1. - I was late!
- It's okay, sweetie. It's not your fault.Copy !req
2. I just wanted to play
one more game at Gary's.Copy !req
3. Well, you did great.
You called 911 right away.Copy !req
4. - He looked dead.
- Daddy's not dead.Copy !req
5. He's gonna be okay, right?Copy !req
6. - He had a stroke.
- That's not possible!Copy !req
7. Well, the CT confirmed
a ruptured aneurysm.Copy !req
8. We have to operate to clip the bleedingCopy !req
9. and reduce intracranial pressure.Copy !req
10. No, he had a stroke six years ago.Copy !req
11. They put him on diltiazem.Copy !req
12. We're gonna take good care of your dad.Copy !req
13. Naja Modi... 28 years old,
suffered a burn to her left handCopy !req
14. as a result of a cooking accident.Copy !req
15. Are Jared and I being punished?Copy !req
16. This is not a very
interesting case, is it?Copy !req
17. Lesson one...Copy !req
18. Don't suggest to the the head of surgeryCopy !req
19. that working with the head of surgeryCopy !req
20. is form of punishment.Copy !req
21. Dr. Melendez is very unhappy with JaredCopy !req
22. for how he got his job back.Copy !req
23. And Dr. Melendez is unhappy
with me for t-taking...Copy !req
24. taking two days off.Copy !req
25. I don't think he wants to talk
about this, Shaun.Copy !req
26. I was an idiot.Copy !req
27. It's on the stove.
Of course it's hot, right?Copy !req
28. You wouldn't believe how often
we see these types of accidents.Copy !req
29. Well, there are a lot of idiots.Copy !req
30. Okay, what do we need
to do here, Murphy?Copy !req
31. A superficial partial-thickness burnCopy !req
32. should be managed conservatively.Copy !req
33. Cleanse the area,
debride with soft gauze,Copy !req
34. and then cover with an antimicrobialCopy !req
35. petroleum dressing.Copy !req
36. All of which means,Copy !req
37. this should heal with minimal scarring.Copy !req
38. Naja, are you having chest pain?Copy !req
39. I think I'm having a heart attack.Copy !req
40. It's hard to breathe.Copy !req
41. Just relax if you can.Copy !req
42. Put her on oxygen, a 12 lead EKG,Copy !req
43. and order a portable chest X-ray.Copy !req
44. - Murphy, let's move. Come on.
- Her vitals are stable.Copy !req
45. What the hell is going on here?Copy !req
46. I don't know.Copy !req
47. But it is interesting.Copy !req
48. Synced & corrected by kinglouisxx
www.addic7ed.comCopy !req
49. We've got a subarachnoid
hemorrhage. Suction.Copy !req
50. I need to isolate the aneurysm.Copy !req
51. Poor kid.Copy !req
52. Imagine finding your dad like that.Copy !req
53. Well, that's exactly how I want to die.Copy !req
54. If the dad doesn't make it,Copy !req
55. the kid will always remember
that moment...Copy !req
56. be traumatized by it.Copy !req
57. Because he loves him.Copy !req
58. The idea of dying without
anybody getting hurt...Copy !req
59. There's nothing sadder than
an empty waiting room.Copy !req
60. Okay, what do you see?Copy !req
61. A bulge on the anterior
communicating artery.Copy !req
62. Yeah, the ruptured aneurysm
is compromisingCopy !req
63. blood flow to the frontal lobe.Copy !req
64. Prep an 11 millimeter standard clip.Copy !req
65. Are you married?Copy !req
66. Not anymore.Copy !req
67. Turns out he had even worse
judgment than I did.Copy !req
68. Oh, speaking of creeps,
you hear Coyle got transferred?Copy !req
69. I'm so glad
they shut him down.Copy !req
70. Well, yeah, I guess.Copy !req
71. Just wish they'd spent the money
on a Pediatric Trauma Pod.Copy !req
72. They gave him a raise.Copy !req
73. Clip.Copy !req
74. The EKG confirmedCopy !req
75. you weren't having a heart attack.Copy !req
76. I-I wasn't faking.Copy !req
77. - I wouldn't do that.
- We know.Copy !req
78. The imaging also confirmedCopy !req
79. that you have considerable
lung inflammation.Copy !req
80. Is it possible you inhaled smoke?Copy !req
81. I guess I must have.Copy !req
82. There was a minor grease fire.Copy !req
83. - What happens now?
