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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:11,869 --> 00:00:13,369 (SIGHS) What? 2 00:00:13,404 --> 00:00:14,737 It's time to wake up. 3 00:00:14,805 --> 00:00:17,173 Mnh-mnh. It's still dark outside. 4 00:00:17,198 --> 00:00:18,799 I'd like to have sex. 5 00:00:18,824 --> 00:00:20,350 (SIGHS) 6 00:00:20,375 --> 00:00:22,717 As romantically as that was put, 7 00:00:22,742 --> 00:00:24,409 it's too early, Shaun. 8 00:00:25,775 --> 00:00:29,211 It's exactly early enough to have sex 9 00:00:29,245 --> 00:00:31,113 for the average duration it takes us 10 00:00:31,181 --> 00:00:32,781 and still allow precisely enough time 11 00:00:32,849 --> 00:00:34,750 to get ready for work. 12 00:00:34,784 --> 00:00:36,285 (SIGHS) 13 00:00:36,310 --> 00:00:39,146 How long have you been up figuring that out? 14 00:00:39,171 --> 00:00:41,139 Since 4:53. 15 00:00:41,164 --> 00:00:42,798 But it only took two minutes. 16 00:00:44,961 --> 00:00:48,463 You've been waiting since then to propose this? 17 00:00:49,632 --> 00:00:52,434 I let you sleep as long as possible. 18 00:00:54,404 --> 00:00:58,373 That's... very considerate. 19 00:00:59,042 --> 00:01:00,542 Ohh. 20 00:01:00,577 --> 00:01:01,710 ♪ 21 00:01:09,285 --> 00:01:11,787 (LOCKER DOOR OPENS, CLOSES) 22 00:01:11,821 --> 00:01:12,754 ♪ 23 00:01:15,158 --> 00:01:16,425 (CLACK) 24 00:01:16,459 --> 00:01:17,392 ♪ 25 00:01:24,000 --> 00:01:25,667 Sorry, I'm late. 26 00:01:25,735 --> 00:01:26,935 I'm Dr. Shaun Murphy. 27 00:01:26,970 --> 00:01:28,503 Kayley has a sore throat. 28 00:01:28,571 --> 00:01:29,838 [ HOARSELY ] More like this constant feeling 29 00:01:29,906 --> 00:01:31,340 like there's something stuck in my throat. 30 00:01:31,407 --> 00:01:32,908 And I've fainted a couple times, 31 00:01:32,942 --> 00:01:35,218 which I first thought was just random. 32 00:01:35,243 --> 00:01:37,044 And I'm obviously losing my voice. 33 00:01:37,069 --> 00:01:38,570 Since I've only just met you, 34 00:01:38,595 --> 00:01:41,197 I have no idea what your voice normally sounds like. 35 00:01:41,317 --> 00:01:42,751 Well, not this. 36 00:01:42,785 --> 00:01:46,321 Sometimes when swallowing, I get a super intense pain, 37 00:01:46,356 --> 00:01:49,658 like, worse than an ice cream headache. 38 00:01:49,692 --> 00:01:52,661 My internist sent me to an ear, nose, and throat guy, 39 00:01:52,695 --> 00:01:57,165 an orthopedic surgeon, um, three gastroenterologists, 40 00:01:57,200 --> 00:01:59,268 a voice issues specialist dude. 41 00:01:59,302 --> 00:02:01,536 An otolaryngologist. 42 00:02:03,534 --> 00:02:06,651 ...a-a neurosurgeon who thinks it might be a messed up nerve 43 00:02:06,676 --> 00:02:08,510 connecting the throat to the brain. 44 00:02:08,544 --> 00:02:10,879 The ninth cranial nerve, glossopharyngeal neuralgia. 45 00:02:10,904 --> 00:02:13,019 He recommended, like, brain surgery. 46 00:02:13,044 --> 00:02:15,278 Microvascular decompression. 47 00:02:15,303 --> 00:02:19,806 Which a second neurosurgeon said I don't need. 48 00:02:20,023 --> 00:02:21,990 You're not happy with the answers you're getting 49 00:02:22,025 --> 00:02:24,293 from a whole bunch of recommended specialists, 50 00:02:24,327 --> 00:02:26,271 so you came to the ER? 51 00:02:26,362 --> 00:02:28,463 I ran out of recommended specialists. 52 00:02:28,488 --> 00:02:29,546 Hmm. 53 00:02:29,571 --> 00:02:32,944 It is an intriguing combination of symptoms. 54 00:02:32,969 --> 00:02:35,472 We'll admit you and run some tests. 55 00:02:36,339 --> 00:02:37,683 Uh, Dr. Murphy? 56 00:02:39,575 --> 00:02:40,509 You're... 57 00:02:41,844 --> 00:02:42,878 Interesting. 58 00:02:42,912 --> 00:02:44,606 I have autism. 59 00:02:45,214 --> 00:02:46,315 That's so cool. 60 00:02:47,016 --> 00:02:48,350 Uh, I mean, no... 61 00:02:48,384 --> 00:02:50,652 Sor... Not... Not cool that you are. 62 00:02:50,687 --> 00:02:53,255 Be more insensitive, Kayley. Um... 63 00:02:54,257 --> 00:02:56,391 It's cool that you're this... 64 00:02:56,426 --> 00:02:59,695 Totally chill, super knowledgeable medico. 65 00:03:01,764 --> 00:03:05,200 Compliments... are very awkward. 66 00:03:05,234 --> 00:03:07,169 ♪ 67 00:03:07,203 --> 00:03:09,371 - (CAMERA CLICKS) - (CHUCKLES) 68 00:03:09,405 --> 00:03:11,006 Cute doctor who's gonna cure me. 69 00:03:15,005 --> 00:03:16,806 Severe abdominal discomfort. 70 00:03:16,831 --> 00:03:18,932 Fever, tachy, hypotensive. 71 00:03:20,550 --> 00:03:23,185 (SIGHS) It's okay, sweetie. 72 00:03:23,219 --> 00:03:24,386 What's your name? 73 00:03:24,420 --> 00:03:26,388 That's Marla. 74 00:03:26,422 --> 00:03:28,290 No one to leave her with. 75 00:03:28,358 --> 00:03:30,292 We're gonna take care of your mommy. 76 00:03:30,360 --> 00:03:31,460 (GROANING) 77 00:03:31,527 --> 00:03:33,929 Abdomen tender and distended. 78 00:03:33,963 --> 00:03:35,063 Dehydrated. 79 00:03:35,098 --> 00:03:36,264 (BREATHING RAPIDLY) 80 00:03:36,299 --> 00:03:37,868 Delayed capillary refill. 81 00:03:38,434 --> 00:03:39,901 Rapid respiratory rate. 82 00:03:39,936 --> 00:03:42,137 Skin cool and bluish, looks cyanotic. 83 00:03:42,205 --> 00:03:43,538 - (MONITOR BEEPING RAPIDLY) - She's going into shock. 84 00:03:43,573 --> 00:03:45,240 We need aggressive fluid resuscitation. 85 00:03:45,274 --> 00:03:46,475 Start broad spectrum antibiotics, 86 00:03:46,500 --> 00:03:48,101 place an NG to decompress distended abdomen. 87 00:03:48,126 --> 00:03:50,894 Trend her lactates, initiate complete sepsis bundle. 88 00:03:50,919 --> 00:03:51,785 (BEEPING CONTINUES) 89 00:03:52,988 --> 00:04:00,988 Synced & corrected by -robtor- www.addic7ed.com 90 00:04:01,013 --> 00:04:02,616 ♪ 91 00:04:05,395 --> 00:04:07,896 Her CBC, BMP autoimmune panel, 92 00:04:07,930 --> 00:04:10,098 nasal swab, and blood cultures. 93 00:04:10,133 --> 00:04:11,066 All normal. 94 00:04:12,001 --> 00:04:13,802 Ohh. That's exciting. 95 00:04:13,836 --> 00:04:15,637 Negative tests are exciting? 96 00:04:15,671 --> 00:04:18,907 No one's been able to find out what she has. 97 00:04:18,941 --> 00:04:22,511 I'm going to get brain FIESTA and time-of-flight MRI 98 00:04:22,578 --> 00:04:24,446 to assess the cranial nerves and vessels, 99 00:04:24,480 --> 00:04:25,781 and Doppler ultrasound to... 100 00:04:25,815 --> 00:04:28,183 I have to get back to work. 101 00:04:28,251 --> 00:04:31,987 Our pre-dawn romantic interlude made me late. 102 00:04:32,021 --> 00:04:34,790 Yes. There was a flaw in my methodology. 103 00:04:34,824 --> 00:04:37,292 My calculation was based on 104 00:04:37,326 --> 00:04:39,961 the mean duration of our sex overall, but generally, 105 00:04:39,996 --> 00:04:42,030 we take statistically significantly longer 106 00:04:42,098 --> 00:04:45,764 in the morning than at other times of day. 107 00:04:45,799 --> 00:04:47,669 Well, maybe we can discuss 108 00:04:47,703 --> 00:04:50,338 this whole timing-our-sex thing at lunchtime. 109 00:04:50,916 --> 00:04:53,442 Mm. No, thank you. 110 00:04:53,476 --> 00:04:56,211 I can't have lunch today. 111 00:04:56,279 --> 00:04:57,781 Too much to do. 112 00:05:00,450 --> 00:05:03,051 (IMPERCEPTIBLE CHATTER) 113 00:05:03,119 --> 00:05:04,653 Sorry I'm late. 114 00:05:04,687 --> 00:05:06,488 I was going to cancel our lunch. 