1
00:00:04,131 --> 00:00:08,427
I made you blueberry pancakes.
Would you prefer cauliflower?

2
00:00:08,427 --> 00:00:12,389
No, Shaun. That's our baby. I'm 36 weeks.

3
00:00:12,389 --> 00:00:15,142
The baby is the size
of a head of cauliflower.

4
00:00:15,142 --> 00:00:18,604
Our baby will not be this bumpy.

5
00:00:21,148 --> 00:00:25,569
I am very... happy.

6
00:00:25,694 --> 00:00:26,779
Me too.

7
00:00:27,362 --> 00:00:28,989
We're having a baby,

8
00:00:28,989 --> 00:00:31,575
I have an amazing job,
you're an attending.

9
00:00:31,867 --> 00:00:35,370
We have a new family car.
Dr. Glassman has moved down the hall.

10
00:00:35,370 --> 00:00:38,081
Jared is coming back to work
at the hospital.

11
00:00:38,457 --> 00:00:40,083
It is great that he's back.

12
00:00:40,959 --> 00:00:45,088
But, you know, the dynamic
might be a little different.

13
00:00:45,088 --> 00:00:47,633
Research has shown
that when working with friends,

14
00:00:47,633 --> 00:00:50,594
you get more done in less time
and have fun on the job.

15
00:00:51,053 --> 00:00:53,347
But Jared will be working for you,
not with you.

16
00:00:53,347 --> 00:00:56,058
It can be different
when you have to manage a friend.

17
00:00:56,058 --> 00:00:59,144
Lines can get blurred,
and that can be hard.

18
00:01:00,646 --> 00:01:03,398
The lines are not blurred.
They are very clear.

19
00:01:08,821 --> 00:01:11,990
Hey there, lover boy. Give me the details.

20
00:01:12,157 --> 00:01:15,577
Are you and Jerome exchanging keys
or getting a new place together?

21
00:01:15,577 --> 00:01:19,081
- He did not ask me to move in.
- What did he want to talk to you about?

22
00:01:19,414 --> 00:01:21,208
I don't want to talk about it.

23
00:01:21,583 --> 00:01:25,671
Now I wanna know even more,
and my interrogation will continue until--

24
00:01:27,589 --> 00:01:29,383
You going to the club or work?

25
00:01:32,344 --> 00:01:34,930
These early calls
need some getting used to.

26
00:01:34,930 --> 00:01:37,099
Kendrick is the perfect pick-me-up.

27
00:01:37,224 --> 00:01:39,476
- Never mad at Kendrick.
- Yes.

28
00:01:39,810 --> 00:01:43,564
- Nice shirt. Tom Ford?
- Yeah, my good luck charm.

29
00:01:43,564 --> 00:01:45,858
Figured it couldn't hurt
on my first day back.

30
00:01:45,858 --> 00:01:49,194
For $700 it should give you
more than luck.

31
00:01:50,821 --> 00:01:54,241
On occasion it has. See you guys in there.

32
00:01:57,870 --> 00:02:01,331
The car is a bit much
but the fashion is lit.

33
00:02:02,124 --> 00:02:04,626
Now, Mr. Grumpy, what's going on with you?

34
00:02:04,626 --> 00:02:05,586
Goodbye.

35
00:02:07,421 --> 00:02:09,923
Dr. Kalu is not your peer,
not your friend.

36
00:02:09,923 --> 00:02:12,050
He is your employee and you are his boss.

37
00:02:12,050 --> 00:02:14,386
I am confident
that Jared will do a good job.

38
00:02:14,386 --> 00:02:17,264
That's what I mean.
He's not "Jared," he's "Dr. Kalu."

39
00:02:17,264 --> 00:02:19,808
I do not always call people
by their titles.

40
00:02:19,808 --> 00:02:21,977
- Sometimes I call Dr. Allen--
- Dr. Murphy.

41
00:02:22,185 --> 00:02:24,855
An informal communication style
with Dr. Kalu

42
00:02:24,855 --> 00:02:27,357
could create a perception
of special treatment.

43
00:02:27,357 --> 00:02:30,444
I do not plan
to give Jared special treatment.

44
00:02:30,444 --> 00:02:33,363
That doesn't mean
Dr. Kalu isn't expecting it.

45
00:02:34,531 --> 00:02:37,576
And if I see it,
it won't be good for either of you.

46
00:02:42,080 --> 00:02:45,751
She has bruising and pain
even with passive range of motion.

47
00:02:46,001 --> 00:02:49,004
Some bullies at school chased her.
She fell down the stairs.

48
00:02:49,004 --> 00:02:50,464
That's not how it happened.

49
00:02:50,672 --> 00:02:54,426
We should've stuck with home-schooling.
She insisted. Look what happened.

50
00:02:54,801 --> 00:02:56,261
You need to be still.

51
00:02:56,678 --> 00:02:59,848
Your shoulder is fractured.
Ultrasound the patient.

52
00:03:06,313 --> 00:03:09,691
- Why are you laughing?
- She can't help it.

53
00:03:09,858 --> 00:03:12,444
Yara has Tourette's.
It's why she had the fight--

54
00:03:12,444 --> 00:03:16,949
Mom, he was asking me.
You never let me speak for myself.

55
00:03:18,617 --> 00:03:19,701
It wasn't a fight.

56
00:03:20,118 --> 00:03:23,163
Some kids thought it would be funny
to point and stare at me.

57
00:03:23,163 --> 00:03:25,374
Thought it'd be funny
to egg their lockers.

58
00:03:25,916 --> 00:03:28,377
Then my stupid tics messed up my getaway.

59
00:03:28,794 --> 00:03:30,545
There's significant tissue swelling

60
00:03:30,545 --> 00:03:32,839
and massive hematoma
at the proximal humerus.

61
00:03:34,633 --> 00:03:37,219
The fracture has caused
an acute compartment syndrome.

62
00:03:37,219 --> 00:03:38,971
You need surgery right away.

63
00:03:53,902 --> 00:03:56,446
What were you doing
when you started getting dizzy?

64
00:03:56,571 --> 00:04:00,117
{\an8}I was sitting in gym class
and then the room started to spin.

