1. You're here early. Trouble sleeping?
Copy !req
2. No. Just wanted to get out
Copy !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 patient
Copy !req
8. if they don't think they're sick
Copy !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 times
Copy !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 not
Copy !req
19. the same color it was six months ago.
Copy !req
20. - Paul?
- I looked at his mouth
Copy !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 said
Copy !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...
Copy !req
48. Examine me.
Copy !req
49. Please.
Copy !req
50. Please take off your underwear.
Copy !req
51. Were you in an accident?
Copy !req
52. No.
Copy !req
53. Can you help me?
Copy !req
54. - Did your father do this to you?
- No.
Copy !req
55. - Please just...
- Did your mother...
Copy !req
56. - I need to know who did this to you.
- No, you don't!
Copy !req
57. It doesn't matter who...
Copy !req
58. When I was 2 years old...
Copy !req
59. I was... Tied down,
Copy !req
60. and I was circumcised.
Copy !req
61. Please.
Copy !req
62. I'm hideous.
Copy !req
63. Will you help me?
Copy !req
64. Yes.
Copy !req
65. Why do you need to confirm
Copy !req
66. a diagnosis of acid reflux?
Copy !req
67. Because we're doctors. It's what we do.
Copy !req
68. We just like to be sure of everything.
Copy !req
69. There are a few remote possibilities...
Copy !req
70. I've got this!
Copy !req
71. Are you familiar with
the hospital employee manual
Copy !req
72. section 17, subsection C, triple I?
Copy !req
73. - No.
- Good.
Copy !req
74. - Good?
- Yes.
Copy !req
75. It requires that all employees
Copy !req
76. shall be subject to,
Copy !req
77. and I quote,
Copy !req
78. "Any and all possible necessary tests
Copy !req
79. "to confirm any and all diagnoses,
Copy !req
80. "no matter how mundane,
the cost of which tests
Copy !req
81. "shall be borne by
the hospital," end quote.
Copy !req
82. The Board wants to make sure
Copy !req
83. that no one is exposed to patients
Copy !req
84. if there is any chance that they have
Copy !req
85. any communicable condition.
Copy !req
86. I had the flu last week.
Copy !req
87. Why didn't anybody
do anything for me then?
Copy !req
88. - It's a new policy.
- You might have pancreatic cancer.
Copy !req
89. What?
Copy !req
90. What'd he say?
Copy !req
91. Female genital mutilation
Copy !req
92. is the ritual cutting
or removal of some, or all,
Copy !req
93. of the external female genitalia.
Copy !req
94. Over 200 million victims worldwide.
Copy !req
95. It is almost universally practiced
Copy !req
96. in a number of African
and Asian countries.
Copy !req
97. Where was she born?
Copy !req
98. Wisconsin.
Copy !req
99. Yeah, it's way more common
here than you think.
Copy !req
100. - What religion is she?
- I didn't ask.
Copy !req
101. This isn't about religion.
Copy !req
102. No legit religious organization
endorses this stuff.
Copy !req
103. We're gonna do the labiaplasty
first thing in the morning.
Copy !req
104. The damage done to her nerves
is not going to get undone,
Copy !req
105. nor is the psych damage,
Copy !req
106. but at least she'll
look like other girls.
Copy !req
107. We should be able to have her out of here
Copy !req
108. by 6:00 in the evening.
Copy !req
109. Outpatient? Why the hurry?
Copy !req
110. So her mother will simply
think she's in school,
Copy !req
111. then out studying with her friends.
Copy !req
112. She loves her parents
and doesn't want to tell them
Copy !req
113. that she's rejecting one
of their cultural traditions.
Copy !req
114. They won't stay in the dark for long,
Copy !req
115. since we're legally obligated
to report them.
Copy !req
116. That "cultural tradition" also fits
Copy !req
117. - the definition of abuse.
- And they'll also find out when we ask
Copy !req
118. for their permission to do this surgery.
Copy !req
119. She's a minor.
Copy !req
120. Her ID says she's 18.
Copy !req
121. Yes, her fake ID
Copy !req
122. says she's 18.
Copy !req
123. Her number starts with an "H," which
means she was born in the '50s.
Copy !req
124. Also, the photo background
is green instead of blue.
Copy !req
125. Also six other things.
Copy !req
126. Maybe we can get Legal
to get a court order...
Copy !req
127. If I believe that ID is real,
Copy !req
128. then I am entitled
to perform this surgery
Copy !req
129. without seeking consent of
anyone other than the patient.
