1. Previously on
"The Good Doctor"...
Copy !req
2. Glassman found movement
in my psoas and glutes.
Copy !req
3. He and Murphy found
an endoscopic solution.
Copy !req
4. - How about I make you dinner?
- Sounds good.
Copy !req
5. It's a date then.
Copy !req
6. A date.
Copy !req
7. Audrey...
Will you marry me?
Copy !req
8. Shaun.
I'm pregnant.
Copy !req
9. My OB told us it isn't safe
for me— or the baby.
Copy !req
10. Danny!
Copy !req
11. No, no, no. Danny.
Copy !req
12. Danny.
Copy !req
13. - Good morning.
- Morning.
Copy !req
14. I'll get the coffee.
Copy !req
15. This is my third stay
in a week.
Copy !req
16. I no longer require
guest-level service.
Copy !req
17. I want the practice.
Copy !req
18. Two cups, no cane,
Copy !req
19. no guarantee
how long it'll take.
Copy !req
20. Well, when it comes to you,
my patience is boundless.
Copy !req
21. One of the many things
I adore about you.
Copy !req
22. It's been three months.
Copy !req
23. The man's a saint.
Copy !req
24. I have been recovering
from a major surgery
Copy !req
25. and re-learning to walk.
Copy !req
26. Your recovery's
remarkable.
Copy !req
27. So is
your procrastination.
Copy !req
28. I am taking the time
to consider
Copy !req
29. the biggest decision
of my life.
Copy !req
30. Clay's fine.
Copy !req
31. No man—
no person—
Copy !req
32. is fine waiting this long
for an answer to that question.
Copy !req
33. Ever done one
of whatever this is before?
Copy !req
34. No. You?
Copy !req
35. Mm-mm.
Copy !req
36. I've been clean
for 92 days.
Copy !req
37. I went to rehab
for two months,
Copy !req
38. and I go to meetings
every single day.
Copy !req
39. I don't know if you two
can ever trust me again,
Copy !req
40. but I am willing to do
whatever it takes
Copy !req
41. to earn back
my place here.
Copy !req
42. And we'll do everything
we can to support you
in your recovery.
Copy !req
43. But our number-one obligation
is to our patients.
Copy !req
44. For their safety
and yours,
Copy !req
45. we need to put
some guardrails in place.
Copy !req
46. You'll be on probation
for six months.
Copy !req
47. You cannot prescribe
or administer
Copy !req
48. any controlled substances.
Copy !req
49. You will be given
random drug tests,
Copy !req
50. and every step
of your patient care
Copy !req
51. will be supervised by the
Senior Resident on your case.
Copy !req
52. Today that is Dr. Allen.
Copy !req
53. You okay with those terms,
Dr. Perez?
Copy !req
54. Absolutely.
Copy !req
55. I'm just happy
to be here.
Copy !req
56. How are you?
Copy !req
57. Better.
Copy !req
58. A lot better.
Copy !req
59. I hadn't
heard from you.
Copy !req
60. Which is
totally understandable.
Copy !req
61. I just wasn't sure...
Copy !req
62. I didn't know
what to say.
Copy !req
63. You're not the reason that—
that happened.
Copy !req
64. As your supervisor
on the case,
Copy !req
65. I will oversee your charting,
your patient interactions,
Copy !req
66. double-check
your med orders.
Copy !req
67. And this.
Copy !req
68. Fetal movement is good.
Copy !req
69. Heart rate
is normal at 150.
Copy !req
70. I've been monitoring
the heart rate daily.
Copy !req
71. It ranges from
146 to 163 BPM.
Copy !req
72. Her last emesis
was three weeks ago.
Copy !req
73. So the nausea's
getting better.
Copy !req
74. - Great.
- And the fatigue.
Copy !req
75. Less improvement on
the constant state of terror.
Copy !req
76. You made it through
the first trimester.
Copy !req
77. - You're doing great.
- Mm.
Copy !req
78. You two want to know
the sex of the baby?
Copy !req
79. - Yes.
- No. Don't look.
Copy !req
80. It'll be
a fun surprise.
Copy !req
81. Oh.
Copy !req
82. It is fun
to be prepared.
Copy !req
83. Oh.
Copy !req
84. What's going on?
Copy !req
85. There is a small, thinning area
Copy !req
86. on your uterine wall.
