1 00:00:05,792 --> 00:00:08,660 This might be the first place we've visited that feels right. 2 00:00:09,368 --> 00:00:11,463 That's good. 3 00:00:11,757 --> 00:00:13,124 But, Shaun, we really need to 4 00:00:13,158 --> 00:00:15,582 talk about something non-wedding related. 5 00:00:29,805 --> 00:00:31,776 Oh, it's perfect. 6 00:00:31,810 --> 00:00:34,678 Yes, and it is the only venue available on our date 7 00:00:34,746 --> 00:00:36,747 that meets all our criteria. 8 00:00:36,782 --> 00:00:38,649 I'll stand at the altar. 9 00:00:38,683 --> 00:00:39,940 You walk down the aisle. 10 00:00:40,185 --> 00:00:41,352 Okay. 11 00:00:41,420 --> 00:00:43,154 (FLOORBOARDS SQUEAKING) 12 00:00:45,424 --> 00:00:46,857 (FLOORBOARDS SQUEAK) 13 00:00:50,862 --> 00:00:53,764 (FLOORBOARDS SQUEAK) 14 00:00:59,704 --> 00:01:01,439 The fireplace tile, is that original? 15 00:01:01,473 --> 00:01:02,940 Uh, I have no idea. 16 00:01:02,974 --> 00:01:04,108 Well, let's say it is. 17 00:01:04,142 --> 00:01:05,509 If you want to up the curb appeal, 18 00:01:05,544 --> 00:01:06,977 maybe a fresh coat of paint, some landscaping... 19 00:01:07,012 --> 00:01:08,312 "As-is" is just fine. 20 00:01:08,346 --> 00:01:09,845 How soon can we sell the place? 21 00:01:10,875 --> 00:01:12,609 We'll get multiple bids on day one. 22 00:01:12,634 --> 00:01:13,634 Oh, great. 23 00:01:17,389 --> 00:01:18,645 Hi, Aaron. 24 00:01:23,335 --> 00:01:25,302 Shelly Carroll, Ethan Ray Realty. 25 00:01:25,636 --> 00:01:27,321 Ilana Reeves, ex-wife. 26 00:01:34,339 --> 00:01:35,840 We should drop off this agreement 27 00:01:35,874 --> 00:01:37,675 with our deposit check tomorrow. 28 00:01:37,709 --> 00:01:39,910 Once I explain the issue to the pastor, 29 00:01:39,978 --> 00:01:43,581 I'm sure he will replace the problematic floorboards. 30 00:01:43,606 --> 00:01:47,007 Shaunie, there's something I really need to tell you. 31 00:01:47,219 --> 00:01:48,252 S-Stop! 32 00:01:48,320 --> 00:01:49,320 (TIRES SQUEAL) 33 00:01:50,589 --> 00:01:51,822 I'll call 911. 34 00:01:55,927 --> 00:01:57,995 Hello, I'm Dr. Shaun Murphy. 35 00:01:58,029 --> 00:01:59,230 Where are you hurt? 36 00:01:59,264 --> 00:02:00,998 It's my hand. 37 00:02:01,032 --> 00:02:03,701 Your fourth and fifth fingers are broken. 38 00:02:03,735 --> 00:02:05,269 If you have no other injuries... 39 00:02:05,337 --> 00:02:07,586 Shaun! Over here! 40 00:02:07,611 --> 00:02:08,945 (SIGHS) 41 00:02:13,578 --> 00:02:14,912 (GASPS) 42 00:02:14,946 --> 00:02:17,715 Hello, hi, I'm Dr. Shaun Murphy. Are you injured? 43 00:02:17,749 --> 00:02:20,184 My leg's trapped. (GASPING) 44 00:02:20,218 --> 00:02:21,792 My chest hurts when I breathe. 45 00:02:22,419 --> 00:02:25,337 How far along is your pregnancy? 46 00:02:27,058 --> 00:02:28,192 Twenty-six weeks. 47 00:02:29,694 --> 00:02:31,228 Do you think my baby's okay? 48 00:02:31,263 --> 00:02:33,697 - I have no way of knowing... - (GROANS) 49 00:02:33,732 --> 00:02:36,100 ...but you have tachycardia and your jugular is distended, 50 00:02:36,134 --> 00:02:37,868 which are signs of a cardiac tamponade. 51 00:02:37,903 --> 00:02:40,827 If I don't drain it, you'll die before the paramedics arrive. 52 00:02:42,213 --> 00:02:44,180 (GASPING) 53 00:02:45,143 --> 00:02:46,699 (THEME MUSIC PLAYING) 54 00:02:46,723 --> 00:02:54,257 Synced & corrected by -robtor- www.addic7ed.com 55 00:02:55,420 --> 00:02:57,094 Sorry about the mess. 56 00:03:01,159 --> 00:03:04,293 Uh, Debbie talk you into a fresh start? 57 00:03:05,463 --> 00:03:07,064 No, no. 58 00:03:07,098 --> 00:03:10,966 Um, we didn't exactly work out. 59 00:03:12,837 --> 00:03:14,004 Oh, I'm sorry. 60 00:03:14,072 --> 00:03:15,639 Yeah, me, too. 61 00:03:15,674 --> 00:03:20,644 But I am moving to a small town in Montana, 62 00:03:20,679 --> 00:03:23,647 which, hopefully, you know, will be good for me. 63 00:03:29,654 --> 00:03:31,069 Aaron, I need your help. 64 00:03:31,957 --> 00:03:33,530 It's my husband, Sunil. 65 00:03:34,593 --> 00:03:35,926 He's dying. 66 00:03:39,531 --> 00:03:40,931 (GASPING) 67 00:03:40,966 --> 00:03:42,433 LEA: What's your name? 68 00:03:42,834 --> 00:03:43,934 Alma. 69 00:03:43,969 --> 00:03:45,469 Alma. Hi, I'm Lea. 70 00:03:45,503 --> 00:03:47,938 Is there anyone you need me to call? 71 00:03:47,973 --> 00:03:51,024 Uh, um, no. My... My boyfriend's out of town. 72 00:03:51,059 --> 00:03:52,419 (SEAL POPS) 73 00:03:52,453 --> 00:03:53,644 What are you gonna do with that? 74 00:03:53,678 --> 00:03:55,846 A subxiphoid pericardiocentesis. 75 00:03:55,880 --> 00:03:58,115 An echo-guided one would be better, 76 00:03:58,149 --> 00:04:01,552 but I don't have a J-tipped wire, or an echo machine. 77 00:04:01,620 --> 00:04:03,354 Maybe we should wait for the paramedics. 78 00:04:03,388 --> 00:04:05,189 Alma, you can trust him. 79 00:04:05,223 --> 00:04:07,157 (ALMA MOANING) 80 00:04:07,192 --> 00:04:11,985 (GASPING) My... chest... is... exploding. 81 00:04:18,069 --> 00:04:20,537 (TUBE CRUNCHES) 82 00:04:20,572 --> 00:04:22,051 Okay, hold. 83 00:04:42,494 --> 00:04:44,361 You are very lucky. 84 00:04:44,396 --> 00:04:46,330 We usually don't drive to work this way. 85 00:04:46,364 --> 00:04:49,192 (SIREN WAILING) 86 00:04:49,260 --> 00:04:51,835 His diagnosis is Lewy Body Dementia. 87 00:04:52,437 --> 00:04:54,071 Oh. 88 00:04:54,105 --> 00:04:55,539 How long has he had the symptoms? 89 00:04:55,573 --> 00:04:56,940 It began two years ago. 90 00:04:56,965 --> 00:05:00,735 Insomnia, muscle weakness, agitation. 91 00:05:00,845 --> 00:05:04,162 Recently, he's started having bouts of confusion. 92 00:05:04,329 --> 00:05:07,998 We found an experimental trial that uses deep brain stimulation 93 00:05:08,119 --> 00:05:11,128 to slow cognitive deterioration. 94 00:05:11,736 --> 00:05:14,371 Would you look at it, see if it's worth it? 95 00:05:16,720 --> 00:05:18,521 There are so many more doctors 96 00:05:18,546 --> 00:05:20,981 with more experience in this field than I have. 97 00:05:21,638 --> 00:05:23,967 Aaron, I... I need somebody who's gonna give me the truth, 98 00:05:25,349 --> 00:05:27,684 so we don't waste what time we have left. 99 00:05:32,944 --> 00:05:34,545 How many clients have been referred 100 00:05:34,579 --> 00:05:35,979 for elective procedures from the clinic? 