All language subtitles for The Good Doctor - 1x09 - Intangibles.HDTV.KILLERS.en

Very nice meeting you.

So, who was that?

A housekeeper.

Leaving your place
at 7:00 in the morning?

I was interviewing her.

You're hiring a housekeeper
for a studio apartment?

I'm not hiring her.

Her clothes don't match.

Right.

Mm.

You're such an asshat, Shaun Murphy.

Today we realize a dream...

seeing our international
humanitarian program

come to fruition.

Our cardiothoracic surgeon,
Dr. Neil Melendez,

in consultation with our head
cardiologist, Dr. Avi Mehta,

evaluated children from Tanzania
to Malawi to Guinea.

They screened over 100 candidates,

each of them
needing life-saving surgeries.

Ultimately, we decided on a
particularly inspiring young boy

named Gabriel,

who hails from the
Democratic Republic of Congo,

with severe congenital heart anomalies.

We identified
three perfect candidates...

- children I can actually help.
- Hi. Thank you.

- Gabriel wasn't one of them.
- Yes and no.

I signed off on your choices.

But I wouldn't have
necessarily eliminated Gabriel

based on the echo I saw.

A non-surgeon undermining a surgeon

on his selection of surgical candidates.

It's healthy when colleagues challenge
each others' decisions.

It doesn't make any sense.

We gave you good candidates.

You're not a doctor.
Why wouldn't you stick with the list?

There were several intangibles.

Can you say hi to Dr. Melendez?

One of those intangibles,
I'm guessing, is cuteness.

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www.addic7ed.com

Family displaced during the war.

Mother took care of her husband
until he died of yellow fever.

He bled out at home.

A month later, Gabriel was born.

People tend to give more

when the cause is not
only noble, but photogenic,

Adorable kids and sympathetic
moms may work on donors,

but they won't work on me,

and they certainly won't work
on echo results.

Kinda working on me.

Before you say no,
at least do your own work-up.

Mommy, why can't I come?

The hospital's worried
that children bring in germs.

I won't, Mommy. I promise.

I know, boo.
It's just... It's the rules.

Okay, baby. I have to go now.

Do what Aunt Maggie says.
I'll call you later, okay?

I love you to the moon...

And back.

I can't imagine voice rest

could be very easy with a 3-year-old.

Yeah. Not very effective for
my podcast audience either.

Of which, by the way, I'm a huge fan.

Grim irony, though, right?

A podcaster who loses her voice.

Elizabeth, I'm sure
the nodule will be benign

and this'll be nothing more
than an inspiration

for another great episode.

If it's not benign, Isabel?

Let's not get ahead of ourselves.

Today we're just focused
on removing the nodule

and doing the biopsy.

And you've done everything you could do.

And when the hoarseness started,

you sought early care from the best.

And I sent you to the best.

You work perfectly together,

kind of ping and pong-ish.

It's nice.

A lot of doctors who are married

are more like miss and match.

Mrs. Bangura, this is
Dr. Murphy and Dr. Kalu.

They're gonna help me run
some tests on Gabriel.

I heard that you and Gabriel

have never been away from home before.

I was hoping that these
would make him feel welcome.

Yes. You are kind.

I brought one for myself, too.

Hey, how 'bout we all do some medicine?

He really needs our help.

"He needs our help"?

He sounds like he's got
a blow dryer in his chest.

Exactly. Which is why he needs our help.

This is the problem
with cardiologists...

You're really good at telling people

when something's broken,

not so good at knowing
when they can't be fixed.

If that kid is dying, I'm not
gonna tell his mother that

unless I'm damn sure.

You heard that heart.

I heard that heart.

And it sounded like crap.

But until we do a transesophageal echo,

I don't know anything.

Do a transesophageal echo.

She has a master's degree in Sociology,

impeccable credentials,
excellent references,

and you turned her away because
"her clothes didn't match"?

It's relevant.

If a life-skills coach can't
select a complementing wardrobe,

they lack life skills.

But she's not gonna pick out
your clothes for you.

