1 00:00:00,387 --> 00:00:02,022 Previously on The Good Doctor... 2 00:00:02,056 --> 00:00:04,187 I want to do another embryo transfer ASAP. 3 00:00:04,220 --> 00:00:06,060 You have some lettuce. 4 00:00:06,093 --> 00:00:07,758 - Oh. - No, no, no. Here. 5 00:00:13,133 --> 00:00:15,936 Dr. Glassman, it would be hard to lose my father 6 00:00:15,970 --> 00:00:17,804 just as I am about to become one. 7 00:00:18,772 --> 00:00:20,674 Do the scan for me. 8 00:00:26,413 --> 00:00:28,082 Please hold still. 9 00:00:29,249 --> 00:00:30,417 I'm breathing. 10 00:00:30,450 --> 00:00:32,219 You moved your head. 11 00:00:32,252 --> 00:00:34,488 Shaun, go away and let the technician do his job. 12 00:00:34,521 --> 00:00:36,256 I sent him out for coffee. 13 00:00:36,290 --> 00:00:39,459 I am now scanning the location of your prior tumor. 14 00:00:41,828 --> 00:00:45,265 Did you decline maintenance chemotherapy? 15 00:00:45,299 --> 00:00:47,267 It's hard to hold still while I'm talking. 16 00:00:47,301 --> 00:00:50,737 Dr. Blaize recommended six cycles of temozolomide. 17 00:00:50,770 --> 00:00:51,972 The slight benefit of that stuff 18 00:00:52,006 --> 00:00:53,173 wasn't worth the constant nausea. 19 00:00:53,207 --> 00:00:54,909 The benefit is statistically... 20 00:00:54,942 --> 00:00:56,415 Shaun, I made my choice. 21 00:00:58,512 --> 00:00:59,835 You chose wrong. 22 00:01:03,682 --> 00:01:05,852 There's a spot on your brain. 23 00:01:17,998 --> 00:01:20,467 There's the right ovary. And that looks like the... 24 00:01:20,500 --> 00:01:22,202 Corpus luteum. 25 00:01:22,236 --> 00:01:25,705 The endometrium is smooth and around 13 millimeters, 26 00:01:25,739 --> 00:01:27,841 which means my uterine infection is cleared. 27 00:01:27,874 --> 00:01:31,260 Carrying the pregnancy to term should be a lot easier this time. 28 00:01:31,293 --> 00:01:33,447 Your transfer is on my schedule for tomorrow evening. 29 00:01:33,480 --> 00:01:35,049 Fantastic. 30 00:01:35,082 --> 00:01:39,333 And you have two high-grade embryos available. 31 00:01:39,719 --> 00:01:42,022 Do you want a boy or a girl? 32 00:01:48,728 --> 00:01:50,564 You don't have to decide now. 33 00:01:50,597 --> 00:01:52,387 Just let me know before the embryo transfer. 34 00:01:57,904 --> 00:02:00,074 Seven and a half hours. 35 00:02:00,107 --> 00:02:01,508 Uninterrupted? 36 00:02:01,541 --> 00:02:03,043 Didn't even have to wake up to use the bathroom. 37 00:02:04,278 --> 00:02:05,279 So? 38 00:02:05,946 --> 00:02:07,381 Six hours, 45 minutes. 39 00:02:07,413 --> 00:02:10,484 Oh, winner, winner, pancakes for dinner. 40 00:02:10,517 --> 00:02:12,319 I really thought I had it in the bag. 41 00:02:12,352 --> 00:02:13,887 How'd you do, Danny? 42 00:02:13,920 --> 00:02:15,696 How much sleep you get? Over or under? 43 00:02:15,721 --> 00:02:16,789 No clue. 44 00:02:23,563 --> 00:02:24,563 Hold up. 45 00:02:27,801 --> 00:02:29,703 - Morning, all. - Morning. 46 00:02:29,736 --> 00:02:30,870 Dr. Allen. 47 00:02:30,904 --> 00:02:33,173 Good morning, Dr. Kalu. 48 00:02:33,207 --> 00:02:35,009 Park is doing a hip arthroscopy today. 49 00:02:35,042 --> 00:02:36,343 I'd like to scrub in. 50 00:02:36,376 --> 00:02:38,578 Sorry, I'm already assigned to Park. 51 00:02:38,612 --> 00:02:40,347 I'm thinking about specializing in ortho, 52 00:02:40,380 --> 00:02:41,881 so how about a trade? 53 00:02:41,915 --> 00:02:42,949 How about no? 54 00:02:44,584 --> 00:02:45,986 Sorry I asked. 55 00:02:47,754 --> 00:02:49,089 Go, team. 56 00:02:53,060 --> 00:02:55,795 Brady Sullivan. Oil rig worker. Metal sheet hit him. 57 00:02:55,828 --> 00:02:57,564 Severe chest and pelvic injuries. 58 00:02:57,597 --> 00:02:59,033 O2 sats are critical. 59 00:02:59,066 --> 00:03:00,867 Brady, I'm Dr. Andrews. 60 00:03:00,900 --> 00:03:02,236 He's non-responsive. Sluggish pupils. 61 00:03:02,269 --> 00:03:03,370 There's major hemorrhage. 62 00:03:03,403 --> 00:03:04,938 GCS six, no head trauma. 63 00:03:04,971 --> 00:03:07,441 Three-inch right-sided sucking chest wound. Collapsed lung. 64 00:03:07,474 --> 00:03:09,076 That's from the support hook. 65 00:03:09,109 --> 00:03:11,592 The metal sheet he was welding caused another injury. 66 00:03:13,647 --> 00:03:14,914 How deep does this go? 67 00:03:14,948 --> 00:03:16,650 Down to the spinal column. 68 00:03:16,683 --> 00:03:18,056 He's nearly cut in half. 69 00:03:25,330 --> 00:03:33,330 Synced & corrected by -robtor- www.addic7ed.com 70 00:03:34,468 --> 00:03:35,835 It's scar tissue from the radiation. 71 00:03:35,869 --> 00:03:37,437 Could be, but the FA value... 72 00:03:37,471 --> 00:03:40,006 Is more consistent with a glioblastoma recurrence. 73 00:03:40,040 --> 00:03:42,502 That's right, and the path of the radiation 74 00:03:42,526 --> 00:03:43,477 they blasted me with, 75 00:03:43,510 --> 00:03:45,645 that Swiss cheese look, textbook necrosis. 76 00:03:45,679 --> 00:03:48,448 The irregular shape implies a multifocal cancerous lesion. 77 00:03:48,482 --> 00:03:49,649 I've been looking at brain scans 78 00:03:49,683 --> 00:03:51,017 since before electricity. 79 00:03:51,051 --> 00:03:52,352 I think I know what scar tissue looks like. 80 00:03:52,386 --> 00:03:53,620 You are not objective here. 81 00:03:53,653 --> 00:03:54,788 Oh, right, and you are? 82 00:03:54,821 --> 00:03:55,821 Neither of you are. 83 00:03:58,325 --> 00:04:00,294 If that lesion is cancer, 84 00:04:00,327 --> 00:04:02,796 a DNA spinal fluid analysis will confirm it. 85 00:04:02,821 --> 00:04:04,056 Yes. 86 00:04:04,664 --> 00:04:06,166 That is objective. 87 00:04:06,200 --> 00:04:08,835 I'll do a spinal tap and send it to the lab. 88 00:04:08,868 --> 00:04:10,776 Should have results in 24 hours. 89 00:04:12,411 --> 00:04:13,445 Fine. 90 00:04:14,474 --> 00:04:16,210 I'll set it up. 91 00:04:20,247 --> 00:04:22,015 O2 sat's 68. 92 00:04:22,048 --> 00:04:24,484 Chest tube's in, draining a lot of blood. 93 00:04:24,518 --> 00:04:26,453 Every time I clamp a bleeder, another one pops up. 94 00:04:26,486 --> 00:04:28,955 Dr. Lim? Where do you want us? 95 00:04:28,988 --> 00:04:30,124 We're busy with the chest trauma. 