All language subtitles for The Good Doctor 3x17 - Fixation

Wes Keeler, 49,

pricked in the upper right arm
by a cactus four days ago.

Temp 102.5.

Wound is seriously infected.

He was leading a camping trip
on Mount Thayer.

We couldn't leave 'em up there alone.

BP's 86/51. Tachycardic.

Rapid, shallow breathing.

Signs of sepsis.

You gonna have to cut his arm off?

I'll be fine!

We need to debride the wound stat!

Shaun, I've been
looking all over for you.

Hey, uh, h-how about
getting some breakfast?

Some pancakes?

No. I'm not hungry.

Okay.

Um... how about coming over
for dinner tonight?

Is Debbie making lasagne?

She could.

No, thank you.

Okay, Shaun.

Um, can we just stop and...
and talk for just a minute?

Why are... aren't you, uh,
responding to my texts?

Are you upset?

- Are you sad because of Lea?
- Yes. Yes.

I am very sad.

But it will be okay.

Yeah, of course it'll be okay.

I'm still going to be with Lea.

Wait. What?

She said she loves me.

She also gave you a hundred reasons

- why she can't be with you, Shaun.
- Yes. Yes.

She gave me very specific reasons

why we can't be together,

but I've overcome other challenges...

- No, Shaun, it's not...
- ...to become a good doctor,

a good friend.

It's not about overcoming challenges.

It's not about you.

It's about Lea.

I can't take two steps
without falling down.

Is the issue balance or weakness?

All of the above.

Fatigue, dizziness,
light-headedness, headaches,

occasional bouts of nausea.

And when d...

Five years ago, just after
the birth of my daughter.

And there's no discernible fluctuation

based on time of day
or time of the month.

Temp 98.2. BP 111/78.

That'll drop to 80/50 when I'm upright.

I don't drink, smoke, or take drugs.

I haven't traveled outside of the country

in the last 10 years.

And there's no family history
of a similar condition.

You've been through this before.

17 times. 18 if you count
the naturopath in Seattle.

Which I don't.

No one has been able
to give me a diagnosis.

We need to do an EKG and stress test,

get a CT of your chest,
abdomen, and pelvis.

Let me save you some time.

Five years' worth of tests,
labs, scans, reports...

...my entire medical odyssey.

Fun.

Synced & corrected by -robtor-
www.addic7ed.com

Set up in the lounge

and get me copies of each of those...

Claire!

Dash. Oh, my God!

Why are you here?

Uh, you changed your number.

Right. Um, it's a long story.

Uh, Dash, you remember
Dr. Melendez, Dr. Murphy?

Yeah, of course.

Uh, you gave my wife
six more good months.

We considered renaming our cat after you.

That would have been foolish.
Cats remember their names.

Sorry for your loss.
Wish we could've done more.

Let you two catch up.

Hi.

I think the infection spread quickly

because of the underlying damage
to your liver and kidney.

We'll need to keep you on a
prolonged course of IV antibiotics.

Hey, you hear that, guys?

Hep C and heroin aren't
as much fun as they sound.

Although one was more fun
than the other...

for a while.

Don't they have somewhere else to go?

Not likely.

Most of them haven't seen
their parents in years,

so they're with me...

survivalist training program
for at-risk youth.

We prefer "young adults
with unrealized potential."

I'm supposed to be teaching
these yahoos responsibility

and... good decision-making.

Hell of an example.

Oof.

He's got a new murmur.

BP's dropping.

Wes, we need to take a look
at your heart.

Wes, the infection's spread.

It's damaged your aortic valve.

You need emergency surgery.

Mm...

What about vasculitis?

Or dysautonomia?

Both are consistent
with weakness and fatigue.

Her temporal artery biopsy was negative.

- That rules out vasculitis.
- Mm.

And I thought I saw something
about dysautonomia in here.

There are 15 different causes
of dysautonomia.

Seven have been ruled out.

The rest are inconsistent
with Alice's symptoms

or have no definitive diagnostic test.

How did you make Dr. Lim
fall in love with you

after you had been friends for so long?

I assume that's directed at you.

I don't think you make anyone
fall in love with you, Shaun.

It unfolds naturally over time.

That's not true.

Everyone starts off not loving you.

Then you say and do things
that make them love you.

Or not. That's the point of romance.

But romance is harder

if you're already friends
with the person.

You can't hide the less
attractive parts of yourself.

It can be an advantage.

You already know what pisses them off.

That's very true.

Shaun...

did Carly tell you
she just wants to be friends?