Copy !req
130. And, as legally required within 36 hours,
Copy !req
131. I will report the evidence of abuse
Copy !req
132. under the name and address
listed on that ID.
Copy !req
133. If the investigation of that report
Copy !req
134. doesn't begin until the girl is long gone
Copy !req
135. and happens to lead nowhere
because the name wasn't real,
Copy !req
136. that's no fault of mine.
Copy !req
137. Are you sure you want
to risk your medical license
Copy !req
138. to protect an abusive mother?
Copy !req
139. If we do this by the book,
Copy !req
140. we never see that girl again
and no one gets help.
Copy !req
141. If we do this by the book, maybe
the cops lock the parents up.
Copy !req
142. We shine a light on this thing,
her community gets scared,
Copy !req
143. and maybe the next girl
doesn't need our help.
Copy !req
144. Or maybe the testimony of the girl
Copy !req
145. about what happened to her when she was 2
Copy !req
146. doesn't help the cops at all.
Copy !req
147. Maybe the parents just
take their daughter home,
Copy !req
148. and maybe we scare the next girl
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149. into not even asking for help.
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150. I'm doing the surgery to this girl
Copy !req
151. under this name
tomorrow morning at 7:00 a.m.
Copy !req
152. I can't believe people ever lie.
Copy !req
153. There are so many questions
Copy !req
154. people might ask you,
Copy !req
155. but if you tell the truth,
Copy !req
156. you already know the answers.
Copy !req
157. And, also, it's wrong.
Copy !req
158. But sometimes,
Copy !req
159. you shouldn't tell the whole truth?
Copy !req
160. No. Of course not.
Copy !req
161. Because that lets you be honorable
Copy !req
162. and tell the truth and be a good person,
Copy !req
163. but at the same time,
Copy !req
164. you get to completely deceive the person.
Copy !req
165. - No, I don't think that...
- Lea came back.
Copy !req
166. Wow, Shaun, that's great.
Copy !req
167. She's staying with me
until she finds her own place.
Copy !req
168. You must be so excited.
Copy !req
169. Yes.
Copy !req
170. You're not excited?
Copy !req
171. I said, "Yes."
Copy !req
172. Paul has one year to live.
Copy !req
173. He has pancreatic cancer.
Copy !req
174. Stage III.
Copy !req
175. There are no metastatic
lesions, but there are
Copy !req
176. - local nodes involved.
- And there's partial encasement
Copy !req
177. of the superior mesenteric artery.
Copy !req
178. That puts it past the point
Copy !req
179. where we can cure with local resection.
Copy !req
180. We could do Whipple surgery.
Copy !req
181. That's not advised for
stage III pancreatic cancer.
Copy !req
182. Not quite. It's not advised for stage IV.
Copy !req
183. For stage III, it's discretionary.
Copy !req
184. In my discretion,
Copy !req
185. he's better off with
12 semi-comfortable months,
Copy !req
186. rather than running the risk of
dying on the table tomorrow.
Copy !req
187. If he doesn't die on the table,
he could have many years.
Copy !req
188. It isn't our call to make.
Copy !req
189. I'll talk to Paul,
advise him of the parameters,
Copy !req
190. let him make his own decision.
Copy !req
191. No.
Copy !req
192. Shaun should do it.
Copy !req
193. Claire can do it.
Copy !req
194. Yes, she can,
which is why you should do it.
Copy !req
195. This is a teaching hospital.
Copy !req
196. Andrews is right...
Copy !req
197. Being a surgeon isn't just about cutting.
Copy !req
198. Would it be okay
Copy !req
199. if we spoke someplace more quiet?
Copy !req
200. You need someplace quiet
to tell me I have acid reflux?
Copy !req
201. I think we should be someplace quiet
Copy !req
202. because people sometimes get very upset
Copy !req
203. when they find out
they probably only have
Copy !req
204. less than a year to live.
Copy !req
205. Okay, uh...
Copy !req
206. Can I call my family?
Copy !req
207. They should probably hear
what you have to say, too.
Copy !req
208. I'd rather just talk to...
Copy !req
209. Of course you can.
Copy !req
210. I'll elevate it with
a 6-inch Ambler tissue hook.
Copy !req
211. You separate the underlying
tissue with iris forceps.
Copy !req
212. I got it. Tenotomy scissors.
Copy !req
213. I think we're actually
a little ahead of schedule.
Copy !req
214. Might be able to get her home
in time to do her homework.
