1. Oh. Good morning.
Copy !req
2. Not so much.
Copy !req
3. Sorry. I hate
when repair guys are late.
Copy !req
4. He wasn't late.
Copy !req
5. He realized that my
"isolated termite presence"
Copy !req
6. is actually more of a complete
and total termite infestation.
Copy !req
7. - I have to tent my house.
- Oh, no.
Copy !req
8. So, you had to pack up
all your clothes and food?
Copy !req
9. Vikane gas doesn't
affect clothes,
Copy !req
10. but you should definitely
throw out all your food
Copy !req
11. when you go home.
Copy !req
12. Already did.
Copy !req
13. Where are you gonna stay?
Copy !req
14. Oh. You should stay
in our guest room.
Copy !req
15. I'll stay at a hotel
or something.
Copy !req
16. But you hate sleeping
in hotels.
Copy !req
17. I hate intruding on my friends,
and I hate intruding
Copy !req
18. on my friends' pregnant wives
even more.
Copy !req
19. I-It's not an intrusion.
Stay with us.
Copy !req
20. I'm okay.
Thank you, though.
Copy !req
21. - We want to.
- Absolutely.
We insist.
Copy !req
22. Okay.
Copy !req
23. Thank you.
Copy !req
24. - It's delicious.
- It's disgusting.
Copy !req
25. And it helps me poop.
Copy !req
26. - I did not need to know that.
- Well, you're a doctor.
Copy !req
27. You obviously know what
prune juice does to a man's—
Copy !req
28. Shut up.
I'm trying to eat.
Copy !req
29. Oh.
Coffee and a Red Bull.
Copy !req
30. You prepping
for a post-breakfast
MMA match there, big guy?
Copy !req
31. I was up late, need a boost.
Copy !req
32. I was catching up
on some journals,
Copy !req
33. and I've already been
to a meeting.
Copy !req
34. Check my sign-off sheet
if you want.
Copy !req
35. I didn't say anything.
Copy !req
36. You don't need to.
Copy !req
37. Wolke and Perez,
you're with me today.
Copy !req
38. I thought we were scheduled
with Park.
Copy !req
39. I just had to fire
one resident, and you two
are on probation.
Copy !req
40. Not exactly my vision
for the department.
Copy !req
41. Felt like it was time
for me to take
a more hands-on approach,
Copy !req
42. see how your surgical
educations are progressing.
Copy !req
43. We round in five.
Don't be late.
Copy !req
44. I want to do another
embryo transfer ASAP.
Copy !req
45. Three months is ASAP.
Copy !req
46. Not if we restart
my hormone injections,
add Methylprednisolone,
Copy !req
47. and do prophylactic
endometrial scratching.
Copy !req
48. A more aggressive uterine prep
means more side effects.
Copy !req
49. I can handle it.
Copy !req
50. Morgan, I understand
your impatience,
Copy !req
51. but one unsuccessful embryo
transfer is no reason—
Copy !req
52. I want to do whatever it takes
to get pregnant.
Copy !req
53. Now.
Copy !req
54. Not in three months.
Copy !req
55. Okay.
Copy !req
56. We'll start the hormones
and the Methylprednisolone today.
Copy !req
57. I have a new idea.
Copy !req
58. The echo results
were that bad?
Copy !req
59. Your heart muscle's
deteriorating way too fast.
Copy !req
60. We don't have time to wait
for a matching donor,
Copy !req
61. so we're gonna fix
the one you have.
Copy !req
62. We're going to remove
the scar tissue,
Copy !req
63. use a synthetic patch,
along with your healthy tissue
Copy !req
64. to reshape your ventricle
over a balloon.
Copy !req
65. It's kind of like
papier-mache.
Copy !req
66. If that's possible,
why didn't we do it sooner?
Copy !req
67. It's a challenging
surgical technique.
Copy !req
68. Which makes it right
in Dr. Lim's wheelhouse.
Copy !req
69. But I'm confident
it's the best option
for your situation.
Copy !req
70. This surgery is amazing.
How did you even
come up with it?
Copy !req
71. I didn't. It's a modified
"Dor Procedure"--
Copy !req
72. basically an endoventricular
patch plasty.
Copy !req
73. There's nothing basic about it.
I'm really excited.
Copy !req
74. - Spare me.
- What?
Copy !req
75. Stroking my ego isn't gonna
get you off of probation.
Copy !req
76. I am not stroking your ego.
I am sincerely—
Copy !req
77. Start with a DE MRI
Copy !req
78. to map the scar
versus functional tissue,
Copy !req
79. while I finalize
the surgical plan.
Copy !req
80. Dr. Perez, what do I need
from this MRI?
Copy !req
81. Completely pristine images
of right ventricular scarring
Copy !req
82. without artifact
or distortion.
Copy !req
83. No room for error
on this.
Copy !req
84. There's a small mass.
Copy !req
85. Her pediatrician said
it was a cyst.
Copy !req
86. He doesn't think
she needs surgery
Copy !req
87. but suggested
we get a consult.
Copy !req
88. She definitely
needs surgery.
