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1
00:00:01,139 --> 00:00:03,003
[Lea] Previously on
The Good Doctor...
2
00:00:03,037 --> 00:00:04,452
You go going
to the club or work?
3
00:00:04,487 --> 00:00:06,592
Yeah, these early calls
are gonna take
some getting used to.
4
00:00:06,627 --> 00:00:07,938
[Shaun] Browne retractor.
5
00:00:07,973 --> 00:00:09,250
No Browne retractor.
6
00:00:09,285 --> 00:00:11,011
[Jared] I thought I put it on
your tray from the supply room.
7
00:00:11,045 --> 00:00:12,460
[Dr. Andrews] Dr. Kalu
is not your peer.
8
00:00:12,495 --> 00:00:14,221
He's your employee,
and you are his boss.
9
00:00:14,255 --> 00:00:17,189
I do not plan to give Jared
special treatment.
10
00:00:17,224 --> 00:00:20,020
And if I see it, it won't
be good for either of you.
11
00:00:20,054 --> 00:00:22,022
I'm not expecting
special treatment, Shaun,
12
00:00:22,056 --> 00:00:24,472
but I don't appreciate being
treated like an intern either.
13
00:00:24,507 --> 00:00:27,337
Dr. Andrews said
he is judging my performance
off of your performance,
14
00:00:27,372 --> 00:00:29,236
and your performance
is not good.
15
00:00:29,270 --> 00:00:33,033
[Jordan] You come in
with your fancy car
and your old tricks and think,
16
00:00:33,067 --> 00:00:35,656
"Ta-da, I'm a surgeon,"
but you're not.
17
00:00:35,690 --> 00:00:37,313
I just want to prove
that I belong here.
18
00:00:37,347 --> 00:00:39,349
When I checked
on Yara post-operatively,
19
00:00:39,384 --> 00:00:41,075
I noticed you only used
eight sutures when you closed,
20
00:00:41,110 --> 00:00:42,973
and she had a small bleed.
You should have used ten.
21
00:00:43,008 --> 00:00:45,252
Dr. Glassman
closed the galea and skin.
22
00:00:45,286 --> 00:00:48,910
-Dr. Glassman
skipped two sutures?
-Guess so.
23
00:00:48,945 --> 00:00:50,429
[tense music playing]
24
00:00:52,017 --> 00:00:53,605
[elevator chimes]
25
00:00:54,951 --> 00:00:57,643
At what time did you wake up
yesterday morning?
26
00:00:57,678 --> 00:00:59,576
The usual, 5:30. Why?
27
00:00:59,611 --> 00:01:01,854
At lunch,
you had a Cobb salad
with balsamic vinaigrette,
28
00:01:01,889 --> 00:01:04,443
so that's
450 calories ingested,
assuming you kept it down.
29
00:01:04,477 --> 00:01:06,066
Yes, I kept it down.
30
00:01:06,100 --> 00:01:09,517
Did you use a sauna,
engage in rigorous exercise,
and/or experience diarrhea?
31
00:01:09,551 --> 00:01:11,174
No, I didn't do
any of those things.
32
00:01:11,209 --> 00:01:12,693
What's with the questions,
Shaun?
33
00:01:12,727 --> 00:01:15,005
You made an error
in yesterday's craniotomy.
34
00:01:15,039 --> 00:01:16,731
I'm trying to evaluate
various factors
35
00:01:16,765 --> 00:01:18,733
that would negatively
impact focus.
36
00:01:18,768 --> 00:01:19,872
I made an error?
37
00:01:19,907 --> 00:01:21,908
You closed
with only eight sutures.
38
00:01:21,943 --> 00:01:23,773
The size of the wound
required ten.
39
00:01:23,807 --> 00:01:25,188
We need to figure out why.
40
00:01:25,223 --> 00:01:26,948
Why do we need
to figure out why?
41
00:01:26,983 --> 00:01:28,881
Two sutures, it's a blip.
It's not a thing.
42
00:01:28,916 --> 00:01:32,264
It could be part
of a more troubling pattern
needing attention.
43
00:01:32,299 --> 00:01:35,233
-Shaun, the surgery
was a success, right?
-Yes.
44
00:01:35,267 --> 00:01:36,786
The patient had
a great outcome.
45
00:01:36,820 --> 00:01:37,925
There is no pattern.
46
00:01:39,478 --> 00:01:40,789
Goodbye.
47
00:01:40,824 --> 00:01:42,826
[upbeat rhythmic music playing]
48
00:01:47,485 --> 00:01:50,420
[softly] I'm a surgeon,
and I belong here.
49
00:01:50,455 --> 00:01:53,354
I'm a surgeon,
and I belong here.
50
00:01:53,389 --> 00:01:54,976
[sighs]
51
00:01:55,011 --> 00:01:56,012
[exhales sharply]
52
00:01:58,773 --> 00:02:02,260
You are a surgeon,
and you belong here.
53
00:02:02,294 --> 00:02:04,054
-[exhales sharply]
-[laughter]
54
00:02:04,089 --> 00:02:05,780
I just keep imagining you
in the mirror
55
00:02:05,815 --> 00:02:10,301
like, "You have the hair
of Tracee Ellis Ross
and the swag of Beyonce."
56
00:02:10,336 --> 00:02:11,890
Do not shame my self-care.
57
00:02:11,924 --> 00:02:13,133
[chuckles]
58
00:02:13,995 --> 00:02:16,274
Affirmations are backed
by research.
59
00:02:17,206 --> 00:02:18,931
fMRI evidence
shows a correlation
60
00:02:18,966 --> 00:02:21,693
with positive changes
in the brain.
61
00:02:21,727 --> 00:02:24,144
I've just put
the finishing touches
on a surprise.
62
00:02:25,145 --> 00:02:26,594
Drum roll please.
63
00:02:28,872 --> 00:02:30,460
Or not.
64
00:02:30,495 --> 00:02:31,841
Well, get your song lists ready
65
00:02:31,875 --> 00:02:34,188
because you are all
officially invited to...
66
00:02:34,223 --> 00:02:37,709
-[phone whooshes]
-[phones chime]
67
00:02:37,743 --> 00:02:40,608
Star Karaoke, 7:00 p.m.
until question mark,
question mark.
68
00:02:40,643 --> 00:02:43,853
You know it's gonna be a party
when there's double punctuation
involved.
69
00:02:43,887 --> 00:02:47,028
Yeah, just the chance
to unwind and get to know
you all a little better.
70
00:02:47,063 --> 00:02:48,961
Sounds fun.
Thanks for the invite.
71
00:02:48,996 --> 00:02:52,413
Prepare to be destroyed.
My "Someone Like You" slays.
72
00:02:52,448 --> 00:02:55,485
Need a surgical consult
for a clinic patient
with a dislocated patella.
73
00:02:55,520 --> 00:02:57,832
-[phone buzzes]
-Mm, sorry, ER.
74
00:02:57,867 --> 00:02:59,281
[quirky music playing]
75
00:02:59,317 --> 00:03:02,354
You two are it. Room one.
76
00:03:07,394 --> 00:03:10,190
When did the chest pain start?
77
00:03:10,224 --> 00:03:11,950
I first noticed it
Tuesday morning
78
00:03:11,984 --> 00:03:13,503
along with shortness of breath.
79
00:03:14,435 --> 00:03:16,644
[Asher] Are you taking
any medications?
80
00:03:16,679 --> 00:03:18,991
I started with one,
then switched a few times.
81
00:03:20,890 --> 00:03:23,030
These are used to treat ADHD.
82
00:03:23,064 --> 00:03:24,687
And brain fog.
83
00:03:24,721 --> 00:03:25,757
I'm a COVID long-hauler.
84
00:03:27,276 --> 00:03:32,073
Um, and I just
started guanfacine
and N-acetylcysteine,
85
00:03:32,108 --> 00:03:35,525
which may actually be
helping finally.
86
00:03:35,560 --> 00:03:38,183
-When was
your initial infection?
-Eight months ago.
87
00:03:38,218 --> 00:03:41,151
It just felt like a mild flu,
but then it got worse,
88
00:03:41,186 --> 00:03:43,533
like someone poured molasses
on my brain.
89
00:03:43,567 --> 00:03:45,708
I've done cognitive therapy,
90
00:03:45,742 --> 00:03:47,641
memory exercises,
91
00:03:47,675 --> 00:03:48,849
still am,
92
00:03:48,883 --> 00:03:51,023
whatever I can do
to get back in the field.
93
00:03:51,714 --> 00:03:53,578
-Which one?
-Clover.
94
00:03:54,889 --> 00:03:56,236
I'm an evolutionary biologist.
95
00:03:56,960 --> 00:03:58,514
-Oh.
-Wow.
