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1
00:00:12,527 --> 00:00:14,062
What?
2
00:00:14,095 --> 00:00:15,496
It's time to wake up.
3
00:00:15,530 --> 00:00:17,799
Mnh-mnh. It's still
dark outside.
4
00:00:17,607 --> 00:00:19,208
I'd like to have sex.
5
00:00:20,457 --> 00:00:22,659
As romantically as that was put,
6
00:00:22,692 --> 00:00:24,427
it's too early, Shaun.
7
00:00:25,962 --> 00:00:29,266
It's exactly early enough
to have sex
8
00:00:29,299 --> 00:00:31,134
for the average duration
it takes us
9
00:00:31,168 --> 00:00:32,869
and still allow
precisely enough time
10
00:00:32,902 --> 00:00:34,871
to get ready for work.
11
00:00:36,406 --> 00:00:39,376
How long have you
been up figuring that out?
12
00:00:39,409 --> 00:00:41,278
Since 4:53.
13
00:00:41,311 --> 00:00:43,045
But it only took two minutes.
14
00:00:45,148 --> 00:00:48,585
You've been waiting
since then to propose this?
15
00:00:49,819 --> 00:00:52,522
I let you sleep
as long as possible.
16
00:00:54,591 --> 00:00:58,461
That's... very considerate.
17
00:00:59,196 --> 00:01:00,597
Ohh.
18
00:01:24,120 --> 00:01:25,688
Sorry, I'm late.
19
00:01:25,722 --> 00:01:26,989
I'm Dr. Shaun Murphy.
20
00:01:27,023 --> 00:01:28,591
Kayley has a sore throat.
21
00:01:28,625 --> 00:01:30,068
More like this constant feeling
22
00:01:30,092 --> 00:01:31,470
like there's something
stuck in my throat.
23
00:01:31,494 --> 00:01:33,129
And I've fainted a couple times,
24
00:01:33,162 --> 00:01:35,332
which I first thought
was just random.
25
00:01:35,365 --> 00:01:37,166
And I'm obviously
losing my voice.
26
00:01:37,200 --> 00:01:38,701
Since I've only just met you,
27
00:01:38,735 --> 00:01:41,471
I have no idea what your
voice normally sounds like.
28
00:01:41,504 --> 00:01:42,705
Well, not this.
29
00:01:42,739 --> 00:01:46,376
Sometimes when swallowing,
I get a super intense pain,
30
00:01:46,409 --> 00:01:49,712
like, worse than
an ice cream headache.
31
00:01:49,746 --> 00:01:52,782
My internist sent me to an
ear, nose, and throat guy,
32
00:01:52,815 --> 00:01:57,254
an orthopedic surgeon,
um, three gastroenterologists,
33
00:01:57,287 --> 00:01:59,389
a voice issues specialist dude.
34
00:01:59,422 --> 00:02:01,658
An otolaryngologist.
35
00:02:03,893 --> 00:02:06,796
A-a neurosurgeon who thinks
it might be a messed up nerve
36
00:02:06,829 --> 00:02:08,565
connecting the throat
to the brain.
37
00:02:08,598 --> 00:02:11,100
The ninth cranial nerve,
glossopharyngeal neuralgia.
38
00:02:11,133 --> 00:02:13,303
He recommended,
like, brain surgery.
39
00:02:13,336 --> 00:02:15,472
Microvascular decompression.
40
00:02:15,505 --> 00:02:18,908
Which a second neurosurgeon
said I don't need.
41
00:02:20,209 --> 00:02:22,178
You're not happy with
the answers you're getting
42
00:02:22,211 --> 00:02:24,414
from a whole bunch
of recommended specialists,
43
00:02:24,447 --> 00:02:26,649
so you came to the ER?
44
00:02:26,683 --> 00:02:28,685
I ran out of
recommended specialists.
45
00:02:28,718 --> 00:02:29,752
Hmm.
46
00:02:29,786 --> 00:02:33,122
It is an intriguing
combination of symptoms.
47
00:02:33,155 --> 00:02:35,024
We'll admit you
and run some tests.
48
00:02:36,526 --> 00:02:37,560
Uh, Dr. Murphy?
49
00:02:39,596 --> 00:02:40,597
You're...
50
00:02:41,931 --> 00:02:42,999
Interesting.
51
00:02:43,032 --> 00:02:44,401
I have autism.
52
00:02:45,368 --> 00:02:46,369
That's so cool.
53
00:02:47,069 --> 00:02:48,405
Uh, I mean, no...
54
00:02:48,438 --> 00:02:50,773
Sor... Not... Not cool
that you are.
55
00:02:50,807 --> 00:02:53,276
Be more insensitive,
Kayley. Um...
56
00:02:54,344 --> 00:02:56,446
It's cool that you're this...
57
00:02:56,479 --> 00:02:59,816
Totally chill,
super knowledgeable medico.
58
00:03:01,951 --> 00:03:05,388
Compliments... are very awkward.
59
00:03:09,459 --> 00:03:11,227
Cute doctor who's gonna cure me.
60
00:03:15,197 --> 00:03:16,933
Severe abdominal discomfort.
61
00:03:16,966 --> 00:03:19,035
Fever, tachy, hypotensive.
62
00:03:20,670 --> 00:03:23,272
It's okay, sweetie.
63
00:03:23,306 --> 00:03:24,574
What's your name?
64
00:03:24,607 --> 00:03:25,842
That's Marla.
65
00:03:26,576 --> 00:03:28,345
No one to leave her with.
66
00:03:28,378 --> 00:03:30,480
We're gonna take care
of your mommy.
67
00:03:31,614 --> 00:03:34,050
Abdomen tender and distended.
68
00:03:34,083 --> 00:03:35,184
Dehydrated.
69
00:03:36,419 --> 00:03:37,787
Delayed capillary refill.
70
00:03:38,588 --> 00:03:40,089
Rapid respiratory rate.
71
00:03:40,122 --> 00:03:42,291
Skin cool and bluish,
looks cyanotic.
72
00:03:42,325 --> 00:03:43,636
She's going into shock.
73
00:03:43,660 --> 00:03:45,294
We need aggressive
fluid resuscitation.
74
00:03:45,328 --> 00:03:46,572
Start broad spectrum
antibiotics,
75
00:03:46,596 --> 00:03:48,365
place an NG to decompress
distended abdomen.
76
00:03:48,398 --> 00:03:51,067
Trend her lactates, initiate
complete sepsis bundle.
77
00:04:05,448 --> 00:04:08,084
Her CBC, BMP autoimmune panel,
78
00:04:08,117 --> 00:04:10,252
nasal swab, and blood cultures.
79
00:04:10,286 --> 00:04:11,287
All normal.
80
00:04:12,054 --> 00:04:14,023
Ohh. That's exciting.
81
00:04:14,056 --> 00:04:15,692
Negative tests are exciting?
82
00:04:15,725 --> 00:04:18,995
No one's been able
to find out what she has.
83
00:04:19,028 --> 00:04:22,632
I'm going to get brain FIESTA
and time-of-flight MRI
84
00:04:22,665 --> 00:04:24,567
to assess the cranial nerves
and vessels,
85
00:04:24,601 --> 00:04:25,968
and Doppler ultrasound to...
86
00:04:26,002 --> 00:04:28,405
I have to get back to work.
87
00:04:28,438 --> 00:04:31,073
Our pre-dawn romantic
interlude made me late.
88
00:04:32,208 --> 00:04:35,011
Yes. There was a flaw
in my methodology.
89
00:04:35,044 --> 00:04:37,480
My calculation was based on
90
00:04:37,514 --> 00:04:40,149
the mean duration of our sex
overall, but generally,
91
00:04:40,182 --> 00:04:42,251
we take statistically
significantly longer
92
00:04:42,284 --> 00:04:46,155
in the morning
than at other times of day.
93
00:04:46,188 --> 00:04:47,724
Well, maybe we can discuss
94
00:04:47,757 --> 00:04:50,493
this whole timing-our-sex
thing at lunchtime.
95
00:04:50,527 --> 00:04:53,530
Mm. No, thank you.
96
00:04:53,563 --> 00:04:56,332
I can't have lunch today.
97
00:04:56,365 --> 00:04:57,534
Too much to do.
