Original subtitles

Grasp is good,

but Steve's not gaining weight quite as quickly as I'd like.

I'm feeding him every two to three hours during the day,

every three to four at night.

And pumping in between to increase milk production.

Well, I'm going to recommend you start supplementing with formula.

But everyone says "breast is best"?

[DR. HYLAND] Breast milk is the ideal.

Right now, Steve just needs a little extra.

Some samples to get you started.

This is an excellent product,

and it will make it easier for me

to do more nighttime feedings.

Yeah. Yeah.

I thought being co-presidents

meant we would do things together.

I was aiming for...

you do some things and I do some things.

Funny how your "some things" leads to more work for me.

I have no idea what you're talking about.

[SCOFFS] The affiliation deal with San Jose Med School?

We had to cover the overages because the nurses unionized.

In exchange, we teach a few med students.

[SCOFFS] You won't be teaching anyone.

I will have the useless baby docs

wandering around the department

- like lost children with scalpels. - [ELEVATOR DINGS]

We made a good deal. That's it.

It's a good deal.

[QUIRKY MUSIC]

[JARED] We should go introduce ourselves.

No, they are baby ducklings, and I will not be their mommy.

Let them imprint on Shaun and Park.

Hi!

Bye.

[DR. PARK] Hi, I'm Dr. Park. This is Doctor...

Dr. Shaun Murphy.

I... I can't believe it's really you.

I'm just so excited, I'm about to pee myself.

Please do not.

Of course not. You're... You're not a shaker.

There was a March 2012 abstract

that demonstrated a reluctance to shake hands

could be used as a diagnostic marker for ASD.

But I love a good, firm grip.

That's why they call it a spectrum.

We could shake.

That's not very firm.

Okay. That's better.

I'm Charlotte Lukaitis.

Nice to meet you, Charlotte.

I go by "Charlie" for now, "Dr. Lukaitis" soon.

Only two years away from my goal,

which I've had since I was 17,

ever since I saw that viral video of you saving

that boy at the San Jose Airport

using a homemade one-way valve.

It was the coolest, most heroic thing

I've ever seen from a person with ASD.

It was very heroic.

I picked San Jose for medical school

hoping to engineer a run-in with you,

but then your hospital partnered with my school,

and it's like what Taylor Swift says in "Mastermind"...

- [WHISPERS] Charlie. - [CHUCKLES]

Dom helps me when I, you know, talk too much.

[NORMAL VOICE] Hi, I'm Dominick Hubank.

And we're happy to have such eager future doctors joining the team.

Future surgeon.

I don't want to be a surgeon,

but I'm excited for the rotation.

Okay.

Charlie, you are on my team.

[HIGH-PITCHED VOICE] Yes!

Synced & corrected by -robtor- www.addic7ed.com

Would you like to present?

I'd love to.

- Richard Shelford, 53... - Call me Rich.

Not that I'm wealthy.

Right, Rich Shelford, 53 years old...

Don't feel a day over 52.

- That's funny. - [CHUCKLES]

Okay. This is taking too long.

Please tell us what happened.

He was coughing so hard he couldn't catch his breath,

and then he fainted and hit his head.

Cough syncope.

He's thinner and way more tired

than the last time he visited me.

Yeah, but I'm fine.

It's just a little cold.

You could barely breathe, Dad.

Um, chest X-ray shows multiple lung nodules

and enlarged lymph nodes in the hilar and mediastinal areas.

Get an ABG, CBC, perform a bronchoscopy,

and send biopsies to path.

Can you apply a wound dressing using the Turban Technique?

I sure can.

[COUGHS]

Hey, uh... [CLEARS THROAT]

how long until we could get out of here?

My daughter, she took some time off work to show me around.

She's got her own business.

Works as a tech consultant for a few companies around the Valley.

- Dad. - Let the man brag.

- It's every proud father's right. - Yeah.

- Hold this, please. - Oh.

[CLEARS THROAT]

[MAN] Basic Turban Technique for head bandaging.

