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1
00:00:02,691 --> 00:00:03,903
Previously on The
Good Doctor ...
2
00:00:03,927 --> 00:00:05,567
I want to do another
embryo transfer ASAP.
3
00:00:05,661 --> 00:00:07,030
You have some lettuce.
4
00:00:07,163 --> 00:00:08,397
- Oh.
- No, no, no. Here.
5
00:00:14,204 --> 00:00:16,872
Dr. Glassman, it would
be hard to lose my father
6
00:00:17,007 --> 00:00:18,874
just as I am about
to become one.
7
00:00:19,808 --> 00:00:21,744
Do the scan for me.
8
00:00:23,313 --> 00:00:25,048
[machine whirring]
9
00:00:27,483 --> 00:00:29,152
Please hold still.
10
00:00:30,320 --> 00:00:31,388
I'm breathing.
11
00:00:31,520 --> 00:00:33,189
You moved your head.
12
00:00:33,323 --> 00:00:35,491
Shaun, go away and let
the technician do his job.
13
00:00:35,624 --> 00:00:37,227
I sent him out for coffee.
14
00:00:37,360 --> 00:00:40,529
I am now scanning the
location of your prior tumor.
15
00:00:42,899 --> 00:00:46,236
Did you decline
maintenance chemotherapy?
16
00:00:46,369 --> 00:00:48,238
It's hard to hold still
while I'm talking.
17
00:00:48,371 --> 00:00:51,740
Dr. Blaize recommended six
cycles of temozolomide.
18
00:00:51,874 --> 00:00:53,052
The slight benefit of that stuff
19
00:00:53,076 --> 00:00:54,287
wasn't worth the
constant nausea.
20
00:00:54,311 --> 00:00:55,878
The benefit is statistically...
21
00:00:56,012 --> 00:00:57,180
Shaun, I made my choice.
22
00:00:59,581 --> 00:01:00,649
You chose wrong.
23
00:01:04,753 --> 00:01:06,890
There's a spot on your brain.
24
00:01:19,069 --> 00:01:21,438
[doctor] There's the right
ovary. And that looks like the...
25
00:01:21,570 --> 00:01:23,206
Corpus luteum.
26
00:01:23,340 --> 00:01:26,675
The endometrium is smooth
and around 13 millimeters,
27
00:01:26,809 --> 00:01:28,811
which means my uterine
infection is cleared.
28
00:01:28,945 --> 00:01:32,481
Carrying the pregnancy to term
should be a lot easier this time.
29
00:01:32,614 --> 00:01:34,526
Your transfer is on my
schedule for tomorrow evening.
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00:01:34,550 --> 00:01:36,052
Fantastic.
31
00:01:36,186 --> 00:01:39,222
And you have two high-grade
embryos available.
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00:01:40,789 --> 00:01:43,093
Do you want a boy or a girl?
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00:01:49,798 --> 00:01:51,533
You don't have to decide now.
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00:01:51,667 --> 00:01:53,387
Just let me know before
the embryo transfer.
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00:01:58,975 --> 00:02:01,044
Seven and a half hours.
36
00:02:01,177 --> 00:02:02,479
Uninterrupted?
37
00:02:02,611 --> 00:02:04,123
Didn't even have to wake
up to use the bathroom.
38
00:02:04,147 --> 00:02:05,147
[scoffs]
39
00:02:05,348 --> 00:02:06,348
So?
40
00:02:07,017 --> 00:02:08,351
Six hours, 45 minutes.
41
00:02:08,485 --> 00:02:11,454
Oh, winner, winner,
pancakes for dinner.
42
00:02:11,587 --> 00:02:13,289
I really thought I
had it in the bag.
43
00:02:13,423 --> 00:02:14,967
- How'd you do, Danny?
- [elevator dings]
44
00:02:14,991 --> 00:02:16,471
How much sleep you
get? Over or under?
45
00:02:16,525 --> 00:02:17,593
No clue.
46
00:02:24,633 --> 00:02:25,633
[Jared] Hold up.
47
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- Morning, all.
- Morning.
48
00:02:30,806 --> 00:02:31,874
Dr. Allen.
49
00:02:32,008 --> 00:02:34,144
Good morning, Dr. Kalu.
50
00:02:34,277 --> 00:02:35,979
Park is doing a hip
arthroscopy today.
51
00:02:36,112 --> 00:02:37,313
I'd like to scrub in.
52
00:02:37,447 --> 00:02:39,548
Sorry, I'm already
assigned to Park.
53
00:02:39,681 --> 00:02:41,317
I'm thinking about
specializing in ortho,
54
00:02:41,451 --> 00:02:42,851
so how about a trade?
55
00:02:42,986 --> 00:02:44,020
How about no?
56
00:02:45,654 --> 00:02:46,990
Sorry I asked.
57
00:02:48,824 --> 00:02:50,160
Go, team.
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00:02:54,130 --> 00:02:56,799
Brady Sullivan. Oil rig
worker. Metal sheet hit him.
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00:02:56,933 --> 00:02:58,535
Severe chest and
pelvic injuries.
60
00:02:58,667 --> 00:03:00,003
O2 sats are critical.
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00:03:00,136 --> 00:03:01,837
Brady, I'm Dr. Andrews.
62
00:03:01,971 --> 00:03:03,315
He's non-responsive.
Sluggish pupils.
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00:03:03,339 --> 00:03:04,450
[Dr. Lim] There's
major hemorrhage.
64
00:03:04,474 --> 00:03:06,009
GCS six, no head trauma.
65
00:03:06,142 --> 00:03:08,423
Three-inch right-sided sucking
chest wound. Collapsed lung.
66
00:03:08,545 --> 00:03:10,046
That's from the support hook.
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00:03:10,180 --> 00:03:12,348
The metal sheet he was
welding caused another injury.
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00:03:14,716 --> 00:03:15,884
How deep does this go?
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00:03:16,019 --> 00:03:17,653
Down to the spinal column.
70
00:03:17,786 --> 00:03:18,887
He's nearly cut in half.
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00:03:24,360 --> 00:03:26,096
[theme music playing]
72
00:03:35,538 --> 00:03:36,916
[Dr. Glassman] It's scar
tissue from the radiation.
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00:03:36,940 --> 00:03:38,441
Could be, but the FA value...
74
00:03:38,575 --> 00:03:41,010
Is more consistent with a
glioblastoma recurrence.
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00:03:41,144 --> 00:03:42,212
That's right, and the path
76
00:03:42,345 --> 00:03:44,447
of the radiation
they blasted me with,
77
00:03:44,581 --> 00:03:46,615
that Swiss cheese look,
textbook necrosis.
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00:03:46,748 --> 00:03:49,419
The irregular shape implies a
multifocal cancerous lesion.
79
00:03:49,552 --> 00:03:50,728
[Dr. Glassman] I've been
looking at brain scans
80
00:03:50,752 --> 00:03:51,988
since before electricity.
81
00:03:52,122 --> 00:03:53,432
I think I know what
scar tissue looks like.
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00:03:53,456 --> 00:03:54,591
You are not objective here.
83
00:03:54,723 --> 00:03:55,724
Oh, right, and you are?
84
00:03:55,858 --> 00:03:56,858
Neither of you are.
85
00:03:59,395 --> 00:04:01,264
If that lesion is cancer,
86
00:04:01,397 --> 00:04:03,266
a DNA spinal fluid
analysis will confirm it.
87
00:04:03,732 --> 00:04:04,968
Yes.
88
00:04:05,734 --> 00:04:07,137
That is objective.
89
00:04:07,270 --> 00:04:09,805
I'll do a spinal tap
and send it to the lab.
90
00:04:09,939 --> 00:04:11,219
Should have results in 24 hours.
91
00:04:13,076 --> 00:04:14,077
Fine.
92
00:04:15,545 --> 00:04:17,080
I'll set it up.
93
00:04:21,351 --> 00:04:22,986
[female paramedic]
O2 sat's 68.
94
00:04:23,119 --> 00:04:25,455
Chest tube's in,
draining a lot of blood.
95
00:04:25,588 --> 00:04:27,533
Every time I clamp a
bleeder, another one pops up.
96
00:04:27,557 --> 00:04:29,926
Dr. Lim? Where do you want us?
97
00:04:30,059 --> 00:04:31,203
We're busy with
the chest trauma.
98
00:04:31,227 --> 00:04:32,667
I need you guys on
the pelvic injury.
99
00:04:32,728 --> 00:04:34,097
How do we remove it?
100
00:04:34,230 --> 00:04:36,041
You don't. It's the only
reason he didn't bleed out.
