All language subtitles for Good Doctor S02E16_Believe

**

(ALARM RINGING)

(RINGING STOPS)

(ALARM RINGING)

(BRUSH THUDS)

Today is not Saturday.

Why did you
make me pancakes?

They are
fresh start pancakes.

Like the first day
of school every year

when you get to wear
a brand-new outfit.

(CHUCKLES)

Well, not everyone
wore a new outfit.

But the rule
in this house

is that when you start
a new life event,

you get pancakes.

I don't want
a fresh start.

I want
to stay in surgery.

I know.

And I am really proud
of you for handling
it all so...

(KNOCK ON DOOR)

Doctors, please give me
one more minute.

We have an associate pastor
at the church,

but Clarence
likes to write the sermons.

Sorry.
DR. MELENDEZ: Please.

Although this is
important too.

The surgery consists
of two steps.

First we fuse the spine
to stabilize it,

and then we remove
the tumor.

Because the cancer has spread
to your lymph nodes,

you'll still have
to follow up with chemo.

(GROANS)
Clarence, are you in pain?

Quite a bit actually,
but I'm fine.

DR. MELENDEZ: Well,
since what's causing
your pain

is the tumor pushing
against your spine,

the spinal fusion will ease
pressure on your nerves

and should eliminate
your pain.

Please, I, uh...
I need this pain.

Can't you just do the second
part and remove the tumor?

If we don't
fuse the spine,

it'll make removing the tumor
a lot more difficult.

More difficult,
but it can be done?

It can.
But I recommend
against it.

Especially since
there's no reason not to.

(SIGHS)

I did something

unforgivable.

This pain
is my punishment.

**

Can I ask what you did
that was so bad?

I killed someone.

(THEME MUSIC PLAYING)

(BELL DINGS)

(APPLAUSE)

**

JESS: My sister and I were

coming home from climbing
Mt. Whitney.

We're doing
the State 50 climbs.

The numbness started
during the climb?

First my hands,
and then my feet.

(GRUNTS)

You have a headache?
Yeah.

DR. LIM: High altitude
causes headaches.

Dehydration compounds it.

From now on just
climb slower
and drink more.

Tell them
about the other thing.

Before leaving
for the mountain,

I had this
weird sensation like...

Dread.

I couldn't shake it.

Well, when people describe
a sense of impending doom,
it's usually anxiety.

No, it was like
a premonition,

that I was
going to die.

I'm sure it was...
Dr. Park will run
a brain scan,

and we'll do
some lab work.

**

Shaun.

Hello, Dr. Lever.

Carly is fine.

Welcome to pathology.

It is going to be great
working with you.

What do you think?

I know it's a lot
to take in.

It's kind of like your first
time at Disneyland, right?

I've never been
to Disneyland.

Let me give you
a tour.

Cytopathology,
forensics,

genomics,
microbiology.

We get to identify
organisms,

interpret cell morphology,

sequence genes.

Is that a D300e

pathogen antibacterial
bioprinter?

It's new.

You're working on
antibiotic resistance

in emerging
microorganisms?

It's "we" now, Shaun.

Yes, we are.

(SIGHS)

Do you want to play
with it?

Very much.
(LAUGHS)

Go ahead.

It's kind of
your job now.

We are the detectives.

Surgeons are just
the beat cops.

(WHIRRING)

Our best bet is to try
to separate the tumor

from his cord,
and then resect it.

Okay,
this is insane.

You know how
he "killed" a person?

He was counseling
a parishioner
who committed suicide.

That must have been
traumatic.

Traumatic, yes.
Murder, no.

Hey, I know it's stupid,
but he has autonomy.

I didn't stay stupid.
I said "insane."

You want to
override his wishes
because he's religious?

Something like 90%
of Americans
believe in God.

I'm one of them.
Are we all mentally impaired?

Should you ignore us all
if you don't like our choices?

Only those getting divine
messages from their tumors.

He's not crazy.
Okay, you're right.

He is just stupid.
But don't we have
a duty to educate him?

You're gonna talk him
out of his religion?
No.

You told him the surgery
was more dangerous this way.

I don't think he appreciated
how much more dangerous.

Good idea.

He thinks he'll go
to hell if he dies
before he's forgiven.

