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These are the user uploaded subtitles that are being translated: 1 00:00:06,181 --> 00:00:07,703 ...fifty. 2 00:00:09,271 --> 00:00:10,401 Okay. 3 00:00:11,490 --> 00:00:13,577 That should not have been so hard. 4 00:00:13,579 --> 00:00:14,753 You're getting old, Pops. 5 00:00:14,753 --> 00:00:16,277 Thirty-one is not old. 6 00:00:16,277 --> 00:00:17,887 It is in parent years. 7 00:00:17,888 --> 00:00:19,149 They're like dog years. 8 00:00:19,932 --> 00:00:20,977 Damn you! 9 00:00:20,978 --> 00:00:22,673 Why won't you let us sleep? 10 00:00:22,675 --> 00:00:24,632 We shouldn't curse in front of him. 11 00:00:24,634 --> 00:00:26,025 We didn't. 12 00:00:26,027 --> 00:00:29,420 And he's obviously gonna be a rock star. 13 00:00:29,420 --> 00:00:32,902 So might as well get used to hanging out with lowlifes. 14 00:00:34,078 --> 00:00:35,557 He screams like Axl Rose. 15 00:00:36,601 --> 00:00:38,777 And he's definitely a night owl. 16 00:00:38,777 --> 00:00:40,301 Crying uses the vocal-fold muscles 17 00:00:40,301 --> 00:00:42,085 very differently than singing. 18 00:00:42,085 --> 00:00:44,218 And lots of jobs work at night. 19 00:00:44,219 --> 00:00:47,046 Janitors, truck drivers, polysomnographic technologists. 20 00:00:47,048 --> 00:00:50,049 All I know, with those eyes and that smile, 21 00:00:50,051 --> 00:00:51,615 no way he ends up in any job 22 00:00:51,616 --> 00:00:55,228 that doesn't involve being swarmed by supermodels. 23 00:00:55,229 --> 00:00:58,231 Of whatever the hell gender he prefers. 24 00:00:58,232 --> 00:01:00,972 I think we may need to get a swear jar. 25 00:01:02,540 --> 00:01:04,150 Wouldn't work. 26 00:01:04,152 --> 00:01:05,414 Ask my dad. 27 00:01:08,111 --> 00:01:09,852 I'm sorry. I just don't get what the big deal is. 28 00:01:09,852 --> 00:01:10,983 I've never even met your niece. 29 00:01:10,983 --> 00:01:12,072 Yeah, because you've turned down 30 00:01:12,073 --> 00:01:14,030 every invite to a family gathering. 31 00:01:14,031 --> 00:01:15,292 Okay. I've just been really busy lately. 32 00:01:15,293 --> 00:01:16,771 Last time my brother had a barbecue, 33 00:01:16,772 --> 00:01:19,253 you went to a karaoke bar with Jordan instead. 34 00:01:19,254 --> 00:01:21,472 That is not true. 35 00:01:21,472 --> 00:01:24,605 - It was an ax-throwing bar. - Ash. 36 00:01:24,606 --> 00:01:27,478 I've gone out of my way to be sensitive to your family history. 37 00:01:27,478 --> 00:01:28,652 Mine is different. 38 00:01:28,653 --> 00:01:30,090 We're all super close. 39 00:01:30,091 --> 00:01:34,137 And... And this is a big deal. It's her confirmation. 40 00:01:34,138 --> 00:01:37,009 I'm not asking you to go to the church service. Just the after party. 41 00:01:37,009 --> 00:01:38,359 I can't tomorrow night. 42 00:01:38,359 --> 00:01:40,240 I have a ton of work to catch up on. I gotta go. 43 00:01:41,362 --> 00:01:44,320 Good morning. I'm Dr. Shaun Murphy. 44 00:01:44,322 --> 00:01:46,758 This is Dr. Kalu and Doctor... 45 00:01:46,759 --> 00:01:48,194 It smells like a brewery in here. 46 00:01:48,195 --> 00:01:50,587 Sorry. We had a party at our fraternity last night. 47 00:01:50,588 --> 00:01:52,938 Um, I was gonna shower, but my roommates, 48 00:01:52,938 --> 00:01:54,549 they insisted I go to the ER immediately. 49 00:01:54,549 --> 00:01:56,420 I-I can't hear out of my left ear. 50 00:01:56,420 --> 00:01:57,594 When did you lose... 51 00:01:57,596 --> 00:01:59,423 Miss Lukaitis is one of our med students. 52 00:01:59,424 --> 00:02:01,599 She is here to observe. 53 00:02:01,599 --> 00:02:03,731 Med students do not take patient histories 54 00:02:03,733 --> 00:02:05,081 unless directed to. 55 00:02:05,081 --> 00:02:07,343 I wasn't taking a history. 56 00:02:07,344 --> 00:02:09,259 I see you got into a fight last night? 57 00:02:09,259 --> 00:02:11,652 No. It was... It was a drinking game. 58 00:02:11,653 --> 00:02:14,002 You take turns slapping each other in the face 59 00:02:14,003 --> 00:02:16,439 and whoever flinches, they have to drink. 60 00:02:16,441 --> 00:02:18,093 - Sounds fun. - Yeah. 61 00:02:18,094 --> 00:02:19,704 I woke up with an insane headache. 62 00:02:21,010 --> 00:02:22,706 I think I ruptured my eardrum. 63 00:02:22,707 --> 00:02:25,231 I slapped my friend the other day to treat his hemophobia. 64 00:02:25,233 --> 00:02:26,711 It seemed safe, but I'm probably not as strong... 65 00:02:26,711 --> 00:02:28,757 There's bilateral otitis externa 66 00:02:28,758 --> 00:02:31,628 and significant cerumen blockage. 67 00:02:31,629 --> 00:02:33,195 Cerumen? 68 00:02:33,197 --> 00:02:36,111 Yeah, you have an ear infection and a lot of earwax. 69 00:02:36,112 --> 00:02:37,679 Oh. 70 00:02:37,680 --> 00:02:39,985 Whoa. What happened here? 71 00:02:39,985 --> 00:02:41,116 Ooh. 72 00:02:41,117 --> 00:02:43,466 Oh, it's nothing. It's just a bruise. 73 00:02:43,468 --> 00:02:44,990 Take more than a slap to cause that. 74 00:02:44,990 --> 00:02:46,991 One of the guys in my fraternity 75 00:02:46,992 --> 00:02:48,864 has one of those foam-round shotguns 76 00:02:48,865 --> 00:02:51,344 that the police use for riot control. 77 00:02:51,346 --> 00:02:53,913 Um, so we were testing it out on each other. 78 00:02:54,826 --> 00:02:56,087 - Mm. - Mm. 79 00:02:56,088 --> 00:02:58,264 Flush the ears with warm saline 80 00:02:58,265 --> 00:03:00,223 and administer polymyxin B drops. 81 00:03:00,223 --> 00:03:02,138 Then get X-rays to rule out a broken rib. 82 00:03:02,139 --> 00:03:04,444 You can go with them. 83 00:03:04,445 --> 00:03:06,316 I'd rather continue to shadow you. 84 00:03:06,317 --> 00:03:07,795 I already know how to clear out earwax and... 85 00:03:07,796 --> 00:03:09,014 Go with them. 86 00:03:10,191 --> 00:03:11,800 43-year-old male, 87 00:03:11,800 --> 00:03:13,540 hand and arm caught in a meat grinder. 88 00:03:13,542 --> 00:03:15,543 - Bay 6. - Okay. Got it? 89 00:03:15,544 --> 00:03:17,152 We got it from here. Thanks. 90 00:03:20,549 --> 00:03:21,679 Can you move your fingers? 91 00:03:21,680 --> 00:03:22,766 I-I'm not sure. 92 00:03:22,768 --> 00:03:24,073 Get a BP cuff on his other arm. 93 00:03:24,074 --> 00:03:25,727 How'd it happen? 94 00:03:25,728 --> 00:03:27,685 - I manage a food processing factory. - You got it upside down. 95 00:03:27,686 --> 00:03:30,210 I was demonstrating how to clean the meat grinder 96 00:03:30,211 --> 00:03:32,429 when an apprentice butcher 97 00:03:32,430 --> 00:03:34,649 decided to turn the breaker back on. 98 00:03:34,650 --> 00:03:36,477 I hate new employees. 99 00:03:36,478 --> 00:03:38,262 Worse than worthless. 100 00:03:40,176 --> 00:03:42,046 Oh, my God. 101 00:03:42,048 --> 00:03:44,848 Get me an ortho-powered driver with a 4 millimeter hex head. 102 00:03:45,661 --> 00:03:46,965 Get the double-action rongeur 103 00:03:46,966 --> 00:03:48,793 so you can use it to pull off the grill. 104 00:04:03,330 --> 00:04:04,895 Just skin and flesh. I don't see any bone. 105 00:04:04,896 --> 00:04:06,115 Oh, thank God. 106 00:04:10,816 --> 00:04:13,252 He's just... new. 107 00:04:24,221 --> 00:04:25,612 Thanks for the walk invite. 108 00:04:25,613 --> 00:04:27,136 I keep planning to exercise, 109 00:04:27,137 --> 00:04:29,485 but then I wake up feeling like a broken-down old boxer. 110 00:04:29,487 --> 00:04:30,922 Ugh, I know the feeling, 111 00:04:30,923 --> 00:04:32,446 and I didn't even go through childbirth. 