Copy !req
215. Back to the bosom of her loving family.
Copy !req
216. We'd remove as much
of the cancer as possible
Copy !req
217. by removing the head of the pancreas
Copy !req
218. and other attached organs,
Copy !req
219. but then, we'd have to
reconstruct the anatomy.
Copy !req
220. The easiest way to do that
Copy !req
221. is to bring up a loop of jejunum...
Copy !req
222. Shaun.
Copy !req
223. Sorry.
Copy !req
224. The jejunum is part
of the small intestine
Copy !req
225. between the duodenum and ileum.
Copy !req
226. It's complicated, very dangerous surgery.
Copy !req
227. And even if it's successful,
Copy !req
228. post-operative complications
are frequent and serious.
Copy !req
229. And recovery can be very painful.
Copy !req
230. But if it works, he's better?
He'll be healthy?
Copy !req
231. He would still need chemotherapy
Copy !req
232. and a lifetime of monitoring.
Copy !req
233. But hopefully, a long lifetime.
Copy !req
234. Let's do it, Dad.
Copy !req
235. What do you say?
Copy !req
236. What should I do?
Copy !req
237. It's your decision.
Copy !req
238. All we can do
is present you with the facts.
Copy !req
239. Yeah, here are the facts, Dad...
Copy !req
240. The surgery may kill you.
Copy !req
241. Not doing the surgery will kill you.
Copy !req
242. Can you give us a few minutes?
Copy !req
243. Of course.
Copy !req
244. It was very nice of Dr. Andrews
to give you an office,
Copy !req
245. even though, you're on medical leave.
Copy !req
246. Yeah, he is a prince.
Copy !req
247. Who's your surgeon going to be?
Copy !req
248. I haven't d...
Copy !req
249. I haven't decided yet.
Copy !req
250. You should definitely go with
Copy !req
251. Dr. Joshua Atkinson
at Stanford Medical Center.
Copy !req
252. His mortality index is.3.
Copy !req
253. It's too low.
Copy !req
254. Not enough of his patients are dying?
Copy !req
255. No, Shaun, sometimes patients die.
Copy !req
256. Doesn't matter how good the doctor is.
Copy !req
257. But when your mortality rate
is as low as Atkinson's,
Copy !req
258. it means you're turning away patients.
Copy !req
259. You turn away patients,
it means you lack confidence.
Copy !req
260. You lack confidence, I don't
want you inside my head.
Copy !req
261. And I'd like to be able to dress myself
Copy !req
262. when I'm all done.
Copy !req
263. Shaun, what are you doing here?
Copy !req
264. You showed up at work early this morning.
Copy !req
265. Go home. Get some rest.
Copy !req
266. I won't rest if I go home.
Copy !req
267. The surgery went great.
Copy !req
268. Once everything's healed, I think
Copy !req
269. you'll be very happy with the results.
Copy !req
270. - What time is it?
- Not quite 5:45.
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.
- I told you it would.
Copy !req
275. We did a lot of cutting and scraping.
Copy !req
276. You had a lot of scar tissue.
Copy !req
277. It hurts a lot.
Copy !req
278. We'll give you some Tylenol,
Copy !req
279. and you can tell your mother
you're cramping.
Copy !req
280. Ow!
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. Ow!
Copy !req
286. She's heavily sedated.
Copy !req
287. What did we do to her?
Copy !req
288. What if this is good news?
Copy !req
289. I know you haven't been
a doctor all that long,
Copy !req
290. but pain is rarely a sign of good news.
Copy !req
291. It is if you're talking about
a part of the body
Copy !req
292. you thought was dead.
Copy !req
293. What if this means there's still
viable nerve endings in there?
Copy !req
294. What if this means we can
actually reconstruct her clitoris
Copy !req
295. and that it's capable of sensation?
Copy !req
296. Maybe. All we know for sure
Copy !req
297. is she's not gonna be home
anywhere near 6:00,
Copy !req
298. which means we're about to have
a missing child on our hands.
Copy !req
299. We have to bring Andrews up to speed.
Copy !req
300. I did a bad job of telling you
Copy !req
301. that you're dying.
Copy !req
302. Is there a good way?
Copy !req
303. I can't figure out
when I'm supposed to lie,
Copy !req
304. when I'm supposed to tell
part of the truth.
Copy !req
305. And it doesn't really matter,
Copy !req
306. because I can't figure out
how to do it anyway.
