﻿1
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REPORTER: <i>Severe Winter Weather
Advisories</i>

2
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<i>have been issued from Kansas
to western Minnesota.</i>

3
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<i>Severe ice and snow reported.</i>

4
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<i>Temperatures will likely reach
below 20 degrees,</i>

5
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<i>and wind chill...</i>

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CLAIRE: Shaun.

7
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Shaun.

8
00:00:14,409 --> 00:00:18,690
Mm. There is a severe
weather warning in Minnesota.

9
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You haven't been at work in three days.

10
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I want to be left alone.

11
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♪

12
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I'm sorry she hurt you.

13
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But you are strong.

14
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You're the most determined man I know.

15
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You're gonna get through this.

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♪

17
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I wish I was...

18
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normal.

19
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♪

20
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Everyone wishes they were normal, Shaun.

21
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♪

22
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You need to get up.

23
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You need to do your exercise routine,

24
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then shower, shave, and get to work.

25
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And not because
your patients need your help,

26
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but because it'll make you feel better.

27
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♪

28
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I'm not leaving without you.

29
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♪

30
00:01:17,527 --> 00:01:20,837
Your sleep apnea is worse
than we'd thought.

31
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You have a condition related
to your pseudoachondroplasia

32
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that is narrowing the base of your skull

33
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and compressing the part of your brain

34
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that controls your breathing.

35
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[BREATHES SHAKILY]

36
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People always say I'm too full of myself.

37
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Guess it's actually true.

38
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Finn, this is serious.

39
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Don't worry. I'm gonna be fine.

40
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MELENDEZ: We can remove bone
from the wall of your skull

41
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and resect a small section
of your cerebellum

42
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to reduce brain-stem pressure.

43
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You're... You're gonna cut out
a piece of his brain?

44
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It won't affect your intellect,

45
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but it will cause a speech impediment

46
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and some difficulty with balance.

47
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I'd rather you knock
a few points off my IQ.

48
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Stop it.

49
00:01:58,485 --> 00:01:59,743
I'm serious.

50
00:01:59,767 --> 00:02:02,200
My "gift of gab"
is what you love about me.

51
00:02:02,663 --> 00:02:04,447
Uh, w-what's option two?

52
00:02:04,471 --> 00:02:07,517
I'm sorry, there is no other option.

53
00:02:07,541 --> 00:02:10,020
I'm a salesman.
I don't hear the word "no".

54
00:02:10,044 --> 00:02:11,621
Th-There's always another way.

55
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You just got to think outside the box.

56
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[SIGHS] We've already done that,

57
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which is how we came up
with this surgery.

58
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It's the only way to keep you alive,

59
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so you have no choice but to accept it.

60
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Dr. Murphy is being rude
and insensitive...

61
00:02:24,391 --> 00:02:25,769
but he's also right.

62
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Finn, please, I love you.

63
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And I will always be here for you

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no matter how you talk or walk.

65
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But you have to listen to your doctors.

66
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♪

67
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I love you, too.

68
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♪

69
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Do whatever you think's best.

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♪

71
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♪

72
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Synced & corrected by -robtor-
www.addic7ed.com

73
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Let me guess.

74
00:03:07,034 --> 00:03:08,878
I'm gonna need another surgery.

75
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What's that now, my tenth?

76
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Eleventh.

77
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And I still can't work the farm;

78
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can't drive a tractor,
pull a combine lever.

79
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I can't even twist open a bottle of beer.

80
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When we met, you were in an ambulance

81
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and your arms
were still in your harvester.

82
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Today you have sensation
and almost full mobility.

83
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Now we just need to treat the neuropathy

84
00:03:30,424 --> 00:03:32,402
and improve your strength.

85
00:03:32,426 --> 00:03:33,959
So how do we do that?

86
00:03:34,588 --> 00:03:36,962
I'm thinking a gracilis muscle transfer.

87
00:03:37,508 --> 00:03:40,924
That should improve his grip
and relieve some of the pain,

88
00:03:40,948 --> 00:03:43,279
but there's only one way
to eliminate all of it.

89
00:03:43,303 --> 00:03:46,216
Tyson, have you given
any more thought to amputation

90
00:03:46,240 --> 00:03:48,385
and osseointegrated prosthetic arms?

91
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They'd attach directly to the bones

92
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and nerves in your forearm,

93
00:03:51,311 --> 00:03:53,356
and you can control them
just like your own hands.

94
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Function would be reduced
in some respects.

95
00:03:56,250 --> 00:03:59,103
Less dexterity, no sensory feedback.

96
00:03:59,127 --> 00:04:02,013
But others, like grip strength,
would be better.

97
00:04:02,037 --> 00:04:04,523
And more importantly, you'd be pain-free.

98
00:04:07,860 --> 00:04:10,082
I want to be a farmer,

99
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not a cyborg.

100
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Okay.

101
00:04:15,420 --> 00:04:17,680
The pain's getting worse.

102
00:04:17,704 --> 00:04:20,850
Probably because I've been
crazy busy in the O.R.

103
00:04:20,874 --> 00:04:22,619
with Murphy out till today.

104
00:04:22,643 --> 00:04:23,953
He's back?

105
00:04:23,977 --> 00:04:26,356
Only because Brown went to his apartment

106
00:04:26,380 --> 00:04:27,599
and dragged his ass in.

107
00:04:28,448 --> 00:04:29,859
She shouldn't have done that.

108
00:04:29,883 --> 00:04:31,694
He's trying to work this out on his own.

109
00:04:31,718 --> 00:04:32,796
That's a good thing.

110
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[INHALES SHARPLY]

111
00:04:34,054 --> 00:04:36,066
DMARDs aren't working.

112
00:04:36,090 --> 00:04:37,867
I know.

113
00:04:37,891 --> 00:04:41,081
Which is why I've been thinking
about synovectomy surgery.

114
00:04:41,105 --> 00:04:43,606
You're gonna remove the joint
linings in your fingers?

115
00:04:43,630 --> 00:04:45,708
That'll resolve the pain temporarily.

116
00:04:45,732 --> 00:04:46,743
Then what?

117
00:04:46,767 --> 00:04:48,700
It'll give me at least ten years.

118
00:04:49,735 --> 00:04:51,648
And then you're gonna be bone on bone;

119
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every joint in your hand
will be mangled and deformed.

120
00:04:54,274 --> 00:04:56,670
What's your plan then?

121
00:04:58,411 --> 00:05:01,780
Who knows what treatments
will be available in ten years?

122
00:05:02,122 --> 00:05:04,255
Have you thought about oncology?

123
00:05:04,737 --> 00:05:06,404
Surgeons do the real work.

124
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They cut out the tumor;
they cure the patient.

125
00:05:09,289 --> 00:05:11,234
Oncologists just sweep up after.

126
00:05:11,258 --> 00:05:12,936
You want to know an even better job?

127
00:05:12,960 --> 00:05:14,704
Starting pitcher for the Oakland A's.

128
00:05:14,728 --> 00:05:17,507
You want to know
why I didn't get that job?

129
00:05:17,531 --> 00:05:19,776
Because the scouts didn't like
the way you wore your hat?

130
00:05:19,800 --> 00:05:22,345
Yeah, that, and I was born with this arm.

131
00:05:22,369 --> 00:05:24,414
You were born with those hands.

132
00:05:24,438 --> 00:05:25,515
What are you gonna do,

133
00:05:25,539 --> 00:05:27,383
practice surgery for a few more years

134
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and then spend the rest of your life

135
00:05:28,742 --> 00:05:31,209
not being able to pick up a pencil?

136
00:05:32,039 --> 00:05:33,923
You can pursue another specialty.

137
00:05:33,947 --> 00:05:36,681
You can practice
for the rest of your life.

138
00:05:36,706 --> 00:05:42,120
♪

139
00:05:42,691 --> 00:05:44,434
You get rear-ended on the way to work

140
00:05:44,458 --> 00:05:46,386
or you just hate little people?

141
00:05:46,793 --> 00:05:50,073
Neither. EKG is normal.

142
00:05:50,097 --> 00:05:51,875
So you got dumped.

143
00:05:51,899 --> 00:05:55,379
No, I didn't.

144
00:05:55,403 --> 00:05:57,272
It's nothing to be ashamed of.

145
00:05:59,071 --> 00:06:01,237
We were never even going out.

146
00:06:01,261 --> 00:06:02,421
[DOOR OPENS]

147
00:06:02,445 --> 00:06:04,387
Finn? [SIGHS]

148
00:06:04,411 --> 00:06:06,055
I've been worried sick.

149
00:06:06,079 --> 00:06:07,824
Ohh.

150
00:06:07,848 --> 00:06:09,893
Take it easy.

151
00:06:09,917 --> 00:06:12,695
I told you to stay home.
There's nothing to worry about.

