All language subtitles for the.good.doctor.s04e14.720p.hdtv.x264-syncopy

Bet that burned some calories.

Almost as good as a
session of hot yoga.

With considerably
fewer wind chimes.

You forgot your phone charger.

Leave it here for next time.

Since when did you start
counting on a next time?

Since the last time
we went three rounds.

But if you want to stop...

I didn't say that.

I recall you saying
quite the opposite.

I want you not to depend
on this being here for you,

thinking you can plug
in any time you want.

I'm aware that I need
the charger's consent.

You need to see other women.

Why? I don't really
want to... No excuses.

If we're gonna keep hooking up,

you should start sleeping
with other people.

You're a very strange woman.

Have you seen my phone?

Oh. And remember, we have
to leave the hospital

by six tonight for
birthing class.

The birthing class
that I don't need

on account of my O.B.
rotation in medical school.

But where I will
learn how to give you

the support you need while
giving birth to our child.

That is my guy.

I got the results of
the fetal DNA test.

Okay.

This will tell us
the sex of the baby.

I know. On account of my O.B.
rotation in medical school.

Aren't you excited?

Not by that.

There are only two outcomes that
can be detected on this test,

and I am fine with either.

So am I.

I'm excited to find this out.

Please come here so
we can look together.

It's a girl.

We're having a girl.

Would you like to
paint the nursery pink?

No. This isn't the '50s.

Oh!

Okay.

Okay. Okay.

I will see you in class. Okay.

Okay.

I've got Bay 3.

The chest contusion? Uh-huh.

Why are you all bright-eyed
and bushy-tailed over a bruise?

This is Dr. Wolke.
I'm Dr. Reznick.

Tell me how you got that
contusion, Mister...

Bradley "The Body" Vargas,

currently top-ranked in
his MMA weight class.

I've seen all of your
fights. You're amazing.

So much for slipping
in and out of here

without being recognized.

Mm, sparring, roundhouse
right to the chest.

Mm, that was some kick.

This is a pretty large hematoma.

We need to drain it.

Uh, you're already
training for Vazquez?

That fight's not
for a couple months.

A real fan.

Drain it? Like with a needle?

We can numb you if you like.

Get that away from me.

Not here.

Your pre-op
tests came back normal,

so we can go ahead with
the hip replacement.

My physical therapist
says I should be walking

four hours after surgery and
good to go in ten to 12 weeks,

but I'm aiming for nine.

Can you please tell my mom

that that's not a
good idea?

You should not
rush your recovery.

Does it matter to you whether
you are having a boy or a girl?

I'm having a boy.

We're gonna name him
Ray, after my dad.

My girlfriend and I are
going to have a daughter.

That's great news, Shaun.

Why?

The procedure will
take a couple of hours,

so we should be able to get
you home in a day or two.

Oh, I am looking forward
to getting back in the air,

pain free.

No more pills or
cortisone shots or...

My internist telling me

my hips are too wide
for the cockpit.

Sounds more like a Navy
problem, than a you problem.

Clearly the cockpit
needs a redesign.

as well as a renaming.

O.R. two is ready. It's time.

Both implants seem to be intact.

Thanks.

Sorry I freaked out.

Too many people back there.

If my fans found out I had pec
implants, my career'd be over.

I saw you make McEwan
tap in one round.

Implants had nothing
to do with that.

My body's a big
part of the brand.

Everything else is real,
100% U.S. prime Bradley.

You do not need to
explain anything.

It's just,

how many guys, let
alone fighters,

get plastic surgery?

I'm sure more than you think.

When I was a kid,

well, I was a big boy.

I got picked on all the time.

My mom wanted me to be
able to protect myself,

so she put me in jiujitsu.

I loved it.

I started training every day.

It seems to have worked.

Yeah.

After the fat was gone, well,

man boobs don't
look good on anyone.

They did very nice work.

I would never know.

We still need to drain it.

I'll get the
procedure room set up.

Is that why you want me
to sleep with other people?

So you can shamelessly
flirt with patients?

