1
00:00:11,869 --> 00:00:13,369
(SIGHS) What?
2
00:00:13,404 --> 00:00:14,737
It's time to wake up.
3
00:00:14,805 --> 00:00:17,173
Mnh-mnh. It's still dark outside.
4
00:00:17,198 --> 00:00:18,799
I'd like to have sex.
5
00:00:18,824 --> 00:00:20,350
(SIGHS)
6
00:00:20,375 --> 00:00:22,717
As romantically as that was put,
7
00:00:22,742 --> 00:00:24,409
it's too early, Shaun.
8
00:00:25,775 --> 00:00:29,211
It's exactly early enough to have sex
9
00:00:29,245 --> 00:00:31,113
for the average duration it takes us
10
00:00:31,181 --> 00:00:32,781
and still allow precisely enough time
11
00:00:32,849 --> 00:00:34,750
to get ready for work.
12
00:00:34,784 --> 00:00:36,285
(SIGHS)
13
00:00:36,310 --> 00:00:39,146
How long have you
been up figuring that out?
14
00:00:39,171 --> 00:00:41,139
Since 4:53.
15
00:00:41,164 --> 00:00:42,798
But it only took two minutes.
16
00:00:44,961 --> 00:00:48,463
You've been waiting
since then to propose this?
17
00:00:49,632 --> 00:00:52,434
I let you sleep as long as possible.
18
00:00:54,404 --> 00:00:58,373
That's... very considerate.
19
00:00:59,042 --> 00:01:00,542
Ohh.
20
00:01:00,577 --> 00:01:01,710
♪
21
00:01:09,285 --> 00:01:11,787
(LOCKER DOOR OPENS, CLOSES)
22
00:01:11,821 --> 00:01:12,754
♪
23
00:01:15,158 --> 00:01:16,425
(CLACK)
24
00:01:16,459 --> 00:01:17,392
♪
25
00:01:24,000 --> 00:01:25,667
Sorry, I'm late.
26
00:01:25,735 --> 00:01:26,935
I'm Dr. Shaun Murphy.
27
00:01:26,970 --> 00:01:28,503
Kayley has a sore throat.
28
00:01:28,571 --> 00:01:29,838
[ HOARSELY ] More like
this constant feeling
29
00:01:29,906 --> 00:01:31,340
like there's something
stuck in my throat.
30
00:01:31,407 --> 00:01:32,908
And I've fainted a couple times,
31
00:01:32,942 --> 00:01:35,218
which I first thought was just random.
32
00:01:35,243 --> 00:01:37,044
And I'm obviously losing my voice.
33
00:01:37,069 --> 00:01:38,570
Since I've only just met you,
34
00:01:38,595 --> 00:01:41,197
I have no idea what your
voice normally sounds like.
35
00:01:41,317 --> 00:01:42,751
Well, not this.
36
00:01:42,785 --> 00:01:46,321
Sometimes when swallowing,
I get a super intense pain,
37
00:01:46,356 --> 00:01:49,658
like, worse than an ice cream headache.
38
00:01:49,692 --> 00:01:52,661
My internist sent me to an
ear, nose, and throat guy,
39
00:01:52,695 --> 00:01:57,165
an orthopedic surgeon,
um, three gastroenterologists,
40
00:01:57,200 --> 00:01:59,268
a voice issues specialist dude.
41
00:01:59,302 --> 00:02:01,536
An otolaryngologist.
42
00:02:03,534 --> 00:02:06,651
...a-a neurosurgeon who thinks
it might be a messed up nerve
43
00:02:06,676 --> 00:02:08,510
connecting the throat to the brain.
44
00:02:08,544 --> 00:02:10,879
The ninth cranial nerve,
glossopharyngeal neuralgia.
45
00:02:10,904 --> 00:02:13,019
He recommended, like, brain surgery.
46
00:02:13,044 --> 00:02:15,278
Microvascular decompression.
47
00:02:15,303 --> 00:02:19,806
Which a second neurosurgeon
said I don't need.
48
00:02:20,023 --> 00:02:21,990
You're not happy with
the answers you're getting
49
00:02:22,025 --> 00:02:24,293
from a whole bunch
of recommended specialists,
50
00:02:24,327 --> 00:02:26,271
so you came to the ER?
51
00:02:26,362 --> 00:02:28,463
I ran out of recommended specialists.
52
00:02:28,488 --> 00:02:29,546
Hmm.
53
00:02:29,571 --> 00:02:32,944
It is an intriguing
combination of symptoms.
54
00:02:32,969 --> 00:02:35,472
We'll admit you and run some tests.
55
00:02:36,339 --> 00:02:37,683
Uh, Dr. Murphy?
56
00:02:39,575 --> 00:02:40,509
You're...
57
00:02:41,844 --> 00:02:42,878
Interesting.
58
00:02:42,912 --> 00:02:44,606
I have autism.
59
00:02:45,214 --> 00:02:46,315
That's so cool.
60
00:02:47,016 --> 00:02:48,350
Uh, I mean, no...
61
00:02:48,384 --> 00:02:50,652
Sor... Not... Not cool that you are.
62
00:02:50,687 --> 00:02:53,255
Be more insensitive, Kayley. Um...
63
00:02:54,257 --> 00:02:56,391
It's cool that you're this...
64
00:02:56,426 --> 00:02:59,695
Totally chill,
super knowledgeable medico.
65
00:03:01,764 --> 00:03:05,200
Compliments... are very awkward.
66
00:03:05,234 --> 00:03:07,169
♪
67
00:03:07,203 --> 00:03:09,371
- (CAMERA CLICKS)
- (CHUCKLES)
68
00:03:09,405 --> 00:03:11,006
Cute doctor who's gonna cure me.
69
00:03:15,005 --> 00:03:16,806
Severe abdominal discomfort.
70
00:03:16,831 --> 00:03:18,932
Fever, tachy, hypotensive.
71
00:03:20,550 --> 00:03:23,185
(SIGHS) It's okay, sweetie.
72
00:03:23,219 --> 00:03:24,386
What's your name?
73
00:03:24,420 --> 00:03:26,388
That's Marla.
74
00:03:26,422 --> 00:03:28,290
No one to leave her with.
75
00:03:28,358 --> 00:03:30,292
We're gonna take care of your mommy.
76
00:03:30,360 --> 00:03:31,460
(GROANING)
77
00:03:31,527 --> 00:03:33,929
Abdomen tender and distended.
78
00:03:33,963 --> 00:03:35,063
Dehydrated.
79
00:03:35,098 --> 00:03:36,264
(BREATHING RAPIDLY)
80
00:03:36,299 --> 00:03:37,868
Delayed capillary refill.
81
00:03:38,434 --> 00:03:39,901
Rapid respiratory rate.
82
00:03:39,936 --> 00:03:42,137
Skin cool and bluish, looks cyanotic.
83
00:03:42,205 --> 00:03:43,538
- (MONITOR BEEPING RAPIDLY)
- She's going into shock.
84
00:03:43,573 --> 00:03:45,240
We need aggressive fluid resuscitation.
85
00:03:45,274 --> 00:03:46,475
Start broad spectrum antibiotics,
86
00:03:46,500 --> 00:03:48,101
place an NG to decompress
distended abdomen.
87
00:03:48,126 --> 00:03:50,894
Trend her lactates, initiate
complete sepsis bundle.
88
00:03:50,919 --> 00:03:51,785
(BEEPING CONTINUES)
89
00:03:52,988 --> 00:04:00,988
Synced & corrected by -robtor-
www.addic7ed.com
90
00:04:01,013 --> 00:04:02,616
♪
91
00:04:05,395 --> 00:04:07,896
Her CBC, BMP autoimmune panel,
92
00:04:07,930 --> 00:04:10,098
nasal swab, and blood cultures.
93
00:04:10,133 --> 00:04:11,066
All normal.
94
00:04:12,001 --> 00:04:13,802
Ohh. That's exciting.
95
00:04:13,836 --> 00:04:15,637
Negative tests are exciting?
96
00:04:15,671 --> 00:04:18,907
No one's been able
to find out what she has.
97
00:04:18,941 --> 00:04:22,511
I'm going to get brain FIESTA
and time-of-flight MRI
98
00:04:22,578 --> 00:04:24,446
to assess the cranial nerves and vessels,
99
00:04:24,480 --> 00:04:25,781
and Doppler ultrasound to...
100
00:04:25,815 --> 00:04:28,183
I have to get back to work.
101
00:04:28,251 --> 00:04:31,987
Our pre-dawn romantic
interlude made me late.
102
00:04:32,021 --> 00:04:34,790
Yes. There was a flaw in my methodology.
103
00:04:34,824 --> 00:04:37,292
My calculation was based on
104
00:04:37,326 --> 00:04:39,961
the mean duration of our sex
overall, but generally,
105
00:04:39,996 --> 00:04:42,030
we take statistically
significantly longer
106
00:04:42,098 --> 00:04:45,764
in the morning
than at other times of day.
107
00:04:45,799 --> 00:04:47,669
Well, maybe we can discuss
108
00:04:47,703 --> 00:04:50,338
this whole timing-our-sex
thing at lunchtime.
109
00:04:50,916 --> 00:04:53,442
Mm. No, thank you.
110
00:04:53,476 --> 00:04:56,211
I can't have lunch today.
111
00:04:56,279 --> 00:04:57,781
Too much to do.