152
00:06:12,719 --> 00:06:14,264
Stop trying to act so tough.

153
00:06:14,288 --> 00:06:16,555
You shouldn't have to
go through this alone.

154
00:06:17,690 --> 00:06:19,401
♪

155
00:06:19,425 --> 00:06:21,922
Sorry, baby, but you should wait outside.

156
00:06:21,946 --> 00:06:24,652
Let the doctors finish up,
and I'll be right out.

157
00:06:24,676 --> 00:06:27,177
He's not going to the O.R. for a while,

158
00:06:27,201 --> 00:06:29,579
so there will be plenty of time
to visit when we're done.

159
00:06:29,603 --> 00:06:30,702
Okay.

160
00:06:31,598 --> 00:06:33,349
I'll be right outside.

161
00:06:33,373 --> 00:06:43,359
♪

162
00:06:43,383 --> 00:06:50,150
♪

163
00:06:50,175 --> 00:06:51,868
Is there any way you could make sure

164
00:06:51,892 --> 00:06:54,132
she and Nathalie
stay in separate waiting rooms

165
00:06:54,156 --> 00:06:56,039
and aren't allowed to visit
at the same time?

166
00:06:56,063 --> 00:06:58,274
[CHUCKLES] No.
We're not helping you cheat.

167
00:06:58,298 --> 00:06:59,542
I'm not cheating.

168
00:06:59,566 --> 00:07:02,679
I've always made it clear
I'm not ready to settle down,

169
00:07:02,703 --> 00:07:05,114
but sometimes women m-make assumptions.

170
00:07:05,138 --> 00:07:07,806
Oh, and you don't feel the need
to correct that?

171
00:07:08,015 --> 00:07:10,326
I understand you don't approve,

172
00:07:10,350 --> 00:07:11,694
but all I'm asking

173
00:07:11,718 --> 00:07:14,002
is for you to help me
get through brain surgery

174
00:07:14,026 --> 00:07:15,451
without emotional turmoil

175
00:07:15,475 --> 00:07:18,461
that I assume would be harmful
to my recovery.

176
00:07:18,485 --> 00:07:24,892
♪

177
00:07:24,916 --> 00:07:26,142
Okay.

178
00:07:26,166 --> 00:07:27,738
Thank you.

179
00:07:27,763 --> 00:07:30,430
♪

180
00:07:31,638 --> 00:07:36,186
[MONITOR BEEPING]

181
00:07:36,210 --> 00:07:38,354
Are you seeing the same thing I'm seeing?

182
00:07:38,378 --> 00:07:41,357
The tendons are encased in scar tissue.

183
00:07:41,381 --> 00:07:43,682
The gracilis muscle transfer
isn't gonna work.

184
00:07:44,588 --> 00:07:45,877
It still could.

185
00:07:45,901 --> 00:07:47,077
If we attach the muscle

186
00:07:47,101 --> 00:07:49,933
further down the forearm
and bypass the scar ball.

187
00:07:49,957 --> 00:07:51,568
It wouldn't hold.

188
00:07:51,592 --> 00:07:53,736
There'd be too much tension on the graft.

189
00:07:53,760 --> 00:07:55,238
♪

190
00:07:55,262 --> 00:07:57,373
We can figure out a way
to work around that.

191
00:07:57,397 --> 00:07:59,300
Let's wake him up
and put him back in his room

192
00:07:59,324 --> 00:08:02,212
and pull every paper on
free-muscle and nerve transfers.

193
00:08:02,236 --> 00:08:04,514
His only option is double amputation

194
00:08:04,538 --> 00:08:06,649
and the osseointegrated prosthetics.

195
00:08:06,673 --> 00:08:08,116
We don't have a choice.

196
00:08:08,140 --> 00:08:09,686
Yes, we do.

197
00:08:09,710 --> 00:08:11,921
And as Chief of Surgery, I just made it.

198
00:08:11,945 --> 00:08:13,790
♪

199
00:08:13,814 --> 00:08:17,260
He doesn't really look the part.

200
00:08:17,284 --> 00:08:18,695
[CHUCKLES]

201
00:08:18,719 --> 00:08:21,029
He's a handsome guy
with a great sense of humor

202
00:08:21,053 --> 00:08:22,532
and a high-paying job.

203
00:08:22,556 --> 00:08:24,240
He means because women don't like

204
00:08:24,264 --> 00:08:26,359
to be in relationships
with men who are weird.

205
00:08:26,383 --> 00:08:27,951
He's not weird. And neither are you.

206
00:08:27,975 --> 00:08:30,039
And a week ago,
you were juggling two women,

207
00:08:30,063 --> 00:08:32,008
so stop feeling so sorry for yourself.

208
00:08:32,032 --> 00:08:33,908
Have you ever dated anyone
who wasn't tall,

209
00:08:33,932 --> 00:08:35,267
handsome, and neurotypical?

210
00:08:36,669 --> 00:08:38,511
It's not about me.

211
00:08:38,535 --> 00:08:40,116
[ALARMS BLARING]

212
00:08:40,140 --> 00:08:41,951
- Talk to me.
- He stopped breathing,

213
00:08:41,975 --> 00:08:43,853
and I haven't even
administered the paralytics.

214
00:08:43,877 --> 00:08:46,055
[ALARMS STOP, MONITOR BEEPING NORMALLY]

215
00:08:46,079 --> 00:08:47,290
What just happened?

216
00:08:47,314 --> 00:08:49,659
Pressure on the medulla
must be getting worse.

217
00:08:49,683 --> 00:08:51,594
He's lucky he didn't wait
any longer to come in.

218
00:08:51,618 --> 00:08:53,113
Let's tube him and get to work.

219
00:08:53,137 --> 00:08:54,531
Wait.

220
00:08:54,555 --> 00:08:57,133
Flex his head into position again.

221
00:08:57,157 --> 00:09:00,904
♪

222
00:09:00,928 --> 00:09:02,438
[ALARMS BLARING]

223
00:09:02,462 --> 00:09:03,940
Extend his neck.

224
00:09:03,964 --> 00:09:05,775
[ALARMS STOP]

225
00:09:05,799 --> 00:09:07,566
What's going on?

226
00:09:08,467 --> 00:09:11,781
Flexing the neck offsets
the posterior compression.

227
00:09:11,805 --> 00:09:14,094
But that should take the pressure off,
not make it worse.

228
00:09:14,118 --> 00:09:15,552
MELENDEZ: Doesn't make any sense.

229
00:09:15,576 --> 00:09:18,021
And we're not gonna do brain
surgery on him until it does.

230
00:09:18,045 --> 00:09:21,513
♪

231
00:09:26,920 --> 00:09:29,722
I don't see anything different
in the flexed-neck views.

232
00:09:30,784 --> 00:09:34,734
Should his C2 bone
be curved inward like that?

233
00:09:34,759 --> 00:09:36,425
It could exacerbate the
narrowing on the front of his...

234
00:09:36,450 --> 00:09:37,650
It's not significant.

235
00:09:38,755 --> 00:09:40,411
Well, if his apnea's getting worse

236
00:09:40,435 --> 00:09:41,679
because of pressure from
the front as well as the back...

237
00:09:41,703 --> 00:09:42,718
The treatment is the same.

238
00:09:42,742 --> 00:09:44,884
Surgery to create more room
in the skull base.

239
00:09:44,908 --> 00:09:47,306
It's not the same,
and stop interrupting me.

240
00:09:48,342 --> 00:09:50,654
If we drill off the C2 in the front,

241
00:09:50,678 --> 00:09:52,556
as well as open the back,

242
00:09:52,580 --> 00:09:54,959
we might not have to
resect the cerebellum.

243
00:09:54,983 --> 00:09:57,862
He wouldn't have any speech
impediment or balance issues.

244
00:09:57,886 --> 00:10:00,231
We'd have to approach through his mouth;

245
00:10:00,255 --> 00:10:01,665
a bacteria-rich environment,

246
00:10:01,689 --> 00:10:03,601
which can't be fully sterilized.

247
00:10:03,625 --> 00:10:05,936
There would be too high a risk
of a post-op brain infection.

248
00:10:05,960 --> 00:10:07,159
So we figure out another approach.

249
00:10:07,183 --> 00:10:10,107
There's only one safe way
to access the C2.

250
00:10:10,131 --> 00:10:12,689
Okay, so come up with something
outside the box.

251
00:10:12,713 --> 00:10:14,445
No, that's a stupid expression.

252
00:10:14,469 --> 00:10:15,479
There is no box.

253
00:10:15,503 --> 00:10:17,748
And you are wasting valuable time

254
00:10:17,772 --> 00:10:19,702
just because you want to be nice to her.

255
00:10:19,726 --> 00:10:20,688
- Murphy...
- [SIGHS]

256
00:10:20,712 --> 00:10:22,948
We should do the cerebellar
surgery before he has a fatal apnea...

