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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:12,780 --> 00:00:14,315 (SIGHS) What? 2 00:00:14,348 --> 00:00:15,749 It's time to wake up. 3 00:00:15,783 --> 00:00:18,052 Mnh-mnh. It's still dark outside. 4 00:00:18,086 --> 00:00:19,687 I'd like to have sex. 5 00:00:19,720 --> 00:00:21,355 (SIGHS) 6 00:00:21,389 --> 00:00:23,591 As romantically as that was put, 7 00:00:23,624 --> 00:00:25,359 it's too early, Shaun. 8 00:00:26,894 --> 00:00:30,198 It's exactly early enough to have sex 9 00:00:30,231 --> 00:00:32,066 for the average duration it takes us 10 00:00:32,100 --> 00:00:33,801 and still allow precisely enough time 11 00:00:33,834 --> 00:00:35,803 to get ready for work. 12 00:00:35,836 --> 00:00:37,305 (SIGHS) 13 00:00:37,338 --> 00:00:40,308 How long have you been up figuring that out? 14 00:00:40,341 --> 00:00:42,210 Since 4:53. 15 00:00:42,243 --> 00:00:43,977 But it only took two minutes. 16 00:00:46,080 --> 00:00:49,517 You've been waiting since then to propose this? 17 00:00:50,751 --> 00:00:53,454 I let you sleep as long as possible. 18 00:00:55,523 --> 00:00:59,393 That's... very considerate. 19 00:01:00,128 --> 00:01:01,529 Ohh. 20 00:01:01,562 --> 00:01:02,763 ** 21 00:01:10,304 --> 00:01:12,840 (LOCKER DOOR OPENS, CLOSES) 22 00:01:12,873 --> 00:01:13,874 ** 23 00:01:16,310 --> 00:01:17,378 (CLACK) 24 00:01:17,411 --> 00:01:18,412 ** 25 00:01:25,052 --> 00:01:26,620 Sorry, I'm late. 26 00:01:26,654 --> 00:01:27,921 I'm Dr. Shaun Murphy. 27 00:01:27,955 --> 00:01:29,523 Kayley has a sore throat. 28 00:01:29,557 --> 00:01:30,991 [ Hoarsely ] More like this constant feeling 29 00:01:31,024 --> 00:01:32,393 like there's something stuck in my throat. 30 00:01:32,426 --> 00:01:34,061 And I've fainted a couple times, 31 00:01:34,094 --> 00:01:36,264 which I first thought was just random. 32 00:01:36,297 --> 00:01:38,098 And I'm obviously losing my voice. 33 00:01:38,132 --> 00:01:39,633 Since I've only just met you, 34 00:01:39,667 --> 00:01:42,403 I have no idea what your voice normally sounds like. 35 00:01:42,436 --> 00:01:43,637 Well, not this. 36 00:01:43,671 --> 00:01:47,308 Sometimes when swallowing, I get a super intense pain, 37 00:01:47,341 --> 00:01:50,644 like, worse than an ice cream headache. 38 00:01:50,678 --> 00:01:53,714 My internist sent me to an ear, nose, and throat guy, 39 00:01:53,747 --> 00:01:58,186 an orthopedic surgeon, um, three gastroenterologists, 40 00:01:58,219 --> 00:02:00,321 a voice issues specialist dude. 41 00:02:00,354 --> 00:02:02,590 An otolaryngologist. 42 00:02:04,825 --> 00:02:07,728 ...a-a neurosurgeon who thinks it might be a messed up nerve 43 00:02:07,761 --> 00:02:09,497 connecting the throat to the brain. 44 00:02:09,530 --> 00:02:12,032 The ninth cranial nerve, glossopharyngeal neuralgia. 45 00:02:12,065 --> 00:02:14,235 He recommended, like, brain surgery. 46 00:02:14,268 --> 00:02:16,404 Microvascular decompression. 47 00:02:16,437 --> 00:02:19,840 Which a second neurosurgeon said I don't need. 48 00:02:21,141 --> 00:02:23,110 You're not happy with the answers you're getting 49 00:02:23,143 --> 00:02:25,346 from a whole bunch of recommended specialists, 50 00:02:25,379 --> 00:02:27,581 so you came to the ER? 51 00:02:27,615 --> 00:02:29,617 I ran out of recommended specialists. 52 00:02:29,650 --> 00:02:30,684 Hmm. 53 00:02:30,718 --> 00:02:34,054 It is an intriguing combination of symptoms. 54 00:02:34,087 --> 00:02:35,956 We'll admit you and run some tests. 55 00:02:37,458 --> 00:02:38,492 Uh, Dr. Murphy? 56 00:02:40,528 --> 00:02:41,529 You're... 57 00:02:42,863 --> 00:02:43,931 Interesting. 58 00:02:43,964 --> 00:02:45,333 I have autism. 59 00:02:46,300 --> 00:02:47,301 That's so cool. 60 00:02:48,001 --> 00:02:49,337 Uh, I mean, no... 61 00:02:49,370 --> 00:02:51,705 Sor... Not... Not cool that you are. 62 00:02:51,739 --> 00:02:54,208 Be more insensitive, Kayley. Um... 63 00:02:55,276 --> 00:02:57,378 It's cool that you're this... 64 00:02:57,411 --> 00:03:00,748 Totally chill, super knowledgeable medico. 65 00:03:02,883 --> 00:03:06,320 Compliments... are very awkward. 66 00:03:06,354 --> 00:03:07,355 ** 67 00:03:08,188 --> 00:03:10,358 (CAMERA CLICKS) (CHUCKLES) 68 00:03:10,391 --> 00:03:12,159 Cute doctor who's gonna cure me. 69 00:03:16,129 --> 00:03:17,865 Severe abdominal discomfort. 70 00:03:17,898 --> 00:03:19,967 Fever, tachy, hypotensive. 71 00:03:21,602 --> 00:03:24,204 (SIGHS) It's okay, sweetie. 72 00:03:24,238 --> 00:03:25,506 What's your name? 73 00:03:25,539 --> 00:03:26,774 That's Marla. 74 00:03:27,508 --> 00:03:29,277 No one to leave her with. 75 00:03:29,310 --> 00:03:31,412 We're gonna take care of your mommy. 76 00:03:31,445 --> 00:03:32,513 (GROANING) 77 00:03:32,546 --> 00:03:34,982 Abdomen tender and distended. 78 00:03:35,015 --> 00:03:36,116 Dehydrated. 79 00:03:36,149 --> 00:03:37,318 (BREATHING RAPIDLY) 80 00:03:37,351 --> 00:03:38,719 Delayed capillary refill. 81 00:03:39,520 --> 00:03:41,021 Rapid respiratory rate. 82 00:03:41,054 --> 00:03:43,223 Skin cool and bluish, looks cyanotic. 83 00:03:43,257 --> 00:03:44,558 (MONITOR BEEPING RAPIDLY) She's going into shock. 84 00:03:44,592 --> 00:03:46,226 We need aggressive fluid resuscitation. 85 00:03:46,260 --> 00:03:47,495 Start broad spectrum antibiotics, 86 00:03:47,528 --> 00:03:49,297 place an NG to decompress distended abdomen. 87 00:03:49,330 --> 00:03:51,999 Trend her lactates, initiate complete sepsis bundle. 88 00:03:52,032 --> 00:03:53,033 (BEEPING CONTINUES) 89 00:03:57,070 --> 00:03:58,071 ** 90 00:04:06,380 --> 00:04:09,016 Her CBC, BMP autoimmune panel, 91 00:04:09,049 --> 00:04:11,184 nasal swab, and blood cultures. 92 00:04:11,218 --> 00:04:12,219 All normal. 93 00:04:12,986 --> 00:04:14,955 Ohh. That's exciting. 94 00:04:14,988 --> 00:04:16,624 Negative tests are exciting? 95 00:04:16,657 --> 00:04:19,927 No one's been able to find out what she has. 96 00:04:19,960 --> 00:04:23,564 I'm going to get brain FIESTA and time-of-flight MRI 97 00:04:23,597 --> 00:04:25,499 to assess the cranial nerves and vessels, 98 00:04:25,533 --> 00:04:26,900 and Doppler ultrasound to... 99 00:04:26,934 --> 00:04:29,337 I have to get back to work. 100 00:04:29,370 --> 00:04:32,005 Our pre-dawn romantic interlude made me late. 101 00:04:33,140 --> 00:04:35,943 Yes. There was a flaw in my methodology. 102 00:04:35,976 --> 00:04:38,412 My calculation was based on 103 00:04:38,446 --> 00:04:41,081 the mean duration of our sex overall, but generally, 104 00:04:41,114 --> 00:04:43,183 we take statistically significantly longer 105 00:04:43,216 --> 00:04:47,087 in the morning than at other times of day. 106 00:04:47,120 --> 00:04:48,656 Well, maybe we can discuss 107 00:04:48,689 --> 00:04:51,425 this whole timing-our-sex thing at lunchtime. 108 00:04:51,459 --> 00:04:54,462 Mm. No, thank you. 109 00:04:54,495 --> 00:04:57,264 I can't have lunch today. 110 00:04:57,297 --> 00:04:58,466 Too much to do. 111 00:05:01,502 --> 00:05:04,104 (IMPERCEPTIBLE CHATTER) 112 00:05:04,137 --> 00:05:05,739 Sorry I'm late. 113 00:05:05,773 --> 00:05:07,608 I was going to cancel our lunch. 