All language subtitles for The.Good.Doctor.S03E20.WEBRip.x264-ION10

**

This isn't my usual seat
in a speeding ambulance.

You vomited
and passed out.

You have a three-inch
abdominal bruise

and a big bump
on your head,

either of which could...
You can check it all out tomorrow.

As soon as I'm back
at the hospital,

I'm going back
to treating patients.

They must be on overflow.

As soon as we're
back at the hospital,

you are getting a CT.

You could have increasing
intracranial pressure

from contusions,
edema, or a hematoma.

I don't.

I'm pretty sure I know my symptoms
better than you do.

No headache,
no unilateral weakness.

The doctor without the head
injury makes the call.

**

There's the rupture.

The fallopian tube's necrotic.

DeBakey forceps.

**

BP's stabilizing at 90 over 65.

I'll take the clamp.
I'm fine.- You remove the laps.

It's better if you do it.

Less likely to damage
your hands.

We need six hands,
we've got four,

and you want us to work with two?

**

I need
2-0 chromic catgut.

His heart's shifted
from the pressure
on his chest.

Try retracting it to the right.

There's nowhere for it to go.

**

Close him up. We'll have to
go in through his side.

That won't be easier.

Well, it better be, 'cause this way
is impossible.

Hello?

Yes. Shaun.

Lea?

Yeah, it's me. You okay?

Why is it still you?

I'm fine.I wanted to stay and help.

No, I don't need you, okay?

I need a rescue worker.

They're taking in a lot of
scaffolding and stuff

hoping to reinforce the walls.

The water should be a priority.

They shut off the main.

They don't know
why it's still flowing.

We're gonna drown
in about five minutes!

That's not true.

At the rate
the water is filling,

we have about an hour.

And I could leave.

I am going to cut the rebar
to free you.

I didn't do it before

because it risks rupturing
your posterior tibial artery,

but now we need to.

Take this.

Cutting will intermittently
cause your leg to move,

which will cause a lot of pain.

How did you deal
with your heartache?

Are you just asking to keep me calm?
Yes.

Distracting you from
the disastrous situation
you're in

will help keep your blood
pressure down.

And reduce bleeding.

Honesty was the problem
with my ex.

I opened up to him,
told him everything.

In return

he didn't.

Were you being honest
when you said

you were going to
move on after this?

One upside of being impaled
on rebar underground

in a room slowly filling with water

is it focuses your priorities.

Yeah.

I'm moving on.

If you loved him,

maybe you can't.

**

I told you.
- What?

Be quiet. Be still.

The machine is already past the point

where you would have
seen any damage.

The fact that you haven't
said anything

means you're either trying
to figure out

how to tell me I'm going to die

or you're trying to figure out

how to apologize
for wasting my time.

You're right.
I'm glad your brain is fine.

I'm not sorry at all.

Appreciate
the excessive concern.

Now I can get out of here
and to patients

and you can get back
to the winery to help.

Brewery.

Come on.
I misspoke.

Been a bit of
a rough day, you hear?

There was an earthquake.

I've seen you
on a lot of rough days,

but not once
have I seen you confused.

Move your gown.

You're bleeding
internally.

I need baci irrigation, and then
we can start closing her up.

Dr. Reznick.

Please step back,
Dr. Andrews.

We're trying to keep this area
as sterile as possible.

Glad you're aware it's not
an actual operating room

that you seem to be
operating in.

There weren't any
available.

And there weren't
any surgeons, either.

Suction. - So, you violated
Dr. Glassman's order

to not use your hands.

Ectopic pregnancy.

The fallopian tube ruptured.

Patient would have died.

Maxon sutures.

You could have found
another way,

but you wanted to be a hero.

Get your hands out of the patient

and take them to your room.

I'll finish.

He has a traumatic dissection

all the way
to the ascending aorta.

The clamp would tear through
the vessel wall.

He'd bleed out.

And if we clamp
proximal to it,

he'd lose perfusion
to his head.

He'll be brain-dead.

**

**

You should go back to
the hospital.

I'll stay with the boy.

**

Who's in charge?
First Andrews, then Morgan,
then Andrews again.

She's back
in her patient room.
He's in surgery.

All right,
what do you got?
Bay 4.

Otherwise healthy
35-year-old
with chest pain.

High sensitivity
troponins back?
First was negative.

Repeat the tropes
in an hour.

If there's still no change,
discharge him.

Yeah.
Bay 2... 16-year-old.

Dresser fell on her leg.

Normal pulse
and sensory exam?
Yes.

It's a
non-displaced fracture.

Prep her
for a posterior slab
and book a follow-up.

