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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:01,175 --> 00:00:02,674 Previously on The Good Doctor... 2 00:00:02,698 --> 00:00:04,743 - Hey! Stop! - Danny! 3 00:00:08,486 --> 00:00:09,507 Just promise me. 4 00:00:09,531 --> 00:00:11,465 - What? - No opioids. 5 00:00:11,489 --> 00:00:12,901 He asked you not to do that. 6 00:00:12,925 --> 00:00:14,468 He's tachycardic and hypertensive because of the pain. 7 00:00:14,492 --> 00:00:15,600 He's going into shock. 8 00:00:15,624 --> 00:00:17,428 - He's not. He's praying. - He's dying. 9 00:00:17,452 --> 00:00:19,952 Forgive me. 10 00:00:19,976 --> 00:00:22,128 I need to go back to Texas with my family. 11 00:00:22,152 --> 00:00:24,565 You made an error in yesterday's craniotomy. 12 00:00:24,589 --> 00:00:26,567 You closed with only eight sutures. 13 00:00:26,591 --> 00:00:28,178 The size of the wound required ten. 14 00:00:28,202 --> 00:00:29,440 We need to figure out why. 15 00:00:29,464 --> 00:00:30,528 I've had a stroke. 16 00:00:30,552 --> 00:00:31,964 Yes. A small one. 17 00:00:31,988 --> 00:00:34,575 Dr. Glassman, please tell us what the next step is. 18 00:00:34,599 --> 00:00:36,925 Somebody please call security. Shaun, you are out of line. 19 00:00:36,949 --> 00:00:38,603 - Answer. - It's, um... 20 00:00:40,040 --> 00:00:43,323 You humiliated me in public in my operating room 21 00:00:43,347 --> 00:00:44,803 in front of my colleagues. 22 00:00:44,827 --> 00:00:46,718 Do you have any idea how much that hurt? 23 00:00:46,742 --> 00:00:48,154 I don't know what to do. 24 00:00:48,178 --> 00:00:50,113 You can just leave me alone. 25 00:00:50,137 --> 00:00:52,071 I don't think you should resign. 26 00:00:52,095 --> 00:00:53,507 Because you don't have to do it all alone. 27 00:00:53,531 --> 00:00:55,292 You're the reason I wake up in the morning, 28 00:00:55,316 --> 00:00:56,815 so whatever there is to figure out, 29 00:00:56,839 --> 00:01:00,210 all I want in the world is for us to do it as a family. 30 00:01:00,234 --> 00:01:02,429 I wanted to give you a heads-up as a friend. 31 00:01:02,453 --> 00:01:03,541 I've decided to resign. 32 00:01:05,587 --> 00:01:07,197 Congratulations, Mom and Dad. 33 00:01:10,853 --> 00:01:12,874 Look at what we made. 34 00:01:12,898 --> 00:01:15,075 Do you think Dr. Glassman is coming? 35 00:01:16,206 --> 00:01:17,792 This is from Dr. Glassman. 36 00:01:17,816 --> 00:01:20,230 How did he know his name would be Steve? 37 00:01:20,254 --> 00:01:21,646 Because he knows you. 38 00:01:30,046 --> 00:01:31,047 Gloves. 39 00:01:44,278 --> 00:01:45,931 Start the timer, please. 40 00:01:47,585 --> 00:01:49,587 Good luck, babe. It's a doozy. 41 00:01:50,893 --> 00:01:53,001 ♪ They get up every morning 42 00:01:53,025 --> 00:01:54,786 ♪ From the alarm clock's Warning ♪ 43 00:01:54,810 --> 00:01:58,311 ♪ Take the 8:15 into the city ♪ 44 00:01:58,335 --> 00:02:00,313 ♪ There's a whistle up above ♪ 45 00:02:00,337 --> 00:02:02,446 ♪ And people pushing People shoving ♪ 46 00:02:02,470 --> 00:02:05,884 ♪ And the girls Who try to look pretty ♪ 47 00:02:05,908 --> 00:02:10,367 ♪ And I've been takin' care Of business, every day ♪ 48 00:02:10,391 --> 00:02:13,326 ♪ Takin' care of business Every way ♪ 49 00:02:13,350 --> 00:02:17,504 ♪ I've been takin' care Of business, it's all mine ♪ 50 00:02:17,528 --> 00:02:20,836 ♪ Takin' care of business And working overtime ♪ 51 00:02:22,925 --> 00:02:24,405 Thirty-seven seconds. 52 00:02:25,536 --> 00:02:26,581 Good work. 53 00:02:31,281 --> 00:02:32,848 I think that was your fastest yet. 54 00:02:33,675 --> 00:02:34,893 Second-fastest. 55 00:02:37,287 --> 00:02:41,137 Fifteen minutes of independent play is starting now. 56 00:02:41,161 --> 00:02:43,139 I will log it into my app. 57 00:02:43,163 --> 00:02:45,837 You sure you don't want to get in a few extra snuggles before you leave? 58 00:02:45,861 --> 00:02:48,492 Oh, I had ten minutes of snuggles this morning. 59 00:02:48,516 --> 00:02:49,560 Very nice. 60 00:02:51,083 --> 00:02:53,149 I've also set up the app on your phone. 61 00:02:53,173 --> 00:02:54,454 It will alert you when it's time 62 00:02:54,478 --> 00:02:56,152 for Steve's nap, feeding, playtime... 63 00:02:56,176 --> 00:02:59,329 Just in case I miss the schedules posted on the fridge, 64 00:02:59,353 --> 00:03:01,548 the bathroom, and in our bedroom. 65 00:03:01,572 --> 00:03:05,030 Yes. And I will be able to track it while I'm at work. 66 00:03:05,054 --> 00:03:07,467 Steve and I will be fine. 67 00:03:07,491 --> 00:03:08,884 Just enjoy your first day back. 68 00:03:13,236 --> 00:03:14,648 We can finish reading the latest. 69 00:03:14,672 --> 00:03:16,476 Journal of Trauma and Acute Care Surgery 70 00:03:16,500 --> 00:03:17,501 when I get home. 71 00:03:19,155 --> 00:03:20,741 After this, Steve should have at least 72 00:03:20,765 --> 00:03:22,178 five minutes of tummy time. 73 00:03:22,202 --> 00:03:23,788 Yesterday, he only logged 12 minutes, 74 00:03:23,812 --> 00:03:25,857 - which is three less than... - I love you. 75 00:03:27,207 --> 00:03:29,228 Say hi to everyone for me. 76 00:03:29,252 --> 00:03:31,211 Okay. I love you, too. 77 00:03:37,086 --> 00:03:38,914 I will miss you both. 78 00:04:22,087 --> 00:04:24,805 I don't know why you need three protein powders for your smoothies. 79 00:04:24,829 --> 00:04:26,266 They do different things. 80 00:04:27,571 --> 00:04:29,288 She's barely taken an ounce. 81 00:04:29,312 --> 00:04:31,247 That's what the protein-powder companies want you to believe. 82 00:04:31,271 --> 00:04:32,533 Are you holding her right? 83 00:04:33,273 --> 00:04:34,728 Yes. 84 00:04:34,752 --> 00:04:38,863 She needs to be upright with her head properly supported. 85 00:04:38,887 --> 00:04:39,931 Good. 86 00:04:40,845 --> 00:04:42,432 And you mixed it enough? 87 00:04:42,456 --> 00:04:43,607 The same as always. 88 00:04:43,631 --> 00:04:46,286 She's not interested again. 89 00:04:47,374 --> 00:04:48,984 And she seems lethargic. 90 00:04:51,247 --> 00:04:52,770 I'll take her to get checked out. 91 00:04:58,210 --> 00:05:00,082 Well, I'd like to come, too. 92 00:05:01,301 --> 00:05:03,303 Sure. You can carry this. 93 00:05:10,745 --> 00:05:13,463 Good morning. How's Perez today? 