All language subtitles for the.good.doctor.s02e05.1080p.web.h264-memento

We should not live together.

That makes no sense.

I rented that apartment,

and neither of us
can afford it on our own.

It has a fireplace.

We shouldn't live together.

It has a fireplace.

Do you ever think about us

being together

as a couple?

Sometimes.

I don't want that.

You don't want us
to be a couple?

Or you don't want me thinking
about us as a couple?

Neither.

If we get an apartment together,

I feel like that's a signal

that you and I might end up
as boyfriend and girlfriend,

and that's not going to happen.

You can't predict the future.

Feelings change.

I used to hate hugs, but now,

sometimes I don't.

But I don't want
my feelings to change.

I like being your friend,

and romantic relationships
are... Are unpredictable.

So much can go wrong,
especially when I am involved.

And if we live together,
it's gonna be awkward.

You're bound to walk in on me
when I'm naked

or hear the weird
sex sounds I make

with some out-of-work drummer

or find me crying
when that drummer dumps me,

even though I was
totally gonna dump him.

I was so unhappy

when we weren't getting along.

You were, too, right?

Yes.

Anything that puts our friendship
at risk isn't worth it to me.

Okay, Shaun?

Yes.

Our gallbladder removal's off.

Patient took an Ambien
last night,

woke up eating a roast chicken.

Let's check the consult list

for something
a little more interesting.

See? Gallbladders are boring.
You're a resident.

You don't get to call
any surgery boring.

See?

This is interesting.

Fizzy urine.

42-year-old female,
syncopal episode

with persistent loss
of consciousness.

On the ride, she went
into PVT, rate of 180.

We shocked her back
to normal sinus rhythm.

I'm starting to feel...

She's going back into PVT.

We need to shock her. Get
her into a bay. No. No.

That was cool, but you may
have just cracked her sternum.

Get her into bay two.
What happened?

You're her husband? Yes.

Your wife is pretty frail.

Any idea what could
have caused that?

She did.

She's anorexic.

I'm Dr. Murphy.
This is Dr. Park.

We're here about your urine.

How long has it been fizzy?

I hadn't even noticed.
Is that a problem?

It can be a symptom of several
conditions, many of them minor.

You're here for ortho...
A scope on your right knee?

It's been sore.
I've been training for a race.

Joint pain plus fizzy urine.

You could have
emphysematous cystitis,

bladder cancer,
kidney problems...

Those sound serious.
Should I call my husband?

Emphysematous cystitis is
a treatable bladder infection.

Your symptoms could also be from
a kidney stone or dehydration.

Could my issues be caused
by gastric bypass surgery?

It depends. When was it?

Fifteen years ago.

I used to be 377 pounds.

That's a lot.

Your surgery wouldn't cause
those symptoms,

but we need to do a cystoscopy
to find out what did.

I'll cancel the ortho
and get Lim to sign off.

Hey, wait. What...

So, what is a cystoscopy?

It's like a knee scope,

except the camera
goes up your penis.

You administered amiodarone?

Rhythm's normal.

That's good, right?

It's better than
when you came in.

Your heart is failing

as a result of a condition
called mitral regurgitation.

One of your valves
isn't closing all the way.

Blood keeps leaking back
into your atrium.

That's why you fainted and why we
need to repair that valve ASAP.

How long have you been anorexic?

I've had issues with food

on and off since I was 14.

Mitral valve issues
are a frequent complication

of long-term malnutrition.

This bout started
about a year ago.

Skipping meals,
lying about eating,

exercising excessively.

I don't know what else I can do.

I... I can't monitor her
24 hours a day.

I'm not asking you to.

No, but you are
starving yourself.

Mom.

Graham-y, come here.

What's he doing here?

When I got home,
I heard about the ambulance.

I made Cindy bring me here.

What's wrong with my mom?

She needs a surgery to repair
a valve in her heart.

This heart thing, is...
Is that why she's so skinny?

Look, what matters, Graham,

is that these doctors
are gonna help your mom.

Okay?

You haven't moved your bowels.

