All language subtitles for The.Good.Doctor.S03E19.WEBRip.x264-ION10

CLAIRE: Previously on
The Good Doctor...

You ready to tell me
what's on your mind?

I think I'm in love
with my boss.

DR. REZNICK: I have
rheumatoid arthritis.

I wanted you to know
and no one else.

I've been thinking about
synovectomy surgery.

That'll resolve the pain
temporarily. Then what?

It'll give me
at least ten years.

And then you're gonna be
bone on bone.

What's your plan then?

I understand
you're leaving surgery.

That's tough.
But it's the right call.

No, I don't think it is.

I'm doing the surgery.

You don't tell me anything
about your life.

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

That's not true!

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

You just want to know
that I'm okay.

I love you, Lea.

I want to be
your boyfriend.

(VOICE BREAKING)
I'm a challenge for anyone.

I just know it would be
too hard for you.

You have to
give me a chance.

You need to let me try.

No.
I will fix it!

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

You acted like
you cared about me,

but you don't even
respect me.

You're going to
end up alone,
and you deserve it!

Because you're
a superficial,

selfish,
and prejudiced person!

**

(SPRINGTIME CARNIVORE'S
NAME ON A MATCHBOOK PLAYS)

**

(INDISTINCT CONVERSATIONS)

Uh, two lychee Kolsch,
please.

Lea?

Hey!
Hey.

* Until you prove me wrong *

I saw the invite
at the clinic.

And I assumed
you wouldn't be here.

You with a friend?

Uh, it's been
a rough couple of weeks.

Hey! They're here!

The guys who made
this all possible!

I don't know about
all that.

Yeah, well,
you try opening a brewery

or fundraising
when you're dead.

Ohh.

Oh, honey, uh,
you remember
Dr. Melendez...

Hi.
And Dr. Glassman.

This is my wife,
Noreen.

Aaron. Hi.

This is Lea.

Your flavor profiles
are epic.

Well, how about a tour?

Uh, yes.

Okay, great. Come on.
(CHUCKLES)

(GASPS) Carl!
Marta.

It's good to see you!

She is in host mode.
We could be here forever.

I'll show you around.

**

The, uh, hops in the Kolsch,
is that the Citra?

In combination
with the Noble German.

Lady knows her stuff.

(RUMBLING, WALLS CREAKING)

Do you feel that?

(RUMBLING INTENSIFIES)

It's an earthquake.

**

(LIGHT BULB EXPLODES)
(SCREAMS)

(SCREAMS)

Get out of there!

(SCREAMS)

(METAL CREAKING)

Lea!

(SCREAMS)

(RUMBLING CONTINUES)

(THEME MUSIC PLAYING)

(CELL PHONE RINGING)

(GRUNTS)

(BEEP)

(BREATHING SHAKILY)

Hello?

(SIGHS) Thank God.
Are you okay?

Um, I'm fine, I think.

The ceiling caved in.

Were you hit?
Are you bleeding?

Not as far as I can tell.
Just...

(EXHALES SHARPLY)
Just some bruises.

The brewing tanks
fell over.

One went
right through the floor.

And Glassman?
Wasn't he with you?

I was! I am!

(BREATHING HEAVILY)

(GRUNTS)

Your shoulder.
It's dislocated.

Yeah.

(JOINTS CRACK)
(SHOUTS)

(GROANS)

(EXHALES SHARPLY)
I'm okay.

Noreen.

We're okay here.

I'm about to assemble
a HURT team and head out.

Any idea
how many wounded?

No. Let me check.

(BREATHING SHAKILY)

Come on.

(INDISTINCT SHOUTING
IN DISTANCE)

(COUGHING)

Lea?

(LIGHT BULB POPS)
(COUGHING CONTINUES)

(ELECTRICITY HUMMING)

(INDISTINCT TALKING)

**

Get here
as fast as you can.

The hospital is
on mass casualty
incident protocol.

Cancel all elective surgeries.

Transfer non-critical patients

to urgent-
or chronic-care facilities.

No family members or visitors
are allowed in the ER.

We're gonna need
every inch of space
we've got.

Use the waiting room
for patient overflow.

Our HURT Team,
which I'll be running,

has been assigned
to the Bold Statement Brewery,

which collapsed
during a charity event.

