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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:01,386 --> 00:00:03,022 Previously on "The Good Doctor"... 2 00:00:03,046 --> 00:00:05,696 - Hey! Stop! - Danny! 3 00:00:05,720 --> 00:00:07,340 [TIRES SCREECH] 4 00:00:08,840 --> 00:00:09,974 Just promise me. 5 00:00:09,998 --> 00:00:11,627 - What? - No opioids. 6 00:00:11,651 --> 00:00:12,877 He asked you not to do that. 7 00:00:12,901 --> 00:00:14,536 He's tachycardic and hypertensive 8 00:00:14,560 --> 00:00:16,076 because of the pain. He's going into shock. 9 00:00:16,100 --> 00:00:17,876 - He's not. He's praying. - He's dying. 10 00:00:17,900 --> 00:00:20,166 - Forgive me. - [GROANS] 11 00:00:20,190 --> 00:00:22,796 I need to go back to Texas with my family. 12 00:00:22,820 --> 00:00:24,966 SHAUN: You made an error in yesterday's craniotomy. 13 00:00:24,990 --> 00:00:26,716 You closed with only eight sutures. 14 00:00:26,740 --> 00:00:28,546 The size of the wound required 10. 15 00:00:28,570 --> 00:00:29,966 We need to figure out why. 16 00:00:29,990 --> 00:00:31,056 I've had a stroke. 17 00:00:31,080 --> 00:00:32,230 Yes. A small one. 18 00:00:32,254 --> 00:00:34,940 Dr. Glassman, please tell us what the next step is. 19 00:00:34,964 --> 00:00:37,248 GLASSMAN: Somebody please call security. Shaun, you are out of line. 20 00:00:37,272 --> 00:00:38,176 Answer. 21 00:00:38,200 --> 00:00:39,613 It's, um... 22 00:00:40,094 --> 00:00:43,490 You humiliated me in public in my operating room 23 00:00:43,514 --> 00:00:45,070 in front of my colleagues. 24 00:00:45,094 --> 00:00:46,910 Do you have any idea how much that hurt? 25 00:00:46,934 --> 00:00:48,280 I don't know what to do. 26 00:00:48,304 --> 00:00:50,450 You can just leave me alone. 27 00:00:50,474 --> 00:00:52,370 PARK: I don't think you should resign. 28 00:00:52,394 --> 00:00:53,700 Because you don't have to do it all alone. 29 00:00:53,724 --> 00:00:55,540 You're the reason I wake up in the morning, 30 00:00:55,564 --> 00:00:57,170 so whatever there is to figure out, 31 00:00:57,194 --> 00:00:59,592 all I want in the world is for us to do it as a family. 32 00:01:00,314 --> 00:01:02,630 I wanted to give you a heads-up as a friend. 33 00:01:02,654 --> 00:01:03,631 I've decided to resign. 34 00:01:03,655 --> 00:01:05,680 [LEA SCREAMS] 35 00:01:05,704 --> 00:01:07,010 DR. GLENN: Congratulations, Mom and Dad. 36 00:01:07,034 --> 00:01:08,970 - [BABY CRYING] - [GASPS] 37 00:01:08,994 --> 00:01:10,930 ♪ 38 00:01:10,954 --> 00:01:13,180 Look at what we made. 39 00:01:13,204 --> 00:01:16,350 Do you think Dr. Glassman is coming? 40 00:01:16,374 --> 00:01:18,100 This is from Dr. Glassman. 41 00:01:18,124 --> 00:01:20,480 SHAUN: How did he know his name would be Steve? 42 00:01:20,504 --> 00:01:22,240 Because he knows you. 43 00:01:26,724 --> 00:01:30,070 ♪ 44 00:01:30,094 --> 00:01:31,240 SHAUN: Gloves. 45 00:01:31,264 --> 00:01:42,500 ♪ 46 00:01:42,524 --> 00:01:44,050 [STEVE COOING] 47 00:01:44,074 --> 00:01:46,050 Start the timer, please. 48 00:01:46,074 --> 00:01:47,880 [BACHMAN-TURNER OVERDRIVE'S "TAKIN' CARE OF BUSINESS" PLAYS] 49 00:01:47,904 --> 00:01:49,590 Good luck, babe. It's a doozy. 50 00:01:49,614 --> 00:01:51,470 ♪ 51 00:01:51,494 --> 00:01:54,850 ♪ They get up every morning from the alarm clock's warning ♪ 52 00:01:54,874 --> 00:01:58,520 ♪ Take the 8:15 into the city ♪ 53 00:01:58,544 --> 00:02:00,310 ♪ There's a whistle up above ♪ 54 00:02:00,334 --> 00:02:02,440 ♪ And people pushing, people shoving ♪ 55 00:02:02,464 --> 00:02:05,650 ♪ And the girls who try to look pretty ♪ 56 00:02:05,674 --> 00:02:10,200 ♪ And I've been takin' care of business, every day ♪ 57 00:02:10,224 --> 00:02:13,280 ♪ Takin' care of business, every way ♪ 58 00:02:13,304 --> 00:02:17,500 ♪ I've been takin' care of business, it's all mine ♪ 59 00:02:17,524 --> 00:02:21,274 ♪ Takin' care of business and working overtime ♪ 60 00:02:22,967 --> 00:02:25,193 37 seconds. 61 00:02:25,614 --> 00:02:26,954 Good work. 62 00:02:26,979 --> 00:02:28,689 [COOS] 63 00:02:31,475 --> 00:02:33,033 I think that was your fastest yet. 64 00:02:33,769 --> 00:02:35,354 Second-fastest. 65 00:02:37,204 --> 00:02:41,150 15 minutes of independent play is starting now. 66 00:02:41,174 --> 00:02:43,110 I will log it into my app. 67 00:02:43,134 --> 00:02:44,770 You sure you don't want to get in a few extra snuggles 68 00:02:44,794 --> 00:02:46,440 before you leave? 69 00:02:46,464 --> 00:02:48,610 Oh, I had 10 minutes of snuggles this morning. 70 00:02:48,634 --> 00:02:50,244 Very nice. 71 00:02:51,036 --> 00:02:53,320 I've also set up the app on your phone. 72 00:02:53,344 --> 00:02:54,620 It will alert you when it's time 73 00:02:54,644 --> 00:02:56,410 for Steve's nap, feeding, playtime... 74 00:02:56,434 --> 00:02:59,540 Just in case I miss the schedules posted on the fridge, 75 00:02:59,564 --> 00:03:01,670 the bathroom, and in our bedroom. 76 00:03:01,694 --> 00:03:05,170 Yes. And I will be able to track it while I'm at work. 77 00:03:05,194 --> 00:03:07,630 [CHUCKLES] Steve and I will be fine. 78 00:03:07,654 --> 00:03:09,380 Just enjoy your first day back. 79 00:03:09,404 --> 00:03:11,470 [STEVE COOS] 80 00:03:11,494 --> 00:03:13,510 ♪ 81 00:03:13,534 --> 00:03:14,970 We can finish reading the latest 82 00:03:14,994 --> 00:03:16,680 Journal of Trauma and Acute Care Surgery 83 00:03:16,704 --> 00:03:17,938 when I get home. 84 00:03:19,294 --> 00:03:21,020 After this, Steve should have at least 85 00:03:21,044 --> 00:03:22,270 five minutes of tummy time. 86 00:03:22,294 --> 00:03:24,150 Yesterday, he only logged 12 minutes, 87 00:03:24,174 --> 00:03:25,310 which is three less than... 88 00:03:25,334 --> 00:03:26,780 I love you. 89 00:03:27,384 --> 00:03:28,964 Say hi to everyone for me. 90 00:03:29,450 --> 00:03:31,200 Okay. I love you, too. 91 00:03:31,224 --> 00:03:37,200 ♪ 92 00:03:37,224 --> 00:03:39,080 I will miss you both. 93 00:03:39,104 --> 00:03:44,420 ♪ 94 00:03:44,444 --> 00:03:46,194 [COOS] 95 00:03:46,592 --> 00:03:47,960 [CHUCKLES] 96 00:03:47,984 --> 00:03:49,444 [ELEVATOR BELL DINGS] 97 00:03:53,534 --> 00:04:12,211 ♪ 98 00:04:12,235 --> 00:04:20,235 Synced & corrected by -robtor- www.addic7ed.com 99 00:04:20,260 --> 00:04:22,460 ♪ ♪ 100 00:04:22,484 --> 00:04:24,830 I don't know why you need three protein powders, for your smoothies. 101 00:04:24,854 --> 00:04:26,984 They do different things. 102 00:04:27,549 --> 00:04:29,363 She's barely taken an ounce. 103 00:04:29,388 --> 00:04:31,510 That's what the protein-powder companies want you to believe. 104 00:04:31,534 --> 00:04:34,590 - Are you holding her right? - Yes. 105 00:04:34,614 --> 00:04:39,074 She needs to be upright with her head properly supported. 106 00:04:39,645 --> 00:04:42,520 Good. And you mixed it enough? 107 00:04:42,544 --> 00:04:44,440 The same as always. 