1. Come on. Is the system down?Copy !req
2. Worked fine for me.Copy !req
3. I don't have time for this.Copy !req
4. How you doing?Copy !req
5. The computer is not working.Copy !req
6. That's not what I'm talking about.Copy !req
7. I know. I'm fine.Copy !req
8. A patient died
because of something you did.Copy !req
9. I think it's safe to say the
one thing you are not is "fine."Copy !req
10. I'm dealing.Copy !req
11. How exactly are you dealing?Copy !req
12. I'm getting back to work,Copy !req
13. I have a diabetic toe to debride,Copy !req
14. and I'm putting it behind me.Copy !req
15. How do you do that... put it behind you?Copy !req
16. By moving forward.Copy !req
17. - I appreciate your concern.
- You're welcome.Copy !req
18. I'm gonna make an appointment
for you for grief counseling.Copy !req
19. Dr. Mohan... She's an expert
in dealing with hospital staffCopy !req
20. who have experienced stressful events.Copy !req
21. That's not necessary.Copy !req
22. You agree you had a "stressful event"?Copy !req
23. And while I am comforted by your
commitment to move forwardCopy !req
24. by not looking back,Copy !req
25. I still want you to see Dr. Mohan.Copy !req
26. If she says that you are fine,Copy !req
27. then... and only then...
can you go back to surgery.Copy !req
28. It's working now.Copy !req
29. Just have to be patient.Copy !req
30. Heart rate 36.Copy !req
31. Push another five milligrams of
morphine and prep a nitro drip.Copy !req
32. We need atropine on board stat.Copy !req
33. What do you got for me?Copy !req
34. An MI
with severe bradycardia.Copy !req
35. He's had aspirin, nitro,Copy !req
36. and now we're trying to give him
a real rate with atropine.Copy !req
37. Cardiology see him?Copy !req
38. He's got a broken pacemakerCopy !req
39. and probably needs his coronary
arteries cleared...Copy !req
40. feels like a triple bypass,
but you're the expert.Copy !req
41. BNP is sky high.Copy !req
42. What do you see?Copy !req
43. His ventricles
are barely pumping.Copy !req
44. He's had two massive prior MIs.Copy !req
45. End stage heart failure.Copy !req
46. His heart's way beyond repair.Copy !req
47. What are our options?Copy !req
48. He's 73 years old.Copy !req
49. His age is an absolute
contraindication for transplant.Copy !req
50. - He's dying.
- Well, he's not dead yet.Copy !req
51. What else?Copy !req
52. How about cardiac resynchronization?Copy !req
53. That will get what's left of
both ventriclesCopy !req
54. working together.Copy !req
55. A biventricular pacer?Copy !req
56. It should make him feel a little betterCopy !req
57. in the few months he's got left.Copy !req
58. His rate drops any lower, he'll arrest.Copy !req
59. Claire, prep his jugular to
float in a temporary pacemaker.Copy !req
60. Shaun, call up to the cath labCopy !req
61. and have them get an estimate
on how long it'll takeCopy !req
62. to get the bi-pacer in house.Copy !req
63. Something wrong?Copy !req
64. Um, not at all.Copy !req
65. Just a little bit too much
coffee this morning.Copy !req
66. Let's go. Do it now.Copy !req
67. Restraints, please!Copy !req
68. I don't want to get stuck with a needle.Copy !req
69. You're scaring him.Copy !req
70. You're scaring him.Copy !req
71. Haldol, five milligrams.Copy !req
72. You're scaring him!Copy !req
73. - Who are you?
- Dr. Shaun Murphy.Copy !req
74. This patient is psychotic, Dr. Murphy.Copy !req
75. He's not psychotic.Copy !req
76. You don't like people touching you.Copy !req
77. He's not psychotic. He's autistic.Copy !req
78. Synced & corrected by -robtor-
www.addic7ed.comCopy !req
79. You're being an excellent patient.Copy !req
80. Okay. We're finished.Copy !req
81. You're s-same as...Copy !req
82. me.Copy !req
83. Can we release his hands?Copy !req
84. Dr. Murphy? His hands?Copy !req
85. I'm here, son... Mom and Dad are here.Copy !req
86. You can let go of his hands.
He won't hurt you.Copy !req
87. Wrong stop. Wrong stop.Copy !req
88. Can someone tell me what happened?Copy !req
89. Liam has a 5.4 centimeter
laceration on his forehead,Copy !req
90. probably from a fall.Copy !req
91. The wound was infiltratedCopy !req
92. with five milliliters of 1% lidocaine...Copy !req
93. 7... 7 single-interrupted
5-0 Prolene sutures.Copy !req
94. He will a small scar,Copy !req
95. but no other long-term effects
from this injury.Copy !req
96. You're my son's doctor.Copy !req
97. I am. Dr. Shaun Murphy...
"Shaun" with a U.Copy !req
98. Got lost... got lost, got lost,
got lost, got lost!Copy !req
99. - Yes, yes. Yes. But you're okay.
