1
00:00:17,540 --> 00:00:18,870
Shaun...
2
00:00:18,880 --> 00:00:21,809
You need to give me
your driver's license.
3
00:00:21,810 --> 00:00:23,549
No, I don't.
4
00:00:23,550 --> 00:00:24,980
Do you remember
5
00:00:25,000 --> 00:00:27,219
- the memory test I gave you?
- Vividly.
6
00:00:27,220 --> 00:00:30,449
Yes. It demonstrated you have a deficit.
7
00:00:30,450 --> 00:00:32,719
A deficit; you shouldn't be driving.
8
00:00:32,720 --> 00:00:34,159
Dr. Blaize agreed.
9
00:00:34,160 --> 00:00:37,189
Shaun, that test was supposed
to be between us;
10
00:00:37,190 --> 00:00:39,629
that's why I didn't want
to do it at the hospital.
11
00:00:39,630 --> 00:00:42,729
Yes, your doctor needs to be informed
12
00:00:42,730 --> 00:00:45,030
of the results of all your medical tests.
13
00:00:45,040 --> 00:00:46,869
Even tests that are done at home.
14
00:00:46,870 --> 00:00:49,909
Shaun, I've been driving
for like half a century.
15
00:00:49,910 --> 00:00:51,809
I'm an excellent driver, okay?
16
00:00:51,810 --> 00:00:54,079
I don't need to give you
my driver's license.
17
00:00:54,080 --> 00:00:57,150
Okay. Then I'll have to notify the DMV.
18
00:00:57,780 --> 00:00:59,180
Dr. Glassman?
19
00:01:01,320 --> 00:01:03,349
You're not gonna notify the DMV, Shaun.
20
00:01:03,350 --> 00:01:06,719
Yes, I will notify the DMV.
21
00:01:06,720 --> 00:01:09,059
Shaun, you will not notify the DMV.
22
00:01:09,060 --> 00:01:10,389
Dr. Glassman,
23
00:01:10,390 --> 00:01:13,629
if you don't give me
your driver's license,
24
00:01:13,630 --> 00:01:16,699
I will notify the DMV.
25
00:01:16,700 --> 00:01:18,430
Dr. Glassman?
26
00:01:42,930 --> 00:01:44,429
George Reynolds, 28,
27
00:01:44,430 --> 00:01:46,129
sudden onset of arm and leg weakness,
28
00:01:46,130 --> 00:01:48,129
right facial droop, and trouble speaking.
29
00:01:48,130 --> 00:01:50,829
CT confirmed a middle cerebral
artery embolism.
30
00:01:50,830 --> 00:01:52,799
I booked us
into interventional radiology.
31
00:01:52,800 --> 00:01:54,969
When did you first notice
your symptoms, George?
32
00:01:54,970 --> 00:01:58,009
About, uh, four and a half hours ago.
33
00:01:58,010 --> 00:01:59,189
Wait, what's wrong with me?
34
00:01:59,190 --> 00:02:01,110
You may be having a stroke.
35
00:02:01,700 --> 00:02:03,549
You're on monthly injections of Lupron?
36
00:02:03,550 --> 00:02:04,679
For three months.
37
00:02:04,680 --> 00:02:05,749
That may have caused this.
38
00:02:05,750 --> 00:02:07,519
Do you have prostate cancer?
39
00:02:07,520 --> 00:02:11,900
No. I-I was diagnosed
with atypical hyperplasia.
40
00:02:11,940 --> 00:02:13,619
That shouldn't have any effect
on what we're gonna do now.
41
00:02:13,620 --> 00:02:14,819
We're gonna take care of you, George.
42
00:02:14,820 --> 00:02:15,850
Don't worry.
43
00:02:18,900 --> 00:02:20,699
This is local anesthetic;
44
00:02:20,700 --> 00:02:22,200
you'll feel a pinch.
45
00:02:24,730 --> 00:02:26,130
Are you a real doctor?
46
00:02:26,140 --> 00:02:29,269
I'm Dr. Shaun Murphy.
47
00:02:29,270 --> 00:02:30,569
People ever call you Murph?
48
00:02:30,570 --> 00:02:31,870
No.
49
00:02:31,880 --> 00:02:34,010
I'm going to make a small incision
50
00:02:34,060 --> 00:02:37,370
so we can insert the tube
and re-inflate your lung.
51
00:02:38,560 --> 00:02:39,829
What do they call you, Billy?
52
00:02:41,070 --> 00:02:45,300
CraterHead, Volcano, ThreeEyes...
53
00:02:45,310 --> 00:02:47,609
those are just the creative ones.
54
00:02:47,610 --> 00:02:50,140
Hold tight. Here comes the tube...
55
00:02:59,790 --> 00:03:01,589
You guys really know what you're doing.
56
00:03:01,590 --> 00:03:04,389
Yes, we do.
57
00:03:04,390 --> 00:03:06,729
We'll order an MRI for your lungs.
58
00:03:06,730 --> 00:03:09,829
Then we will fix
your fractured eye orbit;
59
00:03:09,830 --> 00:03:11,930
that will require surgery.
60
00:03:13,130 --> 00:03:15,469
What do you say
we fix your forehead, too?
61
00:03:15,470 --> 00:03:16,499
You could do that?
62
00:03:16,500 --> 00:03:19,369
- I think so...
- I don't think so.
63
00:03:19,370 --> 00:03:21,729
It's a pre-existing condition,
64
00:03:21,730 --> 00:03:23,879
and it's not medically necessary.
65
00:03:23,880 --> 00:03:25,540
It shouldn't be approved.
66
00:03:33,490 --> 00:03:40,490
Synced & corrected by -robtor-
www.addic7ed.com
67
00:03:42,460 --> 00:03:46,029
The MCA clot is obstructing
all distal flow.
68
00:03:46,030 --> 00:03:49,330
Anti-androgens aren't
indicated for hyperplasia...
69
00:03:49,340 --> 00:03:50,799
He said atypical.
70
00:03:50,800 --> 00:03:52,610
You think he's lying?
71
00:03:53,770 --> 00:03:56,709
Maybe he's gender transitioning.
72
00:03:56,710 --> 00:04:00,449
Aside from cancer, there aren't
many other indications.
73
00:04:00,450 --> 00:04:02,379
Let's focus on what we do know.
74
00:04:02,380 --> 00:04:04,649
Feeding the catheter.
75
00:04:04,650 --> 00:04:06,580
Suctioning the thrombus,
76
00:04:07,750 --> 00:04:10,160
and he's recanalizing. Slowly retract.
77
00:04:12,360 --> 00:04:14,629
Whatever his reasons are
for taking anti-androgens,
78
00:04:14,630 --> 00:04:16,190
hopefully there are options.
79
00:04:16,200 --> 00:04:18,799
He either drops them or
he's gonna keep having strokes.
80
00:04:20,800 --> 00:04:24,769
The forehead repair would be
expensive and cosmetic...
81
00:04:24,770 --> 00:04:26,300
It's not about prettying him up;
82
00:04:26,310 --> 00:04:28,739
it could give him a new life, friends,
83
00:04:28,740 --> 00:04:29,909
maybe a few less beatings.
84
00:04:29,910 --> 00:04:33,040
Stopping the beatings is the guards' job.
85
00:04:33,730 --> 00:04:36,249
You really don't have
any empathy for Billy?
86
00:04:36,250 --> 00:04:40,080
Empathy is a bad reason
to fight for someone.
87
00:04:40,090 --> 00:04:42,519
If empathy makes me
only want to help patients
88
00:04:42,520 --> 00:04:45,159
who are from Wyoming or have ASD,
89
00:04:45,160 --> 00:04:46,659
then that's very unfair
90
00:04:46,660 --> 00:04:49,330
to all my neuro-typical patients
from Idaho.
91
00:04:56,400 --> 00:04:58,069
I need to take those drugs.
92
00:04:58,070 --> 00:04:59,840
They caused your stroke.
