1. Okay.
(SQUEALS)Copy !req
2. Okay.Copy !req
3. This is terrifying.Copy !req
4. And very fun.Copy !req
5. Are you ready
to try lying down?Copy !req
6. Because I am ready, Shaun.
I am very ready.Copy !req
7. Carly.Copy !req
8. Six hundred thread count,
microfiber sheets.Copy !req
9. A shredded
memory foam pillow.Copy !req
10. A 40-watt
A19 incandescent bulb.Copy !req
11. I'm sorry.Copy !req
12. You didn't return
my calls this weekend.Copy !req
13. After a ride
up Skyline Boulevard,Copy !req
14. 60 minutes of Muay Thai
and a 15-year reserve Scotch,Copy !req
15. I had a moment
of clarity.Copy !req
16. What you said about
my objectivity
in the Fields caseCopy !req
17. wasn't about me.Copy !req
18. You were in pain.Copy !req
19. I was taking
responsibility.Copy !req
20. And asking you
to take your share.Copy !req
21. It was a good
surgical plan.Copy !req
22. You need to accept that,
despite being
a gifted surgeon,Copy !req
23. you are fallible.Copy !req
24. I think I should run
my procedures by GlassmanCopy !req
25. from now on.Copy !req
26. Audrey, we need some
checks and balances.Copy !req
27. I am checked
and balanced.Copy !req
28. And I'm the chief
of this department.Copy !req
29. You will continue
to run your medical
decisions past me.Copy !req
30. DR. Browne,
you're with Melendez today.Copy !req
31. Murphy and Park,
meet me in the ER
observation unit in 20.Copy !req
32. I thought I was
on ER consults
with Park today.Copy !req
33. If I'm being bumped because
I took off the other day,Copy !req
34. Dr. Browne was every bit...
First lead surgery.Copy !req
35. Thank you.
Scheduled for tomorrow.Copy !req
36. Study the images
and prep your patient.Copy !req
37. Yes. (CHUCKLES)
I rock. I rock.Copy !req
38. The surgery gods know it.
I know it.Copy !req
39. And apparently, so do
es Andrews.Copy !req
40. Boasting doesn't have
the same impact when
you're picked last.Copy !req
41. He was obviously
waiting for the right case
to come along.Copy !req
42. No.Copy !req
43. You're kidding me.Copy !req
44. This is much better
than my first surgery.Copy !req
45. Damn right.
A med student
could do an appy.Copy !req
46. The carotid endarterectomy
takes serious finesse.Copy !req
47. Fair to say it's really
a fifth-year procedure,Copy !req
48. but I don't have time
to sit around
debating semantics.Copy !req
49. I have the Holy Grail
of resident surgeries
to prep for.Copy !req
50. The tumor was found
on my left lung
at my medical fitness exam.Copy !req
51. Tricky spot.Copy !req
52. Curable,Copy !req
53. but tough to remove
without taking
the entire lung.Copy !req
54. That's what they said.Copy !req
55. And you didn't
like that answer.Copy !req
56. I need my lung.Copy !req
57. I'm going to the moon.Copy !req
58. DR. When did
the chest pain start?
Around 9:00 this morning.Copy !req
59. I'm gonna look at your heart.
This gel may be a little cold.Copy !req
60. You see a cardiologist.
Did you use the nitro
he prescribed?Copy !req
61. It usually relieves
the angina,
but not this time.Copy !req
62. Are you the same
Rosalind Elion who
just published a studyCopy !req
63. on IDH2 inhibitors
in myeloid leukemiaCopy !req
64. in the Journal
of Pediatric Oncology?Copy !req
65. Yeah.Copy !req
66. Wow.Copy !req
67. You're famous.Copy !req
68. I used an IDH2
on a kid with AML.Copy !req
69. He's doing great.
Oh.Copy !req
70. Your study
has revolutionized
leukemia treatment.Copy !req
71. It's an honor to meet you.Copy !req
72. That's kind of you to say.Copy !req
73. Noticing anteroapical wall
motion abnormalities.Copy !req
74. Is your chest
pain worsening?
