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1
00:00:11,011 --> 00:00:12,011
[GROANS]
2
00:00:14,715 --> 00:00:16,650
- What?
- It's time to wake up.
3
00:00:16,717 --> 00:00:20,779
- Mm-mm. It's still dark outside.
- I'd like to have sex.
4
00:00:22,322 --> 00:00:26,054
As romantically as that was put,
it's too early, Shaun.
5
00:00:27,928 --> 00:00:31,296
It's exactly early enough to have sex
6
00:00:31,365 --> 00:00:33,197
for the average duration it takes us,
7
00:00:33,300 --> 00:00:36,498
and still allow precisely enough time
to get ready for work.
8
00:00:38,305 --> 00:00:41,241
How long have you been up
figuring that out?
9
00:00:41,341 --> 00:00:45,005
Since 4:53,
but it only took two minutes.
10
00:00:47,214 --> 00:00:50,446
And you've been waiting since then
to propose this?
11
00:00:52,052 --> 00:00:54,419
I let you sleep as long as possible.
12
00:00:54,521 --> 00:00:55,521
[♪♪♪]
13
00:00:56,356 --> 00:00:57,356
That's...
14
00:00:58,091 --> 00:01:01,061
very considerate.
15
00:01:01,128 --> 00:01:02,460
Oh.
16
00:01:07,601 --> 00:01:08,694
[♪♪♪]
17
00:01:26,053 --> 00:01:27,578
Sorry I'm late.
18
00:01:27,654 --> 00:01:30,453
- I'm Dr. Shaun Murphy.
- Kayley has a sore throat.
19
00:01:30,557 --> 00:01:32,068
[IN RASPY VOICE]
More like this feeling
20
00:01:32,092 --> 00:01:33,570
like there's something stuck
in my throat,
21
00:01:33,594 --> 00:01:37,156
and I fainted a couple times,
which I first thought was just random,
22
00:01:37,264 --> 00:01:39,062
and obviously losing my voice.
23
00:01:39,132 --> 00:01:40,794
Since I've only just met you,
24
00:01:40,901 --> 00:01:43,632
I have no idea what your voice
normally sounds like.
25
00:01:43,737 --> 00:01:44,737
Not this.
26
00:01:45,105 --> 00:01:48,940
And sometimes when swallowing
I get a super intense pain, like...
27
00:01:49,676 --> 00:01:51,668
worse than an ice cream headache.
28
00:01:51,778 --> 00:01:54,646
My internist sent me
to an ear, nose and throat guy,
29
00:01:54,748 --> 00:01:57,013
an orthopedic surgeon, um,
30
00:01:57,117 --> 00:01:59,746
three gastroenterologists, uh,
31
00:01:59,820 --> 00:02:03,484
- voice issues specialist dude.
- An otolaryngologist.
32
00:02:05,592 --> 00:02:07,527
A neurosurgeon who thinks it might be
33
00:02:07,628 --> 00:02:10,462
a messed-up nerve
connecting the throat to the brain.
34
00:02:10,530 --> 00:02:13,022
The ninth cranial nerve,
glossopharyngeal neuralgia.
35
00:02:13,133 --> 00:02:16,467
- He recommended brain surgery.
- Microvascular decompression.
36
00:02:17,337 --> 00:02:20,796
Which a second neurosurgeon
said I don't need.
37
00:02:22,009 --> 00:02:24,103
You're not happy with the answers
you're getting
38
00:02:24,177 --> 00:02:26,942
from a bunch of recommended
specialists,
39
00:02:27,014 --> 00:02:28,505
so you came to the ER?
40
00:02:28,615 --> 00:02:30,550
I ran out of recommended specialists.
41
00:02:30,651 --> 00:02:34,986
Hmm. It is an intriguing combination
of symptoms.
42
00:02:35,122 --> 00:02:37,489
We'll admit you and run some tests.
43
00:02:38,425 --> 00:02:39,449
Uh, Dr. Murphy?
44
00:02:41,528 --> 00:02:42,621
You're...
45
00:02:43,864 --> 00:02:44,864
interesting.
46
00:02:45,132 --> 00:02:46,293
I have autism.
47
00:02:46,366 --> 00:02:47,231
[♪♪♪]
48
00:02:47,334 --> 00:02:48,334
That's so cool.
49
00:02:49,069 --> 00:02:52,528
I mean, no,
it's not cool that you are...
50
00:02:52,739 --> 00:02:54,469
Be more insensitive, Kayley.
51
00:02:54,541 --> 00:02:58,444
Um... It's cool that you're this...
52
00:02:58,512 --> 00:03:01,710
totally chill,
super knowledgeable medico.
53
00:03:03,950 --> 00:03:04,950
Compliments...
54
00:03:05,852 --> 00:03:07,047
are very awkward.
55
00:03:11,324 --> 00:03:13,589
Cute doctor who's going to cure me.
56
00:03:16,997 --> 00:03:21,059
Severe abdominal discomfort,
fever, tachy, hypotensive.
57
00:03:21,168 --> 00:03:22,168
[♪♪♪]
58
00:03:23,403 --> 00:03:26,066
- It's okay, sweetie.
- What's your name?
59
00:03:26,707 --> 00:03:27,707
ANN:
That's Marla.
60
00:03:28,508 --> 00:03:29,601
No one to leave her with.
61
00:03:30,243 --> 00:03:32,007
I'm going to take care
of your mommy.
62
00:03:32,479 --> 00:03:33,503
[GROANING]
63
00:03:33,580 --> 00:03:35,674
Abdomen tender and distended.
64
00:03:36,116 --> 00:03:37,116
Dehydrated.
65
00:03:38,351 --> 00:03:39,979
Delayed capillary refill.
66
00:03:40,520 --> 00:03:42,011
Rapid respiratory rate.
67
00:03:42,089 --> 00:03:44,490
Skin cool and bluish, looks cyanotic.
68
00:03:44,558 --> 00:03:47,187
- Going into shock.
- We need aggressive fluid resuscitation!
69
00:03:47,260 --> 00:03:48,571
Start broad spectrum antibiotics.
70
00:03:48,595 --> 00:03:50,273
Place an NG to decompress
distended abdomen.
71
00:03:50,297 --> 00:03:53,028
Trend her lactates
and initiate complete sepsis bundle.
72
00:03:53,100 --> 00:03:54,500
[MONITOR ALARM BEEPING]
73
00:03:55,035 --> 00:03:57,027
[♪♪♪]
74
00:04:07,414 --> 00:04:11,943
Her CBC, BMP, autoimmune panel,
nasal swab, and blood cultures,
75
00:04:12,119 --> 00:04:13,119
all normal.
76
00:04:13,954 --> 00:04:15,513
Oh. That's exciting.
77
00:04:16,022 --> 00:04:17,650
Negative tests are exciting?
78
00:04:17,758 --> 00:04:20,421
No one's been able to find out
what she has.
79
00:04:20,927 --> 00:04:24,523
I'm going to get brain FIESTA
and time-of-flight MRI
80
00:04:24,598 --> 00:04:27,830
to assess the cranial nerves
and vessels, and doppler ultrasound to...
81
00:04:28,101 --> 00:04:29,797
I have to get back to work.
82
00:04:30,303 --> 00:04:32,966
Our pre-dawn romantic interlude
made me late.
83
00:04:34,241 --> 00:04:36,904
Yes, there was a flaw
in my methodology.
84
00:04:37,277 --> 00:04:39,974
My calculation was based
on the mean duration
85
00:04:40,080 --> 00:04:41,412
of our sex overall,
86
00:04:41,481 --> 00:04:45,942
but generally we take statistically
significantly longer in the morning...
87
00:04:46,052 --> 00:04:48,044
than at other times of day.
88
00:04:48,121 --> 00:04:50,181
Well, maybe we can discuss
89
00:04:50,290 --> 00:04:52,953
this whole timing-our-sex thing
at lunchtime.
90
00:04:53,059 --> 00:04:55,290
Mm. No, thank you.
91
00:04:55,462 --> 00:04:57,431
I can't have lunch today.
