1. You're here early.
Trouble sleeping?Copy !req
2. No. Just wanted to get outCopy !req
3. of my apartment and to work.Copy !req
4. We work you plenty
hard enough. Go home.Copy !req
5. Making sure you're rested
is also part of the job.Copy !req
6. I understand.Copy !req
7. What should I tell a patientCopy !req
8. if they don't think they're sickCopy !req
9. but I think they have
pancreatic cancer?Copy !req
10. You think one of our patients
has pancreatic cancer?Copy !req
11. Seventeen.Copy !req
12. He's burped 17 timesCopy !req
13. in 10 minutes.Copy !req
14. It's a frequent symptom
of pancreatic cancer.Copy !req
15. Shaun, it's acid reflux.Copy !req
16. He's also jaundiced.Copy !req
17. No, he isn't.Copy !req
18. Paul's skin is definitely notCopy !req
19. the same color
it was six months ago.Copy !req
20. Paul? I looked at his mouthCopy !req
21. when he was telling me
about his daughter.Copy !req
22. She just... Walk with me.Copy !req
23. Say nothing.Copy !req
24. Hey, Shaun.Copy !req
25. Do a CVC, CMP,Copy !req
26. amylase, lipase, CA-19 levels,Copy !req
27. and CT abdomen,
pelvis pancreatic protocol,Copy !req
28. and do not tell him why.Copy !req
29. You want me to lie?Copy !req
30. I don't want you
to tell the truth.Copy !req
31. The discoloration, if there
is any, is very minor.Copy !req
32. I don't want you scaring the crap
out of the man over nothing.Copy !req
33. Excellent. I've been
practicing lying.Copy !req
34. I lied to you before when I saidCopy !req
35. I just wanted to get out
of my apartment and to work.Copy !req
36. Take Claire.Copy !req
37. Hello. I'm Dr. Lim.Copy !req
38. How can I help you today...Copy !req
39. Asha?Copy !req
40. I want plastic surgery.Copy !req
41. Sweetheart, this is
the Emergency Room.Copy !req
42. If you want, I can make
an appointment for you...Copy !req
43. Well, you do
vaginal rejuvenation, right?Copy !req
44. Yes...Copy !req
45. On much older,
much vainer women,Copy !req
46. generally after
having many children.Copy !req
47. I don't know what the boys
have told you... Examine me.Copy !req
48. Please.Copy !req
49. Please take off your underwear.Copy !req
50. Were you in an accident?Copy !req
51. No.Copy !req
52. Can you help me?Copy !req
53. Did your father do this to you?
No.Copy !req
54. Please just...
Did your mother...Copy !req
55. I need to know who did this to you.
No, you don't!Copy !req
56. It doesn't matter who...Copy !req
57. When I was 2 years old...Copy !req
58. I was... Tied down,Copy !req
59. and I was circumcised.Copy !req
60. Please.Copy !req
61. I'm hideous.Copy !req
62. Will you help me?Copy !req
63. Yes.Copy !req
64. Why do you need to confirmCopy !req
65. a diagnosis of acid reflux?Copy !req
66. Because we're doctors.
It's what we do.Copy !req
67. We just like
to be sure of everything.Copy !req
68. There are a few
remote possibilities...Copy !req
69. I've got this!Copy !req
70. Are you familiar with
the hospital employee manualCopy !req
71. section 17,
subsection c, triple I?Copy !req
72. No. Good.Copy !req
73. Good? Yes.Copy !req
74. It requires that all employeesCopy !req
75. shall be subject to,Copy !req
76. and I quote,Copy !req
77. "Any and all possible
necessary testsCopy !req
78. "to confirm
any and all diagnoses,Copy !req
79. "no matter how mundane,
the cost of which testsCopy !req
80. "shall be borne by
the hospital," end quote.Copy !req
81. The Board wants to make sureCopy !req
82. that no one
is exposed to patientsCopy !req
83. if there is any chance
that they haveCopy !req
84. any communicable condition.Copy !req
85. I had the flu last week.Copy !req
86. Why didn't anybody
do anything for me then?Copy !req
87. It's a new policy. You might
have pancreatic cancer.Copy !req
88. What?Copy !req
89. What'd he say?Copy !req
90. Female genital mutilationCopy !req
91. is the ritual cutting
or removal of some, or all,Copy !req
92. of the external
female genitalia.Copy !req
93. Over 200 million victims
worldwide.Copy !req
94. It is almost
universally practicedCopy !req
95. in a number of African
and Asian countries.Copy !req
96. Where was she born?Copy !req
97. Wisconsin.Copy !req
98. Yeah, it's way more common
here than you think.Copy !req
99. What religion is she?
I didn't ask.Copy !req
100. This isn't about religion.Copy !req
101. No legit religious organization