115 00:05:06,522 --> 00:05:07,656 Let me guess. 116 00:05:07,690 --> 00:05:09,958 A patient more interesting than me. 117 00:05:10,460 --> 00:05:11,526 Exactly. 118 00:05:11,561 --> 00:05:12,861 (SIGHS) Yeah. 119 00:05:12,895 --> 00:05:15,864 She has a mysterious condition. 120 00:05:15,898 --> 00:05:18,700 But I realized I could use our lunch to help understand it. 121 00:05:18,734 --> 00:05:21,002 - I ordered you a salad. - Thank you. 122 00:05:21,037 --> 00:05:21,970 ♪ 123 00:05:27,376 --> 00:05:29,911 How do I get an ice cream headache? 124 00:05:29,979 --> 00:05:31,179 I've never had one. 125 00:05:31,214 --> 00:05:33,483 You don't want one. Brain freeze is horrible. 126 00:05:34,317 --> 00:05:35,684 The scientific term 127 00:05:35,718 --> 00:05:38,153 is sphenopalatine ganglioneuralgia. 128 00:05:38,187 --> 00:05:39,554 The trigeminal nerve reacts to 129 00:05:39,589 --> 00:05:41,356 rapid temperature change in the mouth, 130 00:05:41,390 --> 00:05:42,924 sending a signal to the brain, 131 00:05:42,949 --> 00:05:45,150 which responds with changes in blood flow and dura irritation, 132 00:05:45,175 --> 00:05:48,867 which combats what it perceives as a dangerous, noxious stimuli, 133 00:05:48,892 --> 00:05:51,136 but is just ice cream. 134 00:05:51,234 --> 00:05:52,834 I need to experience that. 135 00:05:53,762 --> 00:05:54,762 Okay. 136 00:05:54,787 --> 00:05:56,621 The technique I usually use is, 137 00:05:56,646 --> 00:05:58,180 eat way too much, way too fast. 138 00:05:58,205 --> 00:05:59,305 ♪ 139 00:06:03,613 --> 00:06:06,433 (INHALES) I'm quitting my job. 140 00:06:07,216 --> 00:06:09,351 The job you came back from Hershey for? 141 00:06:09,385 --> 00:06:12,120 Don't tell Glassy. He already thinks I'm a flake. 142 00:06:12,680 --> 00:06:15,958 You kicking me out is just what I needed. 143 00:06:15,983 --> 00:06:17,050 Mm-hmm. 144 00:06:17,075 --> 00:06:18,603 I was in a complete rut. 145 00:06:18,628 --> 00:06:21,796 In my personal life, at work, super stale. 146 00:06:21,821 --> 00:06:22,988 I mean, we weren't developing anything, 147 00:06:23,013 --> 00:06:25,748 just market testing designs... 148 00:06:25,868 --> 00:06:26,801 Ow. 149 00:06:27,270 --> 00:06:29,704 Ow! Ow, ow! 150 00:06:30,172 --> 00:06:31,239 That's awful! 151 00:06:31,264 --> 00:06:32,764 - What's the cure? - Time. 152 00:06:32,789 --> 00:06:34,523 - How much time? - Depends. 153 00:06:36,245 --> 00:06:39,381 Do you think I should include my job in Hershey on my resume? 154 00:06:39,415 --> 00:06:41,583 It hurts so much! 155 00:06:42,585 --> 00:06:43,752 Or does it make me look like 156 00:06:43,786 --> 00:06:45,754 I'm unable to commit to anything? 157 00:06:45,788 --> 00:06:46,755 Ow! 158 00:06:48,791 --> 00:06:49,758 Okay. 159 00:06:51,260 --> 00:06:53,762 The ultrasound showed your colon is distended. 160 00:06:53,796 --> 00:06:55,730 We placed a rectal tube and an NG 161 00:06:55,765 --> 00:06:57,208 to try to get that decompressed. 162 00:06:57,233 --> 00:06:58,967 Mommy, can we go home? 163 00:06:58,992 --> 00:07:00,025 Not yet, sweetie. 164 00:07:00,050 --> 00:07:01,417 It would be helpful to try to find out 165 00:07:01,442 --> 00:07:02,642 what could've triggered this. 166 00:07:02,667 --> 00:07:05,202 Any history of Crohn's or ulcerative colitis? 167 00:07:05,227 --> 00:07:06,361 No. 168 00:07:07,443 --> 00:07:08,743 I, um... 169 00:07:08,778 --> 00:07:10,645 I have had some UTIs lately. 170 00:07:10,680 --> 00:07:12,113 That's likely not connected. 171 00:07:12,148 --> 00:07:13,815 - Okay. - PARK: Diverticulitis? 172 00:07:13,849 --> 00:07:15,750 Any recent international travel? 173 00:07:15,785 --> 00:07:17,519 I have a three-year-old and no husband. 174 00:07:17,587 --> 00:07:20,346 MELENDEZ: Okay. We're gonna need to keep you on IV antibiotics 175 00:07:20,371 --> 00:07:22,105 and monitor the distention. 176 00:07:22,358 --> 00:07:25,193 In the meantime, is there anyone who can look after Marla? 177 00:07:25,261 --> 00:07:27,162 No one. 178 00:07:27,196 --> 00:07:30,298 My whole family's back east. It's... It's just us. 179 00:07:30,333 --> 00:07:33,935 I'll get a social worker to look after her. 180 00:07:33,970 --> 00:07:35,063 Thank you. 181 00:07:42,011 --> 00:07:43,511 Go ahead, honey. 182 00:07:45,138 --> 00:07:48,038 ♪ 183 00:07:58,394 --> 00:08:00,528 Why is my mom upset? 184 00:08:00,563 --> 00:08:01,730 ♪ 185 00:08:02,898 --> 00:08:03,965 (SIGHS) 186 00:08:04,000 --> 00:08:07,369 If her anterior inferior cerebellar artery 187 00:08:07,403 --> 00:08:09,404 is encroaching on her glossopharyngeal nerve, 188 00:08:09,472 --> 00:08:10,572 it's very minor. 189 00:08:10,640 --> 00:08:11,806 Certainly not enough to justify 190 00:08:11,841 --> 00:08:13,241 microvascular decompression surgery. 191 00:08:13,309 --> 00:08:14,542 I agree. 192 00:08:14,577 --> 00:08:17,379 It could also be acid reflux temporal arteritis, 193 00:08:17,413 --> 00:08:20,749 laryngopharyngeal dysesthesia. We need to... 194 00:08:20,816 --> 00:08:22,651 We need to do $50,000 of tests, 195 00:08:22,685 --> 00:08:24,571 and it might be acid reflux? 196 00:08:24,606 --> 00:08:26,997 Or temporal arteritis or... 197 00:08:27,065 --> 00:08:29,691 It's a constellation of relatively insignificant symptoms. 198 00:08:29,725 --> 00:08:33,121 Have you ever had an ice cream headache, Dr. Andrews? 199 00:08:34,096 --> 00:08:35,235 Yes. 200 00:08:35,269 --> 00:08:38,933 I believe it didn't require brain surgery, Dr. Murphy. 201 00:08:39,001 --> 00:08:41,536 As a compromise, we could do an MRI 202 00:08:41,570 --> 00:08:43,571 and CT her neck and a swallow... 203 00:08:43,606 --> 00:08:45,540 Shaun. 204 00:08:45,574 --> 00:08:47,761 You don't compromise with your boss. 205 00:08:48,544 --> 00:08:51,112 Start her on dilantin for her pain and send her home. 206 00:08:51,180 --> 00:08:53,099 ♪ 207 00:08:56,218 --> 00:08:58,563 ♪ 208 00:09:01,123 --> 00:09:02,357 Can I just leave her with you? 209 00:09:02,391 --> 00:09:04,359 I'm a receptionist, not a social worker. 210 00:09:04,393 --> 00:09:05,612 And I'm a surgeon. 211 00:09:08,064 --> 00:09:09,464 I didn't mean I'm more important. 212 00:09:09,532 --> 00:09:12,634 I just meant we both have more important things to do. 213 00:09:12,659 --> 00:09:13,725 When will the social worker be here? 214 00:09:13,750 --> 00:09:14,883 She said half an hour. 215 00:09:14,908 --> 00:09:16,145 Can you page her again? 216 00:09:16,170 --> 00:09:18,369 I want my mama. 217 00:09:18,394 --> 00:09:21,796 Why don't you just go play with the toys, okay? 218 00:09:21,821 --> 00:09:23,655 Do you have her number? I'll call her myself. 219 00:09:24,480 --> 00:09:26,216 I made Mommy sick. 220 00:09:27,883 --> 00:09:29,884 No, sweetie. It's not your fault. 221 00:09:29,919 --> 00:09:31,419 Sometimes people just get sick. 222 00:09:31,454 --> 00:09:33,755 Mommy drawk ma poop. 223 00:09:35,391 --> 00:09:37,759 - Your mommy drew your poop? - No! 224 00:09:37,793 --> 00:09:39,961 Drawk. Mommy drawk. 225 00:09:42,839 --> 00:09:43,839 Drank? 