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1
00:00:02,705 --> 00:00:04,639
Grasp is good,
2
00:00:04,663 --> 00:00:09,122
but Steve's not gaining weight
quite as quickly as I'd like.
3
00:00:09,123 --> 00:00:11,800
I'm feeding him every two
to three hours during the day,
4
00:00:11,801 --> 00:00:13,561
every three to four at night.
5
00:00:13,585 --> 00:00:16,235
And pumping in between
to increase milk production.
6
00:00:16,236 --> 00:00:18,999
Well, I'm going to recommend
you start supplementing with formula.
7
00:00:19,000 --> 00:00:21,395
But everyone says "breast is best"?
8
00:00:21,396 --> 00:00:22,691
[DR. HYLAND] Breast milk is the ideal.
9
00:00:22,692 --> 00:00:24,862
Right now, Steve just
needs a little extra.
10
00:00:25,118 --> 00:00:27,009
Some samples to get you started.
11
00:00:27,033 --> 00:00:29,011
This is an excellent product,
12
00:00:29,035 --> 00:00:30,752
and it will make it easier for me
13
00:00:30,776 --> 00:00:32,343
to do more nighttime feedings.
14
00:00:33,126 --> 00:00:35,583
Yeah. Yeah.
15
00:00:37,530 --> 00:00:40,611
I thought being co-presidents
16
00:00:40,612 --> 00:00:42,527
meant we would
do things together.
17
00:00:44,573 --> 00:00:46,260
I was aiming for...
18
00:00:46,836 --> 00:00:50,642
you do some things and I do some things.
19
00:00:50,666 --> 00:00:53,906
Funny how your "some things"
leads to more work for me.
20
00:00:53,907 --> 00:00:55,844
I have no idea
what you're talking about.
21
00:00:55,845 --> 00:00:58,734
[SCOFFS] The affiliation deal
with San Jose Med School?
22
00:00:58,735 --> 00:01:02,131
We had to cover the overages
because the nurses unionized.
23
00:01:02,132 --> 00:01:04,069
In exchange, we teach
a few med students.
24
00:01:04,070 --> 00:01:06,222
[SCOFFS] You won't be teaching anyone.
25
00:01:06,223 --> 00:01:07,638
I will have the useless baby docs
26
00:01:07,639 --> 00:01:09,242
wandering around the department
27
00:01:09,243 --> 00:01:11,425
- like lost children with scalpels.
- [ELEVATOR DINGS]
28
00:01:11,426 --> 00:01:13,829
We made a good deal. That's it.
29
00:01:14,385 --> 00:01:15,971
It's a good deal.
30
00:01:15,995 --> 00:01:17,780
[QUIRKY MUSIC]
31
00:01:29,407 --> 00:01:33,316
[JARED] We should go
introduce ourselves.
32
00:01:33,317 --> 00:01:36,685
No, they are baby ducklings,
and I will not be their mommy.
33
00:01:37,267 --> 00:01:39,226
Let them imprint on Shaun and Park.
34
00:01:41,051 --> 00:01:42,270
Hi!
35
00:01:42,556 --> 00:01:43,606
Bye.
36
00:01:49,344 --> 00:01:52,793
[DR. PARK] Hi, I'm Dr. Park.
This is Doctor...
37
00:01:52,794 --> 00:01:54,274
Dr. Shaun Murphy.
38
00:01:54,299 --> 00:01:56,395
I... I can't believe it's really you.
39
00:01:56,396 --> 00:01:58,646
I'm just so excited,
I'm about to pee myself.
40
00:01:58,647 --> 00:01:59,841
Please do not.
41
00:01:59,865 --> 00:02:02,191
Of course not.
You're... You're not a shaker.
42
00:02:02,215 --> 00:02:04,019
There was a March 2012 abstract
43
00:02:04,020 --> 00:02:06,044
that demonstrated
a reluctance to shake hands
44
00:02:06,045 --> 00:02:07,829
could be used as a diagnostic
marker for ASD.
45
00:02:07,830 --> 00:02:09,134
But I love a good, firm grip.
46
00:02:09,135 --> 00:02:10,551
That's why they call it a spectrum.
47
00:02:10,552 --> 00:02:11,945
We could shake.
48
00:02:12,878 --> 00:02:14,029
That's not very firm.
49
00:02:14,053 --> 00:02:15,161
Okay. That's better.
50
00:02:15,162 --> 00:02:16,228
I'm Charlotte Lukaitis.
51
00:02:16,229 --> 00:02:17,729
Nice to meet you, Charlotte.
52
00:02:17,730 --> 00:02:19,623
I go by "Charlie" for now,
"Dr. Lukaitis" soon.
53
00:02:19,624 --> 00:02:20,711
Only two years away from my goal,
54
00:02:20,712 --> 00:02:22,298
which I've had since I was 17,
55
00:02:22,299 --> 00:02:23,888
ever since I saw that
viral video of you saving
56
00:02:23,889 --> 00:02:25,281
that boy at the San Jose Airport
57
00:02:25,282 --> 00:02:26,587
using a homemade one-way valve.
58
00:02:26,588 --> 00:02:28,696
It was the coolest, most heroic thing
59
00:02:28,697 --> 00:02:30,286
I've ever seen from a person with ASD.
60
00:02:30,287 --> 00:02:32,091
It was very heroic.
61
00:02:32,092 --> 00:02:33,332
I picked San Jose for medical school
62
00:02:33,333 --> 00:02:34,769
hoping to engineer a run-in with you,
63
00:02:34,770 --> 00:02:36,248
but then your hospital
partnered with my school,
64
00:02:36,249 --> 00:02:37,859
and it's like what Taylor Swift
says in "Mastermind"...
65
00:02:37,860 --> 00:02:39,670
- [WHISPERS] Charlie.
- [CHUCKLES]
66
00:02:39,688 --> 00:02:42,493
Dom helps me when I,
you know, talk too much.
67
00:02:42,494 --> 00:02:44,300
[NORMAL VOICE] Hi, I'm Dominick Hubank.
68
00:02:44,301 --> 00:02:47,390
And we're happy to have such
eager future doctors joining the team.
69
00:02:47,391 --> 00:02:48,890
Future surgeon.
70
00:02:48,914 --> 00:02:50,326
I don't want to be a surgeon,
71
00:02:50,350 --> 00:02:51,970
but I'm excited for the rotation.
72
00:02:52,483 --> 00:02:54,069
Okay.
73
00:02:54,093 --> 00:02:55,897
Charlie, you are on my team.
74
00:02:55,921 --> 00:02:57,301
[HIGH-PITCHED VOICE] Yes!
75
00:03:01,536 --> 00:03:09,536
Synced & corrected by -robtor-
www.addic7ed.com
76
00:03:11,241 --> 00:03:12,827
Would you like to present?
77
00:03:12,851 --> 00:03:13,991
I'd love to.
78
00:03:16,333 --> 00:03:19,268
- Richard Shelford, 53...
- Call me Rich.
79
00:03:19,292 --> 00:03:20,574
Not that I'm wealthy.
80
00:03:20,598 --> 00:03:23,229
Right, Rich Shelford, 53 years old...
81
00:03:23,253 --> 00:03:24,709
Don't feel a day over 52.
82
00:03:24,733 --> 00:03:26,450
- That's funny.
- [CHUCKLES]
83
00:03:26,474 --> 00:03:28,756
Okay. This is taking too long.
84
00:03:28,780 --> 00:03:30,549
Please tell us what happened.
85
00:03:30,574 --> 00:03:33,360
He was coughing so hard
he couldn't catch his breath,
86
00:03:33,385 --> 00:03:35,471
and then he fainted and hit his head.
87
00:03:36,092 --> 00:03:37,389
Cough syncope.
88
00:03:37,789 --> 00:03:39,637
He's thinner and way more tired
89
00:03:39,661 --> 00:03:41,247
than the last time he visited me.
90
00:03:41,271 --> 00:03:42,683
Yeah, but I'm fine.
91
00:03:42,707 --> 00:03:44,119
It's just a little cold.
92
00:03:44,143 --> 00:03:46,269
You could barely breathe, Dad.
93
00:03:46,293 --> 00:03:48,776
Um, chest X-ray shows
multiple lung nodules
94
00:03:48,777 --> 00:03:51,715
and enlarged lymph nodes in
the hilar and mediastinal areas.
95
00:03:51,716 --> 00:03:53,674
Get an ABG, CBC, perform a bronchoscopy,
96
00:03:53,675 --> 00:03:55,217
and send biopsies to path.
97
00:03:55,218 --> 00:03:57,286
Can you apply a wound dressing
using the Turban Technique?
98
00:03:57,287 --> 00:03:58,577
I sure can.