Copy !req
89. It's a minor outpatient procedure.
Copy !req
90. She's only 13 with
no previous symptoms.
Copy !req
91. It's most likely benign.
Copy !req
92. We will need to do a needle
biopsy and a CT to confirm.
Copy !req
93. What's a needle biopsy?
Copy !req
94. It's kind of like a shot.
Copy !req
95. In my belly?
Copy !req
96. Honey, it's okay.
You'll be fine.
Copy !req
97. Mom, no.
Copy !req
98. Mnh.
Copy !req
99. Can you do it
while she's asleep?
Copy !req
100. General anesthesia
would add unnecessary risk
Copy !req
101. to a needle biopsy.
Copy !req
102. Please, I can't do this.
Copy !req
103. Kelli,
we're gonna numb you
Copy !req
104. and you'll close your eyes,
hold your mom's hand,
Copy !req
105. and count to 10,
and then it'll all be over.
Copy !req
106. Do you promise?
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107. Absolutely.
Copy !req
108. This is not good.
Copy !req
109. Looks good to me.
Copy !req
110. Any end systolic volume
less than 200
Copy !req
111. is within parameters.
Copy !req
112. I mean Lim's idea
for Bob's surgery.
Copy !req
113. You said it was amazing.
Copy !req
114. That was before I'd done
enough research
Copy !req
115. to actually understand it.
Copy !req
116. It's way too risky.
Copy !req
117. You're just mad because
she called you out
for brown-nosing.
Copy !req
118. I was sincerely psyched.
Copy !req
119. And now, after reading
one article—
Copy !req
120. I've read five.
Copy !req
121. And right-sided failure
Copy !req
122. has resulted
in negative outcomes
Copy !req
123. in every case
I've reviewed.
Copy !req
124. Lim's been treating
this guy for years,
Copy !req
125. knows the case way better.
Copy !req
126. Yeah, she also knows
the patient better,
Copy !req
127. which could be impacting
her objectivity.
Copy !req
128. You want to question the
Chief Surgeon's objectivity?
Copy !req
129. No, I want to suggest
she reconsider her strategy.
Copy !req
130. I wouldn't.
Copy !req
131. Why?
Copy !req
132. 'Cause you're scared
of her?
Copy !req
133. Yes.
And you should be, too.
Copy !req
134. My OD and you
and Powell going rogue,
Copy !req
135. I'd rather not add to—
Copy !req
136. Can you show Mr. Zegras
how to apply the eye drops?
Copy !req
137. Sure.
No problem.
Copy !req
138. Good job.
Copy !req
139. Hey.
Copy !req
140. I just closed a deal
Copy !req
141. with one of the biggest CROs
on the West Coast.
Copy !req
142. They're going to consolidate
all their clinical trials
Copy !req
143. at St. Bonaventure.
Copy !req
144. That's awesome.
Copy !req
145. Unless you're telling me
because you plan
Copy !req
146. to close the clinic
to make room for the CRO.
Copy !req
147. I have the space,
but what I don't have
Copy !req
148. is a smart, aggressive,
ambitious physician
Copy !req
149. to manage the partnership
and serve as PI.
Copy !req
150. You interested?
Copy !req
151. I-I'm flattered.
Copy !req
152. It'll be a ton of work
Copy !req
153. but a great opportunity
for St. Bon's and yourself.
Copy !req
154. I agree.
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155. It's just a bit unexpected.
Copy !req
156. Can I think about it?
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157. Of course.
Take some time.
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158. But not too much.
Copy !req
159. I'll need an answer
by Friday.
Copy !req
160. There's almost no viable
cardiac tissue.
Copy !req
161. And poor contractions
in what little there is.
Copy !req
162. There's still
an area of tissue left
Copy !req
163. that could be viable
after CABG.
Copy !req
164. We can't start surgery
just hoping
Copy !req
165. there's enough tissue
to reshape the ventricle.
Copy !req
166. That's an inherent risk
to this approach.
Copy !req
167. If you have another idea?
Copy !req
168. A BiVAD with an unmatched
donor heart.
Copy !req
169. Considered it
and ruled it out.
Copy !req
170. He'd reject an unmatched donor
heart in less than a year.
Copy !req
171. Beats dying on the table
in less than 24 hours.
Copy !req
172. I appreciate your opinion.
Copy !req
173. Not a huge fan
of the tone.
Copy !req
174. Sorry.
Copy !req
175. If we put Bob on longer term
anti-rejection meds,
Copy !req
176. that would buy several more
months for the unmatched heart.
Copy !req
177. During which time, he'd be
completely vulnerable
to infection.
Copy !req
178. I know SVR is high risk,
but given Bob's condition,
Copy !req
179. I'm convinced it's the only
solution to keep him alive
Copy !req
180. long enough to find
a matching donor heart.
Copy !req
181. I plan to spend some time
Copy !req
182. rehearsing
every surgical step.
Copy !req
183. I'd suggest you two
do the same.
Copy !req
184. Why did you say yes?
Copy !req
185. It was one of those moments
when you say the thing
Copy !req
186. a polite person
is supposed to say.