108 00:04:44,464 --> 00:04:47,112 She's not interested again. 109 00:04:47,504 --> 00:04:49,822 And she seems lethargic. 110 00:04:51,304 --> 00:04:53,200 I'll take her to get checked out. 111 00:04:58,144 --> 00:05:00,666 Well, I'd like to come, too. 112 00:05:01,354 --> 00:05:03,660 Sure. You can carry this. 113 00:05:03,684 --> 00:05:06,870 ♪ 114 00:05:06,894 --> 00:05:08,154 [ELEVATOR BELL DINGS] 115 00:05:10,694 --> 00:05:13,590 - Good morning. - How's Perez today? 116 00:05:13,614 --> 00:05:15,097 Don't know. 117 00:05:15,954 --> 00:05:17,430 It's almost 8:00 a.m. 118 00:05:17,454 --> 00:05:19,430 It's been "today" for a whole eight hours. 119 00:05:19,454 --> 00:05:21,260 You two haven't texted each other yet? 120 00:05:21,284 --> 00:05:23,520 We both decided we need space. 121 00:05:23,544 --> 00:05:26,940 He's focused on his recovery. I've got my life here. 122 00:05:26,964 --> 00:05:29,980 I fully support that. 123 00:05:30,004 --> 00:05:31,940 And your next chapter begins tonight. 124 00:05:31,964 --> 00:05:35,610 You and me. Drinks, music, questionable decisions. 125 00:05:35,634 --> 00:05:38,360 You and Jerome finally got the surgery! 126 00:05:38,384 --> 00:05:39,910 You're no longer joined at the hip? 127 00:05:39,934 --> 00:05:41,370 Jerome is obsessed with some docuseries 128 00:05:41,394 --> 00:05:43,894 about one of the many sports that I don't care about. 129 00:05:44,126 --> 00:05:46,120 Come on. It's been too long. 130 00:05:46,144 --> 00:05:48,960 I've been busy. You've been... 131 00:05:48,984 --> 00:05:50,500 mopey. 132 00:05:50,524 --> 00:05:52,500 Fine. I agree to drinks and music, 133 00:05:52,524 --> 00:05:55,300 but I'm definitely a "maybe" on questionable decisions. 134 00:05:55,324 --> 00:05:57,220 - Alright. We'll work up to it. - Okay. 135 00:05:57,244 --> 00:06:00,140 We're going out tonight for drinks, starting a new chapter. 136 00:06:00,164 --> 00:06:01,640 That's right. We're calling it 137 00:06:01,664 --> 00:06:04,140 "Bad decisions with good friends." 138 00:06:04,164 --> 00:06:05,520 We're definitely not calling it that. 139 00:06:05,544 --> 00:06:06,640 Wanna join? 140 00:06:06,664 --> 00:06:08,164 No, thank you. 141 00:06:10,374 --> 00:06:11,860 Papa Murphy, welcome back. 142 00:06:11,884 --> 00:06:13,150 Pictures of Steve. 143 00:06:13,174 --> 00:06:14,860 I was just about to ask. 144 00:06:14,884 --> 00:06:17,700 This way, I avoid the disruption of pulling out my phone. 145 00:06:17,724 --> 00:06:19,240 [ASHER CHUCKLES] 146 00:06:19,264 --> 00:06:22,490 Look at that smile! Just like his mom! 147 00:06:22,514 --> 00:06:25,830 He was pooping in that one. Here he is... about to poop. 148 00:06:25,854 --> 00:06:27,450 A theme develops. 149 00:06:27,474 --> 00:06:29,160 [LAUGHTER] 150 00:06:29,184 --> 00:06:31,630 KALU: Aww. He's got your eyes, Shaun. 151 00:06:31,654 --> 00:06:33,460 I need to find Dr. Lim. 152 00:06:33,484 --> 00:06:36,034 You may keep those. I made enough for everyone. 153 00:06:37,824 --> 00:06:39,630 Marcus sends greetings from Spain. 154 00:06:39,654 --> 00:06:41,680 Oh, I thought he was at a meditation retreat in Vietnam. 155 00:06:41,704 --> 00:06:44,560 He was, and now he's walking the Camino de Santiago. 156 00:06:44,584 --> 00:06:46,310 How nice for him. 157 00:06:46,334 --> 00:06:49,560 I'm two surgeons down with no one to approve hiring a new one. 158 00:06:49,584 --> 00:06:52,350 I need the Board to appoint an Interim President, stat. 159 00:06:52,374 --> 00:06:54,230 Just as long as it's not O'Brien. 160 00:06:54,254 --> 00:06:55,770 They wouldn't. 161 00:06:55,794 --> 00:06:57,400 I heard from a staffer who covers Board Meetings 162 00:06:57,424 --> 00:06:58,860 that his name's on the short list. 163 00:06:58,884 --> 00:07:02,070 Ugh. Of the worst possible candidates for the position. 164 00:07:02,094 --> 00:07:04,200 Good morning! Pictures of Steve. 165 00:07:04,224 --> 00:07:05,530 Aww. 166 00:07:05,554 --> 00:07:07,580 You no longer have your cane. 167 00:07:07,604 --> 00:07:09,910 Yeah. PT said I was ready. I'm glad to have you back. 168 00:07:09,934 --> 00:07:12,024 I would like to join your case. 169 00:07:13,944 --> 00:07:16,960 He's adorable, Dr. Murphy. Welcome back. 170 00:07:16,984 --> 00:07:19,130 Shaun, I'm thrilled to see you, 171 00:07:19,154 --> 00:07:21,519 but I'm not sure this is the case where you want to start 172 00:07:21,543 --> 00:07:23,220 as a new dad. 173 00:07:23,244 --> 00:07:25,850 It is an exciting and challenging surgery. 174 00:07:25,874 --> 00:07:28,270 ♪ 175 00:07:28,294 --> 00:07:29,928 [COOING] 176 00:07:29,952 --> 00:07:32,310 Thank you for coming in on such short notice. 177 00:07:32,334 --> 00:07:34,440 Hello. I am Dr. Shaun Murphy, 178 00:07:34,464 --> 00:07:37,690 attending surgeon and father of a baby boy. 179 00:07:37,714 --> 00:07:40,400 He is two weeks old, and today is my first day back, 180 00:07:40,424 --> 00:07:44,200 but that will not affect my performance as your son's doctor. 181 00:07:44,224 --> 00:07:46,080 Is it true there might be a heart for Jack? 182 00:07:46,104 --> 00:07:49,080 Yes, but the heart isn't available yet, 183 00:07:49,104 --> 00:07:51,504 and we may not get it once it is. 184 00:07:52,024 --> 00:07:53,797 We've been through this before. 185 00:07:54,234 --> 00:07:56,040 Why isn't the heart available yet? 186 00:07:56,064 --> 00:07:58,926 Well, the donor family is still 187 00:07:58,950 --> 00:08:02,300 saying their goodbyes before they turn off life support. 188 00:08:02,324 --> 00:08:06,010 ♪ 189 00:08:06,034 --> 00:08:09,220 Jack is an excellent match for the donor heart, 190 00:08:09,244 --> 00:08:10,600 and his latest echo indicates 191 00:08:10,624 --> 00:08:13,020 that his cardiomyopathy and overall cardiac function 192 00:08:13,044 --> 00:08:15,400 has worsened, so he should be at the top of the list. 193 00:08:15,424 --> 00:08:17,150 I just want to run some additional tests 194 00:08:17,174 --> 00:08:18,440 to make sure he's otherwise healthy. 195 00:08:18,464 --> 00:08:19,990 There is a problem. 196 00:08:20,741 --> 00:08:24,070 There is a small scratch, likely from his fingernails, 197 00:08:24,094 --> 00:08:26,120 which has developed cellulitis and an abscess. 198 00:08:26,144 --> 00:08:28,200 If the infection spreads and he spikes a fever, 199 00:08:28,224 --> 00:08:30,814 Jack will be ineligible for the transplant. 200 00:08:30,960 --> 00:08:33,420 We have to lance and debride it right away. 201 00:08:45,306 --> 00:08:46,476 Morning. 202 00:08:46,936 --> 00:08:48,936 Hi. 203 00:08:49,834 --> 00:08:53,890 This is Steve, our son, who is now two weeks old. 204 00:08:53,914 --> 00:08:56,100 Steve, this is the grumpy man who lives down the hall 205 00:08:56,124 --> 00:08:58,230 and gave you your favorite blanket. 206 00:08:58,254 --> 00:08:59,650 [COOS] 207 00:08:59,674 --> 00:09:02,280 Shaun was very impressed you guessed his first name. 208 00:09:02,304 --> 00:09:04,014 Wanna take a stab at the middle? 