All language subtitles for The.Good.Doctor.S04E20.WEBRip.x264-ION10[1]

How are you feeling?

I want you to feel better.

So if going home might
make you feel better

it's a good thing.

So, like, "Come on."
How would you say that?

Venga! Vamos!

Venga! Vamos!

That right?

Okay.

What?

You're smiling.

Oh, my God.

Oh.

Yes!

I approve. Highly.

Oh.

Welcome to Day 1.

We are getting our feet wet

with the three
easiest surgeries.

In O.R. 1, Dr. Rendon and I have Leon
Castillo...

Antibiotic flush.

The incision is open.

Nurse Morales, I
need a Kelly clamp.

Here you go, Dr. Murphy.

Okay,
Dr. Murphy, I'll guide you to the lesion.

No, no, no, no.

Everyone must get to work
on this. Yes, hold on.

I'm so sorry.

We get blackouts in the
mountains all the time.

That's why we have a generator.

Great. Which failed.

You got a guess
when it comes back?

Mmm, sorry, no.

Minutes? Hours?

We wait,

we risk losing the whole
day, dropping three patients.

If I move my patient
by the window,

I can debride the ulcer.

Go. Pray it stays clear out.

I'll see what I can do
about a herniated bowel.

Can you resect a tumor
without ultrasound?

I will speak to Dr. Andrews
about a revised surgical plan.

Okay. Go.

Thank you so much.

Good luck.

Suction's out. Same
for the electrocautery.

Want to use your fingers?

It would minimize blood loss.

We could remove the lower
lobe without ultrasound.

Maybe we should close her
up and do this tomorrow.

It would be fatal.

Not to her.

To a patient down the list
that we'll have to drop.

Maybe you're right.

We take the whole lower lobe.

No, I was not right.

I can locate the tumor
without ultrasound.

Her oxygen
is very low. Ox-Oxygen. Low.

Her oxygen is low.

Oh, I'm so sorry.

Where is Oscar?

He had to go home.

His mom is old and very sick.

He went home.

To your house?

Yes.

Mmm...
Stay? Please?

I can feel pulsations
of an underlying vessel.

Must be the artery.

Feel your way under and make
the dissection plane deeper.

I can feel the bowel.

Sac is free.

You're probably getting
close to a fissure.

I am. The tissue is
becoming less pliable.

A laceration there
would be devastating.

We could wait a few more minutes
to see if the lights come on.

I don't think we should.

I feel something gravel-like
at the tip of my pickups.

I think that's the
surface of the tumor.

I'm there.

Nice work, Murphy. We have
a clean path to the tumor.

Let's get it out.

Oh.

I guess we could have waited.

How do you speak
English so well?

I'm American.

Born in Mexico,

but my mom is an L.A.
Mexican-American.

I went to high school
in Santa Monica.

I just fake the accent
for sexiness purposes.

So when's the last
time you were back?

Are we getting to
know each other?

I thought this was just a fling.

Mmm. So we can chat about
what schools you went to

and where you worked in Africa,

but old vacations
are a bridge too far?

10 years. Happy?

Quite, in fact.

I have to go for a run.

Now?

You're clearly not a runner.

I promise to be very quick.

Like, poof, and it's gone,

a fleeting but joyous memory.

Oh, I can feel that
accent-generated sexiness

just vanishing by the second.

Quick but perfectly paced.

I'm gonna hold you
to both of those.

Well, the truth is, I
will not be very quick.

Is it
going to hurt a lot?

He wants
to know if it'll hurt.

Oh, no, no, no, no.

We'll be giving you some meds,

and you'll have very little
pain after the operation.

We're going
to give you medication,

so that you have very little
pain after the operation.

And before the operation,

we're going to give you
something to help you sleep.

And when you wake up, your
mom will be right there.

He didn't realize he was
gonna be asleep during the surgery.

Nurse Morales,
how would one say,

"You, in addition to
being very efficient,

turn out to be very
perceptive, as well"?

I feel like you
may have added a few adjectives.

Well, the truth is, I'm
not always so perceptive.

For example...

