1 00:00:01,253 --> 00:00:04,314 ♪ 2 00:00:05,883 --> 00:00:07,668 [ ALARM BEEPING ] 3 00:00:07,693 --> 00:00:09,442 ♪ 4 00:00:09,467 --> 00:00:11,008 [ BEEPING STOPS ] 5 00:00:11,033 --> 00:00:18,233 ♪ 6 00:00:19,830 --> 00:00:22,680 [ ALARM BEEPING ] 7 00:00:22,705 --> 00:00:23,654 [ BEEPING STOPS ] 8 00:00:23,679 --> 00:00:25,185 ♪ 9 00:00:25,210 --> 00:00:27,238 [ BRUSH THUDS ] 10 00:00:27,263 --> 00:00:36,075 ♪ 11 00:00:36,100 --> 00:00:38,176 Today is not Saturday. 12 00:00:38,177 --> 00:00:39,996 Why did you make me pancakes? 13 00:00:40,021 --> 00:00:42,362 They are fresh start pancakes. 14 00:00:42,387 --> 00:00:44,844 Like the first day of school every year 15 00:00:44,869 --> 00:00:46,926 when you get to wear a brand-new outfit. 16 00:00:46,951 --> 00:00:48,813 [ CHUCKLES ] 17 00:00:48,814 --> 00:00:50,981 Well, not everyone wore a new outfit. 18 00:00:51,006 --> 00:00:53,051 But the rule in this house 19 00:00:53,076 --> 00:00:55,190 is that when you start a new life event, 20 00:00:55,215 --> 00:00:56,512 you get pancakes. 21 00:00:56,537 --> 00:01:00,723 I... don't want a fresh start. 22 00:01:00,748 --> 00:01:02,819 I want to stay in surgery. 23 00:01:04,404 --> 00:01:05,906 I know. 24 00:01:05,931 --> 00:01:08,238 And I am really proud of you 25 00:01:08,263 --> 00:01:10,603 for handling it all so... 26 00:01:10,629 --> 00:01:18,431 ♪ 27 00:01:18,456 --> 00:01:20,804 [ KNOCK ON DOOR ] 28 00:01:20,829 --> 00:01:23,371 Doctors... please give me one more minute. 29 00:01:23,396 --> 00:01:25,912 We have an associate pastor at the church, 30 00:01:25,937 --> 00:01:29,368 but Clarence likes to write the sermons. 31 00:01:29,368 --> 00:01:30,491 - Sorry. - Please. 32 00:01:30,516 --> 00:01:32,231 Although this is important too. 33 00:01:32,256 --> 00:01:35,119 The surgery consists of two steps... 34 00:01:35,144 --> 00:01:37,485 first we fuse the spine to stabilize it, 35 00:01:37,510 --> 00:01:39,085 and then we remove the tumor. 36 00:01:39,110 --> 00:01:41,137 Because the cancer has spread to your lymph nodes, 37 00:01:41,162 --> 00:01:42,900 you'll still have to follow up with chemo. 38 00:01:44,955 --> 00:01:47,218 - [ GROANS ] - Clarence, are you in pain? 39 00:01:47,218 --> 00:01:49,907 Quite a bit actually, but I'm fine. 40 00:01:49,932 --> 00:01:51,438 Well, since what's causing your pain 41 00:01:51,463 --> 00:01:53,456 is the tumor pushing against your spine, 42 00:01:53,481 --> 00:01:55,300 the spinal fusion will ease pressure on your nerves 43 00:01:55,325 --> 00:01:56,553 and should eliminate your pain. 44 00:01:56,578 --> 00:02:00,089 Please, I, uh... I need this pain. 45 00:02:01,344 --> 00:02:03,880 Can't you just do the second part and remove the tumor? 46 00:02:03,880 --> 00:02:05,073 If we don't fuse the spine, 47 00:02:05,098 --> 00:02:07,786 it'll make removing the tumor a lot more difficult. 48 00:02:07,811 --> 00:02:09,457 More difficult, but it can be done? 49 00:02:09,482 --> 00:02:11,300 It can. But I recommend against it. 50 00:02:11,325 --> 00:02:13,689 Especially since there's no reason not to. 51 00:02:15,257 --> 00:02:17,169 [ SIGHS ] 52 00:02:20,823 --> 00:02:22,817 I did something... 53 00:02:22,842 --> 00:02:24,835 ♪ 54 00:02:24,860 --> 00:02:26,528 ...unforgivable. 55 00:02:28,443 --> 00:02:31,654 This pain is my punishment. 56 00:02:31,679 --> 00:02:38,055 ♪ 57 00:02:38,080 --> 00:02:41,709 Can I ask what you did that was so bad? 58 00:02:41,734 --> 00:02:44,466 ♪ 59 00:02:44,467 --> 00:02:46,042 I killed someone. 60 00:02:46,067 --> 00:02:49,174 ♪ 61 00:02:49,199 --> 00:02:51,783 ♪ 62 00:02:51,808 --> 00:02:53,508 Synced & corrected by -robtor- www.addic7ed.com 63 00:02:59,793 --> 00:03:02,378 [ BELL DINGS ] 64 00:03:02,403 --> 00:03:05,405 - [ APPLAUSE ] - [ BELL DINGING ] 65 00:03:05,430 --> 00:03:11,702 ♪ 66 00:03:11,727 --> 00:03:17,010 ♪ 67 00:03:17,595 --> 00:03:19,004 JESS: My sister and I were 68 00:03:19,029 --> 00:03:20,743 coming home from climbing Mt. Whitney. 69 00:03:20,768 --> 00:03:22,482 We're doing the State 50 climbs. 70 00:03:22,507 --> 00:03:24,327 The numbness started during the climb? 71 00:03:24,352 --> 00:03:26,982 First my hands, and then my feet. 72 00:03:27,007 --> 00:03:28,465 [ GRUNTS ] 73 00:03:28,874 --> 00:03:30,648 - You have a headache? - Yeah. 74 00:03:30,649 --> 00:03:32,480 LIM: High altitude causes headaches. 75 00:03:32,505 --> 00:03:33,944 Dehydration compounds it. 76 00:03:33,969 --> 00:03:35,685 From now on just... climb slower. 77 00:03:35,710 --> 00:03:36,925 And drink more. 78 00:03:40,685 --> 00:03:42,747 Tell them about the other thing. 79 00:03:42,772 --> 00:03:44,452 [ BEEP ] 80 00:03:44,477 --> 00:03:46,292 [ INDISTINCT TALKING OVER P.A. ] 81 00:03:46,293 --> 00:03:47,486 Before leaving for the mountain, 82 00:03:47,511 --> 00:03:52,008 I had this weird sensation like... 83 00:03:52,033 --> 00:03:53,330 dread. 84 00:03:53,355 --> 00:03:55,283 I couldn't shake it. 85 00:03:56,487 --> 00:03:59,571 Well, when people describe a sense of impending doom, 86 00:03:59,571 --> 00:04:00,938 it's usually anxiety. 