112
00:05:00,450 --> 00:05:03,051
(IMPERCEPTIBLE CHATTER)
113
00:05:03,119 --> 00:05:04,653
Sorry I'm late.
114
00:05:04,687 --> 00:05:06,488
I was going to cancel our lunch.
115
00:05:06,522 --> 00:05:07,656
Let me guess.
116
00:05:07,690 --> 00:05:09,958
A patient more interesting than me.
117
00:05:10,460 --> 00:05:11,526
Exactly.
118
00:05:11,561 --> 00:05:12,861
(SIGHS) Yeah.
119
00:05:12,895 --> 00:05:15,864
She has a mysterious condition.
120
00:05:15,898 --> 00:05:18,700
But I realized I could use our
lunch to help understand it.
121
00:05:18,734 --> 00:05:21,002
- I ordered you a salad.
- Thank you.
122
00:05:21,037 --> 00:05:21,970
♪
123
00:05:27,376 --> 00:05:29,911
How do I get an ice cream headache?
124
00:05:29,979 --> 00:05:31,179
I've never had one.
125
00:05:31,214 --> 00:05:33,483
You don't want one.
Brain freeze is horrible.
126
00:05:34,317 --> 00:05:35,684
The scientific term
127
00:05:35,718 --> 00:05:38,153
is sphenopalatine ganglioneuralgia.
128
00:05:38,187 --> 00:05:39,554
The trigeminal nerve reacts to
129
00:05:39,589 --> 00:05:41,356
rapid temperature change in the mouth,
130
00:05:41,390 --> 00:05:42,924
sending a signal to the brain,
131
00:05:42,949 --> 00:05:45,150
which responds with changes in
blood flow and dura irritation,
132
00:05:45,175 --> 00:05:48,867
which combats what it perceives
as a dangerous, noxious stimuli,
133
00:05:48,892 --> 00:05:51,136
but is just ice cream.
134
00:05:51,234 --> 00:05:52,834
I need to experience that.
135
00:05:53,762 --> 00:05:54,762
Okay.
136
00:05:54,787 --> 00:05:56,621
The technique I usually use is,
137
00:05:56,646 --> 00:05:58,180
eat way too much, way too fast.
138
00:05:58,205 --> 00:05:59,305
♪
139
00:06:03,613 --> 00:06:06,433
(INHALES) I'm quitting my job.
140
00:06:07,216 --> 00:06:09,351
The job you came back from Hershey for?
141
00:06:09,385 --> 00:06:12,120
Don't tell Glassy.
He already thinks I'm a flake.
142
00:06:12,680 --> 00:06:15,958
You kicking me out is just what I needed.
143
00:06:15,983 --> 00:06:17,050
Mm-hmm.
144
00:06:17,075 --> 00:06:18,603
I was in a complete rut.
145
00:06:18,628 --> 00:06:21,796
In my personal life,
at work, super stale.
146
00:06:21,821 --> 00:06:22,988
I mean, we weren't developing anything,
147
00:06:23,013 --> 00:06:25,748
just market testing designs...
148
00:06:25,868 --> 00:06:26,801
Ow.
149
00:06:27,270 --> 00:06:29,704
Ow! Ow, ow!
150
00:06:30,172 --> 00:06:31,239
That's awful!
151
00:06:31,264 --> 00:06:32,764
- What's the cure?
- Time.
152
00:06:32,789 --> 00:06:34,523
- How much time?
- Depends.
153
00:06:36,245 --> 00:06:39,381
Do you think I should include
my job in Hershey on my resume?
154
00:06:39,415 --> 00:06:41,583
It hurts so much!
155
00:06:42,585 --> 00:06:43,752
Or does it make me look like
156
00:06:43,786 --> 00:06:45,754
I'm unable to commit to anything?
157
00:06:45,788 --> 00:06:46,755
Ow!
158
00:06:48,791 --> 00:06:49,758
Okay.
159
00:06:51,260 --> 00:06:53,762
The ultrasound showed
your colon is distended.
160
00:06:53,796 --> 00:06:55,730
We placed a rectal tube and an NG
161
00:06:55,765 --> 00:06:57,208
to try to get that decompressed.
162
00:06:57,233 --> 00:06:58,967
Mommy, can we go home?
163
00:06:58,992 --> 00:07:00,025
Not yet, sweetie.
164
00:07:00,050 --> 00:07:01,417
It would be helpful to try to find out
165
00:07:01,442 --> 00:07:02,642
what could've triggered this.
166
00:07:02,667 --> 00:07:05,202
Any history of Crohn's
or ulcerative colitis?
167
00:07:05,227 --> 00:07:06,361
No.
168
00:07:07,443 --> 00:07:08,743
I, um...
169
00:07:08,778 --> 00:07:10,645
I have had some UTIs lately.
170
00:07:10,680 --> 00:07:12,113
That's likely not connected.
171
00:07:12,148 --> 00:07:13,815
- Okay.
- PARK: Diverticulitis?
172
00:07:13,849 --> 00:07:15,750
Any recent international travel?
173
00:07:15,785 --> 00:07:17,519
I have a three-year-old and no husband.
174
00:07:17,587 --> 00:07:20,346
MELENDEZ: Okay. We're gonna need
to keep you on IV antibiotics
175
00:07:20,371 --> 00:07:22,105
and monitor the distention.
176
00:07:22,358 --> 00:07:25,193
In the meantime, is there
anyone who can look after Marla?
177
00:07:25,261 --> 00:07:27,162
No one.
178
00:07:27,196 --> 00:07:30,298
My whole family's back east.
It's... It's just us.
179
00:07:30,333 --> 00:07:33,935
I'll get a social worker
to look after her.
180
00:07:33,970 --> 00:07:35,063
Thank you.
181
00:07:42,011 --> 00:07:43,511
Go ahead, honey.
182
00:07:45,138 --> 00:07:48,038
♪
183
00:07:58,394 --> 00:08:00,528
Why is my mom upset?
184
00:08:00,563 --> 00:08:01,730
♪
185
00:08:02,898 --> 00:08:03,965
(SIGHS)
186
00:08:04,000 --> 00:08:07,369
If her anterior inferior
cerebellar artery
187
00:08:07,403 --> 00:08:09,404
is encroaching
on her glossopharyngeal nerve,
188
00:08:09,472 --> 00:08:10,572
it's very minor.
189
00:08:10,640 --> 00:08:11,806
Certainly not enough to justify
190
00:08:11,841 --> 00:08:13,241
microvascular decompression surgery.
191
00:08:13,309 --> 00:08:14,542
I agree.
192
00:08:14,577 --> 00:08:17,379
It could also be acid
reflux temporal arteritis,
193
00:08:17,413 --> 00:08:20,749
laryngopharyngeal dysesthesia.
We need to...
194
00:08:20,816 --> 00:08:22,651
We need to do $50,000 of tests,
195
00:08:22,685 --> 00:08:24,571
and it might be acid reflux?
196
00:08:24,606 --> 00:08:26,997
Or temporal arteritis or...
197
00:08:27,065 --> 00:08:29,691
It's a constellation of
relatively insignificant symptoms.
198
00:08:29,725 --> 00:08:33,121
Have you ever had an ice cream
headache, Dr. Andrews?
199
00:08:34,096 --> 00:08:35,235
Yes.
200
00:08:35,269 --> 00:08:38,933
I believe it didn't require
brain surgery, Dr. Murphy.
201
00:08:39,001 --> 00:08:41,536
As a compromise, we could do an MRI
202
00:08:41,570 --> 00:08:43,571
and CT her neck and a swallow...
203
00:08:43,606 --> 00:08:45,540
Shaun.
204
00:08:45,574 --> 00:08:47,761
You don't compromise with your boss.
205
00:08:48,544 --> 00:08:51,112
Start her on dilantin for
her pain and send her home.
206
00:08:51,180 --> 00:08:53,099
♪
207
00:08:56,218 --> 00:08:58,563
♪
208
00:09:01,123 --> 00:09:02,357
Can I just leave her with you?
209
00:09:02,391 --> 00:09:04,359
I'm a receptionist, not a social worker.
210
00:09:04,393 --> 00:09:05,612
And I'm a surgeon.
211
00:09:08,064 --> 00:09:09,464
I didn't mean I'm more important.
212
00:09:09,532 --> 00:09:12,634
I just meant we both have
more important things to do.
213
00:09:12,659 --> 00:09:13,725
When will the social worker be here?
214
00:09:13,750 --> 00:09:14,883
She said half an hour.
215
00:09:14,908 --> 00:09:16,145
Can you page her again?
216
00:09:16,170 --> 00:09:18,369
I want my mama.
217
00:09:18,394 --> 00:09:21,796
Why don't you just go play
with the toys, okay?
218
00:09:21,821 --> 00:09:23,655
Do you have her number?
I'll call her myself.
219
00:09:24,480 --> 00:09:26,216
I made Mommy sick.
220
00:09:27,883 --> 00:09:29,884
No, sweetie. It's not your fault.
221
00:09:29,919 --> 00:09:31,419
Sometimes people just get sick.
222
00:09:31,454 --> 00:09:33,755
Mommy drawk ma poop.
223
00:09:35,391 --> 00:09:37,759
- Your mommy drew your poop?
- No!
224
00:09:37,793 --> 00:09:39,961
Drawk. Mommy drawk.
225
00:09:42,839 --> 00:09:43,839
Drank?
