All language subtitles for the.good.doctor.s04e06.720p.hevc.x265-megusta

Previously on The Good Doctor...

The aneurysm caused his
back pain. Dr. Wolke missed it.

I screwed up.

Compressions.

Dr. Wolke.

He's dead.

Take as much time as you need.

The virus has damaged
your mother's lungs.

We're doing everything
we can to help her.

120 joules.

I've got hydroxychloroquine,
ribavirin...

I'm twice the size of SJ General.

I should have twice
the amount of tests.

♪ I'm over the rainbow ♪

♪ No yellow brick road ♪

♪ Can't seem to find home ♪

♪ Over the rainbow ♪

♪ Ah, ah, ah, ah, ah, ah, ah ♪

♪ Ah, ah, ah, ah, ah, ah, ah ♪

Oh, my God, what happened?

Is he okay?

I'm a doctor.
What happened?

I don't know. He was running. I honked.

All of a sudden, he
was in front of my car.

Pedestrian versus car,
GCS five at scene.

Rigid abdomen with active bleeding.

Flail chest with pneumo.

He needs an ex lap. Now.

We've got a massive hemoperitoneum.

I need two large suctions and
lap pads in all four quadrants.

There's a grade-three liver laceration

in right lateral segments.

Liver stitch, number 1 chromic

on a blunt needle and a combat gauze.

What were you doing on
your bike at that hour?

Heading into work.

Trying to prep for my budget
meeting with Glassman.

Mobilize the liver to check for
any associated diaphragm injury.

It's the other side of town.

I was taking the scenic route.

BP's dropping.

He's got another bleed.

Add more lap pads and run the bowel.

There's a perforation
near the terminal ileum.

Ah. Something tore
through the intestinal wall.

It's shrapnel.

From the accident?

The coat's eroded.

It looks like it's been
in there a while.

It must have gotten
dislodged in the accident.

How does Asher seem to you?

He seems fine.

Too fine for someone who's
just lost their first patient.

I don't have time to worry
about people being too fine.

He's faking it.
Good.

The brain releases serotonin
when you smile,

even if you're miserable.

I feel better already.

Denial is not a proven strategy

for psychological health.

Dwelling on things you can't
change doesn't help either.

24-year-old woman came into the ER

complaining of abdominal
pain and headaches,

and, surprise, she's pregnant.

Apparently not a happy surprise.

She wants an abortion.

Well, what's wrong with her?

I assume you haven't recently
learned the value of sharing,

which makes me think
there's another reason

you're unloading this onto
the surgical department.

She has a congenital IgA deficiency

and a history of severe infections.

She'll need IV antibiotics

and close post-surgical observation.

I figured one of your newbies

may as well learn something.

♪ ...You'd say ♪

♪ What can make me feel this way ♪

♪ My girl ♪

Lea's birthday is tomorrow.

There are many cute frogs

and many romantic songs.

I can't decide.

It is my first gift as her boyfriend.

It needs to
be... awesome.

Well, then, maybe singing frogs,

however cute, might be a mistake.

Try something more
personal or romantic.

And find a resident who
hasn't done a suction D&C

and teach them.

Oh. No, n... no.

I'll do it myself.

I'm not going to teach anymore.

I'm a good surgeon.
I'll do surgery.

Dr. Murphy, part of your job
as a surgeon is to teach.

You can't opt out
because it's difficult.

I am opting out because I'm bad at it.

Well, you can't opt out for any reason.

But I may have given you too
much responsibility too soon,

so I will supervise your supervision

until you get the hang of it.

Pick someone.

Did you two lose something?

Our patient.

Rose Babcock.

She's post-op from repair
of a distal radius fracture.

60s.
White hair.

Looks at you like she's
staring into your soul.

Does she have a limp?

No.

Well, I think she does now.

Uh, Ms. Babcock, did
you fall down again?

Oh, no, I'm fine.

But... But there's a
poor man in room 318

who's in a lot of pain.

Let's get you back in bed.

Ah.

Yep.

Apply a new Tegaderm,
not antibiotic ointment.

They breathe.

Don't make us handcuff
you to the bed, Rose.

We charge extra for that.

Dry the skin more so it'll stick.

You're doing just fine, dear.

Heart rate's spiking in the 130s.

BP 162 over 95.

Are you feeling any
pressure in your chest?