Copy !req
87. It is slightly hypoechoic,
Copy !req
88. likely a result of the scar
tissue from your prior surgery
Copy !req
89. and Asherman's syndrome.
Copy !req
90. Is that bad?
It sounds bad.
Copy !req
91. Mm.
Copy !req
92. If it progresses,
your uterus could rupture
Copy !req
93. and we would
lose the baby.
Copy !req
94. But it's very possible
the lining will remain stable
Copy !req
95. and your pregnancy
will progress normally.
Copy !req
96. What happens now?
Copy !req
97. We'll put you
on bed rest
and monitor you closely.
Copy !req
98. You're wrong.
Copy !req
99. There may be a surgery
that can fix this.
Copy !req
100. I need to talk to Dr. Lim
and Dr. Glassman.
Copy !req
101. Hello. I have admitted Lea
for close monitoring
Copy !req
102. and a follow-up MRI,
Copy !req
103. which detected a small amount
of free fluid in the abdomen.
Copy !req
104. This, plus a slight decline
in the hematocrit,
Copy !req
105. increases the likelihood
of rupture by 3% to 5%.
Copy !req
106. Shaun, I'm so sorry.
Copy !req
107. How are you and Lea
holding up?
Copy !req
108. Oh. Fine.
Copy !req
109. I found a surgery
to fix it.
Copy !req
110. I have spent
the last three months
Copy !req
111. researching every complication
of Asherman's syndrome.
Copy !req
112. I discovered
an experimental procedure
Copy !req
113. to reinforce the uterine lining
with collagen fleece
Copy !req
114. that will expand
as the uterus grows.
Copy !req
115. I have studied
the technique,
Copy !req
116. and I will teach you
how to do it.
Copy !req
117. How many times has
this procedure been done?
Copy !req
118. Five.
Three had good outcomes
Copy !req
119. and the babies were carried
to full term,
Copy !req
120. and the odds
are better for Lea
Copy !req
121. because you are
above-average surgeons.
Copy !req
122. Shaun,
I don't need to remind you,
Copy !req
123. but this procedure
can induce labor
Copy !req
124. and can cause
major bleeding.
Copy !req
125. You could lose the baby.
Copy !req
126. If we wait
and the uterus ruptures,
Copy !req
127. we will definitely
lose the baby
Copy !req
128. and Lea could suffer
a catastrophic hemorrhage.
Copy !req
129. Due to the size
of the uterine window,
Copy !req
130. there's a good chance
it won't.
Copy !req
131. No, with Lea's prior surgery
and the significant
scar tissue,
Copy !req
132. I put the likelihood of rupture
at close to 65%.
Copy !req
133. Those chances...
Copy !req
134. not good.
Copy !req
135. Lea's body, her call.
Copy !req
136. Drew Dewitt.
Copy !req
137. Has recurrent desmoid tumors
caused by Gardner's syndrome.
Copy !req
138. The one on his liver
is benign,
Copy !req
139. but it hasn't
responded to chemo.
Copy !req
140. It's encroaching on the stomach
and spleen.
It has to come out.
Copy !req
141. Thus,
the surgical consult.
Copy !req
142. He has almost no
small intestine.
Copy !req
143. He needed a major resection
a year ago.
Copy !req
144. He's been living off
IV nutrition ever since.
Copy !req
145. I've treated him
for post-op infections
Copy !req
146. and pain management
over the last year.
Copy !req
147. I've never seen this much
scar tissue in a patient.
Copy !req
148. How many surgeries
has he had?
Copy !req
149. 20. Plus 16 rounds chemo
and 34 hospital stays.
Copy !req
150. Unfortunately, we have to add
one more surgery to that list.
Copy !req
151. Will this surgery affect his
place on the transplant list?
Copy !req
152. We've been waiting over a year
for a small bowel.
Copy !req
153. Apparently, I'm "too healthy"
to move to the top.
Copy !req
154. It shouldn't, barring
long-term infection
or other organ damage.
Copy !req
155. When you're ready,
we can take you to pre-op.
Copy !req
156. - You got this, D.
- You know it.
Copy !req
157. I have no idea.
Copy !req
158. Would you like us to go over
Copy !req
159. the risks
and benefits again?
Copy !req
160. No, I know everything
that could go wrong.
Copy !req
161. All I can see
is what can go wrong.
Copy !req
162. You don't have to decide
right now.
Copy !req
163. We can continue
to monitor.