Yes.Copy !req
75. How did you...Copy !req
76. DR. She's
having a heart attack.Copy !req
77. Contact her family,
then meet us in surgery.Copy !req
78. She needs a triple bypass.Copy !req
79. The moon?
DR. The moon.Copy !req
80. In 2020.Copy !req
81. It's a private venture
partnership with NASA.Copy !req
82. Floating in an expanse
of uninhabitable emptiness,Copy !req
83. 200,000 miles
from the nearest Starbucks.Copy !req
84. Not for me.Copy !req
85. You never wanted
to be an astronaut
when you were a kid?Copy !req
86. Had enough challenges
here on Earth.Copy !req
87. Did you?Copy !req
88. I was a Trekker.
(LAUGHS)Copy !req
89. All my friends
had Spock ears.Copy !req
90. I was all about McCoy.Copy !req
91. There's our tumor.Copy !req
92. It's embedded
in the hilum.Copy !req
93. NASA doctor was right.Copy !req
94. We'd have to take
the entire lung
to get it out.Copy !req
95. Not necessarily.Copy !req
96. The tumor's growing
into the upper lobe.Copy !req
97. If we can remove it
from the main bronchus,Copy !req
98. we can get a clean margin.Copy !req
99. The rest of the lung can stay.Copy !req
100. No go.Copy !req
101. You'd have 80% of...Copy !req
102. If treatment reduces
my lung volume at all,Copy !req
103. I'll be unfit
for space travel.Copy !req
104. The mass is too deep.Copy !req
105. Major blood vessels,
your airway, esophagusCopy !req
106. and heart are right there.Copy !req
107. The next opinion you get
will be the same.Copy !req
108. Or worse.Copy !req
109. Thank you for your time.Copy !req
110. DR.
What do you see
at the apex?Copy !req
111. I see profusion,
abnormalities.Copy !req
112. Her LAD and PD
are completely occluded.Copy !req
113. DR. She listed her
husband as her medical proxy.Copy !req
114. DR.
You'll need to update him
as soon as he gets here.Copy !req
115. The entire left side
of her heart is compromised.Copy !req
116. He's not coming. (SIGHS)Copy !req
117. They've been divorced
for two years.Copy !req
118. He hasn't spoken to her
in almost that long.Copy !req
119. Murphy, anastomose
the internal mammary
to the LAD.Copy !req
120. Let's see if we can give her
heart a blood supply.Copy !req
121. DR.I tracked
down her sister
in Santa Cruz,Copy !req
122. she hasn't seen Rosalind
in years either.Copy !req
123. That's a lot of legwork
for a surgeon.Copy !req
124. No social worker
available?Copy !req
125. It's good that you
didn't find anyone.Copy !req
126. Family members are the least
qualified people in the roomCopy !req
127. to make medical decisions.Copy !req
128. Judging by the state
of her myocardium,Copy !req
129. there's only one
choice anyway.Copy !req
130. She needs a new heart.Copy !req
131. I think it's possible
to spare her upper lobe
using a surgical robot.Copy !req
132. Wren Braxton
came to see me.Copy !req
133. You're her second opinion?Copy !req
134. Or fourth
or whatever she's up to?Copy !req
135. I'm surprised
you didn't offer
the robotic option.Copy !req
136. It's the type of surgery
I usually send your way.Copy !req
137. I didn't offer it
because with the robot,Copy !req
138. if I'd nicked
her pulmonary artery,Copy !req
139. she'd likely bleed out
before I get a chanceCopy !req
140. to open her up
to control it.Copy !req
141. She's just gonna keep looking
until someone gives herCopy !req
142. the answer she wants.