Step one, tie the ends of two bandages together in a knot.

Step two, starting from one ear...

The patient was a good sport about it,

but his daughter was not happy.

A wound dressing is very low stakes.

Did Charlie do a bad job following the tutorial?

Uh, no. Actually, the dressing was pretty decent.

But the point is, the patient's family were uncomfortable.

I think someone should tell her

no more how-to videos in front of patients.

Oh. You can if you want.

We were able to repair your skull fracture

and evacuate a large subdural hematoma.

Lucky day. Is there a Wi-Fi password?

I need to get League Pass in here.

Uh, the accident report says

that you stepped right in front of an oncoming car.

I just didn't see it.

Big day today.

I got the Clips and the points, the money line, and the over.

And it's the last leg of a six-team parlay

that I need to come through.

That's a lot of action.

Well, having some skin in the game makes life more fun.

Hey, you're The Dominator.

Uh, just "Dom" now.

My football days are behind me.

That pancake block you had against Stanford?

Cleared the way for that 75-yard run?

Made me 10 grand, that one play!

Why aren't you in the league?

Decided I wanted to help people instead of hurt them.

Okay, let's draw blood for post-op hematocrit.

Once the brain swelling comes down, you can go.

Have you done a blood draw yet?

It's my first day out of the classroom.

Five bucks he gets an A.

No.

[CELL PHONE CHIMING]

All right. You're going to palpate for a vein.

Oh, and remember, when introducing the needle,

always bevel up and insert the tube into the vacutainer.

And you just passed phlebotomy 101.

Oh, God.

[THUD]

You could be up five right now.

[LAUGHING] He went down.

I mean, hard.

Frontal and parietal lobes look clear.

[DOM SIGHS]

I'm sorry.

I did deadlifts and squats this morning.

Didn't have time to eat breakfast.

Feeling okay now?

My ego took a hit, but I'll be okay.

Whoa!

Is that our patient's brain?

Mm. You just passed anatomy 101.

[CHUCKLES] Which part's the front?

Oh, spoke too soon.

This is the axial plane,

which means we're looking down from the top.

[COMPUTER BEEPS]

These are the temporal and occipital lobes here. Also clear.

How can you tell?

We injected gadolinium, which leaks out

around the areas of injury

and makes them show up brighter on the scan.

Like that?

Yeah. Like that.

That's a tumor,

completely interwoven with his brain stem

and cranial nerves

and extending to his upper spinal cord.

I guess we know why he didn't see that car.

[SOMBER MUSIC]

[CHARLIE] You are descending through the larynx

to the trachea and onto the carina.

- Nicely identified. - Thank you.

Positive affirmations are empowering for people with ASD.

"My autism is awesome."

Onto the bronchi and bronchioles.

I use Taylor Swift mnemonics. Do you guys do that, too?

- No. - I do.

I wonder if ours are the same.

Basic airway anatomy, L, T, C, B, B.

"Lover," "Treacherous," "Cardigan," "Babe," and "Bejeweled."

I used "Bad Blood" for both bronchi and bronchioles. Two for one.

Mm.

He knows one song.

Look at the patches on the bronchial mucosa.

[JARED] There's a luminal narrowing

from the enlarged lymph nodes.

This definitely isn't pneumonia.

[CHARLIE] Cool.

My first medical mystery.

Can I page Dr. Murphy?

[QUIRKY MUSIC]

Did you ever cut quartz countertops?

[CHUCKLES]

Yeah.

I started off in a fabrication shop.

How'd you know that?

Cutting quartz produces toxic fine-dust particles

that have embedded in your airway and lungs.

You have silicosis.

It's like watching a magic trick.

Uh, my doc said it was just a recurring pneumonia.

Silicosis can often be misdiagnosed until it's too late.

You will need a bilateral lung transplant.

He needs new lungs?

Yes. With your declining respiratory function

and extensive damage,

you should be prioritized for transplant.

But you will need full-time home care for the rest of your life.

But I live alone back in Florida.

