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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:16,682 --> 00:00:17,951 Shaun... 2 00:00:18,018 --> 00:00:20,321 You need to give me your driver's license. 3 00:00:21,021 --> 00:00:22,556 No, I don't. 4 00:00:22,621 --> 00:00:26,393 - Do you remember the memory test I gave you? - Vividly. 5 00:00:26,460 --> 00:00:29,697 Yes. It demonstrated you have a deficit. 6 00:00:29,763 --> 00:00:32,899 A deficit. You shouldn't be driving. Dr. Blaize agreed. 7 00:00:32,966 --> 00:00:36,235 Shaun, that test was supposed to be between us, 8 00:00:36,302 --> 00:00:38,439 that's why I didn't want to do it at the hospital. 9 00:00:38,506 --> 00:00:41,642 Yes, your doctor needs to be informed 10 00:00:41,707 --> 00:00:43,911 of the results of all your medical tests. 11 00:00:43,978 --> 00:00:45,945 Even tests that are done at home. 12 00:00:46,012 --> 00:00:49,082 Shaun, I've been driving for like half a century. 13 00:00:49,149 --> 00:00:50,750 I'm an excellent driver, okay? 14 00:00:50,817 --> 00:00:53,019 I don't need to give you my driver's license. 15 00:00:53,085 --> 00:00:55,856 Okay. Then I'll have to notify the DMV. 16 00:00:56,789 --> 00:00:58,091 Dr. Glassman? 17 00:01:00,259 --> 00:01:02,262 You're not gonna notify the DMV, Shaun. 18 00:01:02,329 --> 00:01:05,932 Yes, I will notify the DMV. 19 00:01:05,998 --> 00:01:07,999 Shaun, you will not notify the DMV. 20 00:01:08,067 --> 00:01:09,469 Dr. Glassman, 21 00:01:09,537 --> 00:01:12,606 if you don't give me your driver's license, 22 00:01:12,671 --> 00:01:14,808 I will notify the DMV. 23 00:01:15,709 --> 00:01:17,578 NURSE: Dr. Glassman? 24 00:01:42,168 --> 00:01:43,469 George Reynolds, 28, 25 00:01:43,537 --> 00:01:45,139 sudden onset of arm and leg weakness, 26 00:01:45,206 --> 00:01:47,106 right facial droop, and trouble speaking. 27 00:01:47,173 --> 00:01:49,709 CT confirmed a middle cerebral artery embolism. 28 00:01:49,775 --> 00:01:51,811 I booked us into interventional radiology. 29 00:01:51,879 --> 00:01:53,713 When did you first notice your symptoms, George? 30 00:01:53,781 --> 00:01:56,683 About, uh, four and a half hours ago. 31 00:01:56,750 --> 00:01:58,018 Wait, what's wrong with me? 32 00:01:58,084 --> 00:01:59,085 You may be having a stroke. 33 00:02:00,653 --> 00:02:02,322 You're on monthly injections of Lupron? 34 00:02:02,388 --> 00:02:03,789 For three months. 35 00:02:03,856 --> 00:02:04,858 That may have caused this. 36 00:02:04,924 --> 00:02:06,393 Do you have prostate cancer? 37 00:02:06,459 --> 00:02:10,830 No. I... I was diagnosed with atypical hyperplasia. 38 00:02:10,897 --> 00:02:12,698 That shouldn't have any effect on what we're gonna do now. 39 00:02:12,765 --> 00:02:14,334 We're gonna take care of you, George. Don't worry. 40 00:02:14,401 --> 00:02:17,604 ♪♪ 41 00:02:17,670 --> 00:02:20,807 SHAUN: This is local anesthetic, you'll feel a pinch. 42 00:02:23,742 --> 00:02:25,378 Are you a real doctor? 43 00:02:25,445 --> 00:02:28,080 I'm Dr. Shaun Murphy. 44 00:02:28,147 --> 00:02:29,515 People ever call you Murph? 45 00:02:29,582 --> 00:02:30,584 No. 46 00:02:30,651 --> 00:02:33,020 I'm going to make a small incision 47 00:02:33,086 --> 00:02:35,923 so we can insert the tube and re-inflate your lung. 48 00:02:37,456 --> 00:02:38,724 What do they call you, Billy? 49 00:02:38,792 --> 00:02:39,860 (SCOFFS) 50 00:02:39,926 --> 00:02:44,063 CraterHead, Volcano, ThreeEyes, 51 00:02:44,131 --> 00:02:45,633 those are just the creative ones. 52 00:02:46,500 --> 00:02:47,700 Hold tight. 53 00:02:47,766 --> 00:02:48,902 Here comes the tube... 54 00:02:52,372 --> 00:02:54,975 (BREATHES DEEPLY) 55 00:02:58,711 --> 00:03:00,479 You guys really know what you're doing. 56 00:03:00,546 --> 00:03:02,248 Yes, we do. 57 00:03:03,316 --> 00:03:05,652 We'll order an MRI for your lungs. 58 00:03:05,718 --> 00:03:08,787 Then we will fix your fractured eye orbit, 59 00:03:08,854 --> 00:03:10,456 that will require surgery. 60 00:03:11,991 --> 00:03:14,326 What do you say we fix your forehead, too? 61 00:03:14,394 --> 00:03:15,496 You could do that? 62 00:03:15,562 --> 00:03:18,231 - I think so... - I don't think so. 63 00:03:18,298 --> 00:03:22,868 It's a pre-existing condition, and it's not medically necessary. 64 00:03:22,936 --> 00:03:25,070 It shouldn't be approved. 65 00:03:25,138 --> 00:03:27,307 ♪♪ 66 00:03:29,542 --> 00:03:31,545 (THEME MUSIC PLAYING) 67 00:03:34,560 --> 00:03:39,560 Subtitles by explosiveskull 68 00:03:41,388 --> 00:03:44,790 The MCA clot is obstructing all distal flow. 69 00:03:44,858 --> 00:03:48,295 CLAIRE: Anti-androgens aren't indicated for hyperplasia... 70 00:03:48,361 --> 00:03:49,763 He said atypical. 71 00:03:49,830 --> 00:03:51,131 You think he's lying? 72 00:03:52,765 --> 00:03:55,635 Maybe he's gender transitioning. 73 00:03:55,701 --> 00:03:59,306 Aside from cancer, there aren't many other indications. 74 00:03:59,372 --> 00:04:01,641 Let's focus on what we do know. 75 00:04:01,707 --> 00:04:03,643 Feeding the catheter. 76 00:04:03,710 --> 00:04:05,246 Suctioning the thrombus, 77 00:04:06,847 --> 00:04:09,049 and he's recanalizing. Slowly retract. 78 00:04:11,350 --> 00:04:13,620 Whatever his reasons are for taking anti-androgens, 79 00:04:13,687 --> 00:04:15,088 hopefully there are options. 80 00:04:15,154 --> 00:04:17,456 He either drops them or he's gonna keep having strokes. 81 00:04:17,524 --> 00:04:19,625 ♪♪ 82 00:04:19,692 --> 00:04:23,797 The forehead repair would be expensive and cosmetic... 83 00:04:23,862 --> 00:04:25,197 It's not about prettying him up, 84 00:04:25,264 --> 00:04:27,466 it could give him a new life, friends, 85 00:04:27,533 --> 00:04:28,869 maybe a few less beatings. 86 00:04:28,935 --> 00:04:31,404 Stopping the beatings is the guards' job. 87 00:04:32,706 --> 00:04:35,141 You really don't have any empathy for Billy? 88 00:04:35,208 --> 00:04:38,912 Empathy is a bad reason to fight for someone. 89 00:04:38,978 --> 00:04:41,482 If empathy makes me only want to help patients 90 00:04:41,548 --> 00:04:44,016 who are from Wyoming or have ASD, 91 00:04:44,084 --> 00:04:45,651 then that's very unfair 92 00:04:45,718 --> 00:04:47,920 to all my neuro-typical patients from Idaho. 93 00:04:55,394 --> 00:04:56,930 I need to take those drugs. 94 00:04:56,997 --> 00:04:58,564 They caused your stroke. 95 00:05:01,901 --> 00:05:04,204 We don't think you have hyperplasia. 96 00:05:04,271 --> 00:05:05,405 If you tell us the real reason, 97 00:05:05,471 --> 00:05:07,173 I'm sure there are other safer treatments... 98 00:05:07,240 --> 00:05:08,442 No, there aren't! 99 00:05:10,276 --> 00:05:13,579 If you're transitioning, there are alternatives... 