Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated:
1
00:00:01,407 --> 00:00:04,074
- (MONITOR BEEPING)
- (BREATHING HEAVILY)
2
00:00:04,076 --> 00:00:06,744
DR. GARCIA: I'm incising
the uterine wall.
3
00:00:06,746 --> 00:00:09,580
(SNIFFLES) You're doing
great, really great.
4
00:00:09,582 --> 00:00:10,914
It's gonna be okay.
5
00:00:10,916 --> 00:00:13,049
You promise?
6
00:00:13,051 --> 00:00:14,084
(SMOOCHES)
7
00:00:14,086 --> 00:00:17,662
- Baby's out.
- Umbilical clip. Suction.
8
00:00:17,664 --> 00:00:18,920
- (BABY CRYING)
- Please...
9
00:00:18,922 --> 00:00:20,590
can I see my daughter?
10
00:00:20,592 --> 00:00:21,824
Yes.
11
00:00:21,826 --> 00:00:23,226
Of course.
12
00:00:26,215 --> 00:00:27,381
LIM: Sorry.
13
00:00:27,383 --> 00:00:29,049
We'll need to get her into surgery.
14
00:00:29,051 --> 00:00:30,818
We'll take good care of her.
15
00:00:30,820 --> 00:00:32,553
♪♪
16
00:00:32,555 --> 00:00:34,455
(BABY CRYING)
17
00:00:34,457 --> 00:00:43,831
♪♪
18
00:00:43,833 --> 00:00:47,134
Your New Chief is fashionably late.
19
00:00:47,136 --> 00:00:48,601
Our Chief.
20
00:00:48,603 --> 00:00:51,405
Just because I endorsed
Dr. Han to the Board
21
00:00:51,407 --> 00:00:52,772
doesn't mean I don't have any concerns.
22
00:00:52,774 --> 00:00:55,442
Connections like Dr. Han's
come at a premium
23
00:00:55,444 --> 00:00:57,344
and, he assures me, will be well worth it
24
00:00:57,346 --> 00:00:59,246
given our current predicament
with the Medical Board.
25
00:00:59,248 --> 00:01:01,949
I'm not just worried about the money.
26
00:01:01,951 --> 00:01:03,583
When you pay that much,
27
00:01:03,585 --> 00:01:05,632
they tend to think they're worth it.
28
00:01:06,341 --> 00:01:08,221
Makes a person think
they don't have to show up
29
00:01:08,223 --> 00:01:10,131
for their own welcome brunch.
30
00:01:10,133 --> 00:01:12,625
(INDISTINCT CONVERSATIONS)
31
00:01:13,795 --> 00:01:15,662
(BREATHES SHARPLY)
32
00:01:20,534 --> 00:01:21,900
(MONITOR BEEPING)
33
00:01:21,902 --> 00:01:23,269
CLAIRE: The baby's bowel protrusion
34
00:01:23,271 --> 00:01:26,005
seemed less severe
on the prenatal imaging.
35
00:01:26,007 --> 00:01:27,539
LIM: And it'll have to wait until
36
00:01:27,541 --> 00:01:29,241
we're done with her heart problem.
37
00:01:29,243 --> 00:01:33,079
Now that I'm in here, her septum
looks more like Swiss cheese.
38
00:01:33,081 --> 00:01:35,781
(MONITOR BEEPING)
39
00:01:35,783 --> 00:01:38,684
Page the on-call
neonatal cardiac surgeon.
40
00:01:38,686 --> 00:01:40,719
That won't be necessary. I'll scrub in.
41
00:01:40,721 --> 00:01:42,754
LIM: And who are you?
42
00:01:42,756 --> 00:01:44,357
I'm Jackson Han.
43
00:01:44,359 --> 00:01:46,092
Your new Chief of Surgery.
44
00:01:46,094 --> 00:01:48,294
♪♪
45
00:01:50,298 --> 00:01:58,308
Synced & corrected by -robtor-
www.addic7ed.com
46
00:02:00,240 --> 00:02:02,574
(MONITOR BEEPING STEADILY)
47
00:02:02,576 --> 00:02:04,610
Echo probe, please.
48
00:02:05,946 --> 00:02:07,779
And let's turn that music on.
49
00:02:09,850 --> 00:02:12,450
( LORD HURON'S "ANCIENT NAMES(PART 1)" PLAYS)
50
00:02:12,452 --> 00:02:14,052
Advance the delivery sheath.
51
00:02:14,054 --> 00:02:16,688
♪♪
52
00:02:16,690 --> 00:02:18,356
It's in the patient's heart, Dr. Murphy.
53
00:02:18,358 --> 00:02:21,626
I think the music
is a little distracting.
54
00:02:21,628 --> 00:02:23,961
I feel the same way about
operating without music.
55
00:02:24,864 --> 00:02:26,664
I'll take a longer sheath,
56
00:02:26,666 --> 00:02:28,866
and Dr. Murphy will need some forceps.
57
00:02:28,868 --> 00:02:30,668
♪♪
58
00:02:30,670 --> 00:02:32,503
- (FORCEPS CLATTER)
- ♪ Well, the neon lights ♪
59
00:02:32,505 --> 00:02:34,204
♪ Glowed red and gold ♪
60
00:02:34,206 --> 00:02:37,542
- ♪ I came to hear my fortune told ♪
- 5-second rule.
61
00:02:37,544 --> 00:02:40,511
♪ I can't imagine what she saw ♪
62
00:02:40,513 --> 00:02:43,881
- ♪ While gazing in her crystal ball ♪
- It was a joke.
63
00:02:43,883 --> 00:02:44,916
♪♪
64
00:02:44,918 --> 00:02:46,350
What about her bowels?
65
00:02:46,352 --> 00:02:49,286
Why isn't Dr. Lim inserting it
into the abdomen right now?
66
00:02:49,288 --> 00:02:51,755
There is not enough room.
67
00:02:51,757 --> 00:02:54,258
There's... There's not enough room
68
00:02:54,260 --> 00:02:56,060
without increasing abdominal pressure,
69
00:02:56,062 --> 00:02:59,263
which would critically decrease
blood flow to the bowel.
70
00:02:59,265 --> 00:03:01,798
According to what
hemodynamic principle...
71
00:03:01,800 --> 00:03:03,140
Dr. Browne?
72
00:03:03,142 --> 00:03:05,169
Vascular impedance...
blood flow is driven
73
00:03:05,171 --> 00:03:06,670
by the force induced
by the pressure gradient.
74
00:03:06,672 --> 00:03:08,138
And how do you calculate it?
75
00:03:08,140 --> 00:03:10,190
♪♪
76
00:03:10,192 --> 00:03:12,008
Uh. Um...
77
00:03:12,010 --> 00:03:13,577
I-I'd have to look it up.
78
00:03:15,381 --> 00:03:18,248
8 times L.Nu. divided by Pi.R.4.
79
00:03:18,250 --> 00:03:20,650
Very good, Dr. Murphy.
80
00:03:20,652 --> 00:03:22,619
That's also why this occluder won't work.
81
00:03:22,621 --> 00:03:24,420
It won't hold up against
the huge pressure gradient
82
00:03:24,422 --> 00:03:26,556
- in her heart.
- Is there a fix?
83
00:03:26,558 --> 00:03:28,291
Long-term, I don't have one.
84
00:03:28,293 --> 00:03:31,094
Right now, I need umbilical tape
and PE tubing.
85
00:03:31,096 --> 00:03:34,130
♪ I gotta get away from here ♪
86
00:03:34,132 --> 00:03:37,233
♪ I'll never see the golden sunrise ♪
87
00:03:37,235 --> 00:03:38,449
♪ Oh, I gotta get away from her ♪
88
00:03:38,451 --> 00:03:41,237
You're making a pulmonary artery band.
89
00:03:41,239 --> 00:03:42,739
That should buy us some time
90
00:03:42,741 --> 00:03:45,500
to come up with a plan
before we lose this baby.
91
00:03:46,444 --> 00:03:47,944
♪ Oh, if I leave this place alive ♪
92
00:03:47,946 --> 00:03:49,679
♪♪
93
00:03:50,782 --> 00:03:51,835
(BEEPS)
94
00:03:51,860 --> 00:03:53,682
WOMAN ON P.A.: Lab technician to O.R. 6.
95
00:03:53,684 --> 00:03:55,084
Lab technician to O.R. 6.
96
00:03:55,086 --> 00:03:58,053
(DOOR OPENS)
97
00:03:58,055 --> 00:04:00,422
You canceled my hernia repair?
98
00:04:00,424 --> 00:04:03,325
With no advance notice. Sorry about that.
99
00:04:03,327 --> 00:04:04,627
But so great to meet you.
100
00:04:04,629 --> 00:04:05,828
Jackson Han.
101
00:04:05,830 --> 00:04:07,395
- Neil Melendez.
- Oh, I know.
102
00:04:07,397 --> 00:04:09,898
You did great work on
that piggyback heart transplant.
103
00:04:09,900 --> 00:04:11,199
Huh.
104
00:04:11,201 --> 00:04:13,401
I need a consult on Minesh Goyal.
105
00:04:13,403 --> 00:04:14,837
He's the founding CEO of a company...
106
00:04:14,839 --> 00:04:17,172
- What's his diagnosis?
- He doesn't have one.
107
00:04:17,174 --> 00:04:20,242
He's here for a full physical,
complete diagnostic workup.