112 00:04:32,447 --> 00:04:33,838 Babies are damn hard work. 113 00:04:33,838 --> 00:04:35,711 Yeah. Damn hard. Thank you. 114 00:04:37,668 --> 00:04:38,949 I've been wanting to talk to you. 115 00:04:40,105 --> 00:04:41,411 I'm creating a living trust 116 00:04:41,411 --> 00:04:42,846 to make sure Eden's taken care of. 117 00:04:42,848 --> 00:04:45,372 And I'd like to name you and Shaun as Eden's guardians 118 00:04:45,372 --> 00:04:46,677 if Park and I die. 119 00:04:46,677 --> 00:04:47,723 Wow. I'm... 120 00:04:49,768 --> 00:04:50,855 I'm flattered. 121 00:04:50,855 --> 00:04:52,856 You and Shaun are great together. 122 00:04:52,858 --> 00:04:57,167 And given Eden's special needs, you guys are a perfect choice. 123 00:04:58,211 --> 00:04:59,821 Thank you. 124 00:04:59,822 --> 00:05:01,475 That... 125 00:05:01,475 --> 00:05:03,041 That means a lot to me. 126 00:05:04,173 --> 00:05:05,733 And I'll talk to Shaun about it tonight. 127 00:05:14,096 --> 00:05:15,185 I'm sorry. 128 00:05:17,535 --> 00:05:19,709 It's okay. 129 00:05:19,711 --> 00:05:22,103 I got a few minutes till the patient's sedatives take effect. 130 00:05:22,105 --> 00:05:25,499 I've tried every antiemetic I could find. 131 00:05:25,500 --> 00:05:27,891 Even started wearing this here wristband, 132 00:05:27,893 --> 00:05:29,504 but nothing works. 133 00:05:31,069 --> 00:05:34,158 I was a cop for 15 years before med school. 134 00:05:34,159 --> 00:05:36,683 Saw a lot of rookies lose their lunch at a crime scene, 135 00:05:36,685 --> 00:05:38,598 but never met one who didn't get used to it. 136 00:05:38,600 --> 00:05:40,341 It'll become just part of the routine. 137 00:05:41,689 --> 00:05:43,430 I just got to get through this rotation. 138 00:05:46,042 --> 00:05:47,824 Hey, if you want to sit this one out, I'm fine. 139 00:05:47,826 --> 00:05:50,829 You can hit the skills lab, practice suturing. 140 00:05:52,961 --> 00:05:55,050 Before I went to med school, 141 00:05:55,050 --> 00:05:56,312 I was a D-1 tackle. 142 00:05:57,444 --> 00:05:59,488 Two most important things I learned is, 143 00:05:59,490 --> 00:06:01,970 it's better to give than to receive, 144 00:06:01,971 --> 00:06:03,146 and quitters never win. 145 00:06:05,322 --> 00:06:06,843 Good. 146 00:06:06,845 --> 00:06:08,324 Then let's go save a hand. 147 00:06:20,511 --> 00:06:22,163 What are you doing? 148 00:06:22,165 --> 00:06:24,774 I mean, besides forgetting about this morning's board meeting. 149 00:06:24,776 --> 00:06:27,038 I didn't forget about this morning's board meeting. 150 00:06:27,038 --> 00:06:28,475 So we're still doing this? 151 00:06:28,475 --> 00:06:30,651 No, I didn't skip the meeting to prank you. 152 00:06:30,651 --> 00:06:32,827 I did it to be here for the delivery. 153 00:06:33,697 --> 00:06:35,612 A gift for both of us. 154 00:06:35,612 --> 00:06:36,613 Ta-da! 155 00:06:37,963 --> 00:06:40,877 You prefer to stay in your office, right? 156 00:06:40,879 --> 00:06:42,444 And I'm certainly not going to leave the clinic. 157 00:06:42,446 --> 00:06:45,360 So I thought, why not convert the president's office 158 00:06:45,362 --> 00:06:46,622 into the president's lounge? 159 00:06:46,624 --> 00:06:47,798 Sorry. 160 00:06:47,798 --> 00:06:48,973 Co-Presidents' Lounge. 161 00:06:48,973 --> 00:06:50,757 Oh, might as well add a putting green 162 00:06:50,759 --> 00:06:52,367 and a wine cellar while you're at it. 163 00:06:52,369 --> 00:06:54,413 I work better with a pool table. 164 00:06:54,415 --> 00:06:55,893 Great. 165 00:06:55,894 --> 00:06:58,026 The board had a list of issues they want addressed ASAP, 166 00:06:58,026 --> 00:07:00,071 and since I actually attended the meeting, 167 00:07:00,072 --> 00:07:01,247 I get to divvy them up. 168 00:07:03,423 --> 00:07:04,425 Your half. 169 00:07:08,036 --> 00:07:09,689 He's a cutie. 170 00:07:09,690 --> 00:07:10,821 He's a moron. 171 00:07:10,822 --> 00:07:13,389 When I'm fantasizing about him tonight, 172 00:07:13,389 --> 00:07:16,305 I'm not gonna be picturing him helping me study for bio-chem. 173 00:07:16,305 --> 00:07:19,134 Uh, that is not something we needed to know. 174 00:07:19,134 --> 00:07:20,351 He's kind of got a Peter Parker vibe, 175 00:07:20,353 --> 00:07:22,093 which is exactly my type. 176 00:07:22,093 --> 00:07:24,399 How about you guys? What's your type? 177 00:07:24,401 --> 00:07:26,968 Uh, we should probably just focus. 178 00:07:26,968 --> 00:07:28,970 I bet you like tall women. 179 00:07:28,971 --> 00:07:30,884 - Uh-huh. - Uh... 180 00:07:32,365 --> 00:07:36,237 I like sweet, handsome, caring, and, yes, tall men. 181 00:07:36,238 --> 00:07:37,718 You're gay? 182 00:07:37,718 --> 00:07:39,459 Right on. Top or bottom? 183 00:07:39,459 --> 00:07:40,851 Oh, wow. Charlie... 184 00:07:42,245 --> 00:07:44,201 you're not in your med-school study group, okay? 185 00:07:44,202 --> 00:07:46,161 That is an inappropriate question for a co-worker. 186 00:07:46,161 --> 00:07:47,944 You could be fired. 187 00:07:47,946 --> 00:07:49,250 Employers have to consider 188 00:07:49,252 --> 00:07:51,034 my neurodiverse communication style. 189 00:07:51,036 --> 00:07:53,081 No one should be forced to change who they are 190 00:07:53,081 --> 00:07:54,735 to be considered more professional. 191 00:07:54,735 --> 00:07:56,997 Well, I'd suggest checking in with HR. 192 00:07:56,999 --> 00:08:00,480 They may have a different idea of reasonable accommodations. 193 00:08:00,480 --> 00:08:03,221 People at work talk about their relationships all the time. 194 00:08:03,221 --> 00:08:04,875 Asking about someone's relationship's 195 00:08:04,875 --> 00:08:06,223 a little different than asking about 196 00:08:06,225 --> 00:08:07,790 their preferred sexual position. 197 00:08:07,791 --> 00:08:09,314 The expression doesn't refer solely to sexual positions. 198 00:08:09,314 --> 00:08:10,490 No rib fractures. 199 00:08:12,100 --> 00:08:13,449 But... 200 00:08:15,365 --> 00:08:16,757 what is that? 201 00:08:20,891 --> 00:08:22,805 The bleeding's stopped. 202 00:08:22,807 --> 00:08:24,415 The blades are acting like a tourniquet. 203 00:08:24,417 --> 00:08:26,026 We need to get this hand out 204 00:08:26,028 --> 00:08:27,898 before his fingers get necrotic. 205 00:08:27,899 --> 00:08:31,074 What if we pull his arm while manually turning the blades in reverse? 206 00:08:31,076 --> 00:08:33,076 Could grind up whatever's stuck even more. 207 00:08:33,077 --> 00:08:34,426 We have to cut the machine open. 208 00:08:34,427 --> 00:08:37,428 How? The Jaws of Life are way too big, 209 00:08:37,429 --> 00:08:40,084 and a saw could cut his arm or overheat the metal. 210 00:08:40,085 --> 00:08:42,522 Not if you irrigate with cold saline as I work. 211 00:08:42,523 --> 00:08:44,219 I'll go just deep enough to weaken the metal, 212 00:08:44,220 --> 00:08:46,179 and then we'll break it apart with a rib spreader. 213 00:08:46,788 --> 00:08:48,352 Brilliant. 214 00:08:48,354 --> 00:08:50,673 Get me an ortho oscillating saw with a metal cutting blade. 215 00:08:56,100 --> 00:08:57,754 It's a very irregular shape. 216 00:08:59,801 --> 00:09:02,105 Could be an intramural abscess in his esophagus. 217 00:09:02,106 --> 00:09:04,893 The contrast enhancement wouldn't be so uniform. 218 00:09:05,589 --> 00:09:07,677 Yes, that is true. 219 00:09:07,677 --> 00:09:09,591 What about an esophageal cancer? 220 00:09:09,592 --> 00:09:11,375 That would be unusual. 221 00:09:11,376 --> 00:09:13,640 - He is very young and... - A nonsmoker. 