92
00:04:58,365 --> 00:04:59,424
Too much to do.
93
00:05:02,202 --> 00:05:04,103
[POP MUSIC PLAYING
OVER SPEAKERS]
94
00:05:05,105 --> 00:05:06,198
Sorry, I'm late.
95
00:05:06,640 --> 00:05:08,575
I was going to cancel our lunch.
96
00:05:08,809 --> 00:05:09,809
Let me guess.
97
00:05:09,876 --> 00:05:12,004
A patient more interesting than me.
98
00:05:12,813 --> 00:05:13,813
Exactly.
99
00:05:14,014 --> 00:05:15,014
Yeah.
100
00:05:15,115 --> 00:05:17,516
She has a mysterious condition,
101
00:05:17,884 --> 00:05:20,877
but I realized I could use our lunch
to help understand it.
102
00:05:20,987 --> 00:05:22,979
- I ordered you a salad.
- Thank you.
103
00:05:29,396 --> 00:05:31,592
How do I get an ice cream headache?
104
00:05:32,032 --> 00:05:33,193
I've never had one.
105
00:05:33,300 --> 00:05:35,895
You don't want one.
Brain freeze is horrible.
106
00:05:36,336 --> 00:05:40,296
The scientific term
is sphenopalatine ganglioneuralgia.
107
00:05:40,407 --> 00:05:43,468
The trigeminal nerve reacts to rapid
temperature change in the mouth,
108
00:05:43,543 --> 00:05:44,620
sending a signal to the brain,
109
00:05:44,644 --> 00:05:47,239
which responds with changes
in blood flow and dural irritation,
110
00:05:47,347 --> 00:05:50,977
which combat what it perceives
as a dangerous noxious stimuli,
111
00:05:51,117 --> 00:05:52,813
but is just ice cream.
112
00:05:53,253 --> 00:05:54,846
I need to experience that.
113
00:05:55,722 --> 00:05:56,722
Okay.
114
00:05:57,023 --> 00:06:01,358
The technique I usually use
is eat way too much, way too fast.
115
00:06:06,867 --> 00:06:08,130
I'm quitting my job.
116
00:06:09,402 --> 00:06:11,667
The job you came back
from Hershey for?
117
00:06:11,738 --> 00:06:14,173
Don't tell Glassy,
he already thinks I'm a flake.
118
00:06:14,908 --> 00:06:18,140
You kicking me out
is just what I needed.
119
00:06:19,145 --> 00:06:20,636
I was in a complete rut.
120
00:06:20,747 --> 00:06:23,717
In my personal life, at work,
super stale.
121
00:06:23,783 --> 00:06:25,718
We weren't developing anything,
122
00:06:25,785 --> 00:06:27,913
just market-testing designs.
123
00:06:28,021 --> 00:06:30,252
Ow. Ow.
124
00:06:30,357 --> 00:06:32,189
Ow, ow.
125
00:06:32,259 --> 00:06:34,751
- That's awful! What's the cure?
- Time.
126
00:06:34,861 --> 00:06:36,591
- How much time?
- Depends.
127
00:06:38,298 --> 00:06:41,530
Do you think I should include my job
in Hershey on my resume?
128
00:06:41,601 --> 00:06:43,536
It hurts so much!
129
00:06:44,571 --> 00:06:47,700
Or does it make me look like
I'm not able to commit to anything?
130
00:06:47,774 --> 00:06:48,867
Ow!
131
00:06:50,877 --> 00:06:51,877
Okay.
132
00:06:53,413 --> 00:06:55,746
The ultrasound showed your colon
is distended.
133
00:06:55,815 --> 00:06:58,944
We've placed a rectal tube and an NG
to try and get that decompressed.
134
00:06:59,085 --> 00:07:01,816
- Mommy, can we go home?
- Not yet, sweetie.
135
00:07:01,955 --> 00:07:04,686
NEIL: It'd be helpful to find out
what could have triggered this.
136
00:07:04,758 --> 00:07:07,489
Any history of Crohn's
or ulcerative colitis?
137
00:07:07,594 --> 00:07:08,594
ANN:
No.
138
00:07:09,562 --> 00:07:10,723
I, um...
139
00:07:10,797 --> 00:07:12,891
I have had some UTIs lately.
140
00:07:12,966 --> 00:07:14,832
- That's likely not connected.
- Okay.
141
00:07:14,935 --> 00:07:17,734
Diverticulitis?
Any recent international travel?
142
00:07:17,804 --> 00:07:19,602
I have a 3-year-old and no husband.
143
00:07:19,706 --> 00:07:24,440
Okay, we're going to need to keep you
on IV antibiotics, monitor the distention.
144
00:07:24,511 --> 00:07:27,242
In the meantime, is there anyone
who can look after Marla?
145
00:07:27,647 --> 00:07:28,647
No one.
146
00:07:29,316 --> 00:07:32,309
My whole family's back East.
It's just us.
147
00:07:33,086 --> 00:07:35,817
I'll get a social worker
to look after her.
148
00:07:36,089 --> 00:07:37,089
Thank you.
149
00:07:43,096 --> 00:07:44,120
[♪♪♪]
150
00:07:44,230 --> 00:07:45,230
Go ahead, honey.
151
00:08:00,647 --> 00:08:02,513
Why is my mom upset?
152
00:08:06,019 --> 00:08:09,387
If her anterior inferior
cerebellar artery
153
00:08:09,489 --> 00:08:12,516
is encroaching on her glossopharyngeal
nerve, it's very minor.
154
00:08:12,625 --> 00:08:15,857
Certainly not enough to justify
microvascular decompression surgery.
155
00:08:15,962 --> 00:08:19,694
I agree. It could also be
acid reflux, temporal arteritis,
156
00:08:19,833 --> 00:08:22,769
laryngopharyngeal dysesthesia.
We need to...
157
00:08:22,836 --> 00:08:26,830
We need to do $50,000 of tests
and it might be acid reflux?
158
00:08:26,906 --> 00:08:29,000
Or temporal arteritis, or...
159
00:08:29,075 --> 00:08:31,840
It's a constellation
of relatively insignificant symptoms.
160
00:08:31,911 --> 00:08:34,904
Have you ever had
an ice cream headache, Dr. Andrews?
161
00:08:36,583 --> 00:08:40,714
Yes, I believe it didn't require
brain surgery, Dr. Murphy.
162
00:08:41,154 --> 00:08:44,556
As a compromise, we could do an MRI,
and CT her neck,
163
00:08:44,924 --> 00:08:46,893
- and a swallow study...
MORGAN: Shaun.
164
00:08:47,560 --> 00:08:49,529
You don't compromise with your boss.
165
00:08:50,530 --> 00:08:53,022
Start her on Dilantin for her pain
and send her home.
166
00:08:53,099 --> 00:08:55,091
[♪♪♪]
167
00:09:03,243 --> 00:09:04,506
Can't I leave her with you?
168
00:09:04,577 --> 00:09:06,341
I'm a receptionist,
not a social worker.
169
00:09:06,413 --> 00:09:07,904
And I'm a surgeon.
170
00:09:10,183 --> 00:09:11,583
I didn't mean I'm more important,
171
00:09:11,684 --> 00:09:14,381
I just meant we both have
more important things to do.
172
00:09:14,621 --> 00:09:16,032
When will the social worker be here?
173
00:09:16,056 --> 00:09:17,888
- Half an hour.
- Can you page her again?
174
00:09:17,957 --> 00:09:19,687
I want my momma.
175
00:09:20,627 --> 00:09:22,619
Why don't you play with the toys?
176
00:09:23,763 --> 00:09:25,925
Do you have her number?
I'll call her myself.
177
00:09:26,366 --> 00:09:28,426
I made Mommy sick.
178
00:09:29,869 --> 00:09:33,397
No, sweetie, it's not your fault,
sometimes people just get...
179
00:09:33,473 --> 00:09:35,704
Mommy drawk my poop.
180
00:09:35,775 --> 00:09:37,437
[♪♪♪]
181
00:09:37,544 --> 00:09:39,843
- Your mommy drew your poop?
