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These are the user uploaded subtitles that are being translated: 1 00:00:06,074 --> 00:00:07,376 Fifty. 2 00:00:08,944 --> 00:00:10,078 Okay. 3 00:00:11,414 --> 00:00:13,416 That should not have been so hard. 4 00:00:13,549 --> 00:00:14,450 You're getting old, Pops. 5 00:00:14,584 --> 00:00:16,119 Thirty-one is not old. 6 00:00:16,252 --> 00:00:17,587 It is in parent years. 7 00:00:17,719 --> 00:00:18,787 They're like dog years. 8 00:00:19,721 --> 00:00:20,689 Damn you! 9 00:00:20,822 --> 00:00:22,525 Why won't you let us sleep? 10 00:00:22,657 --> 00:00:24,293 We shouldn't curse in front of him. 11 00:00:24,427 --> 00:00:25,727 We didn't. 12 00:00:25,861 --> 00:00:29,232 And he's obviously gonna be a rock star. 13 00:00:29,365 --> 00:00:32,602 So might as well get used to hanging out with lowlifes. 14 00:00:33,902 --> 00:00:35,271 He screams like Axl Rose. 15 00:00:36,539 --> 00:00:38,640 And he's definitely a night owl. 16 00:00:38,773 --> 00:00:40,109 Crying uses the vocal-fold muscles 17 00:00:40,243 --> 00:00:41,810 very differently than singing. 18 00:00:41,943 --> 00:00:43,945 And lots of jobs work at night. 19 00:00:44,079 --> 00:00:46,715 Janitors, truck drivers, polysomnographic technologists. 20 00:00:46,848 --> 00:00:49,818 All I know, with those eyes and that smile, 21 00:00:49,951 --> 00:00:51,454 no way he ends up in any job 22 00:00:51,587 --> 00:00:54,990 that doesn't involve being swarmed by supermodels. 23 00:00:55,124 --> 00:00:56,791 Of whatever the hell gender he prefers. 24 00:00:58,127 --> 00:01:00,695 I think we may need to get a swear jar. 25 00:01:02,298 --> 00:01:03,899 Wouldn't work. 26 00:01:04,032 --> 00:01:05,066 Ask my dad. 27 00:01:08,137 --> 00:01:09,505 I'm sorry. I just don't get what the big deal is. 28 00:01:09,639 --> 00:01:10,705 I've never even met your niece. 29 00:01:10,839 --> 00:01:11,806 Yeah, because you've turned down 30 00:01:11,940 --> 00:01:13,708 every invite to a family gathering. 31 00:01:13,842 --> 00:01:15,043 Okay. I've just been really busy lately. 32 00:01:15,178 --> 00:01:16,646 Last time my brother had a barbecue, 33 00:01:16,778 --> 00:01:19,014 you went to a karaoke bar with Jordan instead. 34 00:01:19,148 --> 00:01:21,284 That is not true. 35 00:01:21,417 --> 00:01:24,387 - It was an ax-throwing bar. - Ash. 36 00:01:24,520 --> 00:01:27,256 I've gone out of my way to be sensitive to your family history. 37 00:01:27,390 --> 00:01:28,224 Mine is different. 38 00:01:28,357 --> 00:01:29,991 We're all super close. 39 00:01:30,126 --> 00:01:34,062 And... And this is a big deal. It's her confirmation. 40 00:01:34,197 --> 00:01:36,731 I'm not asking you to go to the church service. Just the after party. 41 00:01:36,865 --> 00:01:38,066 I can't tomorrow night. 42 00:01:38,201 --> 00:01:39,669 I have a ton of work to catch up on. I gotta go. 43 00:01:41,204 --> 00:01:44,072 Good morning. I'm Dr. Shaun Murphy. 44 00:01:44,207 --> 00:01:46,609 This is Dr. Kalu and Doctor... 45 00:01:46,741 --> 00:01:48,076 It smells like a brewery in here. 46 00:01:48,211 --> 00:01:50,413 Sorry. We had a party at our fraternity last night. 47 00:01:50,546 --> 00:01:52,847 Um, I was gonna shower, but my roommates, 48 00:01:52,981 --> 00:01:54,383 they insisted I go to the ER immediately. 49 00:01:54,517 --> 00:01:56,252 I-I can't hear out of my left ear. 50 00:01:56,385 --> 00:01:57,420 When did you lose... 51 00:01:57,553 --> 00:01:59,222 Miss Lukaitis is one of our med students. 52 00:01:59,355 --> 00:02:01,424 She is here to observe. 53 00:02:01,557 --> 00:02:03,392 Med students do not take patient histories 54 00:02:03,526 --> 00:02:04,826 unless directed to. 55 00:02:04,960 --> 00:02:06,128 I wasn't taking a history. 56 00:02:07,230 --> 00:02:09,030 I see you got into a fight last night? 57 00:02:09,165 --> 00:02:11,467 No. It was... It was a drinking game. 58 00:02:11,601 --> 00:02:13,902 You take turns slapping each other in the face 59 00:02:14,035 --> 00:02:16,239 and whoever flinches, they have to drink. 60 00:02:16,372 --> 00:02:17,806 - Sounds fun. - Yeah. 61 00:02:17,939 --> 00:02:19,408 I woke up with an insane headache. 62 00:02:20,809 --> 00:02:22,545 I think I ruptured my eardrum. 63 00:02:22,678 --> 00:02:24,913 I slapped my friend the other day to treat his hemophobia. 64 00:02:25,046 --> 00:02:26,549 It seemed safe, but I'm probably not as strong... 65 00:02:26,682 --> 00:02:28,618 There's bilateral otitis externa 66 00:02:28,750 --> 00:02:31,220 and significant cerumen blockage. 67 00:02:31,354 --> 00:02:33,122 Cerumen? 68 00:02:33,256 --> 00:02:35,857 Yeah, you have an ear infection and a lot of earwax. 69 00:02:35,991 --> 00:02:37,526 Oh. 70 00:02:37,660 --> 00:02:39,695 Whoa. What happened here? 71 00:02:39,828 --> 00:02:40,795 Ooh. 72 00:02:40,929 --> 00:02:43,266 Oh, it's nothing. It's just a bruise. 73 00:02:43,399 --> 00:02:44,634 Take more than a slap to cause that. 74 00:02:44,766 --> 00:02:46,636 One of the guys in my fraternity 75 00:02:46,768 --> 00:02:48,738 has one of those foam-round shotguns 76 00:02:48,870 --> 00:02:51,107 that the police use for riot control. 77 00:02:51,240 --> 00:02:53,643 Um, so we were testing it out on each other. 78 00:02:54,744 --> 00:02:55,810 - Mm. - Mm. 79 00:02:55,944 --> 00:02:58,013 Flush the ears with warm saline 80 00:02:58,147 --> 00:02:59,914 and administer polymyxin B drops. 81 00:03:00,048 --> 00:03:01,850 Then get X-rays to rule out a broken rib. 82 00:03:01,983 --> 00:03:04,253 You can go with them. 83 00:03:04,387 --> 00:03:06,021 I'd rather continue to shadow you. 84 00:03:06,155 --> 00:03:07,456 I already know how to clear out earwax and... 85 00:03:07,590 --> 00:03:08,758 Go with them. 86 00:03:09,991 --> 00:03:11,661 43-year-old male, 87 00:03:11,793 --> 00:03:13,329 hand and arm caught in a meat grinder. 88 00:03:13,462 --> 00:03:15,331 - Bay 6. - Okay. Got it? 89 00:03:15,464 --> 00:03:16,898 We got it from here. Thanks. 90 00:03:20,436 --> 00:03:21,270 Can you move your fingers? 91 00:03:21,404 --> 00:03:22,605 I-I'm not sure. 92 00:03:22,738 --> 00:03:23,773 Get a BP cuff on his other arm. 93 00:03:23,905 --> 00:03:25,341 How'd it happen? 94 00:03:25,474 --> 00:03:27,510 - I manage a food processing factory. - You got it upside down. 95 00:03:27,643 --> 00:03:29,944 I was demonstrating how to clean the meat grinder 96 00:03:30,078 --> 00:03:32,148 when an apprentice butcher 97 00:03:32,281 --> 00:03:34,483 decided to turn the breaker back on. 98 00:03:34,617 --> 00:03:36,319 I hate new employees. 99 00:03:36,452 --> 00:03:37,852 Worse than worthless. 100 00:03:39,988 --> 00:03:41,657 Oh, my God. 101 00:03:41,791 --> 00:03:43,793 Get me an ortho-powered driver with a 4 millimeter hex head. 102 00:03:45,561 --> 00:03:46,828 Get the double-action rongeur 103 00:03:46,961 --> 00:03:48,497 so you can use it to pull off the grill. 104 00:04:03,112 --> 00:04:04,547 Just skin and flesh. I don't see any bone. 105 00:04:04,680 --> 00:04:05,815 Oh, thank God. 106 00:04:10,519 --> 00:04:12,987 He's just... new. 107 00:04:24,032 --> 00:04:25,401 Thanks for the walk invite. 108 00:04:25,534 --> 00:04:26,868 I keep planning to exercise, 109 00:04:27,001 --> 00:04:29,238 but then I wake up feeling like a broken-down old boxer. 110 00:04:29,372 --> 00:04:30,773 Ugh, I know the feeling, 111 00:04:30,905 --> 00:04:32,208 and I didn't even go through childbirth. 