1 00:00:01,035 --> 00:00:02,570 REPORTER: Severe Winter Weather Advisories 2 00:00:02,603 --> 00:00:05,306 have been issued from Kansas to western Minnesota. 3 00:00:05,339 --> 00:00:07,275 Severe ice and snow reported. 4 00:00:07,308 --> 00:00:10,678 Temperatures will likely reach below 20 degrees, and wind chill... 5 00:00:10,711 --> 00:00:12,513 CLAIRE: Shaun. 6 00:00:12,546 --> 00:00:14,348 Shaun. 7 00:00:14,382 --> 00:00:18,986 Mm. There is a severe weather warning in Minnesota. 8 00:00:19,019 --> 00:00:20,721 You haven't been at work in three days. 9 00:00:21,822 --> 00:00:24,358 I want to be left alone. 10 00:00:24,392 --> 00:00:27,628 ** 11 00:00:27,661 --> 00:00:30,698 I'm sorry she hurt you. 12 00:00:30,731 --> 00:00:32,533 But you are strong. 13 00:00:32,566 --> 00:00:34,602 You're the most determined man I know. 14 00:00:34,635 --> 00:00:36,170 You're gonna get through this. 15 00:00:39,273 --> 00:00:42,476 I wish I was... 16 00:00:42,510 --> 00:00:43,911 Normal. 17 00:00:47,648 --> 00:00:50,851 Everyone wishes they were normal, Shaun. 18 00:00:58,126 --> 00:01:00,027 You need to get up. 19 00:01:00,060 --> 00:01:02,430 You need to do your exercise routine, 20 00:01:02,463 --> 00:01:04,398 then shower, shave, and get to work. 21 00:01:04,432 --> 00:01:06,033 And not because your patients need your help, 22 00:01:06,066 --> 00:01:07,835 but because it'll make you feel better. 23 00:01:10,304 --> 00:01:12,106 I'm not leaving without you. 24 00:01:12,140 --> 00:01:15,309 ** 25 00:01:17,545 --> 00:01:20,681 Your sleep apnea is worse than we'd thought. 26 00:01:20,714 --> 00:01:23,584 You have a condition related to your pseudoachondroplasia 27 00:01:23,617 --> 00:01:25,286 that is narrowing the base of your skull 28 00:01:25,319 --> 00:01:27,188 and compressing the part of your brain 29 00:01:27,221 --> 00:01:28,489 that controls your breathing. 30 00:01:30,023 --> 00:01:32,726 (BREATHES SHAKILY) 31 00:01:32,760 --> 00:01:34,862 People always say I'm too full of myself. 32 00:01:34,895 --> 00:01:36,264 Guess it's actually true. 33 00:01:36,297 --> 00:01:37,898 Finn, this is serious. 34 00:01:37,931 --> 00:01:39,533 Don't worry. I'm gonna be fine. 35 00:01:39,567 --> 00:01:41,469 DR. MELENDEZ: We can remove bone from the wall of your skull 36 00:01:41,502 --> 00:01:43,904 and resect a small section of your cerebellum 37 00:01:43,937 --> 00:01:45,473 to reduce brain-stem pressure. 38 00:01:45,506 --> 00:01:48,576 You're... You're gonna cut out a piece of his brain? 39 00:01:48,609 --> 00:01:50,744 It won't affect your intellect, 40 00:01:50,778 --> 00:01:52,780 but it will cause a speech impediment 41 00:01:52,813 --> 00:01:54,482 and some difficulty with balance. 42 00:01:54,515 --> 00:01:57,185 I'd rather you knock a few points off my IQ. 43 00:01:57,218 --> 00:01:58,452 Stop it. 44 00:01:58,486 --> 00:01:59,620 I'm serious. 45 00:01:59,653 --> 00:02:02,022 My "gift of gab" is what you love about me. 46 00:02:02,055 --> 00:02:04,558 Uh, w-what's option two? 47 00:02:04,592 --> 00:02:07,328 I'm sorry, there is no other option. 48 00:02:07,361 --> 00:02:10,130 I'm a salesman. I don't hear the word "no." 49 00:02:10,164 --> 00:02:11,665 Th-There's always another way. 50 00:02:11,699 --> 00:02:13,401 You just got to think outside the box. 51 00:02:13,434 --> 00:02:15,035 (SIGHS) We've already done that, 52 00:02:15,068 --> 00:02:16,904 which is how we came up with this surgery. 53 00:02:16,937 --> 00:02:18,272 It's the only way to keep you alive, 54 00:02:18,306 --> 00:02:19,907 so you have no choice but to accept it. 55 00:02:21,542 --> 00:02:24,278 Dr. Murphy is being rude and insensitive, 56 00:02:24,312 --> 00:02:25,613 but he's also right. 57 00:02:25,646 --> 00:02:28,148 Finn, please, I love you. 58 00:02:28,182 --> 00:02:30,150 And I will always be here for you 59 00:02:30,184 --> 00:02:32,586 no matter how you talk or walk. 60 00:02:32,620 --> 00:02:34,522 But you have to listen to your doctors. 61 00:02:36,490 --> 00:02:38,226 I love you, too. 62 00:02:38,259 --> 00:02:41,495 ** 63 00:02:44,198 --> 00:02:45,966 Do whatever you think's best. 64 00:02:46,300 --> 00:02:48,736 ** 65 00:02:55,643 --> 00:02:58,145 (THEME MUSIC PLAYING) 66 00:03:05,886 --> 00:03:07,120 Let me guess. 67 00:03:07,154 --> 00:03:08,689 I'm gonna need another surgery. 68 00:03:08,722 --> 00:03:10,624 What's that now, my tenth? 69 00:03:10,658 --> 00:03:11,659 Eleventh. 70 00:03:12,826 --> 00:03:14,862 And I still can't work the farm, 71 00:03:14,895 --> 00:03:18,832 can't drive a tractor, pull a combine lever. 72 00:03:18,866 --> 00:03:21,168 I can't even twist open a bottle of beer. 73 00:03:21,201 --> 00:03:22,803 When we met, you were in an ambulance 74 00:03:22,836 --> 00:03:24,938 and your arms were still in your harvester. 75 00:03:24,972 --> 00:03:28,342 Today you have sensation and almost full mobility. 76 00:03:28,376 --> 00:03:30,210 Now we just need to treat the neuropathy 77 00:03:30,244 --> 00:03:32,212 and improve your strength. 78 00:03:32,246 --> 00:03:34,315 So how do we do that? 79 00:03:34,348 --> 00:03:37,585 I'm thinking a gracilis muscle transfer. 80 00:03:37,618 --> 00:03:40,654 That should improve his grip and relieve some of the pain, 81 00:03:40,688 --> 00:03:43,657 but there's only one way to eliminate all of it. 82 00:03:43,691 --> 00:03:46,327 Tyson, have you given any more thought to amputation 83 00:03:46,360 --> 00:03:48,195 and osseointegrated prosthetic arms? 84 00:03:48,228 --> 00:03:49,963 They'd attach directly to the bones 85 00:03:49,997 --> 00:03:51,131 and nerves in your forearm, 86 00:03:51,164 --> 00:03:53,200 and you can control them just like your own hands. 87 00:03:53,233 --> 00:03:56,136 Function would be reduced in some respects. 88 00:03:56,169 --> 00:03:59,373 Less dexterity, no sensory feedback. 89 00:03:59,407 --> 00:04:01,875 But others, like grip strength, would be better. 90 00:04:01,909 --> 00:04:03,877 And more importantly, you'd be pain-free. 91 00:04:07,715 --> 00:04:10,083 I want to be a farmer, 92 00:04:10,117 --> 00:04:11,385 not a cyborg. 93 00:04:12,720 --> 00:04:13,787 Okay. 94 00:04:15,623 --> 00:04:17,758 The pain's getting worse. 95 00:04:17,791 --> 00:04:20,861 Probably because I've been crazy busy in the O.R. 96 00:04:20,894 --> 00:04:22,430 with Murphy out till today. 97 00:04:22,463 --> 00:04:24,498 He's back? 98 00:04:24,532 --> 00:04:26,166 Only because Browne went to his apartment 99 00:04:26,199 --> 00:04:27,200 and dragged his ass in. 100 00:04:28,669 --> 00:04:29,937 She shouldn't have done that. 101 00:04:29,970 --> 00:04:31,539 He's trying to work this out on his own. 102 00:04:31,572 --> 00:04:32,606 That's a good thing. 103 00:04:32,640 --> 00:04:33,874 (INHALES SHARPLY) 104 00:04:33,907 --> 00:04:35,909 DMARDs aren't working. 