,085 --> 00:36:52,128 For the first time in a long time. 581 00:36:53,046 --> 00:36:54,798 Thank Dr. Lim for me. 582 00:36:57,092 --> 00:36:58,301 I will. 583 00:37:00,637 --> 00:37:03,056 Somebody's all puffed up. 584 00:37:05,475 --> 00:37:07,268 You did something... 585 00:37:10,021 --> 00:37:12,482 The surgical team got a little stuck. 586 00:37:13,400 --> 00:37:15,151 I just gave them a new idea. 587 00:37:17,112 --> 00:37:18,363 Good job. 588 00:37:20,073 --> 00:37:23,618 Wow, you're a doctor. 589 00:37:23,618 --> 00:37:27,539 Wow, okay. You're laying on a little too thick now. 590 00:37:35,463 --> 00:37:38,341 Looking good. How are you feeling? 591 00:37:39,634 --> 00:37:40,927 Okay. 592 00:37:42,470 --> 00:37:43,972 Can you give me a high five? 593 00:37:46,349 --> 00:37:47,559 High ten? 594 00:37:48,643 --> 00:37:50,437 Good job. 595 00:37:50,437 --> 00:37:51,688 Good boy buddy. 596 00:37:53,481 --> 00:37:54,816 Where is Patches? 597 00:37:54,816 --> 00:37:57,402 He is right here. 598 00:38:05,326 --> 00:38:07,328 You did do the brain surgery on him. 599 00:38:07,829 --> 00:38:11,958 No. I just put bandages on his head to make you feel better. 600 00:38:13,376 --> 00:38:14,502 I do. 601 00:38:35,273 --> 00:38:36,983 I'm sorry, there's a meeting. 602 00:38:36,983 --> 00:38:39,486 I know. N.A. right? 603 00:38:41,446 --> 00:38:42,739 Yeah. 604 00:38:44,240 --> 00:38:46,785 Took me a few minutes to get the courage to come in. 605 00:38:51,956 --> 00:38:54,417 It's just us. Sorry. 606 00:38:56,002 --> 00:38:57,921 Where two or more are gathered... 607 00:39:03,593 --> 00:39:05,386 Have a seat, please. 608 00:39:18,441 --> 00:39:23,196 Hi. I'm Danny. And... 609 00:39:24,030 --> 00:39:26,407 I'm an addict. 610 00:39:37,502 --> 00:39:38,920 Almost show time. 611 00:39:39,379 --> 00:39:41,631 Don't say it like that, you make me nervous. 612 00:39:41,631 --> 00:39:44,092 Be yourself. That's more than enough. 613 00:39:48,680 --> 00:39:50,390 Hi, everybody. 614 00:39:52,267 --> 00:39:53,977 {\an8}There's so many of you. 615 00:39:55,145 --> 00:39:56,688 {\an8}That's so good to see. 616 00:39:58,439 --> 00:40:00,024 I'm Doctor Jordan Allen, 617 00:40:00,024 --> 00:40:04,154 and I'm a third year surgical resident at St. Bonaventure Hospital. 618 00:40:10,410 --> 00:40:11,786 Where's Glassy? 619 00:40:12,203 --> 00:40:15,290 He will not be staying with us anymore. 620 00:40:15,915 --> 00:40:18,251 - He moved out? - Yes. 621 00:40:18,710 --> 00:40:21,379 We had a talk and decided it was best. 622 00:40:21,379 --> 00:40:23,631 Did you tell him I was complaining about him? 623 00:40:23,631 --> 00:40:24,757 Yes. 624 00:40:24,757 --> 00:40:27,427 Shaun, now I feel horrible. 625 00:40:29,762 --> 00:40:30,930 You don't need to. 626 00:40:30,930 --> 00:40:33,516 He found a vacant apartment just down the hall. 627 00:40:34,767 --> 00:40:36,060 In this building? 628 00:40:36,895 --> 00:40:38,897 - Yes. - He's our next-door neighbor? 629 00:40:38,897 --> 00:40:41,316 Our next-door neighbor's next-door neighbor.