1
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Previously on The Good Doctor...

2
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I want to do another
embryo transfer ASAP.

3
00:00:05,006 --> 00:00:06,846
You have some lettuce.

4
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- Oh.
- No, no, no. Here.

5
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Dr. Glassman, it would be
hard to lose my father

6
00:00:16,756 --> 00:00:18,590
just as I am about to become one.

7
00:00:19,558 --> 00:00:21,460
Do the scan for me.

8
00:00:23,028 --> 00:00:24,764
[MACHINE WHIRRING]

9
00:00:27,199 --> 00:00:28,868
Please hold still.

10
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I'm breathing.

11
00:00:31,236 --> 00:00:33,005
You moved your head.

12
00:00:33,038 --> 00:00:35,274
Shaun, go away and let
the technician do his job.

13
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I sent him out for coffee.

14
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I am now scanning the location
of your prior tumor.

15
00:00:42,614 --> 00:00:46,051
Did you decline
maintenance chemotherapy?

16
00:00:46,085 --> 00:00:48,053
It's hard to hold still
while I'm talking.

17
00:00:48,087 --> 00:00:51,523
Dr. Blaize recommended
six cycles of temozolomide.

18
00:00:51,556 --> 00:00:52,758
The slight benefit of that stuff

19
00:00:52,792 --> 00:00:53,959
wasn't worth the constant nausea.

20
00:00:53,993 --> 00:00:55,695
The benefit is statistically...

21
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Shaun, I made my choice.

22
00:00:59,298 --> 00:01:00,621
You chose wrong.

23
00:01:04,468 --> 00:01:06,638
There's a spot on your brain.

24
00:01:18,784 --> 00:01:21,253
[DOCTOR] There's the right ovary.
And that looks like the...

25
00:01:21,286 --> 00:01:22,988
Corpus luteum.

26
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The endometrium is smooth
and around 13 millimeters,

27
00:01:26,525 --> 00:01:28,627
which means my uterine
infection is cleared.

28
00:01:28,660 --> 00:01:32,046
Carrying the pregnancy to term
should be a lot easier this time.

29
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Your transfer is on my
schedule for tomorrow evening.

30
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Fantastic.

31
00:01:35,868 --> 00:01:40,119
And you have two
high-grade embryos available.

32
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Do you want a boy or a girl?

33
00:01:49,514 --> 00:01:51,350
You don't have to decide now.

34
00:01:51,383 --> 00:01:53,173
Just let me know
before the embryo transfer.

35
00:01:58,690 --> 00:02:00,860
Seven and a half hours.

36
00:02:00,893 --> 00:02:02,294
Uninterrupted?

37
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Didn't even have to wake up
to use the bathroom.

38
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[SCOFFS]

39
00:02:05,064 --> 00:02:06,065
So?

40
00:02:06,732 --> 00:02:08,167
Six hours, 45 minutes.

41
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Oh, winner, winner, pancakes for dinner.

42
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I really thought I had it in the bag.

43
00:02:13,138 --> 00:02:14,673
- How'd you do, Danny?
- [ELEVATOR DINGS]

44
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How much sleep you get? Over or under?

45
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No clue.

46
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[JARED] Hold up.

47
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- Morning, all.
- Morning.

48
00:02:30,522 --> 00:02:31,656
Dr. Allen.

49
00:02:31,690 --> 00:02:33,959
Good morning, Dr. Kalu.

50
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Park is doing a hip arthroscopy today.

51
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I'd like to scrub in.

52
00:02:37,162 --> 00:02:39,364
Sorry, I'm already assigned to Park.

53
00:02:39,398 --> 00:02:41,133
I'm thinking about
specializing in ortho,

54
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so how about a trade?

55
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How about no?

56
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Sorry I asked.

57
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Go, team.

58
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Brady Sullivan. Oil rig worker.
Metal sheet hit him.

59
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Severe chest and pelvic injuries.

60
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O2 sats are critical.

61
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Brady, I'm Dr. Andrews.

62
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He's non-responsive. Sluggish pupils.

63
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[DR. LIM] There's major hemorrhage.

64
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GCS six, no head trauma.

65
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Three-inch right-sided sucking
chest wound. Collapsed lung.

66
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That's from the support hook.

67
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The metal sheet he was welding
caused another injury.

68
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How deep does this go?

69
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Down to the spinal column.

70
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He's nearly cut in half.

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[THEME MUSIC PLAYING]

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

73
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[DR. GLASSMAN] It's scar tissue
from the radiation.

74
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Could be, but the FA value...

75
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Is more consistent with
a glioblastoma recurrence.

76
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That's right, and the path
of the radiation

77
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they blasted me with,

78
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that Swiss cheese look,
textbook necrosis.

79
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The irregular shape implies
a multifocal cancerous lesion.

80
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[DR. GLASSMAN] I've been
looking at brain scans

81
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since before electricity.

82
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I think I know what
scar tissue looks like.

83
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You are not objective here.

84
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Oh, right, and you are?

85
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Neither of you are.

86
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If that lesion is cancer,

87
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a DNA spinal fluid analysis
will confirm it.

88
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Yes.

89
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That is objective.

90
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I'll do a spinal tap
and send it to the lab.

91
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Should have results in 24 hours.

92
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Fine.

93
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I'll set it up.

94
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[FEMALE PARAMEDIC] O2 sat's 68.

95
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Chest tube's in,
draining a lot of blood.

96
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Every time I clamp a bleeder,
another one pops up.

97
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Dr. Lim? Where do you want us?

98
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We're busy with the chest trauma.

99
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I need you guys on the pelvic injury.

100
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How do we remove it?

101
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You don't. It's the only
reason he didn't bleed out.

102
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I need you four to figure out a plan

103
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to reattach his lower half.

104
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Read every journal.
Study every case report.

105
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Check all the international
surgery registries.

106
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Look everywhere.

107
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PA ruptured. Gotta move him.

108
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OR one, now.

109
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[DRAMATIC MUSIC]

110
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[BABY CRYING]

111
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- [GUARD] Give me the baby.
- [MAN] No, no, no, no, no, no.

112
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I'm here for Jazz.

113
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- Just hand her to me.
- I don't know you.

114
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I don't know you. I don't know you.

115
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- Sir, please.
- Hold on, let me talk to him.

116
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I'm a doctor here. I can help you.

117
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I don't need a doctor. I need Jazz.

118
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Jazz. Is Jazz the mother?

119
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Yes.

120
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You're trying to help the baby?

121
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Jazz... Jazz passed out

122
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and then the, uh...
the flashing lights took her.

123
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An ambulance?

124
00:05:25,264 --> 00:05:26,698
There's an encampment over on Elm.

125
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Is that where you and Jazz were?

126
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Then she's a patient here.

127
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They didn't see the baby in her tent.

128
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She didn't sound good.
She... she needs her mama.

129
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You did the right thing
bringing her here.

130
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Can I examine her?

131
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Uh...

132
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and you'll... you'll find...
you'll find Jazz?

133
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I promise.

134
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[BABY CRYING]

135
00:06:06,871 --> 00:06:09,741
We have a code pink.
The baby's in heart failure.

136
00:06:09,774 --> 00:06:11,431
You may have saved her life.

137
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[DR. LIM] Found another tear
in the pulmonary artery.

138
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A big one.

139
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[DR. ANDREWS] Every major
artery in this lung is damaged.

140
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His body needs to divert
every resource it has

141
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to his vital organs.

142
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We should amputate his lower half.

143
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- [DR. LIM] We're not there yet.
- [DR. ANDREWS] It's barely hanging on.

144
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[DR. LIM] But it is.
We're gonna try to save it.

145
00:06:31,396 --> 00:06:32,730
[DR. ANDREWS] It's a big job
to hand the residents.

146
00:06:32,764 --> 00:06:33,932
[DR. LIM] Good thing I hire the best.

147
00:06:33,965 --> 00:06:36,768
[MONITORS BEEPING RAPIDLY]

148
00:06:36,801 --> 00:06:38,937
This vessel's too damaged to repair.

