All language subtitles for The.Good.Doctor.S04E19.WEBRip.x264 - 4307s - mm

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.

All right.
Thanks.

All right.

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.

Ten 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 all right?

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.

SAPO SPEAKING SPANISH...
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.

SPEAKING SPANISH...

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!

IN ENGLISH...
It's a fungus.

THEME MUSIC PLAYING...

*THE GOOD DOCTOR*
Season 04 Episode 19

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

SPEAKING SPANISH...

Thank you!

Whew!

Ah.

IN ENGLISH...
Need help with that?

No, that's
a friend thing.

Hola, I'm Dr. Mateo Rendon.

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 ten 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.

Twelve patients,
one alternate.

Everyone else gets
sent home,

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

SPEAKING SPANISH...

Uh, can you please
tell me what this means?

Family...

Your next of kin.

Oh, well, nobody.
Only Ignacio.

Iggy is my only family.

IN ENGLISH...
He says his dog, Iggy.

Ugly dog.

Roberto Kantun Diaz?
SPEAKING SPANISH...

Yes!

Andrea Torres Tzul?

Aime Navarro Gomez?

- Aime Navarro Gomez?
- Here! SPEAKING SPANISH...

Here!

IN ENGLISH... 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. SPEAKING SPANISH...

Lie down and remove
your bandages.

How long
have you had that?

A year... Maybe more.

IN ENGLISH... 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.

IN ENGLISH... 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.

SPEAKING SPANISH...

Aime's condition
is much too advanced.

There's nothing we can do.

I'm sorry.

SPEAKING SPANISH...

I'm sorry.

No.

No.

No, no.

- IN ENGLISH... 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.

Twelve-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.
SPEAKING SPANISH...

Good afternoon, Bastion.
This is Dr. Andrews.

SPEAKING SPANISH...

Hello, Dr. Andrews.

Hola!

What is that?
Let me see.

Oh.

That looks like
Yadi Molina.

IN ENGLISH... 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.

SPEAKING SPANISH...

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.

Cheers!

SPEAKING SPANISH...

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,

IN ENGLISH... "Speak
Spanish like a Spaniard."

SPEAKING SPANISH...

I listened to them every
night until they broke.

IN ENGLISH... 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?

Gracias.

SPEAKING SPANISH...

Apply it twice a day,
for ten days.

Thank you, Dr. Shaun
Murphy. Thank you.

You're welcome.

SPEAKING SPANISH...

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.

IN ENGLISH... 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.

SPEAKING SPANISH...

Stretch out
your arm, please.

Turn your head
to the side.

IN ENGLISH...
Feel his pulse.

Th... There isn't one.

SPEAKING SPANISH...

Turn your head forward.

IN ENGLISH...
His pulse is back.

It's not
a cardiac problem.

He has thoracic outlet syndrome.
SPEAKING SPANISH...

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...

IN ENGLISH...
He doesn't seem happy.

Did I translate wrong?

No. Your Spanish is perfect.

But you left out that
his problem can be fixed.

SPEAKING SPANISH...

It can be remedied.

Oh, okay.

Okay.

I am not good
at communication.

In two languages.

SPEAKING SPANISH...

The nurse should
come momentarily.

IN ENGLISH... 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?

SPEAKING SPANISH...
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.

IN ENGLISH... "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?

SPEAKING SPANISH...

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.

SPEAKING SPANISH...

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?

IN ENGLISH... 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.

SPEAKING SPANISH...
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.

IN ENGLISH...
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.

SPEAKING SPANISH...

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.

IN ENGLISH...
Thank you, Doctor.

Uh, no, I'm sorry.

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

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

SPEAKING SPANISH...

But you tried.

IN ENGLISH...
Thank you for trying.

God bless you.

SPEAKING SPANISH...

Everything's gonna be okay.

Don't worry.

Leon Castillo.

Twenty-two-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 football 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.
SPEAKING SPANISH...

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.

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.
SPEAKING SPANISH...

Tequila, two, please.

Mm.

IN ENGLISH... 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.

All right, 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.

IN ENGLISH...
What's happening?

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

SPEAKING SPANISH...

Come in, please!
Hurry!

This is my niece.

She's been in labor
for 14 hours.

IN ENGLISH...
Fourteen hours like this.

Hello. I'm a doctor.

IN ENGLISH... Uh, can you
handle the additional talking?

SPEAKING SPANISH...

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.

SPEAKING SPANISH...

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!

IN ENGLISH... 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.

IN ENGLISH...
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

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

It worked.

SPEAKING SPANISH...

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

- Push.
- Push.

SPEAKING SPANISH...

I'm sorry...

Um...

IN ENGLISH... Do you
speak English?

SPEAKING SPANISH...

No. I don't speak English.

SPEAKING SPANISH...

My name is Lea...

IN ENGLISH... I'm with
the Americans.

Mm.

I'm Sofia.

He is my husband, Oscar.

And she is Isabela.

- Isabela.
- Hm.

She is perfecta.

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, gracias.

Uh, I have to go.

SPEAKING SPANISH...

Congratulations, Mom.

SPEAKING SPANISH...

What a good-looking boy!

Shaun's keeping
an eye on Miguel.

Okay.

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?

SPEAKING SPANISH...

You had an embolism,

but we were able
to give you treatment.

Can I still have
the operation tomorrow?

No, I'm afraid not.

Tiziana?

IN ENGLISH...
Tiziana, wake up.

Hey, I need you to tell
your mother something.

We're gonna do her surgery.

SPEAKING SPANISH...

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!

SPEAKING SPANISH...

You're welcome.

♪♪ And make it better
than it ever was ♪♪

IN ENGLISH... That was...

It was.

SPEAKING SPANISH...

Good night, Audrey Lim.

You know...

I'm not really tired.

IN ENGLISH... 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.

(CLOSING THEME MUSIC PLAYIN...