222 00:09:16,207 --> 00:09:18,208 I'm confident we can excise the mass, 223 00:09:18,210 --> 00:09:20,559 but we need to do an esophagogastroduodenoscopy 224 00:09:20,561 --> 00:09:22,125 and biopsy first. 225 00:09:22,126 --> 00:09:24,172 I have no idea what that is, but it sounds awesome. 226 00:09:24,173 --> 00:09:25,260 Please do it now. 227 00:09:29,004 --> 00:09:30,918 Uh, Charlie? 228 00:09:30,918 --> 00:09:32,441 Hmm? 229 00:09:32,442 --> 00:09:33,963 Uh, it might be better trying to be your authentic self 230 00:09:33,965 --> 00:09:35,966 without repeatedly interrupting your boss. 231 00:09:38,753 --> 00:09:41,538 Thank you, Dr. Kalu. I appreciate the advice. 232 00:09:45,802 --> 00:09:47,238 I think you may need to go deeper. 233 00:09:47,239 --> 00:09:49,544 I can't risk popping through and cutting the radial. 234 00:09:49,546 --> 00:09:51,198 Park, he's bleeding again. 235 00:09:51,200 --> 00:09:53,461 Should you do a vascular cut down and temporary ligation? 236 00:09:53,462 --> 00:09:54,811 No, it's been too long already. 237 00:09:54,812 --> 00:09:56,159 We need to get this thing open. 238 00:09:59,163 --> 00:10:01,251 - Come on. Give me a hand. - I-I can't. 239 00:10:01,253 --> 00:10:03,167 Yes, you can. Just close your eyes. Pretend you're at the gym. 240 00:10:03,168 --> 00:10:05,995 - Come on. - Come on. 241 00:10:05,996 --> 00:10:07,476 All right. Go, go, go, go, go, go, go! 242 00:10:09,434 --> 00:10:11,697 Keep going. It's working. 243 00:10:11,698 --> 00:10:13,394 - Pull, pull, pull! - It's loose! 244 00:10:17,312 --> 00:10:18,443 Lap sponges! 245 00:10:19,967 --> 00:10:22,447 Severe contamination of hand and forearm, 246 00:10:22,447 --> 00:10:23,840 arteries are trashed. 247 00:10:23,841 --> 00:10:26,668 Major vascular gaps, radius and ulna are crushed. 248 00:10:26,669 --> 00:10:27,931 Get the OR prepped. 249 00:10:27,932 --> 00:10:29,672 We're gonna have to amputate it. 250 00:10:31,806 --> 00:10:33,677 Advancing down the esophageal lumen. 251 00:10:35,635 --> 00:10:36,722 Do you have a boyfriend? 252 00:10:36,724 --> 00:10:38,985 Yes. 253 00:10:38,986 --> 00:10:41,509 Approaching the gastroesophageal junction. 254 00:10:41,510 --> 00:10:43,077 Is he tall? 255 00:10:44,296 --> 00:10:45,340 Can we talk about this later? 256 00:10:45,341 --> 00:10:46,647 Or not at all. 257 00:10:48,082 --> 00:10:49,163 Doesn't make sense. 258 00:10:50,780 --> 00:10:53,086 Dr. Kalu thinks I'm being too intrusive, 259 00:10:53,087 --> 00:10:54,870 but I'm actually trying to establish a rapport. 260 00:10:54,871 --> 00:10:56,874 I wasn't talking about him or you. 261 00:10:58,267 --> 00:10:59,702 I meant the mass. 262 00:11:02,096 --> 00:11:03,400 It's gone. 263 00:11:06,942 --> 00:11:08,682 This doesn't make sense. 264 00:11:08,682 --> 00:11:10,119 That's exactly what Dr. Wolke said. 265 00:11:10,120 --> 00:11:13,251 The esophageal mass was definitely on the X-ray. 266 00:11:13,253 --> 00:11:14,644 And on the neck CT. 267 00:11:14,645 --> 00:11:16,341 But nowhere on the endoscopy. 268 00:11:16,342 --> 00:11:18,256 - Maybe we should repeat all the tests? - No. 269 00:11:18,258 --> 00:11:20,606 - We could... - I can't concentrate 270 00:11:20,607 --> 00:11:22,740 if you keep interrupting me. 271 00:11:22,740 --> 00:11:23,871 I didn't interrupt you. 272 00:11:23,873 --> 00:11:25,830 I asked you a question. You said no, 273 00:11:25,831 --> 00:11:27,265 so I attempted to make a suggestion, 274 00:11:27,267 --> 00:11:28,572 then you interrupted me. 275 00:11:28,572 --> 00:11:31,967 Could you please just be quiet? 276 00:11:34,144 --> 00:11:35,144 Okay. 277 00:11:37,538 --> 00:11:39,017 Okay. 278 00:11:46,330 --> 00:11:48,721 He's disoriented and slurring his speech. 279 00:11:48,722 --> 00:11:51,072 Phipps, do you know where you are right now? 280 00:11:51,073 --> 00:11:54,336 Um, I go to San Jose State University. 281 00:11:54,337 --> 00:11:56,860 He is disoriented, but no longer slurring. 282 00:11:56,861 --> 00:11:58,036 - It was worse before. - Okay. 283 00:11:58,037 --> 00:11:59,298 Squeeze my fingers. 284 00:12:01,126 --> 00:12:03,475 - Right-side weakness. - We should prep a bolus dose of TPA. 285 00:12:03,476 --> 00:12:05,129 No, we should not do that. 286 00:12:05,130 --> 00:12:06,653 Can you wiggle your toes? 287 00:12:06,653 --> 00:12:08,003 But if he's having a stroke... 288 00:12:08,004 --> 00:12:09,438 His speech is improving, 289 00:12:09,440 --> 00:12:11,701 which makes a transient ischemic attack more likely. 290 00:12:11,702 --> 00:12:13,399 And you ordered a nurse to prep an unindicated 291 00:12:13,399 --> 00:12:14,923 and very risky medication. 292 00:12:14,923 --> 00:12:18,100 - I didn't order her, just making a suggestion. - Get out. 293 00:12:18,100 --> 00:12:20,667 - What? - You refuse to acknowledge you've made a mistake, 294 00:12:20,668 --> 00:12:23,105 which wastes my time and endangers our patient. 295 00:12:23,105 --> 00:12:25,456 Please leave the patient's room now. 296 00:12:28,024 --> 00:12:30,590 We need a head CT-CTA to confirm it's a TIA 297 00:12:30,591 --> 00:12:32,245 and not a brain bleed or tumor. 298 00:12:34,290 --> 00:12:35,335 Checking pupils. 299 00:12:43,604 --> 00:12:45,562 Ligation and sectioning of the viable arteries, 300 00:12:45,562 --> 00:12:46,955 veins, and nerves complete. 301 00:12:46,956 --> 00:12:48,217 Charriere. 302 00:12:54,267 --> 00:12:55,963 I'll make the bone cuts as distal as possible 303 00:12:55,965 --> 00:12:57,325 - on the forearm. - Dr. Park. 304 00:12:58,967 --> 00:13:01,187 I gotta leave. 305 00:13:06,192 --> 00:13:07,831 Maybe he should sit this one out. 306 00:13:08,890 --> 00:13:11,370 Bit of a worst-case scenario for him. 307 00:13:11,370 --> 00:13:12,544 I gave him the opportunity. 308 00:13:12,546 --> 00:13:13,677 He turned me down. 309 00:13:21,380 --> 00:13:24,557 Have you gotten Morgan's fecal-sample fridge installed? 310 00:13:24,557 --> 00:13:26,690 I thought the idea was to divide and conquer. 311 00:13:26,691 --> 00:13:29,258 You do your half of the honey-do list, 312 00:13:29,259 --> 00:13:30,346 and I do mine. 313 00:13:30,346 --> 00:13:32,652 Yes, but just FYI, 314 00:13:32,653 --> 00:13:34,219 Morgan needs the fridge installed 315 00:13:34,220 --> 00:13:36,568 before she starts screening for the IBS trial. 316 00:13:36,570 --> 00:13:37,701 Yes, I'm aware. 317 00:13:37,701 --> 00:13:39,094 Then I assume you're also aware 318 00:13:39,095 --> 00:13:40,922 that it needs a new electric panel, 319 00:13:40,923 --> 00:13:43,446 and that Gail has put a freeze on all facility upgrades. 320 00:13:43,447 --> 00:13:45,883 - Not my first rodeo. - Okay. 321 00:13:45,884 --> 00:13:47,275 And the other stuff on the list? 322 00:13:47,277 --> 00:13:50,018 I plan to ignore. You should do the same. 323 00:13:50,019 --> 00:13:52,759 - You're advising I ignore the board? - Yes. 324 00:13:52,759 --> 00:13:55,849 Much of their complaints are trivial in nature. 325 00:13:55,850 --> 00:13:58,417 They'll either work themselves out or disappear completely, 326 00:13:58,418 --> 00:14:00,898 which is good for us, because then we can do our actual jobs. 327 00:14:00,899 --> 00:14:02,552 The current board isn't as passive 328 00:14:02,552 --> 00:14:03,988 as the one you're used to dealing with. 329 00:14:03,989 --> 00:14:06,469 The current board has some newbies, yes, 330 00:14:06,470 --> 00:14:08,644 and they're very anxious to engage 331 00:14:08,645 --> 00:14:11,081 and nitpick over every little silly thing. 