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1
00:00:16,682 --> 00:00:17,951
Shaun...
2
00:00:18,018 --> 00:00:20,321
You need to give me
your driver's license.
3
00:00:21,021 --> 00:00:22,556
No, I don't.
4
00:00:22,621 --> 00:00:26,393
- Do you remember the memory test I gave you?
- Vividly.
5
00:00:26,460 --> 00:00:29,697
Yes. It demonstrated
you have a deficit.
6
00:00:29,763 --> 00:00:32,899
A deficit. You shouldn't be driving.
Dr. Blaize agreed.
7
00:00:32,966 --> 00:00:36,235
Shaun, that test was supposed
to be between us,
8
00:00:36,302 --> 00:00:38,439
that's why I didn't want
to do it at the hospital.
9
00:00:38,506 --> 00:00:41,642
Yes, your doctor needs
to be informed
10
00:00:41,707 --> 00:00:43,911
of the results
of all your medical tests.
11
00:00:43,978 --> 00:00:45,945
Even tests
that are done at home.
12
00:00:46,012 --> 00:00:49,082
Shaun, I've been driving
for like half a century.
13
00:00:49,149 --> 00:00:50,750
I'm an excellent driver,
okay?
14
00:00:50,817 --> 00:00:53,019
I don't need to give you
my driver's license.
15
00:00:53,085 --> 00:00:55,856
Okay. Then I'll have
to notify the DMV.
16
00:00:56,789 --> 00:00:58,091
Dr. Glassman?
17
00:01:00,259 --> 00:01:02,262
You're not gonna notify
the DMV, Shaun.
18
00:01:02,329 --> 00:01:05,932
Yes, I will notify
the DMV.
19
00:01:05,998 --> 00:01:07,999
Shaun, you will not
notify the DMV.
20
00:01:08,067 --> 00:01:09,469
Dr. Glassman,
21
00:01:09,537 --> 00:01:12,606
if you don't give me
your driver's license,
22
00:01:12,671 --> 00:01:14,808
I will notify the DMV.
23
00:01:15,709 --> 00:01:17,578
NURSE: Dr. Glassman?
24
00:01:42,168 --> 00:01:43,469
George Reynolds, 28,
25
00:01:43,537 --> 00:01:45,139
sudden onset of arm
and leg weakness,
26
00:01:45,206 --> 00:01:47,106
right facial droop,
and trouble speaking.
27
00:01:47,173 --> 00:01:49,709
CT confirmed a middle cerebral
artery embolism.
28
00:01:49,775 --> 00:01:51,811
I booked us
into interventional radiology.
29
00:01:51,879 --> 00:01:53,713
When did you first notice
your symptoms, George?
30
00:01:53,781 --> 00:01:56,683
About, uh,
four and a half hours ago.
31
00:01:56,750 --> 00:01:58,018
Wait,
what's wrong with me?
32
00:01:58,084 --> 00:01:59,085
You may be having a stroke.
33
00:02:00,653 --> 00:02:02,322
You're on monthly injections
of Lupron?
34
00:02:02,388 --> 00:02:03,789
For three months.
35
00:02:03,856 --> 00:02:04,858
That may have
caused this.
36
00:02:04,924 --> 00:02:06,393
Do you have
prostate cancer?
37
00:02:06,459 --> 00:02:10,830
No. I... I was diagnosed
with atypical hyperplasia.
38
00:02:10,897 --> 00:02:12,698
That shouldn't have any effect
on what we're gonna do now.
39
00:02:12,765 --> 00:02:14,334
We're gonna take care of you,
George. Don't worry.
40
00:02:14,401 --> 00:02:17,604
♪♪
41
00:02:17,670 --> 00:02:20,807
SHAUN: This is local anesthetic,
you'll feel a pinch.
42
00:02:23,742 --> 00:02:25,378
Are you a real doctor?
43
00:02:25,445 --> 00:02:28,080
I'm Dr. Shaun Murphy.
44
00:02:28,147 --> 00:02:29,515
People ever call you
Murph?
45
00:02:29,582 --> 00:02:30,584
No.
46
00:02:30,651 --> 00:02:33,020
I'm going to make
a small incision
47
00:02:33,086 --> 00:02:35,923
so we can insert the tube
and re-inflate your lung.
48
00:02:37,456 --> 00:02:38,724
What do they call you,
Billy?
49
00:02:38,792 --> 00:02:39,860
(SCOFFS)
50
00:02:39,926 --> 00:02:44,063
CraterHead, Volcano,
ThreeEyes,
51
00:02:44,131 --> 00:02:45,633
those are just
the creative ones.
52
00:02:46,500 --> 00:02:47,700
Hold tight.
53
00:02:47,766 --> 00:02:48,902
Here comes the tube...
54
00:02:52,372 --> 00:02:54,975
(BREATHES DEEPLY)
55
00:02:58,711 --> 00:03:00,479
You guys really know
what you're doing.
56
00:03:00,546 --> 00:03:02,248
Yes, we do.
57
00:03:03,316 --> 00:03:05,652
We'll order an MRI
for your lungs.
58
00:03:05,718 --> 00:03:08,787
Then we will fix
your fractured eye orbit,
59
00:03:08,854 --> 00:03:10,456
that will require surgery.
60
00:03:11,991 --> 00:03:14,326
What do you say
we fix your forehead, too?
61
00:03:14,394 --> 00:03:15,496
You could do that?
62
00:03:15,562 --> 00:03:18,231
- I think so...
- I don't think so.
63
00:03:18,298 --> 00:03:22,868
It's a pre-existing condition, and
it's not medically necessary.
64
00:03:22,936 --> 00:03:25,070
It shouldn't be approved.
65
00:03:25,138 --> 00:03:27,307
♪♪
66
00:03:29,542 --> 00:03:31,545
(THEME MUSIC PLAYING)
67
00:03:34,560 --> 00:03:39,560
Subtitles by explosiveskull
68
00:03:41,388 --> 00:03:44,790
The MCA clot is obstructing
all distal flow.
69
00:03:44,858 --> 00:03:48,295
CLAIRE: Anti-androgens aren't
indicated for hyperplasia...
70
00:03:48,361 --> 00:03:49,763
He said atypical.
71
00:03:49,830 --> 00:03:51,131
You think he's lying?
72
00:03:52,765 --> 00:03:55,635
Maybe he's
gender transitioning.
73
00:03:55,701 --> 00:03:59,306
Aside from cancer, there
aren't many other indications.
74
00:03:59,372 --> 00:04:01,641
Let's focus
on what we do know.
75
00:04:01,707 --> 00:04:03,643
Feeding the catheter.
76
00:04:03,710 --> 00:04:05,246
Suctioning the thrombus,
77
00:04:06,847 --> 00:04:09,049
and he's recanalizing.
Slowly retract.
78
00:04:11,350 --> 00:04:13,620
Whatever his reasons are
for taking anti-androgens,
79
00:04:13,687 --> 00:04:15,088
hopefully
there are options.
80
00:04:15,154 --> 00:04:17,456
He either drops them or he's
gonna keep having strokes.
81
00:04:17,524 --> 00:04:19,625
♪♪
82
00:04:19,692 --> 00:04:23,797
The forehead repair would be
expensive and cosmetic...
83
00:04:23,862 --> 00:04:25,197
It's not
about prettying him up,
84
00:04:25,264 --> 00:04:27,466
it could give him
a new life, friends,
85
00:04:27,533 --> 00:04:28,869
maybe a few less beatings.
86
00:04:28,935 --> 00:04:31,404
Stopping the beatings
is the guards' job.
87
00:04:32,706 --> 00:04:35,141
You really don't have
any empathy for Billy?
88
00:04:35,208 --> 00:04:38,912
Empathy is a bad reason
to fight for someone.
89
00:04:38,978 --> 00:04:41,482
If empathy makes me
only want to help patients
90
00:04:41,548 --> 00:04:44,016
who are from Wyoming
or have ASD,
91
00:04:44,084 --> 00:04:45,651
then that's very unfair
92
00:04:45,718 --> 00:04:47,920
to all my neuro-typical
patients from Idaho.
93
00:04:55,394 --> 00:04:56,930
I need to take
those drugs.
94
00:04:56,997 --> 00:04:58,564
They caused your stroke.
95
00:05:01,901 --> 00:05:04,204
We don't think
you have hyperplasia.
96
00:05:04,271 --> 00:05:05,405
If you tell us
the real reason,
97
00:05:05,471 --> 00:05:07,173
I'm sure there are
other safer treatments...
98
00:05:07,240 --> 00:05:08,442
No, there aren't!
