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Previously on The Good Doctor...
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I've been thinking,
and I need a break from our coffees.
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00:00:05,273 --> 00:00:07,620
If you don't value what the nurses do,
4
00:00:07,655 --> 00:00:09,450
how much can you care about me?
5
00:00:09,484 --> 00:00:12,142
- This is my patient.
- And I'm your boss.
6
00:00:12,177 --> 00:00:14,765
You can either do this with me,
or I'll find someone who will.
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If you don't trust me, fire me.
8
00:00:19,395 --> 00:00:22,088
And if you do, then stay out of my way.
9
00:00:22,122 --> 00:00:23,744
Are you trying to pick your embryo?
10
00:00:23,779 --> 00:00:27,370
I'm leaning towards a girl.
I have a playbook to work from.
11
00:00:27,921 --> 00:00:30,544
I didn't OD because of you. Or us.
12
00:00:30,579 --> 00:00:33,030
Jordan, if I let myself
get close to you,
13
00:00:33,064 --> 00:00:34,583
I will fall for you.
14
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I can't risk that.
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00:00:36,654 --> 00:00:38,898
You deserve somebody
who's ready to fully commit,
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00:00:38,932 --> 00:00:40,520
somebody who makes you happy.
17
00:00:40,554 --> 00:00:43,523
Your brain cancer may have returned.
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00:00:44,938 --> 00:00:46,388
The crib needs to be assembled.
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00:00:46,422 --> 00:00:48,873
Go. I got this.
20
00:00:48,908 --> 00:00:52,118
There are two screws missing.
21
00:00:52,152 --> 00:00:54,741
Dr. Glassman doesn't have brain cancer,
22
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but there is something wrong
with his brain.
23
00:01:00,643 --> 00:01:02,956
Lea forgot to add the blueberries,
24
00:01:02,990 --> 00:01:04,784
but we can still put them on top.
25
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Sorry.
26
00:01:06,063 --> 00:01:07,374
Not a problem.
27
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Underneath, on top, on the side.
28
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I can eat them here.
I can eat them there.
29
00:01:10,999 --> 00:01:12,241
I can eat them anywhere.
30
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Not Dr. Seuss fans.
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We need to discuss something
very important.
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After we eat.
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Don't worry, I'm fine, the baby's fine.
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00:01:22,942 --> 00:01:25,082
Shaun just wanted to have
a bit of a discussion...
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You forgot two screws
when you built the crib.
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00:01:28,693 --> 00:01:30,795
- Okay.
- Okay, Shaun, slow down.
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Let's all at least take a seat first.
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We're gonna have a discussion
about a crib?
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00:01:35,045 --> 00:01:38,668
Your CSF DNA test showed
your brain cancer has not returned,
40
00:01:38,703 --> 00:01:40,050
but there is clearly something
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impacting your neurological function.
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Shaun, the crib has like
100 different parts
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and instructions without any words.
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Just pictures with arrows going
in every possible direction.
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Okay. Thankfully, I was there
to correct your mistake,
46
00:01:55,340 --> 00:01:57,960
but that won't always
be possible in the O.R.
47
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The O.R.?
48
00:02:02,175 --> 00:02:03,716
Yes.
49
00:02:04,509 --> 00:02:06,662
- I would like to do more tests.
- That's not gonna happen.
50
00:02:06,697 --> 00:02:08,732
- That's not gonna happen.
- And... And Dr. Lim should be notified.
51
00:02:08,768 --> 00:02:10,735
That's absolutely not gonna happen!
52
00:02:10,770 --> 00:02:12,772
If your executive function
has deteriorated
53
00:02:12,806 --> 00:02:14,705
- even a small percentage...
- Shaun, just one second.
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Just stop for a second.
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Two screws?
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00:02:18,916 --> 00:02:20,676
There's nothing wrong with my brain.
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00:02:20,711 --> 00:02:22,368
There's nothing wrong
with any part of my body,
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00:02:22,402 --> 00:02:24,749
for that matter,
not that that concerns you.
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00:02:24,784 --> 00:02:28,236
You go to Lim, and you're
gonna look ridiculous.
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- Doctor...
- That's the end of the discussion!
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And breakfast.
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He's right.
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It's okay. You were just trying...
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I can't go to Dr. Lim
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without conclusive medical evidence.
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00:02:51,604 --> 00:02:54,124
Or maybe he was right.
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It is just a crib, and he was in a rush.
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Everyone forgets things.
I-I forgot the blueberries.
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00:02:59,992 --> 00:03:01,959
Instead of tests,
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I can gather data
through direct observation.
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What does that mean?
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Are you gonna spy on him?
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Please put my pancakes in the fridge.
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I will eat them for dinner.
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Good morning.
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Mind if I join you?
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Sure.
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00:03:27,364 --> 00:03:28,779
How are things in surgical?
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00:03:31,713 --> 00:03:34,059
- Great.
- Great, as in, actually great?
80
00:03:34,095 --> 00:03:36,476
Or great, as in,
"I'm saying the right thing
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00:03:36,511 --> 00:03:38,444
because he's the president
of the hospital"?
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Both.
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00:03:41,343 --> 00:03:42,724
Well, any feedback you have,
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00:03:42,758 --> 00:03:44,277
you can always come to me.
85
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Sorry to interrupt.
I have a clinic patient
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00:03:49,110 --> 00:03:50,870
who needs a surgical consult.
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00:03:50,904 --> 00:03:53,735
It's a former patient of yours,
Eddie Richter.
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Eddie?
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00:03:54,943 --> 00:03:56,980
I haven't seen him in years.
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00:03:57,014 --> 00:03:59,154
He came in with GI pain and acid reflux.
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00:03:59,189 --> 00:04:01,915
Ultrasound reveals a small mass
on his duodenum.
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00:04:01,950 --> 00:04:03,987
He'll need surgery to remove it.
93
00:04:04,021 --> 00:04:06,505
I think I can fit that in. Join me.
94
00:04:07,818 --> 00:04:09,820
Dr. Lim scheduled us
with Dr. Park today.
95
00:04:09,854 --> 00:04:11,615
Doctors Park and Lim will understand.
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00:04:11,649 --> 00:04:13,030
This is a unique case.
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00:04:15,067 --> 00:04:16,689
A small duodenal mass?
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00:04:16,723 --> 00:04:18,208
I don't know.
99
00:04:22,985 --> 00:04:24,227
Eddie!
100
00:04:26,423 --> 00:04:28,149
Long time no see.
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00:04:28,183 --> 00:04:30,013
I wish it were longer. No offense.
102
00:04:30,047 --> 00:04:31,911
I wasn't planning on
seeing a surgeon today.
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00:04:31,945 --> 00:04:34,500
Yeah, yeah, fair enough.
I've brought along with me
104
00:04:34,534 --> 00:04:36,949
Doctors Allen and Wolke to assist.
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00:04:36,985 --> 00:04:38,987
- Hi.
- Nice to meet you.
106
00:04:39,022 --> 00:04:40,540
Judging by the astonishment
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00:04:40,574 --> 00:04:42,025
they are both
desperately trying to hide,
108
00:04:42,059 --> 00:04:43,888
you did not tell them
about my condition.
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00:04:43,923 --> 00:04:46,546
I did not. Very few residents get to see
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00:04:46,581 --> 00:04:49,929
Epidermodysplasia Verruciformis
outside of a textbook,
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00:04:49,963 --> 00:04:52,932
and I figured this would be an
important learning opportunity.
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00:04:52,966 --> 00:04:54,830
They definitely failed
the bedside manner part.
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00:04:54,865 --> 00:04:56,315
I'm sorry.
114
00:04:56,349 --> 00:04:58,765
Eh, heartthrobs like me
and Brad Pitt are used to it.
115
00:05:02,328 --> 00:05:10,328
Synced & corrected by -robtor-
www.addic7ed.com
116
00:05:12,710 --> 00:05:14,850
Any deep pain or tenderness here?
117
00:05:14,885 --> 00:05:16,059
A little.
118
00:05:16,093 --> 00:05:17,198
How's business?
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00:05:17,232 --> 00:05:19,407
Oh, fantastic. Thank the Lord.
