1
00:00:01,216 --> 00:00:03,862
<i>Severe Winter Weather
Advisories</i>

2
00:00:03,886 --> 00:00:05,463
<i>have been issued from Kansas
to western Minnesota.</i>

3
00:00:05,487 --> 00:00:07,537
<i>Severe ice and snow reported.</i>

4
00:00:07,562 --> 00:00:09,562
<i>Temperatures will likely reach
below 20 degrees,</i>

5
00:00:09,587 --> 00:00:10,675
<i>and wind chill...</i>

6
00:00:10,700 --> 00:00:12,511
Shaun.

7
00:00:12,535 --> 00:00:13,734
Shaun.

8
00:00:14,409 --> 00:00:18,690
Mm. There is a severe
weather warning in Minnesota.

9
00:00:18,715 --> 00:00:21,160
You haven't been at work in three days.

10
00:00:21,184 --> 00:00:24,730
I want to be left alone.

11
00:00:27,791 --> 00:00:30,529
I'm sorry she hurt you.

12
00:00:31,127 --> 00:00:32,772
But you are strong.

13
00:00:32,796 --> 00:00:34,682
You're the most determined man I know.

14
00:00:34,706 --> 00:00:36,542
You're gonna get through this.

15
00:00:39,420 --> 00:00:42,766
I wish I was...

16
00:00:42,790 --> 00:00:44,457
normal.

17
00:00:47,261 --> 00:00:51,608
Everyone wishes they were normal, Shaun.

18
00:00:57,771 --> 00:00:59,783
You need to get up.

19
00:00:59,807 --> 00:01:02,353
You need to do your exercise routine,

20
00:01:02,377 --> 00:01:04,354
then shower, shave, and get to work.

21
00:01:04,378 --> 00:01:06,239
And not because
your patients need your help,

22
00:01:06,263 --> 00:01:08,124
but because it'll make you feel better.

23
00:01:09,717 --> 00:01:12,195
I'm not leaving without you.

24
00:01:17,527 --> 00:01:20,837
Your sleep apnea is worse
than we'd thought.

25
00:01:20,861 --> 00:01:23,273
You have a condition related
to your pseudoachondroplasia

26
00:01:23,297 --> 00:01:25,308
that is narrowing the base of your skull

27
00:01:25,332 --> 00:01:27,277
and compressing the part of your brain

28
00:01:27,301 --> 00:01:28,837
that controls your breathing.

29
00:01:32,673 --> 00:01:34,885
People always say I'm too full of myself.

30
00:01:34,909 --> 00:01:36,286
Guess it's actually true.

31
00:01:36,310 --> 00:01:37,721
Finn, this is serious.

32
00:01:37,745 --> 00:01:39,556
Don't worry. I'm gonna be fine.

33
00:01:39,580 --> 00:01:41,658
We can remove bone
from the wall of your skull

34
00:01:41,682 --> 00:01:44,027
and resect a small section
of your cerebellum

35
00:01:44,051 --> 00:01:45,662
to reduce brain-stem pressure.

36
00:01:45,686 --> 00:01:48,732
You're... You're gonna cut out
a piece of his brain?

37
00:01:48,756 --> 00:01:50,667
It won't affect your intellect,

38
00:01:50,691 --> 00:01:52,903
but it will cause a speech impediment

39
00:01:52,927 --> 00:01:54,671
and some difficulty with balance.

40
00:01:54,695 --> 00:01:57,274
I'd rather you knock
a few points off my IQ.

41
00:01:57,298 --> 00:01:58,461
Stop it.

42
00:01:58,485 --> 00:01:59,743
I'm serious.

43
00:01:59,767 --> 00:02:02,200
My "gift of gab"
is what you love about me.

44
00:02:02,663 --> 00:02:04,447
Uh, w-what's option two?

45
00:02:04,471 --> 00:02:07,517
I'm sorry, there is no other option.

46
00:02:07,541 --> 00:02:10,020
I'm a salesman.
I don't hear the word "no".

47
00:02:10,044 --> 00:02:11,621
Th-There's always another way.

48
00:02:11,645 --> 00:02:13,556
You just got to think outside the box.

49
00:02:13,580 --> 00:02:15,091
We've already done that,

50
00:02:15,115 --> 00:02:16,927
which is how we came up
with this surgery.

51
00:02:16,951 --> 00:02:18,528
It's the only way to keep you alive,

52
00:02:18,552 --> 00:02:21,431
so you have no choice but to accept it.

53
00:02:21,455 --> 00:02:24,367
Dr. Murphy is being rude
and insensitive...

54
00:02:24,391 --> 00:02:25,769
but he's also right.

55
00:02:25,793 --> 00:02:28,204
Finn, please, I love you.

56
00:02:28,228 --> 00:02:30,407
And I will always be here for you

57
00:02:30,431 --> 00:02:32,130
no matter how you talk or walk.

58
00:02:32,693 --> 00:02:34,844
But you have to listen to your doctors.

59
00:02:36,203 --> 00:02:38,214
I love you, too.

60
00:02:44,111 --> 00:02:46,256
Do whatever you think's best.

61
00:02:57,840 --> 00:02:59,241
Synced & corrected by -robtor-
www.addic7ed.com

62
00:03:05,866 --> 00:03:07,010
Let me guess.

63
00:03:07,034 --> 00:03:08,878
I'm gonna need another surgery.

64
00:03:08,902 --> 00:03:10,680
What's that now, my tenth?

65
00:03:10,704 --> 00:03:11,897
Eleventh.

66
00:03:12,539 --> 00:03:14,551
And I still can't work the farm;

67
00:03:14,575 --> 00:03:18,688
can't drive a tractor,
pull a combine lever.

68
00:03:18,712 --> 00:03:21,191
I can't even twist open a bottle of beer.

69
00:03:21,215 --> 00:03:22,993
When we met, you were in an ambulance

70
00:03:23,017 --> 00:03:24,884
and your arms
were still in your harvester.

71
00:03:24,908 --> 00:03:28,271
Today you have sensation
and almost full mobility.

72
00:03:28,295 --> 00:03:30,400
Now we just need to treat the neuropathy

73
00:03:30,424 --> 00:03:32,402
and improve your strength.

74
00:03:32,426 --> 00:03:33,959
So how do we do that?

75
00:03:34,588 --> 00:03:36,962
I'm thinking a gracilis muscle transfer.

76
00:03:37,508 --> 00:03:40,924
That should improve his grip
and relieve some of the pain,

77
00:03:40,948 --> 00:03:43,279
but there's only one way
to eliminate all of it.

78
00:03:43,303 --> 00:03:46,216
Tyson, have you given
any more thought to amputation

79
00:03:46,240 --> 00:03:48,385
and osseointegrated prosthetic arms?

80
00:03:48,409 --> 00:03:50,053
They'd attach directly to the bones

81
00:03:50,077 --> 00:03:51,287
and nerves in your forearm,

82
00:03:51,311 --> 00:03:53,356
and you can control them
just like your own hands.

83
00:03:53,380 --> 00:03:56,226
Function would be reduced
in some respects.

84
00:03:56,250 --> 00:03:59,103
Less dexterity, no sensory feedback.

85
00:03:59,127 --> 00:04:02,013
But others, like grip strength,
would be better.

86
00:04:02,037 --> 00:04:04,523
And more importantly, you'd be pain-free.

87
00:04:07,860 --> 00:04:10,082
I want to be a farmer,

88
00:04:10,344 --> 00:04:11,776
not a cyborg.

89
00:04:12,832 --> 00:04:14,294
Okay.

90
00:04:15,420 --> 00:04:17,680
The pain's getting worse.

91
00:04:17,704 --> 00:04:20,850
Probably because I've been
crazy busy in the O.R.

