All language subtitles for The Good Doctor S04E08

Remember
how I told you

my parents drop in
unannounced?

- Mm.
- I just got a text.

They are coming here
tomorrow.

Okay.

It's not "okay," Shaun,
it's an ambush.

My parents don't come to visit,
they come to judge.

They hate everyone
I date,

which means they're gonna ask
you a ton of awkward questions.

It's going to be
uncomfortable.

Very.

Okay.

You hate surprises.

Why aren't you more
thrown by this?

Because it's not
a surprise.

They're behaving exactly
the way you said.

So a disaster
is fine as long as

it's a predictable
disaster?

A disaster
implies consequences.

We're adults.

Why would it matter
what your parents think?

I don't know,
because they're parents.

Doesn't it bother you

that your grumpy second dad
Glassman still doesn't like me?

- Dr. Glassman likes you.
- No, he doesn't.

- I have to go.
- Fine.

But I'm gonna text you
some talking points.

Mostly subjects to avoid.

And it's gonna be
a very long list.

How long
has she had this wound?

Uh...

She fell off the vault
two months ago.

Oh. Slow healing
and signs of oral bruising.

Are you
on a restricted diet?

Coach put me
on a performance diet.

High protein, high fiber.

I can show you
her training log.

It's very standard stuff.

Although
the noodles that she likes,

they... did a number
on my stomach, too.

- What noodles?
- Konjac.

Girls on the squad eat them
all the time.

Konjac noodles were banned
in Australia several years ago.

They're dangerous,
basically indigestible.

We will get
another doctor

to assess your symptoms
and do a workup.

But we need to get Darya
to Imaging right away.

I review my schedule,

starting with the last appointment
and working backwards.

It's an effective
technique.

You might want
to write this down.

Uncle Marcus,
we had a deal.

No special attention.

That deal's off.

Livvy, you're struggling,

and I can't sit on
the sidelines anymore.

But special treatment
from my uncle,

it's only going
to make things worse.

I owe it to you,
and I owe it to this hospital.

I know you have
unique talent.

So you've noticed
both that I'm screwing up

and that I have
unique talent?

I noticed the talent
long before you started here.

Aunt Tilly's
annual barbecue.

You gave this to me
when you were five years old.

And that moment,
I knew you were special.

Hmm.

Giant mass of fiber blocking
entry to her intestines.

Her blood tests
also show low calcium

and other nutritional
deficiencies.

Can I see
the 3D reconstructed images?

It's
unlikely to pass on its own.

We'll have to break it up
and remove it endoscopically.

She also needs
to quit gymnastics.

She has severe osteoporosis
with compression fractures

in almost all
of the thoracic vertebrae.

Huh.
Interesting.

She is a 14-year-old
girl

with the bone density of an
80-year-old woman.

Theme music playing...

*THE GOOD DOCTOR*
Season 04 Episode 08

Episode Title: "Parenting"
Aired on: January 25, 2021

Synchronized by srjanapala

You have kyphoscoliosis,

caused by insufficient diet
and overtraining.

We need to surgically
stabilize across the deformity

to prevent the spine
from failure and paralysis.

Spinal fusion...

That means that
she can't compete, right?

Yes.

And the Games,
they're less than a year away.

Could we wait
until after to have the surgery?

If left untreated,

there's a 20% chance
of progression,

which could lead
to respiratory failure

and death.

It's your call.

I take risks every day.

I'm not giving up
my dream.

You're 14.

It's not
your call.

Her mother passed away
when she was a baby.

And my father just told you
it's my decision.

Coach is my dad.

Do what you need to do
to clear the blockage,

but...
leave her spine alone.

She wants
to risk her life for a trophy,

and her dad
is okay with that.

I mean, that has to be
some form of abuse.

This hospital is
not gonna win a lawsuit

against a caring father
who supports his daughter's dreams.

All you can do
is pull him aside

and try to convince him
to be responsible.

Yeah.

Convincing people
to be responsible

has not been
my strong suit lately.

We're not still talking about
Coach Dad, are we?

You've been avoiding me.

I've been busy.

Recovering from
a motorcycle accident

- that you lied about?
- There's nothing to tell.

I hit a patch
of wet pavement.

Well, Audrey...

You have PTSD.

I'm dealing with it.

