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1
00:00:02,300 --> 00:00:04,234
Grasp is good,
2
00:00:04,258 --> 00:00:08,717
but Steve's not gaining weight
quite as quickly as I'd like.
3
00:00:08,741 --> 00:00:11,372
I'm feeding him every two
to three hours during the day,
4
00:00:11,396 --> 00:00:13,156
every three to four at night.
5
00:00:13,180 --> 00:00:15,818
And pumping in between
to increase milk production.
6
00:00:15,842 --> 00:00:18,098
Well, I'm going to recommend
you start supplementing with formula.
7
00:00:18,595 --> 00:00:20,990
But everyone says "breast is best"?
8
00:00:21,014 --> 00:00:22,263
[DR. HYLAND] Breast milk is the ideal.
9
00:00:22,287 --> 00:00:24,375
Right now, Steve just
needs a little extra.
10
00:00:24,713 --> 00:00:26,604
Some samples to get you started.
11
00:00:26,628 --> 00:00:28,606
This is an excellent product,
12
00:00:28,630 --> 00:00:30,347
and it will make it easier for me
13
00:00:30,371 --> 00:00:31,938
to do more nighttime feedings.
14
00:00:32,721 --> 00:00:35,178
Yeah. Yeah.
15
00:00:38,684 --> 00:00:40,183
I thought being co-presidents
16
00:00:40,207 --> 00:00:42,122
meant we would
do things together.
17
00:00:44,168 --> 00:00:45,855
I was aiming for...
18
00:00:46,431 --> 00:00:50,237
you do some things and I do some things.
19
00:00:50,261 --> 00:00:53,501
Funny how your "some things"
leads to more work for me.
20
00:00:53,525 --> 00:00:55,416
I have no idea
what you're talking about.
21
00:00:55,440 --> 00:00:58,306
[SCOFFS] The affiliation deal
with San Jose Med School?
22
00:00:58,330 --> 00:01:01,726
We had to cover the overages
because the nurses unionized.
23
00:01:01,750 --> 00:01:03,641
In exchange, we teach
a few med students.
24
00:01:03,665 --> 00:01:05,817
[SCOFFS] You won't be teaching anyone.
25
00:01:05,841 --> 00:01:07,210
I will have the useless baby docs
26
00:01:07,234 --> 00:01:08,814
wandering around the department
27
00:01:08,838 --> 00:01:10,997
- like lost children with scalpels.
- [ELEVATOR DINGS]
28
00:01:11,021 --> 00:01:13,424
We made a good deal. That's it.
29
00:01:13,980 --> 00:01:15,566
It's a good deal.
30
00:01:15,590 --> 00:01:17,375
[QUIRKY MUSIC]
31
00:01:31,171 --> 00:01:32,888
[JARED] We should go
introduce ourselves.
32
00:01:32,912 --> 00:01:36,280
No, they are baby ducklings,
and I will not be their mommy.
33
00:01:36,862 --> 00:01:38,821
Let them imprint on Shaun and Park.
34
00:01:40,646 --> 00:01:41,865
Hi!
35
00:01:42,151 --> 00:01:43,195
Bye.
36
00:01:50,928 --> 00:01:52,364
[DR. PARK] Hi, I'm Dr. Park.
This is Doctor...
37
00:01:52,389 --> 00:01:53,869
Dr. Shaun Murphy.
38
00:01:53,894 --> 00:01:55,990
I... I can't believe it's really you.
39
00:01:56,015 --> 00:01:57,969
I'm just so excited,
I'm about to pee myself.
40
00:01:58,242 --> 00:01:59,436
Please do not.
41
00:01:59,460 --> 00:02:01,786
Of course not.
You're... You're not a shaker.
42
00:02:01,810 --> 00:02:03,614
There was a March 2012 abstract
43
00:02:03,638 --> 00:02:05,616
that demonstrated
a reluctance to shake hands
44
00:02:05,640 --> 00:02:07,401
could be used as a diagnostic
marker for ASD.
45
00:02:07,425 --> 00:02:08,706
But I love a good, firm grip.
46
00:02:08,730 --> 00:02:10,122
That's why they call it a spectrum.
47
00:02:10,147 --> 00:02:11,540
We could shake.
48
00:02:12,473 --> 00:02:13,624
That's not very firm.
49
00:02:13,648 --> 00:02:14,756
Okay. That's better.
50
00:02:14,780 --> 00:02:15,800
I'm Charlotte Lukaitis.
51
00:02:15,824 --> 00:02:17,324
Nice to meet you, Charlotte.
52
00:02:17,348 --> 00:02:19,195
I go by "Charlie" for now,
"Dr. Lukaitis" soon.
53
00:02:19,219 --> 00:02:20,283
Only two years away from my goal,
54
00:02:20,307 --> 00:02:21,893
which I've had since I was 17,
55
00:02:21,917 --> 00:02:23,460
ever since I saw that
viral video of you saving
56
00:02:23,484 --> 00:02:24,853
that boy at the San Jose Airport
57
00:02:24,877 --> 00:02:26,159
using a homemade one-way valve.
58
00:02:26,183 --> 00:02:28,291
It was the coolest, most heroic thing
59
00:02:28,315 --> 00:02:29,858
I've ever seen from a person with ASD.
60
00:02:29,882 --> 00:02:31,686
It was very heroic.
61
00:02:31,710 --> 00:02:32,904
I picked San Jose for medical school
62
00:02:32,928 --> 00:02:34,341
hoping to engineer a run-in with you,
63
00:02:34,365 --> 00:02:35,820
but then your hospital
partnered with my school,
64
00:02:35,844 --> 00:02:37,431
and it's like what Taylor Swift
says in "Mastermind"...
65
00:02:37,455 --> 00:02:39,259
- [WHISPERS] Charlie.
- [CHUCKLES]
66
00:02:39,283 --> 00:02:42,088
Dom helps me when I,
you know, talk too much.
67
00:02:42,112 --> 00:02:43,872
[NORMAL VOICE] Hi, I'm Dominick Hubank.
68
00:02:43,896 --> 00:02:46,962
And we're happy to have such
eager future doctors joining the team.
69
00:02:46,986 --> 00:02:48,485
Future surgeon.
70
00:02:48,509 --> 00:02:49,921
I don't want to be a surgeon,
71
00:02:49,945 --> 00:02:51,481
but I'm excited for the rotation.
72
00:02:52,078 --> 00:02:53,664
Okay.
73
00:02:53,688 --> 00:02:55,492
Charlie, you are on my team.
74
00:02:55,516 --> 00:02:56,474
[HIGH-PITCHED VOICE] Yes!
75
00:03:01,131 --> 00:03:09,131
Synced & corrected by -robtor-
www.addic7ed.com
76
00:03:10,836 --> 00:03:12,422
Would you like to present?
77
00:03:12,446 --> 00:03:13,586
I'd love to.
78
00:03:15,928 --> 00:03:18,863
- Richard Shelford, 53...
- Call me Rich.
79
00:03:18,887 --> 00:03:20,169
Not that I'm wealthy.
80
00:03:20,193 --> 00:03:22,824
Right, Rich Shelford, 53 years old...
81
00:03:22,848 --> 00:03:24,304
Don't feel a day over 52.
82
00:03:24,328 --> 00:03:26,045
- That's funny.
- [CHUCKLES]
83
00:03:26,069 --> 00:03:28,351
Okay. This is taking too long.
84
00:03:28,375 --> 00:03:30,144
Please tell us what happened.
85
00:03:30,169 --> 00:03:32,955
He was coughing so hard
he couldn't catch his breath,
86
00:03:32,980 --> 00:03:35,066
and then he fainted and hit his head.
87
00:03:35,687 --> 00:03:36,984
Cough syncope.
88
00:03:37,384 --> 00:03:39,232
He's thinner and way more tired
89
00:03:39,256 --> 00:03:40,842
than the last time he visited me.
90
00:03:40,866 --> 00:03:42,278
Yeah, but I'm fine.
91
00:03:42,302 --> 00:03:43,714
It's just a little cold.
92
00:03:43,738 --> 00:03:45,864
You could barely breathe, Dad.
93
00:03:45,888 --> 00:03:48,371
Um, chest X-ray shows
multiple lung nodules
94
00:03:48,395 --> 00:03:51,287
and enlarged lymph nodes in
the hilar and mediastinal areas.
95
00:03:51,311 --> 00:03:53,246
Get an ABG, CBC, perform a bronchoscopy,
96
00:03:53,270 --> 00:03:54,812
and send biopsies to path.
97
00:03:54,836 --> 00:03:56,858
Can you apply a wound dressing
using the Turban Technique?
98
00:03:56,882 --> 00:03:58,172
I sure can.
99
00:03:59,885 --> 00:04:01,133
[COUGHS]
100
00:04:02,061 --> 00:04:03,125
Hey, uh... [CLEARS THROAT]
101
00:04:03,149 --> 00:04:04,953
how long until we could get out of here?