101 00:05:36,047 --> 00:05:37,073 Forty-three. 102 00:05:37,108 --> 00:05:38,916 Those satisfied clients will lead to more. 103 00:05:38,950 --> 00:05:42,886 And the automated intake screens have cut labor costs by 8%. 104 00:05:42,921 --> 00:05:45,620 But the nurses don't like it. They think they're next. 105 00:05:46,324 --> 00:05:48,741 Handle them right, they'll get over it. 106 00:05:48,776 --> 00:05:50,327 If you have specific thoughts on that, 107 00:05:50,395 --> 00:05:51,895 I'd love to hear them. 108 00:05:51,930 --> 00:05:53,964 Maybe over lunch? 109 00:05:53,998 --> 00:05:57,568 Morgan, you excel at striking the right balance 110 00:05:57,602 --> 00:05:59,770 between enthusiasm and obsequiousness. 111 00:05:59,804 --> 00:06:00,938 Thank you. 112 00:06:00,972 --> 00:06:02,639 - (LOCKER SHUTS) - Instead of lunch, 113 00:06:02,674 --> 00:06:05,015 how about you and Alex have dinner with Marcus and me? 114 00:06:05,643 --> 00:06:06,977 Marcus... 115 00:06:07,011 --> 00:06:08,178 Marcus Andrews? 116 00:06:08,246 --> 00:06:09,513 It'll be a hoot. 117 00:06:13,981 --> 00:06:15,652 Twenty-three-year-old pregnant female, 118 00:06:15,687 --> 00:06:17,287 blunt chest trauma from a car accident. 119 00:06:17,322 --> 00:06:19,455 I performed a subxiphoid pericardiocentesis 120 00:06:19,489 --> 00:06:21,759 at the scene with a gas siphon. 121 00:06:21,793 --> 00:06:23,193 Cool? Is the baby... 122 00:06:23,261 --> 00:06:25,195 Fetal heart rate is normal, no signs of distress. 123 00:06:25,263 --> 00:06:27,131 Mother became hemodynamically unstable en route. 124 00:06:27,165 --> 00:06:28,766 She needs surgery for internal bleeding. 125 00:06:28,800 --> 00:06:32,202 Okay, keep rolling. Keep rolling! 126 00:06:32,227 --> 00:06:34,161 DR. GLASSMAN: We're gonna do a couple of tests 127 00:06:34,186 --> 00:06:36,754 to get a sense of your cognitive state, 128 00:06:36,779 --> 00:06:39,213 and then we're gonna throw you in the MRI, 129 00:06:39,344 --> 00:06:41,278 the big donut, very loud, 130 00:06:41,312 --> 00:06:44,448 to see if you're right for the deep brain stimulation. 131 00:06:44,482 --> 00:06:45,847 Any questions? 132 00:06:46,351 --> 00:06:47,851 None. 133 00:06:47,886 --> 00:06:49,653 What I know or don't know about the medicine 134 00:06:49,687 --> 00:06:51,388 will not change the outcome. 135 00:06:51,413 --> 00:06:52,947 A patient who doesn't think they know more than their doctors 136 00:06:52,972 --> 00:06:54,689 is rare these days. 137 00:06:55,126 --> 00:06:57,961 Implicit social contracts are my field of study. 138 00:06:57,996 --> 00:06:59,730 They're the agreements we make daily, 139 00:06:59,798 --> 00:07:01,655 often without even realizing. (CHUCKLES) 140 00:07:03,947 --> 00:07:07,202 But perhaps that's a conversation for another... 141 00:07:13,077 --> 00:07:14,376 Who are you? 142 00:07:16,314 --> 00:07:17,347 Why are we here? 143 00:07:17,382 --> 00:07:18,382 Sunil? Sunil? 144 00:07:18,416 --> 00:07:19,683 Uh... 145 00:07:19,717 --> 00:07:21,174 You're right where you're supposed to be. 146 00:07:21,878 --> 00:07:23,279 Take a deep breath. 147 00:07:25,890 --> 00:07:27,224 Tell me their names. 148 00:07:32,401 --> 00:07:33,735 Pavan. 149 00:07:34,599 --> 00:07:36,400 Reema. 150 00:07:36,434 --> 00:07:37,835 And little Raj. 151 00:07:40,718 --> 00:07:42,218 Good. 152 00:07:43,587 --> 00:07:46,255 Some spells pass a little more quickly than others. 153 00:07:46,470 --> 00:07:48,004 I... I think I'm okay now. 154 00:07:48,705 --> 00:07:49,705 Sunil. 155 00:07:49,747 --> 00:07:51,124 Hmm? 156 00:07:51,158 --> 00:07:52,914 Do you remember why you're here? 157 00:07:56,120 --> 00:07:57,688 Because I'm dying. 158 00:07:59,290 --> 00:08:01,225 Let's get started with those tests. 159 00:08:06,064 --> 00:08:08,398 DR. PARK: Sunil's MRI shows no contraindication 160 00:08:08,433 --> 00:08:09,931 to deep brain stimulation. 161 00:08:10,468 --> 00:08:11,768 Initial labs look good. 162 00:08:11,803 --> 00:08:13,770 He's a great candidate. 163 00:08:13,805 --> 00:08:16,563 Is the coat hanging in my closet your "good" blazer? 164 00:08:17,108 --> 00:08:18,942 It's my only blazer, so, yes. 165 00:08:18,977 --> 00:08:20,744 Get it dry-cleaned. 166 00:08:20,778 --> 00:08:22,479 For our dinner with Andrews and Salen. 167 00:08:23,448 --> 00:08:25,249 As intriguing as that pairing is, 168 00:08:25,283 --> 00:08:26,283 dinner's a hard pass. 169 00:08:26,317 --> 00:08:27,651 Not an option. 170 00:08:27,676 --> 00:08:29,410 But compensation is fair. 171 00:08:29,487 --> 00:08:31,488 We can finally binge The Wire. 172 00:08:31,513 --> 00:08:33,614 Your first offer doesn't get you off the couch, and... 173 00:08:33,725 --> 00:08:34,958 Wait, Andrews and Salen? 174 00:08:34,993 --> 00:08:36,393 Game respects game. 175 00:08:36,427 --> 00:08:37,928 And sometimes sleeps with it. 176 00:08:38,235 --> 00:08:40,378 Tickets for you and Kellan to a UFC fight in Vegas. 177 00:08:40,632 --> 00:08:41,730 Still no. 178 00:08:41,755 --> 00:08:43,589 But save that thought for his birthday. 179 00:08:43,728 --> 00:08:45,383 Salen and Andrews? 180 00:08:46,638 --> 00:08:48,511 They may have one soul between them. 181 00:08:49,353 --> 00:08:51,187 Any sign of motor weakness? 182 00:08:51,276 --> 00:08:53,110 He's gonna have to tolerate the head frame. 183 00:08:53,144 --> 00:08:55,143 Here's the cervical spine MRI. 184 00:08:56,314 --> 00:08:58,482 We could replicate the DBS trial on site. 185 00:08:58,516 --> 00:08:59,750 I'd be happy to coordinate. 186 00:08:59,784 --> 00:09:01,318 Oh, that's very kind of you. 187 00:09:01,352 --> 00:09:03,020 Are you sure you're gonna have time 188 00:09:03,045 --> 00:09:06,381 while you overhaul my clinic into an Ethicure profit center? 189 00:09:06,406 --> 00:09:08,140 Oh, and by the way, I'm gonna need my office back. 190 00:09:08,165 --> 00:09:09,407 I hope you don't mind. 191 00:09:11,108 --> 00:09:13,286 - Parathyroid looks off. - Hmm. 192 00:09:14,165 --> 00:09:15,999 DR. REZNICK: Is that an ectopic lesion? 193 00:09:16,034 --> 00:09:18,435 He's had a history of renal stones. 194 00:09:18,469 --> 00:09:19,469 I don't... 195 00:09:20,651 --> 00:09:22,619 What were his calcium and PTH levels? 