105 00:04:35,943 --> 00:04:37,778 I know. 106 00:04:37,811 --> 00:04:40,981 Which is why I've been thinking about synovectomy surgery. 107 00:04:41,014 --> 00:04:43,951 You're gonna remove the joint linings in your fingers? 108 00:04:43,984 --> 00:04:45,519 That'll resolve the pain temporarily. 109 00:04:45,553 --> 00:04:46,587 Then what? 110 00:04:46,620 --> 00:04:48,489 It'll give me at least ten years. 111 00:04:49,623 --> 00:04:51,659 And then you're gonna be bone on bone, 112 00:04:51,692 --> 00:04:54,094 every joint in your hand will be mangled and deformed. 113 00:04:54,127 --> 00:04:55,663 What's your plan then? 114 00:04:58,399 --> 00:05:02,202 Who knows what treatments will be available in ten years? 115 00:05:02,235 --> 00:05:03,671 Have you thought about oncology? 116 00:05:04,638 --> 00:05:06,540 Surgeons do the real work. 117 00:05:06,574 --> 00:05:09,142 They cut out the tumor, they cure the patient. 118 00:05:09,176 --> 00:05:11,078 Oncologists just sweep up after. 119 00:05:11,111 --> 00:05:12,646 You want to know an even better job? 120 00:05:12,680 --> 00:05:14,982 Starting pitcher for the Oakland A's. 121 00:05:15,015 --> 00:05:17,651 You want to know why I didn't get that job? 122 00:05:17,685 --> 00:05:19,620 Because the scouts didn't like the way you wore your hat? 123 00:05:19,653 --> 00:05:22,556 Yeah, that, and I was born with this arm. 124 00:05:22,590 --> 00:05:24,257 You were born with those hands. 125 00:05:24,291 --> 00:05:25,459 What are you gonna do, 126 00:05:25,493 --> 00:05:27,160 practice surgery for a few more years 127 00:05:27,194 --> 00:05:28,496 and then spend the rest of your life 128 00:05:28,529 --> 00:05:30,631 not being able to pick up a pencil? 129 00:05:32,032 --> 00:05:34,234 You can pursue another specialty. 130 00:05:34,267 --> 00:05:36,269 You can practice for the rest of your life. 131 00:05:36,303 --> 00:05:38,506 ** 132 00:05:42,510 --> 00:05:44,412 You get rear-ended on the way to work 133 00:05:44,445 --> 00:05:46,480 or you just hate little people? 134 00:05:46,514 --> 00:05:49,550 Neither. EKG is normal. 135 00:05:50,317 --> 00:05:51,485 So you got dumped. 136 00:05:52,152 --> 00:05:55,355 No, I didn't. 137 00:05:55,389 --> 00:05:56,757 It's nothing to be ashamed of. 138 00:05:58,892 --> 00:06:01,194 We were never even going out. 139 00:06:01,228 --> 00:06:02,463 (DOOR OPENS) 140 00:06:02,496 --> 00:06:04,197 Finn? (SIGHS) 141 00:06:04,231 --> 00:06:05,833 I've been worried sick. 142 00:06:06,467 --> 00:06:08,135 Ohh. 143 00:06:08,168 --> 00:06:09,670 Take it easy. 144 00:06:09,703 --> 00:06:11,171 I told you to stay home. 145 00:06:11,204 --> 00:06:12,506 There's nothing to worry about. 146 00:06:12,540 --> 00:06:14,274 Stop trying to act so tough. 147 00:06:14,307 --> 00:06:16,043 You shouldn't have to go through this alone. 148 00:06:17,678 --> 00:06:19,647 ** 149 00:06:19,680 --> 00:06:21,982 FINN: Sorry, baby, but you should wait outside. 150 00:06:22,015 --> 00:06:24,852 Let the doctors finish up, and I'll be right out. 151 00:06:24,885 --> 00:06:27,054 He's not going to the O.R. for a while, 152 00:06:27,087 --> 00:06:29,389 so there will be plenty of time to visit when we're done. 153 00:06:29,423 --> 00:06:30,424 Okay. 154 00:06:31,759 --> 00:06:33,661 I'll be right outside. 155 00:06:33,694 --> 00:06:35,896 ** 156 00:06:50,110 --> 00:06:51,745 Is there any way you could make sure 157 00:06:51,779 --> 00:06:54,114 she and Nathalie stay in separate waiting rooms 158 00:06:54,147 --> 00:06:55,916 and aren't allowed to visit at the same time? 159 00:06:55,949 --> 00:06:58,085 (CHUCKLES) No. We're not helping you cheat. 160 00:06:58,118 --> 00:06:59,553 I'm not cheating. 161 00:06:59,587 --> 00:07:03,023 I've always made it clear I'm not ready to settle down, 162 00:07:03,056 --> 00:07:05,225 but sometimes women m-make assumptions. 163 00:07:05,258 --> 00:07:07,561 Oh, and you don't feel the need to correct that? 164 00:07:08,428 --> 00:07:10,263 I understand you don't approve, 165 00:07:10,297 --> 00:07:11,431 but all I'm asking 166 00:07:11,465 --> 00:07:13,834 is for you to help me get through brain surgery 167 00:07:13,867 --> 00:07:15,368 without emotional turmoil 168 00:07:15,402 --> 00:07:18,371 that I assume would be harmful to my recovery. 169 00:07:18,405 --> 00:07:20,273 ** 170 00:07:24,745 --> 00:07:25,779 Okay. 171 00:07:25,813 --> 00:07:27,314 Thank you. 172 00:07:31,318 --> 00:07:33,453 (MONITOR BEEPING) 173 00:07:36,156 --> 00:07:37,991 Are you seeing the same thing I'm seeing? 174 00:07:38,025 --> 00:07:41,294 DR. LIM: The tendons are encased in scar tissue. 175 00:07:41,328 --> 00:07:43,263 DR. ANDREWS: The gracilis muscle transfer isn't gonna work. 176 00:07:44,632 --> 00:07:46,900 It still could. If we attach the muscle 177 00:07:46,934 --> 00:07:49,570 further down the forearm and bypass the scar ball. 178 00:07:49,603 --> 00:07:51,438 It wouldn't hold. 179 00:07:51,471 --> 00:07:53,273 There'd be too much tension on the graft. 180 00:07:55,142 --> 00:07:57,310 We can figure out a way to work around that. 181 00:07:57,344 --> 00:07:59,179 Let's wake him up and put him back in his room 182 00:07:59,212 --> 00:08:01,815 and pull every paper on free-muscle and nerve transfers. 183 00:08:01,849 --> 00:08:04,585 His only option is double amputation 184 00:08:04,618 --> 00:08:06,286 and the osseointegrated prosthetics. 185 00:08:06,319 --> 00:08:07,988 We don't have a choice. 186 00:08:08,021 --> 00:08:09,422 Yes, we do. 187 00:08:09,456 --> 00:08:11,491 And as Chief of Surgery, I just made it. 188 00:08:11,525 --> 00:08:13,426 ** 189 00:08:13,460 --> 00:08:16,997 He doesn't really look the part. 190 00:08:17,030 --> 00:08:18,298 (CLAIRE CHUCKLES) 191 00:08:18,331 --> 00:08:20,968 He's a handsome guy with a great sense of humor 192 00:08:21,001 --> 00:08:22,302 and a high-paying job. 193 00:08:22,335 --> 00:08:24,137 SHAUN: He means because women don't like 194 00:08:24,171 --> 00:08:26,173 to be in relationships with men who are weird. 195 00:08:26,206 --> 00:08:27,808 He's not weird. And neither are you. 196 00:08:27,841 --> 00:08:29,777 And a week ago, you were juggling two women, 197 00:08:29,810 --> 00:08:31,645 so stop feeling so sorry for yourself. 198 00:08:31,679 --> 00:08:33,614 Have you ever dated anyone who wasn't tall, 199 00:08:33,647 --> 00:08:34,782 handsome, and neurotypical? 200 00:08:36,483 --> 00:08:38,485 It's not about me. 201 00:08:38,518 --> 00:08:39,753 (ALARMS BLARING) 202 00:08:39,787 --> 00:08:41,589 DR. MELENDEZ: Talk to me. He stopped breathing, 203 00:08:41,622 --> 00:08:43,523 and I haven't even administered the paralytics. 204 00:08:43,557 --> 00:08:45,693 (ALARMS STOP, MONITOR BEEPING NORMALLY) 205 00:08:45,726 --> 00:08:46,927 What just happened? 