All language subtitles for St Denis Medical s01e15 Sometimes Its Good To Be Cautious.eng

[indistinct chatter]

- If there's one thing I know,

it's how to give good Zoom.

You want a pop of color
that says, "girlfriend

likes to have fun"

but a level of order
that says,

"girlfriend is in
the workplace."

Too sexy.

And today's video call
is pretty important.

I'm being interviewed
for an upcoming feature

in Stanford's alumni magazine.

It is an honor
that's truly humbling,

especially for the people
who weren't selected.

[chuckles]

Hi, there.

Dr. Joyce Henderson, class
of '92, 720 math, 680 verbal.

- Hi, Joyce.

It's Jeremy from the magazine.

- Hey, Jeremy.
You know what?

I'm not seeing you.

- Oh, it's just
an audio interview.

Did you think
it was going to be video?

- No.

Did you?

[upbeat music]

?

- Well, unfortunately,
the scans

confirmed what we suspected.

When you overextended
your shoulder,

you tore two of your rotator
cuff tendons right here.

- So does that mean
I can't play anymore?

- Dominic's the
starting pitcher

on the OMU baseball team
and a prospect

for the minors next year.

Now, the conventional wisdom
on irreparable

rotator cuff tears is clear.

It's too risky to operate.

Just cut your losses,
aim for basic function.

But here's what I think
about conventional wisdom.

Ooh.
[chuckles]

That's, no, it's-OK, yeah,
that's thick card stock.

It's well made.

But, uh, you get
what I'm going for.

The good news is, there's an
innovative new procedure

called a shoulder balloon
implant that can restore

full range of motion.

Bad news is, there's only seven
surgeons on the West Coast

trained to do it.

The good news is,
I'm one of them.

The bad news is,
I'm a little hungover today.

The good news is, just kidding.
[laughs]

- That sounds great.
Let's do it.

- All right, my guy.

We'll get you prepped.
- Cool.

- All right.

- You want anybody
here with you?

Mom and Dad, maybe?

- Uh, no,
they're in El Salvador.

But I'll be good, right?

- Oh, heck, yeah, you will.

I should say there's a small
percentage of implant patients

that experience chronic pain
after surgery.

But you're young and healthy,
you'll be fine.

- OK, if you don't think
I need to worry about that.

- I don't.

Now, those statistics
reflect all surgeons,

and you won't have
all surgeons.

You'll have Bruce Schweitz.

- Who's that?
- Hmm?

Uh-[laughs] OK.

Who's that?

Very good. [laughs]

You a ball player
or a comedian?

I'll get
your paperwork started,

Mrs. DeGeneres.

Oh, who's that?

Very good.

[laughs]

- Well, when I took over,

St. Denis was ranked 32nd
in the state.

And now, it's 29th.

Actually, 28th,

because Willamette Presbyterian
burned down.

So, um, I think the numbers
speak for themselves.

- OK, so is that it?

- I-I guess.

Wha-is that the amount
that you normally get?

- Just depends on the person.

Next up for this issue
is Tiger Woods.

- Tiger Woods?

So the alumni feature
is going to be Tiger Woods,

legendary sports icon,

and me,

legendary head
of a regional hospital icon.

- I'm gonna get
you all wrapped up.

Keep your leg still.

And, uh, could you put out
your right hand?

OK.

Palm up.

Very good.

Perfect.

Few things bring me
real joy in life.

My rock tumbler,

watching an overtly French
person fall down,

but most of all,
the Portland Trail Blazers.

Today, they're playing
the Warriors.

Damn!

And I hate the Warriors.

I-whoop!

Commercial's over.

We good?
I think we're good.

- So I sign up for emails,
activate my account,

and then the promo code is
"WELCOME."

- Dude, just pay
full price for socks.

- But-
- OK, on three.

One, two, three.

Oh, [bleep].
- No, no, no, no, no.

[bleep].

So we had a little incident.

- Not an incident.

Something has to happen
for it to be an incident.

- We kinda dropped a guy.

- We started to drop him, but
I reached out and stopped it.

- Well, I-I did hear a bonk.

- There was no bonk.

I got my hand under his elbow.

- He either bonked your hand
or he bonked the ground.

Either way you cut it,
there was a bonk.

- Hey, do you have a minute?

- For you, pal?

I have two.

No, let's say one,

and if you need more, we
can always cross that bridge.