209 00:09:06,094 --> 00:09:07,514 Aaron. 210 00:09:08,121 --> 00:09:09,830 I was lobbying pretty hard for Bowie, 211 00:09:09,854 --> 00:09:11,410 because why not name your kid after 212 00:09:11,434 --> 00:09:12,910 the coolest person who every lived? 213 00:09:12,934 --> 00:09:14,660 But... Shaun insisted. 214 00:09:14,684 --> 00:09:16,500 [COOING] 215 00:09:16,524 --> 00:09:17,960 You should come over sometime. 216 00:09:17,984 --> 00:09:19,984 You two both grunt a lot and make strange faces. 217 00:09:22,484 --> 00:09:24,846 I've got a lot going on, so... 218 00:09:25,406 --> 00:09:27,391 We live next door. You have nothing going on. 219 00:09:29,074 --> 00:09:31,562 You're mad. And I get it. 220 00:09:31,994 --> 00:09:35,770 But are you really gonna ignore Shaun and Steve and me forever? 221 00:09:35,794 --> 00:09:37,100 Is that the plan? 222 00:09:37,124 --> 00:09:39,100 [ELEVATOR BELL DINGS] 223 00:09:39,124 --> 00:09:41,270 I'm not ignoring you. 224 00:09:41,294 --> 00:09:42,804 And he's beautiful. 225 00:09:45,174 --> 00:09:46,570 Congratulations. 226 00:09:46,594 --> 00:09:51,410 ♪ 227 00:09:51,434 --> 00:09:52,660 [SOFTLY] I tried. 228 00:09:52,684 --> 00:09:56,580 ♪ 229 00:09:56,604 --> 00:09:58,750 Any cyanosis while eating? 230 00:09:58,774 --> 00:10:02,090 Maybe a hint of bluishness on her lips last night. 231 00:10:02,114 --> 00:10:03,460 I haven't noticed anything. 232 00:10:03,484 --> 00:10:05,760 But given her prior surgery and the Turner syndrome, 233 00:10:05,784 --> 00:10:07,724 I thought we should... 234 00:10:09,016 --> 00:10:11,914 The blood flow is reduced. 235 00:10:12,227 --> 00:10:14,720 It looks like Eden's aortic stenosis 236 00:10:14,744 --> 00:10:17,649 has progressed more rapidly than we were expecting. 237 00:10:19,294 --> 00:10:21,584 Can we put her on beta blockers? 238 00:10:22,112 --> 00:10:26,240 We can try, but given how dysplastic the valve is, 239 00:10:26,264 --> 00:10:28,400 I don't think it will do much good. 240 00:10:28,424 --> 00:10:30,746 You'll want to get more imaging, but... 241 00:10:31,144 --> 00:10:34,240 I think Eden's gonna need another surgery... very soon. 242 00:10:34,264 --> 00:10:41,064 ♪ 243 00:10:47,462 --> 00:10:51,080 Cardiac MRI confirmed severe narrowing of the valve, 244 00:10:51,104 --> 00:10:53,550 obstruction, and left ventricular dysfunction. 245 00:10:53,574 --> 00:10:54,840 Eden needs a new aortic valve, 246 00:10:54,864 --> 00:10:57,670 or her heart failure will get worse. 247 00:10:57,694 --> 00:10:59,930 Are you thinking mechanical or cryopreserved homograft 248 00:10:59,954 --> 00:11:01,390 for the replacement? 249 00:11:01,414 --> 00:11:03,510 Mechanical valve for a neonate needs to be built, 250 00:11:03,534 --> 00:11:05,220 and it will require future surgeries 251 00:11:05,244 --> 00:11:07,180 plus lifetime blood thinners. 252 00:11:07,204 --> 00:11:09,940 Cryopreserved valves risk degeneration down the line, 253 00:11:09,964 --> 00:11:12,020 but it is a solid idea, 254 00:11:12,044 --> 00:11:14,230 especially as part of the Ross Procedure. 255 00:11:14,254 --> 00:11:15,900 Possible complications? 256 00:11:15,924 --> 00:11:18,951 Aortic insufficiency, pulmonary stenosis. 257 00:11:22,304 --> 00:11:24,280 We can take some time, discuss the different options... 258 00:11:24,304 --> 00:11:25,790 Do the Ross Procedure. 259 00:11:25,814 --> 00:11:31,830 ♪ 260 00:11:31,854 --> 00:11:33,630 I'll have Asher get her prepped. 261 00:11:33,654 --> 00:11:38,970 ♪ 262 00:11:38,994 --> 00:11:41,864 [COOING] 263 00:11:43,704 --> 00:11:45,430 It's time to get off the sidelines. 264 00:11:45,454 --> 00:11:47,310 I'm not sure what you're referring to. 265 00:11:47,334 --> 00:11:48,680 Are you gonna throw me a ball? 266 00:11:48,704 --> 00:11:49,850 You've run the hospital before. 267 00:11:49,874 --> 00:11:51,390 You can handle a few more months. 268 00:11:51,414 --> 00:11:53,610 I can, but why would I want to? 269 00:11:53,634 --> 00:11:55,174 - That's a no? - Yes. 270 00:11:55,863 --> 00:11:58,530 Get ready for Interim President O'Brien. 271 00:11:58,554 --> 00:12:00,240 They would never. 272 00:12:00,264 --> 00:12:03,240 That's like Mao meets Basil Fawlty. 273 00:12:03,264 --> 00:12:05,700 Wow. That's two obscure and dated references. 274 00:12:05,724 --> 00:12:07,410 They're never gonna move on O'Brien. 275 00:12:07,434 --> 00:12:10,200 Well, apparently, he's on the Board's short list. 276 00:12:10,224 --> 00:12:13,250 Throw your hat in the ring, he won't stand a chance. 277 00:12:13,274 --> 00:12:16,509 My hat's gonna stay on my head, but I'll handle it. 278 00:12:17,774 --> 00:12:19,260 JORDAN: Okay, Jack. 279 00:12:19,284 --> 00:12:21,720 You know that little bump behind your ear? 280 00:12:21,744 --> 00:12:23,890 We have to poke it with something sharp, 281 00:12:23,914 --> 00:12:26,140 which will hurt, but we have to do it 282 00:12:26,164 --> 00:12:28,244 so hopefully you can get a new heart. 283 00:12:30,624 --> 00:12:33,902 But Mr. Snugglepuff is here to keep you company. 284 00:12:36,794 --> 00:12:39,650 Asher said the taco truck added chorizo to the menu, 285 00:12:39,674 --> 00:12:41,320 and it's bussin'. 286 00:12:41,344 --> 00:12:44,860 The next late night, we should share an order. 287 00:12:44,884 --> 00:12:46,780 Not really my thing. Thanks. 288 00:12:46,804 --> 00:12:48,160 The sheet papoose is secure. 289 00:12:48,184 --> 00:12:50,950 Good. Dr. Kalu, cradle the baby. 290 00:12:50,974 --> 00:12:54,630 Dr. Allen, sterilize the area behind the ear. 291 00:12:55,604 --> 00:13:05,510 ♪ 292 00:13:05,534 --> 00:13:07,050 Okay, baby, don't look. 293 00:13:07,074 --> 00:13:11,180 His eyes are not yet able to focus beyond 8 to 12 inches. 294 00:13:11,204 --> 00:13:19,820 ♪ 295 00:13:19,844 --> 00:13:22,150 KALU: The abscess is pretty deep. 296 00:13:22,174 --> 00:13:24,280 It may take a while to heal. 297 00:13:24,304 --> 00:13:26,070 What about a wound vac? 298 00:13:26,094 --> 00:13:27,990 We don't have one small enough. 299 00:13:28,014 --> 00:13:29,450 ♪ 300 00:13:29,474 --> 00:13:30,684 It's okay. 301 00:13:34,295 --> 00:13:35,710 Maggots. 302 00:13:35,734 --> 00:13:38,580 How are those better than just using antibiotics? 303 00:13:38,604 --> 00:13:41,050 Maggots work faster to clear necrotic debris 304 00:13:41,074 --> 00:13:43,260 on account of the antimicrobial nature 305 00:13:43,284 --> 00:13:45,930 of their saliva and other digestive secretions. 306 00:13:45,954 --> 00:13:48,454 It's safe to put those bugs on my baby? 307 00:13:48,768 --> 00:13:50,890 - Larvae. - These are medical maggots. 308 00:13:50,914 --> 00:13:52,310 They've been specially disinfected. 309 00:13:52,334 --> 00:13:53,366 It's completely safe. 310 00:13:53,390 --> 00:13:56,859 I would use maggots on my son, Steve, in this situation. 