149
00:06:39,938 --> 00:06:41,503
I need to clamp the trunk.

150
00:06:44,076 --> 00:06:46,191
Start the clock on lung ischemia.

151
00:06:49,648 --> 00:06:51,416
[BEEPING STEADIES]

152
00:06:53,785 --> 00:06:54,886
[DR. ANDREWS] I think we should sack

153
00:06:54,919 --> 00:06:57,311
the upper segmental pulmonary artery.

154
00:06:57,689 --> 00:06:59,624
[DR. LIM] That would mean
he'd lose his upper lung lobe.

155
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He has a physical job.

156
00:07:01,260 --> 00:07:02,661
[DR. ANDREWS] If we end up amputating,

157
00:07:02,694 --> 00:07:04,429
he's not gonna be working oil rigs.

158
00:07:04,463 --> 00:07:05,897
[DR. LIM] But he could be
playing wheelchair basketball.

159
00:07:05,930 --> 00:07:08,447
PTFE graft on his artery
could save his lung.

160
00:07:10,001 --> 00:07:11,203
[DR. ANDREWS] Okay.

161
00:07:17,876 --> 00:07:19,278
[MONITORS BEEPING RAPIDLY]

162
00:07:19,311 --> 00:07:21,246
Central line is in.

163
00:07:21,280 --> 00:07:23,082
Pushing milrinone
to increase cardiac output.

164
00:07:23,115 --> 00:07:24,783
Severely decreased heart function,

165
00:07:24,816 --> 00:07:26,085
but her chambers look normal.

166
00:07:26,118 --> 00:07:27,786
Increasing high flow oxygen.

167
00:07:27,819 --> 00:07:29,194
[DR. REZNICK] BP is improving a little.

168
00:07:29,218 --> 00:07:31,490
Found it. In her posterior chest,
there's a critical...

169
00:07:31,523 --> 00:07:32,971
[SHAUN] Narrowing of her aorta.

170
00:07:35,494 --> 00:07:37,262
Her eye spacing is approximately

171
00:07:37,296 --> 00:07:39,664
six millimeters wider
than the upper limit of normal.

172
00:07:39,698 --> 00:07:41,184
She also has slightly low-set ears

173
00:07:41,218 --> 00:07:42,856
and her hands are swollen.

174
00:07:47,004 --> 00:07:48,862
She has Turner syndrome.

175
00:07:53,878 --> 00:07:56,014
If we don't get that narrowing
fixed in the next few days,

176
00:07:56,047 --> 00:07:57,329
she'll die.

177
00:07:58,917 --> 00:08:00,985
It won't be easy to access,
but I need an angio

178
00:08:01,019 --> 00:08:02,821
for a better view.

179
00:08:02,854 --> 00:08:04,689
I'll locate the mother and get consent.

180
00:08:08,693 --> 00:08:11,296
[BABY FUSSING]

181
00:08:11,330 --> 00:08:13,165
Brady's pelvis is broken

182
00:08:13,198 --> 00:08:14,666
and separated from the spinal column.

183
00:08:14,699 --> 00:08:16,635
So to reattach his lower half,

184
00:08:16,668 --> 00:08:19,070
we need to repair the pelvis,
plus all the damaged organs,

185
00:08:19,104 --> 00:08:21,373
plus the major vascular injuries,

186
00:08:21,406 --> 00:08:23,397
and then find a way
to ensure it all heals.

187
00:08:25,210 --> 00:08:27,693
Are we even doing the
right thing by trying to fix this?

188
00:08:28,513 --> 00:08:30,081
You want to give up
before we even start?

189
00:08:30,115 --> 00:08:31,850
I've just never read anything

190
00:08:31,883 --> 00:08:33,418
supporting reattaching
this kind of injury.

191
00:08:33,452 --> 00:08:34,686
Could kill him.

192
00:08:34,719 --> 00:08:35,920
Amputation is the safest thing to do.

193
00:08:35,954 --> 00:08:37,088
Lim already knows about that option.

194
00:08:37,122 --> 00:08:39,090
- Our job is to find a better one.
- No, our job...

195
00:08:39,124 --> 00:08:41,748
Danny's right.
We need to divide and conquer.

196
00:08:42,594 --> 00:08:43,895
I will work on organ damage.

197
00:08:43,928 --> 00:08:45,497
I'll focus on public fractures.

198
00:08:45,530 --> 00:08:47,999
I need intraoperative imaging
to build a 3D model.

199
00:08:48,032 --> 00:08:49,401
Oh, well, I'll go with you.

200
00:08:49,434 --> 00:08:51,936
I need to see the full extent
of the vascular injuries.

201
00:08:51,970 --> 00:08:54,469
That leaves you to figure out
how these repairs heal.

202
00:08:55,774 --> 00:08:57,642
I'll see what I can find.

203
00:09:02,547 --> 00:09:04,916
- This is the baby's mom?
- We think so.

204
00:09:04,949 --> 00:09:06,117
She was brought in a few hours ago

205
00:09:06,151 --> 00:09:07,519
from a homeless encampment

206
00:09:07,552 --> 00:09:09,359
with a delayed postpartum infection.

207
00:09:10,289 --> 00:09:11,690
She's septic.

208
00:09:11,723 --> 00:09:13,124
[SIGHS]

209
00:09:13,397 --> 00:09:15,232
They're optimistic she'll pull through.

210
00:09:16,480 --> 00:09:18,516
Soon, let's hope.

211
00:09:18,630 --> 00:09:21,233
We've got some big decisions
to make for her baby.

212
00:09:31,495 --> 00:09:32,896
Her name's Jasmine West.

213
00:09:32,929 --> 00:09:35,665
She's homeless and has bipolar disorder.

214
00:09:35,699 --> 00:09:38,302
County records show the baby
was born seven weeks ago.

215
00:09:38,335 --> 00:09:41,905
No dad in the picture, no other family.

216
00:09:41,938 --> 00:09:46,009
And this was all she had on her
when EMS brought her in.

217
00:09:46,042 --> 00:09:47,210
We need your consent

218
00:09:47,243 --> 00:09:49,413
for the baby's diagnostic angiogram.

219
00:09:49,446 --> 00:09:50,945
Sure.

220
00:09:51,548 --> 00:09:53,917
The baby's Turner syndrome
makes every procedure,

221
00:09:53,950 --> 00:09:56,700
even a diagnostic test,
a little riskier.

222
00:09:57,354 --> 00:10:00,121
Well, this is your area of expertise.

223
00:10:07,731 --> 00:10:10,066
[GENTLE MUSIC]

224
00:10:12,068 --> 00:10:14,270
Her baby's name is Eden.

225
00:10:18,074 --> 00:10:20,444
[DR. ANDREWS] Pretty close
to the upper lung bifurcation.

226
00:10:20,477 --> 00:10:22,278
[DR. LIM] I reinforced it with sealant.

227
00:10:22,312 --> 00:10:24,180
[DR. ANDREWS] With a synthetic wrap?

228
00:10:24,213 --> 00:10:25,915
[DR. LIM] Are you
questioning my surgical skills?

229
00:10:25,949 --> 00:10:27,451
[DR. ANDREWS] Are you getting defensive?

230
00:10:27,484 --> 00:10:30,920
[MONITORS BEEPING STEADILY]

231
00:10:30,954 --> 00:10:32,922
Okay. We're done.

232
00:10:32,956 --> 00:10:34,196
Let's test it.

233
00:10:38,795 --> 00:10:41,465
[TENSE MUSIC]

234
00:10:42,298 --> 00:10:43,433
Good job.

235
00:10:44,768 --> 00:10:47,837
- [MONITORS BEEPING RAPIDLY]
- [DRAMATIC MUSIC]

236
00:11:00,016 --> 00:11:02,118
Cardiac function stable.
You're good to go.

237
00:11:02,151 --> 00:11:04,185
Inserting the catheter.

238
00:11:04,621 --> 00:11:08,324
What a cute little girl.
Little girls are cute.