226
00:09:43,886 --> 00:09:44,819
Yes.
227
00:09:44,844 --> 00:09:48,079
Mommy drawnk my poop.
228
00:09:48,117 --> 00:09:49,050
♪
229
00:09:52,742 --> 00:09:55,677
The good news is, we've ruled
out glossopharyngeal neuralgia.
230
00:09:55,745 --> 00:09:57,078
You don't need brain surgery.
231
00:09:57,113 --> 00:09:59,414
Never any good news without bad news.
232
00:09:59,448 --> 00:10:02,117
We've got a list of
a few things you don't have,
233
00:10:02,151 --> 00:10:03,752
but we don't know what you do have.
234
00:10:04,754 --> 00:10:06,254
So you'll run more tests.
235
00:10:06,689 --> 00:10:08,022
We can't.
236
00:10:08,047 --> 00:10:10,949
There are 21 different things
this might be,
237
00:10:10,974 --> 00:10:14,471
but they don't want us
to run 37 more tests.
238
00:10:17,833 --> 00:10:19,033
Well, this is lame.
239
00:10:19,101 --> 00:10:22,437
I can afford the tests.
I make good money.
240
00:10:22,471 --> 00:10:24,870
(VOICE SQUEAKING) I can't
keep talking like this!
241
00:10:24,938 --> 00:10:26,007
I need a...
242
00:10:28,511 --> 00:10:29,879
(MONITOR ALARM)
243
00:10:31,213 --> 00:10:32,313
She's hypotensive.
244
00:10:32,348 --> 00:10:33,783
Code stroke.
245
00:10:35,217 --> 00:10:37,185
We need stat brain CT and MRI.
246
00:10:37,219 --> 00:10:39,654
Call angio. She may need
mechanical thrombectomy.
247
00:10:39,688 --> 00:10:40,822
♪
248
00:10:44,960 --> 00:10:48,363
3 cc's of 2% lidocaine.
249
00:10:48,397 --> 00:10:49,330
♪
250
00:10:52,701 --> 00:10:54,387
(MONITOR ALARM BEEPING)
251
00:10:58,641 --> 00:10:59,741
♪
252
00:11:07,516 --> 00:11:08,516
(INHALES SHARPLY)
253
00:11:08,551 --> 00:11:09,861
(ALARM STOPS)
254
00:11:11,420 --> 00:11:12,864
♪
255
00:11:17,226 --> 00:11:18,927
Wow. (GASPS)
256
00:11:18,994 --> 00:11:20,061
(CHUCKLES LIGHTLY)
257
00:11:22,431 --> 00:11:23,364
♪
258
00:11:24,923 --> 00:11:27,478
I-I didn't drink it. I just...
259
00:11:27,538 --> 00:11:30,106
I just used her stool
to do a home fecal transfer.
260
00:11:30,131 --> 00:11:31,715
And you didn't think to mention that?
261
00:11:31,740 --> 00:11:33,991
You said my UTIs were unrelated.
262
00:11:35,944 --> 00:11:37,845
They didn't get better with antibiotics,
263
00:11:37,879 --> 00:11:40,181
so I did exactly
what I was supposed to do.
264
00:11:40,215 --> 00:11:43,284
The video swore that
it was completely safe.
265
00:11:43,351 --> 00:11:45,753
Make sure your friend
is completely healthy.
266
00:11:45,787 --> 00:11:47,688
I've had the best results with vegans,
267
00:11:47,722 --> 00:11:49,190
though if it were between
268
00:11:49,224 --> 00:11:52,092
an 18-year-old carnivore
and a 60-year-old vegan...
269
00:11:52,127 --> 00:11:53,260
Well, don't make me choose.
270
00:11:53,295 --> 00:11:55,262
We're gonna add the saline solution.
271
00:11:57,311 --> 00:11:59,913
Should be a one-to-one match,
more or less.
272
00:12:01,102 --> 00:12:04,305
Then, we're gonna puree...
273
00:12:04,372 --> 00:12:05,973
(BLENDER WHIRRS)
274
00:12:06,041 --> 00:12:08,209
...puree, and then puree some more.
275
00:12:08,243 --> 00:12:09,710
While it's mixing...
276
00:12:10,946 --> 00:12:12,713
Let's talk enema bags.
277
00:12:13,615 --> 00:12:14,815
(INHALES DEEPLY)
278
00:12:14,883 --> 00:12:17,785
Marla must have seen her
using the blender,
279
00:12:17,819 --> 00:12:18,919
assumed she drank it.
280
00:12:18,954 --> 00:12:20,321
Yeah, that's the mystery here,
281
00:12:20,388 --> 00:12:22,056
not how anyone
this stupid is still alive.
282
00:12:22,090 --> 00:12:24,258
It's not completely irrational.
283
00:12:24,292 --> 00:12:26,927
The E. coli strain in drug-resistant UTIs
284
00:12:26,962 --> 00:12:28,395
can hide out in the gut.
285
00:12:28,430 --> 00:12:31,398
Repopulating the
colon microbiome using FMT
286
00:12:31,433 --> 00:12:32,900
has shown some success.
287
00:12:32,934 --> 00:12:35,302
In a hospital,
under controlled and sterile conditions.
288
00:12:35,937 --> 00:12:37,171
Prep her for surgery.
289
00:12:37,239 --> 00:12:38,639
Between the dilation and rigidity,
290
00:12:38,673 --> 00:12:41,242
there may be colon perforation.
291
00:12:41,276 --> 00:12:44,745
And test Marla's stool for
toxins and infectious bacteria.
292
00:12:46,848 --> 00:12:50,351
She was suffering a
mini-stroke, and I saved her.
293
00:12:50,418 --> 00:12:53,187
- I saved her. I need to celebrate.
- Outside?
294
00:12:53,255 --> 00:12:54,455
I want to celebrate by kissing you.
295
00:12:54,489 --> 00:12:55,956
A lot.
296
00:12:55,991 --> 00:12:58,092
I-Inside would be inappropriate.
297
00:12:59,594 --> 00:13:00,828
(CHUCKLES)
298
00:13:00,862 --> 00:13:03,597
Eagle Syndrome is very rare.
299
00:13:03,632 --> 00:13:05,533
A longer-than-normal styloid bone
300
00:13:05,600 --> 00:13:07,167
coming off the base of the skull.
301
00:13:07,202 --> 00:13:08,669
- And...
- I only get a five-minute break.
302
00:13:10,472 --> 00:13:12,206
It impinged on her nerves,
303
00:13:12,274 --> 00:13:13,841
causing the confusing symptoms
304
00:13:13,875 --> 00:13:15,976
that baffled eight expert doctors.
305
00:13:16,011 --> 00:13:18,345
And then when she
turned her head suddenly,
306
00:13:18,380 --> 00:13:19,597
- it pinched her carotid,
- (LAUGHS)
307
00:13:19,598 --> 00:13:21,451
causing her TIA.
308
00:13:22,017 --> 00:13:24,285
Yeah, it's him! (GASPS)
309
00:13:26,721 --> 00:13:28,355
It's Dr. Murphy!
310
00:13:28,390 --> 00:13:29,667
(EXCITED LAUGHTER)
311
00:13:30,892 --> 00:13:32,226
How do I know you?
312
00:13:32,294 --> 00:13:34,028
- He is cute!
- (CAMERAS CLICKING)
313
00:13:34,062 --> 00:13:35,896
Is that his girlfriend?
314
00:13:35,964 --> 00:13:37,241
Kayley's hotter.
315
00:13:37,276 --> 00:13:38,343
(CLICKING CONTINUES)
316
00:13:39,134 --> 00:13:40,887
♪
317
00:13:41,503 --> 00:13:42,403
WOMAN: He's so cute!
318
00:13:43,038 --> 00:13:44,204
(CLICKING CONTINUES)
319
00:13:48,343 --> 00:13:49,562
(LAUGHS)
320
00:13:51,379 --> 00:13:54,181
(NORMAL VOICE) My personal... Chernobyl.
321
00:13:54,215 --> 00:13:55,182
(LAUGHS) What?
322
00:13:55,750 --> 00:13:56,817
Seriously, guys.
323
00:13:56,851 --> 00:13:58,485
Ohh, come on.
324
00:13:58,520 --> 00:14:00,721
A zone of exclusion should
be imposed around my kitchen.
325
00:14:00,755 --> 00:14:02,423
- (LAUGHS)
- (CLICK)
326
00:14:02,490 --> 00:14:04,892
Millions of people have watched that?
327
00:14:04,926 --> 00:14:06,594
(HOARSELY) As of 9:00 a.m.
328
00:14:06,661 --> 00:14:08,228
You're an influencer.
329
00:14:08,263 --> 00:14:11,398
And you posted how I saved you?
330
00:14:11,433 --> 00:14:13,867
But I take it I'm not saved yet?
You still have to operate?
331
00:14:13,902 --> 00:14:16,002
A normal styloid process
332
00:14:16,037 --> 00:14:18,572
is 2.5 centimeters
in length. Yours measures...
333
00:14:18,607 --> 00:14:19,840
Don't do that.
334
00:14:20,942 --> 00:14:22,743
There are two surgical options.
335
00:14:25,547 --> 00:14:27,514
Transoral, where we go in
through your mouth.
336
00:14:27,549 --> 00:14:30,117
It's non-invasive, but
creates surgical challenges
337
00:14:30,185 --> 00:14:32,019
for physical and visual access.