196 00:09:22,644 --> 00:09:24,578 They were only mildly elevated. 197 00:09:24,603 --> 00:09:26,633 Nothing that triggered for the workup. 198 00:09:28,391 --> 00:09:29,558 What are you thinking? 199 00:09:30,715 --> 00:09:34,551 I'm thinking this may not be Lewy Body Dementia. 200 00:09:43,283 --> 00:09:46,452 SHAUN: Repairing the ventricular tear with Prolene sutures 201 00:09:46,486 --> 00:09:49,555 JORDAN: No remaining arterial or major bleeds. 202 00:09:49,623 --> 00:09:52,325 Good. I'd prefer not to have to open her belly. 203 00:09:52,359 --> 00:09:55,245 I would like both of you to wear socks to my wedding. 204 00:09:56,563 --> 00:09:58,865 No shoes. Just socks. 205 00:09:58,899 --> 00:10:02,877 Lea and I found a nearly perfect church, but the floor squeaks. 206 00:10:03,737 --> 00:10:05,571 Should make for some interesting pictures. 207 00:10:05,639 --> 00:10:06,973 JORDAN: No. 208 00:10:07,007 --> 00:10:08,341 No way you are robbing me 209 00:10:08,375 --> 00:10:11,143 of a chance to show off my new Bruno Maglis. 210 00:10:11,178 --> 00:10:13,980 Also, wet and stinky feet are not in Lea's dream wedding. 211 00:10:14,014 --> 00:10:17,684 That's... probably true. 212 00:10:17,918 --> 00:10:19,318 Last suture is in. 213 00:10:19,353 --> 00:10:21,254 Dr. Allen, how's the baby? 214 00:10:21,321 --> 00:10:22,722 Heart rate is stable. 215 00:10:22,756 --> 00:10:25,224 Okay. Next step, get her down to imaging. 216 00:10:25,259 --> 00:10:27,493 We need a surgical plan for these pelvic fractures 217 00:10:27,527 --> 00:10:29,029 before they cause any more bleeding. 218 00:10:38,171 --> 00:10:40,040 Aaron! Aaron! 219 00:10:40,841 --> 00:10:43,843 I didn't expect a miracle, but thank you. 220 00:10:43,877 --> 00:10:45,211 He's not out of the woods yet. 221 00:10:45,245 --> 00:10:46,545 He still has a lesion. 222 00:10:46,580 --> 00:10:48,614 Okay, hopefully benign, hopefully removable. 223 00:10:48,682 --> 00:10:50,349 - I heard you. - Really? 224 00:10:50,384 --> 00:10:52,618 Most people stop listening after they hear the very bad news, 225 00:10:52,686 --> 00:10:54,053 or, in this case, the very good news. 226 00:10:54,087 --> 00:10:56,022 Okay, the nuclear study this afternoon, I got it. 227 00:10:56,056 --> 00:10:57,432 What happened with Debbie? 228 00:10:59,693 --> 00:11:00,860 (SIGHS) 229 00:11:00,894 --> 00:11:03,262 Why did my impulsive, whirlwind marriage 230 00:11:03,297 --> 00:11:05,431 to a gun-toting barista not work out? 231 00:11:05,465 --> 00:11:06,900 Hmm. 232 00:11:07,434 --> 00:11:09,235 - You're hurt. - Do I look hurt? 233 00:11:09,269 --> 00:11:10,403 I just saved a man. 234 00:11:10,437 --> 00:11:11,570 I know how you hold onto things. 235 00:11:11,605 --> 00:11:13,039 And I know how you try to fix things 236 00:11:13,073 --> 00:11:14,407 and you try to fix everyone. 237 00:11:14,441 --> 00:11:16,442 - I'm okay. - Talk to me. 238 00:11:16,476 --> 00:11:18,787 'Cause I doubt very much you're talking to anybody else. 239 00:11:19,880 --> 00:11:21,581 (SIGHS) 240 00:11:22,816 --> 00:11:26,886 I was myself, and up close and personal, 241 00:11:26,920 --> 00:11:28,721 Debbie didn't like what she saw. 242 00:11:29,656 --> 00:11:31,091 She... 243 00:11:31,558 --> 00:11:35,637 She said I was controlling and selfish. 244 00:11:36,263 --> 00:11:38,931 Did you tell her she was right? 245 00:11:38,966 --> 00:11:41,233 Well, yeah, 'cause she was. 246 00:11:41,534 --> 00:11:43,034 It didn't help. 247 00:11:43,837 --> 00:11:45,188 What's in Montana? 248 00:11:46,673 --> 00:11:48,741 Pine trees and cowboy boots and 249 00:11:49,489 --> 00:11:51,861 change for me. 250 00:11:52,446 --> 00:11:54,413 In Montana, no one knows me, 251 00:11:54,448 --> 00:11:56,349 and I have no history, 252 00:11:56,416 --> 00:12:00,245 and no one has any expectations of me. 253 00:12:01,021 --> 00:12:04,457 You've done this before. After Maddie. 254 00:12:05,208 --> 00:12:06,359 That's not fair. 255 00:12:06,426 --> 00:12:07,827 I know. 256 00:12:07,861 --> 00:12:10,963 But my therapist would say you're 257 00:12:10,998 --> 00:12:12,365 "pulling a geographic." 258 00:12:12,432 --> 00:12:14,092 Has your therapist met me? 259 00:12:16,536 --> 00:12:19,848 I have to go prepare for Sunil's procedure. 260 00:12:24,277 --> 00:12:27,480 The safest path is external fixation. 261 00:12:27,514 --> 00:12:30,016 We'd use a metal frame to stabilize the fractured bones 262 00:12:30,050 --> 00:12:31,984 until your baby is ready to be delivered. 263 00:12:32,019 --> 00:12:33,452 You'd need three weeks of bed rest, 264 00:12:33,487 --> 00:12:35,621 and you'll likely develop debilitating arthritis. 265 00:12:35,655 --> 00:12:37,323 There's a significant chance you will never 266 00:12:37,357 --> 00:12:38,791 have full mobility ever again, bu... 267 00:12:38,825 --> 00:12:41,293 I have grad school. A job. This baby. 268 00:12:41,328 --> 00:12:43,195 - That can't be the only option. - No, it's not. 269 00:12:43,230 --> 00:12:47,139 I was going to tell you, if we do a C-section now, 270 00:12:47,173 --> 00:12:48,634 we could do an internal fixation, 271 00:12:48,668 --> 00:12:50,336 which would greatly improve your chances 272 00:12:50,370 --> 00:12:52,571 of walking without assistance. 273 00:12:52,639 --> 00:12:55,641 Though it does increase the risk of complications 274 00:12:55,675 --> 00:12:58,094 associated with premature birth. 275 00:12:59,179 --> 00:13:00,980 So I either never walk right again, 276 00:13:01,014 --> 00:13:02,515 or I jeopardize my baby's life? 277 00:13:03,817 --> 00:13:05,317 Yes. 278 00:13:05,625 --> 00:13:07,626 You have to decide. 279 00:13:11,733 --> 00:13:13,401 My boyfriend, 280 00:13:14,060 --> 00:13:15,994 at first, he didn't want to keep our girl. 281 00:13:17,030 --> 00:13:18,631 But then he came around to it. 282 00:13:18,665 --> 00:13:22,635 We said that we'd figure it outogether. 283 00:13:22,669 --> 00:13:25,204 Then he signs up for this month-long research trip 284 00:13:25,238 --> 00:13:28,291 off the Gulf of Alaska, and here I am. 285 00:13:30,544 --> 00:13:33,079 I can't choose between myself or my baby. 286 00:13:35,435 --> 00:13:38,635 No, you have to choose. 