Make sure he knows
it can happen on the table.

**

(WHIRRING)

(WARBLING)

DR. PARK:
An MRI for anxiety?

It does fly
in the face of reducing

unnecessary
medical tests.

When I was a resident,
I had a patient
come through the ER.

Female.
35 years old.

Slight cough.
Slightly hypothyroid.

Normal vitals.

I labeled her a whiner
because she kept insisting,

"I'm gonna die."

I sent her home.

And she died?

No. She kept
coming back.

(CHUCKLES)
Over and over again.

We do this test,
we prove there's nothing
wrong with her,

we send her home
reassured.

(BEEP)

**

Damn.

The MRI showed
a high grade meningioma.

An advanced tumor that grows
in the tissue layers
that cover the brain.

Its features are consistent
with it being malignant.

(EXHALES SHARPLY)

These tumors
tend to be aggressive

and impossible
to fully resect.

Um, so what...
What can you do?

Palliative care,

symptom control
with medications.

(SNIFFLES)

(BREATHES DEEPLY)

**

You're risking
spinal damage,

paralysis, death.

If that's what God chooses,
then that is his will.

If you have cancer because
he wants you to have cancer,

why are you here?
Getting treatment?

I'm here because
I believe in science.

I am who I am
because I believe in God.

So do you think
all people who are sick
are being punished?

I mean, we have an
eight-year-old down the hall
with bone cancer.

You want to go tell her
God hates her?

I'm sure that girl is not
suffering as a punishment.

She's suffering so others
may have a chance

to show her mercy,

to show her compassion,
so she can inspire.

I don't know His plan,
but I know it's not
as simple as you would...

No.
No, it's not simple.

Except for your pain.

His name was Michael.

**

(EXHALES SHARPLY)

His wife found his body.

You had no idea.

I knew he was depressed.

But you thought
he was getting better.

(SCOFFS)

I didn't take his call.

Because I was
having a drink.

(EXHALES SHARPLY)

It'd been a long day
dealing with the renovations,

and I was having
a damn drink.

**

(DOOR OPENS)

DR. PARK: Hey, Shaun.

Hey, Carly.

I started Sadie Barnes
on anti-seizure medication,

need you to run
a peak phenytoin level.

The couriers must be happy
that the surgeons

are doing their own
specimen deliveries.

How you doing
down here?

Carly says pathologists
are the detectives,

surgeons are just
the beat cops.

Shaun,
are you happy here?

When did you give the patient
her loading dose?

One hour ago.
Hmm.

Shaun, if you're happy,
that's great.

But if you're not,

you have to tell Han
how you feel.

You need to show him
you care

and that you believe
in yourself.

**

Do you need
this done STAT?

No.
She's asymptomatic.

It's just for
seizure prevention.
Good.

Carly says
that in pathology

you can take a break
whenever you want.

I want to take a break now.
I'm going for a walk.

He shouldn't be
in pathology.

He's a good
surgical resident.
You're right.

Then you'll
move him back?
No.

You're wrong about that part.
He should be in pathology.

But he was a good
surgical resident.
Then why...

Because he'll never
be a good surgeon.

How do you think
he'll do in three years

when no one's looking
over his shoulder?

When he's looking over
someone else's shoulder?

Supervising new residents,
leading grand rounds,

advocating for
vulnerable patients.

Do you see him
doing any of that
without a safety net?

We can help him
get there.

Just because
he wants to be
a surgeon,

just because
you want him
to be a surgeon,

doesn't mean he gets to have
that dream come true.

Has it occurred to you
that maybe

we know Shaun
better than you do?

Has it occurred
to you that

that might be
your problem?

That your view of him
might be distorted
because you like him?

Has it occurred to you
that maybe he's better off
in pathology?

That maybe
he'll even like it?

Do you care?

I thought you might.

**

(WHIRRING)
DR. MELENDEZ: We need
better ventral exposure.

Drill off more
of the pedicle
and vertebral body.

Ligate the exiting
nerve root.

We'll take it with the tumor
for a wider margin.

CLAIRE: I can't see it.

The tumor's causing
the spinal cord
to be bowed up to us.

We need more exposure
to get around
and in front of it.

DR. REZNICK: The vertebrae is
too fragmented and displaced.