No, it's just anxiety.

Not mine. It's one of yours.

We're gonna pretend, since
it's happening in your chest,

that it's yours.

20 milligrams IV labetalol.

I'm fine.

I'm an empath.

I can feel what other
people are feeling,

and one of you is very stressed out.

Olivia, stay where you are.

And one milligram of Ativan.

Keep away from me!

No!
Step back!

Sir, you were in an accident.

We're taking care of you.

Stop. Stop it! Now!

Get away from me!

I need you to hold him down
while I administer Haldol.

Sir, please just...

I'm warning you. This
room is being cleared.

No one is gonna hurt you.

Ben.

Huh?

You're having a flashback.

You're not in Afghanistan.

You're in the hospital.

Look around.

What do you see?

Zoe?

Yeah.
Yeah, baby, it's me.

Zoe, I...
I couldn't sleep.

I... I went for a run,
and I...

I heard an explosion.

And I don't... I don't know
what happened after that.

You were hit by a car.

We had to do surgery,
but you're gonna be okay.

It's okay.

Take him back to his room,

make sure he didn't open his wound.

I'm sorry.

Dr. Murphy?

Rose is not your patient.

She was teaching me about her gift.

She says the basis of
empathy is curiosity,

which I find curious because...

I'm curious about the job
you're supposed to be doing.

Who are you leading through the D&C?

None of them.

The only one who hasn't
done one does not want to,

so I will.

Which resident?

Wanting to is irrelevant.

It's their job.

Wanting to is
irrelevant. It's your job.

I'm a Christian.

Performing an abortion
goes against my beliefs.

Okay.

You may encounter a situation one day

where this procedure
could save a woman's life.

Then I hope someone else can...

And it's my job to make sure
you can perform all surgeries,

including abortions.

So where does that leave us?

I'll do the surgery.

I've only done one.

I'm sure there's a
lot I still can learn.

Dr. Murphy, you have a new student.

Get her started running
pre-surgery assessments.

Thank you, Olivia.

That's the kind of
ambition I like to see.

He did three tours.

He came home after he was injured

in some kind of explosion.

I don't really know what happened.

Some... He's tried to tell
me about it several times,

but he just...
He breaks down.

When was he diagnosed with PTSD?

Two years ago.

But he hasn't been the
same since he got back.

At first, he was moody, irritable.

Little things would set him off.

Then the insomnia started.

His mind is just...
It's never at rest.

Nights are the worst, you know?

He, um...

He gets these terrible nightmares.

Flashbacks.

Just... We can't sleep in
the same room anymore.

Make sure he stays off his feet.

Would you like us to
arrange a psych consult?

We've been down that road.

Talk therapy, group
therapy, exposure therapy...

endless medications.

Let us know if you change your mind.

♪ Keep diggin' up dirt ♪

Jillian, I need those stats on elective
surgeries for my budget meeting.

And a coffee.

Jillian?

She's not there. I
need approval for this.

And this.

You said I couldn't give her the frogs.

Oh, you can't give her this either.

You don't know what it is.

I know it would mean more

if you had to leave
the building to get it.

I would like to do the
suction D&C surgery.

I assume your religious convictions
haven't changed in the last few hours.

No.

But I believe I was put in
this program for a reason.

So, if you think it's important for me

to learn how to do an abortion,

then I should learn.

Take Jordan to the skills
lab. Run the surgery steps.

You two will handle the D&C yourselves.

With you.

How are you going to
supervise my supervision

if you're not there?

I will help you prep
and debrief afterwards.

But this patient doesn't
need a gallery of strangers

standing around, gawking at
her most private experience.

Sorry to interrupt.

Ben woke up complaining of pain.

Did you check the incision?

The pain is in his arm.

Now test external
rotation of the shoulder.

We're almost done.

Can you describe the pain?

Aah!

We'll call it a 10.

It's been hurting for
years, but, aah, this is...

This is something else.

How did you injure
your shoulder before?

I was in a...

I was in a convoy in Kandahar,

and there was a...

I dislocated my...

You don't need to discuss it with us.

What did you find?

Swelling, sensitivity to
touch, discoloration.

Could be CRPS.
What is that?

Well, it appears the car accident

aggravated a prior injury.

You've developed complex
regional pain syndrome.

We'll start you on
Gabapentin and Dilaudid.

Opioids make me a little insane.

