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1
00:00:12,989 --> 00:00:14,228
What?
2
00:00:14,321 --> 00:00:15,669
It's time
to wake up.
3
00:00:15,756 --> 00:00:18,087
Mnh-mnh. It's still
dark outside.
4
00:00:18,175 --> 00:00:19,722
I'd like
to have sex.
5
00:00:21,216 --> 00:00:23,364
As romantically
as that was put,
6
00:00:23,464 --> 00:00:25,199
it's too early, Shaun.
7
00:00:26,867 --> 00:00:30,117
It's exactly early enough
to have sex
8
00:00:30,204 --> 00:00:31,986
for the average duration
it takes us
9
00:00:32,073 --> 00:00:33,720
and still allow
precisely enough time
10
00:00:33,807 --> 00:00:35,581
to get ready
for work.
11
00:00:37,210 --> 00:00:40,126
How long have you
been up figuring that out?
12
00:00:40,251 --> 00:00:42,266
Since 4:53.
13
00:00:42,354 --> 00:00:43,917
But it only took
two minutes.
14
00:00:46,053 --> 00:00:49,490
You've been waiting
since then to propose this?
15
00:00:50,724 --> 00:00:53,427
I let you sleep
as long as possible.
16
00:00:55,293 --> 00:00:59,471
That's... very considerate.
17
00:00:59,928 --> 00:01:01,275
Ohh.
18
00:01:25,017 --> 00:01:26,532
Sorry, I'm late.
19
00:01:26,627 --> 00:01:28,013
I'm Dr. Shaun Murphy.
20
00:01:28,101 --> 00:01:29,364
Kayley has
a sore throat.
21
00:01:29,452 --> 00:01:30,802
More like
this constant feeling
22
00:01:30,889 --> 00:01:32,557
like there's something
stuck in my throat.
23
00:01:32,645 --> 00:01:33,980
And I've fainted
a couple times,
24
00:01:34,067 --> 00:01:36,183
which I first thought
was just random.
25
00:01:36,270 --> 00:01:38,018
And I'm obviously
losing my voice.
26
00:01:38,105 --> 00:01:39,553
Since I've only
just met you,
27
00:01:39,640 --> 00:01:42,322
I have no idea what your
voice normally sounds like.
28
00:01:42,409 --> 00:01:43,557
Well, not this.
29
00:01:43,644 --> 00:01:47,227
Sometimes when swallowing,
I get a super intense pain,
30
00:01:47,314 --> 00:01:50,564
like, worse than
an ice cream headache.
31
00:01:50,651 --> 00:01:53,807
My internist sent me to an
ear, nose, and throat guy,
32
00:01:53,895 --> 00:01:58,105
an orthopedic surgeon,
um, three gastroenterologists,
33
00:01:58,192 --> 00:02:00,778
a voice issues
specialist dude.
34
00:02:00,866 --> 00:02:03,102
An otolaryngologist.
35
00:02:04,422 --> 00:02:07,271
...a-a neurosurgeon who thinks
it might be a messed up nerve
36
00:02:07,359 --> 00:02:09,143
connecting the throat
to the brain.
37
00:02:09,231 --> 00:02:11,950
The ninth cranial nerve,
glossopharyngeal neuralgia.
38
00:02:12,038 --> 00:02:13,879
He recommended,
like, brain surgery.
39
00:02:13,967 --> 00:02:16,049
Microvascular decompression.
40
00:02:16,137 --> 00:02:19,934
Which a second neurosurgeon
said I don't need.
41
00:02:21,051 --> 00:02:23,143
You're not happy with
the answers you're getting
42
00:02:23,231 --> 00:02:25,265
from a whole bunch
of recommended specialists,
43
00:02:25,352 --> 00:02:27,090
so you came to the ER?
44
00:02:27,178 --> 00:02:29,411
I ran out of
recommended specialists.
45
00:02:29,499 --> 00:02:30,480
Hmm.
46
00:02:30,568 --> 00:02:33,973
It is an intriguing
combination of symptoms.
47
00:02:34,060 --> 00:02:36,598
We'll admit you
and run some tests.
48
00:02:37,259 --> 00:02:38,700
Uh, Dr. Murphy?
49
00:02:40,555 --> 00:02:41,556
You're...
50
00:02:42,836 --> 00:02:43,850
Interesting.
51
00:02:44,077 --> 00:02:45,856
I have autism.
52
00:02:46,273 --> 00:02:47,481
That's so cool.
53
00:02:47,974 --> 00:02:49,256
Uh, I mean, no...
54
00:02:49,343 --> 00:02:51,625
Sor... Not... Not cool
that you are.
55
00:02:51,712 --> 00:02:54,181
Be more insensitive,
Kayley. Um...
56
00:02:55,006 --> 00:02:57,054
It's cool
that you're this...
57
00:02:57,384 --> 00:03:00,721
Totally chill,
super knowledgeable medico.
58
00:03:02,856 --> 00:03:06,240
Compliments...
are very awkward.
59
00:03:10,364 --> 00:03:12,325
Cute doctor
who's gonna cure me.
60
00:03:15,864 --> 00:03:17,784
Severe abdominal discomfort.
61
00:03:17,871 --> 00:03:20,247
Fever, tachy, hypotensive.
62
00:03:22,166 --> 00:03:24,123
It's okay, sweetie.
63
00:03:24,211 --> 00:03:25,425
What's your name?
64
00:03:25,512 --> 00:03:27,129
That's Marla.
65
00:03:27,269 --> 00:03:28,984
No one to leave her with.
66
00:03:29,197 --> 00:03:31,245
We're gonna take care
of your mommy.
67
00:03:32,723 --> 00:03:34,901
Abdomen tender
and distended.
68
00:03:34,988 --> 00:03:36,035
Dehydrated.
69
00:03:37,324 --> 00:03:39,004
Delayed capillary refill.
70
00:03:39,493 --> 00:03:40,940
Rapid respiratory rate.
71
00:03:41,027 --> 00:03:43,290
Skin cool and bluish,
looks cyanotic.
72
00:03:43,378 --> 00:03:44,478
She's going into shock.
73
00:03:44,565 --> 00:03:46,146
We need aggressive
fluid resuscitation.
74
00:03:46,233 --> 00:03:47,483
Start broad spectrum
antibiotics,
75
00:03:47,571 --> 00:03:49,216
place an NG to decompress
distended abdomen.
76
00:03:49,303 --> 00:03:51,918
Trend her lactates, initiate
complete sepsis bundle.
77
00:03:57,043 --> 00:03:58,548
*THE GOOD DOCTOR*
Season 03 Episode 14
78
00:03:58,636 --> 00:04:00,636
*THE GOOD DOCTOR*
Episode Title: "Influence "
79
00:04:06,352 --> 00:04:09,048
Her CBC,
BMP autoimmune panel,
80
00:04:09,136 --> 00:04:10,980
nasal swab,
and blood cultures.
81
00:04:11,068 --> 00:04:12,386
All normal.
82
00:04:12,959 --> 00:04:14,874
Ohh.
That's exciting.
83
00:04:14,961 --> 00:04:16,543
Negative tests
are exciting?
84
00:04:16,630 --> 00:04:19,846
No one's been able
to find out what she has.
85
00:04:19,933 --> 00:04:23,483
I'm going to get brain FIESTA
and time-of-flight MRI
86
00:04:23,570 --> 00:04:25,419
to assess the cranial nerves
and vessels,
87
00:04:25,506 --> 00:04:26,820
and Doppler ultrasound
to...
88
00:04:26,907 --> 00:04:29,256
I have to
get back to work.
89
00:04:29,343 --> 00:04:31,978
Our pre-dawn romantic
interlude made me late.
90
00:04:33,113 --> 00:04:35,862
Yes. There was a flaw
in my methodology.
91
00:04:35,949 --> 00:04:38,332
My calculation
was based on
92
00:04:38,419 --> 00:04:41,000
the mean duration of our sex
overall, but generally,
93
00:04:41,087 --> 00:04:43,102
we take statistically
significantly longer
94
00:04:43,189 --> 00:04:47,006
in the morning
than at other times of day.
95
00:04:47,093 --> 00:04:48,575
Well, maybe
we can discuss
96
00:04:48,662 --> 00:04:51,345
this whole timing-our-sex
thing at lunchtime.