100 00:05:13,646 --> 00:05:15,481 I told you why I was taking the meds. 101 00:05:15,548 --> 00:05:18,484 George, we are your doctors, 102 00:05:18,552 --> 00:05:20,487 we need to know the truth. 103 00:05:20,553 --> 00:05:22,021 We're not gonna tell anyone. 104 00:05:25,625 --> 00:05:26,793 (EXHALES SHARPLY) 105 00:05:30,997 --> 00:05:32,633 I'm not transitioning. 106 00:05:34,834 --> 00:05:38,271 And I don't have hyperplasia. 107 00:05:40,507 --> 00:05:42,108 I have problems... 108 00:05:42,175 --> 00:05:44,877 With my sex drive. 109 00:05:47,247 --> 00:05:51,018 I know it sounds stupid, like why can't I just control myself, but... 110 00:05:53,586 --> 00:05:54,887 It's all I think about. 111 00:05:55,956 --> 00:05:57,358 It's all I can think about. 112 00:06:00,026 --> 00:06:02,295 I can't work, 113 00:06:02,362 --> 00:06:04,364 I can't socialize, 114 00:06:04,430 --> 00:06:06,532 I can't have a life. 115 00:06:08,634 --> 00:06:11,637 And those meds are the only thing 116 00:06:11,704 --> 00:06:14,074 that makes it even remotely tolerable. 117 00:06:15,141 --> 00:06:16,610 They'll kill you. 118 00:06:19,045 --> 00:06:20,347 (SCOFFS) 119 00:06:25,519 --> 00:06:27,321 AOKI: The residents have a betting pool 120 00:06:27,387 --> 00:06:29,122 on who you're going to appoint 121 00:06:29,189 --> 00:06:31,691 as your replacement as Chief of Surgery. 122 00:06:31,757 --> 00:06:34,593 The decision needs to be made with decorum and expediency. 123 00:06:34,661 --> 00:06:36,329 I haven't quite gotten around to analyzing... 124 00:06:36,396 --> 00:06:37,997 You've had little face time with your attendings 125 00:06:38,064 --> 00:06:39,598 since you became president. 126 00:06:39,665 --> 00:06:40,901 You need to correct that. 127 00:06:42,901 --> 00:06:44,471 I've scheduled your announcement. 128 00:06:45,404 --> 00:06:46,539 You've got two days. 129 00:06:57,716 --> 00:06:59,618 ♪♪ 130 00:06:59,685 --> 00:07:02,322 - Where is he? - He's gone, signed out AMA. 131 00:07:02,389 --> 00:07:04,223 - I tried... - How long ago? 132 00:07:04,290 --> 00:07:06,026 Five minutes... 133 00:07:11,064 --> 00:07:12,165 Why are we in a hurry? 134 00:07:12,232 --> 00:07:13,900 I was researching alternative meds for him. 135 00:07:13,966 --> 00:07:15,701 Realized Lupron didn't make any sense. 136 00:07:15,769 --> 00:07:18,170 Prescribing anti-androgens for sexual urges 137 00:07:18,237 --> 00:07:19,605 is like hitting a mosquito with a mallet. 138 00:07:19,673 --> 00:07:21,841 Unless they're deviant urges. 139 00:07:21,908 --> 00:07:23,976 We might've just released a child molester. 140 00:07:24,043 --> 00:07:26,379 ♪♪ 141 00:07:29,983 --> 00:07:31,684 (AIR BRAKES HISS) 142 00:07:31,750 --> 00:07:33,686 ♪♪ 143 00:07:33,752 --> 00:07:35,188 DR. REZNICK: Should we call the police? 144 00:07:35,254 --> 00:07:36,557 We can't. 145 00:07:36,622 --> 00:07:38,158 We have no evidence of a crime. 146 00:07:43,430 --> 00:07:46,400 DR. PARK: Lim's at 3 to 2, Melendez is just behind at 2 to 1, 147 00:07:46,466 --> 00:07:49,769 Cooperberg's 7 to 1, and if Dartling, or anybody else comes in, 148 00:07:49,836 --> 00:07:50,904 you can retire. 149 00:07:50,971 --> 00:07:52,540 Andrews might bail on Melendez 150 00:07:52,606 --> 00:07:54,841 when he finds out our patient bolted. 151 00:07:54,909 --> 00:07:58,278 Which is why Melendez is now 4 to 1. 152 00:07:58,344 --> 00:08:01,147 Pari-mutuel betting is very exciting. 153 00:08:01,214 --> 00:08:03,450 Do you need empathy to be a good doctor? 154 00:08:05,853 --> 00:08:08,454 No. I think it can interfere 155 00:08:08,522 --> 00:08:10,257 with effective decision-making. 156 00:08:10,324 --> 00:08:12,960 She's just saying that to avoid hurting your feelings, 157 00:08:13,026 --> 00:08:15,163 thus making her fake point for real. 158 00:08:15,228 --> 00:08:17,598 Her empathy made her lie to you. 159 00:08:17,664 --> 00:08:19,065 I think you just agreed with me 160 00:08:19,132 --> 00:08:20,433 and insulted me at the same time. 161 00:08:20,500 --> 00:08:22,303 I think empathy's very important... 162 00:08:22,370 --> 00:08:24,504 Telling the cold hard truth even when it hurts, 163 00:08:24,570 --> 00:08:26,806 sometimes is the most empathetic thing we can do. 164 00:08:26,873 --> 00:08:28,808 Which is what I'm doing for Shaun right now. 165 00:08:28,875 --> 00:08:30,178 You're welcome. 166 00:08:31,677 --> 00:08:33,413 I have autism 167 00:08:33,479 --> 00:08:35,916 which means I have a deficiency of mirror neurons, 168 00:08:35,983 --> 00:08:38,919 which inhibits me from emotionally trading places with people, 169 00:08:38,985 --> 00:08:41,121 which makes empathy very difficult. 170 00:08:45,258 --> 00:08:47,594 Does that mean I can't be a good doctor? 171 00:08:49,397 --> 00:08:51,165 No, it doesn't. 172 00:08:51,230 --> 00:08:53,532 We all have our strengths and weaknesses, Shaun. 173 00:08:53,599 --> 00:08:56,603 One of Claire's is making sure everyone feels validated. 174 00:09:00,040 --> 00:09:01,442 (CELL PHONE BUZZING) 175 00:09:03,544 --> 00:09:05,312 The creep is back. 176 00:09:05,378 --> 00:09:08,449 ♪♪ 177 00:09:08,516 --> 00:09:10,349 Is George having another stroke? 178 00:09:10,416 --> 00:09:11,819 No. 179 00:09:11,886 --> 00:09:13,987 Severe lacerations to the scrotum. 180 00:09:14,054 --> 00:09:15,522 Did you give him anything for pain? 181 00:09:15,589 --> 00:09:18,624 Morphine. Four milligrams. And I notified the cops. 182 00:09:18,691 --> 00:09:19,692 I think it was a hate crime. 183 00:09:19,759 --> 00:09:21,794 Yeah, I don't think so. 184 00:09:21,862 --> 00:09:24,331 ♪♪ 185 00:09:24,397 --> 00:09:26,300 All right. 186 00:09:26,367 --> 00:09:28,770 On my count. One, two, three. 187 00:09:30,603 --> 00:09:31,671 We'll take it from here. 188 00:09:31,738 --> 00:09:33,240 I'll pack him and prep him. 189 00:09:41,015 --> 00:09:42,283 You did this to yourself, didn't you? 190 00:09:46,453 --> 00:09:49,357 I think I know what kind of urges you've been having. 191 00:09:52,660 --> 00:09:54,327 I'm not a monster. 192 00:09:54,393 --> 00:09:56,829 I never touched anyone... 193 00:09:56,897 --> 00:09:58,932 Any... Child. 194 00:10:03,771 --> 00:10:07,174 My sister and I were always best friends... 195 00:10:07,239 --> 00:10:08,575 But then she had children. 196 00:10:10,978 --> 00:10:12,914 If I can't keep taking the drugs... 197 00:10:14,915 --> 00:10:17,184 ...I had to do this. 198 00:10:17,249 --> 00:10:18,885 Home surgery tends to not have 199 00:10:18,951 --> 00:10:21,354 the results you're hoping for. 200 00:10:21,421 --> 00:10:24,492 You did a lot of damage but your testicles are unscathed. 