All language subtitles for The.Good.Doctor.S03E12

Those are yours.

We bought them together.

Because you
"found the pattern soothing."

♪♪

I'm gonna miss you,
Shaun.

I love Carly.

And that's great.

I am so happy for you.

Now you can hang
the toilet paper incorrectly

anytime you want.

And Carly and I
can go back

to the way things were
before our fight.

Well, sometimes couples need
a little time to recover.

We won't.

Carly asked
for you to move out.

You aremoving out.

♪♪

How many kidneys do I need
in my body to attend prom?

[ Chuckling ]
Ryan...

Even if the surgery
removes my kidney,

it'll be laparoscopic,

so my inpatient time
will be seven days, tops.

And then three more days
of rest at home.

I can take my girlfriend
to prom, right?

That's not
a purely medical decision.

I have to
draw some blood.

What are the chances
Dr. Melendez might be able

to remove the tumor
but spare Ryan's kidney?

Well, the MRI
will let us know

how much
the chemo shrunk the tumor,

but you shouldn't
count on it.

One chili burger,
extra mustard, extra pickles.

Hi.
Morning, Mr. Cooper.

I'm not sure he can have that
with his surgery --

Oh, he's fine
until about 6:30 tonight.

Claire: I know you.

Angie...Valens.

I helped put in
your chemo port.

I owe you a big thank-you.
[ Chuckles ]

We met in chemo.

They should put us
in a public service
announcement or something.

Yeah -- "I lost a tumor
and gained a boyfriend.

Thanks, chemo."

[ Laughter ]

James McDougall?

That's who
we're here for, too.

All of you
can head over to Bay 4.

Guy saw me six months ago
for a stress fracture.

He's a lunatic
ultra-marathoner.

I just hope he didn't go
too hard too soon

and break it again.

[ Breathes shakily ]

He didn't
break it again.

♪♪

-- Captions by VITAC --

♪♪

Lim: Your GP was right
to start you on ketoprofen
for the swelling,

but clearly,
it isn't working.

That's why
Drs. Murphy and Reznick

are going to block off
some of your
lymphatic channels.

It should
reduce production.

The more pressing concern
is why.

Have you ever had surgery
on your lymph nodes?

What about cancer
or radiation treatment?

No. Physically,
I've always been healthy.

Physically?

I was diagnosed with
Persistent Depressive Disorder

when I was 16.

That's why you got to get me
back out on the road, Doc.

Are antidepressants
not effective for you?

I mean, they help.

But running really is key.

Saved my marriage
and -- and my life.

Lymphedema can be caused
by an infection.

He doesn't have
a fever.

Ketoprofen can
suppress fevers.

Let's get some cultures

and start him
on broad-spec antibiotics.

♪♪

As requested,
your restock on enemas.

Nice cover.

How've you been feeling?

The methotrexate
is working great.

No pain, no redness.

Stiffness,
flu-like symptoms?

No. All good.

[ Faucet handles squeak ]

How long are you
planning to hide out

doing RA exams and clipping
diabetics' toenails?

Dizziness,
headaches, nausea?

I -- Sometimes I'm
a little queasy after I eat.

You had to love
neurosurgery.

How about we try
to get you a medication

that doesn't irritate
your stomach?

No. My hands feel great.
That's all I care about.

You used to open up skulls and
poke around people's brains.

There's no way thisfulfills you.

I enjoy it.

Or, rather,
I usuallyenjoy it.

[ Inhales sharply ]

I'll let you
get back to it.

Maybe someone out there
needs an enema.

[ Door closes ]

[ MRI machine humming ]

Got a measurement
on the Wilms tumor?

Mm,
not quite there yet.

You mentioned 7 centimeters
as our limit

to doing this
laparoscopically.

What if we pushed it
to 7.2?

Would speed up recovery.

By a few days.

Forget I brought it up.