332 00:14:11,082 --> 00:14:13,129 But you know what? They'll learn. They always do. 333 00:14:14,259 --> 00:14:15,739 I have an actual patient waiting. 334 00:14:21,745 --> 00:14:23,876 Are we going in for a head CT? 335 00:14:23,878 --> 00:14:25,967 Doctors Wolke and Kalu are. 336 00:14:28,404 --> 00:14:30,884 You shouldn't have raised your voice to me like you did. 337 00:14:30,884 --> 00:14:32,842 I spoke with an urgency 338 00:14:32,844 --> 00:14:34,801 that was appropriate to the situation. 339 00:14:34,802 --> 00:14:36,499 It may be appropriate to some, 340 00:14:36,500 --> 00:14:37,934 but as a person on the spectrum, 341 00:14:37,936 --> 00:14:40,371 I don't do well when shouted at. 342 00:14:40,373 --> 00:14:42,940 I did not shout. 343 00:14:42,941 --> 00:14:44,201 I'm letting you know the parameters 344 00:14:44,202 --> 00:14:46,248 for communicating with me effectively. 345 00:14:46,249 --> 00:14:48,163 I'd appreciate your cooperation. 346 00:14:49,469 --> 00:14:50,991 I'll go join Doctors Wolke and Kalu. 347 00:14:50,993 --> 00:14:52,427 No. 348 00:14:52,428 --> 00:14:55,386 You will go to the skills lab 349 00:14:55,388 --> 00:14:57,215 and study stroke protocols and procedures 350 00:14:57,216 --> 00:14:58,695 for handling a TIA. 351 00:14:58,696 --> 00:15:00,043 I didn't do anything wrong. 352 00:15:13,321 --> 00:15:15,539 We didn't have to debride as much as I thought. 353 00:15:15,541 --> 00:15:17,846 And there's more than enough palmar and dorsal flaps 354 00:15:17,846 --> 00:15:18,977 to close the stump. 355 00:15:18,979 --> 00:15:20,849 - Checking my work? - No. 356 00:15:20,850 --> 00:15:22,807 Just rubbernecking. 357 00:15:22,808 --> 00:15:24,244 It's not every day you get to see 358 00:15:24,245 --> 00:15:26,681 a meat-grinder partial radial amputation. 359 00:15:26,682 --> 00:15:27,855 Thankfully. 360 00:15:27,856 --> 00:15:30,206 But if I was checking, 361 00:15:30,207 --> 00:15:32,513 now that I have a better view of the injured area, 362 00:15:32,514 --> 00:15:35,038 the distal forearm vessels and nerves 363 00:15:35,038 --> 00:15:36,995 are actually better than I expected. 364 00:15:36,996 --> 00:15:38,432 If you could bridge those gaps, 365 00:15:38,432 --> 00:15:41,260 I'm wondering if you might be able to reattach it. 366 00:15:41,261 --> 00:15:43,088 Ischemic time is less than eight hours, 367 00:15:43,090 --> 00:15:46,178 and that's best case, which this isn't. 368 00:15:46,179 --> 00:15:48,138 Mm, not if there's a blood supply. 369 00:15:48,139 --> 00:15:50,182 You could graft it to his ankle, 370 00:15:50,183 --> 00:15:51,750 keep it perfused 371 00:15:51,750 --> 00:15:53,881 while you prep the forearm stump for replantation. 372 00:15:53,883 --> 00:15:55,231 You could really do that? 373 00:15:55,232 --> 00:15:57,076 We've built new ears on forearms. 374 00:15:57,077 --> 00:15:59,123 Wrist anatomy is a lot more complex. 375 00:15:59,124 --> 00:16:01,559 And if we spread an infection to his leg, 376 00:16:01,561 --> 00:16:04,171 he could end up losing two limbs instead of just one. 377 00:16:04,172 --> 00:16:07,130 We could reduce the risk by planting antibiotic beads in the wounds. 378 00:16:07,131 --> 00:16:08,611 Yeah, but not eliminate it. 379 00:16:09,830 --> 00:16:11,004 Your call. 380 00:16:13,921 --> 00:16:16,313 Prep and drape his left ankle. 381 00:16:16,315 --> 00:16:17,793 Want a second set of hands? 382 00:16:17,793 --> 00:16:19,490 Absolutely. 383 00:16:19,491 --> 00:16:21,884 But don't you have a hospital to run? 384 00:16:21,885 --> 00:16:23,712 That's what co-presidents are for. 385 00:16:25,279 --> 00:16:28,803 CT-CTA doesn't show any blockages 386 00:16:28,804 --> 00:16:30,501 or atherosclerosis. 387 00:16:32,157 --> 00:16:35,462 I'm starting to think this might not be a stroke or a TIA. 388 00:16:35,463 --> 00:16:37,073 The neuro symptoms didn't start 389 00:16:37,075 --> 00:16:39,293 until after the esophageal mass disappeared. 390 00:16:39,293 --> 00:16:41,817 Uh, not true. 391 00:16:41,817 --> 00:16:44,732 No, he came to the ER with neurological symptoms, 392 00:16:44,734 --> 00:16:46,561 a headache, and hearing loss. 393 00:16:46,562 --> 00:16:48,040 Which isn't surprising, 394 00:16:48,042 --> 00:16:50,870 given he let his idiot friends slap him upside the head. 395 00:16:50,870 --> 00:16:52,001 Mm. 396 00:16:52,003 --> 00:16:53,177 Speaking of idiots, 397 00:16:53,177 --> 00:16:54,788 you should go to the confirmation party. 398 00:16:56,528 --> 00:16:57,745 Jerome mentioned it. 399 00:16:57,746 --> 00:17:00,706 It's one party. You might actually have fun. 400 00:17:02,056 --> 00:17:03,708 Look, you love Jerome, right? 401 00:17:03,710 --> 00:17:06,755 Right. So what makes you think you wouldn't like his brothers? 402 00:17:08,019 --> 00:17:09,758 They play hockey. 403 00:17:09,759 --> 00:17:11,020 Didn't Jerome play hockey? 404 00:17:11,021 --> 00:17:12,369 Yes, as a kid, 405 00:17:12,371 --> 00:17:14,546 and not in something called the Beer League. 406 00:17:14,547 --> 00:17:16,982 This isn't about hockey or beer, is it? You're just afraid. 407 00:17:16,983 --> 00:17:19,550 I am not afraid. I'm actually... I'm very busy. 408 00:17:19,551 --> 00:17:22,292 Or you're scared they won't like you. 409 00:17:22,294 --> 00:17:24,424 Or that it's the next big step towards something 410 00:17:24,425 --> 00:17:27,037 you're still not sure you want. 411 00:17:27,038 --> 00:17:30,170 Thank you, Esther Perel, but I know exactly what I want. 412 00:17:30,171 --> 00:17:31,388 - Okay. - Okay. 413 00:17:31,390 --> 00:17:32,739 And I have it. 414 00:17:33,695 --> 00:17:35,435 Well, maybe you should consider 415 00:17:35,436 --> 00:17:37,699 making some sacrifices to hold on to it. 416 00:17:45,621 --> 00:17:47,709 Had a nice walk with Morgan today. 417 00:17:47,710 --> 00:17:49,711 She's preparing a living trust 418 00:17:49,711 --> 00:17:53,759 and would like us to be Eden's guardians if she and Park die. 419 00:17:53,759 --> 00:17:55,065 Okay. 420 00:17:55,066 --> 00:17:56,761 "Okay" you're fine with that plan, 421 00:17:56,762 --> 00:17:58,154 or "okay," you didn't hear a word I said 422 00:17:58,155 --> 00:18:00,461 because you're still obsessing about Charlie? 423 00:18:00,461 --> 00:18:02,723 I'm fine with Morgan's plan. 424 00:18:02,724 --> 00:18:04,726 I was thinking about Charlie, 425 00:18:04,727 --> 00:18:06,292 not obsessing. 426 00:18:06,294 --> 00:18:08,556 I can't work with her constantly interrupting me. 427 00:18:08,557 --> 00:18:10,818 She's a student, Shaun. She's excited. 428 00:18:10,819 --> 00:18:13,038 She's enthusiastic. 429 00:18:13,039 --> 00:18:15,737 Why does it matter if she is enthusiastic? 430 00:18:15,738 --> 00:18:17,478 She makes a lot of mistakes. 431 00:18:17,479 --> 00:18:20,176 Well, now's the time to make mistakes. She's a med student. 432 00:18:20,178 --> 00:18:22,308 Charlie refuses to admit she's made them, 433 00:18:22,309 --> 00:18:23,919 which means she cannot learn from them. 434 00:18:23,920 --> 00:18:25,355 Are you sure about that? 435 00:18:25,356 --> 00:18:26,661 Maybe she's embarrassed. 436 00:18:26,662 --> 00:18:28,402 Maybe you're being a little bit too rigid. 437 00:18:28,403 --> 00:18:30,622 You know, give her a chance to work things out. 438 00:18:30,623 --> 00:18:32,579 I have not been rigid. 439 00:18:32,580 --> 00:18:35,060 You're being rigid right now. 440 00:18:35,061 --> 00:18:38,499 Why don't you try being a little more patient? Right? 