201 00:10:25,124 --> 00:10:26,459 (SIGHS) 202 00:10:28,996 --> 00:10:30,698 Please, finish the job. 203 00:10:35,868 --> 00:10:38,805 - I say we do it, he's a pedophile. - No, he's not. 204 00:10:38,873 --> 00:10:40,074 He just told us he was. 205 00:10:40,141 --> 00:10:41,708 He has never acted on his urges, 206 00:10:41,775 --> 00:10:44,545 and he's asking us to do something to ensure he never does. 207 00:10:44,612 --> 00:10:47,247 - He is a decent person trying... - I'm confused. 208 00:10:47,314 --> 00:10:48,647 What do you want to do with him? 209 00:10:48,714 --> 00:10:51,050 Treat him like a patient with a diagnosis. 210 00:10:51,118 --> 00:10:52,386 Put him on antidepressants, 211 00:10:52,453 --> 00:10:54,621 refer him to a urologist, give him a psych eval. 212 00:10:54,688 --> 00:10:57,457 Let the experts determine if he should have a castration. 213 00:10:57,523 --> 00:10:59,493 Psych eval? Antidepressants? 214 00:10:59,560 --> 00:11:01,228 When we refer people for counseling, 215 00:11:01,295 --> 00:11:02,728 how often do they get cured? 216 00:11:02,796 --> 00:11:04,498 I am looking to help him manage this dis... 217 00:11:04,565 --> 00:11:05,898 And if they don't get cured, what happens? 218 00:11:05,965 --> 00:11:08,835 They get more depressed, can't cope, quit jobs, 219 00:11:08,902 --> 00:11:10,236 maybe kill themselves? 220 00:11:10,304 --> 00:11:12,573 All bad, but not rape-a-child bad. 221 00:11:14,574 --> 00:11:16,377 DR. ANDREWS: So what are you going to do? 222 00:11:20,815 --> 00:11:24,584 We can't ethically remove healthy organs for crime prevention. 223 00:11:24,651 --> 00:11:26,520 We don't amputate a kleptomaniac's hands 224 00:11:26,585 --> 00:11:28,522 to prevent them from stealing. 225 00:11:28,589 --> 00:11:29,924 Hands have many purposes, 226 00:11:29,989 --> 00:11:32,491 the balls of a pedophile have but one. 227 00:11:32,559 --> 00:11:34,928 Set up his referrals and patch him up. 228 00:11:34,994 --> 00:11:37,397 ♪♪ 229 00:11:47,708 --> 00:11:49,410 How long you been in Foothills? 230 00:11:49,477 --> 00:11:51,011 Nine months. 231 00:11:51,078 --> 00:11:52,546 Time flies in juvie. 232 00:11:52,613 --> 00:11:54,714 Any visitors? 233 00:11:54,781 --> 00:11:57,851 I don't have a granny bringing me cookies, if that's what you mean. 234 00:11:57,917 --> 00:12:00,854 This is why empathy is bad. 235 00:12:00,921 --> 00:12:04,123 You're talking to our patient because you like him, 236 00:12:04,190 --> 00:12:05,358 which is causing him to move, 237 00:12:05,425 --> 00:12:07,261 which is affecting our imagery. 238 00:12:07,328 --> 00:12:08,795 He's scared. 239 00:12:08,862 --> 00:12:10,097 I'm talking to him to calm him down 240 00:12:10,162 --> 00:12:11,698 which is improving our imagery. 241 00:12:11,766 --> 00:12:13,868 The fact that I like him is beside the point. 242 00:12:14,600 --> 00:12:16,469 You grow up in San Jose? 243 00:12:16,536 --> 00:12:20,007 East Paly, but I got out of there as soon as I could... 244 00:12:20,073 --> 00:12:21,141 I was 15. 245 00:12:21,206 --> 00:12:22,442 Your parents still there? 246 00:12:23,209 --> 00:12:24,578 Mom's gone, 247 00:12:24,645 --> 00:12:27,748 dear old Dad is terrible. 248 00:12:27,814 --> 00:12:29,049 Siblings? 249 00:12:29,116 --> 00:12:30,351 Little brother... 250 00:12:30,416 --> 00:12:31,618 He's gone too. 251 00:12:35,756 --> 00:12:38,190 Crappy dad. Lost his brother... 252 00:12:38,257 --> 00:12:40,360 - I mean, you really don't ha... - He's not scared. 253 00:12:40,427 --> 00:12:43,863 He's short of breath because his diaphragm is lacerated. 254 00:12:43,930 --> 00:12:48,535 His stomach has passed through that tear and is now in his chest. 255 00:12:48,602 --> 00:12:51,973 Billy needs emergency surgery on his diaphragm. 256 00:12:53,849 --> 00:12:55,118 DR. PARK: The defect reaches all the way 257 00:12:55,184 --> 00:12:57,719 from the center to the anterior costal margin. 258 00:12:57,786 --> 00:12:59,421 DR. LIM: So what do we need to do? 259 00:12:59,488 --> 00:13:01,623 Divide the inferior pulmonary ligament to bring the lung upwards. 260 00:13:02,958 --> 00:13:04,327 Uh-huh. Mesh. 261 00:13:07,463 --> 00:13:09,866 Whoever kicked him was wearing some serious footwear. 262 00:13:09,932 --> 00:13:13,068 And they'll be waiting for him when he goes back. Unless we help him. 263 00:13:13,136 --> 00:13:15,372 Dr. Park wants to fix his forehead. 264 00:13:17,640 --> 00:13:19,175 The constitution guarantees prisoners 265 00:13:19,242 --> 00:13:20,876 get the same care as everyone else. 266 00:13:20,943 --> 00:13:24,313 Most non-prisoners can't afford cosmetic surgery. 267 00:13:24,379 --> 00:13:26,814 He would be getting better care than everyone else. 268 00:13:26,882 --> 00:13:30,587 Kid is smart and personable and puts up a great front. But he's scared to death. 269 00:13:30,652 --> 00:13:32,589 And he got 36 months for selling weed, 270 00:13:32,655 --> 00:13:34,324 a crime that doesn't even exist anymore. 271 00:13:34,390 --> 00:13:36,058 You think his life would be anything like this 272 00:13:36,124 --> 00:13:37,960 if he didn't grow up with a massive dent in his head? 273 00:13:39,528 --> 00:13:42,197 Sorry, I'm not convinced. 274 00:13:42,263 --> 00:13:45,701 Is that because you don't have any empathy for Billy? 275 00:13:46,969 --> 00:13:49,305 No. It's because I agree with you. 276 00:13:49,371 --> 00:13:51,740 It's expensive, risky and unnecessary. 277 00:13:51,806 --> 00:13:55,076 But empathy can be an invaluable motivator, 278 00:13:55,143 --> 00:13:58,514 Dr. Murphy, that truly connects the physician with their patient. 279 00:14:03,518 --> 00:14:05,320 (WHISPERS) Is he still up there? 280 00:14:05,387 --> 00:14:07,990 ♪♪ 281 00:14:12,161 --> 00:14:14,229 (WHISPERS) Yes he is. 282 00:14:16,766 --> 00:14:18,700 We can't do the castration, George. 283 00:14:18,767 --> 00:14:21,403 Not without the proper psychiatric clearance. 284 00:14:21,469 --> 00:14:22,537 That'll take forever. 285 00:14:22,604 --> 00:14:24,305 Just a few months. 286 00:14:24,373 --> 00:14:25,907 A few months is forever. 287 00:14:25,974 --> 00:14:28,877 Binge watch your favorite shows, catch up on your reading. 288 00:14:28,944 --> 00:14:30,579 You attracted to men, Dr. Reznick? 289 00:14:31,647 --> 00:14:34,182 Yes. Adult men. 290 00:14:34,249 --> 00:14:37,385 And if that were reprehensible, 291 00:14:37,453 --> 00:14:38,788 do you think you could stop? 292 00:14:41,056 --> 00:14:43,526 You have no idea what it's like 293 00:14:43,593 --> 00:14:45,328 to live with these thoughts. 