96
00:03:58,548 --> 00:04:02,725
I have been studying
how white clover adapts
to environmental changes...
97
00:04:04,071 --> 00:04:07,730
[breathing shakily]
And I'm on indefinite leave.
98
00:04:07,764 --> 00:04:08,938
Please stop talking now.
99
00:04:11,147 --> 00:04:14,184
Bluish skin, low O2 levels,
rapid heart rate.
100
00:04:14,219 --> 00:04:15,600
And increasingly
labored breathing.
101
00:04:15,634 --> 00:04:17,291
Possible pulmonary embolism.
102
00:04:17,326 --> 00:04:19,569
Order a chest CTA and echo,
stat.
103
00:04:19,603 --> 00:04:20,570
I have to go.
104
00:04:23,608 --> 00:04:26,576
[printer whirring]
105
00:04:28,544 --> 00:04:29,545
Oh.
106
00:04:32,651 --> 00:04:33,825
You will need this.
107
00:04:33,859 --> 00:04:36,414
I sent one half
of a high volume order
to your printer.
108
00:04:37,794 --> 00:04:40,659
These are
Glassman's op reports?
109
00:04:40,694 --> 00:04:42,730
For the last three months.
January to March.
110
00:04:42,765 --> 00:04:45,733
October to December is printing
in Park's and my office.
111
00:04:45,768 --> 00:04:48,805
So you sent reports
for, like, 100 surgeries
to my printer?
112
00:04:48,840 --> 00:04:51,152
No, 176 surgeries.
113
00:04:51,187 --> 00:04:52,947
473 pages.
114
00:04:52,982 --> 00:04:55,329
I've emailed Operations
to replace your toner.
115
00:04:55,364 --> 00:04:56,986
Many elements are in color.
116
00:04:57,020 --> 00:04:59,299
And why, exactly,
do you need all of this?
117
00:05:00,300 --> 00:05:02,819
To find out
if his mistake was a blip.
118
00:05:03,648 --> 00:05:06,754
[printer continues whirring]
119
00:05:06,789 --> 00:05:09,343
[opening theme music playing]
120
00:05:16,799 --> 00:05:18,697
Second time
I've dislocated my knee.
121
00:05:18,732 --> 00:05:22,114
Uh, first was
a few months ago, I think.
122
00:05:22,149 --> 00:05:24,324
-That was the sprained ankle.
-Ah.
123
00:05:24,358 --> 00:05:26,153
The dislocation was last year.
124
00:05:26,187 --> 00:05:29,777
Your MRI shows
no associated damage
to bones or ligaments.
125
00:05:30,813 --> 00:05:34,437
She's also been complaining
about dizziness,
126
00:05:34,472 --> 00:05:37,820
swollen ankles,
maybe menopause-related.
127
00:05:37,854 --> 00:05:40,478
Dr. Reznick is looking
to get her on
hormone replacement therapy.
128
00:05:40,512 --> 00:05:43,308
Orion insisted I come in
and get everything checked out
129
00:05:43,343 --> 00:05:46,173
before she leaves
and moves 6,000 miles away
130
00:05:46,207 --> 00:05:47,968
to live alone.
131
00:05:48,002 --> 00:05:50,971
I'm moving to Prague
next week for a new job,
132
00:05:51,005 --> 00:05:53,007
and you can come visit me
anytime you want, Mom.
133
00:05:53,042 --> 00:05:54,388
[scoffs] Not with
a busted knee.
134
00:05:55,216 --> 00:05:56,804
To move forward with HRT,
135
00:05:56,839 --> 00:05:58,496
I need to confirm
all the medications
136
00:05:58,530 --> 00:06:00,290
you've used
over the last five years.
137
00:06:00,325 --> 00:06:04,640
Oh, uh, there was
a purple triangle one,
138
00:06:04,674 --> 00:06:07,194
but they took me off that
last year
139
00:06:07,228 --> 00:06:09,369
and an orange-shaped one.
140
00:06:09,403 --> 00:06:10,577
I'll review it with you.
141
00:06:12,337 --> 00:06:14,512
We need to see
how your knee is moving.
142
00:06:14,546 --> 00:06:15,754
Lay back, please.
143
00:06:19,448 --> 00:06:21,553
Go ahead
with the exam, Dr. Kalu.
144
00:06:22,554 --> 00:06:23,866
I thought I'd observe.
145
00:06:23,900 --> 00:06:25,005
It's a knee exam,
146
00:06:25,039 --> 00:06:27,283
not a multi-ligament
reconstruction.
147
00:06:27,317 --> 00:06:29,906
You told me last time
not to assume
I know everything.
148
00:06:29,941 --> 00:06:31,287
This is just making me
do your job.
149
00:06:31,839 --> 00:06:34,290
[snoring]
150
00:06:34,842 --> 00:06:37,293
[gasping]
151
00:06:37,327 --> 00:06:40,296
That sounded like
an apneic spell.
Check her tonsils.
152
00:06:40,917 --> 00:06:41,987
Ms. Garcia.
153
00:06:42,022 --> 00:06:44,231
[snores]
154
00:06:44,265 --> 00:06:45,370
[clears throat]
155
00:06:45,405 --> 00:06:46,682
Mm?
156
00:06:46,716 --> 00:06:49,409
Oh, did I fall asleep again?
157
00:06:49,443 --> 00:06:50,789
Yes.
158
00:06:50,824 --> 00:06:52,446
Can I take a quick look
in your mouth?
159
00:06:52,481 --> 00:06:53,758
Mm-hmm.
160
00:06:53,792 --> 00:06:55,553
[rhythmic music playing]
161
00:06:56,761 --> 00:06:58,383
Kissing tonsils.
162
00:06:58,418 --> 00:06:59,902
They're so enlarged,
they're touching
163
00:06:59,936 --> 00:07:02,422
and obstructing your airway,
causing severe apnea.
164
00:07:03,388 --> 00:07:04,907
You need a tonsillectomy
right away.
165
00:07:10,084 --> 00:07:13,087
No pulmonary embolism,
but multiple cardiac issues.
166
00:07:13,122 --> 00:07:15,227
Severe narrowing
of the pulmonic valve,
167
00:07:15,262 --> 00:07:16,781
hypertrophied right ventricle
168
00:07:16,815 --> 00:07:18,472
and opening between
the lower chambers.
169
00:07:18,507 --> 00:07:21,130
This set of defects
almost looks like
170
00:07:21,164 --> 00:07:22,787
-tetralogy of Fallot, but--
-It is.
171
00:07:24,858 --> 00:07:26,963
She has
the fourth malformation,
172
00:07:26,998 --> 00:07:28,137
overriding aorta.
173
00:07:28,171 --> 00:07:30,450
I've never seen tet
in an adult before.
174
00:07:30,484 --> 00:07:32,486
[soft dramatic music playing]
175
00:07:32,521 --> 00:07:34,246
How is she still alive?
176
00:07:36,007 --> 00:07:37,111
Hang on a sec.
177
00:07:37,146 --> 00:07:38,457
I have to write
everything down now.
178
00:07:40,874 --> 00:07:43,082
[Dr. Lim] Tet is almost always
diagnosed in infancy.
179
00:07:43,117 --> 00:07:45,154
Doctors somehow missed it
in your case.
180
00:07:45,188 --> 00:07:47,467
[Shaun] Oh, you have
a rare presentation.
181
00:07:47,501 --> 00:07:49,469
The right ventricle obstruction
has been balanced
182
00:07:49,503 --> 00:07:51,747
by an increased flow
into the left ventricle.
183
00:07:51,781 --> 00:07:54,612
Damage from COVID
disrupted the balance.
184
00:07:54,646 --> 00:07:56,027
The virus may have
saved your life.
185
00:07:56,061 --> 00:07:57,683
Very few undiagnosed
tet patients
186
00:07:57,718 --> 00:07:58,926
survive past childhood.
187
00:07:58,961 --> 00:08:01,066
A mere 2% make it to 40.
188
00:08:01,101 --> 00:08:02,447
You're saying
189
00:08:02,482 --> 00:08:04,104
I would have just dropped dead
at some point?
190
00:08:04,138 --> 00:08:06,106
It's very likely.
191
00:08:06,140 --> 00:08:09,799
We can remove that risk
with two separate procedures.
192
00:08:09,834 --> 00:08:12,043
First, we'll close
the extra vessels
193
00:08:12,077 --> 00:08:14,701
that have formed to compensate
for your heart defects.
194
00:08:14,735 --> 00:08:16,772
Then we'll do a surgery
to repair those defects.
195
00:08:19,706 --> 00:08:21,880
Is it possible
the tet is connected
196
00:08:21,915 --> 00:08:23,433
to my long COVID symptoms?
