All language subtitles for The.Good.Doctor.S06E17.WEBRip.x264-ION10

I made you blueberry pancakes.
Would you prefer cauliflower?

No, Shaun. That's our baby. I'm 36 weeks.

The baby is the size
of a head of cauliflower.

Our baby will not be this bumpy.

I am very... happy.

Me too.

We're having a baby,

I have an amazing job,
you're an attending.

We have a new family car.
Dr. Glassman has moved down the hall.

Jared is coming back to work
at the hospital.

It is great that he's back.

But, you know, the dynamic
might be a little different.

Research has shown
that when working with friends,

you get more done in less time
and have fun on the job.

But Jared will be working for you,
not with you.

It can be different
when you have to manage a friend.

Lines can get blurred,
and that can be hard.

The lines are not blurred.
They are very clear.

Hey there, lover boy. Give me the details.

Are you and Jerome exchanging keys
or getting a new place together?

- He did not ask me to move in.
- What did he want to talk to you about?

I don't want to talk about it.

Now I wanna know even more,
and my interrogation will continue until--

You going to the club or work?

These early calls
need some getting used to.

Kendrick is the perfect pick-me-up.

- Never mad at Kendrick.
- Yes.

- Nice shirt. Tom Ford?
- Yeah, my good luck charm.

Figured it couldn't hurt
on my first day back.

For $700 it should give you
more than luck.

On occasion it has. See you guys in there.

The car is a bit much
but the fashion is lit.

Now, Mr. Grumpy, what's going on with you?

Goodbye.

Dr. Kalu is not your peer,
not your friend.

He is your employee and you are his boss.

I am confident
that Jared will do a good job.

That's what I mean.
He's not "Jared," he's "Dr. Kalu."

I do not always call people
by their titles.

- Sometimes I call Dr. Allen--
- Dr. Murphy.

An informal communication style
with Dr. Kalu

could create a perception
of special treatment.

I do not plan
to give Jared special treatment.

That doesn't mean
Dr. Kalu isn't expecting it.

And if I see it,
it won't be good for either of you.

She has bruising and pain
even with passive range of motion.

Some bullies at school chased her.
She fell down the stairs.

That's not how it happened.

We should've stuck with home-schooling.
She insisted. Look what happened.

You need to be still.

Your shoulder is fractured.
Ultrasound the patient.

- Why are you laughing?
- She can't help it.

Yara has Tourette's.
It's why she had the fight--

Mom, he was asking me.
You never let me speak for myself.

It wasn't a fight.

Some kids thought it would be funny
to point and stare at me.

Thought it'd be funny
to egg their lockers.

Then my stupid tics messed up my getaway.

There's significant tissue swelling

and massive hematoma
at the proximal humerus.

The fracture has caused
an acute compartment syndrome.

You need surgery right away.

What were you doing
when you started getting dizzy?

I was sitting in gym class
and then the room started to spin.

And then I threw up.
But I wasn't doing it.

I just introduced Carter
to the Wonder Woman comics.

- He's been trying to learn the twirl.
- I don't blame you. The twirl is awesome.

- Where's my little guy?
- Hey, Mama E.

Hey, Carter G.

- You should have called me immediately.
- Elaine's my mom.

I don't need your permission
to bring him here.

Actually, you do. I'm his legal guardian.

- What's wrong with him?
- His heart rate is quite low.

What does that mean?

Carter has an abnormality of electrical
signals controlling his heartbeat.

We need to run some tests.
Echo and electrophysiology study.

- The prodigal resident returns.
- Lovely to see you as well, Dr. Reznick.

Will the hospital be getting a new wing
in the Kalu family name?

My family are doing well, thanks.

And I was recruited to return
based on my training,

breadth of experience and willingness
to take a demotion back to a first-year.

It's gonna be hellish
being bossed around by newbies

and people who used to be your peers.
Grab me that box on the top shelf.

I missed you too.

While I was away,
I learned how to read emotional energy.

And snapping at people
is your love language.

Happy to know you still care.

- Good luck, newbie.
- Thanks.

I've got to get to surgery. Enjoy.

Your control of the shaft segment
is very precise.

Thank you.

Brown retractor.

No brown retractor.

I thought I put it on your tray.

My tools
must be individually selected, sterilized

and placed in my tray
before I begin the surgery.

Understood. Got it.

That will do.
Further expose the proximal humerus.

Place sutures in rotator cuff
to mobilize humeral head.

Sorry for dropping the ball
with your tools. Rookie mistake.

