1. I'll be performing
your surgery today.Copy !req
2. I'm Dr. Browne.
I'll be performing
your surgery today.Copy !req
3. Dr. Browne...Copy !req
4. I'll be performing
your surgery today.Copy !req
5. It's a very simple procedure.Copy !req
6. It's a straightforward
procedure.Copy !req
7. It was a successful surgery.Copy !req
8. The surgery was a success.Copy !req
9. We expect a full recovery.Copy !req
10. I expect a full recovery.Copy !req
11. Baby.Copy !req
12. Where do you
want this?Copy !req
13. Uh, thanks, Mom.Copy !req
14. Uh, put it by my bag.Copy !req
15. I'll have the hospital lab
run it.Copy !req
16. Nausea and severe
abdominal pain after eating.Copy !req
17. This patient could need
a lap chole.Copy !req
18. That would be
an ideal first surgery.Copy !req
19. Let's not get
ahead of ourselves.Copy !req
20. She may just need
an antacid.Copy !req
21. Hi, Michelle.Copy !req
22. I understand your mother
is on her way in.Copy !req
23. I'm Dr. Browne.
And I'm Dr. Shaun Murphy.Copy !req
24. You need to fix
my sister.Copy !req
25. What's your name?Copy !req
26. Tisha. Hi, Tisha.Copy !req
27. Well, that is exactly
why we're here...Copy !req
28. To help your sister.Copy !req
29. Fostersister.Copy !req
30. When did the pain start?Copy !req
31. About an hour ago.Copy !req
32. It was on the bus.Copy !req
33. My sister rides with me
every day to school and back.Copy !req
34. My brother and I
used to live on a bus.Copy !req
35. Cool.Copy !req
36. Have you felt
like this before?Copy !req
37. A few times.Copy !req
38. Ow.Copy !req
39. She has extreme upper-right
quadrant tenderness.Copy !req
40. That's consistent
with cholecystitis.Copy !req
41. As is her fever
and elevated white count.Copy !req
42. Your gallbladder probably
needs to be removed.Copy !req
43. You must be excited,
Claire.Copy !req
44. This is going to be
your first surgery.Copy !req
45. Has your urine
changed color?Copy !req
46. Gotten darker?Copy !req
47. I hear Dr. Browne might have
landed her first lap chole.Copy !req
48. It's not exactly
a straightforward case.Copy !req
49. The duct is
massively dilated,Copy !req
50. the wall's inflamed,
this scarring...Copy !req
51. It's gonna limit
visibility.Copy !req
52. Well, the thickness
of the gallbladder wallCopy !req
53. does pose a challenge.Copy !req
54. What do you think?Copy !req
55. It's not her decision.Copy !req
56. It's mine,
as the attending.Copy !req
57. Doesn't mean she shouldn't
offer her opinion.Copy !req
58. I think that, um,
Dr. Melendez is right.Copy !req
59. With the limited visibility,
I shouldn't be...Copy !req
60. Only with a laparoscopic
cholecystectomy.Copy !req
61. Which I don't think
we should do.Copy !req
62. An open procedure
would provide a clearer viewCopy !req
63. of the gallbladder
and the surrounding anatomyCopy !req
64. despite the inflammation.Copy !req
65. Carly and I went on
another date last night.Copy !req
66. Mm. What did you do?Copy !req
67. Dinner, movie...Copy !req
68. We walked 12 minutes
to a deliCopy !req
69. and had some food
and talked.Copy !req
70. Where are we going?Copy !req
71. Andrews is starting
an open chole.Copy !req
72. Sounds like
it's going well
with you and Carly.Copy !req
73. Oh, yes.Copy !req
74. She answered
all of my questions.Copy !req
75. How many did you ask?Copy !req
76. 83, although some had
multiple parts.Copy !req
77. "Do you want
to have children?Copy !req
78. If yes,
how many and when?"Copy !req
79. "Where do you plan
to raise them?Copy !req
80. In what
religious tradition?"Copy !req
81. Those are
pretty intense.Copy !req
82. They're good questions,
Claire,