112 00:04:32,341 --> 00:04:33,676 Babies are damn hard work. 113 00:04:33,809 --> 00:04:35,411 Yeah. Damn hard. Thank you. 114 00:04:37,546 --> 00:04:38,447 I've been wanting to talk to you. 115 00:04:39,881 --> 00:04:41,183 I'm creating a living trust 116 00:04:41,317 --> 00:04:42,585 to make sure Eden's taken care of. 117 00:04:42,718 --> 00:04:45,121 And I'd like to name you and Shaun as Eden's guardians 118 00:04:45,254 --> 00:04:46,288 if Park and I die. 119 00:04:46,422 --> 00:04:47,423 Wow. I'm... 120 00:04:49,492 --> 00:04:50,693 I'm flattered. 121 00:04:50,826 --> 00:04:52,695 You and Shaun are great together. 122 00:04:52,828 --> 00:04:56,866 And given Eden's special needs, you guys are a perfect choice. 123 00:04:57,999 --> 00:04:59,435 Thank you. 124 00:04:59,568 --> 00:05:01,237 That... 125 00:05:01,370 --> 00:05:02,772 That means a lot to me. 126 00:05:04,173 --> 00:05:05,141 And I'll talk to Shaun about it tonight. 127 00:05:13,883 --> 00:05:14,884 I'm sorry. 128 00:05:17,386 --> 00:05:19,455 It's okay. 129 00:05:19,588 --> 00:05:22,023 I got a few minutes till the patient's sedatives take effect. 130 00:05:22,158 --> 00:05:25,261 I've tried every antiemetic I could find. 131 00:05:25,394 --> 00:05:27,563 Even started wearing this here wristband, 132 00:05:27,696 --> 00:05:29,131 but nothing works. 133 00:05:31,032 --> 00:05:34,068 I was a cop for 15 years before med school. 134 00:05:34,203 --> 00:05:36,472 Saw a lot of rookies lose their lunch at a crime scene, 135 00:05:36,605 --> 00:05:38,407 but never met one who didn't get used to it. 136 00:05:38,541 --> 00:05:39,941 It'll become just part of the routine. 137 00:05:41,577 --> 00:05:43,077 I just got to get through this rotation. 138 00:05:46,014 --> 00:05:47,650 Hey, if you want to sit this one out, I'm fine. 139 00:05:47,783 --> 00:05:50,553 You can hit the skills lab, practice suturing. 140 00:05:52,888 --> 00:05:54,723 Before I went to med school, 141 00:05:54,857 --> 00:05:55,925 I was a D-1 tackle. 142 00:05:57,226 --> 00:05:59,261 Two most important things I learned is, 143 00:05:59,395 --> 00:06:01,597 it's better to give than to receive, 144 00:06:01,730 --> 00:06:02,932 and quitters never win. 145 00:06:05,134 --> 00:06:06,669 Good. 146 00:06:06,802 --> 00:06:07,937 Then let's go save a hand. 147 00:06:20,349 --> 00:06:21,884 What are you doing? 148 00:06:22,016 --> 00:06:24,587 I mean, besides forgetting about this morning's board meeting. 149 00:06:24,720 --> 00:06:26,655 I didn't forget about this morning's board meeting. 150 00:06:26,789 --> 00:06:28,157 So we're still doing this? 151 00:06:28,290 --> 00:06:30,459 No, I didn't skip the meeting to prank you. 152 00:06:30,593 --> 00:06:32,528 I did it to be here for the delivery. 153 00:06:33,596 --> 00:06:35,364 A gift for both of us. 154 00:06:35,498 --> 00:06:36,265 Ta-da! 155 00:06:37,900 --> 00:06:40,703 You prefer to stay in your office, right? 156 00:06:40,836 --> 00:06:42,371 And I'm certainly not going to leave the clinic. 157 00:06:42,505 --> 00:06:45,107 So I thought, why not convert the president's office 158 00:06:45,241 --> 00:06:46,375 into the president's lounge? 159 00:06:46,509 --> 00:06:47,576 Sorry. 160 00:06:47,710 --> 00:06:48,811 Co-Presidents' Lounge. 161 00:06:48,944 --> 00:06:50,546 Oh, might as well add a putting green 162 00:06:50,679 --> 00:06:52,114 and a wine cellar while you're at it. 163 00:06:52,248 --> 00:06:54,149 I work better with a pool table. 164 00:06:54,283 --> 00:06:55,551 Great. 165 00:06:55,684 --> 00:06:57,920 The board had a list of issues they want addressed ASAP, 166 00:06:58,052 --> 00:06:59,688 and since I actually attended the meeting, 167 00:06:59,822 --> 00:07:00,990 I get to divvy them up. 168 00:07:03,225 --> 00:07:03,993 Your half. 169 00:07:07,796 --> 00:07:09,498 He's a cutie. 170 00:07:09,632 --> 00:07:10,666 He's a moron. 171 00:07:10,799 --> 00:07:13,335 When I'm fantasizing about him tonight, 172 00:07:13,469 --> 00:07:16,205 I'm not gonna be picturing him helping me study for bio-chem. 173 00:07:16,338 --> 00:07:19,008 Uh, that is not something we needed to know. 174 00:07:19,141 --> 00:07:20,074 He's kind of got a Peter Parker vibe, 175 00:07:20,209 --> 00:07:21,944 which is exactly my type. 176 00:07:22,076 --> 00:07:24,078 How about you guys? What's your type? 177 00:07:24,213 --> 00:07:26,815 Uh, we should probably just focus. 178 00:07:26,949 --> 00:07:28,784 I bet you like tall women. 179 00:07:28,918 --> 00:07:30,519 - Uh-huh. - Uh... 180 00:07:32,086 --> 00:07:35,925 I like sweet, handsome, caring, and, yes, tall men. 181 00:07:36,057 --> 00:07:37,526 You're gay? 182 00:07:37,660 --> 00:07:39,194 Right on. Top or bottom? 183 00:07:39,328 --> 00:07:40,529 Oh, wow. Charlie... 184 00:07:42,197 --> 00:07:44,065 you're not in your med-school study group, okay? 185 00:07:44,199 --> 00:07:45,801 That is an inappropriate question for a co-worker. 186 00:07:45,935 --> 00:07:47,770 You could be fired. 187 00:07:47,903 --> 00:07:49,138 Employers have to consider 188 00:07:49,271 --> 00:07:50,873 my neurodiverse communication style. 189 00:07:51,006 --> 00:07:52,942 No one should be forced to change who they are 190 00:07:53,074 --> 00:07:54,543 to be considered more professional. 191 00:07:54,677 --> 00:07:56,812 Well, I'd suggest checking in with HR. 192 00:07:56,946 --> 00:08:00,416 They may have a different idea of reasonable accommodations. 193 00:08:00,549 --> 00:08:03,118 People at work talk about their relationships all the time. 194 00:08:03,252 --> 00:08:04,653 Asking about someone's relationship's 195 00:08:04,787 --> 00:08:05,821 a little different than asking about 196 00:08:05,955 --> 00:08:07,389 their preferred sexual position. 197 00:08:07,523 --> 00:08:09,024 The expression doesn't refer solely to sexual positions. 198 00:08:09,158 --> 00:08:10,091 No rib fractures. 199 00:08:11,860 --> 00:08:13,062 But... 200 00:08:15,130 --> 00:08:16,565 what is that? 201 00:08:20,769 --> 00:08:22,605 The bleeding's stopped. 202 00:08:22,738 --> 00:08:24,139 The blades are acting like a tourniquet. 203 00:08:24,273 --> 00:08:25,874 We need to get this hand out 204 00:08:26,008 --> 00:08:27,676 before his fingers get necrotic. 205 00:08:27,810 --> 00:08:30,913 What if we pull his arm while manually turning the blades in reverse? 206 00:08:31,046 --> 00:08:32,915 Could grind up whatever's stuck even more. 207 00:08:33,048 --> 00:08:34,083 We have to cut the machine open. 208 00:08:34,216 --> 00:08:37,353 How? The Jaws of Life are way too big, 209 00:08:37,486 --> 00:08:39,922 and a saw could cut his arm or overheat the metal. 210 00:08:40,055 --> 00:08:42,224 Not if you irrigate with cold saline as I work. 211 00:08:42,358 --> 00:08:44,093 I'll go just deep enough to weaken the metal, 212 00:08:44,226 --> 00:08:45,494 and then we'll break it apart with a rib spreader. 213 00:08:46,629 --> 00:08:48,030 Brilliant. 214 00:08:48,163 --> 00:08:49,465 Get me an ortho oscillating saw with a metal cutting blade. 215 00:08:56,038 --> 00:08:57,406 It's a very irregular shape. 216 00:08:59,642 --> 00:09:01,944 Could be an intramural abscess in his esophagus. 217 00:09:02,077 --> 00:09:04,580 The contrast enhancement wouldn't be so uniform. 218 00:09:05,414 --> 00:09:07,449 Yes, that is true. 219 00:09:07,583 --> 00:09:09,318 What about an esophageal cancer? 220 00:09:09,451 --> 00:09:11,286 That would be unusual. 221 00:09:11,420 --> 00:09:13,288 - He is very young and... - A nonsmoker. 