- No.
182
00:09:39,913 --> 00:09:41,711
Drawk! Mommy drawk!
183
00:09:44,884 --> 00:09:46,944
- Drank?
- Yes.
184
00:09:47,053 --> 00:09:49,887
Mommy drawnk my poop.
185
00:09:54,861 --> 00:09:57,626
The good news is we've ruled out
glossopharyngeal neuralgia.
186
00:09:57,797 --> 00:09:59,095
You don't need brain surgery.
187
00:09:59,666 --> 00:10:01,464
Never good news without bad news.
188
00:10:01,568 --> 00:10:03,935
We've got a list of a few things
you don't have,
189
00:10:04,137 --> 00:10:05,628
but we don't know what you do have.
190
00:10:07,006 --> 00:10:09,771
- So you'll run more tests.
- We can't.
191
00:10:10,110 --> 00:10:13,012
There are 21 different things
this might be,
192
00:10:13,113 --> 00:10:15,981
but they don't want us
to run 37 more tests.
193
00:10:19,919 --> 00:10:24,448
Well, this is lame. I can afford
the tests, I make good money,
194
00:10:24,757 --> 00:10:26,919
I can't keep talking like this!
195
00:10:27,026 --> 00:10:28,026
I need a...
196
00:10:28,094 --> 00:10:29,153
[♪♪♪]
197
00:10:30,530 --> 00:10:32,294
[MONITOR ALARM BEEPING]
198
00:10:33,299 --> 00:10:35,325
She's hypotensive! Code stroke!
199
00:10:37,437 --> 00:10:39,201
We need stat brain CT and MRI.
200
00:10:39,305 --> 00:10:42,503
Call Angio, she may need
mechanical thrombectomy.
201
00:10:47,013 --> 00:10:50,347
Three cc's of two percent lidocaine.
202
00:11:10,570 --> 00:11:11,970
[MONITOR ALARM STOPS]
203
00:11:19,312 --> 00:11:20,541
Wow.
204
00:11:29,055 --> 00:11:31,024
I didn't drink it. I just...
205
00:11:31,691 --> 00:11:34,217
I just used her stool
to do a home fecal transfer.
206
00:11:34,327 --> 00:11:38,025
- And you didn't think to mention that?
- You said my UTIs were unrelated.
207
00:11:40,200 --> 00:11:41,964
They didn't get better
with antibiotics,
208
00:11:42,035 --> 00:11:43,970
so I did exactly
what I was supposed to do.
209
00:11:44,537 --> 00:11:47,530
The video swore
that it was completely safe.
210
00:11:47,840 --> 00:11:49,968
Make sure your friend
is completely healthy.
211
00:11:50,043 --> 00:11:51,978
I've had the best results with vegans.
212
00:11:52,045 --> 00:11:54,605
Though if it were between
an 18-year-old carnivore
213
00:11:54,714 --> 00:11:57,479
and a 60-year-old vegan,
well, don't make me choose.
214
00:11:57,550 --> 00:12:00,247
Now we're gonna
add the saline solution.
215
00:12:01,621 --> 00:12:04,785
Should be a one-to-one match,
more or less.
216
00:12:05,358 --> 00:12:06,358
Then...
217
00:12:07,026 --> 00:12:08,494
we're gonna puree...
218
00:12:08,561 --> 00:12:10,120
[BLENDER WHIRRING]
219
00:12:10,230 --> 00:12:12,290
puree, and then puree some more.
220
00:12:12,398 --> 00:12:13,627
While it's mixing...
221
00:12:15,268 --> 00:12:16,793
let's talk enema bags.
222
00:12:18,938 --> 00:12:21,806
Marla must have seen her
using the blender...
223
00:12:21,908 --> 00:12:24,377
- assumed she drank it.
- Yeah, that's the mystery.
224
00:12:24,444 --> 00:12:26,879
Not how anyone this stupid
is still alive.
225
00:12:26,946 --> 00:12:28,505
It's not completely irrational.
226
00:12:28,915 --> 00:12:32,613
The E. coli strain in drug-resistant UTIs
can hide out in the gut.
227
00:12:32,719 --> 00:12:35,553
Repopulating the colon microbiome
using FMT
228
00:12:35,622 --> 00:12:36,885
has shown some success.
229
00:12:37,123 --> 00:12:39,558
In a hospital, under controlled
and sterile conditions.
230
00:12:40,159 --> 00:12:41,422
Prep her for surgery.
231
00:12:41,527 --> 00:12:45,225
Between dilation and rigidity,
there may be colon perforation.
232
00:12:45,431 --> 00:12:48,833
And test Marla's stool for toxins
and infectious bacteria.
233
00:12:50,837 --> 00:12:54,672
She was suffering a mini-stroke
and I saved her.
234
00:12:54,774 --> 00:12:56,743
I saved her. I need to celebrate.
235
00:12:56,809 --> 00:12:57,364
Outside?
236
00:12:57,388 --> 00:12:59,938
I want to celebrate
by kissing you. A lot.
237
00:13:00,046 --> 00:13:02,277
Inside would be inappropriate.
238
00:13:03,816 --> 00:13:05,045
[GIGGLING]
239
00:13:05,118 --> 00:13:07,815
Eagle Syndrome is very rare.
240
00:13:07,920 --> 00:13:11,357
A longer-than-normal styloid bone
coming off the base of the skull.
241
00:13:11,457 --> 00:13:13,790
I only get a five-minute break.
242
00:13:14,494 --> 00:13:16,554
It impinged on her nerves,
243
00:13:16,629 --> 00:13:20,430
causing the confusing symptoms
that baffled eight expert doctors,
244
00:13:20,500 --> 00:13:22,435
and then when she turned
her head suddenly,
245
00:13:22,502 --> 00:13:25,131
it pinched her carotid,
causing her TIA.
246
00:13:26,172 --> 00:13:27,663
GIRL 1:
Yeah, it's him!
247
00:13:29,609 --> 00:13:30,872
[♪♪♪]
248
00:13:30,977 --> 00:13:32,206
It's Dr. Murphy!
249
00:13:35,181 --> 00:13:36,479
How do I know you?
250
00:13:36,582 --> 00:13:37,982
He is cute!
251
00:13:38,384 --> 00:13:39,784
Is that his girlfriend?
252
00:13:40,320 --> 00:13:41,320
Kayley's hotter.
253
00:13:41,354 --> 00:13:42,788
[CAMERA PHONES CLICKING]
254
00:13:45,692 --> 00:13:46,887
GIRL 2:
He's so cute.
255
00:13:52,532 --> 00:13:54,023
[LAUGHING]
256
00:13:55,668 --> 00:13:56,908
[IN NORMAL VOICE]
My personal...
257
00:13:57,503 --> 00:13:58,869
Chernobyl.
258
00:14:00,006 --> 00:14:02,305
Seriously... Guys... Oh, come on!
259
00:14:02,375 --> 00:14:04,901
A zone of exclusion
should be imposed around my kitchen.
260
00:14:06,646 --> 00:14:09,047
Millions of people have watched that?
261
00:14:09,148 --> 00:14:10,616
[IN RASPY VOICE]
As of 9 a.m.
262
00:14:11,050 --> 00:14:12,609
You're an influencer.
263
00:14:12,685 --> 00:14:15,655
And you posted how I saved you?
264
00:14:15,722 --> 00:14:18,021
But I take it I'm not yet,
you still have to operate.
265
00:14:18,324 --> 00:14:21,988
A normal styloid process
is 2.5 centimeters in length.
266
00:14:22,061 --> 00:14:24,053
Yours measures... Don't do that.
267
00:14:25,031 --> 00:14:27,057
There are two surgical options.
268
00:14:29,836 --> 00:14:31,737
Transoral, where we go in
through your mouth.
269
00:14:31,871 --> 00:14:34,272
It's non-invasive
but creates surgical challenges
270
00:14:34,374 --> 00:14:36,366
for physical and visual access.
