The Good Doctor 7x3

1. fifty.

2. Okay.

3. That should not have been so hard.

4. You're getting old, Pops.

5. Thirty-one is not old.

6. It is in parent years.

7. They're like dog years.

8. Damn you!

9. Why won't you let us sleep?

10. We shouldn't curse in front of him.

11. We didn't.

12. And he's obviously gonna be a rock star.

13. So might as well get used to hanging out with lowlifes.

14. He screams like Axl Rose.

15. And he's definitely a night owl.

16. Crying uses the vocal-fold muscles

17. very differently than singing.

18. And lots of jobs work at night.

19. Janitors, truck drivers, polysomnographic technologists.

20. All I know, with those eyes and that smile,

21. no way he ends up in any job

22. that doesn't involve being swarmed by supermodels.

23. Of whatever the hell gender he prefers.

24. I think we may need to get a swear jar.

25. Wouldn't work.

26. Ask my dad.

27. I'm sorry. I just don't get what the big deal is.

28. I've never even met your niece.

29. Yeah, because you've turned down

30. every invite to a family gathering.

31. Okay. I've just been really busy lately.

32. Last time my brother had a barbecue,

33. you went to a karaoke bar with Jordan instead.

34. That is not true.

35. - It was an ax-throwing bar. - Ash.

36. I've gone out of my way to be sensitive to your family history.

37. Mine is different.

38. We're all super close.

39. And... And this is a big deal. It's her confirmation.

40. I'm not asking you to go to the church service. Just the after party.

41. I can't tomorrow night.

42. I have a ton of work to catch up on. I gotta go.

43. Good morning. I'm Dr. Shaun Murphy.

44. This is Dr. Kalu and Doctor...

45. It smells like a brewery in here.

46. Sorry. We had a party at our fraternity last night.

47. Um, I was gonna shower, but my roommates,

48. they insisted I go to the ER immediately.

49. I-I can't hear out of my left ear.

50. When did you lose—

51. Miss Lukaitis is one of our med students.

52. She is here to observe.

53. Med students do not take patient histories

54. unless directed to.

55. I wasn't taking a history.

56. I see you got into a fight last night?

57. No. It was... It was a drinking game.

58. You take turns slapping each other in the face

59. and whoever flinches, they have to drink.

60. - Sounds fun. - Yeah.

61. I woke up with an insane headache.

62. I think I ruptured my eardrum.

63. I slapped my friend the other day to treat his hemophobia.

64. It seemed safe, but I'm probably not as strong—

65. There's bilateral otitis externa

66. and significant cerumen blockage.

67. Cerumen?

68. Yeah, you have an ear infection and a lot of earwax.

69. Oh.

70. Whoa. What happened here?

71. Ooh.

72. Oh, it's nothing. It's just a bruise.

73. Take more than a slap to cause that.

74. One of the guys in my fraternity

75. has one of those foam-round shotguns

76. that the police use for riot control.

77. Um, so we were testing it out on each other.

78. Mm. Mm.

79. Flush the ears with warm saline

80. and administer polymyxin B drops.

81. Then get X-rays to rule out a broken rib.

82. You can go with them.

83. I'd rather continue to shadow you.

84. I already know how to clear out earwax and—

85. Go with them.

86. 43-year-old male,

87. hand and arm caught in a meat grinder.

88. - Bay 6. - Okay. Got it?

89. We got it from here. Thanks.

90. Can you move your fingers?

91. I-I'm not sure.

92. Get a BP cuff on his other arm.

93. How'd it happen?

94. - I manage a food processing factory. - You got it upside down.

95. I was demonstrating how to clean the meat grinder

96. when an apprentice butcher

97. decided to turn the breaker back on.

98. I hate new employees.

99. Worse than worthless.

100. Oh, my God.

101. Get me an ortho-powered driver with a 4 millimeter hex head.

102. Get the double-action rongeur

103. so you can use it to pull off the grill.

104. Just skin and flesh. I don't see any bone.

105. Oh, thank God.

106. He's just... new.

107. Thanks for the walk invite.

108. I keep planning to exercise,

109. but then I wake up feeling like a broken-down old boxer.