I don't think you are.

Well, I also have a truckload
of other things to deal with,

including the annual
surgical fundraiser

Glassman just dumped
in my lap.

Yeah, parties,
they're important.

I'm dealing with it.

Mm.

How long have you had
the severe heartburn?

Uh, six months,
maybe a year.

BP is 142 over 90.
That's a little high.

Yeah, well, Darya and I travel
a lot for competition.

I don't take care
of myself.

Prioritizing your work
over health is a bad idea.

For you
and your daughter.

Thank you.

But may I kindly
remind you,

how long are the shifts
that you doctors work?

High stress, no sleep.

When something is important,
huh, you give it all you got.

True. But we're adults.
Darya's not.

Yeah, but she's very different
from other girls her age.

I mean, Darya,
she works her butt off.

She's earned
my r... Respect.

You okay?

Oh, I'm feeling
some kind of chest pain.

His oxygen sat and
pressure's dropping.

Possible MI, lung problem,

or aortic aneurysm.
Secure his airway.

Poor perfusion.
I think he's septic.

And vitals aren't improving.

Might be
a spontaneous pneumothorax

and trapped air
in his chest.

No, his chest would sound
like a kettle drum.

There's fluid
in there.

Give me a blade, curved clamp,
and a chest tube.

Boerhaave syndrome
is easily misdiagnosed.

Nice catch
with the percussion technique.

You may have saved
this man's life.

Give me more retraction.

These tissue planes
are terrible.

We're gonna have
to debride the mediastinum.

There's too much damage
to repair the esophagus

without risking
a chronic fistula.

The ongoing leakage
into his chest

means it would just be
a matter of time

before he dies
from an infection.

The safest approach would be to
permanently divert the esophagus.

And he'd have to eat through
a tube for the rest of his life.

But I don't
see a better option.

In 24 hours, with broad
spectrum antibiotics and drains,

the infection could clear
and give us more options.

Which buys everyone time to
come up with another brilliant win.

Does she really
call her own father "Coach"?

He is her coach.

What do you call
your father?

- Abba.
- Pass.

Frank.

That's his name.

- Mm.
- Do you respect any traditions?

Not random ones.

Why should we create
labels

for things that
already have names?

It's not just what
Darya calls her dad,

it's how they act
with each other.

They're like coworkers.

That doesn't
sound bad.

If I were meeting
Lea's co-workers tomorrow,

she would be
much less anxious.

Family is supposed
to make you anxious.

Introducing a new boyfriend
to your parents, it's a big deal.

It's a rite of passage.

Polymorphic ventricular
arrhythmia.

Torsade de Pointes.

We need magnesium sulfate
two grams IV.

Heart rate's 170.
She's not responding.

Move in
the defibrillator.

- Charged to 100 joules.
- Clear.

Did we do something
wrong?

No.

Which is puzzling.

Mistakes by first-year
residents are expected,

but cardiac arrhythmia in a
14-year-old is definitely unexpected.

I was gonna ask
if you wanted a ride,

but if you're
working late...

Twenty hours
to figure this out.

You sure you want to waste one
of them driving home and back?

I think while I drive.

Not as well. Not in
the car. Not at home.

Too comfortable,
too many distractions.

Better to buckle down here,

where, as a bonus,
your colleagues can see you.

I was under the impression
that results are more important

than how a doctor
is perceived.

And Jordan is running rings
around you there, too.

Results don't matter if you
can't make people listen.

Is that why you didn't want to
perform the esophageal diversion?

You didn't hear me?

I made a decision
for the good of the patient.

Now,

it's up to you
to prove me right.

She has a prolonged QT
interval and sporadic extra beats.

Okay,
I'm gonna get the newbies

to recheck
he renal panel

and order endocrine
and genetic studies.

I already did.
Also a tox and drug screen.

Are you okay?

Mm.

Lea's scared.

Mm.

Then I should
prepare myself.

There is... definitely something
about me her parents won't like.

No, Shaun.

You are
who you are.

Who you are is great.

You've been preparing for this
your entire life.

When you do something
important for the first time,

like surgery,
you practice.

I should practice
meeting her parents.

Mm, how? It's not
like there's a simulator

for learning how to navigate
awkward social interactions.

There is.

But I need pizza.

Hmm.

