1. Severe
Winter Weather AdvisoriesCopy !req
2. have been issued from Kansas
to western Minnesota.Copy !req
3. Severe ice and snow
reported.Copy !req
4. Temperatures will likely
reach below 20 degrees,
and wind chill...Copy !req
5. Shaun.Copy !req
6. Shaun.Copy !req
7. Mm. There is a severe
weather warning in Minnesota.Copy !req
8. You haven't been at work
in three days.Copy !req
9. I want
to be left alone.Copy !req
10. I'm sorry
she hurt you.Copy !req
11. But you are strong.Copy !req
12. You're the most
determined man I know.Copy !req
13. You're gonna
get through this.Copy !req
14. I wish I was...Copy !req
15. Normal.Copy !req
16. Everyone wishes
they were normal, Shaun.Copy !req
17. You need to get up.Copy !req
18. You need to do
your exercise routine,Copy !req
19. then shower, shave,
and get to work.Copy !req
20. And not because
your patients
need your help,Copy !req
21. but because it'll
make you feel better.Copy !req
22. I'm not leaving
without you.Copy !req
23. Your sleep apnea is worse
than we'd thought.Copy !req
24. You have a condition
related to your
pseudoachondroplasiaCopy !req
25. that is narrowing
the base of your skullCopy !req
26. and compressing
the part of your brainCopy !req
27. that controls
your breathing.Copy !req
28. People always say
I'm too full of myself.Copy !req
29. Guess it's actually true.Copy !req
30. Finn,
this is serious.Copy !req
31. Don't worry.
I'm gonna be fine.Copy !req
32. DR.
We can remove bone
from the wall of your skullCopy !req
33. and resect a small section
of your cerebellumCopy !req
34. to reduce
brain-stem pressure.Copy !req
35. You're...
You're gonna cut out
a piece of his brain?Copy !req
36. It won't affect
your intellect,Copy !req
37. but it will cause
a speech impedimentCopy !req
38. and some difficulty
with balance.Copy !req
39. I'd rather you knock
a few points off my IQ.Copy !req
40. Stop it.Copy !req
41. I'm serious.Copy !req
42. My "gift of gab"
is what you love about me.Copy !req
43. Uh, w-what's
option two?Copy !req
44. I'm sorry,
there is no other option.Copy !req
45. I'm a salesman.
I don't hear the word "no."Copy !req
46. Th-There's always
another way.Copy !req
47. You just got to think
outside the box.Copy !req
48. We've already done that,Copy !req
49. which is how we came up
with this surgery.Copy !req
50. It's the only way
to keep you alive,Copy !req
51. so you have no choice
but to accept it.Copy !req
52. Dr. Murphy is being rude
and insensitive,Copy !req
53. but he's also right.Copy !req
54. Finn, please,
I love you.Copy !req
55. And I will always
be here for youCopy !req
56. no matter
how you talk or walk.Copy !req
57. But you have to listen
to your doctors.Copy !req
58. I love you, too.Copy !req
59. Do whatever
you think's best.Copy !req
60. Let me guess.Copy !req
61. I'm gonna need
another surgery.Copy !req
62. What's that now,
my tenth?Copy !req
63. Eleventh.Copy !req
64. And I still can't
work the farm,Copy !req
65. can't drive a tractor,
pull a combine lever.Copy !req
66. I can't even
twist open a bottle of beer.Copy !req
67. When we met,
you were in an ambulanceCopy !req
68. and your arms were still
in your harvester.Copy !req
69. Today you have sensation
and almost full mobility.Copy !req
70. Now we just need
to treat the neuropathyCopy !req
71. and improve
your strength.Copy !req
72. So how
do we do that?Copy !req
73. I'm thinking
a gracilis muscle
transfer.Copy !req
74. That should improve
his grip and relieve
some of the pain,Copy !req
75. but there's only one way
to eliminate all of it.Copy !req
76. Tyson, have you given
any more thought to amputationCopy !req
77. and osseointegrated
prosthetic arms?Copy !req
78. They'd attach
directly to the bonesCopy !req
79. and nerves
in your forearm,Copy !req
80. and you can control them
just like your own hands.Copy !req
81. Function would be reduced
in some respects.Copy !req
82. Less dexterity,
no sensory feedback.Copy !req
83. But others,
like grip strength,
would be better.Copy !req
84. And more importantly,
you'd be pain-free.Copy !req
85. I want to be
a farmer,Copy !req
86. not a cyborg.Copy !req
87. Okay.Copy !req
88. The pain's
getting worse.Copy !req
89. Probably because I've been
crazy busy in the O.R.Copy !req
90. with Murphy out
till today.Copy !req
91. He's back?Copy !req
92. Only because Browne
went to his apartmentCopy !req
93. and dragged his ass in.Copy !req
94. She shouldn't have
done that.Copy !req
95. He's trying to
work this out
on his own.Copy !req
96. That's a good thing.Copy !req
97. DMARDs aren't working.Copy !req
98. I know.Copy !req
99. Which is why
I've been thinking about
synovectomy surgery.Copy !req
100. You're gonna remove
the joint linings
in your fingers?Copy !req
101. That'll resolve the pain
temporarily.Copy !req
102. Then what?Copy !req
103. It'll give me
at least ten years.Copy !req
104. And then you're gonna be
bone on bone,Copy !req
105. every joint in your hand
will be mangled and deformed.Copy !req
106. What's your plan then?Copy !req
107. Who knows what treatments
will be available
in ten years?Copy !req
108. Have you thought
about oncology?Copy !req
109. Surgeons do
the real work.Copy !req
110. They cut out the tumor,
they cure the patient.Copy !req
111. Oncologists just
sweep up after.Copy !req
112. You want to know
an even better job?Copy !req
113. Starting pitcher
for the Oakland A's.Copy !req