94 00:05:13,487 --> 00:05:14,618 Don't know. 95 00:05:15,750 --> 00:05:17,293 It's almost 8:00 a.m. 96 00:05:17,317 --> 00:05:19,425 It's been "today" for a whole eight hours. 97 00:05:19,449 --> 00:05:21,079 You two haven't texted each other yet? 98 00:05:21,103 --> 00:05:23,386 We both decided we need space. 99 00:05:23,410 --> 00:05:24,952 He's focused on his recovery. 100 00:05:24,976 --> 00:05:26,737 I've got my life here. 101 00:05:26,761 --> 00:05:29,653 I fully support that. 102 00:05:29,677 --> 00:05:31,698 And your next chapter begins tonight. 103 00:05:31,722 --> 00:05:35,485 You and me. Drinks, music, questionable decisions. 104 00:05:35,509 --> 00:05:38,444 You and Jerome finally got the surgery! 105 00:05:38,468 --> 00:05:40,011 You're no longer joined at the hip? 106 00:05:40,035 --> 00:05:41,404 Jerome is obsessed with some docuseries 107 00:05:41,428 --> 00:05:44,058 about one of the many sports that I don't care about. 108 00:05:44,082 --> 00:05:45,886 Come on. It's been too long. 109 00:05:45,910 --> 00:05:47,323 I've been busy. 110 00:05:47,347 --> 00:05:48,933 You've been 111 00:05:48,957 --> 00:05:50,326 mopey. 112 00:05:50,350 --> 00:05:52,284 Fine. I agree to drinks and music, 113 00:05:52,308 --> 00:05:55,156 but I'm definitely a "maybe" on questionable decisions. 114 00:05:55,180 --> 00:05:57,071 - All right. We'll work up to it. - Okay. 115 00:05:57,095 --> 00:05:58,595 We're going out tonight for drinks, 116 00:05:58,619 --> 00:06:01,032 starting a new chapter. That's right. 117 00:06:01,056 --> 00:06:03,730 We're calling it "Bad decisions with good friends." 118 00:06:03,754 --> 00:06:06,167 We're definitely not calling it that. Wanna join? 119 00:06:06,191 --> 00:06:07,845 No, thank you. 120 00:06:10,326 --> 00:06:11,956 Papa Murphy, welcome back. 121 00:06:11,980 --> 00:06:13,174 Pictures of Steve. 122 00:06:13,198 --> 00:06:14,785 I was just about to ask. 123 00:06:14,809 --> 00:06:17,246 This way, I avoid the disruption of pulling out my phone. 124 00:06:18,943 --> 00:06:20,249 Look at that smile! 125 00:06:20,902 --> 00:06:22,619 Just like his mom! 126 00:06:22,643 --> 00:06:25,448 He was pooping in that one. Here he is... about to poop. 127 00:06:25,472 --> 00:06:26,995 Hmm. A theme develops. 128 00:06:29,301 --> 00:06:31,758 Aw. He's got your eyes, Shaun. 129 00:06:31,782 --> 00:06:33,325 I need to find Dr. Lim. 130 00:06:33,349 --> 00:06:35,395 You may keep those. I made enough for everyone. 131 00:06:37,658 --> 00:06:39,244 Marcus sends greetings from Spain. 132 00:06:39,268 --> 00:06:41,551 Oh, I thought he was at a meditation retreat in Vietnam. 133 00:06:41,575 --> 00:06:44,336 He was, and now he's walking the Camino de Santiago. 134 00:06:44,360 --> 00:06:45,816 How nice for him. 135 00:06:45,840 --> 00:06:47,165 I'm two surgeons down 136 00:06:47,189 --> 00:06:49,254 with no one to approve hiring a new one. 137 00:06:49,278 --> 00:06:51,952 I need the board to appoint an interim president, stat. 138 00:06:51,976 --> 00:06:53,911 Just as long as it's not O'Brien. 139 00:06:53,935 --> 00:06:55,303 They wouldn't. 140 00:06:55,327 --> 00:06:57,349 I heard from a staffer who covers board meetings 141 00:06:57,373 --> 00:06:58,829 that his name's on the shortlist. 142 00:06:58,853 --> 00:07:01,875 Ugh. Of the worst possible candidates for the position. 143 00:07:01,899 --> 00:07:03,660 Good morning! Pictures of Steve. 144 00:07:03,684 --> 00:07:05,488 Aww. 145 00:07:05,512 --> 00:07:07,098 You no longer have your cane. 146 00:07:07,122 --> 00:07:08,578 Yeah. PT said I was ready. 147 00:07:08,602 --> 00:07:09,883 I'm glad to have you back. 148 00:07:09,907 --> 00:07:11,605 I would like to join your case. 149 00:07:13,998 --> 00:07:17,238 He's adorable, Dr. Murphy. Welcome back. 150 00:07:17,262 --> 00:07:18,979 Shaun, I'm thrilled to see you, 151 00:07:19,003 --> 00:07:20,633 but I'm not sure this is the case where you want 152 00:07:20,657 --> 00:07:22,896 to start as a new dad. 153 00:07:22,920 --> 00:07:25,749 It is an exciting and challenging surgery. 154 00:07:30,232 --> 00:07:32,210 Thank you for coming in on such short notice. 155 00:07:32,234 --> 00:07:34,342 Hello. I am Dr. Shaun Murphy, 156 00:07:34,366 --> 00:07:37,476 attending surgeon and father of a baby boy. 157 00:07:37,500 --> 00:07:40,348 He is two weeks old, and today is my first day back, 158 00:07:40,372 --> 00:07:42,046 but that will not affect my performance 159 00:07:42,070 --> 00:07:44,309 as your son's doctor. 160 00:07:44,333 --> 00:07:45,832 Is it true there might be a heart for Jack? 161 00:07:45,856 --> 00:07:48,922 Yes, but the heart isn't available yet, 162 00:07:48,946 --> 00:07:50,644 and we may not get it once it is. 163 00:07:51,732 --> 00:07:52,972 We've been through this before. 164 00:07:53,908 --> 00:07:55,755 Why isn't the heart available yet? 165 00:07:55,779 --> 00:08:00,064 Well, the donor family is still saying their goodbyes 166 00:08:00,088 --> 00:08:02,699 before they turn off life support. 167 00:08:06,007 --> 00:08:08,855 Jack is an excellent match for the donor heart, 168 00:08:08,879 --> 00:08:11,684 and his latest echo indicates that his cardiomyopathy 169 00:08:11,708 --> 00:08:13,381 and overall cardiac function has worsened, 170 00:08:13,405 --> 00:08:15,514 so he should be at the top of the list. 171 00:08:15,538 --> 00:08:17,037 I just want to run some additional tests 172 00:08:17,061 --> 00:08:18,386 to make sure he's otherwise healthy. 173 00:08:18,410 --> 00:08:20,606 There is a problem. 174 00:08:20,630 --> 00:08:24,436 There is a small scratch, likely from his fingernails, 175 00:08:24,460 --> 00:08:26,394 which has developed cellulitis and an abscess. 176 00:08:26,418 --> 00:08:27,961 If the infection spreads and he spikes a fever, 177 00:08:27,985 --> 00:08:30,486 Jack will be ineligible for the transplant. 178 00:08:30,510 --> 00:08:32,816 We have to lance and debride it right away. 179 00:08:44,741 --> 00:08:45,741 Morning. 180 00:08:46,874 --> 00:08:47,962 Hi. 181 00:08:49,833 --> 00:08:53,770 This is Steve, our son, who is now two weeks old. 182 00:08:53,794 --> 00:08:56,250 Steve, this is the grumpy man who lives down the hall 183 00:08:56,274 --> 00:08:57,841 and gave you your favorite blanket. 