Dad, one step at a time.

I think you should get the surgery here,

then move in with me.

I can't do that.

Of course you can.

Your career has just taken off. I'm not gonna burden you.

It's not a burden. You're my dad.

You peeled my oranges and coached my soccer team.

Then you put me through college and business school.

Let me take care of you.

[SOMBER MUSIC]

Someone raised his girl right.

[SHAUN] Okay.

We will call a transplant coordinator.

Where's Steve?

Down the hall, flirting with the nurses.

I need you to write me a prescription for domperidone.

It increases breast milk production.

All the mom message boards say so.

It is not approved as a lactation aid anywhere.

Doctors in Canada and Mexico are using it off-label.

Does Steve not like the formula Dr. Hyland recommended?

I don't like it, Shaun.

I feel like... I feel like a failure as a mom.

But you are not a failure.

You are following all the recommended guidelines.

In fact, the only guideline you're not following

is supplementing with formula as advised.

[SIGHS]

Shaun...

I've been wanting to be a mom for so long,

and part of that is my body is supposed to give Steve

everything he needs, and mine won't.

And I hate it.

[KNOCK ON DOOR]

Come in.

Good. You're both here.

An invite to Baby Eden's Sip and See.

So everyone can officially meet her

in a cute dress instead of a hospital gown.

Is Dr. Glassman going?

- I think so. - Then I do not want to go.

I thought you and Glassy had worked things out.

He took Steve the other night.

[SHAUN] Hmm.

Who cares if he's there?

As long as you and that gorgeous baby make it.

Wouldn't miss it.

Isn't being a mom great?

The greatest.

You just said you feel like a failure.

I think that is because of a postpartum decrease

in estrogen and progesterone.

Did you just call me hormonal?

- No, actually reduced hormonal. - Okay, Shaun.

- Time to go. - This is my office.

Let's not have it be your gravesite.

Huh. There's gotta be something you can do.

We can't safely remove the tumor

without permanent injury to your brain stem.

If you survive the surgery at all.

I'm sorry. I know it's a lot to take in.

But there's... there's new technology all the time.

Nadal's back with the stem cells,

and Bartolo Colon...

Experimental treatments on athletes' orthopedic injuries

are completely different than brain surgery.

C-Could you remove some of the tumor?

Buy me more time? How about chemo?

This type of cancer doesn't respond to chemo.

We did read a paper in class about a TCR approach.

Could that be something?

That was only done a few times,

and never with brain stem involvement.

TCR.

It's my new favorite letters.

Whatever they stand for, let's do that.

TCR means we would saw up through your mandible

and dislocate your lower jaw.

Then we cut open from the roof of your mouth

to the back of your throat.

That's just to access the tumor.

That tumor is woven into your brain stem.

Removing it would very likely leave you quadriplegic,

unable to speak or move, if you survive the surgery.

Okay.

Maybe it's not my favorite.

But let's try.

Sal, you should enjoy your remaining time.

Travel.

Connect with family.

[SOMBER MUSIC]

Who am I gonna connect with?

Wife kicked me out when I gambled away

the kids' college fund.

None of them have talked to me for years.

I got a break coming my way.

I can feel it.

We've got our annual presentation to the managed care companies.

They want detailed reports on patient outcomes

for diabetes, geriatrics...

That's great. Schedule that for never.

- No, I've set it for tomorrow at 9:00. - That's the wrong answer.

Unfortunately, I have back-to-back surgeries.

Thank goodness I have a partner to do the things I can't.

[QUIRKY MUSIC]

[SIREN WAILING IN DISTANCE]

Oh.

You know, med students are allowed to eat with the residents.

I find the sound of people chewing to be unsettling.

Well, if you want some guidance

and you don't mind the sound of sipping noises,

Jordan and I can take you for coffee.

[IMITATING MARILYN MONROE] ♪ Happy Birthday, Dear Daddy ♪

Ha... [GASPS]

Uh, baby, let me call you right back.

[CELL PHONE CLICKS]

Where did you get your bra?