102
00:04:04,977 --> 00:04:07,347
My daughter, she took some time
off work to show me around.
103
00:04:07,371 --> 00:04:09,131
She's got her own business.
104
00:04:09,155 --> 00:04:11,351
Works as a tech consultant for a
few companies around the Valley.
105
00:04:11,375 --> 00:04:13,396
- Dad.
- Let the man brag.
106
00:04:13,420 --> 00:04:15,118
- It's every proud father's right.
- Yeah.
107
00:04:15,944 --> 00:04:18,749
- Hold this, please.
- Oh.
108
00:04:18,773 --> 00:04:20,664
[CLEARS THROAT]
109
00:04:20,688 --> 00:04:22,492
[MAN] Basic Turban Technique
for head bandaging.
110
00:04:22,516 --> 00:04:26,192
Step one, tie the ends of two
bandages together in a knot.
111
00:04:26,216 --> 00:04:28,150
Step two,
starting from one ear...
112
00:04:28,174 --> 00:04:29,978
The patient was a good sport about it,
113
00:04:30,002 --> 00:04:31,197
but his daughter was not happy.
114
00:04:31,221 --> 00:04:33,547
A wound dressing is very low stakes.
115
00:04:33,571 --> 00:04:36,376
Did Charlie do a bad job
following the tutorial?
116
00:04:36,400 --> 00:04:39,074
Uh, no. Actually, the dressing
was pretty decent.
117
00:04:39,098 --> 00:04:41,187
But the point is, the patient's
family were uncomfortable.
118
00:04:44,625 --> 00:04:46,081
I think someone should tell her
119
00:04:46,105 --> 00:04:47,846
no more how-to videos
in front of patients.
120
00:04:48,782 --> 00:04:51,225
Oh. You can if you want.
121
00:04:55,352 --> 00:04:57,049
We were able to repair
your skull fracture
122
00:04:57,074 --> 00:04:59,033
and evacuate a large subdural hematoma.
123
00:04:59,058 --> 00:05:01,103
Lucky day. Is there a Wi-Fi password?
124
00:05:01,128 --> 00:05:02,444
I need to get League Pass in here.
125
00:05:03,417 --> 00:05:05,318
Uh, the accident report says
126
00:05:05,342 --> 00:05:07,450
that you stepped right
in front of an oncoming car.
127
00:05:07,474 --> 00:05:09,235
I just didn't see it.
128
00:05:09,259 --> 00:05:10,467
Big day today.
129
00:05:10,491 --> 00:05:12,795
I got the Clips and the points,
the money line, and the over.
130
00:05:12,819 --> 00:05:14,936
And it's the last leg
of a six-team parlay
131
00:05:14,960 --> 00:05:16,329
that I need to come through.
132
00:05:16,353 --> 00:05:17,808
That's a lot of action.
133
00:05:17,832 --> 00:05:20,270
Well, having some skin in
the game makes life more fun.
134
00:05:22,620 --> 00:05:26,302
Hey, you're The Dominator.
135
00:05:27,929 --> 00:05:29,168
Uh, just "Dom" now.
136
00:05:29,192 --> 00:05:30,995
My football days are behind me.
137
00:05:31,019 --> 00:05:33,041
That pancake block you had
against Stanford?
138
00:05:33,065 --> 00:05:34,782
Cleared the way for that 75-yard run?
139
00:05:34,806 --> 00:05:37,045
Made me 10 grand, that one play!
140
00:05:37,069 --> 00:05:38,177
Why aren't you in the league?
141
00:05:38,201 --> 00:05:41,180
Decided I wanted to help people
instead of hurt them.
142
00:05:41,204 --> 00:05:43,878
Okay, let's draw blood
for post-op hematocrit.
143
00:05:43,902 --> 00:05:45,905
Once the brain swelling
comes down, you can go.
144
00:05:48,776 --> 00:05:49,909
Have you done a blood draw yet?
145
00:05:50,865 --> 00:05:52,512
It's my first day out of the classroom.
146
00:05:52,536 --> 00:05:53,868
Five bucks he gets an A.
147
00:05:54,481 --> 00:05:55,874
No.
148
00:05:57,655 --> 00:05:59,502
[CELL PHONE CHIMING]
149
00:05:59,526 --> 00:06:02,723
All right. You're going
to palpate for a vein.
150
00:06:02,747 --> 00:06:05,595
Oh, and remember,
when introducing the needle,
151
00:06:05,619 --> 00:06:09,686
always bevel up and insert
the tube into the vacutainer.
152
00:06:09,710 --> 00:06:12,932
And you just passed phlebotomy 101.
153
00:06:13,758 --> 00:06:15,301
Oh, God.
154
00:06:15,325 --> 00:06:16,369
[THUD]
155
00:06:19,285 --> 00:06:20,940
You could be up five right now.
156
00:06:22,214 --> 00:06:23,831
[LAUGHING] He went down.
157
00:06:23,855 --> 00:06:25,659
I mean, hard.
158
00:06:25,683 --> 00:06:27,780
Frontal and parietal lobes look clear.
159
00:06:29,469 --> 00:06:30,350
[DOM SIGHS]
160
00:06:30,374 --> 00:06:31,360
I'm sorry.
161
00:06:31,384 --> 00:06:34,102
I did deadlifts and squats this morning.
162
00:06:34,126 --> 00:06:35,538
Didn't have time to eat breakfast.
163
00:06:35,562 --> 00:06:37,061
Feeling okay now?
164
00:06:37,085 --> 00:06:39,208
My ego took a hit, but I'll be okay.
165
00:06:40,524 --> 00:06:41,655
Whoa!
166
00:06:41,961 --> 00:06:43,764
Is that our patient's brain?
167
00:06:43,788 --> 00:06:46,723
Mm. You just passed anatomy 101.
168
00:06:46,747 --> 00:06:48,247
[CHUCKLES] Which part's the front?
169
00:06:48,271 --> 00:06:49,422
Oh, spoke too soon.
170
00:06:49,446 --> 00:06:50,945
This is the axial plane,
171
00:06:50,969 --> 00:06:52,555
which means we're
looking down from the top.
172
00:06:53,972 --> 00:06:54,950
[COMPUTER BEEPS]
173
00:06:54,974 --> 00:06:57,734
These are the temporal and
occipital lobes here. Also clear.
174
00:06:57,758 --> 00:06:58,862
How can you tell?
175
00:06:58,886 --> 00:07:00,563
We injected gadolinium, which leaks out
176
00:07:00,587 --> 00:07:01,869
around the areas of injury
177
00:07:01,893 --> 00:07:04,069
and makes them show up
brighter on the scan.
178
00:07:04,765 --> 00:07:05,735
Like that?
179
00:07:08,203 --> 00:07:10,531
Yeah. Like that.
180
00:07:11,946 --> 00:07:13,533
That's a tumor,
181
00:07:13,557 --> 00:07:15,230
completely interwoven
with his brain stem
182
00:07:15,254 --> 00:07:16,449
and cranial nerves
183
00:07:16,473 --> 00:07:18,668
and extending to his upper spinal cord.
184
00:07:18,692 --> 00:07:21,149
I guess we know
why he didn't see that car.
185
00:07:21,173 --> 00:07:22,653
[SOMBER MUSIC]
186
00:07:25,512 --> 00:07:27,166
[CHARLIE] You are descending
through the larynx
187
00:07:27,191 --> 00:07:30,063
to the trachea and onto the carina.
188
00:07:30,088 --> 00:07:32,265
- Nicely identified.
- Thank you.
189
00:07:32,290 --> 00:07:34,857
Positive affirmations are
empowering for people with ASD.
190
00:07:34,882 --> 00:07:36,057
"My autism is awesome."
191
00:07:36,082 --> 00:07:38,768
Onto the bronchi and bronchioles.
192
00:07:39,677 --> 00:07:42,354
I use Taylor Swift mnemonics.
Do you guys do that, too?
193
00:07:42,673 --> 00:07:43,891
- No.
- I do.
194
00:07:44,849 --> 00:07:46,130
I wonder if ours are the same.
195
00:07:46,154 --> 00:07:49,960
Basic airway anatomy, L, T, C, B, B.
196
00:07:49,984 --> 00:07:53,268
"Lover," "Treacherous," "Cardigan,"
"Babe," and "Bejeweled."
197
00:07:53,292 --> 00:07:56,576
I used "Bad Blood" for both
bronchi and bronchioles. Two for one.
198
00:07:56,600 --> 00:07:57,751
Mm.
199
00:07:57,775 --> 00:07:59,288
He knows one song.
200
00:08:03,630 --> 00:08:06,587
Look at the patches
on the bronchial mucosa.