101
00:04:36,065 --> 00:04:37,465
I need you four to
figure out a plan
102
00:04:37,567 --> 00:04:39,169
to reattach his lower half.
103
00:04:39,302 --> 00:04:41,437
Read every journal.
Study every case report.
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00:04:41,571 --> 00:04:43,215
Check all the international
surgery registries.
105
00:04:43,239 --> 00:04:44,239
Look everywhere.
106
00:04:44,340 --> 00:04:45,475
PA ruptured. Gotta move him.
107
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OR one, now.
108
00:04:46,976 --> 00:04:48,912
[dramatic music]
109
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[baby crying]
110
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- [guard] Give me the baby.
- [man] No, no, no, no, no, no.
111
00:04:58,188 --> 00:04:59,656
I'm here for Jazz.
112
00:04:59,788 --> 00:05:01,400
- Just hand her to me.
- I don't know you.
113
00:05:01,424 --> 00:05:03,526
I don't know you.
I don't know you.
114
00:05:03,660 --> 00:05:05,995
- Sir, please.
- Hold on, let me talk to him.
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00:05:06,129 --> 00:05:08,431
I'm a doctor here.
I can help you.
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00:05:08,565 --> 00:05:12,202
I don't need a
doctor. I need Jazz.
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00:05:12,335 --> 00:05:15,071
Jazz. Is Jazz the mother?
118
00:05:15,205 --> 00:05:16,772
Yes.
119
00:05:16,906 --> 00:05:18,146
You're trying to help the baby?
120
00:05:19,676 --> 00:05:21,277
Jazz... Jazz passed out
121
00:05:21,411 --> 00:05:23,680
and then the, uh... the
flashing lights took her.
122
00:05:23,812 --> 00:05:25,415
An ambulance?
123
00:05:25,548 --> 00:05:26,882
There's an encampment
over on Elm.
124
00:05:27,016 --> 00:05:28,296
Is that where you and Jazz were?
125
00:05:30,153 --> 00:05:31,621
Then she's a patient here.
126
00:05:34,224 --> 00:05:37,360
They didn't see the
baby in her tent.
127
00:05:37,493 --> 00:05:40,196
She didn't sound good.
She... she needs her mama.
128
00:05:42,198 --> 00:05:44,234
You did the right thing
bringing her here.
129
00:05:46,002 --> 00:05:47,170
Can I examine her?
130
00:05:49,973 --> 00:05:51,040
Uh...
131
00:05:52,508 --> 00:05:55,378
and you'll... you'll
find... you'll find Jazz?
132
00:05:56,479 --> 00:05:57,714
I promise.
133
00:05:57,846 --> 00:05:59,848
[baby crying]
134
00:06:07,156 --> 00:06:09,926
We have a code pink. The
baby's in heart failure.
135
00:06:10,059 --> 00:06:11,261
You may have saved her life.
136
00:06:15,465 --> 00:06:16,808
[Dr. Lim] Found another tear
in the pulmonary artery.
137
00:06:16,832 --> 00:06:18,268
A big one.
138
00:06:18,401 --> 00:06:20,012
[Dr. Andrews] Every major
artery in this lung is damaged.
139
00:06:20,036 --> 00:06:22,705
His body needs to divert
every resource it has
140
00:06:22,838 --> 00:06:24,806
to his vital organs.
141
00:06:24,941 --> 00:06:27,210
We should amputate
his lower half.
142
00:06:27,343 --> 00:06:29,488
-[Dr. Lim] We're not there yet.
-[Dr. Andrews] It's barely hanging on.
143
00:06:29,512 --> 00:06:31,547
[Dr. Lim] But it is. We're
gonna try to save it.
144
00:06:31,681 --> 00:06:33,025
[Dr. Andrews] It's a big
job to hand the residents.
145
00:06:33,049 --> 00:06:34,226
[Dr. Lim] Good thing
I hire the best.
146
00:06:34,250 --> 00:06:36,953
[monitors beeping rapidly]
147
00:06:37,086 --> 00:06:39,222
This vessel's too
damaged to repair.
148
00:06:40,223 --> 00:06:41,391
I need to clamp the trunk.
149
00:06:44,360 --> 00:06:46,629
Start the clock
on lung ischemia.
150
00:06:49,932 --> 00:06:51,668
[beeping steadies]
151
00:06:54,070 --> 00:06:55,180
[Dr. Andrews] I
think we should sack
152
00:06:55,204 --> 00:06:57,873
the upper segmental
pulmonary artery.
153
00:06:58,007 --> 00:06:59,918
[Dr. Lim] That would mean
he'd lose his upper lung lobe.
154
00:06:59,942 --> 00:07:01,411
He has a physical job.
155
00:07:01,544 --> 00:07:02,955
[Dr. Andrews] If we
end up amputating,
156
00:07:02,979 --> 00:07:04,614
he's not gonna be
working oil rigs.
157
00:07:04,747 --> 00:07:06,191
[Dr. Lim] But he could be
playing wheelchair basketball.
158
00:07:06,215 --> 00:07:08,284
PTFE graft on his artery
could save his lung.
159
00:07:10,286 --> 00:07:11,286
[Dr. Andrews] Okay.
160
00:07:18,194 --> 00:07:19,462
[monitors beeping rapidly]
161
00:07:19,595 --> 00:07:21,431
Central line is in.
162
00:07:21,564 --> 00:07:23,324
Pushing milrinone to
increase cardiac output.
163
00:07:23,399 --> 00:07:24,967
Severely decreased
heart function,
164
00:07:25,101 --> 00:07:26,269
but her chambers look normal.
165
00:07:26,402 --> 00:07:27,970
Increasing high flow oxygen.
166
00:07:28,104 --> 00:07:30,115
- [Dr. Reznick] BP is improving a little.
- Found it.
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00:07:30,139 --> 00:07:31,784
In her posterior chest,
there's a critical...
168
00:07:31,808 --> 00:07:33,048
[Shaun] Narrowing of her aorta.
169
00:07:35,778 --> 00:07:37,447
Her eye spacing is approximately
170
00:07:37,580 --> 00:07:39,848
six millimeters wider than
the upper limit of normal.
171
00:07:39,982 --> 00:07:41,193
She also has
slightly low-set ears
172
00:07:41,217 --> 00:07:42,884
and her hands are swollen.
173
00:07:47,290 --> 00:07:48,691
She has Turner syndrome.
174
00:07:54,163 --> 00:07:56,308
If we don't get that narrowing
fixed in the next few days,
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00:07:56,332 --> 00:07:57,332
she'll die.
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00:07:59,202 --> 00:08:01,170
It won't be easy to
access, but I need an angio
177
00:08:01,304 --> 00:08:03,005
for a better view.
178
00:08:03,139 --> 00:08:04,974
I'll locate the mother
and get consent.
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00:08:08,978 --> 00:08:11,481
[baby fussing]
180
00:08:11,614 --> 00:08:13,349
Brady's pelvis is broken
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00:08:13,483 --> 00:08:14,923
and separated from
the spinal column.
182
00:08:14,984 --> 00:08:16,819
So to reattach his lower half,
183
00:08:16,953 --> 00:08:19,288
we need to repair the pelvis,
plus all the damaged organs,
184
00:08:19,422 --> 00:08:21,557
plus the major
vascular injuries,
185
00:08:21,691 --> 00:08:23,493
and then find a way to
ensure it all heals.
186
00:08:25,495 --> 00:08:28,664
Are we even doing the right
thing by trying to fix this?
187
00:08:28,798 --> 00:08:30,376
You want to give up
before we even start?
188
00:08:30,400 --> 00:08:32,034
I've just never read anything
189
00:08:32,168 --> 00:08:33,746
supporting reattaching
this kind of injury.
190
00:08:33,770 --> 00:08:34,871
Could kill him.
191
00:08:35,004 --> 00:08:36,215
Amputation is the
safest thing to do.
192
00:08:36,239 --> 00:08:37,639
Lim already knows
about that option.
193
00:08:37,707 --> 00:08:39,418
- Our job is to find a better one.
- No, our job...
194
00:08:39,442 --> 00:08:41,711
Danny's right. We need
to divide and conquer.
195
00:08:42,879 --> 00:08:44,080
I will work on organ damage.
196
00:08:44,213 --> 00:08:45,681
I'll focus on public fractures.
197
00:08:45,815 --> 00:08:48,184
I need intraoperative
imaging to build a 3D model.
198
00:08:48,317 --> 00:08:49,585
Oh, well, I'll go with you.
