All language subtitles for The Good Doctor. S02E05 - Carrots. 1080p. WEB. H264-MEMENTO - mx

We should not live
together.

That makes no sense.

I rented that apartment,

and neither of us
can afford it on our own.

It has a fireplace.

We shouldn't
live together.

It has a fireplace.

Do you ever
think about us

being together

as a couple?

Sometimes.

I don't want that.

You don't want us
to be a couple?

Or you don't want me thinking
about us as a couple?

Neither.

If we get
an apartment together,

I feel like
that's a signal

that you and I might end up,
as

boyfriend and girlfriend,

and that's
not going to happen.

You can't
predict the future.

Feelings change.

I used to hate hugs,
but now,

sometimes I don't.

But I don't want
my feelings to change.

I like
being your friend,

and romantic relationships
are... Are unpredictable.

So much can go wrong,
especially when I am involved.

And if we live together,
it's gonna be awkward.

You're bound to walk in on me
when I'm naked

or hear the weird
sex sounds I make

with some out-of-work
drummer

or find me crying
when that drummer dumps me,

even though I was
totally gonna dump him.

I was so unhappy

when we weren't
getting along.

You were, too, right?

Yes.

Anything that puts our friendship
at risk isn't worth it to me.

Okay, Shaun?

Yes.

Our gallbladder
removal's off.

Patient took an Ambien
last night,

woke up eating
a roast chicken.

Let's check
the consult list

for something
a little more interesting.

- See? Gallbladders are boring.
- You're a resident.

You don't get to call
any surgery boring.

See?

This is
interesting.

Fizzy urine.

42-year-old female,
syncopal episode

with persistent loss
of consciousness.

On the ride, she went into PVT,
rate of 180.

We shocked her back
to normal sinus rhythm.

I'm starting to feel...

She's going
back into PVT.

We need to shock her.
Get her into a bay. No. No.

That was cool, but you may
have just cracked her sternum.

Get her into bay two.
What happened?

You're her husband?
Yes.

Your wife
is pretty frail.

Any idea what could
have caused that?

She did.

She's anorexic.

*THE GOOD DOCTOR*
Season 02 Episode 05

*THE GOOD DOCTOR*
Episode Title: "Carrots"

I'm Dr. Murphy.
This is Dr. Park.

We're here
about your urine.

How long
has it been fizzy?

I hadn't even noticed.
Is that a problem?

Ah, it can be a symptom of several
conditions, many of them minor.

You're here for ortho...
A scope on your right knee?

It's been sore.
I've been training for a race.

Joint pain
plus fizzy urine.

You could have
emphysematous cystitis,

bladder cancer,
kidney problems...

Those sound serious.
Should I call my husband?

Emphysematous cystitis is
a treatable bladder infection.

Your symptoms
could also be from

a kidney stone
or dehydration.

Could my issues be caused
by gastric bypass surgery?

It depends.
When was it?

Fifteen years ago.

I used to be
377 pounds.

That's a lot.

Your surgery wouldn't cause
those symptoms,

but we need to do a cystoscopy
to find out what did.

I'll cancel the ortho
and get Lim to sign off.

Hey, wait.
What...

So, what is
a cystoscopy?

It's like
a knee scope,

except the camera
goes up your penis.

You administered
amiodarone?

Rhythm's normal.

That's good,
right?

It's better than
when you came in.

Your heart
is failing

as a result of a condition
called mitral regurgitation.

One of your valves
isn't closing all the way.

Blood keeps leaking back
into your atrium.

That's why you fainted and why we
need to repair that valve ASAP.

How long
have you been anorexic?

I've had
issues with food

on and off
since I was 14.

Mitral valve issues
are a frequent complication

of long-term
malnutrition.

This bout started
about a year ago.

Skipping meals,
lying about eating,

exercising excessively.

I don't know
what else I can do.

I... I can't monitor her
24 hours a day.

I'm not asking you to.

No, but you are
starving yourself.

Mom.

Graham-y,
come here.

What's he doing here?

When I got home,
I heard about the ambulance.

I made Cindy
bring me here.

What's wrong with my mom?

She needs a surgery to repair
a valve in her heart.

This heart thing, is...
Is that why she's so skinny?

Look,
what matters, Graham,

is that these doctors
are gonna help your mom.