108
00:04:20,244 --> 00:04:22,978
I have a long-standing
Executive Wellness...
109
00:04:22,980 --> 00:04:25,647
I'm a surgeon, not an internist.
110
00:04:25,649 --> 00:04:27,616
I don't do preventative medicine.
111
00:04:27,618 --> 00:04:30,170
No matter how rich the patient is.
112
00:04:30,654 --> 00:04:33,355
You know what's great
about rich patients?
113
00:04:33,357 --> 00:04:35,759
They allow us to treat poor patients.
114
00:04:36,527 --> 00:04:38,260
Also, I promised Minesh the very best.
115
00:04:38,262 --> 00:04:40,447
So, really, who else am I gonna get?
116
00:04:41,031 --> 00:04:42,130
(BEEPS)
117
00:04:42,132 --> 00:04:43,831
WOMAN ON P.A.: Dr. Johansen to pre-op.
118
00:04:43,833 --> 00:04:46,000
Dr. Johansen to pre-op.
119
00:04:46,002 --> 00:04:47,369
(VELCRO TEARS)
120
00:04:47,371 --> 00:04:49,070
BP's 110 over 70.
121
00:04:50,106 --> 00:04:52,541
Uh, Jackson... Dr. Han...
122
00:04:52,543 --> 00:04:54,242
says great things about you.
123
00:04:55,745 --> 00:04:57,447
That's very kind.
124
00:04:58,482 --> 00:05:00,748
Normal EKG, optimal BMI,
125
00:05:00,750 --> 00:05:02,483
heart and lungs sound good.
126
00:05:02,485 --> 00:05:03,918
Any reason you're worried
enough about your health
127
00:05:03,920 --> 00:05:06,087
to endure an entire day of tests?
128
00:05:06,089 --> 00:05:08,022
I'm not worried.
129
00:05:09,759 --> 00:05:11,592
Knowledge is power.
130
00:05:11,594 --> 00:05:13,494
Whenever I enter a new market,
131
00:05:13,496 --> 00:05:16,097
I learn everything I can
about the landscape...
132
00:05:16,099 --> 00:05:18,966
consumer needs, target market,
competitors.
133
00:05:18,968 --> 00:05:20,534
You're aware your body isn't a business.
134
00:05:20,536 --> 00:05:22,236
(CHUCKLES)
135
00:05:22,238 --> 00:05:24,205
I know I sound like a rich lunatic
136
00:05:24,207 --> 00:05:27,519
with fantasies about controlling
every aspect of my life.
137
00:05:28,664 --> 00:05:30,197
And I guess I kind of am.
138
00:05:33,583 --> 00:05:36,111
My dad was in good shape, too.
139
00:05:36,719 --> 00:05:39,322
Until he dropped dead on his daily jog.
140
00:05:41,724 --> 00:05:46,493
♪♪
141
00:05:46,495 --> 00:05:48,229
(INDISTINCT CONVERSATIONS)
142
00:05:48,231 --> 00:05:50,397
♪♪
143
00:05:50,399 --> 00:05:52,132
Hi.
144
00:05:52,134 --> 00:05:55,502
WOMAN ON P.A.: Dr. Markiel, please
come to the mental health unit.
145
00:05:55,504 --> 00:05:59,540
Dr. Markiel, please come
to the mental health unit.
146
00:05:59,542 --> 00:06:01,642
(CONVERSATIONS CONTINUE)
147
00:06:01,644 --> 00:06:03,310
(TELEPHONE RINGING)
148
00:06:05,648 --> 00:06:07,147
(EXHALES SHARPLY)
149
00:06:10,132 --> 00:06:11,531
Hi.
150
00:06:12,587 --> 00:06:15,088
Hi. I'm Larry Childs.
151
00:06:15,090 --> 00:06:16,890
I'd shake your hand, but, you know,
152
00:06:16,892 --> 00:06:18,458
no functioning immune system.
153
00:06:18,460 --> 00:06:19,626
(CHUCKLES)
154
00:06:19,628 --> 00:06:21,762
- Aaron. Hi.
- Good to meet you.
155
00:06:21,764 --> 00:06:23,396
What flavor cancer do you have?
156
00:06:23,398 --> 00:06:24,998
(CHUCKLES)
157
00:06:25,000 --> 00:06:26,900
- What flavor?
- Yeah.
158
00:06:26,902 --> 00:06:28,368
Glioma.
159
00:06:28,370 --> 00:06:29,870
Shut the front door.
160
00:06:29,872 --> 00:06:31,666
Brain or spine?
161
00:06:32,007 --> 00:06:33,673
- Brain.
- Dude...
162
00:06:33,675 --> 00:06:34,841
we're tumor twins.
163
00:06:34,843 --> 00:06:37,911
Wh-What do they have you on?
164
00:06:37,913 --> 00:06:39,246
Ooh. Vincristine.
165
00:06:39,248 --> 00:06:40,445
I hear that's intense.
166
00:06:40,447 --> 00:06:42,447
My doc thought it would wipe me out.
167
00:06:42,449 --> 00:06:44,817
You doing okay or longing for death?
168
00:06:44,819 --> 00:06:46,986
I am hanging in there. Thank you.
169
00:06:47,432 --> 00:06:49,955
I'm on my third round of temozolomide.
170
00:06:51,000 --> 00:06:57,074
The Venom - $5 million GTD Poker Tourney
Download AmericasCardroom.com
171
00:07:00,514 --> 00:07:02,381
I've seen you in here a few times.
172
00:07:04,638 --> 00:07:05,838
I've seen you in here a few times.
173
00:07:05,840 --> 00:07:07,953
You kind of keep to yourself, huh?
174
00:07:09,076 --> 00:07:10,409
Yeah.
175
00:07:10,411 --> 00:07:11,911
Well, I'm happy to introduce you around.
176
00:07:11,913 --> 00:07:13,245
It's a really friendly group.
177
00:07:13,247 --> 00:07:14,378
I'm okay. Thank you.
178
00:07:14,380 --> 00:07:16,014
You have a support group you go to?
179
00:07:17,050 --> 00:07:18,713
I do not.
180
00:07:19,352 --> 00:07:21,341
Everyone needs a cancer community.
181
00:07:25,926 --> 00:07:28,726
(PAPER RUSTLES)
182
00:07:28,728 --> 00:07:32,931
♪♪
183
00:07:32,933 --> 00:07:42,473
♪♪
184
00:07:42,475 --> 00:07:48,579
♪♪
185
00:07:48,581 --> 00:07:54,552
♪♪
186
00:07:54,554 --> 00:07:56,253
- And try to hold still.
- (CLICKS)
187
00:07:57,757 --> 00:07:59,045
Thank you.
188
00:07:59,525 --> 00:08:00,825
For bringing us in.
189
00:08:00,827 --> 00:08:03,193
This is the new Chief's patient.
It's a great opportunity.
190
00:08:03,195 --> 00:08:05,663
Or it's a bunch of pointless tests.
191
00:08:05,665 --> 00:08:06,697
(SIGHS)
192
00:08:07,933 --> 00:08:10,368
Uh, for which I thank you.
193
00:08:10,370 --> 00:08:12,035
Tell us about Dr. Han.
194
00:08:12,037 --> 00:08:14,705
He's direct, charming,
195
00:08:14,707 --> 00:08:15,939
very sure of himself.
196
00:08:15,941 --> 00:08:17,608
Big ego.
197
00:08:21,513 --> 00:08:24,848
There's nothing wrong with
an ego if you can back it up.
198
00:08:24,850 --> 00:08:26,783
And Dr. Han's arterial switch technique
199
00:08:26,785 --> 00:08:28,818
is performed all over the world.
200
00:08:28,820 --> 00:08:30,820
The tests aren't all pointless.
201
00:08:30,822 --> 00:08:32,589
Way to stand firm, Park.
202
00:08:32,591 --> 00:08:34,090
No, look at the monitor.
203
00:08:34,092 --> 00:08:35,425
He has a tumor.
204
00:08:35,427 --> 00:08:40,764
♪♪
205
00:08:40,766 --> 00:08:42,098
(SIGHS)
206
00:08:42,100 --> 00:08:45,268
(MONITOR BEEPING)
207
00:08:45,270 --> 00:08:53,075
♪♪
208
00:08:53,077 --> 00:09:00,883
♪♪
209
00:09:00,885 --> 00:09:02,618
NIGEL: Percy's stable?
210
00:09:02,620 --> 00:09:05,621
We're naming her Persephone.
211
00:09:05,623 --> 00:09:09,158
Yes. I put in a central line
for nutrition.
212
00:09:09,160 --> 00:09:10,526
Percy is stable right now.
213
00:09:10,528 --> 00:09:13,662
We're looking for solutions
to her problems.
214
00:09:13,664 --> 00:09:15,998
W-Wh-Why does...
215
00:09:16,000 --> 00:09:18,401
Why does she have
all these birth defects?
216
00:09:18,403 --> 00:09:19,793
Diane.
217
00:09:20,271 --> 00:09:21,737
We spoke to our obstetrician.
218
00:09:21,739 --> 00:09:24,297
She said these defects can
happen for no reason, right?
219
00:09:25,943 --> 00:09:27,142
That's true.
220
00:09:27,144 --> 00:09:29,978
Over 50% have no known cause.
221
00:09:32,182 --> 00:09:36,717
I was taking paroxetine
for clinical depression.