She's not a nanny.

She's there to help you
with problem-solving,

financial, social interactions.

You're doing this
because I did not react well

to a man with a gun
robbing a store I was in.

Statistically, that is very unlikely

to ever happen to me again.

Social interactions

will happen again and again and again.

It's statistically irrefutable.

And if you learn how
to get along with people

a little bit better,
you'll have a fuller life.

A happier life.

If you don't like this woman,
we'll find somebody else.

I am happy.

You could be happier.

I don't think so.

My neighbor, Lea.

If she were ever in a fire,
she'd be rescued first.

Why's that?

Dr. Melendez says attractive
people have advantages.

Dr. Melendez says that, does he?

Why is that funny?

I don't know.

It's just, um, some people

consider Dr. Melendez attractive.

So, how's it going with Lea?

She doesn't like me.

Why do you say that?

- She said I was an asshat.
- Yeah?

What was she doing when she said that?

Touching me. She was flirting with you.

Sometimes people say
the opposite of what they mean.

Um, they use teasing as a way

of saying something they don't mean

instead of saying something
that they do.

I haven't seen any data
on the use of antonyms

as a flirting technique.

Okay. Well, um, here's what to look for.

- You ready?
- Yes.

Okay. The pretentious giggle.

The, uh... the squirm.

And the hair sweep.

I call it the flirting trifecta.

Hair scuffing is used in both
animals and humans, Claire.

Secreting glands are located
in the scalp and fur.

Scuffing sends hormones
out into the environment

to let a potential mate
know they're interested.

Or it could be ringworm.

Yeah.

I suppose you have to factor
for that possibility.

Nice touch.

Beauty increases happiness.

Happiness improves outlook.

Still on Mission Carpe Diem.

You might want to try it.

I'm doing fine.

We're having dinner at the sink.

No, we're enjoying dinner at the sink.

Although if you keep
talking like that...

Mm.

Andrews.

Well, look again. It has to be there.

Yeah. Okay.

Who was that?

The lab.

They misplaced Elizabeth's specimen.

- Oh, my God.
- Don't worry. They'll find it.

Satisfied?

- It's somewhere.
- Somewhere else.

I love how everyone in surgery
is so fast to blame the lab.

Well, double-checking can't hurt.

Actually it can.

Because you are here

when you should be
double-checking surgery.

I saw the specimen go in the container.

It means it has to be here.

No, all that means is that
it was put in a container.

It doesn't mean that that container

was actually put
in the surgery refrigerator

or that it was actually
picked up by the courier.

He's even worse than we thought.

Yeah.

Hypertrophic obstructive cardiomyopathy,

atrial septal defect,

abnormal insertion
of the mitral valve leaflet.

I've never seen so many
anomalies in one heart.

I'm sorry I pushed
for additional testing.

That only got his mother's hopes up.

Any medication that'll help?

Beta blockers.

Maybe metoprolol.

It's not like they'll
get him playing soccer,

but they might help him get
to the field to watch.

For a couple of years, anyway.

Better than dying on a table tomorrow.

You tell Aoki.

I'll break it to the mom.

Dr. Lippman to plastic surgery.

Dr. Lippman to plastic surgery.

It's called sakara, given by our shaman.

His heartbeat...

it follows the sound.

It reminds it to beat until you fix it.

Mrs. Bangura,
I've completed all the tests.

And I'm sorry that you've
come all this way...

When Gabriel was in my belly,
evil spirits came to him.

Invade his heart.

Our village shaman tried to rid them.

He could not.

Then a vision came to him.

A stronger healer would come.

You.

You will save Gabriel.

I don't know about evil spirits.

All I know is that your son was born

with a heart that I can't fix.

I'm sorry.

I would not have come so far
if I did not believe.

We'll give him medicine
to make him feel better.

And then you can take him home.

We tell her we're sorry,

we have no news yet, and then...

Nope. You can't say that.
It's an expensive word.

- "Sorry"?
- You can act sorry.

You can feel sorry.

In fact, you should feel sorry.

You just can't say it.