120
00:05:19,441 --> 00:05:21,064
Eddie is an amazing carpenter.
121
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He built Isabel and I
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00:05:22,306 --> 00:05:26,345
this stunning mahogany
live edge dining table.
123
00:05:26,379 --> 00:05:30,339
I have no idea what that is,
but it sounds delightful.
124
00:05:31,039 --> 00:05:33,006
Yeah. Not much good for guitar,
125
00:05:33,041 --> 00:05:35,078
but I can still wield a power tool.
126
00:05:35,112 --> 00:05:36,699
You'll need to use
a carotid pulse monitor
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00:05:36,734 --> 00:05:38,046
and upper thigh for BP.
128
00:05:38,081 --> 00:05:39,598
Got it.
129
00:05:40,393 --> 00:05:42,085
How painful are the growths?
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00:05:42,119 --> 00:05:44,880
I mean, that depends.
They're basically just huge warts,
131
00:05:44,915 --> 00:05:46,710
so face, not much.
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00:05:46,744 --> 00:05:48,056
Hands, a little.
133
00:05:48,091 --> 00:05:49,401
Feet, a lot.
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00:05:50,541 --> 00:05:52,198
I'm blessed.
135
00:05:52,233 --> 00:05:53,441
The Lord knows that a pretty face
136
00:05:53,475 --> 00:05:55,546
can only get a handyman in trouble.
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00:05:55,581 --> 00:05:59,274
Dr. Reznick gave us a really
good view with her ultrasound,
138
00:05:59,309 --> 00:06:02,588
but I'd like an MRI and a
biopsy to better assess the lesion.
139
00:06:02,622 --> 00:06:04,935
Ah, might as well get
my money's worth, huh?
140
00:06:05,228 --> 00:06:06,885
It's good seeing you, Eddie.
141
00:06:12,632 --> 00:06:14,289
The team doc's playing it safe.
142
00:06:14,324 --> 00:06:15,635
It was a damn curveball.
143
00:06:15,670 --> 00:06:17,913
Well, even a damn double-A curveball
144
00:06:17,948 --> 00:06:20,053
comes in at, what, 80, 85?
145
00:06:20,088 --> 00:06:22,194
It can still do some damage,
helmet or no.
146
00:06:22,228 --> 00:06:24,679
Two weeks isn't a long time
to be in concussion protocol.
147
00:06:24,713 --> 00:06:27,647
Okay, well, I-I didn't
have a concussion.
148
00:06:27,682 --> 00:06:29,753
I mean, I barely even had
a headache, so...
149
00:06:32,100 --> 00:06:33,515
Can I help you, Dr. Murphy?
150
00:06:33,550 --> 00:06:36,415
I came to observe. Please continue.
151
00:06:40,039 --> 00:06:42,766
Your ImPACT scores
are a bit worse than baseline.
152
00:06:42,800 --> 00:06:43,905
Okay, that's one test.
153
00:06:43,939 --> 00:06:46,540
I mean, I-I passed all the others,
154
00:06:46,908 --> 00:06:48,875
but the doc still won't clear me.
155
00:06:48,910 --> 00:06:50,705
It's not a bad idea
to play it safe, though.
156
00:06:50,739 --> 00:06:52,189
It is your brain we're talking about.
157
00:06:52,224 --> 00:06:55,261
I mean, you're an outfielder,
so you don't need one just now...
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00:06:55,296 --> 00:06:58,341
...but you are gonna retire someday.
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00:06:58,375 --> 00:07:00,439
Look, if I don't get back
on the field ASAP,
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00:07:00,473 --> 00:07:02,431
I won't have a career to retire from.
161
00:07:04,512 --> 00:07:07,135
I wouldn't have come to the best
brain doctor in town otherwise.
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00:07:08,654 --> 00:07:10,231
Alright. We'll take a look.
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Do a neuro and get me an MRI.
164
00:07:14,832 --> 00:07:17,214
An MRI? For a concussion?
165
00:07:17,249 --> 00:07:19,699
Well, he's got some dilation
of his left pupil.
166
00:07:19,734 --> 00:07:21,908
Probably not significant,
167
00:07:21,943 --> 00:07:24,532
but if we're gonna override
the team doctor,
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00:07:24,566 --> 00:07:26,637
we better be sure, hmm?
169
00:07:26,672 --> 00:07:29,053
- On it.
- The MRI is a good idea.
170
00:07:29,088 --> 00:07:30,952
I did not notice the dilated pupil.
171
00:07:30,986 --> 00:07:32,125
Well, thank you.
172
00:07:32,160 --> 00:07:34,058
Not a problem since it's not your case.
173
00:07:34,093 --> 00:07:35,681
But it is an interesting case,
174
00:07:35,715 --> 00:07:37,855
even if I did not know that
when I came here.
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00:07:37,890 --> 00:07:39,754
Since I've cleared my schedule,
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00:07:39,788 --> 00:07:41,342
I would like to continue observing.
177
00:07:41,376 --> 00:07:44,137
You cleared your schedule
of people with actual ailments?
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Mmm.
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Okay, fine. Observe all you want.
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I will.
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00:07:49,281 --> 00:07:50,765
Both you and the case.
182
00:07:52,732 --> 00:07:56,529
Oh, there's no bleeding
or hematoma in your groin,
183
00:07:56,564 --> 00:07:59,498
which means you're doing fantastic.
184
00:08:01,396 --> 00:08:03,156
Her color looks better.
185
00:08:03,191 --> 00:08:05,161
Everything looks better.
186
00:08:06,056 --> 00:08:08,852
I just got off the phone
with Eden's social worker.
187
00:08:08,886 --> 00:08:10,923
She's having trouble
finding foster parents
188
00:08:10,957 --> 00:08:13,339
who are willing to take
a newborn with Turner Syndrome.
189
00:08:13,374 --> 00:08:14,582
Well, it's not that difficult.
190
00:08:14,616 --> 00:08:16,963
Her long-term symptoms
might not even be that severe.
191
00:08:16,998 --> 00:08:20,691
Still, Eden will always
need special care.
192
00:08:28,184 --> 00:08:31,357
It'll take a minute for
the lidocaine to take effect.
193
00:08:31,392 --> 00:08:33,083
You may feel some discomfort
194
00:08:33,117 --> 00:08:34,843
when the scope goes down your throat.
195
00:08:34,877 --> 00:08:36,233
Got it.
196
00:08:37,087 --> 00:08:39,986
I assume you've discussed
surgical removal
197
00:08:40,021 --> 00:08:42,403
of your EV growths with Dr. Andrews?
198
00:08:42,437 --> 00:08:43,818
Yeah. No, he wanted to try,
199
00:08:43,852 --> 00:08:46,027
but obviously, there's the risk
of nerve damage,
200
00:08:46,061 --> 00:08:47,912
plus they would just grow back.
201
00:08:48,478 --> 00:08:50,498
This is how I was meant to be.
202
00:08:50,859 --> 00:08:52,792
Lord works in mysterious ways.
203
00:08:52,827 --> 00:08:54,173
But surgeons don't.
204
00:08:55,278 --> 00:08:57,901
The risk of nerve damage
is actually quite small,
205
00:08:57,935 --> 00:09:01,214
and I'd imagine easier
to live with than the pain
206
00:09:01,249 --> 00:09:03,113
and lack of mobility and...
207
00:09:03,147 --> 00:09:04,597
Repulsiveness?
208
00:09:05,115 --> 00:09:07,082
No, no. I-I was...
209
00:09:07,117 --> 00:09:08,557
It's alright.
210
00:09:09,084 --> 00:09:10,258
I know how I look.
211
00:09:11,294 --> 00:09:14,573
I see the frightened kids,
people laughing,
212
00:09:14,607 --> 00:09:15,850
staring.
213
00:09:17,196 --> 00:09:18,784
I just try my best to keep
my eyes and arms open
214
00:09:18,818 --> 00:09:20,613
to all of God's gifts.
215
00:09:24,203 --> 00:09:28,172
Cannot imagine taking an
80-mile-an-hour baseball to the dome.
216
00:09:28,207 --> 00:09:29,795
Some guys in the majors throw over 100.
217
00:09:29,829 --> 00:09:30,968
Phew.
