All language subtitles for The.Good.Doctor.S04E19.WEBRip.x264_-_4301_-_mx[1]

Can you pop the trunk?

Ah!

We made good time.

Thank goodness,
or else we wouldn't have

the full three hours to wait
before our flight.

Great.

Alright. Thanks.

Alright.

Oh.

Starbucks is on me.

No kidding.
And I'm getting a cake pop.

Hey, Dr. Reznick.

I thought this was
a surgical mission.

Uh, we're bring...
we're bringing some support.

Morgan's gonna help with
patient selection and aftercare.

Oh.
That's great.

10 days, huh?

Can't have you
forgetting me.

I'll be back
before you know it.

Tickets, passports,

travel wallet containing
quetzales and American currency.

You've got 'em.

I know,
because I checked.

You alright?

Oh, it's not that heavy.
I got it.

That's not
what I meant.

I'm okay.

I think this trip
will be good.

Change things up.

Focus on
helping other people.

For whatever it's worth,
if you ever need to talk,

you can always call me.

I'm not gonna do that.

I know.

We will not have any time
to shop,

but would you or Debbie
like anything from duty‐free?

Guatemala is known
for its rum.

We're okay. Thanks.

Okay.

You're on this trip, too?

Yeah, got inspired
last night,

decided to take some
personal days, go help out.

And you're bringing
a toilet seat?

Spoken like someone

who's never been on
one of these surgical missions.

The airline
will find your bag.

We'll get you some clothes
when we get situated.

Would you like some vitamin B12
to help with exhaustion,

or a motion sickness
wristband?

I have an extra.

No, thanks.

I'm glad we're here.

Yes.

After all the loss
this year.

It's just...
such an amazing way

to be reminded what we have
to be grateful for.

Careful!

Let's see.

Pardon me, sir, could you please
move your flock of sheep?

My sheep don't like
to be rushed. Be patient.

These people are our guests.

Well,
I did not invite them.

We're doctors.

It's been a long trip
and we need to get to our hotel.

Doctor?

You're a doctor?

Of course I am.

It's a fungus.

It's...
It's a fungus!

It's a fungus.

*THE GOOD DOCTOR*
Season 04 Episode 19

Episode Title: "Venga"
Aired on: May 31, 2021.

Sync corrections by srjanapala

Thank you!

Whew!

Ah.

Need help with that?

No, that's a friend thing.

Hello, I'm Dr. Mateo Rendón.

Dr. Saravia and her team
have spent several months

gathering cases.

From those, we selected 40.

You're going to want
to save them all.

You will not.

We will perform
12 operations.

I'm Dr. Marcus Andrews,
last‐minute addition.

If we could add more cases,
I...

Before I heard
you joined the trip,

we were doing 10 surgeries.

My organization has spent years
building trust.

We save 12 people here,
that trust grows,

more patients come to us,
more doctors volunteer.

But if we lose a patient...

We want surgeries we can do
but the locals couldn't.

Surgeries that don't need
a lot of aftercare.

12 patients, one alternate.

Everyone else gets sent home,

no matter how sick they are
or how sad their story is.

Uh, can you please tell me
what this means?

Family...

Your next of kin.

Oh, well, nobody.

Only Ignacio.

Iggy is my only family.

He says his dog, Iggy.

Ugly dog.

Roberto Kantun Diaz?

Yes!

Andrea Torres Tzul?

Aimé Navarro Gomez?

Aimé Navarro Gomez?

Here! Here!

We need to do an abdominal exam
and ultrasound

to see if there are any signs
of obstruction or strangulation.

Please remove your bandage
and lie back.

Lie down and remove
your bandages.

How long
have you had that?

A year...
Maybe more.

He's had it for a year,
maybe longer.

My neighbor told me to go
to the hospital in Xela...

but I didn't have enough
for the trip...

and I can't go a long time
without working.

I'm the only one who takes care
of my sisters.

He was told
to go to the hospital,

but he couldn't afford the trip
or to miss work.

He's the sole provider
for his siblings.

Our parents died
two years ago.

Their parents died
two years ago.

She has a large
patent ductus arteriosus.

I've only seen this condition
in infants.