I feel no shame.

And I'm not stopping you.

So why do I need
to see other women?

This is embarrassing.

For you.

What man asks that question?

You are soft and
prone to attachment.

I promise you I will
not get attached.

Empty words. You have a
Bumble profile. Use it.

No need.

What's gonna keep me from
getting attached to you

isn't the charms of other women.

It's your utter lack of any.

Nice osteotomy
of the femoral head.

It's bone
on bone in here.

I don't know how Jean
pushed through the pain.

A female fighter pilot
in the "Top Gun" era?

She's pushed through worse.

Things are much
better for women today.

In this surgery,
I am the only man.

But until they find a way
to put uteruses in men,

biology will always force
us to make sacrifices

our male colleagues don't.

Is that why you
don't have children?

Shaun, that is not something
you should ever ask a woman.

Well, I brought it up.

I never consciously
made that decision.

But along the way, I made
a bunch of small ones

that put my job in front
of having a family, and...

I don't regret it.

But it does piss me off that
most men don't have to choose.

Mobilize the proximal
femur, then ream and rasp.

Jean's pressure just
tanked... 64 over 38.

Push fluids, start pressors.

Heart rate's low at
42, sinus bradycardia.

Her pre-op tests
were all normal.

She has no cardiac history.

If she threw a clot,
she'd be tachy.

Check for any occult bleeding.

I'll get the
transesophageal echo.

There is no bleeding.

Check a twelve-lead,
start troponins.

Her B.P. is stabilizing.

Remove osteophytes, place cup,
direct screws posterolaterally.

Her pressure should
not have dropped.

And we don't know
why it came back up.

Was it the fluids and pressors
or spontaneous reversal or...

We need to finish
her hip arthoplasty

before she bottoms out
again, and then yes,

we need to figure out why it
happened in the first place.

Okay.

Go ahead and advance the needle.

Are you seeing anybody?

Oh, no. Is this
about to get weird?

No, I... No.

I'm taking a flouro shot.

Do you usually date
one person exclusively,

or are you seeing a
few people at once?

Be careful not to breach
the pleural space.

Define your terms.

Does "date" mean
"have dinner with"

or "meet up for sex"?

I'm not entirely sure.

Mm, by the time
there's food involved,

I prefer to be exclusive.

In the hematoma now.

Mm, I'm not able to
aspirate anything.

That's not just clotted blood.

It's a mass.

It's about five centimeters
across, firm, non-mobile.

It's very dense.

Get a biopsy, but that

looks like breast cancer.

If there might be a
problem with her heart,

should she be
putting strain on it?

If I'm gonna have
a heart attack,

this is the best place for it.

That is exactly right.

It's very likely
your mom is fine,

that the blood pressure drop was
just a reaction to the anesthesia.

You're a very successful pilot.

Was that harder because
you are a woman?

For me, standing out was a plus.

It got me noticed.

Mm, that's not
always a good thing.

It's the Navy.

Was the bar higher for
me than the guys? Yeah.

But pressure's just an
opportunity to get better.

Your mother is very inspiring.

Yes... she is.

I can go harder
if you need me to.

Yes, please.

I don't have breasts.

How can I have breast cancer?

You have breast tissue,

and while it's rare in
men, it does happen.

The biopsy has identified a
particularly aggressive tumor.

But the good news is
we caught it early.

W-What's next?

Sorry.

We're recommending surgery
to remove the mass.

Followed by chemotherapy.

We don't believe
there'll be any long-term

loss of strength or...
Can I keep my implants?

Like, will they be able
to work around them?

It's possible. But
highly unlikely.

At the end of this, the Body
gotta look like the Body.

Otherwise, I'll
lose my sponsors,

my career.

A lumpectomy makes
sense considering...

If we want to let the patient
prioritize his appearance

over his health.

He needs a mastectomy.

Would you be that
dismissive if our patient

was a woman choosing
to preserve her...

Someone's popular today.

They're all dating app alerts.

It's amazing what upgrading
a profile pic can do.