96 00:04:30,157 --> 00:04:31,480 I need you guys on the pelvic injury. 97 00:04:31,658 --> 00:04:33,059 How do we remove it? 98 00:04:33,093 --> 00:04:34,961 You don't. It's the only reason he didn't bleed out. 99 00:04:34,994 --> 00:04:36,463 I need you four to figure out a plan 100 00:04:36,496 --> 00:04:38,198 to reattach his lower half. 101 00:04:38,232 --> 00:04:40,467 Read every journal. Study every case report. 102 00:04:40,500 --> 00:04:42,136 Check all the international surgery registries. 103 00:04:42,169 --> 00:04:43,237 Look everywhere. 104 00:04:43,270 --> 00:04:44,504 PA ruptured. Gotta move him. 105 00:04:44,538 --> 00:04:45,872 OR one, now. 106 00:04:55,215 --> 00:04:57,083 - Give me the baby. - No, no, no, no, no, no. 107 00:04:57,117 --> 00:04:58,685 I'm here for Jazz. 108 00:04:58,718 --> 00:05:00,320 - Just hand her to me. - I don't know you. 109 00:05:00,354 --> 00:05:02,556 I don't know you. I don't know you. 110 00:05:02,589 --> 00:05:05,024 - Sir, please. - Hold on, let me talk to him. 111 00:05:05,058 --> 00:05:07,427 I'm a doctor here. I can help you. 112 00:05:07,461 --> 00:05:11,231 I don't need a doctor. I need Jazz. 113 00:05:11,265 --> 00:05:14,100 Jazz. Is Jazz the mother? 114 00:05:14,134 --> 00:05:15,769 Yes. 115 00:05:15,802 --> 00:05:17,509 You're trying to help the baby? 116 00:05:18,605 --> 00:05:20,274 Jazz... Jazz passed out 117 00:05:20,307 --> 00:05:22,709 and then the, uh... the flashing lights took her. 118 00:05:22,742 --> 00:05:24,444 An ambulance? 119 00:05:24,478 --> 00:05:25,912 There's an encampment over on Elm. 120 00:05:25,945 --> 00:05:27,227 Is that where you and Jazz were? 121 00:05:29,082 --> 00:05:30,550 Then she's a patient here. 122 00:05:33,153 --> 00:05:35,986 They didn't see the baby in her tent. 123 00:05:36,423 --> 00:05:39,125 She didn't sound good. She... she needs her mama. 124 00:05:41,127 --> 00:05:43,163 You did the right thing bringing her here. 125 00:05:44,931 --> 00:05:46,580 Can I examine her? 126 00:05:48,902 --> 00:05:49,968 Uh... 127 00:05:51,405 --> 00:05:54,421 and you'll... you'll find... you'll find Jazz? 128 00:05:55,409 --> 00:05:56,742 I promise. 129 00:06:06,085 --> 00:06:08,955 We have a code pink. The baby's in heart failure. 130 00:06:08,988 --> 00:06:10,645 You may have saved her life. 131 00:06:14,361 --> 00:06:15,729 Found another tear in the pulmonary artery. 132 00:06:15,762 --> 00:06:17,297 A big one. 133 00:06:17,331 --> 00:06:18,932 Every major artery in this lung is damaged. 134 00:06:18,965 --> 00:06:21,735 His body needs to divert every resource it has 135 00:06:21,768 --> 00:06:23,803 to his vital organs. 136 00:06:23,837 --> 00:06:26,240 We should amputate his lower half. 137 00:06:26,273 --> 00:06:28,408 - We're not there yet. - It's barely hanging on. 138 00:06:28,442 --> 00:06:30,577 But it is. We're gonna try to save it. 139 00:06:30,610 --> 00:06:31,944 It's a big job to hand the residents. 140 00:06:31,978 --> 00:06:33,146 Good thing I hire the best. 141 00:06:36,015 --> 00:06:38,151 This vessel's too damaged to repair. 142 00:06:39,152 --> 00:06:40,717 I need to clamp the trunk. 143 00:06:43,290 --> 00:06:45,405 Start the clock on lung ischemia. 144 00:06:52,999 --> 00:06:54,100 I think we should sack 145 00:06:54,133 --> 00:06:56,525 the upper segmental pulmonary artery. 146 00:06:56,903 --> 00:06:58,838 That would mean he'd lose his upper lung lobe. 147 00:06:58,872 --> 00:07:00,440 He has a physical job. 148 00:07:00,474 --> 00:07:01,875 If we end up amputating, 149 00:07:01,908 --> 00:07:03,643 he's not gonna be working oil rigs. 150 00:07:03,677 --> 00:07:05,111 But he could be playing wheelchair basketball. 151 00:07:05,144 --> 00:07:07,661 PTFE graft on his artery could save his lung. 152 00:07:09,215 --> 00:07:10,417 Okay. 153 00:07:18,525 --> 00:07:20,460 Central line is in. 154 00:07:20,494 --> 00:07:22,296 Pushing milrinone to increase cardiac output. 155 00:07:22,329 --> 00:07:23,997 Severely decreased heart function, 156 00:07:24,030 --> 00:07:25,299 but her chambers look normal. 157 00:07:25,332 --> 00:07:27,000 Increasing high flow oxygen. 158 00:07:27,033 --> 00:07:28,408 BP is improving a little. 159 00:07:28,432 --> 00:07:30,704 Found it. In her posterior chest, there's a critical... 160 00:07:30,737 --> 00:07:32,185 Narrowing of her aorta. 161 00:07:34,708 --> 00:07:36,476 Her eye spacing is approximately 162 00:07:36,510 --> 00:07:38,878 six millimeters wider than the upper limit of normal. 163 00:07:38,912 --> 00:07:40,398 She also has slightly low-set ears 164 00:07:40,432 --> 00:07:42,070 and her hands are swollen. 165 00:07:46,218 --> 00:07:48,076 She has Turner syndrome. 166 00:07:53,092 --> 00:07:55,228 If we don't get that narrowing fixed in the next few days, 167 00:07:55,261 --> 00:07:56,543 she'll die. 168 00:07:58,131 --> 00:08:00,199 It won't be easy to access, but I need an angio 169 00:08:00,233 --> 00:08:02,035 for a better view. 170 00:08:02,068 --> 00:08:03,903 I'll locate the mother and get consent. 171 00:08:10,544 --> 00:08:12,379 Brady's pelvis is broken 172 00:08:12,412 --> 00:08:13,880 and separated from the spinal column. 173 00:08:13,913 --> 00:08:15,849 So to reattach his lower half, 174 00:08:15,882 --> 00:08:18,284 we need to repair the pelvis, plus all the damaged organs, 175 00:08:18,318 --> 00:08:20,587 plus the major vascular injuries, 176 00:08:20,620 --> 00:08:22,611 and then find a way to ensure it all heals. 177 00:08:24,424 --> 00:08:26,907 Are we even doing the right thing by trying to fix this? 178 00:08:27,727 --> 00:08:29,295 You want to give up before we even start? 179 00:08:29,329 --> 00:08:31,064 I've just never read anything 180 00:08:31,097 --> 00:08:32,632 supporting reattaching this kind of injury. 181 00:08:32,666 --> 00:08:33,900 Could kill him. 182 00:08:33,933 --> 00:08:35,134 Amputation is the safest thing to do. 183 00:08:35,168 --> 00:08:36,302 Lim already knows about that option. 184 00:08:36,336 --> 00:08:38,304 - Our job is to find a better one. - No, our job... 185 00:08:38,338 --> 00:08:40,962 Danny's right. We need to divide and conquer. 186 00:08:41,808 --> 00:08:43,109 I will work on organ damage. 