87 00:04:00,963 --> 00:04:03,222 No, it was like a premonition... 88 00:04:05,877 --> 00:04:08,058 ...that I was going to die. 89 00:04:10,392 --> 00:04:13,129 - I'm sure it was... - Dr. Park will run a brain scan, 90 00:04:13,130 --> 00:04:14,391 and we'll do some lab work. 91 00:04:14,416 --> 00:04:22,741 ♪ 92 00:04:22,766 --> 00:04:29,758 ♪ 93 00:04:31,082 --> 00:04:39,407 ♪ 94 00:04:39,432 --> 00:04:46,562 ♪ 95 00:04:47,748 --> 00:04:56,073 ♪ 96 00:04:56,098 --> 00:05:03,332 ♪ 97 00:05:03,345 --> 00:05:04,978 Shaun. 98 00:05:05,503 --> 00:05:07,512 Hello, Dr. Lever. 99 00:05:07,513 --> 00:05:09,228 Carly is fine. 100 00:05:09,253 --> 00:05:11,037 Welcome to pathology. 101 00:05:11,062 --> 00:05:13,848 ♪ 102 00:05:13,849 --> 00:05:16,607 It is going to be great working with you. 103 00:05:16,632 --> 00:05:22,525 ♪ 104 00:05:22,550 --> 00:05:24,609 What do you think? 105 00:05:24,634 --> 00:05:26,870 ♪ 106 00:05:26,895 --> 00:05:29,031 I know it's a lot to take in. 107 00:05:29,031 --> 00:05:31,824 It's kind of like your first time at Disneyland, right? 108 00:05:31,849 --> 00:05:34,085 I've never been to Disneyland. 109 00:05:34,110 --> 00:05:37,142 ♪ 110 00:05:37,142 --> 00:05:38,996 Let me give you a tour. 111 00:05:39,021 --> 00:05:41,258 Cytopathology, forensics, 112 00:05:41,283 --> 00:05:43,692 genomics, microbiology. 113 00:05:43,717 --> 00:05:45,742 We get to identify organisms, 114 00:05:45,742 --> 00:05:48,152 interpret cell morphology, 115 00:05:48,177 --> 00:05:51,040 sequence genes. 116 00:05:51,941 --> 00:05:54,693 Is that a D300e 117 00:05:54,718 --> 00:05:57,407 pathogen antibacterial bioprinter? 118 00:05:57,432 --> 00:05:58,912 It's new. 119 00:05:58,912 --> 00:06:02,193 You're working on antibiotic resistance 120 00:06:02,218 --> 00:06:03,841 in emerging microorganisms? 121 00:06:03,841 --> 00:06:05,730 It's "we" now, Shaun. 122 00:06:05,755 --> 00:06:07,017 Yes, we are. 123 00:06:07,042 --> 00:06:08,687 [ SIGHS ] 124 00:06:09,667 --> 00:06:11,123 Do you want to play with it? 125 00:06:12,761 --> 00:06:14,602 - Very much. - [ LAUGHS ] 126 00:06:14,627 --> 00:06:16,167 Go ahead. 127 00:06:16,192 --> 00:06:18,255 It's kind of your job now. 128 00:06:18,280 --> 00:06:22,777 ♪ 129 00:06:22,802 --> 00:06:24,390 We are the detectives. 130 00:06:24,950 --> 00:06:27,093 Surgeons are just the beat cops. 131 00:06:27,118 --> 00:06:30,491 [ WHIRRING ] 132 00:06:30,516 --> 00:06:33,328 ♪ 133 00:06:33,328 --> 00:06:36,087 Our best bet is to try to separate the tumor 134 00:06:36,112 --> 00:06:38,230 from his cord, and then resect it. 135 00:06:38,231 --> 00:06:40,119 Okay, this is insane. 136 00:06:40,144 --> 00:06:41,685 You know how he "killed" a person? 137 00:06:41,710 --> 00:06:44,373 He was counseling a parishioner who committed suicide. 138 00:06:44,373 --> 00:06:45,602 That must have been traumatic. 139 00:06:45,627 --> 00:06:47,967 Traumatic, yes. Murder, no. 140 00:06:47,992 --> 00:06:50,194 Hey, I know it's stupid, but he has autonomy. 141 00:06:50,219 --> 00:06:52,351 I didn't stay stupid. I said "insane". 142 00:06:52,376 --> 00:06:55,707 You want to override his wishes because he's religious? 143 00:06:55,708 --> 00:06:58,258 Something like 90% of Americans believe in God. 144 00:06:58,283 --> 00:07:01,111 I'm one of them. Are we all mentally impaired? 145 00:07:01,136 --> 00:07:03,511 Should you ignore us all if you don't like our choices? 146 00:07:03,536 --> 00:07:05,947 Only those getting divine messages from their tumors. 147 00:07:05,972 --> 00:07:07,652 - He's not crazy. - Okay, you're right. 148 00:07:07,677 --> 00:07:10,226 He is just stupid. But don't we have a duty to educate him? 149 00:07:10,251 --> 00:07:12,157 You're gonna talk him out of his religion? 150 00:07:12,182 --> 00:07:13,290 No. 151 00:07:13,315 --> 00:07:17,046 You told him the surgery was more dangerous this way. 152 00:07:17,071 --> 00:07:20,269 I don't think he appreciated how much more dangerous. 153 00:07:21,801 --> 00:07:23,032 Good idea. 154 00:07:23,926 --> 00:07:26,440 He thinks he'll go to hell if he dies before he's forgiven. 155 00:07:27,120 --> 00:07:29,258 Make sure he knows it can happen on the table. 156 00:07:29,283 --> 00:07:33,572 ♪ 157 00:07:33,597 --> 00:07:35,451 [ WHIRRING ] 158 00:07:35,476 --> 00:07:36,815 [ WARBLING ] 159 00:07:36,840 --> 00:07:38,408 PARK: An MRI for anxiety? 160 00:07:38,433 --> 00:07:40,461 It does fly in the face of reducing 161 00:07:40,486 --> 00:07:42,653 unnecessary medical tests. 162 00:07:42,678 --> 00:07:44,194 When I was a resident, 163 00:07:44,194 --> 00:07:46,681 I had a patient come through the E.R. 164 00:07:46,984 --> 00:07:48,524 Female. 35 years old. 165 00:07:48,549 --> 00:07:50,612 Slight cough. Slightly hypothyroid. 166 00:07:50,637 --> 00:07:52,521 Normal vitals. 