197
00:08:23,468 --> 00:08:25,366
Could fixing my heart
clear up my head,
198
00:08:27,023 --> 00:08:28,162
the brain?
199
00:08:29,129 --> 00:08:31,614
No. I'm sorry.
200
00:08:31,649 --> 00:08:33,616
[tender music playing]
201
00:08:41,072 --> 00:08:42,245
You snagged our table.
202
00:08:43,315 --> 00:08:44,869
Beat Hawks and Nunez to it.
203
00:08:44,903 --> 00:08:46,733
You're a champion.
204
00:08:46,767 --> 00:08:49,390
One Splenda,
half Sugar in the Raw,
light almond milk.
205
00:08:49,425 --> 00:08:50,495
Now who's the champion?
206
00:08:50,530 --> 00:08:51,531
Mm.
207
00:08:55,258 --> 00:08:56,536
I have something for you.
208
00:08:57,606 --> 00:08:58,917
-Really?
-Mm-hmm.
209
00:09:02,749 --> 00:09:03,715
[chuckles]
210
00:09:05,717 --> 00:09:08,720
An agreement acknowledging
a consensual relationship.
211
00:09:08,755 --> 00:09:11,033
I, Marcus Andrews,
would like to take you,
212
00:09:11,067 --> 00:09:13,760
Dalisay Villanueva, on a date.
213
00:09:13,794 --> 00:09:17,867
And as hospital president,
you know, I already signed it.
214
00:09:17,902 --> 00:09:19,869
[chuckles]
215
00:09:19,904 --> 00:09:20,939
This is so romantic.
216
00:09:22,078 --> 00:09:23,114
Give me the pen.
217
00:09:26,600 --> 00:09:27,774
[chuckles]
218
00:09:30,155 --> 00:09:32,744
-Dinner this weekend?
-Let me see.
219
00:09:32,779 --> 00:09:34,539
-[phone chimes]
-Oh, I'm needed on the ward.
220
00:09:35,160 --> 00:09:36,679
Sorry. Lock it down later?
221
00:09:36,714 --> 00:09:37,715
Sure.
222
00:09:45,723 --> 00:09:46,758
Iced coffee?
223
00:09:46,793 --> 00:09:48,139
I'm good.
224
00:09:49,105 --> 00:09:50,417
How about a hot coffee?
225
00:09:52,937 --> 00:09:56,181
In honor of Daphne's
successful tonsillectomy,
226
00:09:56,216 --> 00:09:57,597
I got a few options.
227
00:09:59,253 --> 00:10:00,738
Is that a latte?
228
00:10:00,772 --> 00:10:01,739
Mm.
229
00:10:03,810 --> 00:10:06,053
It was a routine tonsillectomy.
230
00:10:06,088 --> 00:10:07,917
Those were
unusually large tonsils.
231
00:10:09,298 --> 00:10:10,713
A good thing her daughter
brought her in.
232
00:10:13,440 --> 00:10:15,097
You think Daphne was
better off not breathing?
233
00:10:15,131 --> 00:10:16,719
I don't think
it's a daughter's job
234
00:10:16,754 --> 00:10:18,514
to make sure
Mom goes to the doctor.
235
00:10:19,066 --> 00:10:20,412
[phones chime]
236
00:10:21,931 --> 00:10:22,967
It's Daphne.
237
00:10:23,001 --> 00:10:25,659
[dramatic music playing]
238
00:10:25,694 --> 00:10:27,178
Heart rate spiked.
She's hypoxic.
239
00:10:27,212 --> 00:10:28,662
Turn up oxygen to max flow.
240
00:10:32,977 --> 00:10:35,186
Loud murmur from
the right ventricle and atrium.
241
00:10:35,220 --> 00:10:37,015
Chronic damage from apnea
could have increased
242
00:10:37,050 --> 00:10:38,810
the pressure in her lungs,
causing right heart failure.
243
00:10:38,845 --> 00:10:40,605
-[machine beeping]
-BP's dropping.
244
00:10:40,640 --> 00:10:41,744
We need to get her
to the cath lab.
245
00:10:47,612 --> 00:10:48,993
[Dr. Lim] Positioning
coiling system.
246
00:10:50,304 --> 00:10:51,789
[Perez] Two vessels
left to close.
247
00:10:51,823 --> 00:10:53,307
[monitor beeping steadily]
248
00:10:53,342 --> 00:10:54,550
[Dr. Lim] Deploying the coil.
249
00:10:57,311 --> 00:10:59,831
O2 sats are dropping.
250
00:10:59,866 --> 00:11:03,317
Her infundibular muscle
is clamping down.
251
00:11:03,352 --> 00:11:06,769
-She is having a tet spell.
-[machine beeping urgently]
252
00:11:06,804 --> 00:11:09,116
Give phenylephrine
and 100% oxygen.
253
00:11:09,151 --> 00:11:11,049
I have never seen one
in-person before.
254
00:11:12,706 --> 00:11:14,432
We need to move blood
up to the lungs.
255
00:11:14,466 --> 00:11:16,365
Give her a bolus
and up the opiates.
256
00:11:16,399 --> 00:11:18,850
[tense music playing]
257
00:11:20,714 --> 00:11:22,129
If we don't stop the spasm,
258
00:11:22,164 --> 00:11:23,683
she could have
permanent brain damage.
259
00:11:29,723 --> 00:11:31,069
[beeping stops]
260
00:11:31,691 --> 00:11:32,692
[sighs]
261
00:11:34,901 --> 00:11:38,076
[Shaun] The chance
of a future infundibular spasm
is very high.
262
00:11:39,664 --> 00:11:42,667
Her tet repair surgery
will be much more risky.
263
00:11:42,702 --> 00:11:44,704
[soft dramatic music playing]
264
00:11:50,433 --> 00:11:52,884
Pressure in Daphne's lungs
is still critically high.
265
00:11:52,919 --> 00:11:54,506
Not a routine
tonsillectomy at all.
266
00:11:55,715 --> 00:11:56,923
Puncturing the atrial septum.
267
00:11:56,957 --> 00:11:58,752
[machine beeping softly]
268
00:11:58,787 --> 00:12:01,410
Right heart is decompressing.
269
00:12:01,444 --> 00:12:04,620
Give nitric oxide to relax
and dilate the vasculature.
270
00:12:04,654 --> 00:12:07,899
Her apnea really did a number
on her pulmonary vessels.
271
00:12:07,934 --> 00:12:10,177
No wonder
she's clumsy and forgetful.
272
00:12:10,212 --> 00:12:13,456
She's been sleep-
and oxygen-deprived
for decades.
273
00:12:13,491 --> 00:12:16,252
It still doesn't make her
her daughter's responsibility.
274
00:12:16,287 --> 00:12:18,876
Would you want Kellan
to put his life on hold
to take care of you?
275
00:12:19,773 --> 00:12:21,982
Not his whole life, no,
276
00:12:22,017 --> 00:12:25,330
but I don't think
being overly devoted
is the worst quality in a kid.
277
00:12:25,365 --> 00:12:26,573
Remove the catheters.
278
00:12:27,885 --> 00:12:30,439
I was one of six growing up,
only girl.
279
00:12:30,473 --> 00:12:31,716
Mom and dad worked a lot,
280
00:12:31,751 --> 00:12:34,374
so I was basically
second mom since kindergarten.
281
00:12:35,755 --> 00:12:37,066
I love my brothers, but...
282
00:12:39,413 --> 00:12:41,622
there's a lot you miss out on
283
00:12:41,657 --> 00:12:43,866
if you're all about taking care
of someone else.
284
00:12:43,901 --> 00:12:45,281
[beeping continues]
285
00:12:48,422 --> 00:12:50,390
She's throwing a lot of PVCs.
286
00:12:50,424 --> 00:12:51,771
Maybe an electrolyte issue.
287
00:12:53,324 --> 00:12:54,704
[machine beeping urgently]
288
00:12:54,739 --> 00:12:56,637
BP's dropping. Heart rate 172.
289
00:12:56,672 --> 00:12:59,571
We're barely getting a pulse.
She's in V-tach. Defib pads.
290
00:12:59,606 --> 00:13:01,781
[tense music playing]
291
00:13:03,610 --> 00:13:05,405
[defibrillator hums sharply]
292
00:13:05,439 --> 00:13:07,407
[defibrillator beeps, thumps]
293
00:13:13,275 --> 00:13:14,414
[beeping steadily]
294
00:13:15,311 --> 00:13:16,312
[sighs]
295
00:13:17,451 --> 00:13:19,246
BP and heart rate stabilizing.
296
00:13:21,317 --> 00:13:23,285
Get a new chemistry,
chest X-ray, EKG.
