The Good Doctor 4x1

1. All right, that'll be $3.40.

2. Oh, okay. Let me just…

3. - So sorry. - It's okay.

4. Here you go.

5. And there you go.

6. - Thank you. - No worries.

7. Thank you very much.

8. - Have a good day. - You too.

9. Have you seen my ID badge?

10. - No. - I had it last night,

11. but maybe it fell out of my bag when I paid for the pizza.

12. This wouldn't happen if you stayed over.

13. If you'll remember back to when I lived here,

14. my ability to lose things has always been top-notch.

15. If you stayed over, you wouldn't have had to come

16. all the way back here when you realized…

17. It's too soon, Shaun.

18. Why?

19. If I stayed over, we both would've gotten a lot less sleep.

20. Why is it too soon?

21. Because we've only been together a few weeks.

22. How many weeks of being together are required

23. before you can stay over?

24. Yes!

25. Uh…

26. Saturday.

27. I will spend the night Saturday.

28. I'm glad we come here.

29. I don't want to stop coming.

30. Why would we?

31. Well, that's the way it works.

32. You mourn, you cry,

33. and then you forget.

34. You don't forget.

35. You…

36. Start to move on.

37. I don't want to stop coming.

38. Your temperature's almost 101.

39. Your other symptoms?

40. First it was a sore throat,

41. then my body started aching.

42. And then there's this cough.

43. I even had my flu shot.

44. Unfortunately, influenza is constantly mutating.

45. The shot always lags behind.

46. Hopefully, you'll recover faster because of it.

47. My daughter's very worried that I might have this…

48. Virus from China. What's it called?

49. Have you been to China or been around anyone

50. who's been to China recently?

51. Taken any cruises?

52. The coronavirus doesn't cause sore throats.

53. - This is a bad case of the flu.

54. Go home, rest, drink plenty of fluids.

55. You'll be fine in a week or two.

56. The virus has damaged your mother's lungs.

57. Her body is working harder and harder to breathe,

58. but her blood oxygen levels continue to drop.

59. She definitely has corona?

60. We're doing everything we can to help her.

61. You have COVID-19.

62. But you haven't tested me.

63. Your chest X-rays suggest ground glass opacities.

64. That's COVID. I don't need a test,

65. which is good because we don't have any.

66. But I can't smell.

67. I've been reading about it, and that's not a symptom.

68. I guess it is now.

69. You have COVID.

70. Okay, now what?

71. Now you go home.

72. That's it?

73. That's it. There's no treatment.

74. Stay away from people.

75. Come back if you have trouble breathing. Goodbye.

76. Twenty-five tests?

77. Per day?

78. No, just give me one of tomorrow's.

79. Hello? County Health Department.

80. I don't have time for them, and they don't have time for me.

81. Patient.

82. Needs a lumpectomy.

83. Yes. Needs. And yet.

84. Surgery canceled?

85. They ruled it elective.

86. It is elective.

87. You just said "needs."

88. I didn't say when.

89. This can wait till after the pandemic.

90. Yeah, I… I'm twice the size of SJ General.

91. I should have twice the amount of tests.

92. Well, who do I speak to?

93. Do you feel shortness of breath?

94. A little.

95. If I'm sick, is my baby sick?

96. This disease doesn't really seem to affect children

97. or babies like it does adults.

98. Should we admit her?

99. She's probably safer at home.

100. What's at home?

101. Do you have a support system?

102. Can anyone come help you in case you get worse?

103. It's just me… And the little one.

104. Get her a room.

105. Start her on oxygen via nasal cannula,

106. and let's try some vancomycin and cefepime.

107. Hey, Mia.

108. I'm not headed back there today or this week.

109. I found a temporary place here.

110. There are hospitals in Phoenix, too.

111. If I come home, do you want me living with you?

112. Of course. That's the point.

113. Every night after 12 hours with COVID patients,

114. to hang out with you and Kellan.

115. And his asthma.

116. He's gonna be really bummed.

117. - His graduation… - Isn't till June.