93
00:05:02,740 --> 00:05:05,240
We don't think you have hyperplasia.
94
00:05:05,250 --> 00:05:06,409
If you tell us the real reason,
95
00:05:06,410 --> 00:05:08,349
I'm sure there are
other safer treatments...
96
00:05:08,350 --> 00:05:09,810
No, there aren't!
97
00:05:11,250 --> 00:05:14,549
If you're transitioning,
there are alternatives...
98
00:05:14,550 --> 00:05:16,450
I told you why I was taking the meds.
99
00:05:16,460 --> 00:05:19,459
George, we are your doctors;
100
00:05:19,460 --> 00:05:21,459
we need to know the truth.
101
00:05:21,460 --> 00:05:23,360
We're not gonna tell anyone.
102
00:05:32,040 --> 00:05:33,570
I'm not transitioning.
103
00:05:35,910 --> 00:05:39,780
And I don't have hyperplasia.
104
00:05:41,610 --> 00:05:43,349
I have problems...
105
00:05:43,350 --> 00:05:46,450
with my sex drive.
106
00:05:48,050 --> 00:05:49,150
I know it sounds stupid,
107
00:05:49,160 --> 00:05:51,559
like why can't I just control myself
108
00:05:51,560 --> 00:05:53,270
but...
109
00:05:54,490 --> 00:05:56,999
It's all I think about.
110
00:05:57,000 --> 00:05:58,800
It's all I can think about.
111
00:06:01,000 --> 00:06:03,269
I can't work,
112
00:06:03,270 --> 00:06:05,469
I can't socialize,
113
00:06:05,470 --> 00:06:07,910
I can't have a life.
114
00:06:09,710 --> 00:06:12,609
And those meds are the only thing
115
00:06:12,610 --> 00:06:16,079
that makes it even remotely tolerable.
116
00:06:16,080 --> 00:06:17,920
They'll kill you.
117
00:06:26,530 --> 00:06:28,529
The residents have a betting pool
118
00:06:28,530 --> 00:06:30,129
on who you're going to appoint.
119
00:06:30,130 --> 00:06:32,799
As your replacement as Chief of Surgery,
120
00:06:32,800 --> 00:06:35,569
the decision needs to be made
with decorum and expediency.
121
00:06:35,570 --> 00:06:37,299
I haven't quite gotten around
to analyzing...
122
00:06:37,300 --> 00:06:39,039
You've had little face time
with your attendings
123
00:06:39,040 --> 00:06:40,769
since you became president.
124
00:06:40,770 --> 00:06:42,570
You need to correct that.
125
00:06:43,910 --> 00:06:45,870
I've scheduled your announcement.
126
00:06:46,310 --> 00:06:47,910
You've got two days.
127
00:07:00,530 --> 00:07:02,259
- Where is he?
- He's gone;
128
00:07:02,260 --> 00:07:03,270
signed out AMA.
129
00:07:03,280 --> 00:07:05,160
- I tried...
- How long ago?
130
00:07:05,170 --> 00:07:06,999
Five minutes...
131
00:07:11,970 --> 00:07:13,100
Why are we in a hurry?
132
00:07:13,110 --> 00:07:14,909
I was researching
alternative meds for him.
133
00:07:14,910 --> 00:07:16,739
Realized Lupron didn't make any sense.
134
00:07:16,740 --> 00:07:19,009
Prescribing anti-androgens
for sexual urges
135
00:07:19,010 --> 00:07:20,649
is like hitting a mosquito with a mallet.
136
00:07:20,650 --> 00:07:22,979
Unless they're deviant urges.
137
00:07:22,980 --> 00:07:24,949
We might've just released
a child molester.
138
00:07:34,960 --> 00:07:36,259
Should we call the police?
139
00:07:36,260 --> 00:07:37,599
We can't.
140
00:07:37,600 --> 00:07:39,500
We have no evidence of a crime.
141
00:07:44,980 --> 00:07:46,199
Lim's at 3 to 2,
142
00:07:46,200 --> 00:07:48,220
Melendez is just behind at 2 to 1,
143
00:07:48,250 --> 00:07:49,349
Cooperberg's 7 to 1,
144
00:07:49,350 --> 00:07:51,450
and if Dartling,
or anybody else comes in,
145
00:07:51,500 --> 00:07:52,740
you can retire.
146
00:07:52,800 --> 00:07:54,299
Andrews might bail on Melendez
147
00:07:54,300 --> 00:07:56,269
when he finds out our patient bolted.
148
00:07:56,270 --> 00:07:59,840
Which is why Melendez is now 4 to 1.
149
00:07:59,990 --> 00:08:03,029
Pari-mutuel betting is very exciting.
150
00:08:03,030 --> 00:08:05,630
Do you need empathy to be a good doctor?
151
00:08:07,650 --> 00:08:10,249
No. I think it can interfere
152
00:08:10,250 --> 00:08:12,080
with effective decision-making.
153
00:08:12,090 --> 00:08:14,719
She's just saying that
to avoid hurting your feelings,
154
00:08:14,720 --> 00:08:16,989
thus making her fake point for real...
155
00:08:16,990 --> 00:08:19,459
her empathy made her lie to you.
156
00:08:19,460 --> 00:08:20,719
I think you just agreed with me
157
00:08:20,720 --> 00:08:22,290
and insulted me at the same time.
158
00:08:22,300 --> 00:08:24,199
I think empathy's very important...
159
00:08:24,200 --> 00:08:26,329
Telling the cold hard truth
even when it hurts,
160
00:08:26,330 --> 00:08:28,669
sometimes is the
most empathetic thing we can do.
161
00:08:28,670 --> 00:08:30,769
Which is what I'm doing
for Shaun right now.
162
00:08:30,770 --> 00:08:32,580
You're welcome.
163
00:08:33,370 --> 00:08:35,239
I have autism
164
00:08:35,240 --> 00:08:37,679
which means I have a deficiency
of mirror neurons,
165
00:08:37,680 --> 00:08:40,040
which inhibits me
from emotionally trading places
166
00:08:40,060 --> 00:08:43,050
with people, which makes empathy
very difficult.
167
00:08:47,090 --> 00:08:49,720
Does that mean I can't be a good doctor?
168
00:08:51,190 --> 00:08:52,789
No, it doesn't.
169
00:08:52,790 --> 00:08:55,429
We all have our strengths
and weaknesses, Shaun.
170
00:08:55,430 --> 00:08:58,800
One of Claire's is making sure
everyone feels validated.
171
00:09:05,270 --> 00:09:06,839
The creep is back.
172
00:09:10,240 --> 00:09:12,140
Is George having another stroke?
173
00:09:12,150 --> 00:09:13,649
No.
174
00:09:13,650 --> 00:09:15,779
Severe lacerations to the scrotum.
175
00:09:15,780 --> 00:09:17,019
Did you give him anything for pain?
176
00:09:17,020 --> 00:09:20,319
Morphine. Four milligrams.
And I notified the cops;
177
00:09:20,320 --> 00:09:21,520
I think it was a hate crime.
178
00:09:21,540 --> 00:09:23,219
Yeah, I don't think so.
179
00:09:26,060 --> 00:09:28,129
All right.
180
00:09:28,130 --> 00:09:29,130
On my count.
181
00:09:29,131 --> 00:09:30,960
One, two, three.
182
00:09:32,330 --> 00:09:33,369
We'll take it from here.
183
00:09:33,370 --> 00:09:34,799
I'll pack him and prep him.
184
00:09:42,340 --> 00:09:44,280
You did this to yourself, didn't you?
185
00:09:48,280 --> 00:09:51,450
I think I know what kind
of urges you've been having.
186
00:09:54,090 --> 00:09:56,159
I'm not a monster.
187
00:09:56,160 --> 00:09:58,559
I never touched anyone...
188
00:09:58,560 --> 00:10:01,260
any... child.