114 00:05:07,641 --> 00:05:08,676 Let me guess. 115 00:05:08,709 --> 00:05:11,044 A patient more interesting than me. 116 00:05:11,612 --> 00:05:12,646 Exactly. 117 00:05:12,680 --> 00:05:13,981 (SIGHS) Yeah. 118 00:05:14,014 --> 00:05:16,850 She has a mysterious condition. 119 00:05:16,884 --> 00:05:19,787 But I realized I could use our lunch to help understand it. 120 00:05:19,820 --> 00:05:22,022 I ordered you a salad. Thank you. 121 00:05:22,055 --> 00:05:23,056 ** 122 00:05:28,362 --> 00:05:30,864 How do I get an ice cream headache? 123 00:05:30,898 --> 00:05:32,265 I've never had one. 124 00:05:32,299 --> 00:05:34,301 You don't want one. Brain freeze is horrible. 125 00:05:35,335 --> 00:05:36,770 The scientific term 126 00:05:36,804 --> 00:05:39,106 is sphenopalatine ganglioneuralgia. 127 00:05:39,139 --> 00:05:40,574 The trigeminal nerve reacts to 128 00:05:40,608 --> 00:05:42,342 rapid temperature change in the mouth, 129 00:05:42,376 --> 00:05:43,611 sending a signal to the brain, 130 00:05:43,644 --> 00:05:46,246 which responds with changes in blood flow and dura irritation, 131 00:05:46,279 --> 00:05:49,983 which combats what it perceives as a dangerous, noxious stimuli, 132 00:05:50,017 --> 00:05:52,185 but is just ice cream. 133 00:05:52,219 --> 00:05:53,887 I need to experience that. 134 00:05:54,822 --> 00:05:55,956 Okay. 135 00:05:55,989 --> 00:05:57,791 The technique I usually use is, 136 00:05:57,825 --> 00:05:59,359 eat way too much, way too fast. 137 00:05:59,393 --> 00:06:00,394 ** 138 00:06:04,665 --> 00:06:07,167 (INHALES) I'm quitting my job. 139 00:06:08,368 --> 00:06:10,471 The job you came back from Hershey for? 140 00:06:10,504 --> 00:06:13,273 Don't tell Glassy. He already thinks I'm a flake. 141 00:06:13,306 --> 00:06:17,177 You kicking me out is just what I needed. 142 00:06:17,210 --> 00:06:18,278 Mm-hmm. 143 00:06:18,311 --> 00:06:19,613 I was in a complete rut. 144 00:06:19,647 --> 00:06:22,850 In my personal life, at work, super stale. 145 00:06:22,883 --> 00:06:24,184 I mean, we weren't developing anything, 146 00:06:24,217 --> 00:06:26,820 just market testing designs... 147 00:06:26,854 --> 00:06:27,855 Ow. 148 00:06:28,355 --> 00:06:30,691 Ow! Ow, ow! 149 00:06:31,258 --> 00:06:32,325 That's awful! 150 00:06:32,359 --> 00:06:33,994 What's the cure? Time. 151 00:06:34,027 --> 00:06:35,663 How much time? Depends. 152 00:06:37,264 --> 00:06:40,400 Do you think I should include my job in Hershey on my resume? 153 00:06:40,434 --> 00:06:42,570 It hurts so much! 154 00:06:43,604 --> 00:06:44,838 Or does it make me look like 155 00:06:44,872 --> 00:06:46,740 I'm unable to commit to anything? 156 00:06:46,774 --> 00:06:47,775 Ow! 157 00:06:49,777 --> 00:06:50,778 Okay. 158 00:06:52,379 --> 00:06:54,782 The ultrasound showed your colon is distended. 159 00:06:54,815 --> 00:06:56,750 We placed a rectal tube and an NG 160 00:06:56,784 --> 00:06:58,552 to try to get that decompressed. 161 00:06:58,586 --> 00:07:00,087 Mommy, can we go home? 162 00:07:00,120 --> 00:07:01,188 Not yet, sweetie. 163 00:07:01,221 --> 00:07:02,656 It would be helpful to try to find out 164 00:07:02,690 --> 00:07:03,724 what could've triggered this. 165 00:07:03,757 --> 00:07:06,560 Any history of Crohn's or ulcerative colitis? 166 00:07:06,594 --> 00:07:07,595 No. 167 00:07:08,562 --> 00:07:09,830 I, um... 168 00:07:09,863 --> 00:07:11,732 I have had some UTIs lately. 169 00:07:11,765 --> 00:07:13,266 That's likely not connected. 170 00:07:13,300 --> 00:07:14,902 Okay. PARK: Diverticulitis? 171 00:07:14,935 --> 00:07:16,737 Any recent international travel? 172 00:07:16,770 --> 00:07:18,672 I have a three-year-old and no husband. 173 00:07:18,706 --> 00:07:19,740 MELENDEZ: Okay. 174 00:07:19,773 --> 00:07:21,542 We're gonna need to keep you on IV antibiotics 175 00:07:21,575 --> 00:07:23,410 and monitor the distention. 176 00:07:23,443 --> 00:07:26,279 In the meantime, is there anyone who can look after Marla? 177 00:07:26,313 --> 00:07:28,248 No one. 178 00:07:28,281 --> 00:07:31,418 My whole family's back east. It's... It's just us. 179 00:07:31,451 --> 00:07:34,888 I'll get a social worker to look after her. 180 00:07:34,922 --> 00:07:35,923 Thank you. 181 00:07:42,963 --> 00:07:44,632 Go ahead, honey. 182 00:07:44,665 --> 00:07:45,666 ** 183 00:07:50,370 --> 00:07:51,371 ** 184 00:07:59,446 --> 00:08:01,715 Why is my mom upset? 185 00:08:01,749 --> 00:08:02,750 ** 186 00:08:03,851 --> 00:08:04,918 (SIGHS) 187 00:08:04,952 --> 00:08:08,488 If her anterior inferior cerebellar artery 188 00:08:08,522 --> 00:08:10,490 is encroaching on her glossopharyngeal nerve, 189 00:08:10,524 --> 00:08:11,592 it's very minor. 190 00:08:11,625 --> 00:08:12,826 Certainly not enough to justify 191 00:08:12,860 --> 00:08:14,327 microvascular decompression surgery. 192 00:08:14,361 --> 00:08:15,428 I agree. 193 00:08:15,462 --> 00:08:18,498 It could also be acid reflux temporal arteritis, 194 00:08:18,532 --> 00:08:21,802 laryngopharyngeal dysesthesia. We need to... 195 00:08:21,835 --> 00:08:23,671 We need to do $50,000 of tests, 196 00:08:23,704 --> 00:08:25,906 and it might be acid reflux? 197 00:08:25,939 --> 00:08:28,041 Or temporal arteritis or... 198 00:08:28,075 --> 00:08:29,176 It's a constellation 199 00:08:29,209 --> 00:08:30,811 of relatively insignificant symptoms. 200 00:08:30,844 --> 00:08:33,981 Have you ever had an ice cream headache, Dr. Andrews? 201 00:08:35,148 --> 00:08:36,283 Yes. 202 00:08:36,316 --> 00:08:39,152 I believe it didn't require brain surgery, Dr. Murphy. 203 00:08:40,053 --> 00:08:42,522 As a compromise, we could do an MRI 204 00:08:42,556 --> 00:08:44,692 and CT her neck and a swallow... 205 00:08:44,725 --> 00:08:46,493 Shaun. 206 00:08:46,526 --> 00:08:49,597 You don't compromise with your boss. 207 00:08:49,630 --> 00:08:52,132 Start her on dilantin for her pain and send her home. 208 00:08:52,165 --> 00:08:53,166 ** 209 00:08:57,237 --> 00:08:58,238 ** 210 00:09:02,242 --> 00:09:03,476 Can I just leave her with you? 211 00:09:03,510 --> 00:09:05,378 I'm a receptionist, not a social worker. 212 00:09:05,412 --> 00:09:06,413 And I'm a surgeon. 213 00:09:09,116 --> 00:09:10,550 I didn't mean I'm more important. 214 00:09:10,584 --> 00:09:13,654 I just meant we both have more important things to do. 215 00:09:13,687 --> 00:09:14,888 When will the social worker be here? 216 00:09:14,922 --> 00:09:16,056 She said half an hour. 217 00:09:16,089 --> 00:09:17,490 Can you page her again? 218 00:09:17,524 --> 00:09:19,559 I want my mama. 219 00:09:19,593 --> 00:09:21,762 Why don't you just go play with the toys, okay? 220 00:09:22,863 --> 00:09:24,732 Do you have her number? I'll call her myself. 221 00:09:25,866 --> 00:09:27,367 I made Mommy sick. 222 00:09:28,936 --> 00:09:30,904 No, sweetie. It's not your fault. 223 00:09:30,938 --> 00:09:32,439 Sometimes people just get sick. 224 00:09:32,472 --> 00:09:34,742 Mommy drawk ma poop. 225 00:09:36,476 --> 00:09:38,879 Your mommy drew your poop? No! 226 00:09:38,912 --> 00:09:41,014 Drawk. Mommy drawk. 227 00:09:43,884 --> 00:09:44,918 Drank? 