And then what?Copy !req
143. What do you think
her odds of survival areCopy !req
144. if some hack
tries to cut the tumor outCopy !req
145. leaving the lungs intact?Copy !req
146. Roughly zero.
I agree.Copy !req
147. And with you,
with the robot?Copy !req
148. Still lousy.Copy !req
149. You can do this.Copy !req
150. You're overestimating
the risk and I know why.Copy !req
151. And you're doing exactly
what you did last time.Copy !req
152. Assuming that
I can do anything.Copy !req
153. So everyone else is biased
except for you.Copy !req
154. The one who just had
a patient die on him.Copy !req
155. If it's had any effect,Copy !req
156. it's to make my judgement
more acute.Copy !req
157. I won't risk
having Wren leave hereCopy !req
158. the same way
that Patty Fields did.Copy !req
159. People risk things to make
their dreams come true.Copy !req
160. If you don't want
to help her,
I'll do it myself.Copy !req
161. DR. The intra-aortic
balloon pumpCopy !req
162. will support your heart
until we find a donor.Copy !req
163. And when might that be?Copy !req
164. A heart is the
most difficult organ
to procure.Copy !req
165. But since yours
is so badly damaged,Copy !req
166. you are very high
on the list.Copy !req
167. I suppose that's
a good thing?
Not really.Copy !req
168. We're doing
everything we can.Copy !req
169. Thank you.Copy !req
170. DR.Is there anyone
you want us to call?Copy !req
171. Yes.Copy !req
172. My lab assistant.Copy !req
173. The next few days
are crucial to my
monoclonal antibody study.Copy !req
174. Hannah needs to stay with
the cultures around the clock.Copy !req
175. I don't want
five years of work
to go to waste.Copy !req
176. Can I ask why you listed
your ex-husband
as your medical proxy?Copy !req
177. I had to name someone.Copy !req
178. Leo is the only person
I ever discussed
my medical wishes with.Copy !req
179. Now, if you don't mind,
I have a lot of work to doCopy !req
180. which, as you've indicated,Copy !req
181. I may not have
a lot of time to do it.Copy !req
182. How are you, Shaun?Copy !req
183. These are STAT
cardiac labs.Copy !req
184. I have to go.Copy !req
185. I hope you're
not embarrassed
about last night.Copy !req
186. I want to have sex
with you.Copy !req
187. That's nice.Copy !req
188. I think about it
very often.Copy !req
189. Even when
I'm supposed to focus
on more pressing matters.Copy !req
190. Like, 15 minutes ago,Copy !req
191. when I was filling out
that lab requisition,Copy !req
192. I almost forgot
to add a BNP.Copy !req
193. That's good.
No, it's not.Copy !req
194. We need a BNP
to monitorCopy !req
195. her cardiac function
on the balloon pump.Copy !req
196. I've been thinking
about you, too.Copy !req
197. Sometimes when
I shouldn't.
