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1
00:00:19,179 --> 00:00:21,468
I couldn't sleep.
2
00:00:21,781 --> 00:00:24,927
We should start taking
your blood pressure every day.
3
00:00:27,028 --> 00:00:29,734
This is very sweet
and responsible.
4
00:00:29,819 --> 00:00:34,328
Yes, I am going to try
to be extra responsible now.
5
00:00:35,026 --> 00:00:36,240
Yeah.
6
00:00:38,318 --> 00:00:42,436
W-We... We have to talk
about what we... want to do.
7
00:00:43,810 --> 00:00:45,052
I love you.
8
00:00:45,137 --> 00:00:46,434
I want a child.
9
00:00:46,519 --> 00:00:47,812
So I want this child.
10
00:00:47,897 --> 00:00:49,487
I love you, too.
11
00:00:50,411 --> 00:00:53,858
And I do want kids,
but it's complicated.
12
00:00:55,065 --> 00:00:57,300
Is this the right time
in my career?
13
00:00:57,473 --> 00:00:59,131
In our relationship?
14
00:00:59,734 --> 00:01:00,912
Am I too young?
15
00:01:00,997 --> 00:01:02,037
Can we afford this?
16
00:01:02,122 --> 00:01:04,525
Am I willing to make
this commitment right now?
17
00:01:04,610 --> 00:01:06,512
We can start depositing money
18
00:01:06,597 --> 00:01:08,303
into a shared account
for expenses,
19
00:01:08,388 --> 00:01:10,904
and I can talk to Dr. Glassman
about hiring you an assistant
20
00:01:10,989 --> 00:01:12,075
to help with your workload...
21
00:01:12,099 --> 00:01:13,147
Shaun, just slow down.
22
00:01:13,232 --> 00:01:15,657
I-I don't need you
to answer these questions now.
23
00:01:15,742 --> 00:01:18,037
I just need to... think.
24
00:01:18,122 --> 00:01:19,522
To figure out what to do.
25
00:01:20,258 --> 00:01:22,123
And you do, too.
26
00:01:27,217 --> 00:01:29,411
Dr. Chambers, I'd like you
to meet a few of our residents.
27
00:01:29,435 --> 00:01:30,489
This is Doctor...
I know that I'm old,
28
00:01:30,513 --> 00:01:32,948
but I can still read name tags.
29
00:01:33,033 --> 00:01:35,688
Dr. Chambers, you started
experiencing aches
30
00:01:35,773 --> 00:01:37,257
in your right hand a month ago?
31
00:01:37,342 --> 00:01:39,490
Then tremors, weakness, spasms.
32
00:01:39,575 --> 00:01:42,055
Had to drop out in the middle
of a bowel resection last Friday.
33
00:01:42,099 --> 00:01:43,500
I sent you a video
of the surgery.
34
00:01:43,585 --> 00:01:45,788
Given your symptoms, it seems
that carpal tunnel...
35
00:01:45,873 --> 00:01:47,318
Oh, it "seems."
36
00:01:49,115 --> 00:01:50,568
Well, then, problem solved.
37
00:01:50,851 --> 00:01:51,980
I'll be on my way.
38
00:01:52,065 --> 00:01:54,000
Sir, can I just say
that the documentary
39
00:01:54,085 --> 00:01:56,014
on your work in Haiti
changed my life.
40
00:01:56,099 --> 00:01:57,419
It's the reason
why I went into...
41
00:01:57,475 --> 00:02:00,195
If you want to suck up to me,
call me "doctor," not "sir."
42
00:02:00,325 --> 00:02:02,227
And this is a hospital,
not Coachella.
43
00:02:02,312 --> 00:02:03,975
If you can't wear
something appropriate,
44
00:02:04,060 --> 00:02:06,208
at least try something
that fits.
45
00:02:10,340 --> 00:02:13,052
Rule out autoimmune disorders,
hypothyroidism,
46
00:02:13,137 --> 00:02:16,340
diabetes, amyloidosis, MS,
and multiple myeloma.
47
00:02:16,497 --> 00:02:19,154
Then we'll get back
to carpal tunnel.
48
00:02:20,842 --> 00:02:21,842
Alright.
49
00:02:21,927 --> 00:02:23,693
If you have any other
questions or concerns,
50
00:02:23,778 --> 00:02:25,756
please don't hesitate... Twelve.
51
00:02:25,841 --> 00:02:29,334
First, I prefer blankets
not made of sandpaper.
52
00:02:29,639 --> 00:02:31,803
Second, dim these damn lights.
53
00:02:31,888 --> 00:02:34,591
This isn't some San
Fernando Valley porn shoot.
54
00:02:34,676 --> 00:02:36,157
- Third...
- If you made a list,
55
00:02:36,241 --> 00:02:37,643
you don't need to tell us.
56
00:02:41,282 --> 00:02:43,485
He's had the pain
for nine months now.
57
00:02:43,627 --> 00:02:44,981
And it's on both sides?
58
00:02:45,066 --> 00:02:46,404
Mm-hmm. Sometimes his forehead,
59
00:02:46,630 --> 00:02:48,324
other times his cheeks,
his nose.
60
00:02:48,409 --> 00:02:50,881
And it's persisting through
very high doses of hydrocodone.
61
00:02:50,966 --> 00:02:52,521
Yeah, obviously,
the drugs don't work.
62
00:02:52,606 --> 00:02:53,459
It's why I'm here.
63
00:02:53,544 --> 00:02:54,778
Oscar.
64
00:02:54,967 --> 00:02:56,592
It's a fair question.
65
00:02:57,292 --> 00:02:58,961
Look, I'm sorry.
66
00:02:59,164 --> 00:03:01,400
Okay, I've been
to six doctors now.
67
00:03:01,595 --> 00:03:02,981
I can't work.
68
00:03:03,066 --> 00:03:05,435
I mean, I-I c...
I can't even kiss my wife.
69
00:03:05,773 --> 00:03:07,103
I can hardly smile.
70
00:03:07,313 --> 00:03:09,178
I'm just gonna lightly brush
your cheek.
71
00:03:13,194 --> 00:03:14,318
Okay.
72
00:03:16,671 --> 00:03:19,039
Please... help me.
73
00:03:23,333 --> 00:03:24,912
I've been on the phone
for like an hour
74
00:03:24,997 --> 00:03:27,317
- with the cable company...
- Lea's pregnant.
75
00:03:35,529 --> 00:03:36,864
You want to have...
76
00:03:37,651 --> 00:03:39,014
Yes.
77
00:03:39,240 --> 00:03:40,308
Wow.
78
00:03:42,470 --> 00:03:43,772
I'm glad you're happy.
79
00:03:43,857 --> 00:03:46,876
Um, do you have any concerns?
80
00:03:47,053 --> 00:03:48,053
Yes.
81
00:03:48,383 --> 00:03:49,950
Sleep deprivation.
82
00:03:50,035 --> 00:03:53,350
But I have started looking
into an affordable night nurse.
83
00:03:53,435 --> 00:03:57,039
Well, there's gonna be
some bigger issues.
84
00:03:57,129 --> 00:03:58,731
I mean, this is a...
85
00:04:00,375 --> 00:04:04,060
This is a gigantic moment
for anyone,
86
00:04:04,145 --> 00:04:06,714
especially...
Especially for you.
87
00:04:06,848 --> 00:04:08,225
You mean
88
00:04:08,889 --> 00:04:10,090
because of my ASD?
89
00:04:10,175 --> 00:04:11,242
Yeah, because of your ASD.
90
00:04:11,327 --> 00:04:12,862
Because of your family.
91
00:04:15,175 --> 00:04:16,477
Your job.
92
00:04:16,570 --> 00:04:18,071
I mean...
93
00:04:18,487 --> 00:04:19,943
A million things.
94
00:04:20,557 --> 00:04:22,659
I don't want to tell you
what... what to...
