1. Previously on "The Good Doctor"...Copy !req
2. How hard can it beCopy !req
3. to just act like a normal human being?!Copy !req
4. No!Copy !req
5. Stop petting that stupid rabbit!Copy !req
6. We're never going home again.Copy !req
7. We have each other,
and that's all we need.Copy !req
8. My brother went to heaven
in front of my eyes.Copy !req
9. Never forget,
you're the smart one.Copy !req
10. And I'm proud of you, Shaun.Copy !req
11. Dad?Copy !req
12. Hey!Copy !req
13. Yeah, I missed you, too!Copy !req
14. Oh, Penny, come.Copy !req
15. Stay.Copy !req
16. Hey, Dad.Copy !req
17. Sorry it's so early. I just landed.Copy !req
18. Actually, you're a bit late.Copy !req
19. Five weeks.Copy !req
20. I know. I know.Copy !req
21. I'm sorry. I-I-It's a long story, okay?Copy !req
22. But h-how was it?Copy !req
23. It was your mother's funeral.Copy !req
24. Dad, I'm...Copy !req
25. Okay.Copy !req
26. Well, um, you have my cell number.Copy !req
27. It only works if you answer it.Copy !req
28. Dad?Copy !req
29. Dad?!Copy !req
30. Dad!Copy !req
31. Hey, hey! Hey... you okay?Copy !req
32. You okay? You can't breathe?!Copy !req
33. No? No. Okay. I'm gonna call for help.Copy !req
34. Yeah, 911? My dad collapsed!Copy !req
35. He can't breathe, please hurry!Copy !req
36. Okay, just hold on, Dad!Copy !req
37. Good morning, everyone!Copy !req
38. Right on time. What, did you sleep hereCopy !req
39. or use a teleportation device?Copy !req
40. I used a teleportation device.Copy !req
41. Nonsensical questions
usually imply sarcasm,Copy !req
42. which I've found people
often answer sarcastically.Copy !req
43. Good one.Copy !req
44. Trauma wants a consult
on a 66-year-old maleCopy !req
45. who collapsed from severe anaphylaxis,Copy !req
46. complicated by respiratory arrest.Copy !req
47. His son just got back from Thailand.Copy !req
48. Almost immediately, the father
had his allergic reaction.Copy !req
49. Patient has a few allergies...Copy !req
50. pollen, mold, shellfish...Copy !req
51. but no corresponding allergens
were in evidence.Copy !req
52. Why are we doing a
surgical consult on an allergy?Copy !req
53. Well, we're not. We're doing a consultCopy !req
54. on the excruciating
abdominal pain he now has.Copy !req
55. As you may have heard.Copy !req
56. Mr. Wilks, hi, I'm Dr. Neil Melendez.Copy !req
57. Heard you had some abdominal pain.Copy !req
58. Synced & corrected by kinglouisxx
www.addic7ed.comCopy !req
59. The guy was in some serious pain...Copy !req
60. 10 milligrams of morphine worth.Copy !req
61. Test results show elevated lipase,Copy !req
62. amylase, pancreatic enzymes.Copy !req
63. Pancreas is enlarged.Copy !req
64. Could be pancreatitis,
maybe alcohol-induced.Copy !req
65. The son said he smelled alcohol
on his fatherCopy !req
66. at 6:00 in the morning.Copy !req
67. And anaphylaxis has been known
to precipitateCopy !req
68. attacks of pancreatitis.Copy !req
69. Guess that's it, then.Copy !req
70. Meaning you totally disagree.Copy !req
71. Not everyone who starts
their day off with a MimosaCopy !req
72. fries their pancreas.Copy !req
73. Your eyesight must a
hell of a lot better than mine.Copy !req
74. Because I can't see the entire pancreasCopy !req
75. due to the overlying bowel gas.Copy !req
76. We'll order an abdominal CT
and take a better look.Copy !req
77. There you go.Copy !req
78. Where the hell is Murphy?Copy !req
79. It's a severe fracture,Copy !req
80. but I don't think you'll need pins.Copy !req
81. Young bones tend to heal very well.Copy !req
82. Young Bones? Isn't that a "Star
Trek: Origins" graphic novel?Copy !req
83. I'm not sure.Copy !req
84. No, that was a joke.Copy !req
85. Where are your parents?Copy !req
86. They're coming.
They both work in the city,Copy !req
87. so it's a long drive for them.Copy !req
88. I was on a school field trip,Copy !req
89. and I tripped over my own feet.Copy !req
90. Of course, it was
right in front of Shelby Lomar.Copy !req
91. At least it was pretty gross,Copy !req
92. so I got some sympathy points for that.Copy !req
93. I would expect this to have been causedCopy !req
94. by a more serious accident.Copy !req
95. Nope, just a trip.Copy !req
96. I do that a lot.Copy !req
97. What can I say? I'm clumsy.Copy !req
98. Yes. Now follow my finger.Copy !req
99. You have some nystagmus...Copy !req
100. an involuntary eye movement.Copy !req