222 00:09:16,158 --> 00:09:18,093 I'm confident we can excise the mass, 223 00:09:18,227 --> 00:09:20,295 but we need to do an esophagogastroduodenoscopy 224 00:09:20,429 --> 00:09:21,964 and biopsy first. 225 00:09:22,097 --> 00:09:23,832 I have no idea what that is, but it sounds awesome. 226 00:09:23,966 --> 00:09:25,000 Please do it now. 227 00:09:28,737 --> 00:09:30,506 Uh, Charlie? 228 00:09:30,639 --> 00:09:31,974 Hmm? 229 00:09:32,108 --> 00:09:33,776 Uh, it might be better trying to be your authentic self 230 00:09:33,909 --> 00:09:35,644 without repeatedly interrupting your boss. 231 00:09:38,614 --> 00:09:41,151 Thank you, Dr. Kalu. I appreciate the advice. 232 00:09:45,688 --> 00:09:46,955 I think you may need to go deeper. 233 00:09:47,089 --> 00:09:49,291 I can't risk popping through and cutting the radial. 234 00:09:49,425 --> 00:09:50,926 Park, he's bleeding again. 235 00:09:51,060 --> 00:09:53,163 Should you do a vascular cut down and temporary ligation? 236 00:09:53,295 --> 00:09:54,563 No, it's been too long already. 237 00:09:54,697 --> 00:09:55,731 We need to get this thing open. 238 00:09:59,135 --> 00:10:01,104 - Come on. Give me a hand. - I-I can't. 239 00:10:01,236 --> 00:10:03,005 Yes, you can. Just close your eyes. Pretend you're at the gym. 240 00:10:03,139 --> 00:10:04,673 - Come on. - Come on. 241 00:10:05,941 --> 00:10:07,042 All right. Go, go, go, go, go, go, go! 242 00:10:09,211 --> 00:10:11,613 Keep going. It's working. 243 00:10:11,747 --> 00:10:13,082 - Pull, pull, pull! - It's loose! 244 00:10:17,052 --> 00:10:18,188 Lap sponges! 245 00:10:19,855 --> 00:10:22,158 Severe contamination of hand and forearm, 246 00:10:22,291 --> 00:10:23,559 arteries are trashed. 247 00:10:23,692 --> 00:10:26,395 Major vascular gaps, radius and ulna are crushed. 248 00:10:26,528 --> 00:10:27,730 Get the OR prepped. 249 00:10:27,863 --> 00:10:29,398 We're gonna have to amputate it. 250 00:10:31,700 --> 00:10:33,268 Advancing down the esophageal lumen. 251 00:10:35,437 --> 00:10:36,505 Do you have a boyfriend? 252 00:10:36,638 --> 00:10:37,506 Yes. 253 00:10:38,907 --> 00:10:41,211 Approaching the gastroesophageal junction. 254 00:10:41,343 --> 00:10:42,778 Is he tall? 255 00:10:44,246 --> 00:10:45,013 Can we talk about this later? 256 00:10:45,148 --> 00:10:46,216 Or not at all. 257 00:10:47,950 --> 00:10:48,784 Doesn't make sense. 258 00:10:50,652 --> 00:10:52,921 Dr. Kalu thinks I'm being too intrusive, 259 00:10:53,055 --> 00:10:54,623 but I'm actually trying to establish a rapport. 260 00:10:54,757 --> 00:10:56,492 I wasn't talking about him or you. 261 00:10:58,026 --> 00:10:59,294 I meant the mass. 262 00:11:01,994 --> 00:11:03,262 It's gone. 263 00:11:06,904 --> 00:11:08,440 This doesn't make sense. 264 00:11:08,572 --> 00:11:10,007 That's exactly what Dr. Wolke said. 265 00:11:10,140 --> 00:11:12,943 The esophageal mass was definitely on the X-ray. 266 00:11:13,077 --> 00:11:14,446 And on the neck CT. 267 00:11:14,578 --> 00:11:16,280 But nowhere on the endoscopy. 268 00:11:16,414 --> 00:11:18,182 - Maybe we should repeat all the tests? - No. 269 00:11:18,316 --> 00:11:20,385 - We could... - I can't concentrate 270 00:11:20,517 --> 00:11:22,619 if you keep interrupting me. 271 00:11:22,753 --> 00:11:23,754 I didn't interrupt you. 272 00:11:23,887 --> 00:11:25,656 I asked you a question. You said no, 273 00:11:25,789 --> 00:11:27,191 so I attempted to make a suggestion, 274 00:11:27,325 --> 00:11:28,326 then you interrupted me. 275 00:11:28,460 --> 00:11:31,695 Could you please just be quiet? 276 00:11:33,931 --> 00:11:34,898 Okay. 277 00:11:37,402 --> 00:11:38,869 Okay. 278 00:11:46,344 --> 00:11:48,712 He's disoriented and slurring his speech. 279 00:11:48,846 --> 00:11:50,981 Phipps, do you know where you are right now? 280 00:11:51,115 --> 00:11:54,284 Um, I go to San Jose State University. 281 00:11:54,419 --> 00:11:56,687 He is disoriented, but no longer slurring. 282 00:11:56,820 --> 00:11:57,888 - It was worse before. - Okay. 283 00:11:58,022 --> 00:11:59,089 Squeeze my fingers. 284 00:12:01,291 --> 00:12:03,193 - Right-side weakness. - We should prep a bolus dose of TPA. 285 00:12:03,328 --> 00:12:05,029 No, we should not do that. 286 00:12:05,162 --> 00:12:06,431 Can you wiggle your toes? 287 00:12:06,563 --> 00:12:07,865 But if he's having a stroke... 288 00:12:07,998 --> 00:12:09,401 His speech is improving, 289 00:12:09,533 --> 00:12:11,702 which makes a transient ischemic attack more likely. 290 00:12:11,835 --> 00:12:13,338 And you ordered a nurse to prep an unindicated 291 00:12:13,471 --> 00:12:14,938 and very risky medication. 292 00:12:15,072 --> 00:12:17,908 - I didn't order her, just making a suggestion. - Get out. 293 00:12:18,042 --> 00:12:20,677 - What? - You refuse to acknowledge you've made a mistake, 294 00:12:20,811 --> 00:12:23,013 which wastes my time and endangers our patient. 295 00:12:23,147 --> 00:12:25,316 Please leave the patient's room now. 296 00:12:27,918 --> 00:12:30,287 We need a head CT-CTA to confirm it's a TIA 297 00:12:30,422 --> 00:12:32,022 and not a brain bleed or tumor. 298 00:12:34,024 --> 00:12:35,125 Checking pupils. 299 00:12:43,667 --> 00:12:45,269 Ligation and sectioning of the viable arteries, 300 00:12:45,403 --> 00:12:46,837 veins, and nerves complete. 301 00:12:46,970 --> 00:12:48,005 Charriere. 302 00:12:54,244 --> 00:12:55,846 I'll make the bone cuts as distal as possible 303 00:12:55,979 --> 00:12:57,114 - on the forearm. - Dr. Park. 304 00:12:58,882 --> 00:13:00,951 I gotta leave. 305 00:13:06,190 --> 00:13:07,559 Maybe he should sit this one out. 306 00:13:08,759 --> 00:13:10,260 Bit of a worst-case scenario for him. 307 00:13:11,429 --> 00:13:12,296 I gave him the opportunity. 308 00:13:12,430 --> 00:13:13,565 He turned me down. 309 00:13:21,406 --> 00:13:24,509 Have you gotten Morgan's fecal-sample fridge installed? 310 00:13:24,641 --> 00:13:26,710 I thought the idea was to divide and conquer. 311 00:13:26,844 --> 00:13:29,146 You do your half of the honey-do list, 312 00:13:29,279 --> 00:13:30,013 and I do mine. 313 00:13:30,147 --> 00:13:32,616 Yes, but just FYI, 314 00:13:32,749 --> 00:13:34,118 Morgan needs the fridge installed 315 00:13:34,251 --> 00:13:36,321 before she starts screening for the IBS trial. 316 00:13:36,454 --> 00:13:37,455 Yes, I'm aware. 317 00:13:37,589 --> 00:13:38,956 Then I assume you're also aware 318 00:13:39,089 --> 00:13:40,958 that it needs a new electric panel, 319 00:13:41,091 --> 00:13:43,394 and that Gail has put a freeze on all facility upgrades. 320 00:13:43,528 --> 00:13:45,696 - Not my first rodeo. - Okay. 321 00:13:45,829 --> 00:13:47,164 And the other stuff on the list? 322 00:13:47,297 --> 00:13:49,800 I plan to ignore. You should do the same. 323 00:13:49,933 --> 00:13:52,769 - You're advising I ignore the board? - Yes. 324 00:13:52,903 --> 00:13:55,839 Much of their complaints are trivial in nature. 325 00:13:55,973 --> 00:13:58,309 They'll either work themselves out or disappear completely, 326 00:13:58,443 --> 00:14:00,711 which is good for us, because then we can do our actual jobs. 327 00:14:00,844 --> 00:14:02,514 The current board isn't as passive 328 00:14:02,646 --> 00:14:03,814 as the one you're used to dealing with. 329 00:14:03,947 --> 00:14:06,417 The current board has some newbies, yes, 330 00:14:06,551 --> 00:14:08,620 and they're very anxious to engage 331 00:14:08,785 --> 00:14:10,888 and nitpick over every little silly thing. 