97
00:04:51,432 --> 00:04:54,276
Mm. No, thank you.
98
00:04:54,364 --> 00:04:57,079
I can't have lunch today.
99
00:04:57,270 --> 00:04:58,815
Too much to do.
100
00:05:04,110 --> 00:05:05,659
Sorry I'm late.
101
00:05:05,746 --> 00:05:07,527
I was going to
cancel our lunch.
102
00:05:07,614 --> 00:05:08,697
Let me guess.
103
00:05:08,785 --> 00:05:11,261
A patient
more interesting than me.
104
00:05:11,436 --> 00:05:12,566
Exactly.
105
00:05:12,653 --> 00:05:13,900
Yeah.
106
00:05:13,987 --> 00:05:16,770
She has
a mysterious condition.
107
00:05:16,857 --> 00:05:19,706
But I realized I could use our
lunch to help understand it.
108
00:05:19,793 --> 00:05:21,941
I ordered you a salad.
Thank you.
109
00:05:28,335 --> 00:05:30,784
How do I get
an ice cream headache?
110
00:05:30,871 --> 00:05:32,185
I've never had one.
111
00:05:32,272 --> 00:05:34,678
You don't want one.
Brain freeze is horrible.
112
00:05:35,175 --> 00:05:36,689
The scientific term
113
00:05:36,777 --> 00:05:39,025
is sphenopalatine
ganglioneuralgia.
114
00:05:39,112 --> 00:05:40,494
The trigeminal nerve
reacts to
115
00:05:40,581 --> 00:05:42,262
rapid temperature change
in the mouth,
116
00:05:42,349 --> 00:05:43,530
sending a signal
to the brain,
117
00:05:43,617 --> 00:05:46,165
which responds with changes in
blood flow and dura irritation,
118
00:05:46,252 --> 00:05:49,903
which combats what it perceives
as a dangerous, noxious stimuli,
119
00:05:49,990 --> 00:05:52,105
but is just ice cream.
120
00:05:52,192 --> 00:05:53,860
I need to experience that.
121
00:05:54,795 --> 00:05:55,875
Okay.
122
00:05:55,962 --> 00:05:57,711
The technique
I usually use is,
123
00:05:57,798 --> 00:05:59,887
eat way too much,
way too fast.
124
00:06:05,670 --> 00:06:08,253
I'm quitting my job.
125
00:06:08,341 --> 00:06:10,390
The job you came back
from Hershey for?
126
00:06:10,477 --> 00:06:13,192
Don't tell Glassy.
He already thinks I'm a flake.
127
00:06:13,607 --> 00:06:17,095
You kicking me out
is just what I needed.
128
00:06:17,183 --> 00:06:18,197
Mm-hmm.
129
00:06:18,284 --> 00:06:19,533
I was in a complete rut.
130
00:06:19,620 --> 00:06:22,769
In my personal life,
at work, super stale.
131
00:06:22,856 --> 00:06:24,447
I mean, we weren't
developing anything,
132
00:06:24,535 --> 00:06:26,740
just market
testing designs...
133
00:06:26,827 --> 00:06:27,828
Ow.
134
00:06:28,328 --> 00:06:30,664
Ow! Ow, ow!
135
00:06:31,077 --> 00:06:32,245
That's awful!
136
00:06:32,332 --> 00:06:33,710
What's the cure?
Time.
137
00:06:33,798 --> 00:06:35,686
How much time?
Depends.
138
00:06:37,237 --> 00:06:40,320
Do you think I should include
my job in Hershey on my resume?
139
00:06:40,407 --> 00:06:42,842
It hurts so much!
140
00:06:43,459 --> 00:06:44,640
Or does it make me
look like
141
00:06:44,728 --> 00:06:46,543
I'm unable
to commit to anything?
142
00:06:46,631 --> 00:06:47,748
Ow!
143
00:06:49,750 --> 00:06:50,960
Okay.
144
00:06:52,226 --> 00:06:54,575
The ultrasound showed
your colon is distended.
145
00:06:54,663 --> 00:06:56,545
We placed a rectal tube
and an NG
146
00:06:56,633 --> 00:06:58,092
to try to get that
decompressed.
147
00:06:58,180 --> 00:06:59,780
Mommy,
can we go home?
148
00:06:59,868 --> 00:07:00,882
Not yet, sweetie.
149
00:07:00,970 --> 00:07:02,676
It would be helpful
to try to find out
150
00:07:02,764 --> 00:07:03,754
what could've triggered this.
151
00:07:03,842 --> 00:07:06,480
Any history of Crohn's
or ulcerative colitis?
152
00:07:06,567 --> 00:07:07,568
No.
153
00:07:08,457 --> 00:07:09,671
I, um...
154
00:07:09,836 --> 00:07:11,651
I have had
some UTIs lately.
155
00:07:11,738 --> 00:07:13,186
That's likely
not connected.
156
00:07:13,273 --> 00:07:15,090
- Okay.
- Diverticulitis?
157
00:07:15,178 --> 00:07:16,656
Any recent
international travel?
158
00:07:16,743 --> 00:07:18,592
I have a three-year-old
and no husband.
159
00:07:18,679 --> 00:07:19,420
Okay.
160
00:07:19,508 --> 00:07:21,224
We're gonna need
to keep you on IV antibiotics
161
00:07:21,311 --> 00:07:23,092
and monitor
the distention.
162
00:07:23,416 --> 00:07:26,426
In the meantime,
is there anyone who can look after Marla?
163
00:07:26,514 --> 00:07:28,167
No one.
164
00:07:28,254 --> 00:07:31,475
My whole family's back east.
It's... It's just us.
165
00:07:31,655 --> 00:07:34,808
I'll get a social worker
to look after her.
166
00:07:34,895 --> 00:07:36,217
Thank you.
167
00:07:42,936 --> 00:07:44,551
Go ahead, honey.
168
00:07:59,419 --> 00:08:01,635
Why is my mom upset?
169
00:08:04,925 --> 00:08:08,408
If her anterior inferior
cerebellar artery
170
00:08:08,495 --> 00:08:10,528
is encroaching
on her glossopharyngeal nerve,
171
00:08:10,616 --> 00:08:11,723
it's very minor.
172
00:08:11,811 --> 00:08:12,953
Certainly not enough
to justify
173
00:08:13,040 --> 00:08:14,590
microvascular
decompression surgery.
174
00:08:14,678 --> 00:08:15,348
I agree.
175
00:08:15,435 --> 00:08:18,637
It could also be acid
reflux temporal arteritis,
176
00:08:18,725 --> 00:08:21,721
laryngopharyngeal dysesthesia.
We need to...
177
00:08:21,808 --> 00:08:23,590
We need to do
$50,000 of tests,
178
00:08:23,677 --> 00:08:25,545
and it might be
acid reflux?
179
00:08:25,633 --> 00:08:27,879
Or temporal arteritis or...
180
00:08:27,967 --> 00:08:28,875
It's a constellation
181
00:08:28,963 --> 00:08:30,627
of relatively insignificant
symptoms.
182
00:08:30,715 --> 00:08:34,413
Have you ever had an ice cream
headache, Dr. Andrews?
183
00:08:35,074 --> 00:08:36,155
Yes.
184
00:08:36,243 --> 00:08:39,639
I believe it didn't require
brain surgery, Dr. Murphy.
185
00:08:39,978 --> 00:08:42,441
As a compromise,
we could do an MRI
186
00:08:42,529 --> 00:08:44,793
and CT her neck
and a swallow...
187
00:08:44,881 --> 00:08:46,412
Shaun.
188
00:08:46,499 --> 00:08:48,366
You don't compromise
with your boss.
189
00:08:49,352 --> 00:08:51,800
Start her on dilantin for
her pain and send her home.
190
00:09:02,214 --> 00:09:03,395
Can I just leave her
with you?
191
00:09:03,483 --> 00:09:05,351
I'm a receptionist,
not a social worker.
192
00:09:05,439 --> 00:09:07,202
And I'm a surgeon.
193
00:09:09,089 --> 00:09:10,389
I didn't mean
I'm more important.
194
00:09:10,477 --> 00:09:13,493
I just meant we both have
more important things to do.
195
00:09:13,628 --> 00:09:14,919
When will the social worker
be here?
196
00:09:15,006 --> 00:09:15,975
She said half an hour.