206 00:08:46,960 --> 00:08:49,296 DR. MELENDEZ: Pressure on the medulla must be getting worse. 207 00:08:49,329 --> 00:08:51,198 He's lucky he didn't wait any longer to come in. 208 00:08:51,231 --> 00:08:53,200 Let's tube him and get to work. 209 00:08:53,233 --> 00:08:55,736 Wait. Flex his head into position again. 210 00:08:57,037 --> 00:08:59,539 ** 211 00:09:00,540 --> 00:09:02,042 (ALARMS BLARING) 212 00:09:02,075 --> 00:09:03,611 Extend his neck. 213 00:09:03,644 --> 00:09:05,345 (ALARMS STOP) 214 00:09:06,113 --> 00:09:07,114 What's going on? 215 00:09:08,215 --> 00:09:11,852 Flexing the neck offsets the posterior compression. 216 00:09:11,885 --> 00:09:14,021 But that should take the pressure off, not make it worse. 217 00:09:14,054 --> 00:09:15,422 DR. MELENDEZ: Doesn't make any sense. 218 00:09:15,455 --> 00:09:17,691 And we're not gonna do brain surgery on him until it does. 219 00:09:17,725 --> 00:09:20,193 ** 220 00:09:27,000 --> 00:09:29,269 I don't see anything different in the flexed-neck views. 221 00:09:30,537 --> 00:09:34,007 Should his C2 bone be curved inward like that? 222 00:09:34,041 --> 00:09:36,109 It could exacerbate the narrowing on the front of his... 223 00:09:36,143 --> 00:09:37,444 It's not significant. 224 00:09:38,846 --> 00:09:40,180 Well, if his apnea's getting worse 225 00:09:40,213 --> 00:09:41,448 because of pressure from the front as well as the back... 226 00:09:41,481 --> 00:09:42,650 The treatment is the same. 227 00:09:42,683 --> 00:09:44,818 Surgery to create more room in the skull base. 228 00:09:44,852 --> 00:09:46,854 It's not the same, and stop interrupting me. 229 00:09:48,421 --> 00:09:50,390 If we drill off the C2 in the front, 230 00:09:50,423 --> 00:09:52,292 as well as open the back, 231 00:09:52,325 --> 00:09:54,728 we might not have to resect the cerebellum. 232 00:09:54,762 --> 00:09:57,698 He wouldn't have any speech impediment or balance issues. 233 00:09:57,731 --> 00:10:00,033 We'd have to approach through his mouth, 234 00:10:00,067 --> 00:10:02,202 a bacteria-rich environment, 235 00:10:02,235 --> 00:10:03,637 which can't be fully sterilized. 236 00:10:03,671 --> 00:10:05,706 There would be too high a risk of a post-op brain infection. 237 00:10:05,739 --> 00:10:07,174 So we figure out another approach. 238 00:10:07,207 --> 00:10:09,843 There's only one safe way to access the C2. 239 00:10:09,877 --> 00:10:12,880 Okay, so come up with something outside the box. 240 00:10:12,913 --> 00:10:15,215 No, that's a stupid expression. There is no box. 241 00:10:15,248 --> 00:10:17,550 And you are wasting valuable time 242 00:10:17,584 --> 00:10:19,586 just because you want to be nice to her. 243 00:10:19,619 --> 00:10:21,021 Murphy... (SIGHS) 244 00:10:21,054 --> 00:10:22,589 We should do the cerebellar surgery before he has a fatal apnea... 245 00:10:22,622 --> 00:10:23,891 Murphy. 246 00:10:25,225 --> 00:10:26,493 I'm not being nice. 247 00:10:26,526 --> 00:10:28,762 I'm using my experience and judgment to make the call. 248 00:10:28,796 --> 00:10:29,863 That's my job. 249 00:10:29,897 --> 00:10:31,932 You are being nice. And you're being a jerk. 250 00:10:31,965 --> 00:10:34,367 ** 251 00:10:36,804 --> 00:10:38,739 You've got the night. 252 00:10:38,772 --> 00:10:40,941 If you two can't come up with a solution by morning, 253 00:10:40,974 --> 00:10:42,776 we'll proceed with the original plan. 254 00:10:42,810 --> 00:10:45,813 ** 255 00:11:00,560 --> 00:11:02,062 Your patient's in desperate need 256 00:11:02,095 --> 00:11:03,596 of an Oklahoma weather report? 257 00:11:03,630 --> 00:11:05,799 I didn't even want to be here today. 258 00:11:08,936 --> 00:11:10,771 You should try a martial arts class. 259 00:11:10,804 --> 00:11:13,707 Focused distraction is key to dealing with stress 260 00:11:13,741 --> 00:11:15,542 and heartbreaks. 261 00:11:15,575 --> 00:11:17,510 That's just avoiding the problem. 262 00:11:17,544 --> 00:11:19,346 Don't obsess over what you've lost, 263 00:11:19,379 --> 00:11:21,381 focus on what you've gained from the relationship. 264 00:11:21,414 --> 00:11:23,083 CLAIRE: I hate to interrupt group therapy, 265 00:11:23,116 --> 00:11:25,185 but what if we approached 266 00:11:25,218 --> 00:11:26,720 through the side of the neck? 267 00:11:26,754 --> 00:11:28,856 We could transpose the vertebral artery, 268 00:11:28,889 --> 00:11:31,324 open up the spine laterally to drill off the C2. 269 00:11:31,358 --> 00:11:33,360 It would leave his spine permanently unstable 270 00:11:33,393 --> 00:11:34,694 and could cause a stroke. 271 00:11:34,728 --> 00:11:36,964 There might be a way to mitigate stroke risk. 272 00:11:36,997 --> 00:11:38,665 And he'd still have the instability and... 273 00:11:38,698 --> 00:11:40,300 Come on, Shaun. 274 00:11:40,333 --> 00:11:41,869 I need help, not criticism. 275 00:11:43,570 --> 00:11:45,272 I have always supported you 276 00:11:45,305 --> 00:11:46,639 when you were trying to come up with 277 00:11:46,673 --> 00:11:47,841 an unconventional treatment option. 278 00:11:50,878 --> 00:11:53,046 You supported me when you thought I was right. 279 00:11:59,186 --> 00:12:00,287 (DOOR OPENS) 280 00:12:00,320 --> 00:12:01,688 What do you guys think? 281 00:12:04,357 --> 00:12:05,392 We gotta go. 282 00:12:05,425 --> 00:12:07,060 We do? 283 00:12:07,094 --> 00:12:08,528 ** 284 00:12:08,561 --> 00:12:10,430 We remove the scar tissue and the nerves. 285 00:12:10,463 --> 00:12:11,899 Then harvest nerves from his upper arm 286 00:12:11,932 --> 00:12:13,000 to rewire his forearms. 287 00:12:13,033 --> 00:12:14,167 It'll improve his grip, 288 00:12:14,201 --> 00:12:15,602 and with the scar tissue removed, 289 00:12:15,635 --> 00:12:17,037 the pain should decrease, too. 290 00:12:17,070 --> 00:12:19,239 Does nothing to solve the blood-flow problem 291 00:12:19,272 --> 00:12:20,540 that's causing the scarring. 292 00:12:20,573 --> 00:12:22,609 I'm sure we can come up with a solve for that. 293 00:12:22,642 --> 00:12:24,677 (SIGHS) That's what you said last time. 294 00:12:24,711 --> 00:12:26,880 And I was right. We're making progress. 295 00:12:26,914 --> 00:12:29,349 Would you two give us a moment? 296 00:12:29,382 --> 00:12:31,852 We'll meet you in the Residents' Lounge when we're done. 297 00:12:31,885 --> 00:12:33,753 ** 298 00:12:37,424 --> 00:12:38,959 Are you so against the prosthetics 299 00:12:38,992 --> 00:12:40,727 because you think it's in Tyson's best interest, 300 00:12:40,760 --> 00:12:41,761 or because it's my idea? 301 00:12:43,964 --> 00:12:46,533 You think I care whose idea anything is? 302 00:12:46,566 --> 00:12:48,435 You're a competitive person 303 00:12:48,468 --> 00:12:50,537 working with the guy who used to hold your job. 304 00:12:52,539 --> 00:12:56,276 I'll admit my competitive drive may kick up a notch 305 00:12:56,309 --> 00:12:57,811 when we work together. 