201
00:08:07,350 --> 00:08:08,718
[JARED] There's a luminal narrowing
202
00:08:08,742 --> 00:08:10,257
from the enlarged lymph nodes.
203
00:08:11,709 --> 00:08:13,667
This definitely isn't pneumonia.
204
00:08:13,692 --> 00:08:14,780
[CHARLIE] Cool.
205
00:08:14,805 --> 00:08:16,241
My first medical mystery.
206
00:08:17,018 --> 00:08:18,281
Can I page Dr. Murphy?
207
00:08:18,306 --> 00:08:19,916
[QUIRKY MUSIC]
208
00:08:24,447 --> 00:08:26,549
Did you ever cut quartz countertops?
209
00:08:28,043 --> 00:08:29,628
[CHUCKLES]
210
00:08:29,652 --> 00:08:30,804
Yeah.
211
00:08:31,401 --> 00:08:34,012
I started off in a fabrication shop.
212
00:08:34,432 --> 00:08:35,461
How'd you know that?
213
00:08:35,485 --> 00:08:37,681
Cutting quartz produces
toxic fine-dust particles
214
00:08:37,705 --> 00:08:40,313
that have embedded
in your airway and lungs.
215
00:08:40,751 --> 00:08:42,686
You have silicosis.
216
00:08:42,710 --> 00:08:44,526
It's like watching a magic trick.
217
00:08:45,843 --> 00:08:49,257
Uh, my doc said it was
just a recurring pneumonia.
218
00:08:49,281 --> 00:08:52,478
Silicosis can often be
misdiagnosed until it's too late.
219
00:08:52,502 --> 00:08:55,495
You will need
a bilateral lung transplant.
220
00:08:57,768 --> 00:08:59,137
He needs new lungs?
221
00:08:59,161 --> 00:09:02,140
Yes. With your declining
respiratory function
222
00:09:02,164 --> 00:09:03,837
and extensive damage,
223
00:09:03,861 --> 00:09:05,545
you should be prioritized
for transplant.
224
00:09:05,569 --> 00:09:08,466
But you will need full-time
home care for the rest of your life.
225
00:09:10,651 --> 00:09:13,325
But I live alone back in Florida.
226
00:09:13,349 --> 00:09:15,515
Dad, one step at a time.
227
00:09:16,787 --> 00:09:19,157
I think you should get the surgery here,
228
00:09:19,181 --> 00:09:19,985
then move in with me.
229
00:09:20,009 --> 00:09:21,202
I can't do that.
230
00:09:21,226 --> 00:09:22,460
Of course you can.
231
00:09:22,484 --> 00:09:24,945
Your career has just taken off.
I'm not gonna burden you.
232
00:09:24,969 --> 00:09:28,253
It's not a burden. You're my dad.
233
00:09:28,277 --> 00:09:31,062
You peeled my oranges
and coached my soccer team.
234
00:09:31,415 --> 00:09:33,940
Then you put me through college
and business school.
235
00:09:34,936 --> 00:09:36,566
Let me take care of you.
236
00:09:36,590 --> 00:09:38,592
[SOMBER MUSIC]
237
00:09:44,369 --> 00:09:46,296
Someone raised his girl right.
238
00:09:49,690 --> 00:09:51,058
[SHAUN] Okay.
239
00:09:51,082 --> 00:09:53,970
We will call a transplant coordinator.
240
00:09:57,262 --> 00:09:58,631
Where's Steve?
241
00:09:58,655 --> 00:10:00,154
Down the hall, flirting with the nurses.
242
00:10:00,178 --> 00:10:02,243
I need you to write me
a prescription for domperidone.
243
00:10:02,267 --> 00:10:04,289
It increases breast milk production.
244
00:10:04,313 --> 00:10:05,812
All the mom message boards say so.
245
00:10:05,836 --> 00:10:08,423
It is not approved
as a lactation aid anywhere.
246
00:10:08,447 --> 00:10:10,643
Doctors in Canada and Mexico
are using it off-label.
247
00:10:10,667 --> 00:10:13,472
Does Steve not like the formula
Dr. Hyland recommended?
248
00:10:13,496 --> 00:10:14,908
I don't like it, Shaun.
249
00:10:14,932 --> 00:10:17,650
I feel like... I feel
like a failure as a mom.
250
00:10:17,674 --> 00:10:20,871
But you are not a failure.
251
00:10:20,895 --> 00:10:23,438
You are following
all the recommended guidelines.
252
00:10:23,462 --> 00:10:25,215
In fact, the only guideline
you're not following
253
00:10:25,239 --> 00:10:27,181
is supplementing
with formula as advised.
254
00:10:27,205 --> 00:10:29,199
[SIGHS]
255
00:10:29,802 --> 00:10:31,352
Shaun...
256
00:10:31,739 --> 00:10:34,829
I've been wanting
to be a mom for so long,
257
00:10:34,854 --> 00:10:38,640
and part of that is my body
is supposed to give Steve
258
00:10:38,665 --> 00:10:41,351
everything he needs, and mine won't.
259
00:10:42,307 --> 00:10:43,561
And I hate it.
260
00:10:46,747 --> 00:10:48,202
[KNOCK ON DOOR]
261
00:10:48,226 --> 00:10:49,692
Come in.
262
00:10:50,315 --> 00:10:52,337
Good. You're both here.
263
00:10:52,361 --> 00:10:54,295
An invite to Baby Eden's Sip and See.
264
00:10:54,319 --> 00:10:55,819
So everyone can officially meet her
265
00:10:55,843 --> 00:10:57,492
in a cute dress
instead of a hospital gown.
266
00:10:58,236 --> 00:10:59,866
Is Dr. Glassman going?
267
00:10:59,890 --> 00:11:02,521
- I think so.
- Then I do not want to go.
268
00:11:02,545 --> 00:11:04,697
I thought you and Glassy
had worked things out.
269
00:11:04,721 --> 00:11:06,220
He took Steve the other night.
270
00:11:06,244 --> 00:11:07,439
[SHAUN] Hmm.
271
00:11:07,463 --> 00:11:08,832
Who cares if he's there?
272
00:11:08,856 --> 00:11:10,529
As long as you
and that gorgeous baby make it.
273
00:11:10,553 --> 00:11:12,163
Wouldn't miss it.
274
00:11:12,557 --> 00:11:13,820
Isn't being a mom great?
275
00:11:14,153 --> 00:11:15,371
The greatest.
276
00:11:16,167 --> 00:11:18,580
You just said you feel like a failure.
277
00:11:18,604 --> 00:11:20,670
I think that is because
of a postpartum decrease
278
00:11:20,694 --> 00:11:22,392
in estrogen and progesterone.
279
00:11:23,609 --> 00:11:24,978
Did you just call me hormonal?
280
00:11:25,002 --> 00:11:27,938
- No, actually reduced hormonal.
- Okay, Shaun.
281
00:11:27,962 --> 00:11:29,983
- Time to go.
- This is my office.
282
00:11:30,007 --> 00:11:31,943
Let's not have it be your gravesite.
283
00:11:38,363 --> 00:11:40,493
Huh. There's gotta be
something you can do.
284
00:11:41,192 --> 00:11:42,953
We can't safely remove the tumor
285
00:11:42,977 --> 00:11:44,824
without permanent injury
to your brain stem.
286
00:11:44,848 --> 00:11:46,708
If you survive the surgery at all.
287
00:11:48,896 --> 00:11:51,788
I'm sorry. I know it's a lot to take in.
288
00:11:51,812 --> 00:11:53,790
But there's... there's new
technology all the time.
289
00:11:53,814 --> 00:11:55,313
Nadal's back with the stem cells,
290
00:11:55,337 --> 00:11:57,054
and Bartolo Colon...
291
00:11:57,078 --> 00:11:59,796
Experimental treatments on
athletes' orthopedic injuries
292
00:11:59,820 --> 00:12:01,754
are completely different
than brain surgery.
293
00:12:01,778 --> 00:12:03,800
C-Could you remove some of the tumor?
294
00:12:03,824 --> 00:12:06,759
Buy me more time? How about chemo?
295
00:12:06,783 --> 00:12:09,022
This type of cancer
doesn't respond to chemo.
296
00:12:09,046 --> 00:12:11,372
We did read a paper in class
about a TCR approach.
297
00:12:11,396 --> 00:12:12,547
Could that be something?
298
00:12:12,571 --> 00:12:14,245
That was only done a few times,
299
00:12:14,269 --> 00:12:15,246
and never with brain stem involvement.
300
00:12:15,270 --> 00:12:16,726
TCR.
301
00:12:16,750 --> 00:12:18,771
It's my new favorite letters.
302
00:12:18,795 --> 00:12:20,536
Whatever they stand for, let's do that.
303
00:12:26,194 --> 00:12:29,564
TCR means we would
saw up through your mandible
304
00:12:29,588 --> 00:12:31,915
and dislocate your lower jaw.
