All language subtitles for The Good Doctor - 02x17 - Breakdown.KILLERS.English.C.orig.Addic7ed.com

Previously on "The Good Doctor"...

Dr. Murphy, you shouldn't
be in contact with patients.

Or their families. Do you understand?

Don't be stupid.

What? There's no cameras in here.

Dr. Lim, Dr. Melendez.

I do not want to be a pathologist.

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

Hey.

What are you doing up so early?

I'm not up early.

I never went to bed.

Oh, my God. Didn't you get my text?

I told you I was spending
the night with Jake.

I don't want to be a pathologist.

Oh.

It's... that still.

Shaun...

no one's life goes exactly
like they dreamed as a kid.

You're still a doctor.
Still saving lives.

Just in a lab instead of
an operating room.

Where are you going?

I'm going to walk to work.

The hospital's four miles away.

Studies have shown that walking
boosts creative inspiration.

- Shaun, I just think...
- You don't understand.

You don't understand.

Neither does Dr. Han.

I need to change his mind.

I don't know how.

Mm, we're gonna be late.

So stop.

Mm.

And don't be smiling at me
when you see me in the hall.

I smile at everyone. I'm a friendly guy.

You'd be a horrible poker player.

- What're you doing?
- Murphy's on the corner.

Move it.

That's not where his bus drops off.

Do you think he saw us?

He's not looking over here.

Well, that doesn't
mean anything with him.

We got to get out of here
before the light turns.

Let's go! Move it!

Through the generous support of St.
Bonaventure Foundation,

we've been able to transport
Kenny and his mother

from their home in Mississippi.

And we'll be covering the costs

of surgery and post-op recovery.

And all I have to do
is buy one CD a month

for the next 100 years.

No repayment necessary.

We appreciate you allowing us
to share your case

as an educational opportunity
for our staff.

You know what they say...
those who can't... teach.

And as you can see,
I can't do much of anything.

Actually, y'all haven't
really seen anything yet.

How about we get this party started?

The neurofibroma started as a small bump

near the base of the spine.

In less than six months,

it encircled his abdomen
and grew to over 100 pounds,

the blood supply becoming so
intertwined with the patient's,

it was deemed inoperable.

But we've been able to come up
with an innovative surgical plan

that will allow us
to slowly peel the tumor

off the front and back
of his torso in one piece

and give Kenny his life back.

Synced & corrected by -robtor-
www.addic7ed.com

We didn't expect to see you.

This is just about logistics,
witness lists, scheduling.

The hospital's attorney

could've handled this
on his own, Dr. Han.

I understand, but I wanted to be here.

Three reasons really.

If my doctors are gonna be
judged in this room,

I wanted to see the place,

see all of you, and see the mood...

Well, we try to make it very casual.

I know.

But have you ever been judged?

I have.

It's scary.

Someone has gone to the trouble

of checking out
every aspect of your actions,

every decision you've made.

You don't know what they know,
what they're gonna ask,

what could be misunderstood,
misinterpreted.

Also, and this is kind of embarrassing,

but our lawyer...

probably not the best.

I decided to save a few dollars on him.

So I could hire a private investigator...

check all of you out.

We're not the ones on trial here.

See?

You say you make it casual,
and then you call it a trial.

Now, I'm sure she won't find anything.

I mean, nothing too crazy, right?

Maybe just something... embarrassing.

Maybe a lapse of judgment here or there.

I mean, like I was saying,

you parse every choice anyone has made,

gonna be a few things
they'd rather not revisit.

Am I right?

And the third reason?

I thought maybe you'd want
to work out a compromise.

The surgery went well.

We were able to fully evacuate

the subdural hematoma
without any complications.

It's a good thing you didn't
hesitate to bring her in.

Oh. One advantage of being
an insecure, first-time mom

who panics every time
her child has a slight fever.

Did I just hear you admit
that you're insecure?

The girl who double-majored
in Physics and Chemistry

because the Dean told her
they were the two toughest?