- You need a bronchoscopy.Copy !req
84. We put a camera down your throat
to see how much damage there isCopy !req
85. and what we need to do to repair it.Copy !req
86. But don't worry. You'll be sedated.Copy !req
87. Please don't.Copy !req
88. Oh, I'm... I'm sorry.Copy !req
89. The test is absolutely necessary.Copy !req
90. The test is fine.Copy !req
91. But, um...Copy !req
92. please don't touch me,
except for medical purposes.Copy !req
93. Yeah, of course.Copy !req
94. That does not make sense.Copy !req
95. A number of religions have rules
about touching.Copy !req
96. I don't quite get it, but...Copy !req
97. That makes sense.Copy !req
98. People shouldn't touch peopleCopy !req
99. unless there's a very good reason.Copy !req
100. Okay, then...Copy !req
101. what doesn't make sense?Copy !req
102. The grease fire.Copy !req
103. The grease fire explains
the whole thing...Copy !req
104. the burn, the smoke.Copy !req
105. She told us she forgot
the stove was hot.Copy !req
106. How can you forget something's hotCopy !req
107. when it is on fire?Copy !req
108. Shaun,Copy !req
109. I'm sure we would have heard
more of the storyCopy !req
110. if she hadn't suddenly thought
she was having a heart attack.Copy !req
111. Why didn't you fire him?Copy !req
112. Because his story was different
than yours.Copy !req
113. And you believe his story?Copy !req
114. I believe your story.Copy !req
115. But you can't prove it.Copy !req
116. And we simply can't make a policyCopy !req
117. of believing every woman
who files a complaintCopy !req
118. against every man.Copy !req
119. After a few thousand years
of doing the opposite,Copy !req
120. it wouldn't kill us to overcorrect.Copy !req
121. And the fact that
your boyfriend assaulted himCopy !req
122. took away any leverage I had.Copy !req
123. I did what I could.Copy !req
124. I got him to take a positionCopy !req
125. where he has very little contact
with staff, with patients...Copy !req
126. outreach chair.Copy !req
127. And it's a lousy assignment.Copy !req
128. Sooner or later, he's gonna quit.Copy !req
129. And get a job somewhere else.Copy !req
130. If you have any better ideas...Copy !req
131. I look forward to hearing them.Copy !req
132. You're very lucky.Copy !req
133. The aneurysm was in
a small communicating artery.Copy !req
134. We were able to restore blood flowCopy !req
135. to the impacted brain areas.Copy !req
136. He's gonna be okay.Copy !req
137. Thank God.Copy !req
138. Is this what life is gonna be
like from now on?Copy !req
139. A-Are these things just going
to keep happening?Copy !req
140. We're gonna keep him here
for a few days,Copy !req
141. do some follow-up testing,Copy !req
142. make some adjustments
to his medications.Copy !req
143. Hopefully, we'll find out
why this happened.Copy !req
144. I have to go.Copy !req
145. Another one?Copy !req
146. Post-operative imaging showed
a 26-millimeter aneurysmCopy !req
147. in the basilar artery.Copy !req
148. That size and location,Copy !req
149. we're looking at a high risk of rupture.Copy !req
150. He must have a genetic predisposition...Copy !req
151. maybe a connective tissue disease?Copy !req
152. All academic till we repair it.Copy !req
153. Through the pharynxCopy !req
154. and over to Grandmother's house we go.Copy !req
155. There's the epiglottis
and the vocal cords.Copy !req
156. I know you're not happy that
I sued the hospital.Copy !req
157. But I'm not gonna apologize for that.Copy !req
158. Makes it simple.Copy !req
159. I did it because I want to be here.Copy !req
160. I believe I can learn a lot from you,Copy !req
161. even from your doghouse.Copy !req
162. I just hope you give me a chance, sir.Copy !req
163. There's the carina.Copy !req
164. Gonna pass into the mainstem
bronchus of the left lung.Copy !req
165. Is breaking up with your fiancée
traumatic?Copy !req
166. When I saw a woman get shot,Copy !req
167. everyone told me it was traumaticCopy !req
168. and that I should be going home.Copy !req
169. Should you be going home?Copy !req
170. Give me a mucosal brush
for a cellular sample.Copy !req
171. Loading it now.Copy !req
172. How long does it take
to get over a breakupCopy !req
173. with the woman you love?Copy !req
174. I'm seeing a lot of inflammation,Copy !req
175. but no smoke damage.Copy !req
176. That makes se-sense.Copy !req
177. I thought we were doing this
because she inhaled smoke.Copy !req
178. She said she inhaled smoke.Copy !req
179. I didn't believe her.Copy !req
180. Whatever the cause, the inflammationCopy !req
181. and the damage are real.Copy !req
182. Let's get a mucosal biopsy.Copy !req
183. I move down here, we...Copy !req
184. Scope breached her bronchial wall.Copy !req
185. She's hemorrhaging.Copy !req
186. - This is bad.