Okay?

You haven't
moved your bowels.

Well, thank you, Shaun,
for that announcement.

Saves me the trouble
of tweeting.

The nurses already knew.
They told me.

They also said you're no longer
talking to your dead daughter.

Constipated, but no longer
psychotic. A narrow win.

Your first
defecation event

is a vital part
of the discharge criteria.

Event? What is this,
the post-op decathlon.?

- Pooping, peeing, walking, talking?
- Yes.

You have to walk
a full lap of the floor.

But you canceled physical
therapy this morning.

Those nurses
have big mouths.

I canceled because
my leg is a little sore.

That could be
phlebitis

- or a DVT or a...
- Could also be

an unsurprising complication

from a surgeon
poking around in my pons.

Every day in the hospital

increases your risk
of infection by 1.37%.

You need to move your bowels,
and we should walk right now.

I'll go very slow.

Shaun,
is there any chance

that you are needed
elsewhere right now?

I... I have eight minutes

until my patient's
cystoscopy.

Good. Be early.

Urethra looks clean.

No lesions,
no stones so far.

How do we check for obstructions
or stones further up?

Contrast cystogram.

Since you found
this patient,

how about
you do the honors?

You know this guy
used to weigh 370 pounds?

Thread the catheter
further into the bladder.

That's a big drop.
Good for him.

He did
have gastric bypass.

That makes it
less impressive?

- Now infuse the contrast.
- Well, yeah,

it is the easy way, compared
to just diet and exercise.

The contrast dye
is dissipating.

It's supposed to.

You said he's training
for a race.

Obviously,
he turned his life around.

Still dissipating.

Bypass made it
physically impossible

for him to eat
as much as he wanted.

It's gone.
The contrast is gone.

- That makes no sense.
- Where did it go?

He probably
has a fistula,

a tunnel connecting
his bladder to his intestine.

Air and bacteria moving
the other direction

caused bubbles
in his urine.

Her liver and thyroid
are normal,

but her electrolytes
are off.

Her albumin
is at 2.1.

She's severely
malnourished.

She'll be totally vulnerable
to post-op infections.

She needs this surgery
to survive,

but she may be too sick
to survive the surgery.

In order
to operate safely,

we need to boost your caloric
intake, optimize protein.

Can't you do that
through my IV?

It's more efficient
to pump a nutritional

supplement directly
into your stomach.

We use a tube
running down from your nose.

I had an NG tube once.

It didn't work.

She couldn't
tolerate it.

Because it's not
really about food.

It's about control.

You've lived for decades

with a condition
that has killed more people

than any other
psychiatric illness.

You didn't just survive.
You had a child.

Can you tell us how?

When I got pregnant,

it was like this
terrifying miracle.

And the thought of gaining
all that weight, but...

I wanted him... so much.

We both did.

Every meal, I would sit with
pictures of his ultrasound,

I... Imagining the food
going directly to him.

Can you do that again?

Eat for Graham?

We've determined
the fistula

between your bladder
and intestine

was caused
by Crohn's disease,

an inflammatory
intestinal condition.

Once we reverse your gastric
bypass,

- you'll need...
- Wait. Rev...

Reverse my bypass?
Are you sure?

Bypass surgery shortens
the digestive tract.

People with
Crohn's disease need

every inch of intestine they
have, or they risk critical,

even fatal
malnutrition.

Okay, but I don't want
my husband to know,

and he'll be here soon.

Well, we would never reveal
anything without your permission,

but Crohn's disease
is going to require

some major
adjustments.

Well, I'll tell Spence
about the Crohn's,

and I'll tell him
I'm having surgery...

On my bladder.

Your husband doesn't know
you had gastric bypass?

That would require him knowing
I was obese to begin with.

That's not
gonna happen.

Your husband
must be very shallow.

Even if I don't disclose that

I reversed your bypass,
your scars might.

It requires
a separate incision.

Well, tell him
there was a complication.

Our obligation to protect your
privacy doesn't include lying.

And you shouldn't have to go
through this without him.

The single abdominal
umbilical port.

We can repair
Wade's fistula

and reverse his bypass

all through
a single incision.

We can help
deceive your husband.

- Oh, honey, I'm so sorry.
- That's okay, Spence.

