1. That's good.Copy !req
2. But, Shaun,
we really need toCopy !req
3. talk about something
non-wedding related.Copy !req
4. Oh, it's perfect.Copy !req
5. Yes, and it is the only venue
available on our dateCopy !req
6. that meets
all our criteria.Copy !req
7. I'll stand
at the altar.Copy !req
8. You walk down
the aisle.Copy !req
9. Okay.Copy !req
10. The fireplace tile,
is that original?Copy !req
11. Uh,
I have no idea.Copy !req
12. Well,
let's say it is.Copy !req
13. If you want to up
the curb appeal,Copy !req
14. maybe a fresh
coat of paint,
some landscaping...Copy !req
15. "As-is"
is just fine.Copy !req
16. How soon can we
sell the place?Copy !req
17. We'll get multiple bids
on day one.Copy !req
18. Oh, great.Copy !req
19. Hi, Aaron.Copy !req
20. Shelly Carroll,
Ethan Ray Realty.Copy !req
21. Ilana Reeves, ex-wife.Copy !req
22. We should drop off
this agreementCopy !req
23. with our deposit check
tomorrow.Copy !req
24. Once I explain the issue
to the pastor,Copy !req
25. I'm sure he will replace
the problematic floorboards.Copy !req
26. Shaunie, there's something
I really need to tell you.Copy !req
27. S-Stop!Copy !req
28. I'll call 911.Copy !req
29. Hello,
I'm Dr. Shaun Murphy.Copy !req
30. Where are you hurt?Copy !req
31. It's my hand.Copy !req
32. Your fourth and fifth
fingers are broken.Copy !req
33. If you have
no other injuries...Copy !req
34. Shaun! Over here!Copy !req
35. Hello, hi,
I'm Dr. Shaun Murphy.