We can't get
a complete resection
without stabilization.

(RAPID BEEPING)
CLAIRE: He's tanking.

Probably spinal shock
from tension on the cord.
We need to abort.

(BEEPING CONTINUES)

**

All right, on three.
One, two, three.

CLARENCE: You fixed me!

No, no.
What happened to my pain?

Stop!
We didn't fix you.

There was a complication.
We injected anesthetic.

It'll wear off.

We had to
stop the surgery

before we could
remove the tumor.

You went into shock.

We lost your heart rate
and blood pressure.

We warned it would be
a trickier surgery
without the fusion.

Nothing has changed.
The anesthetic will wear off,

the pain will come back,
but worse.

When can you try again?

Try again?
We failed.

(SIGHS)

There is no reason
to think we will succeed

next time unless
we do the fusion...

But you know what
the issues are, you learned...
Why haven't you?

**

Do think God
wants you to die?

CLARENCE: Please.

Try again.

(SIGHS)

Cyanide poisoning.

The cause of death
on the Atlin case.

You know
how I found it?

I smelled it.
Almonds.

Dr. Park's patient.

I flagged
her eosinophil count.

It doesn't match up
with the diagnosis

of advanced meningioma
listed on the requisition.

Great. Nice work.

I'm going to talk
to Dr. Lim about it.

Whoa there, Shaun.
Hold up.

You don't
need to do that.

The attendings are on
the lookout for the flags.
They'll run with it.

I want to run with it.

You've been on the receiving
end. You know how it works.

How it works
is I see something abnormal

and then I discuss it
with the team,

and we plan
how we'll fix it.

We run with it.

Shaun, once a test is done,
we move on to the next one.

I'd like to
take a walk.

Are you going
to walk to Dr. Lim

and discuss this case,
Shaun?

(SIGHS)

That's not
what we do here.

We investigate, report,
and then we move on.

**

Are you gonna be able
to do that,

move on?

I don't know.

But I will
try very hard.

Next time.

(KNOCKING)

Dr. Browne.

Is this
about a patient?

No.

Come in.

I've heard
a lot about you.

I'm aware you stood up
to a supervisor.

Is that
what's happening now?

Um, I put together
a list of cases

which Dr. Murphy
contributed to.

Uniquely.

You're a loyal friend.

I've specified
the ideas he had,

ideas that no one else
around here could have...

Do you think
I hate him?

No.

But I think

you might be biased
against him
because of his condition.

So he doesn't have
communication issues?
I'm wrong about that?

No. But he...
If he had the flu,

I would tell him
to stay home
until he got better.

He has autism...

I could tell him to stay home
until he gets better.

Instead I found a place
for him to help us,

to save lives.

And you should know
I have rather mixed
feelings about loyalty.

**

(INDISTINCT CONVERSATIONS)

All righty.
There you go.

Hello.

Aaron.

It's good to see you.

Yeah.
The feeling is mutual.

Can I have one of those?

The chocolate chip muffin?
Yes, please.

Special occasion?

Yes.
Yeah?

As of today, I am no longer
injecting toxins into my body.

Except, of course,
with chocolate chips.

Oh, you're done
with chemo? Wow.
That's amazing.

Congratulations.
Thank you.

I was thinking of going out
tonight and celebrating

what may be
very good news.

If you're free,
my treat.

I...
I'm sorry, Aaron.

I have, uh, another
commitment.

Oh. Um, tomorrow then?

This week
is really crazy.

You know what?
I am not doing chemo
every night next week,

so I am free
every single night,
so...

Aaron,
I'm seeing someone.

I'm sorry.

**

(CHUCKLES)

Nothing to be
sorry about.

It was good to see you.

DR. MELENDEZ:
Keep an extra close eye on
blood pressure and heart rate.

(MONITOR BEEPING)

DR. REZNICK:
I have extra fluid,
vasopressors,

and inotropes ready.

Why no God?

You follow in the tradition
that you're handed.

My family wasn't religious.
We never went to church.

I was there
every Sunday.

8:00 a.m.
for Catholic mass.

My parents eventually got
tired of all the rules
and turned Lutheran.

They found that dull
and went back to Catholic.

(CHUCKLES)
That's my tradition.

