All language subtitles for The.Good.Doctor.S06E10.Quiet.and.Loud.1080p.AMZN.WEB-DL.DDP5.1.H.264-NTb_Subtitles03

Previously on
"The Good Doctor"...

Glassman found movement
in my psoas and glutes.

He and Murphy found
an endoscopic solution.

- How about I make you dinner?
- Sounds good.

It's a date then.

A date.

Audrey...
Will you marry me?

Shaun.
I'm pregnant.

My OB told us it isn't safe
for me-- or the baby.

Danny!

No, no, no. Danny.

Danny.

♪ Let the sun burn my eyes ♪

♪ Awake, my heart
is open wide to you ♪

- Good morning.
- Morning.

I'll get the coffee.

This is my third stay
in a week.

I no longer require
guest-level service.

I want the practice.

Two cups, no cane,

no guarantee
how long it'll take.

Well, when it comes to you,
my patience is boundless.

One of the many things
I adore about you.

♪ Oh ♪

♪ Inside my mind, oh ♪

It's been three months.

The man's a saint.

I have been recovering
from a major surgery

and re-learning to walk.

Your recovery's
remarkable.

So is
your procrastination.

I am taking the time
to consider

the biggest decision
of my life.

Clay's fine.

No man--
no person--

is fine waiting this long
for an answer to that question.

Ever done one
of whatever this is before?

No. You?

Mm-mm.

I've been clean
for 92 days.

I went to rehab
for two months,

and I go to meetings
every single day.

I don't know if you two
can ever trust me again,

but I am willing to do
whatever it takes

to earn back
my place here.

And we'll do everything
we can to support you
in your recovery.

But our number-one obligation
is to our patients.

For their safety
and yours,

we need to put
some guardrails in place.

You'll be on probation
for six months.

You cannot prescribe
or administer

any controlled substances.

You will be given
random drug tests,

and every step
of your patient care

will be supervised by the
Senior Resident on your case.

Today that is Dr. Allen.

You okay with those terms,
Dr. Perez?

Absolutely.

I'm just happy
to be here.

How are you?

Better.

A lot better.

I hadn't
heard from you.

Which is
totally understandable.

I just wasn't sure...

I didn't know
what to say.

You're not the reason that--
that happened.

As your supervisor
on the case,

I will oversee your charting,
your patient interactions,

double-check
your med orders.

And this.

Fetal movement is good.

Heart rate
is normal at 150.

I've been monitoring
the heart rate daily.

It ranges from
146 to 163 BPM.

Her last emesis
was three weeks ago.

So the nausea's
getting better.

- Great.
- And the fatigue.

Less improvement on
the constant state of terror.

You made it through
the first trimester.

- You're doing great.
- Mm.

You two want to know
the sex of the baby?

- Yes.
- No. Don't look.

It'll be
a fun surprise.

Oh.

It is fun
to be prepared.

Oh.

What's going on?

There is a small, thinning area

on your uterine wall.

It is slightly hypoechoic,

likely a result of the scar
tissue from your prior surgery

and Asherman's syndrome.

Is that bad?
It sounds bad.

Mm.

If it progresses,
your uterus could rupture

and we would
lose the baby.

But it's very possible
the lining will remain stable

and your pregnancy
will progress normally.

What happens now?

We'll put you
on bed rest
and monitor you closely.

You're wrong.

There may be a surgery
that can fix this.

I need to talk to Dr. Lim
and Dr. Glassman.

Hello. I have admitted Lea
for close monitoring

and a follow-up MRI,

which detected a small amount
of free fluid in the abdomen.

This, plus a slight decline
in the hematocrit,

increases the likelihood
of rupture by 3% to 5%.

Shaun, I'm so sorry.

How are you and Lea
holding up?

Oh. Fine.

I found a surgery
to fix it.

I have spent
the last three months

researching every complication
of Asherman's syndrome.