287 00:13:40,733 --> 00:13:42,267 I can't. 288 00:13:47,694 --> 00:13:49,328 Dr. Glassman, I'm glad you're back. 289 00:13:49,362 --> 00:13:50,640 Lea and I have a problem. 290 00:13:50,664 --> 00:13:51,751 I heard. 291 00:13:51,819 --> 00:13:53,149 The floor squeaks. 292 00:13:54,613 --> 00:13:55,985 At the church? 293 00:13:56,403 --> 00:13:57,414 (SIGHS) 294 00:13:57,438 --> 00:13:58,457 Is that it? 295 00:13:58,492 --> 00:14:01,440 No. I also have a patient who won't decide on a surgical plan. 296 00:14:01,508 --> 00:14:02,842 Have you talked to Lea? 297 00:14:02,876 --> 00:14:04,410 She is no doctor. 298 00:14:04,444 --> 00:14:06,112 No, I don't mean about the patient. 299 00:14:06,179 --> 00:14:09,181 (SIGHS) Shaun, I am not gonna be around. 300 00:14:09,666 --> 00:14:11,617 I'm... I'm moving. 301 00:14:11,685 --> 00:14:13,653 I'm selling my house, and I'm moving... 302 00:14:13,687 --> 00:14:14,682 (CHUCKLES) 303 00:14:14,706 --> 00:14:15,922 ...to Montana. 304 00:14:20,666 --> 00:14:21,866 Oh. 305 00:14:27,900 --> 00:14:30,335 Will you still be my best man? 306 00:14:31,145 --> 00:14:32,938 Yeah, of course. 307 00:14:32,973 --> 00:14:37,076 Then you should give me your advice. 308 00:14:37,110 --> 00:14:39,311 Shaun, you don't need my advice. 309 00:14:39,379 --> 00:14:41,247 Sometimes I do. 310 00:14:41,281 --> 00:14:43,533 You don't like to give it to me anymore. 311 00:14:44,993 --> 00:14:46,819 Lea and you are partners now. 312 00:14:46,887 --> 00:14:48,420 You can... You can talk to her, 313 00:14:48,455 --> 00:14:51,924 and Lea has a whole lot of stuff she's gotta talk to you about. 314 00:14:51,958 --> 00:14:54,460 And you'll work it out, without me. 315 00:15:01,268 --> 00:15:03,302 (MACHINE WHIRS) 316 00:15:09,576 --> 00:15:10,809 Sharks tickets. 317 00:15:12,479 --> 00:15:15,247 Doesn't being together mean that we have an unspoken agreement 318 00:15:15,282 --> 00:15:16,282 that when I need a date, you're it? 319 00:15:16,316 --> 00:15:17,316 No. 320 00:15:18,285 --> 00:15:20,653 (COMPUTER WARBLES) 321 00:15:20,687 --> 00:15:22,454 The lesion has an irregular shape, 322 00:15:22,489 --> 00:15:24,449 and it's extending into the carotid sheath. 323 00:15:25,358 --> 00:15:29,078 It's a malignant carcinoma, and it's invasive. 324 00:15:32,933 --> 00:15:35,668 Hey, I thought you were working late. 325 00:15:35,702 --> 00:15:38,604 I am going back, but first, 326 00:15:38,638 --> 00:15:42,808 you and I need to make a decision about the church and the squeaky floor 327 00:15:42,842 --> 00:15:45,377 and something else entirely. 328 00:15:45,445 --> 00:15:48,765 Dr. Glassman said you have things you need to tell me. 329 00:15:59,659 --> 00:16:04,781 Uh, I didn't go on a business trip a couple weeks ago. 330 00:16:06,499 --> 00:16:09,835 I went to Montana to find Glassman 331 00:16:09,869 --> 00:16:11,871 and convince him to come home. 332 00:16:14,566 --> 00:16:16,567 Because I was really worried about you. 333 00:16:17,344 --> 00:16:20,546 What were you worried about? 334 00:16:21,147 --> 00:16:24,858 There have been so many changes at the hospital, 335 00:16:24,893 --> 00:16:27,019 and I know that's been hard for... 336 00:16:27,053 --> 00:16:29,722 - Not because of my... - I know. 337 00:16:29,756 --> 00:16:32,892 Not because of your ASD, but because 338 00:16:34,769 --> 00:16:36,562 change is hard. 339 00:16:36,596 --> 00:16:38,697 And then your patient reviews, 340 00:16:38,732 --> 00:16:40,699 and I knew you were struggling with them. 341 00:16:40,734 --> 00:16:44,103 I was, but then I improved my interaction techniques, 342 00:16:44,170 --> 00:16:46,071 and my scores went up. 343 00:16:46,573 --> 00:16:48,340 (SIGHS) 344 00:16:49,743 --> 00:16:51,744 That's not what happened, Shaun. 345 00:16:55,048 --> 00:16:59,785 I omitted some of the patient reviews. 346 00:16:59,853 --> 00:17:02,713 Just the ones where people said really mean stuff. 347 00:17:04,484 --> 00:17:06,218 That's why your scores went up. 348 00:17:16,636 --> 00:17:20,239 I told you I didn't want you to. 349 00:17:20,273 --> 00:17:21,940 I know. I'm so sorry. 350 00:17:21,975 --> 00:17:24,276 I just got so worried, and I wanted to protect you. 351 00:17:24,311 --> 00:17:26,999 And I thought, if I could just help you, I... 352 00:17:27,033 --> 00:17:29,517 What you did was very wrong. 353 00:17:29,584 --> 00:17:30,630 I know. 354 00:17:30,698 --> 00:17:32,427 I am truly so sorry. 355 00:17:32,452 --> 00:17:33,719 No. 356 00:17:37,757 --> 00:17:39,999 Your apology is not accepted. 357 00:17:46,333 --> 00:17:48,434 (DOOR OPENS, CLOSES) 358 00:17:53,995 --> 00:17:57,451 The lesion in your neck is cancerous, 359 00:17:57,932 --> 00:18:00,601 and it has grown very quickly. 360 00:18:00,938 --> 00:18:03,482 I am suggesting a non-surgical approach, 361 00:18:03,516 --> 00:18:06,777 one with targeted therapies and radiation. 362 00:18:07,775 --> 00:18:10,110 It should give you a few more good years 363 00:18:10,144 --> 00:18:12,479 before debilitating symptoms set in. 364 00:18:13,233 --> 00:18:14,834 I'm very sorry. 365 00:18:16,387 --> 00:18:17,992 There's no way of removing it? 366 00:18:18,026 --> 00:18:20,161 It's attached to the carotid artery. 367 00:18:20,195 --> 00:18:21,584 It's too dangerous. 368 00:18:24,212 --> 00:18:25,345 Um... 369 00:18:25,634 --> 00:18:26,934 Thank you, Aaron. 370 00:18:26,968 --> 00:18:30,538 That's more than we hoped for when we came to you. 371 00:18:39,881 --> 00:18:43,384 I was here all night with Dr. Allen. 372 00:18:43,451 --> 00:18:46,520 We have not come up with a better surgical solution. 373 00:18:46,555 --> 00:18:49,056 Your choices from yesterday remain the same. 374 00:18:51,793 --> 00:18:52,960 How is she? 375 00:18:52,994 --> 00:18:55,796 Normal fetal movement. 376 00:18:55,831 --> 00:18:58,496 Heart rate is 140. 377 00:19:00,440 --> 00:19:01,440 That's good. 378 00:19:01,667 --> 00:19:03,137 Mm. 379 00:19:03,171 --> 00:19:06,073 (MONITOR BEEPING) 380 00:19:06,141 --> 00:19:07,842 I talked to Matt. 381 00:19:07,876 --> 00:19:10,544 He's making his way back, but it'll be a couple of days. 382 00:19:10,579 --> 00:19:14,136 He says whatever I decide to do, he will support it. 383 00:19:15,183 --> 00:19:17,139 Which isn't really helpful right now. 384 00:19:17,319 --> 00:19:19,253 No, it's not. 385 00:19:19,321 --> 00:19:21,055 You need to make a decision. 