1. Previously on
The Good Doctor...
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2. You go going
to the club or work?
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3. Yeah, these early calls
are gonna take
some getting used to.
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4. Browne retractor.
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5. No Browne retractor.
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6. I thought I put it on
your tray from the supply room.
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7. Dr. Kalu
is not your peer.
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8. He's your employee,
and you are his boss.
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9. I do not plan to give Jared
special treatment.
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10. And if I see it, it won't
be good for either of you.
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11. I'm not expecting
special treatment, Shaun,
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12. but I don't appreciate being
treated like an intern either.
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13. Dr. Andrews said
he is judging my performance
off of your performance,
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14. and your performance
is not good.
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15. You come in
with your fancy car
and your old tricks and think,
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16. "Ta-da, I'm a surgeon,"
but you're not.
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17. I just want to prove
that I belong here.
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18. When I checked
on Yara post-operatively,
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19. I noticed you only used
eight sutures when you closed,
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20. and she had a small bleed.
You should have used ten.
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21. Dr. Glassman
closed the galea and skin.
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22. - Dr. Glassman
skipped two sutures?
- Guess so.
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23. At what time did you wake up
yesterday morning?
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24. The usual, 5:30. Why?
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25. At lunch,
you had a Cobb salad
with balsamic vinaigrette,
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26. so that's
450 calories ingested,
assuming you kept it down.
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27. Yes, I kept it down.
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28. Did you use a sauna,
engage in rigorous exercise,
and/or experience diarrhea?
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29. No, I didn't do
any of those things.
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30. What's with the questions,
Shaun?
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31. You made an error
in yesterday's craniotomy.
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32. I'm trying to evaluate
various factors
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33. that would negatively
impact focus.
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34. I made an error?
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35. You closed
with only eight sutures.
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36. The size of the wound
required ten.
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37. We need to figure out why.
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38. Why do we need
to figure out why?
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39. Two sutures, it's a blip.
It's not a thing.
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40. It could be part
of a more troubling pattern
needing attention.
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41. - Shaun, the surgery
was a success, right?
- Yes.
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42. The patient had
a great outcome.
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43. There is no pattern.
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44. Goodbye.
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45. I'm a surgeon,
and I belong here.
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46. You are a surgeon,
and you belong here.
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47. I just keep imagining you
in the mirror
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48. like, "You have the hair
of Tracee Ellis Ross
and the swag of Beyonce."
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49. Do not shame my self-care.
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50. Affirmations are backed
by research.
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51. fMRI evidence
shows a correlation
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52. with positive changes
in the brain.
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53. I've just put
the finishing touches
on a surprise.
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54. Drum roll please.
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55. Or not.
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56. Well, get your song lists ready
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57. because you are all
officially invited to...
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58. Star Karaoke, 7:00 p.m.
until question mark,
question mark.
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59. You know it's gonna be a party
when there's double punctuation involved.
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60. Yeah, just the chance
to unwind and get to know
you all a little better.
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61. Sounds fun.
Thanks for the invite.
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62. Prepare to be destroyed.
My "Someone Like You" slays.
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63. Need a surgical consult
for a clinic patient
with a dislocated patella.
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64. Mm, sorry, ER.
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65. You two are it. Room one.
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66. When did the chest pain start?
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67. I first noticed it
Tuesday morning
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68. along with shortness of breath.
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69. Are you taking
any medications?
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70. I started with one,
then switched a few times.
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71. These are used to treat ADHD.
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72. And brain fog.
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73. I'm a COVID long-hauler.
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74. Um, and I just
started guanfacine
and N-acetylcysteine,
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75. which may actually be
helping finally.
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76. - When was
your initial infection?
- Eight months ago.
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77. It just felt like a mild flu,
but then it got worse,
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78. like someone poured molasses
on my brain.
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79. I've done cognitive therapy,
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80. memory exercises,
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81. still am,
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82. whatever I can do
to get back in the field.
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83. - Which one?
- Clover.
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84. I'm an evolutionary biologist.
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85. - Oh.
- Wow.
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86. I have been studying
how white clover adapts
to environmental changes...
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87. And I'm on indefinite leave.
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88. Please stop talking now.
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89. Bluish skin, low O2 levels,
rapid heart rate.
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90. And increasingly
labored breathing.