311 00:13:57,674 --> 00:13:59,480 That is unlikely to happen, 312 00:13:59,504 --> 00:14:01,610 but I hope the parallel puts you at ease. 313 00:14:01,634 --> 00:14:04,264 ♪ 314 00:14:04,509 --> 00:14:05,719 Go ahead. 315 00:14:05,744 --> 00:14:06,944 Hm! 316 00:14:06,969 --> 00:14:13,540 ♪ 317 00:14:13,564 --> 00:14:15,160 You want some coffee? 318 00:14:15,184 --> 00:14:17,540 Or I have a stash of protein bars in my office. 319 00:14:17,564 --> 00:14:19,290 I'm fine, thanks. 320 00:14:19,314 --> 00:14:21,300 But if you want something, go ahead. 321 00:14:31,143 --> 00:14:33,271 What's your family here for? 322 00:14:34,704 --> 00:14:38,504 A heart transplant, hopefully, for our son, Jack. 323 00:14:38,776 --> 00:14:40,044 How old is he? 324 00:14:40,111 --> 00:14:41,633 12 weeks. 325 00:14:42,113 --> 00:14:44,480 Oh. My daughter, Eden, is 11 weeks. 326 00:14:44,504 --> 00:14:47,076 She's having heart surgery right now. 327 00:14:47,594 --> 00:14:49,578 Y'all will be in my prayers. 328 00:14:52,206 --> 00:14:54,830 Is this Jack's first surgery? 329 00:14:54,854 --> 00:14:56,540 He's had other procedures, 330 00:14:56,564 --> 00:14:59,104 but this would be his first open heart surgery. 331 00:15:00,090 --> 00:15:01,680 If it happens. 332 00:15:04,114 --> 00:15:08,220 When it happens, I recommend Biafine cream for post-op. 333 00:15:08,244 --> 00:15:10,712 It contains a natural compound called trolamine. 334 00:15:10,736 --> 00:15:13,180 It really helped with Eden's recovery. 335 00:15:13,204 --> 00:15:15,390 How many surgeries has your daughter had? 336 00:15:15,414 --> 00:15:17,310 Uh, one. At seven weeks. 337 00:15:17,334 --> 00:15:18,390 Hmm. 338 00:15:18,414 --> 00:15:20,568 Eden and I are old hands. 339 00:15:21,214 --> 00:15:24,238 You're two very resilient ladies. 340 00:15:25,239 --> 00:15:27,950 I'm Kate Pierce. This is my husband, Owen. 341 00:15:29,514 --> 00:15:30,700 Morgan Reznick. 342 00:15:30,724 --> 00:15:34,200 ♪ 343 00:15:34,224 --> 00:15:35,564 Alex Park. 344 00:15:38,044 --> 00:15:39,331 Would you like to... 345 00:15:39,355 --> 00:15:49,970 ♪ 346 00:15:49,994 --> 00:15:53,470 Yeah! You can do it! Come on. 347 00:15:53,494 --> 00:15:56,680 Oh! There you go! You got it! You got it! 348 00:15:56,704 --> 00:15:59,810 - [CELLPHONE BUZZING] - You got it! 349 00:15:59,834 --> 00:16:02,230 Hi, Daddy. How is it being back at work? 350 00:16:02,254 --> 00:16:05,020 I just applied maggots to a baby a few months older than Steve. 351 00:16:05,044 --> 00:16:07,320 - [STEVE COOS] - Is that Steve? 352 00:16:07,344 --> 00:16:09,690 He is supposed to be asleep. 353 00:16:09,714 --> 00:16:11,860 Mm. He's doing well with tummy time. 354 00:16:11,884 --> 00:16:13,740 And you mentioned yesterday he was behind, 355 00:16:13,764 --> 00:16:16,620 so I thought I'd add a few extra minutes. 356 00:16:16,644 --> 00:16:18,370 No, no. 357 00:16:18,394 --> 00:16:21,620 Tummy time should not be extended into his sleep window. 358 00:16:21,644 --> 00:16:23,420 Did you not get the app alert? 359 00:16:23,444 --> 00:16:25,420 You are seven minutes into nap time. 360 00:16:25,444 --> 00:16:28,460 Nope. I guess I missed it. 361 00:16:28,484 --> 00:16:30,260 Delaying his nap could make him overtired 362 00:16:30,284 --> 00:16:32,010 or delay his next feeding. 363 00:16:32,034 --> 00:16:33,930 The schedule is very important. 364 00:16:33,954 --> 00:16:36,470 I know, Shaun, I know. It's just a few extra minutes. 365 00:16:36,494 --> 00:16:40,231 Eight minutes. That is not a few. It is several. 366 00:16:41,315 --> 00:16:43,464 Uh, I should go put Steve down. 367 00:16:43,818 --> 00:16:45,190 Bye-bye. 368 00:16:45,214 --> 00:16:46,520 Okay. 369 00:16:46,544 --> 00:16:47,714 [CELLPHONE BUZZES] 370 00:16:48,924 --> 00:16:50,134 Oh. 371 00:16:54,554 --> 00:16:56,160 We had to abort the procedure. 372 00:16:56,184 --> 00:16:58,240 Eden has a bicuspid pulmonary valve. 373 00:16:58,264 --> 00:17:01,410 There wasn't enough tissue to attach it to the aorta. 374 00:17:01,434 --> 00:17:03,964 And we observed leaking at the valve. 375 00:17:07,383 --> 00:17:09,683 Her heart is failing even faster than we thought. 376 00:17:10,309 --> 00:17:11,889 I'm so sorry. 377 00:17:13,070 --> 00:17:14,610 What's our next move? 378 00:17:17,454 --> 00:17:19,850 Oh. The maggots worked! 379 00:17:19,874 --> 00:17:21,100 Baby Jack's infection has cleared, 380 00:17:21,124 --> 00:17:23,084 and the heart is on its way here. 381 00:17:23,649 --> 00:17:25,350 Eden has two bad valves 382 00:17:25,374 --> 00:17:27,652 and rapidly progressing heart failure. 383 00:17:29,196 --> 00:17:32,360 We have one donor heart and two babies who need it. 384 00:17:32,384 --> 00:17:35,384 ♪ 385 00:17:39,894 --> 00:17:42,040 It's up to us to decide which baby gets this heart. 386 00:17:42,064 --> 00:17:43,800 Jack has been waiting for three months. 387 00:17:43,824 --> 00:17:45,460 A transplant is his only option. 388 00:17:45,484 --> 00:17:46,920 He could go on a V.A.D. until another heart is available. 389 00:17:46,944 --> 00:17:47,994 KALU: That could take months. 390 00:17:48,018 --> 00:17:49,598 And a V.A.D. isn't a good option for Jack because of the... 391 00:17:49,622 --> 00:17:51,976 Morgan. Morgan. 392 00:17:52,977 --> 00:17:54,760 You can't be here. Neither of you. 393 00:17:54,784 --> 00:17:56,270 I can't be anywhere else, 394 00:17:56,294 --> 00:17:58,714 so either someone should sedate me or... 395 00:17:59,013 --> 00:18:01,173 Well, that can be arranged. 396 00:18:02,924 --> 00:18:05,150 It's only a problem that Park and I are here 397 00:18:05,174 --> 00:18:07,785 if we influence your decision, so don't let us. 398 00:18:09,400 --> 00:18:10,700 I won't say a word. 399 00:18:17,816 --> 00:18:19,186 Dr. Kalu? 400 00:18:19,337 --> 00:18:21,120 Yeah, um... 401 00:18:21,144 --> 00:18:23,460 as far as the V.A.D. for Jack, he's underweight, 402 00:18:23,484 --> 00:18:25,130 so a high risk of complications, 403 00:18:25,154 --> 00:18:27,090 infections, bleeding, stroke. 404 00:18:27,114 --> 00:18:30,266 It's not a great option for Eden, either. 405 00:18:31,574 --> 00:18:33,850 Eden can go on ECMO while we're waiting 406 00:18:33,874 --> 00:18:35,930 for mechanical replacement valves. 407 00:18:35,954 --> 00:18:38,390 ECMO has risks, especially for a baby with Turner syndrome. 408 00:18:38,414 --> 00:18:40,060 And the longer she's on it, the greater the risk 409 00:18:40,084 --> 00:18:42,480 of serious complications. 410 00:18:42,504 --> 00:18:44,424 The valves may not get here in time. 411 00:18:48,150 --> 00:18:49,910 Care to weigh in, Dr. Murphy? 412 00:18:52,804 --> 00:18:58,120 Jack and Eden are equally good matches to the donor heart 413 00:18:58,144 --> 00:19:00,254 based on size and blood type. 414 00:19:03,133 --> 00:19:04,343 Anything else? 415 00:19:09,404 --> 00:19:11,130 It's okay, Shaun. 416 00:19:11,154 --> 00:19:18,640 ♪ 417 00:19:18,664 --> 00:19:20,274 Without this heart... 