271
00:14:36,442 --> 00:14:38,240
The alternative transcervical procedure
272
00:14:38,344 --> 00:14:42,042
involves an incision in your neck,
with none of those access issues,
273
00:14:42,148 --> 00:14:44,549
but with some
post-operative scarring.
274
00:14:44,650 --> 00:14:47,677
So one way is safer
but the other I'll look better?
275
00:14:47,754 --> 00:14:49,279
It's a pretty badass scar.
276
00:14:50,723 --> 00:14:52,749
Can I take a bit to decide which?
277
00:14:52,859 --> 00:14:53,859
Of course.
278
00:14:57,530 --> 00:14:59,795
You had no right to tell the world
about me.
279
00:15:00,233 --> 00:15:04,102
- It was flattering.
- Not everyone wants to be famous.
280
00:15:05,104 --> 00:15:06,970
If it's any consolation,
281
00:15:07,073 --> 00:15:09,474
you've had over 70 marriage proposals.
282
00:15:11,177 --> 00:15:12,236
It's not.
283
00:15:12,311 --> 00:15:14,303
[♪♪♪]
284
00:15:18,317 --> 00:15:21,378
Some of us are more comfortable
in the spotlight than others.
285
00:15:21,454 --> 00:15:22,945
I think you're great.
286
00:15:23,289 --> 00:15:24,313
Thanks.
287
00:15:29,395 --> 00:15:31,694
MARLA:
I don't have to poop.
288
00:15:32,331 --> 00:15:33,458
Be patient.
289
00:15:37,437 --> 00:15:39,702
MARLA:
I don't have to poop!
290
00:15:39,772 --> 00:15:43,573
Is there something your mom does
to help when you can't go?
291
00:15:43,643 --> 00:15:46,306
Sometimes she hold my hand.
292
00:15:47,146 --> 00:15:48,705
Would you like me to?
293
00:15:48,781 --> 00:15:50,306
MARLA:
You're not my mom.
294
00:15:50,416 --> 00:15:52,510
Well, just keep trying.
295
00:15:54,153 --> 00:15:55,712
[MARLA BLOWS RASPBERRY]
296
00:15:57,990 --> 00:16:00,653
Sweetie, we really need you to go.
297
00:16:01,527 --> 00:16:06,363
If you can't, there is another way
we can do this.
298
00:16:06,466 --> 00:16:07,365
MARLA:
How?
299
00:16:07,467 --> 00:16:09,629
CLAIRE:
Uh, it's not fun...
300
00:16:10,369 --> 00:16:11,496
for either of us.
301
00:16:13,739 --> 00:16:14,763
[CLAIRE SIGHS]
302
00:16:16,108 --> 00:16:19,010
NEIL: Isolate and divide
middle colic artery and vein.
303
00:16:19,879 --> 00:16:20,972
It's an epidemic.
304
00:16:21,180 --> 00:16:22,773
People taking online medical advice.
305
00:16:22,849 --> 00:16:24,784
CLAIRE:
It's not the problem, it's the symptom.
306
00:16:24,851 --> 00:16:27,343
Medical care's a financial stress
for lots of people.
307
00:16:27,453 --> 00:16:31,857
Not to mention physician arrogance,
incompetence, impatience.
308
00:16:32,024 --> 00:16:33,492
So it's our fault?
309
00:16:33,659 --> 00:16:38,154
NEIL: Resect and cut colon proximal and
distal to the perforation with GIA stapler.
310
00:16:38,498 --> 00:16:42,492
A friend of a friend self-diagnosed
her own Cushing's disease online
311
00:16:42,568 --> 00:16:45,766
after a series of doctors
barely listened to her,
312
00:16:45,838 --> 00:16:47,534
told her to get more rest.
313
00:16:48,274 --> 00:16:51,176
Guessing she didn't then perform
do-it-yourself brain surgery at home.
314
00:16:51,277 --> 00:16:52,277
[GROANS]
315
00:16:53,145 --> 00:16:54,374
Claire's right.
316
00:16:55,648 --> 00:16:57,344
I was supporting your point.
317
00:16:57,683 --> 00:16:58,912
She convinced me I was wrong.
318
00:16:59,685 --> 00:17:01,517
Divide mesentery with LigaSure.
319
00:17:03,689 --> 00:17:04,850
[MONITOR ALARM BEEPING]
320
00:17:04,924 --> 00:17:05,983
[♪♪♪]
321
00:17:07,527 --> 00:17:09,496
We have a bleed. It's major.
322
00:17:09,562 --> 00:17:12,396
Tension during mobilization
must have caused a splenic capsule tear.
323
00:17:12,498 --> 00:17:14,797
Need to do a splenectomy.
Cut connecting attachments.
324
00:17:18,404 --> 00:17:20,532
- Kidney.
- Diaphragm.
325
00:17:20,606 --> 00:17:22,484
Take the vascular pedicle
with a white load stapler.
326
00:17:22,508 --> 00:17:24,170
Do not get the tail of the pancreas.
327
00:17:27,213 --> 00:17:28,613
[MONITOR ALARM STOPS]
328
00:17:34,687 --> 00:17:35,848
CARLY:
Dr. Melendez?
329
00:17:35,922 --> 00:17:37,857
NEIL: Can this wait?
- I'm not sure.
330
00:17:37,924 --> 00:17:40,086
The fecal sample your team sent me,
331
00:17:40,693 --> 00:17:43,424
it might be normal,
but was it mislabeled?
332
00:17:43,529 --> 00:17:45,760
It seems to be from a
70-year-old.
333
00:17:46,365 --> 00:17:47,389
It's from a 3-year-old.
334
00:17:48,267 --> 00:17:52,602
SCFAs, elevated isobutyric
and isovaleric acid.
335
00:17:53,606 --> 00:17:56,474
She's at high risk
for serious cardiac problems.
336
00:18:18,297 --> 00:18:19,560
[INAUDIBLE DIALOGUE]
337
00:18:31,677 --> 00:18:34,374
Her social media posts have gone viral.
338
00:18:34,447 --> 00:18:38,248
I've got reporters clamoring to speak
to the twice-exceptional Dr. Murphy.
339
00:18:38,317 --> 00:18:40,183
Bad idea. Luckily he won't do it.
340
00:18:40,286 --> 00:18:42,005
He went off on Kayley
about his privacy.
341
00:18:42,029 --> 00:18:43,814
Publicity would be
good for the hospital.
342
00:18:43,923 --> 00:18:47,257
I'm sure Dr. Glassman
can make him see the wisdom of that.
343
00:18:47,326 --> 00:18:48,225
I'm with Andrews.
344
00:18:48,294 --> 00:18:49,974
It smacks of patting ourselves
on the back.
345
00:18:50,262 --> 00:18:52,094
MARCUS:
Could also come off as exploitative.
346
00:18:52,164 --> 00:18:54,827
But the bigger issue is
it could blow up in our face.
347
00:18:54,934 --> 00:18:57,062
Shaun's a complete communications
wild card.
348
00:18:57,136 --> 00:18:58,263
Who knows what he'll say
349
00:18:58,337 --> 00:19:00,966
about you, about me,
about being demoted, about screw-ups.
350
00:19:01,040 --> 00:19:03,407
- We'd coach him.
- Do we have six years
351
00:19:03,476 --> 00:19:04,910
before they need to go to press?
352
00:19:04,977 --> 00:19:07,537
I can go with him, manage the situation.
353
00:19:07,647 --> 00:19:08,671
AARON:
No, no, no.
354
00:19:09,715 --> 00:19:11,513
If we consider Shaun an asset,
355
00:19:11,617 --> 00:19:13,347
we shouldn't treat him like a liability.
356
00:19:15,454 --> 00:19:17,514
I'll talk to him. See what he says.
357
00:19:20,192 --> 00:19:23,128
You can see the proximity
of her elongated styloid
358
00:19:23,195 --> 00:19:24,663
to the nerves and carotid.
359
00:19:24,730 --> 00:19:26,494
The trick is to break off excess length
360
00:19:26,565 --> 00:19:28,693
without injury
to local neurovascular structures.