Copy !req
164. If we wait, the uterine window
could expand
Copy !req
165. and make the surgery
more risky.
Copy !req
166. Now is the safest time.
Copy !req
167. Don't pressure her, Shaun.
Copy !req
168. Okay. Okay,
I know I trust you.
Copy !req
169. So if you think surgery
is the right decision,
then we should do it.
Copy !req
170. On one condition.
Copy !req
171. I want you in the OR.
Copy !req
172. Not for me, but if something
were to go wrong
Copy !req
173. and we lose our baby,
Copy !req
174. I need you
to be with her.
Copy !req
175. Or him.
Copy !req
176. With my guidance, I think
there is a very good chance
Copy !req
177. our baby will be fine.
Copy !req
178. Mm.
Copy !req
179. Forceps and Metz.
Copy !req
180. How's it feel to be
in the OR again?
Copy !req
181. Very good, sir.
Copy !req
182. We're all very glad
to have you back.
Copy !req
183. We've exposed the surface
of the liver.
Copy !req
184. Tumor's invaded the liver
capsule and parenchyma.
Copy !req
185. That's twice the size
it appeared on imaging.
Copy !req
186. If we take out
all of the tumor,
Copy !req
187. he'll only have
half a liver left.
Copy !req
188. We don't have a choice.
Copy !req
189. Make sure
to approximate the edges
Copy !req
190. so it overlaps
with the uterine window.
Copy !req
191. I internalized that the first
three times you told me, Shaun.
Copy !req
192. I'm sorry you and Lea
are going through this.
Copy !req
193. Mm.
Dr. Lim was able
Copy !req
194. to place the fleece patch
seven seconds faster.
Copy !req
195. But your laparoscopic
suturing technique is superior.
Copy !req
196. You will be
in charge of that.
Copy !req
197. Practice it now. Please.
Copy !req
198. Shaun, I've done it
a million times.
Copy !req
199. You have never done them
on my wife.
Copy !req
200. Fair point.
Copy !req
201. Because we had to
take more of your liver
Copy !req
202. than we'd hoped, your
liver function is declining.
Copy !req
203. Getting your nutrition through
an IV is tough on your body.
Copy !req
204. The TPN that's keeping me
alive's also killing me?
Copy !req
205. That's gnarly.
Copy !req
206. So, what's the alternative
to TPN?
Copy !req
207. How do we
get him nutrients?
Copy !req
208. We're looking into it.
Copy !req
209. For now, we're gonna
manage your symptoms
Copy !req
210. and keep you stable until
a small bowel
becomes available.
Copy !req
211. There's no way those organ cops
can say I'm too healthy now.
Copy !req
212. I'll order cholestyramine
for the itching
Copy !req
213. and liver function testing
every few hours.
Copy !req
214. I'll call UNOS
and do whatever I have to...
Copy !req
215. to get him
moved up the list.
Copy !req
216. Where you
sneaking off to?
Copy !req
217. I'm walking down the hall,
in plain sight.
Copy !req
218. The alarms,
the pills,
Copy !req
219. the classic Morgan
evasion techniques.
Copy !req
220. You're getting your embryos
implanted, aren't you?
Copy !req
221. Congrats on cracking
that already wide-open case.
Copy !req
222. I have to give myself
a time-sensitive injection now,
Copy !req
223. then yell at some
nice transplant people.
Copy !req
224. Why didn't you tell me?
I could help.
Copy !req
225. I'll refer you to the minutes
of our previous meeting—
Copy !req
226. "We need boundaries."
Copy !req
227. I remember you put on
my hospital socks
for me last time, too.
Copy !req
228. I hate
that we have a routine.
Copy !req
229. This time is different.
Copy !req
230. - Hi.
- I love you.
Copy !req
231. How are you?
Do you need anything?
Copy !req
232. There's Funfetti cake in Pedes
for Nurse Hawks' birthday.
Copy !req
233. Do you want me
to get you a piece?
Copy !req
234. Just this is great.
Copy !req
235. Please leave.
Copy !req
236. Having visitors
increases the risk
Copy !req
237. of perioperative infection,
Copy !req
238. and stimulation
can raise blood pressure,
Copy !req
239. which increases the risk of
intraoperative complications.
Copy !req
240. I need to do
your pre-op exam.
Copy !req
241. He just doubled over.
Copy !req
242. My gut is trying
to kill me.