- Prep the O.R.!Copy !req
187. Type and cross two units
of blood. We've gotta move!Copy !req
188. We know there was a burn.Copy !req
189. Was it something related
to the grease fire,Copy !req
190. or separate coincidental injury?Copy !req
191. You don't have a theory,Copy !req
192. or are you refusing to talk to Jared?Copy !req
193. I didn't answer
because it doesn't matterCopy !req
194. until we can repair this punctureCopy !req
195. before bacteria passes through
and spreads an infection.Copy !req
196. That's true.Copy !req
197. Cut this suture.Copy !req
198. Let's approximate the edges
with forceps.Copy !req
199. Are you and Jared even now?Copy !req
200. He made a mistake. So did you.Copy !req
201. Exactly what mistake did I make?Copy !req
202. This breach was your fault.Copy !req
203. Is that traumatic?Copy !req
204. I had breakfast by myself.Copy !req
205. Where were you?Copy !req
206. I'm sorry. Were we supposed to
have breakfast this morning?Copy !req
207. I had an early consult.Copy !req
208. Yes, we always have breakfast
on Mondays.Copy !req
209. - We do?
- Every Monday.Copy !req
210. Every Monday.Copy !req
211. Thank you.Copy !req
212. Well, I guess our streak has
been broken then, huh?Copy !req
213. If someone punctures the bronchusCopy !req
214. during a routine bronchoscopy,
that's a mistake, right?Copy !req
215. Well, I can't imagine
how it wouldn't be.Copy !req
216. Why? What did you do, Shaun?Copy !req
217. I'm wondering if I need
to report Dr. Melendez.Copy !req
218. Dr. Melendez did that?Copy !req
219. The protocol is very clear.Copy !req
220. I need to report it.Copy !req
221. But I've seen how Jared
is being treated.Copy !req
222. Will Dr. Melendez treat me badly
if I report this?Copy !req
223. He shouldn't, obviously.Copy !req
224. But human nature being what...Copy !req
225. Human nature?Copy !req
226. Shaun, you know what?Copy !req
227. You should make this decision
for yourself.Copy !req
228. In fact... In fact...Copy !req
229. you should to make
all your decisions yourselfCopy !req
230. from here on in.Copy !req
231. That's what we agreed on, right?Copy !req
232. Have you consideredCopy !req
233. an endovascular embolization procedure?Copy !req
234. I have.Copy !req
235. It's a little less risky,Copy !req
236. but I haven't done as many,Copy !req
237. so I'm not sure which way
we're better off.Copy !req
238. You want me to check the roster...Copy !req
239. see if there's somebody
available with more experience?Copy !req
240. I would like to assist, but yes.Copy !req
241. Okay, here we go.Copy !req
242. No, he's not available.Copy !req
243. So make him available.Copy !req
244. I got a husband and fatherCopy !req
245. who presented with two aneurysms
in the last 12 hours.Copy !req
246. I'd rather not.Copy !req
247. This particular surgeon was recently...Copy !req
248. transferred.Copy !req
249. Not a chance.Copy !req
250. Coyle is the best available
surgeon for the job.Copy !req
251. Coyle should've been fired,
and if he'd been fired,Copy !req
252. he wouldn't be available.Copy !req
253. And if he wasn't available,Copy !req
254. you would be the best person
for the job.Copy !req
255. Our ultimate duty is to the patient.Copy !req
256. No, it's not.Copy !req
257. - You agree he should have been fired.