- Got lost. Got lost, got lost.Copy !req
100. You won't be taking that bus again.Copy !req
101. This light is too bright.Copy !req
102. These rooms make him anxious.
Can we take him home?Copy !req
103. No.Copy !req
104. Your son is jaundiced,Copy !req
105. clenching his right abdominal
muscles when touchedCopy !req
106. and febrile.Copy !req
107. He should not go home.Copy !req
108. Why am I here?Copy !req
109. Your pacemaker malfunctioned.Copy !req
110. You had a heart attack.Copy !req
111. I... I think I get that part.Copy !req
112. Your neighbor's gardenerCopy !req
113. saw you on the ground
inside your house...Copy !req
114. called 911, saved your life.Copy !req
115. Well, I must remember to thank him.Copy !req
116. How old are you?Copy !req
117. Me?Copy !req
118. I know how old I am.Copy !req
119. I'm 28.Copy !req
120. We have, uh, a biventricular
pacer on its way,Copy !req
121. and it's gonna make you feel
a lot better.Copy !req
122. Is it?Copy !req
123. I will be back to prep you for surgery.Copy !req
124. Liam has elevated bilirubin
and liver enzymes,Copy !req
125. a white cell count of 23.Copy !req
126. Abdominal ultrasound shows
dilatation of the bile ducts.Copy !req
127. Sounds like ascending cholangitis...Copy !req
128. can lead to sepsisCopy !req
129. if the bacteria gain access to his blood.Copy !req
130. Is he stable now?Copy !req
131. Yes, his vital signs are stable.Copy !req
132. Cause could be anything
from cancer to diet, so...Copy !req
133. Liam's parents have him
on a special ketogenic diet.Copy !req
134. High-fat diets can cause
obstructive gallstones,Copy !req
135. which could have set the whole thing off.Copy !req
136. Do an ERCP to clear him.Copy !req
137. After that, a few weeks
of broad spectrum antibioticsCopy !req
138. should take care of things.Copy !req
139. _Copy !req
140. _Copy !req
141. I want your help.Copy !req
142. With what?Copy !req
143. Endoscopic Retrograde
Cholangio-Pancreatography.Copy !req
144. ERCP? Why?Copy !req
145. You've done those before, Shaun.Copy !req
146. You're good with people who have autism.Copy !req
147. Okay, Glen, let's get this, star... tedCopy !req
148. Glen, you almost finished?Copy !req
149. It's Dr. Kalu.Copy !req
150. Glen?Copy !req
151. Yeah, we have a code green.Copy !req
152. Patient is Caucasian, male, 185 pounds.Copy !req
153. Shaun, can you talk to him or something?Copy !req
154. I can't push the Midazolam.Copy !req
155. Four lights... four doors.Copy !req
156. Yes. Lots of things.Copy !req
157. 32 and 8. 32, 8.Copy !req
158. 32 is the number of cabinet windows,Copy !req
159. and 8 is the number of handles.Copy !req
160. Hmm, the end title's CO2 is rising.Copy !req
161. He needs oxygen.
He has respiratory depression.Copy !req
162. It's a common reaction to Midazolam.Copy !req
163. CO2 is coming down.Copy !req
164. - You can proceed, Claire.
