All language subtitles for The Good Doctor - 04x19 - Venga.AMZN.TOMMY+STRONTiUM.English.C.orig.Addic7ed.com

Can you pop the trunk?

Ah!

We made good time.

Thank goodness, or else we wouldn't have

the full three hours to wait
before our flight.

Great.

Alright. Thanks.

Alright.

Oh.

Starbucks is on me.

No kidding. And I'm getting a cake pop.

Hey, Dr. Reznick.

I thought this was a surgical mission.

Uh, we're bring...
we're bringing some support.

Morgan's gonna help with
patient selection and aftercare.

Oh. That's great.

10 days, huh?

Can't have you forgetting me.

I'll be back before you know it.

Tickets, passports,

travel wallet containing
quetzales and American currency.

You've got 'em.

I know, because I checked.

You alright?

Oh, it's not that heavy. I got it.

That's not what I meant.

I'm okay.

I think this trip will be good.

Change things up.

Focus on helping other people.

For whatever it's worth,
if you ever need to talk,

you can always call me.

I'm not gonna do that.

I know.

We will not have any time to shop,

but would you or Debbie
like anything from duty-free?

Guatemala is known for its rum.

We're okay. Thanks.

Okay.

You're on this trip, too?

Yeah, got inspired last night,

decided to take some
personal days, go help out.

And you're bringing a toilet seat?

Spoken like someone

who's never been on
one of these surgical missions.

_

The airline will find your bag.

We'll get you some clothes
when we get situated.

Would you like some vitamin B12
to help with exhaustion,

or a motion sickness wristband?

I have an extra.

No, thanks.

I'm glad we're here.

Yes.

After all the loss this year.

It's just... such an amazing way

to be reminded what we have
to be grateful for.

Careful!

Let's see.

Pardon me, sir, could you please
move your flock of sheep?

My sheep don't like
to be rushed. Be patient.

These people are our guests.

Well, I did not invite them.

We're doctors.

It's been a long trip
and we need to get to our hotel.

Doctor?

You're a doctor?

Of course I am.

It's a fungus.

It's... It's a fungus!

It's a fungus.

Synced & corrected by -robtor-
www.addic7ed.com

Thank you!

Whew!

Ah.

Need help with that?

No, that's a friend thing.

Hello, I'm Dr. Mateo Rend�n.

Dr. Saravia and her team
have spent several months

gathering cases.

From those, we selected 40.

You're going to want to save them all.

You will not.

We will perform 12 operations.

I'm Dr. Marcus Andrews,
last-minute addition.

If we could add more cases, I...

Before I heard you joined the trip,

we were doing 10 surgeries.

My organization has spent years
building trust.

We save 12 people here,
that trust grows,

more patients come to us,
more doctors volunteer.

But if we lose a patient...

We want surgeries we can do
but the locals couldn't.

Surgeries that don't need
a lot of aftercare.

12 patients, one alternate.

Everyone else gets sent home,

no matter how sick they are
or how sad their story is.

_

Uh, can you please tell me
what this means?

Family...

Your next of kin.

Oh, well, nobody.

Only Ignacio.

Iggy is my only family.

He says his dog, Iggy.

Ugly dog.

Roberto Kantun Diaz?

Yes!

Andrea Torres Tzul?

Aim� Navarro Gomez?

Aim� Navarro Gomez?

Here! Here!

We need to do an abdominal exam
and ultrasound

to see if there are any signs
of obstruction or strangulation.

Please remove your bandage and lie back.

Lie down and remove your bandages.

How long have you had that?

A year... Maybe more.

He's had it for a year, maybe longer.

My neighbor told me to go
to the hospital in Xela...

but I didn't have enough for the trip...

and I can't go a long time
without working.

I'm the only one who takes care
of my sisters.

He was told to go to the hospital,

but he couldn't afford the trip
or to miss work.

He's the sole provider for his siblings.

Our parents died two years ago.

Their parents died two years ago.

She has a large
patent ductus arteriosus.