endorses this stuff.Copy !req
102. We're gonna do the labiaplasty
first thing in the morning.Copy !req
103. The damage done to her nerves
is not going to get undone,Copy !req
104. nor is the psych damage,Copy !req
105. but at least she'll
look like other girls.Copy !req
106. We should be able
to have her out of hereCopy !req
107. by 600 in the evening.Copy !req
108. Outpatient? Why the hurry?Copy !req
109. So her mother will simply
think she's in school,Copy !req
110. then out studying
with her friends.Copy !req
111. She loves her parents
and doesn't want to tell themCopy !req
112. that she's rejecting one
of their cultural traditions.Copy !req
113. They won't stay in the dark
for long,Copy !req
114. since we're legally obligated
to report them.Copy !req
115. That "cultural tradition"
also fitsCopy !req
116. the definition of abuse. And
they'll also find out when we askCopy !req
117. for their permission
to do this surgery.Copy !req
118. She's a minor.Copy !req
119. Her ID says she's 18.Copy !req
120. Yes, her fake IDCopy !req
121. says she's 18.Copy !req
122. Her number starts with an "H," which
means she was born in the '50s.Copy !req
123. Also, the photo background
is green instead of blue.Copy !req
124. Also six other things.Copy !req
125. Maybe we can get Legal
to get a court order...Copy !req
126. If I believe that ID is real,Copy !req
127. then I am entitled
to perform this surgeryCopy !req
128. without seeking consent of
anyone other than the patient.Copy !req
129. And, as legally required
within 36 hours,Copy !req
130. I will report
the evidence of abuseCopy !req
131. under the name and address
listed on that ID.Copy !req
132. If the investigation
of that reportCopy !req
133. doesn't begin until
the girl is long goneCopy !req
134. and happens to lead nowhere
because the name wasn't real,Copy !req
135. that's no fault of mine.Copy !req
136. Are you sure you want
to risk your medical licenseCopy !req
137. to protect an abusive mother?Copy !req
138. If we do this by the book,Copy !req
139. we never see that girl again
and no one gets help.Copy !req
140. If we do this by the book, maybe
the cops lock the parents up.Copy !req
141. We shine a light on this thing,
her community gets scared,Copy !req
142. and maybe the next girl
doesn't need our help.Copy !req
143. Or maybe the testimony
of the girlCopy !req
144. about what happened to her
when she was 2Copy !req
145. doesn't help the cops at all.Copy !req
146. Maybe the parents just
take their daughter home,Copy !req
147. and maybe we scare the next girlCopy !req
148. into not even asking for help.Copy !req
149. I'm doing the surgery
to this girlCopy !req
150. under this name
tomorrow morning at 700 a.m.Copy !req
151. I can't believe people ever lie.Copy !req
152. There are so many questionsCopy !req
153. people might ask you,Copy !req
154. but if you tell the truth,Copy !req
155. you already know the answers.Copy !req
156. And, also, it's wrong.Copy !req
157. But sometimes,Copy !req
158. you shouldn't tell
the whole truth?Copy !req
159. No. Of course not.Copy !req
160. Because that lets you
be honorableCopy !req
161. and tell the truth
and be a good person,Copy !req
162. but at the same time,Copy !req
163. you get to completely
deceive the person.Copy !req
164. No, I don't think that...
Lea came back.Copy !req
165. Wow, Shaun, that's great.Copy !req
166. She's staying with me
until she finds her own place.Copy !req
167. You must be so excited.Copy !req
168. Yes.Copy !req
169. You're not excited?Copy !req
170. I said, "Yes."Copy !req
171. Paul has one year to live.Copy !req
172. He has pancreatic cancer.Copy !req
173. Stage III.Copy !req
174. There are no metastatic
lesions, but there areCopy !req
175. local nodes involved. And
there's partial encasementCopy !req
176. of the superior
mesenteric artery.Copy !req
177. That puts it past the pointCopy !req
178. where we can cure
with local resection.Copy !req
179. We could do Whipple surgery.Copy !req
180. That's not advised for
stage III pancreatic cancer.Copy !req
181. Not quite. It's not advised
for stage IV.Copy !req
182. For stage III,
it's discretionary.Copy !req
183. In my discretion,Copy !req
184. he's better off with
12 semi-comfortable months,Copy !req
185. rather than running the risk of
dying on the table tomorrow.Copy !req