99
00:04:00,290 --> 00:04:01,538
[COUGHS]
100
00:04:01,539 --> 00:04:03,553
Hey, uh... [CLEARS THROAT]
101
00:04:03,554 --> 00:04:05,381
how long until we could get out of here?
102
00:04:05,382 --> 00:04:07,775
My daughter, she took some time
off work to show me around.
103
00:04:07,776 --> 00:04:09,536
She's got her own business.
104
00:04:09,537 --> 00:04:11,779
Works as a tech consultant for a
few companies around the Valley.
105
00:04:11,780 --> 00:04:13,801
- Dad.
- Let the man brag.
106
00:04:13,825 --> 00:04:15,875
- It's every proud father's right.
- Yeah.
107
00:04:16,349 --> 00:04:19,154
- Hold this, please.
- Oh.
108
00:04:19,178 --> 00:04:21,069
[CLEARS THROAT]
109
00:04:21,070 --> 00:04:22,920
[MAN] Basic Turban Technique
for head bandaging.
110
00:04:22,921 --> 00:04:26,597
Step one, tie the ends of two
bandages together in a knot.
111
00:04:26,621 --> 00:04:28,555
Step two,
starting from one ear...
112
00:04:28,556 --> 00:04:30,406
The patient was a good sport about it,
113
00:04:30,407 --> 00:04:31,625
but his daughter was not happy.
114
00:04:31,626 --> 00:04:33,952
A wound dressing is very low stakes.
115
00:04:33,976 --> 00:04:36,781
Did Charlie do a bad job
following the tutorial?
116
00:04:36,805 --> 00:04:39,479
Uh, no. Actually, the dressing
was pretty decent.
117
00:04:39,503 --> 00:04:42,513
But the point is, the patient's
family were uncomfortable.
118
00:04:43,471 --> 00:04:46,509
I think someone should tell her
119
00:04:46,510 --> 00:04:48,680
no more how-to videos
in front of patients.
120
00:04:49,187 --> 00:04:51,630
Oh. You can if you want.
121
00:04:53,588 --> 00:04:57,478
We were able to repair
your skull fracture
122
00:04:57,479 --> 00:04:59,459
and evacuate a large subdural hematoma.
123
00:04:59,463 --> 00:05:01,508
Lucky day. Is there a Wi-Fi password?
124
00:05:01,533 --> 00:05:03,093
I need to get League Pass in here.
125
00:05:03,822 --> 00:05:05,723
Uh, the accident report says
126
00:05:05,724 --> 00:05:07,878
that you stepped right
in front of an oncoming car.
127
00:05:07,879 --> 00:05:09,640
I just didn't see it.
128
00:05:09,664 --> 00:05:10,872
Big day today.
129
00:05:10,873 --> 00:05:13,223
I got the Clips and the points,
the money line, and the over.
130
00:05:13,224 --> 00:05:15,341
And it's the last leg
of a six-team parlay
131
00:05:15,365 --> 00:05:16,734
that I need to come through.
132
00:05:16,758 --> 00:05:18,213
That's a lot of action.
133
00:05:18,237 --> 00:05:20,947
Well, having some skin in
the game makes life more fun.
134
00:05:23,025 --> 00:05:26,707
Hey, you're The Dominator.
135
00:05:28,334 --> 00:05:29,573
Uh, just "Dom" now.
136
00:05:29,597 --> 00:05:31,400
My football days are behind me.
137
00:05:31,401 --> 00:05:33,469
That pancake block you had
against Stanford?
138
00:05:33,470 --> 00:05:35,210
Cleared the way for that 75-yard run?
139
00:05:35,211 --> 00:05:37,450
Made me 10 grand, that one play!
140
00:05:37,451 --> 00:05:38,605
Why aren't you in the league?
141
00:05:38,606 --> 00:05:41,585
Decided I wanted to help people
instead of hurt them.
142
00:05:41,609 --> 00:05:44,283
Okay, let's draw blood
for post-op hematocrit.
143
00:05:44,307 --> 00:05:46,657
Once the brain swelling
comes down, you can go.
144
00:05:49,181 --> 00:05:50,681
Have you done a blood draw yet?
145
00:05:50,682 --> 00:05:52,940
It's my first day out of the classroom.
146
00:05:52,941 --> 00:05:54,273
Five bucks he gets an A.
147
00:05:54,886 --> 00:05:56,279
No.
148
00:05:58,060 --> 00:05:59,907
[CELL PHONE CHIMING]
149
00:05:59,931 --> 00:06:03,128
All right. You're going
to palpate for a vein.
150
00:06:03,152 --> 00:06:06,000
Oh, and remember,
when introducing the needle,
151
00:06:06,024 --> 00:06:10,091
always bevel up and insert
the tube into the vacutainer.
152
00:06:10,115 --> 00:06:13,337
And you just passed phlebotomy 101.
153
00:06:14,163 --> 00:06:15,706
Oh, God.
154
00:06:15,730 --> 00:06:16,780
[THUD]
155
00:06:19,690 --> 00:06:21,345
You could be up five right now.
156
00:06:22,619 --> 00:06:24,236
[LAUGHING] He went down.
157
00:06:24,260 --> 00:06:26,064
I mean, hard.
158
00:06:26,088 --> 00:06:28,185
Frontal and parietal lobes look clear.
159
00:06:28,825 --> 00:06:30,778
[DOM SIGHS]
160
00:06:30,779 --> 00:06:31,788
I'm sorry.
161
00:06:31,789 --> 00:06:34,507
I did deadlifts and squats this morning.
162
00:06:34,508 --> 00:06:35,966
Didn't have time to eat breakfast.
163
00:06:35,967 --> 00:06:37,466
Feeling okay now?
164
00:06:37,490 --> 00:06:39,613
My ego took a hit, but I'll be okay.
165
00:06:40,929 --> 00:06:42,060
Whoa!
166
00:06:42,366 --> 00:06:44,169
Is that our patient's brain?
167
00:06:44,193 --> 00:06:47,128
Mm. You just passed anatomy 101.
168
00:06:47,129 --> 00:06:48,675
[CHUCKLES] Which part's the front?
169
00:06:48,676 --> 00:06:49,827
Oh, spoke too soon.
170
00:06:49,851 --> 00:06:51,350
This is the axial plane,
171
00:06:51,374 --> 00:06:53,604
which means we're
looking down from the top.
172
00:06:53,605 --> 00:06:55,378
[COMPUTER BEEPS]
173
00:06:55,379 --> 00:06:58,162
These are the temporal and
occipital lobes here. Also clear.
174
00:06:58,163 --> 00:06:59,267
How can you tell?
175
00:06:59,268 --> 00:07:00,991
We injected gadolinium, which leaks out
176
00:07:00,992 --> 00:07:02,297
around the areas of injury
177
00:07:02,298 --> 00:07:04,474
and makes them show up
brighter on the scan.
178
00:07:05,170 --> 00:07:06,220
Like that?
179
00:07:08,608 --> 00:07:10,936
Yeah. Like that.
180
00:07:12,351 --> 00:07:13,938
That's a tumor,
181
00:07:13,939 --> 00:07:15,658
completely interwoven
with his brain stem
182
00:07:15,659 --> 00:07:16,854
and cranial nerves
183
00:07:16,878 --> 00:07:19,073
and extending to his upper spinal cord.
184
00:07:19,097 --> 00:07:21,554
I guess we know
why he didn't see that car.
185
00:07:21,578 --> 00:07:23,058
[SOMBER MUSIC]
186
00:07:23,388 --> 00:07:27,595
[CHARLIE] You are descending
through the larynx
187
00:07:27,596 --> 00:07:30,468
to the trachea and onto the carina.
188
00:07:30,493 --> 00:07:32,670
- Nicely identified.
- Thank you.
189
00:07:32,671 --> 00:07:35,286
Positive affirmations are
empowering for people with ASD.
190
00:07:35,287 --> 00:07:36,462
"My autism is awesome."
191
00:07:36,487 --> 00:07:39,173
Onto the bronchi and bronchioles.
192
00:07:40,082 --> 00:07:42,792
I use Taylor Swift mnemonics.
Do you guys do that, too?
193
00:07:43,078 --> 00:07:44,296
- No.
- I do.
194
00:07:44,297 --> 00:07:46,558
I wonder if ours are the same.
195
00:07:46,559 --> 00:07:50,365
Basic airway anatomy, L, T, C, B, B.
196
00:07:50,366 --> 00:07:53,696
"Lover," "Treacherous," "Cardigan,"
"Babe," and "Bejeweled."
197
00:07:53,697 --> 00:07:56,981
I used "Bad Blood" for both
bronchi and bronchioles. Two for one.
198
00:07:57,005 --> 00:07:58,156
Mm.
199
00:07:58,180 --> 00:07:59,693
He knows one song.
200
00:08:04,035 --> 00:08:06,992
Look at the patches
on the bronchial mucosa.