Copy !req
307. You did fine with me.
Copy !req
308. You never need to lie.
Copy !req
309. Lies don't protect you from the truth.
Copy !req
310. I don't like your haircut.
Copy !req
311. Okay.
Copy !req
312. Maybe sometimes, when the
truth can't help someone...
Copy !req
313. you should definitely just lie.
Copy !req
314. Do you think praying will
help you reach a decision?
Copy !req
315. I've already reached a decision.
Copy !req
316. I'm praying to help me find
comfort with that decision.
Copy !req
317. My family wants the surgery.
Copy !req
318. And what do you want?
Copy !req
319. I want what my family wants.
Copy !req
320. I love them.
Copy !req
321. But they love you, too, right?
Copy !req
322. Don't they want what you want?
Copy !req
323. Long ago, I made a decision
Copy !req
324. to be there for them
Copy !req
325. no matter what.
Copy !req
326. And if the last choice I make in my life
Copy !req
327. is consistent with that,
Copy !req
328. I'm comfortable with that.
Copy !req
329. I'm surprised by you.
Copy !req
330. I, arguably, made errors in judgment,
Copy !req
331. but it was all in an effort
to help a patient.
Copy !req
332. Yes, and that would make sense
if you thought
Copy !req
333. you'd never have
another patient ever again.
Copy !req
334. And if there wasn't currently an
opening for Chief of Surgery.
Copy !req
335. I didn't know that was on the table.
Copy !req
336. See, that's the difference
between you and Melendez.
Copy !req
337. I have no doubt that as soon
as I got this promotion,
Copy !req
338. Melendez had done the math
and reacted accordingly.
Copy !req
339. But I suspect that even
if you had done the math,
Copy !req
340. it wouldn't have changed
how you handled this patient.
Copy !req
341. I don't view that as a weakness.
Copy !req
342. I'll handle the administrative fallout.
Copy !req
343. You...
Copy !req
344. notify the parents immediately.
Copy !req
345. I can't.
Copy !req
346. We don't know the girl's real name,
Copy !req
347. and we have to keep her sedated,
Copy !req
348. so there's no way we can track...
Copy !req
349. She's a teenager. She's got a phone.
Copy !req
350. Next time it rings, answer it.
Copy !req
351. - You feel the mesenteric artery pulsing?
- Yes.
Copy !req
352. You shouldn't.
You're too close to the vein.
Copy !req
353. Great. Dr. Browne,
pass a penrose drain through.
Copy !req
354. Bovie.
Copy !req
355. Suction.
Copy !req
356. Got it all.
Copy !req
357. I see leaking pancreatic fluid.
Copy !req
358. That'll eat holes
in everything it touches.
Copy !req
359. Our duct tie didn't hold.
Copy !req
360. Suction. Needle driver.
Copy !req
361. Excellent.
Copy !req
362. You have approved a scrub nurse
Copy !req
363. and a circulating nurse
and seven other personnel.
Copy !req
364. Everyone and everything is covered,
Copy !req
365. except for an actual surgeon.
Copy !req
366. Yeah. I think we may have to postpone.
Copy !req
367. Have you notified your tumor to
stop growing in the interim?
Copy !req
368. I think any possible damage from a delay
Copy !req
369. may be more than offset
by having somebody competent
Copy !req
370. digging around in my brain.
Copy !req
371. "Competent"?
Copy !req
372. - What's wrong with Sanders?
- 6% mortality rate.
Copy !req
373. - Taylor?
- I don't like the way he's planning on
Copy !req
374. dealing with a carotid tear.
Copy !req
375. - That's nowhere near your tumor.
- It's the principle.
Copy !req
376. - Unger?
- He doesn't like me.
Copy !req
377. - No one likes you.
- No! You don't like me.
Copy !req
378. He doesn't like me. That's two.
Copy !req
379. Just pick a name. I don't care who.
Copy !req
380. I don't care if they're a doctor.
Copy !req
381. Just pick a name.
Copy !req
382. Because in 48 hours, you're
either getting your surgery
Copy !req
383. or you're getting a new oncologist.
Copy !req
384. She's in pain.
Copy !req
385. That's why she's asleep right now,
Copy !req
386. because of what you did to her?
Copy !req
387. What I did to her
Copy !req
388. I believe revealed
that what you did to her
Copy !req
389. didn't do as much damage
as we initially feared.