Are you injured?Copy !req
36. My leg's trapped.Copy !req
37. My chest hurts
when I breathe.Copy !req
38. How far along
is your pregnancy?Copy !req
39. Twenty-six weeks.Copy !req
40. Do you think
my baby's okay?Copy !req
41. I have no way
of knowing...Copy !req
42. but you have tachycardia
and your jugular is distended,Copy !req
43. which are signs of
a cardiac tamponade.Copy !req
44. If I don't drain it,
you'll die before
the paramedics arrive.Copy !req
45. Sorry about the mess.Copy !req
46. Uh, Debbie talk you into
a fresh start?Copy !req
47. No, no.Copy !req
48. Um, we didn't exactly
work out.Copy !req
49. Oh, I'm sorry.Copy !req
50. Yeah, me, too.Copy !req
51. But I am moving to
a small town in Montana,Copy !req
52. which, hopefully, you know,
will be good for me.Copy !req
53. Aaron,
I need your help.Copy !req
54. It's my husband,
Sunil.Copy !req
55. He's dying.Copy !req
56. What's your name?Copy !req
57. Alma.Copy !req
58. Alma.
Hi, I'm Lea.Copy !req
59. Is there anyone
you need me to call?Copy !req
60. Uh, um, no.
My... My boyfriend's
out of town.Copy !req
61. What are you gonna
do with that?Copy !req
62. A subxiphoid
pericardiocentesis.Copy !req
63. An echo-guided one
would be better,Copy !req
64. but I don't have
a J-tipped wire,
or an echo machine.Copy !req
65. Maybe we should wait
for the paramedics.Copy !req
66. Alma,
you can trust him.Copy !req
67. My... chest...
is... exploding.Copy !req
68. Okay, hold.Copy !req
69. You are very lucky.Copy !req
70. We usually don't drive
to work this way.Copy !req
71. His diagnosis is
Lewy Body Dementia.Copy !req
72. Oh.Copy !req
73. How long has he had
the symptoms?Copy !req
74. It began
two years ago.Copy !req
75. Insomnia,
muscle weakness,
agitation.Copy !req
76. Recently,
he's started having
bouts of confusion.Copy !req
77. We found an experimental trial
that uses
deep brain stimulationCopy !req
78. to slow cognitive
deterioration.Copy !req
79. Would you look at it,
see if it's worth it?Copy !req
80. There are so many
more doctorsCopy !req
81. with more experience in
this field than I have.Copy !req
82. Aaron, I... I need somebody
who's gonna give me the truth,Copy !req
83. so we don't waste
what time we have left.Copy !req
84. How many clients
have been referredCopy !req
85. for elective procedures
from the clinic?Copy !req
86. Forty-three.Copy !req
87. Those satisfied clients
will lead to more.Copy !req
88. And the automated
intake screens
have cut labor costs by 8%.Copy !req
89. But the nurses don't like it.
They think they're next.Copy !req
90. Handle them right,
they'll get over it.Copy !req
91. If you have specific
thoughts on that,Copy !req
92. I'd love to hear them.Copy !req
93. Maybe over lunch?Copy !req
94. Morgan, you excel at
striking the right balanceCopy !req
95. between enthusiasm
and obsequiousness.Copy !req
96. Thank you.Copy !req
97. Instead of lunch,Copy !req
98. how about you and Alex
have dinner
with Marcus and me?Copy !req
99. Marcus...Copy !req
100. Marcus Andrews?Copy !req
101. It'll be a hoot.Copy !req
102. Twenty-three-year-old
pregnant female,Copy !req
103. blunt chest trauma
from a car accident.Copy !req
104. I performed a subxiphoid
pericardiocentesisCopy !req
105. at the scene
with a gas siphon.Copy !req
106. Cool? Is the baby...Copy !req
107. Fetal heart rate is normal,
no signs of distress.Copy !req
108. Mother became hemodynamically
unstable en route.Copy !req
109. She needs surgery
for internal bleeding.Copy !req
110. Okay, keep rolling.
Keep rolling!Copy !req
111. We're gonna do
a couple of testsCopy !req
112. to get a sense of
your cognitive state,Copy !req
113. and then we're gonna
throw you in the MRI,Copy !req
114. the big donut,
very loud,Copy !req
115. to see if you're right for
the deep brain stimulation.Copy !req
116. Any questions?Copy !req
117. None.Copy !req
118. What I know or don't know
about the medicineCopy !req
119. will not change
the outcome.Copy !req
120. A patient who doesn't think
they know more
than their doctorsCopy !req
121. is rare these days.Copy !req
122. Implicit social contracts
are my field of study.Copy !req
123. They're the agreements
we make daily,Copy !req
124. often without
even realizing.Copy !req
125. But perhaps that's
a conversation for another...Copy !req
126. Who are you?Copy !req
127. Why are we here?Copy !req
128. Sunil? Sunil?Copy !req
129. Uh...Copy !req
130. You're right where
you're supposed to be.Copy !req
131. Take a deep breath.Copy !req
132. Tell me
their names.Copy !req
133. Pavan.Copy !req
134. Reema.Copy !req
135. And little Raj.Copy !req
136. Good.Copy !req
137. Some spells pass a little
more quickly than others.Copy !req
138. I... I think
I'm okay now.Copy !req
139. Sunil.Copy !req
140. Hmm?Copy !req
141. Do you remember
why you're here?Copy !req
142. Because I'm dying.Copy !req
143. Let's get started
with those tests.Copy !req
144. Sunil's MRI shows
no contraindicationCopy !req
145. to deep brain
stimulation.Copy !req
146. Initial labs
