All language subtitles for The Good Doctor s07e08 The Overview Effect.eng

Did he finish his...

What are you doing?

Steve has little vocalization,
is fixated on ceiling fans,

and makes eye contact
less than 10%.

He's a baby.

And as his daycare noted,

he is not upset
when his parents leave.

He's a happy baby.
That's not a symptom.

Autistic children
often demonstrate

less attachment
to significant...

Shaun, you know a six-month-old

cannot be diagnosed
with autism.

Not definitively, but it is
important to look for signs.

Which may not appear
for another 18 months.

I would still like to consult
a pediatric neurologist.

No. No matter what they say,

you'll still be
looking for signs,

you'll still be trying to
find out what's wrong with him.

Not wrong. Just different.

You're right. I'm sorry.

It's just...

I don't want to be
evaluating him

every time he smiles
or he looks at a ceiling fan.

I just want to enjoy the magic

of watching our baby
experience the world.

Ignoring the possibility
may help you feel better,

but it will not help Steve.

I have to go to work. Goodbye.

Can you grab more diapers
on the way home tonight?

And salsa for Taco Tuesday.

-Chunky, not the smooth kind.
-Yep.

And can you skip your workout
tomorrow morning?

It's leg day.

We need to be
at the courthouse at 8:00 a.m.

Courthouse?

To get married.

Our attorney says
a marriage license

will expedite
the adoption process.

We can carpool.

I don't want to get married
as an item on your to-do list.

Actually,
it's on our need-to-do list.

Okay, this is more than
an administrative appointment.

It needs music, flowers,
romance, something... special.

I'll get you a boutonniere
and a harmonica.

The other stuff
we don't have time for.

Then we should make time.

Just like I'm making time
for leg day.

Did he swallow anything?

No.

He... He has asthma,
but his inhaler's not helping.

Get a suprasternal view.

Holy cow, he has a third arm.

That's his aburo.

His "little brother."

-You speak Yoruba?
-My father's Nigerian.

I only speak six words.
Seven counting aburo.

They say his little arm is
all that's left of his ibeji.

His twin.

Eight.

He's too constricted
to intubate.

Okay, bag mask ventilate.
He needs a tracheostomy, stat!

Mason Landover, 41.

Severe neck, back,
and extremity pain.

I'm gonna feel for
tenderness along your spine.

Anything that could be
causing this pain?

Well, I just spent eight months

on the
International Space Station.

Whoa. Like, space space?

Yeah, I'm a botanist.

Studying the effects
of zero gravity on soybeans.

Selected from
hundreds of others for the job.

That could
explain the pain.

Returning to Earth's gravity
puts enormous stress on the joints.

It was worth it.

He can barely walk.

And he's had a bunch
of other health problems since coming back.

Palpate arms and legs for pain.

Low gravity
decreases bone mass.

We should do a DEXA scan
to assess how much he's lost.

Oh!

- Oh, my God.
- I'm so sorry.

Skip the bone scan.
Let's head right to the OR.

Tracheostomy tube.

And the bronchoscope
is in.

Let's find out what's causing
his breathing problems.

Have either of you
seen a third arm before in person?

I have seen
a third thumb,

a third kidney,
and a third nipple.

Must be tough
for the kid, living with that.

Not if he learns
to embrace his differences.

Do you think we should
get Steve tested for ASD?

Attempting
a diagnosis at Steve's age

will likely lead
to a misdiagnosis,

and then you'll likely
be disappointed

if you discover that your child
is just typical.

Approaching
bifurcation.

There it is.

Constriction coming from
outside the trachea.

Something very strange

is going on
inside Tayo's chest.

Hey.

So, your recovery is going
very nicely.

We can discharge you now.

Oh. Cool.

What's next for you?

Like?

Like? Like, where are
you gonna be living?

What are you gonna do
for money?

Do you have any friends
out there that can help you?

I'll be okay.

Uh, I just need something
for the pain.

I can give you Tylenol.

No, that's not gonna be enough.

Hannah, you just had
a very successful surgery.

Your neuro exam
is completely normal now.

You don't need
anything stronger.

Yes, I do. I do.

You just want the oxy?

Yeah, because I'm in pain.

Because you're an addict.

Thank you for everything.

Hold on. Hold on, Hannah.
Hold on a second.

I'm just trying to help here.

Are you hungry?