338
00:14:32,053 --> 00:14:34,054
The alternative transcervical procedure
339
00:14:34,089 --> 00:14:36,056
involves an incision in your neck
340
00:14:36,091 --> 00:14:37,791
with none of those access issues,
341
00:14:37,859 --> 00:14:40,427
but with some post-operative scarring.
342
00:14:40,462 --> 00:14:43,230
So one way is safer,
but the other way, I'll look better?
343
00:14:43,264 --> 00:14:44,628
It's a pretty bad-ass scar.
344
00:14:44,662 --> 00:14:45,618
(CHUCKLES)
345
00:14:46,434 --> 00:14:48,569
Can I take a bit to decide which?
346
00:14:48,603 --> 00:14:49,695
Of course.
347
00:14:53,133 --> 00:14:55,535
You had no right
to tell the world about me.
348
00:14:55,710 --> 00:14:57,044
It was flattering.
349
00:14:57,078 --> 00:14:59,947
Not everyone wants to be famous.
350
00:14:59,981 --> 00:15:02,883
Uh... If it's any consolation,
351
00:15:02,917 --> 00:15:05,513
you've had over 70 marriage proposals.
352
00:15:06,821 --> 00:15:08,055
It's not.
353
00:15:08,089 --> 00:15:10,518
♪
354
00:15:14,262 --> 00:15:17,131
Some of us are more comfortable
in the spotlight than others.
355
00:15:17,165 --> 00:15:18,732
I think you're great.
356
00:15:18,767 --> 00:15:20,100
Thanks.
357
00:15:20,135 --> 00:15:22,030
♪
358
00:15:25,140 --> 00:15:27,441
MARLA: I don't have to poop.
359
00:15:27,976 --> 00:15:29,579
Be patient.
360
00:15:33,080 --> 00:15:35,381
I don't have to poop!
361
00:15:35,406 --> 00:15:37,608
Is there something your mom does
362
00:15:37,633 --> 00:15:39,200
to help you when you can't go?
363
00:15:39,354 --> 00:15:42,122
MARLA: Sometimes she hold my hand.
364
00:15:42,991 --> 00:15:44,591
Would you like me to?
365
00:15:44,626 --> 00:15:46,126
MARLA: You're not my mom.
366
00:15:46,161 --> 00:15:48,328
Well, just keep trying.
367
00:15:50,098 --> 00:15:51,298
MARLA: Pbbbbbbht.
368
00:15:52,267 --> 00:15:53,834
(SIGHS)
369
00:15:53,868 --> 00:15:57,337
Sweetie, we really need you to go.
370
00:15:57,372 --> 00:16:02,276
If you can't,
there is another way we can do this.
371
00:16:02,310 --> 00:16:03,177
MARLA: How?
372
00:16:03,211 --> 00:16:05,979
CLAIRE: Well, it's not fun.
373
00:16:06,014 --> 00:16:07,448
For either of us.
374
00:16:07,482 --> 00:16:08,515
(INHALES SHARPLY)
375
00:16:09,951 --> 00:16:11,819
(SIGHS)
376
00:16:11,853 --> 00:16:15,083
MELENDEZ: Isolate and divide
middle colic artery and vein.
377
00:16:15,690 --> 00:16:16,990
It's an epidemic.
378
00:16:17,025 --> 00:16:18,559
People taking online medical advice.
379
00:16:18,626 --> 00:16:20,627
CLAIRE: It's not the problem.
It's the symptom.
380
00:16:20,662 --> 00:16:23,163
Medical care is a financial
stress for lots of people,
381
00:16:23,198 --> 00:16:25,866
not to mention physician arrogance,
382
00:16:25,900 --> 00:16:27,701
incompetence, impatience.
383
00:16:27,736 --> 00:16:29,536
So it's our fault?
384
00:16:29,571 --> 00:16:31,371
Resect and cut the colon
proximal and distal
385
00:16:31,406 --> 00:16:33,601
to the perforation with GIA stapler.
386
00:16:34,242 --> 00:16:35,843
A friend of a friend self-diagnosed
387
00:16:35,877 --> 00:16:38,378
her own Cushing's disease online
388
00:16:38,413 --> 00:16:41,682
after a series of doctors
barely listened to her,
389
00:16:41,716 --> 00:16:44,084
told her to get more rest.
390
00:16:44,152 --> 00:16:45,419
I'm guessing she didn't then perform
391
00:16:45,487 --> 00:16:46,920
do-it-yourself brain surgery at home.
392
00:16:46,988 --> 00:16:48,088
(GROANS)
393
00:16:48,656 --> 00:16:49,951
Claire's right.
394
00:16:51,359 --> 00:16:53,160
I was... supporting your point.
395
00:16:53,194 --> 00:16:55,329
She convinced me I was wrong.
396
00:16:55,363 --> 00:16:57,331
Divide mesentery with LigaSure.
397
00:16:59,460 --> 00:17:01,254
(MONITOR ALARM)
398
00:17:03,271 --> 00:17:04,505
WOMAN: We have a bleed.
399
00:17:04,539 --> 00:17:05,606
It's major.
400
00:17:05,673 --> 00:17:07,040
Tension during mobilization
401
00:17:07,075 --> 00:17:08,075
must have caused a splenic capsule tear.
402
00:17:08,109 --> 00:17:09,176
We need to do a splenectomy.
403
00:17:09,210 --> 00:17:10,677
Cut the connecting attachments.
404
00:17:10,712 --> 00:17:12,179
(ALARM CONTINUES)
405
00:17:13,948 --> 00:17:15,015
Kidney.
406
00:17:15,049 --> 00:17:16,517
Diaphragm.
407
00:17:16,551 --> 00:17:18,285
Take the vascular pedicle
with a white load stapler.
408
00:17:18,353 --> 00:17:20,020
Do not get the tail of the pancreas.
409
00:17:21,256 --> 00:17:22,189
♪
410
00:17:22,957 --> 00:17:24,057
(ALARM STOPS)
411
00:17:25,026 --> 00:17:26,126
♪
412
00:17:30,398 --> 00:17:31,765
Dr. Melendez?
413
00:17:31,800 --> 00:17:33,733
- Can this wait?
- I'm not sure.
414
00:17:33,801 --> 00:17:35,936
The fecal sample
that your team sent me...
415
00:17:35,970 --> 00:17:39,239
(SIGHS) It might be normal,
but was it mislabeled?
416
00:17:39,274 --> 00:17:41,275
It seems to be from a 70-year-old.
417
00:17:42,210 --> 00:17:43,811
It's from a three-year-old.
418
00:17:43,878 --> 00:17:49,343
SCFAs, elevated isobutyric
and isovaleric acid.
419
00:17:49,368 --> 00:17:52,370
She is at high risk
for serious cardiac problems.
420
00:17:52,395 --> 00:17:53,328
♪
421
00:18:02,631 --> 00:18:03,765
(BRAKES SQUEAL)
422
00:18:12,975 --> 00:18:14,108
Oh, are you okay?
423
00:18:25,442 --> 00:18:28,211
Her social media posts
about Shaun have gone viral.
424
00:18:28,278 --> 00:18:30,279
I've got reporters clamoring to speak
425
00:18:30,314 --> 00:18:32,148
to the "twice-exceptional" Dr. Murphy.
426
00:18:32,182 --> 00:18:33,783
Bad idea. Luckily, he won't do it.
427
00:18:33,817 --> 00:18:36,185
He went off on Kayley about his privacy.
428
00:18:36,220 --> 00:18:37,720
The publicity would be good
for the hospital.
429
00:18:37,788 --> 00:18:40,857
And I'm sure Dr. Glassman can
make him see the wisdom of that.
430
00:18:40,891 --> 00:18:42,108
MELENDEZ: I'm with Andrews.
431
00:18:42,143 --> 00:18:43,726
It smacks of us
patting ourselves on the back.
432
00:18:43,794 --> 00:18:45,862
It could also come off as exploitative.
433
00:18:45,896 --> 00:18:48,197
But the bigger issue is,
it could blow up in our face.
434
00:18:48,232 --> 00:18:50,868
Shaun is a complete
communications wild card.
435
00:18:50,903 --> 00:18:52,535
Who knows what he'll say
about you, about me,
436
00:18:52,569 --> 00:18:54,237
about being demoted, about screw-ups.
437
00:18:54,304 --> 00:18:56,005
Well, we would have to coach him.
438
00:18:56,040 --> 00:18:58,675
Do we have six years before
they need to go to press?
439
00:18:58,709 --> 00:19:01,210
I can go with him, manage the situation.
440
00:19:01,245 --> 00:19:02,512
GLASSMAN: No, no, no.
441
00:19:03,480 --> 00:19:05,348
If we consider Shaun an asset,
442
00:19:05,382 --> 00:19:07,250
we shouldn't treat him like a liability.
443
00:19:09,212 --> 00:19:11,280
I'll talk to him, see what he says.
444
00:19:13,757 --> 00:19:16,726
You can see the proximity
of her elongated styloid
445
00:19:16,760 --> 00:19:18,361
to the nerves and carotid.
446
00:19:18,395 --> 00:19:20,430
The trick is to break off
the excess length
447
00:19:20,497 --> 00:19:22,699
without injury to local
neurovascular structures.
448
00:19:22,733 --> 00:19:24,767
If done transcervically,
entry point is key.