99
00:05:10,276 --> 00:05:13,579
If you're transitioning,
there are alternatives...
100
00:05:13,646 --> 00:05:15,481
I told you
why I was taking the meds.
101
00:05:15,548 --> 00:05:18,484
George,
we are your doctors,
102
00:05:18,552 --> 00:05:20,487
we need to know
the truth.
103
00:05:20,553 --> 00:05:22,021
We're not gonna
tell anyone.
104
00:05:25,625 --> 00:05:26,793
(EXHALES SHARPLY)
105
00:05:30,997 --> 00:05:32,633
I'm not transitioning.
106
00:05:34,834 --> 00:05:38,271
And I don't have
hyperplasia.
107
00:05:40,507 --> 00:05:42,108
I have problems...
108
00:05:42,175 --> 00:05:44,877
With my sex drive.
109
00:05:47,247 --> 00:05:51,018
I know it sounds stupid, like why
can't I just control myself, but...
110
00:05:53,586 --> 00:05:54,887
It's all I think about.
111
00:05:55,956 --> 00:05:57,358
It's all I can think about.
112
00:06:00,026 --> 00:06:02,295
I can't work,
113
00:06:02,362 --> 00:06:04,364
I can't socialize,
114
00:06:04,430 --> 00:06:06,532
I can't have a life.
115
00:06:08,634 --> 00:06:11,637
And those meds
are the only thing
116
00:06:11,704 --> 00:06:14,074
that makes it
even remotely tolerable.
117
00:06:15,141 --> 00:06:16,610
They'll kill you.
118
00:06:19,045 --> 00:06:20,347
(SCOFFS)
119
00:06:25,519 --> 00:06:27,321
AOKI: The residents
have a betting pool
120
00:06:27,387 --> 00:06:29,122
on who you're going
to appoint
121
00:06:29,189 --> 00:06:31,691
as your replacement
as Chief of Surgery.
122
00:06:31,757 --> 00:06:34,593
The decision needs to be made
with decorum and expediency.
123
00:06:34,661 --> 00:06:36,329
I haven't quite gotten
around to analyzing...
124
00:06:36,396 --> 00:06:37,997
You've had little face time
with your attendings
125
00:06:38,064 --> 00:06:39,598
since you became
president.
126
00:06:39,665 --> 00:06:40,901
You need to correct that.
127
00:06:42,901 --> 00:06:44,471
I've scheduled
your announcement.
128
00:06:45,404 --> 00:06:46,539
You've got two days.
129
00:06:57,716 --> 00:06:59,618
♪♪
130
00:06:59,685 --> 00:07:02,322
- Where is he?
- He's gone, signed out AMA.
131
00:07:02,389 --> 00:07:04,223
- I tried...
- How long ago?
132
00:07:04,290 --> 00:07:06,026
Five minutes...
133
00:07:11,064 --> 00:07:12,165
Why are we
in a hurry?
134
00:07:12,232 --> 00:07:13,900
I was researching
alternative meds for him.
135
00:07:13,966 --> 00:07:15,701
Realized Lupron didn't
make any sense.
136
00:07:15,769 --> 00:07:18,170
Prescribing anti-androgens
for sexual urges
137
00:07:18,237 --> 00:07:19,605
is like hitting a mosquito
with a mallet.
138
00:07:19,673 --> 00:07:21,841
Unless
they're deviant urges.
139
00:07:21,908 --> 00:07:23,976
We might've just released
a child molester.
140
00:07:24,043 --> 00:07:26,379
♪♪
141
00:07:29,983 --> 00:07:31,684
(AIR BRAKES HISS)
142
00:07:31,750 --> 00:07:33,686
♪♪
143
00:07:33,752 --> 00:07:35,188
DR. REZNICK: Should
we call the police?
144
00:07:35,254 --> 00:07:36,557
We can't.
145
00:07:36,622 --> 00:07:38,158
We have
no evidence of a crime.
146
00:07:43,430 --> 00:07:46,400
DR. PARK: Lim's at 3 to 2,
Melendez is just behind at 2 to 1,
147
00:07:46,466 --> 00:07:49,769
Cooperberg's 7 to 1, and if
Dartling, or anybody else comes in,
148
00:07:49,836 --> 00:07:50,904
you can retire.
149
00:07:50,971 --> 00:07:52,540
Andrews might bail
on Melendez
150
00:07:52,606 --> 00:07:54,841
when he finds out
our patient bolted.
151
00:07:54,909 --> 00:07:58,278
Which is why Melendez
is now 4 to 1.
152
00:07:58,344 --> 00:08:01,147
Pari-mutuel betting
is very exciting.
153
00:08:01,214 --> 00:08:03,450
Do you need empathy to be
a good doctor?
154
00:08:05,853 --> 00:08:08,454
No. I think
it can interfere
155
00:08:08,522 --> 00:08:10,257
with effective
decision-making.
156
00:08:10,324 --> 00:08:12,960
She's just saying that to
avoid hurting your feelings,
157
00:08:13,026 --> 00:08:15,163
thus making her
fake point for real.
158
00:08:15,228 --> 00:08:17,598
Her empathy
made her lie to you.
159
00:08:17,664 --> 00:08:19,065
I think
you just agreed with me
160
00:08:19,132 --> 00:08:20,433
and insulted me
at the same time.
161
00:08:20,500 --> 00:08:22,303
I think empathy's
very important...
162
00:08:22,370 --> 00:08:24,504
Telling the cold hard truth
even when it hurts,
163
00:08:24,570 --> 00:08:26,806
sometimes is the most
empathetic thing we can do.
164
00:08:26,873 --> 00:08:28,808
Which is what I'm doing
for Shaun right now.
165
00:08:28,875 --> 00:08:30,178
You're welcome.
166
00:08:31,677 --> 00:08:33,413
I have autism
167
00:08:33,479 --> 00:08:35,916
which means I have a
deficiency of mirror neurons,
168
00:08:35,983 --> 00:08:38,919
which inhibits me from emotionally
trading places with people,
169
00:08:38,985 --> 00:08:41,121
which makes empathy
very difficult.
170
00:08:45,258 --> 00:08:47,594
Does that mean
I can't be a good doctor?
171
00:08:49,397 --> 00:08:51,165
No, it doesn't.
172
00:08:51,230 --> 00:08:53,532
We all have our strengths
and weaknesses, Shaun.
173
00:08:53,599 --> 00:08:56,603
One of Claire's is making sure
everyone feels validated.
174
00:09:00,040 --> 00:09:01,442
(CELL PHONE BUZZING)
175
00:09:03,544 --> 00:09:05,312
The creep is back.
176
00:09:05,378 --> 00:09:08,449
♪♪
177
00:09:08,516 --> 00:09:10,349
Is George having
another stroke?
178
00:09:10,416 --> 00:09:11,819
No.
179
00:09:11,886 --> 00:09:13,987
Severe lacerations
to the scrotum.
180
00:09:14,054 --> 00:09:15,522
Did you give him
anything for pain?
181
00:09:15,589 --> 00:09:18,624
Morphine. Four milligrams.
And I notified the cops.
182
00:09:18,691 --> 00:09:19,692
I think
it was a hate crime.
183
00:09:19,759 --> 00:09:21,794
Yeah, I don't think so.
184
00:09:21,862 --> 00:09:24,331
♪♪
185
00:09:24,397 --> 00:09:26,300
All right.
186
00:09:26,367 --> 00:09:28,770
On my count.
One, two, three.
187
00:09:30,603 --> 00:09:31,671
We'll take it from here.
188
00:09:31,738 --> 00:09:33,240
I'll pack him
and prep him.
189
00:09:41,015 --> 00:09:42,283
You did this to yourself,
didn't you?
190
00:09:46,453 --> 00:09:49,357
I think I know what kind
of urges you've been having.
191
00:09:52,660 --> 00:09:54,327
I'm not a monster.
192
00:09:54,393 --> 00:09:56,829
I never touched anyone...
193
00:09:56,897 --> 00:09:58,932
Any... Child.
194
00:10:03,771 --> 00:10:07,174
My sister and I
were always best friends...
195
00:10:07,239 --> 00:10:08,575
But then she had children.
196
00:10:10,978 --> 00:10:12,914
If I can't keep taking
the drugs...
197
00:10:14,915 --> 00:10:17,184
...I had to do this.
198
00:10:17,249 --> 00:10:18,885
Home surgery tends
to not have
199
00:10:18,951 --> 00:10:21,354
the results
you're hoping for.
200
00:10:21,421 --> 00:10:24,492
You did a lot of damage but
your testicles are unscathed.