187 00:08:43,142 --> 00:08:44,711 I'll focus on public fractures. 188 00:08:44,744 --> 00:08:47,213 I need intraoperative imaging to build a 3D model. 189 00:08:47,246 --> 00:08:48,615 Oh, well, I'll go with you. 190 00:08:48,648 --> 00:08:51,150 I need to see the full extent of the vascular injuries. 191 00:08:51,184 --> 00:08:53,683 That leaves you to figure out how these repairs heal. 192 00:08:54,988 --> 00:08:56,856 I'll see what I can find. 193 00:09:01,761 --> 00:09:04,130 - This is the baby's mom? - We think so. 194 00:09:04,163 --> 00:09:05,331 She was brought in a few hours ago 195 00:09:05,365 --> 00:09:06,733 from a homeless encampment 196 00:09:06,766 --> 00:09:08,573 with a delayed postpartum infection. 197 00:09:09,503 --> 00:09:10,904 She's septic. 198 00:09:12,611 --> 00:09:14,446 They're optimistic she'll pull through. 199 00:09:15,694 --> 00:09:17,730 Soon, let's hope. 200 00:09:17,844 --> 00:09:20,447 We've got some big decisions to make for her baby. 201 00:09:28,079 --> 00:09:29,480 Her name's Jasmine West. 202 00:09:29,513 --> 00:09:32,249 She's homeless and has bipolar disorder. 203 00:09:32,283 --> 00:09:34,886 County records show the baby was born seven weeks ago. 204 00:09:34,919 --> 00:09:38,489 No dad in the picture, no other family. 205 00:09:38,522 --> 00:09:42,593 And this was all she had on her when EMS brought her in. 206 00:09:42,626 --> 00:09:43,794 We need your consent 207 00:09:43,827 --> 00:09:45,997 for the baby's diagnostic angiogram. 208 00:09:46,030 --> 00:09:47,529 Sure. 209 00:09:48,132 --> 00:09:50,501 The baby's Turner syndrome makes every procedure, 210 00:09:50,534 --> 00:09:53,284 even a diagnostic test, a little riskier. 211 00:09:53,938 --> 00:09:56,705 Well, this is your area of expertise. 212 00:10:08,652 --> 00:10:10,854 Her baby's name is Eden. 213 00:10:14,658 --> 00:10:17,028 Pretty close to the upper lung bifurcation. 214 00:10:17,061 --> 00:10:18,862 I reinforced it with sealant. 215 00:10:18,896 --> 00:10:20,764 With a synthetic wrap? 216 00:10:20,797 --> 00:10:22,499 Are you questioning my surgical skills? 217 00:10:22,533 --> 00:10:24,035 Are you getting defensive? 218 00:10:27,538 --> 00:10:29,506 Okay. We're done. 219 00:10:29,540 --> 00:10:30,780 Let's test it. 220 00:10:38,882 --> 00:10:40,017 Good job. 221 00:10:56,600 --> 00:10:58,702 Cardiac function stable. You're good to go. 222 00:10:58,735 --> 00:11:00,769 Inserting the catheter. 223 00:11:01,205 --> 00:11:04,908 What a cute little girl. Little girls are cute. 224 00:11:04,942 --> 00:11:07,244 - Mine would be really cute. - Yeah, she'd be adorable. 225 00:11:07,278 --> 00:11:09,069 A boy could be adorable too. 226 00:11:09,913 --> 00:11:11,196 Are you trying to pick your embryo? 227 00:11:11,715 --> 00:11:13,084 I'm leaning towards a girl. 228 00:11:13,117 --> 00:11:14,986 I have a playbook to work from. 229 00:11:15,019 --> 00:11:16,587 My playbook didn't help me much. 230 00:11:16,620 --> 00:11:18,155 A lot of my issues with Kellan came 231 00:11:18,189 --> 00:11:19,756 from me trying to stop him 232 00:11:19,790 --> 00:11:21,592 from making the mistakes I made. 233 00:11:21,625 --> 00:11:22,926 If I'd had a daughter, maybe I wouldn't have 234 00:11:22,960 --> 00:11:24,584 dumped all my baggage on her. 235 00:11:25,029 --> 00:11:26,628 You should choose a girl. 236 00:11:27,198 --> 00:11:29,200 But you're having a boy. 237 00:11:29,233 --> 00:11:30,834 We didn't get to choose. 238 00:11:30,867 --> 00:11:32,336 In all long-term health metrics, 239 00:11:32,369 --> 00:11:34,371 females are more likely to outperform males, 240 00:11:34,405 --> 00:11:36,240 although they'll probably make less money. 241 00:11:36,273 --> 00:11:38,348 The narrowing is longer than it measured on echo. 242 00:11:41,912 --> 00:11:43,947 We should resect the narrowed segment 243 00:11:43,981 --> 00:11:46,583 and do an aortic anastomosis. 244 00:11:46,617 --> 00:11:48,385 Huge surgery for a baby. 245 00:11:48,419 --> 00:11:50,387 It's the only definitive treatment. 246 00:11:50,421 --> 00:11:52,223 Very definitive if she dies on the table. 247 00:11:52,256 --> 00:11:53,724 Balloon dilation is safer. 248 00:11:53,757 --> 00:11:56,527 We can do a bigger procedure in a few years when Eden can tolerate it. 249 00:11:56,560 --> 00:11:59,452 Her heart failure could relapse between surgeries. 250 00:12:04,235 --> 00:12:06,303 Your two-step approach is safer, 251 00:12:06,337 --> 00:12:07,938 but only if the baby gets daily medication 252 00:12:07,971 --> 00:12:09,740 and regular follow-up care. 253 00:12:09,773 --> 00:12:11,881 That's a lot to ask of a homeless mom. 254 00:12:15,912 --> 00:12:18,749 I'll page CPS and get consent. 255 00:12:18,782 --> 00:12:20,151 You two practice the surgery. 256 00:12:20,184 --> 00:12:21,349 A lot. 257 00:12:24,821 --> 00:12:28,662 His pelvis looks like a jigsaw puzzle with a 100 missing pieces. 258 00:12:29,179 --> 00:12:30,947 Jared may be right. 259 00:12:32,496 --> 00:12:34,265 You're taking his side. 260 00:12:34,298 --> 00:12:35,732 I'm not taking anyone's side. 261 00:12:35,766 --> 00:12:38,199 - Scans don't lie. - Okay. 262 00:12:39,603 --> 00:12:42,073 I'm not sure if you're mad at him or me, 263 00:12:42,106 --> 00:12:44,414 but we all need to get along. 264 00:12:47,144 --> 00:12:48,479 Well, you two seemed to be getting along 265 00:12:48,512 --> 00:12:50,378 pretty well at the taco truck the other night. 266 00:12:51,782 --> 00:12:53,250 That was nothing. 267 00:12:53,284 --> 00:12:54,418 Mm-hmm. 268 00:12:54,684 --> 00:12:56,119 You're spying on me? 269 00:12:56,720 --> 00:12:58,261 I was getting a taco. 270 00:12:58,286 --> 00:13:01,323 This green-eyed monster thing is not a good look for you. 271 00:13:01,625 --> 00:13:03,094 I'm not jealous. 272 00:13:03,127 --> 00:13:05,196 But you're right. 273 00:13:05,229 --> 00:13:08,099 We're supposed to be a team. He's just not a good fit. 274 00:13:08,132 --> 00:13:09,856 Let's just focus on the patient. 275 00:13:11,302 --> 00:13:12,302 Fine. 276 00:13:15,972 --> 00:13:19,210 Can't see how we're gonna repair all of that arterial damage. 