Well, thank you, Shaun,
for that announcement.

Saves me the trouble
of tweeting.

The nurses already knew.
They told me.

They also said you're no longer
talking to your dead daughter.

Constipated, but no longer
psychotic. A narrow win.

Your first defecation event

is a vital part
of the discharge criteria.

Event? What is this,
the post-op decathlon.?

Pooping, peeing, walking, talking?
Yes.

You have to walk
a full lap of the floor.

But you canceled physical
therapy this morning.

Those nurses have big mouths.

I canceled because
my leg is a little sore.

That could be phlebitis

or a DVT or a...

Could also be
an unsurprising complication

from a surgeon
poking around in my pons.

Every day in the hospital

increases your risk
of infection by 1.37%.

You need to move your bowels,
and we should walk right now.

I'll go very slow.

Shaun, is there any chance

that you are needed
elsewhere right now?

I... I have eight minutes

until my patient's cystoscopy.

Good. Be early.

Urethra looks clean.

No lesions, no stones so far.

How do we check for obstructions
or stones further up?

Contrast cystogram.

Since you found this patient,

how about you do the honors?

You know this guy
used to weigh 370 pounds?

Thread the catheter
further into the bladder.

That's a big drop. Good for him.

He did have gastric bypass.

That makes it less impressive?

Now infuse the contrast.
Well, yeah,

it is the easy way, compared
to just diet and exercise.

The contrast dye is dissipating.

It's supposed to.

You said he's training
for a race.

Obviously,
he turned his life around.

Still dissipating.

Bypass made it
physically impossible

for him to eat
as much as he wanted.

It's gone. The contrast is gone.

- That makes no sense.
- Where did it go?

He probably has a fistula,

a tunnel connecting
his bladder to his intestine.

Air and bacteria moving
the other direction

caused bubbles in his urine.

Her liver and thyroid
are normal,

but her electrolytes are off.

Her albumin is at 2.1.

She's severely malnourished.

She'll be totally vulnerable
to post-op infections.

She needs this surgery
to survive,

but she may be too sick
to survive the surgery.

In order to operate safely,

we need to boost your caloric
intake, optimize protein.

Can't you do that through my IV?

It's more efficient to pump a nutritional
supplement directly into your stomach.

We use a tube
running down from your nose.

I had an NG tube once.

It didn't work.

She couldn't tolerate it.

Because it's not
really about food.

It's about control.

You've lived for decades

with a condition
that has killed more people

than any other
psychiatric illness.

You didn't just survive.
You had a child.

Can you tell us how?

When I got pregnant, it was
like this terrifying miracle.

And the thought of gaining
all that weight, but...

I wanted him so much.

We both did.

Every meal, I would sit with
pictures of his ultrasound,

I... Imagining the food
going directly to him.

Can you do that again?

Eat for Graham?

We've determined the fistula

between your bladder
and intestine

was caused by Crohn's disease,

an inflammatory
intestinal condition.

Once we reverse your gastric
bypass, you'll need...

Wait. Rev... Reverse my bypass?
Are you sure?

Bypass surgery shortens
the digestive tract.

People with Crohn's disease need

every inch of intestine they
have, or they risk critical,

even fatal malnutrition.

Okay, but I don't want
my husband to know,

and he'll be here soon.

Well, we would never reveal
anything without your permission,

but Crohn's disease
is going to require

some major adjustments.

Well, I'll tell Spence
about the Crohn's,

and I'll tell him
I'm having surgery...

On my bladder.

Your husband doesn't know
you had gastric bypass?

That would require him knowing
I was obese to begin with.

That's not gonna happen.

Your husband
must be very shallow.

Even if I don't disclose that I
reversed your bypass, your scars might.

It requires a separate incision.

Well, tell him
there was a complication.

Our obligation to protect your
privacy doesn't include lying.

And you shouldn't have to go
through this without him.

The single abdominal
umbilical port.

We can repair Wade's fistula

and reverse his bypass

all through a single incision.

We can help
deceive your husband.

Honey, I'm so sorry.
That's okay, Spence.