I could eat.

Great.

I-I can't believe
I broke his arm.

Not your fault.

He must have lost
a lot of bone mass in space.

Do you and Morgan
still need me to watch Eden tomorrow morning

while you get married?

No.
Because we're not getting married tomorrow morning.

You can place the last screw.

I don't know much
about weddings,

but it seems like agreeing on
a date is a prerequisite.

He's in V-tach
and hypotensive.

Push lidocaine.

He's coding.
Defibrillator pads.

150. Clear.

Charge to 200.

Clear.

Normal sinus rhythm.

Did I almost kill him?

No.

But we need to figure out
what almost did.

Tayo doesn't have asthma.

Because of his third arm,

he has an unusually large
blood vessel

compressing his trachea
and constricting his air flow.

We placed a tracheal stent
to relieve the pressure,

but that is a temporary fix.

We can't remove the vessel

because that supplies blood
to both left-side arms.

But we can't leave it as it is

because he can't
breathe properly.

We need to remove
one of his arms.

A blood-flow test will--

We talked about this.
His big arm should go.

We talked. We never agreed.

I want to remove
the little arm.

The big arm can't hold a pencil
or squeeze a hand or--

The little arm
is not much better.

He doesn't want to lose
his little brother.

Without his big arm,

do you know how odd
he will look?

Okay. Stop talking.

We need to do
a Doppler ultrasound

to test the blood flow.

That is how we will choose.

The echo showed he has
a dilated heart chamber.

It's causing arrhythmias.

We'll have to implant
a defibrillator.

Is this
from being in space, too?

Most likely.

In zero gravity, the heart
can weaken significantly.

Ana, I'm gonna be fine.

They warned me
my body would change.

Not just your body.

Let's talk about this later.

Mason's been
a totally different person

since his return.

I think something's off
with him mentally.

What's off about wanting
more time with you?

More time with me means I give up
a dream fellowship in Buenos Aires,

so we can both stay here and take care
of the children you now suddenly want?

Being up there made me realize
what's important.

Putting down roots,
starting a family.

So, give me a brain scan.

Show her this isn't
just some tumor talking.

We need a medical reason.

Marital disputes don't count.

Right now we need to implant
the defibrillator.

So, what's your sport?

Your jacket. It's yours, right?

Oh! Um, yeah. Uh, track.

Ah.

Four-by. I ran anchor.

What's your PR in the hundred?

12.2.

12.2? That's like
scholarship speed.

UC Davis
offered me a full ride.

Huh.

It meant having to live
in Davis.

Are you a big fan of track
or something?

I used to be.

What about your folks?
They live around here?

You ask
a lot of questions.

Okay, well, let me see if I can
answer some of them.

You're living on the street.

You're panhandling
or, worse, stealing,

and you have absolutely no one
who can help you.

Well, I live
in an '04 Dodge Neon

with a really sweet
rear spoiler.

I have a job at Goodwill,
part-time.

And I probably have
more friends than you do.

You're probably
right about that.

What about recovery?

I have it under control.

Well, you have to go to rehab.
You know that, right?

I tried quitting.
It didn't work for me.

Because you need rehab.

You can't do this alone.
No one can do this...

No... No one should have to
do this on their own.

Thanks for the pancakes.

Whatever you thought was gonna happen,
it's not happening.

Sorry, what...

What the hell does that mean?

Wow, okay.

My daughter died
of an overdose, okay?

She thought
she had it under control.

So, you know...

Her PR was 12.8, by the way.

-I'm sorry.
-Yeah.

My number's on that card.

If you need a meal...

reach out.

What the hell
are you doing?

I'm proposing,
you idiot.

Alex Park, will you marry me?

You wanted music.

I wanted sincerity,

not the song that ruined
Moulin Rouge! for me.

Just say yes already.

You sure know how to make
a girl feel special.

This will show which arm
has better blood flow.

That will help decide
which one to amputate.

Are you feeling sad, Tayo?

Because you are losing an arm?

Dr. Murphy and I
have a condition

that sometimes makes it hard
for us to understand

what other people are feeling.

Can you tell us
why you're feeling sad?

My parents.

They fight a lot about my arm.

What school I should go to.
Who I should play with.

I make them unhappy.

When parents fight
about their child,

it's their fault,

not the child's.

Does it say which one
to cut off?

Not yet.