386 00:19:24,326 --> 00:19:25,593 (SIGHS) 387 00:19:25,660 --> 00:19:28,529 He shouldn't have gone, but we needed the money, 388 00:19:28,563 --> 00:19:30,721 and it was a great opportunity. 389 00:19:31,509 --> 00:19:33,000 But mostly, I feel like it was 390 00:19:33,034 --> 00:19:36,617 a reason for him to be somewhere else. 391 00:19:39,341 --> 00:19:45,079 He says one thing but does something different. 392 00:19:46,434 --> 00:19:48,235 How do you know if he loves you? 393 00:19:51,239 --> 00:19:52,406 He does. 394 00:19:54,730 --> 00:19:56,964 But someone can love you and still let you down. 395 00:19:59,200 --> 00:20:01,001 That doesn't seem right. 396 00:20:01,809 --> 00:20:03,097 No. 397 00:20:03,394 --> 00:20:04,732 No, it doesn't. 398 00:20:04,766 --> 00:20:07,857 Knowing what to expect of others is difficult. 399 00:20:08,737 --> 00:20:10,860 People can be very unreliable. 400 00:20:12,403 --> 00:20:15,109 That's why I always wanted to be a doctor. 401 00:20:15,143 --> 00:20:19,160 Science and biology and medicine are very reliable. 402 00:20:20,828 --> 00:20:21,928 I like that. 403 00:20:27,722 --> 00:20:29,256 She's relying on me. 404 00:20:32,727 --> 00:20:34,495 (SIGHS) 405 00:20:37,512 --> 00:20:39,246 I need to do what's best for my baby. 406 00:20:41,722 --> 00:20:43,757 Go ahead with the external fixation. 407 00:20:50,612 --> 00:20:53,447 How would you rate the new self-serve, self-pay system? 408 00:20:53,481 --> 00:20:54,915 Four stars. 409 00:20:54,950 --> 00:20:56,483 Not five? 410 00:20:56,518 --> 00:20:59,158 I prefer to be stingy with my top rating. 411 00:21:00,735 --> 00:21:02,702 (QUIETLY) Last night was a five. 412 00:21:04,836 --> 00:21:06,069 So it was even better than 413 00:21:06,094 --> 00:21:07,833 a convenient way to buy a smoothie? 414 00:21:09,497 --> 00:21:11,098 Hey, what are you doing Thursday night? 415 00:21:11,132 --> 00:21:13,673 I invited Morgan and Alex to have dinner with us. 416 00:21:16,549 --> 00:21:17,716 A double date? 417 00:21:18,473 --> 00:21:20,507 I didn't realize we were going public. 418 00:21:20,542 --> 00:21:22,343 We're both consenting adults. 419 00:21:22,377 --> 00:21:23,557 What's to hide? 420 00:21:25,057 --> 00:21:28,145 As the boss, you are free to do what you like. 421 00:21:29,195 --> 00:21:32,164 As a partner, that's not the way it works. 422 00:21:33,676 --> 00:21:35,114 I'm sorry. 423 00:21:35,139 --> 00:21:38,030 I should have asked you before I told anyone. 424 00:21:41,974 --> 00:21:46,578 Marcus, you're smart and funny and almost too good-looking, 425 00:21:46,603 --> 00:21:48,805 and your socks don't just match your sweaters, 426 00:21:48,830 --> 00:21:51,265 - they elevate your whole aesthetic. - (CHUCKLES) 427 00:21:51,484 --> 00:21:55,965 And I told Morgan because I'm excited about you. 428 00:21:58,424 --> 00:21:59,658 About us. 429 00:22:04,096 --> 00:22:05,516 (WHISPERING) I'll make the reservation. 430 00:22:14,106 --> 00:22:15,607 There's a surgical solution here, isn't there? 431 00:22:15,675 --> 00:22:17,542 No, no, no. Not a safe one. 432 00:22:17,577 --> 00:22:19,578 But you've built your career on doing surgeries 433 00:22:19,612 --> 00:22:21,046 that most doctors think are too dangerous. 434 00:22:21,080 --> 00:22:23,915 Yeah, because, to quote you, I am an insufferable egomaniac. 435 00:22:23,950 --> 00:22:25,784 But that's who we came to see, 436 00:22:25,851 --> 00:22:28,253 and now I'm getting some surgeon who's gonna run off to Montana 437 00:22:28,287 --> 00:22:29,721 in the guise of becoming a decent human being? 438 00:22:29,755 --> 00:22:32,090 Okay, uh, criticize me, yell at me if you like. 439 00:22:32,124 --> 00:22:34,259 - I understand you're upset. - All those late nights 440 00:22:34,293 --> 00:22:36,394 where you were tackling the most impossible cases, 441 00:22:36,429 --> 00:22:38,363 exhausting every possible angle. 442 00:22:38,397 --> 00:22:40,699 You come alive in surgery, more than you did in... 443 00:22:40,733 --> 00:22:43,935 There are other surgeons. There are other hospitals. 444 00:22:43,970 --> 00:22:47,572 I have done everything I know how to do to help you and Sunil. 445 00:22:47,607 --> 00:22:49,741 I am sorry if that's not enough. 446 00:22:51,644 --> 00:22:53,445 I think you're scared. 447 00:22:54,320 --> 00:22:55,721 Of what? 448 00:22:56,484 --> 00:22:58,049 Failing. 449 00:22:58,084 --> 00:22:59,484 Of failing me again. 450 00:23:02,955 --> 00:23:04,325 Yeah, I wish that were true. 451 00:23:04,890 --> 00:23:06,491 (CELLPHONE CHIMES) 452 00:23:06,559 --> 00:23:08,511 (SIGHS) It's Sunil. 453 00:23:10,892 --> 00:23:12,897 I need to get out of here. (PANTING) 454 00:23:12,932 --> 00:23:14,123 Don't you see what's happening? 455 00:23:14,191 --> 00:23:15,974 Sunil, Sunil. Wait, wait, wait, wait. Sunil, Sunil. 456 00:23:15,999 --> 00:23:17,132 Stand by with a sedative. 457 00:23:17,157 --> 00:23:18,390 Ahead of you. Just trying to get close. 458 00:23:18,415 --> 00:23:19,838 You're right where you're supposed to be, honey. 459 00:23:19,905 --> 00:23:21,258 Take a deep breath. 460 00:23:21,283 --> 00:23:23,184 All right, tell me... tell me their names. 461 00:23:25,584 --> 00:23:26,717 Tell... Tell me their... Tell me the... 462 00:23:26,742 --> 00:23:28,142 I don't know you! 463 00:23:28,167 --> 00:23:30,568 Whoa, whoa, whoa, whoa, whoa, whoa! 464 00:23:30,750 --> 00:23:32,651 (GASPS) 465 00:23:32,685 --> 00:23:34,019 - You got him? - I got him. I got him. I got him. 466 00:23:34,086 --> 00:23:35,587 Oh... 467 00:23:35,621 --> 00:23:37,822 - (GROANS) - I got him. I got him. 468 00:23:37,857 --> 00:23:39,090 Are you hurt? 469 00:23:42,295 --> 00:23:43,528 I'm okay. 470 00:23:49,302 --> 00:23:51,469 My patient chose to prioritize her baby. 471 00:23:51,504 --> 00:23:52,971 We did the external fixation. 472 00:23:53,005 --> 00:23:55,793 She's resting comfortably, and you need to correct my scores. 473 00:23:56,809 --> 00:23:59,044 I can't restore the data. 474 00:23:59,111 --> 00:24:00,812 You are very smart. 