305
00:12:31,939 --> 00:12:33,743
Then we cut open
from the roof of your mouth
306
00:12:33,767 --> 00:12:34,961
to the back of your throat.
307
00:12:34,985 --> 00:12:36,920
That's just to access the tumor.
308
00:12:36,944 --> 00:12:39,400
That tumor is woven
into your brain stem.
309
00:12:39,424 --> 00:12:42,229
Removing it would very likely
leave you quadriplegic,
310
00:12:42,253 --> 00:12:45,213
unable to speak or move,
if you survive the surgery.
311
00:12:47,352 --> 00:12:48,583
Okay.
312
00:12:48,607 --> 00:12:49,896
Maybe it's not my favorite.
313
00:12:51,306 --> 00:12:52,481
But let's try.
314
00:12:55,092 --> 00:12:57,654
Sal, you should enjoy
your remaining time.
315
00:12:58,922 --> 00:13:00,465
Travel.
316
00:13:00,489 --> 00:13:01,945
Connect with family.
317
00:13:01,969 --> 00:13:03,971
[SOMBER MUSIC]
318
00:13:08,627 --> 00:13:10,208
Who am I gonna connect with?
319
00:13:13,284 --> 00:13:15,523
Wife kicked me out when I gambled away
320
00:13:15,547 --> 00:13:17,840
the kids' college fund.
321
00:13:19,568 --> 00:13:22,053
None of them
have talked to me for years.
322
00:13:27,603 --> 00:13:29,686
I got a break coming my way.
323
00:13:31,085 --> 00:13:32,397
I can feel it.
324
00:13:43,575 --> 00:13:46,337
We've got our annual presentation
to the managed care companies.
325
00:13:46,361 --> 00:13:48,600
They want detailed reports
on patient outcomes
326
00:13:48,624 --> 00:13:49,906
for diabetes, geriatrics...
327
00:13:49,930 --> 00:13:51,214
That's great. Schedule that for never.
328
00:13:51,238 --> 00:13:53,866
- No, I've set it for tomorrow at 9:00.
- That's the wrong answer.
329
00:13:53,890 --> 00:13:55,955
Unfortunately, I have
back-to-back surgeries.
330
00:13:55,979 --> 00:13:59,007
Thank goodness I have a partner
to do the things I can't.
331
00:14:00,157 --> 00:14:01,855
[QUIRKY MUSIC]
332
00:14:04,205 --> 00:14:06,294
[SIREN WAILING IN DISTANCE]
333
00:14:08,296 --> 00:14:09,350
Oh.
334
00:14:10,994 --> 00:14:13,277
You know, med students are
allowed to eat with the residents.
335
00:14:13,301 --> 00:14:15,331
I find the sound of people
chewing to be unsettling.
336
00:14:22,223 --> 00:14:24,288
Well, if you want some guidance
337
00:14:24,312 --> 00:14:26,899
and you don't mind the sound
of sipping noises,
338
00:14:26,923 --> 00:14:29,380
Jordan and I can take you for coffee.
339
00:14:29,404 --> 00:14:35,952
[IMITATING MARILYN MONROE]
♪ Happy Birthday, Dear Daddy ♪
340
00:14:35,976 --> 00:14:37,388
Ha... [GASPS]
341
00:14:37,412 --> 00:14:40,391
Uh, baby, let me call you right back.
342
00:14:40,415 --> 00:14:41,546
[CELL PHONE CLICKS]
343
00:14:43,244 --> 00:14:45,004
Where did you get your bra?
344
00:14:45,028 --> 00:14:47,501
I've always been intrigued
by lace. Is it okay?
345
00:14:47,525 --> 00:14:50,575
Kind of busy right now.
Can we talk upstairs later?
346
00:14:50,599 --> 00:14:51,619
What are you doing?
347
00:14:51,643 --> 00:14:53,186
Just talking to a friend.
348
00:14:53,210 --> 00:14:55,438
You called him "Daddy,"
but your dad's upstairs.
349
00:14:56,474 --> 00:14:59,758
[SCOFFS] He's a client, a regular.
350
00:14:59,782 --> 00:15:02,108
He paid me five grand
for a last-minute session.
351
00:15:02,132 --> 00:15:04,067
Lucky for me, he's into exhibitionism.
352
00:15:04,091 --> 00:15:07,079
Five grand? That's more than I
made a whole month waitressing,
353
00:15:07,103 --> 00:15:08,288
including tips.
354
00:15:08,312 --> 00:15:10,160
Do people tip sex workers?
355
00:15:10,184 --> 00:15:12,858
Charlie, this isn't
any of our business, so...
356
00:15:12,882 --> 00:15:14,686
Plenty of people know what I do.
357
00:15:14,710 --> 00:15:16,709
Just not my actual father.
358
00:15:17,783 --> 00:15:19,778
Please, you cannot say anything to him.
359
00:15:19,802 --> 00:15:21,412
- Of course not.
- [CELL PHONE DINGS]
360
00:15:22,587 --> 00:15:25,305
Ah. Good news.
361
00:15:25,329 --> 00:15:27,177
Donor lungs just became available.
362
00:15:27,201 --> 00:15:28,805
"Happy birthday, Daddy," indeed.
363
00:15:30,247 --> 00:15:31,945
[QUIRKY MUSIC]
364
00:15:36,981 --> 00:15:38,872
The donor's upstairs on life support.
365
00:15:38,896 --> 00:15:40,718
His family is ready to withdraw care.
366
00:15:41,518 --> 00:15:43,137
We'll take you
for some additional testing,
367
00:15:43,161 --> 00:15:45,006
but the transplant could happen
as soon as tomorrow.
368
00:15:45,030 --> 00:15:46,305
- [RICH] Wow.
- You'll need a bedroom
369
00:15:46,329 --> 00:15:49,056
on the ground floor,
and an easily accessible bathroom.
370
00:15:49,080 --> 00:15:50,928
I can convert my office.
371
00:15:50,952 --> 00:15:53,446
As long as you have privacy
elsewhere for your work.
372
00:15:53,470 --> 00:15:56,324
Whoa, whoa, whoa. [CHUCKLES]
Why'd you say "work" like that?
373
00:15:56,348 --> 00:15:59,695
I mean, how much privacy do you
need for tech consultations?
374
00:16:01,310 --> 00:16:03,679
Charlie's speech pattern
can be a bit unusual.
375
00:16:03,703 --> 00:16:04,811
Her autism is awesome.
376
00:16:04,835 --> 00:16:05,899
Thank you.
377
00:16:05,923 --> 00:16:08,467
Don't mention it. Really. Do not.
378
00:16:08,491 --> 00:16:10,164
Love you, Daddy.
379
00:16:10,188 --> 00:16:12,253
So many daddies, so little time.
380
00:16:12,277 --> 00:16:13,713
Whoa, whoa.
381
00:16:15,324 --> 00:16:16,337
What does that mean?
382
00:16:17,413 --> 00:16:18,869
Uh, Dad, nothing.
383
00:16:18,893 --> 00:16:20,479
I'm not asking you. I'm asking her.
384
00:16:20,503 --> 00:16:22,548
[TENSE MUSIC]
385
00:16:24,594 --> 00:16:26,050
Saying "observe" isn't enough.
386
00:16:26,074 --> 00:16:28,182
You need to tell them, "Don't speak."
387
00:16:28,206 --> 00:16:30,684
I realize that now.
So does The Dominator.
388
00:16:32,167 --> 00:16:34,362
What are your thoughts about the TCR?
389
00:16:34,386 --> 00:16:35,886
You're considering the surgery?
390
00:16:35,910 --> 00:16:38,236
It's either that or do nothing
and Sal is dead in a year.
391
00:16:38,260 --> 00:16:41,520
A year is a year.
You're not his executioner.
392
00:16:41,545 --> 00:16:42,764
So you wouldn't do it?
393
00:16:42,789 --> 00:16:44,791
No, I'm not making
this decision for you.
394
00:16:44,962 --> 00:16:46,722
You're an attending now.
395
00:16:46,746 --> 00:16:48,327
Your surgery, your call.
396
00:16:53,275 --> 00:16:54,291
[CLATTERING]
397
00:16:57,366 --> 00:16:58,734
What are you doing?
398
00:16:58,758 --> 00:17:00,649
Work order says deliver them here.
399
00:17:00,673 --> 00:17:02,110
Signed by the president.
400
00:17:06,418 --> 00:17:08,430
Co... president.
401
00:17:11,075 --> 00:17:12,966
[JARED] Once Rich's questions
picked up speed,
402
00:17:12,990 --> 00:17:15,229
it wasn't long before
Charlie mentioned "sex worker."
403
00:17:15,254 --> 00:17:17,022
Shortly thereafter, he banned Grace from
the room
404
00:17:17,046 --> 00:17:18,273
and called off the surgery.