Dr. Lim.

**

Who is this?

Dr. Melendez.

**

Dr. Park.

So, how'd it go?

Not good, Casey.

We couldn't fix things.

When we take this off you,
you'll start bleeding,

and we won't be able
to stop it.

You're gonna die.

No.

No, no, no.
You're wrong.

You gotta...
You gotta be wrong.

Man, where's...

Where's my dad?

He's on his way.

We're gonna keep you
comfortable.

I'm not in pain,
okay?

You gotta be wrong.

I'm sorry, Casey.

**

Where's my dad?

**

Isn't "moving on"
just a euphemism

for giving up,
for failure?

Do you really
believe that?

Do you think
you failed?

Accepting... loss

makes us stronger.

Refusing to accept failure
makes us not fail.

If we keep fighting
till we succeed, then...

That's not true!

It traps us,

prevents us from moving on
to other victories.

Your hematocrits suggest
you're still bleeding.

Appears to be
in the retroperitoneum.

Probably from
the pancreas.

If we open you up,

it means major resections
and reconstructions,

and you could end up
with ostomy or diabetes.

I'm well aware of the risks
of abdominal surgery.

The more conservative
approach

is an angio
for embolization
to stop the bleed.

Less invasive...

Again, aware.

Do the embolization.

In this case,

I don't think
it's actually safer.

If the bleed
isn't from the pancreas,

we'll have to keep poking
around till we find it,

and it might be
too late.

**

You want to
do the surgery instead?

Not really.

But Claire's right.

**

We've been able to get
a satellite hook-up
to your dad.

Do you want me
to talk to him first?

No, I need
to talk to him.

MAN: Son?

Dad, I'm sorry.

Dad, I'm so sorry.

I can't hear you.
Say that again.

Are you hurt?

Dad, it's...
it's my fault,
okay? I...

Can you hear me?
Just be strong, okay?

Dad!
Casey!

Dad!

Get him back.

The plane's caught
in a storm.

I don't know if it'll...
Get him back.

**

DR. LIM: Divide
the gastro-colic ligament
and expose the pancreas.

It's a branch of the superior
mesenteric artery that's torn,

not his pancreas.

Good call.

I need to resect
the devitalized tissue

to get a healthy
anastomosis.

CLAIRE: We need clamps
and 6-0 vicryls on Castros.

Dr. Lim?

**

Above the SMA,
the small bowel...

**

There are three ways
to stop a bleeding vessel.

Clamp, cauterize,
or repair.

Since this vessel
is made of steel,

clamping requires
a 60-ton press,

and cauterization requires
an oxyacetylene torch.

I don't need
to stop the water.

Just slow it down.

You're good at
a-adapting to challenges.

Yes, I am.

Blindly keeping on sawing
wasn't gonna work.

No.

But it wasn't a failure.

Because cutting the rebar
wasn't your goal.

Saving me
was your goal.

And your goal isn't Lea.

It's love.

**

I think the scar
will work
with the tattoos.

The bleed
wasn't from the pancreas.

It was from the SMA.

But we found
additional injuries

all the way
to the celiac trunk.

Ischemic bowel?

Early stages.

We have restored
full blood flow
and reperfused.

I'm sure the bowel
is gonna be just fine.

How sure?

What's my lactate?

Four.

Means there's already been
some failure
of the bowel wall.

We're going to
re-test your lactate.

And I'm sure
it'll have gone down.

But if it's gone up, it means
ischemia is progressing,

and there'll be
more bacterial leakage.

Which in turn will mean
septic shock...

...past the point
of treatment.

We're not there yet.

**

Let him know
it's still gonna
be a while.

How long is a while?

Sorry.
I don't know.

He says
they're gonna drown
in 15 minutes.

Is "a while" more
or less than 15 minutes?

That last tremor
made things too unstable

to send my crew down.

You're supposed to be
saving lives.

You're supposed to be
the heroes.

If you let me,
what I'm gonna do
right now

is help my crew
get in more braces,
scaffolding,

and heavy machinery.

What you need to do
right now

is convince Dr. Murphy
to get out of there.

**

Talk to me, Casey.

I'm... I'm tired.

Let's just...talk.

Why do you need to
apologize to your father?

What do you think
you did?

Whatever it is, there's
nothing you could have done

that he's gonna be
mad about right now.

You don't know anything.

I know how
a father feels.

I know no matter how mad
or how ugly things get,

we don't stop loving
our children.

**

I killed my mother.

**

You need to get out.

Soon.
Not soon, Shaun.

You need to get out now.
It's not stable.

Vera can't leave.

