All language subtitles for The.Good.Doctor.S06E14.WEBRip.x264.Hi

Ohh.

Sorry.

Did I wake you?

Yes.

[sighs] The baby's
pressing on my bladder,

so I have to pee approximately
78 times every night.

We can talk about baby names
since we are both awake.

I keep coming back
to one name, Kelly.

It reminds me of a Kelly clamp,

and I will think about
grasping onto tissue or vessels

every time I'm holding our son.

What about Addison?

Addison Murphy.

Addison is the
name of a disease.

I'll worry our son is not
producing enough cortisol

or aldosterone.

You can go back to sleep.

I have to go pee again anyway.

Morning!

Pancakes, anyone?

They are not just
ordinary pancakes.

They are Dutch baby pancakes.

Also known as
Bismarcks, Dutch puffs,

and even Hootenannies.

- I looked it up.
- That is correct.

They are baked in
an oven, not fried.

I was up very early.

Oh, sorry if my frequent
bathroom trips kept you up.

Oh, don't be silly.
You're making a human.

Thank you.

So, Kelly and Addison are out.

I don't disagree.

How about Munchausen?

Shaun.

- Or Parkinson?
- Oh. Ohh.

Our bedroom conversations
are meant to be private.

All of them?

Well, it's not like you
were talking about...

Never mind.

Let's eat.

A friend on the San Jose
school board reached out.

They're looking for someone to
give a series of online talks

to high schoolers about
careers in medicine,

specifically to
young women of color.

That's great.

I thought you'd be perfect.

Oh.

That wasn't the reaction
I was expecting.

Maybe Dr. Tooks can do it.

Tooks is a mom.

These high school kids
don't see themselves in her.

There's gotta be someone else.

There isn't, which
is the whole point.

Only 2% of surgeons
in the U.S. are Black.

Don't be afraid to step
into the spotlight.

I'm not afraid.
I'm just very busy.

Okay. It will only take a
couple hours of your time.

"If you can see it, you
can be it" is a real thing.

It is not my responsibility
to be the one they see.

[elevator bell dings]

[sighs] Okay.

Nathan hit his head on
the trampoline frame

at his birthday
party two days ago.

He got a bump, but
he seemed fine.

Where's Daddy?

I told you. He's away
for work helping people.

He'll be back in
a few days, okay?

Is it possible to develop a
concussion two days later?

Well, let's see if we can
find out what's going on.

[sighs]

Nathan, what's
your puppy's name?

Patches.

Can I look into Patches'
eyes with this little light,

make sure he's okay?

Or you can do it?

Just look in here.

Can you pick this back up
and give it to the doctor?

I can't. Where's Daddy?

Can you give me
a high five, bud?

Good. Now high ten.

What's happening? Is...
Is this a concussion?

It's not a concussion. Your
son is having a stroke.

[theme music playing]

You are late.

No, I'm not.

It's 8:01 a.m.

Oh, it... It is now,

but I'm pretty sure
it was still 8:00

when I walked through the door.

Were you getting your hair cut?

[chuckles] No.

Are you using drugs again?

No.

You are on probation, and
I am responsible for you.

Common signs of drug abuse

include ignoring
responsibilities

and secretive behavior.

I promise you, I'm clean.

- I'll pee in a cup if you want.
- [cellphone dings]

Okay.

I'm going to assist Dr. Park.

You can join the case if
your sample comes back clean.

[sighs] I wasn't even late.

Sorry, a chance to help
young, diverse women

andkiss the hospital
president's ass

at the same time?

There's only one answer to that.

It starts with a "Y,"
ends with a "Yes."

- That didn't work.
- I know, I should've bailed.

But I stand by my point.

Aren't we busy enough?

And why do I have the
burden of extra homework

- just because I have more melanin than you?
- [cellphone chimes]

And why is my Grandma
E texting me right now?

You shouldn't think
of it as homework,

and you definitely shouldn't
think of it as a burden.

And you shouldn't think you
know what it's like to be me.

Point taken.

- Hm.
- [cellphone chimes]

What the...?

Okay, can we just focus
on our patients, please?

Thank you.

[gasps]

Quinque, there you are.

Grandma E, what
are you doing here?

I was told they
have doctors here.