110. Ugh, I know the feeling,

111. and I didn't even go through childbirth.

112. Babies are damn hard work.

113. Yeah. Damn hard. Thank you.

114. I've been wanting to talk to you.

115. I'm creating a living trust

116. to make sure Eden's taken care of.

117. And I'd like to name you and Shaun as Eden's guardians

118. if Park and I die.

119. Wow. I'm...

120. I'm flattered.

121. You and Shaun are great together.

122. And given Eden's special needs, you guys are a perfect choice.

123. Thank you.

124. That...

125. That means a lot to me.

126. And I'll talk to Shaun about it tonight.

127. I'm sorry.

128. It's okay.

129. I got a few minutes till the patient's sedatives take effect.

130. I've tried every antiemetic I could find.

131. Even started wearing this here wristband,

132. but nothing works.

133. I was a cop for 15 years before med school.

134. Saw a lot of rookies lose their lunch at a crime scene,

135. but never met one who didn't get used to it.

136. It'll become just part of the routine.

137. I just got to get through this rotation.

138. Hey, if you want to sit this one out, I'm fine.

139. You can hit the skills lab, practice suturing.

140. Before I went to med school,

141. I was a D-1 tackle.

142. Two most important things I learned is,

143. it's better to give than to receive,

144. and quitters never win.

145. Good.

146. Then let's go save a hand.

147. What are you doing?

148. I mean, besides forgetting about this morning's board meeting.

149. I didn't forget about this morning's board meeting.

150. So we're still doing this?

151. No, I didn't skip the meeting to prank you.

152. I did it to be here for the delivery.

153. A gift for both of us.

154. Ta-da!

155. You prefer to stay in your office, right?

156. And I'm certainly not going to leave the clinic.

157. So I thought, why not convert the president's office

158. into the president's lounge?

159. Sorry.

160. Co-Presidents' Lounge.

161. Oh, might as well add a putting green

162. and a wine cellar while you're at it.

163. I work better with a pool table.

164. Great.

165. The board had a list of issues they want addressed ASAP,

166. and since I actually attended the meeting,

167. I get to divvy them up.

168. Your half.

169. He's a cutie.

170. He's a moron.

171. When I'm fantasizing about him tonight,

172. I'm not gonna be picturing him helping me study for bio-chem.

173. Uh, that is not something we needed to know.

174. He's kind of got a Peter Parker vibe,

175. which is exactly my type.

176. How about you guys? What's your type?

177. Uh, we should probably just focus.

178. I bet you like tall women.

179. Uh-huh. - Uh...

180. I like sweet, handsome, caring, and, yes, tall men.

181. You're gay?

182. Right on. Top or bottom?

183. Oh, wow. Charlie...

184. you're not in your med-school study group, okay?

185. That is an inappropriate question for a co-worker.

186. You could be fired.

187. Employers have to consider

188. my neurodiverse communication style.

189. No one should be forced to change who they are

190. to be considered more professional.

191. Well, I'd suggest checking in with HR.

192. They may have a different idea of reasonable accommodations.

193. People at work talk about their relationships all the time.

194. Asking about someone's relationship's

195. a little different than asking about

196. their preferred sexual position.

197. The expression doesn't refer solely to sexual positions.

198. No rib fractures.

199. But...

200. what is that?

201. The bleeding's stopped.

202. The blades are acting like a tourniquet.

203. We need to get this hand out

204. before his fingers get necrotic.

205. What if we pull his arm while manually turning the blades in reverse?

206. Could grind up whatever's stuck even more.

207. We have to cut the machine open.

208. How? The Jaws of Life are way too big,

209. and a saw could cut his arm or overheat the metal.

210. Not if you irrigate with cold saline as I work.

211. I'll go just deep enough to weaken the metal,

212. and then we'll break it apart with a rib spreader.

213. Brilliant.

214. Get me an ortho oscillating saw with a metal cutting blade.

215. It's a very irregular shape.

216. Could be an intramural abscess in his esophagus.

217. The contrast enhancement wouldn't be so uniform.

218. Yes, that is true.

219. What about an esophageal cancer?

220. That would be unusual.

221. - He is very young and— A nonsmoker.