65
00:04:00,367 --> 00:04:03,245
{\an8}And then I threw up.
But I wasn't doing it.

66
00:04:04,579 --> 00:04:07,207
{\an8}I just introduced Carter
to the <i>Wonder Woman</i> comics.

67
00:04:07,207 --> 00:04:11,670
- He's been trying to learn the twirl.
- I don't blame you. The twirl is awesome.

68
00:04:12,671 --> 00:04:15,382
- Where's my little guy?
- Hey, Mama E.

69
00:04:16,008 --> 00:04:17,592
Hey, Carter G.

70
00:04:18,969 --> 00:04:23,223
- You should have called me immediately.
- Elaine's my mom.

71
00:04:24,599 --> 00:04:26,852
I don't need your permission
to bring him here.

72
00:04:26,852 --> 00:04:29,855
Actually, you do. I'm his legal guardian.

73
00:04:30,939 --> 00:04:34,860
- What's wrong with him?
- His heart rate is quite low.

74
00:04:34,860 --> 00:04:36,153
What does that mean?

75
00:04:36,153 --> 00:04:39,990
Carter has an abnormality of electrical
signals controlling his heartbeat.

76
00:04:39,990 --> 00:04:43,952
{\an8}We need to run some tests.
Echo and electrophysiology study.

77
00:04:54,046 --> 00:04:58,592
{\an8}- The prodigal resident returns.
- Lovely to see you as well, Dr. Reznick.

78
00:04:59,051 --> 00:05:02,304
{\an8}Will the hospital be getting a new wing
in the Kalu family name?

79
00:05:02,304 --> 00:05:04,347
My family are doing well, thanks.

80
00:05:05,599 --> 00:05:08,810
{\an8}And I was recruited to return
based on my training,

81
00:05:08,810 --> 00:05:13,023
{\an8}breadth of experience and willingness
to take a demotion back to a first-year.

82
00:05:13,023 --> 00:05:15,901
It's gonna be hellish
being bossed around by newbies

83
00:05:15,901 --> 00:05:19,946
and people who used to be your peers.
Grab me that box on the top shelf.

84
00:05:20,530 --> 00:05:21,531
I missed you too.

85
00:05:22,616 --> 00:05:25,911
{\an8}While I was away,
I learned how to read emotional energy.

86
00:05:26,787 --> 00:05:29,414
{\an8}And snapping at people
is your love language.

87
00:05:31,083 --> 00:05:32,793
Happy to know you still care.

88
00:05:36,088 --> 00:05:38,090
{\an8}- Good luck, newbie.
- Thanks.

89
00:05:39,091 --> 00:05:43,053
{\an8}I've got to get to surgery. Enjoy.

90
00:05:50,018 --> 00:05:53,313
Your control of the shaft segment
is very precise.

91
00:05:54,106 --> 00:05:55,023
Thank you.

92
00:05:56,650 --> 00:05:57,943
{\an8}Brown retractor.

93
00:05:59,903 --> 00:06:01,113
{\an8}No brown retractor.

94
00:06:02,322 --> 00:06:04,241
I thought I put it on your tray.

95
00:06:04,241 --> 00:06:06,993
{\an8}My tools
must be individually selected, sterilized

96
00:06:06,993 --> 00:06:10,914
{\an8}and placed in my tray
before I begin the surgery.

97
00:06:10,914 --> 00:06:12,624
Understood. Got it.

98
00:06:14,000 --> 00:06:17,838
That will do.
Further expose the proximal humerus.

99
00:06:18,922 --> 00:06:22,134
{\an8}Place sutures in rotator cuff
to mobilize humeral head.

100
00:06:23,510 --> 00:06:26,680
{\an8}Sorry for dropping the ball
with your tools. Rookie mistake.

101
00:06:26,680 --> 00:06:29,891
Don't sweat it.
You're BFFs with the boss, right?

102
00:06:31,184 --> 00:06:34,479
{\an8}I treat every resident the same.

103
00:06:34,479 --> 00:06:39,651
{\an8}Dr. Allen, place Steinmann pins
proximal to biceps tendon.

104
00:06:40,402 --> 00:06:42,112
Dr. Kalu, you are on suction.

105
00:06:51,163 --> 00:06:53,165
Catheter placed in axillary vein.

106
00:06:54,374 --> 00:06:56,084
{\an8}I feel bad for Carter's mom.

107
00:06:56,084 --> 00:06:58,378
{\an8}I can't imagine trying to raise a kid

108
00:06:58,378 --> 00:07:01,131
{\an8}with my mother backseat-driving
my every move.

109
00:07:01,298 --> 00:07:05,260
{\an8}Well, maybe if Bianca told Elaine
she was taking Carter to the hospital,

110
00:07:05,260 --> 00:07:06,845
{\an8}she would trust her more.

111
00:07:07,345 --> 00:07:08,305
{\an8}Pacing wire.

112
00:07:08,305 --> 00:07:11,516
{\an8}Bianca was probably doing
what she thought was best.

113
00:07:13,143 --> 00:07:15,812
{\an8}Withholding information
is never for the best.

114
00:07:17,606 --> 00:07:19,774
Advancing to the right ventricle.

115
00:07:19,774 --> 00:07:23,236
{\an8}- Everything okay between you two?
- We're fine.

116
00:07:29,034 --> 00:07:30,285
That can't be right.

117
00:07:30,285 --> 00:07:33,330
I need contrast to clear up
what I'm seeing on fluoroscopy.

118
00:07:38,126 --> 00:07:40,003
L-transposition of the great arteries.

119
00:07:40,587 --> 00:07:44,633
{\an8}The ventricles are... inverted.

120
00:07:44,633 --> 00:07:47,802
{\an8}His heart is... backward.

121
00:07:57,479 --> 00:07:59,105
Your surgery went well.

122
00:07:59,105 --> 00:08:02,192
{\an8}We decompressed and released
your compartment syndrome

123
00:08:02,192 --> 00:08:04,110
{\an8}and stabilize your humerus fracture.

124
00:08:04,277 --> 00:08:08,365
- Great. When can I go back to school?
- A few days. Be sure to wear your sling.

125
00:08:08,865 --> 00:08:12,077
- You're not going back to school.
- Why not?