449
00:19:24,835 --> 00:19:27,904
Minimizes risk of a marginal
mandibular nerve injury.
450
00:19:27,938 --> 00:19:29,539
Has she made a decision?
451
00:19:29,573 --> 00:19:30,506
SHAUN: Not yet.
452
00:19:31,675 --> 00:19:32,675
I'd like to lead.
453
00:19:32,710 --> 00:19:34,610
Being that it's such a rare surgery,
454
00:19:34,678 --> 00:19:36,746
I may not get another chance
at it during residency.
455
00:19:36,780 --> 00:19:38,848
When I have the benefit of supervision.
456
00:19:38,882 --> 00:19:40,550
And it wouldn't have
anything to do with hoping
457
00:19:40,584 --> 00:19:42,685
Kayley might then post
glowingly about you?
458
00:19:42,720 --> 00:19:43,786
Not at all.
459
00:19:43,854 --> 00:19:46,122
Well, undoubtedly, a little.
460
00:19:46,190 --> 00:19:47,724
Given the attention this case has drawn,
461
00:19:47,758 --> 00:19:50,293
I think we should put our best,
most experienced choice forward.
462
00:19:51,562 --> 00:19:53,963
Well, this is a teaching hospital.
463
00:19:54,031 --> 00:19:57,133
It's exactly the type of surgery
we'd give to a third-year.
464
00:19:57,158 --> 00:19:58,391
The fact that she has an online presence
465
00:19:58,416 --> 00:19:59,683
shouldn't be a factor.
466
00:19:59,708 --> 00:20:01,742
And yet here you are,
the Chief of Surgery
467
00:20:01,767 --> 00:20:03,768
working a case you say
a third-year can handle.
468
00:20:03,907 --> 00:20:05,875
It also might reflect well on this place
469
00:20:05,909 --> 00:20:08,369
to have a young woman be the
face of Kayley's surgery.
470
00:20:08,403 --> 00:20:10,860
Assuming it goes well.
471
00:20:12,168 --> 00:20:14,036
Live by the Internet,
die by the Internet.
472
00:20:15,779 --> 00:20:16,866
You still want to lead?
473
00:20:17,788 --> 00:20:19,155
Yes.
474
00:20:19,223 --> 00:20:20,323
It's yours.
475
00:20:21,959 --> 00:20:23,126
♪
476
00:20:46,517 --> 00:20:47,450
♪
477
00:20:59,129 --> 00:21:00,363
(WHIRRING)
478
00:21:02,466 --> 00:21:03,432
♪
479
00:21:12,943 --> 00:21:13,876
♪
480
00:21:16,013 --> 00:21:16,946
(COMPUTER CHIRPS)
481
00:21:19,950 --> 00:21:20,883
♪
482
00:21:22,886 --> 00:21:23,820
MELENDEZ: Ann?
483
00:21:25,122 --> 00:21:26,289
Ann.
484
00:21:33,063 --> 00:21:34,430
Am I okay?
485
00:21:34,455 --> 00:21:35,856
You're fine.
486
00:21:35,881 --> 00:21:37,776
We had to wake you up a
little earlier than we'd like
487
00:21:37,801 --> 00:21:39,468
because we need to discuss
something with you.
488
00:21:39,503 --> 00:21:40,736
Do you understand?
489
00:21:40,804 --> 00:21:42,205
(EXHALES SHARPLY)
490
00:21:42,239 --> 00:21:44,373
Your gut biome showed markers
for elevated cholesterol.
491
00:21:44,408 --> 00:21:46,209
Which you don't have.
492
00:21:46,243 --> 00:21:47,410
Your daughter does.
493
00:21:49,379 --> 00:21:51,547
Marla has high cholesterol?
494
00:21:51,582 --> 00:21:54,317
She has a genetic
condition: hyperlipidemia.
495
00:21:54,351 --> 00:21:56,652
Coronary testing showed 90% narrowing
496
00:21:56,687 --> 00:21:58,754
of the left main artery to her heart.
497
00:21:58,822 --> 00:22:00,089
(GROANS)
498
00:22:00,157 --> 00:22:03,526
I'm afraid your daughter
needs urgent heart surgery.
499
00:22:03,560 --> 00:22:07,309
♪
500
00:22:08,168 --> 00:22:10,442
I don't want to.
501
00:22:11,095 --> 00:22:14,023
Okay. I'll tell the reporters that.
502
00:22:14,048 --> 00:22:16,916
But can... can we talk about why?
503
00:22:17,564 --> 00:22:19,276
- (COMPUTER BEEPS)
- Your computer just beeped.
504
00:22:19,353 --> 00:22:20,698
I know.
505
00:22:20,732 --> 00:22:23,723
I can think of a few reasons
why you might be reticent.
506
00:22:23,758 --> 00:22:25,358
- You're shy.
- No, I'm not.
507
00:22:25,392 --> 00:22:28,257
Well, you do have trouble
with social interactions,
508
00:22:28,257 --> 00:22:29,791
and you have trouble anticipating
509
00:22:29,816 --> 00:22:32,217
what people might ask
and how you might respond.
510
00:22:32,242 --> 00:22:36,245
Yes, that is a problem when
I'm meeting with a patient
511
00:22:36,270 --> 00:22:39,138
or I'm at a job interview
or I'm on a date.
512
00:22:39,174 --> 00:22:40,642
Then my answers matter.
513
00:22:40,770 --> 00:22:42,871
But if I'm talking to a
reporter, they don't matter.
514
00:22:42,905 --> 00:22:44,439
- (COMPUTER BEEPS)
- It beeped again.
515
00:22:44,474 --> 00:22:46,475
Yes, I know. We're digitizing.
516
00:22:46,500 --> 00:22:48,668
Every time a patient
needs to take a drug,
517
00:22:48,693 --> 00:22:50,060
we send them a reminder.
518
00:22:50,085 --> 00:22:53,187
For some unknown reason,
they keep sending me one, too.
519
00:22:53,212 --> 00:22:54,680
I think stories do matter.
520
00:22:54,784 --> 00:22:57,953
I think what you do
and what you have done
521
00:22:57,987 --> 00:23:01,657
might be inspirational
for people to hear.
522
00:23:02,064 --> 00:23:04,021
- Okay.
- Okay, you'll do it?
523
00:23:04,046 --> 00:23:06,738
Okay, you've convinced me
I should be nervous about it.
524
00:23:06,763 --> 00:23:08,497
Now I have two reasons not to do it.
525
00:23:08,564 --> 00:23:09,814
What's the other reason?
526
00:23:09,848 --> 00:23:12,567
I'm very busy between doing
my job and having sex.
527
00:23:12,602 --> 00:23:14,336
I don't have a lot of free time.
528
00:23:15,405 --> 00:23:16,571
(COMPUTER BEEPS)
529
00:23:16,606 --> 00:23:18,640
You should hire Lea.
530
00:23:18,675 --> 00:23:20,142
- No.
- SHAUN: Yes.
531
00:23:20,176 --> 00:23:22,911
She's very good at tech
532
00:23:22,945 --> 00:23:25,647
and isn't happy in her job right now.
533
00:23:25,682 --> 00:23:26,615
♪
534
00:23:28,284 --> 00:23:30,285
I'll tell you what, Shaun.
535
00:23:30,319 --> 00:23:32,854
You think about this,
you really think about this,
536
00:23:32,922 --> 00:23:36,124
how your story can benefit people,
537
00:23:36,159 --> 00:23:37,859
and I will...
538
00:23:39,916 --> 00:23:41,783
Interview Lea.
539
00:23:42,465 --> 00:23:43,632
Excellent.
540
00:23:45,034 --> 00:23:47,269
I'll think about it.
541
00:23:47,303 --> 00:23:50,806
I'll really think about it.
542
00:23:50,840 --> 00:23:51,940
Okay.
543
00:23:55,712 --> 00:23:57,446
- (COMPUTER BEEPS)
- (SIGHS)
544
00:23:58,948 --> 00:24:00,949
- (DOOR CLOSES)
- (KEYBOARD CLANKING)
545
00:24:00,983 --> 00:24:03,218
Some people definitely thought
I would look amazeballs
546
00:24:03,286 --> 00:24:04,553
rocking a neck scar.
547
00:24:04,620 --> 00:24:07,155
But the consensus was,
548
00:24:07,190 --> 00:24:09,357
there's only so many
turtleneck days in a year.
549
00:24:09,392 --> 00:24:12,794
So I'm going with the no-scar approach.
550
00:24:12,829 --> 00:24:15,530
Which one did you vote for?
551
00:24:15,565 --> 00:24:18,400
Well, these are my people.
I mean, they know me.
552
00:24:18,425 --> 00:24:20,592
They know what's best for me
and my brand.
553
00:24:22,638 --> 00:24:24,239
"Wisdom of the crowd."
554
00:24:24,307 --> 00:24:26,708
My warrior goddess lead surgeon.
555
00:24:26,743 --> 00:24:27,809
- (CAMERA CLICKS)
- (ANDREWS LAUGHS)
556
00:24:27,844 --> 00:24:29,077
We'll get you prepped for surgery.
557
00:24:31,067 --> 00:24:32,701
New blouse? It's nice.
558
00:24:33,983 --> 00:24:35,751
Dr. Murphy, do you have a minute?
559
00:24:42,759 --> 00:24:46,194
I really am sorry I upset you.