98
00:05:03,205 --> 00:05:04,807
Sorry I'm late.
99
00:05:04,841 --> 00:05:06,676
I was going to cancel our lunch.
100
00:05:06,709 --> 00:05:07,744
Let me guess.
101
00:05:07,777 --> 00:05:10,112
A patient
more interesting than me.
102
00:05:10,680 --> 00:05:11,714
Exactly.
103
00:05:11,748 --> 00:05:13,049
Yeah.
104
00:05:13,082 --> 00:05:15,918
She has a mysterious condition.
105
00:05:15,952 --> 00:05:18,855
But I realized I could use our
lunch to help understand it.
106
00:05:18,888 --> 00:05:21,090
I ordered you a salad.
Thank you.
107
00:05:27,430 --> 00:05:29,932
How do I get
an ice cream headache?
108
00:05:29,966 --> 00:05:31,333
I've never had one.
109
00:05:31,367 --> 00:05:33,369
You don't want one.
Brain freeze is horrible.
110
00:05:34,403 --> 00:05:35,838
The scientific term
111
00:05:35,872 --> 00:05:38,174
is sphenopalatine
ganglioneuralgia.
112
00:05:38,207 --> 00:05:39,642
The trigeminal nerve reacts to
113
00:05:39,676 --> 00:05:41,410
rapid temperature change
in the mouth,
114
00:05:41,444 --> 00:05:42,679
sending a signal to the brain,
115
00:05:42,712 --> 00:05:45,314
which responds with changes in
blood flow and dura irritation,
116
00:05:45,347 --> 00:05:49,051
which combats what it perceives
as a dangerous, noxious stimuli,
117
00:05:49,085 --> 00:05:51,253
but is just ice cream.
118
00:05:51,287 --> 00:05:52,955
I need to experience that.
119
00:05:53,890 --> 00:05:55,024
Okay.
120
00:05:55,057 --> 00:05:56,859
The technique I usually use is,
121
00:05:56,893 --> 00:05:58,427
eat way too much, way too fast.
122
00:06:03,733 --> 00:06:06,235
I'm quitting my job.
123
00:06:07,436 --> 00:06:09,539
The job you came back
from Hershey for?
124
00:06:09,572 --> 00:06:12,341
Don't tell Glassy.
He already thinks I'm a flake.
125
00:06:12,374 --> 00:06:16,245
You kicking me out
is just what I needed.
126
00:06:16,278 --> 00:06:17,346
Mm-hmm.
127
00:06:17,379 --> 00:06:18,681
I was in a complete rut.
128
00:06:18,715 --> 00:06:21,918
In my personal life,
at work, super stale.
129
00:06:21,951 --> 00:06:23,261
I mean, we weren't
developing anything,
130
00:06:23,285 --> 00:06:25,888
just market testing designs...
131
00:06:25,922 --> 00:06:26,923
Ow.
132
00:06:27,423 --> 00:06:29,759
Ow! Ow, ow!
133
00:06:30,326 --> 00:06:31,393
That's awful!
134
00:06:31,427 --> 00:06:33,062
What's the cure? Time.
135
00:06:33,095 --> 00:06:34,731
How much time? Depends.
136
00:06:36,332 --> 00:06:39,468
Do you think I should include
my job in Hershey on my resume?
137
00:06:39,502 --> 00:06:41,638
It hurts so much!
138
00:06:42,672 --> 00:06:43,906
Or does it make me look like
139
00:06:43,940 --> 00:06:45,808
I'm unable
to commit to anything?
140
00:06:45,842 --> 00:06:46,843
Ow!
141
00:06:48,845 --> 00:06:49,846
Okay.
142
00:06:51,447 --> 00:06:53,850
The ultrasound showed
your colon is distended.
143
00:06:53,883 --> 00:06:55,818
We placed a rectal tube
and an NG
144
00:06:55,852 --> 00:06:57,620
to try to get that decompressed.
145
00:06:57,654 --> 00:06:59,155
Mommy, can we go home?
146
00:06:59,188 --> 00:07:00,256
Not yet, sweetie.
147
00:07:00,289 --> 00:07:01,734
It would be helpful
to try to find out
148
00:07:01,758 --> 00:07:02,801
what could've triggered this.
149
00:07:02,825 --> 00:07:05,628
Any history of Crohn's
or ulcerative colitis?
150
00:07:05,662 --> 00:07:06,663
No.
151
00:07:07,630 --> 00:07:08,898
I, um...
152
00:07:08,931 --> 00:07:10,800
I have had some UTIs lately.
153
00:07:10,833 --> 00:07:12,334
That's likely not connected.
154
00:07:12,368 --> 00:07:13,970
- Okay.
- Diverticulitis?
155
00:07:14,003 --> 00:07:15,805
Any recent international travel?
156
00:07:15,838 --> 00:07:17,740
I have a three-year-old
and no husband.
157
00:07:17,774 --> 00:07:18,808
Okay.
158
00:07:18,841 --> 00:07:20,619
We're gonna need
to keep you on IV antibiotics
159
00:07:20,643 --> 00:07:22,478
and monitor the distention.
160
00:07:22,511 --> 00:07:25,347
In the meantime,
is there anyone who can look after Marla?
161
00:07:25,381 --> 00:07:27,316
No one.
162
00:07:27,349 --> 00:07:30,486
My whole family's back east.
It's... It's just us.
163
00:07:30,519 --> 00:07:33,956
I'll get a social worker
to look after her.
164
00:07:33,990 --> 00:07:34,991
Thank you.
165
00:07:42,031 --> 00:07:43,700
Go ahead, honey.
166
00:07:58,514 --> 00:08:00,783
Why is my mom upset?
167
00:08:04,020 --> 00:08:07,556
If her anterior inferior
cerebellar artery
168
00:08:07,590 --> 00:08:09,558
is encroaching
on her glossopharyngeal nerve,
169
00:08:09,592 --> 00:08:10,660
it's very minor.
170
00:08:10,693 --> 00:08:11,904
Certainly not enough to justify
171
00:08:11,928 --> 00:08:13,395
microvascular
decompression surgery.
172
00:08:13,429 --> 00:08:14,496
I agree.
173
00:08:14,530 --> 00:08:17,566
It could also be acid
reflux temporal arteritis,
174
00:08:17,600 --> 00:08:20,870
laryngopharyngeal dysesthesia.
We need to...
175
00:08:20,903 --> 00:08:22,739
We need to do $50,000 of tests,
176
00:08:22,772 --> 00:08:24,974
and it might be acid reflux?
177
00:08:25,007 --> 00:08:27,109
Or temporal arteritis or...
178
00:08:27,143 --> 00:08:28,244
It's a constellation
179
00:08:28,277 --> 00:08:29,879
of relatively insignificant
symptoms.
180
00:08:29,912 --> 00:08:33,049
Have you ever had an ice cream
headache, Dr. Andrews?
181
00:08:34,216 --> 00:08:35,351
Yes.
182
00:08:35,384 --> 00:08:38,220
I believe it didn't require
brain surgery, Dr. Murphy.
183
00:08:39,121 --> 00:08:41,590
As a compromise,
we could do an MRI
184
00:08:41,624 --> 00:08:43,760
and CT her neck and a swallow...
185
00:08:43,793 --> 00:08:45,561
Shaun.
186
00:08:45,594 --> 00:08:48,665
You don't compromise
with your boss.
187
00:08:48,698 --> 00:08:51,200
Start her on dilantin for
her pain and send her home.
188
00:09:01,310 --> 00:09:02,544
Can I just leave her with you?
189
00:09:02,578 --> 00:09:04,446
I'm a receptionist,
not a social worker.
190
00:09:04,480 --> 00:09:05,481
And I'm a surgeon.
191
00:09:08,184 --> 00:09:09,618
I didn't mean
I'm more important.
192
00:09:09,652 --> 00:09:12,722
I just meant we both have
more important things to do.
193
00:09:12,755 --> 00:09:13,966
When will the social worker
be here?
194
00:09:13,990 --> 00:09:15,124
She said half an hour.
195
00:09:15,157 --> 00:09:16,558
Can you page her again?
196
00:09:16,592 --> 00:09:18,627
I want my mama.