Which one would you choose?

It doesn't matter.

No matter what I say,
my parents will be upset.

I know. I know.

Okay, but a doctor is
just gonna want to run tests,

then they refer you to
another doctor for more tests,

and we can't afford that.

He needs help, Ethan,
and we have no idea--

No, what he needs
is discipline.

I don't need tests
to tell me that.

Entering the right
cardiac ventricle.

Leads placed.

Remove the sheaths and
connect the defibrillator leads.

Doesn't seem like a crazy ask,

wanting your wife
to bend a bit.

But if they love each other,
they'll compromise.

Fluoro looks good.

Tough to compromise
when one party is reasonable

and the other just isn't.

Like when one party

does an amazing,
romantic public proposal,

and the other one
just leaves them hanging?

It wasn't romantic.

It was transactional
and manipulative,

and I'm proud I didn't give in.

You're
a modern-day Gandhi.

This is
decerebrate posturing.

Something's jacking up
his intracranial pressure.

Push 75 grams mannitol.

Pupils non-reactive.

Pushing.

He's stabilizing.

This has nothing
to do with his heart.

Looks like he's getting
his brain scan after all.

Okay, we're done.

Doctor can I just lie here
for a second?

-You all right?
-Yeah, yeah.

It's just... it's ironic.

I was remembering...

looking at the most precious
thing in the universe

and realizing exactly what
I had to do with my life...

Get back to Ana.

Turns out the thing I thought
would bring us closer together

is actually the thing
that may break us up.

Uh, did you figure out
what's wrong with my head?

You have hydrocephalus...

excess fluid
compressing your brain.

A delayed reaction
to being in space.

We have to install
a shunt to drain it

before it damages your brain.

The blood flow
is 8% better in the little arm.

So we should amputate
the big arm.

Should have done this
years ago.

For only 8%?

If you are going to
keep arguing,

we should move to
where Tayo can't see you.

He thinks he makes you unhappy.

And that makes him sad.

He said this to you?

Yes.

Can we remove the big arm?

Yes.

I will schedule
the surgery for tomorrow.

Could the hydrocephalus
explain his personality change?

No. Based on
his post-landing test,

hydrocephalus
is a recent issue.

You know the Overview Effect...

what many astronauts experience
when they see Earth from space?

Is that a medical condition?

No, but it is a real phenomenon

that can change
their priorities,

the way they want to live
their lives.

And it can be wonderful.

Assuming they want
their life to change.

I don't.

We had a great thing.

Mason pursued his research,
I pursued mine,

and we'd present at conferences
all over the world.

We flew coach, we stayed
at cheap little hotels,

eating nothing but street food.

But we loved that life.

Seems like he's ready for more.

I've waited years
for this fellowship.

He knows
how important it is to me.

And what was important to me
used to be important to him.

You'll find a middle ground.

I'm not so sure.

He's just not making
eye contact.

He's tired.

I read this thing
in a magazine...

It's a way to get kids
to make eye contact.

What is it?

Shaun, look at me.

Hey.

Hello? Look at me.

-Aah!
-What are you doing?

-Relax, It's just water.
-He hates it.

Well, that's the point,
isn't it?

It's okay Shaun
he didn't mean it.

It's okay, Shaun.

It's okay.

We need to get a diagnosis from an
expert in autism as soon as possible.

Any assessment before Steve
is two is a waste of time.

I discovered a new study
that uses fMRI imaging

to identify earlier predictors
of autism.

We can't subject Steve to that.

An fMRI is non-invasive
and harmless.

Not for a baby.
Steve would have to be sedated.

That is non-invasive
and harmless.

No, Shaun, I'm not signing
Steve up for any study.

Okay. I can do it.

No.

This is not
the kind of decision

you can make on your own.

Neither can you.

That's why
we have to compromise.

I want to get Steve tested.

You do not.
How can we compromise?

I don't know.
I just... I just...

This... This doesn't
feel right to me.

-Why?
-I don't know.

That is not a reason.

I will make an appointment
for the study,

and if you think
of a reason before that--

No, Shaun!

We are not doing this!

You are being loud.

I am being loud
because you're not listening!

-We're not going to drug our baby...
-Okay, s-stop it.

-Stop... Stop talking!
-...and put him into a machine...

...just because you think that
that is what we need to be...

Stop... Stop talking!