218
00:09:32,349 --> 00:09:35,145
I don't see any edema
or evidence of a hematoma.
219
00:09:35,870 --> 00:09:37,320
Neither do I.
220
00:09:37,354 --> 00:09:39,356
The anisocoria's probably harmless.
221
00:09:39,391 --> 00:09:42,221
Twenty percent of people actually
have one pupil larger than the other.
222
00:09:44,396 --> 00:09:45,673
You play any sports?
223
00:09:45,707 --> 00:09:48,400
I played football and baseball
in high school. Why?
224
00:09:48,434 --> 00:09:51,955
I have a friend who runs a
sports program for at-risk teens.
225
00:09:51,989 --> 00:09:53,750
I've been helping coaching
some indoor football,
226
00:09:53,784 --> 00:09:55,479
I mean soccer.
227
00:09:56,062 --> 00:09:58,237
She's always looking for help
from positive role models.
228
00:09:58,271 --> 00:10:01,309
Yeah, I've...
I've never coached kids before.
229
00:10:01,344 --> 00:10:04,105
Mainly just making sure they
have fun and stay off the streets.
230
00:10:04,139 --> 00:10:05,762
And my friend's super cool.
231
00:10:05,796 --> 00:10:07,522
She's cute, too.
232
00:10:10,387 --> 00:10:12,355
Well, helping kids sounds great,
233
00:10:12,389 --> 00:10:13,942
but I'm trying to get a year in recovery
234
00:10:13,977 --> 00:10:15,323
before I start dating.
235
00:10:15,358 --> 00:10:16,497
Damn, my bad.
236
00:10:16,531 --> 00:10:18,015
Oh, it's no big deal. I just...
237
00:10:18,050 --> 00:10:20,328
No, I mean the... The anisocoria.
238
00:10:23,918 --> 00:10:26,230
Definitely not harmless.
239
00:10:26,265 --> 00:10:28,094
Or a concussion.
240
00:10:32,885 --> 00:10:34,507
You have multiple cerebral aneurysms,
241
00:10:34,542 --> 00:10:36,440
which puts you in danger
of a brain hemorrhage.
242
00:10:38,715 --> 00:10:40,233
So, what now?
243
00:10:40,268 --> 00:10:42,546
Well, we're gonna map
the precise vessels involved,
244
00:10:42,581 --> 00:10:44,997
take some pictures
of the inside of your brain.
245
00:10:45,031 --> 00:10:46,351
It's called a...
246
00:10:47,240 --> 00:10:49,562
Cerebral angiogram.
247
00:10:50,105 --> 00:10:51,555
We'll feed a catheter into your brain
248
00:10:51,590 --> 00:10:52,763
through an artery in your wrist.
249
00:10:52,798 --> 00:10:54,247
You'll be sedated. It's harmless.
250
00:10:54,282 --> 00:10:57,043
As soon as we get the results,
we'll map out a surgical plan.
251
00:10:58,804 --> 00:10:59,908
B-Brain surgery?
252
00:10:59,943 --> 00:11:03,368
Hey. Best brain doc in town, right?
253
00:11:09,918 --> 00:11:11,092
It just keeps getting worse.
254
00:11:11,126 --> 00:11:13,750
The tumor has significantly
damaged the bile duct.
255
00:11:13,784 --> 00:11:15,544
Eddie's gonna need a surgical resection
256
00:11:15,579 --> 00:11:18,064
or possibly a major GI reconstruction.
257
00:11:18,099 --> 00:11:19,514
The poor guy.
258
00:11:19,548 --> 00:11:22,068
As if one rare and devastating
disease wasn't enough.
259
00:11:22,103 --> 00:11:24,761
Well, the surgery is manageable.
260
00:11:24,795 --> 00:11:26,797
I've known Eddie for years.
He's always been the embodiment
261
00:11:26,832 --> 00:11:29,006
of, "What doesn't kill you
makes you stronger."
262
00:11:29,041 --> 00:11:30,249
Who needs strength
263
00:11:30,283 --> 00:11:32,689
when you're cradled
in the Lord's loving arms?
264
00:11:33,632 --> 00:11:35,047
Given his situation,
don't you think his,
265
00:11:35,081 --> 00:11:38,982
"I'm just thankful for all God's
gifts" attitude's just a bit crazy?
266
00:11:39,016 --> 00:11:41,640
I find the strength he draws
from his faith very inspiring.
267
00:11:41,674 --> 00:11:43,020
Except that his faith has inspired him
268
00:11:43,055 --> 00:11:45,195
to not do the only thing
that would actually help him.
269
00:11:45,229 --> 00:11:48,854
Get an octreoscan to confirm
that his liver, pancreas,
270
00:11:48,888 --> 00:11:50,510
and lymph nodes aren't involved.
271
00:11:50,864 --> 00:11:52,314
On it.
272
00:11:52,965 --> 00:11:55,352
- You should probably go and...
- Referee?
273
00:11:55,377 --> 00:11:56,838
Assist.
274
00:12:01,211 --> 00:12:03,800
The radiolabeled tracer
will light up any areas
275
00:12:03,834 --> 00:12:05,680
infiltrated by the tumor.
276
00:12:06,078 --> 00:12:08,218
Will I get spidey strength, too?
277
00:12:08,252 --> 00:12:10,530
Can I get you flat
on your back for the scan?
278
00:12:10,565 --> 00:12:11,877
That won't be too painful, will it?
279
00:12:11,911 --> 00:12:13,844
No. Sure, I'll be alright.
280
00:12:14,983 --> 00:12:16,778
Is there any family
you'd like to contact?
281
00:12:16,813 --> 00:12:19,539
No, it's just me. I live alone.
282
00:12:19,574 --> 00:12:23,129
If you don't mind my asking,
E.V. is genetically inherited.
283
00:12:23,164 --> 00:12:25,787
I'd assume at least one of
your parents suffered from it?
284
00:12:25,822 --> 00:12:26,961
Yeah, they both did.
285
00:12:26,995 --> 00:12:29,860
Did they both also decide
against surgical treatment?
286
00:12:29,895 --> 00:12:32,863
Well, my parents were circus performers,
287
00:12:32,898 --> 00:12:34,796
made a living off their appearance,
288
00:12:34,831 --> 00:12:36,833
so I doubt they wanted any treatment.
289
00:12:36,867 --> 00:12:38,006
Can't say that for sure, though.
290
00:12:38,041 --> 00:12:40,673
They gave me up,
uh, right after I was born.
291
00:12:41,354 --> 00:12:43,978
I'm sure they were trying to
protect you from the life they had.
292
00:12:44,012 --> 00:12:46,359
Heh. No, from what I found out,
293
00:12:46,394 --> 00:12:48,879
they thought a family act
would be too sad
294
00:12:48,914 --> 00:12:51,019
and ruin the gig,
so they didn't want me around.
295
00:12:51,571 --> 00:12:52,814
That's horrible.
296
00:12:52,849 --> 00:12:54,270
Not at all.
297
00:12:54,713 --> 00:12:55,851
I grew up in foster homes.
298
00:12:55,886 --> 00:12:58,993
I had one mom who was a minister,
299
00:12:59,027 --> 00:13:01,064
introduced me to the power of the Lord.
300
00:13:01,098 --> 00:13:04,447
And then, when I was older,
I had a dad who was a carpenter.
301
00:13:05,447 --> 00:13:06,828
Taught me everything I know.
302
00:13:08,588 --> 00:13:10,729
I've always been blessed.
303
00:13:15,803 --> 00:13:19,047
Advancing the catheter to
assess posterior circulation.
304
00:13:22,879 --> 00:13:24,604
Dr. Murphy, do you mind if I ask,
305
00:13:24,639 --> 00:13:25,778
why are you observing us?
306
00:13:26,814 --> 00:13:28,401
I don't mind.
307
00:13:30,058 --> 00:13:31,577
Why are you observing us?
308
00:13:31,611 --> 00:13:32,854
I am not observing you.
309
00:13:32,889 --> 00:13:35,892
I observing this case
because it is interesting.