118. This'll be over long before then.

119. Someone must have connections.

120. At county? Van Kleek does, Woo does,

121. Nguyen's husband works at…

122. Great. Get one of them to call.

123. The board of every hospital has connections.

124. They're all calling Public Health and getting nowhere.

125. So we do nothing?

126. No, we do everything we can.

127. We hammer at official channels and every manufacturer's rep

128. that we deal with and see what companies,

129. if any, have undisturbed…

130. Nuts or no nuts?

131. Uh…

132. Oh. I'm sorry. I'm… I'm in the middle of, uh,

133. a… a meeting with the Board.

134. Hey, everyone.

135. I'm just making… Banana bread.

136. You know what? Let's just take a…

137. I'm gonna take a quick break.

138. If someone can get me a list of

139. PPE suppliers in the area, thanks. I'll be back.

140. I don't want banana bread. I want to be back at the hospital.

141. I'm the president, and I'm at home, watching.

142. You're doing your job.

143. Whatever you gotta do,

144. whatever decisions you need to make,

145. you just do it all right here.

146. I can…

147. I can take the necessary precautions.

148. That whole meeting was about PPE's mitigation.

149. Aaron, you are 65 years old

150. with a history of cancer.

151. You get that virus, then what?

152. I don't know what I'm doing.

153. You're being smart.

154. You're… You're being safe.

155. What is wrong with that?

156. And what is wrong with being

157. home together for a while?

158. Nothing, I guess.

159. We have no choice.

160. Let's enjoy it.

161. Nuts or no nuts?

162. Nuts.

163. Okay.

164. What's going on?

165. Your mother's oxygen saturation has gotten critically low.

166. - We need to get her on a ventilator. - That'll help her?

167. It'll keep her alive, hopefully long enough

168. for her body to fight off the virus.

169. Is it dangerous?

170. More for us.

171. She's out.

172. Lots of swelling.

173. Slow.

174. You want this over with as soon as possible,

175. but you also don't want her to cough.

176. - Hello. - Sorry. I woke you.

177. - I thought you had to be up now. - I do.

178. - I pushed snooze twice. - I read the numbers.

179. You guys had seven deaths in Santa Clara County yesterday.

180. Any at Saint Bonaventure?

181. We have deaths at Saint Bonaventure

182. every day, Kellan.

183. I miss you.

184. I know. You already said that.

185. I wanted to reinforce the point.

186. You said you missed me a lot.

187. And we're together right now.

188. It's different not being actually together.

189. You mean not being able to have sex?

190. No, I haven't been tested because there's no need.

191. I'm fine. No symptoms.

192. You can be asymptomatic and still have it.

193. I know. You still working out?

194. Don't want to lose arm strength while you're off?

195. I'm making a salad. Figured I'd bring it by

196. and we'll have a masked, distanced dinner.

197. You can't eat with a mask on.

198. We'll take them off when we're eating

199. and turn our heads.

200. They say the regular masks don't work.

201. Okay, you can bring me one from work.

202. No.

203. Do you have enough PPE?

204. PPE?

205. Personal protective equipment, Dad.

206. Someone's been doing their research.

207. Yes, we have enough. Yes, I'm being careful.

208. I heard your mother joined a book club.

209. Is Shaun being careful?

210. Oh, yes, I am… Very.

211. So am I, so it should be safe for me to come over.

212. You can't come over because we are being safe.

213. What about apples? Do you have enough apples? I could go shop for…

214. He does.

215. See? Everything is under control.

216. Everything's under control.

217. I told you not to come back unless your breathing got worse.

218. Between the fever and the cough, he's barely sleeping.

219. Who said that?

220. My wife wanted to come with me, but she has to work.

221. She's essential personnel.

222. He's lost 10 pounds.

223. Breathe.

224. He should've come in a week ago.

225. Please don't talk when I'm listening.

226. Breathe.

227. He's also coughing. A lot.

228. He hasn't told you, but he is.

229. I'm sorry.

230. Did you just apologize for me?

231. Because I'm worried about you?

232. So sorry.

233. I'm a wife who is worried about her husband.

234. Forgive me, I'm… I'm evil.

235. It's lucky that you're so irritating.

236. What?

237. Your husband's blood oxygen level is dangerously low.

238. That… That can't… That can't be.

239. I mean, I don't… I don't feel that bad.

240. Not great, but my breathing…

241. That's interesting. You don't feel bad, but you are. Hmm.

242. Admit him o the COVID Floor.

243. Start heated humidified high-flow nasal cannula at 8 LPM.

244. Her CRP, ESR, ferritin, D-dimer,

245. transaminases, and IL-6 are all way up.