201
00:08:06,993 --> 00:08:09,146
[JARED] There's a luminal narrowing
202
00:08:09,147 --> 00:08:10,662
from the enlarged lymph nodes.
203
00:08:12,114 --> 00:08:14,072
This definitely isn't pneumonia.
204
00:08:14,097 --> 00:08:15,185
[CHARLIE] Cool.
205
00:08:15,210 --> 00:08:16,646
My first medical mystery.
206
00:08:17,423 --> 00:08:18,686
Can I page Dr. Murphy?
207
00:08:18,711 --> 00:08:20,321
[QUIRKY MUSIC]
208
00:08:24,973 --> 00:08:27,075
Did you ever cut quartz countertops?
209
00:08:28,569 --> 00:08:30,154
[CHUCKLES]
210
00:08:30,178 --> 00:08:31,330
Yeah.
211
00:08:31,927 --> 00:08:34,538
I started off in a fabrication shop.
212
00:08:34,958 --> 00:08:36,008
How'd you know that?
213
00:08:36,009 --> 00:08:38,230
Cutting quartz produces
toxic fine-dust particles
214
00:08:38,231 --> 00:08:40,839
that have embedded
in your airway and lungs.
215
00:08:41,277 --> 00:08:43,212
You have silicosis.
216
00:08:43,236 --> 00:08:45,052
It's like watching a magic trick.
217
00:08:46,369 --> 00:08:49,783
Uh, my doc said it was
just a recurring pneumonia.
218
00:08:49,807 --> 00:08:53,004
Silicosis can often be
misdiagnosed until it's too late.
219
00:08:53,028 --> 00:08:56,021
You will need
a bilateral lung transplant.
220
00:08:58,294 --> 00:08:59,663
He needs new lungs?
221
00:08:59,687 --> 00:09:02,666
Yes. With your declining
respiratory function
222
00:09:02,690 --> 00:09:04,363
and extensive damage,
223
00:09:04,364 --> 00:09:06,094
you should be prioritized
for transplant.
224
00:09:06,095 --> 00:09:09,225
But you will need full-time
home care for the rest of your life.
225
00:09:11,177 --> 00:09:13,851
But I live alone back in Florida.
226
00:09:13,875 --> 00:09:16,041
Dad, one step at a time.
227
00:09:17,313 --> 00:09:19,683
I think you should get the surgery here,
228
00:09:19,684 --> 00:09:20,534
then move in with me.
229
00:09:20,535 --> 00:09:21,728
I can't do that.
230
00:09:21,752 --> 00:09:22,986
Of course you can.
231
00:09:22,987 --> 00:09:25,494
Your career has just taken off.
I'm not gonna burden you.
232
00:09:25,495 --> 00:09:28,779
It's not a burden. You're my dad.
233
00:09:28,803 --> 00:09:31,588
You peeled my oranges
and coached my soccer team.
234
00:09:31,941 --> 00:09:34,591
Then you put me through college
and business school.
235
00:09:35,462 --> 00:09:37,092
Let me take care of you.
236
00:09:37,116 --> 00:09:39,118
[SOMBER MUSIC]
237
00:09:44,895 --> 00:09:46,822
Someone raised his girl right.
238
00:09:50,216 --> 00:09:51,584
[SHAUN] Okay.
239
00:09:51,608 --> 00:09:54,496
We will call a transplant coordinator.
240
00:09:57,788 --> 00:09:59,157
Where's Steve?
241
00:09:59,158 --> 00:10:00,703
Down the hall, flirting with the nurses.
242
00:10:00,704 --> 00:10:02,792
I need you to write me
a prescription for domperidone.
243
00:10:02,793 --> 00:10:04,815
It increases breast milk production.
244
00:10:04,816 --> 00:10:06,361
All the mom message boards say so.
245
00:10:06,362 --> 00:10:08,949
It is not approved
as a lactation aid anywhere.
246
00:10:08,950 --> 00:10:11,192
Doctors in Canada and Mexico
are using it off-label.
247
00:10:11,193 --> 00:10:14,021
Does Steve not like the formula
Dr. Hyland recommended?
248
00:10:14,022 --> 00:10:15,434
I don't like it, Shaun.
249
00:10:15,458 --> 00:10:18,176
I feel like... I feel
like a failure as a mom.
250
00:10:18,200 --> 00:10:21,397
But you are not a failure.
251
00:10:21,398 --> 00:10:23,987
You are following
all the recommended guidelines.
252
00:10:23,988 --> 00:10:25,764
In fact, the only guideline
you're not following
253
00:10:25,765 --> 00:10:27,730
is supplementing
with formula as advised.
254
00:10:27,731 --> 00:10:29,725
[SIGHS]
255
00:10:30,328 --> 00:10:31,878
Shaun...
256
00:10:32,265 --> 00:10:35,355
I've been wanting
to be a mom for so long,
257
00:10:35,380 --> 00:10:39,166
and part of that is my body
is supposed to give Steve
258
00:10:39,191 --> 00:10:41,877
everything he needs, and mine won't.
259
00:10:42,833 --> 00:10:44,087
And I hate it.
260
00:10:47,273 --> 00:10:48,728
[KNOCK ON DOOR]
261
00:10:48,752 --> 00:10:50,218
Come in.
262
00:10:50,841 --> 00:10:52,863
Good. You're both here.
263
00:10:52,887 --> 00:10:54,821
An invite to Baby Eden's Sip and See.
264
00:10:54,822 --> 00:10:56,368
So everyone can officially meet her
265
00:10:56,369 --> 00:10:58,479
in a cute dress
instead of a hospital gown.
266
00:10:58,762 --> 00:11:00,392
Is Dr. Glassman going?
267
00:11:00,416 --> 00:11:03,047
- I think so.
- Then I do not want to go.
268
00:11:03,048 --> 00:11:05,246
I thought you and Glassy
had worked things out.
269
00:11:05,247 --> 00:11:06,746
He took Steve the other night.
270
00:11:06,770 --> 00:11:07,965
[SHAUN] Hmm.
271
00:11:07,989 --> 00:11:09,358
Who cares if he's there?
272
00:11:09,359 --> 00:11:11,078
As long as you
and that gorgeous baby make it.
273
00:11:11,079 --> 00:11:12,689
Wouldn't miss it.
274
00:11:13,083 --> 00:11:14,346
Isn't being a mom great?
275
00:11:14,679 --> 00:11:15,897
The greatest.
276
00:11:16,693 --> 00:11:19,106
You just said you feel like a failure.
277
00:11:19,107 --> 00:11:21,219
I think that is because
of a postpartum decrease
278
00:11:21,220 --> 00:11:22,918
in estrogen and progesterone.
279
00:11:22,919 --> 00:11:25,527
Did you just call me hormonal?
280
00:11:25,528 --> 00:11:28,464
- No, actually reduced hormonal.
- Okay, Shaun.
281
00:11:28,488 --> 00:11:30,509
- Time to go.
- This is my office.
282
00:11:30,533 --> 00:11:32,469
Let's not have it be your gravesite.
283
00:11:38,889 --> 00:11:41,019
Huh. There's gotta be
something you can do.
284
00:11:41,718 --> 00:11:43,479
We can't safely remove the tumor
285
00:11:43,480 --> 00:11:45,373
without permanent injury
to your brain stem.
286
00:11:45,374 --> 00:11:47,234
If you survive the surgery at all.
287
00:11:49,422 --> 00:11:52,314
I'm sorry. I know it's a lot to take in.
288
00:11:52,315 --> 00:11:54,339
But there's... there's new
technology all the time.
289
00:11:54,340 --> 00:11:55,862
Nadal's back with the stem cells,
290
00:11:55,863 --> 00:11:57,580
and Bartolo Colon...
291
00:11:57,581 --> 00:12:00,345
Experimental treatments on
athletes' orthopedic injuries
292
00:12:00,346 --> 00:12:02,303
are completely different
than brain surgery.
293
00:12:02,304 --> 00:12:04,326
C-Could you remove some of the tumor?
294
00:12:04,350 --> 00:12:07,285
Buy me more time? How about chemo?
295
00:12:07,286 --> 00:12:09,571
This type of cancer
doesn't respond to chemo.
296
00:12:09,572 --> 00:12:11,921
We did read a paper in class
about a TCR approach.
297
00:12:11,922 --> 00:12:13,096
Could that be something?
298
00:12:13,097 --> 00:12:14,771
That was only done a few times,
299
00:12:14,772 --> 00:12:15,795
and never with brain stem involvement.
300
00:12:15,796 --> 00:12:17,252
TCR.
301
00:12:17,276 --> 00:12:19,297
It's my new favorite letters.
302
00:12:19,321 --> 00:12:21,241
Whatever they stand for, let's do that.
303
00:12:26,720 --> 00:12:30,090
TCR means we would
saw up through your mandible
304
00:12:30,114 --> 00:12:32,441
and dislocate your lower jaw.