405
00:17:18,865 --> 00:17:20,756
Okay.
406
00:17:20,780 --> 00:17:23,411
His oxygen saturation is decreasing.
407
00:17:23,435 --> 00:17:25,892
He is profoundly hypoxic.
Rich needs new lungs now.
408
00:17:25,916 --> 00:17:26,980
I told him that.
409
00:17:27,004 --> 00:17:28,373
He booked a flight back to Florida.
410
00:17:28,397 --> 00:17:30,114
Said he'll get
on the transplant list there.
411
00:17:30,138 --> 00:17:32,420
No, no, no. His lungs
cannot handle transport.
412
00:17:32,444 --> 00:17:34,118
Charlie's mistake is
endangering our patient's health.
413
00:17:34,142 --> 00:17:36,642
Our patient is doing that
all on his own.
414
00:17:36,666 --> 00:17:38,905
But Rich would not be upset
if Charlie had not revealed...
415
00:17:38,929 --> 00:17:40,820
She didn't violate any HIPAA laws.
416
00:17:40,844 --> 00:17:42,126
The only thing she did wrong
417
00:17:42,150 --> 00:17:44,015
was not keep Grace's
secret life a secret.
418
00:17:44,039 --> 00:17:47,484
Which kind of sounds like
something you might have done
419
00:17:47,508 --> 00:17:49,374
back in your first year.
420
00:17:50,067 --> 00:17:50,894
[SHAUN] Hmm.
421
00:17:54,088 --> 00:17:56,786
Our patient needs a bilateral
whole-lung lavage
422
00:17:56,811 --> 00:17:58,508
in order to get home safely.
423
00:17:58,533 --> 00:17:59,805
Please get his consent.
424
00:18:01,125 --> 00:18:02,860
Charlie can do scut work.
425
00:18:05,434 --> 00:18:07,175
[DR. PARK] Dissecting the tumor
from the ventral surface
426
00:18:07,200 --> 00:18:08,418
of the pons and cranial nerves.
427
00:18:08,443 --> 00:18:10,837
- [DEVICE BEEPING]
- [SIGHS]
428
00:18:11,986 --> 00:18:13,871
Applied too much pressure. Bleeder.
429
00:18:14,660 --> 00:18:16,029
- Oh, God.
- What? Dom,
430
00:18:16,053 --> 00:18:17,248
it's not even real.
431
00:18:17,272 --> 00:18:18,989
- Oh, God.
- [THUD]
432
00:18:19,013 --> 00:18:20,207
Again?
433
00:18:20,231 --> 00:18:21,358
Again.
434
00:18:21,382 --> 00:18:22,629
[DEVICE BEEPING]
435
00:18:23,619 --> 00:18:25,577
Have you eaten?
436
00:18:25,602 --> 00:18:26,952
Two double cheeseburgers,
437
00:18:26,977 --> 00:18:28,717
fries, coleslaw, cottage cheese,
438
00:18:28,761 --> 00:18:30,304
a pudding, and fruit salad.
439
00:18:33,027 --> 00:18:34,439
You know, hemophobia can make
440
00:18:34,463 --> 00:18:36,963
for a pretty rough surgical rotation.
441
00:18:36,987 --> 00:18:38,312
You got any idea how to get over it?
442
00:18:39,337 --> 00:18:40,619
I gotta.
443
00:18:40,643 --> 00:18:43,230
[CHUCKLES] My brother and I,
we have this deal
444
00:18:43,254 --> 00:18:45,444
to become family docs,
then move back home.
445
00:18:46,555 --> 00:18:47,817
When our mother got sick,
446
00:18:47,842 --> 00:18:49,573
we saw how lousy medical care can get.
447
00:18:51,888 --> 00:18:53,368
You could try exposure therapy,
448
00:18:53,393 --> 00:18:54,829
watch a few hours of blood draws.
449
00:18:54,854 --> 00:18:57,596
- [GAGS]
- Ooh, there's a twist.
450
00:18:57,621 --> 00:18:58,883
You good?
451
00:18:58,922 --> 00:19:00,069
Okay. Just breathe.
452
00:19:00,093 --> 00:19:01,316
[GAGS]
453
00:19:03,266 --> 00:19:04,224
[SIGHS]
454
00:19:07,539 --> 00:19:08,801
[DEVICE BEEPING]
455
00:19:10,629 --> 00:19:11,650
[BEEPING CONTINUES]
456
00:19:11,674 --> 00:19:13,222
[SIGHS]
457
00:19:13,806 --> 00:19:15,069
[DEVICE BEEPING CONTINUOUSLY]
458
00:19:16,766 --> 00:19:17,767
[SIGHS]
459
00:19:19,508 --> 00:19:21,205
[DRAMATIC MUSIC]
460
00:19:24,730 --> 00:19:26,193
[DEVICE BEEPING]
461
00:19:30,172 --> 00:19:31,956
[SIGHS DEEPLY]
462
00:19:32,069 --> 00:19:34,898
Shaun doesn't like her?
But she worships him.
463
00:19:34,923 --> 00:19:36,185
Charlie blabbed to the patient,
464
00:19:36,210 --> 00:19:38,299
blew up his double lung transplant.
465
00:19:38,324 --> 00:19:41,110
Double lumen
endotracheal tubes and clamps.
466
00:19:41,135 --> 00:19:43,180
My guy did the same thing,
but in reverse.
467
00:19:43,227 --> 00:19:44,857
Mentioned a virtually
impossible surgery.
468
00:19:44,881 --> 00:19:46,146
Now the patient wants it.
469
00:19:46,405 --> 00:19:49,278
[CHUCKLING] I think I actually saw
smoke come out of Park's ears.
470
00:19:49,538 --> 00:19:51,516
Well, 20% of med school
students don't make it,
471
00:19:51,540 --> 00:19:53,387
and most of that happens
during surgical rotation.
472
00:19:53,411 --> 00:19:55,694
I wonder which one
of our ducklings goes first?
473
00:19:55,718 --> 00:19:57,057
Ten bags of saline.
474
00:19:59,983 --> 00:20:01,353
Oh, you're gonna need a cart.
475
00:20:02,551 --> 00:20:05,182
The big guy's on a mission.
I'll take the girl.
476
00:20:05,206 --> 00:20:07,532
[GASPS] I've never said
those words before.
477
00:20:07,556 --> 00:20:08,861
Done with my scut work.
478
00:20:10,292 --> 00:20:11,488
You guys need a cart.
479
00:20:12,474 --> 00:20:13,668
I'll be right back.
480
00:20:13,692 --> 00:20:15,738
[QUIRKY MUSIC]
481
00:20:21,135 --> 00:20:22,136
Hey.
482
00:20:24,750 --> 00:20:27,278
Are you not going to go to Morgan's
baby thing
483
00:20:27,302 --> 00:20:28,939
because I might be there?
484
00:20:29,764 --> 00:20:30,765
Yes.
485
00:20:32,189 --> 00:20:33,427
Well, that's pretty dumb.
486
00:20:34,800 --> 00:20:37,562
Don't you think it's time
we moved past this stuff?
487
00:20:37,586 --> 00:20:38,500
No.
488
00:20:39,675 --> 00:20:41,351
Well, I'm trying to.
489
00:20:42,286 --> 00:20:44,187
I'm the one who should be mad at you.
490
00:20:45,724 --> 00:20:48,901
You should have met Steve
on the day he was born.
491
00:20:49,214 --> 00:20:51,739
Yes. I should have.
I should have done that.
492
00:20:53,402 --> 00:20:56,867
I was pretty upset back then.
493
00:20:58,041 --> 00:20:59,431
You humiliated me,
494
00:20:59,455 --> 00:21:03,624
and I'm not a surgeon now
partly because of you.
495
00:21:04,743 --> 00:21:06,354
Did you forget that?
496
00:21:09,929 --> 00:21:13,716
That is not an apology.
497
00:21:15,885 --> 00:21:17,626
[SOMBER MUSIC]
498
00:21:27,245 --> 00:21:29,859
Drained ninth liter of effluent.
499
00:21:30,683 --> 00:21:33,488
Left lung output is looking clearer.
500
00:21:33,512 --> 00:21:35,698
[OVER INTERCOM] Did everyone
look at Grace's cam-girl site?
501
00:21:36,907 --> 00:21:39,077
What is she doing here?
502
00:21:39,518 --> 00:21:41,607
She was done with scut work.
503
00:21:41,913 --> 00:21:43,803
Infusing another liter of saline.
504
00:21:43,827 --> 00:21:46,395
Grace put herself online
because she wants customers.
505
00:21:46,751 --> 00:21:47,961
I'm giving her what she wants.
506
00:21:48,294 --> 00:21:49,852
You actually subscribed?
507
00:21:49,876 --> 00:21:51,854
I am a feminist,
and she's very beautiful.