246. Try her on dexamethasone.

247. I read in my online physicians group

248. that the UK's had some success with that.

249. Thank you.

250. Sorry, what'd you say?

251. I couldn't hear with the mask.

252. Thank you.

253. I heard you stepped in for a therapist that didn't come in today.

254. My son has asthma.

255. I've been doing this kind of stuff for years.

256. I got a dresser.

257. And a crib.,

258. Bolted them both to the wall

259. All that matters is her.

260. I'm gonna do everything right.

261. You're gonna be a parent.

262. No way you're doing everything right.

263. Even trade… 200 surplus vials for your COVID test kits.

264. Well, what do you need?

265. I've got hydroxychloroquine, ribavirin…

266. EKG leads?

267. No, no. I-I'm not saying no.

268. We'll pick 'em up in two hours.

269. We have a surplus of EKG leads?

270. No, we've got a shortage.

271. But that's a problem that can wait.

272. Mildred's P-to-F is below 50. She's showing signs of cardiogenic shock.

273. - Start her on steroids. - I already have.

274. If she continues to go downhill, I'd like to add ECMO,

275. - take the strain off her heart and lungs. - Good idea.

276. I need EKG leads. What do you need?

277. Should we intubate him?

278. Not yet. Not a minute before we need to.

279. His oxygen saturation has been dropping steadily.

280. It's 74 now.

281. - At this rate… - We're gonna prone him.

282. A buddy in New York says it helps.

283. Sometimes.

284. How is Claire feeling?

285. I assume she's exhausted?

286. That isn't a feeling. How is she feeling?

287. It's a little tough to tell, Shaun. She's wearing a mask.

288. Exactly. You can't tell if she's happy.

289. You can't tell if she's sad.

290. You can't tell if I'm sad or if I'm happy.

291. Well, you seem distressingly happy, Shaun.

292. It's exciting. I can't read people.

293. Now no one can read people.

294. We're all forced to rely on more reliable markers…

295. Like what people are saying.

296. Well, since you can't tell from my face, I'll use my words.

297. I feel terrible.

298. We all feel terrible

299. because we spent the last 18 hours

300. watching people get sicker.

301. We didn't help anyone.

302. We just fended off death for a little while,

303. and we're all disgusted at the joy you're taking in this situation.

304. - Give him a break. - You're enjoying this, too.

305. All elective surgeries have been canceled,

306. so no one is a surgeon anymore, not just you.

307. Claire…

308. We're all exhausted, and tomorrow won't be any different.

309. But it'd help if we didn't hate each other when that time comes.

310. You work in a hospital?

311. Yes.

312. Could you wait for the next elevator?

313. I appreciate you.

314. No.

315. - What's wrong? - No, no.

316. But they had toilet paper… 12 rolls, double-ply.

317. No, no.

318. This is Lea's cabinet.

319. - She's not using it now. - It needs to stay free.

320. For when she comes back. This is my apartment.

321. You had no right to put anything anywhere without my permission.

322. I miss Kellan and Mia, too.

323. What do they have to do with Lea's cabinet?

324. You miss her, Shaun.

325. No, I don't. If I saw Lea,

326. she might be exposed to COVID and she might get sick.

327. I don't want that.

328. And yet, you miss her.

329. Why would I want something that isn't what I want?

330. Why do people on diets want ice cream?

331. I thought the ECMO was supposed to help her heart.

332. It's taken some of the strain off of it,

333. but her own immune system is still attacking her organs.

334. And the steroids were supposed to stop that.

335. We switched to a stronger medication,

336. so hopefully that'll help.

337. This is from her bedside table at home.

338. I gave it to her for Mother's Day when I was 13.

339. Would you like me to…

340. Please. Can I bring it to her?

341. I'm… I'm sorry, Lashelle, I can't.

342. - It's just too risky. - I don't care what happens to me.

343. My mother is in there, all alone,

344. hooked up to a machine.

345. I just need to see her and… And tell her…

346. that I love her.