239
00:11:08,358 --> 00:11:10,660
- Mine would be really cute.
- Yeah, she'd be adorable.

240
00:11:10,694 --> 00:11:12,485
A boy could be adorable too.

241
00:11:13,329 --> 00:11:14,612
Are you trying to pick your embryo?

242
00:11:15,131 --> 00:11:16,500
I'm leaning towards a girl.

243
00:11:16,533 --> 00:11:18,402
I have a playbook to work from.

244
00:11:18,435 --> 00:11:20,003
My playbook didn't help me much.

245
00:11:20,036 --> 00:11:21,571
A lot of my issues with Kellan came

246
00:11:21,605 --> 00:11:23,172
from me trying to stop him

247
00:11:23,206 --> 00:11:25,008
from making the mistakes I made.

248
00:11:25,041 --> 00:11:26,342
If I'd had a daughter,
maybe I wouldn't have

249
00:11:26,376 --> 00:11:28,000
dumped all my baggage on her.

250
00:11:28,445 --> 00:11:30,044
You should choose a girl.

251
00:11:30,614 --> 00:11:32,616
But you're having a boy.

252
00:11:32,649 --> 00:11:34,250
We didn't get to choose.

253
00:11:34,283 --> 00:11:35,752
In all long-term health metrics,

254
00:11:35,785 --> 00:11:37,787
females are more likely
to outperform males,

255
00:11:37,821 --> 00:11:39,656
although they'll probably
make less money.

256
00:11:39,689 --> 00:11:41,764
The narrowing is longer
than it measured on echo.

257
00:11:45,328 --> 00:11:47,363
We should resect the narrowed segment

258
00:11:47,397 --> 00:11:49,999
and do an aortic anastomosis.

259
00:11:50,033 --> 00:11:51,801
Huge surgery for a baby.

260
00:11:51,835 --> 00:11:53,803
It's the only definitive treatment.

261
00:11:53,837 --> 00:11:55,639
Very definitive
if she dies on the table.

262
00:11:55,672 --> 00:11:57,140
Balloon dilation is safer.

263
00:11:57,173 --> 00:11:59,943
We can do a bigger procedure in a
few years when Eden can tolerate it.

264
00:11:59,976 --> 00:12:02,868
Her heart failure could
relapse between surgeries.

265
00:12:07,651 --> 00:12:09,719
Your two-step approach is safer,

266
00:12:09,753 --> 00:12:11,354
but only if the baby gets
daily medication

267
00:12:11,387 --> 00:12:13,156
and regular follow-up care.

268
00:12:13,189 --> 00:12:15,297
That's a lot to ask of a homeless mom.

269
00:12:19,328 --> 00:12:22,165
I'll page CPS and get consent.

270
00:12:22,198 --> 00:12:23,567
You two practice the surgery.

271
00:12:23,600 --> 00:12:24,765
A lot.

272
00:12:28,237 --> 00:12:32,078
His pelvis looks like a jigsaw
puzzle with a 100 missing pieces.

273
00:12:32,595 --> 00:12:34,363
Jared may be right.

274
00:12:35,912 --> 00:12:37,681
You're taking his side.

275
00:12:37,714 --> 00:12:39,148
I'm not taking anyone's side.

276
00:12:39,182 --> 00:12:41,615
- Scans don't lie.
- Okay.

277
00:12:43,019 --> 00:12:45,489
I'm not sure if you're mad at him or me,

278
00:12:45,522 --> 00:12:47,830
but we all need to get along.

279
00:12:50,560 --> 00:12:51,895
Well, you two seemed to be getting along

280
00:12:51,928 --> 00:12:53,794
pretty well at the taco truck
the other night.

281
00:12:55,198 --> 00:12:56,666
That was nothing.

282
00:12:56,700 --> 00:12:57,834
Mm-hmm.

283
00:12:58,100 --> 00:12:59,535
You're spying on me?

284
00:13:00,136 --> 00:13:01,677
I was getting a taco.

285
00:13:01,702 --> 00:13:04,739
This green-eyed monster thing
is not a good look for you.

286
00:13:05,041 --> 00:13:06,510
I'm not jealous.

287
00:13:06,543 --> 00:13:08,612
But you're right.

288
00:13:08,645 --> 00:13:11,515
We're supposed to be a team.
He's just not a good fit.

289
00:13:11,548 --> 00:13:13,272
Let's just focus on the patient.

290
00:13:14,718 --> 00:13:15,718
Fine.

291
00:13:19,388 --> 00:13:22,626
Can't see how we're gonna
repair all of that arterial damage.

292
00:13:24,093 --> 00:13:25,261
What if we don't?

293
00:13:27,736 --> 00:13:29,079
They could bypass it.

294
00:13:30,580 --> 00:13:31,815
All of it.

295
00:13:35,639 --> 00:13:37,907
This paper by Dr. Alice Chen features

296
00:13:37,941 --> 00:13:40,577
interesting data on tumor
treating fields, for GBM tumors.

297
00:13:40,610 --> 00:13:42,245
I'm trying to enjoy my tuna melt.

298
00:13:42,278 --> 00:13:44,413
Dr. Chen is starting a new study soon.

299
00:13:44,446 --> 00:13:45,722
You should call her.

300
00:13:45,755 --> 00:13:48,317
I'm not gonna spend the day
chasing down cancer treatments

301
00:13:48,351 --> 00:13:50,987
because I don't have cancer.

302
00:13:51,020 --> 00:13:53,823
Okay, there is a higher
probability of cancer relapse

303
00:13:53,857 --> 00:13:55,458
because you refused
maintenance chemotherapy.

304
00:13:55,491 --> 00:13:56,760
I'm not gonna talk about this.

305
00:13:56,793 --> 00:13:59,495
Recurrent GBM causes much
worse symptoms than temozolomide.

306
00:13:59,529 --> 00:14:01,164
That's the decision I made.

307
00:14:01,197 --> 00:14:04,734
I'm going crazy.
There are three crib sets I like.

308
00:14:04,768 --> 00:14:06,603
I just can't decide.

309
00:14:06,636 --> 00:14:09,105
Could you guys go to the store
after work tonight

310
00:14:09,138 --> 00:14:10,954
and pick your fave?

311
00:14:13,476 --> 00:14:14,644
Okay.

312
00:14:14,678 --> 00:14:15,712
[PHONE CHIMES]

313
00:14:17,313 --> 00:14:19,797
I have to go practice
the baby's surgery.

314
00:14:20,383 --> 00:14:22,686
I will see you after work.

315
00:14:25,347 --> 00:14:26,615
Oh, my God!

316
00:14:28,792 --> 00:14:30,026
Should I be worried?

317
00:14:30,059 --> 00:14:31,767
About me? No.

318
00:14:37,466 --> 00:14:39,402
[MONITOR BEEPING STEADILY]

319
00:14:42,571 --> 00:14:43,707
[DR. ANDREWS] We're going to kill him

320
00:14:43,740 --> 00:14:45,508
trying to save the lobe of his lung.

321
00:14:45,541 --> 00:14:48,344
Removing it still leaves him
with 4/5ths capacity.

322
00:14:48,377 --> 00:14:50,647
[DR. LIM] When there's a chance
you might lose half your body,

323
00:14:50,680 --> 00:14:52,413
everything you have left matters.

324
00:14:56,999 --> 00:14:59,169
[DR. ANDREWS] I need
lobectomy instruments.

325
00:15:01,190 --> 00:15:03,392
[DR. LIM] This is my OR, my department.

326
00:15:03,426 --> 00:15:04,994
[DR. ANDREWS] My hospital.

327
00:15:05,028 --> 00:15:07,163
And when a doctor's judgment
is compromised,

328
00:15:07,196 --> 00:15:10,967
it's my responsibility to step
in and protect our patients.

329
00:15:11,000 --> 00:15:13,737
[DR. LIM] In what possible way
am I compromised?

330
00:15:16,192 --> 00:15:19,562
Are you implying that my time in a
wheelchair is affecting my objectivity?