201
00:10:25,124 --> 00:10:26,459
(SIGHS)
202
00:10:28,996 --> 00:10:30,698
Please, finish the job.
203
00:10:35,868 --> 00:10:38,805
- I say we do it, he's a pedophile.
- No, he's not.
204
00:10:38,873 --> 00:10:40,074
He just told us he was.
205
00:10:40,141 --> 00:10:41,708
He has never acted
on his urges,
206
00:10:41,775 --> 00:10:44,545
and he's asking us to do something
to ensure he never does.
207
00:10:44,612 --> 00:10:47,247
- He is a decent person trying...
- I'm confused.
208
00:10:47,314 --> 00:10:48,647
What do you want
to do with him?
209
00:10:48,714 --> 00:10:51,050
Treat him like a patient
with a diagnosis.
210
00:10:51,118 --> 00:10:52,386
Put him
on antidepressants,
211
00:10:52,453 --> 00:10:54,621
refer him to a urologist,
give him a psych eval.
212
00:10:54,688 --> 00:10:57,457
Let the experts determine if
he should have a castration.
213
00:10:57,523 --> 00:10:59,493
Psych eval?
Antidepressants?
214
00:10:59,560 --> 00:11:01,228
When we refer people
for counseling,
215
00:11:01,295 --> 00:11:02,728
how often
do they get cured?
216
00:11:02,796 --> 00:11:04,498
I am looking to help him
manage this dis...
217
00:11:04,565 --> 00:11:05,898
And if they don't get cured,
what happens?
218
00:11:05,965 --> 00:11:08,835
They get more depressed,
can't cope, quit jobs,
219
00:11:08,902 --> 00:11:10,236
maybe kill themselves?
220
00:11:10,304 --> 00:11:12,573
All bad, but not
rape-a-child bad.
221
00:11:14,574 --> 00:11:16,377
DR. ANDREWS:
So what are you going to do?
222
00:11:20,815 --> 00:11:24,584
We can't ethically remove healthy
organs for crime prevention.
223
00:11:24,651 --> 00:11:26,520
We don't amputate
a kleptomaniac's hands
224
00:11:26,585 --> 00:11:28,522
to prevent them
from stealing.
225
00:11:28,589 --> 00:11:29,924
Hands have many purposes,
226
00:11:29,989 --> 00:11:32,491
the balls of a pedophile
have but one.
227
00:11:32,559 --> 00:11:34,928
Set up his referrals
and patch him up.
228
00:11:34,994 --> 00:11:37,397
♪♪
229
00:11:47,708 --> 00:11:49,410
How long you been
in Foothills?
230
00:11:49,477 --> 00:11:51,011
Nine months.
231
00:11:51,078 --> 00:11:52,546
Time flies in juvie.
232
00:11:52,613 --> 00:11:54,714
Any visitors?
233
00:11:54,781 --> 00:11:57,851
I don't have a granny bringing me
cookies, if that's what you mean.
234
00:11:57,917 --> 00:12:00,854
This is why empathy
is bad.
235
00:12:00,921 --> 00:12:04,123
You're talking to our patient
because you like him,
236
00:12:04,190 --> 00:12:05,358
which is causing him
to move,
237
00:12:05,425 --> 00:12:07,261
which is affecting
our imagery.
238
00:12:07,328 --> 00:12:08,795
He's scared.
239
00:12:08,862 --> 00:12:10,097
I'm talking to him
to calm him down
240
00:12:10,162 --> 00:12:11,698
which is improving
our imagery.
241
00:12:11,766 --> 00:12:13,868
The fact that I like him
is beside the point.
242
00:12:14,600 --> 00:12:16,469
You grow up in San Jose?
243
00:12:16,536 --> 00:12:20,007
East Paly, but I got out
of there as soon as I could...
244
00:12:20,073 --> 00:12:21,141
I was 15.
245
00:12:21,206 --> 00:12:22,442
Your parents still there?
246
00:12:23,209 --> 00:12:24,578
Mom's gone,
247
00:12:24,645 --> 00:12:27,748
dear old Dad is terrible.
248
00:12:27,814 --> 00:12:29,049
Siblings?
249
00:12:29,116 --> 00:12:30,351
Little brother...
250
00:12:30,416 --> 00:12:31,618
He's gone too.
251
00:12:35,756 --> 00:12:38,190
Crappy dad.
Lost his brother...
252
00:12:38,257 --> 00:12:40,360
- I mean, you really don't ha...
- He's not scared.
253
00:12:40,427 --> 00:12:43,863
He's short of breath because
his diaphragm is lacerated.
254
00:12:43,930 --> 00:12:48,535
His stomach has passed through
that tear and is now in his chest.
255
00:12:48,602 --> 00:12:51,973
Billy needs emergency surgery
on his diaphragm.
256
00:12:53,849 --> 00:12:55,118
DR. PARK: The defect
reaches all the way
257
00:12:55,184 --> 00:12:57,719
from the center
to the anterior costal margin.
258
00:12:57,786 --> 00:12:59,421
DR. LIM:
So what do we need to do?
259
00:12:59,488 --> 00:13:01,623
Divide the inferior pulmonary
ligament to bring the lung upwards.
260
00:13:02,958 --> 00:13:04,327
Uh-huh.
Mesh.
261
00:13:07,463 --> 00:13:09,866
Whoever kicked him was
wearing some serious footwear.
262
00:13:09,932 --> 00:13:13,068
And they'll be waiting for him when
he goes back. Unless we help him.
263
00:13:13,136 --> 00:13:15,372
Dr. Park wants
to fix his forehead.
264
00:13:17,640 --> 00:13:19,175
The constitution
guarantees prisoners
265
00:13:19,242 --> 00:13:20,876
get the same care
as everyone else.
266
00:13:20,943 --> 00:13:24,313
Most non-prisoners can't
afford cosmetic surgery.
267
00:13:24,379 --> 00:13:26,814
He would be getting better
care than everyone else.
268
00:13:26,882 --> 00:13:30,587
Kid is smart and personable and puts up a
great front. But he's scared to death.
269
00:13:30,652 --> 00:13:32,589
And he got 36 months
for selling weed,
270
00:13:32,655 --> 00:13:34,324
a crime that doesn't
even exist anymore.
271
00:13:34,390 --> 00:13:36,058
You think his life
would be anything like this
272
00:13:36,124 --> 00:13:37,960
if he didn't grow up with a
massive dent in his head?
273
00:13:39,528 --> 00:13:42,197
Sorry,
I'm not convinced.
274
00:13:42,263 --> 00:13:45,701
Is that because you don't have
any empathy for Billy?
275
00:13:46,969 --> 00:13:49,305
No. It's because
I agree with you.
276
00:13:49,371 --> 00:13:51,740
It's expensive, risky
and unnecessary.
277
00:13:51,806 --> 00:13:55,076
But empathy can be
an invaluable motivator,
278
00:13:55,143 --> 00:13:58,514
Dr. Murphy, that truly connects
the physician with their patient.
279
00:14:03,518 --> 00:14:05,320
(WHISPERS)
Is he still up there?
280
00:14:05,387 --> 00:14:07,990
♪♪
281
00:14:12,161 --> 00:14:14,229
(WHISPERS) Yes he is.
282
00:14:16,766 --> 00:14:18,700
We can't do the castration,
George.
283
00:14:18,767 --> 00:14:21,403
Not without the proper
psychiatric clearance.
284
00:14:21,469 --> 00:14:22,537
That'll take forever.
285
00:14:22,604 --> 00:14:24,305
Just a few months.
286
00:14:24,373 --> 00:14:25,907
A few months is forever.
287
00:14:25,974 --> 00:14:28,877
Binge watch your favorite shows,
catch up on your reading.
288
00:14:28,944 --> 00:14:30,579
You attracted to men,
Dr. Reznick?
289
00:14:31,647 --> 00:14:34,182
Yes. Adult men.
290
00:14:34,249 --> 00:14:37,385
And if that
were reprehensible,
291
00:14:37,453 --> 00:14:38,788
do you think
you could stop?
292
00:14:41,056 --> 00:14:43,526
You have no idea
what it's like
293
00:14:43,593 --> 00:14:45,328
to live
with these thoughts.
294
00:14:45,961 --> 00:14:48,596
I hate them,
295
00:14:48,664 --> 00:14:50,633
and I hate myself
for having them.
296
00:14:52,801 --> 00:14:54,070
But I can't stop them.
297
00:14:55,503 --> 00:14:58,007
And I'm afraid
of what I could do.