222
00:09:36,719 --> 00:09:37,986
And you went off the meds
223
00:09:37,988 --> 00:09:39,554
as soon as you found out
you were pregnant.
224
00:09:39,556 --> 00:09:42,190
She was five, six weeks at most.
225
00:09:42,192 --> 00:09:43,858
My OB told me studies show
226
00:09:43,860 --> 00:09:46,527
antidepressants are safe
to take during pregnancy.
227
00:09:46,529 --> 00:09:47,829
But is that true,
228
00:09:47,831 --> 00:09:49,530
or is she protecting me?
229
00:09:51,801 --> 00:09:55,036
There was a study that
associated paroxetine
230
00:09:55,038 --> 00:09:56,671
with these kinds of defects.
231
00:09:56,673 --> 00:09:59,040
It is a possibility.
232
00:09:59,042 --> 00:10:00,608
(EXHALES SHARPLY)
233
00:10:00,610 --> 00:10:08,015
♪♪
234
00:10:10,467 --> 00:10:12,663
You can't tell whether
it's cancerous or benign?
235
00:10:12,688 --> 00:10:13,953
Not until we do the biopsy,
236
00:10:13,955 --> 00:10:15,855
which I've scheduled for later.
237
00:10:15,857 --> 00:10:17,424
We'll know what's going on
by the morning.
238
00:10:17,426 --> 00:10:19,325
♪♪
239
00:10:19,327 --> 00:10:20,593
Good.
240
00:10:20,595 --> 00:10:22,062
That's good.
241
00:10:22,064 --> 00:10:24,831
♪♪
242
00:10:24,833 --> 00:10:27,333
Maybe you'd like to call someone?
243
00:10:27,335 --> 00:10:29,502
A family member, a friend?
244
00:10:29,504 --> 00:10:31,504
I'll worry when I know it's cancer.
245
00:10:31,506 --> 00:10:41,147
♪♪
246
00:10:41,149 --> 00:10:43,850
We could use a transcatheter route
247
00:10:43,852 --> 00:10:46,504
and patch each hole individually.
248
00:10:47,055 --> 00:10:48,588
Her heart's the size of a walnut.
249
00:10:48,590 --> 00:10:51,224
It's too small to maneuver inside.
250
00:10:51,226 --> 00:10:53,525
A single large patch to close the holes
251
00:10:53,527 --> 00:10:54,793
would withstand the pressure.
252
00:10:54,795 --> 00:10:56,128
Yes.
253
00:10:58,099 --> 00:11:00,465
It would also block
electrical conduction,
254
00:11:00,467 --> 00:11:02,735
causing deadly arrhythmias.
255
00:11:02,737 --> 00:11:04,522
Dr. Murphy...
256
00:11:05,405 --> 00:11:08,340
did you tell the mom that she
caused her baby's birth defect?
257
00:11:08,342 --> 00:11:12,655
No. I said that
her antidepressants could have.
258
00:11:13,547 --> 00:11:15,180
Why did you tell her that?
259
00:11:15,658 --> 00:11:17,616
It's the truth.
260
00:11:17,618 --> 00:11:20,497
And is that relevant to
her current medical situation?
261
00:11:21,588 --> 00:11:22,821
No.
262
00:11:24,491 --> 00:11:27,559
And how did you think
that answer would make her feel?
263
00:11:27,561 --> 00:11:29,466
What did you think would happen?
264
00:11:29,468 --> 00:11:31,195
♪♪
265
00:11:31,197 --> 00:11:33,364
The mother is devastated.
266
00:11:33,366 --> 00:11:34,966
The father is furious.
267
00:11:34,968 --> 00:11:36,300
I would be, too.
268
00:11:36,302 --> 00:11:38,102
LIM: Shaun is a resident.
269
00:11:38,104 --> 00:11:39,670
Residents make mistakes.
270
00:11:40,774 --> 00:11:42,807
Managing these parents'
emotional concerns
271
00:11:42,809 --> 00:11:45,609
is as much a part of this job
as operating on their daughter.
272
00:11:45,611 --> 00:11:48,012
(SIGHS) Social cues are hard for Shaun,
273
00:11:48,014 --> 00:11:49,413
but we've been working with him...
274
00:11:49,415 --> 00:11:51,415
You should be focused
on your own shortcomings,
275
00:11:51,417 --> 00:11:54,322
like retaining the formula
for vascular impedance.
276
00:11:55,054 --> 00:11:56,420
Dr. Han.
277
00:11:56,422 --> 00:11:59,157
♪♪
278
00:11:59,159 --> 00:12:01,793
We could patch each
individual hole in the heart
279
00:12:01,795 --> 00:12:03,661
if we cut open the ventricle...
280
00:12:03,663 --> 00:12:05,328
Don't change the subject, Dr. Murphy.
281
00:12:05,330 --> 00:12:06,830
I didn't, Dr. Han.
282
00:12:06,832 --> 00:12:09,232
We were talking about the baby.
283
00:12:09,234 --> 00:12:10,713
Really?
284
00:12:11,503 --> 00:12:13,770
You don't see a difference
in the nature of your discussion
285
00:12:13,772 --> 00:12:15,705
before I arrived and after?
286
00:12:17,375 --> 00:12:21,111
We were talking about the baby.
287
00:12:21,113 --> 00:12:24,514
♪♪
288
00:12:26,618 --> 00:12:29,452
They tried the approach you
suggested at L.A. Children's.
289
00:12:29,454 --> 00:12:31,288
The baby died a week later.
290
00:12:31,290 --> 00:12:34,691
The suture line didn't hold,
and the cardiac wall ruptured.
291
00:12:34,693 --> 00:12:35,758
Keep looking.
292
00:12:35,760 --> 00:12:37,994
Dr. Murphy,
293
00:12:37,996 --> 00:12:40,743
do not talk with those parents again.
294
00:12:44,368 --> 00:12:45,767
I'll walk with you.
295
00:12:49,273 --> 00:12:51,106
LIM: You're pretty tough on my residents.
296
00:12:51,108 --> 00:12:52,441
Rebuking them in public,
297
00:12:52,443 --> 00:12:55,010
pimping them with questions
during surgery.
298
00:12:55,012 --> 00:12:56,645
Shame-based learning isn't my style.
299
00:12:56,647 --> 00:12:58,714
I'll bear that in mind.
300
00:12:58,716 --> 00:13:00,716
But this isn't about
my treatment of "the residents."
301
00:13:00,718 --> 00:13:02,384
You're concerned about Dr. Murphy.
302
00:13:02,386 --> 00:13:04,920
Well, a lot of doctors have
less than ideal bedside manner.
303
00:13:04,922 --> 00:13:06,755
- He's young...
- Would you ever have said
304
00:13:06,757 --> 00:13:08,824
something like that
to a patient as a resident?
305
00:13:08,826 --> 00:13:10,459
As a med student?
306
00:13:10,461 --> 00:13:11,593
And Murphy doesn't even understand
307
00:13:11,595 --> 00:13:12,895
he did anything wrong.
308
00:13:12,897 --> 00:13:14,363
Shaun has hard-wired differences
309
00:13:14,365 --> 00:13:16,531
- in the way he perceives things.
- Exactly.
310
00:13:16,533 --> 00:13:17,733
No matter how hard he works,
311
00:13:17,735 --> 00:13:20,502
no matter how hard you try and help him,
312
00:13:20,504 --> 00:13:23,104
his limitations are not going to change.
313
00:13:23,106 --> 00:13:26,441
He's going to continue to
inflict them on our patients...
314
00:13:26,443 --> 00:13:29,143
all in the name of diversity
and inclusion.
315
00:13:31,682 --> 00:13:33,415
Shaun deserves to be here.
316
00:13:34,551 --> 00:13:37,619
Once you see what he's
capable of, you'll agree.
317
00:13:37,621 --> 00:13:39,386
I look forward to being proven wrong.
318
00:13:39,388 --> 00:13:40,471
(ELEVATOR BELL DINGS)
319
00:13:40,473 --> 00:13:42,691
(ELEVATOR DOORS OPEN)
320
00:13:45,016 --> 00:13:46,795
Stay seated for 20 minutes.
321
00:13:46,797 --> 00:13:48,323
Don't want you passing out in the lobby.
322
00:13:48,325 --> 00:13:49,963
I know, I know. Thank you.
323
00:13:55,318 --> 00:13:57,070
This disease changed my relationships,
324
00:13:57,072 --> 00:13:59,874
changed my priorities, changed...
325
00:13:59,876 --> 00:14:01,241
who I am.
326
00:14:01,243 --> 00:14:02,574
Cancer is an identity.
327
00:14:02,576 --> 00:14:04,712
Cancer is cellular mutation.
328
00:14:04,714 --> 00:14:06,881
The people in this room are my people.
329
00:14:06,883 --> 00:14:09,983
What are you... 20 years old?
I'm triple your age.
330
00:14:09,985 --> 00:14:11,285
I don't think you're my "people."
331
00:14:11,287 --> 00:14:13,533
The last time I hung out with
my law-school friends...
332
00:14:13,535 --> 00:14:14,523
epic fail.
333
00:14:14,548 --> 00:14:16,413
The fact that you use
the phrase "epic fail,"
334
00:14:16,415 --> 00:14:17,558
kind of case in point.
335
00:14:17,560 --> 00:14:19,460
They're all focused on what firm
they're gonna land at,
336
00:14:19,462 --> 00:14:21,562
and I'm all about whether...