- Thank you.Copy !req
165. Have you been around
a lot of other autistic people?Copy !req
166. I've never met someone with autism.Copy !req
167. Oh.Copy !req
168. So, it must be nice to spend
some time around Liam, then.Copy !req
169. Why?Copy !req
170. Why would that be nice?Copy !req
171. Okay.Copy !req
172. There are no stones.Copy !req
173. Where are the stones?Copy !req
174. And there is scarring.Copy !req
175. This has nothing to do with gallstones.Copy !req
176. The entire biliary tree is so
thick with scarringCopy !req
177. we can't even get the camera through.Copy !req
178. The differential diagnosis for
biliary tree scarring includesCopy !req
179. primary sclerosing cholangitis,
liver failure,Copy !req
180. secondary to primary biliary cirrhosis...Copy !req
181. Yeah, Shaun, we can add a few
cancers to that list as well...Copy !req
182. It's a long and ugly one.Copy !req
183. Find another way
to figure out what it is.Copy !req
184. We could do an MRI.Copy !req
185. No, we couldn't.Copy !req
186. It's not possible.Copy !req
187. That's the first time
I've ever heard you say that.Copy !req
188. - Liam is stimming.
- Stimming?Copy !req
189. The tics and spasms are a
neurological response to stress.Copy !req
190. If he's doing an MRI, there is stress...Copy !req
191. if there is stress, he won't keep still,Copy !req
192. if he wont' keep still,
we can't do an MRI.Copy !req
193. Therefore, it is impossible.Copy !req
194. Maybe if you just keep talking
to him like that,Copy !req
195. he'll doze off and it'll all be simple.Copy !req
196. Give him a mild sedative.Copy !req
197. He didn't respond well
to Midazolam during ERCP...Copy !req
198. depresses his breathing.Copy !req
199. His respiratory saturation can't
be properly monitored inside...Copy !req
200. I get it.Copy !req
201. He could die in the MRI
and we wouldn't know.Copy !req
202. You're just gonna have to find
a different way to calm him.Copy !req
203. Okay. We'll do it.Copy !req
204. Guess he has an idea.Copy !req
205. We have a code green.Copy !req
206. Patient is a Caucasian male,
73 years of age.Copy !req
207. Shaun, what are you doing?Copy !req
208. Counting.Copy !req
209. - Counting what?
- Hmm. Distance.Copy !req
210. Why?Copy !req
211. I want $1,643.Copy !req
212. You can get that by counting?Copy !req
213. That's why you're alone
and pacing in this room?Copy !req
214. What do you want the money for?Copy !req
215. - I want to buy a television.
- $1,600 for a television?Copy !req
216. And 43. I am a surgeon. I get paychecks.Copy !req
217. You're not a surgeon yet.
You're a surgical resident.Copy !req
218. Ah, there's a big difference
in the paycheck there, pal.Copy !req
219. I'm not a child, pal.Copy !req
220. How 'bout $1,000 for a television?Copy !req
221. No. The one I want is $1,643, okay?Copy !req
222. I know, but you have a budget.Copy !req
223. - A budget.
- You... Uh, rent, food, bills to pay.Copy !req
224. I should do my own budget.
I have an MRI to do.Copy !req
225. These are live feeds...
entrances, E.R., receiving dock.Copy !req
226. If your patient had left,
we would've seen it.Copy !req
227. Then where'd he go?Copy !req
228. A freight elevator, but we don't
have cams in the freights,Copy !req
229. and he doesn't pop back up.Copy !req
230. So, we're dealing with
an alien abduction here?Copy !req
231. Sorry.Copy !req
232. We don't have cams
on the freight elevatorsCopy !req
233. on levels one, four
and five, and the basement.Copy !req
234. And you got people
looking on those floors?Copy !req
235. We've covered four and five,
and we're moving on to one.Copy !req
236. _Copy !req
237. _Copy !req
238. Hey.Copy !req
239. What's in the basement?Copy !req
240. Pediatric patient lost a blanket...Copy !req
241. I'm just gonna check lost and found.Copy !req
242. That's nice of you.Copy !req
243. While you're there,Copy !req
244. you might want to check
if they found your code green.Copy !req
245. Uh, this is Doctor...Copy !req
246. This is Shaun.Copy !req
247. I an hear you when you speak.Copy !req
248. I was thinking about something.Copy !req
249. There are 24 steps
from the ambulance to the E.R.Copy !req
250. Please turn down the lights.
That helps calm him.Copy !req
251. There are 24 steps
from the ambulance to the E.R.Copy !req
252. There are 22 steps from
the ambulance to the E.R.Copy !req
253. He has very long strides.Copy !req
254. Yes.Copy !req
255. There are 22 steps
from the ambulance to the E.R.Copy !req
256. There are 37 steps
from the elevator to room 405.Copy !req
257. There are 37 stepsCopy !req
258. from the elevator to room 405.Copy !req
259. In room 405,
there are 6 steps to the sink...Copy !req
260. 6 steps to the sink.Copy !req
261. We're getting good images.Copy !req
262. It's amazing how accomplished
you are for someone with ASD.Copy !req
263. Three steps to the window.Copy !req
264. Three steps to...Copy !req
265. Three...Copy !req
266. It's seven steps...
It's seven steps to the door.Copy !req
267. Liam, there are seven steps to the door.Copy !req
268. You need to get him out.Copy !req
269. Just a little more time.Copy !req
270. - He's scared.