92
00:04:20,874 --> 00:04:22,619
with Murphy out till today.

93
00:04:22,643 --> 00:04:23,953
He's back?

94
00:04:23,977 --> 00:04:26,356
Only because Brown went to his apartment

95
00:04:26,380 --> 00:04:27,599
and dragged his ass in.

96
00:04:28,448 --> 00:04:29,859
She shouldn't have done that.

97
00:04:29,883 --> 00:04:31,694
He's trying to work this out on his own.

98
00:04:31,718 --> 00:04:32,796
That's a good thing.

99
00:04:34,054 --> 00:04:36,066
DMARDs aren't working.

100
00:04:36,090 --> 00:04:37,867
I know.

101
00:04:37,891 --> 00:04:41,081
Which is why I've been thinking
about synovectomy surgery.

102
00:04:41,105 --> 00:04:43,606
You're gonna remove the joint
linings in your fingers?

103
00:04:43,630 --> 00:04:45,708
That'll resolve the pain temporarily.

104
00:04:45,732 --> 00:04:46,743
Then what?

105
00:04:46,767 --> 00:04:48,700
It'll give me at least ten years.

106
00:04:49,735 --> 00:04:51,648
And then you're gonna be bone on bone;

107
00:04:51,672 --> 00:04:54,250
every joint in your hand
will be mangled and deformed.

108
00:04:54,274 --> 00:04:56,670
What's your plan then?

109
00:04:58,411 --> 00:05:01,780
Who knows what treatments
will be available in ten years?

110
00:05:02,122 --> 00:05:04,255
Have you thought about oncology?

111
00:05:04,737 --> 00:05:06,404
Surgeons do the real work.

112
00:05:06,620 --> 00:05:09,265
They cut out the tumor;
they cure the patient.

113
00:05:09,289 --> 00:05:11,234
Oncologists just sweep up after.

114
00:05:11,258 --> 00:05:12,936
You want to know an even better job?

115
00:05:12,960 --> 00:05:14,704
Starting pitcher for the Oakland A's.

116
00:05:14,728 --> 00:05:17,507
You want to know
why I didn't get that job?

117
00:05:17,531 --> 00:05:19,776
Because the scouts didn't like
the way you wore your hat?

118
00:05:19,800 --> 00:05:22,345
Yeah, that, and I was born with this arm.

119
00:05:22,369 --> 00:05:24,414
You were born with those hands.

120
00:05:24,438 --> 00:05:25,515
What are you gonna do,

121
00:05:25,539 --> 00:05:27,383
practice surgery for a few more years

122
00:05:27,407 --> 00:05:28,718
and then spend the rest of your life

123
00:05:28,742 --> 00:05:31,209
not being able to pick up a pencil?

124
00:05:32,039 --> 00:05:33,923
You can pursue another specialty.

125
00:05:33,947 --> 00:05:36,681
You can practice
for the rest of your life.

126
00:05:42,691 --> 00:05:44,434
You get rear-ended on the way to work

127
00:05:44,458 --> 00:05:46,386
or you just hate little people?

128
00:05:46,793 --> 00:05:50,073
Neither. EKG is normal.

129
00:05:50,097 --> 00:05:51,875
So you got dumped.

130
00:05:51,899 --> 00:05:55,379
No, I didn't.

131
00:05:55,403 --> 00:05:57,272
It's nothing to be ashamed of.

132
00:05:59,071 --> 00:06:01,237
We were never even going out.

133
00:06:02,445 --> 00:06:04,387
Finn?

134
00:06:04,411 --> 00:06:06,055
I've been worried sick.

135
00:06:06,079 --> 00:06:07,824
Ohh.

136
00:06:07,848 --> 00:06:09,893
Take it easy.

137
00:06:09,917 --> 00:06:12,695
I told you to stay home.
There's nothing to worry about.

138
00:06:12,719 --> 00:06:14,264
Stop trying to act so tough.

139
00:06:14,288 --> 00:06:16,555
You shouldn't have to
go through this alone.

140
00:06:19,425 --> 00:06:21,922
Sorry, baby, but you should wait outside.

141
00:06:21,946 --> 00:06:24,652
Let the doctors finish up,
and I'll be right out.

142
00:06:24,676 --> 00:06:27,177
He's not going to the O.R. for a while,

143
00:06:27,201 --> 00:06:29,579
so there will be plenty of time
to visit when we're done.

144
00:06:29,603 --> 00:06:30,702
Okay.

145
00:06:31,598 --> 00:06:33,349
I'll be right outside.

146
00:06:50,175 --> 00:06:51,868
Is there any way you could make sure

147
00:06:51,892 --> 00:06:54,132
she and Nathalie
stay in separate waiting rooms

148
00:06:54,156 --> 00:06:56,039
and aren't allowed to visit
at the same time?

149
00:06:56,063 --> 00:06:58,274
No.
We're not helping you cheat.

150
00:06:58,298 --> 00:06:59,542
I'm not cheating.

151
00:06:59,566 --> 00:07:02,679
I've always made it clear
I'm not ready to settle down,

152
00:07:02,703 --> 00:07:05,114
but sometimes women m-make assumptions.

153
00:07:05,138 --> 00:07:07,806
Oh, and you don't feel the need
to correct that?

154
00:07:08,015 --> 00:07:10,326
I understand you don't approve,

155
00:07:10,350 --> 00:07:11,694
but all I'm asking

156
00:07:11,718 --> 00:07:14,002
is for you to help me
get through brain surgery

157
00:07:14,026 --> 00:07:15,451
without emotional turmoil

158
00:07:15,475 --> 00:07:18,461
that I assume would be harmful
to my recovery.

159
00:07:24,916 --> 00:07:26,142
Okay.

160
00:07:26,166 --> 00:07:27,738
Thank you.

161
00:07:36,210 --> 00:07:38,354
Are you seeing the same thing I'm seeing?

162
00:07:38,378 --> 00:07:41,357
The tendons are encased in scar tissue.

163
00:07:41,381 --> 00:07:43,682
The gracilis muscle transfer
isn't gonna work.

164
00:07:44,588 --> 00:07:45,877
It still could.

165
00:07:45,901 --> 00:07:47,077
If we attach the muscle

166
00:07:47,101 --> 00:07:49,933
further down the forearm
and bypass the scar ball.

167
00:07:49,957 --> 00:07:51,568
It wouldn't hold.

168
00:07:51,592 --> 00:07:53,736
There'd be too much tension on the graft.

169
00:07:55,262 --> 00:07:57,373
We can figure out a way
to work around that.

170
00:07:57,397 --> 00:07:59,300
Let's wake him up
and put him back in his room

171
00:07:59,324 --> 00:08:02,212
and pull every paper on
free-muscle and nerve transfers.

172
00:08:02,236 --> 00:08:04,514
His only option is double amputation

173
00:08:04,538 --> 00:08:06,649
and the osseointegrated prosthetics.

174
00:08:06,673 --> 00:08:08,116
We don't have a choice.

175
00:08:08,140 --> 00:08:09,686
Yes, we do.

176
00:08:09,710 --> 00:08:11,921
And as Chief of Surgery, I just made it.

177
00:08:13,814 --> 00:08:17,260
He doesn't really look the part.

178
00:08:18,719 --> 00:08:21,029
He's a handsome guy
with a great sense of humor

179
00:08:21,053 --> 00:08:22,532
and a high-paying job.

180
00:08:22,556 --> 00:08:24,240
He means because women don't like

181
00:08:24,264 --> 00:08:26,359
to be in relationships
with men who are weird.

182
00:08:26,383 --> 00:08:27,951
He's not weird. And neither are you.