Ryan wanting to take
his girlfriend to prom

should not factor into
our surgical plan.

Is he nuts about her?

Ohh. Crazy,
head over heels in love.

They both are.

Idiots.

[ Chuckles ]

I wouldn't mind being
an idiot like that again.

Though, I'm not sure
I ever felt thatway --

totally happy.

So therapy's going well?

[ Chuckles ]

No metastasis
in the lungs.

Look at that.

♪♪

Your tumor is gone.

[ Gasps ]

Gone?

How's that possible?[ Chuckles ]

The chemotherapy worked
better than we expected.

Wait, like, no tumor?
Zero?

No need for surgery
whatsoever?

Claire: That is right.

These are discharge forms.

[ Laughs ]

[ Squeals, giggles ]

Both of my kidneys
are taking you to prom!

Aah!
Hell, yeah, we are!

[ Laughs ]

[ Laughs ]

[ Clears throat ]

Angie?

Angie!

She's having a seizure!

[ Grunting ]

2 milligrams of lorazepam
and portable oxygen, stat.

Let's get that
under her head.

[ Alarm blaring ]

His lungs
are filled with fluid.

I need a chest X-ray
and a bedside ultrasound.

And page Dr. Reznick.

[ Coughing ]

[ Pager beeping ]

♪♪

[ Beeping continues ]

Imaging has confirmed

a reoccurrence
of your brain tumor.

What stage?

3.

The best approach
is surgery -- a wide resection
of the tumor,

followed by radiation
and chemo to encourage
full remission.

Sounds like
a fun couple months.

Full recovery will probably
take closer to eight.

[ Sighs ]

We can get through this, baby,
just like last time.

W-When will
the surgery be?

We need to do
some additional imaging,

and I'd like
to consult a colleague

about the best
surgical approach.

That'll take
a few days.

Take your time.

Prom?

[ Chuckling ] Yeah.

Now that Ryan can go,
I haveto go.

Honey. This is your health
we're talking about.

[ Voice breaking ]
Mom, please.

I just want to do
this one thing
like a normal kid.

[ Sighs ]

Can you tell her
it's okay?

Park: We can't.

Until we remove your tumor,
you're at risk

of potentially fatal
seizures.

After you're recovered,

you and Ryan
can get all dressed up,

and we'll go have dinner
at the Grandview.

Okay?

Prom sucks.

My buddy had a fake ID.

I got so drunk in the limo
that I passed out

and never made it
into the dance.

Maybe that wasn't
everybody's experience.

I was prom king.
My date was queen.

I had the dress,
I had the date,

I had the mom
who got arrested.

Spent the night picking her up
from the drunk tank.

Did you see Park
while you were there?

[ Laughs ]

Go to scheduling, get Angie's
surgery set for Friday --

with the best
neurosurgery OR nurses.

Let's go see Glassman.

Andrews:
Now I'm identifying

the submillimeter
lymphatic vessels.

I need an 11-0 micro suture
and a 70 micron needle.

Instead of harvesting nodes
to this area,

could we redirect lymphatics
away from his lymph system?

We could.

If you identify
an appropriate vessel,

you can make
the connection.

Lim: We're clearly not dealing
with an infection.

There must be a blockage
somewhere in his lymph system.

Most likely cancer.

His CBC didn't show
any abnormal cells.

Lymphoma
doesn't always show up.

We need to run cytology
on his lymphatic fluid.

It's either gonna be nasty
or verynasty,

depending upon how it attaches
to the thalamus and fornix.

Which no imaging or testing
can possibly determine.

So, our options are?

Between an endoscopic approach
or an open anterior one.

That is correct.

I'd run a stereotactic MRI
with fiducials and DTI

to gauge how close the white
matter tracts actually are.

You should scrub in.

[ Chuckles ]

Another doctor
can cover the clinic.

I haven't been in an OR
in over a year,

and then, as a patient.

I'm not asking you
to cut.