228 00:09:44,952 --> 00:09:46,019 Yes. 229 00:09:46,053 --> 00:09:49,222 Mommy drawnk my poop. 230 00:09:49,256 --> 00:09:50,257 ** 231 00:09:53,861 --> 00:09:56,697 The good news is, we've ruled out glossopharyngeal neuralgia. 232 00:09:56,730 --> 00:09:58,165 You don't need brain surgery. 233 00:09:58,198 --> 00:10:00,533 Never any good news without bad news. 234 00:10:00,567 --> 00:10:03,203 We've got a list of a few things you don't have, 235 00:10:03,236 --> 00:10:04,672 but we don't know what you do have. 236 00:10:05,806 --> 00:10:07,307 So you'll run more tests. 237 00:10:07,808 --> 00:10:08,876 We can't. 238 00:10:08,909 --> 00:10:12,012 There are 21 different things this might be, 239 00:10:12,045 --> 00:10:15,048 but they don't want us to run 37 more tests. 240 00:10:18,919 --> 00:10:20,020 Well, this is lame. 241 00:10:20,053 --> 00:10:23,490 I can afford the tests. I make good money. 242 00:10:23,523 --> 00:10:26,026 (VOICE SQUEAKING) I can't keep talking like this! 243 00:10:26,059 --> 00:10:27,060 I need a... 244 00:10:29,529 --> 00:10:30,530 (MONITOR ALARM) 245 00:10:32,165 --> 00:10:33,333 She's hypotensive. 246 00:10:33,366 --> 00:10:34,367 Code stroke. 247 00:10:36,336 --> 00:10:38,238 We need stat brain CT and MRI. 248 00:10:38,271 --> 00:10:40,774 Call angio. She may need mechanical thrombectomy. 249 00:10:40,808 --> 00:10:41,809 ** 250 00:10:46,079 --> 00:10:49,416 3 cc's of 2% lidocaine. 251 00:10:49,449 --> 00:10:50,450 ** 252 00:10:53,721 --> 00:10:54,722 (MONITOR ALARM BEEPING) 253 00:10:59,693 --> 00:11:00,694 ** 254 00:11:08,501 --> 00:11:09,536 (INHALES SHARPLY) 255 00:11:09,569 --> 00:11:10,570 (ALARM STOPS) 256 00:11:12,472 --> 00:11:13,473 ** 257 00:11:18,211 --> 00:11:20,080 Wow. (GASPS) 258 00:11:20,113 --> 00:11:21,114 (CHUCKLES LIGHTLY) 259 00:11:27,988 --> 00:11:29,589 I-I didn't drink it. I just... 260 00:11:30,590 --> 00:11:33,193 I just used her stool to do a home fecal transfer. 261 00:11:33,226 --> 00:11:35,028 And you didn't think to mention that? 262 00:11:35,062 --> 00:11:37,064 You said my UTIs were unrelated. 263 00:11:39,166 --> 00:11:41,001 They didn't get better with antibiotics, 264 00:11:41,034 --> 00:11:43,403 so I did exactly what I was supposed to do. 265 00:11:43,436 --> 00:11:46,573 The video swore that it was completely safe. 266 00:11:46,606 --> 00:11:48,942 Make sure your friend is completely healthy. 267 00:11:48,976 --> 00:11:50,878 I've had the best results with vegans, 268 00:11:50,911 --> 00:11:52,112 though if it were between 269 00:11:52,145 --> 00:11:55,382 an 18-year-old carnivore and a 60-year-old vegan... 270 00:11:55,415 --> 00:11:56,516 Well, don't make me choose. 271 00:11:56,549 --> 00:11:58,551 We're gonna add the saline solution. 272 00:12:00,620 --> 00:12:03,190 Should be a one-to-one match, more or less. 273 00:12:04,391 --> 00:12:07,494 Then, we're gonna puree... 274 00:12:07,527 --> 00:12:09,196 (BLENDER WHIRRS) 275 00:12:09,229 --> 00:12:11,331 ...puree, and then puree some more. 276 00:12:11,364 --> 00:12:12,866 While it's mixing... 277 00:12:14,234 --> 00:12:15,869 Let's talk enema bags. 278 00:12:16,870 --> 00:12:17,905 (INHALES DEEPLY) 279 00:12:17,938 --> 00:12:21,074 Marla must have seen her using the blender, 280 00:12:21,108 --> 00:12:22,175 assumed she drank it. 281 00:12:22,209 --> 00:12:23,610 Yeah, that's the mystery here, 282 00:12:23,643 --> 00:12:25,345 not how anyone this stupid is still alive. 283 00:12:25,378 --> 00:12:27,547 It's not completely irrational. 284 00:12:27,580 --> 00:12:30,183 The E. coli strain in drug-resistant UTIs 285 00:12:30,217 --> 00:12:31,684 can hide out in the gut. 286 00:12:31,718 --> 00:12:34,554 Repopulating the colon microbiome using FMT 287 00:12:34,587 --> 00:12:35,923 has shown some success. 288 00:12:35,956 --> 00:12:38,591 In a hospital, under controlled and sterile conditions. 289 00:12:39,226 --> 00:12:40,493 Prep her for surgery. 290 00:12:40,527 --> 00:12:41,795 Between the dilation and rigidity, 291 00:12:41,829 --> 00:12:44,431 there may be colon perforation. 292 00:12:44,464 --> 00:12:47,901 And test Marla's stool for toxins and infectious bacteria. 293 00:12:49,970 --> 00:12:53,640 She was suffering a mini-stroke, and I saved her. 294 00:12:53,673 --> 00:12:56,509 I saved her. I need to celebrate. Outside? 295 00:12:56,543 --> 00:12:57,710 I want to celebrate by kissing you. 296 00:12:57,744 --> 00:12:59,179 A lot. 297 00:12:59,212 --> 00:13:01,314 I-Inside would be inappropriate. 298 00:13:02,816 --> 00:13:04,084 (CHUCKLES) 299 00:13:04,117 --> 00:13:06,753 Eagle Syndrome is very rare. 300 00:13:06,786 --> 00:13:08,655 A longer-than-normal styloid bone 301 00:13:08,688 --> 00:13:10,423 coming off the base of the skull. 302 00:13:10,457 --> 00:13:11,791 And... I only get a five-minute break. 303 00:13:13,593 --> 00:13:15,528 It impinged on her nerves, 304 00:13:15,562 --> 00:13:17,064 causing the confusing symptoms 305 00:13:17,097 --> 00:13:19,199 that baffled eight expert doctors. 306 00:13:19,232 --> 00:13:21,601 And then when she turned her head suddenly, 307 00:13:21,634 --> 00:13:24,237 it pinched her carotid, causing her TIA. (LAUGHS) 308 00:13:25,272 --> 00:13:27,507 Yeah, it's him! (GASPS) 309 00:13:29,977 --> 00:13:31,544 It's Dr. Murphy! 310 00:13:31,578 --> 00:13:32,579 (EXCITED LAUGHTER) 311 00:13:34,181 --> 00:13:35,548 How do I know you? 312 00:13:35,582 --> 00:13:37,317 He is cute! (CAMERAS CLICKING) 313 00:13:37,350 --> 00:13:39,252 Is that his girlfriend? 314 00:13:39,286 --> 00:13:40,320 Kayley's hotter. 315 00:13:40,353 --> 00:13:41,354 (CLICKING CONTINUES) 316 00:13:42,289 --> 00:13:43,290 ** 317 00:13:44,691 --> 00:13:45,692 WOMAN: He's so cute! 318 00:13:46,359 --> 00:13:47,460 (CLICKING CONTINUES) 319 00:13:51,531 --> 00:13:52,532 (LAUGHS) 320 00:13:54,667 --> 00:13:57,337 (NORMAL VOICE) My personal... Chernobyl. 321 00:13:57,370 --> 00:13:58,438 (LAUGHS) What? 322 00:13:59,039 --> 00:14:00,107 Seriously, guys. 323 00:14:00,140 --> 00:14:01,374 Ohh, come on. 324 00:14:01,408 --> 00:14:03,977 A zone of exclusion should be imposed around my kitchen. 325 00:14:04,011 --> 00:14:05,712 (LAUGHS) (CLICK) 326 00:14:05,745 --> 00:14:08,115 Millions of people have watched that? 327 00:14:08,148 --> 00:14:09,816 (HOARSELY) As of 9:00 a.m. 328 00:14:09,849 --> 00:14:11,518 You're an influencer. 329 00:14:11,551 --> 00:14:14,621 And you posted how I saved you? 330 00:14:14,654 --> 00:14:17,057 But I take it I'm not saved yet? You still have to operate? 331 00:14:17,090 --> 00:14:19,692 A normal styloid process 332 00:14:19,726 --> 00:14:21,828 is 2.5 centimeters in length. Yours measures... 333 00:14:21,861 --> 00:14:22,930 Don't do that. 334 00:14:24,164 --> 00:14:25,865 There are two surgical options. 335 00:14:28,835 --> 00:14:30,803 Transoral, where we go in through your mouth. 336 00:14:30,837 --> 00:14:33,373 It's non-invasive, but creates surgical challenges 337 00:14:33,406 --> 00:14:35,208 for physical and visual access. 338 00:14:35,242 --> 00:14:37,310 The alternative transcervical procedure 339 00:14:37,344 --> 00:14:39,279 involves an incision in your neck 340 00:14:39,312 --> 00:14:40,981 with none of those access issues, 341 00:14:41,014 --> 00:14:43,616 but with some post-operative scarring. 