- It's okay to be scared.Copy !req
271. We need to finish this.Copy !req
272. Seven... You're doing wonderfully, honey.Copy !req
273. Just breathe. Just breathe.Copy !req
274. No, it's seven steps to the door.Copy !req
275. Glen?Copy !req
276. Glen?Copy !req
277. Glen?Copy !req
278. Glen?Copy !req
279. It's Dr. Kalu.Copy !req
280. Let's get you upstairs.Copy !req
281. Go away.Copy !req
282. We're gonna get your new pacer in.Copy !req
283. Don't you get it?Copy !req
284. I broke my pacer on purpose.Copy !req
285. I want to die.Copy !req
286. With a new pacemaker,
maybe you'll feel better.Copy !req
287. So, I'll be cured?Copy !req
288. Good as new?Copy !req
289. Heh.Copy !req
290. Well, it'll reduce your pain,
and then hopefully...Copy !req
291. You think this is
the first time I've heard that?Copy !req
292. It's always the "next best thing."Copy !req
293. The truth is
I'll just keep getting worse.Copy !req
294. I know it, you know it.Copy !req
295. Do you have any family you can talk to?Copy !req
296. Brother's dead. I don't have a wife.Copy !req
297. So, no, there's no one around to
nag me into doing what you want.Copy !req
298. We have great counseling services here.Copy !req
299. I'm in pain, 28...Copy !req
300. all the time.Copy !req
301. Talk therapy gonna talk that away?Copy !req
302. Let's get you upstairs.Copy !req
303. You color's not good,
and your lungs are crackling,Copy !req
304. which means there's fluid building in...Copy !req
305. I know my...Copy !req
306. I know my rights.Copy !req
307. I don't have to get treatment
if I don't want it.Copy !req
308. The minute I catch my breath,
I'm gonna walk out of here,Copy !req
309. so you can just leave.Copy !req
310. I'm not leaving.Copy !req
311. We can't treat it until
we find the underlying cause.Copy !req
312. How do you do that?Copy !req
313. Surgically... It's called
"exploratory laparoscopy."Copy !req
314. We use a camera to navigate
Liam's midsection.Copy !req
315. There are significant risks...Copy !req
316. perforation of an organ,Copy !req
317. accidental spread seeding malignancy.Copy !req
318. And you have to do thisCopy !req
319. because he can't stay still
during an MRI?Copy !req
320. You obviously know your son
better than I do.Copy !req
321. Do you think we should try again?Copy !req
322. So, Shaun told me he's getting a TV...Copy !req
323. 70 inches, all the works.Copy !req
324. Is he now?Copy !req
325. It's just a TV.Copy !req
326. It's not about a TV.Copy !req
327. Why are you so worried about him?Copy !req
328. He showed up late for work
half a dozen times,Copy !req
329. he calls me 2:00 in the morningCopy !req
330. 'cause he can't find a screwdriver,Copy !req
331. and his superintendent wants to
kick him out of his building.Copy !req
332. - Did you show up?
- What?Copy !req
333. At 2:00 in the morning when he called youCopy !req
334. about a lost screwdriver,Copy !req
335. did you show up?Copy !req
336. He was frantic.Copy !req
337. I didn't know what he was gonna do.Copy !req
338. There are 47 residents here,Copy !req
339. and all of them show up late sometimes,Copy !req
340. all of them make mistakes,Copy !req
341. and hopefully, all of them learn.Copy !req
342. If you want to worry about Shaun, fine.Copy !req
343. But you fought to hire him
because you know he can learn.Copy !req
344. The question is,
are you willing to let him?Copy !req
345. Shaun?Copy !req
346. I can see the pixelation.Copy !req
347. - That's great. Listen...
