All language subtitles for The.Good.Doctor.S04E11.WEBRip.x264 - 4307s - m

You should be
getting a raise.

You don't get a raise every
time you do something well.

You did something very well
and saved $1.75 million.

I'll talk to Dr. Glassman
about it.

No, you won't.

If any talking or anything
else needs to be done,

I'm fully capable
of handling that my...

Hey!

No, no, no, no,
no, no, no, no, no.

Hey. Hey.
That's my car.

You can pick it up
at Tricky's Towing.

I'm picking it up right now
because this is my car.

I'm allowed to park here,
and you're a trespasser.

Any time after 1:00.

Shaun, tell him.

Mmm, this is not your spot.

Oops.
Someone told a lie.

I just got a spot
last week,

so it's kind of new
to everyone.

So, yes,
it is not my spot,

but that doesn't make it
the wrong spot.

It'll be $250,
cash or credit.

I'm not paying $250. I don't
have $250 to waste on th...

If you get that raise...

Shaun.

Would you just stop
for a minute?

Not once I start.

That's not a law.

That's just some bull you bastards
made up so you can do this.

$350.

Hostile
work environment fee.

Jeffrey Williams.
21 years old.

When he was five, he
fell in love with baseball,

dreamt of playing
with the Tigers.

By the time
he was eight,

he was the best hitter
in Little League.

Right, Jeff?

At nine,

he led his team all the
way to the Divisionals.

Theme music playing...

*THE GOOD DOCTOR*
Season 04 Episode 11

Episode Title: "We're All Crazy Sometimes"
Aired on: March 08, 2021

Sync corrections by srjanapala

Pura vida, Dannie.

- Retropulsion.
- What?

Her thumb moved.

What does that mean?

Nothing.

If it happened,
it's a normal response

in dying muscles.

Or it could just be
the result of hypoxia

or an electrolyte
imbalance.

Or brain activity.

The E.E.G. showed no
purposeful brain activity.

Hook her back up.

Elias, over the last
ten years,

Dannie's had
thousands of tests.

- If there was any chance...
- Dr. Reznick, please. Now.

Ankylosing spondylitis.

Nasty little disease.

When Jeff was ten,
the inflammation was so bad

the bones in his back
started to fuse together

into one big,
gnarly bone.

If you can't extend your back,

you can't use your legs.

If you can't unwind your back,

you can't use your arms.

Useless legs, useless arms.

Can't even fit
into a standard wheelchair.

I've had breakfast in bed
since I was ten.

And lunch.

And dinner.

Are you in a lot of pain?

Not compared
to what it was.

I wish I'd met
that rheumatologist

at the Baltimore Spine Clinic

seven years earlier.

They didn't offer you
surgery?

Well, I've... I've been
to nine neurosurgeons,

and they all said that
they couldn't fix me, so...

But thanks to Dr. Glassman,

my post-pretzel future's
looking bright.

I wanna move out
of long-term care,

study engineering,

go to Europe,

hell, go to a ballpark
and see the game,

maybe with a girl.

I'd just love to be able
to hug someone again.

I'm gonna need two
residents to assist me with...

With the surgery.

What were
you doing ten years ago?

That's how long
it's been

since the aneurysm
in her brain ruptured

and how long Elias
has been visiting,

bringing her
Peppermint Patties

and hoping
for that special day

she opens her eyes
and says,

"Hi, honey.
Did I sleep in?"

And I had
finally gotten him

to give that up.

Give up hope?

Give up
an impossible fantasy

that has paralyzed
his life.

He used to have a career,
goals, a wife,

things he can have again
if we let him move on.

And by "we," I mean you.

So you are gonna tell him
that the twitch meant nothing.

But she has elevated levels
of dopamine.

Which is a stress hormone,

likely produced
by the adrenal

when it was temporarily
shut down.

But it's also a
neurotransmitter in the brain

and may be associated
with increased brain activity.

We need to do a SPECT-CT
of her brain and full body

with radiotracers to find
the source of the dopamine.

You know about
Elias, right?

The patient's husband
who can't move on

and it's making
everything worse?

Do you see
an analogy here?

No.

No more tests, Shaun.

I'll ask Dr. Lim.

I'm calling
your bluff.

I don't know how to bluff.

Joint cuts
are nearly perfect.

Nearly perfect leaves him
with no feeling in his legs.

I kind of cracked
the vertebral body.