186. If he doesn't die on the table,
he could have many years.Copy !req
187. It isn't our call to make.Copy !req
188. I'll talk to Paul,
advise him of the parameters,Copy !req
189. let him make his own decision.Copy !req
190. No.Copy !req
191. Shaun should do it.Copy !req
192. Claire can do it.Copy !req
193. Yes, she can,
which is why you should do it.Copy !req
194. This is a teaching hospital.Copy !req
195. Andrews is right...Copy !req
196. Being a surgeon
isn't just about cutting.Copy !req
197. Would it be okayCopy !req
198. if we spoke
someplace more quiet?Copy !req
199. You need someplace quiet
to tell me I have acid reflux?Copy !req
200. I think we should be
someplace quietCopy !req
201. because people
sometimes get very upsetCopy !req
202. when they find out
they probably only haveCopy !req
203. less than a year to live.Copy !req
204. Okay...Copy !req
205. Can I call my family?Copy !req
206. They should probably hear
what you have to say, too.Copy !req
207. I'd rather just talk to...Copy !req
208. Of course you can.Copy !req
209. I'll elevate it with
a 6-inch Ambler tissue hook.Copy !req
210. You separate the underlying
tissue with iris forceps.Copy !req
211. I got it. Tenotomy scissors.Copy !req
212. I think we're actually
a little ahead of schedule.Copy !req
213. Might be able to get her home
in time to do her homework.Copy !req
214. Back to the bosom
of her loving family.Copy !req
215. We'd remove as much
of the cancer as possibleCopy !req
216. by removing the head
of the pancreasCopy !req
217. and other attached organs,Copy !req
218. but then, we'd have to
reconstruct the anatomy.Copy !req
219. The easiest way to do thatCopy !req
220. is to bring up
a loop of jejunum...Copy !req
221. Shaun.Copy !req
222. Sorry.Copy !req
223. The jejunum is part
of the small intestineCopy !req
224. between the duodenum and ileum.Copy !req
225. It's complicated,
very dangerous surgery.Copy !req
226. And even if it's successful,Copy !req
227. post-operative complications
are frequent and serious.Copy !req
228. And recovery can be
very painful.Copy !req
229. But if it works, he's better?
He'll be healthy?Copy !req
230. He would still need chemotherapyCopy !req
231. and a lifetime of monitoring.Copy !req
232. But hopefully, a long lifetime.Copy !req
233. Let's do it, Dad.Copy !req
234. What do you say?Copy !req
235. What should I do?Copy !req
236. It's your decision.Copy !req
237. All we can do
is present you with the facts.Copy !req
238. Yeah, here are the facts, Dad...Copy !req
239. The surgery may kill you.Copy !req
240. Not doing the surgery
will kill you.Copy !req
241. Can you give us a few minutes?Copy !req
242. Of course.Copy !req
243. It was very nice of Dr. Andrews
to give you an office,Copy !req
244. even though, you're on
medical leave.Copy !req
245. Yeah, he is a prince.Copy !req
246. Who's your surgeon going to be?Copy !req
247. I haven't d...Copy !req
248. I haven't decided yet.Copy !req
249. You should definitely go with.Copy !req
250. Dr. Joshua Atkinson
at Stanford Medical Center.Copy !req
251. His mortality index is.3.Copy !req
252. It's too low.Copy !req
253. Not enough of his patients
are dying?Copy !req
254. No, Shaun,
sometimes patients die.Copy !req
255. Doesn't matter
how good the doctor is.Copy !req
256. But when your mortality rate
is as low as Atkinson's,Copy !req
257. it means you're
turning away patients.Copy !req
258. You turn away patients,
it means you lack confidence.Copy !req
259. You lack confidence, I don't
want you inside my head.Copy !req
260. And I'd like to be able
to dress myselfCopy !req
261. when I'm all done.Copy !req
262. Shaun, what are you doing here?Copy !req
263. You showed up at work
early this morning.Copy !req
264. Go home. Get some rest.Copy !req
265. I won't rest if I go home.Copy !req
266. The surgery went great.Copy !req
267. Once everything's healed,
I thinkCopy !req
268. you'll be very happy
with the results.Copy !req
269. What time is it?Copy !req
270. Not quite 545.Copy !req
271. We just need you to pee, and...Copy !req
272. I need to go home.Copy !req
273. And you will... very soon.Copy !req
274. It hurts.Copy !req
275. I told you it would.Copy !req
276. We did a lot of cutting
and scraping.Copy !req
277. You had a lot of scar tissue.Copy !req
278. It hurts a lot.Copy !req
279. We'll give you some Tylenol,Copy !req
