1. Previously on
"The Good Doctor"...Copy !req
2. Dr. Murphy, you shouldn't
be in contact with patients.Copy !req
3. Or their families.
Do you understand?Copy !req
4. Don't be stupid.Copy !req
5. What?
There's no cameras in here.Copy !req
6. Dr. Lim, Dr. Melendez.Copy !req
7. I do not want
to be a pathologist.Copy !req
8. Dr. Han, you need to make me
a surgical resident again.Copy !req
9. Hey.Copy !req
10. What are you doing up so early?Copy !req
11. I'm not up early.Copy !req
12. I never went to bed.Copy !req
13. My God. Didn't you get my text?Copy !req
14. I told you I was spending
the night with Jake.Copy !req
15. I don't want to be a pathologist.Copy !req
16. It's... that still.Copy !req
17. Shaun...Copy !req
18. no one's life goes exactly
like they dreamed as a kid.Copy !req
19. You're still a doctor.
Still saving lives.Copy !req
20. Just in a lab instead of
an operating room.Copy !req
21. Where are you going?Copy !req
22. I'm going to walk to work.Copy !req
23. The hospital's four miles away.Copy !req
24. Studies have shown that walking
boosts creative inspiration.Copy !req
25. - Shaun, I just think...
- You don't understand.Copy !req
26. You... don't understand.Copy !req
27. Neither does Dr. Han.Copy !req
28. I need to change his mind.Copy !req
29. I don't know how.Copy !req
30. We're gonna be late.Copy !req
31. So stop.Copy !req
32. And don't be smiling at me
when you see me in the hall.Copy !req
33. I smile at everyone.
I'm a friendly guy.Copy !req
34. You'd be a horrible poker player.Copy !req
35. - What're you doing?