298
00:14:58,074 --> 00:15:00,510
♪♪
299
00:15:02,810 --> 00:15:05,013
We will start the process
immediately.
300
00:15:05,080 --> 00:15:08,616
In the meantime, we'll transfuse
you, get you on antibiotics...
301
00:15:08,684 --> 00:15:11,920
No.
I'm refusing treatment.
302
00:15:11,987 --> 00:15:15,858
No transfusion. No antibiotics.
No repair.
303
00:15:15,925 --> 00:15:17,426
Let 'em rot.
304
00:15:21,063 --> 00:15:22,632
We have something
in common.
305
00:15:25,099 --> 00:15:27,236
Neither of us has
a driver's license.
306
00:15:30,339 --> 00:15:33,475
How do you feel about
not having a driver's license?
307
00:15:35,243 --> 00:15:37,180
I'm pissed, Shaun.
308
00:15:37,246 --> 00:15:38,948
You feel pissed.
309
00:15:39,013 --> 00:15:40,916
Yes, I feel pissed.
I feel very pissed
310
00:15:40,983 --> 00:15:43,585
because something important
was taken away from me.
311
00:15:43,652 --> 00:15:45,120
And by a friend.
312
00:15:45,186 --> 00:15:47,190
You feel very pissed
313
00:15:47,256 --> 00:15:49,925
because something important
was taken away from you,
314
00:15:49,992 --> 00:15:51,227
and by a friend.
315
00:15:51,294 --> 00:15:53,263
And parroting everything
I say isn't helping.
316
00:15:54,463 --> 00:15:57,599
I'm finding commonality,
Dr. Glassman,
317
00:15:57,666 --> 00:16:00,302
and inquiring
about your emotional state,
318
00:16:00,369 --> 00:16:03,371
and actively listening
by restating your responses.
319
00:16:03,439 --> 00:16:07,209
"External corroboration enhances
our sense of self-worth."
320
00:16:08,444 --> 00:16:10,479
Okay.
321
00:16:10,546 --> 00:16:12,647
The day after I got
my driver's license,
322
00:16:12,714 --> 00:16:14,349
you want to know
what I did?
323
00:16:14,416 --> 00:16:19,154
I went out and bought a 1963
Galaxie, Midnight Blue. 1,255 bucks,
324
00:16:19,220 --> 00:16:24,060
every penny I earned for the past
three years working in a gas station.
325
00:16:24,127 --> 00:16:25,527
How do you think
that made me feel?
326
00:16:26,461 --> 00:16:27,695
You liked it?
327
00:16:27,762 --> 00:16:29,965
No, Shaun.
I loved it.
328
00:16:30,031 --> 00:16:31,501
You want to know why?
329
00:16:31,566 --> 00:16:34,603
Because a car to a 16-year-old
kid means independence,
330
00:16:34,670 --> 00:16:36,505
which means he can go
wherever he wants
331
00:16:36,571 --> 00:16:38,340
whenever he wants.
332
00:16:38,406 --> 00:16:41,243
And that doesn't change
with age, Shaun,
333
00:16:43,045 --> 00:16:44,479
in fact,
it means even more.
334
00:16:48,249 --> 00:16:50,619
When you took my license,
that's what you took from me.
335
00:16:53,855 --> 00:16:55,256
I don't expect you
to understand.
336
00:16:55,324 --> 00:16:56,758
So you don't have
to pretend.
337
00:17:07,804 --> 00:17:10,205
Hey.
Is Andrews stalking you?
338
00:17:10,271 --> 00:17:11,573
- Yeah.
- It's annoying.
339
00:17:11,640 --> 00:17:13,575
We need to stand together
and tell him to back off.
340
00:17:13,642 --> 00:17:14,744
(LAUGHS)
341
00:17:14,811 --> 00:17:16,545
I'm not telling the president
he's annoying.
342
00:17:16,612 --> 00:17:18,279
He's infringing
on our autonomy
343
00:17:18,346 --> 00:17:20,215
and inhibiting
the free flow of ideas,
344
00:17:20,282 --> 00:17:21,750
both of which affect
our ability
345
00:17:21,816 --> 00:17:23,620
to deliver
the best patient care.
346
00:17:25,554 --> 00:17:28,024
That sounds
slightly better.
347
00:17:28,090 --> 00:17:29,792
Okay. I'm in.
348
00:17:34,462 --> 00:17:36,832
- Are you?
- No. Of course not.
349
00:17:36,899 --> 00:17:39,735
The last thing I'm gonna do right now
is confront him. I'm the front-runner.
350
00:17:39,802 --> 00:17:42,036
Not according to Vegas.
I'm 3 to 2.
351
00:17:42,103 --> 00:17:44,207
(LAUGHS)
352
00:17:44,273 --> 00:17:46,776
Guess they don't know that you
have double my mortality rate.
353
00:17:49,111 --> 00:17:50,412
I'm a trauma surgeon,
354
00:17:50,479 --> 00:17:52,448
you're comparing apples
to asshats.
355
00:17:53,748 --> 00:17:55,651
I resent
being called an apple.
356
00:17:57,620 --> 00:17:59,721
The diaphragm repair
went very well.
357
00:17:59,787 --> 00:18:02,091
And we've scheduled
your orbital fracture repair.
358
00:18:02,158 --> 00:18:05,327
We'll get you some stronger
pain meds for the recovery.
359
00:18:05,393 --> 00:18:07,261
When are you gonna
fix my forehead,
360
00:18:07,328 --> 00:18:08,664
make me all John Legend?
361
00:18:11,333 --> 00:18:14,103
I tried, Billy.
I'm sorry.
362
00:18:15,638 --> 00:18:17,407
I wasn't really getting
my hopes up anyway.
363
00:18:18,606 --> 00:18:19,774
My dad taught me that.
364
00:18:19,842 --> 00:18:22,044
He'd say,
"You know what, Billy?"
365
00:18:22,111 --> 00:18:24,680
And he'd just punch me
in the face.
366
00:18:24,747 --> 00:18:27,248
At least, I think that was the
lesson he was trying to impart.
367
00:18:27,315 --> 00:18:28,851
That's what happened
to your forehead?
368
00:18:32,286 --> 00:18:34,123
He was a big A's fan.
369
00:18:34,190 --> 00:18:36,225
Watched every game
with a bat in his hand.
370
00:18:38,160 --> 00:18:41,162
August 14th, 2008,
371
00:18:41,229 --> 00:18:43,464
they lost
in the 12th inning...
372
00:18:43,532 --> 00:18:46,069
♪♪
373
00:19:01,984 --> 00:19:04,386
(GEORGE GROANS)
374
00:19:04,452 --> 00:19:05,820
Infection's setting in,
but his testicles
375
00:19:05,888 --> 00:19:07,723
still show good flow
on the Doppler.
376
00:19:07,789 --> 00:19:09,190
- Pain meds?
- He won't take them.
377
00:19:09,257 --> 00:19:11,494
Thinks they'll knock him out and
we'll step in and repair them.
378
00:19:11,559 --> 00:19:13,128
(GROANING)
379
00:19:13,196 --> 00:19:15,130
I hate this.
380
00:19:15,197 --> 00:19:16,599
Me too.
381
00:19:16,664 --> 00:19:18,366
(GROANING)
382
00:19:24,040 --> 00:19:27,544
I'm going to be
a good driver.
383
00:19:27,610 --> 00:19:30,679
I got every answer correct
on the written test.
384
00:19:30,746 --> 00:19:33,882
Except one, but that was because
it was improperly worded.
385
00:19:33,949 --> 00:19:37,053
I told the DMV
they need to rewrite it
386
00:19:37,120 --> 00:19:40,523
and they said they'd
take it under advisement.
387
00:19:40,590 --> 00:19:41,858
Great.
388
00:19:41,923 --> 00:19:43,292
Let's go.
389
00:19:43,959 --> 00:19:46,429
♪♪
390
00:19:51,434 --> 00:19:53,736
Okay,
let's close our eyes
391
00:19:53,803 --> 00:19:57,407
and take
some nice, deep breaths...
392
00:19:57,474 --> 00:20:01,511
(BREATHES DEEPLY)
393
00:20:01,576 --> 00:20:04,246
And how about
a little guided imagery
394
00:20:04,313 --> 00:20:08,551
to evoke
positive visualizations?
395
00:20:08,618 --> 00:20:11,588
(BREATHES DEEPLY)
396
00:20:11,655 --> 00:20:12,855
Okay.