310
00:13:35,926 --> 00:13:37,686
Also, because it is Dr. Glassman's,
311
00:13:37,721 --> 00:13:38,860
and he may display additional symptoms
312
00:13:38,895 --> 00:13:39,965
that will help me diagnose
313
00:13:39,999 --> 00:13:42,864
his deteriorating executive function.
314
00:13:42,899 --> 00:13:44,383
So you're worried because he forgot
315
00:13:44,417 --> 00:13:46,247
a couple of stitches on a routine close?
316
00:13:46,271 --> 00:13:47,305
Stop.
317
00:13:51,631 --> 00:13:54,565
The third aneurysm is low lying
at the basilar trunk.
318
00:13:54,600 --> 00:13:56,982
That will be very difficult to clip.
319
00:13:57,430 --> 00:13:58,949
And dangerous.
320
00:13:58,984 --> 00:14:02,228
Definitely a very interesting case.
321
00:14:15,966 --> 00:14:17,657
You sure you should be doing that?
322
00:14:17,692 --> 00:14:19,798
Changing bandages or singing?
323
00:14:20,429 --> 00:14:21,637
Both.
324
00:14:25,286 --> 00:14:27,219
She's gonna be leaving soon.
325
00:14:27,253 --> 00:14:28,599
I'll be fine.
326
00:14:37,056 --> 00:14:39,058
No, I'm not overreacting.
327
00:14:39,093 --> 00:14:42,682
He is covered in these tree-like
growths but refuses surgery.
328
00:14:42,717 --> 00:14:45,099
But everyone acts
as if he's so inspiring.
329
00:14:45,133 --> 00:14:46,445
It's a pretty brave choice.
330
00:14:46,479 --> 00:14:48,033
No, it's a stupid choice.
331
00:14:48,067 --> 00:14:50,690
Living in isolation
and unnecessary pain,
332
00:14:50,725 --> 00:14:52,002
all because of his belief
333
00:14:52,037 --> 00:14:54,487
in the Magical Mystery Tour
that is religion.
334
00:14:54,522 --> 00:14:55,972
Well, given your family history,
335
00:14:56,006 --> 00:14:57,974
I see why this patient is
a little triggering for you.
336
00:14:58,008 --> 00:14:59,630
Okay, I'm not triggered.
337
00:14:59,665 --> 00:15:02,231
This has nothing to do with my family.
338
00:15:02,875 --> 00:15:05,809
Religion is the opiate of the masses.
339
00:15:05,844 --> 00:15:08,018
You know, Marx got a lot wrong,
but not that one.
340
00:15:08,053 --> 00:15:09,502
Why don't we talk about something else?
341
00:15:09,537 --> 00:15:12,402
I mean, look at terrorism,
the countless wars,
342
00:15:12,436 --> 00:15:15,681
the KKK, al-Qaeda,
bombed abortion clinics,
343
00:15:15,715 --> 00:15:17,648
the assault on women's rights,
not to mention
344
00:15:17,683 --> 00:15:20,928
the rampant persecution
of the LGBTQIA community.
345
00:15:20,962 --> 00:15:22,895
I mean, you either have to have
your head in the sand
346
00:15:22,930 --> 00:15:25,208
or be a complete moron not to see that.
347
00:15:25,970 --> 00:15:26,971
Mmm.
348
00:15:27,831 --> 00:15:30,178
This is done. Will you grab the salad?
349
00:15:45,124 --> 00:15:48,196
Sorry. I was looking
for a place to meditate.
350
00:15:48,231 --> 00:15:49,853
It's okay.
351
00:15:49,888 --> 00:15:54,283
I came here to decompress
before I head home.
352
00:15:58,931 --> 00:16:00,248
Jordan.
353
00:16:02,762 --> 00:16:04,557
The other night at karaoke,
354
00:16:04,592 --> 00:16:07,284
I shouldn't have tried to
give you relationship advice.
355
00:16:07,319 --> 00:16:09,562
I mean, you don't need me for that...
356
00:16:11,388 --> 00:16:13,148
or anything else, really.
357
00:16:16,431 --> 00:16:18,261
You're everything.
358
00:16:23,128 --> 00:16:24,094
Thanks.
359
00:16:28,204 --> 00:16:29,930
Sorry, I gotta go.
360
00:16:32,792 --> 00:16:34,656
He started vomiting blood
and then lost consciousness.
361
00:16:34,691 --> 00:16:36,210
Get two units PRBC, stay two ahead,
362
00:16:36,244 --> 00:16:37,970
- and place an NG tube.
- On it.
363
00:16:38,005 --> 00:16:40,662
Eddie, can you hear me? Eddie?
364
00:16:42,705 --> 00:16:44,155
The tumor's caused
a severe duodenal ulcer
365
00:16:44,190 --> 00:16:46,709
and major hemorrhaging
in his upper GI tract.
366
00:16:46,744 --> 00:16:49,374
Yeah. We can't excise it
if we can't stop the bleed.
367
00:16:49,409 --> 00:16:51,983
We could do it in two steps,
endoscopy to stop the bleed
368
00:16:52,017 --> 00:16:53,716
and a partial duodenectomy
to remove the tumor.
369
00:16:53,751 --> 00:16:57,109
But it'd be safer to debulk
the tumor after the scope
370
00:16:57,144 --> 00:16:58,825
and follow up with
aggressive chemotherapy.
371
00:16:58,859 --> 00:17:00,619
Chemo would increase the pace
of the E.V. growths.
372
00:17:00,654 --> 00:17:02,035
Which he doesn't seem bothered by.
373
00:17:02,070 --> 00:17:03,484
Doesn't mean we should make it worse.
374
00:17:03,519 --> 00:17:05,038
Well, it's better than
bleeding out in the OR.
375
00:17:05,073 --> 00:17:06,759
He's not going to bleed out.
376
00:17:07,213 --> 00:17:09,077
We can solve both the GI bleed
377
00:17:09,110 --> 00:17:12,907
and totally excise the tumor
with a pancreaticoduodenectomy.
378
00:17:12,943 --> 00:17:15,772
A Whipple while the patient
is hemorrhaging?
379
00:17:15,807 --> 00:17:17,982
That's even more risky
than combining the scope and...
380
00:17:18,017 --> 00:17:21,537
I'm aware of that,
but unlike your department chief,
381
00:17:21,571 --> 00:17:22,849
I'm not interested in whether residents
382
00:17:22,884 --> 00:17:24,506
approve of my decisions.
383
00:17:24,540 --> 00:17:26,070
Get him prepped.
384
00:17:26,818 --> 00:17:28,165
We'll approach all three aneurysms
385
00:17:28,199 --> 00:17:29,891
from a left-sided craniotomy.
386
00:17:29,925 --> 00:17:33,342
Even though the ICA aneurysm
is on the right side?
387
00:17:33,377 --> 00:17:34,792
Yes.
388
00:17:35,793 --> 00:17:37,622
We'll go after the basilar first,
389
00:17:37,657 --> 00:17:39,210
as that is the most challenging.
390
00:17:39,245 --> 00:17:41,385
What about the ipsilateral PCOM?
391
00:17:41,419 --> 00:17:43,870
It's pressing the third nerve
and may rupture soon.
392
00:17:43,905 --> 00:17:45,734
If you'd let me finish,
393
00:17:45,768 --> 00:17:48,134
step two will be the PCOM,
394
00:17:48,530 --> 00:17:50,469
and after that,
395
00:17:50,670 --> 00:17:53,052
we'll cut across the infield
and go after the ICA.
396
00:17:53,086 --> 00:17:54,398
Have you considered...
397
00:17:54,432 --> 00:17:56,710
Shaun, will you stop?
Will you just please stop?
398
00:17:56,745 --> 00:17:58,505
I'm fine. I know what I'm doing.
399
00:17:58,540 --> 00:18:00,059
My memory is intact.
400
00:18:00,093 --> 00:18:02,010
Does anyone have an actual objection
401
00:18:02,034 --> 00:18:03,303
to the surgical plan?
402
00:18:03,752 --> 00:18:04,960
- No.
- Nope.
403
00:18:04,995 --> 00:18:07,066
Thank you. It is extensive
404
00:18:07,100 --> 00:18:11,173
and could put Ricky at risk
for future seizures.
