The Good Doctor 6x3

1. I love...

2. our married people plates so much. Don't you?

3. They have a pleasant heft and no rough surfaces.

4. No. Hmm.

5. You finished?

6. We should have a dinner party.

7. We have six smooth, beautiful married people plates.

8. We can invite Frank and Morgan.

9. That sounds not fun and like we might have fewer plates by the end.

10. What about Jordan and Asher? That could be fun.

11. But if we invite Asher and not Jerome, is that offensive?

12. Okay, best idea yet,

13. skip the dinner party, skip the awkwardness, see our friends at work.

14. I'll be ready in a minute.

15. It will be closer to four minutes, possibly five.

16. Both are acceptable.

17. I need the M&M report on my surgery.

18. And by your surgery, you mean?

19. The one Shaun performed on me.

20. The committee found no evidence that Shaun did anything wrong.

21. Inconclusive.

22. They decided the evidence was inconclusive.

23. I would like to do my own review.

24. Do you really think you can be impartial,

25. or will you just be searching for a reason to punish Shaun?

26. I don't know why I would,

27. unless something in the report suggests Dr. Murphy made a mistake.

28. I'll email you the file.

29. How are you?

30. I'm fine.

31. Mm. So brave, pretending not to be hurt

32. after your crush shot you down!

33. I asked Perez to drinks to be nice

34. because I was mean to him all day.

35. - I do not have a crush. - Yeah, whatever.

36. Sorry. Forgot these.

37. That was extraordinary.

38. I feel nothing.

39. Help me!

40. Cady Stinson, 24, history of bipolar and depressive disorder.

41. Came in with cuts, abrasions, and likely right distal radial fracture.

42. She jumped out of our car while it was moving.

43. They're kidnapping me!

44. Have five milligrams of haloperidol ready, in case.

45. Cady, you're safe. I'm Dr. Park.

46. I'm here to help. I need to examine your wrist, okay?

47. We were on our way to an inpatient psych facility.

48. She's so worked up because she doesn't want to go.

49. She hasn't even recognized us in at least two months.

50. No, no, no. Don't talk to them!

51. - They're liars! - Cady, Cady, Cady, please hold still.

52. You— You can't trust them. Please, please, Dr. Park.

53. - No! No! Get that away from me! - Cady, Cady, Cady.

54. - Careful with the arm. - No! No, no!

55. Don't touch me! Don't touch me!

56. - Aah! - Aah! Aah!

57. Radial artery's lacerated.

58. We need to get her to an OR.

59. This is Dr. Shaun Murphy, one of our surgical attendings.

60. This is Julianne.

61. She fractured her ankle falling off a curb.

62. The tibiotalar joint may be an issue.

63. I got dizzy from hypoglycemia.

64. Must've mistimed my insulin.

65. No idea how that happened.

66. Is it time to check my blood sugar?

67. No, not yet.

68. Oh, that is a very shiny wedding ring.

69. How long has it been, Dr. Murphy?

70. Lea and I have been married for three months

71. and seven days and 13 hours.

72. Wet cement year. Oh.

73. I wish I met more of my clients at that stage.

74. I'm a marital therapist.

75. And best-selling author,

76. host of one of my favorite podcasts,

77. and probably the reason why Jay-Z

78. and Beyonce are still together.

79. Full plantar and dorsiflexion

80. range of motion.

81. The first year of marriage is crucial

82. for cultivating good patterns and weeding out bad ones

83. before they can harden into habits

84. that will define your entire relationship.

85. What habits define your marriage?

86. I'm afraid all our habits are in the past.

87. My husband died recently.

88. I'm so sorry for your loss.

89. How long has he been gone?

90. A little over five months.

91. Is it time to check my blood sugar?

92. You asked her about a minute ago.

93. - It was longer than that. - No, it wasn't.

94. And I know, from your podcast,

95. your husband died several years ago.

96. You need surgery on your ankle,

97. but we should MRI your brain.

98. We've repaired the laceration to her radial artery,

99. but there's still a decision to be made

100. on treating her wrist fracture.

101. There's a choice between external or internal fixation.

102. The external fixator involves attaching a metal frame

103. to her forearm and hand.

104. It requires a longer stay

105. and frequent adjustments for eight to twelve weeks.