306 00:12:57,845 --> 00:13:01,281 I'll also admit that I admire the courage 307 00:13:01,314 --> 00:13:03,984 of a guy who stumbled a half-mile back to his house 308 00:13:04,017 --> 00:13:06,719 after his arms were ripped off by a combine. 309 00:13:06,753 --> 00:13:08,655 He opened a door with his mouth 310 00:13:08,688 --> 00:13:10,824 and dialed 911 with his nose, 311 00:13:10,858 --> 00:13:12,559 and as long as he wants to keep fighting, 312 00:13:12,592 --> 00:13:14,461 I'm gonna fight along with him. 313 00:13:14,494 --> 00:13:16,496 Which has nothing to do with my ego. 314 00:13:17,497 --> 00:13:18,765 Good. 315 00:13:18,798 --> 00:13:20,267 That's all I wanted to confirm. 316 00:13:22,802 --> 00:13:24,437 But I'm gonna start prepping for the amputation 317 00:13:24,471 --> 00:13:26,907 because that's the only rational choice we have, 318 00:13:26,940 --> 00:13:28,775 which I'm confident you'll realize soon enough. 319 00:13:29,943 --> 00:13:32,579 ** 320 00:13:37,017 --> 00:13:38,018 Make any progress? 321 00:13:39,419 --> 00:13:42,822 Yeah, I figured out a lateral approach, 322 00:13:42,856 --> 00:13:46,659 but Shaun thinks it would leave his spine unstable 323 00:13:46,693 --> 00:13:48,128 and increase his risk of stroke. 324 00:13:50,330 --> 00:13:52,799 I agree. Yeah, me too. 325 00:13:52,832 --> 00:13:54,267 There has to be a way to mitigate the... 326 00:13:54,301 --> 00:13:55,702 WOMAN: Dr. Browne? 327 00:13:55,735 --> 00:13:57,270 These just got delivered. 328 00:13:59,539 --> 00:14:00,840 (CHUCKLES) 329 00:14:00,874 --> 00:14:02,775 Enjoy. Thanks. 330 00:14:02,809 --> 00:14:04,344 Dash is a romantic. 331 00:14:04,377 --> 00:14:05,879 Thought you hated romantics. 332 00:14:07,147 --> 00:14:10,150 (CHUCKLES) Yeah, he's... He's teasing me. 333 00:14:10,183 --> 00:14:13,520 I told him I thought guys who sent flowers were lame. 334 00:14:13,553 --> 00:14:15,522 (SNIFFS) 335 00:14:15,555 --> 00:14:17,824 (CHUCKLES) We haven't even kissed yet. 336 00:14:19,459 --> 00:14:20,627 What are you waiting for? 337 00:14:22,896 --> 00:14:24,631 I don't know. 338 00:14:24,664 --> 00:14:26,199 Um... 339 00:14:26,233 --> 00:14:29,269 I enjoy being with him. 340 00:14:29,302 --> 00:14:31,271 Actually, I forgot how funny he is. 341 00:14:31,304 --> 00:14:34,474 Just...hasn't seemed like the right time. 342 00:14:39,212 --> 00:14:42,715 I'm more worried about the stroke risk 343 00:14:42,749 --> 00:14:44,217 than spinal instability, 344 00:14:44,251 --> 00:14:46,853 so focus on fixing that. 345 00:14:46,886 --> 00:14:48,221 Okay. 346 00:14:50,557 --> 00:14:52,192 (SIGHS) 347 00:14:52,225 --> 00:14:55,462 And, Claire, if he's the right guy, 348 00:14:55,495 --> 00:14:57,464 stop holding out for the right time. 349 00:14:57,497 --> 00:15:00,400 ** 350 00:15:08,775 --> 00:15:10,843 Your vitals are stable. 351 00:15:10,877 --> 00:15:13,046 The nurses will monitor you during the night. 352 00:15:14,614 --> 00:15:17,117 Your problem's simple to solve. 353 00:15:17,150 --> 00:15:18,885 You just need to ask someone else out. 354 00:15:21,621 --> 00:15:24,524 Lea was special. 355 00:15:24,557 --> 00:15:26,093 I'm sure she was. 356 00:15:26,126 --> 00:15:28,495 But there are so many others, just as special. 357 00:15:28,528 --> 00:15:30,297 You just have to get to know them. 358 00:15:30,330 --> 00:15:32,365 No, I don't want to. 359 00:15:32,399 --> 00:15:33,700 Yes, you do. 360 00:15:34,934 --> 00:15:36,836 You think I don't know how you feel? 361 00:15:36,869 --> 00:15:39,372 Afraid of being rejected because you're too... 362 00:15:39,406 --> 00:15:40,407 Different. 363 00:15:41,708 --> 00:15:43,743 Finally I decided, screw it. 364 00:15:43,776 --> 00:15:46,079 I started talking to every woman I saw. 365 00:15:46,113 --> 00:15:49,616 Street corners, elevators, grocery stores. 366 00:15:49,649 --> 00:15:51,751 And I learned I'm pretty good at it. 367 00:15:51,784 --> 00:15:52,919 That's my gift. 368 00:15:53,553 --> 00:15:55,055 Everyone has one. 369 00:15:55,088 --> 00:15:56,789 They just. 370 00:15:56,823 --> 00:15:59,626 have to figure out what it is... 371 00:15:59,659 --> 00:16:01,628 (MONITOR BEEPING RAPIDLY) 372 00:16:01,661 --> 00:16:04,497 ** 373 00:16:05,332 --> 00:16:06,466 Okay. Code Blue! 374 00:16:07,500 --> 00:16:08,568 Code Blue! 375 00:16:08,601 --> 00:16:11,138 ** 376 00:16:24,584 --> 00:16:25,785 (SIGHS) 377 00:16:25,818 --> 00:16:28,788 Murphy and I just inserted a diaphragmatic pacemaker on Finn. 378 00:16:29,789 --> 00:16:31,991 It'll only trigger shallow breaths, 379 00:16:32,025 --> 00:16:34,461 so he's at high risk for pneumonia. 380 00:16:34,494 --> 00:16:36,129 You got anything? 381 00:16:36,163 --> 00:16:37,930 Yeah, I was thinking of using 382 00:16:37,964 --> 00:16:40,900 a more inferior transatlas approach. 383 00:16:40,933 --> 00:16:43,036 That would minimize stroke risk. 384 00:16:43,070 --> 00:16:44,471 That won't work. 385 00:16:44,504 --> 00:16:45,938 It would destabilize the C1-2 joint. 386 00:16:47,707 --> 00:16:48,808 (SIGHS) 387 00:16:50,710 --> 00:16:52,479 You did all you could. 388 00:16:52,512 --> 00:16:54,147 Go home. 389 00:16:54,181 --> 00:16:56,015 We'll do the original cerebellar surgery 390 00:16:56,049 --> 00:16:57,150 first thing in the morning. 391 00:16:57,184 --> 00:16:59,686 ** 392 00:17:06,659 --> 00:17:08,295 So I'll be able to work the farm. 393 00:17:08,328 --> 00:17:10,830 We still need to find a way to increase blood flow. 394 00:17:10,863 --> 00:17:14,334 You should regain most of your grip and forearm strength, 395 00:17:14,367 --> 00:17:15,535 but you'd still be in some pain. 396 00:17:15,568 --> 00:17:17,804 (SIGHS) 397 00:17:17,837 --> 00:17:19,038 I-I can handle it. 398 00:17:20,740 --> 00:17:22,642 Can you? 399 00:17:22,675 --> 00:17:24,511 How can you know for sure? 400 00:17:24,544 --> 00:17:28,215 As the years go by and the pain doesn't stop, 401 00:17:28,248 --> 00:17:29,649 will you change your mind? 402 00:17:29,682 --> 00:17:31,118 Because it'll be too late. 403 00:17:33,186 --> 00:17:34,821 What's wrong? What are you... What are you feeling? 404 00:17:34,854 --> 00:17:37,157 (WEAKLY) Like a horse just kicked in my chest. 405 00:17:37,190 --> 00:17:38,691 (MONITOR BEEPING RAPIDLY, ALARMS BLARING) 406 00:17:38,725 --> 00:17:41,228 (COUGHING) 407 00:17:42,262 --> 00:17:44,364 I need an echo and pulmonary cath kit! 408 00:17:44,397 --> 00:17:45,565 And page Lim, stat! 409 00:17:45,598 --> 00:17:48,401 (COUGHING HEAVILY) 410 00:17:48,435 --> 00:17:53,340 I think the last time that I was at an actual punk-rock show was, uh... 411 00:17:53,373 --> 00:17:55,074 College. 