1. Previously on "The Good Doctor"...Copy !req
2. I'm your neighbor. I'm in the middle
of "Uncharted," and I'm dead.Copy !req
3. Can I borrow some triple A's?Copy !req
4. It's kind of silly, isn't it?Copy !req
5. Our relationship...
that we're hiding it.Copy !req
6. We don't have a relationship.Copy !req
7. We have sex.Copy !req
8. - You're late.
- No, the bus was late.Copy !req
9. I did nothing wrong. The bus...Copy !req
10. Yeah. This is gonna work out great.Copy !req
11. So you're treating him
like anybody else?Copy !req
12. You have any idea how many patientsCopy !req
13. he's scared the crap out of today?Copy !req
14. So teach him.Copy !req
15. I'm teaching you both
that he doesn't belong.Copy !req
16. I hear you got Shaun off scutCopy !req
17. and back into surgery.Copy !req
18. You figure you'll give him
a little authority,Copy !req
19. he'll screw something up.Copy !req
20. Either way, if he succeeds,Copy !req
21. I'm the guy who just backed him.Copy !req
22. And if he fails, I'm the president.Copy !req
23. Hello. I've looked everywhere.Copy !req
24. All right, I'm here now. We'll...Copy !req
25. We'll just keep looking
until you find it.Copy !req
26. Why is the furniture
in the middle of the room?Copy !req
27. I know I packed it.Copy !req
28. I made a list. "Star-tip screwdriver."Copy !req
29. Look, it's checked.Copy !req
30. It's checked.Copy !req
31. Maybe you... you threw it out
with the newspapersCopy !req
32. you used to pack the dishes?Copy !req
33. I packed with bubble wrap.Copy !req
34. It's safer. And you can see through it.Copy !req
35. Of course you did.Copy !req
36. Shaun, there's
a hardware store up the road.Copy !req
37. You can buy a new one.Copy !req
38. I don't want a new screwdriver!Copy !req
39. I want my screwdriver!Copy !req
40. Stop it!Copy !req
41. It's the middle of the... I'm sorry.Copy !req
42. I just shouldn't have yelled. J-Just...Copy !req
43. Let's just take a moment.
Sit down, please.Copy !req
44. Uh, you know what?Copy !req
45. We can use this for now, okay?Copy !req
46. I can't stay here.Copy !req
47. Of course you can.Copy !req
48. - It'll be fine.
- I can't stay here.Copy !req
49. The... dishwasher doesn't dry,Copy !req
50. the shower drain has
someone else's hair in it.Copy !req
51. And the crisper drawer
keeps coming off the track?Copy !req
52. I assume that's what you were fixing.Copy !req
53. I forgot.Copy !req
54. Of course you forgot.Copy !req
55. It's understandable.Copy !req
56. You've been working your ass off.Copy !req
57. You're exhausted.
You're under a lot of stress.Copy !req
58. There's a super in the building.Copy !req
59. You can... call him anytime.Copy !req
60. Just make a list of
the things you need repaired.Copy !req
61. Later, Shaun. Later.Copy !req
62. Later, Shaun!Copy !req
63. Go to bed now.Copy !req
64. Go to bed.Copy !req
65. 36 years old, 22 weeks pregnant.Copy !req
66. Ultrasound at 16 weeksCopy !req
67. revealed a tumor on the fetus' tailbone.Copy !req
68. Mom's got antiphospholipid syndrome.Copy !req
69. - Makes surgery high risk.
- Also makes pregnancy high risk.Copy !req
70. She's had three miscarriages.Copy !req
71. We need to do an ultrasound and MRICopy !req
72. to measure the tumor's growth rate.Copy !req
73. Late bus doesn't explain
why you're showing up tiredCopy !req
74. after you just had 12 hours off.Copy !req
75. We're all tired.Copy !req
76. Our last shift was 36 hours.Copy !req
77. I'm not interested in debating
the shift schedule with you.Copy !req
78. But I am curious why you always feel
the need to defend him.Copy !req
79. Well, we're all on the same team.Copy !req
80. Yes.Copy !req
81. But you're all quarterbacks.Copy !req
82. And when training camp is over,Copy !req
83. there's only gonna be one starter.Copy !req
84. The crown-rump length
of the fetusCopy !req
85. is 21.5 centimeters.Copy !req
86. And the diameter of the tumor is...Copy !req
87. ...10.6 centimeters.Copy !req
88. Half the size of the fetus.Copy !req
89. The tumor's grown.Copy !req
90. It's not cancer, but it is
monopolizing the blood supply,Copy !req
91. which is weakening the fetus' heart.Copy !req
92. I'm sorry, but there's
no chance it would surviveCopy !req
93. long enough to be viable.Copy !req
94. The safest course
is to terminate the pregnancy.Copy !req
95. If we were interested
in the "safest course,"Copy !req
96. we wouldn't be
on our third "second opinion."Copy !req
97. Please, Dr. Melendez,Copy !req
98. we want whatever will save our baby.Copy !req
99. Dr. Wright told us
you've done fetal surgeryCopy !req
100. to remove this type of tumor before.Copy !req
101. And without the tumor,
our baby would be healthy.Copy !req
102. Your antiphospholipid syndromeCopy !req
103. makes a long surgery
extremely dangerous.Copy !req
104. There's a high chance for blood clots,Copy !req
105. which could have
fatal consequences for you.Copy !req
106. We're willing to take that risk.Copy !req
107. Saving the fetus doesn't do any goodCopy !req
108. if the mother dies in the process.Copy !req
109. I've had three miscarriages.Copy !req
110. If I have to go through that
again, I might as well be dead.Copy !req
111. - Barb.