305
00:12:32,442 --> 00:12:34,292
Then we cut open
from the roof of your mouth
306
00:12:34,293 --> 00:12:35,510
to the back of your throat.
307
00:12:35,511 --> 00:12:37,446
That's just to access the tumor.
308
00:12:37,470 --> 00:12:39,926
That tumor is woven
into your brain stem.
309
00:12:39,927 --> 00:12:42,778
Removing it would very likely
leave you quadriplegic,
310
00:12:42,779 --> 00:12:45,739
unable to speak or move,
if you survive the surgery.
311
00:12:47,878 --> 00:12:49,109
Okay.
312
00:12:49,133 --> 00:12:50,453
Maybe it's not my favorite.
313
00:12:51,832 --> 00:12:53,007
But let's try.
314
00:12:55,618 --> 00:12:58,180
Sal, you should enjoy
your remaining time.
315
00:12:59,448 --> 00:13:00,991
Travel.
316
00:13:01,015 --> 00:13:02,471
Connect with family.
317
00:13:02,495 --> 00:13:04,497
[SOMBER MUSIC]
318
00:13:09,153 --> 00:13:10,734
Who am I gonna connect with?
319
00:13:13,810 --> 00:13:16,049
Wife kicked me out when I gambled away
320
00:13:16,073 --> 00:13:18,366
the kids' college fund.
321
00:13:20,094 --> 00:13:22,579
None of them
have talked to me for years.
322
00:13:28,129 --> 00:13:30,212
I got a break coming my way.
323
00:13:31,611 --> 00:13:32,923
I can feel it.
324
00:13:40,792 --> 00:13:46,886
We've got our annual presentation
to the managed care companies.
325
00:13:46,887 --> 00:13:49,149
They want detailed reports
on patient outcomes
326
00:13:49,150 --> 00:13:50,455
for diabetes, geriatrics...
327
00:13:50,456 --> 00:13:51,763
That's great. Schedule that for never.
328
00:13:51,764 --> 00:13:54,415
- No, I've set it for tomorrow at 9:00.
- That's the wrong answer.
329
00:13:54,416 --> 00:13:56,504
Unfortunately, I have
back-to-back surgeries.
330
00:13:56,505 --> 00:13:59,533
Thank goodness I have a partner
to do the things I can't.
331
00:14:00,683 --> 00:14:02,381
[QUIRKY MUSIC]
332
00:14:04,731 --> 00:14:06,820
[SIREN WAILING IN DISTANCE]
333
00:14:08,822 --> 00:14:09,876
Oh.
334
00:14:09,877 --> 00:14:13,826
You know, med students are
allowed to eat with the residents.
335
00:14:13,827 --> 00:14:16,417
I find the sound of people
chewing to be unsettling.
336
00:14:22,749 --> 00:14:24,814
Well, if you want some guidance
337
00:14:24,838 --> 00:14:27,425
and you don't mind the sound
of sipping noises,
338
00:14:27,449 --> 00:14:29,906
Jordan and I can take you for coffee.
339
00:14:29,930 --> 00:14:36,478
[IMITATING MARILYN MONROE]
? Happy Birthday, Dear Daddy ?
340
00:14:36,502 --> 00:14:37,914
Ha... [GASPS]
341
00:14:37,938 --> 00:14:40,917
Uh, baby, let me call you right back.
342
00:14:40,941 --> 00:14:42,072
[CELL PHONE CLICKS]
343
00:14:43,770 --> 00:14:45,530
Where did you get your bra?
344
00:14:45,554 --> 00:14:48,027
I've always been intrigued
by lace. Is it okay?
345
00:14:48,051 --> 00:14:51,101
Kind of busy right now.
Can we talk upstairs later?
346
00:14:51,102 --> 00:14:52,168
What are you doing?
347
00:14:52,169 --> 00:14:53,712
Just talking to a friend.
348
00:14:53,736 --> 00:14:56,206
You called him "Daddy,"
but your dad's upstairs.
349
00:14:57,000 --> 00:15:00,284
[SCOFFS] He's a client, a regular.
350
00:15:00,285 --> 00:15:02,657
He paid me five grand
for a last-minute session.
351
00:15:02,658 --> 00:15:04,593
Lucky for me, he's into exhibitionism.
352
00:15:04,594 --> 00:15:07,628
Five grand? That's more than I
made a whole month waitressing,
353
00:15:07,629 --> 00:15:08,814
including tips.
354
00:15:08,838 --> 00:15:10,686
Do people tip sex workers?
355
00:15:10,710 --> 00:15:13,384
Charlie, this isn't
any of our business, so...
356
00:15:13,408 --> 00:15:15,212
Plenty of people know what I do.
357
00:15:15,236 --> 00:15:17,235
Just not my actual father.
358
00:15:18,309 --> 00:15:20,304
Please, you cannot say anything to him.
359
00:15:20,328 --> 00:15:22,138
- Of course not.
- [CELL PHONE DINGS]
360
00:15:23,113 --> 00:15:25,831
Ah. Good news.
361
00:15:25,855 --> 00:15:27,703
Donor lungs just became available.
362
00:15:27,727 --> 00:15:29,407
"Happy birthday, Daddy," indeed.
363
00:15:30,773 --> 00:15:32,471
[QUIRKY MUSIC]
364
00:15:36,507 --> 00:15:38,398
The donor's upstairs on life support.
365
00:15:38,422 --> 00:15:40,244
His family is ready to withdraw care.
366
00:15:40,245 --> 00:15:42,686
We'll take you
for some additional testing,
367
00:15:42,687 --> 00:15:44,555
but the transplant could happen
as soon as tomorrow.
368
00:15:44,556 --> 00:15:45,854
- [RICH] Wow.
- You'll need a bedroom
369
00:15:45,855 --> 00:15:48,605
on the ground floor,
and an easily accessible bathroom.
370
00:15:48,606 --> 00:15:50,454
I can convert my office.
371
00:15:50,455 --> 00:15:52,995
As long as you have privacy
elsewhere for your work.
372
00:15:52,996 --> 00:15:55,873
Whoa, whoa, whoa. [CHUCKLES]
Why'd you say "work" like that?
373
00:15:55,874 --> 00:15:59,221
I mean, how much privacy do you
need for tech consultations?
374
00:16:00,836 --> 00:16:03,205
Charlie's speech pattern
can be a bit unusual.
375
00:16:03,229 --> 00:16:04,337
Her autism is awesome.
376
00:16:04,361 --> 00:16:05,425
Thank you.
377
00:16:05,449 --> 00:16:07,993
Don't mention it. Really. Do not.
378
00:16:08,017 --> 00:16:09,690
Love you, Daddy.
379
00:16:09,714 --> 00:16:11,779
So many daddies, so little time.
380
00:16:11,803 --> 00:16:13,239
Whoa, whoa.
381
00:16:14,850 --> 00:16:15,900
What does that mean?
382
00:16:16,939 --> 00:16:18,395
Uh, Dad, nothing.
383
00:16:18,396 --> 00:16:20,028
I'm not asking you. I'm asking her.
384
00:16:20,029 --> 00:16:22,074
[TENSE MUSIC]
385
00:16:22,561 --> 00:16:25,599
Saying "observe" isn't enough.
386
00:16:25,600 --> 00:16:27,708
You need to tell them, "Don't speak."
387
00:16:27,732 --> 00:16:30,210
I realize that now.
So does The Dominator.
388
00:16:31,693 --> 00:16:33,888
What are your thoughts about the TCR?
389
00:16:33,889 --> 00:16:35,435
You're considering the surgery?
390
00:16:35,436 --> 00:16:37,785
It's either that or do nothing
and Sal is dead in a year.
391
00:16:37,786 --> 00:16:41,046
A year is a year.
You're not his executioner.
392
00:16:41,071 --> 00:16:42,290
So you wouldn't do it?
393
00:16:42,315 --> 00:16:44,365
No, I'm not making
this decision for you.
394
00:16:44,488 --> 00:16:46,248
You're an attending now.
395
00:16:46,272 --> 00:16:47,853
Your surgery, your call.
396
00:16:52,801 --> 00:16:53,851
[CLATTERING]
397
00:16:56,892 --> 00:16:58,260
What are you doing?
398
00:16:58,284 --> 00:17:00,175
Work order says deliver them here.
399
00:17:00,199 --> 00:17:01,636
Signed by the president.
400
00:17:05,944 --> 00:17:07,956
Co... president.
401
00:17:08,132 --> 00:17:12,515
[JARED] Once Rich's questions
picked up speed,
402
00:17:12,516 --> 00:17:14,779
it wasn't long before
Charlie mentioned "sex worker."
403
00:17:14,780 --> 00:17:16,571
Shortly thereafter, he banned Grace from
the room
404
00:17:16,572 --> 00:17:17,892
and called off the surgery.