Shaun, I'd like you to meet
my parents, Pam and Mike.

Hi, Pam.

Hi, Mike.

Lea tells us you're a doctor.
What specialty?

I am a surgeon.

What a shame. I hear surgeons
are arrogant and overrated.

Okay.

Morgan, I'm sorry,
but...

can you just give it
a rest for half a second?

I'm in character.
Please address me as Pam.

I read recently that,
while you're sleeping,

you accidentally eat
eight spiders every year.

Yes.

And I read that, sometimes,
they lay eggs in your stomach,

and then you can have
thousands of spiders...

Shaun.

You said not
to disagree with him

when he says something wrong
and pointless.

I didn't tell you
to agree with him,

because that only gives him
more wrong and pointless things.

Good.
That's helpful.

Let's continue.

Did you know that Arizona
doesn't have Daylight Savings Time?

Saving.

It's "saving," not "savings."
That's grammatic...

Wh... How am I supposed
to know what is pointless?

Facts are facts.

Okay, okay, okay.
This isn't gonna work.

We could spend
the rest of the evening

teaching Shaun the fine but
trivial art of how to finesse trivia.

But the real problem

isn't gonna be small talk
and family bickering.

The real problem is
what happens when Lea's parents

express real concerns
about their daughter?

- What concerns?
- Concerns any parent would have.

You two barely
know each other,

you haven't been dating very
long, now you're living together.

This relationship
is moving too fast.

You're wrong.

I thought you said we
shouldn't argue with your dad.

That wasn't my dad.
That was 100% Glassy.

You can't prepare for how
these evenings can go wrong.

Families are full
of surprises.

Like how
you don't like Lea.

I never actually said that.

Wow.
A first-year all-nighter.

Brings back memories.

Not of myself, of course,

but of the losers who thought
staying up all night

drooling on their laptops made
them look like better doctors.

So, cure cancer yet?

I'm trying to find a new way
to repair a ruptured esophagus.

"Fundic reinforcement
with intercostal muscle flap."

Pretty cutting-edge stuff.

But why not go with diversion?
It's a lot safer.

Because "safe" is ordinary
and boring. Like me.

My uncle thinks
I need a win.

And the only way to do that is
to be impressive, like Jordan.

Makes sense.

You agree?

That Dr. Allen
is impressive? Yeah.

And everybody knows that

because Dr. Allen makes sure
everybody knows that.

She and your uncle are cut from
the same fashionably high-end cloth.

So, I don't just need to be
a better doctor,

I need to be
a different person.

Wow.

You might want to start
by being a person

who feels a little less sorry
for themselves.

Either you're an awkward,
inconsistent loner

who's irritatingly apologetic
about your best qualities,

or you're a quietly
brilliant surgeon

whom others ignore
at their own peril.

If you're the first one,

quit now
and stop wasting resources.

But if you're the second,
be that.

Maybe a little louder.

Where should we start?

Centerpieces,
appetizers, color schemes?

Please tell me that you're at
a hotel in the middle of the day

because you're
having an affair.

There were no surgeries
scheduled,

so I decided
to volunteer to help.

- How helpful.
- Hmm.

We can get the job done
in half the time

and still
have time to talk.

Or we can just talk.

I am not
a 14-year-old girl

whose next backflip
could kill her, Claire.

I don't need saving.

What do you think
about twinkle lights?

Too prom?

Our tests show that
your heart problems

are being caused
by excess estrogen levels.

And we want to know
how it got in your system.

Medication?
A supplement?

Coach gave you my training logs.
You know as much as I do.

We also know that you're in
a very competitive sport,

so maybe there's something you're
taking that's not on the training log.

If you are, we can't
divulge that to anyone.

You think I'm doping?

No way.

- If your coach is pressuring you...
- He's not.

I'm sure
it's a one-time thing.

Keep monitoring me.
I'll be fine.

Darya, you've made
your dreams come true

by being stubborn,
being relentless,

and just making
things happen,

but that's not how your
heart works. Or your spine.

She's not being stubborn.

It is going to go away,
isn't it?

Because you are
taking something.

And now you're
going to stop.

Which means that it wasn't
performance enhancing.

What is it for?

You took drugs
for boobs?

The girl on YouTube said
it would make them bigger.