- It's true.Copy !req
112. No, it's not.Copy !req
113. You're the strongest woman
I've ever met.Copy !req
114. We'll get through this.Copy !req
115. We will. And...
And then we'll try again.Copy !req
116. We could manage
clotting risk pre-operativelyCopy !req
117. with an infusion
of unfractionated heparin.Copy !req
118. Never contradict me
in front of a patient again.Copy !req
119. I didn't.Copy !req
120. I agree with your assessment
of the risks.Copy !req
121. I suggested a way
we could mitigate them.Copy !req
122. Not in front of the patient.Copy !req
123. We're not in front of the patient now.Copy !req
124. I was just reading about a new techniqueCopy !req
125. for transesophageal
echocardiography monitoring.Copy !req
126. If there's a cardiac issue,Copy !req
127. it would give us an early warning.Copy !req
128. Let's get her prepped. ASAP.Copy !req
129. Synced & corrected by kinglouisxx
www.addic7ed.comCopy !req
130. I want J.L. on anesthesia.Copy !req
131. And let the neo-natal nursing supervisorCopy !req
132. know that I want to do
a full run-through.Copy !req
133. Yes?Copy !req
134. Well, we're a little busy up here, too.Copy !req
135. All right. I'll send someone.Copy !req
136. Andrews is covering for Lim in the ER.Copy !req
137. He has a patient
who needs a boil lanced.Copy !req
138. A plastic surgeon can't lance a boil?Copy !req
139. Plastic surgeons can.
Chief surgeons don't.Copy !req
140. You and Murphy.Copy !req
141. What?Copy !req
142. It was our ideas that convinced you
to do the fetal surgery,Copy !req
143. and now you're punishing us
with Andrews' scut work?Copy !req
144. You're not getting punished.Copy !req
145. He is.Copy !req
146. For being late. Again.Copy !req
147. But I don't trust him alone
with a patient.Copy !req
148. And since you like to defend himCopy !req
149. and seem to know how
to communicate with him...Copy !req
150. Hurry back.Copy !req
151. Olivia Hartman?Copy !req
152. Yes, ma'am. I mean Doctor.Copy !req
153. You're 18?Copy !req
154. - Yes, ma'am.