441 00:18:41,025 --> 00:18:43,721 I will... try to be more patient. 442 00:18:43,722 --> 00:18:45,201 Great. Let's eat. 443 00:18:50,772 --> 00:18:54,819 Ulnar to posterior tibial artery anastomosis complete. 444 00:18:54,820 --> 00:18:56,822 Sutured the main dorsal to the saphenous vein 445 00:18:56,823 --> 00:18:58,519 and created a fasciocutaneous flap 446 00:18:58,519 --> 00:19:00,391 to provide temporary coverage. 447 00:19:00,392 --> 00:19:03,349 Great. Then I think we're ready. 448 00:19:03,351 --> 00:19:05,134 Releasing the clamps. 449 00:19:16,885 --> 00:19:18,409 Awesome. 450 00:19:18,410 --> 00:19:19,672 Totally awesome. 451 00:19:25,854 --> 00:19:29,422 I understand you have a bit of a medical mystery on your hands. 452 00:19:29,423 --> 00:19:31,641 Yes, it is very interesting. 453 00:19:31,642 --> 00:19:33,078 How's your new med student? 454 00:19:34,079 --> 00:19:35,427 She talks too much, 455 00:19:35,429 --> 00:19:36,777 refuses to acknowledge mistakes, 456 00:19:36,778 --> 00:19:38,431 and doesn't like to read textbooks. 457 00:19:38,432 --> 00:19:40,127 That does sound like a challenge. 458 00:19:40,128 --> 00:19:43,044 Dr. Glassman said I should just be patient 459 00:19:43,045 --> 00:19:44,653 and give her time to adjust. 460 00:19:44,654 --> 00:19:46,526 Wrong. 461 00:19:46,527 --> 00:19:48,962 Glassman's favorite way to deal with a problem 462 00:19:48,963 --> 00:19:51,096 is to avoid it and then hope someone else solves it. 463 00:19:51,096 --> 00:19:53,403 You need to tell her precisely what you want her to do. 464 00:19:54,186 --> 00:19:55,535 I have done that. 465 00:19:55,536 --> 00:19:56,797 Well, do it again. 466 00:19:56,798 --> 00:20:00,105 She's young and faces communication challenges 467 00:20:00,105 --> 00:20:01,888 that you need to be sensitive to. 468 00:20:01,890 --> 00:20:04,934 All her recommendations say she's smart but stubborn, 469 00:20:04,935 --> 00:20:07,981 which, if managed properly, could be a great combination. 470 00:20:07,982 --> 00:20:09,156 You of all people should know that. 471 00:20:09,157 --> 00:20:12,291 Uh, why should I know that? 472 00:20:13,944 --> 00:20:17,557 Because you also arrived here smart but stubborn. 473 00:20:17,557 --> 00:20:20,080 You've become a great surgeon, and she will be, too. 474 00:20:20,082 --> 00:20:22,605 But for now, she's like a puppy that needs to be trained 475 00:20:22,605 --> 00:20:24,519 before all the bad habits take hold. 476 00:20:24,520 --> 00:20:27,175 So don't be patient, be proactive. 477 00:20:31,048 --> 00:20:32,833 Hmm. 478 00:20:32,834 --> 00:20:36,183 There's no cyanosis, severe edema, or venous stasis. 479 00:20:36,184 --> 00:20:37,968 Looks great. 480 00:20:37,969 --> 00:20:40,797 - It looks gross. - Don't worry. 481 00:20:40,798 --> 00:20:42,494 As soon as we clean up all the damage to your arm, 482 00:20:42,496 --> 00:20:43,931 it'll go back to where it belongs. 483 00:20:43,932 --> 00:20:46,325 Good, because I'm gonna need both hands 484 00:20:46,326 --> 00:20:47,804 to wring that butcher's neck. 485 00:20:47,805 --> 00:20:49,501 Dr. Park? 486 00:20:59,643 --> 00:21:00,773 What's wrong? 487 00:21:00,775 --> 00:21:03,864 There's some cellulitis at the forearm. 488 00:21:03,865 --> 00:21:05,560 But don't worry. You're on antibiotics, 489 00:21:05,561 --> 00:21:07,780 and we'll watch it closely until your next surgery. 490 00:21:11,828 --> 00:21:13,481 Sorry. I'm running late. 491 00:21:13,482 --> 00:21:15,441 It's like packing for the Lewis and Clark expedition 492 00:21:15,442 --> 00:21:17,137 every time I leave the house now. 493 00:21:17,138 --> 00:21:18,791 No worries. I got you an Americano. 494 00:21:18,792 --> 00:21:19,923 Thanks. 495 00:21:19,923 --> 00:21:21,925 Shaun agreed. We're good to go. 496 00:21:22,710 --> 00:21:24,013 One thing... 497 00:21:24,015 --> 00:21:25,929 I named you and Shaun as guardians 498 00:21:25,930 --> 00:21:28,759 if both Park and I die, but also if just I die. 499 00:21:30,718 --> 00:21:32,413 Why wouldn't Park be her guardian? 500 00:21:32,414 --> 00:21:34,241 Don't tell me you guys are on the rocks again. 501 00:21:34,242 --> 00:21:35,765 No, things are great. 502 00:21:35,766 --> 00:21:38,246 Actually, better than great. They're fantastic. 503 00:21:38,247 --> 00:21:39,987 So what's the problem? 504 00:21:39,988 --> 00:21:41,467 The last thing I want 505 00:21:41,468 --> 00:21:43,382 is for Eden to end up with an ex-boyfriend if I die. 506 00:21:43,383 --> 00:21:45,557 We've only been back together a couple months, 507 00:21:45,558 --> 00:21:47,211 so I'll revisit the plan in a year. 508 00:21:47,212 --> 00:21:48,951 Okay. I'll let Shaun know tonight. 509 00:21:48,952 --> 00:21:50,912 No, Shaun can't keep a secret. 510 00:21:52,521 --> 00:21:54,174 I haven't told Park, and I'm not going to. 511 00:21:54,175 --> 00:21:55,480 Are you insane? 512 00:21:55,481 --> 00:21:57,395 You can't lie to Park, and I can't lie to Shaun. 513 00:21:57,396 --> 00:21:59,354 It's not a lie. It's a secret. 514 00:21:59,355 --> 00:22:01,182 And every marriage has them. 515 00:22:01,182 --> 00:22:02,878 Uh, sure. 516 00:22:02,880 --> 00:22:04,968 Like how much I spend on hair color 517 00:22:04,969 --> 00:22:06,186 and how often I use his toothbrush, 518 00:22:06,188 --> 00:22:07,579 but this is too big. 519 00:22:07,580 --> 00:22:09,320 No, it's a tiny, temporary detail 520 00:22:09,321 --> 00:22:11,236 that's meaningless unless I die in the next 12 months, 521 00:22:11,237 --> 00:22:13,541 which isn't gonna happen. 522 00:22:13,542 --> 00:22:16,066 Please, just take a few days, think about it. 523 00:22:16,067 --> 00:22:17,286 That's all I'm asking. 524 00:22:18,895 --> 00:22:22,116 I'm not gonna change my mind, but okay. 525 00:22:24,336 --> 00:22:25,858 Head CT looks normal, 526 00:22:25,859 --> 00:22:27,208 but the abdominal images 527 00:22:27,209 --> 00:22:29,036 showed acalculous cholecystitis. 528 00:22:29,037 --> 00:22:32,778 Hmm. That wouldn't explain his neurological symptoms. 529 00:22:32,779 --> 00:22:34,346 But it does explain the fever 530 00:22:34,346 --> 00:22:36,347 and the abdominal pain he has now. 531 00:22:36,348 --> 00:22:39,175 We got another abdominal CT. 532 00:22:39,176 --> 00:22:41,308 Gallbladder's dilated with extreme wall thickening. 533 00:22:41,309 --> 00:22:42,744 Looks like it's about to rupture. 534 00:22:42,746 --> 00:22:44,050 Doesn't make sense. 535 00:22:44,051 --> 00:22:47,402 His most severe symptoms have been neurological, 536 00:22:47,403 --> 00:22:48,882 and neither the bruise on his chest 537 00:22:48,883 --> 00:22:51,145 nor the mass in the esophagus was near the gallbladder. 538 00:22:54,801 --> 00:22:56,498 Whatever the cause, 539 00:22:56,499 --> 00:22:58,239 his gallbladder needs to be removed. 540 00:22:58,240 --> 00:22:59,285 Get him prepped. 541 00:23:03,027 --> 00:23:04,507 Charlie? 542 00:23:05,682 --> 00:23:07,162 We need to have a talk. 543 00:23:08,423 --> 00:23:09,684 Please have a seat. 544 00:23:09,685 --> 00:23:10,772 I'd rather stand. 545 00:23:10,773 --> 00:23:12,165 When I'm nervous, 546 00:23:12,166 --> 00:23:14,691 sitting makes me feel uncomfortably constrained. 547 00:23:15,387 --> 00:23:16,518 Okay. 548 00:23:16,519 --> 00:23:19,652 You are still a student, 549 00:23:19,653 --> 00:23:22,480 so it is normal for you to be making mistakes. 550 00:23:22,481 --> 00:23:24,178 I haven't made any mistakes. 