101. So what's that mean?Copy !req
102. When you fell, did you hit your head?Copy !req
103. No.Copy !req
104. What, you think I have brain damage?Copy !req
105. Nystagmus can be a sign
of a neurological issue.Copy !req
106. Oh.Copy !req
107. Well, that would explain the "C" I got
in social studies.Copy !req
108. That was another joke, wasn't it?Copy !req
109. Mm.Copy !req
110. I'm going to order a head CT for you.Copy !req
111. Go for it.Copy !req
112. Shaun, are you getting any sleep?Copy !req
113. - Yes.
- Really?Copy !req
114. I mean, really getting sleep?Copy !req
115. I got here on time.Copy !req
116. Well, that's good.Copy !req
117. I used a teleportation device.Copy !req
118. Radiology form, please.Copy !req
119. Shaun, that boy, he looks like...Copy !req
120. Steve.Copy !req
121. He does.Copy !req
122. Is he related?Copy !req
123. His name is Evan Gallico,
so I don't think so.Copy !req
124. Wow. That is uncanny.Copy !req
125. Just coincidental.Copy !req
126. He looks exactly like your brother.Copy !req
127. No, he doesn't.Copy !req
128. His hair is shorter.Copy !req
129. It freaks me out.
It doesn't freak you out?Copy !req
130. No.Copy !req
131. - It's okay if it does...
- No, he's not Steve. Steve's dead.Copy !req
132. "I used a teleportation device"
was a joke.Copy !req
133. Yeah, that's... that's good.Copy !req
134. So, I couldn't come
to Mom's funeralCopy !req
135. because I fell in love.Copy !req
136. She was another teacher at the school.Copy !req
137. A Thai woman.Copy !req
138. And she was kind and...Copy !req
139. and beautiful and loving...Copy !req
140. and very, very sick.Copy !req
141. She had a congenital heart defect.Copy !req
142. Look, if you don't want
to tell me where you've beenCopy !req
143. for the last six months, then don't.Copy !req
144. It's your business.Copy !req
145. But don't insult my intelligence.Copy !req
146. Well, I couldn't just leave her.Copy !req
147. You couldn't leave her for five minutesCopy !req
148. to make a phone call?Copy !req
149. This a bad time?Copy !req
150. No, come in.Copy !req
151. According to the CT,Copy !req
152. you have a lesion on your pancreas.Copy !req
153. Well, what do you think
this lesion could be?Copy !req
154. Not sure.Copy !req
155. That's why we need to biopsy it.Copy !req
156. It could just be a benign cyst.Copy !req
157. Or...?Copy !req
158. Or...Copy !req
159. it could be cancer, right?Copy !req
160. We'll know soon enough.Copy !req
161. This won't take long.Copy !req
162. I know. I've had two of these.Copy !req
163. One more and I get my Scout badge.Copy !req
164. That was funny.Copy !req
165. Tough to tell without looking at you,Copy !req
166. but I'm guessing that was sarcasm.Copy !req
167. No. I have autism,Copy !req
168. which makes it hard
for me to read social cues.Copy !req
169. Jokes are difficult.Copy !req
170. I used to know a kid with autism. Peter.Copy !req
171. He was kind of weird but super nice.Copy !req
172. Used to know?Copy !req
173. You don't know him anymore?Copy !req
174. He died.Copy !req
175. Hit by a car.Copy !req
176. You know anyone who died?Copy !req
177. My brother.Copy !req
178. That sucks.Copy !req
179. Why did you have the other CT scans?Copy !req
180. My parents have...Copy !req
181. uh, what's the word
for fear of getting sick?Copy !req
182. Hypochondriasis?Copy !req
183. Mm, no, worse than that.Copy !req
184. They have... nosophobia.Copy !req
185. I love that word.Copy !req
186. What do you think of Miss Gannett?Copy !req
187. She's nice.Copy !req
188. I think she's callipygian.Copy !req
189. She's what?Copy !req
190. Callipygian?Copy !req
191. It means "having
shapely buttocks," Shaun.Copy !req
192. Duh.Copy !req
193. You read the dictionary.Copy !req
194. What it lacks in plot,
it makes up for in vocab.Copy !req
195. So, you married?Copy !req
196. Girlfriend?Copy !req
197. Boyfriend?Copy !req
198. Tropical fish?Copy !req
199. I like Lea.Copy !req
200. Ooh. And who's Lea?Copy !req
201. Lea is a friend.Copy !req
202. A friend you date?Copy !req
203. A friend with benefits?Copy !req
204. I lend her batteries sometimes.Copy !req
205. I like where this is going...Copy !req
206. So, you know, keep going.Copy !req
207. 'Cause if you don't, I will.Copy !req
208. It's kind of my thing, you know?Copy !req
209. Just constant talking...
annoys everyone.Copy !req
210. - Murphy.