I've only seen this condition
in infants.

The blood is reversed.

It's flowing the wrong way.

We could try going through
the femoral vein,

do a percutaneous device closure.

She has irreversible
pulmonary hypertension.

It would have been simple
to treat as an infant,

but now closing the hole will...
will... kill her.

Aim�'s condition is much too advanced.

There's nothing we can do.

I'm sorry.

I'm sorry.

No.

No.

No, no.

- Tissue?
- Uh...

I stock up before the Americans come.

And the French.

They are surprisingly sensitive people.

I'm sorry. I know
this isn't helping anyone.

Never apologize for being human.

I have a strict policy against it.

This week, you are
not just doing surgery.

You are doing miracles.

You're giving people hope who had none.

Except for the ones
that we send home to die.

Focus on the miracles,

or else you won't be able
to help any of them.

And I will have to get more tissues.

Thank you.

Bastion Alonso Ramos.

12-year-old baseball fan.

Roots for the St. Louis Cardinals.

Also, he has an ameloblastoma.

Not a lot of baseball fans in Guatemala.

You've been here before, or do
you enjoy reading Wikipedia?

I did a medical mission here
during my residency.

Oh, that explains "Dr. Toilet Seat."

You already have a nickname.

Good afternoon, Bastion.

I'm Dr. Andrews.

Good afternoon, Bastion.
This is Dr. Andrews.

Hello, Dr. Andrews.

Hello!

What is that? Let me see.

Oh.

That looks like Yadi Molina.

Yes! It's Yadi Molina.

St. Louis Cardinals.

Mm-hmm.

So, are you a better hitter or catcher?

He has a hepatic adenoma
in the right lobe of his liver.

Does not appear cancerous.

No. For now.

The lesion is localized,
well-circumscribed,

and not close to portal vein branches.

There's a tumor in Adelmo's liver,

but it's not cancer.

The doctor believes they can remove it.

He's a good candidate.

Thank you.

Cheers!

I can continue like this
for a long time.

But you have a strange accent.

It's not from Guatemala, or Mexican.

Did you spend some time in Venezuela?

In the library where I grew up,

they had some tapes named
"Speak Spanish like a Spaniard."

I listened to them every night

until they broke.

Oh, thank you. I thought you put
this kid in the "no" pile.

I decided to take a closer look
at the images.

See where the mass is thinning
the orbital floor

and extending up near the skull base?

But that's exactly what you can't do.

Reconsider? Weigh issues?

Let emotional and personal attachment

influence treatment decisions.

Chicharrones?

There's no beveling or erosions.

I can stay extracranial

and create a bony plane
to resect the superior tumor.

Did that sound too emotional?

Even if you stay out of the brain,

two major arteries are involved.
He could bleed out.

Can I get one of those, please?

_

Apply it twice a day, for 10 days.

Thank you, Dr. Shaun Murphy.

Thank you.

You're welcome.

My chest hurts, and so does my arm.

And sometimes, my hand feels cold,

or it's as if I wasn't able
to feel it at all.

It could be angina or a blockage,

which requires bypass surgery.

We should do an EKG before
he goes to the cath lab...

You don't have a cath lab.

Stretch out your arm, please.

Turn your head to the side.

Feel his pulse.

There isn't one.

Turn your head forward.

His pulse is back.

It's not a cardiac problem.

He has thoracic outlet syndrome.

Dr. Saravia has just showed me
that the nerves and arteries

in your neck and chest are being
compressed by your ribs.

It's a very rare condition,

that may cause blood clots
or an embolism...

He doesn't seem happy.

Did I translate wrong?

No. Your Spanish is perfect.

But you left out
that his problem can be fixed.

It can be remedied.

Oh, okay.

Okay.

I am not good at communication.

In two languages.

The nurse should come momentarily.

The translator should be here soon.

Um... If you want, I can translate.

Oh, you can speak English?

We lived in the U. S. For a few years.

Uh, my mother cleaned houses.