- Of course.Copy !req
258. Even if he was the best doctor
in this hospital,Copy !req
259. he should have been fired, right?Copy !req
260. Yes.Copy !req
261. So some things have to matter moreCopy !req
262. than who is the most skilled.Copy !req
263. If we forgive Coyle just because
he's good at something,Copy !req
264. what does he do next?Copy !req
265. Either he matters or we matter.Copy !req
266. Were you upset during the procedure?Copy !req
267. Did Murphy tell you
that I was "traumatized"?Copy !req
268. You think that I might have
almost killed a personCopy !req
269. because you dumped me?Copy !req
270. The fact that you're describing
it as "me dumping you"Copy !req
271. suggests that you are upset.Copy !req
272. Look, I'm fine. You're fine.Copy !req
273. Nobody's upset.Copy !req
274. Great.Copy !req
275. But you do understandCopy !req
276. that I have to ask you these questions,Copy !req
277. that I need a statement from you.Copy !req
278. Yes.Copy !req
279. Here's my statement...Copy !req
280. "I wasn't distracted.Copy !req
281. I didn't screw up."Copy !req
282. You get all that?Copy !req
283. Your bronchus was punctured
during the procedure,Copy !req
284. but it's been repaired.Copy !req
285. How? How could that happen?Copy !req
286. Why did you lie?Copy !req
287. You said that you inhaled smoke,Copy !req
288. but there was no evidence of smoke.Copy !req
289. So, what do you gain
by lying to your doctors?Copy !req
290. I wasn't lying.Copy !req
291. I was just...Copy !req
292. confused, I guess.Copy !req
293. I was in a lot of pain,Copy !req
294. and it was all happening so fast.Copy !req
295. My stomach!Copy !req
296. Naja, what are you feeling?Copy !req
297. It's really sore and...
I feel like I'm going to...Copy !req
298. Can we get some help over here?!Copy !req
299. Four milligrams of ondansetron.Copy !req
300. Airway inflammation,
abdominal pain, nausea.Copy !req
301. We need a full blood panel
and abdominal ultrasound.Copy !req
302. The procedure will seal off
the aneurysm,Copy !req
303. but there will almost certainly
be some brain damage...Copy !req
304. anything from mild visual
or speech disturbancesCopy !req
305. to significant paralysis.Copy !req
306. But without the surgery, he'll die.Copy !req
307. No. I-I won't consent to the operation.Copy !req
308. There really isn't a lot of choice here.Copy !req
309. Without the operation...Copy !req
310. After his first stroke, it...Copy !req
311. it took him so long to recover.Copy !req
312. It was frustrating and painful for him.Copy !req
313. But he did recover.Copy !req
314. He made it clear he'd never want
to live compromised.Copy !req
315. Excuse me.Copy !req
316. Thank you for having breakfast with me.Copy !req
317. My pleasure.Copy !req
318. People lie a lot, don't they?Copy !req
319. No, I-I meant it, Shaun.Copy !req
320. I'm happy to spend time with you.Copy !req
321. There are seven reasons
that I've thought of.Copy !req
322. There may even be more.Copy !req
323. Do people ever lie without a reason?Copy !req
324. No.Copy !req
325. Reason number six.
I think you just lied.Copy !req
326. I think you just lied
to avoid something.Copy !req
327. You don't like this conversation.Copy !req
328. Shaun, n... Shaun, I'm sorry.Copy !req
329. I'm just... just a little distracted.Copy !req
330. My aneurysm patient...Copy !req
331. We're treating him
with blood-pressure medsCopy !req
332. to try and avoid a rupture.Copy !req
333. You should do
an endovascular embolization.Copy !req
334. He doesn't want one.Copy !req
335. It could leave him with brain damage.Copy !req
336. - I thought he was unconscious.
- Yeah, he is.Copy !req
337. His wife knows what he wants.Copy !req
338. It's amazing. I just...Copy !req
339. I don't think I'd be able to do that.Copy !req
340. She's sacrificing her happiness,
her future,Copy !req
341. - just because she knows...
- She's lying.Copy !req
342. She's lying.Copy !req
343. It could be either
reason number four or...Copy !req
344. No, she's not lying, Shaun.
She loves him.Copy !req
345. She doesn't love him.Copy !req
346. You haven't even met her!Copy !req
347. You haven't seen what she's like
with him, with their son.Copy !req
348. I'm not good at reading people.Copy !req
349. - Well, I am, and...
- I think people-readingCopy !req
350. embraces personal biases.Copy !req
351. I think we should try to avoid biases.Copy !req
352. Knowledge of human behaviorCopy !req
353. can help us make
informed, intuitive decisions.Copy !req
354. Mm, my way is better.Copy !req
355. It's based on actions. She's lying.Copy !req
356. All right.Copy !req
357. If you love someone,Copy !req
358. you'll do anything
to prevent their death.Copy !req
359. This... situation...Copy !req
360. There seems to be
a conflict of interest.Copy !req
361. So I would like to bring in
someone else from legalCopy !req
362. to handle it.Copy !req
363. Yeah, I agree.Copy !req
364. You're an excellent lawyer, but...Copy !req
365. But what?Copy !req
366. Do you think this is my problem?Copy !req
367. It's understandable.Copy !req
368. 48 hours ago, we were engaged.Copy !req
369. And now, suddenly,Copy !req
370. you're supposed to be investigating me?Copy !req
371. Yes.Copy !req
372. And doing crazy things,Copy !req
373. like expecting you
to give me complete answersCopy !req
374. to appropriate questions.Copy !req
375. You were trusting
Murphy's judgment over mine.Copy !req
376. His judgment about my demeanor.Copy !req
377. Seriously?Copy !req
378. I asked you a question.Copy !req
379. You wanted me to screw up.Copy !req
380. You did screw up.Copy !req
381. So what?Copy !req
382. So we just deal with it.Copy !req
383. But if you can't even admit that
you're not always perfect,Copy !req
384. - then I...