You should vary
your password more.

Where'd you get this photo?

I took it for personal use.

But I'm happy to let
it be your introduction

to the world of e-dating.

Fly, muscular sparrow.

Fly.

This photo's such a... The
words you're looking for

are "thirst trap,"
and you're welcome.

Relax. Relax.

While you are under the
soothing touch of your partner,

let's discuss birthing plans.

Okay, maybe just a
little less pressure.

Like this? Uh, not really.

Remember, you are in charge
of your birthing experience.

Every aspect of your
labor is your decision,

starting with when you
head to the hospital.

Okay, maybe just
stop. It's okay.

It's okay.

I recommend what doulas
call the 4-1-I rule.

You wait until contractions
are four minutes apart

and last for one
minute for at least...

Five minute intervals is safer.

That's one opinion, Dr. Murphy,

for mothers who enjoy
waiting at the hospital.

Once you arrive, clearly
instruct your partner

and your doctor
of what you want.

No. The doctor needs
to be in charge.

What if there is a complication?

Mm.

Maybe just let her talk.

Sorry.

After your water breaks,

fortify yourself
for the work ahead.

Be that with meditation
or a pre-selected song

that you find soothing
or perhaps a light snack.

That is a very bad idea.

Dr. Murphy, please hold
your comments until the...

You shouldn't eat after
your water breaks.

Many women experience bowel
incontinence during labor.

Is that true?

We might poop ourselves. Okay.

No one mentioned
involuntary pooping.

How was the class?
Very informative.

When's the next one?
There won't be a next one.

We were thrown out.

None of our tests showed
any issues with your heart.

You are in great shape.

Then what caused the
blood pressure drop?

Mm, Dr. Browne must
have been right.

It was a reaction
to the anesthesia.

So, when can I get out of here?

When we know you can get
around safely on your new hip.

Oh.

Let's do this.

Careful, Mom. It's not a race.

Everything's a race, dear.

Mom!

Jean's hip is intact, which
means it didn't cause her fall.

No, her blood pressure did.

Jean was still being
monitored when she collapsed.

Her blood pressure
fell precipitously,

just like in surgery.

Sudden hypotensive crisis could
be a high spinal cord tumor.

Or carotid stenosis,

or carotid sinus
hypersensitivity.

Endocrine deficiency?

Make a list. Start
ruling things out.

Uh.

Make a list somewhere else.

Mm.

Shaun!

Come meet Theresa.

She's a doula, and
we're talking about

her helping me during my labor.

Hello.

Lea does not need a doula.

I will be helping
her. But thank you.

Let me know what you decide.

Of course. Thank you.

Shaun, I am so excited
about our baby.

And I am so scared
about delivering her.

It's gonna hurt. It
could go on for hours.

Possibly over a day.

And I need to know that I
can have whatever I need,

a massage at exactly
the right pressure...

Mm... a hand to
squeeze really hard,

a cool, wet washcloth.

Oh.

Or a warm, wet washcloth.

Oh.

Can you do that?

I can get better at massages.

I'm sure you can,

but those aren't really
your strengths, are they?

It's... just a
set-up for failure,

and I know neither
of us wants that.

No. We don't.

Yeah.

Dr. Park.

Dr. Boyd.

I definitely do not know this

because it's completely
confidential,

but hypothetically,
if you were treating

MMA rockstar Bradley Vargas,
and if I had a ten-year-old

patient who would go bananas
for a signed photo...

I'll see what I can do.

Thanks in advance
for the autograph.

It'll make a ten-year-old's day.

No. What?

She's all wrong.

She's a Pedes resident.

They're all kind and nurturing
and they care about things,

and she obviously
wants you to keep

all your chargers at her house.

That's not what you
need. You need fun.

Text the redhead.

What redhead? Candace309.

Change your password to
something I can't guess.

No tumors in the frontal
or parietal lobes.

Next we should check
for a glial-based tumor

in the brain stem.

Squeeze my hand as
hard as you can.