Phytoestrogens used
in herbal remedies

can cause swelling
in breast tissue,

but there are potentially
dangerous side effects.

What the hell
were you thinking?

I didn't know
it would make me sick.

I got tired of hearing
the boys on the men's team

talking about women
with curves...

What if it showed up
on a drug test?

What if you got banned
from the Olympics?

It's natural. It doesn't mess
with performance.

Other girls...
I don't care about other girls,

and I didn't think that
you cared about other girls.

Are you...

I can't believe that
you're willing to risk... everything

for something so childish.

It's not childish.

I give a lot to my sport.

I just wanted
something for me.

You're not an adult.

Mm.

Fix her heart

and her spine.

What?
Y-Y-You can't do that.

Are you punishing me?

I'm doing my job.

I'm your father,
and we're a family,

and it is my job to make
good decisions when you won't.

Since when
is being my father your job?

We never do anything but talk
about gymnastics, not even Mom.

If you didn't think I needed my
father after she died, why start now?

Darya...

I'm calling the team lawyer
and filing for emancipation.

You think I can't make my
own decisions? Try this one.

You're fired, Coach.

We could try T-tubes.

Using them results
in the formation

of a controlled fistula
and route for drainage.

Interesting.
But the patient would still have

a long recovery and chance
of reinfection. What else?

I found some
very interesting research

on endoscopic
vacuum therapy.

It's under investigation for the
management of esophageal leaks.

Definitely innovative,
Dr. Allen, but a little too much so.

This concept hasn't even gone
through clinical trials yet,

and we need to
perform surgery today.

Dr. Jackson,
you've been quiet.

I was thinking about
fundic reinforcement.

My idea is to use
the patient's own good tissue

to reinforce
the primary closure.

In this case, using the
stomach as the patch.

Like the way we use a skin
graft for third-degree burns.

Well, he'd be at risk
of a diaphragmatic hernia.

Not if we cinch up the lower
esophageal sphincter with a fundoplasty.

Mm.

Shaun, Lea tells us
you're a doctor.

What's your specialty?

I am a surgeon.

But we are not all arrogant.
Though many of us are.

I'm still not sure
if that's good or bad.

Is it hard?
For you?

I mean,
it's a difficult job.

Shaun is excellent
at his job.

So, how do you feel
about vaccines?

Oh, my God.

Because, uh,
they worry me.

They don't worry me.

Oh.
Really?

Because we've read
a lot of stuff.

Especially since Lea
told us about you.

Vaccines don't
cause autism, Mom.

Want to talk
about religion now?

I think that
that was on the list

- of things not to talk about.
- Mm.

Lea wrote you a list?

- Dad.
- Well...

Honestly, Lea, if we're so impossible
to talk to, why even have us here?

Hemorrhoid surgery.

Excuse me?
Want more wine?

I removed a hemorrhoid

from a patient with
terminal cancer.

He only had a few months to
live, and nothing would change that,

but the surgery did make him
more comfortable.

I suggest we treat this
evening like hemorrhoid surgery.

Now, that's...
That's a good point.

You don't have to give him
any more lists. Let him talk.

I like this guy.

Okay.

To hemorrhoid surgery.

To hemorrhoid surgery.

♪♪ Everybody's feeling
warm and bright

♪♪ It's such a fine
and natural sight

I went.

♪♪ Everybody's dancing
in the moonlight

I went to see
a psychiatrist.

I'm... I'm so relieved
to hear that.

Well, once.

The doctor said my symptoms
warranted medication,

so I haven't
been back since.

Why?
If you need medication...

Why did you keep
your PTSD a secret?

You chose to deal with
your issues privately,

on your own terms.

Why am I not entitled
to the same choice?

Doing something
self-destructive

is not a choice,
it's a mistake.

Just like it was
when I did it.

So, when I do something
you agree with, it's great.

When I do something
you disagree with,

- it's because I'm sick.
- No.

You know, this is why
I don't want to talk to you,

because it's not a
conversation, it's a lecture.

Audrey.

Audrey...

Please, Claire, let me go.

No.

I just want to go home.
I'll be fine.

Let me give you a ride.
You can't drive like this.

Come on.

I said I'm fine!

No. You're not!

♪♪ Celebrate good times
Come on

There! Now no one's
driving home. You happy?