126
00:08:12,077 --> 00:08:15,038
It's not safe. I'm not sending
you back so they can hurt you.

127
00:08:15,038 --> 00:08:17,707
I'm not a baby. I can take care of myself.

128
00:08:17,707 --> 00:08:19,417
I need to take your vitals.

129
00:08:19,417 --> 00:08:22,254
If you could,
we wouldn't have ended up in the hospital.

130
00:08:22,254 --> 00:08:25,465
Going to school is literally
the only thing I do that's normal.

131
00:08:25,465 --> 00:08:26,758
I don't want to be--

132
00:08:29,052 --> 00:08:33,139
I don't want to be stuck at home with you.
You never let me do anything by--

133
00:08:34,099 --> 00:08:37,352
- Yara.
- She's having a seizure.

134
00:08:37,352 --> 00:08:40,355
We need two milligrams of lorazepam
and MRI, stat!

135
00:08:57,289 --> 00:08:58,915
She's sleeping like a baby.

136
00:09:01,126 --> 00:09:04,754
You should've used propofol
instead of Versed to sedate her.

137
00:09:04,754 --> 00:09:08,425
Versed is old-school.
Same effects, none of the overshooting.

138
00:09:10,677 --> 00:09:13,596
- Why are you changing my settings?
- Peds case.

139
00:09:13,972 --> 00:09:17,267
Shorter duration imaging sequences
cuts the time in half.

140
00:09:19,185 --> 00:09:20,979
It's your first day, remember?

141
00:09:20,979 --> 00:09:24,691
You could probably use a refresher
before trying a shortcut.

142
00:09:24,691 --> 00:09:28,153
I'm a little out of practice,
but I got a few tricks up my sleeve.

143
00:09:29,195 --> 00:09:32,407
- Says the guy who has to repeat a year.
- Ow.

144
00:09:35,160 --> 00:09:39,289
Shaun will appreciate getting
Yara's results back faster. Trust me.

145
00:09:41,458 --> 00:09:43,126
You know him better than me.

146
00:09:47,047 --> 00:09:51,259
Was the patient properly sedated
before you began this MRI?

147
00:09:51,259 --> 00:09:54,304
Yeah. I used the standard
pediatric protocol with Versed.

148
00:09:54,304 --> 00:09:58,433
Did Dr. Allen tell you
about our revised propofol protocol?

149
00:09:59,476 --> 00:10:02,437
Yeah. But in my experience
Versed provides better--

150
00:10:02,437 --> 00:10:06,316
- You should've listened to Dr. Allen.
- I know how to perform an MRI, Shaun.

151
00:10:06,316 --> 00:10:09,235
You apparently do not.

152
00:10:09,235 --> 00:10:13,031
There is too much motion degradation.
These images are unusable.

153
00:10:13,615 --> 00:10:18,620
Dr. Allen, please go redo the MRI.
Dr. Kalu, we need to speak privately.

154
00:10:31,508 --> 00:10:33,301
You cannot take shortcuts.

155
00:10:35,637 --> 00:10:37,347
You're right. Sorry.

156
00:10:38,056 --> 00:10:42,852
You cannot expect special treatment
because you are my friend.

157
00:10:44,604 --> 00:10:46,815
I'm not expecting
special treatment, Shaun.

158
00:10:47,315 --> 00:10:50,402
But I don't appreciate
being treated like an intern either.

159
00:10:50,860 --> 00:10:54,989
Technically, I'm a first-year, but I've
been a doctor for as long as you have.

160
00:10:54,989 --> 00:10:59,119
We are not peers. I am your boss
and you have a lot to learn.

161
00:10:59,119 --> 00:11:02,705
Dr. Andrews said he is judging
my performance off of your performance,

162
00:11:02,705 --> 00:11:04,082
and it is not good.

163
00:11:07,043 --> 00:11:08,044
Okay?

164
00:11:09,712 --> 00:11:12,006
- Okay.
- Good.

165
00:11:12,465 --> 00:11:14,342
You need to go practice basic skills

166
00:11:14,342 --> 00:11:16,886
and observe our current
standardized MRI process.

167
00:11:26,604 --> 00:11:30,608
Heart block plus inverted cardiac anatomy.
What's your plan?

168
00:11:30,608 --> 00:11:34,320
Intravenous pacemaker is out.
We could place it surgically.

169
00:11:34,320 --> 00:11:36,489
Doesn't address the anatomy issue.

170
00:11:36,489 --> 00:11:38,992
It could lead to heart failure
as he gets older.

171
00:11:38,992 --> 00:11:41,286
It could.
He might be fine with the pacemaker.

172
00:11:41,286 --> 00:11:43,872
If he's developed arrhythmia,
not a great sign.

173
00:11:45,039 --> 00:11:47,333
I'd recommend
the double switch reconstruction.

174
00:11:47,333 --> 00:11:49,544
Redirect blood flow
to the right ventricle.

175
00:11:49,544 --> 00:11:52,755
- I have Carter's BMP and cardiac labs.
- I received them digitally.

176
00:11:54,716 --> 00:11:57,677
But the hard copies
are always appreciated.

177
00:12:00,013 --> 00:12:02,098
- Trouble in paradise?
- Everything's fine.

178
00:12:02,098 --> 00:12:04,225
They're in this passive-aggressive fight.

179
00:12:04,225 --> 00:12:07,228
- We're not fighting.
- That would require you talking to me.

180
00:12:09,731 --> 00:12:11,191
You don't have to share.

181
00:12:11,191 --> 00:12:13,109
But you do have two divorcees

182
00:12:13,109 --> 00:12:16,237
with a sadly ample amount
of experience between us.

183
00:12:16,237 --> 00:12:18,531
Was one of you in contact with an ex?

184
00:12:18,531 --> 00:12:20,867
Took an out-of-state job
without including you?

185
00:12:25,246 --> 00:12:27,499
Jerome lied to me
about something important.

186
00:12:27,499 --> 00:12:29,667
- I didn't.
- Omission is still a lie.

187
00:12:29,667 --> 00:12:31,544
- Not that simple.
- Should've told me.

188
00:12:31,544 --> 00:12:32,837
- I wanted to.
- You didn't.