DR. REZNICK: What do you think
it'll be like when you die?

Probably like it was
before I was born.
A whole lot of nothing.

We're there.

Where we were when everything
went wrong last time.

We need to remove the tumor
without putting any pressure

on his cord at all,
or he'll be back
in spinal shock.

And we need more tumor release
from the vertebral body.

Extend your osteotomies
proximal and distal.

(WHIRRING)

Good.

I think I got
a free plane...

Retract it from the cord
a little more.

**

I got it.

Now, when you remove it
careful not
to morselize it.

Can you
hold that up?

Dr. Reznick,
give me a measurement.

Max length is 4.5.

Get a pre-op scan up.

(BEEP)

That says the tumor's
eight centimeters.

How does a tumor shrink
from eight centimeters

to 4.5 without radiation
in two weeks?

It doesn't.

Why the page, Shaun?
And why are you in radiology?

We rely on flags.

You have to count on
the ordering physician

seeing it while you move on
to something else.

Okay. And?

I don't agree with
Sadie Barnes' diagnosis,

and I think her tumor
should be biopsied.

Shaun, I...
Dr. Han wanted me
away from patients.

Patients are not allowed
in the viewing room.

So I'm not doing
anything wrong.

(BEEP)
Two radiologists said

it was
a malignant meningioma

in the insular region
and encasing the MCA vessels.

That's exactly
where it is.

And her clinical picture
matches perfectly.

Arm and leg numbness.

The tumor attachment
to the dura
is slightly anomalous.

And the insular region
is slightly atypical, too.

(MOUSE CLICKS)

(BEEP)

What differential diagnoses
are you proposing?

I need to speak
to the patient.

(SIGHS)
Should I ask Dr. Han
for permission?

Shaun, I...
(SCOFFS)

...will bring your concern
about the scan
to the head of radiology.

But approaching Dr. Han?
Don't do that.

Now, I already talked to him
about your reassignment.

I don't know if it'll make
any difference...

If I were Claire, would you
let me approach Dr. Han

about something
that concerned me?

**

Yes.
I probably would.

Hmm.

Is that because Claire
doesn't make mistakes
when she's communicating?

Yes.

Then do you think Dr. Han
made the right decision
by sending me to pathology?

No.

(BEEP)

The lymph nodes
have shrunk, too.

This is a PET scan
from two weeks ago.

Enlarged and cancerous.

Today...
(BEEP)

...they've all regressed.

Spontaneous regression
has been reported

in melanomas,
renal cell carcinomas,

neuroblastomas, and some
types of blood cancers.

In a sarcoma
that's metastasized?

No. But if it happened
in those others, why not?

Because none of them
make sense.

When I read about
disappearing cancer,

I always think some
doctor missed something,
forgot something,

screwed up something.
(SIGHS)

The theory is that
the body somehow triggers

an immune response
against the cancer.

Something somehow
lights a fuse.

The theory says the fuse
is lit by an infection.

His lab work proves
he hasn't had one.

At this point, the most
credible explanation is...

Are you gonna use
the "M" word?

You seriously
can't say it?

Only when referencing
the 1980 U.S. hockey team.

Keep testing.
Anything you can think of.

Molecular markers,
T-cells, PD-L1.

We'll need permission
from the patient.

Which raises
another issue,

what are we gonna
do next, medically?

He was supposed to
start chemo next week.

No, it'll wipe out
his immune system,

which may be what's
actually killing his cancer.

If we don't know
what's making him better,

we don't know what
to stop, what to start.

So we do nothing?

Just trust God
to fix him?

We trust whatever is currently
fixing him to keep fixing him.

If he took a Tylenol
yesterday at 8:00,

he takes a Tylenol
today at 8:00.

Monitor him. Closely.
Scans constantly.

**

**

Hmm.

(KNOCK ON DOOR)

Hello, Dr. Glassman.

Hi.
Thank you for coming.

He has been doing this
for two hours.

Shaun.

What are you up to?

Alphabetizing
our canned goods

and checking
all the expiration dates.

Well, somebody's
got to do it.

Is something wrong?
No.

(EXHALES SHAKILY)

Okay.
Okay. I think

Dr. Lim's patient's
diagnosis is wrong,

but I can't prove it
without information,

and I'm not allowed
to talk to patients.