- Well, I guess not everyone.Copy !req
211. Hey.Copy !req
212. My family's pretty used
to me now. I mean...Copy !req
213. Hey.Copy !req
214. ...my friends are
very talkative as well, so...Copy !req
215. You're giving
the fractured arm a head CT?Copy !req
216. - Yes.
- Get back to the pancreas.Copy !req
217. He's not clumsy.Copy !req
218. He has a brain tumor
behind the inner ear.Copy !req
219. Forget the pancreas.Copy !req
220. Mr. and Mrs. Gallico?Copy !req
221. - Hi.
- Hi.Copy !req
222. I'm Dr. Shaun Murphy.Copy !req
223. I'm treating your son.Copy !req
224. Well, how is he?Copy !req
225. We were told it was a bad break,Copy !req
226. but it should heal no problem.Copy !req
227. I know why Evan tripped.Copy !req
228. He has a tumor in the temporal
bone behind his left ear,Copy !req
229. which is affecting his balance.Copy !req
230. I've arranged for a consult
with Dr. Najid in oncologyCopy !req
231. - and she's going...
- No, that won't be necessary.Copy !req
232. We...Copy !req
233. We already have an oncologist.Copy !req
234. Evan's been diagnosed
with stage four osteosarcoma.Copy !req
235. He was complaining of a sore shin.Copy !req
236. The last thing that we expected
was bone cancer.Copy !req
237. The doctors at SFM,Copy !req
238. they gave him a year to live.Copy !req
239. That was seven months ago.Copy !req
240. Osteosarcoma explains
the severity of his fracture...Copy !req
241. he will need pins in his arm after all.Copy !req
242. Uh, can we see him?Copy !req
243. Yes. He's in room 414.Copy !req
244. Uh, Dr. Murphy?Copy !req
245. He doesn't know about his diagnosis.Copy !req
246. We would really like
to keep it that way.Copy !req
247. He's the patient.Copy !req
248. Doesn't he have the right
to know the truth?Copy !req
249. Well, no.Copy !req
250. He's also a minor, so, no, he doesn't.Copy !req
251. Evan's very intelligent...Copy !req
252. he'd be able to handle it.Copy !req
253. Well, Shaun, maybe
it's not just about Evan.Copy !req
254. Maybe it's about his parents, as well.Copy !req
255. Maybe it's just too difficult
for them to tell Evan right now.Copy !req
256. I don't know.Copy !req
257. Then they're the ones
who shouldn't be told.Copy !req
258. Well, let me ask you this, Shaun...Copy !req
259. what's so wrong about Evan being allowedCopy !req
260. to enjoy as much of his life
as possible?Copy !req
261. Evan wants to know the truth.Copy !req
262. How do you know that?Copy !req
263. If this were Steve,
if this were your brother,Copy !req
264. would he want to know the truth?Copy !req
265. Is that what this is?Copy !req
266. Dad's such a tool.Copy !req
267. I found my birthday present...Copy !req
268. in their closet,
right where they always hide it.Copy !req
269. I was just about to open itCopy !req
270. when Dad caught me snooping
and freaked out.Copy !req
271. I hate all that phony surprise stuff.Copy !req
272. It's an AquaBlast Water Cannon.Copy !req
273. I was with Mom when she bought it.Copy !req
274. Thank you, Shaun.Copy !req
275. Your honesty's refreshing!Copy !req
276. Yes, he would want to know the truth.Copy !req
277. Well, there's nothing
we can do about it.Copy !req
278. It's not your decision... it's theirs.Copy !req
279. He's their son.Copy !req
280. Claire, I need you.Copy !req
281. Sure, what's up?Copy !req
282. I need someone to lie for me.Copy !req
283. Okay...Copy !req
284. I'm flattered?Copy !req
285. Hey, doc?Copy !req
286. There's something I need to tell my dad.Copy !req
287. We haven't moved him.
He's still in room, uh, 326.Copy !req
288. Do you have a medical question for me?Copy !req
289. Is he dying?Copy !req
290. We don't know yet.Copy !req
291. The biopsy will tell us more.Copy !req
292. Okay.Copy !req
293. My dad is a good guy.Copy !req
294. We've just never been
on the same page, you know?Copy !req
295. My mother was the one
that I could talk to...Copy !req
296. same for him.Copy !req
297. So, without her,Copy !req
298. we're both pretty useless.Copy !req
299. Room 326.Copy !req
300. Right.Copy !req
301. Dr. Murphy called me in
for a second opinion.Copy !req
