1. Previously on
"The Good Doctor"...Copy !req
2. Dr. Murphy, you shouldn't
be in contact with patients.Copy !req
3. Or their families.
Do you understand?Copy !req
4. Don't be stupid.Copy !req
5. What?
There's no cameras in here.Copy !req
6. Dr. Lim, Dr. Melendez.Copy !req
7. I do not want
to be a pathologist.Copy !req
8. Dr. Han, you need to make me
a surgical resident again.Copy !req
9. Hey.Copy !req
10. What are you doing up
so early?Copy !req
11. I'm not up early.Copy !req
12. I never went to bed.Copy !req
13. Oh, my God.
Didn't you get my text?Copy !req
14. I told you I was spending
the night with Jake.Copy !req
15. I don't want to be a pathologist.Copy !req
16. Oh.Copy !req
17. It's... that still.Copy !req
18. Shaun...Copy !req
19. no one's life goes exactly
like they dreamed as a kid.Copy !req
20. You're still a doctor.
Still saving lives.Copy !req
21. Just in a lab instead of
an operating room.Copy !req
22. Where are you going?Copy !req
23. I'm going to walk
to work.Copy !req
24. The hospital's
four miles away.Copy !req
25. Studies have shown that walking
boosts creative inspiration.Copy !req
26. - Shaun, I just think...
- You don't understand.Copy !req
27. You... don't understand.Copy !req
28. Neither does Dr. Han.Copy !req
29. I need to change
his mind.Copy !req
30. I don't know how.Copy !req
31. Mm, we're gonna be late.Copy !req
32. So stop.Copy !req
33. Mm.Copy !req
34. And don't be smiling at me
when you see me in the hall.Copy !req
35. I smile at everyone.
I'm a friendly guy.Copy !req
36. You'd be a horrible poker player.Copy !req
37. - What're you doing?
