1. Previously on "The Good Doctor"...Copy !req
2. Is there something
you're not telling me?Copy !req
3. When we're in meetings together,
don't ever call my ideas "ridiculous."Copy !req
4. Come on. I'm being serious.Copy !req
5. So am I.Copy !req
6. Merrill's son asked for personal advice.Copy !req
7. - And he picked you.
- I know, right?Copy !req
8. A surgeon needs to communicate.
Can Dr. Murphy do that?Copy !req
9. Can he do that under stress?Copy !req
10. Can he do that knowing that a human lifeCopy !req
11. literally hangs in the balance?Copy !req
12. Farrar: Thank you, Dr. Kalu.Copy !req
13. Jared: You're welcome.
It's a special blend.Copy !req
14. I roast the beans myself.Copy !req
15. Smells like leather.Copy !req
16. Then none for you, Murphy.Copy !req
17. I don't drink coffee.Copy !req
18. [Mugs clink]Copy !req
19. It is dead in here.Copy !req
20. That's why they call it
the graveyard shift.Copy !req
21. Oh, I call it paradise.
You my trauma virgins?Copy !req
22. Ah, Doctors Murphy, Kalu, Browne...Copy !req
23. meet Dr. Audrey Lim,Copy !req
24. your attending for the evening.Copy !req
25. - Hey.
- Coffee?Copy !req
26. He roasts the beans himself.Copy !req
27. Oh. Kiss ass.Copy !req
28. [Laughs]Copy !req
29. E.R.Copy !req
30. How long? Got it.Copy !req
31. Listen up, everybody!Copy !req
32. We got a mass cas coming in.Copy !req
33. It's a bus crash, two dozen passengers.Copy !req
34. Transfer all patients waiting for bedsCopy !req
35. up to the nursing units.Copy !req
36. Have maintenance bring down cots.Copy !req
37. We're gonna convert
the waiting room into triage.Copy !req
38. No one goes home till we're all clear!Copy !req
39. Dr. Lim: Page everyone on call.
I don't care what department they are.Copy !req
40. Tonight, everybody's trauma.
Glove up and line up.Copy !req
41. ♪Copy !req
42. EMTs will have triaged onsite,Copy !req
43. so the patients
are gonna come in tagged.Copy !req
44. I love these blank faces
right before Armageddon.Copy !req
45. Trauma color coding... who knows it?Copy !req
46. Green... walking wounded.
Yellow... observation.Copy !req
47. Red needs immediate attention.Copy !req
48. And black go straight to the morgue.Copy !req
49. ♪Copy !req
50. [Sirens wail]Copy !req
51. ♪Copy !req
52. All right, red tags, front of the line!Copy !req
53. Red tags, front of the line.Copy !req
54. Wedding bus blew a tire and flipped!Copy !req
55. 26-year-old female.Copy !req
56. Second-and third-degree burnsCopy !req
57. to her neck, chest, and left arm.Copy !req
58. Kalu, you're up.Copy !req
59. - [Moaning]
- Trauma Six.Copy !req
60. EMT: Guy was ejected
30 feet from the vehicle.Copy !req
61. Multiple chest contusions,Copy !req
62. acute respiratory distress on the scene,Copy !req
63. sluggish pupillary response.Copy !req
64. - How long have you been doing CPR?
- 12 minutes.Copy !req
65. - Have you shocked him?
- Three times.Copy !req
66. We got to crack him.
Dr. Browne, I got this.Copy !req
67. You take the next one.
All right, Bay Five.Copy !req
68. [Indistinct chatter]Copy !req
69. We secured the foreign object
and staunched the bleeding,Copy !req
70. but didn't want to touch it otherwise.Copy !req
71. ♪Copy !req
72. - Good thing. It nicked her carotid.
- What is it?Copy !req
73. Right now it's a little Dutch boyCopy !req
74. keeping her from bleeding out.Copy !req
75. Pulse ox is dropping. She's at 87.Copy !req
76. O2 sats down to 83.Copy !req
77. Forget about the neck, Claire.Copy !req
78. Treat her like any other patient.Copy !req
79. What are the first steps?Copy !req
80. Airway, breathing, circulation.Copy !req
81. Good. Grab a kit.Copy !req
82. ♪Copy !req
83. ♪Copy !req
84. ♪Copy !req
85. I need help here! Somebody, help!Copy !req
86. Murphy, go!Copy !req
87. [People groaning]Copy !req
88. Let's go.Copy !req
89. Trauma Three.Copy !req
90. ♪Copy !req
91. [Woman speaks indistinctly over P.A.]Copy !req
92. ♪Copy !req
93. I can't stop the bleeding.Copy !req
94. [Monitor beeps rapidly]Copy !req
95. - He's bleeding out.
- Do something.Copy !req
96. [Beeping continues]Copy !req
97. ♪Copy !req
98. I need a urinary catheter,
14-gauge needle,Copy !req
99. arterial guide wire, occlusion balloon,Copy !req
100. and 20 cc of saline, stat.Copy !req
101. Synced & corrected by kinglouisxx
www.addic7ed.comCopy !req
102. ♪Copy !req
103. [Monitor beeping rapidly]Copy !req
104. ♪Copy !req
105. - EMT #2: What's he doing?
