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Previously on The Good Doctor...
I've been thinking, and I need a break from our coffees.
If you don't value what the nurses do,
how much can you care about me?
- This is my patient. - And I'm your boss.
You can either do this with me, or I'll find someone who will.
If you don't trust me, fire me.
And if you do, then stay out of my way.
Are you trying to pick your embryo?
I'm leaning towards a girl. I have a playbook to work from.
I didn't OD because of you. Or us.
Jordan, if I let myself get close to you,
I will fall for you.
I can't risk that.
You deserve somebody who's ready to fully commit,
somebody who makes you happy.
Your brain cancer may have returned.
The crib needs to be assembled.
Go. I got this.
There are two screws missing.
Dr. Glassman doesn't have brain cancer,
but there is something wrong with his brain.
Lea forgot to add the blueberries,
but we can still put them on top.
Sorry.
Not a problem.
Underneath, on top, on the side.
I can eat them here. I can eat them there.
I can eat them anywhere.
Not Dr. Seuss fans.
We need to discuss something very important.
After we eat.
Don't worry, I'm fine, the baby's fine.
Shaun just wanted to have a bit of a discussion...
You forgot two screws when you built the crib.
- Okay. - Okay, Shaun, slow down.
Let's all at least take a seat first.
We're gonna have a discussion about a crib?
Your CSF DNA test showed your brain cancer has not returned,
but there is clearly something
impacting your neurological function.
Shaun, the crib has like 100 different parts
and instructions without any words.
Just pictures with arrows going in every possible direction.
Okay. Thankfully, I was there to correct your mistake,
but that won't always be possible in the O.R.
The O.R.?
Yes.
- I would like to do more tests. - That's not gonna happen.
- That's not gonna happen. - And... And Dr. Lim should be notified.
That's absolutely not gonna happen!
If your executive function has deteriorated
- even a small percentage... - Shaun, just one second.
Just stop for a second.
Two screws?
There's nothing wrong with my brain.
There's nothing wrong with any part of my body,
for that matter, not that that concerns you.
You go to Lim, and you're gonna look ridiculous.
- Doctor... - That's the end of the discussion!
And breakfast.
He's right.
It's okay. You were just trying...
I can't go to Dr. Lim
without conclusive medical evidence.
Or maybe he was right.
It is just a crib, and he was in a rush.
Everyone forgets things. I-I forgot the blueberries.
Instead of tests,
I can gather data through direct observation.
What does that mean?
Are you gonna spy on him?
Please put my pancakes in the fridge.
I will eat them for dinner.
Good morning.
Mind if I join you?
Sure.
How are things in surgical?
- Great. - Great, as in, actually great?
Or great, as in, "I'm saying the right thing
because he's the president of the hospital"?
Both.
Well, any feedback you have,
you can always come to me.
Sorry to interrupt. I have a clinic patient
who needs a surgical consult.
It's a former patient of yours, Eddie Richter.
Eddie?
I haven't seen him in years.
He came in with GI pain and acid reflux.
Ultrasound reveals a small mass on his duodenum.
He'll need surgery to remove it.
I think I can fit that in. Join me.
Dr. Lim scheduled us with Dr. Park today.
Doctors Park and Lim will understand.
This is a unique case.
A small duodenal mass?
I don't know.
Eddie!
Long time no see.
I wish it were longer. No offense.
I wasn't planning on seeing a surgeon today.
Yeah, yeah, fair enough. I've brought along with me
Doctors Allen and Wolke to assist.
- Hi. - Nice to meet you.
Judging by the astonishment
they are both desperately trying to hide,
you did not tell them about my condition.
I did not. Very few residents get to see
Epidermodysplasia Verruciformis outside of a textbook,
and I figured this would be an important learning opportunity.
They definitely failed the bedside manner part.
I'm sorry.
Eh, heartthrobs like me and Brad Pitt are used to it.
Any deep pain or tenderness here?
A little.
How's business?
Oh, fantastic. Thank the Lord.
Eddie is an amazing carpenter.
He built Isabel and I
this stunning mahogany live edge dining table.
I have no idea what that is, but it sounds delightful.
Yeah. Not much good for guitar,
but I can still wield a power tool.
You'll need to use a carotid pulse monitor
and upper thigh for BP.
Got it.
How painful are the growths?
I mean, that depends. They're basically just huge warts,
so face, not much.