405
00:17:18,391 --> 00:17:20,282
Okay.
406
00:17:20,306 --> 00:17:22,937
His oxygen saturation is decreasing.
407
00:17:22,938 --> 00:17:25,441
He is profoundly hypoxic.
Rich needs new lungs now.
408
00:17:25,442 --> 00:17:26,506
I told him that.
409
00:17:26,507 --> 00:17:27,922
He booked a flight back to Florida.
410
00:17:27,923 --> 00:17:29,663
Said he'll get
on the transplant list there.
411
00:17:29,664 --> 00:17:31,954
No, no, no. His lungs
cannot handle transport.
412
00:17:31,955 --> 00:17:33,667
Charlie's mistake is
endangering our patient's health.
413
00:17:33,668 --> 00:17:36,168
Our patient is doing that
all on his own.
414
00:17:36,169 --> 00:17:38,454
But Rich would not be upset
if Charlie had not revealed...
415
00:17:38,455 --> 00:17:40,346
She didn't violate any HIPAA laws.
416
00:17:40,347 --> 00:17:41,675
The only thing she did wrong
417
00:17:41,676 --> 00:17:43,564
was not keep Grace's
secret life a secret.
418
00:17:43,565 --> 00:17:47,010
Which kind of sounds like
something you might have done
419
00:17:47,034 --> 00:17:48,900
back in your first year.
420
00:17:49,593 --> 00:17:50,643
[SHAUN] Hmm.
421
00:17:53,614 --> 00:17:56,312
Our patient needs a bilateral
whole-lung lavage
422
00:17:56,337 --> 00:17:58,034
in order to get home safely.
423
00:17:58,059 --> 00:17:59,331
Please get his consent.
424
00:18:00,651 --> 00:18:02,386
Charlie can do scut work.
425
00:18:02,387 --> 00:18:06,725
[DR. PARK] Dissecting the tumor
from the ventral surface
426
00:18:06,726 --> 00:18:07,968
of the pons and cranial nerves.
427
00:18:07,969 --> 00:18:10,363
- [DEVICE BEEPING]
- [SIGHS]
428
00:18:11,512 --> 00:18:13,397
Applied too much pressure. Bleeder.
429
00:18:14,186 --> 00:18:15,555
- Oh, God.
- What? Dom,
430
00:18:15,579 --> 00:18:16,774
it's not even real.
431
00:18:16,798 --> 00:18:18,515
- Oh, God.
- [THUD]
432
00:18:18,539 --> 00:18:19,733
Again?
433
00:18:19,757 --> 00:18:20,884
Again.
434
00:18:20,908 --> 00:18:22,155
[DEVICE BEEPING]
435
00:18:23,145 --> 00:18:25,103
Have you eaten?
436
00:18:25,104 --> 00:18:26,502
Two double cheeseburgers,
437
00:18:26,503 --> 00:18:28,243
fries, coleslaw, cottage cheese,
438
00:18:28,287 --> 00:18:29,830
a pudding, and fruit salad.
439
00:18:31,054 --> 00:18:33,988
You know, hemophobia can make
440
00:18:33,989 --> 00:18:36,489
for a pretty rough surgical rotation.
441
00:18:36,513 --> 00:18:38,193
You got any idea how to get over it?
442
00:18:38,863 --> 00:18:40,145
I gotta.
443
00:18:40,169 --> 00:18:42,756
[CHUCKLES] My brother and I,
we have this deal
444
00:18:42,780 --> 00:18:44,970
to become family docs,
then move back home.
445
00:18:46,081 --> 00:18:47,343
When our mother got sick,
446
00:18:47,368 --> 00:18:49,168
we saw how lousy medical care can get.
447
00:18:49,795 --> 00:18:52,918
You could try exposure therapy,
448
00:18:52,919 --> 00:18:54,379
watch a few hours of blood draws.
449
00:18:54,380 --> 00:18:57,122
- [GAGS]
- Ooh, there's a twist.
450
00:18:57,147 --> 00:18:58,409
You good?
451
00:18:58,448 --> 00:18:59,595
Okay. Just breathe.
452
00:18:59,619 --> 00:19:00,842
[GAGS]
453
00:19:02,792 --> 00:19:03,842
[SIGHS]
454
00:19:07,065 --> 00:19:08,327
[DEVICE BEEPING]
455
00:19:09,076 --> 00:19:11,199
[BEEPING CONTINUES]
456
00:19:11,200 --> 00:19:12,748
[SIGHS]
457
00:19:13,332 --> 00:19:14,952
[DEVICE BEEPING CONTINUOUSLY]
458
00:19:16,292 --> 00:19:17,342
[SIGHS]
459
00:19:19,034 --> 00:19:20,731
[DRAMATIC MUSIC]
460
00:19:24,256 --> 00:19:25,719
[DEVICE BEEPING]
461
00:19:29,698 --> 00:19:31,482
[SIGHS DEEPLY]
462
00:19:31,595 --> 00:19:34,424
Shaun doesn't like her?
But she worships him.
463
00:19:34,425 --> 00:19:35,735
Charlie blabbed to the patient,
464
00:19:35,736 --> 00:19:37,825
blew up his double lung transplant.
465
00:19:37,850 --> 00:19:40,636
Double lumen
endotracheal tubes and clamps.
466
00:19:40,661 --> 00:19:42,711
My guy did the same thing,
but in reverse.
467
00:19:42,712 --> 00:19:44,406
Mentioned a virtually
impossible surgery.
468
00:19:44,407 --> 00:19:45,672
Now the patient wants it.
469
00:19:45,673 --> 00:19:49,063
[CHUCKLING] I think I actually saw
smoke come out of Park's ears.
470
00:19:49,064 --> 00:19:51,065
Well, 20% of med school
students don't make it,
471
00:19:51,066 --> 00:19:52,936
and most of that happens
during surgical rotation.
472
00:19:52,937 --> 00:19:55,243
I wonder which one
of our ducklings goes first?
473
00:19:55,244 --> 00:19:56,583
Ten bags of saline.
474
00:19:59,509 --> 00:20:00,889
Oh, you're gonna need a cart.
475
00:20:02,077 --> 00:20:04,708
The big guy's on a mission.
I'll take the girl.
476
00:20:04,732 --> 00:20:07,058
[GASPS] I've never said
those words before.
477
00:20:07,082 --> 00:20:08,387
Done with my scut work.
478
00:20:09,818 --> 00:20:11,014
You guys need a cart.
479
00:20:12,000 --> 00:20:13,194
I'll be right back.
480
00:20:13,218 --> 00:20:15,264
[QUIRKY MUSIC]
481
00:20:20,661 --> 00:20:21,711
Hey.
482
00:20:24,276 --> 00:20:26,804
Are you not going to go to Morgan's
baby thing
483
00:20:26,828 --> 00:20:28,465
because I might be there?
484
00:20:29,290 --> 00:20:30,340
Yes.
485
00:20:31,715 --> 00:20:32,975
Well, that's pretty dumb.
486
00:20:34,326 --> 00:20:37,088
Don't you think it's time
we moved past this stuff?
487
00:20:37,112 --> 00:20:38,162
No.
488
00:20:39,201 --> 00:20:40,877
Well, I'm trying to.
489
00:20:41,812 --> 00:20:43,713
I'm the one who should be mad at you.
490
00:20:45,250 --> 00:20:48,427
You should have met Steve
on the day he was born.
491
00:20:48,740 --> 00:20:51,265
Yes. I should have.
I should have done that.
492
00:20:52,928 --> 00:20:56,393
I was pretty upset back then.
493
00:20:57,567 --> 00:20:58,957
You humiliated me,
494
00:20:58,981 --> 00:21:03,150
and I'm not a surgeon now
partly because of you.
495
00:21:04,269 --> 00:21:05,880
Did you forget that?
496
00:21:09,455 --> 00:21:13,242
That is not an apology.
497
00:21:15,411 --> 00:21:17,152
[SOMBER MUSIC]
498
00:21:25,818 --> 00:21:28,432
Drained ninth liter of effluent.
499
00:21:29,256 --> 00:21:32,061
Left lung output is looking clearer.
500
00:21:32,085 --> 00:21:35,215
[OVER INTERCOM] Did everyone
look at Grace's cam-girl site?
501
00:21:35,480 --> 00:21:37,650
What is she doing here?
502
00:21:38,091 --> 00:21:40,180
She was done with scut work.
503
00:21:40,486 --> 00:21:42,376
Infusing another liter of saline.
504
00:21:42,400 --> 00:21:45,170
Grace put herself online
because she wants customers.
505
00:21:45,324 --> 00:21:46,764
I'm giving her what she wants.
506
00:21:46,867 --> 00:21:48,425
You actually subscribed?