♪♪ Celebrate good times... ♪♪

The two main
challenges of Boerhaave syndrome

are timely diagnosis
followed by viability of repair,

and with this innovative
surgical approach,

I think we might
achieve both.

I need silk ties
and LigaSure.

His chest infection leaked
through the diaphragm

into the intraperitoneal
space.

There's an abscess
behind the stomach.

It's making the entire
posterior stomach friable.

What if we use
an intercostal muscle flap

to patch the esophagus
instead?

If we do that,
it raises the risk of sepsis.

The patient
signed off on risk.

We should at least try.
Not this level of risk.

We need
to do the diversion.

Uh... Your idea was good.

Don't give up on it
so fast.

Reverting to diversion
doesn't mean failure.

I searched "eating meat
near me," which was a mistake,

but I did get a recommendation for
a steak house your father might like.

You don't have to be nice
to my parents anymore, Shaun.

We won't be
seeing them again.

Why not?

"We need to talk
about Shaun."

Mm.

They don't think
I'm mature enough

to be in a challenging
relationship.

Leave it to my mom,
she took us both out in one shot.

You do get that this is insulting.
To both of us.

From the people who supposedly
love me most in the world.

They don't.

Not the most.

Not anymore.

Lea...

People who meet me

are usually uncomfortable.

And most of the time,
that doesn't go away.

How do you handle that?

I try to be patient.

Sometimes it works.

Maybe you're a more
mature person than I am.

But I'm not sure
if that is gonna work for me.

Have you seen
Dr. Lim this morning?

Uh, no. Why?

Darya's lawyer called.

I need Dr. Lim.
Dr. Lim's not here.

I don't know
if she'll be in today.

If it's an emergency,
maybe Dr. Glassman...

Dr. Glassman's in meetings
this morning. Who needs me?

Darya's lawyer is demanding
that the hospital release her client.

Tell her lawyer we're not
releasing our patient

until she's healthy unless
we receive a court order.

What's your problem?

Dr. Andrews
encountered complications.

He asked me to inform you
that the surgical plan

needs to change
without the patient's consent.

That's Andrews' call.

I don't need details,
just coffee.

I changed my mind.
I need the details.

Stay here.

Long, painful recovery
with a feeding tube,

or risk of death.

As his next of kin,
it's your call.

I have to decide?

You made a life-or-death
choice for yourself.

In fact,
you insisted on it.

Well, that's different.
The doctors were asking me

to give up something
I really wanted.

The only difference is,
your father is laying

on an operating table
waiting for you to grow up.

If something bad happened,
I'd be responsible.

Yes.

That's the definition
of adulthood.

I don't know what to do.

Of course you don't.

It's an impossible choice.

Terrible things happen
either way.

And, yeah, it's on you.

I can't do it.

I just can't.

You're not a grown-up,
Darya.

Luckily.

So those of us who are

will make the impossible decision
for you.

Dr. Andrews will do
the diversion.

Someone will bring you to see
your father when he's out of surgery.

What was that?

I saved that girl
when you couldn't.

Yesterday, you told me
to respect her decision.

Today, you tortured her
into changing her mind.

Oh, did I make
a little girl cry?

I can't do this.
I'm done trying to help you.

Oh, please.
You're never really done.

You know who you were
last night?

My mom.

Drunk, angry,

refusing to lift a finger
to help yourself,

lying about it, and taking
your pain out on me.

It's gonna keep happening
until you get help.

Take the medication,
talk to someone,

do something.

Please.

I'm not your mother,
Claire.

I'm not your responsibility.

I'm your boss.

And I don't owe you
anything.

Shaun?
What are you doing here?

You're wrong
about me and Lea.

Oh. Well, no offense, Shaun,
but this is between family.

Lea is my girlfriend,

and the texts you sent
were about us.

We're sorry
you saw those.

Shaun,
you're a very nice young man,

and we enjoyed
meeting you.

It's just...

We've known Lea
a lot longer than you have.

Yeah, she's, um...

Well, I mean,
she has a good heart,

she just doesn't
think ahead.

And she will do anything
to get under our skin.

You wouldn't believe some
of the people she's dated.

I'm different

than anyone
she's ever dated.

How is that
not a change?

That's true, Shaun.

I'm just not sure
it's a good thing.

You knew her then.