475 00:24:01,814 --> 00:24:03,815 You can figure out a way. 476 00:24:03,849 --> 00:24:06,518 Shaun, I apologize, 477 00:24:06,552 --> 00:24:09,454 but I... I can't undo what's been done. 478 00:24:09,488 --> 00:24:13,958 Lea, the scores reflect my work and me. 479 00:24:13,993 --> 00:24:15,694 No, it didn't. 480 00:24:15,728 --> 00:24:18,196 The algorithm ignored what's best in you. 481 00:24:18,230 --> 00:24:20,799 No, it should be the same for everyone. 482 00:24:20,833 --> 00:24:22,500 The data has to be corrected. 483 00:24:24,003 --> 00:24:26,171 I can't, Shaun. I'm sorry. 484 00:24:28,674 --> 00:24:30,308 Then you need to tell Salen. 485 00:24:30,343 --> 00:24:32,179 That's a terrible idea. 486 00:24:32,213 --> 00:24:34,179 There is no other option. 487 00:24:34,213 --> 00:24:35,747 Shaun, I could lose my job. 488 00:24:35,815 --> 00:24:37,042 You broke the rules. 489 00:24:38,184 --> 00:24:39,818 Maybe you should get fired. 490 00:24:48,861 --> 00:24:50,695 I'm fine, really. 491 00:24:50,730 --> 00:24:51,930 Humor me. 492 00:24:52,898 --> 00:24:54,265 Pupil response is normal. 493 00:24:55,501 --> 00:24:57,035 (DRAWER SLIDES) 494 00:24:57,069 --> 00:24:59,231 I'm sorry about before. 495 00:25:00,706 --> 00:25:02,073 I was so frustrated. 496 00:25:02,108 --> 00:25:04,509 I... I appreciate everything that you've done. 497 00:25:04,987 --> 00:25:06,611 You owe us nothing, 498 00:25:06,679 --> 00:25:08,546 and you've gone out of your way to help. 499 00:25:10,409 --> 00:25:12,010 Here's some Naproxen. 500 00:25:13,052 --> 00:25:14,919 It'll help with the pain and soreness. 501 00:25:17,757 --> 00:25:19,791 (VOICE BREAKING) I don't blame you anymore. 502 00:25:21,026 --> 00:25:22,360 - For Maddie... - No, p... 503 00:25:22,395 --> 00:25:23,762 No, don't. Please stop. 504 00:25:23,796 --> 00:25:25,382 Don't do that. I need you to hear this. 505 00:25:29,468 --> 00:25:33,204 For a long time, I did blame you. 506 00:25:33,239 --> 00:25:36,241 I could barely look at a picture of Maddie 507 00:25:36,275 --> 00:25:39,244 without being reminded about how angry I was, 508 00:25:41,080 --> 00:25:46,317 and how angry I was at you trying to replace her with Shaun. 509 00:25:46,385 --> 00:25:49,075 Shaun wasn't meant to replace Maddie. 510 00:25:49,110 --> 00:25:50,789 My God. 511 00:25:50,823 --> 00:25:52,590 Nobody can. 512 00:25:58,103 --> 00:26:01,752 Becoming a part of Sunil's family has brought me peace. 513 00:26:03,135 --> 00:26:04,436 They're my whole world. 514 00:26:10,609 --> 00:26:12,763 And I'm so glad you found Shaun. 515 00:26:14,480 --> 00:26:16,314 (CHUCKLES) 516 00:26:26,525 --> 00:26:28,237 You're right, I am scared. 517 00:26:29,094 --> 00:26:30,495 (CLEARS THROAT) 518 00:26:31,377 --> 00:26:33,911 If I operate on Sunil and he died, 519 00:26:35,348 --> 00:26:39,751 I'd be responsible for you losing someone you love. 520 00:26:45,444 --> 00:26:46,878 Again. 521 00:26:55,321 --> 00:26:57,956 (SNIFFS, SIGHS) 522 00:26:57,990 --> 00:26:59,858 I'll take another look at the imaging. 523 00:27:01,227 --> 00:27:03,328 I can't promise anything. 524 00:27:03,362 --> 00:27:06,531 Who knows, maybe this egomaniac can come up with something. 525 00:27:17,576 --> 00:27:18,810 - (ALMA GROANS) - (MONITOR BEEPING RAPIDLY) 526 00:27:18,844 --> 00:27:20,044 She's having severe abdominal pain. 527 00:27:20,079 --> 00:27:22,480 BP's 73 over 49. She's hypotensive. 528 00:27:22,515 --> 00:27:24,549 There's uterine bleeding from a placental abruption. 529 00:27:24,583 --> 00:27:26,551 It's a delayed reaction to the crash. 530 00:27:26,585 --> 00:27:27,986 Her choice was moot. 531 00:27:28,020 --> 00:27:31,425 Okay, page Dr. Lim to the OR for an emergency C-section. 532 00:27:36,622 --> 00:27:40,392 ♪ 533 00:27:44,600 --> 00:27:45,801 We're ready. 534 00:27:48,738 --> 00:27:50,778 - I love you. - I love you, too. 535 00:27:58,081 --> 00:27:59,369 (GURNEY RAIL CLICKS) 536 00:28:15,598 --> 00:28:17,099 DR. REZNICK: Hey. 537 00:28:19,535 --> 00:28:20,686 What are those for? 538 00:28:20,711 --> 00:28:21,730 I know how mad you were 539 00:28:21,754 --> 00:28:23,685 when these disappeared from the vending machine. 540 00:28:25,441 --> 00:28:27,342 Salen's health-conscious revamp 541 00:28:27,376 --> 00:28:29,211 - was not a victimless crime. - (BAG OPENS) 542 00:28:29,236 --> 00:28:31,789 I drove 20 minutes to a gas station to get those for you. 543 00:28:31,814 --> 00:28:32,981 This is the bribe? 544 00:28:33,015 --> 00:28:34,822 No, it's just chips. 545 00:28:37,553 --> 00:28:39,321 And a declaration 546 00:28:39,588 --> 00:28:41,956 that I will respect the boundaries you've set. 547 00:28:43,378 --> 00:28:44,678 You don't have to do dinner. 548 00:28:45,088 --> 00:28:46,255 I'll survive. 549 00:28:48,837 --> 00:28:51,130 I assume Salen will be picking up the check? 550 00:28:53,302 --> 00:28:55,804 I don't love your ambitious streak, but I do love you. 551 00:28:57,132 --> 00:28:58,566 I'll be your arm candy for the night. 552 00:28:58,591 --> 00:29:00,125 (CRUNCHES) 553 00:29:04,433 --> 00:29:06,749 DR. LIM: How long until we have access to start the C-section? 554 00:29:06,774 --> 00:29:08,193 JORDAN: A few more seconds. 555 00:29:08,351 --> 00:29:10,919 BP's 70 over 55. Heart rate 109. 556 00:29:10,987 --> 00:29:12,193 Fetal tones? 557 00:29:12,218 --> 00:29:14,856 Present, but we saw D-cells on the tracing. The baby is stressed. 558 00:29:14,891 --> 00:29:16,964 Once the baby is out, we will immediately begin 559 00:29:16,989 --> 00:29:18,851 an in-fix pedicle screw rod fixation. 560 00:29:18,928 --> 00:29:20,562 She'll walk fine. 561 00:29:20,596 --> 00:29:22,430 We'll need a two and a half millimeter drill bit 562 00:29:22,455 --> 00:29:23,856 and titanium screws. 563 00:29:26,302 --> 00:29:28,500 We're clear. ChloraPrep and scalpel. 564 00:29:34,223 --> 00:29:36,216 DR. PARK: BP and heart rate stable. 565 00:29:37,046 --> 00:29:39,428 Carcinoma's in the cross hairs. 566 00:29:40,089 --> 00:29:43,307 "Be quick, but don't hurry," as John Wooden used to say. 567 00:29:44,659 --> 00:29:46,460 Starting resection. 568 00:29:48,758 --> 00:29:49,891 Suction. 569 00:29:49,926 --> 00:29:51,760 That's a lot of bleeding. 570 00:29:51,794 --> 00:29:53,695 Yeah, well, we're poking around the carotid. 