332 00:14:11,021 --> 00:14:12,856 But you know what? They'll learn. They always do. 333 00:14:14,258 --> 00:14:15,527 I have an actual patient waiting. 334 00:14:21,566 --> 00:14:23,700 Are we going in for a head CT? 335 00:14:23,834 --> 00:14:25,669 Doctors Wolke and Kalu are. 336 00:14:28,339 --> 00:14:30,707 You shouldn't have raised your voice to me like you did. 337 00:14:30,841 --> 00:14:32,577 I spoke with an urgency 338 00:14:32,709 --> 00:14:34,579 that was appropriate to the situation. 339 00:14:34,711 --> 00:14:36,447 It may be appropriate to some, 340 00:14:36,581 --> 00:14:37,781 but as a person on the spectrum, 341 00:14:37,915 --> 00:14:40,017 I don't do well when shouted at. 342 00:14:40,150 --> 00:14:42,753 I did not shout. 343 00:14:42,886 --> 00:14:44,054 I'm letting you know the parameters 344 00:14:44,188 --> 00:14:46,156 for communicating with me effectively. 345 00:14:46,290 --> 00:14:47,891 I'd appreciate your cooperation. 346 00:14:49,165 --> 00:14:50,498 I'll go join Doctors Wolke and Kalu. 347 00:14:50,820 --> 00:14:52,222 No. 348 00:14:52,497 --> 00:14:55,265 You will go to the skills lab 349 00:14:55,400 --> 00:14:57,067 and study stroke protocols and procedures 350 00:14:57,201 --> 00:14:58,403 for handling a TIA. 351 00:14:58,536 --> 00:15:00,484 I didn't do anything wrong. 352 00:15:13,220 --> 00:15:15,388 We didn't have to debride as much as I thought. 353 00:15:15,522 --> 00:15:17,524 And there's more than enough palmar and dorsal flaps 354 00:15:17,656 --> 00:15:18,691 to close the stump. 355 00:15:18,824 --> 00:15:20,560 - Checking my work? - No. 356 00:15:20,693 --> 00:15:22,462 Just rubbernecking. 357 00:15:22,596 --> 00:15:23,996 It's not every day you get to see 358 00:15:24,130 --> 00:15:26,333 a meat-grinder partial radial amputation. 359 00:15:26,466 --> 00:15:27,534 Thankfully. 360 00:15:27,666 --> 00:15:29,935 But if I was checking, 361 00:15:30,069 --> 00:15:32,339 now that I have a better view of the injured area, 362 00:15:32,472 --> 00:15:34,773 the distal forearm vessels and nerves 363 00:15:34,907 --> 00:15:36,742 are actually better than I expected. 364 00:15:36,876 --> 00:15:38,177 If you could bridge those gaps, 365 00:15:38,311 --> 00:15:40,980 I'm wondering if you might be able to reattach it. 366 00:15:41,113 --> 00:15:42,781 Ischemic time is less than eight hours, 367 00:15:42,915 --> 00:15:45,918 and that's best case, which this isn't. 368 00:15:46,051 --> 00:15:47,887 Mm, not if there's a blood supply. 369 00:15:48,020 --> 00:15:49,955 You could graft it to his ankle, 370 00:15:50,089 --> 00:15:51,657 keep it perfused 371 00:15:51,790 --> 00:15:53,593 while you prep the forearm stump for replantation. 372 00:15:53,726 --> 00:15:54,994 You could really do that? 373 00:15:55,127 --> 00:15:57,029 We've built new ears on forearms. 374 00:15:57,163 --> 00:15:59,131 Wrist anatomy is a lot more complex. 375 00:15:59,266 --> 00:16:01,635 And if we spread an infection to his leg, 376 00:16:01,767 --> 00:16:04,371 he could end up losing two limbs instead of just one. 377 00:16:04,504 --> 00:16:07,139 We could reduce the risk by planting antibiotic beads in the wounds. 378 00:16:07,274 --> 00:16:08,341 Yeah, but not eliminate it. 379 00:16:09,842 --> 00:16:10,843 Your call. 380 00:16:13,946 --> 00:16:15,482 Prep and drape his left ankle. 381 00:16:16,483 --> 00:16:17,716 Want a second set of hands? 382 00:16:17,850 --> 00:16:19,553 Absolutely. 383 00:16:19,685 --> 00:16:21,754 But don't you have a hospital to run? 384 00:16:21,887 --> 00:16:23,657 That's what co-presidents are for. 385 00:16:25,358 --> 00:16:28,727 CT-CTA doesn't show any blockages 386 00:16:28,861 --> 00:16:30,363 or atherosclerosis. 387 00:16:32,097 --> 00:16:35,502 I'm starting to think this might not be a stroke or a TIA. 388 00:16:35,635 --> 00:16:37,002 The neuro symptoms didn't start 389 00:16:37,136 --> 00:16:39,038 until after the esophageal mass disappeared. 390 00:16:39,171 --> 00:16:41,907 Uh, not true. 391 00:16:42,041 --> 00:16:44,644 No, he came to the ER with neurological symptoms, 392 00:16:44,777 --> 00:16:46,379 a headache, and hearing loss. 393 00:16:46,513 --> 00:16:47,980 Which isn't surprising, 394 00:16:48,113 --> 00:16:50,783 given he let his idiot friends slap him upside the head. 395 00:16:50,916 --> 00:16:51,951 Mm. 396 00:16:52,084 --> 00:16:53,152 Speaking of idiots, 397 00:16:53,286 --> 00:16:54,688 you should go to the confirmation party. 398 00:16:56,389 --> 00:16:57,823 Jerome mentioned it. 399 00:16:57,957 --> 00:17:00,594 It's one party. You might actually have fun. 400 00:17:02,161 --> 00:17:03,597 Look, you love Jerome, right? 401 00:17:03,729 --> 00:17:06,633 Right. So what makes you think you wouldn't like his brothers? 402 00:17:08,100 --> 00:17:09,636 They play hockey. 403 00:17:09,768 --> 00:17:10,970 Didn't Jerome play hockey? 404 00:17:11,103 --> 00:17:12,405 Yes, as a kid, 405 00:17:12,539 --> 00:17:14,608 and not in something called the Beer League. 406 00:17:14,740 --> 00:17:16,875 This isn't about hockey or beer, is it? You're just afraid. 407 00:17:17,009 --> 00:17:19,613 I am not afraid. I'm actually... I'm very busy. 408 00:17:19,745 --> 00:17:20,913 Or you're scared they won't like you. 409 00:17:22,415 --> 00:17:24,451 Or that it's the next big step towards something 410 00:17:24,584 --> 00:17:25,719 you're still not sure you want. 411 00:17:27,287 --> 00:17:30,122 Thank you, Esther Perel, but I know exactly what I want. 412 00:17:30,257 --> 00:17:31,224 - Okay. - Okay. 413 00:17:31,358 --> 00:17:32,726 And I have it. 414 00:17:33,593 --> 00:17:35,462 Well, maybe you should consider 415 00:17:35,595 --> 00:17:37,597 making some sacrifices to hold on to it. 416 00:17:45,771 --> 00:17:47,540 Had a nice walk with Morgan today. 417 00:17:47,674 --> 00:17:49,775 She's preparing a living trust 418 00:17:49,908 --> 00:17:53,647 and would like us to be Eden's guardians if she and Park die. 419 00:17:53,779 --> 00:17:55,014 Okay. 420 00:17:55,147 --> 00:17:56,849 "Okay" you're fine with that plan, 421 00:17:56,982 --> 00:17:58,117 or "okay," you didn't hear a word I said 422 00:17:58,251 --> 00:18:00,487 because you're still obsessing about Charlie? 423 00:18:00,620 --> 00:18:02,555 I'm fine with Morgan's plan. 424 00:18:02,689 --> 00:18:04,624 I was thinking about Charlie, 425 00:18:04,758 --> 00:18:06,293 not obsessing. 426 00:18:06,426 --> 00:18:08,595 I can't work with her constantly interrupting me. 427 00:18:08,728 --> 00:18:10,697 She's a student, Shaun. She's excited. 428 00:18:10,829 --> 00:18:11,830 She's enthusiastic. 429 00:18:13,065 --> 00:18:15,635 Why does it matter if she is enthusiastic? 430 00:18:15,769 --> 00:18:17,470 She makes a lot of mistakes. 431 00:18:17,604 --> 00:18:20,139 Well, now's the time to make mistakes. She's a med student. 432 00:18:20,273 --> 00:18:22,309 Charlie refuses to admit she's made them, 433 00:18:22,442 --> 00:18:23,842 which means she cannot learn from them. 434 00:18:23,976 --> 00:18:25,345 Are you sure about that? 435 00:18:25,478 --> 00:18:26,713 Maybe she's embarrassed. 436 00:18:26,845 --> 00:18:28,381 Maybe you're being a little bit too rigid. 437 00:18:28,515 --> 00:18:30,483 You know, give her a chance to work things out. 438 00:18:30,617 --> 00:18:32,619 I have not been rigid. 439 00:18:32,752 --> 00:18:35,187 You're being rigid right now. 440 00:18:35,322 --> 00:18:38,325 Why don't you try being a little more patient? Right? 