You don't know her
now.

All you know
are her mistakes.

And you don't trust her
because

you aren't sure you
were good parents.

You said our relationship
has challenges.

You're right.

Lea and I
go through challenges together.

It's one of the things
that makes us stronger.

Lea challenges me
to try things,

even things
I know I won't like,

because it is not always
better to stop and think.

And I make Lea patient,
because I can be very frustrating.

So can the two of you.

Maybe this challenge will make
your relationship stronger, too.

If you really think I should
have the spinal surgery,

I trust you.

I do.

I'm sorry.

Ever since
your mother died,

I've been scared.

What did I know about raising
a little girl all by myself?

And you...
You were a handful.

Bouncing off the walls,

backflips
off the furniture.

You couldn't get me to the gym
fast enough.

Because
when you were on the beam,

or flipping
through the air,

you're not just
a little girl.

You are
an amazing athlete.

As your coach,

you make me feel amazing,
too.

All this time,

I thought I was giving you
exactly what you needed.

But I was wrong.

What you needed
was for me to be your dad.

And what your dad
would have told you,

that no matter
how you look,

or what you achieve,

you will always be
a beautiful,

strong superstar to me.

- Thanks, Dad.
- Yeah.

Thank you.

I like you.
Okay?

Stop.

You're gonna
make me cry.

You're a very cynical person,
you know that?

Mm, actually,
I'm not.

But you're a very grouchy person
who cannot give a compliment.

You're funny.
You're smart.

And you make Shaun happy.

Which I guess
is a good thing,

but it also means you can
make him very, very sad.

And that worries me,
frankly.

I am not planning
on hurting Shaun.

It's rarely intentional,
you know?

My parents have
an issue with Shaun.

And I just don't
want Shaun's parent

to have a problem
with us, too.

Too bad.

Everything Shaun
has gone through,

all the rejection
and the pain,

the victories,
they all belong to him.

But I feel every single high

and every single low.

So, I'm sorry, I'm...

I'm not going to stop
worrying about him,

even if
he doesn't need me to.

Well, if Shaun
saw that stain on your tie,

it would
drive him crazy.

Hey, Liv.

I'm sorry we didn't get
to perform your surgery,

but I'm really proud
of the way you stepped up.

That surgery
wasn't mine.

Of course it was,
and it was brilliant...

And neither was
the stone.

That story you told me about
how you spotted my talent?

Um, I don't remember
any of it.

I didn't paint that rock,

and if I handed it to you,

it didn't mean anything
because I was five.

You have been carrying around
a memory for over 20 years

that represents your dream,
not mine.

Clearly, that's not
entirely true.

You went
to medical school.

Because I do want
to be a great doctor.

I wanted it so bad

that I let you push me to
think up some flashy surgery,

even when my instincts
already told me

to do what I thought
was the right thing,

and was the right thing.

Livvy, I just want to help you
be the best...

You want me
to be Jordan.

If you're looking to mold someone
in your image, she's perfect.

But, Uncle Marcus,
I've got to be me.

And you can't
help me do that.

Hey.

I'm still gonna brag on you like a
proud uncle. You know that, right?

Dr. Jackson.

It's your parents.
Yep, Shaun. I saw.

They probably
want something.

We should prepare.
Either they want to yell at us,

in which case,
we should not answer the door,

or they could want to take us
for dinner...

...but
we are already halfway through...

They want to take us
to dinner.

Should I open the door?

What do you think?

I think...

they must have been
good parents.

We should have dinner
with them.

Do you want
to text them back?

Last year,
after my mom died,

I was going through
some problems emotionally.

I was diagnosed
with PTSD.

I see.

Melendez knew.

Um... Morgan found out
because she's Morgan.

But I didn't tell
anyone else.

I... I didn't want
anyone to know.

Why are you
telling me this now?

Because

Lim is going through
something like it,

but maybe worse.

She isn't going
to therapy.

She has refused medication.
She...

Okay. Um...

I don't think you should
be telling me this.

Whatever Lim told you,

she told you in confidence
and as a friend.

Mm. But she's not just a friend.
She's my boss.

You're her boss.

So I'm telling you
because

I have no place else
to turn.

She won't let me help

because she says it's
not my job. And she's right.

But it's your job
to protect the hospital.

And her.

So...