Melendez and Glassman
went to that.

I spoke with Melendez.
They're both fine.

(SIREN WAILING IN DISTANCE)

That's two
out of approximately
a hundred.

Park, Shaun, Claire,
you're with me.

Get the equipment packed up.
I want to be on the road
in three minutes.

(INDISTINCT TALKING)

I need you
to cover surgery.

I'll get another attending
on the ER.

I'll do both. I used to run
the whole hospital.

(PEOPLE MURMURING)

It's just a cut.
You'll be fine.

I need to focus
on medical emergencies.

Cuts and scrapes
do not qualify.

My colleague and I
will be com...

**

Lea?

The door to the Brew Hall
is totally blocked.

NOREEN: Dr. Melendez!

Noreen?

Marta.

What hurts?

(STRAINED) My back.

Okay, I'm gonna
need a towel
and some tape,

and Glassman and I
need every first aid kit
you've got.

(SIGHS) Go.

Hold still.

You're gonna be okay.

I'm gonna stabilize
that leg, sir.

(GROANS)

Hold on a second.

Sir, please put that light
on your leg.

(CLACK)
What was that?

Just hold still.

What if there's an aftershock?
The whole place
could come down.

Just hold still, please, sir.
Just hold still!

(BONE CRACKS)
Aah! (GROANS)

Just please sit down!

(SIREN WAILING IN DISTANCE)

(INDISTINCT TALKING)

(SIRENS WAILING,
RADIO CHATTER)

Hey, you guys
can head across the street,

and you'll be okay
over there.

(EXHALES SHARPLY)
There mi...

Might be about
40 people inside
in need of treatment

or so... Some kind of
onsite evaluation.

Where do you need me?

Back at the hospital.
We're short on surgeons.
Okay.

Shaun. Uh...

Lea...was here.

Where is she now?

I don't know. She was inside
when the tanks fell down.

But the first responders
are gonna find her. Shaun?

**

(SIRENS WAILING IN DISTANCE)

(HELICOPTER BLADES WHIRRING)

MAN: Jack's in place.
Let's lift it.

All right, she's clear.

CLAIRE: Melendez.

50-year-old woman,
medical history includes
spinal tumor resection,

C1-through-3 fusion,

complaining of severe
back pain.

Hey, where were you hit?

Are you dizzy?
You okay?
I'm fine.

A beam fell, hit me
on my side,
knocked me down.

Let me see.

I'm fine.

(PEN LIGHT CLICKS)
Let me see.

I'll lay off working
my obliques at the gym
for a bit.

Ow.
How much does that hurt?

No more than it should.

You're gonna need
a full evaluation.

I'll go with Marta
back to the hospital,
get checked out.

(SIREN CHIRPS)

Where was Lea?

In the Brew Hall,
and it's completely
blocked in.

Glassman and I
already tried.

The danger
of spinal fracture...

Let's get a real
cervical collar on her
and get her onto the board.

(INHALES SHARPLY)
Stop!

**

Don't touch her.

You winced when they
touched your neck.

Did your right hand hurt?

Yeah.

Like it was on fire.

It's not
just a fracture.

Something is pressing
on her spinal cord.

Even the move to the board
could shift the object,

leading to
permanent paralysis.

**

I need to find Lea.

Get the
battery-powered X-ray.

Okay.

Lucky there weren't
more books on that shelf.

Bay one.

500 milligrams
IV acetaminophen,

and page Calderon
in pedes.

Reznick, no. You had surgery
on your hands 48 hours ago.

I don't need them
to triage.

We need a surgeon
over here.

Construction worker.
Through and through
impalement.

Point of entry's
his pelvis.

BP 111 over 84.

Pulse 107 BPMs.

Pupils?
Ignore her.

Normal and reactive.

Right now she's a patient,
not a doctor.

Motor exam?

Normal.
All right. Thanks.

I'm concerned
about the iliac artery.

You should check
his femoral pulse.

I was planning to.
(GRUNTS)

Okay, okay, okay.

Right leg is strong.

Left is thready.

Ultrasound his leg to confirm.
His abdomen, too.

Look for additional
damaged vessels.

Then take him to OR 2
and page Cohen.