Copy !req
243. Please, can you
give him something?
Copy !req
244. I'll up his morphine.
Check the site for infection.
Copy !req
245. Hang on.
You're gonna be okay.
Copy !req
246. Dr. Allen,
his wound dehisced.
Copy !req
247. What does that mean?
Copy !req
248. His muscles couldn't
hold the stitches.
Copy !req
249. It tore open.
Copy !req
250. Move the patch
three millimeters
to your right.
Copy !req
251. It should overlap
with the wound margin.
Copy !req
252. - Got it.
- Yes, there.
Copy !req
253. That is good.
Copy !req
254. Dr. Wolke,
take the scope, please.
Copy !req
255. Sutures.
Copy !req
256. 5-0 Prolene sutures
in the myometrium defect
Copy !req
257. need to be placed
exactly one millimeter apart.
Copy !req
258. Dr. Murphy,
take one more step,
Copy !req
259. I'm gonna have to
ask you to leave.
Copy !req
260. Applying the glue.
Copy !req
261. No, no.
That's too far.
Copy !req
262. - The view is obscured.
- Shaun.
A little to your left.
Copy !req
263. She's bleeding.
Copy !req
264. No signs of rupture.
Copy !req
265. You may have placed
the sutures too deep
Copy !req
266. because you didn't
have a clear view.
Copy !req
267. The sutures are fine.
Copy !req
268. I should take over.
Copy !req
269. - Shaun.
- There, a small bleed
underneath the patch.
Copy !req
270. Must've nicked
a vessel.
Copy !req
271. I'll clip it.
Copy !req
272. Suction.
Copy !req
273. Okay, we can continue
to close.
Copy !req
274. Yes.
Lea and the baby are fine.
Copy !req
275. In spite of
the avoidable errors.
Copy !req
276. His abdominal wall
is too weak and damaged
Copy !req
277. from prior surgeries
to hold the sutures.
Copy !req
278. We covered the wound
with plastic,
Copy !req
279. but we need to take him
back to the OR
Copy !req
280. and close him up
before it gets infected.
Copy !req
281. The tissue will just
tear open again.
Copy !req
282. His skin and muscles need time
and nutrition to heal.
Copy !req
283. I have a small bowel
for Drew.
Copy !req
284. Drew's wound dehisced.
Copy !req
285. We can't take
that organ.
Copy !req
286. I'm not
turning it down.
Copy !req
287. This is Drew's
only chance.
Copy !req
288. Tell UNOS we need to
run some more tests.
Copy !req
289. Buy us a few hours.
Copy !req
290. That's how long we have
to figure out
Copy !req
291. how to stitch
this kid back together.
Copy !req
292. What about
component separation?
Copy !req
293. That could weaken the tissue
even more.
Copy !req
294. Right.
Copy !req
295. Maybe a four-step
Fabian procedure.
Copy !req
296. Except Drew doesn't
have time for four steps.
Copy !req
297. Hi.
Copy !req
298. Here to check
Lea's post-op vitals.
Copy !req
299. I also brought supplements.
Copy !req
300. Mm.
Copy !req
301. Thank you.
Copy !req
302. All right, your post-op
ultrasound looks good.
Copy !req
303. Oh.
Copy !req
304. Fetal movement and heart tones
are great.
Copy !req
305. Oh, thank God.
Copy !req
306. When can I go home?
Copy !req
307. You need to be here
for monitoring
Copy !req
308. for several more days.
Copy !req
309. I can't go days like this, Shaun.
Copy !req
310. I hate it here.
Copy !req
311. You are here
for work every day.
Copy !req
312. Not in this room,
in this bed,
Copy !req
313. thinking about everything.
Copy !req
314. Jerome and I can visit
on our lunch break.
Copy !req
315. Oh, we could take the "What
Yankee Candle Are You?" quiz
Copy !req
316. that's on page 17.
Copy !req
317. Rest will help you
recover faster
Copy !req
318. so you don't have
to be here anymore.
Copy !req
319. Her ultrasound
does look good.
Copy !req
320. Thank you.
You can go.
Copy !req
321. Thank you.
Copy !req
322. UNOS called again.
Copy !req
323. I told them we have to re-run
Drew's liver function test
Copy !req
324. and get a CT scan.
Copy !req
325. I bought us an hour
at most.
Copy !req
326. What about
a Sure-Closure device?