I discovered
an experimental procedure

to reinforce the uterine lining
with collagen fleece

that will expand
as the uterus grows.

I have studied
the technique,

and I will teach you
how to do it.

How many times has
this procedure been done?

Five.
Three had good outcomes

and the babies were carried
to full term,

and the odds
are better for Lea

because you are
above-average surgeons.

Shaun,
I don't need to remind you,

but this procedure
can induce labor

and can cause
major bleeding.

You could lose the baby.

If we wait
and the uterus ruptures,

we will definitely
lose the baby

and Lea could suffer
a catastrophic hemorrhage.

Due to the size
of the uterine window,

there's a good chance
it won't.

No, with Lea's prior surgery
and the significant
scar tissue,

I put the likelihood of rupture
at close to 65%.

Those chances...

not good.

Lea's body, her call.

Drew Dewitt.

Has recurrent desmoid tumors
caused by Gardner's syndrome.

The one on his liver
is benign,

but it hasn't
responded to chemo.

It's encroaching on the stomach
and spleen.
It has to come out.

Thus,
the surgical consult.

He has almost no
small intestine.

He needed a major resection
a year ago.

He's been living off
IV nutrition ever since.

I've treated him
for post-op infections

and pain management
over the last year.

I've never seen this much
scar tissue in a patient.

How many surgeries
has he had?

20. Plus 16 rounds chemo
and 34 hospital stays.

Unfortunately, we have to add
one more surgery to that list.

Will this surgery affect his
place on the transplant list?

We've been waiting over a year
for a small bowel.

Apparently, I'm "too healthy"
to move to the top.

It shouldn't, barring
long-term infection
or other organ damage.

When you're ready,
we can take you to pre-op.

- You got this, D.
- You know it.

I have no idea.

Would you like us to go over

the risks
and benefits again?

No, I know everything
that could go wrong.

All I can see
is what can go wrong.

You don't have to decide
right now.

We can continue
to monitor.

If we wait, the uterine window
could expand

and make the surgery
more risky.

Now is the safest time.

Don't pressure her, Shaun.

Okay. Okay,
I know I trust you.

So if you think surgery
is the right decision,
then we should do it.

On one condition.

I want you in the OR.

Not for me, but if something
were to go wrong

and we lose our baby,

I need you
to be with her.

Or him.

With my guidance, I think
there is a very good chance

our baby will be fine.

Mm.

Forceps and Metz.

How's it feel to be
in the OR again?

Very good, sir.

We're all very glad
to have you back.

We've exposed the surface
of the liver.

Tumor's invaded the liver
capsule and parenchyma.

That's twice the size
it appeared on imaging.

If we take out
all of the tumor,

he'll only have
half a liver left.

We don't have a choice.

Make sure
to approximate the edges

so it overlaps
with the uterine window.

I internalized that the first
three times you told me, Shaun.

I'm sorry you and Lea
are going through this.

Mm.
Dr. Lim was able

to place the fleece patch
seven seconds faster.

But your laparoscopic
suturing technique is superior.

You will be
in charge of that.

Practice it now. Please.

Shaun, I've done it
a million times.

You have never done them
on my wife.

Fair point.

Because we had to
take more of your liver

than we'd hoped, your
liver function is declining.

Getting your nutrition through
an IV is tough on your body.

The TPN that's keeping me
alive's also killing me?

That's gnarly.

So, what's the alternative
to TPN?

How do we
get him nutrients?

We're looking into it.

For now, we're gonna
manage your symptoms

and keep you stable until
a small bowel
becomes available.

There's no way those organ cops
can say I'm too healthy now.

I'll order cholestyramine
for the itching

and liver function testing
every few hours.

I'll call UNOS
and do whatever I have to...

...to get him
moved up the list.

Where you
sneaking off to?

I'm walking down the hall,
in plain sight.

The alarms,
the pills,

the classic Morgan
evasion techniques.

You're getting your embryos
implanted, aren't you?