183
00:08:27,975 --> 00:08:30,039
And a week ago,
you were juggling two women,

184
00:08:30,063 --> 00:08:32,008
so stop feeling so sorry for yourself.

185
00:08:32,032 --> 00:08:33,908
Have you ever dated anyone
who wasn't tall,

186
00:08:33,932 --> 00:08:35,267
handsome, and neurotypical?

187
00:08:36,669 --> 00:08:38,511
It's not about me.

188
00:08:40,140 --> 00:08:41,951
- Talk to me.
- He stopped breathing,

189
00:08:41,975 --> 00:08:43,853
and I haven't even
administered the paralytics.

190
00:08:46,079 --> 00:08:47,290
What just happened?

191
00:08:47,314 --> 00:08:49,659
Pressure on the medulla
must be getting worse.

192
00:08:49,683 --> 00:08:51,594
He's lucky he didn't wait
any longer to come in.

193
00:08:51,618 --> 00:08:53,113
Let's tube him and get to work.

194
00:08:53,137 --> 00:08:54,531
Wait.

195
00:08:54,555 --> 00:08:57,133
Flex his head into position again.

196
00:09:02,462 --> 00:09:03,940
Extend his neck.

197
00:09:05,799 --> 00:09:07,566
What's going on?

198
00:09:08,467 --> 00:09:11,781
Flexing the neck offsets
the posterior compression.

199
00:09:11,805 --> 00:09:14,094
But that should take the pressure off,
not make it worse.

200
00:09:14,118 --> 00:09:15,552
Doesn't make any sense.

201
00:09:15,576 --> 00:09:18,021
And we're not gonna do brain
surgery on him until it does.

202
00:09:26,920 --> 00:09:29,722
I don't see anything different
in the flexed-neck views.

203
00:09:30,784 --> 00:09:34,734
Should his C2 bone
be curved inward like that?

204
00:09:34,759 --> 00:09:36,425
It could exacerbate the
narrowing on the front of his...

205
00:09:36,450 --> 00:09:37,650
It's not significant.

206
00:09:38,755 --> 00:09:40,411
Well, if his apnea's getting worse

207
00:09:40,435 --> 00:09:41,679
because of pressure from
the front as well as the back...

208
00:09:41,703 --> 00:09:42,718
The treatment is the same.

209
00:09:42,742 --> 00:09:44,884
Surgery to create more room
in the skull base.

210
00:09:44,908 --> 00:09:47,306
It's not the same,
and stop interrupting me.

211
00:09:48,342 --> 00:09:50,654
If we drill off the C2 in the front,

212
00:09:50,678 --> 00:09:52,556
as well as open the back,

213
00:09:52,580 --> 00:09:54,959
we might not have to
resect the cerebellum.

214
00:09:54,983 --> 00:09:57,862
He wouldn't have any speech
impediment or balance issues.

215
00:09:57,886 --> 00:10:00,231
We'd have to approach through his mouth;

216
00:10:00,255 --> 00:10:01,665
a bacteria-rich environment,

217
00:10:01,689 --> 00:10:03,601
which can't be fully sterilized.

218
00:10:03,625 --> 00:10:05,936
There would be too high a risk
of a post-op brain infection.

219
00:10:05,960 --> 00:10:07,159
So we figure out another approach.

220
00:10:07,183 --> 00:10:10,107
There's only one safe way
to access the C2.

221
00:10:10,131 --> 00:10:12,689
Okay, so come up with something
outside the box.

222
00:10:12,713 --> 00:10:14,445
No, that's a stupid expression.

223
00:10:14,469 --> 00:10:15,479
There is no box.

224
00:10:15,503 --> 00:10:17,748
And you are wasting valuable time

225
00:10:17,772 --> 00:10:19,702
just because you want to be nice to her.

226
00:10:19,726 --> 00:10:20,688
Murphy...

227
00:10:20,712 --> 00:10:22,948
We should do the cerebellar
surgery before he has a fatal apnea...

228
00:10:22,972 --> 00:10:24,200
Murphy.

229
00:10:25,234 --> 00:10:26,423
I'm not being nice.

230
00:10:26,447 --> 00:10:28,859
I'm using my experience
and judgment to make the call.

231
00:10:28,883 --> 00:10:29,960
That's my job.

232
00:10:29,984 --> 00:10:32,163
- You are being nice.
- And you're being a jerk.

233
00:10:36,713 --> 00:10:38,291
You've got the night.

234
00:10:38,673 --> 00:10:41,105
If you two can't come up
with a solution by morning,

235
00:10:41,129 --> 00:10:42,973
we'll proceed with the original plan.

236
00:11:00,445 --> 00:11:02,293
Your patient's in desperate need

237
00:11:02,317 --> 00:11:03,794
of an Oklahoma weather report?

238
00:11:03,818 --> 00:11:06,285
I didn't even want to be here today.

239
00:11:08,989 --> 00:11:10,968
You should try a martial arts class.

240
00:11:10,992 --> 00:11:13,904
Focused distraction is key
to dealing with stress...

241
00:11:13,928 --> 00:11:15,239
and heartbreaks.

242
00:11:15,263 --> 00:11:17,274
That's just avoiding the problem.

243
00:11:17,298 --> 00:11:19,410
Don't obsess over what you've lost,

244
00:11:19,434 --> 00:11:21,579
focus on what you've gained
from the relationship.

245
00:11:21,603 --> 00:11:23,247
I hate to interrupt
group therapy,

246
00:11:23,271 --> 00:11:25,416
but what if we approached

247
00:11:25,440 --> 00:11:26,951
through the side of the neck?

248
00:11:26,975 --> 00:11:29,119
We could transpose the vertebral artery,

249
00:11:29,143 --> 00:11:31,522
open up the spine laterally
to drill off the C2.

250
00:11:31,546 --> 00:11:33,624
It would leave his spine
permanently unstable

251
00:11:33,648 --> 00:11:34,925
and could cause a stroke.

252
00:11:34,949 --> 00:11:36,796
There might be a way
to mitigate stroke risk.

253
00:11:36,820 --> 00:11:38,929
And he'd still have
the instability and...

254
00:11:38,953 --> 00:11:40,064
Come on, Shaun.

255
00:11:40,088 --> 00:11:42,153
I need help, not criticism.

256
00:11:43,654 --> 00:11:45,269
I have always supported you

257
00:11:45,293 --> 00:11:46,770
when you were trying to come up with

258
00:11:46,794 --> 00:11:48,294
an unconventional treatment option.

259
00:11:50,964 --> 00:11:53,432
You supported me
when you thought I was right.

260
00:12:00,642 --> 00:12:02,423
What do you guys think?

261
00:12:04,111 --> 00:12:05,445
We gotta go.

262
00:12:05,470 --> 00:12:07,036
We do?

263
00:12:08,585 --> 00:12:10,352
We remove the scar tissue and the nerves.

264
00:12:10,377 --> 00:12:12,077
Then harvest nerves from his upper arm

265
00:12:12,102 --> 00:12:13,234
to rewire his forearms.

266
00:12:13,259 --> 00:12:14,258
It'll improve his grip,

267
00:12:14,283 --> 00:12:15,749
and with the scar tissue removed,

268
00:12:15,774 --> 00:12:17,140
the pain should decrease, too.

269
00:12:17,165 --> 00:12:19,332
Does nothing to solve
the blood-flow problem

270
00:12:19,357 --> 00:12:20,690
that's causing the scarring.

271
00:12:20,715 --> 00:12:22,715
I'm sure we can come up
with a solve for that.

272
00:12:22,740 --> 00:12:24,740
That's what you said last time.

273
00:12:24,766 --> 00:12:26,911
And I was right. We're making progress.

274
00:12:26,935 --> 00:12:28,950
Would you two give us a moment?

