1. Previously on
The Good Doctor...
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2. - Hey! Stop!
- Danny!
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3. Just promise me.
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4. - What?
- No opioids.
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5. He asked you not to do that.
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6. He's tachycardic
and hypertensive
because of the pain.
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7. He's going into shock.
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8. - He's not. He's praying.
- He's dying.
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9. - Forgive me.
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10. I need to go back to Texas
with my family.
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11. You made an error
in yesterday's craniotomy.
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12. You closed
with only eight sutures.
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13. The size of the wound
required ten.
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14. We need to figure out why.
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15. I've had a stroke.
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16. Yes. A small one.
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17. Dr. Glassman, please tell us
what the next step is.
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18. Somebody
please call security.
Shaun, you are out of line.
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19. Answer.
- It's, um...
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20. You humiliated me in public
in my operating room
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21. in front of my colleagues.
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22. Do you have any idea
how much that hurt?
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23. I don't know what to do.
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24. You can just leave me alone.
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25. I don't think
you should resign.
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26. Because you don't
have to do it all alone.
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27. You're the reason
I wake up in the morning,
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28. so whatever there is
to figure out,
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29. all I want in the world
is for us to do it as a family.
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30. I wanted to give you
a heads-up as a friend.
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31. I've decided to resign.
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32. Congratulations,
Mom and Dad.
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33. Look at what we made.
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34. Do you think
Dr. Glassman is coming?
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35. This is from Dr. Glassman.
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36. How did he know
his name would be Steve?
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37. Because he knows you.
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38. Gloves.
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39. Start the timer, please.
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40. Good luck, babe. It's a doozy.
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41. Thirty-seven seconds.
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42. Good work.
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43. I think that was
your fastest yet.
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44. Second-fastest.
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45. Fifteen minutes
of independent play
is starting now.
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46. I will log it into my app.
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47. You sure you don't want to
get in a few extra snuggles
before you leave?
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48. Oh, I had ten minutes
of snuggles this morning.
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49. Very nice.
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50. I've also set up the app
on your phone.
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51. It will alert you
when it's time
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52. for Steve's nap,
feeding, playtime...
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53. Just in case I miss
the schedules
posted on the fridge,
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54. the bathroom,
and in our bedroom.
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55. Yes. And I will be able to
track it while I'm at work.
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56. Steve and I
will be fine.
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57. Just enjoy your first day back.
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58. We can finish
reading the latest
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59. Journal of Trauma
and Acute Care Surgery
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60. when I get home.
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61. After this,
Steve should have at least
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62. five minutes of tummy time.
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63. Yesterday, he only logged
12 minutes,
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64. - which is three less than—
- I love you.
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65. Say hi to everyone for me.
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66. Okay. I love you, too.
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67. I will miss you both.
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68. I don't know why you need
three protein powders
for your smoothies.
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69. They do different things.
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70. She's barely taken an ounce.
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71. That's what the protein-powder
companies want you to believe.
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72. Are you holding her right?
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73. Yes.
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74. She needs to be upright with
her head properly supported.
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75. Good.
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76. And you mixed it enough?
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77. The same as always.
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78. She's not interested again.
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79. And she seems lethargic.
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80. I'll take her
to get checked out.
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81. Well, I'd like to come, too.
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82. Sure. You can carry this.
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83. Good morning.
How's Perez today?
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84. Don't know.
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85. It's almost 8:00 a.m.
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86. It's been "today"
for a whole eight hours.
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87. You two haven't
texted each other yet?
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88. We both decided we need space.
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89. He's focused on his recovery.
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90. I've got my life here.
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91. I fully support that.
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92. And your next chapter
begins tonight.
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93. You and me. Drinks, music,
questionable decisions.
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94. You and Jerome finally
got the surgery!
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95. You're no longer
joined at the hip?
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96. Jerome is obsessed
with some docuseries
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97. about one of the many sports
that I don't care about.
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98. Come on. It's been too long.
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99. I've been busy.
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100. You've been...
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101. mopey.
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102. Fine. I agree
to drinks and music,
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103. but I'm definitely a "maybe"
on questionable decisions.
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104. - All right.
We'll work up to it.
- Okay.
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105. We're going out tonight
for drinks,
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106. - starting a new chapter.
That's right.