294 00:14:45,961 --> 00:14:48,596 I hate them, 295 00:14:48,664 --> 00:14:50,633 and I hate myself for having them. 296 00:14:52,801 --> 00:14:54,070 But I can't stop them. 297 00:14:55,503 --> 00:14:58,007 And I'm afraid of what I could do. 298 00:14:58,074 --> 00:15:00,510 ♪♪ 299 00:15:02,810 --> 00:15:05,013 We will start the process immediately. 300 00:15:05,080 --> 00:15:08,616 In the meantime, we'll transfuse you, get you on antibiotics... 301 00:15:08,684 --> 00:15:11,920 No. I'm refusing treatment. 302 00:15:11,987 --> 00:15:15,858 No transfusion. No antibiotics. No repair. 303 00:15:15,925 --> 00:15:17,426 Let 'em rot. 304 00:15:21,063 --> 00:15:22,632 We have something in common. 305 00:15:25,099 --> 00:15:27,236 Neither of us has a driver's license. 306 00:15:30,339 --> 00:15:33,475 How do you feel about not having a driver's license? 307 00:15:35,243 --> 00:15:37,180 I'm pissed, Shaun. 308 00:15:37,246 --> 00:15:38,948 You feel pissed. 309 00:15:39,013 --> 00:15:40,916 Yes, I feel pissed. I feel very pissed 310 00:15:40,983 --> 00:15:43,585 because something important was taken away from me. 311 00:15:43,652 --> 00:15:45,120 And by a friend. 312 00:15:45,186 --> 00:15:47,190 You feel very pissed 313 00:15:47,256 --> 00:15:49,925 because something important was taken away from you, 314 00:15:49,992 --> 00:15:51,227 and by a friend. 315 00:15:51,294 --> 00:15:53,263 And parroting everything I say isn't helping. 316 00:15:54,463 --> 00:15:57,599 I'm finding commonality, Dr. Glassman, 317 00:15:57,666 --> 00:16:00,302 and inquiring about your emotional state, 318 00:16:00,369 --> 00:16:03,371 and actively listening by restating your responses. 319 00:16:03,439 --> 00:16:07,209 "External corroboration enhances our sense of self-worth." 320 00:16:08,444 --> 00:16:10,479 Okay. 321 00:16:10,546 --> 00:16:12,647 The day after I got my driver's license, 322 00:16:12,714 --> 00:16:14,349 you want to know what I did? 323 00:16:14,416 --> 00:16:19,154 I went out and bought a 1963 Galaxie, Midnight Blue. 1,255 bucks, 324 00:16:19,220 --> 00:16:24,060 every penny I earned for the past three years working in a gas station. 325 00:16:24,127 --> 00:16:25,527 How do you think that made me feel? 326 00:16:26,461 --> 00:16:27,695 You liked it? 327 00:16:27,762 --> 00:16:29,965 No, Shaun. I loved it. 328 00:16:30,031 --> 00:16:31,501 You want to know why? 329 00:16:31,566 --> 00:16:34,603 Because a car to a 16-year-old kid means independence, 330 00:16:34,670 --> 00:16:36,505 which means he can go wherever he wants 331 00:16:36,571 --> 00:16:38,340 whenever he wants. 332 00:16:38,406 --> 00:16:41,243 And that doesn't change with age, Shaun, 333 00:16:43,045 --> 00:16:44,479 in fact, it means even more. 334 00:16:48,249 --> 00:16:50,619 When you took my license, that's what you took from me. 335 00:16:53,855 --> 00:16:55,256 I don't expect you to understand. 336 00:16:55,324 --> 00:16:56,758 So you don't have to pretend. 337 00:17:07,804 --> 00:17:10,205 Hey. Is Andrews stalking you? 338 00:17:10,271 --> 00:17:11,573 - Yeah. - It's annoying. 339 00:17:11,640 --> 00:17:13,575 We need to stand together and tell him to back off. 340 00:17:13,642 --> 00:17:14,744 (LAUGHS) 341 00:17:14,811 --> 00:17:16,545 I'm not telling the president he's annoying. 342 00:17:16,612 --> 00:17:18,279 He's infringing on our autonomy 343 00:17:18,346 --> 00:17:20,215 and inhibiting the free flow of ideas, 344 00:17:20,282 --> 00:17:21,750 both of which affect our ability 345 00:17:21,816 --> 00:17:23,620 to deliver the best patient care. 346 00:17:25,554 --> 00:17:28,024 That sounds slightly better. 347 00:17:28,090 --> 00:17:29,792 Okay. I'm in. 348 00:17:34,462 --> 00:17:36,832 - Are you? - No. Of course not. 349 00:17:36,899 --> 00:17:39,735 The last thing I'm gonna do right now is confront him. I'm the front-runner. 350 00:17:39,802 --> 00:17:42,036 Not according to Vegas. I'm 3 to 2. 351 00:17:42,103 --> 00:17:44,207 (LAUGHS) 352 00:17:44,273 --> 00:17:46,776 Guess they don't know that you have double my mortality rate. 353 00:17:49,111 --> 00:17:50,412 I'm a trauma surgeon, 354 00:17:50,479 --> 00:17:52,448 you're comparing apples to asshats. 355 00:17:53,748 --> 00:17:55,651 I resent being called an apple. 356 00:17:57,620 --> 00:17:59,721 The diaphragm repair went very well. 357 00:17:59,787 --> 00:18:02,091 And we've scheduled your orbital fracture repair. 358 00:18:02,158 --> 00:18:05,327 We'll get you some stronger pain meds for the recovery. 359 00:18:05,393 --> 00:18:07,261 When are you gonna fix my forehead, 360 00:18:07,328 --> 00:18:08,664 make me all John Legend? 361 00:18:11,333 --> 00:18:14,103 I tried, Billy. I'm sorry. 362 00:18:15,638 --> 00:18:17,407 I wasn't really getting my hopes up anyway. 363 00:18:18,606 --> 00:18:19,774 My dad taught me that. 364 00:18:19,842 --> 00:18:22,044 He'd say, "You know what, Billy?" 365 00:18:22,111 --> 00:18:24,680 And he'd just punch me in the face. 366 00:18:24,747 --> 00:18:27,248 At least, I think that was the lesson he was trying to impart. 367 00:18:27,315 --> 00:18:28,851 That's what happened to your forehead? 368 00:18:32,286 --> 00:18:34,123 He was a big A's fan. 369 00:18:34,190 --> 00:18:36,225 Watched every game with a bat in his hand. 370 00:18:38,160 --> 00:18:41,162 August 14th, 2008, 371 00:18:41,229 --> 00:18:43,464 they lost in the 12th inning... 372 00:18:43,532 --> 00:18:46,069 ♪♪ 373 00:19:01,984 --> 00:19:04,386 (GEORGE GROANS) 374 00:19:04,452 --> 00:19:05,820 Infection's setting in, but his testicles 375 00:19:05,888 --> 00:19:07,723 still show good flow on the Doppler. 376 00:19:07,789 --> 00:19:09,190 - Pain meds? - He won't take them. 377 00:19:09,257 --> 00:19:11,494 Thinks they'll knock him out and we'll step in and repair them. 378 00:19:11,559 --> 00:19:13,128 (GROANING) 379 00:19:13,196 --> 00:19:15,130 I hate this. 380 00:19:15,197 --> 00:19:16,599 Me too. 381 00:19:16,664 --> 00:19:18,366 (GROANING) 382 00:19:24,040 --> 00:19:27,544 I'm going to be a good driver. 383 00:19:27,610 --> 00:19:30,679 I got every answer correct on the written test. 384 00:19:30,746 --> 00:19:33,882 Except one, but that was because it was improperly worded. 385 00:19:33,949 --> 00:19:37,053 I told the DMV they need to rewrite it 386 00:19:37,120 --> 00:19:40,523 and they said they'd take it under advisement. 387 00:19:40,590 --> 00:19:41,858 Great. 388 00:19:41,923 --> 00:19:43,292 Let's go. 389 00:19:43,959 --> 00:19:46,429 ♪♪ 390 00:19:51,434 --> 00:19:53,736 Okay, let's close our eyes 391 00:19:53,803 --> 00:19:57,407 and take some nice, deep breaths... 392 00:19:57,474 --> 00:20:01,511 (BREATHES DEEPLY) 393 00:20:01,576 --> 00:20:04,246 And how about a little guided imagery 394 00:20:04,313 --> 00:20:08,551 to evoke positive visualizations? 