about important topics.Copy !req
83. Early on,
people usually stick
with lighter stuff...Copy !req
84. Favorite movies, bands,
hometowns.Copy !req
85. Small talk.Copy !req
86. Put some LAPs
in the upper-right quadrant.Copy !req
87. Here's the Bovie,
Dr. Andrews.Copy !req
88. Isn't the point of datingCopy !req
89. to gather information
to determine compatibility?Copy !req
90. Retract the omentum.Copy !req
91. Sure.Copy !req
92. Isn't that best achievedCopy !req
93. by finding out
what's important
to the other person?Copy !req
94. Hemostats.Copy !req
95. It's a...
It's a process, Shaun,Copy !req
96. like peeling an onion.Copy !req
97. People
are more comfortableCopy !req
98. revealing their layers
gradually,Copy !req
99. as opposed to getting sliced
right down the middle.Copy !req
100. I heard Dr. Lim selected youCopy !req
101. for the first lead.Copy !req
102. I'm guessing you drew
a cholecystectomy.Copy !req
103. Sponge on a stick.Copy !req
104. What's your approach
to dissecting...Copy !req
105. Retrograde
or antegrade?Copy !req
106. Antegrade.Copy !req
107. Once I've located
the porta hepatis.Copy !req
108. I think Carly
was comfortable.Copy !req
109. Why does it matterCopy !req
110. what kind of questions
are asked when?Copy !req
111. Aren't the answers
what's important?Copy !req
112. I'm sure you're right. Yes.Copy !req
113. What is the plan
for the next date?Copy !req
114. Hmm.Copy !req
115. We didn't make
another date.Copy !req
116. Then I grasp gallbladder fundusCopy !req
117. and elevate it which way?S-Superiorly.Copy !req
118. Is that significant?Copy !req
119. No follow-up date?Copy !req
120. Not necessarily.Copy !req
121. How did the night end?Copy !req
122. Good-night kiss?Copy !req
123. I've exposed
the triangle of CalotCopy !req
124. and ligated the cystic duct
and artery.Copy !req
125. What is the risk
at this juncture?Copy !req
126. Lacerating the liver
during dissection. Correct.Copy !req
127. We didn't kiss.Copy !req
128. Ironically, a complicationCopy !req
129. which I've inadvertently
just demonstrated.Copy !req
130. Hold direct pressure.Copy !req
131. I need better exposure.Copy !req
132. I sliced
instead of peeled.Copy !req
133. You are familiar
with the Pringle procedure,Copy !req
134. Dr. Browne?Copy !req
135. Yes,
although I've never...Copy !req
136. Clamp down the portal triadCopy !req
137. with an atraumatic
hemostat clamp,Copy !req
138. then use a number 2
catgut suture.Copy !req
139. Shaun, just go to her
and explain.Copy !req
140. If what I said
made her uncomfortable,Copy !req
141. then saying more
could make her
more uncomfortable.Copy !req
142. I sliced
instead of peeled.Copy !req
143. After Michelle's surgery,Copy !req
144. I will go
and talk to Carly.Copy !req
145. Good.Copy !req
146. You can talk
to her soon.Copy !req
147. OR 2
had a cancellation.Copy !req
148. Your surgery
is in 45 minutes.Copy !req
149. Hi, I'm Dr. Browne.Copy !req
150. I will be performing
Michelle's surgery.Copy !req
151. I will be removing
her gallbladder.Copy !req
152. It is a simple procedure.Copy !req
153. We're gonna make sure
your daughterCopy !req
154. is well taken care of.Copy !req
155. Ow!Copy !req
156. Sir,
we need to decapitate it.Copy !req
157. No, don't.
I'm begging you.Copy !req
158. Don't.Copy !req
159. Please.Copy !req
160. I can't get an image.Copy !req
161. How did that...Copy !req
162. I-Is that a swordfish?Copy !req
163. With that dorsal fin?
It's a marlin.Copy !req
164. I hooked him
with a naked ballyhoo.Copy !req
165. Battled me
for over an hour.Copy !req
166. Suddenly, he just
leapt out of the water.