342 00:14:43,650 --> 00:14:46,519 So one way is safer, but the other way, I'll look better? 343 00:14:46,553 --> 00:14:47,620 It's a pretty bad-ass scar. 344 00:14:47,654 --> 00:14:48,655 (CHUCKLES) 345 00:14:49,756 --> 00:14:51,824 Can I take a bit to decide which? 346 00:14:51,858 --> 00:14:52,859 Of course. 347 00:14:56,429 --> 00:14:58,865 You had no right to tell the world about me. 348 00:14:58,898 --> 00:15:00,300 It was flattering. 349 00:15:00,333 --> 00:15:03,170 Not everyone wants to be famous. 350 00:15:03,203 --> 00:15:06,039 Uh... If it's any consolation, 351 00:15:06,073 --> 00:15:08,508 you've had over 70 marriage proposals. 352 00:15:10,110 --> 00:15:11,178 It's not. 353 00:15:11,211 --> 00:15:12,212 ** 354 00:15:17,384 --> 00:15:20,487 Some of us are more comfortable in the spotlight than others. 355 00:15:20,520 --> 00:15:22,022 I think you're great. 356 00:15:22,055 --> 00:15:23,223 Thanks. 357 00:15:23,256 --> 00:15:24,257 ** 358 00:15:28,395 --> 00:15:30,730 MARLA: I don't have to poop. 359 00:15:31,298 --> 00:15:32,465 Be patient. 360 00:15:36,436 --> 00:15:38,738 I don't have to poop! 361 00:15:38,771 --> 00:15:40,840 Is there something your mom does 362 00:15:40,873 --> 00:15:42,609 to help you when you can't go? 363 00:15:42,642 --> 00:15:45,312 MARLA: Sometimes she hold my hand. 364 00:15:46,246 --> 00:15:47,747 Would you like me to? 365 00:15:47,780 --> 00:15:49,416 MARLA: You're not my mom. 366 00:15:49,449 --> 00:15:51,584 Well, just keep trying. 367 00:15:53,353 --> 00:15:54,554 MARLA: Pbbbbbbht. 368 00:15:55,355 --> 00:15:56,956 (SIGHS) 369 00:15:56,990 --> 00:16:00,527 Sweetie, we really need you to go. 370 00:16:00,560 --> 00:16:05,398 If you can't, there is another way we can do this. 371 00:16:05,432 --> 00:16:06,466 MARLA: How? 372 00:16:06,499 --> 00:16:09,269 CLAIRE: Well, it's not fun. 373 00:16:09,302 --> 00:16:10,603 For either of us. 374 00:16:10,637 --> 00:16:11,804 (INHALES SHARPLY) 375 00:16:13,273 --> 00:16:15,075 (SIGHS) 376 00:16:15,108 --> 00:16:18,878 MELENDEZ: Isolate and divide middle colic artery and vein. 377 00:16:18,911 --> 00:16:20,147 It's an epidemic. 378 00:16:20,180 --> 00:16:21,814 People taking online medical advice. 379 00:16:21,848 --> 00:16:23,816 CLAIRE: It's not the problem. It's the symptom. 380 00:16:23,850 --> 00:16:26,419 Medical care is a financial stress for lots of people, 381 00:16:26,453 --> 00:16:29,089 not to mention physician arrogance, 382 00:16:29,122 --> 00:16:30,923 incompetence, impatience. 383 00:16:30,957 --> 00:16:32,792 So it's our fault? 384 00:16:32,825 --> 00:16:34,627 Resect and cut the colon proximal and distal 385 00:16:34,661 --> 00:16:36,329 to the perforation with GIA stapler. 386 00:16:37,497 --> 00:16:38,998 A friend of a friend self-diagnosed 387 00:16:39,032 --> 00:16:41,601 her own Cushing's disease online 388 00:16:41,634 --> 00:16:44,804 after a series of doctors barely listened to her, 389 00:16:44,837 --> 00:16:47,307 told her to get more rest. 390 00:16:47,340 --> 00:16:48,741 I'm guessing she didn't then perform 391 00:16:48,775 --> 00:16:50,210 do-it-yourself brain surgery at home. 392 00:16:50,243 --> 00:16:51,244 (GROANS) 393 00:16:51,844 --> 00:16:52,845 Claire's right. 394 00:16:54,647 --> 00:16:56,383 I was... supporting your point. 395 00:16:56,416 --> 00:16:58,618 She convinced me I was wrong. 396 00:16:58,651 --> 00:17:00,553 Divide mesentery with LigaSure. 397 00:17:02,689 --> 00:17:03,890 (MONITOR ALARM) 398 00:17:06,559 --> 00:17:07,660 WOMAN: We have a bleed. 399 00:17:07,694 --> 00:17:08,761 It's major. 400 00:17:08,795 --> 00:17:10,163 Tension during mobilization 401 00:17:10,197 --> 00:17:11,331 must have caused a splenic capsule tear. 402 00:17:11,364 --> 00:17:12,399 We need to do a splenectomy. 403 00:17:12,432 --> 00:17:13,833 Cut the connecting attachments. 404 00:17:13,866 --> 00:17:15,335 (ALARM CONTINUES) 405 00:17:17,237 --> 00:17:18,305 Kidney. 406 00:17:18,338 --> 00:17:19,606 Diaphragm. 407 00:17:19,639 --> 00:17:21,541 Take the vascular pedicle with a white load stapler. 408 00:17:21,574 --> 00:17:23,110 Do not get the tail of the pancreas. 409 00:17:24,377 --> 00:17:25,378 ** 410 00:17:26,213 --> 00:17:27,214 (ALARM STOPS) 411 00:17:28,281 --> 00:17:29,282 ** 412 00:17:33,520 --> 00:17:35,021 Dr. Melendez? 413 00:17:35,054 --> 00:17:36,156 Can this wait? 414 00:17:36,189 --> 00:17:37,224 I'm not sure. 415 00:17:37,257 --> 00:17:39,259 The fecal sample that your team sent me... 416 00:17:39,292 --> 00:17:42,429 (SIGHS) It might be normal, but was it mislabeled? 417 00:17:42,462 --> 00:17:44,464 It seems to be from a 70-year-old. 418 00:17:45,432 --> 00:17:47,167 It's from a three-year-old. 419 00:17:47,200 --> 00:17:52,572 SCFAs, elevated isobutyric and isovaleric acid. 420 00:17:52,605 --> 00:17:55,642 She is at high risk for serious cardiac problems. 421 00:17:55,675 --> 00:17:56,676 ** 422 00:18:07,187 --> 00:18:08,188 (BRAKES SQUEAL) 423 00:18:17,597 --> 00:18:18,598 Oh, are you okay? 424 00:18:30,577 --> 00:18:33,413 Her social media posts about Shaun have gone viral. 425 00:18:33,446 --> 00:18:35,448 I've got reporters clamoring to speak 426 00:18:35,482 --> 00:18:37,284 to the "twice-exceptional" Dr. Murphy. 427 00:18:37,317 --> 00:18:39,085 Bad idea. Luckily, he won't do it. 428 00:18:39,118 --> 00:18:41,288 He went off on Kayley about his privacy. 429 00:18:41,321 --> 00:18:42,889 The publicity would be good for the hospital. 430 00:18:42,922 --> 00:18:45,958 And I'm sure Dr. Glassman can make him see the wisdom of that. 431 00:18:45,992 --> 00:18:47,594 MELENDEZ: I'm with Andrews. 432 00:18:47,627 --> 00:18:49,028 It smacks of us patting ourselves on the back. 433 00:18:49,061 --> 00:18:51,130 It could also come off as exploitative. 434 00:18:51,164 --> 00:18:53,300 But the bigger issue is, it could blow up in our face. 435 00:18:53,333 --> 00:18:55,635 Shaun is a complete communications wild card. 436 00:18:55,668 --> 00:18:57,770 Who knows what he'll say about you, about me, 437 00:18:57,804 --> 00:18:59,439 about being demoted, about screw-ups. 438 00:18:59,472 --> 00:19:01,241 Well, we would have to coach him. 439 00:19:01,274 --> 00:19:03,943 Do we have six years before they need to go to press? 440 00:19:03,976 --> 00:19:06,479 I can go with him, manage the situation. 441 00:19:06,513 --> 00:19:07,714 GLASSMAN: No, no, no. 442 00:19:08,715 --> 00:19:10,517 If we consider Shaun an asset, 443 00:19:10,550 --> 00:19:12,385 we shouldn't treat him like a liability. 444 00:19:14,454 --> 00:19:16,556 I'll talk to him, see what he says. 445 00:19:18,991 --> 00:19:21,828 You can see the proximity of her elongated styloid 446 00:19:21,861 --> 00:19:23,530 to the nerves and carotid. 447 00:19:23,563 --> 00:19:25,598 The trick is to break off the excess length 448 00:19:25,632 --> 00:19:27,934 without injury to local neurovascular structures. 449 00:19:27,967 --> 00:19:30,002 If done transcervically, entry point is key. 450 00:19:30,036 --> 00:19:33,072 Minimizes risk of a marginal mandibular nerve injury. 451 00:19:33,105 --> 00:19:34,641 Has she made a decision? 