302. Um, you need some pins in your arm.Copy !req
303. Why?Copy !req
304. What's changed?Copy !req
305. Well, after studying
the radiology reports,Copy !req
306. given how bad the break is,Copy !req
307. we just think it would be a prudent stepCopy !req
308. to ensure an efficient and
thorough mending to the break.Copy !req
309. Will I be able to play baseball again?Copy !req
310. Well, I don't see why not,Copy !req
311. once it's completely healed,Copy !req
312. after some physiotherapy.Copy !req
313. How long before I can pitch?Copy !req
314. It's hard to say.Copy !req
315. He wanted someone to lie for him.Copy !req
316. And he picked you.Copy !req
317. Merrill's son asked for personal advice.Copy !req
318. And he picked you.Copy !req
319. I know, right?Copy !req
320. He's lying to his dad about something.Copy !req
321. Yeah? What?Copy !req
322. I don't know.Copy !req
323. You didn't ask?Copy !req
324. It didn't seem relevant, medically.Copy !req
325. You know it's not that difficult
to be a human being.Copy !req
326. Just tell him to "come clean,"Copy !req
327. "honesty is the best policy,"Copy !req
328. "a lie is a stone in your heart."Copy !req
329. Who said the last one?Copy !req
330. Me.Copy !req
331. I made it up.Copy !req
332. Hmm.Copy !req
333. And... I got it.Copy !req
334. He's anaphylactic.Copy !req
335. - Would you get me an epi?
- I'm coming out.Copy !req
336. - The throat's constricting.
- Pull the tube!Copy !req
337. So, what's up with "Dr. Browne"?Copy !req
338. She's Lea, isn't she?Copy !req
339. Claire is my colleague.Copy !req
340. Oh, come on, I saw the way
you were looking at her.Copy !req
341. How?Copy !req
342. I don't think I look like that.Copy !req
343. Okay, so then why'd you
call her in for a "consult"?Copy !req
344. Mm...Copy !req
345. Okay.Copy !req
346. Yes, she's better at talking
to people than I am.Copy !req
347. Wow. I counted like 50 tells there.Copy !req
348. - You really suck at lying.
- I know.Copy !req
349. Too bad. It's an important social skill.Copy !req
350. So how do you know when to lie?Copy !req
351. When people need to know things,Copy !req
352. they need to know.Copy !req
353. If they don't,Copy !req
354. lie through your teeth
and feel good about it.Copy !req
355. What if they need to know the truth,Copy !req
356. but it'll hurt them?Copy !req
357. Some can handle it, some can't.Copy !req
358. So how do you know
who can and who can't?Copy !req
359. You tell the truth.Copy !req
360. If they like you after,
then you'll know.Copy !req
361. If they don't?Copy !req
362. Then it doesn't really matter anyway.Copy !req
363. You have cancer.Copy !req
364. Yeah, I know.Copy !req
365. My parents took me in for a sore leg.Copy !req
366. After a whole bunch of tests,Copy !req
367. they talked to the doctor,Copy !req
368. then came out and told me I was fine.Copy !req
369. That's it. Just "fine."Copy !req
370. The next day, they bought me a PS4.Copy !req
371. So I Googled my symptoms,Copy !req
372. and I narrowed it down to osteosarcomaCopy !req
373. or growing pains.Copy !req
374. Kids don't get gaming systems
for growing pains.Copy !req
375. Hey, it's okay.Copy !req
376. I'm not afraid to die.Copy !req
377. You're not?Copy !req
378. Well, I mean, the dying part will suckCopy !req
379. if it hurts, but...Copy !req
380. I'm not afraid
about the actual death part.Copy !req
381. Because you believe
you're going to Heaven?Copy !req
382. Because I don't.Copy !req
383. If I believe in Heaven,Copy !req
384. then I got to believe in God,Copy !req
385. then I got to believe God made me sick.Copy !req
386. How messed up is that?Copy !req
387. It's just easier to think
that it's all randomCopy !req
388. and when it's over,Copy !req
389. it's just...Copy !req
390. over.Copy !req
391. So what about Lea?Copy !req
392. Where'd you guys meet?Copy !req
393. In the hallway.Copy !req
394. That's a beautiful story.Copy !req
395. Yes.Copy !req
396. She's my neighbor.Copy !req
397. Convenient.Copy !req
398. He had another allergic reaction.Copy !req
399. - The pancreas?