106. Internal gets Cady out of the hospital sooner,

107. but has a high risk of complications,

108. like nerve damage or infection.

109. Uh, I don't like the sound of those complications.

110. The treatment center will only hold her spot for a week.

111. What happens if they can't handle those adjustments?

112. I can reach out to them.

113. I-I-I'm not certain about sending Cady

114. away for treatment at this point.

115. She nearly killed herself rather than go to that place.

116. She's a danger to herself. She's a danger to others.

117. She needs more help than we can give her.

118. We'll leave you two alone to talk.

119. As Cady's mother, it's my decision.

120. Moira!

121. I love Cady like a daughter.

122. But if she comes home...

123. I'm not sure I can.

124. Please do the external fixator.

125. Thank you, doctors.

126. I gave Lim a copy of the M&M report today.

127. She was very insistent.

128. She come see you?

129. Not yet.

130. - Uh, I'll clear out. - Please stay.

131. I am interested in your opinion, as well.

132. Must be a real doozy of a case

133. if you called all of us, the chief included.

134. I am treating a 51-year-old woman

135. with a fractured ankle and a distorted sense of time.

136. It is too soon to tell if it is a doozy.

137. Now, we can begin.

138. Please describe all of the bad habits that developed

139. during the first year of your respective failed marriages.

140. Or good habits, if you had any.

141. So, we're all here because...

142. As an attending,

143. I no longer have time to talk

144. to you all individually,

145. so, I called a meeting

146. of the divorced.

147. Dr. Glassman, you have the most failed marriages.

148. Park's split-up was much more recent. You go first.

149. Well, that was a break-up,

150. not a divorce.

151. You and Dr. Reznick seemed pretty serious.

152. Um, don't get involved

153. with a pathologically ambitious narcissist and, uh...

154. be as emotionally open as possible,

155. which you're already great at.

156. And that goes for everything.

157. Nothing is too small to discuss.

158. Except for the infinite number of differences of opinion.

159. And how do you know which ones don't matter?

160. Dr. Murphy, if you have concerns about your marriage,

161. talk to your wife.

162. Meeting adjourned.

163. Julianne's brain MRI.

164. Check out the parietal lobe.

165. Dr. Andrews!

166. You have a grade 2 oligodendroglioma

167. centered in your parietal lobe.

168. It's disturbing your precuneus region.

169. May I?

170. Looked at a lot of brains during my doctoral psych program.

171. It's close to the motor and primary sensory cortex.

172. We will need to map out

173. the critical structures of your brain

174. to determine a surgical approach.

175. There are risks,

176. but if we can get all of it,

177. the prognosis is excellent.

178. Or we could try to shrink the tumor

179. with chemo and radiation,

180. but there's an increased chance

181. the tumor will progress to a grade 4 glioma.

182. I want the surgery.

183. My life's work has been to help people find

184. what my husband and I had.

185. I'm not done yet.

186. That is... very good to hear.

187. This transcranial magnetic stimulation

188. will pinpoint the pathways of your motor cortex

189. and help us resect your brain tumor.

190. And this is my wife, Lea.

191. - Hey. - Lea, met Julianne.

192. She is a marriage therapist

193. and told me to be careful of the habits we set.

194. Great to meet you, but under the circumstances—

195. Chatting with you two is much better

196. than contemplating those circumstances.

197. Stay.

198. I made a list of small habits

199. that could become larger problems.

200. "Snoring, minor tardiness."

201. - Is that supposed to happen? - Yes.

202. A disconcerting tolerance for dust.

203. - These are all my habits. - Yes.

204. Do I have habits you would like me to change?

205. At this point, you better just say it, hmm?

206. The dishes.

207. You take them out of the dishwasher

208. and rerinse them after I've already done it.

209. Because you are doing it wrong.

210. Try to hold still.

211. We just need to make sure that your wound's clean for surgery tomorrow.

212. My head hurts. I-I need to sit up.

213. Hey.

214. Please, just let me see my mom.

215. She wouldn't like what you're doing to me.

216. We're all trying to help you feel better.

217. You hungry?

218. Paul went to get you some food.

219. I want to go home.

220. Okay, wound looks good.

221. Now, let's pack it with gauze.

222. We can give her something to try to help her relax.

223. No. No more poison.

224. She doesn't need to be drugged. She's uncomfortable.

225. Please, just let her out.

226. I can't. I'm sorry.

227. On all three fundamentals,

228. water temperature, choice of equipment, and application of force,

229. your technique is lacking.