114. You want to know
why I didn't get that job?Copy !req
115. Because the scouts didn't like
the way you wore your hat?Copy !req
116. Yeah, that,
and I was born
with this arm.Copy !req
117. You were born
with those hands.Copy !req
118. What are you gonna do,Copy !req
119. practice surgery
for a few more yearsCopy !req
120. and then spend
the rest of your lifeCopy !req
121. not being able
to pick up a pencil?Copy !req
122. You can pursue
another specialty.Copy !req
123. You can practice
for the rest of your life.Copy !req
124. You get rear-ended
on the way to workCopy !req
125. or you just hate
little people?Copy !req
126. Neither.
EKG is normal.Copy !req
127. So you got dumped.Copy !req
128. No, I didn't.Copy !req
129. It's nothing
to be ashamed of.Copy !req
130. We were never even
going out.Copy !req
131. Finn?Copy !req
132. I've been worried sick.Copy !req
133. Ohh.Copy !req
134. Take it easy.Copy !req
135. I told you to stay home.Copy !req
136. There's nothing
to worry about.Copy !req
137. Stop trying
to act so tough.Copy !req
138. You shouldn't have to
go through this alone.Copy !req
139. Sorry, baby,
but you should wait outside.Copy !req
140. Let the doctors finish up,
and I'll be right out.Copy !req
141. He's not going to the O.R.
for a while,Copy !req
142. so there will be
plenty of time to visit
when we're done.Copy !req
143. Okay.Copy !req
144. I'll be right outside.Copy !req
145. Is there any way
you could make sureCopy !req
146. she and Nathalie
stay in separate waiting roomsCopy !req
147. and aren't allowed to visit
at the same time?Copy !req
148. No.
We're not helping
you cheat.Copy !req
149. I'm not cheating.Copy !req
150. I've always made it clear
I'm not ready to settle down,Copy !req
151. but sometimes
women m-make assumptions.Copy !req
152. Oh, and you
don't feel the need
to correct that?Copy !req
153. I understand
you don't approve,Copy !req
154. but all I'm askingCopy !req
155. is for you to help me
get through brain surgeryCopy !req
156. without emotional turmoilCopy !req
157. that I assume
would be harmful
to my recovery.Copy !req
158. Okay.Copy !req
159. Thank you.Copy !req
160. Are you seeing
the same thing I'm seeing?Copy !req
161. DR. The tendons
are encased in scar tissue.Copy !req
162. DR. The gracilis
muscle transfer
isn't gonna work.Copy !req
163. It still could.
If we attach the muscleCopy !req
164. further down the forearm
and bypass the scar ball.Copy !req
165. It wouldn't hold.Copy !req
166. There'd be too much tension
on the graft.Copy !req
167. We can figure out a way
to work around that.Copy !req
168. Let's wake him up
and put him back
in his roomCopy !req
169. and pull every paper
on free-muscle
and nerve transfers.Copy !req
170. His only option
is double amputationCopy !req
171. and the osseointegrated
prosthetics.Copy !req
172. We don't have
a choice.Copy !req
173. Yes, we do.Copy !req
174. And as Chief of Surgery,
I just made it.Copy !req
175. He doesn't really
look the part.Copy !req
176. He's a handsome guy
with a great sense of humorCopy !req
177. and a high-paying job.Copy !req
178. He means
because women don't likeCopy !req
179. to be in relationships
with men who are weird.Copy !req
180. He's not weird.
And neither are you.Copy !req
181. And a week ago,
you were juggling two women,Copy !req
182. so stop feeling
so sorry for yourself.Copy !req
183. Have you ever
dated anyone
who wasn't tall,Copy !req
184. handsome,
and neurotypical?Copy !req
185. It's not about me.Copy !req
186. DR.Talk to me.
He stopped breathing,Copy !req
187. and I haven't even
administered the paralytics.Copy !req
188. What just happened?Copy !req
189. DR.
Pressure on the medulla
must be getting worse.Copy !req
190. He's lucky he didn't wait
any longer to come in.Copy !req
191. Let's tube him
and get to work.Copy !req
192. Wait. Flex his head
into position again.Copy !req
193. Extend his neck.Copy !req
194. What's going on?Copy !req
195. Flexing the neck offsets
the posterior compression.Copy !req
196. But that should
take the pressure off,
not make it worse.Copy !req
197. DR.
Doesn't make any sense.Copy !req
198. And we're not gonna do
brain surgery on him
until it does.Copy !req
199. I don't see anything different
in the flexed-neck views.Copy !req
200. Should his C2 bone
be curved inward like that?Copy !req
201. It could exacerbate
the narrowing on
the front of his...Copy !req
202. It's not significant.Copy !req
203. Well, if his apnea's
getting worseCopy !req
204. because of pressure
from the front
as well as the back...Copy !req
205. The treatment
is the same.Copy !req
206. Surgery to create more room
in the skull base.Copy !req
207. It's not the same,
and stop interrupting me.Copy !req
208. If we drill off
the C2 in the front,Copy !req
209. as well as open
the back,Copy !req
210. we might not have to
resect the cerebellum.Copy !req
211. He wouldn't have any speech
impediment or balance issues.Copy !req
212. We'd have to approach
through his mouth,Copy !req
213. a bacteria-rich
environment,Copy !req
214. which can't be
fully sterilized.Copy !req
215. There would be too high a risk
of a post-op brain infection.Copy !req
216. So we figure out
another approach.Copy !req
217. There's only one safe way
to access the C2.Copy !req
218. Okay, so come up
with something
outside the box.Copy !req
219. No, that's
a stupid expression.