167 00:07:52,522 --> 00:07:55,628 I labeled her a whiner because she kept insisting, 168 00:07:55,653 --> 00:07:57,491 "I'm gonna die." 169 00:07:57,492 --> 00:07:59,136 I sent her home. 170 00:07:59,161 --> 00:08:00,562 And she died? 171 00:08:00,587 --> 00:08:02,928 No. She kept coming back. 172 00:08:02,953 --> 00:08:05,712 - [ CHUCKLES ] - Over and over again. 173 00:08:05,737 --> 00:08:09,003 We do this test, we prove there's nothing wrong with her, 174 00:08:09,028 --> 00:08:11,080 we send her home reassured. 175 00:08:12,550 --> 00:08:14,126 [ BEEP ] 176 00:08:14,151 --> 00:08:19,831 ♪ 177 00:08:19,856 --> 00:08:21,382 Damn. 178 00:08:23,842 --> 00:08:26,497 The MRI showed a high grade meningioma. 179 00:08:26,522 --> 00:08:28,828 An advanced tumor that grows in the tissue layers 180 00:08:28,853 --> 00:08:30,359 that cover the brain. 181 00:08:30,384 --> 00:08:35,044 Its features are consistent with it being malignant. 182 00:08:36,925 --> 00:08:38,083 [ EXHALES SHARPLY ] 183 00:08:38,650 --> 00:08:40,663 These tumors tend to be aggressive 184 00:08:40,688 --> 00:08:43,487 and impossible to fully resect. 185 00:08:44,266 --> 00:08:46,949 Um, so what... what can you do? 186 00:08:47,992 --> 00:08:49,633 Palliative care, 187 00:08:49,658 --> 00:08:51,965 symptom control with medications. 188 00:08:51,990 --> 00:08:53,948 [ SNIFFLES ] 189 00:08:53,973 --> 00:08:56,488 ♪ 190 00:08:56,513 --> 00:08:59,167 [ BREATHES DEEPLY ] 191 00:08:59,192 --> 00:09:06,369 ♪ 192 00:09:07,100 --> 00:09:09,092 You're risking spinal damage, 193 00:09:09,117 --> 00:09:11,338 paralysis... death. 194 00:09:11,339 --> 00:09:14,955 If that's what God chooses, then that is His will. 195 00:09:14,965 --> 00:09:17,972 If you have cancer because he wants you to have cancer, 196 00:09:18,982 --> 00:09:20,771 why are you here? Getting treatment? 197 00:09:20,781 --> 00:09:23,768 I'm here because I believe in science. 198 00:09:24,282 --> 00:09:28,655 I am who I am because I believe in God. 199 00:09:29,535 --> 00:09:31,528 So do you think all people who are sick 200 00:09:31,553 --> 00:09:32,885 are being punished? 201 00:09:33,910 --> 00:09:35,912 I mean, we have an eight-year-old down the hall 202 00:09:35,937 --> 00:09:37,580 with bone cancer, 203 00:09:38,519 --> 00:09:39,990 you want to go tell her God hates her? 204 00:09:40,015 --> 00:09:43,400 I'm sure that girl is not suffering as a punishment. 205 00:09:44,087 --> 00:09:46,740 She's suffering so others may have a chance 206 00:09:46,765 --> 00:09:49,008 to show her mercy, 207 00:09:49,479 --> 00:09:52,260 to show her compassion, so she can inspire. 208 00:09:54,174 --> 00:09:55,332 I don't know His plan, 209 00:09:55,357 --> 00:09:56,550 but I know it's not as simple as you would... 210 00:09:56,575 --> 00:09:59,143 No. No, it's not simple. 211 00:10:00,297 --> 00:10:02,000 Except for your pain. 212 00:10:11,083 --> 00:10:12,554 His name was Michael. 213 00:10:12,579 --> 00:10:18,294 ♪ 214 00:10:18,319 --> 00:10:20,139 [ EXHALES SHARPLY ] 215 00:10:20,164 --> 00:10:22,052 His wife found his body. 216 00:10:22,077 --> 00:10:24,104 You had no idea. 217 00:10:24,129 --> 00:10:26,123 I knew he was depressed. 218 00:10:26,148 --> 00:10:27,966 But you thought he was getting better. 219 00:10:27,992 --> 00:10:30,498 [ SCOFFS ] 220 00:10:30,499 --> 00:10:32,260 I didn't take his call. 221 00:10:32,971 --> 00:10:35,103 Because I was having a drink. 222 00:10:35,128 --> 00:10:36,634 ♪ 223 00:10:36,659 --> 00:10:37,991 [ EXHALES SHARPLY ] 224 00:10:38,016 --> 00:10:41,686 It'd been a long day dealing with the renovations, 225 00:10:41,930 --> 00:10:43,922 and I was having a damn drink. 226 00:10:43,947 --> 00:10:50,149 ♪ 227 00:10:50,174 --> 00:10:52,898 [ DOOR OPENS ] 228 00:10:52,923 --> 00:10:54,116 PARK: Hey, Shaun. 229 00:10:54,141 --> 00:10:55,991 Hey, Carly. 230 00:10:55,991 --> 00:10:58,506 I started Sadie Barnes on anti-seizure medication, 231 00:10:58,531 --> 00:11:00,622 need you to run a peak phenytoin level. 232 00:11:01,280 --> 00:11:02,960 The couriers must be happy that the surgeons 233 00:11:02,985 --> 00:11:05,453 are doing their own specimen deliveries. 234 00:11:07,925 --> 00:11:09,488 How you doing down here? 235 00:11:11,653 --> 00:11:15,351 Carly says pathologists are the detectives, 236 00:11:15,376 --> 00:11:17,392 surgeons are just the beat cops. 237 00:11:23,238 --> 00:11:25,649 Shaun, are you happy here? 238 00:11:25,674 --> 00:11:28,458 When did you give the patient her loading dose? 239 00:11:28,483 --> 00:11:29,984 - One hour ago. - Hmm. 240 00:11:30,957 --> 00:11:33,629 Shaun, if you're happy, that's great. 241 00:11:33,654 --> 00:11:35,472 But if you're not, 242 00:11:35,497 --> 00:11:37,227 you have to tell Han how you feel. 243 00:11:37,258 --> 00:11:39,243 You need to show him you care 244 00:11:39,268 --> 00:11:41,122 and that you believe in yourself. 245 00:11:41,147 --> 00:11:47,036 ♪ 246 00:11:47,061 --> 00:11:48,915 Do you need this done STAT? 247 00:11:48,940 --> 00:11:50,828 No. She's asymptomatic. 