- Murphy's on the corner.Copy !req
36. Move it.Copy !req
37. That's not where his bus drops off.Copy !req
38. Do you think he saw us?Copy !req
39. He's not looking over here.Copy !req
40. Well, that doesn't
mean anything with him.Copy !req
41. We got to get out of here
before the light turns.Copy !req
42. Let's go! Move it!Copy !req
43. Through the generous support of
St. Bonaventure Foundation,Copy !req
44. we've been able to transport
Kenny and his motherCopy !req
45. from their home in Mississippi.Copy !req
46. And we'll be covering the costsCopy !req
47. of surgery and post-op recovery.Copy !req
48. And all I have to do
is buy one CD a monthCopy !req
49. for the next 100 years.Copy !req
50. No repayment necessary.Copy !req
51. We appreciate you allowing us
to share your caseCopy !req
52. as an educational opportunity
for our staff.Copy !req
53. You know what they say...
those who can't... teach.Copy !req
54. And as you can see,
I can't do much of anything.Copy !req
55. Actually, y'all haven't
really seen anything yet.Copy !req
56. How about we get this party
started?Copy !req
57. The neurofibroma started
as a small bumpCopy !req
58. near the base of the spine.Copy !req
59. In less than six months,Copy !req
60. it encircled his abdomen
and grew to over 100 pounds,Copy !req
61. the blood supply becoming so
intertwined with the patient's,Copy !req
62. it was deemed inoperable.Copy !req
63. But we've been able to come up
with an innovative surgical planCopy !req
64. that will allow us
to slowly peel the tumorCopy !req
65. off the front and back
of his torsoCopy !req
66. in one piece
and give Kenny his life back.Copy !req
67. Season 02 Episode 17.Copy !req
68. Episode Title "Breakdown".Copy !req
69. We didn't expect to see you.Copy !req
70. This is just about logistics,
witness lists, scheduling.Copy !req
71. The hospital's attorneyCopy !req
72. could've handled this
on his own, Dr. Han.Copy !req
73. I understand, but
I wanted to be here.Copy !req
74. Three reasons really.Copy !req
75. If my doctors are gonna be
judged in this room,Copy !req
76. I wanted to see the place,Copy !req
77. see all of you,
and see the mood...Copy !req
78. Well, we try to make it
very casual.Copy !req
79. I know.Copy !req
80. But have you ever been judged?Copy !req
81. I have.Copy !req
82. It's scary.Copy !req
83. Someone has gone to the troubleCopy !req
84. of checking out
every aspect of your actions,Copy !req
85. every decision you've made.Copy !req
86. You don't know what they know,
what they're gonna ask,Copy !req
87. what could be misunderstood,
misinterpreted.Copy !req
88. Also,
and this is kind of embarrassing,Copy !req
89. but our lawyer...Copy !req
90. probably not the best.Copy !req
91. I decided to save
a few dollars on him.Copy !req
92. So I could hire
a private investigator...Copy !req
93. check all of you out.Copy !req
94. We're not the ones on trial here.Copy !req
95. See?Copy !req
96. You say you make it casual,
and then you call it a trial.Copy !req
97. Now, I'm sure
she won't find anything.Copy !req
98. I mean, nothing too crazy,
right?Copy !req
99. Maybe just something...
embarrassing.Copy !req
100. Maybe a lapse of judgment
here or there.Copy !req
101. I mean, like I was saying,Copy !req
102. you parse every choice
anyone has made,Copy !req
103. gonna be a few things
they'd rather not revisit.Copy !req
104. Am I right?Copy !req
105. And the third reason?Copy !req
106. I thought maybe you'd want
to work out a compromise.Copy !req
107. The surgery went well.Copy !req
108. We were able to fully evacuateCopy !req
109. the subdural hematoma
without any complications.Copy !req
110. It's a good thing you didn't
hesitate to bring her in.Copy !req
111. One advantage of being
an insecure, first-time momCopy !req
112. who panics every time
her child has a slight fever.Copy !req
113. Did I just hear you admit
that you're insecure?Copy !req
114. The girl who double-majored
in Physics and ChemistryCopy !req
115. because the Dean told her
they were the two toughest?Copy !req
116. Mom guilt ruins us all.
You'll see.Copy !req
117. Whenever you decide
to give up the motorcycleCopy !req
118. - and settle down.
- No way.Copy !req
119. My kid's going to kindergarten
on the back of a Ducati.Copy !req
120. I'm sorry. I need to go
check on another patient.Copy !req
121. How long
will she need to stay here?Copy !req
122. I'm still not sure
what caused the bleeding.Copy !req
123. I didn't see any signs of an
aneurysm or AVM, so that's good.Copy !req
124. I'll have a better idea when
I get the post-op test resultsCopy !req
125. back from Pathology.Copy !req
126. Thank you.Copy !req
127. This is why I love Pathology.Copy !req
128. We don't just fix stuff.Copy !req
129. We figure out how it got broken.Copy !req
130. And why.Copy !req
131. Good morning.Copy !req
132. Just checking to make sure
you got my clot specimenCopy !req
133. - and blood draws.
- Just logged them in.Copy !req
134. Great. And if there's any way
to expedite, I'd appreciate it.Copy !req
135. The mom's a friend of mine
and stressed to the max.Copy !req
136. I'm pretty sure the bleed wasCopy !req
137. - caused...
- Stop.Copy !req
138. I'm sorry. I meant...
please stop.Copy !req
139. I'd rather not know
what you think.Copy !req
140. It causes confirmation bias.Copy !req
141. Copy that.Copy !req
142. Hey. Um...Copy !req
143. Did I see you on Hanover Street
this morning?Copy !req
144. I... don't know.Copy !req
145. Were you on
Hanover Street this morning?Copy !req
146. Yes.Copy !req
147. I walked to work.Copy !req
148. Did you... see anything interesting...Copy !req
149. on the walk?Copy !req
150. S-Shaun?Copy !req
151. We can't both expedite
your resultsCopy !req
152. and reminisce
about our morning walks.Copy !req
153. Sorry. Carry on.Copy !req
154. You're totally freaking out,
aren't you?Copy !req
155. No, I'm not freaking out.Copy !req
156. All my patients freak outCopy !req
157. waiting for their
final test results.Copy !req
158. For 48 hours, you don't know
if you've won the lotteryCopy !req
159. or... if you're gonna be dead
in a few months.Copy !req
160. Hell, I freak out, too.Copy !req
161. It's the only time
I feel helpless.Copy !req
162. The treatment's over.
There' s nothing leftCopy !req
163. to do but... wait.Copy !req
164. I'm a little stressed.Copy !req
165. That speech... not helpful.Copy !req
166. My advice. Embrace it.Copy !req
167. You're experiencing emotionsCopy !req
168. only a few people on Earth
will ever understand.Copy !req
169. The kind Hemingway wrote about.Copy !req
170. - I'm more of a Faulkner guy.
- You would be.Copy !req
171. - You don't like Faulkner?