Shaun.
(SIGHS)

I want to run
with things.

I want to fix people.

Can you help me become
a surgical resident again?

No. I can't, Shaun.

I'm not president...
Yes.

I'm not the president
of the hospital
anymore, Shaun.

And even...
Even if I was,
it's irrelevant.

You have to stand up
for yourself.

And you know what?
If you can't,

then the new Head of Surgery,
the Chief, he's right.

Now, I can go
tell him he's wrong.

It won't do any good.

Or you can go show him.

**

I'm doing research
concerning Sadie Barnes.

She's asleep.

Perfect. I'm not allowed
to speak with her.

I'm looking
for her sister Jess.

I haven't seen her.
Sorry.

DR. HAN: What are you doing?

(LIGHT CLICKS)

Can you explain why,
instead of remaining
in pathology as directed,

you were in a patient's room,
going through her purse?

I didn't speak to her.
She was asleep.

(EXHALES SHARPLY)

Dr. Murphy,
any reticence I had

about removing you
from surgery
just vanished.

You shouldn't
be in contact
with patients.

Or their families.
Or anything they own.

Do you understand, or am I
gonna be forced to fire you?

Sadie's social media
says that

she finances
her climbing travel

by working as
a freelance food critic.

She reviewed a Japanese
restaurant that used to have

a Restaurant Grading System
Score of "A,"
but then it dropped to a "C,"

which corresponds
to very bad
food safety practices.

Bad sushi can lead to worms,
but it usually doesn't

because stomach acid almost
always kills fish parasites.

But not if someone
is taking an acid blocker,

which 60 million
Americans are.

I saw a bottle
in her purse.

Sadie could have
sparganosis

with an encapsulated worm
that is mimicking
a meningioma.

That's a good idea.

Excellent.
I'll tell the patient.

I will tell the patient.

I'll tell her
we're doing a biopsy

to confirm
the initial diagnosis.

But we're...
It will tell us

if the initial diagnosis
is correct.

Your theory
is a real long shot.

It would be irresponsible
to get her hopes up.

SHAUN: Hmm.

The surgery went well.

We were able to extract
the entire tumor
without complication.

(EXHALES SHARPLY)
(SIGHS)

Thank you.

When can we start chemo?

There are
a few follow-up tests
we want to run first.

And we want to retake
your history.

Make sure
we have a proper list

of all medications
you've been taking.

You want to take his history
after the surgery?

What's going on?
What are you not telling us?

What went wrong?
Nothing.

The fact is,
the surgery went

better than we'd hoped.

Your cancer seems to be

going away on its own.

(EXHALES SHARPLY)

We'll run our tests.

We're confident that there
is a medical explanation.

Oh, Clarence.
(INHALES SHARPLY)

(DOORBELL RINGS)

Hi.
Hi, Aaron.

(INHALES DEEPLY)
Um, what I...

What I told you earlier,
that I'm seeing someone...

I'm not.

I mean,
I-I-I had one date,

but it wasn't,
you know...
Okay.

We're... We're just...
We're not a good match.

That's what
I wanted to tell you.

That's not true,
you know.

You know,
that's not true.

You like me. A lot.

And I like you
even more than that.

So what is this?

You know, I'd really
rather not get into it.

You came to my house...
To tell you what I told you,

which I just told you.
Okay, you came here
to be honest,

and you're only
gonna be honest halfway?

You're not timid.
No.

Okay. Then what?

The last time
I was here,

we were headed
upstairs...

Yes, we were.

You fell.

Yes, I did.

I tried to help you,
and you pushed me away.

I was embarrassed.

You were sick.

You needed help.
And I'm not sick anymore.

Maybe.
And I want to go
and celebrate.

With you.
Specifically with you.

'Cause we have fun.

You... You make...
You make me laugh.

You make me feel good.

I like being with you.

Sounds horrible.

But bad things
are gonna happen.

Aaron, i-it can't just be
about having fun together.

One of us
is gonna get sick,

one of us is gonna need
to be taken care of...

Wait, wait, wait.
I just want to go out

and have a nice dinner
with you.

Not to run away to Reno,
find a priest
in an Elvis suit.

What are we gonna do,
Aaron?