277 00:13:20,677 --> 00:13:21,845 What if we don't? 278 00:13:24,320 --> 00:13:25,663 They could bypass it. 279 00:13:27,164 --> 00:13:28,399 All of it. 280 00:13:32,223 --> 00:13:34,491 This paper by Dr. Alice Chen features 281 00:13:34,525 --> 00:13:37,161 interesting data on tumor treating fields, for GBM tumors. 282 00:13:37,194 --> 00:13:38,829 I'm trying to enjoy my tuna melt. 283 00:13:38,862 --> 00:13:40,997 Dr. Chen is starting a new study soon. 284 00:13:41,030 --> 00:13:42,306 You should call her. 285 00:13:42,339 --> 00:13:44,901 I'm not gonna spend the day chasing down cancer treatments 286 00:13:44,935 --> 00:13:47,571 because I don't have cancer. 287 00:13:47,604 --> 00:13:50,407 Okay, there is a higher probability of cancer relapse 288 00:13:50,441 --> 00:13:52,042 because you refused maintenance chemotherapy. 289 00:13:52,075 --> 00:13:53,344 I'm not gonna talk about this. 290 00:13:53,377 --> 00:13:56,079 Recurrent GBM causes much worse symptoms than temozolomide. 291 00:13:56,113 --> 00:13:57,748 That's the decision I made. 292 00:13:57,781 --> 00:14:01,318 I'm going crazy. There are three crib sets I like. 293 00:14:01,352 --> 00:14:03,187 I just can't decide. 294 00:14:03,220 --> 00:14:05,689 Could you guys go to the store after work tonight 295 00:14:05,722 --> 00:14:07,538 and pick your fave? 296 00:14:10,060 --> 00:14:11,228 Okay. 297 00:14:13,897 --> 00:14:16,381 I have to go practice the baby's surgery. 298 00:14:16,967 --> 00:14:19,270 I will see you after work. 299 00:14:21,931 --> 00:14:23,199 Oh, my God! 300 00:14:25,376 --> 00:14:26,610 Should I be worried? 301 00:14:26,643 --> 00:14:28,351 About me? No. 302 00:14:39,155 --> 00:14:40,291 We're going to kill him 303 00:14:40,324 --> 00:14:42,092 trying to save the lobe of his lung. 304 00:14:42,125 --> 00:14:44,928 Removing it still leaves him with 4/5ths capacity. 305 00:14:44,961 --> 00:14:47,231 When there's a chance you might lose half your body, 306 00:14:47,264 --> 00:14:48,997 everything you have left matters. 307 00:14:53,583 --> 00:14:55,753 I need lobectomy instruments. 308 00:14:57,774 --> 00:14:59,976 This is my OR, my department. 309 00:15:00,010 --> 00:15:01,578 My hospital. 310 00:15:01,612 --> 00:15:03,747 And when a doctor's judgment is compromised, 311 00:15:03,780 --> 00:15:07,551 it's my responsibility to step in and protect our patients. 312 00:15:07,584 --> 00:15:10,321 In what possible way am I compromised? 313 00:15:12,776 --> 00:15:16,146 Are you implying that my time in a wheelchair is affecting my objectivity? 314 00:15:17,461 --> 00:15:18,943 How could it not? 315 00:15:21,965 --> 00:15:23,364 This is my patient. 316 00:15:24,268 --> 00:15:25,769 And I'm your boss. 317 00:15:34,811 --> 00:15:37,754 You can either do this with me, or I'll find someone who will. 318 00:15:43,554 --> 00:15:44,728 Deaver retractor. 319 00:15:56,599 --> 00:15:58,736 After they fix the colon, Lim can use 320 00:15:58,769 --> 00:16:01,004 some preserved bowel to create a new bladder 321 00:16:01,038 --> 00:16:02,472 like these Korean surgeons did. 322 00:16:02,505 --> 00:16:04,842 That would work perfectly with what I found. 323 00:16:04,875 --> 00:16:06,910 We can bypass all of the artery injuries 324 00:16:06,944 --> 00:16:08,645 through two Dacron conduits 325 00:16:08,678 --> 00:16:10,113 directly to his lower extremities. 326 00:16:10,147 --> 00:16:12,449 And the improved blood flow would help with my idea 327 00:16:12,482 --> 00:16:14,017 with his pelvis. 328 00:16:14,051 --> 00:16:15,853 So skin flaps, 329 00:16:15,886 --> 00:16:18,155 Dacron artery bypass, neo-bladder, 330 00:16:18,188 --> 00:16:21,172 bowel repair with biomaterials, and... 331 00:16:22,860 --> 00:16:27,097 a badass, Wolverine-like adamantium skeleton. 332 00:16:27,130 --> 00:16:29,099 It's experimental, but it's pretty damn cool. 333 00:16:29,132 --> 00:16:31,849 Now, how do we make sure all this heals? 334 00:16:32,702 --> 00:16:34,371 There's one study in Canada. 335 00:16:34,404 --> 00:16:35,973 A cocktail of recumbent growth hormones 336 00:16:36,006 --> 00:16:37,841 and pentoxifylline showed a threefold increase 337 00:16:37,875 --> 00:16:39,774 in traumatic wound healing rates. 338 00:16:40,516 --> 00:16:41,917 That's great. 339 00:16:42,545 --> 00:16:44,147 There's only four patients, 340 00:16:44,181 --> 00:16:46,030 and none of them had the same injuries as Brady. 341 00:16:46,716 --> 00:16:47,951 So no one got cut in half 342 00:16:47,985 --> 00:16:49,619 with a metal sheet on an oil rig? 343 00:16:49,652 --> 00:16:51,955 Great, I guess we just toss that study out. 344 00:16:51,989 --> 00:16:54,455 I'm just saying, I wish we had something better. 345 00:16:55,092 --> 00:16:57,994 I'll happily take a threefold increase. 346 00:16:58,028 --> 00:16:59,729 This is a workable plan. 347 00:16:59,763 --> 00:17:01,546 Good, because Lim wants an update. 348 00:17:10,373 --> 00:17:11,908 Some promising ideas, 349 00:17:11,942 --> 00:17:14,016 but there's a lot of frail tissue to heal. 350 00:17:15,846 --> 00:17:17,580 I found a study using growth hormones 351 00:17:17,614 --> 00:17:19,316 to accelerate the healing. 352 00:17:19,349 --> 00:17:21,315 Interesting. Would that work here? 353 00:17:22,953 --> 00:17:25,022 There was a threefold plan that we had... 354 00:17:25,055 --> 00:17:27,090 Well, hang on, I want to hear from the guy who did the research. 355 00:17:30,560 --> 00:17:32,562 I'm not confident it would. 356 00:17:32,595 --> 00:17:34,564 You guys said you had a workable plan. 357 00:17:34,597 --> 00:17:36,166 - It can work. - Jared's being overly cautious. 358 00:17:36,199 --> 00:17:38,035 If you close the pelvis without good vascular support, 359 00:17:38,068 --> 00:17:39,602 all these repairs will get necrotic. 360 00:17:39,636 --> 00:17:40,735 We will have good support. 361 00:17:40,759 --> 00:17:42,005 The Dacron conduit to restore blood flow... 362 00:17:42,039 --> 00:17:43,373 Not normal flow and not quick enough. 363 00:17:43,406 --> 00:17:44,607 Oh, dude, you've been doom and gloom from the start. 364 00:17:44,641 --> 00:17:46,090 - I've been... - Enough. 