Got here as soon as I could.
It's all right.

And since my husband is
surrounded by surgeons,

what's the issue, what are
you gonna do about it,

and how often have you
done it successfully?

How are you doing?

I'm fine.

Graham, would you mind
filling this?

You've had one spoonful of tuna,

two ounces of apple sauce.

That's it?

Mom, if that's all I had, you'd
never let me up from the table.

This is different.

I can't eat too quickly.
I don't believe you.

It's true.

Your mother is suffering
from severe malnutrition,

and she's trying her best...
I knew it.

You're too skinny.
That's why you're here.

That's probably why
your heart's messed up,

and you still won't eat.
Graham, I am trying.

How hard can it be to eat?
I'm not feeling well.

Me and Dad
are really worried about you.

Don't you care?
Of course I do, Graham.

So much.

Then do something.

Prove it.

You provoked that argument?

Yep, and I may have just
saved our patient.

She requested an NG tube.

Understanding is nice.
Calories are better.

He's screwing this up.
His husband's scared,

and he just wants to know
what's going on.

Nothing like marital advice
from the divorced.

You're divorced, too.
And I'm not advising.

I'm not judging
the health of a marriage

based on a single secret,
which is neither shocking

nor a sign
of its imminent demise.

What, truth in a marriage
is overrated?

Well, it was in mine.

Not every single insight, opinion,
or impulse needs to be shared.

Marriage sounds confusing.

No wonder you both failed at it.

How's it going in here?

Not as bad as I remember.

Does it hurt, Mom?

No, just a little awkward.

Makes it hard to talk.

But I'm okay.

I am so proud of you.

Dr. Glassman hasn't defecated

or done his physical therapy.

I am aware and yet unalarmed.

Who are you?
I'm Dr. Shaun Murphy.

Right!

Your Dr. Glassman's... Friend.

Please order him to do
physical therapy

and give him 15 milligrams
of ex-lax.

The ex-lax is a decent idea.

As for the physical therapy,
of course, he's stalling.

Glassman's a proud man.
He ran this hospital.

He's reluctant to feel
weak and vulnerable

in front of people
who used to work for him.

That doesn't make sense.

He is weak.
He just had brain surgery.

Well, sensical or not,
that's my take.

He'll walk eventually.

Every day in the hospital

increases his risk
of infection by 1.37...

Well, you tell him that, and maybe
he'll hop right out of bed.

I did. It didn't work.

He didn't respond to the stick.

Try the carrot. Although,
really, I would just advise...

Dr. Glassman
doesn't like carrots.

What should I do with the stick?

It's a metaphor.

Glassman, appropriately,
is the donkey.

The stick signifies punishment.

The carrot signifies...

Reward, but he is...
He's recovering nicely,

and your best bet is
to just be patient with him.

So, I should use a reward

to motivate Dr. Glassman
to do physical therapy.

Actually, what I'm saying

is that you should be
patient and supportive...

and please, please answer that.

Close the door.

We were headed to pre-op when
he started projectile vomiting.

It's... green.

That could mean bile and
a partial bowel obstruction.

We need an NG tube.
An obstruction?

Did the Crohn's cause that?

It's hard to know for sure.
NG tube stat.

You're doing great.

You should try
and get some sleep.

I can't.

There's this voice in my
head, and it won't be quiet.

It keeps telling me that

this bag has
60 grams of protein,

40 grams of fat,

1,200 calories in total.

It just won't stop.

Try to think of Graham and Sam.

I'm trying.

I'll get something
to put over that.

Louisa, no!

No!

No!

I'm sorry.

I... I just...

I can't stand it.

I got your deposit back.

Why?

Shaun, I told you that you
and I can't live together.

No.

You told me we can't be
boyfriend and girlfriend.

We can still be
friends with benefits.

The benefit is...

We would be living together.

I was clear.

It's too complicated...
You were.

We can't date or kiss
or have sex.

But I thought you wanted
to be friends.

Yes. Of course.

And spend time together. Right.

Then it's simple.

She begged us
to reinsert the NG tube,

then pulled it out again
an hour later.