I watched "Grey's Anatomy."

Oh.

Well, being a surgeon
is not much like that.

Ms. Garza, can you show me
where you feel pain?

Show them where it hurts you, Mom.

Here.

And do you have indigestion or cramping

or ever feel like you might throw up?

She wants to know if you have
indigestion or cramping.

Do you feel like you might throw up?

Sometimes.

"Sometimes."

But she's lying. It's always.

She has fevers, too, and throws up.

I need to feel your abdomen.
Can you lie on the bed for me?

She has to feel your stomach, Mom.

Lie down.

Okay.

Mm.

Ms. Garza, I think you have gallstones.

We will have to run some tests,

but it is likely
that you will need surgery.

Mom, the doctor believes
you have gallstones.

They need to do a test to be sure,

but you need surgery.

No, no. Not surgery.

I came here for medicine.

You told me they were gonna
give me medicine.

Don't be stubborn.
Do what the doctor says.

If she doesn't want surgery,
why is she here?

I told her you would have pills
that would help her.

I told her I wouldn't eat
until she came.

I have to work.

I need to take care of you.

She says she can't miss work.

She needs to take care of me.

I-I need you to translate accurately.

My mother was very sick, too.

Her mother also was very sick.

And she tried to hide her pain,

but children know
when people are suffering...

especially their mothers.

She tried to hide her pain,

but kids know when people are suffering.

Especially when it's their mother.

You can't take care of your daughter

if you do not take care of yourself.

You can't take care of your daughter

if you don't take care of yourself.

Did you review Bastion's file?

Doing a bifrontal trepanation

and reconstructing the skull base

could prevent brain herniation.

What about risk of CSF leak?

It reduces with a multilayer duraplasty

using a pericranial flap.

I say five sentences to a patient.

You say five words.

A nurse wanted me to give this to you.

Because medical jargon does nothing

but scare them and waste our time.

All they care about is, can we help...

yes or no?

Your son's heart valves are damaged.

Your son's heart valves are damaged.

It's probably the result of
his rheumatic fever last year.

Probably as a result

of the rheumatic fever he had last year.

Because of his heart,

we can't remove his liver tumor.

I-It makes the surgery too risky.

I'm very sorry.

Due to his heart, we can't
remove the tumor in his liver

because it makes the surgery very risky.

We are very sorry.

Thank you, Doctor.

Uh, no, I'm sorry.

W-We can't do the operation on your son.

He... I'm not sure he...

But you tried.

Thank you for trying.

God bless you.

Everything's gonna be okay.

Don't worry.

Le�n Castillo. 22-year-old male.

Large, non-reducible umbilical hernia.

He's the sole provider
for his siblings...

No personal details. They're irrelevant.

Two children's survival depends on his.

Seems relevant to me.

Decisions need to be based
on medical data alone.

This can't turn into a contest
of whose life is more tragic.

There would be too many winners.

Without surgery,

the hernia's at a very high risk
for strangulation.

It's a fast, simple procedure,

and he will almost certainly
have a full recovery.

From a surgery he could survive
another 15 years without.

Replacing the valve with a bioprosthetic

means he won't need
to be on blood thinners forever.

But he'll probably need
follow-up surgeries

to replace the replacement.

Well, this guy's an athlete,
a f�tbol star.

Is that relevant?

Yes, because his underlying
cardiac health is excellent.

He should make a full recovery.

Unfortunately, his dental health isn't.

He has cavities, which puts him
at high risk for endocarditis,

which would contribute
to valve deterioration.

A total abdominal colectomy

offers her an 80% to 90% chance
at full recovery.

Otherwise healthy,
no complicating factors.

The tumor could be removed
using ultrasound-guided surgery.

But she has no access
to post-op chemo and radiation.

The mass is round, localized.

No signs of infiltration
in the adjacent structures.

Minimal chance of recurrence.

If you get all of it.

She just got married last week...

Dr. Reznick.