297
00:13:23,319 --> 00:13:25,080
We need to figure out what else
is going on with her heart.
298
00:13:35,331 --> 00:13:37,506
Oh, please don't disturb
my materials.
299
00:13:37,540 --> 00:13:40,543
Which are what, exactly?
300
00:13:40,578 --> 00:13:42,960
Dr. Glassman made
an uncharacteristic
surgical error.
301
00:13:42,994 --> 00:13:44,789
I am determining
if it was an anomaly
302
00:13:44,824 --> 00:13:46,549
or part of a pattern.
303
00:13:46,584 --> 00:13:48,586
Glassman must be
really pleased about that.
304
00:13:48,620 --> 00:13:49,621
He is not.
305
00:13:50,691 --> 00:13:51,934
You are being sarcastic.
306
00:13:51,969 --> 00:13:53,694
Performance review
is a standard practice
307
00:13:53,729 --> 00:13:55,351
and benefits both doctors
and patients.
308
00:13:55,386 --> 00:13:58,458
I have identified
three additional errors
made in the last four months.
309
00:13:58,492 --> 00:14:00,046
I don't see a pattern.
310
00:14:00,080 --> 00:14:02,531
A dural tear on scarred tissue,
311
00:14:02,565 --> 00:14:04,464
closing with a running nylon
instead of Monocryl--
312
00:14:04,498 --> 00:14:05,603
Is that even a mistake?
313
00:14:05,637 --> 00:14:08,675
Dr. Glassman has always used
subcutaneous Monocryl.
314
00:14:08,709 --> 00:14:10,919
These are variations,
minor missteps.
315
00:14:10,953 --> 00:14:13,404
You pore through four months
of any surgeon's op reports,
316
00:14:13,438 --> 00:14:15,061
and you'll find discrepancies
like this.
317
00:14:15,544 --> 00:14:17,718
-No.
-Yes.
318
00:14:17,753 --> 00:14:19,168
Not in mine.
319
00:14:19,824 --> 00:14:22,240
That's probably true.
320
00:14:22,275 --> 00:14:24,070
Eh, if you're not finding
a pattern,
321
00:14:25,002 --> 00:14:26,313
maybe it's because
there isn't one.
322
00:14:27,314 --> 00:14:28,833
[phone buzzes]
323
00:14:29,869 --> 00:14:31,042
My patient is awake.
324
00:14:33,113 --> 00:14:36,565
Does this mean you can't move
forward with the tet repair?
325
00:14:36,599 --> 00:14:38,498
There's a medication
called propranolol
326
00:14:38,532 --> 00:14:40,258
that will
significantly reduce the risk
327
00:14:40,293 --> 00:14:42,502
of having another spasm
during surgery,
328
00:14:42,536 --> 00:14:44,159
but because of your long COVID,
329
00:14:44,193 --> 00:14:46,092
you're at risk for some
very rare side effects.
330
00:14:46,782 --> 00:14:48,784
-Are they serious?
-Yes.
331
00:14:48,818 --> 00:14:50,682
Well, some of them are not,
like nausea, vomiting,
332
00:14:50,717 --> 00:14:52,719
muscle aches, and dizziness,
but others,
333
00:14:52,753 --> 00:14:54,928
such as hypoglycemia
or visual changes--
334
00:14:54,963 --> 00:14:56,343
We'll start you
on the propranolol.
335
00:14:56,378 --> 00:14:59,277
There's a good chance
you won't experience
the rare side effects,
336
00:14:59,312 --> 00:15:01,107
but we'll need to keep
a close eye on you.
337
00:15:03,281 --> 00:15:04,696
And are those patients
ahead of her
338
00:15:04,731 --> 00:15:06,388
also seniors with diabetes?
339
00:15:07,423 --> 00:15:08,700
Do not hang up on me, Phillip,
340
00:15:08,735 --> 00:15:10,081
or I'll head down
to do this in person.
341
00:15:10,875 --> 00:15:11,876
I'll wait.
342
00:15:13,326 --> 00:15:14,292
[whispering] Hey.
343
00:15:16,398 --> 00:15:20,195
There is a great new
Portuguese spot I read about.
344
00:15:20,229 --> 00:15:23,267
I can make reservations for us
Friday or Saturday at 7:00?
345
00:15:24,924 --> 00:15:26,580
Uh, I'm working a double
both days.
346
00:15:26,615 --> 00:15:28,789
It's been a nonstop scramble
since Baker and Linh left.
347
00:15:28,824 --> 00:15:30,964
Well, you have
two new travelers
starting on Monday.
348
00:15:30,999 --> 00:15:32,276
We need staff nurses.
349
00:15:32,310 --> 00:15:33,656
These nurses
are highly skilled. We--
350
00:15:33,691 --> 00:15:35,382
It doesn't matter
how skilled they are.
351
00:15:35,417 --> 00:15:37,074
Travel nurses disrupt workflow,
352
00:15:37,108 --> 00:15:38,661
don't build
long-term relationships.
353
00:15:38,696 --> 00:15:41,733
Right now, we just
don't have the resources
for permanent replacements.
354
00:15:41,768 --> 00:15:43,804
You just hired a new
full-time surgical resident
355
00:15:43,839 --> 00:15:45,599
to replace someone
who left way more recently.
356
00:15:45,634 --> 00:15:47,153
That was Lim's department. I--
357
00:15:48,016 --> 00:15:49,949
Yes, great.
I'm sending her down.
358
00:15:51,019 --> 00:15:52,227
Sorry. We'll talk later?
359
00:15:52,261 --> 00:15:53,297
Of course.
360
00:15:56,334 --> 00:15:58,785
So you're watching
to see if I throw up?
361
00:15:58,819 --> 00:16:00,856
Or faint, seize,
or have muscle spasms.
362
00:16:05,826 --> 00:16:08,415
You know, before COVID,
my brain was--
363
00:16:09,796 --> 00:16:12,730
I did evolutionary patterns,
364
00:16:12,764 --> 00:16:15,284
genetic, uh...
365
00:16:16,699 --> 00:16:19,185
how genes go together.
366
00:16:20,634 --> 00:16:21,635
The sequence.
367
00:16:24,259 --> 00:16:26,606
Now my brain can't handle
the sequence
of brushing my teeth.
368
00:16:28,988 --> 00:16:32,508
My focus, my working memory,
all of the...
369
00:16:34,165 --> 00:16:35,822
[sighs]
370
00:16:35,856 --> 00:16:38,135
The executive function.
371
00:16:38,169 --> 00:16:40,447
[sighs]
372
00:16:40,482 --> 00:16:43,347
It's not always happening.
373
00:16:43,381 --> 00:16:46,212
[soft dramatic music playing]
374
00:16:46,246 --> 00:16:49,318
Please page
Dr. Wolke to monitor her
and stay until he comes.
375
00:16:51,424 --> 00:16:52,804
Push your hand against mine.
376
00:16:54,151 --> 00:16:56,394
The pattern is errors
in executive function.
377
00:16:56,429 --> 00:16:57,809
Shaun, I'm in the middle
of doing something.
378
00:16:57,844 --> 00:17:00,743
Your brain cancer
may have returned.
379
00:17:07,060 --> 00:17:09,406
-All errors are tied
to executive function.
-Shaun--
380
00:17:09,442 --> 00:17:11,651
Specifically to working
and procedural memory governed
381
00:17:11,685 --> 00:17:13,308
by the dorsolateral
prefrontal cortex,
382
00:17:13,342 --> 00:17:15,241
a common site
for a recurrent glioma,
383
00:17:15,275 --> 00:17:18,415
which strongly suggests
your cancer has returned.
384
00:17:18,451 --> 00:17:21,522
My last scan came back
completely clear. I'm fine.
385
00:17:21,557 --> 00:17:23,145
Your last scan
was six months ago.
386
00:17:23,180 --> 00:17:25,527
These errors all took place
in the last four months.
387
00:17:25,560 --> 00:17:27,046
So you need another scan.
388
00:17:27,079 --> 00:17:28,357
The evidence
is very compelling.
389
00:17:28,392 --> 00:17:29,807
No, it's really not.
390
00:17:29,841 --> 00:17:32,258
I perform complex surgeries,
Shaun,
391
00:17:32,292 --> 00:17:35,192
more so than any other doctor
on this staff, by the way.
392
00:17:35,226 --> 00:17:37,056
So yeah,
the percentages would dictate
393
00:17:37,090 --> 00:17:41,198
that I might make more minor
and irrelevant missteps,
394
00:17:41,232 --> 00:17:43,234
if that's what you want
to call them, and--
395
00:17:43,269 --> 00:17:44,994
And the rate of errors
has increased.
396
00:17:45,029 --> 00:17:47,549
Yeah, because I take on
the tougher cases,
397
00:17:47,583 --> 00:17:48,929
the ones no one else will.