226 00:09:43,886 --> 00:09:44,819 Yes. 227 00:09:44,844 --> 00:09:48,079 Mommy drawnk my poop. 228 00:09:48,117 --> 00:09:49,050 ♪ 229 00:09:52,742 --> 00:09:55,677 The good news is, we've ruled out glossopharyngeal neuralgia. 230 00:09:55,745 --> 00:09:57,078 You don't need brain surgery. 231 00:09:57,113 --> 00:09:59,414 Never any good news without bad news. 232 00:09:59,448 --> 00:10:02,117 We've got a list of a few things you don't have, 233 00:10:02,151 --> 00:10:03,752 but we don't know what you do have. 234 00:10:04,754 --> 00:10:06,254 So you'll run more tests. 235 00:10:06,689 --> 00:10:08,022 We can't. 236 00:10:08,047 --> 00:10:10,949 There are 21 different things this might be, 237 00:10:10,974 --> 00:10:14,471 but they don't want us to run 37 more tests. 238 00:10:17,833 --> 00:10:19,033 Well, this is lame. 239 00:10:19,101 --> 00:10:22,437 I can afford the tests. I make good money. 240 00:10:22,471 --> 00:10:24,870 (VOICE SQUEAKING) I can't keep talking like this! 241 00:10:24,938 --> 00:10:26,007 I need a... 242 00:10:28,511 --> 00:10:29,879 (MONITOR ALARM) 243 00:10:31,213 --> 00:10:32,313 She's hypotensive. 244 00:10:32,348 --> 00:10:33,783 Code stroke. 245 00:10:35,217 --> 00:10:37,185 We need stat brain CT and MRI. 246 00:10:37,219 --> 00:10:39,654 Call angio. She may need mechanical thrombectomy. 247 00:10:39,688 --> 00:10:40,822 ♪ 248 00:10:44,960 --> 00:10:48,363 3 cc's of 2% lidocaine. 249 00:10:48,397 --> 00:10:49,330 ♪ 250 00:10:52,701 --> 00:10:54,387 (MONITOR ALARM BEEPING) 251 00:10:58,641 --> 00:10:59,741 ♪ 252 00:11:07,516 --> 00:11:08,516 (INHALES SHARPLY) 253 00:11:08,551 --> 00:11:09,861 (ALARM STOPS) 254 00:11:11,420 --> 00:11:12,864 ♪ 255 00:11:17,226 --> 00:11:18,927 Wow. (GASPS) 256 00:11:18,994 --> 00:11:20,061 (CHUCKLES LIGHTLY) 257 00:11:22,431 --> 00:11:23,364 ♪ 258 00:11:24,923 --> 00:11:27,478 I-I didn't drink it. I just... 259 00:11:27,538 --> 00:11:30,106 I just used her stool to do a home fecal transfer. 260 00:11:30,131 --> 00:11:31,715 And you didn't think to mention that? 261 00:11:31,740 --> 00:11:33,991 You said my UTIs were unrelated. 262 00:11:35,944 --> 00:11:37,845 They didn't get better with antibiotics, 263 00:11:37,879 --> 00:11:40,181 so I did exactly what I was supposed to do. 264 00:11:40,215 --> 00:11:43,284 The video swore that it was completely safe. 265 00:11:43,351 --> 00:11:45,753 Make sure your friend is completely healthy. 266 00:11:45,787 --> 00:11:47,688 I've had the best results with vegans, 267 00:11:47,722 --> 00:11:49,190 though if it were between 268 00:11:49,224 --> 00:11:52,092 an 18-year-old carnivore and a 60-year-old vegan... 269 00:11:52,127 --> 00:11:53,260 Well, don't make me choose. 270 00:11:53,295 --> 00:11:55,262 We're gonna add the saline solution. 271 00:11:57,311 --> 00:11:59,913 Should be a one-to-one match, more or less. 272 00:12:01,102 --> 00:12:04,305 Then, we're gonna puree... 273 00:12:04,372 --> 00:12:05,973 (BLENDER WHIRRS) 274 00:12:06,041 --> 00:12:08,209 ...puree, and then puree some more. 275 00:12:08,243 --> 00:12:09,710 While it's mixing... 276 00:12:10,946 --> 00:12:12,713 Let's talk enema bags. 277 00:12:13,615 --> 00:12:14,815 (INHALES DEEPLY) 278 00:12:14,883 --> 00:12:17,785 Marla must have seen her using the blender, 279 00:12:17,819 --> 00:12:18,919 assumed she drank it. 280 00:12:18,954 --> 00:12:20,321 Yeah, that's the mystery here, 281 00:12:20,388 --> 00:12:22,056 not how anyone this stupid is still alive. 282 00:12:22,090 --> 00:12:24,258 It's not completely irrational. 283 00:12:24,292 --> 00:12:26,927 The E. coli strain in drug-resistant UTIs 284 00:12:26,962 --> 00:12:28,395 can hide out in the gut. 285 00:12:28,430 --> 00:12:31,398 Repopulating the colon microbiome using FMT 286 00:12:31,433 --> 00:12:32,900 has shown some success. 287 00:12:32,934 --> 00:12:35,302 In a hospital, under controlled and sterile conditions. 288 00:12:35,937 --> 00:12:37,171 Prep her for surgery. 289 00:12:37,239 --> 00:12:38,639 Between the dilation and rigidity, 290 00:12:38,673 --> 00:12:41,242 there may be colon perforation. 291 00:12:41,276 --> 00:12:44,745 And test Marla's stool for toxins and infectious bacteria. 292 00:12:46,848 --> 00:12:50,351 She was suffering a mini-stroke, and I saved her. 293 00:12:50,418 --> 00:12:53,187 - I saved her. I need to celebrate. - Outside? 294 00:12:53,255 --> 00:12:54,455 I want to celebrate by kissing you. 295 00:12:54,489 --> 00:12:55,956 A lot. 296 00:12:55,991 --> 00:12:58,092 I-Inside would be inappropriate. 297 00:12:59,594 --> 00:13:00,828 (CHUCKLES) 298 00:13:00,862 --> 00:13:03,597 Eagle Syndrome is very rare. 299 00:13:03,632 --> 00:13:05,533 A longer-than-normal styloid bone 300 00:13:05,600 --> 00:13:07,167 coming off the base of the skull. 301 00:13:07,202 --> 00:13:08,669 - And... - I only get a five-minute break. 302 00:13:10,472 --> 00:13:12,206 It impinged on her nerves, 303 00:13:12,274 --> 00:13:13,841 causing the confusing symptoms 304 00:13:13,875 --> 00:13:15,976 that baffled eight expert doctors. 305 00:13:16,011 --> 00:13:18,345 And then when she turned her head suddenly, 306 00:13:18,380 --> 00:13:19,597 - it pinched her carotid, - (LAUGHS) 307 00:13:19,598 --> 00:13:21,451 causing her TIA. 308 00:13:22,017 --> 00:13:24,285 Yeah, it's him! (GASPS) 309 00:13:26,721 --> 00:13:28,355 It's Dr. Murphy! 310 00:13:28,390 --> 00:13:29,667 (EXCITED LAUGHTER) 311 00:13:30,892 --> 00:13:32,226 How do I know you? 312 00:13:32,294 --> 00:13:34,028 - He is cute! - (CAMERAS CLICKING) 313 00:13:34,062 --> 00:13:35,896 Is that his girlfriend? 314 00:13:35,964 --> 00:13:37,241 Kayley's hotter. 315 00:13:37,276 --> 00:13:38,343 (CLICKING CONTINUES) 316 00:13:39,134 --> 00:13:40,887 ♪ 317 00:13:41,503 --> 00:13:42,403 WOMAN: He's so cute! 318 00:13:43,038 --> 00:13:44,204 (CLICKING CONTINUES) 319 00:13:48,343 --> 00:13:49,562 (LAUGHS) 320 00:13:51,379 --> 00:13:54,181 (NORMAL VOICE) My personal... Chernobyl. 321 00:13:54,215 --> 00:13:55,182 (LAUGHS) What? 322 00:13:55,750 --> 00:13:56,817 Seriously, guys. 323 00:13:56,851 --> 00:13:58,485 Ohh, come on. 324 00:13:58,520 --> 00:14:00,721 A zone of exclusion should be imposed around my kitchen. 325 00:14:00,755 --> 00:14:02,423 - (LAUGHS) - (CLICK) 326 00:14:02,490 --> 00:14:04,892 Millions of people have watched that? 327 00:14:04,926 --> 00:14:06,594 (HOARSELY) As of 9:00 a.m. 328 00:14:06,661 --> 00:14:08,228 You're an influencer. 329 00:14:08,263 --> 00:14:11,398 And you posted how I saved you? 330 00:14:11,433 --> 00:14:13,867 But I take it I'm not saved yet? You still have to operate? 331 00:14:13,902 --> 00:14:16,002 A normal styloid process 332 00:14:16,037 --> 00:14:18,572 is 2.5 centimeters in length. Yours measures... 333 00:14:18,607 --> 00:14:19,840 Don't do that. 334 00:14:20,942 --> 00:14:22,743 There are two surgical options. 335 00:14:25,547 --> 00:14:27,514 Transoral, where we go in through your mouth. 336 00:14:27,549 --> 00:14:30,117 It's non-invasive, but creates surgical challenges 337 00:14:30,185 --> 00:14:32,019 for physical and visual access. 338 00:14:32,053 --> 00:14:34,054 The alternative transcervical procedure 339 00:14:34,089 --> 00:14:36,056 involves an incision in your neck 340 00:14:36,091 --> 00:14:37,791 with none of those access issues, 341 00:14:37,859 --> 00:14:40,427 but with some post-operative scarring. 