405
00:18:11,208 --> 00:18:13,658
And your outburst could
indicate a lack of impulse control,
406
00:18:13,693 --> 00:18:16,006
which is a symptom
of executive dysfunction.
407
00:18:16,040 --> 00:18:19,837
I am exhibiting extraordinary
impulse control as we speak.
408
00:18:19,871 --> 00:18:23,220
As to the risks,
I have clipped over 2,000 aneurysms.
409
00:18:23,254 --> 00:18:26,172
Tomorrow morning,
I'm going to clip three more.
410
00:18:29,260 --> 00:18:31,400
Put Ricky on the schedule.
411
00:18:31,435 --> 00:18:33,299
Go home. Get some sleep.
412
00:18:37,130 --> 00:18:40,064
It's not milk and cookies,
but it'll have to do for now.
413
00:18:41,548 --> 00:18:44,275
Oh, sorry.
I was gonna take care of that.
414
00:18:44,310 --> 00:18:46,968
Why? Did Park tell you to?
415
00:18:47,002 --> 00:18:48,970
Dr. Park? No. I just got off my break,
416
00:18:49,004 --> 00:18:51,248
- and I was going to...
- Great news.
417
00:18:51,282 --> 00:18:53,836
I just got off the phone
with her social worker.
418
00:18:53,871 --> 00:18:55,493
She found a foster family.
419
00:18:57,702 --> 00:19:00,291
Lucky girl. You've got a home.
420
00:19:09,059 --> 00:19:10,992
I know you were hoping
for a pancake dinner,
421
00:19:11,026 --> 00:19:13,615
but I was thinking maybe we
could go to Barone's instead.
422
00:19:13,649 --> 00:19:16,204
I'm really craving a meatball.
423
00:19:16,238 --> 00:19:18,965
Yes, Dr. Glassman is not only
highly experienced.
424
00:19:19,000 --> 00:19:21,450
He has above average intelligence.
425
00:19:21,485 --> 00:19:23,280
I don't know. He is an A's fan.
426
00:19:24,143 --> 00:19:26,800
I have not noticed any symptoms
427
00:19:26,835 --> 00:19:29,044
significant enough to alert Dr. Lim,
428
00:19:29,079 --> 00:19:31,564
but even with a decline
in executive function,
429
00:19:31,598 --> 00:19:33,807
he might not show serious deficits.
430
00:19:33,842 --> 00:19:35,326
I think we should definitely
discuss it further,
431
00:19:35,361 --> 00:19:37,156
over sauteed artichokes.
432
00:19:37,190 --> 00:19:39,537
I am not hungry,
but I will come and keep you company
433
00:19:39,572 --> 00:19:41,372
while I continue to work.
434
00:19:44,163 --> 00:19:46,648
If Glassy can still do brain surgery
435
00:19:46,682 --> 00:19:49,237
and you haven't seen
any serious deficits...
436
00:19:49,271 --> 00:19:52,930
There is definitely something
wrong with his brain.
437
00:19:52,964 --> 00:19:55,415
He's getting older.
It happens to everyone.
438
00:19:55,450 --> 00:19:57,624
This is not just aging.
439
00:19:57,659 --> 00:19:59,212
I know Dr. Glassman.
440
00:20:00,558 --> 00:20:03,310
Do you think Glassman
is a danger to his patients?
441
00:20:07,182 --> 00:20:08,565
No.
442
00:20:09,655 --> 00:20:10,859
Not yet.
443
00:20:12,122 --> 00:20:15,780
Then let's go to Barone's
and eat some meatballs
444
00:20:15,815 --> 00:20:18,887
and chicken wings that I will
enjoy for a few glorious hours
445
00:20:18,921 --> 00:20:20,923
until the indigestion kicks in.
446
00:20:24,789 --> 00:20:26,032
You are right.
447
00:20:27,206 --> 00:20:28,877
Meatball, stat.
448
00:20:35,352 --> 00:20:38,182
That's the last
anastomosis. Remove the clamp.
449
00:20:41,944 --> 00:20:43,946
Looks like the sutures are holding.
450
00:20:43,981 --> 00:20:46,294
I can't believe we did
a Whipple in under six hours.
451
00:20:46,328 --> 00:20:47,950
That's gotta be a record.
452
00:20:47,985 --> 00:20:51,540
More importantly, no more tumor,
no more bleeding ulcer.
453
00:20:51,575 --> 00:20:53,024
Went even better than I'd hoped.
454
00:20:53,059 --> 00:20:55,234
Gotta give the good Lord his due.
455
00:20:56,166 --> 00:20:57,788
Eddie is truly blessed.
456
00:20:59,755 --> 00:21:01,895
We need a few more
4-0 prolenes on a Castro
457
00:21:01,930 --> 00:21:03,932
and two surgical drains.
458
00:21:13,493 --> 00:21:15,978
Hey. You got your gear for tonight?
459
00:21:16,013 --> 00:21:17,325
Yep.
460
00:21:17,359 --> 00:21:18,912
Dug out the old football cleats.
461
00:21:18,947 --> 00:21:20,328
Awesome.
462
00:21:20,362 --> 00:21:22,306
Samira's really looking forward
to meeting you.
463
00:21:23,848 --> 00:21:25,781
Don't worry. I respect your recovery.
464
00:21:25,816 --> 00:21:27,853
- I'm not trying to set you up.
- Thank you.
465
00:21:28,646 --> 00:21:29,923
Jordan also told me she'd kill me
466
00:21:29,958 --> 00:21:31,580
if I did anything
to tempt you off your path.
467
00:21:33,709 --> 00:21:36,195
You and Dr. Allen were talking about me?
468
00:21:36,309 --> 00:21:38,630
Yeah. She was just making sure I
knew what you were dealing with.
469
00:21:39,692 --> 00:21:41,314
She's definitely looking out for you.
470
00:21:53,050 --> 00:21:55,052
My head. It's gonna explode.
471
00:21:55,086 --> 00:21:58,469
He has a thunderclap headache
and double vision.
472
00:21:58,504 --> 00:22:01,334
His left eyelid's droopy,
looks like complete third nerve palsy.
473
00:22:01,369 --> 00:22:02,784
Left pupil non-reactive to light.
474
00:22:02,818 --> 00:22:04,337
The PCOM aneurysm must have ruptured.
475
00:22:04,372 --> 00:22:06,719
We need to get him to the OR, stat.
476
00:22:06,753 --> 00:22:08,268
Page Dr. Glassman.
477
00:22:09,464 --> 00:22:10,534
Scalpel.
478
00:22:20,475 --> 00:22:22,961
Intracranial pressure is dropping.
479
00:22:22,995 --> 00:22:24,410
We've bought him some temporary relief.
480
00:22:24,445 --> 00:22:27,482
Can we see the CT scans,
the new ones, please?
481
00:22:29,933 --> 00:22:31,624
Given the subarachnoid hemorrhage,
482
00:22:31,659 --> 00:22:34,144
the risk of the previous
surgical plan has increased.
483
00:22:34,179 --> 00:22:36,077
I can still clip
the two smaller aneurysms,
484
00:22:36,112 --> 00:22:38,735
then ligate and bypass the ruptured one.
485
00:22:38,770 --> 00:22:40,426
We should consider coil embolization
486
00:22:40,461 --> 00:22:41,738
of the ruptured aneurysm.
487
00:22:41,773 --> 00:22:43,740
We treat that now and then
come back for the other two
488
00:22:43,775 --> 00:22:45,224
once Ricky has recovered.
489
00:22:45,259 --> 00:22:47,882
Then he has to come in every
six months for an angiogram,
490
00:22:47,917 --> 00:22:50,920
weakening his muscles,
damaging his coordination,
491
00:22:50,954 --> 00:22:52,714
effectively ending his pro career.
492
00:22:52,749 --> 00:22:54,176
That's your recommendation?
493
00:22:55,476 --> 00:22:58,014
The treatment is a much safer option.
494
00:22:59,169 --> 00:23:00,515
He's 19.
495
00:23:00,550 --> 00:23:02,897
He has lots of life
to consider after baseball.
496
00:23:02,932 --> 00:23:04,726
I'm confident in what I promised.