- I am not perfect!Copy !req
385. Clearly, I have made mistakes
in my life.Copy !req
386. But not this time.Copy !req
387. That punctured bronchus
was not my fault.Copy !req
388. The nurse says his vital signs
are stable.Copy !req
389. No change.Copy !req
390. That's good.Copy !req
391. It's...Copy !req
392. such a great sacrificeCopy !req
393. to respect his wishes enough
to let him go.Copy !req
394. You must love your husband very much.Copy !req
395. But...Copy !req
396. there could be another explanation.Copy !req
397. Either you love him enough
to let him die...Copy !req
398. or you hate him enough to let him die.Copy !req
399. You don't know
what you're talking about.Copy !req
400. There's a doctor here who harassed me.Copy !req
401. He made me feel vulnerable, worthless...Copy !req
402. neither of which I am.Copy !req
403. But he never hurt me.Copy !req
404. I can't imagine how I would feel
if he did,Copy !req
405. what I would do,Copy !req
406. what I would want to do to him.Copy !req
407. What did your husband do to you?Copy !req
408. He's a good father.Copy !req
409. No, he's not.Copy !req
410. A good father doesn't hurt a mother.Copy !req
411. Payton loves him.Copy !req
412. All the more reason...Copy !req
413. No.Copy !req
414. Payton doesn't know anything.
He never can.Copy !req
415. I know you're afraid
he'll come after you,Copy !req
416. but there are people who can help.Copy !req
417. Payton is better off with
the memory of a loving fatherCopy !req
418. than the truth.Copy !req
419. Let him die.Copy !req
420. Methanol is causing her abdominal pain.Copy !req
421. She drank wood alcohol?Copy !req
422. People drink whatever they can drink.Copy !req
423. Well, she's Muslim...
Wouldn't let me touch her.Copy !req
424. Religious people aren't
immune to hypocrisy.Copy !req
425. There are other ways to explain
the presence of methanol.Copy !req
426. It's also produced by the liverCopy !req
427. when the body is exposed
to certain caustic chemicals.Copy !req
428. If inhaled, caustic chemicals
could also inflame the lungs.Copy !req
429. And caustic chemicals also burn,Copy !req
430. so it would explain all her symptoms.Copy !req
431. Do you happen to have a listCopy !req
432. of which caustic chemicals do all that?Copy !req
433. Dimethyl sulfate...Copy !req
434. It's used in
the pharmaceutical industry.Copy !req
435. - She's a school teacher.
- It's also usedCopy !req
436. in water treatment,
industrial pesticides,Copy !req
437. and chemical weapons.Copy !req
438. She has no reason to be involvedCopy !req
439. with water treatment
or industrial pesticides.Copy !req
440. But she could be a school teacherCopy !req
441. and a terrorist.Copy !req
442. - So, what do we do?
- The surgery.Copy !req
443. We don't have her consent.Copy !req
444. Technically, the issue is
we don't have his consent.Copy !req
445. We go to his wife
because we can't get his,Copy !req
446. the assumption being that
she's operatingCopy !req
447. in his best interests.Copy !req
448. Pretty sure that's not happening here.Copy !req
449. Go back to the wife,
get her to change her mind,Copy !req
450. or we'll take it to court.Copy !req
451. Okay.Copy !req
452. Hey, you look annoyed.Copy !req
453. I'm annoyed we're sending him homeCopy !req
454. to keep abusing his wife.Copy !req
455. She's a world-class liar.Copy !req
456. I mean, for all we know,
she wants her husband deadCopy !req
457. so that she can run off
with her Pilates instructor.Copy !req
458. I'll get the consent.Copy !req
459. Thank you.Copy !req
460. She refused initial treatment
for methanol toxicity.Copy !req
461. It's ethanol...Copy !req
462. Because she's Muslim,
she can't consume it.Copy !req
463. She has alcohol in her systemCopy !req
464. but won't let us put alcohol
in her system to treat it,Copy !req
465. because she doesn't want alcohol
in her system.Copy !req
466. - We put her on fomepi...