342 00:14:40,462 --> 00:14:43,230 So one way is safer, but the other way, I'll look better? 343 00:14:43,264 --> 00:14:44,628 It's a pretty bad-ass scar. 344 00:14:44,662 --> 00:14:45,618 (CHUCKLES) 345 00:14:46,434 --> 00:14:48,569 Can I take a bit to decide which? 346 00:14:48,603 --> 00:14:49,695 Of course. 347 00:14:53,133 --> 00:14:55,535 You had no right to tell the world about me. 348 00:14:55,710 --> 00:14:57,044 It was flattering. 349 00:14:57,078 --> 00:14:59,947 Not everyone wants to be famous. 350 00:14:59,981 --> 00:15:02,883 Uh... If it's any consolation, 351 00:15:02,917 --> 00:15:05,513 you've had over 70 marriage proposals. 352 00:15:06,821 --> 00:15:08,055 It's not. 353 00:15:08,089 --> 00:15:10,518 ♪ 354 00:15:14,262 --> 00:15:17,131 Some of us are more comfortable in the spotlight than others. 355 00:15:17,165 --> 00:15:18,732 I think you're great. 356 00:15:18,767 --> 00:15:20,100 Thanks. 357 00:15:20,135 --> 00:15:22,030 ♪ 358 00:15:25,140 --> 00:15:27,441 MARLA: I don't have to poop. 359 00:15:27,976 --> 00:15:29,579 Be patient. 360 00:15:33,080 --> 00:15:35,381 I don't have to poop! 361 00:15:35,406 --> 00:15:37,608 Is there something your mom does 362 00:15:37,633 --> 00:15:39,200 to help you when you can't go? 363 00:15:39,354 --> 00:15:42,122 MARLA: Sometimes she hold my hand. 364 00:15:42,991 --> 00:15:44,591 Would you like me to? 365 00:15:44,626 --> 00:15:46,126 MARLA: You're not my mom. 366 00:15:46,161 --> 00:15:48,328 Well, just keep trying. 367 00:15:50,098 --> 00:15:51,298 MARLA: Pbbbbbbht. 368 00:15:52,267 --> 00:15:53,834 (SIGHS) 369 00:15:53,868 --> 00:15:57,337 Sweetie, we really need you to go. 370 00:15:57,372 --> 00:16:02,276 If you can't, there is another way we can do this. 371 00:16:02,310 --> 00:16:03,177 MARLA: How? 372 00:16:03,211 --> 00:16:05,979 CLAIRE: Well, it's not fun. 373 00:16:06,014 --> 00:16:07,448 For either of us. 374 00:16:07,482 --> 00:16:08,515 (INHALES SHARPLY) 375 00:16:09,951 --> 00:16:11,819 (SIGHS) 376 00:16:11,853 --> 00:16:15,083 MELENDEZ: Isolate and divide middle colic artery and vein. 377 00:16:15,690 --> 00:16:16,990 It's an epidemic. 378 00:16:17,025 --> 00:16:18,559 People taking online medical advice. 379 00:16:18,626 --> 00:16:20,627 CLAIRE: It's not the problem. It's the symptom. 380 00:16:20,662 --> 00:16:23,163 Medical care is a financial stress for lots of people, 381 00:16:23,198 --> 00:16:25,866 not to mention physician arrogance, 382 00:16:25,900 --> 00:16:27,701 incompetence, impatience. 383 00:16:27,736 --> 00:16:29,536 So it's our fault? 384 00:16:29,571 --> 00:16:31,371 Resect and cut the colon proximal and distal 385 00:16:31,406 --> 00:16:33,601 to the perforation with GIA stapler. 386 00:16:34,242 --> 00:16:35,843 A friend of a friend self-diagnosed 387 00:16:35,877 --> 00:16:38,378 her own Cushing's disease online 388 00:16:38,413 --> 00:16:41,682 after a series of doctors barely listened to her, 389 00:16:41,716 --> 00:16:44,084 told her to get more rest. 390 00:16:44,152 --> 00:16:45,419 I'm guessing she didn't then perform 391 00:16:45,487 --> 00:16:46,920 do-it-yourself brain surgery at home. 392 00:16:46,988 --> 00:16:48,088 (GROANS) 393 00:16:48,656 --> 00:16:49,951 Claire's right. 394 00:16:51,359 --> 00:16:53,160 I was... supporting your point. 395 00:16:53,194 --> 00:16:55,329 She convinced me I was wrong. 396 00:16:55,363 --> 00:16:57,331 Divide mesentery with LigaSure. 397 00:16:59,460 --> 00:17:01,254 (MONITOR ALARM) 398 00:17:03,271 --> 00:17:04,505 WOMAN: We have a bleed. 399 00:17:04,539 --> 00:17:05,606 It's major. 400 00:17:05,673 --> 00:17:07,040 Tension during mobilization 401 00:17:07,075 --> 00:17:08,075 must have caused a splenic capsule tear. 402 00:17:08,109 --> 00:17:09,176 We need to do a splenectomy. 403 00:17:09,210 --> 00:17:10,677 Cut the connecting attachments. 404 00:17:10,712 --> 00:17:12,179 (ALARM CONTINUES) 405 00:17:13,948 --> 00:17:15,015 Kidney. 406 00:17:15,049 --> 00:17:16,517 Diaphragm. 407 00:17:16,551 --> 00:17:18,285 Take the vascular pedicle with a white load stapler. 408 00:17:18,353 --> 00:17:20,020 Do not get the tail of the pancreas. 409 00:17:21,256 --> 00:17:22,189 ♪ 410 00:17:22,957 --> 00:17:24,057 (ALARM STOPS) 411 00:17:25,026 --> 00:17:26,126 ♪ 412 00:17:30,398 --> 00:17:31,765 Dr. Melendez? 413 00:17:31,800 --> 00:17:33,733 - Can this wait? - I'm not sure. 414 00:17:33,801 --> 00:17:35,936 The fecal sample that your team sent me... 415 00:17:35,970 --> 00:17:39,239 (SIGHS) It might be normal, but was it mislabeled? 416 00:17:39,274 --> 00:17:41,275 It seems to be from a 70-year-old. 417 00:17:42,210 --> 00:17:43,811 It's from a three-year-old. 418 00:17:43,878 --> 00:17:49,343 SCFAs, elevated isobutyric and isovaleric acid. 419 00:17:49,368 --> 00:17:52,370 She is at high risk for serious cardiac problems. 420 00:17:52,395 --> 00:17:53,328 ♪ 421 00:18:02,631 --> 00:18:03,765 (BRAKES SQUEAL) 422 00:18:12,975 --> 00:18:14,108 Oh, are you okay? 423 00:18:25,442 --> 00:18:28,211 Her social media posts about Shaun have gone viral. 424 00:18:28,278 --> 00:18:30,279 I've got reporters clamoring to speak 425 00:18:30,314 --> 00:18:32,148 to the "twice-exceptional" Dr. Murphy. 426 00:18:32,182 --> 00:18:33,783 Bad idea. Luckily, he won't do it. 427 00:18:33,817 --> 00:18:36,185 He went off on Kayley about his privacy. 428 00:18:36,220 --> 00:18:37,720 The publicity would be good for the hospital. 429 00:18:37,788 --> 00:18:40,857 And I'm sure Dr. Glassman can make him see the wisdom of that. 430 00:18:40,891 --> 00:18:42,108 MELENDEZ: I'm with Andrews. 431 00:18:42,143 --> 00:18:43,726 It smacks of us patting ourselves on the back. 432 00:18:43,794 --> 00:18:45,862 It could also come off as exploitative. 433 00:18:45,896 --> 00:18:48,197 But the bigger issue is, it could blow up in our face. 434 00:18:48,232 --> 00:18:50,868 Shaun is a complete communications wild card. 435 00:18:50,903 --> 00:18:52,535 Who knows what he'll say about you, about me, 436 00:18:52,569 --> 00:18:54,237 about being demoted, about screw-ups. 437 00:18:54,304 --> 00:18:56,005 Well, we would have to coach him. 438 00:18:56,040 --> 00:18:58,675 Do we have six years before they need to go to press? 439 00:18:58,709 --> 00:19:01,210 I can go with him, manage the situation. 440 00:19:01,245 --> 00:19:02,512 GLASSMAN: No, no, no. 441 00:19:03,480 --> 00:19:05,348 If we consider Shaun an asset, 442 00:19:05,382 --> 00:19:07,250 we shouldn't treat him like a liability. 443 00:19:09,212 --> 00:19:11,280 I'll talk to him, see what he says. 444 00:19:13,757 --> 00:19:16,726 You can see the proximity of her elongated styloid 445 00:19:16,760 --> 00:19:18,361 to the nerves and carotid. 446 00:19:18,395 --> 00:19:20,430 The trick is to break off the excess length 447 00:19:20,497 --> 00:19:22,699 without injury to local neurovascular structures. 448 00:19:22,733 --> 00:19:24,767 If done transcervically, entry point is key. 449 00:19:24,835 --> 00:19:27,904 Minimizes risk of a marginal mandibular nerve injury. 450 00:19:27,938 --> 00:19:29,539 Has she made a decision? 