There is no box.Copy !req
220. And you are wasting
valuable timeCopy !req
221. just because
you want to be nice to her.Copy !req
222. Murphy...Copy !req
223. We should do the
cerebellar surgery before
he has a fatal apnea...Copy !req
224. Murphy.Copy !req
225. I'm not being nice.Copy !req
226. I'm using my experience
and judgment to make the call.Copy !req
227. That's my job.Copy !req
228. You are being nice.
And you're being a jerk.Copy !req
229. You've got the night.Copy !req
230. If you two can't come up
with a solution by morning,Copy !req
231. we'll proceed
with the original plan.Copy !req
232. Your patient's
in desperate needCopy !req
233. of an Oklahoma
weather report?Copy !req
234. I didn't even want
to be here today.Copy !req
235. You should try
a martial arts class.Copy !req
236. Focused distraction is key
to dealing with stressCopy !req
237. and heartbreaks.Copy !req
238. That's just
avoiding the problem.Copy !req
239. Don't obsess over
what you've lost,Copy !req
240. focus on what you've gained
from the relationship.Copy !req
241. I hate to interrupt
group therapy,Copy !req
242. but what if
we approachedCopy !req
243. through the side
of the neck?Copy !req
244. We could transpose
the vertebral artery,Copy !req
245. open up the spine laterally
to drill off the C2.Copy !req
246. It would leave his spine
permanently unstableCopy !req
247. and could cause
a stroke.Copy !req
248. There might be a way
to mitigate stroke risk.Copy !req
249. And he'd still have
the instability and...Copy !req
250. Come on, Shaun.Copy !req
251. I need help,
not criticism.Copy !req
252. I have always
supported youCopy !req
253. when you were trying
to come up withCopy !req
254. an unconventional
treatment option.Copy !req
255. You supported me
when you thought
I was right.Copy !req
256. What do
you guys think?Copy !req
257. We gotta go.Copy !req
258. We do?Copy !req
259. We remove the scar tissue
and the nerves.Copy !req
260. Then harvest nerves
from his upper armCopy !req
261. to rewire
his forearms.Copy !req
262. It'll improve his grip,Copy !req
263. and with
the scar tissue removed,Copy !req
264. the pain
should decrease, too.Copy !req
265. Does nothing to solve
the blood-flow problemCopy !req
266. that's causing
the scarring.Copy !req
267. I'm sure we can come up
with a solve for that.Copy !req
268. That's what
you said last time.Copy !req
269. And I was right.
We're making progress.Copy !req
270. Would you two
give us a moment?Copy !req
271. We'll meet you
in the Residents' Lounge
when we're done.Copy !req
272. Are you
so against the prostheticsCopy !req
273. because you think it's in
Tyson's best interest,Copy !req
274. or because
it's my idea?Copy !req
275. You think I care
whose idea anything is?Copy !req
276. You're a competitive personCopy !req
277. working with the guy
who used to hold your job.Copy !req
278. I'll admit
my competitive drive
may kick up a notchCopy !req
279. when we work together.Copy !req
280. I'll also admit
that I admire the courageCopy !req
281. of a guy who stumbled
a half-mile back to his houseCopy !req
282. after his arms
were ripped off
by a combine.Copy !req
283. He opened a door
with his mouthCopy !req
284. and dialed 911
with his nose,Copy !req
285. and as long as he wants
to keep fighting,Copy !req
286. I'm gonna fight
along with him.Copy !req
287. Which has nothing to do
with my ego.Copy !req
288. Good.Copy !req