197
00:09:16,062 --> 00:09:17,085
Can you page her again?
198
00:09:17,173 --> 00:09:19,155
I want my mama.
199
00:09:19,566 --> 00:09:21,735
Why don't you just go play
with the toys, okay?
200
00:09:22,711 --> 00:09:24,772
Do you have her number?
I'll call her myself.
201
00:09:25,432 --> 00:09:27,319
I made Mommy sick.
202
00:09:28,909 --> 00:09:30,824
No, sweetie.
It's not your fault.
203
00:09:30,944 --> 00:09:32,544
Sometimes
people just get sick.
204
00:09:32,632 --> 00:09:34,902
Mommy drawk ma poop.
205
00:09:36,449 --> 00:09:38,798
Your mommy drew your poop? No!
206
00:09:38,885 --> 00:09:40,987
Drawk. Mommy drawk.
207
00:09:43,670 --> 00:09:44,838
Drank?
208
00:09:44,925 --> 00:09:45,939
Yes.
209
00:09:46,026 --> 00:09:49,142
Mommy drawnk my poop.
210
00:09:53,834 --> 00:09:56,616
The good news is, we've ruled
out glossopharyngeal neuralgia.
211
00:09:56,703 --> 00:09:58,418
You don't need
brain surgery.
212
00:09:58,506 --> 00:10:00,453
Never any good news
without bad news.
213
00:10:00,540 --> 00:10:03,122
We've got a list of
a few things you don't have,
214
00:10:03,209 --> 00:10:05,217
but we don't know
what you do have.
215
00:10:05,779 --> 00:10:07,577
So you'll run more tests.
216
00:10:07,781 --> 00:10:08,950
We can't.
217
00:10:09,038 --> 00:10:12,043
There are 21 different things
this might be,
218
00:10:12,131 --> 00:10:16,155
but they don't want us
to run 37 more tests.
219
00:10:18,892 --> 00:10:20,114
Well, this is lame.
220
00:10:20,202 --> 00:10:23,409
I can afford the tests.
I make good money.
221
00:10:23,496 --> 00:10:25,945
I can't
keep talking like this!
222
00:10:26,032 --> 00:10:27,420
I need a...
223
00:10:32,138 --> 00:10:33,664
She's hypotensive.
224
00:10:33,752 --> 00:10:34,753
Code stroke.
225
00:10:36,309 --> 00:10:38,157
We need stat brain CT
and MRI.
226
00:10:38,244 --> 00:10:40,694
Call angio. She may need
mechanical thrombectomy.
227
00:10:46,052 --> 00:10:49,335
3 cc's of 2% lidocaine.
228
00:11:18,199 --> 00:11:20,014
Wow.
229
00:11:27,961 --> 00:11:30,350
I-I didn't drink it.
I just...
230
00:11:30,563 --> 00:11:33,112
I just used her stool
to do a home fecal transfer.
231
00:11:33,199 --> 00:11:34,772
And you didn't think
to mention that?
232
00:11:34,860 --> 00:11:37,288
You said my UTIs
were unrelated.
233
00:11:38,967 --> 00:11:40,569
They didn't get better
with antibiotics,
234
00:11:40,657 --> 00:11:42,972
so I did exactly
what I was supposed to do.
235
00:11:43,409 --> 00:11:46,492
The video swore that
it was completely safe.
236
00:11:46,579 --> 00:11:48,862
Make sure your friend
is completely healthy.
237
00:11:48,949 --> 00:11:50,797
I've had the best results
with vegans,
238
00:11:50,884 --> 00:11:52,122
though if it were between
239
00:11:52,210 --> 00:11:55,301
an 18-year-old carnivore
and a 60-year-old vegan...
240
00:11:55,388 --> 00:11:56,661
Well, don't make me choose.
241
00:11:56,749 --> 00:11:58,524
We're gonna add
the saline solution.
242
00:12:00,593 --> 00:12:03,163
Should be a one-to-one match,
more or less.
243
00:12:04,364 --> 00:12:07,413
Then, we're gonna puree...
244
00:12:09,202 --> 00:12:11,250
...puree, and then
puree some more.
245
00:12:11,337 --> 00:12:12,839
While it's mixing...
246
00:12:14,207 --> 00:12:15,842
Let's talk enema bags.
247
00:12:17,911 --> 00:12:20,994
Marla must have seen her
using the blender,
248
00:12:21,081 --> 00:12:22,221
assumed she drank it.
249
00:12:22,309 --> 00:12:23,529
Yeah, that's
the mystery here,
250
00:12:23,616 --> 00:12:25,518
not how anyone
this stupid is still alive.
251
00:12:25,606 --> 00:12:27,744
It's not
completely irrational.
252
00:12:27,832 --> 00:12:30,103
The E. coli strain
in drug-resistant UTIs
253
00:12:30,190 --> 00:12:31,604
can hide out
in the gut.
254
00:12:31,691 --> 00:12:34,473
Repopulating the
colon microbiome using FMT
255
00:12:34,560 --> 00:12:36,067
has shown some success.
256
00:12:36,155 --> 00:12:38,790
In a hospital,
under controlled and sterile conditions.
257
00:12:39,034 --> 00:12:40,248
Prep her for surgery.
258
00:12:40,336 --> 00:12:41,715
Between the dilation
and rigidity,
259
00:12:41,802 --> 00:12:44,160
there may be
colon perforation.
260
00:12:44,327 --> 00:12:48,028
And test Marla's stool for
toxins and infectious bacteria.
261
00:12:49,677 --> 00:12:53,558
She was suffering a
mini-stroke, and I saved her.
262
00:12:53,646 --> 00:12:56,192
I saved her.
I need to celebrate. Outside?
263
00:12:56,280 --> 00:12:57,862
I want to celebrate
by kissing you.
264
00:12:57,950 --> 00:12:59,098
A lot.
265
00:12:59,185 --> 00:13:01,287
I-Inside would be
inappropriate.
266
00:13:03,864 --> 00:13:06,671
Eagle Syndrome
is very rare.
267
00:13:06,759 --> 00:13:08,574
A longer-than-normal
styloid bone
268
00:13:08,661 --> 00:13:10,343
coming off the base
of the skull.
269
00:13:10,445 --> 00:13:12,200
And...
I only get a five-minute break.
270
00:13:13,362 --> 00:13:15,447
It impinged
on her nerves,
271
00:13:15,535 --> 00:13:17,088
causing the
confusing symptoms
272
00:13:17,176 --> 00:13:19,118
that baffled
eight expert doctors.
273
00:13:19,205 --> 00:13:21,520
And then when she
turned her head suddenly,
274
00:13:21,607 --> 00:13:24,442
it pinched her carotid,
causing her TIA.
275
00:13:25,220 --> 00:13:26,877
Yeah, it's him!
276
00:13:29,739 --> 00:13:31,253
It's Dr. Murphy!
277
00:13:34,075 --> 00:13:35,389
How do I know you?
278
00:13:35,477 --> 00:13:37,158
He is cute!
279
00:13:37,246 --> 00:13:39,095
Is that his girlfriend?
280
00:13:39,259 --> 00:13:40,259
Kayley's hotter.
281
00:13:44,664 --> 00:13:46,244
He's so cute!
282
00:13:54,507 --> 00:13:57,184
My personal... Chernobyl.
283
00:13:57,343 --> 00:13:58,801
What?
284
00:13:59,012 --> 00:14:00,026
Seriously, guys.
285
00:14:00,113 --> 00:14:01,294
Ohh, come on.
286
00:14:01,381 --> 00:14:03,897
A zone of exclusion should
be imposed around my kitchen.
287
00:14:05,718 --> 00:14:08,034
Millions of people
have watched that?
288
00:14:08,121 --> 00:14:09,735
As of 9:00 a.m.
289
00:14:09,822 --> 00:14:11,437
You're an influencer.
290
00:14:11,524 --> 00:14:14,540
And you posted
how I saved you?
291
00:14:14,627 --> 00:14:16,976
But I take it I'm not saved yet?
You still have to operate?
292
00:14:17,063 --> 00:14:19,612
A normal
styloid process
293
00:14:19,699 --> 00:14:21,747
is 2.5 centimeters
in length. Yours measures...
294
00:14:21,834 --> 00:14:23,364
Don't do that.
295
00:14:24,137 --> 00:14:26,395
There are two
surgical options.