- I have no idea.Copy !req
106. We don't have one,
so I'm making a REBOA.Copy !req
107. A what?Copy !req
108. A REBOA.Copy !req
109. Is that even a word?Copy !req
110. A REBOA will occlude the damaged arteryCopy !req
111. and stop the bleeding.Copy !req
112. ♪Copy !req
113. ♪Copy !req
114. Release the pressure.Copy !req
115. [Beeping slows]Copy !req
116. BP is stabilizing. 90 over 60.Copy !req
117. [Beeping continues]Copy !req
118. Nice work, Dr. Murphy.Copy !req
119. I made a REBOA.Copy !req
120. [Gasping]Copy !req
121. - Oxygen is dropping to 89.
- All right. Light.Copy !req
122. Open wide for me.Copy !req
123. Throat's swollen from smoke inhalation.Copy !req
124. Cric kit.Copy !req
125. - Do you see soot in her mouth or nose?
- No.Copy !req
126. She doesn't need a cric.
She needs an escharotomy.Copy !req
127. [Monitor beeping rapidly]Copy !req
128. ♪Copy !req
129. [Gasps]Copy !req
130. [Beeping slows]Copy !req
131. Sats are going back up. 92 and rising.Copy !req
132. Circumferential neck burns.Copy !req
133. The shrinking charred skin
is acting like a noose.Copy !req
134. Escharotomy relieves the constriction.Copy !req
135. Are you getting enough air now, ma'am?Copy !req
136. Yes. Thank you.Copy !req
137. Now get her out of this petri dishCopy !req
138. and into an isolation ward
in the burn unit ASAP.Copy !req
139. Yes, sir.Copy !req
140. Your heart's a bit muffled.Copy !req
141. Am I having a heart attack?Copy !req
142. No, but it's not completely good news.Copy !req
143. Cardiac tamponade.Copy !req
144. He needs a pericardiocentesis.Copy !req
145. Yes, I'm aware of that.Copy !req
146. 18-gauge and 55 cc syringe, please.Copy !req
147. We need a FAST ultrasound in here.Copy !req
148. They're both in use.Copy !req
149. [Monitor beeping rapidly]Copy !req
150. You don't have imaging.
You could puncture his heart.Copy !req
151. Is the xiphoid in the same place
as it was 20 years ago?Copy !req
152. ♪Copy !req
153. ♪Copy !req
154. [Beeping slows]Copy !req
155. [Chuckles]Copy !req
156. A REBOA.Copy !req
157. Ballsy.Copy !req
158. Could've gone really wrong.Copy !req
159. Yes, well, it didn't.Copy !req
160. It's a cowboy move...Copy !req
161. something you would never
even dream of trying.Copy !req
162. How many times is Shaun gonna
have to prove himselfCopy !req
163. before you give him a shot?Copy !req
164. Woman over PA: Dr. Rolendez, O.R. 6.Copy !req
165. [Monitor beeping slowly]Copy !req
166. ♪Copy !req
167. What happened in the E.R.?Copy !req
168. Swan girl came in and you hesitated.Copy !req
169. I wasn't hesitating.
I was thinking of a game plan.Copy !req
170. Murphy was thinking of the game plan.Copy !req
171. You got overwhelmed.Copy !req
172. I wasn't.Copy !req
173. First trauma... it happens.Copy !req
174. You have to think clearly,
quickly, methodically.Copy !req
175. You need to think
a little more like Shaun.Copy !req
176. A little more. Not identically.Copy !req
177. [Whimpering]Copy !req
178. [Screams]Copy !req
179. [Cries]Copy !req
180. [Exhales sharply]Copy !req
181. How you doing?Copy !req
182. Sorry.Copy !req
183. Sorry. That's a stupid question.Copy !req
184. [Sobs]Copy !req
185. You're maxed out on morphine.Copy !req
186. I'll hold off until it reloads.Copy !req
187. [Shaky breathing]Copy !req
188. How bad is it?Copy !req
189. We're making good progress.Copy !req
190. I'll have to, uh, debride
any deroofed blistersCopy !req
191. to prevent a secondary
nosocomial and then...Copy !req
192. I need a mirror.Copy !req
193. It's the least you can doCopy !req
194. since you can't even look me in the eye.Copy !req
195. ♪Copy !req
196. [Crying] Oh, my God.Copy !req
197. ♪Copy !req
198. [Exhales deeply]Copy !req
199. ♪Copy !req
200. Do you know how many hideous
$300 bridesmaid dressesCopy !req
201. I've had to buy in the last two years?Copy !req
202. I decided that when I got married,Copy !req
203. my bridesmaids are gonna wear
black cocktail dressesCopy !req
204. so they can use them again, you know?Copy !req
205. [Sobs]Copy !req
206. But now...Copy !req
207. now I-I'm Freddy Krueger.Copy !req
208. [Inhales sharply]Copy !req
209. Who's gonna want to marry this?Copy !req
210. [Groaning]Copy !req
211. I'm gonna find a nurse,Copy !req
212. have her adjust your, uh...
your morphine drip.Copy !req
213. [Moaning]Copy !req
214. Okay.Copy !req
215. You hit your face.Copy !req
216. Your jaw got stuck. It hurts.Copy !req
217. So, this shot I just gave you
is gonna knock you outCopy !req
218. so that I can fix that.Copy !req
219. Hang tight.Copy !req
220. - Crash patients status check?