I've always been intrigued by lace. Is it okay?

Kind of busy right now. Can we talk upstairs later?

What are you doing?

Just talking to a friend.

You called him "Daddy," but your dad's upstairs.

[SCOFFS] He's a client, a regular.

He paid me five grand for a last-minute session.

Lucky for me, he's into exhibitionism.

Five grand? That's more than I made a whole month waitressing,

including tips.

Do people tip sex workers?

Charlie, this isn't any of our business, so...

Plenty of people know what I do.

Just not my actual father.

Please, you cannot say anything to him.

- Of course not. - [CELL PHONE DINGS]

Ah. Good news.

Donor lungs just became available.

"Happy birthday, Daddy," indeed.

[QUIRKY MUSIC]

The donor's upstairs on life support.

His family is ready to withdraw care.

We'll take you for some additional testing,

but the transplant could happen as soon as tomorrow.

- [RICH] Wow. - You'll need a bedroom

on the ground floor, and an easily accessible bathroom.

I can convert my office.

As long as you have privacy elsewhere for your work.

Whoa, whoa, whoa. [CHUCKLES] Why'd you say "work" like that?

I mean, how much privacy do you need for tech consultations?

Charlie's speech pattern can be a bit unusual.

Her autism is awesome.

Thank you.

Don't mention it. Really. Do not.

Love you, Daddy.

So many daddies, so little time.

Whoa, whoa.

What does that mean?

Uh, Dad, nothing.

I'm not asking you. I'm asking her.

[TENSE MUSIC]

Saying "observe" isn't enough.

You need to tell them, "Don't speak."

I realize that now. So does The Dominator.

What are your thoughts about the TCR?

You're considering the surgery?

It's either that or do nothing and Sal is dead in a year.

A year is a year. You're not his executioner.

So you wouldn't do it?

No, I'm not making this decision for you.

You're an attending now.

Your surgery, your call.

[CLATTERING]

What are you doing?

Work order says deliver them here.

Signed by the president.

Co... president.

[JARED] Once Rich's questions picked up speed,

it wasn't long before Charlie mentioned "sex worker."

Shortly thereafter, he banned Grace from the room

and called off the surgery.

Okay.

His oxygen saturation is decreasing.

He is profoundly hypoxic. Rich needs new lungs now.

I told him that.

He booked a flight back to Florida.

Said he'll get on the transplant list there.

No, no, no. His lungs cannot handle transport.

Charlie's mistake is endangering our patient's health.

Our patient is doing that all on his own.

But Rich would not be upset if Charlie had not revealed...

She didn't violate any HIPAA laws.

The only thing she did wrong

was not keep Grace's secret life a secret.

Which kind of sounds like something you might have done

back in your first year.

[SHAUN] Hmm.

Our patient needs a bilateral whole-lung lavage

in order to get home safely.

Please get his consent.

Charlie can do scut work.

[DR. PARK] Dissecting the tumor from the ventral surface

of the pons and cranial nerves.

- [DEVICE BEEPING] - [SIGHS]

Applied too much pressure. Bleeder.

- Oh, God. - What? Dom,

it's not even real.

- Oh, God. - [THUD]

Again?

Again.

[DEVICE BEEPING]

Have you eaten?

Two double cheeseburgers,

fries, coleslaw, cottage cheese,

a pudding, and fruit salad.

You know, hemophobia can make

for a pretty rough surgical rotation.

You got any idea how to get over it?

I gotta.

[CHUCKLES] My brother and I, we have this deal

to become family docs, then move back home.

When our mother got sick,

we saw how lousy medical care can get.

You could try exposure therapy,

watch a few hours of blood draws.

- [GAGS] - Ooh, there's a twist.

You good?

Okay. Just breathe.

[GAGS]

[SIGHS]

[DEVICE BEEPING]

[BEEPING CONTINUES]

[SIGHS]

[DEVICE BEEPING CONTINUOUSLY]

[SIGHS]

[DRAMATIC MUSIC]

[DEVICE BEEPING]

[SIGHS DEEPLY]

Shaun doesn't like her? But she worships him.