507
00:21:48,426 --> 00:21:50,450
I am a feminist,
and she's very beautiful.
508
00:21:50,451 --> 00:21:53,254
Her site offers
tasteful nude portraits,
509
00:21:53,255 --> 00:21:55,194
sensual shower videos,
and gritty bondage.
510
00:21:55,195 --> 00:21:57,826
No amount of money
is worth selling your body.
511
00:21:57,850 --> 00:22:00,089
Uh, $3.6 million a year might be.
512
00:22:00,407 --> 00:22:01,811
What about you, Dr. Murphy?
513
00:22:01,836 --> 00:22:04,546
How would you feel if your son
ended up doing sex work?
514
00:22:07,729 --> 00:22:09,229
What if he ends up sick
515
00:22:09,253 --> 00:22:11,663
from cutting quartz countertops
for a living?
516
00:22:16,749 --> 00:22:19,233
We can clear Rich to fly home.
517
00:22:19,698 --> 00:22:21,777
But I need to talk to him first.
518
00:22:25,399 --> 00:22:26,879
[FOOTSTEPS IN DISTANCE]
519
00:22:35,279 --> 00:22:37,692
How long ago did she wake up?
520
00:22:37,716 --> 00:22:40,504
About an hour or so. I just fed her.
521
00:22:50,424 --> 00:22:52,035
[SNIFFLES]
522
00:22:56,126 --> 00:22:57,930
The patient wants to go for it,
523
00:22:57,954 --> 00:23:01,952
and there's a non-zero chance it works.
524
00:23:03,568 --> 00:23:05,198
So do it.
525
00:23:05,222 --> 00:23:07,452
Only the best of the best
could pull this off.
526
00:23:08,878 --> 00:23:10,326
And what if that's you?
527
00:23:13,230 --> 00:23:15,469
I've been in the OR with you.
528
00:23:15,493 --> 00:23:16,862
I know your steadiness,
529
00:23:16,886 --> 00:23:20,002
your precision, your persistence.
530
00:23:24,763 --> 00:23:26,678
I believe you can do this.
531
00:23:31,509 --> 00:23:33,269
[EDEN BABBLING]
532
00:23:33,293 --> 00:23:34,904
Maybe Eden should decide.
533
00:23:36,035 --> 00:23:37,752
She agrees with her mama.
534
00:23:37,776 --> 00:23:39,493
[BABBLING CONTINUES]
535
00:23:39,517 --> 00:23:41,712
[CHUCKLES, SNIFFLES]
536
00:23:41,736 --> 00:23:43,116
[INHALES, EXHALES DEEPLY]
537
00:23:51,597 --> 00:23:53,702
You are able to fly home now.
538
00:23:56,142 --> 00:23:58,457
But you should listen to your daughter.
539
00:24:06,370 --> 00:24:07,719
Dad.
540
00:24:08,159 --> 00:24:09,290
Please.
541
00:24:10,374 --> 00:24:12,308
Dr. Murphy says it's very unlikely
542
00:24:12,332 --> 00:24:14,802
they'll find another donor
match before you die.
543
00:24:15,553 --> 00:24:16,809
Take the lungs.
544
00:24:19,159 --> 00:24:22,481
You don't have to live with me.
I'll find a place for you.
545
00:24:25,258 --> 00:24:26,985
You have to stop what you're doing.
546
00:24:30,394 --> 00:24:31,532
No.
547
00:24:32,563 --> 00:24:34,478
I like what I do.
548
00:24:34,503 --> 00:24:37,462
I'm successful,
and I'm not hurting anyone.
549
00:24:37,531 --> 00:24:39,466
You're hurting me.
550
00:24:39,490 --> 00:24:41,535
[SOMBER MUSIC]
551
00:24:59,469 --> 00:25:02,688
My son, Steve, is three weeks old.
552
00:25:02,689 --> 00:25:07,497
I have been thinking about what
he might do when he gets older
553
00:25:07,498 --> 00:25:10,195
that I would not approve of.
554
00:25:12,717 --> 00:25:16,744
But I can't imagine
not wanting him in my life
555
00:25:17,852 --> 00:25:20,372
unless he was cruel or unkind to others.
556
00:25:22,677 --> 00:25:24,853
She is kind and generous.
557
00:25:24,878 --> 00:25:26,924
She loves you and wants to care for you.
558
00:25:26,949 --> 00:25:29,006
She seems like a very good person.
559
00:25:33,892 --> 00:25:35,554
You did raise Grace right.
560
00:25:48,399 --> 00:25:52,480
You're a gambling addict
who showed up here
561
00:25:52,481 --> 00:25:54,461
having already thrown everything away.
562
00:25:55,174 --> 00:25:57,196
The only way I do this surgery
563
00:25:57,220 --> 00:26:00,078
is if I know you'll make
better use of the extra time.
564
00:26:02,007 --> 00:26:04,082
- This doesn't seem ethical.
- It's not.
565
00:26:07,639 --> 00:26:10,214
Convince me you'll
lead a life worth saving.
566
00:26:19,111 --> 00:26:21,176
My name is Sal Zacharia,
567
00:26:21,200 --> 00:26:22,768
and I have a gambling addiction.
568
00:26:23,985 --> 00:26:26,688
I promise I will get treatment.
569
00:26:26,689 --> 00:26:29,835
And you'll reach out to your ex-wife,
570
00:26:29,836 --> 00:26:31,029
try to reconnect with your family.
571
00:26:31,030 --> 00:26:33,320
How is this any business of yours?
572
00:26:39,108 --> 00:26:40,848
Tell me why I should believe you.
573
00:26:48,910 --> 00:26:52,089
Because I die if you don't.
574
00:26:58,759 --> 00:27:00,180
I don't wanna die.
575
00:27:07,942 --> 00:27:09,481
Let's get prepped for surgery.
576
00:27:14,558 --> 00:27:15,689
[SIGHS]
577
00:27:20,101 --> 00:27:22,974
Scrub your arms to three
inches above the elbow.
578
00:27:23,001 --> 00:27:25,133
How did you get Rich to change his mind?
579
00:27:25,158 --> 00:27:26,290
Did you trick him?
580
00:27:26,315 --> 00:27:28,230
I related to him as a father.
581
00:27:28,255 --> 00:27:30,779
I have become very good
at displaying empathy.
582
00:27:30,780 --> 00:27:32,310
Neurotypicals are weird.
583
00:27:32,311 --> 00:27:33,723
Yes, they are.
584
00:27:33,724 --> 00:27:36,444
Rinse your hands and arms
from fingertips to elbows,
585
00:27:36,445 --> 00:27:38,495
one direction only.
586
00:27:38,970 --> 00:27:43,341
I am displaying empathy now,
by allowing you into the OR.
587
00:27:43,365 --> 00:27:45,953
You should be grateful
I was able to fix the case.
588
00:27:45,977 --> 00:27:47,717
Hands up, and don't touch anything.
589
00:27:50,233 --> 00:27:54,903
[CHARLIE] My first time
being gowned and gloved.
590
00:27:54,904 --> 00:27:56,203
Do we get to shave his chest?
591
00:27:56,204 --> 00:27:57,813
[NURSE VILLANUEVA]
It was done in pre-op.
592
00:27:57,814 --> 00:28:01,403
Oh, I shave my own body hair,
so I'm great at it.
593
00:28:01,427 --> 00:28:03,013
Not my chest, though.
594
00:28:03,014 --> 00:28:04,750
- I mean, my underarms, my legs, my...
- [JARED] Charlie.
595
00:28:04,751 --> 00:28:06,974
[SHAUN] Okay. Please stop talking.
596
00:28:06,998 --> 00:28:09,485
[CHARLIE] I... I, uh,
was just trying to...
597
00:28:12,046 --> 00:28:15,634
[SHAUN] You cannot touch your skin.
598
00:28:15,658 --> 00:28:18,159
[CHARLIE] I didn't,
I touched my earring.
599
00:28:18,183 --> 00:28:20,663
[SHAUN] You can't touch
any non-sterile item.
600
00:28:21,883 --> 00:28:26,581
You've just contaminated
the surgical field.
601
00:28:26,582 --> 00:28:28,212
You have to re-scrub in,
602
00:28:28,236 --> 00:28:30,364
and we have to re-drape everything.
603
00:28:30,365 --> 00:28:33,023
- You're speaking very loudly.
- Go read the literature
604
00:28:33,024 --> 00:28:35,350
on operating-room sterile technique.
605
00:28:35,374 --> 00:28:37,482
That won't help.
I'm an auditory learner.
606
00:28:37,506 --> 00:28:39,944
You need to leave.
607
00:28:40,988 --> 00:28:43,686
Okay? Leave now.
608
00:28:47,603 --> 00:28:48,865
[JARED SIGHS]
609
00:28:51,190 --> 00:28:52,240
[KNOCK ON DOOR]
610
00:28:54,654 --> 00:28:55,718
That looks fun.