331
00:15:20,877 --> 00:15:22,359
[DR. ANDREWS] How could it not?

332
00:15:25,381 --> 00:15:26,780
[DR. LIM] This is my patient.

333
00:15:27,684 --> 00:15:29,185
[DR. ANDREWS] And I'm your boss.

334
00:15:38,227 --> 00:15:41,170
You can either do this with me,
or I'll find someone who will.

335
00:15:46,970 --> 00:15:48,144
[DR. LIM] Deaver retractor.

336
00:16:02,513 --> 00:16:04,650
[JORDAN] After they fix
the colon, Lim can use

337
00:16:04,683 --> 00:16:06,918
some preserved bowel
to create a new bladder

338
00:16:06,952 --> 00:16:08,386
like these Korean surgeons did.

339
00:16:08,419 --> 00:16:10,756
That would work perfectly
with what I found.

340
00:16:10,789 --> 00:16:12,824
We can bypass all of the artery injuries

341
00:16:12,858 --> 00:16:14,559
through two Dacron conduits

342
00:16:14,592 --> 00:16:16,027
directly to his lower extremities.

343
00:16:16,061 --> 00:16:18,363
And the improved blood flow
would help with my idea

344
00:16:18,396 --> 00:16:19,931
with his pelvis.

345
00:16:19,965 --> 00:16:21,767
So skin flaps,

346
00:16:21,800 --> 00:16:24,069
Dacron artery bypass, neo-bladder,

347
00:16:24,102 --> 00:16:27,086
bowel repair with biomaterials, and...

348
00:16:28,774 --> 00:16:33,011
a badass, Wolverine-like
adamantium skeleton.

349
00:16:33,044 --> 00:16:35,013
It's experimental,
but it's pretty damn cool.

350
00:16:35,046 --> 00:16:37,763
Now, how do we make sure all this heals?

351
00:16:38,616 --> 00:16:40,285
There's one study in Canada.

352
00:16:40,318 --> 00:16:41,887
A cocktail of recumbent growth hormones

353
00:16:41,920 --> 00:16:43,755
and pentoxifylline showed
a threefold increase

354
00:16:43,789 --> 00:16:45,688
in traumatic wound healing rates.

355
00:16:46,430 --> 00:16:47,831
That's great.

356
00:16:48,459 --> 00:16:50,061
There's only four patients,

357
00:16:50,095 --> 00:16:51,944
and none of them had
the same injuries as Brady.

358
00:16:52,630 --> 00:16:53,865
So no one got cut in half

359
00:16:53,899 --> 00:16:55,533
with a metal sheet on an oil rig?

360
00:16:55,566 --> 00:16:57,869
Great, I guess we just
toss that study out.

361
00:16:57,903 --> 00:17:00,369
I'm just saying,
I wish we had something better.

362
00:17:01,006 --> 00:17:03,908
I'll happily take a threefold increase.

363
00:17:03,942 --> 00:17:05,643
This is a workable plan.

364
00:17:05,677 --> 00:17:07,460
Good, because Lim wants an update.

365
00:17:16,287 --> 00:17:17,822
Some promising ideas,

366
00:17:17,856 --> 00:17:19,930
but there's a lot
of frail tissue to heal.

367
00:17:21,760 --> 00:17:23,494
I found a study using growth hormones

368
00:17:23,528 --> 00:17:25,230
to accelerate the healing.

369
00:17:25,263 --> 00:17:27,229
Interesting. Would that work here?

370
00:17:28,867 --> 00:17:30,936
There was a threefold plan
that we had...

371
00:17:30,969 --> 00:17:33,004
Well, hang on, I want to hear
from the guy who did the research.

372
00:17:33,038 --> 00:17:34,039
[CHUCKLES]

373
00:17:36,474 --> 00:17:38,476
I'm not confident it would.

374
00:17:38,509 --> 00:17:40,478
You guys said you had a workable plan.

375
00:17:40,511 --> 00:17:42,080
- It can work.
- Jared's being overly cautious.

376
00:17:42,113 --> 00:17:43,949
If you close the pelvis
without good vascular support,

377
00:17:43,982 --> 00:17:45,516
all these repairs will get necrotic.

378
00:17:45,550 --> 00:17:46,649
We will have good support.

379
00:17:46,673 --> 00:17:47,919
The
Dacron conduit to restore blood flow...

380
00:17:47,953 --> 00:17:49,287
Not normal flow and not quick enough.

381
00:17:49,320 --> 00:17:50,521
Oh, dude, you've been
doom and gloom from the start.

382
00:17:50,555 --> 00:17:52,004
- I've been...
- Enough.

383
00:17:52,557 --> 00:17:53,992
Find a way to heal him.

384
00:17:54,025 --> 00:17:56,967
I don't care who it comes from,
but I need it soon.

385
00:18:14,179 --> 00:18:16,987
The nurse said she's
responding to the medication.

386
00:18:18,583 --> 00:18:21,519
How long will Eden be in
the hospital after the surgery?

387
00:18:21,552 --> 00:18:23,121
Two weeks.

388
00:18:23,154 --> 00:18:25,690
Jasmine's on the wait list
for long-term housing.

389
00:18:25,723 --> 00:18:27,248
She might have a place by then.

390
00:18:28,894 --> 00:18:31,001
Also, uh,

391
00:18:31,863 --> 00:18:34,199
is this safe if she keeps breastfeeding?

392
00:18:34,232 --> 00:18:35,673
The police found this in her tent.

393
00:18:36,734 --> 00:18:39,137
This is a bipolar mood stabilizer.

394
00:18:39,170 --> 00:18:40,344
It's safe.

395
00:18:41,006 --> 00:18:42,808
How long has she been taking this?

396
00:18:42,841 --> 00:18:44,475
She saw her psychiatrist
for the first time in years

397
00:18:44,509 --> 00:18:45,977
about five weeks ago.

398
00:18:46,011 --> 00:18:48,980
She responded to it in the past.

399
00:18:49,014 --> 00:18:51,582
She had a follow-up
scheduled with him tomorrow.

400
00:18:56,621 --> 00:18:59,190
There's another
treatment option for Eden.

401
00:18:59,224 --> 00:19:01,993
I know, I know. It's disgusting.

402
00:19:02,027 --> 00:19:03,761
You're gonna think,
"What are the percentages?"

403
00:19:03,795 --> 00:19:05,931
Trust me, you change his diapers

404
00:19:05,964 --> 00:19:07,398
and you are gonna bond with your son.

405
00:19:07,432 --> 00:19:09,000
Okay, here is the Angelic Dream Set.

406
00:19:09,034 --> 00:19:12,537
And be attentive to Lea.
Be extra attentive.

407
00:19:12,570 --> 00:19:14,005
She's gonna be sleep-deprived.

408
00:19:14,039 --> 00:19:15,573
You are gonna be sleep-deprived.

409
00:19:15,606 --> 00:19:17,008
You're both gonna
want to lose it. Don't.

410
00:19:17,042 --> 00:19:19,177
This mattress is very comfortable.

411
00:19:19,210 --> 00:19:21,779
This dark wood is a little bit funereal.

412
00:19:21,813 --> 00:19:24,215
The baby won't care about the color.

413
00:19:24,249 --> 00:19:26,952
It's all about first impressions.

414
00:19:26,985 --> 00:19:29,054
It's a newborn, you know? Clean slate.

415
00:19:29,087 --> 00:19:31,089
You want to surround it
with beautiful things.

416
00:19:31,122 --> 00:19:32,790
A stuffed, soft... No,
you don't want to do that.

417
00:19:32,824 --> 00:19:34,148
That's a hazard.

418
00:19:34,181 --> 00:19:35,861
But these spinny things...
what do you call these?

419
00:19:35,894 --> 00:19:37,362
Mobiles, mobiles.

420
00:19:37,395 --> 00:19:39,030
You know, everywhere he looks,

421
00:19:39,064 --> 00:19:40,765
you want him to be interested,
stimulated.

422
00:19:40,798 --> 00:19:42,600
Beautiful sounds. Beautiful music.