337
00:14:21,564 --> 00:14:23,330
Candice's leukemia is responding
338
00:14:23,332 --> 00:14:25,032
to her new chemo regimen.
339
00:14:25,034 --> 00:14:26,599
By the way, she has this peppermint oil
340
00:14:26,601 --> 00:14:28,393
that is great for headaches.
341
00:14:32,741 --> 00:14:34,874
Ooh, I know that look.
342
00:14:34,876 --> 00:14:36,317
Here, here.
343
00:14:37,212 --> 00:14:38,778
(VOMITING)
344
00:14:38,780 --> 00:14:41,748
(COUGHING)
345
00:14:41,750 --> 00:14:43,583
Got you, brother...
346
00:14:43,585 --> 00:14:45,052
whether you like it or not.
347
00:14:45,054 --> 00:14:46,619
(CHUCKLES)
348
00:14:49,458 --> 00:14:51,358
Show me where we are.
349
00:14:51,360 --> 00:14:54,127
That angle runs pretty close
to the sacral nerve roots.
350
00:14:55,697 --> 00:14:57,063
How are we doing?
351
00:14:57,065 --> 00:14:58,497
MELENDEZ: Tumor's abutting
the iliac artery.
352
00:14:58,499 --> 00:15:00,299
I'm trying not to disrupt
the entire blood supply
353
00:15:00,301 --> 00:15:01,600
to his lower body.
354
00:15:01,602 --> 00:15:03,302
Dr. Han, I'm Morgan Reznick.
355
00:15:03,304 --> 00:15:05,604
I really enjoyed your article on Myotomy
356
00:15:05,606 --> 00:15:08,641
for infantile hypertrophic
pyloric stenosis.
357
00:15:09,444 --> 00:15:12,578
I appreciate the thorough
research behind your sucking up.
358
00:15:12,580 --> 00:15:14,380
And you are?
359
00:15:14,382 --> 00:15:15,848
Alex Park.
360
00:15:15,850 --> 00:15:18,317
Park... you were a cop.
361
00:15:18,319 --> 00:15:20,919
Medicine as a second career...
good stuff.
362
00:15:20,921 --> 00:15:22,989
Tends to bring a fresh perspective.
363
00:15:24,158 --> 00:15:25,591
(ALARM BEEPING RAPIDLY)
364
00:15:25,593 --> 00:15:28,127
I hit an artery. Take the needle.
365
00:15:28,129 --> 00:15:29,294
Blood's pooling in the pelvis.
366
00:15:29,296 --> 00:15:30,958
- Should we open him up?
- No.
367
00:15:30,960 --> 00:15:32,530
Prep the femoral artery.
Get me an art cath set.
368
00:15:32,532 --> 00:15:34,550
- Pressure's dropping.
- Platinum coil.
369
00:15:34,552 --> 00:15:36,968
(BEEPING CONTINUES)
370
00:15:41,441 --> 00:15:43,718
- (BEEPING STOPS)
- Nice save.
371
00:15:44,344 --> 00:15:45,943
Next time, don't hit the vessel.
372
00:15:47,447 --> 00:15:49,614
There is no next time.
373
00:15:49,616 --> 00:15:51,449
The biopsy's too dangerous.
374
00:15:54,888 --> 00:15:57,188
(SIGHS)
375
00:15:57,190 --> 00:16:00,558
MELENDEZ: It is likely that it's
a benign notochord cell tumor.
376
00:16:00,560 --> 00:16:02,343
They look like chordomas,
377
00:16:02,345 --> 00:16:03,828
but they're harmless and way more common.
378
00:16:03,830 --> 00:16:05,162
But you don't know.
379
00:16:05,164 --> 00:16:07,231
Since we can't do the biopsy, no.
380
00:16:08,300 --> 00:16:10,286
This is the problem with broad testing.
381
00:16:11,103 --> 00:16:12,637
Everyone has abnormalities.
382
00:16:12,639 --> 00:16:14,171
Most of them are nothing.
383
00:16:14,173 --> 00:16:15,840
But when we do find them,
384
00:16:16,125 --> 00:16:17,942
we have to make some tough choices.
385
00:16:19,178 --> 00:16:22,212
So, what exactly is my tough choice?
386
00:16:23,841 --> 00:16:25,516
We could remove the tumor.
387
00:16:25,518 --> 00:16:27,151
This is a very risky surgery.
388
00:16:27,153 --> 00:16:29,353
There's a chance of paralysis or worse...
389
00:16:29,355 --> 00:16:31,140
you may not make it off the table.
390
00:16:31,724 --> 00:16:33,434
Or you do nothing.
391
00:16:33,760 --> 00:16:35,360
We'd continue to monitor it,
392
00:16:35,362 --> 00:16:36,726
do imaging every few weeks.
393
00:16:36,728 --> 00:16:38,828
But chordomas move very quickly.
394
00:16:38,830 --> 00:16:40,931
By the time any change
showed up on imaging,
395
00:16:40,933 --> 00:16:43,433
it's most likely metastasized
throughout your body.
396
00:16:45,537 --> 00:16:49,039
So it probably isn't cancer,
397
00:16:49,041 --> 00:16:52,576
but if it is and I wait, then I'll die.
398
00:16:52,578 --> 00:16:54,044
That's true.
399
00:16:54,046 --> 00:16:57,948
And if I don't wait
and I get the surgery,
400
00:16:57,950 --> 00:16:59,849
then there's a good chance I'll die.
401
00:16:59,851 --> 00:17:00,951
Yes.
402
00:17:06,324 --> 00:17:08,491
I'm gonna need to think this over.
403
00:17:08,493 --> 00:17:16,065
♪♪
404
00:17:16,067 --> 00:17:21,571
♪♪
405
00:17:23,442 --> 00:17:27,577
This is the May
Annals of Neonatal Surgery.
406
00:17:27,579 --> 00:17:30,779
I just finished March.
I need to read April now.
407
00:17:30,781 --> 00:17:32,448
LIM: Oh, I have April, Shaun.
408
00:17:32,450 --> 00:17:34,016
No.
409
00:17:34,018 --> 00:17:36,210
No, you're supposed to be reading
410
00:17:36,212 --> 00:17:38,673
New Approaches in Neonatal Surgery.
411
00:17:38,675 --> 00:17:41,419
Claire has the British Journalof Neonatology...
412
00:17:49,500 --> 00:17:51,533
Shaun...
413
00:17:51,846 --> 00:17:54,802
I think maybe you should
be quiet around Han
414
00:17:54,804 --> 00:17:57,018
for a little while.
415
00:17:57,641 --> 00:18:00,074
But then how will I answer his questions?
416
00:18:01,897 --> 00:18:04,646
Direct questions, absolutely answer.
417
00:18:04,648 --> 00:18:06,914
Otherwise, outside of the O.R.,
418
00:18:06,916 --> 00:18:08,683
you should stay out of his way.
419
00:18:11,588 --> 00:18:14,189
If someone had convinced Shaun
to do that with Dr. Melendez,
420
00:18:14,191 --> 00:18:16,558
he would still be on suction.
421
00:18:19,029 --> 00:18:20,228
(BEEP)
422
00:18:20,230 --> 00:18:22,464
MAN ON P.A.: Code blue... NICU, Bed 4.
423
00:18:22,466 --> 00:18:25,133
Code blue... NICU, Bed 4.
424
00:18:25,135 --> 00:18:26,534
(DOOR OPENS)
425
00:18:26,536 --> 00:18:27,935
(ALARM BEEPING RAPIDLY)
426
00:18:27,937 --> 00:18:30,604
O2 SATs dropped and central
venous pressure shot up.
427
00:18:30,606 --> 00:18:32,239
The Pulmonary Artery Band is failing.
428
00:18:32,241 --> 00:18:34,275
- Eight of dopamine.
- Let's get a mask on her.
429
00:18:34,277 --> 00:18:36,577
She won't last much longer.
We need other options.
430
00:18:36,579 --> 00:18:38,345
I'll update the parents.
431
00:18:38,347 --> 00:18:39,981
(BEEPING CONTINUES)
432
00:18:39,983 --> 00:18:41,961
LIM: Let's get her
on full cardiac support.
433
00:18:41,963 --> 00:18:43,651
♪♪
434
00:18:43,653 --> 00:18:46,154
(MACHINE BEEPING)
435
00:18:46,156 --> 00:18:48,156
(RESPIRATOR HISSING)
436
00:18:48,158 --> 00:18:54,261
♪♪
437
00:18:57,028 --> 00:18:59,134
What have you got? Anything?
438
00:18:59,180 --> 00:19:01,079
This Cleveland group
439
00:19:01,081 --> 00:19:03,715
repaired a bowel protrusion
using enterolysis.
440
00:19:03,717 --> 00:19:06,251
I could cut out this excess
inflammatory tissue
441
00:19:06,253 --> 00:19:07,717
and segment of bowel atresia.
442
00:19:07,719 --> 00:19:09,829
Might make her intestines
small enough to fit.
443
00:19:09,831 --> 00:19:11,089
Promising.
444
00:19:11,091 --> 00:19:12,691
Given the size of her abdomen,
445
00:19:12,693 --> 00:19:14,059
I need to remove a lot of bowel.
446
00:19:14,061 --> 00:19:16,562
There's a good chance she
wouldn't be able to absorb food.
447
00:19:16,564 --> 00:19:18,319
We'll have to find the right balance.
448
00:19:18,319 --> 00:19:20,285
It's our only workable plan.