- Murphy's on the corner.Copy !req
38. Move it.Copy !req
39. That's not where his bus drops off.Copy !req
40. Do you think he saw us?Copy !req
41. He's not looking over here.Copy !req
42. Well, that doesn't
mean anything with him.Copy !req
43. We got to get out of here
before the light turns.Copy !req
44. Let's go!
Move it!Copy !req
45. Through the generous support of
St. Bonaventure Foundation,Copy !req
46. we've been able to transport
Kenny and his motherCopy !req
47. from their home in Mississippi.Copy !req
48. And we'll be covering
the costsCopy !req
49. of surgery and
post-op recovery.Copy !req
50. And all I have to do
is buy one CD a monthCopy !req
51. for the next 100 years.Copy !req
52. No repayment necessary.Copy !req
53. We appreciate you allowing us
to share your caseCopy !req
54. as an educational opportunity
for our staff.Copy !req
55. You know what they say...
those who can't... teach.Copy !req
56. And as you can see,
I can't do much of anything.Copy !req
57. Actually, y'all haven't
really seen anything yet.Copy !req
58. How about we get this party
started?Copy !req
59. The neurofibroma started
as a small bumpCopy !req
60. near the base of the spine.Copy !req
61. In less than six months,Copy !req
62. it encircled his abdomen
and grew to over 100 pounds,Copy !req
63. the blood supply becoming so
intertwined with the patient's,Copy !req
64. it was deemed inoperable.Copy !req
65. But we've been able to come up
with an innovative surgical planCopy !req
66. that will allow us
to slowly peel the tumorCopy !req
67. off the front and back
of his torsoCopy !req
68. in one piece
and give Kenny his life back.Copy !req
69. We didn't expect
to see you.Copy !req
70. This is just about logistics,
witness lists, scheduling.Copy !req
71. The hospital's attorneyCopy !req
72. could've handled this
on his own, Dr. Han.Copy !req
73. I understand, but
I wanted to be here.Copy !req
74. Three reasons really.Copy !req
75. If my doctors are gonna be
judged in this room,Copy !req
76. I wanted to see the place,Copy !req
77. see all of you,
and see the mood...Copy !req
78. Well, we try to make it
very casual.Copy !req
79. I know.Copy !req
80. But have you ever been
judged?Copy !req
81. I have.Copy !req
82. It's scary.Copy !req
83. Someone has gone
to the troubleCopy !req
84. of checking out
every aspect of your actions,Copy !req
85. every decision
you've made.Copy !req
86. You don't know what they know,
what they're gonna ask,Copy !req
87. what could be misunderstood,
misinterpreted.Copy !req
88. Also,
and this is kind of embarrassing,Copy !req
89. but our lawyer...Copy !req
90. probably not the best.Copy !req
91. I decided to save
a few dollars on him.Copy !req
92. So I could hire
a private investigator...Copy !req
93. check all of you out.Copy !req
94. We're not the ones on trial here.Copy !req
95. See?Copy !req
96. You say you make it casual,
and then you call it a trial.Copy !req
97. Now, I'm sure
she won't find anything.Copy !req
98. I mean, nothing too crazy,
right?Copy !req
99. Maybe just something...
embarrassing.Copy !req
100. Maybe a lapse of judgment
here or there.Copy !req
101. I mean, like I was saying,Copy !req
102. you parse every choice
anyone has made,Copy !req
103. gonna be a few things
they'd rather not revisit.Copy !req
104. Am I right?Copy !req
105. And the third reason?Copy !req
106. I thought maybe you'd want
to work out a compromise.Copy !req
107. The surgery went well.Copy !req
108. We were able to fully evacuateCopy !req
109. the subdural hematoma
without any complications.Copy !req
110. It's a good thing you didn't
hesitate to bring her in.Copy !req
111. Oh. One advantage of being
an insecure, first-time momCopy !req
112. who panics every time
her child has a slight fever.Copy !req
113. Did I just hear you admit
that you're insecure?Copy !req
114. The girl who double-majored
in Physics and ChemistryCopy !req
115. because the Dean told her
they were the two toughest?Copy !req
116. Mom guilt ruins us all.
You'll see.Copy !req
117. Whenever you decide
to give up the motorcycleCopy !req
118. - and settle down.
- No way.Copy !req
119. My kid's going to kindergarten
on the back of a Ducati.Copy !req
120. I'm sorry. I need to go
check on another patient.Copy !req
121. Oh, how long
will she need to stay here?Copy !req
122. I'm still not sure
what caused the bleeding.Copy !req
123. I didn't see any signs of an
aneurysm or AVM, so that's good.Copy !req
124. I'll have a better idea when
I get the post-op test resultsCopy !req
125. back from Pathology.Copy !req
126. Thank you.Copy !req
127. This is why I love Pathology.Copy !req
128. We don't just fix stuff.Copy !req
129. We figure out
how it got broken.Copy !req
130. And why.Copy !req
131. Good morning.Copy !req
132. Just checking to make sure
you got my clot specimenCopy !req
133. - and blood draws.
- Just logged them in.Copy !req
134. Great. And if there's any way
to expedite, I'd appreciate it.Copy !req
135. The mom's a friend of mine
and stressed to the max.Copy !req
136. I'm pretty sure
the bleed wasCopy !req
137. - caused...
- Stop.Copy !req
138. I'm sorry. I meant...
please stop.Copy !req
139. I'd rather not know
what you think.Copy !req
140. It causes confirmation bias.Copy !req
141. Copy that.Copy !req
142. Hey. Um...Copy !req
143. Did I see you on Hanover Street
this morning?Copy !req
144. I... don't know.Copy !req
145. Were you on
Hanover Street this morning?Copy !req
146. Yes.Copy !req
147. I walked to work.Copy !req
148. Did you... see anything interesting...Copy !req
149. on the walk?Copy !req
150. Hmm...Copy !req
151. S-Shaun?Copy !req
152. We can't both expedite
your resultsCopy !req
153. and reminisce
about our morning walks.Copy !req
154. Sorry. Carry on.Copy !req
155. You're totally freaking out,
aren't you?Copy !req
156. No,
I'm not freaking out.Copy !req
157. All my patients freak outCopy !req
158. waiting for their
final test results.Copy !req
159. For 48 hours, you don't know
if you've won the lotteryCopy !req
160. or... if you're gonna be dead
in a few months.Copy !req
161. Hell, I freak out, too.Copy !req
162. It's the only time
I feel helpless.Copy !req
163. The treatment's over.
There' s nothing leftCopy !req
164. to do but... wait.Copy !req
165. I'm a little stressed.Copy !req
166. That speech...
not helpful.Copy !req
167. My advice. Embrace it.Copy !req
168. You're experiencing emotionsCopy !req
169. only a few people on Earth
will ever understand.Copy !req
170. The kind Hemingway
wrote about.Copy !req
171. - I'm more of a Faulkner guy.
- You would be.Copy !req
172. - You don't like Faulkner?