280. and you can tell your mother
you're cramping.Copy !req
281. Hang ketamine... 130 micrograms
per kilogram per hour.Copy !req
282. Why does it hurt this much?Copy !req
283. I don't know.Copy !req
284. But you're not going home.Copy !req
285. She's heavily sedated.Copy !req
286. What did we do to her?Copy !req
287. What if this is good news?Copy !req
288. I know you haven't been
a doctor all that long,Copy !req
289. but pain is rarely
a sign of good news.Copy !req
290. It is if you're talking about
a part of the bodyCopy !req
291. you thought was dead.Copy !req
292. What if this means there's still
viable nerve endings in there?Copy !req
293. What if this means we can
actually reconstruct her clitorisCopy !req
294. and that it's capable
of sensation?Copy !req
295. Maybe. All we know for sureCopy !req
296. is she's not gonna be home
anywhere near 600,Copy !req
297. which means we're about to have
a missing child on our hands.Copy !req
298. We have to bring Andrews
up to speed.Copy !req
299. I did a bad job of telling youCopy !req
300. that you're dying.Copy !req
301. Is there a good way?Copy !req
302. I can't figure out
when I'm supposed to lie,Copy !req
303. when I'm supposed to tell
part of the truth.Copy !req
304. And it doesn't really matter,Copy !req
305. because I can't figure out
how to do it anyway.Copy !req
306. You did fine with me.Copy !req
307. You never need to lie.Copy !req
308. Lies don't protect you
from the truth.Copy !req
309. I don't like your haircut.Copy !req
310. Okay.Copy !req
311. Maybe sometimes, when the
truth can't help someone...Copy !req
312. you should definitely just lie.Copy !req
313. Do you think praying will
help you reach a decision?Copy !req
314. I've already reached a decision.Copy !req
315. I'm praying to help me find
comfort with that decision.Copy !req
316. My family wants the surgery.Copy !req
317. And what do you want?Copy !req
318. I want what my family wants.Copy !req
319. I love them.Copy !req
320. But they love you, too, right?Copy !req
321. Don't they want what you want?Copy !req
322. Long ago, I made a decisionCopy !req
323. to be there for themCopy !req
324. no matter what.Copy !req
325. And if the last choice
I make in my lifeCopy !req
326. is consistent with that,Copy !req
327. I'm comfortable with that.Copy !req
328. I'm surprised by you.Copy !req
329. I, arguably,
made errors in judgment,Copy !req
330. but it was all in an effort
to help a patient.Copy !req
331. Yes, and that would make sense
if you thoughtCopy !req
332. you'd never have
another patient ever again.Copy !req
333. And if there wasn't currently an
opening for Chief of Surgery.Copy !req
334. I didn't know
that was on the table.Copy !req
335. See, that's the difference
between you and Melendez.Copy !req
336. I have no doubt that as soon
as I got this promotion,Copy !req
337. Melendez had done the math
and reacted accordingly.Copy !req
338. But I suspect that even
if you had done the math,Copy !req
339. it wouldn't have changed
how you handled this patient.Copy !req
340. I don't view that as a weakness.Copy !req
341. I'll handle
the administrative fallout.Copy !req
342. You...Copy !req
343. notify the parents immediately.Copy !req
344. I can't.Copy !req
345. We don't know
the girl's real name,Copy !req
346. and we have to keep her sedated,Copy !req
347. so there's no way
we can track...Copy !req
348. She's a teenager.
She's got a phone.Copy !req
349. Next time it rings, answer it.Copy !req
350. You feel the mesenteric
artery pulsing? Yes.Copy !req
351. You shouldn't.
You're too close to the vein.Copy !req
352. Great. Dr. Browne,
pass a penrose drain through.Copy !req
353. Bovie.Copy !req
354. Suction.Copy !req
355. Got it all.Copy !req
356. I see leaking pancreatic fluid.Copy !req
357. That'll eat holes
in everything it touches.Copy !req
358. Our duct tie didn't hold.Copy !req
359. Suction. Needle driver.Copy !req
360. Excellent.Copy !req
361. You have approved a scrub nurseCopy !req
362. and a circulating nurse
and seven other personnel.Copy !req
363. Everyone and everything
is covered,Copy !req
364. except for an actual surgeon.Copy !req
365. Yeah. I think
we may have to postpone.Copy !req
366. Have you notified your tumor to
stop growing in the interim?Copy !req
367. I think any possible damage
from a delayCopy !req