We could do a stellate ganglion block.

It's an injection of
anesthetic near the spine

that blocks the pain signals,

and could also help the PTSD.

I've been treated for PTSD for years.

Why haven't I heard about this?

It's experimental, but promising.

The procedure comes with risks:

vascular injury, infection,
major hematoma.

Dr. Lim, I've been taking a
risk every time I go to sleep.

I want to do it.

Stellate block is an accepted
procedure for treatment of pain.

Which you wouldn't have suggested

if the patient didn't also have
a mental health condition.

I hear Jordan's back on the D&C,

in spite of her righteous indignation.

Is something chirping?

I think you're being unfair.

Well, if anyone's
being unfair, it's me.

I told Jordan to do it.

I told her.

We make decisions that are
hard to live with all the time.

We make them anyway.

And I told her pissing off the Chief

was a very bad way
to start your residency.

Glad to hear you're still moonlighting

as surgical department camp counselor,

but I don't mean you were
being unfair to Jordan.

You're being unfair to the patient.

She's facing an emotionally
fraught procedure.

She needs the support of her doctors.

And who she's getting is a rookie
who thinks she's committing murder.

And Shaun.

I have a point.

I'll lead Jordan
through the D&C myself.

You're happy.

Dr. Murphy will be happy.

My cup runneth over.

Now get whatever's in that
box out of my department.

Morning sickness.

Nurse Ella's.

Rose claims she can feel her pregnancy.

She was right about
the guy in Room 318.

He had a clot in his ankle.

I'm sure she picked up
on some subtle clues,

like the guy moaning
and grasping his ankle.

Get a CT to rule out
abdominal injury from her fall.

We're going to insert a
thin needle into your neck

so we can inject the anesthetic.

It may sting a bit.

Use an in-plane approach
to place the needle

between the C6 tubercle
and carotid artery.

You might feel some discomfort.

What's wrong?
Zoe's hurt.

I'm okay.

Get some ice.

Let me take a look.

What happened?

I hit her.

I was laying next to him.

I know I shouldn't,

but the shot just made his
pain feel so much better.

I thought...
Zo.

You didn't do anything wrong.

There was a noise in the hall.

I lashed out.
I know.

I didn't mean to.

I'm sorry.

Nothing's broken.

I can get you something
for the swelling.

No. I'm okay. I'm gonna
go home, get cleaned up.

I just need some time.

I love you.

I think we can help Ben.

There have been some promising results

using Vagal Nerve
Stimulation to treat PTSD.

His scarring would make it impossible

to expose and find the
nerve without damaging it.

Those scars are the
reason that we need to try.

Imagine reliving your worst
nightmare over and over again.

Why doesn't anyone around here

want to do the job they were hired for?

What Ben needs is psychological help.

I've ordered a consult.

Leave it to the people
who are trained to do it.

It sets a bad precedent
to force a resident

to do a procedure they're
not comfortable with.

Wow. Does anyone around
here not have an opinion

about who should do that damn abortion?

Jordan had a choice, and in my
opinion, she made the right one.

It's not a true choice if you're
coerced by your boss.

I asked her to do her job.

You took an opportunity from
a resident who wants to learn

in favor of one who doesn't.

Is this song and dance about
Jordan doing the procedure

or your niece not doing it?

Neither.

There's a misconception that Olivia
came to St. Bonaventure because of me.

She's here because of your reputation.

The great Dr. Lim,

a master class in technique,
professionalism, empathy.

Lately, it doesn't seem like
that reputation holds up.

I'm giving you an antibiotic
to prevent infection.

The vacuum aspiration
will take about 15 minutes,

and you'll be numbed
with a local anesthetic.

Conscious sedation is also an option,

but you will need someone to
drive you home afterwards.

Do you have any questions for me?

I'm scared.

Are you certain you wanna
go ahead with the abortion?

Yes.

Then you don't have to be scared.

You're the making the
right decision for you.

Give her another 400
micrograms of misoprostol.

I'll be back for the procedure.

This doesn't work.

I need these numbers
in spreadsheet format.

Thank you.
Oh, excuse me.

Dr. Park?

Rose's CT was normal.

Get an upper GI barium study.

First quarter supply
costs you requested.

Also, one of your
first-years seems upset.

He's been in the stairwell for a while.

Everything okay in here?

I just needed some quiet.