398
00:17:48,964 --> 00:17:51,863
No, you need another MRI now.
399
00:17:51,898 --> 00:17:54,176
Shaun, what I need
is to get back to my patient.
400
00:17:54,211 --> 00:17:57,559
And you need to knock first
next time.
401
00:17:57,593 --> 00:18:00,079
[soft dramatic music playing]
402
00:18:02,150 --> 00:18:03,634
It's the greening of the--
403
00:18:05,222 --> 00:18:06,568
My turn.
404
00:18:08,742 --> 00:18:10,675
I'm trying to get some
of my cognitive exercises in.
405
00:18:10,710 --> 00:18:12,608
What are you memorizing?
406
00:18:12,643 --> 00:18:14,748
It's a poem from
The Carrying,Ada Limon.
407
00:18:14,783 --> 00:18:15,853
[Dr. Lim] Hmm.
408
00:18:15,887 --> 00:18:17,544
The collection
is mostly about...
409
00:18:19,822 --> 00:18:23,067
not having the life
you thought you'd have,
I guess.
410
00:18:24,344 --> 00:18:29,038
The one I was just reading,
it's about spring coming,
411
00:18:29,073 --> 00:18:31,248
Instructions on Not Giving Up.
412
00:18:31,972 --> 00:18:33,940
-Sounds useful.
-Yeah.
413
00:18:33,974 --> 00:18:35,114
Too bad I can't read it
all at once.
414
00:18:35,976 --> 00:18:38,496
I've just graduated
from haikus.
415
00:18:38,531 --> 00:18:41,154
I never even thought to look
at a poem before I got sick.
416
00:18:42,707 --> 00:18:44,744
Didn't have the patience
for it at the time,
417
00:18:45,952 --> 00:18:47,471
but it's basically
all I read now.
418
00:18:48,679 --> 00:18:50,163
I started writing, too.
419
00:18:50,198 --> 00:18:53,891
It's kind of
a creative therapy.
420
00:18:53,925 --> 00:18:55,479
[Dr. Lim] Mm.
421
00:18:55,513 --> 00:18:58,654
There was a kind of poetry
422
00:18:58,689 --> 00:19:01,795
to the genetic variations
in white clover too.
423
00:19:01,830 --> 00:19:03,832
[gentle music playing]
424
00:19:05,282 --> 00:19:06,766
I'd give anything to...
425
00:19:11,322 --> 00:19:12,496
[sighs]
426
00:19:12,530 --> 00:19:14,187
Your blood pressure
is going down,
427
00:19:14,222 --> 00:19:15,361
and your heart rate's climbing.
428
00:19:15,395 --> 00:19:16,465
I feel kind of dizzy.
429
00:19:16,500 --> 00:19:17,501
Let me check your glucose.
430
00:19:21,539 --> 00:19:23,921
She's having a seizure.
Crash cart now!
431
00:19:23,955 --> 00:19:26,130
[tense music playing]
432
00:19:26,165 --> 00:19:28,512
[Jared] We thought
something else was going on
with your heart,
433
00:19:28,546 --> 00:19:29,616
but it's a kidney issue.
434
00:19:29,651 --> 00:19:31,515
You have a narrowing
of your renal arteries,
435
00:19:31,549 --> 00:19:33,620
which was exacerbated
by the pulmonary hypertension,
436
00:19:33,655 --> 00:19:34,690
causing your kidneys to fail.
437
00:19:34,725 --> 00:19:37,141
And this is
because of my sleep apnea?
438
00:19:37,176 --> 00:19:39,143
We believe so, yeah.
439
00:19:39,178 --> 00:19:42,042
Uh, can she get a transplant?
440
00:19:42,077 --> 00:19:44,183
I can do a test,
see if I'm a match.
441
00:19:44,217 --> 00:19:47,738
Unfortunately,
your other health concerns
rule out a transplant,
442
00:19:47,772 --> 00:19:52,225
but a renal artery bypass
would allow your kidneys
to heal on their own.
443
00:19:52,260 --> 00:19:55,021
There's risk of complications,
some quite serious.
444
00:19:56,298 --> 00:20:01,027
But in success, you could live
a full, independent life.
445
00:20:01,061 --> 00:20:04,306
But-- oh, but serious,
446
00:20:04,341 --> 00:20:07,067
as in I could die?
447
00:20:07,102 --> 00:20:10,174
Some complications
can be fatal.
448
00:20:10,209 --> 00:20:12,003
But the risk is relatively low.
449
00:20:13,212 --> 00:20:15,214
Are there other options?
450
00:20:15,766 --> 00:20:17,146
Well, there's dialysis,
451
00:20:17,181 --> 00:20:20,322
but you'd need
multiple sessions a week
for the rest of your life.
452
00:20:22,635 --> 00:20:26,225
Um, that's less risky, but I--
453
00:20:27,398 --> 00:20:30,436
I don't think I could handle
all that on my own.
454
00:20:30,470 --> 00:20:35,095
Mom, Mom, if you want
to choose the dialysis,
I'll stay in San Jose.
455
00:20:37,615 --> 00:20:38,685
I'm sorry.
456
00:20:39,790 --> 00:20:41,240
I don't want to keep you.
457
00:20:41,274 --> 00:20:44,243
No, you have nothing
to be sorry for.
458
00:20:44,277 --> 00:20:47,142
All this time you've been sick
and struggling, and I--
459
00:20:48,454 --> 00:20:49,420
I judged you.
460
00:20:50,559 --> 00:20:51,871
But your new job.
461
00:20:54,425 --> 00:20:55,426
It's just a job.
462
00:21:04,297 --> 00:21:07,369
So the medication you gave me
463
00:21:07,404 --> 00:21:09,751
to make my surgery safer
464
00:21:09,785 --> 00:21:12,305
will actually make it
more risky?
465
00:21:12,340 --> 00:21:13,306
That's right.
466
00:21:14,169 --> 00:21:15,722
But without that medication,
467
00:21:15,757 --> 00:21:18,553
I'm much more likely
to have another tet spell.
468
00:21:18,587 --> 00:21:22,384
Yes, and possibly more severe
than the last time.
469
00:21:22,419 --> 00:21:25,801
The brain fog,
all my deficits...
470
00:21:27,527 --> 00:21:28,597
could get worse,
471
00:21:30,530 --> 00:21:32,152
for possibly forever?
472
00:21:33,361 --> 00:21:34,500
Yes.
473
00:21:34,534 --> 00:21:36,156
[tender music playing]
474
00:21:36,191 --> 00:21:38,055
But if we don't do
the tet repair,
475
00:21:38,089 --> 00:21:40,160
your heart will stop
at some point.
476
00:21:43,474 --> 00:21:45,407
I've already been through
477
00:21:45,442 --> 00:21:48,928
losing my thoughts,
my whole self.
478
00:21:53,173 --> 00:21:54,347
I can't do that again.
479
00:21:59,387 --> 00:22:00,974
Find another way
to fix my heart.
480
00:22:19,338 --> 00:22:21,167
All right, new idea.
481
00:22:21,201 --> 00:22:23,652
We go back to the old idea
and just do the surgery.
482
00:22:23,687 --> 00:22:25,136
It's a non-starter.
483
00:22:25,171 --> 00:22:28,174
We need to present a way
to help her tet
without triggering her tet.
484
00:22:28,208 --> 00:22:31,073
A percutaneous valve
and VSD closure
could help with blood flow.
485
00:22:31,108 --> 00:22:32,661
That involves catheters
in the heart,
486
00:22:32,696 --> 00:22:34,214
which would cause
the muscle to spasm.
487
00:22:35,112 --> 00:22:37,528
All right.
It's time for some WWSMD.
488
00:22:37,563 --> 00:22:40,151
Whatever you and Jerome do
on your own time is--
489
00:22:40,186 --> 00:22:41,360
It's "what would
Shaun Murphy do?"
490
00:22:42,706 --> 00:22:44,673
[spirited
orchestral music playing]
491
00:22:56,271 --> 00:22:58,066
[poppy guitar chord playing]
492
00:23:01,725 --> 00:23:03,243
[orchestra music resumes]
493
00:23:03,278 --> 00:23:04,935
[heart beating]
494
00:23:04,969 --> 00:23:07,662
[upbeat pop music playing]
495
00:23:07,696 --> 00:23:09,422
[birds chirping]
496
00:23:13,253 --> 00:23:16,498
♪ If a party is what you need ♪
497
00:23:16,533 --> 00:23:18,086
♪ They're dancing ♪
498
00:23:18,120 --> 00:23:19,121
[Perez] What about a shunt?