189
00:12:32,837 --> 00:12:34,547
I was afraid of how you'd react.

190
00:12:37,967 --> 00:12:39,010
But you're right.

191
00:12:39,010 --> 00:12:42,013
It never should have been a secret.
There's nothing to hide.

192
00:12:42,722 --> 00:12:43,765
I'm HIV positive.

193
00:12:44,974 --> 00:12:48,895
Thanks to my meds, my viral load
has been undetectable for years.

194
00:12:49,771 --> 00:12:51,898
I'm poz undetectable.

195
00:12:53,441 --> 00:12:55,068
I can't transmit the virus.

196
00:13:03,451 --> 00:13:04,786
You should go talk to him.

197
00:13:06,621 --> 00:13:07,872
I have work to do.

198
00:13:08,998 --> 00:13:11,793
Present the double switch surgery
to the family.

199
00:13:11,793 --> 00:13:14,128
- If they agree, I'll scrub in.
- On it.

200
00:13:19,968 --> 00:13:23,429
No. How did we get from a pacemaker
to reconstructing his heart?

201
00:13:23,429 --> 00:13:25,056
The procedure may sound drastic,

202
00:13:25,056 --> 00:13:27,976
but it will reduce his risk
of developing heart failure.

203
00:13:27,976 --> 00:13:29,727
Can't we give him the pacemaker

204
00:13:29,727 --> 00:13:32,021
and do the surgery
if the problem gets worse?

205
00:13:32,021 --> 00:13:36,025
When he shows signs of heart failure,
it'll be too late for the reconstruction.

206
00:13:37,360 --> 00:13:40,196
- We should fix it now.
- This isn't your decision.

207
00:13:42,198 --> 00:13:45,410
You're still making me pay for mistakes
I made when I was 17?

208
00:13:45,410 --> 00:13:50,039
- And eighteen, nineteen, twenty--
- I've been back for two years.

209
00:13:50,039 --> 00:13:53,042
How can I be a mother
when you won't give me a chance?

210
00:13:53,626 --> 00:13:56,921
Mama? Mama E? I don't feel good.

211
00:14:00,800 --> 00:14:03,344
- It's okay, baby. I'm here.
- Honey, what's wrong?

212
00:14:03,344 --> 00:14:08,224
- My chest hurts.
- Heart rate is 40bpm. BP 73/45.

213
00:14:08,224 --> 00:14:11,519
We need a decision soon
before his condition deteriorates.

214
00:14:20,320 --> 00:14:23,615
I wanted to apologize for earlier.
It was unprofessional.

215
00:14:28,202 --> 00:14:32,457
You have nothing to apologize for...
and no duty to disclose.

216
00:14:32,957 --> 00:14:35,251
Undetectable equals untransmittable.

217
00:14:36,586 --> 00:14:38,296
I appreciate you saying that.

218
00:14:40,798 --> 00:14:43,509
- Give Asher some time.
- He's a doctor.

219
00:14:44,677 --> 00:14:47,597
He knows there was never any risk to him.

220
00:14:49,432 --> 00:14:51,934
What people know
and how it makes them feel

221
00:14:51,934 --> 00:14:54,145
are often two very different things.

222
00:14:56,981 --> 00:15:01,152
You've had years to process your status.
Allow Asher to process it too.

223
00:15:06,407 --> 00:15:11,412
- Please do not say "I told you so."
- I won't. But I'm gonna think it.

224
00:15:12,914 --> 00:15:14,457
You seem a little spoiled.

225
00:15:16,542 --> 00:15:17,627
You don't know me.

226
00:15:20,421 --> 00:15:24,676
You come from money and you
haven't had to work hard for anything.

227
00:15:24,926 --> 00:15:27,261
You made it through med school.
Bravo to that.

228
00:15:27,261 --> 00:15:29,055
You got kicked out of this program,

229
00:15:29,055 --> 00:15:32,266
but landed on your feet
taking care of a billionaire.

230
00:15:32,266 --> 00:15:35,520
And when you got tired of that,
you were welcomed back here.

231
00:15:35,728 --> 00:15:39,565
You come in with your fancy car
and your old tricks

232
00:15:39,565 --> 00:15:43,486
and think, "Ta-da. I'm a surgeon."
But you're not. Yet.

233
00:15:44,612 --> 00:15:48,825
You're the new kid.
Shaun is the boss and I have seniority.

234
00:15:51,035 --> 00:15:53,871
You should've listened to Kendrick.
Be humble.

235
00:16:03,715 --> 00:16:08,136
I just want to prove that I belong here...
to Shaun, to everyone.

236
00:16:09,470 --> 00:16:13,307
- But you're right.
- I know.

237
00:16:20,189 --> 00:16:22,442
The image is still not
high enough resolution.

238
00:16:23,317 --> 00:16:25,611
Have you finished redoing the imaging?

239
00:16:25,611 --> 00:16:29,574
Yes, and I followed all the protocols,
but the image still doesn't look clear.

240
00:16:32,952 --> 00:16:38,040
The image is clear...
but Yara's diagnosis was incorrect.

241
00:16:39,417 --> 00:16:42,628
She does not have Tourette's.
She has a brain tumor.

242
00:16:55,308 --> 00:16:56,726
I don't have Tourette's?

243
00:16:56,726 --> 00:17:00,521
No. You have a hypothalamic hamartoma.
Your tics aren't tics.

244
00:17:00,521 --> 00:17:03,566
They are gelastic seizures
caused by the tumor in your brain.

245
00:17:03,733 --> 00:17:07,528
- Tumor? Does that mean cancer?
- The tumor is not cancerous.

246
00:17:07,528 --> 00:17:11,866
But a Gamma Knife radiosurgery should stop
it from growing and treat the seizures.

247
00:17:15,244 --> 00:17:17,622
Will it stop this?

248
00:17:19,207 --> 00:17:23,294
- Not immediately.
- And possibly not at all.

249
00:17:23,836 --> 00:17:27,924
There are other options you can consider
if you don't see improvement.

250
00:17:32,178 --> 00:17:34,388
Or we could consider them now.

251
00:17:37,600 --> 00:17:40,645
A successful resection
could stop the seizures immediately.

252
00:17:40,645 --> 00:17:44,607
- That procedure is risky.
- But that means I can go back to school.