Hands, a little.
Feet, a lot.
I'm blessed.
The Lord knows that a pretty face
can only get a handyman in trouble.
Dr. Reznick gave us a really good view with her ultrasound,
but I'd like an MRI and a biopsy to better assess the lesion.
Ah, might as well get my money's worth, huh?
It's good seeing you, Eddie.
The team doc's playing it safe.
It was a damn curveball.
Well, even a damn double-A curveball
comes in at, what, 80, 85?
It can still do some damage, helmet or no.
Two weeks isn't a long time to be in concussion protocol.
Okay, well, I-I didn't have a concussion.
I mean, I barely even had a headache, so...
Can I help you, Dr. Murphy?
I came to observe. Please continue.
Your ImPACT scores are a bit worse than baseline.
Okay, that's one test.
I mean, I-I passed all the others,
but the doc still won't clear me.
It's not a bad idea to play it safe, though.
It is your brain we're talking about.
I mean, you're an outfielder, so you don't need one just now...
...but you are gonna retire someday.
Look, if I don't get back on the field ASAP,
I won't have a career to retire from.
I wouldn't have come to the best brain doctor in town otherwise.
Alright. We'll take a look.
Do a neuro and get me an MRI.
An MRI? For a concussion?
Well, he's got some dilation of his left pupil.
Probably not significant,
but if we're gonna override the team doctor,
we better be sure, hmm?
- On it. - The MRI is a good idea.
I did not notice the dilated pupil.
Well, thank you.
Not a problem since it's not your case.
But it is an interesting case,
even if I did not know that when I came here.
Since I've cleared my schedule,
I would like to continue observing.
You cleared your schedule of people with actual ailments?
Mmm.
Okay, fine. Observe all you want.
I will.
Both you and the case.
Oh, there's no bleeding or hematoma in your groin,
which means you're doing fantastic.
Her color looks better.
Everything looks better.
I just got off the phone with Eden's social worker.
She's having trouble finding foster parents
who are willing to take a newborn with Turner Syndrome.
Well, it's not that difficult.
Her long-term symptoms might not even be that severe.
Still, Eden will always need special care.
It'll take a minute for the lidocaine to take effect.
You may feel some discomfort
when the scope goes down your throat.
Got it.
I assume you've discussed surgical removal
of your EV growths with Dr. Andrews?
Yeah. No, he wanted to try,
but obviously, there's the risk of nerve damage,
plus they would just grow back.
This is how I was meant to be.
Lord works in mysterious ways.
But surgeons don't.
The risk of nerve damage is actually quite small,
and I'd imagine easier to live with than the pain
and lack of mobility and...
Repulsiveness?
No, no. I-I was...
It's alright.
I know how I look.
I see the frightened kids, people laughing,
staring.
I just try my best to keep my eyes and arms open
to all of God's gifts.
Cannot imagine taking an 80-mile-an-hour baseball to the dome.
Some guys in the majors throw over 100.
Phew.
I don't see any edema or evidence of a hematoma.
Neither do I.
The anisocoria's probably harmless.
Twenty percent of people actually have one pupil larger than the other.
You play any sports?
I played football and baseball in high school. Why?
I have a friend who runs a sports program for at-risk teens.
I've been helping coaching some indoor football,
I mean soccer.
She's always looking for help from positive role models.
Yeah, I've... I've never coached kids before.
Mainly just making sure they have fun and stay off the streets.
And my friend's super cool.
She's cute, too.
Well, helping kids sounds great,
but I'm trying to get a year in recovery
before I start dating.
Damn, my bad.
Oh, it's no big deal. I just...
No, I mean the... The anisocoria.
Definitely not harmless.
Or a concussion.
You have multiple cerebral aneurysms,
which puts you in danger of a brain hemorrhage.
So, what now?
Well, we're gonna map the precise vessels involved,
take some pictures of the inside of your brain.
It's called a...
Cerebral angiogram.
We'll feed a catheter into your brain
through an artery in your wrist.
You'll be sedated. It's harmless.
As soon as we get the results, we'll map out a surgical plan.
B-Brain surgery?
Hey. Best brain doc in town, right?
It just keeps getting worse.
The tumor has significantly damaged the bile duct.
Eddie's gonna need a surgical resection
or possibly a major GI reconstruction.
The poor guy.
As if one rare and devastating disease wasn't enough.