The firefighters told me
they're making great headway,

and they'll be able to
save Vera soon,

but you need to
get out of the way.

**

Are you lying?

**

**

You need to go, Shaun.

**

If I leave, you die.

If you stay,

we both die.

You can't cut
through the rebar in time.

**

**

I can't cut
through the rebar.

**

But I can
cut through your leg.

**

In the Civil War,
there was a doctor

who could amputate limbs
in under three minutes,

which kept blood loss
and pain
to a minimum,

thus reducing
the effect of shock.

Our scalpels are sharper,

so I can slice through
the skin and muscle faster,

and I only sawed the rebar
with the top half of the saw.

So the bottom half
is still pristine

to get through the bone.

Do you consent
to the procedure?

No.

I have one condition.

You have to promise me

that if I don't make it,

you'll move on.

**

You deserve to find love.

You need to.

You're down here risking
your life for me, right?

Well, this is me
risking my life for you.

Promise me
you'll move on, Shaun.

Promise.

**

I promise.

Let's do this.

The year
before med school,

I took six months off,

backpacked
across Southeast Asia.

Hostels were
three bucks a night.

Beer was 50 cents.

And I found this little island
in Thailand,

Koh Lanta.

Nothing but bamboo huts
and palm trees.

Stayed eight days.

Read Moby Dick.

Fell in love.

How high?

High.

8.1.

The place is probably
overrun with tourists now.

She had an accident.

Nothing, really.
Mom didn't even report it.

But it was big enough
to mess with her neck.

A lot of pain.

But she was
dealing with it.

I thought.

She became dependent
on the pills?

Going through her purse,

looking to steal
a couple bucks
for the movies...

...found three half-full
prescription bottles.

Same drug.

What did you do?

Nothing.

I didn't say anything
to her or my dad.

I-I-I didn't know
what to say.

Three weeks later,
she OD'd in her sleep.

He would've
gotten her help.

I need to tell him.

**

You will.

I promise.

**

**

When I was
a second-year resident,

I was assigned
to a Dr. Wilmet Fortingale.

Full of himself,
sarcastic, thin-skinned.

Our first case together,

I saw he screwed up.

And I called him on it.

He lit into me.

What kind of ego
I must have,

what little regard
I must have
for my superiors,

how hard it must be for me
to trust anyone in my life.

Two days later, the M&M,

guess who screwed up.

Me.

When you're a resident,

you think
you know everything.

**

I'm sorry.

I should've told you
about my diagnosis.

It's hard.
Yeah.

And what that showed me
is that you don't respect
protocol

and you don't respect
your superiors,
your patients.

The only thing
you care about
is your own career.

And again,
I was wrong.

What you did today
for your patient
was remarkable.

You made it clear

that saving lives
is your first priority.

Unfortunately...

...it may have cost you
your career as a surgeon.

You've traumatized
your joint capsule
incisions.

I'm sorry.

**

I'm not afraid to die.

I was raised
a good Catholic

altar boy,

First Communion...

...faithfully wore
my silver crucifix

that Tia Abebe gave me
for Confirmation.

I was a true believer.

Then I went to college.

And maybe
it's just now that I'm

staring into
the yawning void,

I'm hedging my bet, but...

...it's coming back to me.

Like an old friend
with a warm hug.

**

**

**

I want you to know
that I...

Don't.

**

You should go.

This place
still has a crisis
going on.

**

**

Goodbye, Claire.

Goodbye.

**

96.1.

That's okay.

Feels way colder
than 96.

Feels like

f-fifty-six.

Forty-six.

Thirty-six.

Casey.

Twenty-six.
Casey.

Hey, stay with me
just a little longer.

I can't give you
any more epi.

Casey?

**

**

Dad?

**

Yeah.

I'm right here.

**

You had morphine?

I saved it
in case I needed
to do this.

Good thinking
not telling me.

Yes.
The upside?

In three minutes,
I'm gonna lose 10 pounds.

I'd say only eight, unless
you count blood loss and...

Do you take everything
literally?

No.

Lea,

I need you to count off
the seconds from 1 to 180.

I want to know
how close I am
to three minutes.

How will that help you?

I don't think it will.

But it may help distract you
from the screaming.

Ready?
N-No!

Just do it,
for God's sakes!

**

**

One...

two,

three.

I want to go back in.

If we resect more bowel
and do a trauma Whipple,
I...

A trauma Whipple?

It's a big surgery.

Okay, a huge surgery,

and there's obviously
no guarantee

and lots of complications,

but if we act now,
I feel like we...

Hey, whoa, whoa,
whoa, whoa, whoa.

Let's just hold on
for one second.