Congrats on cracking
that already wide-open case.

I have to give myself
a time-sensitive injection now,

then yell at some
nice transplant people.

Why didn't you tell me?
I could help.

I'll refer you to the minutes
of our previous meeting--

"We need boundaries."

I remember you put on
my hospital socks
for me last time, too.

I hate
that we have a routine.

This time is different.

- Hi.
- I love you.

How are you?
Do you need anything?

There's Funfetti cake in Pedes
for Nurse Hawks' birthday.

Do you want me
to get you a piece?

Just this is great.

Please leave.

Having visitors
increases the risk

of perioperative infection,

and stimulation
can raise blood pressure,

which increases the risk of
intraoperative complications.

I need to do
your pre-op exam.

He just doubled over.

My gut is trying
to kill me.

Please, can you
give him something?

I'll up his morphine.
Check the site for infection.

Hang on.
You're gonna be okay.

Dr. Allen,
his wound dehisced.

What does that mean?

His muscles couldn't
hold the stitches.

It tore open.

Move the patch
three millimeters
to your right.

It should overlap
with the wound margin.

- Got it.
- Yes, there.

That is good.

Dr. Wolke,
take the scope, please.

Sutures.

5-0 Prolene sutures
in the myometrium defect

need to be placed
exactly one millimeter apart.

Dr. Murphy,
take one more step,

I'm gonna have to
ask you to leave.

Applying the glue.

No, no.
That's too far.

- The view is obscured.
- Shaun.
A little to your left.

She's bleeding.

No signs of rupture.

You may have placed
the sutures too deep

because you didn't
have a clear view.

The sutures are fine.

I should take over.

- Shaun.
- There, a small bleed
underneath the patch.

Must've nicked
a vessel.

I'll clip it.

Suction.

Okay, we can continue
to close.

Yes.
Lea and the baby are fine.

In spite of
the avoidable errors.

His abdominal wall
is too weak and damaged

from prior surgeries
to hold the sutures.

We covered the wound
with plastic,

but we need to take him
back to the OR

and close him up
before it gets infected.

The tissue will just
tear open again.

His skin and muscles need time
and nutrition to heal.

I have a small bowel
for Drew.

Drew's wound dehisced.

We can't take
that organ.

I'm not
turning it down.

This is Drew's
only chance.

Tell UNOS we need to
run some more tests.

Buy us a few hours.

That's how long we have
to figure out

how to stitch
this kid back together.

What about
component separation?

That could weaken the tissue
even more.

Right.

Maybe a four-step
Fabian procedure.

Except Drew doesn't
have time for four steps.

Hi.

Here to check
Lea's post-op vitals.

I also brought supplements.

Mm.

Thank you.

All right, your post-op
ultrasound looks good.

Oh.

Fetal movement and heart tones
are great.

Oh, thank God.

When can I go home?

You need to be here
for monitoring

for several more days.

I can't go days like this, Shaun.

I hate it here.

You are here
for work every day.

Not in this room,
in this bed,

thinking about everything.

Jerome and I can visit
on our lunch break.

Oh, we could take the "What
Yankee Candle Are You?" quiz

that's on page 17.

Rest will help you
recover faster

so you don't have
to be here anymore.

Her ultrasound
does look good.

Thank you.
You can go.

Thank you.

UNOS called again.

I told them we have to re-run
Drew's liver function test

and get a CT scan.

I bought us an hour
at most.

What about
a Sure-Closure device?

Too high a risk
for ventral hernia,

which could lead to us needing
to resect his large intestine,

leaving him
even worse off.

I already played it out.

For your embryo thing,
you know, whenever that is,

I can give you a ride,
if you need one.

I'll get an Uber.

You really want to go to
the most important appointment

of your life
with a stranger in a Camry?

I've chosen to do this alone,
and I'm fine with it.

And I'm--
I'm trying very hard

not to care about what
anyone else thinks about that.