- It's not great.Copy !req
348. Mm, it's not good.Copy !req
349. On a high-quality display,Copy !req
350. the human eye at 20/20
cannot detect the pixels.Copy !req
351. You disappeared after the failed MRI.Copy !req
352. I failed.Copy !req
353. Yeah, see, I don't think it's about that.Copy !req
354. You were hesitant with this kid
even before that.Copy !req
355. You asked me to do the ERCP.Copy !req
356. Doctors don't have to like their
patients, Claire.Copy !req
357. - You don't like him?
- I don't know him.Copy !req
358. Shaun, there's something else
going on here.Copy !req
359. - I know you know that.
- No. Nu... Nu-huh.Copy !req
360. He has the same condition you have.Copy !req
361. You have never met anyone with...Copy !req
362. Do you like all people with psoriasis?Copy !req
363. I don't have...Copy !req
364. Yes, you do.Copy !req
365. And you can never get rid of it.Copy !req
366. Okay.Copy !req
367. It's too bad you don't like him,Copy !req
368. because I think he likes you.Copy !req
369. Not only that,
I think he looks up to you.Copy !req
370. So you know how he thinks?Copy !req
371. Well, not as much as you probably do.Copy !req
372. What are you waiting for?Copy !req
373. For you to pass out.Copy !req
374. Judging by the size of your ankles...Copy !req
375. ...that shouldn't be too long from now.Copy !req
376. Then hopefully I can get you
upstairs before you die.Copy !req
377. Why do you give such a damn
about what I do with my life?Copy !req
378. I don't know, Glen.Copy !req
379. Why'd you want to die so bad?Copy !req
380. I've lived.Copy !req
381. I've had decent jobs,Copy !req
382. and I've had jobs that went nowhere.Copy !req
383. Had a good roof over my head,Copy !req
384. and I've had that good roof
taken away from me.Copy !req
385. I loved a girl, and I got married.Copy !req
386. The 20 happiest years of my life...Copy !req
387. then she died.Copy !req
388. And now I'm aloneCopy !req
389. and in pain.Copy !req
390. Feels like the end of the story.Copy !req
391. I understand.Copy !req
392. Yeah?Copy !req
393. You've had some tough times, too, 28?Copy !req
394. Nobody understands what it's likeCopy !req
395. to be so good-looking and successful?Copy !req
396. I was raised by nannies and housekeepers.Copy !req
397. Oh, my God.Copy !req
398. You're an ass.Copy !req
399. Your point is you didn't sufferCopy !req
400. because you were good-looking
and smart...Copy !req
401. you suffered because you were rich?Copy !req
402. The only time I ever saw
my parents was Christmas.Copy !req
403. Seriously, the story continues?Copy !req
404. They had this big party every year,Copy !req
405. and wherever they were traveling
they'd always fly home for it.Copy !req
406. And I'd have to come home, too,Copy !req
407. from whatever school they sent me off to.Copy !req
408. When I was 18,
I decided that I was fed up.Copy !req
409. I was a man, done being their son.Copy !req
410. And I was gonna tell them publicly,Copy !req
411. tell all their friends what
horrible people they were.Copy !req
412. So I came home from school,
and I knocked on the door,Copy !req
413. and someone answered.Copy !req
414. But it wasn't my parents.
It was a stranger.Copy !req
415. Turns out they'd sold the house
months ago.Copy !req
416. They were gone.Copy !req
417. I guess they were done with me, too.Copy !req
418. To prep Liam for the laparoscopy,Copy !req
419. we need to make four small
incisions in his stomach.Copy !req
420. I don't need to do it.Copy !req
421. I-I don't need to do it.Copy !req
422. - Liam, you do need to.