423
00:19:42,633 --> 00:19:44,435
Mozart. Joni Mitchell.

424
00:19:44,469 --> 00:19:46,604
If you want to talk about something

425
00:19:46,637 --> 00:19:47,873
other than selecting a crib,

426
00:19:47,906 --> 00:19:49,207
it should be brain cancer treatments.

427
00:19:49,240 --> 00:19:50,608
Oh my God!
I don't want to think about that.

428
00:19:50,641 --> 00:19:51,809
I can't not think about it.

429
00:19:51,843 --> 00:19:54,645
In 12 hours, we will have results...

430
00:19:54,679 --> 00:19:56,147
- Exactly.
- We should be prepared.

431
00:19:56,181 --> 00:20:00,341
Okay, Shaun, stop. Just...
just stop for a second

432
00:20:01,913 --> 00:20:02,947
Sit down.

433
00:20:04,822 --> 00:20:05,857
Okay.

434
00:20:11,529 --> 00:20:13,145
If I have cancer,

435
00:20:16,767 --> 00:20:19,104
I'd be at stage four, right?

436
00:20:19,137 --> 00:20:21,739
There's no miracle cure for that.

437
00:20:21,772 --> 00:20:24,609
You still haven't called
Dr. Chen in Cleveland.

438
00:20:24,642 --> 00:20:25,810
I read her paper.

439
00:20:25,843 --> 00:20:28,410
It doesn't work with recurrent GBM.

440
00:20:37,108 --> 00:20:40,339
How can you think about teddy
bears when you might be dying?

441
00:20:41,960 --> 00:20:44,862
If you're right, Shaun,

442
00:20:44,896 --> 00:20:47,638
then I won't be here
when your son is born.

443
00:20:48,666 --> 00:20:50,724
I won't be here to help you.

444
00:20:54,072 --> 00:20:56,207
We'll know when we know.

445
00:21:03,081 --> 00:21:04,738
I like the lighter wood.

446
00:21:06,684 --> 00:21:08,075
So do I.

447
00:21:13,084 --> 00:21:15,249
What else should I know about diapers?

448
00:21:27,953 --> 00:21:29,122
[DR. ANDREWS] Lung lobe is out.

449
00:21:29,155 --> 00:21:32,858
[MONITOR BEEPING STEADILY]

450
00:21:32,891 --> 00:21:35,028
These segmental vessels are damaged.

451
00:21:35,061 --> 00:21:36,929
[DR. LIM] Running 7-0 sutures
should fix them.

452
00:21:36,962 --> 00:21:39,365
[DR. ANDREWS] Why bother?
The upper lobe is out.

453
00:21:39,398 --> 00:21:41,600
[DR. LIM] If we can get
Perez's Dacron graft to work,

454
00:21:41,634 --> 00:21:42,901
we could use them
to save his lower half.

455
00:21:42,935 --> 00:21:44,270
[DR. ANDREWS] Very unlikely.

456
00:21:44,303 --> 00:21:45,738
[DR. LIM] The residents
are working on it.

457
00:21:45,771 --> 00:21:47,629
[DR.
ANDREWS] And obviously not succeeding.

458
00:21:50,576 --> 00:21:51,644
[DR. LIM] First, I'm compromised,

459
00:21:51,677 --> 00:21:53,079
now you're slagging on the residents?

460
00:21:53,112 --> 00:21:55,214
[DR. ANDREWS] Two are on probation,
you let another one go,

461
00:21:55,248 --> 00:21:56,982
and her replacement is someone I fired.

462
00:21:57,016 --> 00:21:58,784
[DR. LIM] He's also the world's
most experienced first-year,

463
00:21:58,817 --> 00:22:00,153
and he brings a new perspective
to the mix.

464
00:22:00,186 --> 00:22:02,088
And training these guys is my job.

465
00:22:02,121 --> 00:22:04,290
[DR. ANDREWS] Your job
is to make my job easier.

466
00:22:04,323 --> 00:22:05,991
[DR. LIM] I thought it was to
run a great surgical department.

467
00:22:06,025 --> 00:22:07,993
[DR. ANDREWS] If you were doing that,
I wouldn't have to think

468
00:22:08,027 --> 00:22:10,193
about that department
as much as I have recently.

469
00:22:12,665 --> 00:22:14,030
[DR. LIM] Vessel loops.

470
00:22:25,311 --> 00:22:27,246
[DR. PARK] You changed
the baby's surgery?

471
00:22:27,280 --> 00:22:29,482
We weren't giving Jasmine enough credit.

472
00:22:29,515 --> 00:22:31,016
She's done a lot to turn her life around

473
00:22:31,050 --> 00:22:32,285
since Eden was born.

474
00:22:32,318 --> 00:22:34,087
For seven weeks.

475
00:22:34,120 --> 00:22:35,333
And with this new treatment plan,

476
00:22:35,357 --> 00:22:37,262
she has to keep it up for seven years.

477
00:22:37,823 --> 00:22:39,389
A baby can change a person.

478
00:22:41,294 --> 00:22:42,595
[INTERCOM BEEPS]

479
00:22:42,628 --> 00:22:44,489
[ANNOUNCER ON INTERCOM]
Code pink, NICU bed three.

480
00:22:44,522 --> 00:22:45,764
That's Eden.

481
00:22:45,798 --> 00:22:47,900
Code pink, NICU bed three.

482
00:22:48,834 --> 00:22:51,837
[SIRENS WAILING IN DISTANCE]

483
00:22:58,711 --> 00:23:00,913
Lim asked for my opinion.

484
00:23:07,553 --> 00:23:12,191
I met so many rich, entitled
guys like you in college,

485
00:23:12,225 --> 00:23:14,193
and I couldn't stand them...

486
00:23:14,227 --> 00:23:15,884
even the ones I slept with.

487
00:23:17,563 --> 00:23:19,498
If you can't handle the hard work,

488
00:23:19,532 --> 00:23:22,034
just get in your Lamborghini
and go home.

489
00:23:24,703 --> 00:23:26,071
Sherry Lewis.

490
00:23:31,444 --> 00:23:33,318
One of my last patients in Denver.

491
00:23:34,280 --> 00:23:36,081
Late-stage ovarian cancer.

492
00:23:36,115 --> 00:23:38,073
Treatment's pelvic exenteration.

493
00:23:38,584 --> 00:23:40,686
You remove everything.

494
00:23:40,719 --> 00:23:44,329
The bladder, colon, uterus, and vagina.

495
00:23:44,923 --> 00:23:46,759
Now, in success,

496
00:23:46,792 --> 00:23:49,362
the patient lives with
colostomy and urostomy bags,

497
00:23:49,395 --> 00:23:51,878
severe menopause,
and absolutely no sex life.

498
00:23:53,266 --> 00:23:55,840
Well, it's brutal but effective.

499
00:23:56,769 --> 00:23:57,870
Would have been.

500
00:24:00,105 --> 00:24:02,472
But I talked my attending out of it,

501
00:24:03,108 --> 00:24:05,678
in favor of an experimental surgery.

502
00:24:05,711 --> 00:24:07,213
A wide excision of all the tumors,

503
00:24:07,246 --> 00:24:09,915
then you reconstruct the entire
pelvic floor with TRAM flaps.

504
00:24:09,948 --> 00:24:11,731
Incredibly advanced.

505
00:24:13,386 --> 00:24:15,475
The type of stuff you're
talking about doing to Brady.

506
00:24:20,626 --> 00:24:22,295
Sherry, um...

507
00:24:26,732 --> 00:24:28,501
Sherry died on the table.

508
00:24:33,144 --> 00:24:34,879
And I left Denver.

509
00:24:50,989 --> 00:24:53,189
We take risks and people die.

510
00:24:55,027 --> 00:24:56,901
But if we play it safe,

511
00:24:59,465 --> 00:25:00,822
they die too.

512
00:25:04,370 --> 00:25:06,439
I'd rather regret
fighting too hard for a patient

513
00:25:06,472 --> 00:25:08,341
than not hard enough.