95
00:04:22,744 --> 00:04:24,443
I mean, I don't even know
what I...
96
00:04:27,495 --> 00:04:29,248
Having a child
97
00:04:31,222 --> 00:04:33,608
changes everything.
98
00:04:40,742 --> 00:04:42,742
♪THE GOOD DOCTOR♪
Season 04 Episode 12
99
00:04:42,834 --> 00:04:44,894
Episode Title: "Teeny Blue Eyes"
Aired on: March 22, 2021
100
00:04:44,918 --> 00:04:46,813
Subtitles: Synchronized by srjanapala
101
00:04:52,652 --> 00:04:54,420
Nasal cavity's clear.
102
00:04:54,537 --> 00:04:58,272
There's no abscess,
facial tumor, or sinusitis.
103
00:04:58,483 --> 00:05:00,485
It could be acoustic neuroma.
104
00:05:00,619 --> 00:05:02,351
Without any hearing loss?
105
00:05:02,436 --> 00:05:03,648
Let's do an MRI to check.
106
00:05:03,733 --> 00:05:05,107
We've run eight negative tests
already.
107
00:05:05,131 --> 00:05:05,983
We don't need a ninth.
108
00:05:06,068 --> 00:05:07,668
We do the tests
till we know what he has.
109
00:05:07,748 --> 00:05:09,160
It's fibromyalgia.
110
00:05:09,293 --> 00:05:10,795
So, your diagnosis for his pain
111
00:05:10,929 --> 00:05:12,631
is "pain that no one
can explain"?
112
00:05:12,838 --> 00:05:15,308
Well done.
Some pain's unavoidable.
113
00:05:15,457 --> 00:05:17,046
When I was competing
in Tae Kwon Do,
114
00:05:17,131 --> 00:05:19,536
they taught us to adjust
our relationship to it,
115
00:05:19,621 --> 00:05:20,655
learn to tolerate it.
116
00:05:20,740 --> 00:05:21,773
It can make you stronger.
117
00:05:21,858 --> 00:05:24,094
Wow. That statement has
the absolute ideal ratio
118
00:05:24,179 --> 00:05:26,348
of heartlessness,
humble-bragging, and machismo.
119
00:05:26,433 --> 00:05:27,468
Bravo.
120
00:05:27,553 --> 00:05:29,532
Seriously?
You're pleased with that?
121
00:05:29,693 --> 00:05:31,702
"Machismo," Spanish,
"bravo"'s Italian.
122
00:05:31,787 --> 00:05:33,249
And "humble-bragging" s 2011.
123
00:05:33,334 --> 00:05:35,014
We can do better,
don't you think?
124
00:05:35,434 --> 00:05:37,473
Maybe we're not finding anything
125
00:05:37,557 --> 00:05:39,835
because it's psychological?
126
00:05:39,920 --> 00:05:42,529
Some kind of
conversion disorder?
127
00:05:43,959 --> 00:05:45,027
You do the MRI.
128
00:05:45,112 --> 00:05:46,273
I'll talk to the wife.
129
00:05:48,042 --> 00:05:50,639
Negative for endocrine issues.
130
00:05:51,770 --> 00:05:54,163
He's got a history
of moderate carotid stenosis.
131
00:05:54,248 --> 00:05:55,679
If enough plaque builds up,
132
00:05:55,764 --> 00:05:56,966
starves the brain of oxygen,
133
00:05:57,051 --> 00:05:58,451
maybe could cause
the hand problems.
134
00:05:58,497 --> 00:06:01,131
If it got that bad, we'd have
already seen signs of a stroke.
135
00:06:01,264 --> 00:06:02,641
Anyone else annoyed
that we're wasting
136
00:06:02,665 --> 00:06:05,301
all these resources to confirm
what's clearly carpal tunnel?
137
00:06:05,434 --> 00:06:07,623
He may be a jerk,
but he's a great doctor.
138
00:06:07,779 --> 00:06:09,819
If Silas Chambers has
a medical opinion,
139
00:06:09,904 --> 00:06:10,952
we better check it out.
140
00:06:11,037 --> 00:06:12,834
I didn't think he was a jerk.
141
00:06:15,113 --> 00:06:18,036
Dr. Andrews and Dr. Lim
also criticize us
142
00:06:18,121 --> 00:06:19,592
and have particular demands.
143
00:06:19,677 --> 00:06:21,567
Yeah. They want us to improve.
144
00:06:21,652 --> 00:06:24,022
How do you know
Dr. Chambers doesn't?
145
00:06:24,111 --> 00:06:25,951
He did improve Enrique.
146
00:06:27,103 --> 00:06:28,337
Not kidding.
147
00:06:28,594 --> 00:06:30,162
You look snazzy.
148
00:06:36,451 --> 00:06:38,678
I know what Dr. Chambers has.
149
00:06:39,733 --> 00:06:41,871
We're having trouble finding
a physical basis
150
00:06:42,005 --> 00:06:43,334
for your husband's pain.
151
00:06:45,334 --> 00:06:46,951
And you defended me
when I asked him
152
00:06:47,036 --> 00:06:48,740
about painkillers earlier.
153
00:06:55,928 --> 00:06:59,998
A few years ago,
Oscar was on a job site.
154
00:07:00,523 --> 00:07:01,991
Working crazy hours.
155
00:07:02,187 --> 00:07:03,754
He was exhausted.
156
00:07:04,758 --> 00:07:06,727
He shot himself with a...
With a nail gun.
157
00:07:06,937 --> 00:07:08,338
Right through his palm.
158
00:07:09,612 --> 00:07:11,148
We didn't have insurance,
159
00:07:11,233 --> 00:07:15,123
so we went to this clinic,
and, um...
160
00:07:15,746 --> 00:07:17,045
Opioids?
161
00:07:18,346 --> 00:07:19,948
Really bad.
162
00:07:20,268 --> 00:07:23,053
Took a year for him to kick.
163
00:07:24,171 --> 00:07:28,850
Now, um... he's taking
more pills than ever.
164
00:07:30,115 --> 00:07:32,920
Whenever I talk to him
about getting help,
165
00:07:33,597 --> 00:07:35,006
he just gets mad.
166
00:07:35,677 --> 00:07:37,123
I, uh...
167
00:07:38,072 --> 00:07:40,326
I had to move out last week.
168
00:07:42,140 --> 00:07:44,068
I'm only here
because he asked me to.
169
00:07:47,827 --> 00:07:49,729
I think he's faking.
170
00:07:53,951 --> 00:07:57,428
You threw 113 sutures
in your last day of surgery.
171
00:07:57,513 --> 00:08:00,529
In at least half, I detected
a very subtle tremor.
172
00:08:00,681 --> 00:08:04,350
Congratulations on discovering
a symptom I told you about.
173
00:08:04,508 --> 00:08:06,522
It occurs during the part
of your stitch
174
00:08:06,607 --> 00:08:09,110
when the wrist is straight,
not when it's bent.
175
00:08:09,195 --> 00:08:10,797
That is not carpal tunnel.
176
00:08:10,882 --> 00:08:12,701
It is musician's dystonia.
177
00:08:12,786 --> 00:08:14,954
My wrist flexes on every suture.
178
00:08:15,039 --> 00:08:16,999
You're talking about
a difference of milliseconds.
179
00:08:17,083 --> 00:08:18,719
Yes, he is.
180
00:08:19,016 --> 00:08:20,790
Your condition
was probably caused
181
00:08:20,875 --> 00:08:22,343
by your repetitive technique.
182
00:08:22,438 --> 00:08:24,990
Even Dr. Andrews throws
sutures in varied ways.
183
00:08:25,075 --> 00:08:27,225
You never do.
This kind of obsessive behavior
184
00:08:27,310 --> 00:08:29,378
is common for those with autism.