- Merrill Wilks, yeah.Copy !req
400. And the second attack was even
more severe than the first.Copy !req
401. It coincided with biopsying
the pancreatic lesion,Copy !req
402. which now appears was a cyst.Copy !req
403. Well, now we know he's allergic
to whatever's in that cyst.Copy !req
404. We also that the next cyst that popsCopy !req
405. - will probably kill him.
- Well, if there is a next.Copy !req
406. Let's run a couple tests,Copy !req
407. see if there's any evidence
of parasites.Copy !req
408. And MRI his entire body...Copy !req
409. if we're lucky,
he only had the two cystsCopy !req
410. and he can go home.Copy !req
411. Are you looking for loopholes?Copy !req
412. Hoping to save Evan?Copy !req
413. Everyone makes mistakes.Copy !req
414. Which means you should double-checkCopy !req
415. every file in the hospital.Copy !req
416. The oncologist flagged his
neutrophil count of 634 as low.Copy !req
417. That is low.Copy !req
418. Low normal.Copy !req
419. I can still hear
the word "low" in there.Copy !req
420. Mm.Copy !req
421. He's just a kid.Copy !req
422. I know how hard it is
to think of him dying.Copy !req
423. He's okay with that.Copy !req
424. I find that hard to believe.Copy !req
425. We all die...Copy !req
426. if we accepted that, we'd be happier.Copy !req
427. Maybe. But we're not good
with contentment.Copy !req
428. Fighting death is what keeps us alive.Copy !req
429. Okay.Copy !req
430. We got a hit... Echinococcus.Copy !req
431. Echinococcus?Copy !req
432. The cysts are filled with tapeworms?Copy !req
433. Cysts? There are more?Copy !req
434. - Three more?
- Four more.Copy !req
435. You missed the one in his brain.Copy !req
436. Dr. Glassman?Copy !req
437. Yeah?Copy !req
438. You used to be a neurosurgeon, right?Copy !req
439. So they say.Copy !req
440. Take this, will you?Copy !req
441. I need one.Copy !req
442. Who would you recommend?Copy !req
443. What you got?Copy !req
444. Wow, that's cool.Copy !req
445. How the hell did I get tapeworms
in my head?Copy !req
446. No idea, but you do.Copy !req
447. You can pick up the eggs
from coyotes or wolves.Copy !req
448. You been hanging around
coyotes or wolves?Copy !req
449. I live in the suburbs...Copy !req
450. we don't even have a petting zoo.Copy !req
451. You might've had these cysts
for quite some time.Copy !req
452. When one of them burst,Copy !req
453. that's what caused
the first allergic reaction.Copy !req
454. Well, why did it burst?Copy !req
455. Why did it burst?Copy !req
456. Any sudden movements, twists,
turns, squeeze.Copy !req
457. A hug?Copy !req
458. Could be.Copy !req
459. But you weren't there
for the second one.Copy !req
460. I punctured the cyst on your pancreasCopy !req
461. during the biopsy.Copy !req
462. As you've seen,
allergic reactions get worseCopy !req
463. each time they happen.Copy !req
464. So a third one, that would be bad.Copy !req
465. That would be...Copy !req
466. That would be very bad.Copy !req
467. So we're gonna have to surgically removeCopy !req
468. all the cysts intact.Copy !req
469. Dr. Glassman's
one of the most highly acclaimedCopy !req
470. neurosurgeons in the state.Copy !req
471. You are very lucky to have him.Copy !req
472. And Dr. Kalu is fast becoming
a very accomplished flatterer.Copy !req
473. The cranial cyst, that is a big deal.Copy !req
474. We're gonna have to take off
the top of your skull.Copy !req
475. You'd be digging into my brain?Copy !req
476. Well, yeah, pretty much.Copy !req
477. With saline.Copy !req
478. We use it to gently displace the cyst,Copy !req
479. and then, poof, it magically pops out.Copy !req
480. Kind of like delivering a baby.Copy !req
481. You know, if childbirth were painless.Copy !req
482. And then we move on to the other cysts.Copy !req
483. Hey, we're gonna take good care of you.Copy !req
484. _Copy !req
485. Evan doesn't have cancer.Copy !req
486. It might not be cancer!Copy !req
487. It might not be cancer!Copy !req
488. Look at you on time... two for two.Copy !req
489. It might not be cancer.Copy !req
490. - Fractured arm?
- Yes.Copy !req
491. You said he'd been diagnosed
with stage four osteosarcoma.Copy !req
492. Evan was diagnosed with the flu
eight months ago,Copy !req
493. but his symptoms were actually
a better fitCopy !req
494. with Epstein-Barr virus,Copy !req
495. which is linked to
Langerhans cell histiocytosis,Copy !req
496. which causes osteolytic lesionsCopy !req
497. in the long bones of the upper limbs.Copy !req
498. And those lesions could be misdiagnosedCopy !req
499. as signs of osteosarcoma.Copy !req
500. - Yes.