230. Shaun, we have a dishwasher.

231. This is just a preliminary rinse.

232. Shaun, um, instead of offering a critique,

233. try stating a positive need.

234. You know, something like, "I wish the situation was more like this..."

235. I wish the situation was more like

236. Lea knew how to wash the dishes.

237. We're done with the mapping.

238. Lea, do you enjoy doing the dishes?

239. Does anyone?

240. I do.

241. Then forget finding common ground on this, huh?

242. Divide and conquer.

243. He went three for four, two doubles, three RBIs, and struck out the side!

244. Well, wait until he's 16 and can throw a curve.

245. Oh, I-I think I can get back from here.

246. Oh, please. I'm enjoying the company.

247. Ohh!

248. You're so sweet.

249. - I feel nothing. Leave me alone. - Fine.

250. What have you two been fighting about?

251. - Everything. - Just little stuff.

252. Yeah, because you're so crabby.

253. Because you're so distracted.

254. It's always like this when I'm on night shifts.

255. Why do you think night shifts are a problem?

256. We have less time together to hang out and—

257. Sex! There's no sex.

258. Because he's too tired when he gets home.

259. Hmm.

260. Why do you have to wait until he gets home?

261. Five more on this side, then switch.

262. I'm going to get a heat pad.

263. You wanted to do a hemihepatectomy,

264. but Shaun changed your surgical plan.

265. Is that right?

266. Would you like me to put my hand on a Bible, counselor?

267. I thought removing a lobe was the safest choice.

268. After I left, the parameters changed. Shaun adjusted.

269. A resident overruled your judgment,

270. without bothering to consult you,

271. and you were fine with that?

272. That resident was days away from becoming an attending,

273. and he did exactly what you trained him to do:

274. he made a tough decision, a hard call,

275. with limited data.

276. Would you have made that call?

277. When I got back, I evaluated the progress,

278. and I decided that it was safe to continue.

279. It was safe?

280. Or you had no choice?

281. Clearly, you read the report. You tell me.

282. You asked why no one had come to get you.

283. If you were fine with Shaun's call, why would you care?

284. I was worried about you.

285. Thank you.

286. But if you were fine with the call, why would you care?

287. - I got angry. - You didn't say angry in the M&M.

288. You said, "Concerned."

289. You're slicing the salami pretty thin right now.

290. Why not just say you were angry?

291. My precise emotional state is not medically relevant.

292. Unless you were angry because Shaun made a bad call.

293. Shaun saved your life.

294. What?

295. Folding the shirt in thirds

296. allows them to be stored vertically.

297. Sure, but I'd rather—

298. Storing them vertically saves space

299. and makes them easier to find.

300. Well, why don't you fold the shirts?

301. That is an excellent idea.

302. Good night.

303. Good night.

304. Not a bad way to spend a dinner break.

305. I'm going to go crash for a while before my call starts.

306. Okay.

307. Hey, we need Dr. Park or security.

308. - What's wrong? - I-I went home to get a change of clothes—

309. I must've fallen asleep.

310. She's gone.

311. Cady couldn't sleep with, with the restraints.

312. She was upset and uncomfortable.

313. I took them off.

314. I asked her to. It's my fault.

315. It's not your job to enforce hospital protocol.

316. Security's been alerted. They're working top-down.

317. You guys cover the east wing. We'll take the west.

318. Start down that hall. I'll check the patient rooms.

319. Resecting the final aspect of the tumor.

320. Lea and I took Julianne's advice

321. and divided and conquered last night.

322. I started with the dishes and then moved on to folding laundry.

323. More irrigation.

324. And Lea, what did she conquer?

325. I was very open and pointed out her shirt-folding errors, and then she went to bed.

326. It was quite successful.

327. You sure about that?

328. - Did she... kiss you good night? - Yes.

329. - Cheek or lips? - Cheek.

330. I got all of the tumor.

331. Remove the patties and line the resection bed with Fibrillar.

332. You think maybe it was not a success with Lea?

333. - Sounds like maybe— - You bombed.