257
00:10:22,972 --> 00:10:24,200
Murphy.

258
00:10:25,234 --> 00:10:26,423
I'm not being nice.

259
00:10:26,447 --> 00:10:28,859
I'm using my experience
and judgment to make the call.

260
00:10:28,883 --> 00:10:29,960
That's my job.

261
00:10:29,984 --> 00:10:32,163
- You are being nice.
- And you're being a jerk.

262
00:10:32,187 --> 00:10:36,122
♪

263
00:10:36,713 --> 00:10:38,291
You've got the night.

264
00:10:38,673 --> 00:10:41,105
If you two can't come up
with a solution by morning,

265
00:10:41,129 --> 00:10:42,973
we'll proceed with the original plan.

266
00:10:42,997 --> 00:10:50,036
♪

267
00:11:00,445 --> 00:11:02,293
Your patient's in desperate need

268
00:11:02,317 --> 00:11:03,794
of an Oklahoma weather report?

269
00:11:03,818 --> 00:11:06,285
I didn't even want to be here today.

270
00:11:08,989 --> 00:11:10,968
You should try a martial arts class.

271
00:11:10,992 --> 00:11:13,904
Focused distraction is key
to dealing with stress...

272
00:11:13,928 --> 00:11:15,239
and heartbreaks.

273
00:11:15,263 --> 00:11:17,274
That's just avoiding the problem.

274
00:11:17,298 --> 00:11:19,410
Don't obsess over what you've lost,

275
00:11:19,434 --> 00:11:21,579
focus on what you've gained
from the relationship.

276
00:11:21,603 --> 00:11:23,247
CLAIRE: I hate to interrupt
group therapy,

277
00:11:23,271 --> 00:11:25,416
but what if we approached

278
00:11:25,440 --> 00:11:26,951
through the side of the neck?

279
00:11:26,975 --> 00:11:29,119
We could transpose the vertebral artery,

280
00:11:29,143 --> 00:11:31,522
open up the spine laterally
to drill off the C2.

281
00:11:31,546 --> 00:11:33,624
It would leave his spine
permanently unstable

282
00:11:33,648 --> 00:11:34,925
and could cause a stroke.

283
00:11:34,949 --> 00:11:36,796
There might be a way
to mitigate stroke risk.

284
00:11:36,820 --> 00:11:38,929
And he'd still have
the instability and...

285
00:11:38,953 --> 00:11:40,064
Come on, Shaun.

286
00:11:40,088 --> 00:11:42,153
I need help, not criticism.

287
00:11:43,654 --> 00:11:45,269
I have always supported you

288
00:11:45,293 --> 00:11:46,770
when you were trying to come up with

289
00:11:46,794 --> 00:11:48,294
an unconventional treatment option.

290
00:11:50,964 --> 00:11:53,432
You supported me
when you thought I was right.

291
00:11:59,439 --> 00:12:00,618
[DOOR OPENS]

292
00:12:00,642 --> 00:12:02,423
What do you guys think?

293
00:12:04,111 --> 00:12:05,445
We gotta go.

294
00:12:05,470 --> 00:12:07,036
We do?

295
00:12:07,061 --> 00:12:08,560
♪

296
00:12:08,585 --> 00:12:10,352
We remove the scar tissue and the nerves.

297
00:12:10,377 --> 00:12:12,077
Then harvest nerves from his upper arm

298
00:12:12,102 --> 00:12:13,234
to rewire his forearms.

299
00:12:13,259 --> 00:12:14,258
It'll improve his grip,

300
00:12:14,283 --> 00:12:15,749
and with the scar tissue removed,

301
00:12:15,774 --> 00:12:17,140
the pain should decrease, too.

302
00:12:17,165 --> 00:12:19,332
Does nothing to solve
the blood-flow problem

303
00:12:19,357 --> 00:12:20,690
that's causing the scarring.

304
00:12:20,715 --> 00:12:22,715
I'm sure we can come up
with a solve for that.

305
00:12:22,740 --> 00:12:24,740
[SIGHS] That's what you said last time.

306
00:12:24,766 --> 00:12:26,911
And I was right. We're making progress.

307
00:12:26,935 --> 00:12:28,950
Would you two give us a moment?

308
00:12:29,414 --> 00:12:31,537
We'll meet you in the Residents'
Lounge when we're done.

309
00:12:31,562 --> 00:12:33,829
♪

310
00:12:37,458 --> 00:12:39,089
Are you so against the prosthetics

311
00:12:39,113 --> 00:12:40,891
because you think it's in
Tyson's best interest?

312
00:12:40,915 --> 00:12:42,296
Or because it's my idea?

313
00:12:44,117 --> 00:12:46,730
You think I care whose idea anything is?

314
00:12:46,754 --> 00:12:48,432
You're a competitive person

315
00:12:48,456 --> 00:12:51,257
working with the guy
who used to hold your job.

316
00:12:52,292 --> 00:12:56,440
I'll admit my competitive drive
may kick up a notch

317
00:12:56,464 --> 00:12:57,942
when we work together.

318
00:12:57,966 --> 00:13:01,278
I'll also admit that I admire the courage

319
00:13:01,302 --> 00:13:04,048
of a guy who stumbled
a half-mile back to his house

320
00:13:04,072 --> 00:13:06,917
after his arms were ripped off
by a combine.

321
00:13:06,941 --> 00:13:08,719
He opened a door with his mouth

322
00:13:08,743 --> 00:13:10,666
and dialed 911 with his nose,

323
00:13:10,690 --> 00:13:12,723
and as long as he wants to keep fighting,

324
00:13:12,747 --> 00:13:14,631
I'm gonna fight along with him.

325
00:13:14,655 --> 00:13:17,083
Which has nothing to do with my ego.

326
00:13:17,498 --> 00:13:18,562
Good.

327
00:13:18,586 --> 00:13:20,642
That's all I wanted to confirm.

328
00:13:20,666 --> 00:13:22,357
♪

329
00:13:22,381 --> 00:13:24,687
But I'm gonna start prepping
for the amputation

330
00:13:24,711 --> 00:13:27,071
because that's the only
rational choice we have,

331
00:13:27,095 --> 00:13:29,151
which I'm confident
you'll realize soon enough.

332
00:13:29,175 --> 00:13:36,268
♪

333
00:13:36,809 --> 00:13:38,304
Make any progress?

334
00:13:39,228 --> 00:13:43,506
Yeah, I figured out a lateral approach,

335
00:13:43,530 --> 00:13:46,757
but Shaun thinks it would
leave his spine unstable

336
00:13:46,781 --> 00:13:48,781
and increase his risk of stroke.

337
00:13:50,031 --> 00:13:52,730
- I agree.
- Yeah, me too.

338
00:13:52,754 --> 00:13:54,264
There has to be a way to mitigate the...

339
00:13:54,288 --> 00:13:55,955
WOMAN: Dr. Browne?

340
00:13:56,163 --> 00:13:57,762
These just got delivered.

341
00:13:58,792 --> 00:14:01,105
[CHUCKLES]

342
00:14:01,129 --> 00:14:02,973
- Enjoy.
- Thanks.

343
00:14:02,997 --> 00:14:04,541
Dash is a romantic.

344
00:14:04,565 --> 00:14:06,547
Thought you hated romantics.

345
00:14:07,301 --> 00:14:10,247
[CHUCKLES] Yeah, he's... he's teasing me.

346
00:14:10,271 --> 00:14:13,784
I told him I thought guys
who sent flowers were lame.

347
00:14:13,808 --> 00:14:15,753
[SNIFFS]

348
00:14:15,777 --> 00:14:18,411
[CHUCKLES] We haven't even kissed yet.

349
00:14:19,446 --> 00:14:21,080
What are you waiting for?

350
00:14:22,939 --> 00:14:24,561
I don't know.

351
00:14:24,585 --> 00:14:26,397
Um...

352
00:14:26,421 --> 00:14:29,233
I enjoy being with him.

353
00:14:29,257 --> 00:14:31,235
Actually, I forgot how funny he is.

354
00:14:31,259 --> 00:14:34,938
Just... hasn't seemed like
the right time.

355
00:14:39,266 --> 00:14:42,746
I'm more worried about the stroke risk

356
00:14:42,770 --> 00:14:44,233
than spinal instability,

357
00:14:44,257 --> 00:14:46,917
so focus on fixing that.

358
00:14:46,941 --> 00:14:48,673
Okay.

359
00:14:50,777 --> 00:14:52,089
[SIGHS]

360
00:14:52,113 --> 00:14:55,592
And, Claire, if he's the right guy,

361
00:14:55,616 --> 00:14:57,694
stop holding out for the right time.