Copy !req
327. Too high a risk
for ventral hernia,
Copy !req
328. which could lead to us needing
to resect his large intestine,
Copy !req
329. leaving him
even worse off.
Copy !req
330. I already played it out.
Copy !req
331. For your embryo thing,
you know, whenever that is,
Copy !req
332. I can give you a ride,
if you need one.
Copy !req
333. I'll get an Uber.
Copy !req
334. You really want to go to
the most important appointment
Copy !req
335. of your life
with a stranger in a Camry?
Copy !req
336. I've chosen to do this alone,
and I'm fine with it.
Copy !req
337. And I'm—
I'm trying very hard
Copy !req
338. not to care about what
anyone else thinks about that.
Copy !req
339. So having you imply how sad
it is that I have to take a cab
Copy !req
340. to a doctor's office
is not helpful.
Copy !req
341. He threw up, and his pain
is getting worse.
Copy !req
342. He's already maxed out
on morphine.
I'm overriding.
Copy !req
343. There's increased
redness and swelling
on the edges.
Copy !req
344. Early signs
of infection.
Copy !req
345. I love you, Mom.
Copy !req
346. - You're gonna be fine.
- It's okay.
Copy !req
347. We knew
we'd get here someday.
Copy !req
348. I'm ready.
Copy !req
349. No.
Copy !req
350. I am not
giving up on you.
Copy !req
351. Don't give up on me, D.
Copy !req
352. Please.
Copy !req
353. Oh.
I-I will take those.
Copy !req
354. They're from
all the nurses.
Copy !req
355. We just want you both to know
that we're thinking about you.
Copy !req
356. I will
pass that along.
Copy !req
357. But not these.
Copy !req
358. Baby's breath has
a strikingly unpleasant odor.
Copy !req
359. Is there anything
you need?
Copy !req
360. We're fine.
Copy !req
361. Uh, 502's family
is on their way in.
Copy !req
362. Heads up—
they are a loud bunch.
Copy !req
363. They're very excited
to be taking Meemaw home.
Copy !req
364. I don't think
Lea's fine.
Copy !req
365. She's lonely
and bored,
Copy !req
366. and being back
in that room
Copy !req
367. is bringing up
a lot of painful memories.
Copy !req
368. And I know you're just—
you're trying to protect her,
Copy !req
369. but...
Copy !req
370. but it's making you
kind of a pain in the ass.
Copy !req
371. Your wife, who's carrying
the tiny human,
Copy !req
372. she needs
her loud bunch.
Copy !req
373. People asking how she is doing
and being worried
Copy !req
374. will only make Lea worry more,
and that is not helpful.
Copy !req
375. Not for you,
Copy !req
376. but I think Lea needs more
than just you right now.
Copy !req
377. She needs lots of people
showing concern and love.
Copy !req
378. And maybe you do, too.
Copy !req
379. More than you think.
Copy !req
380. Question for you.
Copy !req
381. Does it bother you that this
has been sitting here
Copy !req
382. for three months?
Copy !req
383. No.
Copy !req
384. - Does it bother you?
- No.
Copy !req
385. I'm feeling
a little pressured.
Copy !req
386. I've barely
brought it up.
Copy !req
387. And I appreciate that.
Copy !req
388. But it sitting here
is kind of pressure.
Copy !req
389. It was meant to be
a cute gesture.
Copy !req
390. A subtle...
Copy !req
391. Not so subtle reminder
Copy !req
392. that the offer is still
"on the table,"
Copy !req
393. which has clearly
overstayed its welcome,
Copy !req
394. and the last thing I want
is for it to come between us.
Copy !req
395. Are you un-proposing?
Copy !req
396. No, I'm un-pressuring.
Copy !req
397. I love you, and I'm not
going anywhere.
Copy !req
398. When you're ready,
we'll put it back on the table.
Copy !req
399. What about
a Velcro biocompatible patch?
Copy !req
400. It would facilitate
his granulation tissue growth.
Copy !req
401. How do we keep it from adhering
to other organs?
Copy !req
402. Yeah.
Copy !req
403. This should be turmeric chicken
with asparagus.
Copy !req
404. That's what I was gonna
make you for our date.
Copy !req
405. And after work, all I had to do
was go to the store
and get some chicken.
Copy !req
406. But instead,
I-I texted my dealer.
Copy !req
407. For a thousand reasons,
Copy !req
408. none of which excuse
nor explain anything.