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91. Possible pulmonary embolism.
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92. Order a chest CTA and echo, stat.
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93. I have to go.
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94. Oh.
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95. You will need this.
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96. I sent one half
of a high volume order
to your printer.
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97. These are
Glassman's op reports?
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98. For the last three months.
January to March.
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99. October to December is printing
in Park's and my office.
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100. So you sent reports
for, like, 100 surgeries
to my printer?
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101. No, 176 surgeries.
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102. 473 pages.
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103. I've emailed Operations
to replace your toner.
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104. Many elements are in color.
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105. And why, exactly,
do you need all of this?
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106. To find out
if his mistake was a blip.
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107. Second time
I've dislocated my knee.
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108. Uh, first was
a few months ago, I think.
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109. - That was the sprained ankle.
- Ah.
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110. The dislocation was last year.
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111. Your MRI shows
no associated damage
to bones or ligaments.
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112. She's also been complaining
about dizziness,
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113. swollen ankles,
maybe menopause-related.
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114. Dr. Reznick is looking
to get her on
hormone replacement therapy.
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115. Orion insisted I come in
and get everything checked out
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116. before she leaves
and moves 6,000 miles away
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117. to live alone.
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118. I'm moving to Prague
next week for a new job,
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119. and you can come visit me
anytime you want, Mom.
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120. Not with
a busted knee.
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121. To move forward with HRT,
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122. I need to confirm
all the medications
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123. you've used
over the last five years.
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124. Oh, uh, there was
a purple triangle one,
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125. but they took me off that
last year
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126. and an orange-shaped one.
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127. I'll review it with you.
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128. We need to see
how your knee is moving.
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129. Lay back, please.
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130. Go ahead
with the exam, Dr. Kalu.
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131. I thought I'd observe.
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132. It's a knee exam,
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133. not a multi-ligament
reconstruction.
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134. You told me last time
not to assume
I know everything.
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135. This is just making me
do your job.
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136. That sounded like
an apneic spell.
Check her tonsils.
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137. Ms. Garcia.
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138. Mm?
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139. Oh, did I fall asleep again?
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140. Yes.
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141. Can I take a quick look
in your mouth?
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142. Mm-hmm.
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143. Kissing tonsils.
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144. They're so enlarged,
they're touching
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145. and obstructing your airway,
causing severe apnea.
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146. You need a tonsillectomy
right away.
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147. No pulmonary embolism,
but multiple cardiac issues.
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148. Severe narrowing
of the pulmonic valve,
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149. hypertrophied right ventricle
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150. and opening between
the lower chambers.
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151. This set of defects
almost looks like
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152. - tetralogy of Fallot, but—
- It is.
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153. She has
the fourth malformation,
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154. overriding aorta.
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155. I've never seen tet
in an adult before.
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156. How is she still alive?
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157. Hang on a sec.
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158. I have to write
everything down now.
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159. Tet is almost always
diagnosed in infancy.
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160. Doctors somehow missed it
in your case.
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161. Oh, you have
a rare presentation.
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162. The right ventricle obstruction
has been balanced
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163. by an increased flow
into the left ventricle.
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164. Damage from COVID
disrupted the balance.
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165. The virus may have
saved your life.
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166. Very few undiagnosed
tet patients
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167. survive past childhood.
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168. A mere 2% make it to 40.
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169. You're saying
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170. I would have just dropped dead
at some point?
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171. It's very likely.
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172. We can remove that risk
with two separate procedures.
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173. First, we'll close
the extra vessels
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174. that have formed to compensate
for your heart defects.
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175. Then we'll do a surgery
to repair those defects.
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176. Is it possible
the tet is connected
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177. to my long COVID symptoms?
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178. Could fixing my heart
clear up my head,
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179. the brain?
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180. No. I'm sorry.
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181. You snagged our table.
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182. Beat Hawks and Nunez to it.
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183. You're a champion.
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184. One Splenda,
half Sugar in the Raw,
light almond milk.
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185. Now who's the champion?
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186. Mm.
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187. I have something for you.
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188. - Really?
- Mm-hmm.
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189. An agreement acknowledging
a consensual relationship.
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190. I, Marcus Andrews,
would like to take you,
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191. Dalisay Villanueva, on a date.