The blood is reversed.

It's flowing the wrong way.

We could try going through
the femoral vein,

do a percutaneous
device closure.

She has irreversible
pulmonary hypertension.

It would have been simple
to treat as an infant,

but now closing the hole will...
will... kill her.

Aimé's condition
is much too advanced.

There's nothing
we can do.

I'm sorry.

I'm sorry.

No.

No.

No, no.

- Tissue?
- Uh...

I stock up
before the Americans come.

And the French.

They are surprisingly
sensitive people.

I'm sorry. I know
this isn't helping anyone.

Never apologize for being human.

I have a strict policy
against it.

This week, you are
not just doing surgery.

You are doing miracles.

You're giving people hope
who had none.

Except for the ones
that we send home to die.

Focus on the miracles,

or else you won't be able
to help any of them.

And I will have to get
more tissues.

Thank you.

Bastion Alonso Ramos.

12‐year‐old baseball fan.

Roots for
the St. Louis Cardinals.

Also, he has
an ameloblastoma.

Not a lot of baseball fans
in Guatemala.

You've been here before, or do
you enjoy reading Wikipedia?

I did a medical mission here
during my residency.

Oh, that explains
"Dr. Toilet Seat."

You already
have a nickname.

Good afternoon, Bastion.

I'm Dr. Andrews.

Good afternoon, Bastion.
This is Dr. Andrews.

Hello, Dr. Andrews.

Hello!

What is that?
Let me see.

Oh.

That looks like Yadi Molina.

Yes! It's Yadi Molina.

St. Louis Cardinals.

Mm‐hmm.

So, are you a better
hitter or catcher?

He has a hepatic adenoma
in the right lobe of his liver.

Does not appear
cancerous.

No.
For now.

The lesion is localized,
well‐circumscribed,

and not close
to portal vein branches.

There's a tumor
in Adelmo's liver,

but it's not cancer.

The doctor believes
they can remove it.

He's a good candidate.

Thank you. Thank you.
Thank you.

Cheers! Cheers! Cheers!

I can continue like this
for a long time.

But you have
a strange accent.

It's not from Guatemala,
or Mexican.

Did you spend some time
in Venezuela?

In the library
where I grew up,

they had some tapes named
"Speak Spanish like a Spaniard."

I listened to them
every night

until they broke.

Oh, thank you. I thought you put
this kid in the "no" pile.

I decided to take a closer look
at the images.

See where the mass is thinning
the orbital floor

and extending up
near the skull base?

But that's exactly
what you can't do.

Reconsider?
Weigh issues?

Let emotional
and personal attachment

influence
treatment decisions.

Chicharrones?

There's no beveling
or erosions.

I can stay extracranial

and create a bony plane
to resect the superior tumor.

Did that sound
too emotional?

Even if you stay
out of the brain,

two major arteries are involved.
He could bleed out.

Can I get
one of those, please?

Apply it twice a day,
for 10 days.

Thank you,
Dr. Shaun Murphy.

Thank you.

You're welcome.

My chest hurts,
and so does my arm.

And sometimes,
my hand feels cold,

or it's as if I wasn't able
to feel it at all.

It could be angina
or a blockage,

which requires
bypass surgery.

We should do an EKG before
he goes to the cath lab...

You don't have
a cath lab.

Stretch out your arm,
please.

Turn your head
to the side.

Feel his pulse.

There isn't one.

Turn your head
forward.

His pulse is back.

It's not
a cardiac problem.

He has thoracic
outlet syndrome.

Dr. Saravia has just showed me
that the nerves and arteries

in your neck and chest are being
compressed by your ribs.

It's a very rare condition,

that may cause blood clots
or an embolism...

He doesn't seem happy.

Did I translate wrong?

No.
Your Spanish is perfect.

But you left out
that his problem can be fixed.

It can be remedied.

Oh, okay.

Okay.

I am not good
at communication.

In two languages.

The nurse should
come momentarily.

The translator
should be here soon.

Um...
If you want, I can translate.

Oh, you can speak English?

We lived in the U. S.
For a few years.

Uh, my mother
cleaned houses.

I watched "Grey's Anatomy."

Oh.