- OK.

Um-I'm-
I'm a little concerned

that Dominic is not fully aware
of the risks of this surgery.

- I told him there was
a risk of chronic pain,

and you were
standing right there.

- It was-it was the way
that you told him, Bruce.

You were very, very confident
that it would succeed.

- OK, is that a bad thing?

When a patient's going under,

I'm pretty sure they're
not thinking, gosh,

I hope my surgeon is humble.
- OK.

But I don't think we should be
glossing over the possibility

of a bad outcome.
- I wasn't glossing over it.

- You kind of were.

- Look, you care about
our patients,

and that's very sweet.

Never lose that.
- OK, it's not sweet.

That's like actual-
- Adorable, precious-

uh, take the compliment.

Look, I hear you.

I do.
And matter of fact,

I have just the thing
to solve this.

Prescription:
stay in your lane.

- OK. Bye.

- Refills: Unlimited.
- Mm-hmm.

- I'll call it in
to your pharmacy.

- Thank you.

- [chuckles]
We have fun.

- Oh, my God.

Have you seen this?

Tiger's a sensation.

Accomplishment after
accomplishment.

Gorgeous chompers, too.

Like, two rows of Dentyne Ice.

[knock at door]

- Joyce, big news.

I have a future baseball star

who wants
an experimental implant.

I just need your Jane Hancock.

- Hold up.
A new kind of surgery?

- Oh. No, don't worry.

I wouldn't say new-new.

- But it is risky
and innovative?

- No-unless you
want it to be.

In which case, it is highly
dangerous and inadvisable?

- OK, let me see that.
- OK.

- [laughs]

Eat your heart out, Tiger.
- [chuckles]

I don't know what's happening.

[both chuckling]

- So I stopped by the guy's
room, and he looks OK-

I think.
- Yeah, because he is.

- Right.

Well, I'll just
keep a close eye.

And when he wakes up,
we can tell him.

- No, we won't be doing that.

- What do you mean?

We have to tell him.

- You tell a patient
they we were dropped-

which, again, he wasn't-

and suddenly, his neck hurts,

and he's calling one of those
sleazy lawyers from a bus ad.

- Sleazy?

But they fight for you.

- Plus, we'll end up getting
written up for nothing.

- Yeah, but it's
the right thing to do.

I don't care about a write-up.

- I do.

You're gonna take me down with
you, get us both in trouble?

- I guess not.

- Jeremy, stop the presses.

- Oh, we don't print
for, like, three months.

It's quarterly.

- Thank God, because
I have a late-breaking scoop.

I just greenlit
a wildly experimental

new surgery that's gonna help
a young athlete

achieve his dream.

- Really?
That sounds interesting.

- Yeah, well, I guess you
could say here at St. Denis,

groundbreaking surgeries
are par for the course.

[chuckles]

Yeah, that'll work well
if you put my picture

right next to Tiger's.

- You feeling, uh,
good about your surgery?

- Uh, yeah.

I'm psyched you guys can
get it knocked out today.

- Mm.
Mm-hmm.

Right.

Uh, you talked to Mom and Dad?

They're on board
and everything?

- Ahh, I didn't
wanna worry them.

And the doctor said
it'll be fine, right?

- Ye-yeah.

He, uh-you know, he also said
it's a new surgery.

There are risks involved. So-

- Wait, you-you don't think
I should do it?

- No, I'm not saying that.

I'm not even,
really, it's not my-

- But, like, if you were me,
like, you'd do it?

- Oh.

Uh, if I were you-

well, first of all, my husband
would be in for a surprise,

you know, because he's pretty
open-minded,

and he'd be like, oh!

And so-sorry.

Listen, I'll-I'll say this.

If you were my kid,
I would be a bit concerned,

um, just about the
possibility of chronic pain.

You know?
But that's just me.

- Yeah.

- Hey, Alex!

Hey, congratulations.

So proud of you.

Hey, when's the grad party?

- What are we talking about?

- Oh. how you somehow became
a board-certified surgeon

in the last hour, wow,

and convinced Dominic
not to get the surgery.

- Oh, you're upset with me.

- Is this because
I hurt your feelings?

Yeah, your fragile ego
just couldn't handle

me not taking your advice?

- I just wanted him to
understand the risks involved.

- What risks?

I know what I'm doing.