199
00:08:49,719 --> 00:08:52,121
I need to see the full extent
of the vascular injuries.
200
00:08:52,255 --> 00:08:54,357
That leaves you to figure
out how these repairs heal.
201
00:08:56,058 --> 00:08:57,927
I'll see what I can find.
202
00:09:02,832 --> 00:09:05,101
- This is the baby's mom?
- We think so.
203
00:09:05,234 --> 00:09:06,445
She was brought
in a few hours ago
204
00:09:06,469 --> 00:09:07,703
from a homeless encampment
205
00:09:07,837 --> 00:09:09,405
with a delayed
postpartum infection.
206
00:09:10,573 --> 00:09:11,874
She's septic.
207
00:09:12,041 --> 00:09:13,342
[sighs]
208
00:09:13,476 --> 00:09:15,278
They're optimistic
she'll pull through.
209
00:09:16,846 --> 00:09:18,781
Soon, let's hope.
210
00:09:18,916 --> 00:09:21,384
We've got some big decisions
to make for her baby.
211
00:09:31,694 --> 00:09:32,995
Her name's Jasmine West.
212
00:09:33,129 --> 00:09:35,765
She's homeless and
has bipolar disorder.
213
00:09:35,899 --> 00:09:38,401
County records show the baby
was born seven weeks ago.
214
00:09:38,534 --> 00:09:42,004
No dad in the picture,
no other family.
215
00:09:42,138 --> 00:09:46,108
And this was all she had on
her when EMS brought her in.
216
00:09:46,242 --> 00:09:47,310
We need your consent
217
00:09:47,443 --> 00:09:49,512
for the baby's
diagnostic angiogram.
218
00:09:49,645 --> 00:09:51,614
Sure.
219
00:09:51,747 --> 00:09:54,016
The baby's Turner syndrome
makes every procedure,
220
00:09:54,150 --> 00:09:56,252
even a diagnostic
test, a little riskier.
221
00:09:57,553 --> 00:09:59,422
Well, this is your
area of expertise.
222
00:10:07,931 --> 00:10:10,266
[gentle music]
223
00:10:12,268 --> 00:10:14,470
Her baby's name is Eden.
224
00:10:18,274 --> 00:10:20,543
[Dr. Andrews] Pretty close to
the upper lung bifurcation.
225
00:10:20,676 --> 00:10:22,411
[Dr. Lim] I reinforced
it with sealant.
226
00:10:22,545 --> 00:10:24,280
[Dr. Andrews] With
a synthetic wrap?
227
00:10:24,413 --> 00:10:26,124
[Dr. Lim] Are you questioning
my surgical skills?
228
00:10:26,148 --> 00:10:27,659
[Dr. Andrews] Are you
getting defensive?
229
00:10:27,683 --> 00:10:31,020
[monitors beeping steadily]
230
00:10:31,153 --> 00:10:33,022
Okay. We're done.
231
00:10:33,155 --> 00:10:34,323
Let's test it.
232
00:10:38,996 --> 00:10:41,664
[tense music]
233
00:10:42,498 --> 00:10:43,633
Good job.
234
00:10:44,968 --> 00:10:48,037
- [monitors beeping rapidly]
- [dramatic music]
235
00:11:00,216 --> 00:11:02,218
Cardiac function stable.
You're good to go.
236
00:11:02,351 --> 00:11:04,687
Inserting the catheter.
237
00:11:04,820 --> 00:11:08,457
What a cute little girl.
Little girls are cute.
238
00:11:08,591 --> 00:11:10,793
- Mine would be really cute.
- Yeah, she'd be adorable.
239
00:11:10,928 --> 00:11:12,061
A boy could be adorable too.
240
00:11:13,529 --> 00:11:14,889
Are you trying to
pick your embryo?
241
00:11:15,364 --> 00:11:16,632
I'm leaning towards a girl.
242
00:11:16,766 --> 00:11:18,501
I have a playbook to work from.
243
00:11:18,634 --> 00:11:20,102
My playbook didn't help me much.
244
00:11:20,236 --> 00:11:21,671
A lot of my issues
with Kellan came
245
00:11:21,804 --> 00:11:23,272
from me trying to stop him
246
00:11:23,406 --> 00:11:25,141
from making the mistakes I made.
247
00:11:25,274 --> 00:11:26,618
If I'd had a daughter,
maybe I wouldn't have
248
00:11:26,642 --> 00:11:27,802
dumped all my baggage on her.
249
00:11:28,644 --> 00:11:29,947
You should choose a girl.
250
00:11:30,813 --> 00:11:32,715
But you're having a boy.
251
00:11:32,848 --> 00:11:34,350
We didn't get to choose.
252
00:11:34,483 --> 00:11:35,851
In all long-term health metrics,
253
00:11:35,986 --> 00:11:37,887
females are more likely
to outperform males,
254
00:11:38,021 --> 00:11:39,755
although they'll
probably make less money.
255
00:11:39,889 --> 00:11:41,809
The narrowing is longer
than it measured on echo.
256
00:11:45,528 --> 00:11:47,496
We should resect
the narrowed segment
257
00:11:47,630 --> 00:11:50,099
and do an aortic anastomosis.
258
00:11:50,232 --> 00:11:51,902
Huge surgery for a baby.
259
00:11:52,035 --> 00:11:53,904
It's the only
definitive treatment.
260
00:11:54,037 --> 00:11:55,738
Very definitive if
she dies on the table.
261
00:11:55,871 --> 00:11:57,406
Balloon dilation is safer.
262
00:11:57,540 --> 00:12:00,185
We can do a bigger procedure in a
few years when Eden can tolerate it.
263
00:12:00,209 --> 00:12:02,545
Her heart failure could
relapse between surgeries.
264
00:12:07,850 --> 00:12:09,819
Your two-step approach is safer,
265
00:12:09,953 --> 00:12:11,563
but only if the baby
gets daily medication
266
00:12:11,587 --> 00:12:13,255
and regular follow-up care.
267
00:12:13,389 --> 00:12:15,124
That's a lot to ask
of a homeless mom.
268
00:12:19,528 --> 00:12:22,264
I'll page CPS and get consent.
269
00:12:22,398 --> 00:12:23,666
You two practice the surgery.
270
00:12:23,799 --> 00:12:24,799
A lot.
271
00:12:28,437 --> 00:12:31,607
His pelvis looks like a jigsaw
puzzle with a 100 missing pieces.
272
00:12:32,675 --> 00:12:34,410
Jared may be right.
273
00:12:36,113 --> 00:12:37,780
You're taking his side.
274
00:12:37,914 --> 00:12:39,248
I'm not taking anyone's side.
275
00:12:39,382 --> 00:12:41,150
- Scans don't lie.
- Okay.
276
00:12:43,219 --> 00:12:45,588
I'm not sure if you're
mad at him or me,
277
00:12:45,721 --> 00:12:47,590
but we all need to get along.
278
00:12:50,760 --> 00:12:52,105
Well, you two seemed
to be getting along
279
00:12:52,129 --> 00:12:53,929
pretty well at the taco
truck the other night.
280
00:12:55,398 --> 00:12:56,766
That was nothing.
281
00:12:56,900 --> 00:12:57,934
Mm-hmm.
282
00:12:58,068 --> 00:12:59,502
You're spying on me?
283
00:13:00,369 --> 00:13:02,039
I was getting a taco.
284
00:13:02,171 --> 00:13:05,108
This green-eyed monster thing
is not a good look for you.
285
00:13:05,241 --> 00:13:06,609
I'm not jealous.
286
00:13:06,742 --> 00:13:08,744
But you're right.
287
00:13:08,878 --> 00:13:11,614
We're supposed to be a team.
He's just not a good fit.
288
00:13:11,747 --> 00:13:13,249
Let's just focus on the patient.
289
00:13:14,918 --> 00:13:15,918
Fine.
290
00:13:19,588 --> 00:13:20,957
Can't see how we're gonna repair
291
00:13:21,091 --> 00:13:22,625
all of that arterial damage.
292
00:13:24,293 --> 00:13:25,461
What if we don't?
293
00:13:27,630 --> 00:13:28,664
They could bypass it.
294
00:13:30,566 --> 00:13:31,634
All of it.
295
00:13:35,838 --> 00:13:38,008
This paper by
Dr. Alice Chen features
296
00:13:38,141 --> 00:13:39,351
interesting data on
tumor treating fields
297
00:13:39,375 --> 00:13:40,676
for GBM tumors.
298
00:13:40,810 --> 00:13:42,344
I'm trying to
enjoy my tuna melt.