347. I can't.

348. Your lungs are filling with fluid and secretions.

349. Suction catheter, please.

350. Is that from COVID?

351. I guess so. I don't know. It keeps changing.

352. Probably in combination with

353. the bacterial pneumonia he's developed.

354. First I probably brought this home to him,

355. then I sent him to the hospital where he's gotten…

356. Honey, don't blame yourself. I'll be fine.

357. I need to suction out your lungs.

358. I'm going to feed this tube up your nose

359. and down into your airway.

360. It will be quite uncomfortable.

361. Please try not to grab my arm.

362. Take deep breaths.

363. We need to prone her.

364. We can't, she's pregnant.

365. That's why I bought this off Michelle in PT. She does pregnancy massage.

366. I'm sorry! I'm… I'm sorry!

367. I'm on another call! Can you hold it down?

368. - Yeah. You can close your door. - Okay.

369. I-I'm making cioppino for "Merchant Marine Night."

370. Where did you get the clams?

371. Oh, I ran out to Bruno's.

372. You ran out to buy clams?

373. Yeah, I wore… I wore a mask,

374. and they were really good about social distancing.

375. I'm sorry, I'm not… I'm not supposed to go to the hospital

376. where I possibly could save lives

377. but you can go to Bruno's

378. to buy clams for "Merchant Marine Night"?

379. I'm younger than you are,

380. I have no history of health issues,

381. and unlike a hospital,

382. Bruno's is not a Petri dish of COVID.

383. I have this whole menu planned.

384. I thought I could wear my, um, uniform, and you could…

385. We're on quarantine. We're not on a cruise.

386. I know, but I thought since we're stuck at home, we could have some fun.

387. It's not a party, it's a pandemic.

388. I don't have time for theme dinners

389. and elaborate menus and sourdough starter.

390. Okay.

391. We could… We could at least dress up for dinner?

392. Yeah…

393. Were you able to drain his lungs?

394. Yes.

395. Why are you… here?

396. It helps Martin relax, knowing that I'm around.

397. Do you think it helps Martin miss you less?

398. Yeah. Yes.

399. Martin has a heart murmur.

400. - What? - Martin! Martin!

401. Hello. I'm glad you're awake.

402. You may have a bacterial abscess on your heart valve.

403. - That sounds really bad. - It is.

404. COVID's complications are not at all consistent.

405. It's becoming annoying.

406. I'll tell you more on the way to the procedure.

407. ECMO isn't working for her.

408. She's pulseless V-tach. Epi and the crash cart.

409. Pushing epi.

410. 120 joules. Clear.

411. V fib now.

412. Pushing amiodarone 300 in.

413. - 200 joules.

414. Clear.

415. Seventeen deaths in the county yesterday,

416. up by two from the day before.

417. Too small of a sample to draw any conclusions.

418. What were the new case numbers again?

419. Also up. By 112…

420. Hey, does Shaun look okay to you?

421. - I'm fine. - He looks fine.

422. I wasn't asking you. You'll lie.

423. Kellan, how does Shaun look?

424. I'm fine.

425. He looks tired, right?

426. I am tired, but I'm also fine.

427. Lea, Shaun's fine. He just misses you.

428. No, no, I don't. I miss having sex with you.

429. Hey, not alone… Teenager present.

430. Does Kellan not know what sex is?

431. He's graduating high school in two weeks.

432. Congratulations, Kellan.

433. - Thanks, Shaun! - He knows.

434. He doesn't want to hear about you having it.

435. Neither do I.

436. Does he think Lea and I don't have sex?

437. Because we do, a lot.

438. Or, we did.

439. I'm sure you do. We're all sure you do.

440. - We don't need to talk about it. - Sexual intimacy is beautiful.

441. I'm gonna skip breakfast.

442. You miss me.

443. Uh… Uh-uh.

444. No, we talk twice a day.

445. The only difference is the lack of physical contact,

446. which reduces your risk of infection.