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107. We're calling it
"Bad decisions
with good friends."
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108. We're definitely
not calling it that.
Wanna join?
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109. No, thank you.
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110. Papa Murphy, welcome back.
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111. Pictures of Steve.
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112. I was just about to ask.
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113. This way,
I avoid the disruption
of pulling out my phone.
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114. Look at that smile!
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115. Just like his mom!
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116. He was pooping in that one.
Here he is... about to poop.
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117. Hmm. A theme develops.
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118. Aw.
He's got your eyes, Shaun.
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119. I need to find Dr. Lim.
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120. You may keep those.
I made enough for everyone.
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121. Marcus sends greetings
from Spain.
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122. Oh, I thought he was at a
meditation retreat in Vietnam.
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123. He was, and now he's walking
the Camino de Santiago.
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124. How nice for him.
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125. I'm two surgeons down
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126. with no one to approve
hiring a new one.
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127. I need the board to appoint
an interim president, stat.
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128. Just as long as
it's not O'Brien.
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129. They wouldn't.
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130. I heard from a staffer
who covers board meetings
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131. that his name's
on the shortlist.
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132. Ugh. Of the worst possible
candidates for the position.
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133. Good morning!
Pictures of Steve.
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134. Aww.
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135. You no longer have your cane.
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136. Yeah. PT said I was ready.
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137. I'm glad to have you back.
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138. I would like to join your case.
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139. He's adorable, Dr. Murphy.
Welcome back.
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140. Shaun, I'm thrilled to see you,
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141. but I'm not sure this is
the case where you want
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142. to start as a new dad.
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143. It is an exciting
and challenging surgery.
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144. Thank you for coming in
on such short notice.
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145. Hello. I am Dr. Shaun Murphy,
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146. attending surgeon
and father of a baby boy.
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147. He is two weeks old,
and today is my first day back,
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148. but that will not affect
my performance
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149. as your son's doctor.
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150. Is it true there might be
a heart for Jack?
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151. Yes, but the heart
isn't available yet,
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152. and we may not get it
once it is.
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153. We've been through this before.
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154. Why isn't the heart
available yet?
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155. Well, the donor family is still
saying their goodbyes
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156. before they turn off
life support.
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157. Jack is an excellent match
for the donor heart,
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158. and his latest echo indicates
that his cardiomyopathy
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159. and overall cardiac function
has worsened,
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160. so he should be
at the top of the list.
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161. I just want to run
some additional tests
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162. to make sure
he's otherwise healthy.
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163. There is a problem.
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164. There is a small scratch,
likely from his fingernails,
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165. which has developed cellulitis
and an abscess.
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166. If the infection spreads
and he spikes a fever,
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167. Jack will be ineligible
for the transplant.
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168. We have to lance
and debride it right away.
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169. Morning.
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170. Hi.
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171. This is Steve, our son,
who is now two weeks old.
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172. Steve, this is the grumpy man
who lives down the hall
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173. and gave you
your favorite blanket.
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174. Shaun was very impressed
you guessed his first name.
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175. Wanna take a stab
at the middle?
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176. Aaron.
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177. I was lobbying
pretty hard for Bowie,
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178. because why not name your kid
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179. after the coolest person
who ever lived?
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180. But Shaun insisted.
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181. You should come over sometime.
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182. You two both grunt a lot
and make strange faces.
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183. I've got a lot going on, so...
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184. We live next door.
You have nothing going on.
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185. You're mad. And I get it.
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186. But are you really gonna ignore
Shaun and Steve and me forever?
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187. Is that the plan?
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188. I'm not ignoring you.
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189. And he's beautiful.
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190. Congratulations.
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191. I tried.
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192. Any cyanosis while eating?
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193. Maybe a hint of bluishness
on her lips last night.
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194. I haven't noticed anything.
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195. But given her prior surgery
and the Turner syndrome,
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196. I thought we should...
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197. The blood flow is reduced.
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198. It looks like
Eden's aortic stenosis
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199. has progressed more rapidly
than we were expecting.
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200. Can we put her
on beta blockers?
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201. We can try, but given
how dysplastic the valve is,
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202. I don't think
it will do much good.
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203. You'll want to get
more imaging,
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204. but I think Eden's gonna need
another surgery very soon.