- I don't need to!Copy !req
423. If you could just hold still
for a second, Liam.Copy !req
424. The... the bus driver lets me off.Copy !req
425. I-I get lost...Copy !req
426. You're safe now.Copy !req
427. I get lost. I'm hungry.Copy !req
428. I can't make food.Copy !req
429. C-C-Can't do bath... Don't need to do it!Copy !req
430. C-C-Can't do food...
C-Can't put on clothes.Copy !req
431. Can't do bus.Copy !req
432. I took the bus.Copy !req
433. I got off at the wrong stop,Copy !req
434. and I got scared,
but then I found my way.Copy !req
435. I did an MRI, and a man got hurt.Copy !req
436. I made a mistake.
I make a lot of mistakes.Copy !req
437. You tried to walk.Copy !req
438. You made a mistake.Copy !req
439. But mistakes are good.
You should make more.Copy !req
440. You're like me.Copy !req
441. You have red eyes... uveitis.Copy !req
442. Liam takes vitamins... Does Liam
also take herbal supplements?Copy !req
443. Kava root. Why?Copy !req
444. He doesn't need the laparoscopic surgery.Copy !req
445. I know what's wrong with him.Copy !req
446. The red eyes... they're
caused by an immune flare-up,Copy !req
447. which can create the scarring
that we're seeingCopy !req
448. in his digestive system.Copy !req
449. The solution requires us to go inCopy !req
450. and remove damaged segments
of the bowel piece by piece.Copy !req
451. Us?Copy !req
452. Yes, myself and my team.Copy !req
453. Is Dr. Murphy on your team?Copy !req
454. Of course.Copy !req
455. Thank you for diagnosing our son.Copy !req
456. Dr. Melendez, you have our
permission to do the surgery,Copy !req
457. but in no way will Dr. Murphy be in it.Copy !req
458. Well, the parents... they won't budge.Copy !req
459. They don't believe
that anyone who has autismCopy !req
460. is capable do doing surgery.Copy !req
461. Well, clearly they're irrational...Copy !req
462. I don't know... shallow-minded people.Copy !req
463. Who cares? What's the difference?Copy !req
464. You agree with them, right?Copy !req
465. Do you agree with them?Copy !req
466. It's my team... I don't want
anybody telling meCopy !req
467. who's supposed to be on my team,
including the Board.Copy !req
468. You're not answering my question.Copy !req
469. - The question's moot.
- Moot? No, it's not.Copy !req
470. If you agree with them,
then the only issueCopy !req
471. is somebody stepping on
your poor, little toes.Copy !req
472. Get over it and go save the kid.Copy !req
473. If you don't agree,Copy !req
474. if you think Shaun can handle
surgery, then tell them that.Copy !req
475. Tell them to go screw themselves.Copy !req
476. Either they agree that Dr. Murphy belongsCopy !req
477. in that room with you,
or you can go find themCopy !req
478. someplace else to do the surgery.Copy !req
479. I was an 18-year-old
with no one and no money.Copy !req
480. So I worked three jobs
and took out loans.Copy !req
481. Still alive.Copy !req
482. That's not a bad story, 28.Copy !req
483. What happened with the parents?Copy !req
484. I talk to them now, but...Copy !req
485. they're not the people who got me here.Copy !req
486. It was the people I didn't expect...Copy !req
487. the ex-Marine at the shelter
who got me my first job,Copy !req
488. and this crazy artist girlCopy !req
489. who convinced me to go after
what I really wanted.Copy !req
490. When you think you're alone,
Glen, you're not.Copy !req
491. All right.Copy !req
492. All right?Copy !req
493. Ready?Copy !req
494. Two, three!Copy !req
495. - No disturbing dreams?
- After a 36-hour shift?Copy !req
496. From the moment
my head hits the pillowCopy !req
497. to the moment wake up,
all I see is black.Copy !req
498. Hm. How's your level of concentration?Copy !req
499. Have you had any difficulty focusing?Copy !req
500. I mean, I can doCopy !req
501. the New York Times crossword
puzzle in one sitting.Copy !req
502. Sure, sometimes
I wish I was more focused.Copy !req
503. It's pretty normal, right?Copy !req
504. Shaun's different.Copy !req
505. He also has savant syndrome.Copy !req
506. He has a remarkable memory.Copy !req
507. He has autism, same as
our son... same limitations.Copy !req
508. You saw what happened
to our son in the MRI...Copy !req
509. he knew he needed to lie still,
but he couldn't.Copy !req
510. Now, what happens if Dr. Murphy
breaks down like thatCopy !req
511. while he's standing over my son
at an operating table?Copy !req
512. You know your son.Copy !req
513. I know surgeons.Copy !req
514. And after working with Dr. Murphy,Copy !req
515. after challenging him in surgery
and everywhere else...Copy !req
516. probably more than he deserved...Copy !req
517. I can tell you
he has my complete confidence.Copy !req
518. I'm sorry.Copy !req
519. He doesn't have ours.Copy !req
520. So, what do we do now?Copy !req
521. I've contacted my colleague
at St. Joseph's,Copy !req
522. updated her on Liam's condition.Copy !req
523. They have good people.Copy !req
524. We can arrange for transportationCopy !req
525. as soon as possible.Copy !req
526. Where's my phone? Have you seen my phone?Copy !req
527. Where's his second bag,
the one with his medications?Copy !req
528. I want...Copy !req
529. I want...Copy !req
530. What, honey?Copy !req
531. He said I could do it.Copy !req
532. I want Dr. Shaun.Copy !req
533. Your pacemaker's here.Copy !req
534. The techs are programming it as we speak.Copy !req
535. The moment they're ready,
we're gonna put it in.Copy !req
536. I told you my wife died.Copy !req
537. The truth is s-she left me.Copy !req
538. But I gave her good reason for that,Copy !req
539. so I got what I deserved.Copy !req
540. - We all make...