248 00:11:50,853 --> 00:11:52,637 - It's just for seizure prevention. - Good. 249 00:11:52,662 --> 00:11:53,995 Carly says that in pathology 250 00:11:54,020 --> 00:11:55,838 you can take a break whenever you want. 251 00:11:55,863 --> 00:11:58,761 I want to take a break now. I'm going for a walk. 252 00:11:58,786 --> 00:12:04,014 ♪ 253 00:12:04,039 --> 00:12:05,719 He shouldn't be in pathology. 254 00:12:05,744 --> 00:12:08,106 - He's a good surgical resident. - You're right. 255 00:12:08,131 --> 00:12:09,776 - Then you'll move him back? - No. 256 00:12:09,801 --> 00:12:11,864 You're wrong about that part. He should be in pathology. 257 00:12:11,889 --> 00:12:13,707 - But he was a good surgical resident. - Then why... 258 00:12:13,732 --> 00:12:16,839 Because he'll never be a good surgeon. 259 00:12:16,864 --> 00:12:18,022 How do you think he'll do in three years 260 00:12:18,047 --> 00:12:19,866 when no one's looking over his shoulder? 261 00:12:19,891 --> 00:12:22,753 When he's looking over someone else's shoulder? 262 00:12:22,778 --> 00:12:25,607 Supervising new residents, leading grand rounds, 263 00:12:25,632 --> 00:12:27,973 advocating for vulnerable patients. 264 00:12:27,998 --> 00:12:30,292 Do you see him doing any of that without a safety net? 265 00:12:32,466 --> 00:12:34,806 We can help him get there. 266 00:12:34,832 --> 00:12:36,547 Just because he wants to be a surgeon, 267 00:12:36,572 --> 00:12:37,903 just because you want him to be a surgeon, 268 00:12:37,928 --> 00:12:40,478 doesn't mean he gets to have that dream come true. 269 00:12:40,503 --> 00:12:41,834 [ BEEP ] 270 00:12:41,859 --> 00:12:43,713 Has it occurred to you that maybe 271 00:12:43,738 --> 00:12:46,035 we know Shaun better than you do? 272 00:12:46,060 --> 00:12:48,087 Has it occurred to you that 273 00:12:48,112 --> 00:12:49,479 that might be your problem? 274 00:12:49,504 --> 00:12:52,540 That your view of him might be distorted because you like him? 275 00:12:52,825 --> 00:12:54,017 Has it occurred to you 276 00:12:54,042 --> 00:12:56,087 that maybe he's better off in pathology? 277 00:12:56,112 --> 00:12:57,780 That maybe he'll even like it? 278 00:12:58,707 --> 00:13:00,213 Do you care? 279 00:13:00,825 --> 00:13:02,605 I thought you might. 280 00:13:02,630 --> 00:13:07,545 ♪ 281 00:13:07,570 --> 00:13:10,001 - [ WHIRRING ] - We need better ventral exposure. 282 00:13:10,026 --> 00:13:12,076 Drill off more of the pedicle and vertebral body. 283 00:13:13,577 --> 00:13:15,610 Ligate the exiting nerve root. 284 00:13:15,635 --> 00:13:17,733 We'll take it with the tumor for a wider margin. 285 00:13:17,758 --> 00:13:22,389 ♪ 286 00:13:22,414 --> 00:13:23,881 I can't see it. 287 00:13:23,906 --> 00:13:25,447 The tumor's causing the spinal cord 288 00:13:25,472 --> 00:13:26,665 to be bowed up to us. 289 00:13:26,690 --> 00:13:29,771 ♪ 290 00:13:29,796 --> 00:13:32,356 We need more exposure to get around and in front of it. 291 00:13:32,884 --> 00:13:35,295 The vertebrae is too fragmented and displaced. 292 00:13:35,320 --> 00:13:36,860 We can't get a complete resection 293 00:13:36,885 --> 00:13:38,426 without stabilization. 294 00:13:38,451 --> 00:13:40,008 - [ RAPID BEEPING ] - He's tanking. 295 00:13:40,033 --> 00:13:41,400 Probably spinal shock from tension on the cord. 296 00:13:41,405 --> 00:13:42,458 We need to abort. 297 00:13:42,483 --> 00:13:43,641 [ BEEPING CONTINUES ] 298 00:13:43,666 --> 00:13:47,991 ♪ 299 00:13:48,016 --> 00:13:50,666 All right, on three. One, two, three. 300 00:13:52,900 --> 00:13:54,232 You fixed me! 301 00:13:54,712 --> 00:13:57,113 - No, no. - What happened to my pain?! 302 00:13:57,138 --> 00:14:00,216 - Stop! - We didn't fix you. 303 00:14:00,810 --> 00:14:04,264 There was a complication. We injected anesthetic. 304 00:14:04,931 --> 00:14:06,386 It'll wear off. 305 00:14:06,411 --> 00:14:07,744 We had to stop the surgery 306 00:14:07,769 --> 00:14:09,204 before we could remove the tumor. 307 00:14:09,994 --> 00:14:11,224 You went into shock. 308 00:14:11,854 --> 00:14:14,565 We lost your heart rate and blood pressure. 309 00:14:15,316 --> 00:14:18,774 We warned it would be a trickier surgery without the fusion. 310 00:14:18,799 --> 00:14:21,279 Nothing has changed. The anesthetic will wear off, 311 00:14:21,304 --> 00:14:24,063 the pain will come back, but worse. 312 00:14:24,088 --> 00:14:25,280 When can you try again? 313 00:14:25,306 --> 00:14:28,481 Try again? We failed. 314 00:14:28,506 --> 00:14:29,843 [ SIGHS ] 315 00:14:29,844 --> 00:14:31,836 There is no reason to think we will succeed 316 00:14:31,861 --> 00:14:34,272 - next time unless we do the fusion... - But you know what the issues are, 317 00:14:34,297 --> 00:14:36,847 - you learned... - Why haven't you? 318 00:14:36,872 --> 00:14:40,883 ♪ 319 00:14:40,908 --> 00:14:43,387 Do think God wants you to die? 320 00:14:43,412 --> 00:14:50,485 ♪ 321 00:14:50,510 --> 00:14:52,294 Please. 322 00:14:53,145 --> 00:14:54,799 Try again. 323 00:14:54,824 --> 00:14:57,026 ♪ 324 00:14:57,051 --> 00:14:58,383 [ SIGHS ] 325 00:14:58,408 --> 00:15:01,641 Cyanide poisoning. 