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NARRATOR: Previously on The Good Doctor:
Ready to tell me what's on your mind?
I think I'm in love with my boss.
MORGAN: I have rheumatoid arthritis.
I wanted you to know and no one else.
I've been thinking about synovectomy surgery.
It'll resolve the pain temporarily, then what?
It'll give me at least 10 years.
Then you're gonna be bone on bone. What's your plan then?
I understand you're leaving surgery. That's tough, but it's the right call.
No, I don't think it is.
I'm doing the surgery.
You don't tell me anything about your life.
- Because you don't wanna know. - That's not true.
KELLAN: You don't wanna feel guilty about being a thousand miles away.
You just wanna know that I'm okay.
I love you, Lea. I want to be your boyfriend.
I'm a challenge for anyone.
I just know it would be too hard for you.
You have to give me a chance.
- You need to let me try... - No.
- I will fix it. - You're autistic. You can't fix that.
You acted like you cared about me, but you don't even respect me.
[YELLING] You're going to end up alone and you deserve it!
Because you're a superficial, selfish and prejudiced person!
[POP MUSIC PLAYING OVER SPEAKERS]
Uh, two lychee Kölsch, please.
- Lea? Hey. - Hey.
I saw the invite at the clinic
and I assumed you wouldn't be here.
Here with a friend?
It's been a rough couple of weeks.
Hey. They're here.
- The guys who made this all possible. - I don't know about all that.
Yeah, well, you try opening a brewery or fundraising when you're dead.
Oh, honey, you remember Dr. Melendez and Dr. Glassman.
- This is my wife, Noreen. - Aaron, hi.
NEIL: This is Lea. - Your flavor profiles are epic.
- How about a tour? - Uh, yes.
Okay, great. Come on.
CARL: Marta. - Carl.
She is in host mode. We could be here forever.
I'll show you around.
The hops in the Kölsch, is that the Citra?
In combination with the Noble German.
Lady knows her stuff.
[RUMBLING]
Do you feel that?
It's an earthquake.
[♪♪♪]
[SHOUTS]
[SCREAMS]
Get out of there!
[SCREAMS]
Lea!
[SCREAMING]
[♪♪♪]
[CELL PHONE RINGING]
[NEIL GRUNTS]
- Hello. AUDREY: Thank God.
- Are you okay? - I'm fine, I think.
- The ceiling caved in. - Were you hit? Are you bleeding?
Not as far as I can tell.
Just some bruises.
The brewing tanks fell over. One went right through the floor.
And Glassman? Wasn't he with you?
AARON: I was, yeah.
Your shoulder, it's dislocated.
Yeah.
[SHOUTS AND SHOULDER CRACKS]
I'm okay. Noreen?
We're okay here.
I'm about to assemble a HURT team. Any idea how many wounded?
No. Let me check.
Come on.
[♪♪♪]
[NEIL COUGHING]
AARON: Lea.
[PEOPLE GROANING]
[SPEAKING INDISTINCTLY]
[♪♪♪]
Get here as fast as you can.
The hospital is on mass casualty incident protocol.
Cancel all elective surgeries,
transfer noncritical patients to urgent or chronic care facilities,
no family members or visitors are allowed in the ER.
Gonna need all the space we've got.
Use the waiting room for patient overflow.
Our HURT Team, which I'll be running,
has been assigned to the Bold Statement Brewery,
- which collapsed during a charity event. - Melendez and Glassman went to that.
I spoke with Melendez. They're both fine.
That's two out of approximately 100.
Park, Shaun, Claire, with me. Get the equipment packed up.
I wanna be on the road in three minutes.
[CHATTERING]
Cover Surgery. I'll get another attending on the ER.
I'll do both. I used to run the whole hospital.
It's just a cut. You'll be fine.
I need to focus on medical emergencies.
Cuts and scrapes do not qualify.
My colleague and I will be com...
- Lea? - Door to the brew hall is totally blocked.
NOREEN: Dr. Melendez. - Noreen.
Marta!
- What hurts? - My back.
I'm going to need a towel and tape.
Glassman and I need every first aid kit you've got.
Go.
Hold still. You're going to be okay.
I'm going to stabilize that leg, sir.