275
00:12:29,414 --> 00:12:31,537
We'll meet you in the Residents'
Lounge when we're done.

276
00:12:37,458 --> 00:12:39,089
Are you so against the prosthetics

277
00:12:39,113 --> 00:12:40,891
because you think it's in
Tyson's best interest?

278
00:12:40,915 --> 00:12:42,296
Or because it's my idea?

279
00:12:44,117 --> 00:12:46,730
You think I care whose idea anything is?

280
00:12:46,754 --> 00:12:48,432
You're a competitive person

281
00:12:48,456 --> 00:12:51,257
working with the guy
who used to hold your job.

282
00:12:52,292 --> 00:12:56,440
I'll admit my competitive drive
may kick up a notch

283
00:12:56,464 --> 00:12:57,942
when we work together.

284
00:12:57,966 --> 00:13:01,278
I'll also admit that I admire the courage

285
00:13:01,302 --> 00:13:04,048
of a guy who stumbled
a half-mile back to his house

286
00:13:04,072 --> 00:13:06,917
after his arms were ripped off
by a combine.

287
00:13:06,941 --> 00:13:08,719
He opened a door with his mouth

288
00:13:08,743 --> 00:13:10,666
and dialed 911 with his nose,

289
00:13:10,690 --> 00:13:12,723
and as long as he wants to keep fighting,

290
00:13:12,747 --> 00:13:14,631
I'm gonna fight along with him.

291
00:13:14,655 --> 00:13:17,083
Which has nothing to do with my ego.

292
00:13:17,498 --> 00:13:18,562
Good.

293
00:13:18,586 --> 00:13:20,642
That's all I wanted to confirm.

294
00:13:22,381 --> 00:13:24,687
But I'm gonna start prepping
for the amputation

295
00:13:24,711 --> 00:13:27,071
because that's the only
rational choice we have,

296
00:13:27,095 --> 00:13:29,151
which I'm confident
you'll realize soon enough.

297
00:13:36,809 --> 00:13:38,304
Make any progress?

298
00:13:39,228 --> 00:13:43,506
Yeah, I figured out a lateral approach,

299
00:13:43,530 --> 00:13:46,757
but Shaun thinks it would
leave his spine unstable

300
00:13:46,781 --> 00:13:48,781
and increase his risk of stroke.

301
00:13:50,031 --> 00:13:52,730
- I agree.
- Yeah, me too.

302
00:13:52,754 --> 00:13:54,264
There has to be a way to mitigate the...

303
00:13:54,288 --> 00:13:55,955
Dr. Browne?

304
00:13:56,163 --> 00:13:57,762
These just got delivered.

305
00:14:01,129 --> 00:14:02,973
- Enjoy.
- Thanks.

306
00:14:02,997 --> 00:14:04,541
Dash is a romantic.

307
00:14:04,565 --> 00:14:06,547
Thought you hated romantics.

308
00:14:07,301 --> 00:14:10,247
Yeah, he's... he's teasing me.

309
00:14:10,271 --> 00:14:13,784
I told him I thought guys
who sent flowers were lame.

310
00:14:15,777 --> 00:14:18,411
We haven't even kissed yet.

311
00:14:19,446 --> 00:14:21,080
What are you waiting for?

312
00:14:22,939 --> 00:14:24,561
I don't know.

313
00:14:24,585 --> 00:14:26,397
Um...

314
00:14:26,421 --> 00:14:29,233
I enjoy being with him.

315
00:14:29,257 --> 00:14:31,235
Actually, I forgot how funny he is.

316
00:14:31,259 --> 00:14:34,938
Just... hasn't seemed like
the right time.

317
00:14:39,266 --> 00:14:42,746
I'm more worried about the stroke risk

318
00:14:42,770 --> 00:14:44,233
than spinal instability,

319
00:14:44,257 --> 00:14:46,917
so focus on fixing that.

320
00:14:46,941 --> 00:14:48,673
Okay.

321
00:14:52,113 --> 00:14:55,592
And, Claire, if he's the right guy,

322
00:14:55,616 --> 00:14:57,694
stop holding out for the right time.

323
00:15:08,763 --> 00:15:10,707
Your vitals are stable.

324
00:15:10,731 --> 00:15:13,739
The nurses will monitor you
during the night.

325
00:15:14,365 --> 00:15:17,214
Your problem's simple to solve.

326
00:15:17,238 --> 00:15:19,238
You just need to ask someone else out.

327
00:15:21,775 --> 00:15:24,455
Lea was special.

328
00:15:24,479 --> 00:15:25,923
I'm sure she was.

329
00:15:25,947 --> 00:15:28,492
But there are so many others,
just as special.

330
00:15:28,516 --> 00:15:30,527
You just have to get to know them.

331
00:15:30,551 --> 00:15:32,563
No, I don't want to.

332
00:15:32,587 --> 00:15:34,051
Yes, you do.

333
00:15:34,802 --> 00:15:36,934
You think I don't know how you feel?

334
00:15:36,958 --> 00:15:39,670
Afraid of being rejected
because you're too...

335
00:15:39,694 --> 00:15:40,693
different?

336
00:15:41,309 --> 00:15:43,574
Finally I decided, screw it.

337
00:15:43,598 --> 00:15:46,276
I started talking to every woman I saw.

338
00:15:46,300 --> 00:15:49,413
Street corners,
elevators, grocery stores.

339
00:15:49,437 --> 00:15:51,915
And I learned I'm pretty good at it.

340
00:15:51,939 --> 00:15:53,183
That's my gift.

341
00:15:53,207 --> 00:15:55,252
Everyone has one.

342
00:15:55,276 --> 00:15:56,753
They just...

343
00:15:56,777 --> 00:15:59,857
have to figure out what it is...

344
00:16:04,785 --> 00:16:06,752
Okay. Code Blue!

345
00:16:07,514 --> 00:16:09,190
Code Blue!

346
00:16:25,870 --> 00:16:27,178
Murphy and I just inserted

347
00:16:27,203 --> 00:16:29,761
a diaphragmatic pacemaker on Finn.

348
00:16:29,786 --> 00:16:31,488
It'll only trigger shallow breaths,

349
00:16:31,513 --> 00:16:34,722
so he's at high risk for pneumonia.

350
00:16:34,746 --> 00:16:35,757
You got anything?

351
00:16:35,781 --> 00:16:37,992
Yeah, I was thinking of using

352
00:16:38,016 --> 00:16:40,662
a more inferior transatlas approach.

353
00:16:40,686 --> 00:16:42,897
That would minimize stroke risk.

354
00:16:42,921 --> 00:16:44,065
That won't work.

355
00:16:44,089 --> 00:16:46,189
It would destabilize the C1-2 joint.

356
00:16:50,513 --> 00:16:52,573
You did all you could.

357
00:16:52,597 --> 00:16:53,908
Go home.

358
00:16:53,932 --> 00:16:55,733
We'll do the original cerebellar surgery

359
00:16:55,757 --> 00:16:57,345
first thing in the morning.

360
00:17:06,378 --> 00:17:08,289
So I'll be able to work the farm.

361
00:17:08,313 --> 00:17:11,025
We still need to find a way
to increase blood flow.

362
00:17:11,049 --> 00:17:13,861
You should regain most of
your grip and forearm strength,

363
00:17:13,885 --> 00:17:15,763
but you'd still be in some pain.

364
00:17:17,711 --> 00:17:19,456
I-I can handle it.

365
00:17:20,491 --> 00:17:21,891
Can you?

366
00:17:22,549 --> 00:17:24,205
How can you know for sure?

367
00:17:24,229 --> 00:17:27,564
As the years go by
and the pain doesn't stop...