Or are you talking about someone else?

Hey, sorry to interrupt.

I'm... I'm looking for my dad. Mm.

I just... I'm here visiting,
and I locked mys...

Yes. Okay. Dr. Park is not here,

and we're discussing something important.

Right. Sorry.

Kellan, your dad's in surgery.

It could be a couple hours.

Thanks.

Shaun.

That was a little harsh. We're
talking about your love life.

Talking about my love life is important.

It helps clear my head
so I can focus on the medicine.

Intracranial hypotension.

It is consistent with Alice's headaches

and dizziness getting worse
when she's upright.

And a leak in spinal fluid
can be triggered

by severe intracranial pressure
during childbirth.

To confirm I'm right,

we need to insert a lumbar drain
into Alice's spine,

infuse her with fluid,
and see if her symptoms improve.

But if you're wrong, she'll have
an excruciating headache,

massive brain pressure,
temporary vision loss...

She'll give her consent.

It's a reasonable diagnosis,

and the patient's desperate
for an answer.

Can you do the procedure alone?

Only one doctor is needed
to insert a lumbar drain,

and I have a time-sensitive
matter to take care of.

Sure.

You okay? You look okay.

I'm fine.

Your text said it was urgent, a...

My text said it was "time sensitive."

I have to get back to work
before my lunch break is over.

I was at work, too, Shaun.

I know we left things in a weird place,

but now is not a good time.

The pinto beans are next to the tomatoes.

That is not in alphabetical order.

There's more.

The toilet paper
is in the wrong direction.

The way you like it.

You got angry when we were roommates

because I sometimes couldn't
accept your way of doing things.

But I can learn to accept things

I'm not comfortable with.

This is not bothering me at all.

I can deal with your messiness
and neediness...

and selfishness...

Stop.

Your way of proving

that you're flexible
and attentive to my needs

is to pull me away from work...
with no notice...

make me drive all the way across town,

just so you can show me
you un-alphabetized your beans?

Doesn't that seem a little...

inconsistent?

Oh.

That is a good point.

I should have waited until evening,

when you are done with work.

We can discuss this later.

I have to get back to the hospital.

Resecting necrotic tissue
around the annulus.

Dr. Reznick, trim down the patch
from the pericardium.

The infection caused a fistula,
and we need to remove it.

Repair the annular defect
with a pericardial patch.

He's gonna have permanent heart damage.

The guy survives IV drugs,
Hep C, hard time

and gets taken down by a cactus spike

on his road to redemption.

That's... ironic.

Predictable.

He ignored dangerous symptoms

because he wanted to be
a tough guy for those kids.

He's trying to keep them
from repeating his mistakes.

It's admirable.

Narcissistic waste of time.

You can't undo a lifetime of abandonment

with a couple weeks in the woods.

The kids are all still here, aren't they?

Finish the closure of the fistula tract

with pledgeted sutures.

Park.

I need you to come with me.

Now?

Go. We got this.

Security agreed to let us
keep this between us.

No need to call the cops.

Everyone needs to chill.

We weren't cooking meth in the dumpster.

You have any idea

how many people die from vaping pot?

What were you thinking?

We'll give you two some space.

You. With me.

You have asthma, Kellan.

I know you're not this stupid.

Heart rate's tachy at 148.
Systolic's in the 200s.

I removed the drain a half-hour ago.

I was wrong. My idea made things worse.

We need to do a lumbar puncture
to relieve the built-up fluid.

But it didn't make her worse

the way it should have made her worse.

She should have a headache
or upward brain herniation.

Heart rate should be low.

Something is causing her heart
to beat too hard, too fast.

Mm. I missed something...

Shaun, you need to give her

a 10-milligram bolus of labetalol now,

or she is going to die.

I missed something.

Shaun!

Mommy?

Alice?

There was significant tissue
damage from the infection,

but it should be manageable
with medication

and some modifications to your diet.

So... no more Flamin' Hot Cheetos?

That's not a thing any
self-respecting adult should eat.

You'll need long-term follow-up
with a cardiologist,

beta-blockers, ACE inhibitors...

What'd you do?

Mr. Reed was found vaping THC
on hospital grounds.

I'm emancipated,
so I'm basically an adult.

You're only emancipated

'cause your parents do
even dumber stuff than you do.

Thanks for letting me know.

There'll be consequences
for his behavior.

Starting with an apology.

And not some smartass one, either.

Uh, Mr. Keeler, your hand is swollen.

I need to take a look at your feet.

Less than a hundred milliliters.