222. I'm confident we can excise the mass,

223. but we need to do an esophagogastroduodenoscopy

224. and biopsy first.

225. I have no idea what that is, but it sounds awesome.

226. Please do it now.

227. Uh, Charlie?

228. Hmm?

229. Uh, it might be better trying to be your authentic self

230. without repeatedly interrupting your boss.

231. Thank you, Dr. Kalu. I appreciate the advice.

232. I think you may need to go deeper.

233. I can't risk popping through and cutting the radial.

234. Park, he's bleeding again.

235. Should you do a vascular cut down and temporary ligation?

236. No, it's been too long already.

237. We need to get this thing open.

238. - Come on. Give me a hand. - I-I can't.

239. Yes, you can. Just close your eyes. Pretend you're at the gym.

240. - Come on. Come on.

241. All right. Go, go, go, go, go, go, go!

242. Keep going. It's working.

243. Pull, pull, pull! It's loose!

244. Lap sponges!

245. Severe contamination of hand and forearm,

246. arteries are trashed.

247. Major vascular gaps, radius and ulna are crushed.

248. Get the OR prepped.

249. We're gonna have to amputate it.

250. Advancing down the esophageal lumen.

251. Do you have a boyfriend?

252. Yes.

253. Approaching the gastroesophageal junction.

254. Is he tall?

255. Can we talk about this later?

256. Or not at all.

257. Doesn't make sense.

258. Dr. Kalu thinks I'm being too intrusive,

259. but I'm actually trying to establish a rapport.

260. I wasn't talking about him or you.

261. I meant the mass.

262. It's gone.

263. This doesn't make sense.

264. That's exactly what Dr. Wolke said.

265. The esophageal mass was definitely on the X-ray.

266. And on the neck CT.

267. But nowhere on the endoscopy.

268. - Maybe we should repeat all the tests? - No.

269. - We could— - I can't concentrate

270. if you keep interrupting me.

271. I didn't interrupt you.

272. I asked you a question. You said no,

273. so I attempted to make a suggestion,

274. then you interrupted me.

275. Could you please just be quiet?

276. Okay.

277. Okay.

278. He's disoriented and slurring his speech.

279. Phipps, do you know where you are right now?

280. Um, I go to San Jose State University.

281. He is disoriented, but no longer slurring.

282. - It was worse before. Okay.

283. Squeeze my fingers.

284. - Right-side weakness. - We should prep a bolus dose of TPA.

285. No, we should not do that.

286. Can you wiggle your toes?

287. But if he's having a stroke—

288. His speech is improving,

289. which makes a transient ischemic attack more likely.

290. And you ordered a nurse to prep an unindicated

291. and very risky medication.

292. - I didn't order her, just making a suggestion. - Get out.

293. - What? - You refuse to acknowledge you've made a mistake,

294. which wastes my time and endangers our patient.

295. Please leave the patient's room now.

296. We need a head CT-CTA to confirm it's a TIA

297. and not a brain bleed or tumor.

298. Checking pupils.

299. Ligation and sectioning of the viable arteries,

300. veins, and nerves complete.

301. Charriere.

302. I'll make the bone cuts as distal as possible

303. - on the forearm. Dr. Park.

304. I gotta leave.

305. Maybe he should sit this one out.

306. Bit of a worst-case scenario for him.

307. I gave him the opportunity.

308. He turned me down.

309. Have you gotten Morgan's fecal-sample fridge installed?

310. I thought the idea was to divide and conquer.

311. You do your half of the honey-do list,

312. and I do mine.

313. Yes, but just FYI,

314. Morgan needs the fridge installed

315. before she starts screening for the IBS trial.

316. Yes, I'm aware.

317. Then I assume you're also aware

318. that it needs a new electric panel,

319. and that Gail has put a freeze on all facility upgrades.

320. - Not my first rodeo. - Okay.

321. And the other stuff on the list?

322. I plan to ignore. You should do the same.

323. - You're advising I ignore the board? - Yes.

324. Much of their complaints are trivial in nature.

325. They'll either work themselves out or disappear completely,

326. which is good for us, because then we can do our actual jobs.