189
00:10:05,370 --> 00:10:08,899
My sister and I were always
best friends...
190
00:10:08,900 --> 00:10:11,040
but then she had children.
191
00:10:12,740 --> 00:10:14,770
If I can't keep taking the drugs...
192
00:10:16,680 --> 00:10:19,109
...I had to do this.
193
00:10:19,110 --> 00:10:20,760
Home surgery tends to not have
194
00:10:20,800 --> 00:10:23,149
the results you're hoping for.
195
00:10:23,150 --> 00:10:24,480
You did a lot of damage
196
00:10:24,490 --> 00:10:26,449
but your testicles are unscathed.
197
00:10:30,760 --> 00:10:33,060
Please... finish the job.
198
00:10:37,600 --> 00:10:39,669
I say we do it; he's a pedophile.
199
00:10:39,670 --> 00:10:40,689
No, he's not.
200
00:10:40,690 --> 00:10:41,900
He just told us he was.
201
00:10:41,920 --> 00:10:43,550
He has never acted on his urges,
202
00:10:43,560 --> 00:10:44,839
and he's asking us to do something
203
00:10:44,840 --> 00:10:46,239
to ensure he never does.
204
00:10:46,240 --> 00:10:47,989
He is a decent person trying...
205
00:10:47,990 --> 00:10:49,269
I'm confused.
206
00:10:49,270 --> 00:10:50,479
What do you want to do with him?
207
00:10:50,480 --> 00:10:52,809
Treat him like a patient
with a diagnosis.
208
00:10:52,810 --> 00:10:54,339
Put him on antidepressants,
209
00:10:54,340 --> 00:10:56,449
refer him to a urologist,
give him a psych eval.
210
00:10:56,450 --> 00:10:59,219
Let the experts determine
if he should have a castration.
211
00:10:59,220 --> 00:11:01,350
Psych eval? Antidepressants?
212
00:11:01,410 --> 00:11:03,009
When we refer people for counseling,
213
00:11:03,010 --> 00:11:04,470
how often do they get cured?
214
00:11:04,480 --> 00:11:06,009
I am looking to help him
manage this dis...
215
00:11:06,010 --> 00:11:07,779
And if they don't get cured,
what happens?
216
00:11:07,780 --> 00:11:10,649
They get more depressed,
can't cope, quit jobs,
217
00:11:10,650 --> 00:11:12,010
maybe kill themselves?
218
00:11:12,020 --> 00:11:14,710
All bad, but not... rape-a-child bad.
219
00:11:16,250 --> 00:11:18,120
So what are you going to do?
220
00:11:22,490 --> 00:11:24,980
We can't ethically remove healthy organs
221
00:11:25,040 --> 00:11:26,559
for crime prevention.
222
00:11:26,560 --> 00:11:28,299
We don't amputate a kleptomaniac's hands
223
00:11:28,300 --> 00:11:30,029
to prevent them from stealing.
224
00:11:30,030 --> 00:11:31,669
Hands have many purposes;
225
00:11:31,670 --> 00:11:34,239
the balls of a pedophile have but one.
226
00:11:34,240 --> 00:11:36,569
Set up his referrals and patch him up.
227
00:11:49,450 --> 00:11:51,319
How long you been in Foothills?
228
00:11:51,320 --> 00:11:52,859
Nine months...
229
00:11:52,860 --> 00:11:54,520
Time flies in Juvie.
230
00:11:54,530 --> 00:11:56,459
Any visitors?
231
00:11:56,460 --> 00:11:58,390
I don't have a granny
bringing me cookies,
232
00:11:58,400 --> 00:11:59,729
if that's what you mean.
233
00:11:59,730 --> 00:12:02,799
This is why empathy is bad.
234
00:12:02,800 --> 00:12:05,819
You're talking to our patient
because you like him,
235
00:12:05,820 --> 00:12:07,069
which is causing him to move,
236
00:12:07,070 --> 00:12:09,169
which is affecting our imagery.
237
00:12:09,170 --> 00:12:10,509
He's scared.
238
00:12:10,510 --> 00:12:11,770
I'm talking to him to calm him down
239
00:12:11,780 --> 00:12:13,439
which is improving our imagery.
240
00:12:13,440 --> 00:12:16,409
The fact that I like him
is beside the point.
241
00:12:16,410 --> 00:12:18,279
You grow up in San Jose?
242
00:12:18,280 --> 00:12:21,919
East Paly... but I got out
of there as soon as I could...
243
00:12:21,920 --> 00:12:23,049
I was 15.
244
00:12:23,050 --> 00:12:24,950
Your parents still there?
245
00:12:24,960 --> 00:12:26,489
Mom's gone...
246
00:12:26,490 --> 00:12:29,559
dear old Dad is... terrible.
247
00:12:29,560 --> 00:12:30,729
Siblings?
248
00:12:30,730 --> 00:12:32,229
Little brother...
249
00:12:32,230 --> 00:12:33,630
He's gone too...
250
00:12:37,530 --> 00:12:39,819
Crappy dad. Lost his brother...
251
00:12:39,820 --> 00:12:40,820
I mean, you really don't ha...
252
00:12:40,830 --> 00:12:42,200
He's not scared.
253
00:12:42,210 --> 00:12:43,609
He's short of breath
254
00:12:43,610 --> 00:12:45,609
because his diaphragm is lacerated.
255
00:12:45,610 --> 00:12:47,979
His stomach has passed through that tear
256
00:12:47,980 --> 00:12:50,279
and is now in his chest.
257
00:12:50,280 --> 00:12:54,150
Billy needs emergency surgery
on his diaphragm.
258
00:12:56,090 --> 00:12:57,329
The defect reaches all the way
259
00:12:57,330 --> 00:12:59,620
from the center
to the anterior costal margin.
260
00:13:00,100 --> 00:13:01,569
So what do we need to do?
261
00:13:01,570 --> 00:13:03,169
Divide the inferior pulmonary ligament
262
00:13:03,170 --> 00:13:05,370
to bring the lung upwards.
263
00:13:05,380 --> 00:13:06,880
Uh-huh. Mesh.
264
00:13:09,910 --> 00:13:12,479
Whoever kicked him was
wearing some serious footwear.
265
00:13:12,480 --> 00:13:14,580
And they'll be waiting for him
when he goes back.
266
00:13:14,590 --> 00:13:15,619
Unless we help him.
267
00:13:15,620 --> 00:13:18,320
Dr. Park wants to fix his forehead.
268
00:13:19,990 --> 00:13:21,620
The Constitution guarantees prisoners
269
00:13:21,630 --> 00:13:23,259
get the same care as everyone else.
270
00:13:23,260 --> 00:13:26,799
Most non-prisoners can't afford
cosmetic surgery.
271
00:13:26,800 --> 00:13:29,060
He would be getting better care
than everyone else.
272
00:13:29,070 --> 00:13:31,669
Kid is smart and personable
and puts up a great front.
273
00:13:31,670 --> 00:13:33,169
But he's scared to death.
274
00:13:33,170 --> 00:13:35,000
And he got 36 months for selling weed;
275
00:13:35,010 --> 00:13:36,839
a crime that doesn't even exist anymore.
276
00:13:36,840 --> 00:13:38,510
You think his life
would be anything like this
277
00:13:38,520 --> 00:13:41,070
if he didn't grow up
with a massive dent in his head?
278
00:13:41,710 --> 00:13:44,200
Sorry, I'm not convinced.
279
00:13:44,720 --> 00:13:49,349
Is that because you don't have
any empathy for Billy?
280
00:13:49,350 --> 00:13:51,719
No. It's because I agree with you:
281
00:13:51,720 --> 00:13:54,259
it's expensive, risky and unnecessary.
282
00:13:54,260 --> 00:13:57,529
But empathy can be
an invaluable motivator,
283
00:13:57,530 --> 00:14:00,129
Dr. Murphy, that truly connects
the physician
284
00:14:00,130 --> 00:14:01,760
with their patient.