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205. Cardiac MRI confirmed
severe narrowing of the valve,
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206. obstruction, and left
ventricular dysfunction.
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207. Eden needs a new aortic valve,
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208. or her heart failure
will get worse.
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209. Are you thinking mechanical
or cryopreserved homograft
for the replacement?
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210. Mechanical valve for a neonate
needs to be built,
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211. and it will require
future surgeries
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212. plus lifetime blood thinners.
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213. Cryopreserved valves risk
degeneration down the line,
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214. but it is a solid idea,
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215. especially as part
of the Ross Procedure.
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216. Possible complications?
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217. Aortic insufficiency,
pulmonary stenosis.
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218. We can take some time,
discuss the different options—
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219. Do the Ross Procedure.
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220. I'll have Asher
get her prepped.
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221. It's time to get off
the sidelines.
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222. I'm not sure
what you're referring to.
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223. Are you gonna throw me a ball?
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224. You've run the hospital before.
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225. You can handle
a few more months.
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226. I can,
but why would I want to?
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227. - That's a no?
- Yes.
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228. Get ready for
Interim President O'Brien.
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229. They would never.
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230. That's like
Mao meets Basil Fawlty.
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231. Wow. That's two obscure
and dated references.
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232. They're never gonna
move on O'Brien.
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233. Well, apparently,
he's on the board's shortlist.
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234. Throw your hat in the ring,
he won't stand a chance.
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235. My hat's
gonna stay on my head,
but I'll handle it.
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236. Okay, Jack.
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237. You know that little bump
behind your ear?
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238. We have to poke it
with something sharp,
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239. which will hurt,
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240. but we have to do it
so hopefully you can get
a new heart.
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241. But Mr. Snugglepuff is here
to keep you company.
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242. Asher said the taco truck
added chorizo to the menu,
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243. and it's bussin'.
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244. The next late night,
we should share an order.
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245. Not really my thing. Thanks.
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246. The sheet papoose is secure.
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247. Good. Dr. Kalu,
cradle the baby.
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248. Dr. Allen, sterilize the area
behind the ear.
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249. Okay, baby, don't look.
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250. His eyes are not yet
able to focus beyond
eight to twelve inches.
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251. The abscess
is pretty deep.
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252. It may take a while to heal.
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253. What about a wound vac?
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254. We don't have one small enough.
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255. It's okay.
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256. Maggots.
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257. How are those better than
just using antibiotics?
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258. Maggots work faster
to clear necrotic debris
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259. on account of
the antimicrobial nature
of their saliva
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260. and other digestive secretions.
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261. It's safe to put those bugs
on my baby?
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262. Larvae.
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263. These are
medical maggots.
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264. They've been
specially disinfected.
It's completely safe.
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265. I would use maggots on my son,
Steve, in this situation.
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266. That is unlikely to happen,
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267. but I hope the parallel
puts you at ease.
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268. Go ahead.
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269. Hmm!
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270. You want some coffee?
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271. Or I have a stash
of protein bars in my office.
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272. I'm fine, thanks.
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273. But if you want something,
go ahead.
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274. What's your family here for?
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275. A heart transplant, hopefully,
for our son, Jack.
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276. How old is he?
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277. Twelve weeks.
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278. Oh. My daughter, Eden,
is 11 weeks.
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279. She's having heart surgery
right now.
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280. Y'all will be in my prayers.
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281. Is this Jack's first surgery?
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282. He's had other procedures,
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283. but this would be his first
open heart surgery.
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284. If it happens.
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285. When it happens, I recommend
Biafine cream for post-op.
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286. It contains a natural compound
called trolamine.
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287. It really helped
with Eden's recovery.
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288. How many surgeries
has your daughter had?
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289. Uh, one. At seven weeks.
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290. Hmm.
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291. Eden and I are old hands.
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292. You're two
very resilient ladies.
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293. I'm Kate Pierce.
This is my husband, Owen.
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294. Morgan Reznick.
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295. Alex Park.
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296. Would you like to...
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297. Yeah! You can do it! Come on.
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298. Oh! There you go!
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299. - You got it! You got it!
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300. You got it!
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301. Hi, Daddy. How is it
being back at work?
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302. I just applied maggots
to a baby
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303. a few months older than Steve.