362
00:14:57,718 --> 00:15:07,237
♪

363
00:15:07,261 --> 00:15:08,739
♪

364
00:15:08,763 --> 00:15:10,707
Your vitals are stable.

365
00:15:10,731 --> 00:15:13,739
The nurses will monitor you
during the night.

366
00:15:14,365 --> 00:15:17,214
Your problem's simple to solve.

367
00:15:17,238 --> 00:15:19,238
You just need to ask someone else out.

368
00:15:21,775 --> 00:15:24,455
Lea was special.

369
00:15:24,479 --> 00:15:25,923
I'm sure she was.

370
00:15:25,947 --> 00:15:28,492
But there are so many others,
just as special.

371
00:15:28,516 --> 00:15:30,527
You just have to get to know them.

372
00:15:30,551 --> 00:15:32,563
No, I don't want to.

373
00:15:32,587 --> 00:15:34,051
Yes, you do.

374
00:15:34,802 --> 00:15:36,934
You think I don't know how you feel?

375
00:15:36,958 --> 00:15:39,670
Afraid of being rejected
because you're too...

376
00:15:39,694 --> 00:15:40,693
different?

377
00:15:41,309 --> 00:15:43,574
Finally I decided, screw it.

378
00:15:43,598 --> 00:15:46,276
I started talking to every woman I saw.

379
00:15:46,300 --> 00:15:49,413
Street corners,
elevators, grocery stores.

380
00:15:49,437 --> 00:15:51,915
And I learned I'm pretty good at it.

381
00:15:51,939 --> 00:15:53,183
That's my gift.

382
00:15:53,207 --> 00:15:55,252
Everyone has one.

383
00:15:55,276 --> 00:15:56,753
They just...

384
00:15:56,777 --> 00:15:59,857
have to figure out what it is...

385
00:15:59,881 --> 00:16:01,859
[MONITOR BEEPING RAPIDLY]

386
00:16:01,883 --> 00:16:04,761
♪

387
00:16:04,785 --> 00:16:06,752
Okay. Code Blue!

388
00:16:07,514 --> 00:16:09,190
Code Blue!

389
00:16:09,214 --> 00:16:17,863
♪

390
00:16:24,411 --> 00:16:25,845
[SIGHS]

391
00:16:25,870 --> 00:16:27,178
Murphy and I just inserted

392
00:16:27,203 --> 00:16:29,761
a diaphragmatic pacemaker on Finn.

393
00:16:29,786 --> 00:16:31,488
It'll only trigger shallow breaths,

394
00:16:31,513 --> 00:16:34,722
so he's at high risk for pneumonia.

395
00:16:34,746 --> 00:16:35,757
You got anything?

396
00:16:35,781 --> 00:16:37,992
Yeah, I was thinking of using

397
00:16:38,016 --> 00:16:40,662
a more inferior transatlas approach.

398
00:16:40,686 --> 00:16:42,897
That would minimize stroke risk.

399
00:16:42,921 --> 00:16:44,065
That won't work.

400
00:16:44,089 --> 00:16:46,189
It would destabilize the C1-2 joint.

401
00:16:47,285 --> 00:16:49,018
[SIGHS]

402
00:16:50,513 --> 00:16:52,573
You did all you could.

403
00:16:52,597 --> 00:16:53,908
Go home.

404
00:16:53,932 --> 00:16:55,733
We'll do the original cerebellar surgery

405
00:16:55,757 --> 00:16:57,345
first thing in the morning.

406
00:16:57,369 --> 00:17:06,354
♪

407
00:17:06,378 --> 00:17:08,289
So I'll be able to work the farm.

408
00:17:08,313 --> 00:17:11,025
We still need to find a way
to increase blood flow.

409
00:17:11,049 --> 00:17:13,861
You should regain most of
your grip and forearm strength,

410
00:17:13,885 --> 00:17:15,763
but you'd still be in some pain.

411
00:17:15,787 --> 00:17:17,153
[SIGHS]

412
00:17:17,711 --> 00:17:19,456
I-I can handle it.

413
00:17:20,491 --> 00:17:21,891
Can you?

414
00:17:22,549 --> 00:17:24,205
How can you know for sure?

415
00:17:24,229 --> 00:17:27,564
As the years go by
and the pain doesn't stop...

416
00:17:28,096 --> 00:17:29,577
will you change your mind?

417
00:17:29,601 --> 00:17:31,634
Because it'll be too late.

418
00:17:33,065 --> 00:17:35,016
What's wrong? What are
you... What are you feeling?

419
00:17:35,040 --> 00:17:37,351
[WEAKLY] Like a horse
just kicked in my chest.

420
00:17:37,375 --> 00:17:38,886
[MONITOR BEEPING RAPIDLY, ALARMS BLARING]

421
00:17:38,910 --> 00:17:41,989
[COUGHING]

422
00:17:42,013 --> 00:17:44,125
I need an echo and pulmonary cath kit!

423
00:17:44,149 --> 00:17:45,526
And page Lim, stat!

424
00:17:45,550 --> 00:17:47,650
[COUGHING HEAVILY]

425
00:17:48,575 --> 00:17:50,064
I think the last time

426
00:17:50,088 --> 00:17:53,465
that I was at an actual
punk-rock show was, uh...

427
00:17:53,489 --> 00:17:54,998
College.

428
00:17:55,260 --> 00:17:56,471
Patti Smith.

429
00:17:56,495 --> 00:17:58,513
- Oh, my God!
- [LAUGHS]

430
00:17:58,537 --> 00:18:00,085
I completely forgot about that.

431
00:18:00,109 --> 00:18:02,076
You forgot
getting your ass tossed offstage

432
00:18:02,100 --> 00:18:03,211
by a 60-year-old woman?

433
00:18:03,235 --> 00:18:04,378
- [BOTH LAUGH]
- Yeah.

434
00:18:04,402 --> 00:18:06,314
Remember what you said
when we picked you up?

435
00:18:06,338 --> 00:18:09,984
Uh, oh, something about her
being, uh, thin but strong?

436
00:18:10,008 --> 00:18:11,819
"Thin but wiry".

437
00:18:11,843 --> 00:18:13,855
- Wiry.
- Wiry.

438
00:18:13,879 --> 00:18:16,579
[CHUCKLES]

439
00:18:21,752 --> 00:18:23,985
Okay, well, I, um...

440
00:18:24,556 --> 00:18:27,401
I have an early surgery,
so I should probably get going.

441
00:18:27,425 --> 00:18:29,033
- Okay.
- Okay.

442
00:18:29,057 --> 00:18:30,304
[BREATHES DEEPLY]

443
00:18:30,328 --> 00:18:31,806
Have a good night.

444
00:18:31,830 --> 00:18:33,323
Good night.

445
00:18:33,347 --> 00:18:43,885
♪

446
00:18:43,909 --> 00:18:53,895
♪

447
00:18:53,919 --> 00:19:03,771
♪

448
00:19:03,795 --> 00:19:09,599
♪

449
00:19:10,031 --> 00:19:11,868
I got an idea.

450
00:19:12,325 --> 00:19:14,248
Actually, you had it first.

451
00:19:14,272 --> 00:19:15,750
♪

452
00:19:15,774 --> 00:19:18,619
It's the right approach,
just the wrong route.

453
00:19:18,643 --> 00:19:20,621
♪

454
00:19:20,645 --> 00:19:23,357
We go in from the back,
posterior transdural,

455
00:19:23,381 --> 00:19:26,027
gently move your spinal cord
out of the way

456
00:19:26,051 --> 00:19:28,217
so we can drill off the misshaped C2.

457
00:19:28,241 --> 00:19:29,730
There is a risk of paralysis,

458
00:19:29,754 --> 00:19:31,585
but we would be monitoring
your spinal functions

459
00:19:31,609 --> 00:19:33,301
to help avoid any nerve injuries.

460
00:19:33,325 --> 00:19:35,436
Let's do it. Where do I have to sign?

461
00:19:35,460 --> 00:19:37,227
You shouldn't sign anything.

462
00:19:38,685 --> 00:19:40,541
Consenting to this surgery

463
00:19:40,565 --> 00:19:43,600
would be incredibly shortsighted
and reckless.

464
00:19:52,676 --> 00:19:53,888
It is one thing

465
00:19:53,912 --> 00:19:55,723
to take your bad mood
out on your colleagues,

466
00:19:55,747 --> 00:19:57,749
but to try and undermine
my surgical advice...

467
00:19:57,773 --> 00:19:59,460
My opinion's valid.

468
00:19:59,484 --> 00:20:00,828
Well, thankfully, he disagrees.

469
00:20:00,852 --> 00:20:03,898
He's risking paralysis to be charming.

470
00:20:03,922 --> 00:20:06,701
Because people expect
everyone to be perfect.