365 00:17:46,643 --> 00:17:48,078 Find a way to heal him. 366 00:17:48,111 --> 00:17:51,053 I don't care who it comes from, but I need it soon. 367 00:18:08,265 --> 00:18:11,073 The nurse said she's responding to the medication. 368 00:18:12,669 --> 00:18:15,605 How long will Eden be in the hospital after the surgery? 369 00:18:15,638 --> 00:18:17,207 Two weeks. 370 00:18:17,240 --> 00:18:19,776 Jasmine's on the wait list for long-term housing. 371 00:18:19,809 --> 00:18:21,334 She might have a place by then. 372 00:18:22,980 --> 00:18:25,087 Also, uh, 373 00:18:25,949 --> 00:18:28,285 is this safe if she keeps breastfeeding? 374 00:18:28,318 --> 00:18:29,759 The police found this in her tent. 375 00:18:30,820 --> 00:18:33,223 This is a bipolar mood stabilizer. 376 00:18:33,256 --> 00:18:34,430 It's safe. 377 00:18:35,092 --> 00:18:36,894 How long has she been taking this? 378 00:18:36,927 --> 00:18:38,561 She saw her psychiatrist for the first time in years 379 00:18:38,595 --> 00:18:40,063 about five weeks ago. 380 00:18:40,097 --> 00:18:43,066 She responded to it in the past. 381 00:18:43,100 --> 00:18:45,668 She had a follow-up scheduled with him tomorrow. 382 00:18:50,707 --> 00:18:53,276 There's another treatment option for Eden. 383 00:18:53,310 --> 00:18:56,079 I know, I know. It's disgusting. 384 00:18:56,113 --> 00:18:57,847 You're gonna think, "What are the percentages?" 385 00:18:57,881 --> 00:19:00,017 Trust me, you change his diapers 386 00:19:00,050 --> 00:19:01,484 and you are gonna bond with your son. 387 00:19:01,518 --> 00:19:03,086 Okay, here is the Angelic Dream Set. 388 00:19:03,120 --> 00:19:06,623 And be attentive to Lea. Be extra attentive. 389 00:19:06,656 --> 00:19:08,091 She's gonna be sleep-deprived. 390 00:19:08,125 --> 00:19:09,659 You are gonna be sleep-deprived. 391 00:19:09,692 --> 00:19:11,094 You're both gonna want to lose it. Don't. 392 00:19:11,128 --> 00:19:13,263 This mattress is very comfortable. 393 00:19:13,296 --> 00:19:15,865 This dark wood is a little bit funereal. 394 00:19:15,899 --> 00:19:18,301 The baby won't care about the color. 395 00:19:18,335 --> 00:19:21,038 It's all about first impressions. 396 00:19:21,071 --> 00:19:23,140 It's a newborn, you know? Clean slate. 397 00:19:23,173 --> 00:19:25,175 You want to surround it with beautiful things. 398 00:19:25,208 --> 00:19:26,876 A stuffed, soft... No, you don't want to do that. 399 00:19:26,910 --> 00:19:28,234 That's a hazard. 400 00:19:28,267 --> 00:19:29,947 But these spinny things... what do you call these? 401 00:19:29,980 --> 00:19:31,448 Mobiles, mobiles. 402 00:19:31,481 --> 00:19:33,116 You know, everywhere he looks, 403 00:19:33,150 --> 00:19:34,851 you want him to be interested, stimulated. 404 00:19:34,884 --> 00:19:36,686 Beautiful sounds. Beautiful music. 405 00:19:36,719 --> 00:19:38,521 Mozart. Joni Mitchell. 406 00:19:38,555 --> 00:19:40,690 If you want to talk about something 407 00:19:40,723 --> 00:19:41,959 other than selecting a crib, 408 00:19:41,992 --> 00:19:43,293 it should be brain cancer treatments. 409 00:19:43,326 --> 00:19:44,694 Oh my God! I don't want to think about that. 410 00:19:44,727 --> 00:19:45,895 I can't not think about it. 411 00:19:45,929 --> 00:19:48,731 In 12 hours, we will have results... 412 00:19:48,765 --> 00:19:50,233 - Exactly. - We should be prepared. 413 00:19:50,267 --> 00:19:54,427 Okay, Shaun, stop. Just... just stop for a second 414 00:19:55,999 --> 00:19:57,033 Sit down. 415 00:19:58,908 --> 00:19:59,943 Okay. 416 00:20:05,615 --> 00:20:07,231 If I have cancer, 417 00:20:10,853 --> 00:20:13,190 I'd be at stage four, right? 418 00:20:13,223 --> 00:20:15,825 There's no miracle cure for that. 419 00:20:15,858 --> 00:20:18,695 You still haven't called Dr. Chen in Cleveland. 420 00:20:18,728 --> 00:20:19,896 I read her paper. 421 00:20:19,929 --> 00:20:22,496 It doesn't work with recurrent GBM. 422 00:20:31,194 --> 00:20:34,425 How can you think about teddy bears when you might be dying? 423 00:20:36,046 --> 00:20:38,948 If you're right, Shaun, 424 00:20:38,982 --> 00:20:41,724 then I won't be here when your son is born. 425 00:20:42,752 --> 00:20:44,810 I won't be here to help you. 426 00:20:48,158 --> 00:20:50,293 We'll know when we know. 427 00:20:57,167 --> 00:20:58,824 I like the lighter wood. 428 00:21:00,770 --> 00:21:02,161 So do I. 429 00:21:07,170 --> 00:21:09,335 What else should I know about diapers? 430 00:21:19,105 --> 00:21:20,274 Lung lobe is out. 431 00:21:24,043 --> 00:21:26,180 These segmental vessels are damaged. 432 00:21:26,213 --> 00:21:28,081 Running 7-0 sutures should fix them. 433 00:21:28,114 --> 00:21:30,517 Why bother? The upper lobe is out. 434 00:21:30,550 --> 00:21:32,752 If we can get Perez's Dacron graft to work, 435 00:21:32,786 --> 00:21:34,053 we could use them to save his lower half. 436 00:21:34,087 --> 00:21:35,422 Very unlikely. 437 00:21:35,455 --> 00:21:36,890 The residents are working on it. 438 00:21:36,923 --> 00:21:38,781 And obviously not succeeding. 439 00:21:41,728 --> 00:21:42,796 First, I'm compromised, 440 00:21:42,829 --> 00:21:44,231 now you're slagging on the residents? 441 00:21:44,264 --> 00:21:46,366 Two are on probation, you let another one go, 442 00:21:46,400 --> 00:21:48,134 and her replacement is someone I fired. 443 00:21:48,168 --> 00:21:49,936 He's also the world's most experienced first-year, 444 00:21:49,969 --> 00:21:51,305 and he brings a new perspective to the mix. 445 00:21:51,338 --> 00:21:53,240 And training these guys is my job. 446 00:21:53,273 --> 00:21:55,442 Your job is to make my job easier. 447 00:21:55,475 --> 00:21:57,143 I thought it was to run a great surgical department. 448 00:21:57,177 --> 00:21:59,145 If you were doing that, I wouldn't have to think 449 00:21:59,179 --> 00:22:01,345 about that department as much as I have recently. 450 00:22:03,817 --> 00:22:05,182 Vessel loops. 451 00:22:16,463 --> 00:22:18,398 You changed the baby's surgery? 452 00:22:18,432 --> 00:22:20,634 We weren't giving Jasmine enough credit. 453 00:22:20,667 --> 00:22:22,168 She's done a lot to turn her life around 454 00:22:22,202 --> 00:22:23,437 since Eden was born. 455 00:22:23,470 --> 00:22:25,239 For seven weeks. 