Copy !req
187. Mm-hmm.
Copy !req
188. Even as you're realizing
you don't mean it at all.
Copy !req
189. Okay.
It'll be fine.
Copy !req
190. You'll be at work all day,
Copy !req
191. and at night,
I'm sure Glassman
will just sit in a corner
Copy !req
192. and read the latest
presidential biography.
Copy !req
193. That's... oddly specific.
Copy !req
194. Old dudes love reading
about presidents.
Copy !req
195. They fantasize about
how they would've done it
all better.
Copy !req
196. What's wrong?
Copy !req
197. It's not a cyst.
Copy !req
198. It's an invasive
hydatidiform mole.
Copy !req
199. Interesting.
Copy !req
200. That type of tumor
could only occur
Copy !req
201. from a mutated
fertilized egg.
Copy !req
202. She has had sex.
Copy !req
203. She's only 13, which means
even if she consented,
Copy !req
204. it's statutory rape.
Copy !req
205. There's a new problem.
Actually two.
Copy !req
206. This type of tumor
is caused by a mutation
in a fertilized egg,
Copy !req
207. which means the surgery
will be more difficult.
Copy !req
208. It also means your daughter
has had sexual intercourse.
Copy !req
209. Wait, but I'm on birth control,
and we use condoms.
Copy !req
210. How could I be pregnant?
You're not pregnant.
Copy !req
211. The implanted egg mutated
into a tumor
instead of a fetus.
Copy !req
212. And no birth control
is 100% effective.
Copy !req
213. But you can still
remove it, right?
Copy !req
214. Yes.
Copy !req
215. Y-You don't seem surprised
to learn
your daughter's had sex.
Copy !req
216. I'm not learning it.
Copy !req
217. She's been going steady
with Ryan for over a year.
Copy !req
218. He's in her grade.
Copy !req
219. He's sweet.
Copy !req
220. A 13-year-old child
should not be having sex.
Copy !req
221. I'm not a child,
and me and Ryan
love each other.
Copy !req
222. And if I want to have sex
with him, it's my decision.
Copy !req
223. You're okay with this?
Copy !req
224. Teenagers are gonna do it
no matter what
their parents say.
Copy !req
225. So instead of forcing her
to sneak around,
Copy !req
226. I chose to talk to her
about safe sex,
birth control,
Copy !req
227. and help her have
a positive experience.
Copy !req
228. Your daughter—
Copy !req
229. Is scheduled
for surgery tomorrow morning.
Copy !req
230. And as I deflate
the balloon...
Copy !req
231. I'll remove
the final clamps.
Copy !req
232. That was... awesome.
Copy !req
233. Still not sure
it's gonna work,
Copy !req
234. but it'll definitely
be exciting.
Copy !req
235. I'd keep the pessimism
to yourself this time.
Copy !req
236. Okay, I'm not a pessimist—
I'm a realist.
Copy !req
237. Who's on probation.
Copy !req
238. I know.
Lim is a grown-up.
Copy !req
239. She wants her ideas
to be challenged.
Copy !req
240. It's part of our job
to do it.
Copy !req
241. In recovery, we talk a lot
about the value of humility.
Copy !req
242. Hey, Lim is not
a higher power.
Copy !req
243. And you're confusing being
humble with being a wuss.
Copy !req
244. Ah, it's Lim.
Copy !req
245. But feel free
to ignore it.
Copy !req
246. Show her
what a badass you are.
Copy !req
247. Hey.
I haven't seen you all day.
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248. I took it off.
Copy !req
249. Lim's covering my residents,
and, uh, Kellan's in town.
Copy !req
250. - Mm.
- We're gonna see
Young the Giant.
Copy !req
251. And left these
in my desk.
Copy !req
252. That'll be fun.
Copy !req
253. Yeah, fun for me.
Copy !req
254. I think he'd rather be
with his friends.
Copy !req
255. Although, he does enjoy
me paying for
the tickets and beer.
Copy !req
256. Oh, my God,
Kellan can drink now?
Copy !req
257. I'm sure he's been drinking
for a while,
Copy !req
258. but, yeah, legally
for a month now.
Copy !req
259. Time flies.
Copy !req
260. Faster than
you'd ever imagine.
Copy !req
261. Have a good night.
Copy !req
262. Park?
Copy !req
263. Andrews just closed
a partnership deal
with a big CRO.
Copy !req
264. He wants me to manage it
and serve as PI.
Copy !req
265. Congrats.
Copy !req
266. It is
a great opportunity,
Copy !req
267. exactly what I have been
looking for,
Copy !req
268. but it's gonna mean
a lot more time at work,
Copy !req
269. and I'm hoping
to be a mother soon.
Copy !req
270. My favorite memories
are all school plays,
Copy !req
271. baseball games,
camping trips.
Copy !req
272. And my biggest regret
is that I missed way too many
of those moments.
Copy !req
273. Sorry.
Copy !req
274. I wouldn't have asked
if I didn't want
to hear your answer.
Copy !req
275. You have a great job.
Copy !req
276. You know, maybe not
the opportunity
of a lifetime,
Copy !req
277. but you can have
a set schedule
with reasonable hours.