185
00:08:29,512 --> 00:08:30,747
So, I can refer...
186
00:08:30,832 --> 00:08:32,076
What did you just say?
187
00:08:34,951 --> 00:08:36,436
I'm not autistic.
188
00:08:41,972 --> 00:08:44,375
Dr. Murphy
didn't mean any offense.
189
00:08:44,484 --> 00:08:46,341
He himself is on the spectrum.
190
00:08:46,458 --> 00:08:47,944
Oh, is he?
191
00:08:48,029 --> 00:08:50,664
I thought his robotic voice
and hand clasping
192
00:08:50,780 --> 00:08:53,012
were just charming affectations.
193
00:08:53,097 --> 00:08:55,819
Do you really think
I am anything like him?
194
00:08:55,921 --> 00:08:56,992
I'm not saying that...
195
00:08:57,077 --> 00:08:58,077
I am.
196
00:08:58,135 --> 00:08:59,736
You're extremely organized.
197
00:08:59,872 --> 00:09:01,523
You hardly make eye contact.
198
00:09:01,608 --> 00:09:03,558
And given your problems
with food, blankets,
199
00:09:03,651 --> 00:09:06,407
and lighting, plus the fact you
wear headphones even in surgery,
200
00:09:06,530 --> 00:09:08,382
you clearly have sensory issues.
201
00:09:08,467 --> 00:09:10,089
I'm organized.
202
00:09:10,174 --> 00:09:12,376
Would you rather I show up
in the O.R. and just wing it?
203
00:09:12,465 --> 00:09:13,865
I have good taste
in food and music.
204
00:09:13,950 --> 00:09:15,631
Now that's a mental disorder?
205
00:09:16,621 --> 00:09:18,389
And as for eye contact...
206
00:09:21,167 --> 00:09:22,394
Okay.
207
00:09:22,786 --> 00:09:24,653
I didn't come here
for a psych consult.
208
00:09:24,738 --> 00:09:28,265
It was just an observation
about a possible reason
209
00:09:28,350 --> 00:09:30,308
for the behavior that led
to your hand symptoms,
210
00:09:30,393 --> 00:09:32,160
which is what we should
be talking about.
211
00:09:32,245 --> 00:09:35,199
Physical therapy is the
recommended course for dystonia.
212
00:09:35,284 --> 00:09:37,987
I'm not wasting months on
a treatment that won't work.
213
00:09:38,191 --> 00:09:40,626
I want an MRI-guided
ultrasound ablation
214
00:09:40,711 --> 00:09:42,613
of the VO nucleus
of the thalamus.
215
00:09:46,825 --> 00:09:48,420
You want to jump
to brain surgery?
216
00:09:48,505 --> 00:09:50,674
I would jump
right to amputating a toe
217
00:09:50,759 --> 00:09:52,661
if it got me my career back.
218
00:09:59,051 --> 00:10:00,808
What were you thinking?
219
00:10:01,324 --> 00:10:02,964
You just supported me.
220
00:10:03,049 --> 00:10:06,105
Yes, because part of my job
is not yelling at residents
221
00:10:06,190 --> 00:10:07,496
in front of patients.
222
00:10:07,581 --> 00:10:10,409
What you did is equivalent
to looking at a fuzzy MRI
223
00:10:10,494 --> 00:10:12,062
and blurting out
a patient has cancer.
224
00:10:12,196 --> 00:10:13,910
Cancer can kill you.
225
00:10:15,910 --> 00:10:19,668
Neither diagnosis is one
a patient is excited to hear.
226
00:10:21,218 --> 00:10:23,087
Prep him for the ablation.
227
00:10:23,172 --> 00:10:26,403
And do not talk to him again
about autism.
228
00:10:32,529 --> 00:10:34,199
He's seen six doctors
in the last month,
229
00:10:34,284 --> 00:10:35,879
gotten three
opioid prescriptions,
230
00:10:35,964 --> 00:10:37,699
and he had
a previous opioid problem.
231
00:10:37,784 --> 00:10:39,191
It's textbook drug-seeking.
232
00:10:39,276 --> 00:10:41,278
It's also textbook
"a bunch of dingbats
233
00:10:41,363 --> 00:10:43,340
missing a trigeminal neuralgia
diagnosis."
234
00:10:43,425 --> 00:10:45,105
Mm, his wife agrees with me.
She knows him.
235
00:10:45,131 --> 00:10:46,723
Would explain why yours
left you.
236
00:10:46,808 --> 00:10:49,388
Snap. Except my wife
didn't leave me,
237
00:10:49,473 --> 00:10:51,742
so neither a good point,
nor even a clever one.
238
00:10:52,078 --> 00:10:53,742
FIESTA imaging would
take hours to set up,
239
00:10:53,827 --> 00:10:55,187
cost the patient serious money,
240
00:10:55,272 --> 00:10:56,399
and still come out negative.
241
00:10:56,484 --> 00:10:59,352
Because... it's
textbook drug-seeking.
242
00:11:00,432 --> 00:11:02,180
We have other patients
who need us.
243
00:11:02,265 --> 00:11:03,799
I'm sending the discharge order.
244
00:11:10,748 --> 00:11:12,235
Hey.
245
00:11:21,097 --> 00:11:22,860
I hate poop.
246
00:11:23,760 --> 00:11:26,492
Like, what if I suck
at changing diapers?
247
00:11:27,119 --> 00:11:29,670
Maybe we should start
with the bigger issues
248
00:11:29,755 --> 00:11:31,490
and work our way down.
249
00:11:33,366 --> 00:11:35,167
This isn't
at the top of my list,
250
00:11:35,252 --> 00:11:36,686
but since you are a doctor...
251
00:11:38,035 --> 00:11:40,163
Shaun's ASD... Is it...?
252
00:11:40,248 --> 00:11:41,649
Inheritable?
253
00:11:43,536 --> 00:11:45,138
Probably.
254
00:11:45,223 --> 00:11:47,141
But it's unclear how much.
255
00:11:47,824 --> 00:11:49,047
So, even that.
256
00:11:49,132 --> 00:11:51,101
W-What am I supposed to do
with that?
257
00:11:51,248 --> 00:11:52,816
Think it through.
258
00:11:53,274 --> 00:11:56,735
Let's say you have
a little baby Shaun.
259
00:11:59,303 --> 00:12:02,789
Like... tiny, honest,
260
00:12:03,486 --> 00:12:05,891
brilliant guy who adores me...
261
00:12:06,977 --> 00:12:09,211
Mini button-down,
262
00:12:10,393 --> 00:12:12,117
teeny blue eyes...
263
00:12:14,932 --> 00:12:17,610
And me?
264
00:12:19,790 --> 00:12:21,336
A mom?
265
00:12:22,074 --> 00:12:24,008
I mean, I'm not saying
my life would be worse,
266
00:12:24,093 --> 00:12:25,633
but it would just be
so different
267
00:12:25,718 --> 00:12:27,134
from what I was planning.
268
00:12:27,259 --> 00:12:28,524
Not that I was really planning,
269
00:12:28,609 --> 00:12:34,172
bu... t I am enjoying
just... being.
270
00:12:35,339 --> 00:12:37,102
And so what if you wait?
271
00:12:37,445 --> 00:12:39,847
I just want to make sure
I'm making the right decision.
272
00:12:39,932 --> 00:12:41,434
Mm-hmm.
273
00:12:46,609 --> 00:12:48,611
I guess
you'll never really know.
274
00:12:50,929 --> 00:12:54,467
I had to make a lot
of hard choices about my mom.
275
00:12:55,844 --> 00:12:58,181
And I still wake up wondering
276
00:12:58,266 --> 00:13:00,297
which of them went
the wrong way.
277
00:13:01,787 --> 00:13:06,418
But... you still gotta choose.
278
00:13:19,359 --> 00:13:22,024
No abnormal signal
in the mid pons.