285
00:14:05,740 --> 00:14:07,900
Is he still up there?
286
00:14:14,410 --> 00:14:17,379
Yes he is.
287
00:14:19,120 --> 00:14:21,119
We can't do the castration, George.
288
00:14:21,120 --> 00:14:23,889
Not without the proper
psychiatric clearance.
289
00:14:23,890 --> 00:14:25,040
That'll take forever.
290
00:14:25,050 --> 00:14:26,759
Just a few months.
291
00:14:26,760 --> 00:14:28,459
A few months is forever.
292
00:14:28,460 --> 00:14:29,929
Binge watch your favorite shows,
293
00:14:29,930 --> 00:14:31,259
catch up on your reading.
294
00:14:31,260 --> 00:14:34,029
You attracted to men, Dr. Reznick?
295
00:14:34,030 --> 00:14:36,299
Yes. Adult men.
296
00:14:36,300 --> 00:14:39,899
And if that were... reprehensible,
297
00:14:39,900 --> 00:14:41,510
do you think you could stop?
298
00:14:43,570 --> 00:14:46,139
You have no idea what it's like
299
00:14:46,140 --> 00:14:48,440
to live with these thoughts.
300
00:14:48,450 --> 00:14:51,049
I hate them,
301
00:14:51,050 --> 00:14:54,100
and I hate myself for having them.
302
00:14:55,150 --> 00:14:57,020
But I can't stop them...
303
00:14:57,720 --> 00:15:00,489
and I'm afraid of what I could do.
304
00:15:05,400 --> 00:15:07,729
We will start the process immediately.
305
00:15:07,730 --> 00:15:09,869
In the meantime, we'll transfuse you,
306
00:15:09,870 --> 00:15:11,099
get you on antibiotics...
307
00:15:11,100 --> 00:15:14,269
No. I'm refusing treatment.
308
00:15:14,270 --> 00:15:18,539
No transfusion. No antibiotics.
No repair.
309
00:15:18,540 --> 00:15:19,839
Let 'em rot.
310
00:15:23,280 --> 00:15:25,510
We have something in common.
311
00:15:27,650 --> 00:15:30,020
Neither of us has a driver's license.
312
00:15:32,560 --> 00:15:36,940
How do you feel about
not having a driver's license?
313
00:15:37,760 --> 00:15:39,790
I'm pissed, Shaun.
314
00:15:39,800 --> 00:15:41,429
You feel pissed.
315
00:15:41,430 --> 00:15:43,529
Yes, I feel pissed. I feel very pissed
316
00:15:43,530 --> 00:15:46,169
because something important
was taken away from me.
317
00:15:46,170 --> 00:15:47,699
And by a friend.
318
00:15:47,700 --> 00:15:49,700
You feel very pissed
319
00:15:49,710 --> 00:15:52,409
because something important
was taken away from you...
320
00:15:52,410 --> 00:15:53,639
and by a friend.
321
00:15:53,640 --> 00:15:56,779
And parroting everything I say
isn't helping.
322
00:15:56,780 --> 00:16:00,279
I'm finding commonality, Dr. Glassman,
323
00:16:00,280 --> 00:16:02,780
and inquiring about your emotional state,
324
00:16:02,790 --> 00:16:05,989
and actively listening
by restating your responses.
325
00:16:05,990 --> 00:16:10,729
"External corroboration enhances
our sense of self-worth."
326
00:16:10,730 --> 00:16:12,260
Okay.
327
00:16:13,160 --> 00:16:15,160
The day after I got my driver's license,
328
00:16:15,170 --> 00:16:16,699
you want to know what I did?
329
00:16:16,700 --> 00:16:19,939
I went out and bought
a 1963 Galaxie, Midnight Blue.
330
00:16:19,940 --> 00:16:21,669
1,255 bucks;
331
00:16:21,670 --> 00:16:24,909
every penny I earned
for the past three years
332
00:16:24,910 --> 00:16:26,539
working in a gas station.
333
00:16:26,540 --> 00:16:28,660
How do you think that made me feel?
334
00:16:29,080 --> 00:16:30,279
You liked it?
335
00:16:30,280 --> 00:16:32,479
No, Shaun. I loved it.
336
00:16:32,480 --> 00:16:33,579
You want to know why?
337
00:16:33,580 --> 00:16:36,019
Because a car to a sixteen-year-old kid
338
00:16:36,020 --> 00:16:37,089
means independence,
339
00:16:37,090 --> 00:16:38,950
which means he can go wherever he wants
340
00:16:38,960 --> 00:16:40,819
whenever he wants.
341
00:16:40,820 --> 00:16:44,630
And that doesn't change with age, Shaun;
342
00:16:45,460 --> 00:16:47,300
in fact, it means even more.
343
00:16:50,830 --> 00:16:53,340
When you took my license,
that's what you took from me.
344
00:16:56,070 --> 00:16:57,569
I don't expect you to understand.
345
00:16:57,570 --> 00:16:59,810
So you don't have to pretend.
346
00:17:10,420 --> 00:17:12,789
Hey. Is Andrews stalking you?
347
00:17:12,790 --> 00:17:14,159
- Yeah.
- It's annoying.
348
00:17:14,160 --> 00:17:16,289
We need to stand together
and tell him to back off.
349
00:17:17,430 --> 00:17:19,259
I'm not telling the president
he's annoying.
350
00:17:19,260 --> 00:17:21,029
He's infringing on our autonomy
351
00:17:21,030 --> 00:17:22,999
and inhibiting the free flow of ideas,
352
00:17:23,000 --> 00:17:24,429
both of which affect our ability
353
00:17:24,430 --> 00:17:27,050
to deliver the best patient care.
354
00:17:28,210 --> 00:17:30,639
That sounds slightly better.
355
00:17:30,640 --> 00:17:32,640
Okay. I'm in.
356
00:17:37,150 --> 00:17:39,410
- Are you?
- No. Of course not.
357
00:17:39,420 --> 00:17:41,580
The last thing I'm gonna do
right now is confront him;
358
00:17:41,590 --> 00:17:42,689
I'm the front-runner.
359
00:17:42,690 --> 00:17:43,789
Not according to Vegas;
360
00:17:43,790 --> 00:17:44,850
I'm three to two.
361
00:17:46,860 --> 00:17:50,260
Guess they don't know that you
have double my mortality rate.
362
00:17:51,660 --> 00:17:52,959
I'm a trauma surgeon;
363
00:17:52,960 --> 00:17:55,860
you're comparing apples to asshats.
364
00:17:55,870 --> 00:17:58,170
I resent being called an apple.
365
00:17:59,670 --> 00:18:02,339
The diaphragm repair went very well.
366
00:18:02,340 --> 00:18:04,839
And we've scheduled
your orbital fracture repair.
367
00:18:04,840 --> 00:18:08,009
We'll get you some stronger
pain meds for the recovery.
368
00:18:08,010 --> 00:18:09,779
When are you gonna fix my forehead,
369
00:18:09,780 --> 00:18:11,510
make me all John Legend?
370
00:18:13,780 --> 00:18:15,510
I tried, Billy.
371
00:18:16,020 --> 00:18:17,640
I'm sorry.
372
00:18:18,220 --> 00:18:20,520
I wasn't really getting
my hopes up anyway.
373
00:18:21,190 --> 00:18:22,389
My dad taught me that.
374
00:18:22,390 --> 00:18:24,589
He'd say, "You know what, Billy?"
375
00:18:24,590 --> 00:18:27,299
And he'd just punch me in the face.
376
00:18:27,300 --> 00:18:28,429
At least, I think that was the lesson
377
00:18:28,430 --> 00:18:29,799
he was trying to impart.
378
00:18:29,800 --> 00:18:31,670
That's what happened to your forehead?
379
00:18:34,940 --> 00:18:36,869
He was a big A's fan.
380
00:18:36,870 --> 00:18:39,410
Watched every game with a bat
in his hand.