514
00:25:26,625 --> 00:25:29,595
[SHAUN] Why would your
daughter shave your cat?

515
00:25:29,628 --> 00:25:33,799
[DR. GLASSMAN] Long story.
Point being, don't get a cat.

516
00:25:33,832 --> 00:25:35,934
Kids are gonna tell you they're
gonna clean the litter box.

517
00:25:35,968 --> 00:25:38,671
They're not gonna clean the litter box.
Don't fall for that trap.

518
00:25:38,704 --> 00:25:41,039
You made a lot of mistakes.

519
00:25:41,073 --> 00:25:42,174
Yeah.

520
00:25:42,875 --> 00:25:45,043
It all boils down to

521
00:25:45,077 --> 00:25:46,979
Maddy's mom basically raised her

522
00:25:47,012 --> 00:25:49,282
while I focused on work.

523
00:25:49,315 --> 00:25:51,850
You were a surgeon.
She was a real estate agent.

524
00:25:51,884 --> 00:25:53,286
I love surgery.

525
00:25:53,319 --> 00:25:55,187
I love poking around in people's brains.

526
00:25:55,220 --> 00:25:57,222
It's very exciting.

527
00:25:57,256 --> 00:25:59,858
And I get to save some lives
while I'm at it.

528
00:25:59,892 --> 00:26:02,861
Saving lives is very exciting.

529
00:26:02,895 --> 00:26:05,063
So were Maddy's first steps,
her first words,

530
00:26:05,097 --> 00:26:08,901
her first piano recital, or so I heard.

531
00:26:08,934 --> 00:26:10,869
Work over family,
and that's what you get.

532
00:26:10,903 --> 00:26:13,061
You're not gonna make the same mistakes.

533
00:26:14,039 --> 00:26:15,641
I don't think I will.

534
00:26:15,674 --> 00:26:17,816
We are very different people.

535
00:26:22,681 --> 00:26:23,849
Are we?

536
00:26:29,588 --> 00:26:33,392
I have learned some
very useful things from you.

537
00:26:33,598 --> 00:26:35,533
Well, right back at you.

538
00:26:38,096 --> 00:26:40,098
[PHONE CHIMES]

539
00:26:42,465 --> 00:26:44,870
The baby needs surgery.

540
00:26:44,903 --> 00:26:46,439
The crib needs to be assembled.

541
00:26:46,472 --> 00:26:47,840
Go.

542
00:26:47,873 --> 00:26:49,442
But you chose work way too often.

543
00:26:49,475 --> 00:26:51,344
When should I prioritize family?

544
00:26:51,377 --> 00:26:52,911
[CHUCKLES] When you have a sick baby

545
00:26:52,945 --> 00:26:56,646
and a piece of furniture,
the sick baby wins every time. Go.

546
00:26:56,915 --> 00:26:58,317
I got this.

547
00:27:10,329 --> 00:27:11,530
[PEREZ] Serial debridement.

548
00:27:11,564 --> 00:27:13,899
Helps healing a little, but...

549
00:27:13,932 --> 00:27:16,234
it increases infection risk a lot.

550
00:27:16,268 --> 00:27:17,458
Well, then I'm tapped out.

551
00:27:18,404 --> 00:27:19,472
Me too.

552
00:27:21,106 --> 00:27:22,941
I guess we should tell Lim.

553
00:27:23,909 --> 00:27:25,310
Lamborghinis.

554
00:27:25,344 --> 00:27:26,945
[BREATHING HEAVILY]

555
00:27:26,979 --> 00:27:28,386
Lamborghinis.

556
00:27:29,582 --> 00:27:31,717
Now, most sports cars use
pressurized combustion

557
00:27:31,750 --> 00:27:33,552
to achieve that kind of performance,
but not Lambos.

558
00:27:33,586 --> 00:27:34,720
No, no, no, no.

559
00:27:34,753 --> 00:27:36,121
To reduce engine wear, they use vacuums

560
00:27:36,154 --> 00:27:37,756
to pour gas into the pistons.

561
00:27:37,790 --> 00:27:39,558
Now, Brady's organs won't heal

562
00:27:39,592 --> 00:27:41,032
because we can't get
enough flow to them,

563
00:27:41,065 --> 00:27:42,661
but if you force more blood

564
00:27:42,695 --> 00:27:44,497
into the area, well,
then we cause lethally high

565
00:27:44,530 --> 00:27:47,766
abdominal compartment pressure. So...

566
00:27:47,800 --> 00:27:50,736
Let's pull in the blood
passively by creating a vacuum

567
00:27:50,769 --> 00:27:52,952
using internal suction devices.

568
00:27:56,809 --> 00:28:00,248
A low pressure system with low
tissue stress is better for healing.

569
00:28:00,591 --> 00:28:01,592
[ASHER] That's...

570
00:28:02,981 --> 00:28:04,589
That's a brilliant idea.

571
00:28:05,017 --> 00:28:06,485
But it won't work.

572
00:28:06,519 --> 00:28:08,676
Not without blood
coming into the right areas.

573
00:28:09,388 --> 00:28:11,095
I need your help with that.

574
00:28:12,858 --> 00:28:14,359
Where do you need the blood?

575
00:28:21,333 --> 00:28:23,268
It's what we proposed earlier,

576
00:28:23,301 --> 00:28:25,137
plus a healing plan that Jared...

577
00:28:25,170 --> 00:28:26,444
[DR. ANDREWS] I can read.

578
00:28:29,341 --> 00:28:30,576
[DR. LIM] Good work.

579
00:28:34,179 --> 00:28:36,148
[DR. ANDREWS] It's four
experimental techniques

580
00:28:36,181 --> 00:28:39,585
rolled into an eight-hour surgery
with lousy odds of success.

581
00:28:49,261 --> 00:28:50,760
Let's give it a try.

582
00:29:03,440 --> 00:29:05,875
[DR. LIM] Dacron conduits
are connected to the aorta.

583
00:29:05,909 --> 00:29:08,478
Do the anastomosis sites
look secure enough?

584
00:29:08,512 --> 00:29:10,314
Any weak spots in there
will move that metal.

585
00:29:10,347 --> 00:29:11,848
He'll bleed out.

586
00:29:11,881 --> 00:29:13,049
They know.

587
00:29:14,083 --> 00:29:15,385
[DR. ANDREWS] On three.

588
00:29:15,419 --> 00:29:18,522
One, two, three.

589
00:29:38,642 --> 00:29:39,943
[DR. LIM] We have hemostasis.

590
00:29:39,976 --> 00:29:42,111
[DR. ANDREWS] And good
blood flow through the conduits.

591
00:29:42,145 --> 00:29:43,880
Tissue's perfusing.

592
00:29:45,649 --> 00:29:47,851
[BOTH LAUGHING]

593
00:29:47,884 --> 00:29:50,920
Yes! Yes!

594
00:29:50,954 --> 00:29:54,023
[MUFFLED CHATTER]

595
00:29:54,057 --> 00:29:57,861
[LAUGHTER]

596
00:29:57,894 --> 00:30:00,163
[DR. ANDREWS] Time to move on
to the pelvic fractures.

597
00:30:02,599 --> 00:30:06,403
This is much more important
than assembling a crib.

598
00:30:06,436 --> 00:30:08,204
But patients will always need surgery,

599
00:30:08,237 --> 00:30:10,474
and my family will
always need attention.

600
00:30:10,507 --> 00:30:12,776
If there's no clear choice
between a patient

601
00:30:12,809 --> 00:30:15,545
and your family, pick the one
that's related to you.

602
00:30:16,032 --> 00:30:17,032
Hmm.

603
00:30:19,516 --> 00:30:21,885
Obviously, choose family when you can,

604
00:30:21,918 --> 00:30:24,721
but sacrifice is part of the job.

605
00:30:24,754 --> 00:30:26,756
That's a good point.

606
00:30:26,790 --> 00:30:28,392
But you are divorced.

607
00:30:28,425 --> 00:30:29,959
That is more sacrifice than I want.