Copy !req
390. We want to do a second surgery...
Copy !req
391. How can you stop her pain?
Copy !req
392. It's called clitoral reconstruction.
Copy !req
393. The nerves of her clitoris are exposed.
Copy !req
394. We can sheath them using...
Copy !req
395. Our daughter wants this?
Copy !req
396. Asha wants to be like other girls.
Copy !req
397. She wants to be able to...
Copy !req
398. Mara told you that?
Copy !req
399. That's our daughter's name.
Copy !req
400. Not Asha.
Copy !req
401. You don't know her at all.
Copy !req
402. We need to do this surgery
to relieve her pain.
Copy !req
403. No. There must be another way.
Copy !req
404. We want a second opinion.
Copy !req
405. Not at this hospital.
Copy !req
406. How soon can our daughter be moved?
Copy !req
407. Excuse me, Dr. Lim.
Copy !req
408. I am Ellen Vahtra from
Child Protective Services.
Copy !req
409. Until I complete my review,
Copy !req
410. I'm afraid you're not going to be
moving your daughter anywhere.
Copy !req
411. How did it go? Is Dad okay?
Copy !req
412. There were complications,
Copy !req
413. but we found solutions.
Copy !req
414. It went very well. We got it all.
Copy !req
415. Oh, my...
Copy !req
416. There's still...
Copy !req
417. I don't think I did that well.
Copy !req
418. They're too happy.
Copy !req
419. Post-surgical complications are
still a major concern that they...
Copy !req
420. Let them enjoy the good news.
Copy !req
421. Is deceiving someone in a
way that makes them happy
Copy !req
422. better than deceiving someone
in a way that makes them sad?
Copy !req
423. Shaun. I think there's
someone here to see you.
Copy !req
424. Hey.
Copy !req
425. I had some time, so I thought
Copy !req
426. you might want to have
some lunch with me?
Copy !req
427. I do not have time.
Copy !req
428. What's wrong?
Copy !req
429. What did she do?
Copy !req
430. Shaun. Sha...
Copy !req
431. You don't want to talk to Lea.
I don't understand.
Copy !req
432. I don't understand.
Copy !req
433. I don't understand!
Copy !req
434. You're not being fair to her or yourself.
Copy !req
435. - She's always been nice to you.
- No, she hasn't.
Copy !req
436. She's your friend.
Copy !req
437. Whatever's happened, you have
to talk to her about it.
Copy !req
438. Be honest about what you're feeling...
Copy !req
439. I can't be.
Copy !req
440. - Of course you can.
- 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 daughter
Copy !req
444. is lying in a hospital bed unconscious
Copy !req
445. to protect her from overwhelming pain
Copy !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 her
Copy !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 calls
Copy !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 me
Copy !req
478. that what happened to Mara
when she was 2 years old
Copy !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 nerves
Copy !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 daughter
Copy !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 her
Copy !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 pain
Copy !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 index
Copy !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?
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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 tendency
Copy !req
544. to end in the middle ground.
Copy !req
545. Brain surgeries can be
considered a success
Copy !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. Uh...
Copy !req
565. Hello, Mara.
Copy !req
566. I'm Ellen Vahtra. I'm a social worker.
Copy !req
567. Your parents know what happened,
Copy !req
568. and Dr. Lim gave you a nerve block.
Copy !req
569. It hurts. It still hurts.
Copy !req
570. I understand that, and we are
going to try to get you
Copy !req
571. back to sleep as quickly as possible.
Copy !req
572. But something happened during
your surgery, and we need you
Copy !req
573. to make a decision
about what is done next.
Copy !req
574. We believe that, despite what
was done to you as a child,
Copy !req
575. the reason you're in so much
pain because you still have
Copy !req
576. functioning nerves in your clitoris,
Copy !req
577. nerves that had been covered
with scar tissue.
Copy !req
578. I'd like to repair that.
Copy !req
579. We can make you physiologically complete.
Copy !req
580. But there's no guarantee
that it would work.
Copy !req
581. I'm confident.
Copy !req
582. There is a safer choice.
Copy !req
583. We could... remove your entire clitoris.
Copy !req
584. This is your choice.
Copy !req
585. You will be protected no matter what.
Copy !req
586. Take it out.
Copy !req
587. Mara, we can make you whole...
Copy !req
588. I made a mistake. Take it out.
Copy !req
589. She's on medication. She's in pain...
Copy !req
590. Dr. Lim, please let her go back to sleep.
Copy !req
591. And prepare to operate
to remove the damaged tissue.
Copy !req
592. Hang fresh, frozen plasma, too.
Looks like he's going into DIC.