412 00:17:55,108 --> 00:17:56,176 Patti Smith. 413 00:17:56,209 --> 00:17:58,345 Oh, my God! (LAUGHS) 414 00:17:58,378 --> 00:17:59,846 I completely forgot about that. 415 00:17:59,879 --> 00:18:01,814 You forgot getting your ass tossed offstage 416 00:18:01,848 --> 00:18:02,915 by a 60-year-old woman? 417 00:18:02,949 --> 00:18:04,184 (BOTH LAUGH) Yeah. 418 00:18:04,217 --> 00:18:06,085 Remember what you said when we picked you up? 419 00:18:06,119 --> 00:18:09,722 Uh, oh, something about her being, uh, thin but strong? 420 00:18:09,756 --> 00:18:11,558 "Thin but wiry." 421 00:18:11,591 --> 00:18:13,626 Wiry. Wiry. 422 00:18:13,660 --> 00:18:15,728 (CHUCKLES) 423 00:18:22,135 --> 00:18:24,171 Okay, well, I, um... 424 00:18:24,204 --> 00:18:25,738 I have an early surgery, 425 00:18:25,772 --> 00:18:27,207 so I should probably get going. 426 00:18:27,240 --> 00:18:28,741 Okay. Okay. 427 00:18:28,775 --> 00:18:30,543 (BREATHES DEEPLY) 428 00:18:30,577 --> 00:18:31,611 Have a good night. 429 00:18:31,644 --> 00:18:32,879 Good night. 430 00:18:32,912 --> 00:18:36,115 ** 431 00:19:10,317 --> 00:19:12,319 I got an idea. 432 00:19:12,352 --> 00:19:13,986 Actually, you had it first. 433 00:19:16,155 --> 00:19:18,291 It's the right approach, just the wrong route. 434 00:19:20,560 --> 00:19:23,363 We go in from the back, posterior transdural, 435 00:19:23,396 --> 00:19:25,765 gently move your spinal cord out of the way 436 00:19:25,798 --> 00:19:28,134 so we can drill off the misshaped C2. 437 00:19:28,167 --> 00:19:29,502 There is a risk of paralysis, 438 00:19:29,536 --> 00:19:31,504 but we would be monitoring your spinal functions 439 00:19:31,538 --> 00:19:33,105 to help avoid any nerve injuries. 440 00:19:33,139 --> 00:19:35,242 Let's do it. Where do I have to sign? 441 00:19:35,275 --> 00:19:36,709 You shouldn't sign anything. 442 00:19:38,845 --> 00:19:40,380 Consenting to this surgery 443 00:19:40,413 --> 00:19:42,982 would be incredibly shortsighted and reckless. 444 00:19:52,659 --> 00:19:55,528 It is one thing to take your bad mood out on your colleagues, 445 00:19:55,562 --> 00:19:57,530 but to try and undermine my surgical advice... 446 00:19:57,564 --> 00:19:59,266 My opinion's valid. 447 00:19:59,299 --> 00:20:00,633 Well, thankfully, he disagrees. 448 00:20:00,667 --> 00:20:03,703 He's risking paralysis to be charming 449 00:20:03,736 --> 00:20:06,506 because people expect everyone to be perfect. 450 00:20:06,539 --> 00:20:08,007 Everyone's opinion is valid 451 00:20:08,040 --> 00:20:09,676 all the way until we go into the patient room. 452 00:20:09,709 --> 00:20:13,212 We are a team with one opinion. 453 00:20:13,246 --> 00:20:16,215 ** 454 00:20:18,985 --> 00:20:20,086 I... 455 00:20:21,087 --> 00:20:22,722 I don't feel better! 456 00:20:22,755 --> 00:20:24,257 I feel worse! 457 00:20:25,057 --> 00:20:26,659 And doing the wrong surgery 458 00:20:26,693 --> 00:20:28,995 is not going to help anyone. 459 00:20:29,028 --> 00:20:31,664 I don't want to do it, I'm going home. 460 00:20:31,698 --> 00:20:34,166 ** 461 00:20:36,102 --> 00:20:37,337 (SIGHS) 462 00:20:48,748 --> 00:20:50,216 You're not walking out on your patient. 463 00:20:50,249 --> 00:20:51,784 Or your team. 464 00:20:51,818 --> 00:20:54,354 I still have two sick days 465 00:20:54,387 --> 00:20:56,689 and 76 hours of unused P.T.O. 466 00:20:56,723 --> 00:20:58,425 You're not sick, and you're in the middle of a case. 467 00:20:58,458 --> 00:21:00,827 I don't care about the case or the patient. 468 00:21:05,765 --> 00:21:07,434 I don't care about anything. 469 00:21:20,747 --> 00:21:23,450 I've had my heart broken twice 470 00:21:23,483 --> 00:21:24,951 in the last few years. 471 00:21:26,753 --> 00:21:28,120 You want to know what I did? 472 00:21:30,957 --> 00:21:32,425 I came to work every day 473 00:21:32,459 --> 00:21:34,394 and pretended everything was fine. 474 00:21:35,662 --> 00:21:37,430 Until, eventually, 475 00:21:37,464 --> 00:21:39,031 I wasn't pretending anymore. 476 00:21:42,669 --> 00:21:44,871 That's not helpful at all. 477 00:21:47,974 --> 00:21:50,009 (SIGHS) 478 00:21:52,111 --> 00:21:53,680 How about this? 479 00:21:53,713 --> 00:21:55,114 Go back in there 480 00:21:55,147 --> 00:21:56,849 and help Claire prep Finn for surgery, 481 00:21:56,883 --> 00:21:58,250 or you won't be my resident. 482 00:21:59,051 --> 00:22:01,053 Or anyone else's at St. Bonaventure. 483 00:22:03,289 --> 00:22:04,857 And I know you care about that. 484 00:22:12,965 --> 00:22:16,035 ** 485 00:22:28,347 --> 00:22:31,150 We were able to clear the clot, 486 00:22:31,183 --> 00:22:34,253 but due to the restricted arteries in your arms, 487 00:22:34,286 --> 00:22:36,523 we're gonna need to keep you on blood thinners... 488 00:22:36,556 --> 00:22:37,657 Indefinitely. 489 00:22:39,659 --> 00:22:40,993 Okay. 490 00:22:43,162 --> 00:22:44,196 The blood thinners 491 00:22:44,230 --> 00:22:46,298 make the reconstructive surgery impossible. 492 00:22:47,634 --> 00:22:49,736 We have no choice but to amputate. 493 00:22:51,070 --> 00:22:52,639 I'm sorry. 494 00:22:52,672 --> 00:22:54,974 ** 495 00:22:55,007 --> 00:22:56,643 No. 496 00:22:57,777 --> 00:23:00,513 I'm not letting you cut off my arms. 497 00:23:00,547 --> 00:23:02,815 I don't want false limbs. 498 00:23:02,849 --> 00:23:04,216 I don't want to be that guy. 499 00:23:04,250 --> 00:23:05,685 I want to be who I am. 500 00:23:06,586 --> 00:23:08,955 ** 501 00:23:13,025 --> 00:23:15,695 You are the toughest, 502 00:23:15,728 --> 00:23:17,897 most tenacious person I've ever met. 503 00:23:19,532 --> 00:23:21,367 And that is not gonna change 504 00:23:21,400 --> 00:23:23,269 because we replace your hands with titanium. 505 00:23:27,139 --> 00:23:29,509 It's time to let go. 506 00:23:29,542 --> 00:23:33,513 ** 507 00:23:38,918 --> 00:23:40,687 Okay. 508 00:23:43,856 --> 00:23:45,024 Okay. 509 00:23:45,057 --> 00:23:46,759 (SIGHS) 510 00:23:48,060 --> 00:23:50,630 ** 511 00:23:53,399 --> 00:23:54,867 Any way you could draw a skull 512 00:23:54,901 --> 00:23:57,904 with a cobra coming out of its eyes while you're back there? 513 00:23:57,937 --> 00:23:59,839 Would you settle for a lame smiley face? 514 00:23:59,872 --> 00:24:02,008 Because that is the only thing I can draw. 515 00:24:03,342 --> 00:24:05,512 There's my favorite nurse. 516 00:24:05,545 --> 00:24:07,213 Did you check out that Ethiopian place 517 00:24:07,246 --> 00:24:08,515 I told you about last night? 518 00:24:08,548 --> 00:24:09,616 Actually, I did, 519 00:24:09,649 --> 00:24:12,384 and the kik alicha was delish. 520 00:24:12,418 --> 00:24:14,286 Now, if you want a truly life-changing meal, 521 00:24:14,320 --> 00:24:16,288 you need to try Lennon's on Sixth. 