But I got
the rest right.

That is perfect.

Welcome to my team.

Textbook.

You followed the video
demonstration exactly.

You didn't.

The third bone
is the problem,

and you messed around
with the first one. Why?

My model was a bit more severe
than the one in the demo,

so I thought a three-column
reconstruction might be better.

Nice. Nice improv.

You're on my team.

I mapped out
every screw placement,

osteotomy cut,
rod contouring.

You know, I've been trying to
figure out why you're doing this.

I don't know. Change a
kid's life? Something like that.

I'm thinking
you must be afraid.

What?
Come on.

You've been impulsive ever
since you recovered from cancer.

You quit surgery
to start a clinic,

married my favorite Barista
after a few dates,

and I'm guessing none of it
made you happy.

I'm sorry.

We barely talk to each other
outside of the board meetings,

and now, all of a sudden,
you can see into my soul?

I love my wife.
I love my work.

Great.

And you still feel empty,
don't you?

I'm thinking you're scared
something's missing from your life,

so you keep reaching.

You take on a case
no other surgeon will touch.

As fascinating
as all this is,

I don't think Jeffrey really cares all
that much why we're doing the surgery.

He should.

Because your motives
are affecting your ability

to properly assess whether
that surgery is worth the risk.

Thank you for the input.

You were supposed to
meet me for lunch at 12:15.

It's 12:23.

I'm not the first person Tricky
has shafted. He's earned his name.

I'm gathering every
complaint I can find,

which I wouldn't be doing
if you'd backed me up.

So no lunch.

Mmm, are you mad at me?

When you're mad at me,
you don't look at me.

Although, you are now,
so maybe you're not.

I turned to my boyfriend
for support,

and he hung me out to dry,

so let's just say
I am disappointed.

I told the truth.

This isn't about honesty.
This is about having my back.

We're a team now, Shaun,
working together for a common goal.

And right now, our goal
is to get my car back.

Then you need to pay $350.

I'm paying nothing.

He is a pirate, and I'm going
to expose him to the world.

No increased
dopamine-specific uptake.

It's not coming
from the brain.

Which means it must've come
from the adrenal glands

when we shut down
their oxygen supply.

Move down to adrenals.

Impressive...

To mourn his wife
for ten years.

He's not mourning her.

He can't
as long as she's alive.

Dannie is stuck in limbo,

somewhere
between life and death.

So is he.

If there are time limits
to being a good partner,

are there also
ethical limits?

Should you support them even
if they've done something wrong?

You think maybe the
coma patient robbed a bank?

Good alibi.

What did Lea do?

Doesn't matter.
Support her.

Whether you agree
with them or not,

the job of a good partner
is to be supportive.

As opposed to, say,
resolving disputes

by running to
the Chief of Surgery.

It's not coming from
the adrenals either.

There it is, but it's not
coming from an organ.

It's coming from a tumor.

Dannie has cancer.

You could say we're doing
a kind of Humpty Dumpty,

only this time,

we're actually going to
put you back together again.

Don't get too excited,
though.

Dr. Andrews wants to
give us a little reality check.

If all goes well,

you'll have a restricted
range of motion

and be dependent
on a walker.

If all doesn't go well,
there is a risk of paralysis

and, given the potential
for massive blood loss,

there's a small chance you
might not survive the surgery.

But you have a great team

and one of the top
neurosurgeons in the world.

So, what do you say?

This is really happening.

Yes, sir. Tomorrow
morning. First thing.

I'm sorry, Dr. Glassman.

I can't...
I can't do it.

She has a paraganglioma
abutting her vertebrae.

Her twitch wasn't a sign
of increased brain activity.

It was just a reaction to the
tumor irritating her nerves.

We can take her
off life support.

What about this cancer?
Is it treatable?

The only treatment
would be surgery,

and it's in
a difficult location.

Well, what happens
if you don't remove it?

It's malignant.

Dannie would die
within a couple of months.

Then you have to operate.

She could die
in the O.R.

rather than here
with you holding her hand.

We rechecked her E.E.G.
There's no change.

There was a change.

Uh, the thumb movement
was a change.

And the cancer and the
dopamine were changes.

Something else
could change,

and maybe that's the change
that'll wake her up.

Elias, her body is dying.

Only if we let it.

I gave up on her once.
I'm not doing that again.

I've got
your discharge paperwork.

I'm sorry
I wasted your time.