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192. And as hospital president,
you know, I already signed it.
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193. This is so romantic.
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194. Give me the pen.
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195. - Dinner this weekend?
- Let me see.
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196. Oh, I'm needed on the ward.
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197. Sorry. Lock it down later?
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198. Sure.
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199. Iced coffee?
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200. I'm good.
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201. How about a hot coffee?
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202. In honor of Daphne's
successful tonsillectomy,
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203. I got a few options.
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204. Is that a latte?
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205. Mm.
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206. It was a routine tonsillectomy.
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207. Those were
unusually large tonsils.
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208. A good thing her daughter
brought her in.
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209. You think Daphne was
better off not breathing?
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210. I don't think
it's a daughter's job
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211. to make sure
Mom goes to the doctor.
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212. It's Daphne.
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213. Heart rate spiked.
She's hypoxic.
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214. Turn up oxygen to max flow.
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215. Loud murmur from
the right ventricle and atrium.
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216. Chronic damage from apnea
could have increased
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217. the pressure in her lungs,
causing right heart failure.
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218. BP's dropping.
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219. We need to get her
to the cath lab.
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220. Positioning
coiling system.
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221. Two vessels
left to close.
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222. Deploying the coil.
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223. O2 sats are dropping.
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224. Her infundibular muscle
is clamping down.
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225. She is having a tet spell.
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226. Give phenylephrine
and 100% oxygen.
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227. I have never seen one
in-person before.
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228. We need to move blood
up to the lungs.
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229. Give her a bolus
and up the opiates.
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230. If we don't stop the spasm,
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231. she could have
permanent brain damage.
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232. The chance
of a future infundibular spasm
is very high.
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233. Her tet repair surgery
will be much more risky.
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234. Pressure in Daphne's lungs
is still critically high.
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235. Not a routine
tonsillectomy at all.
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236. Puncturing the atrial septum.
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237. Right heart is decompressing.
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238. Give nitric oxide to relax
and dilate the vasculature.
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239. Her apnea really did a number
on her pulmonary vessels.
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240. No wonder
she's clumsy and forgetful.
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241. She's been sleep-
and oxygen-deprived
for decades.
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242. It still doesn't make her
her daughter's responsibility.
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243. Would you want Kellan
to put his life on hold
to take care of you?
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244. Not his whole life, no,
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245. but I don't think
being overly devoted
is the worst quality in a kid.
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246. Remove the catheters.
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247. I was one of six growing up,
only girl.
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248. Mom and dad worked a lot,
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249. so I was basically
second mom since kindergarten.
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250. I love my brothers, but...
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251. there's a lot you miss out on
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252. if you're all about taking care
of someone else.
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253. She's throwing a lot of PVCs.
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254. Maybe an electrolyte issue.
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255. BP's dropping. Heart rate 172.
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256. We're barely getting a pulse.
She's in V-tach. Defib pads.
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257. BP and heart rate stabilizing.
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258. Get a new chemistry,
chest X-ray, EKG.
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259. We need to figure out what else
is going on with her heart.
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260. Oh, please don't disturb
my materials.
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261. Which are what, exactly?
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262. Dr. Glassman made
an uncharacteristic
surgical error.
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263. I am determining
if it was an anomaly
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264. or part of a pattern.
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265. Glassman must be
really pleased about that.
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266. He is not.
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267. You are being sarcastic.
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268. Performance review
is a standard practice
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269. and benefits both doctors
and patients.
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270. I have identified
three additional errors
made in the last four months.
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271. I don't see a pattern.
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272. A dural tear on scarred tissue,
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273. closing with a running nylon
instead of Monocryl—
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274. Is that even a mistake?
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275. Dr. Glassman has always used
subcutaneous Monocryl.
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276. These are variations,
minor missteps.
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277. You pore through four months
of any surgeon's op reports,
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278. and you'll find discrepancies
like this.
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279. - No.
- Yes.
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280. Not in mine.
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281. That's probably true.
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282. Eh, if you're not finding
a pattern,
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283. maybe it's because
there isn't one.
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284. My patient is awake.
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285. Does this mean you can't move
forward with the tet repair?
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286. There's a medication
called propranolol
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287. that will
significantly reduce the risk
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288. of having another spasm
during surgery,
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289. but because of your long COVID,
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290. you're at risk for some
very rare side effects.