Okay, uh, "I feel bad for you

- because we made a mistake and..."
- Nope.

A mistake isn't a mistake?

Well, it's "an unanticipated outcome

of an expected action."

You can't use language that
implies blameworthy conduct.

But if we did lose the specimen,
isn't it actually a mistake,

and aren't we sorry,
and aren't we blameworthy?

Yes.

Doesn't mean we can make it
any easier for her attorney.

Hello, Elizabeth.

I'm Jessica Preston
from Risk Management.

- How are you?
- I don't like the sound of that.

I know. I really need
a new... a new job title.

Seems that we've encountered
an unexpected occurrence.

The laboratory has been unable

to locate your tissue specimen.

We don't want you to be
unnecessarily alarmed,

but we want you to be fully
aware of what's going on.

But ho... How will I know
if I have cancer

if you don't find it?

We are looking everywhere.

We will find it.

As long as it's in formalin
or a refrigerator,

everything will be fine.

For how long?

At least 24 hours. Maybe even 36.

Well, then you better find it.

Because I will be damned

if I'm gonna have my voice box removed

just because somebody screwed up.

I've implemented
a proactive educational plan.

Well, that's terrific, Shaun.

Why are we talking about that here?

I'm not stupid.

I didn't say you were stupid, Shaun.

Nobody said you were stupid.

But sometimes you lack common sense.

- I'm so sorry to have bothered you.
- This patient is deaf.

Oh.

I started flirting lessons yesterday.

Flirting lessons.

Wish they'd had that when I was young.

Yes, I learned about
the flirting trifecta.

There's the pretentious giggle.

Shaun, what are you getting at?

Flirting,

it requires primarily
nonverbal interactions.

Being perceptive in one social dimension

translates well to other social skills.

You're studying flirting.

Are you lonely, Shaun?

'Cause you know there are...

There are websites now where you can...

I like being alone.

Yeah, well, being alone and being lonely

are two different things.

Sometimes we're lonely,
and we don't even know it.

How would I know it?

Well, uh, loneliness,

it's kind of a dull...

It's like a dark...

Are you lonely?

Yeah, sometimes.

You know, sometimes very much.

You should learn the trifecta.

Hey. Um, hey.

We're looking for a lost specimen

that I am positive left the O.R.

And I'm positive it didn't
make it to the lab.

And since you're the link
between the two,

we wanted to ask you
about your 3:00 run yesterday.

So, you took everything

that was in the refrigerator
in the O.R.?

In the refrigerator,
out of the refrigerator.

Everything that's meant to go, I took.

- Did you stop on the way?
- No.

Straight from the surgery to the lab,

just like the rules say.

Well, did you stop at the restroom

or the... the coffee machine,
the cafeteria?

You know, believe it or not,
I can go a whole 30 minutes

without stopping for a cream puff.

We're just desperate.

All we care about is the specimen

and avoiding a full-on investigation.

Investigation?

Yeah. Yeah, yeah.

I-I-I-If we don't find it,

then the legal department gets involved.

Everyone who was in contact with it,

who might have been in contact with it

goes under a magnifying glass.

I'm not looking forward to it.

You looking forward to it?
She's not looking forward to it.

They're gonna check your
social media, your computer.

- Blood tests.
- Blood tests.

But if you find it before then...?

Then life goes on.

The same as it always has.

I did stop.

At the cafeteria.

The cashier is smokin'.

I might have been distracted
for a little while.

Okay. Thanks.

Water.

Always more water.

Even more.

I know. It's scary.

You are good with children.

You are father?

No.

One day, I hope.

Page rapid response team, STAT.

Has he developed endocarditis?

His echo didn't reveal vegetations

on his valves or...

endocardium.

He has not developed a fever.

Let's be sure. Get blood cultures.

- Order them times two, 15 minutes.
- It's in the wrong place.

It was in the wrong place.

Okay.

Times two. 15 minutes apart.

Hey.

Um, Leonard says that
he stops by here to see you.

Yeah.

He pretends the cafeteria
is on his route.