497
00:23:04,761 --> 00:23:06,521
I'm confident that I can deliver it.
498
00:23:06,556 --> 00:23:09,904
Your experience mitigates
the increased risks
499
00:23:09,939 --> 00:23:12,010
of the craniotomy,
but it does not eliminate them.
500
00:23:12,044 --> 00:23:13,701
The patient should decide.
501
00:23:15,599 --> 00:23:17,116
Fine.
502
00:23:17,498 --> 00:23:19,983
Let's wake him up
and present both plans.
503
00:23:23,504 --> 00:23:26,679
The surgery went better
than we could have hoped.
504
00:23:26,714 --> 00:23:28,612
We removed the tumor,
505
00:23:28,647 --> 00:23:31,464
and your liver and pancreas
are working great.
506
00:23:32,685 --> 00:23:34,550
So when do I get to go home?
507
00:23:35,550 --> 00:23:37,759
Well, we need to keep an eye
on you for a couple days.
508
00:23:37,794 --> 00:23:39,451
I took the liberty of
getting you a few things
509
00:23:39,485 --> 00:23:41,142
to help pass the time.
510
00:23:44,145 --> 00:23:45,319
Thank you.
511
00:23:48,736 --> 00:23:51,192
I'm so grateful to you all.
512
00:23:51,670 --> 00:23:54,293
I've spent so much time on my own,
I can forget how wonderful it is
513
00:23:54,328 --> 00:23:56,280
to have other people there
who care about you.
514
00:24:06,202 --> 00:24:09,791
Hey. Sorry. I got
a little aggro last night.
515
00:24:09,826 --> 00:24:11,586
My family was big on dinner debate time.
516
00:24:12,242 --> 00:24:13,347
Okay.
517
00:24:14,555 --> 00:24:16,350
That's all you have to say?
518
00:24:16,384 --> 00:24:19,261
I have a blood draw to do, so...
519
00:24:20,354 --> 00:24:22,011
It was just a philosophical discussion.
520
00:24:22,045 --> 00:24:24,220
It's not like we got
into a fight, right?
521
00:24:24,254 --> 00:24:25,851
No, we didn't.
522
00:24:34,609 --> 00:24:36,508
- It was awful.
- Terrible.
523
00:24:38,268 --> 00:24:39,994
Somebody's in a good mood.
524
00:24:40,029 --> 00:24:41,271
Indeed I am.
525
00:24:41,306 --> 00:24:42,548
It's the Eddie effect.
526
00:24:42,583 --> 00:24:44,896
Our patient radiates positivity.
527
00:24:44,930 --> 00:24:46,380
It's oddly contagious.
528
00:24:46,414 --> 00:24:48,623
It's got me wondering
why I'm always so focused
529
00:24:48,658 --> 00:24:51,419
on choosing the right path instead of...
530
00:24:51,454 --> 00:24:54,231
just being open to God's gifts.
531
00:24:54,266 --> 00:24:56,315
Sorry.
532
00:24:57,909 --> 00:25:00,566
My gift is using my stomach
as a speedbag.
533
00:25:05,640 --> 00:25:07,573
I don't know what's worse...
534
00:25:07,608 --> 00:25:09,265
that I might not walk out of here,
535
00:25:09,299 --> 00:25:11,819
or walking out knowing that
I'll never play ball again.
536
00:25:11,853 --> 00:25:16,306
Yes. That is the question
you need to answer.
537
00:25:16,341 --> 00:25:18,584
Don't get stuck on worst-case scenarios.
538
00:25:20,138 --> 00:25:21,898
I worked real hard to get here,
you know?
539
00:25:21,933 --> 00:25:23,624
And I... And I got
people counting on me...
540
00:25:23,658 --> 00:25:25,143
Hey, hey, hey.
541
00:25:25,177 --> 00:25:27,421
Shut out the noise.
542
00:25:27,455 --> 00:25:28,767
Other people are gonna have opinions,
543
00:25:28,801 --> 00:25:30,251
whether you swing 3-0,
544
00:25:30,286 --> 00:25:32,426
whether you don't take the extra base.
545
00:25:32,460 --> 00:25:34,669
Whatever decision you make,
546
00:25:34,704 --> 00:25:36,637
that's gonna be the right decision.
547
00:25:45,144 --> 00:25:48,699
You know, uh, there's a...
There's a saying
548
00:25:49,423 --> 00:25:51,020
back in the DR...
549
00:25:52,273 --> 00:25:54,275
"You can't walk off the island."
550
00:25:58,555 --> 00:25:59,971
You gotta take big swings.
551
00:26:04,872 --> 00:26:06,667
Let's fix all the aneurysms now.
552
00:26:08,885 --> 00:26:09,955
Good call.
553
00:26:19,542 --> 00:26:22,096
You'll need to keep
the wound site clean and dry.
554
00:26:22,131 --> 00:26:24,478
And be sure to monitor
her caloric intake closely.
555
00:26:24,512 --> 00:26:26,618
Babies with Turner Syndrome
have difficulty swallowing
556
00:26:26,652 --> 00:26:28,275
and tongue dysfunction.
557
00:26:28,309 --> 00:26:29,483
Turner Syndrome?
558
00:26:29,517 --> 00:26:31,278
Will she need additional surgeries?
559
00:26:31,312 --> 00:26:34,246
Yes, but not for a few years.
560
00:26:34,281 --> 00:26:38,043
With things like this,
it's best to take it one step at a time.
561
00:26:38,078 --> 00:26:41,115
We were hoping to foster to adopt.
562
00:26:41,150 --> 00:26:44,325
And these long-term medical issues...
563
00:26:44,360 --> 00:26:45,878
they're significant.
564
00:26:45,913 --> 00:26:48,571
When it comes to medicine,
Google is not your friend.
565
00:26:49,917 --> 00:26:54,301
Patrick, Annie,
I know it all sounds scary,
566
00:26:54,335 --> 00:26:57,166
and you have every right to be nervous.
567
00:26:58,029 --> 00:26:59,651
But you can do this.
568
00:27:00,859 --> 00:27:02,585
Eden needs you.
569
00:27:15,701 --> 00:27:17,496
Wouldn't it be best for Eden
570
00:27:17,531 --> 00:27:19,878
if you found someone more qualified?
571
00:27:23,916 --> 00:27:25,823
I'll let Social Services know.
572
00:27:37,207 --> 00:27:39,000
What's the score?
573
00:27:40,741 --> 00:27:43,330
How am I doing? My executive function.
574
00:27:43,364 --> 00:27:44,883
What's the score?
575
00:27:44,918 --> 00:27:47,299
It is not a score, it is data,
576
00:27:47,334 --> 00:27:49,681
and I am not ready
to draw my conclusions.
577
00:27:49,716 --> 00:27:51,062
Well, you're wasting your time.
578
00:27:51,096 --> 00:27:53,754
You should focus on people
who actually need you.
579
00:27:53,789 --> 00:27:55,725
I'm fine.
580
00:27:56,101 --> 00:27:58,102
I am focused on you...
581
00:28:00,071 --> 00:28:03,315
because for most of my life,
you've watched out for me.
582
00:28:05,421 --> 00:28:07,654
No one asked you to do it.
583
00:28:08,148 --> 00:28:09,531
You chose to.
584
00:28:13,256 --> 00:28:15,465
Sometimes when I didn't want you to.
585
00:28:17,993 --> 00:28:19,408
I'm very glad you did.
586
00:28:22,093 --> 00:28:25,421
So no matter what anyone,
including you, says,
587
00:28:26,381 --> 00:28:28,633
I am going to watch out for you.
588
00:28:35,762 --> 00:28:37,729
What are you talking about?
It's fantastic.
589
00:28:37,764 --> 00:28:39,593
These are incredible, seriously.
590
00:28:41,699 --> 00:28:42,976
I didn't mean to interrupt.
591
00:28:43,010 --> 00:28:45,979
No, Dalisay was just showing me
her watercolor landscapes.
592
00:28:46,013 --> 00:28:47,808
She's a wonderful painter.
593
00:28:47,843 --> 00:28:49,741
Really? I had no idea.
594
00:28:49,776 --> 00:28:52,615
There's increased output
in his J.P. drains.