452 00:19:34,674 --> 00:19:35,675 SHAUN: Not yet. 453 00:19:36,743 --> 00:19:37,944 I'd like to lead. 454 00:19:37,977 --> 00:19:39,812 Being that it's such a rare surgery, 455 00:19:39,846 --> 00:19:42,014 I may not get another chance at it during residency. 456 00:19:42,048 --> 00:19:44,116 When I have the benefit of supervision. 457 00:19:44,150 --> 00:19:45,785 And it wouldn't have anything to do with hoping 458 00:19:45,818 --> 00:19:47,820 Kayley might then post glowingly about you? 459 00:19:47,854 --> 00:19:48,921 Not at all. 460 00:19:48,955 --> 00:19:50,323 Well, undoubtedly, a little. 461 00:19:51,291 --> 00:19:52,725 Given the attention this case has drawn, 462 00:19:52,759 --> 00:19:55,428 I think we should put our best, most experienced choice forward. 463 00:19:56,763 --> 00:19:59,198 Well, this is a teaching hospital. 464 00:19:59,232 --> 00:20:02,269 It's exactly the type of surgery we'd give to a third-year. 465 00:20:02,302 --> 00:20:03,736 The fact that she has an online presence 466 00:20:03,770 --> 00:20:04,837 shouldn't be a factor. 467 00:20:04,871 --> 00:20:07,106 And yet here you are, the Chief of Surgery 468 00:20:07,139 --> 00:20:09,141 working a case you say a third-year can handle. 469 00:20:09,175 --> 00:20:11,043 It also might reflect well on this place 470 00:20:11,077 --> 00:20:14,213 to have a young woman be the face of Kayley's surgery. 471 00:20:14,247 --> 00:20:15,882 Assuming it goes well. 472 00:20:17,384 --> 00:20:19,218 Live by the Internet, die by the Internet. 473 00:20:20,920 --> 00:20:21,921 You still want to lead? 474 00:20:23,022 --> 00:20:24,424 Yes. 475 00:20:24,457 --> 00:20:25,458 It's yours. 476 00:20:27,193 --> 00:20:28,227 ** 477 00:20:51,618 --> 00:20:52,619 ** 478 00:21:04,397 --> 00:21:05,532 (WHIRRING) 479 00:21:07,567 --> 00:21:08,568 ** 480 00:21:18,144 --> 00:21:19,145 ** 481 00:21:21,213 --> 00:21:22,214 (COMPUTER CHIRPS) 482 00:21:25,151 --> 00:21:26,152 ** 483 00:21:28,087 --> 00:21:29,088 MELENDEZ: Ann? 484 00:21:30,390 --> 00:21:31,391 Ann. 485 00:21:38,465 --> 00:21:39,666 Am I okay? 486 00:21:39,699 --> 00:21:40,933 You're fine. 487 00:21:40,967 --> 00:21:42,935 We had to wake you up a little earlier than we'd like 488 00:21:42,969 --> 00:21:44,771 because we need to discuss something with you. 489 00:21:44,804 --> 00:21:45,838 Do you understand? 490 00:21:45,872 --> 00:21:47,206 (EXHALES SHARPLY) 491 00:21:47,239 --> 00:21:49,642 Your gut biome showed markers for elevated cholesterol. 492 00:21:49,676 --> 00:21:51,444 Which you don't have. 493 00:21:51,478 --> 00:21:52,579 Your daughter does. 494 00:21:54,581 --> 00:21:56,683 Marla has high cholesterol? 495 00:21:56,716 --> 00:21:59,452 She has a genetic condition: hyperlipidemia. 496 00:21:59,486 --> 00:22:01,854 Coronary testing showed 90% narrowing 497 00:22:01,888 --> 00:22:03,956 of the left main artery to her heart. 498 00:22:03,990 --> 00:22:05,392 (GROANS) 499 00:22:05,425 --> 00:22:08,628 I'm afraid your daughter needs urgent heart surgery. 500 00:22:15,301 --> 00:22:18,270 I don't want to. 501 00:22:18,471 --> 00:22:19,506 Okay. 502 00:22:19,539 --> 00:22:21,140 I'll tell the reporters that. 503 00:22:21,173 --> 00:22:24,010 But can... can we talk about why? 504 00:22:24,043 --> 00:22:26,446 (COMPUTER BEEPS) Your computer just beeped. 505 00:22:26,479 --> 00:22:28,014 I know. 506 00:22:28,047 --> 00:22:30,817 I can think of a few reasons why you might be reticent. 507 00:22:30,850 --> 00:22:32,519 You're shy. No, I'm not. 508 00:22:32,552 --> 00:22:35,321 Well, you do have trouble with social interactions, 509 00:22:35,354 --> 00:22:36,989 and you have trouble anticipating 510 00:22:37,023 --> 00:22:39,526 what people might ask and how you might respond. 511 00:22:39,559 --> 00:22:43,430 Yes, that is a problem when I'm meeting with a patient 512 00:22:43,463 --> 00:22:46,433 or I'm at a job interview or I'm on a date. 513 00:22:46,466 --> 00:22:47,800 Then my answers matter. 514 00:22:47,834 --> 00:22:50,136 But if I'm talking to a reporter, they don't matter. 515 00:22:50,169 --> 00:22:51,638 (COMPUTER BEEPS) It beeped again. 516 00:22:51,671 --> 00:22:53,640 Yes, I know. We're digitizing. 517 00:22:53,673 --> 00:22:55,975 Every time a patient needs to take a drug, 518 00:22:56,008 --> 00:22:57,076 we send them a reminder. 519 00:22:57,109 --> 00:23:00,379 For some unknown reason, they keep sending me one, too. 520 00:23:00,413 --> 00:23:01,914 I think stories do matter. 521 00:23:01,948 --> 00:23:05,184 I think what you do and what you have done 522 00:23:05,217 --> 00:23:08,855 might be inspirational for people to hear. 523 00:23:09,589 --> 00:23:10,657 Okay. 524 00:23:10,690 --> 00:23:12,058 Okay, you'll do it? 525 00:23:12,091 --> 00:23:13,926 Okay, you've convinced me I should be nervous about it. 526 00:23:13,960 --> 00:23:15,762 Now I have two reasons not to do it. 527 00:23:15,795 --> 00:23:16,929 What's the other reason? 528 00:23:16,963 --> 00:23:19,732 I'm very busy between doing my job and having sex. 529 00:23:19,766 --> 00:23:21,434 I don't have a lot of free time. 530 00:23:22,669 --> 00:23:23,836 (COMPUTER BEEPS) 531 00:23:23,870 --> 00:23:25,438 You should hire Lea. 532 00:23:25,972 --> 00:23:27,339 No. SHAUN: Yes. 533 00:23:27,373 --> 00:23:30,176 She's very good at tech 534 00:23:30,209 --> 00:23:32,745 and isn't happy in her job right now. 535 00:23:32,779 --> 00:23:33,780 ** 536 00:23:35,448 --> 00:23:37,550 I'll tell you what, Shaun. 537 00:23:37,584 --> 00:23:40,119 You think about this, you really think about this, 538 00:23:40,152 --> 00:23:43,355 how your story can benefit people, 539 00:23:43,389 --> 00:23:45,091 and I will... 540 00:23:47,126 --> 00:23:49,095 Interview Lea. 541 00:23:49,729 --> 00:23:50,797 Excellent. 542 00:23:52,164 --> 00:23:54,400 I'll think about it. 543 00:23:54,433 --> 00:23:57,937 I'll really think about it. 544 00:23:57,970 --> 00:23:59,138 Okay. 545 00:24:02,975 --> 00:24:04,577 (COMPUTER BEEPS) (SIGHS) 546 00:24:06,178 --> 00:24:08,114 (DOOR CLOSES) (KEYBOARD CLANKING) 547 00:24:08,147 --> 00:24:10,416 Some people definitely thought I would look amazeballs 548 00:24:10,449 --> 00:24:11,851 rocking a neck scar. 549 00:24:11,884 --> 00:24:14,420 But the consensus was, 550 00:24:14,453 --> 00:24:16,455 there's only so many turtleneck days in a year. 551 00:24:16,489 --> 00:24:19,125 So I'm going with the no-scar approach. 552 00:24:20,026 --> 00:24:22,629 Which one did you vote for? 553 00:24:22,662 --> 00:24:25,532 Well, these are my people. I mean, they know me. 554 00:24:25,565 --> 00:24:27,767 They know what's best for me and my brand. 555 00:24:29,902 --> 00:24:31,337 "Wisdom of the crowd." 556 00:24:31,370 --> 00:24:33,940 My warrior goddess lead surgeon. 557 00:24:33,973 --> 00:24:35,007 (CAMERA CLICKS) (ANDREWS LAUGHS) 558 00:24:35,041 --> 00:24:36,342 We'll get you prepped for surgery. 559 00:24:38,310 --> 00:24:39,979 New blouse? It's nice. 560 00:24:41,213 --> 00:24:42,949 Dr. Murphy, do you have a minute? 561 00:24:49,989 --> 00:24:52,625 I really am sorry I upset you. 562 00:24:53,325 --> 00:24:55,127 And I really am grateful. 