326 00:15:02,870 --> 00:15:05,408 The cause of death on the Atlin case. 327 00:15:08,032 --> 00:15:09,711 You know how I found it? 328 00:15:09,736 --> 00:15:13,701 I smelled it... almonds. 329 00:15:18,902 --> 00:15:21,420 Dr. Park's patient. 330 00:15:21,445 --> 00:15:23,960 I flagged her eosinophil count... 331 00:15:23,985 --> 00:15:25,839 it doesn't match up with the diagnosis 332 00:15:25,864 --> 00:15:28,448 of advanced meningioma listed on the requisition. 333 00:15:28,473 --> 00:15:31,545 Great. Nice work. 334 00:15:31,570 --> 00:15:34,468 I'm going to talk to Dr. Lim about it. 335 00:15:34,493 --> 00:15:35,790 Whoa there, Shaun. Hold up. 336 00:15:35,815 --> 00:15:37,981 You don't need to do that. 337 00:15:38,006 --> 00:15:40,035 The attendings are on the lookout for the flags. 338 00:15:40,060 --> 00:15:42,748 - They'll run with it. - I want to run with it. 339 00:15:42,773 --> 00:15:45,114 You've been on the receiving end... you know how it works. 340 00:15:45,139 --> 00:15:49,150 How it works is I see something abnormal 341 00:15:49,175 --> 00:15:51,202 and then I discuss it with the team, 342 00:15:51,227 --> 00:15:53,046 and we plan how we'll fix it. 343 00:15:53,071 --> 00:15:54,751 We run with it. 344 00:15:55,397 --> 00:16:00,996 Shaun, once a test is done, we move on to the next one. 345 00:16:03,625 --> 00:16:07,345 I'd like to... take a walk. 346 00:16:09,573 --> 00:16:11,567 Are you going to walk to Dr. Lim 347 00:16:11,592 --> 00:16:13,468 and discuss this case, Shaun? 348 00:16:17,054 --> 00:16:18,542 [ SIGHS ] 349 00:16:18,542 --> 00:16:21,091 That's not what we do here. 350 00:16:21,116 --> 00:16:25,788 We investigate, report, and then we move on. 351 00:16:25,813 --> 00:16:27,805 ♪ 352 00:16:27,830 --> 00:16:29,650 Are you gonna be able to do that... 353 00:16:29,675 --> 00:16:31,202 move on? 354 00:16:32,180 --> 00:16:34,163 I don't know. 355 00:16:34,720 --> 00:16:38,453 But I will try very hard. 356 00:16:38,478 --> 00:16:41,966 ♪ 357 00:16:41,992 --> 00:16:43,810 Next time. 358 00:16:43,835 --> 00:16:50,177 ♪ 359 00:16:50,202 --> 00:16:53,378 [ KNOCKING ] 360 00:16:53,403 --> 00:16:54,596 Dr. Browne. 361 00:16:54,621 --> 00:16:56,439 Is this about a patient? 362 00:16:56,936 --> 00:16:58,515 No. 363 00:17:00,083 --> 00:17:01,298 Come in. 364 00:17:03,708 --> 00:17:05,528 I've heard a lot about you... 365 00:17:06,109 --> 00:17:07,928 I'm aware you stood up to a supervisor. 366 00:17:07,953 --> 00:17:09,343 Is that what's happening now? 367 00:17:11,970 --> 00:17:16,328 Um, I put together a list of cases 368 00:17:16,353 --> 00:17:19,355 which Dr. Murphy contributed to. 369 00:17:19,380 --> 00:17:20,668 Uniquely. 370 00:17:21,433 --> 00:17:22,661 You're a loyal friend. 371 00:17:23,219 --> 00:17:25,172 I've specified the ideas he had... 372 00:17:25,520 --> 00:17:28,522 ideas that no one else around here could have... 373 00:17:28,547 --> 00:17:30,145 Do you think I hate him? 374 00:17:32,205 --> 00:17:33,247 No. 375 00:17:37,208 --> 00:17:39,897 But I think 376 00:17:39,922 --> 00:17:41,451 you might be biased against him 377 00:17:41,451 --> 00:17:42,853 because of his condition. 378 00:17:42,878 --> 00:17:44,175 So he doesn't have communication issues? 379 00:17:44,200 --> 00:17:46,541 - I'm wrong about that? - No. But he... 380 00:17:46,566 --> 00:17:49,255 If he had the flu, I would tell him to stay home 381 00:17:49,280 --> 00:17:51,447 until he got better. 382 00:17:51,472 --> 00:17:52,839 He has autism... 383 00:17:53,409 --> 00:17:55,691 I could tell him to stay home until he gets better. 384 00:17:55,716 --> 00:17:58,892 Instead I found a place for him to help us, 385 00:17:58,917 --> 00:18:00,968 to save lives. 386 00:18:02,153 --> 00:18:03,345 And you should know 387 00:18:03,370 --> 00:18:05,838 I have rather mixed feelings about loyalty. 388 00:18:10,607 --> 00:18:18,132 ♪ 389 00:18:18,157 --> 00:18:20,034 ♪ 390 00:18:25,671 --> 00:18:29,114 [ INDISTINCT CONVERSATIONS ] 391 00:18:32,267 --> 00:18:34,658 All righty. There you go. 392 00:18:36,457 --> 00:18:37,912 Hello. 393 00:18:38,545 --> 00:18:40,456 Aaron. 394 00:18:41,398 --> 00:18:42,591 It's good to see you. 395 00:18:42,616 --> 00:18:44,585 Yeah. The feeling is mutual. 396 00:18:45,497 --> 00:18:47,129 Can I have one of those? 397 00:18:48,291 --> 00:18:50,388 - The chocolate chip muffin? - Yes, please. 398 00:18:50,413 --> 00:18:52,046 Special occasion? 399 00:18:52,071 --> 00:18:53,751 - Yes. - Yeah? 400 00:18:53,776 --> 00:18:57,334 As of today, I am no longer injecting toxins into my body. 401 00:18:57,359 --> 00:18:59,352 Except, of course, with chocolate chips. 402 00:19:00,010 --> 00:19:02,411 Oh, you're done with chemo? Wow. 403 00:19:02,436 --> 00:19:03,629 That's amazing. 404 00:19:03,654 --> 00:19:05,481 - Congratulations. - Thank you. 405 00:19:06,009 --> 00:19:08,872 I was thinking of going out tonight and celebrating 406 00:19:08,897 --> 00:19:11,237 what may be very good news. 407 00:19:11,262 --> 00:19:13,464 If you're free, my treat. 