184 00:08:59,277 --> 00:09:01,865 Shaun was very impressed you guessed his first name. 185 00:09:01,889 --> 00:09:03,847 Wanna take a stab at the middle? 186 00:09:05,632 --> 00:09:06,632 Aaron. 187 00:09:08,199 --> 00:09:09,437 I was lobbying pretty hard for Bowie, 188 00:09:09,461 --> 00:09:11,309 because why not name your kid 189 00:09:11,333 --> 00:09:12,789 after the coolest person who ever lived? 190 00:09:12,813 --> 00:09:14,466 But Shaun insisted. 191 00:09:16,251 --> 00:09:17,620 You should come over sometime. 192 00:09:17,644 --> 00:09:19,524 You two both grunt a lot and make strange faces. 193 00:09:22,344 --> 00:09:23,824 I've got a lot going on, so... 194 00:09:25,129 --> 00:09:27,088 We live next door. You have nothing going on. 195 00:09:28,742 --> 00:09:31,677 You're mad. And I get it. 196 00:09:31,701 --> 00:09:35,463 But are you really gonna ignore Shaun and Steve and me forever? 197 00:09:35,487 --> 00:09:36,837 Is that the plan? 198 00:09:39,056 --> 00:09:40,991 I'm not ignoring you. 199 00:09:41,015 --> 00:09:42,407 And he's beautiful. 200 00:09:45,106 --> 00:09:46,586 Congratulations. 201 00:09:51,460 --> 00:09:52,679 I tried. 202 00:09:56,378 --> 00:09:58,574 Any cyanosis while eating? 203 00:09:58,598 --> 00:10:01,533 Maybe a hint of bluishness on her lips last night. 204 00:10:01,557 --> 00:10:03,361 I haven't noticed anything. 205 00:10:03,385 --> 00:10:05,363 But given her prior surgery and the Turner syndrome, 206 00:10:05,387 --> 00:10:06,997 I thought we should... 207 00:10:08,608 --> 00:10:10,261 The blood flow is reduced. 208 00:10:12,133 --> 00:10:14,502 It looks like Eden's aortic stenosis 209 00:10:14,526 --> 00:10:16,703 has progressed more rapidly than we were expecting. 210 00:10:19,009 --> 00:10:21,901 Can we put her on beta blockers? 211 00:10:21,925 --> 00:10:25,862 We can try, but given how dysplastic the valve is, 212 00:10:25,886 --> 00:10:27,951 I don't think it will do much good. 213 00:10:27,975 --> 00:10:30,823 You'll want to get more imaging, 214 00:10:30,847 --> 00:10:34,198 but I think Eden's gonna need another surgery very soon. 215 00:10:47,951 --> 00:10:51,409 Cardiac MRI confirmed severe narrowing of the valve, 216 00:10:51,433 --> 00:10:53,498 obstruction, and left ventricular dysfunction. 217 00:10:53,522 --> 00:10:55,543 Eden needs a new aortic valve, 218 00:10:55,567 --> 00:10:57,763 or her heart failure will get worse. 219 00:10:57,787 --> 00:11:00,940 Are you thinking mechanical or cryopreserved homograft for the replacement? 220 00:11:00,964 --> 00:11:03,421 Mechanical valve for a neonate needs to be built, 221 00:11:03,445 --> 00:11:05,466 and it will require future surgeries 222 00:11:05,490 --> 00:11:06,946 plus lifetime blood thinners. 223 00:11:06,970 --> 00:11:09,949 Cryopreserved valves risk degeneration down the line, 224 00:11:09,973 --> 00:11:12,038 but it is a solid idea, 225 00:11:12,062 --> 00:11:14,345 especially as part of the Ross Procedure. 226 00:11:14,369 --> 00:11:15,912 Possible complications? 227 00:11:15,936 --> 00:11:19,069 Aortic insufficiency, pulmonary stenosis. 228 00:11:22,116 --> 00:11:24,268 We can take some time, discuss the different options... 229 00:11:24,292 --> 00:11:25,859 Do the Ross Procedure. 230 00:11:32,126 --> 00:11:33,736 I'll have Asher get her prepped. 231 00:11:43,964 --> 00:11:45,985 It's time to get off the sidelines. 232 00:11:46,009 --> 00:11:47,508 I'm not sure what you're referring to. 233 00:11:47,532 --> 00:11:48,640 Are you gonna throw me a ball? 234 00:11:48,664 --> 00:11:50,207 You've run the hospital before. 235 00:11:50,231 --> 00:11:51,556 You can handle a few more months. 236 00:11:51,580 --> 00:11:54,037 I can, but why would I want to? 237 00:11:54,061 --> 00:11:55,865 - That's a no? - Yes. 238 00:11:55,889 --> 00:11:58,824 Get ready for Interim President O'Brien. 239 00:11:58,848 --> 00:12:00,304 They would never. 240 00:12:00,328 --> 00:12:03,133 That's like Mao meets Basil Fawlty. 241 00:12:03,157 --> 00:12:05,744 Wow. That's two obscure and dated references. 242 00:12:05,768 --> 00:12:07,528 They're never gonna move on O'Brien. 243 00:12:07,552 --> 00:12:10,270 Well, apparently, he's on the board's shortlist. 244 00:12:10,294 --> 00:12:13,360 Throw your hat in the ring, he won't stand a chance. 245 00:12:13,384 --> 00:12:16,431 My hat's gonna stay on my head, but I'll handle it. 246 00:12:17,954 --> 00:12:19,279 Okay, Jack. 247 00:12:19,303 --> 00:12:21,717 You know that little bump behind your ear? 248 00:12:21,741 --> 00:12:23,762 We have to poke it with something sharp, 249 00:12:23,786 --> 00:12:25,416 which will hurt, 250 00:12:25,440 --> 00:12:28,095 but we have to do it so hopefully you can get a new heart. 251 00:12:30,750 --> 00:12:33,709 But Mr. Snugglepuff is here to keep you company. 252 00:12:36,973 --> 00:12:39,735 Asher said the taco truck added chorizo to the menu, 253 00:12:39,759 --> 00:12:41,432 and it's bus sin'. 254 00:12:41,456 --> 00:12:43,980 The next late night, we should share an order. 255 00:12:45,025 --> 00:12:46,872 Not really my thing. Thanks. 256 00:12:46,896 --> 00:12:48,352 The sheet papoose is secure. 257 00:12:48,376 --> 00:12:51,050 Good. Dr. Kalu, cradle the baby. 258 00:12:51,074 --> 00:12:54,512 Dr. Allen, sterilize the area behind the ear. 259 00:13:05,523 --> 00:13:07,284 Okay, baby, don't look. 260 00:13:07,308 --> 00:13:10,833 His eyes are not yet able to focus beyond eight to twelve inches. 261 00:13:19,799 --> 00:13:21,713 The abscess is pretty deep. 262 00:13:22,584 --> 00:13:23,996 It may take a while to heal. 263 00:13:24,020 --> 00:13:25,868 What about a wound vac? 264 00:13:25,892 --> 00:13:27,850 We don't have one small enough. 265 00:13:29,896 --> 00:13:31,027 It's okay. 266 00:13:33,987 --> 00:13:35,660 Maggots. 267 00:13:35,684 --> 00:13:38,924 How are those better than just using antibiotics? 268 00:13:38,948 --> 00:13:41,187 Maggots work faster to clear necrotic debris 269 00:13:41,211 --> 00:13:43,624 on account of the antimicrobial nature of their saliva 270 00:13:43,648 --> 00:13:45,844 and other digestive secretions. 271 00:13:45,868 --> 00:13:48,412 It's safe to put those bugs on my baby? 272 00:13:48,436 --> 00:13:49,935 Larvae. 273 00:13:49,959 --> 00:13:51,545 These are medical maggots. 