327. The current board isn't as passive

328. as the one you're used to dealing with.

329. The current board has some newbies, yes,

330. and they're very anxious to engage

331. and nitpick over every little silly thing.

332. But you know what? They'll learn. They always do.

333. I have an actual patient waiting.

334. Are we going in for a head CT?

335. Doctors Wolke and Kalu are.

336. You shouldn't have raised your voice to me like you did.

337. I spoke with an urgency

338. that was appropriate to the situation.

339. It may be appropriate to some,

340. but as a person on the spectrum,

341. I don't do well when shouted at.

342. I did not shout.

343. I'm letting you know the parameters

344. for communicating with me effectively.

345. I'd appreciate your cooperation.

346. I'll go join Doctors Wolke and Kalu.

347. No.

348. You will go to the skills lab

349. and study stroke protocols and procedures

350. for handling a TIA.

351. I didn't do anything wrong.

352. We didn't have to debride as much as I thought.

353. And there's more than enough palmar and dorsal flaps

354. to close the stump.

355. Checking my work? - No.

356. Just rubbernecking.

357. It's not every day you get to see

358. a meat-grinder partial radial amputation.

359. Thankfully.

360. But if I was checking,

361. now that I have a better view of the injured area,

362. the distal forearm vessels and nerves

363. are actually better than I expected.

364. If you could bridge those gaps,

365. I'm wondering if you might be able to reattach it.

366. Ischemic time is less than eight hours,

367. and that's best case, which this isn't.

368. Mm, not if there's a blood supply.

369. You could graft it to his ankle,

370. keep it perfused

371. while you prep the forearm stump for replantation.

372. You could really do that?

373. We've built new ears on forearms.

374. Wrist anatomy is a lot more complex.

375. And if we spread an infection to his leg,

376. he could end up losing two limbs instead of just one.

377. We could reduce the risk by planting antibiotic beads in the wounds.

378. Yeah, but not eliminate it.

379. Your call.

380. Prep and drape his left ankle.

381. Want a second set of hands?

382. Absolutely.

383. But don't you have a hospital to run?

384. That's what co-presidents are for.

385. CT-CTA doesn't show any blockages

386. or atherosclerosis.

387. I'm starting to think this might not be a stroke or a TIA.

388. The neuro symptoms didn't start

389. until after the esophageal mass disappeared.

390. Uh, not true.

391. No, he came to the ER with neurological symptoms,

392. a headache, and hearing loss.

393. Which isn't surprising,

394. given he let his idiot friends slap him upside the head.

395. Mm.

396. Speaking of idiots,

397. you should go to the confirmation party.

398. Jerome mentioned it.

399. It's one party. You might actually have fun.

400. Look, you love Jerome, right?

401. Right. So what makes you think you wouldn't like his brothers?

402. - They play hockey.

403. Didn't Jerome play hockey?

404. Yes, as a kid,

405. and not in something called the Beer League.

406. This isn't about hockey or beer, is it? You're just afraid.

407. I am not afraid. I'm actually... I'm very busy.

408. Or you're scared they won't like you.

409. Or that it's the next big step towards something

410. you're still not sure you want.

411. Thank you, Esther Perel, but I know exactly what I want.

412. - Okay. - Okay.

413. And I have it.

414. Well, maybe you should consider

415. making some sacrifices to hold on to it.

416. Had a nice walk with Morgan today.

417. She's preparing a living trust

418. and would like us to be Eden's guardians if she and Park die.

419. Okay.

420. "Okay" you're fine with that plan,

421. or "okay," you didn't hear a word I said

422. because you're still obsessing about Charlie?

423. I'm fine with Morgan's plan.

424. I was thinking about Charlie,

425. not obsessing.

426. I can't work with her constantly interrupting me.

427. She's a student, Shaun. She's excited.

428. She's enthusiastic.

429. Why does it matter if she is enthusiastic?

430. She makes a lot of mistakes.

431. Well, now's the time to make mistakes. She's a med student.

432. Charlie refuses to admit she's made them,

433. which means she cannot learn from them.