456 00:22:25,272 --> 00:22:26,485 And with this new treatment plan, 457 00:22:26,509 --> 00:22:28,414 she has to keep it up for seven years. 458 00:22:28,975 --> 00:22:30,541 A baby can change a person. 459 00:22:33,780 --> 00:22:35,641 Code pink, NICU bed three. 460 00:22:35,674 --> 00:22:36,916 That's Eden. 461 00:22:36,950 --> 00:22:39,052 Code pink, NICU bed three. 462 00:22:49,863 --> 00:22:52,065 Lim asked for my opinion. 463 00:22:58,705 --> 00:23:03,343 I met so many rich, entitled guys like you in college, 464 00:23:03,377 --> 00:23:05,345 and I couldn't stand them... 465 00:23:05,379 --> 00:23:07,036 even the ones I slept with. 466 00:23:08,715 --> 00:23:10,650 If you can't handle the hard work, 467 00:23:10,684 --> 00:23:13,186 just get in your Lamborghini and go home. 468 00:23:15,855 --> 00:23:17,223 Sherry Lewis. 469 00:23:22,596 --> 00:23:24,470 One of my last patients in Denver. 470 00:23:25,432 --> 00:23:27,233 Late-stage ovarian cancer. 471 00:23:27,267 --> 00:23:29,225 Treatment's pelvic exenteration. 472 00:23:29,736 --> 00:23:31,838 You remove everything. 473 00:23:31,871 --> 00:23:35,481 The bladder, colon, uterus, and vagina. 474 00:23:36,075 --> 00:23:37,911 Now, in success, 475 00:23:37,944 --> 00:23:40,514 the patient lives with colostomy and urostomy bags, 476 00:23:40,547 --> 00:23:43,030 severe menopause, and absolutely no sex life. 477 00:23:44,418 --> 00:23:46,992 Well, it's brutal but effective. 478 00:23:47,921 --> 00:23:49,022 Would have been. 479 00:23:51,257 --> 00:23:53,624 But I talked my attending out of it, 480 00:23:54,260 --> 00:23:56,830 in favor of an experimental surgery. 481 00:23:56,863 --> 00:23:58,365 A wide excision of all the tumors, 482 00:23:58,398 --> 00:24:01,067 then you reconstruct the entire pelvic floor with TRAM flaps. 483 00:24:01,100 --> 00:24:02,883 Incredibly advanced. 484 00:24:04,538 --> 00:24:06,627 The type of stuff you're talking about doing to Brady. 485 00:24:11,778 --> 00:24:13,447 Sherry, um... 486 00:24:17,884 --> 00:24:19,653 Sherry died on the table. 487 00:24:24,296 --> 00:24:26,031 And I left Denver. 488 00:24:42,141 --> 00:24:44,341 We take risks and people die. 489 00:24:46,179 --> 00:24:48,053 But if we play it safe, 490 00:24:50,617 --> 00:24:51,974 they die too. 491 00:24:55,522 --> 00:24:57,591 I'd rather regret fighting too hard for a patient 492 00:24:57,624 --> 00:24:59,493 than not hard enough. 493 00:25:17,777 --> 00:25:20,747 Why would your daughter shave your cat? 494 00:25:20,780 --> 00:25:24,951 Long story. Point being, don't get a cat. 495 00:25:24,984 --> 00:25:27,086 Kids are gonna tell you they're gonna clean the litter box. 496 00:25:27,120 --> 00:25:29,823 They're not gonna clean the litter box. Don't fall for that trap. 497 00:25:29,856 --> 00:25:32,191 You made a lot of mistakes. 498 00:25:32,225 --> 00:25:33,326 Yeah. 499 00:25:34,027 --> 00:25:36,195 It all boils down to 500 00:25:36,229 --> 00:25:38,131 Maddy's mom basically raised her 501 00:25:38,164 --> 00:25:40,434 while I focused on work. 502 00:25:40,467 --> 00:25:43,002 You were a surgeon. She was a real estate agent. 503 00:25:43,036 --> 00:25:44,438 I love surgery. 504 00:25:44,471 --> 00:25:46,339 I love poking around in people's brains. 505 00:25:46,372 --> 00:25:48,374 It's very exciting. 506 00:25:48,408 --> 00:25:51,010 And I get to save some lives while I'm at it. 507 00:25:51,044 --> 00:25:54,013 Saving lives is very exciting. 508 00:25:54,047 --> 00:25:56,215 So were Maddy's first steps, her first words, 509 00:25:56,249 --> 00:26:00,053 her first piano recital, or so I heard. 510 00:26:00,086 --> 00:26:02,021 Work over family, and that's what you get. 511 00:26:02,055 --> 00:26:04,213 You're not gonna make the same mistakes. 512 00:26:05,191 --> 00:26:06,793 I don't think I will. 513 00:26:06,826 --> 00:26:08,968 We are very different people. 514 00:26:13,833 --> 00:26:15,001 Are we? 515 00:26:20,740 --> 00:26:24,544 I have learned some very useful things from you. 516 00:26:24,750 --> 00:26:26,685 Well, right back at you. 517 00:26:33,617 --> 00:26:36,022 The baby needs surgery. 518 00:26:36,055 --> 00:26:37,591 The crib needs to be assembled. 519 00:26:37,624 --> 00:26:38,992 Go. 520 00:26:39,025 --> 00:26:40,594 But you chose work way too often. 521 00:26:40,627 --> 00:26:42,496 When should I prioritize family? 522 00:26:42,529 --> 00:26:44,063 When you have a sick baby 523 00:26:44,097 --> 00:26:47,798 and a piece of furniture, the sick baby wins every time. Go. 524 00:26:48,067 --> 00:26:49,469 I got this. 525 00:27:01,481 --> 00:27:02,682 Serial debridement. 526 00:27:02,716 --> 00:27:05,051 Helps healing a little, but... 527 00:27:05,084 --> 00:27:07,386 it increases infection risk a lot. 528 00:27:07,420 --> 00:27:08,610 Well, then I'm tapped out. 529 00:27:09,556 --> 00:27:10,624 Me too. 530 00:27:12,258 --> 00:27:14,093 I guess we should tell Lim. 531 00:27:15,061 --> 00:27:16,462 Lamborghinis. 532 00:27:18,131 --> 00:27:19,538 Lamborghinis. 533 00:27:20,734 --> 00:27:22,869 Now, most sports cars use pressurized combustion 534 00:27:22,902 --> 00:27:24,704 to achieve that kind of performance, but not Lambos. 535 00:27:24,738 --> 00:27:25,872 No, no, no, no. 536 00:27:25,905 --> 00:27:27,273 To reduce engine wear, they use vacuums 537 00:27:27,306 --> 00:27:28,908 to pour gas into the pistons. 538 00:27:28,942 --> 00:27:30,710 Now, Brady's organs won't heal 539 00:27:30,744 --> 00:27:32,184 because we can't get enough flow to them, 540 00:27:32,217 --> 00:27:33,813 but if you force more blood 541 00:27:33,847 --> 00:27:35,649 into the area, well, then we cause lethally high 542 00:27:35,682 --> 00:27:38,918 abdominal compartment pressure. So... 543 00:27:38,952 --> 00:27:41,888 Let's pull in the blood passively by creating a vacuum 544 00:27:41,921 --> 00:27:44,104 using internal suction devices. 545 00:27:47,961 --> 00:27:51,400 A low pressure system with low tissue stress is better for healing. 546 00:27:51,743 --> 00:27:52,744 That's... 547 00:27:54,133 --> 00:27:55,741 That's a brilliant idea. 548 00:27:56,169 --> 00:27:57,637 But it won't work. 549 00:27:57,671 --> 00:27:59,828 Not without blood coming into the right areas. 