563 00:24:55,862 --> 00:24:57,096 Being sick was... 564 00:24:57,129 --> 00:24:58,798 You don't need to explain 565 00:24:58,831 --> 00:25:01,000 why you're grateful we diagnosed your illness. 566 00:25:01,033 --> 00:25:02,334 Well, I do. 567 00:25:03,369 --> 00:25:05,938 You saved me and my career. (CHUCKLES) 568 00:25:07,206 --> 00:25:09,609 At first, my followers were super into 569 00:25:09,642 --> 00:25:12,779 what I was going through, but after a while, 570 00:25:12,812 --> 00:25:14,747 you just start being "the sick girl." 571 00:25:14,781 --> 00:25:17,584 You give up your privacy. Doesn't that bother you? 572 00:25:17,617 --> 00:25:19,518 I have nothing to hide. 573 00:25:19,552 --> 00:25:20,653 No one should. 574 00:25:21,954 --> 00:25:24,557 We should all just be who we are. 575 00:25:28,861 --> 00:25:30,997 We are... 576 00:25:32,498 --> 00:25:35,167 The decisions we make. 577 00:25:36,235 --> 00:25:39,171 And you let other people make them for you. 578 00:25:41,073 --> 00:25:43,175 So you're not being anyone. 579 00:25:43,542 --> 00:25:44,543 ** 580 00:25:54,520 --> 00:25:57,556 You know how you and I like to do so many things together? 581 00:25:57,590 --> 00:25:59,425 We make clay mugs. 582 00:25:59,458 --> 00:26:00,693 That's right. 583 00:26:00,727 --> 00:26:04,964 Mommy was sick, and she needed to be fixed. 584 00:26:04,997 --> 00:26:07,734 And you're sick, too. 585 00:26:07,767 --> 00:26:09,035 I don't feel sick. 586 00:26:09,068 --> 00:26:10,236 That's good. 587 00:26:10,269 --> 00:26:11,971 And the doctors just want to make sure 588 00:26:12,004 --> 00:26:13,640 everything is all better before you do. 589 00:26:13,673 --> 00:26:14,774 How? 590 00:26:15,842 --> 00:26:18,077 They're gonna go inside you and... 591 00:26:18,110 --> 00:26:19,178 How? 592 00:26:19,211 --> 00:26:20,579 They're gonna make a little cut... 593 00:26:20,613 --> 00:26:21,681 No! 594 00:26:21,714 --> 00:26:22,815 You're gonna be asleep. 595 00:26:22,849 --> 00:26:24,383 No! Just like Mommy. 596 00:26:24,416 --> 00:26:26,518 I... No, no, no, no, no! 597 00:26:26,552 --> 00:26:28,387 I'll be with you, Marla. I'll take good care of you. 598 00:26:28,420 --> 00:26:29,588 No, no, no, no, no! It's okay. Just breathe, sweetie. 599 00:26:29,622 --> 00:26:30,690 Count to three. No! 600 00:26:30,723 --> 00:26:31,858 Hey, sweetie, you have to be brave. No! 601 00:26:31,891 --> 00:26:32,892 No! 602 00:26:34,961 --> 00:26:36,062 Code blue! 603 00:26:37,964 --> 00:26:39,031 What's happening? 604 00:26:39,065 --> 00:26:40,532 (VOICE BREAKING) Please help my baby. 605 00:26:40,566 --> 00:26:41,600 She's had a heart attack! 606 00:26:42,735 --> 00:26:43,736 Marla. 607 00:26:44,336 --> 00:26:45,337 Marla? 608 00:26:46,405 --> 00:26:47,439 Marla! 609 00:26:54,280 --> 00:26:57,016 Uh, would you like my CV? 610 00:26:57,216 --> 00:26:58,885 No. 611 00:26:58,918 --> 00:27:01,520 I know who you are. I don't need to see a list. 612 00:27:04,090 --> 00:27:05,091 Where do I work? 613 00:27:07,326 --> 00:27:08,795 It's a tech company. 614 00:27:09,428 --> 00:27:10,462 You were there. 615 00:27:10,496 --> 00:27:12,932 Cars. Something about cars. 616 00:27:12,965 --> 00:27:15,768 You have no interest in hiring me, do you? 617 00:27:15,802 --> 00:27:17,770 No. It's not personal. 618 00:27:17,804 --> 00:27:19,205 It's a little personal. 619 00:27:19,238 --> 00:27:21,908 I'm doing a favor for Shaun. I don't really need anyone. 620 00:27:21,941 --> 00:27:23,810 Did he ask you to waste my time? 621 00:27:24,643 --> 00:27:25,912 Yeah... It's okay. 622 00:27:25,945 --> 00:27:27,947 I didn't really want to work for you anyway. 623 00:27:27,980 --> 00:27:29,215 You're a bit of a grouch. 624 00:27:29,248 --> 00:27:32,685 But make sure whoever does do the job shores up your firewall. 625 00:27:32,719 --> 00:27:34,220 A kindergartner can hack it. 626 00:27:34,253 --> 00:27:35,955 Thank you. I'm sure we'll be fine. 627 00:27:37,656 --> 00:27:38,891 And you're right, you know. 628 00:27:38,925 --> 00:27:40,927 We are not a good fit. 629 00:27:40,960 --> 00:27:42,795 And our mutual affection for Shaun 630 00:27:42,829 --> 00:27:44,864 isn't enough to stop us from killing each other. 631 00:27:47,666 --> 00:27:49,535 I... 632 00:27:49,568 --> 00:27:51,904 Your Chronicle subscription is about to expire 633 00:27:51,938 --> 00:27:54,006 because they don't have your updated credit card. 634 00:27:54,040 --> 00:27:55,708 The coffee maker you ordered, 635 00:27:55,742 --> 00:27:57,710 third new one in the last six months, 636 00:27:57,744 --> 00:27:59,712 will be delivered Tuesday. 637 00:27:59,746 --> 00:28:02,281 And you're deducting way too much money 638 00:28:02,314 --> 00:28:03,682 out of Debbie's paycheck for FICA. 639 00:28:03,716 --> 00:28:05,818 Would you like to hear about your Google searches? 640 00:28:05,852 --> 00:28:06,853 ** 641 00:28:08,187 --> 00:28:09,221 Thank you. 642 00:28:13,993 --> 00:28:14,994 (COMPUTER BEEPS) 643 00:28:16,128 --> 00:28:18,965 (SIGHS) Lea! 644 00:28:18,998 --> 00:28:21,267 (MONITOR BEEPING) (MELENDEZ SIGHS) 645 00:28:21,300 --> 00:28:24,536 Severe proximal LAD disease with mid total occlusion. 646 00:28:24,570 --> 00:28:26,839 Angioplasty won't resolve that stenosis. 647 00:28:26,873 --> 00:28:28,975 High risk of rupture in someone this young. 648 00:28:29,608 --> 00:28:30,743 A stent? 649 00:28:30,777 --> 00:28:33,279 Won't be enough effective revascularization. 650 00:28:33,312 --> 00:28:37,483 She needs a left IMA to LAD anastomosis. 651 00:28:37,516 --> 00:28:40,419 I've never done a coronary bypass on a three-year-old. 652 00:28:40,452 --> 00:28:42,054 Neither have I. 653 00:28:42,088 --> 00:28:43,489 I guess it was the right call 654 00:28:43,522 --> 00:28:45,157 to put her daughter's poop up her tush. 655 00:28:45,191 --> 00:28:46,725 Cost her a large chunk of her colon. 656 00:28:46,759 --> 00:28:48,761 Saved her daughter's life. Yeah, lucky coincidence. 657 00:28:48,795 --> 00:28:51,197 I'm sure the mother doesn't regret a thing. 658 00:28:51,230 --> 00:28:52,698 At least she shouldn't. 659 00:28:52,731 --> 00:28:53,766 I'm with Claire. 660 00:28:53,800 --> 00:28:54,801 ** 661 00:29:06,045 --> 00:29:08,380 Do you have time for lunch? 662 00:29:08,414 --> 00:29:10,082 And by "lunch," you mean...? 663 00:29:10,817 --> 00:29:11,818 Lunch. 664 00:29:12,584 --> 00:29:14,420 I need advice. 665 00:29:15,454 --> 00:29:19,058 I need to really think about something. 666 00:29:19,091 --> 00:29:20,126 Oh. 667 00:29:20,993 --> 00:29:22,494 Then yes, of course. 668 00:29:22,528 --> 00:29:24,596 CARLY: It could be patronizing, 669 00:29:24,630 --> 00:29:28,767 being put up as some kind of feel-good, human interest story. 670 00:29:28,801 --> 00:29:30,769 Or objectified and glorified 671 00:29:30,803 --> 00:29:33,940 as some kind of a symbol for people who are different. 672 00:29:33,973 --> 00:29:37,509 But I also know that when I told my sister your story, 673 00:29:37,543 --> 00:29:38,677 she cried. 674 00:29:39,411 --> 00:29:40,546 She was sad? 675 00:29:40,579 --> 00:29:43,215 No, she was inspired. 