418 00:19:21,676 --> 00:19:23,596 Jack will die. 419 00:19:24,964 --> 00:19:28,110 Eden may also die without it. 420 00:19:28,134 --> 00:19:30,576 But she has other options. 421 00:19:31,384 --> 00:19:33,724 They are risky, but they are options. 422 00:19:36,684 --> 00:19:38,330 Jack should get the heart. 423 00:19:38,354 --> 00:19:45,880 ♪ 424 00:19:45,904 --> 00:19:48,130 We'll put Eden on ECMO tonight. 425 00:19:48,154 --> 00:19:50,170 ♪ 426 00:19:50,194 --> 00:19:53,880 And I'll contact Abbott about getting the 15-millimeter valves ASAP. 427 00:19:53,904 --> 00:20:04,690 ♪ 428 00:20:04,714 --> 00:20:08,310 Hey. I'm sorry. Can we rain-check tonight? 429 00:20:08,334 --> 00:20:10,730 I'm exhausted, and Jerome promised 430 00:20:10,754 --> 00:20:13,326 that we could watch a nice crime procedural. 431 00:20:13,804 --> 00:20:16,110 Sometimes you need a case of the week. 432 00:20:16,134 --> 00:20:18,070 Yeah. 433 00:20:18,094 --> 00:20:19,950 Mm-hmm. 434 00:20:19,974 --> 00:20:23,290 ♪ 435 00:20:23,314 --> 00:20:25,290 Mmm! My favorite! 436 00:20:25,314 --> 00:20:27,380 One cheddar brisket with mild sauce 437 00:20:27,404 --> 00:20:30,130 so little Steve's next meal doesn't burn his mouth. 438 00:20:30,154 --> 00:20:33,972 You are a treasure. I am starving. 439 00:20:34,681 --> 00:20:35,760 Thank you. 440 00:20:35,784 --> 00:20:36,954 Mm-hmm. 441 00:20:38,114 --> 00:20:40,640 Poor Eden, having to go on ECMO. 442 00:20:40,664 --> 00:20:42,310 And poor Morgan and Park. 443 00:20:42,334 --> 00:20:44,874 It's... been a day. 444 00:20:45,300 --> 00:20:48,220 And how are you holding up? Without Perez? 445 00:20:51,294 --> 00:20:55,820 Everything that happens, at home or at work, 446 00:20:55,844 --> 00:20:58,240 he's the first person I want to tell. 447 00:20:58,264 --> 00:20:59,740 Mm-hmm. 448 00:20:59,764 --> 00:21:01,370 And I can't. 449 00:21:01,394 --> 00:21:03,292 Or I shouldn't. 450 00:21:04,085 --> 00:21:06,063 I really miss him. 451 00:21:06,295 --> 00:21:08,170 You can tell me everything. 452 00:21:08,194 --> 00:21:10,210 If it's too surgical, I may not understand it, 453 00:21:10,234 --> 00:21:13,800 but I am excellent at nodding and acting interested. 454 00:21:13,824 --> 00:21:15,055 Mm! 455 00:21:16,055 --> 00:21:19,350 I'm here for you. So is Asher. 456 00:21:21,034 --> 00:21:23,850 What's going on? Tell me. 457 00:21:23,874 --> 00:21:25,270 Babies are terrible at gossip. 458 00:21:25,294 --> 00:21:27,276 [CHUCKLES] 459 00:21:27,834 --> 00:21:30,310 Asher and I were supposed to hang out tonight, 460 00:21:30,334 --> 00:21:31,560 just the two of us. 461 00:21:31,584 --> 00:21:32,570 [STEVE FUSSING] 462 00:21:32,594 --> 00:21:33,937 Do you need to check on him? 463 00:21:33,961 --> 00:21:35,490 No. If he smells me, I'll never get out of there. 464 00:21:35,514 --> 00:21:36,950 He'll settle back down. 465 00:21:36,974 --> 00:21:38,820 So you and Asher had plans... 466 00:21:38,844 --> 00:21:40,910 He blew me off... for Jerome... 467 00:21:40,934 --> 00:21:43,950 because he had a hard day on Eden's case, which I get, 468 00:21:43,974 --> 00:21:45,410 but I had a hard day, too. 469 00:21:45,434 --> 00:21:46,450 Mm-hmm. 470 00:21:46,474 --> 00:21:49,420 [CRYING] 471 00:21:49,444 --> 00:21:51,000 Steve's not settling. 472 00:21:51,024 --> 00:21:53,210 Well, he can wait a minute. You had a hard day, too? 473 00:21:53,234 --> 00:21:55,710 It... It just seems like everybody has someone except... 474 00:21:55,734 --> 00:21:59,180 [CRYING CONTINUES] 475 00:21:59,204 --> 00:22:00,720 Go. 476 00:22:00,744 --> 00:22:02,600 I am so sorry. I-I will be right back. 477 00:22:02,624 --> 00:22:04,600 I swear. 478 00:22:04,624 --> 00:22:05,890 Mm. 479 00:22:05,914 --> 00:22:10,350 ♪ 480 00:22:10,374 --> 00:22:11,400 [DOOR OPENS] 481 00:22:11,424 --> 00:22:18,950 ♪ 482 00:22:18,974 --> 00:22:21,038 You didn't have to do this, Shaun. 483 00:22:22,014 --> 00:22:25,030 I am more thorough than anyone else in this hospital. 484 00:22:25,054 --> 00:22:28,000 ♪ 485 00:22:28,024 --> 00:22:29,960 Starting ECMO. 486 00:22:29,984 --> 00:22:32,380 [BEEP] 487 00:22:32,404 --> 00:22:48,980 ♪ 488 00:22:49,004 --> 00:22:51,480 LIM: I just got an e-mail from Gail on the Board. 489 00:22:51,504 --> 00:22:54,770 I'm suddenly a top candidate for Interim President? 490 00:22:54,794 --> 00:22:56,594 You're welcome. 491 00:22:56,864 --> 00:22:58,610 I don't want that job. 492 00:22:58,634 --> 00:23:01,780 It's bet... better you than O'Brien. 493 00:23:01,804 --> 00:23:03,360 You're a good manager, you're... 494 00:23:03,384 --> 00:23:04,950 you're well-respected, 495 00:23:04,974 --> 00:23:07,240 and, you know, as a diverse woman... 496 00:23:07,264 --> 00:23:08,790 People aren't diverse. 497 00:23:08,814 --> 00:23:10,330 I'm part of an underrepresented group. 498 00:23:10,354 --> 00:23:12,670 Right. That. Makes you an ideal candidate. 499 00:23:12,694 --> 00:23:14,944 Look. Gail loved the idea. 500 00:23:15,341 --> 00:23:17,193 I hate you. You're welcome. 501 00:23:18,654 --> 00:23:19,880 [CRYING] 502 00:23:19,904 --> 00:23:23,890 Shh, shh, shh. Shh, shh, shh. 503 00:23:23,914 --> 00:23:26,760 SHAUN: I am glad to see you, Steve, 504 00:23:26,784 --> 00:23:28,770 but you are not supposed to be awake. 505 00:23:28,794 --> 00:23:31,020 Yeah, I-I fell asleep during his afternoon nap. 506 00:23:31,044 --> 00:23:33,100 We didn't wake up until 4:30. 507 00:23:33,124 --> 00:23:36,400 You need to set an alarm. The schedule is very important. 508 00:23:36,424 --> 00:23:38,270 I know. I know. 509 00:23:38,294 --> 00:23:40,554 [CRYING CONTINUES] 510 00:23:43,014 --> 00:23:44,700 Tomorrow I am doing a heart transplant 511 00:23:44,724 --> 00:23:46,990 on a 12-week-old baby. 512 00:23:47,014 --> 00:23:48,700 Okay. You need sleep. 513 00:23:48,724 --> 00:23:50,160 Yes, I do. 514 00:23:50,184 --> 00:23:54,170 Go to bed. I'll handle Steve tonight. 515 00:23:54,194 --> 00:23:55,960 I-I don't think I can. 516 00:23:55,984 --> 00:23:58,170 Shh, it's okay. What about your noise-canceling headphones? 517 00:23:58,194 --> 00:24:01,630 I fall asleep on my side. I cannot do that in those. 518 00:24:01,654 --> 00:24:03,720 Maybe you could go spend the night at Glassman's? 519 00:24:03,744 --> 00:24:05,340 No. 520 00:24:05,364 --> 00:24:07,760 What about your office? Can you sleep there? 521 00:24:07,784 --> 00:24:10,034 [CRYING CONTINUES] 522 00:24:17,924 --> 00:24:55,180 ♪ 523 00:24:55,204 --> 00:24:57,736 We can save them both with one heart. 524 00:25:04,619 --> 00:25:08,310 It's called a Domino Transplant. Jack's heart is failing, 525 00:25:08,334 --> 00:25:09,690 but his valves are healthy, 526 00:25:09,714 --> 00:25:11,320 so when Jack receives the donor heart, 527 00:25:11,344 --> 00:25:13,900 we will use his valves to replace Eden's damaged ones. 528 00:25:13,924 --> 00:25:15,570 A fresh homograft donor means Eden won't need 529 00:25:15,594 --> 00:25:17,910 multiple surgeries or blood thinners. 