299
00:13:42,478 --> 00:13:44,513
Dr. Chen is starting
a new study soon.
300
00:13:44,647 --> 00:13:46,049
You should call her.
301
00:13:46,183 --> 00:13:48,464
I'm not gonna spend the day
chasing down cancer treatments
302
00:13:48,551 --> 00:13:51,088
because I don't have cancer.
303
00:13:51,220 --> 00:13:53,957
Okay, there is a higher
probability of cancer relapse
304
00:13:54,091 --> 00:13:55,667
because you refused
maintenance chemotherapy.
305
00:13:55,691 --> 00:13:56,891
I'm not gonna talk about this.
306
00:13:56,993 --> 00:13:58,336
Recurrent GBM causes
much worse symptoms
307
00:13:58,360 --> 00:13:59,628
than temozolomide.
308
00:13:59,762 --> 00:14:01,297
That's the decision I made.
309
00:14:01,430 --> 00:14:04,834
I'm going crazy. There are
three crib sets I like.
310
00:14:04,968 --> 00:14:06,702
I just can't decide.
311
00:14:06,836 --> 00:14:09,206
Could you guys go to the
store after work tonight
312
00:14:09,338 --> 00:14:10,673
and pick your fave?
313
00:14:13,676 --> 00:14:14,744
Okay.
314
00:14:14,877 --> 00:14:15,877
[phone chimes]
315
00:14:17,513 --> 00:14:19,582
I have to go practice
the baby's surgery.
316
00:14:20,583 --> 00:14:22,685
I will see you after work.
317
00:14:25,287 --> 00:14:26,322
Oh, my God!
318
00:14:28,992 --> 00:14:30,127
Should I be worried?
319
00:14:30,259 --> 00:14:31,560
About me? No.
320
00:14:37,666 --> 00:14:39,602
[monitor beeping steadily]
321
00:14:42,772 --> 00:14:43,916
[Dr. Andrews] We're
going to kill him
322
00:14:43,940 --> 00:14:45,608
trying to save the
lobe of his lung.
323
00:14:45,741 --> 00:14:48,444
Removing it still leaves
him with 4/5ths capacity.
324
00:14:48,577 --> 00:14:50,856
[Dr. Lim] When there's a chance
you might lose half your body,
325
00:14:50,880 --> 00:14:52,414
everything you
have left matters.
326
00:14:57,486 --> 00:14:59,166
[Dr. Andrews] I need
lobectomy instruments.
327
00:15:01,390 --> 00:15:03,526
[Dr. Lim] This is my
OR, my department.
328
00:15:03,659 --> 00:15:05,095
[Dr. Andrews] My hospital.
329
00:15:05,228 --> 00:15:07,264
And when a doctor's
judgment is compromised,
330
00:15:07,396 --> 00:15:11,067
it's my responsibility to step
in and protect our patients.
331
00:15:11,201 --> 00:15:13,736
[Dr. Lim] In what possible
way am I compromised?
332
00:15:16,438 --> 00:15:19,742
Are you implying that my time in a
wheelchair is affecting my objectivity?
333
00:15:21,077 --> 00:15:22,311
[Dr. Andrews]
How could it not?
334
00:15:25,581 --> 00:15:26,782
[Dr. Lim] This is my patient.
335
00:15:27,883 --> 00:15:29,351
[Dr. Andrews] And
I'm your boss.
336
00:15:38,427 --> 00:15:41,131
You can either do this with me,
or I'll find someone who will.
337
00:15:47,170 --> 00:15:48,210
[Dr. Lim] Deaver retractor.
338
00:16:02,751 --> 00:16:04,787
[Jordan] After they fix
the colon, Lim can use
339
00:16:04,921 --> 00:16:07,090
some preserved bowel
to create a new bladder
340
00:16:07,224 --> 00:16:08,524
like these Korean surgeons did.
341
00:16:08,657 --> 00:16:10,894
That would work perfectly
with what I found.
342
00:16:11,027 --> 00:16:12,963
We can bypass all of
the artery injuries
343
00:16:13,096 --> 00:16:14,697
through two Dacron conduits
344
00:16:14,830 --> 00:16:16,166
directly to his
lower extremities.
345
00:16:16,299 --> 00:16:18,500
And the improved blood flow
would help with my idea
346
00:16:18,634 --> 00:16:20,103
with his pelvis.
347
00:16:20,237 --> 00:16:21,938
So skin flaps,
348
00:16:22,072 --> 00:16:24,207
Dacron artery
bypass, neo-bladder,
349
00:16:24,341 --> 00:16:26,842
bowel repair with
biomaterials, and...
350
00:16:29,012 --> 00:16:33,149
a badass, Wolverine-like
adamantium skeleton.
351
00:16:33,283 --> 00:16:35,151
It's experimental, but
it's pretty damn cool.
352
00:16:35,285 --> 00:16:37,220
Now, how do we make
sure all this heals?
353
00:16:38,854 --> 00:16:40,422
There's one study in Canada.
354
00:16:40,556 --> 00:16:42,076
A cocktail of recumbent
growth hormones
355
00:16:42,158 --> 00:16:43,958
and pentoxifylline showed
a threefold increase
356
00:16:44,027 --> 00:16:45,307
in traumatic wound
healing rates.
357
00:16:46,462 --> 00:16:47,830
That's great.
358
00:16:48,697 --> 00:16:50,200
There's only four patients,
359
00:16:50,333 --> 00:16:52,213
and none of them had the
same injuries as Brady.
360
00:16:52,868 --> 00:16:54,004
So no one got cut in half
361
00:16:54,137 --> 00:16:55,671
with a metal sheet
on an oil rig?
362
00:16:55,804 --> 00:16:58,008
Great, I guess we just
toss that study out.
363
00:16:58,141 --> 00:17:00,076
I'm just saying, I wish
we had something better.
364
00:17:01,244 --> 00:17:04,047
I'll happily take a
threefold increase.
365
00:17:04,180 --> 00:17:05,814
This is a workable plan.
366
00:17:05,949 --> 00:17:07,269
Good, because Lim
wants an update.
367
00:17:16,525 --> 00:17:17,961
Some promising ideas,
368
00:17:18,094 --> 00:17:19,896
but there's a lot of
frail tissue to heal.
369
00:17:21,998 --> 00:17:23,666
I found a study
using growth hormones
370
00:17:23,799 --> 00:17:25,368
to accelerate the healing.
371
00:17:25,501 --> 00:17:27,037
Interesting. Would
that work here?
372
00:17:29,105 --> 00:17:31,074
There was a threefold
plan that we had...
373
00:17:31,207 --> 00:17:33,252
Well, hang on, I want to hear
from the guy who did the research.
374
00:17:33,276 --> 00:17:34,277
[chuckles]
375
00:17:36,712 --> 00:17:38,614
I'm not confident it would.
376
00:17:38,747 --> 00:17:40,616
You guys said you
had a workable plan.
377
00:17:40,749 --> 00:17:42,328
It can work. Jared's
being overly cautious.
378
00:17:42,352 --> 00:17:44,196
If you close the pelvis
without good vascular support,
379
00:17:44,220 --> 00:17:45,888
all these repairs
will get necrotic.
380
00:17:46,022 --> 00:17:48,167
We will have good support. The Dacron
conduit to restore blood flow...
381
00:17:48,191 --> 00:17:49,567
Not normal flow and
not quick enough.
382
00:17:49,591 --> 00:17:50,802
Oh, dude, you've been doom
and gloom from the start.
383
00:17:50,826 --> 00:17:51,895
- I've been...
- Enough.
384
00:17:52,828 --> 00:17:54,130
Find a way to heal him.
385
00:17:54,264 --> 00:17:56,732
I don't care who it comes
from, but I need it soon.
386
00:18:14,417 --> 00:18:16,920
The nurse said she's
responding to the medication.
387
00:18:18,821 --> 00:18:21,657
How long will Eden be in the
hospital after the surgery?
388
00:18:21,790 --> 00:18:23,259
Two weeks.
389
00:18:23,393 --> 00:18:25,828
Jasmine's on the wait list
for long-term housing.
390
00:18:25,962 --> 00:18:27,202
She might have a place by then.
391
00:18:29,132 --> 00:18:30,934
Also, uh,
392
00:18:32,135 --> 00:18:34,337
is this safe if she
keeps breastfeeding?
393
00:18:34,471 --> 00:18:35,791
The police found
this in her tent.
394
00:18:36,973 --> 00:18:39,275
This is a bipolar
mood stabilizer.