334. She's in V-tach.

335. No carotid pulse. No detectable BP on the art line.

336. Check the brain for herniation or hematoma.

337. No bleeding or signs of edema...

338. No increased ICP. Maybe she threw a PE?

339. Her EKG was normal. Give one milligram of epi and stand by with more.

340. Clear!

341. Her brain looked good. Her vitals were stable.

342. No history of heart disease.

343. Could be an adverse reaction to the anesthesia?

344. Do an echo, send trops, and put her on telemetry to rule out cardiac issues.

345. Cady.

346. Hey.

347. Okay?

348. Seems like you're feeling a bit better.

349. I'm working on my solo.

350. I know. I heard.

351. It's lovely.

352. Would you sing it to me while we walk back to your room?

353. Do I have to lie down?

354. It makes my head hurt.

355. You can sit up in your bed.

356. Okay. Come on.

357. Attagirl.

358. Cady, do your feet hurt?

359. No. They're just sticky.

360. They put glue on them to keep me from running.

361. - We need to get a head CT. - Yeah.

362. The ventricular enlargement,

363. that's fluid built up inside her brain.

364. Cady has hydrocephalus.

365. It explains a lot of her symptoms, shuffling her feet,

366. the headaches when she lies down, and...

367. possibly, her psychiatric issues.

368. Cady might not be bipolar?

369. We'll know more once we insert a shunt

370. and drain the fluid from her brain.

371. I noticed the shuffling a year ago.

372. I-I didn't even mention it to the doctor.

373. I just thought it was another... delusion.

374. All the doctors we brought her to, they all missed it.

375. We almost locked her up.

376. She could've died in there.

377. We removed all of the tumor.

378. The surgery was successful, although—

379. I died.

380. I saw you.

381. It was like I was out of my body.

382. I saw you doing compressions

383. and there were alarms going off.

384. And then I saw my husband in these quick flashes.

385. He was waiting for me, somewhere.

386. Tell me what you saw.

387. There were vivid colors everywhere.

388. It was unlike anything I had ever seen.

389. But it felt like home.

390. What kind of colors?

391. I... can't describe them.

392. My husband was reaching out to me...

393. and I almost touched him.

394. Then you pulled me back.

395. You had a near-death experience.

396. Ah.

397. No. She had a symptom.

398. There is something else wrong with your brain.

399. We need to find out what it is.

400. She didn't have an out-of-body experience!

401. She accurately described us trying to save her.

402. No, she described a code, which only proves

403. that she watches medical shows on television.

404. And the heaven that she told us about, it's all recycled cliches—

405. the peace, nice colors, your loved ones waiting.

406. And maybe those cliches exist

407. because that's what the afterlife is like.

408. - You're a believer. - Please be quiet!

409. Julianne must have a multifocal tumor,

410. most likely in her occipital lobe.

411. A tumor there could've caused a subclinical, nonconvulsive seizure,

412. which would explain her hallucination and cardiac arrest.

413. A tumor there would make sense.

414. Then where is it?

415. It must be hidden by the edema from the previous tumor.

416. We need more images at a higher resolution.

417. All right, I'll book the MRI and get Julianne.

418. Oh, are you a one almighty God type

419. or more spiritual, but not religious?

420. I'm just asking for a friend.

421. You're off-target.

422. Position the catheter toward the nasion and tragus skull landmarks.

423. If Cady hadn't wandered off,

424. we may have never noticed the foot dragging.

425. A good outcome doesn't cancel out a bad decision.

426. The chain of command exists for a reason.

427. I'm in.

428. Attach the manometer to check her brain pressure.

429. Oh, no. I'd guess about 40 centimeters.

430. Must've been building up for years.

431. The brain damage could be irreversible.

432. I'm gonna place the valve,

433. start draining fluid into the abdomen.

434. I got your text. Is everything okay?

435. Were you mad last night when I took over folding the shirts?

436. Shaun, at some point we need to define

437. what qualifies as an important matter

438. that needs to be discussed as soon as possible.

439. Yes. Okay. Were you mad?

440. I was frustrated. But I'm over it.

441. Why were you frustrated?

442. Didn't you want to know the right way to do it?

443. There's no right way to do it, Shaun.

444. There's my way, there's your way,

445. and a thousand other ways.