530 00:25:17,934 --> 00:25:19,910 One heart could save both babies. 531 00:25:19,934 --> 00:25:22,120 What are the chances of valve failure? 532 00:25:22,144 --> 00:25:24,290 Minimal. Jack's valves are very functional 533 00:25:24,314 --> 00:25:26,460 despite his cardiomyopathy. 534 00:25:26,484 --> 00:25:28,290 The odds of success are high. 535 00:25:28,314 --> 00:25:32,678 It's the best option we have... for Eden. 536 00:25:33,234 --> 00:25:35,154 And for Jack? 537 00:25:35,472 --> 00:25:38,011 We would have to be very careful while removing his heart 538 00:25:38,035 --> 00:25:39,970 so as not to damage his valves. 539 00:25:39,994 --> 00:25:42,140 That would mean more time on bypass, 540 00:25:42,164 --> 00:25:44,940 which means a greater risk of bleeding or infection. 541 00:25:45,584 --> 00:25:47,100 It's a lot to ask. 542 00:25:47,124 --> 00:25:49,544 They can always say no. 543 00:25:50,278 --> 00:25:51,691 What would you say? 544 00:25:51,715 --> 00:25:56,700 ♪ 545 00:25:56,724 --> 00:25:58,280 [INDISTINCT CONVERSATIONS] 546 00:25:58,304 --> 00:26:05,660 ♪ 547 00:26:05,684 --> 00:26:07,410 You haven't eaten anything in 24 hours. 548 00:26:07,434 --> 00:26:08,838 I'm fine. 549 00:26:11,154 --> 00:26:13,250 No matter what they decide, we'll get through this. 550 00:26:13,274 --> 00:26:14,420 Don't. 551 00:26:14,444 --> 00:26:15,960 What, try to help? 552 00:26:15,984 --> 00:26:18,784 Yes, exactly. It's pointless and annoying. 553 00:26:21,074 --> 00:26:23,784 You know, I get that you don't think of Eden as mine yet... 554 00:26:24,104 --> 00:26:25,601 and that's why you haven't included me 555 00:26:25,625 --> 00:26:27,560 in any of her medical decisions. 556 00:26:27,584 --> 00:26:29,810 Not that I need that... 557 00:26:29,834 --> 00:26:31,270 or disagree with any of your choices... 558 00:26:31,294 --> 00:26:32,980 Is pissing me off another attempt to distract me? 559 00:26:33,004 --> 00:26:34,940 I'm not trying to pick a fight. 560 00:26:34,964 --> 00:26:37,030 I just want you to know that I love that girl 561 00:26:37,054 --> 00:26:39,494 like she's my own, and... 562 00:26:40,384 --> 00:26:42,410 I'm as scared as you are. 563 00:26:42,434 --> 00:26:45,418 And I wish you'd let me help you because... 564 00:26:46,564 --> 00:26:48,184 we're in this together. 565 00:26:48,510 --> 00:26:49,890 That's it. 566 00:26:51,548 --> 00:26:53,041 And I really don't want you to pass out, 567 00:26:53,065 --> 00:26:55,550 so please eat or drink something. 568 00:26:55,574 --> 00:27:04,180 ♪ 569 00:27:04,204 --> 00:27:08,230 If our baby can save your baby's life, we'd be honored. 570 00:27:08,254 --> 00:27:10,140 [SIGHS] 571 00:27:10,164 --> 00:27:17,690 ♪ 572 00:27:17,714 --> 00:27:20,820 "I'll love you forever, 573 00:27:20,844 --> 00:27:23,070 I'll like you for always. 574 00:27:23,094 --> 00:27:27,292 As long as I'm living, my baby you'll be." 575 00:27:32,604 --> 00:27:35,760 Oh, my God. What a tear-jerker. 576 00:27:37,364 --> 00:27:39,800 We need to find one of Daddy's medical journals. 577 00:27:39,824 --> 00:27:41,010 [CHIME] COMPUTERIZED VOICE: Reminder... 578 00:27:41,034 --> 00:27:43,180 nap time in five minutes. 579 00:27:43,204 --> 00:27:45,390 ♪ 580 00:27:45,414 --> 00:27:46,784 [CELLPHONE BUZZES] 581 00:27:49,084 --> 00:27:52,100 How do I un-sync the baby app from our speaker? 582 00:27:52,124 --> 00:27:55,190 Oh, no. You should not do that. 583 00:27:55,214 --> 00:27:57,820 I set it up so you can remember the schedule. 584 00:27:57,844 --> 00:28:00,570 When it's just me and Steve home during the day, 585 00:28:00,594 --> 00:28:02,650 I like to be a little bit more... 586 00:28:02,674 --> 00:28:04,820 flexible, go with the flow. 587 00:28:04,844 --> 00:28:06,620 I'll just... I'll just unplug it. 588 00:28:06,644 --> 00:28:10,500 It has a battery in case of power outages. 589 00:28:10,524 --> 00:28:13,540 Lea, when I'm at work, 590 00:28:13,564 --> 00:28:16,170 I like knowing what you and Steve are doing. 591 00:28:16,194 --> 00:28:20,638 It makes me feel like I am still a part of his day. 592 00:28:21,284 --> 00:28:22,970 And when Steve gets off his sleep schedule, 593 00:28:22,994 --> 00:28:24,550 I have to go sleep at the hospital, 594 00:28:24,574 --> 00:28:27,140 and I miss you both even more. 595 00:28:27,164 --> 00:28:30,310 Aw, we missed you, too. How did you sleep? 596 00:28:30,334 --> 00:28:32,730 Not well. But I came up with a very good idea 597 00:28:32,754 --> 00:28:34,100 to save both babies. 598 00:28:34,124 --> 00:28:36,150 I have to go prep for my surgery now. I love you. 599 00:28:36,174 --> 00:28:39,020 Dr. Lim, we have a meeting to review... 600 00:28:39,044 --> 00:28:40,610 One minute, Shaun. 601 00:28:40,634 --> 00:28:42,860 Gail, of course, diversity and representation 602 00:28:42,884 --> 00:28:45,160 should be considered, but given this is 603 00:28:45,184 --> 00:28:47,490 an interim position, I think the top priority is 604 00:28:47,514 --> 00:28:50,580 finding someone who can hit the ground running from day one. 605 00:28:50,604 --> 00:28:52,580 And that means someone who's done it before. 606 00:28:52,604 --> 00:28:54,410 He's too modest to sing his own praises, 607 00:28:54,434 --> 00:28:56,370 but I think he's the obvious choice. 608 00:28:56,394 --> 00:28:58,728 Hmm. Compelling argument. 609 00:28:58,752 --> 00:29:00,864 - Thank you. - Oh. 610 00:29:01,136 --> 00:29:05,470 And seniors are also an underrepresented group. 611 00:29:05,494 --> 00:29:08,970 LIM: Dr. Murphy and I will start with Jack in OR 1. 612 00:29:08,994 --> 00:29:11,970 Asher, you'll be with Eden next door getting her ready. 613 00:29:11,994 --> 00:29:14,060 Allen and Kalu, you two will receive the donor heart 614 00:29:14,084 --> 00:29:15,640 and prep it for transplant. 615 00:29:15,664 --> 00:29:19,020 Then Dr. Lim and I will put Jack on bypass 616 00:29:19,044 --> 00:29:20,980 and start cooling him to 25 degrees. 617 00:29:21,004 --> 00:29:22,900 Given his age and underlying medical condition, 618 00:29:22,924 --> 00:29:26,860 he should not be on bypass for longer than two hours. 619 00:29:26,884 --> 00:29:29,530 Putting in Jack's new heart will take about 90 minutes. 620 00:29:29,554 --> 00:29:32,580 That leaves us half an hour to remove the old one. 621 00:29:32,604 --> 00:29:34,660 While Shaun is transplanting the new heart, 622 00:29:34,684 --> 00:29:37,170 I will be excising Jack's valves. 623 00:29:37,194 --> 00:29:39,508 We have zero room for error. 624 00:29:41,024 --> 00:29:42,250 Prep your patients. 625 00:29:42,274 --> 00:29:46,680 ♪ 626 00:29:46,704 --> 00:29:48,744 JORDAN: Exciting case... 627 00:29:49,523 --> 00:29:51,023 Yep. 628 00:29:51,954 --> 00:29:55,732 We're saving two babies at once, and your commentary is "yep"? 629 00:29:57,044 --> 00:29:59,810 - I was agreeing with you. - With as few words as possible, 630 00:29:59,834 --> 00:30:02,488 which you've been doing for the last two weeks. 