Just drive to a hill
with a view
and neck till prom?

And then I'm gonna come home
and hope you call?

Yeah, uh, you know,
I just came to apologize.

I'm sorry.

And I'm really glad...

I'm... I'm glad
you're finished with chemo.

And...

You're gonna...
You're gonna beat this thing.

**

Your immunoglobulins
are normal.

Everything is normal.

We can't find
a scientific explanation.

Our prayers...
It's a miracle.

Miracle or not,

it seems we're
on the same page now.

There is no reason
not to do the spinal fusion
to eliminate your pain.

Do more tests.

Clarence.
There are no more tests.

T-T-There must be.
There must be an explanation.

Redo your tests.
Find new tests.

"Let all bitterness
and wrath

"and anger and clamor
and slander
be put away from you."

**

Ephesians 4:31.

I didn't take you
for a believer.

I'm not, anymore.

I'm not sure
you are either.

God speaks directly
to Noah,

Moses, Job,
and Solomon.

And now apparently
he has singled out

Pastor Clarence
of San Jose

to join the ranks
of the prophets.

I'm sorry, but unless
there is a burning bush,

it is narcissistic
to think that God

has made you
his personal project.

God speaks
to every one of us.

You just have to listen.
You are not listening.

People get cancer
all the time.

Often that results
in pain.

Those things
are not unique.

What is unique

is having an aggressive
metastatic cancer

start to disappear without
any rational explanation.

The issue isn't God.

You have to
forgive yourself.

What I did...

Cannot be undone.

But your pain can.

**

Clarence.

Your pain...

Your pain
does no one any good.

(BREATHES DEEPLY)

Okay.

DR. MELENDEZ:
Osteotome and mallet.

(MONITOR BEEPING)

You lied when you said
you never went to church.
What happened?

I didn't want to have
this conversation
is what happened.

DR. REZNICK: I'm not judging.

My brother took
a year off school to travel

and came back
a non-believer.

So ask him.

Was it freeing,
or did you feel empty?

DR. MELENDEZ: Hand me
the first polyaxial
pedicle screw.

It was like
losing a loved one.

(CLICKING)

The moment of truth.

Follow me.

**

Our initial diagnosis
was wrong.

You don't
have a meningioma.

You have a worm
in your brain.

And while that sounds
fairly gross,

it is completely
curable.

(EXHALES SHARPLY)

(LAUGHS)

So, the sense of doom,
it was... It was wrong?

It saved your life.
As did Dr. Murphy.

This is the pathologist
who noticed

an abnormality
in one of your tests.

That led us
to this discovery.

Can I give you a hug,
too, Dr. Murphy?

No.

You and your sister
will be free to conquer

whichever of the remaining
50 peaks you choose

as soon as my team
surgically removes the worm.

(JESS LAUGHS)

Thank you.
Oh! Of course.

There are not a lot of doctors
who would have made the leap

that you made today,
Shaun.

Good work.

Yes, it was
excellent work.

(CHUCKLES) Most people
would say "thank you,"

but technically that's not
an incorrect response.

Hmm.

Have a good evening.
You've earned it.

I don't want to
go on walks.

I don't want to move on
from cases

after the tests
are done.

I do not want to be
a pathologist.

**

Dr. Han, you need to make me
a surgical resident again.

I appreciate
you telling me that.

I was wondering
whether you had it in you
to advocate for yourself.

But the truth is, Shaun,

what you did today,

it proved I'm right.

Your skills
are tremendous.

Your weaknesses,
equally significant.

You could be
a great pathologist.

Just think of
all the Sadies
out there,

waiting for you
to save them.

**

Dr. Browne,
Dr. Reznick.

The surgery went well.
Your spine is stable.

I'm scared.

There may still be
some residual pain
as you heal, but...

No, I...

I keep wondering,
what if I disobeyed God?

You have to have faith.

But you lost yours.

I didn't have a miracle
to help me through
the dark times.

(LP'S MUDDY WATERS PLAYS)

* Hmm

* Hmm, hmm

* Oh, oh-oh-oh-oh

* In the muddy water
we're falling

* Oh, oh-oh-oh-oh

* In the muddy water
we're crawling

* Hold me down

* Hold me now

* Sold me out

* In the muddy water
we're falling *

**