He came right at me.Copy !req
167. Save the story
for the bar, Quint.Copy !req
168. Right now, we need to cut
the damn thing in half.Copy !req
169. No.
40-plus yearsCopy !req
170. I've been
chasing a fish like this.Copy !req
171. You can't just
behead him!Copy !req
172. Can't leave his nose
in your leg, either.Copy !req
173. His bill.Copy !req
174. Can't you just
pull him out gently?Copy !req
175. I'll sign a waiver.Copy !req
176. The pull-out method
never works.Copy !req
177. If any of your blood vessels
are damaged, it gets messy.Copy !req
178. Congrats. I hear your surgery
is on the schedule.Copy !req
179. How's his distal pulse?Copy !req
180. A little thready,
but still there.Copy !req
181. We need to get him
to an MRI.Copy !req
182. I'm not going anywhere
without Franklin.Copy !req
183. I named him
after my father.Copy !req
184. You and Franklin
both won't fit.Copy !req
185. Aah! Oh! Oh!Copy !req
186. How? You said he was dead!
I didn't take a pulse.Copy !req
187. Go get something
to kill it.Copy !req
188. No, it's dead! It's moving!Copy !req
189. It's a postmortem
response.Copy !req
190. You guys are doctors.
Don't people do this?Copy !req
191. No!
No!Copy !req
192. I'll help you review
at lunch.Copy !req
193. Surgery's in 20 minutes.Copy !req
194. Good luck.You, too.Copy !req
195. I want to...Copy !req
196. No, no,
I haven't looked.Copy !req
197. I want to be...Copy !req
198. Great... great...Copy !req
199. Okay.Copy !req
200. or nothing. Nothing.Copy !req
201. Got it. I'll be back
as soon as I can.Copy !req
202. Hi. You must be
Michelle's mother.Copy !req
203. I'm Dr. Browne.
I'll be...Copy !req
204. Yeah. How long will
she have to stay in here?Copy !req
205. Hospitals
make me nervous.Copy !req
206. Three days to a week,
depending on...Copy !req
207. Well, she's gonna miss
a lot of school.Copy !req
208. And she watches Tisha
and her brothers
in the afternoon.Copy !req
209. Your daughter
has a serious infection
in her gallbladder.Copy !req
210. She's been
experiencing symptomsCopy !req
211. on and off
for a while now.Copy !req
212. She never
told me that.Copy !req
213. Why didn't
you tell me that?Copy !req
214. Mama... My point is,Copy !req
215. she's been ill
for a while,Copy !req
216. so her recovery
may take...Copy !req
217. Mom.Copy !req
218. Mom?Copy !req
219. P-Please,
my... my chest hurts.Copy !req
220. PATRICIA: What's wrong?Copy !req
221. Her oxygen levels
are dropping.
She's tachycardic.Copy !req
222. I need a chest CT, stat.Copy !req
223. You had a blood clotCopy !req
224. in the artery
that feeds your lungs.Copy !req
225. It's called
a pulmonary embolism.Copy !req
226. This medicine broke it up.Copy !req
227. How could that happen?Copy !req
228. According to our scan,Copy !req
229. it was part of a larger clot
in your legCopy !req
230. that broke off
and traveled there.Copy !req
231. As for why
the larger one formed,Copy !req
232. when I asked you if you were
taking birth control pills,Copy !req
233. you said no.Copy !req
234. Was that the truth?Copy !req
235. You asked me
in front of Tisha.Copy !req
236. I'm doing it
with my boyfriend,
and I don't want babies,Copy !req
237. so I'm taking
birth control pills.Copy !req
238. How long have you been
taking them?Copy !req
239. I don't know.
A year?Copy !req
240. I'm prescribing condoms
for your boyfriend.Copy !req
241. You need to go off the pill
to prevent further clots.Copy !req
242. Dr. Browne is gonna
place an IVC filter
via your femoral vein,Copy !req
243. in case other parts
of the clot break off.Copy !req
244. Your gallbladder surgery's
gonna have to wait
till tomorrow.Copy !req
245. What are you doing?Copy !req
246. This is where
the catheter goes in.Copy !req
247. How did you get
these scars?Copy !req
248. I cut myself
climbing a fence.Copy !req
249. Those scars...Copy !req
250. They're straight,
in a row,Copy !req
251. all the same length.Copy !req
252. I don't believe
you got them
from a fence.Copy !req
253. I don't care
what you believe.Copy !req
254. Kids who cut,Copy !req
255. most of them
are really sad,Copy !req
256. in a lot of pain,Copy !req
257. and they say cutting
makes them feel better.Copy !req
258. Is that
how it is with you?Copy !req
259. I don't want
to talk about it.Copy !req
260. Okay.Copy !req
261. My life sucks, okay?Copy !req
262. Tell me how.Copy !req
263. Why?Copy !req
264. It won't change anything.Copy !req
265. Talking might
make you feel better,Copy !req
266. and maybe I can help.Copy !req
267. I live in a foster home,
but I'm not a foster kid.Copy !req
268. I'm a whole mother,
but I've never had a baby.Copy !req
269. My mom brought three kids
in our home,Copy !req
270. and now it's my job
to take care of them...Copy !req
271. Make breakfast,
get the kids dressed,Copy !req
272. take them to school,
go to school,Copy !req
273. pick them up,
dinner, homework, laundry.Copy !req
274. Repeat.Copy !req
275. I barely ever
leave the houseCopy !req
276. without a kid
attached to me.Copy !req
277. Can you help me
with that?Copy !req
278. Michelle wouldn't
hurt herself on purpose.Copy !req
279. Michelle is unhappy.Copy !req
280. She feels pressureCopy !req
281. to look after
her foster siblings,Copy !req
282. help out at home...Copy !req
283. Yeah,
her home life is fine.Copy !req
284. I'll talk to her.Copy !req
285. It might be helpful
to have her speak
with a psychiatrist.Copy !req
286. My daughter is not crazy.Copy !req
287. We... We don't
do psychiatrists.