Don't sweat it.
You're BFFs with the boss, right?

I treat every resident the same.

Dr. Allen, place Steinmann pins
proximal to biceps tendon.

Dr. Kalu, you are on suction.

Catheter placed in axillary vein.

I feel bad for Carter's mom.

I can't imagine trying to raise a kid

with my mother backseat-driving
my every move.

Well, maybe if Bianca told Elaine
she was taking Carter to the hospital,

she would trust her more.

Pacing wire.

Bianca was probably doing
what she thought was best.

Withholding information
is never for the best.

Advancing to the right ventricle.

- Everything okay between you two?
- We're fine.

That can't be right.

I need contrast to clear up
what I'm seeing on fluoroscopy.

L-transposition of the great arteries.

The ventricles are... inverted.

His heart is... backward.

Your surgery went well.

We decompressed and released
your compartment syndrome

and stabilize your humerus fracture.

- Great. When can I go back to school?
- A few days. Be sure to wear your sling.

- You're not going back to school.
- Why not?

It's not safe. I'm not sending
you back so they can hurt you.

I'm not a baby. I can take care of myself.

I need to take your vitals.

If you could,
we wouldn't have ended up in the hospital.

Going to school is literally
the only thing I do that's normal.

I don't want to be--

I don't want to be stuck at home with you.
You never let me do anything by--

- Yara.
- She's having a seizure.

We need two milligrams of lorazepam
and MRI, stat!

She's sleeping like a baby.

You should've used propofol
instead of Versed to sedate her.

Versed is old-school.
Same effects, none of the overshooting.

- Why are you changing my settings?
- Peds case.

Shorter duration imaging sequences
cuts the time in half.

It's your first day, remember?

You could probably use a refresher
before trying a shortcut.

I'm a little out of practice,
but I got a few tricks up my sleeve.

- Says the guy who has to repeat a year.
- Ow.

Shaun will appreciate getting
Yara's results back faster. Trust me.

You know him better than me.

Was the patient properly sedated
before you began this MRI?

Yeah. I used the standard
pediatric protocol with Versed.

Did Dr. Allen tell you
about our revised propofol protocol?

Yeah. But in my experience
Versed provides better--

- You should've listened to Dr. Allen.
- I know how to perform an MRI, Shaun.

You apparently do not.

There is too much motion degradation.
These images are unusable.

Dr. Allen, please go redo the MRI.
Dr. Kalu, we need to speak privately.

You cannot take shortcuts.

You're right. Sorry.

You cannot expect special treatment
because you are my friend.

I'm not expecting
special treatment, Shaun.

But I don't appreciate
being treated like an intern either.

Technically, I'm a first-year, but I've
been a doctor for as long as you have.

We are not peers. I am your boss
and you have a lot to learn.

Dr. Andrews said he is judging
my performance off of your performance,

and it is not good.

Okay?

- Okay.
- Good.

You need to go practice basic skills

and observe our current
standardized MRI process.

Heart block plus inverted cardiac anatomy.
What's your plan?

Intravenous pacemaker is out.
We could place it surgically.

Doesn't address the anatomy issue.

It could lead to heart failure
as he gets older.

It could.
He might be fine with the pacemaker.

If he's developed arrhythmia,
not a great sign.

I'd recommend
the double switch reconstruction.

Redirect blood flow
to the right ventricle.

- I have Carter's BMP and cardiac labs.
- I received them digitally.

But the hard copies
are always appreciated.

- Trouble in paradise?
- Everything's fine.

They're in this passive-aggressive fight.

- We're not fighting.
- That would require you talking to me.

You don't have to share.

But you do have two divorcees

with a sadly ample amount
of experience between us.

Was one of you in contact with an ex?

Took an out-of-state job
without including you?

Jerome lied to me
about something important.

- I didn't.
- Omission is still a lie.

- Not that simple.
- Should've told me.

- I wanted to.
- You didn't.

I was afraid of how you'd react.

But you're right.

It never should have been a secret.
There's nothing to hide.

I'm HIV positive.

Thanks to my meds, my viral load
has been undetectable for years.

I'm poz undetectable.

I can't transmit the virus.

You should go talk to him.

I have work to do.

Present the double switch surgery
to the family.

- If they agree, I'll scrub in.
- On it.

No. How did we get from a pacemaker
to reconstructing his heart?

The procedure may sound drastic,

but it will reduce his risk
of developing heart failure.

Can't we give him the pacemaker

and do the surgery
if the problem gets worse?

When he shows signs of heart failure,
it'll be too late for the reconstruction.