608
00:30:29,993 --> 00:30:31,140
Fair.

609
00:30:31,164 --> 00:30:32,429
[MONITOR BEEPS]

610
00:30:32,462 --> 00:30:35,009
[DR. REZNICK] Eden's O2 sat
just dropped a bit.

611
00:30:35,042 --> 00:30:36,600
I'm nowhere near her lungs.

612
00:30:55,952 --> 00:30:57,987
Turner syndrome causes leaky vessels.

613
00:30:58,021 --> 00:31:00,590
The stress on Eden's body is
causing lymph fluid to build up.

614
00:31:00,624 --> 00:31:02,258
We can drain it with a chest tube.

615
00:31:02,291 --> 00:31:04,338
Her chest is so small, you'd risk a
collapsed lung

616
00:31:04,362 --> 00:31:05,837
and pleural infection.

617
00:31:06,663 --> 00:31:09,132
I could clear the lung with diuretics.

618
00:31:09,165 --> 00:31:13,220
The risks and benefits of both
treatments are nearly identical.

619
00:31:13,970 --> 00:31:15,839
But that also means it doesn't
matter which one we choose,

620
00:31:15,872 --> 00:31:17,373
which makes the choice easy.

621
00:31:17,407 --> 00:31:19,776
I find inserting chest tubes
particularly satisfying,

622
00:31:19,809 --> 00:31:21,645
so I will do that.

623
00:31:27,083 --> 00:31:30,403
The risks and benefits of a boy
and a girl are nearly identical too.

624
00:31:32,188 --> 00:31:34,064
But girls kick ass.

625
00:31:39,028 --> 00:31:41,648
[MONITOR BEEPING STEADILY]

626
00:31:41,681 --> 00:31:43,230
[DR. ANDREWS] This implant's gonna
be a tight fit

627
00:31:43,254 --> 00:31:45,168
around the cauda equina.

628
00:31:45,201 --> 00:31:47,637
The bioengineer's mapping algorithm

629
00:31:47,671 --> 00:31:50,173
was designed to optimize stability.

630
00:31:50,206 --> 00:31:51,808
[DR. LIM] Well,
Brady's not an algorithm.

631
00:31:51,841 --> 00:31:53,635
His nerves are gonna run where they run.

632
00:31:54,878 --> 00:31:56,880
[DR. ANDREWS] I'll set it in position.

633
00:31:56,913 --> 00:31:58,582
[MONITOR BEEPING]

634
00:31:58,615 --> 00:32:00,984
Nerve impingement.

635
00:32:01,017 --> 00:32:02,602
[DR. LIM] I'll expand
the narrowing with a rod.

636
00:32:10,093 --> 00:32:12,228
Wait, there's an alternate
algorithm that can fix that.

637
00:32:12,261 --> 00:32:14,898
[DR. LIM] Settle down,
Dr. Allen. I got this.

638
00:32:14,931 --> 00:32:18,034
That's $100,000 worth of tech,
and she's using a rod.

639
00:32:20,269 --> 00:32:23,239
[BEEPING RAPIDLY]

640
00:32:23,272 --> 00:32:25,458
[DR. ANDREWS] Nerve activity flattening.

641
00:32:26,109 --> 00:32:29,963
[DR. LIM] One more minute.

642
00:32:35,151 --> 00:32:37,386
[BEEPING STEADIES]

643
00:32:37,420 --> 00:32:39,088
[BREATHES DEEPLY]

644
00:32:45,829 --> 00:32:47,522
[DR. ANDREWS] The old
cantilever maneuver.

645
00:32:47,897 --> 00:32:49,098
Nice work.

646
00:32:49,132 --> 00:32:50,734
[DR. LIM] Can't beat the classics.

647
00:32:56,172 --> 00:32:59,659
Eden's surgery went well,
so I was hoping Jasmine might...

648
00:33:12,381 --> 00:33:13,549
V-fib.

649
00:33:16,125 --> 00:33:18,178
Ran a code for an hour, but...

650
00:33:20,329 --> 00:33:22,182
she'd just been through too much.

651
00:33:28,004 --> 00:33:30,907
[DR. LIM] Vacuum devices
are in position.

652
00:33:30,940 --> 00:33:33,109
Let's see if they work.

653
00:33:33,142 --> 00:33:35,654
[DR. ANDREWS] Keep a close eye
on his intra-abdominal pressure.

654
00:33:37,947 --> 00:33:39,324
[DR. LIM] We have vacuum.

655
00:33:40,349 --> 00:33:41,651
[VILLANUEVA] IA pressure's okay.

656
00:33:41,685 --> 00:33:43,687
[DR. LIM] Time for the tissue flaps.

657
00:33:43,720 --> 00:33:45,689
Looking good, Lambo.

658
00:33:47,991 --> 00:33:49,926
[VILLANUEVA] There's
a small spike in IA pressure.

659
00:33:49,959 --> 00:33:52,328
- [BEEPING RAPIDLY]
- [DR. LIM] Increasing vacuum suction.

660
00:33:52,361 --> 00:33:54,330
[VILLANUEVA] Still climbing.

661
00:33:57,333 --> 00:33:58,534
[DR. ANDREWS] Pressure's
compressing his organs.

662
00:33:58,568 --> 00:34:00,336
[BEEPING RAPIDLY]

663
00:34:00,369 --> 00:34:01,605
He's getting ischemic.

664
00:34:01,638 --> 00:34:03,348
[DR. LIM] I'm going up to 55.

665
00:34:09,979 --> 00:34:11,314
He's in shock.

666
00:34:12,749 --> 00:34:14,776
I did this.

667
00:34:15,350 --> 00:34:17,862
You didn't do anything.
We're in this together.

668
00:34:22,357 --> 00:34:23,359
[DR. ANDREWS] We need to amputate.

669
00:34:23,392 --> 00:34:24,794
[DR. LIM] Not yet.

670
00:34:24,828 --> 00:34:26,830
[DR. ANDREWS] Audrey, pressure's
too high. We're killing his organs.

671
00:34:26,863 --> 00:34:28,206
I think he's wrong.

672
00:34:29,765 --> 00:34:31,459
Then fight for your patient.

673
00:34:36,504 --> 00:34:38,241
[DR. ANDREWS] We need to amputate.

674
00:34:41,577 --> 00:34:42,979
- [DR. LIM] Okay.
- [DR. ANDREWS] All right.

675
00:34:43,011 --> 00:34:44,413
We need a Liston amputation knife,

676
00:34:44,446 --> 00:34:46,382
a bone saw, and a set
of 5 1/2-inch hemostats.

677
00:34:46,415 --> 00:34:48,393
He can handle 75.

678
00:34:49,252 --> 00:34:51,520
[DR. ANDREWS] With that kind
of pressure, he'll bleed out.

679
00:34:51,553 --> 00:34:52,856
Normally, yes.

680
00:34:52,888 --> 00:34:54,691
But the Dacron conduits Dr. Perez chose

681
00:34:54,723 --> 00:34:56,559
are more rigid than typical vessels.

682
00:34:56,591 --> 00:34:58,027
They'll hold up.

683
00:34:59,195 --> 00:35:00,447
[DR. LIM] Let's do it.

684
00:35:01,898 --> 00:35:05,660
I trust my residents, Marcus,
and I need you to trust me.

685
00:35:14,811 --> 00:35:16,337
[DR. ANDREWS] Let's go to 75.

686
00:35:36,620 --> 00:35:38,489
Brady's family are here.

687
00:35:42,026 --> 00:35:43,360
Is my husband...

688
00:35:43,393 --> 00:35:45,396
The surgery was a success.

689
00:35:45,829 --> 00:35:47,899
It will be a long recovery, but...

690
00:35:47,932 --> 00:35:48,932
Oh.

691
00:35:52,803 --> 00:35:55,706
Thank you for saving my dad.

692
00:35:59,676 --> 00:36:01,045
I'll take you to him.

693
00:36:05,682 --> 00:36:07,952
I should be dead on my feet,
but I just feel...