Mmm.

I thought
I was ready for this,

and I knew
it was dangerous.

Hey, look,
my life isn't perfect,

but it's not so bad that I want
to risk throwing it all away.

You ever hear of
Gates Brown?

Left field
for the '68 Tigers?

Yes.

My dad had
his baseball card.

Your dad ever tell you
about his story?

First person to recognize
his talent was a prison guard.

He helped him get out of
prison a year early on parole

so he could play
professional baseball.

I think about
Gates Brown a lot.

Whenever I have
to make a...

A tough,
really tough decision,

I think about how scared
he must've been.

What, playing
for the Tigers?

It's a dream come true.

Real scary.

Getting out of jail early,

facing a world he
hadn't been in in a while.

What if he didn't live
up to expectations?

What if he wasn't good
enough for the bigs?

But he kept fighting.
He kept pushing.

You wanted
to have this surgery,

and you kept fighting
and you kept pushing

and doctor after doctor
said no,

then finally you found
a doctor who said yes,

and now you stop?

That doesn't make
any sense.

I don't think
that you are afraid

that this surgery
is gonna fail.

I think you're afraid
it's gonna succeed.

For the last several years,

you could've
taken classes online,

worked toward your degree.

You could've
gone traveling.

You don't think
I've tried?

Oh, you tried, okay,
and you failed,

but, man, did you
have a good excuse.

And now
you have the surgery

and it's successful,
but you still fail?

That's scary.

Because now you got to look
at yourself in the mirror

and you have to ask,

"Was it my condition,
or was it me?"

You know where I celebrated
my tenth birthday?

Children's Hospital,

getting 13 steroid shots
into my spine.

By the time I was 11, my entire
social network was R.N.s and M.D.s.

I've never had a job.

I've never danced
with a girl.

I've never even had
a best friend.

I have no idea how to live
like a regular person.

So what?

So you'll suck at it.
Join the club.

Say no to the surgery
if that's the right decision.

But do yourself a favor.

Don't say no because
you're afraid to live your life.

I'm going to support you.

Thank you.

I'm looking right at ya. See?

I noticed.

Let me have your phone.

W-Why?

I've created a couple hundred
Yelp accounts to trash Tricky

and maxed out on my I.P.
address, so I need another one.

You're not allowed
to do that.

He's not allowed
to extort people,

so I'm just
extorting him back.

Hmm.

Once I threaten to unleash my
arsenal, he'll hand over my car.

He might even
detail it for me.

I won't have to
actually post anything.

Thank you.

Hmm.

This last
segment of tumor

is holding on to her
spinal dura for dear life.

Fine dissecting scissors.

I may be participating
in fraud.

But I want to
support my partner.

If your partner wants you
to do something

that makes you feel
uncomfortable, shut it down.

Do not enable crazy.

Lea isn't crazy.

We're all crazy
sometimes.

Just takes
the right motivation.

There is
an obvious middle ground.

If you think your partner's
doing something wrong,

help them see what's right.

Damn it. The capsule
ruptured, and it tore the dura.

We have a C.S.F. leak.

We should try a graft.

Harvest some fascia
to reinforce the dura.

Dr. Lim?

Mmm.

Tastes like my birthday.

Lab confirms the tumor
wasn't metastatic.

You're cancer-free.

And brain function
is apparently fine.

All in all,
it's been a pretty good day.

Ten years.

I miss anything good?

No.

So why'd I wake up?

We're running tests.

There have been cases of
anesthesia rebooting the dormant brain.

Yours was light,
but it still might have...

Let's just call it
a miracle.

Okay, last bone wedge.

All right, let's start
straightening him out.

You know, if you can talk
this kid into risking his life,

I'm thinking maybe you can
talk anyone out of any fear.

I've been trying to talk you
out of those caps for years.

These caps save lives.
No fear in that.

I'm afraid
to eat a cheeseburger.

Hmm?

My mother, she was
very proud of her cooking.

She told us we didn't need to
sacrifice taste to keep kosher.

At least not with her
in the kitchen.

And it's crazy considering all the
other ways I've rejected her faith,

but...
if I do eat one,

it... feels like I'm cutting
my last lifeline to my mother.

My mom taught me
how to play a guitar.

We had our problems,
a lot of them,

but... everything seemed to be
okay when we were singing.

Since she died, um,

I'm afraid to
even open the case.