...which is medically relevant,
because studies have shown

optimistic people
have better long-term prognosis.

And she is full of hope.

Uh, there's a boy.

He needs blankets. Uh.

Blankets, please?

There.

Thank you.

The gallstones

are intermittently
blocking the bile duct,

which could lead to ascending
cholangitis, sepsis, and death.

Her condition
might respond to medication.

No, it's extremely unlikely

given how advanced her symptoms are.

But she has a non-surgical option.

Bastion doesn't.

It's a miracle he made it to 12.

Without surgery, he will not see 15.

He's unable to eat solid foods.

He's already showing
signs of malnutrition.

Shaun's surgical plan is very ambitious.

It runs the risk
of graft failure and necrosis.

You could leave this boy worse off.

Meanwhile, Edna's surgery
is straightforward,

and she is all
her daughter has in the world.

Who a person is

cannot be completely separated
from their medical care.

And I'm done pretending it can be.

We've got a mom
who needs a simple procedure

she might live without...

or a son whose only shot at life
is a very complicated surgery

that may not work.

We have to focus on the miracles.

Let's go eat.

Okay, so, look at the nail bed.

Karla said if you see
alternating redness

with the pulse, that's a sign
of aortic insufficiency.

So, your heart is fine,
and your cuticles are great.

I get manicures.

Ah, you like?

It's a national treasure.

No. I just wanted the experience.

I shouldn't have any more.
First day of surgery tomorrow.

- Oh, no, I'm good.
- Mm.

Ah.

You are terrible at this!

I am terrible, but I look fantastic.

Watch this.

I'll get us another round.

Okay.

Tequila, two, please.

Mm.

What's going on over there?

Uh, I'm getting my ass kicked in darts.

You're flirting.

Just being nice.

Well, don't be so nice that you
regret it when you get home.

You have nothing to worry about.

I guarantee it.

Alright, I'm gonna grab a cab
back to the hotel.

Okay.

Up, down, to the center
and to the belly.

Good night, guys.

Uh, Hotel Provincia?

Yeah.

Mind if I tag along?

- Big day tomorrow.
- Sure.

I saw you break the news
to that boy's dad.

You want to talk about it?

Morgan.

I just wanted to know if you're okay.

You don't get to ask me that anymore.

We're not friends.

You drew a line.

So don't ask me how I am

and then pretend to be
some nice guy who cares,

when you obviously don't.

I-I just got a text from Karla.
Miguel is crashing.

Shaun and I are gonna head back
to the hospital.

Eight?

I'm only fluent in six.

I didn't set out to learn them.

I just picked them up as I moved around.

Oh, so you're an accidental
language genius?

So, what are some of these places,

I mean, that you moved around to?

Uh, I was born in Mexico.

Went to medical school in New Haven.

Did my residency in Chicago.

Stayed a while in Syria,
Haiti, the Congo.

You throw in your stop
at Yale to impress me?

I threw in my stop at the Congo
to impress you.

Hey, this is not the way
to the Provincia Hotel.

Where are you taking us?

We're gonna make a stop.

Do you want money?

I don't need your money.

What's happening?

Don't be too alarmed,
but we're being kidnapped.

Come in, please! Hurry!

This is my niece.

She's been in labor for 14 hours.

14 hours like this.

Hello. I'm a doctor.

Uh, can you handle
the additional talking?

We're here to help you
and your baby, okay?

We're going to examine you, yeah?

It hurts so bad!

Yes, here we go.

Well, the baby's head is down,
so position's not a problem.

I can't hear anything.

The cab driver, he had a-a-a cup
of coffee in his cab.

Have him get it.

Um, a cup of coffee from the taxi...

Go get it quickly!

Please tell her
I have to check her cervix.

The doctor will check your cervix.

Okay, yes, that's fine.

She's fully dilated.

Okay, tear out the bottom,
hand it to me.

I can hear a heartbeat.

The baby has decels.

Oh, no, no! Don't push! Don't push!

He became short of breath
and then lost consciousness.