- No, I don't like Faulkner.Copy !req
173. Nobody really likes Faulkner.Copy !req
174. I like Faulkner.Copy !req
175. Right.Copy !req
176. Anyway...Copy !req
177. if there's anything
you need from me,Copy !req
178. even if it's just to talk,Copy !req
179. you have my direct number.Copy !req
180. Do not hesitate to use it.Copy !req
181. I appreciate that.Copy !req
182. And I would
like to show my gratitude.Copy !req
183. I know I haven't beenCopy !req
184. the easiest patient
to deal with.Copy !req
185. That's not necessary.Copy !req
186. I mean, if you want,Copy !req
187. you can make a donation
to cancer research.Copy !req
188. I already donate.
I wanted to thank you,Copy !req
189. not society at large.Copy !req
190. How about... Have you ever tried
Macallan's Sherry Oak 25?Copy !req
191. I don't drink.Copy !req
192. And I just said
it's not necessary.Copy !req
193. How about a weekend in Ojai?
I hear the spa is amazing.Copy !req
194. - No means no.
- I'm not trying to molest you.Copy !req
195. I just want to thank you.Copy !req
196. And you have,
and you are very welcome.Copy !req
197. Why do you
have to control everyCopy !req
198. - little thing?
- I have pepper spray in my purse.Copy !req
199. Don't make me use it.Copy !req
200. Carly,
I am gonna need 60 unitsCopy !req
201. of type B-positive packedCopy !req
202. red blood cellsheld for O.R.Copy !req
203. - 60?
- Mm-hmm.Copy !req
204. You operating on
a hemophiliac elephant?Copy !req
205. Our patient has a 200-pound
neurofibroma.Copy !req
206. Cool.Copy !req
207. There's more blood in the tumor
than the patient,Copy !req
208. so we're gonna have to follow
Massive Transfusion Protocol.Copy !req
209. You...Copy !req
210. You might need antifibrinolytic agentsCopy !req
211. to control the bleeding.Copy !req
212. That's a good idea.
Thanks.Copy !req
213. I could do some research
on cell salvage techniques.Copy !req
214. - Cancer is a risk, but if we were...
- I'm sorry, Shaun.Copy !req
215. Melendez has put together
a pretty big team, so...Copy !req
216. we have everything we need.Copy !req
217. I talked to Murphy.
He definitely saw us.Copy !req
218. What'd he say?Copy !req
219. It's not what he said.
It's how he acted.Copy !req
220. He was clearly uncomfortable
talking to me.Copy !req
221. He's uncomfortable
talking to everyone.Copy !req
222. We need to get out in front of this.Copy !req
223. Tell Andrews before
someone else does.Copy !req
224. We need to figure out
exactly what Murphy saw.Copy !req
225. How? We can't just ask him
if he saw us making...Copy !req
226. bread.Copy !req
227. We're not gonna get anywhere
with indirect questions.Copy !req
228. I'll talk to him.Copy !req
229. You think you can read him
better than I can?Copy !req
230. No, but if at first
you don't succeed...Copy !req
231. Let the man try?Copy !req
232. Dr. Han wants to see you two.Copy !req
233. - Both of us?
- Yep.Copy !req
234. Yep.Copy !req
235. Have a seat.Copy !req
236. Actually, we've been meaning
to talk to you.Copy !req
237. - The issue is...
- Dr. Han met with the medical board.Copy !req
238. We're not going to be suspended
or reprimanded.Copy !req
239. The hospital will pay fines
on your behalf,Copy !req
240. and you'll need to complete
a few continuing education classes.Copy !req
241. But overall, not bad.Copy !req
242. Thank you.Copy !req
243. Yeah, thanks.Copy !req
244. Does this mean I'm back
on the surgical team?Copy !req
245. No. It does not.Copy !req
246. You convinced the Board
that he's competent.Copy !req
247. You're welcome.Copy !req
248. We got a big problem.
With our tiny patient.Copy !req
249. I did a repeat assessment
of the pre-op CT'sCopy !req
250. and found a trace
subarachnoid bleed.Copy !req
251. But there was
no bruise on her scalp.Copy !req
252. I know.Copy !req
253. The only way
she could get this injuryCopy !req
254. is if someone shook her,Copy !req
255. and they would have
to shake her hard.Copy !req
256. S-Someone abused her.Copy !req
257. No.Copy !req
258. I've known Laura
since high school.Copy !req
259. She's the most composed,Copy !req
260. even-tempered person
I've ever met.Copy !req
261. And she's totally devoted
to that baby.Copy !req
262. What about the father?Copy !req
263. She conceived via a donor.Copy !req
264. A nanny, a relative,Copy !req
265. a-a boyfriend
who's been helping out?Copy !req
266. She waited so long for this...Copy !req
267. wanted to do everything herself.Copy !req
268. Then it has to be her.Copy !req
269. We need to call
Child Protective Services.Copy !req
270. No.Copy !req
271. Not yet.Copy !req
272. I'm gonna do an MRICopy !req
273. to rule out benign enlargement
of the extra-axial space.Copy !req
274. - Before we ruin her life...