Lea said she may need
to do that during labor.

I want to be prepared.

Okay. Okay, that's enough.

We need a better look in
the high cervical cord.

Is Lea feeling
nervous about labor?

She thinks she needs a doula to
support her, but she doesn't.

You squeezed my hand very hard.

I can take it.

Mm, I think there's probably

gonna be more to it
than that, Shaun.

I've also looked into
antimicrobial options

for washcloths, to
wipe her forehead.

What else?

I don't know.

Neither do you, or Lea, or
the doctor, or the doula...

That's what's
terrifying about it.

It's the biggest
day of your life,

and the only thing
you know for sure

is that another human is gonna
force its way out of you.

High cervical cord is clear.

Breathe.

Good. You're almost there.

The lighting in this
room is very harsh.

We didn't call for a
surgical consult, Dr. Murphy.

I know. I'm here for research.

Well, this is a bad time.

Next contraction,
I need you to push.

Okay.

I am very interested in
anything you can share

about your experience.

What
are you feeling right now?

Like... oh, like he's

trying to... Oh,
rip out everything!

Do you wish you had
gotten an epidural?

Yes!

It's too late now.

Please page Dr. Glassman.

Lea wants to have a doula.

Okay, and, uh, you don't?

Research shows that
doula-assisted births

have fewer complications,
decreased length of labor,

and increased
breastfeeding rates.

So, you do want a doula?

N-No.

I can precisely measure the
time between contractions

and get the right washcloths
and I've mapped out

the fastest route
from the OB floor

to the cafeteria for ice chips.

I don't want Lea
to have a doula.

But... they are good.

I am very bad at massages.

So, you... you want Lea to
have everything that she wants,

but you don't want
her to want a doula?

Yes.

How do I do that?

I don't know.

I just...

It can't be done.

It's like you... you want
a red shirt really badly,

but it has to be green.

Why can't you just give
her what she needs?

Hm.

Okay.

Good.

We need
to expose the underlying pec major.

Dr. Park, gently cut with
microdissection needle.

Mm. I really need to join a gym.

I mean, I know I'm never
gonna look like "The Body,"

but I could try to look like
I have a body.

Raise the flap and be careful
not to thin it too much.

Bradley's transformation is
impressive, but it's not real.

Strength, determination, hard
work... those things are real,

and worth striving for.

Not to the exclusion
of all else.

The day I lost my job as Chief,

I went home and drank myself to
sleep every night for a week.

Better to drown my sorrows
than to let my wife see me cry.

When your marriage fell apart,
did you tell a good friend

that you were heartbroken,
or did you just hit something

really hard for a long time?

Both are fine, but
men don't do both.

I'm guessing no one told
you you were a "real man"

when you came out, but that
took a lot more courage

than getting pummeled
inside of an octagon.

I can't see any
clear tumor margins.

The tumor extends beyond
what was visible on imaging.

It was obscured by
the pec implant.

Close him up.

We need to wake him
and get his consent

for a total mastectomy.

I can't go home yet.

I still don't know what's
wrong with my patient.

Then why did you ask me to wait?

This is for you.

Oh. Okay.

This will massage your
shoulders whenever you want

at exactly the right pressure.

There are three settings
and a pulsing option,

which I think would
be irritating,

but it is up to you.

When I wear this, you can
squeeze as hard as you want.

Also, I have been building
up my washcloth tolerance.

I am up to 15 seconds.

That's great, Shaun.

But I decided I want
Theresa there for the birth.

It'll make me feel safer
and more comfortable.

I... can make you feel
safe and comfortable.

I am the father. I am
going to be a good father.

I know that, and I believe that.

You don't need her.

Maybe not, but I want her there.

It's my body and my
birth experience,

and I want to have a
doula there with me,

so we're gonna have one.

I love you.

I'll see you at home.

Less than two weeks
away, so don't get too comfortable.

The brain and spinal
MRI scans were clear.

You don't have a tumor.

One less
thing to worry about.

What's left?

There is still a very long list.