[GRUNTING]
Hold on a second.
Sir, please put the light on your leg.
[THUD]
- What was that? - Hold still.
What if there's an aftershock? The whole place could come down.
Just hold still, please, sir. Just hold still!
[LEG CRACKS THEN MAN SCREAMS]
Just please sit down.
[SIRENS WAILING NEARBY]
Hey, you guys.
Head across the street. You'll be okay there.
Maybe about 40 people inside in need of treatment
or some kind of onsite evaluation. Where do you need me?
- The hospital. We're short on surgeons. - Okay. Shaun...
Lea was here.
- Where is she now? - I don't know.
She was inside when the tanks fell down.
But first responders are gonna find her. Shaun?
[♪♪♪]
FIREFIGHTER: Jack's in place. Let's lift it.
- All right, she's clear. CLAIRE: Melendez?
Fifty-year-old woman,
medical history includes spinal tumor resection, C1 through 3 fusion,
complaining of severe back pain.
Where were you hit? Are you dizzy? In pain?
I'm fine. A beam fell, hit me on my side, knocked me down.
Let me see.
I'm fine.
Let me see.
I'll lay off working my obliques at the gym for a bit.
Ow.
- How much did that hurt? - No more than it should.
You're gonna need a full evaluation.
I'll go with Marta back to the hospital, get checked out.
Where was Lea?
In the brew hall, but it's completely blocked in.
Glassman and I already tried it.
The danger of spinal fracture.
Let's get a real cervical collar on her and get her onto the board.
[GROANS]
Stop.
[♪♪♪]
Don't touch her.
You winced when they touched your neck. Did your right hand hurt?
Yeah, like it was on fire.
It's not just a fracture.
Something is pressing on her spinal cord.
The move to the board could shift the object,
leading to permanent paralysis.
I need to find Lea.
Get the battery-powered X-ray.
Lucky there weren't more books on that shelf.
Bay one, 500 milligrams IV acetaminophen
and page Calderon in Pedes.
Reznick, no, you had surgery on your hands 48 hours ago.
I don't need them to triage.
We need a surgeon. Construction worker.
Through and through impalement, point of entry is his pelvis.
BP 111 over 84. Pulse 107 BPM.
- Pupils? - Ignore her.
- Normal and reactive. - Right now, she's a patient, not a doctor.
- Motor exam? All right, thanks. - Normal.
I'm concerned about the iliac artery. Check his femoral pulse.
- I was planning to. MAN: Unh!
Okay, okay, okay. Right leg is strong.
Left is thready.
Ultrasound his leg to confirm. His abdomen too.
Look for additional damaged vessels.
Then take him to OR 2 and page Cohen.
There could be a lot of vascular injuries. Do his surgery, while I help with triage.
Dr. Reznick, I don't need or want your help.
You have a habit of withholding key details
from your attendings as it benefits you.
Go to bed.
Lea? Lea, can you hear me?
[THUD]
MAN 1: Help.
Shaun, we need you on triage. Let the professionals...
- Shh. Okay. MAN 1: Help me. Under here.
Someone is down there.
Someone's down there, but it's not Lea.
- We need Fire and Rescue over here! MAN 2: Coming down.
Shaun.
It's right up against the spinal canal.
The C2 screws we used to fuse the vertebrae once the tumor was out.
That doctor was right? I could end up paralyzed?
I'm afraid so.
So, what are we gonna do about that?
We could remove the screw here.
No. You can't operate on my wife's spine in the middle of this.
NEIL: It would have its risks,
significantly more than most surgeries. But Dr. Browne's right.
[♪♪♪]
If we don't remove the screw here,
it's likely you'll be paralyzed from the neck down.
Take it out.
Lea!
Lea!
Are you there?
- Can you hear me? Lea! LEA: Please help!
Lea, it's me. Lea, it's Shaun.
Lea...
LEA: Shaun, help. - Okay.
Hey! This area needs to be stabilized before any medical personnel...
Lea!
[COUGHING]
I think I'm stuck.
[♪♪♪]
Okay.
Lea, I'm coming.
Okay.
[RUMBLING]
I am not afraid.
I am not afraid.
I am not afraid.
[♪♪♪]
Of course you are.