296
00:14:28,808 --> 00:14:30,723
Transoral, where we go in
through your mouth.
297
00:14:30,810 --> 00:14:33,292
It's non-invasive, but
creates surgical challenges
298
00:14:33,379 --> 00:14:35,128
for physical
and visual access.
299
00:14:35,215 --> 00:14:37,230
The alternative
transcervical procedure
300
00:14:37,317 --> 00:14:39,198
involves an incision
in your neck
301
00:14:39,285 --> 00:14:40,900
with none of those
access issues,
302
00:14:40,987 --> 00:14:43,536
but with some
post-operative scarring.
303
00:14:43,623 --> 00:14:46,439
So one way is safer,
but the other way, I'll look better?
304
00:14:46,526 --> 00:14:47,711
It's a pretty
bad-ass scar.
305
00:14:49,596 --> 00:14:51,611
Can I take a bit
to decide which?
306
00:14:51,831 --> 00:14:53,020
Of course.
307
00:14:56,402 --> 00:14:58,784
You had no right
to tell the world about me.
308
00:14:58,871 --> 00:15:00,219
It was flattering.
309
00:15:00,306 --> 00:15:03,089
Not everyone
wants to be famous.
310
00:15:03,176 --> 00:15:05,959
Uh... If it's
any consolation,
311
00:15:06,046 --> 00:15:08,887
you've had over
70 marriage proposals.
312
00:15:09,910 --> 00:15:11,073
It's not.
313
00:15:17,184 --> 00:15:20,233
Some of us are more comfortable
in the spotlight than others.
314
00:15:20,375 --> 00:15:21,823
I think you're great.
315
00:15:22,223 --> 00:15:23,337
Thanks.
316
00:15:28,368 --> 00:15:30,703
I don't have to poop.
317
00:15:31,271 --> 00:15:32,910
Be patient.
318
00:15:36,080 --> 00:15:38,328
I don't have to poop!
319
00:15:38,423 --> 00:15:40,757
Is there something
your mom does
320
00:15:40,845 --> 00:15:42,527
to help you
when you can't go?
321
00:15:42,615 --> 00:15:45,395
Sometimes
she hold my hand.
322
00:15:46,031 --> 00:15:47,606
Would you like me to?
323
00:15:47,753 --> 00:15:49,335
You're not my mom.
324
00:15:49,423 --> 00:15:51,558
Well, just keep trying.
325
00:15:53,060 --> 00:15:54,395
Pbbbbbbht.
326
00:15:56,908 --> 00:16:00,391
Sweetie, we really
need you to go.
327
00:16:00,533 --> 00:16:05,246
If you can't,
there is another way we can do this.
328
00:16:05,405 --> 00:16:06,385
How?
329
00:16:06,472 --> 00:16:08,864
Well, it's not fun.
330
00:16:09,220 --> 00:16:10,468
For either of us.
331
00:16:15,081 --> 00:16:18,325
Isolate and divide
middle colic artery and vein.
332
00:16:18,633 --> 00:16:19,815
It's an epidemic.
333
00:16:20,103 --> 00:16:21,620
People taking
online medical advice.
334
00:16:21,708 --> 00:16:23,782
It's not the problem.
It's the symptom.
335
00:16:23,870 --> 00:16:26,339
Medical care is a financial
stress for lots of people,
336
00:16:26,426 --> 00:16:29,008
not to mention
physician arrogance,
337
00:16:29,095 --> 00:16:30,843
incompetence, impatience.
338
00:16:30,930 --> 00:16:32,711
So it's our fault?
339
00:16:32,798 --> 00:16:34,547
Resect and cut the colon
proximal and distal
340
00:16:34,634 --> 00:16:36,738
to the perforation
with GIA stapler.
341
00:16:37,470 --> 00:16:39,501
A friend of a friend
self-diagnosed
342
00:16:39,589 --> 00:16:41,520
her own
Cushing's disease online
343
00:16:41,607 --> 00:16:44,723
after a series of doctors
barely listened to her,
344
00:16:44,810 --> 00:16:46,941
told her
to get more rest.
345
00:16:47,029 --> 00:16:48,661
I'm guessing
she didn't then perform
346
00:16:48,748 --> 00:16:50,213
do-it-yourself
brain surgery at home.
347
00:16:51,817 --> 00:16:53,160
Claire's right.
348
00:16:54,620 --> 00:16:56,302
I was...
supporting your point.
349
00:16:56,389 --> 00:16:58,537
She convinced me
I was wrong.
350
00:16:58,624 --> 00:17:00,526
Divide mesentery
with LigaSure.
351
00:17:06,532 --> 00:17:07,580
We have a bleed.
352
00:17:07,667 --> 00:17:08,681
It's major.
353
00:17:08,768 --> 00:17:10,083
Tension during mobilization
354
00:17:10,170 --> 00:17:11,250
must have caused
a splenic capsule tear.
355
00:17:11,337 --> 00:17:12,527
We need to do
a splenectomy.
356
00:17:12,615 --> 00:17:13,962
Cut the connecting
attachments.
357
00:17:17,210 --> 00:17:18,224
Kidney.
358
00:17:18,311 --> 00:17:19,409
Diaphragm.
359
00:17:19,496 --> 00:17:21,371
Take the vascular pedicle
with a white load stapler.
360
00:17:21,458 --> 00:17:22,994
Do not get the tail
of the pancreas.
361
00:17:33,274 --> 00:17:34,566
Dr. Melendez?
362
00:17:34,654 --> 00:17:35,667
Can this wait?
363
00:17:35,755 --> 00:17:36,814
I'm not sure.
364
00:17:36,902 --> 00:17:39,212
The fecal sample
that your team sent me...
365
00:17:39,563 --> 00:17:42,347
It might be normal,
but was it mislabeled?
366
00:17:42,435 --> 00:17:44,437
It seems to be
from a 70-year-old.
367
00:17:45,232 --> 00:17:46,913
It's from a three-year-old.
368
00:17:47,173 --> 00:17:52,191
SCFAs, elevated isobutyric
and isovaleric acid.
369
00:17:52,279 --> 00:17:55,262
She is at high risk
for serious cardiac problems.
370
00:18:17,640 --> 00:18:19,507
Oh, are you okay?
371
00:18:30,549 --> 00:18:33,396
Her social media posts
about Shaun have gone viral.
372
00:18:33,484 --> 00:18:35,368
I've got reporters
clamoring to speak
373
00:18:35,455 --> 00:18:37,203
to the "twice-exceptional"
Dr. Murphy.
374
00:18:37,290 --> 00:18:39,004
Bad idea.
Luckily, he won't do it.
375
00:18:39,091 --> 00:18:41,207
He went off on Kayley
about his privacy.
376
00:18:41,294 --> 00:18:42,808
The publicity would be good
for the hospital.
377
00:18:42,895 --> 00:18:46,044
And I'm sure Dr. Glassman can
make him see the wisdom of that.
378
00:18:46,132 --> 00:18:47,716
I'm with Andrews.
It smacks of us
379
00:18:47,803 --> 00:18:49,176
patting ourselves on the back.
380
00:18:49,264 --> 00:18:51,050
It could also come off
as exploitative.
381
00:18:51,137 --> 00:18:53,551
But the bigger issue is,
it could blow up in our face.
382
00:18:53,639 --> 00:18:55,554
Shaun is a complete
communications wild card.
383
00:18:55,641 --> 00:18:57,690
Who knows what he'll say
about you, about me,
384
00:18:57,777 --> 00:18:59,358
about being demoted,
about screw-ups.
385
00:18:59,445 --> 00:19:01,160
Well, we would
have to coach him.
386
00:19:01,247 --> 00:19:03,862
Do we have six years before
they need to go to press?
387
00:19:03,949 --> 00:19:06,399
I can go with him,
manage the situation.
388
00:19:06,486 --> 00:19:07,687
No, no, no.
389
00:19:08,688 --> 00:19:10,436
If we consider Shaun
an asset,
390
00:19:10,523 --> 00:19:12,697
we shouldn't treat him
like a liability.
391
00:19:14,427 --> 00:19:16,529
I'll talk to him,
see what he says.
392
00:19:18,964 --> 00:19:21,899
You can see the proximity
of her elongated styloid
393
00:19:21,987 --> 00:19:23,449
to the nerves and carotid.