look good.Copy !req
147. He's a great
candidate.Copy !req
148. Is the coat hanging in
my closet
your "good" blazer?Copy !req
149. It's my only blazer,
so, yes.Copy !req
150. Get it dry-cleaned.Copy !req
151. For our dinner with
Andrews and Salen.Copy !req
152. As intriguing as
that pairing is,Copy !req
153. dinner's a hard pass.Copy !req
154. Not an option.Copy !req
155. But compensation
is fair.Copy !req
156. We can finally binge
The Wire.Copy !req
157. Your first offer doesn't get
you off the couch, and...Copy !req
158. Wait,
Andrews and Salen?Copy !req
159. Game respects game.Copy !req
160. And sometimes
sleeps with it.Copy !req
161. Tickets for you and Kellan
to a UFC fight in Vegas.Copy !req
162. Still no.Copy !req
163. But save that thought
for his birthday.Copy !req
164. Salen and Andrews?Copy !req
165. They may have one soul
between them.Copy !req
166. Any sign of
motor weakness?Copy !req
167. He's gonna have to
tolerate the head frame.Copy !req
168. Here's
the cervical spine MRI.Copy !req
169. We could replicate
the DBS trial on site.Copy !req
170. I'd be happy to
coordinate.Copy !req
171. Oh, that's very
kind of you.Copy !req
172. Are you sure
you're gonna have timeCopy !req
173. while you overhaul my clinic
into an Ethicure
profit center?Copy !req
174. Oh, and by the way,
I'm gonna need
my office back.Copy !req
175. I hope
you don't mind.Copy !req
176. Parathyroid looks off.
Hmm.Copy !req
177. Is that
an ectopic lesion?Copy !req
178. He's had a history
of renal stones.Copy !req
179. I don't...Copy !req
180. What were his calcium
and PTH levels?Copy !req
181. They were only
mildly elevated.Copy !req
182. Nothing that triggered
for the workup.Copy !req
183. What are you
thinking?Copy !req
184. I'm thinking this may not be
Lewy Body Dementia.Copy !req
185. Repairing the ventricular
tear with Prolene sutures.Copy !req
186. No remaining
arterial or major bleeds.Copy !req
187. Good. I'd prefer not to
have to open her belly.Copy !req
188. I would like both of you
to wear socks to my wedding.Copy !req
189. No shoes.
Just socks.Copy !req
190. Lea and I found
a nearly perfect church,
but the floor squeaks.Copy !req
191. Should make for
some interesting pictures.Copy !req
192. No.Copy !req
193. No way
you are robbing meCopy !req
194. of a chance to show off
my new Bruno Maglis.Copy !req
195. Also, wet and stinky feet are
not in Lea's dream wedding.Copy !req
196. That's...
probably true.Copy !req
197. Last suture is in.Copy !req
198. Dr. Allen,
how's the baby?Copy !req
199. Heart rate
is stable.Copy !req
200. Okay. Next step,
get her down to imaging.Copy !req
201. We need a surgical plan for
these pelvic fracturesCopy !req
202. before they cause
any more bleeding.Copy !req
203. Aaron! Aaron!Copy !req
204. I didn't expect a miracle,
but thank you.Copy !req
205. He's not
out of the woods yet.Copy !req
206. He still has
a lesion.Copy !req
207. Okay, hopefully benign,
hopefully removable.Copy !req
208. I heard you.
Really?Copy !req
209. Most people stop listening
after they hear
the very bad news,Copy !req
210. or, in this case,
the very good news.Copy !req
211. Okay, the nuclear study
this afternoon, I got it.Copy !req
212. What happened with
Debbie?Copy !req
213. Why did my impulsive,
whirlwind marriageCopy !req
214. to a gun-toting barista
not work out?Copy !req
215. Hmm.Copy !req
216. You're hurt.
Do I look hurt?Copy !req
217. I just saved a man.Copy !req
218. I know how you
hold onto things.Copy !req
219. And I know how you try
to fix thingsCopy !req
220. and you try to fix
everyone.Copy !req
221. I'm okay.
Talk to me.Copy !req
222. 'Cause I doubt very much
you're talking
to anybody else.Copy !req
223. I was myself,
and up close
and personal,Copy !req
224. Debbie didn't like
what she saw.Copy !req
225. She...Copy !req
226. She said I was
controlling and selfish.Copy !req
227. Did you tell her
she was right?Copy !req
228. Well, yeah,
'cause she was.Copy !req
229. It didn't help.Copy !req
230. What's in Montana?Copy !req
231. Pine trees
and cowboy boots andCopy !req
232. change for me.Copy !req
233. In Montana,
no one knows me,Copy !req
234. and I have no history,Copy !req
235. and no one has
any expectations of me.Copy !req
236. You've done this before.
After Maddie.Copy !req
237. That's not fair.Copy !req
238. I know.Copy !req
239. But my therapist
would say you'reCopy !req
240. "pulling a geographic."Copy !req
241. Has your therapist
met me?Copy !req
242. I have to go prepare
for Sunil's procedure.Copy !req
243. The safest path
is external fixation.Copy !req
244. We'd use a metal frame to
stabilize the fractured bonesCopy !req
245. until your baby
is ready to be delivered.Copy !req
246. You'd need three weeks
of bed rest,Copy !req
247. and you'll likely develop
debilitating arthritis.Copy !req
248. There's a significant chance
you will neverCopy !req
249. have full mobility
ever again, bu...Copy !req
250. I have grad school.
A job. This baby.Copy !req
251. That can't be
the only option.