434. Are you sure about that?

435. Maybe she's embarrassed.

436. Maybe you're being a little bit too rigid.

437. You know, give her a chance to work things out.

438. I have not been rigid.

439. You're being rigid right now.

440. Why don't you try being a little more patient? Right?

441. I will... try to be more patient.

442. Great. Let's eat.

443. Ulnar to posterior tibial artery anastomosis complete.

444. Sutured the main dorsal to the saphenous vein

445. and created a fasciocutaneous flap

446. to provide temporary coverage.

447. Great. Then I think we're ready.

448. Releasing the clamps.

449. Awesome.

450. Totally awesome.

451. I understand you have a bit of a medical mystery on your hands.

452. Yes, it is very interesting.

453. How's your new med student?

454. She talks too much,

455. refuses to acknowledge mistakes,

456. and doesn't like to read textbooks.

457. That does sound like a challenge.

458. Dr. Glassman said I should just be patient

459. and give her time to adjust.

460. Wrong.

461. Glassman's favorite way to deal with a problem

462. is to avoid it and then hope someone else solves it.

463. You need to tell her precisely what you want her to do.

464. I have done that.

465. Well, do it again.

466. She's young and faces communication challenges

467. that you need to be sensitive to.

468. All her recommendations say she's smart but stubborn,

469. which, if managed properly, could be a great combination.

470. You of all people should know that.

471. Uh, why should I know that?

472. Because you also arrived here smart but stubborn.

473. You've become a great surgeon, and she will be, too.

474. But for now, she's like a puppy that needs to be trained

475. before all the bad habits take hold.

476. So don't be patient, be proactive.

477. Hmm.

478. There's no cyanosis, severe edema, or venous stasis.

479. Looks great.

480. - It looks gross. - Don't worry.

481. As soon as we clean up all the damage to your arm,

482. it'll go back to where it belongs.

483. Good, because I'm gonna need both hands

484. to wring that butcher's neck.

485. Dr. Park?

486. What's wrong?

487. There's some cellulitis at the forearm.

488. But don't worry. You're on antibiotics,

489. and we'll watch it closely until your next surgery.

490. Sorry. I'm running late.

491. It's like packing for the Lewis and Clark expedition

492. every time I leave the house now.

493. No worries. I got you an Americano.

494. Thanks.

495. Shaun agreed. We're good to go.

496. One thing...

497. I named you and Shaun as guardians

498. if both Park and I die, but also if just I die.

499. Why wouldn't Park be her guardian?

500. Don't tell me you guys are on the rocks again.

501. No, things are great.

502. Actually, better than great. They're fantastic.

503. So what's the problem?

504. The last thing I want

505. is for Eden to end up with an ex-boyfriend if I die.

506. We've only been back together a couple months,

507. so I'll revisit the plan in a year.

508. Okay. I'll let Shaun know tonight.

509. No, Shaun can't keep a secret.

510. I haven't told Park, and I'm not going to.

511. Are you insane?

512. You can't lie to Park, and I can't lie to Shaun.

513. It's not a lie. It's a secret.

514. And every marriage has them.

515. Uh, sure.

516. Like how much I spend on hair color

517. and how often I use his toothbrush,

518. but this is too big.

519. No, it's a tiny, temporary detail

520. that's meaningless unless I die in the next 12 months,

521. which isn't gonna happen.

522. Please, just take a few days, think about it.

523. That's all I'm asking.

524. I'm not gonna change my mind, but okay.

525. Head CT looks normal,

526. but the abdominal images

527. showed acalculous cholecystitis.

528. Hmm. That wouldn't explain his neurological symptoms.

529. But it does explain the fever

530. and the abdominal pain he has now.

531. We got another abdominal CT.

532. Gallbladder's dilated with extreme wall thickening.

533. Looks like it's about to rupture.

534. Doesn't make sense.

535. His most severe symptoms have been neurological,

536. and neither the bruise on his chest

537. nor the mass in the esophagus was near the gallbladder.

538. Whatever the cause,

539. his gallbladder needs to be removed.

540. Get him prepped.

541. - Charlie?