- But you didn't get what you deserved...Copy !req
541. good parents who loved you.Copy !req
542. They were lucky to have you, Jared.Copy !req
543. You appear remarkably well-adjusted.Copy !req
544. Thank you.Copy !req
545. That's not a compliment.Copy !req
546. That's my concern.Copy !req
547. Well, I assume
everyone responds differently.Copy !req
548. The thing is everyone responds.Copy !req
549. Strictly speaking,Copy !req
550. you don't meet the criteria to
be required to go into treatmentCopy !req
551. or take a leave of absence,Copy !req
552. so I'm not gonna ground you.Copy !req
553. You're a strong woman, Claire,Copy !req
554. and that strength has
undoubtedly played a major roleCopy !req
555. in getting you where you are.Copy !req
556. But if you have suppressed
feelings about this incident,Copy !req
557. you need to find someone
to share them with.Copy !req
558. Because if not, they will eat you upCopy !req
559. no matter how strong you are.Copy !req
560. All right, Glen. Second ti...Copy !req
561. Oh, come on.Copy !req
562. Thank you.Copy !req
563. It should be a very interesting surgery.Copy !req
564. I'm glad I'm participating.Copy !req
565. His pressure is bottoming out.Copy !req
566. What's happening?Copy !req
567. His bowel must have perforated.Copy !req
568. He's going into septic shock.Copy !req
569. This perforation could be anywhere.Copy !req
570. What's the best way to access
the entire bowelCopy !req
571. as quickly as possible?Copy !req
572. Full-length midline incision.Copy !req
573. Good. Mark it.Copy !req
574. And what do we do once we get in there?Copy !req
575. Eviscerate the entire bowelCopy !req
576. so we can check every inch
for necrotic segments.Copy !req
577. Okay, let's make the cut.Copy !req
578. You gonna take it or not?Copy !req
579. This is the Number 3 L.Copy !req
580. It's made of high carbon steel.
It doesn't break.Copy !req
581. That's correct, Dr. Murphy.Copy !req
582. Time of incision... 2:05 P.M.Copy !req
583. We have a code green...Copy !req
584. patient is a Caucasian male,Copy !req
585. 73 years of age.Copy !req
586. Where'd he go?Copy !req
587. Yeah, on my way.Copy !req
588. I have a five-centimeter segment
of proximal jejunum.Copy !req
589. It's... sclerotic, but not perforated.Copy !req
590. All right, mark it and move on.Copy !req
591. Shaun, why are you just standing there?Copy !req
592. We have 25 feet of bowel to run.Copy !req
593. Shaun, you need to get moving...
unless you've found something.Copy !req
594. I have...Copy !req
595. - the perforation.
- Clamp it off...Copy !req
596. I'll get in there
with the enterotomy scissorsCopy !req
597. and remove the damaged segment.Copy !req
598. I can't.Copy !req
599. You can't? Why not?Copy !req
600. It's a phlegmon.Copy !req
601. You found a walled-off abscess?Copy !req
602. It's large.Copy !req
603. - Don't touch it.