Do we try again
with the tube and restraints?

We'd just be raising her risk of
self-injury, pneumonia, a blood clot.

What about going back
to solid food?

Anything less than
1,200 calories a day,

and her malnutrition
wouldn't be improving.

In fact,
she'll keep losing weight.

We should go ahead with
that valve repair now.

I think we can
improve her nutrition

without force-feeding or IVs.

I found a small study
where deep brain stimulation

was used to treat anorexia.

You want to use brain surgery
for a psychiatric disorder?

Surgical procedures
have been effective

for, depression, OCD, addiction.

This surgery could reduce
her anxiety around eating.

Once she's eating, her
malnutrition will improve

and reduce the risk
of the valve repair.

It could also
cause personality changes.

And this study
covers six subjects

with only 50% success.

Well, this could be
Louisa's only shot

at getting free of this illness.

And it was done in the UK.

DBS isn't FDA-approved
for anorexia treatment here.

So, we call
an IRB ethics hearing

and argue emergent-use approval.

Which we shouldn't get
off such little data.

Nice work digging this up,

but it's not a real option.

Let's go talk to her
about the valve surgery.

Can I help you?

I'm looking for a carrot.

17, 18, 19...

No, sorry, we don't
have any carrot muffins.

How about a lemon-poppy, Shaun?

Hello, Debbie Wexler.

It's a metaphor
for moving a donkey.

I need a carrot
because I don't want

to beat Dr. Glassman
with a stick.

He likes blueberry muffins.

How's Aaron...

Dr. Glassman recovering?

He moved his bowels
this morning.

But he doesn't
want to appear weak,

so he hasn't
done physical therapy.

I want that
blueberry muffin, please.

It has 23 visible blueberries.

You know, Aaron once told me

that his absolute favorites
were the chocolate chip ones.

Do you want
one of those instead?

Yes, I want
one of those instead.

Hi, Dr. Park.

Um, I have a few questions
about Wade's surgery.

Sorry, I'm pretty busy.

Actually, I need to get going.

I'll walk with you.

I know Wade's surgery
is this afternoon,

but I've been researching
treatments for Crohn's lesions.

What'd we do
before the Internet?

I talked to two experts who
felt that Wade should be put

on REMICADE or Azathioprine

before any surgical
interventions.

Interesting recommendations,

but considering they haven't
seen your husband's chart...

Well, this doctor felt
strongly that you should see

how he responds
to medication before...

Wade's care is completely
appropriate for his condition.

But if his Crohn's lesions could be
treated without cutting him open...

That's not what we're treating.

Excuse me?

Go talk to your husband.

I brought you
a chocolate chip muffin.

I love chocolate chip.

Thank you.

Where is it?

At the nurse's station.

You can walk out to get it.

Shaun, you see, here I thought you
were doing something nice for me.

I am. No, you're not.

You're manipulating.

My leg hurts, and I...
I have a sore throat,

and I don't feel like walking.

Dr. Blaize says you
don't want to seem weak

in front of people
who used to work for you.

Dr. Blaize is wrong.

I don't want to walk
because I don't want to walk.

And this is condescending,

and it's insulting,
and it's annoying.

Should I get you your muffin?

Well, that would be nice.

An orderly is eating it.

Mr. DeLeon, can I help you?

My wife's decided against
the valve-repair surgery,

at least until she's tried the deep
brain stimulation for her anorexia.

Did Dr. Browne tell you that it's
an experimental brain surgery,

which could alter your wife's
personality forever?

That's if we get
the special approval required.

She's explained all the issues.

I got our apartment back.

I had to pay $300 more
as a deposit

because someone else
wanted it, but that's okay.

No, Shaun!

It has a fireplace.

Why aren't you listening to me?

You're not listening to me!

I'll be okay
running into you naked,

or hearing sex noises

or seeing you cry
over breakups with drummers.

I know that you think you can,
but how can you be sure?

Because living with you
will be good for me.

It makes me happy.

You remember
what you said, Shaun,

that no one can
predict the future

and feelings can change?