289. That's all
I wanted to confirm.Copy !req
290. But I'm gonna start prepping
for the amputationCopy !req
291. because that's the only
rational choice we have,Copy !req
292. which I'm confident
you'll realize soon enough.Copy !req
293. Make any progress?Copy !req
294. Yeah, I figured out
a lateral approach,Copy !req
295. but Shaun thinks it would
leave his spine unstableCopy !req
296. and increase his risk
of stroke.Copy !req
297. I agree.
Yeah, me too.Copy !req
298. There has to be a way
to mitigate the...Copy !req
299. Dr. Browne?Copy !req
300. These just
got delivered.Copy !req
301. Enjoy.
Thanks.Copy !req
302. Dash is a romantic.Copy !req
303. Thought you hated
romantics.Copy !req
304. Yeah, he's...
He's teasing me.Copy !req
305. I told him I thought guys
who sent flowers were lame.Copy !req
306. We haven't even kissed yet.Copy !req
307. What are you waiting for?Copy !req
308. I don't know.Copy !req
309. Um...Copy !req
310. I enjoy
being with him.Copy !req
311. Actually,
I forgot how funny he is.Copy !req
312. Just... hasn't seemed like
the right time.Copy !req
313. I'm more worried
about the stroke riskCopy !req
314. than spinal instability,Copy !req
315. so focus
on fixing that.Copy !req
316. Okay.Copy !req
317. And, Claire,
if he's the right guy,Copy !req
318. stop holding out
for the right time.Copy !req
319. Your vitals are stable.Copy !req
320. The nurses will monitor you
during the night.Copy !req
321. Your problem's
simple to solve.Copy !req
322. You just need
to ask someone else out.Copy !req
323. Lea was special.Copy !req
324. I'm sure she was.Copy !req
325. But there are
so many others,
just as special.Copy !req
326. You just have to
get to know them.Copy !req
327. No, I don't want to.Copy !req
328. Yes, you do.Copy !req
329. You think I don't know
how you feel?Copy !req
330. Afraid of being rejected
because you're too...Copy !req
331. Different.Copy !req
332. Finally I decided,
screw it.Copy !req
333. I started talking
to every woman I saw.Copy !req
334. Street corners,
elevators, grocery stores.Copy !req
335. And I learned
I'm pretty good at it.Copy !req
336. That's my gift.Copy !req
337. Everyone has one.Copy !req
338. They just.Copy !req
339. have to figure out
what it is...Copy !req
340. Okay. Code Blue!Copy !req
341. Code Blue!Copy !req
342. Murphy and I just inserted
a diaphragmatic pacemaker
on Finn.Copy !req
343. It'll only trigger
shallow breaths,Copy !req
344. so he's at high risk
for pneumonia.Copy !req
345. You got anything?Copy !req
346. Yeah,
I was thinking of usingCopy !req
347. a more inferior
transatlas approach.Copy !req
348. That would minimize
stroke risk.Copy !req
349. That won't work.Copy !req
350. It would destabilize
the C1-2 joint.Copy !req
351. You did
all you could.Copy !req
352. Go home.Copy !req
353. We'll do the original
cerebellar surgeryCopy !req
354. first thing
in the morning.Copy !req
355. So I'll be able
to work the farm.Copy !req
356. We still need to find a way
to increase blood flow.Copy !req
357. You should regain
most of your grip
and forearm strength,Copy !req
358. but you'd still be
in some pain.Copy !req
359. I-I can handle it.Copy !req
360. Can you?Copy !req
361. How can you know
for sure?Copy !req
362. As the years go by
and the pain doesn't stop,Copy !req
363. will you
change your mind?Copy !req
364. Because it'll be
too late.Copy !req
365. What's wrong?
What are you...