- We should fix it now.
- This isn't your decision.

You're still making me pay for mistakes
I made when I was 17?

- And eighteen, nineteen, twenty--
- I've been back for two years.

How can I be a mother
when you won't give me a chance?

Mama? Mama E? I don't feel good.

- It's okay, baby. I'm here.
- Honey, what's wrong?

- My chest hurts.
- Heart rate is 40bpm. BP 73/45.

We need a decision soon
before his condition deteriorates.

I wanted to apologize for earlier.
It was unprofessional.

You have nothing to apologize for...
and no duty to disclose.

Undetectable equals untransmittable.

I appreciate you saying that.

- Give Asher some time.
- He's a doctor.

He knows there was never any risk to him.

What people know
and how it makes them feel

are often two very different things.

You've had years to process your status.
Allow Asher to process it too.

- Please do not say "I told you so."
- I won't. But I'm gonna think it.

You seem a little spoiled.

You don't know me.

You come from money and you
haven't had to work hard for anything.

You made it through med school.
Bravo to that.

You got kicked out of this program,

but landed on your feet
taking care of a billionaire.

And when you got tired of that,
you were welcomed back here.

You come in with your fancy car
and your old tricks

and think, "Ta-da. I'm a surgeon."
But you're not. Yet.

You're the new kid.
Shaun is the boss and I have seniority.

You should've listened to Kendrick.
Be humble.

I just want to prove that I belong here...
to Shaun, to everyone.

- But you're right.
- I know.

The image is still not
high enough resolution.

Have you finished redoing the imaging?

Yes, and I followed all the protocols,
but the image still doesn't look clear.

The image is clear...
but Yara's diagnosis was incorrect.

She does not have Tourette's.
She has a brain tumor.

I don't have Tourette's?

No. You have a hypothalamic hamartoma.
Your tics aren't tics.

They are gelastic seizures
caused by the tumor in your brain.

- Tumor? Does that mean cancer?
- The tumor is not cancerous.

But a Gamma Knife radiosurgery should stop
it from growing and treat the seizures.

Will it stop this?

- Not immediately.
- And possibly not at all.

There are other options you can consider
if you don't see improvement.

Or we could consider them now.

A successful resection
could stop the seizures immediately.

- That procedure is risky.
- But that means I can go back to school.

I could learn how to drive,
take care of myself.

Mommy, please. I just want to be normal.

Tumor resection can cause stroke,

partial paralysis,
learning deficits, meningitis.

The Gamma Knife is much safer.

- Yara, I'm sorry. I can't--
- You can.

You just won't let me.

Please go ahead
and schedule the Gamma Knife procedure.

Have you made a decision?

I'm afraid of exposing Carter
to more trauma.

- What trauma?
- He was left by his mother.

I left him with you.

And expected me to pick up the pieces,
fix everything.

I knew he was safer with you than with me.

But I didn't know that.

I gave you too much freedom, wasn't
involved enough. Look what happened.

My mistakes were mine, not yours.

I was supposed to protect you.
And we lost you.

I have to do better for Carter.

The surgery is what's best for Carter,
long-term.

That kid is my heart.

I'm gonna trust you to fix his.

- Lunchtime. I'm starved.
- I am not hungry.

It's not good to deprive
your pregnant wife her lunch.

I thought it'd be fun
working with a friend.

It is not fun. It is difficult.

I do not want people to think
I am giving Dr. Kalu special treatment,

because I am not.

In fact, I am being very firm
because he has already made several errors

and I do not understand why.

He's a new resident on his first day.

There has to be a bit of a learning curve.

He is not acting like a new resident.

Well, he's your friend,
and he knows you expect a lot of him.

No one can follow the rules
if they don't know what they are.

Atrial septum excised.
Starting venous reconstruction.

May not be enough tissue for redirection
of flow to the tricuspid valve.

We can use pericardium
to create a baffle. Metz.

- You make up with Jerome yet?
- He betrayed my trust.

Securing edge to atrial septum.

- You've never hidden anything from him?
- I'd never hide something like this.

Congratulations.
You win the virtue contest.

Possible prizes include
the end of your relationship.

Or you could just talk it out.
Dividing the aorta.

He's the one who changed things.
Why is it on me to figure that out?

The question is, do you love
Jerome enough to change with him?

Suturing distal aorta to pulmonary valve.

Coronary arteries are patent.
Anastomosis looks great.

I never met a teenager who wanted
to go to school as much as you.

I hate school.

But I hate not being able to control
anything in my life even more.