There could be
a lot of vascular injuries.

You should do his surgery
while I help with triage.

Dr. Reznick, I don't need
or want your help.

You have a habit
of withholding key details

from your attendings
as it benefits you.

Go to bed.

**

Lea?

Lea, can you hear me?

MAN: (STRAINED)
Help. Think I'm stuck.

Shaun, we need you on triage.
Let the professionals...

Sh... Okay.

MAN: Help.

Under here.

Someone is down there.

Someone's down there,
but it's not Lea.

We need fire and rescue
over here!

MAN: Coming now!

Shaun!

It's right up against
the spinal canal.

It's the C2 screws
we used to fuse the vertebrae
once the tumor was out.

That doctor was right?

I could end up paralyzed?

I'm afraid so.

So, what are
we gonna do
about that?

We could
remove the screw here.

No. You can't operate
on my wife's spine

in the middle of all this.

DR. MELENDEZ:
It would have its risks,

significantly more
than most surgeries,

but Dr. Browne's right.

If we don't
remove the screw here,

it's very likely that
you'll be paralyzed
from the neck down.

**

Take it out.

Lea?

Lea?

Are you there?

Can you hear me?
(METAL CLANKING)

Lea?
LEA: Please help!

Lea, it's me!

Lea, it's Shaun!
It's...

(HELMET CLATTERS)

Lea?

Shaun, help!

Okay.

**

DAN: Hey! This area needs
to be stabilized before
any medical personnel...

Lea!

(HELICOPTER BLADES WHIRRING)

(COUGHS)

(COUGHS)
I think I'm stuck.

(BREATHING HEAVILY)

**

Okay.

Lea. I'm coming.

(GRUNTS)

Okay.

(METAL GROANING)

(RUMBLING)

(GASPS)

Aah!

(BREATHING SHAKILY)

I am not afraid.

I am...not afraid.

I'm not afraid.

**

Of course you are.

You know why?

Because
this is stupid scary.

Dispatch rerouted us
to Good Sam
for some reason.

Put us on diversion.
Too many trauma patients,
too few surgeons.

Now you got two more patients
and one more surgeon.

Which procedure
do you want?

Pelvic fracture can wait.
Bay 7.

I'm overseeing the ER.

Someone has to.
Doesn't have to be you.

Morgan texted me.
She's offered to help.

Hands-free.

I'll handle the ER.
You two go cut.

Who's gonna actually treat
the patients? Siri?

The nurses. I'll tell
them what to do and then
oversee every move.

(SIGHS) Running this place
isn't a job for a third-year,

even on days
without an earthquake.

Well, we've had an earthquake.
There are no options.

Morgan. You be careful
with those hands.

You could screw them up
for good.

Understood.

Petringa! OR 3.

**

What were you doing
in a brewery, anyway?

I was just sitting at the bar,
having a beer.

Now I'm trapped under it.

You're not 21.

I'd show you my ID,

but my pockets are
kind of underground right now.

(SIGHS) We should let
your parents know
where you are.

I'm fine.
It doesn't even hurt.

I think you should have
someone here... Mom, Dad.

My mom's dead.

And my dad's on a plane.

Do you know the flight number?
We can get word to him.

If my son
was in your situation,
I'd want to be there,

no matter
what else was going on
or how he got there.

My dad already thinks
I'm a screw-up.

And this doesn't exactly
disprove that.

Just get this thing
off me.

(SIGHS)

Call me a bitch.

Call me a bitch.

**

We are gonna clear this ER

and get the hospital
off trauma diversion.

With a patient in every bed
and one doctor
with zero hands?

Actually, I've got eight.

You guys are gonna do
exactly what I tell you.

I ask you to probe
2 inches to the left,

I don't mean 1.5 inches
or 1.7.

I have you debride
a wound,

that's three
Betadine swabs,
not two.

I don't care what shortcuts
you've picked up.

I will not say please.
It is a wasted word.

I will not say thank you.
I will be moving on.

I will be a bitch, so you
may as well call me one now.

Bitch.

You're a bitch.
Bitch.

As a feminist,
I'm really not com...

Say it.
Bitch.

Nice.

Let's get to work.

You should be up there
doing your job,

not down here.

Lea needs me.

No, she doesn't.