368. may be more than offset
by having somebody competentCopy !req
369. digging around in my brain.Copy !req
370. "Competent"?Copy !req
371. What's wrong with Sanders?
6% mortality rate.Copy !req
372. Taylor? I don't like the
way he's planning onCopy !req
373. dealing with a carotid tear.Copy !req
374. That's nowhere near your tumor.
It's the principle.Copy !req
375. Unger? He doesn't like me.Copy !req
376. No one likes you.
No! You don't like me.Copy !req
377. He doesn't like me. That's two.Copy !req
378. Just pick a name.
I don't care who.Copy !req
379. I don't care
if they're a doctor.Copy !req
380. Just pick a name.Copy !req
381. Because in 48 hours, you're
either getting your surgeryCopy !req
382. or you're getting
a new oncologist.Copy !req
383. She's in pain.Copy !req
384. That's why she's asleep
right now,Copy !req
385. because of what you did to her?Copy !req
386. What I did to herCopy !req
387. I believe revealed
that what you did to herCopy !req
388. didn't do as much damage
as we initially feared.Copy !req
389. We want to do
a second surgery...Copy !req
390. How can you stop her pain?Copy !req
391. It's called
clitoral reconstruction.Copy !req
392. The nerves of her clitoris
are exposed.Copy !req
393. We can sheath them using...Copy !req
394. Our daughter wants this?Copy !req
395. Asha wants to be
like other girls.Copy !req
396. She wants to be able to...Copy !req
397. Mara told you that?Copy !req
398. That's our daughter's name.Copy !req
399. Not Asha.Copy !req
400. You don't know her at all.Copy !req
401. We need to do this surgery
to relieve her pain.Copy !req
402. No. There must be another way.Copy !req
403. We want a second opinion.Copy !req
404. Not at this hospital.Copy !req
405. How soon can our daughter
be moved?Copy !req
406. Excuse me, Dr. Lim.Copy !req
407. I am Ellen Vahtra from
Child Protective Services.Copy !req
408. Until I complete my review,Copy !req
409. I'm afraid you're not going to be
moving your daughter anywhere.Copy !req
410. How did it go? Is Dad okay?Copy !req
411. There were complications,Copy !req
412. but we found solutions.Copy !req
413. It went very well.
We got it all.Copy !req
414. My...Copy !req
415. There's still...Copy !req
416. I don't think I did that well.Copy !req
417. They're too happy.Copy !req
418. Post-surgical complications are
still a major concern that they...Copy !req
419. Let them enjoy the good news.Copy !req
420. Is deceiving someone in a
way that makes them happyCopy !req
421. better than deceiving someone
in a way that makes them sad?Copy !req
422. Shaun. I think there's
someone here to see you.Copy !req
423. Hey.Copy !req
424. I had some time, so I thoughtCopy !req
425. you might want to have
some lunch with me?Copy !req
426. I do not have time.Copy !req
427. What's wrong?Copy !req
428. What did she do?Copy !req
429. Shaun. Sha...Copy !req
430. You don't want to talk to Lea.
I don't understand.Copy !req
431. I don't understand.Copy !req
432. I don't understand!Copy !req
433. You're not being fair
to her or yourself.Copy !req
434. She's always been nice to you.
No, she hasn't.Copy !req
435. She's your friend.Copy !req
436. Whatever's happened, you have
to talk to her about it.Copy !req
437. Be honest about
what you're feeling...Copy !req
438. I can't be.Copy !req
439. Of course you can.Copy !req
440. I don't know...Copy !req
441. I don't know how I feel!Copy !req
442. I can't be honest
if I don't know how I feel!Copy !req
443. Our 16-year-old daughterCopy !req
444. is lying in a hospital bed
unconsciousCopy !req
445. to protect her
from overwhelming painCopy !req
446. because of what this place did
to her without our permission.Copy !req
447. And you are investigating us?Copy !req
448. Your daughter is suffering
because you butchered herCopy !req
449. when she was 2 years old.Copy !req
450. Dr. Lim, please refrain from
unsubstantiated allegations.Copy !req
451. Either they're the butchers or
they're protecting the butchers.Copy !req
452. If you didn't do it,
tell us who did.Copy !req
453. It was an aunt
and a grandmother from Kenya.Copy !req
454. They were watching Mara
while we were on vacation.Copy !req
455. Well, you must've
been horrified.Copy !req
456. Did you take her to a doctor?Copy !req
457. That girl's sex organs
were covered with scar tissue.Copy !req