395 00:20:08,618 --> 00:20:11,588 (BREATHES DEEPLY) 396 00:20:11,655 --> 00:20:12,855 Okay. 397 00:20:12,921 --> 00:20:15,056 Let's picture the parking lot, 398 00:20:15,123 --> 00:20:17,593 the cars around us, 399 00:20:17,660 --> 00:20:20,595 the yellow steel thingy at the entrance of the parking lot 400 00:20:20,662 --> 00:20:22,899 that could really do a lot of damage... 401 00:20:22,966 --> 00:20:24,368 A bollard. 402 00:20:25,968 --> 00:20:31,440 The speed bump that is 15 feet from the corner 403 00:20:31,506 --> 00:20:35,544 with the stop sign that someone put a "Hate" sticker on 404 00:20:35,611 --> 00:20:37,846 so it says "Stop Hate," 405 00:20:37,913 --> 00:20:40,549 which is right in front of the Jiff-E Mart, 406 00:20:40,615 --> 00:20:43,419 which says it's open "8 til Late, 24/7," 407 00:20:43,486 --> 00:20:45,789 - which can't be true beca... - That's great, Shaun. 408 00:20:45,854 --> 00:20:47,623 Super amount of visualization. 409 00:20:47,690 --> 00:20:51,560 And now that we're feeling comfortable about our surroundings, 410 00:20:51,627 --> 00:20:53,463 we can put the car into drive, 411 00:20:54,496 --> 00:20:56,733 ease our foot off the brake... 412 00:20:57,700 --> 00:20:59,067 Very nice... 413 00:20:59,134 --> 00:21:01,036 We can open our eyes now, Shaun. 414 00:21:01,103 --> 00:21:02,638 What we're doing is cruel. 415 00:21:02,705 --> 00:21:04,741 I'm open to all options, Dr. Browne. 416 00:21:13,582 --> 00:21:15,784 I'm gonna have to ask you to give us some privacy. 417 00:21:15,851 --> 00:21:17,486 Really? 418 00:21:17,553 --> 00:21:20,590 You want to throw the president of the hospital out of a medical discussion? 419 00:21:23,860 --> 00:21:25,661 You're infringing on my autonomy 420 00:21:25,727 --> 00:21:27,462 and inhibiting the free flow of ideas, 421 00:21:27,530 --> 00:21:28,899 both of which affect my ability 422 00:21:28,965 --> 00:21:30,367 to deliver the best patient care. 423 00:21:40,576 --> 00:21:42,211 Dr. Melendez. 424 00:21:43,345 --> 00:21:44,980 (DOOR OPENS) 425 00:21:45,047 --> 00:21:47,983 ♪♪ 426 00:21:48,051 --> 00:21:49,686 SHAUN: There are many drivers 427 00:21:49,753 --> 00:21:52,022 not following the rules of the road. 428 00:21:52,089 --> 00:21:57,260 They fail to signal, check their blind spots, 429 00:21:57,326 --> 00:22:00,529 display a red flag when the load extends 430 00:22:00,596 --> 00:22:02,998 more than four feet past the tail lamp. 431 00:22:03,065 --> 00:22:05,267 You're right, Shaun, it's a mad world. 432 00:22:05,334 --> 00:22:06,936 But there's nothing you can do about them, 433 00:22:07,003 --> 00:22:08,303 you just got to focus on you. 434 00:22:08,371 --> 00:22:10,206 Yes, let's focus on me. 435 00:22:10,273 --> 00:22:11,875 Yes. 436 00:22:11,941 --> 00:22:14,176 Let's take the next right. 437 00:22:17,880 --> 00:22:19,814 You can drive in the bike lane 438 00:22:19,881 --> 00:22:21,516 when you're this close to the turn, Shaun. 439 00:22:21,583 --> 00:22:23,284 No, I can't. 440 00:22:23,351 --> 00:22:24,553 It's a broken line. 441 00:22:24,620 --> 00:22:26,956 That was the improperly worded question, 442 00:22:27,023 --> 00:22:28,891 whether it's broken or solid, 443 00:22:28,957 --> 00:22:30,493 you can't enter the bike lane 444 00:22:30,560 --> 00:22:32,662 this distance from the intersection. 445 00:22:32,728 --> 00:22:34,663 I told them that it... 446 00:22:39,201 --> 00:22:41,505 Okay, Shaun. You don't have to go so slow. 447 00:22:42,805 --> 00:22:44,540 (HORN HONKS) 448 00:22:44,607 --> 00:22:47,510 She's in the lane, she's not supposed to be in the lane. 449 00:22:47,576 --> 00:22:49,778 It's a violation carrying a fine... 450 00:22:49,845 --> 00:22:51,880 Okay, Shaun, don't worry about what she's doing... 451 00:22:51,948 --> 00:22:54,717 - No. - Shaun, you have to pull into the bike lane... 452 00:22:54,784 --> 00:22:55,985 Don't worry about what she's doing... 453 00:22:56,052 --> 00:22:58,053 (TIRES SCREECH, HORN HONKS) 454 00:22:58,120 --> 00:22:59,188 You can't just stop. 455 00:22:59,255 --> 00:23:00,590 Shaun, you can't just stop... 456 00:23:00,657 --> 00:23:02,025 (HORNS HONKING, CHILDREN SHOUTING PLAYFULLY) 457 00:23:02,092 --> 00:23:03,693 Shaun! 458 00:23:07,295 --> 00:23:09,032 George is screaming in agony 459 00:23:09,099 --> 00:23:12,235 and we are doing nothing except hiding behind ethical red tape. 460 00:23:12,301 --> 00:23:14,570 Ethical red tape is there to protect people like him 461 00:23:14,637 --> 00:23:16,938 from making permanent regrettable mistakes. 462 00:23:17,005 --> 00:23:18,707 I'm glad we're not using it to cover our asses 463 00:23:18,775 --> 00:23:20,544 the day before the new Chief of Surgery is announced. 464 00:23:23,246 --> 00:23:24,480 (SIGHS) 465 00:23:25,680 --> 00:23:27,650 Let me sign off on the documentation. 466 00:23:28,851 --> 00:23:31,888 I'll note his scrotum is already beyond repair 467 00:23:31,955 --> 00:23:34,491 and surgical castration is our only option. 468 00:23:35,524 --> 00:23:36,993 - I vote yes. - No. 469 00:23:37,059 --> 00:23:39,595 I'm not gonna let anyone falsify medical records. 470 00:23:39,661 --> 00:23:42,297 Not for pain. Not for a pedophile. 471 00:23:42,364 --> 00:23:44,733 Once his testes are actually beyond repair, 472 00:23:44,800 --> 00:23:46,269 we will castrate him. 473 00:23:47,437 --> 00:23:48,803 So we're just gonna leave him there screaming, 474 00:23:48,871 --> 00:23:50,506 keeping his entire unit awake? 475 00:23:51,640 --> 00:23:53,008 Move him. 476 00:24:00,815 --> 00:24:04,386 DR. LIM: I'd like a clean dissection through the periosteal planes 477 00:24:04,454 --> 00:24:06,856 so I can slip the MEDPOR mesh over the fracture. 478 00:24:06,922 --> 00:24:09,257 Why do I prefer MEDPOR mesh? 479 00:24:09,324 --> 00:24:11,494 It allows fibrovascular ingrowth 480 00:24:11,561 --> 00:24:13,463 and integration of the patient's tissue. 481 00:24:15,764 --> 00:24:17,167 Prisoner surgeries are approved 482 00:24:17,233 --> 00:24:19,169 for psychological reasons all the time. 483 00:24:19,235 --> 00:24:20,402 Tattoo removal, 484 00:24:20,469 --> 00:24:22,704 gender reassignments include breast implants. 485 00:24:22,772 --> 00:24:25,640 Hell, if he had a crappy smile we could justify dental work as needed 486 00:24:25,707 --> 00:24:27,409 for proper mastication. 487 00:24:27,476 --> 00:24:29,012 You sent a few kids to juvie? 488 00:24:30,913 --> 00:24:32,047 More than a few. 489 00:24:33,882 --> 00:24:35,817 You feel guilty. 490 00:24:35,884 --> 00:24:37,853 Think that's maybe clouding your judgment? 