You know that.Copy !req
288. That needs to change.Copy !req
289. When are you doing
her surgery?Copy !req
290. Tomorrow. Thank you.Copy !req
291. I will speak
to my daughter.Copy !req
292. Don't.Copy !req
293. It's your job
to fix her gallbladder,
not her life.Copy !req
294. It's your first surgery.Copy !req
295. Don't get distracted.Copy !req
296. Have you talked
to Carly?Copy !req
297. No.Copy !req
298. Blood pressure is 62/31.Copy !req
299. Your patient
is in cardiac arrest.Copy !req
300. I know.Copy !req
301. You're practicing
the Pringle maneuverCopy !req
302. in the event
of a liver bleed?Copy !req
303. Yes.Copy !req
304. That was better.
Thanks.Copy !req
305. Now you can
talk to Carly.Copy !req
306. I need to practice.Copy !req
307. Dr. Lim saysCopy !req
308. getting away from things
every now and again,Copy !req
309. having balance
in our livesCopy !req
310. can be just as important
to our performance
as practice.Copy !req
311. Maybe you should
get some balance
by talking to Carly.Copy !req
312. I don't know.Copy !req
313. I'm nervous about
my surgery, Shaun.Copy !req
314. Practice will make me
less nervous.Copy !req
315. That will improve
my performance.Copy !req
316. Okay.Copy !req
317. Okay.Copy !req
318. You should also practice
not causing a liver bleed.Copy !req
319. Planning on it.Copy !req
320. Also, how you will recover
if you cut the portal vein.Copy !req
321. That's potentially fatal.Copy !req
322. Or if you perforate
the small bowel,Copy !req
323. which could cause sepsis,
leading to death.Copy !req
324. Or if you cut
the common bile duct,Copy !req
325. which would cause... I'm gonna go talk to Carly.Copy !req
326. Right now?
Right now.Copy !req
327. Aren't you still nervous? Nope, all better.Copy !req
328. What blade
for the Kocher?Copy !req
329. What?Copy !req
330. Incision for the chole...
what blade?Copy !req
331. Uh...Copy !req
332. 10.
Mm-hmm.Copy !req
333. No, they won't both
fit in the MRI.Copy !req
334. Fish Boy
doesn't buy it.Copy !req
335. Location
of the incision.Copy !req
336. Why are you trying
to help me?Copy !req
337. Lim picked you
for the first surgery.Copy !req
338. Everyone knows
that makes youCopy !req
339. the front-runner
for Chief Resident.Copy !req
340. This is me sucking up.Copy !req
341. I've never been big
on pretense...Copy !req
342. Are you okay?Copy !req
343. What the hell
just happened?Copy !req
344. The marlin must have had
metal in his body...Copy !req
345. Lures and stuff.Copy !req
346. I think a license plate
flew by me.Copy !req
347. Franklin!Copy !req
348. Oh, no!Copy !req
349. Franklin!Copy !req
350. Oh, it's okay.Copy !req
351. Franklin's okay.Copy !req
352. It all came out
one side.Copy !req
353. It won't show
when I mount him.Copy !req
354. Well, thank goodness
for small miracles.Copy !req
355. Ooh.
Oh!Copy !req
356. Ow!Copy !req
357. Oh!
Ah!Copy !req
358. I've got his femoral.Copy !req
359. Call the OR.
We're coming.Copy !req
360. Hang on, Dr. Browne.Copy !req
361. Just need
to make an incisionCopy !req
362. above and below
the arterial injury site.Copy !req
363. We need to clamp the femoral
proximal to the bleedCopy !req
364. without clipping
the femoral nerve.Copy !req
365. Got it. I feel the nerve
right above my index finger.Copy !req
366. One down.Copy !req
367. My hand is
starting to cramp.Copy !req
368. Lean over
this way a little bit.