361
00:19:28,801 --> 00:19:30,997
Well, if done trans-cervically,
entry point is key.
362
00:19:31,070 --> 00:19:34,165
Minimizes risk of a marginal
mandibular nerve injury.
363
00:19:34,240 --> 00:19:36,641
- Has she made a decision?
SHAUN: Not yet.
364
00:19:37,843 --> 00:19:38,867
I'd like to lead.
365
00:19:39,211 --> 00:19:42,978
Being that it's a rare surgery, I may not
get another chance at it during residency.
366
00:19:43,049 --> 00:19:45,041
When I have the benefit
of supervision.
367
00:19:45,151 --> 00:19:47,211
And it wouldn't have anything to do with
368
00:19:47,286 --> 00:19:49,312
hoping Kayley might then
post about you?
369
00:19:49,388 --> 00:19:51,254
- Not at all.
- Undoubtedly, a little.
370
00:19:52,358 --> 00:19:53,951
Given the attention this has drawn,
371
00:19:54,026 --> 00:19:56,996
I think we should put our best,
most experienced choice forward.
372
00:19:57,697 --> 00:19:59,825
This is a teaching hospital...
373
00:20:00,366 --> 00:20:03,234
it's exactly the type of surgery
we'd give to a third year,
374
00:20:03,335 --> 00:20:05,964
the fact that she has
an online presence shouldn't be a factor.
375
00:20:06,038 --> 00:20:08,098
And yet here you are,
the chief of surgery,
376
00:20:08,207 --> 00:20:10,267
working a case you say
a third year can handle.
377
00:20:10,376 --> 00:20:12,004
It might reflect well on this place
378
00:20:12,078 --> 00:20:14,411
to have a young woman
be the face of Kayley's surgery.
379
00:20:14,680 --> 00:20:16,842
Assuming it goes well.
380
00:20:18,384 --> 00:20:20,182
Live by the Internet, die by the Internet.
381
00:20:22,021 --> 00:20:23,021
Still want to lead?
382
00:20:24,090 --> 00:20:25,090
Yes.
383
00:20:25,558 --> 00:20:26,423
It's yours.
384
00:20:26,525 --> 00:20:27,525
[♪♪♪]
385
00:21:29,121 --> 00:21:30,121
NEIL:
Ann?
386
00:21:31,457 --> 00:21:32,481
Ann.
387
00:21:39,665 --> 00:21:41,190
- Am I okay?
- You're fine.
388
00:21:42,001 --> 00:21:43,970
We had to wake you up earlier
than we'd like
389
00:21:44,069 --> 00:21:46,800
because we need to discuss
something with you. Do you understand?
390
00:21:46,872 --> 00:21:48,135
[♪♪♪]
391
00:21:48,207 --> 00:21:50,608
Your gut biome showed markers
for elevated cholesterol.
392
00:21:50,976 --> 00:21:53,468
Which you don't have.
Your daughter does.
393
00:21:55,281 --> 00:21:57,648
Marla has high cholesterol?
394
00:21:57,883 --> 00:22:00,284
She has a genetic condition,
hyperlipidemia.
395
00:22:00,352 --> 00:22:02,480
Coronary testing showed 90 percent
396
00:22:02,555 --> 00:22:05,491
narrowing of the left main artery
to her heart.
397
00:22:06,525 --> 00:22:09,586
I'm afraid your daughter needs
urgent heart surgery.
398
00:22:16,535 --> 00:22:18,470
I don't want to.
399
00:22:19,538 --> 00:22:20,471
Okay.
400
00:22:20,539 --> 00:22:22,906
I'll tell the reporters that,
but can...
401
00:22:23,909 --> 00:22:24,909
Can we talk about why?
402
00:22:25,010 --> 00:22:25,841
[COMPUTER BEEPS]
403
00:22:25,911 --> 00:22:27,470
Your computer just beeped.
404
00:22:27,546 --> 00:22:28,546
I know.
405
00:22:28,914 --> 00:22:32,373
I can think of a few reasons
why you might be reticent.
406
00:22:32,484 --> 00:22:33,564
- You're shy.
- No, I'm not.
407
00:22:33,652 --> 00:22:36,315
Well, you do have trouble
with social interactions,
408
00:22:36,388 --> 00:22:38,118
and you have trouble anticipating
409
00:22:38,190 --> 00:22:40,682
what people might ask
and how you might respond.
410
00:22:40,759 --> 00:22:44,355
Yes, that is a problem
when I'm meeting with a patient,
411
00:22:44,430 --> 00:22:47,366
or I'm at a job interview,
or I'm on a date.
412
00:22:47,433 --> 00:22:48,867
Then my answers matter.
413
00:22:49,001 --> 00:22:52,699
But if I'm talking to a reporter,
they don't matter. It beeped again.
414
00:22:52,771 --> 00:22:54,433
I know, we're digitizing.
415
00:22:54,540 --> 00:22:58,170
Every time a patient needs to take a drug,
we send a reminder.
416
00:22:58,244 --> 00:23:01,339
For some unknown reason
they keep sending me one too.
417
00:23:01,413 --> 00:23:02,938
I think stories do matter.
418
00:23:03,048 --> 00:23:06,280
I think what you do
and what you have done
419
00:23:06,385 --> 00:23:09,787
might be inspirational
for people to hear.
420
00:23:10,556 --> 00:23:12,184
- Okay.
- Okay, you'll do it?
421
00:23:12,258 --> 00:23:15,092
Okay, you've convinced me
I should be nervous.
422
00:23:15,194 --> 00:23:16,719
Now I have two reasons not to do it.
423
00:23:16,795 --> 00:23:18,957
- What's the other reason?
- I'm busy.
424
00:23:19,064 --> 00:23:22,398
Between doing my job and having sex,
I don't have a lot of free time.
425
00:23:23,602 --> 00:23:24,763
[COMPUTER BEEPS]
426
00:23:24,870 --> 00:23:26,395
You should hire Lea.
427
00:23:27,072 --> 00:23:28,267
- No.
- Yes.
428
00:23:28,374 --> 00:23:31,208
She's very good at tech,
429
00:23:31,277 --> 00:23:33,712
and isn't happy in her job right now.
430
00:23:33,779 --> 00:23:35,771
[♪♪♪]
431
00:23:36,482 --> 00:23:38,417
I'll tell you what, Shaun.
432
00:23:38,484 --> 00:23:41,079
You think about this,
you really think about
433
00:23:41,186 --> 00:23:44,281
how your story can benefit people,
434
00:23:44,590 --> 00:23:45,990
and I will...
435
00:23:48,127 --> 00:23:49,720
interview Lea.
436
00:23:50,729 --> 00:23:51,788
Excellent.
437
00:23:53,299 --> 00:23:54,927
I'll think about it.
438
00:23:55,434 --> 00:23:58,893
I'll really think about it.
439
00:23:58,971 --> 00:23:59,971
Okay.
440
00:24:04,009 --> 00:24:05,102
[COMPUTER BEEPS]
441
00:24:09,148 --> 00:24:10,616
Some people definitely thought
442
00:24:10,683 --> 00:24:12,777
I would look amazeballs rocking
a neck scar,
443
00:24:12,851 --> 00:24:15,343
but the consensus was
444
00:24:15,454 --> 00:24:17,446
there's only so many turtleneck days
in a year.
445
00:24:17,523 --> 00:24:20,083
So I'm going
with the no-scar approach.
446
00:24:21,026 --> 00:24:22,654
Which one did you vote for?
447
00:24:23,629 --> 00:24:26,428
Well, these are my people,
I mean, they know me,
448
00:24:26,498 --> 00:24:29,297
they know what's best for me
and my brand.
449
00:24:30,970 --> 00:24:34,668
- Wisdom of the crowd.
- My warrior goddess lead surgeon.
450
00:24:34,773 --> 00:24:35,832
[MARCUS CHUCKLES]
451
00:24:35,941 --> 00:24:37,307
We'll get you prepped.
452
00:24:39,278 --> 00:24:41,110
New blouse? It's nice.