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304. - Is that Steve?
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305. He is supposed to be asleep.
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306. Mm. He's doing well
with tummy time.
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307. And you mentioned yesterday
he was behind,
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308. so I thought I'd add
a few extra minutes.
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309. No, no.
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310. Tummy time should not be
extended into his sleep window.
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311. Did you not get the app alert?
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312. You are seven minutes
into nap time.
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313. Nope. I guess I missed it.
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314. Delaying his nap could
make him overtired
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315. or delay his next feeding.
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316. The schedule is very important.
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317. I know, Shaun, I know.
It's just a few extra minutes.
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318. Eight minutes.
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319. That is not a few.
It is several.
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320. Uh, I should go put Steve down.
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321. - Bye-bye.
- Okay.
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322. Oh.
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323. We had to abort the procedure.
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324. Eden has a bicuspid
pulmonary valve.
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325. There wasn't enough tissue
to attach it to the aorta.
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326. And we observed
leaking at the valve.
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327. Her heart is failing
even faster than we thought.
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328. I'm so sorry.
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329. What's our next move?
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330. Oh. The maggots worked!
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331. Baby Jack's infection
has cleared,
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332. and the heart
is on its way here.
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333. Eden has two bad valves
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334. and rapidly progressing
heart failure.
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335. We have one donor heart
and two babies who need it.
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336. It's up to us to decide
which baby gets this heart.
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337. Jack has been waiting
for three months.
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338. A transplant
is his only option.
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339. He could go on a VAD until
another heart is available.
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340. That could take months.
And a VAD isn't a good option
for Jack because of the—
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341. Morgan. Morgan.
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342. You can't be here.
Neither of you.
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343. I can't be anywhere else,
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344. so either someone
should sedate me or...
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345. Well, that can be arranged.
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346. It's only a problem
that Park and I are here
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347. if we influence your decision,
so don't let us.
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348. I won't say a word.
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349. Dr. Kalu?
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350. Yeah, um...
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351. as far as the VAD for Jack,
he's underweight,
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352. so a high risk
of complications,
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353. infections, bleeding, stroke.
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354. It's not a great option
for Eden, either.
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355. Eden can go on ECMO
while we're waiting
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356. for mechanical
replacement valves.
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357. ECMO has risks, especially for
a baby with Turner syndrome.
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358. And the longer she's on it,
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359. the greater the risk
of serious complications.
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360. The valves may not
get here in time.
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361. Care to weigh in, Dr. Murphy?
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362. Jack and Eden
are equally good matches
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363. to the donor heart
based on size and blood type.
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364. Anything else?
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365. It's okay, Shaun.
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366. Without this heart...
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367. Jack will die.
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368. Eden may also die without it.
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369. But she has other options.
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370. They are risky,
but they are options.
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371. Jack should get the heart.
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372. We'll put Eden on ECMO tonight.
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373. And I'll contact Abbott
about getting the
15-millimeter valves ASAP.
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374. Hey. I'm sorry.
Can we rain-check tonight?
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375. I'm exhausted,
and Jerome promised
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376. that we could watch
a nice crime procedural.
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377. Sometimes you need
a case of the week.
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378. Yeah.
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379. Mm-hmm.
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380. Mmm! My favorite!
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381. One cheddar brisket
with mild sauce
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382. so little Steve's next meal
doesn't burn his mouth.
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383. You are a treasure.
I am starving.
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384. - Thank you.
- Mm-hmm.
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385. Poor Eden,
having to go on ECMO.
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386. And poor Morgan and Park.
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387. It's... been a day.
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388. And how are you holding up?
Without Perez?
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389. Everything that happens,
at home or at work,
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390. he's the first person
I want to tell.
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391. Mm-hmm.
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392. And I can't.
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393. Or I shouldn't.
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394. I really miss him.
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395. You can tell me everything.
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396. If it's too surgical,
I may not understand it,
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397. but I am excellent at nodding
and acting interested.
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398. Mm!
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399. I'm here for you. So is Asher.
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400. What's going on?
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401. Tell me.
Babies are terrible at gossip.
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402. Asher and I were supposed
to hang out tonight,
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403. just the two of us.
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404. - Do you need to check on him?
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405. No. If he smells me,
I'll never get out of there.
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406. He'll settle back down.