408 00:19:13,489 --> 00:19:15,168 I... I'm sorry, Aaron. 409 00:19:15,193 --> 00:19:16,665 I have a-another commitment. 410 00:19:16,690 --> 00:19:18,578 Oh. Um, tomorrow then? 411 00:19:18,603 --> 00:19:19,936 This week is really crazy. 412 00:19:19,961 --> 00:19:22,074 You know what? I am not doing chemo 413 00:19:22,099 --> 00:19:24,961 every night next week, so I am free 414 00:19:24,986 --> 00:19:26,388 every single night, so... 415 00:19:26,413 --> 00:19:29,960 Aaron, I'm seeing someone. 416 00:19:31,129 --> 00:19:33,121 I'm sorry. 417 00:19:33,146 --> 00:19:35,386 ♪ 418 00:19:35,411 --> 00:19:37,091 [ CHUCKLES ] 419 00:19:37,116 --> 00:19:38,796 Nothing to be sorry about. 420 00:19:38,821 --> 00:19:42,552 ♪ 421 00:19:42,577 --> 00:19:44,703 It was good to see you. 422 00:19:44,728 --> 00:19:53,193 ♪ 423 00:19:53,218 --> 00:19:56,602 MELENDEZ: Keep an extra close eye on blood pressure and heart rate. 424 00:19:56,627 --> 00:19:58,926 [ MONITOR BEEPING ] 425 00:19:58,951 --> 00:20:00,631 MORGAN: I have extra fluid, vasopressors, 426 00:20:00,656 --> 00:20:01,872 and inotropes ready. 427 00:20:04,516 --> 00:20:05,791 Why no God? 428 00:20:08,017 --> 00:20:10,045 You follow in the tradition that you're handed. 429 00:20:10,070 --> 00:20:12,271 My family wasn't religious. We never went to church. 430 00:20:12,296 --> 00:20:13,802 I was there every Sunday. 431 00:20:13,827 --> 00:20:16,025 8:00 a.m. for Catholic mass. 432 00:20:16,050 --> 00:20:17,730 My parents eventually got tired of all the rules 433 00:20:17,755 --> 00:20:18,982 and turned Lutheran. 434 00:20:19,007 --> 00:20:20,568 They found that dull and went back to Catholic. 435 00:20:20,593 --> 00:20:22,683 [ CHUCKLES ] That's my tradition. 436 00:20:26,051 --> 00:20:28,689 What do you think it'll be like when you die? 437 00:20:29,299 --> 00:20:31,189 Probably like it was before I was born. 438 00:20:31,214 --> 00:20:32,651 A whole lot of nothing. 439 00:20:34,528 --> 00:20:35,872 We're there. 440 00:20:36,905 --> 00:20:39,499 Where we were when everything went wrong last time. 441 00:20:39,499 --> 00:20:41,876 We need to remove the tumor without putting any pressure 442 00:20:41,901 --> 00:20:44,577 on his cord at all, or he'll be back in spinal shock. 443 00:20:46,721 --> 00:20:48,678 And we need more tumor release from the vertebral body. 444 00:20:48,703 --> 00:20:50,905 Extend your osteotomies proximal and distal. 445 00:20:52,382 --> 00:20:54,349 [ WHIRRING ] 446 00:20:54,494 --> 00:20:55,676 Good. 447 00:20:57,591 --> 00:20:59,758 I think I got a free plane... 448 00:20:59,783 --> 00:21:01,930 Retract it from the cord a little more. 449 00:21:01,955 --> 00:21:05,584 ♪ 450 00:21:06,881 --> 00:21:09,048 - I got it. - Now, when you remove it 451 00:21:09,073 --> 00:21:10,370 careful not to morselize it. 452 00:21:10,395 --> 00:21:14,301 ♪ 453 00:21:14,326 --> 00:21:15,485 Can you hold that up? 454 00:21:15,510 --> 00:21:18,020 ♪ 455 00:21:18,045 --> 00:21:19,574 Dr. Reznick, give me a measurement. 456 00:21:22,082 --> 00:21:23,971 Max length is 4.5. 457 00:21:24,355 --> 00:21:26,557 Get a pre-op scan up. 458 00:21:26,582 --> 00:21:27,876 [ BEEP ] 459 00:21:27,901 --> 00:21:29,963 That says the tumor's eight centimeters. 460 00:21:31,102 --> 00:21:33,431 How does a tumor shrink from 8 centimeters 461 00:21:33,456 --> 00:21:36,248 to 4.5 without radiation in two weeks? 462 00:21:36,273 --> 00:21:37,341 ♪ 463 00:21:37,366 --> 00:21:38,523 It doesn't. 464 00:21:38,548 --> 00:21:42,112 ♪ 465 00:21:44,090 --> 00:21:45,945 Why the page, Shaun? And why are you in radiology? 466 00:21:45,970 --> 00:21:47,789 We rely on flags. 467 00:21:47,814 --> 00:21:49,807 You have to count on the ordering physician 468 00:21:49,832 --> 00:21:52,416 seeing it while you move on to something else. 469 00:21:52,441 --> 00:21:54,399 - Okay. And...? - I don't agree 470 00:21:54,424 --> 00:21:56,244 with Sadie Barnes's diagnosis, 471 00:21:56,269 --> 00:21:59,722 and I think her tumor should be biopsied. 472 00:21:59,747 --> 00:22:02,401 - Shaun, I... - Dr. Han wanted me away from patients. 473 00:22:02,426 --> 00:22:04,246 Patients are not allowed in the viewing room. 474 00:22:04,271 --> 00:22:06,541 So I'm not doing anything wrong. 475 00:22:07,923 --> 00:22:10,404 - [ BEEP ] - Two radiologists said 476 00:22:10,429 --> 00:22:12,456 it was a malignant meningioma 477 00:22:12,481 --> 00:22:14,926 in the insular region and encasing the MCA vessels. 478 00:22:14,951 --> 00:22:16,284 That's exactly where it is. 479 00:22:16,309 --> 00:22:18,301 And her clinical picture matches perfectly... 480 00:22:18,326 --> 00:22:20,055 arm and leg numbness. 481 00:22:20,518 --> 00:22:24,494 The tumor attachment to the dura is slightly anomalous. 482 00:22:24,519 --> 00:22:27,646 And the insular region is slightly atypical, too. 483 00:22:28,277 --> 00:22:29,330 [ MOUSE CLICKS ] 484 00:22:29,355 --> 00:22:31,383 [ BEEP ] 485 00:22:31,408 --> 00:22:34,410 What differential diagnoses are you proposing? 