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291. - Are they serious?
- Yes.
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292. Well, some of them are not,
like nausea, vomiting,
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293. muscle aches, and dizziness,
but others,
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294. such as hypoglycemia
or visual changes—
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295. We'll start you
on the propranolol.
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296. There's a good chance
you won't experience
the rare side effects,
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297. but we'll need to keep
a close eye on you.
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298. And are those patients
ahead of her
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299. also seniors with diabetes?
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300. Do not hang up on me, Phillip,
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301. or I'll head down
to do this in person.
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302. I'll wait.
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303. Hey.
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304. There is a great new
Portuguese spot I read about.
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305. I can make reservations for us
Friday or Saturday at 7:00?
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306. Uh, I'm working a double
both days.
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307. It's been a nonstop scramble
since Baker and Linh left.
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308. Well, you have
two new travelers
starting on Monday.
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309. We need staff nurses.
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310. These nurses
are highly skilled. We—
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311. It doesn't matter
how skilled they are.
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312. Travel nurses disrupt workflow,
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313. don't build
long-term relationships.
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314. Right now, we just
don't have the resources
for permanent replacements.
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315. You just hired a new
full-time surgical resident
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316. to replace someone
who left way more recently.
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317. That was Lim's department. I—
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318. Yes, great.
I'm sending her down.
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319. Sorry. We'll talk later?
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320. Of course.
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321. So you're watching
to see if I throw up?
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322. Or faint, seize,
or have muscle spasms.
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323. You know, before COVID,
my brain was—
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324. I did evolutionary patterns,
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325. genetic, uh...
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326. how genes go together.
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327. The sequence.
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328. Now my brain can't handle
the sequence
of brushing my teeth.
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329. My focus, my working memory,
all of the...
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330. The executive function.
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331. It's not always happening.
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332. Please page
Dr. Wolke to monitor her
and stay until he comes.
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333. Push your hand against mine.
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334. The pattern is errors
in executive function.
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335. Shaun, I'm in the middle
of doing something.
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336. Your brain cancer
may have returned.
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337. - All errors are tied
to executive function.
- Shaun—
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338. Specifically to working
and procedural memory governed
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339. by the dorsolateral
prefrontal cortex,
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340. a common site
for a recurrent glioma,
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341. which strongly suggests
your cancer has returned.
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342. My last scan came back
completely clear. I'm fine.
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343. Your last scan
was six months ago.
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344. These errors all took place
in the last four months.
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345. So you need another scan.
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346. The evidence
is very compelling.
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347. No, it's really not.
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348. I perform complex surgeries, Shaun,
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349. more so than any other doctor
on this staff, by the way.
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350. So yeah,
the percentages would dictate
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351. that I might make more minor
and irrelevant missteps,
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352. if that's what you want
to call them, and—
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353. And the rate of errors
has increased.
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354. Yeah, because I take on
the tougher cases,
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355. the ones no one else will.
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356. No, you need another MRI now.
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357. Shaun, what I need
is to get back to my patient.
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358. And you need to knock first
next time.
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359. It's the greening of the—
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360. My turn.
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361. I'm trying to get some
of my cognitive exercises in.
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362. What are you memorizing?
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363. It's a poem from
The Carrying, Ada Limon.
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364. Hmm.
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365. The collection
is mostly about...
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366. not having the life
you thought you'd have,
I guess.
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367. The one I was just reading,
it's about spring coming,
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368. Instructions on Not Giving Up.
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369. - Sounds useful.
- Yeah.
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370. Too bad I can't read it
all at once.
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371. I've just graduated
from haikus.
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372. I never even thought to look
at a poem before I got sick.
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373. Didn't have the patience
for it at the time,
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374. but it's basically
all I read now.
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375. I started writing, too.
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376. It's kind of
a creative therapy.
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377. Mm.
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378. There was a kind of poetry
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379. to the genetic variations
in white clover too.
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380. I'd give anything to...
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381. Your blood pressure
is going down,
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382. and your heart rate's climbing.
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383. I feel kind of dizzy.
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384. Let me check your glucose.
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385. She's having a seizure.
Crash cart now!
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386. We thought
something else was going on
with your heart,
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387. but it's a kidney issue.