Surgeons come into the
stairwell for two reasons,

fire drills or doctor trauma.

You having a fire drill?

I just wish we had a more
effective treatment for Ben.

His head's so messed up,
and we can't help him.

I don't think this is about Ben.

Have you ever lost a patient

you knew you could have saved?

When COVID was at its worst,

we had to cancel all
non-urgent procedures.

A young mom with a heart condition was

more urgent than I thought.

And she died waiting for me
to put her on the schedule.

How do you get past that?

You get past it because that's the job.

You will always remember it.

And you will eventually
stop reliving it.

How can you be so sure?

Because if you don't,
you can't be a surgeon.

And I'm pretty sure you're a surgeon.

I should get back to work.

Insert the speculum.

Now dilate the cervix.

Begin suction.

Begin gentle suction in the uterus.

Is anything wrong?

You're okay.

Dr. Allen,
I can take it from here.

Don't worry.
We're almost done.

You're gonna be just fine.

You have no idea what that
woman was going through,

and you made it worse for her.

I know.
I didn't...

You had an opportunity to opt out
before you walked into that room,

but you agreed to do the procedure,

you took on an
obligation to that patient,

and you failed her.

If you ever do anything
like that again,

I will have you removed
from my program.

Maybe you should be
cleaning bedpans for a while.

Hopefully there's no
moral objection to that.

Why are there adult toys on my desk?

I've heard good things about the Llama,

but online reviews
aren't always accurate.

Do you have a favorite?

They're for Lea.

Which one do you like the most, Claire?

Uh...

Uh...

Evidence suggests that trauma
changes the way the brain works.

An overactive amygdala can
heighten someone's response

to emotional stimuli, including fear.

I think we should consider
amygdala ablation for Ben.

That's crazy.

And completely outside
the scope of our care.

We're s...

Oh.

We're surgeons.

We fix physiological
problems, not mental ones.

It is a physiological problem.

His brain isn't functioning properly.

If it was a tumor that was
causing these reactions,

you wouldn't hesitate to remove it.

But there is no tumor.

You're talking about inflicting
damage on his brain.

He could suffer a stroke
or come out in a coma

or not come out at all.

If you use a stereotactic
laser approach

rather than an open craniotomy,

you would greatly reduce the risks.

This is not your case!

You cannot jump into this one

because you don't want to
do the one assigned to you,

which is to teach, which
you've made my problem

just like you made Lea's
birthday gifts my problem.

You need to grow up and
accept some responsibility.

I was diagnosed with PTSD last year.

I kept it mainly private.

Melendez really helped me through it.

It was nice to have
a friend to lean on.

So if you need one...

I feel

off.

Disconnected.

Like I can't catch my breath.

But

it comes with the job.

I'll get over it.

It's Ben.

Ben.

No one is gonna hurt you.

You're having a flashback.

I know where I am.

Every day since I came home,

I've felt like there's
a monster chasing me.

I try to outrun it

but I end up hurting
the one I love the most.

I'm a threat to everyone around me.

No, Ben, you just need help.

Nothing helps.

I can't smile.
I can't laugh.

I can't feel anything but pain.

I make everyone around me

suffer.

Ben.

There's a surgery that may help.

I would like to scrub in on
the amygdala ablation surgery.

Rose said you're feeling
overwhelmed and need...

I don't wanna hear any more
things that woman has said.

Your job is to supervise
your residents.

Why are you here instead of doing that?

You said you were going to
supervise my supervision,

but you didn't.

You took over my case.

I don't know what I was
supposed to learn or how.

Scrub in.

Dr. Murphy, walk Asher
through the probe placement

and trajectory to the amygdala.

I will supervise your supervision.

Okay, insert the probe

perpendicular to the cortical surface.

Stop!
You're off course.

On the current trajectory,

you will penetrate a branch
of the choroidal artery

and cause a hemorrhage.

Step away from the probe.

Your job is to teach,

not take over.

Adjust the probe one
millimeter inferiorly.

Avoid the temporal horn on your right.

I can't see it on the image guidance.

Tell Asher what you see.

It should point toward your
six o'clock on the Y axis.

You have to feel it.

The...

The tissue plane along the
parenchyma is smooth.

It should feel like gliding.

You've reached the amygdala.

Ready to begin thermal laser ablation.

Rose's upper GI and labs were normal.