It's the middle of your
shift. You miss me?

I had a bad morning.

My patient lived.

That is surprising.

You keep being competent,
you'll get used to it.

I need
an ice-cream infusion.

The cafeteria
has ice cream.

Not Cherry Garcia.

Heard you lost out
to a Firsty.

One bright spot in my day.

I did everything perfectly,

but it's still
not symmetrical.

Hmm.

Nose job.

It's changing as you fix it.
You got to change with it.

Andrews always said the
first thing you do with your plan

is to toss it out.

That's exactly why I
didn't do a plastics elective.

Or you're a blue-collar
ex-cop

who's afraid to color
outside the lines.

Your L3 vertebrae
is perfect,

which means you're not
entirely without talent.

But look at the bones
you're not supposed to fix.

What are
your instincts telling you

that this
procedure manual isn't?

Congratulations.

You're now as good
as a Firsty.

I almost feel bad
about eating your ice cream.

B.P.'s 82/50.
Spinal shock?

S.S.E.P.
and M.E.P. waves are normal.

Check for buckling.

No cord compression.

Pressure's still dropping.

Did we poke a hole
in the canal?

Let's back out these screws.

Spine's not the problem.
It's his heart.

It's in failure.
Crash cart!

Scalpel.

I know why Dannie woke up.

The paraganglioma
was filled with dopamine.

And leaking it in trace
amounts. That's how we found it.

But when the capsule
ruptured,

the tumor released the
dopamine in very large amounts.

Her spinal tap showed over
1,200 nanograms per liter.

Which bathed her brain
in dopamine,

which energized it
and woke her up.

It was just a freak event.

A temporary freak event.

The dopamine's
gonna wear off,

and her brain
will shut down again.

Yes. And the dose
she'd need

to stay awake
would be toxic.

If we don't
replicate the surge,

she'll relapse
into a coma.

And if we do, she'll die.

Your dopamine
levels are dropping quickly,

and when they
return to normal,

you'll return
to your comatose state.

What?
No.

Sh... Look at her.
She's lucid.

She's talking and
laughing. She's fine.

I'm sorry.

Th-That's it?
There's no treatment,

no surgery,
no medication?

- Elias, I wish we...
- No!

H-How long do I have?

Less than 24 hours.

Oh.

But she could
wake up again, right?

I mean, you didn't think
she would this time.

You said
she shouldn't have.

The series of events that
coincided to make this happen

was so unlikely,

it is safe to say
it will never happen again.

I want to see
another doctor.

- Elias.
- There-There must be some way...

Elias.

We have to face this.
Why?

Because they say so?

Listen to me.

You're right here,

looking into my eyes
and holding my hand.

You're not going anywhere,
Dannie.

I promise.

Troponin's normal.
It's not a heart attack.

Yeah,
no signs of P.E.

No clots
in the heart either.

Normal valves, no wall
motion abnormalities.

But he has S/D wave fusion
on RV inflow.

His heart's
not filling properly.

His legs are swollen.

His fluid's not returning
from his lower body.

His anatomy adapted
to his contortions.

Nothing is
where it started.

And now, moving
to this new position

could be trapping
his vena cava.

His spine and breastbone

are squeezing off
blood flow to his heart.

The vein's compressed.

Can we prop it open
with a stent?

There's too much
chest-cavity restriction.

Jeff's body is not
letting us straighten him out.

We need to reverse
the surgery.

All the king's horses.

About time Elias
took a bathroom break.

He never shuts up
about you.

I know you love skiing,
both water and downhill,

and how you actually did
both the same day in Tahoe

despite a water temperature
of 48 degrees.

I know your favorite movie
is Battlefield Earth.

So bad it's good.
I get it.

And your favorite candy,

well, that I got
all on my own.

I also heard
about the puppies,

how he couldn't decide between
three of them, and so he...

Brought them all home.

Yeah.

Are you trying to tell me
that I'm a lucky girl?

It's okay.

I know that I am.

I found my soul mate.

Do people still use
that lame word?

He's a wonderful
man...

Who has trouble
making tough decisions,

and he's gonna spend the rest
of his life sitting at your bedside,

listening to a ventilator
keeping you alive.

Which puts it all on you.

Screw's stuck.

I'll try
a lamina spreader.

If we do
a bone graft here,

we can re-fuse the T3
vertebrae the way it was before.

It'll never be
the way it was before.