Copy !req
278. You know, it seems to me,
you already have the best
of both worlds.
Copy !req
279. Thanks.
Copy !req
280. And tell Kellan
I said hi.
Copy !req
281. Will do.
Copy !req
282. Kelli is prepped and ready
for tomorrow morning.
Copy !req
283. Good. We are going home.
Copy !req
284. A 13-year-old
can't consent to sex,
Copy !req
285. and we're obligated
to report it if she does.
Copy !req
286. You want to call the cops
because she had sex
with her boyfriend?
Copy !req
287. Not the police.
Child Protective Services.
Copy !req
288. Just because her mom
says it's okay
Copy !req
289. doesn't negate
that it's statutory rape.
Copy !req
290. But if two 13-year-olds
have sex,
Copy !req
291. which one is the rapist,
and which one
is the rape victim?
Copy !req
292. They're both victims.
Copy !req
293. But only if
they're both rapists,
which doesn't make sense.
Copy !req
294. The terminology is not
the issue, Shaun.
Copy !req
295. She's in seventh grade,
sleeps with a teddy bear.
Copy !req
296. At the very least,
her mother should be required
to talk to a counselor.
Copy !req
297. You really think that would
help or just create
an even bigger mess?
Copy !req
298. That's not our call.
Copy !req
299. - We have a duty to—
- No, we don't.
Copy !req
300. Our patient
is post-pubescent,
Tanner stage four.
Copy !req
301. She has the right
to her own decisions
regarding sexual activity,
Copy !req
302. as long as the partner
is of similar age.
Copy !req
303. Just because her body
has matured
doesn't mean she's—
Copy !req
304. I am the attending,
and that is my decision.
Copy !req
305. That's true, Shaun,
Copy !req
306. but maybe you two
should discuss it
a bit more.
Copy !req
307. The law is clear.
Copy !req
308. There is nothing more
to discuss.
Copy !req
309. Mmm.
That smells amazing.
Copy !req
310. I am going to change.
Copy !req
311. My mother's marinara.
Copy !req
312. Usually there's
roasted garlic in here,
Copy !req
313. but I was told you have
certain food sensitivities.
Copy !req
314. Did he say sensitivity
or did he—
Copy !req
315. Explosive diarrhea.
Copy !req
316. - Mm.
- I'm gonna wring his neck.
Copy !req
317. As you should.
Here, taste.
Copy !req
318. - Oh, my God.
- Right?
Copy !req
319. That is fantastic.
Copy !req
320. It's better
with the roasted garlic,
Copy !req
321. but, you know,
your house, your rules.
Copy !req
322. Now I see
where he learned it.
Copy !req
323. Shaun cooks just like you.
Copy !req
324. Pre-measures everything
and arranges the bowls
in the order they go in.
Copy !req
325. Surgeons.
We know how to get it done.
Copy !req
326. Not to mention your fondness
for extra clean utensils.
Copy !req
327. No such thing
as extra clean.
Copy !req
328. No, but I cleaned it.
Copy !req
329. You rinsed it.
Copy !req
330. I'm gonna saute
some vegetables.
Copy !req
331. Should be ready
in 11 minutes.
Copy !req
332. Okay.
I'll get changed.
Copy !req
333. There— the septal leaflet
of the tricuspid.
Copy !req
334. Play it again.
Copy !req
335. He's got severe regurg.
Copy !req
336. Which means we need to add
a valve repair to the CABG
Copy !req
337. and ventricular reconstruction.
Copy !req
338. There's no way he's strong
enough for that much surgery.
Copy !req
339. We don't have a choice.
Copy !req
340. I just need to figure out
how to do it all
in one procedure.
Copy !req
341. - We could still do the BiVAD
with unmatched donor.
- No.
Copy !req
342. It's—
The same idea
I said no to before.
Copy !req
343. So, what do you want us
to do?
Copy !req
344. Nothing.
Copy !req
345. I need to think this through
on my own.
Copy !req
346. We could help you research.
Copy !req
347. I just need to figure out
the best surgical plan.
Copy !req
348. Have you considered
implanting an Impella first
Copy !req
349. to decrease the afterload?
Copy !req
350. And significantly increase
his odds of stroking out?
Copy !req
351. Sorry.
Go home, get rest.
Copy !req
352. This is my problem.
I'll figure it out.
Copy !req
353. Lim's under
a lot of pressure.
Copy !req
354. I'm—
I'm— I'm— I'm fine.
I'm just tired.
Copy !req
355. See you tomorrow.
Copy !req
356. Your call has been forwarded
Copy !req
357. to an automatic
voice message system.
Copy !req
358. Hey, Quinn, it's Danny.
Copy !req
359. Um, if you have some time,
could you give me a call?
Copy !req
360. I'm not up
for another meeting,
Copy !req
361. but, uh,
I'm feeling like...
Copy !req
362. I really should talk
to someone.
Copy !req
363. Thanks.
Copy !req
364. I was... about
to take a shower.
Copy !req
365. Unless you would like
to go first.
Copy !req
366. Thanks,
but you can go ahead.