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388. You have a narrowing
of your renal arteries,
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389. which was exacerbated
by the pulmonary hypertension,
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390. causing your kidneys to fail.
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391. And this is
because of my sleep apnea?
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392. We believe so, yeah.
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393. Uh, can she get a transplant?
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394. I can do a test,
see if I'm a match.
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395. Unfortunately,
your other health concerns
rule out a transplant,
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396. but a renal artery bypass
would allow your kidneys
to heal on their own.
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397. There's risk of complications,
some quite serious.
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398. But in success, you could live
a full, independent life.
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399. But— oh, but serious,
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400. as in I could die?
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401. Some complications
can be fatal.
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402. But the risk is relatively low.
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403. Are there other options?
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404. Well, there's dialysis,
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405. but you'd need
multiple sessions a week
for the rest of your life.
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406. Um, that's less risky, but I—
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407. I don't think I could handle
all that on my own.
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408. Mom, Mom, if you want
to choose the dialysis,
I'll stay in San Jose.
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409. I'm sorry.
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410. I don't want to keep you.
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411. No, you have nothing
to be sorry for.
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412. All this time you've been sick
and struggling, and I—
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413. I judged you.
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414. But your new job.
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415. It's just a job.
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416. So the medication you gave me
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417. to make my surgery safer
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418. will actually make it
more risky?
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419. That's right.
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420. But without that medication,
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421. I'm much more likely
to have another tet spell.
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422. Yes, and possibly more severe
than the last time.
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423. The brain fog,
all my deficits...
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424. could get worse,
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425. for possibly forever?
Copy !req
426. Yes.
Copy !req
427. But if we don't do
the tet repair,
Copy !req
428. your heart will stop
at some point.
Copy !req
429. I've already been through
Copy !req
430. losing my thoughts,
my whole self.
Copy !req
431. I can't do that again.
Copy !req
432. Find another way
to fix my heart.
Copy !req
433. All right, new idea.
Copy !req
434. We go back to the old idea
and just do the surgery.
Copy !req
435. It's a non-starter.
Copy !req
436. We need to present a way
to help her tet
without triggering her tet.
Copy !req
437. A percutaneous valve
and VSD closure
could help with blood flow.
Copy !req
438. That involves catheters
in the heart,
Copy !req
439. which would cause
the muscle to spasm.
Copy !req
440. All right.
It's time for some WWSMD.
Copy !req
441. Whatever you and Jerome do
on your own time is—
Copy !req
442. It's "what would
Shaun Murphy do?"
Copy !req
443. What about a shunt?
Copy !req
444. It would improve blood flow,
buy a few months
Copy !req
445. to continue
her cognitive recovery.
Copy !req
446. Once she feels better
about where her brain's at,
Copy !req
447. maybe she lets us
fix her heart.
Copy !req
448. Her tet will likely kill her
before that,
Copy !req
449. but placing a shunt
won't trigger a spell,
Copy !req
450. making it something
she'd actually accept.
Copy !req
451. I'll take it to her.
Copy !req
452. I can stay only 45 minutes.
Copy !req
453. I have to review
Dr. Glassman's OR videos.
Copy !req
454. Didn't you already review them?
Copy !req
455. Not for symptoms
of glioma recurrence.
Copy !req
456. New evidence will convince
Dr. Glassman to get a scan.
Copy !req
457. Okay, you binged months
of data in one day.
Copy !req
458. You'll have a clearer head
in the morning.
Copy !req
459. Until then,
here we are, karaoke rager.
Copy !req
460. - Yay.
- It is yay.
Copy !req
461. We have song lists.
Plus Jared's our friend.
Copy !req
462. He just moved back.
Celebration is in order.
Copy !req
463. I will review the videos
in the morning.
Copy !req
464. Yay!
Copy !req
465. It sounds pretty wild in there.
Copy !req
466. I was just warming up.
Copy !req
467. - Where is everyone?
- There is a lot of food.
Copy !req
468. Yeah, I had it catered.
You're the first to arrive.
Copy !req
469. And so far,
last-minute rain checks
Copy !req
470. from Morgan, Park,
Asher, Danny.
Copy !req
471. Oh, and Jerome.
Copy !req
472. So it's just us four?
Copy !req
473. Which means
that all these snacks
Copy !req
474. and song binders are for us.