But it'd be a huge value
to have you there.

[ Chuckles softly ]

I appreciate that.

I'll consider it.

♪♪

[ Door opens ]

[ Door closes ]

Hello. We need to run cytology
on this lymphatic fluid.

I would be happy to.

Lea moved out
this morning.

Thank you.

You're welcome.

Can you come over
tonight?

Uh, that probably
won't work --

Or we could go
to your apartment?

I can't.

Lea said
that it might take time

for us to recover
from our fight.

But I told her
that we were okay.

We are.

I made plans tonight.

To hang out with a friend
who just got fired.

But I would love to come over
tomorrownight.

Okay.

I'll put a rush
on this test, too.

♪♪

Your lymphovenous anastomosis
technique --

I was impressed.

It's a little early
in the morning

to be sucking up,
Reznick.

Not for me. I like
to get a jump on things.

I'm fascinated by the way
you use plastic procedures,

like microsurgery,
in other surgical specialties.

I thought it might make an
interesting topic for a paper.

Want to write it with me?

Yes.

Let's talk and eat.

That's not breakfast.

I'm buying.

What publications
do you want to target?

[ Sighs ]

Last time, Angie had
bad post-op vomiting.

Of course.
I'll make note of it --Excuse me.

She's asleep.
She needs her rest.

I'll wait out here
until she's awake.

Ryan, your immune system
is weak.

It would be so easy
for you to pick up a bug

and pass it to Angie.

I haven't been around anyone
but my dad. I swear.

He could wear a mask.

After Angie's surgery,

we'll see about
arranging a visit.

Please tell her
Ryan came by.

I'm sorry
if I overstepped.

I'd like
to change Angie's status

to "No visitors"
on her chart.

Yeah.

♪♪

Please take Mr. McDougall
to his room.

I'll be there
in a moment.

Is that James McDougall?

And the woman with him?

His wife.

Is it cancer?
[ Sighs ]

No -- worse.

His lymphedema is caused
by a genetic mutation.

If you don't find a medication
he responds to,

he'll drown
from the inside.

♪♪

The mutation is
on James' ARAF gene --

it makes an enzyme
called kinase,

which can cause cells
to overproliferate.

It's a genetic condition.

What set it off now?

Probably
the stress fracture.

Sent his immune system
into overdrive,

which fired up
his lymphatic system.

What treatment protocol
targets this mutation?

An MEK inhibitor.

The problem is,
which one?

There are 41 possibilities,
each with different
side effects.

Good luck.

Well, I was hoping
you could stay.

Okay. Sure.

[ MRI machine humming ]

We need you
to stay completely still.

Not a problem.

You okay?

Ryan totally bailed.

He hasn't come back
to see me.

If you tell her that her mom
said he couldn't visit,

she'll be pissed
at her mom.

How's that gonna help?

He's probably...
busy catching up in school.

We had a pact --

as long as we were together,
cancer wasn't gonna beat us.

He broke it.

Cancer wins.

♪♪

Do you mind finishing?

[ Sighs ]

♪♪

Imaging finished?

Not quite.

Mrs. Valens, Angie would
really like to see Ryan.

I know you're concerned
about infection,

but there is
minimal risk.

Actually -- Actually, none,
if they do a video chat.

Interesting idea.

I'll think about it.

Angie's depressed.

And studies have shown
that that can have
a negative impact

on her surgical outcome.

[ Laughs ]

Ryan doesn't always
improve Angie's mood.

A couple of weeks ago,
they had some silly fight,

and she cried for days.

Thank you
for letting me know.

I'm gonna do my best
to cheer her up.

She's a 16-year-old.

She wants her boyfriend.

Yeah.

And how smart were you
when you were 16?

Morgan: Well,
what about Selumetinib?

It's shown promising results
on related conditions.

And a high occurrence
of liver disease.

Binimetinib is similar,
but has fewer complications.

Any objections?