- No, I don't like Faulkner.Copy !req
172. Nobody really likes Faulkner.Copy !req
173. I like Faulkner.Copy !req
174. Right.Copy !req
175. Anyway...Copy !req
176. if there's anything
you need from me,Copy !req
177. even if it's just to talk,Copy !req
178. you have my direct number.Copy !req
179. Do not hesitate to use it.Copy !req
180. I appreciate that.Copy !req
181. And I would
like to show my gratitude.Copy !req
182. I know I haven't beenCopy !req
183. the easiest patient
to deal with.Copy !req
184. That's not necessary.Copy !req
185. I mean, if you want,Copy !req
186. you can make a donation
to cancer research.Copy !req
187. I already donate.
I wanted to thank you,Copy !req
188. not society at large.Copy !req
189. How about... Have you ever tried
Macallan's Sherry Oak 25?Copy !req
190. I don't drink.Copy !req
191. And I just said
it's not necessary.Copy !req
192. How about a weekend in Ojai?
I hear the spa is amazing.Copy !req
193. - No means no.
- I'm not trying to molest you.Copy !req
194. I just want to thank you.Copy !req
195. And you have,
and you are very welcome.Copy !req
196. Why do you have to control everyCopy !req
197. - little thing?
- I have pepper spray in my purse.Copy !req
198. Don't make me use it.Copy !req
199. Carly, I am gonna need 60 unitsCopy !req
200. of type B-positive packedCopy !req
201. red blood cellsheld for O.R.Copy !req
202. 60?Copy !req
203. You operating on
a hemophiliac elephant?Copy !req
204. Our patient has a 200-pound
neurofibroma.Copy !req
205. Cool.Copy !req
206. There's more blood in the tumor
than the patient,Copy !req
207. so we're gonna have to follow
Massive Transfusion Protocol.Copy !req
208. You...Copy !req
209. You might need antifibrinolytic agentsCopy !req
210. to control the bleeding.Copy !req
211. That's a good idea. Thanks.Copy !req
212. I could do some research
on cell salvage techniques.Copy !req
213. - Cancer is a risk, but if we were...
- I'm sorry, Shaun.Copy !req
214. Melendez has put together
a pretty big team, so...Copy !req
215. we have everything we need.Copy !req
216. I talked to Murphy.
He definitely saw us.Copy !req
217. What'd he say?Copy !req
218. It's not what he said.
It's how he acted.Copy !req
219. He was clearly uncomfortable
talking to me.Copy !req
220. He's uncomfortable
talking to everyone.Copy !req
221. We need to get out in front of this.Copy !req
222. Tell Andrews before
someone else does.Copy !req
223. We need to figure out
exactly what Murphy saw.Copy !req
224. How? We can't just ask him
if he saw us making...Copy !req
225. bread.Copy !req
226. We're not gonna get anywhere
with indirect questions.Copy !req
227. I'll talk to him.Copy !req
228. You think you can read him
better than I can?Copy !req
229. No, but if at first
you don't succeed...Copy !req
230. Let the man try?Copy !req
231. Dr. Han wants to see you two.Copy !req
232. - Both of us?
- Yep.Copy !req
233. Yep.Copy !req
234. Have a seat.Copy !req
235. Actually, we've been meaning
to talk to you.Copy !req
236. - The issue is...
- Dr. Han met with the medical board.Copy !req
237. We're not going to be suspended
or reprimanded.Copy !req
238. The hospital will pay fines
on your behalf,Copy !req
239. and you'll need to complete
a few continuing education classes.Copy !req
240. But overall, not bad.Copy !req
241. Thank you.Copy !req
242. Yeah, thanks.Copy !req
243. Does this mean I'm back
on the surgical team?Copy !req
244. No. It does not.Copy !req
245. You convinced the Board
that he's competent.Copy !req
246. You're welcome.Copy !req
247. We got a big problem.
With our tiny patient.Copy !req
248. I did a repeat assessment
of the pre-op CT'sCopy !req
249. and found a trace
subarachnoid bleed.Copy !req
250. But there was
no bruise on her scalp.Copy !req
251. I know.Copy !req
252. The only way
she could get this injuryCopy !req
253. is if someone shook her,Copy !req
254. and they would have
to shake her hard.Copy !req
255. S-Someone abused her.Copy !req
256. No.Copy !req
257. I've known Laura
since high school.Copy !req
258. She's the most composed,Copy !req
259. even-tempered person
I've ever met.Copy !req
260. And she's totally devoted
to that baby.Copy !req
261. What about the father?Copy !req
262. She conceived via a donor.Copy !req
263. A nanny, a relative,Copy !req
264. a-a boyfriend
who's been helping out?Copy !req
265. She waited so long for this...Copy !req
266. wanted to do everything herself.Copy !req
267. Then it has to be her.Copy !req
268. We need to call
Child Protective Services.Copy !req
269. No.Copy !req
270. Not yet.Copy !req
271. I'm gonna do an MRICopy !req
272. to rule out benign enlargement
of the extra-axial space.Copy !req
273. - Before we ruin her life...