- Where's the boil?Copy !req
155. It's, um... It's down there.Copy !req
156. Down where?Copy !req
157. Shaun. It's, um, on her labia.Copy !req
158. Hmm. Is it painful?Copy !req
159. Like I used a bowling ball for a tampon.Copy !req
160. Okay. Boils shouldn't hurt that much.Copy !req
161. Okay if we take a look?Copy !req
162. Okay.Copy !req
163. If you just scoot down,Copy !req
164. put your feet in the stirrups...Copy !req
165. Great.Copy !req
166. The swelling is fairly localized.Copy !req
167. Extreme pain that's out of
proportion to the visible injuryCopy !req
168. could mean you have necrotizing
flesh-eating bacteria.Copy !req
169. What?!Copy !req
170. I'm gonna use the heparin
pre-operativelyCopy !req
171. and a T.E.E. monitor.Copy !req
172. Still not enough.Copy !req
173. The risk of a heart attack or stroke...Copy !req
174. Was thoroughly explained.Copy !req
175. The patient still wants the surgery.Copy !req
176. She wants it? Or you want it?Copy !req
177. Yes, saving a fetus' life
would be good news for me.Copy !req
178. Any other questions?Copy !req
179. Or insults?Copy !req
180. Relax. I'm not insulting you.Copy !req
181. Of course you want to do the surgery.Copy !req
182. But you do surgeries like this,Copy !req
183. some patients are going to die.Copy !req
184. And then our department's
success rate goes down,Copy !req
185. and then our funding goes down,Copy !req
186. and then you can't do
surgeries like this.Copy !req
187. So if your judgment
is clouded in any way, just...Copy !req
188. It's not.Copy !req
189. Okay.Copy !req
190. I'm sorry. I know this hurts,Copy !req
191. but I really do need
to insert a speculumCopy !req
192. for this part of the exam.Copy !req
193. If I really have what he says,Copy !req
194. does that mean you have to cut off my...Copy !req
195. No. No, as I said, the abscessCopy !req
196. is most likely the resultCopy !req
197. of an untreated chlamydia infection.Copy !req
198. We'll drain the abscess,Copy !req
199. give you antibiotics.Copy !req
200. You'll be fine.Copy !req
201. Ow!Copy !req
202. I'm... I'm sorry.Copy !req
203. The inflamed Bartholin glandCopy !req
204. is causing the ischiocavernosus muscleCopy !req
205. to spasm and pinch the labial nerve.Copy !req
206. You need to start
with a more upward angle.Copy !req
207. Can I try?Copy !req
208. I think it's better if I do this.Copy !req
209. Ow!Copy !req
210. Yeah, okay. Fine.Copy !req
211. Can we, uh, call your parents?
Let them know...Copy !req
212. No.Copy !req
213. I'm 18. I'm an adult.Copy !req
214. Even adults need emotional support.Copy !req
215. Someone to drive them home
after surgery.Copy !req
216. Uh, I'm gonna take a taxi.Copy !req
217. I have money.Copy !req
218. There's nothing to be embarrassed about.Copy !req
219. 25% of college students contract
an STD before graduation.Copy !req
220. I'm not embarrassed.Copy !req
221. And I know all about STDs.Copy !req
222. I get tested every 30 days.Copy !req
223. There's no necrosis
on the vaginal wall or cervix.Copy !req
224. You got it in already?Copy !req
225. Yes. It's definitely not
flesh-eating bacteria.Copy !req
226. - I was wrong.
- Thank God.Copy !req
227. You do need surgery to drain
the Bartholin gland abscess.Copy !req
228. Why do you get an STD test
every 30 days?Copy !req
229. I have to. For work.Copy !req
230. I do porn.Copy !req
231. The umbilical is 19 inches,Copy !req
232. which will allow us to remove
the fetus via CaesareanCopy !req
233. and rest it in its mother's lap
while I excise the tumor.Copy !req
234. Now, the hart partCopy !req
235. will be reinserting
the fetus afterwards.Copy !req
236. We can't overstretch the uterine wall,Copy !req
237. and we must be certain that
every suture is tight enoughCopy !req
238. to handle four more months
of kicks and thrown elbows.Copy !req
239. Do you have a minute?Copy !req
240. Can it wait?Copy !req
241. No.Copy !req
242. I don't want to do it.Copy !req
243. Have you talked to your wife?Copy !req
244. Yes, but she's not thinking rationally.Copy !req
245. You heard her say she'd
rather die than lose this baby.Copy !req
246. I'm sorry, but husbands
don't have veto powerCopy !req
247. over their wife's medical decisions.Copy !req
248. A husband can't stop you
from operating on his wife.Copy !req
249. But a father can stop you
from operating on his child.Copy !req
250. What kind of porn?Copy !req
251. I'm sorry.Copy !req
252. I was too busy doing
all the labs and imagingCopy !req
253. she needed for surgery.Copy !req
254. I forgot to ask for her résumé.Copy !req
255. I just mean, is she an actual actress,Copy !req
256. like in stuff with a story, or...Copy !req
257. Do they even make porn
with stories anymore?Copy !req
258. Sometimes.Copy !req
259. You watch porn?Copy !req
260. Why wouldn't he?Copy !req
261. - I don't know. He just seems...
- He's a guy.Copy !req
262. All guys watch porn.Copy !req
263. You finished with Andrews' patient?Copy !req
264. No. It wasn't a boil.Copy !req
265. It's a large Bartholin gland abscessCopy !req
266. that's pressing on her pudendal nerve.Copy !req
267. Which apparently
does interest a chief surgeon.Copy !req
268. We're gonna assist Andrews
when he drains itCopy !req
269. first thing in the morning.Copy !req
270. We just thought we'd check with you.Copy !req
271. Go home. And sleep.Copy !req
272. Not play video games or
whatever it is keeping you up.Copy !req
273. I don't think it's video games.Copy !req
274. You can head out, too.
It's been a long day.Copy !req
275. - But what about...
- Fetal surgery's been put on hold.Copy !req
276. What? Why?Copy !req
277. Go home.Copy !req
278. Once the fetus
is removed from the uterus,Copy !req
279. one could argue that it becomes a child.Copy !req
280. That's ridiculous.Copy !req
281. There are numerous legal precedents...Copy !req
282. That guarantee
the mother's right to choose.Copy !req
283. It's her body. It's her control.Copy !req
284. I'm completely comfortable
going ahead with this surgery.Copy !req
285. As am I.Copy !req
286. I never was, and I certainly am not now.Copy !req
287. I'm sorry. Until we're
certain there is no liabilityCopy !req
288. connected to parental consent,
neither am I.Copy !req
289. Well, the one thing
I think we can all agree onCopy !req
290. is that the mother
has the power to do nothing.Copy !req
291. And if she doesn't terminateCopy !req
292. or have the surgery
to remove the tumor...Copy !req
293. A fetus with a massive tumorCopy !req
294. will die inside a patient with APS.Copy !req
295. Then the mother would die, too, right?Copy !req
296. So we do nothing, and they both die.Copy !req
297. Or we can do somethingCopy !req
298. that's legally
and ethically complicated,Copy !req
299. and maybe they both live.Copy !req
300. The board has approved the surgery.Copy !req
301. Thank you.Copy !req
302. - Barb, please...