I need to perform a
carotid sinus massage

to test for hypersensitivity.

I have been working on
my massage technique,

but you may pass out.

That's how we know
if the test worked.

Elongate your neck and turn your
head ten degrees away from me.

Did you have a doula
when you gave birth?

No one I know had
a doula back then.

Or fancy birthing suites
or hypno-breathing

or the luxury of three
months off to recover.

It's not a luxury, Mom.

It's important for
the mom and the baby.

If women wanna
compete, then compete.

We can't ask
for special treatment

and then complain that the
playing field isn't level.

I got a long weekend, and
then back in the plane.

I didn't have a choice.

You had a choice.

Stop breathing, please.

You always loved to fly.

Maybe more than being stuck
on the ground with me and Dad.

No.

Okay.

I didn't like leaving
either one of you.

I just wanted you
to see me be strong

so you knew you
could be strong, too.

I did.

Being scared and weak,

I wasn't always sure
if that was okay.

Oh, my God.

Wait, is this what was
supposed to happen?

No. This is not
supposed to happen.

You
need a total mastectomy,

including the removal
of your pec implant.

But with training, your
strength should fully...

I can't get back in the octagon
with half my chest caved in.

I'll lose my sponsors.
Then find new ones.

Once people know what
you've been through...

You honestly think I'm gonna let
anyone know I had breast cancer?

What about non-surgical options?

What about chemo? Chemo alone
isn't the best way to treat this.

It doesn't have to be the
best. It just has to work.

There's no guarantee it will,

and given the
tumor's invasiveness,

they'll have to use toxic...

I can take whatever
you throw at me.

But I'm not having surgery.

EEG results are normal.

You've never had
a seizure before,

but it's possible
one was missed.

There are many different types.

Does Jean ever stare off,
become non-responsive?

No.

No.

But there was that one
"bathroom episode"?

When I came to stay with
you, after Dad died.

Oh, that was nothing.

It was late and she
fell asleep watching TV.

She got up to use the
bathroom and got light-headed

and then almost fainted.

I think I was just exhausted.

Did it happen again?

Uh, hardly ever.

A couple times, over
the last few years.

There is no mention of this
in your medical record.

I told my internist.

He said it happens to some
women during menopause.

Have you experienced
other symptoms

that were attributed
to menopause?

Of course.

Tell me what they are
and when they started.

Um, I think I had some
constipation and sleep issues.

When? How long?
I-I-I don't know.

I don't remember.

I-I told my doctor, and he
told me not to worry about it.

He told me to forget
about it, so I did.

Mrs. Williams.

I have an urgent problem I
have to talk to you about.

You'll need to wait
your turn, Mr., uh...

I am Dr. Shaun Murphy.

I need answers
about Jean Starzak.

She was your patient.
Now she is my patient.

Dr. Murphy, if you can wait,
we can talk in private.

Okay. Yes.

You failed to chart
many of Jean's symptoms,

constipation,
sleep disturbances,

hot flashes, reduced libido.

She's not sure she remembers
all of her symptoms

or when they began, so
we cannot figure out

what is wrong with her.

Sounds to me like
she's in menopause.

You're a talented
diagnostician, Mrs. Williams.

No. She's not.

Menopause doesn't explain her
recent blood pressure issues.

Mrs. Starzak's chart, please.

It's not in there.

And she mentioned several
episodes of nighttime dizziness,

which I believe were seizures.

What is in here is
enough to remind me that

the dizziness was menopause.

Micturition syncope,
not seizures.

And the blood pressure
issue isn't new.

But also isn't a
symptom of anything

besides her anxiety
about forced retirement.

It wasn't...

I know it happened
during surgery.

She wasn't anxious.
She was unconscious.

My daughter is never
coming to see you.

According to this piece in
"Clinical Endocrinology",

Jean's symptoms match pretty
well with Addison's disease.

She doesn't have
hyperpigmentation,

or weight loss.

Not all cases presented with
Cortisol levels are normal.

There have been several
recent case studies

correlating hypothyroidism
with low post-op BP.