- 23 people total.Copy !req
221. One fatality on site,
lost one in the E.R.Copy !req
222. Examined all the red tags.Copy !req
223. Got 13 yellow and green
still in the waiting room.Copy !req
224. - I'll take whoever's up next.
- Marco Magallenes...Copy !req
225. severed femoral artery, crushed femur.Copy !req
226. I did the REBOA and then
installed a temporary shunt.Copy !req
227. Here are his CT and MRI results.Copy !req
228. Find someone else for whoever's up next.Copy !req
229. Oh, finally.Copy !req
230. [Jaw cracks]Copy !req
231. ♪Copy !req
232. ♪Copy !req
233. [Woman crying]Copy !req
234. Excuse me. Are you Marco's family?Copy !req
235. Ricardo: Yes.Copy !req
236. We just found out that my cousin
didn't survive the accident.Copy !req
237. I'm sorry.Copy !req
238. - It's a bit much.
- I'm so sorry.Copy !req
239. I'm Dr. Melendez,
and this is Dr. Murphy.Copy !req
240. I'm Ricardo.Copy !req
241. I'm M-Marco's father.Copy !req
242. This is, uh, his mother, Lorena,
and this is Sonia.Copy !req
243. They were getting married tonight.Copy !req
244. How's my son?Copy !req
245. Marco's femur was completely shattered,Copy !req
246. and his lower leg
isn't getting enough blood.Copy !req
247. Can you save his leg?Copy !req
248. Marco suffered
too much bone fragmentation.Copy !req
249. We can't fix it.Copy !req
250. Our only choice is to amputate.Copy !req
251. [Sobbing]Copy !req
252. Mi hija.Copy !req
253. ♪Copy !req
254. Bay Five needs a grade three hyphema.Copy !req
255. Head CT, page ophthalmology?Copy !req
256. You read my mind.Copy !req
257. Been a while.Copy !req
258. How you holding up
pulling an all-nighter?Copy !req
259. I'll manage, but if you
can find me a caffeine IV,Copy !req
260. - Please move!
- it'd be helpful.Copy !req
261. - Melendez: Tough night.
- Jessica: Yeah.Copy !req
262. Thanks for coming.Copy !req
263. It's part of the job.Copy !req
264. So, when's the big day?Copy !req
265. Uh, we haven't set it yet.Copy !req
266. Oh, where is it gonna be?Copy !req
267. We'll figure it out.Copy !req
268. Maybe a beach somewhere.Copy !req
269. We should talk about this later.Copy !req
270. What? I like beaches.Copy !req
271. If you have a more romantic idea...Copy !req
272. My family likes churches.Copy !req
273. We should talk about this later.Copy !req
274. Dr. Lim, I think one of your
yellows is about to turn red.Copy !req
275. Hey.Copy !req
276. Farrar: I've got my wedding
all planned out.Copy !req
277. I've got the dress,
and I've got the flowers.Copy !req
278. All I need is a groom.Copy !req
279. You available, Dr. Murphy?Copy !req
280. No.Copy !req
281. You don't want some love?Copy !req
282. No. No, I don't. I don't want love.Copy !req
283. Dr. Glassman, neural consult, bay three.Copy !req
284. Thank you.Copy !req
285. [Woman speaks indistinctly over P.A.]Copy !req
286. Hey!Copy !req
287. I was here first.Copy !req
288. Shaun.Copy !req
289. Shaun!Copy !req
290. My patient's scans are very important.Copy !req
291. Well, my patient's important, too.Copy !req
292. I need to see my patient's scans.Copy !req
293. Is your patient pre-op or post-op?Copy !req
294. Pre-op.Copy !req
295. Okay, I'll give you the computer,Copy !req
296. but you need to apologize first.Copy !req
297. Okay, I'm sorry. Turn it on.Copy !req
298. Why was Marco's family
crying when Dr. MelendezCopy !req
299. told them his leg would
need to be amputated?Copy !req
300. Well, their son's leg
is about to be cut off.Copy !req
301. It's sad. Crying is normal.Copy !req
302. But when your options
are amputation or death,Copy !req
303. amputation is good news.Copy !req
304. People need time to adjust
to big changes.Copy !req
305. Marco's family didn't even get
a chance to pray for a miracle.Copy !req
306. ♪Copy !req
307. Mm. It's not possible.Copy !req
308. The bone damage is too severe.Copy !req
309. A rod implantation won't work.Copy !req
310. There's nothing to anchor into,Copy !req
311. and the shunt won't last long enoughCopy !req
312. to do reconstruction.Copy !req
313. There are no other options.Copy !req
314. What if we could replace
the entire femur?Copy !req
315. We're making him a new femur.Copy !req
316. With a 3D printer?Copy !req
317. 3D-printed bones have only successfullyCopy !req
318. - been done with the mandible.
- We know.Copy !req
319. - That's a fairly small bone.
- We know.Copy !req
320. A femur has to support
the weight of the entire body.Copy !req
321. This one will be titanium. It can work.Copy !req
322. It's an interesting idea...Copy !req
323. but I need to think on it.Copy !req
324. Right now we still got seven
yellow tags waiting.Copy !req
325. What do you have to think about?Copy !req
326. - It's a good idea.