Copy !req
409. You don't owe me
an explanation.
Copy !req
410. I do.
Copy !req
411. And I wish
I could give you one.
Copy !req
412. Every day for the past 92 days,
I've asked myself,
Copy !req
413. "Why didn't I just
go get the chicken?"
Copy !req
414. I mean, we would have had
a great dinner.
Copy !req
415. I mean, you would have been
funny and beautiful.
Copy !req
416. And I would have tried
way too hard to be charming.
Copy !req
417. And then...
Copy !req
418. who knows?
Copy !req
419. I'd give anything to go back,
start over.
Copy !req
420. Give us a clean slate.
Copy !req
421. Me too.
Copy !req
422. What if we did that
for Drew?
Copy !req
423. What if,
along with a new bowel,
Copy !req
424. we gave him a whole new
abdominal wall?
Copy !req
425. Clean slate.
Copy !req
426. Has it ever
been done before?
Copy !req
427. I'm gonna look down
and see...
someone else's abs?
Copy !req
428. Replacing it is the only way to
get you a new small bowel.
Copy !req
429. You'll be able to eat again.
You'll get stronger.
Copy !req
430. What are the chances
it'll work?
Copy !req
431. It's never been done in tandem
with another transplant.
Copy !req
432. There are increased risks
of rejection or infection.
Copy !req
433. But both organs
are in great shape
and a good match.
Copy !req
434. It's our best shot
to save your liver
Copy !req
435. and give your body
time to heal.
Copy !req
436. Thank you so much.
Copy !req
437. Okay.
Copy !req
438. Well, let's do this.
Copy !req
439. If we don't keep quiet,
Copy !req
440. Shaun is gonna come down on us
with the hammer of Thor, okay?
Copy !req
441. It's so nice to laugh.
Copy !req
442. Enter Shaun
with a chest plate
Copy !req
443. and a red cape
with the Mjolnir.
Copy !req
444. I don't want to get kicked out
before I know—
Copy !req
445. boy or girl?
Copy !req
446. I have to start scoping out
the latest baby fashions.
Copy !req
447. I don't know.
Copy !req
448. I don't want to know.
Copy !req
449. Last time, when we found out
we were having a girl,
Copy !req
450. Shaun and I
were choosing her name.
Copy !req
451. I liked Sage and Skylar
and Sofia.
Copy !req
452. Something with an "S,"
after my grandma, Susie.
Copy !req
453. And then she was... gone.
Copy !req
454. And I can't do
that again.
Copy !req
455. Maybe you should tell Shaun
about this.
Copy !req
456. He's already so worried,
no matter what he says.
Copy !req
457. And what if talking
about it just...
Copy !req
458. I have something
for you.
Copy !req
459. Mm?
Copy !req
460. My faith.
Copy !req
461. Not just in God.
Copy !req
462. I have faith
in the surgery you had.
Copy !req
463. I have faith
in you and Shaun,
Copy !req
464. and that your baby,
Copy !req
465. whatever it is,
Copy !req
466. is going to be okay.
Copy !req
467. Your 10-minute visit
has run over.
Copy !req
468. I have to scrub in anyways.
Copy !req
469. Pencil me in for the next
10-minute opening, Thor.
Copy !req
470. Thank you.
I-I needed that.
Copy !req
471. Mmph. Pfft.
Copy !req
472. But not that.
Copy !req
473. I kind of feel nauseous.
Copy !req
474. We should do
another ultrasound.
Copy !req
475. Mm.
Copy !req
476. This surgery could buy you
a year, maybe more,
Copy !req
477. give you back
some quality of life.
Copy !req
478. But...
Copy !req
479. it should be
what you want.
Copy !req
480. You're 17
and you've suffered more
Copy !req
481. than some people
their whole lives.
Copy !req
482. No one would fault you
for deciding you're done.
Copy !req
483. I can't.
Copy !req
484. Your mom has given you
all the support in the world,
Copy !req
485. but this is your fight.
Copy !req
486. Do you want
to keep going?
Copy !req
487. The worst part about
all of this is knowing
Copy !req
488. one day, it'll end,
Copy !req
489. and my mom
will be alone.
Copy !req
490. She's been with me through all
the hardest parts of my life,
Copy !req
491. and I won't be around
when she has to go through
the hardest part of hers.
Copy !req
492. If I can put that off,
Copy !req
493. if even for a little bit,
then I'm gonna do that.