381
00:18:40,640 --> 00:18:43,709
August 14th, 2008,
382
00:18:43,710 --> 00:18:46,149
they lost in the 12th inning...
383
00:19:07,000 --> 00:19:08,369
Infection's setting in but his testicles
384
00:19:08,370 --> 00:19:10,269
still show good flow on the Doppler.
385
00:19:10,270 --> 00:19:11,670
- Pain meds?
- He won't take them.
386
00:19:11,680 --> 00:19:12,850
Thinks they'll knock him out
387
00:19:12,880 --> 00:19:14,240
and we'll step in and repair them.
388
00:19:15,810 --> 00:19:17,809
I hate this.
389
00:19:17,810 --> 00:19:19,179
Me too.
390
00:19:27,250 --> 00:19:30,919
I'm going to be a good driver.
391
00:19:30,920 --> 00:19:33,820
I got every answer correct
on the written test.
392
00:19:33,830 --> 00:19:34,830
Except one
393
00:19:34,831 --> 00:19:37,190
but that was because
it was improperly worded.
394
00:19:37,200 --> 00:19:40,329
I told the DMV
they need to rewrite it and...
395
00:19:40,330 --> 00:19:43,899
they said they'd take it
under advisement.
396
00:19:43,900 --> 00:19:45,439
Great.
397
00:19:45,440 --> 00:19:47,200
Let's go.
398
00:19:54,580 --> 00:19:57,079
Okay... let's close our eyes...
399
00:19:57,080 --> 00:20:00,819
And take some nice, deep breaths...
400
00:20:04,690 --> 00:20:07,489
And how about a little guided imagery,
401
00:20:07,490 --> 00:20:11,899
to evoke positive visualizations?
402
00:20:14,970 --> 00:20:16,269
Okay.
403
00:20:16,270 --> 00:20:18,339
Let's picture the parking lot...
404
00:20:18,340 --> 00:20:20,769
the cars around us...
405
00:20:20,770 --> 00:20:23,970
the yellow steel thingy at
the entrance of the parking lot
406
00:20:23,980 --> 00:20:26,209
that could really do a lot of damage...
407
00:20:26,210 --> 00:20:28,090
A bollard.
408
00:20:29,180 --> 00:20:34,649
The speed bump that is 15 feet
from the corner
409
00:20:34,650 --> 00:20:38,719
with the stop sign that
someone put a "Hate" sticker on
410
00:20:38,720 --> 00:20:41,159
so it says "Stop Hate,"
411
00:20:41,160 --> 00:20:43,729
which is right in front
of the Jiff-E Mart,
412
00:20:43,730 --> 00:20:46,629
which says it's open "8 til Late, 24/7,"
413
00:20:46,630 --> 00:20:47,699
which can't be true beca...
414
00:20:47,700 --> 00:20:49,129
That's great, Shaun.
415
00:20:49,130 --> 00:20:50,999
Super amount of visualization.
416
00:20:51,000 --> 00:20:53,400
And now that we're feeling comfortable
417
00:20:53,410 --> 00:20:54,739
about our surroundings,
418
00:20:54,740 --> 00:20:57,639
we can put the car into drive,
419
00:20:57,640 --> 00:21:00,809
ease our foot off the brake...
420
00:21:00,810 --> 00:21:02,279
Very nice...
421
00:21:02,280 --> 00:21:04,310
We can open our eyes now, Shaun.
422
00:21:04,320 --> 00:21:05,919
What we're doing is cruel.
423
00:21:05,920 --> 00:21:08,350
I'm open to all options, Dr. Browne.
424
00:21:16,860 --> 00:21:19,129
I'm gonna have to ask you
to give us some privacy.
425
00:21:19,130 --> 00:21:20,599
Really?
426
00:21:20,600 --> 00:21:22,276
You want to throw
the president of the hospital
427
00:21:22,300 --> 00:21:23,900
out of a medical discussion?
428
00:21:27,070 --> 00:21:28,769
You're infringing on my autonomy
429
00:21:28,770 --> 00:21:30,739
and inhibiting the free flow of ideas,
430
00:21:30,740 --> 00:21:32,279
both of which affect my ability
431
00:21:32,280 --> 00:21:33,710
to deliver the best patient care.
432
00:21:43,860 --> 00:21:45,789
Dr. Melendez.
433
00:21:51,600 --> 00:21:53,099
There are many drivers
434
00:21:53,100 --> 00:21:55,469
not following the rules of the road.
435
00:21:55,470 --> 00:22:00,539
They fail to signal,
check their blind spots...
436
00:22:00,540 --> 00:22:03,709
display a red flag when the load extends
437
00:22:03,710 --> 00:22:06,279
more than four feet past the tail lamp.
438
00:22:06,280 --> 00:22:08,479
You're right, Shaun, it's a mad world.
439
00:22:08,480 --> 00:22:10,210
But there's nothing
you can do about them;
440
00:22:10,220 --> 00:22:11,510
you just got to focus on you.
441
00:22:11,520 --> 00:22:13,449
Yes, let's focus on me.
442
00:22:13,450 --> 00:22:15,189
Yes.
443
00:22:15,190 --> 00:22:17,850
Let's take the next right.
444
00:22:20,990 --> 00:22:23,129
You can drive in the bike lane
445
00:22:23,130 --> 00:22:24,899
when you're this close
to the turn, Shaun.
446
00:22:24,900 --> 00:22:26,760
No, I can't.
447
00:22:26,770 --> 00:22:27,929
It's a broken line.
448
00:22:27,930 --> 00:22:30,369
That was the improperly
worded question...
449
00:22:30,370 --> 00:22:32,199
whether it's broken or solid,
450
00:22:32,200 --> 00:22:33,669
you can't enter the bike lane
451
00:22:33,670 --> 00:22:36,009
this distance from the intersection.
452
00:22:36,010 --> 00:22:37,810
I told them that it...
453
00:22:42,480 --> 00:22:45,979
Okay, Shaun.
You don't have to go so slow.
454
00:22:47,750 --> 00:22:48,750
She's in the lane;
455
00:22:48,751 --> 00:22:50,589
she's not supposed to be in the lane.
456
00:22:50,590 --> 00:22:53,020
It's a violation carrying a fine...
457
00:22:53,030 --> 00:22:55,160
Okay, Shaun, don't worry
about what she's doing...
458
00:22:55,200 --> 00:22:56,269
No.
459
00:22:56,270 --> 00:22:58,129
Shaun, you have to pull
into the bike lane...
460
00:22:58,130 --> 00:22:59,610
Don't worry about what she's doing...
461
00:23:01,170 --> 00:23:02,429
You can't just stop.
462
00:23:02,430 --> 00:23:03,599
Shaun, you can't just stop...
463
00:23:05,140 --> 00:23:06,670
Shaun!
464
00:23:10,310 --> 00:23:12,139
George is screaming in agony
465
00:23:12,140 --> 00:23:13,209
and we are doing nothing.
466
00:23:13,210 --> 00:23:15,509
Except hiding behind ethical red tape.
467
00:23:15,510 --> 00:23:18,020
Ethical red tape is there
to protect people like him
468
00:23:18,040 --> 00:23:20,120
from making permanent
regrettable mistakes.
469
00:23:20,220 --> 00:23:22,009
I'm glad we're not using it
to cover our asses
470
00:23:22,010 --> 00:23:24,270
the day before the new
Chief of Surgery is announced.
471
00:23:28,830 --> 00:23:31,959
Let me sign off on the documentation.
472
00:23:31,960 --> 00:23:35,140
I'll note his scrotum
is already beyond repair
473
00:23:35,160 --> 00:23:38,499
and surgical castration
is our only option.
474
00:23:38,500 --> 00:23:40,170
- I vote yes.
- No.
475
00:23:40,220 --> 00:23:42,789
I'm not gonna let anyone
falsify medical records.
476
00:23:42,790 --> 00:23:45,429
Not for pain. Not for a pedophile.