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407. So you and Asher had plans—
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408. He blew me off for Jerome
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409. because he had a hard day
on Eden's case, which I get,
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410. but I had a hard day, too.
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411. - Mm-hmm.
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412. Steve's not settling.
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413. Well, he can wait a minute.
You had a hard day, too?
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414. It... It just seems like
everybody has someone except—
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415. - Go.
- I am so sorry.
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416. I-I will be right back.
I swear.
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417. Mm.
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418. You didn't
have to do this, Shaun.
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419. I am more thorough than
anyone else in this hospital.
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420. Starting ECMO.
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421. I just got an e-mail
from Gail on the board.
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422. I'm suddenly a top candidate
for interim president?
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423. You're welcome.
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424. I don't want that job.
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425. It's better...
better you than O'Brien.
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426. You're a good manager,
you're...
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427. you're well-respected,
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428. and, you know,
as a diverse woman...
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429. People aren't diverse.
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430. I'm part of an
underrepresented group.
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431. Right. That.
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432. Makes you an ideal candidate.
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433. Look. Gail loved the idea.
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434. - I hate you.
- You're welcome.
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435. Shh, shh, shh. Shh, shh, shh.
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436. I am glad
to see you, Steve,
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437. but you are not
supposed to be awake.
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438. Yeah, I-I fell asleep
during his afternoon nap.
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439. We didn't wake up until 4:30.
Copy !req
440. You need to set an alarm.
Copy !req
441. The schedule is very important.
Copy !req
442. I know. I know.
Copy !req
443. Tomorrow I am doing
a heart transplant
Copy !req
444. on a 12-week-old baby.
Copy !req
445. Okay. You need sleep.
Copy !req
446. Yes, I do.
Copy !req
447. Go to bed.
I'll handle Steve tonight.
Copy !req
448. I-I don't think I can.
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449. Shh, it's okay. What about your
noise-canceling headphones?
Copy !req
450. I fall asleep on my side.
I cannot do that in those.
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451. Maybe you could go spend
the night at Glassman's?
Copy !req
452. No.
Copy !req
453. What about your office?
Can you sleep there?
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454. We can save them both
with one heart.
Copy !req
455. It's called
a domino transplant.
Copy !req
456. Jack's heart is failing,
but his valves are healthy,
Copy !req
457. so when Jack receives
the donor heart,
Copy !req
458. we will use his valves to
replace Eden's damaged ones.
Copy !req
459. A fresh homograft donor
means Eden won't need
Copy !req
460. multiple surgeries
or blood thinners.
Copy !req
461. One heart could save
both babies.
Copy !req
462. What are the chances
of valve failure?
Copy !req
463. Minimal. Jack's valves
are very functional
Copy !req
464. despite his cardiomyopathy.
Copy !req
465. The odds of success are high.
Copy !req
466. It's the best option we have...
Copy !req
467. for Eden.
Copy !req
468. And for Jack?
Copy !req
469. We would
have to be very careful
while removing his heart
Copy !req
470. so as not to damage his valves.
Copy !req
471. That would mean
more time on bypass,
Copy !req
472. which means a greater risk
of bleeding or infection.
Copy !req
473. It's a lot to ask.
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474. They can always say no.
Copy !req
475. What would you say?
Copy !req
476. You haven't eaten anything
in 24 hours.
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477. I'm fine.
Copy !req
478. No matter what they decide,
we'll get through this.
Copy !req
479. Don't.
Copy !req
480. What, try to help?
Copy !req
481. Yes, exactly.
It's pointless and annoying.
Copy !req
482. You know, I get that you don't
think of Eden as mine yet,
Copy !req
483. and that's why you
haven't included me
Copy !req
484. in any of her
medical decisions.
Copy !req
485. Not that I need that,
Copy !req
486. or disagree
with any of your choices—
Copy !req
487. Is pissing me off another
attempt to distract me?
Copy !req
488. I'm not trying to pick a fight.
Copy !req
489. I just want you to know
that I love that girl
Copy !req
490. like she's my own, and...
Copy !req
491. I'm as scared as you are.
Copy !req
492. And I wish you'd let me
help you because...
Copy !req
493. we're in this together.
Copy !req
494. That's it.
Copy !req
495. And I really don't
want you to pass out,
Copy !req
496. so please eat
or drink something.