Rotate your wrist.Copy !req
369. Just a little bit more.Copy !req
370. Let's see if that holds.Copy !req
371. Go get cleaned up.
We'll take it from here.Copy !req
372. I wanted to check
the patient's bloodwork.Copy !req
373. He's negative for
HIV, Hep B and C.Copy !req
374. You don't need
prophylactic meds.Copy !req
375. I'm nervous
about my surgery.Copy !req
376. You'll be fine.Copy !req
377. And don't ever
say that again.Copy !req
378. Why?Copy !req
379. Weren't you nervous
before your first lead?Copy !req
380. If I was,Copy !req
381. I didn't volunteer that
to the Chief of Surgery...Copy !req
382. Or anyone.Copy !req
383. We're women,
we're not white,Copy !req
384. and we're surgeons.Copy !req
385. Unicorns consider us
a fabled species.Copy !req
386. We don't get the luxury
of public insecurity.Copy !req
387. I will aspire to repressed
stoicism in the future.Copy !req
388. We don't need
to be insecure,Copy !req
389. because every step
of the way,Copy !req
390. we've had to be
twice as good
as everybody else.Copy !req
391. Suck it up.Copy !req
392. You got this.Copy !req
393. Don't forget
we have our session
with Dr. Donovan today.Copy !req
394. I won't.Copy !req
395. Your patient.
Mm-hmm.Copy !req
396. What are they like?Copy !req
397. Man, woman, young, old?Copy !req
398. Woman.Copy !req
399. Girl, actually.Copy !req
400. She's tough, smart...
really sad.Copy !req
401. Her mom has her taking care
of three foster kids.Copy !req
402. At least you were only stuck
looking after me.Copy !req
403. How old?Copy !req
404. 14.Copy !req
405. Although she acts
a lot older.Copy !req
406. She's been having sex
for almost a year.Copy !req
407. Well, you were about that age
when you were with Wayne.Copy !req
408. I didn't have sex
with Wayne. What?Copy !req
409. He was in love with you,Copy !req
410. always sniffing
around our place.Copy !req
411. Maybe.
He didn't get any.Copy !req
412. So, who?Copy !req
413. Junior prom guy...
Derek.Copy !req
414. Der... No.Copy !req
415. I didn't lose
my virginityCopy !req
416. until sophomore year
of college.Copy !req
417. What were you hoping for,
a proposal?Copy !req
418. No.Copy !req
419. I wanted it
to be special.Copy !req
420. Oh, good for you.Copy !req
421. I mean, I wouldn't
have held out...Copy !req
422. No... but good for you.Copy !req
423. I thought for sure
you and Wayne were doing it.Copy !req
424. You were okay
with that?Copy !req
425. You were so serious.Copy !req
426. So restrained.Copy !req
427. We talked about
birth control.Copy !req
428. I figured,
"Good for her.Copy !req
429. She's finally relaxing,
having some fun."Copy !req
430. Well, I was so restrained
and seriousCopy !req
431. 'cause I never knew
when you were
gonna fall apart.Copy !req
432. Got to get to work.Copy !req
433. I'll be back before
Michelle goes into surgery.Copy !req
434. Have you had a chance
to talk to herCopy !req
435. about her cutting?Copy !req
436. Oh, yeah, some fool friend
of hers gave her the idea.Copy !req
437. She's not unhappy.
It's just peer pressure.Copy !req
438. She sounded unhappy
to me.Copy !req
439. She's upset I didn't let her
go hang out with her friends.Copy !req
440. It's typical teen drama.Copy !req
441. She promised me
she's done cutting.Copy !req
442. Self-harming behavior
doesn't just stop.Copy !req
443. Michelle might need... Dr. Browne.Copy !req
444. My daughter
needs to have surgeryCopy !req
445. and get out
of this hospital.Copy !req
446. You didn't tell your mom
the truthCopy !req
447. about why
you cut yourself,Copy !req
448. about how unhappy
you are.Copy !req
449. I tried.Copy !req
450. She didn't
want to hear it,Copy !req
451. just said that things aren't
always gonna go my wayCopy !req
452. and I need to be
more responsible.Copy !req
453. Like I'm not already.Copy !req
454. Growing up, I had
to take care of my mom.Copy !req
455. What was wrong with her?Copy !req
456. She's mentally ill.Copy !req
457. Bipolar disorderCopy !req
458. and a drinking problem,
pills.Copy !req
459. When things were bad,Copy !req
460. she'd forget
to buy groceriesCopy !req
461. or clean the trailer
or pick me up.Copy !req