- Mark, stop.Copy !req
303. If you loved me...Copy !req
304. No.Copy !req
305. - No, do not say that.
- No, it's true.Copy !req
306. If you really loved me...Copy !req
307. I'm trying to protect you
because I love you.Copy !req
308. I don't need your protection.Copy !req
309. I need your support.Copy !req
310. We'll start prepping you
first thing in the morning.Copy !req
311. Try and get some sleep.Copy !req
312. Thank you.Copy !req
313. I still can't believe it.Copy !req
314. That 18-year-old
college students do porn?Copy !req
315. She's just not the type.Copy !req
316. How do you know what "type" she is?
You just met her.Copy !req
317. Did one medical history and pelvic exam.Copy !req
318. What?Copy !req
319. Nothing.Copy !req
320. No, go ahead.Copy !req
321. Tell me all the reasons why I'm wrong.Copy !req
322. I volunteered at a shelter
for runaway teensCopy !req
323. when I was at high school.Copy !req
324. Got to know a lot of sex workers.Copy !req
325. They're not all the same,Copy !req
326. but they do have the same...Copy !req
327. armor.Copy !req
328. I don't believe it.Copy !req
329. - You think I'm lying?
- No.Copy !req
330. No, I think you just opened up to me,Copy !req
331. actually shared something personal.Copy !req
332. It was highschool community service.Copy !req
333. It's not a big deal.Copy !req
334. Oh, no, it's a big deal.Copy !req
335. - This is huge.
- Mm?Copy !req
336. - I am peeling the onion.
- Shut up.Copy !req
337. Actually, it's more like
hacking through a coconutCopy !req
338. with a dull machete, but...Copy !req
339. "Dull" is right.Copy !req
340. Very dull.Copy !req
341. It feels good, doesn't it?Copy !req
342. You should do it more often.Copy !req
343. How about you stop worrying
about what I won't doCopy !req
344. and just enjoy what I will?Copy !req
345. Do you think she's of sound mind?Copy !req
346. You really want to talk
about work right now?Copy !req
347. She's basically threatening
to commit suicide.Copy !req
348. She's not suicidal.Copy !req
349. She's... She's just desperate
to have a child.Copy !req
350. This is probably her last chance.Copy !req
351. She could adopt.Copy !req
352. - It's not the same.
- Really?Copy !req
353. You don't think there's a difference?Copy !req
354. No, I don't.Copy !req
355. Carrying a fetus in your body
for nine months.Copy !req
356. You don't think that creates
a unique relationship?Copy !req
357. I think every relationship is unique.Copy !req
358. Yeah, of course.Copy !req
359. What are you saying?Copy !req
360. I just think it's selfish.Copy !req
361. I mean, for her to go through so much,Copy !req
362. to put your husband through so much,Copy !req
363. just so you can have
a certain experienceCopy !req
364. when there are other ways.Copy !req
365. Yeah, okay.Copy !req
366. But... you want children, though, right?Copy !req
367. We've talked about this before.Copy !req
368. Yes, I-I want children.Copy !req
369. But our children.Copy !req
370. Like, from you getting pregnant.Copy !req
371. Yes.Copy !req
372. But what if that doesn't happen?Copy !req
373. What if I couldn't get pregnantCopy !req
374. or if I decided that I didn't want to?Copy !req
375. That I wanted to adopt instead?Copy !req
376. Is there something
you're not telling me?Copy !req
377. Actually, there is.Copy !req
378. When we're in meetings together,Copy !req
379. don't ever call my ideas "ridiculous."Copy !req
380. Come on, I'm being serious.Copy !req
381. So am I.Copy !req
382. Okay.Copy !req
383. You're right. I'm sorry.
It won't happen again.Copy !req
384. Geez, you scared me.Copy !req
385. - What're you reading?
- Nothing.Copy !req
386. - Can I read it?
- No.Copy !req
387. - Why?