- Dr. Murphy...Copy !req
467. Is this part of your evidence
that she's a terrorist?Copy !req
468. Because she's Muslim?Copy !req
469. There are billions of Muslims
that aren't terrorists.Copy !req
470. Is that part of your evidence
that she's not?Copy !req
471. I think she's a terrorist
because it's the easiest wayCopy !req
472. to explain her symptoms and her lie.Copy !req
473. Do you have a way?Copy !req
474. She had an accident. It scared her.Copy !req
475. Maybe we scare her.Copy !req
476. Hell, maybe this whole place scares her.Copy !req
477. There are a lot of reasons
people don't tell the truthCopy !req
478. other than criminal activity.Copy !req
479. Six other reasons.Copy !req
480. If a person comes in
with a gunshot wound,Copy !req
481. we have to report it.Copy !req
482. Why don't we have to reportCopy !req
483. someone who might be making
chemical weapons?Copy !req
484. Because unfounded accusations
can destroy people's lives.Copy !req
485. What does it matter
what people speculateCopy !req
486. as long as the truth comes out?Copy !req
487. Because people make up their mindsCopy !req
488. before the truth comes out.Copy !req
489. Says the guy who played the race cardCopy !req
490. when he needed an advantage.Copy !req
491. Even if you're right,Copy !req
492. she's not making bombs
while she's in our ICU.Copy !req
493. Also, you're wrong. Now, keep me posted.Copy !req
494. If she's not better
in the next two hours,Copy !req
495. I want to know.Copy !req
496. We need you to consent
to your husband's surgery.Copy !req
497. I said "no."Copy !req
498. There's a better way, Tessa.Copy !req
499. Leave him.Copy !req
500. Start a new life.Copy !req
501. I'm afraid.Copy !req
502. I know.Copy !req
503. But... this...Copy !req
504. This isn't the answer.Copy !req
505. If you don't consent,Copy !req
506. we'll take this to the court,Copy !req
507. and we'll tell a judge what we know.Copy !req
508. I told you those things in confidence.Copy !req
509. You are not my patient. Your husband is.Copy !req
510. Two things will happen.Copy !req
511. We will get the consent,Copy !req
512. and Payton will find out the truth.Copy !req
513. Tessa?Copy !req
514. You are stronger than you think you are.Copy !req
515. Your methanol toxicity is abating...Copy !req
516. The treatment's working.Copy !req
517. Great.Copy !req
518. Um... do you think that
I'll be able to leave soon?Copy !req
519. All of your symptoms are consistentCopy !req
520. with exposure to dimethyl sulfate.Copy !req
521. I... I've never heard of dimethyl...Copy !req
522. Dimethyl sulfate is used
to make chemical weapons.Copy !req
523. I didn't expect this from you.Copy !req
524. I made a statement.Copy !req
525. You're different.Copy !req
526. I have autism.Copy !req
527. You've experienced bigotry.Copy !req
528. Yes.Copy !req
529. Have... people refused to serve you?Copy !req
530. Have you seen peopleCopy !req
531. change their flightCopy !req
532. because of you?Copy !req
533. Have people cursed you outCopy !req
534. before you've opened your mouth?Copy !req
535. I'm not prejudiced.Copy !req
536. I have evidence.Copy !req
537. Nobody's prejudiced.Copy !req
538. Everybody has evidence.Copy !req
539. And I'm always brown.Copy !req
540. Maybe you're not so different.Copy !req
541. You're sweating.Copy !req
542. Perspiration is a sign of dishonesty.Copy !req
543. My chest.Copy !req
544. Chest pain can be brought on by anxiety.Copy !req
545. Oh, but this time,
you are having a heart attack.Copy !req
546. EKG, stat!Copy !req
547. The endothelial lining
had moderate inflammationCopy !req
548. that appeared acute,Copy !req
549. and there was evidence of mucosal edema.Copy !req
550. I made no extraordinary motions,Copy !req
551. nor did I apply any unnecessary force.Copy !req
552. And yet, the bronchus was punctured.Copy !req
553. Which is a risk, albeit a small one,Copy !req
554. with this kind of procedure.Copy !req
555. Well...Copy !req
556. thank you.Copy !req
557. I appreciate the thoroughness
of your answers.Copy !req
558. Not sure I understood it all...Copy !req
559. ...but I think I've got what I need.Copy !req
560. I probably shouldn't say anything,Copy !req
561. but I know you and Ms. PrestonCopy !req
562. are going through something right now.Copy !req
563. That really wasn't relevant.Copy !req
564. Oh, I-I know. I know. It's just...Copy !req
565. I know she'll get through it, but...Copy !req
566. it's good you're handling it better.Copy !req
567. It's one thing to be distracted
while drafting a contractCopy !req
568. and a whole other thing entirely
doing what you do.Copy !req
569. Inject dye.Copy !req
570. Injecting dye.Copy !req
571. Hanging a left at the vertebral artery.Copy !req
572. Okay, withdrawing the guide wire.Copy !req
573. Inserting the platinum matrix.Copy !req
574. You know, sometimes,
you do the right thingCopy !req
575. and things get a little better.Copy !req
576. And sometimes, things still suck.Copy !req
577. Entering the aneurysm.Copy !req
578. Okay.Copy !req
579. - Blood pressure's spiking.