197
00:09:18,661 --> 00:09:20,830
Why don't you just go play
with the toys, okay?
198
00:09:21,931 --> 00:09:23,800
Do you have her number?
I'll call her myself.
199
00:09:24,934 --> 00:09:26,435
I made Mommy sick.
200
00:09:28,004 --> 00:09:29,972
No, sweetie.
It's not your fault.
201
00:09:30,006 --> 00:09:31,507
Sometimes people just get sick.
202
00:09:31,540 --> 00:09:33,810
Mommy drawk ma poop.
203
00:09:35,544 --> 00:09:37,947
Your mommy drew your poop? No!
204
00:09:37,980 --> 00:09:40,082
Drawk. Mommy drawk.
205
00:09:42,952 --> 00:09:43,986
Drank?
206
00:09:44,020 --> 00:09:45,087
Yes.
207
00:09:45,121 --> 00:09:48,290
Mommy drawnk my poop.
208
00:09:52,929 --> 00:09:55,765
The good news is, we've ruled
out glossopharyngeal neuralgia.
209
00:09:55,798 --> 00:09:57,233
You don't need brain surgery.
210
00:09:57,266 --> 00:09:59,601
Never any good news
without bad news.
211
00:09:59,635 --> 00:10:02,271
We've got a list of
a few things you don't have,
212
00:10:02,304 --> 00:10:03,740
but we don't know
what you do have.
213
00:10:04,874 --> 00:10:06,375
So you'll run more tests.
214
00:10:06,876 --> 00:10:07,944
We can't.
215
00:10:07,977 --> 00:10:11,080
There are 21 different things
this might be,
216
00:10:11,113 --> 00:10:14,116
but they don't want us
to run 37 more tests.
217
00:10:17,987 --> 00:10:19,088
Well, this is lame.
218
00:10:19,121 --> 00:10:22,558
I can afford the tests.
I make good money.
219
00:10:22,591 --> 00:10:25,094
I can't keep talking like this!
220
00:10:25,127 --> 00:10:26,128
I need a...
221
00:10:31,233 --> 00:10:32,401
She's hypotensive.
222
00:10:32,434 --> 00:10:33,435
Code stroke.
223
00:10:35,404 --> 00:10:37,306
We need stat brain CT and MRI.
224
00:10:37,339 --> 00:10:39,842
Call angio. She may need
mechanical thrombectomy.
225
00:10:45,147 --> 00:10:48,484
3 cc's of 2% lidocaine.
226
00:11:17,279 --> 00:11:19,148
Wow.
227
00:11:24,935 --> 00:11:26,536
I-I didn't drink it. I just...
228
00:11:27,537 --> 00:11:30,140
I just used her stool
to do a home fecal transfer.
229
00:11:30,173 --> 00:11:31,975
And you didn't think
to mention that?
230
00:11:32,009 --> 00:11:34,011
You said my UTIs were unrelated.
231
00:11:36,113 --> 00:11:37,948
They didn't get better
with antibiotics,
232
00:11:37,981 --> 00:11:40,350
so I did exactly
what I was supposed to do.
233
00:11:40,383 --> 00:11:43,520
The video swore that
it was completely safe.
234
00:11:43,553 --> 00:11:45,889
Make sure your friend
is completely healthy.
235
00:11:45,923 --> 00:11:47,825
I've had the best results
with vegans,
236
00:11:47,858 --> 00:11:49,059
though if it were between
237
00:11:49,092 --> 00:11:52,329
an 18-year-old carnivore
and a 60-year-old vegan...
238
00:11:52,362 --> 00:11:53,463
Well, don't make me choose.
239
00:11:53,496 --> 00:11:55,498
We're gonna add
the saline solution.
240
00:11:57,567 --> 00:12:00,137
Should be a one-to-one match,
more or less.
241
00:12:01,338 --> 00:12:04,441
Then, we're gonna puree...
242
00:12:06,176 --> 00:12:08,278
puree, and then puree some more.
243
00:12:08,311 --> 00:12:09,813
While it's mixing...
244
00:12:11,181 --> 00:12:12,816
Let's talk enema bags.
245
00:12:14,885 --> 00:12:18,021
Marla must have seen her
using the blender,
246
00:12:18,055 --> 00:12:19,122
assumed she drank it.
247
00:12:19,156 --> 00:12:20,557
Yeah, that's the mystery here,
248
00:12:20,590 --> 00:12:22,292
not how anyone
this stupid is still alive.
249
00:12:22,325 --> 00:12:24,494
It's not completely irrational.
250
00:12:24,527 --> 00:12:27,130
The E. Coli strain
in drug-resistant UTIs
251
00:12:27,164 --> 00:12:28,631
can hide out in the gut.
252
00:12:28,665 --> 00:12:31,501
Repopulating the
colon microbiome using FMT
253
00:12:31,534 --> 00:12:32,870
has shown some success.
254
00:12:32,903 --> 00:12:35,538
In a hospital,
under controlled and sterile conditions.
255
00:12:36,173 --> 00:12:37,440
Prep her for surgery.
256
00:12:37,474 --> 00:12:38,752
Between the dilation
and rigidity,
257
00:12:38,776 --> 00:12:41,378
there may be colon perforation.
258
00:12:41,411 --> 00:12:44,848
And test Marla's stool for
toxins and infectious bacteria.
259
00:12:46,917 --> 00:12:50,587
She was suffering a
mini-stroke, and I saved her.
260
00:12:50,620 --> 00:12:53,456
I saved her.
I need to celebrate. Outside?
261
00:12:53,490 --> 00:12:54,667
I want to celebrate
by kissing you.
262
00:12:54,691 --> 00:12:56,126
A lot.
263
00:12:56,159 --> 00:12:58,261
I-Inside would be inappropriate.
264
00:13:01,064 --> 00:13:03,700
Eagle Syndrome is very rare.
265
00:13:03,733 --> 00:13:05,602
A longer-than-normal
styloid bone
266
00:13:05,635 --> 00:13:07,370
coming off the base
of the skull.
267
00:13:07,404 --> 00:13:08,884
And...
I only get a five-minute break.
268
00:13:10,540 --> 00:13:12,475
It impinged on her nerves,
269
00:13:12,509 --> 00:13:14,011
causing the confusing symptoms
270
00:13:14,044 --> 00:13:16,146
that baffled
eight expert doctors.
271
00:13:16,179 --> 00:13:18,548
And then when she
turned her head suddenly,
272
00:13:18,581 --> 00:13:21,184
it pinched her carotid,
causing her TIA.
273
00:13:22,219 --> 00:13:24,454
Yeah, it's him!
274
00:13:26,924 --> 00:13:28,491
It's Dr. Murphy!
275
00:13:31,128 --> 00:13:32,495
How do I know you?
276
00:13:32,529 --> 00:13:34,264
He is cute!
277
00:13:34,297 --> 00:13:36,199
Is that his girlfriend?
278
00:13:36,233 --> 00:13:37,267
Kayley's hotter.
279
00:13:41,638 --> 00:13:42,639
He's so cute!
280
00:13:51,614 --> 00:13:54,284
My personal... Chernobyl.
281
00:13:54,317 --> 00:13:55,385
What?
282
00:13:55,986 --> 00:13:57,054
Seriously, guys.
283
00:13:57,087 --> 00:13:58,321
Ohh, come on.
284
00:13:58,355 --> 00:14:00,924
A zone of exclusion should
be imposed around my kitchen.
285
00:14:02,692 --> 00:14:05,062
Millions of people
have watched that?
286
00:14:05,095 --> 00:14:06,763
As of 9:00 a.m.
287
00:14:06,796 --> 00:14:08,465
You're an influencer.
288
00:14:08,498 --> 00:14:11,568
And you posted how I saved you?
289
00:14:11,601 --> 00:14:14,004
But I take it I'm not saved yet?
You still have to operate?
290
00:14:14,037 --> 00:14:16,639
A normal styloid process
291
00:14:16,673 --> 00:14:18,775
is 2.5 centimeters
in length. Yours measures...
292
00:14:18,808 --> 00:14:19,877
Don't do that.
293
00:14:21,111 --> 00:14:22,812
There are two surgical options.
294
00:14:25,782 --> 00:14:27,750
Transoral, where we go in
through your mouth.