368
00:17:28,096 --> 00:17:29,577
will you change your mind?

369
00:17:29,601 --> 00:17:31,634
Because it'll be too late.

370
00:17:33,065 --> 00:17:35,016
What's wrong? What are
you... What are you feeling?

371
00:17:35,040 --> 00:17:37,351
Like a horse
just kicked in my chest.

372
00:17:42,013 --> 00:17:44,125
I need an echo and pulmonary cath kit!

373
00:17:44,149 --> 00:17:45,526
And page Lim, stat!

374
00:17:48,575 --> 00:17:50,064
I think the last time

375
00:17:50,088 --> 00:17:53,465
that I was at an actual
punk-rock show was, uh...

376
00:17:53,489 --> 00:17:54,998
College.

377
00:17:55,260 --> 00:17:56,471
Patti Smith.

378
00:17:56,495 --> 00:17:58,513
Oh, my God!

379
00:17:58,537 --> 00:18:00,085
I completely forgot about that.

380
00:18:00,109 --> 00:18:02,076
You forgot
getting your ass tossed offstage

381
00:18:02,100 --> 00:18:03,211
by a 60-year-old woman?

382
00:18:03,235 --> 00:18:04,378
Yeah.

383
00:18:04,402 --> 00:18:06,314
Remember what you said
when we picked you up?

384
00:18:06,338 --> 00:18:09,984
Uh, oh, something about her
being, uh, thin but strong?

385
00:18:10,008 --> 00:18:11,819
"Thin but wiry".

386
00:18:11,843 --> 00:18:13,855
- Wiry.
- Wiry.

387
00:18:21,752 --> 00:18:23,985
Okay, well, I, um...

388
00:18:24,556 --> 00:18:27,401
I have an early surgery,
so I should probably get going.

389
00:18:27,425 --> 00:18:29,033
- Okay.
- Okay.

390
00:18:30,328 --> 00:18:31,806
Have a good night.

391
00:18:31,830 --> 00:18:33,323
Good night.

392
00:19:10,031 --> 00:19:11,868
I got an idea.

393
00:19:12,325 --> 00:19:14,248
Actually, you had it first.

394
00:19:15,774 --> 00:19:18,619
It's the right approach,
just the wrong route.

395
00:19:20,645 --> 00:19:23,357
We go in from the back,
posterior transdural,

396
00:19:23,381 --> 00:19:26,027
gently move your spinal cord
out of the way

397
00:19:26,051 --> 00:19:28,217
so we can drill off the misshaped C2.

398
00:19:28,241 --> 00:19:29,730
There is a risk of paralysis,

399
00:19:29,754 --> 00:19:31,585
but we would be monitoring
your spinal functions

400
00:19:31,609 --> 00:19:33,301
to help avoid any nerve injuries.

401
00:19:33,325 --> 00:19:35,436
Let's do it. Where do I have to sign?

402
00:19:35,460 --> 00:19:37,227
You shouldn't sign anything.

403
00:19:38,685 --> 00:19:40,541
Consenting to this surgery

404
00:19:40,565 --> 00:19:43,600
would be incredibly shortsighted
and reckless.

405
00:19:52,676 --> 00:19:53,888
It is one thing

406
00:19:53,912 --> 00:19:55,723
to take your bad mood
out on your colleagues,

407
00:19:55,747 --> 00:19:57,749
but to try and undermine
my surgical advice...

408
00:19:57,773 --> 00:19:59,460
My opinion's valid.

409
00:19:59,484 --> 00:20:00,828
Well, thankfully, he disagrees.

410
00:20:00,852 --> 00:20:03,898
He's risking paralysis to be charming.

411
00:20:03,922 --> 00:20:06,701
Because people expect
everyone to be perfect.

412
00:20:06,725 --> 00:20:08,236
Everyone's opinion is valid

413
00:20:08,260 --> 00:20:10,183
all the way until
we go into the patient room.

414
00:20:10,207 --> 00:20:12,851
We are a team with one opinion.

415
00:20:18,988 --> 00:20:20,436
I...

416
00:20:20,977 --> 00:20:22,950
I don't feel better!

417
00:20:22,974 --> 00:20:24,307
I feel worse!

418
00:20:24,331 --> 00:20:26,921
And doing the wrong surgery

419
00:20:26,945 --> 00:20:29,190
is not going to help anyone.

420
00:20:29,214 --> 00:20:31,893
I don't want to do it; I'm going home.

421
00:20:48,670 --> 00:20:50,556
You're not walking out on your patient.

422
00:20:50,580 --> 00:20:51,884
Or your team.

423
00:20:51,908 --> 00:20:54,405
I still have two sick days

424
00:20:54,429 --> 00:20:56,578
and 76 hours of unused P.T.O.

425
00:20:56,602 --> 00:20:58,679
You're not sick,
and you're in the middle of a case.

426
00:20:58,703 --> 00:21:01,382
I don't care about the case
or the patient.

427
00:21:05,840 --> 00:21:08,190
I don't care about anything.

428
00:21:20,828 --> 00:21:23,563
I've had my heart broken twice

429
00:21:23,588 --> 00:21:25,522
in the last few years.

430
00:21:26,709 --> 00:21:28,743
You want to know what I did?

431
00:21:31,166 --> 00:21:32,611
I came to work every day

432
00:21:32,636 --> 00:21:35,225
and pretended everything was fine.

433
00:21:35,551 --> 00:21:37,470
Until, eventually,

434
00:21:37,667 --> 00:21:40,234
I wasn't pretending anymore.

435
00:21:42,690 --> 00:21:46,020
That's not helpful at all.

436
00:21:52,167 --> 00:21:54,146
How about this?

437
00:21:54,170 --> 00:21:55,648
Go back in there

438
00:21:55,672 --> 00:21:57,316
and help Claire prep Finn for surgery,

439
00:21:57,340 --> 00:21:58,806
or you won't be my resident.

440
00:21:59,254 --> 00:22:01,911
Or anyone else's at St. Bonaventure.

441
00:22:03,353 --> 00:22:05,664
And I know you care about that.

442
00:22:28,497 --> 00:22:30,730
We were able to clear the clot,

443
00:22:31,040 --> 00:22:34,320
but due to the restricted
arteries in your arms,

444
00:22:34,344 --> 00:22:36,693
we're gonna need
to keep you on blood thinners...

445
00:22:36,718 --> 00:22:37,884
indefinitely.

446
00:22:39,742 --> 00:22:41,809
Okay.

447
00:22:43,205 --> 00:22:44,358
The blood thinners

448
00:22:44,383 --> 00:22:47,122
make the reconstructive surgery
impossible.

449
00:22:47,891 --> 00:22:50,658
We have no choice but to amputate.

450
00:22:51,335 --> 00:22:52,972
I'm sorry.

451
00:22:54,893 --> 00:22:56,632
No.

452
00:22:57,860 --> 00:23:00,194
I'm not letting you cut off my arms.

453
00:23:00,670 --> 00:23:02,543
I don't want false limbs.

454
00:23:02,846 --> 00:23:04,343
I don't want to be that guy.

455
00:23:04,368 --> 00:23:06,016
I want to be who I am.

456
00:23:12,975 --> 00:23:15,734
You are the toughest,

457
00:23:15,759 --> 00:23:18,660
most tenacious person I've ever met.

458
00:23:19,530 --> 00:23:21,323
And that is not gonna change

459
00:23:21,348 --> 00:23:23,715
because we replace your hands
with titanium.

460
00:23:27,082 --> 00:23:29,623
It's time to let go.

461
00:23:39,022 --> 00:23:40,509
Okay.

462
00:23:43,887 --> 00:23:45,591
Okay.