611
00:28:55,742 --> 00:28:58,764
[BREAST PUMP WHIRRING]
612
00:28:58,788 --> 00:29:00,984
Why did you e-mail "Will not attend"?
613
00:29:00,985 --> 00:29:02,922
You're clearly skipping my baby's party
614
00:29:02,923 --> 00:29:04,663
because you feel
like a failure as a mom.
615
00:29:04,664 --> 00:29:05,925
But you're not. And that's stupid.
616
00:29:05,926 --> 00:29:07,274
And how can I help
if you won't just tell me
617
00:29:07,275 --> 00:29:09,625
that you're having
breastfeeding problems?
618
00:29:09,669 --> 00:29:11,342
Mm. I'm sorry.
619
00:29:11,343 --> 00:29:13,933
I feel like a jerk complaining
to you about all of this.
620
00:29:13,934 --> 00:29:15,825
I know I'm lucky to breastfeed at all,
621
00:29:15,849 --> 00:29:18,262
and I am not being rational.
622
00:29:19,331 --> 00:29:21,768
You're not the only one failing.
623
00:29:26,294 --> 00:29:29,143
When Eden cries during the night,
624
00:29:29,167 --> 00:29:31,150
Alex is the one who wakes up.
625
00:29:31,604 --> 00:29:33,103
Every time.
626
00:29:33,127 --> 00:29:34,931
During one of his overnight shifts,
627
00:29:34,955 --> 00:29:39,003
I slept through my own baby
crying for almost 20 minutes.
628
00:29:39,282 --> 00:29:42,720
I mean, that's actual neglect.
629
00:29:42,721 --> 00:29:46,748
Yeah, I'm pretty sure Child
Protective Services is downstairs.
630
00:29:46,749 --> 00:29:48,466
Shut up, raisin boobs.
631
00:29:48,490 --> 00:29:50,362
[LAUGHS] Mm.
632
00:29:52,277 --> 00:29:55,299
You are the greatest mom.
633
00:29:56,244 --> 00:29:58,164
Adopting a baby with Turner syndrome,
634
00:29:58,165 --> 00:30:00,297
caring for her
after two heart surgeries,
635
00:30:00,298 --> 00:30:03,188
and somehow throwing a party
while being so put together.
636
00:30:03,940 --> 00:30:05,812
And I use formula exclusively.
637
00:30:17,001 --> 00:30:19,449
Finally got the last box
removed from my office.
638
00:30:20,392 --> 00:30:23,066
- Space is a little tight.
- And yet, I found some.
639
00:30:23,090 --> 00:30:26,330
Well, that's excellent use
of your co-presidential powers.
640
00:30:26,746 --> 00:30:29,420
- I owe you.
- Oh, my God, can we please stop?
641
00:30:29,444 --> 00:30:32,423
Can we... Can we just have a truce?
642
00:30:32,447 --> 00:30:34,275
- I'll think about it.
- Please?
643
00:30:34,588 --> 00:30:36,166
I promise, from here on in,
644
00:30:36,190 --> 00:30:38,299
I will check in with all the big stuff.
645
00:30:38,323 --> 00:30:39,648
Okay?
646
00:30:39,672 --> 00:30:41,470
No more gotchas.
647
00:30:41,761 --> 00:30:43,680
[ALL] Happy birthday!
648
00:30:45,330 --> 00:30:47,071
I sent the memo out this morning.
649
00:30:49,268 --> 00:30:50,443
Eighty?
650
00:30:52,293 --> 00:30:54,858
You look really good for your age.
651
00:31:07,526 --> 00:31:09,547
[FOOTSTEPS APPROACHING]
652
00:31:09,571 --> 00:31:11,332
I got booted out of my first surgery
653
00:31:11,333 --> 00:31:13,139
for contaminating the sterile field.
654
00:31:13,140 --> 00:31:14,900
I'm probably about to join you.
655
00:31:14,901 --> 00:31:16,490
I fainted twice at the sight of blood.
656
00:31:16,491 --> 00:31:18,710
I'm already sweating
and seeing little black dots.
657
00:31:18,711 --> 00:31:21,385
- What?
- Feel better?
658
00:31:21,386 --> 00:31:24,324
That activated your sympathetic
nervous system.
659
00:31:24,325 --> 00:31:26,265
More blood flow means you won't faint.
660
00:31:27,241 --> 00:31:29,350
Too bad I can't do that to myself.
661
00:31:29,374 --> 00:31:31,604
Try snapping your glove
against your wrist.
662
00:31:36,468 --> 00:31:38,165
[MONITOR BEEPING]
663
00:31:51,058 --> 00:31:53,055
[DR. PARK] All right. Let's cut.
664
00:31:53,080 --> 00:31:54,821
[TENSE MUSIC]
665
00:31:58,751 --> 00:32:00,231
[SAW WHIRRING]
666
00:32:19,045 --> 00:32:21,265
Stair-step mandibulotomy complete.
667
00:32:21,266 --> 00:32:23,664
Dr. Wolke, dissect to the floor
of the mouth posteriorly,
668
00:32:23,665 --> 00:32:26,675
then swing the tongue medially
and the mandible laterally.
669
00:32:28,302 --> 00:32:31,622
Transecting eustachian tube
and elevating the pharynx
670
00:32:31,623 --> 00:32:33,045
off the longus colli muscles.
671
00:32:33,046 --> 00:32:35,285
[SQUELCHING]
672
00:32:35,309 --> 00:32:38,754
We now have access to the
upper cervical spine and clivus.
673
00:32:41,054 --> 00:32:42,466
Now comes the hard part.
674
00:32:47,669 --> 00:32:50,822
Bring the Fabricius robot in.
Get the arms in position.
675
00:32:50,846 --> 00:32:53,856
Have the Rhoton dissector
and ultrasonic aspirator ready.
676
00:33:11,745 --> 00:33:14,182
[MONITOR BEEPING]
677
00:33:14,488 --> 00:33:18,446
[DR. PARK] 25-degree angled
Rhoton dissector.
678
00:33:18,447 --> 00:33:21,146
- [BEEPING CONTINUES]
- [MACHINE WHIRRING]
679
00:33:24,895 --> 00:33:29,020
Dissecting a safe plane
between the tumor
680
00:33:29,021 --> 00:33:31,731
and the ventral surface
of the pons and cranial nerve.
681
00:33:39,773 --> 00:33:41,154
Final step.
682
00:33:41,381 --> 00:33:43,971
Too deep here and the guy's
permanently paralyzed.
683
00:33:49,783 --> 00:33:53,221
[BREATHES DEEPLY]
684
00:34:15,417 --> 00:34:16,940
[DR. PARK] All tumor's out.
685
00:34:22,294 --> 00:34:23,614
And heart is still beating.
686
00:34:28,038 --> 00:34:29,973
[APPLAUSE]
687
00:34:29,997 --> 00:34:32,217
[TRIUMPHANT MUSIC]
688
00:34:47,493 --> 00:34:49,643
[DOM GAGGING] I'm not okay.
689
00:34:59,552 --> 00:35:01,110
- [GRACE] Dad.
- Hmm?
690
00:35:02,734 --> 00:35:03,843
Hey.
691
00:35:03,869 --> 00:35:05,392
Hey! You're here.
692
00:35:06,547 --> 00:35:07,699
Of course.
693
00:35:10,516 --> 00:35:11,667
How do you feel?
694
00:35:11,691 --> 00:35:14,322
[BREATHES DEEPLY]
695
00:35:14,346 --> 00:35:17,125
Like I can breathe again.
696
00:35:17,721 --> 00:35:19,353
[GRACE] Good.
697
00:35:19,573 --> 00:35:22,797
I found a place that can help
with your meals and medicine.
698
00:35:30,592 --> 00:35:31,767
You know, I...
699
00:35:31,792 --> 00:35:33,558
I'd really like to stay with you.
700
00:35:36,437 --> 00:35:39,092
If the offer still stands.
701
00:35:43,026 --> 00:35:44,289
Of course it does.
702
00:35:44,941 --> 00:35:46,005
Yeah?
703
00:35:46,029 --> 00:35:47,161
Yeah.
704
00:35:54,908 --> 00:35:56,233
[SMOOCHES]
705
00:35:56,257 --> 00:35:57,623
You're a good person.
706
00:35:59,869 --> 00:36:02,176
[INHALES, EXHALES DEEPLY]
707
00:36:14,432 --> 00:36:15,818
Hello.
708
00:36:15,819 --> 00:36:17,625
I would like a report
on what you've learned
709
00:36:17,626 --> 00:36:19,517
from the sterile techniques manual.
710
00:36:19,541 --> 00:36:20,605
I'll e-mail it.
711
00:36:20,629 --> 00:36:22,738
I'm reorganizing for peak efficiency.