458. She had no medical attention
to treat any of her wounds.Copy !req
459. She was fine.Copy !req
460. She was happy, laughing.Copy !req
461. It's not that big a deal.Copy !req
462. I was cut.Copy !req
463. My mother was cut.
Her mother was cut.Copy !req
464. It is a rite of passage connecting
our women to their ancestors.Copy !req
465. She will not find a husband
in our culture if she's...Copy !req
466. So she'll find someone else.Copy !req
467. It's not that big a deal.Copy !req
468. These parents forfeited
the right to make any callsCopy !req
469. about their daughter
a long time ago.Copy !req
470. Our daughter
is an honor student,Copy !req
471. taking three AP classes
in her junior year,Copy !req
472. went on a mission to Haiti
to build a school.Copy !req
473. We have raised her well.Copy !req
474. She is a good person.Copy !req
475. We're proud of her.Copy !req
476. I'm sure she is a good person.Copy !req
477. But you are not gonna
convince meCopy !req
478. that what happened to Mara
when she was 2 years oldCopy !req
479. is anything short
of an abomination.Copy !req
480. But that's not the issue today.Copy !req
481. The issue is, how do we
best help this girl now?Copy !req
482. The clitoral reconstruction
should protect the exposed nerve.Copy !req
483. "Should"?Copy !req
484. That is the surgery that,
in my medical opinion,Copy !req
485. is called for.Copy !req
486. But it's not the only option?Copy !req
487. We could oblate
the peripheral nervesCopy !req
488. and remove the remaining
clitoral tissue.Copy !req
489. And is that surgery safer
or more dangerous?Copy !req
490. It's simpler, but that's not
the only factor here.Copy !req
491. It's the only factor to us.Copy !req
492. We want to know
that our daughterCopy !req
493. won't spend the rest
of her life in pain.Copy !req
494. Please.Copy !req
495. For a moment,Copy !req
496. can we think about something
other than Mara's pain?Copy !req
497. Can we think about her pleasure?Copy !req
498. We have a chance to give herCopy !req
499. a healthy, meaningful sex life.Copy !req
500. That is what she came here
looking for.Copy !req
501. Wake her up.Copy !req
502. She's in pain, and she's already
told me what she wanted.Copy !req
503. Yesterday, she was requesting
cosmetic surgery.Copy !req
504. Today, you're asking her
to risk a lifetime of painCopy !req
505. for a chance at pleasure.Copy !req
506. From everything I've heard,Copy !req
507. she's mature enough
to make the call herself,Copy !req
508. even if it means suffering
for a few minutes to do so.Copy !req
509. Dr. Unger has a mortality indexCopy !req
510. that is not too high
and not too low.Copy !req
511. It's not gonna be Unger.Copy !req
512. You have not eliminated Dr. Ko.Copy !req
513. Not yet.Copy !req
514. I may have to go out of state
to find a neurosurgeon.Copy !req
515. Plus, I may have to find
myself a new oncologist.Copy !req
516. You've used Dr. Ko many times.Copy !req
517. Did you think
she might kill your patients?Copy !req
518. No.Copy !req
519. Do you think
you're better than them?Copy !req
520. Yes, a little.Copy !req
521. That was a joke.Copy !req
522. You don't want
to talk about this.Copy !req
523. No, I don't want
to talk about this, Shaun.Copy !req
524. That, in fact, is the point
of the alcohol.Copy !req
525. Okay, I understand.Copy !req
526. Good.Copy !req
527. Why can't we talk about it?Copy !req
528. Because it's upsetting.Copy !req
529. Is that why you're stalling?Copy !req
530. Because you're afraid of dying?Copy !req
531. I'm not afraid of dying.Copy !req
532. Really?Copy !req
533. Why not?Copy !req
534. You should be.
Dying is terrible.Copy !req
535. Yes, dying is terrible.Copy !req
536. But there are worse things.Copy !req
537. What's worse than dying?Copy !req
538. Not dying.Copy !req
539. That doesn't make sense.Copy !req
540. Makes sense to me.Copy !req
541. That doesn't make sense.Copy !req
542. That's the middle ground, Shaun.Copy !req
543. Brain surgeries have a tendencyCopy !req
544. to end in the middle ground.Copy !req
545. Brain surgeries can be
considered a successCopy !req
546. even when the patient
ends up compromised.Copy !req
547. He can't walk. He can't talk.Copy !req
548. His hand can't stop shaking.Copy !req
549. I've been terrible
at a lot of things in my life,Copy !req