395
00:18:39,409 --> 00:18:40,409
It's safe.
396
00:18:41,277 --> 00:18:42,946
How long has she
been taking this?
397
00:18:43,079 --> 00:18:44,723
She saw her psychiatrist
for the first time in years
398
00:18:44,747 --> 00:18:46,116
about five weeks ago.
399
00:18:46,249 --> 00:18:49,119
She responded to it in the past.
400
00:18:49,252 --> 00:18:51,820
She had a follow-up
scheduled with him tomorrow.
401
00:18:56,893 --> 00:18:59,329
There's another treatment
option for Eden.
402
00:18:59,462 --> 00:19:02,132
I know, I know.
It's disgusting.
403
00:19:02,265 --> 00:19:04,010
You're gonna think, "What
are the percentages?"
404
00:19:04,034 --> 00:19:06,069
Trust me, you change his diapers
405
00:19:06,202 --> 00:19:07,642
and you are gonna
bond with your son.
406
00:19:07,669 --> 00:19:09,139
Okay, here is the
Angelic Dream Set.
407
00:19:09,272 --> 00:19:12,674
And be attentive to
Lea. Be extra attentive.
408
00:19:12,808 --> 00:19:14,177
She's gonna be sleep-deprived.
409
00:19:14,310 --> 00:19:15,711
You are gonna be sleep-deprived.
410
00:19:15,844 --> 00:19:17,256
You're both gonna want
to lose it. Don't.
411
00:19:17,280 --> 00:19:19,315
This mattress is
very comfortable.
412
00:19:19,449 --> 00:19:21,918
This dark wood is a
little bit funereal.
413
00:19:22,052 --> 00:19:24,354
The baby won't care
about the color.
414
00:19:24,487 --> 00:19:27,123
It's all about
first impressions.
415
00:19:27,257 --> 00:19:29,192
It's a newborn, you
know? Clean slate.
416
00:19:29,325 --> 00:19:31,227
You want to surround it
with beautiful things.
417
00:19:31,361 --> 00:19:33,039
A stuffed, soft... No,
you don't want to do that.
418
00:19:33,063 --> 00:19:34,497
That's a hazard.
419
00:19:34,630 --> 00:19:36,108
But these spinny things...
What do you call these?
420
00:19:36,132 --> 00:19:37,500
Mobiles, mobiles.
421
00:19:37,633 --> 00:19:39,169
You know, everywhere he looks,
422
00:19:39,302 --> 00:19:40,904
you want him to be
interested, stimulated.
423
00:19:41,037 --> 00:19:42,738
Beautiful sounds.
Beautiful music.
424
00:19:42,871 --> 00:19:44,573
Mozart. Joni Mitchell.
425
00:19:44,706 --> 00:19:46,775
If you want to talk
about something
426
00:19:46,910 --> 00:19:48,030
other than selecting a crib,
427
00:19:48,144 --> 00:19:49,455
it should be brain
cancer treatments.
428
00:19:49,479 --> 00:19:50,855
Oh my God! I don't want
to think about that.
429
00:19:50,879 --> 00:19:51,959
I can't not think about it.
430
00:19:52,082 --> 00:19:54,817
In 12 hours, we
will have results...
431
00:19:54,951 --> 00:19:56,319
- Exactly.
- We should be prepared.
432
00:19:56,453 --> 00:19:59,588
Okay, Shaun, stop. Just...
just stop for a second
433
00:20:02,025 --> 00:20:03,026
Sit down.
434
00:20:05,061 --> 00:20:06,061
Okay.
435
00:20:11,800 --> 00:20:13,236
If I have cancer,
436
00:20:17,006 --> 00:20:19,242
I'd be at stage four, right?
437
00:20:19,375 --> 00:20:21,877
There's no miracle
cure for that.
438
00:20:22,011 --> 00:20:24,746
You still haven't called
Dr. Chen in Cleveland.
439
00:20:24,880 --> 00:20:25,949
I read her paper.
440
00:20:26,082 --> 00:20:27,683
It doesn't work
with recurrent GBM.
441
00:20:37,393 --> 00:20:40,263
How can you think about teddy
bears when you might be dying?
442
00:20:42,198 --> 00:20:45,034
If you're right, Shaun,
443
00:20:45,168 --> 00:20:47,636
then I won't be here
when your son is born.
444
00:20:48,905 --> 00:20:50,772
I won't be here to help you.
445
00:20:54,310 --> 00:20:56,446
We'll know when we know.
446
00:21:03,353 --> 00:21:04,653
I like the lighter wood.
447
00:21:06,923 --> 00:21:08,124
So do I.
448
00:21:13,396 --> 00:21:15,098
What else should I
know about diapers?
449
00:21:28,144 --> 00:21:29,344
[Dr. Andrews]
Lung lobe is out.
450
00:21:29,379 --> 00:21:32,949
[monitor beeping steadily]
451
00:21:33,082 --> 00:21:35,118
These segmental
vessels are damaged.
452
00:21:35,251 --> 00:21:37,051
[Dr. Lim] Running 7-0
sutures should fix them.
453
00:21:37,153 --> 00:21:39,455
[Dr. Andrews] Why bother?
The upper lobe is out.
454
00:21:39,589 --> 00:21:41,690
[Dr. Lim] If we can get
Perez's Dacron graft to work,
455
00:21:41,823 --> 00:21:43,102
we could use them to
save his lower half.
456
00:21:43,126 --> 00:21:44,360
[Dr. Andrews] Very unlikely.
457
00:21:44,494 --> 00:21:45,938
[Dr. Lim] The residents
are working on it.
458
00:21:45,962 --> 00:21:47,602
[Dr. Andrews] And
obviously not succeeding.
459
00:21:50,766 --> 00:21:51,843
[Dr. Lim] First,
I'm compromised,
460
00:21:51,867 --> 00:21:53,403
now you're slagging
on the residents?
461
00:21:53,536 --> 00:21:55,414
[Dr. Andrews] Two are on
probation, you let another one go,
462
00:21:55,438 --> 00:21:57,073
and her replacement
is someone I fired.
463
00:21:57,207 --> 00:21:58,984
[Dr. Lim] He's also the world's
most experienced first-year,
464
00:21:59,008 --> 00:22:00,419
and he brings a new
perspective to the mix.
465
00:22:00,443 --> 00:22:02,178
And training these
guys is my job.
466
00:22:02,312 --> 00:22:04,380
[Dr. Andrews] Your job
is to make my job easier.
467
00:22:04,514 --> 00:22:06,225
[Dr. Lim] I thought it was to
run a great surgical department.
468
00:22:06,249 --> 00:22:08,194
[Dr. Andrews] If you were doing
that, I wouldn't have to think
469
00:22:08,218 --> 00:22:10,138
about that department as
much as I have recently.
470
00:22:12,854 --> 00:22:13,923
[Dr. Lim] Vessel loops.
471
00:22:25,501 --> 00:22:27,337
[Dr. Park] You changed
the baby's surgery?
472
00:22:27,470 --> 00:22:29,572
We weren't giving
Jasmine enough credit.
473
00:22:29,706 --> 00:22:31,250
She's done a lot to
turn her life around
474
00:22:31,274 --> 00:22:32,375
since Eden was born.
475
00:22:32,508 --> 00:22:34,210
For seven weeks.
476
00:22:34,344 --> 00:22:35,387
And with this new
treatment plan,
477
00:22:35,411 --> 00:22:36,980
she has to keep it
up for seven years.
478
00:22:38,014 --> 00:22:39,549
A baby can change a person.
479
00:22:41,484 --> 00:22:42,784
[intercom beeps]
480
00:22:42,919 --> 00:22:44,296
[announcer on intercom]
Code pink, NICU bed three.
481
00:22:44,320 --> 00:22:45,320
That's Eden.
482
00:22:45,989 --> 00:22:48,091
Code pink, NICU bed three.
483
00:22:49,025 --> 00:22:52,028
[sirens wailing in distance]
484
00:22:58,901 --> 00:23:01,104
Lim asked for my opinion.
485
00:23:07,776 --> 00:23:12,282
I met so many rich, entitled
guys like you in college,
486
00:23:12,415 --> 00:23:14,284
and I couldn't stand them...
487
00:23:14,417 --> 00:23:15,497
Even the ones I slept with.
488
00:23:17,754 --> 00:23:19,589
If you can't handle
the hard work,
489
00:23:19,722 --> 00:23:22,225
just get in your
Lamborghini and go home.
490
00:23:24,894 --> 00:23:26,229
Sherry Lewis.