522 00:24:16,322 --> 00:24:18,591 Is it expensive? Outrageously. 523 00:24:18,625 --> 00:24:20,593 (CHUCKLES) But worth it. 524 00:24:20,627 --> 00:24:24,130 Now, it's all white tablecloths and candles, 525 00:24:24,163 --> 00:24:25,464 so you'll need a date. 526 00:24:25,498 --> 00:24:26,966 How 'bout Dr. Murphy? 527 00:24:26,999 --> 00:24:30,302 ** 528 00:24:30,336 --> 00:24:32,705 You told me yourself he's a gifted surgeon. 529 00:24:32,739 --> 00:24:33,873 That's pretty high praise. 530 00:24:33,906 --> 00:24:34,941 (CHUCKLES SOFTLY) 531 00:24:34,974 --> 00:24:37,276 And he told me you're cute. 532 00:24:37,309 --> 00:24:39,846 ** 533 00:24:43,516 --> 00:24:44,617 Good luck today. 534 00:24:44,651 --> 00:24:45,985 FINN: Thanks. 535 00:24:49,822 --> 00:24:51,558 I totally teed you up. 536 00:24:51,591 --> 00:24:53,359 All you had to do was take a swing. 537 00:24:53,392 --> 00:24:56,062 I'm not interested in her. 538 00:24:56,763 --> 00:24:57,997 If she's not your type, 539 00:24:58,030 --> 00:25:00,132 I'm sure there are plenty of other cool nurses 540 00:25:00,166 --> 00:25:01,200 roaming around here 541 00:25:01,233 --> 00:25:03,202 who could make you feel better about yourself. 542 00:25:03,235 --> 00:25:06,005 He's miserable because he's had two relationships blow up. 543 00:25:06,038 --> 00:25:08,507 I don't think jumping into another one is the answer. 544 00:25:08,541 --> 00:25:10,042 (CELL PHONE CHIMES) 545 00:25:12,344 --> 00:25:13,946 No, no, no! 546 00:25:14,814 --> 00:25:17,349 ** 547 00:25:21,253 --> 00:25:23,790 Finn, you can't exert yourself like this. 548 00:25:23,823 --> 00:25:25,457 ** 549 00:25:25,491 --> 00:25:26,659 Just take it easy. 550 00:25:27,694 --> 00:25:29,862 I ran into a woman in the cafeteria. 551 00:25:29,896 --> 00:25:31,831 Real nice. But seemed stressed. 552 00:25:31,864 --> 00:25:33,866 Turns out that her boyfriend 553 00:25:33,900 --> 00:25:35,501 is having spinal surgery, too. 554 00:25:36,335 --> 00:25:38,037 Big coincidence, huh? 555 00:25:38,070 --> 00:25:39,305 But get this. 556 00:25:39,338 --> 00:25:42,709 He also has pseudoachondroplasia. 557 00:25:42,742 --> 00:25:45,311 I mean, what are the chances? 558 00:25:45,344 --> 00:25:46,646 Nathalie, don't you dare. 559 00:25:46,679 --> 00:25:47,714 (GRUNTS) 560 00:25:47,747 --> 00:25:48,815 Stop! 561 00:25:48,848 --> 00:25:50,549 (GRUNTS) Just slow down. 562 00:25:53,853 --> 00:25:56,322 You called me the love of your life! 563 00:25:56,355 --> 00:25:57,389 (SCREAMS) 564 00:25:57,423 --> 00:25:58,791 I do love you! 565 00:25:58,825 --> 00:26:00,259 Don't say that! 566 00:26:00,292 --> 00:26:02,695 I don't want to hear any more of your garbage. 567 00:26:02,729 --> 00:26:04,096 (GRUNTS) FINN: Please... 568 00:26:04,130 --> 00:26:05,965 You have to...listen. 569 00:26:05,998 --> 00:26:08,768 You need to get back to bed now, or you'll pass out. 570 00:26:10,369 --> 00:26:12,705 (NATHALIE GRUNTING) 571 00:26:12,739 --> 00:26:15,241 ** 572 00:26:24,550 --> 00:26:26,819 (DOOR OPENS) 573 00:26:26,853 --> 00:26:28,087 DR. LIM: What's up? 574 00:26:28,120 --> 00:26:29,455 What are you doing in here? 575 00:26:31,023 --> 00:26:32,859 Once you get a patient on the table, 576 00:26:32,892 --> 00:26:33,926 there's too much going on 577 00:26:33,960 --> 00:26:36,062 to appreciate what this place is. 578 00:26:37,496 --> 00:26:39,098 Mm. It's nice. 579 00:26:40,733 --> 00:26:42,268 It's perfect. 580 00:26:45,972 --> 00:26:47,273 Time to scrub in. 581 00:26:48,675 --> 00:26:51,110 This will be my last surgery. 582 00:26:54,246 --> 00:26:57,583 Five months ago, I was diagnosed with rheumatoid arthritis. 583 00:26:59,786 --> 00:27:02,188 I'm not responding to medication. 584 00:27:02,221 --> 00:27:05,124 ** 585 00:27:21,808 --> 00:27:23,342 Why did you do that? 586 00:27:24,643 --> 00:27:25,644 I felt like it. 587 00:27:26,913 --> 00:27:30,983 It didn't change the fact that he cheated on you. 588 00:27:31,017 --> 00:27:33,152 It won't make your life any better. 589 00:27:33,185 --> 00:27:34,954 (SIGHS) 590 00:27:36,155 --> 00:27:37,990 You can't control how you feel about someone. 591 00:27:39,325 --> 00:27:42,895 But you can control what you do with those feelings. 592 00:27:42,929 --> 00:27:45,164 I ended the relationship on my terms. 593 00:27:47,800 --> 00:27:49,001 More importantly... 594 00:27:51,170 --> 00:27:52,638 It made me feel better. 595 00:27:53,472 --> 00:27:55,875 ** 596 00:27:57,844 --> 00:28:00,279 (MONITOR BEEPING) 597 00:28:00,312 --> 00:28:02,148 A Louisville Slugger to a Porsche? 598 00:28:02,181 --> 00:28:03,682 It was insane. 599 00:28:04,550 --> 00:28:05,584 I like her. 600 00:28:06,218 --> 00:28:07,419 What is to like? 601 00:28:08,554 --> 00:28:10,089 I don't know. 602 00:28:10,122 --> 00:28:11,323 I just do. 603 00:28:11,357 --> 00:28:13,092 (ALARM BLARING) 604 00:28:13,125 --> 00:28:15,928 A sudden complete loss of any SSEP and MEP signals. 605 00:28:15,962 --> 00:28:17,129 B.P. and heart rate are tanking. 606 00:28:17,163 --> 00:28:18,264 We've injured his cord. 607 00:28:18,297 --> 00:28:20,099 Push high-dose steroids and pressors. 608 00:28:20,132 --> 00:28:22,534 Remove the retractor to take the pressure off. 609 00:28:22,568 --> 00:28:24,403 ** 610 00:28:26,572 --> 00:28:30,109 DR. REZNICK: That's the last of the vessels and nerves ligated. 611 00:28:30,142 --> 00:28:32,678 DR. LIM: Mayos. 612 00:28:32,711 --> 00:28:35,848 (MONITOR BEEPING) 613 00:28:35,882 --> 00:28:37,349 DR. REZNICK: Specimen bag. 614 00:28:45,191 --> 00:28:47,159 DR. PARK: We have healthy bone-anchor sites. 615 00:28:48,260 --> 00:28:49,528 DR. REZNICK: Same here. 616 00:28:50,362 --> 00:28:51,898 Time to give him functional arms. 617 00:28:53,199 --> 00:28:55,768 ** 618 00:29:03,642 --> 00:29:05,577 Not me. Give it to her. 619 00:29:05,611 --> 00:29:08,014 ** 620 00:29:10,216 --> 00:29:11,583 DR. ANDREWS: She's a third-year resident... 621 00:29:11,617 --> 00:29:13,185 A talented one, but I wouldn't... 622 00:29:13,219 --> 00:29:17,223 I'm sure she's read every article written on osseointegration, 623 00:29:17,256 --> 00:29:19,591 spent countless hours in the Skills Lab, 624 00:29:19,625 --> 00:29:22,428 and could probably do this with one of her own arms tied behind her back. 625 00:29:23,462 --> 00:29:24,663 Blindfolded. 626 00:29:25,264 --> 00:29:26,332 Get to work. 627 00:29:26,365 --> 00:29:28,534 ** 628 00:29:38,945 --> 00:29:40,412 Push another milligram of atropine. 629 00:29:40,446 --> 00:29:41,647 (ALARM CONTINUES BLARING) 630 00:29:41,680 --> 00:29:43,983 ** 631 00:29:46,618 --> 00:29:48,120 (MONITOR BEEPING NORMALLY) 632 00:29:51,858 --> 00:29:54,961 We may have just paralyzed him trying to avoid a stutter. 