What are you feeling?Copy !req
366. Like a horse
just kicked in my chest.Copy !req
367. I need an echo
and pulmonary cath kit!Copy !req
368. And page Lim, stat!Copy !req
369. I think the last time
that I was at an actual
punk-rock show was, uh...Copy !req
370. College.Copy !req
371. Patti Smith.Copy !req
372. Oh, my God!Copy !req
373. I completely forgot
about that.Copy !req
374. You forgot
getting your ass
tossed offstageCopy !req
375. by a 60-year-old woman?Copy !req
376. Yeah.Copy !req
377. Remember what you said
when we picked you up?Copy !req
378. Uh, oh, something about her
being, uh, thin but strong?Copy !req
379. "Thin but wiry."Copy !req
380. Wiry.
Wiry.Copy !req
381. Okay, well, I, um...Copy !req
382. I have an early surgery,Copy !req
383. so I should
probably get going.Copy !req
384. Okay.
Okay.Copy !req
385. Have a good night.Copy !req
386. Good night.Copy !req
387. I got an idea.Copy !req
388. Actually,
you had it first.Copy !req
389. It's the right approach,
just the wrong route.Copy !req
390. We go in from the back,
posterior transdural,Copy !req
391. gently move
your spinal cord
out of the wayCopy !req
392. so we can drill off
the misshaped C2.Copy !req
393. There is
a risk of paralysis,Copy !req
394. but we would be monitoring
your spinal functionsCopy !req
395. to help avoid
any nerve injuries.Copy !req
396. Let's do it.
Where do I have to sign?Copy !req
397. You shouldn't sign anything.Copy !req
398. Consenting to this surgeryCopy !req
399. would be
incredibly shortsighted
and reckless.Copy !req
400. It is one thing
to take your bad mood
out on your colleagues,Copy !req
401. but to try and undermine
my surgical advice...Copy !req
402. My opinion's valid.Copy !req
403. Well, thankfully,
he disagrees.Copy !req
404. He's risking paralysis
to be charmingCopy !req
405. because people expect
everyone to be perfect.Copy !req
406. Everyone's opinion
is validCopy !req
407. all the way until
we go into the patient room.Copy !req
408. We are a team
with one opinion.Copy !req
409. I...Copy !req
410. I don't feel better!Copy !req
411. I feel worse!Copy !req
412. And doing
the wrong surgeryCopy !req
413. is not
going to help anyone.Copy !req
414. I don't want to do it,
I'm going home.Copy !req
415. You're not walking out
on your patient.Copy !req
416. Or your team.Copy !req
417. I still have
two sick daysCopy !req
418. and 76 hours
of unused P.T.O.Copy !req
419. You're not sick,
and you're in the middle
of a case.Copy !req
420. I don't care
about the case
or the patient.Copy !req
421. I don't care
about anything.Copy !req
422. I've had
my heart broken twiceCopy !req
423. in the last few years.Copy !req
424. You want to know
what I did?Copy !req
425. I came to work
every dayCopy !req
426. and pretended
everything was fine.Copy !req
427. Until, eventually,Copy !req
428. I wasn't
pretending anymore.Copy !req
429. That's not helpful
at all.Copy !req
430. How about this?Copy !req
431. Go back in thereCopy !req
432. and help Claire
prep Finn for surgery,Copy !req
433. or you won't be
my resident.Copy !req
434. Or anyone else's
at St. Bonaventure.Copy !req
435. And I know
you care about that.Copy !req
436. We were able
to clear the clot,Copy !req
437. but due to the restricted
arteries in your arms,Copy !req
438. we're gonna need
to keep you
on blood thinners...Copy !req
439. Indefinitely.Copy !req
440. Okay.Copy !req
441. The blood thinnersCopy !req
442. make the reconstructive
surgery impossible.Copy !req
443. We have no choice
but to amputate.Copy !req
444. I'm sorry.Copy !req
445. No.Copy !req
446. I'm not letting you
cut off my arms.Copy !req
447. I don't want
false limbs.Copy !req
448. I don't want to be
that guy.Copy !req
449. I want to be
who I am.Copy !req
450. You are the toughest,Copy !req
451. most tenacious person
I've ever met.Copy !req
452. And that
is not gonna changeCopy !req
453. because we replace your hands
with titanium.Copy !req
454. It's time to let go.Copy !req
455. Okay.Copy !req
456. Okay.Copy !req
457. Any way
you could draw a skullCopy !req
458. with a cobra coming out of its
eyes while you're back there?Copy !req
459. Would you settle for
a lame smiley face?Copy !req
460. Because that
is the only thing
I can draw.Copy !req
461. There's my favorite nurse.Copy !req
462. Did you check out
that Ethiopian placeCopy !req
463. I told you about
last night?Copy !req
464. Actually, I did,Copy !req
465. and the kik alicha
was delish.Copy !req
466. Now, if you want
a truly life-changing meal,Copy !req
467. you need to try Lennon's
on Sixth.Copy !req
468. Is it expensive?
Outrageously.Copy !req
469. But worth it.Copy !req
470. Now, it's all
white tablecloths
and candles,Copy !req
471. so you'll need
a date.Copy !req
472. How 'bout Dr. Murphy?Copy !req
473. You told me yourself
he's a gifted surgeon.Copy !req
474. That's pretty
high praise.Copy !req
475. And he told me
you're cute.Copy !req
476. Good luck today.Copy !req
477. Thanks.Copy !req
478. I totally teed you up.Copy !req
479. All you had to do
was take a swing.Copy !req
480. I'm not interested