- Good idea.Copy !req
274. Except for the part
about you doing the test.Copy !req
275. She's your friend.Copy !req
276. You think I'd try to help
someone cover up child abuse?Copy !req
277. I don't know you well enough
to knowCopy !req
278. what you would or wouldn't do
to protect a friend.Copy !req
279. I could do the MRI.Copy !req
280. I'm not the mother's friend.Copy !req
281. But you are a pathologist.Copy !req
282. Giving MRI's is not your job.Copy !req
283. Page Farmer. Have him do it.Copy !req
284. On it.Copy !req
285. Murphy.Copy !req
286. We need to talk.Copy !req
287. I don't have a girlfriend.Copy !req
288. Okay.Copy !req
289. Is that consistent withCopy !req
290. what you've deduced and seenCopy !req
291. regarding my life?Copy !req
292. Yesss?Copy !req
293. Good.Copy !req
294. Enjoy your apple.Copy !req
295. It's not fair.Copy !req
296. Shaun is being punished for mistakesCopy !req
297. that Han thinks
he might make in the future.Copy !req
298. He's not punishing him.Copy !req
299. He just saved his ass.Copy !req
300. Okay, Kenny.
The MRA's gonna help us mapCopy !req
301. the blood supply to the tumor.Copy !req
302. If you could just lie still.Copy !req
303. No talking until we're done.Copy !req
304. Sure, no problem.Copy !req
305. We should take a stand.Copy !req
306. - Meaning what?