Mom guilt ruins us all. You'll see.

Whenever you decide
to give up the motorcycle

and settle down.

No way.

My kid's going to kindergarten
on the back of a Ducati.

I'm sorry. I need to go
check on another patient.

Oh, how long will she need to stay here?

I'm still not sure
what caused the bleeding.

I didn't see any signs of an
aneurysm or AVM, so that's good.

I'll have a better idea when
I get the post-op test results

back from Pathology.

Thank you.

This is why I love Pathology.

We don't just fix stuff.

We figure out how it got broken

and why.

Good morning.

Just checking to make sure
you got my clot specimen

- and blood draws.
- Just logged them in.

Great. And if there's any way
to expedite, I'd appreciate it.

The mom's a friend of mine
and stressed to the max.

I'm pretty sure the bleed was caused...

Stop.

I'm sorry. I meant... please stop.

I'd rather not know what you think.

It causes confirmation bias.

Copy that.

Hey. Um...

Did I see you on Hanover Street
this morning?

I... don't know.

Were you on Hanover Street this morning?

Yes.

I walked to work.

Did you... see anything interesting...

on the walk?

Hmm...

S-Shaun?

We can't both expedite your results

and reminisce about our morning walks.

Sorry. Carry on.

You're totally freaking out, aren't you?

No, I'm not freaking out.

All my patients freak out

waiting for their final test results.

For 48 hours, you don't know
if you've won the lottery

or... if you're gonna be dead
in a few months.

Hell, I freak out, too.

It's the only time I feel helpless.

The treatment's over.

There's nothing left to do but... wait.

I'm a little stressed.

That speech... not helpful.

My advice. Embrace it.

You're experiencing emotions

only a few people on Earth
will ever understand.

The kind Hemingway wrote about.

- I'm more of a Faulkner guy.
- You would be.

- You don't like Faulkner?
- No, I don't like Faulkner.

Nobody really likes Faulkner.

I like Faulkner.

Right.

Anyway...

if there's anything you need from me,

even if it's just to talk,

you have my direct number.

Do not hesitate to use it.

I appreciate that.

And I would like to show my gratitude.

I know I haven't been

the easiest patient to deal with.

That's not necessary.

I mean, if you want,

you can make a donation
to cancer research.

I already donate.

I wanted to thank you,
not society at large.

How about... Have you ever tried
Macallan's Sherry Oak 25?

I don't drink.

And I just said it's not necessary.

How about a weekend in Ojai?
I hear the spa is amazing.

- No means no.
- I'm not trying to molest you.

I just want to thank you.

And you have, and you are very welcome.

Why do you have to control
every little thing?

I have pepper spray in my purse.
Don't make me use it.

Carly, I am gonna need 60 units

of type B-positive packed red blood cells

held for O.R.

- 60?
- Mm-hmm.

You operating on a hemophiliac elephant?

Our patient has a 200-pound neurofibroma.

Cool.

There's more blood in the tumor
than the patient,

so we're gonna have to follow
Massive Transfusion Protocol.

You...

You might need antifibrinolytic agents

to control the bleeding.

That's a good idea. Thanks.

I could do some research
on cell salvage techniques.

Cancer is a risk, but if we were...

I'm sorry, Shaun.

Melendez has put together
a pretty big team, so...

we have everything we need.

I talked to Murphy. He definitely saw us.

What'd he say?

It's not what he said. It's how he acted.

He was clearly uncomfortable
talking to me.

He's uncomfortable talking to everyone.

We need to get out in front of this.

Tell Andrews before someone else does.

We need to figure out
exactly what Murphy saw.

How? We can't just ask him
if he saw us making...

bread.

We're not gonna get anywhere
with indirect questions.

I'll talk to him.

You think you can read him
better than I can?

No, but if at first you don't succeed...

Let the man try?

Dr. Han wants to see you two.

- Both of us?
- Yep.

Yep.

Have a seat.

Actually, we've been meaning
to talk to you.

- The issue is...
- Dr. Han met with the medical board.