What's wrong with his piss?

Max.

What's going on?

We're gonna need to run
some additional tests.

We've done a lumbar puncture
to remove the excess fluid

and bring your spinal pressure
back to normal.

When will she be able to go home?

I'm not going home.

Honey, their test just about killed you.

In front of your daughter.

She wasn't supposed to be here.

That's because you told me
you were visiting your sister.

Since when do we
lie to each other, Alice?

You have to stop doing this to yourself.

They're only gonna confirm
the same diagnosis

you've already been given.

You said you don't have a diagnosis.

They told her
she has idiopathic dysautonomia

six months ago.

It was confirmed by two other doctors.

You left it out of your medical records?

"Idiopathic" is just a doctor's fancy way

of saying that they don't know
why I'm sick or how to fix it.

You haven't
given the treatments a chance.

Because even on them, I can
barely sit up most of the time.

Ruby deserves a mother

who can teach her
how to do a cartwheel...

...and scoop her up
when she's having a nightmare.

She deserves a mother who's around.

Ruby...

...doesn't need to learn
how to do a cartwheel.

She needs you to watch her, cheer her on.

And lay down next to her
when she's scared.

And eat the cookies she bakes
and pretend to be enjoying them.

You're a great mother.

And...

there's good in the life we have.

And you're missing it

by constantly searching
for something better.

Something that may not exist.

Are you feeling overheated?

No.

Scared?

No, I'm feeling sad that my
husband thinks there's no hope.

You are sweating.

Sweat is a response to fear, not sadness.

Your temperature is normal.

You may have an adrenal tumor.

- Is that good?
- Yes.

Tumors can be removed.

I'm not mad.

I'm a little mad.

But I want to understand what's going on.

Dad, not now.

I mean, it's not like you
to be this reckless

with your health, your future.

I can't...

Kel, are you having an asthma attack?

Where's your inhaler?

I don't... It's...

It's not the asthma.

What is it?

Tell me what you're feeling.

My heart's... beating fast.

Do you feel dizzy?

Like the walls are closing in?

I think you're having a panic attack.

Take a deep breath.

1, 2, 3...

Now out.

Keep breathing.

Good.

Does this happen a lot?

I know vaping is stupid, but...

It helps this feeling go away.

Hey, give it back, asshat!

Victor, Max!

Cut it out.

Mr. Keeler.

We have some test results
we need to discuss.

In private.

Whatever you have to say to him,
you can say to us.

Oh, wish you could.

Would love your input.

But, clearly,
you're far too busy watching...

pimple-popping videos.

Go away.

The damage to your heart

temporarily cut off blood flow
to your kidneys.

They were already weak
and couldn't handle the stress.

You've progressed
to complete renal failure.

I'm sorry.

You'll need a transplant.

But dialysis can keep you going
until a matching donor is found.

I'm guessing a guy with a bad heart

and damaged liver, history of hepatitis

isn't first up.

Your best bet
is to find a living donor...

most likely, a family member.

I'm an addict...

who stole and lied like one
and then went to prison.

My Christmas card list is pretty short.

We'll connect you with
our transplant coordinator.

She'll help you reach out to family

and answer any questions they may have.

Should've taken those twerps sailing.

Her husband's not wrong, Shaun.

Sometimes, people need to accept

that things are
as good as they're gonna get

and make peace with it.

Wanting more can only lead to
disappointment and heartbreak.

What good does it do to give up

if you're already heartbroken?

Hmm.

You were right. No tumor.

Well, you were also right.

The bright color.

It means there is an increase
in the uptake

of radioactive material
in the medullary space.

Which is enlarged
and overproducing adrenaline,

so the gland itself
is acting like a tumor.

We have a new diagnosis.

The quiet is a nice change of pace.

I told the boys to get some air,

try to avoid committing
more criminal offenses

on hospital grounds.

I know they can be annoying and loud

and constantly in the way,

but I can't make them leave.

Want me to give it a shot?

I'd like to see that, actually.

Nah, they just scared.

They think if they leave, then...

I'll be the latest
in a long line of people

they didn't have a chance
to say goodbye to.

Wes?

Code blue!

You do not have idiopathic dysautonomia.

You have a rare condition

called bilateral adrenal
medullary hyperplasia.

Unfortunately, Alice,

there's only one cure for this condition,

and that's to remove your adrenal glands.

You would need to be
on steroid replacement therapy

for the rest of your life.

And that comes with
a whole new set of symptoms.