I've got tightness in the chest,

shortness of breath,
swollen ankles.

Why didn't you go see
your doctors in Oakland?

[scoffs] Those idiots said
that my ascites indicated

I had "cirrhosis of the liver"
like I'm some kind of a drunk.

And I figured, with
my family connections,

I could get some
top-shelf care here.

I can't be involved
in any of your...

But I can.

Delighted to meet
you, Grandma E.

I'm Dr. Wolke.

Okay. Jordan, baby, you stay

and keep an eye on
little mister here.

He might try to skate
by on his good looks.

Ah.

Can you lean back for me?

[groans]

Jordan, you never
mentioned having a sister.

See? I like him.

Distended jugular veins
with increased JVP.

Kussmaul's sign and
pulsus paradoxus.

Maybe I don't like
you so much now.

She does have a history
of chest radiation.

[ultrasound warbling]

Echo-brightness of
the pericardium.

[weakly] What does that mean?

The sac around your
heart is inflamed.

There are calcium deposits.

Grandma?

All right, those
are faint pulses.

Okay, if we don't do
something, she's gonna arrest.

Set up an OR stat
for a pericardiotomy.

No, Rick, stay.

I-I promise I've got this.

Sorry to interrupt.
We're ready.

[sighs]

Can you please
talk to my husband?

Of course.

This is Dr. Park.

How does a four-year-old end up
with a stroke from bumping his head?

Head trauma's one
of the main causes.

Well, I feel like I
should get on a plane now,

but Linda's telling me to stay.

How far are you?

Alabama. We still
have people missing

after the tornado
ripped through.

I can't tell you
how to prioritize,

but I can tell you I'm hoping
to make your son better

well before you could get here.

Thank you.

We're okay.

You'll be back in
a few days anyway,

so just stay and keep helping.

Okay.

[monitor beeping, air hissing]

Evacuating the hematoma.

I saw on the Weather Channel
that the Alabama tornado

was the 15th to reach a 4
on the Enhanced Fujita Scale

in the last 3 years.

Together, they have
caused 116 fatalities.

Luckily, we have
people like his dad

who run towards a crisis.

But he also has a crisis
right here with his son.

He didn't know
that when he left.

I'm not seeing an
active bleeder.

There is a hyper-vascularized
brain parenchyma

in this resection cavity.

Oh, the major named vessels
are all smaller than usual

and look scarred in.

The hemorrhage was not
from hitting his head.

This boy and his brain are
even sicker than we thought.

Widening the sternal retractor.

So, why does she
call you Queen K?

It's Quinque.

Latin for five because I'm
the fifth child of six.

So does she call your
little brother "Sex"?

Please focus so you don't
kill my grandmother.

Cauterizing the edges of
the sternal periosteum.

She's so charming.

Why didn't you get
any of those genes?

Charm is one of the many layers
of a very complicated woman.

Grandma E drove me like a drill
sergeant from the day I was born.

Ensure the pericardium is free from
both the pleurae and the diaphragm.

15 blade.

Oh.

We need a new 15 blade.

What's happening?

I can't pierce it.

Never seen constrictive
pericarditis this severe.

It's completely calcified.

Your grandma has what's
known as a coconut heart.

Your son has a rare auto-immune
disorder called primary CNS vasculitis.

It's causing inflammation of his
blood vessels throughout his brain.

Okay, um...

Wh-What are the next steps?

Cyclophosphamide infusions.

That's chemo.

My mother had that when
she had breast cancer.

And she... she lost her hair, she threw
up, she got sores all over her mouth.

Letting this go
untreated is far worse...

Recurrent brain bleeds, possibly
large territory strokes.

It could be fatal.

Nathan will be on some form of
immunosuppression his whole life.

I'm sorry.

Thank you, Doctor.

[sobs softly]

How do you crack open a coconut

without puncturing
what's underneath?

Constrictive pericarditis.

Please stop saying "coconut."

It's my grandmother
and it's serious.

Not your case.

I'm just having a snack.
And trying to help.

Mm-hmm.

We need ideas.

Left anterior thoracotomy

and partial excision
of the pericardium.

Avoids sternal infection and
seems likely the safest route.

It will require more surgeries.

Please go away.