Jean's TSH is borderline high.

But her thyroid hormone
is in the normal range.

What about sleep apnea?

I read about a case
involving BP crashes.

That's interesting.

Mm, Jean's body type
isn't typical with apnea,

but we could ask about snoring.

I would like to see
that case literature.

It's not a conventional
case write-up.

I saw a post on Reddit.

Mm.

What subgroup?

The women's health community.

Mm. It's not scientific.

At all. It's not helpful.

But neither is this.

There is nothing here.

The medical establishment
isn't looking into this stuff.

It's ignored women like Jean,

as demonstrated
by her own doctor

not charting her symptoms.

That is true, but
is still a bad idea

to rely on anecdotal evidence.

I agree with you.

If you have a better idea,
I am happy to go with it.

Keep checking Reddit.

Claire, can you look at
social media postings?

I'll check out the blogs.

You changed your
profile picture.

It sucks. It looks like me.

It's not like I
photoshopped your head

on someone else's body.

If I'm gonna sell myself,

I at least want to
sell who I actually am.

The women who answer your posts
don't care who you actually are.

And based on this photo, I don't
think you know who you are.

You're reading Proust?

Once the ondansetron kicks in,
you should start feeling better.

Just in time for your
next chemo session.

I'll get through it.

I know you will.

Doesn't mean you should.

It's dumb.

You're acting like an idiot
because you're less afraid

of months of pain and
nausea than being exposed.

You've constructed
a perfect facade,

and you're gonna kill yourself
trying to preserve it.

But being strong has nothing
to do with being "The Body."

Tell that to my fans.

My sponsors.

I think you should.

Tell them none of
this makes you a man.

You were just as
brave and strong

back when you were a
fat, bullied little kid

that decided to make a change.

That kid didn't let
other people tell him

who he could be or
what he was capable of.

Don't let him down now.

Schedule the surgery.

This woman says she had
chronic low blood pressure

and her doctors blamed it on
her "weight loss obsession".

Turned out she had
congestive heart failure.

This woman's seizures were
attributed to her pregnancy.

She was on her fourth doctor

before they correctly
diagnosed her epilepsy.

I got something.

This woman spent years with
the same symptoms as Jean,

before she was diagnosed.

Parkinson's Disease.

You're healing well. Pathology
results show clean margins.

You should regain full
strength and be back

in the octagon in a few months.

Thank you.

There's something
I wanna show you.

"My Next Fight is
Breast Cancer."

Over a million views, with
some very encouraging comments.

A few you will want to mute.

And a bunch of women who
are really into scars.

The test confirms you
have Parkinson's Disease.

We believe it's been
progressing for a few years.

Your hip pain may well have
been the first indicator.

Can I still fly?

I'm afraid not.

How do we treat it?

Unfortunately, the
delay in diagnosis

has allowed the
symptoms to intensify,

and there is nothing we
can do to reverse that.

You should still have several
more years of decent mobility,

and we can help manage the
symptoms with medication.

We'll let you two
have some time alone.

I'd like to go home.

Can you, uh...

Can you see about
getting me discharged?

Tory, please go.

No, Mom.

It's okay.

How's your phone battery?

'Cause there's a
charger at my place.

It's time to retire
that metaphor.

I'm busy.

You were right.

I'm attachment-prone, and
there's nothing wrong with that.

As long as I'm with someone
who feels the same way.

I found the place.

Flannigans.

Oysters. Overpriced IPAs.

The game on three big screens.

Perfect.

See you tomorrow.

I want our daughter
to have the chance

to have everything she
wants, and I want you to have

the chance to have
everything you want.

But I can't.

Not by myself.

It's okay that I
am bad at massages.

She will handle them.

Thank you.

How do you two feel
about frankincense oil?

Um...

No thanks.

Lea,

the world is harder for women.

I want to change that,
but I don't know how.

By being an amazing
dad to our daughter.

By letting her know that
she's loved and supported.

We'll raise her to be strong.

Like you.