447. But… I do miss sex.

448. Don't you?

449. I do.

450. We can't do that over the phone.

451. That's not really true.

452. Hmm? Go on.

453. Call me after work when you're alone.

454. Oh.

455. Are… Are you muted?

456. Yeah.

457. I'm sorry to bother you.

458. When, uh… When can you take a break?

459. Can you come back in an hour?

460. You really should take a break.

461. Just get out of the house for a bit.

462. It'll help you work better.

463. You need to stretch your legs and stretch your mind.

464. Um, can you come back in… In a… Aw, man!

465. Are you working?

466. Who's GoodPlaceFan 793?

467. I don't know, but whoever he is,

468. he's richer than he was five minutes ago.

469. I want to go on a walk. Can I just finish this?

470. No. No need.

471. You just play as long as you want with your friends.

472. Vegetations from the abscess had implanted on your mitral valve.

473. A narrow margin sharp dissection left enough

474. leaflet to allow a primary repair…

475. We expect a full recovery of the heart.

476. Of the heart? What about the rest of me?

477. Unfortunately, your lungs are still compro…

478. What… What was that?

479. Someone's going home.

480. Your lungs have a lot of inflammation and swelling,

481. and we need to put you on a non-rebreather mask

482. and hope it gets your O2 level up.

483. That doesn't sound overly promising.

484. I-Isn't there anything else you can do?

485. No.

486. You need to go on a ventilator, so I'm gonna sedate you.

487. For how long?

488. Hopefully just a few days.

489. But it could be longer.

490. My baby's due in two weeks.

491. This is better for both of you.

492. If I don't make it…

493. You will.

494. Your baby's safe, you're young, you're strong.

495. Sex is not just about touch.

496. It's about imagery, emotion, connection…

497. Oh, but touch is very, very important.

498. I mean, there will be touch.

499. But I won't be touching you, and you won't be touching me.

500. Are your ears okay?

501. They hurt.

502. Because of COVID, I have to wear two masks,

503. and the elastics cut into the skin behind my ears.

504. You're going to masturbate while I masturbate?

505. Yeah. And we'll talk to each other.

506. That sounds very distracting.

507. Shaun, we're going to talk about sex.

508. Tell me what you're doing to me.

509. Looking at you on my computer.

510. What do you wish you were doing with me?

511. Kissing you.

512. Mm-hmm.

513. But what if I have COVID? Then you'd…

514. I'm unfastening your belt.

515. No… No, you're not.

516. I-I don't have my belt on.

517. Okay, no belt.

518. Shaun, just close your eyes and imagine we are…

519. If I close my eyes, then I can't see you, Lea,

520. and I can't see most of you anyway.

521. - You can remember. - No, no, this is stupid.

522. I don't want to pretend to have sex with you.

523. I want to be with you.

524. I miss you, too, Shaun.

525. - Any cough?

526. - Any fever?

527. - No. - Any shortness of breath?

528. - Sore throat, loss of smell? - No, no, none of that.

529. J-Just searing abdominal pain and the runs.

530. I'm pretty sure it's my diverticulitis acting up.

531. My roommate is deeply into pandemic baking…

532. I've avoided coming in.

533. - I don't want to catch COVID. - Have a seat.

534. Non-COVID floor, NPO, I.V. acetaminophen for pain

535. while he waits on his abdominal CT.

536. - No food?

537. Usually my first stop with an abdominal pain patient is the cafeteria.

538. It's Ambar. Repetitive late decels.

539. - I've got a baby coming. - Go.

540. Thank you. I-I know you're busy.

541. What can I help you with? Are you doing okay?

542. My mother had a necklace… A cross.

543. She wore it every day. I'm hoping to get it back.

544. Uh, the patients' things are all being held in one place.

545. We're not supposed to release them until after the crisis.

546. I'm so sorry.

547. Thank you.

548. Okay. Um…

549. Let me see if I can find it.

550. I'll… I'll clean it and get it back to you.

551. Wanted to let you know that it'll be quiet around here for a little while. I'm…

552. taking a walk on the beach with Susie.

553. We will stay six feet apart.

554. Six feet is the absolute minimum.

555. It's still considered quite a risk.

556. So not… Not only do you not want to do things with me,

557. now you don't want me to do things with other people?

558. I want you to be careful, like you want me to be careful.

559. You don't want me to do anything.

560. I can't go shopping, I can't take a walk,

561. you won't spend any time with me.