551 00:23:24,179 --> 00:23:25,788 You ordered a nurse to prep an incorrect 552 00:23:25,788 --> 00:23:27,834 and potentially dangerous medication. 553 00:23:27,835 --> 00:23:29,749 I didn't order her. I made a suggestion. 554 00:23:29,750 --> 00:23:32,098 And you talk too much, 555 00:23:32,099 --> 00:23:34,057 often about things you shouldn't 556 00:23:34,057 --> 00:23:35,667 and other times when you shouldn't be talking... 557 00:23:35,669 --> 00:23:37,712 I learn more by discussing things 558 00:23:37,713 --> 00:23:40,193 rather than reading a textbook or attending a lecture. 559 00:23:40,194 --> 00:23:42,282 I do not lecture, 560 00:23:42,284 --> 00:23:44,285 and I can't do my job 561 00:23:44,286 --> 00:23:46,766 if you are always interrupting... 562 00:23:46,767 --> 00:23:48,855 - At times, my speech pattern can be... - You just did it again. 563 00:23:48,855 --> 00:23:50,551 So did you. 564 00:23:50,552 --> 00:23:52,162 Compulsive speech is a characteristic of our neurodiversity. 565 00:23:52,163 --> 00:23:54,948 Please s-stop talking. 566 00:23:54,949 --> 00:23:57,819 I am being proactive. 567 00:23:57,820 --> 00:24:01,390 I have precisely explained my expectations. 568 00:24:02,782 --> 00:24:05,611 You can't order me to do something I'm incapable of. 569 00:24:05,612 --> 00:24:07,134 I have a disability, and the law... 570 00:24:07,134 --> 00:24:08,701 I am trying to help you. Okay? 571 00:24:14,708 --> 00:24:17,752 I... understand 572 00:24:17,753 --> 00:24:20,147 that ASD is considered a disability. 573 00:24:22,192 --> 00:24:27,196 But I also know that you are capable of being silent. 574 00:24:27,198 --> 00:24:28,634 If you want to remain on this case, 575 00:24:28,634 --> 00:24:30,940 that is what I expect you to do. 576 00:24:30,941 --> 00:24:33,115 You are to observe and nothing else. 577 00:24:33,116 --> 00:24:34,554 Do you understand? 578 00:24:36,469 --> 00:24:37,817 Yes. 579 00:24:39,645 --> 00:24:40,951 Good. 580 00:24:43,476 --> 00:24:48,480 Now you can go join Dr. Wolke and Dr. Kalu in the OR. 581 00:24:59,795 --> 00:25:01,098 We've got adequate debridement 582 00:25:01,099 --> 00:25:02,491 of the distal forearm stump. 583 00:25:02,492 --> 00:25:04,058 This is gonna work. 584 00:25:04,059 --> 00:25:06,147 Good call. 585 00:25:06,148 --> 00:25:08,498 Hubank, any thoughts on what suture to use 586 00:25:08,499 --> 00:25:11,240 for our arterial anastomosis? 587 00:25:11,240 --> 00:25:13,154 I'm not sure. 588 00:25:13,155 --> 00:25:14,460 Take your time. 589 00:25:14,461 --> 00:25:16,507 Look closely at the angle we cut the vessels at. 590 00:25:17,508 --> 00:25:19,290 I guess you could suture the ends 591 00:25:19,291 --> 00:25:20,770 with a 4-0 Prolene 592 00:25:20,771 --> 00:25:22,903 using an end-to-side formation. 593 00:25:22,904 --> 00:25:24,513 Nice idea. 594 00:25:24,515 --> 00:25:27,256 End-to-end anastomosis with parachute technique 595 00:25:27,257 --> 00:25:28,952 would work even better. 596 00:25:33,175 --> 00:25:35,438 I'm Dr. Reznick. 597 00:25:35,439 --> 00:25:38,222 I assume you know that Park and I are in a relationship. 598 00:25:38,223 --> 00:25:40,008 - Actually, no. I didn't... - Don't lie. 599 00:25:40,009 --> 00:25:42,750 I know how fast the gossip gets out around here. 600 00:25:44,317 --> 00:25:45,883 How's Park as a professor? 601 00:25:45,884 --> 00:25:47,798 He's awesome. 602 00:25:47,798 --> 00:25:49,799 Intuitive and supportive without being patronizing. 603 00:25:49,800 --> 00:25:51,019 Stop. 604 00:25:51,019 --> 00:25:53,107 The whole gentle-giant thing is lost on me. 605 00:25:53,108 --> 00:25:56,414 What I respect is totally brutal, blunt honesty. 606 00:25:56,415 --> 00:25:57,676 Think of me like Bill Belichick 607 00:25:57,677 --> 00:25:59,201 but meaner and with better hair. 608 00:26:02,640 --> 00:26:04,250 You're right. I lied. 609 00:26:06,164 --> 00:26:08,688 I was actually told by a bunch of people on my first day 610 00:26:08,689 --> 00:26:10,778 about the relationship that you and Park had. 611 00:26:10,778 --> 00:26:13,171 I was also told how you broke up 612 00:26:13,172 --> 00:26:14,651 then moved back in with one another 613 00:26:14,652 --> 00:26:16,479 before breaking up again, 614 00:26:16,480 --> 00:26:17,785 then got back together recently 615 00:26:17,786 --> 00:26:19,263 because Park wanted to help you 616 00:26:19,265 --> 00:26:22,180 take care of the baby that you wanted to adopt 617 00:26:22,181 --> 00:26:23,660 but were too overwhelmed to do it yourself 618 00:26:23,661 --> 00:26:25,443 while also running the clinical trials. 619 00:26:25,444 --> 00:26:29,404 But I wasn't lying about Park being an awesome professor. 620 00:26:29,405 --> 00:26:31,276 He's been pretty patient and supportive, 621 00:26:31,277 --> 00:26:33,887 despite the fact that I don't want to be a surgeon, 622 00:26:33,888 --> 00:26:35,192 and I faint or hurl 623 00:26:35,193 --> 00:26:37,152 at the sight of any amount of blood. 624 00:26:37,153 --> 00:26:39,807 But he's a great guy. 625 00:26:39,807 --> 00:26:42,634 And I'm sure he'll be a great dad or stepdad 626 00:26:42,635 --> 00:26:44,681 or whatever the label is 627 00:26:44,682 --> 00:26:46,248 that you need him to be for you. 628 00:26:47,728 --> 00:26:49,861 Is that blunt enough? 629 00:26:52,298 --> 00:26:54,038 Yes. Thank you. 630 00:26:57,259 --> 00:26:58,477 But careful. 631 00:26:58,478 --> 00:27:00,609 Nobody likes a smart-ass. 632 00:27:03,614 --> 00:27:07,137 Freeing up the last attachments to the liver. 633 00:27:07,138 --> 00:27:08,923 Using ultrasonic coagulator 634 00:27:08,923 --> 00:27:10,969 for hemostasis on the cystic plate. 635 00:27:13,537 --> 00:27:15,667 What about an atypical presentation of lupus? 636 00:27:15,669 --> 00:27:17,409 ANA and ESR are all normal. 637 00:27:17,410 --> 00:27:19,585 That's why I said atypical. 638 00:27:19,586 --> 00:27:21,152 I mean, what else could cause symptoms 639 00:27:21,153 --> 00:27:23,154 in the esophagus, brain, and gallbladder? 640 00:27:27,942 --> 00:27:29,856 Dr. Kalu, please irrigate 641 00:27:29,857 --> 00:27:31,770 and lead the wound closure. 642 00:27:31,771 --> 00:27:35,471 - 0 Vicryl sutures on a long needle driver. - Can I feel it? 643 00:27:35,471 --> 00:27:37,646 Sorry. I know I'm not supposed to be talking, 644 00:27:37,647 --> 00:27:41,432 but I've never felt a live organ before. 645 00:27:41,433 --> 00:27:44,000 It needs to go to pathology. 646 00:27:44,001 --> 00:27:46,394 And please don't distract Dr. Kalu. 647 00:27:46,395 --> 00:27:48,919 Oh, she's not distracting me. 648 00:27:48,920 --> 00:27:51,880 It's just gonna sit in the pathology fridge for a few hours anyway. 649 00:27:53,924 --> 00:27:55,404 Do it quietly. 650 00:27:56,623 --> 00:27:57,885 Thank you, Dr. Murphy! 651 00:28:00,410 --> 00:28:01,970 Sponge here so I can see better. 652 00:28:03,500 --> 00:28:04,674 Need another 0 Vicryl suture. 653 00:28:06,198 --> 00:28:09,287 And I'll take the Metzenbaum scissors. 654 00:28:09,288 --> 00:28:11,201 That's enough. Put it back now. 655 00:28:11,202 --> 00:28:13,726 Wait. Just give me a... Ow! 656 00:28:13,727 --> 00:28:17,904 I think a needle got left in the organ. 657 00:28:17,905 --> 00:28:19,602 That's not possible. 658 00:28:19,603 --> 00:28:22,647 We never suture inside the gallbladder. 659 00:28:22,648 --> 00:28:24,214 I know I felt... felt it. 660 00:28:24,215 --> 00:28:26,652 Ow! Okay. There is something sharp in here. 661 00:28:26,653 --> 00:28:30,003 Uh, maybe it's an edge of a gallstone? 