Charlie blabbed to the patient,

blew up his double lung transplant.

Double lumen endotracheal tubes and clamps.

My guy did the same thing, but in reverse.

Mentioned a virtually impossible surgery.

Now the patient wants it.

[CHUCKLING] I think I actually saw smoke come out of Park's ears.

Well, 20% of med school students don't make it,

and most of that happens during surgical rotation.

I wonder which one of our ducklings goes first?

Ten bags of saline.

Oh, you're gonna need a cart.

The big guy's on a mission. I'll take the girl.

[GASPS] I've never said those words before.

Done with my scut work.

You guys need a cart.

I'll be right back.

[QUIRKY MUSIC]

Hey.

Are you not going to go to Morgan's baby thing

because I might be there?

Yes.

Well, that's pretty dumb.

Don't you think it's time we moved past this stuff?

No.

Well, I'm trying to.

I'm the one who should be mad at you.

You should have met Steve on the day he was born.

Yes. I should have. I should have done that.

I was pretty upset back then.

You humiliated me,

and I'm not a surgeon now partly because of you.

Did you forget that?

That is not an apology.

[SOMBER MUSIC]

Drained ninth liter of effluent.

Left lung output is looking clearer.

[OVER INTERCOM] Did everyone look at Grace's cam-girl site?

What is she doing here?

She was done with scut work.

Infusing another liter of saline.

Grace put herself online because she wants customers.

I'm giving her what she wants.

You actually subscribed?

I am a feminist, and she's very beautiful.

Her site offers tasteful nude portraits,

sensual shower videos, and gritty bondage.

No amount of money is worth selling your body.

Uh, $3.6 million a year might be.

What about you, Dr. Murphy?

How would you feel if your son ended up doing sex work?

What if he ends up sick

from cutting quartz countertops for a living?

We can clear Rich to fly home.

But I need to talk to him first.

[FOOTSTEPS IN DISTANCE]

How long ago did she wake up?

About an hour or so. I just fed her.

[SNIFFLES]

The patient wants to go for it,

and there's a non-zero chance it works.

So do it.

Only the best of the best could pull this off.

And what if that's you?

I've been in the OR with you.

I know your steadiness,

your precision, your persistence.

I believe you can do this.

[EDEN BABBLING]

Maybe Eden should decide.

She agrees with her mama.

[BABBLING CONTINUES]

[CHUCKLES, SNIFFLES]

[INHALES, EXHALES DEEPLY]

You are able to fly home now.

But you should listen to your daughter.

Dad.

Please.

Dr. Murphy says it's very unlikely

they'll find another donor match before you die.

Take the lungs.

You don't have to live with me. I'll find a place for you.

You have to stop what you're doing.

No.

I like what I do.

I'm successful, and I'm not hurting anyone.

You're hurting me.

[SOMBER MUSIC]

My son, Steve, is three weeks old.

I have been thinking about what he might do when he gets older

that I would not approve of.

But I can't imagine not wanting him in my life

unless he was cruel or unkind to others.

She is kind and generous.

She loves you and wants to care for you.

She seems like a very good person.

You did raise Grace right.

You're a gambling addict who showed up here

having already thrown everything away.

The only way I do this surgery

is if I know you'll make better use of the extra time.

- This doesn't seem ethical. - It's not.

Convince me you'll lead a life worth saving.

My name is Sal Zacharia,

and I have a gambling addiction.

I promise I will get treatment.

And you'll reach out to your ex-wife,

try to reconnect with your family.

How is this any business of yours?

Tell me why I should believe you.

Because I die if you don't.

I don't wanna die.

Let's get prepped for surgery.

[SIGHS]

Scrub your arms to three inches above the elbow.

How did you get Rich to change his mind?

Did you trick him?

I related to him as a father.

I have become very good at displaying empathy.

Neurotypicals are weird.

Yes, they are.

