All language subtitles for The.good.doctor.S03E08.HDTV.TBS.EN.SRT.English-WWW.MY-SUBS.COM

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Okay.

Okay.

Okay.

This is terrifying!

Oh! Oh!

And very fun!

Are you ready to try lying down?

Because I am ready, Shaun.
I am very ready.

Carly...

Mm.

600 thread count microfiber sheets.

A shredded memory foam pillow.

A 40-watt A19 incandescent bulb.

I'm sorry.

You didn't return my calls this weekend.

After a ride up Skyline Boulevard,

60 minutes of Muay Thai,

and a 15-year reserve Scotch,

I had a moment of clarity.

What you said about my
objectivity in the Fields case

wasn't about me.

You were in pain.

I was taking responsibility.

And asking you to take your share.

It was a good surgical plan.

You need to accept that,

despite being a gifted surgeon,

you are fallible.

I think I should run my
procedures by Glassman

from now on.

Audrey, we need some checks and balances.

I am checked and balanced.

And I'm the chief of this department.

You will continue to run your
medical decisions past me.

Browne, you're with Melendez today.

Murphy and Park, meet me in
the E.R. observation unit in 20.

I thought I was on E.R. consults
with Park today.

If I'm being bumped because
I took off the other day,

Dr. Browne was every bit of...

First lead surgery.

Thank you.

Scheduled for tomorrow.

Study the images and prep your patient.

Yes! I rock, I rock!

The surgery gods know it, I know it,

and apparently, so does Andrews.

Boasting doesn't have the same impact

when you're picked last.

He was obviously waiting for
the right case to come along.

No.

You're kidding me.

This is much better
than my first surgery.

Damn right. A med student
could do an appy.

The carotid endarterectomy
takes serious finesse.

Fair to say it's really
a 5th-year procedure,

but I don't have time to sit
around debating semantics.

I have the Holy Grail of
resident surgeries to prep for.

The tumor was found on my left lung

at my medical fitness exam.

Tricky spot.

Curable,

but tough to remove without
taking the entire lung.

That's what they said.

And you didn't like that answer?

I need my lung.

I'm going to the moon.

Synced & corrected by -robtor-
www.MY-SUBS.com

When did the chest pain start?

Around 9:00 this morning.

Okay, I'm gonna look at your heart.

This gel may be a little cold.

You see a cardiologist.

Did you use the nitro he prescribed?

It usually relieves the
angina, but not this time.

Are... you the same Rosalind Elion

who just published a study

on IDH2 Inhibitors in Myeloid Leukemia

in the Journal of Pediatric Oncology?

- Yeah.
- Wow.

You're famous.

W... I-I used an IDH2 on a kid with AML.

- I mean, he's doing great.
- Oh.

Your studies revolutionized
leukemia treatment.

It's an honor to meet you.

That's kind of you to say.

Noticing anteroapical wall
motion abnormalities.

Is your chest pain worsening?

Yes. How did you...

She's having a heart attack.

Contact her family,
then meet us in surgery.

She needs a triple bypass.

The moon?

The moon. In 2020.

It's a private venture
partnership with NASA.

Floating in an expanse
of uninhabitable emptiness

200,000 miles
from the nearest Starbucks...

- Mm.
- ...not for me.

You never wanted to be an
astronaut when you were a kid?

Had enough challenges here on Earth.

Did you?

I was a Trekker.

All my friends had Spock ears.

I was all about McCoy.

There's our tumor.

It's embedded in the hilum.

NASA doctor was right.

We'd have to take the entire
lung to get it out.

Not necessarily.

The tumor's grown into the upper lobe.

If we can remove it
from the main bronchus,

we can get a clean margin.

The rest of the lung can stay.

No-go.

You'd have 80% of your...

If treatment reduces
my lung volume at all,

I'll be unfit for space travel.

The mass is too deep.

Major blood vessels,
your airway, esophagus,

and heart are right there.

The next opinion you get
will be the same.

Or worse.

Thank you for your time.

What do you see at the apex?

I see perfusion abnormalities.