491 00:24:39,188 --> 00:24:40,489 Maybe. 492 00:24:43,258 --> 00:24:46,861 You're afraid of ruffling Andrews' feathers this close to decision day. 493 00:24:46,928 --> 00:24:48,364 Think that's maybe clouding yours? 494 00:24:49,497 --> 00:24:52,034 We could give Billy a breast implant. 495 00:24:54,803 --> 00:24:58,908 We could insert it over his split thickness frontal bone defect. 496 00:24:58,974 --> 00:25:02,511 It would only require a tiny incision at his eyebrow. 497 00:25:02,578 --> 00:25:04,280 Now you're in favor of this? 498 00:25:04,346 --> 00:25:08,550 I was against it because it was too expensive and unnecessary and risky, 499 00:25:08,618 --> 00:25:10,153 but if we do it now, 500 00:25:10,218 --> 00:25:12,487 it won't require any additional surgery, 501 00:25:12,554 --> 00:25:14,457 and it'd be very economical. 502 00:25:14,524 --> 00:25:17,260 He did give us verbal consent when he was first admitted. 503 00:25:21,531 --> 00:25:22,765 Keep him under. 504 00:25:24,233 --> 00:25:25,935 Get what we need, Dr. Murphy. 505 00:25:26,002 --> 00:25:28,037 ♪♪ 506 00:25:28,103 --> 00:25:31,073 (GEORGE SCREAMING, GROANING) 507 00:25:31,774 --> 00:25:34,010 ♪♪ 508 00:25:38,313 --> 00:25:39,381 (GROANING STOPS) 509 00:25:39,448 --> 00:25:41,350 Ready or not... 510 00:25:41,417 --> 00:25:43,086 Tell Melendez to meet us in the OR. 511 00:25:48,007 --> 00:25:50,142 CLAIRE: Showing signs of ischemia, 512 00:25:50,209 --> 00:25:52,111 we have a strong medical case for removing. 513 00:25:55,247 --> 00:25:56,850 Dr. Lim. You a castration fan? 514 00:25:56,916 --> 00:25:58,251 Right now, I am. 515 00:25:58,318 --> 00:26:00,654 - Andrews told me he's backing off. - Great. 516 00:26:00,719 --> 00:26:02,988 Because you presented him with a very good argument. 517 00:26:03,055 --> 00:26:05,191 My argument. Which you regurgitated to him 518 00:26:05,257 --> 00:26:08,494 right after you said you wouldn't back me up. Call that leadership? 519 00:26:08,561 --> 00:26:09,728 Yes, I do. 520 00:26:09,795 --> 00:26:11,797 You presented me with a very good argument, 521 00:26:11,865 --> 00:26:14,567 but you didn't have the guts to take it to Andrews on your own. 522 00:26:14,634 --> 00:26:16,736 One more reason I don't want to work under you. 523 00:26:16,802 --> 00:26:19,504 You don't want this promotion so that you can improve the hospital. 524 00:26:19,571 --> 00:26:21,474 You want it for the pretty title. 525 00:26:21,541 --> 00:26:24,144 You're an adrenaline junky. You won't last two weeks liaising with board members. 526 00:26:25,278 --> 00:26:27,213 There's a long and dusty trail 527 00:26:27,280 --> 00:26:29,449 littered with people who have underestimated me. 528 00:26:33,052 --> 00:26:34,487 JL: We're ready to go. 529 00:26:36,490 --> 00:26:38,091 Curved tissue scissors, please. 530 00:26:39,658 --> 00:26:41,061 (MONITORS BEEPING RAPIDLY) 531 00:26:41,128 --> 00:26:43,931 DR. REZNICK: His systolic is 68. And look at this. 532 00:26:46,867 --> 00:26:48,935 - He's septic. - He's going into D.I.C. 533 00:26:49,002 --> 00:26:50,736 Rerun his labs. 534 00:26:50,803 --> 00:26:52,604 Have platelets, plasma and cryo ready. 535 00:26:52,671 --> 00:26:54,440 If he starts bleeding, he'll die. 536 00:26:58,712 --> 00:27:01,782 I reduced the volume from 80 cc's to 35. 537 00:27:02,616 --> 00:27:04,651 ♪♪ 538 00:27:13,994 --> 00:27:16,263 Have the odds changed in the last 24 hours? 539 00:27:16,329 --> 00:27:17,763 - Little. - Where am I at? 540 00:27:17,830 --> 00:27:19,166 6 to 1. 541 00:27:21,100 --> 00:27:22,369 I'll put $100 on me. 542 00:27:23,535 --> 00:27:25,804 (MONITORS BEEPING RAPIDLY) 543 00:27:25,871 --> 00:27:27,473 He's becoming severely bradycardic. 544 00:27:27,540 --> 00:27:31,411 The pressure on his orbit caused a retrobulbar hematoma. 545 00:27:31,477 --> 00:27:34,313 DR. LIM: If we don't relieve it now, he'll arrest. Forceps and scissors. 546 00:27:34,379 --> 00:27:36,582 Just lost his pulse, pushing atropine. 547 00:27:36,649 --> 00:27:38,650 Set up a temporary transcutaneous pacemaker. 548 00:27:38,717 --> 00:27:40,586 If we inject the orbital muscle with local anesthetic 549 00:27:40,653 --> 00:27:42,222 we might be able to fatigue the reflex. 550 00:27:42,289 --> 00:27:43,290 Do it. 551 00:27:43,923 --> 00:27:46,259 (FLATLINE) 552 00:27:46,326 --> 00:27:47,728 Starting CPR. 553 00:27:51,531 --> 00:27:54,133 I hope that's a look of resolve. 554 00:27:54,199 --> 00:27:58,170 Melendez stood up to me in front of his residents. 555 00:27:58,237 --> 00:28:00,873 I did the same thing to O'Connell when I was his age. 556 00:28:02,073 --> 00:28:03,609 What about Lim? 557 00:28:03,676 --> 00:28:06,045 She has the kind of focus that took me years to develop. 558 00:28:07,513 --> 00:28:10,817 And Cooperberg, he reminds me of me when I was... 559 00:28:10,884 --> 00:28:13,653 Marcus. You were good. 560 00:28:13,719 --> 00:28:15,888 But no one's gonna be as good as you think you were. 561 00:28:18,023 --> 00:28:21,427 One of your weaknesses was decision-making. 562 00:28:21,494 --> 00:28:23,797 I trust you've gotten past that since I made you president. 563 00:28:28,635 --> 00:28:30,403 ♪♪ 564 00:28:30,469 --> 00:28:34,039 DR. LIM: Continuing compressions until I have capture on the pacemaker. 565 00:28:34,107 --> 00:28:36,542 Pacing pads are in position. 566 00:28:38,711 --> 00:28:39,746 Stopping CPR. 567 00:28:41,080 --> 00:28:42,416 Injecting lidocaine. 568 00:28:43,449 --> 00:28:45,584 I have set the rate to 80. 569 00:28:45,651 --> 00:28:47,486 (FLATLINE CONTINUES) 570 00:28:47,553 --> 00:28:49,921 DR. LIM: Increase the ventricular by two milliamps. 571 00:28:49,988 --> 00:28:51,523 (BEEPS) 572 00:28:51,590 --> 00:28:54,394 ♪♪ 573 00:28:54,459 --> 00:28:56,896 Increase by two more. 574 00:28:56,964 --> 00:28:58,865 - (BEEPS) - (FLATLINE CONTINUES) 575 00:28:58,932 --> 00:29:01,201 ♪♪ 576 00:29:06,106 --> 00:29:08,108 (MONITOR BEEPING) 577 00:29:08,175 --> 00:29:11,979 Blood pressure is responding, 102 over 68. 578 00:29:13,012 --> 00:29:14,179 DR. LIM: Keep those pacer settings 579 00:29:14,246 --> 00:29:15,648 and let's get back to the main event. 580 00:29:20,419 --> 00:29:23,188 DR. REZNICK: Both his PT and PTT are coming back down, 581 00:29:23,255 --> 00:29:27,025 his systolic is stable at 110, and no ectopy on the monitor. 582 00:29:27,092 --> 00:29:29,562 His D.I.C. score is back under four. He's stabilized. 583 00:29:33,131 --> 00:29:34,200 Ball's in your court. 584 00:29:37,936 --> 00:29:40,240 Dr. Melendez? 585 00:29:40,305 --> 00:29:43,676 Effects of low testosterone on cardiovascular function and sepsis? 