560
00:24:46,229 --> 00:24:47,896
And I really am grateful.
561
00:24:48,551 --> 00:24:49,784
Being sick was...
562
00:24:49,809 --> 00:24:51,609
You don't need to explain
563
00:24:51,634 --> 00:24:53,802
why you're grateful
we diagnosed your illness.
564
00:24:53,827 --> 00:24:55,995
Well, I do.
565
00:24:56,105 --> 00:24:58,740
You saved me and my career. (CHUCKLES)
566
00:25:00,009 --> 00:25:02,511
At first, my followers were super into
567
00:25:02,545 --> 00:25:05,580
what I was going through,
but after a while,
568
00:25:05,615 --> 00:25:07,616
you just start being "the sick girl."
569
00:25:07,683 --> 00:25:10,385
You give up your privacy.
Doesn't that bother you?
570
00:25:10,419 --> 00:25:12,287
I have nothing to hide.
571
00:25:12,355 --> 00:25:13,522
No one should.
572
00:25:14,757 --> 00:25:17,459
We should all just be who we are.
573
00:25:21,697 --> 00:25:23,732
We are...
574
00:25:25,301 --> 00:25:28,302
The decisions we make.
575
00:25:29,038 --> 00:25:31,940
And you let other people
make them for you.
576
00:25:33,722 --> 00:25:35,790
So you're not being anyone.
577
00:25:36,312 --> 00:25:37,445
♪
578
00:25:47,323 --> 00:25:50,392
You know how you and I like
to do so many things together?
579
00:25:50,426 --> 00:25:52,260
We make clay mugs.
580
00:25:52,295 --> 00:25:53,595
That's right.
581
00:25:53,629 --> 00:25:57,666
Mommy was sick,
and she needed to be fixed.
582
00:25:57,733 --> 00:26:00,167
And you're sick, too.
583
00:26:00,192 --> 00:26:01,525
I don't feel sick.
584
00:26:01,938 --> 00:26:03,004
That's good.
585
00:26:03,072 --> 00:26:04,773
And the doctors just want to make sure
586
00:26:04,807 --> 00:26:06,341
everything is all better before you do.
587
00:26:06,409 --> 00:26:07,642
How?
588
00:26:08,644 --> 00:26:10,552
They're gonna go inside you and...
589
00:26:10,947 --> 00:26:11,947
How?
590
00:26:11,981 --> 00:26:13,315
They're gonna make a little cut...
591
00:26:13,349 --> 00:26:14,482
No!
592
00:26:14,517 --> 00:26:15,584
You're gonna be asleep.
593
00:26:15,618 --> 00:26:17,252
- No!
- Just like Mommy.
594
00:26:17,286 --> 00:26:19,287
- I...
- No, no, no, no, no!
595
00:26:19,322 --> 00:26:21,189
I'll be with you, Marla.
I'll take good care of you.
596
00:26:21,257 --> 00:26:22,457
- No, no, no, no, no!
- It's okay. Just breathe, sweetie.
597
00:26:22,491 --> 00:26:23,658
- Count to three.
- No!
598
00:26:23,693 --> 00:26:24,759
- No!
- Hey, sweetie, you have to be brave.
599
00:26:24,794 --> 00:26:25,760
No!
600
00:26:27,737 --> 00:26:28,737
Code blue!
601
00:26:30,546 --> 00:26:31,646
What's happening?
602
00:26:31,671 --> 00:26:33,205
(VOICE BREAKING) Please help my baby.
603
00:26:33,230 --> 00:26:34,296
She's had a heart attack!
604
00:26:35,471 --> 00:26:36,605
Marla.
605
00:26:37,105 --> 00:26:38,038
Marla?
606
00:26:39,208 --> 00:26:40,308
Marla!
607
00:26:40,343 --> 00:26:43,111
Baby, I'm right here. Marla!
608
00:26:44,972 --> 00:26:47,786
Uh, would you like my CV?
609
00:26:47,811 --> 00:26:49,578
No...
610
00:26:49,603 --> 00:26:52,071
I know who you are.
I don't need to see a list.
611
00:26:54,925 --> 00:26:56,025
Where do I work?
612
00:26:58,035 --> 00:26:59,643
It's a tech company.
613
00:27:00,225 --> 00:27:01,258
You were there.
614
00:27:01,292 --> 00:27:03,727
Cars. Something about cars.
615
00:27:03,762 --> 00:27:06,497
You have no interest
in hiring me, do you?
616
00:27:06,564 --> 00:27:08,499
No. It's not personal.
617
00:27:08,566 --> 00:27:09,606
It's a little personal.
618
00:27:09,640 --> 00:27:12,636
I'm doing a favor for Shaun.
I don't really need anyone.
619
00:27:12,670 --> 00:27:14,605
Did he ask you to waste my time?
620
00:27:15,406 --> 00:27:16,673
Yeah... It's okay.
621
00:27:16,741 --> 00:27:18,642
I didn't really want
to work for you anyway.
622
00:27:18,676 --> 00:27:20,043
You're a bit of a grouch.
623
00:27:20,077 --> 00:27:23,480
But make sure whoever does do
the job shores up your firewall.
624
00:27:23,515 --> 00:27:24,915
A kindergartner can hack it.
625
00:27:24,949 --> 00:27:26,750
Thank you. I'm sure we'll be fine.
626
00:27:28,453 --> 00:27:29,586
And you're right, you know.
627
00:27:29,621 --> 00:27:31,655
We are not a good fit.
628
00:27:31,689 --> 00:27:33,624
And our mutual affection for Shaun
629
00:27:33,658 --> 00:27:35,846
isn't enough to stop us
from killing each other.
630
00:27:38,329 --> 00:27:40,264
I...
631
00:27:40,298 --> 00:27:42,499
Your Chronicle subscription
is about to expire
632
00:27:42,534 --> 00:27:44,701
because they don't have
your updated credit card.
633
00:27:44,769 --> 00:27:46,537
The coffee maker you ordered,
634
00:27:46,604 --> 00:27:48,472
third new one in the last six months,
635
00:27:48,506 --> 00:27:50,541
will be delivered Tuesday.
636
00:27:50,608 --> 00:27:52,705
And you're deducting way too much money
637
00:27:52,740 --> 00:27:54,344
out of Debbie's paycheck for FICA.
638
00:27:54,379 --> 00:27:56,480
Would you like to hear
about your Google searches?
639
00:27:56,514 --> 00:27:57,648
♪
640
00:27:58,983 --> 00:27:59,950
Thank you.
641
00:28:04,656 --> 00:28:05,789
(COMPUTER BEEPS)
642
00:28:07,542 --> 00:28:09,726
(SIGHS) Lea!
643
00:28:09,794 --> 00:28:12,029
- (MONITOR BEEPING)
- (MELENDEZ SIGHS)
644
00:28:12,063 --> 00:28:15,199
Severe proximal LAD disease
with mid total occlusion.
645
00:28:15,233 --> 00:28:17,668
Angioplasty won't resolve that stenosis.
646
00:28:17,702 --> 00:28:19,736
High risk of rupture
in someone this young.
647
00:28:20,096 --> 00:28:21,296
A stent?
648
00:28:21,321 --> 00:28:23,622
Won't be enough
effective revascularization.
649
00:28:23,928 --> 00:28:27,940
She needs a left IMA to LAD anastomosis.
650
00:28:28,246 --> 00:28:31,215
I've never done a coronary
bypass on a three-year-old.
651
00:28:31,249 --> 00:28:32,816
Neither have I.
652
00:28:32,851 --> 00:28:34,151
I guess it was the right call
653
00:28:34,185 --> 00:28:35,853
to put her daughter's poop up her tush.
654
00:28:35,887 --> 00:28:37,421
Cost her a large chunk of her colon.
655
00:28:37,488 --> 00:28:39,423
- Saved her daughter's life.
- Yeah, lucky coincidence.
656
00:28:39,490 --> 00:28:41,859
I'm sure the mother
doesn't regret a thing.
657
00:28:41,893 --> 00:28:43,393
At least she shouldn't.
658
00:28:43,428 --> 00:28:44,428
I'm with Claire.
659
00:28:44,495 --> 00:28:46,875
♪
660
00:28:56,774 --> 00:28:59,042
Do you have time for lunch?
661
00:28:59,077 --> 00:29:01,265
And by "lunch," you mean...?
662
00:29:01,512 --> 00:29:02,679
Lunch.
663
00:29:03,348 --> 00:29:05,310
I need advice.
664
00:29:06,184 --> 00:29:09,887
I need to really think about something.
665
00:29:09,921 --> 00:29:10,888
Oh.
666
00:29:11,723 --> 00:29:13,090
Then yes, of course.
667
00:29:13,124 --> 00:29:15,392
CARLY: It could be patronizing,
668
00:29:15,426 --> 00:29:19,563
being put up as some kind of
feel-good, human interest story.
669
00:29:19,597 --> 00:29:21,465
Or objectified and glorified
670
00:29:21,532 --> 00:29:24,601
as some kind of a symbol
for people who are different.
671
00:29:24,636 --> 00:29:28,238
But I also know that when I
told my sister your story,
672
00:29:28,273 --> 00:29:29,373
she cried.
673
00:29:30,208 --> 00:29:31,308
She was sad?
674
00:29:31,376 --> 00:29:33,944
No, she was inspired.