Her LAD and PD are completely occluded.

She listed her husband
as her medical proxy.

You'll need to update him
as soon as he gets here.

The entire left side of her
heart is compromised.

He's not coming.

They've been divorced for two years.

He hasn't spoken to her
in almost that long.

Murphy, anastomose the internal
mammary to the LAD.

Let's see if we can give
her heart a blood supply.

I tracked down her sister in Santa Cruz.

She hasn't seen Rosalind
in years, either.

That's a lot of legwork for a surgeon...

no social worker available?

It's good that you didn't find anyone.

Family members are the least
qualified people in the room

to make medical decisions.

Judging by the state of her myocardium,

there's only one choice, anyway.

She needs a new heart.

I think it's possible
to spare her upper lobe

using a surgical robot.

Wren Braxton came to see me.

You're her second opinion?

Or fourth or whatever she's up to?

I'm surprised you didn't offer
the robotic option.

It's the type of surgery
I usually send your way.

I didn't offer it because with the robot,

if I nicked her pulmonary artery,

she'd likely bleed out

before I have a chance to
open her up to control it.

She's just gonna keep looking

until someone gives her
the answer she wants.

And then what?

What do you think her odds
of survival are

if some hack tries to cut the tumor out,

leaving the lungs intact?

Roughly zero.

I agree.

And with you? With the robot?

Still lousy.

You can do this.

You're overestimating the risk,
and I know why.

And you're doing exactly
what you did last time.

Assuming that I can do anything.

So everyone else is biased
except for you?

The one who just had
a patient die on him?

If it's had any effect,

it's to make my judgment more acute.

I won't risk having Wren leave here

the same way that Patty Fields did.

People risk things
to make their dreams come true.

If you don't want to help her,
I'll do it myself.

The intra-aortic balloon pump

will support your heart
until we find a donor.

And when might that be?

A heart is the most
difficult organ to procure.

But since yours is so badly damaged,

you are very high on the list.

I suppose that's a good thing.

Not really. The...

We're doing everything we can.

Thank you.

Is there anyone you want us to call?

Yes.

My lab assistant.

The next few days are crucial

to my monoclonal antibody study.

Hannah needs to stay with
the cultures around the clock.

I don't want five years of work
to go to waste.

Can I ask why you listed your ex-husband

as your medical proxy?

I had to name someone.

Leo is the only person

I ever discussed my medical issues with.

Now, if you don't mind,
I have a lot of work to do,

which, as you've indicated,

I may not have a lot of time to do it.

How are you, Shaun?

These are STAT cardiac labs.

I have to go.

I hope you're not embarrassed
about last night.

I want to have sex with you.

That's nice.

I think about it very often.

Even when I'm supposed to focus
on more pressing matters.

Like 15 minutes ago

when I was filling out
that lab requisition,

I almost forgot to add a BNP.

That's good.

No, it's not.

We need a BNP

to monitor her cardiac function
on the balloon pump.

I've been thinking about you, too.

Sometimes when I shouldn't.

- That's bad.
- Not really.

I've been doing some research.

I came across this therapy
psychologists use

to treat phobias.

Apparently, it works
in people with autism, too.

If you're game,

we could try tonight.

I'm game.

I need a different first surgery.

There a problem with your patient?

The plaque dissection

is too advanced
for a third-year resident.

I was nervous as hell
for my first surgery.

And it was only a tonsillectomy.

I could take out a pair
of tonsils blindfolded.

It's not nerves.

This is more like a fifth-year procedure.

You're setting me up to fail.

This is why I picked you.

You come to me scared,
and you couch it in arrogance.

It's rare that a resident
has what you have...

the aggressiveness, the work ethic,

and talent to be a leader.

I'm not setting you up to fail.

I'm setting you up to shine.

Or am I wrong about you?

No, sir.

I want you to do my surgery.

The one Dr. Lim suggested.

It was Dr. Lim's idea.

She's an excellent surgeon
and my superior.

And you think I'm an idiot.

I am afraid of this surgery.

And I'm afraid of going to the moon.