- Good idea.Copy !req
275. Except for the part
about you doing the test.Copy !req
276. She's your friend.Copy !req
277. You think I'd try to help
someone cover up child abuse?Copy !req
278. I don't know you well enough
to knowCopy !req
279. what you would or wouldn't do
to protect a friend.Copy !req
280. I could do the MRI.Copy !req
281. I'm not the mother's friend.Copy !req
282. But you are a pathologist.Copy !req
283. Giving MRI's is not your job.Copy !req
284. Page Farmer. Have him do it.Copy !req
285. On it.Copy !req
286. Murphy.Copy !req
287. We need to talk.Copy !req
288. I don't have a girlfriend.Copy !req
289. Okay.Copy !req
290. Is that consistent withCopy !req
291. what you've deduced
and seenCopy !req
292. regarding my life?Copy !req
293. Yesss?Copy !req
294. Good.Copy !req
295. Enjoy your apple.Copy !req
296. It's not fair.Copy !req
297. Shaun is being punished for mistakesCopy !req
298. that Han thinks
he might make in the future.Copy !req
299. He's not punishing him.Copy !req
300. He just saved his ass.Copy !req
301. Okay, Kenny.
The MRA's gonna help us mapCopy !req
302. the blood supply to the tumor.Copy !req
303. If you could just lie still.Copy !req
304. No talking until we're done.Copy !req
305. Sure, no problem.Copy !req
306. We should take a stand.Copy !req
307. - Meaning what?
- Stage a walkout?Copy !req
308. How much does one of these
bad boys cost, anyway?Copy !req
309. About $3 million.Copy !req
310. But it's worthless
unless you stop talking.Copy !req
311. Sorry. My bad.Copy !req
312. Us getting fired is not gonna do
anything to help Shaun.Copy !req
313. And I'm not even sure
we should be helping him.Copy !req
314. Did you ever stop to thinkCopy !req
315. that maybe Han knows
what he's doing?Copy !req
316. Shaun has made mistakes,Copy !req
317. but he has
three more years of residency.Copy !req
318. That is plenty of time
to improve.Copy !req
319. Yes, you can build
a winning teamCopy !req
320. through supportive training,Copy !req
321. but you can also do it
by recruiting the bestCopy !req
322. and pushing them.