394
00:19:23,536 --> 00:19:25,518
The trick is to break off
the excess length
395
00:19:25,605 --> 00:19:27,697
without injury to local
neurovascular structures.
396
00:19:27,785 --> 00:19:29,912
If done transcervically,
entry point is key.
397
00:19:30,000 --> 00:19:32,982
Minimizes risk of a marginal
mandibular nerve injury.
398
00:19:33,078 --> 00:19:34,560
Has she made a decision?
399
00:19:34,647 --> 00:19:35,908
Not yet.
400
00:19:36,716 --> 00:19:37,977
I'd like to lead.
401
00:19:38,065 --> 00:19:40,000
Being that it's such
a rare surgery,
402
00:19:40,088 --> 00:19:42,009
I may not get another chance
at it during residency.
403
00:19:42,096 --> 00:19:43,822
When I have the benefit
of supervision.
404
00:19:43,910 --> 00:19:45,621
And it wouldn't have
anything to do with hoping
405
00:19:45,708 --> 00:19:47,867
Kayley might then post
glowingly about you?
406
00:19:47,955 --> 00:19:49,097
Not at all.
407
00:19:49,185 --> 00:19:50,553
Well, undoubtedly,
a little.
408
00:19:51,264 --> 00:19:52,645
Given the attention
this case has drawn,
409
00:19:52,732 --> 00:19:55,401
I think we should put our best,
most experienced choice forward.
410
00:19:56,595 --> 00:19:58,977
Well, this is
a teaching hospital.
411
00:19:59,205 --> 00:20:02,135
It's exactly the type of surgery
we'd give to a third-year.
412
00:20:02,275 --> 00:20:03,656
The fact that she has
an online presence
413
00:20:03,743 --> 00:20:04,757
shouldn't be a factor.
414
00:20:04,844 --> 00:20:07,025
And yet here you are,
the Chief of Surgery
415
00:20:07,112 --> 00:20:09,061
working a case you say
a third-year can handle.
416
00:20:09,148 --> 00:20:10,963
It also might reflect
well on this place
417
00:20:11,056 --> 00:20:13,557
to have a young woman be the
face of Kayley's surgery.
418
00:20:13,645 --> 00:20:16,354
Assuming it goes well.
419
00:20:17,357 --> 00:20:19,191
Live by the Internet,
die by the Internet.
420
00:20:20,893 --> 00:20:22,588
You still want to lead?
421
00:20:22,995 --> 00:20:24,343
Yes.
422
00:20:24,430 --> 00:20:25,940
It's yours.
423
00:21:28,060 --> 00:21:29,661
Ann?
424
00:21:30,363 --> 00:21:31,911
Ann.
425
00:21:38,219 --> 00:21:39,366
Am I okay?
426
00:21:39,454 --> 00:21:40,635
You're fine.
427
00:21:40,940 --> 00:21:42,855
We had to wake you up a
little earlier than we'd like
428
00:21:42,942 --> 00:21:44,690
because we need to discuss
something with you.
429
00:21:44,777 --> 00:21:45,972
Do you understand?
430
00:21:47,216 --> 00:21:49,855
Your gut biome showed markers
for elevated cholesterol.
431
00:21:49,943 --> 00:21:51,364
Which you don't have.
432
00:21:51,451 --> 00:21:52,904
Your daughter does.
433
00:21:54,554 --> 00:21:56,602
Marla has
high cholesterol?
434
00:21:56,747 --> 00:21:59,294
She has a genetic
condition: hyperlipidemia.
435
00:21:59,382 --> 00:22:01,773
Coronary testing
showed 90% narrowing
436
00:22:01,861 --> 00:22:03,876
of the left main artery
to her heart.
437
00:22:05,559 --> 00:22:08,522
I'm afraid your daughter
needs urgent heart surgery.
438
00:22:15,274 --> 00:22:17,982
I don't want to.
439
00:22:18,070 --> 00:22:19,425
Okay.
440
00:22:19,534 --> 00:22:21,175
I'll tell
the reporters that.
441
00:22:21,263 --> 00:22:24,161
But can... can we
talk about why?
442
00:22:24,684 --> 00:22:26,365
Your
computer just beeped.
443
00:22:26,452 --> 00:22:27,933
I know.
444
00:22:28,020 --> 00:22:30,736
I can think of a few reasons
why you might be reticent.
445
00:22:30,823 --> 00:22:32,438
You're shy.
No, I'm not.
446
00:22:32,525 --> 00:22:35,240
Well, you do have trouble
with social interactions,
447
00:22:35,327 --> 00:22:36,909
and you have
trouble anticipating
448
00:22:36,996 --> 00:22:39,445
what people might ask
and how you might respond.
449
00:22:39,532 --> 00:22:43,349
Yes, that is a problem when
I'm meeting with a patient
450
00:22:43,436 --> 00:22:46,352
or I'm at a job interview
or I'm on a date.
451
00:22:46,439 --> 00:22:47,720
Then my answers matter.
452
00:22:47,807 --> 00:22:50,055
But if I'm talking to a
reporter, they don't matter.
453
00:22:50,142 --> 00:22:51,557
It beeped again.
454
00:22:51,644 --> 00:22:53,559
Yes, I know.
We're digitizing.
455
00:22:53,646 --> 00:22:55,894
Every time a patient
needs to take a drug,
456
00:22:55,981 --> 00:22:56,995
we send them
a reminder.
457
00:22:57,082 --> 00:23:00,299
For some unknown reason,
they keep sending me one, too.
458
00:23:00,386 --> 00:23:01,834
I think stories
do matter.
459
00:23:01,921 --> 00:23:05,103
I think what you do
and what you have done
460
00:23:05,190 --> 00:23:08,828
might be inspirational
for people to hear.
461
00:23:08,951 --> 00:23:09,965
Okay.
462
00:23:10,053 --> 00:23:11,185
Okay, you'll do it?
463
00:23:11,273 --> 00:23:13,846
Okay, you've convinced me
I should be nervous about it.
464
00:23:13,933 --> 00:23:15,681
Now I have two reasons
not to do it.
465
00:23:15,768 --> 00:23:16,849
What's the other reason?
466
00:23:16,966 --> 00:23:19,505
I'm very busy between doing
my job and having sex.
467
00:23:19,593 --> 00:23:21,411
I don't have
a lot of free time.
468
00:23:24,046 --> 00:23:25,614
You should hire Lea.
469
00:23:25,944 --> 00:23:27,258
- No.
- Yes.
470
00:23:27,346 --> 00:23:30,094
She's very good at tech
471
00:23:30,182 --> 00:23:32,841
and isn't happy
in her job right now.
472
00:23:35,366 --> 00:23:37,415
I'll tell you what, Shaun.
473
00:23:37,557 --> 00:23:40,206
You think about this,
you really think about this,
474
00:23:40,294 --> 00:23:43,453
how your story
can benefit people,
475
00:23:43,541 --> 00:23:45,243
and I will...
476
00:23:46,997 --> 00:23:48,935
Interview Lea.
477
00:23:49,608 --> 00:23:51,099
Excellent.
478
00:23:52,137 --> 00:23:53,833
I'll think about it.
479
00:23:54,311 --> 00:23:57,761
I'll really think
about it.
480
00:23:57,943 --> 00:23:59,536
Okay.
481
00:24:08,039 --> 00:24:10,334
Some people definitely thought
I would look amazeballs
482
00:24:10,422 --> 00:24:11,770
rocking a neck scar.
483
00:24:11,857 --> 00:24:14,339
But the consensus was,
484
00:24:14,426 --> 00:24:16,375
there's only so many
turtleneck days in a year.
485
00:24:16,462 --> 00:24:19,685
So I'm going with
the no-scar approach.
486
00:24:19,999 --> 00:24:22,548
Which one
did you vote for?
487
00:24:22,635 --> 00:24:25,451
Well, these are my people.
I mean, they know me.
488
00:24:25,538 --> 00:24:27,740
They know what's best for me
and my brand.
489
00:24:29,875 --> 00:24:31,256
"Wisdom of the crowd."
490
00:24:31,343 --> 00:24:33,859
My warrior goddess
lead surgeon.
491
00:24:35,014 --> 00:24:36,763
We'll get you prepped
for surgery.
492
00:24:38,055 --> 00:24:40,185
New blouse?
It's nice.