397
00:20:12,921 --> 00:20:15,056
Let's picture
the parking lot,
398
00:20:15,123 --> 00:20:17,593
the cars around us,
399
00:20:17,660 --> 00:20:20,595
the yellow steel thingy at the
entrance of the parking lot
400
00:20:20,662 --> 00:20:22,899
that could really do
a lot of damage...
401
00:20:22,966 --> 00:20:24,368
A bollard.
402
00:20:25,968 --> 00:20:31,440
The speed bump that is
15 feet from the corner
403
00:20:31,506 --> 00:20:35,544
with the stop sign that someone
put a "Hate" sticker on
404
00:20:35,611 --> 00:20:37,846
so it says "Stop Hate,"
405
00:20:37,913 --> 00:20:40,549
which is right in front
of the Jiff-E Mart,
406
00:20:40,615 --> 00:20:43,419
which says it's open
"8 til Late, 24/7,"
407
00:20:43,486 --> 00:20:45,789
- which can't be true beca...
- That's great, Shaun.
408
00:20:45,854 --> 00:20:47,623
Super amount
of visualization.
409
00:20:47,690 --> 00:20:51,560
And now that we're feeling
comfortable about our surroundings,
410
00:20:51,627 --> 00:20:53,463
we can put the car
into drive,
411
00:20:54,496 --> 00:20:56,733
ease our foot
off the brake...
412
00:20:57,700 --> 00:20:59,067
Very nice...
413
00:20:59,134 --> 00:21:01,036
We can open our eyes now,
Shaun.
414
00:21:01,103 --> 00:21:02,638
What we're doing is cruel.
415
00:21:02,705 --> 00:21:04,741
I'm open to all options,
Dr. Browne.
416
00:21:13,582 --> 00:21:15,784
I'm gonna have to ask you
to give us some privacy.
417
00:21:15,851 --> 00:21:17,486
Really?
418
00:21:17,553 --> 00:21:20,590
You want to throw the president of the
hospital out of a medical discussion?
419
00:21:23,860 --> 00:21:25,661
You're infringing
on my autonomy
420
00:21:25,727 --> 00:21:27,462
and inhibiting
the free flow of ideas,
421
00:21:27,530 --> 00:21:28,899
both of which affect
my ability
422
00:21:28,965 --> 00:21:30,367
to deliver
the best patient care.
423
00:21:40,576 --> 00:21:42,211
Dr. Melendez.
424
00:21:43,345 --> 00:21:44,980
(DOOR OPENS)
425
00:21:45,047 --> 00:21:47,983
♪♪
426
00:21:48,051 --> 00:21:49,686
SHAUN:
There are many drivers
427
00:21:49,753 --> 00:21:52,022
not following
the rules of the road.
428
00:21:52,089 --> 00:21:57,260
They fail to signal,
check their blind spots,
429
00:21:57,326 --> 00:22:00,529
display a red flag
when the load extends
430
00:22:00,596 --> 00:22:02,998
more than four feet
past the tail lamp.
431
00:22:03,065 --> 00:22:05,267
You're right, Shaun,
it's a mad world.
432
00:22:05,334 --> 00:22:06,936
But there's nothing
you can do about them,
433
00:22:07,003 --> 00:22:08,303
you just got
to focus on you.
434
00:22:08,371 --> 00:22:10,206
Yes, let's focus on me.
435
00:22:10,273 --> 00:22:11,875
Yes.
436
00:22:11,941 --> 00:22:14,176
Let's take
the next right.
437
00:22:17,880 --> 00:22:19,814
You can drive
in the bike lane
438
00:22:19,881 --> 00:22:21,516
when you're this close
to the turn, Shaun.
439
00:22:21,583 --> 00:22:23,284
No, I can't.
440
00:22:23,351 --> 00:22:24,553
It's a broken line.
441
00:22:24,620 --> 00:22:26,956
That was the improperly
worded question,
442
00:22:27,023 --> 00:22:28,891
whether it's broken
or solid,
443
00:22:28,957 --> 00:22:30,493
you can't enter
the bike lane
444
00:22:30,560 --> 00:22:32,662
this distance
from the intersection.
445
00:22:32,728 --> 00:22:34,663
I told them
that it...
446
00:22:39,201 --> 00:22:41,505
Okay, Shaun. You don't
have to go so slow.
447
00:22:42,805 --> 00:22:44,540
(HORN HONKS)
448
00:22:44,607 --> 00:22:47,510
She's in the lane, she's not
supposed to be in the lane.
449
00:22:47,576 --> 00:22:49,778
It's a violation
carrying a fine...
450
00:22:49,845 --> 00:22:51,880
Okay, Shaun, don't worry
about what she's doing...
451
00:22:51,948 --> 00:22:54,717
- No.
- Shaun, you have to pull into the bike lane...
452
00:22:54,784 --> 00:22:55,985
Don't worry
about what she's doing...
453
00:22:56,052 --> 00:22:58,053
(TIRES SCREECH, HORN HONKS)
454
00:22:58,120 --> 00:22:59,188
You can't just stop.
455
00:22:59,255 --> 00:23:00,590
Shaun,
you can't just stop...
456
00:23:00,657 --> 00:23:02,025
(HORNS HONKING,
CHILDREN SHOUTING PLAYFULLY)
457
00:23:02,092 --> 00:23:03,693
Shaun!
458
00:23:07,295 --> 00:23:09,032
George is screaming
in agony
459
00:23:09,099 --> 00:23:12,235
and we are doing nothing except
hiding behind ethical red tape.
460
00:23:12,301 --> 00:23:14,570
Ethical red tape is there
to protect people like him
461
00:23:14,637 --> 00:23:16,938
from making permanent
regrettable mistakes.
462
00:23:17,005 --> 00:23:18,707
I'm glad we're not using it
to cover our asses
463
00:23:18,775 --> 00:23:20,544
the day before the new
Chief of Surgery is announced.
464
00:23:23,246 --> 00:23:24,480
(SIGHS)
465
00:23:25,680 --> 00:23:27,650
Let me sign off
on the documentation.
466
00:23:28,851 --> 00:23:31,888
I'll note his scrotum
is already beyond repair
467
00:23:31,955 --> 00:23:34,491
and surgical castration
is our only option.
468
00:23:35,524 --> 00:23:36,993
- I vote yes.
- No.
469
00:23:37,059 --> 00:23:39,595
I'm not gonna let anyone
falsify medical records.
470
00:23:39,661 --> 00:23:42,297
Not for pain.
Not for a pedophile.
471
00:23:42,364 --> 00:23:44,733
Once his testes
are actually beyond repair,
472
00:23:44,800 --> 00:23:46,269
we will castrate him.
473
00:23:47,437 --> 00:23:48,803
So we're just gonna
leave him there screaming,
474
00:23:48,871 --> 00:23:50,506
keeping his entire unit
awake?
475
00:23:51,640 --> 00:23:53,008
Move him.
476
00:24:00,815 --> 00:24:04,386
DR. LIM: I'd like a clean dissection
through the periosteal planes
477
00:24:04,454 --> 00:24:06,856
so I can slip the MEDPOR mesh
over the fracture.
478
00:24:06,922 --> 00:24:09,257
Why do I prefer
MEDPOR mesh?
479
00:24:09,324 --> 00:24:11,494
It allows
fibrovascular ingrowth
480
00:24:11,561 --> 00:24:13,463
and integration
of the patient's tissue.
481
00:24:15,764 --> 00:24:17,167
Prisoner surgeries
are approved
482
00:24:17,233 --> 00:24:19,169
for psychological reasons
all the time.
483
00:24:19,235 --> 00:24:20,402
Tattoo removal,
484
00:24:20,469 --> 00:24:22,704
gender reassignments
include breast implants.
485
00:24:22,772 --> 00:24:25,640
Hell, if he had a crappy smile we
could justify dental work as needed
486
00:24:25,707 --> 00:24:27,409
for proper mastication.
487
00:24:27,476 --> 00:24:29,012
You sent a few kids
to juvie?
488
00:24:30,913 --> 00:24:32,047
More than a few.
489
00:24:33,882 --> 00:24:35,817
You feel guilty.
490
00:24:35,884 --> 00:24:37,853
Think that's maybe clouding
your judgment?
491
00:24:39,188 --> 00:24:40,489
Maybe.
492
00:24:43,258 --> 00:24:46,861
You're afraid of ruffling Andrews'
feathers this close to decision day.
493
00:24:46,928 --> 00:24:48,364
Think that's maybe
clouding yours?
494
00:24:49,497 --> 00:24:52,034
We could give Billy
a breast implant.
495
00:24:54,803 --> 00:24:58,908
We could insert it over his split
thickness frontal bone defect.