676 00:29:45,617 --> 00:29:47,086 (EXHALES SHAKILY) 677 00:29:47,119 --> 00:29:51,824 I... don't know what your advice is telling me. 678 00:29:51,858 --> 00:29:54,793 I don't know what you think I'm supposed to do. 679 00:29:54,827 --> 00:29:57,830 Shaun, you aren't supposed to do anything, 680 00:29:57,864 --> 00:30:00,132 except what you believe is right. 681 00:30:02,001 --> 00:30:04,136 (SIGHS) Thank you. 682 00:30:06,438 --> 00:30:08,674 Now I'm going to go see what Lea thinks. 683 00:30:10,509 --> 00:30:12,211 I thought you had a surgery. 684 00:30:12,244 --> 00:30:13,279 I'm just going upstairs. 685 00:30:13,312 --> 00:30:15,814 Lea's meeting with Dr. Glassman about a job. 686 00:30:15,848 --> 00:30:17,483 A job here? Yes. 687 00:30:17,516 --> 00:30:19,218 Lea told me at lunch yesterday 688 00:30:19,251 --> 00:30:21,653 that she was looking for different work, so... 689 00:30:21,687 --> 00:30:23,990 Wait, you... you had lunch with Lea? Yesterday? 690 00:30:24,023 --> 00:30:25,391 And... And you kept it from me? 691 00:30:25,424 --> 00:30:26,425 ** 692 00:30:31,363 --> 00:30:34,433 I didn't keep it from you. 693 00:30:34,466 --> 00:30:36,502 There was no reason to mention it 694 00:30:36,535 --> 00:30:38,704 until just now, when I did. 695 00:30:39,371 --> 00:30:40,372 Shaun... 696 00:30:41,740 --> 00:30:43,175 You know how I feel 697 00:30:43,209 --> 00:30:46,112 about how Lea hovers over our relationship. 698 00:30:46,145 --> 00:30:47,146 And... 699 00:30:47,980 --> 00:30:50,116 You're just sneaking around with her? 700 00:30:50,149 --> 00:30:51,650 Arranging for her to work here, 701 00:30:51,683 --> 00:30:54,086 where she'll just loom all the more. 702 00:30:55,221 --> 00:30:58,324 She won't be looming or hovering. 703 00:30:58,357 --> 00:31:00,960 She'll be on a whole other floor. 704 00:31:00,993 --> 00:31:02,895 Yeah, where you can go and get her two cents 705 00:31:02,929 --> 00:31:05,664 whenever the advice given by your actual girlfriend 706 00:31:05,697 --> 00:31:07,266 is deemed insufficient. 707 00:31:07,299 --> 00:31:08,300 ** 708 00:31:09,768 --> 00:31:10,836 Yes. 709 00:31:10,869 --> 00:31:11,870 ** 710 00:31:15,541 --> 00:31:16,542 (SIGHS) 711 00:31:20,512 --> 00:31:21,513 (DOOR OPENS) 712 00:31:24,183 --> 00:31:25,384 (SIGHS) 713 00:31:25,417 --> 00:31:26,418 (DOOR CLOSES) 714 00:31:27,786 --> 00:31:28,787 Hey. 715 00:31:30,957 --> 00:31:32,024 What are you doing? 716 00:31:32,058 --> 00:31:33,659 Eh, fresh air. 717 00:31:33,692 --> 00:31:34,693 You? 718 00:31:37,964 --> 00:31:39,731 (SIGHS) 719 00:31:39,765 --> 00:31:42,969 Shaun lied to me about having lunch with Lea. 720 00:31:44,770 --> 00:31:45,771 No, he didn't. 721 00:31:47,273 --> 00:31:49,341 Shaun is incapable of deceit. 722 00:31:49,375 --> 00:31:52,078 He must have genuinely thought that you wouldn't mind. 723 00:31:52,111 --> 00:31:55,347 Well, then, he is completely tone deaf and insensitive, 724 00:31:55,381 --> 00:31:57,849 which are not better qualities in a boyfriend. 725 00:31:57,883 --> 00:31:58,917 True. 726 00:31:58,951 --> 00:32:00,552 But not exactly unanticipated 727 00:32:00,586 --> 00:32:02,554 when you get into a relationship with Shaun. 728 00:32:05,391 --> 00:32:07,393 And it's never really about the lie. 729 00:32:07,426 --> 00:32:09,295 It's what's underneath. 730 00:32:09,328 --> 00:32:10,562 You're jealous of Lea. 731 00:32:10,596 --> 00:32:12,731 I am not jealous. 732 00:32:12,764 --> 00:32:14,066 I am concerned... 733 00:32:14,100 --> 00:32:16,702 You don't need to justify. I'm on team jealousy. 734 00:32:16,735 --> 00:32:19,705 It's flattering, stimulating, it... 735 00:32:19,738 --> 00:32:21,507 It means you're committed and you care. 736 00:32:21,540 --> 00:32:23,976 It's ugly and reflects underlying trust issues 737 00:32:24,010 --> 00:32:25,077 that I don't want to... 738 00:32:25,111 --> 00:32:26,278 Yeah, yeah, yeah, like all things, 739 00:32:26,312 --> 00:32:28,780 a little is good, and a lot will kill you. 740 00:32:28,814 --> 00:32:29,815 My advice... 741 00:32:31,350 --> 00:32:33,619 Admit you're jealous, give in to it, 742 00:32:33,652 --> 00:32:34,820 and then get over it. 743 00:32:36,922 --> 00:32:37,956 (SIGHS) 744 00:32:37,990 --> 00:32:38,991 (DOOR OPENS) 745 00:32:40,659 --> 00:32:41,660 (DOOR CLOSES) 746 00:32:42,428 --> 00:32:43,695 MORGAN: Finding the styloid 747 00:32:43,729 --> 00:32:46,798 via digital palpitation of the tonsillar fossa. 748 00:32:47,799 --> 00:32:48,800 There. 749 00:32:51,103 --> 00:32:55,607 Making incision vertically along the mucosa of mandible. 750 00:32:57,576 --> 00:32:59,078 Next? 751 00:32:59,111 --> 00:33:03,415 I will free the styloid process from its muscle 752 00:33:03,449 --> 00:33:06,452 and ligament attachments. 753 00:33:07,286 --> 00:33:08,287 Done. 754 00:33:11,290 --> 00:33:14,693 Dissecting away from the internal carotid medially, 755 00:33:15,794 --> 00:33:19,265 and external, laterally. 756 00:33:19,298 --> 00:33:21,400 Now fracture and excise the styloid. 757 00:33:24,002 --> 00:33:25,003 (HIGH-PITCHED WHIRRING) 758 00:33:28,240 --> 00:33:29,308 (MONITOR ALARM) 759 00:33:29,341 --> 00:33:30,476 SHAUN: Bradycardia. Hypotensive. 760 00:33:30,509 --> 00:33:32,611 Loss of EEG waveform. Cerebral ischemia. 761 00:33:32,644 --> 00:33:33,979 You may have injured the carotid. 762 00:33:34,012 --> 00:33:35,914 Or compressed it by fracturing the styloid. 763 00:33:35,947 --> 00:33:37,949 See if the fragment is impinging on the vessel. 764 00:33:37,983 --> 00:33:39,385 Dr. Murphy, extend her head. 765 00:33:39,418 --> 00:33:40,586 (ALARM CONTINUES) 766 00:33:40,619 --> 00:33:42,654 ** 767 00:33:47,859 --> 00:33:49,961 Yes. Found it. Easing it away. 768 00:33:51,997 --> 00:33:54,133 (ALARM STOPS) 769 00:33:54,166 --> 00:33:55,801 Carotid decompressed. 770 00:33:55,834 --> 00:33:57,836 (CLANK) 771 00:33:57,869 --> 00:34:00,639 EEG back to baseline normal. 772 00:34:00,672 --> 00:34:02,741 ** 773 00:34:06,745 --> 00:34:09,815 Resuming styloid extraction. 774 00:34:09,848 --> 00:34:11,850 ** 775 00:34:21,460 --> 00:34:23,362 Kayley's in ICU, stable. 776 00:34:23,395 --> 00:34:25,997 CT shows no signs of any permanent damage. 777 00:34:26,031 --> 00:34:29,034 No reason to anticipate any future problems. 778 00:34:29,067 --> 00:34:32,904 So, the question is, what do we tell her? 779 00:34:32,938 --> 00:34:35,174 That the surgery was a success. 780 00:34:35,207 --> 00:34:37,176 She had a cerebral ischemia. On the table. 781 00:34:37,209 --> 00:34:39,511 That did no damage and that there's no evidence of. 782 00:34:39,545 --> 00:34:41,713 Hospital policy is transparency... 783 00:34:41,747 --> 00:34:43,682 We don't tell them what music we played, 784 00:34:43,715 --> 00:34:44,816 what we talked about. 785 00:34:44,850 --> 00:34:47,853 This isn't relevant to the outcome or to her prognosis. 786 00:34:47,886 --> 00:34:49,020 Would you be taking the same position 787 00:34:49,054 --> 00:34:51,557 if Kayley wasn't someone whose criticism could go viral? 788 00:34:51,590 --> 00:34:52,724 ANDREWS: I don't know. 789 00:34:52,758 --> 00:34:54,660 But it would be delusional to think it's not relevant. 790 00:34:56,027 --> 00:34:57,028 Dr. Reznick. 791 00:34:57,796 --> 00:35:00,065 Any thoughts? 792 00:35:00,098 --> 00:35:02,568 I don't think I can fairly offer an opinion, 793 00:35:02,601 --> 00:35:04,936 because my career could hang in the balance. 