295
00:14:27,784 --> 00:14:30,320
It's non-invasive, but
creates surgical challenges
296
00:14:30,353 --> 00:14:32,155
for physical and visual access.
297
00:14:32,189 --> 00:14:34,257
The alternative
transcervical procedure
298
00:14:34,291 --> 00:14:36,226
involves an incision
in your neck
299
00:14:36,259 --> 00:14:37,928
with none of those
access issues,
300
00:14:37,961 --> 00:14:40,563
but with some
post-operative scarring.
301
00:14:40,597 --> 00:14:43,466
So one way is safer,
but the other way, I'll look better?
302
00:14:43,500 --> 00:14:44,580
It's a pretty bad-ass scar.
303
00:14:46,703 --> 00:14:48,771
Can I take a bit
to decide which?
304
00:14:48,805 --> 00:14:49,806
Of course.
305
00:14:53,376 --> 00:14:55,812
You had no right
to tell the world about me.
306
00:14:55,845 --> 00:14:57,247
It was flattering.
307
00:14:57,280 --> 00:15:00,117
Not everyone wants to be famous.
308
00:15:00,150 --> 00:15:02,986
Uh... If it's any consolation,
309
00:15:03,020 --> 00:15:05,455
you've had over
70 marriage proposals.
310
00:15:07,057 --> 00:15:08,125
It's not.
311
00:15:14,331 --> 00:15:17,434
Some of us are more comfortable
in the spotlight than others.
312
00:15:17,467 --> 00:15:18,969
I think you're great.
313
00:15:19,002 --> 00:15:20,170
Thanks.
314
00:15:25,342 --> 00:15:27,677
I don't have to poop.
315
00:15:28,245 --> 00:15:29,412
Be patient.
316
00:15:33,383 --> 00:15:35,685
I don't have to poop!
317
00:15:35,718 --> 00:15:37,787
Is there something your mom does
318
00:15:37,820 --> 00:15:39,556
to help you when you can't go?
319
00:15:39,589 --> 00:15:42,259
Sometimes she hold my hand.
320
00:15:43,193 --> 00:15:44,694
Would you like me to?
321
00:15:44,727 --> 00:15:46,363
You're not my mom.
322
00:15:46,396 --> 00:15:48,531
Well, just keep trying.
323
00:15:50,300 --> 00:15:51,501
Pbbbbbbht.
324
00:15:53,937 --> 00:15:57,474
Sweetie, we really
need you to go.
325
00:15:57,507 --> 00:16:02,345
If you can't,
there is another way we can do this.
326
00:16:02,379 --> 00:16:03,413
How?
327
00:16:03,446 --> 00:16:06,216
Well, it's not fun.
328
00:16:06,249 --> 00:16:07,550
For either of us.
329
00:16:12,055 --> 00:16:15,825
Isolate and divide
middle colic artery and vein.
330
00:16:15,858 --> 00:16:17,094
It's an epidemic.
331
00:16:17,127 --> 00:16:18,761
People taking
online medical advice.
332
00:16:18,795 --> 00:16:20,763
It's not the problem.
It's the symptom.
333
00:16:20,797 --> 00:16:23,366
Medical care is a financial
stress for lots of people,
334
00:16:23,400 --> 00:16:26,036
not to mention
physician arrogance,
335
00:16:26,069 --> 00:16:27,870
incompetence, impatience.
336
00:16:27,904 --> 00:16:29,739
So it's our fault?
337
00:16:29,772 --> 00:16:31,574
Resect and cut the colon
proximal and distal
338
00:16:31,608 --> 00:16:33,276
to the perforation
with GIA stapler.
339
00:16:34,444 --> 00:16:35,945
A friend of a friend
self-diagnosed
340
00:16:35,979 --> 00:16:38,548
her own Cushing's disease online
341
00:16:38,581 --> 00:16:41,751
after a series of doctors
barely listened to her,
342
00:16:41,784 --> 00:16:44,254
told her to get more rest.
343
00:16:44,287 --> 00:16:45,688
I'm guessing
she didn't then perform
344
00:16:45,722 --> 00:16:47,162
do-it-yourself
brain surgery at home.
345
00:16:48,791 --> 00:16:49,792
Claire's right.
346
00:16:51,594 --> 00:16:53,330
I was... supporting your point.
347
00:16:53,363 --> 00:16:55,565
She convinced me I was wrong.
348
00:16:55,598 --> 00:16:57,500
Divide mesentery with LigaSure.
349
00:17:03,506 --> 00:17:04,607
We have a bleed.
350
00:17:04,641 --> 00:17:05,708
It's major.
351
00:17:05,742 --> 00:17:07,110
Tension during mobilization
352
00:17:07,144 --> 00:17:08,287
must have caused
a splenic capsule tear.
353
00:17:08,311 --> 00:17:09,355
We need to do a splenectomy.
354
00:17:09,379 --> 00:17:10,780
Cut the connecting attachments.
355
00:17:14,184 --> 00:17:15,252
Kidney.
356
00:17:15,285 --> 00:17:16,553
Diaphragm.
357
00:17:16,586 --> 00:17:18,497
Take the vascular pedicle
with a white load stapler.
358
00:17:18,521 --> 00:17:20,057
Do not get the tail
of the pancreas.
359
00:17:30,467 --> 00:17:31,968
Dr. Melendez?
360
00:17:32,001 --> 00:17:33,103
Can this wait?
361
00:17:33,136 --> 00:17:34,171
I'm not sure.
362
00:17:34,204 --> 00:17:36,206
The fecal sample
that your team sent me...
363
00:17:36,239 --> 00:17:39,376
It might be normal,
but was it mislabeled?
364
00:17:39,409 --> 00:17:41,411
It seems to be
from a 70-year-old.
365
00:17:42,379 --> 00:17:44,114
It's from a three-year-old.
366
00:17:44,147 --> 00:17:49,519
SCFAs, elevated isobutyric
and isovaleric acid.
367
00:17:49,552 --> 00:17:52,589
She is at high risk
for serious cardiac problems.
368
00:18:15,797 --> 00:18:16,798
Oh, are you okay?
369
00:18:25,445 --> 00:18:28,281
Her social media posts
about Shaun have gone viral.
370
00:18:28,314 --> 00:18:30,316
I've got reporters
clamoring to speak
371
00:18:30,350 --> 00:18:32,152
to the "twice-exceptional"
Dr. Murphy.
372
00:18:32,185 --> 00:18:33,953
Bad idea.
Luckily, he won't do it.
373
00:18:33,986 --> 00:18:36,156
He went off on Kayley
about his privacy.
374
00:18:36,189 --> 00:18:37,766
The publicity would be good
for the hospital.
375
00:18:37,790 --> 00:18:40,826
And I'm sure Dr. Glassman can
make him see the wisdom of that.
376
00:18:40,860 --> 00:18:42,462
I'm with Andrews.
377
00:18:42,495 --> 00:18:43,905
It smacks of us
patting ourselves on the back.
378
00:18:43,929 --> 00:18:45,998
It could also come off
as exploitative.
379
00:18:46,032 --> 00:18:48,168
But the bigger issue is,
it could blow up in our face.
380
00:18:48,201 --> 00:18:50,503
Shaun is a complete
communications wild card.
381
00:18:50,536 --> 00:18:52,638
Who knows what he'll say
about you, about me,
382
00:18:52,672 --> 00:18:54,307
about being demoted,
about screw-ups.
383
00:18:54,340 --> 00:18:56,109
Well, we would
have to coach him.
384
00:18:56,142 --> 00:18:58,811
Do we have six years before
they need to go to press?
385
00:18:58,844 --> 00:19:01,347
I can go with him,
manage the situation.
386
00:19:01,381 --> 00:19:02,582
No, no, no.
387
00:19:03,583 --> 00:19:05,385
If we consider Shaun an asset,
388
00:19:05,418 --> 00:19:07,253
we shouldn't treat him
like a liability.
389
00:19:09,322 --> 00:19:11,424
I'll talk to him,
see what he says.
390
00:19:13,859 --> 00:19:16,696
You can see the proximity
of her elongated styloid
391
00:19:16,729 --> 00:19:18,398
to the nerves and carotid.