496
00:24:58,974 --> 00:25:02,511
It would only require a tiny
incision at his eyebrow.
497
00:25:02,578 --> 00:25:04,280
Now you're in favor
of this?
498
00:25:04,346 --> 00:25:08,550
I was against it because it was too
expensive and unnecessary and risky,
499
00:25:08,618 --> 00:25:10,153
but if we do it now,
500
00:25:10,218 --> 00:25:12,487
it won't require
any additional surgery,
501
00:25:12,554 --> 00:25:14,457
and it'd be
very economical.
502
00:25:14,524 --> 00:25:17,260
He did give us verbal consent
when he was first admitted.
503
00:25:21,531 --> 00:25:22,765
Keep him under.
504
00:25:24,233 --> 00:25:25,935
Get what we need,
Dr. Murphy.
505
00:25:26,002 --> 00:25:28,037
♪♪
506
00:25:28,103 --> 00:25:31,073
(GEORGE SCREAMING, GROANING)
507
00:25:31,774 --> 00:25:34,010
♪♪
508
00:25:38,313 --> 00:25:39,381
(GROANING STOPS)
509
00:25:39,448 --> 00:25:41,350
Ready or not...
510
00:25:41,417 --> 00:25:43,086
Tell Melendez to meet us
in the OR.
511
00:25:48,007 --> 00:25:50,142
CLAIRE: Showing signs
of ischemia,
512
00:25:50,209 --> 00:25:52,111
we have a strong medical case
for removing.
513
00:25:55,247 --> 00:25:56,850
Dr. Lim.
You a castration fan?
514
00:25:56,916 --> 00:25:58,251
Right now, I am.
515
00:25:58,318 --> 00:26:00,654
- Andrews told me he's backing off.
- Great.
516
00:26:00,719 --> 00:26:02,988
Because you presented him
with a very good argument.
517
00:26:03,055 --> 00:26:05,191
My argument.
Which you regurgitated to him
518
00:26:05,257 --> 00:26:08,494
right after you said you wouldn't
back me up. Call that leadership?
519
00:26:08,561 --> 00:26:09,728
Yes, I do.
520
00:26:09,795 --> 00:26:11,797
You presented me
with a very good argument,
521
00:26:11,865 --> 00:26:14,567
but you didn't have the guts to
take it to Andrews on your own.
522
00:26:14,634 --> 00:26:16,736
One more reason I don't
want to work under you.
523
00:26:16,802 --> 00:26:19,504
You don't want this promotion so
that you can improve the hospital.
524
00:26:19,571 --> 00:26:21,474
You want it
for the pretty title.
525
00:26:21,541 --> 00:26:24,144
You're an adrenaline junky. You won't last
two weeks liaising with board members.
526
00:26:25,278 --> 00:26:27,213
There's a long
and dusty trail
527
00:26:27,280 --> 00:26:29,449
littered with people
who have underestimated me.
528
00:26:33,052 --> 00:26:34,487
JL: We're ready to go.
529
00:26:36,490 --> 00:26:38,091
Curved tissue scissors,
please.
530
00:26:39,658 --> 00:26:41,061
(MONITORS BEEPING RAPIDLY)
531
00:26:41,128 --> 00:26:43,931
DR. REZNICK: His systolic is 68.
And look at this.
532
00:26:46,867 --> 00:26:48,935
- He's septic.
- He's going into D.I.C.
533
00:26:49,002 --> 00:26:50,736
Rerun his labs.
534
00:26:50,803 --> 00:26:52,604
Have platelets, plasma
and cryo ready.
535
00:26:52,671 --> 00:26:54,440
If he starts bleeding,
he'll die.
536
00:26:58,712 --> 00:27:01,782
I reduced the volume
from 80 cc's to 35.
537
00:27:02,616 --> 00:27:04,651
♪♪
538
00:27:13,994 --> 00:27:16,263
Have the odds changed
in the last 24 hours?
539
00:27:16,329 --> 00:27:17,763
- Little.
- Where am I at?
540
00:27:17,830 --> 00:27:19,166
6 to 1.
541
00:27:21,100 --> 00:27:22,369
I'll put $100 on me.
542
00:27:23,535 --> 00:27:25,804
(MONITORS BEEPING RAPIDLY)
543
00:27:25,871 --> 00:27:27,473
He's becoming
severely bradycardic.
544
00:27:27,540 --> 00:27:31,411
The pressure on his orbit
caused a retrobulbar hematoma.
545
00:27:31,477 --> 00:27:34,313
DR. LIM: If we don't relieve it now,
he'll arrest. Forceps and scissors.
546
00:27:34,379 --> 00:27:36,582
Just lost his pulse,
pushing atropine.
547
00:27:36,649 --> 00:27:38,650
Set up a temporary
transcutaneous pacemaker.
548
00:27:38,717 --> 00:27:40,586
If we inject the orbital
muscle with local anesthetic
549
00:27:40,653 --> 00:27:42,222
we might be able
to fatigue the reflex.
550
00:27:42,289 --> 00:27:43,290
Do it.
551
00:27:43,923 --> 00:27:46,259
(FLATLINE)
552
00:27:46,326 --> 00:27:47,728
Starting CPR.
553
00:27:51,531 --> 00:27:54,133
I hope
that's a look of resolve.
554
00:27:54,199 --> 00:27:58,170
Melendez stood up to me
in front of his residents.
555
00:27:58,237 --> 00:28:00,873
I did the same thing to
O'Connell when I was his age.
556
00:28:02,073 --> 00:28:03,609
What about Lim?
557
00:28:03,676 --> 00:28:06,045
She has the kind of focus
that took me years to develop.
558
00:28:07,513 --> 00:28:10,817
And Cooperberg, he reminds
me of me when I was...
559
00:28:10,884 --> 00:28:13,653
Marcus. You were good.
560
00:28:13,719 --> 00:28:15,888
But no one's gonna be as good
as you think you were.
561
00:28:18,023 --> 00:28:21,427
One of your weaknesses
was decision-making.
562
00:28:21,494 --> 00:28:23,797
I trust you've gotten past that
since I made you president.
563
00:28:28,635 --> 00:28:30,403
♪♪
564
00:28:30,469 --> 00:28:34,039
DR. LIM: Continuing compressions until
I have capture on the pacemaker.
565
00:28:34,107 --> 00:28:36,542
Pacing pads
are in position.
566
00:28:38,711 --> 00:28:39,746
Stopping CPR.
567
00:28:41,080 --> 00:28:42,416
Injecting lidocaine.
568
00:28:43,449 --> 00:28:45,584
I have set the rate
to 80.
569
00:28:45,651 --> 00:28:47,486
(FLATLINE CONTINUES)
570
00:28:47,553 --> 00:28:49,921
DR. LIM: Increase the
ventricular by two milliamps.
571
00:28:49,988 --> 00:28:51,523
(BEEPS)
572
00:28:51,590 --> 00:28:54,394
♪♪
573
00:28:54,459 --> 00:28:56,896
Increase by two more.
574
00:28:56,964 --> 00:28:58,865
- (BEEPS)
- (FLATLINE CONTINUES)
575
00:28:58,932 --> 00:29:01,201
♪♪
576
00:29:06,106 --> 00:29:08,108
(MONITOR BEEPING)
577
00:29:08,175 --> 00:29:11,979
Blood pressure is
responding, 102 over 68.
578
00:29:13,012 --> 00:29:14,179
DR. LIM:
Keep those pacer settings
579
00:29:14,246 --> 00:29:15,648
and let's get back
to the main event.
580
00:29:20,419 --> 00:29:23,188
DR. REZNICK: Both his PT and
PTT are coming back down,
581
00:29:23,255 --> 00:29:27,025
his systolic is stable at 110,
and no ectopy on the monitor.
582
00:29:27,092 --> 00:29:29,562
His D.I.C. score is back
under four. He's stabilized.
583
00:29:33,131 --> 00:29:34,200
Ball's in your court.
584
00:29:37,936 --> 00:29:40,240
Dr. Melendez?
585
00:29:40,305 --> 00:29:43,676
Effects of low testosterone on
cardiovascular function and sepsis?
586
00:29:43,743 --> 00:29:46,279
CLAIRE: Possible acute
vascular response,
587
00:29:46,346 --> 00:29:47,747
circulatory collapse...
588
00:29:47,813 --> 00:29:49,415
And what about
on D.I.C.?
589
00:29:49,482 --> 00:29:51,118
DR. REZNICK: Increased risk
of clots and stroke.
590
00:29:54,353 --> 00:29:55,587
George's body
can't tolerate
591
00:29:55,655 --> 00:29:58,358
any loss of testosterone
right now.