279
00:13:23,282 --> 00:13:25,284
So, are you and Dr. Park
like this at home, too?
280
00:13:25,369 --> 00:13:28,038
When I let him out
of his cage for meals, yes.
281
00:13:29,008 --> 00:13:30,576
Hey, we're almost...
282
00:13:34,850 --> 00:13:35,951
Oh, come on.
283
00:13:36,036 --> 00:13:38,071
Did you not get the text
I didn't send about this?
284
00:13:38,156 --> 00:13:39,668
Don't bother asking for
consults if you're gonna...
285
00:13:39,692 --> 00:13:41,078
Wait.
286
00:13:41,170 --> 00:13:44,594
What's that on the right
superior cerebellar artery?
287
00:13:50,660 --> 00:13:52,862
An abnormal loop
causing compression.
288
00:13:53,167 --> 00:13:55,110
He has trigeminal neuralgia.
289
00:13:55,283 --> 00:13:56,650
The pain's real.
290
00:13:59,812 --> 00:14:01,571
We have good visualization
291
00:14:01,679 --> 00:14:03,047
of the target area.
292
00:14:03,132 --> 00:14:06,110
Connect the
ultrasound to the stereotactic frame.
293
00:14:23,127 --> 00:14:24,703
Ablation won't work.
294
00:14:25,499 --> 00:14:26,833
You changed your mind?
295
00:14:27,083 --> 00:14:28,319
You don't think he has dystonia?
296
00:14:28,343 --> 00:14:30,679
He does, but it's a symptom.
297
00:14:30,764 --> 00:14:34,768
His vertebral artery takes
an aberrant course.
298
00:14:34,989 --> 00:14:37,426
It is pressing against
his spinal cord.
299
00:14:37,536 --> 00:14:39,656
He needs vascular surgery
or he'll die.
300
00:14:41,166 --> 00:14:43,322
It's a disorder of the nerve
that carries sensation
301
00:14:43,407 --> 00:14:44,779
from the face to the brain.
302
00:14:44,893 --> 00:14:47,585
And it's one of the most
painful conditions that exists.
303
00:14:47,670 --> 00:14:49,321
And very hard to diagnose.
304
00:14:49,447 --> 00:14:52,150
Thank God Dr. Park approved
all those tests.
305
00:14:54,901 --> 00:14:56,678
Y-You were in agony.
306
00:14:57,585 --> 00:14:59,120
And I...
307
00:15:01,814 --> 00:15:04,131
I told him
I thought you were lying.
308
00:15:07,631 --> 00:15:10,108
You thought I was lying?
309
00:15:12,718 --> 00:15:14,920
You thought
I was just being an addict.
310
00:15:18,552 --> 00:15:20,670
And still you came here with me.
311
00:15:22,959 --> 00:15:24,834
Sat at my side.
312
00:15:28,405 --> 00:15:31,319
We'd like to do
a microvascular decompression.
313
00:15:31,455 --> 00:15:33,069
We'd go in through the back
of your skull
314
00:15:33,154 --> 00:15:36,984
and put in a Teflon patch
to cushion the affected nerve.
315
00:15:37,069 --> 00:15:38,696
You're... You're cutting
into his brain?
316
00:15:38,781 --> 00:15:40,713
It's relatively safe.
And other options
317
00:15:40,798 --> 00:15:42,514
are unlikely to relieve
the pain.
318
00:15:43,498 --> 00:15:45,795
Look, I-I'll do it.
319
00:15:46,088 --> 00:15:48,090
Uh, thank you so much.
320
00:15:49,691 --> 00:15:52,327
We want to run
a vertebral artery BTO.
321
00:15:52,421 --> 00:15:54,267
If you tolerate it,
then we would sacrifice the...
322
00:15:54,291 --> 00:15:56,990
Sacrifice the vessel
with onyx embolization.
323
00:15:57,075 --> 00:15:59,165
We recognize you might
not love this proposal.
324
00:15:59,250 --> 00:16:01,119
The one in which
my hand weakness remains,
325
00:16:01,252 --> 00:16:02,912
destroying my career?
326
00:16:04,669 --> 00:16:07,180
Did you consider
vertebral-to-vertebral artery bypass
327
00:16:07,265 --> 00:16:09,381
with physical removal
of the aberrant artery?
328
00:16:09,466 --> 00:16:13,370
Mm, that would carry a very
high risk for a stroke or bleed.
329
00:16:13,455 --> 00:16:16,849
It would fix the dystonia
and let me get back to work.
330
00:16:16,934 --> 00:16:19,155
With your history
of carotid stenosis,
331
00:16:19,240 --> 00:16:21,428
it would be a coin flip
whether you survive.
332
00:16:21,513 --> 00:16:23,281
I can live with those numbers.
333
00:16:23,400 --> 00:16:25,678
Or, for that matter,
die with them.
334
00:16:29,447 --> 00:16:32,162
Corridor to the
trigeminal nerve origin is open.
335
00:16:33,158 --> 00:16:34,534
I freed up the offending vessel.
336
00:16:34,618 --> 00:16:35,850
Teflon sponge.
337
00:16:37,280 --> 00:16:38,318
The sponge is too big.
338
00:16:38,403 --> 00:16:39,705
It'll compress the brain stem.
339
00:16:39,790 --> 00:16:41,270
I have at least 4 millimeters
of room.
340
00:16:41,325 --> 00:16:42,325
You have half that.
341
00:16:42,388 --> 00:16:44,056
Yes, you have a better view
50 feet away.
342
00:16:44,562 --> 00:16:45,882
How long have they been
like this?
343
00:16:45,929 --> 00:16:47,639
A while.
It's getting worse, though.
344
00:16:47,724 --> 00:16:49,010
Sorry, Park, you're right.
345
00:16:49,094 --> 00:16:50,277
Just like you were
when you decided
346
00:16:50,301 --> 00:16:51,905
to discharge the sick guy.
347
00:16:51,997 --> 00:16:53,752
Wow, you invented sarcasm.
348
00:16:53,837 --> 00:16:54,838
Really impressive.
349
00:16:54,923 --> 00:16:56,391
Hey, look at me,
I'm using it, too.
350
00:16:56,476 --> 00:16:58,678
Park, you missed the diagnosis.
351
00:16:58,791 --> 00:17:00,764
Reznick, you ignored protocol.
352
00:17:00,849 --> 00:17:03,635
How about you both show
some humility and shut up?
353
00:17:03,720 --> 00:17:05,021
Sorry.
354
00:17:05,604 --> 00:17:07,506
Teflon's placed.
355
00:17:07,646 --> 00:17:09,765
What if we used the saphenous
vein for the bypass?
356
00:17:09,850 --> 00:17:11,289
Not enough flow.
He'll stroke out.
357
00:17:11,422 --> 00:17:13,057
Carotid to distal vert, then?
358
00:17:13,142 --> 00:17:14,876
Stenosis is too severe.
359
00:17:14,961 --> 00:17:16,729
Dude's loaded.
360
00:17:16,936 --> 00:17:18,295
He's at retirement age.
361
00:17:18,380 --> 00:17:21,250
He could teach, travel,
screw around all day.
362
00:17:21,335 --> 00:17:23,389
Why is he demanding
that we do this?
363
00:17:24,287 --> 00:17:25,847
When you dedicate your life
to something
364
00:17:25,912 --> 00:17:27,338
that gives you meaning,
365
00:17:27,748 --> 00:17:29,573
it starts to define you.
366
00:17:29,707 --> 00:17:32,376
His decision may be
irrational, but I get it.
367
00:17:32,510 --> 00:17:34,678
I don't think it is irrational.
368
00:17:35,883 --> 00:17:39,154
Dr. Chambers has no friends,
no children,
369
00:17:39,350 --> 00:17:40,884
no family, no outside interests.