392
00:19:18,431 --> 00:19:20,466
The trick is to break off
the excess length
393
00:19:20,500 --> 00:19:22,802
without injury to local
neurovascular structures.
394
00:19:22,835 --> 00:19:24,870
If done transcervically,
entry point is key.
395
00:19:24,904 --> 00:19:27,940
Minimizes risk of a marginal
mandibular nerve injury.
396
00:19:27,973 --> 00:19:29,509
Has she made a decision?
397
00:19:29,542 --> 00:19:30,543
Not yet.
398
00:19:31,611 --> 00:19:32,812
I'd like to lead.
399
00:19:32,845 --> 00:19:34,680
Being that it's such
a rare surgery,
400
00:19:34,714 --> 00:19:36,882
I may not get another chance
at it during residency.
401
00:19:36,916 --> 00:19:38,984
When I have the benefit
of supervision.
402
00:19:39,018 --> 00:19:40,662
And it wouldn't have
anything to do with hoping.
403
00:19:40,686 --> 00:19:42,688
Kayley might then post
glowingly about you?
404
00:19:42,722 --> 00:19:43,789
Not at all.
405
00:19:43,823 --> 00:19:45,191
Well, undoubtedly, a little.
406
00:19:46,159 --> 00:19:47,603
Given the attention
this case has drawn,
407
00:19:47,627 --> 00:19:50,296
I think we should put our best,
most experienced choice forward.
408
00:19:51,631 --> 00:19:54,066
Well, this is
a teaching hospital.
409
00:19:54,100 --> 00:19:57,137
It's exactly the type of surgery
we'd give to a third-year.
410
00:19:57,170 --> 00:19:58,614
The fact that she has
an online presence
411
00:19:58,638 --> 00:19:59,705
shouldn't be a factor.
412
00:19:59,739 --> 00:20:01,974
And yet here you are,
the Chief of Surgery
413
00:20:02,007 --> 00:20:04,009
working a case you say
a third-year can handle.
414
00:20:04,043 --> 00:20:05,911
It also might reflect
well on this place
415
00:20:05,945 --> 00:20:09,081
to have a young woman be the
face of Kayley's surgery.
416
00:20:09,115 --> 00:20:10,750
Assuming it goes well.
417
00:20:12,252 --> 00:20:14,086
Live by the Internet,
die by the Internet.
418
00:20:15,788 --> 00:20:16,789
You still want to lead?
419
00:20:17,890 --> 00:20:19,292
Yes.
420
00:20:19,325 --> 00:20:20,326
It's yours.
421
00:21:22,955 --> 00:21:23,956
Ann?
422
00:21:25,258 --> 00:21:26,259
Ann.
423
00:21:33,333 --> 00:21:34,534
Am I okay?
424
00:21:34,567 --> 00:21:35,801
You're fine.
425
00:21:35,835 --> 00:21:37,813
We had to wake you up a
little earlier than we'd like
426
00:21:37,837 --> 00:21:39,639
because we need to discuss
something with you.
427
00:21:39,672 --> 00:21:40,706
Do you understand?
428
00:21:42,107 --> 00:21:44,510
Your gut biome showed markers
for elevated cholesterol.
429
00:21:44,544 --> 00:21:46,312
Which you don't have.
430
00:21:46,346 --> 00:21:47,447
Your daughter does.
431
00:21:49,449 --> 00:21:51,551
Marla has high cholesterol?
432
00:21:51,584 --> 00:21:54,320
She has a genetic
condition: Hyperlipidemia.
433
00:21:54,354 --> 00:21:56,722
Coronary testing
showed 90% narrowing
434
00:21:56,756 --> 00:21:58,824
of the left main artery
to her heart.
435
00:22:00,293 --> 00:22:03,496
I'm afraid your daughter
needs urgent heart surgery.
436
00:22:08,510 --> 00:22:11,479
I don't want to.
437
00:22:11,680 --> 00:22:12,715
Okay.
438
00:22:12,748 --> 00:22:14,349
I'll tell the reporters that.
439
00:22:14,382 --> 00:22:17,219
But can... can we
talk about why?
440
00:22:17,252 --> 00:22:19,655
Your computer just beeped.
441
00:22:19,688 --> 00:22:21,223
I know.
442
00:22:21,256 --> 00:22:24,026
I can think of a few reasons
why you might be reticent.
443
00:22:24,059 --> 00:22:25,728
You're shy. No, I'm not.
444
00:22:25,761 --> 00:22:28,530
Well, you do have trouble
with social interactions,
445
00:22:28,563 --> 00:22:30,198
and you have
trouble anticipating
446
00:22:30,232 --> 00:22:32,735
what people might ask
and how you might respond.
447
00:22:32,768 --> 00:22:36,639
Yes, that is a problem when
I'm meeting with a patient
448
00:22:36,672 --> 00:22:39,642
or I'm at a job interview
or I'm on a date.
449
00:22:39,675 --> 00:22:41,009
Then my answers matter.
450
00:22:41,043 --> 00:22:43,345
But if I'm talking to a
reporter, they don't matter.
451
00:22:43,378 --> 00:22:44,847
It beeped again.
452
00:22:44,880 --> 00:22:46,849
Yes, I know. We're digitizing.
453
00:22:46,882 --> 00:22:49,184
Every time a patient
needs to take a drug,
454
00:22:49,217 --> 00:22:50,285
we send them a reminder.
455
00:22:50,318 --> 00:22:53,588
For some unknown reason,
they keep sending me one, too.
456
00:22:53,622 --> 00:22:55,123
I think stories do matter.
457
00:22:55,157 --> 00:22:58,393
I think what you do
and what you have done
458
00:22:58,426 --> 00:23:02,064
might be inspirational
for people to hear.
459
00:23:02,798 --> 00:23:03,866
Okay.
460
00:23:03,899 --> 00:23:05,267
Okay, you'll do it?
461
00:23:05,300 --> 00:23:07,145
Okay, you've convinced me
I should be nervous about it.
462
00:23:07,169 --> 00:23:08,971
Now I have two reasons
not to do it.
463
00:23:09,004 --> 00:23:10,138
What's the other reason?
464
00:23:10,172 --> 00:23:12,941
I'm very busy between doing
my job and having sex.
465
00:23:12,975 --> 00:23:14,643
I don't have a lot of free time.
466
00:23:17,079 --> 00:23:18,647
You should hire Lea.
467
00:23:19,181 --> 00:23:20,548
- No.
- Yes.
468
00:23:20,582 --> 00:23:23,385
She's very good at tech
469
00:23:23,418 --> 00:23:25,954
and isn't happy
in her job right now.
470
00:23:28,657 --> 00:23:30,759
I'll tell you what, Shaun.
471
00:23:30,793 --> 00:23:33,328
You think about this,
you really think about this,
472
00:23:33,361 --> 00:23:36,564
how your story
can benefit people,
473
00:23:36,598 --> 00:23:38,300
and I will...
474
00:23:40,335 --> 00:23:42,304
Interview Lea.
475
00:23:42,938 --> 00:23:44,006
Excellent.
476
00:23:45,373 --> 00:23:47,609
I'll think about it.
477
00:23:47,642 --> 00:23:51,146
I'll really think about it.
478
00:23:51,179 --> 00:23:52,347
Okay.
479
00:24:01,356 --> 00:24:03,625
Some people definitely thought
I would look amazeballs
480
00:24:03,658 --> 00:24:05,060
rocking a neck scar.
481
00:24:05,093 --> 00:24:07,629
But the consensus was,
482
00:24:07,662 --> 00:24:09,664
there's only so many
turtleneck days in a year.
483
00:24:09,698 --> 00:24:12,334
So I'm going with
the no-scar approach.
484
00:24:13,235 --> 00:24:15,838
Which one did you vote for?
485
00:24:15,871 --> 00:24:18,741
Well, these are my people.
I mean, they know me.
486
00:24:18,774 --> 00:24:20,976
They know what's best for me
and my brand.
487
00:24:23,111 --> 00:24:24,546
"Wisdom of the crowd."
488
00:24:24,579 --> 00:24:27,149
My warrior goddess lead surgeon.
489
00:24:28,250 --> 00:24:29,570
We'll get you prepped
for surgery.
490
00:24:31,519 --> 00:24:33,188
New blouse? It's nice.