462. Or she'd spend all our rent
on something stupid.Copy !req
463. And I thoughtCopy !req
464. if I could make her life
easy enough...Copy !req
465. If I cooked and cleaned
and got good grades...Copy !req
466. Then she'd get better.Copy !req
467. But she never did.Copy !req
468. And for
the longest time,Copy !req
469. I thought it was my fault
she was sick.Copy !req
470. And I probably
still wouldCopy !req
471. if a psychiatrist
hadn't refused to believe meCopy !req
472. when I said I was fine.Copy !req
473. You've been
to a psychiatrist?Copy !req
474. But you're, like,
a fancy surgeon.Copy !req
475. I could have a therapist
come by and see youCopy !req
476. before your surgery.Copy !req
477. Okay.Copy !req
478. He should be
getting better.Copy !req
479. It's got to be an infection
from the marlin.Copy !req
480. Aeromonas
or mycobacterium marinum.Copy !req
481. Would've responded
to the antibiotics.Copy !req
482. Guys,
I'm trying to focus.Copy !req
483. What if he has an underlying
autoimmune disorder?Copy !req
484. It could've been triggered
by the surgeryCopy !req
485. or even the initial
fish stabbing.Copy !req
486. It would explain why
the leg ulcerations
are progressingCopy !req
487. despite
good arterial flow.Copy !req
488. We could see
if he responds to steroids.Copy !req
489. Which could kill him
if it is an infection.Copy !req
490. But we could run an ANA,
see if he's positive.Copy !req
491. What about a parasite?Copy !req
492. Rhinosporidium seeberi
or a gill worm.Copy !req
493. Have you talked
to Carly?Copy !req
494. Sorry.Copy !req
495. I got sidetracked
by a marlin.Copy !req
496. Come in.Copy !req
497. You wanted to see me?Copy !req
498. Ms. Reynolds tells me
that you went
against her wishesCopy !req
499. and had her daughter
speak with a psychiatrist.Copy !req
500. Uh, Michelle asked
to see a therapist.Copy !req
501. Only after
you talked her into it.Copy !req
502. I'm gonna report you
to the medical board.Copy !req
503. You had no right...Copy !req
504. Dr. Browne,
were you concernedCopy !req
505. that Michelle might be
a serious danger to herself?Copy !req
506. Yes.Copy !req
507. In that case,
the consult was required.Copy !req
508. That said,Copy !req
509. Dr. Browne's failure
to inform you
was inappropriate.Copy !req
510. You're off the case.Copy !req
511. Dr. Melendez
will perform the surgery.Copy !req
512. DR.
How are you doing?Copy !req
513. Claire?Copy !req
514. I understand today's
a big day for you.Copy !req
515. Your first surgery.Copy !req
516. We don't need
to talk about that.Copy !req
517. Hmm, I think we do.Copy !req
518. You've been taking care of
your mother for a long time.Copy !req
519. That's a pattern you both
need to break out of.Copy !req
520. I know I haven't always
been there for you,Copy !req
521. and I just... I...Copy !req
522. I'm trying
to change that.Copy !req
523. I know, Mom.Copy !req
524. I'm good.
Everything is fine.Copy !req
525. DR.
And your first surgery?Copy !req
526. Is that this afternoon?Copy !req
527. It's...Copy !req
528. Actually, it's not.Copy !req
529. Um...Copy !req
530. I arranged
a psych consultCopy !req
531. without
the mother's permission,Copy !req
532. so I got thrown off
the case.Copy !req
533. How could the hospital
allow that?Copy !req
534. What is wrong
with them?Copy !req
535. After how hard
you've worked, I just...Copy !req
536. It's okay, Mom.
They kind of had to.Copy !req
537. That must be
a big disappointment...Copy !req
538. It is.Copy !req
539. Anything else,
Claire?Copy !req
540. I'm upset, humiliated,Copy !req
541. so, so mad
at my patient's motherCopy !req
542. for not taking care
of her daughter.Copy !req
543. And I...
I'm relieved.Copy !req
544. I'm so, so relieved
to have that weight off of me,Copy !req
545. and that makes me
feel like a fraud.Copy !req
546. Don't you say that.Copy !req
547. How can I be so scaredCopy !req
548. to do something
I've wanted for so long?Copy !req
549. Because things that matter
are scary.Copy !req
550. That's how I feel
about coming here,Copy !req
551. talking about my life
and our relationship.Copy !req
552. What if I can't fix it?Copy !req