Copy !req
475. Oh. Yes.
Copy !req
476. The low turnout
is the perfect opportunity
to discuss symptoms.
Copy !req
477. In your recent surgeries
with Dr. Glassman,
Copy !req
478. do you recall observing
any balance issues,
Copy !req
479. tremors, or motor weakness?
Copy !req
480. That sounds like
the perfect option.
Copy !req
481. How soon can you do
the shunt procedure?
Copy !req
482. I'll try to schedule it
for tomorrow.
Copy !req
483. I've had a strange year myself.
Copy !req
484. Eleven months ago,
Copy !req
485. I was attacked
Copy !req
486. and paralyzed
from the waist down.
Copy !req
487. I thought it was permanent.
Almost everyone did.
Copy !req
488. At first, all I wanted
was to walk again.
Copy !req
489. I was ready to risk my life
to get back to the old me.
Copy !req
490. But as time went on,
Copy !req
491. I started to appreciate
my new life, my new self.
Copy !req
492. I started a new relationship
Copy !req
493. that wouldn't
have happened otherwise.
Copy !req
494. In many ways, my life improved.
Copy !req
495. You recognize you walked in
to tell me this story?
Copy !req
496. I only agreed to do the surgery
Copy !req
497. once I knew
my life wasn't at risk.
Copy !req
498. And even then, I had doubts.
Copy !req
499. I liked who I'd become.
Copy !req
500. I wanted to hold on to her.
Copy !req
501. I'm not...
Copy !req
502. losing my mind...
Copy !req
503. all over again.
Copy !req
504. You don't strike me
as someone who's lost her mind.
Copy !req
505. That covers the thrombectomy.
Copy !req
506. In February,
you assisted on a—
Copy !req
507. Okay, I'm playing
the pregnant lady card.
Copy !req
508. We're going, Shaun.
Copy !req
509. Okay.
Copy !req
510. Thank you. Goodbye.
Copy !req
511. I should head out, too.
Copy !req
512. - Early morning.
- Yeah.
Copy !req
513. Maybe focus on being
a first-year resident
Copy !req
514. before adding party planner
to your resume.
Copy !req
515. The catering may have been
a bridge too far.
Copy !req
516. Yeah.
Copy !req
517. I bounced around growing up.
Copy !req
518. Different schools,
cities, countries.
Copy !req
519. But, um, wherever we were,
my parents had a big house,
Copy !req
520. and I knew
how to throw a party.
Copy !req
521. Closest I'd get
to feeling like I fit.
Copy !req
522. Old habits die hard, I guess.
Copy !req
523. Fitting in takes time.
Copy !req
524. But I never have, anywhere.
Copy !req
525. Maybe not everyone
Copy !req
526. finds their place.
Copy !req
527. Daphne is getting septic.
We have to go.
Copy !req
528. Morning.
Copy !req
529. Hello.
Copy !req
530. Mm.
Copy !req
531. You should not have that.
Copy !req
532. I'm permitted 12 ounces a day.
Experts agree.
Copy !req
533. Yes, but that was brewed
when I woke up at 3:30 a.m.
Copy !req
534. You make it through the videos?
Copy !req
535. Yes, and integrated
the observations
Copy !req
536. Doctors Kalu and Allen
made last night
Copy !req
537. regarding possible
glioma symptoms.
Copy !req
538. I am now ready
to present Dr. Glassman
with the revised evidence,
Copy !req
539. which is very compelling.
Copy !req
540. Mm.
Copy !req
541. Thankfully, your infection
is responding
to the antibiotics.
Copy !req
542. The infection started
around your dialysis port.
Copy !req
543. That could easily happen again.
Copy !req
544. The renal artery bypass
is still an option.
Copy !req
545. It's too risky.
Copy !req
546. So is sepsis.
Copy !req
547. Thank you, Doctor,
but I'll settle
for being alive.
Copy !req
548. You shouldn't.
Copy !req
549. You deserve more than that.
Copy !req
550. I know you've had a whole life
of feeling sick
Copy !req
551. and stuck and repeating
the same old, bad patterns,
Copy !req
552. but your past does not
have to tell your future
where to go.
Copy !req
553. You can choose a different path
Copy !req
554. and who you're gonna be on it.