Like I don't know where the lab is.

Yesterday around 3:00, Gwen.

Notice anything on the food
trays that wasn't food?

Around 3:00?

Just the usual...

uh, Tupperware, sunglasses,
cellphones, a condom.

Around 4:00, I found a glass eye.

You see a biohazard bag?

Uh, the ziplock bag
with the red circles?

Yeah.

C'mon.

You can move the mitral valve.

Thanks for the visual aid.

You can't move the mitral valve.

Now, if Mr. Potato Head
had an atrial septal nose

- and hypertrophic obstructive...
- I believe...

I believe the abnormal insertion

- of the mitral valve can be...
- Stop.

Follow me.

Pretty sure I saw a biohazard
bag in here yesterday.

You're lucky you came when you did.

It's due to get dumped in two hours.

Ugh, dentures. They're the worst.

You know, every patient
gets a denture cup

with their name on it.

So, tell me, why are
the dentures never in the cup?

And if they are, it's the wrong cup?

One of life's mysteries.

Biohazard bag sighting.

A biohazard bag for a coin purse?

Really?

Finally, a septal myectomy

will open the outflow tract,

and the mitral valve can be re-implanted

into a more normal position.

Thank you. That's my idea.

Can you do this procedure on Gabriel?

No.

It's a terrible idea, and it won't work.

So, what was the point
of this dog and pony show?

'Cause you seemed keen on
making medical decisions for me.

So just insubordination?

And we were probably gonna
wind up coming to you anyway.

Once Dr. Murphy gets an idea,
he stays with it,

regardless of what anyone says.

This can work.

Yes, this can work.

And it would be a great idea if
the boy had two hours to live.

Is fear of failure
a good reason not to do this?

No.

But you know what is?

The thought that he might have
a few more birthdays...

or make a best friend.

And... I don't know.

I'm not sending him home in a box.

We got to go.

Gabriel's arrhythmia, it's gotten worse.

You still haven't found it?

I can get Ms. Preston
to address any questions...

She wasn't in the surgery. You were.

She is the point person for
all therapeutic misadventures.

Are you kidding me?

I may lose my voice
for absolutely no reason,

and you are using canned jargon.

That sample cup doesn't have toothpaste

or socks or sunblock in it, okay?
It has my life!

I'm sorry.

Thank you.

- Good for you.
- Yeah, right.

- just broke about eight rules.
- Maybe.

"Ms. Preston" won't hear
about it from me.

You should go find that sample, though.

Thanks.

The meds aren't working.
The question is why.

M-Maybe the arrhythmia
is just another manifestation

of Gabriel's L.V. dysfunction.

We should still be seeing
at least a modest decline

- in his ectopy.
- Maybe his gradient is worse.

We could try calcium channel blockers.

There's a much simpler explanation.

Good news about his endocarditis...

heart inflammation.

His tests are normal.

But we still are concerned.

For some reason,
his medication isn't helping.

Our best explanation is...

he hasn't been taking his medication.

I am trying to save his life.

But withholding his medicine?

By keeping him here.

If he takes the medicine
and becomes better,

you send him to die.

But there is nothing else
that we can do for him here.

You do not understand
where I live, what it is like.

I don't know your village.

But I do know what it's like to be poor.

I grew up with nothing.

My sister was disabled.

My parents couldn't afford
her meds or treatments.

And it killed them, and me,
to watch her suffer.

But when nothing can be done,
nothing can be done.

You became a doctor?

You did not accept being poor.

No.

Then you do not understand at all.

We want for everything... food.

Peace. Medicine.

But our greatest want is hope.

If we leave here, we leave hope behind.

Okay.

I'll do what I can.

I dropped by to see Elizabeth.

Not surprisingly, she's very upset.

There wasn't much I could offer
in the way of comfort.

If only people did their jobs.

Which people?

Scrub nurses, couriers, lab techs...

That's a curiously limited list.

I did the surgery correctly.

I don't think it's too much
to expect others

to do their jobs correctly, as well.

So, not your fault, not your problem.