471
00:20:06,725 --> 00:20:08,236
Everyone's opinion is valid

472
00:20:08,260 --> 00:20:10,183
all the way until
we go into the patient room.

473
00:20:10,207 --> 00:20:12,851
We are a team with one opinion.

474
00:20:12,875 --> 00:20:18,401
♪

475
00:20:18,988 --> 00:20:20,436
I...

476
00:20:20,977 --> 00:20:22,950
I don't feel better!

477
00:20:22,974 --> 00:20:24,307
I feel worse!

478
00:20:24,331 --> 00:20:26,921
And doing the wrong surgery

479
00:20:26,945 --> 00:20:29,190
is not going to help anyone.

480
00:20:29,214 --> 00:20:31,893
I don't want to do it; I'm going home.

481
00:20:31,917 --> 00:20:36,297
♪

482
00:20:36,321 --> 00:20:37,253
[SIGHS]

483
00:20:48,670 --> 00:20:50,556
You're not walking out on your patient.

484
00:20:50,580 --> 00:20:51,884
Or your team.

485
00:20:51,908 --> 00:20:54,405
I still have two sick days

486
00:20:54,429 --> 00:20:56,578
and 76 hours of unused P.T.O.

487
00:20:56,602 --> 00:20:58,679
You're not sick,
and you're in the middle of a case.

488
00:20:58,703 --> 00:21:01,382
I don't care about the case
or the patient.

489
00:21:05,840 --> 00:21:08,190
I don't care about anything.

490
00:21:20,828 --> 00:21:23,563
I've had my heart broken twice

491
00:21:23,588 --> 00:21:25,522
in the last few years.

492
00:21:26,709 --> 00:21:28,743
You want to know what I did?

493
00:21:31,166 --> 00:21:32,611
I came to work every day

494
00:21:32,636 --> 00:21:35,225
and pretended everything was fine.

495
00:21:35,551 --> 00:21:37,470
Until, eventually,

496
00:21:37,667 --> 00:21:40,234
I wasn't pretending anymore.

497
00:21:42,690 --> 00:21:46,020
That's not helpful at all.

498
00:21:48,195 --> 00:21:50,597
[SIGHS]

499
00:21:52,167 --> 00:21:54,146
How about this?

500
00:21:54,170 --> 00:21:55,648
Go back in there

501
00:21:55,672 --> 00:21:57,316
and help Claire prep Finn for surgery,

502
00:21:57,340 --> 00:21:58,806
or you won't be my resident.

503
00:21:59,254 --> 00:22:01,911
Or anyone else's at St. Bonaventure.

504
00:22:03,353 --> 00:22:05,664
And I know you care about that.

505
00:22:12,968 --> 00:22:22,977
♪

506
00:22:23,002 --> 00:22:28,472
♪

507
00:22:28,497 --> 00:22:30,730
We were able to clear the clot,

508
00:22:31,040 --> 00:22:34,320
but due to the restricted
arteries in your arms,

509
00:22:34,344 --> 00:22:36,693
we're gonna need
to keep you on blood thinners...

510
00:22:36,718 --> 00:22:37,884
indefinitely.

511
00:22:39,742 --> 00:22:41,809
Okay.

512
00:22:43,205 --> 00:22:44,358
The blood thinners

513
00:22:44,383 --> 00:22:47,122
make the reconstructive surgery
impossible.

514
00:22:47,891 --> 00:22:50,658
We have no choice but to amputate.

515
00:22:51,335 --> 00:22:52,972
I'm sorry.

516
00:22:52,996 --> 00:22:54,869
♪

517
00:22:54,893 --> 00:22:56,632
No.

518
00:22:57,860 --> 00:23:00,194
I'm not letting you cut off my arms.

519
00:23:00,670 --> 00:23:02,543
I don't want false limbs.

520
00:23:02,846 --> 00:23:04,343
I don't want to be that guy.

521
00:23:04,368 --> 00:23:06,016
I want to be who I am.

522
00:23:06,041 --> 00:23:12,379
♪

523
00:23:12,975 --> 00:23:15,734
You are the toughest,

524
00:23:15,759 --> 00:23:18,660
most tenacious person I've ever met.

525
00:23:19,530 --> 00:23:21,323
And that is not gonna change

526
00:23:21,348 --> 00:23:23,715
because we replace your hands
with titanium.

527
00:23:23,740 --> 00:23:26,674
♪

528
00:23:27,082 --> 00:23:29,623
It's time to let go.

529
00:23:29,648 --> 00:23:38,689
♪

530
00:23:39,022 --> 00:23:40,509
Okay.

531
00:23:40,534 --> 00:23:42,700
♪

532
00:23:43,887 --> 00:23:45,591
Okay.

533
00:23:45,615 --> 00:23:48,327
[SIGHS]

534
00:23:48,351 --> 00:23:53,564
♪

535
00:23:53,589 --> 00:23:55,355
Any way you could draw a skull

536
00:23:55,380 --> 00:23:57,833
with a cobra coming out of its
eyes while you're back there?

537
00:23:57,858 --> 00:24:00,045
Would you settle for a lame smiley face?

538
00:24:00,070 --> 00:24:03,237
Because that is the only thing
I can draw.

539
00:24:03,291 --> 00:24:05,225
There's my favorite nurse.

540
00:24:05,435 --> 00:24:07,456
Did you check out that Ethiopian place

541
00:24:07,481 --> 00:24:08,623
I told you about last night?

542
00:24:08,648 --> 00:24:11,649
Actually, I did,
and the kik alicha was delish.

543
00:24:11,680 --> 00:24:14,347
Now, if you want
a truly life-changing meal,

544
00:24:14,372 --> 00:24:16,506
you need to try Lennon's on Sixth.

545
00:24:16,531 --> 00:24:18,731
- Is it expensive?
- Outrageously.

546
00:24:18,756 --> 00:24:20,155
- [CHUCKLES]
- But worth it.

547
00:24:20,516 --> 00:24:24,263
Now, it's all white tablecloths
and candles,

548
00:24:24,287 --> 00:24:26,065
so you'll need a date.

549
00:24:26,089 --> 00:24:27,566
How 'bout Dr. Murphy?

550
00:24:27,590 --> 00:24:30,479
♪

551
00:24:30,503 --> 00:24:32,772
You told me yourself
he's a gifted surgeon.

552
00:24:32,796 --> 00:24:34,473
That's pretty high praise.

553
00:24:34,497 --> 00:24:35,507
[CHUCKLES SOFTLY]

554
00:24:35,531 --> 00:24:37,843
And he told me you're cute.

555
00:24:37,867 --> 00:24:43,588
♪

556
00:24:43,612 --> 00:24:44,788
Good luck today.

557
00:24:44,812 --> 00:24:46,277
FINN: Thanks.

558
00:24:46,301 --> 00:24:49,788
♪

559
00:24:49,812 --> 00:24:51,606
I totally teed you up.

560
00:24:51,630 --> 00:24:53,592
All you had to do was take a swing.

561
00:24:53,616 --> 00:24:56,730
I'm not interested in her.

562
00:24:56,754 --> 00:24:58,465
If she's not your type,

563
00:24:58,489 --> 00:25:00,337
I'm sure there are plenty
of other cool nurses

564
00:25:00,361 --> 00:25:01,548
roaming around here

565
00:25:01,572 --> 00:25:03,236
who could make you feel better
about yourself.

566
00:25:03,260 --> 00:25:06,120
He's miserable because he's had
two relationships blow up.

567
00:25:06,144 --> 00:25:08,442
I don't think jumping into
another one is the answer.

568
00:25:08,466 --> 00:25:10,199
[CELLPHONE CHIMES]

569
00:25:12,421 --> 00:25:14,322
No, no, no!

570
00:25:14,347 --> 00:25:21,452
♪

571
00:25:21,477 --> 00:25:23,911
Finn, you can't exert yourself like this.

572
00:25:23,936 --> 00:25:25,636
♪

573
00:25:25,736 --> 00:25:26,902
Just take it easy.

574
00:25:27,991 --> 00:25:30,025
I ran into a woman in the cafeteria.

575
00:25:30,050 --> 00:25:32,217
Real nice. But seemed stressed.

576
00:25:32,242 --> 00:25:34,242
Turns out that her boyfriend

577
00:25:34,267 --> 00:25:35,967
is having spinal surgery, too.

578
00:25:36,027 --> 00:25:38,505
Big coincidence, huh?

579
00:25:38,529 --> 00:25:39,740
But get this.

580
00:25:39,764 --> 00:25:43,143
He also has pseudoachondroplasia.

581
00:25:43,167 --> 00:25:45,484
I mean, what are the chances?

582
00:25:45,509 --> 00:25:46,808
Nathalie, don't you dare.

583
00:25:46,833 --> 00:25:47,932
[GRUNTS]

584
00:25:48,205 --> 00:25:49,349
Stop!