- Because.Copy !req
388. Why?Copy !req
389. Because.Copy !req
390. Why?Copy !req
391. Because there's nothing to read.Copy !req
392. Just pictures.Copy !req
393. Where'd you get this?Copy !req
394. Colleen Myers.Copy !req
395. Her dad has so many in his closet,Copy !req
396. he doesn't even notice
when she takes a few.Copy !req
397. She's pretty.Copy !req
398. She sure is.Copy !req
399. It's bedtime.Copy !req
400. That means lights out.Copy !req
401. I missed my stop.Copy !req
402. I missed my stop!Copy !req
403. Lynwood Place!Copy !req
404. I need to get off at Lynwood Place.Copy !req
405. Well, then you should've
been paying attentionCopy !req
406. when I stopped at Lynwood Place.Copy !req
407. Next stop's gonna be even further away,Copy !req
408. so if I were you...Copy !req
409. Shaun?Copy !req
410. Are you okay?Copy !req
411. Yes.Copy !req
412. Are you waiting for someone?Copy !req
413. No.Copy !req
414. I'm horrible at directions, too.Copy !req
415. Every time I exit a BART station,
I walk like three blocksCopy !req
416. before I realize
I'm going the wrong direction.Copy !req
417. You're lucky
I actually made it to the gym.Copy !req
418. I like to go when it's not crowded,Copy !req
419. but it's so hard to motivate after work.Copy !req
420. Half the time I end up not...Copy !req
421. You stink.Copy !req
422. I know. I'm disgusting.Copy !req
423. But I can't shower there.Copy !req
424. I'm terrified of foot fungus.Copy !req
425. Hey, you know, as long as we're
tossing out truth grenades,Copy !req
426. you suck at being a neighbor.Copy !req
427. First, you take back your batteries,Copy !req
428. and then you wake me up
in the middle of the nightCopy !req
429. stomping around and banging on pipes.Copy !req
430. What the hell's up with that?Copy !req
431. My sink drips.Copy !req
432. I couldn't sleep, so I tried to fix it.Copy !req
433. Then I couldn't find my screwdriver,Copy !req
434. which made me anxious.Copy !req
435. You kept me up because you were anxiousCopy !req
436. about a screwdriver?Copy !req
437. Yes. I was very anxious.Copy !req
438. You're funny.Copy !req
439. I stink. You're anxious.Copy !req
440. You always say
exactly what's on your mind.Copy !req
441. It's the total opposite of most guys.Copy !req
442. It's nice.Copy !req
443. Good night.Copy !req
444. And don't go fixing any faucets tonight.Copy !req
445. That's Armen's job.Copy !req
446. This is a list of repairs
I need for my apartment.Copy !req
447. Number 33.Copy !req
448. What the hell is your problem?Copy !req
449. Sorry. Hello.Copy !req
450. My name is Shaun Murphy.
It's very nice to meet you.Copy !req
451. No, it's not nice
to meet me at 12:40 a.m.Copy !req
452. Yes.Copy !req
453. Dr. Glassman said I can call youCopy !req
454. any time I need something fixed.Copy !req
455. Who the hell is Dr. Glassman?Copy !req
456. He's the president at San Jose
St. Bonaventure Hospital.Copy !req
457. I'm a surgical resident there.Copy !req
458. Well, I don't care if you're
St. Bonaventure himself.Copy !req
459. Unless it's a fire or flood,
I only work 9:00 to 5:00.Copy !req
460. Mm, I'll...Copy !req
461. try and come back tomorrow
between those times.Copy !req
462. You already woke me up.
Just give me the damn list.Copy !req
463. It's my fault.Copy !req
464. I should've known you would
take what I said literally.Copy !req
465. It's okay.Copy !req
466. Actually, you know what, Shaun?
It's not my fault.Copy !req
467. It's your responsibility. You're smart.Copy !req
468. You should be able
to use your common sense.Copy !req
469. When somebody says something,Copy !req
470. you should figure out
what they really mean.Copy !req
471. And when things don't go
exactly how you expected them,Copy !req
472. navigate that.Copy !req
473. There's a thing called
a Personal Support Worker.Copy !req
474. Think of it like a home health aide.Copy !req
475. No, thank you.Copy !req
476. I can take care of myself.Copy !req
477. Everybody needs
a little help now and then.Copy !req
478. I-I'm thinking of asking them
to give me one.Copy !req
479. I've lived by myself a long time.Copy !req
480. In Casper, Wyoming.Copy !req
481. Everybody looked out for you in Casper.Copy !req
482. Everybody looks out
for everybody in Casper.Copy !req
483. This is San Jose. It's a big city.Copy !req
484. And residency is a whole lot
more demanding than medical...Copy !req
485. I don't need an aide.Copy !req
486. We're just talking, Shaun.Copy !req
487. - I don't need an aide!
- Okay, okay.Copy !req
488. Okay.Copy !req
489. - Okay.
- Okay.Copy !req
490. We'll table it for some other time.Copy !req
491. Let's enjoy our breakfast, okay?Copy !req
492. Mr. Allen?Copy !req
493. I'm trying to convince her
to save herself.Copy !req
494. I don't want to roll the dice
with my wife's life.Copy !req
495. But she does.Copy !req
496. We're gonna start prepping her now,Copy !req
497. and she goes into the O.R.
in a few hours.Copy !req
498. I understand why she's desperate.Copy !req
499. But not why you are.Copy !req
500. If she dies, it's your fault.Copy !req
501. And what if she lives?Copy !req
502. You're gonna have a wife
and child who need you,Copy !req
503. and you keep driving her
out of your life.Copy !req
504. I'm not desperate.Copy !req
505. I'm confident.Copy !req
506. Which should make you feel better.Copy !req
507. Retraction.Copy !req
508. I'll make the incision,Copy !req
509. and then I want you
to insert the Word catheter.Copy !req
510. Good job on the pelvic exam, Dr. Murphy.Copy !req
511. With all this swelling,
it couldn't have been easy.Copy !req
512. Thank you.Copy !req
513. How do you know who...Copy !req
514. Oh, I have my ways.Copy !req
515. Like Santa.Copy !req
516. - I told him.