No, it's not.Copy !req
252. I was going to tell you,
if we do a C-section now,Copy !req
253. we could do
an internal fixation,Copy !req
254. which would greatly
improve your chancesCopy !req
255. of walking
without assistance.Copy !req
256. Though it does increase
the risk of complicationsCopy !req
257. associated with
premature birth.Copy !req
258. So I either never
walk right again,Copy !req
259. or I jeopardize
my baby's life?Copy !req
260. Yes.Copy !req
261. You have to decide.Copy !req
262. My boyfriend,Copy !req
263. at first, he didn't
want to keep our girl.Copy !req
264. But then
he came around to it.Copy !req
265. We said that we'd
figure it out together.Copy !req
266. Then he signs up for
this month-long research tripCopy !req
267. off the Gulf of Alaska,
and here I am.Copy !req
268. I can't choose between
myself or my baby.Copy !req
269. No, you have
to choose.Copy !req
270. I can't.Copy !req
271. Dr. Glassman,
I'm glad you're back.Copy !req
272. Lea and I
have a problem.Copy !req
273. I heard.Copy !req
274. The floor squeaks.Copy !req
275. At the church?Copy !req
276. Is that it?Copy !req
277. No. I also have a patient
who won't decide
on a surgical plan.Copy !req
278. Have you talked
to Lea?Copy !req
279. She is no doctor.Copy !req
280. No, I don't mean
about the patient.Copy !req
281. Shaun,
I am not gonna be around.Copy !req
282. I'm... I'm moving.Copy !req
283. I'm selling my house,
and I'm moving...Copy !req
284. to Montana.Copy !req
285. Oh.Copy !req
286. Will you still be
my best man?Copy !req
287. Yeah, of course.Copy !req
288. Then you should
give me your advice.Copy !req
289. Shaun, you don't
need my advice.Copy !req
290. Sometimes I do.Copy !req
291. You don't like to
give it to me anymore.Copy !req
292. Lea and you
are partners now.Copy !req
293. You can...
You can talk to her,Copy !req
294. and Lea has a whole lot
of stuff she's gotta
talk to you about.Copy !req
295. And you'll work it out,
without me.Copy !req
296. Sharks tickets.Copy !req
297. Doesn't being together
mean that we have
an unspoken agreementCopy !req
298. that when I need a date,
you're it?Copy !req
299. No.Copy !req
300. The lesion has
an irregular shape,Copy !req
301. and it's extending into
the carotid sheath.Copy !req
302. It's a malignant carcinoma,
and it's invasive.Copy !req
303. Hey, I thought you
were working late.Copy !req
304. I am going back,
but first,Copy !req
305. you and I need to make
a decision about the church
and the squeaky floorCopy !req
306. and something else
entirely.Copy !req
307. Dr. Glassman said you have
things you need to tell me.Copy !req
308. Uh, I didn't go
on a business trip
a couple weeks ago.Copy !req
309. I went to Montana
to find GlassmanCopy !req
310. and convince him
to come home.Copy !req
311. Because I was really
worried about you.Copy !req
312. What were
you worried about?Copy !req
313. There have been
so many changes
at the hospital,Copy !req
314. and I know that's been
hard for...Copy !req
315. Not because of my...
I know.Copy !req
316. Not because of your ASD,
but becauseCopy !req
317. change is hard.Copy !req
318. And then
your patient reviews,Copy !req
319. and I knew you were
struggling with them.Copy !req
320. I was, but then I improved
my interaction techniques,Copy !req
321. and my scores went up.Copy !req
322. That's not what happened,
Shaun.Copy !req
323. I omitted some of
the patient reviews.Copy !req
324. Just the ones where
people said
really mean stuff.Copy !req
325. That's why your scores
went up.Copy !req
326. I told you I didn't
want you to.Copy !req
327. I know.
I'm so sorry.Copy !req
328. I just got so worried,
and I wanted to protect you.Copy !req
329. And I thought, if I could
just help you, I...Copy !req
330. What you did
was very wrong.Copy !req
331. I know.Copy !req
332. I am truly so sorry.Copy !req
333. No.Copy !req
334. Your apology is
not accepted.Copy !req
335. The lesion in your neck
is cancerous,Copy !req
336. and it has grown
very quickly.Copy !req
337. I am suggesting
a non-surgical approach,Copy !req
338. one with targeted therapies
and radiation.Copy !req
339. It should give you
a few more good yearsCopy !req
340. before debilitating
symptoms set in.Copy !req
341. I'm very sorry.Copy !req
342. There's no way of
removing it?Copy !req
343. It's attached to
the carotid artery.Copy !req
344. It's too dangerous.Copy !req
345. Um...Copy !req
346. Thank you, Aaron.Copy !req