550. but I am damn smart.Copy !req
551. And I am a damn good surgeon.Copy !req
552. And if I can't be those things,Copy !req
553. then I don't know who I'd be.Copy !req
554. You'd be my friend.Copy !req
555. Well, thank you, Shaun.Copy !req
556. I have to go.
My patient just crashed.Copy !req
557. It's not enough. Is it?Copy !req
558. No.Copy !req
559. I'm sorry it isn't.Copy !req
560. Mom. Dad.Copy !req
561. We're here.Copy !req
562. We love you.Copy !req
563. We just don't understand
why you would turn your back.Copy !req
564. Hello, Mara.Copy !req
565. I'm Ellen Vahtra.
I'm a social worker.Copy !req
566. Your parents know what happened,Copy !req
567. and Dr. Lim gave you
a nerve block.Copy !req
568. It hurts. It still hurts.Copy !req
569. I understand that, and we are
going to try to get youCopy !req
570. back to sleep
as quickly as possible.Copy !req
571. But something happened during
your surgery, and we need youCopy !req
572. to make a decision
about what is done next.Copy !req
573. We believe that, despite what
was done to you as a child,Copy !req
574. the reason you're in so much
pain because you still haveCopy !req
575. functioning nerves
in your clitoris,Copy !req
576. nerves that had been covered
with scar tissue.Copy !req
577. I'd like to repair that.Copy !req
578. We can make you
physiologically complete.Copy !req
579. But there's no guarantee
that it would work.Copy !req
580. I'm confident.Copy !req
581. There is a safer choice.Copy !req
582. We could... remove
your entire clitoris.Copy !req
583. This is your choice.Copy !req
584. You will be protected
no matter what.Copy !req
585. Take it out.Copy !req
586. Mara, we can make you whole...Copy !req
587. I made a mistake. Take it out.Copy !req
588. She's on medication.
She's in pain...Copy !req
589. Dr. Lim, please let her
go back to sleep.Copy !req
590. And prepare to operate
to remove the damaged tissue.Copy !req
591. Hang fresh, frozen plasma, too.
Looks like he's going into DIC.Copy !req
592. Give me another hemostat.Copy !req
593. BP's 71 over 53.Copy !req
594. We should have warned
the family.Copy !req
595. Can't see anything in here.
There's too much blood.Copy !req
596. More suction. I think you
got the hepatic artery.Copy !req
597. The warning wouldn't
have made any difference.Copy !req
598. The bleeding
is not slowing down.Copy !req
599. We need to send the aorta
to the celiac.Copy !req
600. I need to see it to clamp it.Copy !req
601. They would have been prepared.Copy !req
602. A-line systolic's 54.
He's bottoming out.Copy !req
603. No, they wouldn't.Copy !req
604. You two, shut up and
pack his abdomen with lapsCopy !req
605. while I sort through this mess.Copy !req
606. I won't do it.Copy !req
607. Can we appeal this? Do you know?Copy !req
608. I've spoken with
our legal department.Copy !req
609. Unless we can prove
the social worker was biased,Copy !req
610. we are stuck with this ruling.Copy !req
611. Well, then you're also
stuck with "I won't do it."Copy !req
612. You're a good doctor.
This hospital will miss you.Copy !req
613. You're gonna fire me because I
won't butcher a teenage girl?Copy !req
614. Of course I am.Copy !req
615. This hospital will face
lawsuits, suspensions,Copy !req
616. perhaps criminal charges,Copy !req
617. and this little girl will still
get the surgery you hate.Copy !req
618. Could Dr. Lim at least
talk to Mara again?Copy !req
619. You want to wake her up
again in pain?Copy !req
620. Every woman deserves the rightCopy !req
621. to make decisions
about her sexualityCopy !req
622. without her parents
hanging over her.Copy !req
623. Okay.Copy !req
624. When I was 15 years old,Copy !req
625. my father caught me with a boy.Copy !req
626. I mean, we weren't doing it,Copy !req
627. but my top was off and.Copy !req
628. Well, it doesn't matter.Copy !req
629. My father hit me.Copy !req
630. I still have a small scar.Copy !req
631. Our relationship
was never the same.Copy !req
632. But that's what growing up is.Copy !req
633. Not everyone gets called a slut.Copy !req
634. Not everyone gets butchered.Copy !req
635. But everyone becomes
a man or a womanCopy !req
636. and stops being a child.Copy !req
637. I want to take a piece of
tissue from inside your cheekCopy !req
638. and I want to graft it
to your clitoris.Copy !req
639. We can make you feel... love.Copy !req