Well, the surgery is manageable.
I've known Eddie for years. He's always been the embodiment
of, "What doesn't kill you makes you stronger."
Who needs strength
when you're cradled in the Lord's loving arms?
Given his situation, don't you think his,
"I'm just thankful for all God's gifts" attitude's just a bit crazy?
I find the strength he draws from his faith very inspiring.
Except that his faith has inspired him
to not do the only thing that would actually help him.
Get an octreoscan to confirm that his liver, pancreas,
and lymph nodes aren't involved.
On it.
- You should probably go and... - Referee?
Assist.
The radiolabeled tracer will light up any areas
infiltrated by the tumor.
Will I get spidey strength, too?
Can I get you flat on your back for the scan?
That won't be too painful, will it?
No. Sure, I'll be alright.
Is there any family you'd like to contact?
No, it's just me. I live alone.
If you don't mind my asking, E.V. is genetically inherited.
I'd assume at least one of your parents suffered from it?
Yeah, they both did.
Did they both also decide against surgical treatment?
Well, my parents were circus performers,
made a living off their appearance,
so I doubt they wanted any treatment.
Can't say that for sure, though.
They gave me up, uh, right after I was born.
I'm sure they were trying to protect you from the life they had.
Heh. No, from what I found out,
they thought a family act would be too sad
and ruin the gig, so they didn't want me around.
That's horrible.
Not at all.
I grew up in foster homes.
I had one mom who was a minister,
introduced me to the power of the Lord.
And then, when I was older, I had a dad who was a carpenter.
Taught me everything I know.
I've always been blessed.
Advancing the catheter to assess posterior circulation.
Dr. Murphy, do you mind if I ask,
why are you observing us?
I don't mind.
Why are you observing us?
I am not observing you.
I observing this case because it is interesting.
Also, because it is Dr. Glassman's,
and he may display additional symptoms
that will help me diagnose
his deteriorating executive function.
So you're worried because he forgot
a couple of stitches on a routine close?
Stop.
The third aneurysm is low lying at the basilar trunk.
That will be very difficult to clip.
And dangerous.
Definitely a very interesting case.
You sure you should be doing that?
Changing bandages or singing?
Both.
She's gonna be leaving soon.
I'll be fine.
No, I'm not overreacting.
He is covered in these tree-like growths but refuses surgery.
But everyone acts as if he's so inspiring.
It's a pretty brave choice.
No, it's a stupid choice.
Living in isolation and unnecessary pain,
all because of his belief
in the Magical Mystery Tour that is religion.
Well, given your family history,
I see why this patient is a little triggering for you.
Okay, I'm not triggered.
This has nothing to do with my family.
Religion is the opiate of the masses.
You know, Marx got a lot wrong, but not that one.
Why don't we talk about something else?
I mean, look at terrorism, the countless wars,
the KKK, al-Qaeda, bombed abortion clinics,
the assault on women's rights, not to mention
the rampant persecution of the LGBTQIA community.
I mean, you either have to have your head in the sand
or be a complete moron not to see that.
Mmm.
This is done. Will you grab the salad?
Sorry. I was looking for a place to meditate.
It's okay.
I came here to decompress before I head home.
Jordan.
The other night at karaoke,
I shouldn't have tried to give you relationship advice.
I mean, you don't need me for that...
or anything else, really.
You're everything.
Thanks.
Sorry, I gotta go.
He started vomiting blood and then lost consciousness.
Get two units PRBC, stay two ahead,
- and place an NG tube. - On it.
Eddie, can you hear me? Eddie?
The tumor's caused a severe duodenal ulcer
and major hemorrhaging in his upper GI tract.
Yeah. We can't excise it if we can't stop the bleed.
We could do it in two steps, endoscopy to stop the bleed
and a partial duodenectomy to remove the tumor.
But it'd be safer to debulk the tumor after the scope
and follow up with aggressive chemotherapy.
Chemo would increase the pace of the E.V. growths.
Which he doesn't seem bothered by.
Doesn't mean we should make it worse.
Well, it's better than bleeding out in the OR.
He's not going to bleed out.
We can solve both the GI bleed
and totally excise the tumor with a pancreaticoduodenectomy.
A Whipple while the patient is hemorrhaging?
That's even more risky than combining the scope and...
I'm aware of that, but unlike your department chief,
I'm not interested in whether residents
approve of my decisions.