That's bad.Copy !req
198. Not really.Copy !req
199. I've been doing
some research.Copy !req
200. I came across this therapy
psychologists use
to treat phobias.Copy !req
201. And apparently,
it works in people
with autism, too.Copy !req
202. If you're game,
we could try tonight.Copy !req
203. I'm game.Copy !req
204. DR.I need
a different first surgery.Copy !req
205. Is there a problem
with your patient?Copy !req
206. The plaque dissection
is too advanced
for a third-year resident.Copy !req
207. I was nervous as hell
for my first surgery.Copy !req
208. And it was only
a tonsillectomy.Copy !req
209. I could take out a pair
of tonsils blindfolded,
it's not nerves.Copy !req
210. This is more like
a fifth-year procedure.Copy !req
211. You're setting me up
to fail.Copy !req
212. This is why
I picked you.Copy !req
213. You come to me scared
and you couch it
in arrogance.Copy !req
214. It's rare that a resident
has what you have.Copy !req
215. The aggressiveness,
the work ethic
and talentCopy !req
216. to be a leader.Copy !req
217. I'm not setting
you up to fail,Copy !req
218. I'm setting you up
to shine.Copy !req
219. Or am I wrong
about you?Copy !req
220. No, sir. (CHUCKLES)Copy !req
221. I want you to do my surgery.
The one Dr. Lim suggested.Copy !req
222. It was Dr. Lim's idea.
She's an excellent surgeon.Copy !req
223. And my superior.
And you think
I'm an idiot.Copy !req
224. I am afraid
of this surgery.Copy !req
225. And I'm afraid
of going to the moon.Copy !req
226. But it's not
about the moon,
it's about the fear.Copy !req
227. It's about
getting beyond that.Copy !req
228. That's how great
things happen.Copy !req
229. How they've
always happened.Copy !req
230. Because someone
took a chance.Copy !req
231. From what
I read about you,Copy !req
232. you're exactly the
kind of person
I need in my corner.Copy !req
233. Exactly the kind of person
I would have thought
would understand.Copy !req
234. Fear is also
what keeps us alive.Copy !req
235. What do you think
the odds areCopy !req
236. of you not coming back
from the moon?Copy !req
237. The reason it's heroic,
the reason it's excitingCopy !req
238. is because you don't know
what to expect.Copy !req
239. You can't
anticipate everything.Copy !req
240. One, two, maybe 5%.Copy !req
241. 60%. This surgery,
if I were doing it.Copy !req
242. There is a 60% chance
that you die on the table.Copy !req
243. It's called
exposure therapy.Copy !req
244. We'll lie down on the bed,
side-by-side, fully clothedCopy !req
245. and not touching
for 15 seconds.Copy !req
246. When this timer goes off,
you'll go into the other roomCopy !req
247. for a three-minute break.Copy !req
248. And then we'll go again
for 20 seconds.Copy !req
249. Over time,
we will progress
to longer intervalsCopy !req
250. and start to lie
closer together.Copy !req
251. This seems
like a good approach.Copy !req
252. Whenever you're ready.Copy !req
253. Are you okay?
What are you feeling?Copy !req
254. (STAMMERING)
I don't know!Copy !req
255. I don't know.
I don't know
why it didn't work.Copy !req
256. It's okay, Shaun.
We'll try again.Copy !req
257. No, no.Copy !req
258. No, no, I can't.Copy !req
259. We'll try for less time.Copy !req
260. I can't do this!Copy !req
261. Go.Copy !req
262. What?
Go.Copy !req
263. Get out of here.Copy !req
264. We can watch the end...Copy !req
265. I got the sheets,
the pillow,
the dim lightbulb,Copy !req
266. I read 18 psych journals.Copy !req
267. And you give up
after eight seconds?Copy !req
268. You're right,
this isn't going to work.Copy !req
269. Go home.Copy !req
270. How are things
with Carly?Copy !req
271. I lasted eight seconds.Copy !req
272. She kicked me
out of her house.Copy !req
273. First time is difficult.
I'm sure she didn't...Copy !req
274. We tried timed
exposure therapyCopy !req
275. to get physically closer,
but I...Copy !req
276. Couldn't do it.Copy !req
277. So try something else.Copy !req
278. When I lie close to her,
I feel diaphoretic.Copy !req
279. My heart rate is elevated
and mouth gets dry.Copy !req
280. I don't know
how to not feel that way.Copy !req
281. You want this, Shaun?Copy !req
282. Yes.Copy !req
283. Very much.Copy !req
284. Then rely
on your strengths.Copy !req
285. Treat it like
a surgical problem.Copy !req
286. Do your research.Copy !req
287. Carly came up
with a solution,
it didn't work.Copy !req
288. But that doesn't mean
the next one won't.Copy !req
289. Give me some good news.Copy !req
290. I had a potential donor
in San Diego,Copy !req
291. but the heart
was just too damaged.Copy !req
292. I'm at the GE
junction now.Copy !req
293. Now she has complete
right-sided failure, too.Copy !req
294. It's time to discuss
a DNR.Copy !req
295. She's got one day left
in this world.Copy !req
296. Let's keep her comfortable.Copy !req
297. 60%? That number
is grossly exaggerated.Copy !req
298. I spent an hour
convincing my patientCopy !req
299. I'm not trying
to kill her.Copy !req
300. She came to me,
I gave her
my surgical opinion.Copy !req
301. I could fire you
for this.Copy !req
302. Because I contradicted
your opinionCopy !req
303. after you contradicted
my opinion?Copy !req
304. I gave her an option
you were too afraid
to present.Copy !req
305. No, you proposed
a potentially deadly surgeryCopy !req
306. to a woman who is desperate
for any option,
no matter how crazy.Copy !req
307. You don't have
the authority.