Relentlessly.Copy !req
323. No feelings. No charity.
No loyalty.Copy !req
324. Those who thrive and get betterCopy !req
325. than they ever thought
they could, you keep...Copy !req
326. and those who don't,
you cut.Copy !req
327. That's not good.Copy !req
328. It works for Jeff Bezos
and Bill Belichick.Copy !req
329. I'm not talking about
your leadership lecture.Copy !req
330. I'm talking about this.Copy !req
331. We need to page Melendez.Copy !req
332. What are you talking about?
You know me!Copy !req
333. How could you possibly believe
I could hurt my baby?Copy !req
334. I don't. Which is why I ordered
the additional tests.Copy !req
335. But did you never leave her
with anyone else?Copy !req
336. Even for just a few minutes
so that you could take a nap?Copy !req
337. Or a bath?Copy !req
338. Taking care of a newborn.
It's... It's exhausting.Copy !req
339. No. It isn't.Copy !req
340. After waiting for so long,Copy !req
341. every single moment,
no matter how hard...Copy !req
342. It's not exhausting.Copy !req
343. It's a joy.Copy !req
344. Laura,
I know you love her...Copy !req
345. but you're still human.Copy !req
346. You must get tired sometimes.Copy !req
347. I don't! Really.Copy !req
348. You don't understand
because you...Copy !req
349. because you haven't
experienced it.Copy !req
350. But when you love someone
so much...Copy !req
351. The tests.Copy !req
352. They have to be wrong.Copy !req
353. We expected the tumor to grow
since the last scans,Copy !req
354. but not to this extent.Copy !req
355. Blood vessels that I thoughtCopy !req
356. we'd be able to quickly cauterizeCopy !req
357. are now thicker than
my thumb.Copy !req
358. It's impossible to remove the tumorCopy !req
359. without causing you
to bleed to death.Copy !req
360. No.Copy !req
361. I don't care
how risky it is.Copy !req
362. I'd rather die in surgery
than continue to liveCopy !req
363. with this huge, damn tickCopy !req
364. sucking the life out of me.Copy !req
365. Kenny, as long as your heart
remains healthy,Copy !req
366. you basically will be, too.Copy !req
367. And we can do a better job
treating the pain.Copy !req
368. I don't want to be treated.Copy !req
369. I want to be cured.Copy !req
370. I want my life back.Copy !req
371. I always thought all...Copy !req
372. all I had to do was
get enough money,Copy !req
373. or find the right doctors...Copy !req
374. But if you're telling me
there's no hope...Copy !req
375. I appreciate
everything y'all done.Copy !req
376. Or at least tried to do.Copy !req
377. The injuries from shaking a babyCopy !req
378. are much different
than from blunt force trauma.Copy !req
379. Oh, that's awful...
but also interesting.Copy !req
380. It's like you're a detective
in a murder mystery.Copy !req
381. Only, thank God,
the baby's not dead.Copy !req
382. That's exactly
what Carly said.Copy !req
383. She likes solving
medical mysteries.Copy !req
384. She's very smart.
And aggressive.Copy !req
385. Well, how do she treat you?
Is she nice?Copy !req
386. Yes, she's very nice.Copy !req
387. She wants me to stay
in her department.Copy !req
388. She thinks
we make a good team.Copy !req
389. So it sounds like you have
a case you're interested inCopy !req
390. and a coworker you like
who's nice to you.Copy !req
391. Maybe Pathology won't be
that bad after all.Copy !req
392. I have work to do.Copy !req
393. Since it seems we're gonna be
working togetherCopy !req
394. for a while longer...Copy !req
395. maybe it is time
we came out of the closet.Copy !req
396. Maybe?Copy !req
397. Are you saying
you want to?Copy !req
398. Do you want to?Copy !req
399. Maybe.Copy !req
400. You're afraid it would
make things awkward?Copy !req
401. People seeing us
as a couple?Copy !req
402. Yes, obviously.Copy !req
403. But at the moment,
I'm more afraidCopy !req
404. that we wouldn't
be having this conversationCopy !req
405. if Murphy hadn't
almost busted us.Copy !req
406. Which makes me think we're not
ready to have this conversation.Copy !req
407. It's understandable
if we aren't.Copy !req
408. We've both been in relationshipsCopy !req
409. we thought were gonna last...Copy !req
410. Yeah. Understandable,
but why should we even careCopy !req
411. what people at work think?Copy !req
412. So, should we talk to Andrews?Copy !req
413. Maybe.
What do you think?Copy !req
414. Maybe.Copy !req
415. Uh, Sawchuck?Copy !req
416. - Sorry for the wait.
- Oh. Thank you.Copy !req
417. Excuse me, duck curry and rice?Copy !req
418. 40 minutes?
Really?Copy !req
419. Sorry, the kitchen fell a bit
behind.Copy !req
420. - It shouldn't be much longer.
- You're not just behind.Copy !req
421. People have come in after me,Copy !req
422. they've gotten their food,
gone home, eaten.Copy !req
423. They're in their PJs,
watching a movie.Copy !req
424. I'm so sorry.
I'll check right now.Copy !req
425. - Duck curry.
- Here you go, sir.Copy !req
426. Duck curry, brown rice.Copy !req
427. - White rice.
- Um, excuse me.Copy !req
428. - Duck curry with brown rice?
- Yes.Copy !req
429. - Connelly?
- That's me. Thank you.Copy !req
430. What are you guys doing
back there?Copy !req
431. I'm so sorry, Sir.Copy !req
432. You know what?
I'm tired of sorry.Copy !req
433. I just... I want my food!Copy !req
434. I'm sorry. It should just be
another minute.Copy !req
435. I don't want to wait
any longer!Copy !req
436. I'm sorry.Copy !req
437. Sorry. I'm sorry.Copy !req
438. I didn't... I didn't mean to yell.Copy !req
439. I'm so sorry.Copy !req
440. Carry on. Carry on.
Enjoy your...Copy !req
441. She's always trying
to one-up us.Copy !req
442. Morgan.Copy !req
443. She's not staying late because
she wants to do research.Copy !req
444. She's staying late so that Han
can see she's staying late.Copy !req
445. It's just who she is.
Don't take it personal.Copy !req
446. Mm.Copy !req
447. My dad's
a Taekwondo grandmaster.Copy !req
448. Coached me growing up.Copy !req
449. He always used to say,
"Only you can beat you."Copy !req
450. Well, my mom's a lounge singer,
and she used to say,Copy !req
451. "Upstage me
and I'll beat your ass."Copy !req
452. You'd think
if you're selling boba,Copy !req
453. you'd have straws
wide enoughCopy !req
454. to get the balls through
the damn thing.Copy !req
455. I can't believe
you drink that stuff.Copy !req
456. It's like putting
gummy bears in a drink.Copy !req
457. You give up?Copy !req
458. Want a soda instead?Copy !req
459. I see you.Copy !req
460. Which is, I assume,
your primary objective.Copy !req
461. I didn't even know
you were still here.Copy !req
462. I've been reading
the latest journal articlesCopy !req
463. - on neurofibroma...