Copy !req
367. I'm gonna make
some coffee.
Copy !req
368. Oh. Dr. Glassman
already made coffee.
Copy !req
369. He also bought
croissants for us
before he left for work.
Copy !req
370. Wow.
Copy !req
371. With breakfast and coffee
already made,
Copy !req
372. we now have time to take
an extra-long shower.
Copy !req
373. Together.
Copy !req
374. Yes.
Copy !req
375. We do have time for that.
Copy !req
376. A new ventricle
and a new valve?
Copy !req
377. Repaired ventricle
and replaced valve.
Copy !req
378. This is really my...
only option?
Copy !req
379. There are mechanical
heart devices.
Copy !req
380. That I've already considered.
Copy !req
381. With heart failure
as advanced as yours,
it's not a better option.
Copy !req
382. Okay.
Copy !req
383. Okay.
Copy !req
384. Whatever you think
is best.
Copy !req
385. We're gonna take
good care of you.
Copy !req
386. I know.
Thank you.
Copy !req
387. Get the new valve prepped.
Copy !req
388. Good morning.
Copy !req
389. Oh. When you start
your morning
Copy !req
390. with shower sex
and croissants,
it definitely is.
Copy !req
391. Lucky you.
Copy !req
392. Would you be okay
if your son
Copy !req
393. was having shower sex
and croissants
in middle school?
Copy !req
394. I am still contemplating
nursery colors,
Copy !req
395. so not ready to think
about all that.
Copy !req
396. But... maybe her mom
has a point.
Copy !req
397. I spent all of my high school
sneaking around
my parents' backs.
Copy !req
398. That's not a relationship
I want with my kid.
Copy !req
399. We're talking about kids—
early teens.
Copy !req
400. I was 18 when I lost
my virginity.
Copy !req
401. Leon Maxwell.
Copy !req
402. We'd been together
for a year.
Copy !req
403. I was sure I was ready.
Copy !req
404. And... how was it?
Copy !req
405. Fine.
Copy !req
406. Fun, after we figured
some things out.
Copy !req
407. But starting from Leon,
all the way to Dwayne
in med school,
Copy !req
408. sex has always felt
like a distraction.
Copy !req
409. A distraction?
Copy !req
410. Okay, definitely sounds
like those guys
Copy !req
411. had no idea
what they were doing.
Copy !req
412. Once I was intimate
in a relationship,
Copy !req
413. I felt less
like my true self
Copy !req
414. and less close to God.
Copy !req
415. That's why I stopped.
Copy !req
416. Stopped?
Copy !req
417. Like, stopped...
Copy !req
418. Having sex.
Copy !req
419. I don't intend to do it again
until I'm married.
Copy !req
420. How long has it been?
Copy !req
421. Years ago, before we met.
Copy !req
422. You never told me.
Copy !req
423. We joke about sex
all the time.
Copy !req
424. I go along with the jokes
so I don't become the joke.
Copy !req
425. I would never make fun of you
for anything like that.
Copy !req
426. Lea, you told me
my Bible study group
was "Fantasy Faithball."
Copy !req
427. Mm.
Copy !req
428. I'm sorry.
Copy !req
429. But then what was your plan
with Perez?
Copy !req
430. The same
as any guy I date.
Copy !req
431. It's not like I don't kiss
or some other things, but...
Copy !req
432. if a man is not
willing to commit
Copy !req
433. to who I am as a person
or what I believe in,
he is not worth my time.
Copy !req
434. It just...
seems a bit extreme?
Copy !req
435. And a little sad.
Copy !req
436. I mean, it can be
a really fun part of life,
Copy !req
437. and you've just
cut yourself off from it.
Copy !req
438. You're not listening
to me.
Copy !req
439. For me, it wasn't a value add—
it was the—
Copy !req
440. This is why
I don't tell people.
Copy !req
441. It's impossible to know
exactly how to shape
and size this valve
Copy !req
442. without knowing the shape
of the heart it's going into.
Copy !req
443. Which we won't know
until Lim finishes repairing
the ventricle.
Copy !req
444. He'd be better off
with a transplant, right?
Copy !req
445. I agree.
Copy !req
446. The patient's just going along
'cause Lim steamrolled him.
Copy !req
447. A square peg won't seal
a round hole,
Copy !req
448. and at the stage of the surgery
we're going to find that out,
Copy !req
449. it will be too late
to turn back.
Copy !req
450. It is not a perfect solution,
but it's the best we have.
Copy !req
451. And you've explained
to Bob
Copy !req
452. just how imperfect
this solution is?
Copy !req
453. He's aware of the risks
Copy !req
454. and that
he has limited options.
Copy !req
455. Sometimes patients need help
making difficult decisions.
Copy !req
456. I don't think this
is a decision you should
be making for him.
Copy !req
457. And I'm not the only one.
Copy !req
458. I trust you.
Copy !req
459. We're operating on Bob
first thing in the morning.
Copy !req
460. Her blood pressure skyrocketed.
Copy !req
461. She could have a stroke.
Start IV labetalol.
Copy !req
462. This is why children
shouldn't have—
Copy !req
463. Stop.
Copy !req
464. You need to focus
on the medicine.