in her.Copy !req
481. If she's not your type,Copy !req
482. I'm sure there are plenty
of other cool nursesCopy !req
483. roaming around hereCopy !req
484. who could make you feel better
about yourself.Copy !req
485. He's miserable
because he's had two
relationships blow up.Copy !req
486. I don't think jumping into
another one is the answer.Copy !req
487. No, no, no!Copy !req
488. Finn, you can't
exert yourself like this.Copy !req
489. Just take it easy.Copy !req
490. I ran into a woman
in the cafeteria.Copy !req
491. Real nice.
But seemed stressed.Copy !req
492. Turns out
that her boyfriendCopy !req
493. is having
spinal surgery, too.Copy !req
494. Big coincidence, huh?Copy !req
495. But get this.Copy !req
496. He also has
pseudoachondroplasia.Copy !req
497. I mean,
what are the chances?Copy !req
498. Nathalie,
don't you dare.Copy !req
499. Stop!Copy !req
500. Just slow down.Copy !req
501. You called me
the love of your life!Copy !req
502. I do love you!Copy !req
503. Don't say that!Copy !req
504. I don't want to hear
any more of your garbage.Copy !req
505. Please...Copy !req
506. You have to... listen.Copy !req
507. You need to
get back to bed now,
or you'll pass out.Copy !req
508. DR. What's up?Copy !req
509. What are you doing
in here?Copy !req
510. Once you get a patient
on the table,Copy !req
511. there's too much
going onCopy !req
512. to appreciate
what this place is.Copy !req
513. Mm. It's nice.Copy !req
514. It's perfect.Copy !req
515. Time to scrub in.Copy !req
516. This will be
my last surgery.Copy !req
517. Five months ago,
I was diagnosed
with rheumatoid arthritis.Copy !req
518. I'm not responding
to medication.Copy !req
519. Why did you do that?Copy !req
520. I felt like it.Copy !req
521. It didn't change the fact
that he cheated on you.Copy !req
522. It won't make your life
any better.Copy !req
523. You can't control
how you feel about someone.Copy !req
524. But you can control
what you do with
those feelings.Copy !req
525. I ended the relationship
on my terms.Copy !req
526. More importantly...Copy !req
527. It made me
feel better.Copy !req
528. A Louisville Slugger
to a Porsche?Copy !req
529. It was insane.Copy !req
530. I like her.Copy !req
531. What is to like?Copy !req
532. I don't know.Copy !req
533. I just do.Copy !req
534. A sudden complete loss
of any SSEP and MEP signals.Copy !req
535. B.P. and heart rate
are tanking.Copy !req
536. We've injured his cord.Copy !req
537. Push high-dose steroids
and pressors.Copy !req
538. Remove the retractor
to take the pressure off.Copy !req
539. DR.
That's the last of the vessels
and nerves ligated.Copy !req
540. DR. Mayos.Copy !req
541. DR.
Specimen bag.Copy !req
542. DR. We have healthy
bone-anchor sites.Copy !req
543. DR.
Same here.Copy !req
544. Time to give him
functional arms.Copy !req
545. Not me.
Give it to her.Copy !req
546. DR.
She's a third-year
resident...Copy !req
547. A talented one,
but I wouldn't...Copy !req
548. I'm sure she's read
every article written
on osseointegration,Copy !req
549. spent countless hours
in the Skills Lab,Copy !req
550. and could probably do this
with one of her own arms
tied behind her back.Copy !req
551. Blindfolded.Copy !req
552. Get to work.Copy !req
553. Push another milligram
of atropine.Copy !req
554. We may have just paralyzed him
trying to avoid a stutter.Copy !req
555. We won't know anything
until we wake him up.Copy !req
556. Where's the pressure
still coming from?Copy !req
557. Laterally now.Copy !req
558. So if we remove the joints
of the C1 and C2 bones,Copy !req
559. that should
make enough roomCopy !req
560. so we could
drill off the odontoid.Copy !req
561. We could replace them
with screws and rodsCopy !req
562. to stabilize
his spine.
That's...Copy !req
563. A good idea.Copy !req
564. Yes, it is.Copy !req
565. If he's not
already paralyzed.Copy !req
566. Colleen Brown.Copy !req
567. Freshman year.Copy !req
568. I took her
to the roller-skating rinkCopy !req
569. 'cause I thought that's
what you're supposed to do,Copy !req
570. take girls
to the roller-skating rink.Copy !req
571. I didn't know
how to roller-skate,Copy !req
572. she ended up leaving
with Bobby K.'s
little brother.Copy !req
573. Broke me up.Copy !req
574. Couldn't go to school
for a week.Copy !req
575. Convinced my mom
that I was sickCopy !req
576. for the first three days,Copy !req
577. and the last two I spent
in a double feature all day...Copy !req
578. Where's Poppa?
and Twelve Chairs.Copy !req
579. To this day,
I can quote both
films verbatim.Copy !req
580. So you think
I should've stayed home
for two more days?Copy !req
581. No, I don't think
it would've mattered.Copy !req
582. It doesn't
make a difference.Copy !req
583. And then
I made a listCopy !req
584. of all the things
that annoyed me about her.Copy !req
585. The way
she chewed her gum,Copy !req
586. the way she used
to sit in the front row
of every classCopy !req
587. so that the teacher
would call on herCopy !req
588. when she
raised her hand,Copy !req
589. the way she said,
"Excuse me?"Copy !req
590. instead of just "What?"