451 00:19:29,573 --> 00:19:30,506 SHAUN: Not yet. 452 00:19:31,675 --> 00:19:32,675 I'd like to lead. 453 00:19:32,710 --> 00:19:34,610 Being that it's such a rare surgery, 454 00:19:34,678 --> 00:19:36,746 I may not get another chance at it during residency. 455 00:19:36,780 --> 00:19:38,848 When I have the benefit of supervision. 456 00:19:38,882 --> 00:19:40,550 And it wouldn't have anything to do with hoping 457 00:19:40,584 --> 00:19:42,685 Kayley might then post glowingly about you? 458 00:19:42,720 --> 00:19:43,786 Not at all. 459 00:19:43,854 --> 00:19:46,122 Well, undoubtedly, a little. 460 00:19:46,190 --> 00:19:47,724 Given the attention this case has drawn, 461 00:19:47,758 --> 00:19:50,293 I think we should put our best, most experienced choice forward. 462 00:19:51,562 --> 00:19:53,963 Well, this is a teaching hospital. 463 00:19:54,031 --> 00:19:57,133 It's exactly the type of surgery we'd give to a third-year. 464 00:19:57,158 --> 00:19:58,391 The fact that she has an online presence 465 00:19:58,416 --> 00:19:59,683 shouldn't be a factor. 466 00:19:59,708 --> 00:20:01,742 And yet here you are, the Chief of Surgery 467 00:20:01,767 --> 00:20:03,768 working a case you say a third-year can handle. 468 00:20:03,907 --> 00:20:05,875 It also might reflect well on this place 469 00:20:05,909 --> 00:20:08,369 to have a young woman be the face of Kayley's surgery. 470 00:20:08,403 --> 00:20:10,860 Assuming it goes well. 471 00:20:12,168 --> 00:20:14,036 Live by the Internet, die by the Internet. 472 00:20:15,779 --> 00:20:16,866 You still want to lead? 473 00:20:17,788 --> 00:20:19,155 Yes. 474 00:20:19,223 --> 00:20:20,323 It's yours. 475 00:20:21,959 --> 00:20:23,126 ♪ 476 00:20:46,517 --> 00:20:47,450 ♪ 477 00:20:59,129 --> 00:21:00,363 (WHIRRING) 478 00:21:02,466 --> 00:21:03,432 ♪ 479 00:21:12,943 --> 00:21:13,876 ♪ 480 00:21:16,013 --> 00:21:16,946 (COMPUTER CHIRPS) 481 00:21:19,950 --> 00:21:20,883 ♪ 482 00:21:22,886 --> 00:21:23,820 MELENDEZ: Ann? 483 00:21:25,122 --> 00:21:26,289 Ann. 484 00:21:33,063 --> 00:21:34,430 Am I okay? 485 00:21:34,455 --> 00:21:35,856 You're fine. 486 00:21:35,881 --> 00:21:37,776 We had to wake you up a little earlier than we'd like 487 00:21:37,801 --> 00:21:39,468 because we need to discuss something with you. 488 00:21:39,503 --> 00:21:40,736 Do you understand? 489 00:21:40,804 --> 00:21:42,205 (EXHALES SHARPLY) 490 00:21:42,239 --> 00:21:44,373 Your gut biome showed markers for elevated cholesterol. 491 00:21:44,408 --> 00:21:46,209 Which you don't have. 492 00:21:46,243 --> 00:21:47,410 Your daughter does. 493 00:21:49,379 --> 00:21:51,547 Marla has high cholesterol? 494 00:21:51,582 --> 00:21:54,317 She has a genetic condition: hyperlipidemia. 495 00:21:54,351 --> 00:21:56,652 Coronary testing showed 90% narrowing 496 00:21:56,687 --> 00:21:58,754 of the left main artery to her heart. 497 00:21:58,822 --> 00:22:00,089 (GROANS) 498 00:22:00,157 --> 00:22:03,526 I'm afraid your daughter needs urgent heart surgery. 499 00:22:03,560 --> 00:22:07,309 ♪ 500 00:22:08,168 --> 00:22:10,442 I don't want to. 501 00:22:11,095 --> 00:22:14,023 Okay. I'll tell the reporters that. 502 00:22:14,048 --> 00:22:16,916 But can... can we talk about why? 503 00:22:17,564 --> 00:22:19,276 - (COMPUTER BEEPS) - Your computer just beeped. 504 00:22:19,353 --> 00:22:20,698 I know. 505 00:22:20,732 --> 00:22:23,723 I can think of a few reasons why you might be reticent. 506 00:22:23,758 --> 00:22:25,358 - You're shy. - No, I'm not. 507 00:22:25,392 --> 00:22:28,257 Well, you do have trouble with social interactions, 508 00:22:28,257 --> 00:22:29,791 and you have trouble anticipating 509 00:22:29,816 --> 00:22:32,217 what people might ask and how you might respond. 510 00:22:32,242 --> 00:22:36,245 Yes, that is a problem when I'm meeting with a patient 511 00:22:36,270 --> 00:22:39,138 or I'm at a job interview or I'm on a date. 512 00:22:39,174 --> 00:22:40,642 Then my answers matter. 513 00:22:40,770 --> 00:22:42,871 But if I'm talking to a reporter, they don't matter. 514 00:22:42,905 --> 00:22:44,439 - (COMPUTER BEEPS) - It beeped again. 515 00:22:44,474 --> 00:22:46,475 Yes, I know. We're digitizing. 516 00:22:46,500 --> 00:22:48,668 Every time a patient needs to take a drug, 517 00:22:48,693 --> 00:22:50,060 we send them a reminder. 518 00:22:50,085 --> 00:22:53,187 For some unknown reason, they keep sending me one, too. 519 00:22:53,212 --> 00:22:54,680 I think stories do matter. 520 00:22:54,784 --> 00:22:57,953 I think what you do and what you have done 521 00:22:57,987 --> 00:23:01,657 might be inspirational for people to hear. 522 00:23:02,064 --> 00:23:04,021 - Okay. - Okay, you'll do it? 523 00:23:04,046 --> 00:23:06,738 Okay, you've convinced me I should be nervous about it. 524 00:23:06,763 --> 00:23:08,497 Now I have two reasons not to do it. 525 00:23:08,564 --> 00:23:09,814 What's the other reason? 526 00:23:09,848 --> 00:23:12,567 I'm very busy between doing my job and having sex. 527 00:23:12,602 --> 00:23:14,336 I don't have a lot of free time. 528 00:23:15,405 --> 00:23:16,571 (COMPUTER BEEPS) 529 00:23:16,606 --> 00:23:18,640 You should hire Lea. 530 00:23:18,675 --> 00:23:20,142 - No. - SHAUN: Yes. 531 00:23:20,176 --> 00:23:22,911 She's very good at tech 532 00:23:22,945 --> 00:23:25,647 and isn't happy in her job right now. 533 00:23:25,682 --> 00:23:26,615 ♪ 534 00:23:28,284 --> 00:23:30,285 I'll tell you what, Shaun. 535 00:23:30,319 --> 00:23:32,854 You think about this, you really think about this, 536 00:23:32,922 --> 00:23:36,124 how your story can benefit people, 537 00:23:36,159 --> 00:23:37,859 and I will... 538 00:23:39,916 --> 00:23:41,783 Interview Lea. 539 00:23:42,465 --> 00:23:43,632 Excellent. 540 00:23:45,034 --> 00:23:47,269 I'll think about it. 541 00:23:47,303 --> 00:23:50,806 I'll really think about it. 542 00:23:50,840 --> 00:23:51,940 Okay. 543 00:23:55,712 --> 00:23:57,446 - (COMPUTER BEEPS) - (SIGHS) 544 00:23:58,948 --> 00:24:00,949 - (DOOR CLOSES) - (KEYBOARD CLANKING) 545 00:24:00,983 --> 00:24:03,218 Some people definitely thought I would look amazeballs 546 00:24:03,286 --> 00:24:04,553 rocking a neck scar. 547 00:24:04,620 --> 00:24:07,155 But the consensus was, 548 00:24:07,190 --> 00:24:09,357 there's only so many turtleneck days in a year. 549 00:24:09,392 --> 00:24:12,794 So I'm going with the no-scar approach. 550 00:24:12,829 --> 00:24:15,530 Which one did you vote for? 551 00:24:15,565 --> 00:24:18,400 Well, these are my people. I mean, they know me. 552 00:24:18,425 --> 00:24:20,592 They know what's best for me and my brand. 553 00:24:22,638 --> 00:24:24,239 "Wisdom of the crowd." 554 00:24:24,307 --> 00:24:26,708 My warrior goddess lead surgeon. 555 00:24:26,743 --> 00:24:27,809 - (CAMERA CLICKS) - (ANDREWS LAUGHS) 556 00:24:27,844 --> 00:24:29,077 We'll get you prepped for surgery. 557 00:24:31,067 --> 00:24:32,701 New blouse? It's nice. 558 00:24:33,983 --> 00:24:35,751 Dr. Murphy, do you have a minute? 559 00:24:42,759 --> 00:24:46,194 I really am sorry I upset you. 560 00:24:46,229 --> 00:24:47,896 And I really am grateful. 