Copy !req
494. And hope that makes
the days she'll face alone...
Copy !req
495. a little easier.
Copy !req
496. You're all set.
Copy !req
497. We'll take you
to surgery soon.
Copy !req
498. I love you.
Copy !req
499. And whatever happens...
Copy !req
500. you don't need
to worry about me.
Copy !req
501. I'll be okay.
Copy !req
502. I love you, too, Mom.
Copy !req
503. She was
feeling nauseous,
so I did an ultrasound,
Copy !req
504. which detected increased
fluid in the abdomen,
Copy !req
505. but then
she lost consciousness.
Copy !req
506. It is almost certainly
internal bleeding.
Copy !req
507. I'll scrub in,
right away.
Copy !req
508. No, no, no.
You can't come in.
Copy !req
509. - This is likely a complication
from the first surgery.
- Shaun—
Copy !req
510. It is my fault,
and I need to fix it.
Copy !req
511. Shaun, if we can't stop
the bleeding,
Copy !req
512. we may have to
take Lea's uterus
in order to save her life.
Copy !req
513. If we get there, we're gonna
make the decision quickly
Copy !req
514. and with medical factors only,
no emotion.
Copy !req
515. Lea would want me in there
in case we lose the baby.
Copy !req
516. If that happens—
Copy !req
517. if that happens,
Copy !req
518. Surgical site looks good.
Patch is intact.
Copy !req
519. No signs of acute
placental abruption.
Copy !req
520. Bladder's clean.
Copy !req
521. No blood coming
from the ovaries
or the fallopian tubes.
Copy !req
522. And the bowel is intact.
Copy !req
523. It's gotta be coming
from the uterus.
Copy !req
524. If we clamp
the uterine vessels,
we may slow down the bleeding.
Copy !req
525. But we put the baby
at risk.
Copy !req
526. If we don't stop it soon,
we're gonna put Lea at risk.
Copy !req
527. I'll clamp the internal iliac
on the side of the bleed.
Copy !req
528. Buys us some time.
Copy !req
529. Give two more units of blood
and stay four ahead.
Copy !req
530. Retractor.
Copy !req
531. If the site
is hemostatic,
Copy !req
532. they will look
for placental abruption.
Copy !req
533. Next, they will check
the bladder, ovaries,
Copy !req
534. and fallopian tubes.
Copy !req
535. Shaun.
Copy !req
536. They can't clamp
the uterine vessels
Copy !req
537. without hurting the baby,
Copy !req
538. but they can place
an atraumatic vascular clamp
Copy !req
539. on the internal iliacs,
Copy !req
540. which will slow down the bleed
while they try to locate it.
Copy !req
541. Once they stop the bleed,
Copy !req
542. they should be able
to repair it
Copy !req
543. and be done by...
Copy !req
544. 5:26.
Copy !req
545. The surgery went
really well.
Copy !req
546. You should be able to start
eating real food again
Copy !req
547. in a few days.
Copy !req
548. Better make sure my new
six-pack is looking good.
Copy !req
549. The abdominal wall
is holding together.
Copy !req
550. No signs of infection.
Copy !req
551. We'll see how long
that lasts.
Copy !req
552. One step at a time, D.
Copy !req
553. We'll let you
get some rest.
Copy !req
554. No alcohol in that new gut
of yours.
Copy !req
555. Not for four more years.
Copy !req
556. One step at a time, Mom.
Copy !req
557. Hey, I don't want to help
because I feel bad for you.
Copy !req
558. I feel bad for me.
Copy !req
559. You're gonna be
an amazing mom
Copy !req
560. because you're amazing at
whatever you put your mind to,
Copy !req
561. and I'm a little
conflicted, I guess,
Copy !req
562. because I won't be
a part of it.
Copy !req
563. Making my single-mother
IVF journey about you
Copy !req
564. is uncharacteristically
self-absorbed.
Copy !req
565. I'm impressed.
Copy !req
566. You changed me.
Copy !req
567. And doing things alone
isn't sad.
Copy !req
568. Still doesn't mean
you have to do them that way.
Copy !req
569. From here on, I'm gonna request
not to be supervised by you.
Copy !req
570. Why?
Copy !req
571. I didn't OD because of you,
or us.
Copy !req
572. But I knew I couldn't
be with you
Copy !req
573. if I wasn't okay.