or "Huh?"Copy !req
591. None of it
makes any difference.Copy !req
592. Then why
are you telling me?Copy !req
593. Maybe it'll make you
feel a little bit better
to know that,Copy !req
594. what you're going through,Copy !req
595. every other young man
in the history of the world
has gone through.Copy !req
596. You're trying to make it work
with Lea and with Carly,Copy !req
597. and you're getting
a little beat up,
and that's okay.Copy !req
598. Join the club.Copy !req
599. You're in the mix.
That's a good thing.Copy !req
600. I'm proud of you.Copy !req
601. DR.You ready?Copy !req
602. It's gonna take
some getting used to.Copy !req
603. But they're the same nerves
you used before.Copy !req
604. All you have to do
is think about
using the armsCopy !req
605. the way
you normally would.Copy !req
606. Whoa.Copy !req
607. That's pretty cool.Copy !req
608. It's not a beer,Copy !req
609. but you got to
start somewhere.Copy !req
610. Now pinch your forefinger
and thumb and twist off
the cap.Copy !req
611. I-I can't feel
the thing.Copy !req
612. You'll get used to it.
You got this.Copy !req
613. Nice.Copy !req
614. You want me to say
you were right?Copy !req
615. About the patient,
or you?Copy !req
616. When you
offered me a job,Copy !req
617. you said it was to help me
get back on the horse.Copy !req
618. But what you really wanted
was a mentor.Copy !req
619. Which I'm fine with,Copy !req
620. but I think maybe
you feel threatened
by that need.Copy !req
621. Well,
maybe that's true.Copy !req
622. But maybe
also you enjoy it
a little too much.Copy !req
623. Maybe because
you're having a hard time
giving up being Chief.Copy !req
624. Maybe we're both right.Copy !req
625. How did it go?Copy !req
626. Can you lift your arms
for me?Copy !req
627. Okay.Copy !req
628. I'm gonna push your arm,
and I need you to resist.Copy !req
629. Good. More.Copy !req
630. Stronger.Copy !req
631. That's great.Copy !req
632. You should make
a full recovery.Copy !req
633. Thank you.Copy !req
634. H-How's Nathalie's hand?Copy !req
635. There was no nerve
or tendon damage.Copy !req
636. She'll be fine.Copy !req
637. She's a good person.Copy !req
638. A little spirited,Copy !req
639. but that's what I loved
about her.Copy !req
640. Are you going to try
to win her back?Copy !req
641. I'm confident
but not stupid.Copy !req
642. You gotta know
when to call it,
Dr. Murphy.Copy !req
643. I mean,
there's a-a whole worldCopy !req
644. of amazing people
out there.Copy !req
645. Don't get bogged down with
this notion of a soulmate.Copy !req
646. Finn's exam was normal.Copy !req
647. But I am not sure
it was worth the risk.Copy !req
648. We did
a good thing today.Copy !req
649. Mostly because of you.Copy !req
650. That's kind of you
to say but...Copy !req
651. Your commitment
to your patientsCopy !req
652. reminds me of why
I got into medicine.Copy !req
653. Being around you
makes me a better surgeon.Copy !req
654. A better person.Copy !req
655. Well, good night.Copy !req
656. Good night.Copy !req
657. You did
good work today.Copy !req
658. And I understand
you're leaving surgery.Copy !req
659. And I know that's a...