463
00:23:53,589 --> 00:23:55,355
Any way you could draw a skull

464
00:23:55,380 --> 00:23:57,833
with a cobra coming out of its
eyes while you're back there?

465
00:23:57,858 --> 00:24:00,045
Would you settle for a lame smiley face?

466
00:24:00,070 --> 00:24:03,237
Because that is the only thing
I can draw.

467
00:24:03,291 --> 00:24:05,225
There's my favorite nurse.

468
00:24:05,435 --> 00:24:07,456
Did you check out that Ethiopian place

469
00:24:07,481 --> 00:24:08,623
I told you about last night?

470
00:24:08,648 --> 00:24:11,649
Actually, I did,
and the kik alicha was delish.

471
00:24:11,680 --> 00:24:14,347
Now, if you want
a truly life-changing meal,

472
00:24:14,372 --> 00:24:16,506
you need to try Lennon's on Sixth.

473
00:24:16,531 --> 00:24:18,731
- Is it expensive?
- Outrageously.

474
00:24:18,756 --> 00:24:20,155
But worth it.

475
00:24:20,516 --> 00:24:24,263
Now, it's all white tablecloths
and candles,

476
00:24:24,287 --> 00:24:26,065
so you'll need a date.

477
00:24:26,089 --> 00:24:27,566
How 'bout Dr. Murphy?

478
00:24:30,503 --> 00:24:32,772
You told me yourself
he's a gifted surgeon.

479
00:24:32,796 --> 00:24:34,473
That's pretty high praise.

480
00:24:35,531 --> 00:24:37,843
And he told me you're cute.

481
00:24:43,612 --> 00:24:44,788
Good luck today.

482
00:24:44,812 --> 00:24:46,277
Thanks.

483
00:24:49,812 --> 00:24:51,606
I totally teed you up.

484
00:24:51,630 --> 00:24:53,592
All you had to do was take a swing.

485
00:24:53,616 --> 00:24:56,730
I'm not interested in her.

486
00:24:56,754 --> 00:24:58,465
If she's not your type,

487
00:24:58,489 --> 00:25:00,337
I'm sure there are plenty
of other cool nurses

488
00:25:00,361 --> 00:25:01,548
roaming around here

489
00:25:01,572 --> 00:25:03,236
who could make you feel better
about yourself.

490
00:25:03,260 --> 00:25:06,120
He's miserable because he's had
two relationships blow up.

491
00:25:06,144 --> 00:25:08,442
I don't think jumping into
another one is the answer.

492
00:25:12,421 --> 00:25:14,322
No, no, no!

493
00:25:21,477 --> 00:25:23,911
Finn, you can't exert yourself like this.

494
00:25:25,736 --> 00:25:26,902
Just take it easy.

495
00:25:27,991 --> 00:25:30,025
I ran into a woman in the cafeteria.

496
00:25:30,050 --> 00:25:32,217
Real nice. But seemed stressed.

497
00:25:32,242 --> 00:25:34,242
Turns out that her boyfriend

498
00:25:34,267 --> 00:25:35,967
is having spinal surgery, too.

499
00:25:36,027 --> 00:25:38,505
Big coincidence, huh?

500
00:25:38,529 --> 00:25:39,740
But get this.

501
00:25:39,764 --> 00:25:43,143
He also has pseudoachondroplasia.

502
00:25:43,167 --> 00:25:45,484
I mean, what are the chances?

503
00:25:45,509 --> 00:25:46,808
Nathalie, don't you dare.

504
00:25:48,205 --> 00:25:49,349
Stop!

505
00:25:49,373 --> 00:25:51,285
Just slow down.

506
00:25:53,945 --> 00:25:56,907
You called me the love of your life!

507
00:25:56,931 --> 00:25:58,654
I do love you!

508
00:25:58,678 --> 00:26:00,349
<i>Don't</i> say that!

509
00:26:00,373 --> 00:26:02,930
I don't want to hear
any more of your garbage.

510
00:26:02,954 --> 00:26:04,598
Please...

511
00:26:04,622 --> 00:26:06,134
you have to... listen.

512
00:26:06,158 --> 00:26:09,053
You need to get back to bed now,
or you'll pass out.

513
00:26:26,644 --> 00:26:28,385
What's up?

514
00:26:28,410 --> 00:26:30,012
What are you doing in here?

515
00:26:30,815 --> 00:26:32,919
Once you get a patient on the table,

516
00:26:32,944 --> 00:26:34,277
there's too much going on

517
00:26:34,302 --> 00:26:36,935
to appreciate what this place is.

518
00:26:38,055 --> 00:26:39,633
Mm. It's nice.

519
00:26:41,158 --> 00:26:42,941
It's perfect.

520
00:26:46,092 --> 00:26:47,337
Time to scrub in.

521
00:26:48,887 --> 00:26:51,351
This will be my last surgery.

522
00:26:54,138 --> 00:26:55,649
Five months ago,

523
00:26:55,673 --> 00:26:58,185
I was diagnosed
with rheumatoid arthritis.

524
00:26:59,833 --> 00:27:02,266
I'm not responding to medication.

525
00:27:21,780 --> 00:27:23,771
Why did you do that?

526
00:27:24,417 --> 00:27:25,749
I felt like it.

527
00:27:27,452 --> 00:27:30,732
It didn't change the fact
that he cheated on you.

528
00:27:30,756 --> 00:27:33,235
It won't make your life any better.

529
00:27:35,928 --> 00:27:38,262
You can't control
how you feel about someone.

530
00:27:38,953 --> 00:27:41,872
But you can control
what you do with those feelings.

531
00:27:42,414 --> 00:27:45,749
I ended the relationship on my terms.

532
00:27:47,506 --> 00:27:49,255
More importantly...

533
00:27:50,943 --> 00:27:53,008
it made me feel better.

534
00:27:59,785 --> 00:28:02,197
A Louisville Slugger to a Porsche?

535
00:28:02,221 --> 00:28:03,821
It was insane.

536
00:28:04,395 --> 00:28:05,723
I like her.

537
00:28:06,063 --> 00:28:07,891
What is to like?

538
00:28:08,357 --> 00:28:10,105
I don't know.

539
00:28:10,129 --> 00:28:11,227
I just do.

540
00:28:13,165 --> 00:28:15,708
A sudden complete loss
of any SSEP and MEP signals.

541
00:28:15,732 --> 00:28:18,313
B.P. and heart rate are tanking.
We've injured his cord.

542
00:28:18,337 --> 00:28:19,913
Push high-dose steroids and pressors.

543
00:28:19,937 --> 00:28:22,090
Remove the retractor
to take the pressure off.

544
00:28:26,579 --> 00:28:29,795
That's the last of
the vessels and nerves ligated.

545
00:28:30,249 --> 00:28:31,714
Mayos.

546
00:28:35,841 --> 00:28:37,595
Specimen bag.

547
00:28:44,830 --> 00:28:47,498
We have healthy bone-anchor sites.

548
00:28:48,063 --> 00:28:49,645
Same here.

549
00:28:49,669 --> 00:28:52,276
Time to give him functional arms.

550
00:29:03,454 --> 00:29:05,661
Not me. Give it to her.

551
00:29:09,889 --> 00:29:11,667
She's a third-year resident...

552
00:29:11,691 --> 00:29:12,948
a talented one, but I wouldn't...

553
00:29:12,972 --> 00:29:15,370
I'm sure she's read every article written

554
00:29:15,394 --> 00:29:16,672
on osseointegration,

555
00:29:16,696 --> 00:29:19,311
spent countless hours in the Skills Lab,

556
00:29:19,335 --> 00:29:22,633
and could probably do this with one
of her own arms tied behind her back.

557
00:29:23,307 --> 00:29:24,880
Blindfolded.