694
00:36:08,652 --> 00:36:10,279
- Awesome?
- Yeah.

695
00:36:17,161 --> 00:36:19,205
It's been 24 hours.

696
00:36:21,498 --> 00:36:22,633
Yeah.

697
00:36:29,473 --> 00:36:31,708
[SIGHS] I just need a minute.

698
00:36:31,742 --> 00:36:34,762
A minute won't change the results.

699
00:36:35,712 --> 00:36:37,139
No, it won't.

700
00:36:50,394 --> 00:36:54,398
No cancerous DNA detected.

701
00:36:54,431 --> 00:36:55,899
I was wrong!

702
00:36:56,867 --> 00:36:58,169
Yes, you were.

703
00:37:02,006 --> 00:37:04,908
[ EVERYBODY KARAOKE TRACK PLAYING]

704
00:37:04,942 --> 00:37:06,077
[LAUGHS]

705
00:37:06,110 --> 00:37:08,745
♪ Everybody ♪

706
00:37:08,779 --> 00:37:10,581
♪ Yeah ♪

707
00:37:10,614 --> 00:37:13,350
♪ Rock your body, yeah ♪

708
00:37:13,384 --> 00:37:14,986
♪ Yeah ♪

709
00:37:15,019 --> 00:37:17,921
♪ Everybody ♪

710
00:37:17,955 --> 00:37:20,524
♪ Rock your body right ♪

711
00:37:21,192 --> 00:37:22,326
What?

712
00:37:22,359 --> 00:37:25,896
♪ Backstreet's back, all right ♪

713
00:37:25,929 --> 00:37:27,664
I'm gonna keep up this same energy

714
00:37:27,698 --> 00:37:29,066
with some Whitney.

715
00:37:29,733 --> 00:37:30,901
You were right.

716
00:37:31,935 --> 00:37:33,070
You always are.

717
00:37:33,104 --> 00:37:34,363
You're learning.

718
00:37:35,939 --> 00:37:39,110
♪ Oh, my God, we're back again ♪

719
00:37:40,444 --> 00:37:43,889
You know, before when I was
bitching about Jared,

720
00:37:44,982 --> 00:37:46,117
it's because...

721
00:37:46,984 --> 00:37:48,853
Well, I am a little jealous.

722
00:37:49,367 --> 00:37:50,367
A little?

723
00:37:51,122 --> 00:37:52,315
Okay.

724
00:37:52,339 --> 00:37:53,624
[CHUCKLES]

725
00:37:53,657 --> 00:37:54,758
What you saw between Jared and I...

726
00:37:54,791 --> 00:37:56,927
It's none of my business.

727
00:37:56,960 --> 00:37:59,930
You deserve somebody
who's ready to fully commit.

728
00:37:59,963 --> 00:38:01,307
Somebody who makes you happy.

729
00:38:03,267 --> 00:38:04,801
Whoever that may be.

730
00:38:06,170 --> 00:38:08,039
- ♪ Yeah ♪
- Danny!

731
00:38:08,072 --> 00:38:09,306
We need your boy band face
for the chorus.

732
00:38:09,340 --> 00:38:11,608
- Come here.
- Yeah, we need those abs.

733
00:38:11,642 --> 00:38:13,577
Get up here, baby!

734
00:38:13,610 --> 00:38:15,046
♪ Am I everything you need ♪

735
00:38:15,079 --> 00:38:16,980
♪ You better rock your body now ♪

736
00:38:17,014 --> 00:38:19,750
♪ Everybody ♪

737
00:38:19,783 --> 00:38:21,652
♪ Yeah ♪

738
00:38:21,685 --> 00:38:24,155
♪ Rock your body ♪

739
00:38:24,188 --> 00:38:25,956
♪ Yeah ♪

740
00:38:25,989 --> 00:38:28,625
♪ Everybody ♪

741
00:38:28,659 --> 00:38:31,728
♪ Backstreet's back, all right ♪

742
00:38:31,762 --> 00:38:34,798
[ALL CHEER]

743
00:38:34,831 --> 00:38:36,667
[JEROME] The new
surgical robot is operational,

744
00:38:36,700 --> 00:38:38,835
and I just landed
the perfect nephrectomy

745
00:38:38,869 --> 00:38:40,271
for its inaugural run.

746
00:38:40,304 --> 00:38:41,438
Dibs.

747
00:38:41,472 --> 00:38:43,328
Ah, you did the last cool case.

748
00:38:43,362 --> 00:38:44,975
This one's going to Dr. Murphy.

749
00:38:46,610 --> 00:38:48,879
This is cool.

750
00:38:51,615 --> 00:38:53,284
Dr. Park should take it.

751
00:38:53,317 --> 00:38:55,528
I have to finish setting up our nursery.

752
00:39:07,464 --> 00:39:08,499
Hey.

753
00:39:11,668 --> 00:39:12,878
Good job today.

754
00:39:13,670 --> 00:39:14,871
Thanks.

755
00:39:18,075 --> 00:39:19,476
I've been under the microscope

756
00:39:19,510 --> 00:39:22,555
with the board lately,
and I am stressed.

757
00:39:26,550 --> 00:39:29,186
Things were said that
probably shouldn't have been.

758
00:39:33,090 --> 00:39:35,735
Things weren't said. You said them.

759
00:39:41,165 --> 00:39:44,452
If you don't trust me, fire me.

760
00:39:45,936 --> 00:39:48,873
And if you do, then stay out of my way.

761
00:40:02,052 --> 00:40:03,920
[BABY CRYING]

762
00:40:07,358 --> 00:40:08,359
Hey.

763
00:40:09,526 --> 00:40:10,561
Dalisay?

764
00:40:11,262 --> 00:40:12,429
The baby's upset.

765
00:40:12,463 --> 00:40:13,564
Her heart?

766
00:40:13,597 --> 00:40:15,266
No, everything's fine there.

767
00:40:15,299 --> 00:40:17,668
I just...
I think she needs some company.

768
00:40:17,701 --> 00:40:19,570
I'll get to her when I can,
but I'm slammed.

769
00:40:19,603 --> 00:40:21,705
[BABY WAILING]

770
00:40:21,738 --> 00:40:22,948
[SHUSHING GENTLY]

771
00:40:24,775 --> 00:40:25,876
[PHONE CHIMES]

772
00:40:30,931 --> 00:40:36,013
_

773
00:40:36,040 --> 00:40:38,746
_

774
00:40:44,961 --> 00:40:46,963
I'm here, Eden.

775
00:40:46,997 --> 00:40:48,999
[BABY COOING]

776
00:41:06,016 --> 00:41:07,868
You can open your eyes now.

777
00:41:09,953 --> 00:41:11,788
It's so sweet.

778
00:41:12,823 --> 00:41:14,358
The crib.

779
00:41:15,792 --> 00:41:17,060
The dresser.

780
00:41:17,093 --> 00:41:18,729
It's the Angelic Dream Set.

781
00:41:18,762 --> 00:41:20,096
The dark walnut was funereal,

782
00:41:20,130 --> 00:41:23,166
but it also came in natural pine.

783
00:41:23,200 --> 00:41:26,937
Oh, our little peanut is gonna love it.

784
00:41:28,144 --> 00:41:29,946
Oh.

785
00:41:31,942 --> 00:41:33,519
Whatcha got there?

786
00:41:34,945 --> 00:41:36,146
There are

787
00:41:36,780 --> 00:41:39,191
two screws missing.

788
00:41:40,150 --> 00:41:42,283
That is not good.

789
00:41:42,316 --> 00:41:45,021
No Biggie, Shaun.
It's just a couple screws.

790
00:41:45,055 --> 00:41:48,868
No, that means
Dr. Glassman missed a step.

791
00:41:53,230 --> 00:41:55,875
Dr. Glassman doesn't have brain cancer,

792
00:41:57,240 --> 00:41:59,461
but there is something wrong
with his brain.

793
00:42:14,084 --> 00:42:16,086
[CLOSING THEME PLAYING]