Fragile bones, high blood pressure,

G.I. issues, mood disorders,

increased chance of diabetes,
serious infections.

I-I understand. I want to do it.

Medullary hyperplasia
is not terminal or progressive.

You could have a normal life expectancy

in your current condition.

My "current condition" is pathetic.

I'm having the surgery.

Alice.

This could kill you.

I love you.

I won't risk your life.

If you insist on
going through with this...

...Ruby and I are leaving.

If you love her, you shouldn't leave her.

It's not her fault she's sick.

And she just wants to make things better.

- It isn't fair.
- Shaun.

There is nothing worse
than losing the person you love.

I'm sorry. This isn't Dr. Murphy's call.

Nor is it mine.

We'll give you two some time.

He's right.

I-I can't lose you and Ruby.

I won't do it. I won't...
I won't do the surgery.

Wes suffered major cardiac damage.

We can't solve one problem with this guy

before the next one hits.

He's stable now,
but his heart can't handle

the fluid volume shifts
of standard dialysis.

So the only thing keeping
him alive will also kill him.

We could put him on low-flow dialysis.

Keep him in the ICU 'round the clock.

That'll buy him a little time.

Very little.

Call UNOS. See if
they'll move him up the list.

Where are we with family members?

Two of Wes' cousins agreed to be tested.

- We're waiting on the results.
- Good.

Get on the phone with
any other family you can find.

Tell them if their man doesn't get
a kidney in the next couple days,

they should make arrangements
to say their goodbyes.

New kicks won't help you outrun me.

Um... they're recipes.

From Dash.

Well, from Kayla.

Kayla by way of Dash.

It's complicated.

He asked me on a date.

What did you say?

Nothing. I stammered, and then I fled.

What did you want to say?

Ohhh. I don't know.

Shaun was right.

Coming home to
an empty apartment really sucks.

I...

used men to make me feel better.

Most of them didn't mind.

But...

I...

don't trust myself not to hurt
someone I care about.

Claire, it's not that complicated.

You lit up this morning when you saw him.

He seems to make you happy.

You deserve to be happy.

Mmm.

How you feeling?

I'm not high,
if that's what you're asking.

It's not.

You know, earlier in the car,

I pushed too hard,

made you feel cornered.

I'm sorry.

You didn't know.

I, uh...

I talked to your mom.

Is she totally freaking out?

She's concerned.

And we talked about
finding a therapist in Phoenix

who specializes in treating anxiety.

So you're pawning me off
on a total stranger?

No. No. I...

I thought you'd be more comfortable

talking to someone who's not...

She said you've been
pretty withdrawn lately.

I know things between
your mom and I are a little...

Screwed up?

Unsettled.

Is that making you feel anxious?

No.

It's not you.

It's nothing. It's... It's okay.

No, it's obviously not.

Some of this is on you.

You know, every time we talk,

you don't tell me anything
about your life.

That's because you don't want
to know anything.

That's not true!

You're busy saving patients
a hundred hours a week.

You don't want to feel guilty
about being a thousand miles away.

You just want to know that I'm okay.

So I say I'm okay.

Ewwww!

That's annoying.

Can you do that some place else?

I'm trying to find a better
solution for my patient.

Your patient is being discharged.

I'm trying to get a kidney
for a dying guy.

You're watching gross videos.

I'm waiting to hear back from UNOS.

Ewww!

Do you prefer being called or texted?

Neither.

Do you like surprises
or do you find them irritating?

I find this irritating.

It's research.

Lea said we can't be together

because she is too needy and selfish

to deal with my issues.

You are the most selfish person I know,

so you are a good subject.

Lea's right. She is needy and selfish.

Find someone who loves you
the way you are.

People always say that,
but shouldn't we be with someone

who makes us
a better version of ourselves?

Maybe.

But trying not to be autistic
won't make you better.

I'm sorry you still don't
feel good, Mommy.

Well, I'll feel better when I'm home.

Eating those delicious cookies
that you make for me.

You don't have to go home.

I invented a better surgery.

Instead of removing
both your adrenal glands,

we can just squeeze out the
hyperplastic medullary part...

like popping a pimple.

You "invented" a surgery?

Dr. Murphy's come up with a surgical plan

that could curb overproduction
of your hormones

while leaving you some adrenal function.

What are the chances it'll work?

Oh, we don't know.

Since it's never been done before,

it's difficult to predict the outcome,

but it is a safe
and viable treatment option.

Is Wes dying?

We're doing everything we can
to help him.

I snuck a look at his chart
when no one was around.