633 00:29:54,994 --> 00:29:56,728 We won't know anything until we wake him up. 634 00:29:56,762 --> 00:29:58,230 Where's the pressure still coming from? 635 00:29:58,264 --> 00:29:59,631 Laterally now. 636 00:29:59,665 --> 00:30:02,201 So if we remove the joints of the C1 and C2 bones, 637 00:30:02,234 --> 00:30:03,402 that should make enough room 638 00:30:03,435 --> 00:30:04,904 so we could drill off the odontoid. 639 00:30:04,937 --> 00:30:06,272 We could replace them with screws and rods 640 00:30:06,305 --> 00:30:07,773 to stabilize his spine. That's... 641 00:30:10,509 --> 00:30:11,810 A good idea. 642 00:30:11,844 --> 00:30:13,212 Yes, it is. 643 00:30:13,245 --> 00:30:15,481 If he's not already paralyzed. 644 00:30:15,514 --> 00:30:18,017 ** 645 00:30:24,490 --> 00:30:25,691 (FOOTSTEPS APPROACH) 646 00:30:25,724 --> 00:30:27,126 Colleen Brown. 647 00:30:27,159 --> 00:30:28,594 Freshman year. 648 00:30:29,428 --> 00:30:32,298 I took her to the roller-skating rink 649 00:30:32,331 --> 00:30:34,633 'cause I thought that's what you're supposed to do, 650 00:30:34,666 --> 00:30:36,635 take girls to the roller-skating rink. 651 00:30:36,668 --> 00:30:38,404 I didn't know how to roller-skate, 652 00:30:38,437 --> 00:30:41,007 she ended up leaving with Bobby K.'s little brother. 653 00:30:42,141 --> 00:30:45,177 Broke me up. (SIGHS) 654 00:30:45,211 --> 00:30:46,879 Couldn't go to school for a week. 655 00:30:46,913 --> 00:30:49,248 Convinced my mom that I was sick 656 00:30:49,281 --> 00:30:50,616 for the first three days, 657 00:30:50,649 --> 00:30:54,153 and the last two I spent in a double feature all day... 658 00:30:54,186 --> 00:30:56,022 Where's Poppa? and Twelve Chairs. 659 00:30:56,055 --> 00:30:59,425 To this day, I can quote both films verbatim. 660 00:30:59,458 --> 00:31:02,628 So you think I should've stayed home for two more days? 661 00:31:02,661 --> 00:31:04,196 No, I don't think it would've mattered. 662 00:31:04,230 --> 00:31:05,697 It doesn't make a difference. 663 00:31:05,731 --> 00:31:06,966 And then I made a list 664 00:31:06,999 --> 00:31:09,068 of all the things that annoyed me about her. 665 00:31:09,101 --> 00:31:10,302 The way she chewed her gum, 666 00:31:10,336 --> 00:31:12,638 the way she used to sit in the front row of every class 667 00:31:12,671 --> 00:31:14,373 so that the teacher would call on her 668 00:31:14,406 --> 00:31:15,741 when she raised her hand, 669 00:31:15,774 --> 00:31:17,443 the way she said, "Excuse me?" 670 00:31:17,476 --> 00:31:20,046 instead of just "What?" or "Huh?" 671 00:31:20,079 --> 00:31:21,513 None of it makes any difference. 672 00:31:24,216 --> 00:31:26,652 Then why are you telling me? 673 00:31:28,654 --> 00:31:31,723 Maybe it'll make you feel a little bit better to know that, 674 00:31:31,757 --> 00:31:33,192 what you're going through, 675 00:31:33,225 --> 00:31:36,495 every other young man in the history of the world has gone through. 676 00:31:37,863 --> 00:31:40,766 You're trying to make it work with Lea and with Carly, 677 00:31:40,799 --> 00:31:43,702 and you're getting a little beat up, and that's okay. 678 00:31:43,735 --> 00:31:45,137 Join the club. 679 00:31:46,438 --> 00:31:48,674 You're in the mix. That's a good thing. 680 00:31:50,376 --> 00:31:53,312 (SIGHS) I'm proud of you. 681 00:31:53,345 --> 00:31:56,082 ** 682 00:32:03,155 --> 00:32:04,523 DR. LIM: You ready? 683 00:32:04,556 --> 00:32:06,525 It's gonna take some getting used to. 684 00:32:07,960 --> 00:32:10,396 But they're the same nerves you used before. 685 00:32:12,431 --> 00:32:14,900 All you have to do is think about using the arms 686 00:32:14,933 --> 00:32:16,168 the way you normally would. 687 00:32:23,642 --> 00:32:25,211 (JOINTS WHIRRING) 688 00:32:25,244 --> 00:32:26,845 Whoa. 689 00:32:26,878 --> 00:32:28,214 (BREATHES SHAKILY) 690 00:32:28,247 --> 00:32:30,549 (CHUCKLES) That's pretty cool. 691 00:32:38,190 --> 00:32:39,625 It's not a beer, 692 00:32:39,658 --> 00:32:42,228 but you got to start somewhere. 693 00:32:42,261 --> 00:32:44,730 ** 694 00:32:52,571 --> 00:32:55,174 Now pinch your forefinger and thumb and twist off the cap. 695 00:33:11,990 --> 00:33:14,193 I-I can't feel the thing. 696 00:33:14,226 --> 00:33:16,662 You'll get used to it. You got this. 697 00:33:16,695 --> 00:33:19,698 ** 698 00:33:28,374 --> 00:33:30,008 (DR. LIM GASPS) 699 00:33:31,243 --> 00:33:32,378 (CHUCKLES) 700 00:33:32,411 --> 00:33:35,114 (LAUGHTER) 701 00:33:35,147 --> 00:33:37,216 Nice. 702 00:33:37,249 --> 00:33:39,951 ** 703 00:33:41,620 --> 00:33:44,022 You want me to say you were right? 704 00:33:44,056 --> 00:33:45,824 About the patient, or you? 705 00:33:47,426 --> 00:33:48,960 When you offered me a job, 706 00:33:48,994 --> 00:33:51,363 you said it was to help me get back on the horse. 707 00:33:51,397 --> 00:33:53,565 But what you really wanted was a mentor. 708 00:33:54,800 --> 00:33:55,967 Which I'm fine with, 709 00:33:56,001 --> 00:33:58,337 but I think maybe you feel threatened by that need. 710 00:33:59,871 --> 00:34:02,208 Well, maybe that's true. 711 00:34:02,241 --> 00:34:05,511 But maybe also you enjoy it a little too much. 712 00:34:05,544 --> 00:34:08,647 Maybe because you're having a hard time giving up being Chief. 713 00:34:11,049 --> 00:34:12,518 Maybe we're both right. 714 00:34:17,223 --> 00:34:18,657 How did it go? 715 00:34:20,459 --> 00:34:22,228 Can you lift your arms for me? 716 00:34:24,530 --> 00:34:27,032 ** 717 00:34:29,768 --> 00:34:32,504 (BREATHES DEEPLY) 718 00:34:32,538 --> 00:34:33,739 Okay. 719 00:34:35,073 --> 00:34:38,009 I'm gonna push your arm, and I need you to resist. 720 00:34:40,846 --> 00:34:42,248 Good. More. 721 00:34:42,848 --> 00:34:44,583 Stronger. (CHUCKLES) 722 00:34:44,616 --> 00:34:46,051 That's great. 723 00:34:46,084 --> 00:34:48,220 You should make a full recovery. 724 00:34:48,254 --> 00:34:49,321 Thank you. 725 00:34:50,722 --> 00:34:52,558 H-How's Nathalie's hand? 726 00:34:52,591 --> 00:34:55,627 There was no nerve or tendon damage. 727 00:34:55,661 --> 00:34:56,928 She'll be fine. 728 00:34:56,962 --> 00:34:58,764 She's a good person. 729 00:34:58,797 --> 00:35:00,399 A little spirited, 730 00:35:00,432 --> 00:35:02,301 but that's what I loved about her. 731 00:35:03,935 --> 00:35:06,772 Are you going to try to win her back? 732 00:35:08,607 --> 00:35:11,410 I'm confident but not stupid. 733 00:35:11,443 --> 00:35:13,579 You gotta know when to call it, Dr. Murphy. 734 00:35:16,081 --> 00:35:17,649 (CHUCKLES) 735 00:35:17,683 --> 00:35:19,318 I mean, there's a-a whole world 736 00:35:19,351 --> 00:35:21,787 of amazing people out there. 737 00:35:21,820 --> 00:35:24,956 Don't get bogged down with this notion of a soulmate. 