You know why?
Because this is stupid scary.
Dispatch rerouted us to Good Sam for some reason.
I put us on diversion. Too many patients, too few surgeons.
Now you got two more patients and one more surgeon. Which procedure?
Pelvic fracture can wait. Bay seven. I'm overseeing the ER.
Someone has to. Doesn't have to be you.
Morgan texted me, she's offered to help.
Hands free.
- I'll handle the ER, you two go cut. - Who's going to treat patients? Siri?
The nurses. I'll tell them what to do and then oversee every move.
Running this place isn't a job for a third year,
even on days without an earthquake.
Well, we've had an earthquake, there are no options.
Morgan, you be careful with those hands.
- You could screw them up for good. - Understood.
Petringa! OR 3.
What were you doing in a brewery anyway?
I was just sitting at the bar, having a beer.
- Now I'm trapped under it. - You're not 21.
I'd show you my ID, but my pockets are kind of underground right now.
We should let your parents know.
I'm fine. It doesn't even hurt.
You should have someone here. Mom, Dad...
My mom's dead.
My dad's on a plane.
Do you know the flight number? We can get word to him.
If my son was in your situation, I'd want to be there,
no matter what else was going on, or how he got there.
My dad already thinks I'm a screwup.
And this doesn't exactly disprove that.
Just get this off me.
Call me a bitch.
[♪♪♪]
Call me a bitch.
We're going to clear this ER and get the hospital off trauma diversion.
With a patient in every bed and a doctor with zero hands?
Actually, I've got eight.
You guys are going to do exactly what I tell you.
I ask you to probe two inches to the left, I don't mean 1.5 inches or 1.7.
I have you debride a wound, that's three Betadyne swabs, not two.
I don't care what shortcuts you've picked up.
I will not say "please," it is a wasted word.
I will not say "thank you," I will be moving on.
I will be a bitch, so may as well call me one now.
Bitch.
- You're a bitch. - Bitch.
As a feminist, I'm not...
- Say it. - Bitch.
Nice. Let's get to work.
You should be up there doing your job. Not down here.
- Lea needs me. - No, she doesn't.
You think rescuing her will make her fall in love with you. It won't.
You're being...
- You always said I could do... - Because I believed in you.
[♪♪♪]
Right now, I don't.
She doesn't love you. She told you.
She thinks you're limited.
You are.
You're not her hero.
WOMAN: Please help.
[♪♪♪]
We need a central line, endotracheal tube,
bag mask, portable oxygen, anesthesia...
We've got midazolam.
That combined with the morphine drip should work.
Noreen?
Don't do this surgery, please.
[♪♪♪]
I can't lose her. Not this soon.
When Marta was with her husband, she was miserable, she didn't know...
We're not the ones to persuade.
Sorry.
I will push your wheelchair, I'll wipe your mouth, whatever you need...
and be glad for every minute of it. Because...
you will still be alive...
and we'll still be on our adventure.
Five years...
that's... it's just not enough.
- So greedy. - Marta, please.
Thank you for being willing to take care of me again.
Five years isn't enough.
However long I have with you will never be enough.
I only found you once I stopped listening to my fear.
Fear of hurting my husband...
being thrown out of the Church, of dying alone.
Pushing all that aside made room for you,
and you are my life.
Dr. Melendez saved me once.
He's gonna do it again.
Be brave with me.
[♪♪♪]
Okay.
You found me.
Hmm.
I'm Dr. Shaun Murphy. I'm here to help you.
What's your name?
Vera.
- Where does it hurt, Vera? - Everywhere.
But mostly the shoulder...
Take a deep breath, please.
Your lungs are fine.
- Can you feel your hands? - Yeah.
That means you have no nerve damage.
It missed your vital organs.
I can remove it without risking permanent injury.
That's good news.
[GASPS]
This is bad.
[♪♪♪]
[PANTING]
When I cut, brace this.
Her neck cannot move at all.
Making initial midline incision to posterior neck.
FIREFIGHTER: It'll take time before we can move that bar.
Fine. We need to get a sense of the kid's injuries before you do anything.
I need to get under there and take a look.
Follow me.
Asthma and dust inhalation. Bad combination.
Take deep breaths.