First of all, we are talking
about Melendez, correct?

Secondly,

we do know the numbers.

They're terrible.

And maybe so's this idea,
but that's how this works.

You shoot down mine,
I shoot down yours

until we come up
with a viable solution.

Okay, here goes.

The mesenteric bypass
already failed.

His lactates have more than
doubled, from 4 to 8.1.

Any significant
revascularization

is already
out of the question.

By some miracle
he were to
survive the surgery,

he'd be tube-fed,
a diabetic
with an ostomy bag,

waiting for
a liver transplant.

**

Your turn.

It's time to
stop being a doctor.

Be a friend.

**

Dad, I knew.

I, I knew about Mom.

I, I knew
about the drugs.

I should have told you.

I knew, too.

Of course I knew.

When you love someone,

you know
when something's wrong.

**

But, Dad, if you knew...

I did what I thought
I could.

Sometimes

you can help them,
but,

sometimes there's
just nothing anyone can do.

And we were the adults.

It was our problem,
our responsibility,

never yours, Casey.

It was never your fault.

**

...68, 69, 70...

I made it to the bone.

...71...72...

You need to stay conscious,
Vera!

...74...

75.

SHAUN: Keep counting!

80...81...

I'm sorry.

I should've been
able to do more.

Faster, better.

I know you want to
find blame.

If there's blame,
there's a reason.

Sometimes...

...there just isn't.

It pisses me off, too.

I could have spent a lifetime
drinking whiskey with you.

I was even starting
to like it neat.

**

What did we do?

No blame.

**

**

...150...151...152...153...

**

...154...

Vera! Vera!

Exhale!
Breathe out!

**

...172...173...174...

...one-seventy...

**

...179...180.

**

That's three minutes,
Shaun!

Shaun?

Shaun?

Shaun,
can you hear me?

Shaun!

Dad, it's so cold.

I know.

I'm sorry.

We should go snowboarding.

If you teach me
one of your tricks.

You'd break your leg.

Mom would kill me.

Good point.

**

I love you, Dad.

**

I love you, too.

**

**

**

**

**

**

**

KELLY: His father's
in the squad car.

We have him
on the line now.

Let's get this bar
off him.

Mr. Taylor.
I'm Dr. Park.

DAN: Lea?

It's time to go.

I can't.

There's nothing left
to do.

We should
get you checked out.

MAN: We've got something.

Hey, you need a helmet!

Hey.

Hey.

I heard the A's
picked up another
reliever.

Yeah.

I keep thinking,
what's gonna happen

to the next Theresa Adams?

Remember her?

Gallbladder.

Or so we thought.

We get in there,
it's completely healthy.

I blame it
on lousy imaging.

You call a duodenal ulcer
blocking the duct.

Saved her life.

Just so you know...

...you're the best
I ever worked with.

A bottle of Macallan
says they win the division.

Twenty-five or Seventeen?

Twenty-five.

It's a sucker bet.

Hey, it's my funeral.

I'll look forward
to that scotch.

I got you something.

**

**

**

You saved me.

No.

I was just
in the right place

at the right time.

That was all you.

You're gonna be okay,
Claire.

There's something
I need to tell you.

Me, too.

I go first.

You

are

a terrible bowler.

Maybe the worst
I've ever seen.

And I wanted to tell you
that I hate your tattoo.

Way too much antler.

I love you.

I love you, too.

**

**

**

**

It's the start
of a new day.

Yes. It is.

That was both literally true
and a metaphor.

* Death is coming
carried on his crooked wings

* I can't do anything

**

* Death is coming
carried on his crooked wings

* I can't do anything

Hey, Mia.

No, I-I'm fine.

I'm just,

just tired.

Hey.

I have to be,

closer to you guys.

I'm gonna move back.

Hey, is Kellan there?

I need to hear his voice.

**

* Love is coming
coming for to carry me

* I don't know anything

Hey, son.

* Love is coming
coming for to carry me

* I don't know anything

**

**

**

**

**

**

We should
get a drink sometime.

I'd like that.

**

I made a promise to Vera.

**

I don't know
what that was.

It could be
a practice kiss

or a pity kiss
or a goodbye kiss.

That was an
"I'm such a stupid idiot
for not seeing it,

"but I love you
with all my heart" kiss.

And this is another.

**

* Send the rain

* Send my love

* Send my love to everyone

Vera didn't die,
so the promise
doesn't count.

* Send the rain

* Send my love

You make me
more, Shaun.

* Send my love to everyone

* Send the rain

* Send my love

* Send my love to everyone

* Send the rain

* Send my love

* Send my love to everyone *

**

**

**