449
00:19:20,287 --> 00:19:22,253
Best bet on the heart is
to cut through the ventricle,
450
00:19:22,255 --> 00:19:24,055
like Murphy suggested.
451
00:19:24,057 --> 00:19:26,891
Uh, you were concerned about
the suture line holding.
452
00:19:26,893 --> 00:19:28,493
Well, I still am.
453
00:19:28,495 --> 00:19:30,761
Hopefully, horizontal
mattress sutures will work.
454
00:19:30,763 --> 00:19:32,097
They should be able
to withstand the tension
455
00:19:32,099 --> 00:19:33,598
at the suture line.
456
00:19:33,600 --> 00:19:35,900
(FADING) There's still
a risk of an aneurysm forming
457
00:19:35,902 --> 00:19:37,935
in the tissue underneath.
458
00:19:37,937 --> 00:19:40,771
(INDISTINCT TALKING)
459
00:19:40,773 --> 00:19:42,456
Dr. Lim?
460
00:19:42,876 --> 00:19:45,210
I have an idea I'd like to share,
461
00:19:45,212 --> 00:19:47,879
even though Dr. Han
didn't ask me a question.
462
00:19:52,085 --> 00:19:54,151
Yeah, go ahead, Shaun.
463
00:19:54,153 --> 00:19:56,020
If we go in through the atrium,
464
00:19:56,022 --> 00:19:57,854
we wouldn't have to worry
about the suture line...
465
00:19:57,856 --> 00:19:59,689
It's the same issue we discussed.
466
00:19:59,691 --> 00:20:01,691
There's not enough room
inside the baby's heart
467
00:20:01,693 --> 00:20:03,193
to stitch the patches in the place.
468
00:20:03,195 --> 00:20:05,695
Oh, we don't need to, Dr. Han.
469
00:20:05,697 --> 00:20:08,198
We can make a plug
small enough for her heart...
470
00:20:08,200 --> 00:20:10,600
a PTFE disc with a stem like a mushroom.
471
00:20:10,602 --> 00:20:12,403
Then we can insert the stem
through one of the holes
472
00:20:12,405 --> 00:20:14,104
until the disc presses against the wall,
473
00:20:14,106 --> 00:20:15,656
covering all the holes.
474
00:20:16,575 --> 00:20:20,444
L-Like a stopper in a bathtub.
475
00:20:20,446 --> 00:20:21,711
Yes.
476
00:20:21,713 --> 00:20:23,580
The higher pressure on
the left side of her heart
477
00:20:23,582 --> 00:20:24,948
would keep it in place.
478
00:20:24,950 --> 00:20:26,883
We wouldn't even need to stitch.
479
00:20:28,421 --> 00:20:30,353
Great idea.
480
00:20:30,355 --> 00:20:32,088
We should take this to the parents.
481
00:20:32,090 --> 00:20:33,889
Great idea for the heart.
482
00:20:33,891 --> 00:20:36,459
But we need to tell them that
our current plan
483
00:20:36,461 --> 00:20:37,493
for the abdominal repair
484
00:20:37,495 --> 00:20:39,929
is considerably more of a long shot.
485
00:20:39,931 --> 00:20:42,516
And that fixing the heart
takes an option off the table.
486
00:20:43,368 --> 00:20:45,234
Withdrawing care.
487
00:20:54,645 --> 00:20:56,447
LARRY: You can't move that card.
488
00:20:56,948 --> 00:20:58,414
Excuse me?
489
00:20:58,416 --> 00:20:59,615
Who cheats at solitaire?
490
00:20:59,617 --> 00:21:01,184
You're literally only cheating yourself.
491
00:21:01,186 --> 00:21:02,552
Again.
492
00:21:02,554 --> 00:21:03,919
Good morning, Larry.
493
00:21:03,921 --> 00:21:05,754
Is it a macho thing?
494
00:21:05,756 --> 00:21:07,522
Like a real man should
be able to make it through
495
00:21:07,524 --> 00:21:10,025
without leaning on a label
or the people who go with it?
496
00:21:12,129 --> 00:21:14,096
Embracing cancer as an identity
497
00:21:14,098 --> 00:21:16,364
is the last thing
any one of us should be doing.
498
00:21:16,366 --> 00:21:19,534
It underscores everything
horrible right now.
499
00:21:20,437 --> 00:21:22,370
We're in a daily battle for our lives.
500
00:21:22,372 --> 00:21:24,573
I see no value in dwelling on that.
501
00:21:28,946 --> 00:21:30,512
Candice is late.
502
00:21:31,816 --> 00:21:34,182
Which means either her niece
forgot to pick her up.
503
00:21:34,184 --> 00:21:36,278
Again.
504
00:21:36,821 --> 00:21:38,697
Or she got some bad news.
505
00:21:39,590 --> 00:21:41,256
Or she's already dead.
506
00:21:43,494 --> 00:21:46,261
- (OBJECT THUDS, BAG ZIPS)
- We are in a daily battle.
507
00:21:49,166 --> 00:21:51,454
I'd rather have some company.
508
00:21:51,456 --> 00:21:59,107
♪♪
509
00:21:59,109 --> 00:22:07,215
♪♪
510
00:22:07,217 --> 00:22:09,117
I spoke to my mother and brother,
511
00:22:09,119 --> 00:22:11,730
and they both think
I shouldn't do the surgery.
512
00:22:12,389 --> 00:22:14,322
Apparently they're more scared
of your surgical skills
513
00:22:14,324 --> 00:22:15,985
than they are of this tumor.
514
00:22:17,194 --> 00:22:19,093
And where do you stand?
515
00:22:19,095 --> 00:22:21,062
I need numbers.
516
00:22:21,064 --> 00:22:22,363
Please.
517
00:22:22,365 --> 00:22:25,867
♪♪
518
00:22:25,869 --> 00:22:28,872
The stats on something like this, it...
519
00:22:29,472 --> 00:22:30,738
there are a lot of variables.
520
00:22:30,740 --> 00:22:32,807
What are the odds
I make it through the surgery
521
00:22:32,809 --> 00:22:35,129
without any complications?
522
00:22:35,745 --> 00:22:37,945
It's a challenging procedure.
523
00:22:37,947 --> 00:22:40,782
Zero complications, I'd say 80%.
524
00:22:42,351 --> 00:22:45,452
But it is very unlikely
this tumor is malignant.
525
00:22:45,454 --> 00:22:47,182
Give me a number.
526
00:22:47,924 --> 00:22:50,558
About 5% chance it's a chordoma.
527
00:22:57,900 --> 00:23:00,067
The numbers agree with your family.
528
00:23:00,069 --> 00:23:01,569
So do I.
529
00:23:05,708 --> 00:23:07,808
(BREATHES DEEPLY)
530
00:23:10,313 --> 00:23:11,878
I've always been
more comfortable with action
531
00:23:11,880 --> 00:23:13,447
than inaction.
532
00:23:16,885 --> 00:23:19,286
I want you to do the surgery.
533
00:23:21,490 --> 00:23:22,656
(BREATHES DEEPLY)
534
00:23:22,658 --> 00:23:24,786
Certainty comes at a price.
535
00:23:24,788 --> 00:23:33,533
♪♪
536
00:23:33,535 --> 00:23:36,369
DIANE: She'll be able to get off
the life support machines?
537
00:23:36,371 --> 00:23:38,238
HAN: If everything goes well, yes.
538
00:23:38,240 --> 00:23:39,972
She'll have a strong heart.
539
00:23:39,974 --> 00:23:41,807
How soon can you do it?
540
00:23:43,478 --> 00:23:45,144
You should know we feel less confident
541
00:23:45,146 --> 00:23:47,201
about our plan for her bowel.
542
00:23:47,582 --> 00:23:50,316
The chance of failure is quite high.
543
00:23:50,318 --> 00:23:51,784
How high?
544
00:23:51,786 --> 00:23:54,721
LIM: I put it at 90%
that the repair won't work.
545
00:23:54,723 --> 00:23:57,823
Which would lead
to irreversible malnutrition.
546
00:23:57,825 --> 00:24:01,340
Your daughter would slowly
starve to death over months.
547
00:24:02,029 --> 00:24:04,130
Right now, her body is working very hard
548
00:24:04,132 --> 00:24:05,397
just to stay alive.
549
00:24:05,399 --> 00:24:08,700
♪♪
550
00:24:08,702 --> 00:24:11,003
If we were to turn off the machines...
551
00:24:11,005 --> 00:24:12,958
Turn off the machines?
552
00:24:12,960 --> 00:24:15,741
♪♪
553
00:24:15,743 --> 00:24:18,816
...she would pass quickly.
And peacefully.
554
00:24:19,346 --> 00:24:21,680
If the heart surgery is a success,
555
00:24:21,682 --> 00:24:23,783
that won't be an option.
556
00:24:23,785 --> 00:24:25,617
Oh. (BREATHES DEEPLY)
557
00:24:25,619 --> 00:24:27,519
Why not try to fix the bowel first
558
00:24:27,521 --> 00:24:28,720
to see if it works?
559
00:24:28,722 --> 00:24:30,522
We won't know if the bowel is viable
560
00:24:30,524 --> 00:24:32,258
until after the heart is.
561
00:24:33,460 --> 00:24:35,874
We have to do the surgery.
562
00:24:36,229 --> 00:24:38,530
But if this doesn't work,
she could starve to death.
563
00:24:38,532 --> 00:24:41,433
- It's worth the risk...