- I'm not disputing that you're
an excellent surgeon, Bruce.

- Well, it would be insane
if you were.

- But even excellent s-

- You'd be out of your gourd
if you were-

- I'm speaking, OK?
- OK. Mm-hmm.

- Even excellent surgeons
have bad outcomes sometimes.

Random things
can just go wrong.

- Like, 1% of the time.

It's basically nothing.

- It's not nothing
to the one guy in a hundred

who now has chronic pain
for the rest of his life.

- But that's not
gonna happen here.

- But it could.
- But it won't.

- But it might.
- But it shan't.

- Shan't?
- It worked.

Oh-hey, Joyce,
the surgery's off.

Yeah.

You can thank Dr. Alex
for that.

- What? Oh, great.

Now I guess I'm back
to being just the head

of some random hospital.

Tiger's gonna love this.

- Due to circumstances
unforeseen,

I'm going to have to
retract my addendum

to your earlier report�ge.

- Sorry, what?

- We're not doing the-
the shoulder surgery.

- Oh. OK.
Is that it?

- Is that it?

[chuckles]
No.

No, I wouldn't just rip away
good news without replacing it

with something.

Um, we are...

debuting an innovative
vegan option

in our lobby cafeteria
next month.

So there's-there's
an exclusive for ya.

[indistinct intercom chatter]

- Mismatch down low
on the block.

He's going for the ball.

Simmons lobs inside...
[knock at door]

- Hey, Doctor.

How's he doing?

- Uh, yeah.

He's, uh, good.

He said he's good.

- Oh, my gosh.

He's talking again?

He's talking again.

- Well, he-he didn't-
- He's talking.

- He didn't say that.
It was more of a vibe.

- [sobs] Thank goodness.
- OK.

Can you-I just need to-
can you excuse me? Just-

- Pick one.
- Sorry, what's this?

- You said a 1% chance
of surgery going badly

was basically nothing.

There's 100 slips
of paper in here.

One of them has an X on it.

Pick one.
- OK.

Fine, whatever.

- But if you choose
the one with the X on it,

then you have to give me
one year's salary.

- What? No.
Why would I do that?

- Because it's easy
to take a risk

when you don't have anything
to lose.

But if you really think that
1% is nothing, then, you know.

- Fine.
Yeah.

I'm not sure
Joyce would approve

of gambling in the hospital,
but if it means

so much to you-ah-

not pre-tax, though, right?

- Just pick.

- It doesn't matter.

It doesn't matter.

OK.
[clears throat]

- OK, open it up.

- Mm.

It's blank.

Of course, it was blank.

- Oh, I think he got the X,

and the reason I think that

is because
they all had Xs on them.

- Ow.

- You OK?

- Oh, yeah.

You ever have hairs on your
head that don't belong?

Just trying to
get rid of those.

- Mm.
- It's crazy.

As soon as they're gone,

you find another crop
that has to go.

- So, I was thinking,
since we both agreed

to keep our mouths shut
about the patient

and we wouldn't wanna
violate each other's trust-

- No, of course not.

- Why don't we keep each
other honest

with some collateral?

You tell me a secret;
I tell you a secret.

- Oh, OK. Yeah.

So we kind of have secrets
just between us?

- But it has to be something
really humiliating.

- Ah-

OK.

Um, I-I have this
recurring dream

where I give birth
to my mother,

and it feels very real.

And as soon as she's out,

she starts just wailing
with hunger.

So I have to,
you know, feed her.

- Great. Got your ass.

Don't say anything to the guy,
and you'll be fine.

- Wait, where are you-

you-you didn't tell me
your secret.

- Watching the big game, huh?

Total guy move.

- Mm-hmm.

- Yeah,
we need our sports, right?

We're men.

Mascot's gotta be
getting hot in there.

- You can keep talking, but
I will physically harm you.

- Hey, Alex.

Boy, nurses run on coffee,
am I right?

- Mm-hmm.

- Oh!
Dropped my sandwich.

- Close call.

Gosh, I probably
just saved your life.

Yeah, there was a big study
about deli meats

increasing the odds
of heart disease.

And according to Alex, anything
with the slightest risk

shouldn't be done.
- Nice, Bruce.

Really nice.
- Uh-huh.

- It was vegan.
Sprouts and avocado.

- Uh, a choking risk, then.

You're welcome, Keith.

- That's not what
I said at all.