347. That's more than we hoped for
when we came to you.Copy !req
348. I was here all night
with Dr. Allen.Copy !req
349. We have not come up with
a better surgical solution.Copy !req
350. Your choices from yesterday
remain the same.Copy !req
351. How is she?Copy !req
352. Normal
fetal movement.Copy !req
353. Heart rate is 140.Copy !req
354. That's good.Copy !req
355. Mm.Copy !req
356. I talked to Matt.Copy !req
357. He's making his way back,
but it'll be
a couple of days.Copy !req
358. He says
whatever I decide to do,
he will support it.Copy !req
359. Which isn't really
helpful right now.Copy !req
360. No, it's not.Copy !req
361. You need to
make a decision.Copy !req
362. He shouldn't have gone,
but we needed the money,Copy !req
363. and it was
a great opportunity.Copy !req
364. But mostly,
I feel like it wasCopy !req
365. a reason for him
to be somewhere else.Copy !req
366. He says one thing
but does
something different.Copy !req
367. How do you know if
he loves you?Copy !req
368. He does.Copy !req
369. But someone can love you
and still let you down.Copy !req
370. That doesn't
seem right.Copy !req
371. No.Copy !req
372. No, it doesn't.Copy !req
373. Knowing what to expect
of others is difficult.Copy !req
374. People can be
very unreliable.Copy !req
375. That's why I always
wanted to be a doctor.Copy !req
376. Science and biology and
medicine are very reliable.Copy !req
377. I like that.Copy !req
378. She's relying
on me.Copy !req
379. I need to do
what's best for my baby.Copy !req
380. Go ahead with
the external fixation.Copy !req
381. How would you rate the new
self-serve, self-pay system?Copy !req
382. Four stars.Copy !req
383. Not five?Copy !req
384. I prefer to be stingy
with my top rating.Copy !req
385. Last night was a five.Copy !req
386. So it was
even better thanCopy !req
387. a convenient way to
buy a smoothie?Copy !req
388. Hey, what are you doing
Thursday night?Copy !req
389. I invited Morgan and Alex
to have dinner with us.Copy !req
390. A double date?Copy !req
391. I didn't realize
we were going public.Copy !req
392. We're both
consenting adults.Copy !req
393. What's to hide?Copy !req
394. As the boss, you are free
to do what you like.Copy !req
395. As a partner,
that's not the way
it works.Copy !req
396. I'm sorry.Copy !req
397. I should have asked you
before I told anyone.Copy !req
398. Marcus, you're smart and funny
and almost too good-looking,Copy !req
399. and your socks don't just
match your sweaters,Copy !req
400. they elevate
your whole aesthetic.Copy !req
401. And I told Morgan because
I'm excited about you.Copy !req
402. About us.Copy !req
403. I'll make the reservation.Copy !req
404. There's a surgical solution
here, isn't there?Copy !req
405. No, no, no.
Not a safe one.Copy !req
406. But you've built your career
on doing surgeriesCopy !req
407. that most doctors think
are too dangerous.Copy !req
408. Yeah, because, to quote you,
I am
an insufferable egomaniac.Copy !req
409. But that's
who we came to see,Copy !req
410. and now I'm getting some
surgeon who's gonna
run off to MontanaCopy !req
411. in the guise of becoming
a decent human being?Copy !req
412. Okay, uh, criticize me,
yell at me if you like.Copy !req
413. I understand
you're upset.
All those late nightsCopy !req
414. where you were tackling
the most impossible cases,Copy !req
415. exhausting
every possible angle.Copy !req
416. You come alive in surgery,
more than you did in...Copy !req
417. There are other surgeons.
There are other hospitals.Copy !req
418. I have done everything
I know how to do
to help you and Sunil.Copy !req
419. I am sorry
if that's not enough.Copy !req
420. I think you're scared.Copy !req
421. Of what?Copy !req
422. Failing.Copy !req
423. Of failing me again.Copy !req
424. Yeah, I wish
that were true.Copy !req
425. It's Sunil.Copy !req
426. I need to get out of here.Copy !req
427. Don't you see
what's happening?Copy !req
428. Sunil, Sunil.
Wait, wait, wait, wait.
Sunil, Sunil.Copy !req
429. Stand by
with a sedative.Copy !req
430. Ahead of you.
Just trying to get close.Copy !req
431. You're right where you're
supposed to be, honey.Copy !req
432. Take a deep breath.Copy !req
433. All right, tell me...
tell me their names.Copy !req
434. Tell... Tell me their...
Tell me the...Copy !req
435. I don't know you!Copy !req
436. Whoa, whoa, whoa,
whoa, whoa, whoa!Copy !req
437. You got him?
I got him. I got him.