553. What if I can't make upCopy !req
554. for all the times
I've let you down?Copy !req
555. And then I think...Copy !req
556. "Just be like Claire."Copy !req
557. Because nothing
stops you... ever.Copy !req
558. You see what you want,Copy !req
559. and you go after it
with everything you've got.Copy !req
560. You are an inspiration.Copy !req
561. You're myinspiration.Copy !req
562. Carly?Copy !req
563. Hi.
Do you have a second?Copy !req
564. OR 2 is waiting to learnCopy !req
565. the patient's mass
wasn't cancerous
so they can close.Copy !req
566. I can come back after.Copy !req
567. I'll be at the cafe?Copy !req
568. Mm-hmm.
Okay.Copy !req
569. WOMAN OVER P.A.:
Anesthesiology, line 271.Copy !req
570. Anesthesiology, call line 271.Copy !req
571. Cancer.Copy !req
572. The marlin guy
has cancer.Copy !req
573. CT chest, abdomen,
and pelvis
showed no masses.Copy !req
574. It's in his leg.Copy !req
575. It explains
progressive ulcerationsCopy !req
576. despite
good arterial flow.Copy !req
577. And why the antibiotics
aren't working.Copy !req
578. We'll send a tissue sample
from the ulcerated area.Copy !req
579. And when I'mChief Resident,
I'll remember this.Copy !req
580. There's a problem
with Michelle.Copy !req
581. I'm not doing it!Copy !req
582. You need to calm down.Copy !req
583. You don't get
to tell me what to do!Copy !req
584. I want Dr. Browne!Copy !req
585. Michelle?
What's going on?Copy !req
586. I want you
to do my surgery.Copy !req
587. I want her, Mama,
not somebody else.Copy !req
588. Dr. Melendez
is gonna do your surgery.Copy !req
589. He is a great doctor.Copy !req
590. He's not you.Copy !req
591. Y-You care about me.Copy !req
592. Everybody here cares
about you, Michelle.Copy !req
593. Now, please sit down.
You could rupture
your gallbladder.Copy !req
594. I-I-I don't want
to get better.Copy !req
595. Don't say that.It's the truth!Copy !req
596. Michelle,
you need this surgery.Copy !req
597. That is all that matters...
not whether I do it.Copy !req
598. I'm gonna be there.Copy !req
599. I will be watching
from the galleryCopy !req
600. the whole time.Copy !req
601. You just... You need...
You need to sit down.Copy !req
602. The kid okay?Copy !req
603. I had to pull you off.Copy !req
604. If you made even the tiniest
misstep during surgery,Copy !req
605. that mom would go
from threat to lawsuit.Copy !req
606. Is Patricia okay with me
watching from the gallery?Copy !req
607. No.Copy !req
608. You can't remove
her gallbladder
from the gallery.Copy !req
609. What?Copy !req
610. You're doing
Michelle's surgery.Copy !req
611. How'd you get the mom
to change her mind?Copy !req
612. I explained that,
given Dr. Browne's
commitment to her daughter,Copy !req
613. she's the perfect choice
to lead the surgery.Copy !req
614. Especially with me
over her shoulder
the whole time.Copy !req
615. Thank you
for fighting for me.Copy !req
616. That's what bosses do.Copy !req
617. Let's go.Copy !req
618. You stood me up.
Sorry about that.Copy !req
619. What's up?Copy !req
620. Shaun's a little worried
he may have freaked you outCopy !req
621. with his... questionnaire
the other night.Copy !req
622. Oh, I thought
it was cool.Copy !req
623. Small talk
bores the hell out of me.Copy !req
624. Well, then, great.Copy !req
625. I'll tell him.Copy !req
626. Shaun got worried about that
all on his own?Copy !req
627. That doesn't
seem like him.Copy !req
628. I may have mentionedCopy !req
629. that people don't usually ask
deeply personal questionsCopy !req
630. on an early date.Copy !req
631. Claire, I like you,Copy !req
632. but we don't really know
each other.Copy !req
633. And yet you decidedCopy !req
634. how I was going to react
to Shaun's questions,Copy !req
635. which isn't
your business.Copy !req
636. And you were wrong...Copy !req
637. Totally, totally wrong.Copy !req
638. Shaun and I don't need you
or anyone elseCopy !req
639. to run interference
on our relationship.Copy !req
640. Butt out.Copy !req
641. Is everybody ready
for a Time Out?Copy !req
642. Dr. Claire Browne,
lead surgeon.Copy !req
643. Dr. Neil Melendez,
attending surgeon.Copy !req
644. Dr. Shaun Murphy,