Well, being a surgeon
is not much like that.

Ms. Garza, can you show me
where you feel pain?

Show them where
it hurts you, Mom.

Here.

And do you have indigestion
or cramping

or ever feel like
you might throw up?

She wants to know if you have
indigestion or cramping.

Do you feel like you
might throw up?

Sometimes.

"Sometimes."

But she's lying.
It's always.

She has fevers, too,
and throws up.

I need to feel your abdomen.
Can you lie on the bed for me?

She has to feel
your stomach, Mom.

Lie down.

Okay.

Mm.

Ms. Garza, I think
you have gallstones.

We will have to run
some tests,

but it is likely
that you will need surgery.

Mom, the doctor believes
you have gallstones.

They need to do a test
to be sure,

but you need surgery.

No, no.
Not surgery.

I came here for medicine.

You told me they were gonna
give me medicine.

Don't be stubborn.
Do what the doctor says.

If she doesn't want surgery,
why is she here?

I told her you would have pills
that would help her.

I told her I wouldn't eat
until she came.

I have to work.

I need to take care of you.

She says
she can't miss work.

She needs
to take care of me.

I‐I need you to translate
accurately.

My mother was very sick, too.

Her mother
also was very sick.

And she tried
to hide her pain,

but children know
when people are suffering...

especially their mothers.

She tried to hide her pain,

but kids know when people
are suffering.

Especially
when it's their mother.

You can't take care
of your daughter

if you do not
take care of yourself.

You can't take care
of your daughter

if you don't take care
of yourself.

Did you review Bastion's file?

Doing a bifrontal trepanation

and reconstructing
the skull base

could prevent
brain herniation.

What about risk
of CSF leak?

It reduces with
a multilayer duraplasty

using a pericranial flap.

I say five sentences
to a patient.

You say five words.

A nurse wanted me
to give this to you.

Because medical jargon
does nothing

but scare them
and waste our time.

All they care about is,
can we help...

yes or no?

Your son's heart valves
are damaged.

Your son's heart valves
are damaged.

It's probably the result of
his rheumatic fever last year.

Probably as a result

of the rheumatic fever
he had last year.

Because of his heart,

we can't remove
his liver tumor.

I‐It makes the surgery
too risky.

I'm very sorry.

Due to his heart, we can't
remove the tumor in his liver

because it makes the surgery
very risky.

We are very sorry.

Thank you, Doctor.

Uh, no, I'm sorry.

W‐We can't do the operation
on your son.

He... I'm not sure he...

But you tried.

Thank you for trying.

God bless you.

Everything's gonna be okay.

Don't worry.

León Castillo. 22‐year‐old male.

Large, non‐reducible
umbilical hernia.

He's the sole provider
for his siblings...

No personal details.
They're irrelevant.

Two children's survival
depends on his.

Seems relevant to me.

Decisions need to be based
on medical data alone.

This can't turn into a contest
of whose life is more tragic.

There would be
too many winners.

Without surgery,

the hernia's at a very high risk
for strangulation.

It's a fast, simple procedure,

and he will almost certainly
have a full recovery.

From a surgery he could survive
another 15 years without.

Replacing the valve
with a bioprosthetic

means he won't need
to be on blood thinners forever.

But he'll probably need
follow‐up surgeries

to replace the replacement.

Well, this guy's an athlete,
a fútbol star.

Is that relevant?

Yes, because his underlying
cardiac health is excellent.

He should make
a full recovery.

Unfortunately,
his dental health isn't.

He has cavities, which puts him
at high risk for endocarditis,

which would contribute
to valve deterioration.

A total abdominal colectomy

offers her an 80% to 90% chance
at full recovery.

Otherwise healthy,
no complicating factors.

The tumor could be removed
using ultrasound‐guided surgery.

But she has no access
to post‐op chemo and radiation.

The mass is round, localized.

No signs of infiltration
in the adjacent structures.

Minimal chance of recurrence.

If you get all of it.

She just got married
last week...

Dr. Reznick.

...which is medically relevant,
because studies have shown

optimistic people
have better long‐term prognosis.

And she is full of hope.

Uh, there's a boy.

He needs blankets. Uh.