What... What are
you advocating for?

Complete removal.

Hear me out.

A median sternotomy gives us clear
access to the diseased pericardium

from phrenic nerve
to phrenic nerve.

That's way too risky.

Complete decortication fixes
her heart... completely.

You are advocating for an
extensive, high-risk surgery.

Meanwhile, a partial removal
offers your 70-year-old grandmother

a shot at full health for what will
likely amount to the rest of her life.

Shouldn't you let
the patient decide?

No.

I don't present something
if it's not a viable option.

I think it isviable.

Her surgeon doesn't.

Jordan, go be a granddaughter.

[Dr. Andrews] If I hadn't become a
surgeon, I think I would've been a writer.

- I would've...
- [chuckles softly]

You never told me your grandmother
worked at Marcus Books.

Was I supposed to?

I was just a lowly clerk.

It came up when I heard
his name was Marcus.

There is nothing lowly about being
at the center of a cultural landmark.

My Auntie Winn used to
take me to author readings

by Toni Morrison, Maya Angelou.

And you were there every day!

I probably served
you some cookies.

You ever meet James Baldwin?

- I did.
- What?

[Jordan] Okay.

She can probably use some rest.

Yes. Absolutely.

If you need anything at all, Miss
Evelyn, you know where to find me.

- Thank you, Marcus.
- Yes, ma'am.

Marcus Books. Wow!

That was weird.

Not as weird as you refusing
to do his mentorship program.

[sighs softly]

Let's talk about you...

and your heart.

Your pericardium
has become hardened,

likely from your
cancer treatments.

So what happens now?

Dr. Lim has decided
on a partial removal.

And... And you
think that's best?

Jordan Jacqueline Allen, you
look at me and you tell me

if you think it's best.

[door closes]

Wow. It took you guys a
while to get home, huh?

We went out to dinner
because Lea thought that...

Why are you on the floor?

What's with the high chairs?

I stopped at Costco
on the way home.

Surprisingly diverse
selection of wines.

There's an open bottle if
you... if you guys want,

although that might be empty.

Danger.

Oh, I remember wine.

Are you drunk?

No. Maybe a little.

I'm baby-proofing.

Danger.

Are you okay?

Oh, you guys gotta get down
here and check this out.

From the baby's perspective,

this place is a
frickin' death trap...

for Nicholas.

Placeholder name.

We can call him Nick or Nicky.

I like Nicky.

Okay, why did you
buy three highchairs?

Well, one's a gift for you, and
the other two I'll take back.

Danger.

That could be dangerous.

Y-You don't have
to buy us anything.

I also got you a nanny cam.

[laughs]

It's a... it's...
It's a teddy bear,

but you wouldn't believe
it, there's a camera inside.

That is very
practical. And cute.

Ugh, okay. We will not need a
highchair or baby-proofing for a year.

And we will not name our son
Nick, Nicholas, or Nicky,

or any variation thereof.

Okay.

Okay, well, that's fair enough.

But you... you're
gonna want this.

It's a book by
Dr. Spock on parenting.

Everyone read this
book back in the day.

He was so popular,
he ran for president.

Danger.

I'm going to bed.

Yeah, but you're gonna
want to r-read this

before the baby comes
and you get exhausted.

[Lea, muffled] Already there.

Danger!

What were you thinking?

That my grandmother
deserved the good muffin?

She told me she will only agree
to complete decortication,

which she shouldn't
even know about.

You do not present a
patient with an option

that I have deemed unsafe
and wouldn't even perform.

- It's unacceptable.
- You're right.

I felt like your plan was a
little conservative, but I...

You are a resident.

Your feelings about my
decisions are not relevant.

I'll let her know I was wrong.

And convince her I'm right.

Or find her another hospital.

Yes, ma'am.

[clears throat]

Um, your muffins are ready.

How's he handling the chemo?

You doing okay, bud?

Nathan, can you answer
Dr. Park, please?

Is everything okay?

No.

You're right. It's not okay.

Okay, these aren't toys.

We okay, Mom?

He got dozens of new
toys for his birthday.

He shouldn't have to be building
castles with pill bottles.

I'm sorry.

Maybe you shouldn't be trying
to do all of this alone.