I was almost sure
you were flirting.

Flirting with me.

But if you were,

I'm sure you would've taken
off your wedding ring.

You know, it's
okay to be nervous.

I'm not.

You should be proud.

You did a remarkable thing,
convincing her to come here.

You probably saved her life.

I'm just gonna sit
here for a little while

in case there's something
that you want to tell me.

Because of me, my
mother will live,

but someone else...

I prayed that she would
get the operation,

but she only did because Miguel,

the guy with the dog...

Because he got sick.

You're a good person.

And sometimes
that's hard because

you feel things that you...

You don't deserve to feel.

But sometimes

being good is fun.

Come on.

I've freed the tumor from
the paranasal sinuses.

Periosteal dissector.

It's invading the orbital floor.

Curved osteotome.

And the ethmoid
and sphenoid, too.

We're gonna have to
remove multiple bones.

Does the hospital have
titanium miniplates and mesh?

Nothing that would work here.

Could we just cover
the hard palate?

No. We'd give him a few
years of constant pain,

and he'd still wind up with
a fistula that kills him.

Is there a-a private hospital,
specialist, something?

I have a friend
from nursing school.

She works for a dental surgeon

who fixes all the rich
people in this area.

I can be there and
back in an hour.

Uh, k-keep him stable. Okay?

Thank you.

I was not fair before
when I was teasing.

You were very fair.
I wasflirting.

And how would your wife feel?

Well, she'd be fine with it.

I've heard men say
that to me before.

Well, she told me a few days
ago that she's moving out.

And, uh...

Well...

She's seeing someone.

So I'm down here,
clearing my head,

deciding if I want to try
to make the marriage work.

By flirting?

I guess I just wanted
to feel... wanted.

To feel good.

It was selfish.

I'm sorry it made you
feel uncomfortable.

It didn't.

And I think you dowant to
make your marriage work.

That's why you still
wear your ring.

We
settled on twenty.

You said four. I said twenty.

No. It was four.
We agreed on it.

A boy's life depends on this.

I'm sorry. I think there
was a misunderstanding.

He's telling us it
costs us 20,000 Quetzales now.

And do we have that? No.

I can go to an ATM.

No, no, there's no automatic
cashier machine I can use.

This is my fault.

No.

I shouldn't have come.

He sees an American doctor,
knows he can ask for more.

There's a hospital in Quetzaltenango
a few hours from here.

Offer him this, too.No.
No, no, no, no, no, no.

You don't have to do this.

Ana, just a ring.

Her oxygen
level is much too low.

Oh, God. No.The doctor is
coming to give her steroids

to try to stop the
inflammation in her lungs.

We need a ventilator.

Ventilator? She has
to go on a ventilator?

Hello.

Hey, Shaun. How you doing?

I just finished my second
surgery and it went well.

And I am not doing well at all.

Okay.

Lea is sad.

And I don't know how
to make her less sad.

Do you?

Well, I don't know if
I'm the right person

to talk about this right now.

Why not?

I just don't think
that right now...

I've always loved that
you've asked me for advice.

And I always will.

But I've noticed...
the last while,

you've needed me less and less.

I don't know if you've noticed,
but it got me to thinking

about what Steve told you,
that you're the smart one.

You... You can do anything.

You're good at this.

Better than...

Better than you think.

Ready?

Does it look good?

Beautiful.

Beautiful.

How did you end up in Guatemala?

Yikes, you're just not
good at flings, are you?

You should be asking me if
I've read the "Kama Sutra,"

my favorite whipped cream.

It's a good job.

I get to coordinate these
missions, help some people.

So you're the workaholic,

"dedicate your life to the
downtrodden" hero type?

Is that what drives you?

I also get to sometimes have
sex with American doctors.

You're only here for a week.

We don't need to bare
our souls to each other.

On the other hand,

I'm only here for
a week, so why not?

You first.

What are you hiding?

I'm not hiding anything.

Okay.

I prefer a fresh local product,

but if you have
lactose issues...

Wait, why did you ask me that?

Seriously. Why are we
having this conversation?