Copy !req
593. Give me another hemostat.
Copy !req
594. BP's 71 over 53.
Copy !req
595. We should have warned the family.
Copy !req
596. Can't see anything in here.
There's too much blood.
Copy !req
597. - More suction.
- I think you got the hepatic artery.
Copy !req
598. The warning wouldn't
have made any difference.
Copy !req
599. The bleeding is not slowing down.
Copy !req
600. We need to send the aorta to the celiac.
Copy !req
601. - I need to see it to clamp it.
- They would have been prepared.
Copy !req
602. A-line systolic's 54. He's bottoming
out. No, they wouldn't.
Copy !req
603. You two, shut up and
pack his abdomen with laps
Copy !req
604. while I sort through this mess.
Copy !req
605. I won't do it.
Copy !req
606. Can we appeal this? Do you know?
Copy !req
607. I've spoken with our legal department.
Copy !req
608. Unless we can prove
the social worker was biased,
Copy !req
609. we are stuck with this ruling.
Copy !req
610. Well, then you're also
stuck with "I won't do it."
Copy !req
611. You're a good doctor.
This hospital will miss you.
Copy !req
612. You're gonna fire me because I
won't butcher a teenage girl?
Copy !req
613. Of course I am.
Copy !req
614. This hospital will face
lawsuits, suspensions,
Copy !req
615. perhaps criminal charges,
Copy !req
616. and this little girl will still
get the surgery you hate.
Copy !req
617. Could Dr. Lim at least
talk to Mara again?
Copy !req
618. You want to wake her up again in pain?
Copy !req
619. Every woman deserves the right
Copy !req
620. to make decisions about her sexuality
Copy !req
621. without her parents hanging over her.
Copy !req
622. Okay.
Copy !req
623. When I was 15 years old,
Copy !req
624. my father caught me with a boy.
Copy !req
625. I mean, we weren't doing it,
Copy !req
626. but my top was off and
Copy !req
627. Well, it doesn't matter.
Copy !req
628. My father hit me.
Copy !req
629. I still have a small scar.
Copy !req
630. Our relationship was never the same.
Copy !req
631. But that's what growing up is.
Copy !req
632. Not everyone gets called a slut.
Copy !req
633. Not everyone gets butchered.
Copy !req
634. But everyone becomes a man or a woman
Copy !req
635. and stops being a child.
Copy !req
636. I want to take a piece of
tissue from inside your cheek
Copy !req
637. and I want to graft it to your clitoris.
Copy !req
638. We can make you feel... love.
Copy !req
639. I can't turn my back on my
family, on my traditions.
Copy !req
640. Traditions
Copy !req
641. connect us to the past.
Copy !req
642. What about the future?
Copy !req
643. Please.
Copy !req
644. No. I'm in pain.
Copy !req
645. Cross-clamping his aorta.
Copy !req
646. He's in ventricular fibrillation.
Copy !req
647. Starting chest compressions.
Copy !req
648. Okay. Everybody clear.
Copy !req
649. Prep the cheek, as well.
Copy !req
650. She's taking the graft?
The paperwork doesn't say...
Copy !req
651. She consented verbally.
Copy !req
652. We didn't want to keep her
awake any longer
Copy !req
653. than absolutely necessary.
Copy !req
654. I wanted to help her as much as you...
Copy !req
655. When she wanted help.
Copy !req
656. - But if she doesn't want this...
- She wants this.
Copy !req
657. Dr. Lim just told us.
Copy !req
658. Prep the cheek.
Copy !req
659. I'll tell the family.
Copy !req
660. No.
Copy !req
661. Claire, you do it.
Copy !req
662. This isn't the time for learning.
Copy !req
663. I'm sorry.
Copy !req
664. Paul died during surgery.
Copy !req
665. He had a gastroduodenal artery rupture.
Copy !req
666. It's a common complication
of a Whipple surgery,
Copy !req
667. especially when someone's cancer was...
Copy !req
668. As advanced as his was.
Copy !req
669. We... did everything we could
Copy !req
670. for as long as we could.
Copy !req
671. He didn't suffer.
Copy !req
672. You did this to him.
Copy !req
673. Dad didn't want this.
Copy !req
674. You saw that look on his face.
He was scared.
Copy !req
675. In my experience,
it does no good to dwell...
Copy !req
676. Of course he was scared.
Copy !req
677. That doesn't mean...
Copy !req
678. 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 truth
Copy !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 Hershey
Copy !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...
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