491
00:24:34,422 --> 00:24:36,158
Dr. Murphy,
do you have a minute?
492
00:24:43,198 --> 00:24:45,834
I really am sorry I upset you.
493
00:24:46,534 --> 00:24:48,336
And I really am grateful.
494
00:24:49,071 --> 00:24:50,305
Being sick was...
495
00:24:50,338 --> 00:24:52,007
You don't need to explain
496
00:24:52,040 --> 00:24:54,209
why you're grateful
we diagnosed your illness.
497
00:24:54,242 --> 00:24:55,543
Well, I do.
498
00:24:56,578 --> 00:24:59,147
You saved me and my career.
499
00:25:00,415 --> 00:25:02,818
At first,
my followers were super into
500
00:25:02,851 --> 00:25:05,988
what I was going through,
but after a while,
501
00:25:06,021 --> 00:25:07,956
you just start being
"the sick girl."
502
00:25:07,990 --> 00:25:10,793
You give up your privacy.
Doesn't that bother you?
503
00:25:10,826 --> 00:25:12,727
I have nothing to hide.
504
00:25:12,761 --> 00:25:13,862
No one should.
505
00:25:15,163 --> 00:25:17,766
We should all just be
who we are.
506
00:25:22,070 --> 00:25:24,206
We are...
507
00:25:25,707 --> 00:25:28,376
The decisions we make.
508
00:25:29,444 --> 00:25:32,380
And you let other people
make them for you.
509
00:25:34,282 --> 00:25:36,384
So you're not being anyone.
510
00:25:47,729 --> 00:25:50,765
You know how you and I like
to do so many things together?
511
00:25:50,799 --> 00:25:52,634
We make clay mugs.
512
00:25:52,667 --> 00:25:53,902
That's right.
513
00:25:53,936 --> 00:25:58,173
Mommy was sick,
and she needed to be fixed.
514
00:25:58,206 --> 00:26:00,943
And you're sick, too.
515
00:26:00,976 --> 00:26:02,244
I don't feel sick.
516
00:26:02,277 --> 00:26:03,445
That's good.
517
00:26:03,478 --> 00:26:05,180
And the doctors
just want to make sure
518
00:26:05,213 --> 00:26:06,849
everything is all better
before you do.
519
00:26:06,882 --> 00:26:07,983
How?
520
00:26:09,051 --> 00:26:11,286
They're gonna
go inside you and...
521
00:26:11,319 --> 00:26:12,387
How?
522
00:26:12,420 --> 00:26:13,788
They're gonna make
a little cut...
523
00:26:13,822 --> 00:26:14,890
No!
524
00:26:14,923 --> 00:26:16,024
You're gonna be asleep.
525
00:26:16,058 --> 00:26:17,592
No! Just like Mommy.
526
00:26:17,625 --> 00:26:19,727
I... No, no, no, no, no!
527
00:26:19,761 --> 00:26:21,605
I'll be with you, Marla.
I'll take good care of you.
528
00:26:21,629 --> 00:26:22,807
No, no, no, no, no! It's okay.
Just breathe, sweetie.
529
00:26:22,831 --> 00:26:23,899
Count to three. No!
530
00:26:23,932 --> 00:26:25,076
Hey, sweetie,
you have to be brave. No!
531
00:26:25,100 --> 00:26:26,101
No!
532
00:26:28,170 --> 00:26:29,271
Code blue!
533
00:26:31,173 --> 00:26:32,240
What's happening?
534
00:26:32,274 --> 00:26:33,741
Please help my baby.
535
00:26:33,775 --> 00:26:34,809
She's had a heart attack!
536
00:26:35,944 --> 00:26:36,945
Marla.
537
00:26:37,545 --> 00:26:38,546
Marla?
538
00:26:39,614 --> 00:26:40,648
Marla!
539
00:26:45,406 --> 00:26:48,142
Uh, would you like my CV?
540
00:26:48,342 --> 00:26:50,011
No.
541
00:26:50,044 --> 00:26:52,646
I know who you are.
I don't need to see a list.
542
00:26:55,131 --> 00:26:56,132
Where do I work?
543
00:26:58,367 --> 00:26:59,836
It's a tech company.
544
00:27:00,469 --> 00:27:01,503
You were there.
545
00:27:01,537 --> 00:27:03,973
Cars. Something about cars.
546
00:27:04,006 --> 00:27:06,809
You have no interest
in hiring me, do you?
547
00:27:06,843 --> 00:27:08,811
No. It's not personal.
548
00:27:08,845 --> 00:27:10,246
It's a little personal.
549
00:27:10,279 --> 00:27:12,949
I'm doing a favor for Shaun.
I don't really need anyone.
550
00:27:12,982 --> 00:27:14,851
Did he ask you to waste my time?
551
00:27:15,684 --> 00:27:16,953
Yeah... It's okay.
552
00:27:16,986 --> 00:27:18,988
I didn't really want
to work for you anyway.
553
00:27:19,021 --> 00:27:20,256
You're a bit of a grouch.
554
00:27:20,289 --> 00:27:23,726
But make sure whoever does do
the job shores up your firewall.
555
00:27:23,760 --> 00:27:25,261
A kindergartner can hack it.
556
00:27:25,294 --> 00:27:26,996
Thank you.
I'm sure we'll be fine.
557
00:27:28,697 --> 00:27:29,932
And you're right, you know.
558
00:27:29,966 --> 00:27:31,968
We are not a good fit.
559
00:27:32,001 --> 00:27:33,836
And our mutual affection
for Shaun
560
00:27:33,870 --> 00:27:35,905
isn't enough to stop us
from killing each other.
561
00:27:38,707 --> 00:27:40,576
I...
562
00:27:40,609 --> 00:27:42,945
Your Chronicle subscription
is about to expire
563
00:27:42,979 --> 00:27:45,047
because they don't have
your updated credit card.
564
00:27:45,081 --> 00:27:46,749
The coffee maker you ordered,
565
00:27:46,783 --> 00:27:48,751
third new one
in the last six months,
566
00:27:48,785 --> 00:27:50,753
will be delivered Tuesday.
567
00:27:50,787 --> 00:27:53,322
And you're deducting
way too much money
568
00:27:53,355 --> 00:27:54,723
out of Debbie's paycheck
for FICA.
569
00:27:54,757 --> 00:27:56,859
Would you like to hear
about your Google searches?
570
00:27:59,228 --> 00:28:00,262
Thank you.
571
00:28:07,169 --> 00:28:10,006
Lea!
572
00:28:12,341 --> 00:28:15,577
Severe proximal LAD disease
with mid total occlusion.
573
00:28:15,611 --> 00:28:17,880
Angioplasty won't resolve
that stenosis.
574
00:28:17,914 --> 00:28:20,016
High risk of rupture
in someone this young.
575
00:28:20,649 --> 00:28:21,784
A stent?
576
00:28:21,818 --> 00:28:24,320
Won't be enough
effective revascularization.
577
00:28:24,353 --> 00:28:28,524
She needs a left IMA
to LAD anastomosis.
578
00:28:28,557 --> 00:28:31,460
I've never done a coronary
bypass on a three-year-old.
579
00:28:31,493 --> 00:28:33,095
Neither have I.
580
00:28:33,129 --> 00:28:34,530
I guess it was the right call
581
00:28:34,563 --> 00:28:36,198
to put her daughter's poop
up her tush.
582
00:28:36,232 --> 00:28:37,766
Cost her a large chunk
of her colon.
583
00:28:37,800 --> 00:28:39,802
Saved her daughter's life.
Yeah, lucky coincidence.
584
00:28:39,836 --> 00:28:42,238
I'm sure the mother
doesn't regret a thing.
585
00:28:42,271 --> 00:28:43,739
At least she shouldn't.
586
00:28:43,772 --> 00:28:44,807
I'm with Claire.
587
00:28:57,086 --> 00:28:59,421
Do you have time for lunch?
588
00:28:59,455 --> 00:29:01,123
And by "lunch," you mean...?
589
00:29:01,858 --> 00:29:02,859
Lunch.
590
00:29:03,625 --> 00:29:05,461
I need advice.
591
00:29:06,495 --> 00:29:10,099
I need to really think
about something.