You think rescuing her
will make her fall
in love with you.

It won't.

You're...being...

You always said
I could do...

Because I believed in you.

Right now, I don't.

**

She doesn't love you.
She told you.

She thinks
you're limited.

You are.

You're not her hero.

**

LEA: Please help!

We need a central line,
endotracheal tube,

bag mask, portable oxygen,
anesthesia...

We've got midazolam.

That combined with
a morphine drip should work.

Okay. Noreen?

Don't do this surgery.
Please.

**

I-I can't lose her.
Not this soon.

M-Marta was
with her husband.

She was miserable.
She didn't know...

We're not the ones
you need to persuade.

**

Sorry.

I will
push your wheelchair.

I'll wipe your mouth,
whatever you need.

And be glad
for every minute of it

because...

You will still be alive.

And we'll still be
on our adventure.

(VOICE BREAKING)
Five years.

That's...

That's just not enough.

So greedy.

Marta, please.

(INHALES DEEPLY)

Thank you for being willing
to take care of me...

Again.

Five years isn't enough.

However long I have with you
will never be enough.

I only found you

once I stopped listening
to my fear...

Fear of
hurting my husband...

Being thrown
out of the church,

of dying alone.

Pushing all that aside
made room for you,

and you are my life.

Dr. Melendez
saved me once.

He's gonna do it again.

Be brave with me.

**

(BREATHING HEAVILY)

**

Okay.

(GRUNTING)

(SIREN WAILING IN DISTANCE)

(BREATHING SHAKILY)

You found me.

Mm.

(BREATHES SHAKILY)

I'm Dr. Shaun Murphy.

I'm here to help you.

What's your name?

Vera.

Where does it hurt,
Vera?

Everywhere.

But mostly the shoulder.

Mm.

Okay.

(SIGHS)

Take a deep breath,
please.

(BREATHES DEEPLY)

Your lungs are fine.

Can you feel
your hands?

Yes.

That means
you have no nerve damage.

It missed
your vital organs.

I can remove it without
risking permanent injury.

That's good news.
(CHUCKLES)

(GASPS, WHIMPERS)

This is bad.

(BREATHING SHAKILY)

When I cut, brace this.

Her neck cannot
move at all.

**

Making
initial midline incision
to posterior neck.

KELLY: It's gonna
take some time before
we can move that bar.

That's fine.

We need to get a sense
of the kid's injuries
before you do anything.

I need to get under there
and take a look.

Follow me.

Asthma
and dust inhalation.

Bad combination.
(COUGHS)

Take deep breaths.

(BREATHES SHALLOWLY)

Higher.

Higher.
(COUGHS)

Where her lungs are.

You're the one
that can hear them.
There.

Deeper.

(INHALES,
EXHALES SHARPLY)

Trying.
Just (COUGHS) can't.

(COUGHS)

That's probably because
your lungs are hyperinflated.

Start nebulizer albuterol
and oxygen,

eight liters per minute.

Why are you using
plaster of Paris?

You told me cast her arm.
You didn't tell me...

To use fiberglass,
which takes half the time
and is twice as effective?

I wasn't aware that
I had to instruct you
on common sense.

Bitch.

(HELICOPTER BLADES WHIRRING)

**

(SIGHS)

SHAUN: (ON RADIO)
Can I speak
to Dr. Lim, please?

Shaun, where are you?

I found a woman with
shoulder and leg impalements.

I'm going to extract
the shoulder,

but freeing the leg
could sever the posterior
tibial artery.

That sounds bad.

You would die.

DR. LIM: What's the leg
impaled on?

Mm, it appears to be
steel rebar.

We'll send down
a firefighter.

Once they've sawed
through the rebar,
they'll transport her up.

And keep this channel open
so I can hear you.

Have they found Lea?

No. They're still searching.

**

Okay.

(MONITOR BEEPING)

Hey, Aaron, can you
head back to the ER
when you finish here?

Not unless you can take
the transected aorta
being prepped in OR 3.

I got a myocardial contusion
and tamponade in 2.

Ceiling fan
fell on this guy's chest.

Ow.

See you
on the other side.

Yeah.

(BEEPING CONTINUES)

(ALARM BEEPING)

We've got a bleed.
Clamp.