274 00:13:51,569 --> 00:13:53,243 They've been specially disinfected. It's completely safe. 275 00:13:53,267 --> 00:13:56,444 I would use maggots on my son, Steve, in this situation. 276 00:13:57,880 --> 00:13:59,684 That is unlikely to happen, 277 00:13:59,708 --> 00:14:01,753 but I hope the parallel puts you at ease. 278 00:14:04,278 --> 00:14:05,516 Go ahead. 279 00:14:05,540 --> 00:14:06,802 Hmm! 280 00:14:14,070 --> 00:14:15,308 You want some coffee? 281 00:14:15,332 --> 00:14:17,702 Or I have a stash of protein bars in my office. 282 00:14:17,726 --> 00:14:19,399 I'm fine, thanks. 283 00:14:19,423 --> 00:14:21,469 But if you want something, go ahead. 284 00:14:31,305 --> 00:14:32,872 What's your family here for? 285 00:14:34,961 --> 00:14:38,268 A heart transplant, hopefully, for our son, Jack. 286 00:14:38,965 --> 00:14:39,985 How old is he? 287 00:14:40,009 --> 00:14:41,639 Twelve weeks. 288 00:14:41,663 --> 00:14:44,729 Oh. My daughter, Eden, is 11 weeks. 289 00:14:44,753 --> 00:14:46,494 She's having heart surgery right now. 290 00:14:47,843 --> 00:14:49,236 Y'all will be in my prayers. 291 00:14:52,369 --> 00:14:53,893 Is this Jack's first surgery? 292 00:14:55,111 --> 00:14:56,784 He's had other procedures, 293 00:14:56,808 --> 00:14:59,072 but this would be his first open heart surgery. 294 00:15:00,116 --> 00:15:01,116 If it happens. 295 00:15:04,642 --> 00:15:08,187 When it happens, I recommend Biafine cream for post-op. 296 00:15:08,211 --> 00:15:10,581 It contains a natural compound called trolamine. 297 00:15:10,605 --> 00:15:13,149 It really helped with Eden's recovery. 298 00:15:13,173 --> 00:15:15,412 How many surgeries has your daughter had? 299 00:15:15,436 --> 00:15:17,109 Uh, one. At seven weeks. 300 00:15:17,133 --> 00:15:18,415 Hmm. 301 00:15:18,439 --> 00:15:21,461 Eden and I are old hands. 302 00:15:21,485 --> 00:15:23,487 You're two very resilient ladies. 303 00:15:25,402 --> 00:15:27,752 I'm Kate Pierce. This is my husband, Owen. 304 00:15:29,711 --> 00:15:30,799 Morgan Reznick. 305 00:15:34,498 --> 00:15:35,586 Alex Park. 306 00:15:38,067 --> 00:15:39,460 Would you like to... 307 00:15:50,079 --> 00:15:53,450 Yeah! You can do it! Come on. 308 00:15:53,474 --> 00:15:55,713 Oh! There you go! 309 00:15:55,737 --> 00:15:58,150 You got it! You got it! 310 00:15:58,174 --> 00:16:00,022 You got it! 311 00:16:00,046 --> 00:16:02,111 Hi, Daddy. How is it being back at work? 312 00:16:02,135 --> 00:16:03,677 I just applied maggots to a baby 313 00:16:03,701 --> 00:16:05,114 a few months older than Steve. 314 00:16:05,138 --> 00:16:07,638 Is that Steve? 315 00:16:07,662 --> 00:16:10,119 He is supposed to be asleep. 316 00:16:10,143 --> 00:16:11,772 Mm. He's doing well with tummy time. 317 00:16:11,796 --> 00:16:14,427 And you mentioned yesterday he was behind, 318 00:16:14,451 --> 00:16:16,995 so I thought I'd add a few extra minutes. 319 00:16:17,019 --> 00:16:18,475 No, no. 320 00:16:18,499 --> 00:16:21,347 Tummy time should not be extended into his sleep window. 321 00:16:21,371 --> 00:16:23,436 Did you not get the app alert? 322 00:16:23,460 --> 00:16:25,482 You are seven minutes into nap time. 323 00:16:25,506 --> 00:16:28,615 Nope. I guess I missed it. 324 00:16:28,639 --> 00:16:30,182 Delaying his nap could make him overtired 325 00:16:30,206 --> 00:16:32,315 or delay his next feeding. 326 00:16:32,339 --> 00:16:34,143 The schedule is very important. 327 00:16:34,167 --> 00:16:36,623 I know, Shaun, I know. It's just a few extra minutes. 328 00:16:36,647 --> 00:16:37,973 Eight minutes. 329 00:16:37,997 --> 00:16:39,694 That is not a few. It is several. 330 00:16:41,391 --> 00:16:43,480 Uh, I should go put Steve down. 331 00:16:44,177 --> 00:16:46,353 - Bye-bye. - Okay. 332 00:16:49,269 --> 00:16:50,357 Oh. 333 00:16:54,622 --> 00:16:56,426 We had to abort the procedure. 334 00:16:56,450 --> 00:16:58,341 Eden has a bicuspid pulmonary valve. 335 00:16:58,365 --> 00:17:01,605 There wasn't enough tissue to attach it to the aorta. 336 00:17:01,629 --> 00:17:03,761 And we observed leaking at the valve. 337 00:17:07,287 --> 00:17:09,569 Her heart is failing even faster than we thought. 338 00:17:09,593 --> 00:17:11,030 I'm so sorry. 339 00:17:13,119 --> 00:17:14,120 What's our next move? 340 00:17:17,819 --> 00:17:19,971 Oh. The maggots worked! 341 00:17:19,995 --> 00:17:21,146 Baby Jack's infection has cleared, 342 00:17:21,170 --> 00:17:23,042 and the heart is on its way here. 343 00:17:23,868 --> 00:17:25,324 Eden has two bad valves 344 00:17:25,348 --> 00:17:27,220 and rapidly progressing heart failure. 345 00:17:29,352 --> 00:17:31,789 We have one donor heart and two babies who need it. 346 00:17:39,884 --> 00:17:41,949 It's up to us to decide which baby gets this heart. 347 00:17:41,973 --> 00:17:43,603 Jack has been waiting for three months. 348 00:17:43,627 --> 00:17:45,344 A transplant is his only option. 349 00:17:45,368 --> 00:17:47,390 He could go on a VAD until another heart is available. 350 00:17:47,414 --> 00:17:49,522 That could take months. And a VAD isn't a good option for Jack because of the... 351 00:17:49,546 --> 00:17:51,461 Morgan. Morgan. 352 00:17:53,202 --> 00:17:54,745 You can't be here. Neither of you. 353 00:17:54,769 --> 00:17:56,399 I can't be anywhere else, 354 00:17:56,423 --> 00:17:58,207 so either someone should sedate me or... 355 00:17:59,034 --> 00:18:00,601 Well, that can be arranged. 356 00:18:03,038 --> 00:18:04,929 It's only a problem that Park and I are here 357 00:18:04,953 --> 00:18:07,695 if we influence your decision, so don't let us. 358 00:18:09,175 --> 00:18:10,393 I won't say a word. 359 00:18:17,879 --> 00:18:18,899 Dr. Kalu? 360 00:18:18,923 --> 00:18:20,273 Yeah, um 361 00:18:21,578 --> 00:18:23,469 as far as the VAD for Jack, he's underweight, 362 00:18:23,493 --> 00:18:25,341 so a high risk of complications, 363 00:18:25,365 --> 00:18:27,125 infections, bleeding, stroke. 364 00:18:27,149 --> 00:18:30,021 It's not a great option for Eden, either. 365 00:18:31,762 --> 00:18:34,045 Eden can go on ECMO while we're waiting 366 00:18:34,069 --> 00:18:35,786 for mechanical replacement valves. 367 00:18:35,810 --> 00:18:38,354 ECMO has risks, especially for a baby with Turner syndrome. 