571 00:29:53,729 --> 00:29:54,796 It's to be expected. 572 00:29:55,631 --> 00:29:56,631 How's he doing? 573 00:29:57,233 --> 00:29:59,367 BP's 64 over 42. 574 00:29:59,402 --> 00:30:02,470 (MONITOR CHIRPING) 575 00:30:02,538 --> 00:30:04,661 Do you see any vascular feeders you can clip? 576 00:30:05,107 --> 00:30:06,608 No. 577 00:30:06,642 --> 00:30:09,041 Tumor has completely invaded the artery. 578 00:30:09,745 --> 00:30:11,501 We're gonna have to move fast. 579 00:30:12,949 --> 00:30:15,317 Mother's BP is still dropping. 50 over 37. 580 00:30:15,342 --> 00:30:17,716 Hang another two units. Extending uterine incision. 581 00:30:20,890 --> 00:30:22,638 Okay, here she comes. 582 00:30:22,825 --> 00:30:24,092 (GRUNTS) 583 00:30:28,491 --> 00:30:29,612 Dr. Murphy, Dr. Allen, 584 00:30:29,636 --> 00:30:31,292 - deliver the placenta. - (BABY CRYING) 585 00:30:31,317 --> 00:30:33,815 Check for uterine bleeding before beginning internal fixation. 586 00:30:35,317 --> 00:30:37,172 - (MONITOR BEEPING RAPIDLY) - Dr. Lim, Apgar's three. 587 00:30:37,240 --> 00:30:38,570 The baby's in distress. 588 00:30:40,343 --> 00:30:42,477 She's not oxygenating. We need to intubate. 589 00:30:42,511 --> 00:30:44,512 Dr. Murphy, with me. 590 00:30:45,615 --> 00:30:46,948 Get a blood gas. 591 00:30:50,119 --> 00:30:51,750 Bagging 100% oxygen. 592 00:30:54,257 --> 00:30:55,457 (DEVICE WARBLES) 593 00:30:55,491 --> 00:30:57,926 Baby is acidotic with a pH of seven. 594 00:31:01,430 --> 00:31:05,200 No improvement in vitals or oxygen sat. 595 00:31:05,225 --> 00:31:06,556 Check the tube's positioning. 596 00:31:11,007 --> 00:31:13,074 ET tube is in the correct position. 597 00:31:13,099 --> 00:31:15,357 Equal breath sounds on both sides. 598 00:31:16,145 --> 00:31:17,512 This doesn't make any sense. 599 00:31:33,362 --> 00:31:36,131 The baby has a congenital heart defect. 600 00:31:36,165 --> 00:31:39,567 The patent ductus arteriosus is closing. That is causing hypoxia. 601 00:31:39,635 --> 00:31:41,536 We need to open the duct and oxygenate her blood. 602 00:31:41,570 --> 00:31:43,510 Call the pharmacy for PGE, stat. 603 00:31:59,479 --> 00:32:00,646 (CAP CLATTERS) 604 00:32:03,244 --> 00:32:05,311 Start the PGE at 0.1. 605 00:32:10,053 --> 00:32:12,354 DR. PARK: BP's 61 over 42. 606 00:32:12,388 --> 00:32:13,797 DR. GLASSMAN: Tumor's hypervascular. 607 00:32:13,831 --> 00:32:16,001 I can't see a damn thing. There's too much blood. 608 00:32:16,035 --> 00:32:17,859 Should we stop the bleeding and abort the resection? 609 00:32:17,894 --> 00:32:19,227 (MONITOR BEEPING RAPIDLY) 610 00:32:22,424 --> 00:32:23,732 No. 611 00:32:23,766 --> 00:32:26,678 Tubing... clear plastic surgical tubing. 612 00:32:29,772 --> 00:32:31,239 (MONITOR BEEPING RAPIDLY) 613 00:32:33,876 --> 00:32:36,078 Baby isn't pinking up. 614 00:32:36,355 --> 00:32:39,381 PGE is in. IV looks good. 615 00:32:39,415 --> 00:32:41,049 (MONITOR CHIRPING) 616 00:32:41,084 --> 00:32:43,070 V-tach. Starting compressions. 617 00:32:47,289 --> 00:32:48,909 What if it's not a heart defect? 618 00:32:51,411 --> 00:32:54,296 We're gonna occlude the carotid, 619 00:32:54,330 --> 00:32:57,876 blocking the blood until we can cut the damn thing out. 620 00:32:58,434 --> 00:32:59,935 He'll stroke out. 621 00:32:59,969 --> 00:33:02,070 DR. GLASSMAN: That's what the plastic tube is for. 622 00:33:02,105 --> 00:33:04,806 I'm gonna build a shunt bypass, 623 00:33:04,841 --> 00:33:07,094 keep the blood flowing to the brain. 624 00:33:08,364 --> 00:33:09,598 (ECHOING) Suction. 625 00:33:14,250 --> 00:33:15,651 Apply the clamp. 626 00:33:24,494 --> 00:33:26,161 Dissecting scissors. 627 00:33:41,778 --> 00:33:43,345 (SIGHS) 628 00:33:45,821 --> 00:33:47,488 Ugly little thing. 629 00:33:49,486 --> 00:33:52,097 Okay. Stand by with the patch. 630 00:33:53,807 --> 00:33:56,059 (SIGHS) Let's clean it up. 631 00:33:58,228 --> 00:34:00,526 No obvious metabolic disorder. 632 00:34:00,561 --> 00:34:02,989 No evidence of head trauma or pneumothorax. 633 00:34:03,013 --> 00:34:04,981 No mucus plug in ET tube. 634 00:34:05,015 --> 00:34:07,237 No transient tachypnea in the newborn. 635 00:34:08,385 --> 00:34:10,653 The PGE is the right dosage... 636 00:34:11,581 --> 00:34:12,581 What? 637 00:34:12,742 --> 00:34:13,842 Oh. 638 00:34:13,916 --> 00:34:14,916 Shaun, what? 639 00:34:15,960 --> 00:34:17,060 It's expired. 640 00:34:17,127 --> 00:34:18,528 (EXHALES SHARPLY) 641 00:34:18,562 --> 00:34:19,729 Call the pharmacy. 642 00:34:19,797 --> 00:34:21,626 We need more PGE, but from a different lot. 643 00:34:25,482 --> 00:34:27,616 The PGE is expired. We need... 644 00:34:31,642 --> 00:34:33,009 The pharmacy says we don't have another lot. 645 00:34:33,043 --> 00:34:34,723 Our entire supply is expired. 646 00:34:35,980 --> 00:34:37,380 Prep for catheterization. 647 00:34:37,414 --> 00:34:39,811 We might be able to keep the PDA open with a stent. 648 00:34:41,552 --> 00:34:42,752 Stop! 649 00:34:42,820 --> 00:34:44,187 Alprostadil! 650 00:34:44,221 --> 00:34:46,589 We need to run PGE at 0.1 micrograms. 651 00:34:46,657 --> 00:34:49,225 Tell the pharmacist to mix 10 vials of 50 micrograms of Alprostadil 652 00:34:49,260 --> 00:34:51,394 with 10 milliliters of saline solution. 653 00:34:51,428 --> 00:34:55,231 Mix 10 vials of 50 micrograms of Alprostadil. 654 00:34:55,266 --> 00:34:56,786 He says that's the wrong medication. 655 00:34:58,869 --> 00:35:00,069 Where are you going? 656 00:35:00,104 --> 00:35:02,292 It'll be faster if I do it myself. 657 00:35:03,007 --> 00:35:04,340 (DOOR OPENS) 658 00:35:09,550 --> 00:35:11,550 ♪ ♪ 659 00:35:15,529 --> 00:35:17,349 Uh, you know this is for erectile dysfunction? 660 00:35:17,598 --> 00:35:18,765 Yes. 661 00:35:18,799 --> 00:35:21,067 Alprostadil is the same drug as PGE 662 00:35:21,101 --> 00:35:22,869 but in a different concentration. 663 00:35:22,903 --> 00:35:26,472 We need to run the IV at 0.056 milliliters per minute. 664 00:35:26,497 --> 00:35:30,028 That will give the baby 0.1 micrograms per kilogram per minute. 665 00:35:30,277 --> 00:35:32,312 Pushing 0.1. 666 00:35:33,714 --> 00:35:35,081 (MONITOR BEEPING RAPIDLY) 667 00:35:35,115 --> 00:35:36,416 (FLATLINING) 668 00:35:40,221 --> 00:35:41,873 Restarting compressions. 