640. I can't turn my back on my
family, on my traditions.Copy !req
641. TraditionsCopy !req
642. connect us to the past.Copy !req
643. What about the future?Copy !req
644. Please.Copy !req
645. No. I'm in pain.Copy !req
646. Cross-clamping his aorta.Copy !req
647. He's in
ventricular fibrillation.Copy !req
648. Starting chest compressions.Copy !req
649. Okay. Everybody clear.Copy !req
650. Prep the cheek, as well.Copy !req
651. She's taking the graft?
The paperwork doesn't say...Copy !req
652. She consented verbally.Copy !req
653. We didn't want to keep her
awake any longerCopy !req
654. than absolutely necessary.Copy !req
655. I wanted to help her
as much as you...Copy !req
656. When she wanted help.Copy !req
657. But if she doesn't want this...
She wants this.Copy !req
658. Dr. Lim just told us.Copy !req
659. Prep the cheek.Copy !req
660. I'll tell the family.Copy !req
661. No.Copy !req
662. Claire, you do it.Copy !req
663. This isn't the time
for learning.Copy !req
664. I'm sorry.Copy !req
665. Paul died during surgery.Copy !req
666. He had a gastroduodenal
artery rupture.Copy !req
667. It's a common complication
of a Whipple surgery,Copy !req
668. especially when
someone's cancer was...Copy !req
669. As advanced as his was.Copy !req
670. We... did everything we couldCopy !req
671. for as long as we could.Copy !req
672. He didn't suffer.Copy !req
673. You did this to him.Copy !req
674. Dad didn't want this.Copy !req
675. You saw that look on his face.
He was scared.Copy !req
676. In my experience,
it does no good to dwell...Copy !req
677. Of course he was scared.Copy !req
678. That doesn't mean... He just wanted
to live his last few months.Copy !req
679. Stop it.Copy !req
680. Nobody made your father
do anything.Copy !req
681. He knew the risks.Copy !req
682. It's your fault, too, Mom.Copy !req
683. All of us.Copy !req
684. He would do anything for us.Copy !req
685. We killed our father.Copy !req
686. It's not true.Copy !req
687. Paul wanted this surgery.Copy !req
688. He told me
he wanted this surgery.Copy !req
689. Was that true?Copy !req
690. Paul told me...Copy !req
691. When the truth
can't help someone,Copy !req
692. we should lie.Copy !req
693. Mom?Copy !req
694. How are you? Does anything hurt?Copy !req
695. Not much. I'm better.Copy !req
696. Looks like she's doing well.Copy !req
697. Thank you, Doctor.Copy !req
698. There should still be some
discomfort at the surgical site.Copy !req
699. A nurse will bring you some...Copy !req
700. Sorry.Copy !req
701. A nurse will
bring you some Tylenol,Copy !req
702. which should really
be all you need.Copy !req
703. Thank you.Copy !req
704. You're gonna be great.Copy !req
705. You're here.Copy !req
706. Yes. I live here.Copy !req
707. You know that.Copy !req
708. Well, I was starting to doubt
it the last couple of days.Copy !req
709. You come home after I'm asleep.Copy !req
710. You leave
before I can even get up.Copy !req
711. Wow.Copy !req
712. Thank you.Copy !req
713. Please take this.Copy !req
714. No, this is yours, Shaun.Copy !req
715. I gave it to you
to remember me by.Copy !req
716. It hurt.Copy !req
717. I didn't want
to tell you the truthCopy !req
718. because I didn't know it,Copy !req
719. but I have to tell you the
truth because it will help.Copy !req
720. Every night, I would come home,Copy !req
721. and I would look
at that baseball,Copy !req
722. and I would think of you.Copy !req
723. The baseball was here,Copy !req
724. but you weren't.Copy !req
725. That's sweet.Copy !req
726. No, it isn't.Copy !req
727. It hurt.Copy !req
728. You hurt me.Copy !req
729. Okay, Shaun, you know...Copy !req
730. You went away, and it hurt,Copy !req
731. and it kept hurting,
and now you're back.Copy !req
732. If you stay,
you will go away again,Copy !req
733. and it will hurt again.Copy !req
734. So I want you
to go back to Hershey.Copy !req
735. I know you don't mean that,
and I know...Copy !req
736. Please go back to HersheyCopy !req
737. or anywhere other than here!Copy !req
738. Feeling okay?Copy !req
739. Yeah, sure, superduper.Copy !req
740. I want to thank you
for your trust.Copy !req
741. I'll do my best to deserve it.Copy !req
742. Well, that's all I can ask.Copy !req
743. You know the drill.Copy !req
744. 10...Copy !req
745. 9...Copy !req
746. 8...Copy !req
747. 7...Copy !req