- What about his brain tumor?Copy !req
501. Langerhans can also manifest
in the skull.Copy !req
502. Instead of a death sentence,Copy !req
503. he could have something
that could easilyCopy !req
504. be treated with prednisone?Copy !req
505. Next, we need to do a bone-marrow
aspiration to confirm.Copy !req
506. I assume you've looked at his file.Copy !req
507. For a very long time.Copy !req
508. Well, there must've been a biopsy.Copy !req
509. What did the pathology report say?Copy !req
510. Yes. There were two biopsies.Copy !req
511. Both were positive for osteosarcoma.Copy !req
512. - Murphy...
- They could be false positives.Copy !req
513. Do you have any idea how unlikely it isCopy !req
514. to have two false positives?Copy !req
515. 0.3%.Copy !req
516. Which we can comfortably
round off to "not likely."Copy !req
517. It is possible...Copy !req
518. Yes, but it means telling
the parents of a dying childCopy !req
519. that there's hope,
when really there isn't.Copy !req
520. Grab a shower and get ready for rounds.Copy !req
521. Wow.Copy !req
522. - Imaginative and creative.
- Yes.Copy !req
523. What are the chances you're right?Copy !req
524. 0.3%.Copy !req
525. 330 to 1.Copy !req
526. 333 to 1.Copy !req
527. You really think that it's worthCopy !req
528. putting Evan's parents through all this?Copy !req
529. Of course.Copy !req
530. If we did this 333 times,Copy !req
531. we'd be giving false hope to 332 peopleCopy !req
532. for approximately four hours,Copy !req
533. and we'd save one life.Copy !req
534. Isn't that worth it?Copy !req
535. Anyway, Dr. Melendez won't let meCopy !req
536. ask for consent to test.Copy !req
537. What if I don't tell them
what I'm doing?Copy !req
538. A blatant ethics violation...
that's your solution?Copy !req
539. Yes.Copy !req
540. How do I do that?Copy !req
541. Well, uh,Copy !req
542. you do it and then you don't tell anyone.Copy !req
543. No one. If anyone asks...Copy !req
544. your attending noticed a low RBC countCopy !req
545. and needed to find the cause...Copy !req
546. that's it... no biggie.Copy !req
547. Hmm.Copy !req
548. You know Wilks' Grocery
on Santa Clara 17th?Copy !req
549. It's been an institution
for nearly 60 years.Copy !req
550. My grandparents started it in 1958,Copy !req
551. and my wife and I took it over in '82.Copy !req
552. But when my wife got sickCopy !req
553. and I started talking to Kevin
about taking it over,Copy !req
554. he just... took off.Copy !req
555. To him, it was just a placeCopy !req
556. to sell lettuce and toilet paper.Copy !req
557. My father chairs a real-estate
development company in the U.K.Copy !req
558. Thought I'd be the perfect personCopy !req
559. to set up the U.S. office.Copy !req
560. You wanted to be in
the "helping profession," hmm?Copy !req
561. I wanted to be in my profession.Copy !req
562. It's not about how small
or how big the venture is,Copy !req
563. it's about doing something that's yours.Copy !req
564. I guess.Copy !req
565. When he was little, we were inseparable.Copy !req
566. Ah, he used to love
to come to the store to "work."Copy !req
567. I even had a little apron
made for him...Copy !req
568. had his name on it, too.Copy !req
569. Still, you know, kids...Copy !req
570. grow up.Copy !req
571. I'm just grateful that he stayed
close to his mother.Copy !req
572. He could talk to her, tell her anything.Copy !req
573. So could I.Copy !req
574. And when she went...Copy !req
575. ...I lost them both.Copy !req
576. Looks like he's back now.Copy !req
577. All I know is he ditched me
when I needed him.Copy !req
578. Well, you know,
as a wise person once said,Copy !req
579. "holding a grudge is a stone
in your heart."Copy !req
580. What's that for?Copy !req
581. Local anaesthetic
for a bonemarrow aspiration.Copy !req
582. Why do I need a bonemarrow aspiration?Copy !req
583. My attending saw a low RBC countCopy !req
584. and wants to find the cause...Copy !req
585. no biggie.Copy !req
586. "No biggie"?Copy !req
587. You're lying.Copy !req
588. What's going on?Copy !req
589. You already told me
I have terminal cancer,Copy !req
590. what's worse than that?Copy !req
591. You might not.Copy !req
592. It might not be osteosarcoma...Copy !req
593. might be Langerhans cell histiocytosis,Copy !req
594. which is treatable.Copy !req
595. Treatable?Copy !req
596. As in, I might not die?Copy !req
597. That's why I need to aspirate...Copy !req
598. to find out for sure.Copy !req
599. Do my parents know?Copy !req
600. Mm... I was told not
to get their hopes up.Copy !req
601. Then let's do it before they get back.Copy !req
602. Roll onto your side.Copy !req
603. Is there a Scout badge for aspirations?Copy !req
604. I think someone just made a joke.Copy !req
605. Hello.Copy !req
606. - What are you doing?