493
00:24:41,108 --> 00:24:43,115
Dr. Murphy,
do you have a minute?
494
00:24:49,798 --> 00:24:52,888
I really am sorry
I upset you.
495
00:24:53,243 --> 00:24:55,185
And I really am
grateful.
496
00:24:55,577 --> 00:24:56,757
Being sick was...
497
00:24:56,845 --> 00:24:58,769
You don't need to explain
498
00:24:58,857 --> 00:25:01,277
why you're grateful
we diagnosed your illness.
499
00:25:01,365 --> 00:25:02,666
Well, I do.
500
00:25:03,342 --> 00:25:05,911
You saved me
and my career.
501
00:25:07,062 --> 00:25:09,597
At first,
my followers were super into
502
00:25:09,685 --> 00:25:12,615
what I was going through,
but after a while,
503
00:25:12,785 --> 00:25:14,490
you just start being
"the sick girl."
504
00:25:14,578 --> 00:25:17,327
You give up your privacy.
Doesn't that bother you?
505
00:25:17,457 --> 00:25:19,305
I have nothing to hide.
506
00:25:19,525 --> 00:25:20,865
No one should.
507
00:25:21,857 --> 00:25:24,138
We should all just be
who we are.
508
00:25:28,553 --> 00:25:30,689
We are...
509
00:25:32,471 --> 00:25:35,140
The decisions we make.
510
00:25:36,208 --> 00:25:39,144
And you let other people
make them for you.
511
00:25:41,046 --> 00:25:43,148
So you're not
being anyone.
512
00:25:54,493 --> 00:25:57,476
You know how you and I like
to do so many things together?
513
00:25:57,563 --> 00:25:59,240
We make clay mugs.
514
00:25:59,328 --> 00:26:00,510
That's right.
515
00:26:00,630 --> 00:26:04,813
Mommy was sick,
and she needed to be fixed.
516
00:26:04,970 --> 00:26:07,404
And you're sick, too.
517
00:26:07,492 --> 00:26:08,953
I don't feel sick.
518
00:26:09,041 --> 00:26:10,155
That's good.
519
00:26:10,242 --> 00:26:11,890
And the doctors
just want to make sure
520
00:26:11,977 --> 00:26:13,559
everything is all better
before you do.
521
00:26:13,912 --> 00:26:15,013
How?
522
00:26:15,815 --> 00:26:17,996
They're gonna
go inside you and...
523
00:26:18,083 --> 00:26:18,896
How?
524
00:26:18,984 --> 00:26:20,498
They're gonna make
a little cut...
525
00:26:20,586 --> 00:26:21,600
No!
526
00:26:21,687 --> 00:26:22,735
You're gonna be asleep.
527
00:26:22,822 --> 00:26:24,302
- No!
- Just like Mommy.
528
00:26:24,389 --> 00:26:26,438
- I...
- No, no, no, no, no!
529
00:26:26,525 --> 00:26:28,306
I'll be with you, Marla.
I'll take good care of you.
530
00:26:28,393 --> 00:26:29,508
No, no, no, no, no! It's okay.
Just breathe, sweetie.
531
00:26:29,595 --> 00:26:30,609
- Count to three.
- No!
532
00:26:30,696 --> 00:26:31,777
Hey, sweetie,
you have to be brave. No!
533
00:26:31,864 --> 00:26:33,076
No!
534
00:26:34,926 --> 00:26:36,630
Code blue!
535
00:26:37,530 --> 00:26:38,896
What's happening?
536
00:26:39,038 --> 00:26:40,452
Please help my baby.
537
00:26:40,539 --> 00:26:42,021
She's had a heart attack!
538
00:26:42,825 --> 00:26:43,982
Marla.
539
00:26:44,175 --> 00:26:45,654
Marla?
540
00:26:46,378 --> 00:26:47,427
Marla!
541
00:26:47,514 --> 00:26:48,935
Baby, I'm right here.
542
00:26:49,123 --> 00:26:50,341
Marla!
543
00:26:54,253 --> 00:26:56,989
Uh, would you
like my CV?
544
00:26:57,189 --> 00:26:58,622
No.
545
00:26:58,891 --> 00:27:01,493
I know who you are.
I don't need to see a list.
546
00:27:04,063 --> 00:27:05,474
Where do I work?
547
00:27:07,166 --> 00:27:09,083
It's a tech company.
548
00:27:09,190 --> 00:27:10,171
You were there.
549
00:27:10,259 --> 00:27:12,641
Cars.
Something about cars.
550
00:27:12,938 --> 00:27:15,688
You have no interest
in hiring me, do you?
551
00:27:15,775 --> 00:27:17,690
No.
It's not personal.
552
00:27:17,777 --> 00:27:19,124
It's a little personal.
553
00:27:19,211 --> 00:27:21,966
I'm doing a favor for Shaun.
I don't really need anyone.
554
00:27:22,054 --> 00:27:23,923
Did he ask you
to waste my time?
555
00:27:24,616 --> 00:27:26,042
Yeah... It's okay.
556
00:27:26,130 --> 00:27:27,866
I didn't really want
to work for you anyway.
557
00:27:27,953 --> 00:27:29,134
You're a bit of a grouch.
558
00:27:29,221 --> 00:27:32,605
But make sure whoever does do
the job shores up your firewall.
559
00:27:32,692 --> 00:27:34,139
A kindergartner
can hack it.
560
00:27:34,226 --> 00:27:36,310
Thank you.
I'm sure we'll be fine.
561
00:27:37,543 --> 00:27:39,034
And you're right,
you know.
562
00:27:39,122 --> 00:27:40,799
We are not a good fit.
563
00:27:40,933 --> 00:27:43,049
And our mutual affection
for Shaun
564
00:27:43,137 --> 00:27:45,172
isn't enough to stop us
from killing each other.
565
00:27:47,787 --> 00:27:49,434
I...
566
00:27:49,541 --> 00:27:51,824
Your Chronicle subscription
is about to expire
567
00:27:51,911 --> 00:27:53,926
because they don't have
your updated credit card.
568
00:27:54,013 --> 00:27:55,628
The coffee maker
you ordered,
569
00:27:55,833 --> 00:27:57,630
third new one
in the last six months,
570
00:27:57,717 --> 00:27:59,632
will be delivered Tuesday.
571
00:27:59,719 --> 00:28:01,625
And you're deducting
way too much money
572
00:28:01,713 --> 00:28:03,602
out of Debbie's paycheck
for FICA.
573
00:28:03,689 --> 00:28:05,904
Would you like to hear
about your Google searches?
574
00:28:08,074 --> 00:28:09,310
Thank you.
575
00:28:17,336 --> 00:28:18,789
Lea!
576
00:28:21,233 --> 00:28:24,611
Severe proximal LAD disease
with mid total occlusion.
577
00:28:24,699 --> 00:28:26,759
Angioplasty won't resolve
that stenosis.
578
00:28:26,846 --> 00:28:29,137
High risk of rupture
in someone this young.
579
00:28:29,225 --> 00:28:30,395
A stent?
580
00:28:30,483 --> 00:28:32,931
Won't be enough
effective revascularization.
581
00:28:33,206 --> 00:28:36,879
She needs a left IMA
to LAD anastomosis.
582
00:28:37,637 --> 00:28:40,090
I've never done a coronary
bypass on a three-year-old.
583
00:28:40,178 --> 00:28:41,727
Neither have I.
584
00:28:42,061 --> 00:28:43,564
I guess
it was the right call
585
00:28:43,652 --> 00:28:45,077
to put her daughter's poop
up her tush.
586
00:28:45,164 --> 00:28:46,645
Cost her a large chunk
of her colon.
587
00:28:46,732 --> 00:28:48,681
- Saved her daughter's life.
- Yeah, lucky coincidence.
588
00:28:48,768 --> 00:28:51,116
I'm sure the mother
doesn't regret a thing.
589
00:28:51,203 --> 00:28:52,617
At least she shouldn't.
590
00:28:52,704 --> 00:28:54,341
I'm with Claire.
591
00:29:06,018 --> 00:29:08,520
Do you have time
for lunch?
592
00:29:08,754 --> 00:29:10,422
And by "lunch,"
you mean...?
593
00:29:10,609 --> 00:29:12,067
Lunch.
594
00:29:12,557 --> 00:29:14,393
I need advice.