- Hm.Copy !req
517. No presents for you.Copy !req
518. Insert the drain.Copy !req
519. But I'm curious.Copy !req
520. How could a guy who can't
even shake a co-worker's handCopy !req
521. be comfortable doing a pelvic exam?Copy !req
522. People squeeze too hard. It hurts.Copy !req
523. Send this to the lab for culture.Copy !req
524. So, I'm guessing
you're not that into hugs.Copy !req
525. I don't like to be squeezed.Copy !req
526. Well, what if it's somebody you like?Copy !req
527. Or somebody you love?Copy !req
528. Have you ever had a girlfriend?Copy !req
529. I almost kissed a girl. Once.Copy !req
530. Well, you know what they say...Copy !req
531. If at first you don't succeed...Copy !req
532. Are you trying to mock me
or encourage me?Copy !req
533. I'm trying to get to know youCopy !req
534. so I know when I should mock
and when I should encourage.Copy !req
535. When's the right time to mock you?Copy !req
536. Press harder on that abscess.Copy !req
537. It should have drained by now.Copy !req
538. Something's wrong.Copy !req
539. The gland's evacuated, but
the swelling's not going down.Copy !req
540. Heart rate and BP are stable.Copy !req
541. Can I get a little more light, please?Copy !req
542. - Damn.
- What is it?Copy !req
543. The swelling isn't going downCopy !req
544. because there's a mass
beneath the abscess.Copy !req
545. And it's not just pressing
on the pudendal nerve...Copy !req
546. It's totally engulfed it.Copy !req
547. - That's bad.
- Very bad.Copy !req
548. You're done already?Copy !req
549. We were able to drain the abscess.Copy !req
550. I already feel better.Copy !req
551. That's only because
of the pain meds.Copy !req
552. The reason the pain was so severeCopy !req
553. was because it wasn't just an abscess.Copy !req
554. There's perineal myoma underneath.Copy !req
555. What's that?Copy !req
556. A fibroid tumor.Copy !req
557. It's not cancerous, but it is
wrapped around the nerve.Copy !req
558. We need to remove the tumor,Copy !req
559. but to do that,
we will have to sever the nerve.Copy !req
560. You'll lose all feeling
in your genitals.Copy !req
561. I'm so sorry.Copy !req
562. I knew it.Copy !req
563. God's punishing me.Copy !req
564. No, absolutely not.Copy !req
565. - This is just a random growth...
- You're religious?Copy !req
566. Yes.Copy !req
567. Or at least I used to be.Copy !req
568. I haven't thought about God
in a really long time.Copy !req
569. But being in here...Copy !req
570. You sure you don't want us
to call your parents?Copy !req
571. No. I couldn't bear to see
the look on their faces.Copy !req
572. Especially my dad's.Copy !req
573. Well, that's what parents are for.Copy !req
574. So you don't have
to do these things alone.Copy !req
575. Could you tell your father
you're a whore?Copy !req
576. You made a mistake.Copy !req
577. That is all.Copy !req
578. - Patient vitals?
- Stable.Copy !req
579. - Fetus?
- Stable.Copy !req
580. Okay.Copy !req
581. Is everybody ready?Copy !req
582. Knife.Copy !req
583. Retractor.Copy !req
584. Okay.Copy !req
585. Cutting into the uterus.Copy !req
586. T.E.E. is showing
anterior wall hypokinesis.Copy !req
587. Systolic pressure 90. Get me a Swan.Copy !req
588. - I.V. function is decreasing.
- She's having a heart attack.Copy !req
589. I need you to close the incision.Copy !req
590. - On it. Needle driver.