So having you imply how sad
it is that I have to take a cab

to a doctor's office
is not helpful.

He threw up, and his pain
is getting worse.

He's already maxed out
on morphine.
I'm overriding.

There's increased
redness and swelling
on the edges.

Early signs
of infection.

I love you, Mom.

- You're gonna be fine.
- It's okay.

We knew
we'd get here someday.

I'm ready.

No.

I am not
giving up on you.

Don't give up on me, D.

Please.

Oh.
I-I will take those.

They're from
all the nurses.

We just want you both to know
that we're thinking about you.

I will
pass that along.

But not these.

Baby's breath has
a strikingly unpleasant odor.

Is there anything
you need?

We're fine.

Uh, 502's family
is on their way in.

Heads up--
they are a loud bunch.

They're very excited
to be taking Meemaw home.

I don't think
Lea's fine.

She's lonely
and bored,

and being back
in that room

is bringing up
a lot of painful memories.

And I know you're just--
you're trying to protect her,

but...

but it's making you
kind of a pain in the ass.

Your wife, who's carrying
the tiny human,

she needs
her loud bunch.

People asking how she is doing
and being worried

will only make Lea worry more,
and that is not helpful.

Not for you,

but I think Lea needs more
than just you right now.

She needs lots of people
showing concern and love.

And maybe you do, too.

More than you think.

♪ I think of when...♪

Question for you.

Does it bother you that this
has been sitting here

for three months?

No.

- Does it bother you?
- No.

I'm feeling
a little pressured.

I've barely
brought it up.

And I appreciate that.

But it sitting here
is kind of pressure.

It was meant to be
a cute gesture.

A subtle...

Not so subtle reminder

that the offer is still
"on the table,"

which has clearly
overstayed its welcome,

and the last thing I want
is for it to come between us.

Are you un-proposing?

No, I'm un-pressuring.

I love you, and I'm not
going anywhere.

When you're ready,
we'll put it back on the table.

What about
a Velcro biocompatible patch?

It would facilitate
his granulation tissue growth.

How do we keep it from adhering
to other organs?

Yeah.

This should be turmeric chicken
with asparagus.

That's what I was gonna
make you for our date.

And after work, all I had to do
was go to the store
and get some chicken.

But instead,
I-I texted my dealer.

For a thousand reasons,

none of which excuse
nor explain anything.

You don't owe me
an explanation.

I do.

And I wish
I could give you one.

Every day for the past 92 days,
I've asked myself,

"Why didn't I just
go get the chicken?"

I mean, we would have had
a great dinner.

I mean, you would have been
funny and beautiful.

And I would have tried
way too hard to be charming.

And then...

...who knows?

I'd give anything to go back,
start over.

Give us a clean slate.

Me too.

What if we did that
for Drew?

What if,
along with a new bowel,

we gave him a whole new
abdominal wall?

Clean slate.

Has it ever
been done before?

I'm gonna look down
and see...
someone else's abs?

Replacing it is the only way to
get you a new small bowel.

You'll be able to eat again.
You'll get stronger.

What are the chances
it'll work?

It's never been done in tandem
with another transplant.

There are increased risks
of rejection or infection.

But both organs
are in great shape
and a good match.

It's our best shot
to save your liver

and give your body
time to heal.

Thank you so much.

Okay.

Well, let's do this.

If we don't keep quiet,

Shaun is gonna come down on us
with the hammer of Thor, okay?

It's so nice to laugh.

Enter Shaun
with a chest plate

and a red cape
with the Mjolnir.

I don't want to get kicked out
before I know--

boy or girl?

I have to start scoping out
the latest baby fashions.

I don't know.

I don't want to know.

Last time, when we found out
we were having a girl,

Shaun and I
were choosing her name.

I liked Sage and Skylar
and Sofia.

Something with an "S,"
after my grandma, Susie.

And then she was... gone.

And I can't do
that again.

Maybe you should tell Shaun
about this.