Higher. Higher.
[COUGHING]
Where her lungs are.
- You're the one who can hear them. - There.
Deeper.
Trying. Just... can't.
That's probably because your lungs are hyperinflated.
Start nebulizer, albuterol and oxygen at eight liters per minute.
Why are you using plaster of Paris?
Told me cast her arm, you didn't tell me...
To use fiberglass, which takes half the time and is twice as effective?
I wasn't aware I had to instruct you on common sense.
Bitch.
[♪♪♪]
SHAUN [OVER RADIO]: Can I speak to Dr. Lim, please?
Shaun, where are you?
I found a woman with shoulder and leg impalements.
I'm going to extract the shoulder,
but freeing the leg could sever the posterior tibial artery.
- That sounds bad. - You would die.
- What's the leg impaled on? - Mm. It appears to be steel rebar.
We'll send down a firefighter.
Once they've sawed through the rebar, they'll transport her up.
Keep this channel open so I can hear you.
- Have they found Lea? - No, they're still searching.
[♪♪♪]
Okay.
[MONITOR BEEPING]
Aaron, can you head back to the ER when you finish?
AARON: Not unless you can take
the transected aorta being prepped in OR 3.
I've got a myocardial contusion and tamponade in 2.
Ceiling fan fell on this guy's chest.
I'll see you on the other side.
Yeah.
[ALARM BEEPING]
- We've got a bleed. - Clamp.
[♪♪♪]
The hardware tore a muscular branch of her right vertebral artery.
I can't find the bleed without suction.
I see it.
[ALARM STOPS]
Vitals are stable, but she's lost too much blood.
We can't keep cutting until we give her a transfusion.
Check all local hospitals and blood banks.
See who can get us O-negative, stat.
There might be another way to transfuse her.
So I'm 16, in my dad's car, a dime bag in my pocket,
- and a cop approaching... - Did you get arrested?
Hey, let me tell the story. It's got a beginning, middle and end.
- I want the end. - Better with the middle.
We roll down the window, and the cop is hit with a cloud of smoke.
She makes us get out,
pats us down, searches the whole car...
I'll be right back.
Wait, come on! Don't leave me hanging.
- Come on. - She didn't find anything.
Our bodies can do amazing things. Even hide dime bags.
Holy crap, dude. Wait, did you still smoke it?
- I'll be right back. - Oh, man, you did. Ew.
How bad is it?
[♪♪♪]
His spine's been severed.
He's lost a lot of blood,
no femoral pulses, his legs are ice cold.
The bar's basically cross-clamping his abdominal aorta.
He's gonna bleed out when we lift the bar.
No, there's gotta be something we can do.
We can get his dad here before it's too late.
Inject five CCs bupivacaine, wait 20 minutes, then pull it out.
You here for me to discharge our asthmatic?
No. She's gotten worse.
And she's complaining about back pain.
She fell during the earthquake. Symptom explained.
Sutures need to be closer.
Add budesonide to her nebulizer. That should help her breathing.
I think she might be pregnant.
Shortness of breath plus back pain
could be UTI, kidney stones, or pregnancy.
Urine dip ruled out UTI and kidney stones.
Her symptoms have nothing to do with the earthquake?
It's possible.
How can you be both slow and sloppy?
This is my first time doing sutures.
Finish up so I can discharge him.
Stop with the zebra hunting. Put her on budesonide and clear the bed.
I asked you to be my hands, not my brain.
Dr. Reznick, I'm over the bitch plan. After three years of it.
- We're in crisis. - That you're using to rehabilitate
your reputation with Andrews, which is fine.
But stop biting the hands that are your hands.
What are you doing?
Sterilizing the instrument.
Do you know someone with cancer?
Uh...
I'm curious why you were at a fundraiser for cancer research.
I was there for a man...
one without cancer or any interest in being with me.
My ex-boyfriend is on the board of the charity.
Why did you want to see your ex-boyfriend?
I guess...
I hoped he'd realize he was still in love with me and beg me to take him back.
- Clever, huh? - I understand.
I still want Lea to be my girlfriend.
But she doesn't feel the same way?
[♪♪♪]
- I have autism. - Oh, Shaun, that shouldn't...