Should we keep her
another day to observe?

No. If she's stable,
let's send her home.

Okay, I'll have Olivia...
Open your mouth.

Pardon me?

Open your mouth.

I can, uh...
Shut your mouth.

There's this rat.
A mouse.

A little dead mouse in the garage,

and the big, strong man
is afraid to get it out.

Not afraid, disgusted.

Neither of us wanna deal with it,

so we are settling it in the
only responsible way, a bet.

A dare. A series
of dares, actually.

Whoever wusses out first has to...

Take those things out of your mouth.

I will discharge Rose.

You two, go home.

We were just...
Being idiots at work,

while people are sick and dying.

Go home.

All your tests are normal.
We're discharging you.

Right, because you're psychic.

I'm an empath, not a psychic.

Whatever the case, I would
suggest you take it easy.

No drinking, no heavy lifting...

You have to let it out, dear.

It was you.

You made my heart rate spike.

You're about to implode.

There's nothing wrong
with you... or me.

Code blue!

Yeah?

Dr. Lim, my behavior
yesterday was inexcusable

and unprofessional.

I let you down.
I let the patient down.

I am deeply sorry.

And I promise it will not happen again.

You let your personal judgment
get in the way of doing your job.

You're right.
That is inexcusable.

You said I had no idea what
the patient was going through.

The truth is I kinda do.

Scared, alone, afraid
of anyone finding out.

I chose my career over motherhood,

over my faith.

But I don't regret it.

And I know God forgave me
because I get to be here,

living my dream of being a doctor.

But I purposely try
not to think about it.

You're off scut duty.

That's not why I...
Take it.

My name is Benjamin Alan Harris.

I'm in St. Bonaventure
Hospital in San Jose.

Language and memory
appear to be intact,

and your motor function is normal.

But that doesn't mean
it worked, does it?

No.

We'll have to do an fMRI
to see how you respond

to fear-inducing stimuli.

But we'll let you rest for now.

I'm not gonna rest
until I know I'm better.

I want you to know
how I got these scars.

No. Not now.

Just give yourself time.

I was in a convoy in Kandahar.

I was in a Husky, the
big vehicle at the front.

Ben, you don't have to do this.

Ronnie was driving.

He was telling me a story,

something about a goat at the base,

or maybe it was a chicken.
I don't know. But...

We were laughing.

Then the world was on fire.

It's the Husky's job

to spot IEDs.

And I missed one.

I can't see their faces.

Just

bodies everywhere.

Dying alone,

without their families.

All I could do was hold their hand.

Are you okay, Ben?

♪ Happy birthday to you ♪

♪ Happy birthday to you ♪

♪ Happy birthday, dear Lea ♪

♪ Happy birthday... ♪

Fun day.

What do you need?

We have a diagnosis.

I thought I felt someone here.

You've had a long day.

You have Prinzmetal's Angina, Rose.

A heart condition.
But it's very treatable.

It explains all your symptoms,

and it's exacerbated by stress,

which is likely what
caused your heart attack.

You need to stop seeking
out other people's pain.

It's literally killing you.

You're the Chief of Surgery.

You could have sent
somebody else to tell me this.

Sure.

But then I'd miss my chance to gloat.

You're here because you're hurting

and you don't know where else to go.

Go ahead.
Use your magic.

Tell me what's wrong with me.

How do I stop feeling like this?

It doesn't work that way.

I don't have a magic wand.

I can only hold up a mirror,

make you slow down,

look at the parts of yourself

that you've been trying to ignore

because you're afraid if you
look too closely, you'll break.

Maybe you will.
I don't know.

Maybe breaking is the point.

You can't outrun
your pain, Dr. Lim.

If you keep trying,
it's gonna kill you.

♪ Oh, oh, oh-oh-oh, oh, oh-oh-oh ♪

♪ Oh, oh, oh-oh-oh, oh, oh-oh-oh ♪

♪ Where do my hands go? ♪

♪ Oh, oh, oh-oh-oh, oh, oh-oh-oh ♪

♪ Have time to play with my mind ♪

Time of death, 12:34.

Time of death..

Time of death, 7:13.

Time of death, 2:25.

Time of death, 2100 hours.

Time of death...
Time of death, 4:26.

Time of death...
Time of death, 7:13.

Time of death...
...4:26.

...8:55.
Time of death...