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497. If our baby
can save your baby's life,
we'd be honored.
Copy !req
498. "I'll love you forever,
Copy !req
499. I'll like you for always.
Copy !req
500. "As long as I'm living,
my baby you'll be."
Copy !req
501. Oh, my God. What a tear-jerker.
Copy !req
502. We need to find one of
Daddy's medical journals.
Copy !req
503. Reminder.
Copy !req
504. Nap time in five minutes.
Copy !req
505. How do I un-sync the baby app
from our speaker?
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506. Oh, no. You should not do that.
Copy !req
507. I set it up so you can
remember the schedule.
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508. When it's just me and Steve
home during the day,
Copy !req
509. I like to be
a little bit more... flexible,
Copy !req
510. go with the flow.
Copy !req
511. I'll just...
I'll just unplug it.
Copy !req
512. It has a battery
in case of power outages.
Copy !req
513. Lea, when I'm at work,
Copy !req
514. I like knowing what
you and Steve are doing.
Copy !req
515. It makes me feel like I am
still a part of his day.
Copy !req
516. And when Steve gets off
his sleep schedule,
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517. I have to go sleep
at the hospital,
Copy !req
518. and I miss you both even more.
Copy !req
519. Aw, we missed you, too.
How did you sleep?
Copy !req
520. Not well. But I came up
with a very good idea
to save both babies.
Copy !req
521. I have to go prep
for my surgery now.
I love you.
Copy !req
522. Dr. Lim, we have
a meeting to review—
Copy !req
523. One minute, Shaun.
Copy !req
524. Gail, of course,
diversity and representation
should be considered,
Copy !req
525. but given this is
an interim position,
Copy !req
526. I think the top priority
is finding someone
Copy !req
527. who can hit the ground running
from day one.
Copy !req
528. And that means someone
who's done it before.
Copy !req
529. He's too modest
to sing his own praises,
Copy !req
530. but I think
he's the obvious choice.
Copy !req
531. Hmm. Compelling argument.
Thank you.
Copy !req
532. Oh.
Copy !req
533. And seniors are also
an underrepresented group.
Copy !req
534. Dr. Murphy and I
will start with Jack in OR 1.
Copy !req
535. Asher, you'll be with Eden
next door getting her ready.
Copy !req
536. Allen and Kalu, you two
will receive the donor heart
Copy !req
537. and prep it for transplant.
Copy !req
538. Then Dr. Lim and I
will put Jack on bypass
Copy !req
539. and start cooling him
to 25 degrees.
Copy !req
540. Given his age and underlying
medical condition,
Copy !req
541. he should not be on bypass
for longer than two hours.
Copy !req
542. Putting in Jack's new heart
will take about 90 minutes.
Copy !req
543. That leaves us half an hour
to remove the old one.
Copy !req
544. While Shaun is transplanting
the new heart,
Copy !req
545. I will be excising
Jack's valves.
Copy !req
546. We have zero room for error.
Copy !req
547. Prep your patients.
Copy !req
548. Exciting case.
Copy !req
549. Yep.
Copy !req
550. We're saving
two babies at once,
Copy !req
551. and your commentary is "yep"?
Copy !req
552. I was agreeing with you.
Copy !req
553. With as few words as possible,
Copy !req
554. which you've been doing
for the last two weeks.
Copy !req
555. If you have a problem with me,
just tell me.
Copy !req
556. Okay.
Copy !req
557. Okay. I have a problem with you
Copy !req
558. and how you handled
Perez's case.
Copy !req
559. - That's completely stupid.
- You just said
I should tell you.
Copy !req
560. I didn't say
I would agree with you.
Copy !req
561. You overrode
our patient's wishes,
Copy !req
562. and Perez is gone
because of it.
Copy !req
563. Perez is alive because of it.
Copy !req
564. You don't know what
would have happened
if you'd listened to him.
Copy !req
565. You made the decision
you thought was best.
Copy !req
566. Didn't matter
what anyone else wanted.
Copy !req
567. I'm sorry,
but you don't get to do that
Copy !req
568. and not deal
with the consequences.
Copy !req
569. The consequences?
Copy !req
570. I lost someone
I care about a lot,
Copy !req
571. and I miss him every day.