595
00:28:53,055 --> 00:28:55,076
That's not surprising,
considering your EV.
596
00:28:56,334 --> 00:28:57,784
Send a sample to the lab
and add meropenem
597
00:28:57,818 --> 00:28:59,873
to his antibiotic regimen,
just to be safe.
598
00:29:02,512 --> 00:29:04,791
Your recovery looks to be on track.
599
00:29:04,825 --> 00:29:06,516
And we've made significant advances
600
00:29:06,551 --> 00:29:09,036
in plastic surgery techniques
since your last consult.
601
00:29:09,071 --> 00:29:10,969
Yeah, I don't doubt it.
602
00:29:11,004 --> 00:29:12,626
But we both know
it would still be painful,
603
00:29:12,661 --> 00:29:15,346
and they'd just grow back anyway.
604
00:29:15,871 --> 00:29:18,433
There's one thing I've learned
from the home reno business,
605
00:29:19,426 --> 00:29:21,497
"If it ain't broke, don't fix it."
606
00:29:24,224 --> 00:29:25,846
A proverb for the ages.
607
00:29:34,890 --> 00:29:35,960
I wanted to say goodbye.
608
00:29:35,994 --> 00:29:37,858
The foster parents backed out.
609
00:29:37,893 --> 00:29:40,204
She's scrambling to find someone else.
610
00:29:47,178 --> 00:29:48,835
I don't have another family lined up.
611
00:29:51,044 --> 00:29:52,390
Can you give me more time?
612
00:29:55,012 --> 00:29:56,116
N-No.
613
00:29:57,429 --> 00:30:00,975
Eden needs a home, and I know
the perfect person to foster her.
614
00:30:02,227 --> 00:30:03,332
Me.
615
00:30:18,623 --> 00:30:20,211
One down, two to go.
616
00:30:22,903 --> 00:30:25,561
It's been five hours.
Do you need a break?
617
00:30:25,595 --> 00:30:27,390
Not when I have a 30-year-old Macallan
618
00:30:27,425 --> 00:30:30,046
waiting for me at the finish line.
619
00:30:30,359 --> 00:30:31,947
Fenestrated aneurysm clip.
620
00:30:33,949 --> 00:30:35,122
We've got an intra-op rupture.
621
00:30:35,157 --> 00:30:36,296
Bleed is massive.
622
00:30:36,330 --> 00:30:37,884
Suction. Both of you, suction.
623
00:30:37,918 --> 00:30:39,402
Let's keep this field clear.
624
00:30:39,437 --> 00:30:40,679
Should we try balloon occlusion?
625
00:30:40,714 --> 00:30:42,198
- Or a flow diverting stent?
- No.
626
00:30:42,233 --> 00:30:43,544
We should adjust the clips
627
00:30:43,579 --> 00:30:45,270
to get better proximal
and distal control
628
00:30:45,305 --> 00:30:48,446
and pivot to a Muslin wrapping.
629
00:30:48,480 --> 00:30:51,275
Push 6 mg bolus adenosine.
630
00:30:53,623 --> 00:30:55,280
We're gonna stop the heart.
631
00:30:55,315 --> 00:30:56,903
Push it, please. Push it.
632
00:30:59,975 --> 00:31:02,598
Aneurysm clips.
633
00:31:03,979 --> 00:31:07,534
Oh. That is very innovative.
634
00:31:07,568 --> 00:31:08,880
Inducing a brief cardiac arrest
635
00:31:08,915 --> 00:31:11,503
reduces blood flow to the aneurysm.
636
00:31:11,538 --> 00:31:13,954
Gives us time to apply the clips.
637
00:31:23,826 --> 00:31:28,072
Okay. Let us proceed with
the parent vessel reconstruction.
638
00:31:28,106 --> 00:31:31,661
One more time,
fenestrated aneurysm clip.
639
00:31:31,696 --> 00:31:32,939
Thank you.
640
00:31:34,354 --> 00:31:36,011
That was exciting.
641
00:31:41,810 --> 00:31:44,019
He's in Vfib,
642
00:31:44,053 --> 00:31:45,848
not responding to chest
compressions or epi...
643
00:31:45,883 --> 00:31:47,263
We need to shock him. Charge to 200,
644
00:31:47,298 --> 00:31:48,678
and push another milligram of epi.
645
00:31:48,713 --> 00:31:49,818
He must have thrown a clot.
646
00:31:49,852 --> 00:31:51,026
Clear!
647
00:32:16,617 --> 00:32:19,761
Time of death, 7:34.
648
00:32:23,176 --> 00:32:26,765
His underlying illness
weakened his immune system
649
00:32:26,800 --> 00:32:29,941
and made his blood
more susceptible to clots.
650
00:32:30,951 --> 00:32:32,504
There's nothing we could have done.
651
00:32:42,678 --> 00:32:44,473
Do you know what hospital you're in?
652
00:32:44,507 --> 00:32:45,854
St. Bonaventure.
653
00:32:45,888 --> 00:32:47,338
And why are you here?
654
00:32:47,372 --> 00:32:50,962
Aneurysms, which you were
supposed to fix.
655
00:32:50,997 --> 00:32:53,792
Which we did. And we did quite well.
656
00:32:53,827 --> 00:32:55,829
In fact, if you stick to your rehab,
657
00:32:55,864 --> 00:32:58,383
you might be back
on the field by mid-season.
658
00:33:00,938 --> 00:33:02,663
Thank you, Dr. Glassman.
659
00:33:05,908 --> 00:33:08,221
You got a surgery that can
help me hit a curveball?
660
00:33:08,255 --> 00:33:10,533
Try hitting a knuckleball.
661
00:33:10,568 --> 00:33:13,709
You don't know what it is
until, pfft, it's too late.
662
00:33:13,743 --> 00:33:15,055
That's old school.
663
00:33:15,918 --> 00:33:17,230
I haven't even seen one in a game.
664
00:33:17,264 --> 00:33:19,025
Oh, I used to throw
a knuckleball, actually,
665
00:33:19,059 --> 00:33:20,543
back in the day.
666
00:33:20,578 --> 00:33:22,545
I tried to be a pitcher.
667
00:33:22,580 --> 00:33:24,685
But I didn't have a fastball...
668
00:33:32,417 --> 00:33:34,523
And then you
have no idea where it's gonna go
669
00:33:34,557 --> 00:33:36,076
'cause it had just a...
670
00:33:38,492 --> 00:33:40,046
Just a slight amount of spin.
671
00:33:45,730 --> 00:33:46,770
You heard?
672
00:33:49,227 --> 00:33:51,126
Thank you for checking on me.
673
00:33:52,334 --> 00:33:53,542
Andrews was right.
674
00:33:53,576 --> 00:33:55,095
There's nothing more we could have done.
675
00:33:57,166 --> 00:33:59,272
I'm really sorry about your patient,
676
00:33:59,305 --> 00:34:01,412
but I actually came to tell you
677
00:34:01,446 --> 00:34:04,282
that I'm meeting up
with some friends tonight.
678
00:34:04,656 --> 00:34:06,796
I'm gonna go back to my place after.
679
00:34:08,383 --> 00:34:09,938
Okay.
680
00:34:11,905 --> 00:34:13,941
But what's wrong?
681
00:34:13,976 --> 00:34:15,909
Nothing.
682
00:34:15,944 --> 00:34:18,838
I've been meaning to see
these folks for a while, and...
683
00:34:19,982 --> 00:34:21,950
we're meeting near my place.
No big deal.
684
00:34:22,592 --> 00:34:24,302
Well, it's starting to feel like one.
685
00:34:25,608 --> 00:34:28,181
Clearly, you're mad.
Please tell me what I did.
686
00:34:31,028 --> 00:34:33,978
Sometimes having a conversation with you
687
00:34:34,617 --> 00:34:36,515
feels like combat.
688
00:34:36,550 --> 00:34:38,621
Well, I was just stating my opinion.
689
00:34:38,656 --> 00:34:41,935
No, you were obliterating all
other opinions, including mine.
690
00:34:41,970 --> 00:34:43,695
And calling me a complete
moron in the process.