499
00:23:20,364 --> 00:23:22,401
It would improve blood flow,
buy a few months
500
00:23:22,435 --> 00:23:24,057
to continue
her cognitive recovery.
501
00:23:24,092 --> 00:23:26,266
Once she feels better
about where her brain's at,
502
00:23:26,301 --> 00:23:27,785
maybe she lets us
fix her heart.
503
00:23:27,820 --> 00:23:30,339
Her tet will likely kill her
before that,
504
00:23:30,374 --> 00:23:34,309
but placing a shunt
won't trigger a spell,
505
00:23:34,343 --> 00:23:36,380
making it something
she'd actually accept.
506
00:23:39,038 --> 00:23:41,316
[sighs] I'll take it to her.
507
00:23:42,559 --> 00:23:44,353
I can stay only 45 minutes.
508
00:23:44,388 --> 00:23:46,528
I have to review
Dr. Glassman's OR videos.
509
00:23:46,563 --> 00:23:47,805
Didn't you already review them?
510
00:23:47,840 --> 00:23:49,600
Not for symptoms
of glioma recurrence.
511
00:23:49,635 --> 00:23:51,913
New evidence will convince
Dr. Glassman to get a scan.
512
00:23:51,947 --> 00:23:54,709
Okay, you binged months
of data in one day.
513
00:23:54,743 --> 00:23:56,055
You'll have a clearer head
in the morning.
514
00:23:56,089 --> 00:23:59,058
Until then,
here we are, karaoke rager.
515
00:23:59,092 --> 00:24:00,646
-Yay.
-It is yay.
516
00:24:00,680 --> 00:24:02,924
We have song lists.
Plus Jared's our friend.
517
00:24:02,958 --> 00:24:04,788
He just moved back.
Celebration is in order.
518
00:24:05,858 --> 00:24:08,377
I will review the videos
in the morning.
519
00:24:08,412 --> 00:24:09,413
Yay!
520
00:24:10,172 --> 00:24:11,622
It sounds pretty wild in there.
521
00:24:11,657 --> 00:24:15,281
♪ Because maybe ♪
522
00:24:15,315 --> 00:24:19,354
♪ You're gonna be the one
That saves me ♪
523
00:24:20,804 --> 00:24:22,668
♪ And after-- ♪
524
00:24:22,702 --> 00:24:24,980
["Wonderwall" playing]
525
00:24:25,809 --> 00:24:26,948
[music stops]
526
00:24:26,982 --> 00:24:29,191
[clears throat]
I was just warming up.
527
00:24:29,226 --> 00:24:32,160
-Where is everyone?
-There is a lot of food.
528
00:24:32,194 --> 00:24:34,611
Yeah, I had it catered.
You're the first to arrive.
529
00:24:35,474 --> 00:24:38,338
And so far,
last-minute rain checks
530
00:24:38,373 --> 00:24:40,927
from Morgan, Park,
Asher, Danny.
531
00:24:40,962 --> 00:24:42,239
[phone chimes]
532
00:24:42,273 --> 00:24:43,482
Oh, and Jerome.
533
00:24:45,794 --> 00:24:47,037
So it's just us four?
534
00:24:47,071 --> 00:24:50,765
Which means
that all these snacks
535
00:24:50,799 --> 00:24:53,975
and song binders are for us.
536
00:24:54,009 --> 00:24:55,804
Oh. Yes.
537
00:24:55,839 --> 00:24:59,187
The low turnout
is the perfect opportunity
to discuss symptoms.
538
00:24:59,221 --> 00:25:00,844
[quirky music playing]
539
00:25:00,878 --> 00:25:02,880
In your recent surgeries
with Dr. Glassman,
540
00:25:02,915 --> 00:25:04,606
do you recall observing
any balance issues,
541
00:25:04,641 --> 00:25:06,159
tremors, or motor weakness?
542
00:25:11,544 --> 00:25:13,201
That sounds like
the perfect option.
543
00:25:14,478 --> 00:25:16,653
How soon can you do
the shunt procedure?
544
00:25:16,687 --> 00:25:19,000
I'll try to schedule it
for tomorrow.
545
00:25:23,694 --> 00:25:25,972
I've had a strange year myself.
546
00:25:29,251 --> 00:25:31,046
Eleven months ago,
547
00:25:31,081 --> 00:25:32,358
I was attacked
548
00:25:32,392 --> 00:25:34,360
and paralyzed
from the waist down.
549
00:25:35,568 --> 00:25:38,157
I thought it was permanent.
Almost everyone did.
550
00:25:41,125 --> 00:25:45,371
At first, all I wanted
was to walk again.
551
00:25:46,752 --> 00:25:50,100
I was ready to risk my life
to get back to the old me.
552
00:25:51,619 --> 00:25:52,896
But as time went on,
553
00:25:54,069 --> 00:25:58,867
I started to appreciate
my new life, my new self.
554
00:25:58,902 --> 00:26:00,869
[tender music playing]
555
00:26:01,594 --> 00:26:03,596
I started a new relationship
556
00:26:03,631 --> 00:26:05,287
that wouldn't
have happened otherwise.
557
00:26:07,773 --> 00:26:09,533
In many ways, my life improved.
558
00:26:10,638 --> 00:26:13,157
You recognize you walked in
to tell me this story?
559
00:26:13,192 --> 00:26:15,056
[chuckles]
560
00:26:15,090 --> 00:26:16,713
I only agreed to do the surgery
561
00:26:16,747 --> 00:26:18,093
once I knew
my life wasn't at risk.
562
00:26:18,128 --> 00:26:20,613
And even then, I had doubts.
563
00:26:22,477 --> 00:26:24,134
I liked who I'd become.
564
00:26:24,168 --> 00:26:25,791
I wanted to hold on to her.
565
00:26:30,105 --> 00:26:31,106
I'm not...
566
00:26:33,937 --> 00:26:35,283
losing my mind...
567
00:26:37,216 --> 00:26:38,286
all over again.
568
00:26:41,151 --> 00:26:43,498
You don't strike me
as someone who's lost her mind.
569
00:26:59,825 --> 00:27:01,240
[upbeat music playing]
570
00:27:01,274 --> 00:27:03,138
That covers the thrombectomy.
571
00:27:03,173 --> 00:27:04,277
In February,
you assisted on a--
572
00:27:04,312 --> 00:27:07,764
Okay, I'm playing
the pregnant lady card.
573
00:27:09,041 --> 00:27:10,387
We're going, Shaun.
574
00:27:10,421 --> 00:27:11,595
Okay.
575
00:27:12,803 --> 00:27:14,460
Thank you. Goodbye.
576
00:27:16,186 --> 00:27:17,601
I should head out, too.
577
00:27:19,120 --> 00:27:21,536
-Early morning.
-Yeah.
578
00:27:25,678 --> 00:27:28,923
Maybe focus on being
a first-year resident
579
00:27:28,957 --> 00:27:33,065
before adding party planner
to your resume.
580
00:27:33,099 --> 00:27:34,204
[chuckles]
581
00:27:35,239 --> 00:27:37,207
The catering may have been
a bridge too far.
582
00:27:38,173 --> 00:27:39,209
Yeah.
583
00:27:43,869 --> 00:27:45,180
I bounced around growing up.
584
00:27:47,182 --> 00:27:50,461
Different schools,
cities, countries.
585
00:27:51,911 --> 00:27:55,777
But, um, wherever we were,
my parents had a big house,
586
00:27:56,675 --> 00:27:58,021
and I knew
how to throw a party.
587
00:28:01,196 --> 00:28:04,303
Closest I'd get
to feeling like I fit.
588
00:28:07,202 --> 00:28:08,652
Old habits die hard, I guess.
589
00:28:11,413 --> 00:28:13,312
Fitting in takes time.
590
00:28:14,382 --> 00:28:17,178
But I never have, anywhere.
591
00:28:18,420 --> 00:28:20,422
[soft dramatic music playing]
592
00:28:21,941 --> 00:28:23,080
Maybe not everyone
593
00:28:24,703 --> 00:28:25,704
finds their place.
594
00:28:28,707 --> 00:28:29,880
[phone chimes]
595
00:28:31,088 --> 00:28:33,159
Daphne is getting septic.
We have to go.
596
00:28:40,028 --> 00:28:42,341
[sighs] Morning.
597
00:28:42,375 --> 00:28:43,963
Hello.
598
00:28:43,998 --> 00:28:45,033
Mm.
599
00:28:46,759 --> 00:28:48,278
You should not have that.
600
00:28:48,312 --> 00:28:50,832
I'm permitted 12 ounces a day.
Experts agree.
601
00:28:50,867 --> 00:28:53,870
Yes, but that was brewed
when I woke up at 3:30 a.m.