Let's start James
on that.

[ Door opens ]

This is exciting,
working together.

It is.

Although, I'm used to
samples and slides

instead of patients.

Patients can be
difficult.

But you will be fine.

♪♪

Do you need something?

[ Sighs ]

I was curious how James was
responding to the Binimetinib.

His urine output is up,

which suggests
the lymphatic fluid i--

And his potassium
is a little low.

Can you...give him this?

I wasn't really --

♪♪

♪♪

Hi.

I'm Dr. Lever.

The tumor's abutting
and possibly infiltrating

the white matter tracts
of her fornix.

We'll likely have to
remove a section.

That'll affect her ability
to form memories.

With a lot
of neuropsych rehab,

she may be able to compensate
with other pathways.

Studies have shown
that positive attitudes

lead to positive outcomes.

You're worried
about her attitude?

She's worried
about young love.

I'm worried about
what Angie is
facing aftersurgery --

physical therapy,
cognitive therapy,

one challenge
after another.

And what she wants
is so simple.

You want
to make a sad kid happy?

I guess I do.

Which isn't my job,
and I need to stop

getting sucked into
people's personal issues.

Is there a way to do that
without antagonizing
the mother?

Maybe.

[ Elevator bell dings ]

Then make her happy.

[ Both breathing heavily ]

♪♪

[ Giggles ]

♪♪

We've never gotten
this far before.

No.

We haven't.

And you're okay?

I am veryokay.

♪♪

[ Gasps ]

Carly.

Ohh.

[ Laughs ]

♪♪

♪♪

Okay.

♪♪

Did...I do
something wrong?

No, I'm sorry.
It's me.

You said we were okay.

I thought we were.

I-I want us to be.

You have no reason
to still be mad.

I'm not mad.

I'm -- I'm just...

[ Cellphone beeping ]

It's Morgan.

The medication caused James
an upper GI bleed.

♪♪

Have you localized
the source of the bleeding?

Working on it.

Seems to be coming
from the antrum
of the stomach.

Morgan:
We stopped the Binimetinib.

On top of causing this,

it hadn't done much
to curtail the swelling.

Where's Dr. Lever?

There's the ulcerative lesion.
Cautery.

Zebrafish.

They're used
in medical research

because of
their quick maturation,

and 84% of genes
associated with human disease

have a zebrafish equivalent.

You think we should do
a transgenic expression

of James' ARAF mutation
into the zebrafish genome.

Translation
for those of us

without a genetics textbook
handy?

We make mini-Jameses,
as zebrafish,

all with the same disorder.

Then we test every conceivable
drug on those fish.

How long before
we can start testing?

If we implant
the embryos now,

probably by
late afternoon tomorrow.

Get going.

Shaun, go with her.
You have Path experience.

♪♪

[ Door opens ]

♪♪

I understand
no means no.

If you don't want
to have sex,

I accept that.

But I am very confused.

So am I.

I thought I was fine
u-until I --

I told Lea to move out,
like you wanted.

You said
that things were okay.

They aren't.

How do I make them okay?

I can't tell you,
because I don't know.

♪♪

♪♪

When I was in chemo,

the nurses used to
force that stuff
down my throat,

so I know you're
not drinking it
because of the taste.

[ Chuckles lightly ]

It's fast, easy nutrition.

That and you don't end up
puking your guts out
in the bathroom.

I was president
of this hospital
for over 10 years.

I made a few friends,
including Jack the janitor --

talks a lot, A's fan,
horrible gossip.

If the methotrexate
is making you sick,

we should try
another medication.

How can you guarantee
that you're not gonna throw up

in the middle
of your next surgery?

It won't happen.

Because it only happens
if I eat solid food.

And I stopped.

At least at work.

♪♪

That is a lot
of fish tanks.

40.

So we can test

all of the possible
medications for --

Are you
throwing a party?

Hope so.

How are you doing,
Shaun?