Got here as soon as I could.
It's all right.

And since my husband is
surrounded by surgeons,

what's the issue,
what are you gonna do about it,

and how often have you
done it successfully?

How are you doing?

I'm fine.

Graham, would you mind
filling this?

You've had
one spoonful of tuna,

two ounces
of apple sauce.

That's it?

Mom, if that's all I had, you'd
never let me up from the table.

This is different.

I can't eat too quickly.
I don't believe you.

It's true.

Your mother is suffering
from severe malnutrition,

and she's trying her best...
I knew it.

You're too skinny.
That's why you're here.

That's probably why
your heart's messed up,

- and you still won't eat.
- Graham, I am trying.

- How hard can it be to eat?
- I'm not feeling well.

Me and Dad
are really worried about you.

- Don't you care?
- Of course I do, Graham.

So much.

Then do something.

Prove it.

You provoked
that argument?

Yep, and I may have just
saved our patient.

She requested an NG tube.

Understanding is nice.
Calories are better.

He's screwing this up.
His husband's scared,

and he just wants to know
what's going on.

Nothing like marital advice
from the divorced.

You're divorced, too.
And I'm not advising.

I'm not judging
the health of a marriage

based on a single secret,
which is neither shocking

nor a sign
of its imminent demise.

What, truth in a marriage
is overrated?

Well, it was in mine.

Not every single insight, opinion,
or impulse needs to be shared.

Marriage sounds
confusing.

No wonder you both
failed at it.

How's it going
in here?

Not as bad
as I remember.

Does it hurt, Mom?

No, just
a little awkward.

Makes it hard to talk.

But I'm okay.

I am so proud of you.

Dr. Glassman
hasn't defecated

or done
his physical therapy.

I am aware
and yet unalarmed.

- Who are you?
- I'm Dr. Shaun Murphy.

Oh, right!

Your Dr. Glassman's...
Friend.

Please order him to do
physical therapy

and give him 15 milligrams
of ex-lax.

The ex-lax
is a decent idea.

As for the physical therapy,
of course, he's stalling.

Glassman's a proud man.
He ran this hospital.

He's reluctant to feel
weak and vulnerable

in front of people
who used to work for him.

That doesn't
make sense.

He is weak.
He just had brain surgery.

Well, sensical or not,
that's my take.

He'll walk eventually.

Every day
in the hospital

increases his risk
of infection

- by 1.37...
- Well, you tell him that,

and maybe
he'll hop right out of bed.

I did.
It didn't work.

He didn't respond
to the stick.

Try the carrot.

Although, really,
I would just advise...

Dr. Glassman
doesn't like carrots.

What should I do
with the stick?

It's a metaphor.

Uh, Glassman, appropriately,
is the donkey.

The stick
signifies punishment.

The carrot signifies...

Reward, but he is...
He's recovering nicely,

and your best bet is
to just be patient with him.

So, I should
use a reward

to motivate Dr. Glassman
to do physical therapy.

Actually,
what I'm saying

is that you should be
patient and supportive...

and please,
please answer that.

Close the door.

We were headed to pre-op when
he started projectile vomiting.

It's... green.

That could mean bile and
a partial bowel obstruction.

- We need an NG tube.
- An obstruction?

Did the Crohn's
cause that?

It's hard to know for sure.
NG tube stat.

You're doing great.

You should try
and get some sleep.

I can't.

There's this voice in my head,
and it won't be quiet.

It keeps
telling me that

this bag has
60 grams of protein,

40 grams of fat,

1,200 calories
in total.

It just won't stop.

Try to think
of Graham and Sam.

I'm trying.

I'll get something
to put over that.

Louisa, no!

No!

No!

I'm sorry.

I... I just...

I can't stand it.

I got
your deposit back.

Why?

Shaun, I told you that
you and I can't live together.

No.

You told me we can't be
boyfriend and girlfriend.

We can still be
friends with benefits.

The benefit is...

We would be
living together.

I was clear.

- It's too complicated...
- You were.

We can't date or kiss
or have sex.

But I thought you wanted
to be friends.

Yes. Of course.

- And spend time together.
- Right.

Then it's simple.

She begged us
to reinsert the NG tube,

then pulled it out again
an hour later.

Do we try again
with the tube and restraints?