**

The hardware tore
a muscular branch

of her
right vertebral artery.

I can't find the bleed
without suction.

I see it.

(CLAMP CLICKS)
(SIGHS)

Her vitals are stable,
but she's lost too much blood.

We can't keep cutting
till we give her
a transfusion.

Check all local hospitals
and blood banks.

See who can get us
O-negative, stat.

**

There might be another way
to transfuse her.

DR. PARK: So, I'm 16,
in my dad's car,

a dime bag in my pocket,

and a cop approaching.

Did you get arrested?

Hey, let me
tell the story.

It's got a beginning,
middle, and end.

I want the end.
It's better
with the middle.

(SCOFFS)

We, uh,
roll down the window,

and the cop is hit
with a cloud of smoke.

(LAUGHS)
She makes us get out,

pats us both down,
searches the whole car...

Uh, I'll be right back.

Oh, wait. Come on, come on.
Don't leave me hanging.

Come on.

She didn't find anything.

All right.

Our bodies
can do amazing things,

even hide dime bags.

Holy crap! No way!
Did you still smoke it?

I'll be right back.

(LAUGHING)
Oh, man, you did! Euggh!

How bad is it?

His spine's been severed.

**

He's lost
a lot of blood.

No femoral pulses.

His legs are ice cold.

The bar's basically
cross-clamping
his abdominal aorta.

He's gonna bleed out
when we lift the bar.

Yeah.

**

No, there's gotta be
something we can do.

We can get his dad here
before it's too late.

**

Inject five CCs
bupivacaine,

wait 20 minutes,
then pull it out.

You here for me
to discharge our asthmatic?

No, she's gotten worse.

And she's complaining
about back pain.

She said she fell
during the earthquake.

Symptom explained.

Those sutures need to be
closer together.

Add budesonide
to her nebulizer.

That should
help her breathing.

I think
she might be pregnant.

Shortness of breath
plus back pain

could be UTI,
kidney stones,
or pregnancy.

Urine dip ruled out
UTI and kidney stones.

So her symptoms have nothing
to do with the earthquake?

It's possible.

How can you be
both slow and sloppy?

This is my first time
doing sutures.

Finish up
so I can discharge him.

Stop with
the zebra hunting.

Put her on budesonide
and clear the bed.

I asked you to be my hands,
not my brain.

Dr. Reznick.

I'm over the bitch plan,
after three years of it.

We're in crisis.

That you are using
to rehabilitate

your reputation
with Andrews,
which is fine.

But stop biting the hands
that are your hands.

(SIGHS)

What are you doing?

Sterilizing
the instrument.

Do you know someone
with cancer?

Um...

I'm curious
why you were at

a fundraiser
for cancer research.

I was there for a man.

One without cancer

or any interest
in being with me.

My ex-boyfriend is
on the board of the charity.

Why did you want to see
your ex-boyfriend?

I guess...

I hoped he'd realize
he was still in love with me

and beg me
to take him back.

Clever, huh?

I understand.

I still want Lea
to be my girlfriend.

But she doesn't feel
the same way?

**

I have autism.

Oh...
Shaun, that shouldn't...

(SCREAMS)

(BREATHING HEAVILY)

(GRUNTING)
(SIZZLING)

(BREATHING HEAVILY)

Why didn't you warn me?

Studies have shown
that anticipation
only heightens pain.

(GROANS)

I used small talk
to distract you.

(GROANS)

(BREATHING HEAVILY)

(RADIO CHATTER IN DISTANCE)

(SIREN WAILING IN DISTANCE)

Where did you two meet?

Church.

I'm not a member anymore.

(BREATHING HEAVILY)

Okay.

(GRUNTS)

Place that
in the surgical cavity.

You made a cell saver
out of a...

Beer engine.

I ran alcohol through it
to sterilize it.

Attach this to an IV.

(GRUNTS)

We are gonna pump
her own blood back into her.

**

Hey, we got somebody
down here!

Can you hear us?
We're coming!

**

Lea. Are you okay?

I-I think so.

**

(INDISTINCT TALKING)

Hey. How long before you guys
get this thing off of me?

We're working on it.

(SIGHS)

(GRUNTS)

You said your dad thinks
you're a screw-up?