669 00:35:42,823 --> 00:35:45,158 (MONITOR BEEPS) 670 00:35:45,226 --> 00:35:47,353 Mucous membrane's still blue. 671 00:35:47,377 --> 00:35:49,244 Oxygen saturation's not registering. 672 00:35:49,278 --> 00:35:51,424 We just need to give it more time. 673 00:35:54,983 --> 00:35:56,137 Hold compressions. 674 00:35:57,286 --> 00:35:59,287 (FLATLINE) 675 00:36:00,123 --> 00:36:02,457 Pulse not palpable. 676 00:36:02,525 --> 00:36:04,793 No, push 0.2 of the solution. 677 00:36:04,861 --> 00:36:06,198 Restarting compressions. 678 00:36:06,266 --> 00:36:07,440 (MONITOR BEEPING RAPIDLY) 679 00:36:09,632 --> 00:36:10,966 - Dr. Murphy. - No. 680 00:36:11,034 --> 00:36:12,383 Push 0.2. 681 00:36:12,418 --> 00:36:13,902 Dr. Murphy, the baby is flatlining. 682 00:36:13,936 --> 00:36:15,137 - No. - There's nothing more we can do. 683 00:36:15,204 --> 00:36:16,871 - No, I can save her! - Shaun. 684 00:36:16,908 --> 00:36:18,440 (FLATLINE) 685 00:36:18,474 --> 00:36:20,275 (BREATHING SHAKILY) 686 00:36:27,984 --> 00:36:28,984 (BEEPING STOPS) 687 00:36:39,162 --> 00:36:42,434 Time of death, 18:23. 688 00:37:05,988 --> 00:37:08,290 Sunil's recovering very nicely. 689 00:37:08,324 --> 00:37:10,859 Just, no exercise or, you know, 690 00:37:10,927 --> 00:37:13,715 strenuous activity for the next six weeks. 691 00:37:17,600 --> 00:37:18,803 Thank you. 692 00:37:29,285 --> 00:37:30,818 Don't go to Montana. 693 00:37:32,441 --> 00:37:33,875 You still need Shaun. 694 00:37:34,776 --> 00:37:36,243 He makes you better. 695 00:38:02,484 --> 00:38:03,718 Hang up. 696 00:38:04,547 --> 00:38:06,681 I need to call you back. 697 00:38:06,716 --> 00:38:09,818 We just lost a baby, because this hospital wasn't prepared. 698 00:38:09,852 --> 00:38:12,354 The medication we needed was expired. 699 00:38:12,388 --> 00:38:15,026 All of it. No back-up batch. 700 00:38:16,159 --> 00:38:19,239 Did the money you saved pay for your water wall? 701 00:38:20,563 --> 00:38:23,498 (EXHALES SHARPLY) In my 15 years here, 702 00:38:23,533 --> 00:38:26,579 nothing like this has ever been allowed to happen. 703 00:38:27,963 --> 00:38:30,381 This hospital's priorities... your priorities 704 00:38:30,406 --> 00:38:33,253 are upside down, and today, that killed someone. 705 00:38:37,246 --> 00:38:38,747 (SIGHS) How's the mother? 706 00:38:40,183 --> 00:38:41,761 Recovering. 707 00:38:42,224 --> 00:38:44,389 She won't be conscious for a few hours. 708 00:38:47,123 --> 00:38:49,602 I'll make sure and have a grief counselor standing by. 709 00:38:50,719 --> 00:38:52,419 And call your lawyers, too. 710 00:38:55,898 --> 00:38:57,732 When she finds out that her baby died 711 00:38:57,767 --> 00:38:59,267 because of expired meds... 712 00:38:59,302 --> 00:39:02,938 Dr. Lim, until we've done a thorough M&M 713 00:39:02,972 --> 00:39:05,618 and identified what changes need to be made, 714 00:39:06,554 --> 00:39:09,873 discretion is in everyone's best interest. 715 00:39:12,815 --> 00:39:14,916 Are you suggesting we not tell her the truth? 716 00:39:14,951 --> 00:39:17,586 I'm suggesting we all have exposure. 717 00:39:17,620 --> 00:39:20,341 You, the residents. 718 00:39:23,479 --> 00:39:24,637 Audrey, 719 00:39:26,248 --> 00:39:27,481 this is a tragic day. 720 00:39:28,831 --> 00:39:30,632 But we cannot allow a single event 721 00:39:30,666 --> 00:39:33,146 to derail everything we do here. 722 00:39:49,585 --> 00:39:51,586 Salen made cuts. 723 00:39:51,621 --> 00:39:53,355 We're... We're behind on inventory. 724 00:39:53,422 --> 00:39:55,757 (STAMMERS) It just... 725 00:39:55,791 --> 00:39:57,092 It... it fell through the cracks. 726 00:39:58,553 --> 00:39:59,653 Expired. 727 00:40:00,630 --> 00:40:01,630 (BOTTLE SHATTERS) 728 00:40:02,224 --> 00:40:03,357 Expired. 729 00:40:05,105 --> 00:40:06,304 Expired! 730 00:40:07,040 --> 00:40:08,040 Expired! 731 00:40:08,675 --> 00:40:10,109 They're all useless! 732 00:40:10,143 --> 00:40:11,362 - Shaun. - No! 733 00:40:11,396 --> 00:40:13,379 - Shaun, stop, stop, stop, stop! - They're all... No! 734 00:40:13,447 --> 00:40:15,648 - It wasn't your... It wasn't your fault! - N-N... Please! Please! No! 735 00:40:15,682 --> 00:40:18,451 - There's nothing you could have done! - No, you lied to me! 736 00:40:18,485 --> 00:40:19,819 I can't trust you! 737 00:40:21,121 --> 00:40:22,822 And I can't marry you. 738 00:40:22,856 --> 00:40:24,857 - (BREATHING HEAVILY) - (PAPER CRUMPLES) 739 00:40:27,461 --> 00:40:28,952 Shaun. Shaun! 740 00:40:29,396 --> 00:40:31,297 (HYPERVENTILATING) 741 00:40:34,968 --> 00:40:37,002 You're hyperventilating. Hey, hey, hey, hey. 742 00:40:37,037 --> 00:40:38,671 Look at me. Look at me. 743 00:40:39,172 --> 00:40:40,706 Look at me. 744 00:40:40,740 --> 00:40:42,575 Take a deep breath now, okay? 745 00:40:43,543 --> 00:40:44,977 Take a deep breath. 746 00:40:45,011 --> 00:40:46,245 - (BREATHING SLOWER) - There you go. 747 00:40:46,313 --> 00:40:47,813 You can talk to me. 748 00:40:47,848 --> 00:40:49,347 Dr. Glassman, 749 00:40:52,185 --> 00:40:54,602 you... you are a... 750 00:40:55,822 --> 00:40:57,356 An awful best man 751 00:40:58,592 --> 00:41:00,726 and a terrible mentor. 752 00:41:00,760 --> 00:41:03,262 You said you would never abandon me, but that's a lie. 753 00:41:04,097 --> 00:41:05,231 A lie. 754 00:41:05,265 --> 00:41:06,899 That is a lie! 755 00:41:06,933 --> 00:41:09,835 Why is everyone lying to me? Why? 756 00:41:09,870 --> 00:41:12,838 You should have been running the hospital! 757 00:41:12,873 --> 00:41:14,773 If you had, the baby would not have died! 758 00:41:15,442 --> 00:41:19,111 (SOBBING) 759 00:41:22,516 --> 00:41:23,716 Okay. 760 00:41:24,584 --> 00:41:25,584 (GRUNTS) 761 00:41:43,436 --> 00:41:44,937 I'm here. I'm here. 762 00:41:44,971 --> 00:41:46,105 Shaun. 763 00:41:47,040 --> 00:41:48,240 I'm right here. 764 00:41:49,409 --> 00:41:51,477 (SOBBING) 765 00:42:01,621 --> 00:42:03,289 I'm right here. I got you. 766 00:42:05,258 --> 00:42:06,592 I got you. 767 00:42:11,398 --> 00:42:12,665 I got you. I got you. 768 00:42:21,788 --> 00:42:23,389 (SOBBING ECHOING) 769 00:42:26,413 --> 00:42:29,130 I got you. I'm right here.