631 00:30:04,634 --> 00:30:07,014 If you have a problem with me, just tell me. 632 00:30:09,412 --> 00:30:10,642 Okay. 633 00:30:11,088 --> 00:30:14,370 Okay. I have a problem with you and how you handled Perez's case. 634 00:30:14,394 --> 00:30:16,370 - That's completely stupid. - You just said I should tell you. 635 00:30:16,394 --> 00:30:17,870 I didn't say I would agree with you. 636 00:30:17,894 --> 00:30:19,790 You overrode our patient's wishes, 637 00:30:19,814 --> 00:30:21,630 - and Perez is gone because of it. - Perez is alive because of it. 638 00:30:21,654 --> 00:30:24,094 You don't know what would have happened if you'd listened to him. 639 00:30:24,969 --> 00:30:26,590 You made the decision you thought was best. 640 00:30:26,614 --> 00:30:28,364 Didn't matter what anyone else wanted. 641 00:30:28,848 --> 00:30:30,141 I'm sorry, but you don't get to do that 642 00:30:30,165 --> 00:30:32,100 and not deal with the consequences. 643 00:30:32,124 --> 00:30:33,770 The consequences? 644 00:30:34,284 --> 00:30:36,520 I lost someone I care about a lot, 645 00:30:36,544 --> 00:30:38,942 and I miss him every day. 646 00:30:39,664 --> 00:30:42,770 I'm really trying hard to focus on the good things in my life, 647 00:30:42,794 --> 00:30:44,634 the job I love, 648 00:30:44,893 --> 00:30:47,473 the friends I thought I had... 649 00:30:48,674 --> 00:30:53,748 But it feels like everyone is moving on, and I'm just alone. 650 00:30:56,724 --> 00:30:59,370 Spare yourself the burden of punishing me. 651 00:30:59,394 --> 00:31:01,694 [HELICOPTER BLADES WHIRRING] 652 00:31:05,864 --> 00:31:08,130 LIM: Get her prepped, draped, and under anesthesia. 653 00:31:08,154 --> 00:31:09,720 I'll see you in 30 minutes, hopefully. 654 00:31:09,744 --> 00:31:23,980 ♪ 655 00:31:24,004 --> 00:31:26,044 I had an extra set. 656 00:31:27,714 --> 00:31:29,820 You don't have to be Catholic. 657 00:31:29,844 --> 00:31:32,280 They can just be a reminder that you're not alone. 658 00:31:32,304 --> 00:31:34,660 ♪ 659 00:31:34,684 --> 00:31:35,990 Thank you. 660 00:31:36,014 --> 00:31:52,404 ♪ 661 00:31:59,454 --> 00:32:03,200 SHAUN: There is a lot of scar tissue to dissect through. 662 00:32:03,224 --> 00:32:05,370 The cardiomyopathy has caused Jack's heart to enlarge 663 00:32:05,394 --> 00:32:07,754 and adhere to his chest wall. 664 00:32:08,524 --> 00:32:10,580 This will take longer than planned 665 00:32:10,604 --> 00:32:12,840 in order to preserve the valves. 666 00:32:12,864 --> 00:32:14,210 KALU: We inspected the mitral valve. 667 00:32:14,234 --> 00:32:16,380 The atrial septum is intact. The heart looks good. 668 00:32:16,404 --> 00:32:18,010 Dr. Allen, connect the pulmonary veins 669 00:32:18,034 --> 00:32:19,640 to prep the left atrial cuff. 670 00:32:19,664 --> 00:32:21,324 Dr. Kalu, you're with us. 671 00:32:22,954 --> 00:32:26,664 Okay. Increase flows and cool to 25 degrees. 672 00:32:26,924 --> 00:32:27,924 Start the clock. 673 00:32:32,529 --> 00:32:34,650 Come on, Peanut. 674 00:32:34,674 --> 00:32:37,134 We went with the flow, but now it's nap time. 675 00:32:37,700 --> 00:32:40,160 Come on. Settle. 676 00:32:40,804 --> 00:32:42,054 Oh. 677 00:32:44,354 --> 00:32:46,540 [CRYING] 678 00:32:46,564 --> 00:32:48,870 Ohh! We were so close, Peanut. 679 00:32:48,894 --> 00:32:50,620 SHAUN: I need to transect the aorta, 680 00:32:50,644 --> 00:32:53,290 but there are thick adhesions where it meets the valve. 681 00:32:53,314 --> 00:32:55,920 You now only have an hour and 14 minutes to put the new heart in. 682 00:32:55,944 --> 00:32:59,050 The annulus is at the tip of my dissection. 683 00:32:59,074 --> 00:33:01,930 If I nick that, the aortic valve is useless. 684 00:33:01,954 --> 00:33:04,470 Anterior retraction. We're running out of time. 685 00:33:04,494 --> 00:33:06,060 Jack's transplant is at serious risk. 686 00:33:06,084 --> 00:33:07,520 Metz. 687 00:33:07,544 --> 00:33:09,980 Dr. Murphy, you need to abort this procedure. 688 00:33:10,004 --> 00:33:12,520 Shaun, ECMO is still an option for Eden. 689 00:33:12,544 --> 00:33:14,520 - You need to abort... - Got it! 690 00:33:14,544 --> 00:33:20,240 ♪ 691 00:33:20,264 --> 00:33:21,536 The valves are good. 692 00:33:24,264 --> 00:33:25,780 Ready for the donor heart. 693 00:33:25,804 --> 00:33:31,790 ♪ 694 00:33:31,814 --> 00:33:33,818 - How is she? - Ready to go. 695 00:33:33,842 --> 00:33:35,290 NURSE HAWKS: Vitals are great. 696 00:33:35,314 --> 00:33:36,750 Open her chest and start her on bypass 697 00:33:36,774 --> 00:33:38,260 while I recover the valves. 698 00:33:38,284 --> 00:33:41,010 ASHER: Scalpel. How do the valves look? 699 00:33:41,034 --> 00:33:42,970 A little bigger than we measured on imaging. 700 00:33:42,994 --> 00:33:45,430 Makes the anastomosis challenging. 701 00:33:45,454 --> 00:33:47,720 But it can still work? 702 00:33:47,744 --> 00:33:49,140 It has to. 703 00:33:49,164 --> 00:33:54,714 ♪ 704 00:33:54,987 --> 00:33:56,447 Hm. 705 00:33:59,174 --> 00:34:00,050 [CHIME] 706 00:34:00,074 --> 00:34:01,990 Feeding time starting in five minutes. 707 00:34:02,014 --> 00:34:03,910 - [CRYING] - Shh. 708 00:34:03,934 --> 00:34:05,644 [WHIMPERS] 709 00:34:07,724 --> 00:34:09,750 LIM: It's not seating perfectly. 710 00:34:09,774 --> 00:34:11,330 Let's try a purse string suture. 711 00:34:11,354 --> 00:34:13,000 ASHER: 7-0 Prolene. 712 00:34:13,024 --> 00:34:21,880 ♪ 713 00:34:21,904 --> 00:34:23,340 Got it. Saline. 714 00:34:23,364 --> 00:34:27,390 ♪ 715 00:34:27,414 --> 00:34:29,704 There's a paravalvular leak at the aortic. 716 00:34:31,414 --> 00:34:32,850 How about pledgeted sutures? 717 00:34:32,874 --> 00:34:35,964 In an infant this small, that could cause stenosis. 718 00:34:36,357 --> 00:34:37,857 We try again. 719 00:34:38,760 --> 00:34:40,115 7-0 Prolene. 720 00:34:42,014 --> 00:34:43,570 JORDAN: It's been almost two and a half hours. 721 00:34:43,594 --> 00:34:44,910 We need to get him off bypass. 722 00:34:44,934 --> 00:34:46,620 The aortic anastomosis is complete. 723 00:34:46,644 --> 00:34:49,416 Unclamp the aorta and start rewarming. 724 00:34:50,751 --> 00:34:51,877 KALU: Now what? 725 00:34:54,894 --> 00:34:57,880 We wait... and hope his heart starts beating. 726 00:34:57,904 --> 00:35:12,310 ♪ 727 00:35:12,334 --> 00:35:14,810 It's been almost three hours. Do you think something's wrong? 728 00:35:14,834 --> 00:35:27,870 ♪ 729 00:35:27,894 --> 00:35:29,870 ASHER: The sutures are holding. 730 00:35:29,894 --> 00:35:32,418 LIM: Now the little thing just has to beat. 731 00:35:32,814 --> 00:35:35,120 Start warming her up. Decrease the flows. 732 00:35:35,144 --> 00:35:39,590 ♪ 733 00:35:39,614 --> 00:35:41,340 [FLATLINE] 734 00:35:41,364 --> 00:35:46,470 ♪ 735 00:35:46,494 --> 00:35:47,890 SHAUN: We need to shock him. 736 00:35:47,914 --> 00:35:52,140 ♪ 737 00:35:52,164 --> 00:35:53,220 Clear! 