Authority?Copy !req
308. I thought we were talking
about the patient.Copy !req
309. It was unprofessional,
disrespectful.Copy !req
310. If anyone showed
a lack of respect...Copy !req
311. Doctors, my office.Copy !req
312. I wouldn't want
to be kept alive
on life support.Copy !req
313. Not if there was
no hope for recovery.Copy !req
314. There wouldn't be.Copy !req
315. As your heart failure
worsens,Copy !req
316. you may get short of breath
from fluid buildup.Copy !req
317. We can use diuretics
and vasodilators
to help control that.Copy !req
318. I recommend both of those.Copy !req
319. Of course, yes.Copy !req
320. If that doesn't help,Copy !req
321. we could insert a catheter
in your chest
to drain the fluid.Copy !req
322. The procedure does risk
a lung punctureCopy !req
323. which would worsen
your symptoms.Copy !req
324. You should give us
every option to keep you
breathing easy.Copy !req
325. And we'll be on call
all night to make sureCopy !req
326. you're as comfortable
as possible.Copy !req
327. Thank you.Copy !req
328. I went through this
with my mom when
she was dying of leukemia.Copy !req
329. I'm so sorry.Copy !req
330. Was it recent?Copy !req
331. I was 10.Copy !req
332. I remember
feeling so helpless.Copy !req
333. You should reach out to Leo.Copy !req
334. (SCOFFS) It's too late.Copy !req
335. I don't believe that.Copy !req
336. There were things
between my wife and ICopy !req
337. that I thought
we could never get past.Copy !req
338. But last Christmas,Copy !req
339. we almost lost our son.Copy !req
340. And when I reached out,Copy !req
341. Mia was there.Copy !req
342. LeoCopy !req
343. always made me
feel pressuredCopy !req
344. to choose between
my research and him.Copy !req
345. Eventually,
I realized he was right.Copy !req
346. So I chose to go
where I was needed
the most.Copy !req
347. To call him now would beCopy !req
348. hypocritical and...Copy !req
349. Unfair.Copy !req
350. It took a lot of timeCopy !req
351. and dedication to push
our understanding of leukemiaCopy !req
352. as far as you did.Copy !req
353. I'm glad I have treatment
options for my patients.Copy !req
354. You made a good choice.Copy !req
355. Sorry to keep you waiting.Copy !req
356. I assume that some of this
is professional,Copy !req
357. the other 90%
is personal.Copy !req
358. Am I right?Copy !req
359. It's a very
difficult case.Copy !req
360. We're both just
overly invested.Copy !req
361. Actually, I'd love for you
to weigh in on this one.Copy !req
362. Dr. Lim, are you confident
in the surgical plan?Copy !req
363. Good luck.
Thank you.Copy !req
364. You didn't even
look at the case.Copy !req
365. The pulmonary...Copy !req
366. Dr. Lim is my
Chief of Surgery.
I trust her judgement.Copy !req
367. I'm sorry things
got out of hand.Copy !req
368. It won't happen again.Copy !req
369. It better not happen again.Copy !req
370. If you two can't control
your interpersonal
squabblings,Copy !req
371. I'm gonna have to
lose one of you,
at least.Copy !req
372. We need an endoscopy suite
to fetch the spoon out
of this guy's stomach.Copy !req
373. Cool.Copy !req
374. How's the intimacy
research going?Copy !req
375. Dr. Elion has had
a very successful lifeCopy !req
376. without a relationship.