Copy !req
572. I'm really trying hard to focus
on the good things in my life,
Copy !req
573. the job I love,
Copy !req
574. the friends I thought I had...
Copy !req
575. But it feels like
everyone is moving on,
and I'm just alone.
Copy !req
576. Spare yourself the burden
of punishing me.
Copy !req
577. Get her prepped,
draped, and under anesthesia.
Copy !req
578. I'll see you in 30 minutes, hopefully.
Copy !req
579. I had an extra set.
Copy !req
580. You don't have to be Catholic.
Copy !req
581. They can just be a reminder
that you're not alone.
Copy !req
582. Thank you.
Copy !req
583. There is
a lot of scar tissue
to dissect through.
Copy !req
584. The cardiomyopathy has caused
Jack's heart to enlarge
Copy !req
585. and adhere to his chest wall.
Copy !req
586. This will take
longer than planned
Copy !req
587. in order to
preserve the valves.
Copy !req
588. We inspected
the mitral valve.
Copy !req
589. The atrial septum is intact.
The heart looks good.
Copy !req
590. Dr. Allen,
connect the pulmonary veins
Copy !req
591. to prep the left atrial cuff.
Copy !req
592. Dr. Kalu, you're with us.
Copy !req
593. Okay. Increase flows
and cool to 25 degrees.
Copy !req
594. Start the clock.
Copy !req
595. - Come on, Peanut.
Copy !req
596. We went with the flow,
but now it's nap time.
Copy !req
597. Come on. Settle.
Copy !req
598. Oh.
Copy !req
599. Ohh! We were so close, Peanut.
Copy !req
600. I need to transect
the aorta,
Copy !req
601. but there are thick adhesions
where it meets the valve.
Copy !req
602. You now only have
an hour and 14 minutes
to put the new heart in.
Copy !req
603. The annulus
is at the tip of my dissection.
Copy !req
604. If I nick that,
the aortic valve is useless.
Copy !req
605. - Anterior retraction.
We're running
out of time.
Copy !req
606. Jack's transplant
is at serious risk.
Copy !req
607. Metz.
Copy !req
608. Dr. Murphy, you need to
abort this procedure.
Copy !req
609. Shaun, ECMO is still
an option for Eden.
Copy !req
610. - You need to abort—
- Got it!
Copy !req
611. The valves are good.
Copy !req
612. Ready for the donor heart.
Copy !req
613. How is she?
Ready to go.
Copy !req
614. Vitals are great.
Copy !req
615. Open her chest
and start her on bypass
Copy !req
616. while I recover the valves.
Copy !req
617. Scalpel.
How do the valves look?
Copy !req
618. A little bigger than
we measured on imaging.
Copy !req
619. Makes the anastomosis
challenging.
Copy !req
620. But it can still work?
Copy !req
621. It has to.
Copy !req
622. Hmm.
Copy !req
623. - Feeding time starting
in five minutes.
Copy !req
624. - Shh.
Copy !req
625. It's not
seating perfectly.
Copy !req
626. Let's try
a purse string suture.
Copy !req
627. 7-0 Prolene.
Copy !req
628. Got it. Saline.
Copy !req
629. There's a paravalvular leak
at the aortic.
Copy !req
630. How about
pledgeted sutures?
Copy !req
631. In an infant this small,
that could cause stenosis.
Copy !req
632. We try again.
Copy !req
633. 7-0 Prolene.
Copy !req
634. It's been almost
two and a half hours.
Copy !req
635. We need to get him off bypass.
Copy !req
636. The aortic anastomosis
is complete.
Copy !req
637. Unclamp the aorta
and start rewarming.
Copy !req
638. Now what?
Copy !req
639. We wait... and hope
his heart starts beating.
Copy !req
640. It's been almost three hours.
Do you think something's wrong?
Copy !req
641. The sutures
are holding.
Copy !req
642. Now the little thing
just has to beat.
Copy !req
643. Start warming her up.
Decrease the flows.
Copy !req
644. We need to shock him.
Copy !req
645. - Clear!
Copy !req
646. Again.
Copy !req
647. The surgeries were successful.
Copy !req
648. Both your babies
are doing very well,
and you can see them soon.