602
00:28:53,904 --> 00:28:55,872
[quirky music playing]
603
00:28:56,596 --> 00:28:58,115
You make it through the videos?
604
00:28:58,150 --> 00:29:00,531
Yes, and integrated
the observations
605
00:29:00,566 --> 00:29:02,292
Doctors Kalu and Allen
made last night
606
00:29:02,326 --> 00:29:04,708
regarding possible
glioma symptoms.
607
00:29:05,744 --> 00:29:07,124
[exhales deeply]
608
00:29:07,159 --> 00:29:10,265
I am now ready
to present Dr. Glassman
with the revised evidence,
609
00:29:10,300 --> 00:29:12,233
which is very compelling.
610
00:29:12,267 --> 00:29:13,268
[Lea] Mm.
611
00:29:16,340 --> 00:29:19,758
Thankfully, your infection
is responding
to the antibiotics.
612
00:29:19,792 --> 00:29:22,795
The infection started
around your dialysis port.
613
00:29:22,830 --> 00:29:24,383
That could easily happen again.
614
00:29:25,902 --> 00:29:29,043
The renal artery bypass
is still an option.
615
00:29:29,077 --> 00:29:30,596
It's too risky.
616
00:29:31,114 --> 00:29:32,080
So is sepsis.
617
00:29:33,772 --> 00:29:36,947
Thank you, Doctor,
but I'll settle
for being alive.
618
00:29:36,982 --> 00:29:37,983
You shouldn't.
619
00:29:40,295 --> 00:29:41,503
You deserve more than that.
620
00:29:42,781 --> 00:29:44,921
I know you've had a whole life
of feeling sick
621
00:29:44,955 --> 00:29:48,476
and stuck and repeating
the same old, bad patterns,
622
00:29:48,510 --> 00:29:51,134
but your past does not
have to tell your future
where to go.
623
00:29:55,276 --> 00:29:57,554
You can choose a different path
624
00:29:57,588 --> 00:29:59,556
and who you're gonna be on it.
625
00:29:59,590 --> 00:30:01,420
[tender music playing]
626
00:30:01,454 --> 00:30:03,353
And let your daughter
do the same.
627
00:30:08,599 --> 00:30:10,153
Prague is beautiful
in the spring.
628
00:30:15,641 --> 00:30:17,712
[upbeat acoustic music playing]
629
00:30:47,707 --> 00:30:49,951
We've scheduled
the shunt placement
for this afternoon.
630
00:30:51,815 --> 00:30:53,334
And that whole speech
last night?
631
00:30:53,368 --> 00:30:56,406
I stand by it,
but it's your decision.
632
00:31:02,170 --> 00:31:05,173
I've been waiting
for the old me
to come back, and...
633
00:31:05,208 --> 00:31:07,175
[tender music playing]
634
00:31:09,419 --> 00:31:11,214
That person
may not exist anymore.
635
00:31:14,010 --> 00:31:15,045
And...
636
00:31:17,461 --> 00:31:19,153
maybe I should be okay
with that.
637
00:31:25,055 --> 00:31:26,194
Do the tet repair.
638
00:31:41,278 --> 00:31:42,693
[Dr. Park] Releasing
the proximal clamp.
639
00:31:45,248 --> 00:31:46,766
What made Daphne
change her mind?
640
00:31:47,975 --> 00:31:50,046
Dr. Allen has a way
of getting through to people.
641
00:31:54,705 --> 00:31:56,673
Blood flow looks obstructed.
642
00:31:56,707 --> 00:31:57,916
There's a kink in the graft.
643
00:31:59,572 --> 00:32:01,574
We can undo it,
but most likely,
it happens again.
644
00:32:01,609 --> 00:32:03,231
[soft tense music playing]
645
00:32:05,578 --> 00:32:09,651
We could anchor the bypass
off of the aorta instead.
646
00:32:09,686 --> 00:32:11,446
At that angle,
less chance of a kink.
647
00:32:14,484 --> 00:32:15,485
Could work.
648
00:32:18,177 --> 00:32:19,316
[Jared chuckles]
649
00:32:28,187 --> 00:32:30,155
-[Dr. Lim] Extending
the incision.
-[Asher] Sternal saw.
650
00:32:34,953 --> 00:32:36,955
[Dr. Lim]
Starting the sternotomy.
651
00:32:36,989 --> 00:32:38,784
[machine beeping urgently]
652
00:32:38,818 --> 00:32:39,819
[Perez] O2 dropped to 78.
653
00:32:40,751 --> 00:32:42,581
-65.
-She's having a tet spell.
654
00:32:42,615 --> 00:32:46,067
Give her 500 cc fluid bolus
and 100% oxygen.
655
00:32:46,102 --> 00:32:48,897
Giving a mini bolus
to increase pulmonary flow.
656
00:32:48,932 --> 00:32:51,762
[dramatic music playing]
657
00:32:51,797 --> 00:32:55,180
[Shaun] O2 sats are 50. 45.
658
00:32:55,214 --> 00:32:56,595
Come on, come on.
659
00:32:59,011 --> 00:33:01,082
Give her more oxygen
and up the opiates.
660
00:33:02,463 --> 00:33:03,774
[Shaun] It has
stopped registering.
661
00:33:03,809 --> 00:33:05,259
[beeping continues]
662
00:33:07,640 --> 00:33:09,884
[tense music playing]
663
00:33:21,068 --> 00:33:22,138
[urgent beeping stops]
664
00:33:22,172 --> 00:33:23,691
[Asher] O2's rising.
665
00:33:25,900 --> 00:33:27,005
Heart rate's stabilizing.
666
00:33:30,215 --> 00:33:33,149
She was in
prolonged gross hypoxia.
667
00:33:33,183 --> 00:33:35,806
[Shaun] That could extend
cognitive deficits...
668
00:33:37,291 --> 00:33:39,051
or worse.
669
00:33:39,086 --> 00:33:40,535
[Dr. Lim] We won't know
until she wakes.
670
00:33:40,570 --> 00:33:42,399
Let's get her on bypass
before she has another one.
671
00:33:45,644 --> 00:33:46,852
-Okay.
-Mm-hmm.
672
00:33:47,887 --> 00:33:50,373
To a successful
renal artery bypass.
673
00:33:50,407 --> 00:33:53,203
Cheers.
Facilitated by moving speech
674
00:33:53,238 --> 00:33:54,963
from a wise
and persuasive surgeon.
675
00:33:54,998 --> 00:33:58,001
Mm, with a great
surgical save by a guy
676
00:33:58,036 --> 00:34:00,900
who's about to have
some life-changing tacos.
677
00:34:00,935 --> 00:34:01,936
Okay.
678
00:34:05,284 --> 00:34:07,355
Mm! Oh, my God.
679
00:34:07,390 --> 00:34:10,013
Okay, these are amaz--
you're amazing!
680
00:34:10,047 --> 00:34:12,601
Told you. Blue corn tortillas.
681
00:34:12,636 --> 00:34:15,018
-Mm-hmm.
I can get used to this.
-[chuckles]
682
00:34:16,399 --> 00:34:17,538
[snorts]
683
00:34:18,435 --> 00:34:21,335
-You have some lettuce there.
-Oh.
684
00:34:21,369 --> 00:34:24,062
-No, no, no, mirror image.
-Mm.
685
00:34:24,096 --> 00:34:25,270
-Now?
-[laughs]
686
00:34:25,304 --> 00:34:26,995
-No.
-No laughing.
687
00:34:27,030 --> 00:34:28,065
No, right, right, right. Very--
688
00:34:28,100 --> 00:34:29,722
[clears throat]
Very serious matter.
689
00:34:30,723 --> 00:34:32,380
[both laugh]
690
00:34:34,417 --> 00:34:37,246
Here. Um, yeah.
691
00:34:37,282 --> 00:34:38,559
Oh.
692
00:34:38,592 --> 00:34:40,216
Just a little bit more.
693
00:34:40,250 --> 00:34:42,217
[tender music playing]
694
00:34:51,606 --> 00:34:54,161
-We should go.
-Mm.
695
00:34:54,195 --> 00:34:58,441
-Yeah.
-Um, we need to get back early
for Daphne's post-op.
696
00:34:58,475 --> 00:35:01,444
Yeah, right. Um, let's go.
697
00:35:01,478 --> 00:35:03,446
[soft dramatic music playing]
698
00:35:09,866 --> 00:35:12,662
The bypass went smoothly,
and post-op labs look good.
699
00:35:13,456 --> 00:35:14,560
We expect a full recovery.
700
00:35:16,079 --> 00:35:17,218
How are you feeling, Mom?
701
00:35:18,944 --> 00:35:20,048
I'm...
702
00:35:20,083 --> 00:35:23,811
[breathes deeply] Breathing.