That's tough.Copy !req
660. But it's
the right call.Copy !req
661. No, I don't think it is.Copy !req
662. I love operating.Copy !req
663. So I'm gonna keep doing it
as long as I can.Copy !req
664. I'm gonna have
the synovectomy surgery.Copy !req
665. That's really stupid.Copy !req
666. That's incredibly stupid.Copy !req
667. Not every dream
comes true.Copy !req
668. You have
other opportunities.Copy !req
669. You have another chance.Copy !req
670. Not everybody does.
Be grateful for that.Copy !req
671. Pick another passion
and pursue that.Copy !req
672. I'm doing the surgery.Copy !req
673. Enjoy.Copy !req
674. Another, please.Copy !req
675. Well, that's one way
to start the night off right.Copy !req
676. Hello, Nurse Fletch.Copy !req
677. You can
call me Julie.Copy !req
678. Are you here alone,
or are you meeting someone?Copy !req
679. I'm alone.Copy !req
680. Well, to us.Copy !req
681. You have
beautiful eyes.Copy !req
682. Thank you.Copy !req
683. Or did someone
just tell you thatCopy !req
684. that's a good
opening line?Copy !req
685. It's right
in our backyard,Copy !req
686. and I've never
even been there.Copy !req
687. Have you?
No.Copy !req
688. It's, uh, time we unleash
our inner tree-hugger.Copy !req
689. You're off next weekend.Copy !req
690. I think we should
go to Yosemite.Copy !req
691. What do you think?Copy !req
692. Yeah, sounds fun.Copy !req
693. I need to get me
some hiking boots.Copy !req
694. Mm.
And, uh, like a fleece.Copy !req
695. Mm-hmm.
Beanie.Copy !req
696. Mm.
I'm rocking the full
lumbersexual look.Copy !req
697. 'Cause I gotta blend in.Copy !req
698. I hear a bear can spot
a tourist a mile away.Copy !req
699. Mm.
Mm-hmm.Copy !req
700. You okay?Copy !req
701. Uh, you're, uh...Copy !req
702. You're here,
but, you know, not.Copy !req
703. You're right.
I'm sorry.Copy !req
704. It's... It's just been
a long week.Copy !req
705. I'm a bit exhausted.Copy !req
706. Yeah, I think
I might call it
an early night.Copy !req
707. Oh, you sure?Copy !req
708. I... You know,
we don't have to
go to the club.Copy !req
709. We can chill here.
We can watch a movie.Copy !req
710. I'm sorry.Copy !req
711. I just...Copy !req
712. I just think
I should go home.Copy !req
713. Okay.Copy !req
714. Shaun?Copy !req
715. I want
to smash your car up.Copy !req
716. I think
that's a bad idea.Copy !req
717. I want to hurt you
the way you hurt me.Copy !req
718. I'm s-sorry.Copy !req
719. You...Copy !req
720. You...Copy !req
721. You're...Copy !req
722. I can't.Copy !req
723. I can't.Copy !req
724. You acted like
you cared about me,Copy !req
725. but you don't even
respect me.Copy !req
726. You're flaky.Copy !req
727. And...Copy !req
728. And you can't
keep a boyfriend.Copy !req
729. And you can't
keep a job.Copy !req
730. And no one likes you.Copy !req
731. And... And you're going to
end up alone,Copy !req
732. and you deserve it!Copy !req
733. Because you're
a superficial,Copy !req
734. selfish,
and prejudiced person!Copy !req
735. You ready to tell me
what's on your mind?Copy !req
736. Not really.Copy !req
737. I...Copy !req
738. I think I'm in love
with my boss.Copy !req