assisting.Copy !req
645. Dr. Jan Lancaster,
anesthesia.Copy !req
646. Donna Petringa,
scrub nurse.Copy !req
647. Shani Walden,
circulating nurse.Copy !req
648. Patient is
Michelle Reynolds.Copy !req
649. We will be performing
an open cholecystectomy.Copy !req
650. All tools I need
are confirmed to be present.Copy !req
651. Estimated blood loss,
100 cc.Copy !req
652. Patient will go to the ICU
after surgery.Copy !req
653. Is everybody in agreement?Copy !req
654. Dr. Murphy, have you
ChloraPrepped the site?Copy !req
655. I have.Copy !req
656. 10 blade.Copy !req
657. Sponge.Copy !req
658. Top layer of abdominal muscle
is exposed.Copy !req
659. I'll need a Bovie
to cut through.Copy !req
660. Nice work,
Dr. Browne.Copy !req
661. Bookwalter Retractor.Copy !req
662. I see the liver,Copy !req
663. and I need to better expose
the inferior surface.Copy !req
664. Retract the duodenum
inferiorly, please.Copy !req
665. Gallbladder exposed.Copy !req
666. Dr. Browne?Copy !req
667. There is more scarring
than the imaging suggested.Copy !req
668. True.Copy !req
669. Talk through
your approach.Copy !req
670. I... grasp
the gallbladder fundus forwardCopy !req
671. and use a right-angle clamp
in my suctionCopy !req
672. to develop a plane
around the gallbladder.Copy !req
673. Kelly clamp,Copy !req
674. a right-angle clamp,
and suction.Copy !req
675. That was elegant use
of the Kelly clamp.Copy !req
676. I see the cystic ductCopy !req
677. and, behind it,
the cystic artery.Copy !req
678. I need my first assist
to confirmCopy !req
679. that I have identified
the common bile ductCopy !req
680. and it is
out of the way.Copy !req
681. Yes.Copy !req
682. Cutting the duct
would be...Copy !req
683. Very, very bad.Copy !req
684. Move the gallbladder
cranially a little bit.Copy !req
685. Titanium clip applier.Copy !req
686. You sure
you have a clear view?Copy !req
687. Making the cut.Copy !req
688. She's hemorrhaging.Copy !req
689. I can't see
the source of the bleeding.Copy !req
690. MAP is 45 and dropping.Copy !req
691. What do you think
is happening?Copy !req
692. Most likely,Copy !req
693. my scissors' tip nicked
the right hepatic artery.Copy !req
694. It happens.Copy !req
695. It's happened to me.Copy !req
696. I need to clamp
the common hepatic artery,Copy !req
697. repair the arterial wallCopy !req
698. with running
6-0 Prolene sutures.Copy !req
699. That's what
I would do.Copy !req
700. Hey, hey, hey.
Slow down. Slow down.Copy !req
701. No running.
No running.Copy !req
702. Dr. Browne,
how's my daughter?Copy !req
703. The surgery
was a success,Copy !req
704. and we expect
a full recovery.Copy !req
705. I wanna see her!Copy !req
706. Is that okay?Copy !req
707. Yay!
Okay.Copy !req
708. Michelle says
she wants to be a doctor.Copy !req
709. She would be
a great one.Copy !req
710. Uh, that therapist
Michelle talked to...Copy !req
711. could I get her card?Copy !req
712. Hi, baby. Hey.Copy !req
713. Okay.Copy !req
714. Three, two, one.Copy !req
715. You were right.Copy !req
716. He had angiosarcoma
of the leg.Copy !req
717. Had to amputate,
but the margins were clean.Copy !req
718. Hmm.
What happened to the...Copy !req
719. Franklin!Copy !req
720. Oh!Copy !req
721. Franklin,
you amazing fish!Copy !req
722. You saved my life.Copy !req
723. Come on, bring him...
bring him here.Copy !req
724. Bring him...
Bring him in.Copy !req
725. Oh.Copy !req
726. Thank you, guys.Copy !req
727. Group hug.Copy !req
728. Do you prefer
to work in a teamCopy !req
729. or do you prefer to lead
or follow command?Copy !req
730. Team... and to lead.Copy !req
731. What machine
or appliance in your houseCopy !req
732. aggravates you
the most?Copy !req
733. The dishwasher.Copy !req
734. Hey, I'm just leaving.Copy !req
735. Who is this?Copy !req
736. FEMALE VOICE: Message receivedCopy !req
737. at 5:30 p.m. from Mom.Copy !req
738. Hey, baby, I got your text.Copy !req
739. See, I knew it was just
a temporary setback.Copy !req
740. We're gonna celebrate.Copy !req
741. I made dinner.Copy !req
742. And I'm gonna
go get some dessert.Copy !req
743. I'll see you soon.Copy !req
744. I'm so proud of you, baby.Copy !req