491
00:23:31,634 --> 00:23:33,269
One of my last
patients in Denver.
492
00:23:34,504 --> 00:23:36,205
Late-stage ovarian cancer.
493
00:23:36,339 --> 00:23:38,074
Treatment's pelvic exenteration.
494
00:23:38,775 --> 00:23:40,777
You remove everything.
495
00:23:40,943 --> 00:23:44,013
The bladder, colon,
uterus, and vagina.
496
00:23:45,114 --> 00:23:46,848
Now, in success,
497
00:23:46,983 --> 00:23:49,452
the patient lives with
colostomy and urostomy bags,
498
00:23:49,585 --> 00:23:51,654
severe menopause, and
absolutely no sex life.
499
00:23:53,456 --> 00:23:55,325
Well, it's brutal but effective.
500
00:23:56,959 --> 00:23:58,027
Would have been.
501
00:24:00,296 --> 00:24:03,166
But I talked my
attending out of it,
502
00:24:03,299 --> 00:24:05,768
in favor of an
experimental surgery.
503
00:24:05,902 --> 00:24:07,337
A wide excision
of all the tumors,
504
00:24:07,470 --> 00:24:10,006
then you reconstruct the entire
pelvic floor with TRAM flaps.
505
00:24:10,139 --> 00:24:11,307
Incredibly advanced.
506
00:24:13,576 --> 00:24:15,696
The type of stuff you're
talking about doing to Brady.
507
00:24:20,817 --> 00:24:22,485
Sherry, um...
508
00:24:26,923 --> 00:24:28,691
Sherry died on the table.
509
00:24:33,129 --> 00:24:34,863
And I left Denver.
510
00:24:51,180 --> 00:24:52,815
We take risks and people die.
511
00:24:55,251 --> 00:24:56,819
But if we play it safe,
512
00:24:59,389 --> 00:25:00,390
they die too.
513
00:25:04,560 --> 00:25:06,529
I'd rather regret fighting
too hard for a patient
514
00:25:06,662 --> 00:25:08,331
than not hard enough.
515
00:25:26,816 --> 00:25:29,685
[Shaun] Why would your
daughter shave your cat?
516
00:25:29,819 --> 00:25:33,890
[Dr. Glassman] Long story.
Point being, don't get a cat.
517
00:25:34,023 --> 00:25:36,135
Kids are gonna tell you they're
gonna clean the litter box.
518
00:25:36,159 --> 00:25:38,761
They're not gonna clean the litter
box. Don't fall for that trap.
519
00:25:38,896 --> 00:25:41,164
You made a lot of mistakes.
520
00:25:41,297 --> 00:25:42,365
Yeah.
521
00:25:43,099 --> 00:25:45,134
It all boils down to
522
00:25:45,268 --> 00:25:47,069
Maddy's mom basically raised her
523
00:25:47,203 --> 00:25:49,372
while I focused on work.
524
00:25:49,505 --> 00:25:51,941
You were a surgeon. She
was a real estate agent.
525
00:25:52,074 --> 00:25:53,376
I love surgery.
526
00:25:53,509 --> 00:25:55,278
I love poking around
in people's brains.
527
00:25:55,411 --> 00:25:57,346
It's very exciting.
528
00:25:57,480 --> 00:25:59,949
And I get to save some
lives while I'm at it.
529
00:26:00,082 --> 00:26:02,952
Saving lives is very exciting.
530
00:26:03,085 --> 00:26:05,154
So were Maddy's first
steps, her first words,
531
00:26:05,288 --> 00:26:09,025
her first piano
recital, or so I heard.
532
00:26:09,158 --> 00:26:10,960
Work over family, and
that's what you get.
533
00:26:11,093 --> 00:26:12,862
You're not gonna make
the same mistakes.
534
00:26:14,230 --> 00:26:15,731
I don't think I will.
535
00:26:15,865 --> 00:26:17,834
We are very different people.
536
00:26:22,872 --> 00:26:24,040
Are we?
537
00:26:29,779 --> 00:26:33,483
I have learned some very
useful things from you.
538
00:26:33,616 --> 00:26:35,418
Well, right back at you.
539
00:26:38,287 --> 00:26:40,289
[phone chimes]
540
00:26:42,425 --> 00:26:44,962
The baby needs surgery.
541
00:26:45,094 --> 00:26:46,562
The crib needs to be assembled.
542
00:26:46,696 --> 00:26:47,931
Go.
543
00:26:48,064 --> 00:26:49,532
But you chose work
way too often.
544
00:26:49,665 --> 00:26:51,434
When should I prioritize family?
545
00:26:51,567 --> 00:26:53,035
[chuckles] When you
have a sick baby
546
00:26:53,169 --> 00:26:56,439
and a piece of furniture, the
sick baby wins every time. Go.
547
00:26:57,106 --> 00:26:58,441
I got this.
548
00:27:10,553 --> 00:27:11,633
[Perez] Serial debridement.
549
00:27:11,754 --> 00:27:13,991
Helps healing a little, but...
550
00:27:14,123 --> 00:27:16,325
it increases
infection risk a lot.
551
00:27:16,459 --> 00:27:17,527
Well, then I'm tapped out.
552
00:27:18,594 --> 00:27:19,594
Me too.
553
00:27:21,297 --> 00:27:23,132
I guess we should tell Lim.
554
00:27:24,100 --> 00:27:25,401
Lamborghinis.
555
00:27:25,535 --> 00:27:27,036
[breathing heavily]
556
00:27:27,169 --> 00:27:28,471
Lamborghinis.
557
00:27:29,772 --> 00:27:31,807
Now, most sports cars use
pressurized combustion
558
00:27:31,942 --> 00:27:33,752
to achieve that kind of
performance, but not Lambos.
559
00:27:33,776 --> 00:27:34,844
No, no, no, no.
560
00:27:34,978 --> 00:27:36,321
To reduce engine
wear, they use vacuums
561
00:27:36,345 --> 00:27:37,847
to pour gas into the pistons.
562
00:27:37,981 --> 00:27:39,649
Now, Brady's organs won't heal
563
00:27:39,782 --> 00:27:40,792
because we can't get
enough flow to them,
564
00:27:40,816 --> 00:27:42,785
but if you force more blood
565
00:27:42,920 --> 00:27:44,730
into the area, well, then
we cause lethally high
566
00:27:44,754 --> 00:27:47,857
abdominal compartment
pressure. So...
567
00:27:47,991 --> 00:27:50,826
Let's pull in the blood
passively by creating a vacuum
568
00:27:50,961 --> 00:27:52,495
using internal suction devices.
569
00:27:57,000 --> 00:27:59,903
A low pressure system with low
tissue stress is better for healing.
570
00:28:00,536 --> 00:28:01,536
[Asher] That's...
571
00:28:03,172 --> 00:28:04,206
That's a brilliant idea.
572
00:28:05,207 --> 00:28:06,576
But it won't work.
573
00:28:06,709 --> 00:28:08,544
Not without blood coming
into the right areas.
574
00:28:09,579 --> 00:28:10,880
I need your help with that.
575
00:28:13,050 --> 00:28:14,550
Where do you need the blood?
576
00:28:21,524 --> 00:28:23,359
It's what we proposed earlier,
577
00:28:23,492 --> 00:28:25,227
plus a healing
plan that Jared...
578
00:28:25,361 --> 00:28:26,429
[Dr. Andrews] I can read.
579
00:28:29,532 --> 00:28:30,533
[Dr. Lim] Good work.
580
00:28:34,370 --> 00:28:36,238
[Dr. Andrews] It's four
experimental techniques
581
00:28:36,372 --> 00:28:39,542
rolled into an eight-hour surgery
with lousy odds of success.
582
00:28:49,485 --> 00:28:50,553
Let's give it a try.
583
00:29:03,833 --> 00:29:06,135
[Dr. Lim] Dacron conduits
are connected to the aorta.
584
00:29:06,268 --> 00:29:08,738
Do the anastomosis sites
look secure enough?
585
00:29:08,871 --> 00:29:10,631
Any weak spots in there
will move that metal.
586
00:29:10,706 --> 00:29:12,109
He'll bleed out.
587
00:29:12,241 --> 00:29:13,409
They know.
588
00:29:14,477 --> 00:29:15,645
[Dr. Andrews] On three.
589
00:29:15,778 --> 00:29:18,881
One, two, three.
590
00:29:39,002 --> 00:29:40,469
[Dr. Lim] We have hemostasis.
591
00:29:40,603 --> 00:29:42,481
[Dr. Andrews] And good blood
flow through the conduits.