453
00:24:42,114 --> 00:24:44,276
Dr. Murphy, do you have a minute?
454
00:24:50,956 --> 00:24:53,551
I really am sorry I upset you...
455
00:24:54,393 --> 00:24:55,986
and I really am grateful.
456
00:24:56,895 --> 00:24:58,022
Being sick was...
457
00:24:58,130 --> 00:24:59,894
You don't need to explain
458
00:24:59,999 --> 00:25:01,968
why you're grateful
we diagnosed your illness.
459
00:25:02,401 --> 00:25:03,401
Well, I do.
460
00:25:04,470 --> 00:25:06,530
You saved me and my career.
461
00:25:08,207 --> 00:25:11,575
At first, my followers
were into what I was going through,
462
00:25:11,677 --> 00:25:15,170
but after a while...
you just start being "the sick girl."
463
00:25:15,280 --> 00:25:18,512
You give up your privacy,
doesn't that bother you?
464
00:25:18,584 --> 00:25:20,314
I have nothing to hide.
465
00:25:20,652 --> 00:25:21,652
No one should.
466
00:25:23,022 --> 00:25:25,082
We should all just be who we are.
467
00:25:29,928 --> 00:25:31,658
We are...
468
00:25:33,565 --> 00:25:36,091
the decisions we make...
469
00:25:36,201 --> 00:25:37,201
[♪♪♪]
470
00:25:37,302 --> 00:25:40,204
and you let other people
make them for you.
471
00:25:42,207 --> 00:25:44,108
So you're not being anyone.
472
00:25:55,587 --> 00:25:58,557
You know how you and I
like to do things together?
473
00:25:58,624 --> 00:26:01,526
- We make clay mugs.
- That's right.
474
00:26:01,727 --> 00:26:03,355
Mommy was sick, and...
475
00:26:04,063 --> 00:26:05,554
she needed to be fixed...
476
00:26:05,964 --> 00:26:07,956
and you're sick too.
477
00:26:08,267 --> 00:26:10,759
- I don't feel sick.
- That's good.
478
00:26:11,270 --> 00:26:14,570
The doctors just want to make sure
everything's all better before you do.
479
00:26:14,773 --> 00:26:15,773
How?
480
00:26:15,841 --> 00:26:16,841
[♪♪♪]
481
00:26:16,909 --> 00:26:20,107
- They're gonna go inside you, and...
- How?
482
00:26:20,212 --> 00:26:22,545
- They're gonna make a little cut...
- No.
483
00:26:22,781 --> 00:26:24,613
- You're gonna be asleep...
- No.
484
00:26:24,716 --> 00:26:27,447
- Just like Mommy, I didn't feel anything.
- No! No!
485
00:26:27,553 --> 00:26:30,148
- I'll take good care of you.
- No! No!
486
00:26:30,255 --> 00:26:32,781
- Breathe, count to three.
- Sweetie, you have to be brave.
487
00:26:32,891 --> 00:26:33,984
No!
488
00:26:34,093 --> 00:26:35,093
[♪♪♪]
489
00:26:36,095 --> 00:26:37,095
Code blue!
490
00:26:38,464 --> 00:26:40,990
What's happening?
Please help my baby.
491
00:26:41,567 --> 00:26:43,126
CLAIRE:
She's had a heart attack!
492
00:26:43,936 --> 00:26:45,928
Marla! Marla!
493
00:26:47,473 --> 00:26:49,601
Marla! Baby, I'm right here.
494
00:26:50,375 --> 00:26:51,375
Marla!
495
00:26:55,447 --> 00:26:57,473
Oh, would you like my CV?
496
00:26:58,250 --> 00:26:59,250
No.
497
00:26:59,751 --> 00:27:02,687
I know you who you are.
I don't need to see a list.
498
00:27:04,990 --> 00:27:06,014
Where do I work?
499
00:27:08,327 --> 00:27:09,761
It's a tech company.
500
00:27:10,462 --> 00:27:13,091
- You were there.
- Cars. Something about cars.
501
00:27:13,932 --> 00:27:16,959
You have no interest in hiring me,
do you?
502
00:27:17,035 --> 00:27:19,630
- No. It's not personal.
- It's a little personal.
503
00:27:19,705 --> 00:27:22,834
I'm doing a favor for Shaun.
I don't really need anyone.
504
00:27:23,108 --> 00:27:24,770
Did he ask you to waste my time?
505
00:27:25,611 --> 00:27:26,840
You know, it's okay.
506
00:27:27,212 --> 00:27:30,114
I didn't really wanna work for you anyway.
You're a bit of a grouch.
507
00:27:30,182 --> 00:27:33,710
But make sure whoever does the job
shores up your firewall.
508
00:27:33,819 --> 00:27:37,847
- A kindergartner can hack it.
- Thank you, I'm sure we'll be fine.
509
00:27:38,657 --> 00:27:41,718
And you're right, you know,
we are not a good fit,
510
00:27:41,994 --> 00:27:44,486
and our mutual affection
for Shaun isn't enough
511
00:27:44,563 --> 00:27:46,429
to stop us from killing each other.
512
00:27:50,569 --> 00:27:53,038
Your Chronicle subscription
is about to expire
513
00:27:53,138 --> 00:27:55,016
because they don't have
your updated credit card,
514
00:27:55,040 --> 00:27:58,533
the coffee maker you ordered,
third new one in the last six months,
515
00:27:58,644 --> 00:28:00,704
will be delivered Tuesday,
516
00:28:00,812 --> 00:28:04,647
and you're deducting way too much
out of Debbie's check for FICA.
517
00:28:04,716 --> 00:28:06,742
Would you like to hear
your Google searches?
518
00:28:06,852 --> 00:28:07,945
[♪♪♪]
519
00:28:09,154 --> 00:28:10,349
Thank you.
520
00:28:14,993 --> 00:28:15,993
[COMPUTER BEEPS]
521
00:28:18,564 --> 00:28:19,896
Lea!
522
00:28:19,998 --> 00:28:21,193
[MONITOR BEEPING]
523
00:28:22,334 --> 00:28:25,498
Severe proximal LAD disease
with mid-total occlusion.
524
00:28:25,737 --> 00:28:27,831
Angioplasty won't resolve
that stenosis.
525
00:28:27,906 --> 00:28:29,898
High risk of rupture
in someone this young.
526
00:28:30,509 --> 00:28:31,704
A stent?
527
00:28:31,777 --> 00:28:34,212
Won't be enough
effective vascularization.
528
00:28:34,279 --> 00:28:37,374
She needs a left IMA
to LAD anastomosis.
529
00:28:38,517 --> 00:28:41,385
I've never done a coronary bypass
on a 3-year-old.
530
00:28:41,486 --> 00:28:42,510
Neither have I.
531
00:28:43,488 --> 00:28:46,083
Guess it was right to put
her daughter's poop up her tush.
532
00:28:46,191 --> 00:28:47,682
Cost her a chunk of her colon.
533
00:28:47,759 --> 00:28:49,853
- Saved her daughter's life.
- Lucky coincidence.
534
00:28:49,995 --> 00:28:52,123
I'm sure the mother
doesn't regret a thing.
535
00:28:52,231 --> 00:28:54,723
At least she shouldn't. I'm with Claire.
536
00:28:54,800 --> 00:28:55,800
[♪♪♪]
537
00:29:07,112 --> 00:29:09,308
Do you have time for lunch?
538
00:29:09,915 --> 00:29:12,783
- And by lunch you mean?
- Lunch.
539
00:29:13,619 --> 00:29:15,144
I need advice.
540
00:29:16,421 --> 00:29:20,017
I need to really think
about something.
541
00:29:20,459 --> 00:29:23,429
Oh. Then yes, of course.
542
00:29:23,528 --> 00:29:25,121
It could be patronizing,
543
00:29:25,564 --> 00:29:27,465
being put up as some kind of
544
00:29:27,566 --> 00:29:29,398
feel-good human-interest story,
545
00:29:29,835 --> 00:29:31,929
or objectified and glorified
546
00:29:32,037 --> 00:29:34,268
as some kind of a symbol
for people who are different.