Copy !req
574. So I convinced myself
I was.
Copy !req
575. Jordan, if I let myself
get close to you,
Copy !req
576. I will fall for you again, and...
Copy !req
577. and I will want so badly
to be okay,
Copy !req
578. to be ready for us.
Copy !req
579. I can't risk that.
Copy !req
580. I wouldn't want you to.
Copy !req
581. Mm.
Copy !req
582. I can't believe how much
I'm gonna miss somebody
Copy !req
583. I'll still see every day.
Copy !req
584. Lea's in
emergency surgery.
Copy !req
585. Two more units,
right away.
Copy !req
586. Removing the packing
over the uterus.
Copy !req
587. Suctioning.
Copy !req
588. Fetal heart rate 101.
Copy !req
589. Intermittent decels.
Copy !req
590. No injury
to the vena cava.
Copy !req
591. Where is all this
coming from?
Copy !req
592. Art line BP is 75 over 43
Copy !req
593. and falling.
Copy !req
594. Lea's BP is 67 over 35.
She's bleeding out.
Copy !req
595. Hysterectomy tray.
Copy !req
596. Clamp.
Copy !req
597. After you ligate
the uterine vessels,
I'm gonna go get Shaun.
Copy !req
598. I told him I would.
Copy !req
599. Clamping the uterine horn.
Copy !req
600. Ligated the round ligament.
Preparing to transect.
Copy !req
601. Metz scissors.
Copy !req
602. Audrey.
Copy !req
603. Lea and the baby
are gonna be just fine.
Copy !req
604. Lea's left uterine artery was
tethered to some scar tissue.
Copy !req
605. As the uterus grew,
it ruptured.
Copy !req
606. That was inevitable.
Copy !req
607. Had nothing to do
with your first surgery.
Copy !req
608. Okay.
Copy !req
609. Had Lea not been
in the hospital
when this happened,
Copy !req
610. she might not have survived.
Copy !req
611. Shaun, your surgery
saved both their lives.
Copy !req
612. Okay.
Copy !req
613. Oh!
Copy !req
614. Thank you, Dr. Glassman.
Copy !req
615. I got you.
Copy !req
616. Okay.
Copy !req
617. Okay.
Copy !req
618. Good morning.
Copy !req
619. Can I get that to go?
Copy !req
620. I gotta stop at my place
and grab a shirt for work.
Copy !req
621. I'm sure you have a minute. Stay.
Copy !req
622. - Am I about to be punished
for something?
- No.
Copy !req
623. - I was just thinking.
- Mm-hmm.
Copy !req
624. I love you.
Copy !req
625. I love you, too.
Copy !req
626. And I love us.
Copy !req
627. Same.
Always good to hear.
Copy !req
628. And I've decided I want us
to move forward.
Copy !req
629. At my own, learning-to-walk
kind of pace.
Copy !req
630. Clay Porter...
Copy !req
631. will you
move in with me?
Copy !req
632. I would kneel,
but I'm not sure
Copy !req
633. I could gracefully
get back up again.
Copy !req
634. It's so sparkly.
Copy !req
635. Love it.
Copy !req
636. Mm.
Copy !req
637. Audrey Lim...
Copy !req
638. you've made me
the happiest man alive.
Copy !req
639. This is a one-time thing.
Copy !req
640. Don't expect me to drive you
to your next colonoscopy.
Copy !req
641. And here I was looking
forward to that.
Copy !req
642. Take McLaughlin
to William Street.
Copy !req
643. The freeway's backed up
this time of day.
Copy !req
644. Alright, just don't
forget the tip.
Copy !req
645. The fleece patch is
holding well and expanding
with the uterus.
Copy !req
646. Everything looks great.
Copy !req
647. Your baby is very cute
and squirmy.
Copy !req
648. So, you wanna know
what it is?
Copy !req
649. Y-You already know,
don't you?
Copy !req
650. I have been looking
at your uterus a lot.
Copy !req
651. Mm.
Copy !req
652. But— But I can
keep a secret.
Copy !req
653. The light blue
is very...
Copy !req
654. Heteronormative.
Copy !req
655. I was going to say pastel.
Copy !req
656. But, yes, that too.
Copy !req
657. I think he's gonna like
something in the gray palette.
Copy !req
658. Calming but warm.
Copy !req
659. Elegant yet understated.
Copy !req
660. I think our son
would like that very much.
Copy !req