- Get a fluoroscope in here!Copy !req
591. I'm gonna prep her for a balloon pump.Copy !req
592. Barbara?Copy !req
593. There was a complication during surgery.Copy !req
594. A blood clot blocked
an artery in your heart.Copy !req
595. We were able to catch it in time.Copy !req
596. And my baby?Copy !req
597. The fetus is stable.Copy !req
598. The M.I. happened
before we opened the uterus.Copy !req
599. So, we're right back where we started?Copy !req
600. You just had a heart attack.Copy !req
601. I don't care.Copy !req
602. There is no other option now.Copy !req
603. If we don't terminate
and the fetus dies in utero,Copy !req
604. the resulting clots will
overwhelm your heart and brain.Copy !req
605. Which is exactly why we need
to try again.Copy !req
606. What're you talking about?Copy !req
607. You need to remove the tumor.Copy !req
608. You begged me
not to do the surgery before.Copy !req
609. I thought I could talk her
out of it then.Copy !req
610. Now I know I can't.Copy !req
611. Either you do it, or she dies.Copy !req
612. Before, if we got sued,Copy !req
613. we'd at least have
one of them on our side,Copy !req
614. but now, with them both aligned...Copy !req
615. Can they sue us for not operating?Copy !req
616. They could argue that we abandoned care.Copy !req
617. We're still offering care.Copy !req
618. Just not the care that they want.Copy !req
619. Which is your fault.Copy !req
620. If you hadn't offered her
hope to begin with,Copy !req
621. we might have been able
to reason with her.Copy !req
622. How's the pain around the incision?Copy !req
623. 5 out of 10.Copy !req
624. I'll up the dosage.Copy !req
625. Any chest pain?Copy !req
626. No. My heart actually feels fine.Copy !req
627. Good.Copy !req
628. If she doesn't want to terminate,
there's nothing we can do.Copy !req
629. - So we just send her home to die?
- It is her decision.Copy !req
630. We could tell her we were going aheadCopy !req
631. with the fetal surgery.Copy !req
632. - But once she's under...
- I'm gonna pretend you never said that.Copy !req
633. If it's the only chance
to save her life...Copy !req
634. This is exactly what I'm talking about.Copy !req
635. You wouldn't lie to convince
a suicidal personCopy !req
636. to climb down off the ledge?Copy !req
637. Knowingly lying to a patientCopy !req
638. - about a major medical surgery...
- Okay, okay! Hey!Copy !req
639. Lying to a patient is one thing.Copy !req
640. Performing surgery
without their consent...Copy !req
641. - It's unethical and illegal.
- And insane.Copy !req
642. I just...Copy !req
643. I don't want to do this.Copy !req
644. It's not our only option.Copy !req
645. You want me to attempt
the fetal surgery again?Copy !req
646. If it's the only way to save her life.Copy !req
647. The first time, it was
the only way to save her life.Copy !req
648. But a second heart attackCopy !req
649. one day after the first will kill her.Copy !req
650. Maybe not.Copy !req
651. I am so sorry to interrupt,
but I...Copy !req
652. I have an idea.Copy !req
653. What if we kill her
before she kills herself?Copy !req
654. We'll stop your heart and
put you on a bypass machineCopy !req
655. for the duration of the surgery.Copy !req
656. You can't have a heart attackCopy !req
657. if your heart's
not beating to begin with.Copy !req
658. It takes the most significant
danger off the table.Copy !req
659. But aren't the clots a danger
to her brain, as well?Copy !req
660. This doesn't completely
eliminate every risk,Copy !req
661. but it does reduce the biggest one.Copy !req
662. Thank you.Copy !req
663. We'll do it first thing in the morning.Copy !req
664. You fixed my sink!Copy !req
665. Do you know how to tell time?Copy !req
666. You fixed my sink!Copy !req
667. You're welcome. Now go away.Copy !req
668. It was not on the list!Copy !req
669. The faucet. It was not on the list.Copy !req
670. You weren't supposed to touch it.Copy !req
671. So after I fix everything
you woke me up for,Copy !req
672. then I go out of my way
to fix something el...Copy !req
673. It was not on the list
because I'd already fixed it.Copy !req
674. Well, you fixed it wrong.Copy !req
675. - Because it was still dripping.
- I need it to drip.Copy !req
676. At the same rate as my sink in Casper.Copy !req
677. It was too slow before.Copy !req
678. Now I have to fix it all over again.Copy !req
679. It's not fair.Copy !req
680. I'm done.Copy !req
681. If you don't like your faucetCopy !req
682. or anything else
in your apartment? Move.Copy !req
683. If you knock on this door
again after 5:00 p.m.,Copy !req
684. I'm gonna knock your teeth out.Copy !req
685. - Nerves are like pipes!
- Shaun, th... this...Copy !req
686. We need to sever the pudendal
nerve to excise the myoma,Copy !req
687. but if we reconnect the ends...Copy !req
688. The tumor is 4 centimeters in diameter.Copy !req
689. That's way too wide of a gap
to reconnect the ends,Copy !req
690. and nerves don't stretch.Copy !req
691. We don't need to stretch it.Copy !req
692. We can connect the distal end
of the pudendal nerveCopy !req
693. to the branch
of the femoral cutaneous nerveCopy !req
694. from her inner thigh.Copy !req
695. Would you rather lose feeling
in your thigh or genitals?Copy !req
696. Thigh, definitely.Copy !req
697. Is he right?Copy !req
698. Can we do that?Copy !req
699. It probably would've been betterCopy !req
700. to discuss this prior
to meeting with the patient,Copy !req
701. but, yes, I think it could work.Copy !req
702. Cut the suture.Copy !req
703. Grafted nerve's in place.
Let's see if it will conduct.Copy !req
704. Conduction electrodes are in position.Copy !req
705. Send a pulse.Copy !req
706. Again.Copy !req
707. Again.Copy !req
708. - Again.