558
00:29:24,904 --> 00:29:26,381
Get to work.

559
00:29:38,451 --> 00:29:40,462
Push another milligram of atropine.

560
00:29:51,563 --> 00:29:54,543
We may have just paralyzed him
trying to avoid a stutter.

561
00:29:54,567 --> 00:29:56,778
We won't know anything
until we wake him up.

562
00:29:56,802 --> 00:29:58,280
Where's the pressure still coming from?

563
00:29:58,304 --> 00:29:59,386
Laterally now.

564
00:29:59,410 --> 00:30:01,817
So if we remove the joints
of the C1 and C2 bones,

565
00:30:01,841 --> 00:30:03,151
that should make enough room

566
00:30:03,175 --> 00:30:04,486
so we could drill off the odontoid.

567
00:30:04,510 --> 00:30:06,188
We could replace them
with screws and rods

568
00:30:06,212 --> 00:30:07,289
to stabilize his spine.

569
00:30:07,313 --> 00:30:08,602
That's...

570
00:30:10,354 --> 00:30:11,893
a good idea.

571
00:30:11,917 --> 00:30:13,261
Yes, it is.

572
00:30:13,285 --> 00:30:15,564
If he's not already paralyzed.

573
00:30:26,010 --> 00:30:27,487
Colleen Brown.

574
00:30:27,511 --> 00:30:29,022
Freshman year.

575
00:30:29,046 --> 00:30:32,159
I took her to the roller-skating rink

576
00:30:32,183 --> 00:30:34,672
'cause I thought that's
what you're supposed to do...

577
00:30:34,696 --> 00:30:36,444
take girls to the roller-skating rink.

578
00:30:36,468 --> 00:30:38,291
I didn't know how to roller-skate;

579
00:30:38,509 --> 00:30:41,777
she ended up leaving
with Bobby K.'s little brother.

580
00:30:42,126 --> 00:30:44,506
Broke me up.

581
00:30:45,078 --> 00:30:46,655
Couldn't go to school for a week.

582
00:30:46,864 --> 00:30:49,376
Convinced my mom that I was sick

583
00:30:49,400 --> 00:30:50,677
for the first three days,

584
00:30:50,701 --> 00:30:54,181
and the last two I spent
in a double feature all day...

585
00:30:54,205 --> 00:30:56,084
"Where's Poppa?" and "Twelve Chairs".

586
00:30:56,109 --> 00:30:58,776
To this day,
I can quote both films verbatim.

587
00:30:59,176 --> 00:31:01,571
So you think I should've stayed home

588
00:31:01,596 --> 00:31:02,778
for two more days?

589
00:31:02,803 --> 00:31:04,303
No, I don't think it would've mattered.

590
00:31:04,328 --> 00:31:05,494
It doesn't make a difference.

591
00:31:05,583 --> 00:31:06,909
And then I made a list

592
00:31:06,934 --> 00:31:09,024
of all the things
that annoyed me about her.

593
00:31:09,049 --> 00:31:10,381
The way she chewed her gum,

594
00:31:10,406 --> 00:31:12,676
the way she used to sit
in the front row of every class

595
00:31:12,701 --> 00:31:14,234
so that the teacher would call on her

596
00:31:14,259 --> 00:31:15,538
when she raised her hand,

597
00:31:15,563 --> 00:31:17,163
the way she said, "Excuse me?"

598
00:31:17,188 --> 00:31:19,321
instead of just "What?" or "Huh?"

599
00:31:19,797 --> 00:31:21,930
None of it makes any difference.

600
00:31:24,094 --> 00:31:26,662
Then why are you telling me?

601
00:31:28,691 --> 00:31:31,560
Maybe it'll make you feel a
little bit better to know that,

602
00:31:31,585 --> 00:31:32,984
what you're going through,

603
00:31:33,009 --> 00:31:35,610
every other young man
in the history of the world

604
00:31:35,635 --> 00:31:36,667
has gone through.

605
00:31:37,853 --> 00:31:40,822
You're trying to make it work
with Lea and with Carly,

606
00:31:40,847 --> 00:31:42,981
and you're getting a little beat up,

607
00:31:43,006 --> 00:31:44,005
and that's okay.

608
00:31:44,030 --> 00:31:45,629
Join the club.

609
00:31:46,234 --> 00:31:47,586
You're in the mix.

610
00:31:47,611 --> 00:31:49,141
That's a good thing.

611
00:31:50,200 --> 00:31:52,866
I'm proud of you.

612
00:32:02,834 --> 00:32:04,024
You ready?

613
00:32:04,628 --> 00:32:07,130
It's gonna take some getting used to.

614
00:32:07,957 --> 00:32:11,092
But they're the same nerves
you used before.

615
00:32:12,415 --> 00:32:14,680
All you have to do
is think about using the arms

616
00:32:14,705 --> 00:32:16,538
the way you normally would.

617
00:32:24,978 --> 00:32:26,778
Whoa.

618
00:32:28,194 --> 00:32:31,062
That's pretty cool.

619
00:32:37,934 --> 00:32:39,679
It's not a beer,

620
00:32:39,704 --> 00:32:42,489
but you got to start somewhere.

621
00:32:52,523 --> 00:32:55,290
Now pinch your forefinger
and thumb and twist off the cap.

622
00:33:12,009 --> 00:33:14,020
I-I can't feel the thing.

623
00:33:14,044 --> 00:33:16,957
You'll get used to it. You got this.

624
00:33:35,399 --> 00:33:36,928
Nice.

625
00:33:41,205 --> 00:33:43,602
You want me to say you were right?

626
00:33:44,194 --> 00:33:46,354
About the patient, or you?

627
00:33:47,430 --> 00:33:48,764
When you offered me a job,

628
00:33:48,789 --> 00:33:51,289
you said it was to help me
get back on the horse.

629
00:33:51,314 --> 00:33:54,382
But what you really wanted was a mentor.

630
00:33:54,624 --> 00:33:55,890
Which I'm fine with,

631
00:33:55,915 --> 00:33:58,949
but I think maybe you
feel threatened by that need.

632
00:33:59,850 --> 00:34:01,745
Well, maybe that's true.

633
00:34:02,219 --> 00:34:05,053
But maybe also you enjoy it
a little too much.

634
00:34:05,078 --> 00:34:07,178
Maybe because you're having a hard time

635
00:34:07,203 --> 00:34:08,918
giving up being Chief.

636
00:34:10,820 --> 00:34:12,888
Maybe we're both right.

637
00:34:17,133 --> 00:34:19,167
How did it go?

638
00:34:20,263 --> 00:34:22,631
Can you lift your arms for me?

639
00:34:32,490 --> 00:34:34,156
Okay.

640
00:34:34,736 --> 00:34:38,305
I'm gonna push your arm,
and I need you to resist.

641
00:34:40,498 --> 00:34:42,776
Good. More.

642
00:34:42,800 --> 00:34:44,878
Stronger.

643
00:34:44,902 --> 00:34:46,279
That's great.

644
00:34:46,303 --> 00:34:48,167
You should make a full recovery.

645
00:34:48,192 --> 00:34:49,324
Thank you.

646
00:34:50,673 --> 00:34:52,629
H-How's Nathalie's hand?

647
00:34:52,654 --> 00:34:55,689
There was no nerve or tendon damage.

648
00:34:55,714 --> 00:34:57,080
She'll be fine.

649
00:34:57,105 --> 00:34:58,804
She's a good person.

650
00:34:58,829 --> 00:35:00,396
A little spirited,

651
00:35:00,421 --> 00:35:02,721
but that's what I loved about her.

652
00:35:03,853 --> 00:35:07,222
Are you going to try to win her back?

653
00:35:08,411 --> 00:35:11,179
I'm confident but not stupid.