It's not about the moon.

It's about the fear.

It's about getting beyond that.

That's how great things happen...

how they've always happened...

because someone took a chance.

From what I've read about you,

you're exactly the kind of
person I need in my corner.

Exactly the kind of person

I would've thought would understand.

Fear is also what keeps us alive.

What do you think the odds are

of you not coming back from the moon?

The reason it's heroic,
the reason it's exciting

is because you don't know what to expect.

You can't anticipate everything.

1%, 2%, maybe 5%.

60%.

This surgery, if I were doing it,

there is a 60% chance

that you die on the table.

It's called exposure therapy.

We'll lie down on the bed side-by-side,

fully clothed and not touching
for 15 seconds.

When this timer goes off,

you'll go into the other room
for a three-minute break,

and then we'll go again for 20 seconds.

Over time, we will progress
to longer intervals

and start to lie closer together.

This seems like a good approach.

Whenever you're ready.

Are you okay?

What... What are you feeling?

I... I... I don't know.

I don't... I don't know.

I don't know why it didn't work!

It's okay, Shaun. We'll try again.

No! No.

No... No, I can't.

W-We'll try for less time.

I can't do this!

Go.

What?

Go.

Get outta here.

We can watch the end...

I got the sheets,

The pillow, the damn lightbulb.

I read 18 psych journals.

And you give up after eight seconds?

You're right. This isn't going to work.

Go home.

How are things with Carly?

I lasted eight seconds.

She kicked me out of her house.

First time is difficult.
I'm sure she didn't...

We tried timed exposure therapy
to get physically closer,

but I... couldn't do it.

So try something else.

When I lie close to her,
I feel diaphoretic,

my heart rate is elevated,

and mouth gets dry.

I don't know how to not feel that way.

You want this, Shaun?

Yes.

Very much.

Then rely on your strengths.

Treat it like a surgical problem.

Do your research.

Carly came up with
a solution, it didn't work,

but that doesn't mean the next one won't.

Give me some good news.

I had a potential donor in San Diego,

but the heart was just too damaged.

I'm at the GE junction now.

Now she has complete
right-sided failure, too.

It's time to discuss a DNR.

She's got one day left in this world.

Let's keep her comfortable.

60%?

That number is grossly exaggerated.

I spent an hour convincing my patient

I'm not trying to kill her.

She came to me.
I gave her my surgical opinion.

I... I could fire you for this.

Because I contradicted your opinion

after you contradicted my opinion?

I gave her an option
you were too afraid to present.

No, you proposed
a potentially deadly surgery

to a woman who was desperate

for any option, no matter how crazy.

- You don't have the authority...
- Authority?

I thought we were talking
about the patient...

It was unprofessional, disrespectful...

- I don't...
- If anyone showed a lack of respect...

Doctors.

My office.

I wouldn't want to be
kept alive on life support.

Not if there was no hope for a recovery.

There wouldn't be.

As your heart failure worsens,

you may get short of breath
from fluid build-up.

We can use diuretics and vasodilators

to help control that.

I recommend both of those.

Of course. Yes.

If that doesn't help,

we could insert a catheter in your chest

to drain the fluid.

The procedure does risk a lung puncture,

which would worsen your symptoms.

You should give us every option
to keep you breathing easy.

And we'll be on call all night

to make sure you're
as comfortable as possible.

Thank you.

I went through this with my mom

when she was dying of leukemia.

I'm so sorry.

Was that recent?

I was 10.

I remember feeling so helpless...

You should reach out to Leo.

It's too late.

I don't believe that.

There were, uh,

things between my wife and I

that I thought we could never get past.

But last Christmas...

...we almost lost our son.

And when I reached out, Mia was there.

Leo...

always made me feel pressured to choose

between my research and him.

Eventually, I realized he was right.

So I chose to go
- where I was needed the most.

To call him now would be
hypocritical and...

unfair.

It took a lot of time

and dedication to push
our understanding of leukemia

as far as you did.

I'm glad I have treatment
options for my patients.

You made a good choice.

Sorry to keep you waiting.