So can I.Copy !req
377. Success and happiness
aren't the same thing.Copy !req
378. You need to decide
what will make you
happy in the end.Copy !req
379. I don't know
if it's being
a great surgeonCopy !req
380. or being close to Carly.Copy !req
381. But I'm better at surgery
than I am with her.Copy !req
382. Dr. Elion is wrong,
you don't have to choose.Copy !req
383. I fly to Phoenix
every other weekendCopy !req
384. to spend time
with Mia and Kellan.Copy !req
385. Then you won't
be great at either.Copy !req
386. I think Dr. Elion
is afraid.Copy !req
387. I think it was never
about the journalsCopy !req
388. and the lives
she could save.Copy !req
389. I think she's always
been afraid.Copy !req
390. Afraid she might lose Leo
just like she lost her mother.Copy !req
391. And you,Copy !req
392. you lost the person
you loved the most
when your brother died.Copy !req
393. Your elevated heart rate,
sweaty palmsCopy !req
394. are not about
your sensory issues,
Shaun.Copy !req
395. It's what we all feel.Copy !req
396. Fear.Copy !req
397. Why would anyone
want to feel afraid?Copy !req
398. Because the thought
of ending up alone
is scarier.Copy !req
399. I don't think Dr. Elion
refuses to call LeoCopy !req
400. because it is hypocritical.Copy !req
401. I think she's afraid
he won't come.Copy !req
402. Can you handle
the spoon?
Yes.Copy !req
403. Okay. (SIGHS)Copy !req
404. Good morning,
Dr. Glassman.
Morning.Copy !req
405. Which shoulder
would you like to hurt
for the next 24 hours?Copy !req
406. I'm not here for a vaccine.Copy !req
407. Okay.Copy !req
408. Wrist and thumb joint pain.
I need cortisone shots.Copy !req
409. Surgery is in two hours.Copy !req
410. Can I ask you something?Copy !req
411. If a patient,
say, a violinistCopy !req
412. who concertize
three or four times a weekCopy !req
413. were to come to you
with achy joints,Copy !req
414. would you give him
a cortisone shotCopy !req
415. or tell him to lay off
for a while?Copy !req
416. Better question.Copy !req
417. If he or she came to you
with achy jointsCopy !req
418. and pretended
they needed
a vaccination,Copy !req
419. what would you do then?Copy !req
420. It's...Copy !req
421. It's because I wanted
you to know and no one else.Copy !req
422. I saw a rheumatologist
last month.Copy !req
423. I have rheumatoid arthritis.Copy !req
424. Wow.Copy !req
425. I'm sorry to hear that.Copy !req
426. My...
My mom had it, too.Copy !req
427. It destroyed her wrist
and finger joints.Copy !req
428. DR.
Maybe I should leave
Saint Bonaventure.Copy !req
429. Berkeley's Chief
is retiring this year.Copy !req
430. I could apply
to replace him.Copy !req
431. We are entitled
to have differing
opinions.Copy !req
432. We can argue...
Apparently we can't.Copy !req
433. I love you.Copy !req
434. I want our relationship
to work.Copy !req
435. And I want to be Chief.Copy !req
436. If we can't find a way
to work together with me
as your boss,Copy !req
437. then something
has to change.Copy !req
438. Looks like
you caught it early.Copy !req
439. Without any noticeable
erosion of the joints.
That's good.Copy !req
440. What's your
DMARD dose?Copy !req
441. Twenty milligrams,Copy !req
442. but Dr. Baxter
just started it.