You think I'm being dishonest.

What do you think I'm hiding?

I don't know.

But between your excessive
need to exercise,

the alarms going off
that you never answer

when you're around me,

and the nightmares that
you have every night,

you're hiding something.

Let's get ready for the day.

You ready to start?

Almost.

There's three kinds of foreign
doctors who come down here.

The first, they care too much.

All the people they can't
save, it, uh, overwhelms them.

The second care too little, and
that has problems of its own.

Hmm.

And the third group,

they find a way to
distance themselves

so they can do their job.

I better be in that group.

You're in your own group.

You care so deeply.

But that only gives
you more strength.

Thank you.

Well, let's go.

Entering the peritoneal cavity.

I need a long retractor.

Long retractor.

That's
not just gallstones.

There is an immobile,
irregularly shaped mass.

She's got
gallbladder cancer,

and it's spread to the
surface of the liver.

It will double the duration
of the surgery.Triple.

You're looking at
12 hours at least.

I'll need to swap
with one of you.

That's not possible.
Neither of us are prepped.

It would be endangering two
patients instead of one.

We can't just close her up.

Unfortunately, we can.

I'm sorry, but you've never
led anything like this.

I think we should
let her keep going.

What's the worst
that can happen?

Beyond death? This patient
was gonna die anyway.

Claire at least gives
her a fighting chance.

Okay.

What happened
to the ventilator?

They took it away. They
needed it for the surgery.

The doctors needed it.

The
doctors needed it?

And where's the nurse?

The nurse?

Busy. Lots of work.

Okay.

I'll stay.

Stay here no matter
how long it takes.

Is there a problem?

Yeah. The patient returned.

Leon, the guy
with the ventral hernia,

checked himself out last
night and went to work.

In construction.

He reherniated? How bad?

About an inch of bowel is
incarcerated, probably ischemic.

He'll be dead in days
unless we operate on him.

Can you fit him in after
your skull reconstruction?

Not without big risks
to both of them.

What about the other surgeons?

You think I'd be here
if anyone else was free?

Give him some morphine.

Until when?

It sucks but it's his own fault.

We told him he needed to rest.

This isn't some tech
bro in San Francisco

waltzing out to party.

He needed to keep his job and
not watch his family starve.

If we operate on him, we
don't operate on someone else.

I'll operate on Leon.

I've been doing
P.T. the last year.

It's been going great.

You really think you
can handle the surgery?

I know I can.

I think I can do it
without any pain.

We need to do a
cross-clamp resection.

Have you ever done
one? I've seen one.

When I was an intern.

Freeing up the vein.

Freeing up the vein.

Dividing
the pedicles.

Separating
the pedicles.

Transecting
the segments.

Transection
of the segments.

Okay. Step two.

That doesn't look ideal.

It's a midline ventral defect.

Also, the tissue
planes are friable.

We're gonna need
component separation.

I'm gonna cut the
posterior rectus sheath,

mobilizing soft tissue off of
the external oblique fascia

and then incise it.

Common femoral artery's
almost completely occluded.

I'll prep the inflow
anastomosis site.

I have PTSD.

I have nightmares because of it.

I exercise to help me
manage my symptoms.

And the alarm on my phone

is to remind me to
take my daily cocktail

of Fluoxetine, Prazosin,
and Quetiapine.

Can you tunnel the bypass graft
in the subcutaneous plane?

I'll get a clamp through.

I lost a good friend a year ago

and then lost more to COVID

and then spent a lot of
time denying I had an issue.

Running from pain.

In the future, I'm hoping to do

more running toward things
than away from them.

I'm ready for the graft.

Oh.
Oh, it's my turn.

You're exhausted.
You should lie down.

No. No.

10 minutes.

Ten minutes.

I'm
good. I'll rest next.

Me next.

10 minutes.

Thank you.

If you need a break...

I'm fine. Just cramped a little.

I'm done.

I can take over.

This ventral wall
defect is huge.

Yeah.

Two Kocher clamps.

Heart rate is spiking.

B.P.'s dropping. She's crashing.