368 00:18:38,378 --> 00:18:39,616 And the longer she's on it, 369 00:18:39,640 --> 00:18:42,314 the greater the risk of serious complications. 370 00:18:42,338 --> 00:18:44,297 The valves may not get here in time. 371 00:18:48,170 --> 00:18:49,476 Care to weigh in, Dr. Murphy? 372 00:18:53,044 --> 00:18:56,633 Jack and Eden are equally good matches 373 00:18:56,657 --> 00:18:59,964 to the donor heart based on size and blood type. 374 00:19:03,098 --> 00:19:04,099 Anything else? 375 00:19:09,278 --> 00:19:10,278 It's okay, Shaun. 376 00:19:18,592 --> 00:19:19,854 Without this heart... 377 00:19:21,638 --> 00:19:22,900 Jack will die. 378 00:19:24,902 --> 00:19:28,143 Eden may also die without it. 379 00:19:28,167 --> 00:19:29,777 But she has other options. 380 00:19:31,344 --> 00:19:33,389 They are risky, but they are options. 381 00:19:36,784 --> 00:19:38,220 Jack should get the heart. 382 00:19:46,272 --> 00:19:48,143 We'll put Eden on ECMO tonight. 383 00:19:50,276 --> 00:19:53,931 And I'll contact Abbott about getting the 15-millimeter valves ASAP. 384 00:20:04,681 --> 00:20:08,313 Hey. I'm sorry. Can we rain-check tonight? 385 00:20:08,337 --> 00:20:10,924 I'm exhausted, and Jerome promised 386 00:20:10,948 --> 00:20:12,668 that we could watch a nice crime procedural. 387 00:20:13,995 --> 00:20:16,147 Sometimes you need a case of the week. 388 00:20:16,171 --> 00:20:18,042 Yeah. 389 00:20:18,869 --> 00:20:20,044 Mm-hmm. 390 00:20:23,657 --> 00:20:25,200 Mmm! My favorite! 391 00:20:25,224 --> 00:20:27,637 One cheddar brisket with mild sauce 392 00:20:27,661 --> 00:20:30,770 so little Steve's next meal doesn't burn his mouth. 393 00:20:30,794 --> 00:20:33,275 You are a treasure. I am starving. 394 00:20:35,146 --> 00:20:36,147 - Thank you. - Mm-hmm. 395 00:20:38,367 --> 00:20:40,519 Poor Eden, having to go on ECMO. 396 00:20:40,543 --> 00:20:42,217 And poor Morgan and Park. 397 00:20:42,241 --> 00:20:44,784 It's... been a day. 398 00:20:44,808 --> 00:20:47,681 And how are you holding up? Without Perez? 399 00:20:51,511 --> 00:20:55,839 Everything that happens, at home or at work, 400 00:20:55,863 --> 00:20:58,015 he's the first person I want to tell. 401 00:20:58,039 --> 00:20:59,083 Mm-hmm. 402 00:21:00,041 --> 00:21:01,671 And I can't. 403 00:21:01,695 --> 00:21:03,087 Or I shouldn't. 404 00:21:04,219 --> 00:21:05,351 I really miss him. 405 00:21:06,569 --> 00:21:08,199 You can tell me everything. 406 00:21:08,223 --> 00:21:10,288 If it's too surgical, I may not understand it, 407 00:21:10,312 --> 00:21:13,857 but I am excellent at nodding and acting interested. 408 00:21:13,881 --> 00:21:15,186 Mm! 409 00:21:16,275 --> 00:21:18,364 I'm here for you. So is Asher. 410 00:21:21,192 --> 00:21:23,388 What's going on? 411 00:21:23,412 --> 00:21:25,284 Tell me. Babies are terrible at gossip. 412 00:21:27,721 --> 00:21:29,960 Asher and I were supposed to hang out tonight, 413 00:21:29,984 --> 00:21:31,266 just the two of us. 414 00:21:31,290 --> 00:21:33,659 Do you need to check on him? 415 00:21:33,683 --> 00:21:35,487 No. If he smells me, I'll never get out of there. 416 00:21:35,511 --> 00:21:37,010 He'll settle back down. 417 00:21:37,034 --> 00:21:39,099 So you and Asher had plans... 418 00:21:39,123 --> 00:21:41,232 He blew me off for Jerome 419 00:21:41,256 --> 00:21:44,279 because he had a hard day on Eden's case, which I get, 420 00:21:44,303 --> 00:21:45,584 but I had a hard day, too. 421 00:21:45,608 --> 00:21:47,828 Mm-hmm. 422 00:21:49,656 --> 00:21:50,981 Steve's not settling. 423 00:21:51,005 --> 00:21:53,070 Well, he can wait a minute. You had a hard day, too? 424 00:21:53,094 --> 00:21:56,010 It... It just seems like everybody has someone except... 425 00:21:59,883 --> 00:22:01,557 - Go. - I am so sorry. 426 00:22:01,581 --> 00:22:03,670 I-I will be right back. I swear. 427 00:22:04,932 --> 00:22:06,237 Mm. 428 00:22:18,989 --> 00:22:20,349 You didn't have to do this, Shaun. 429 00:22:22,166 --> 00:22:25,082 I am more thorough than anyone else in this hospital. 430 00:22:28,390 --> 00:22:29,390 Starting ECMO. 431 00:22:48,932 --> 00:22:51,607 I just got an e-mail from Gail on the board. 432 00:22:51,631 --> 00:22:54,827 I'm suddenly a top candidate for interim president? 433 00:22:54,851 --> 00:22:55,939 You're welcome. 434 00:22:56,984 --> 00:22:58,701 I don't want that job. 435 00:22:58,725 --> 00:23:01,921 It's better... better you than O'Brien. 436 00:23:01,945 --> 00:23:03,575 You're a good manager, you're 437 00:23:03,599 --> 00:23:05,360 you're well-respected, 438 00:23:05,384 --> 00:23:07,362 and, you know, as a diverse woman... 439 00:23:07,386 --> 00:23:08,667 People aren't diverse. 440 00:23:08,691 --> 00:23:10,452 I'm part of an underrepresented group. 441 00:23:10,476 --> 00:23:11,670 Right. That. 442 00:23:11,694 --> 00:23:13,019 Makes you an ideal candidate. 443 00:23:13,043 --> 00:23:15,413 Look. Gail loved the idea. 444 00:23:15,437 --> 00:23:17,004 - I hate you. - You're welcome. 445 00:23:20,050 --> 00:23:22,357 Shh, shh, shh. Shh, shh, shh. 446 00:23:24,098 --> 00:23:26,903 I am glad to see you, Steve, 447 00:23:26,927 --> 00:23:28,905 but you are not supposed to be awake. 448 00:23:28,929 --> 00:23:31,124 Yeah, I-I fell asleep during his afternoon nap. 449 00:23:31,148 --> 00:23:32,517 We didn't wake up until 4:30. 450 00:23:32,541 --> 00:23:34,650 You need to set an alarm. 451 00:23:34,674 --> 00:23:36,913 The schedule is very important. 452 00:23:36,937 --> 00:23:38,765 I know. I know. 453 00:23:43,509 --> 00:23:45,095 Tomorrow I am doing a heart transplant 454 00:23:45,119 --> 00:23:47,053 on a 12-week-old baby. 455 00:23:47,077 --> 00:23:49,142 Okay. You need sleep. 456 00:23:49,166 --> 00:23:50,492 Yes, I do. 457 00:23:50,516 --> 00:23:54,409 Go to bed. I'll handle Steve tonight. 458 00:23:54,433 --> 00:23:56,454 I-I don't think I can. 459 00:23:56,478 --> 00:23:58,369 Shh, it's okay. What about your noise-canceling headphones? 460 00:23:58,393 --> 00:24:01,328 I fall asleep on my side. I cannot do that in those. 461 00:24:01,352 --> 00:24:03,722 Maybe you could go spend the night at Glassman's? 462 00:24:03,746 --> 00:24:05,898 No. 463 00:24:05,922 --> 00:24:08,055 What about your office? Can you sleep there? 464 00:24:55,102 --> 00:24:57,452 We can save them both with one heart. 