My husband's saving lives. I
can't pull him away from that.

I can.

Give me your phone.

Hi, Rick.

Dr. Park.

Mm.

[Jordan] You okay?

Yeah, I'm fine.

But you're not.

What happened?

I was wrong to question
Dr. Lim's surgical advice.

She's the best.

I hope to be her someday.

And if she thinks the partial
removal of the pericardium

is the best course of action,
then I agree with her.

Okay.

Then that's what I'll do.

But why did you go against
her advice in the first place?

I felt like I needed to
do extra, to be a hero.

Why?

Since I was little, you told
me I had to work twice as hard,

be twice as good
as everybody else.

After all these years,

I'm still striving to
be good enough for you.

Yeah, see, that's
a lot of pressure.

But it's what the world requires

from people that
look like you and me.

When's my daddy coming?

Your daddy's getting on a
plane. He's gonna be back soon.

But now, we have to see if
the medicine's working, okay?

If it is, can I stop taking it?

I'm so sorry.

You still need it.

I hate it.

I know.

Let's play a game, like
hide-and-seek, okay?

Okay, lie down.

You get to go in the tunnel.

And stay very still so
nobody can find you.

I'll come back and get you when
the coast is clear. Sound good?

[MRI machine whirring]

You are very good with him.

Starting the imaging.

[Dr. Park] Thanks.

Nathan, you're about
to hear some banging.

It's just the machine.

But remember to stay
really still, okay?

I am.

Try a little harder, okay, bud?

[MRI machine clacking]

Ah, motion artifact.

We might have to sedate him.

Those are not artifacts.

He does not have CNS vasculitis.

He has moyamoya disease.

What the heck is that?

A narrow carotid artery is
reducing blood flow to his brain.

This area here, looks
like a puff of smoke?

That's what moyamoya
means in Japanese.

A bunch of new, tiny vessels have
developed to circumvent the blockage.

But because the vessels are
abnormal, they're prone to bleeds.

We can fix the problem with a
very interesting brain surgery.

Well, so... so now
that you're done

poisoning our son with
chemo that he didn't need,

we should trust you to
crack open his skull?

We will use a small
craniotomy to access...

I get why you're frustrated.

Moyamoya is rare and
notoriously hard to diagnose.

Many kids get chemo they
don't need for a lot longer.

We're hoping to do Nathan's
first brain surgery tomorrow.

He needs more than one?

What's brain surgery?

Hey.

[Dr. Park] It's how we're
gonna make you all better.

No more chemo?

No more chemo.

Are you gonna be here?

My plane got cancelled,
buddy. [chuckles]

But, uh... but,
look, I-I promise

I'm gonna be there as
soon as I can, okay?

Can Patches get
brain surgery, too?

N-No.

Patches is a stuffed animal.

It does not have a brain.

Oh.

[sighs]

[toilet clacking]

Ohh!

[grunts] Oh!

I just peed in our bathtub.

Glassman has to go.

[elevator bell dings]

[Perez] Aah!

- Sorry!
- Hey!

Sorry!

[grunts]

[grunts]

First years.

[panting]

You are late again.

Come on. Like one minute.

And last time...

Your drug test from
yesterday was negative.

You are not using.

So what is causing
your tardiness?

Look, I'm sorry.

I've been doing really well.

And the reason I'm
doing so well...

is my daily meeting.

Sets my mind right.

It's kinda far, and
there's morning traffic.

Support is very important.

And so is punctuality.

I'm going to map a complex
double-barrel vascular bypass.

[sighs]

[saw whirring]

- [pops]
- Mnh! Dang it!

That's the sixth time you've
killed my grandmother.

It wasn't working
with the rongeur.

I'm trying to sell Lim
on a little more power.

I just need to find
the right torque.

That's reassuring.

Stop hovering. Go
visit, visitor.

Convincing Evelyn
Allen to do a surgery,

after convincing her not
to, was a little bumpy.

Details, please.

I took the opportunity to explain how much
pressure she's put on me over the years,

and she took that opportunity

to make me feel
inadequate once again.

I never thought of you as
someone who lacks for confidence.

Fake it 'til you make it.

You're a resident in one of
the top surgical programs.

You've already made it.

All I see is the ground
I've still got to cover.