- It's a brilliant idea.Copy !req
327. The kid has brilliant ideas.
That doesn't mean...Copy !req
328. No, it was my idea,
and I'm aware of the risks...Copy !req
329. infection, clotting, hardware failure...Copy !req
330. Death.Copy !req
331. - It wasn't your idea.
- It was my idea!Copy !req
332. And the risks are significant,
but isn't that their call?Copy !req
333. - Don't we have to...
- Maybe he said something,Copy !req
334. and then you said something,
and together, you...Copy !req
335. My idea. Completely my idea.Copy !req
336. The "brilliant" idea
is 100% my brilliant idea.Copy !req
337. Why is that a problem for you?Copy !req
338. Maybe because I've known you
for six months.Copy !req
339. Every day we learn new things.Copy !req
340. Today, you learned I'm brilliant.Copy !req
341. The idea was brilliant.Copy !req
342. And it was mine.Copy !req
343. And if anyone can do this
brilliant surgery, it's you.Copy !req
344. Flattery...Copy !req
345. also brilliant.Copy !req
346. ♪Copy !req
347. [Door opens]Copy !req
348. Claire: Sleeping on the job?Copy !req
349. [Sighs] Just needed some fresh air.Copy !req
350. Feels like I'm suffocating in there.Copy !req
351. She's in pain, spilling her guts out,Copy !req
352. and every time I open my mouth,
I sound like an idiot.Copy !req
353. Dr. Kalu... unable to talk to women.Copy !req
354. There's a first.Copy !req
355. If you're not gonna be helpful,
Claire, just leave.Copy !req
356. You don't need to talk.
Just listen to her.Copy !req
357. You get to come out here,
clear your head.Copy !req
358. She's trapped in there, alone
with her thoughts, her fears.Copy !req
359. You don't think she wants to get out?Copy !req
360. You are her escape.Copy !req
361. ♪Copy !req
362. You want to put a fake femur
into Marco's leg?Copy !req
363. It's not fake. It's real.Copy !req
364. It's not a real bone.
We're making it out of titanium.Copy !req
365. - It's still real.
- That's incredible.Copy !req
366. And Marco will be able
to walk, run, climb?Copy !req
367. And swim.Copy !req
368. Hopefully. That's the intention.Copy !req
369. Well, have you done the surgery before?Copy !req
370. - I haven't.
- We'll be the first.Copy !req
371. Well, nobody has ever attempted
this surgeryCopy !req
372. with a bone as large as the femur.Copy !req
373. I believe it's a viable option,
but there are risks.Copy !req
374. Risks? Could Marco die?Copy !req
375. In my estimation, there's a 10% chanceCopy !req
376. - he won't make it.
- Then no.Copy !req
377. I'm not losing my son.Copy !req
378. Wait. If there's a chance
we can save Marco's leg,Copy !req
379. we should at least
discuss this some more.Copy !req
380. That's what he'd want.Copy !req
381. He'd want to live.Copy !req
382. He'd want to have a life.Copy !req
383. I know him.Copy !req
384. He'd want to take the chance.Copy !req
385. I will never forgive myself
if Marco diedCopy !req
386. because I made a reckless decision.Copy !req
387. Whose decision is this?Copy !req
388. Does he have a healthcare proxy?Copy !req
389. I don't know what that is.Copy !req
390. When the accident happened,Copy !req
391. were you on the way to your
wedding or on the way back?Copy !req
392. We were headed to the wedding.Copy !req
393. Marco's parents are the next of kin.Copy !req
394. They decide.Copy !req
395. ♪Copy !req
396. Please...Copy !req
397. amputate our son's leg.Copy !req
398. [Sobs]Copy !req
399. Murphy.Copy !req
400. [Sighs]Copy !req
401. Why is the primary closure on the stumpCopy !req
402. so vital in amputation surgery?Copy !req
403. For a proper prosthetic fitting.Copy !req
404. Why are you marrying Jessica?Copy !req
405. Why does anyone get married?Copy !req
406. I don't know.Copy !req
407. I love her.Copy !req
408. I don't understand why
having someone to loveCopy !req
409. is so important to everyone.Copy !req
410. You have to stand down.Copy !req
411. - You can't amputate Marco's leg.
- Why not?Copy !req
412. I filed an emergency injunction
to stop the surgery.Copy !req
413. You were in a car accident.Copy !req
414. Your neck was punctured.Copy !req
415. The repair surgery went well.Copy !req
416. You're gonna have to stay put for a weekCopy !req
417. before we can release you.Copy !req
418. You're very lucky to be alive.Copy !req
419. [Coughs]Copy !req
420. [Raspily] My wife,
Jenna Hensel... is she okay?Copy !req
421. Can I see her?Copy !req
422. She's not listed.Copy !req
423. That's a good thing.Copy !req
424. She's probably still
in the waiting room.Copy !req
425. I'll find her and bring her up.Copy !req
426. She'll be relieved to know you're okay.Copy !req
427. Okay.Copy !req
428. What the hell am I supposed to do withCopy !req
429. an unconscious patientCopy !req
430. whose leg is a ticking time bomb?Copy !req
431. Judge Singh is en route.Copy !req
432. She wants to hear from both partiesCopy !req
433. and the doctors on the case.Copy !req
434. I have to testify?Copy !req
435. - Hopefully not.