675
00:29:36,381 --> 00:29:37,882
(EXHALES SHAKILY)
676
00:29:37,907 --> 00:29:42,444
I... don't know what your
advice is telling me.
677
00:29:42,553 --> 00:29:45,455
I don't know what you
think I'm supposed to do.
678
00:29:45,490 --> 00:29:48,625
Shaun, you aren't
supposed to do anything,
679
00:29:48,660 --> 00:29:50,894
except what you believe is right.
680
00:29:52,730 --> 00:29:53,909
(SIGHS)
681
00:29:53,934 --> 00:29:55,277
Thank you.
682
00:29:57,135 --> 00:29:59,336
Now I'm going to go see what Lea thinks.
683
00:30:01,172 --> 00:30:02,589
I thought you had a surgery.
684
00:30:02,624 --> 00:30:03,977
I'm just going upstairs.
685
00:30:04,012 --> 00:30:06,576
Lea's meeting with
Dr. Glassman about a job.
686
00:30:06,611 --> 00:30:08,145
- A job here?
- Yes.
687
00:30:08,179 --> 00:30:09,980
Lea told me at lunch yesterday
688
00:30:10,014 --> 00:30:12,316
that she was looking
for different work, so...
689
00:30:12,350 --> 00:30:14,751
Wait, you... you had lunch
with Lea? Yesterday?
690
00:30:14,786 --> 00:30:16,153
And... And you kept it from me?
691
00:30:16,187 --> 00:30:17,799
♪
692
00:30:22,026 --> 00:30:25,128
I didn't keep it from you.
693
00:30:25,163 --> 00:30:27,164
There was no reason to mention it
694
00:30:27,198 --> 00:30:29,366
until just now, when I did.
695
00:30:30,168 --> 00:30:31,271
Shaun...
696
00:30:32,503 --> 00:30:33,937
You know how I feel
697
00:30:33,972 --> 00:30:36,940
about how Lea hovers
over our relationship.
698
00:30:36,975 --> 00:30:38,195
And...
699
00:30:38,776 --> 00:30:40,844
You're just sneaking around with her?
700
00:30:40,878 --> 00:30:42,312
Arranging for her to work here,
701
00:30:42,347 --> 00:30:44,881
where she'll just loom all the more.
702
00:30:45,950 --> 00:30:49,019
She won't be looming or hovering.
703
00:30:49,053 --> 00:30:51,415
She'll be on a whole other floor.
704
00:30:51,450 --> 00:30:53,557
Yeah, where you can go
and get her two cents
705
00:30:53,582 --> 00:30:56,418
whenever the advice given
by your actual girlfriend
706
00:30:56,443 --> 00:30:57,977
is deemed insufficient.
707
00:30:58,062 --> 00:30:59,466
♪
708
00:31:00,498 --> 00:31:01,531
Yes.
709
00:31:01,566 --> 00:31:03,303
♪
710
00:31:06,304 --> 00:31:07,599
(SIGHS)
711
00:31:11,309 --> 00:31:12,521
(DOOR OPENS)
712
00:31:14,812 --> 00:31:16,213
(SIGHS)
713
00:31:16,247 --> 00:31:17,147
(DOOR CLOSES)
714
00:31:18,516 --> 00:31:19,483
Hey.
715
00:31:21,719 --> 00:31:22,719
What are you doing?
716
00:31:22,754 --> 00:31:24,354
Eh, fresh air.
717
00:31:24,389 --> 00:31:25,355
You?
718
00:31:28,659 --> 00:31:30,394
(SIGHS)
719
00:31:30,428 --> 00:31:33,830
Shaun lied to me
about having lunch with Lea.
720
00:31:35,533 --> 00:31:36,795
No, he didn't.
721
00:31:38,002 --> 00:31:40,170
Shaun is incapable of deceit.
722
00:31:40,204 --> 00:31:42,739
He must have genuinely thought
that you wouldn't mind.
723
00:31:42,774 --> 00:31:46,109
Well, then, he is completely
tone deaf and insensitive,
724
00:31:46,177 --> 00:31:48,545
which are not better qualities
in a boyfriend.
725
00:31:48,579 --> 00:31:49,713
True.
726
00:31:49,747 --> 00:31:51,281
But not exactly unanticipated
727
00:31:51,349 --> 00:31:53,250
when you get into
a relationship with Shaun.
728
00:31:56,120 --> 00:31:58,055
And it's never really about the lie.
729
00:31:58,089 --> 00:31:59,956
It's what's underneath.
730
00:32:00,024 --> 00:32:01,358
You're jealous of Lea.
731
00:32:01,392 --> 00:32:03,527
I am not jealous.
732
00:32:03,561 --> 00:32:04,795
I am concerned...
733
00:32:04,862 --> 00:32:07,364
You don't need to justify.
I'm on team jealousy.
734
00:32:07,398 --> 00:32:10,367
It's flattering, stimulating, it...
735
00:32:10,401 --> 00:32:11,945
It means you're committed and you care.
736
00:32:11,980 --> 00:32:14,738
It's ugly and reflects
underlying trust issues
737
00:32:14,772 --> 00:32:15,872
that I don't want to...
738
00:32:15,907 --> 00:32:17,074
Yeah, yeah, yeah, like all things,
739
00:32:17,108 --> 00:32:19,171
a little is good,
and a lot will kill you.
740
00:32:19,963 --> 00:32:21,127
My advice...
741
00:32:21,880 --> 00:32:24,215
Admit you're jealous, give in to it,
742
00:32:24,482 --> 00:32:25,482
and then get over it.
743
00:32:27,618 --> 00:32:28,652
(SIGHS)
744
00:32:28,719 --> 00:32:29,820
(DOOR OPENS)
745
00:32:31,456 --> 00:32:33,090
(DOOR CLOSES)
746
00:32:33,124 --> 00:32:34,391
MORGAN: Finding the styloid
747
00:32:34,425 --> 00:32:37,461
via digital palpitation
of the tonsillar fossa.
748
00:32:38,496 --> 00:32:39,463
There.
749
00:32:41,766 --> 00:32:46,531
Making incision vertically
along the mucosa of mandible.
750
00:32:48,306 --> 00:32:49,673
Next?
751
00:32:49,740 --> 00:32:54,077
I will free the styloid
process from its muscle
752
00:32:54,112 --> 00:32:57,180
and ligament attachments.
753
00:32:58,496 --> 00:32:59,577
Done.
754
00:33:01,879 --> 00:33:05,258
Dissecting away from
the internal carotid medially,
755
00:33:06,591 --> 00:33:09,993
and external, laterally.
756
00:33:10,027 --> 00:33:12,391
Now fracture and excise the styloid.
757
00:33:14,765 --> 00:33:15,832
(HIGH-PITCHED WHIRRING)
758
00:33:18,569 --> 00:33:19,615
(MONITOR ALARM)
759
00:33:19,640 --> 00:33:21,204
- SHAUN: Bradycardia.
- Hypotensive.
760
00:33:21,229 --> 00:33:23,263
Loss of EEG waveform. Cerebral ischemia.
761
00:33:23,341 --> 00:33:24,641
You may have injured the carotid.
762
00:33:24,675 --> 00:33:26,610
Or compressed it
by fracturing the styloid.
763
00:33:26,644 --> 00:33:28,539
See if the fragment
is impinging on the vessel.
764
00:33:28,564 --> 00:33:30,004
Dr. Murphy, extend her head.
765
00:33:30,114 --> 00:33:31,348
(ALARM CONTINUES)
766
00:33:31,382 --> 00:33:33,350
♪
767
00:33:38,489 --> 00:33:40,624
Yes. Found it. Easing it away.
768
00:33:42,727 --> 00:33:44,828
(ALARM STOPS)
769
00:33:44,862 --> 00:33:46,530
Carotid decompressed.
770
00:33:46,564 --> 00:33:48,260
(CLANK)
771
00:33:48,666 --> 00:33:51,401
EEG back to baseline normal.
772
00:33:51,469 --> 00:33:53,470
♪
773
00:33:57,408 --> 00:33:59,602
Resuming styloid extraction.
774
00:33:59,627 --> 00:34:01,561
♪
775
00:34:10,257 --> 00:34:11,993
Kayley's in ICU, stable.
776
00:34:12,027 --> 00:34:14,760
CT shows no signs
of any permanent damage.
777
00:34:14,795 --> 00:34:17,538
No reason to anticipate
any future problems.
778
00:34:17,573 --> 00:34:21,463
So, the question is, what do we tell her?
779
00:34:21,497 --> 00:34:23,762
That the surgery was a success.
780
00:34:23,796 --> 00:34:25,938
She had a cerebral ischemia.
On the table.
781
00:34:25,972 --> 00:34:28,340
That did no damage and that
there's no evidence of.
782
00:34:28,375 --> 00:34:30,509
Hospital policy is transparency...
783
00:34:30,544 --> 00:34:32,494
We don't tell them what music we played,
784
00:34:32,529 --> 00:34:33,734
what we talked about.
785
00:34:33,769 --> 00:34:36,440
This isn't relevant to the
outcome or to her prognosis.
786
00:34:36,475 --> 00:34:38,050
Would you be taking the same position
787
00:34:38,075 --> 00:34:40,276
if Kayley wasn't someone whose
criticism could go viral?
788
00:34:40,353 --> 00:34:41,469
ANDREWS: I don't know.
789
00:34:41,503 --> 00:34:43,489
But it would be delusional
to think it's not relevant.