- Guys, you wanna hold it down?
We're at work.

- I just have this crazy thing

where I think we should be
upfront with our patients

about things
that might affect them.

- Oh, I don't think
that's crazy at all.

We owe it to our patients
to tell them everything.

- Guys, Matt,
has this dream that-

- On the other hand,
it's important to say nothing.

- Hey, did anyone bring
an extra lunch?

- Maybe we should tell people
not to drive home.

You seen the stats
on car crashes?

Oh, and 100,000 people
slip in the tub every year.

So-what?
Maybe we should stop showering?

Is that what you want?

Just a bunch of stinky people
walking down the highway?

- I don't think
this is about risk.

This is about your ego.

- It's funny, 'cause
I think it's about your ego.

- Everybody, stop.

This is a break room, OK?

And if you all respectfully
shut the [bleep] up,

it would be appreciated.

- Ron makes a good point-

- Shut up!

- We're trying to
watch the game.

- Be sure to call about PT, OK?

Those appointments
go really fast.

[knock at door]
- Hey.

I just wanted to say
I respect your decision

about the implant.

Sometimes,
it's good to be cautious.

- Cool. Thanks.
- All right.

- All right,
let's get you signed out-

- Neil Armstrong.

- Here we go.
- What?

- What's that-oh, nothing.

No, I was just thinking
about Neil Armstrong.

He is kind of a hero of mine.

Oh, it's funny,
now that you mention it,

he also took a risk. Yeah?

Piloted a tin can
all the way to the moon,

changed the course
of human history.

- He also had a team
of scientists around him

making sure that-

- Well, but he's not
the only one.

The Wright Brothers,
who conquered the skies.

Gandhi, and his thing.
Yeah.

Yeah, a lot of risk-takers.

- OK, that is true.
- Mm.

- It's also true
that for every Neil Armstrong,

some other risk-taker
takes a joy ride

down to the "Titanic" wreck
and explodes!

- Implodes. What?
They imploded.

- That was nuts.

- And what would
you know about risk?

[chuckles] She doesn't go
to Costco after 3:00 p.m.

because she says
the parking lot is too scary.

- People there are insane,
Bruce.

I am not the only one
who thinks that.

- No.

No, no, no!

Open your eyes.

Damn it!

- It breaks your heart,
but you can't save them all.

- He's saying I don't take
risks, which is crazy.

Just last week, I bought a pack
of bras right off the shelf.

Like, I didn't even
try them on first.

- Yeah, OK, but see,

that seems less
like a risk thing

and more like
a self-respect thing.

- Oh.
[clears throat]

Alex,
I'm on my way to the OR

to start Dom's surgery.

I just wanted to say,
colleague to colleague,

tough
loss.

You came at the big dog.
I respect that.

But you weren't ready
for that big dog bite.

- All right, Bruce.

- I got that locking jaw.

Heh, not neutered,
so aggression's way up.

- I really don't care.

- Ooh, I think she does,
Nurse-

come on, you got
to wear your name badge

in a visible place, bud.
- It's Parker.

- It's too late.

Look, the point is, I won.

And I'm sorry
that hurts your feelings.

- It is insane that you think
that this is about my feelings.

- Uh, I think if you dig down
deep enough,

it is about your feelings.

- Or, maybe,
I just know what it's like

when someone takes a risk
and it doesn't work out.

Because I'm the one
who takes care of them

when they come back in,
and they're in pain,

or they're hooked on pills,
or worse.

But you don't have to worry
about any of that, do you?

Big dog.

- OK, sir,
just checking your vitals-

blood pressure,
heart rate,

elbow function.

- Elbow?

I had a collapsed lung.

- Oh, this-
this is all protocol.

Um, so elbow-wise,
we're doing all good?

- I think so.
- Great!

That's-that's great.

Uh, well, let me know
if there's anything I can do

to make you more comfortable.
- No, I'm OK. Thanks.

- Hot chocolate, maybe?

You a Swiss Miss man?

I could also make
Nestl� happen.

Headline is, I'm here.

I'm gonna take care of you.

- Hey.
- Hey.

- Is everything good in here.
- Yep.

Hah!
Yep. Super good.

Almost too good, right?

Hey, can we get some
problems in here?

- He was asking about my elbow.

- And his heart rate.

Tell her about your heart rate.

- Hey, I come in peace.