586 00:29:43,743 --> 00:29:46,279 CLAIRE: Possible acute vascular response, 587 00:29:46,346 --> 00:29:47,747 circulatory collapse... 588 00:29:47,813 --> 00:29:49,415 And what about on D.I.C.? 589 00:29:49,482 --> 00:29:51,118 DR. REZNICK: Increased risk of clots and stroke. 590 00:29:54,353 --> 00:29:55,587 George's body can't tolerate 591 00:29:55,655 --> 00:29:58,358 any loss of testosterone right now. 592 00:29:58,425 --> 00:30:01,661 We want to save his life, we have to save his testicles. 593 00:30:04,296 --> 00:30:05,631 Sutures. 594 00:30:07,065 --> 00:30:08,434 (SIGHS) 595 00:30:13,923 --> 00:30:15,292 I know how to get you to drive. 596 00:30:16,192 --> 00:30:17,327 I can't drive. 597 00:30:17,394 --> 00:30:19,796 Driving is just like surgery. 598 00:30:19,863 --> 00:30:21,798 Say you're driving down the street 599 00:30:21,865 --> 00:30:24,401 and suddenly, somebody steps off the sidewalk, 600 00:30:24,467 --> 00:30:25,701 right in front of you. 601 00:30:25,769 --> 00:30:27,003 Things like that must happen 602 00:30:27,069 --> 00:30:28,571 when you're deep inside someone's belly. 603 00:30:28,638 --> 00:30:30,807 That doesn't make any sense. 604 00:30:30,875 --> 00:30:33,678 It's an analogy, Shaun. I need you to work with me just a little bit. 605 00:30:34,243 --> 00:30:35,346 Give me. 606 00:30:39,517 --> 00:30:40,718 Okay. 607 00:30:45,955 --> 00:30:48,324 It would be something unexpected, 608 00:30:48,391 --> 00:30:50,494 out of our control, 609 00:30:50,559 --> 00:30:53,563 from an aberrant source, and very bad. 610 00:30:54,699 --> 00:30:59,036 It would be analogous to an arterial bleed. 611 00:30:59,103 --> 00:31:03,140 How about if a truck stalls out, crippling traffic? 612 00:31:03,205 --> 00:31:07,343 A thrombus impeding blood flow, so we divert. 613 00:31:07,411 --> 00:31:09,212 A thrombus, exactly. 614 00:31:09,279 --> 00:31:11,147 What if you're just cruising along 615 00:31:11,214 --> 00:31:14,016 and a car comes out of nowhere and goes racing by? 616 00:31:14,084 --> 00:31:15,786 A tachyarrhythmia. 617 00:31:15,853 --> 00:31:18,855 - Yes! Shaun, you got this. - Yes. 618 00:31:18,922 --> 00:31:20,658 So let's get you driving that hooptie. 619 00:31:20,723 --> 00:31:22,393 (CHUCKLES) 620 00:31:25,195 --> 00:31:26,763 I've got this, Albert. 621 00:31:34,704 --> 00:31:37,073 ♪♪ 622 00:31:40,477 --> 00:31:41,979 We did the surgery. 623 00:31:42,046 --> 00:31:44,481 Your circulatory and clotting systems were shutting down. 624 00:31:45,915 --> 00:31:48,885 But removing your testicles would have put you 625 00:31:48,952 --> 00:31:50,554 at greater risk by reducing your... 626 00:31:50,619 --> 00:31:52,122 You would have died. 627 00:31:54,258 --> 00:31:56,660 ♪♪ 628 00:31:56,726 --> 00:32:00,798 I've set you up with a psychiatrist and a urologist. 629 00:32:00,865 --> 00:32:02,799 They'll screen you, get you cleared, 630 00:32:02,865 --> 00:32:05,335 and then we can do this the right way. 631 00:32:05,402 --> 00:32:07,038 George, we can get this done. 632 00:32:08,204 --> 00:32:12,208 You just cannot try this again. 633 00:32:14,277 --> 00:32:16,246 I get it. 634 00:32:16,313 --> 00:32:18,949 I do it your way, or it just doesn't happen. 635 00:32:20,584 --> 00:32:22,887 ♪♪ 636 00:32:37,800 --> 00:32:39,836 It's just another intersection, Shaun, 637 00:32:39,903 --> 00:32:43,173 just like the last one and just like the next one... 638 00:32:43,240 --> 00:32:47,944 The last intersection isn't where everyone honked at me and made me freeze... 639 00:32:48,010 --> 00:32:51,248 That was a different day, with different drivers 640 00:32:51,315 --> 00:32:53,216 and a different Shaun behind the wheel, 641 00:32:53,282 --> 00:32:56,086 because today, this Shaun has a plan 642 00:32:56,153 --> 00:32:58,322 for this intersection, which is... 643 00:32:59,390 --> 00:33:02,292 ...I am going to dissect it. 644 00:33:02,358 --> 00:33:03,559 Damn right you are. 645 00:33:03,626 --> 00:33:06,028 And today, you're gonna turn right 646 00:33:06,096 --> 00:33:07,230 which you will do by... 647 00:33:07,297 --> 00:33:08,932 Determining laterality. 648 00:33:08,999 --> 00:33:11,802 And waiting until I can legally enter the bike lane. 649 00:33:13,036 --> 00:33:15,306 ♪♪ 650 00:33:22,645 --> 00:33:25,215 Somebody just made a turn... 651 00:33:33,223 --> 00:33:34,457 Shaun! 652 00:33:34,525 --> 00:33:36,826 (TIRES SCREECH) 653 00:33:38,028 --> 00:33:40,297 (HORN BLARES) 654 00:33:40,364 --> 00:33:41,832 MAN: Everybody okay? 655 00:33:43,066 --> 00:33:45,201 You were wrong. 656 00:33:46,569 --> 00:33:49,240 You were wrong, Lea. I can't drive. 657 00:33:51,407 --> 00:33:53,009 Shaun, I thought I had it figured out. 658 00:33:53,076 --> 00:33:54,345 I can't drive. 659 00:33:54,411 --> 00:33:56,013 I... 660 00:33:56,078 --> 00:33:57,913 Surgery is mechanical. 661 00:33:57,980 --> 00:33:59,316 Mechanics are predictable. 662 00:33:59,383 --> 00:34:01,519 Driving is subject to human foibles 663 00:34:01,585 --> 00:34:03,653 which means there are limitless possibilities. 664 00:34:03,721 --> 00:34:05,155 You're right. My metaphor sucked. 665 00:34:05,221 --> 00:34:06,856 It sucked very much. 666 00:34:08,425 --> 00:34:10,693 Because... 667 00:34:10,760 --> 00:34:14,398 Becoming a surgeon is about way more than operating. 668 00:34:16,766 --> 00:34:18,534 You had to learn about interacting 669 00:34:18,601 --> 00:34:22,639 with teachers, co-workers, patients, bosses. 670 00:34:22,706 --> 00:34:25,041 Cooperating with them, communicating with them... 671 00:34:25,108 --> 00:34:27,010 I am very bad at communicating. 672 00:34:28,211 --> 00:34:30,713 Shaun, you became a surgeon, 673 00:34:30,780 --> 00:34:35,352 one of the hardest things that anyone can do. 674 00:34:35,418 --> 00:34:38,187 And you proved that just because something is hard, 675 00:34:38,255 --> 00:34:39,590 doesn't mean you can't do it. 676 00:34:40,423 --> 00:34:41,992 And look what you just did. 677 00:34:42,059 --> 00:34:43,894 I just hit a trash can. 678 00:34:43,960 --> 00:34:47,564 Exactly, a trash can instead of an oncoming car or a pedestrian. 679 00:34:48,764 --> 00:34:50,000 You did great, Shaun. 680 00:34:53,436 --> 00:34:54,939 (SIGHS) 681 00:34:56,739 --> 00:35:01,144 That soccer ball was a dropped Metzenbaum. 682 00:35:02,411 --> 00:35:04,614 I know, right? 683 00:35:10,753 --> 00:35:15,092 When I accidentally drop an instrument in the OR, 684 00:35:15,159 --> 00:35:17,294 I react quickly to minimize damage. 685 00:35:18,262 --> 00:35:20,497 - Yes. - Yes. 686 00:35:20,563 --> 00:35:22,165 I dropped a Metzenbaum. 687 00:35:22,798 --> 00:35:25,168 ♪♪ 688 00:35:27,336 --> 00:35:29,706 I can drive this hooptie. 