Copy !req
555. And let your daughter
do the same.
Copy !req
556. Prague is beautiful
in the spring.
Copy !req
557. We've scheduled
the shunt placement
for this afternoon.
Copy !req
558. And that whole speech
last night?
Copy !req
559. I stand by it,
but it's your decision.
Copy !req
560. I've been waiting
for the old me
to come back, and...
Copy !req
561. That person
may not exist anymore.
Copy !req
562. And...
Copy !req
563. maybe I should be okay
with that.
Copy !req
564. Do the tet repair.
Copy !req
565. Releasing
the proximal clamp.
Copy !req
566. What made Daphne
change her mind?
Copy !req
567. Dr. Allen has a way
of getting through to people.
Copy !req
568. Blood flow looks obstructed.
Copy !req
569. There's a kink in the graft.
Copy !req
570. We can undo it,
but most likely,
it happens again.
Copy !req
571. We could anchor the bypass
off of the aorta instead.
Copy !req
572. At that angle,
less chance of a kink.
Copy !req
573. Could work.
Copy !req
574. - Extending
the incision.
- Sternal saw.
Copy !req
575. Starting the sternotomy.
Copy !req
576. O2 dropped to 78.
Copy !req
577. - 65.
- She's having a tet spell.
Copy !req
578. Give her 500 cc fluid bolus
and 100% oxygen.
Copy !req
579. Giving a mini bolus
to increase pulmonary flow.
Copy !req
580. O2 sats are 50. 45.
Copy !req
581. Come on, come on.
Copy !req
582. Give her more oxygen
and up the opiates.
Copy !req
583. It has
stopped registering.
Copy !req
584. O2's rising.
Copy !req
585. Heart rate's stabilizing.
Copy !req
586. She was in
prolonged gross hypoxia.
Copy !req
587. That could extend
cognitive deficits...
Copy !req
588. or worse.
Copy !req
589. We won't know
until she wakes.
Copy !req
590. Let's get her on bypass
before she has another one.
Copy !req
591. - Okay.
- Mm-hmm.
Copy !req
592. To a successful
renal artery bypass.
Copy !req
593. Cheers.
Facilitated by moving speech
Copy !req
594. from a wise
and persuasive surgeon.
Copy !req
595. Mm, with a great
surgical save by a guy
Copy !req
596. who's about to have
some life-changing tacos.
Copy !req
597. Okay.
Copy !req
598. Mm! Oh, my God.
Copy !req
599. Okay, these are amaz—
you're amazing!
Copy !req
600. Told you. Blue corn tortillas.
Copy !req
601. Mm-hmm.
I can get used to this.
Copy !req
602. - You have some lettuce there.
- Oh.
Copy !req
603. - No, no, no, mirror image.
- Mm.
Copy !req
604. Now?
Copy !req
605. - No.
- No laughing.
Copy !req
606. No, right, right, right. Very—
Copy !req
607. Very serious matter.
Copy !req
608. Here. Um, yeah.
Copy !req
609. Oh.
Copy !req
610. Just a little bit more.
Copy !req
611. - We should go.
- Mm.
Copy !req
612. - Yeah.
- Um, we need to get back early
for Daphne's post-op.
Copy !req
613. Yeah, right. Um, let's go.
Copy !req
614. The bypass went smoothly,
and post-op labs look good.
Copy !req
615. We expect a full recovery.
Copy !req
616. How are you feeling, Mom?
Copy !req
617. I'm...
Copy !req
618. Breathing.
Copy !req
619. Kind of feels like
the first time in my life.
Copy !req
620. The post-op swelling
from the tonsillectomy
has gone down.
Copy !req
621. You're finally breathing
without any obstruction.
Copy !req
622. You'll need to stay
on top of your medications
and follow-up visits,
Copy !req
623. observe some
dietary guidelines,
Copy !req
624. but the discharge plan
lays it all out.
Copy !req
625. I'll be there to help, Mom.
Copy !req
626. No.
Copy !req
627. You won't.
Copy !req
628. You need to live your own life.
Copy !req
629. But I... I will accept
FaceTime calls.
Copy !req
630. And once I recover,
Copy !req
631. I'll come visit.
Copy !req
632. I hear that Prague
is beautiful in the spring.