662 00:28:33,660 --> 00:28:34,704 I'm coming. 663 00:28:36,968 --> 00:28:38,230 Okay. 664 00:28:40,971 --> 00:28:43,407 There is something protruding. 665 00:28:43,409 --> 00:28:44,714 Small forceps. 666 00:28:56,465 --> 00:28:57,901 Is it a hair? 667 00:28:57,902 --> 00:28:59,121 No. 668 00:29:00,251 --> 00:29:01,557 It's a metal wire. 669 00:29:05,257 --> 00:29:08,693 Inside the gallbladder? How is that even possible? 670 00:29:08,694 --> 00:29:11,522 It was definitely not part of a surgical tool. 671 00:29:11,523 --> 00:29:13,394 Well, I read a case a few years ago. 672 00:29:13,395 --> 00:29:16,136 A patient got a metal wire from a barbecue grill brush 673 00:29:16,137 --> 00:29:17,702 lodged in his intestines. 674 00:29:17,703 --> 00:29:19,009 When we were doing surgical prep, 675 00:29:19,009 --> 00:29:20,576 Phipps said the last thing he'd eaten 676 00:29:20,576 --> 00:29:22,708 was a cheeseburger at his frat's barbecue. 677 00:29:22,709 --> 00:29:24,710 The disappearing mass in his esophagus 678 00:29:24,711 --> 00:29:26,582 could've been caused by that wire lodged there 679 00:29:26,583 --> 00:29:28,278 before it traversed the stomach wall 680 00:29:28,279 --> 00:29:30,151 and ended up in the gallbladder. 681 00:29:30,152 --> 00:29:32,980 That would be amazing. 682 00:29:32,980 --> 00:29:36,634 It wouldn't explain his neurological issues. 683 00:29:36,635 --> 00:29:38,463 Well, that could still be from the slaps. 684 00:29:40,423 --> 00:29:43,163 But either way, we never would've noticed it 685 00:29:43,164 --> 00:29:45,035 without Charlie's curiosity, so... 686 00:29:45,036 --> 00:29:47,167 Yeah. Nice catch. 687 00:29:47,169 --> 00:29:50,954 It was more of an accident than a catch, but thank you. 688 00:30:03,968 --> 00:30:07,492 We need the strongest magnet we have. Stat! 689 00:30:12,890 --> 00:30:14,238 What are you doing? 690 00:30:14,239 --> 00:30:16,284 I'm teaching Steve how to run the table 691 00:30:16,285 --> 00:30:18,025 while, simultaneously, Barry and I 692 00:30:18,026 --> 00:30:19,287 are trying to figure out how to lower 693 00:30:19,288 --> 00:30:21,419 the overhead cost of the clinic. 694 00:30:21,420 --> 00:30:22,987 Try those. 695 00:30:24,423 --> 00:30:28,861 "The poop fridge equals presidential priority"? 696 00:30:28,862 --> 00:30:30,471 You see, Steve? I told you, 697 00:30:30,472 --> 00:30:32,343 alliteration comes off as pompous. 698 00:30:32,344 --> 00:30:34,692 He prefers "poop" to "fecal samples." 699 00:30:34,693 --> 00:30:36,868 I'm so glad you're enjoying yourself. 700 00:30:36,869 --> 00:30:40,002 Meanwhile, Gail is coming down on me for things I didn't do. 701 00:30:40,003 --> 00:30:41,308 Hey, it's my signature on the thing. 702 00:30:41,309 --> 00:30:43,006 If Gail doesn't like it, she can come to me. 703 00:30:43,007 --> 00:30:44,528 She knows you don't listen to her. 704 00:30:44,529 --> 00:30:48,576 So, now, every time she has a problem, she comes to me. 705 00:30:48,577 --> 00:30:51,318 Well, I can think of one way to solve that problem. 706 00:30:51,319 --> 00:30:53,016 Aaron, I don't have time for these games. 707 00:30:53,017 --> 00:30:54,844 You don't have time because you're constantly 708 00:30:54,845 --> 00:30:56,585 trying to placate the damn board. 709 00:30:56,586 --> 00:31:01,023 All they want is to feel recognized and respected. 710 00:31:01,025 --> 00:31:02,112 All they want, they don't know it, 711 00:31:02,113 --> 00:31:03,548 but what they really want is a well-run, 712 00:31:03,548 --> 00:31:04,635 top-flight hospital. 713 00:31:04,636 --> 00:31:06,463 Well, all Gail really wants now 714 00:31:06,464 --> 00:31:09,336 is a full audit of all expenses for the past year. 715 00:31:09,337 --> 00:31:10,903 Well, that's a colossal waste of time. 716 00:31:10,903 --> 00:31:12,513 Well, I agree. 717 00:31:12,515 --> 00:31:15,385 And after a 30-minute discussion, 718 00:31:15,386 --> 00:31:17,432 I got Gail to agree as well. 719 00:31:17,432 --> 00:31:19,912 This division of labor isn't working, 720 00:31:19,913 --> 00:31:22,872 so from now on, you can deal with Gail. 721 00:31:22,873 --> 00:31:24,439 Fine. Send her on over. 722 00:31:24,440 --> 00:31:26,640 Just tell her to bring cash. We don't take markers here. 723 00:31:28,226 --> 00:31:29,227 He's an ass. 724 00:31:31,924 --> 00:31:32,970 Not an ass. 725 00:31:37,063 --> 00:31:38,672 What are you gonna do with that? 726 00:31:38,673 --> 00:31:40,413 It may be slightly painful, 727 00:31:40,413 --> 00:31:42,762 but it's much safer than another surgery. 728 00:31:42,763 --> 00:31:45,549 Open wide and say, "Ahh." 729 00:31:47,203 --> 00:31:48,291 Ahh. 730 00:32:05,526 --> 00:32:07,135 That was in my tonsil? 731 00:32:07,136 --> 00:32:10,835 Yes, it caused an infection and fluid build-up in your ear 732 00:32:10,836 --> 00:32:12,444 and irritated your carotid artery, 733 00:32:12,445 --> 00:32:15,883 which caused the neurological symptoms. 734 00:32:15,884 --> 00:32:20,148 You shouldn't ever clean a cooking surface with a wire brush, 735 00:32:20,150 --> 00:32:22,280 or let someone slap you, 736 00:32:22,281 --> 00:32:25,458 or shoot you with a foam shotgun slug. 737 00:32:25,459 --> 00:32:27,286 That is so cool. 738 00:32:27,287 --> 00:32:29,810 Yes. It is. 739 00:32:34,294 --> 00:32:35,947 I can't wait to get back to work. 740 00:32:35,948 --> 00:32:37,470 I wouldn't rush it. 741 00:32:37,471 --> 00:32:39,690 It's gonna take time and plenty of physical therapy 742 00:32:39,691 --> 00:32:41,257 to get your function back. 743 00:32:41,258 --> 00:32:43,650 I don't mean so I can work. 744 00:32:43,651 --> 00:32:46,609 I mean so I can fire that damn butcher. 745 00:32:51,789 --> 00:32:53,573 The new CTs are all clear. 746 00:32:53,574 --> 00:32:56,489 No more wires floating around. 747 00:32:56,490 --> 00:32:58,056 And you might want to take it easy 748 00:32:58,057 --> 00:33:00,318 with the frat parties for a while. 749 00:33:00,319 --> 00:33:03,017 I'm actually not that big a partier. 750 00:33:03,018 --> 00:33:05,193 I grew up an only child, so I always wanted brothers, 751 00:33:05,194 --> 00:33:06,717 and now I have like 50 of them. 752 00:33:09,721 --> 00:33:11,809 They've helped me through all sorts of stuff. 753 00:33:13,811 --> 00:33:16,943 A lot of the crazier stuff they do isn't my thing. 754 00:33:16,944 --> 00:33:18,468 Um... 755 00:33:18,469 --> 00:33:21,211 But I feel like I owe it to them to participate. 756 00:33:23,256 --> 00:33:25,039 To be there for them like they were for me. 757 00:33:26,303 --> 00:33:27,652 That's very generous of you. 758 00:33:37,182 --> 00:33:38,383 You're doing great. 759 00:33:39,403 --> 00:33:40,924 No, I'm not. 760 00:33:40,925 --> 00:33:42,361 Can't even watch a surgery 761 00:33:42,362 --> 00:33:44,667 from another room without dry-heaving. 762 00:33:44,669 --> 00:33:45,972 That patient would've bled out in the ER 763 00:33:45,973 --> 00:33:47,758 if you hadn't helped break open the grinder. 764 00:33:47,759 --> 00:33:49,978 Yeah. I make a great crowbar. 765 00:33:53,590 --> 00:33:55,244 Surgery is always a team effort. 766 00:33:57,376 --> 00:33:59,117 I'm happy to have you on my team. 767 00:34:04,818 --> 00:34:06,125 Dr. Park... 768 00:34:27,711 --> 00:34:28,972 Dr. Murphy, can I talk to you? 769 00:34:28,974 --> 00:34:32,106 I am trying to get home to put Steve down. 770 00:34:32,106 --> 00:34:33,630 This won't take long. 771 00:34:33,630 --> 00:34:35,632 I just wanted to tell you how impressed I was with you, 772 00:34:35,632 --> 00:34:37,938 how you were able to move that wire fragment 773 00:34:37,938 --> 00:34:39,375 from the tonsil without surgery. 