- Stage a walkout?Copy !req
307. How much does one of these
bad boys cost, anyway?Copy !req
308. About $3 million.Copy !req
309. But it's worthless
unless you stop talking.Copy !req
310. Sorry. My bad.Copy !req
311. Us getting fired is not gonna do
anything to help Shaun.Copy !req
312. And I'm not even sure
we should be helping him.Copy !req
313. Did you ever stop to thinkCopy !req
314. that maybe Han knows
what he's doing?Copy !req
315. Shaun has made mistakes,Copy !req
316. but he has
three more years of residency.Copy !req
317. That is plenty of time
to improve.Copy !req
318. Yes, you can build
a winning teamCopy !req
319. through supportive training,Copy !req
320. but you can also do it
by recruiting the bestCopy !req
321. and pushing them. Relentlessly.Copy !req
322. No feelings. No charity.
No loyalty.Copy !req
323. Those who thrive and get betterCopy !req
324. than they ever thought
they could, you keep...Copy !req
325. and those who don't, you cut.Copy !req
326. That's not good.Copy !req
327. It works for Jeff Bezos
and Bill Belichick.Copy !req
328. I'm not talking about
your leadership lecture.Copy !req
329. I'm talking about this.Copy !req
330. We need to page Melendez.Copy !req
331. What are you talking about?
You know me!Copy !req
332. How could you possibly believe
I could hurt my baby?Copy !req
333. I don't. Which is why I ordered
the additional tests.Copy !req
334. But did you never leave her
with anyone else?Copy !req
335. Even for just a few minutes
so that you could take a nap?Copy !req
336. Or a bath?Copy !req
337. Taking care of a newborn.
It's... It's exhausting.Copy !req
338. No. It isn't.Copy !req
339. After waiting for so long,Copy !req
340. every single moment,
no matter how hard...Copy !req
341. It's not exhausting.Copy !req
342. It's a joy.Copy !req
343. Laura, I know you love her...Copy !req
344. but you're still human.Copy !req
345. You must get tired sometimes.Copy !req
346. I don't! Really.Copy !req
347. You don't understand
because you...Copy !req
348. because you haven't
experienced it.Copy !req
349. But when you love someone
so much...Copy !req
350. The tests.Copy !req
351. They have to be wrong.Copy !req
352. We expected the tumor to grow
since the last scans,Copy !req
353. but not to this extent.Copy !req
354. Blood vessels that I thoughtCopy !req
355. we'd be able to quickly cauterizeCopy !req
356. are now thicker than my thumb.Copy !req
357. It's impossible to remove the tumorCopy !req
358. without causing you
to bleed to death.Copy !req
359. No.Copy !req
360. I don't care how risky it is.Copy !req
361. I'd rather die in surgery
than continue to liveCopy !req
362. with this huge, damn tickCopy !req
363. sucking the life out of me.Copy !req
364. Kenny, as long as your heart
remains healthy,Copy !req
365. you basically will be, too.Copy !req
366. And we can do a better job
treating the pain.Copy !req
367. I don't want to be treated.Copy !req
368. I want to be cured.Copy !req
369. I want my life back.Copy !req
370. I always thought all...Copy !req
371. all I had to do was
get enough money,Copy !req
372. or find the right doctors...Copy !req
373. But if you're telling me
there's no hope...Copy !req
374. I appreciate
everything y'all done.Copy !req
375. Or at least tried to do.Copy !req
376. The injuries from shaking a babyCopy !req
377. are much different
than from blunt force trauma.Copy !req
378. That's awful...
but also interesting.Copy !req
379. It's like you're a detective
in a murder mystery.Copy !req
380. Only, thank God,
the baby's not dead.Copy !req
381. That's exactly what Carly said.Copy !req
382. She likes solving
medical mysteries.Copy !req
383. She's very smart.
And aggressive.Copy !req
384. Well, how do she treat you?
Is she nice?Copy !req
385. Yes, she's very nice.Copy !req
386. She wants me to stay
in her department.Copy !req
387. She thinks we make a good team.Copy !req
388. So it sounds like you have
a case you're interested inCopy !req
389. and a coworker you like
who's nice to you.Copy !req
390. Maybe Pathology won't be
that bad after all.Copy !req
391. I have work to do.Copy !req
392. Since it seems we're gonna be
working togetherCopy !req
393. for a while longer...Copy !req
394. maybe it is time
we came out of the closet.Copy !req
395. Maybe?Copy !req
396. Are you saying you want to?Copy !req
397. Do you want to?Copy !req
398. Maybe.Copy !req
399. You're afraid it would
make things awkward?Copy !req
400. People seeing us as a couple?Copy !req
401. Yes, obviously.Copy !req
402. But at the moment,
I'm more afraidCopy !req
403. that we wouldn't
be having this conversationCopy !req
404. if Murphy hadn't
almost busted us.Copy !req
405. Which makes me think we're not
ready to have this conversation.Copy !req
406. It's understandable
if we aren't.Copy !req
407. We've both been in relationshipsCopy !req
408. we thought were gonna last...Copy !req
409. Yeah. Understandable,
but why should we even careCopy !req
410. what people at work think?Copy !req
411. So, should we talk to Andrews?Copy !req
412. Maybe. What do you think?Copy !req
413. Maybe.Copy !req
414. Sawchuck?Copy !req
415. - Sorry for the wait.
- Thank you.Copy !req
416. Excuse me, duck curry and rice?Copy !req
417. 40 minutes? Really?Copy !req
418. Sorry, the kitchen fell a bit
behind.Copy !req
419. - It shouldn't be much longer.
- You're not just behind.Copy !req
420. People have come in after me,Copy !req
421. they've gotten their food,
gone home, eaten.Copy !req
422. They're in their PJs,
watching a movie.Copy !req
423. I'm so sorry.
I'll check right now.Copy !req
424. - Duck curry.
- Here you go, sir.Copy !req
425. Duck curry, brown rice.Copy !req
426. - White rice.
- Um, excuse me.Copy !req
427. - Duck curry with brown rice?
- Yes.Copy !req
428. - Connelly?
- That's me. Thank you.Copy !req
429. What are you guys doing
back there?Copy !req
430. I'm so sorry, Sir.Copy !req
431. You know what?
I'm tired of sorry.Copy !req
432. I just... I want my food!Copy !req
433. I'm sorry. It should just be
another minute.Copy !req
434. I don't want to wait any longer!Copy !req
435. I'm sorry.Copy !req
436. Sorry. I'm sorry.Copy !req
437. I didn't... I didn't mean to yell.Copy !req
438. I'm so sorry.Copy !req
439. Carry on. Carry on.
Enjoy your...Copy !req
440. She's always trying
to one-up us.Copy !req
441. Morgan.Copy !req
442. She's not staying late because
she wants to do research.Copy !req
443. She's staying late so that Han
can see she's staying late.Copy !req
444. It's just who she is.
Don't take it personal.Copy !req
445. My dad's
a Taekwondo grandmaster.Copy !req
446. Coached me growing up.Copy !req
447. He always used to say,
"Only you can beat you."Copy !req
448. Well, my mom's a lounge singer,
and she used to say,Copy !req
449. "Upstage me
and I'll beat your ass."Copy !req
450. You'd think
if you're selling boba,Copy !req
451. you'd have straws wide enoughCopy !req
452. to get the balls through
the damn thing.Copy !req
453. I can't believe
you drink that stuff.Copy !req
454. It's like putting
gummy bears in a drink.Copy !req
455. You give up?Copy !req
456. Want a soda instead?Copy !req
457. I see you.Copy !req
458. Which is, I assume,
your primary objective.Copy !req
459. I didn't even know
you were still here.Copy !req
460. I've been reading
the latest journal articlesCopy !req
461. - on neurofibroma...