Blankets, please?

There.

Thank you.

The gallstones

are intermittently
blocking the bile duct,

which could lead to ascending
cholangitis, sepsis, and death.

Her condition
might respond to medication.

No, it's extremely unlikely

given how advanced
her symptoms are.

But she has
a non‐surgical option.

Bastion doesn't.

It's a miracle
he made it to 12.

Without surgery,
he will not see 15.

He's unable
to eat solid foods.

He's already showing
signs of malnutrition.

Shaun's surgical plan
is very ambitious.

It runs the risk
of graft failure and necrosis.

You could leave this boy
worse off.

Meanwhile, Edna's surgery
is straightforward,

and she is all
her daughter has in the world.

Who a person is

cannot be completely separated
from their medical care.

And I'm done
pretending it can be.

We've got a mom
who needs a simple procedure

she might live without...

or a son whose only shot at life
is a very complicated surgery

that may not work.

We have to focus
on the miracles.

Let's go eat.

Okay, so,
look at the nail bed.

Karla said if you see
alternating redness

with the pulse, that's a sign
of aortic insufficiency.

So, your heart is fine,
and your cuticles are great.

I get manicures.

Upbeat Spanish music
playing over speakers...

Ah, you like?

It's a national treasure.

No. I just wanted
the experience.

I shouldn't have any more.
First day of surgery tomorrow.

- Oh, no, I'm good.
- Mm.

Ah.

You are terrible
at this!

I am terrible,
but I look fantastic.

Watch this.

I'll get us another round.

Okay.

Tequila, two, please.

Mm.

What's going on
over there?

Uh, I'm getting
my ass kicked in darts.

You're flirting.

Just being nice.

Well, don't be so nice that you
regret it when you get home.

You have nothing
to worry about.

I guarantee it.

Alright, I'm gonna grab a cab
back to the hotel.

Okay.

Up, down, to the center
and to the belly.

Good night, guys.

Uh, Hotel Provincia?

Yeah.

Mind if I tag along?

Big day tomorrow.
Sure.

I saw you break the news
to that boy's dad.

You want
to talk about it?

Morgan.

I just wanted to know
if you're okay.

You don't get
to ask me that anymore.

We're not friends.

You drew a line.

So don't ask me how I am

and then pretend to be
some nice guy who cares,

when you obviously don't.

I‐I just got a text from Karla.
Miguel is crashing.

Shaun and I are gonna head back
to the hospital.

Eight?

I'm only fluent in six.

I didn't set out to learn them.

I just picked them up
as I moved around.

Oh, so you're an accidental
language genius?

So, what are
some of these places,

I mean, that you
moved around to?

Uh, I was born in Mexico.

Went to medical school
in New Haven.

Did my residency
in Chicago.

Stayed a while in Syria,
Haiti, the Congo.

You throw in your stop
at Yale to impress me?

I threw in my stop at the Congo
to impress you.

Hey, this is not the way
to the Provincia Hotel.

Where are you taking us?

We're gonna make a stop.

Do you want money?

I don't need your money.

What's happening?

Don't be too alarmed,
but we're being kidnapped.

Come in, please!
Hurry!

This is my niece.

She's been in labor
for 14 hours.

14 hours like this.

Hello. I'm a doctor.

Uh, can you handle
the additional talking?

We're here to help you
and your baby, okay?

We're going to examine you,
yeah?

It hurts so bad!

Yes, here we go.

Well, the baby's head is down,
so position's not a problem.

I can't hear anything.

The cab driver, he had a‐a‐a cup
of coffee in his cab.

Have him get it.

Um, a cup of coffee
from the taxi...

Go get it quickly!

Please tell her
I have to check her cervix.

The doctor will check
your cervix.

Okay,
yes, that's fine.

She's fully dilated.

Okay, tear out the bottom,
hand it to me.

I can hear a heartbeat.

The baby has decels.

Oh, no, no! Don't push!
Don't push!

He became short of breath
and then lost consciousness.

I believe his
thoracic outlet syndrome

caused a clot in his arm,
which went into his lungs.

That would explain
the drop in blood pressure

and respiratory rate.

But not his elevated
end tidal CO2 level.