[SCREAMING]
[GRUNTING]
Why didn't you warn me?
Studies have shown that anticipation only heightens pain.
I used small talk to distract you.
Where did you two meet?
Church.
Not a member anymore.
[FOOTSTEPS APPROACHING]
Hey.
[♪♪♪]
Place that in the surgical cavity.
- You made a cell saver out of a... - Beer engine.
I ran alcohol through it to sterilize it.
Attach this to an IV.
We're going to pump her own blood back into her.
We've got somebody down here.
Can you hear us? We're coming.
- Lea. Are you okay? - I think so.
Hey, how long before you guys can get this thing off?
We're working on it.
You said your dad thinks you're a screwup.
Has he actually said that?
No.
The reason I told you that story is...
everyone does dumb stuff when they're a teenager.
[♪♪♪]
I bet your dad doesn't judge you nearly as harshly as you think.
My dad doesn't know me, and neither do you.
Can you stay with him?
That's incredible.
Thank you.
Spend enough time around Dr. Browne, you get used to incredible.
Okay. Thank you.
There'll be a cruiser waiting to pick Casey's dad up when he lands.
What if we compress Casey's aorta against his spine,
create a higher cross-clamp?
You didn't tell him yet, did you?
No.
We could buy time to repair his aorta after we lift the bar.
- Casey is about Kellan's age... - This has nothing to do with Kellan.
Yes, it's a 1 percent chance of success if we do this,
against a 100 percent chance of death if we don't.
Okay. Prep him.
When will we know she's going to be okay?
When she wakes up.
Still a risk of infection. Let's get her stabilized and out of here.
I'm administering the budesonide and checking to see if she's pregnant.
- I told her I'm on the pill. - Ever miss a day?
Look at that, an unoccupied uterus.
Prep for discharge.
Can you give me something for my back pain?
It's bruised from when you fell in the earthquake.
- Take some Tylenol. - It's been bad all week.
Muscle relaxers usually help.
Check her tubes.
You're pregnant.
The fetus is developing inside your fallopian tube.
It's an ectopic pregnancy, it's not viable.
That's a relief.
But if your fallopian tube ruptures,
it can cause a serious, possibly fatal bleed.
We'll get you into surgery soon as possible
to make sure that doesn't happen.
It's gonna be fine.
If we get out of this alive, let's promise to move on.
You can do better than Lea.
Not that I have any business suggesting that.
I might die because I'm still hung up on Paul.
No, I don't want to move on.
If she doesn't feel like...
I always knew I could be a good doctor.
[♪♪♪]
But until I met Lea, I never knew I could drive a car.
Or enjoy music.
Or sing karaoke.
Or take tequila shots.
Or fall in love.
I don't want to stop being the person I am with her.
Lea makes me...
more.
SHAUN [ON WALKIE-TALKIE]: But I don't make her more.
If I did...
then Lea would want to be my girlfriend.
[MONITOR ALARM BEEPING]
She's tachycardic and hypotensive.
Abdomen?
[TAMARA GRUNTS]
- Rigid. - Her fallopian tube ruptured.
[♪♪♪]
Any chance he can wait an hour?
Rapidly expanding subdermal hematoma.
It still doesn't hurt. Can't this wait?
- We need to fix something right away. - Okay.
Whatever you gotta do.
Hey, um, about my dad...
The minute he lands, we'll get him here.
[♪♪♪]
Thank you.
Okay.
[MONITOR BEEPING]
She needs a surgeon, stat.
I'm a surgeon.
Harmonic scalpel, DeBakey forceps,
two yankhauer suctions and vasopressin.
[MORGAN INHALES SHARPLY]
Marta.
Can you squeeze Noreen's hand?
Let's get you to the hospital.
You two, free beer for life.
[RUMBLING]
Aftershock.
We need to immobilize your leg. Cover your head.
[♪♪♪]
Right, get her out of here.
That was a big one.
Oh. Are you okay?
Yeah.
- Just a little... A little motion... - Oh!
I need oxygen here now!
[BOTH COUGHING]
You okay?
- What about our patient? - Vitals stable.
Shaun? You okay down there?
I am okay.
Except for the water.
Please hurry.
Please hurry!
[♪♪♪]
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