- Go home.Copy !req
462. There's nothing you can do
for Kenny Grimm.Copy !req
463. And you're gonna have
other patients tomorrow.Copy !req
464. I got an idea.Copy !req
465. If we embolize the larger
blood vesselsCopy !req
466. to the tumor before surgery,Copy !req
467. we can use
your body's clotting factorCopy !req
468. to help clog them.Copy !req
469. This should reduce
hemorrhaging during surgeryCopy !req
470. and allow us to excise the tumor
without you bleeding out.Copy !req
471. We'll steer a catheter through
an artery in your thigh...Copy !req
472. - Yes.
- Kenny...Copy !req
473. maybe
you should let them finish.Copy !req
474. No, I shouldn't.Copy !req
475. And, yes, you should.Copy !req
476. Yes, yes, yes.
As soon as possible. Yes.Copy !req
477. Thank you.Copy !req
478. The tests came back.Copy !req
479. They confirm
the previous results.Copy !req
480. Well, they're wrong.
There must be some other...Copy !req
481. There has to be
another test! Please.Copy !req
482. Ma'am, you're gonna need
to come with us.Copy !req
483. - You need help.
- From you!Copy !req
484. You're my friend,
and you called the police?Copy !req
485. Well, someone hurt your baby.
If it wasn't you...Copy !req
486. No one hurt my baby!
You're wrong!Copy !req
487. How can you not believe me?Copy !req
488. Just need to get a few more
branches off the aortaCopy !req
489. and we're done.Copy !req
490. Well done, Dr. Browne.Copy !req
491. What's the fluid status?Copy !req
492. CVP is 14 and rising.Copy !req
493. Get diuretics on deck.
40 milligrams I.V. Lasix.Copy !req
494. Careful.
If his pressure goes too low,Copy !req
495. his kidneys won't perfuse.Copy !req
496. I need you to keep his CVP
between 8 and 12.Copy !req
497. He can't tolerate
much more of this.Copy !req
498. We need to get him to an O.R.Copy !req
499. Embolizing his vessels caused
third spacing of fluidsCopy !req
500. to the body and lungs.Copy !req
501. We saved the operation,Copy !req
502. but now we only have
half the time do it.Copy !req
503. Hey.Copy !req
504. Any word?Copy !req
505. No, not yet.Copy !req
506. Well, I-isn't there someone
from RadiologyCopy !req
507. who can expedite,
someone who owes you a favor?Copy !req
508. Even if there was,
I would not waste it on youCopy !req
509. because you do not need it.Copy !req
510. You are one of the most willful
patients I've ever had,Copy !req
511. and the finish line is in sight.Copy !req
512. All you need to do
is just run through the tape.Copy !req
513. Look, if it helps, as soon as
I'm done with this patient,Copy !req
514. we can talk some more.Copy !req
515. I can write you a scriptCopy !req
516. for something to help you
with the anxiety,Copy !req
517. but I don't think you need it.Copy !req
518. You got this.Copy !req
519. - More suction.
- Me, too.Copy !req
520. More sponges.Copy !req
521. Retract.Copy !req
522. That's it.Copy !req
523. What's his estimated blood loss?Copy !req
524. About 81/2 liters.Copy !req
525. The entire human bodyCopy !req
526. typically only has
51/2 liters of blood.Copy !req
527. Yeah, I know.Copy !req
528. Let's get 30 more units
on deck of PRBC.Copy !req
529. Add cryo, fresh frozen plasma,
and platelets to that.Copy !req
530. We should have checked
for blood breakdown products.Copy !req
531. If you don't mind, I'm trying
to pay attention to this.Copy !req
532. I wasn't talking to you.Copy !req
533. Or about this patient.Copy !req
534. We need to reexamine the
subdural blood clot specimens.Copy !req
535. If there's hemosiderin
deposition and chronic membranesCopy !req
536. including fibrous wall,Copy !req
537. it could prove it was not abuse.Copy !req
538. What else could it be?Copy !req
539. The tests proved
non-accidental trauma.Copy !req
540. Yes. The tests were right.Copy !req
541. Resected portion is secure.Copy !req
542. I.V.'s and central line?Copy !req
543. - Secure.
- Secure.Copy !req
544. Okay, everybody, get in position.Copy !req
545. Let's flip this pancake.Copy !req
546. On three.Copy !req
547. One, two, three.Copy !req
548. Wait. His heart rate spiked.Copy !req
549. Lay him back down.Copy !req
550. Softly. Softly.Copy !req
551. We okay?Copy !req
552. Yeah. Just a blip.Copy !req
553. Once more with feeling.Copy !req
554. Ready? One, two, three.Copy !req
555. - How are we doing?