You know that's a crime, right?

Only a misdemeanor.

You should talk to Wes.

We all got tested.

I'm a match.

I'm gonna give Wes my kidney.

We've discussed your offer
at length, Max.

It's incredibly admirable and generous.

But you're 16.

Living donors have to be 18 years old.

I'm emancipated.

I can give consent for myself.

But it's still up to the hospital

to decide if this is a good idea.

We don't feel this is
in your best interest.

Max.

The surgery's much harder
on the donor than the recipient.

You could have postoperative
bleeding or infection.

And it's incredibly painful.

I've been through more crap
than any of you.

I can handle it.

There are also long-term consequences...

high blood pressure, renal failure.

If something happens to your
other kidney, you don't have a spare.

I know how to subtract.

I'm cool with it.

And the recovery is long and hard.

You would need someone to
help you get dressed and bathe

and make sure you take
all your medications.

I've been taking care of myself
just fine for a long time.

Actually, Max...

you've been in juvie and on drugs.

You're not taking care of yourself.

Okay, I get it.

I'm a screw-up.

But Wes isn't.

He's bailed me out of jail.

He's picked me up
in the middle of the night

when I was too messed up to drive.

He's cleaned me up after fights.

He came with me to my sister's funeral.

If I manage to stay out of jail,

it's because of Wes.

If I'm a halfway decent father someday...

if I'm not a lost cause...

it's because Wes never gave up on me.

He shouldn't die

because I made dumb-ass decisions.

It's your surgery.

And we have the exact same
amount of experience with this.

Free up the medulla along
the inner cortical surface.

Careful not to penetrate the cortex.

Mm.

Nothing's coming out.

Try using your fingers
to pinch the gland.

Use a circular motion to coax it out.

I've popped my share of pimples.

That's cool.

One down, one to go.

Wes is like a father to Max.

If he were his actual father,

we wouldn't hesitate to let him do it.

I think we should.

Me, too.

The little punk got to me.

We've explained all the risks.

Max was unwavering.

I vote yes.

One admirable decision

doesn't wipe away a lifetime of bad ones.

It's three against one.

This isn't a democracy.

I'll tell the patient.

One of the boys get into trouble again?

No.

No, they've given you
a reason to be proud.

They all got tested
to see if they were a match.

Max is.

He wants to give you his kidney.

That little turd is full of surprises.

I can't approve the transplant, Wes.

I'm sorry.

Max is a good kid.

He's gonna make a good man
one day, thanks to you.

But, for now, he still needs
grown-ups to have his back.

The risks to his health...

It's okay.

It...

It's the right call.

It's my job to save those kids.

Not the other way around.

You're still on the UNOS list.

We'll keep reaching out to your family.

We're not giving up.

I need you to do one other thing for me.

Sorry to interrupt.

It's okay.

No one's probably listening anyway.

Your kidney's not a match.

They said I was.

Your blood and tissue type were good.

But the serum crossmatch showed

that Wes produces antibodies
in reaction to your cells.

His body would reject your kidney.

I'm sorry.

Figures.

I can't do one stupid thing right.

That's not true.

You did everything you could.

Wes is so proud of you.

Any dizziness or nausea?

No. No headaches, either.

You need to try getting out of bed

to see if your symptoms return.

She ready for that?

No cartwheels yet, but hopefully.

How's it feel?

Room's not spinning.

Mommy! You're all better!

Whoa! Careful, sweet pea.

Mama's still recovering.

I'm okay.

Ooh!

Here's the Big Dipper.

If you extend a straight line
through these two,

this bright star is Polaris.

All of our phones have compass apps.

Hey, just shut up and listen.

This crap's important.

Polaris is your true north.

You keep your eye on that,
you're gonna find your way out

of whatever mess you've gotten into.

O... kay.

- All right.
- Mm.

That's, uh...

Even worse than it looks.

It's so bad. It's so bad!

- Mm.
- Cooks, we are not.

I think we should go on a date.

A real date.

Shaun, I already said no.

Yes, because you think

there are problems that can't be fixed.

But I am very good at solving problems.

I saved a woman today
who nobody thought I could save.

I don't need saving, Shaun.

Okay. I understand.

I can fix this.

Yes. You have to give me a chance.

You need to let me try.

No. I don't need to do anything.
You need to listen to me.

- No. No...
- This is only proving my point.

I have... I have a plan.

I can fix it!

I-I will fix it!

Shaun, you're autistic.
You can't fix that.

You are who you are.

And I am who I am.

And the two of us will never work.