Rinse your hands and arms from fingertips to elbows,

one direction only.

I am displaying empathy now, by allowing you into the OR.

You should be grateful I was able to fix the case.

Hands up, and don't touch anything.

[CHARLIE] My first time being gowned and gloved.

Do we get to shave his chest?

[NURSE VILLANUEVA] It was done in pre-op.

Oh, I shave my own body hair, so I'm great at it.

Not my chest, though.

- I mean, my underarms, my legs, my... - [JARED] Charlie.

[SHAUN] Okay. Please stop talking.

[CHARLIE] I... I, uh, was just trying to...

[SHAUN] You cannot touch your skin.

[CHARLIE] I didn't, I touched my earring.

[SHAUN] You can't touch any non-sterile item.

You've just contaminated the surgical field.

You have to re-scrub in,

and we have to re-drape everything.

- You're speaking very loudly. - Go read the literature

on operating-room sterile technique.

That won't help. I'm an auditory learner.

You need to leave.

Okay? Leave now.

[JARED SIGHS]

[KNOCK ON DOOR]

That looks fun.

[BREAST PUMP WHIRRING]

Why did you e-mail "Will not attend"?

You're clearly skipping my baby's party

because you feel like a failure as a mom.

But you're not. And that's stupid.

And how can I help if you won't just tell me

that you're having breastfeeding problems?

Mm. I'm sorry.

I feel like a jerk complaining to you about all of this.

I know I'm lucky to breastfeed at all,

and I am not being rational.

You're not the only one failing.

When Eden cries during the night,

Alex is the one who wakes up.

Every time.

During one of his overnight shifts,

I slept through my own baby crying for almost 20 minutes.

I mean, that's actual neglect.

Yeah, I'm pretty sure Child Protective Services is downstairs.

Shut up, raisin boobs.

[LAUGHS] Mm.

You are the greatest mom.

Adopting a baby with Turner syndrome,

caring for her after two heart surgeries,

and somehow throwing a party while being so put together.

And I use formula exclusively.

Finally got the last box removed from my office.

- Space is a little tight. - And yet, I found some.

Well, that's excellent use of your co-presidential powers.

- I owe you. - Oh, my God, can we please stop?

Can we... Can we just have a truce?

- I'll think about it. - Please?

I promise, from here on in,

I will check in with all the big stuff.

Okay?

No more gotchas.

[ALL] Happy birthday!

I sent the memo out this morning.

Eighty?

You look really good for your age.

[FOOTSTEPS APPROACHING]

I got booted out of my first surgery

for contaminating the sterile field.

I'm probably about to join you.

I fainted twice at the sight of blood.

I'm already sweating and seeing little black dots.

- What? - Feel better?

That activated your sympathetic nervous system.

More blood flow means you won't faint.

Too bad I can't do that to myself.

Try snapping your glove against your wrist.

[MONITOR BEEPING]

[DR. PARK] All right. Let's cut.

[TENSE MUSIC]

[SAW WHIRRING]

Stair-step mandibulotomy complete.

Dr. Wolke, dissect to the floor of the mouth posteriorly,

then swing the tongue medially and the mandible laterally.

Transecting eustachian tube and elevating the pharynx

off the longus colli muscles.

[SQUELCHING]

We now have access to the upper cervical spine and clivus.

Now comes the hard part.

Bring the Fabricius robot in. Get the arms in position.

Have the Rhoton dissector and ultrasonic aspirator ready.

[MONITOR BEEPING]

[DR. PARK] 25-degree angled Rhoton dissector.

- [BEEPING CONTINUES] - [MACHINE WHIRRING]

Dissecting a safe plane between the tumor

and the ventral surface of the pons and cranial nerve.

Final step.

Too deep here and the guy's permanently paralyzed.

[BREATHES DEEPLY]

[DR. PARK] All tumor's out.

And heart is still beating.

[APPLAUSE]

[TRIUMPHANT MUSIC]

[DOM GAGGING] I'm not okay.