I'm invested in Dom now,

so I just wanted
to see this through.

- Uh-huh.

- I'm serious.

I'm just here to be supportive.

So good luck in there.

- Uh-huh.

- Looks like
they're all ready for you.

- Uh-huh, well, I just have
to scrub a few more spots.

- I think you got
all the spots there, bud.

- Well, I wanna make sure
my hands are clean, OK?

So I don't mess up
and, uh, you know,

ruin this kid's life.

What the-uh, out of soap.
Great.

Cool. Cool hospital.

- OK, talk to me.
What-what's going on?

- I don't know.

I just-I can't stop thinking
about what you said.

I know, I'm as shocked as you
when your words have impact.

I just keep picturing this kid
out on the streets.

He lost his scholarship,

sold his baseball equipment
for drug money.

- Let's step back-

- Eventually, he sells the
only thing he has left-

himself.
- All right-

- And soon, he becomes the
top prostitute in Oregon.

But he can't even take pride
in that distinction

because he could have
been so much more.

- [whispers]
Why is this my life?

Oh, OK.
Listen, you-

you talk about, you know,
colonizing Mars, right?

- Well, it doesn't
have to be Mars.

It could be one of
Jupiter's moons.

- OK, whatever.
Listen.

But that is-
is gonna take big risks.

- Oh, yeah.
- You know?

And-and a certain breed
of person.

It's not gonna be
the Mazurkians.

- I'm sorry.

Your last name is Mazurkian?
- Yeah.

How do you-
- What?

Why?
- OK, listen.

There-there's a kid in there
on that table, right,

and-and he needs help.

So tell me this,
if that were you in there,

would you trust you?

- There's no one in the world
I'd trust more.

- Then you know
what you need to do.

- Hmm.

Well played.

- Mm.

- [sighs]
Hey, Alex.

- Yeah?

- Let someone know about that
soap dispenser, will you?

It's empty.

So-thanks.

- There's a chance
this will all blow over.

There's also a chance
that Matt will end up bald,

penniless, and inviting
this guy to live with him.

Come on.

Let's tell him what happened

before you fully lose
your mind.

- Seriously?

- You're turning into
Smeagol, so, yes.

- [sighs]

- So there's no damage
or bruising,

and your vitals
are totally normal,

but we just wanted you
to be aware.

- OK.

Well, thanks for the heads-up.
- Of course.

I mean, it's the least
we could do.

- I really appreciate
you telling me.

It's rare to find somebody so-

honest.
- Oh.

- It's nice.
- Oh.

Well, no biggie.

- It is a biggie.

I'm Will, by the way.

- Serena.

- And I'm Matt.

Yeah, it feels good
to tell the truth.

The patient took it well.

So well that he and Serena have
been talking for...

26 minutes now,
which is very cool.

- [laughing]

- He's making her laugh,

and I told her I breastfeed
my mom in my dreams.

So-

- Down to the wire.
Portland up by 2.

No time-outs.
- Ron,

we need you on 106.

- Can it wait 8.3 seconds?

- Well-it is a seizure,

but I'll see if he can hold it
in until you're ready.

- You always got
a little something to say,

don't you, Parker?

Nobody talk to me
or do anything.

- Whoa!

Warriors at the buzzer!

Hell of an ending!

[laughs]
Whoo!

Game that close,
everybody wins.

- [bleep] Keith.

- Hi, Joyce.

- I'm calling to
retract my retraction

because the surgery
is back on, baby.

- OK.
Good to know, thanks.

- Oh, I-I also wanted to
come clean about something.

The much-heralded vegan option
is not a done deal yet.

We're already doing halal
and kosher, and it's a lot.

So I just wanted to get out
in front of that

before your fact checkers
sharpen their claws.

Yeah, at the end of the day,

I was probably in my head
for nothing.

And if I had to guess, I bet
Tiger was just as worried

about stacking up to me.

Zero Olympic medals
for this guy.

Yikes.

- OK, subacromial
space is ready.

Inserting balloon
through the lateral port.

And-perfect.

- So Dominic's surgery
went well,

and I'm really happy for him.

And you know what?

Yeah, maybe I could
stand to take

a few more risks in my life.

[chuckles]

Scratchers.

I never do this.

Oh, [bleep].

That's $5 down the drain.

You know what? Just one more.

I gotta get my money back.

[bell clangs]

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