547
00:29:35,073 --> 00:29:38,237
But I also know that when I told
my sister your story,
548
00:29:38,677 --> 00:29:39,677
she cried.
549
00:29:40,345 --> 00:29:43,941
- She was sad?
- No, she was inspired.
550
00:29:45,350 --> 00:29:46,350
[♪♪♪]
551
00:29:48,086 --> 00:29:52,922
I don't know what your advice
is telling me.
552
00:29:52,991 --> 00:29:55,688
I don't know what you think
I'm supposed to do.
553
00:29:55,794 --> 00:29:58,855
Shaun, you aren't supposed
to do anything.
554
00:29:58,964 --> 00:30:01,092
Except what you believe is right.
555
00:30:03,068 --> 00:30:04,502
Oh.
556
00:30:04,603 --> 00:30:05,696
Thank you.
557
00:30:07,306 --> 00:30:09,639
Now I'm going to go see
what Lea thinks.
558
00:30:11,476 --> 00:30:14,002
- I thought you had a surgery.
- I'm just going upstairs.
559
00:30:14,112 --> 00:30:16,308
Lea's meeting with Dr. Glassman
about a job.
560
00:30:16,615 --> 00:30:17,981
- A job here?
- Yes.
561
00:30:18,583 --> 00:30:20,518
Lea told me at lunch yesterday
562
00:30:20,619 --> 00:30:22,520
that she was looking
for different work so...
563
00:30:22,621 --> 00:30:26,319
Wait, you had lunch with Lea yesterday
and you kept it from me?
564
00:30:32,397 --> 00:30:35,367
I didn't keep it from you.
565
00:30:35,467 --> 00:30:39,666
There was no reason to mention it
until just now, when I did.
566
00:30:40,405 --> 00:30:41,532
Shaun...
567
00:30:42,874 --> 00:30:47,642
you know how I feel about how Lea
hovers over our relationship and...
568
00:30:48,847 --> 00:30:51,043
you're just sneaking around with her?
569
00:30:51,149 --> 00:30:55,348
Arranging for her to work here,
where she'll just loom all the more.
570
00:30:56,421 --> 00:30:59,323
She won't be looming or hovering.
571
00:30:59,391 --> 00:31:01,622
She'll be on a whole other floor.
572
00:31:01,993 --> 00:31:03,985
Yeah, where you can go
and get her two cents
573
00:31:04,062 --> 00:31:06,725
whenever the advice given
by your actual girlfriend
574
00:31:06,832 --> 00:31:08,198
is deemed insufficient.
575
00:31:10,902 --> 00:31:11,902
Yes.
576
00:31:16,541 --> 00:31:17,736
[SIGHS]
577
00:31:21,413 --> 00:31:22,437
[DOOR OPENS]
578
00:31:28,787 --> 00:31:29,787
Hey.
579
00:31:32,057 --> 00:31:35,585
- What are you doing?
- Fresh air. You?
580
00:31:38,964 --> 00:31:40,694
[CARLY SIGHS]
581
00:31:40,766 --> 00:31:43,668
Shaun lied to me
about having lunch with Lea.
582
00:31:45,871 --> 00:31:46,871
No, he didn't.
583
00:31:48,306 --> 00:31:50,298
Shaun is incapable of deceit.
584
00:31:50,409 --> 00:31:52,935
He must have genuinely thought
that you wouldn't mind.
585
00:31:53,211 --> 00:31:56,409
Well, then, he's completely tone-deaf
and insensitive,
586
00:31:56,481 --> 00:31:58,780
which are not better qualities
in a boyfriend.
587
00:31:59,317 --> 00:32:01,548
True, but not exactly unanticipated
588
00:32:01,686 --> 00:32:03,484
when you get into a relationship
with Shaun.
589
00:32:06,458 --> 00:32:09,951
And it's never really about the lie,
it's what's underneath.
590
00:32:10,562 --> 00:32:13,760
- You're jealous of Lea.
- I am not jealous.
591
00:32:13,832 --> 00:32:15,824
- I am concerned...
- You don't need to justify.
592
00:32:15,934 --> 00:32:17,562
I'm on team jealousy.
593
00:32:17,636 --> 00:32:20,629
It's flattering, stimulating,
594
00:32:20,739 --> 00:32:22,435
it means you're committed
and you care.
595
00:32:22,507 --> 00:32:25,841
It's ugly and reflects underlying
trust issues that I don't want to...
596
00:32:25,944 --> 00:32:29,506
Yeah, yeah. Like all things,
a little is good and a lot will kill you.
597
00:32:30,148 --> 00:32:31,343
My advice...
598
00:32:31,850 --> 00:32:36,083
admit you're jealous,
give in to it, and then get over it.
599
00:32:43,495 --> 00:32:44,656
MORGAN:
Finding the styloid
600
00:32:44,763 --> 00:32:47,631
via digital palpitation
of the tonsillar fossa.
601
00:32:48,867 --> 00:32:49,960
There.
602
00:32:52,237 --> 00:32:56,538
Making incision vertically
along the mucosa of mandible.
603
00:32:58,643 --> 00:32:59,643
Next?
604
00:33:00,178 --> 00:33:02,841
I will free the styloid process
from its...
605
00:33:03,615 --> 00:33:07,382
muscle and ligament attachments.
606
00:33:08,320 --> 00:33:09,320
Done.
607
00:33:12,324 --> 00:33:15,886
Dissecting away
from the internal carotid medially...
608
00:33:17,162 --> 00:33:20,189
and external, laterally.
609
00:33:20,298 --> 00:33:22,961
Now, fracture and excise the styloid.
610
00:33:28,573 --> 00:33:29,802
[MONITOR ALARM BEEPING]
611
00:33:29,875 --> 00:33:31,537
SHAUN: Bradycardia.
MARCUS: Hypotensive.
612
00:33:31,643 --> 00:33:33,544
AUDREY: Loss of EEG waveform.
Cerebral ischemia.
613
00:33:33,645 --> 00:33:35,122
MARCUS: May have injured the carotid.
614
00:33:35,146 --> 00:33:36,891
- Or compressed it by
fracturing the styloid.
615
00:33:36,915 --> 00:33:38,884
See if the fragment is impinging
on the vessel.
616
00:33:38,950 --> 00:33:40,077
Dr. Murphy, extend her head.
617
00:33:48,560 --> 00:33:50,722
MORGAN:
Yes! Found it, easing it away.
618
00:33:52,831 --> 00:33:54,060
[MONITOR ALARM STOPS]
619
00:33:55,934 --> 00:33:57,197
Carotid decompressed.
620
00:33:57,302 --> 00:33:58,429
[♪♪♪]
621
00:33:58,537 --> 00:34:00,836
EEG back to baseline normal.
622
00:34:07,579 --> 00:34:09,514
Resuming styloid extraction.
623
00:34:22,427 --> 00:34:24,328
Kayley's in ICU, stable,
624
00:34:24,429 --> 00:34:26,898
CT shows no signs
of any permanent damage.
625
00:34:27,032 --> 00:34:29,729
No reason to anticipate
any future problems.
626
00:34:29,834 --> 00:34:33,134
So the question is,
what do we tell her?
627
00:34:33,872 --> 00:34:36,103
That the surgery was a success.
628
00:34:36,207 --> 00:34:38,108
She had cerebral ischemia
on the table.
629
00:34:38,209 --> 00:34:40,474
That did no damage,
and there's no evidence of.
630
00:34:40,579 --> 00:34:42,639
Hospital policy is transparency.
631
00:34:42,747 --> 00:34:45,740
We don't tell them what music
we played, what we talked about,
632
00:34:45,850 --> 00:34:48,786
this isn't relevant to the outcome
or to her prognosis.
633
00:34:48,887 --> 00:34:51,098
Would you be taking the same position
if Kayley wasn't someone
634
00:34:51,122 --> 00:34:53,591
- whose criticism could go viral?