He's already so worried,
no matter what he says.

And what if talking
about it just...

I have something
for you.

Mm?

My faith.

Not just in God.

I have faith
in the surgery you had.

I have faith
in you and Shaun,

and that your baby,

whatever it is,

is going to be okay.

Your 10-minute visit
has run over.

I have to scrub in anyways.

Pencil me in for the next
10-minute opening, Thor.

Thank you.
I-I needed that.

Mmph. Pfft.

But not that.

I kind of feel nauseous.

We should do
another ultrasound.

Mm.

This surgery could buy you
a year, maybe more,

give you back
some quality of life.

But...

it should be
what you want.

You're 17
and you've suffered more

than some people
their whole lives.

No one would fault you
for deciding you're done.

I can't.

Your mom has given you
all the support in the world,

but this is your fight.

Do you want
to keep going?

The worst part about
all of this is knowing

one day, it'll end,

and my mom
will be alone.

She's been with me through all
the hardest parts of my life,

and I won't be around
when she has to go through
the hardest part of hers.

If I can put that off,

if even for a little bit,
then I'm gonna do that.

And hope that makes
the days she'll face alone...

a little easier.

You're all set.

We'll take you
to surgery soon.

I love you.

And whatever happens...

you don't need
to worry about me.

I'll be okay.

I love you, too, Mom.

She was
feeling nauseous,
so I did an ultrasound,

which detected increased
fluid in the abdomen,

but then
she lost consciousness.

It is almost certainly
internal bleeding.

I'll scrub in,
right away.

No, no, no.
You can't come in.

- This is likely a complication
from the first surgery.
- Shaun--

It is my fault,
and I need to fix it.

Shaun, if we can't stop
the bleeding,

we may have to
take Lea's uterus
in order to save her life.

If we get there, we're gonna
make the decision quickly

and with medical factors only,
no emotion.

Lea would want me in there
in case we lose the baby.

If that happens--

if that happens,

Surgical site looks good.
Patch is intact.

No signs of acute
placental abruption.

Bladder's clean.

No blood coming
from the ovaries
or the fallopian tubes.

And the bowel is intact.

It's gotta be coming
from the uterus.

If we clamp
the uterine vessels,
we may slow down the bleeding.

But we put the baby
at risk.

If we don't stop it soon,
we're gonna put Lea at risk.

I'll clamp the internal iliac
on the side of the bleed.

Buys us some time.

Give two more units of blood
and stay four ahead.

Retractor.

If the site
is hemostatic,

they will look
for placental abruption.

Next, they will check
the bladder, ovaries,

and fallopian tubes.

Shaun.

They can't clamp
the uterine vessels

without hurting the baby,

but they can place
an atraumatic vascular clamp

on the internal iliacs,

which will slow down the bleed
while they try to locate it.

Once they stop the bleed,

they should be able
to repair it

and be done by...

5:26.

The surgery went
really well.

You should be able to start
eating real food again

in a few days.

Better make sure my new
six-pack is looking good.

The abdominal wall
is holding together.

No signs of infection.

We'll see how long
that lasts.

One step at a time, D.

We'll let you
get some rest.

No alcohol in that new gut
of yours.

Not for four more years.

One step at a time, Mom.

Hey, I don't want to help
because I feel bad for you.

I feel bad for me.

You're gonna be
an amazing mom

because you're amazing at
whatever you put your mind to,

and I'm a little
conflicted, I guess,

because I won't be
a part of it.

Making my single-mother
IVF journey about you

is uncharacteristically
self-absorbed.

I'm impressed.

You changed me.

And doing things alone
isn't sad.

Still doesn't mean
you have to do them that way.

From here on, I'm gonna request
not to be supervised by you.

Why?

I didn't OD because of you,
or us.

But I knew I couldn't
be with you

if I wasn't okay.

So I convinced myself
I was.

Jordan, if I let myself
get close to you,

I will fall for you again, and...