- Hopefully not.Copy !req
436. I thought you would be happy.Copy !req
437. You thought you could save the leg,Copy !req
438. and I didn't want that not
happening because the parentsCopy !req
439. are afraid to make a tough call.Copy !req
440. It's their call to make.Copy !req
441. And if the accident
happened an hour later,Copy !req
442. it would be the wife's.Copy !req
443. And she wants the fake leg.Copy !req
444. It's not fake.Copy !req
445. I thought you didn't believeCopy !req
446. in just blindly following protocol.Copy !req
447. He's their son.Copy !req
448. Nobody's gonna love him more than them.Copy !req
449. Seriously?Copy !req
450. All parents love all childrenCopy !req
451. more than anybody else?Copy !req
452. People get divorced all the time.Copy !req
453. How often do they give up their kids?Copy !req
454. So, if this was us,Copy !req
455. you'd want your parents
to decide over me?Copy !req
456. - I didn't say that.
- You kind of did.Copy !req
457. I was saying, there needs to be rules,Copy !req
458. that there needs to be
bright red lines telling usCopy !req
459. who gets to make these calls.Copy !req
460. It's the parents' call.Copy !req
461. Not anymore.Copy !req
462. Now it's the judge's.Copy !req
463. How much time does Marco have
left on the temporary shunt?Copy !req
464. Three hours,Copy !req
465. and then his leg will die.Copy !req
466. - Okay.
- Mm.Copy !req
467. ♪Copy !req
468. Dr. Torture returns.Copy !req
469. Thought I'd scared you off for good.Copy !req
470. Pick a movie.Copy !req
471. You deserve to get out of this
room for a little while, too.Copy !req
472. You think "Groundhog Day"
is gonna make a difference?Copy !req
473. "I'm torturing you, but, hey,
you get to watch a funny movie."Copy !req
474. That is sort of what
I was going for, yeah.Copy !req
475. I'm sorry.Copy !req
476. I wish there was something else
I could do.Copy !req
477. How do you know there isn't?Copy !req
478. This is protocol.
This is what they teach us.Copy !req
479. I lucked out.Copy !req
480. I got the world's greatest
expert on burn victims?Copy !req
481. You know everything that can be done.Copy !req
482. He loves to rock-climb,
scuba dive, bungee-jump.Copy !req
483. This is insane.Copy !req
484. His leg is literally dying
while we sit here reminiscing.Copy !req
485. Please. We're trying to figure
out what your son would want.Copy !req
486. - He would want to live.
- I want that, too,Copy !req
487. but if there's a way that
we can save Marco's leg,Copy !req
488. he'd want me to do it.Copy !req
489. Hija. Do you know what
he wanted most of all?Copy !req
490. He wanted to marry you.Copy !req
491. He wanted to spend his life with
you, have children with you.Copy !req
492. Now, he can do all that.Copy !req
493. He can be happy with a prosthetic leg.Copy !req
494. He's young, and he's strong.Copy !req
495. Hija, he can get through this.Copy !req
496. ♪Copy !req
497. - When we met...
- I don't care about your stories.Copy !req
498. I don't care that you met rock-climbingCopy !req
499. or kayaking or whatever.Copy !req
500. - I just want...
- We met in rehab.Copy !req
501. ♪Copy !req
502. [Man speaks indistinctly over P.A.]Copy !req
503. Hey, are either of you Jenna Hensel?Copy !req
504. I haven't seen JennaCopy !req
505. since we took pictures at the hotel.Copy !req
506. But she got on the bus?Copy !req
507. Yeah, she was sitting with Noomi.Copy !req
508. ♪Copy !req
509. I think she's still out there.Copy !req
510. - Hey, guys! We've got to go back.
- Where?Copy !req
511. To the crash site. Now.Copy !req
512. He never wanted you to know.Copy !req
513. He's an addict.Copy !req
514. He replaced one addiction for
another one... a healthier one.Copy !req
515. - But he needs...
- What?Copy !req
516. He needs to wakeboard or
he'll drink himself to death?Copy !req
517. This is ridiculous.Copy !req
518. No, it's not!Copy !req
519. We talked about it a lot.Copy !req
520. It's pretty much all you do in rehab.Copy !req
521. Marco has clarity for
the first time in his life.Copy !req
522. He knows what makes him happy.Copy !req
523. He knows his weaknesses.Copy !req
524. He's not as strong as you think.Copy !req
525. And that's okay, but...Copy !req
526. Marco cheated on you.Copy !req
527. It was about a month ago.Copy !req
528. He was overwhelmed with
the wedding and the planning.Copy !req
529. He ran into an ex-girlfriend.Copy !req
530. It only happened once.Copy !req
531. You're lying.Copy !req
532. You're upset that he
had secrets from you, so...Copy !req
533. No, she's not lying.Copy !req
534. Hija, he... he was... he was so upset.Copy !req
535. He does love you.Copy !req
536. Okay, maybe we're digressing
here a little bit.Copy !req
537. And we really don't have the time.Copy !req
538. It matters.Copy !req
539. She doesn't know him like...Copy !req
540. maybe none of us do, but...Copy !req
541. but we are his parents,
and you're not his wife.Copy !req
542. Yet.Copy !req
543. [Siren wails]Copy !req
544. ♪Copy !req
545. Okay. Get the cops. Check everywhere...Copy !req
546. other side of the road, bushes, trees.Copy !req
547. If she was ejected from the bus,
she could be 40, 50 feetCopy !req
548. in any direction.Copy !req
549. Claire: Jenna!Copy !req
550. I found her! I need some help!Copy !req
551. ♪Copy !req
552. Okay, she's got a brain bleed.Copy !req
553. We need to get her out of here now!Copy !req
554. Dr. Andrews.Copy !req
555. I think Celez may be eligibleCopy !req
556. for an experimental bone treatment.Copy !req
557. Sell it to me.Copy !req
558. Well, I've been doing some digging.Copy !req
559. San Diego Community Hospital's burn unitCopy !req
560. has been following
a Brazilian hospital's protocolCopy !req
561. to wrap burns in tilapia skins.Copy !req
562. Now... Now, I know fish skins
sound a bit crazy,Copy !req
563. but... but I was thinking we
could do the same thing here.Copy !req
564. Dr. Kalu, I applaud
your thinking. But we...Copy !req
565. Tilapia skins contain
more collagen proteins...Copy !req
566. both types 1 and 3...