592
00:29:42,505 --> 00:29:44,206
Tissue's perfusing.
593
00:29:46,009 --> 00:29:48,111
[both laughing]
594
00:29:48,277 --> 00:29:51,180
Yes! Yes!
595
00:29:51,313 --> 00:29:54,283
[muffled chatter]
596
00:29:54,417 --> 00:29:58,121
[laughter]
597
00:29:58,254 --> 00:30:00,523
[Dr. Andrews] Time to move
on to the pelvic fractures.
598
00:30:02,959 --> 00:30:06,662
This is much more important
than assembling a crib.
599
00:30:06,796 --> 00:30:08,464
But patients will
always need surgery,
600
00:30:08,597 --> 00:30:10,733
and my family will
always need attention.
601
00:30:10,866 --> 00:30:13,036
If there's no clear
choice between a patient
602
00:30:13,170 --> 00:30:15,805
and your family, pick the
one that's related to you.
603
00:30:15,939 --> 00:30:16,939
Hmm.
604
00:30:19,910 --> 00:30:22,145
Obviously, choose
family when you can,
605
00:30:22,278 --> 00:30:24,981
but sacrifice is
part of the job.
606
00:30:25,115 --> 00:30:27,017
That's a good point.
607
00:30:27,150 --> 00:30:28,651
But you are divorced.
608
00:30:28,784 --> 00:30:30,219
That is more
sacrifice than I want.
609
00:30:30,352 --> 00:30:32,688
- Fair.
- [monitor beeps]
610
00:30:32,822 --> 00:30:35,391
[Dr. Reznick] Eden's O2
sat just dropped a bit.
611
00:30:35,524 --> 00:30:36,659
I'm nowhere near her lungs.
612
00:30:56,312 --> 00:30:58,247
Turner syndrome
causes leaky vessels.
613
00:30:58,380 --> 00:31:00,850
The stress on Eden's body is
causing lymph fluid to build up.
614
00:31:00,984 --> 00:31:02,718
We can drain it
with a chest tube.
615
00:31:02,852 --> 00:31:05,692
Her chest is so small, you'd risk a
collapsed lung and pleural infection.
616
00:31:07,023 --> 00:31:09,391
I could clear the
lung with diuretics.
617
00:31:09,525 --> 00:31:12,728
The risks and benefits of both
treatments are nearly identical.
618
00:31:14,330 --> 00:31:16,209
But that also means it doesn't
matter which one we choose,
619
00:31:16,233 --> 00:31:17,633
which makes the choice easy.
620
00:31:17,767 --> 00:31:20,036
I find inserting chest tubes
particularly satisfying,
621
00:31:20,170 --> 00:31:21,604
so I will do that.
622
00:31:27,476 --> 00:31:30,579
The risks and benefits of a boy and
a girl are nearly identical too.
623
00:31:32,548 --> 00:31:34,084
But girls kick ass.
624
00:31:39,388 --> 00:31:42,259
[monitor beeping steadily]
625
00:31:42,391 --> 00:31:45,427
[Dr. Andrews] This implant's gonna be
a tight fit around the cauda equina.
626
00:31:45,561 --> 00:31:47,898
The bioengineer's
mapping algorithm
627
00:31:48,031 --> 00:31:50,432
was designed to
optimize stability.
628
00:31:50,566 --> 00:31:52,166
[Dr. Lim] Well, Brady's
not an algorithm.
629
00:31:52,202 --> 00:31:53,762
His nerves are gonna
run where they run.
630
00:31:55,238 --> 00:31:57,140
[Dr. Andrews] I'll
set it in position.
631
00:31:57,274 --> 00:31:58,841
[monitor beeping]
632
00:31:58,975 --> 00:32:01,244
Nerve impingement.
633
00:32:01,410 --> 00:32:03,250
[Dr. Lim] I'll expand
the narrowing with a rod.
634
00:32:10,452 --> 00:32:12,597
Wait, there's an alternate
algorithm that can fix that.
635
00:32:12,621 --> 00:32:15,158
[Dr. Lim] Settle down,
Dr. Allen. I got this.
636
00:32:15,292 --> 00:32:18,128
That's $100,000 worth of
tech, and she's using a rod.
637
00:32:20,629 --> 00:32:23,499
[beeping rapidly]
638
00:32:23,632 --> 00:32:25,634
[Dr. Andrews] Nerve
activity flattening.
639
00:32:26,468 --> 00:32:29,772
[Dr. Lim] One more minute.
640
00:32:35,511 --> 00:32:37,646
[beeping steadies]
641
00:32:37,780 --> 00:32:39,448
[breathes deeply]
642
00:32:46,189 --> 00:32:47,829
[Dr. Andrews] The old
cantilever maneuver.
643
00:32:48,258 --> 00:32:49,358
Nice work.
644
00:32:49,491 --> 00:32:50,811
[Dr. Lim] Can't
beat the classics.
645
00:32:56,565 --> 00:32:59,802
Eden's surgery went well, so
I was hoping Jasmine might...
646
00:33:12,481 --> 00:33:13,649
V-fib.
647
00:33:16,485 --> 00:33:18,321
Ran a code for an hour, but...
648
00:33:20,689 --> 00:33:22,325
she'd just been
through too much.
649
00:33:28,365 --> 00:33:31,167
[Dr. Lim] Vacuum
devices are in position.
650
00:33:31,301 --> 00:33:33,370
Let's see if they work.
651
00:33:33,502 --> 00:33:35,942
[Dr. Andrews] Keep a close eye
on his intra-abdominal pressure.
652
00:33:38,308 --> 00:33:39,408
[Dr. Lim] We have vacuum.
653
00:33:40,709 --> 00:33:41,949
[Villanueva] IA
pressure's okay.
654
00:33:42,078 --> 00:33:43,980
[Dr. Lim] Time for
the tissue flaps.
655
00:33:44,114 --> 00:33:46,049
Looking good, Lambo.
656
00:33:48,351 --> 00:33:50,296
[Villanueva] There's a
small spike in IA pressure.
657
00:33:50,320 --> 00:33:52,588
- [beeping rapidly] - [Dr.
Lim] Increasing vacuum suction.
658
00:33:52,721 --> 00:33:54,690
[Villanueva] Still climbing.
659
00:33:57,693 --> 00:33:58,905
[Dr. Andrews] Pressure's
compressing his organs.
660
00:33:58,929 --> 00:34:00,596
[beeping rapidly]
661
00:34:00,729 --> 00:34:01,864
He's getting ischemic.
662
00:34:01,998 --> 00:34:03,158
[Dr. Lim] I'm going up to 55.
663
00:34:10,340 --> 00:34:11,374
He's in shock.
664
00:34:13,143 --> 00:34:15,611
I did this.
665
00:34:15,744 --> 00:34:17,880
You didn't do anything.
We're in this together.
666
00:34:22,718 --> 00:34:23,728
[Dr. Andrews] We
need to amputate.
667
00:34:23,752 --> 00:34:25,055
[Dr. Lim] Not yet.
668
00:34:25,188 --> 00:34:25,956
[Dr. Andrews] Audrey,
pressure's too high.
669
00:34:26,089 --> 00:34:27,090
We're killing his organs.
670
00:34:27,223 --> 00:34:28,223
I think he's wrong.
671
00:34:30,126 --> 00:34:31,560
Then fight for your patient.
672
00:34:36,865 --> 00:34:38,600
[Dr. Andrews] We
need to amputate.
673
00:34:41,938 --> 00:34:43,349
- [Dr. Lim] Okay.
- [Dr. Andrews] All right.
674
00:34:43,373 --> 00:34:44,707
We need a Liston
amputation knife,
675
00:34:44,840 --> 00:34:46,642
a bone saw, and a set
of 5 1/2-inch hemostats.
676
00:34:46,775 --> 00:34:49,511
He can handle 75.
677
00:34:49,645 --> 00:34:51,885
[Dr. Andrews] With that kind
of pressure, he'll bleed out.
678
00:34:51,915 --> 00:34:53,116
Normally, yes.
679
00:34:53,249 --> 00:34:54,951
But the Dacron conduits
Dr. Perez chose
680
00:34:55,085 --> 00:34:56,819
are more rigid than
typical vessels.
681
00:34:56,953 --> 00:34:58,355
They'll hold up.
682
00:34:59,222 --> 00:35:00,222
[Dr. Lim] Let's do it.
683
00:35:02,258 --> 00:35:05,929
I trust my residents, Marcus,
and I need you to trust me.
684
00:35:15,205 --> 00:35:16,365
[Dr. Andrews] Let's go to 75.