592
00:29:10,132 --> 00:29:11,167
Oh.
593
00:29:12,034 --> 00:29:13,535
Then yes, of course.
594
00:29:13,569 --> 00:29:15,637
It could be patronizing,
595
00:29:15,671 --> 00:29:19,808
being put up as some kind of
feel-good, human interest story.
596
00:29:19,842 --> 00:29:21,810
Or objectified and glorified
597
00:29:21,844 --> 00:29:24,981
as some kind of a symbol
for people who are different.
598
00:29:25,014 --> 00:29:28,550
But I also know that when I
told my sister your story,
599
00:29:28,584 --> 00:29:29,718
she cried.
600
00:29:30,452 --> 00:29:31,587
She was sad?
601
00:29:31,620 --> 00:29:34,256
No, she was inspired.
602
00:29:38,160 --> 00:29:42,865
I... don't know what your
advice is telling me.
603
00:29:42,899 --> 00:29:45,834
I don't know what you
think I'm supposed to do.
604
00:29:45,868 --> 00:29:48,871
Shaun, you aren't
supposed to do anything,
605
00:29:48,905 --> 00:29:51,173
except what you
believe is right.
606
00:29:53,042 --> 00:29:55,177
Thank you.
607
00:29:57,479 --> 00:29:59,715
Now I'm going to go see
what Lea thinks.
608
00:30:01,550 --> 00:30:03,252
I thought you had a surgery.
609
00:30:03,285 --> 00:30:04,320
I'm just going upstairs.
610
00:30:04,353 --> 00:30:06,855
Lea's meeting with
Dr. Glassman about a job.
611
00:30:06,889 --> 00:30:08,524
A job here? Yes.
612
00:30:08,557 --> 00:30:10,259
Lea told me at lunch yesterday
613
00:30:10,292 --> 00:30:12,694
that she was looking
for different work, so...
614
00:30:12,728 --> 00:30:15,031
Wait, you... you had lunch
with Lea? Yesterday?
615
00:30:15,064 --> 00:30:16,432
And... And you kept it from me?
616
00:30:22,404 --> 00:30:25,474
I didn't keep it from you.
617
00:30:25,507 --> 00:30:27,543
There was no reason
to mention it
618
00:30:27,576 --> 00:30:29,745
until just now, when I did.
619
00:30:30,412 --> 00:30:31,413
Shaun...
620
00:30:32,781 --> 00:30:34,216
You know how I feel
621
00:30:34,250 --> 00:30:37,153
about how Lea hovers
over our relationship.
622
00:30:37,186 --> 00:30:38,187
And...
623
00:30:39,021 --> 00:30:41,157
You're just sneaking
around with her?
624
00:30:41,190 --> 00:30:42,691
Arranging for her to work here,
625
00:30:42,724 --> 00:30:45,127
where she'll just loom
all the more.
626
00:30:46,262 --> 00:30:49,365
She won't be looming
or hovering.
627
00:30:49,398 --> 00:30:52,001
She'll be
on a whole other floor.
628
00:30:52,034 --> 00:30:53,936
Yeah, where you can go
and get her two cents
629
00:30:53,970 --> 00:30:56,705
whenever the advice given
by your actual girlfriend
630
00:30:56,738 --> 00:30:58,307
is deemed insufficient.
631
00:31:00,809 --> 00:31:01,877
Yes.
632
00:31:18,827 --> 00:31:19,828
Hey.
633
00:31:21,998 --> 00:31:23,065
What are you doing?
634
00:31:23,099 --> 00:31:24,700
Eh, fresh air.
635
00:31:24,733 --> 00:31:25,734
You?
636
00:31:30,806 --> 00:31:34,010
Shaun lied to me
about having lunch with Lea.
637
00:31:35,811 --> 00:31:36,812
No, he didn't.
638
00:31:38,314 --> 00:31:40,382
Shaun is incapable of deceit.
639
00:31:40,416 --> 00:31:43,119
He must have genuinely thought
that you wouldn't mind.
640
00:31:43,152 --> 00:31:46,388
Well, then, he is completely
tone deaf and insensitive,
641
00:31:46,422 --> 00:31:48,890
which are not better qualities
in a boyfriend.
642
00:31:48,924 --> 00:31:49,958
True.
643
00:31:49,992 --> 00:31:51,593
But not exactly unanticipated
644
00:31:51,627 --> 00:31:53,595
when you get into
a relationship with Shaun.
645
00:31:56,432 --> 00:31:58,434
And it's never
really about the lie.
646
00:31:58,467 --> 00:32:00,336
It's what's underneath.
647
00:32:00,369 --> 00:32:01,603
You're jealous of Lea.
648
00:32:01,637 --> 00:32:03,772
I am not jealous.
649
00:32:03,805 --> 00:32:05,107
I am concerned...
650
00:32:05,141 --> 00:32:07,743
You don't need to justify.
I'm on team jealousy.
651
00:32:07,776 --> 00:32:10,746
It's flattering,
stimulating, it...
652
00:32:10,779 --> 00:32:12,548
It means you're committed
and you care.
653
00:32:12,581 --> 00:32:15,017
It's ugly and reflects
underlying trust issues
654
00:32:15,051 --> 00:32:16,118
that I don't want to...
655
00:32:16,152 --> 00:32:17,329
Yeah, yeah, yeah,
like all things,
656
00:32:17,353 --> 00:32:19,821
a little is good,
and a lot will kill you.
657
00:32:19,855 --> 00:32:20,856
My advice...
658
00:32:22,391 --> 00:32:24,660
Admit you're jealous,
give in to it,
659
00:32:24,693 --> 00:32:25,861
and then get over it.
660
00:32:33,469 --> 00:32:34,736
Finding the styloid
661
00:32:34,770 --> 00:32:37,839
via digital palpitation
of the tonsillar fossa.
662
00:32:38,840 --> 00:32:39,841
There.
663
00:32:42,144 --> 00:32:46,648
Making incision vertically
along the mucosa of mandible.
664
00:32:48,617 --> 00:32:50,119
Next?
665
00:32:50,152 --> 00:32:54,456
I will free the styloid
process from its muscle
666
00:32:54,490 --> 00:32:57,493
and ligament attachments.
667
00:32:58,327 --> 00:32:59,328
Done.
668
00:33:02,331 --> 00:33:05,734
Dissecting away from
the internal carotid medially,
669
00:33:06,835 --> 00:33:10,306
and external, laterally.
670
00:33:10,339 --> 00:33:12,441
Now fracture and excise
the styloid.
671
00:33:20,382 --> 00:33:21,526
Bradycardia. Hypotensive.
672
00:33:21,550 --> 00:33:23,652
Loss of EEG waveform.
Cerebral ischemia.
673
00:33:23,685 --> 00:33:25,020
You may have injured
the carotid.
674
00:33:25,053 --> 00:33:26,955
Or compressed it
by fracturing the styloid.
675
00:33:26,988 --> 00:33:28,990
See if the fragment
is impinging on the vessel.
676
00:33:29,024 --> 00:33:30,426
Dr. Murphy, extend her head.
677
00:33:38,900 --> 00:33:41,002
Yes. Found it. Easing it away.
678
00:33:45,207 --> 00:33:46,842
Carotid decompressed.
679
00:33:48,910 --> 00:33:51,680
EEG back to baseline normal.
680
00:33:57,786 --> 00:34:00,856
Resuming styloid extraction.
681
00:34:10,236 --> 00:34:12,138
Kayley's in ICU, stable.
682
00:34:12,171 --> 00:34:14,773
CT shows no signs
of any permanent damage.
683
00:34:14,807 --> 00:34:17,810
No reason to anticipate
any future problems.
684
00:34:17,843 --> 00:34:21,680
So, the question is,
what do we tell her?
685
00:34:21,714 --> 00:34:23,950
That the surgery was a success.
686
00:34:23,983 --> 00:34:25,952
She had a cerebral ischemia.
On the table.
687
00:34:25,985 --> 00:34:28,287
That did no damage and that
there's no evidence of.
688
00:34:28,321 --> 00:34:30,489
Hospital policy
is transparency...
689
00:34:30,523 --> 00:34:32,458
We don't tell them
what music we played,
690
00:34:32,491 --> 00:34:33,592
what we talked about.