477
00:23:45,430 --> 00:23:47,959
Once his testes
are actually beyond repair,
478
00:23:47,960 --> 00:23:49,900
we will castrate him.
479
00:23:50,470 --> 00:23:52,029
So we're just gonna
leave him there screaming;
480
00:23:52,030 --> 00:23:53,970
keeping his entire unit awake?
481
00:23:54,810 --> 00:23:56,300
Move him.
482
00:24:04,080 --> 00:24:07,410
I'd like a clean dissection
through the periosteal planes
483
00:24:07,420 --> 00:24:09,980
so I can slip the MEDPOR mesh
over the fracture.
484
00:24:09,990 --> 00:24:12,489
Why do I prefer MEDPOR mesh?
485
00:24:12,490 --> 00:24:14,689
It allows fibrovascular ingrowth
486
00:24:14,690 --> 00:24:17,120
and integration of the patient's tissue.
487
00:24:19,160 --> 00:24:20,329
Prisoner surgeries are approved
488
00:24:20,330 --> 00:24:22,459
for psychological reasons all the time.
489
00:24:22,460 --> 00:24:23,729
Tattoo removal,
490
00:24:23,730 --> 00:24:26,099
gender reassignments
include breast implants;
491
00:24:26,100 --> 00:24:27,330
hell if he had a crappy smile
492
00:24:27,340 --> 00:24:28,839
we could justify dental work as needed
493
00:24:28,840 --> 00:24:30,700
for proper mastication...
494
00:24:30,710 --> 00:24:32,970
You sent a few kids to Juvie?
495
00:24:34,010 --> 00:24:35,930
More than a few.
496
00:24:36,980 --> 00:24:38,730
You feel guilty.
497
00:24:39,080 --> 00:24:41,810
Think that's maybe clouding
your judgment?
498
00:24:42,480 --> 00:24:43,850
Maybe.
499
00:24:46,490 --> 00:24:48,789
You're afraid
of ruffling Andrews' feathers
500
00:24:48,790 --> 00:24:50,220
this close to decision day.
501
00:24:50,230 --> 00:24:52,370
Think that's maybe clouding yours?
502
00:24:53,060 --> 00:24:55,700
We could give Billy a breast implant.
503
00:24:58,130 --> 00:24:59,499
We could insert it
504
00:24:59,500 --> 00:25:02,199
over his split thickness
frontal bone defect;
505
00:25:02,200 --> 00:25:05,609
it would only require
a tiny incision at his eyebrow.
506
00:25:05,610 --> 00:25:07,270
Now you're in favor of this?
507
00:25:07,280 --> 00:25:09,879
I was against it
because it was too expensive
508
00:25:09,880 --> 00:25:11,779
and unnecessary and risky
509
00:25:11,780 --> 00:25:13,410
but if we do it now,
510
00:25:13,420 --> 00:25:15,649
it won't require any additional surgery.
511
00:25:15,650 --> 00:25:17,880
And it'd be very economical.
512
00:25:17,890 --> 00:25:20,820
He did give us verbal consent
when he was first admitted.
513
00:25:24,890 --> 00:25:26,860
Keep him under.
514
00:25:27,460 --> 00:25:29,159
Get what we need, Dr. Murphy.
515
00:25:42,740 --> 00:25:44,779
Ready or not...
516
00:25:44,780 --> 00:25:46,810
Tell Melendez to meet us in the O.R.
517
00:25:51,690 --> 00:25:53,930
Showing signs of ischemia;
518
00:25:53,960 --> 00:25:56,260
we have a strong medical case
for removing.
519
00:25:59,060 --> 00:26:00,660
Dr. Lim. You a castration fan?
520
00:26:00,670 --> 00:26:02,199
Right now, I am.
521
00:26:02,200 --> 00:26:04,530
- Andrews told me he's backing off.
- Great.
522
00:26:04,540 --> 00:26:06,800
Because you presented him
with a very good argument.
523
00:26:06,860 --> 00:26:08,989
My argument.
Which you regurgitated to him
524
00:26:08,990 --> 00:26:11,289
right after you said
you wouldn't back me up.
525
00:26:11,290 --> 00:26:12,389
Call that leadership?
526
00:26:12,390 --> 00:26:13,629
Yes I do.
527
00:26:13,630 --> 00:26:15,599
You presented me
with a very good argument
528
00:26:15,600 --> 00:26:18,460
but you didn't have the guts to
take it to Andrews on your own.
529
00:26:18,470 --> 00:26:20,569
One more reason I don't want
to work under you.
530
00:26:20,570 --> 00:26:23,339
You don't want this promotion so
that you can improve the hospital,
531
00:26:23,340 --> 00:26:24,800
you want it for the pretty title.
532
00:26:24,810 --> 00:26:26,009
You're an adrenaline junky;
533
00:26:26,010 --> 00:26:29,179
you won't last 2 weeks
liaising with board members.
534
00:26:29,180 --> 00:26:30,979
There's a long and dusty trail
535
00:26:30,980 --> 00:26:33,850
littered with people
who have underestimated me.
536
00:26:36,920 --> 00:26:38,950
We're ready to go.
537
00:26:40,050 --> 00:26:41,890
Curved tissue scissors, please.
538
00:26:44,790 --> 00:26:47,630
His systolic is 68. And look at this.
539
00:26:50,350 --> 00:26:51,460
He's septic.
540
00:26:51,470 --> 00:26:52,799
He's going into D.I.C.
541
00:26:52,800 --> 00:26:54,569
Rerun his labs,
542
00:26:54,570 --> 00:26:56,199
have platelets, plasma and cryo ready.
543
00:26:56,200 --> 00:26:58,970
If he starts bleeding, he'll die.
544
00:27:02,540 --> 00:27:06,079
I reduced the volume from 80 cc's to 35.
545
00:27:17,860 --> 00:27:20,129
Have the odds changed
in the last 24 hours?
546
00:27:20,130 --> 00:27:21,559
- Little.
- Where am I at?
547
00:27:21,560 --> 00:27:23,320
Six to one.
548
00:27:24,770 --> 00:27:27,030
I'll put 100 on me.
549
00:27:29,740 --> 00:27:31,469
He's becoming severely bradycardic.
550
00:27:31,470 --> 00:27:35,209
The pressure on his orbit caused
a retrobulbar hematoma.
551
00:27:35,210 --> 00:27:36,509
If we don't relieve it now, he'll arrest.
552
00:27:36,510 --> 00:27:38,140
Forceps and scissors.
553
00:27:38,150 --> 00:27:40,410
Just lost his pulse; pushing atropine.
554
00:27:40,420 --> 00:27:42,519
Set up a temporary
transcutaneous pacemaker.
555
00:27:42,520 --> 00:27:44,380
If we inject the orbital muscle
with local anesthetic
556
00:27:44,390 --> 00:27:46,019
we might be able to fatigue the reflex.
557
00:27:46,020 --> 00:27:47,719
Do it.
558
00:27:50,030 --> 00:27:52,030
Starting CPR.
559
00:27:55,160 --> 00:27:56,960
I hope that's a look of resolve.
560
00:27:58,020 --> 00:28:01,480
Melendez stood up to me
in front of his residents.
561
00:28:01,940 --> 00:28:05,939
I did the same thing
to O'Connell when I was his age.
562
00:28:05,940 --> 00:28:07,339
What about Lim?
563
00:28:07,340 --> 00:28:11,240
She has the kind of focus
that took me years to develop.
564
00:28:11,250 --> 00:28:14,749
And Cooperberg, he reminds me
of me when I was...
565
00:28:14,750 --> 00:28:17,519
Marcus. You were good.
566
00:28:17,520 --> 00:28:20,120
But no one's gonna be as good
as you think you were.
567
00:28:21,620 --> 00:28:25,159
One of your weaknesses
was decision-making.
568
00:28:25,160 --> 00:28:28,030
I trust you've gotten past that
since I made you president.