MARCUS: I don't know,
635
00:34:53,658 --> 00:34:56,218
but it would be delusional
to think it's not relevant.
636
00:34:57,095 --> 00:34:59,724
Dr. Reznick, any thoughts?
637
00:35:00,966 --> 00:35:03,458
I don't think I can fairly offer
an opinion,
638
00:35:03,568 --> 00:35:05,764
because my career
could hang in the balance.
639
00:35:06,104 --> 00:35:08,369
None of us are disinterested parties,
640
00:35:08,440 --> 00:35:11,569
given that the hospital's reputation
is also at stake.
641
00:35:11,910 --> 00:35:13,071
Did you screw up?
642
00:35:13,445 --> 00:35:15,175
Could that crisis have been avoided?
643
00:35:18,083 --> 00:35:21,986
If it could have been,
then we are all responsible.
644
00:35:22,287 --> 00:35:24,085
We were watching everything
she was doing,
645
00:35:24,189 --> 00:35:26,124
and none of us told her to stop.
646
00:35:27,792 --> 00:35:29,420
This is an easy call.
647
00:35:29,628 --> 00:35:31,893
There is only one reason
to tell her everything,
648
00:35:31,963 --> 00:35:34,023
and that's you might feel guilty
if you don't,
649
00:35:34,132 --> 00:35:36,966
and there's the future of this hospital.
650
00:35:46,711 --> 00:35:47,711
Okay.
651
00:35:49,347 --> 00:35:53,785
Now, Shaun, if the patient
asks for details about the surgery,
652
00:35:53,852 --> 00:35:55,718
can you limit your answers?
653
00:35:58,456 --> 00:36:00,652
I don't know.
654
00:36:01,860 --> 00:36:04,227
- Okay, we need to know if...
- No.
655
00:36:04,796 --> 00:36:08,289
Dr. Murphy,
I hope you'll limit your answers...
656
00:36:08,366 --> 00:36:10,494
but I won't order you
to defy your conscience.
657
00:36:16,374 --> 00:36:18,366
[FOOTSTEPS APPROACHING]
658
00:36:21,479 --> 00:36:25,382
We don't normally
have patients share rooms, but...
659
00:36:25,583 --> 00:36:26,642
She's...
660
00:36:26,718 --> 00:36:29,187
- Going to be completely fine.
- When she's recuperated,
661
00:36:29,254 --> 00:36:32,713
we'll begin her on statins, Ezetimibe,
and she'll undergo lipid apheresis.
662
00:36:33,391 --> 00:36:34,723
Kind of like dialysis,
663
00:36:34,826 --> 00:36:37,955
but it'll allow us to extract LDL
out of her blood.
664
00:36:38,029 --> 00:36:40,157
Should get her cholesterol
to within normal range.
665
00:36:40,231 --> 00:36:41,597
[♪♪♪]
666
00:36:41,700 --> 00:36:45,398
She'll need drugs
and that other stuff the rest of her life?
667
00:36:45,503 --> 00:36:48,701
Yes, but, hopefully a very long one.
668
00:36:53,078 --> 00:36:54,478
Thank you so much.
669
00:36:55,613 --> 00:36:57,411
Thank God I did what I did.
670
00:37:13,098 --> 00:37:14,999
KAYLEY:
Everything went great?
671
00:37:16,134 --> 00:37:18,228
Repair was successful,
you should have no issues...
672
00:37:18,303 --> 00:37:21,273
KAYLEY: Everything went great!
Say it. Say it to your fans.
673
00:37:22,707 --> 00:37:24,073
Everything went great.
674
00:37:24,876 --> 00:37:26,606
KAYLEY:
You rocked it!
675
00:37:26,711 --> 00:37:29,237
You'll be with us another few days, then...
676
00:37:29,314 --> 00:37:30,577
KAYLEY:
She rocked it, right?
677
00:37:31,583 --> 00:37:34,712
She was lead surgeon
in a successful...
678
00:37:34,786 --> 00:37:39,451
KAYLEY: And how gorgeous is that hair?
Dr. Morgan Reznick, take a bow.
679
00:37:42,727 --> 00:37:46,721
She was wrist deep all up
in my mouth, y'all. She's a damn hero.
680
00:37:46,798 --> 00:37:47,891
[KAYLEY LAUGHS]
681
00:37:49,768 --> 00:37:52,328
- You've got work to do.
- We're proud of you.
682
00:37:55,573 --> 00:37:57,303
Any reason you screwed up?
683
00:37:57,408 --> 00:37:59,741
I didn't,
it could have happened to anyone.
684
00:37:59,811 --> 00:38:02,246
Not anyone suffers
from arthritic pain.
685
00:38:02,313 --> 00:38:06,444
- That didn't affect anything.
- You sure about that? Because I'm not.
686
00:38:23,301 --> 00:38:24,860
Did you speak to Lea?
687
00:38:25,270 --> 00:38:26,294
Yes.
688
00:38:28,273 --> 00:38:29,297
[♪♪♪]
689
00:38:30,308 --> 00:38:32,300
I know she's a good friend...
690
00:38:33,378 --> 00:38:34,937
and it would be unfair
691
00:38:35,079 --> 00:38:37,605
to expect you
to cut her out of your life...
692
00:38:38,216 --> 00:38:43,018
but you going to ask her opinion
right after I had given mine,
693
00:38:43,121 --> 00:38:46,114
it just called up Wyoming
all over again.
694
00:38:47,125 --> 00:38:49,856
That you preferred Lea to me.
695
00:38:54,532 --> 00:38:55,625
I was jealous...
696
00:38:57,869 --> 00:39:00,498
and that's something
that I have to work out.
697
00:39:03,408 --> 00:39:07,709
For the two of us to work out.
Together.
698
00:39:19,123 --> 00:39:20,716
What was Lea's advice?
699
00:39:22,827 --> 00:39:26,821
That it'd be selfish
not to share my story with the world.
700
00:39:30,235 --> 00:39:31,897
I liked your advice better.
701
00:39:42,180 --> 00:39:43,341
[KNOCKING ON DOOR]
702
00:39:44,415 --> 00:39:45,415
Hey.
703
00:39:46,951 --> 00:39:48,044
Uh-oh.
704
00:39:49,254 --> 00:39:50,415
Actually, yeah.
705
00:39:51,356 --> 00:39:53,552
There's something awkward
we need to talk about.
706
00:39:54,859 --> 00:39:55,952
You and Claire.
707
00:39:58,897 --> 00:40:00,388
You can reopen the door.
708
00:40:01,799 --> 00:40:04,701
There's nothing remotely improper
going on.
709
00:40:06,905 --> 00:40:10,273
I received an anonymous
favoritism complaint.
710
00:40:11,109 --> 00:40:12,441
We need to deal with it.
711
00:40:20,084 --> 00:40:23,714
I don't want to talk to reporters.
712
00:40:24,622 --> 00:40:25,622
I know.
713
00:40:26,557 --> 00:40:27,557
So...
714
00:40:28,693 --> 00:40:30,252
if I talked to reporters,
715
00:40:30,395 --> 00:40:33,229
it wouldn't be honest
to who I really am.
716
00:40:34,132 --> 00:40:35,725
Well, sometimes, Shaun...
717
00:40:36,768 --> 00:40:39,704
people present
a different version of themselves
718
00:40:39,771 --> 00:40:42,900
depending upon the circumstances.
Like, I'm not always...
719
00:40:42,974 --> 00:40:44,840
the same here as I am at home.
720
00:40:44,943 --> 00:40:45,967
I don't.
721
00:40:46,077 --> 00:40:46,908
[♪♪♪]
722
00:40:46,978 --> 00:40:47,978
No, you don't.
723
00:40:49,747 --> 00:40:52,273
I considered all the arguments.
724
00:40:56,154 --> 00:40:57,452
I want to be known...
725
00:40:58,423 --> 00:41:00,415
as a good doctor.
726
00:41:01,259 --> 00:41:03,160
Not a good autistic doctor.
727
00:41:15,640 --> 00:41:17,632
[♪♪♪]
54548
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