446. And I don't need you to think that my way is right.

447. Especially since your way is fully research supported.

448. But knowing you think I'm wrong about so many things,

449. sometimes it feels like you're watching me

450. and holding a big sign that says,

451. "You're doing everything wrong."

452. That's why I was frustrated.

453. And I know you didn't mean it that way,

454. and I know it's important for you

455. to have things a certain way.

456. Because of my ASD.

457. I love your brain, Shaun.

458. And I really don't care about laundry and dishes.

459. I'll find something else to be in charge of like grocery shopping.

460. Maybe you could check the apples better for bruises.

461. The store will not take them back.

462. Right.

463. There's something wrong with Julianne's brain.

464. I don't see anything.

465. Me neither.

466. We'll know a lot more about her prognosis when she wakes up.

467. For now, we're keeping her under sedation

468. and giving mannitol to keep her brain pressure down.

469. Well, whatever happens, we'll get through it.

470. You're in for the long haul now?

471. You threatened to walk out on us.

472. I was upset.

473. I just— I was trying to do what was best for her and for— for you.

474. By leaving us?

475. Your symptoms point to another tumor in your occipital lobe.

476. No tablet this time?

477. The tumor doesn't show up on imaging, but I know it is there.

478. We can see an irregular and distinct pattern of edema in that region.

479. If the tumor's there, it will very likely stop your heart again.

480. I've been dead before.

481. It was pretty great.

482. I don't want the surgery.

483. No, the bright colors you couldn't describe, that's color agnosia.

484. Your husband being just out of reach, that's optic ataxia.

485. You did not see Heaven.

486. You had a seizure caused by your tumor.

487. Dr. Murphy,

488. you and I are both cursed

489. with being very good at fixing things.

490. When Scott was alive,

491. I could have made a list of a hundred ways to improve my marriage, my husband.

492. But when I saw him again...

493. I couldn't think of a single thing I'd change.

494. I just want to be with my husband again.

495. You will be.

496. Uh, I think what you experienced was real.

497. What you saw, it's— it's not going anywhere.

498. And there are still a lot of people here who need your insight.

499. I know that matters to you because even with a tumor—

500. Two brain tumors.

501. Two brain tumors and a broken ankle,

502. you still made a point of helping half your medical team.

503. Eternity is a long time.

504. Your husband will be waiting for you whenever you get there.

505. He better.

506. Let's see if you're right.

507. She's a GCS of eight,

508. has most of her brain stem reflexes.

509. But no signs that she's ready to come off the vent.

510. She always took forever to wake up.

511. I saw Paul in the cafeteria just now

512. surrounded by empty coffee cups.

513. If you'd like some company—

514. No, I'm fine. Thank you, Doctor.

515. I used to be a lieutenant on an aircraft carrier.

516. The first time I saw a plane land,

517. I thought for sure this sucker is going to skid right off the other end into the ocean.

518. I promise there's a point to this.

519. But they never do.

520. Because the planes,

521. they have these tail hooks that catch on these giant, inch-thick steel wires.

522. These wires, they can stop a 50,000-pound aircraft

523. traveling 150 miles per hour in two seconds.

524. And they almost never break...

525. until they do.

526. One swung across the deck and hit my leg, sent me flying.

527. I was in a coma for weeks.

528. My parents, they had to decide

529. whether or not to amputate my leg,

530. and they disagreed.

531. It got ugly.

532. But my mom won.

533. And I went to med school on one leg.

534. And my parents, they celebrated 45 years last month.

535. When a family member is sick,

536. everybody gets a pass.

537. Hi, there.

538. After Shaun committed to the angioembolization, my collateral vessels bled,

539. causing my blood pressure to bottom out.

540. Audrey, it's late—

541. That loss of BP led to my cord ischemia, which led to my paralysis.

542. - Do you agree? - Yes, as I said in the report, yes.

543. The report is facts. It's just facts.

544. Audrey, what exactly do you want from me?

545. I am sitting in this chair because of that surgery.

546. And everybody here seems completely fine with it.

547. Fine with Shaun's decision, fine with him going rogue.

548. I'm not fine with it.

549. - I'm not fine with it. - Well, that is not what you said in the M&M.

550. What Shaun did was headstrong, it was risky,

551. and it's not what I would have done, okay?