- [GRACE] Dad. - Hmm?

Hey.

Hey! You're here.

Of course.

How do you feel?

[BREATHES DEEPLY]

Like I can breathe again.

[GRACE] Good.

I found a place that can help with your meals and medicine.

You know, I...

I'd really like to stay with you.

If the offer still stands.

Of course it does.

Yeah?

Yeah.

[SMOOCHES]

You're a good person.

[INHALES, EXHALES DEEPLY]

Hello.

I would like a report on what you've learned

from the sterile techniques manual.

I'll e-mail it.

I'm reorganizing for peak efficiency.

Making a great day greater.

[CHUCKLES]

No. Excuse me. Today was not a great day.

Nor was yesterday.

You made several big mistakes and dozens of small ones.

My anatomy professor told us it's okay to make mistakes.

That's how we learn.

Your professor is wrong.

And so is this re-organization.

I had everything in the proper place.

Restore it, then go home.

[SOMBER MUSIC]

[CELL PHONE CLICKING]

[SIGHS] Looks like we both caught a break.

Mm.

Hmm.

Is Janet your ex-wife?

Nice.

Looks like she's pretty excited

about you getting into treatment.

[SAL] Mm.

[CELL PHONE CHIMES]

_

And you got a confirmation for the bets you just placed.

[GRUMBLES]

[CELL PHONE CLICKING]

[GROANS]

_

Good luck, Sal.

[MUMBLES]

[SIRENS WAILING IN DISTANCE]

You okay?

Dr. Murphy doesn't appreciate efficient organization skills

when he sees it.

Hmm.

[SUCKS TEETH] I do.

That doesn't matter very much.

You're not my hero.

Sure about that?

[TAYLOR SWIFT'S "BEJEWELED" PLAYS]

[SINGING ALONG] ♪ Best believe I'm still bejeweled ♪

♪ When I walk in the room ♪

♪ I can still make The whole place shimmer ♪

♪ And when I meet the band They ask ♪

♪ "Do you have a man?" ♪

♪ I can still say "I don't remember" ♪

[LAUGHS]

[BOTH] ♪ Familiarity breeds contempt ♪

♪ Don't put me In the basement ♪

♪ When I want The penthouse of your heart ♪

♪ Diamonds in my eyes ♪

♪ I polish up real I polish up real nice ♪

[BOTH LAUGH]

- That's that smile I like to see. - [CHARLIE] Whoo!

♪ Shimmer ♪

You're so sweet.

- [DR. REZNICK] Formula? - You were right.

No guilt, okay?

I'm proud of you.

Also, supplementing has advantages for Mama.

Bless your dear, dear soul.

[SIGHS DEEPLY]

Because we've had a long couple of days

with our new babies.

My first med school rotation was oncology.

I was doing patient intake, and I asked a woman

if she'd been keeping up with her mammograms.

It was a follow-up to a double mastectomy.

[STIFLED LAUGHTER]

[LAUGHTER]

Mine was obstetrics.

It was my first delivery,

and the doctor handed me the newborn,

and I said, "Ew," like, out loud.

[LAUGHTER]

When I was in my first ever surgery, open heart,

the attending asked me what the ACT was.

I proudly said, "Activated clotting time."

She said, "I know what it stands for.

"I need you to tell me the number."

- [LAUGHTER] - Wow.

Mm-hmm. That attending could have thrown me out of the OR.

But she mentored me instead.

Yeah.

To taking care of our ducklings.

Yeah.

I have heard valid arguments both for and against sex work.

Are you considering a career change?

But it doesn't matter.

It is okay for family to disagree.

Being a family who argues

is more important than not being a family at all.

I'm sorry it took me so long to meet you.

I look forward to spending some more time together.

Okay?

He was saying that for me.

Hi.

♪ And as long as that's true We've got everything ♪

♪ Fly away ♪

I got ya.

♪ I bet we could ♪

♪ We got it good ♪

♪ We got it good ♪

[CLOSING THEME MUSIC PLAYING]