738 00:35:53,244 --> 00:35:54,141 [PADDLES WHINE] 739 00:35:54,165 --> 00:35:55,480 [THUMP] 740 00:35:55,504 --> 00:35:57,294 [FLATLINE] 741 00:36:00,150 --> 00:36:01,200 Again. 742 00:36:06,504 --> 00:36:17,200 ♪ 743 00:36:17,224 --> 00:36:19,070 The surgeries were successful. 744 00:36:19,094 --> 00:36:20,870 Both your babies are doing very well, 745 00:36:20,894 --> 00:36:22,792 and you can see them soon. 746 00:36:23,184 --> 00:36:24,830 Thank you. 747 00:36:24,854 --> 00:36:27,854 ♪ 748 00:36:28,380 --> 00:36:29,882 Thank you. 749 00:36:30,883 --> 00:36:32,670 You saved our daughter. 750 00:36:32,694 --> 00:36:35,654 ♪ 751 00:36:35,971 --> 00:36:37,681 You are welcome. 752 00:36:39,350 --> 00:36:41,431 I miss my baby. I'm going home now. 753 00:36:41,455 --> 00:36:43,680 [LAUGHTER] 754 00:36:43,704 --> 00:36:49,440 ♪ 755 00:36:49,464 --> 00:36:51,360 Alright. Let me just jump in the shower. 756 00:36:51,384 --> 00:36:53,230 And then I'm good to go. 757 00:36:53,254 --> 00:36:55,320 Go home to your man. 758 00:36:55,344 --> 00:36:57,070 It's okay. 759 00:36:57,094 --> 00:36:59,280 Bless you. Tomorrow? 760 00:36:59,304 --> 00:37:00,201 Mm-hmm. 761 00:37:00,225 --> 00:37:14,864 ♪ 762 00:37:18,654 --> 00:37:23,324 You're right. This chorizo is... 763 00:37:23,870 --> 00:37:25,420 What'd you call it? 764 00:37:26,084 --> 00:37:27,270 Bussin'. 765 00:37:27,294 --> 00:37:30,610 Right. Definitely bussin'. 766 00:37:35,134 --> 00:37:37,110 I thought we could share an order. 767 00:37:37,134 --> 00:37:50,040 ♪ 768 00:37:50,064 --> 00:37:51,960 Tell me you didn't forget the hot sauce. 769 00:37:51,984 --> 00:37:59,550 ♪ 770 00:37:59,574 --> 00:38:01,324 [FUSSING] 771 00:38:03,114 --> 00:38:05,095 - Hello. - Hm... 772 00:38:05,119 --> 00:38:07,010 Why is Steve awake? 773 00:38:07,034 --> 00:38:08,600 [DOOR CLOSES] 774 00:38:08,624 --> 00:38:09,874 You look terrible. 775 00:38:10,482 --> 00:38:11,794 [CHUCKLES] 776 00:38:12,025 --> 00:38:13,730 Thank you. 777 00:38:13,754 --> 00:38:16,360 Steve has been fed, burped, changed, 778 00:38:16,384 --> 00:38:20,744 and woken from his haphazard nap by a speaker reminder. 779 00:38:22,384 --> 00:38:24,370 How's Eden? 780 00:38:24,394 --> 00:38:27,058 Very good. And Jack's transplant was successful. 781 00:38:27,082 --> 00:38:28,417 Mm. 782 00:38:29,524 --> 00:38:31,934 Parenting can be very hard. 783 00:38:32,254 --> 00:38:33,644 Mm-hmm. 784 00:38:34,173 --> 00:38:36,340 Yeah. I've noticed. 785 00:38:36,364 --> 00:38:40,034 There are many hard choices 786 00:38:40,345 --> 00:38:43,930 about what works best. 787 00:38:43,954 --> 00:38:45,934 People want different things. 788 00:38:48,380 --> 00:38:50,510 I will try to... 789 00:38:52,664 --> 00:38:55,360 ...make room for your way. 790 00:38:57,317 --> 00:38:59,110 The schedule is important, 791 00:38:59,134 --> 00:39:01,492 but I will un-sync the app from the speaker. 792 00:39:02,884 --> 00:39:04,804 I put it out on the fire escape. 793 00:39:06,724 --> 00:39:08,490 Thank you. 794 00:39:08,514 --> 00:39:10,224 I really appreciate it. 795 00:39:12,434 --> 00:39:16,024 But the only room I need right now is the bedroom. 796 00:39:17,614 --> 00:39:20,300 - Okay. - Good night. 797 00:39:20,324 --> 00:39:22,460 I'm borrowing your noise-canceling headphones. 798 00:39:22,484 --> 00:39:24,170 I love you both. 799 00:39:24,194 --> 00:39:29,970 ♪ 800 00:39:29,994 --> 00:39:32,350 [CRYING] 801 00:39:32,374 --> 00:39:41,530 ♪ 802 00:39:41,554 --> 00:39:44,110 Are you kidding me? You recommended me?! 803 00:39:44,134 --> 00:39:45,860 I was just following your example. 804 00:39:45,884 --> 00:39:47,490 See? You're a natural leader. 805 00:39:47,514 --> 00:39:50,030 I'm old. I'm worn out and I'm old. 806 00:39:50,054 --> 00:39:52,450 - You're wise. - I remember rotary phones. 807 00:39:52,474 --> 00:39:54,370 You're vital. You're experienced. 808 00:39:54,394 --> 00:39:56,670 You're the most respected doctor in this hospital. 809 00:39:56,694 --> 00:39:58,963 Aaron, you have institutional knowledge 810 00:39:58,987 --> 00:40:01,500 and a... and a natural, unexplainable gravitas. 811 00:40:01,524 --> 00:40:04,050 Will you please stop being an idiot and just take the job? 812 00:40:04,074 --> 00:40:05,840 Stop being selfish and stubborn. 813 00:40:05,864 --> 00:40:07,260 How am I being selfish? I'm... 814 00:40:07,284 --> 00:40:09,726 Oh, you're together. That saves me a stop. 815 00:40:11,353 --> 00:40:13,430 Your recommendations presented the Board 816 00:40:13,454 --> 00:40:14,850 with a very difficult choice. 817 00:40:14,874 --> 00:40:17,350 So we didn't... 818 00:40:17,374 --> 00:40:19,150 choose. 819 00:40:19,174 --> 00:40:21,730 You two are the new Interim Co-Presidents 820 00:40:21,754 --> 00:40:23,634 of St. Bonaventure Hospital. 821 00:40:26,660 --> 00:40:27,911 Congratulations! 822 00:40:27,935 --> 00:40:34,910 ♪ 823 00:40:34,934 --> 00:40:37,830 This is not the schedule, Steve. 824 00:40:37,854 --> 00:40:40,500 Mommy needs to sleep. Daddy needs to sleep. 825 00:40:40,524 --> 00:40:41,790 You need to sleep. 826 00:40:41,814 --> 00:40:43,340 [CRYING] 827 00:40:43,364 --> 00:40:45,380 Please? 828 00:40:45,404 --> 00:40:48,260 Please. We are both very tired. 829 00:40:48,284 --> 00:40:49,720 [CRYING CONTINUES] 830 00:40:49,744 --> 00:40:53,180 Please. We are both very tired. 831 00:40:53,204 --> 00:40:54,390 Hey. 832 00:40:54,414 --> 00:40:56,664 [FUSSING] 833 00:41:03,754 --> 00:41:05,280 I don't know what to do. 834 00:41:05,304 --> 00:41:09,110 I can't go inside because Lea needs to sleep. 835 00:41:09,134 --> 00:41:12,040 I've always been able to get him down before. 836 00:41:13,514 --> 00:41:15,870 Sometimes babies just need to cry. 837 00:41:15,894 --> 00:41:18,144 [CRYING] 838 00:41:21,354 --> 00:41:23,468 Hey. Um... 839 00:41:24,843 --> 00:41:26,880 why don't I take him? 840 00:41:26,904 --> 00:41:28,550 Get some sleep. 841 00:41:28,574 --> 00:41:32,390 ♪ 842 00:41:32,414 --> 00:41:34,640 It's okay. Just get some rest. 843 00:41:34,664 --> 00:41:36,640 ♪ 844 00:41:36,664 --> 00:41:39,310 I will just take a short nap. 845 00:41:39,334 --> 00:41:42,270 ♪ 846 00:41:42,294 --> 00:41:44,360 Take as long as you need. 847 00:41:44,384 --> 00:41:46,134 ♪ 848 00:41:46,519 --> 00:41:47,689 Hey. 849 00:41:49,594 --> 00:41:51,450 Hey. I got you. 850 00:41:51,474 --> 00:41:54,280 Hey. Hey. Hey, hey, hey, hey, hey. 851 00:41:54,304 --> 00:41:56,264 [CRYING STOPS] 852 00:41:58,024 --> 00:42:01,777 I got you. Huh. I got you. 853 00:42:01,837 --> 00:42:04,920 [COOING] 854 00:42:04,944 --> 00:42:07,760 ♪ 855 00:42:07,784 --> 00:42:09,722 I'm Grandpa... 856 00:42:10,824 --> 00:42:12,260 in case you were wondering. 857 00:42:12,284 --> 00:42:20,390 ♪ 858 00:42:20,414 --> 00:42:22,044 [CHUCKLES] 859 00:42:30,726 --> 00:42:58,926 ♪ 60059

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