I assume that some of this
is professional,

the other 90% is personal.

Am I right?

Well, it's a very difficult case.

We're both just overly invested.

Actually, I'd love for you
to weigh in on this one.

Dr. Lim, are you confident
in the surgical plan?

- Good luck.
- Thank you.

You didn't even look at the case.

- The pulmonary...
- Dr. Lim is my Chief of Surgery.

I trust her judgment.

I'm sorry things got out of hand.

It won't happen again.

It better not happen again.

If you two can't control your
interpersonal squabblings,

I'm gonna have to lose one of you...

at least.

We need an endoscopy suite
to fetch the spoon

out of this guy's stomach.

Cool.

How's the intimacy research going?

Dr. Elion has had a very successful life

without a relationship.

So can I.

Success and happiness
aren't the same thing.

You need to decide what will
make you happy in... the end.

I don't know if it's being
a great surgeon

or being close to Carly.

But I'm better at surgery
than I am with her.

Dr. Elion is wrong.
You don't have to choose.

I fly to Phoenix every other weekend

to spend time with Mia and Kellan.

Then you won't be great at either.

I think Dr. Elion is afraid.

I think it was never about the journals

and the lives she could save.

I think she's always been afraid...

afraid she might lose Leo

just like she lost her mother.

And you,

you lost the person you loved the most

when your brother died.

Your elevated heart rate, sweaty palms...

they're not about
your sensory issues, Shaun.

It's what we all feel...

fear.

W-Why would anyone want to feel afraid?

Because the thought
of ending up alone is scarier.

I don't think Dr. Elion
refuses to call Leo

because it's hypocritical.

I think she's afraid he won't come.

Can you handle the spoon?

Yes.

Okay.

- Good morning, Dr. Glassman.
- Morning.

Which shoulder would you like to hurt

for the next 24 hours?

I'm not here for a vaccine.

Okay.

Wrist and thumb joint pain.
I need cortisone shots.

Surgery's in two hours.

Can I ask you something?

If a patient... say, a violinist

who concertized
three or four times a week...

were to come to you with achy joints,

would you give them a cortisone shot

or tell them to lay off for a while?

Better question...

if he or she came to you with achy joints

and pretended they needed a vaccination,

what would you do then?

It's...

It's because I wanted you to know

and no one else.

I saw a rheumatologist last month.

I have rheumatoid arthritis.

Wow.

I'm sorry to hear that.

My... My mom had it, too.

It... It destroyed
her wrist and finger joints.

Maybe I should leave St. Bonaventure.

Berkeley's chief is retiring this year.

I could apply to replace him.

We're entitled to have
differing opinions.

We can argue...

Apparently we can't.

I love you.

I want our relationship to work.

And I want to be chief.

If we can't find a way to work together

with me as your boss,

then something has to change.

Looks like you caught it early,

without any noticeable
erosion of the joints.

That's good. What's your D-MARD dose?

20 milligrams, but Dr. Baxter

just started it.

Okay.

You're gonna have to postpone

your first lead surgery for a while,

see how you respond.

I-I'd have to explain why
to Andrews and Lim.

As you should.

A cortisone shot is just a temporary fix.

Do you know what
the chances are the D-MARD

can maintain the dexterity you need

to perform an operation in the long run?

45%.

I-It'll change the way they see me.

Yeah, you have a condition...

a medical condition.

They'll expect less from me.

They'll be looking for me to fail.

Th... That's why I'm confiding
in you instead of them.

You advocated for Shaun

when everybody else thought
he couldn't be a surgeon.

I'm sorry, you're comparing
arthritis to autism?

I'm comparing people's assumptions,

people's prejudices.

I'm asking for a chance to prove myself.

In this surgery today,

you're gonna have to create
a plane as thin as paper

between two delicate layers of tissue

without disrupting the major
blood flow to the brain.

If you miss by 1/10th...
1/10th of a millimeter,

the patient will suffer
permanent brain damage or worse.

Right now, it's a matter of pain,

not function.

You think I would put
a patient's life at risk?