253
00:17:44,607 --> 00:17:47,860
I could learn how to drive,
take care of myself.

254
00:17:47,860 --> 00:17:50,822
Mommy, please. I just want to be normal.

255
00:17:51,531 --> 00:17:54,116
Tumor resection can cause stroke,

256
00:17:54,116 --> 00:17:56,577
partial paralysis,
learning deficits, meningitis.

257
00:17:57,370 --> 00:18:00,081
The Gamma Knife is much safer.

258
00:18:03,417 --> 00:18:06,128
- Yara, I'm sorry. I can't--
- You can.

259
00:18:07,588 --> 00:18:08,923
You just won't let me.

260
00:18:10,716 --> 00:18:14,720
Please go ahead
and schedule the Gamma Knife procedure.

261
00:18:26,941 --> 00:18:28,442
Have you made a decision?

262
00:18:30,528 --> 00:18:32,697
I'm afraid of exposing Carter
to more trauma.

263
00:18:34,282 --> 00:18:37,368
- What trauma?
- He was left by his mother.

264
00:18:37,869 --> 00:18:39,078
I left him with you.

265
00:18:39,078 --> 00:18:42,373
And expected me to pick up the pieces,
fix everything.

266
00:18:42,373 --> 00:18:45,376
I knew he was safer with you than with me.

267
00:18:45,376 --> 00:18:46,878
But I didn't know that.

268
00:18:47,461 --> 00:18:51,674
I gave you too much freedom, wasn't
involved enough. Look what happened.

269
00:18:52,133 --> 00:18:55,052
My mistakes were mine, not yours.

270
00:18:58,389 --> 00:19:02,476
I was supposed to protect you.
And we lost you.

271
00:19:03,477 --> 00:19:05,062
I have to do better for Carter.

272
00:19:06,939 --> 00:19:10,026
The surgery is what's best for Carter,
long-term.

273
00:19:13,404 --> 00:19:14,864
That kid is my heart.

274
00:19:20,119 --> 00:19:21,996
I'm gonna trust you to fix his.

275
00:19:31,130 --> 00:19:35,134
- Lunchtime. I'm starved.
- I am not hungry.

276
00:19:35,134 --> 00:19:38,179
It's not good to deprive
your pregnant wife her lunch.

277
00:19:38,179 --> 00:19:40,806
I thought it'd be fun
working with a friend.

278
00:19:40,806 --> 00:19:42,725
It is not fun. It is difficult.

279
00:19:43,309 --> 00:19:47,396
I do not want people to think
I am giving Dr. Kalu special treatment,

280
00:19:47,396 --> 00:19:48,481
because I am not.

281
00:19:48,481 --> 00:19:52,485
In fact, I am being very firm
because he has already made several errors

282
00:19:52,485 --> 00:19:54,278
and I do not understand why.

283
00:19:55,404 --> 00:19:58,532
He's a new resident on his first day.

284
00:19:58,783 --> 00:20:00,952
There has to be a bit of a learning curve.

285
00:20:01,744 --> 00:20:04,038
He is not acting like a new resident.

286
00:20:04,163 --> 00:20:07,708
Well, he's your friend,
and he knows you expect a lot of him.

287
00:20:09,585 --> 00:20:12,880
No one can follow the rules
if they don't know what they are.

288
00:20:25,309 --> 00:20:29,313
Atrial septum excised.
Starting venous reconstruction.

289
00:20:30,022 --> 00:20:33,526
May not be enough tissue for redirection
of flow to the tricuspid valve.

290
00:20:33,526 --> 00:20:36,404
We can use pericardium
to create a baffle. Metz.

291
00:20:39,699 --> 00:20:43,285
- You make up with Jerome yet?
- He betrayed my trust.

292
00:20:45,371 --> 00:20:49,000
Securing edge to atrial septum.

293
00:20:49,166 --> 00:20:53,254
- You've never hidden anything from him?
- I'd never hide something like this.

294
00:20:53,546 --> 00:20:56,465
Congratulations.
You win the virtue contest.

295
00:20:56,465 --> 00:20:59,260
Possible prizes include
the end of your relationship.

296
00:21:00,177 --> 00:21:03,389
Or you could just talk it out.
Dividing the aorta.

297
00:21:04,598 --> 00:21:08,728
He's the one who changed things.
Why is it on me to figure that out?

298
00:21:09,145 --> 00:21:12,773
The question is, do you love
Jerome enough to change with him?

299
00:21:12,773 --> 00:21:14,984
Suturing distal aorta to pulmonary valve.

300
00:21:15,776 --> 00:21:18,904
Coronary arteries are patent.
Anastomosis looks great.

301
00:21:23,075 --> 00:21:26,370
I never met a teenager who wanted
to go to school as much as you.

302
00:21:29,540 --> 00:21:30,624
I hate school.

303
00:21:31,584 --> 00:21:35,046
But I hate not being able to control
anything in my life even more.

304
00:21:35,046 --> 00:21:37,339
Egging those lockers
made you feel in control?

305
00:21:37,840 --> 00:21:41,635
Kinda. Those bullies messed with me,
I messed with them back.

306
00:21:41,635 --> 00:21:42,928
Like normal kids do.

307
00:21:49,268 --> 00:21:51,353
I was bullied a lot in high school.

308
00:21:52,563 --> 00:21:56,442
I was scrawny, with braces, a lisp.
Basically a target on my back.

309
00:21:57,234 --> 00:22:01,781
But my mum helped me. Gave me her credit
card to buy them off with pizza and candy.

310
00:22:02,656 --> 00:22:04,200
My mom is too helpful.

311
00:22:05,659 --> 00:22:08,120
She won't even let me make my own PB

312
00:22:10,664 --> 00:22:13,375
She thinks I'll tic out
and hurt myself with the knife.

313
00:22:14,752 --> 00:22:17,338
When my body isn't controlling me, she is.

314
00:22:19,465 --> 00:22:23,052
When you said you can cut this tumor
out of my head, for 30 seconds,

315
00:22:23,803 --> 00:22:27,014
I could imagine only laughing
when something was funny.

316
00:22:46,075 --> 00:22:49,870
- I think I found a solution.
- I have found a solution as well.

