All language subtitles for The.Good.Doctor.S04E14.WEBRip.x264-ION10-eng

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.

Okay.

Okay.
Okay.

I will see you in class.
Okay.

Okay.

I've got Bay 3.

The chest contusion?

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 4-1-1 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?

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.

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.

make a list somewhere else.

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.

Or a warm, wet washcloth.

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?

Okay.

Good.

We need to expose
the underlying pec major.

Dr. Park, gently cut with
microdissection needle.

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.

What subgroup?

The women's health community.

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.