585
00:25:49,373 --> 00:25:51,285
- [GRUNTS]
- Just slow down.

586
00:25:51,309 --> 00:25:52,286
[GRUNTS]

587
00:25:52,310 --> 00:25:53,921
♪

588
00:25:53,945 --> 00:25:56,907
You called me the love of your life!

589
00:25:56,931 --> 00:25:58,654
- [SCREAMS]
- I do love you!

590
00:25:58,678 --> 00:26:00,349
<i>Don't</i> say that!

591
00:26:00,373 --> 00:26:02,930
I don't want to hear
any more of your garbage.

592
00:26:02,954 --> 00:26:04,598
[GRUNTS] FINN: Please...

593
00:26:04,622 --> 00:26:06,134
you have to... listen.

594
00:26:06,158 --> 00:26:09,053
You need to get back to bed now,
or you'll pass out.

595
00:26:09,077 --> 00:26:10,771
♪

596
00:26:10,795 --> 00:26:13,206
[NATHALIE GRUNTING]

597
00:26:13,230 --> 00:26:18,378
♪

598
00:26:18,402 --> 00:26:23,583
♪

599
00:26:23,607 --> 00:26:26,620
[DOOR OPENS]

600
00:26:26,644 --> 00:26:28,385
LIM: What's up?

601
00:26:28,410 --> 00:26:30,012
What are you doing in here?

602
00:26:30,815 --> 00:26:32,919
Once you get a patient on the table,

603
00:26:32,944 --> 00:26:34,277
there's too much going on

604
00:26:34,302 --> 00:26:36,935
to appreciate what this place is.

605
00:26:38,055 --> 00:26:39,633
Mm. It's nice.

606
00:26:39,657 --> 00:26:41,134
♪

607
00:26:41,158 --> 00:26:42,941
It's perfect.

608
00:26:42,966 --> 00:26:46,067
♪

609
00:26:46,092 --> 00:26:47,337
Time to scrub in.

610
00:26:47,362 --> 00:26:48,862
♪

611
00:26:48,887 --> 00:26:51,351
This will be my last surgery.

612
00:26:51,376 --> 00:26:53,877
♪

613
00:26:54,138 --> 00:26:55,649
Five months ago,

614
00:26:55,673 --> 00:26:58,185
I was diagnosed
with rheumatoid arthritis.

615
00:26:58,209 --> 00:26:59,808
♪

616
00:26:59,833 --> 00:27:02,266
I'm not responding to medication.

617
00:27:02,291 --> 00:27:09,730
♪

618
00:27:21,780 --> 00:27:23,771
Why did you do that?

619
00:27:24,417 --> 00:27:25,749
I felt like it.

620
00:27:27,452 --> 00:27:30,732
It didn't change the fact
that he cheated on you.

621
00:27:30,756 --> 00:27:33,235
It won't make your life any better.

622
00:27:33,259 --> 00:27:35,904
[SIGHS]

623
00:27:35,928 --> 00:27:38,262
You can't control
how you feel about someone.

624
00:27:38,953 --> 00:27:41,872
But you can control
what you do with those feelings.

625
00:27:42,414 --> 00:27:45,749
I ended the relationship on my terms.

626
00:27:45,774 --> 00:27:47,273
♪

627
00:27:47,506 --> 00:27:49,255
More importantly...

628
00:27:50,943 --> 00:27:53,008
it made me feel better.

629
00:27:53,033 --> 00:27:57,535
♪

630
00:27:57,560 --> 00:27:59,560
[MONITOR BEEPING]

631
00:27:59,785 --> 00:28:02,197
A Louisville Slugger to a Porsche?

632
00:28:02,221 --> 00:28:03,821
It was insane.

633
00:28:04,395 --> 00:28:05,723
I like her.

634
00:28:06,063 --> 00:28:07,891
What is to like?

635
00:28:08,357 --> 00:28:10,105
I don't know.

636
00:28:10,129 --> 00:28:11,227
I just do.

637
00:28:11,251 --> 00:28:13,141
[ALARM BLARING]

638
00:28:13,165 --> 00:28:15,708
A sudden complete loss
of any SSEP and MEP signals.

639
00:28:15,732 --> 00:28:18,313
B.P. and heart rate are tanking.
We've injured his cord.

640
00:28:18,337 --> 00:28:19,913
Push high-dose steroids and pressors.

641
00:28:19,937 --> 00:28:22,090
Remove the retractor
to take the pressure off.

642
00:28:22,114 --> 00:28:26,555
♪

643
00:28:26,579 --> 00:28:29,795
MORGAN: That's the last of
the vessels and nerves ligated.

644
00:28:30,249 --> 00:28:31,714
LIM: Mayos.

645
00:28:31,739 --> 00:28:35,240
[MONITOR BEEPING]

646
00:28:35,841 --> 00:28:37,595
Specimen bag.

647
00:28:37,620 --> 00:28:44,291
♪

648
00:28:44,830 --> 00:28:47,498
We have healthy bone-anchor sites.

649
00:28:48,063 --> 00:28:49,645
Same here.

650
00:28:49,669 --> 00:28:52,276
Time to give him functional arms.

651
00:28:52,301 --> 00:29:02,076
♪

652
00:29:03,454 --> 00:29:05,661
Not me. Give it to her.

653
00:29:05,685 --> 00:29:09,865
♪

654
00:29:09,889 --> 00:29:11,667
ANDREWS: She's a third-year resident...

655
00:29:11,691 --> 00:29:12,948
a talented one, but I wouldn't...

656
00:29:12,972 --> 00:29:15,370
I'm sure she's read every article written

657
00:29:15,394 --> 00:29:16,672
on osseointegration,

658
00:29:16,696 --> 00:29:19,311
spent countless hours in the Skills Lab,

659
00:29:19,335 --> 00:29:22,633
and could probably do this with one
of her own arms tied behind her back.

660
00:29:23,307 --> 00:29:24,880
Blindfolded.

661
00:29:24,904 --> 00:29:26,381
Get to work.

662
00:29:26,405 --> 00:29:36,391
♪

663
00:29:36,415 --> 00:29:38,427
♪

664
00:29:38,451 --> 00:29:40,462
Push another milligram of atropine.

665
00:29:40,486 --> 00:29:41,730
[BLARING CONTINUES]

666
00:29:41,754 --> 00:29:46,268
♪

667
00:29:46,292 --> 00:29:48,292
[MONITOR BEEPING NORMALLY]

668
00:29:51,563 --> 00:29:54,543
We may have just paralyzed him
trying to avoid a stutter.

669
00:29:54,567 --> 00:29:56,778
We won't know anything
until we wake him up.

670
00:29:56,802 --> 00:29:58,280
Where's the pressure still coming from?

671
00:29:58,304 --> 00:29:59,386
Laterally now.

672
00:29:59,410 --> 00:30:01,817
So if we remove the joints
of the C1 and C2 bones,

673
00:30:01,841 --> 00:30:03,151
that should make enough room

674
00:30:03,175 --> 00:30:04,486
so we could drill off the odontoid.

675
00:30:04,510 --> 00:30:06,188
We could replace them
with screws and rods

676
00:30:06,212 --> 00:30:07,289
to stabilize his spine.

677
00:30:07,313 --> 00:30:08,602
That's...

678
00:30:10,354 --> 00:30:11,893
a good idea.

679
00:30:11,917 --> 00:30:13,261
Yes, it is.

680
00:30:13,285 --> 00:30:15,564
If he's not already paralyzed.

681
00:30:15,588 --> 00:30:19,256
♪

682
00:30:24,407 --> 00:30:25,986
[FOOTSTEPS APPROACH]

683
00:30:26,010 --> 00:30:27,487
Colleen Brown.

684
00:30:27,511 --> 00:30:29,022
Freshman year.

685
00:30:29,046 --> 00:30:32,159
I took her to the roller-skating rink

686
00:30:32,183 --> 00:30:34,672
'cause I thought that's
what you're supposed to do...

687
00:30:34,696 --> 00:30:36,444
take girls to the roller-skating rink.

688
00:30:36,468 --> 00:30:38,291
I didn't know how to roller-skate;

689
00:30:38,509 --> 00:30:41,777
she ended up leaving
with Bobby K.'s little brother.

690
00:30:42,126 --> 00:30:44,506
Broke me up. [SIGHS]

691
00:30:45,078 --> 00:30:46,655
Couldn't go to school for a week.

692
00:30:46,864 --> 00:30:49,376
Convinced my mom that I was sick

693
00:30:49,400 --> 00:30:50,677
for the first three days,

694
00:30:50,701 --> 00:30:54,181
and the last two I spent
in a double feature all day...

695
00:30:54,205 --> 00:30:56,084
"Where's Poppa?" and "Twelve Chairs".