Copy !req
465. She is going into
critical bradycardia.
Copy !req
466. We need to push atropine.
Copy !req
467. My patient's blood pressure
has remained stable.
Copy !req
468. We can operate tomorrow.
Copy !req
469. That's great.
Copy !req
470. Mmm.
This smells amazing.
Copy !req
471. Mmm.
Tastes even better.
Copy !req
472. The secret is thyme.
You got to have fresh thyme,
Copy !req
473. because if you let it dry,
it saps all the flavor.
Copy !req
474. That and a little bit
of lemon zest.
Copy !req
475. Truth bomb—
uh, I might have
Copy !req
476. oversold my enthusiasm
for you staying here,
Copy !req
477. but if you keep cooking
like Gordon Ramsay,
Copy !req
478. I won't let you leave.
Copy !req
479. Well, as much as I love
sleeping in a twin bed
in a half-remodeled nursery,
Copy !req
480. I think I may have to decline.
Copy !req
481. Yeah, Ruben?
Copy !req
482. Whoa, whoa, whoa, whoa.
That's—
That's double the quote.
Copy !req
483. Okay. Yeah.
Copy !req
484. Approved.
Copy !req
485. Unbelievable.
Copy !req
486. Now I have to replace
the roof rafters.
Copy !req
487. - Yay.
- If you have to
replace the whole roof,
Copy !req
488. why not just get
a brand-new house?
Copy !req
489. Why would I do that?
I love the house.
Copy !req
490. It's ancient,
too big for one person,
Copy !req
491. and completely
falling apart.
Copy !req
492. You do complain a lot
about all the repairs
you have to do.
Copy !req
493. That is the house
where we brought Maddie home
as a newborn.
Copy !req
494. That is the house
where we celebrated
Copy !req
495. every single one
of her birthdays.
Copy !req
496. Every year,
we'd turn that house
into a haunted house
Copy !req
497. with a cemetery in the backyard
and a fog machine.
Copy !req
498. We scared the living daylights
out of every kid
in the neighborhood.
Copy !req
499. I come home
into that foyer...
Copy !req
500. and that staircase
is where Maddie would descend
Copy !req
501. in her prom dress.
Copy !req
502. You can never
sell that house.
Copy !req
503. I can never
sell that house.
Copy !req
504. Clinic's low
on phlebotomy kits.
Copy !req
505. - Any chance we could
steal some from surgical?
- Sure.
Copy !req
506. Just make us whole
when your shipment gets in.
Copy !req
507. - Andrews offered me—
- I heard.
Copy !req
508. - Congrats.
You deserve it.
- Thanks.
Copy !req
509. I do. But...
Copy !req
510. you're smart, aggressive,
and ambitious.
Copy !req
511. I'm sensing
there's another "but."
Copy !req
512. You decided
to never have kids.
Copy !req
513. Wouldn't really say
I decided.
It just never happened.
Copy !req
514. - I'm sorry.
- Don't be.
Copy !req
515. I can't be both the mother
I'd want to be
Copy !req
516. and the driven,
perfectionist surgeon
I know I am.
Copy !req
517. My advice—
decide what brings you
the most fulfillment
Copy !req
518. and then commit
fully to that.
You can't have it all.
Copy !req
519. - But plenty of men—
- No, they don't.
Copy !req
520. They're just less conflicted
about the choices they make.
Copy !req
521. You totally put me
on the spot with Lim.
Copy !req
522. I never said I was gonna
back you up.
Copy !req
523. You're right.
My bad.
Copy !req
524. You and I know probation
means different things for us.
Copy !req
525. Yours is a slap
on the wrist,
Copy !req
526. a correction for coloring
outside the lines.
Copy !req
527. I'm in a holding pattern,
while everybody
watches to see
Copy !req
528. if I'm actually
a surgeon or a junkie.
Copy !req
529. Part of being a surgeon
is standing up
Copy !req
530. and fighting
for your patients.
Copy !req
531. Why'd you leave your robe
hanging on the bathroom door?
Copy !req
532. I didn't. I lent my extra one
to Dr. Glassman.
Copy !req
533. You both hang your robes
outside the bathroom?
Copy !req
534. I never noticed that before.
Copy !req
535. I'm glad you find it
so amusing.
Copy !req
536. What'd you expect?
Copy !req
537. You ran a sneak attack
on your husband
when you had a house guest.
Copy !req
538. Who else hangs their robe
outside the bathroom
Copy !req
539. so the steam
doesn't make it moist?
Copy !req
540. - Mm.
- And that's not
the only thing.
Copy !req
541. Their cooking techniques,
cleaning styles,
Copy !req
542. the way they lay out
their toiletries.
Copy !req
543. You said he's like
Shaun's father.
Copy !req
544. - Yeah.
- The apple
doesn't fall far.
Copy !req
545. Somehow, in this case,
I think Shaun's
actually the tree.
Copy !req
546. Uhh...
Copy !req
547. One thing is clear.
Copy !req
548. Grandpa Glassman
needs a new robe,
Copy !req
549. one that doesn't match
your husband's.