654
00:35:11,204 --> 00:35:13,838
You gotta know when to call it,
Dr. Murphy.

655
00:35:17,368 --> 00:35:19,305
I mean, there's a-a whole world

656
00:35:19,330 --> 00:35:21,430
of amazing people out there.

657
00:35:21,705 --> 00:35:25,307
Don't get bogged down with
this notion of a soulmate.

658
00:35:31,432 --> 00:35:34,266
Finn's exam was normal.

659
00:35:35,478 --> 00:35:39,314
But I am not sure it was worth the risk.

660
00:35:39,790 --> 00:35:42,095
We did a good thing today.

661
00:35:42,593 --> 00:35:44,726
Mostly because of you.

662
00:35:45,348 --> 00:35:48,174
That's kind of you to say but...

663
00:35:49,394 --> 00:35:51,604
Your commitment to your patients...

664
00:35:53,022 --> 00:35:55,482
reminds me of why I got into medicine.

665
00:35:57,508 --> 00:36:01,322
Being around you
makes me a better surgeon.

666
00:36:03,587 --> 00:36:06,388
A better person.

667
00:36:10,307 --> 00:36:12,174
Well, good night.

668
00:36:12,199 --> 00:36:13,565
Good night.

669
00:36:27,082 --> 00:36:29,100
You did good work today.

670
00:36:30,839 --> 00:36:32,874
And I understand you're leaving surgery.

671
00:36:33,730 --> 00:36:36,764
And I know that's a... that's tough.

672
00:36:36,789 --> 00:36:38,455
But it's the right call.

673
00:36:42,385 --> 00:36:45,120
No, I don't think it is.

674
00:36:47,827 --> 00:36:49,243
I love operating.

675
00:36:49,267 --> 00:36:52,837
So I'm gonna keep doing it
as long as I can.

676
00:36:55,607 --> 00:36:59,045
I'm gonna have the synovectomy surgery.

677
00:37:00,204 --> 00:37:02,248
That's really stupid.

678
00:37:02,272 --> 00:37:05,285
That's incredibly... stupid.

679
00:37:06,810 --> 00:37:09,356
Not every dream comes true.

680
00:37:09,380 --> 00:37:11,189
You have other opportunities.

681
00:37:11,213 --> 00:37:12,703
You have another chance.

682
00:37:12,727 --> 00:37:15,249
Not everybody does. Be grateful for that.

683
00:37:15,273 --> 00:37:18,298
Pick another passion and pursue that.

684
00:37:21,458 --> 00:37:23,470
I'm doing the surgery.

685
00:37:43,628 --> 00:37:45,058
Enjoy.

686
00:37:48,553 --> 00:37:50,181
Another, please.

687
00:37:52,969 --> 00:37:55,804
Well, that's one way
to start the night off right.

688
00:37:57,520 --> 00:37:59,524
Hello, Nurse Fletch.

689
00:38:00,250 --> 00:38:02,277
You can call me Julie.

690
00:38:03,167 --> 00:38:05,446
Are you here alone,
or are you meeting someone?

691
00:38:05,976 --> 00:38:07,809
I'm alone.

692
00:38:07,997 --> 00:38:09,263
Well, to us.

693
00:38:18,053 --> 00:38:20,053
You have beautiful eyes.

694
00:38:21,118 --> 00:38:23,129
Thank you.

695
00:38:25,956 --> 00:38:28,147
Or did someone just tell you that

696
00:38:28,171 --> 00:38:30,704
that's a good opening line?

697
00:38:37,503 --> 00:38:39,914
It's right in our backyard,
and I've never even been there.

698
00:38:39,939 --> 00:38:41,672
- Have you?
- No.

699
00:38:41,697 --> 00:38:44,485
It's, uh, time we unleash
our inner tree-hugger.

700
00:38:46,046 --> 00:38:47,187
You're off next weekend.

701
00:38:47,211 --> 00:38:48,696
I think we should go to Yosemite.

702
00:38:48,720 --> 00:38:50,023
What do you think?

703
00:38:50,047 --> 00:38:51,524
Yeah, sounds fun.

704
00:38:51,548 --> 00:38:52,959
I need to get me some hiking boots.

705
00:38:52,983 --> 00:38:54,646
- Mm.
- And, uh, like a fleece.

706
00:38:54,670 --> 00:38:55,946
- Mm-hmm.
- Beanie.

707
00:38:55,970 --> 00:38:57,954
I'm rocking the full lumbersexual look.

708
00:38:57,978 --> 00:38:59,666
'Cause I gotta blend in.

709
00:38:59,690 --> 00:39:02,902
I hear a bear can spot
a tourist a mile away.

710
00:39:02,926 --> 00:39:04,256
Mm.

711
00:39:04,280 --> 00:39:05,757
Mm-hmm.

712
00:39:07,497 --> 00:39:09,164
You okay?

713
00:39:09,844 --> 00:39:12,412
Uh, you're, uh...

714
00:39:12,436 --> 00:39:16,671
you're here, but, you know, not.

715
00:39:17,727 --> 00:39:19,252
You're right. I'm sorry.

716
00:39:19,276 --> 00:39:21,223
It's... It's just been a long week.

717
00:39:21,247 --> 00:39:23,011
I'm a bit exhausted.

718
00:39:23,691 --> 00:39:28,161
Yeah, I think I might call it
an early night.

719
00:39:28,185 --> 00:39:29,530
Oh, you sure?

720
00:39:29,679 --> 00:39:31,913
I... you know,
we don't have to go to the club.

721
00:39:31,938 --> 00:39:34,105
We can chill here. We can watch a movie.

722
00:39:34,130 --> 00:39:35,229
I'm sorry.

723
00:39:35,254 --> 00:39:36,820
I just...

724
00:39:36,845 --> 00:39:38,748
I just think I should go home.

725
00:39:40,542 --> 00:39:42,075
Okay.

726
00:39:48,829 --> 00:39:50,468
Shaun?

727
00:39:54,478 --> 00:39:57,012
I want to smash your car up.

728
00:39:59,041 --> 00:40:01,576
I think that's a bad idea.

729
00:40:04,093 --> 00:40:09,131
I want to hurt you the way you hurt me.

730
00:40:10,593 --> 00:40:12,243
I'm s-sorry.

731
00:40:12,268 --> 00:40:13,908
You...

732
00:40:16,326 --> 00:40:17,996
You...

733
00:40:18,948 --> 00:40:20,373
You're...

734
00:40:37,235 --> 00:40:39,802
I can't.

735
00:40:42,186 --> 00:40:43,646
I can't.

736
00:40:47,965 --> 00:40:50,299
You acted like you cared about me...

737
00:40:52,703 --> 00:40:54,948
...but you don't even respect me.

738
00:40:57,040 --> 00:40:59,018
You're flaky.

739
00:41:01,278 --> 00:41:02,540
And...

740
00:41:04,768 --> 00:41:07,170
And you can't keep a boyfriend.

741
00:41:08,138 --> 00:41:12,140
And you can't keep a job.

742
00:41:12,656 --> 00:41:14,801
And no one likes you.

743
00:41:16,593 --> 00:41:20,261
And... And you're going to end up alone,

744
00:41:20,286 --> 00:41:21,452
and you deserve it!

745
00:41:21,477 --> 00:41:23,648
Because you're a superficial,

746
00:41:23,673 --> 00:41:26,374
selfish, and prejudiced person!

747
00:41:45,055 --> 00:41:47,700
You ready to tell me what's on your mind?

748
00:41:50,238 --> 00:41:52,805
Not really.

749
00:42:04,914 --> 00:42:08,350
I...

750
00:42:08,812 --> 00:42:11,400
I think I'm in love with my boss.