592
00:29:58,425 --> 00:30:01,661
We want to save his life,
we have to save his testicles.
593
00:30:04,296 --> 00:30:05,631
Sutures.
594
00:30:07,065 --> 00:30:08,434
(SIGHS)
595
00:30:13,923 --> 00:30:15,292
I know
how to get you to drive.
596
00:30:16,192 --> 00:30:17,327
I can't drive.
597
00:30:17,394 --> 00:30:19,796
Driving
is just like surgery.
598
00:30:19,863 --> 00:30:21,798
Say you're driving
down the street
599
00:30:21,865 --> 00:30:24,401
and suddenly, somebody
steps off the sidewalk,
600
00:30:24,467 --> 00:30:25,701
right in front of you.
601
00:30:25,769 --> 00:30:27,003
Things like that
must happen
602
00:30:27,069 --> 00:30:28,571
when you're deep inside
someone's belly.
603
00:30:28,638 --> 00:30:30,807
That doesn't make
any sense.
604
00:30:30,875 --> 00:30:33,678
It's an analogy, Shaun. I need you
to work with me just a little bit.
605
00:30:34,243 --> 00:30:35,346
Give me.
606
00:30:39,517 --> 00:30:40,718
Okay.
607
00:30:45,955 --> 00:30:48,324
It would be
something unexpected,
608
00:30:48,391 --> 00:30:50,494
out of our control,
609
00:30:50,559 --> 00:30:53,563
from an aberrant source,
and very bad.
610
00:30:54,699 --> 00:30:59,036
It would be analogous
to an arterial bleed.
611
00:30:59,103 --> 00:31:03,140
How about if a truck stalls
out, crippling traffic?
612
00:31:03,205 --> 00:31:07,343
A thrombus impeding blood
flow, so we divert.
613
00:31:07,411 --> 00:31:09,212
A thrombus, exactly.
614
00:31:09,279 --> 00:31:11,147
What if you're just
cruising along
615
00:31:11,214 --> 00:31:14,016
and a car comes out of nowhere
and goes racing by?
616
00:31:14,084 --> 00:31:15,786
A tachyarrhythmia.
617
00:31:15,853 --> 00:31:18,855
- Yes! Shaun, you got this.
- Yes.
618
00:31:18,922 --> 00:31:20,658
So let's get you driving
that hooptie.
619
00:31:20,723 --> 00:31:22,393
(CHUCKLES)
620
00:31:25,195 --> 00:31:26,763
I've got this, Albert.
621
00:31:34,704 --> 00:31:37,073
♪♪
622
00:31:40,477 --> 00:31:41,979
We did the surgery.
623
00:31:42,046 --> 00:31:44,481
Your circulatory and clotting
systems were shutting down.
624
00:31:45,915 --> 00:31:48,885
But removing your testicles
would have put you
625
00:31:48,952 --> 00:31:50,554
at greater risk
by reducing your...
626
00:31:50,619 --> 00:31:52,122
You would have died.
627
00:31:54,258 --> 00:31:56,660
♪♪
628
00:31:56,726 --> 00:32:00,798
I've set you up with a
psychiatrist and a urologist.
629
00:32:00,865 --> 00:32:02,799
They'll screen you,
get you cleared,
630
00:32:02,865 --> 00:32:05,335
and then we can do this
the right way.
631
00:32:05,402 --> 00:32:07,038
George,
we can get this done.
632
00:32:08,204 --> 00:32:12,208
You just cannot
try this again.
633
00:32:14,277 --> 00:32:16,246
I get it.
634
00:32:16,313 --> 00:32:18,949
I do it your way,
or it just doesn't happen.
635
00:32:20,584 --> 00:32:22,887
♪♪
636
00:32:37,800 --> 00:32:39,836
It's just another
intersection, Shaun,
637
00:32:39,903 --> 00:32:43,173
just like the last one
and just like the next one...
638
00:32:43,240 --> 00:32:47,944
The last intersection isn't where everyone
honked at me and made me freeze...
639
00:32:48,010 --> 00:32:51,248
That was a different day,
with different drivers
640
00:32:51,315 --> 00:32:53,216
and a different Shaun
behind the wheel,
641
00:32:53,282 --> 00:32:56,086
because today,
this Shaun has a plan
642
00:32:56,153 --> 00:32:58,322
for this intersection,
which is...
643
00:32:59,390 --> 00:33:02,292
...I am going
to dissect it.
644
00:33:02,358 --> 00:33:03,559
Damn right you are.
645
00:33:03,626 --> 00:33:06,028
And today,
you're gonna turn right
646
00:33:06,096 --> 00:33:07,230
which you will do by...
647
00:33:07,297 --> 00:33:08,932
Determining laterality.
648
00:33:08,999 --> 00:33:11,802
And waiting until I can
legally enter the bike lane.
649
00:33:13,036 --> 00:33:15,306
♪♪
650
00:33:22,645 --> 00:33:25,215
Somebody just made
a turn...
651
00:33:33,223 --> 00:33:34,457
Shaun!
652
00:33:34,525 --> 00:33:36,826
(TIRES SCREECH)
653
00:33:38,028 --> 00:33:40,297
(HORN BLARES)
654
00:33:40,364 --> 00:33:41,832
MAN: Everybody okay?
655
00:33:43,066 --> 00:33:45,201
You were wrong.
656
00:33:46,569 --> 00:33:49,240
You were wrong, Lea.
I can't drive.
657
00:33:51,407 --> 00:33:53,009
Shaun, I thought
I had it figured out.
658
00:33:53,076 --> 00:33:54,345
I can't drive.
659
00:33:54,411 --> 00:33:56,013
I...
660
00:33:56,078 --> 00:33:57,913
Surgery is mechanical.
661
00:33:57,980 --> 00:33:59,316
Mechanics are predictable.
662
00:33:59,383 --> 00:34:01,519
Driving is subject
to human foibles
663
00:34:01,585 --> 00:34:03,653
which means there are
limitless possibilities.
664
00:34:03,721 --> 00:34:05,155
You're right.
My metaphor sucked.
665
00:34:05,221 --> 00:34:06,856
It sucked very much.
666
00:34:08,425 --> 00:34:10,693
Because...
667
00:34:10,760 --> 00:34:14,398
Becoming a surgeon is about
way more than operating.
668
00:34:16,766 --> 00:34:18,534
You had to learn
about interacting
669
00:34:18,601 --> 00:34:22,639
with teachers,
co-workers, patients, bosses.
670
00:34:22,706 --> 00:34:25,041
Cooperating with them,
communicating with them...
671
00:34:25,108 --> 00:34:27,010
I am very bad
at communicating.
672
00:34:28,211 --> 00:34:30,713
Shaun,
you became a surgeon,
673
00:34:30,780 --> 00:34:35,352
one of the hardest things
that anyone can do.
674
00:34:35,418 --> 00:34:38,187
And you proved that just
because something is hard,
675
00:34:38,255 --> 00:34:39,590
doesn't mean
you can't do it.
676
00:34:40,423 --> 00:34:41,992
And look what you just did.
677
00:34:42,059 --> 00:34:43,894
I just hit a trash can.
678
00:34:43,960 --> 00:34:47,564
Exactly, a trash can instead of
an oncoming car or a pedestrian.
679
00:34:48,764 --> 00:34:50,000
You did great, Shaun.
680
00:34:53,436 --> 00:34:54,939
(SIGHS)
681
00:34:56,739 --> 00:35:01,144
That soccer ball was
a dropped Metzenbaum.
682
00:35:02,411 --> 00:35:04,614
I know, right?
683
00:35:10,753 --> 00:35:15,092
When I accidentally drop
an instrument in the OR,
684
00:35:15,159 --> 00:35:17,294
I react quickly
to minimize damage.
685
00:35:18,262 --> 00:35:20,497
- Yes.
- Yes.
686
00:35:20,563 --> 00:35:22,165
I dropped a Metzenbaum.
687
00:35:22,798 --> 00:35:25,168
♪♪
688
00:35:27,336 --> 00:35:29,706
I can drive this hooptie.
689
00:35:29,773 --> 00:35:32,643
♪♪
690
00:35:35,813 --> 00:35:37,347
DR. PARK:
Window's about to close.
691
00:35:37,414 --> 00:35:38,815
$10 will get you $20
on Melendez,
692
00:35:38,882 --> 00:35:41,117
$10 will get you $1,000
if you want to bet on me.
693
00:35:43,519 --> 00:35:44,688
Hey, everybody.