441 00:18:41,026 --> 00:18:43,563 I will... try to be more patient. 442 00:18:43,697 --> 00:18:45,164 Great. Let's eat. 443 00:18:50,717 --> 00:18:54,049 Ulnar to posterior tibial artery anastomosis complete. 444 00:18:54,258 --> 00:18:56,221 Sutured the main dorsal to the saphenous vein 445 00:18:56,246 --> 00:18:58,292 and created a fasciocutaneous flap 446 00:18:58,317 --> 00:19:00,019 to provide temporary coverage. 447 00:19:00,294 --> 00:19:03,131 Great. Then I think we're ready. 448 00:19:03,263 --> 00:19:04,897 Releasing the clamps. 449 00:19:16,862 --> 00:19:18,398 Awesome. 450 00:19:18,423 --> 00:19:19,524 Totally awesome. 451 00:19:25,806 --> 00:19:29,211 I understand you have a bit of a medical mystery on your hands. 452 00:19:29,344 --> 00:19:31,480 Yes, it is very interesting. 453 00:19:31,613 --> 00:19:32,680 How's your new med student? 454 00:19:33,915 --> 00:19:35,217 She talks too much, 455 00:19:35,350 --> 00:19:36,652 refuses to acknowledge mistakes, 456 00:19:36,784 --> 00:19:38,220 and doesn't like to read textbooks. 457 00:19:38,353 --> 00:19:39,854 That does sound like a challenge. 458 00:19:39,987 --> 00:19:42,757 Dr. Glassman said I should just be patient 459 00:19:42,890 --> 00:19:44,326 and give her time to adjust. 460 00:19:44,459 --> 00:19:46,361 Wrong. 461 00:19:46,495 --> 00:19:48,863 Glassman's favorite way to deal with a problem 462 00:19:48,996 --> 00:19:51,033 is to avoid it and then hope someone else solves it. 463 00:19:51,166 --> 00:19:53,068 You need to tell her precisely what you want her to do. 464 00:19:54,002 --> 00:19:55,103 I have done that. 465 00:19:55,237 --> 00:19:56,605 Well, do it again. 466 00:19:56,737 --> 00:19:59,840 She's young and faces communication challenges 467 00:19:59,974 --> 00:20:01,776 that you need to be sensitive to. 468 00:20:01,909 --> 00:20:04,845 All her recommendations say she's smart but stubborn, 469 00:20:04,979 --> 00:20:07,649 which, if managed properly, could be a great combination. 470 00:20:07,782 --> 00:20:08,883 You of all people should know that. 471 00:20:09,017 --> 00:20:11,919 Uh, why should I know that? 472 00:20:13,921 --> 00:20:17,392 Because you also arrived here smart but stubborn. 473 00:20:17,526 --> 00:20:20,028 You've become a great surgeon, and she will be, too. 474 00:20:20,162 --> 00:20:22,431 But for now, she's like a puppy that needs to be trained 475 00:20:22,564 --> 00:20:24,333 before all the bad habits take hold. 476 00:20:24,466 --> 00:20:26,767 So don't be patient, be proactive. 477 00:20:30,838 --> 00:20:32,708 Hmm. 478 00:20:32,840 --> 00:20:35,910 There's no cyanosis, severe edema, or venous stasis. 479 00:20:36,044 --> 00:20:37,679 Looks great. 480 00:20:37,812 --> 00:20:40,682 - It looks gross. - Don't worry. 481 00:20:40,815 --> 00:20:42,284 As soon as we clean up all the damage to your arm, 482 00:20:42,417 --> 00:20:43,818 it'll go back to where it belongs. 483 00:20:43,951 --> 00:20:46,121 Good, because I'm gonna need both hands 484 00:20:46,255 --> 00:20:47,456 to wring that butcher's neck. 485 00:20:47,589 --> 00:20:49,291 Dr. Park? 486 00:20:59,301 --> 00:21:00,636 What's wrong? 487 00:21:00,768 --> 00:21:03,739 There's some cellulitis at the forearm. 488 00:21:03,871 --> 00:21:05,374 But don't worry. You're on antibiotics, 489 00:21:05,507 --> 00:21:07,442 and we'll watch it closely until your next surgery. 490 00:21:11,580 --> 00:21:13,248 Sorry. I'm running late. 491 00:21:13,382 --> 00:21:15,250 It's like packing for the Lewis and Clark expedition 492 00:21:15,384 --> 00:21:16,817 every time I leave the house now. 493 00:21:16,951 --> 00:21:18,453 No worries. I got you an Americano. 494 00:21:18,587 --> 00:21:19,521 Thanks. 495 00:21:19,655 --> 00:21:21,657 Shaun agreed. We're good to go. 496 00:21:22,424 --> 00:21:23,659 One thing... 497 00:21:23,791 --> 00:21:25,793 I named you and Shaun as guardians 498 00:21:25,926 --> 00:21:28,463 if both Park and I die, but also if just I die. 499 00:21:30,632 --> 00:21:32,167 Why wouldn't Park be her guardian? 500 00:21:32,301 --> 00:21:33,968 Don't tell me you guys are on the rocks again. 501 00:21:34,102 --> 00:21:35,604 No, things are great. 502 00:21:35,737 --> 00:21:37,972 Actually, better than great. They're fantastic. 503 00:21:38,106 --> 00:21:39,675 So what's the problem? 504 00:21:39,807 --> 00:21:41,109 The last thing I want 505 00:21:41,243 --> 00:21:43,111 is for Eden to end up with an ex-boyfriend if I die. 506 00:21:43,245 --> 00:21:45,347 We've only been back together a couple months, 507 00:21:45,480 --> 00:21:46,947 so I'll revisit the plan in a year. 508 00:21:47,082 --> 00:21:48,550 Okay. I'll let Shaun know tonight. 509 00:21:48,684 --> 00:21:50,652 No, Shaun can't keep a secret. 510 00:21:52,454 --> 00:21:53,921 I haven't told Park, and I'm not going to. 511 00:21:54,056 --> 00:21:55,190 Are you insane? 512 00:21:55,324 --> 00:21:57,159 You can't lie to Park, and I can't lie to Shaun. 513 00:21:57,292 --> 00:21:59,127 It's not a lie. It's a secret. 514 00:21:59,261 --> 00:22:00,895 And every marriage has them. 515 00:22:01,029 --> 00:22:02,731 Uh, sure. 516 00:22:02,863 --> 00:22:04,832 Like how much I spend on hair color 517 00:22:04,965 --> 00:22:05,900 and how often I use his toothbrush, 518 00:22:06,034 --> 00:22:07,369 but this is too big. 519 00:22:07,502 --> 00:22:09,271 No, it's a tiny, temporary detail 520 00:22:09,404 --> 00:22:10,971 that's meaningless unless I die in the next 12 months, 521 00:22:11,106 --> 00:22:12,107 which isn't gonna happen. 522 00:22:13,475 --> 00:22:15,744 Please, just take a few days, think about it. 523 00:22:15,876 --> 00:22:16,877 That's all I'm asking. 524 00:22:18,846 --> 00:22:21,817 I'm not gonna change my mind, but okay. 525 00:22:24,152 --> 00:22:25,487 Head CT looks normal, 526 00:22:25,620 --> 00:22:26,954 but the abdominal images 527 00:22:27,089 --> 00:22:28,956 showed acalculous cholecystitis. 528 00:22:29,091 --> 00:22:32,594 Hmm. That wouldn't explain his neurological symptoms. 529 00:22:32,728 --> 00:22:34,096 But it does explain the fever 530 00:22:34,229 --> 00:22:36,098 and the abdominal pain he has now. 531 00:22:36,231 --> 00:22:39,067 We got another abdominal CT. 532 00:22:39,201 --> 00:22:41,036 Gallbladder's dilated with extreme wall thickening. 533 00:22:41,169 --> 00:22:42,571 Looks like it's about to rupture. 534 00:22:42,704 --> 00:22:43,839 Doesn't make sense. 535 00:22:43,971 --> 00:22:47,175 His most severe symptoms have been neurological, 536 00:22:47,309 --> 00:22:48,577 and neither the bruise on his chest 537 00:22:48,710 --> 00:22:50,846 nor the mass in the esophagus was near the gallbladder. 538 00:22:54,483 --> 00:22:56,251 Whatever the cause, 539 00:22:56,385 --> 00:22:57,985 his gallbladder needs to be removed. 540 00:22:58,120 --> 00:22:58,854 Get him prepped. 541 00:23:02,724 --> 00:23:04,126 Charlie? 542 00:23:05,560 --> 00:23:06,862 We need to have a talk. 543 00:23:08,263 --> 00:23:09,498 Please have a seat. 544 00:23:09,631 --> 00:23:10,399 I'd rather stand. 545 00:23:10,532 --> 00:23:11,867 When I'm nervous, 546 00:23:11,999 --> 00:23:14,369 sitting makes me feel uncomfortably constrained. 547 00:23:15,203 --> 00:23:16,271 Okay. 548 00:23:16,405 --> 00:23:19,441 You are still a student, 549 00:23:19,574 --> 00:23:22,244 so it is normal for you to be making mistakes. 550 00:23:22,377 --> 00:23:24,079 I haven't made any mistakes. 