691
00:34:43,730 --> 00:34:45,283
I have never said that you were a moron.
692
00:34:45,318 --> 00:34:46,745
- I said...
- Ash, I didn't grow up
693
00:34:46,769 --> 00:34:47,803
discussing religion
694
00:34:47,837 --> 00:34:49,494
or quoting Marx at the dinner table.
695
00:34:49,529 --> 00:34:51,255
That doesn't mean
I don't value your opinion.
696
00:34:51,289 --> 00:34:53,257
It doesn't seem like it
when you take a sledgehammer
697
00:34:53,291 --> 00:34:54,327
to my every argument.
698
00:34:54,361 --> 00:34:56,087
I can give you 100 examples
of times when...
699
00:34:56,122 --> 00:34:58,124
This is not another argument
for you to win.
700
00:35:02,680 --> 00:35:04,026
I have to get to dinner.
701
00:35:18,144 --> 00:35:19,973
I'm so sorry.
702
00:35:21,492 --> 00:35:24,403
If you want some company
or someone to talk to...
703
00:35:25,836 --> 00:35:27,942
It's alright. I'll be okay.
704
00:35:28,693 --> 00:35:29,901
I know.
705
00:35:29,983 --> 00:35:31,369
But...
706
00:35:31,847 --> 00:35:35,023
if you change your mind,
I've got your back.
707
00:35:35,057 --> 00:35:36,231
Like you've had mine.
708
00:35:37,232 --> 00:35:38,681
Thank you.
709
00:35:42,030 --> 00:35:43,238
You...
710
00:35:45,895 --> 00:35:47,242
really see me.
711
00:35:49,761 --> 00:35:54,850
I think maybe you and I
could be gifts to each other.
712
00:35:57,528 --> 00:35:59,771
And we should be open to that.
713
00:36:03,706 --> 00:36:06,709
I have no idea what it looks
like for us to move forward.
714
00:36:09,678 --> 00:36:11,507
We'll figure it out.
715
00:36:29,801 --> 00:36:31,262
Dalisay.
716
00:36:31,803 --> 00:36:33,460
Dr. Andrews.
717
00:36:33,495 --> 00:36:37,101
Your landscapes you
showed Eddie before he...
718
00:36:39,846 --> 00:36:43,367
I think you shared them with him
because he was so open-hearted.
719
00:36:46,392 --> 00:36:49,697
See, my whole life, I've believed
720
00:36:50,098 --> 00:36:53,743
that success only came
from constant striving,
721
00:36:54,999 --> 00:36:58,036
constant dissatisfaction
with where I was
722
00:36:58,071 --> 00:36:59,900
or what I'd accomplished.
723
00:36:59,935 --> 00:37:03,044
Contentment was a sign of complacency.
724
00:37:03,283 --> 00:37:05,320
That's no way to go through life.
725
00:37:05,354 --> 00:37:06,922
I know.
726
00:37:07,356 --> 00:37:11,802
And I know I didn't
show you enough respect,
727
00:37:12,595 --> 00:37:14,329
and I didn't make enough effort
728
00:37:14,363 --> 00:37:17,918
to see things from your point of view.
729
00:37:18,988 --> 00:37:21,187
But I want to change.
730
00:37:22,130 --> 00:37:25,961
I want to value the people I care about
731
00:37:25,995 --> 00:37:27,860
and who might care about me.
732
00:37:32,726 --> 00:37:36,454
And if I haven't screwed up
too badly, then maybe one day,
733
00:37:36,489 --> 00:37:41,415
I'll be worthy enough
to see those landscapes.
734
00:37:46,809 --> 00:37:48,017
How about dinner?
735
00:37:48,052 --> 00:37:50,192
You pick me up at 7:30, Saturday.
736
00:37:50,227 --> 00:37:52,367
We can try that Filipino place.
737
00:37:57,855 --> 00:38:00,685
Why would you say that?
738
00:38:00,720 --> 00:38:02,135
- You know...
- Oh, man.
739
00:38:02,170 --> 00:38:04,275
Hey, what else do you say
in that situation?
740
00:38:04,310 --> 00:38:06,104
I think I agree with the guy.
741
00:38:06,139 --> 00:38:08,072
I mean, I think he's... I think...
742
00:38:10,385 --> 00:38:11,800
You were right.
743
00:38:11,834 --> 00:38:15,838
I have a tendency to go
scorched earth in a debate
744
00:38:15,873 --> 00:38:17,564
because I just want to win.
745
00:38:17,599 --> 00:38:20,162
I lose sight of what's
important because I'm...
746
00:38:21,258 --> 00:38:22,880
I-I'm a moron.
747
00:38:22,914 --> 00:38:24,364
But today, I realized
748
00:38:24,399 --> 00:38:28,334
I shouldn't take anything
or anyone for granted.
749
00:38:31,421 --> 00:38:36,220
You showed me what
it truly means to belong,
750
00:38:37,205 --> 00:38:38,999
to not be an island.
751
00:38:41,588 --> 00:38:45,316
And I just feel so blessed
to be in your life.
752
00:38:50,459 --> 00:38:52,323
Uh, and you should order
the salmon carpaccio.
753
00:38:52,358 --> 00:38:54,946
It's delightful here. It's like butter.
754
00:38:59,779 --> 00:39:01,229
Is your boyfriend
really that passionate,
755
00:39:01,263 --> 00:39:02,885
or is he a little insane?
756
00:39:05,302 --> 00:39:06,682
Both.
757
00:39:12,861 --> 00:39:14,467
Hi.
758
00:39:14,794 --> 00:39:18,038
I thought I'd stop by,
see how you and Eden are settling in.
759
00:39:18,073 --> 00:39:19,488
We're fine, so far.
760
00:39:19,523 --> 00:39:20,800
I think.
761
00:39:22,146 --> 00:39:24,631
I'm fairly sure I have
everything Eden needs,
762
00:39:24,666 --> 00:39:26,875
though peds might find
a few things missing
763
00:39:26,909 --> 00:39:29,360
from their inventory this month.
764
00:39:29,395 --> 00:39:31,638
I don't see one of these.
765
00:39:33,169 --> 00:39:34,584
Oh.
766
00:39:34,609 --> 00:39:36,232
Oh, Eden will love it.
767
00:39:37,771 --> 00:39:38,875
Thank you.
768
00:39:42,546 --> 00:39:44,202
Toys.
769
00:39:44,237 --> 00:39:46,377
Onesies. I need to get a stroller...
770
00:39:46,412 --> 00:39:48,310
Hey, you'll handle it.
771
00:39:48,345 --> 00:39:51,279
It's the perfect practice run
for when your own comes along.
772
00:39:53,867 --> 00:39:56,111
I'm going off my IVF meds.
773
00:39:56,145 --> 00:39:58,010
I'm not doing another cycle.
774
00:39:59,459 --> 00:40:01,047
Eden,
775
00:40:01,081 --> 00:40:03,641
she's what I've been waiting for.
776
00:40:04,947 --> 00:40:06,708
She's my daughter.
777
00:40:23,311 --> 00:40:26,762
This is a knuckleball, and it fooled me.
778
00:40:26,797 --> 00:40:29,696
I thought it was Dr. Glassman's
cancer returning,
779
00:40:29,731 --> 00:40:31,664
but it is damage to Dr. Glassman's brain
780
00:40:31,698 --> 00:40:33,804
as a result of a mini-stroke.
781
00:40:40,535 --> 00:40:42,675
If that were the case,
the area would have smooth edges.
782
00:40:42,709 --> 00:40:44,815
Mmm, usually, yes.
But rare presentations
783
00:40:44,849 --> 00:40:46,955
can show abnormalities
like these rough edges,
784
00:40:46,989 --> 00:40:50,372
particularly when the patient
has had radiation treatment.
785
00:40:52,478 --> 00:40:55,343
It explains why his memory
has been impacted,
786
00:40:55,377 --> 00:40:57,271
especially during periods
of intense focus
787
00:40:57,305 --> 00:41:00,030
involving many sequential steps.
788
00:41:02,411 --> 00:41:04,577
It is permanent.
789
00:41:09,184 --> 00:41:11,738
He shouldn't be doing surgery anymore.
58561
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