I'm sorry.

I'm sorry. I...

After ligating nerves, arteries
and veins of the big arm,

we will amputate
at the mid humerus.

Maybe use some of the big arm's
skin for the closure?

Oh. That is a good idea.

Like Bust 'Em Custom?

It was a show where they took
two identical old cars

and stripped one
to restore the other.

Ah, you're into
car restoration?

No. But my dad was.

Whenever I'd feel anxious,

he'd put it on
and we'd watch it together.

My father was not supportive.

Mine was my biggest advocate.

Wouldn't it be awesome if we
could strip Tayo's big arm

to restore his little arm
to full capacity?

That would be awesome,

but the big arm
has neurological deficits

and atrophied muscles, so...

I think we need to strip
the other car!

I used a metaphor.

-Hey.
-Hey.

How did things end up
with Hannah?

Oh, she was
discharged yesterday.

I saw. Did she agree to any
follow-up addiction treatment?

I even bought her pancakes,
and I couldn't get through.

You...
You bought her breakfast?

More like brunch.

You should stick
with the medicine

and let social services
do the rest.

- I mean, there are
rules for a reason.

Where would Shaun be
if I followed the rules?

-Shaun wasn't your patient.
-Excuse me.

Yes, hello?

Okay. Where... Where are you?
Are you okay?

Okay. I'll be right there.

This new surgery
is much more complicated.

There is a small chance that Tayo
will be left with only one working arm.

Then that is not an option.

He said the risk is small.

But Tayo
could end up worse off.

Or he could finally have
a proper-sized arm that works.

That is what is important
to you? How it looks.

-That is not what--
-Stop arguing.

You should ask Tayo.

It is his life
you are fighting about.

Hey.

You okay?

It was the crappiest car ever.

Why...
would anyone...

Maybe it was
that sweet rear spoiler.

Hey, I know a-a shelter
on Lexington.

It's clean, it's secure.

No, I have a friend
I can stay with.

I just need a ride.

You were right.

And as humiliating as that was,
I deserved it.

But I am taking this seriously.

In World War I,

my great-grandfather survived
a winter in the trenches.

He met this lovely
French farm woman.

They fell in love.

When they were married,
my great-grandmother gave him this ring.

And now I want to
give it to you.

Will you marry me?

For real.

I'm not gonna do
the whole knee thing again.

Yes. I will.

There's an inscription here.

Something like "MF... DR"?

I didn't notice.

Marie Francois and Daniel Reznick.
That's incredible.

It would be, except that it
actually says "Bunny Hearts Irv."

And let me rephrase...

No, I won't.

I spent my lunch hour
at a pawnshop

so you could feel romantic
about your second marriage.

Well, maybe if
my first marriage

had been a bit more romantic,
I wouldn't need a second one.

Oh!

I'm sleeping
in the guest room tonight.

I sleep better
without you anyway!

I could lose my big arm too?

Unlikely, but possible.

Your mother and I
fight far too much.

But it is because we both
care so much about you.

More than anything else
in the world.

But I know it makes you sad,

and that breaks my heart.

I am sorry, Tayo.

What do you want to do?

Hmm?

You're a big boy.

We want to hear what you think.

I don't want to say goodbye
to my little brother.

But I know he'll understand.

The shunt procedure
went very well.

How are you feeling?

Okay.

Uh, where... where's Ana?

D-Did she "shay"...
s-she "shay"...

Mason?

Pupils are blown.

Pressure's back up, pumping.
OR now.

No, no, no, no.

You know what? There are
housing-first shelters

you don't even have to
be clean before you--

I know a guy who got stabbed
in one of them.

Right, like no one's ever
gonna get stabbed here.

My friend is waiting for me.
I wasn't lying about that.

I really appreciate
all you did.

You're a good person.

- Daddy, please!
- What are you doing?

- I can't believe
you're doing this.

I hate you!

Hey, hey, hey, hey. Hannah?

Hey. Look...

I have a-a very comfortable
couch in my living room.

Nobody's using it.

What do you think?

Good morning.

Morning.

I wasn't lying
about the couch, was I?

You were not.

Payback.

Fantastic.

Unnecessary, but...

The key is adding
the chips by hand

after the batter's already
on the grill.

That way, there's no weird
clumps of chocolate.

I like to pay my own way.

Uh, there's a guy at work

who said he'll rent me
a room in his house.