561 00:24:48,551 --> 00:24:49,784 Being sick was... 562 00:24:49,809 --> 00:24:51,609 You don't need to explain 563 00:24:51,634 --> 00:24:53,802 why you're grateful we diagnosed your illness. 564 00:24:53,827 --> 00:24:55,995 Well, I do. 565 00:24:56,105 --> 00:24:58,740 You saved me and my career. (CHUCKLES) 566 00:25:00,009 --> 00:25:02,511 At first, my followers were super into 567 00:25:02,545 --> 00:25:05,580 what I was going through, but after a while, 568 00:25:05,615 --> 00:25:07,616 you just start being "the sick girl." 569 00:25:07,683 --> 00:25:10,385 You give up your privacy. Doesn't that bother you? 570 00:25:10,419 --> 00:25:12,287 I have nothing to hide. 571 00:25:12,355 --> 00:25:13,522 No one should. 572 00:25:14,757 --> 00:25:17,459 We should all just be who we are. 573 00:25:21,697 --> 00:25:23,732 We are... 574 00:25:25,301 --> 00:25:28,302 The decisions we make. 575 00:25:29,038 --> 00:25:31,940 And you let other people make them for you. 576 00:25:33,722 --> 00:25:35,790 So you're not being anyone. 577 00:25:36,312 --> 00:25:37,445 ♪ 578 00:25:47,323 --> 00:25:50,392 You know how you and I like to do so many things together? 579 00:25:50,426 --> 00:25:52,260 We make clay mugs. 580 00:25:52,295 --> 00:25:53,595 That's right. 581 00:25:53,629 --> 00:25:57,666 Mommy was sick, and she needed to be fixed. 582 00:25:57,733 --> 00:26:00,167 And you're sick, too. 583 00:26:00,192 --> 00:26:01,525 I don't feel sick. 584 00:26:01,938 --> 00:26:03,004 That's good. 585 00:26:03,072 --> 00:26:04,773 And the doctors just want to make sure 586 00:26:04,807 --> 00:26:06,341 everything is all better before you do. 587 00:26:06,409 --> 00:26:07,642 How? 588 00:26:08,644 --> 00:26:10,552 They're gonna go inside you and... 589 00:26:10,947 --> 00:26:11,947 How? 590 00:26:11,981 --> 00:26:13,315 They're gonna make a little cut... 591 00:26:13,349 --> 00:26:14,482 No! 592 00:26:14,517 --> 00:26:15,584 You're gonna be asleep. 593 00:26:15,618 --> 00:26:17,252 - No! - Just like Mommy. 594 00:26:17,286 --> 00:26:19,287 - I... - No, no, no, no, no! 595 00:26:19,322 --> 00:26:21,189 I'll be with you, Marla. I'll take good care of you. 596 00:26:21,257 --> 00:26:22,457 - No, no, no, no, no! - It's okay. Just breathe, sweetie. 597 00:26:22,491 --> 00:26:23,658 - Count to three. - No! 598 00:26:23,693 --> 00:26:24,759 - No! - Hey, sweetie, you have to be brave. 599 00:26:24,794 --> 00:26:25,760 No! 600 00:26:27,737 --> 00:26:28,737 Code blue! 601 00:26:30,546 --> 00:26:31,646 What's happening? 602 00:26:31,671 --> 00:26:33,205 (VOICE BREAKING) Please help my baby. 603 00:26:33,230 --> 00:26:34,296 She's had a heart attack! 604 00:26:35,471 --> 00:26:36,605 Marla. 605 00:26:37,105 --> 00:26:38,038 Marla? 606 00:26:39,208 --> 00:26:40,308 Marla! 607 00:26:40,343 --> 00:26:43,111 Baby, I'm right here. Marla! 608 00:26:44,972 --> 00:26:47,786 Uh, would you like my CV? 609 00:26:47,811 --> 00:26:49,578 No... 610 00:26:49,603 --> 00:26:52,071 I know who you are. I don't need to see a list. 611 00:26:54,925 --> 00:26:56,025 Where do I work? 612 00:26:58,035 --> 00:26:59,643 It's a tech company. 613 00:27:00,225 --> 00:27:01,258 You were there. 614 00:27:01,292 --> 00:27:03,727 Cars. Something about cars. 615 00:27:03,762 --> 00:27:06,497 You have no interest in hiring me, do you? 616 00:27:06,564 --> 00:27:08,499 No. It's not personal. 617 00:27:08,566 --> 00:27:09,606 It's a little personal. 618 00:27:09,640 --> 00:27:12,636 I'm doing a favor for Shaun. I don't really need anyone. 619 00:27:12,670 --> 00:27:14,605 Did he ask you to waste my time? 620 00:27:15,406 --> 00:27:16,673 Yeah... It's okay. 621 00:27:16,741 --> 00:27:18,642 I didn't really want to work for you anyway. 622 00:27:18,676 --> 00:27:20,043 You're a bit of a grouch. 623 00:27:20,077 --> 00:27:23,480 But make sure whoever does do the job shores up your firewall. 624 00:27:23,515 --> 00:27:24,915 A kindergartner can hack it. 625 00:27:24,949 --> 00:27:26,750 Thank you. I'm sure we'll be fine. 626 00:27:28,453 --> 00:27:29,586 And you're right, you know. 627 00:27:29,621 --> 00:27:31,655 We are not a good fit. 628 00:27:31,689 --> 00:27:33,624 And our mutual affection for Shaun 629 00:27:33,658 --> 00:27:35,846 isn't enough to stop us from killing each other. 630 00:27:38,329 --> 00:27:40,264 I... 631 00:27:40,298 --> 00:27:42,499 Your Chronicle subscription is about to expire 632 00:27:42,534 --> 00:27:44,701 because they don't have your updated credit card. 633 00:27:44,769 --> 00:27:46,537 The coffee maker you ordered, 634 00:27:46,604 --> 00:27:48,472 third new one in the last six months, 635 00:27:48,506 --> 00:27:50,541 will be delivered Tuesday. 636 00:27:50,608 --> 00:27:52,705 And you're deducting way too much money 637 00:27:52,740 --> 00:27:54,344 out of Debbie's paycheck for FICA. 638 00:27:54,379 --> 00:27:56,480 Would you like to hear about your Google searches? 639 00:27:56,514 --> 00:27:57,648 ♪ 640 00:27:58,983 --> 00:27:59,950 Thank you. 641 00:28:04,656 --> 00:28:05,789 (COMPUTER BEEPS) 642 00:28:07,542 --> 00:28:09,726 (SIGHS) Lea! 643 00:28:09,794 --> 00:28:12,029 - (MONITOR BEEPING) - (MELENDEZ SIGHS) 644 00:28:12,063 --> 00:28:15,199 Severe proximal LAD disease with mid total occlusion. 645 00:28:15,233 --> 00:28:17,668 Angioplasty won't resolve that stenosis. 646 00:28:17,702 --> 00:28:19,736 High risk of rupture in someone this young. 647 00:28:20,096 --> 00:28:21,296 A stent? 648 00:28:21,321 --> 00:28:23,622 Won't be enough effective revascularization. 649 00:28:23,928 --> 00:28:27,940 She needs a left IMA to LAD anastomosis. 650 00:28:28,246 --> 00:28:31,215 I've never done a coronary bypass on a three-year-old. 651 00:28:31,249 --> 00:28:32,816 Neither have I. 652 00:28:32,851 --> 00:28:34,151 I guess it was the right call 653 00:28:34,185 --> 00:28:35,853 to put her daughter's poop up her tush. 654 00:28:35,887 --> 00:28:37,421 Cost her a large chunk of her colon. 655 00:28:37,488 --> 00:28:39,423 - Saved her daughter's life. - Yeah, lucky coincidence. 656 00:28:39,490 --> 00:28:41,859 I'm sure the mother doesn't regret a thing. 657 00:28:41,893 --> 00:28:43,393 At least she shouldn't. 658 00:28:43,428 --> 00:28:44,428 I'm with Claire. 659 00:28:44,495 --> 00:28:46,875 ♪ 660 00:28:56,774 --> 00:28:59,042 Do you have time for lunch? 661 00:28:59,077 --> 00:29:01,265 And by "lunch," you mean...? 662 00:29:01,512 --> 00:29:02,679 Lunch. 663 00:29:03,348 --> 00:29:05,310 I need advice. 664 00:29:06,184 --> 00:29:09,887 I need to really think about something. 665 00:29:09,921 --> 00:29:10,888 Oh. 666 00:29:11,723 --> 00:29:13,090 Then yes, of course. 667 00:29:13,124 --> 00:29:15,392 CARLY: It could be patronizing, 668 00:29:15,426 --> 00:29:19,563 being put up as some kind of feel-good, human interest story. 669 00:29:19,597 --> 00:29:21,465 Or objectified and glorified 670 00:29:21,532 --> 00:29:24,601 as some kind of a symbol for people who are different. 671 00:29:24,636 --> 00:29:28,238 But I also know that when I told my sister your story, 672 00:29:28,273 --> 00:29:29,373 she cried. 673 00:29:30,208 --> 00:29:31,308 She was sad? 674 00:29:31,376 --> 00:29:33,944 No, she was inspired. 