I got him.Copy !req
438. Oh...Copy !req
439. I got him. I got him.Copy !req
440. Are you hurt?Copy !req
441. I'm okay.Copy !req
442. My patient chose
to prioritize her baby.Copy !req
443. We did
the external fixation.Copy !req
444. She's resting comfortably, and
you need to correct my scores.Copy !req
445. I can't restore
the data.Copy !req
446. You are very smart.Copy !req
447. You can
figure out a way.Copy !req
448. Shaun, I apologize,Copy !req
449. but I... I can't undo
what's been done.Copy !req
450. Lea, the scores reflect
my work and me.Copy !req
451. No, it didn't.Copy !req
452. The algorithm ignored
what's best in you.Copy !req
453. No, it should be
the same for everyone.Copy !req
454. The data has to be
corrected.Copy !req
455. I can't, Shaun.
I'm sorry.Copy !req
456. Then you need to
tell Salen.Copy !req
457. That's a terrible idea.Copy !req
458. There is
no other option.Copy !req
459. Shaun, I could
lose my job.Copy !req
460. You broke the rules.Copy !req
461. Maybe you should
get fired.Copy !req
462. I'm fine, really.Copy !req
463. Humor me.Copy !req
464. Pupil response
is normal.Copy !req
465. I'm sorry
about before.Copy !req
466. I was so frustrated.Copy !req
467. I... I appreciate everything
that you've done.Copy !req
468. You owe us nothing,Copy !req
469. and you've gone
out of your way to help.Copy !req
470. Here's some Naproxen.Copy !req
471. It'll help with
the pain and soreness.Copy !req
472. I don't blame you anymore.Copy !req
473. For Maddie...
No, p...Copy !req
474. No, don't.
Please stop.Copy !req
475. Don't do that.
I need you to hear this.Copy !req
476. For a long time,
I did blame you.Copy !req
477. I could barely look at
a picture of MaddieCopy !req
478. without being reminded
about how angry I was,Copy !req
479. and how angry I was
at you trying to
replace her with Shaun.Copy !req
480. Shaun wasn't meant to
replace Maddie.Copy !req
481. My God.Copy !req
482. Nobody can.Copy !req
483. Becoming a part
of Sunil's family
has brought me peace.Copy !req
484. They're my whole world.Copy !req
485. And I'm so glad
you found Shaun.Copy !req
486. You're right,
I am scared.Copy !req
487. If I operate on Sunil
and he died,Copy !req
488. I'd be responsible
for you losing
someone you love.Copy !req
489. Again.Copy !req
490. I'll take another look
at the imaging.Copy !req
491. I can't promise
anything.Copy !req
492. Who knows,
maybe this egomaniac
can come up with something.Copy !req
493. She's having severe
abdominal pain.Copy !req
494. BP's 73 over 49.
She's hypotensive.Copy !req
495. There's uterine bleeding
from a placental abruption.Copy !req
496. It's a delayed reaction
to the crash.Copy !req
497. Her choice was moot.Copy !req
498. Okay, page Dr. Lim to the OR
for an emergency C-section.Copy !req
499. We're ready.Copy !req
500. I love you.
I love you, too.Copy !req
501. Hey.Copy !req
502. What are those for?Copy !req
503. I know how mad you were
when these disappeared
from the vending machine.Copy !req
504. Salen's
health-conscious revampCopy !req
505. was not
a victimless crime.Copy !req
506. I drove 20 minutes
to a gas station to
get those for you.Copy !req
507. This is the bribe?Copy !req
508. No,
it's just chips.Copy !req
509. And a declarationCopy !req
510. that I will respect
the boundaries you've set.Copy !req
511. You don't have to
do dinner.Copy !req
512. I'll survive.Copy !req
513. I assume Salen will be
picking up the check?Copy !req
514. I don't love
your ambitious streak,
but I do love you.Copy !req
515. I'll be your arm candy
for the night.Copy !req
516. How long until we have
access to start the C-section?Copy !req
517. A few more seconds.Copy !req
518. BP's 70 over 55.
Heart rate 109.Copy !req
519. Fetal tones?Copy !req
520. Present, but we saw D-cells
on the tracing.