...and I will want so badly
to be okay,

to be ready for us.

I can't risk that.

I wouldn't want you to.

Mm.

I can't believe how much
I'm gonna miss somebody

I'll still see every day.

Lea's in
emergency surgery.

Two more units,
right away.

Removing the packing
over the uterus.

Suctioning.

Fetal heart rate 101.

Intermittent decels.

No injury
to the vena cava.

Where is all this
coming from?

Art line BP is 75 over 43

and falling.

♪ Waiting for the breaks ♪

♪ I could be
lost here forever ♪

♪ If I didn't have my faith ♪

♪ If I don't keep it together ♪

♪ I'll never take
a breath again ♪

♪ But I see hope
in the shallows ♪

♪ And the rush of blood
in my veins ♪

♪ And if I go down
with the devil ♪

♪ Well, that would be
my mistake ♪

♪ Waiting for the breaks ♪

♪ I'm stuck in the middle
of the waves ♪

♪ I'm lost in the current ♪

♪ Need a break ♪

♪ I'm stuck in the middle ♪

Lea's BP is 67 over 35.
She's bleeding out.

Hysterectomy tray.

Clamp.

♪ Looking back there now,
what a blur ♪

After you ligate
the uterine vessels,
I'm gonna go get Shaun.

I told him I would.

♪ I remember looking up,
and there you were ♪

Clamping the uterine horn.

♪ Those eyes said everything's
gonna be all right ♪

Ligated the round ligament.
Preparing to transect.

Metz scissors.

♪ Those arms said it's okay
to stay the night ♪

Audrey.

♪ We were feeling our way
through the dark ♪

♪ Feeling our way
through the dark ♪

♪ Looking for places
to fall down hard ♪

♪ Never knowing
where to start ♪

♪ Feeling our way
through the dark ♪

Lea and the baby
are gonna be just fine.

♪ Those arms said it's okay
to stay the night ♪

Lea's left uterine artery was
tethered to some scar tissue.

As the uterus grew,
it ruptured.

That was inevitable.

Had nothing to do
with your first surgery.

Okay.

Had Lea not been
in the hospital
when this happened,

she might not have survived.

Shaun, your surgery
saved both their lives.

Okay.

♪ We're feeling our way
through the dark ♪

Oh!

♪ If you show me
what's underneath ♪

Thank you, Dr. Glassman.

I got you.

Okay.

♪ Feeling our way
through the dark ♪

♪ Looking for places
to fall down hard ♪

♪ Never knowing
where to start ♪

♪ Feeling our way
through the dark ♪

♪ Feeling our way
through the dark ♪

Okay.

Good morning.

Can I get that to go?

I gotta stop at my place
and grab a shirt for work.

I'm sure you have a minute. Stay.

- Am I about to be punished
for something?
- No.

- I was just thinking.
- Mm-hmm.

I love you.

I love you, too.

And I love us.

Same.
Always good to hear.

And I've decided I want us
to move forward.

At my own, learning-to-walk
kind of pace.

Clay Porter...

...will you
move in with me?

I would kneel,
but I'm not sure

I could gracefully
get back up again.

It's so sparkly.

Love it.

Mm.

Audrey Lim...

...you've made me
the happiest man alive.

This is a one-time thing.

Don't expect me to drive you
to your next colonoscopy.

And here I was looking
forward to that.

Take McLaughlin
to William Street.

The freeway's backed up
this time of day.

Alright, just don't
forget the tip.

The fleece patch is
holding well and expanding
with the uterus.

Everything looks great.

Your baby is very cute
and squirmy.

So, you wanna know
what it is?

Y-You already know,
don't you?

I have been looking
at your uterus a lot.

Mm.

But-- But I can
keep a secret.

The light blue
is very...

Heteronormative.

I was going to say pastel.

But, yes, that too.

I think he's gonna like
something in the gray palette.

Calming but warm.

Elegant yet understated.

I think our son
would like that very much.