370
00:17:40,969 --> 00:17:43,472
If he can't be a surgeon,
he'll have nothing.
371
00:17:46,495 --> 00:17:48,889
I think our best bet
is a radial graft.
372
00:17:48,992 --> 00:17:50,795
Highest flow I can think of.
373
00:17:51,640 --> 00:17:53,201
Any other ideas?
374
00:17:53,515 --> 00:17:55,842
Okay.
We go with the radial graft.
375
00:18:03,641 --> 00:18:05,075
I'm impressed.
376
00:18:05,209 --> 00:18:08,679
I was actually starting to
wonder if I was losing my touch.
377
00:18:08,812 --> 00:18:10,837
But then I had
a dark afternoon of the soul
378
00:18:10,922 --> 00:18:12,450
and suddenly I knew it
379
00:18:12,583 --> 00:18:14,285
those were totally solid burns.
380
00:18:14,485 --> 00:18:18,454
Maybe not A+,
but A-, B+ at the worst.
381
00:18:18,743 --> 00:18:22,650
So it hit me... your plan was
to throw me off my game,
382
00:18:22,735 --> 00:18:25,422
- make me doubt myself...
- I'm attracted to you.
383
00:18:27,121 --> 00:18:29,023
I've been fighting
this stupid feeling,
384
00:18:29,108 --> 00:18:33,508
trying to find reasons
to not... feel.
385
00:18:40,211 --> 00:18:41,812
Are you kidding me?
386
00:18:49,094 --> 00:18:50,288
Yes.
387
00:18:50,540 --> 00:18:51,722
Your jokes were lame.
388
00:18:51,855 --> 00:18:53,743
And that's how
you screw with someone.
389
00:18:55,087 --> 00:18:56,422
No.
390
00:18:57,198 --> 00:18:58,899
You're not that good of a liar.
391
00:19:01,305 --> 00:19:03,501
I-I can't have a roommate
who has feelings for me.
392
00:19:03,634 --> 00:19:05,016
Since when
can't you take a joke?
393
00:19:05,101 --> 00:19:06,748
Since my roommate hit on me.
394
00:19:09,180 --> 00:19:10,922
You have to move out.
395
00:19:11,330 --> 00:19:12,964
As soon as possible.
396
00:19:23,962 --> 00:19:26,458
We've decided to use your
radial artery for the graft.
397
00:19:26,583 --> 00:19:28,327
We've scheduled an O.R.
for tomorrow morning.
398
00:19:28,351 --> 00:19:30,037
- Good call.
- I agree.
399
00:19:30,122 --> 00:19:32,584
You should risk your life
for this surgery.
400
00:19:33,880 --> 00:19:35,432
Are you being facetious?
401
00:19:35,669 --> 00:19:36,927
No.
402
00:19:39,270 --> 00:19:41,880
It just boggles the mind.
403
00:19:42,565 --> 00:19:44,592
You can't understand
what anyone means.
404
00:19:44,677 --> 00:19:46,794
You can't express yourself
like an adult.
405
00:19:46,879 --> 00:19:49,498
You're a child playing dress-up.
406
00:19:49,606 --> 00:19:51,608
And everyone here
just plays along.
407
00:19:51,693 --> 00:19:52,776
Let's go, Shaun.
408
00:19:52,959 --> 00:19:54,175
Y-You're agitated.
409
00:19:54,260 --> 00:19:56,128
I'm fine.
410
00:19:56,213 --> 00:19:58,177
You are rubbing your mug.
411
00:19:58,262 --> 00:20:01,465
People with ASD
often have comfort objects
412
00:20:01,683 --> 00:20:02,884
for when they become agitated.
413
00:20:03,034 --> 00:20:05,341
I can order you propranolol.
414
00:20:06,189 --> 00:20:07,829
You're gonna give me
the Ruseckas-Freedman
415
00:20:07,879 --> 00:20:09,675
ASD Diagnostic Questionnaire,
416
00:20:09,760 --> 00:20:11,795
and that's gonna shut
your damn mouth.
417
00:20:11,929 --> 00:20:13,663
Okay, the "Rafad-Q"
is just a tool.
418
00:20:13,797 --> 00:20:16,633
An official diagnosis needs
to come from a psychiatrist.
419
00:20:16,718 --> 00:20:18,158
Well, since I might be dead
tomorrow,
420
00:20:18,235 --> 00:20:20,103
this is your next-best option.
421
00:20:24,894 --> 00:20:27,091
I'll get the test.
422
00:20:31,315 --> 00:20:33,426
Why can't you treat people
with just an ounce of respect?
423
00:20:33,450 --> 00:20:36,701
Respect has to be earned,
not doled out like candy.
424
00:20:36,786 --> 00:20:38,704
No, that's just an excuse
people like you use
425
00:20:38,789 --> 00:20:40,069
to justify
your garbage behavior.
426
00:20:40,157 --> 00:20:41,757
That's just an excuse people
like you use
427
00:20:41,825 --> 00:20:43,544
to avoid facing reality.
428
00:20:43,889 --> 00:20:46,759
No one was respectful to me
when I was a resident.
429
00:20:47,173 --> 00:20:49,888
They were dismissive and cruel.
430
00:20:49,973 --> 00:20:52,876
But it lit a fire and it made
me the man I am today.
431
00:20:53,081 --> 00:20:56,419
The man that you came
into my room idolizing.
432
00:20:57,235 --> 00:20:58,502
Not anymore.
433
00:20:58,587 --> 00:20:59,889
I'm devastated.
434
00:21:02,575 --> 00:21:04,896
Surgeons deal in human lives,
435
00:21:04,982 --> 00:21:06,683
not childish fantasies.
436
00:21:06,817 --> 00:21:08,651
If you want to succeed,
437
00:21:08,786 --> 00:21:11,216
you're gonna have to be
a lot more like me.
438
00:21:23,606 --> 00:21:24,808
Everything okay?
439
00:21:24,893 --> 00:21:27,076
Yep. Surgery went very smoothly.
440
00:21:27,360 --> 00:21:29,029
No pain right now.
441
00:21:29,122 --> 00:21:30,802
Want to take it
for a test drive?
442
00:21:48,544 --> 00:21:49,811
It's worse.
443
00:21:52,395 --> 00:21:55,302
Collateral circulation
is not ideal.
444
00:21:55,429 --> 00:21:57,898
How are we gonna harvest
the artery?
445
00:22:01,310 --> 00:22:02,478
What's going on?
446
00:22:04,222 --> 00:22:07,058
How much am I gonna have to
change who I am to be a surgeon?
447
00:22:07,271 --> 00:22:10,007
Ah, to be great...
Or even good... at anything,
448
00:22:10,092 --> 00:22:11,260
we have to compromise.
449
00:22:12,369 --> 00:22:15,849
I used to get too emotionally
involved in my work,
450
00:22:15,986 --> 00:22:18,233
with patients, everyone.
451
00:22:18,318 --> 00:22:20,290
And I had to learn
to distance myself.
452
00:22:20,423 --> 00:22:22,341
Yeah, you've really grown cold
and heartless.
453
00:22:22,426 --> 00:22:23,934
I have changed.
454
00:22:24,019 --> 00:22:26,121
We all end up changing.
455
00:22:26,263 --> 00:22:28,231
You just got to try
and make it a good change.
456
00:22:31,190 --> 00:22:32,657
I don't want to change.
457
00:22:35,879 --> 00:22:38,014
I want to change
what's around me.
458
00:22:41,409 --> 00:22:43,272
Oh, I'll figure it out.
459
00:22:43,357 --> 00:22:44,662
I'm sure you will.
460
00:22:44,762 --> 00:22:47,318
Hey, you're the guy who makes
living in a van look cool.
461
00:22:50,058 --> 00:22:51,800
So, uh, the circulation...
462
00:22:52,065 --> 00:22:54,824
The right side looks like
it has better length.