551 00:23:24,212 --> 00:23:25,614 You ordered a nurse to prep an incorrect 552 00:23:25,747 --> 00:23:27,682 and potentially dangerous medication. 553 00:23:27,816 --> 00:23:29,584 I didn't order her. I made a suggestion. 554 00:23:29,718 --> 00:23:31,753 And you talk too much, 555 00:23:31,887 --> 00:23:33,702 often about things you shouldn't 556 00:23:33,727 --> 00:23:35,457 and other times when you shouldn't be talking... 557 00:23:35,482 --> 00:23:37,384 I learn more by discussing things 558 00:23:37,409 --> 00:23:39,678 rather than reading a textbook or attending a lecture. 559 00:23:39,958 --> 00:23:41,960 I do not lecture, 560 00:23:42,164 --> 00:23:44,032 and I can't do my job 561 00:23:44,166 --> 00:23:46,056 if you are always interrupting... 562 00:23:46,081 --> 00:23:48,330 - At times, my speech pattern can be.. - You just did it again. 563 00:23:48,355 --> 00:23:49,283 So did you. 564 00:23:49,308 --> 00:23:52,267 Compulsive speech is a characteristic of our neurodiversity. 565 00:23:52,330 --> 00:23:54,718 Please s-stop talking. 566 00:23:54,743 --> 00:23:57,646 I am being proactive. 567 00:23:57,671 --> 00:24:01,494 I have precisely explained my expectations. 568 00:24:02,551 --> 00:24:05,287 You can't order me to do something I'm incapable of. 569 00:24:05,312 --> 00:24:06,546 I have a disability, and the law... 570 00:24:06,571 --> 00:24:08,697 I am trying to help you. Okay? 571 00:24:14,479 --> 00:24:17,449 I... understand 572 00:24:17,474 --> 00:24:20,416 that ASD is considered a disability. 573 00:24:21,814 --> 00:24:26,842 But I also know that you are capable of being silent. 574 00:24:26,974 --> 00:24:28,443 If you want to remain on this case, 575 00:24:28,468 --> 00:24:30,779 that is what I expect you to do. 576 00:24:30,804 --> 00:24:32,814 You are to observe and nothing else. 577 00:24:32,948 --> 00:24:34,182 Do you understand? 578 00:24:36,284 --> 00:24:37,452 Yes. 579 00:24:39,387 --> 00:24:40,655 Good. 580 00:24:43,124 --> 00:24:48,251 Now you can go join Dr. Wolke and Dr. Kalu in the OR. 581 00:24:59,777 --> 00:25:01,112 We've got adequate debridement 582 00:25:01,245 --> 00:25:02,346 of the distal forearm stump. 583 00:25:02,480 --> 00:25:03,848 This is gonna work. 584 00:25:03,981 --> 00:25:05,049 Good call. 585 00:25:06,129 --> 00:25:08,712 Hubank, any thoughts on what suture to use 586 00:25:08,737 --> 00:25:11,163 for our arterial anastomosis? 587 00:25:11,752 --> 00:25:13,190 I'm not sure. 588 00:25:13,324 --> 00:25:14,458 Take your time. 589 00:25:14,592 --> 00:25:16,494 Look closely at the angle we cut the vessels at. 590 00:25:17,661 --> 00:25:19,163 I guess you could suture the ends 591 00:25:19,296 --> 00:25:20,698 with a 4-0 Prolene 592 00:25:20,831 --> 00:25:22,867 using an end-to-side formation. 593 00:25:23,000 --> 00:25:24,602 Nice idea. 594 00:25:24,735 --> 00:25:27,304 End-to-end anastomosis with parachute technique 595 00:25:27,438 --> 00:25:28,906 would work even better. 596 00:25:33,010 --> 00:25:35,514 I'm Dr. Reznick. 597 00:25:35,646 --> 00:25:38,249 I assume you know that Park and I are in a relationship. 598 00:25:38,382 --> 00:25:40,017 - Actually, no. I didn't... - Don't lie. 599 00:25:40,151 --> 00:25:42,686 I know how fast the gossip gets out around here. 600 00:25:44,488 --> 00:25:45,856 How's Park as a professor? 601 00:25:45,990 --> 00:25:47,691 He's awesome. 602 00:25:47,825 --> 00:25:49,727 Intuitive and supportive without being patronizing. 603 00:25:49,860 --> 00:25:50,961 Stop. 604 00:25:51,095 --> 00:25:53,097 The whole gentle-giant thing is lost on me. 605 00:25:53,230 --> 00:25:56,467 What I respect is totally brutal, blunt honesty. 606 00:25:56,600 --> 00:25:57,536 Think of me like Bill Belichick 607 00:25:57,668 --> 00:25:59,103 but meaner and with better hair. 608 00:26:02,640 --> 00:26:04,175 You're right. I lied. 609 00:26:06,210 --> 00:26:08,779 I was actually told by a bunch of people on my first day 610 00:26:08,913 --> 00:26:10,714 about the relationship that you and Park had. 611 00:26:10,848 --> 00:26:13,150 I was also told how you broke up 612 00:26:13,284 --> 00:26:14,553 then moved back in with one another 613 00:26:14,685 --> 00:26:16,287 before breaking up again, 614 00:26:16,420 --> 00:26:17,721 then got back together recently 615 00:26:17,855 --> 00:26:19,290 because Park wanted to help you 616 00:26:19,423 --> 00:26:22,159 take care of the baby that you wanted to adopt 617 00:26:22,293 --> 00:26:23,494 but were too overwhelmed to do it yourself 618 00:26:23,627 --> 00:26:25,496 while also running the clinical trials. 619 00:26:25,629 --> 00:26:29,467 But I wasn't lying about Park being an awesome professor. 620 00:26:29,600 --> 00:26:31,302 He's been pretty patient and supportive, 621 00:26:31,435 --> 00:26:33,871 despite the fact that I don't want to be a surgeon, 622 00:26:34,004 --> 00:26:35,206 and I faint or hurl 623 00:26:35,339 --> 00:26:37,141 at the sight of any amount of blood. 624 00:26:37,274 --> 00:26:39,677 But he's a great guy. 625 00:26:39,810 --> 00:26:42,514 And I'm sure he'll be a great dad or stepdad 626 00:26:42,646 --> 00:26:44,516 or whatever the label is 627 00:26:44,648 --> 00:26:46,050 that you need him to be for you. 628 00:26:47,785 --> 00:26:49,653 Is that blunt enough? 629 00:26:52,189 --> 00:26:53,858 Yes. Thank you. 630 00:26:57,094 --> 00:26:58,329 But careful. 631 00:26:58,462 --> 00:27:00,498 Nobody likes a smart-ass. 632 00:27:03,767 --> 00:27:07,138 Freeing up the last attachments to the liver. 633 00:27:07,271 --> 00:27:08,873 Using ultrasonic coagulator 634 00:27:09,006 --> 00:27:10,808 for hemostasis on the cystic plate. 635 00:27:13,677 --> 00:27:15,514 What about an atypical presentation of lupus? 636 00:27:15,646 --> 00:27:17,448 ANA and ESR are all normal. 637 00:27:17,582 --> 00:27:19,650 That's why I said atypical. 638 00:27:19,783 --> 00:27:21,152 I mean, what else could cause symptoms 639 00:27:21,285 --> 00:27:23,020 in the esophagus, brain, and gallbladder? 640 00:27:27,958 --> 00:27:29,793 Dr. Kalu, please irrigate 641 00:27:29,927 --> 00:27:31,630 and lead the wound closure. 642 00:27:31,762 --> 00:27:35,534 - 0 Vicryl sutures on a long needle driver. - -Can I feel it? 643 00:27:35,666 --> 00:27:37,768 Sorry. I know I'm not supposed to be talking, 644 00:27:37,902 --> 00:27:41,472 but I've never felt a live organ before. 645 00:27:41,606 --> 00:27:43,974 It needs to go to pathology. 646 00:27:44,108 --> 00:27:46,410 And please don't distract Dr. Kalu. 647 00:27:46,545 --> 00:27:49,046 Oh, she's not distracting me. 648 00:27:49,180 --> 00:27:51,282 It's just gonna sit in the pathology fridge for a few hours anyway. 649 00:27:53,951 --> 00:27:55,319 Do it quietly. 650 00:27:56,787 --> 00:27:57,656 Thank you, Dr. Murphy! 651 00:28:00,525 --> 00:28:01,725 Sponge here so I can see better. 652 00:28:03,628 --> 00:28:04,663 Need another 0 Vicryl suture. 653 00:28:06,297 --> 00:28:09,300 And I'll take the Metzenbaum scissors. 654 00:28:09,433 --> 00:28:11,202 That's enough. Put it back now. 655 00:28:11,335 --> 00:28:13,572 Wait. Just give me a... Ow! 656 00:28:13,704 --> 00:28:17,841 I think a needle got left in the organ. 657 00:28:17,975 --> 00:28:19,678 That's not possible. 658 00:28:19,810 --> 00:28:22,547 We never suture inside the gallbladder. 659 00:28:22,681 --> 00:28:24,215 I know I felt... felt it. 660 00:28:24,348 --> 00:28:26,717 Ow! Okay. There is something sharp in here. 661 00:28:26,850 --> 00:28:29,954 Uh, maybe it's an edge of a gallstone? 