Since your father
passed away?

I don't think about him
very much.

My mom...died recently.

I-I don't know
if you knew that.

She pops into my head
all the time.

Not always
the nicest thoughts.

♪♪

It's okay
not to love them.

They didn't make us
who we are.

♪♪

♪♪

♪♪

♪♪

Has your mom gone home?

There is one more thing
we have to deal with tonight.

[ Scoffs ]

Come on.

How many more sets of imaging
can you possibly do?

One of these
is your prom dress.

I like the pink, but I think
you'd look gorgeous in both.

♪♪

Hurry up and choose.

Your date'll be here soon.

[ Laughs ]

♪♪

All the medications
are in.

Which means more waiting
to see which medicine works.

It's hard to be patient.

Do you think the fish control
how they react to the meds?

No.

It's just
how their bodies respond.

That's how I felt
last night.

I thought I was ready
for us to be together, but...

my body had
a different response.

I can't
turn that response off

any more
than these fish can control

how their mutation reacts
to the medication.

♪♪

Was our mutation
me going to Wyoming with Lea?

♪♪

Do you think we can find
our right medication?

♪♪

♪♪

♪ I found a love ♪

♪ For me ♪

♪♪

♪ Darling,
just dive right in ♪

♪ Follow my lead ♪

♪♪

♪ I found a girl ♪

♪ Beautiful and sweet ♪

You look amazing.

♪ I never knew you were
the someone waiting for me ♪

So do you.

♪ 'Cause we were just kids
when we fell in love ♪

♪ Not knowing what it was ♪

♪ I will not give you up
this time ♪

♪ Darling, just kiss me slow ♪

♪ Your heart is all I own ♪

♪ And in your eyes,
you're holding mine ♪

♪ Baby,
I'm dancing in the dark ♪

♪ With you between my arms ♪

♪ Barefoot on the grass ♪

♪ Listening
to our favorite song ♪

♪ When you said
you looked a mess ♪

♪ I whispered
underneath my breath ♪

Looks like
you might be feeling

a little idiotic happiness
right now.

Mm...

maybe a touch.

♪♪

♪ No, no ♪

Dance with a prom king?

Ohh. [ Laughs ]

♪ You look perfect tonight ♪

[ Laughs ]

♪♪

♪♪

[ Monitor beeping rapidly ]He's tachycardic.

We were talking,
and then he just stopped.

We need to do
a pericardial tap.

Call the cath lab.
Tell them we're coming.

No time.
We're doing it here.

James,
the pain in your chest

is from too much fluid
around your heart.

We're gonna put a tube
into your chest to drain it.

Call Shaun and Carly.
Tell them we're running
out of time.

♪ ...will be loving you
till we're 70 ♪

[ Camera shutter clicking ]

♪♪

♪ And, baby, my heart could
still fall as hard at 23 ♪

♪♪

♪ And I'm thinking about how ♪

♪ People fall in love
in mysterious ways ♪

I brought
Angie's Bearfeet Bear.

It always
makes her feel like sh--

It's...prom.

Ryan has been wearing his mask
all night.

♪ And I just want
to tell you I am ♪

♪ So, honey, now ♪

♪♪

♪ Take me
into your loving arms ♪

Don't let her stay up
too late.

♪ Kiss me under the light
of a thousand stars ♪

♪♪

♪ Place your hand
on my beating heart ♪

♪♪

[ Footsteps approach ]

Morgan called.
James isn't doing well.

Cross SL-327 off the list.

I see one --

no, twotumors.

♪♪

♪♪

Okay.

This is my stop.

I'll see you after.

I love you.

I love you, too, Mom.

Don't worry. Okay?

I got this.

I know you do.

[ Chuckles ]

♪♪

[ Chuckles ]

Okay.

Okay.

♪♪

What if I wake up
and don't remember
Ryan at all?

Then...

you'll have the chance
to fall in love with him

all over again.