595
00:29:15,192 --> 00:29:18,976
I need to really think
about something.
596
00:29:19,321 --> 00:29:20,606
Oh.
597
00:29:20,966 --> 00:29:22,340
Then yes, of course.
598
00:29:22,501 --> 00:29:24,402
It could be patronizing,
599
00:29:24,532 --> 00:29:28,616
being put up as some kind of
feel-good, human interest story.
600
00:29:28,774 --> 00:29:30,799
Or objectified
and glorified
601
00:29:30,887 --> 00:29:33,858
as some kind of a symbol
for people who are different.
602
00:29:33,946 --> 00:29:37,429
But I also know that when I
told my sister your story,
603
00:29:37,516 --> 00:29:38,879
she cried.
604
00:29:39,289 --> 00:29:40,464
She was sad?
605
00:29:40,552 --> 00:29:42,965
No, she was inspired.
606
00:29:47,021 --> 00:29:51,673
I... don't know what your
advice is telling me.
607
00:29:51,761 --> 00:29:54,643
I don't know what you
think I'm supposed to do.
608
00:29:54,731 --> 00:29:57,681
Shaun, you aren't
supposed to do anything,
609
00:29:57,837 --> 00:30:00,293
except what you
believe is right.
610
00:30:01,888 --> 00:30:04,567
Thank you.
611
00:30:06,129 --> 00:30:09,004
Now I'm going to go see
what Lea thinks.
612
00:30:10,364 --> 00:30:11,668
I thought
you had a surgery.
613
00:30:11,756 --> 00:30:13,184
I'm just
going upstairs.
614
00:30:13,272 --> 00:30:15,721
Lea's meeting with
Dr. Glassman about a job.
615
00:30:15,821 --> 00:30:17,402
- A job here?
- Yes.
616
00:30:17,489 --> 00:30:19,137
Lea told me
at lunch yesterday
617
00:30:19,224 --> 00:30:21,573
that she was looking
for different work, so...
618
00:30:21,660 --> 00:30:23,909
Wait, you... you had lunch
with Lea? Yesterday?
619
00:30:23,996 --> 00:30:25,310
And... And you kept it
from me?
620
00:30:31,140 --> 00:30:34,351
I didn't keep it
from you.
621
00:30:34,439 --> 00:30:36,421
There was no reason
to mention it
622
00:30:36,508 --> 00:30:38,934
until just now,
when I did.
623
00:30:39,344 --> 00:30:40,832
Shaun...
624
00:30:41,713 --> 00:30:43,095
You know how I feel
625
00:30:43,182 --> 00:30:46,031
about how Lea hovers
over our relationship.
626
00:30:46,118 --> 00:30:47,598
And...
627
00:30:47,757 --> 00:30:50,034
You're just sneaking
around with her?
628
00:30:50,122 --> 00:30:51,569
Arranging for her
to work here,
629
00:30:51,656 --> 00:30:54,059
where she'll just loom
all the more.
630
00:30:55,616 --> 00:30:58,156
She won't be looming
or hovering.
631
00:30:58,330 --> 00:31:00,507
She'll be
on a whole other floor.
632
00:31:00,595 --> 00:31:02,911
Yeah, where you can go
and get her two cents
633
00:31:02,999 --> 00:31:05,583
whenever the advice given
by your actual girlfriend
634
00:31:05,670 --> 00:31:07,185
is deemed insufficient.
635
00:31:10,084 --> 00:31:11,366
Yes.
636
00:31:27,509 --> 00:31:28,882
Hey.
637
00:31:30,930 --> 00:31:31,944
What are you doing?
638
00:31:32,032 --> 00:31:33,578
Eh, fresh air.
639
00:31:33,665 --> 00:31:35,023
You?
640
00:31:39,582 --> 00:31:42,786
Shaun lied to me
about having lunch with Lea.
641
00:31:44,828 --> 00:31:46,491
No, he didn't.
642
00:31:47,159 --> 00:31:49,174
Shaun is incapable
of deceit.
643
00:31:49,262 --> 00:31:51,911
He must have genuinely thought
that you wouldn't mind.
644
00:31:52,084 --> 00:31:55,267
Well, then, he is completely
tone deaf and insensitive,
645
00:31:55,354 --> 00:31:57,769
which are not better qualities
in a boyfriend.
646
00:31:57,856 --> 00:31:59,068
True.
647
00:31:59,156 --> 00:32:00,472
But not exactly
unanticipated
648
00:32:00,559 --> 00:32:02,796
when you get into
a relationship with Shaun.
649
00:32:05,333 --> 00:32:07,403
And it's never
really about the lie.
650
00:32:07,491 --> 00:32:09,214
It's what's underneath.
651
00:32:09,301 --> 00:32:10,700
You're jealous of Lea.
652
00:32:10,788 --> 00:32:12,747
I am not jealous.
653
00:32:12,835 --> 00:32:14,694
- I am concerned...
- You don't need to justify.
654
00:32:14,781 --> 00:32:16,621
I'm on team jealousy.
655
00:32:17,288 --> 00:32:19,531
It's flattering,
stimulating, it...
656
00:32:19,632 --> 00:32:21,169
It means you're committed
and you care.
657
00:32:21,257 --> 00:32:23,894
It's ugly and reflects
underlying trust issues
658
00:32:23,982 --> 00:32:24,996
that I don't want to...
659
00:32:25,084 --> 00:32:26,337
Yeah, yeah, yeah,
like all things,
660
00:32:26,425 --> 00:32:28,796
a little is good,
and a lot will kill you.
661
00:32:29,052 --> 00:32:30,640
My advice...
662
00:32:30,846 --> 00:32:33,537
Admit you're jealous,
give in to it,
663
00:32:33,625 --> 00:32:35,054
and then get over it.
664
00:32:42,401 --> 00:32:43,615
Finding the styloid
665
00:32:43,703 --> 00:32:46,772
via digital palpitation
of the tonsillar fossa.
666
00:32:47,686 --> 00:32:49,085
There.
667
00:32:51,076 --> 00:32:56,148
Making incision vertically
along the mucosa of mandible.
668
00:32:57,549 --> 00:32:58,997
Next?
669
00:32:59,084 --> 00:33:03,335
I will free the styloid
process from its muscle
670
00:33:03,422 --> 00:33:06,425
and ligament attachments.
671
00:33:07,665 --> 00:33:09,054
Done.
672
00:33:11,263 --> 00:33:14,666
Dissecting away from
the internal carotid medially,
673
00:33:15,767 --> 00:33:19,184
and external, laterally.
674
00:33:19,271 --> 00:33:21,373
Now fracture and excise
the styloid.
675
00:33:28,885 --> 00:33:30,395
Bradycardia.
Hypotensive.
676
00:33:30,482 --> 00:33:32,530
Loss of EEG waveform.
Cerebral ischemia.
677
00:33:32,617 --> 00:33:33,898
You may have injured
the carotid.
678
00:33:33,985 --> 00:33:35,833
Or compressed it
by fracturing the styloid.
679
00:33:35,920 --> 00:33:37,869
See if the fragment
is impinging on the vessel.
680
00:33:37,956 --> 00:33:39,304
Dr. Murphy,
extend her head.
681
00:33:47,355 --> 00:33:50,570
Yes. Found it.
Easing it away.
682
00:33:54,139 --> 00:33:55,720
Carotid decompressed.
683
00:33:57,842 --> 00:34:00,156
EEG back to baseline normal.
684
00:34:06,397 --> 00:34:09,413
Resuming styloid extraction.
685
00:34:21,089 --> 00:34:23,273
Kayley's in ICU,
stable.
686
00:34:23,361 --> 00:34:25,910
CT shows no signs
of any permanent damage.
687
00:34:26,004 --> 00:34:28,695
No reason to anticipate
any future problems.
688
00:34:28,783 --> 00:34:32,567
So, the question is,
what do we tell her?
689
00:34:32,655 --> 00:34:34,837
That the surgery
was a success.
690
00:34:34,925 --> 00:34:36,997
She had a cerebral ischemia.
On the table.
691
00:34:37,085 --> 00:34:39,431
That did no damage and that
there's no evidence of.
692
00:34:39,518 --> 00:34:41,633
Hospital policy
is transparency...
693
00:34:41,720 --> 00:34:43,601
We don't tell them
what music we played,
694
00:34:43,688 --> 00:34:44,849
what we talked about.