- It's not our risk. It's hers.
564
00:24:41,435 --> 00:24:44,803
So, instead, you're ready
to give up on our daughter?
565
00:24:44,805 --> 00:24:47,339
I mean, it's like we're
right back at the ultrasound.
566
00:24:47,341 --> 00:24:49,941
We decided together
to continue this pregnancy.
567
00:24:49,943 --> 00:24:51,910
So this is as much
my fault as it is yours.
568
00:24:51,912 --> 00:24:53,312
My fault?
569
00:24:53,314 --> 00:24:55,280
Because of the medication?
570
00:24:56,917 --> 00:25:00,315
I cannot turn off that machine.
571
00:25:01,021 --> 00:25:03,855
Your guilt is stopping you from
admitting what we need to do.
572
00:25:03,857 --> 00:25:06,490
My guilt has nothing to do with this.
573
00:25:06,492 --> 00:25:09,227
- I am fighting for my daughter.
- So am I.
574
00:25:11,675 --> 00:25:13,676
Since the parents can't agree,
the decision
575
00:25:13,678 --> 00:25:15,960
about the baby's care
will be made by a judge
576
00:25:15,962 --> 00:25:17,814
who will rely on our recommendation.
577
00:25:18,399 --> 00:25:20,032
So we make the choice,
578
00:25:20,034 --> 00:25:21,600
but the parents live with it?
579
00:25:24,131 --> 00:25:25,804
Well, maybe that's a good thing.
580
00:25:27,474 --> 00:25:29,507
For parents to have to decide between
581
00:25:29,509 --> 00:25:31,243
letting their daughter die
582
00:25:31,245 --> 00:25:34,980
or fighting for her life,
knowing she may suffer horribly,
583
00:25:34,982 --> 00:25:37,477
maybe it's better
if we carry that burden.
584
00:25:40,221 --> 00:25:41,820
Dr. Lim?
585
00:25:41,822 --> 00:25:43,322
Your decision would be?
586
00:25:44,791 --> 00:25:46,491
Take her off life support.
587
00:25:46,493 --> 00:25:48,660
The odds are stacked against
the bowel repair working.
588
00:25:48,662 --> 00:25:51,696
Those numbers reflect the
general population of doctors.
589
00:25:51,698 --> 00:25:54,102
I think Dr. Lim and I
are better than that.
590
00:25:54,703 --> 00:25:56,163
We can beat the odds.
591
00:26:03,921 --> 00:26:05,562
One of the things I'm not going to miss
592
00:26:05,564 --> 00:26:07,245
about being Chief of Surgery
593
00:26:07,247 --> 00:26:10,135
is being responsible
for choices like this.
594
00:26:12,852 --> 00:26:15,219
Dr. Han, it's your department...
595
00:26:15,221 --> 00:26:16,888
it's your call.
596
00:26:22,962 --> 00:26:24,428
(INDISTINCT CONVERSATIONS)
597
00:26:24,430 --> 00:26:26,230
GLASSMAN: You've been here all night?
598
00:26:26,735 --> 00:26:28,165
I've been working on a case
599
00:26:28,167 --> 00:26:30,768
with the new Chief of Surgery, Dr. Han.
600
00:26:30,770 --> 00:26:33,388
- How's that going?
- Not very well.
601
00:26:33,390 --> 00:26:35,405
He plays music in the operating room.
602
00:26:35,407 --> 00:26:36,889
Oh, geez. One of those.
603
00:26:36,891 --> 00:26:38,191
And he says I need to focus on
604
00:26:38,193 --> 00:26:40,290
our patients' emotional needs.
605
00:26:40,745 --> 00:26:42,845
Well, that's a tough assignment for you.
606
00:26:43,708 --> 00:26:45,175
Mm.
607
00:26:49,466 --> 00:26:53,167
You ever wish you had, you know,
608
00:26:53,169 --> 00:26:55,892
friends, co-workers on the spectrum?
609
00:26:56,264 --> 00:26:57,860
Not usually.
610
00:26:57,862 --> 00:27:00,773
But maybe Dr. Han
wouldn't notice me as much
611
00:27:00,775 --> 00:27:03,105
if I weren't the only doctor with ASD.
612
00:27:06,204 --> 00:27:08,103
There's this kid in chemo,
613
00:27:08,105 --> 00:27:11,288
just (CHUCKLES) obsessed
with having cancer.
614
00:27:11,315 --> 00:27:12,615
It's all he talks about.
615
00:27:12,617 --> 00:27:14,254
He wants to be friends
with everybody in the ward.
616
00:27:14,256 --> 00:27:15,926
That's very smart of him.
617
00:27:15,928 --> 00:27:19,121
Speigel et Al. showed
an increase in overall survival
618
00:27:19,123 --> 00:27:21,491
and quality of life measures
in breast cancer patients
619
00:27:21,493 --> 00:27:24,527
who formed social bonds with
others battling the disease.
620
00:27:25,430 --> 00:27:27,430
What should I do about Dr. Han?
621
00:27:29,901 --> 00:27:32,735
(EXHALES DEEPLY) I don't know. Um...
622
00:27:32,737 --> 00:27:34,404
just do your work,
623
00:27:34,406 --> 00:27:36,706
be a good surgeon,
be an excellent surgeon.
624
00:27:36,708 --> 00:27:38,941
Over time, he'll forget about the autism.
625
00:27:38,943 --> 00:27:40,342
Why would that happen?
626
00:27:40,344 --> 00:27:43,345
He'll see that you have
the skill, you have dedication.
627
00:27:43,347 --> 00:27:45,680
I have autism.
628
00:27:45,682 --> 00:27:47,449
It's part of who I am.
629
00:27:47,451 --> 00:27:49,451
(CONVERSATIONS CONTINUE)
630
00:27:54,358 --> 00:27:58,127
(RESPIRATOR HISSING, MONITOR BEEPING)
631
00:27:58,129 --> 00:27:59,761
The judge...?
632
00:27:59,763 --> 00:28:01,463
Accepted our recommendation
633
00:28:01,465 --> 00:28:03,373
and ruled in favor of surgery.
634
00:28:04,001 --> 00:28:05,479
Thank you, Doctor.
635
00:28:05,481 --> 00:28:09,604
♪♪
636
00:28:09,606 --> 00:28:11,040
(SIGHS)
637
00:28:11,042 --> 00:28:12,441
Okay, Percy.
638
00:28:12,443 --> 00:28:14,276
♪♪
639
00:28:14,278 --> 00:28:16,145
(VOICE BREAKING) Momma loves you.
640
00:28:16,147 --> 00:28:19,147
♪♪
641
00:28:19,149 --> 00:28:20,458
I love you, Percy.
642
00:28:20,460 --> 00:28:28,757
♪♪
643
00:28:28,759 --> 00:28:36,397
♪♪
644
00:28:36,399 --> 00:28:44,005
♪♪
645
00:28:44,007 --> 00:28:53,647
♪♪
646
00:28:55,995 --> 00:28:57,661
CLAIRE: Should we remove more bowel?
647
00:28:57,663 --> 00:28:58,863
That would take us to the ilium.
648
00:28:58,865 --> 00:29:01,032
She won't gain enough weight to thrive.
649
00:29:01,429 --> 00:29:03,128
Her abdominal muscles are tight
650
00:29:03,130 --> 00:29:05,393
from developing around an empty cavity.
651
00:29:06,100 --> 00:29:07,966
♪ But the days, girl,
just slip away, oh, yeah ♪
652
00:29:07,968 --> 00:29:10,635
They're cinched around
her tummy like a corset.
653
00:29:10,637 --> 00:29:12,037
What if we unbuttoned it?
654
00:29:12,039 --> 00:29:13,205
Released the muscle
655
00:29:13,207 --> 00:29:15,473
and increased the abdominal
circumference.
656
00:29:15,475 --> 00:29:16,782
Those muscles are part
of her abdominal wall.
657
00:29:16,807 --> 00:29:18,310
Not if we separate the layers...
658
00:29:18,312 --> 00:29:21,113
create a plane between
the skin and the muscle.
659
00:29:21,115 --> 00:29:22,948
♪♪
660
00:29:22,950 --> 00:29:24,817
You good if Murphy and I
start on the heart?
661
00:29:25,652 --> 00:29:28,220
Dr. Browne, you're with me
on the abdomen.
662
00:29:29,623 --> 00:29:30,923
Clearing the field.
663
00:29:30,925 --> 00:29:32,925
Han is on the call schedule next weekend.
664
00:29:32,927 --> 00:29:35,160
Maybe Carmen will switch with me
so I can cover with him?
665
00:29:35,162 --> 00:29:38,262
Or maybe you shouldn't try so hard.
666
00:29:38,264 --> 00:29:39,761
Retractor.
667
00:29:40,634 --> 00:29:42,567
Some of us don't have
a cool former career...
668
00:29:42,569 --> 00:29:44,235
or an easy-going, mellow demeanor.
669
00:29:44,237 --> 00:29:45,603
People are never gonna crowd in my corner
670
00:29:45,605 --> 00:29:46,871
because I'm just so likable.
671
00:29:46,873 --> 00:29:48,906
Well, you could try being nice to them.
672
00:29:48,908 --> 00:29:50,642
- Well, this is easier.
- There it is.
673
00:29:53,347 --> 00:29:55,046
Does it look like cancer?
674
00:29:55,048 --> 00:29:56,815
It's not labeled.