- Okay, Murphy, we get it.Copy !req
709. Your idea worked.Copy !req
710. Good job. Both of you.Copy !req
711. - Thanks.
- Thank you.Copy !req
712. I'm guessing Melendez doesn't
let you know this enough,Copy !req
713. but you both are doing a great job.Copy !req
714. And if either of you needs
anything, even just to talk,Copy !req
715. my door's always open.Copy !req
716. - 4-0 Vicryl.
- Yes, doctor.Copy !req
717. 4-0 Vicryl.Copy !req
718. She's on bypass.Copy !req
719. Cross clamping the aorta.Copy !req
720. You ready?Copy !req
721. Flush the heart.Copy !req
722. Flushing.Copy !req
723. Let's prep her for C-section.Copy !req
724. Dr. Andrews.Copy !req
725. The operation went perfectly.Copy !req
726. But I don't feel anything down there.Copy !req
727. You're still on the meds,
so it's gonna...Copy !req
728. It's going to take six months to a yearCopy !req
729. to regain complete sensation.Copy !req
730. It'll take a while for your brainCopy !req
731. to figure out what we did.Copy !req
732. But the grafted nerve
is fully conducting.Copy !req
733. You're gonna be fine.Copy !req
734. Thank you.Copy !req
735. Can you do me a favor?Copy !req
736. Sure.Copy !req
737. Call my parents.Copy !req
738. Absolutely.Copy !req
739. Knife.Copy !req
740. Knife.Copy !req
741. Bovie.Copy !req
742. Bovie.Copy !req
743. How're we on bypass?Copy !req
744. - Dr. Kalu, you still with us?
- Yeah.Copy !req
745. Oh. Um, central venous pressure's good.Copy !req
746. Bypass oxygen tension's 200.Copy !req
747. - Good.
- Repairing the fetal sacrum.Copy !req
748. Gonna put this baby
back where it belongs.Copy !req
749. Baby?Copy !req
750. That's the first time
you didn't call it a fetus.Copy !req
751. Just an expression.Copy !req
752. I told you.Copy !req
753. Yes, you did.Copy !req
754. You're gonna need to stay in bed
for the next four months...Copy !req
755. but both you and your son's
prognosis is excellent.Copy !req
756. Hey.Copy !req
757. We wanted it to be a surprise.Copy !req
758. Oops.Copy !req
759. Rookie mistake.Copy !req
760. Yes!Copy !req
761. We are definitely celebrating tonight.Copy !req
762. Whoa, whoa, whoa, whoa.
Screw sleep, Murphy.Copy !req
763. You are coming with us.Copy !req
764. - Where are you going?
- Out.Copy !req
765. - We're gonna drink.
- I'm not thirsty.Copy !req
766. - Don't be an idiot.
- Hey.Copy !req
767. I just meant...Copy !req
768. Come on, mate.Copy !req
769. You just saved
an 18 year-old girl's sex life.Copy !req
770. And I saved two lives.Copy !req
771. We are drinking.Copy !req
772. Come on, Shaun.Copy !req
773. Okay.Copy !req
774. Cool.Copy !req
775. All right.Copy !req
776. I have to go home now.Copy !req
777. It'll be okay. Don't worry.Copy !req
778. We won't stay long.Copy !req
779. Hi, Shaun.Copy !req
780. Hi, Colleen.Copy !req
781. I heard Steve showed you
my dad's magazine.Copy !req
782. Did you like it?Copy !req
783. Don't worry. I'm not gonna tell anyone.Copy !req
784. It's nothing to be embarrassed about.Copy !req
785. All guys like that kind of stuff.Copy !req
786. You want to know a secret about me?Copy !req
787. I think you're really cute.Copy !req
788. You smell like bubble gum.Copy !req
789. I know. It's my lip gloss.Copy !req
790. Come here.Copy !req
791. Come here, silly.Copy !req
792. Do you think I'm pretty?Copy !req
793. I like you, too.Copy !req
794. I'll show you mine if you show me yours.Copy !req
795. Come on. I'm curious.Copy !req
796. You must be curious.Copy !req
797. Can I have a kiss?Copy !req
798. I want to know what it feels like.Copy !req
799. I'll give you a kiss...Copy !req
800. if you show me.Copy !req
801. Show you what?Copy !req
802. You know. Pull down your pants.Copy !req
803. No.Copy !req
804. Come on, Shaun.Copy !req
805. No. I gotta go.Copy !req
806. Oh, my God. I can't believe
you were about to pull it out.Copy !req
807. No, I wasn't!Copy !req
808. And like I'd ever kiss
a creepy weirdo like you.Copy !req
809. Leave him alone! Come on.Copy !req
810. All right, guys, a toast. To us.Copy !req
811. 'Cause we rock.Copy !req
812. Nothing else need be said.Copy !req
813. - Cheers.
- Cheers.Copy !req
814. Synced & corrected by kinglouisxx
www.addic7ed.comCopy !req