Get him prepped.
We'll approach all three aneurysms
from a left-sided craniotomy.
Even though the ICA aneurysm is on the right side?
Yes.
We'll go after the basilar first,
as that is the most challenging.
What about the ipsilateral PCOM?
It's pressing the third nerve and may rupture soon.
If you'd let me finish,
step two will be the PCOM,
and after that,
we'll cut across the infield and go after the ICA.
Have you considered...
Shaun, will you stop? Will you just please stop?
I'm fine. I know what I'm doing.
My memory is intact.
Does anyone have an actual objection
to the surgical plan?
- No. - Nope.
Thank you. It is extensive
and could put Ricky at risk for future seizures.
And your outburst could indicate a lack of impulse control,
which is a symptom of executive dysfunction.
I am exhibiting extraordinary impulse control as we speak.
As to the risks, I have clipped over 2,000 aneurysms.
Tomorrow morning, I'm going to clip three more.
Put Ricky on the schedule.
Go home. Get some sleep.
It's not milk and cookies, but it'll have to do for now.
Oh, sorry. I was gonna take care of that.
Why? Did Park tell you to?
Dr. Park? No. I just got off my break,
- and I was going to... - Great news.
I just got off the phone with her social worker.
She found a foster family.
Lucky girl. You've got a home.
I know you were hoping for a pancake dinner,
but I was thinking maybe we could go to Barone's instead.
I'm really craving a meatball.
Yes, Dr. Glassman is not only highly experienced.
He has above average intelligence.
I don't know. He is an A's fan.
I have not noticed any symptoms
significant enough to alert Dr. Lim,
but even with a decline in executive function,
he might not show serious deficits.
I think we should definitely discuss it further,
over sauteed artichokes.
I am not hungry, but I will come and keep you company
while I continue to work.
If Glassy can still do brain surgery
and you haven't seen any serious deficits...
There is definitely something wrong with his brain.
He's getting older. It happens to everyone.
This is not just aging.
I know Dr. Glassman.
Do you think Glassman is a danger to his patients?
No.
Not yet.
Then let's go to Barone's and eat some meatballs
and chicken wings that I will enjoy for a few glorious hours
until the indigestion kicks in.
You are right.
Meatball, stat.
That's the last anastomosis. Remove the clamp.
Looks like the sutures are holding.
I can't believe we did a Whipple in under six hours.
That's gotta be a record.
More importantly, no more tumor, no more bleeding ulcer.
Went even better than I'd hoped.
Gotta give the good Lord his due.
Eddie is truly blessed.
We need a few more 4-0 prolenes on a Castro
and two surgical drains.
Hey. You got your gear for tonight?
Yep.
Dug out the old football cleats.
Awesome.
Samira's really looking forward to meeting you.
Don't worry. I respect your recovery.
- I'm not trying to set you up. - Thank you.
Jordan also told me she'd kill me
if I did anything to tempt you off your path.
You and Dr. Allen were talking about me?
Yeah. She was just making sure I knew what you were dealing with.
She's definitely looking out for you.
My head. It's gonna explode.
He has a thunderclap headache and double vision.
His left eyelid's droopy, looks like complete third nerve palsy.
Left pupil non-reactive to light.
The PCOM aneurysm must have ruptured.
We need to get him to the OR, stat.
Page Dr. Glassman.
Scalpel.
Intracranial pressure is dropping.
We've bought him some temporary relief.
Can we see the CT scans, the new ones, please?
Given the subarachnoid hemorrhage,
the risk of the previous surgical plan has increased.
I can still clip the two smaller aneurysms,
then ligate and bypass the ruptured one.
We should consider coil embolization
of the ruptured aneurysm.
We treat that now and then come back for the other two
once Ricky has recovered.
Then he has to come in every six months for an angiogram,
weakening his muscles, damaging his coordination,
effectively ending his pro career.
That's your recommendation?
The treatment is a much safer option.
He's 19.
He has lots of life to consider after baseball.
I'm confident in what I promised.
I'm confident that I can deliver it.
Your experience mitigates the increased risks
of the craniotomy, but it does not eliminate them.
The patient should decide.
Fine.
Let's wake him up and present both plans.
The surgery went better than we could have hoped.
We removed the tumor,
and your liver and pancreas are working great.
So when do I get to go home?
Well, we need to keep an eye on you for a couple days.