Oh, we'd just be raising her risk of
self-injury, pneumonia, a blood clot.

What about going back
to solid food?

Anything less than
1,200 calories a day,

and her malnutrition
wouldn't be improving.

In fact,
she'll keep losing weight.

We should go ahead with
that valve repair now.

I think we can
improve her nutrition

without force-feeding
or IVs.

I found a small study
where deep brain stimulation

was used
to treat anorexia.

You want to use brain surgery
for a psychiatric disorder?

Surgical procedures
have been effective

for, uh, depression,
OCD, addiction.

This surgery could reduce
her anxiety around eating.

Once she's eating,
her malnutrition will improve

and reduce the risk
of the valve repair.

It could also
cause personality changes.

And this study
covers six subjects

with only 50% success.

Well, this could be
Louisa's only shot

at getting free
of this illness.

And it was done
in the UK.

DBS isn't FDA-approved
for anorexia treatment here.

So, we call
an IRB ethics hearing

and argue
emergent-use approval.

Which we shouldn't get
off such little data.

Nice work
digging this up,

but it's not
a real option.

Let's go talk to her
about the valve surgery.

Can I help you?

I'm looking
for a carrot.

17, 18, 19...

No, uh, sorry,
we don't have any carrot muffins.

How about
a lemon-poppy, Shaun?

Hello, Debbie Wexler.

It's a metaphor
for moving a donkey.

I need a carrot
because I don't want

to beat Dr. Glassman
with a stick.

He likes
blueberry muffins.

How's Aaron...

Dr. Glassman recovering?

He moved his bowels
this morning.

But he doesn't
want to appear weak,

so he hasn't
done physical therapy.

I want that
blueberry muffin, please.

It has 23
visible blueberries.

You know,
Aaron once told me

that his absolute favorites
were the chocolate chip ones.

Do you want
one of those instead?

Yes, I want
one of those instead.

Oh, hi, Dr. Park.

Um, I have a few questions
about Wade's surgery.

Sorry,
I'm pretty busy.

Actually,
I need to get going.

Uh, I'll walk with you.

I know Wade's surgery
is this afternoon,

but I've been researching
treatments for Crohn's lesions.

What'd we do
before the Internet?

I talked to two experts
who felt that Wade should be put

on REMICADE
or Azathioprine

before any surgical
interventions.

Interesting
recommendations,

but considering they haven't
seen your husband's chart...

Well, this doctor felt
strongly that you should see

how he responds
to medication before...

Wade's care is completely
appropriate for his condition.

But if his Crohn's lesions could be
treated

- without cutting him open...
- That's not what we're treating.

Excuse me?

Go talk
to your husband.

I brought you
a chocolate chip muffin.

I love
chocolate chip.

Thank you.

Where is it?

At the nurse's station.

You can walk out
to get it.

Shaun, you see, here I thought you
were doing something nice for me.

- I am.
- No, you're not.

You're manipulating.
My leg hurts, and I...

I have a sore throat,

and I don't
feel like walking.

Dr. Blaize says you
don't want to seem weak

in front of people
who used to work for you.

Dr. Blaize is wrong.
I don't want to walk

because I don't want to walk.

And this is
condescending,

and it's insulting,
and it's annoying.

Should I get you
your muffin?

Well,
that would be nice.

An orderly
is eating it.

Mr. DeLeon,
can I help you?

Uh...

My wife's decided against
the valve-repair surgery,

at least until she's tried the deep
brain stimulation for her anorexia.

Did Dr. Browne tell you that it's
an experimental brain surgery,

which could alter your wife's
personality forever?

That's if we get
the special approval required.

She's explained
all the issues.

I got
our apartment back.

I had to pay $300 more
as a deposit

because someone else
wanted it, but that's okay.

No, Shaun!

It has a fireplace.

Why aren't you
listening to me?

You're not
listening to me!

I'll be okay
running into you naked,

or hearing sex noises

or seeing you cry
over breakups with drummers.

I know that you think you can,
but how can you be sure?

Because living with you
will be good for me.

It makes me happy.

You remember
what you said, Shaun,

that no one can
predict the future

and feelings
can change?

What if I end up
hurting you again?

I don't want to risk
our friendship

over an apartment.

Do you?