Has he
actually said that?

No.

The reason I told you
that story is

everyone does dumb stuff
when they're a teenager.

I bet your dad
doesn't judge you
nearly as harshly

as you think he does.

**

My dad doesn't know me.

Neither do you.

Can you stay
with him?

That's...incredible.

Thank you.

Spend enough time
around Dr. Browne,

you get used to
incredible.

**

Okay. Thank you.

There'll be a cruiser
waiting to pick Casey's dad up

when he lands
in three hours.

What if we compress
Casey's aorta
against his spine

and create
a higher cross-clamp?

You didn't tell him yet,
did you?

No.

We could buy time

to repair his aorta
after we lift the bar.

Casey's about Kellan's age.

This has nothing to do
with Kellan.

Yes, it's... It's a 1% chance
of success if we do this,

against a 100% chance of death
if we don't.

**

Okay.

Prep him.

When will we know
if she's gonna be okay?

When she wakes up.

And there's still
a risk of infection.

Let's get her stabilized
and out of here.

**

(ULTRASOUND WHOOSHING)

I'm administering
the budesonide

and checking to see
if she's pregnant.

I told her
I'm on the pill.

Ever miss a day?

Look at that.
An unoccupied uterus.

Prep her for discharge.

Can you give me something
for my back pain?

It's bruised
from when you fell
in the earthquake.

Take some Tylenol.

Uh, it's been bad
all week.

Muscle relaxers
usually help.

Check her tubes.

(ULTRASOUND WHOOSHING)

You're pregnant.

The fetus is developing
inside your fallopian tube.

It's called
an ectopic pregnancy.
It's not viable.

(SIGHS)

That's a relief.

But if your fallopian tube
ruptures,

it can cause a serious,
possibly fatal, bleed.

So we'll get you into surgery
as soon as possible

to make sure
that doesn't happen.

It's gonna be fine.

If we get out of this alive,

let's promise to move on.

You can do better
than Lea.

Not that I have any business
suggesting that.

I might die because
I'm still hung up on Paul.

No.

I don't want to move on.

If she doesn't feel like...

I always knew
I could be a good doctor.

But until I met Lea,

I never knew
I could drive a car.

Or enjoy music.

Or sing karaoke.

Or take tequila shots.

(CHUCKLES SOFTLY)

Or fall in love.

**

I don't want to stop being
the person I am with her.

Lea makes me more.

(ON RADIO) But I don't
make her more.

If I did,

then Lea would want
to be my girlfriend.

**

(ALARM BEEPING)

She's tachycardic
and hypotensive.

Abdomen?

Rigid.

Her fallopian tube
ruptured.

**

(COUGHS)

Any chance
he can wait an hour?

Rapidly expanding
subdermal hematoma.

**

**

It still doesn't hurt.
Can't this wait?

We need to fix something
right away.

Okay.

Whatever you gotta do,
I guess.

Hey, um,

about my dad...

The minute he lands,
we'll get him here.

Thank you.

**

Okay. (SIGHS)

She needs a surgeon...
Stat.

(MONITOR BEEPING)

I'm a surgeon.

Harmonic scalpel,
DeBakey forceps,

two Yankauer suctions,
and vasopressin.

(INHALES SHARPLY)

(BREATHING SHAKILY)

(INHALES SHARPLY)

**

Marta?

Can you squeeze
Noreen's hand?

Let's get you
to the hospital.

(CRYING)

(WEAKLY) You two,
free beer for life.

(BOTH LAUGH)

(RUMBLING)
Whoa.

Watch it!
Aftershock!

(CLATTER)
SHAUN: We need to
immobilize your leg.

Cover your head.

(RUMBLING CONTINUES)

**

(RUMBLING FADES)

All right,
get her out of here.

Right.

(BREATHING HEAVILY)

That was a big one.

Oh! Are you okay?

(COUGHS)

Yeah. (CHUCKLES)

Just a little...
A little motion...

Oh!

**

I need oxygen here now!

(COUGHING)

You okay?

(BREATHING HEAVILY)

What about our patient?

Vitals stable.

Shaun,
you okay down there?

(WATER RUSHING)
I am okay.

Except for the water.

**

Please hurry.

Please hurry!

**