738 00:35:29,295 --> 00:35:31,263 (DOOR OPENS) 739 00:35:31,297 --> 00:35:33,799 Finn's exam was normal. 740 00:35:36,134 --> 00:35:39,238 But I am not sure it was worth the risk. 741 00:35:40,439 --> 00:35:42,741 We did a good thing today. 742 00:35:42,774 --> 00:35:44,910 Mostly because of you. 743 00:35:44,943 --> 00:35:47,779 That's kind of you to say but... 744 00:35:49,448 --> 00:35:51,350 Your commitment to your patients 745 00:35:53,319 --> 00:35:54,920 reminds me of why I got into medicine. 746 00:35:57,556 --> 00:36:00,859 Being around you makes me a better surgeon. 747 00:36:03,729 --> 00:36:05,297 A better person. 748 00:36:10,369 --> 00:36:12,304 Well, good night. 749 00:36:12,338 --> 00:36:13,372 Good night. 750 00:36:13,405 --> 00:36:16,107 ** 751 00:36:27,018 --> 00:36:28,720 You did good work today. 752 00:36:30,989 --> 00:36:32,858 And I understand you're leaving surgery. 753 00:36:34,159 --> 00:36:36,795 And I know that's a... That's tough. 754 00:36:36,828 --> 00:36:38,129 But it's the right call. 755 00:36:42,534 --> 00:36:44,403 No, I don't think it is. 756 00:36:48,039 --> 00:36:50,276 I love operating. 757 00:36:50,309 --> 00:36:52,611 So I'm gonna keep doing it as long as I can. 758 00:36:55,847 --> 00:36:58,417 I'm gonna have the synovectomy surgery. 759 00:37:00,619 --> 00:37:01,920 That's really stupid. 760 00:37:02,888 --> 00:37:05,156 That's incredibly stupid. 761 00:37:07,092 --> 00:37:09,528 Not every dream comes true. 762 00:37:09,561 --> 00:37:11,297 You have other opportunities. 763 00:37:11,330 --> 00:37:12,864 You have another chance. 764 00:37:12,898 --> 00:37:15,166 Not everybody does. Be grateful for that. 765 00:37:15,200 --> 00:37:18,036 Pick another passion and pursue that. 766 00:37:18,069 --> 00:37:21,340 ** 767 00:37:21,373 --> 00:37:23,208 I'm doing the surgery. 768 00:37:23,241 --> 00:37:26,812 ** 769 00:37:33,652 --> 00:37:36,455 ** 770 00:37:43,729 --> 00:37:44,730 Enjoy. 771 00:37:48,667 --> 00:37:49,968 Another, please. 772 00:37:53,238 --> 00:37:55,874 Well, that's one way to start the night off right. 773 00:37:55,907 --> 00:37:57,543 (CHUCKLES SOFTLY) 774 00:37:57,576 --> 00:38:00,211 Hello, Nurse Fletch. 775 00:38:00,245 --> 00:38:01,780 You can call me Julie. 776 00:38:03,214 --> 00:38:06,051 Are you here alone, or are you meeting someone? 777 00:38:06,084 --> 00:38:07,886 I'm alone. 778 00:38:07,919 --> 00:38:09,087 Well, to us. 779 00:38:09,120 --> 00:38:12,090 ** 780 00:38:17,996 --> 00:38:19,431 You have beautiful eyes. 781 00:38:21,633 --> 00:38:22,801 Thank you. 782 00:38:26,004 --> 00:38:28,607 Or did someone just tell you that 783 00:38:28,640 --> 00:38:30,409 that's a good opening line? 784 00:38:37,483 --> 00:38:38,617 It's right in our backyard, 785 00:38:38,650 --> 00:38:39,951 and I've never even been there. 786 00:38:39,985 --> 00:38:41,753 Have you? CLAIRE: No. 787 00:38:41,787 --> 00:38:44,255 It's, uh, time we unleash our inner tree-hugger. 788 00:38:46,257 --> 00:38:47,559 You're off next weekend. 789 00:38:47,593 --> 00:38:48,760 I think we should go to Yosemite. 790 00:38:48,794 --> 00:38:50,161 What do you think? 791 00:38:50,195 --> 00:38:51,262 Yeah, sounds fun. 792 00:38:51,296 --> 00:38:52,964 I need to get me some hiking boots. 793 00:38:52,998 --> 00:38:54,633 Mm. And, uh, like a fleece. 794 00:38:54,666 --> 00:38:55,967 Mm-hmm. Beanie. 795 00:38:56,001 --> 00:38:58,103 Mm. I'm rocking the full lumbersexual look. 796 00:38:58,136 --> 00:38:59,571 (CHUCKLES) 'Cause I gotta blend in. 797 00:38:59,605 --> 00:39:02,608 I hear a bear can spot a tourist a mile away. 798 00:39:03,308 --> 00:39:04,976 Mm. Mm-hmm. 799 00:39:07,813 --> 00:39:08,814 You okay? 800 00:39:10,048 --> 00:39:12,350 Uh, you're, uh... 801 00:39:12,384 --> 00:39:15,487 You're here, but, you know, not. 802 00:39:17,989 --> 00:39:19,124 You're right. I'm sorry. 803 00:39:19,157 --> 00:39:21,159 It's... It's just been a long week. 804 00:39:21,192 --> 00:39:22,661 I'm a bit exhausted. 805 00:39:24,029 --> 00:39:27,399 Yeah, I think I might call it an early night. 806 00:39:28,534 --> 00:39:29,835 Oh, you sure? 807 00:39:29,868 --> 00:39:32,203 I... You know, we don't have to go to the club. 808 00:39:32,237 --> 00:39:34,172 We can chill here. We can watch a movie. 809 00:39:34,205 --> 00:39:35,273 I'm sorry. 810 00:39:35,306 --> 00:39:36,975 I just... 811 00:39:37,008 --> 00:39:38,510 I just think I should go home. 812 00:39:39,545 --> 00:39:41,813 (CHUCKLES SOFTLY) Okay. 813 00:39:41,847 --> 00:39:44,182 ** 814 00:39:46,685 --> 00:39:48,920 (BREATHING HEAVILY) 815 00:39:48,954 --> 00:39:50,321 LEA: Shaun? 816 00:39:54,593 --> 00:39:56,762 I want to smash your car up. 817 00:39:58,964 --> 00:40:01,199 I think that's a bad idea. 818 00:40:04,202 --> 00:40:08,239 I want to hurt you the way you hurt me. 819 00:40:10,576 --> 00:40:12,377 I'm s-sorry. 820 00:40:12,410 --> 00:40:13,812 You... 821 00:40:16,748 --> 00:40:18,817 You... 822 00:40:18,850 --> 00:40:20,586 You're... 823 00:40:20,619 --> 00:40:23,388 (BREATHING HEAVILY) 824 00:40:26,458 --> 00:40:28,560 (GRUNTS) 825 00:40:28,594 --> 00:40:31,930 ** 826 00:40:31,963 --> 00:40:33,431 (GRUNTS) 827 00:40:33,465 --> 00:40:35,601 (PANTING) 828 00:40:35,634 --> 00:40:37,235 (BAT CLATTERS) 829 00:40:37,268 --> 00:40:39,771 I can't. (SNIFFLES) 830 00:40:39,805 --> 00:40:41,707 ** 831 00:40:42,574 --> 00:40:43,875 I can't. 832 00:40:43,909 --> 00:40:45,744 (BREATHING HEAVILY) 833 00:40:47,946 --> 00:40:50,081 You acted like you cared about me, 834 00:40:52,918 --> 00:40:54,553 but you don't even respect me. 835 00:40:56,988 --> 00:40:58,356 You're flaky. 836 00:41:01,159 --> 00:41:02,561 And... 837 00:41:05,030 --> 00:41:06,798 And you can't keep a boyfriend. 838 00:41:08,433 --> 00:41:11,136 And you can't keep a job. 839 00:41:13,171 --> 00:41:14,472 And no one likes you. 840 00:41:14,506 --> 00:41:16,608 (BREATHING HEAVILY) 841 00:41:16,642 --> 00:41:20,111 And... And you're going to end up alone, 842 00:41:20,145 --> 00:41:21,580 and you deserve it! 843 00:41:21,613 --> 00:41:23,749 Because you're a superficial, 844 00:41:23,782 --> 00:41:26,284 selfish, and prejudiced person! 845 00:41:26,317 --> 00:41:29,521 ** 846 00:41:31,322 --> 00:41:33,592 (BREATHES DEEPLY) 847 00:41:33,625 --> 00:41:36,494 (BREATHING HEAVILY) 848 00:41:38,797 --> 00:41:41,199 (WHIMPERS) 849 00:41:41,232 --> 00:41:43,535 ** 850 00:41:45,236 --> 00:41:47,038 You ready to tell me what's on your mind? 851 00:41:50,842 --> 00:41:52,010 Not really. 852 00:41:57,883 --> 00:41:59,150 (SIGHS) 853 00:42:04,956 --> 00:42:06,692 (SIGHS) I... 854 00:42:08,694 --> 00:42:10,629 I think I'm in love with my boss. 855 00:42:11,697 --> 00:42:14,332 ** 856 00:42:16,802 --> 00:42:18,436 (SIGHS) 857 00:42:23,875 --> 00:42:26,511 **