Copy !req
550. Aww.
Grandpa Glassy.
Copy !req
551. I love that.
Copy !req
552. Now if only I could erase
a certain image
of Grandpa Glassy.
Copy !req
553. Hey, I'm really sorry
Copy !req
554. about saying
you were... extreme and sad.
Copy !req
555. Thank you.
Copy !req
556. It's unfair of me
to blame you
Copy !req
557. for being surprised
at something
Copy !req
558. I've intentionally
never shared.
Copy !req
559. Abstinence is important
to me,
Copy !req
560. but I don't always
feel comfortable
being open about it.
Copy !req
561. Well, I'm really glad
you did.
Copy !req
562. Do you have a vibrator?
Copy !req
563. Because in terms of getting
closer to God, I find—
Copy !req
564. No, we're not talking
about this right now.
Copy !req
565. - Two croissants, please.
- Mm.
Copy !req
566. Cut this suture,
Dr. Wolke.
Copy !req
567. The valve
is seated... nicely.
Copy !req
568. I've removed a lot of scar
tissue from this ventricle,
but there's still more.
Copy !req
569. We need enough viable tissue
to close this ventricle.
Copy !req
570. I don't think we have it.
Copy !req
571. Hold this clamp. Tightly.
Copy !req
572. This area looked good
in the pre-op MIBI scan,
but it's dead now.
Copy !req
573. Must be
delayed apoptosis.
Copy !req
574. What's the plan?
Copy !req
575. I need an idea.
Any idea.
Copy !req
576. We could do
an additional vessel bypass.
Copy !req
577. It might restore
some hibernating tissue.
Copy !req
578. Some, but we'd never
find enough
to make up for this deficit.
Copy !req
579. Can we use a synthetic patch
to close the gap?
Copy !req
580. It needs muscle tissue
for the ventricle to pump.
Copy !req
581. You can't have
a functional heart without
a working right ventricle.
Copy !req
582. Unless we do what we do
in babies
with Ebstein's Anomaly.
Copy !req
583. Bypass the defective
right ventricle,
Copy !req
584. divert deoxygenated blood
directly back to the lungs.
Copy !req
585. He'd only have one ventricle
pumping blood
to his entire body.
Copy !req
586. But in time,
the left ventricle
would get stronger.
Copy !req
587. We keep those babies alive
until they're teenagers.
Copy !req
588. That could buy you
plenty of time to find
a matched donor heart.
Copy !req
589. Let's go.
Copy !req
590. Hey.
Copy !req
591. They already have
four clinical trials
with IRB approval.
Copy !req
592. I am honored that
you thought of me.
Copy !req
593. It's just...
Copy !req
594. I'm trying
to get pregnant—
Copy !req
595. IVF with a donor.
Copy !req
596. And I've decided...
Copy !req
597. I can't have it all.
Copy !req
598. At the risk
of... overstepping...
Copy !req
599. I think you're
selling yourself short.
Copy !req
600. My mother
was the Senior Director
for Human Rights First.
Copy !req
601. Total workaholic.
Copy !req
602. Growing up, sometimes
it seemed like
Copy !req
603. - she was always on the phone
or a plane.
- Mm.
Copy !req
604. That must have been hard
for you.
Copy !req
605. It wasn't easy, but whenever
I really needed her,
she was always there for me.
Copy !req
606. She was my idol.
Copy !req
607. And to this day,
Copy !req
608. if I need advice
on a tough decision,
Copy !req
609. she's my first call.
Copy !req
610. There's more to being
a great mom than
parent-teacher conferences.
Copy !req
611. Is her pressure climbing?
Copy !req
612. No. 120 over 81,
holding steady.
Copy !req
613. Curettage is complete.
Copy !req
614. The entire tumor's
evacuated.
Massage the uterine fundus.
Copy !req
615. Pressure's dropping. Fast.
Copy !req
616. She is going into shock.
Copy !req
617. Could the tumor have caused
some sort of bleeding disorder?
Copy !req
618. There's no bleeding
down here.
Copy !req
619. Push vasopressors
and fluids.
Copy !req
620. What is this?
Copy !req
621. The tumor thinned
her uterine wall.
Copy !req
622. She's perforated.
She's bleeding internally.
Copy !req
623. Prep her
for a STAT laparotomy.
Copy !req
624. Rapid infuse
two units of O neg.
Copy !req
625. We need to isolate the vessel
and clamp it before she—
Copy !req
626. We just lost her pulse.
Copy !req
627. Retraction.
Copy !req
628. A uni-heart?
That's new.
Copy !req
629. Well, once we removed
the scar tissue,
Copy !req
630. there was even less
viable muscle
than what we anticipated.
Copy !req
631. Dr. Wolke came through
with the audible.
Copy !req
632. Uh, sports reference.
Copy !req
633. She's saying
it was your idea.
Copy !req
634. Aww.
Copy !req
635. Which Dr. Lim executed brilliantly.
Copy !req
636. And I'd be saying that
even if she weren't
in the room.
Copy !req
637. You'll still need
a donor heart eventually,
Copy !req
638. but this should buy you
five years,
maybe more before that.