We're not going to be suspended
or reprimanded.

The hospital will pay fines
on your behalf,

and you'll need to complete

a few continuing education classes.

But overall, not bad.

Thank you.

Yeah, thanks.

Does this mean I'm back
on the surgical team?

No. It does not.

You convinced the Board
that he's competent.

You're welcome.

We got a big problem.
With our tiny patient.

I did a repeat assessment
of the pre-op CT's

and found a trace subarachnoid bleed.

But there was no bruise on her scalp.

I know.

The only way she could get this injury

is if someone shook her,

and they would have to shake her hard.

S-Someone abused her.

No.

I've known Laura since high school.

She's the most composed,

even-tempered person I've ever met.

And she's totally devoted to that baby.

What about the father?

She conceived via a donor.

A nanny, a relative,

a-a boyfriend who's been helping out?

She waited so long for this...

wanted to do everything herself.

Then it has to be her.

We need to call
Child Protective Services.

No.

Not yet.

I'm gonna do an MRI

to rule out benign enlargement
of the extra-axial space.

- Before we ruin her life...
- Good idea.

Except for the part
about you doing the test.

She's your friend.

You think I'd try to help
someone cover up child abuse?

I don't know you well enough

to know what you would or wouldn't do

to protect a friend.

I could do the MRI.

I'm not the mother's friend.

But you are a pathologist.

Giving MRI's is not your job.

Page Farmer. Have him do it.

On it.

Murphy.

We need to talk.

I don't have a girlfriend.

Okay.

Is that consistent with what
you've deduced and seen

regarding my life?

Yesss?

Good.

Enjoy your apple.

It's not fair.

Shaun is being punished for mistakes

that Han thinks
he might make in the future.

He's not punishing him.

He just saved his ass.

Okay, Kenny. The MRA's gonna help us map

the blood supply to the tumor.

If you could just lie still.

No talking until we're done.

Sure, no problem.

We should take a stand.

- Meaning what?
- Stage a walkout?

How much does one of these
bad boys cost, anyway?

About $3 million.

But it's worthless
unless you stop talking.

Sorry. My bad.

Us getting fired is not gonna do
anything to help Shaun.

And I'm not even sure
we should be helping him.

Did you ever stop to think

that maybe Han knows what he's doing?

Shaun has made mistakes,

but he has three more years of residency.

That is plenty of time to improve.

Yes, you can build a winning team

through supportive training,

but you can also do it
by recruiting the best

and pushing them. Relentlessly.

No feelings. No charity. No loyalty.

Those who thrive and get better

than they ever thought
they could, you keep...

...and those who don't, you cut.

That's not good.

It works for Jeff Bezos
and Bill Belichick.

I'm not talking about
your leadership lecture.

I'm talking about this.

We need to page Melendez.

What are you talking about? You know me!

How could you possibly believe
I could hurt my baby?

I don't. Which is why I ordered
the additional tests.

But did you never leave her
with anyone else?

Even for just a few minutes
so that you could take a nap?

Or a bath?

Taking care of a newborn.
It's... It's exhausting.

No. It isn't.

After waiting for so long,

every single moment,
no matter how hard...

It's not exhausting.

It's a joy.

Laura, I know you love her...

but you're still human.

You must get tired sometimes.

I don't! Really.

You don't understand because you...

because you haven't experienced it.

But when you love someone so much...

The tests.

They have to be wrong.

We expected the tumor to grow
since the last scans,

but not to this extent.

Blood vessels that I thought

we'd be able to quickly cauterize

are now thicker than my thumb.

It's impossible to remove the tumor

without causing you to bleed to death.

No.

I don't care how risky it is.

I'd rather die in surgery
than continue to live

with this huge, damn tick

sucking the life out of me.

Kenny, as long as your heart
remains healthy,

you basically will be, too.

And we can do a better job
treating the pain.

I don't want to be treated.

I want to be cured.

I want my life back.

I always thought all...

all I had to do was get enough money,

or find the right doctors...