I took the liberty of getting you a few things
to help pass the time.
Thank you.
I'm so grateful to you all.
I've spent so much time on my own, I can forget how wonderful it is
to have other people there who care about you.
Hey. Sorry. I got a little aggro last night.
My family was big on dinner debate time.
Okay.
That's all you have to say?
I have a blood draw to do, so...
It was just a philosophical discussion.
It's not like we got into a fight, right?
No, we didn't.
- It was awful. - Terrible.
Somebody's in a good mood.
Indeed I am.
It's the Eddie effect.
Our patient radiates positivity.
It's oddly contagious.
It's got me wondering why I'm always so focused
on choosing the right path instead of...
just being open to God's gifts.
Sorry.
My gift is using my stomach as a speedbag.
I don't know what's worse...
that I might not walk out of here,
or walking out knowing that I'll never play ball again.
Yes. That is the question you need to answer.
Don't get stuck on worst-case scenarios.
I worked real hard to get here, you know?
And I... And I got people counting on me...
Hey, hey, hey.
Shut out the noise.
Other people are gonna have opinions,
whether you swing 3-0,
whether you don't take the extra base.
Whatever decision you make,
that's gonna be the right decision.
You know, uh, there's a... There's a saying
back in the DR...
"You can't walk off the island."
You gotta take big swings.
Let's fix all the aneurysms now.
Good call.
You'll need to keep the wound site clean and dry.
And be sure to monitor her caloric intake closely.
Babies with Turner Syndrome have difficulty swallowing
and tongue dysfunction.
Turner Syndrome?
Will she need additional surgeries?
Yes, but not for a few years.
With things like this, it's best to take it one step at a time.
We were hoping to foster to adopt.
And these long-term medical issues...
they're significant.
When it comes to medicine, Google is not your friend.
Patrick, Annie, I know it all sounds scary,
and you have every right to be nervous.
But you can do this.
Eden needs you.
Wouldn't it be best for Eden
if you found someone more qualified?
I'll let Social Services know.
What's the score?
How am I doing? My executive function.
What's the score?
It is not a score, it is data,
and I am not ready to draw my conclusions.
Well, you're wasting your time.
You should focus on people who actually need you.
I'm fine.
I am focused on you...
because for most of my life, you've watched out for me.
No one asked you to do it.
You chose to.
Sometimes when I didn't want you to.
I'm very glad you did.
So no matter what anyone, including you, says,
I am going to watch out for you.
What are you talking about? It's fantastic.
These are incredible, seriously.
I didn't mean to interrupt.
No, Dalisay was just showing me her watercolor landscapes.
She's a wonderful painter.
Really? I had no idea.
There's increased output in his J.P. drains.
That's not surprising, considering your EV.
Send a sample to the lab and add meropenem
to his antibiotic regimen, just to be safe.
Your recovery looks to be on track.
And we've made significant advances
in plastic surgery techniques since your last consult.
Yeah, I don't doubt it.
But we both know it would still be painful,
and they'd just grow back anyway.
There's one thing I've learned from the home reno business,
"If it ain't broke, don't fix it."
A proverb for the ages.
I wanted to say goodbye.
The foster parents backed out.
She's scrambling to find someone else.
I don't have another family lined up.
Can you give me more time?
N-No.
Eden needs a home, and I know the perfect person to foster her.
Me.
One down, two to go.
It's been five hours. Do you need a break?
Not when I have a 30-year-old Macallan
waiting for me at the finish line.
Fenestrated aneurysm clip.
We've got an intra-op rupture.
Bleed is massive.
Suction. Both of you, suction.
Let's keep this field clear.
Should we try balloon occlusion?
- Or a flow diverting stent? - No.
We should adjust the clips
to get better proximal and distal control
and pivot to a Muslin wrapping.
Push 6 mg bolus adenosine.
We're gonna stop the heart.
Push it, please. Push it.
Aneurysm clips.
Oh. That is very innovative.
Inducing a brief cardiac arrest
reduces blood flow to the aneurysm.
Gives us time to apply the clips.
Okay. Let us proceed with the parent vessel reconstruction.
One more time, fenestrated aneurysm clip.
Thank you.
That was exciting.
He's in Vfib,
not responding to chest compressions or epi...
We need to shock him. Charge to 200,
and push another milligram of epi.
He must have thrown a clot.
Clear!