- Painkiller.Copy !req
607. My arm hurts.Copy !req
608. That wouldn't explainCopy !req
609. why I'd be injecting your lumbar region.Copy !req
610. Okay. Yes, hello.Copy !req
611. I think Evan may have been
misdiagnosed with cancer.Copy !req
612. I think he has something
that creates bone lesionsCopy !req
613. that look like osteosarcoma.Copy !req
614. It's a small chance, 0.3%, but I...Copy !req
615. You... You told Evan that he has cancer?Copy !req
616. And now you are telling him... and us...Copy !req
617. that he doesn't?Copy !req
618. I'm telling you he might not.Copy !req
619. That's why I need
to perform this aspiration.Copy !req
620. He says whatever I have
might be treatable.Copy !req
621. - Are you insane?
- No. I am not insane.Copy !req
622. I thought you'd be happy.Copy !req
623. There is a significant link betweenCopy !req
624. Langerhans cell histiocytosis and...Copy !req
625. Go! Get out!Copy !req
626. Let me get you some water.Copy !req
627. - Oh, my God!
- Hands right here...Copy !req
628. All right, buddy. Right here!Copy !req
629. Respiratory, stat!Copy !req
630. He has a massive embolus,Copy !req
631. probably thrown from his fracture.Copy !req
632. It's located at the bifurcationCopy !req
633. of the pulmonary arteries.Copy !req
634. He's close to hemodynamic collapse.Copy !req
635. Yeah, no kidding.Copy !req
636. I'd like to assist.Copy !req
637. Not a chance.Copy !req
638. Okay. I'd like to assist.Copy !req
639. You're obviously too close to the case.Copy !req
640. I think I'm just
the right amount of close.Copy !req
641. Murphy, you lied to the parentsCopy !req
642. just so you could try
to prove your ridiculous theory.Copy !req
643. Too damn close.Copy !req
644. Saddle embolism, scrub in.Copy !req
645. We have to get rid of
the embolus before he arrests.Copy !req
646. His heart is barely pumping blood.Copy !req
647. I can feel the pulmonary artery...Copy !req
648. I just need to find
the obstruction... there!Copy !req
649. I got it.Copy !req
650. - Knife.
- Knife.Copy !req
651. EKG is showing right heart strain.Copy !req
652. He can't take this much longer.Copy !req
653. I know, but if I move any quicker,Copy !req
654. I could nick the left main artery
and kill the boy.Copy !req
655. The phrase "no biggie" gave me away.Copy !req
656. You really got to learn
how to lie, Shaun.Copy !req
657. Am I in trouble?Copy !req
658. Yes.Copy !req
659. Unless you're right.Copy !req
660. If I'm wrong, they shouldn't be upset.Copy !req
661. They know it's highly unlikely.Copy !req
662. False hope, Shaun...Copy !req
663. it's just plain cruel.Copy !req
664. Hey.Copy !req
665. He talk to you?Copy !req
666. Did you talk to him?Copy !req
667. I don't know what to tell him.Copy !req
668. You love your father, don't you?Copy !req
669. Yeah, of course.Copy !req
670. Right. Well, he's about to go
in for brain surgery.Copy !req
671. There's huge risks involved.Copy !req
672. Whatever this lie is,Copy !req
673. can you live the rest of your lifeCopy !req
674. knowing you kept it from him?Copy !req
675. My... My girlfriend wasn't sick.Copy !req
676. Okay? She dumped me.Copy !req
677. She's married with two kids...Copy !req
678. had no intention of leaving them.Copy !req
679. I-I was an idiot.Copy !req
680. You got your heart broken,
that's the problem here?Copy !req
681. No... no, Dad.Copy !req
682. The problem is...Copy !req
683. I didn't run away to ThailandCopy !req
684. because I thought
Wilks' Grocery was beneath me.Copy !req
685. I was afraid that I would never be ableCopy !req
686. to fill your shoes...Copy !req
687. And then I proved myself right.Copy !req
688. Left pulmonary artery's open.Copy !req
689. Ring Forceps.Copy !req
690. Ring Forceps.Copy !req
691. Come on.Copy !req
692. Got it.Copy !req
693. EKG is normalizing.Copy !req
694. He's okay. Nice job.Copy !req
695. All right,
flush the left pulmonary arteryCopy !req
696. - and close him up.