- Wait, why?Copy !req
580. There's no rupture, no bleeding,Copy !req
581. no stroke.Copy !req
582. If his BP goes up any higher,
he will have a stroke.Copy !req
583. I'm terminating the procedure.Copy !req
584. Push 20 milligrams of labetalol, stat.Copy !req
585. We need to stabilize him before
we can retry the procedure,Copy !req
586. which means we need
to figure out what we missed.Copy !req
587. This wasn't our fault.Copy !req
588. His BP was stable going in.Copy !req
589. He's been on calcium-channel blockersCopy !req
590. - for the last six years.
- Well, we missed something.Copy !req
591. BP doesn't skyrocket for no reason.Copy !req
592. Run a full work-up.Copy !req
593. Why would a 28-year-old
with no risk factorsCopy !req
594. have a heart attack?Copy !req
595. Hmm.Copy !req
596. Her heart is burning.Copy !req
597. Burning?Copy !req
598. From the caustic chemical!Copy !req
599. - Murphy.
- It's going through her system.Copy !req
600. Unlike thermal burns,Copy !req
601. chemical burns get worse over time.Copy !req
602. And it also explains
the punctured bronchus.Copy !req
603. The caustic chemical
thinned the bronchial walls.Copy !req
604. You did not make a mistake.Copy !req
605. That's not the only explanation.Copy !req
606. But I'll shut up now.Copy !req
607. You think you have a good idea,Copy !req
608. but you're going to shut yourself up?Copy !req
609. It could be caused by an infectionCopy !req
610. from bacteria that leaked
as a result of the puncture.Copy !req
611. The treatments are
diametrically opposed...Copy !req
612. antibiotics if it's infection,Copy !req
613. steroids if it's inflammation.Copy !req
614. If she needs antibiotics
and she needs steroids instead,Copy !req
615. it will suppress her immune system,Copy !req
616. causing the infection
to flourish and kill her.Copy !req
617. If she needs steroidsCopy !req
618. and we give her antibiotics, then...Copy !req
619. I get it.Copy !req
620. - We'd better be right.
- Yes.Copy !req
621. Sir, I think we should bring
another senior attending inCopy !req
622. - to consult on this decision.
- Why?Copy !req
623. Because if Shaun's right,
you're exonerated.Copy !req
624. And if I'm right,
you may have made the mistakeCopy !req
625. that could kill this woman.Copy !req
626. You don't think I can be objective?Copy !req
627. I think you're incredibly
professional...Copy !req
628. Shut up, Jared.Copy !req
629. It is possible that I screwed up.Copy !req
630. Let's put her on
broadspectrum antibiotics.Copy !req
631. You're wrong.Copy !req
632. Making a decisionCopy !req
633. on the assumption you made a mistakeCopy !req
634. is a mistake.Copy !req
635. You're very arrogant.Copy !req
636. It helps you be a great surgeon.Copy !req
637. Fortunately, I don't need your approval.Copy !req
638. We've determined what
the underlying problem was.Copy !req
639. What caused your husband's
aneurysm to ruptureCopy !req
640. and why his blood pressure
spiked in the O.R.Copy !req
641. According to his labs,
he hasn't been taking his meds.Copy !req
642. As far as I know, he has.Copy !req
643. I mean, that's just not like him.Copy !req
644. We don't think it's like him, either.Copy !req
645. You think I had something
to do with this?Copy !req
646. That I, what, threw his meds away?Copy !req
647. He'd just order more.Copy !req
648. But if you emptied his capsules
and filled them with sugar...Copy !req
649. or, even better, salt...Copy !req
650. It would end your nightmare.Copy !req
651. I was willing to let him die,Copy !req
652. but I could never...Copy !req
653. If I were strong enough to kill him...Copy !req
654. Is there a chance your son knows moreCopy !req
655. than you think he does?Copy !req
656. Her heart rate's 90.Copy !req
657. That's in the normal range.Copy !req
658. But it was 83. It should be going down.Copy !req
659. All her other signs are normal.Copy !req
660. You were right.
This is the proper treatment.Copy !req
661. 95.Copy !req
662. I'm switching her to steroids.Copy !req
663. If we give her steroids,Copy !req
664. it will suppress her immune system,Copy !req
665. causing the infection to flourish...Copy !req
666. I'm going to push 40 milligrams
of methylprednisolone.Copy !req
667. ...and she'll die.Copy !req
668. This is on me.Copy !req
669. I know.Copy !req
670. We switched her to methylprednisolone.Copy !req
671. It's working.Copy !req
672. You were wrong.Copy !req
673. Yeah, I got that.Copy !req
674. Just about the treatment choice.Copy !req
675. - You didn't do anything wrong in the O.R.