[saw whirring]

- [pops]
- Mnh!

How's it going?

Not ready for prime time.

This STA anatomy is ideal as a
donor vessel to bypass the blockage.

So, we'll reroute the scalp
vessel into the brain here.

Gonna give you a little tip.

Next time a child asks
if you could do surgery

on his stuffed animal so
that he feels less scared?

Say yes.

I was only telling
him the truth.

Oh.

This branch of the
middle cerebral artery

looks like an ideal recipient.

You're about to be a father.
Children are illogical.

And we can place temporary
clips for vascular control,

and then anastomose the STA to
the MCA using 10-0 Prolenes.

[beeps]

I was very logical as a child.

I did not like being
talked to like I was dumb,

and I definitely did
not like being lied to.

That child there felt
that if his Dalmatian

went through this scary thing
with him, he'd be less scared.

If can embrace another
person's thought process,

it can strengthen
the relationship.

Lea thinks she should not
have to pee in the tub...

which I understand.

No kidnapping my grandmother.

I asked him to do a
lap around the floor.

I needed a change of scenery.

Well, you've had your lap,
now back to your cell.

Thanks for the tour, Speedy.

Speedy?

I'm guessing it's because I was
sprinting through here this morning.

Yeah, I was late.

Second time this week.

Snooze buttons... The
devil's plaything.

I was actually at a Narcotics
Anonymous meeting this morning.

I go every day.

"Confess your sins to each other

and pray for each other
so you may be healed."

James 5:16.

Amen to that.

Good for you, young man.

There's gotta be
a closer meeting.

I've tried the closer one.

The hard-liners who
run it think that

wearing a suit and tie is
the key to staying sober.

Start your own meeting,
here at the hospital.

Set your own tone.

And you're never
late for work again.

[chuckles] I'm not...

I'm not qualified
to be a leader.

No such thing.

Leaders lead.

Simple as that.

Hm.

You are annoying.

Well, nice to see
you, too, Shaun.

Not to me, but to Lea.

And I want to keep our
relationship strong.

She feels your presence has
taken over our apartment,

and she wants her space back.

I overstepped with
the baby-proofing?

And suggesting names.

And the Dr. Spock thing?

And there's more.
The nanny cam...

Okay, okay, okay.

[sighs]

It was fun thinking
about your baby

and the future, and...

Maybe it has been
a nice distraction.

Yes, it was.

Which you've needed since
your house burned down

and you lost all
of your belongings

and you have no place to live.

Yes. Thank you, Shaun.

Dr. Glassman, you are
not exactly my family.

I get it. I-I know, Shaun.

But I consider you to be
the baby's grandfather.

Wow.

Thank you.

I never thought that
would happen for me.

Thank you.

You can stay.

I will tell Lea, and she
will change her mind.

No, no, no. I'm going to go.

[Shaun] Where?

I don't know.

Can I get you a magazine?

No, thank you.

Are your pillows
positioned okay?

[sighs] Okay, you're
doing it again.

What?

That thing you've been
doing since you were little

where you're just
fussing over people,

when it's you that's in need.

Okay, come on.

Tell me.

You just met Dr. Perez,

and you were so
nice and supportive.

Do you know how long I've
waited for you to say,

"Good job" to me, or,
"Wow, you're a doctor"?

[sighs]

Do you know who
Rebecca Crumpler is?

No.

She was the first
Black female doctor.

And when I read about her, I
wanted to be just like her.

But, unfortunately, I didn't
know who she was, either...

until you were in med school.

Quinque, I have been
impressed by you

since you were in kindergarten.

[breathing shakily]

- Grandma?
- [alarms beeping rapidly]

Grandma?

What's going on?

She's having trouble breathing.

[gasping]

She's hypotensive.

[panting]

Jugular vein distention
has increased.

Her heart is failing.

Tell me you got
through a practice run.

I was coming to say we
were postponing the surgery

so we could practice more.

[Dr. Andrews] What
are you hanging?

Uh, it's...

You can read, obviously.

Is this okay? I'm sorry.

I should've cleared
it with you first.

Yes, you should have.

Because I would've told you to use
the small conference room up on 6.

It's quieter up there,
and the room has blinds...

to help with the
"anonymous" part.