790
00:34:44,825 --> 00:34:45,937
Dr. Reznick.
791
00:34:46,580 --> 00:34:47,903
Any thoughts?
792
00:34:48,862 --> 00:34:51,175
I don't think I can
fairly offer an opinion,
793
00:34:51,200 --> 00:34:53,690
because my career
could hang in the balance.
794
00:34:53,800 --> 00:34:56,235
Yeah, well, none of us
are disinterested parties,
795
00:34:56,260 --> 00:34:58,872
given the hospital's
reputation is also at stake.
796
00:34:59,619 --> 00:35:01,153
Did you screw up?
797
00:35:01,178 --> 00:35:02,812
Could that crisis have been avoided?
798
00:35:02,837 --> 00:35:05,605
♪
799
00:35:05,792 --> 00:35:10,008
If it could have been,
then we are all responsible.
800
00:35:10,060 --> 00:35:11,961
We were watching
everything she was doing,
801
00:35:11,986 --> 00:35:13,987
and none of us told her to stop.
802
00:35:15,609 --> 00:35:17,243
This is an easy call.
803
00:35:17,390 --> 00:35:19,456
There's only one reason
to tell her everything,
804
00:35:19,491 --> 00:35:21,870
and that's you might
feel guilty if you don't.
805
00:35:21,895 --> 00:35:24,630
On the other hand, there's
the future of this hospital.
806
00:35:24,655 --> 00:35:26,622
♪
807
00:35:34,527 --> 00:35:35,460
Okay.
808
00:35:36,610 --> 00:35:38,043
♪
809
00:35:38,078 --> 00:35:41,614
Shaun, if the patient asks
for details about the surgery,
810
00:35:41,639 --> 00:35:43,741
can you limit your answers?
811
00:35:43,766 --> 00:35:46,168
♪
812
00:35:46,193 --> 00:35:48,630
I... don't know.
813
00:35:49,689 --> 00:35:50,832
Okay, we need to know if...
814
00:35:50,857 --> 00:35:52,133
No.
815
00:35:52,592 --> 00:35:56,128
Dr. Murphy, I hope
you will limit your answers.
816
00:35:56,153 --> 00:35:58,321
But I won't order you
to defy your conscience.
817
00:35:58,346 --> 00:36:00,213
♪
818
00:36:09,242 --> 00:36:13,312
We don't normally have
patients share rooms, but...
819
00:36:13,380 --> 00:36:15,840
- She's...?
- Gonna be completely fine.
820
00:36:15,865 --> 00:36:18,834
And once she's recuperated,
we'll begin her on statins and Ezetimibe,
821
00:36:18,859 --> 00:36:21,027
and she'll undergo lipid apheresis.
822
00:36:21,261 --> 00:36:22,661
It's kind of like dialysis,
823
00:36:22,686 --> 00:36:25,485
but it'll allow us to
extract LDL out of her blood.
824
00:36:25,510 --> 00:36:28,003
Should get her cholesterol
to within normal range.
825
00:36:29,569 --> 00:36:32,137
She'll need those drugs
and that other stuff
826
00:36:32,265 --> 00:36:33,299
for the rest of her life?
827
00:36:33,333 --> 00:36:36,769
Yes. But hopefully a very long one.
828
00:36:37,951 --> 00:36:40,386
(EXHALES SHARPLY)
829
00:36:40,686 --> 00:36:42,392
(SNIFFLES) Thank you so much.
830
00:36:43,444 --> 00:36:45,044
Thank God I did what I did.
831
00:36:45,069 --> 00:36:47,003
(CHUCKLES)
832
00:36:47,028 --> 00:36:49,126
♪
833
00:36:56,923 --> 00:36:58,824
(CHUCKLES)
834
00:37:00,927 --> 00:37:03,012
KAYLEY: (NORMAL VOICE)
Everything went great?
835
00:37:03,289 --> 00:37:06,099
(SIGHS) The repair was successful.
You should have no...
836
00:37:06,124 --> 00:37:08,759
KAYLEY: Everything went great.
Say it. Say it to your fans.
837
00:37:10,503 --> 00:37:12,571
- Everything went great.
- (KAYLEY GIGGLES)
838
00:37:12,606 --> 00:37:14,440
KAYLEY: You rocked it.
839
00:37:14,474 --> 00:37:17,058
(CHUCKLES) You'll be with us
another few days, and then you...
840
00:37:17,092 --> 00:37:18,928
KAYLEY: She rocked it, right?
841
00:37:19,459 --> 00:37:22,428
She was lead surgeon in a successful...
842
00:37:22,453 --> 00:37:24,120
KAYLEY: And how gorgeous is that hair?
843
00:37:24,145 --> 00:37:27,103
Dr. Morgan Reznick, take a bow!
844
00:37:29,122 --> 00:37:30,581
(KAYLEY LAUGHS)
845
00:37:30,606 --> 00:37:32,774
KAYLEY: She was wrist-deep
all up in my mouth, y'all.
846
00:37:32,799 --> 00:37:34,466
She is a damn hero!
847
00:37:34,694 --> 00:37:35,694
(KAYLEY LAUGHS)
848
00:37:37,364 --> 00:37:38,965
You've got work to do.
849
00:37:38,990 --> 00:37:40,075
We're proud of you.
850
00:37:43,416 --> 00:37:45,284
Any reason you screwed up?
851
00:37:45,309 --> 00:37:47,544
I didn't. It could've happened to anyone.
852
00:37:47,569 --> 00:37:50,104
Not anyone suffers from arthritic pain.
853
00:37:50,129 --> 00:37:51,696
That didn't affect anything.
854
00:37:51,721 --> 00:37:53,188
You sure about that?
855
00:37:53,213 --> 00:37:54,447
'Cause I'm not.
856
00:38:11,057 --> 00:38:12,891
CARLY: Did you speak to Lea?
857
00:38:13,099 --> 00:38:14,333
Yes.
858
00:38:18,171 --> 00:38:20,198
I know she's a good friend.
859
00:38:21,174 --> 00:38:22,641
And it would be unfair
860
00:38:22,666 --> 00:38:25,334
for me to expect you
to cut her out of your life.
861
00:38:25,848 --> 00:38:26,981
But...
862
00:38:27,006 --> 00:38:30,675
You going to ask her opinion
right after I had given mine,
863
00:38:30,743 --> 00:38:33,795
it just called up Wyoming all over again.
864
00:38:34,894 --> 00:38:37,596
That you preferred Lea to me.
865
00:38:37,621 --> 00:38:39,555
♪
866
00:38:42,335 --> 00:38:43,702
I was jealous.
867
00:38:45,711 --> 00:38:48,446
And it's something
that I have to work out.
868
00:38:48,471 --> 00:38:51,206
♪
869
00:38:51,231 --> 00:38:54,400
For the two of us to work out.
870
00:38:54,425 --> 00:38:55,559
Together.
871
00:38:55,584 --> 00:38:57,519
♪
872
00:39:01,381 --> 00:39:03,482
♪
873
00:39:06,933 --> 00:39:08,767
What was Lea's advice?
874
00:39:08,792 --> 00:39:10,860
♪
875
00:39:10,885 --> 00:39:14,520
That it'd be selfish not to
share my story with the world.
876
00:39:15,061 --> 00:39:16,829
♪
877
00:39:18,063 --> 00:39:19,898
I liked your advice better.
878
00:39:19,923 --> 00:39:21,858
♪
879
00:39:30,109 --> 00:39:31,876
(KNOCK ON DOOR)
880
00:39:32,245 --> 00:39:33,412
MELENDEZ: Hey.
881
00:39:34,347 --> 00:39:36,415
Uh-oh.
882
00:39:37,130 --> 00:39:38,446
Actually, yeah.
883
00:39:39,185 --> 00:39:41,487
There's something awkward
we need to talk about.
884
00:39:42,589 --> 00:39:43,922
You and Claire.
885
00:39:46,626 --> 00:39:48,411
You can reopen the door.
886
00:39:49,163 --> 00:39:52,065
There's nothing
remotely improper going on.
887
00:39:54,707 --> 00:39:57,776
I received an anonymous
favoritism complaint.
888
00:39:58,945 --> 00:40:00,345
We need to deal with it.
889
00:40:07,793 --> 00:40:11,684
I don't want to talk to reporters.
890
00:40:12,271 --> 00:40:14,039
I know.
891
00:40:14,327 --> 00:40:18,030
So if I talked to reporters,
892
00:40:18,055 --> 00:40:20,957
it wouldn't be honest to who I really am.
893
00:40:21,868 --> 00:40:24,370
Well, sometimes, Shaun,
894
00:40:24,395 --> 00:40:26,996
people present a different
version of themselves
895
00:40:27,021 --> 00:40:28,788
depending upon the circumstances.
896
00:40:28,813 --> 00:40:32,349
Like, I'm not always
the same here as I am at home.
897
00:40:32,578 --> 00:40:33,612
I don't.
898
00:40:34,374 --> 00:40:35,917
No, you don't.
899
00:40:37,577 --> 00:40:40,412
I considered all the arguments.
900
00:40:40,480 --> 00:40:42,648
♪
901
00:40:43,902 --> 00:40:48,006
I want to be known as a good doctor.
902
00:40:49,035 --> 00:40:51,036
Not a good autistic doctor.
903
00:40:51,061 --> 00:40:53,162
♪