Egging those lockers
made you feel in control?

Kinda. Those bullies messed with me,
I messed with them back.

Like normal kids do.

I was bullied a lot in high school.

I was scrawny, with braces, a lisp.
Basically a target on my back.

But my mum helped me. Gave me her credit
card to buy them off with pizza and candy.

My mom is too helpful.

She won't even let me make my own PB

She thinks I'll tic out
and hurt myself with the knife.

When my body isn't controlling me, she is.

When you said you can cut this tumor
out of my head, for 30 seconds,

I could imagine only laughing
when something was funny.

- I think I found a solution.
- I have found a solution as well.

I have made a list of boundaries and rules
to make our working relationship better.

You need to study them.
What have you found a solution for?

I think I found
a better resection technique.

Has a lower risk profile,
closer to that of a Gamma Knife.

And offers a better outcome for Yara.

I presented the safest option
to the patient, which she agreed to.

And you should not have presented
the tumor resection without consulting me.

That is an important boundary.
Number two on the list.

I thought you'd be happy
I was thinking like you.

- You're not me. You're here to learn.
- I'm here to help people like Yara.

You need to respect I'm your attending.
Number six on the list.

Don't have to be an attending
to know she's depressed.

We cannot make medical decisions
based off of the patient's emotions.

Sometimes the emotions
are just as important as medical.

You are making my job very hard.

Number ten,

at work, follow my instructions precisely.

If you cannot comply,
you will be out of the program.

I really messed up.

I should have trusted you,
been upfront about everything.

Yeah, you should have.

After my diagnosis, it took a long time
for me to feel comfortable dating,

or being around people.

I spent so much time alone.

And when I put myself back out there,
there was a lot of rejection.

Guys just didn't want
to deal with my status.

So when this adorable, brilliant doctor
popped into my life...

and I liked him so much...

I was too scared to tell him the truth.

I'm sorry.

- This doctor sounds pretty great.
- He is.

I made sure we always used protection,
encouraged you to stay on PrEP.

All to make sure that you were safe.

That was a decision
that you made for the both of us.

You did those things
to make yourself feel better,

while you took away my choice.

How could you have known me and loved me

and think that this is something
I couldn't accept?

When I first had to make this decision,
I didn't love you. I barely knew you.

And I'm not sure I know you now.

I made a mistake.
That doesn't change who I am.

No, but maybe it changes how I feel.

I'm sorry that I put you through this,

but I'm still the one living
with this disease, and it's not easy.

It's Carter. I have to go.

He woke up and was laughing
about his comic book, then he turned blue.

Oxygen saturation at 80%.120 bpm.
Blood pressure's dropping.

Administering oxygen
and 250cc normal saline bolus.

Why can't he breathe? The surgery
was supposed to prevent this.

Normal lead impedance.
The pacemaker is functioning properly.

Something else is going on.
We need a cardiac echo, stat.

A kink in Carter's reconstructed atria
caused a clot in his heart.

He's stable. But he needs
another operation to remove the clot

and repair the conduit.

Are there other alternatives?

We could use a catheter
to dissolve the blockage with medication.

But that still leaves the risk
of a clot forming again.

- I knew doing this was the wrong decision.
- We both want what's best for Carter.

- I'm the one responsible for him.
- And I'm sorry I put that on you.

I will never forgive myself for losing out
on those years of Carter's life,

but I've realized that I need to try
to let go of that, let go of my regret,

and focus on what I know.

That leaving him with you
was the best decision for him.

That will never change.

And this surgery
is the right decision for him too.

You're his mother.

You know what's best for Carter.

I want my son to have the surgery.

- You were right.
- I usually am.

What was I right about, exactly?

I came out of the gate too hot,

annoyed Shaun, screwed things up for Yara.

Agree.

- I gotta figure out my next move.
- Listen.

This whole case,
you've been pitching and shortcutting

and trying to be Mr. Fix-it
for everything.

Stop flexing... and listen.

Mom, let me try
the tumor resection surgery. Please.

I'm sorry. No.

- We're ready for you.
- All right, baby.

But first... I want you to tell
your mum what you told me.

About what you're dealing with,
what the surgery means to you.

- I know. I see it every day.
- Have you listened to how it feels to her?

- She doesn't care.
- Of course I do.

You just want to boss me around.

I'm just trying to help,

but no matter what I do,
you're always so angry at me.

I'm angry--

I'm angry at everything.

I'm angry at my body
for not doing what I want it to do.

I'm angry at other kids for being jerks.