675 00:29:36,381 --> 00:29:37,882 (EXHALES SHAKILY) 676 00:29:37,907 --> 00:29:42,444 I... don't know what your advice is telling me. 677 00:29:42,553 --> 00:29:45,455 I don't know what you think I'm supposed to do. 678 00:29:45,490 --> 00:29:48,625 Shaun, you aren't supposed to do anything, 679 00:29:48,660 --> 00:29:50,894 except what you believe is right. 680 00:29:52,730 --> 00:29:53,909 (SIGHS) 681 00:29:53,934 --> 00:29:55,277 Thank you. 682 00:29:57,135 --> 00:29:59,336 Now I'm going to go see what Lea thinks. 683 00:30:01,172 --> 00:30:02,589 I thought you had a surgery. 684 00:30:02,624 --> 00:30:03,977 I'm just going upstairs. 685 00:30:04,012 --> 00:30:06,576 Lea's meeting with Dr. Glassman about a job. 686 00:30:06,611 --> 00:30:08,145 - A job here? - Yes. 687 00:30:08,179 --> 00:30:09,980 Lea told me at lunch yesterday 688 00:30:10,014 --> 00:30:12,316 that she was looking for different work, so... 689 00:30:12,350 --> 00:30:14,751 Wait, you... you had lunch with Lea? Yesterday? 690 00:30:14,786 --> 00:30:16,153 And... And you kept it from me? 691 00:30:16,187 --> 00:30:17,799 ♪ 692 00:30:22,026 --> 00:30:25,128 I didn't keep it from you. 693 00:30:25,163 --> 00:30:27,164 There was no reason to mention it 694 00:30:27,198 --> 00:30:29,366 until just now, when I did. 695 00:30:30,168 --> 00:30:31,271 Shaun... 696 00:30:32,503 --> 00:30:33,937 You know how I feel 697 00:30:33,972 --> 00:30:36,940 about how Lea hovers over our relationship. 698 00:30:36,975 --> 00:30:38,195 And... 699 00:30:38,776 --> 00:30:40,844 You're just sneaking around with her? 700 00:30:40,878 --> 00:30:42,312 Arranging for her to work here, 701 00:30:42,347 --> 00:30:44,881 where she'll just loom all the more. 702 00:30:45,950 --> 00:30:49,019 She won't be looming or hovering. 703 00:30:49,053 --> 00:30:51,415 She'll be on a whole other floor. 704 00:30:51,450 --> 00:30:53,557 Yeah, where you can go and get her two cents 705 00:30:53,582 --> 00:30:56,418 whenever the advice given by your actual girlfriend 706 00:30:56,443 --> 00:30:57,977 is deemed insufficient. 707 00:30:58,062 --> 00:30:59,466 ♪ 708 00:31:00,498 --> 00:31:01,531 Yes. 709 00:31:01,566 --> 00:31:03,303 ♪ 710 00:31:06,304 --> 00:31:07,599 (SIGHS) 711 00:31:11,309 --> 00:31:12,521 (DOOR OPENS) 712 00:31:14,812 --> 00:31:16,213 (SIGHS) 713 00:31:16,247 --> 00:31:17,147 (DOOR CLOSES) 714 00:31:18,516 --> 00:31:19,483 Hey. 715 00:31:21,719 --> 00:31:22,719 What are you doing? 716 00:31:22,754 --> 00:31:24,354 Eh, fresh air. 717 00:31:24,389 --> 00:31:25,355 You? 718 00:31:28,659 --> 00:31:30,394 (SIGHS) 719 00:31:30,428 --> 00:31:33,830 Shaun lied to me about having lunch with Lea. 720 00:31:35,533 --> 00:31:36,795 No, he didn't. 721 00:31:38,002 --> 00:31:40,170 Shaun is incapable of deceit. 722 00:31:40,204 --> 00:31:42,739 He must have genuinely thought that you wouldn't mind. 723 00:31:42,774 --> 00:31:46,109 Well, then, he is completely tone deaf and insensitive, 724 00:31:46,177 --> 00:31:48,545 which are not better qualities in a boyfriend. 725 00:31:48,579 --> 00:31:49,713 True. 726 00:31:49,747 --> 00:31:51,281 But not exactly unanticipated 727 00:31:51,349 --> 00:31:53,250 when you get into a relationship with Shaun. 728 00:31:56,120 --> 00:31:58,055 And it's never really about the lie. 729 00:31:58,089 --> 00:31:59,956 It's what's underneath. 730 00:32:00,024 --> 00:32:01,358 You're jealous of Lea. 731 00:32:01,392 --> 00:32:03,527 I am not jealous. 732 00:32:03,561 --> 00:32:04,795 I am concerned... 733 00:32:04,862 --> 00:32:07,364 You don't need to justify. I'm on team jealousy. 734 00:32:07,398 --> 00:32:10,367 It's flattering, stimulating, it... 735 00:32:10,401 --> 00:32:11,945 It means you're committed and you care. 736 00:32:11,980 --> 00:32:14,738 It's ugly and reflects underlying trust issues 737 00:32:14,772 --> 00:32:15,872 that I don't want to... 738 00:32:15,907 --> 00:32:17,074 Yeah, yeah, yeah, like all things, 739 00:32:17,108 --> 00:32:19,171 a little is good, and a lot will kill you. 740 00:32:19,963 --> 00:32:21,127 My advice... 741 00:32:21,880 --> 00:32:24,215 Admit you're jealous, give in to it, 742 00:32:24,482 --> 00:32:25,482 and then get over it. 743 00:32:27,618 --> 00:32:28,652 (SIGHS) 744 00:32:28,719 --> 00:32:29,820 (DOOR OPENS) 745 00:32:31,456 --> 00:32:33,090 (DOOR CLOSES) 746 00:32:33,124 --> 00:32:34,391 MORGAN: Finding the styloid 747 00:32:34,425 --> 00:32:37,461 via digital palpitation of the tonsillar fossa. 748 00:32:38,496 --> 00:32:39,463 There. 749 00:32:41,766 --> 00:32:46,531 Making incision vertically along the mucosa of mandible. 750 00:32:48,306 --> 00:32:49,673 Next? 751 00:32:49,740 --> 00:32:54,077 I will free the styloid process from its muscle 752 00:32:54,112 --> 00:32:57,180 and ligament attachments. 753 00:32:58,496 --> 00:32:59,577 Done. 754 00:33:01,879 --> 00:33:05,258 Dissecting away from the internal carotid medially, 755 00:33:06,591 --> 00:33:09,993 and external, laterally. 756 00:33:10,027 --> 00:33:12,391 Now fracture and excise the styloid. 757 00:33:14,765 --> 00:33:15,832 (HIGH-PITCHED WHIRRING) 758 00:33:18,569 --> 00:33:19,615 (MONITOR ALARM) 759 00:33:19,640 --> 00:33:21,204 - SHAUN: Bradycardia. - Hypotensive. 760 00:33:21,229 --> 00:33:23,263 Loss of EEG waveform. Cerebral ischemia. 761 00:33:23,341 --> 00:33:24,641 You may have injured the carotid. 762 00:33:24,675 --> 00:33:26,610 Or compressed it by fracturing the styloid. 763 00:33:26,644 --> 00:33:28,539 See if the fragment is impinging on the vessel. 764 00:33:28,564 --> 00:33:30,004 Dr. Murphy, extend her head. 765 00:33:30,114 --> 00:33:31,348 (ALARM CONTINUES) 766 00:33:31,382 --> 00:33:33,350 ♪ 767 00:33:38,489 --> 00:33:40,624 Yes. Found it. Easing it away. 768 00:33:42,727 --> 00:33:44,828 (ALARM STOPS) 769 00:33:44,862 --> 00:33:46,530 Carotid decompressed. 770 00:33:46,564 --> 00:33:48,260 (CLANK) 771 00:33:48,666 --> 00:33:51,401 EEG back to baseline normal. 772 00:33:51,469 --> 00:33:53,470 ♪ 773 00:33:57,408 --> 00:33:59,602 Resuming styloid extraction. 774 00:33:59,627 --> 00:34:01,561 ♪ 775 00:34:10,257 --> 00:34:11,993 Kayley's in ICU, stable. 776 00:34:12,027 --> 00:34:14,760 CT shows no signs of any permanent damage. 777 00:34:14,795 --> 00:34:17,538 No reason to anticipate any future problems. 778 00:34:17,573 --> 00:34:21,463 So, the question is, what do we tell her? 779 00:34:21,497 --> 00:34:23,762 That the surgery was a success. 780 00:34:23,796 --> 00:34:25,938 She had a cerebral ischemia. On the table. 781 00:34:25,972 --> 00:34:28,340 That did no damage and that there's no evidence of. 782 00:34:28,375 --> 00:34:30,509 Hospital policy is transparency... 783 00:34:30,544 --> 00:34:32,494 We don't tell them what music we played, 784 00:34:32,529 --> 00:34:33,734 what we talked about. 785 00:34:33,769 --> 00:34:36,440 This isn't relevant to the outcome or to her prognosis. 786 00:34:36,475 --> 00:34:38,050 Would you be taking the same position 787 00:34:38,075 --> 00:34:40,276 if Kayley wasn't someone whose criticism could go viral? 788 00:34:40,353 --> 00:34:41,469 ANDREWS: I don't know. 789 00:34:41,503 --> 00:34:43,489 But it would be delusional to think it's not relevant. 