691
00:34:33,626 --> 00:34:36,629
This isn't relevant to the
outcome or to her prognosis.
692
00:34:36,662 --> 00:34:37,806
Would you be taking
the same position
693
00:34:37,830 --> 00:34:40,333
if Kayley wasn't someone whose
criticism could go viral?
694
00:34:40,366 --> 00:34:41,500
I don't know.
695
00:34:41,534 --> 00:34:43,654
But it would be delusional
to think it's not relevant.
696
00:34:44,803 --> 00:34:45,804
Dr. Reznick.
697
00:34:46,572 --> 00:34:48,841
Any thoughts?
698
00:34:48,874 --> 00:34:51,344
I don't think I can
fairly offer an opinion,
699
00:34:51,377 --> 00:34:53,712
because my career
could hang in the balance.
700
00:34:53,746 --> 00:34:56,082
Yeah, well, none of us
are disinterested parties,
701
00:34:56,115 --> 00:34:59,685
given the hospital's
reputation is also at stake.
702
00:34:59,718 --> 00:35:01,254
Did you screw up?
703
00:35:01,287 --> 00:35:03,022
Could that crisis
have been avoided?
704
00:35:05,824 --> 00:35:10,096
If it could have been,
then we are all responsible.
705
00:35:10,129 --> 00:35:12,031
We were watching
everything she was doing,
706
00:35:12,065 --> 00:35:14,067
and none of us told her to stop.
707
00:35:15,568 --> 00:35:17,236
This is an easy call.
708
00:35:17,270 --> 00:35:19,705
There's only one reason
to tell her everything,
709
00:35:19,738 --> 00:35:22,108
and that's you might
feel guilty if you don't.
710
00:35:22,141 --> 00:35:24,810
On the other hand, there's
the future of this hospital.
711
00:35:34,553 --> 00:35:35,554
Okay.
712
00:35:37,790 --> 00:35:41,694
Shaun, if the patient asks
for details about the surgery,
713
00:35:41,727 --> 00:35:43,762
can you limit your answers?
714
00:35:46,299 --> 00:35:48,434
I... don't know.
715
00:35:49,635 --> 00:35:50,769
Okay, we need to know if...
716
00:35:50,803 --> 00:35:52,671
No.
717
00:35:52,705 --> 00:35:56,142
Dr. Murphy, I hope
you will limit your answers.
718
00:35:56,175 --> 00:35:58,311
But I won't order you
to defy your conscience.
719
00:36:09,255 --> 00:36:13,226
We don't normally have
patients share rooms, but...
720
00:36:13,259 --> 00:36:16,062
She's...?
Gonna be completely fine.
721
00:36:16,095 --> 00:36:19,032
And once she's recuperated,
we'll begin her on statins and Ezetimibe,
722
00:36:19,065 --> 00:36:21,267
and she'll undergo
lipid apheresis.
723
00:36:21,300 --> 00:36:22,568
It's kind of like dialysis,
724
00:36:22,601 --> 00:36:25,771
but it'll allow us to
extract LDL out of her blood.
725
00:36:25,804 --> 00:36:27,940
Should get her cholesterol
to within normal range.
726
00:36:29,608 --> 00:36:32,145
She'll need those drugs
and that other stuff
727
00:36:32,178 --> 00:36:33,246
for the rest of her life?
728
00:36:33,279 --> 00:36:36,782
Yes. But hopefully
a very long one.
729
00:36:40,753 --> 00:36:42,755
Thank you so much.
730
00:36:43,556 --> 00:36:45,258
Thank God I did what I did.
731
00:37:00,873 --> 00:37:03,942
Everything went great?
732
00:37:03,976 --> 00:37:06,179
The repair was successful.
You should have no...
733
00:37:06,212 --> 00:37:08,847
Everything went great.
Say it. Say it to your fans.
734
00:37:10,383 --> 00:37:12,618
Everything went great.
735
00:37:12,651 --> 00:37:14,387
You rocked it.
736
00:37:14,420 --> 00:37:17,190
You'll be with us
another few days, and then you...
737
00:37:17,223 --> 00:37:19,525
She rocked it, right?
738
00:37:19,558 --> 00:37:22,561
She was lead surgeon
in a successful...
739
00:37:22,595 --> 00:37:24,197
And how gorgeous is that hair?
740
00:37:24,230 --> 00:37:26,965
Dr. Morgan Reznick, take a bow!
741
00:37:30,669 --> 00:37:32,838
She was wrist-deep
all up in my mouth, y'all.
742
00:37:32,871 --> 00:37:34,507
She is a damn hero!
743
00:37:37,343 --> 00:37:38,977
You've got work to do.
744
00:37:39,011 --> 00:37:40,012
We're proud of you.
745
00:37:43,449 --> 00:37:45,284
Any reason you screwed up?
746
00:37:45,318 --> 00:37:47,586
I didn't. It could've
happened to anyone.
747
00:37:47,620 --> 00:37:50,123
Not anyone suffers
from arthritic pain.
748
00:37:50,156 --> 00:37:51,657
That didn't affect anything.
749
00:37:51,690 --> 00:37:53,326
You sure about that?
750
00:37:53,359 --> 00:37:54,527
'Cause I'm not.
751
00:38:11,177 --> 00:38:13,078
Did you speak to Lea?
752
00:38:13,112 --> 00:38:14,180
Yes.
753
00:38:18,050 --> 00:38:21,320
I know she's a good friend.
754
00:38:21,354 --> 00:38:22,788
And it would be unfair
755
00:38:22,821 --> 00:38:25,424
for me to expect you
to cut her out of your life.
756
00:38:25,458 --> 00:38:27,092
But...
757
00:38:27,126 --> 00:38:30,863
You going to ask her opinion
right after I had given mine,
758
00:38:30,896 --> 00:38:35,000
it just called up Wyoming
all over again.
759
00:38:35,033 --> 00:38:37,803
That you preferred Lea to me.
760
00:38:42,408 --> 00:38:43,742
I was jealous.
761
00:38:45,811 --> 00:38:48,447
And it's something
that I have to work out.
762
00:38:51,284 --> 00:38:54,420
For the two of us to work out.
763
00:38:54,453 --> 00:38:55,621
Together.
764
00:39:06,865 --> 00:39:08,767
What was Lea's advice?
765
00:39:10,936 --> 00:39:14,540
That it'd be selfish not to
share my story with the world.
766
00:39:18,076 --> 00:39:19,678
I liked your advice better.
767
00:39:32,191 --> 00:39:33,259
Hey.
768
00:39:34,427 --> 00:39:36,262
Uh-oh.
769
00:39:37,095 --> 00:39:39,164
Actually, yeah.
770
00:39:39,198 --> 00:39:41,367
There's something awkward
we need to talk about.
771
00:39:42,568 --> 00:39:43,869
You and Claire.
772
00:39:46,639 --> 00:39:49,542
You can reopen the door.
773
00:39:49,575 --> 00:39:52,511
There's nothing
remotely improper going on.
774
00:39:54,713 --> 00:39:57,850
I received an anonymous
favoritism complaint.
775
00:39:58,884 --> 00:40:00,286
We need to deal with it.
776
00:40:07,993 --> 00:40:12,498
I don't want
to talk to reporters.
777
00:40:12,531 --> 00:40:14,367
I know.
778
00:40:14,400 --> 00:40:18,203
So if I talked to reporters,
779
00:40:18,237 --> 00:40:21,106
it wouldn't be honest
to who I really am.
780
00:40:22,107 --> 00:40:24,677
Well, sometimes, Shaun,
781
00:40:24,710 --> 00:40:27,313
people present a different
version of themselves
782
00:40:27,346 --> 00:40:29,282
depending upon
the circumstances.
783
00:40:29,315 --> 00:40:32,685
Like, I'm not always
the same here as I am at home.
784
00:40:32,718 --> 00:40:33,819
I don't.
785
00:40:33,852 --> 00:40:36,255
No, you don't.
786
00:40:37,523 --> 00:40:40,493
I considered all the arguments.
787
00:40:43,962 --> 00:40:48,100
I want to be known
as a good doctor.
788
00:40:49,101 --> 00:40:51,236
Not a good autistic doctor.
56050
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