463
00:22:54,958 --> 00:22:57,394
Yeah. Better collateral, too.
464
00:23:02,463 --> 00:23:03,745
Given the poor outcome,
465
00:23:03,830 --> 00:23:06,065
we can't recommend
further surgery right now.
466
00:23:06,150 --> 00:23:08,085
We suggest six months
of pain medication
467
00:23:08,200 --> 00:23:11,962
and referrals to neurology and
pain management specialists.
468
00:23:13,110 --> 00:23:15,456
W-What surgery
aren't you recommending?
469
00:23:15,557 --> 00:23:17,182
A DREZ lesioning.
470
00:23:17,282 --> 00:23:19,324
We'd cut the signal
from the trigeminal nerve
471
00:23:19,409 --> 00:23:21,237
to the sensory areas
of your brain.
472
00:23:21,322 --> 00:23:24,308
But there's a real possibility
of paralysis
473
00:23:24,393 --> 00:23:26,623
on one side of your body.
474
00:23:26,756 --> 00:23:27,991
I want the surgery.
475
00:23:28,109 --> 00:23:30,957
Baby, I'll help you
manage the pain.
476
00:23:31,042 --> 00:23:33,565
I-I'll move back in.
477
00:23:33,650 --> 00:23:35,417
I'll take care of you.
478
00:23:35,595 --> 00:23:38,370
You know
how I treated you before.
479
00:23:39,434 --> 00:23:41,804
I'm only gonna get worse.
480
00:23:42,250 --> 00:23:44,682
I would never leave you again.
481
00:23:45,992 --> 00:23:47,472
That's what scares me.
482
00:23:48,112 --> 00:23:50,987
I'd start cutting you down,
483
00:23:51,452 --> 00:23:52,956
being cruel,
484
00:23:53,867 --> 00:23:55,512
and you'd just put up with it.
485
00:23:57,698 --> 00:23:59,822
I won't let that happen.
486
00:24:04,161 --> 00:24:05,963
We'll prep an O.R.
487
00:24:09,315 --> 00:24:12,202
"I frequently point out
other people's mistakes."
488
00:24:12,335 --> 00:24:13,436
Duh.
489
00:24:13,570 --> 00:24:15,331
That's a yes.
490
00:24:15,872 --> 00:24:17,987
"People tell me
I overthink things."
491
00:24:18,098 --> 00:24:20,100
Only people
who underthink things.
492
00:24:20,288 --> 00:24:21,823
But, fine, another yes.
493
00:24:21,908 --> 00:24:24,177
"I sometimes speak
in an abnormal tone."
494
00:24:24,262 --> 00:24:25,964
Who thinks they speak
in an abnormal tone?
495
00:24:26,049 --> 00:24:27,650
Just mark no.
496
00:24:27,773 --> 00:24:29,074
How many more of these?
497
00:24:29,247 --> 00:24:30,417
None.
498
00:24:31,481 --> 00:24:34,636
Your answers are fully congruent
with someone on the spectrum.
499
00:24:36,136 --> 00:24:37,137
No.
500
00:24:37,222 --> 00:24:38,128
You keyed it wrong.
501
00:24:38,213 --> 00:24:39,681
No, look. No, I... Or something.
502
00:24:39,766 --> 00:24:41,413
Here. Look, I didn't.
No, give it to me.
503
00:24:41,498 --> 00:24:42,565
No, I... Oh! Don't!
504
00:24:45,502 --> 00:24:47,370
You idiot!
505
00:24:47,504 --> 00:24:49,072
S-Stupid, careless...
506
00:24:49,157 --> 00:24:50,322
I-I stepped back...
507
00:24:50,407 --> 00:24:51,730
Get out of my room.
508
00:24:52,347 --> 00:24:53,697
- Get out!
- Okay.
509
00:25:01,385 --> 00:25:02,512
Make sure we're not impacting
510
00:25:02,596 --> 00:25:03,972
normal spinal cord pathways.
511
00:25:04,057 --> 00:25:06,057
Somatosensories are at baseline.
512
00:25:06,142 --> 00:25:07,722
BP's steady.
513
00:25:11,447 --> 00:25:14,106
Leg and arm SSEPs
at 50% decreased amplitude.
514
00:25:14,191 --> 00:25:15,948
Check the cord above and below
for hematoma
515
00:25:16,033 --> 00:25:17,400
or bony compression.
516
00:25:17,526 --> 00:25:18,760
Cord's fine.
517
00:25:18,845 --> 00:25:20,583
Push IV fluids
and start pressors.
518
00:25:20,668 --> 00:25:22,027
So, what is it?
519
00:25:22,724 --> 00:25:24,025
I don't know.
520
00:25:29,027 --> 00:25:30,510
Any issues
with motor potentials?
521
00:25:30,596 --> 00:25:32,394
Unilateral amplitude down 70%.
522
00:25:32,479 --> 00:25:34,168
We're about to get
total neurological collapse.
523
00:25:34,192 --> 00:25:36,076
It's a clot
from a small branch artery.
524
00:25:36,161 --> 00:25:37,708
We checked
the spinal blood vessels...
525
00:25:37,793 --> 00:25:38,793
The outside.
526
00:25:38,878 --> 00:25:41,012
But the electrode could have
injured a sulcal artery.
527
00:25:41,097 --> 00:25:42,707
We need to follow
the DREZ pathway inward
528
00:25:42,792 --> 00:25:44,093
and search for a small clot.
529
00:25:44,185 --> 00:25:46,305
Start at the site of last
ablation with the electrode.
530
00:25:46,356 --> 00:25:47,699
It's gotta be deep.
531
00:25:49,267 --> 00:25:51,004
This'll be easier
if she's in here.
532
00:25:52,049 --> 00:25:53,851
Scrub in, Dr. Reznick.
533
00:25:59,031 --> 00:26:00,842
We're setting up
the neuromonitoring
534
00:26:00,927 --> 00:26:02,918
for Silas' surgery.
535
00:26:05,689 --> 00:26:07,162
He's angry with me.
536
00:26:07,247 --> 00:26:08,615
Silas?
537
00:26:08,725 --> 00:26:10,105
He's angry with everyone.
538
00:26:10,190 --> 00:26:13,223
Dr. Andrews said to stop
talking to him about ASD.
539
00:26:13,308 --> 00:26:15,449
But I brought it up anyway,
gave him a test,
540
00:26:15,534 --> 00:26:19,174
his mug broke, and I
don't know what to do now.
541
00:26:19,259 --> 00:26:20,426
I don't know what to feel.
542
00:26:20,511 --> 00:26:22,112
And Lea...
543
00:26:24,355 --> 00:26:27,973
Lea told me about the pregnancy.
544
00:26:35,242 --> 00:26:36,743
Okay.
545
00:26:42,473 --> 00:26:44,073
Is this hard for me
because I'm dealing
546
00:26:44,158 --> 00:26:45,860
with both things at once?
547
00:26:47,812 --> 00:26:50,355
I think both things are related.
548
00:26:54,284 --> 00:26:55,786
What if my child
549
00:26:56,801 --> 00:26:58,582
has no friends?
550
00:26:59,089 --> 00:27:00,525
What if they're picked on?
551
00:27:00,658 --> 00:27:02,192
This is not small-town Wyoming.
552
00:27:02,381 --> 00:27:03,616
The world has changed,
553
00:27:03,709 --> 00:27:05,811
- Shaun.
- I haven't changed.
554
00:27:06,314 --> 00:27:07,785
How can I...
555
00:27:09,991 --> 00:27:11,642
know what they're feeling?
556
00:27:11,727 --> 00:27:13,863
How can I comfort them?
557
00:27:16,132 --> 00:27:18,394
How can I be a good father?
558
00:27:23,048 --> 00:27:24,917
Remember when we first met?
559
00:27:25,449 --> 00:27:26,863
Right over there?