696
00:30:56,109 --> 00:30:58,776
To this day,
I can quote both films verbatim.

697
00:30:59,176 --> 00:31:01,571
So you think I should've stayed home

698
00:31:01,596 --> 00:31:02,778
for two more days?

699
00:31:02,803 --> 00:31:04,303
No, I don't think it would've mattered.

700
00:31:04,328 --> 00:31:05,494
It doesn't make a difference.

701
00:31:05,583 --> 00:31:06,909
And then I made a list

702
00:31:06,934 --> 00:31:09,024
of all the things
that annoyed me about her.

703
00:31:09,049 --> 00:31:10,381
The way she chewed her gum,

704
00:31:10,406 --> 00:31:12,676
the way she used to sit
in the front row of every class

705
00:31:12,701 --> 00:31:14,234
so that the teacher would call on her

706
00:31:14,259 --> 00:31:15,538
when she raised her hand,

707
00:31:15,563 --> 00:31:17,163
the way she said, "Excuse me?"

708
00:31:17,188 --> 00:31:19,321
instead of just "What?" or "Huh?"

709
00:31:19,797 --> 00:31:21,930
None of it makes any difference.

710
00:31:24,094 --> 00:31:26,662
Then why are you telling me?

711
00:31:28,691 --> 00:31:31,560
Maybe it'll make you feel a
little bit better to know that,

712
00:31:31,585 --> 00:31:32,984
what you're going through,

713
00:31:33,009 --> 00:31:35,610
every other young man
in the history of the world

714
00:31:35,635 --> 00:31:36,667
has gone through.

715
00:31:37,853 --> 00:31:40,822
You're trying to make it work
with Lea and with Carly,

716
00:31:40,847 --> 00:31:42,981
and you're getting a little beat up,

717
00:31:43,006 --> 00:31:44,005
and that's okay.

718
00:31:44,030 --> 00:31:45,629
Join the club.

719
00:31:46,234 --> 00:31:47,586
You're in the mix.

720
00:31:47,611 --> 00:31:49,141
That's a good thing.

721
00:31:50,200 --> 00:31:52,866
[SIGHS] I'm proud of you.

722
00:31:52,891 --> 00:32:01,665
♪

723
00:32:02,834 --> 00:32:04,024
LIM: You ready?

724
00:32:04,628 --> 00:32:07,130
It's gonna take some getting used to.

725
00:32:07,957 --> 00:32:11,092
But they're the same nerves
you used before.

726
00:32:12,415 --> 00:32:14,680
All you have to do
is think about using the arms

727
00:32:14,705 --> 00:32:16,538
the way you normally would.

728
00:32:23,386 --> 00:32:24,953
[JOINTS WHIRRING]

729
00:32:24,978 --> 00:32:26,778
Whoa.

730
00:32:26,803 --> 00:32:28,169
[BREATHES SHAKILY]

731
00:32:28,194 --> 00:32:31,062
[CHUCKLES] That's pretty cool.

732
00:32:37,934 --> 00:32:39,679
It's not a beer,

733
00:32:39,704 --> 00:32:42,489
but you got to start somewhere.

734
00:32:42,513 --> 00:32:51,331
♪

735
00:32:51,355 --> 00:32:52,498
♪

736
00:32:52,523 --> 00:32:55,290
Now pinch your forefinger
and thumb and twist off the cap.

737
00:32:55,315 --> 00:33:04,722
♪

738
00:33:04,747 --> 00:33:11,719
♪

739
00:33:12,009 --> 00:33:14,020
I-I can't feel the thing.

740
00:33:14,044 --> 00:33:16,957
You'll get used to it. You got this.

741
00:33:16,981 --> 00:33:26,466
♪

742
00:33:26,490 --> 00:33:28,535
♪

743
00:33:28,559 --> 00:33:30,337
[GASPS]

744
00:33:30,361 --> 00:33:32,672
[CHUCKLES]

745
00:33:32,696 --> 00:33:35,375
[LAUGHTER]

746
00:33:35,399 --> 00:33:36,928
Nice.

747
00:33:36,953 --> 00:33:40,655
♪

748
00:33:41,205 --> 00:33:43,602
You want me to say you were right?

749
00:33:44,194 --> 00:33:46,354
About the patient, or you?

750
00:33:47,430 --> 00:33:48,764
When you offered me a job,

751
00:33:48,789 --> 00:33:51,289
you said it was to help me
get back on the horse.

752
00:33:51,314 --> 00:33:54,382
But what you really wanted was a mentor.

753
00:33:54,624 --> 00:33:55,890
Which I'm fine with,

754
00:33:55,915 --> 00:33:58,949
but I think maybe you
feel threatened by that need.

755
00:33:59,850 --> 00:34:01,745
Well, maybe that's true.

756
00:34:02,219 --> 00:34:05,053
But maybe also you enjoy it
a little too much.

757
00:34:05,078 --> 00:34:07,178
Maybe because you're having a hard time

758
00:34:07,203 --> 00:34:08,918
giving up being Chief.

759
00:34:10,820 --> 00:34:12,888
Maybe we're both right.

760
00:34:17,133 --> 00:34:19,167
How did it go?

761
00:34:20,263 --> 00:34:22,631
Can you lift your arms for me?

762
00:34:23,414 --> 00:34:28,651
♪

763
00:34:29,820 --> 00:34:32,466
[BREATHES DEEPLY]

764
00:34:32,490 --> 00:34:34,156
Okay.

765
00:34:34,736 --> 00:34:38,305
I'm gonna push your arm,
and I need you to resist.

766
00:34:38,329 --> 00:34:40,474
♪

767
00:34:40,498 --> 00:34:42,776
Good. More.

768
00:34:42,800 --> 00:34:44,878
Stronger. [CHUCKLES]

769
00:34:44,902 --> 00:34:46,279
That's great.

770
00:34:46,303 --> 00:34:48,167
You should make a full recovery.

771
00:34:48,192 --> 00:34:49,324
Thank you.

772
00:34:50,673 --> 00:34:52,629
H-How's Nathalie's hand?

773
00:34:52,654 --> 00:34:55,689
There was no nerve or tendon damage.

774
00:34:55,714 --> 00:34:57,080
She'll be fine.

775
00:34:57,105 --> 00:34:58,804
She's a good person.

776
00:34:58,829 --> 00:35:00,396
A little spirited,

777
00:35:00,421 --> 00:35:02,721
but that's what I loved about her.

778
00:35:03,853 --> 00:35:07,222
Are you going to try to win her back?

779
00:35:08,411 --> 00:35:11,179
I'm confident but not stupid.

780
00:35:11,204 --> 00:35:13,838
You gotta know when to call it,
Dr. Murphy.

781
00:35:16,366 --> 00:35:17,344
[CHUCKLES]

782
00:35:17,368 --> 00:35:19,305
I mean, there's a-a whole world

783
00:35:19,330 --> 00:35:21,430
of amazing people out there.

784
00:35:21,705 --> 00:35:25,307
Don't get bogged down with
this notion of a soulmate.

785
00:35:29,139 --> 00:35:31,407
[DOOR OPENS]

786
00:35:31,432 --> 00:35:34,266
Finn's exam was normal.

787
00:35:35,478 --> 00:35:39,314
But I am not sure it was worth the risk.

788
00:35:39,790 --> 00:35:42,095
We did a good thing today.

789
00:35:42,593 --> 00:35:44,726
Mostly because of you.

790
00:35:45,348 --> 00:35:48,174
That's kind of you to say but...

791
00:35:48,198 --> 00:35:49,369
♪

792
00:35:49,394 --> 00:35:51,604
Your commitment to your patients...

793
00:35:53,022 --> 00:35:55,482
reminds me of why I got into medicine.

794
00:35:55,506 --> 00:35:57,484
♪

795
00:35:57,508 --> 00:36:01,322
Being around you
makes me a better surgeon.

796
00:36:01,347 --> 00:36:03,180
♪

797
00:36:03,587 --> 00:36:06,388
A better person.

798
00:36:06,413 --> 00:36:10,215
♪

799
00:36:10,307 --> 00:36:12,174
Well, good night.

800
00:36:12,199 --> 00:36:13,565
Good night.

801
00:36:13,590 --> 00:36:23,598
♪

802
00:36:23,623 --> 00:36:27,057
♪

803
00:36:27,082 --> 00:36:29,100
You did good work today.

804
00:36:30,839 --> 00:36:32,874
And I understand you're leaving surgery.

805
00:36:33,730 --> 00:36:36,764
And I know that's a... that's tough.

806
00:36:36,789 --> 00:36:38,455
But it's the right call.

807
00:36:42,385 --> 00:36:45,120
No, I don't think it is.

808
00:36:45,145 --> 00:36:47,145
♪

809
00:36:47,827 --> 00:36:49,243
I love operating.