569
00:28:34,470 --> 00:28:38,200
Continuing compressions until I
have capture on the pacemaker.
570
00:28:38,210 --> 00:28:41,270
Pacing pads are in position.
571
00:28:42,510 --> 00:28:43,940
Stopping CPR.
572
00:28:44,880 --> 00:28:47,210
Injecting lidocaine.
573
00:28:47,220 --> 00:28:49,249
I have set the rate to 80.
574
00:28:51,350 --> 00:28:53,619
Increase the ventricular
by two milliamps.
575
00:28:58,230 --> 00:28:59,889
Increase by two more.
576
00:29:11,440 --> 00:29:16,809
Blood pressure is responding, 102/68.
577
00:29:16,810 --> 00:29:17,909
Keep those pacer settings
578
00:29:17,910 --> 00:29:20,080
and let's get back to the main event.
579
00:29:24,250 --> 00:29:26,819
Both his PT and PTT
are coming back down,
580
00:29:26,820 --> 00:29:30,620
his systolic is stable at 110,
and no ectopy on the monitor.
581
00:29:30,630 --> 00:29:32,559
His D.I.C. score is back under four.
582
00:29:32,560 --> 00:29:34,060
He's stabilized.
583
00:29:36,960 --> 00:29:38,460
Ball's in your court.
584
00:29:41,870 --> 00:29:44,000
Dr. Melendez?
585
00:29:44,010 --> 00:29:46,439
Effects of low testosterone
on cardiovascular function
586
00:29:46,440 --> 00:29:47,539
and sepsis?
587
00:29:47,540 --> 00:29:50,009
Possible acute vascular response,
588
00:29:50,010 --> 00:29:51,640
circulatory collapse...
589
00:29:51,650 --> 00:29:53,249
And what about on D.I.C.?
590
00:29:53,250 --> 00:29:55,650
Increased risk of clots and stroke.
591
00:29:58,220 --> 00:29:59,349
George's body can't tolerate
592
00:29:59,350 --> 00:30:02,289
any loss of testosterone right now.
593
00:30:02,290 --> 00:30:05,730
We want to save his life,
we have to save his testicles.
594
00:30:08,330 --> 00:30:09,980
Sutures.
595
00:30:18,540 --> 00:30:20,739
I know how to get you to drive.
596
00:30:20,740 --> 00:30:22,040
I can't drive.
597
00:30:22,090 --> 00:30:24,589
Driving is just like surgery.
598
00:30:24,590 --> 00:30:26,459
Say you're driving down the street
599
00:30:26,460 --> 00:30:29,099
and suddenly,
somebody steps off the sidewalk,
600
00:30:29,100 --> 00:30:30,399
right in front of you.
601
00:30:30,400 --> 00:30:31,529
Things like that must happen
602
00:30:31,530 --> 00:30:33,069
when you're deep inside someone's belly.
603
00:30:33,070 --> 00:30:35,330
That doesn't make any sense.
604
00:30:35,340 --> 00:30:36,539
It's an analogy, Shaun.
605
00:30:36,540 --> 00:30:38,839
I need you to work with me
just a little bit.
606
00:30:38,840 --> 00:30:40,010
Give me.
607
00:30:44,110 --> 00:30:45,580
Okay.
608
00:30:50,550 --> 00:30:53,019
It would be something unexpected,
609
00:30:53,020 --> 00:30:55,250
out of our control,
610
00:30:55,260 --> 00:30:59,359
from an aberrant source, and very bad.
611
00:30:59,360 --> 00:31:03,629
It would be analogous
to an arterial bleed.
612
00:31:03,630 --> 00:31:07,899
How about if a truck stalls out,
crippling traffic?
613
00:31:07,900 --> 00:31:12,000
A thrombus impeding blood flow,
so we divert.
614
00:31:12,010 --> 00:31:13,970
A thrombus, exactly.
615
00:31:13,980 --> 00:31:15,909
What if you're just cruising along
616
00:31:15,910 --> 00:31:18,609
and a car comes out of nowhere
and goes racing by?
617
00:31:18,610 --> 00:31:20,409
A tachyarrhythmia.
618
00:31:20,410 --> 00:31:23,579
- Yes! Shaun, you got this.
- Yes.
619
00:31:23,580 --> 00:31:25,449
So let's get you driving that hooptie.
620
00:31:29,890 --> 00:31:31,920
I've got this, Albert.
621
00:31:45,140 --> 00:31:46,539
We did the surgery;
622
00:31:46,540 --> 00:31:48,270
your circulatory and clotting systems
623
00:31:48,280 --> 00:31:49,830
were shutting down.
624
00:31:50,480 --> 00:31:53,630
But removing your testicles
would have put you
625
00:31:53,640 --> 00:31:55,249
at greater risk by reducing your...
626
00:31:55,250 --> 00:31:56,960
You would have died.
627
00:32:01,490 --> 00:32:05,359
I've set you up with
a psychiatrist and a urologist.
628
00:32:05,360 --> 00:32:07,590
They'll screen you, get you cleared,
629
00:32:07,600 --> 00:32:09,999
and then we can do this the right way.
630
00:32:10,000 --> 00:32:12,829
George, we can get this done.
631
00:32:12,830 --> 00:32:17,070
You just cannot try this again.
632
00:32:18,810 --> 00:32:20,150
I get it.
633
00:32:20,940 --> 00:32:23,639
I do it your way,
or it just doesn't happen.
634
00:32:42,330 --> 00:32:44,660
It's just another intersection, Shaun,
635
00:32:44,670 --> 00:32:48,069
just like the last one
and just like the next one...
636
00:32:48,070 --> 00:32:51,039
The last intersection isn't
where everyone honked at me
637
00:32:51,040 --> 00:32:52,500
and made me freeze...
638
00:32:52,510 --> 00:32:55,939
That was a different day,
with different drivers
639
00:32:55,940 --> 00:32:57,709
and a different Shaun behind the wheel,
640
00:32:57,710 --> 00:33:00,610
because today, this Shaun has a plan
641
00:33:00,620 --> 00:33:03,749
for this intersection, which is...
642
00:33:03,750 --> 00:33:06,719
...I am going to dissect it.
643
00:33:06,720 --> 00:33:08,119
Damn right you are.
644
00:33:08,120 --> 00:33:10,489
And today, you're gonna turn right
645
00:33:10,490 --> 00:33:11,659
which you will do by...
646
00:33:11,660 --> 00:33:13,389
Determining laterality.
647
00:33:13,390 --> 00:33:16,959
And waiting until I can
legally enter the bike lane.
648
00:33:27,140 --> 00:33:30,440
Somebody just made a turn...
649
00:33:38,140 --> 00:33:39,149
Shaun!
650
00:33:44,790 --> 00:33:46,560
Everybody okay?
651
00:33:47,490 --> 00:33:51,099
You were wrong.
652
00:33:51,100 --> 00:33:52,599
You were wrong, Lea.
653
00:33:52,600 --> 00:33:54,750
I can't drive.
654
00:33:55,970 --> 00:33:57,719
Shaun, I thought I had it figured out.
655
00:33:57,720 --> 00:33:58,969
I can't drive.
656
00:33:58,970 --> 00:34:00,509
I...
657
00:34:00,510 --> 00:34:02,339
Surgery is mechanical.
658
00:34:02,340 --> 00:34:03,979
Mechanics are predictable.
659
00:34:03,980 --> 00:34:06,209
Driving is subject to human foibles
660
00:34:06,210 --> 00:34:08,310
which means there are
limitless possibilities.
661
00:34:08,320 --> 00:34:09,549
You're right. My metaphor sucked.
662
00:34:09,550 --> 00:34:12,100
It sucked very much.
663
00:34:12,720 --> 00:34:14,730
Because...
664
00:34:15,290 --> 00:34:19,460
becoming a surgeon is about
way more than operating.