- Go home.Copy !req
464. There's nothing you can do
for Kenny Grimm.Copy !req
465. And you're gonna have
other patients tomorrow.Copy !req
466. I got an idea.Copy !req
467. If we embolize the larger
blood vesselsCopy !req
468. to the tumor
before surgery,Copy !req
469. we can use
your body's clotting factorCopy !req
470. to help clog them.Copy !req
471. This should reduce
hemorrhaging during surgeryCopy !req
472. and allow us to excise the tumor
without you bleeding out.Copy !req
473. We'll steer a catheter through
an artery in your thigh...Copy !req
474. - Yes.
- Kenny...Copy !req
475. maybe
you should let them finish.Copy !req
476. No, I shouldn't.Copy !req
477. And, yes, you should.Copy !req
478. Yes, yes, yes.
As soon as possible. Yes.Copy !req
479. Thank you.Copy !req
480. The tests came back.Copy !req
481. They confirm
the previous results.Copy !req
482. Well, they're wrong.
There must be some other...Copy !req
483. There has to be
another test! Please.Copy !req
484. Ma'am, you're gonna need
to come with us.Copy !req
485. - You need help.
- From you!Copy !req
486. You're my friend,
and you called the police?Copy !req
487. Well, someone hurt your baby.
If it wasn't you...Copy !req
488. No one hurt my baby!
You're wrong!Copy !req
489. How can you not believe me?Copy !req
490. Just need to get a few more
branches off the aortaCopy !req
491. and we're done.Copy !req
492. Well done, Dr. Browne.Copy !req
493. What's the fluid status?Copy !req
494. CVP is 14 and rising.Copy !req
495. Get diuretics on deck.
40 milligrams I.V. Lasix.Copy !req
496. Careful.
If his pressure goes too low,Copy !req
497. his kidneys won't perfuse.Copy !req
498. I need you to keep his CVP
between 8 and 12.Copy !req
499. He can't tolerate
much more of this.Copy !req
500. We need to get him
to an O.R.Copy !req
501. Embolizing his vessels caused
third spacing of fluidsCopy !req
502. to the body and lungs.Copy !req
503. We saved the operation,Copy !req
504. but now we only have
half the time do it.Copy !req
505. Hey.Copy !req
506. Any word?Copy !req
507. No, not yet.Copy !req
508. Well, I-isn't there someone
from RadiologyCopy !req
509. who can expedite,
someone who owes you a favor?Copy !req
510. Even if there was,
I would not waste it on youCopy !req
511. because you do not need it.Copy !req
512. You are one of the most willful
patients I've ever had,Copy !req
513. and the finish line is in sight.Copy !req
514. All you need to do
is just run through the tape.Copy !req
515. Look, if it helps, as soon as
I'm done with this patient,Copy !req
516. we can talk some more.Copy !req
517. I can write you a scriptCopy !req
518. for something to help you
with the anxiety,Copy !req
519. but I don't think you need it.Copy !req
520. You got this.Copy !req
521. - More suction.
- Me, too.Copy !req
522. More sponges.Copy !req
523. Retract.Copy !req
524. That's it.Copy !req
525. What's his estimated blood loss?Copy !req
526. About 81/2 liters.Copy !req
527. The entire human bodyCopy !req
528. typically only has
51/2 liters of blood.Copy !req
529. Yeah, I know.Copy !req
530. Let's get 30 more units
on deck of PRBC.Copy !req
531. Add cryo, fresh frozen plasma,
and platelets to that.Copy !req
532. We should have checked
for blood breakdown products.Copy !req
533. If you don't mind, I'm trying
to pay attention to this.Copy !req
534. I wasn't talking to you.Copy !req
535. Or about this patient.Copy !req
536. We need to reexamine the
subdural blood clot specimens.Copy !req
537. If there's hemosiderin
deposition and chronic membranesCopy !req
538. including fibrous wall,Copy !req
539. it could prove it was not abuse.Copy !req
540. What else could it be?Copy !req
541. The tests proved
non-accidental trauma.Copy !req
542. Yes. The tests were right.Copy !req
543. Resected portion is secure.Copy !req
544. I.V.'s and central line?Copy !req
545. - Secure.
- Secure.Copy !req
546. Okay, everybody, get in position.Copy !req
547. Let's flip this pancake.Copy !req
548. On three.Copy !req
549. One, two, three.Copy !req
550. Wait. His heart rate spiked.Copy !req
551. Lay him back down.Copy !req
552. Softly. Softly.Copy !req
553. We okay?Copy !req
554. Yeah. Just a blip.Copy !req
555. Once more with feeling.Copy !req
556. Ready? One, two, three.Copy !req
557. - How are we doing?