685
00:35:36,792 --> 00:35:38,660
Brady's family are here.
686
00:35:42,232 --> 00:35:43,799
Is my husband...
687
00:35:43,933 --> 00:35:45,001
The surgery was a success.
688
00:35:46,002 --> 00:35:47,971
It will be a long
recovery, but...
689
00:35:48,104 --> 00:35:49,104
Oh.
690
00:35:52,976 --> 00:35:55,878
Thank you for saving my dad.
691
00:35:59,848 --> 00:36:00,984
I'll take you to him.
692
00:36:05,854 --> 00:36:07,991
I should be dead on my
feet, but I just feel...
693
00:36:08,824 --> 00:36:10,160
- Awesome?
- Yeah.
694
00:36:17,333 --> 00:36:19,002
It's been 24 hours.
695
00:36:21,670 --> 00:36:22,805
Yeah.
696
00:36:29,645 --> 00:36:31,780
[sighs] I just need a minute.
697
00:36:31,915 --> 00:36:34,517
A minute won't
change the results.
698
00:36:35,884 --> 00:36:37,020
No, it won't.
699
00:36:50,567 --> 00:36:54,504
No cancerous DNA detected.
700
00:36:54,636 --> 00:36:56,039
I was wrong!
701
00:36:57,040 --> 00:36:58,308
Yes, you were.
702
00:37:02,212 --> 00:37:04,981
[ Everybody karaoke
track playing]
703
00:37:05,115 --> 00:37:06,149
[laughs]
704
00:37:06,282 --> 00:37:08,817
♪♪ Everybody ♪♪
705
00:37:08,952 --> 00:37:10,686
♪♪ Yeah ♪♪
706
00:37:10,819 --> 00:37:13,423
♪♪ Rock your body, yeah ♪♪
707
00:37:13,556 --> 00:37:15,058
♪♪ Yeah ♪♪
708
00:37:15,191 --> 00:37:18,027
♪♪ Everybody ♪♪
709
00:37:18,161 --> 00:37:20,696
♪♪ Rock your body right ♪♪
710
00:37:21,364 --> 00:37:22,664
What?
711
00:37:22,798 --> 00:37:25,969
♪♪ Backstreet's
back, all right ♪♪
712
00:37:26,102 --> 00:37:27,736
I'm gonna keep up
this same energy
713
00:37:27,870 --> 00:37:29,072
with some Whitney.
714
00:37:29,906 --> 00:37:31,074
You were right.
715
00:37:32,108 --> 00:37:33,143
You always are.
716
00:37:33,276 --> 00:37:34,277
You're learning.
717
00:37:36,146 --> 00:37:39,282
♪♪ Oh, my God,
we're back again ♪♪
718
00:37:40,649 --> 00:37:43,752
You know, before when I
was bitching about Jared,
719
00:37:45,188 --> 00:37:46,188
it's because...
720
00:37:47,190 --> 00:37:48,491
Well, I am a little jealous.
721
00:37:49,392 --> 00:37:50,392
A little?
722
00:37:51,294 --> 00:37:53,729
Okay. [chuckles]
723
00:37:53,862 --> 00:37:54,940
What you saw between
Jared and I...
724
00:37:54,964 --> 00:37:57,000
It's none of my business.
725
00:37:57,133 --> 00:38:00,003
You deserve somebody who's
ready to fully commit.
726
00:38:00,136 --> 00:38:01,296
Somebody who makes you happy.
727
00:38:03,439 --> 00:38:04,974
Whoever that may be.
728
00:38:06,342 --> 00:38:08,111
- ♪♪ Yeah ♪♪
- Danny!
729
00:38:08,244 --> 00:38:09,522
We need your boy band
face for the chorus.
730
00:38:09,546 --> 00:38:11,680
- Come here.
- Yeah, we need those abs.
731
00:38:11,813 --> 00:38:13,650
Get up here, baby!
732
00:38:13,782 --> 00:38:15,118
♪♪ Am I everything you need ♪♪
733
00:38:15,251 --> 00:38:17,086
♪♪ You better rock
your body now ♪♪
734
00:38:17,220 --> 00:38:19,821
♪♪ Everybody ♪♪
735
00:38:19,956 --> 00:38:21,757
♪♪ Yeah ♪♪
736
00:38:21,890 --> 00:38:24,260
♪♪ Rock your body ♪♪
737
00:38:24,394 --> 00:38:26,029
♪♪ Yeah ♪♪
738
00:38:26,162 --> 00:38:28,697
♪♪ Everybody ♪♪
739
00:38:28,830 --> 00:38:31,800
♪♪ Backstreet's
back, all right ♪♪
740
00:38:31,935 --> 00:38:34,870
[all cheer]
741
00:38:35,004 --> 00:38:36,844
[Jerome] The new surgical
robot is operational,
742
00:38:36,872 --> 00:38:38,908
and I just landed the
perfect nephrectomy
743
00:38:39,042 --> 00:38:40,343
for its inaugural run.
744
00:38:40,476 --> 00:38:41,511
Dibs.
745
00:38:41,644 --> 00:38:43,079
Ah, you did the last cool case.
746
00:38:43,213 --> 00:38:45,148
This one's going to Dr. Murphy.
747
00:38:46,782 --> 00:38:49,052
This is cool.
748
00:38:51,787 --> 00:38:53,356
Dr. Park should take it.
749
00:38:53,489 --> 00:38:55,358
I have to finish
setting up our nursery.
750
00:39:07,637 --> 00:39:08,671
Hey.
751
00:39:11,840 --> 00:39:12,840
Good job today.
752
00:39:13,842 --> 00:39:15,044
Thanks.
753
00:39:18,281 --> 00:39:19,549
I've been under the microscope
754
00:39:19,682 --> 00:39:22,185
with the board lately,
and I am stressed.
755
00:39:26,723 --> 00:39:29,359
Things were said that
probably shouldn't have been.
756
00:39:33,363 --> 00:39:35,565
Things weren't
said. You said them.
757
00:39:41,337 --> 00:39:44,207
If you don't trust me, fire me.
758
00:39:46,109 --> 00:39:48,745
And if you do, then
stay out of my way.
759
00:40:02,225 --> 00:40:04,093
[baby crying]
760
00:40:07,530 --> 00:40:08,530
Hey.
761
00:40:09,699 --> 00:40:10,733
Dalisay?
762
00:40:11,434 --> 00:40:12,502
The baby's upset.
763
00:40:12,635 --> 00:40:13,636
Her heart?
764
00:40:13,770 --> 00:40:15,338
No, everything's fine there.
765
00:40:15,471 --> 00:40:17,740
I just... I think she
needs some company.
766
00:40:17,873 --> 00:40:19,642
I'll get to her when I
can, but I'm slammed.
767
00:40:19,776 --> 00:40:21,778
[baby wailing]
768
00:40:21,911 --> 00:40:22,911
[shushing gently]
769
00:40:24,947 --> 00:40:26,049
[phone chimes]
770
00:40:45,134 --> 00:40:47,036
I'm here, Eden.
771
00:40:47,170 --> 00:40:49,172
[baby cooing]
772
00:41:06,189 --> 00:41:07,790
You can open your eyes now.
773
00:41:10,126 --> 00:41:11,961
It's so sweet.
774
00:41:12,995 --> 00:41:14,530
The crib.
775
00:41:15,965 --> 00:41:17,133
The dresser.
776
00:41:17,266 --> 00:41:18,801
It's the Angelic Dream Set.
777
00:41:18,935 --> 00:41:20,169
The dark walnut was funereal,
778
00:41:20,303 --> 00:41:23,272
but it also came
in natural pine.
779
00:41:23,406 --> 00:41:27,110
Oh, our little peanut
is gonna love it.
780
00:41:28,144 --> 00:41:29,946
Oh.
781
00:41:32,115 --> 00:41:33,383
Whatcha got there?
782
00:41:35,118 --> 00:41:36,285
There are
783
00:41:36,953 --> 00:41:39,155
two screws missing.
784
00:41:40,323 --> 00:41:42,158
That is not good.
785
00:41:42,291 --> 00:41:45,094
No Biggie, Shaun. It's
just a couple screws.
786
00:41:45,228 --> 00:41:48,698
No, that means
Dr. Glassman missed a step.
787
00:41:53,436 --> 00:41:55,838
Dr. Glassman doesn't
have brain cancer,
788
00:41:57,507 --> 00:41:59,342
but there is something
wrong with his brain.
789
00:42:14,257 --> 00:42:16,259
[closing theme playing]
57469
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