What are you trying to do,
make me feel guilty?

Yes. I want you to feel horrible.

That's the only thing
that's gonna make you change.

- Into what?
- The guy I married.

The guy who cared more
about patients than politics.

Ah, okay, I get it.

This is about me vying
for president of the hospital.

Which we discussed at length,

which you said you were
100% behind me on.

I didn't realize how far behind.

You think I've left you behind?

Hmm.

Uh, Tuesday...

"Capital expenditures meeting delayed.

Will be late."

Wednesday... "Fundraising event
ran over. Don't wait up."

- Thursday...
- Iz, there are things about my job...

Right.

"Not your fault."

Hello.

Hey.

Did you know that specimens
in formalin go to one place,

exempt specimens somewhere else,

aerobic and anaerobic cultures...

two different places?

Um, radioactive, medical device,

forensic specimens... all different?

And all handled by different staff?

Did you know that?

Yes.

Oh.

I made a chart, too.

A qualitative observation log
of what you taught me.

What did I teach you?

Flirting.

Every time I saw
someone flirt, I noted it

and cross-referenced the subject,

object, and nonverbal gestures.

I knew it.

Gwen, the cashier.

She made out that it was
all the courier, but...

That's my name.

Yes. You made flirting gestures.

- No, I didn't.
- Yes, you did.

You brushed your hair back.

Right hand, side sweeping.

At Dr. Melendez?

No, I don't think so. Shaun.

- No.
- Yes.

You were at the nurses station,

and he said, "Good for you,"

and you said, "Yeah, right.
I just broke about eight rules,"

and smiled and giggled
and brushed your hair back.

"Ms. Preston" won't hear
about it from me.

It's possible you have ringworm.

Shaun, sometimes people toss their hair

just 'cause it's in their face.

Murphy.

I'd like you to elaborate on your idea.

Mm, my terrible idea?

That's the one.

You can move the anterior
leaflet of the valve

and reattach it.

No, we can't.

This is an exact replica
of the kid's heart,

and there's no anchor point
to reattach it.

So that part of your idea
is still terrible.

Okay.

But the rest of it?

We're dealing with a huge septum...

25 millimeters.

What would that number be
in a healthy kid?

About 8.

If we go anywhere near that number,

we won't have enough support
for the valve.

But let's say we took that down to 20...

That won't be enough

to relieve the outflow obstruction.

Okay.

18.

Okay.

Let's take him off bypass.

He's dead.

Again. 16.

I'm really tired.

I used to think that I wanted to be

the best surgeon in history.

But my new goal?

Is just not to get washed out
of my residency.

You have a surgery now?

No.

I'm here to see how I can help.

The Chief of Surgery
joining the search party?

Should I take a selfie,

show my friends that
this really happened?

This is a team problem.

- It should be a team solution.
- How do you get a boss like this?

What do we know so far?

Let's take him off bypass.

His outflow is perfect
at 13 millimeters.

Which is irrelevant...

...the mitral valve doesn't have
enough support to close.

He's dead.

Again.

Dr. Browne.

Any reason you assumed responsibility

on behalf of the hospital...

told Elizabeth you were "sorry"?

Because I was.

Well, I hope we don't see
the price tag on that.

And I think you're out of time.

Let's take him off bypass.

Yes.

14 millimeters.

Exactly.

Yeah.

Exactly.

Our margin of error is exceedingly low.

Good luck.

You believe in luck?

It's something people say
in difficult situations.

Neither do I.

Again.

The reality is, even
if we found your specimen now,

it's unlikely that it'd still be viable.

You don't know if I have cancer,

and there's no way to find out.

So my choices
are surgery I may not need...

...that will leave me without speech,

or I do nothing and maybe die.

Unfortunately, yes.

Knife.

3 hours, 30 minutes.

You didn't want him on bypass
any longer than five hours.

"Wynken and Blynken are two little eyes,

and Nod is a little head,

and the wooden shoe
that sailed the skies

is a wee one's trundle-bed.

So shut your eyes while Mother sings...