- Good. He's stable.Copy !req
556. All right, swab the posterior
incision site.Copy !req
557. Okay, scalpel and sponge
on a stick.Copy !req
558. He's crashing.Copy !req
559. He's ventilating fine.Copy !req
560. We've got no immediate
blood loss or hemorrhaging.Copy !req
561. It looks like distributive shock.Copy !req
562. I need stat labs and
initiate shock resuscitation.Copy !req
563. He's got a high white count
and what looks to beCopy !req
564. a systemic pro-inflammatory
cytokine release.Copy !req
565. Cutting off the blood supply
to the tumorCopy !req
566. is causing post embolization syndrome.Copy !req
567. I need intra-arterial lidocaine,Copy !req
568. 130 milligrams of methylprednisolone,
and start antibiotics.Copy !req
569. Should we be trying
to reverse the embolization?Copy !req
570. Restore blood flow to the tumor?Copy !req
571. Well, then, we'd risk him
bleeding out even faster.Copy !req
572. We need to abort.Copy !req
573. Cut off what we already excised
and leave the rest.Copy !req
574. - No. We can't give up.
- We're not giving up.Copy !req
575. We're stopping a futile procedureCopy !req
576. to save the patient.Copy !req
577. We need to get Murphy in here.
It's a blood flow problem.Copy !req
578. Murphy has a special talent
for visualizing complex anatomy.Copy !req
579. We don't have time.
We need to stop the P.E.S. now.Copy !req
580. - Page Dr. Murphy.
- No. Do not page Dr. Murphy.Copy !req
581. I get it. You like him.Copy !req
582. But we don't have time
for an audition.Copy !req
583. I'm trying to save
my patient's life.Copy !req
584. My patient.
Which means it's my call.Copy !req
585. I am also trying to save
your patient's life,Copy !req
586. so I'm urging you
to stop wasting time.Copy !req
587. Now we've cut away almost half.Copy !req
588. That's all we can do right now.Copy !req
589. So let's remove it
and give him a chanceCopy !req
590. to live and fight another day.Copy !req
591. The breakdown products showCopy !req
592. the injury that caused
the hematomaCopy !req
593. happened at least
seven weeks ago.Copy !req
594. When was she born?Copy !req
595. A little over seven weeks ago.Copy !req
596. But the vacuum delivery
must've caused a subdural bleedCopy !req
597. which re-bled two days ago.Copy !req
598. The baby wasn't abused.Copy !req
599. Shaun, we need you in the O.R.Copy !req
600. Any thoughts, Dr. Murphy?Copy !req
601. You don't have enough time.Copy !req
602. You can't fully map
the circulatory systemCopy !req
603. and remove the tumor
without killing the patient.Copy !req
604. It's too complex.Copy !req
605. Well, at least he was brief
and to the point.Copy !req
606. Now, can we do what I...Copy !req
607. But you don't have to do it quickly.Copy !req
608. We slow down, he bleeds out.Copy !req
609. If you clamp the aorta,Copy !req
610. it could lower the blood flow
to the tumor enoughCopy !req
611. to slow
the release of the cytokines.Copy !req
612. Clamping the aortaCopy !req
613. will kill the intestines,
kidneys, and legs.Copy !req
614. Not if we release the clamp
every 10 minutes.Copy !req
615. Give it just enough blood
to stop the cytokinesCopy !req
616. but not so much that
he bleeds to death.Copy !req
617. Let's do it.Copy !req
618. Thank you for the consult, Dr. Murphy.Copy !req
619. Reposition him to lateral.Copy !req
620. Secure I.V. and central line.Copy !req
621. - Secure.
- 10 blade.Copy !req
622. Starting midline laparotomy.Copy !req
623. Debakey.Copy !req
624. Opening up the lesser sac.Copy !req
625. Vessel loops.Copy !req
626. Get a Rumel ready.Copy !req
627. I need umbilical tape.Copy !req
628. MRI exams showCopy !req
629. chronic changes
of surgery and radiation,Copy !req
630. but no sign of
residual tumor detected.Copy !req
631. No signs.Copy !req
632. None.Copy !req
633. Zero. Zippo. Zilch.Copy !req
634. Wow.Copy !req
635. We'll do another MRI
in six monthsCopy !req
636. just to be sure,
but you are in the clear.Copy !req
637. This is exactly
what we hoped for.Copy !req
638. Kinehora.Copy !req
639. Tuh, tuh, tuh. Knock on wood.Copy !req
640. - Thank you.
- You son of a bitch.Copy !req
641. I told you.Copy !req
642. You told me no.Copy !req
643. It's too heavy for diamonds.Copy !req
644. - Is it a Magic 8 Ball?