If we don't
live together,

you will have to buy
your own batteries.

- We'll still see each other.
- That will be hard.

- I work a lot.
- We'll find a way. I know we will.

I need to go to work.

I'll stop on the way home
and tell the manager

we don't
want the apartment.

No, I'll do it.

The subjects
who responded in this study

are all long-term sufferers
with a target BMI of 13-16,

who actively pursued
this treatment,

much like our patient.

Additionally, DBS surgery
requires lighter sedation

and places less strain
on her system

than an open-chest
procedure.

You're referring
to the valve repair

recommended
by Dr. Melendez?

Yes.

I propose delaying that
surgery by a couple weeks,

which would be
well worth it

in terms of
reduction of risk

if the DBS
is successful.

Excellent presentation,
Dr. Browne.

Very thorough.

Agreed, though I do
have concerns

about approving
this procedure

based on
the small subject pool.

But I'll confer with...

There is,
uh, one more person

I want you to hear from...
The patient.

This is an IRB,
not a therapy session.

Actually, patients
who had the opportunity

to air their concerns
are eight times

less likely
to sue their hospital.

You paged me?

You can step out.
Dr. Park's got this.

Grab the sheet.

You talked
to Wade's husband.

Maybe we should
discuss this later.

I can patch him up
while tearing you down.

You violated
our patient's confidentiality.

I told him what we weren't treating.
That's not a violation.

And their marriage
is better off

for having his secrets
out in the open.

That'd be meaningful if you
were a marriage counselor

instead of
a surgical resident.

Whatever lie blew up
your marriage

won't be undone
if Wade tells the truth.

I was just trying
to help our patient.

Our former patient.

Wade's demanding a transfer
to another hospital.

I have tried cognitive
behavioral therapy,

food psychodynamic
therapy,

family therapy,

in-patient treatment,
out-patient treatment,

anti-depressants,
NG tubes,

TPN.

And yet,
here I am, dying.

Killing myself.

And I can't
stop on my own.

Please...

Help me... to stop.

Are you aware DBS has been known
to cause personality changes?

In your case,
the electrode

would be at
the nucleus accumbens...

Dr. Browne explained
all of the risks.

It's important
we know that you understand.

The nucleus accumbens plays
a role in maternal attachment,

delivering dopamine when moms
interact with their children.

Now, what if in trying to
overcome your eating disorder,

you lose the ability
to feel love for your son?

My son is everything to me.

For that past year, he has been
watching me starve myself to death.

I'll risk anything

to keep him
from seeing me succeed.

Thank you,
Ms. DeLeon.

We'll need
a few minutes to talk.

You kept it a secret because
you think I'm shallow.

- I said the same thing.
- I kept it a secret

because
of "friendly fatties."

Any news
on my transfer?

San Francisco General
should have a bed tomorrow.

Come on.
It's a joke.

- I'm here to clamp your nasogastric tube.
- A joke?

About a couple
we've known for years?

We were
at their wedding,

- and yet you treat them like a punch line.
- This used to be

- You're the one who lied.
- green. Now it's brown.

If I'd known
you were offended...

The point is, is that's why
I didn't tell you.

Red and green
makes brown.

Your bowel
is bleeding.

You need surgery now!
Page Dr. Park and Dr. Lim!

He has
a strangulated bowel.

Spence.
It's gonna be okay.

We need to open up
an OR now!

By a margin of 2-to-1,

this Internal Review Board
has decided

in favor of allowing
this procedure.

- Nicely done.
- Thank you.

Hope the surgery
goes well.

Use the 45 mm
gold stapler.

The truth coming out
didn't help Wade's marriage.

Hopefully,
with some time.

Secrets are corrosive.

Wade should've been honest
from the start.

Maybe Wade thought
Spencer would feel

the same way you did
about his bypass,

that he lost weight
the easy way.

Okay.

It's time.

Graham-y.

You are...

The highlight
of my life.

You know that, right?

Yeah.
I love you, too.

I love you more than
any person on the planet

ever loved any other person
on the planet.

I... I know.

Mom, you're gonna
be okay, right?

Of course, baby.

Of course.

We'll see you guys
in a few hours.

I love you.

The chocolate chip muffin
didn't work.

The donkey won't walk.