What if I end up
hurting you again?

I don't want to risk
our friendship

over an apartment.

Do you?

If we don't live together,

you will have to buy
your own batteries.

We'll still see each other.
That will be hard.

I work a lot. We'll find a way.
I know we will.

I need to go to work.

I'll stop on the way home
and tell the manager

we don't want the apartment.

No, I'll do it.

The subjects
who responded in this study

are all long-term sufferers
with a target BMI of 13-16,

who actively pursued
this treatment,

much like our patient.

Additionally, DBS surgery
requires lighter sedation

and places less strain
on her system

than an open-chest procedure.

You're referring
to the valve repair

recommended by Dr. Melendez?

Yes.

I propose delaying that
surgery by a couple weeks,

which would be well worth it

in terms of reduction of risk

if the DBS is successful.

Excellent presentation,
Dr. Browne.

Very thorough.

Agreed, though I do
have concerns

about approving this procedure

based on the small subject pool.

But I'll confer with...

There is, one more person

I want you to hear from...
The patient.

This is an IRB,
not a therapy session.

Actually, patients
who had the opportunity

to air their concerns are eight times
less likely to sue their hospital.

You paged me?

You can step out.
Dr. Park's got this.

Grab the sheet.

You talked to Wade's husband.

Maybe we should
discuss this later.

I can patch him up
while tearing you down.

You violated
our patient's confidentiality.

I told him what we weren't treating.
That's not a violation.

And their marriage is better off

for having his secrets
out in the open.

That'd be meaningful if you
were a marriage counselor

instead of a surgical resident.

Whatever lie blew up
your marriage

won't be undone
if Wade tells the truth.

I was just trying
to help our patient.

Our former patient.

Wade's demanding a transfer
to another hospital.

I have tried cognitive
behavioral therapy,

food psychodynamic therapy,

family therapy,

in-patient treatment,
out-patient treatment,

anti-depressants, NG tubes,

And yet, here I am, dying.

Killing myself.

And I can't stop on my own.

Please...

Help me... to stop.

Are you aware DBS has been known
to cause personality changes?

In your case, the electrode

would be at
the nucleus accumbens...

Dr. Browne explained
all of the risks.

It's important
we know that you understand.

The nucleus accumbens plays
a role in maternal attachment,

delivering dopamine when moms
interact with their children.

Now, what if in trying to
overcome your eating disorder,

you lose the ability
to feel love for your son?

My son is everything to me.

For that past year, he has been
watching me starve myself to death.

I'll risk anything

to keep him
from seeing me succeed.

Thank you, Ms. DeLeon.

We'll need
a few minutes to talk.

You kept it a secret because
you think I'm shallow.

I said the same thing.

I kept it a secret because
of "friendly fatties."

Any news on my transfer?

San Francisco General
should have a bed tomorrow.

Come on. It's a joke.

A joke? I'm here to clamp
your nasogastric tube.

About a couple
we've known for years?

We were at their wedding,

and yet you treat them like a punch line.
This used to be green.

Now it's brown. You're
the one who lied.

If I'd known
you were offended...

The point is, is that's why
I didn't tell you.

Red and green makes brown.

Your bowel is bleeding.

You need surgery now!
Page Dr. Park and Dr. Lim!

He has a strangulated bowel.

Spence. It's gonna be okay.

We need to open up an OR now!

By a margin of 2-to-1,

this Internal Review Board
has decided

in favor of allowing
this procedure.

- Nicely done.
- Thank you.

Hope the surgery goes well.

Use the 45 gold stapler.

The truth coming out
didn't help Wade's marriage.

Hopefully, with some time.

Secrets are corrosive.

Wade should've been honest
from the start.

Maybe Wade thought
Spencer would feel

the same way you did
about his bypass,

that he lost weight
the easy way.

Okay.

It's time.

Graham-y.

You are...

The highlight of my life.

You know that, right?

Yeah. I love you, too.

I love you more than
any person on the planet

ever loved any other person
on the planet.

I... I know.

Mom, you're gonna
be okay, right?

Of course, baby.