- Good. He's stable.Copy !req
558. All right, swab the posterior
incision site.Copy !req
559. Okay, scalpel and sponge
on a stick.Copy !req
560. He's crashing.Copy !req
561. He's ventilating fine.Copy !req
562. We've got no immediate
blood loss or hemorrhaging.Copy !req
563. It looks like distributive shock.Copy !req
564. I need stat labs and
initiate shock resuscitation.Copy !req
565. He's got a high white count
and what looks to beCopy !req
566. a systemic pro-inflammatory
cytokine release.Copy !req
567. Cutting off the blood supply
to the tumorCopy !req
568. is causing post embolization syndrome.Copy !req
569. I need intra-arterial lidocaine,Copy !req
570. 130 milligrams of methylprednisolone,
and start antibiotics.Copy !req
571. Should we be trying
to reverse the embolization?Copy !req
572. Restore blood flow to the tumor?Copy !req
573. Well, then, we'd risk him
bleeding out even faster.Copy !req
574. We need to abort.Copy !req
575. Cut off what we already excised
and leave the rest.Copy !req
576. - No. We can't give up.
- We're not giving up.Copy !req
577. We're stopping a futile procedureCopy !req
578. to save the patient.Copy !req
579. We need to get Murphy in here.
It's a blood flow problem.Copy !req
580. Murphy has a special talent
for visualizing complex anatomy.Copy !req
581. We don't have time.
We need to stop the P.E.S. now.Copy !req
582. - Page Dr. Murphy.
- No. Do not page Dr. Murphy.Copy !req
583. I get it. You like him.Copy !req
584. But we don't have time
for an audition.Copy !req
585. I'm trying to save
my patient's life.Copy !req
586. My patient.
Which means it's my call.Copy !req
587. I am also trying to save
your patient's life,Copy !req
588. so I'm urging you
to stop wasting time.Copy !req
589. Now we've cut away
almost half.Copy !req
590. That's all we can do right now.Copy !req
591. So let's remove it
and give him a chanceCopy !req
592. to live and fight another day.Copy !req
593. The breakdown products showCopy !req
594. the injury that caused
the hematomaCopy !req
595. happened at least
seven weeks ago.Copy !req
596. When was she born?Copy !req
597. A little over seven weeks ago.Copy !req
598. But the vacuum delivery
must've caused a subdural bleedCopy !req
599. which re-bled two days ago.Copy !req
600. The baby wasn't abused.Copy !req
601. Shaun, we need you in the O.R.Copy !req
602. Any thoughts, Dr. Murphy?Copy !req
603. You don't have enough time.Copy !req
604. You can't fully map
the circulatory systemCopy !req
605. and remove the tumor
without killing the patient.Copy !req
606. It's too complex.Copy !req
607. Well, at least he was brief
and to the point.Copy !req
608. Now, can we do what I...Copy !req
609. But you don't have to do it quickly.Copy !req
610. We slow down, he bleeds out.Copy !req
611. If you clamp the aorta,Copy !req
612. it could lower the blood flow
to the tumor enoughCopy !req
613. to slow
the release of the cytokines.Copy !req
614. Clamping the aortaCopy !req
615. will kill the intestines,
kidneys, and legs.Copy !req
616. Not if we release the clamp
every 10 minutes.Copy !req
617. Give it just enough blood
to stop the cytokinesCopy !req
618. but not so much that
he bleeds to death.Copy !req
619. Let's do it.Copy !req
620. Thank you for the consult, Dr. Murphy.Copy !req
621. Reposition him to lateral.Copy !req
622. Secure I.V. and central line.Copy !req
623. - Secure.
- 10 blade.Copy !req
624. Starting midline laparotomy.Copy !req
625. Debakey.Copy !req
626. Opening up the lesser sac.Copy !req
627. Vessel loops.Copy !req
628. Get a Rumel ready.Copy !req
629. I need umbilical tape.Copy !req
630. MRI exams showCopy !req
631. chronic changes
of surgery and radiation,Copy !req
632. but no sign of
residual tumor detected.Copy !req
633. No signs.Copy !req
634. None.Copy !req
635. Zero. Zippo. Zilch.Copy !req
636. Wow.Copy !req
637. We'll do another MRI
in six monthsCopy !req
638. just to be sure,
but you are in the clear.Copy !req
639. This is exactly
what we hoped for.Copy !req
640. Kinehora.Copy !req
641. Tuh, tuh, tuh.
Knock on wood.Copy !req
642. - Thank you.