We cracked his spine
at 15 different levels.

He will be more contorted.
He'll be more in pain.

T-handle.

Pectus excavatum.

Pectus excavatum.

If you never heard of it,
don't feel bad. It's very rare.

The person is born with a big
dent in the middle of his chest.

Sometimes it's so bad that the
breastbone presses against the heart,

and you got to break away
the sternum,

you got to
crack open the ribs,

prop it open
with metal bars.

If we can
do that for Jeff,

then we can create
enough space in his chest.

Close him up.
Let's turn him around.

It's, uh, a D.N.R.

I don't want to be
put back on life support.

That's not life.

You gave her this?

But I signed it.

You remember our first
Valentine's Day together?

You gave me that...

That silver pendant
with the two little hearts.

I told you I was considering
that job in Boston.

And you let me go.

You didn't need my
permission. I know.

I know.

But you knew that it was
something that I needed to do.

And you also knew...

That I was scared.

Dannie, this isn't Boston.

I can't.

I can't let you go.

I know.

I think that's why I woke up.

Mmm-hmm.

- Hey.
- Hey.

Something that I have
always felt guilty about.

Costa Rica.

That was your dream trip.

Your mother was sick.

Mmm. Not very.

But you never complained.

Canceled everything.

Did you ever go?

How could I go without you?

Because you have to.

For both of us.

Let me have that thought.

Pura vida.

Dannie?

Pura vida.

Wanna try and stand up?

You got this.

No, no.

Okay, I'm afraid
I'm gonna fall.

That's why you got to try.

Dr. Glassman.

It's after 6:00.

You're open 24 hours.

I'm not saying I'm closed.

I'm saying it's after
regular business hours.

There's a $50 fee
for that.

Hmm. I've created 336
of the most scathing critiques

of you
and your sleazy operation.

So give me my car back,

or I'll post them
and shut your ass down.

I'm not buying it,
Cupcake.

You're no outlaw,
and I'm gonna have to add

a $200 "unfair
business practice" fee.

I push this button,

and you can kiss
Tricky's Towing goodbye.

Cash or credit?

This time, I'm not lying.

Shaun, tell him.

Cash.

This way.

I don't...

Shaun!

Drive away! Drive away!

Get back here!

Whoo!

O-Okay, drive fast.

Oh, my God, Shaun.

Kick its butt.

So?

It's...

...really...

...really good.

That was tight.
Everyone give it up for Travers!

Next up is...

Claire.

Hey, you got this.

Okay.

Um, this is a song my...
My mother taught me.

So if you don't like it,
shame on you.

♪♪ You can hold my hand

♪♪ If you need to let go

♪♪ I can be your mountain

♪♪ When you're
feeling valley-low

♪♪ I want a house
with a crowded table

♪♪ And a place by the fire
for everyone

♪♪ Let us take on the world

♪♪ Like we're young and able

♪♪ So bring us all together
when the day is done...

I got Jeff's
post-op images.

Everything looks great.

Yeah.

What you did
was phenomenal.

It's got to feel
pretty good.

Feels great.

Three patients
I turned down.

This world needs more
people screwed up just enough

they think they can
do the impossible.

♪♪ Crowded table

♪♪ And a place by the fire
for everyone

♪♪ Let us take on the world
like we're young and able...

You owe me seven bucks.

This costs $6.

Delivery charge.

I just increased
your rent by $20.

♪♪ The door is always open

♪♪ Your picture's on my wall

♪♪ Everyone's a little broken

♪♪ But everyone belongs

♪♪ Yes, everyone belongs...

His face was awesome.

Mostly blind rage with a
sprinkle of bewilderment.

And how about you leaping
into the car like the Man of Steel?

I hurt my knee.

Making what you did
even more spectacular.

I can't believe you
stiffed the guy like that.

I didn't.

I paid him $250, which
is what he was entitled to,

leaving him with no reason
to retaliate.

That is fair.

Lea...

You have been a bit...

...crazy
the last two days,

and I needed to help you
see what was right.

I have been a bit crazy.

But it wasn't
really about the car.

Two days ago,
I found out...

Shaun...

I'm pregnant.

♪♪ With a crowded table

♪♪ And a place by the fire
for everyone

♪♪ Let us take on the world

♪♪ Like we're young and able

♪♪ So bring us all together

♪♪ When the day is done ♪♪
Sync corrections by srjanapala