790 00:34:44,825 --> 00:34:45,937 Dr. Reznick. 791 00:34:46,580 --> 00:34:47,903 Any thoughts? 792 00:34:48,862 --> 00:34:51,175 I don't think I can fairly offer an opinion, 793 00:34:51,200 --> 00:34:53,690 because my career could hang in the balance. 794 00:34:53,800 --> 00:34:56,235 Yeah, well, none of us are disinterested parties, 795 00:34:56,260 --> 00:34:58,872 given the hospital's reputation is also at stake. 796 00:34:59,619 --> 00:35:01,153 Did you screw up? 797 00:35:01,178 --> 00:35:02,812 Could that crisis have been avoided? 798 00:35:02,837 --> 00:35:05,605 ♪ 799 00:35:05,792 --> 00:35:10,008 If it could have been, then we are all responsible. 800 00:35:10,060 --> 00:35:11,961 We were watching everything she was doing, 801 00:35:11,986 --> 00:35:13,987 and none of us told her to stop. 802 00:35:15,609 --> 00:35:17,243 This is an easy call. 803 00:35:17,390 --> 00:35:19,456 There's only one reason to tell her everything, 804 00:35:19,491 --> 00:35:21,870 and that's you might feel guilty if you don't. 805 00:35:21,895 --> 00:35:24,630 On the other hand, there's the future of this hospital. 806 00:35:24,655 --> 00:35:26,622 ♪ 807 00:35:34,527 --> 00:35:35,460 Okay. 808 00:35:36,610 --> 00:35:38,043 ♪ 809 00:35:38,078 --> 00:35:41,614 Shaun, if the patient asks for details about the surgery, 810 00:35:41,639 --> 00:35:43,741 can you limit your answers? 811 00:35:43,766 --> 00:35:46,168 ♪ 812 00:35:46,193 --> 00:35:48,630 I... don't know. 813 00:35:49,689 --> 00:35:50,832 Okay, we need to know if... 814 00:35:50,857 --> 00:35:52,133 No. 815 00:35:52,592 --> 00:35:56,128 Dr. Murphy, I hope you will limit your answers. 816 00:35:56,153 --> 00:35:58,321 But I won't order you to defy your conscience. 817 00:35:58,346 --> 00:36:00,213 ♪ 818 00:36:09,242 --> 00:36:13,312 We don't normally have patients share rooms, but... 819 00:36:13,380 --> 00:36:15,840 - She's...? - Gonna be completely fine. 820 00:36:15,865 --> 00:36:18,834 And once she's recuperated, we'll begin her on statins and Ezetimibe, 821 00:36:18,859 --> 00:36:21,027 and she'll undergo lipid apheresis. 822 00:36:21,261 --> 00:36:22,661 It's kind of like dialysis, 823 00:36:22,686 --> 00:36:25,485 but it'll allow us to extract LDL out of her blood. 824 00:36:25,510 --> 00:36:28,003 Should get her cholesterol to within normal range. 825 00:36:29,569 --> 00:36:32,137 She'll need those drugs and that other stuff 826 00:36:32,265 --> 00:36:33,299 for the rest of her life? 827 00:36:33,333 --> 00:36:36,769 Yes. But hopefully a very long one. 828 00:36:37,951 --> 00:36:40,386 (EXHALES SHARPLY) 829 00:36:40,686 --> 00:36:42,392 (SNIFFLES) Thank you so much. 830 00:36:43,444 --> 00:36:45,044 Thank God I did what I did. 831 00:36:45,069 --> 00:36:47,003 (CHUCKLES) 832 00:36:47,028 --> 00:36:49,126 ♪ 833 00:36:56,923 --> 00:36:58,824 (CHUCKLES) 834 00:37:00,927 --> 00:37:03,012 KAYLEY: (NORMAL VOICE) Everything went great? 835 00:37:03,289 --> 00:37:06,099 (SIGHS) The repair was successful. You should have no... 836 00:37:06,124 --> 00:37:08,759 KAYLEY: Everything went great. Say it. Say it to your fans. 837 00:37:10,503 --> 00:37:12,571 - Everything went great. - (KAYLEY GIGGLES) 838 00:37:12,606 --> 00:37:14,440 KAYLEY: You rocked it. 839 00:37:14,474 --> 00:37:17,058 (CHUCKLES) You'll be with us another few days, and then you... 840 00:37:17,092 --> 00:37:18,928 KAYLEY: She rocked it, right? 841 00:37:19,459 --> 00:37:22,428 She was lead surgeon in a successful... 842 00:37:22,453 --> 00:37:24,120 KAYLEY: And how gorgeous is that hair? 843 00:37:24,145 --> 00:37:27,103 Dr. Morgan Reznick, take a bow! 844 00:37:29,122 --> 00:37:30,581 (KAYLEY LAUGHS) 845 00:37:30,606 --> 00:37:32,774 KAYLEY: She was wrist-deep all up in my mouth, y'all. 846 00:37:32,799 --> 00:37:34,466 She is a damn hero! 847 00:37:34,694 --> 00:37:35,694 (KAYLEY LAUGHS) 848 00:37:37,364 --> 00:37:38,965 You've got work to do. 849 00:37:38,990 --> 00:37:40,075 We're proud of you. 850 00:37:43,416 --> 00:37:45,284 Any reason you screwed up? 851 00:37:45,309 --> 00:37:47,544 I didn't. It could've happened to anyone. 852 00:37:47,569 --> 00:37:50,104 Not anyone suffers from arthritic pain. 853 00:37:50,129 --> 00:37:51,696 That didn't affect anything. 854 00:37:51,721 --> 00:37:53,188 You sure about that? 855 00:37:53,213 --> 00:37:54,447 'Cause I'm not. 856 00:38:11,057 --> 00:38:12,891 CARLY: Did you speak to Lea? 857 00:38:13,099 --> 00:38:14,333 Yes. 858 00:38:18,171 --> 00:38:20,198 I know she's a good friend. 859 00:38:21,174 --> 00:38:22,641 And it would be unfair 860 00:38:22,666 --> 00:38:25,334 for me to expect you to cut her out of your life. 861 00:38:25,848 --> 00:38:26,981 But... 862 00:38:27,006 --> 00:38:30,675 You going to ask her opinion right after I had given mine, 863 00:38:30,743 --> 00:38:33,795 it just called up Wyoming all over again. 864 00:38:34,894 --> 00:38:37,596 That you preferred Lea to me. 865 00:38:37,621 --> 00:38:39,555 ♪ 866 00:38:42,335 --> 00:38:43,702 I was jealous. 867 00:38:45,711 --> 00:38:48,446 And it's something that I have to work out. 868 00:38:48,471 --> 00:38:51,206 ♪ 869 00:38:51,231 --> 00:38:54,400 For the two of us to work out. 870 00:38:54,425 --> 00:38:55,559 Together. 871 00:38:55,584 --> 00:38:57,519 ♪ 872 00:39:01,381 --> 00:39:03,482 ♪ 873 00:39:06,933 --> 00:39:08,767 What was Lea's advice? 874 00:39:08,792 --> 00:39:10,860 ♪ 875 00:39:10,885 --> 00:39:14,520 That it'd be selfish not to share my story with the world. 876 00:39:15,061 --> 00:39:16,829 ♪ 877 00:39:18,063 --> 00:39:19,898 I liked your advice better. 878 00:39:19,923 --> 00:39:21,858 ♪ 879 00:39:30,109 --> 00:39:31,876 (KNOCK ON DOOR) 880 00:39:32,245 --> 00:39:33,412 MELENDEZ: Hey. 881 00:39:34,347 --> 00:39:36,415 Uh-oh. 882 00:39:37,130 --> 00:39:38,446 Actually, yeah. 883 00:39:39,185 --> 00:39:41,487 There's something awkward we need to talk about. 884 00:39:42,589 --> 00:39:43,922 You and Claire. 885 00:39:46,626 --> 00:39:48,411 You can reopen the door. 886 00:39:49,163 --> 00:39:52,065 There's nothing remotely improper going on. 887 00:39:54,707 --> 00:39:57,776 I received an anonymous favoritism complaint. 888 00:39:58,945 --> 00:40:00,345 We need to deal with it. 889 00:40:07,793 --> 00:40:11,684 I don't want to talk to reporters. 890 00:40:12,271 --> 00:40:14,039 I know. 891 00:40:14,327 --> 00:40:18,030 So if I talked to reporters, 892 00:40:18,055 --> 00:40:20,957 it wouldn't be honest to who I really am. 893 00:40:21,868 --> 00:40:24,370 Well, sometimes, Shaun, 894 00:40:24,395 --> 00:40:26,996 people present a different version of themselves 895 00:40:27,021 --> 00:40:28,788 depending upon the circumstances. 896 00:40:28,813 --> 00:40:32,349 Like, I'm not always the same here as I am at home. 897 00:40:32,578 --> 00:40:33,612 I don't. 898 00:40:34,374 --> 00:40:35,917 No, you don't. 899 00:40:37,577 --> 00:40:40,412 I considered all the arguments. 900 00:40:40,480 --> 00:40:42,648 ♪ 901 00:40:43,902 --> 00:40:48,006 I want to be known as a good doctor. 902 00:40:49,035 --> 00:40:51,036 Not a good autistic doctor. 903 00:40:51,061 --> 00:40:53,162 ♪ 62553

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