550 00:28:00,540 --> 00:28:02,247 I need your help with that. 551 00:28:04,010 --> 00:28:05,511 Where do you need the blood? 552 00:28:12,485 --> 00:28:14,420 It's what we proposed earlier, 553 00:28:14,453 --> 00:28:16,289 plus a healing plan that Jared... 554 00:28:16,322 --> 00:28:17,596 I can read. 555 00:28:20,493 --> 00:28:21,728 Good work. 556 00:28:25,331 --> 00:28:27,300 It's four experimental techniques 557 00:28:27,333 --> 00:28:30,737 rolled into an eight-hour surgery with lousy odds of success. 558 00:28:40,413 --> 00:28:41,912 Let's give it a try. 559 00:28:51,897 --> 00:28:54,332 Dacron conduits are connected to the aorta. 560 00:28:54,366 --> 00:28:56,935 Do the anastomosis sites look secure enough? 561 00:28:56,969 --> 00:28:58,771 Any weak spots in there will move that metal. 562 00:28:58,804 --> 00:29:00,305 He'll bleed out. 563 00:29:00,338 --> 00:29:01,506 They know. 564 00:29:02,540 --> 00:29:03,842 On three. 565 00:29:03,876 --> 00:29:06,979 One, two, three. 566 00:29:27,099 --> 00:29:28,400 We have hemostasis. 567 00:29:28,433 --> 00:29:30,568 And good blood flow through the conduits. 568 00:29:30,602 --> 00:29:32,337 Tissue's perfusing. 569 00:29:36,341 --> 00:29:39,377 Yes! Yes! 570 00:29:46,351 --> 00:29:48,620 Time to move on to the pelvic fractures. 571 00:29:51,056 --> 00:29:54,860 This is much more important than assembling a crib. 572 00:29:54,893 --> 00:29:56,661 But patients will always need surgery, 573 00:29:56,694 --> 00:29:58,931 and my family will always need attention. 574 00:29:58,964 --> 00:30:01,233 If there's no clear choice between a patient 575 00:30:01,266 --> 00:30:04,002 and your family, pick the one that's related to you. 576 00:30:04,489 --> 00:30:05,489 Hmm. 577 00:30:07,973 --> 00:30:10,342 Obviously, choose family when you can, 578 00:30:10,375 --> 00:30:13,178 but sacrifice is part of the job. 579 00:30:13,211 --> 00:30:15,213 That's a good point. 580 00:30:15,247 --> 00:30:16,849 But you are divorced. 581 00:30:16,882 --> 00:30:18,416 That is more sacrifice than I want. 582 00:30:18,450 --> 00:30:19,597 Fair. 583 00:30:20,919 --> 00:30:23,466 Eden's O2 sat just dropped a bit. 584 00:30:23,499 --> 00:30:25,057 I'm nowhere near her lungs. 585 00:30:44,409 --> 00:30:46,444 Turner syndrome causes leaky vessels. 586 00:30:46,478 --> 00:30:49,047 The stress on Eden's body is causing lymph fluid to build up. 587 00:30:49,081 --> 00:30:50,715 We can drain it with a chest tube. 588 00:30:50,748 --> 00:30:52,795 Her chest is so small, you'd risk a collapsed lung 589 00:30:52,819 --> 00:30:54,294 and pleural infection. 590 00:30:55,120 --> 00:30:57,589 I could clear the lung with diuretics. 591 00:30:57,622 --> 00:31:01,677 The risks and benefits of both treatments are nearly identical. 592 00:31:02,427 --> 00:31:04,296 But that also means it doesn't matter which one we choose, 593 00:31:04,329 --> 00:31:05,830 which makes the choice easy. 594 00:31:05,864 --> 00:31:08,233 I find inserting chest tubes particularly satisfying, 595 00:31:08,266 --> 00:31:10,102 so I will do that. 596 00:31:15,540 --> 00:31:18,860 The risks and benefits of a boy and a girl are nearly identical too. 597 00:31:20,645 --> 00:31:22,521 But girls kick ass. 598 00:31:30,138 --> 00:31:31,687 This implant's gonna be a tight fit 599 00:31:31,711 --> 00:31:33,625 around the cauda equina. 600 00:31:33,658 --> 00:31:36,094 The bioengineer's mapping algorithm 601 00:31:36,128 --> 00:31:38,630 was designed to optimize stability. 602 00:31:38,663 --> 00:31:40,265 Well, Brady's not an algorithm. 603 00:31:40,298 --> 00:31:42,092 His nerves are gonna run where they run. 604 00:31:43,335 --> 00:31:45,337 I'll set it in position. 605 00:31:47,072 --> 00:31:49,441 Nerve impingement. 606 00:31:49,474 --> 00:31:51,059 I'll expand the narrowing with a rod. 607 00:31:58,550 --> 00:32:00,685 Wait, there's an alternate algorithm that can fix that. 608 00:32:00,718 --> 00:32:03,355 Settle down, Dr. Allen. I got this. 609 00:32:03,388 --> 00:32:06,491 That's $100,000 worth of tech, and she's using a rod. 610 00:32:11,729 --> 00:32:13,915 Nerve activity flattening. 611 00:32:14,566 --> 00:32:18,420 One more minute. 612 00:32:34,286 --> 00:32:35,979 The old cantilever maneuver. 613 00:32:36,354 --> 00:32:37,555 Nice work. 614 00:32:37,589 --> 00:32:39,191 Can't beat the classics. 615 00:32:44,629 --> 00:32:48,116 Eden's surgery went well, so I was hoping Jasmine might... 616 00:33:00,838 --> 00:33:02,006 V-fib. 617 00:33:04,582 --> 00:33:06,635 Ran a code for an hour, but... 618 00:33:08,786 --> 00:33:10,639 she'd just been through too much. 619 00:33:16,461 --> 00:33:19,364 Vacuum devices are in position. 620 00:33:19,397 --> 00:33:21,566 Let's see if they work. 621 00:33:21,599 --> 00:33:24,111 Keep a close eye on his intra-abdominal pressure. 622 00:33:26,404 --> 00:33:27,781 We have vacuum. 623 00:33:28,806 --> 00:33:30,108 IA pressure's okay. 624 00:33:30,142 --> 00:33:32,144 Time for the tissue flaps. 625 00:33:32,177 --> 00:33:34,146 Looking good, Lambo. 626 00:33:36,448 --> 00:33:38,383 There's a small spike in IA pressure. 627 00:33:38,416 --> 00:33:40,785 Increasing vacuum suction. 628 00:33:40,818 --> 00:33:42,787 Still climbing. 629 00:33:45,790 --> 00:33:46,991 Pressure's compressing his organs. 630 00:33:48,826 --> 00:33:50,062 He's getting ischemic. 631 00:33:50,095 --> 00:33:51,805 I'm going up to 55. 632 00:33:58,436 --> 00:33:59,771 He's in shock. 633 00:34:01,206 --> 00:34:03,233 I did this. 634 00:34:03,807 --> 00:34:06,319 You didn't do anything. We're in this together. 635 00:34:10,814 --> 00:34:11,816 We need to amputate. 636 00:34:11,849 --> 00:34:13,251 Not yet. 637 00:34:13,285 --> 00:34:15,287 Audrey, pressure's too high. We're killing his organs. 638 00:34:15,320 --> 00:34:16,663 I think he's wrong. 639 00:34:18,222 --> 00:34:19,916 Then fight for your patient. 640 00:34:24,961 --> 00:34:26,698 We need to amputate. 641 00:34:30,034 --> 00:34:31,436 - Okay. - All right. 