That's insulting.

I'm sorry.

Without the pain, I can do this.

You believed in Shaun.

I need someone to believe in me, too.

Okay.

Leo Adan?

That's me.

I'm Alex Park.

I'm Rosalind's doctor.

She's dying.

She wants to see you.

Then why didn't she call me?
Why'd she send you?

She doesn't know I'm here.

Even when we were married,
I never topped her to-do list.

She wasn't cheating on you.

She wasn't doing anything
except saving lives.

She deserves to be cut a little slack.

Yeah.

She was saving the whole damn world.

She's a saint.

I made partner, she wasn't
there, everybody understood.

My mother died, she wasn't
there, everybody understood.

Well, I didn't.

Look, maybe I was a selfish jerk
for wanting my wife to be around,

but I did.

She didn't send you.

Good for her.

She's not a hypocrite.
At least that hasn't changed.

Assistant port is secured.

Load the forceps and electrocautery.

My chief's doing a difficult surgery.

I'm here to help in any way I can.

Instruments are ready.

Time of initial incision, 11:32.

- How is she?
- She's really short of breath.

I gave her vasodilators and diuretics,

but she's not settling.

She has bilateral pulmonary edema.

She needs 40 milligrams of furosemide.

I'll push two lorazepam, too.

I can't...

c-catch... my breath...

You've got fluid in your chest.

This medication should help
ease your breathing.

She should be improving,

but she's not.

Maybe we should insert a drain.

Shaun, this isn't about the fluid.

She's scared.

Rosalind,

I know this is frightening,

but you are not alone.

I'm here, and I am not going anywhere.

As long as you need me.

Leo.

I see the base of the tumor.

There's a lot of bleeding
teasing off the pulmonary vein.

Put a bipolar electrocautery
instrument on the right arm.

It's way more friable than it looks.

The tumor's invaded the vessel wall.

I need to load more hemostatic matrix.

If I keep going, I'll end up
with a bleed I can't control.

I need to take the lung.

Prep her for an open thoracotomy.

I need a prostatectomy kit.

Now.

Prostate cancers tend to grow
along the surrounding nerves.

The equipment's designed
to dissect the tumor

without injuring the nerves.

Substitute arteries for nerves,

and you've got our situation.

Load the hot shears.

Unclamp the proximal and distal end.

You have good shunt flow.

Loupes.

Forceps and dissector.

Is there a problem, Dr. Reznick?

Nice work, Dr. Reznick.

Did you...?

We got it all.

And you'll still need that flight suit.

Thanks, Doc.

He might've helped out a little, too.

The tumor was more entangled in
your arteries than it appeared,

but Dr. Melendez pulled off
a remarkable win for us.

This is the reason you still
have two complete lungs.

Sign it.

Both of you.

I'm gonna leave it on the moon.

She's very close.

I'll pronounce her.

I'd like to do it.

Thank you.

I hope it's not too late.

It's fine.

Come in.

You were right.

That was a crazy surgery.

But not as crazy as I thought.

It wouldn't have even happened
if it wasn't for you.

You were right, too.

I'm not objective when it comes to you.

I blew off your concerns about the risks

'cause I thought you'd lost your mojo.

Great.

We're both right.

And we found a way to work together.

And our patient's better off for it.

Today.

What about the next time?

We won't make the same mistakes.

I'm not sure they were mistakes.

I think they might have
just been our nature.

I don't think I can give you

the unconditional support
you deserve from a partner

and the objectivity
you need from a chief.

And...

I don't want to give up on my dream.

I love you.

But it's not enough.

Goodnight, Neil.

Dr. Reznick.

Dr. Glassman.

Thank you for your support.

My pain is 90% better than it was.

The shots helped.

Well, you did a remarkable job.

I'm fine.

Congratulations.

I did extensive further research

on intimacy treatment for autism.

And?

And...

I found nothing.

You were right.

Exposure therapy
is the most effective option.

You're very smart and thorough.

Thank you.

I'd like to try again.

It's time to take a break.

I know.

This is terrifying.

And...

very nice.