465 00:25:04,633 --> 00:25:06,916 It's called a domino transplant. 466 00:25:06,940 --> 00:25:09,440 Jack's heart is failing, but his valves are healthy, 467 00:25:09,464 --> 00:25:11,442 so when Jack receives the donor heart, 468 00:25:11,466 --> 00:25:13,705 we will use his valves to replace Eden's damaged ones. 469 00:25:13,729 --> 00:25:15,533 A fresh homograft donor means Eden won't need 470 00:25:15,557 --> 00:25:17,492 multiple surgeries or blood thinners. 471 00:25:17,516 --> 00:25:19,624 One heart could save both babies. 472 00:25:19,648 --> 00:25:22,192 What are the chances of valve failure? 473 00:25:22,216 --> 00:25:24,368 Minimal. Jack's valves are very functional 474 00:25:24,392 --> 00:25:26,196 despite his cardiomyopathy. 475 00:25:26,220 --> 00:25:27,937 The odds of success are high. 476 00:25:27,961 --> 00:25:30,093 It's the best option we have, 477 00:25:31,007 --> 00:25:32,008 for Eden. 478 00:25:33,270 --> 00:25:34,987 And for Jack? 479 00:25:35,011 --> 00:25:38,251 We would have to be very careful while removing his heart 480 00:25:38,275 --> 00:25:39,818 so as not to damage his valves. 481 00:25:39,842 --> 00:25:42,560 That would mean more time on bypass, 482 00:25:42,584 --> 00:25:44,624 which means a greater risk of bleeding or infection. 483 00:25:45,892 --> 00:25:47,478 It's a lot to ask. 484 00:25:47,502 --> 00:25:49,504 They can always say no. 485 00:25:50,331 --> 00:25:51,811 What would you say? 486 00:26:05,607 --> 00:26:07,498 You haven't eaten anything in 24 hours. 487 00:26:07,522 --> 00:26:08,697 I'm fine. 488 00:26:11,047 --> 00:26:13,069 No matter what they decide, we'll get through this. 489 00:26:13,093 --> 00:26:14,244 Don't. 490 00:26:14,268 --> 00:26:15,811 What, try to help? 491 00:26:15,835 --> 00:26:18,838 Yes, exactly. It's pointless and annoying. 492 00:26:21,362 --> 00:26:23,645 You know, I get that you don't think of Eden as mine yet, 493 00:26:23,669 --> 00:26:25,516 and that's why you haven't included me 494 00:26:25,540 --> 00:26:28,171 in any of her medical decisions. 495 00:26:28,195 --> 00:26:29,694 Not that I need that, 496 00:26:29,718 --> 00:26:31,696 or disagree with any of your choices... 497 00:26:31,720 --> 00:26:33,350 Is pissing me off another attempt to distract me? 498 00:26:33,374 --> 00:26:34,873 I'm not trying to pick a fight. 499 00:26:34,897 --> 00:26:37,397 I just want you to know that I love that girl 500 00:26:37,421 --> 00:26:38,988 like she's my own, and... 501 00:26:40,686 --> 00:26:42,098 I'm as scared as you are. 502 00:26:42,122 --> 00:26:44,646 And I wish you'd let me help you because 503 00:26:46,692 --> 00:26:48,539 we're in this together. 504 00:26:48,563 --> 00:26:49,651 That's it. 505 00:26:51,784 --> 00:26:53,544 And I really don't want you to pass out, 506 00:26:53,568 --> 00:26:55,135 so please eat or drink something. 507 00:27:04,448 --> 00:27:08,148 If our baby can save your baby's life, we'd be honored. 508 00:27:18,245 --> 00:27:20,963 "I'll love you forever, 509 00:27:20,987 --> 00:27:23,008 I'll like you for always. 510 00:27:23,032 --> 00:27:27,036 "As long as I'm living, my baby you'll be." 511 00:27:32,563 --> 00:27:35,523 Oh, my God. What a tear-jerker. 512 00:27:37,699 --> 00:27:39,677 We need to find one of Daddy's medical journals. 513 00:27:39,701 --> 00:27:41,070 Reminder. 514 00:27:41,094 --> 00:27:43,052 Nap time in five minutes. 515 00:27:49,232 --> 00:27:52,255 How do I un-sync the baby app from our speaker? 516 00:27:52,279 --> 00:27:55,171 Oh, no. You should not do that. 517 00:27:55,195 --> 00:27:57,826 I set it up so you can remember the schedule. 518 00:27:57,850 --> 00:28:00,698 When it's just me and Steve home during the day, 519 00:28:00,722 --> 00:28:03,832 I like to be a little bit more... flexible, 520 00:28:03,856 --> 00:28:05,007 go with the flow. 521 00:28:05,031 --> 00:28:06,878 I'll just... I'll just unplug it. 522 00:28:06,902 --> 00:28:10,273 It has a battery in case of power outages. 523 00:28:10,297 --> 00:28:13,929 Lea, when I'm at work, 524 00:28:13,953 --> 00:28:16,279 I like knowing what you and Steve are doing. 525 00:28:16,303 --> 00:28:19,698 It makes me feel like I am still a part of his day. 526 00:28:21,308 --> 00:28:23,242 And when Steve gets off his sleep schedule, 527 00:28:23,266 --> 00:28:24,766 I have to go sleep at the hospital, 528 00:28:24,790 --> 00:28:27,116 and I miss you both even more. 529 00:28:27,140 --> 00:28:30,293 Aw, we missed you, too. How did you sleep? 530 00:28:30,317 --> 00:28:34,123 Not well. But I came up with a very good idea to save both babies. 531 00:28:34,147 --> 00:28:36,255 I have to go prep for my surgery now. I love you. 532 00:28:36,279 --> 00:28:39,171 Dr. Lim, we have a meeting to review... 533 00:28:39,195 --> 00:28:40,956 One minute, Shaun. 534 00:28:40,980 --> 00:28:44,307 Gail, of course, diversity and representation should be considered, 535 00:28:44,331 --> 00:28:46,048 but given this is an interim position, 536 00:28:46,072 --> 00:28:48,311 I think the top priority is finding someone 537 00:28:48,335 --> 00:28:50,617 who can hit the ground running from day one. 538 00:28:50,641 --> 00:28:52,358 And that means someone who's done it before. 539 00:28:52,382 --> 00:28:54,447 He's too modest to sing his own praises, 540 00:28:54,471 --> 00:28:56,319 but I think he's the obvious choice. 541 00:28:56,343 --> 00:28:59,148 Hmm. Compelling argument. Thank you. 542 00:28:59,172 --> 00:29:01,411 Oh. 543 00:29:01,435 --> 00:29:05,850 And seniors are also an underrepresented group. 544 00:29:05,874 --> 00:29:08,853 Dr. Murphy and I will start with Jack in OR 1. 545 00:29:08,877 --> 00:29:11,421 Asher, you'll be with Eden next door getting her ready. 546 00:29:11,445 --> 00:29:14,293 Allen and Kalu, you two will receive the donor heart 547 00:29:14,317 --> 00:29:15,686 and prep it for transplant. 548 00:29:15,710 --> 00:29:19,081 Then Dr. Lim and I will put Jack on bypass 549 00:29:19,105 --> 00:29:20,909 and start cooling him to 25 degrees. 550 00:29:20,933 --> 00:29:23,041 Given his age and underlying medical condition, 551 00:29:23,065 --> 00:29:26,697 he should not be on bypass for longer than two hours. 552 00:29:26,721 --> 00:29:29,613 Putting in Jack's new heart will take about 90 minutes. 