689 00:35:29,773 --> 00:35:32,643 ♪♪ 690 00:35:35,813 --> 00:35:37,347 DR. PARK: Window's about to close. 691 00:35:37,414 --> 00:35:38,815 $10 will get you $20 on Melendez, 692 00:35:38,882 --> 00:35:41,117 $10 will get you $1,000 if you want to bet on me. 693 00:35:43,519 --> 00:35:44,688 Hey, everybody. 694 00:35:46,588 --> 00:35:48,625 I can't be prouder of all of you. 695 00:35:48,692 --> 00:35:51,394 We have grown into a preeminent surgical department, 696 00:35:51,460 --> 00:35:54,063 which has been recognized with the official designation 697 00:35:54,130 --> 00:35:56,399 of Surgical Center of Excellence. 698 00:35:56,465 --> 00:35:58,835 (APPLAUSE) 699 00:36:00,003 --> 00:36:01,538 It's now more important than ever 700 00:36:01,605 --> 00:36:04,074 that we maintain our high standards. 701 00:36:04,139 --> 00:36:06,175 And so, while there are many worthy candidates, 702 00:36:07,143 --> 00:36:08,511 I've decided... 703 00:36:11,315 --> 00:36:13,450 ...to retain the title myself. 704 00:36:13,516 --> 00:36:15,118 Thank you. 705 00:36:15,184 --> 00:36:17,186 (APPLAUSE) 706 00:36:18,322 --> 00:36:19,655 Thank you! 707 00:36:19,722 --> 00:36:21,456 ♪♪ 708 00:36:21,523 --> 00:36:22,726 Yes! 709 00:36:23,760 --> 00:36:25,229 (DR. PARK LAUGHS) 710 00:36:25,295 --> 00:36:26,763 (CHUCKLES) 711 00:36:27,563 --> 00:36:29,832 (INDISTINCT CONVERSATIONS) 712 00:36:29,900 --> 00:36:32,302 ♪♪ 713 00:36:38,507 --> 00:36:40,042 (GASPS) Y... 714 00:36:40,110 --> 00:36:41,278 (SIGHS) 715 00:36:41,344 --> 00:36:43,313 You... You did it. You... 716 00:36:44,715 --> 00:36:45,916 You really did it. 717 00:36:48,050 --> 00:36:50,054 (BREATHES SHAKILY) 718 00:36:52,722 --> 00:36:54,258 DR. PARK: It was his idea. 719 00:36:56,126 --> 00:36:57,493 Murph? You... 720 00:36:57,559 --> 00:37:01,731 We inserted a small breast implant to fill in the depression 721 00:37:01,798 --> 00:37:04,701 and create a more aesthetically pleasing contour. 722 00:37:04,768 --> 00:37:06,302 (CHUCKLING) Breast implant? 723 00:37:06,369 --> 00:37:07,605 Yes. 724 00:37:08,672 --> 00:37:10,273 (BREATHES DEEPLY) 725 00:37:11,541 --> 00:37:13,143 You saved my life. 726 00:37:13,210 --> 00:37:15,244 ♪♪ 727 00:37:18,748 --> 00:37:20,916 It was a mistake. 728 00:37:20,983 --> 00:37:24,253 It caused an oculocardiac reflex and you almost died. 729 00:37:28,291 --> 00:37:29,893 It was a mistake. 730 00:37:36,900 --> 00:37:38,168 George? 731 00:37:39,969 --> 00:37:41,270 George? 732 00:37:46,143 --> 00:37:47,943 Why didn't his monitor alarm go off? 733 00:37:48,010 --> 00:37:50,413 He was stable, I disconnected it so he could use the restroom. 734 00:37:50,480 --> 00:37:52,148 - I didn't... - Morgan! He's gone! 735 00:37:52,916 --> 00:37:55,352 ♪♪ 736 00:38:03,326 --> 00:38:04,594 George! 737 00:38:05,762 --> 00:38:08,097 ♪♪ 738 00:38:12,034 --> 00:38:13,402 (BOTH SCREAM) 739 00:38:13,469 --> 00:38:16,739 ♪♪ 740 00:38:24,014 --> 00:38:26,684 ♪♪ 741 00:38:41,632 --> 00:38:43,666 I was never gonna confront Andrews. 742 00:38:45,068 --> 00:38:47,537 I was playing you. 743 00:38:47,603 --> 00:38:50,439 But damn if you didn't actually make it work. 744 00:38:50,507 --> 00:38:52,142 It didn't work for anybody. 745 00:38:52,208 --> 00:38:54,643 He played us both. He set us against each other. 746 00:38:54,710 --> 00:38:56,212 (SIGHS) 747 00:38:59,648 --> 00:39:00,983 I think you were right. 748 00:39:02,619 --> 00:39:04,387 Even if you were just bluffing, 749 00:39:06,489 --> 00:39:07,791 we need to stand together. 750 00:39:09,693 --> 00:39:11,895 Where was that wisdom two days ago? 751 00:39:15,731 --> 00:39:17,300 Still in the bottle. 752 00:39:17,367 --> 00:39:19,369 (SCOFFS) 753 00:39:19,436 --> 00:39:21,572 ♪♪ 754 00:39:23,873 --> 00:39:25,342 Hey. How'd you come up with that idea? 755 00:39:25,407 --> 00:39:28,277 You mentioned breast implants and I thought... 756 00:39:28,344 --> 00:39:29,445 Of his forehead. 757 00:39:29,512 --> 00:39:31,148 We were operating on his eye, 758 00:39:31,213 --> 00:39:32,849 his forehead was covered. 759 00:39:32,916 --> 00:39:34,284 Why were you thinking of it? 760 00:39:37,420 --> 00:39:38,788 You care about him, 761 00:39:38,855 --> 00:39:40,523 you were worried about his problem. 762 00:39:41,224 --> 00:39:42,760 You empathized with him. 763 00:39:43,726 --> 00:39:46,396 My idea almost killed him. 764 00:39:46,463 --> 00:39:47,531 No, it didn't. 765 00:39:50,733 --> 00:39:52,368 I found these in Billy's drawer. 766 00:39:52,434 --> 00:39:54,771 Three days of pain meds. 767 00:39:54,838 --> 00:39:58,142 He was cheeking them to build up a stash. 768 00:39:59,074 --> 00:40:00,710 He wasn't exaggerating. 769 00:40:03,380 --> 00:40:05,048 You saved his life, Shaun. 770 00:40:05,715 --> 00:40:08,152 ♪♪ 771 00:40:11,121 --> 00:40:14,124 (INDISTINCT PA ANNOUNCEMENT) 772 00:40:14,190 --> 00:40:16,793 ♪♪ 773 00:40:37,947 --> 00:40:39,916 This isn't the way this should have ended... 774 00:40:46,121 --> 00:40:48,524 But I'm not so sure the world is a worse place 775 00:40:48,592 --> 00:40:50,327 than it was a couple hours ago. 776 00:41:01,271 --> 00:41:03,440 LEA: You almost look comfortable behind the wheel. 777 00:41:03,505 --> 00:41:05,875 SHAUN: This seat has excellent lumbar support. 778 00:41:05,942 --> 00:41:07,409 But I am still very nervous. 779 00:41:07,476 --> 00:41:09,077 (HORN HONKS) 780 00:41:09,144 --> 00:41:10,681 (HORN BLARES) 781 00:41:18,255 --> 00:41:19,990 I can drive a car. 782 00:41:20,822 --> 00:41:22,025 I can see that. 783 00:41:22,090 --> 00:41:24,559 Lea taught me using a very bad analogy. 784 00:41:24,626 --> 00:41:26,395 Nothing works like a bad analogy. 785 00:41:26,463 --> 00:41:28,598 He's getting pretty good. 786 00:41:28,664 --> 00:41:30,634 Won't be long before he gets his operator's. 787 00:41:30,701 --> 00:41:34,304 Your next radiation appointment is in 45 minutes. 788 00:41:46,715 --> 00:41:47,884 Ow. 789 00:41:53,989 --> 00:41:55,192 (DOOR CLOSES) 790 00:41:57,994 --> 00:41:59,363 (SEAT BELT CLICKS) 791 00:42:00,963 --> 00:42:02,165 Thank you. 792 00:42:03,666 --> 00:42:05,835 ♪♪ 793 00:42:05,902 --> 00:42:06,936 (ENGINE STARTS) 794 00:42:07,003 --> 00:42:08,237 ♪ I'd go the whole wide world 795 00:42:08,304 --> 00:42:11,139 ♪ I'd go the whole wide world just to find her 796 00:42:11,206 --> 00:42:12,509 (TIRES SQUEAL) 797 00:42:12,576 --> 00:42:14,277 ♪ I'd go the whole wide world 798 00:42:14,344 --> 00:42:16,079 ♪ I'd go the whole wide world 799 00:42:16,144 --> 00:42:18,414 ♪ To find out where they hide her ♪ 800 00:42:21,083 --> 00:42:23,085 ♪♪ 57874

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