665
00:34:21,460 --> 00:34:23,359
You had to learn about interacting
666
00:34:23,360 --> 00:34:27,199
with teachers,
co-workers, patients, bosses.
667
00:34:27,200 --> 00:34:29,739
Cooperating with them,
communicating with them...
668
00:34:29,740 --> 00:34:32,160
I am very bad at communicating.
669
00:34:32,710 --> 00:34:34,700
Shaun, you became a surgeon;
670
00:34:35,440 --> 00:34:39,330
one of the hardest things
that anyone can do.
671
00:34:39,960 --> 00:34:42,629
And you proved that
just because something is hard,
672
00:34:42,630 --> 00:34:44,640
doesn't mean you can't do it.
673
00:34:45,100 --> 00:34:46,739
And look what you just did.
674
00:34:46,740 --> 00:34:48,569
I just hit a trash can.
675
00:34:48,570 --> 00:34:51,309
Exactly; a trash can
instead of an oncoming car
676
00:34:51,310 --> 00:34:53,509
or a pedestrian.
677
00:34:53,510 --> 00:34:55,110
You did great, Shaun.
678
00:35:01,420 --> 00:35:06,330
That soccer ball was
a dropped Metzenbaum.
679
00:35:06,890 --> 00:35:09,790
I know, right?
680
00:35:15,170 --> 00:35:19,769
When I accidentally drop
an instrument in the O.R.,
681
00:35:19,770 --> 00:35:23,009
I react quickly to minimize damage.
682
00:35:23,010 --> 00:35:25,270
- Yes.
- Yes.
683
00:35:25,280 --> 00:35:27,209
I dropped a Metzenbaum.
684
00:35:32,150 --> 00:35:34,180
I can drive this hooptie.
685
00:35:40,490 --> 00:35:42,089
Window's about to close.
686
00:35:42,090 --> 00:35:43,559
$10 will get you $20 on Melendez;
687
00:35:43,560 --> 00:35:46,230
$10 will get you $1,000
if you want to bet on me.
688
00:35:48,300 --> 00:35:49,670
Hey, everybody.
689
00:35:51,330 --> 00:35:53,469
I can't be prouder of all of you.
690
00:35:53,470 --> 00:35:55,700
We have grown into a preeminent
surgical department,
691
00:35:55,710 --> 00:35:58,709
which has been recognized
with the official designation
692
00:35:58,710 --> 00:36:01,079
of Surgical Center of Excellence.
693
00:36:04,620 --> 00:36:06,279
It's now more important than ever
694
00:36:06,280 --> 00:36:08,880
that we maintain our high standards.
695
00:36:08,890 --> 00:36:11,919
And so, while there are
many worthy candidates,
696
00:36:11,920 --> 00:36:13,360
I've decided...
697
00:36:16,060 --> 00:36:18,129
to retain the title myself.
698
00:36:18,130 --> 00:36:19,699
Thank you.
699
00:36:22,970 --> 00:36:24,569
Thank you!
700
00:36:26,300 --> 00:36:27,740
Yes!
701
00:36:42,920 --> 00:36:44,650
Y...
702
00:36:45,680 --> 00:36:46,959
You...
703
00:36:46,960 --> 00:36:48,450
You did it. You...
704
00:36:49,460 --> 00:36:50,960
You really did it.
705
00:36:56,900 --> 00:36:58,860
It was his idea.
706
00:37:00,870 --> 00:37:02,239
Murph? You...
707
00:37:02,240 --> 00:37:05,309
We inserted a small breast implant
708
00:37:05,310 --> 00:37:06,539
to fill in the depression
709
00:37:06,540 --> 00:37:09,479
and create a more
aesthetically pleasing contour.
710
00:37:09,480 --> 00:37:10,779
Breast implant?
711
00:37:10,780 --> 00:37:12,200
Yes.
712
00:37:16,150 --> 00:37:17,819
You saved my life.
713
00:37:23,360 --> 00:37:25,829
It was a mistake.
714
00:37:25,830 --> 00:37:27,699
It caused an oculocardiac reflex
715
00:37:27,700 --> 00:37:29,300
and you almost died.
716
00:37:33,000 --> 00:37:34,940
It was a mistake.
717
00:37:41,380 --> 00:37:43,210
George?
718
00:37:44,710 --> 00:37:45,950
George?
719
00:37:50,890 --> 00:37:52,550
Why didn't his monitor alarm go off?
720
00:37:52,560 --> 00:37:55,089
He was stable; I disconnected it
so he could use the restroom.
721
00:37:55,090 --> 00:37:57,189
- I didn't...
- Morgan! He's gone!
722
00:38:08,110 --> 00:38:09,809
George!
723
00:38:46,280 --> 00:38:49,130
I was never gonna confront Andrews.
724
00:38:49,810 --> 00:38:51,470
I was playing you.
725
00:38:52,380 --> 00:38:54,780
But damn if you didn't
actually make it work.
726
00:38:54,790 --> 00:38:56,919
It didn't work for anybody.
727
00:38:56,920 --> 00:38:59,250
He played us both.
He set us against each other.
728
00:39:04,230 --> 00:39:05,690
I think you were right.
729
00:39:07,460 --> 00:39:09,530
Even if you were just bluffing,
730
00:39:11,040 --> 00:39:12,820
we need to stand together.
731
00:39:14,120 --> 00:39:16,910
Where was that wisdom two days ago?
732
00:39:20,210 --> 00:39:22,040
Still in the bottle.
733
00:39:28,620 --> 00:39:29,949
Hey. How'd you come up with that idea?
734
00:39:29,950 --> 00:39:32,889
You mentioned breast implants
and I thought...
735
00:39:32,890 --> 00:39:34,159
Of his forehead.
736
00:39:34,160 --> 00:39:35,789
We were operating on his eye,
737
00:39:35,790 --> 00:39:37,589
his forehead was covered.
738
00:39:37,590 --> 00:39:39,230
Why were you thinking of it?
739
00:39:42,130 --> 00:39:43,629
You care about him;
740
00:39:43,630 --> 00:39:45,570
you were worried about his problem.
741
00:39:45,950 --> 00:39:48,030
You empathized with him.
742
00:39:48,510 --> 00:39:51,109
My idea almost killed him.
743
00:39:51,110 --> 00:39:52,610
No it didn't.
744
00:39:55,580 --> 00:39:57,249
I found these in Billy's drawer.
745
00:39:57,250 --> 00:39:59,479
Three days of pain meds.
746
00:39:59,480 --> 00:40:03,020
He was cheeking them to build up a stash.
747
00:40:03,710 --> 00:40:05,590
He wasn't exaggerating.
748
00:40:08,120 --> 00:40:09,929
You saved his life, Shaun.
749
00:40:42,490 --> 00:40:44,929
This isn't the way
this should have ended...
750
00:40:50,900 --> 00:40:53,269
But I'm not so sure the world
is a worse place
751
00:40:53,270 --> 00:40:55,500
than it was a couple hours ago.
752
00:41:06,150 --> 00:41:08,019
You almost look comfortable
behind the wheel.
753
00:41:08,020 --> 00:41:10,519
This seat has excellent lumbar support.
754
00:41:10,520 --> 00:41:12,350
But I am still very nervous.
755
00:41:23,230 --> 00:41:25,469
I can drive a car.
756
00:41:25,470 --> 00:41:26,539
I can see that.
757
00:41:26,540 --> 00:41:29,539
Lea taught me using a very bad analogy.
758
00:41:29,540 --> 00:41:31,409
Nothing works like a bad analogy.
759
00:41:31,410 --> 00:41:33,339
He's getting pretty good;
760
00:41:33,340 --> 00:41:35,609
won't be long
before he gets his operator's.
761
00:41:35,610 --> 00:41:39,610
Your next radiation appointment
is in 45 minutes.
762
00:41:51,470 --> 00:41:52,830
Ow.
763
00:42:05,380 --> 00:42:07,410
Thank you.