794 00:35:04,970 --> 00:35:07,306 Yeah, well, none of us are disinterested parties, 795 00:35:07,339 --> 00:35:10,909 given the hospital's reputation is also at stake. 796 00:35:10,942 --> 00:35:12,478 Did you screw up? 797 00:35:12,511 --> 00:35:14,246 Could that crisis have been avoided? 798 00:35:14,280 --> 00:35:17,015 ** 799 00:35:17,048 --> 00:35:21,320 If it could have been, then we are all responsible. 800 00:35:21,353 --> 00:35:23,255 We were watching everything she was doing, 801 00:35:23,289 --> 00:35:25,291 and none of us told her to stop. 802 00:35:26,792 --> 00:35:28,460 This is an easy call. 803 00:35:28,494 --> 00:35:30,929 There's only one reason to tell her everything, 804 00:35:30,962 --> 00:35:33,332 and that's you might feel guilty if you don't. 805 00:35:33,365 --> 00:35:36,034 On the other hand, there's the future of this hospital. 806 00:35:36,067 --> 00:35:38,069 ** 807 00:35:45,777 --> 00:35:46,778 Okay. 808 00:35:47,713 --> 00:35:48,980 ** 809 00:35:49,014 --> 00:35:52,918 Shaun, if the patient asks for details about the surgery, 810 00:35:52,951 --> 00:35:54,986 can you limit your answers? 811 00:35:55,020 --> 00:35:57,088 ** 812 00:35:57,523 --> 00:35:59,658 I...don't know. 813 00:36:00,859 --> 00:36:01,993 Okay, we need to know if-- 814 00:36:02,027 --> 00:36:03,895 No. 815 00:36:03,929 --> 00:36:07,366 Dr. Murphy, I hope you will limit your answers. 816 00:36:07,399 --> 00:36:09,535 But I won't order you to defy your conscience. 817 00:36:09,568 --> 00:36:11,537 ** 818 00:36:20,479 --> 00:36:24,450 We don't normally have patients share rooms, but... 819 00:36:24,483 --> 00:36:27,286 She's...? Gonna be completely fine. 820 00:36:27,319 --> 00:36:30,256 And once she's recuperated, we'll begin her on statins and Ezetimibe, 821 00:36:30,289 --> 00:36:32,491 and she'll undergo lipid apheresis. 822 00:36:32,524 --> 00:36:33,792 It's kind of like dialysis, 823 00:36:33,825 --> 00:36:36,995 but it'll allow us to extract LDL out of her blood. 824 00:36:37,028 --> 00:36:39,164 Should get her cholesterol to within normal range. 825 00:36:40,832 --> 00:36:43,369 She'll need those drugs and that other stuff 826 00:36:43,402 --> 00:36:44,470 for the rest of her life? 827 00:36:44,503 --> 00:36:48,006 Yes. But hopefully a very long one. 828 00:36:49,408 --> 00:36:51,943 (EXHALES SHARPLY) 829 00:36:51,977 --> 00:36:53,979 (SNIFFLES) Thank you so much. 830 00:36:54,780 --> 00:36:56,482 Thank God I did what I did. 831 00:36:56,515 --> 00:36:58,417 (CHUCKLES) 832 00:36:58,450 --> 00:37:00,452 ** 833 00:37:08,059 --> 00:37:10,061 (CHUCKLES) 834 00:37:12,097 --> 00:37:15,166 KAYLEY: (NORMAL VOICE) Everything went great? 835 00:37:15,200 --> 00:37:17,403 (SIGHS) The repair was successful. You should have no... 836 00:37:17,436 --> 00:37:20,071 KAYLEY: Everything went great. Say it. Say it to your fans. 837 00:37:21,607 --> 00:37:23,842 Everything went great. (KAYLEY GIGGLES) 838 00:37:23,875 --> 00:37:25,611 KAYLEY: You rocked it. 839 00:37:25,644 --> 00:37:28,414 (CHUCKLES) You'll be with us another few days, and then you... 840 00:37:28,447 --> 00:37:30,749 KAYLEY: She rocked it, right? 841 00:37:30,782 --> 00:37:33,785 She was lead surgeon in a successful... 842 00:37:33,819 --> 00:37:35,421 KAYLEY: And how gorgeous is that hair? 843 00:37:35,454 --> 00:37:38,189 Dr. Morgan Reznick, take a bow! 844 00:37:40,292 --> 00:37:41,860 (KAYLEY LAUGHS) 845 00:37:41,893 --> 00:37:44,062 KAYLEY: She was wrist-deep all up in my mouth, y'all. 846 00:37:44,095 --> 00:37:45,731 She is a damn hero! 847 00:37:45,764 --> 00:37:46,898 (KAYLEY LAUGHS) 848 00:37:48,567 --> 00:37:50,201 You've got work to do. 849 00:37:50,235 --> 00:37:51,236 We're proud of you. 850 00:37:54,673 --> 00:37:56,508 Any reason you screwed up? 851 00:37:56,542 --> 00:37:58,810 I didn't. It could've happened to anyone. 852 00:37:58,844 --> 00:38:01,347 Not anyone suffers from arthritic pain. 853 00:38:01,380 --> 00:38:02,881 That didn't affect anything. 854 00:38:02,914 --> 00:38:04,550 You sure about that? 855 00:38:04,583 --> 00:38:05,751 'Cause I'm not. 856 00:38:22,401 --> 00:38:24,302 CARLY: Did you speak to Lea? 857 00:38:24,336 --> 00:38:25,404 Yes. 858 00:38:29,274 --> 00:38:32,544 I know she's a good friend. 859 00:38:32,578 --> 00:38:34,012 And it would be unfair 860 00:38:34,045 --> 00:38:36,648 for me to expect you to cut her out of your life. 861 00:38:36,682 --> 00:38:38,316 But... 862 00:38:38,350 --> 00:38:42,087 You going to ask her opinion right after I had given mine, 863 00:38:42,120 --> 00:38:46,224 it just called up Wyoming all over again. 864 00:38:46,257 --> 00:38:49,027 That you preferred Lea to me. 865 00:38:49,060 --> 00:38:51,062 ** 866 00:38:53,632 --> 00:38:54,966 I was jealous. 867 00:38:57,035 --> 00:38:59,671 And it's something that I have to work out. 868 00:38:59,705 --> 00:39:01,740 ** 869 00:39:02,508 --> 00:39:05,644 For the two of us to work out. 870 00:39:05,677 --> 00:39:06,845 Together. 871 00:39:06,878 --> 00:39:08,880 ** 872 00:39:12,618 --> 00:39:14,620 ** 873 00:39:18,089 --> 00:39:19,991 What was Lea's advice? 874 00:39:20,025 --> 00:39:22,127 ** 875 00:39:22,160 --> 00:39:25,764 That it'd be selfish not to share my story with the world. 876 00:39:26,197 --> 00:39:28,033 ** 877 00:39:29,300 --> 00:39:30,902 I liked your advice better. 878 00:39:31,236 --> 00:39:33,238 ** 879 00:39:41,647 --> 00:39:43,381 (KNOCK ON DOOR) 880 00:39:43,415 --> 00:39:44,483 MELENDEZ: Hey. 881 00:39:45,651 --> 00:39:47,486 Uh-oh. 882 00:39:48,319 --> 00:39:50,388 Actually, yeah. 883 00:39:50,422 --> 00:39:52,591 There's something awkward we need to talk about. 884 00:39:53,792 --> 00:39:55,093 You and Claire. 885 00:39:57,863 --> 00:40:00,766 You can reopen the door. 886 00:40:00,799 --> 00:40:03,735 There's nothing remotely improper going on. 887 00:40:05,937 --> 00:40:09,074 I received an anonymous favoritism complaint. 888 00:40:10,108 --> 00:40:11,510 We need to deal with it. 889 00:40:19,217 --> 00:40:23,722 I don't want to talk to reporters. 890 00:40:23,755 --> 00:40:25,591 I know. 891 00:40:25,624 --> 00:40:29,427 So if I talked to reporters, 892 00:40:29,461 --> 00:40:32,330 it wouldn't be honest to who I really am. 893 00:40:33,331 --> 00:40:35,901 Well, sometimes, Shaun, 894 00:40:35,934 --> 00:40:38,537 people present a different version of themselves 895 00:40:38,570 --> 00:40:40,506 depending upon the circumstances. 896 00:40:40,539 --> 00:40:43,909 Like, I'm not always the same here as I am at home. 897 00:40:43,942 --> 00:40:45,043 I don't. 898 00:40:45,076 --> 00:40:47,479 No, you don't. 899 00:40:48,747 --> 00:40:51,717 I considered all the arguments. 900 00:40:51,750 --> 00:40:53,752 ** 901 00:40:55,186 --> 00:40:59,324 I want to be known as a good doctor. 902 00:41:00,325 --> 00:41:02,460 Not a good autistic doctor. 903 00:41:02,494 --> 00:41:04,496 ** 904 00:41:14,740 --> 00:41:16,742 ** 905 00:41:23,014 --> 00:41:25,050 ** 906 00:41:32,658 --> 00:41:34,660 ** 907 00:41:45,604 --> 00:41:47,806 (MAN LAUGHS) 908 00:41:48,674 --> 00:41:50,676 ** 62595

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