560
00:27:28,300 --> 00:27:29,669
You were mad at me.
561
00:27:29,934 --> 00:27:33,023
Yeah. But you were right
about the patient.
562
00:27:33,157 --> 00:27:34,224
And you were stubborn.
563
00:27:34,358 --> 00:27:35,626
And crazy smart.
564
00:27:35,711 --> 00:27:37,679
And you are still
all of those things.
565
00:27:38,780 --> 00:27:43,656
But if you were still
just that guy
566
00:27:43,741 --> 00:27:45,409
that I met
running through those doors,
567
00:27:45,536 --> 00:27:47,505
we would not be sitting here
right now.
568
00:27:50,035 --> 00:27:51,637
You have changed.
569
00:27:53,408 --> 00:27:55,715
You've adapted. You've grown.
570
00:27:56,981 --> 00:27:58,491
Do you know how hard that is?
571
00:27:58,576 --> 00:28:00,278
Most people don't even try.
572
00:28:02,657 --> 00:28:08,465
And you are going to grow
into a great father.
573
00:28:09,152 --> 00:28:10,910
Whenever it happens.
574
00:28:27,809 --> 00:28:28,713
Slowly go perpendicular
575
00:28:28,798 --> 00:28:30,414
at the angle
of our ablation electrode.
576
00:28:32,016 --> 00:28:33,488
Still not seeing the clot.
577
00:28:33,723 --> 00:28:36,086
Amplitude loss at 80%.
578
00:28:36,220 --> 00:28:37,622
Maybe it's not a clot.
579
00:28:37,707 --> 00:28:39,642
Maybe it's something
higher up, in the brain.
580
00:28:39,831 --> 00:28:42,074
No.
You were right the first time.
581
00:28:42,719 --> 00:28:46,855
Maybe it's hiding behind some
ultrasound-impervious segment.
582
00:28:48,098 --> 00:28:49,902
Cut the dentate ligament.
583
00:28:50,605 --> 00:28:52,402
It'll get more lateral access.
584
00:28:52,831 --> 00:28:54,271
Completely section the ligament.
585
00:28:58,618 --> 00:29:00,020
I see it.
586
00:29:02,769 --> 00:29:04,281
Removing the clot.
587
00:29:08,385 --> 00:29:10,457
Amplitude returning
to normal baseline.
588
00:29:16,470 --> 00:29:18,077
Let me know if you need me.
589
00:29:18,162 --> 00:29:19,429
We're good.
590
00:29:19,514 --> 00:29:20,648
Thank you.
591
00:29:26,571 --> 00:29:27,887
Hey.
592
00:29:29,425 --> 00:29:30,959
We did good together.
593
00:29:31,451 --> 00:29:32,586
We did.
594
00:29:34,292 --> 00:29:35,675
You still have to move out,
though.
595
00:29:35,769 --> 00:29:37,262
Tonight.
596
00:29:46,638 --> 00:29:49,274
On my first day here,
Dr. Melendez said
597
00:29:49,359 --> 00:29:52,090
I would never do anything
besides suction.
598
00:29:52,175 --> 00:29:55,178
But later, he let me make
my first surgical incision.
599
00:29:55,432 --> 00:29:57,467
He became my friend.
600
00:29:57,602 --> 00:29:59,019
I miss him.
601
00:29:59,269 --> 00:30:01,271
Are you in the right room?
602
00:30:01,356 --> 00:30:04,793
Did somebody tell you
I needed pointless stories?
603
00:30:05,121 --> 00:30:07,511
I used to think
604
00:30:07,645 --> 00:30:11,481
being a doctor was
all I needed to make me happy.
605
00:30:12,723 --> 00:30:15,696
It did make me happy.
606
00:30:16,513 --> 00:30:19,415
But I realized I wanted more.
607
00:30:20,578 --> 00:30:22,613
And that I could have more.
608
00:30:24,629 --> 00:30:26,293
I changed.
609
00:30:29,324 --> 00:30:31,574
You can change, too.
610
00:30:31,925 --> 00:30:34,379
But not if you're dead
from this surgery.
611
00:30:36,663 --> 00:30:38,762
I've made up my mind.
612
00:30:39,644 --> 00:30:41,545
Please leave.
613
00:30:42,004 --> 00:30:43,588
My brother Steve,
614
00:30:43,714 --> 00:30:46,692
he gave me a plastic scalpel
before he died.
615
00:30:46,777 --> 00:30:48,385
It broke. I was very sad.
616
00:30:48,518 --> 00:30:50,325
I asked you to leave.
617
00:30:56,739 --> 00:31:00,142
When I fixed my scalpel,
it made me feel better.
618
00:31:14,344 --> 00:31:18,535
I was 9 years old
when my father died.
619
00:31:22,171 --> 00:31:25,370
I loved drinking hot chocolate
with him in the morning.
620
00:31:25,455 --> 00:31:29,887
He'd bring me a mug
after every business trip.
621
00:31:31,301 --> 00:31:32,941
He understood me.
622
00:31:33,731 --> 00:31:34,865
My mother didn't.
623
00:31:35,191 --> 00:31:36,834
Nobody did.
624
00:31:37,801 --> 00:31:41,168
I tried fitting in, but...
625
00:31:42,281 --> 00:31:44,116
I got frustrated.
626
00:31:44,374 --> 00:31:46,965
So I gave up.
627
00:31:47,910 --> 00:31:49,780
On relationships.
628
00:31:50,105 --> 00:31:51,415
On friends.
629
00:31:51,548 --> 00:31:55,605
On all but the one thing
I was good at.
630
00:31:58,199 --> 00:32:02,138
And now, Dr. Murphy,
I'm too old.
631
00:32:02,223 --> 00:32:03,593
I've made too many enemies.
632
00:32:03,728 --> 00:32:05,340
Too many mistakes.
633
00:32:06,629 --> 00:32:12,246
People tolerate me
because I save lives.
634
00:32:16,240 --> 00:32:17,660
Without that
635
00:32:18,976 --> 00:32:23,090
why would anyone ever care
about me?
636
00:32:27,517 --> 00:32:28,980
I care.
637
00:33:09,005 --> 00:33:10,573
That smells good.
638
00:33:11,695 --> 00:33:13,163
Bland.
639
00:33:14,164 --> 00:33:16,106
Mm, pasta with olive oil.
640
00:33:16,191 --> 00:33:18,293
Kinda puke-proof.
641
00:33:19,870 --> 00:33:22,949
Have you thought any more
about...
642
00:33:23,424 --> 00:33:24,658
Yes.
643
00:33:29,486 --> 00:33:31,288
I made a list.
644
00:33:46,064 --> 00:33:47,932
I guess I've learned from you.
645
00:33:56,447 --> 00:33:58,415
What's the first thing
yours says?
646
00:34:03,547 --> 00:34:06,250
That I think
I would be a good father
647
00:34:09,186 --> 00:34:11,394
but that I can't know for sure.
648
00:34:12,622 --> 00:34:14,816
You'd make a great dad.
649
00:34:16,060 --> 00:34:17,754
It's on my list.
650
00:34:26,176 --> 00:34:27,710
You were right.
651
00:34:29,462 --> 00:34:31,164
It is very complicated.
652
00:34:32,888 --> 00:34:36,660
But, I do know...
653
00:34:39,583 --> 00:34:41,785
I want you to be happy, Lea.
654
00:34:46,029 --> 00:34:49,298
I have so many reasons
to do this.
655
00:34:53,523 --> 00:34:55,473
And so many doubts.
656
00:34:56,670 --> 00:34:58,918
I'm just scared, Shaun.
657
00:35:01,438 --> 00:35:05,596
But if we are both
having doubts,
658
00:35:05,681 --> 00:35:10,978
then maybe now isn't
the right time.
659
00:35:15,852 --> 00:35:17,287
Okay.