But if you're telling me
there's no hope...

I appreciate everything y'all done.

Or at least tried to do.

The injuries from shaking a baby
are much different

than from blunt force trauma.

Oh, that's awful... but also interesting.

It's like you're a detective
in a murder mystery.

Only, thank God, the baby's not dead.

That's exactly what Carly said.

She likes solving medical mysteries.

She's very smart. And aggressive.

Well, how do she treat you? Is she nice?

Yes, she's very nice.

She wants me to stay in her department.

She thinks we make a good team.

So it sounds like you have
a case you're interested in

and a coworker you like
who's nice to you.

Maybe Pathology won't be
that bad after all.

I have work to do.

Since it seems we're gonna be
working together

for a while longer...

maybe it is time
we came out of the closet.

Maybe?

Are you saying you want to?

Do you want to?

Maybe.

You're afraid it would
make things awkward?

People seeing us as a couple?

Yes, obviously.

But at the moment, I'm more afraid

that we wouldn't
be having this conversation

if Murphy hadn't almost busted us.

Which makes me think we're not
ready to have this conversation.

It's understandable if we aren't.

We've both been in relationships

we thought were gonna last...

Yeah. Understandable,
but why should we even care

what people at work think?

So, should we talk to Andrews?

Maybe. What do you think?

Maybe.

Uh, Sawchuck?

- Sorry for the wait.
- Oh. Thank you.

Excuse me, duck curry and rice?

40 minutes? Really?

Sorry, the kitchen fell a bit behind.

- It shouldn't be much longer.
- You're not just behind.

People have come in after me,

they've gotten their food,
gone home, eaten.

They're in their PJs, watching a movie.

I'm so sorry. I'll check right now.

- Duck curry.
- Here you go, sir.

Duck curry, brown rice.

- White rice.
- Um, excuse me.

- Duck curry with brown rice?
- Yes.

- Connelly?
- That's me. Thank you.

What are you guys doing back there?

I'm so sorry, Sir.

You know what? I'm tired of sorry.

I just... I want my food!

I'm sorry. It should just be
another minute.

I don't want to wait any longer!

I'm sorry.

Sorry. I'm sorry.

I didn't... I didn't mean to yell.

I'm so sorry.

Carry on. Carry on. Enjoy your...

She's always trying to one-up us.

Morgan.

She's not staying late because
she wants to do research.

She's staying late so that Han
can see she's staying late.

It's just who she is.
Don't take it personal.

Mm.

My dad's a Taekwondo grandmaster.

Coached me growing up.

He always used to say,
"Only you can beat you."

Well, my mom's a lounge singer,
and she used to say,

"Upstage me and I'll beat your ass."

You'd think if you're selling boba,

you'd have straws wide enough

to get the balls through the damn thing.

I can't believe you drink that stuff.

It's like putting gummy bears in a drink.

You give up?

Want a soda instead?

I see you.

Which is, I assume,
your primary objective.

I didn't even know you were still here.

I've been reading
the latest journal articles

- on neurofibroma...
- Go home.

There's nothing you can do
for Kenny Grimm.

And you're gonna have
other patients tomorrow.

I got an idea.

If we embolize the larger
blood vessels to the tumor

before surgery,

we can use your body's clotting factor

to help clog them.

This should reduce
hemorrhaging during surgery

and allow us to excise the tumor
without you bleeding out.

We'll steer a catheter through
an artery in your thigh...

- Yes.
- Kenny...

maybe you should let them finish.

No, I shouldn't.

And, yes, you should.

Yes, yes, yes. As soon as possible. Yes.

Thank you.

The tests came back.

They confirm the previous results.

Well, they're wrong.
There must be some other...

There has to be another test! Please.

Ma'am, you're gonna need to come with us.

- You need help.
- From you!

You're my friend,
and you called the police?!

Well, someone hurt your baby.
If it wasn't you...

No one hurt my baby! You're wrong!

How can you not believe me?!