542. We need to have a talk.

543. Please have a seat.

544. I'd rather stand.

545. When I'm nervous,

546. sitting makes me feel uncomfortably constrained.

547. Okay.

548. You are still a student,

549. so it is normal for you to be making mistakes.

550. I haven't made any mistakes.

551. You ordered a nurse to prep an incorrect

552. and potentially dangerous medication.

553. I didn't order her. I made a suggestion.

554. And you talk too much,

555. often about things you shouldn't

556. and other times when you shouldn't be talking—

557. I learn more by discussing things

558. rather than reading a textbook or attending a lecture.

559. I do not lecture,

560. and I can't do my job

561. if you are always interrupting—

562. - At times, my speech pattern can be— - You just did it again.

563. So did you.

564. Compulsive speech is a characteristic of our neurodiversity.

565. Please s-stop talking.

566. I am being proactive.

567. I have precisely explained my expectations.

568. You can't order me to do something I'm incapable of.

569. I have a disability, and the law—

570. I am trying to help you. Okay?

571. I... understand

572. that ASD is considered a disability.

573. But I also know that you are capable of being silent.

574. If you want to remain on this case,

575. that is what I expect you to do.

576. You are to observe and nothing else.

577. Do you understand?

578. Yes.

579. Good.

580. Now you can go join Dr. Wolke and Dr. Kalu in the OR.

581. We've got adequate debridement

582. of the distal forearm stump.

583. This is gonna work.

584. Good call.

585. Hubank, any thoughts on what suture to use

586. for our arterial anastomosis?

587. I'm not sure.

588. Take your time.

589. Look closely at the angle we cut the vessels at.

590. I guess you could suture the ends

591. with a 4-0 Prolene

592. using an end-to-side formation.

593. Nice idea.

594. End-to-end anastomosis with parachute technique

595. would work even better.

596. I'm Dr. Reznick.

597. I assume you know that Park and I are in a relationship.

598. - Actually, no. I didn't— - Don't lie.

599. I know how fast the gossip gets out around here.

600. How's Park as a professor?

601. He's awesome.

602. Intuitive and supportive without being patronizing.

603. Stop.

604. The whole gentle-giant thing is lost on me.

605. What I respect is totally brutal, blunt honesty.

606. Think of me like Bill Belichick

607. but meaner and with better hair.

608. You're right. I lied.

609. I was actually told by a bunch of people on my first day

610. about the relationship that you and Park had.

611. I was also told how you broke up

612. then moved back in with one another

613. before breaking up again,

614. then got back together recently

615. because Park wanted to help you

616. take care of the baby that you wanted to adopt

617. but were too overwhelmed to do it yourself

618. while also running the clinical trials.

619. But I wasn't lying about Park being an awesome professor.

620. He's been pretty patient and supportive,

621. despite the fact that I don't want to be a surgeon,

622. and I faint or hurl

623. at the sight of any amount of blood.

624. But he's a great guy.

625. And I'm sure he'll be a great dad or stepdad

626. or whatever the label is

627. that you need him to be for you.

628. Is that blunt enough?

629. Yes. Thank you.

630. But careful.

631. Nobody likes a smart-ass.

632. Freeing up the last attachments to the liver.

633. Using ultrasonic coagulator

634. for hemostasis on the cystic plate.

635. What about an atypical presentation of lupus?

636. ANA and ESR are all normal.

637. That's why I said atypical.

638. I mean, what else could cause symptoms

639. in the esophagus, brain, and gallbladder?

640. Dr. Kalu, please irrigate

641. and lead the wound closure.

642. 0 Vicryl sutures on a long needle driver. Can I feel it?

643. Sorry. I know I'm not supposed to be talking,

644. but I've never felt a live organ before.