Copy !req
639. Thank you.
Copy !req
640. The surgery was
too dangerous for Bob.
You were right about that.
Copy !req
641. And about advocating
for the patient,
Copy !req
642. even when you were
pissing me off.
Copy !req
643. Might've helped if I had
had the uni-heart idea
Copy !req
644. before the patient
was splayed open on the table.
Copy !req
645. Yeah, sometimes great things
come out of pressure.
Copy !req
646. Although, I try not
to depend on them.
Copy !req
647. Sounds like the perfect prelude
to letting me off probation.
Copy !req
648. Don't push it.
Copy !req
649. But... excellent work.
Keep it up.
Copy !req
650. You too, Dr. Perez.
Copy !req
651. Hi, honey.
Copy !req
652. Is it over?
Copy !req
653. Your surgery was
a lot more complicated
than anticipated,
Copy !req
654. and it was successful.
Copy !req
655. We got all the tumor.
Copy !req
656. Everything kinda hurts.
Copy !req
657. I will increase
your medication.
Copy !req
658. - Ryan.
- Hey.
Copy !req
659. I thought this little guy
might, uh,
make you feel better.
Copy !req
660. Aww.
He's such a cutie.
Copy !req
661. Yeah, I got him
at the gift shop.
Copy !req
662. Hey, I brought
your laptop, too.
Copy !req
663. The group chat's blowing up
over this new Apex update.
Copy !req
664. Um, is there Wi-Fi
in this place?
Copy !req
665. Kelli needs
to rest tonight.
Copy !req
666. And when you go home,
Copy !req
667. sexual activity
will be very risky,
Copy !req
668. given the trauma
of your surgery.
Copy !req
669. - For how long?
- Six months, at least.
Copy !req
670. And maybe you should think
about waiting even longer.
Copy !req
671. We'll talk more
about this later.
Copy !req
672. Thank you...
Copy !req
673. both...
Copy !req
674. for saving my girl.
Copy !req
675. Hey. It's Danny.
Copy !req
676. Yeah.
Having a bit of a rough week.
Copy !req
677. Thanks, man.
Copy !req
678. Uh, you know where
St. Bon's hospital is?
Copy !req
679. There's a coffee shop
two blocks west.
Copy !req
680. I'll meet you out front in 20.
Copy !req
681. Okay.
Copy !req
682. This is awkward.
Copy !req
683. What's awkward?
Nothing happened.
Copy !req
684. Wait.
What do you mean nothing—
Copy !req
685. What do you mean,
what do I mean?
Nothing happened.
Copy !req
686. - Right.
Nothing happened.
- Exactly.
Copy !req
687. That is very impressive.
Copy !req
688. If I saw your mom
totally naked
and I was also totally naked,
Copy !req
689. I would definitely
never forget—
Copy !req
690. - That's not helping, Shaun.
- Thank you, Shaun.
Copy !req
691. You know what?
All things considered,
Copy !req
692. I actually had
a really nice time.
Copy !req
693. I'll be craving
that salmon.
Copy !req
694. I wrote down the recipe.
Copy !req
695. Actually, the salmon
comes out a lot more tender
Copy !req
696. out of my Viking oven.
Copy !req
697. I'm gonna have you both over
to dinner as a "thank you."
Copy !req
698. And my neighbor
is calling.
Copy !req
699. The one who stole
your lawn mower?
Copy !req
700. No, the one who cut back
my trees without asking.
Copy !req
701. Yes, Brent?
Copy !req
702. Whoa, whoa, whoa, whoa, whoa.
Slow down.
Copy !req
703. What?
Copy !req
704. Danny.
Copy !req
705. I was surprised
to hear from you, man.
Copy !req
706. - Heard you went to rehab.
- Yeah.
Copy !req
707. All good.
Been four times myself.
Copy !req
708. I'm kinda in a hurry.
Copy !req
709. It's mostly black tar
around right now, but...
Copy !req
710. I got a little bit of white.
Copy !req
711. It ain't cheap,
but you're a doctor.
Copy !req
712. I'm sure
you can afford it.
Copy !req
713. Yo...
Copy !req
714. we doing this or not?
Copy !req
715. How'd your case go
with the probationers?
Copy !req
716. They both did good.
Copy !req
717. Great to hear.
Copy !req
718. Keep it up, Chief.
Copy !req
719. Danny?
Copy !req
720. Are you looking for me?
Copy !req
721. No. Um, no, I was just...
walking by and—
Copy !req
722. And heard the choir.
Copy !req
723. It's comforting.
Copy !req
724. We practice every Thursday,
and I'm late.
Copy !req
725. D-Don't mind me.
I'm just gonna sit here
if that's okay.
Copy !req
726. Are you okay?
Copy !req
727. - Are you the homeowner?
- What happened?
Copy !req
728. Electrical fire
in the kitchen.
Copy !req
729. Old house, old wiring.
Copy !req
730. Wouldn't have been so bad,
but the termite guys
Copy !req
731. apparently disconnected
all the smoke detectors.
Copy !req
732. I'm sorry.
Copy !req