695
00:34:44,937 --> 00:34:47,640
This isn't relevant to the
outcome or to her prognosis.
696
00:34:47,728 --> 00:34:48,990
Would you be taking
the same position
697
00:34:49,077 --> 00:34:51,476
if Kayley wasn't someone whose
criticism could go viral?
698
00:34:51,564 --> 00:34:52,645
I don't know.
699
00:34:52,796 --> 00:34:54,916
But it would be delusional
to think it's not relevant.
700
00:34:55,851 --> 00:34:57,327
Dr. Reznick.
701
00:34:57,729 --> 00:34:59,484
Any thoughts?
702
00:34:59,914 --> 00:35:02,330
I don't think I can
fairly offer an opinion,
703
00:35:02,418 --> 00:35:04,700
because my career
could hang in the balance.
704
00:35:04,943 --> 00:35:07,225
Yeah, well, none of us
are disinterested parties,
705
00:35:07,312 --> 00:35:10,429
given the hospital's
reputation is also at stake.
706
00:35:10,727 --> 00:35:12,209
Did you screw up?
707
00:35:12,297 --> 00:35:14,165
Could that crisis
have been avoided?
708
00:35:16,958 --> 00:35:21,046
If it could have been,
then we are all responsible.
709
00:35:21,134 --> 00:35:23,072
We were watching
everything she was doing,
710
00:35:23,160 --> 00:35:25,162
and none of us
told her to stop.
711
00:35:26,655 --> 00:35:28,379
This is an easy call.
712
00:35:28,624 --> 00:35:30,687
There's only one reason
to tell her everything,
713
00:35:30,775 --> 00:35:33,091
and that's you might
feel guilty if you don't.
714
00:35:33,179 --> 00:35:35,794
On the other hand, there's
the future of this hospital.
715
00:35:45,531 --> 00:35:46,718
Okay.
716
00:35:48,730 --> 00:35:52,695
Shaun, if the patient asks
for details about the surgery,
717
00:35:52,783 --> 00:35:54,765
can you limit
your answers?
718
00:35:57,285 --> 00:36:00,452
I... don't know.
719
00:36:00,832 --> 00:36:02,278
Okay, we need to know if...
720
00:36:02,366 --> 00:36:03,648
No.
721
00:36:03,736 --> 00:36:07,119
Dr. Murphy, I hope
you will limit your answers.
722
00:36:07,231 --> 00:36:09,882
But I won't order you
to defy your conscience.
723
00:36:20,311 --> 00:36:24,228
We don't normally have
patients share rooms, but...
724
00:36:24,432 --> 00:36:26,913
She's...?
Gonna be completely fine.
725
00:36:27,001 --> 00:36:29,884
And once she's recuperated,
we'll begin her on statins and Ezetimibe,
726
00:36:29,972 --> 00:36:32,120
and she'll undergo
lipid apheresis.
727
00:36:32,341 --> 00:36:33,555
It's kind of like
dialysis,
728
00:36:33,643 --> 00:36:36,585
but it'll allow us to
extract LDL out of her blood.
729
00:36:36,712 --> 00:36:39,663
Should get her cholesterol
to within normal range.
730
00:36:40,555 --> 00:36:43,287
She'll need those drugs
and that other stuff
731
00:36:43,375 --> 00:36:44,389
for the rest of her life?
732
00:36:44,476 --> 00:36:47,851
Yes. But hopefully
a very long one.
733
00:36:51,863 --> 00:36:53,865
Thank you so much.
734
00:36:54,534 --> 00:36:56,007
Thank God
I did what I did.
735
00:37:12,070 --> 00:37:13,975
Everything went great?
736
00:37:14,990 --> 00:37:17,329
The repair was successful.
You should have no...
737
00:37:17,417 --> 00:37:20,052
Everything went great.
Say it. Say it to your fans.
738
00:37:21,580 --> 00:37:23,761
Everything went great.
739
00:37:23,848 --> 00:37:25,530
You rocked it.
740
00:37:25,617 --> 00:37:28,333
You'll be with us
another few days, and then you...
741
00:37:28,420 --> 00:37:30,668
She rocked it, right?
742
00:37:30,755 --> 00:37:33,705
She was lead surgeon
in a successful...
743
00:37:33,792 --> 00:37:35,340
And how gorgeous
is that hair?
744
00:37:35,427 --> 00:37:38,162
Dr. Morgan Reznick,
take a bow!
745
00:37:41,866 --> 00:37:43,981
She was wrist-deep
all up in my mouth, y'all.
746
00:37:44,068 --> 00:37:45,650
She is a damn hero!
747
00:37:48,540 --> 00:37:50,121
You've got work to do.
748
00:37:50,208 --> 00:37:51,884
We're proud of you.
749
00:37:54,263 --> 00:37:56,045
Any reason
you screwed up?
750
00:37:56,133 --> 00:37:58,348
I didn't. It could've
happened to anyone.
751
00:37:58,436 --> 00:38:00,885
Not anyone suffers
from arthritic pain.
752
00:38:01,165 --> 00:38:02,612
That didn't affect
anything.
753
00:38:02,700 --> 00:38:04,282
You sure about that?
754
00:38:04,370 --> 00:38:05,759
'Cause I'm not.
755
00:38:22,139 --> 00:38:23,987
Did you speak to Lea?
756
00:38:24,309 --> 00:38:25,720
Yes.
757
00:38:29,098 --> 00:38:32,315
I know
she's a good friend.
758
00:38:32,403 --> 00:38:33,783
And it would be unfair
759
00:38:33,871 --> 00:38:36,421
for me to expect you
to cut her out of your life.
760
00:38:36,577 --> 00:38:38,158
But...
761
00:38:38,246 --> 00:38:41,929
You going to ask her opinion
right after I had given mine,
762
00:38:42,093 --> 00:38:45,088
it just called up Wyoming
all over again.
763
00:38:45,987 --> 00:38:48,931
That you preferred Lea
to me.
764
00:38:53,440 --> 00:38:55,088
I was jealous.
765
00:38:56,719 --> 00:38:59,302
And it's something
that I have to work out.
766
00:39:02,230 --> 00:39:05,312
For the two of us
to work out.
767
00:39:05,463 --> 00:39:06,577
Together.
768
00:39:18,062 --> 00:39:19,911
What was Lea's advice?
769
00:39:21,871 --> 00:39:25,990
That it'd be selfish not to
share my story with the world.
770
00:39:29,085 --> 00:39:31,121
I liked your advice better.
771
00:39:43,388 --> 00:39:44,869
Hey.
772
00:39:45,624 --> 00:39:47,459
Uh-oh.
773
00:39:48,112 --> 00:39:50,128
Actually, yeah.
774
00:39:50,254 --> 00:39:52,994
There's something awkward
we need to talk about.
775
00:39:53,546 --> 00:39:54,847
You and Claire.
776
00:39:57,836 --> 00:39:59,892
You can reopen the door.
777
00:40:00,170 --> 00:40:03,572
There's nothing
remotely improper going on.
778
00:40:05,511 --> 00:40:09,025
I received an anonymous
favoritism complaint.
779
00:40:09,932 --> 00:40:11,705
We need to deal with it.
780
00:40:19,033 --> 00:40:23,166
I don't want
to talk to reporters.
781
00:40:23,290 --> 00:40:25,072
I know.
782
00:40:25,597 --> 00:40:29,347
So if I talked
to reporters,
783
00:40:29,434 --> 00:40:32,303
it wouldn't be honest
to who I really am.
784
00:40:32,975 --> 00:40:35,298
Well, sometimes, Shaun,
785
00:40:35,602 --> 00:40:38,455
people present a different
version of themselves
786
00:40:38,543 --> 00:40:40,158
depending upon
the circumstances.
787
00:40:40,246 --> 00:40:43,673
Like, I'm not always
the same here as I am at home.
788
00:40:43,761 --> 00:40:45,033
I don't.
789
00:40:45,618 --> 00:40:47,459
No, you don't.
790
00:40:48,680 --> 00:40:51,564
I considered
all the arguments.
791
00:40:55,026 --> 00:40:59,502
I want to be known
as a good doctor.
792
00:41:00,164 --> 00:41:02,197
Not a good autistic doctor.
793
00:41:07,379 --> 00:41:11,688
Sync corrections by srjanapala
56722
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