- I already am.Copy !req
604. If you move and that thing ruptures,Copy !req
605. the pus will spread to his
entire abdominal cavity...Copy !req
606. this boy dies.Copy !req
607. I know, that's why I'm not moving.Copy !req
608. Claire, I need you to open it up gently.Copy !req
609. I'm gonna evacuate the septic contents,Copy !req
610. flush the cavity with antibiotics,Copy !req
611. and then I'm gonna have you
remove the capsule.Copy !req
612. I didn't do anything.Copy !req
613. That's the pressure tanking.Copy !req
614. You need to finish
what you're doing right now.Copy !req
615. Let's go, Claire. Come on.Copy !req
616. Clamp.Copy !req
617. Uh, you guys check left.Copy !req
618. Hey. Hey. Come on.Copy !req
619. Stop.Copy !req
620. Come on, Glen.Copy !req
621. You can do this.Copy !req
622. I don't want to...Copy !req
623. Just don't want to.Copy !req
624. Please leave me alone.Copy !req
625. Once I get my strength back,
I'll climb up and jump.Copy !req
626. I can't let you do that.Copy !req
627. When this temporary pacer fails,Copy !req
628. which it will,Copy !req
629. your heart may stop and you die suddenly.Copy !req
630. But more likely, Glen,Copy !req
631. you slip back into that slow rhythm,Copy !req
632. your chest is racked
with excruciating painCopy !req
633. and your lungs start to fill with fluid,Copy !req
634. and slowly you suffocate.Copy !req
635. Eh, give it a rest, 28.Copy !req
636. Just get me a DNR and a cab.Copy !req
637. You can't help me.Copy !req
638. Yes, I can.Copy !req
639. It was a difficult procedure.Copy !req
640. We removed a total of two feet of...Copy !req
641. Is he okay?Copy !req
642. He will be okay.Copy !req
643. Thank you.Copy !req
644. Thank you, thank you.Copy !req
645. I-I'm sorry. We're... We just...Copy !req
646. He's our son.Copy !req
647. You shouldn't feel bad.Copy !req
648. You did what you thought
was best for Liam.Copy !req
649. You love Liam.Copy !req
650. I didn't have that from my parents.Copy !req
651. It also means I didn't have
to take kava root,Copy !req
652. so I didn't getCopy !req
653. hypereosinophilic gastroenteritis.Copy !req
654. Are you gonna get in trouble for this?Copy !req
655. You're worried about me now?Copy !req
656. You signed the DNR.Copy !req
657. All I'm doing is sitting with you.Copy !req
658. Are you feeling any anxiety?Copy !req
659. No.Copy !req
660. Pain?Copy !req
661. Some.Copy !req
662. Would you like a dose
of morphine to help with that?Copy !req
663. Thank you.Copy !req
664. Find your guy?Copy !req
665. I did.Copy !req
666. Put in the biventricular?Copy !req
667. How long did it take to get
access to the coronary sinus?Copy !req
668. I didn't do the surgery.Copy !req
669. I didn't put the pacer in. He, um...Copy !req
670. he didn't want it.Copy !req
671. He was a good guy.Copy !req
672. Want to talk about it?Copy !req
673. I do.Copy !req
674. Your surgery went well.Copy !req
675. You should be able to get up
and move around in two weeksCopy !req
676. once we're sure the antibiotics
have cleared your infection.Copy !req
677. Hear that?Copy !req
678. It won't be too long
until we can go home.Copy !req
679. You did great, honey.Copy !req
680. The lights.Copy !req
681. Are the lights okay?Copy !req
682. Do you want them dimmed?Copy !req
683. They're... okay.Copy !req
684. You'll love the software.Copy !req
685. It makes it very easy to budget.Copy !req
686. And the best part,
it links directly to the bank,Copy !req
687. and... get rid of the ball!Copy !req
688. He was the first quarterback
picked in 2013,Copy !req
689. but his stats outside the pocket
are only 27% completed passes.Copy !req
690. Their backup QB is at 65% under pressure.Copy !req
691. Absolutely.Copy !req
692. - He's wasted potential on the bench.
- Yes.Copy !req
693. Anyway, the link to the bank
will help make automatic...Copy !req
694. - Oh!
- Oh!Copy !req
695. Did you see that?Copy !req
696. He pinned it against
his helmet... even with the PI!Copy !req
697. I want to go to the Super Bowl.Copy !req
698. Okay, see,
that's exactly the kind of thingCopy !req
699. you have to think about before you buy.Copy !req
700. Tickets are very expensive.Copy !req
701. Oh, hoo-hoo-hoo!Copy !req
702. You know... You know what? You should go.Copy !req
703. I should go. We should go.Copy !req
704. Okay.Copy !req
705. Excuse me.Copy !req
706. Uh, it's almost closing time, so...Copy !req
707. I'd like to buy this TV.Copy !req
708. ...stay as long as you like.Copy !req
709. Synced & corrected by -robtor-
www.addic7ed.comCopy !req