317
00:22:51,080 --> 00:22:55,251
I have made a list of boundaries and rules
to make our working relationship better.

318
00:22:55,251 --> 00:22:58,879
You need to study them.
What have you found a solution for?

319
00:23:00,422 --> 00:23:02,675
I think I found
a better resection technique.

320
00:23:02,675 --> 00:23:05,678
Has a lower risk profile,
closer to that of a Gamma Knife.

321
00:23:05,678 --> 00:23:08,055
And offers a better outcome for Yara.

322
00:23:08,055 --> 00:23:12,935
I presented the safest option
to the patient, which she agreed to.

323
00:23:13,144 --> 00:23:17,565
And you should not have presented
the tumor resection without consulting me.

324
00:23:17,565 --> 00:23:20,860
That is an important boundary.
Number two on the list.

325
00:23:22,987 --> 00:23:25,489
I thought you'd be happy
I was thinking like you.

326
00:23:25,489 --> 00:23:29,076
- You're not me. You're here to learn.
- I'm here to help people like Yara.

327
00:23:29,076 --> 00:23:32,371
You need to respect I'm your attending.
Number six on the list.

328
00:23:32,371 --> 00:23:35,082
Don't have to be an attending
to know she's depressed.

329
00:23:35,082 --> 00:23:38,586
We cannot make medical decisions
based off of the patient's emotions.

330
00:23:38,586 --> 00:23:41,380
Sometimes the emotions
are just as important as medical.

331
00:23:41,380 --> 00:23:43,674
You are making my job very hard.

332
00:23:46,427 --> 00:23:47,386
Number ten,

333
00:23:48,596 --> 00:23:52,433
at work, follow my instructions precisely.

334
00:23:53,309 --> 00:23:56,770
If you cannot comply,
you will be out of the program.

335
00:24:24,757 --> 00:24:25,883
I really messed up.

336
00:24:26,842 --> 00:24:30,137
I should have trusted you,
been upfront about everything.

337
00:24:30,137 --> 00:24:31,555
Yeah, you should have.

338
00:24:34,183 --> 00:24:37,728
After my diagnosis, it took a long time
for me to feel comfortable dating,

339
00:24:37,728 --> 00:24:39,188
or being around people.

340
00:24:40,314 --> 00:24:42,107
I spent so much time alone.

341
00:24:42,107 --> 00:24:45,569
And when I put myself back out there,
there was a lot of rejection.

342
00:24:46,195 --> 00:24:48,822
Guys just didn't want
to deal with my status.

343
00:24:51,158 --> 00:24:57,706
So when this adorable, brilliant doctor
popped into my life...

344
00:24:59,959 --> 00:25:01,669
and I liked him so much...

345
00:25:03,712 --> 00:25:06,048
I was too scared to tell him the truth.

346
00:25:07,800 --> 00:25:08,884
I'm sorry.

347
00:25:13,806 --> 00:25:17,142
- This doctor sounds pretty great.
- He is.

348
00:25:22,731 --> 00:25:26,485
I made sure we always used protection,
encouraged you to stay on PrEP.

349
00:25:26,485 --> 00:25:28,779
All to make sure that you were safe.

350
00:25:29,697 --> 00:25:33,075
That was a decision
that you made for the both of us.

351
00:25:35,452 --> 00:25:37,913
You did those things
to make yourself feel better,

352
00:25:38,622 --> 00:25:40,833
while you took away my choice.

353
00:25:44,795 --> 00:25:47,172
How could you have known me and loved me

354
00:25:47,172 --> 00:25:50,342
and think that this is something
I couldn't accept?

355
00:25:50,342 --> 00:25:56,056
When I first had to make this decision,
I didn't love you. I barely knew you.

356
00:25:56,682 --> 00:25:58,600
And I'm not sure I know you now.

357
00:26:02,479 --> 00:26:05,566
I made a mistake.
That doesn't change who I am.

358
00:26:05,566 --> 00:26:09,028
No, but maybe it changes how I feel.

359
00:26:13,699 --> 00:26:16,076
I'm sorry that I put you through this,

360
00:26:16,952 --> 00:26:20,331
but I'm still the one living
with this disease, and it's not easy.

361
00:26:26,003 --> 00:26:27,880
It's Carter. I have to go.

362
00:26:37,931 --> 00:26:41,393
He woke up and was laughing
about his comic book, then he turned blue.

363
00:26:41,393 --> 00:26:44,980
Oxygen saturation at 80%.120 bpm.
Blood pressure's dropping.

364
00:26:44,980 --> 00:26:48,984
Administering oxygen
and 250cc normal saline bolus.

365
00:26:49,109 --> 00:26:52,196
Why can't he breathe? The surgery
was supposed to prevent this.

366
00:26:52,196 --> 00:26:55,407
Normal lead impedance.
The pacemaker is functioning properly.

367
00:26:55,407 --> 00:26:58,452
Something else is going on.
We need a cardiac echo, stat.

368
00:27:06,710 --> 00:27:10,255
A kink in Carter's reconstructed atria
caused a clot in his heart.

369
00:27:11,006 --> 00:27:14,635
He's stable. But he needs
another operation to remove the clot

370
00:27:14,635 --> 00:27:16,095
and repair the conduit.

371
00:27:16,095 --> 00:27:17,971
Are there other alternatives?

372
00:27:17,971 --> 00:27:21,183
We could use a catheter
to dissolve the blockage with medication.

373
00:27:21,183 --> 00:27:23,977
But that still leaves the risk
of a clot forming again.

374
00:27:23,977 --> 00:27:29,024
- I knew doing this was the wrong decision.
- We both want what's best for Carter.

375
00:27:29,024 --> 00:27:33,028
- I'm the one responsible for him.
- And I'm sorry I put that on you.

376
00:27:35,239 --> 00:27:39,159
I will never forgive myself for losing out
on those years of Carter's life,

377
00:27:39,159 --> 00:27:44,373
but I've realized that I need to try
to let go of that, let go of my regret,

378
00:27:44,373 --> 00:27:45,999
and focus on what I know.

379
00:27:47,126 --> 00:27:50,379
That leaving him with you
was the best decision for him.