508
00:21:51,878 --> 00:21:54,681
Her site offers
tasteful nude portraits,
509
00:21:54,705 --> 00:21:56,598
sensual shower videos,
and gritty bondage.
510
00:21:56,622 --> 00:21:59,253
No amount of money
is worth selling your body.
511
00:21:59,277 --> 00:22:01,516
Uh, $3.6 million a year might be.
512
00:22:01,834 --> 00:22:03,238
What about you, Dr. Murphy?
513
00:22:03,263 --> 00:22:05,436
How would you feel if your son
ended up doing sex work?
514
00:22:09,156 --> 00:22:10,656
What if he ends up sick
515
00:22:10,680 --> 00:22:12,652
from cutting quartz countertops
for a living?
516
00:22:18,176 --> 00:22:20,660
We can clear Rich to fly home.
517
00:22:21,125 --> 00:22:23,204
But I need to talk to him first.
518
00:22:26,826 --> 00:22:28,306
[FOOTSTEPS IN DISTANCE]
519
00:22:36,706 --> 00:22:39,119
How long ago did she wake up?
520
00:22:39,143 --> 00:22:41,931
About an hour or so. I just fed her.
521
00:22:51,851 --> 00:22:53,462
[SNIFFLES]
522
00:22:57,553 --> 00:22:59,357
The patient wants to go for it,
523
00:22:59,381 --> 00:23:03,379
and there's a non-zero chance it works.
524
00:23:04,995 --> 00:23:06,625
So do it.
525
00:23:06,649 --> 00:23:08,781
Only the best of the best
could pull this off.
526
00:23:10,305 --> 00:23:11,753
And what if that's you?
527
00:23:14,657 --> 00:23:16,896
I've been in the OR with you.
528
00:23:16,920 --> 00:23:18,289
I know your steadiness,
529
00:23:18,313 --> 00:23:21,429
your precision, your persistence.
530
00:23:26,190 --> 00:23:28,105
I believe you can do this.
531
00:23:32,936 --> 00:23:34,696
[EDEN BABBLING]
532
00:23:34,720 --> 00:23:36,331
Maybe Eden should decide.
533
00:23:37,462 --> 00:23:39,179
She agrees with her mama.
534
00:23:39,203 --> 00:23:40,920
[BABBLING CONTINUES]
535
00:23:40,944 --> 00:23:43,139
[CHUCKLES, SNIFFLES]
536
00:23:43,163 --> 00:23:44,339
[INHALES, EXHALES DEEPLY]
537
00:23:53,024 --> 00:23:55,129
You are able to fly home now.
538
00:23:57,569 --> 00:23:59,884
But you should listen to your daughter.
539
00:24:07,797 --> 00:24:09,146
Dad.
540
00:24:09,586 --> 00:24:10,717
Please.
541
00:24:11,801 --> 00:24:13,735
Dr. Murphy says it's very unlikely
542
00:24:13,759 --> 00:24:16,025
they'll find another donor
match before you die.
543
00:24:16,980 --> 00:24:18,236
Take the lungs.
544
00:24:20,586 --> 00:24:23,908
You don't have to live with me.
I'll find a place for you.
545
00:24:26,685 --> 00:24:28,412
You have to stop what you're doing.
546
00:24:31,821 --> 00:24:32,959
No.
547
00:24:33,990 --> 00:24:35,905
I like what I do.
548
00:24:35,930 --> 00:24:38,889
I'm successful,
and I'm not hurting anyone.
549
00:24:38,958 --> 00:24:40,893
You're hurting me.
550
00:24:40,917 --> 00:24:42,962
[SOMBER MUSIC]
551
00:25:00,896 --> 00:25:04,115
My son, Steve, is three weeks old.
552
00:25:06,159 --> 00:25:08,900
I have been thinking about what
he might do when he gets older
553
00:25:08,925 --> 00:25:11,622
that I would not approve of.
554
00:25:14,144 --> 00:25:18,171
But I can't imagine
not wanting him in my life
555
00:25:19,279 --> 00:25:21,799
unless he was cruel or unkind to others.
556
00:25:24,104 --> 00:25:26,280
She is kind and generous.
557
00:25:26,305 --> 00:25:28,351
She loves you and wants to care for you.
558
00:25:28,376 --> 00:25:30,433
She seems like a very good person.
559
00:25:35,319 --> 00:25:36,981
You did raise Grace right.
560
00:25:52,055 --> 00:25:53,883
You're a gambling addict
who showed up here
561
00:25:53,908 --> 00:25:55,666
having already thrown everything away.
562
00:25:56,601 --> 00:25:58,623
The only way I do this surgery
563
00:25:58,647 --> 00:26:01,505
is if I know you'll make
better use of the extra time.
564
00:26:03,434 --> 00:26:05,509
- This doesn't seem ethical.
- It's not.
565
00:26:09,066 --> 00:26:11,641
Convince me you'll
lead a life worth saving.
566
00:26:20,538 --> 00:26:22,603
My name is Sal Zacharia,
567
00:26:22,627 --> 00:26:24,195
and I have a gambling addiction.
568
00:26:25,412 --> 00:26:28,115
I promise I will get treatment.
569
00:26:29,504 --> 00:26:31,239
And you'll reach out to your ex-wife,
570
00:26:31,263 --> 00:26:32,433
try to reconnect with your family.
571
00:26:32,457 --> 00:26:34,747
How is this any business of yours?
572
00:26:40,535 --> 00:26:42,275
Tell me why I should believe you.
573
00:26:50,337 --> 00:26:53,516
Because I die if you don't.
574
00:27:00,186 --> 00:27:01,607
I don't wanna die.
575
00:27:09,369 --> 00:27:10,908
Let's get prepped for surgery.
576
00:27:15,985 --> 00:27:17,116
[SIGHS]
577
00:27:22,795 --> 00:27:25,668
Scrub your arms to three
inches above the elbow.
578
00:27:25,695 --> 00:27:27,827
How did you get Rich to change his mind?
579
00:27:27,852 --> 00:27:28,984
Did you trick him?
580
00:27:29,009 --> 00:27:30,924
I related to him as a father.
581
00:27:30,949 --> 00:27:33,473
I have become very good
at displaying empathy.
582
00:27:33,830 --> 00:27:34,981
Neurotypicals are weird.
583
00:27:35,005 --> 00:27:36,417
Yes, they are.
584
00:27:36,441 --> 00:27:39,115
Rinse your hands and arms
from fingertips to elbows,
585
00:27:39,139 --> 00:27:41,189
one direction only.
586
00:27:41,664 --> 00:27:46,035
I am displaying empathy now,
by allowing you into the OR.
587
00:27:46,059 --> 00:27:48,647
You should be grateful
I was able to fix the case.
588
00:27:48,671 --> 00:27:50,282
Hands up, and don't touch anything.
589
00:27:55,396 --> 00:27:57,573
[CHARLIE] My first time
being gowned and gloved.
590
00:27:57,598 --> 00:27:58,816
Do we get to shave his chest?
591
00:27:58,898 --> 00:28:00,484
[NURSE VILLANUEVA]
It was done in pre-op.
592
00:28:00,508 --> 00:28:04,097
Oh, I shave my own body hair,
so I'm great at it.
593
00:28:04,121 --> 00:28:05,707
Not my chest, though.
594
00:28:05,731 --> 00:28:07,421
- I mean, my underarms, my legs, my...
- [JARED] Charlie.
595
00:28:07,445 --> 00:28:09,668
[SHAUN] Okay. Please stop talking.
596
00:28:09,692 --> 00:28:12,179
[CHARLIE] I... I, uh,
was just trying to...
597
00:28:14,740 --> 00:28:18,328
[SHAUN] You cannot touch your skin.
598
00:28:18,352 --> 00:28:20,853
[CHARLIE] I didn't,
I touched my earring.
599
00:28:20,877 --> 00:28:23,357
[SHAUN] You can't touch
any non-sterile item.
600
00:28:26,926 --> 00:28:29,252
You've just contaminated
the surgical field.
601
00:28:29,276 --> 00:28:30,906
You have to re-scrub in,
602
00:28:30,930 --> 00:28:33,058
and we have to re-drape everything.
603
00:28:33,082 --> 00:28:35,694
- You're speaking very loudly.
- Go read the literature
604
00:28:35,718 --> 00:28:38,044
on operating-room sterile technique.
605
00:28:38,068 --> 00:28:40,176
That won't help.
I'm an auditory learner.
606
00:28:40,200 --> 00:28:42,638
You need to leave.
607
00:28:43,682 --> 00:28:46,380
Okay? Leave now.
608
00:28:50,297 --> 00:28:51,559
[JARED SIGHS]
609
00:28:53,884 --> 00:28:54,754
[KNOCK ON DOOR]
610
00:28:57,348 --> 00:28:58,412
That looks fun.