645. It needs to go to pathology.

646. And please don't distract Dr. Kalu.

647. Oh, she's not distracting me.

648. It's just gonna sit in the pathology fridge for a few hours anyway.

649. Do it quietly.

650. Thank you, Dr. Murphy!

651. Sponge here so I can see better.

652. Need another 0 Vicryl suture.

653. And I'll take the Metzenbaum scissors.

654. That's enough. Put it back now.

655. Wait. Just give me a— Ow!

656. I think a needle got left in the organ.

657. That's not possible.

658. We never suture inside the gallbladder.

659. I know I felt... felt it.

660. Ow! Okay. There is something sharp in here.

661. Uh, maybe it's an edge of a gallstone?

662. I'm coming.

663. Okay.

664. There is something protruding.

665. Small forceps.

666. Is it a hair?

667. No.

668. It's a metal wire.

669. Inside the gallbladder? How is that even possible?

670. It was definitely not part of a surgical tool.

671. Well, I read a case a few years ago.

672. A patient got a metal wire from a barbecue grill brush

673. lodged in his intestines.

674. When we were doing surgical prep,

675. Phipps said the last thing he'd eaten

676. was a cheeseburger at his frat's barbecue.

677. The disappearing mass in his esophagus

678. could've been caused by that wire lodged there

679. before it traversed the stomach wall

680. and ended up in the gallbladder.

681. That would be amazing.

682. It wouldn't explain his neurological issues.

683. Well, that could still be from the slaps.

684. But either way, we never would've noticed it

685. without Charlie's curiosity, so...

686. Yeah. Nice catch.

687. It was more of an accident than a catch, but thank you.

688. We need the strongest magnet we have. Stat!

689. What are you doing?

690. I'm teaching Steve how to run the table

691. while, simultaneously, Barry and I

692. are trying to figure out how to lower

693. the overhead cost of the clinic.

694. - Try those.

695. "The poop fridge equals presidential priority"?

696. You see, Steve? I told you,

697. alliteration comes off as pompous.

698. He prefers "poop" to "fecal samples."

699. I'm so glad you're enjoying yourself.

700. Meanwhile, Gail is coming down on me for things I didn't do.

701. Hey, it's my signature on the thing.

702. If Gail doesn't like it, she can come to me.

703. She knows you don't listen to her.

704. So, now, every time she has a problem, she comes to me.

705. Well, I can think of one way to solve that problem.

706. Aaron, I don't have time for these games.

707. You don't have time because you're constantly

708. trying to placate the damn board.

709. All they want is to feel recognized and respected.

710. All they want, they don't know it,

711. but what they really want is a well-run,

712. top-flight hospital.

713. Well, all Gail really wants now

714. is a full audit of all expenses for the past year.

715. Well, that's a colossal waste of time.

716. Well, I agree.

717. And after a 30-minute discussion,

718. I got Gail to agree as well.

719. This division of labor isn't working,

720. so from now on, you can deal with Gail.

721. Fine. Send her on over.

722. Just tell her to bring cash. We don't take markers here.

723. He's an ass.

724. Not an ass.

725. What are you gonna do with that?

726. It may be slightly painful,

727. but it's much safer than another surgery.

728. Open wide and say, "Ahh."

729. Ahh.

730. That was in my tonsil?

731. Yes, it caused an infection and fluid build-up in your ear

732. and irritated your carotid artery,

733. which caused the neurological symptoms.

734. You shouldn't ever clean a cooking surface with a wire brush,

735. or let someone slap you,

736. or shoot you with a foam shotgun slug.

737. That is so cool.

738. Yes. It is.

739. I can't wait to get back to work.

740. I wouldn't rush it.

741. It's gonna take time and plenty of physical therapy

742. to get your function back.

743. I don't mean so I can work.

744. I mean so I can fire that damn butcher.

745. The new CTs are all clear.

746. No more wires floating around.

747. And you might want to take it easy

748. with the frat parties for a while.

749. I'm actually not that big a partier.

750. I grew up an only child, so I always wanted brothers,

751. and now I have like 50 of them.

752. They've helped me through all sorts of stuff.

753. A lot of the crazier stuff they do isn't my thing.

754. Um...

755. But I feel like I owe it to them to participate.

756. To be there for them like they were for me.

757. That's very generous of you.

758. You're doing great.

759. No, I'm not.

760. Can't even watch a surgery

761. from another room without dry-heaving.

762. That patient would've bled out in the ER

763. if you hadn't helped break open the grinder.