than even human skin,Copy !req
567. which aids in tissue repair,
negating the need for grafts.Copy !req
568. - It's shown to accelerate healing,
- Dr. Kalu. Dr. Kalu.Copy !req
569. would reduce the risk
of infection and cut down onCopy !req
570. the patient's physical pain.Copy !req
571. Are you finished, or would
you like to cut me off again?Copy !req
572. Okay, let's follow this
through, shall we?Copy !req
573. You have to come up with a proposalCopy !req
574. for the experimental treatment,Copy !req
575. get it approved by our
institutional review board,Copy !req
576. get your hands
on medical-grade tilapia skins,Copy !req
577. and then we...Copy !req
578. Well, I thought you could help
expedite the process.Copy !req
579. [Scoffs]Copy !req
580. You think I could bring it down
from three months to two hours?Copy !req
581. You finish the debridement?Copy !req
582. Okay, I'll take over from here.Copy !req
583. - Okay.
- Hey.Copy !req
584. Keep thinking outside the box.Copy !req
585. Initiative is good.Copy !req
586. [Police radio chatter]Copy !req
587. ♪Copy !req
588. I'm in. Bag her.Copy !req
589. Did you get me the drill?Copy !req
590. The fire truck had one. What's going on?Copy !req
591. Her pupil's blown.Copy !req
592. She has a subdural hematoma,Copy !req
593. causing increased intracranial pressure.Copy !req
594. If I don't alleviate it now,Copy !req
595. there's no way she makes it
to the hospital alive.Copy !req
596. [Drill whirrs]Copy !req
597. [Sighs] Okay.Copy !req
598. ♪Copy !req
599. [Drill whirrs]Copy !req
600. ♪Copy !req
601. [Chuckles]Copy !req
602. Unconscious female. Flail chest.Copy !req
603. I had to do a burr hole in field.Copy !req
604. Her sats are in the low 70s.Copy !req
605. [Jenna gasping]Copy !req
606. She's good to go to the O.R.Copy !req
607. Subdural hematoma?Copy !req
608. She had decerebrate posturing,
a blown left pupil.Copy !req
609. When I passed the drill bit
through her skull,Copy !req
610. a whole lot of blood pooled out.Copy !req
611. Good call.Copy !req
612. [Door opens]Copy !req
613. Uh, San Diego Community Hospital called.Copy !req
614. They're sending the tilapia skins.Copy !req
615. They're medevacing them in.Copy !req
616. Should be here within the hour.Copy !req
617. Celez...Copy !req
618. you meet the criteria
for an experimental treatmentCopy !req
619. that I think will prevent you
from having to undergo skin grafts.Copy !req
620. Hold up. How did this even happen?Copy !req
621. Well, I found out San Diego's trialCopy !req
622. allows for multi-site collaborations.Copy !req
623. So, there's no need for us
to get our own I.R.B.Copy !req
624. They give us the skins,
we provide the patient data.Copy !req
625. - Fish skins?
- [Chuckles]Copy !req
626. The tilapia skins have been
cleaned and sterilized.Copy !req
627. They're perfectly safe.Copy !req
628. You'll do it?Copy !req
629. I'll do it.Copy !req
630. Andrews: Well done, Dr. Kalu.Copy !req
631. Well done.Copy !req
632. ...so help you God?Copy !req
633. Yes.Copy !req
634. - Dr. Melendez can tell you...
- He has.Copy !req
635. But the fake femur is yours,
though, right?Copy !req
636. - How confident are you in its design?
- It's not fake!Copy !req
637. - Shaun, she needs to know...
- I know what she needs to know.Copy !req
638. She needs to know will it work.Copy !req
639. She needs to know how long it will last.Copy !req
640. Yes.Copy !req
641. Okay.Copy !req
642. He's his doctor?Copy !req
643. He is a surgical resident.
He's very gifted.Copy !req
644. Is he going to answer my questions?Copy !req
645. Shaun, I really need you to focus.Copy !req
646. ♪Copy !req
647. - Marco is running out of time!
- Just let him answer!Copy !req
648. No, we already know the answer.
They don't know.Copy !req
649. This thing has never been done before.Copy !req
650. Be quiet!Copy !req
651. ♪Copy !req
652. His toes are changing color.Copy !req
653. ♪Copy !req
654. He's clotting. That's bad.
Page Dr. Melendez stat!Copy !req
655. - Murphy, what do we got?