- Okay.Copy !req
697. Um... Dr. Melendez...Copy !req
698. Take a look at this.Copy !req
699. Recycling... Shaun, very responsible.Copy !req
700. It's a book.Copy !req
701. I appreciate that.Copy !req
702. Thanks, Shaun.Copy !req
703. Hey.Copy !req
704. We got the embolism.Copy !req
705. He's in recovery and he's doing fine.Copy !req
706. But while we were in there,Copy !req
707. we did find something else.Copy !req
708. Lesions on his ribs.Copy !req
709. Irrefutable proof of osteosarcoma.Copy !req
710. It's metastasized to his chest cavity.Copy !req
711. I'm sorry.Copy !req
712. I'm very sorry.Copy !req
713. Give that
a nice, warm saline bath.Copy !req
714. Forceps and Taylor scissors, please.Copy !req
715. - Forceps and scissors.
- Thank you.Copy !req
716. Look at that.Copy !req
717. That's what built the pyramids,Copy !req
718. painted the Mona Lisa,Copy !req
719. invented the Internet.Copy !req
720. And there is our interloper.Copy !req
721. Squeezeball please, Deidre.Copy !req
722. Squeezeball?Copy !req
723. His name for it, not ours.Copy !req
724. The saline gently displaces the cystCopy !req
725. and coaxes it out
of its little hiding place...Copy !req
726. Hopefully in one piece
so we don't have to call 911.Copy !req
727. Come on, now...Copy !req
728. Tray, please.Copy !req
729. There we go...Copy !req
730. And...Copy !req
731. And you got it.Copy !req
732. Got it.Copy !req
733. He has his father's eyes.Copy !req
734. That was incredible.Copy !req
735. One down, three to go...Copy !req
736. Hey. There he is.Copy !req
737. Hi, sweetie.Copy !req
738. What's the matter?Copy !req
739. Nothing.Copy !req
740. We're just happy you did so great.Copy !req
741. You had what's called an embolism.Copy !req
742. It clogged an artery in your lungs.Copy !req
743. But the good news is they got it.Copy !req
744. And you're gonna be just fine.Copy !req
745. Still...Copy !req
746. too bad about the cancer, huh?Copy !req
747. No, no, no, no.Copy !req
748. The doctor did not know
what he was talking about...Copy !req
749. Dad, I know all about it.Copy !req
750. I have for a long time.Copy !req
751. Well, I...Copy !req
752. I am so sorry.Copy !req
753. It's okay.Copy !req
754. Because I'm not gonna be alone.Copy !req
755. Grandma's gonna be there, too.Copy !req
756. Auntie Arlene.Copy !req
757. Uncle Jim, if he figured out
how to stop swearing.Copy !req
758. I'll get you some water, buddy.Copy !req
759. So, I took Penny for a walk...Copy !req
760. just around the block.Copy !req
761. And I picked her up
some of those rawhide treats,Copy !req
762. you know...Copy !req
763. the ones that Mom
used to like to give to her.Copy !req
764. I miss her, Dad.Copy !req
765. Coast is clear?Copy !req
766. Yes.Copy !req
767. Thank you.Copy !req
768. Mm, I was wrong.Copy !req
769. You tried.Copy !req
770. I was wrong.Copy !req
771. Your parents hate me.Copy !req
772. I know.Copy !req
773. - I gave you false hope.
- Yeah.Copy !req
774. But for a minute there,
it was pretty awesome.Copy !req
775. I'm going to ask you for a favor.Copy !req
776. Well, I'm not giving away
my Make-A-Wish.Copy !req
777. Mm, would you mind
if I read you something?Copy !req
778. It's not long.Copy !req
779. That I can do.Copy !req
780. "Atticus was right.Copy !req
781. "One time he said
you never really know a manCopy !req
782. "until you stand in his shoes
and walk around in them.Copy !req
783. "Just standing
on the Radley porch was enough.Copy !req
784. "The streetlights were fuzzyCopy !req
785. "from the fine rain that was falling.Copy !req
786. "As I made my way home, I felt very old."Copy !req
787. "... while he hadn't done
any of those things,Copy !req
788. "Atticus, he was real nice.Copy !req
789. "His hands were under my chin,Copy !req
790. "pulling up the cover,Copy !req
791. "tucking it around me.Copy !req
792. "Most people are, Scout,
when you finally see them."Copy !req
793. "He turned out the light
and went into Jem's room.Copy !req
794. "He would be there all night,Copy !req
795. "and he would be there when Jem
waked up in the morning."Copy !req
796. Sounds like a good book.Copy !req
797. Could've used a spoiler alert, though.Copy !req
798. Thank you.Copy !req
799. That's all.Copy !req
800. Synced & corrected by kinglouisxx
www.addic7ed.comCopy !req