Thanks.

[cellphone ringing]

This is Park.

I had to fly to San Francisco.
I'm just grabbing a cab now.

Can you... Can you hold the
surgery until I get there?

We can't.

If he hemorrhages again...

Well, can... can... Can
you put him on the phone?

He's already sedated.

But what if... what if
this was my last chance

to talk to him?

I'll treat Nathan like
my own son, I promise.

Thank you.

- [saw whirring] - Try to
puncture the pericardium

and grab an edge so we can
start to peel the shell.

Mm!

Apply more pressure.

[saw whirring]

We might need to use another tool
to pierce it. Let's try the rongeur.

[monitor beeping]

- Ah!
- Perforation of the myocardium.

- Manually tamponading the hole.
- [alarms beeping rapidly]

Pledgeted sutures.

The pericardium's
just too calcified.

It's adherent to the myocardium.

So what do we do?

Repair the perforation. After
that, I'm open to ideas.

We could put her on bypass.

Gently peel off the calcified
pericardium bit by bit.

And then repair the
damage as we go?

That's like poking
holes in a bucket

and then hoping we can plug them
before all the water leaks out.

[Jordan] I have an idea.

Go ahead.

It's called the
waffle procedure.

I found a novel study that
said dense calcified plaques

can be scored into multiple
cross-hatched sections.

No removal at all?

Exactly. The shell
stays in its place,

but the heart has room to
expand and contract as it beats.

Mortality rate?

Under 8%.

Talk me through it.

Okay. Ultrasonic scalpel.

Start by incising the
calcified pericardium.

[saw whirring]

ICG angio looks great.

Dr. Perez, you may do the dural
closure, then replace the skull flap.

[monitor beeping]

Before we close...

We're almost a full
hour ahead of schedule.

Why not go ahead with the
bypass in his other hemisphere?

Mm, that is not the plan.

Simultaneous bilateral surgery

risks altering
brain flow too much.

It could cause another bleed.

But maybe there's a way
to reduce that risk.

The wait for the follow-up surgery
will be hell on the parents,

the whole time knowing
their son's brain...

The parents' stress is
not medically relevant.

I know, Shaun, but, please...

Can you think of any other way?

An
Encephaloduroarteriosynangiosis

of the left side would
be relatively low risk.

We could safely do that now.

Thank you.

Rick, Linda.

The surgery went well.

[groans]

[in sing-song] There she is.

[normal voice]
Right on schedule.

How do you feel?

Like I can breathe, for the
first time in a long time.

Thank Dr. Lim for me.

I will.

Somebody's all puffed up.

Uh...

You did something.

The surgical team
got a little stuck.

I just gave them a new idea.

[chuckles] Good job.

Wow! You're a doctor.

Wow. Okay.

You're just laying it on
a little too thick now.

[both laughing]

[Dr. Park] Looking good.

How are you feeling?

Okay.

Can you give me a high five?

High ten?

- Hey, good job!
- Good job, buddy!

Good boy, buddy.

Where's Patches?

He is right here.

You did do the brain
surgery on him.

No, I just put bandages on its
head to make you feel better.

I do.

[sighs]

[exhales]

[door opens]

Uh, I'm sorry.
There's a meeting.

I know. NA, right?

Uh, yeah. [chuckles]

It took me a few minutes to
get the courage to come in.

It's just us. Sorry.

Where two or more
are gathered...

[chuckles]

Oh, um, have a seat, please.

Hm.

Um, hi.

I'm Danny. Um...

I am an addict.

Almost show time.

Don't say it like that.

You're making me nervous.

Be yourself. That's
more than enough.

Hi, everybody.

There's so many of you.

That's so good to see.

I'm Dr. Jordan Allen,

and I am a third-year surgical
resident at St. Bonaventure Hospital.

Where's Glassy?

He will not be staying
with us anymore.

He moved out?

Yes. We had a talk and
decided it was best.

Did you tell him I was
complaining about him?

Yes.

Oh, Shaun!

Now I feel horrible.

Oh. You don't need to.

He found a vacant apartment
just down the hall.

In this building?

- Yes.
- He's our next-door neighbor?

Our next-door neighbor's
next-door neighbor.

[instrumental music playing]