774 00:34:39,376 --> 00:34:40,637 It was very ingenious. 775 00:34:40,637 --> 00:34:41,855 And I also wanted to thank you 776 00:34:41,856 --> 00:34:43,639 for letting me observe you in surgery. 777 00:34:43,641 --> 00:34:44,815 I learned a whole lot. 778 00:34:45,817 --> 00:34:47,860 Oh. That's good. 779 00:34:47,862 --> 00:34:49,298 And you're welcome. 780 00:34:51,735 --> 00:34:54,259 When I found the first wire in the gallbladder, 781 00:34:54,260 --> 00:34:56,740 it saved both the patient and us a lot of time. 782 00:34:59,744 --> 00:35:02,398 That is true. 783 00:35:02,398 --> 00:35:05,052 That's a big contribution from a medical student, don't you think? 784 00:35:06,967 --> 00:35:10,056 I believe your intense curiosity 785 00:35:10,057 --> 00:35:11,623 and attention to organization 786 00:35:11,625 --> 00:35:14,454 will one day make you an excellent pathologist. 787 00:35:15,672 --> 00:35:17,760 I don't want to be a pathologist. 788 00:35:17,762 --> 00:35:19,762 I understand, 789 00:35:19,764 --> 00:35:22,068 but given your aversion to textbooks, 790 00:35:22,070 --> 00:35:23,505 your extreme impatience... 791 00:35:23,507 --> 00:35:24,681 I'm not impatient. 792 00:35:24,681 --> 00:35:26,856 I'm an assertive, dedicated, hard worker. 793 00:35:26,858 --> 00:35:29,989 And your refusal to acknowledge and learn from your mistakes... 794 00:35:29,990 --> 00:35:31,818 I just want to be a surgeon. 795 00:35:32,907 --> 00:35:33,907 Like you. 796 00:35:36,650 --> 00:35:39,478 Oh. You're nothing like me. 797 00:35:41,525 --> 00:35:43,875 And I don't think you should ever be a surgeon. 798 00:35:57,409 --> 00:35:59,628 Hey, about to head out to Elizabeth's party. 799 00:35:59,630 --> 00:36:00,847 I just wanted to say goodbye. 800 00:36:02,327 --> 00:36:03,764 Should be home by 11:00. 801 00:36:07,027 --> 00:36:08,159 Wait! 802 00:36:11,945 --> 00:36:13,208 I'm coming with you. 803 00:36:28,746 --> 00:36:30,789 Sure this elevator's big enough for the both of us? 804 00:36:30,791 --> 00:36:33,226 - I'm not sure the hospital is. - Well, that's fine. 805 00:36:33,228 --> 00:36:35,795 I'll resign my share of the co-presidency. 806 00:36:35,795 --> 00:36:38,277 Not if I beat you to it. 807 00:36:42,889 --> 00:36:43,891 Hey, Charlie. 808 00:36:47,981 --> 00:36:49,853 Are you getting out or just taking a ride? 809 00:36:51,768 --> 00:36:53,465 Charlie, are you okay? 810 00:36:54,684 --> 00:36:55,902 No. 811 00:37:02,257 --> 00:37:05,041 Charlie should not be upset. 812 00:37:05,043 --> 00:37:08,045 I told her she would make an excellent pathologist. 813 00:37:08,045 --> 00:37:11,135 Well, you've only worked with her for two weeks. 814 00:37:11,135 --> 00:37:13,615 And isn't she hoping to be a surgeon? 815 00:37:13,617 --> 00:37:16,271 You said that I should be proactive. 816 00:37:17,097 --> 00:37:19,143 Proactive? 817 00:37:19,143 --> 00:37:20,884 That's not proactive. That's hurtful. 818 00:37:20,885 --> 00:37:22,538 Maybe it's not what you meant, but... 819 00:37:22,539 --> 00:37:24,364 I was telling the truth. 820 00:37:24,365 --> 00:37:26,106 I tried to be patient, like you said, 821 00:37:26,106 --> 00:37:27,456 but that also did not work. 822 00:37:28,675 --> 00:37:31,851 We gave you some conflicting advice, 823 00:37:31,851 --> 00:37:33,766 which clearly didn't help matters. 824 00:37:33,766 --> 00:37:37,682 So maybe now, together, we can find a better strategy. 825 00:37:37,684 --> 00:37:40,730 Charlie has a unique learning style... 826 00:37:40,731 --> 00:37:42,123 Why do I need a strategy? 827 00:37:43,472 --> 00:37:46,431 I am a good surgeon and a good teacher. 828 00:37:46,431 --> 00:37:48,606 Good teachers adjust to their students, Shaun. 829 00:37:48,608 --> 00:37:50,217 Maybe there's something you could do. 830 00:37:50,217 --> 00:37:52,219 Maybe there's something you should do. 831 00:37:52,219 --> 00:37:54,699 I have already made adjustments. 832 00:37:54,701 --> 00:37:56,005 Okay. Make some more. 833 00:37:56,007 --> 00:37:57,485 - Why? - Why? 834 00:37:57,487 --> 00:37:58,922 - Because it's the... - 'Cause she needs... 835 00:37:58,922 --> 00:38:01,315 Because she needs them, like you did. 836 00:38:01,315 --> 00:38:03,753 No one ever made things easier for me. 837 00:38:03,753 --> 00:38:06,885 Or went out of their way to make accommodations for me. 838 00:38:06,887 --> 00:38:08,974 Shaun. 839 00:38:08,976 --> 00:38:11,978 I'm sure you believe that, but that is simply not true. 840 00:38:13,893 --> 00:38:17,201 Dr. Melendez put me on scut work 841 00:38:17,202 --> 00:38:19,376 and threatened to fire me. 842 00:38:19,378 --> 00:38:22,161 Dr. Han transferred me to pathology, 843 00:38:22,163 --> 00:38:23,336 but I never gave up, 844 00:38:23,338 --> 00:38:24,817 and I learned how to accept criticism 845 00:38:24,818 --> 00:38:26,384 and improve my communication skills 846 00:38:26,385 --> 00:38:28,126 in order to become a good surgeon. 847 00:38:29,606 --> 00:38:31,041 Han and Melendez, 848 00:38:31,041 --> 00:38:34,784 and I'm sure many other people, were wrong about you. 849 00:38:34,784 --> 00:38:37,047 But that doesn't mean you should treat Charlie... 850 00:38:37,047 --> 00:38:40,137 I am not wrong about Charlie. 851 00:38:40,137 --> 00:38:41,965 She should not be a surgeon. 852 00:38:41,965 --> 00:38:43,139 You know what, Shaun? 853 00:38:43,141 --> 00:38:44,923 You sound like Han now. 854 00:38:44,925 --> 00:38:46,405 You're being unfair. 855 00:38:53,978 --> 00:38:54,978 No. 856 00:38:57,155 --> 00:38:58,373 I am an attending. 857 00:39:00,027 --> 00:39:01,461 It is my decision 858 00:39:01,463 --> 00:39:03,900 how to manage the medical students on my cases. 859 00:39:06,773 --> 00:39:07,992 I am going home now. 860 00:39:16,695 --> 00:39:17,784 That went well. 861 00:39:19,045 --> 00:39:21,353 Yeah. 862 00:39:23,181 --> 00:39:24,356 Straight pool or 8 ball? 863 00:39:26,271 --> 00:39:27,706 You can break. 864 00:39:29,666 --> 00:39:30,969 Okay. 865 00:39:36,106 --> 00:39:37,672 This is gonna be hilarious. 866 00:39:37,673 --> 00:39:39,891 And from my favorite uncle, Jerome, 867 00:39:39,893 --> 00:39:42,155 and his adorable boyfriend, Asher... 868 00:39:42,155 --> 00:39:43,809 Is this what I think it is? 869 00:39:45,898 --> 00:39:46,985 It is! 870 00:39:46,987 --> 00:39:48,684 I love it! 871 00:39:48,684 --> 00:39:50,163 - Thank you, thank you, thank you! - I'm so glad you like it. 872 00:39:50,164 --> 00:39:52,688 You bastard. 873 00:39:52,688 --> 00:39:54,210 She's not wearing that in this house. 874 00:39:54,211 --> 00:39:56,083 Yes, I am. 875 00:39:57,693 --> 00:39:58,911 Go, Kings, baby! 876 00:39:58,911 --> 00:39:59,998 Yes! Whoo! 877 00:40:00,000 --> 00:40:01,565 You like them. We got it. 878 00:40:01,567 --> 00:40:04,960 Boom, boom, boom, boom, boom! 879 00:40:04,961 --> 00:40:07,092 That was good! Yeah! 880 00:40:20,324 --> 00:40:21,672 I told the attorney that if I die, 881 00:40:21,673 --> 00:40:23,327 I want you to be Eden's guardian. 882 00:40:23,327 --> 00:40:25,764 I know. You already told me that. 883 00:40:26,373 --> 00:40:27,461 I was lying. 884 00:40:29,202 --> 00:40:30,726 But this time, I'm not. 64723

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