- The shunt is clotting.Copy !req
656. It's restricting blood flow.
It is failing.Copy !req
657. All right, we need a decision now.Copy !req
658. Are we cutting off the leg
or replacing the bone?Copy !req
659. There's no doubt in my mind
that Marco's parentsCopy !req
660. and fiancée all love Marco,
but it's become clear...Copy !req
661. Now. I need a decision now.Copy !req
662. His parents know him as their child.Copy !req
663. Sonia knows him as a man.Copy !req
664. - Replace the femur.
- [Gasps]Copy !req
665. Let's go!Copy !req
666. Thank you! Thank you.Copy !req
667. ♪Copy !req
668. - And there's the bleed. See it?
- Yes, sir.Copy !req
669. You ever clip
an intracranial artery before?Copy !req
670. No, sir.Copy !req
671. Go for it.Copy !req
672. ♪Copy !req
673. Just like every first time...Copy !req
674. you're a little excited,
a little nauseous.Copy !req
675. Hopefully nobody gets hurt.Copy !req
676. ♪Copy !req
677. ♪Copy !req
678. Is it good to go?Copy !req
679. It's very good.Copy !req
680. Forceps.Copy !req
681. ♪Copy !req
682. [Inhales sharply]Copy !req
683. You ready?Copy !req
684. Yes.Copy !req
685. ♪Copy !req
686. ♪Copy !req
687. ♪Copy !req
688. ♪Copy !req
689. Be careful the clip blades don't catchCopy !req
690. any perforated arteries.Copy !req
691. I don't seen any vessels in the way.Copy !req
692. Then what are you waiting for?Copy !req
693. ♪Copy !req
694. Very nice.Copy !req
695. Thank you.Copy !req
696. Everything's dry.Copy !req
697. Say goodbye and close the roof.Copy !req
698. We need to get blood back into his legCopy !req
699. in the next minute or so,Copy !req
700. or I'm gonna have to amputate after all.Copy !req
701. Insulin's hanging,
loaded him with calcium.Copy !req
702. Best I can do.Copy !req
703. Let's release the clamps.Copy !req
704. Check for capillary refill.Copy !req
705. ♪Copy !req
706. ♪Copy !req
707. Blood flow is restored.Copy !req
708. EKG is normal.Copy !req
709. Okay. Kim, I want to hear words likeCopy !req
710. "variability" and "Delta".Copy !req
711. Give them to me.Copy !req
712. I'm waiting patiently.Copy !req
713. I'm not getting anything.Copy !req
714. Show me.Copy !req
715. ♪Copy !req
716. Claire: Check the leads.Copy !req
717. ♪Copy !req
718. Still nothing.Copy !req
719. Maybe there will be
some neuroplasticity.Copy !req
720. Her brain... i-it could rewire itself.Copy !req
721. No.Copy !req
722. Zero brain activity.Copy !req
723. I don't know why, but she's gone.Copy !req
724. ♪Copy !req
725. - [Sighs]
- What?Copy !req
726. Your neurosurgery patient
that died tonight...Copy !req
727. there's something you should know.Copy !req
728. What?Copy !req
729. ♪Copy !req
730. Melendez: Now, Marco, I want you
to try and move your toes.Copy !req
731. ♪Copy !req
732. [Breathing heavily]Copy !req
733. I can't.Copy !req
734. - Is he okay?
- We're not sure if the bone...Copy !req
735. He's not gonna die?Copy !req
736. H-He's not gonna get an infection?Copy !req
737. - His body's not gonna reject...
- No, no. We're monitoring him very closely.Copy !req
738. - The biggest threat is behind...
- He moved.Copy !req
739. He moved.Copy !req
740. ♪Copy !req
741. It worked.Copy !req
742. You'll have a long recovery ahead...Copy !req
743. months of physical therapy.Copy !req
744. But for now, all you have to do is rest.Copy !req
745. Thank you.Copy !req
746. Thank you for saving my life...
for saving my leg.Copy !req
747. - Thank you.
- You're welcome, sir.Copy !req
748. Are you ready to finish what we started?Copy !req
749. Get well first.Copy !req
750. There's plenty of time for a wedding.Copy !req
751. ♪Copy !req
752. - Thank you.