675
00:29:56,817 --> 00:29:59,155
We're all gonna have to wait
for the pathologist's report.
676
00:29:59,720 --> 00:30:01,018
(MONITOR BEEPING)
677
00:30:01,020 --> 00:30:02,587
Probe.
678
00:30:02,589 --> 00:30:04,288
(BEEPING CONTINUES)
679
00:30:07,594 --> 00:30:09,227
The artery is in the way.
680
00:30:09,229 --> 00:30:11,529
We can't get at the tumor
without him bleeding out.
681
00:30:11,531 --> 00:30:16,467
♪♪
682
00:30:16,469 --> 00:30:17,969
We're gonna have
to take it from the back.
683
00:30:17,971 --> 00:30:21,072
- But the S1 nerve root...
- Is something he can live without.
684
00:30:21,074 --> 00:30:22,606
Dissecting scissors.
685
00:30:22,608 --> 00:30:26,510
♪♪
686
00:30:26,512 --> 00:30:27,912
HAN: Pledget anchor.
687
00:30:27,914 --> 00:30:30,514
♪ You'll be leaving me soon,
like hell you will ♪
688
00:30:30,516 --> 00:30:34,919
♪ The owl gazing at the moon ♪
689
00:30:34,921 --> 00:30:39,123
♪ Is the feeling that I get
when I'm lookin' at you ♪
690
00:30:39,125 --> 00:30:43,127
♪ The sun will rise and fade the stars ♪
691
00:30:43,129 --> 00:30:44,262
The plug is in position.
692
00:30:44,264 --> 00:30:46,244
You ready to test the bowel repair?
693
00:30:46,832 --> 00:30:47,998
♪ And you're leaving me soon,
like hell you are ♪
694
00:30:48,000 --> 00:30:49,566
Let's take her off cardiac support.
695
00:30:49,568 --> 00:30:51,368
Dr. Murphy, it was your idea.
696
00:30:51,370 --> 00:30:52,969
You do the honors.
697
00:30:52,971 --> 00:30:58,208
♪♪
698
00:30:58,210 --> 00:30:59,510
(CLICKS)
699
00:30:59,512 --> 00:31:00,878
(MONITOR BEEPING STEADILY)
700
00:31:00,880 --> 00:31:03,747
♪♪
701
00:31:03,749 --> 00:31:06,683
Abdominal pressure is normal.
702
00:31:06,685 --> 00:31:09,052
The intestines are perfusing.
703
00:31:09,054 --> 00:31:12,255
♪♪
704
00:31:12,257 --> 00:31:14,324
- (ALARM BEEPING RAPIDLY)
- HAN: Pulmonary pressure's spiking.
705
00:31:14,326 --> 00:31:15,526
Prostacyclin and nitric oxide...
706
00:31:15,528 --> 00:31:16,727
we need to get her lung pressure down.
707
00:31:16,729 --> 00:31:18,295
Oxygen SATs are dropping.
708
00:31:18,297 --> 00:31:20,563
No response to pulmonary vasodilators.
709
00:31:20,565 --> 00:31:23,299
Now the heart's too strong.
It's overpowering her lungs.
710
00:31:23,301 --> 00:31:25,367
She needs to go back on cardiac support.
711
00:31:25,369 --> 00:31:26,502
(BEEPING CONTINUES)
712
00:31:26,504 --> 00:31:28,504
(CLICKS, BEEPING STEADIES)
713
00:31:28,506 --> 00:31:33,643
♪♪
714
00:31:33,645 --> 00:31:37,045
Persephone won't starve to death...
715
00:31:37,615 --> 00:31:39,949
but she will drown in her own fluids.
716
00:31:39,951 --> 00:31:42,452
♪♪
717
00:31:42,454 --> 00:31:47,924
♪♪
718
00:31:47,926 --> 00:31:54,663
♪♪
719
00:31:54,665 --> 00:31:56,197
I'll talk to the parents.
720
00:31:56,199 --> 00:31:57,566
May I come?
721
00:31:57,568 --> 00:32:03,404
♪♪
722
00:32:03,406 --> 00:32:09,110
♪♪
723
00:32:09,112 --> 00:32:11,713
Now that Persephone's heart
is pumping at full power,
724
00:32:11,715 --> 00:32:13,448
her lungs are overwhelmed.
725
00:32:15,185 --> 00:32:16,885
The humane thing to do
726
00:32:16,887 --> 00:32:19,554
is to turn off the machines
and let her go.
727
00:32:20,724 --> 00:32:22,632
No, I-I can't...
728
00:32:22,960 --> 00:32:24,493
I can't give up on her.
(BREATHES SHARPLY)
729
00:32:24,495 --> 00:32:27,562
♪♪
730
00:32:27,564 --> 00:32:29,389
Because you fought for her
731
00:32:30,366 --> 00:32:32,633
every minute since she was born.
732
00:32:32,635 --> 00:32:34,935
Before that, when you were
taking your medication
733
00:32:34,937 --> 00:32:36,069
for the depression,
734
00:32:36,071 --> 00:32:37,897
you were fighting to keep going
735
00:32:38,407 --> 00:32:40,140
so you could bring her into the world.
736
00:32:40,142 --> 00:32:42,510
(BREATHING SHAKILY)
737
00:32:42,512 --> 00:32:46,580
♪♪
738
00:32:46,582 --> 00:32:56,456
♪♪
739
00:32:56,458 --> 00:32:59,527
But letting go of Percy
is not giving up on her.
740
00:32:59,529 --> 00:33:01,595
♪♪
741
00:33:01,597 --> 00:33:04,397
It's listening to what
her body is telling us.
742
00:33:04,399 --> 00:33:09,201
♪♪
743
00:33:09,203 --> 00:33:10,537
She's hit her limit.
744
00:33:10,539 --> 00:33:14,440
♪♪
745
00:33:14,442 --> 00:33:16,009
(EXHALES SHARPLY)
746
00:33:16,011 --> 00:33:23,783
♪♪
747
00:33:23,785 --> 00:33:27,787
♪♪
748
00:33:27,789 --> 00:33:29,622
Okay.
749
00:33:29,624 --> 00:33:39,297
♪♪
750
00:33:39,299 --> 00:33:45,571
♪♪
751
00:33:45,573 --> 00:33:48,006
♪♪
752
00:33:48,008 --> 00:33:49,741
(SOBS)
753
00:33:49,743 --> 00:33:53,178
♪♪
754
00:33:53,180 --> 00:33:54,680
(CRYING)
755
00:33:54,682 --> 00:33:58,116
♪♪
756
00:34:00,633 --> 00:34:02,901
(MONITOR BEEPING STEADILY)
757
00:34:03,875 --> 00:34:05,708
HAN: I want Persephone to look
as good as possible
758
00:34:05,710 --> 00:34:07,243
for the parents.
759
00:34:07,245 --> 00:34:10,547
♪♪
760
00:34:10,549 --> 00:34:12,214
(SIGHS)
761
00:34:12,216 --> 00:34:14,149
Let's turn off cardiac support.
762
00:34:14,151 --> 00:34:16,518
♪♪
763
00:34:16,520 --> 00:34:19,254
(CLICKS, BEEPING)
764
00:34:19,256 --> 00:34:20,823
Ventilator.
765
00:34:20,825 --> 00:34:22,223
♪♪
766
00:34:22,225 --> 00:34:23,792
Let's take a minute.
767
00:34:23,794 --> 00:34:26,194
(MONITOR BEEPING STEADILY)
768
00:34:26,196 --> 00:34:33,602
♪♪
769
00:34:33,604 --> 00:34:42,110
♪♪
770
00:34:42,112 --> 00:34:48,916
♪♪
771
00:34:48,918 --> 00:34:52,187
(LOUD, RHYTHMIC BEEPING)
772
00:34:52,189 --> 00:34:53,621
♪♪
773
00:34:53,623 --> 00:35:00,362
♪♪
774
00:35:00,364 --> 00:35:07,102
♪♪
775
00:35:07,104 --> 00:35:08,769
Check valve.
776
00:35:08,771 --> 00:35:13,108
♪♪
777
00:35:13,110 --> 00:35:15,543
Every time the heart contracted,
778
00:35:15,545 --> 00:35:17,778
blood went into the opposite
side of the heart
779
00:35:17,780 --> 00:35:19,680
and raised lung pressure.
780
00:35:19,682 --> 00:35:22,416
The hole reduced the pressure
when it got too high
781
00:35:22,418 --> 00:35:23,817
because it allowed backflow.
782
00:35:23,819 --> 00:35:27,254
But our repair of the defect
blocked this backwards flow.
783
00:35:27,256 --> 00:35:29,656
What if we made it so
she still had a heart defect,
784
00:35:29,658 --> 00:35:31,558
but only when she needed it?
785
00:35:31,560 --> 00:35:35,529
It'd be like an unlatched door
in the wall of the heart.
786
00:35:35,531 --> 00:35:37,731
When the pressure gets too high
on the right side,
787
00:35:37,733 --> 00:35:40,600
the door swings open, releasing
the pressure on the lungs.
788
00:35:40,602 --> 00:35:42,503
The rest of the time, it stays shut.
789
00:35:42,505 --> 00:35:45,372
It should reduce lung pressure
by a third. Is that enough?
790
00:35:45,374 --> 00:35:46,507
It depends on how high
791
00:35:46,509 --> 00:35:48,509
her pulmonary vascular resistance is.