553 00:29:29,637 --> 00:29:32,659 That leaves us half an hour to remove the old one. 554 00:29:32,683 --> 00:29:34,966 While Shaun is transplanting the new heart, 555 00:29:34,990 --> 00:29:37,186 I will be excising Jack's valves. 556 00:29:37,210 --> 00:29:39,342 We have zero room for error. 557 00:29:40,866 --> 00:29:42,345 Prep your patients. 558 00:29:46,785 --> 00:29:48,003 Exciting case. 559 00:29:49,570 --> 00:29:50,789 Yep. 560 00:29:52,051 --> 00:29:53,550 We're saving two babies at once, 561 00:29:53,574 --> 00:29:55,489 and your commentary is "yep"? 562 00:29:57,143 --> 00:29:58,207 I was agreeing with you. 563 00:29:58,231 --> 00:29:59,948 With as few words as possible, 564 00:29:59,972 --> 00:30:02,365 which you've been doing for the last two weeks. 565 00:30:04,977 --> 00:30:06,717 If you have a problem with me, just tell me. 566 00:30:09,111 --> 00:30:10,112 Okay. 567 00:30:11,157 --> 00:30:12,438 Okay. I have a problem with you 568 00:30:12,462 --> 00:30:14,092 and how you handled Perez's case. 569 00:30:14,116 --> 00:30:16,355 - That's completely stupid. - You just said I should tell you. 570 00:30:16,379 --> 00:30:17,966 I didn't say I would agree with you. 571 00:30:17,990 --> 00:30:19,489 You overrode our patient's wishes, 572 00:30:19,513 --> 00:30:20,620 and Perez is gone because of it. 573 00:30:20,644 --> 00:30:22,405 Perez is alive because of it. 574 00:30:22,429 --> 00:30:24,989 You don't know what would have happened if you'd listened to him. 575 00:30:25,345 --> 00:30:26,801 You made the decision you thought was best. 576 00:30:26,825 --> 00:30:28,977 Didn't matter what anyone else wanted. 577 00:30:29,001 --> 00:30:30,543 I'm sorry, but you don't get to do that 578 00:30:30,567 --> 00:30:32,197 and not deal with the consequences. 579 00:30:32,221 --> 00:30:34,373 The consequences? 580 00:30:34,397 --> 00:30:36,593 I lost someone I care about a lot, 581 00:30:36,617 --> 00:30:39,726 and I miss him every day. 582 00:30:39,750 --> 00:30:43,165 I'm really trying hard to focus on the good things in my life, 583 00:30:43,189 --> 00:30:44,993 the job I love, 584 00:30:45,017 --> 00:30:48,823 the friends I thought I had... 585 00:30:48,847 --> 00:30:53,547 But it feels like everyone is moving on, and I'm just alone. 586 00:30:56,811 --> 00:30:59,553 Spare yourself the burden of punishing me. 587 00:31:05,864 --> 00:31:08,277 Get her prepped, draped, and under anesthesia. 588 00:31:08,301 --> 00:31:10,129 I'll see you in 30 minutes, hopefully. 589 00:31:24,143 --> 00:31:26,232 I had an extra set. 590 00:31:27,929 --> 00:31:30,038 You don't have to be Catholic. 591 00:31:30,062 --> 00:31:32,412 They can just be a reminder that you're not alone. 592 00:31:34,805 --> 00:31:35,806 Thank you. 593 00:32:00,005 --> 00:32:03,419 There is a lot of scar tissue to dissect through. 594 00:32:03,443 --> 00:32:05,595 The cardiomyopathy has caused Jack's heart to enlarge 595 00:32:05,619 --> 00:32:07,577 and adhere to his chest wall. 596 00:32:08,839 --> 00:32:10,861 This will take longer than planned 597 00:32:10,885 --> 00:32:13,081 in order to preserve the valves. 598 00:32:13,105 --> 00:32:14,473 We inspected the mitral valve. 599 00:32:14,497 --> 00:32:16,649 The atrial septum is intact. The heart looks good. 600 00:32:16,673 --> 00:32:18,521 Dr. Allen, connect the pulmonary veins 601 00:32:18,545 --> 00:32:19,652 to prep the left atrial cuff. 602 00:32:19,676 --> 00:32:20,808 Dr. Kalu, you're with us. 603 00:32:23,071 --> 00:32:26,572 Okay. Increase flows and cool to 25 degrees. 604 00:32:26,596 --> 00:32:27,815 Start the clock. 605 00:32:32,907 --> 00:32:34,754 Come on, Peanut. 606 00:32:34,778 --> 00:32:37,496 We went with the flow, but now it's nap time. 607 00:32:37,520 --> 00:32:40,132 Come on. Settle. 608 00:32:40,784 --> 00:32:41,785 Oh. 609 00:32:46,747 --> 00:32:49,160 Ohh! We were so close, Peanut. 610 00:32:49,184 --> 00:32:51,206 I need to transect the aorta, 611 00:32:51,230 --> 00:32:53,817 but there are thick adhesions where it meets the valve. 612 00:32:53,841 --> 00:32:56,167 You now only have an hour and 14 minutes to put the new heart in. 613 00:32:56,191 --> 00:32:59,301 The annulus is at the tip of my dissection. 614 00:32:59,325 --> 00:33:02,173 If I nick that, the aortic valve is useless. 615 00:33:02,197 --> 00:33:04,871 Anterior retraction. We're running out of time. 616 00:33:04,895 --> 00:33:06,221 Jack's transplant is at serious risk. 617 00:33:06,245 --> 00:33:07,613 Metz. 618 00:33:07,637 --> 00:33:10,355 Dr. Murphy, you need to abort this procedure. 619 00:33:10,379 --> 00:33:13,054 Shaun, ECMO is still an option for Eden. 620 00:33:13,078 --> 00:33:14,775 - You need to abort... - Got it! 621 00:33:20,607 --> 00:33:21,695 The valves are good. 622 00:33:24,393 --> 00:33:26,091 Ready for the donor heart. 623 00:33:32,401 --> 00:33:34,292 How is she? Ready to go. 624 00:33:34,316 --> 00:33:35,598 Vitals are great. 625 00:33:35,622 --> 00:33:37,078 Open her chest and start her on bypass 626 00:33:37,102 --> 00:33:38,601 while I recover the valves. 627 00:33:38,625 --> 00:33:41,299 Scalpel. How do the valves look? 628 00:33:41,323 --> 00:33:43,301 A little bigger than we measured on imaging. 629 00:33:43,325 --> 00:33:45,825 Makes the anastomosis challenging. 630 00:33:45,849 --> 00:33:47,286 But it can still work? 631 00:33:48,069 --> 00:33:49,418 It has to. 632 00:33:55,250 --> 00:33:56,295 Hmm. 633 00:33:59,559 --> 00:34:02,320 Feeding time starting in five minutes. 634 00:34:02,344 --> 00:34:03,867 Shh. 635 00:34:08,046 --> 00:34:10,111 It's not seating perfectly. 636 00:34:10,135 --> 00:34:11,764 Let's try a purse string suture. 637 00:34:11,788 --> 00:34:13,399 7-0 Prolene. 638 00:34:22,234 --> 00:34:23,234 Got it. Saline. 639 00:34:27,761 --> 00:34:29,458 There's a paravalvular leak at the aortic. 640 00:34:31,721 --> 00:34:33,351 How about pledgeted sutures? 641 00:34:33,375 --> 00:34:36,180 In an infant this small, that could cause stenosis. 642 00:34:36,204 --> 00:34:37,510 We try again. 643 00:34:39,120 --> 00:34:40,165 7-0 Prolene. 644 00:34:42,123 --> 00:34:43,666 It's been almost two and a half hours. 645 00:34:43,690 --> 00:34:44,884 We need to get him off bypass. 646 00:34:44,908 --> 00:34:46,930 The aortic anastomosis is complete. 