- You're welcome, sir.Copy !req
753. Thank you.Copy !req
754. ♪Copy !req
755. You look good.Copy !req
756. Tough. Like Aquaman.Copy !req
757. [Laughs]Copy !req
758. Mm. I look like sushi.Copy !req
759. Everybody loves sushi.Copy !req
760. [Both laugh]Copy !req
761. It's only for six months.Copy !req
762. Your new skin should have
completely grown in by then.Copy !req
763. Should have minor scarring.Copy !req
764. Thank you.Copy !req
765. I misjudged you.Copy !req
766. You judged me just right.Copy !req
767. ♪Copy !req
768. [Knock on door]Copy !req
769. Is she still sleeping?Copy !req
770. You haven't told her yet?Copy !req
771. No.Copy !req
772. Can I have a moment please?Copy !req
773. Of course.Copy !req
774. ♪Copy !req
775. How soon after you found
Jenna at the crash siteCopy !req
776. did you intubate her?Copy !req
777. Almost immediately.Copy !req
778. I did a sternal rub.Copy !req
779. Uh, she had decerebrate posturing.Copy !req
780. Her left pupil was blown.Copy !req
781. I knew she had a subdural hematoma,Copy !req
782. so I intubated, did the burr hole.Copy !req
783. She also had a flail chest.Copy !req
784. Did you check her breathing
after you intubated her?Copy !req
785. Yes.Copy !req
786. Well, at least I-I think I did.Copy !req
787. Dr. Lim told me that when
Jenna came into the E.R.,Copy !req
788. she wasn't ventilating properly.Copy !req
789. You inserted the tube too deepCopy !req
790. into her right main stem bronchusCopy !req
791. of her injured lung.Copy !req
792. We had no way of knowingCopy !req
793. how long she was hypoxic
before we gave her the EEG.Copy !req
794. ♪Copy !req
795. I drilled a perfect
burr hole into her skullCopy !req
796. on the side of the road
in the middle of the night,Copy !req
797. and I-I-I screw up her intubation?Copy !req
798. Yes.Copy !req
799. It was tough conditions
for anyone... resident or not.Copy !req
800. Any one of us could have
made the same mistake.Copy !req
801. ♪Copy !req
802. I had a woman come into the E.R. once...Copy !req
803. [Clears throat]Copy !req
804. ...a mother, 51 years old.Copy !req
805. Francine Parker.Copy !req
806. She had two boys.Copy !req
807. She had a cough...Copy !req
808. a bad one... but a cough.Copy !req
809. I checked her out, gave her some
antibiotics, sent her home.Copy !req
810. Six hours later,
she was rolled into the E.R.Copy !req
811. She had had a heart attack,
and I missed it, and...Copy !req
812. she died.Copy !req
813. Not one day... goes by
when I don't think about her.Copy !req
814. She was your first.Copy !req
815. My fourth, actually.Copy !req
816. You're not gonna forget this.Copy !req
817. You never forget.Copy !req
818. But I don't know, maybe
we're better off for itCopy !req
819. the next time around.Copy !req
820. You got to find a way to keep going.Copy !req
821. Yeah.Copy !req
822. Go home. Get some rest.Copy !req
823. I haven't even told her yet.Copy !req
824. You're not going to.Copy !req
825. You made a mistake.
You're too close to this.Copy !req
826. I'm not gonna allow you
to talk to the familyCopy !req
827. or anyone else outside
this hospital about this.Copy !req
828. Do we understand each other?Copy !req
829. Yes, sir.Copy !req
830. ♪Copy !req
831. ♪ I don't have all the words to say ♪Copy !req
832. ♪ I'm still healing from my mistakes ♪Copy !req
833. ♪ I'll take the weight
if it makes you stronger ♪Copy !req
834. ♪ I don't want to leave you
in this place ♪Copy !req
835. I called San Diego Community
Hospital and thanked themCopy !req
836. for including us in their study.Copy !req
837. They said they were happy to do it.Copy !req
838. And they asked that I pass along
their thanks to youCopy !req
839. for your very generous donation
to their burn unit.Copy !req
840. I know you come from a wealthy family.Copy !req
841. I don't begrudge that, but you...Copy !req
842. can't open your wallet
every time a patient's in need.Copy !req
843. The lines can get real blurry real fast.Copy !req
844. Yes, sir.Copy !req
845. [Elevator bell dings]Copy !req
846. ♪Copy !req
847. ♪Copy !req
848. ♪ Who am I to try and save you? ♪Copy !req
849. ♪ I ain't gonna hide ♪Copy !req
850. ♪ You have to fight today ♪Copy !req
851. What's this?Copy !req
852. My healthcare proxy.Copy !req
853. Jess, nothing's gonna happen.Copy !req
854. Really? That's good to know.Copy !req
855. ♪ I won't let you down ♪Copy !req
856. ♪ I won't let you down ♪Copy !req
857. ♪ No, no, no ♪Copy !req
858. ♪ But I won't let you down ♪Copy !req
859. ♪ I won't let you down ♪Copy !req
860. ♪ No, no, no ♪Copy !req
861. ♪Copy !req
862. Well, that was quite a night. [Chuckles]Copy !req
863. Been a doctor for a long while...Copy !req
864. don't remember a night
quite like that one.Copy !req
865. Why did Nurse Farrar ask
if I wanted love?Copy !req
866. 'Cause she's a nosy...Copy !req
867. Shaun, you really don't want love?Copy !req
868. I loved Steve and my rabbit.Copy !req
869. Not anymore.Copy !req
870. You don't love them anymore?Copy !req
871. No, I don't. They're dead.Copy !req
872. You can't love someone if they're dead.Copy !req
873. Well, I've lost people I love.Copy !req
874. I miss them, and it hurts,
but I still love them.Copy !req
875. ♪Copy !req
876. I don't want love.Copy !req
877. Okay.Copy !req
878. You want breakfast?Copy !req
879. Can I have four pancakes
instead of three?Copy !req
880. You can have five.Copy !req
881. I only want four.Copy !req
882. Okay.Copy !req
883. Okay.Copy !req
884. ♪Copy !req
885. Synced & corrected by kinglouisxx
www.addic7ed.comCopy !req