486 00:22:35,362 --> 00:22:37,576 I need to speak to the patient. 487 00:22:37,601 --> 00:22:39,593 - [ SIGHS ] - Should I ask Dr. Han for permission? 488 00:22:39,618 --> 00:22:41,612 Shaun, I... [ SCOFFS ] 489 00:22:41,637 --> 00:22:43,317 ...will bring your concern about the scan 490 00:22:43,342 --> 00:22:44,682 to the head of radiology. 491 00:22:44,707 --> 00:22:48,115 But approaching Dr. Han? Don't do that. 492 00:22:49,813 --> 00:22:51,806 Now, I already talked to him about your reassignment. 493 00:22:51,831 --> 00:22:53,662 I don't know if it'll make any difference... 494 00:22:53,687 --> 00:22:57,523 If I were Claire, would you let me approach Dr. Han 495 00:22:57,548 --> 00:23:00,063 about something that concerned me? 496 00:23:00,088 --> 00:23:03,611 ♪ 497 00:23:03,636 --> 00:23:06,268 Yes. I probably would. 498 00:23:07,209 --> 00:23:08,395 Hmm. 499 00:23:09,948 --> 00:23:12,949 Is that because Claire doesn't make mistakes 500 00:23:12,974 --> 00:23:14,776 when she's communicating? 501 00:23:15,888 --> 00:23:17,279 Yes. 502 00:23:19,074 --> 00:23:21,902 Then do you think Dr. Han made the right decision 503 00:23:21,927 --> 00:23:24,095 by sending me to pathology? 504 00:23:24,120 --> 00:23:25,579 ♪ 505 00:23:26,404 --> 00:23:27,910 No. 506 00:23:27,935 --> 00:23:33,477 ♪ 507 00:23:33,502 --> 00:23:38,886 ♪ 508 00:23:38,911 --> 00:23:39,930 [ BEEP ] 509 00:23:39,955 --> 00:23:41,947 The lymph nodes have shrunk, too. 510 00:23:41,972 --> 00:23:43,965 This is a PET scan from two weeks ago. 511 00:23:43,990 --> 00:23:45,657 Enlarged and cancerous. 512 00:23:45,682 --> 00:23:47,049 - Today... - [ BEEP ] 513 00:23:48,226 --> 00:23:50,244 ...they've all regressed. 514 00:23:50,702 --> 00:23:52,063 [ BEEP ] 515 00:23:52,944 --> 00:23:55,564 [ CHAIR CREAKS ] 516 00:23:55,882 --> 00:23:58,552 Spontaneous regression has been reported 517 00:23:58,577 --> 00:24:01,059 in melanomas, renal cell carcinomas, 518 00:24:01,084 --> 00:24:03,641 neuroblastomas, and some types of blood cancers. 519 00:24:03,666 --> 00:24:05,555 In a sarcoma that's metastasized? 520 00:24:06,262 --> 00:24:09,247 No. But if it happened in those others, why not? 521 00:24:09,272 --> 00:24:11,432 Because none of them make sense. 522 00:24:11,457 --> 00:24:13,450 When I read about disappearing cancer, I always think 523 00:24:13,475 --> 00:24:15,990 some doctor missed something, forgot something, 524 00:24:16,015 --> 00:24:17,631 - screwed up something. - [ SIGHS ] 525 00:24:19,138 --> 00:24:21,967 The theory is that the body somehow triggers 526 00:24:21,992 --> 00:24:23,985 an immune response against the cancer. 527 00:24:24,010 --> 00:24:26,385 Something somehow lights a fuse. 528 00:24:26,410 --> 00:24:28,751 The theory says the fuse is lit by an infection. 529 00:24:28,776 --> 00:24:30,595 His lab work proves he hasn't had one. 530 00:24:30,620 --> 00:24:33,538 At this point, the most credible explanation is... 531 00:24:33,563 --> 00:24:34,848 Are you gonna use the "m" word? 532 00:24:36,394 --> 00:24:38,283 You seriously can't say it? 533 00:24:38,308 --> 00:24:42,172 Only when referencing the 1980 U.S. hockey team. 534 00:24:42,197 --> 00:24:44,259 Keep testing. Anything you can think of. 535 00:24:44,284 --> 00:24:46,661 Molecular markers, T-cells, PD-L1. 536 00:24:47,087 --> 00:24:48,995 We'll need permission from the patient. 537 00:24:49,020 --> 00:24:50,526 Which raises another issue... 538 00:24:50,551 --> 00:24:52,515 what are we gonna do next, medically? 539 00:24:52,540 --> 00:24:54,047 He was supposed to start chemo next week. 540 00:24:54,072 --> 00:24:55,682 No, it'll wipe out his immune system, 541 00:24:55,707 --> 00:24:57,491 which may be what's actually killing his cancer. 542 00:24:57,944 --> 00:24:59,606 If we don't know what's making him better, 543 00:24:59,631 --> 00:25:01,841 we don't know what to stop, what to start. 544 00:25:04,351 --> 00:25:06,691 So we do nothing? 545 00:25:06,716 --> 00:25:08,884 Just trust God to fix him? 546 00:25:08,909 --> 00:25:10,553 We trust whatever is currently 547 00:25:10,578 --> 00:25:12,351 fixing him to keep fixing him. 548 00:25:12,376 --> 00:25:14,056 If he took a Tylenol yesterday at 8:00, 549 00:25:14,081 --> 00:25:15,725 he takes a Tylenol today at 8:00. 550 00:25:15,750 --> 00:25:18,752 Monitor him. Closely. Scans constantly. 551 00:25:18,777 --> 00:25:26,337 ♪ 552 00:25:26,362 --> 00:25:32,448 ♪ 553 00:25:32,473 --> 00:25:39,963 ♪ 554 00:25:41,188 --> 00:25:42,832 [ KNOCK ON DOOR ] 555 00:25:42,857 --> 00:25:44,468 Hello, Dr. Glassman. 556 00:25:44,493 --> 00:25:47,095 Hi. Thank you for coming. 557 00:25:48,143 --> 00:25:51,447 He has been doing this for two hours. 558 00:25:53,760 --> 00:25:54,802 Shaun. 559 00:25:56,064 --> 00:25:57,916 What are you up to? 560 00:25:58,235 --> 00:26:00,250 Alphabetizing our canned goods 561 00:26:00,275 --> 00:26:02,402 and checking all the expiration dates. 