662 00:28:33,592 --> 00:28:34,693 I'm coming. 663 00:28:36,994 --> 00:28:38,095 Okay. 664 00:28:40,998 --> 00:28:43,234 There is something protruding. 665 00:28:43,367 --> 00:28:44,703 Small forceps. 666 00:28:56,581 --> 00:28:57,815 Is it a hair? 667 00:28:57,948 --> 00:28:58,949 No. 668 00:29:00,351 --> 00:29:01,485 It's a metal wire. 669 00:29:05,389 --> 00:29:08,759 Inside the gallbladder? How is that even possible? 670 00:29:08,892 --> 00:29:11,563 It was definitely not part of a surgical tool. 671 00:29:11,696 --> 00:29:13,430 Well, I read a case a few years ago. 672 00:29:13,565 --> 00:29:16,100 A patient got a metal wire from a barbecue grill brush 673 00:29:16,233 --> 00:29:17,768 lodged in his intestines. 674 00:29:17,901 --> 00:29:18,936 When we were doing surgical prep, 675 00:29:19,069 --> 00:29:20,639 Phipps said the last thing he'd eaten 676 00:29:20,771 --> 00:29:22,773 was a cheeseburger at his frat's barbecue. 677 00:29:22,906 --> 00:29:24,775 The disappearing mass in his esophagus 678 00:29:24,908 --> 00:29:26,645 could've been caused by that wire lodged there 679 00:29:26,777 --> 00:29:28,279 before it traversed the stomach wall 680 00:29:28,412 --> 00:29:30,114 and ended up in the gallbladder. 681 00:29:30,247 --> 00:29:32,850 That would be amazing. 682 00:29:32,983 --> 00:29:35,520 It wouldn't explain his neurological issues. 683 00:29:36,854 --> 00:29:38,389 Well, that could still be from the slaps. 684 00:29:40,525 --> 00:29:43,127 But either way, we never would've noticed it 685 00:29:43,260 --> 00:29:44,962 without Charlie's curiosity, so... 686 00:29:45,095 --> 00:29:47,097 Yeah. Nice catch. 687 00:29:47,231 --> 00:29:50,769 It was more of an accident than a catch, but thank you. 688 00:30:04,257 --> 00:30:07,493 We need the strongest magnet we have. Stat! 689 00:30:12,890 --> 00:30:13,959 What are you doing? 690 00:30:13,984 --> 00:30:16,293 I'm teaching Steve how to run the table 691 00:30:16,427 --> 00:30:17,961 while, simultaneously, Barry and I 692 00:30:18,095 --> 00:30:19,296 are trying to figure out how to lower 693 00:30:19,430 --> 00:30:21,398 the overhead cost of the clinic. 694 00:30:21,423 --> 00:30:22,691 Try those. 695 00:30:24,501 --> 00:30:28,773 "The poop fridge equals presidential priority"? 696 00:30:28,906 --> 00:30:30,508 You see, Steve? I told you, 697 00:30:30,642 --> 00:30:32,343 alliteration comes off as pompous. 698 00:30:32,476 --> 00:30:34,746 He prefers "poop" to "fecal samples." 699 00:30:34,878 --> 00:30:36,980 I'm so glad you're enjoying yourself. 700 00:30:37,114 --> 00:30:39,883 Meanwhile, Gail is coming down on me for things I didn't do. 701 00:30:40,017 --> 00:30:41,318 Hey, it's my signature on the thing. 702 00:30:41,452 --> 00:30:42,886 If Gail doesn't like it, she can come to me. 703 00:30:43,020 --> 00:30:44,589 She knows you don't listen to her. 704 00:30:44,723 --> 00:30:48,593 So, now, every time she has a problem, she comes to me. 705 00:30:48,727 --> 00:30:51,328 Well, I can think of one way to solve that problem. 706 00:30:51,462 --> 00:30:52,896 Aaron, I don't have time for these games. 707 00:30:53,030 --> 00:30:54,699 You don't have time because you're constantly 708 00:30:54,833 --> 00:30:56,634 trying to placate the damn board. 709 00:30:56,768 --> 00:31:00,904 All they want is to feel recognized and respected. 710 00:31:01,038 --> 00:31:02,039 All they want, they don't know it, 711 00:31:02,172 --> 00:31:03,340 but what they really want is a well-run, 712 00:31:03,474 --> 00:31:04,676 top-flight hospital. 713 00:31:04,809 --> 00:31:06,443 Well, all Gail really wants now 714 00:31:06,578 --> 00:31:09,346 is a full audit of all expenses for the past year. 715 00:31:09,480 --> 00:31:10,815 Well, that's a colossal waste of time. 716 00:31:10,948 --> 00:31:12,550 Well, I agree. 717 00:31:12,684 --> 00:31:15,386 And after a 30-minute discussion, 718 00:31:15,520 --> 00:31:17,421 I got Gail to agree as well. 719 00:31:17,555 --> 00:31:20,023 This division of labor isn't working, 720 00:31:20,048 --> 00:31:22,652 so from now on, you can deal with Gail. 721 00:31:22,677 --> 00:31:24,179 Fine. Send her on over. 722 00:31:24,204 --> 00:31:26,389 Just tell her to bring cash. We don't take markers here. 723 00:31:28,298 --> 00:31:29,066 He's an ass. 724 00:31:31,839 --> 00:31:32,808 Not an ass. 725 00:31:36,909 --> 00:31:38,612 What are you gonna do with that? 726 00:31:38,637 --> 00:31:40,205 It may be slightly painful, 727 00:31:40,447 --> 00:31:42,516 but it's much safer than another surgery. 728 00:31:42,649 --> 00:31:45,351 Open wide and say, "Ahh." 729 00:31:47,119 --> 00:31:48,020 Ahh. 730 00:32:05,505 --> 00:32:07,173 That was in my tonsil? 731 00:32:07,306 --> 00:32:10,811 Yes, it caused an infection and fluid build-up in your ear 732 00:32:10,943 --> 00:32:12,345 and irritated your carotid artery, 733 00:32:12,479 --> 00:32:15,848 which caused the neurological symptoms. 734 00:32:15,981 --> 00:32:19,985 You shouldn't ever clean a cooking surface with a wire brush, 735 00:32:20,119 --> 00:32:22,188 or let someone slap you, 736 00:32:22,321 --> 00:32:25,358 or shoot you with a foam shotgun slug. 737 00:32:25,492 --> 00:32:27,159 That is so cool. 738 00:32:27,293 --> 00:32:29,663 Yes. It is. 739 00:32:34,233 --> 00:32:35,736 I can't wait to get back to work. 740 00:32:35,868 --> 00:32:37,336 I wouldn't rush it. 741 00:32:37,471 --> 00:32:39,606 It's gonna take time and plenty of physical therapy 742 00:32:39,740 --> 00:32:41,107 to get your function back. 743 00:32:41,240 --> 00:32:43,577 I don't mean so I can work. 744 00:32:43,710 --> 00:32:46,345 I mean so I can fire that damn butcher. 745 00:32:51,818 --> 00:32:53,453 The new CTs are all clear. 746 00:32:53,587 --> 00:32:56,423 No more wires floating around. 747 00:32:56,556 --> 00:32:57,824 And you might want to take it easy 748 00:32:57,957 --> 00:32:59,158 with the frat parties for a while. 749 00:33:00,326 --> 00:33:03,028 I'm actually not that big a partier. 750 00:33:03,162 --> 00:33:05,030 I grew up an only child, so I always wanted brothers, 751 00:33:05,164 --> 00:33:06,433 and now I have like 50 of them. 752 00:33:09,736 --> 00:33:11,638 They've helped me through all sorts of stuff. 753 00:33:13,840 --> 00:33:16,743 A lot of the crazier stuff they do isn't my thing. 754 00:33:16,877 --> 00:33:18,377 Um... 755 00:33:18,512 --> 00:33:20,913 But I feel like I owe it to them to participate. 756 00:33:23,115 --> 00:33:24,885 To be there for them like they were for me. 757 00:33:26,218 --> 00:33:27,454 That's very generous of you. 758 00:33:37,096 --> 00:33:37,898 You're doing great. 759 00:33:39,365 --> 00:33:40,634 No, I'm not. 760 00:33:40,767 --> 00:33:42,234 Can't even watch a surgery 761 00:33:42,368 --> 00:33:44,604 from another room without dry-heaving. 762 00:33:44,738 --> 00:33:45,938 That patient would've bled out in the ER 763 00:33:46,071 --> 00:33:47,674 if you hadn't helped break open the grinder. 764 00:33:47,808 --> 00:33:49,810 Yeah. I make a great crowbar. 765 00:33:53,580 --> 00:33:54,947 Surgery is always a team effort. 766 00:33:57,349 --> 00:33:58,919 I'm happy to have you on my team. 767 00:34:04,624 --> 00:34:05,926 Dr. Park... 768 00:34:27,714 --> 00:34:28,949 Dr. Murphy, can I talk to you? 769 00:34:29,081 --> 00:34:31,918 I am trying to get home to put Steve down. 770 00:34:32,051 --> 00:34:33,319 This won't take long. 771 00:34:33,453 --> 00:34:35,522 I just wanted to tell you how impressed I was with you, 772 00:34:35,655 --> 00:34:37,924 how you were able to move that wire fragment 773 00:34:38,057 --> 00:34:39,225 from the tonsil without surgery. 