- Will you just open it?Copy !req
645. I don't like baseball.Copy !req
646. I do.Copy !req
647. So you got me something you like?Copy !req
648. I caught that foul ball
down the third base line...Copy !req
649. on my 13th birthday.Copy !req
650. My dad was amazed
that I snagged it.Copy !req
651. After the game,
we went outside the stadium.Copy !req
652. And I was a shy kid,
but my father pushed meCopy !req
653. to ask my favorite players
to sign it, and they all did.Copy !req
654. Bert Campaneris, Rollie Fingers,Copy !req
655. Reggie Jackson, Catfish Hunter.Copy !req
656. If it happened today,
it'd all be on video.Copy !req
657. But all I have to remember
that awesome day...Copy !req
658. is that ball.Copy !req
659. I wanted you to have somethingCopy !req
660. that mattered to me.Copy !req
661. - Aaron, I can't.
- Yes, you can.Copy !req
662. Bye.Copy !req
663. Cancer changes people.Copy !req
664. I've had patients tell me
it was a blessing.Copy !req
665. That their lives were
better after.Copy !req
666. They're idiots.Copy !req
667. Maybe.Copy !req
668. Would you have thought of such
a wonderful gift 11 months ago?Copy !req
669. Care to do the honors?Copy !req
670. Let's take it up.Copy !req
671. I'm so sorry.Copy !req
672. I should've trusted you.Copy !req
673. Please talk to me, Laura.Copy !req
674. Yell at me if you want.
I deserve it.Copy !req
675. - It's not your fault.
- Yes, it is.Copy !req
676. I should have done
more research,Copy !req
677. looked harder
for an alternative diagnosis.Copy !req
678. I mean it's not your fault
you are the way you are.Copy !req
679. You don't understand
the love a mother feels.Copy !req
680. I understand that a lot of
mothers abuse their children.Copy !req
681. You don't understand love.Copy !req
682. Because you've never allowed
yourself to be vulnerable.Copy !req
683. Even when you were married to Kashal,Copy !req
684. you never really committed.Copy !req
685. You always expect the worst
in people.Copy !req
686. Because that's all you see
in yourself.Copy !req
687. Okay.Copy !req
688. I've never been in so much pain...Copy !req
689. but felt so good.Copy !req
690. We'll up your pain meds.Copy !req
691. You're still gonna need some
skin and soft tissue grafts,Copy !req
692. but the hard part's done.Copy !req
693. Your prognosis is excellent.Copy !req
694. Thank y'all so much.Copy !req
695. What am I taking this thing home in?Copy !req
696. A glass bottle?
Y'all got something that big?Copy !req
697. He's just being a smart ass.Copy !req
698. Are you sure
you want to do this?Copy !req
699. Shut up.Copy !req
700. I saved the patient.Copy !req
701. I deserve to be a surgeon.Copy !req
702. Dr. Murphy...Copy !req
703. Dr. Han, I want my old job back.Copy !req
704. You're making a mistake.Copy !req
705. Am I, Shaun?Copy !req
706. Yes.Copy !req
707. Because it seems like you're
doing really well in Pathology.Copy !req
708. You made a great save
on an earlier caseCopy !req
709. and a great save today.Copy !req
710. You keep doing well, and, over time,Copy !req
711. we can build to you having
more responsibility.Copy !req
712. No.Copy !req
713. I'm a surgeon.Copy !req
714. I am not leaving your office
until you reinstate me.Copy !req
715. What are you doing, Shaun?Copy !req
716. Do you think ordering me
to do somethingCopy !req
717. will change my mind?Copy !req
718. Do you really think it's
a good idea to try and bully me?Copy !req
719. I am a surgeon.Copy !req
720. I am a surgeon.Copy !req
721. Do you realize that
you're proving my point?Copy !req
722. That you're acting immature?Copy !req
723. Showing that you don't know
how to communicateCopy !req
724. and you can't control your emotions?Copy !req
725. I am a surgeon!Copy !req
726. But you do have a talent
that I value.Copy !req
727. So I'm gonna give you one last chanceCopy !req
728. to maintain your dignityCopy !req
729. and leave my office... now.Copy !req
730. Because if I have to call Security,Copy !req
731. you understand that I'm also
gonna have to fire you.Copy !req
732. I am a surgeon!Copy !req
733. I am a surgeon!Copy !req
734. I am... I am a surgeon!Copy !req
735. I am a surgeon, Dr. Han!Copy !req
736. I am a surgeon!Copy !req
737. Sync corrections by srjanapalaCopy !req