562. I'm a little bit busy.

563. You're playing poker!

564. I played poker for one hour while I was working.

565. I spend every minute of every day with you.

566. Oh, well, you should be so happy that I'm taking a hike.

567. It'll be a long one.

568. - Could you please… - Wear your damn mask.

569. Rodriguez or Jeter?

570. Easy… Jeter.

571. I hate A-Rod with a white-hot hate,

572. but it's Jeter who beat us.

573. Who's your most-hated Yankee?

574. I never cared for Paul Revere.

575. Your CBC doesn't show a high white count,

576. which is atypical for acute diverticulitis.

577. We'll see what the imaging shows.

578. Can we bring Walter down to CT?

579. Sure thing.

580. You remember when they lost game seven to the Diamondbacks?

581. Oh, I cried tears of joy.

582. I feel the rump.

583. Apply the pressure there.

584. Don't be shy. We need this baby out now.

585. Baby's out.

586. How's she looking, Dr. Park?

587. Good.

588. She's pink, active, and breathing great.

589. The third fuse on the left that looks like

590. it hasn't been flipped, but it has.

591. You just… You turn it… Turn it off and then back on.

592. This is for the dryer?

593. I don't want you calling a repairman

594. just because of a tripped fuse.

595. The dryer is fine.

596. You're gonna be fine.

597. I love you.

598. You don't need to say that.

599. - But I want to. - You don't need to, okay?

600. This isn't a big moment.

601. You'll be fine.

602. Lily…

603. Most… Most people who go on a ventilator…

604. don't come off.

605. Put the doctor on.

606. Tell him he's going to be fine.

607. I can't.

608. He's right.

609. The majority of COVID patients

610. who go on a ventilator never come off.

611. Put the other doctor on.

612. Martin's relative youth is a positive.

613. I'm sorry. I wish I could give you more.

614. Your daughter's beautiful.

615. 6.5 pounds, 19 inches,

616. completely COVID-free.

617. She's, uh, got your nose,

618. eats like a champ.

619. Everyone on the floor knows when she's hungry.

620. She just needs you to get better so you can hold her.

621. So far, good news. No signs of diverticulitis.

622. - Just need to scan y… - What?

623. Scan my what?

624. - Hello. - Put on a mask.

625. - But I'm in the… - Put on a mask. Now.

626. Walter's abdominal CT caught the lower portion of his lungs.

627. It's not diverticulitis. It's COVID.

628. We've both been exposed and so has everyone

629. who passed through that hallway Walter was sitting in for an hour.

630. Ambar's acidosis is getting worse. She's not getting enough oxygen.

631. - What's her ventilator setting? - She's maxed out.

632. We can't increase pressure without blowing out her lungs.

633. Does she have any family? Might be time to notify them.

634. I read about a small clinical rescue therapy trial… The CHILL study.

635. She's a good candidate… No cytokine storm,

636. her troponin's low, so are her LFTs and creatinine.

637. Her organs are in good shape.

638. So why not freeze them and paralyze

639. virtually every muscle in her body?

640. Lowering the temperature reduces her

641. inflammatory response and her need for oxygen.

642. And it's better than calling her next of kin.

643. She's gonna require constant monitoring.

644. We're all already overstretched.

645. I'll do it.

646. I'll take full responsibility for her.

647. Who's there?

648. It's Lea.

649. - You can't come in. - I got you something.

650. That's too bad. You can't come in to give it to me.

651. I saw online doctors are using these

652. to help with their masks.

653. You attach an elastic to each arm

654. so they don't rub your ears.

655. It is better.

656. Thank you.

657. I know I can't come in, but I don't want to leave.

658. You can stay there.

659. What's for breakfast tomorrow?

660. Park's making pancakes.

661. Mm. That's great.

662. He's done it before.

663. They weren't very good.

664. Why?

665. They… They were not very good.

666. I… I don't know, but I told him, I said,

667. "Dr. Park, these pancakes are…"

668. Is that my nightstand?

669. What?

670. Oh, since you feel that our time together

671. is something to be endured instead of enjoyed,

672. I decided to make that easier for you.

673. This is as far away as I can get right now,

674. so can you just please shut the door

675. and go back to your room?

676. Things will be okay.