660
00:36:02,063 --> 00:36:03,188
Mm.
661
00:36:03,369 --> 00:36:05,001
I see that
my hemoglobin's stable
662
00:36:05,086 --> 00:36:07,273
and my white count is fine.
663
00:36:07,406 --> 00:36:10,064
Yeah. We just wrote
your discharge orders.
664
00:36:10,149 --> 00:36:13,892
This is a referral
for an ASD specialist.
665
00:36:15,764 --> 00:36:17,695
I can look into that on my own.
666
00:36:30,259 --> 00:36:31,743
Thank you, Dr. Murphy.
667
00:36:34,479 --> 00:36:36,390
And thank you, Dr. Guerin.
668
00:36:47,757 --> 00:36:49,046
Welcome back.
669
00:36:49,131 --> 00:36:50,500
Mm.
670
00:36:56,533 --> 00:36:58,035
Did it work?
671
00:36:58,703 --> 00:37:00,124
Let's find out.
672
00:37:10,626 --> 00:37:12,374
Mm.
673
00:37:19,990 --> 00:37:21,413
Your hand's cold.
674
00:37:38,848 --> 00:37:40,648
I'm transferring out.
675
00:37:40,778 --> 00:37:43,347
Last year, I applied to
a program at Johns Hopkins.
676
00:37:43,661 --> 00:37:45,320
They train doctors
to travel the world,
677
00:37:45,405 --> 00:37:47,179
help out needy areas.
678
00:37:47,511 --> 00:37:49,187
They'll let me enroll late.
679
00:37:50,068 --> 00:37:53,179
Sounds like a good place
for you.
680
00:37:55,059 --> 00:37:57,328
Thanks for always being
a great boss.
681
00:37:57,511 --> 00:37:59,312
And a great friend.
682
00:37:59,507 --> 00:38:02,960
Can't have been that great,
sneaking out like this.
683
00:38:03,877 --> 00:38:06,647
Uh, actually, for the
first time I can remember,
684
00:38:07,093 --> 00:38:09,073
it felt hard to say goodbye.
685
00:38:19,399 --> 00:38:21,601
You're always doing so much
for other people.
686
00:38:22,780 --> 00:38:24,335
Please don't forget to do
something for yourself
687
00:38:24,359 --> 00:38:25,523
every now and then.
688
00:38:48,268 --> 00:38:49,999
Were you messing with me or not?
689
00:38:56,591 --> 00:38:58,693
If I was, would you let me stay?
690
00:39:03,133 --> 00:39:04,374
Yes.
691
00:39:08,503 --> 00:39:10,570
I wasn't messing with you.
692
00:39:15,272 --> 00:39:17,942
Then I guess it's good
we're not roommates anymore.
693
00:39:22,472 --> 00:39:24,271
'Cause I couldn't do this.
694
00:39:27,952 --> 00:39:29,888
This is a one-time thing.
695
00:39:30,220 --> 00:39:31,637
Unless I change my mind.
696
00:39:31,722 --> 00:39:34,391
So consider that an incentive.
697
00:39:36,233 --> 00:39:40,804
♪♪ We get by
on love and faith ♪♪
698
00:39:43,534 --> 00:39:48,839
♪♪ We get by with a smile
on our face ♪♪
699
00:39:50,975 --> 00:39:55,846
♪♪ We get by with help
from our kin ♪♪
700
00:39:57,815 --> 00:40:03,220
♪♪ We get by through thick
and through thin ♪♪
701
00:40:04,983 --> 00:40:07,219
♪♪ We get by ♪♪
702
00:40:08,406 --> 00:40:10,804
♪♪ We get by ♪♪
703
00:40:10,889 --> 00:40:14,125
♪♪ No matter what happens,
I'll be there for you ♪♪
704
00:40:14,702 --> 00:40:17,972
♪♪ We get by ♪♪
705
00:40:20,912 --> 00:40:23,405
♪♪ Was just the other day ♪♪
706
00:40:23,516 --> 00:40:25,184
♪♪ I heard from my old friend ♪♪
707
00:40:25,551 --> 00:40:27,249
Lea Dilallo?
708
00:40:28,079 --> 00:40:31,683
♪♪ She was going
through changes ♪♪
709
00:40:31,784 --> 00:40:34,420
♪♪ Once again ♪♪
710
00:40:34,719 --> 00:40:38,422
♪♪ Matters of the head ♪♪
711
00:40:38,556 --> 00:40:41,458
♪♪ Matters of the heart ♪♪
712
00:40:41,592 --> 00:40:44,428
♪♪ May be too early to tell ♪♪
713
00:40:44,562 --> 00:40:46,507
♪♪ But it's never too late
to start ♪♪
714
00:40:46,871 --> 00:40:49,206
She called your name.
715
00:40:49,562 --> 00:40:53,070
♪♪ We get by ♪♪
716
00:40:53,195 --> 00:40:54,497
♪♪ We get by ♪♪
717
00:40:54,639 --> 00:40:58,242
I spent all day reminding
myself of all the reasons
718
00:40:58,640 --> 00:41:00,702
why this was a good idea.
719
00:41:00,970 --> 00:41:03,607
♪♪ We get by ♪♪
720
00:41:03,692 --> 00:41:05,405
But now that
it's actually happening,
721
00:41:05,490 --> 00:41:08,710
it... doesn't make me feel
any better.
722
00:41:08,795 --> 00:41:11,303
It just makes me feel
really sad.
723
00:41:16,295 --> 00:41:18,830
♪♪ Day by day ♪♪
724
00:41:18,915 --> 00:41:22,109
Maybe it's not the right time,
but will it ever be?
725
00:41:22,194 --> 00:41:26,031
♪♪ If you don't have yours ♪♪
726
00:41:27,071 --> 00:41:30,040
♪♪ You sure got mine ♪♪
727
00:41:30,174 --> 00:41:32,342
♪♪ We get by ♪♪
728
00:41:32,476 --> 00:41:33,516
♪♪ We get by day by day ♪♪
729
00:41:33,673 --> 00:41:35,274
I...
730
00:41:37,081 --> 00:41:38,081
♪♪ We get by ♪♪
731
00:41:38,182 --> 00:41:39,695
feel the same.
732
00:41:39,820 --> 00:41:43,721
♪♪ In our own way ♪♪
733
00:41:44,388 --> 00:41:45,388
♪♪ We get by ♪♪
734
00:41:45,489 --> 00:41:47,859
Are we really doing this?
735
00:41:48,593 --> 00:41:51,095
♪♪ We get by ♪♪
736
00:41:51,228 --> 00:41:52,472
♪♪ No matter how it happens ♪♪
We...
737
00:41:52,496 --> 00:41:53,576
♪♪ I'll be there for you ♪♪
738
00:41:53,664 --> 00:41:55,666
are having a baby.
739
00:41:55,800 --> 00:41:57,230
♪♪ We get by ♪♪
740
00:41:59,023 --> 00:42:01,288
- ♪♪ We get by ♪♪
- Mm.
741
00:42:02,506 --> 00:42:03,708
♪♪ We get by ♪♪
742
00:42:03,874 --> 00:42:04,949
Yes.
743
00:42:05,034 --> 00:42:06,494
♪♪ No matter how long ♪♪
744
00:42:06,579 --> 00:42:08,127
♪♪ I'll be waiting
here for you ♪♪
745
00:42:09,694 --> 00:42:11,555
♪♪ We get by ♪♪
746
00:42:12,344 --> 00:42:13,959
- ♪♪ No matter what happens ♪♪
- Yeah?
747
00:42:14,044 --> 00:42:15,285
- ♪♪ What happens ♪♪
- Okay.
748
00:42:15,426 --> 00:42:19,084
- ♪♪ I'll be there for you ♪♪
- Okay.
749
00:42:19,169 --> 00:42:21,169
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