(INHALES DEEPLY)Copy !req
443. (SMACKS LIPS) Okay.Copy !req
444. You're gonna have
to postponeCopy !req
445. your first lead surgery
for awhile.Copy !req
446. See how you respond.Copy !req
447. I'd have to explain why
to Andrews and Lim.Copy !req
448. As you should.Copy !req
449. Cortisone shot
is just a temporary fix.Copy !req
450. Do you know what
the chances are
the DMARD can maintainCopy !req
451. the dexterity you need
to perform an operation
in the long run? 45%.Copy !req
452. It'll change the way
they see me.Copy !req
453. Yeah,
you have a condition,
a medical condition.Copy !req
454. They'll expect less
from me.Copy !req
455. They'll be looking
for me to fail.Copy !req
456. Th-That's why
I'm confiding in you
instead of them.Copy !req
457. You advocated for Shaun
when everybody elseCopy !req
458. thought he couldn't be
a surgeon.Copy !req
459. I'm sorry, you're comparing
arthritis to autism?Copy !req
460. I'm comparing
people's assumptions,
people's prejudices.Copy !req
461. I'm asking for a chance
to prove myself.Copy !req
462. In the surgery today,
you're gonna have to createCopy !req
463. a plane as thin as paperCopy !req
464. between two delicate
layers of tissueCopy !req
465. without disrupting
the major blood flow
to the brain.Copy !req
466. If you miss by one-tenth,
one-tenth of a millimeter,Copy !req
467. the patient will suffer
permanent brain damage
or worse.Copy !req
468. Right now,
it's a matter of pain,
not function.Copy !req
469. You think I would put
a patient's life at risk?Copy !req
470. That's insulting.Copy !req
471. I'm sorry.Copy !req
472. Without the pain,
I can do this.Copy !req
473. You believed in Shaun.Copy !req
474. I need someone
to believe in me, too.Copy !req
475. Okay.Copy !req
476. Leo Adan?
That's me.Copy !req
477. I'm Alex Park.Copy !req
478. I'm Rosalind's doctor.Copy !req
479. She's dying.Copy !req
480. She wants to see you.Copy !req
481. Then why didn't she call me?
Why did she send you?Copy !req
482. She doesn't
know I'm here.Copy !req
483. Even when we were married,
I never topped her to-do list.Copy !req
484. DR. She wasn't
cheating on you.Copy !req
485. She wasn't doing anything
except saving lives.Copy !req
486. She deserves
to be cut
a little slack.Copy !req
487. Yeah.Copy !req
488. She was saving the whole
damn world. She's a saint.Copy !req
489. I made partner,
she wasn't there,
everybody understood.Copy !req
490. My mother died,
she wasn't there,
everybody understood.Copy !req
491. Well, I didn't.Copy !req
492. Look, maybe I was
a selfish jerk for wanting
my wife to be aroundCopy !req
493. but I did.Copy !req
494. She didn't send you.Copy !req
495. Good for her.Copy !req
496. She's not a hypocrite.
At least that hasn't changed.Copy !req
497. Assistant port
is secured.Copy !req
498. Load the forceps
and electrocautery.Copy !req
499. My Chief's doing
a difficult surgery.Copy !req
500. I'm here to help
in any way I can.Copy !req
501. Instruments are ready.Copy !req
502. Time of initial
incision, 11:32.Copy !req
503. DR.How is she?Copy !req
504. She's really
short of breath.Copy !req
505. I gave her vasodilators
and diuretics,
but she's not settling.Copy !req
506. She has bilateral
pulmonary edema.Copy !req
507. She needs 40 milligrams
of furosemide.Copy !req
508. I'll push
two lorazepam, too.Copy !req
509. (PANTING AND STUTTERING)