Of course.

We'll see you guys
in a few hours.

I love you.

The chocolate chip muffin
didn't work.

The donkey won't walk.

I told you that Glassman's
probably embarrassed.

No. He's not.

I asked him,

and he said you were wrong.

Doesn't mean I'm actually wrong.

He needs help recovering.

I'm trying to help,

but it's not working.

He got angry at me.

Dr. Glassman is your patient.

You need to fix
his lack of mobility.

This is your problem.

I don't know what to do.

I don't know how to help him.

Being sick is hard.

Being around sick people
is hard.

We want to help.

We all struggle with what to do.

Your obsession... Okay.

More than a muffin
or a bowel movement

or a walk around the ward,

what Glassman needs is
someone to be there for him.

A patient, supportive friend.

I know the perfect person.

Hey, there.

How are you feeling?

I'm okay.

I feel like...

I want something to eat.

I'm hungry.

All right, buddy.

Let's get you home.

Get you a decent night's sleep.

See you in the morning.

I'll get you some food.

Are you sure you're all right?

Yeah.

I just...

I wonder if that hug
felt different for him.

Did it for you?

Your husband's surgery
went well.

He's in recovery now.

I think he's awake.

Thank you.

Wade told me
where to find these.

This is him before bypass?

He said that seeing these would help
me understand why he never told me.

Which...

I said was ridiculous.

Is he gonna end up
like this again?

It's possible.

I wish I didn't know that.

Yeah?

Debbie, hi.

Um...

Shaun thought
you could use a visit.

And...

And another muffin.

Thank you. I wish
I'd known you were coming.

I would've slipped into something
a little less comfortable.

You look... good.

Yeah, well...

Unlikely, but thank you.

I am

sorry that I've been

out of touch.

Well, I had a brain tumor.

Understandable.
We both dropped the ball.

Okay.

Here we go. What's happening?

We're taking a walk. No, no, thank you.
No, my leg hurts...

Yes, we are. Yeah.

Which is exactly
why you need to take a walk.

Wow. You're really good at this.

You sure you haven't
done this before?

Well...

I spent a little time
as a nurse.

I always liked the night shift.

Everything gets really quiet.

It's almost...
It's almost peaceful.

Just came from Louisa's room.

She's eating.

That's great news.

Yeah.

Hopefully we'll be able to do the
valve repair in a couple weeks.

I hope you're right.

But you won't be
a part of the surgery.

Or any of my surgeries.

You went around me,
directly to the patient.

I had a good idea that you
didn't take seriously.

I considered it,

and then I decided against
taking it to the patient.

And yet, I managed to get Aoki and
Andrews to sign off at the IRB.

You didn't get Andrews.

You voted for me?

You made a strong case.

But you're...

You're booting me
off your service?

Disagree with me all you want.

I expect my residents to.

I expect them to argue
passionately for their position.

And I expect them
to then accept my decision.

Even when you're wrong?

I can't run my team
any other way.

You know what was insane,
was the 1928 Torpedo Roadster.

With the Purpleheart trim?

And that lizard-skin interior.

My neighbor in Wyoming
had a Silver Arrow.

I'd love to drive one just once.

Good job. You got him walking.

Debbie Wexler did it.

She's a better carrot than I am.

She's a better friend.

Hey, it's me.

Yeah, just making sure
the check got there okay.

Great, great.

Hey, I have a question...

About Phil.

I know, I know. He's long gone.

I was actually wondering...

What do you think
would've happened

if I hadn't seen
you two together?

I found my next apartment.

Okay.

It's has a fireplace,

and natural lighting...

No. N... No.

And a really great
roommate who's also a friend.

He works a lot, so might be
hard to see him otherwise.

I'm talking about you, Shaun.

I don't want to risk anything
hurting our friendship.

If you say you can handle
living together,

I trust you.

We... We're going
to be roommates?

I... It has a fireplace.

Yes, it does.

We're going to be roommates!

We're gonna be roommates!

Okay! Yes.

Okay! Yes!

We're gonna be roommates!

Y...

Yes!