Why? What happened?

I don't know.

Edna's bleeding out. At this
rate, she has minutes to live.

There is post-op blood around
the liver, nothing crazy.

The surgical drain
also has blood.

No evidence of bile leak.

Okay, so the patient could have
G.I. bleed unrelated to surgery

or a leak into the liver
from the hepatectomy.

Yes. Which one?

Mmm, what's the
surgical drain output

over the last half-hour?

If it's over 200 cc, the answ...

It's 200 cc. Exactly.

Oh.Yeah.

I think it's the stomach.

The clotted blood
in the N.G. tube

could be holding back a flood.

An intrahepatic bleed is
statistically more likely.

I still think it's the stomach.

But I came to you for a reason.

Okay, thanks.

Claire.

Neither of us
knows for sure, but

you are good at this.

Better than you think.

B.P.'s almost
bottomed out. What do we do?

Stomach.

You did good work.

I just had to
close and clean up.

The patient's in
recovery, doing well.

I need a friend.

I hadn't really given
up on being a surgeon.

P.T. was going great.

Uh... almost no pain at all.

And...

It's all dumb because I
like being an internist.

I just...

Hate

failing.

Seriously? This is funny?

A little.

Never seen you vulnerable.

Your face gets kind of ugly.

Shut up.

You didn't fail.

You never fail.

For three years I've
watched you kick ass.

At everything.

You inspire me.

And annoy me.

Small price to pay.

Your mom's gonna be all better.

Her
lungs sound good,

without retractions.

But there's only one way

to be sure that the
steroids have worked.

Stop bagging.

Hopefully she can
breathe on her own now.

Goodbye.

No, no.

We need to go sleep
a little. And you do as well.

We need to sleep.

No, she
doesn't finish yet.

She needs to say goodbye.

She already said goodbye.

It's one of the three phrases
she knows in Castilian Spanish.

Oh, I want... her
to hold my baby.

She wants
you to hold her baby.

Ooh.

She is so beautiful.

Bastion.

I'm sorry I've been weird...

For a year.

I really do care about you.

I wish you and Heather the best.

Well, it's a bit late for that.

I broke up with Heather.

When?

Last night.

No.Yeah.

Because...

You think you love me?

I do.

I think I love you, too.

I committed a crime.

My first year of my residency,

I... I was arrested
for pot possession.

The cops were jerks,

I argued with them, and...

It got physical.

When my court date
came around, I skipped.

And now there's an
active warrant out for me

in the States.

That's why I haven't been back.

But what if I got a lawyer,
got this cleared up?

What if I was to start
running toward things?

Would you be interested
in a visitor in San Jose?

There's something
I want to ask you.

I think you should take the job.

Of course she wasn't gonna
poach you without asking me.

I can't speak the language.

I don't know anyone here.

I just started a
relationship with my father.

I-I'm not ready.

All legit concerns.

But what I didn't hear
was one single reason

you don't want to do this.

You've spent so
many years thinking

your heart was a liability...

It made you care too
much, it hurt too much.

But maybe here

maybe here, caring too much
is exactly what's needed.

Okay.

Aww.

This is about time.

You were far too
good for us, anyway.

Aww.

Proud of you, Dr. Browne.

Mmm.

Love you.

I'm never quite sure
what you're thinking.

Many things.

That I'm sad.

That this airport is the
only one I've been to

without a Cinnabon.

That people need
to move forward.

That...

I hope you're moving forward.

I think I am, Shaun.

What do we do now?

I don't know.

I've never hugged you, Claire.

I'm not going to Hershey.

Are you done being sad?

No.

But right now, I know
I won't be sad forever.

And I don't think I would've
gotten there without you.

I want to spend the rest
of my life with you.

I want to spend my life
with you, too, Lea.

Will you marry me?

Of course. I love you.

I love you, too.

We are getting married.

Yeah.

We are getting married.

We are getting married!

Congratulations.

Thank you.

Okay.

I have to tell Claire.

Okay.

Ten, nine...

Scalpel.

Yes, Doctor.

Welcome.

Venga! Vamos!