Just need to get a few more
branches off the aorta

and we're done.

Well done, Dr. Browne.

What's the fluid status?

CVP is 14 and rising.

Get diuretics on deck.
40 milligrams I.V. Lasix.

Careful. If his pressure goes too low,

his kidneys won't perfuse.

I need you to keep his CVP
between 8 and 12.

He can't tolerate much more of this.

We need to get him to an O.R.

Embolizing his vessels caused
third spacing of fluids

to the body and lungs.

We saved the operation,

but now we only have half the time do it.

Hey.

Any word?

No, not yet.

Well, I-isn't there someone
from Radiology

who can expedite,
someone who owes you a favor?

Even if there was,
I would not waste it on you

because you do not need it.

You are one of the most willful
patients I've ever had,

and the finish line is in sight.

All you need to do
is just run through the tape.

Look, if it helps, as soon as
I'm done with this patient,

we can talk some more.

I can write you a script

for something to help you
with the anxiety,

but I don't think you need it.

You got this.

- More suction.
- Me, too.

More sponges.

Retract.

That's it.

What's his estimated blood loss?

About 8 1/2 liters.

The entire human body

typically only has 5 1/2 liters of blood.

Yeah, I know.

Let's get 30 more units on deck of PRBC.

Add cryo, fresh frozen plasma,
and platelets to that.

We should have checked
for blood breakdown products.

If you don't mind, I'm trying
to pay attention to this.

I wasn't talking to you.

Or about this patient.

We need to reexamine the
subdural blood clot specimens.

If there's hemosiderin
deposition and chronic membranes

including fibrous wall,

it could prove it was not abuse.

What else could it be?

The tests proved non-accidental trauma.

Yes. The tests were right.

Resected portion is secure.

I.V.'s and central line?

- Secure.
- Secure.

Okay, everybody, get in position.

Let's flip this pancake.

On three.

One, two, three.

Wait. His heart rate spiked.

Lay him back down.

Softly. Softly.

We okay?

Yeah. Just a blip.

Once more with feeling.

Ready? One, two, three.

- How are we doing?
- Good. He's stable.

All right, swab the posterior
incision site.

Okay, scalpel and sponge on a stick.

He's crashing.

He's ventilating fine.

We've got no immediate
blood loss or hemorrhaging.

It looks like distributive shock.

I need stat labs and
initiate shock resuscitation.

He's got a high white count
and what looks to be

a systemic pro-inflammatory
cytokine release.

Cutting off the blood supply to the tumor

is causing post embolization syndrome.

I need intra-arterial lidocaine,

130 milligrams of methylprednisolone,

and start antibiotics.

Should we be trying
to reverse the embolization?

Restore blood flow to the tumor?

Well, then, we'd risk him
bleeding out even faster.

We need to abort.

Cut off what we already excised
and leave the rest.

- No. We can't give up.
- We're not giving up.

We're stopping a futile procedure

to save the patient.

We need to get Murphy in here.
It's a blood flow problem.

Murphy has a special talent
for visualizing complex anatomy.

We don't have time.
We need to stop the P.E.S. now.

- Page Dr. Murphy.
- No. Do not page Dr. Murphy.

I get it. You like him.

But we don't have time for an audition.

I'm trying to save my patient's life.

My patient. Which means it's my call.

I am also trying to save
your patient's life,

so I'm urging you to stop wasting time.

Now we've cut away almost half.

That's all we can do right now.

So let's remove it and give him a chance

to live and fight another day.

The breakdown products show

the injury that caused the hematoma

happened at least seven weeks ago.

When was she born?

A little over seven weeks ago.

But the vacuum delivery
must've caused a subdural bleed

which re-bled two days ago.

The baby wasn't abused.

Shaun, we need you in the O.R.

Any thoughts, Dr. Murphy?

You don't have enough time.

You can't fully map
the circulatory system

and remove the tumor
without killing the patient.

It's too complex.

Well, at least he was brief
and to the point.

Now, can we do what I...