792
00:35:48,511 --> 00:35:50,877
PVR is pulmonary artery pressure
793
00:35:50,879 --> 00:35:53,980
minus wedge pressure divided
by cardiac output times 80.
794
00:35:53,982 --> 00:35:59,419
♪♪
795
00:35:59,421 --> 00:36:04,844
♪♪
796
00:36:04,846 --> 00:36:06,725
CANDICE: The last time I saw my doctor,
797
00:36:06,727 --> 00:36:09,628
he told me I had six months to live.
798
00:36:09,630 --> 00:36:11,431
He also told me I should
marry an accountant
799
00:36:11,433 --> 00:36:12,765
and move to North Dakota.
800
00:36:12,767 --> 00:36:14,367
LARRY: You don't say.
801
00:36:14,369 --> 00:36:16,869
When I asked if it would
help my cancer, he said no,
802
00:36:16,871 --> 00:36:19,672
just make the six months
seem much longer.
803
00:36:19,674 --> 00:36:22,275
(BOTH LAUGH)
804
00:36:23,010 --> 00:36:26,679
What's the difference between
a Neo-Nazi and cancer?
805
00:36:26,681 --> 00:36:28,274
Cancer doesn't discriminate.
806
00:36:28,276 --> 00:36:29,515
(LAUGHS)
807
00:36:29,517 --> 00:36:31,517
(LAUGHS)
808
00:36:31,519 --> 00:36:33,285
I knew a guy once...
809
00:36:33,287 --> 00:36:35,720
his Zodiac sign was Cancer.
810
00:36:35,722 --> 00:36:38,890
It was really ironic how he died.
811
00:36:40,260 --> 00:36:42,027
Uh, uh, how's that?
812
00:36:42,029 --> 00:36:43,962
He was eaten by a giant crab.
813
00:36:43,964 --> 00:36:47,832
(LAUGHTER)
- Oh, geez.
814
00:36:47,834 --> 00:36:49,267
(LAUGHS)
815
00:36:49,269 --> 00:36:51,503
Aaron, glioma.
816
00:36:51,505 --> 00:36:54,038
Candice, leukemia.
817
00:36:54,040 --> 00:36:55,307
Gin rummy or blackjack?
818
00:36:55,309 --> 00:36:57,342
How fast do you want to take my money?
819
00:36:57,344 --> 00:36:58,843
Blackjack.
820
00:36:58,845 --> 00:37:00,326
Cut 'em.
821
00:37:12,243 --> 00:37:14,310
Did you get it all?
822
00:37:17,396 --> 00:37:18,829
Yes...
823
00:37:18,831 --> 00:37:20,764
totally clear margins.
824
00:37:20,766 --> 00:37:22,433
But the only way to achieve that
825
00:37:22,435 --> 00:37:24,935
involved removing the nerve
that controls your left foot.
826
00:37:26,572 --> 00:37:29,873
Rehab and an advanced orthotic may help,
827
00:37:29,875 --> 00:37:32,676
but you will walk with a limp.
828
00:37:32,678 --> 00:37:34,978
Final pathology will let us know
if it was worth it.
829
00:37:39,157 --> 00:37:40,984
I'll let you know when it comes in.
830
00:37:43,215 --> 00:37:45,481
It doesn't matter anymore.
831
00:37:48,412 --> 00:37:50,645
It's not like you can
put the tumor back in.
832
00:37:58,303 --> 00:38:00,570
(BABY CRYING)
833
00:38:05,777 --> 00:38:08,344
Is she... okay?
834
00:38:09,447 --> 00:38:13,683
She still has a surgery or two
in her future, but, yes.
835
00:38:13,685 --> 00:38:15,276
She's gonna be great.
836
00:38:16,120 --> 00:38:18,887
- (BREATHES SHARPLY)
- (SNIFFLES)
837
00:38:18,889 --> 00:38:20,422
Can I hold her?
838
00:38:20,424 --> 00:38:22,617
I think that would be very nice.
839
00:38:23,227 --> 00:38:25,093
For both of you.
840
00:38:25,095 --> 00:38:34,069
♪♪
841
00:38:34,071 --> 00:38:35,904
(BABY CRYING)
842
00:38:35,906 --> 00:38:40,008
♪♪
843
00:38:40,010 --> 00:38:42,377
(CRYING) Hi, angel.
844
00:38:42,379 --> 00:38:43,278
♪♪
845
00:38:43,280 --> 00:38:44,413
(BABY COOS)
846
00:38:44,415 --> 00:38:47,249
Oh, my baby. (SMOOCHES)
847
00:38:47,251 --> 00:38:50,485
♪♪
848
00:38:50,487 --> 00:38:52,019
Come hold her.
849
00:38:52,021 --> 00:38:58,426
♪♪
850
00:38:58,428 --> 00:39:00,928
You were fighting for her, too.
851
00:39:00,930 --> 00:39:04,131
♪♪
852
00:39:04,133 --> 00:39:06,133
(SNIFFLES)
853
00:39:06,135 --> 00:39:08,569
- (BOTH CHUCKLE)
- She's beautiful.
854
00:39:08,571 --> 00:39:15,710
♪♪
855
00:39:15,712 --> 00:39:17,296
Nice work.
856
00:39:18,514 --> 00:39:20,132
Thank you.
857
00:39:21,050 --> 00:39:23,917
- (BABY CRYING)
- She's beautiful.
858
00:39:23,919 --> 00:39:25,486
Listen to her. Oh.
859
00:39:25,488 --> 00:39:28,122
(CRYING)
860
00:39:28,124 --> 00:39:35,262
♪♪
861
00:39:36,866 --> 00:39:38,398
Thank you.
862
00:39:38,400 --> 00:39:41,568
(SIGHS DEEPLY)
863
00:39:43,538 --> 00:39:45,705
Minesh's biopsy results?
864
00:39:50,512 --> 00:39:52,980
(SIGHS)
865
00:39:55,751 --> 00:39:57,050
You don't want to know
if we wasted our time
866
00:39:57,052 --> 00:39:58,462
almost killing him?
867
00:39:59,621 --> 00:40:01,488
Can't put the tumor back.
868
00:40:17,506 --> 00:40:19,692
Hello, Dr. Han.
869
00:40:20,208 --> 00:40:22,442
You take the bus, too?
870
00:40:22,444 --> 00:40:23,843
No, Shaun.
871
00:40:23,845 --> 00:40:26,282
I just wanted to talk to you.
872
00:40:26,948 --> 00:40:29,015
(INHALES SHARPLY)
873
00:40:29,017 --> 00:40:33,218
You really do have
remarkable diagnostic skills.
874
00:40:33,220 --> 00:40:36,188
I have to admit, you're an
asset to this hospital.
875
00:40:36,626 --> 00:40:38,390
Yes, I am.
876
00:40:41,061 --> 00:40:44,383
I spoke to the Residency
Director of Pathology.
877
00:40:45,032 --> 00:40:48,012
And we both agree
you'll be a great fit there.
878
00:40:50,438 --> 00:40:53,706
I'm a surgical resident.
879
00:40:53,708 --> 00:40:55,808
As a pathology resident,
880
00:40:55,810 --> 00:40:58,677
you'll touch cases and lives
881
00:40:58,679 --> 00:41:02,247
across all the medical departments.
882
00:41:02,249 --> 00:41:04,483
It's an opportunity
for you to help patients
883
00:41:04,485 --> 00:41:07,490
without having to deal with patients.
884
00:41:08,616 --> 00:41:12,457
Given your difficulties with
communication and social cues,
885
00:41:12,459 --> 00:41:14,955
I think it will be a much better fit.
886
00:41:15,795 --> 00:41:17,458
No, thank you.
887
00:41:18,292 --> 00:41:21,198
I have been working very hard
888
00:41:21,200 --> 00:41:24,006
at my communication skills.
889
00:41:24,571 --> 00:41:26,759
Hard work isn't enough.
890
00:41:27,507 --> 00:41:29,273
You have to do the job.
891
00:41:31,811 --> 00:41:36,080
I am a surgical resident.
892
00:41:37,884 --> 00:41:39,522
You were.
893
00:41:40,787 --> 00:41:43,520
And you're gonna do
great work in pathology.
894
00:41:45,358 --> 00:41:48,859
(WYLDER'S "AT THE END PT. 1" PLAYS)
895
00:41:48,861 --> 00:41:52,162
♪ Oh, and when the storms come ♪
896
00:41:52,164 --> 00:41:55,465
♪ Flooding through the hall ♪
897
00:41:55,467 --> 00:41:57,734
♪ Rising to the landing ♪
898
00:41:57,736 --> 00:42:01,671
♪ Tearing pictures from the walls ♪
899
00:42:01,673 --> 00:42:04,508
♪ The currents pull us underneath ♪
900
00:42:04,510 --> 00:42:08,145
♪ That bright tide rips us out ♪
901
00:42:08,147 --> 00:42:11,181
♪ Into a tangled coral reef ♪
902
00:42:11,183 --> 00:42:14,985
♪ Where we could never drown ♪
903
00:42:14,987 --> 00:42:17,921
♪ Now that ♪
904
00:42:17,923 --> 00:42:20,557
♪ We're at the end ♪
904
00:42:21,305 --> 00:42:27,710
Support us and become VIP member
to remove all ads from www.OpenSubtitles.org
66284
Can't find what you're looking for?
Get subtitles in any language from opensubtitles.com, and translate them here.