380
00:27:51,630 --> 00:27:53,173
That will never change.

381
00:27:56,510 --> 00:27:59,471
And this surgery
is the right decision for him too.

382
00:28:10,065 --> 00:28:11,316
You're his mother.

383
00:28:16,822 --> 00:28:18,740
You know what's best for Carter.

384
00:28:24,830 --> 00:28:26,665
I want my son to have the surgery.

385
00:28:40,721 --> 00:28:43,182
- You were right.
- I usually am.

386
00:28:46,018 --> 00:28:47,978
What was I right about, exactly?

387
00:28:49,021 --> 00:28:50,856
I came out of the gate too hot,

388
00:28:51,940 --> 00:28:54,985
annoyed Shaun, screwed things up for Yara.

389
00:28:56,570 --> 00:28:57,571
Agree.

390
00:28:59,239 --> 00:29:03,368
- I gotta figure out my next move.
- Listen.

391
00:29:10,209 --> 00:29:14,755
This whole case,
you've been pitching and shortcutting

392
00:29:14,755 --> 00:29:17,799
and trying to be Mr. Fix-it
for everything.

393
00:29:18,592 --> 00:29:22,221
Stop flexing... and listen.

394
00:29:34,149 --> 00:29:37,319
Mom, let me try
the tumor resection surgery. Please.

395
00:29:37,319 --> 00:29:38,695
I'm sorry. No.

396
00:29:41,198 --> 00:29:44,368
- We're ready for you.
- All right, baby.

397
00:29:47,621 --> 00:29:51,750
But first... I want you to tell
your mum what you told me.

398
00:29:53,126 --> 00:29:56,255
About what you're dealing with,
what the surgery means to you.

399
00:29:56,255 --> 00:30:00,342
- I know. I see it every day.
- Have you listened to how it feels to her?

400
00:30:02,761 --> 00:30:05,556
- She doesn't care.
- Of course I do.

401
00:30:06,223 --> 00:30:08,141
You just want to boss me around.

402
00:30:10,727 --> 00:30:12,229
I'm just trying to help,

403
00:30:12,229 --> 00:30:15,440
but no matter what I do,
you're always so angry at me.

404
00:30:15,440 --> 00:30:16,525
I'm angry--

405
00:30:19,903 --> 00:30:21,363
I'm angry at everything.

406
00:30:22,823 --> 00:30:25,492
I'm angry at my body
for not doing what I want it to do.

407
00:30:25,951 --> 00:30:28,328
I'm angry at other kids for being jerks.

408
00:30:28,996 --> 00:30:30,330
And I'm angry at you...

409
00:30:31,290 --> 00:30:35,335
for acting like the only way for me
to survive is where you're protecting me.

410
00:30:35,752 --> 00:30:40,340
I feel like I'm a puppet, and somebody
else is constantly pulling the strings,

411
00:30:40,340 --> 00:30:41,925
yanking me all around.

412
00:30:42,634 --> 00:30:46,680
Getting this tumor removed
is the only way for me to cut the strings.

413
00:30:54,646 --> 00:30:56,565
Don't take her yet.

414
00:30:59,234 --> 00:31:00,360
We need to talk.

415
00:31:17,836 --> 00:31:21,256
I need you to scrub in
on a hypothalamic hamartoma surgery.

416
00:31:21,256 --> 00:31:22,215
Okay.

417
00:31:22,215 --> 00:31:24,468
I had planned to use
Gamma Knife radiation,

418
00:31:24,468 --> 00:31:28,513
but Dr. Kalu violated rule number two
and we have to do his tumor resection.

419
00:31:28,513 --> 00:31:31,475
You're upset with Jared
'cause he changed your plan?

420
00:31:31,475 --> 00:31:35,520
He overstepped with me
and the patient and her mother.

421
00:31:36,063 --> 00:31:38,899
Tumor resection
seems like a pretty good idea.

422
00:31:38,899 --> 00:31:41,485
Are you planning on
letting Jared scrub in?

423
00:31:41,777 --> 00:31:45,489
- Yes. He will be on suction.
- That's an insult.

424
00:31:46,031 --> 00:31:50,827
He has to learn to follow rules.
He has made my job very difficult.

425
00:31:51,036 --> 00:31:52,245
Shaun, sit down.

426
00:31:57,334 --> 00:32:01,463
When you were a resident,
you did things completely your own way.

427
00:32:02,005 --> 00:32:05,425
You still do.
You rubbed everybody the wrong way.

428
00:32:05,425 --> 00:32:08,303
You made everybody's job more difficult,
especially mine.

429
00:32:08,303 --> 00:32:09,721
You were a pain in the ass.

430
00:32:10,931 --> 00:32:14,810
But we gave you the space to learn,
and we learned from you.

431
00:32:15,185 --> 00:32:19,064
And you turned yourself into an asset.
Give Jared the same opportunity.

432
00:32:19,064 --> 00:32:20,565
Okay, he overstepped.

433
00:32:20,565 --> 00:32:25,362
Give him a chance to learn
and to prove himself to be an asset.

434
00:32:26,029 --> 00:32:28,573
Even if you think he's a pain in the ass.

435
00:32:31,368 --> 00:32:34,746
- I will take it into consideration.
- Okay.

436
00:32:36,748 --> 00:32:38,750
Please scrub in for that surgery.

437
00:32:52,013 --> 00:32:55,559
Advance the catheter and endoscope
gently into the ventricle.

438
00:32:57,436 --> 00:33:01,148
Suction and irrigate more aggressively
so she can see what she is doing.

439
00:33:03,775 --> 00:33:08,530
Proceed along the midline posteroinferior
floor of the third ventricle.

440
00:33:10,073 --> 00:33:13,618
- There's the tumor. We can begin excision.
- Bipolar scissors.

441
00:33:19,750 --> 00:33:20,876
Forceps.

442
00:33:37,434 --> 00:33:39,853
- I'll take the specimen to pathology.
- No.

443
00:33:41,980 --> 00:33:44,149
You are going to close.

444
00:33:45,817 --> 00:33:46,735
You sure?

445
00:33:50,572 --> 00:33:53,325
This was your surgical plan.

446
00:33:54,785 --> 00:33:58,455
You will become a better surgeon
by getting a fair shot to be an asset.