611
00:28:58,436 --> 00:29:01,458
[BREAST PUMP WHIRRING]
612
00:29:01,482 --> 00:29:03,678
Why did you e-mail "Will not attend"?
613
00:29:03,702 --> 00:29:05,593
You're clearly skipping my baby's party
614
00:29:05,617 --> 00:29:07,334
because you feel
like a failure as a mom.
615
00:29:07,358 --> 00:29:08,596
But you're not. And that's stupid.
616
00:29:08,620 --> 00:29:09,945
And how can I help
if you won't just tell me
617
00:29:09,969 --> 00:29:11,579
that you're having
breastfeeding problems?
618
00:29:12,363 --> 00:29:14,036
Mm. I'm sorry.
619
00:29:14,060 --> 00:29:16,604
I feel like a jerk complaining
to you about all of this.
620
00:29:16,628 --> 00:29:18,519
I know I'm lucky to breastfeed at all,
621
00:29:18,543 --> 00:29:20,956
and I am not being rational.
622
00:29:22,025 --> 00:29:24,462
You're not the only one failing.
623
00:29:28,988 --> 00:29:31,837
When Eden cries during the night,
624
00:29:31,861 --> 00:29:33,844
Alex is the one who wakes up.
625
00:29:34,298 --> 00:29:35,797
Every time.
626
00:29:35,821 --> 00:29:37,625
During one of his overnight shifts,
627
00:29:37,649 --> 00:29:41,697
I slept through my own baby
crying for almost 20 minutes.
628
00:29:41,976 --> 00:29:45,414
I mean, that's actual neglect.
629
00:29:46,919 --> 00:29:49,419
Yeah, I'm pretty sure Child
Protective Services is downstairs.
630
00:29:49,443 --> 00:29:51,160
Shut up, raisin boobs.
631
00:29:51,184 --> 00:29:53,056
[LAUGHS] Mm.
632
00:29:54,971 --> 00:29:57,993
You are the greatest mom.
633
00:29:58,938 --> 00:30:00,853
Adopting a baby with Turner syndrome,
634
00:30:00,878 --> 00:30:02,967
caring for her
after two heart surgeries,
635
00:30:02,992 --> 00:30:05,473
and somehow throwing a party
while being so put together.
636
00:30:06,634 --> 00:30:08,506
And I use formula exclusively.
637
00:30:19,695 --> 00:30:22,143
Finally got the last box
removed from my office.
638
00:30:23,086 --> 00:30:25,760
- Space is a little tight.
- And yet, I found some.
639
00:30:25,784 --> 00:30:29,024
Well, that's excellent use
of your co-presidential powers.
640
00:30:29,440 --> 00:30:32,114
- I owe you.
- Oh, my God, can we please stop?
641
00:30:32,138 --> 00:30:35,117
Can we... Can we just have a truce?
642
00:30:35,141 --> 00:30:36,969
- I'll think about it.
- Please?
643
00:30:37,282 --> 00:30:38,860
I promise, from here on in,
644
00:30:38,884 --> 00:30:40,993
I will check in with all the big stuff.
645
00:30:41,017 --> 00:30:42,342
Okay?
646
00:30:42,366 --> 00:30:44,164
No more gotchas.
647
00:30:44,455 --> 00:30:46,374
[ALL] Happy birthday!
648
00:30:48,024 --> 00:30:49,765
I sent the memo out this morning.
649
00:30:51,962 --> 00:30:53,137
Eighty?
650
00:30:54,987 --> 00:30:57,552
You look really good for your age.
651
00:31:10,220 --> 00:31:12,241
[FOOTSTEPS APPROACHING]
652
00:31:12,265 --> 00:31:14,026
I got booted out of my first surgery
653
00:31:14,050 --> 00:31:15,810
for contaminating the sterile field.
654
00:31:15,834 --> 00:31:17,594
I'm probably about to join you.
655
00:31:17,618 --> 00:31:19,161
I fainted twice at the sight of blood.
656
00:31:19,185 --> 00:31:21,381
I'm already sweating
and seeing little black dots.
657
00:31:21,405 --> 00:31:24,079
- What?
- Feel better?
658
00:31:24,538 --> 00:31:26,995
That activated your sympathetic
nervous system.
659
00:31:27,019 --> 00:31:28,959
More blood flow means you won't faint.
660
00:31:29,935 --> 00:31:32,044
Too bad I can't do that to myself.
661
00:31:32,068 --> 00:31:34,214
Try snapping your glove
against your wrist.
662
00:31:39,162 --> 00:31:40,859
[MONITOR BEEPING]
663
00:31:53,752 --> 00:31:55,749
[DR. PARK] All right. Let's cut.
664
00:31:55,774 --> 00:31:57,515
[TENSE MUSIC]
665
00:32:01,445 --> 00:32:02,925
[SAW WHIRRING]
666
00:32:21,739 --> 00:32:23,959
Stair-step mandibulotomy complete.
667
00:32:23,984 --> 00:32:26,334
Dr. Wolke, dissect to the floor
of the mouth posteriorly,
668
00:32:26,359 --> 00:32:29,144
then swing the tongue medially
and the mandible laterally.
669
00:32:30,996 --> 00:32:34,316
Transecting eustachian tube
and elevating the pharynx
670
00:32:34,340 --> 00:32:35,716
off the longus colli muscles.
671
00:32:35,740 --> 00:32:37,979
[SQUELCHING]
672
00:32:38,003 --> 00:32:41,448
We now have access to the
upper cervical spine and clivus.
673
00:32:43,748 --> 00:32:45,160
Now comes the hard part.
674
00:32:50,363 --> 00:32:53,516
Bring the Fabricius robot in.
Get the arms in position.
675
00:32:53,540 --> 00:32:55,891
Have the Rhoton dissector
and ultrasonic aspirator ready.
676
00:33:15,520 --> 00:33:17,957
[MONITOR BEEPING]
677
00:33:20,612 --> 00:33:22,198
[DR. PARK] 25-degree angled
Rhoton dissector.
678
00:33:22,222 --> 00:33:24,921
- [BEEPING CONTINUES]
- [MACHINE WHIRRING]
679
00:33:30,839 --> 00:33:32,772
Dissecting a safe plane
between the tumor
680
00:33:32,796 --> 00:33:35,105
and the ventral surface
of the pons and cranial nerve.
681
00:33:43,548 --> 00:33:44,929
Final step.
682
00:33:45,156 --> 00:33:47,515
Too deep here and the guy's
permanently paralyzed.
683
00:33:53,558 --> 00:33:56,996
[BREATHES DEEPLY]
684
00:34:19,192 --> 00:34:20,715
[DR. PARK] All tumor's out.
685
00:34:26,069 --> 00:34:27,331
And heart is still beating.
686
00:34:31,813 --> 00:34:33,748
[APPLAUSE]
687
00:34:33,772 --> 00:34:35,992
[TRIUMPHANT MUSIC]
688
00:34:51,268 --> 00:34:53,418
[DOM GAGGING] I'm not okay.
689
00:35:03,327 --> 00:35:04,885
- [GRACE] Dad.
- Hmm?
690
00:35:06,509 --> 00:35:07,618
Hey.
691
00:35:07,644 --> 00:35:09,167
Hey! You're here.
692
00:35:10,322 --> 00:35:11,474
Of course.
693
00:35:14,291 --> 00:35:15,442
How do you feel?
694
00:35:15,466 --> 00:35:18,097
[BREATHES DEEPLY]
695
00:35:18,121 --> 00:35:20,900
Like I can breathe again.
696
00:35:21,496 --> 00:35:23,128
[GRACE] Good.
697
00:35:23,348 --> 00:35:26,572
I found a place that can help
with your meals and medicine.
698
00:35:34,367 --> 00:35:35,542
You know, I...
699
00:35:35,567 --> 00:35:37,333
I'd really like to stay with you.
700
00:35:40,212 --> 00:35:42,867
If the offer still stands.
701
00:35:46,801 --> 00:35:48,064
Of course it does.
702
00:35:48,716 --> 00:35:49,780
Yeah?
703
00:35:49,804 --> 00:35:50,936
Yeah.
704
00:35:58,683 --> 00:36:00,008
[SMOOCHES]
705
00:36:00,032 --> 00:36:01,398
You're a good person.
706
00:36:03,644 --> 00:36:05,951
[INHALES, EXHALES DEEPLY]
707
00:36:18,207 --> 00:36:19,593
Hello.
708
00:36:19,617 --> 00:36:21,377
I would like a report
on what you've learned
709
00:36:21,401 --> 00:36:23,292
from the sterile techniques manual.
710
00:36:23,316 --> 00:36:24,380
I'll e-mail it.
711
00:36:24,404 --> 00:36:26,513
I'm reorganizing for peak efficiency.