Copy !req
633. That sounds like a plan.
Copy !req
634. Mm, things not go well
with Glassy?
Copy !req
635. He returned the files
with a note saying
Copy !req
636. he did not look at them
and does not intend to.
Copy !req
637. I'm sorry. He probably—
Copy !req
638. It was a mistake
to leave them for him
to read on his own.
Copy !req
639. Once I reorder the files,
I will go to his office
to review with him in person.
Copy !req
640. He made it pretty clear
he doesn't want to see them.
Copy !req
641. But he doesn't know
about the new evidence.
Copy !req
642. Maybe he doesn't want to know.
Copy !req
643. Cancer survivors
have to live with
that uncertainty that—
Copy !req
644. Knowing is better
than not knowing.
Copy !req
645. If he's not ready
to look at this,
Copy !req
646. you can't force him.
Copy !req
647. Maybe he's scared, Shaun.
Copy !req
648. And I think
maybe you're scared, too.
Copy !req
649. We're about to have a baby,
Copy !req
650. you're about to be a dad,
Copy !req
651. and I think you're worried
about family,
Copy !req
652. and Glassman is a part of that.
Copy !req
653. But if you keep pushing,
you risk damaging
Copy !req
654. one of the most important
relationships in your life.
Copy !req
655. Hey.
Copy !req
656. - Hey.
- Hey.
Copy !req
657. I've been thinking,
Copy !req
658. and I need a break
from our coffees.
Copy !req
659. Dalisay—
Copy !req
660. I don't think dinner's
a good idea either.
Copy !req
661. So we have
a different point of view
about hospital business.
Copy !req
662. That doesn't change
the way I feel about you.
Copy !req
663. On or off the clock,
I'm the same person.
Copy !req
664. To me, if you don't value
what the nurses do
Copy !req
665. enough to treat us
like a resource to invest in,
Copy !req
666. not a line item to be cut,
Copy !req
667. how much can you care about me?
Copy !req
668. And to be honest,
Copy !req
669. if that is
your point of view...
Copy !req
670. it undercuts
the respect I have for you.
Copy !req
671. Harper Louise Decrane,
Copy !req
672. March 30, 1994.
Copy !req
673. And do you know
why you're here?
Copy !req
674. For my heart issues.
Copy !req
675. I had another tet spell,
didn't I?
Copy !req
676. We'll need
to conduct more tests,
Copy !req
677. but your speech
and memory seem intact.
Copy !req
678. And with regard to your heart,
we expect a full recovery.
Copy !req
679. And with time,
you may recover your full
cognitive abilities as well.
Copy !req
680. Maybe.
Copy !req
681. But for now,
I'll just focus on being here.
Copy !req
682. "It's the greening of the trees
Copy !req
683. That really gets to me
Copy !req
684. When all the shock
of white and taffy
Copy !req
685. Leave the pavement strewn
With the confetti of aftermath
Copy !req
686. The leaves come
Copy !req
687. Patient, plodding
Copy !req
688. A green skin growing over
Whatever winter did to us
Copy !req
689. A return to the strange idea
Of continuous living
Copy !req
690. Despite the mess of us
Copy !req
691. The hurt, the empty..."
Copy !req
692. Shaun, what?
Copy !req
693. Lea thinks that because
I'm going to be a dad,
Copy !req
694. I am worried about my family.
Copy !req
695. Okay.
Copy !req
696. She also thinks you are scared.
Copy !req
697. I'm not scared, Shaun.
I'm fine.
Copy !req
698. She says if you don't want
to do the scan,
I should let it go.
Copy !req
699. She...
Copy !req
700. is right.
Copy !req
701. Good. Thank you.
Copy !req
702. I am scared.
Copy !req
703. Dr. Glassman...
Copy !req
704. I am asking you to do the scan
Copy !req
705. because...
Copy !req
706. the data and the evidence
are sound...
Copy !req
707. and because...
Copy !req
708. it would be hard
to lose my father
Copy !req
709. just as I am about
to become one.
Copy !req
710. Do the scan for me.
Copy !req
711. Shaun, I'll do the scan.
Copy !req
712. "'Fine then, I'll take it'
The tree seems to say
Copy !req
713. A new slick leaf unfurling
Like a fist to an open palm
Copy !req
714. 'I'll take it all'"
Copy !req