712
00:36:22,762 --> 00:36:24,783
Making a great day greater.
713
00:36:24,807 --> 00:36:25,857
[CHUCKLES]
714
00:36:27,854 --> 00:36:29,875
No. Excuse me.
Today was not a great day.
715
00:36:29,899 --> 00:36:31,866
Nor was yesterday.
716
00:36:31,890 --> 00:36:36,037
You made several big mistakes
and dozens of small ones.
717
00:36:36,038 --> 00:36:38,675
My anatomy professor told us
it's okay to make mistakes.
718
00:36:38,676 --> 00:36:39,957
That's how we learn.
719
00:36:40,562 --> 00:36:42,043
Your professor is wrong.
720
00:36:42,782 --> 00:36:45,413
And so is this re-organization.
721
00:36:45,437 --> 00:36:47,799
I had everything in the proper place.
722
00:36:48,824 --> 00:36:50,696
Restore it, then go home.
723
00:36:50,721 --> 00:36:52,766
[SOMBER MUSIC]
724
00:36:58,114 --> 00:37:00,116
[CELL PHONE CLICKING]
725
00:37:05,741 --> 00:37:09,764
[SIGHS] Looks like we both
caught a break.
726
00:37:09,765 --> 00:37:10,822
Mm.
727
00:37:12,312 --> 00:37:13,400
Hmm.
728
00:37:15,771 --> 00:37:17,453
Is Janet your ex-wife?
729
00:37:19,732 --> 00:37:21,100
Nice.
730
00:37:21,101 --> 00:37:22,516
Looks like she's pretty excited
731
00:37:22,517 --> 00:37:23,648
about you getting into treatment.
732
00:37:23,649 --> 00:37:24,699
[SAL] Mm.
733
00:37:25,607 --> 00:37:26,869
[CELL PHONE CHIMES]
734
00:37:28,908 --> 00:37:30,908
_
735
00:37:31,064 --> 00:37:33,834
And you got a confirmation
for the bets you just placed.
736
00:37:36,488 --> 00:37:37,890
[GRUMBLES]
737
00:37:41,754 --> 00:37:43,732
[CELL PHONE CLICKING]
738
00:37:43,756 --> 00:37:45,497
[GROANS]
739
00:37:47,383 --> 00:37:50,278
_
740
00:38:00,512 --> 00:38:01,576
Good luck, Sal.
741
00:38:01,600 --> 00:38:03,471
[MUMBLES]
742
00:38:09,912 --> 00:38:11,436
[SIRENS WAILING IN DISTANCE]
743
00:38:28,235 --> 00:38:29,285
You okay?
744
00:38:29,286 --> 00:38:33,255
Dr. Murphy doesn't appreciate
efficient organization skills
745
00:38:33,256 --> 00:38:34,488
when he sees it.
746
00:38:37,840 --> 00:38:39,451
Hmm.
747
00:38:39,717 --> 00:38:40,848
[SUCKS TEETH] I do.
748
00:38:40,849 --> 00:38:43,205
That doesn't matter very much.
749
00:38:43,206 --> 00:38:44,469
You're not my hero.
750
00:38:51,955 --> 00:38:53,091
Sure about that?
751
00:38:55,523 --> 00:38:57,414
[TAYLOR SWIFT'S "BEJEWELED" PLAYS]
752
00:38:57,415 --> 00:38:59,004
[SINGING ALONG] ? Best
believe I'm still bejeweled ?
753
00:38:59,005 --> 00:39:00,591
? When I walk in the room ?
754
00:39:00,615 --> 00:39:03,289
? I can still make
The whole place shimmer ?
755
00:39:03,313 --> 00:39:05,291
? And when I meet the band
They ask ?
756
00:39:05,315 --> 00:39:06,728
? "Do you have a man?" ?
757
00:39:06,729 --> 00:39:08,535
? I can still say
"I don't remember" ?
758
00:39:08,536 --> 00:39:09,731
[LAUGHS]
759
00:39:09,732 --> 00:39:11,407
[BOTH]
? Familiarity breeds contempt ?
760
00:39:11,408 --> 00:39:12,951
? Don't put me In the basement ?
761
00:39:12,975 --> 00:39:15,345
? When I want
The penthouse of your heart ?
762
00:39:15,369 --> 00:39:17,913
? Diamonds in my eyes ?
763
00:39:17,937 --> 00:39:22,439
? I polish up real
I polish up real nice ?
764
00:39:22,463 --> 00:39:23,638
[BOTH LAUGH]
765
00:39:23,639 --> 00:39:27,206
- That's that smile I like to see.
- [CHARLIE] Whoo!
766
00:39:27,207 --> 00:39:28,584
? Shimmer ?
767
00:39:32,168 --> 00:39:33,714
You're so sweet.
768
00:39:36,602 --> 00:39:38,652
- [DR. REZNICK] Formula?
- You were right.
769
00:39:38,839 --> 00:39:39,889
No guilt, okay?
770
00:39:40,307 --> 00:39:41,722
I'm proud of you.
771
00:39:41,747 --> 00:39:44,850
Also, supplementing
has advantages for Mama.
772
00:39:45,486 --> 00:39:47,967
Bless your dear, dear soul.
773
00:39:48,633 --> 00:39:49,764
[SIGHS DEEPLY]
774
00:39:55,098 --> 00:39:57,018
Because we've had a long couple of days
775
00:39:57,038 --> 00:39:58,475
with our new babies.
776
00:40:02,460 --> 00:40:05,419
My first med school rotation
was oncology.
777
00:40:05,420 --> 00:40:07,768
I was doing patient intake,
and I asked a woman
778
00:40:07,769 --> 00:40:10,059
if she'd been keeping up
with her mammograms.
779
00:40:10,060 --> 00:40:12,296
It was a follow-up
to a double mastectomy.
780
00:40:12,297 --> 00:40:13,994
[STIFLED LAUGHTER]
781
00:40:14,019 --> 00:40:16,065
[LAUGHTER]
782
00:40:16,169 --> 00:40:18,060
Mine was obstetrics.
783
00:40:18,084 --> 00:40:19,844
It was my first delivery,
784
00:40:19,845 --> 00:40:21,608
and the doctor handed me the newborn,
785
00:40:21,609 --> 00:40:24,283
and I said, "Ew," like, out loud.
786
00:40:24,307 --> 00:40:26,017
[LAUGHTER]
787
00:40:26,393 --> 00:40:29,048
When I was in my first
ever surgery, open heart,
788
00:40:29,073 --> 00:40:31,728
the attending asked me what the ACT was.
789
00:40:31,753 --> 00:40:34,025
I proudly said,
"Activated clotting time."
790
00:40:34,026 --> 00:40:36,330
She said, "I know what it stands for.
791
00:40:36,331 --> 00:40:37,384
"I need you to tell me the number."
792
00:40:37,385 --> 00:40:39,211
- [LAUGHTER]
- Wow.
793
00:40:39,235 --> 00:40:42,258
Mm-hmm. That attending could
have thrown me out of the OR.
794
00:40:42,282 --> 00:40:43,826
But she mentored me instead.
795
00:40:45,146 --> 00:40:46,328
Yeah.
796
00:40:48,150 --> 00:40:49,710
To taking care of our ducklings.
797
00:40:50,367 --> 00:40:51,455
Yeah.
798
00:41:02,688 --> 00:41:06,849
I have heard valid arguments
both for and against sex work.
799
00:41:06,850 --> 00:41:09,613
Are you considering a career change?
800
00:41:09,614 --> 00:41:10,963
But it doesn't matter.
801
00:41:12,704 --> 00:41:16,150
It is okay for family to disagree.
802
00:41:18,187 --> 00:41:19,904
Being a family who argues
803
00:41:19,928 --> 00:41:23,279
is more important
than not being a family at all.
804
00:41:26,652 --> 00:41:29,246
I'm sorry it took me
so long to meet you.
805
00:41:30,565 --> 00:41:33,155
I look forward to spending
some more time together.
806
00:41:33,899 --> 00:41:35,127
Okay?
807
00:41:37,685 --> 00:41:39,590
He was saying that for me.
808
00:41:41,907 --> 00:41:43,536
Hi.
809
00:41:43,560 --> 00:41:48,280
? And as long as that's true
We've got everything ?
810
00:41:48,281 --> 00:41:49,262
? Fly away ?
811
00:41:49,263 --> 00:41:50,500
I got ya.
812
00:41:50,524 --> 00:41:52,676
? I bet we could ?
813
00:41:52,700 --> 00:41:54,006
? We got it good ?
814
00:41:57,444 --> 00:41:58,663
? We got it good ?
815
00:42:02,405 --> 00:42:04,103
[CLOSING THEME MUSIC PLAYING]
816
00:42:04,153 --> 00:42:08,703
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