- Oh, you son of a bitch.Copy !req
643. I told you.Copy !req
644. You told me no.Copy !req
645. It's too heavy for diamonds.Copy !req
646. - Is it a Magic 8 Ball?
- Will you just open it?Copy !req
647. I don't like baseball.Copy !req
648. I do.Copy !req
649. So you got me something you like?Copy !req
650. I caught that foul ball
down the third base line...Copy !req
651. on my 13th birthday.Copy !req
652. My dad was amazed
that I snagged it.Copy !req
653. After the game,
we went outside the stadium.Copy !req
654. And I was a shy kid,
but my father pushed meCopy !req
655. to ask my favorite players
to sign it, and they all did.Copy !req
656. Bert Campaneris, Rollie Fingers,Copy !req
657. Reggie Jackson,
Catfish Hunter.Copy !req
658. If it happened today,
it'd all be on video.Copy !req
659. But all I have to remember
that awesome day...Copy !req
660. is that ball.Copy !req
661. I wanted you to have somethingCopy !req
662. that mattered to me.Copy !req
663. - Aaron, I can't.
- Oh, yes, you can.Copy !req
664. Bye.Copy !req
665. Cancer changes people.Copy !req
666. I've had patients tell me
it was a blessing.Copy !req
667. That their lives were
better after.Copy !req
668. They're idiots.Copy !req
669. Maybe.Copy !req
670. Would you have thought of such
a wonderful gift 11 months ago?Copy !req
671. Care to do the honors?Copy !req
672. Let's take it up.Copy !req
673. I'm so sorry.Copy !req
674. I should've trusted you.Copy !req
675. Please talk to me, Laura.Copy !req
676. Yell at me if you want.
I deserve it.Copy !req
677. - It's not your fault.
- Yes, it is.Copy !req
678. I should have done
more research,Copy !req
679. looked harder
for an alternative diagnosis.Copy !req
680. I mean it's not your fault
you are the way you are.Copy !req
681. You don't understand
the love a mother feels.Copy !req
682. I understand that a lot of
mothers abuse their children.Copy !req
683. You don't understand love.Copy !req
684. Because you've never allowed
yourself to be vulnerable.Copy !req
685. Even when you were married to Kashal,Copy !req
686. you never really committed.Copy !req
687. You always expect the worst
in people.Copy !req
688. Because that's all you see
in yourself.Copy !req
689. Okay.Copy !req
690. I've never been in so much pain...Copy !req
691. but felt so good.Copy !req
692. We'll up your pain meds.Copy !req
693. You're still gonna need some
skin and soft tissue grafts,Copy !req
694. but the hard part's done.Copy !req
695. Your prognosis is excellent.Copy !req
696. Thank y'all so much.Copy !req
697. What am I taking this thing home in?Copy !req
698. A glass bottle?
Y'all got something that big?Copy !req
699. He's just being a smart ass.Copy !req
700. Are you sure
you want to do this?Copy !req
701. Shut up.Copy !req
702. I saved the patient.Copy !req
703. I deserve to be a surgeon.Copy !req
704. Dr. Murphy...Copy !req
705. Dr. Han, I want my old job back.Copy !req
706. You're making a mistake.Copy !req
707. Am I, Shaun?Copy !req
708. Yes.Copy !req
709. Because it seems like you're
doing really well in Pathology.Copy !req
710. You made a great save
on an earlier caseCopy !req
711. and a great save today.Copy !req
712. You keep doing well, and, over time,Copy !req
713. we can build to you having
more responsibility.Copy !req
714. No.Copy !req
715. I'm a surgeon.Copy !req
716. I am not leaving your office
until you reinstate me.Copy !req
717. What are you doing, Shaun?Copy !req
718. Do you think ordering me
to do somethingCopy !req
719. will change my mind?Copy !req
720. Do you really think it's
a good idea to try and bully me?Copy !req
721. I am a surgeon.Copy !req
722. I am a surgeon.Copy !req
723. Do you realize that
you're proving my point?Copy !req
724. That you're acting immature?Copy !req
725. Showing that you don't know
how to communicateCopy !req
726. and you can't control your emotions?Copy !req
727. I am a surgeon!Copy !req
728. But you do have a talent
that I value.Copy !req
729. So I'm gonna give you one last chanceCopy !req
730. to maintain your dignityCopy !req
731. and leave my office...
now.Copy !req
732. Because if I have to call Security,Copy !req
733. you understand that I'm also
gonna have to fire you.Copy !req
734. I am a surgeon!Copy !req
735. I am a surgeon!Copy !req
736. I am... I am a surgeon!Copy !req
737. I am a surgeon, Dr. Han!Copy !req
738. I am a surgeon!Copy !req
739. Sync corrections by srjanapalaCopy !req