642 00:34:31,468 --> 00:34:32,870 We need a Liston amputation knife, 643 00:34:32,903 --> 00:34:34,839 a bone saw, and a set of 5 1/2-inch hemostats. 644 00:34:34,872 --> 00:34:36,850 He can handle 75. 645 00:34:37,709 --> 00:34:39,977 With that kind of pressure, he'll bleed out. 646 00:34:40,010 --> 00:34:41,313 Normally, yes. 647 00:34:41,345 --> 00:34:43,148 But the Dacron conduits Dr. Perez chose 648 00:34:43,180 --> 00:34:45,016 are more rigid than typical vessels. 649 00:34:45,048 --> 00:34:46,484 They'll hold up. 650 00:34:47,652 --> 00:34:48,904 Let's do it. 651 00:34:50,355 --> 00:34:54,117 I trust my residents, Marcus, and I need you to trust me. 652 00:35:03,268 --> 00:35:04,794 Let's go to 75. 653 00:35:22,645 --> 00:35:24,514 Brady's family are here. 654 00:35:28,051 --> 00:35:29,385 Is my husband... 655 00:35:29,418 --> 00:35:31,421 The surgery was a success. 656 00:35:31,854 --> 00:35:33,924 It will be a long recovery, but... 657 00:35:33,957 --> 00:35:34,957 Oh. 658 00:35:38,828 --> 00:35:41,731 Thank you for saving my dad. 659 00:35:45,701 --> 00:35:47,070 I'll take you to him. 660 00:35:51,707 --> 00:35:53,977 I should be dead on my feet, but I just feel... 661 00:35:54,677 --> 00:35:56,304 - Awesome? - Yeah. 662 00:36:03,186 --> 00:36:05,230 It's been 24 hours. 663 00:36:07,523 --> 00:36:08,658 Yeah. 664 00:36:15,498 --> 00:36:17,733 I just need a minute. 665 00:36:17,767 --> 00:36:20,787 A minute won't change the results. 666 00:36:21,737 --> 00:36:23,164 No, it won't. 667 00:36:36,419 --> 00:36:40,423 No cancerous DNA detected. 668 00:36:40,456 --> 00:36:41,924 I was wrong! 669 00:36:42,892 --> 00:36:44,194 Yes, you were. 670 00:36:59,409 --> 00:37:01,011 ♪ Yeah ♪ 671 00:37:01,044 --> 00:37:03,946 ♪ Everybody ♪ 672 00:37:03,980 --> 00:37:06,549 ♪ Rock your body right ♪ 673 00:37:07,217 --> 00:37:08,351 What? 674 00:37:08,384 --> 00:37:11,921 ♪ Backstreet's back, all right ♪ 675 00:37:11,954 --> 00:37:13,689 I'm gonna keep up this same energy 676 00:37:13,723 --> 00:37:15,091 with some Whitney. 677 00:37:15,758 --> 00:37:16,926 You were right. 678 00:37:17,960 --> 00:37:19,095 You always are. 679 00:37:19,129 --> 00:37:20,388 You're learning. 680 00:37:21,964 --> 00:37:25,135 ♪ Oh, my God, we're back again ♪ 681 00:37:26,469 --> 00:37:29,914 You know, before when I was bitching about Jared, 682 00:37:31,007 --> 00:37:32,142 it's because... 683 00:37:33,009 --> 00:37:34,878 Well, I am a little jealous. 684 00:37:35,392 --> 00:37:36,392 A little? 685 00:37:37,147 --> 00:37:38,340 Okay. 686 00:37:39,682 --> 00:37:40,783 What you saw between Jared and I... 687 00:37:40,816 --> 00:37:42,952 It's none of my business. 688 00:37:42,985 --> 00:37:45,955 You deserve somebody who's ready to fully commit. 689 00:37:45,988 --> 00:37:47,332 Somebody who makes you happy. 690 00:37:49,292 --> 00:37:50,826 Whoever that may be. 691 00:37:52,195 --> 00:37:54,064 - ♪ Yeah ♪ - Danny! 692 00:37:54,097 --> 00:37:55,331 We need your boy band face for the chorus. 693 00:37:55,365 --> 00:37:57,633 - Come here. - Yeah, we need those abs. 694 00:37:57,667 --> 00:37:59,602 Get up here, baby! 695 00:37:59,635 --> 00:38:01,071 ♪ Am I everything you need ♪ 696 00:38:01,104 --> 00:38:03,005 ♪ You better rock your body now ♪ 697 00:38:03,039 --> 00:38:05,775 ♪ Everybody ♪ 698 00:38:05,808 --> 00:38:07,677 ♪ Yeah ♪ 699 00:38:07,710 --> 00:38:10,180 ♪ Rock your body ♪ 700 00:38:10,213 --> 00:38:11,981 ♪ Yeah ♪ 701 00:38:12,014 --> 00:38:14,650 ♪ Everybody ♪ 702 00:38:14,684 --> 00:38:17,753 ♪ Backstreet's back, all right ♪ 703 00:38:20,856 --> 00:38:22,692 The new surgical robot is operational, 704 00:38:22,725 --> 00:38:24,860 and I just landed the perfect nephrectomy 705 00:38:24,894 --> 00:38:26,296 for its inaugural run. 706 00:38:26,329 --> 00:38:27,463 Dibs. 707 00:38:27,497 --> 00:38:29,353 Ah, you did the last cool case. 708 00:38:29,387 --> 00:38:31,000 This one's going to Dr. Murphy. 709 00:38:32,635 --> 00:38:34,904 This is cool. 710 00:38:37,640 --> 00:38:39,309 Dr. Park should take it. 711 00:38:39,342 --> 00:38:41,553 I have to finish setting up our nursery. 712 00:38:53,489 --> 00:38:54,524 Hey. 713 00:38:57,693 --> 00:38:58,903 Good job today. 714 00:38:59,695 --> 00:39:00,896 Thanks. 715 00:39:04,100 --> 00:39:05,501 I've been under the microscope 716 00:39:05,535 --> 00:39:08,580 with the board lately, and I am stressed. 717 00:39:12,575 --> 00:39:15,211 Things were said that probably shouldn't have been. 718 00:39:19,115 --> 00:39:21,760 Things weren't said. You said them. 719 00:39:27,190 --> 00:39:30,477 If you don't trust me, fire me. 720 00:39:31,961 --> 00:39:34,898 And if you do, then stay out of my way. 721 00:39:53,383 --> 00:39:54,384 Hey. 722 00:39:55,551 --> 00:39:56,586 Dalisay? 723 00:39:57,287 --> 00:39:58,454 The baby's upset. 724 00:39:58,488 --> 00:39:59,589 Her heart? 725 00:39:59,622 --> 00:40:01,291 No, everything's fine there. 726 00:40:01,324 --> 00:40:03,693 I just... I think she needs some company. 727 00:40:03,726 --> 00:40:05,595 I'll get to her when I can, but I'm slammed. 728 00:40:16,956 --> 00:40:22,038 _ 729 00:40:22,065 --> 00:40:24,771 _ 730 00:40:30,986 --> 00:40:32,988 I'm here, Eden. 731 00:40:52,041 --> 00:40:53,893 You can open your eyes now. 732 00:40:55,978 --> 00:40:57,813 It's so sweet. 733 00:40:58,848 --> 00:41:00,383 The crib. 734 00:41:01,817 --> 00:41:03,085 The dresser. 735 00:41:03,118 --> 00:41:04,754 It's the Angelic Dream Set. 736 00:41:04,787 --> 00:41:06,121 The dark walnut was funereal, 737 00:41:06,155 --> 00:41:09,191 but it also came in natural pine. 738 00:41:09,225 --> 00:41:12,962 Oh, our little peanut is gonna love it. 739 00:41:14,169 --> 00:41:15,971 Oh. 740 00:41:17,967 --> 00:41:19,544 Whatcha got there? 741 00:41:20,970 --> 00:41:22,171 There are 742 00:41:22,805 --> 00:41:25,216 two screws missing. 743 00:41:26,175 --> 00:41:28,308 That is not good. 744 00:41:28,341 --> 00:41:31,046 No Biggie, Shaun. It's just a couple screws. 745 00:41:31,080 --> 00:41:34,893 No, that means Dr. Glassman missed a step. 746 00:41:39,255 --> 00:41:41,900 Dr. Glassman doesn't have brain cancer, 747 00:41:43,265 --> 00:41:45,486 but there is something wrong with his brain.