The baby is stressed.Copy !req
521. Once the baby is out,
we will immediately beginCopy !req
522. an in-fix pedicle
screw rod fixation.Copy !req
523. She'll walk fine.Copy !req
524. We'll need
a two and a half millimeter
drill bitCopy !req
525. and titanium screws.Copy !req
526. We're clear.
ChloraPrep and scalpel.Copy !req
527. BP and heart rate
stable.Copy !req
528. Carcinoma's
in the cross hairs.Copy !req
529. "Be quick, but don't hurry,"
as John Wooden used to say.Copy !req
530. Starting resection.Copy !req
531. Suction.Copy !req
532. That's a lot
of bleeding.Copy !req
533. Yeah, well, we're
poking around
the carotid.Copy !req
534. It's to be expected.Copy !req
535. How's he doing?Copy !req
536. BP's 64 over 42.Copy !req
537. Do you see
any vascular feeders
you can clip?Copy !req
538. No.Copy !req
539. Tumor has completely
invaded the artery.Copy !req
540. We're gonna have
to move fast.Copy !req
541. Mother's BP
is still dropping.
50 over 37.Copy !req
542. Hang another two units.
Extending uterine incision.Copy !req
543. Okay,
here she comes.Copy !req
544. Dr. Murphy, Dr. Allen,
deliver the placenta.Copy !req
545. Check for uterine bleeding
before beginning
internal fixation.Copy !req
546. Dr. Lim, Apgar's three.Copy !req
547. The baby's in distress.Copy !req
548. She's not oxygenating.
We need to intubate.Copy !req
549. Dr. Murphy, with me.Copy !req
550. Get a blood gas.Copy !req
551. Bagging 100% oxygen.Copy !req
552. Baby is acidotic with
a pH of seven.Copy !req
553. No improvement in vitals
or oxygen sat.Copy !req
554. Check the tube's
positioning.Copy !req
555. ET tube is in
the correct position.Copy !req
556. Equal breath sounds
on both sides.Copy !req
557. This doesn't
make any sense.Copy !req
558. The baby has
a congenital heart defect.Copy !req
559. The patent ductus arteriosus
is closing.