I'm checking it out today.

You know what?

I can get you a bed
in the St. Bons rehab unit.

When I tried to quit,
it was the worst week of my life.

Hmm.

Well, you can always stay here

until you get back
on your feet.

I don't feel good
putting you out.

It wouldn't put me out.
You just...

Couch is right there.

You can earn your keep
in pancakes.

I guess I could stay
one more night.

I'll even restock
the chocolate chips.

Is he okay?

When he was in space,

his brain shifted
due to the microgravity,

and now it's shifting back and
blocking the flow of the shunt.

And we need to remove
a piece of the skull to relieve the pressure.

Could he die?

This is a risky surgery.

But it's our best shot.

We need your consent.

Thank you.

Oh, God, and then I lost it,
and then Shaun lost it.

Now he's totally dug in,

but there's no way I'm gonna
let Steve do this study,

but he's being so unreasonable.

Why are you so worried
about this study?

It's way too early
for Steve to be tested.

And no matter what happens,
it'll label him.

And that's what you're
worried about, being labeled?

Once that happens,
he'll be seen as different.

-By whom?
-By everyone.

Since when are you
so concerned about everyone?

Since I became a mom?
I don't know. I...

How can I not?

You're a new parent.
That's scary.

But how often do we make
the right decision when we're scared?

Isolating the median,
ulnar, and radial nerves

of the small arm.

Beginning side nerve transfer.

Goodbye, little brother.

Hey.

I might have been
a little tough on you yesterday.

Tough I don't mind.

It's the ethics lecture
I can do without.

I just... I-I know
you want to do right by her.

It's fine.
You were trying to help.

I get it.

Do you think you'll ever
hear from her again?

Who knows?

Hey.

Hello.

Can... Can I have a kiss?

That was quite a thing
we had the other day.

When you raise your voice,
it makes me very upset.

I know.

We both got pretty emotional.

But I've been thinking.

And I don't think it was
about you or the study

or even about us disagreeing,
not really.

It was about me.

A child on the spectrum
has so...

so many different needs than
a neurotypical child that I...

that I got scared.

I'm scared I might not
be up to it as a mom.

That doesn't make sense.

You are a very good mother,

and you are
very supportive of me.

That's the thing
about being scared.

It doesn't always make sense.

Anyway, if you'd like,
we can try the study.

I would like
to make an appointment.

Thank you.

Hannah!

Hannah?

What?

What, what? What? No! No! No!

Hannah.

Hannah, Hannah.

Welcome back, Mason.

Pupils reactive.

Am I gonna be okay?

I wouldn't go into orbit again,

but if you stick to Earth,
you should be fine.

Hey.

Hey.

You remember that horrible
hotel in Dar es Salaam?

Every time they flushed
upstairs, our ceiling leaked.

You took the shower curtain
and tented it over our bed.

Said we were having a campout.

When I thought you were dying,

I had my own Overview Effect.

A world without you
would be so cold.

So empty.

I don't need to take that
fellowship in Buenos Aires.

But I'm not sure
about the kids.

Maybe we can start
with a puppy.

No, no.
W-We're going to Bueno Aires.

I-I'll take a sabbatical.

And the puppy.

Thank you, Dr. Murphy,
for your advice.

When you snapped at us
to stop fighting.

Simple, direct, and very wise.

It is very good advice.

Tayo.

You OD'd.

In my house.

Must have been fentanyl
in those pills.

I'm sorry.

You have any idea
how lucky you are?

That I happened to come home
when I did,

that I happened to have
naloxone in the house,

that there wasn't more fentanyl
in those damn pills?

This can't happen again.

I'll go.

No, no, no.

That's not what I meant.

I'm gonna write you
a prescription of oxycodone.

Really?

I can deal with you
being an addict.

I can't deal with you
being dead.

You can stay here until we figure
out a way to get you better.

I'm gonna give you
each pill on a schedule.

No more scores on the street.

Can't you get in trouble?

You let me worry about that.

How is he ever gonna be a man

if he can't even
look me in the eye?

He's just a little boy.

Yeah, and he's gonna stay that way
if you keep coddling him.

It's mint chip.

At least
I'm doing something!

Would you like
to get some ice cream?

After?

No.

Now.

Repair and Synchronization by
Easy Subtitles Synchronizer 1.0.0.0