764. Yeah. I make a great crowbar.

765. Surgery is always a team effort.

766. I'm happy to have you on my team.

767. Dr. Park...

768. Dr. Murphy, can I talk to you?

769. I am trying to get home to put Steve down.

770. This won't take long.

771. I just wanted to tell you how impressed I was with you,

772. how you were able to move that wire fragment

773. from the tonsil without surgery.

774. It was very ingenious.

775. And I also wanted to thank you

776. for letting me observe you in surgery.

777. I learned a whole lot.

778. Oh. That's good.

779. And you're welcome.

780. When I found the first wire in the gallbladder,

781. it saved both the patient and us a lot of time.

782. That is true.

783. That's a big contribution from a medical student, don't you think?

784. I believe your intense curiosity

785. and attention to organization

786. will one day make you an excellent pathologist.

787. I don't want to be a pathologist.

788. I understand,

789. but given your aversion to textbooks,

790. your extreme impatience...

791. I'm not impatient.

792. I'm an assertive, dedicated, hard worker.

793. And your refusal to acknowledge and learn from your mistakes...

794. I just want to be a surgeon.

795. Like you.

796. Oh. You're nothing like me.

797. And I don't think you should ever be a surgeon.

798. Hey, about to head out to Elizabeth's party.

799. I just wanted to say goodbye.

800. Should be home by 11:00.

801. Wait!

802. I'm coming with you.

803. Sure this elevator's big enough for the both of us?

804. - I'm not sure the hospital is. - Well, that's fine.

805. I'll resign my share of the co-presidency.

806. - Not if I beat you to it.

807. Hey, Charlie.

808. Are you getting out or just taking a ride?

809. Charlie, are you okay?

810. No.

811. Charlie should not be upset.

812. I told her she would make an excellent pathologist.

813. Well, you've only worked with her for two weeks.

814. And isn't she hoping to be a surgeon?

815. You said that I should be proactive.

816. Proactive?

817. That's not proactive. That's hurtful.

818. Maybe it's not what you meant, but—

819. I was telling the truth.

820. I tried to be patient, like you said,

821. but that also did not work.

822. We gave you some conflicting advice,

823. which clearly didn't help matters.

824. So maybe now, together, we can find a better strategy.

825. Charlie has a unique learning style—

826. Why do I need a strategy?

827. I am a good surgeon and a good teacher.

828. Good teachers adjust to their students, Shaun.

829. Maybe there's something you could do.

830. Maybe there's something you should do.

831. I have already made adjustments.

832. Okay. Make some more.

833. - Why? - Why?

834. - Because it's the— - 'Cause she needs—

835. Because she needs them, like you did.

836. No one ever made things easier for me.

837. Or went out of their way to make accommodations for me.

838. Shaun.

839. I'm sure you believe that, but that is simply not true.

840. Dr. Melendez put me on scut work

841. and threatened to fire me.

842. Dr. Han transferred me to pathology,

843. but I never gave up,

844. and I learned how to accept criticism

845. and improve my communication skills

846. in order to become a good surgeon.

847. Han and Melendez,

848. and I'm sure many other people, were wrong about you.

849. But that doesn't mean you should treat Charlie—

850. I am not wrong about Charlie.

851. She should not be a surgeon.

852. You know what, Shaun?

853. You sound like Han now.

854. You're being unfair.

855. No.

856. I am an attending.

857. It is my decision

858. how to manage the medical students on my cases.

859. I am going home now.

860. That went well.

861. Yeah.

862. Straight pool or 8 ball?

863. You can break.

864. Okay.

865. This is gonna be hilarious.

866. And from my favorite uncle, Jerome,

867. and his adorable boyfriend, Asher...

868. Is this what I think it is?

869. It is!

870. I love it!

871. - Thank you, thank you, thank you! - I'm so glad you like it.

872. You bastard.

873. She's not wearing that in this house.

874. - Yes, I am.

875. Go, Kings, baby!

876. Yes! Whoo!

877. You like them. We got it.

878. Boom, boom, boom, boom, boom!

879. That was good! Yeah!

880. I told the attorney that if I die,

881. I want you to be Eden's guardian.

882. I know. You already told me that.

883. I was lying.

884. But this time, I'm not.