Copy !req
649. Thank you.
Copy !req
650. Thank you.
Copy !req
651. You saved our daughter.
Copy !req
652. You are welcome.
Copy !req
653. I miss my baby.
I'm going home now.
Copy !req
654. All right. Let me just
jump in the shower.
Copy !req
655. And then I'm good to go.
Copy !req
656. Go home to your man.
Copy !req
657. It's okay.
Copy !req
658. Bless you.
Copy !req
659. - Tomorrow?
- Mm-hmm.
Copy !req
660. You're right.
Copy !req
661. This chorizo is...
Copy !req
662. What'd you call it?
Copy !req
663. Bussin'.
Copy !req
664. Right.
Copy !req
665. Definitely bussin'.
Copy !req
666. I thought we could
share an order.
Copy !req
667. Tell me you didn't forget
the hot sauce.
Copy !req
668. - Hello.
- Hmm...
Copy !req
669. Why is Steve awake?
Copy !req
670. You look terrible.
Copy !req
671. Thank you.
Copy !req
672. Steve has been fed,
burped, changed,
Copy !req
673. and woken
from his haphazard nap
Copy !req
674. by a speaker reminder.
Copy !req
675. How's Eden?
Copy !req
676. Very good.
And Jack's transplant
was successful.
Copy !req
677. Mm.
Copy !req
678. Parenting can be very hard.
Copy !req
679. Mm-hmm.
Copy !req
680. Yeah. I've noticed.
Copy !req
681. There are many hard choices
Copy !req
682. about what works best.
Copy !req
683. People want different things.
Copy !req
684. I will try to...
Copy !req
685. make room for your way.
Copy !req
686. The schedule is important,
Copy !req
687. but I will un-sync the app
from the speaker.
Copy !req
688. I put it out
on the fire escape.
Copy !req
689. Thank you.
Copy !req
690. I really appreciate it.
Copy !req
691. But the only room I need
right now is the bedroom.
Copy !req
692. - Okay.
- Good night.
Copy !req
693. I'm borrowing your
noise-canceling headphones.
Copy !req
694. I love you both.
Copy !req
695. Are you kidding me?
You recommended me?
Copy !req
696. I was just following
your example.
Copy !req
697. See? You're a natural leader.
Copy !req
698. I'm old.
I'm worn out and I'm old.
Copy !req
699. - You're wise.
- I remember rotary phones.
Copy !req
700. You're vital.
You're experienced.
Copy !req
701. You're the most
respected doctor
in this hospital.
Copy !req
702. Aaron, you have
institutional knowledge
Copy !req
703. and a... and a natural,
unexplainable gravitas.
Copy !req
704. Will you please stop being
an idiot and just take the job?
Copy !req
705. Stop being selfish
and stubborn.
Copy !req
706. How am I being selfish? I'm...
Copy !req
707. Oh, you're together.
That saves me a stop.
Copy !req
708. Your recommendations
presented the board
Copy !req
709. with a very difficult choice.
Copy !req
710. So we didn't...
Copy !req
711. choose.
Copy !req
712. You two are the new
interim co-presidents
Copy !req
713. of St. Bonaventure Hospital.
Copy !req
714. Congratulations!
Copy !req
715. This is not the schedule,
Steve.
Copy !req
716. Mommy needs to sleep.
Daddy needs to sleep.
Copy !req
717. You need to sleep.
Copy !req
718. Please?
Copy !req
719. Please. We are both very tired.
Copy !req
720. Please. We are both very tired.
Copy !req
721. Hey.
Copy !req
722. I don't know what to do.
Copy !req
723. I can't go inside
because Lea needs to sleep.
Copy !req
724. I've always been able
to get him down before.
Copy !req
725. Sometimes babies
just need to cry.
Copy !req
726. Hey. Um...
Copy !req
727. why don't I take him?
Copy !req
728. Get some sleep.
Copy !req
729. It's okay. Just get some rest.
Copy !req
730. I will just take a short nap.
Copy !req
731. Take as long as you need.
Copy !req
732. Hey.
Copy !req
733. Hey. I got you. Hey.
Copy !req
734. Hey. Hey, hey, hey, hey, hey.
Copy !req
735. I got you.
Copy !req
736. Huh. I got you.
Copy !req
737. I'm Grandpa...
Copy !req
738. in case you were wondering.
Copy !req