That is inconsistent
with a pulmonary embolism.

What is it
consistent with, Shaun?

His brain. A clot
that traveled from his arm

through a hole in his heart
into his aorta

and up to his brain.

His gag reflex is only active
on one side.

I was right. He has a small clot
in the brain stem

near the respiratory center.

Well, we can surgically remove
a clot in his lung,

but in his brain...

We can't do that here.

If we have TPA,
we could break it up.

TPA?
No.

But we have
a snake venom derivative.

I‐It does the same thing,
more or less.

- Any movement at all?
- None.

No cord presentation.

Maybe her pelvis
is too narrow?

The heart rate's
getting slower.

Wait, wait, wait.

I can feel a hand
by the face.

The baby's sucking its thumb.
That's why it's not progressing.

I can do an episiotomy,
try to pull the baby out,

but with the arm where it's at,
I'm probably gonna

break the clavicle and damage
the brachial plexus nerve.

Reach inside...
Yeah.

...find the baby's finger,
and pinch it hard.

It worked.

Okay, dear,
now we are going to push, okay?

Push.
Push.

I'm sorry...

Um...

Do you speak English?

No.
I don't speak English.

My name is Lea...

I'm with the Americans.

Mm.

I'm Sofía.

He is my husband, Oscar.

And she is Isabela.

Isabela.

She is...

perfect.

Um...

I found these
in my suitcase.

My mom got them for...

It gets cold in here.

A gift for Isabela.

Thank you.

Would you like
to hold her?

Uh.

No, thank you.

Uh, I have to go.

Congratulations, Mom.

What a good‐looking boy!

Shaun's keeping an eye
on Miguel.

Yeah.

You know, it's okay
to not be okay.

I j...

Every time I feel like
things are getting better...

it's there again.

Yeah, I know.

Like it comes in waves.

Eventually, it subsides.

It's a process.

It's a terrible process.

And it's one you don't
have to go through alone.

Shaun has no idea,
does he?

No.

He's doing great,
important work.

I don't want
to interfere with that.

And...

he can't fix it.

It's not about fixing it.

It's about the two of you
just being in this together.

He's waking up.

What happened?

You had an embolism,

but we were able
to give you treatment.

Can I still have
the operation tomorrow?

FINNEAS' "What They'll
Say About Us" plays...

No, I'm afraid not.

Tiziana?

Tiziana, wake up.
♪ You're tired now, lie down ♪

Hey, I need you
to tell your mother something.

We're gonna do her surgery.

Mom, Mom, they're going to do
your operation!

♪ It might take patience ♪

♪ And when you wake up ♪

You told me that I could die
without that surgery.

♪ So don't you give up ♪

♪ We've got the time ♪

♪ To take the world ♪

Thank you!

You're welcome.

♪ And make it better
than it ever was ♪

That was...

It was.

Good night, Audrey Lim.

You know...

I'm... not really tired.

Me either.

Tomorrow, I will be removing
an adenocarcinoma

from a young woman's
mediastinum.

That can be
a very dangerous area

because of the vasculature.

It will be
an excellent challenge.

Are you coming to bed?

I would like
to turn off the light.

I don't want
to ruin your trip.

You're having
such a good time.

But...

I'm not.

W‐What's wrong?

Are you sick?

Did you open your mouth
in the shower?

That is very common.

I'm just... sad.

Every time something reminds me
of the baby,

I get even sadder.

I'm glad you're doing
better than I am.

I'm glad you're happy,
but...

sometimes, you being happy
makes me feel worse.

I hate
that I feel that way,

and I didn't even want
to tell you,

but I think
I need to tell you.

I'm sorry.

Do you want me
to not talk about work?

No. I can't
ask you to do that.

Yes, you can.

I want you
to feel better.

It won't help, Shaun.

What will help?

Nothing.

I miss her so much.

I mean, even looking at your
blue eyes breaks my heart,

because I dreamed
she would have them.

My parents
are really worried,

been calling all the time.

They want me to come back
to Hershey for a while.

They think it'll help.

Do you... want to?

I think it would be good for me
to get some time away.

From everything.

I'm sorry you're sad.

Sync corrections by srjanapala