647 00:34:46,954 --> 00:34:49,174 Unclamp the aorta and start rewarming. 648 00:34:50,914 --> 00:34:52,090 Now what? 649 00:34:55,397 --> 00:34:58,096 We wait... and hope his heart starts beating. 650 00:35:12,588 --> 00:35:14,988 It's been almost three hours. Do you think something's wrong? 651 00:35:28,213 --> 00:35:30,234 The sutures are holding. 652 00:35:30,258 --> 00:35:31,778 Now the little thing just has to beat. 653 00:35:33,305 --> 00:35:35,524 Start warming her up. Decrease the flows. 654 00:35:46,709 --> 00:35:47,709 We need to shock him. 655 00:35:52,411 --> 00:35:54,761 Clear! 656 00:36:00,506 --> 00:36:01,724 Again. 657 00:36:17,262 --> 00:36:19,327 The surgeries were successful. 658 00:36:19,351 --> 00:36:21,871 Both your babies are doing very well, and you can see them soon. 659 00:36:23,224 --> 00:36:24,617 Thank you. 660 00:36:27,663 --> 00:36:29,012 Thank you. 661 00:36:31,014 --> 00:36:32,755 You saved our daughter. 662 00:36:35,932 --> 00:36:37,020 You are welcome. 663 00:36:39,545 --> 00:36:41,416 I miss my baby. I'm going home now. 664 00:36:49,903 --> 00:36:51,620 All right. Let me just jump in the shower. 665 00:36:51,644 --> 00:36:53,230 And then I'm good to go. 666 00:36:53,254 --> 00:36:54,690 Go home to your man. 667 00:36:55,430 --> 00:36:56,823 It's okay. 668 00:36:57,519 --> 00:36:58,801 Bless you. 669 00:36:58,825 --> 00:36:59,869 - Tomorrow? - Mm-hmm. 670 00:37:18,758 --> 00:37:19,933 You're right. 671 00:37:21,674 --> 00:37:22,849 This chorizo is... 672 00:37:23,763 --> 00:37:24,763 What'd you call it? 673 00:37:25,939 --> 00:37:26,959 Bussin'. 674 00:37:26,983 --> 00:37:28,071 Right. 675 00:37:29,203 --> 00:37:30,422 Definitely bus sin'. 676 00:37:35,209 --> 00:37:37,124 I thought we could share an order. 677 00:37:50,224 --> 00:37:52,008 Tell me you didn't forget the hot sauce. 678 00:38:03,455 --> 00:38:05,128 - Hello. - Hmm... 679 00:38:05,152 --> 00:38:07,023 Why is Steve awake? 680 00:38:08,503 --> 00:38:09,678 You look terrible. 681 00:38:10,636 --> 00:38:12,812 Thank you. 682 00:38:13,900 --> 00:38:16,444 Steve has been fed, burped, changed, 683 00:38:16,468 --> 00:38:18,750 and woken from his haphazard nap 684 00:38:18,774 --> 00:38:20,559 by a speaker reminder. 685 00:38:22,604 --> 00:38:24,539 How's Eden? 686 00:38:24,563 --> 00:38:27,585 Very good. And Jack's transplant was successful. 687 00:38:27,609 --> 00:38:29,631 Mm. 688 00:38:29,655 --> 00:38:32,155 Parenting can be very hard. 689 00:38:32,179 --> 00:38:34,200 Mm-hmm. 690 00:38:34,224 --> 00:38:36,464 Yeah. I've noticed. 691 00:38:36,488 --> 00:38:40,511 There are many hard choices 692 00:38:40,535 --> 00:38:43,949 about what works best. 693 00:38:43,973 --> 00:38:45,627 People want different things. 694 00:38:48,413 --> 00:38:50,066 I will try to 695 00:38:52,852 --> 00:38:55,028 make room for your way. 696 00:38:57,596 --> 00:38:59,008 The schedule is important, 697 00:38:59,032 --> 00:39:01,339 but I will un-sync the app from the speaker. 698 00:39:02,949 --> 00:39:04,864 I put it out on the fire escape. 699 00:39:07,170 --> 00:39:08,322 Thank you. 700 00:39:08,346 --> 00:39:09,999 I really appreciate it. 701 00:39:12,828 --> 00:39:16,397 But the only room I need right now is the bedroom. 702 00:39:17,572 --> 00:39:20,377 - Okay. - Good night. 703 00:39:20,401 --> 00:39:22,640 I'm borrowing your noise-canceling headphones. 704 00:39:22,664 --> 00:39:24,057 I love you both. 705 00:39:41,770 --> 00:39:44,314 Are you kidding me? You recommended me? 706 00:39:44,338 --> 00:39:46,316 I was just following your example. 707 00:39:46,340 --> 00:39:47,709 See? You're a natural leader. 708 00:39:47,733 --> 00:39:50,407 I'm old. I'm worn out and I'm old. 709 00:39:50,431 --> 00:39:52,453 - You're wise. - I remember rotary phones. 710 00:39:52,477 --> 00:39:54,542 You're vital. You're experienced. 711 00:39:54,566 --> 00:39:56,892 You're the most respected doctor in this hospital. 712 00:39:56,916 --> 00:39:58,720 Aaron, you have institutional knowledge 713 00:39:58,744 --> 00:40:01,766 and a... and a natural, unexplainable gravitas. 714 00:40:01,790 --> 00:40:04,465 Will you please stop being an idiot and just take the job? 715 00:40:04,489 --> 00:40:05,727 Stop being selfish and stubborn. 716 00:40:05,751 --> 00:40:07,511 How am I being selfish? I'm... 717 00:40:07,535 --> 00:40:09,581 Oh, you're together. That saves me a stop. 718 00:40:11,452 --> 00:40:13,517 Your recommendations presented the board 719 00:40:13,541 --> 00:40:14,692 with a very difficult choice. 720 00:40:14,716 --> 00:40:17,695 So we didn't 721 00:40:17,719 --> 00:40:19,393 choose. 722 00:40:19,417 --> 00:40:22,178 You two are the new interim co-presidents 723 00:40:22,202 --> 00:40:23,725 of St. Bonaventure Hospital. 724 00:40:26,902 --> 00:40:28,164 Congratulations! 725 00:40:35,084 --> 00:40:37,889 This is not the schedule, Steve. 726 00:40:37,913 --> 00:40:40,762 Mommy needs to sleep. Daddy needs to sleep. 727 00:40:40,786 --> 00:40:42,309 You need to sleep. 728 00:40:43,832 --> 00:40:45,854 Please? 729 00:40:45,878 --> 00:40:48,533 Please. We are both very tired. 730 00:40:50,012 --> 00:40:53,427 Please. We are both very tired. 731 00:40:53,451 --> 00:40:54,800 Hey. 732 00:41:04,287 --> 00:41:05,526 I don't know what to do. 733 00:41:05,550 --> 00:41:09,399 I can't go inside because Lea needs to sleep. 734 00:41:09,423 --> 00:41:12,339 I've always been able to get him down before. 735 00:41:13,862 --> 00:41:16,169 Sometimes babies just need to cry. 736 00:41:21,522 --> 00:41:22,828 Hey. Um 737 00:41:25,134 --> 00:41:27,156 why don't I take him? 738 00:41:27,180 --> 00:41:28,616 Get some sleep. 739 00:41:32,620 --> 00:41:34,709 It's okay. Just get some rest. 740 00:41:37,016 --> 00:41:39,279 I will just take a short nap. 741 00:41:42,630 --> 00:41:44,110 Take as long as you need. 742 00:41:46,460 --> 00:41:47,505 Hey. 743 00:41:49,855 --> 00:41:51,770 Hey. I got you. Hey. 744 00:41:52,814 --> 00:41:54,555 Hey. Hey, hey, hey, hey, hey. 745 00:41:58,385 --> 00:41:59,928 I got you. 746 00:41:59,952 --> 00:42:02,041 Huh. I got you. 747 00:42:08,090 --> 00:42:09,396 I'm Grandpa 748 00:42:10,876 --> 00:42:12,225 in case you were wondering. 54544

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