712
00:36:26,537 --> 00:36:28,558
Making a great day greater.
713
00:36:28,582 --> 00:36:29,583
[CHUCKLES]
714
00:36:31,629 --> 00:36:33,650
No. Excuse me.
Today was not a great day.
715
00:36:33,674 --> 00:36:35,641
Nor was yesterday.
716
00:36:35,665 --> 00:36:39,812
You made several big mistakes
and dozens of small ones.
717
00:36:40,119 --> 00:36:42,426
My anatomy professor told us
it's okay to make mistakes.
718
00:36:42,451 --> 00:36:43,732
That's how we learn.
719
00:36:44,337 --> 00:36:45,818
Your professor is wrong.
720
00:36:46,557 --> 00:36:49,188
And so is this re-organization.
721
00:36:49,212 --> 00:36:51,574
I had everything in the proper place.
722
00:36:52,599 --> 00:36:54,471
Restore it, then go home.
723
00:36:54,496 --> 00:36:56,541
[SOMBER MUSIC]
724
00:37:01,889 --> 00:37:03,891
[CELL PHONE CLICKING]
725
00:37:11,625 --> 00:37:13,516
[SIGHS] Looks like we both
caught a break.
726
00:37:13,540 --> 00:37:14,597
Mm.
727
00:37:16,087 --> 00:37:17,175
Hmm.
728
00:37:19,546 --> 00:37:21,228
Is Janet your ex-wife?
729
00:37:23,507 --> 00:37:24,875
Nice.
730
00:37:24,899 --> 00:37:26,268
Looks like she's pretty excited
731
00:37:26,292 --> 00:37:27,400
about you getting into treatment.
732
00:37:27,424 --> 00:37:28,294
[SAL] Mm.
733
00:37:29,382 --> 00:37:30,644
[CELL PHONE CHIMES]
734
00:37:32,683 --> 00:37:34,683
_
735
00:37:34,839 --> 00:37:37,328
And you got a confirmation
for the bets you just placed.
736
00:37:40,263 --> 00:37:41,665
[GRUMBLES]
737
00:37:45,529 --> 00:37:47,507
[CELL PHONE CLICKING]
738
00:37:47,531 --> 00:37:49,272
[GROANS]
739
00:37:51,158 --> 00:37:54,053
_
740
00:38:04,287 --> 00:38:05,351
Good luck, Sal.
741
00:38:05,375 --> 00:38:07,246
[MUMBLES]
742
00:38:13,687 --> 00:38:15,211
[SIRENS WAILING IN DISTANCE]
743
00:38:32,010 --> 00:38:33,011
You okay?
744
00:38:34,568 --> 00:38:37,006
Dr. Murphy doesn't appreciate
efficient organization skills
745
00:38:37,031 --> 00:38:38,263
when he sees it.
746
00:38:41,615 --> 00:38:43,226
Hmm.
747
00:38:43,492 --> 00:38:44,623
[SUCKS TEETH] I do.
748
00:38:45,502 --> 00:38:46,957
That doesn't matter very much.
749
00:38:46,981 --> 00:38:48,244
You're not my hero.
750
00:38:55,730 --> 00:38:56,866
Sure about that?
751
00:38:59,298 --> 00:39:01,189
[TAYLOR SWIFT'S "BEJEWELED" PLAYS]
752
00:39:01,213 --> 00:39:02,756
[SINGING ALONG] ♪ Best
believe I'm still bejeweled ♪
753
00:39:02,780 --> 00:39:04,366
♪ When I walk in the room ♪
754
00:39:04,390 --> 00:39:07,064
♪ I can still make
The whole place shimmer ♪
755
00:39:07,088 --> 00:39:09,066
♪ And when I meet the band
They ask ♪
756
00:39:09,090 --> 00:39:10,503
♪ "Do you have a man?" ♪
757
00:39:10,527 --> 00:39:12,287
♪ I can still say
"I don't remember" ♪
758
00:39:12,311 --> 00:39:13,506
[LAUGHS]
759
00:39:13,530 --> 00:39:15,159
[BOTH]
♪ Familiarity breeds contempt ♪
760
00:39:15,183 --> 00:39:16,726
♪ Don't put me In the basement ♪
761
00:39:16,750 --> 00:39:19,120
♪ When I want
The penthouse of your heart ♪
762
00:39:19,144 --> 00:39:21,688
♪ Diamonds in my eyes ♪
763
00:39:21,712 --> 00:39:26,214
♪ I polish up real
I polish up real nice ♪
764
00:39:26,238 --> 00:39:27,413
[BOTH LAUGH]
765
00:39:29,067 --> 00:39:30,958
- That's that smile I like to see.
- [CHARLIE] Whoo!
766
00:39:30,982 --> 00:39:32,359
♪ Shimmer ♪
767
00:39:35,943 --> 00:39:37,489
You're so sweet.
768
00:39:40,377 --> 00:39:42,161
- [DR. REZNICK] Formula?
- You were right.
769
00:39:42,614 --> 00:39:43,659
No guilt, okay?
770
00:39:44,082 --> 00:39:45,497
I'm proud of you.
771
00:39:45,522 --> 00:39:48,625
Also, supplementing
has advantages for Mama.
772
00:39:49,261 --> 00:39:51,742
Bless your dear, dear soul.
773
00:39:52,408 --> 00:39:53,539
[SIGHS DEEPLY]
774
00:39:58,873 --> 00:40:00,788
Because we've had a long couple of days
775
00:40:00,813 --> 00:40:02,250
with our new babies.
776
00:40:06,235 --> 00:40:09,194
My first med school rotation
was oncology.
777
00:40:09,368 --> 00:40:11,520
I was doing patient intake,
and I asked a woman
778
00:40:11,544 --> 00:40:13,275
if she'd been keeping up
with her mammograms.
779
00:40:14,306 --> 00:40:16,047
It was a follow-up
to a double mastectomy.
780
00:40:16,072 --> 00:40:17,769
[STIFLED LAUGHTER]
781
00:40:17,794 --> 00:40:19,840
[LAUGHTER]
782
00:40:19,944 --> 00:40:21,835
Mine was obstetrics.
783
00:40:21,859 --> 00:40:23,619
It was my first delivery,
784
00:40:23,643 --> 00:40:25,360
and the doctor handed me the newborn,
785
00:40:25,384 --> 00:40:28,058
and I said, "Ew," like, out loud.
786
00:40:28,082 --> 00:40:29,792
[LAUGHTER]
787
00:40:30,168 --> 00:40:32,823
When I was in my first
ever surgery, open heart,
788
00:40:32,848 --> 00:40:35,503
the attending asked me what the ACT was.
789
00:40:35,528 --> 00:40:37,800
I proudly said,
"Activated clotting time."
790
00:40:38,558 --> 00:40:40,081
She said, "I know what it stands for.
791
00:40:40,106 --> 00:40:41,135
"I need you to tell me the number."
792
00:40:41,160 --> 00:40:42,986
- [LAUGHTER]
- Wow.
793
00:40:43,010 --> 00:40:46,033
Mm-hmm. That attending could
have thrown me out of the OR.
794
00:40:46,057 --> 00:40:47,601
But she mentored me instead.
795
00:40:48,921 --> 00:40:50,103
Yeah.
796
00:40:51,925 --> 00:40:53,362
To taking care of our ducklings.
797
00:40:54,142 --> 00:40:55,230
Yeah.
798
00:41:06,463 --> 00:41:10,624
I have heard valid arguments
both for and against sex work.
799
00:41:11,909 --> 00:41:13,365
Are you considering a career change?
800
00:41:13,389 --> 00:41:14,738
But it doesn't matter.
801
00:41:16,479 --> 00:41:19,925
It is okay for family to disagree.
802
00:41:21,962 --> 00:41:23,679
Being a family who argues
803
00:41:23,703 --> 00:41:27,054
is more important
than not being a family at all.
804
00:41:30,427 --> 00:41:33,021
I'm sorry it took me
so long to meet you.
805
00:41:34,340 --> 00:41:36,900
I look forward to spending
some more time together.
806
00:41:37,674 --> 00:41:38,902
Okay?
807
00:41:41,460 --> 00:41:43,365
He was saying that for me.
808
00:41:45,682 --> 00:41:47,311
Hi.
809
00:41:47,335 --> 00:41:52,055
♪ And as long as that's true
We've got everything ♪
810
00:41:52,079 --> 00:41:53,014
♪ Fly away ♪
811
00:41:53,038 --> 00:41:54,275
I got ya.
812
00:41:54,299 --> 00:41:56,451
♪ I bet we could ♪
813
00:41:56,475 --> 00:41:57,781
♪ We got it good ♪
814
00:42:01,219 --> 00:42:02,438
♪ We got it good ♪
815
00:42:06,180 --> 00:42:07,878
[CLOSING THEME MUSIC PLAYING]
58961
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