810
00:36:49,267 --> 00:36:52,837
So I'm gonna keep doing it
as long as I can.

811
00:36:52,861 --> 00:36:55,583
♪

812
00:36:55,607 --> 00:36:59,045
I'm gonna have the synovectomy surgery.

813
00:36:59,069 --> 00:37:00,180
♪

814
00:37:00,204 --> 00:37:02,248
That's really stupid.

815
00:37:02,272 --> 00:37:05,285
That's incredibly... stupid.

816
00:37:05,309 --> 00:37:06,786
♪

817
00:37:06,810 --> 00:37:09,356
Not every dream comes true.

818
00:37:09,380 --> 00:37:11,189
You have other opportunities.

819
00:37:11,213 --> 00:37:12,703
You have another chance.

820
00:37:12,727 --> 00:37:15,249
Not everybody does. Be grateful for that.

821
00:37:15,273 --> 00:37:18,298
Pick another passion and pursue that.

822
00:37:18,322 --> 00:37:21,434
♪

823
00:37:21,458 --> 00:37:23,470
I'm doing the surgery.

824
00:37:23,494 --> 00:37:33,179
♪

825
00:37:33,203 --> 00:37:42,530
♪

826
00:37:42,554 --> 00:37:43,604
♪

827
00:37:43,628 --> 00:37:45,058
Enjoy.

828
00:37:45,082 --> 00:37:48,529
♪

829
00:37:48,553 --> 00:37:50,181
Another, please.

830
00:37:50,206 --> 00:37:52,372
♪

831
00:37:52,969 --> 00:37:55,804
Well, that's one way
to start the night off right.

832
00:37:55,829 --> 00:37:57,495
[CHUCKLES SOFTLY]

833
00:37:57,520 --> 00:37:59,524
Hello, Nurse Fletch.

834
00:38:00,250 --> 00:38:02,277
You can call me Julie.

835
00:38:03,167 --> 00:38:05,446
Are you here alone,
or are you meeting someone?

836
00:38:05,976 --> 00:38:07,809
I'm alone.

837
00:38:07,997 --> 00:38:09,263
Well, to us.

838
00:38:09,288 --> 00:38:18,028
♪

839
00:38:18,053 --> 00:38:20,053
You have beautiful eyes.

840
00:38:20,117 --> 00:38:21,094
♪

841
00:38:21,118 --> 00:38:23,129
Thank you.

842
00:38:23,153 --> 00:38:25,932
♪

843
00:38:25,956 --> 00:38:28,147
Or did someone just tell you that

844
00:38:28,171 --> 00:38:30,704
that's a good opening line?

845
00:38:30,728 --> 00:38:37,478
♪

846
00:38:37,503 --> 00:38:39,914
It's right in our backyard,
and I've never even been there.

847
00:38:39,939 --> 00:38:41,672
- Have you?
- CLAIRE: No.

848
00:38:41,697 --> 00:38:44,485
It's, uh, time we unleash
our inner tree-hugger.

849
00:38:46,046 --> 00:38:47,187
You're off next weekend.

850
00:38:47,211 --> 00:38:48,696
I think we should go to Yosemite.

851
00:38:48,720 --> 00:38:50,023
What do you think?

852
00:38:50,047 --> 00:38:51,524
Yeah, sounds fun.

853
00:38:51,548 --> 00:38:52,959
I need to get me some hiking boots.

854
00:38:52,983 --> 00:38:54,646
- Mm.
- And, uh, like a fleece.

855
00:38:54,670 --> 00:38:55,946
- Mm-hmm.
- Beanie.

856
00:38:55,970 --> 00:38:57,954
I'm rocking the full lumbersexual look.

857
00:38:57,978 --> 00:38:59,666
- [CHUCKLES]
- 'Cause I gotta blend in.

858
00:38:59,690 --> 00:39:02,902
I hear a bear can spot
a tourist a mile away.

859
00:39:02,926 --> 00:39:04,256
Mm.

860
00:39:04,280 --> 00:39:05,757
Mm-hmm.

861
00:39:07,497 --> 00:39:09,164
You okay?

862
00:39:09,844 --> 00:39:12,412
Uh, you're, uh...

863
00:39:12,436 --> 00:39:16,671
you're here, but, you know, not.

864
00:39:17,727 --> 00:39:19,252
You're right. I'm sorry.

865
00:39:19,276 --> 00:39:21,223
It's... It's just been a long week.

866
00:39:21,247 --> 00:39:23,011
I'm a bit exhausted.

867
00:39:23,691 --> 00:39:28,161
Yeah, I think I might call it
an early night.

868
00:39:28,185 --> 00:39:29,530
Oh, you sure?

869
00:39:29,679 --> 00:39:31,913
I... you know,
we don't have to go to the club.

870
00:39:31,938 --> 00:39:34,105
We can chill here. We can watch a movie.

871
00:39:34,130 --> 00:39:35,229
I'm sorry.

872
00:39:35,254 --> 00:39:36,820
I just...

873
00:39:36,845 --> 00:39:38,748
I just think I should go home.

874
00:39:39,229 --> 00:39:40,517
[CHUCKLES SOFTLY]

875
00:39:40,542 --> 00:39:42,075
Okay.

876
00:39:42,099 --> 00:39:46,379
♪

877
00:39:46,403 --> 00:39:48,805
[BREATHING HEAVILY]

878
00:39:48,829 --> 00:39:50,468
LEA: Shaun?

879
00:39:54,478 --> 00:39:57,012
I want to smash your car up.

880
00:39:59,041 --> 00:40:01,576
I think that's a bad idea.

881
00:40:04,093 --> 00:40:09,131
I want to hurt you the way you hurt me.

882
00:40:10,593 --> 00:40:12,243
I'm s-sorry.

883
00:40:12,268 --> 00:40:13,908
You...

884
00:40:16,326 --> 00:40:17,996
You...

885
00:40:18,948 --> 00:40:20,373
You're...

886
00:40:21,624 --> 00:40:25,207
[BREATHING HEAVILY]

887
00:40:26,508 --> 00:40:28,443
[GRUNTS]

888
00:40:28,468 --> 00:40:31,869
♪

889
00:40:31,894 --> 00:40:33,694
[GRUNTS]

890
00:40:33,719 --> 00:40:35,619
[PANTING]

891
00:40:35,644 --> 00:40:37,210
[BAT CLATTERS]

892
00:40:37,235 --> 00:40:39,802
- I can't.
- [SNIFFLES]

893
00:40:39,827 --> 00:40:42,161
♪

894
00:40:42,186 --> 00:40:43,646
I can't.

895
00:40:43,671 --> 00:40:47,640
[BREATHING HEAVILY]

896
00:40:47,965 --> 00:40:50,299
You acted like you cared about me...

897
00:40:50,324 --> 00:40:52,324
♪

898
00:40:52,703 --> 00:40:54,948
...but you don't even respect me.

899
00:40:54,972 --> 00:40:57,016
♪

900
00:40:57,040 --> 00:40:59,018
You're flaky.

901
00:40:59,042 --> 00:41:00,788
♪

902
00:41:01,278 --> 00:41:02,540
And...

903
00:41:04,768 --> 00:41:07,170
And you can't keep a boyfriend.

904
00:41:08,138 --> 00:41:12,140
And you can't keep a job.

905
00:41:12,656 --> 00:41:14,801
And no one likes you.

906
00:41:14,825 --> 00:41:16,568
[BREATHING HEAVILY]

907
00:41:16,593 --> 00:41:20,261
And... And you're going to end up alone,

908
00:41:20,286 --> 00:41:21,452
and you deserve it!

909
00:41:21,477 --> 00:41:23,648
Because you're a superficial,

910
00:41:23,673 --> 00:41:26,374
selfish, and prejudiced person!

911
00:41:26,399 --> 00:41:31,202
♪

912
00:41:31,227 --> 00:41:33,427
[BREATHES DEEPLY]

913
00:41:33,452 --> 00:41:38,755
[BREATHING HEAVILY]

914
00:41:39,706 --> 00:41:41,527
[WHIMPERS]

915
00:41:41,551 --> 00:41:45,031
♪

916
00:41:45,055 --> 00:41:47,700
You ready to tell me what's on your mind?

917
00:41:47,724 --> 00:41:50,213
♪

918
00:41:50,238 --> 00:41:52,805
Not really.

919
00:41:57,801 --> 00:41:59,206
[SIGHS]

920
00:42:04,914 --> 00:42:08,350
[SIGHS] I...

921
00:42:08,812 --> 00:42:11,400
I think I'm in love with my boss.

922
00:42:11,425 --> 00:42:16,294
♪

923
00:42:16,820 --> 00:42:18,965
[SIGHS]

924
00:42:18,989 --> 00:42:20,789
♪