694
00:35:46,588 --> 00:35:48,625
I can't be prouder
of all of you.
695
00:35:48,692 --> 00:35:51,394
We have grown into a preeminent
surgical department,
696
00:35:51,460 --> 00:35:54,063
which has been recognized
with the official designation
697
00:35:54,130 --> 00:35:56,399
of Surgical Center
of Excellence.
698
00:35:56,465 --> 00:35:58,835
(APPLAUSE)
699
00:36:00,003 --> 00:36:01,538
It's now more important
than ever
700
00:36:01,605 --> 00:36:04,074
that we maintain
our high standards.
701
00:36:04,139 --> 00:36:06,175
And so, while there are
many worthy candidates,
702
00:36:07,143 --> 00:36:08,511
I've decided...
703
00:36:11,315 --> 00:36:13,450
...to retain the title myself.
704
00:36:13,516 --> 00:36:15,118
Thank you.
705
00:36:15,184 --> 00:36:17,186
(APPLAUSE)
706
00:36:18,322 --> 00:36:19,655
Thank you!
707
00:36:19,722 --> 00:36:21,456
♪♪
708
00:36:21,523 --> 00:36:22,726
Yes!
709
00:36:23,760 --> 00:36:25,229
(DR. PARK LAUGHS)
710
00:36:25,295 --> 00:36:26,763
(CHUCKLES)
711
00:36:27,563 --> 00:36:29,832
(INDISTINCT CONVERSATIONS)
712
00:36:29,900 --> 00:36:32,302
♪♪
713
00:36:38,507 --> 00:36:40,042
(GASPS) Y...
714
00:36:40,110 --> 00:36:41,278
(SIGHS)
715
00:36:41,344 --> 00:36:43,313
You... You did it.
You...
716
00:36:44,715 --> 00:36:45,916
You really did it.
717
00:36:48,050 --> 00:36:50,054
(BREATHES SHAKILY)
718
00:36:52,722 --> 00:36:54,258
DR. PARK: It was his idea.
719
00:36:56,126 --> 00:36:57,493
Murph? You...
720
00:36:57,559 --> 00:37:01,731
We inserted a small breast implant
to fill in the depression
721
00:37:01,798 --> 00:37:04,701
and create a more aesthetically
pleasing contour.
722
00:37:04,768 --> 00:37:06,302
(CHUCKLING)
Breast implant?
723
00:37:06,369 --> 00:37:07,605
Yes.
724
00:37:08,672 --> 00:37:10,273
(BREATHES DEEPLY)
725
00:37:11,541 --> 00:37:13,143
You saved my life.
726
00:37:13,210 --> 00:37:15,244
♪♪
727
00:37:18,748 --> 00:37:20,916
It was a mistake.
728
00:37:20,983 --> 00:37:24,253
It caused an oculocardiac
reflex and you almost died.
729
00:37:28,291 --> 00:37:29,893
It was a mistake.
730
00:37:36,900 --> 00:37:38,168
George?
731
00:37:39,969 --> 00:37:41,270
George?
732
00:37:46,143 --> 00:37:47,943
Why didn't his
monitor alarm go off?
733
00:37:48,010 --> 00:37:50,413
He was stable, I disconnected it
so he could use the restroom.
734
00:37:50,480 --> 00:37:52,148
- I didn't...
- Morgan! He's gone!
735
00:37:52,916 --> 00:37:55,352
♪♪
736
00:38:03,326 --> 00:38:04,594
George!
737
00:38:05,762 --> 00:38:08,097
♪♪
738
00:38:12,034 --> 00:38:13,402
(BOTH SCREAM)
739
00:38:13,469 --> 00:38:16,739
♪♪
740
00:38:24,014 --> 00:38:26,684
♪♪
741
00:38:41,632 --> 00:38:43,666
I was never gonna
confront Andrews.
742
00:38:45,068 --> 00:38:47,537
I was playing you.
743
00:38:47,603 --> 00:38:50,439
But damn if you didn't
actually make it work.
744
00:38:50,507 --> 00:38:52,142
It didn't work
for anybody.
745
00:38:52,208 --> 00:38:54,643
He played us both.
He set us against each other.
746
00:38:54,710 --> 00:38:56,212
(SIGHS)
747
00:38:59,648 --> 00:39:00,983
I think you were right.
748
00:39:02,619 --> 00:39:04,387
Even if you were
just bluffing,
749
00:39:06,489 --> 00:39:07,791
we need to stand together.
750
00:39:09,693 --> 00:39:11,895
Where was that wisdom
two days ago?
751
00:39:15,731 --> 00:39:17,300
Still in the bottle.
752
00:39:17,367 --> 00:39:19,369
(SCOFFS)
753
00:39:19,436 --> 00:39:21,572
♪♪
754
00:39:23,873 --> 00:39:25,342
Hey. How'd you come up
with that idea?
755
00:39:25,407 --> 00:39:28,277
You mentioned breast implants
and I thought...
756
00:39:28,344 --> 00:39:29,445
Of his forehead.
757
00:39:29,512 --> 00:39:31,148
We were operating
on his eye,
758
00:39:31,213 --> 00:39:32,849
his forehead was covered.
759
00:39:32,916 --> 00:39:34,284
Why were you
thinking of it?
760
00:39:37,420 --> 00:39:38,788
You care about him,
761
00:39:38,855 --> 00:39:40,523
you were worried
about his problem.
762
00:39:41,224 --> 00:39:42,760
You empathized with him.
763
00:39:43,726 --> 00:39:46,396
My idea almost killed him.
764
00:39:46,463 --> 00:39:47,531
No, it didn't.
765
00:39:50,733 --> 00:39:52,368
I found these
in Billy's drawer.
766
00:39:52,434 --> 00:39:54,771
Three days of pain meds.
767
00:39:54,838 --> 00:39:58,142
He was cheeking them
to build up a stash.
768
00:39:59,074 --> 00:40:00,710
He wasn't exaggerating.
769
00:40:03,380 --> 00:40:05,048
You saved his life,
Shaun.
770
00:40:05,715 --> 00:40:08,152
♪♪
771
00:40:11,121 --> 00:40:14,124
(INDISTINCT PA ANNOUNCEMENT)
772
00:40:14,190 --> 00:40:16,793
♪♪
773
00:40:37,947 --> 00:40:39,916
This isn't the way
this should have ended...
774
00:40:46,121 --> 00:40:48,524
But I'm not so sure
the world is a worse place
775
00:40:48,592 --> 00:40:50,327
than it was
a couple hours ago.
776
00:41:01,271 --> 00:41:03,440
LEA: You almost look
comfortable behind the wheel.
777
00:41:03,505 --> 00:41:05,875
SHAUN: This seat has
excellent lumbar support.
778
00:41:05,942 --> 00:41:07,409
But I am still
very nervous.
779
00:41:07,476 --> 00:41:09,077
(HORN HONKS)
780
00:41:09,144 --> 00:41:10,681
(HORN BLARES)
781
00:41:18,255 --> 00:41:19,990
I can drive a car.
782
00:41:20,822 --> 00:41:22,025
I can see that.
783
00:41:22,090 --> 00:41:24,559
Lea taught me
using a very bad analogy.
784
00:41:24,626 --> 00:41:26,395
Nothing works
like a bad analogy.
785
00:41:26,463 --> 00:41:28,598
He's getting
pretty good.
786
00:41:28,664 --> 00:41:30,634
Won't be long
before he gets his operator's.
787
00:41:30,701 --> 00:41:34,304
Your next radiation
appointment is in 45 minutes.
788
00:41:46,715 --> 00:41:47,884
Ow.
789
00:41:53,989 --> 00:41:55,192
(DOOR CLOSES)
790
00:41:57,994 --> 00:41:59,363
(SEAT BELT CLICKS)
791
00:42:00,963 --> 00:42:02,165
Thank you.
792
00:42:03,666 --> 00:42:05,835
♪♪
793
00:42:05,902 --> 00:42:06,936
(ENGINE STARTS)
794
00:42:07,003 --> 00:42:08,237
♪ I'd go the whole wide world
795
00:42:08,304 --> 00:42:11,139
♪ I'd go the whole wide world
just to find her
796
00:42:11,206 --> 00:42:12,509
(TIRES SQUEAL)
797
00:42:12,576 --> 00:42:14,277
♪ I'd go the whole wide world
798
00:42:14,344 --> 00:42:16,079
♪ I'd go the whole wide world
799
00:42:16,144 --> 00:42:18,414
♪ To find out
where they hide her ♪
800
00:42:21,083 --> 00:42:23,085
♪♪
57874
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