Time of death, 7:34.
His underlying illness weakened his immune system
and made his blood more susceptible to clots.
There's nothing we could have done.
Do you know what hospital you're in?
St. Bonaventure.
And why are you here?
Aneurysms, which you were supposed to fix.
Which we did. And we did quite well.
In fact, if you stick to your rehab,
you might be back on the field by mid-season.
Thank you, Dr. Glassman.
You got a surgery that can help me hit a curveball?
Try hitting a knuckleball.
You don't know what it is until, pfft, it's too late.
That's old school.
I haven't even seen one in a game.
Oh, I used to throw a knuckleball, actually,
back in the day.
I tried to be a pitcher.
But I didn't have a fastball...
And then you have no idea where it's gonna go
'cause it had just a...
Just a slight amount of spin.
You heard?
Thank you for checking on me.
Andrews was right.
There's nothing more we could have done.
I'm really sorry about your patient,
but I actually came to tell you
that I'm meeting up with some friends tonight.
I'm gonna go back to my place after.
Okay.
But what's wrong?
Nothing.
I've been meaning to see these folks for a while, and...
we're meeting near my place. No big deal.
Well, it's starting to feel like one.
Clearly, you're mad. Please tell me what I did.
Sometimes having a conversation with you
feels like combat.
Well, I was just stating my opinion.
No, you were obliterating all other opinions, including mine.
And calling me a complete moron in the process.
I have never said that you were a moron.
- I said... - Ash, I didn't grow up
discussing religion
or quoting Marx at the dinner table.
That doesn't mean I don't value your opinion.
It doesn't seem like it when you take a sledgehammer
to my every argument.
I can give you 100 examples of times when...
This is not another argument for you to win.
I have to get to dinner.
I'm so sorry.
If you want some company or someone to talk to...
It's alright. I'll be okay.
I know.
But...
if you change your mind, I've got your back.
Like you've had mine.
Thank you.
You...
really see me.
I think maybe you and I could be gifts to each other.
And we should be open to that.
I have no idea what it looks like for us to move forward.
We'll figure it out.
Dalisay.
Dr. Andrews.
Your landscapes you showed Eddie before he...
I think you shared them with him because he was so open-hearted.
See, my whole life, I've believed
that success only came from constant striving,
constant dissatisfaction with where I was
or what I'd accomplished.
Contentment was a sign of complacency.
That's no way to go through life.
I know.
And I know I didn't show you enough respect,
and I didn't make enough effort
to see things from your point of view.
But I want to change.
I want to value the people I care about
and who might care about me.
And if I haven't screwed up too badly, then maybe one day,
I'll be worthy enough to see those landscapes.
How about dinner?
You pick me up at 7:30, Saturday.
We can try that Filipino place.
Why would you say that?
- You know... - Oh, man.
Hey, what else do you say in that situation?
I think I agree with the guy.
I mean, I think he's... I think...
You were right.
I have a tendency to go scorched earth in a debate
because I just want to win.
I lose sight of what's important because I'm...
I-I'm a moron.
But today, I realized
I shouldn't take anything or anyone for granted.
You showed me what it truly means to belong,
to not be an island.
And I just feel so blessed to be in your life.
Uh, and you should order the salmon carpaccio.
It's delightful here. It's like butter.
Is your boyfriend really that passionate,
or is he a little insane?
Both.
Hi.
I thought I'd stop by, see how you and Eden are settling in.
We're fine, so far.
I think.
I'm fairly sure I have everything Eden needs,
though peds might find a few things missing
from their inventory this month.
I don't see one of these.
Oh.
Oh, Eden will love it.
Thank you.
Toys.
Onesies. I need to get a stroller...
Hey, you'll handle it.
It's the perfect practice run for when your own comes along.
I'm going off my IVF meds.
I'm not doing another cycle.
Eden,
she's what I've been waiting for.
She's my daughter.
This is a knuckleball, and it fooled me.
I thought it was Dr. Glassman's cancer returning,
but it is damage to Dr. Glassman's brain
as a result of a mini-stroke.
If that were the case, the area would have smooth edges.
Mmm, usually, yes. But rare presentations
can show abnormalities like these rough edges,
particularly when the patient has had radiation treatment.
It explains why his memory has been impacted,
especially during periods of intense focus
involving many sequential steps.
It is permanent.
He shouldn't be doing surgery anymore.
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