- Don't kiss my ass.Copy !req
676. Jared saved her life.Copy !req
677. If he hadn't acted so quickly,
she would've died,Copy !req
678. and that would've been your fault.Copy !req
679. Yes, it would've.Copy !req
680. You should thank him.Copy !req
681. Thank you, Dr. Kalu.Copy !req
682. Hey.Copy !req
683. Can I help you?Copy !req
684. I'm Dr. Shaun Murphy.Copy !req
685. You're my new neighbor, number 34.Copy !req
686. Yeah, cool.Copy !req
687. Uh, you wanna come in for a beer?Copy !req
688. No.Copy !req
689. Nice work.Copy !req
690. You, too.Copy !req
691. You can have the honors.Copy !req
692. This is the first time
I'm not looking forwardCopy !req
693. to telling the family it went well.Copy !req
694. You're going to be fine.Copy !req
695. The treatment worked?Copy !req
696. The second one did.
The first one almost killed you.Copy !req
697. The fact that you're alive
right now is evidenceCopy !req
698. that you were working
with dimethyl sulfate.Copy !req
699. You're a terrorist, aren't you?Copy !req
700. My brother works for a drug company.Copy !req
701. They use dimethyl sulfate to
make one of their medications.Copy !req
702. He stole some for me.Copy !req
703. So you could make a chemical weapon.Copy !req
704. So I could make perfume.Copy !req
705. Smell that.Copy !req
706. It's... beautiful.Copy !req
707. But very stupid.Copy !req
708. Yeah.Copy !req
709. Especially since my brother
would get firedCopy !req
710. if anyone ever found out.Copy !req
711. You believe her?Copy !req
712. Protecting someone...Copy !req
713. reason number three.Copy !req
714. So... we good?Copy !req
715. Thing is, I'm not sure
it really matters.Copy !req
716. I've been told I can only have
three residents next year.Copy !req
717. That's great.Copy !req
718. Not really.Copy !req
719. Because of Coyle's transfer,
I have to take on his.Copy !req
720. Reznick?Copy !req
721. She's a pain.Copy !req
722. Pain can be a hell of motivator.Copy !req
723. Good luck.Copy !req
724. You were right.Copy !req
725. And I think you were right that
I wanted you to be wrong.Copy !req
726. And I'm sorry.Copy !req
727. You were right, too.Copy !req
728. I kept telling myself that
I'm fine, but...Copy !req
729. it's been hard.Copy !req
730. Got me second-guessing myself,Copy !req
731. maybe affecting my judgment.Copy !req
732. I don't know.Copy !req
733. If we're hurting so bad,
maybe we made a mistake.Copy !req
734. No.Copy !req
735. It just means that what we had mattered.Copy !req
736. Doesn't mean that it was right.Copy !req
737. I've also been thinking that...Copy !req
738. arrogance does make me a better surgeon.Copy !req
739. But it's not gonna make me
a better husband.Copy !req
740. I'm sorry.Copy !req
741. Kristin?Copy !req
742. Hey, I'm Claire.Copy !req
743. Hi.Copy !req
744. Thanks.Copy !req
745. Um,Copy !req
746. I am doing some research on Dr. Coyle...Copy !req
747. on the women who worked with him
and then quit.Copy !req
748. I got another offer at SF Muni.Copy !req
749. I was harassed by Dr. Coyle.Copy !req
750. And I think you were, too.Copy !req
751. Doing the right thing can make
things a little better...Copy !req
752. especially if we do it together.Copy !req
753. I have a new neighbor.Copy !req
754. Hmm. So, Lea's really gone, huh?Copy !req
755. So, can we have breakfast tomorrow?Copy !req
756. I'd love to, Shaun, but...Copy !req
757. we, um...Copy !req
758. We talked about this, right?Copy !req
759. I-I said that I wouldCopy !req
760. back off if you stayed, right?Copy !req
761. More space, less "fathering."Copy !req
762. I don't need a father.Copy !req
763. I hate fathers.Copy !req
764. - Right, so...
- I need a friend.Copy !req
765. Shaun, I-I am someone who can't helpCopy !req
766. but give advice, you know?Copy !req
767. I don't know if I can not do that.Copy !req
768. So you think I can change and you can't?Copy !req
769. I think that we have
a certain kind of relationship.Copy !req
770. And we can call it something
different if we want,Copy !req
771. but we can't magically
make it different.Copy !req
772. You said that you wanted space.Copy !req
773. You said that you needed space.Copy !req
774. I-I think you should be my friend.Copy !req
775. Shaun...Copy !req
776. Okay.Copy !req
777. Shaun?Copy !req
778. What are you smelling right now?Copy !req
779. Pine trees.Copy !req
780. Mmm.Copy !req
781. Synced & corrected by kinglouisxx
www.addic7ed.comCopy !req