But you don't have to do it quickly.

We slow down, he bleeds out.

If you clamp the aorta,

it could lower the blood flow
to the tumor enough

to slow the release of the cytokines.

Clamping the aorta

will kill the intestines,
kidneys, and legs.

Not if we release the clamp
every 10 minutes.

Give it just enough blood
to stop the cytokines

but not so much that he bleeds to death.

Let's do it.

Thank you for the consult, Dr. Murphy.

Reposition him to lateral.

Secure I.V. and central line.

- Secure.
- 10 blade.

Starting midline laparotomy.

Debakey.

Opening up the lesser sac.

Vessel loops.

Get a Rumel ready.

I need umbilical tape.

MRI exams show chronic changes
of surgery and radiation,

but no sign of residual tumor detected.

No signs.

None.

Zero. Zippo. Zilch.

Wow.

We'll do another MRI
in six months just to be sure,

but you are in the clear.

This is exactly what we hoped for.

Kinehora.

Tuh, tuh, tuh.

Knock on wood.

- Thank you.
- Oh, you son of a bitch.

I told you.

You told me no.

It's too heavy for diamonds.

Is it a Magic 8 Ball?

Will you just open it?

I don't like baseball.

I do.

So you got me something you like?

I caught that foul ball
down the third base line...

on my 13th birthday.

My dad was amazed that I snagged it.

After the game,
we went outside the stadium.

And I was a shy kid,
but my father pushed me

to ask my favorite players
to sign it, and they all did.

Bert Campaneris, Rollie Fingers,

Reggie Jackson, Catfish Hunter.

If it happened today,
it'd all be on video.

But all I have to remember
that awesome day...

is that ball.

I wanted you to have something

that mattered to me.

- Aaron, I can't.
- Oh, yes, you can.

Bye.

Cancer changes people.

I've had patients tell me
it was a blessing.

That their lives were better after.

They're idiots.

Maybe.

Would you have thought of such
a wonderful gift 11 months ago?

Care to do the honors?

Let's take it up.

I'm so sorry.

I should've trusted you.

Please talk to me, Laura.

Yell at me if you want. I deserve it.

- It's not your fault.
- Yes, it is.

I should have done more research,

looked harder
for an alternative diagnosis.

I mean it's not your fault
you are the way you are.

You don't understand
the love a mother feels.

I understand that a lot of
mothers abuse their children.

You don't understand love.

Because you've never allowed
yourself to be vulnerable.

Even when you were married to Kashal,

you never really committed.

You always expect the worst in people.

Because that's all you see in yourself.

Okay.

I've never been in so much pain...

but felt so good.

We'll up your pain meds.

You're still gonna need some
skin and soft tissue grafts,

but the hard part's done.

Your prognosis is excellent.

Thank y'all so much.

What am I taking this thing home in?

A glass bottle?
Y'all got something that big?

He's just being a smart ass.

Are you sure you want to do this?

Shut up.

I saved the patient.

I deserve to be a surgeon.

Dr. Murphy...

Dr. Han, I want my old job back.

You're making a mistake.

Am I, Shaun?

Yes.

Because it seems like you're
doing really well in Pathology.

You made a great save on an earlier case

and a great save today.

You keep doing well, and, over time,

we can build to you having
more responsibility.

No.

I'm a surgeon.

I am not leaving your office
until you reinstate me.

What are you doing, Shaun?

Do you think ordering me to do something

will change my mind?

Do you really think it's
a good idea to try and bully me?

I am a surgeon.

I am a surgeon.

Do you realize that
you're proving my point?

That you're acting immature?

Showing that you don't know
how to communicate

and you can't control your emotions?

I am a surgeon!

But you do have a talent that I value.

So I'm gonna give you one last chance

to maintain your dignity

and leave my office... now.

Because if I have to call Security,

you understand that I'm also
gonna have to fire you.

I am a surgeon!

I am a surgeon!

I am... I am a surgeon!!

I am a surgeon, Dr. Han!

I am a surgeon!