703
00:35:23,845 --> 00:35:26,331
Kind of feels like
the first time in my life.
704
00:35:27,987 --> 00:35:31,853
The post-op swelling
from the tonsillectomy
has gone down.
705
00:35:31,888 --> 00:35:34,546
You're finally breathing
without any obstruction.
706
00:35:34,580 --> 00:35:37,514
You'll need to stay
on top of your medications
and follow-up visits,
707
00:35:37,549 --> 00:35:39,309
observe some
dietary guidelines,
708
00:35:39,344 --> 00:35:41,794
but the discharge plan
lays it all out.
709
00:35:43,002 --> 00:35:44,487
I'll be there to help, Mom.
710
00:35:47,455 --> 00:35:48,456
No.
711
00:35:50,458 --> 00:35:51,839
You won't.
712
00:35:51,873 --> 00:35:53,875
[tender music playing]
713
00:35:56,154 --> 00:35:58,156
You need to live your own life.
714
00:36:01,676 --> 00:36:04,679
But I... I will accept
FaceTime calls.
715
00:36:06,060 --> 00:36:07,648
And once I recover,
716
00:36:09,167 --> 00:36:10,685
I'll come visit.
717
00:36:15,034 --> 00:36:17,692
I hear that Prague
is beautiful in the spring.
718
00:36:18,969 --> 00:36:20,661
[laughs]
719
00:36:21,800 --> 00:36:23,215
That sounds like a plan.
720
00:36:34,847 --> 00:36:37,298
Mm, things not go well
with Glassy?
721
00:36:37,333 --> 00:36:39,542
He returned the files
with a note saying
722
00:36:39,576 --> 00:36:42,683
he did not look at them
and does not intend to.
723
00:36:42,717 --> 00:36:45,030
I'm sorry. He probably--
724
00:36:45,064 --> 00:36:47,101
It was a mistake
to leave them for him
to read on his own.
725
00:36:47,135 --> 00:36:51,105
Once I reorder the files,
I will go to his office
to review with him in person.
726
00:36:51,139 --> 00:36:53,141
He made it pretty clear
he doesn't want to see them.
727
00:36:53,176 --> 00:36:55,489
But he doesn't know
about the new evidence.
728
00:36:55,523 --> 00:36:57,387
Maybe he doesn't want to know.
729
00:36:57,422 --> 00:37:00,494
Cancer survivors
have to live with
that uncertainty that--
730
00:37:00,528 --> 00:37:02,185
Knowing is better
than not knowing.
731
00:37:05,084 --> 00:37:07,397
If he's not ready
to look at this,
732
00:37:07,432 --> 00:37:09,088
you can't force him.
733
00:37:10,469 --> 00:37:13,231
Maybe he's scared, Shaun.
734
00:37:14,128 --> 00:37:16,095
And I think
maybe you're scared, too.
735
00:37:17,614 --> 00:37:20,168
We're about to have a baby,
736
00:37:20,203 --> 00:37:22,550
you're about to be a dad,
737
00:37:22,585 --> 00:37:25,070
and I think you're worried
about family,
738
00:37:25,104 --> 00:37:26,554
and Glassman is a part of that.
739
00:37:28,384 --> 00:37:31,594
But if you keep pushing,
you risk damaging
740
00:37:31,628 --> 00:37:34,252
one of the most important
relationships in your life.
741
00:37:42,950 --> 00:37:44,192
[indistinct chatter]
742
00:37:44,227 --> 00:37:45,228
Hey.
743
00:37:48,576 --> 00:37:49,715
-Hey.
-Hey.
744
00:37:53,098 --> 00:37:54,548
I've been thinking,
745
00:37:54,582 --> 00:37:56,170
and I need a break
from our coffees.
746
00:37:56,826 --> 00:37:58,483
Dalisay--
747
00:37:58,517 --> 00:38:00,070
I don't think dinner's
a good idea either.
748
00:38:01,451 --> 00:38:03,798
So we have
a different point of view
about hospital business.
749
00:38:03,833 --> 00:38:06,214
That doesn't change
the way I feel about you.
750
00:38:06,249 --> 00:38:07,975
On or off the clock,
I'm the same person.
751
00:38:08,976 --> 00:38:11,841
To me, if you don't value
what the nurses do
752
00:38:11,875 --> 00:38:14,878
enough to treat us
like a resource to invest in,
753
00:38:14,913 --> 00:38:16,397
not a line item to be cut,
754
00:38:17,778 --> 00:38:19,193
how much can you care about me?
755
00:38:20,919 --> 00:38:21,989
And to be honest,
756
00:38:22,990 --> 00:38:24,612
if that is
your point of view...
757
00:38:27,443 --> 00:38:29,203
it undercuts
the respect I have for you.
758
00:38:40,835 --> 00:38:43,597
Harper Louise Decrane,
759
00:38:43,631 --> 00:38:46,324
March 30, 1994.
760
00:38:47,290 --> 00:38:48,498
And do you know
why you're here?
761
00:38:49,465 --> 00:38:50,604
For my heart issues.
762
00:38:52,330 --> 00:38:53,779
[sighs]
763
00:38:53,814 --> 00:38:55,333
I had another tet spell,
didn't I?
764
00:38:56,575 --> 00:38:58,128
We'll need
to conduct more tests,
765
00:38:58,163 --> 00:39:00,372
but your speech
and memory seem intact.
766
00:39:00,407 --> 00:39:03,513
And with regard to your heart,
we expect a full recovery.
767
00:39:03,548 --> 00:39:07,517
And with time,
you may recover your full
cognitive abilities as well.
768
00:39:08,035 --> 00:39:09,036
Maybe.
769
00:39:10,555 --> 00:39:14,490
But for now,
I'll just focus on being here.
770
00:39:17,009 --> 00:39:19,011
[gentle music playing]
771
00:39:30,229 --> 00:39:32,197
"It's the greening of the trees
772
00:39:33,025 --> 00:39:34,544
That really gets to me
773
00:39:36,097 --> 00:39:39,066
When all the shock
of white and taffy
774
00:39:39,100 --> 00:39:41,931
Leave the pavement strewn
With the confetti of aftermath
775
00:39:44,209 --> 00:39:45,383
The leaves come
776
00:39:46,591 --> 00:39:48,351
Patient, plodding
777
00:39:50,077 --> 00:39:53,494
A green skin growing over
Whatever winter did to us
778
00:39:55,979 --> 00:39:59,880
A return to the strange idea
Of continuous living
779
00:39:59,914 --> 00:40:01,399
Despite the mess of us
780
00:40:01,433 --> 00:40:03,055
The hurt, the empty..."
781
00:40:04,194 --> 00:40:05,264
Shaun, what?
782
00:40:06,576 --> 00:40:09,441
Lea thinks that because
I'm going to be a dad,
783
00:40:10,615 --> 00:40:12,617
I am worried about my family.
784
00:40:14,688 --> 00:40:15,965
Okay.
785
00:40:15,999 --> 00:40:18,933
She also thinks you are scared.
786
00:40:20,279 --> 00:40:21,936
I'm not scared, Shaun.
I'm fine.
787
00:40:21,971 --> 00:40:25,077
She says if you don't want
to do the scan,
I should let it go.
788
00:40:29,461 --> 00:40:30,531
She...
789
00:40:32,878 --> 00:40:34,293
is right.
790
00:40:36,088 --> 00:40:37,400
Good. Thank you.
791
00:40:39,816 --> 00:40:41,093
I am scared.
792
00:40:54,797 --> 00:40:55,901
Dr. Glassman...
793
00:41:00,630 --> 00:41:04,323
I am asking you to do the scan
794
00:41:05,773 --> 00:41:06,740
because...
795
00:41:08,673 --> 00:41:11,779
the data and the evidence
are sound...
796
00:41:17,820 --> 00:41:18,924
and because...
797
00:41:26,553 --> 00:41:28,589
it would be hard
to lose my father
798
00:41:28,624 --> 00:41:30,315
just as I am about
to become one.
799
00:41:37,184 --> 00:41:38,772
[breathes shakily]
800
00:41:38,806 --> 00:41:40,152
Do the scan for me.
801
00:41:50,749 --> 00:41:51,716
[chuckles]
802
00:41:52,648 --> 00:41:54,857
Shaun, I'll do the scan.
803
00:41:58,343 --> 00:41:59,482
[sighs softly]
804
00:42:13,669 --> 00:42:17,431
"'Fine then, I'll take it'
The tree seems to say
805
00:42:17,465 --> 00:42:21,055
A new slick leaf unfurling
Like a fist to an open palm
806
00:42:21,953 --> 00:42:23,368
'I'll take it all'"
807
00:42:30,617 --> 00:42:32,584
[closing theme music playing]
56104
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