I believe his thoracic outlet syndrome

caused a clot in his arm,
which went into his lungs.

That would explain
the drop in blood pressure

and respiratory rate.

But not his elevated
end tidal CO2 level.

That is inconsistent
with a pulmonary embolism.

What is it consistent with, Shaun?

His brain. A clot
that traveled from his arm

through a hole in his heart
into his aorta

and up to his brain.

His gag reflex is only active
on one side.

I was right. He has a small clot
in the brain stem

near the respiratory center.

Well, we can surgically remove
a clot in his lung,

but in his brain...

We can't do that here.

If we have TPA, we could break it up.

TPA? No.

But we have a snake venom derivative.

I-It does the same thing, more or less.

- Any movement at all?
- None.

No cord presentation.

Maybe her pelvis is too narrow?

The heart rate's getting slower.

Wait, wait, wait.

I can feel a hand by the face.

The baby's sucking its thumb.
That's why it's not progressing.

I can do an episiotomy,
try to pull the baby out,

but with the arm where it's at,
I'm probably gonna

break the clavicle and damage
the brachial plexus nerve.

- Reach inside...
- Yeah.

...find the baby's finger,
and pinch it hard.

It worked.

Okay, dear,
now we are going to push, okay?

- Push.
- Push.

I'm sorry...

Um...

Do you speak English?

No. I don't speak English.

My name is Lea...

I'm with the Americans.

Mm.

I'm Sof�a.

He is my husband, Oscar.

And she is Isabela.

Isabela.

She is...

perfect.

Um...

I found these in my suitcase.

My mom got them for...

It gets cold in here.

A gift for Isabela.

Thank you.

Would you like to hold her?

Uh.

No, thank you.

Uh, I have to go.

Congratulations, Mom.

What a good-looking boy!

Shaun's keeping an eye on Miguel.

Yeah.

You know, it's okay to not be okay.

I j...

Every time I feel like
things are getting better...

it's there again.

Yeah, I know.

Like it comes in waves.

Eventually, it subsides.

It's a process.

It's a terrible process.

And it's one you don't
have to go through alone.

Shaun has no idea, does he?

No.

He's doing great, important work.

I don't want to interfere with that.

And...

he can't fix it.

It's not about fixing it.

It's about the two of you
just being in this together.

He's waking up.

What happened?

You had an embolism,

but we were able to give you treatment.

Can I still have the operation tomorrow?

No, I'm afraid not.

Tiziana?

Tiziana, wake up.

Hey, I need you
to tell your mother something.

We're gonna do her surgery.

Mom, Mom, they're going to do
your operation!

You told me that I could die
without that surgery.

Thank you!

You're welcome.

That was...

It was.

Good night, Audrey Lim.

You know...

I'm... not really tired.

Me either.

Tomorrow, I will be removing
an adenocarcinoma

from a young woman's mediastinum.

That can be a very dangerous area

because of the vasculature.

It will be an excellent challenge.

Are you coming to bed?

I would like to turn off the light.

I don't want to ruin your trip.

You're having such a good time.

But...

I'm not.

W-What's wrong?

Are you sick?

Did you open your mouth in the shower?

That is very common.

I'm just... sad.

Every time something reminds me
of the baby,

I get even sadder.

I'm glad you're doing better than I am.

I'm glad you're happy, but...

sometimes, you being happy
makes me feel worse.

I hate that I feel that way,

and I didn't even want to tell you,

but I think I need to tell you.

I'm sorry.

Do you want me to not talk about work?

No. I can't ask you to do that.

Yes, you can.

I want you to feel better.

It won't help, Shaun.

What will help?

Nothing.

I miss her so much.

I mean, even looking at your
blue eyes breaks my heart,

because I dreamed she would have them.

My parents are really worried,

been calling all the time.

They want me to come back
to Hershey for a while.

They think it'll help.

Do you... want to?

I think it would be good for me
to get some time away.

From everything.

I'm sorry you're sad.