And I'm angry at you...

for acting like the only way for me
to survive is where you're protecting me.

I feel like I'm a puppet, and somebody
else is constantly pulling the strings,

yanking me all around.

Getting this tumor removed
is the only way for me to cut the strings.

Don't take her yet.

We need to talk.

I need you to scrub in
on a hypothalamic hamartoma surgery.

Okay.

I had planned to use
Gamma Knife radiation,

but Dr. Kalu violated rule number two
and we have to do his tumor resection.

You're upset with Jared
'cause he changed your plan?

He overstepped with me
and the patient and her mother.

Tumor resection
seems like a pretty good idea.

Are you planning on
letting Jared scrub in?

- Yes. He will be on suction.
- That's an insult.

He has to learn to follow rules.
He has made my job very difficult.

Shaun, sit down.

When you were a resident,
you did things completely your own way.

You still do.
You rubbed everybody the wrong way.

You made everybody's job more difficult,
especially mine.

You were a pain in the ass.

But we gave you the space to learn,
and we learned from you.

And you turned yourself into an asset.
Give Jared the same opportunity.

Okay, he overstepped.

Give him a chance to learn
and to prove himself to be an asset.

Even if you think he's a pain in the ass.

- I will take it into consideration.
- Okay.

Please scrub in for that surgery.

Advance the catheter and endoscope
gently into the ventricle.

Suction and irrigate more aggressively
so she can see what she is doing.

Proceed along the midline posteroinferior
floor of the third ventricle.

- There's the tumor. We can begin excision.
- Bipolar scissors.

Forceps.

- I'll take the specimen to pathology.
- No.

You are going to close.

You sure?

This was your surgical plan.

You will become a better surgeon
by getting a fair shot to be an asset.

I will take the specimen.
Dr. Glassman will supervise.

I'm hungry.

That's a very good sign.

I'll run to the cafe and grab him
some food. Any restrictions?

He can have as many chicken nuggets
as he wants.

I'll go down.
I'll get something for you to eat too.

You haven't left his side
since we got here.

- Comes with being a good mom.
- I had a great teacher.

You know, a little birdie told me

that the giftshop just got in
the latest volume of Wonder Woman.

- Really? Can we get it?
- If your mom is okay with it.

- Of course.
- But no twirling just yet. Okay?

Dr. Murphy was able
to remove all of the tumor.

- Yara?
- Dr. Kalu?

Memory is intact.

The light didn't provoke a seizure.
And your tics are gone.

- Thank you, Dr. Kalu.
- Thank you, Yara.

Dr. Andrews.

Heard about your work on the Fields case.
Good job.

Thank you.
I just came in to ask you for a favor.

- Please judge me for my work, not Shaun.
- Shaun is part of the reason you're here.

I appreciate him for that.
But I want to stand on my own.

If I sink, I don't want
to take my friend with me.

I'm ready to prove myself
as an asset to this hospital.

- I'll be watching.
- Thank you.

I'm sorry for being such a jerk.

You opened yourself up and I shut down.

I should've trusted you,
that we could figure this out together.

Yesterday you said you didn't know me.

That adorable doctor
can be an ass sometimes.

I've never been in love before you.

When I was 16,
I'm pretty sure I ran over a raccoon,

but I didn't stop to check because I was
running late to a baseball game.

Also...

I love a pumpkin spice latte,
even though I know it's basic.

The cufflinks I wore
to Shaun and Lea's wedding--

Yeah.

I bought them for you
but liked them so much I kept them for me.

That explains so much.

But you can totally borrow them sometime.
Probably not.

I love you.

I need you to believe that.

Just came to say good night.
And thank you.

Why are you thanking me?

For not going easy on me.
I was wrong to expect that.

Even if we are friends.

You are a good doctor.

And I would like to continue
to be your friend and your boss...

with boundaries.

You're right. And I'm studying your list.

There is one rule that is not on the list.

It is a rule for me.

I will refer to you... as Dr. Kalu

when I am being your boss
and as Jared when we are in friend mode.

- Yeah. Works for me, Shaun.
- Good.

Jared, I would like to take you out
for drinks to celebrate you being back.

But, Dr. Kalu,
when I checked on Yara post-operatively,

I noticed you only used eight sutures
and she had a small bleed.

You should have used ten. You need
to go work on your suturing technique.

Happy to practice.

But I only replaced the small bone flap.
Dr. Glassman closed the galea and skin.

Dr. Glassman skipped two sutures?

Guess so.

- Meet you for drinks in an hour?
- Okay.