I can't catch my breath.Copy !req
510. You've got fluid
in your chest.Copy !req
511. This medication should help
ease your breathing.Copy !req
512. She should be improving,
but she's not.Copy !req
513. Maybe we should
insert a drain.Copy !req
514. Shaun, this isn't about
the fluid, she's scared.Copy !req
515. Rosalind, I know
this is frightening,Copy !req
516. but you are not alone.Copy !req
517. I'm here
and I am not
going anywhere.Copy !req
518. As long as you need me.Copy !req
519. Leo...Copy !req
520. DR.I see
the base of the tumor.Copy !req
521. There's a lot of bleeding,
teasing off the
pulmonary vein.Copy !req
522. Put a bipolar electrocautery
instrument on the right arm.Copy !req
523. It's way more friable
than it looks.Copy !req
524. The tumor's invaded
the vessel wall.Copy !req
525. We need to load
more hemostatic matrix.Copy !req
526. If I keep going,
I'll end up with a bleed
I can't control.Copy !req
527. I need to take
the lung.Copy !req
528. Prep her for
an open thoracotomy.Copy !req
529. I need a prostatectomy kit.Copy !req
530. Now.Copy !req
531. Prostate cancers tend
to grow along the
surrounding nerves.Copy !req
532. Equipment's designed
to dissect the tumorCopy !req
533. without injuring the nerves.Copy !req
534. Substitute arteries for nerves
and you've got our situation.Copy !req
535. Load the hot shears.Copy !req
536. DR.
Unclamp the proximal
and distal end.Copy !req
537. DR.You have
good shunt flow.Copy !req
538. Loupes.Copy !req
539. Forceps and dissector.Copy !req
540. Is there a problem,
Dr. Reznick?Copy !req
541. Nice work, Dr. Reznick.Copy !req
542. Did you...Copy !req
543. We got it all.Copy !req
544. And you'll still need
that flight suit.Copy !req
545. Thanks, Doc.Copy !req
546. He might have
helped out a little, too.Copy !req
547. The tumor was more
entangled in your arteries
than it appearedCopy !req
548. but Dr. Melendez pulled off
a remarkable win for us.Copy !req
549. This is the reason you still
have two complete lungs.Copy !req
550. Sign it.Copy !req
551. Both of you.Copy !req
552. I'm going to
leave it on the moon.Copy !req
553. She's very close.Copy !req
554. I'll pronounce her.Copy !req
555. I'd like to do it.Copy !req
556. (SOBS) Thank you.Copy !req
557. I hope it's not too late.Copy !req
558. It's fine. Come in.Copy !req
559. You were right.Copy !req
560. It was a crazy surgery.Copy !req
561. Not as crazy
as I thought.Copy !req
562. It wouldn't
have even happened
if it wasn't for you.Copy !req
563. You were right, too.Copy !req
564. I'm not objective
when it comes to you.Copy !req
565. I blew off your concerns
about the risksCopy !req
566. 'cause I thought
you'd lost your mojo.Copy !req
567. Great.Copy !req
568. We're both right.Copy !req
569. And we found a way
to work together.Copy !req
570. And our patient's
better off for it.Copy !req
571. Today. What about
the next time?Copy !req
572. We won't make
the same mistakes.Copy !req
573. I'm not sure
they were mistakes.Copy !req
574. I think they might have
just been our nature.Copy !req
575. I don't think
I can give youCopy !req
576. the unconditional support
you deserve from a partnerCopy !req
577. and the objectivity
you need from a Chief.Copy !req
578. And...Copy !req
579. I don't want to give up
on my dream.Copy !req
580. I love you.Copy !req
581. But it's not enough.Copy !req
582. Good night, Neil.Copy !req
583. Dr. Reznick.Copy !req
584. Dr. Glassman.Copy !req
585. Thank you
for your support.Copy !req
586. My pain is 90% better
than it was.Copy !req
587. The shots helped.Copy !req
588. Well, you did
a remarkable job.Copy !req
589. I'm fine.Copy !req
590. Congratulations.Copy !req
591. I did extensive
further researchCopy !req
592. on intimacy treatment
for autism.Copy !req
593. And?Copy !req
594. And I found nothing.Copy !req
595. You were right.Copy !req
596. Exposure therapy
is the most
effective option.Copy !req
597. You're very smart
and thorough.Copy !req
598. Thank you.Copy !req
599. I'd like to try again.Copy !req
600. It's time
to take a break.Copy !req
601. I know.Copy !req
602. This is terrifying.Copy !req
603. AndCopy !req
604. very nice.Copy !req