How's it look, Dr. Murphy?

14 millimeters.

Exactly.

Perfect.

His septal tissue...

It's stiffer than I anticipated.

I don't think this is gonna be
enough for adequate outflow.

I'm taking the septum down to 13.

Okay, the valve wasn't supported at 13.

The patient died.

That was a model, not a patient.

We're at five hours and three minutes.

We're taking him down to 13.

Field.

All quiet for the time-out.

Patient is Elizabeth McLaren.

No known allergies.

We'll be doing a total laryngectomy

with a Gluck Sorenson U-shaped incision.

Is everyone in agreement?

Antibiotics in?

One gram of cefotaxime has been infused.

We anticipate a specimen.

I've requested labels be printed.

Pen.

Prepare to intubate.

Dentures.

You've gotta hold the surgery.

Uh... just give me a little time.

That's 13.

Dammit.

Too thin?

The valve doesn't have adequate support.

It won't be able to close.

I was wrong.

Whoa.

There's a reattachment point.

We must not have seen it at 14

'cause it was obscured
by the subvalvular tissue.

We can use that as an anchor
point and move the valve.

Your terrible idea just got
a hell of a lot better.

Stitch.

5 hours, 23 minutes.

Hey.

Dentures.

They always end up in the wrong cup,

which is why they're so hard
to get back to the owner.

- Okay.
- Right.

What if the label
on the specimen was wrong?

What... What if the nodule is here,

but the container
has the wrong name on it?

Okay, I'm reconciling
the operative records

to the surgery schedule to the specimen.

I'll read the cases,
check the containers,

and feel like a jerk for judging you.

Well, you're only a jerk if I'm right.

Pump time?

6 hours, 48 minutes.

Get Mehta in here.

Let's take him off bypass.

12 seconds. Should I get the paddles?

Not yet. Come on, Gabriel.

How long has he been on bypass?

Nearly two hours too long.
We need to jump-start...

Not yet!

Yeah.

Yes!

Dr. Murphy, close him up.

It's beating just fine on its own.

Marcus.

There was a specimen cup in
the O.R. prior to your surgery.

It was supposed to be used
for a bullet removal,

but they left the bullet in the body,

and the cup was used
accidentally for your specimen.

Not only was it in formalin,

but it was refrigerated
and fresh as a daisy.

Elizabeth, you don't have cancer.

Thank you.

Doctor.

Intangibles.

Hello.

Hello.

- I had a very good day today.
- Yes, you did.

- That was a hell of an operation.
- Yes.

And I caught Claire flirting.

With you?

- Shaun, I think you might be mis...
- With Dr. Melendez.

- Ah, Dr. Melendez.
- I conducted observations,

successfully interpreted them,
and logged them.

Romance in a spreadsheet.

I love it.

I was aware of the cues
even when Claire wasn't.

I think she needs a life-skills coach.

Extrapolating. I like that, too.

That's great, Shaun.

You're paying attention.
You're learning.

And when we find you a life coach,

one with a fashion sense,

then you're gonna be learning better,

you're gonna be learning faster.

Are you giving up on me?

What?

No. I haven't given up on you.

I don't want a stranger helping me.

I know, Shaun.

But...

And I can't...

I can't always be there. I-I...

I can't always help you
the way you need to be helped,

the way you deserve to be helped.

I don't want a stranger helping me.

Congratulations.

You too.

On your mad sleuthing skills.

Something to fall back on
if this surgery thing gets old.

You did a nice job, Claire.

- Thanks.
- And here is our price tag.

We've been served.

But we found it. Elizabeth's fine.

I know.

But we put her through two days of hell,

and she wants to make sure it
doesn't happen to anybody else.

I mean, good for her.

What is this?

Gabriel's pacemaker.

I heard you were brilliant again today.

I got lucky.

Do you think Armen would kill
me if I got a pet hedgehog?

I mean, I read that
they're actually pretty...

- Lea.
- Yes, Shaun?

You look absurd in that sweater.

I have apples.

Do you want an apple?

Yeah.

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