♪♪

Okay.

Okay.

[ Breathes shakily ]

♪♪

We're down
to five potential options.

I don't need five potential.
I need one actual.

There are two
that best curb --

Choose one.

We should try Refametinib.

It caused
abnormal cell growth.

Trametinib is safer.

Which doesn't mean
it's safe.

Nothing's safe.

Which do you want us to do?

[ Sighs ]

Trametinib.

That's the one.

♪♪

Saline in.

Advancing scope
toward the third ventricle.

Claire, hold gentle pressure
on the tumor

while I cut off
its blood supply.

[ Monitors beeping steadily ]

We've got
some significant bleeding.

Adjust the scope
and suction.

Look higher.

Septal vein --
there's your bleeder.

Cauterize away.

♪♪

♪♪

♪♪

♪♪

Micro dissector.

The tumor's immobile.

I can't resect it without
injuring the nerve tracts.

She'd be comatose.

Try sharp dissection.

I can't get a plane.
How bad?

It's completely invaded
her thalamus.

Thin it out
with a suction aspirator.

It's too adherent.

If I keep going,
I'm gonna kill her.

Any ideas?

♪♪

♪♪

Tell ICU Angie will be coming
sooner than we planned.

Let's close her up.

♪♪

♪♪

What's next?

Another round of radiation,
chemo?

Her carcinoma is...

unlikely to respond
to those therapies.

No.

We have to try.

Angie will want to fight.

[ Monitor beeping rapidly ]She's seizing.

Give me lorazepam
and Dilantin, stat.

Phenobarb and propofol
on deck.

♪♪

You're crying.

Yes.

Why?

I found James on Facebook.

[ Sniffles ]

He and Marjorie
want to go to Costa Rica.

Their dog is a three-legged
rescue named Tripod.

♪♪

He's not a slide.
He's a person.

He's a good person.

And he might die.

[ Sniffles ]

This is why I like
to stay in the lab.

♪♪

That...

is a very dumb thing
to say.

If you had
stayed in the lab,

James would probably
be dead already.

Your plan with the zebrafish
gave him a chance.

It was a beautiful,
perfect idea,

from a beautiful,
almost perfect person.

♪♪

Your earlobes
are lopsided.

[ Chuckles ]

♪♪

♪♪

♪♪

I'm so sorry.

We couldn't save her.

[ Breathing raggedly ]

♪♪

[ Crying ]

♪♪

Ms. Valens?

♪♪

♪♪

♪♪

Nice call
on the zebrafish.

♪♪

♪♪

About our paper,
let's meet weekly.

I'm thinking lunch
every Tuesday
in the cafeteria.

Perfect.

[ Knock on door ]

I heard about
Melendez's patient.

Yeah.

You were right.

I should probably try
another medication for my RA.

I need solid food.

Melendez:
Claire? Wait up.

You okay?

Fine.
I'm just tired.

You did an amazing thing
for Angie.

You gave her mother a memory
that she will have forever.

Well, it won't make up
for the daughter she lost.

You're angry.

I'm not. I am sad.

Who are you angry at?I'm not.

Are you angry at me
and Glassman because
we couldn't save her?

No!
At Angie?

No, you can't be mad
at someone
for dying!

That's not true.
You know that.

♪♪

She was sick.

And she was trying
to get better.

She failed
and left you alone.

After you'd spent a lifetime
trying to take care of her.

You have every reason
to be mad at your mother.

I hate feeling this way.

My whole life,
I've been angry at her,

and now
it will never change.

I don't know how to stop.

Therapy will help.

Time will help.

There is one other thing
that's worked for me.

♪♪

[ Keys clack ]

[ Giggles ]

♪♪

Did we fix our mutation?

♪♪

[ Laughs ]

♪♪

That the best you got?

♪♪

♪♪

♪♪

♪♪

♪♪

♪♪

[ Man laughs ]

♪♪