447
00:33:58,955 --> 00:34:02,083
I will take the specimen.
Dr. Glassman will supervise.

448
00:34:16,431 --> 00:34:17,557
I'm hungry.

449
00:34:20,018 --> 00:34:21,478
That's a very good sign.

450
00:34:21,478 --> 00:34:24,773
I'll run to the cafe and grab him
some food. Any restrictions?

451
00:34:24,773 --> 00:34:27,400
He can have as many chicken nuggets
as he wants.

452
00:34:27,567 --> 00:34:30,654
I'll go down.
I'll get something for you to eat too.

453
00:34:30,654 --> 00:34:33,281
You haven't left his side
since we got here.

454
00:34:34,324 --> 00:34:37,911
- Comes with being a good mom.
- I had a great teacher.

455
00:34:39,454 --> 00:34:41,122
You know, a little birdie told me

456
00:34:41,122 --> 00:34:45,502
that the giftshop just got in
the latest volume of <i>Wonder Woman.</i>

457
00:34:46,127 --> 00:34:50,382
- Really? Can we get it?
- If your mom is okay with it.

458
00:34:51,174 --> 00:34:55,387
- Of course.
- But no twirling just yet. Okay?

459
00:35:03,645 --> 00:35:05,897
Dr. Murphy was able
to remove all of the tumor.

460
00:35:09,484 --> 00:35:12,028
- Yara?
- Dr. Kalu?

461
00:35:14,072 --> 00:35:15,156
Memory is intact.

462
00:35:24,124 --> 00:35:27,794
The light didn't provoke a seizure.
And your tics are gone.

463
00:35:29,170 --> 00:35:32,883
- Thank you, Dr. Kalu.
- Thank you, Yara.

464
00:35:54,112 --> 00:35:55,030
Dr. Andrews.

465
00:35:56,656 --> 00:35:59,993
Heard about your work on the Fields case.
Good job.

466
00:36:00,368 --> 00:36:04,205
Thank you.
I just came in to ask you for a favor.

467
00:36:06,166 --> 00:36:10,962
- Please judge me for my work, not Shaun.
- Shaun is part of the reason you're here.

468
00:36:10,962 --> 00:36:14,382
I appreciate him for that.
But I want to stand on my own.

469
00:36:15,050 --> 00:36:17,969
If I sink, I don't want
to take my friend with me.

470
00:36:18,553 --> 00:36:21,264
I'm ready to prove myself
as an asset to this hospital.

471
00:36:23,516 --> 00:36:25,977
- I'll be watching.
- Thank you.

472
00:36:54,464 --> 00:36:56,424
I'm sorry for being such a jerk.

473
00:37:01,805 --> 00:37:04,808
You opened yourself up and I shut down.

474
00:37:07,852 --> 00:37:10,981
I should've trusted you,
that we could figure this out together.

475
00:37:11,106 --> 00:37:13,358
Yesterday you said you didn't know me.

476
00:37:13,358 --> 00:37:16,277
That adorable doctor
can be an ass sometimes.

477
00:37:31,418 --> 00:37:33,503
I've never been in love before you.

478
00:37:42,095 --> 00:37:45,140
When I was 16,
I'm pretty sure I ran over a raccoon,

479
00:37:45,140 --> 00:37:48,935
but I didn't stop to check because I was
running late to a baseball game.

480
00:37:50,228 --> 00:37:51,354
Also...

481
00:37:53,732 --> 00:37:57,944
I love a pumpkin spice latte,
even though I know it's basic.

482
00:38:00,405 --> 00:38:02,699
The cufflinks I wore
to Shaun and Lea's wedding--

483
00:38:02,699 --> 00:38:03,658
Yeah.

484
00:38:05,410 --> 00:38:08,538
I bought them for you
but liked them so much I kept them for me.

485
00:38:11,082 --> 00:38:13,126
That explains so much.

486
00:38:13,126 --> 00:38:17,297
But you can totally borrow them sometime.
Probably not.

487
00:38:22,510 --> 00:38:23,553
I love you.

488
00:38:26,514 --> 00:38:28,141
I need you to believe that.

489
00:38:53,750 --> 00:38:57,629
Just came to say good night.
And thank you.

490
00:38:59,255 --> 00:39:01,299
Why are you thanking me?

491
00:39:02,842 --> 00:39:06,179
For not going easy on me.
I was wrong to expect that.

492
00:39:06,513 --> 00:39:07,889
Even if we are friends.

493
00:39:10,850 --> 00:39:12,936
You are a good doctor.

494
00:39:15,063 --> 00:39:19,734
And I would like to continue
to be your friend and your boss...

495
00:39:20,693 --> 00:39:21,861
with boundaries.

496
00:39:23,071 --> 00:39:25,490
You're right. And I'm studying your list.

497
00:39:25,949 --> 00:39:29,119
There is one rule that is not on the list.

498
00:39:34,165 --> 00:39:35,667
It is a rule for me.

499
00:39:40,338 --> 00:39:45,802
I will refer to you... as Dr. Kalu

500
00:39:46,469 --> 00:39:50,807
when I am being your boss
and as Jared when we are in friend mode.

501
00:39:52,684 --> 00:39:56,396
- Yeah. Works for me, Shaun.
- Good.

502
00:39:57,147 --> 00:40:01,526
Jared, I would like to take you out
for drinks to celebrate you being back.

503
00:40:01,526 --> 00:40:04,821
But, Dr. Kalu,
when I checked on Yara post-operatively,

504
00:40:04,821 --> 00:40:08,032
I noticed you only used eight sutures
and she had a small bleed.

505
00:40:08,032 --> 00:40:11,870
You should have used ten. You need
to go work on your suturing technique.

506
00:40:12,787 --> 00:40:14,372
Happy to practice.

507
00:40:15,874 --> 00:40:21,462
But I only replaced the small bone flap.
Dr. Glassman closed the galea and skin.

508
00:40:23,423 --> 00:40:27,468
Dr. Glassman skipped two sutures?

509
00:40:29,679 --> 00:40:30,680
Guess so.

510
00:40:32,765 --> 00:40:35,852
- Meet you for drinks in an hour?
- Okay.