552. But let's just be clear.

553. He didn't make a mistake,

554. he did what he thought was best,

555. and it shouldn't be a mark on his career as a surgeon.

556. - That is not your decision. - And I'm angry, okay?

557. I'm angry. So what? It's irrelevant.

558. I'm so angry I could scream. It keeps me up every night.

559. What if Andrews didn't call me away?

560. What if I had come back just five minutes sooner?

561. What if? What if? What if?

562. Well, what would you have done?

563. Come on, Aaron.

564. What would you have done?

565. Would you have told Shaun to go back to the original plan?

566. Yes.

567. Thank you.

568. Because everything's fixed now?

569. Because you're gonna walk again soon?

570. Because you're with me.

571. Finally somebody sees my side instead of Shaun's.

572. It's not either-or.

573. I'm not so sure.

574. There's just something sexy about the closet.

575. Maybe it's the symbolism. You know, like coming out of the closet.

576. - I get it. I just don't approve of it. - Why?

577. From the coffee shop that's on my way in.

578. Number two on your list of top-ten food and beverage items

579. within walking distance of the hospital.

580. The almond croissant.

581. Thanks. I'll pay you back.

582. Don't you dare. I'll see you in surgery.

583. Oh.

584. Okay, I feel something.

585. A crush.

586. A massive, all-consuming, "my stomach rolls over when I see him" crush

587. because he is gorgeous

588. and thoughtful and smart and apparently eats carbs, and I'm only human.

589. - Happy now? - Yeah.

590. Are you gonna eat that?

591. I'm so screwed.

592. Just a minute. Dr. Murphy.

593. Don't worry too much about the wet cement.

594. It's clear how important your wife and your marriage is to you.

595. Just keep letting Lea know that,

596. and you'll keep being a great husband.

597. Count backwards from ten.

598. Ten.

599. Nine.

600. Eight.

601. BIS is at 50. CO2 is normal. Ready, Doctor.

602. Making the first incision.

603. Stand by with the periosteal for skull dissection.

604. Heart rate's 125. BP is 195 over 132.

605. - Another seizure? - It's the tumor.

606. Give another 500 of Keppra and high-dose propofol.

607. She's in v-tach. No pulse.

608. One milligram of epi.

609. Clear!

610. It's been 12 minutes.

611. Time of death, 12:43 p.m.

612. They're together again, somewhere.

613. Probably not.

614. But that would be nice.

615. Hey.

616. Hey, sweetie.

617. I'm here.

618. Mom? What's going on? Why am I here?

619. You're in the hospital,

620. but you're okay now.

621. Where's Paul?

622. Hey, Cady-Cat.

623. Hey, Papa Paul.

624. Get in here.

625. Yeah, get in here.

626. We missed you so much.

627. I think you should do the dishes before I have to go.

628. Really?

629. Are you gonna teach me your technique?

630. No.

631. I am going to get ready for my night call.

632. Go ahead.

633. I love you, too, Shaun.

634. It's okay if you can't watch.

635. You can leave.

636. Hey, Cady's latest neuro exam showed no deficits.

637. And the alignment from her ex fix looks great.

638. Um, I'm sorry.

639. Chain of command was never my strong suit. I'm working on it.

640. Thank you...

641. for your service, Lieutenant.

642. Was anybody ever gonna ask about my limp?

643. Shaun wanted to, but we told him he wasn't allowed.

644. You lost a patient today, Dr. Murphy?

645. She seized on the table before the first incision.

646. Autopsy confirmed she had a high-grade occipital lobe tumor

647. which would have killed her in three to six months.

648. Your advice was good.

649. I talked to Lea about habits

650. and learned she doesn't appreciate when I wash the dishes

651. after she washes the dishes,

652. even though she is doing it wrong.

653. Shaun, I can't hear this.

654. Your advice was good. I talked to Lea about—

655. I mean, I don't want to hear it.

656. I'm having complicated feelings about my surgery.

657. - What you did. - I saved your life.

658. This—

659. This is a struggle.

660. You put me here, and I'm really angry about that.

661. As your boss,

662. I need to set my feelings aside,

663. be professional, and I will.

664. But that's all.

665. I don't want you to ask me about my personal life,

666. and I don't want to hear about yours.

667. From now on, our relationship is medicine only.