774 00:34:39,358 --> 00:34:40,527 It was very ingenious. 775 00:34:40,660 --> 00:34:41,795 And I also wanted to thank you 776 00:34:41,928 --> 00:34:43,530 for letting me observe you in surgery. 777 00:34:43,663 --> 00:34:44,631 I learned a whole lot. 778 00:34:45,632 --> 00:34:47,534 Oh. That's good. 779 00:34:47,667 --> 00:34:49,001 And you're welcome. 780 00:34:51,705 --> 00:34:54,306 When I found the first wire in the gallbladder, 781 00:34:54,441 --> 00:34:56,543 it saved both the patient and us a lot of time. 782 00:34:59,479 --> 00:35:02,449 That is true. 783 00:35:02,582 --> 00:35:04,885 That's a big contribution from a medical student, don't you think? 784 00:35:07,019 --> 00:35:09,756 I believe your intense curiosity 785 00:35:09,890 --> 00:35:11,525 and attention to organization 786 00:35:11,658 --> 00:35:14,193 will one day make you an excellent pathologist. 787 00:35:15,662 --> 00:35:17,430 I don't want to be a pathologist. 788 00:35:17,564 --> 00:35:19,699 I understand, 789 00:35:19,833 --> 00:35:21,868 but given your aversion to textbooks, 790 00:35:22,002 --> 00:35:23,369 your extreme impatience... 791 00:35:23,503 --> 00:35:24,538 I'm not impatient. 792 00:35:24,671 --> 00:35:26,740 I'm an assertive, dedicated, hard worker. 793 00:35:26,873 --> 00:35:29,709 And your refusal to acknowledge and learn from your mistakes... 794 00:35:29,843 --> 00:35:31,645 I just want to be a surgeon. 795 00:35:32,712 --> 00:35:33,713 Like you. 796 00:35:36,650 --> 00:35:39,218 Oh. You're nothing like me. 797 00:35:41,421 --> 00:35:43,690 And I don't think you should ever be a surgeon. 798 00:35:57,303 --> 00:35:59,539 Hey, about to head out to Elizabeth's party. 799 00:35:59,673 --> 00:36:00,674 I just wanted to say goodbye. 800 00:36:02,241 --> 00:36:03,543 Should be home by 11:00. 801 00:36:06,880 --> 00:36:08,048 Wait! 802 00:36:11,718 --> 00:36:13,053 I'm coming with you. 803 00:36:28,735 --> 00:36:30,704 Sure this elevator's big enough for the both of us? 804 00:36:30,837 --> 00:36:33,238 - I'm not sure the hospital is. - Well, that's fine. 805 00:36:33,372 --> 00:36:35,709 I'll resign my share of the co-presidency. 806 00:36:35,842 --> 00:36:38,078 Not if I beat you to it. 807 00:36:42,716 --> 00:36:43,683 Hey, Charlie. 808 00:36:47,988 --> 00:36:49,656 Are you getting out or just taking a ride? 809 00:36:51,758 --> 00:36:53,158 Charlie, are you okay? 810 00:36:54,461 --> 00:36:55,695 No. 811 00:37:02,134 --> 00:37:05,005 Charlie should not be upset. 812 00:37:05,137 --> 00:37:08,008 I told her she would make an excellent pathologist. 813 00:37:08,140 --> 00:37:11,111 Well, you've only worked with her for two weeks. 814 00:37:11,243 --> 00:37:13,480 And isn't she hoping to be a surgeon? 815 00:37:13,613 --> 00:37:16,116 You said that I should be proactive. 816 00:37:16,916 --> 00:37:18,118 Proactive? 817 00:37:19,284 --> 00:37:20,820 That's not proactive. That's hurtful. 818 00:37:20,954 --> 00:37:22,388 Maybe it's not what you meant, but... 819 00:37:22,522 --> 00:37:24,124 I was telling the truth. 820 00:37:24,256 --> 00:37:25,825 I tried to be patient, like you said, 821 00:37:25,959 --> 00:37:27,127 but that also did not work. 822 00:37:28,628 --> 00:37:31,765 We gave you some conflicting advice, 823 00:37:31,898 --> 00:37:33,633 which clearly didn't help matters. 824 00:37:33,767 --> 00:37:37,537 So maybe now, together, we can find a better strategy. 825 00:37:37,671 --> 00:37:40,640 Charlie has a unique learning style... 826 00:37:40,774 --> 00:37:41,975 Why do I need a strategy? 827 00:37:43,342 --> 00:37:46,211 I am a good surgeon and a good teacher. 828 00:37:46,345 --> 00:37:48,481 Good teachers adjust to their students, Shaun. 829 00:37:48,615 --> 00:37:50,182 Maybe there's something you could do. 830 00:37:50,315 --> 00:37:51,918 Maybe there's something you should do. 831 00:37:52,052 --> 00:37:54,554 I have already made adjustments. 832 00:37:54,688 --> 00:37:55,722 Okay. Make some more. 833 00:37:55,855 --> 00:37:57,256 - Why? - Why? 834 00:37:57,389 --> 00:37:58,858 - Because it's the... - 'Cause she needs... 835 00:37:58,992 --> 00:38:01,326 Because she needs them, like you did. 836 00:38:01,461 --> 00:38:03,563 No one ever made things easier for me. 837 00:38:03,697 --> 00:38:06,533 Or went out of their way to make accommodations for me. 838 00:38:06,666 --> 00:38:08,902 Shaun. 839 00:38:09,035 --> 00:38:11,805 I'm sure you believe that, but that is simply not true. 840 00:38:13,873 --> 00:38:16,943 Dr. Melendez put me on scut work 841 00:38:17,077 --> 00:38:19,112 and threatened to fire me. 842 00:38:19,244 --> 00:38:21,915 Dr. Han transferred me to pathology, 843 00:38:22,048 --> 00:38:23,282 but I never gave up, 844 00:38:23,416 --> 00:38:24,718 and I learned how to accept criticism 845 00:38:24,851 --> 00:38:26,186 and improve my communication skills 846 00:38:26,318 --> 00:38:27,954 in order to become a good surgeon. 847 00:38:29,556 --> 00:38:30,890 Han and Melendez, 848 00:38:31,024 --> 00:38:34,694 and I'm sure many other people, were wrong about you. 849 00:38:34,828 --> 00:38:36,996 But that doesn't mean you should treat Charlie... 850 00:38:37,130 --> 00:38:40,100 I am not wrong about Charlie. 851 00:38:40,232 --> 00:38:41,901 She should not be a surgeon. 852 00:38:42,035 --> 00:38:42,869 You know what, Shaun? 853 00:38:43,002 --> 00:38:44,838 You sound like Han now. 854 00:38:44,971 --> 00:38:46,206 You're being unfair. 855 00:38:53,780 --> 00:38:54,781 No. 856 00:38:57,016 --> 00:38:58,218 I am an attending. 857 00:38:59,786 --> 00:39:01,454 It is my decision 858 00:39:01,588 --> 00:39:03,690 how to manage the medical students on my cases. 859 00:39:06,726 --> 00:39:07,794 I am going home now. 860 00:39:16,669 --> 00:39:17,537 That went well. 861 00:39:19,072 --> 00:39:21,241 Yeah. 862 00:39:22,942 --> 00:39:24,244 Straight pool or 8 ball? 863 00:39:26,112 --> 00:39:27,447 You can break. 864 00:39:29,582 --> 00:39:30,850 Okay. 865 00:39:36,122 --> 00:39:37,557 This is gonna be hilarious. 866 00:39:37,690 --> 00:39:39,793 And from my favorite uncle, Jerome, 867 00:39:39,926 --> 00:39:42,095 and his adorable boyfriend, Asher... 868 00:39:42,228 --> 00:39:43,563 Is this what I think it is? 869 00:39:45,632 --> 00:39:46,733 It is! 870 00:39:46,866 --> 00:39:48,333 I love it! 871 00:39:48,468 --> 00:39:50,103 - Thank you, thank you, thank you! - I'm so glad you like it. 872 00:39:50,236 --> 00:39:52,539 You bastard. 873 00:39:52,672 --> 00:39:53,940 She's not wearing that in this house. 874 00:39:54,073 --> 00:39:55,875 Yes, I am. 875 00:39:57,610 --> 00:39:58,545 Go, Kings, baby! 876 00:39:58,678 --> 00:39:59,879 Yes! Whoo! 877 00:40:00,013 --> 00:40:01,380 You like them. We got it. 878 00:40:01,514 --> 00:40:04,851 Boom, boom, boom, boom, boom! 879 00:40:04,984 --> 00:40:07,020 That was good! Yeah! 880 00:40:20,399 --> 00:40:21,501 I told the attorney that if I die, 881 00:40:21,634 --> 00:40:23,303 I want you to be Eden's guardian. 882 00:40:23,436 --> 00:40:25,505 I know. You already told me that. 883 00:40:26,401 --> 00:40:27,502 I was lying. 884 00:40:29,420 --> 00:40:30,687 But this time, I'm not. 64722

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