That is causing hypoxia.Copy !req
560. We need to open the duct
and oxygenate her blood.Copy !req
561. Call the pharmacy
for PGE, stat.Copy !req
562. Start the PGE at 0.1.Copy !req
563. BP's 61 over 42.Copy !req
564. Tumor's hypervascular.Copy !req
565. I can't see
a damn thing.Copy !req
566. There's too much
blood.Copy !req
567. Should we stop the bleeding
and abort the resection?Copy !req
568. No.Copy !req
569. Tubing... clear plastic
surgical tubing.Copy !req
570. Baby isn't pinking up.Copy !req
571. PGE is in.
IV looks good.Copy !req
572. V-tach.
Starting compressions.Copy !req
573. What if it's not
a heart defect?Copy !req
574. We're gonna
occlude the carotid,Copy !req
575. blocking the blood until we
can cut the damn thing out.Copy !req
576. He'll stroke out.Copy !req
577. That's what
the plastic tube is for.Copy !req
578. I'm gonna build
a shunt bypass,Copy !req
579. keep the blood flowing
to the brain.Copy !req
580. Suction.Copy !req
581. Apply the clamp.Copy !req
582. Dissecting scissors.Copy !req
583. Ugly little thing.Copy !req
584. Okay.
Stand by with the patch.Copy !req
585. Let's clean it up.Copy !req
586. No obvious
metabolic disorder.Copy !req
587. No evidence
of head trauma
or pneumothorax.Copy !req
588. No mucus plug
in ET tube.Copy !req
589. No transient tachypnea
in the newborn.Copy !req
590. The PGE is
the right dosage...Copy !req
591. What?Copy !req
592. Oh.Copy !req
593. Shaun, what?Copy !req
594. It's expired.Copy !req
595. Call the pharmacy.Copy !req
596. We need more PGE,
but from a different lot.Copy !req
597. The PGE is expired.
We need...Copy !req
598. The pharmacy says
we don't have another lot.Copy !req
599. Our entire supply
is expired.Copy !req
600. Prep for
catheterization.Copy !req
601. We might be able to keep
the PDA open with a stent.Copy !req
602. Stop!Copy !req
603. Alprostadil!Copy !req
604. We need to run PGE
at 0.1 micrograms.Copy !req
605. Tell the pharmacist to mix
10 vials of 50 micrograms
of AlprostadilCopy !req
606. with 10 milliliters
of saline solution.Copy !req
607. Mix 10 vials
of 50 micrograms
of Alprostadil.Copy !req
608. He says that's
the wrong medication.Copy !req
609. Where are you going?Copy !req
610. It'll be faster
if I do it myself.Copy !req
611. Uh, you know this is
for erectile dysfunction?Copy !req
612. Yes.Copy !req
613. Alprostadil is
the same drug as PGECopy !req
614. but in a different
concentration.Copy !req
615. We need to run the IV at
0.056 milliliters per minute.Copy !req
616. That will give the baby
0.1 micrograms per
kilogram per minute.Copy !req
617. Pushing 0.1.Copy !req
618. Restarting
compressions.Copy !req
619. Mucous membrane's
still blue.Copy !req
620. Oxygen saturation's
not registering.Copy !req
621. We just need to
give it more time.Copy !req
622. Hold compressions.Copy !req
623. Pulse not palpable.Copy !req
624. No, push 0.2
of the solution.Copy !req
625. Restarting
compressions.Copy !req
626. Dr. Murphy.
No.Copy !req
627. Push 0.2.Copy !req
628. Dr. Murphy,
the baby is flatlining.Copy !req
629. No.
There's nothing more
we can do.Copy !req
630. No, I can save her!
Shaun.Copy !req
631. Time of death, 18:23.Copy !req
632. Sunil's recovering
very nicely.Copy !req
633. Just, no exercise or,
you know,Copy !req
634. strenuous activity
for the next six weeks.Copy !req
635. Thank you.Copy !req
636. Don't go to Montana.Copy !req
637. You still need Shaun.Copy !req
638. He makes you better.Copy !req
639. Hang up.Copy !req
640. I need to
call you back.Copy !req
641. We just lost a baby,
because this hospital
wasn't prepared.Copy !req
642. The medication
we needed was expired.Copy !req
643. All of it.
No back-up batch.Copy !req
644. Did the money you saved
pay for your water wall?Copy !req
645. In my 15 years here,Copy !req
646. nothing like this has
ever been allowed to happen.Copy !req
647. This hospital's priorities...
your prioritiesCopy !req
648. are upside down, and today,
that killed someone.Copy !req
649. How's the mother?Copy !req
650. Recovering.Copy !req
651. She won't be conscious
for a few hours.Copy !req
652. I'll make sure and have
a grief counselor
standing by.Copy !req
653. And call your lawyers,
too.Copy !req
654. When she finds out
that her baby diedCopy !req
655. because of
expired meds...Copy !req
656. Dr. Lim, until we've done
a thorough M&MCopy !req
657. and identified what changes
need to be made,Copy !req
658. discretion is in
everyone's best interest.Copy !req
659. Are you suggesting
we not tell her the truth?Copy !req
660. I'm suggesting we all
have exposure.Copy !req
661. You, the residents.Copy !req
662. Audrey,Copy !req
663. this is a tragic day.Copy !req
664. But we cannot allow
a single eventCopy !req
665. to derail
everything we do here.Copy !req
666. Salen made cuts.Copy !req
667. We're... We're
behind on inventory.Copy !req
668. It just...Copy !req
669. It... it fell through
the cracks.Copy !req
670. Expired.Copy !req
671. Expired.Copy !req
672. Expired!Copy !req
673. Expired!Copy !req
674. They're all useless!Copy !req
675. Shaun.
No!Copy !req
676. Shaun, stop,
stop, stop, stop!
They're all... No!Copy !req
677. It wasn't your...
It wasn't your fault!
N-N... Please! Please! No!Copy !req
678. There's nothing more
you could have done!
No, you lied to me!Copy !req
679. I can't trust you!Copy !req
680. And I can't marry you.Copy !req
681. Shaun.
Shaun!Copy !req
682. You're hyperventilating.
Hey, hey, hey, hey.Copy !req
683. Look at me.
Look at me.Copy !req
684. Look at me.Copy !req
685. Take a deep breath
now, okay?Copy !req
686. Take a deep breath.Copy !req
687. There you go.Copy !req
688. You can talk to me.Copy !req
689. Dr. Glassman,Copy !req
690. you... you are a...Copy !req
691. An awful best manCopy !req
692. and a terrible mentor.Copy !req
693. You said you would never
abandon me, but that's a lie.Copy !req
694. A lie.Copy !req
695. That is a lie!Copy !req
696. Why is everyone
lying to me? Why?Copy !req
697. You should have been
running the hospital!Copy !req
698. If you had, the baby
would not have died!Copy !req
699. Okay.Copy !req
700. I'm here.
I'm here.Copy !req
701. Shaun.Copy !req
702. I'm right here.Copy !req
703. I'm right here.
I got you.Copy !req
704. I got you.Copy !req
705. I got you.
I got you.Copy !req
706. I got you.
I'm right here.Copy !req