I told you that Glassman's
probably embarrassed.

No. He's not.

I asked him,

and he said
you were wrong.

Doesn't mean
I'm actually wrong.

He needs help
recovering.

I'm trying to help,

but it's not working.

He got angry at me.

Dr. Glassman
is your patient.

You need to fix
his lack of mobility.

This is your problem.

I don't know what to do.

I don't know
how to help him.

Being sick is hard.

Being around sick people
is hard.

We want to help.

We all struggle
with what to do.

- Your obsession...
- Okay.

More than a muffin
or a bowel movement

or a walk
around the ward,

what Glassman needs is
someone to be there for him.

A patient,
supportive friend.

I know
the perfect person.

Mmm.

Hey, there.

How are you feeling?

I'm okay.

I feel like...

I want something to eat.

I'm hungry.

All right, buddy.

Let's get you home.

Get you a decent night's sleep.

See you
in the morning.

I'll get you
some food.

Are you sure
you're all right?

Yeah.

I just...

I wonder if that hug
felt different for him.

Did it for you?

Your husband's surgery
went well.

He's in recovery now.

I think he's awake.

Thank you.

Wade told me
where to find these.

This is him
before bypass?

He said that seeing these would help
me understand why he never told me.

Which...

I said
was ridiculous.

Is he gonna end up
like this again?

It's possible.

I wish
I didn't know that.

Yeah?

Debbie, hi.

Oh, um...

Shaun thought
you could use a visit.

Huh.
Oh, and, uh...

And another muffin.

Thank you. I wish
I'd known you were coming.

I would've slipped into something
a little less comfortable.

You look... good.

Uh-huh.
Yeah, well...

Unlikely,
but thank you.

I am

sorry that I've been

out of touch.

- Well, I had a brain tumor.
- Mmm.

Understandable.
We both dropped the ball.

Okay.

- Here we go.
- What's happening?

- We're taking a walk.
- Oh, no, no, thank you.

- No, my leg hurts... Ow, ow.
- Oh, yes, we are. Yeah, mmm-hmm.

Which is exactly
why you need to take a walk.

Wow. You're really good
at this.

You sure you haven't
done this before?

Well...

I spent a little time
as a nurse.

I always liked
the night shift.

Everything gets
really quiet.

It's almost...
It's almost peaceful.

Just came
from Louisa's room.

She's eating.

That's great news.

Yeah.

Hopefully we'll be able to do the
valve repair in a couple weeks.

I hope you're right.

But you won't be
a part of the surgery.

Or any of my surgeries.

You went around me,
directly to the patient.

I had a good idea that
you didn't take seriously.

I considered it,

and then I decided against
taking it to the patient.

And yet, I managed to get Aoki and
Andrews to sign off at the IRB.

You didn't get Andrews.

You voted for me?

You made a strong case.

But you're...

You're booting me
off your service?

Disagree with me
all you want.

I expect
my residents to.

I expect them to argue
passionately for their position.

And I expect them
to then accept my decision.

Even when you're wrong?

I can't run my team
any other way.

You know what was insane,
was the 1928 Torpedo Roadster.

With the Purpleheart
trim?

Ah, and that
lizard-skin interior.

My neighbor in
Wyoming had a Silver Arrow.

Oh, I'd love
to drive one just once.

Good job.
You got him walking.

Debbie Wexler did it.

She's a better carrot
than I am.

She's a better friend.

Hey, it's me.

Yeah, just making sure
the check got there okay.

Great, great.

Hey, I have a question...

About Phil.

I know, I know.
He's long gone.

I was actually wondering...

What do you think
would've happened

if I hadn't seen
you two together?

I found
my next apartment.

Okay.

It's has
a fireplace,

and natural lighting...

No. N... No.

And a really great
roommate who's also a friend.

He works a lot, so might be
hard to see him otherwise.

I'm talking
about you, Shaun.

I don't want to risk anything
hurting our friendship.

If you say you can handle
living together,

I trust you.

We... We're going
to be roommates?

Oh...

I... It has a fireplace.

Yes, it does.

Oh!

We're going
to be roommates!

We're gonna be roommates!

- Okay!
- Yes.

- Okay!
- Yes!

We're gonna be... roommates!

Oh, y...

Yes!
Sync corrections by srjanapala