562 00:26:02,427 --> 00:26:03,760 Well, somebody's got to do it. 563 00:26:05,238 --> 00:26:06,700 Is something wrong? 564 00:26:06,725 --> 00:26:07,814 No. 565 00:26:07,839 --> 00:26:11,455 [ EXHALES SHAKILY ] 566 00:26:13,003 --> 00:26:15,248 - Okay. - Okay. I think 567 00:26:15,557 --> 00:26:18,697 Dr. Lim's patient's diagnosis is wrong, 568 00:26:19,402 --> 00:26:21,072 but I can't prove it without information, 569 00:26:21,097 --> 00:26:23,451 and I'm not allowed to talk to patients. 570 00:26:24,225 --> 00:26:25,925 - Shaun. - [ SIGHS ] 571 00:26:26,849 --> 00:26:29,502 [ CANS THUDDING ] 572 00:26:29,527 --> 00:26:31,868 I want to run with things. 573 00:26:32,480 --> 00:26:35,977 I want to fix people. 574 00:26:37,786 --> 00:26:41,191 Can you help me become a surgical resident again? 575 00:26:42,238 --> 00:26:44,712 No. I can't, Shaun. 576 00:26:44,737 --> 00:26:46,331 - I'm not president... - Yes. 577 00:26:46,356 --> 00:26:47,443 [ CAN SCRAPES ] 578 00:26:47,468 --> 00:26:48,799 I'm not the president of the hospital 579 00:26:48,824 --> 00:26:51,026 anymore, Shaun. 580 00:26:51,051 --> 00:26:53,161 - And even... even if I was... - [ THUD ] 581 00:26:53,186 --> 00:26:54,797 ...it's irrelevant. 582 00:26:54,822 --> 00:26:57,476 You have to stand up for yourself. 583 00:26:58,125 --> 00:26:59,481 And you know what? If you can't, 584 00:26:59,506 --> 00:27:02,587 then the new Head of Surgery, the Chief, he's right. 585 00:27:03,441 --> 00:27:05,642 Now, I can go tell him he's wrong. 586 00:27:05,667 --> 00:27:07,661 It won't do any good. 587 00:27:07,693 --> 00:27:09,268 Or you can go show him. 588 00:27:09,293 --> 00:27:16,451 ♪ 589 00:27:16,476 --> 00:27:19,617 I'm doing research concerning Sadie Barnes. 590 00:27:21,116 --> 00:27:22,357 She's asleep. 591 00:27:22,382 --> 00:27:23,888 ♪ 592 00:27:23,913 --> 00:27:27,019 Perfect. I'm not allowed to speak with her. 593 00:27:27,044 --> 00:27:29,281 ♪ 594 00:27:30,318 --> 00:27:33,076 I'm looking for her sister Jess. 595 00:27:34,126 --> 00:27:36,663 I haven't seen her. Sorry. 596 00:27:36,688 --> 00:27:38,716 [ PAPERS RUSTLE ] 597 00:27:38,741 --> 00:27:47,693 ♪ 598 00:27:47,718 --> 00:27:53,351 ♪ 599 00:27:53,376 --> 00:28:02,502 ♪ 600 00:28:04,114 --> 00:28:05,307 [ LIGHT CLICKS ] 601 00:28:05,332 --> 00:28:08,612 ♪ 602 00:28:08,637 --> 00:28:10,872 HAN: What are you doing? 603 00:28:10,897 --> 00:28:14,178 ♪ 604 00:28:16,024 --> 00:28:16,797 [ LIGHT CLICKS ] 605 00:28:18,980 --> 00:28:21,774 Can you explain why, instead of remaining in pathology 606 00:28:21,799 --> 00:28:24,105 as directed, you were in a patient's room, 607 00:28:24,131 --> 00:28:26,089 going through her purse? 608 00:28:26,114 --> 00:28:29,533 I didn't speak to her. She was asleep. 609 00:28:29,558 --> 00:28:32,003 [ EXHALES SHARPLY ] 610 00:28:32,028 --> 00:28:34,333 Dr. Murphy, any reticence I had 611 00:28:34,358 --> 00:28:37,013 about removing you from surgery just vanished. 612 00:28:37,038 --> 00:28:40,353 You shouldn't be in contact with patients. 613 00:28:40,378 --> 00:28:42,649 Or their families. Or anything they own. 614 00:28:42,674 --> 00:28:45,490 Do you understand, or am I gonna be forced to fire you? 615 00:28:50,085 --> 00:28:52,774 Sadie's social media says that 616 00:28:52,799 --> 00:28:54,270 she finances her climbing travel 617 00:28:54,295 --> 00:28:56,991 by working as a freelance food critic. 618 00:28:57,604 --> 00:29:00,289 She reviewed a Japanese restaurant that used to have 619 00:29:00,314 --> 00:29:02,306 a Restaurant Grading System Score of "A", 620 00:29:02,331 --> 00:29:04,151 but then it dropped to a "C", which corresponds 621 00:29:04,176 --> 00:29:06,864 to very bad food safety practices. 622 00:29:06,889 --> 00:29:09,230 Bad sushi can lead to worms, but it usually doesn't 623 00:29:09,255 --> 00:29:12,118 because stomach acid almost always kills fish parasites. 624 00:29:12,143 --> 00:29:13,962 But not if someone is taking an acid blocker, 625 00:29:13,987 --> 00:29:16,328 which 60 million Americans are. 626 00:29:16,353 --> 00:29:18,821 I saw a bottle in her purse. 627 00:29:22,228 --> 00:29:25,408 Sadie could have sparganosis 628 00:29:25,433 --> 00:29:29,109 with an encapsulated worm that is mimicking a meningioma. 629 00:29:32,496 --> 00:29:33,906 That's a good idea. 630 00:29:34,508 --> 00:29:36,535 Excellent. I'll tell the patient. 631 00:29:36,560 --> 00:29:39,528 I will tell the patient. 632 00:29:40,046 --> 00:29:41,552 I'll tell her we're doing a biopsy 633 00:29:41,577 --> 00:29:42,804 to confirm the initial diagnosis. 634 00:29:42,829 --> 00:29:44,822 - But we're... - It will tell us 635 00:29:44,847 --> 00:29:47,292 if the initial diagnosis is correct. 636 00:29:47,317 --> 00:29:49,671 Your theory is a real long shot. 637 00:29:49,696 --> 00:29:52,581 It would be irresponsible to get her hopes up. 638 00:29:55,111 --> 00:29:57,279 - Hmm. - The surgery went well. 639 00:29:57,304 --> 00:29:59,124 We were able to extract the entire tumor 640 00:29:59,149 --> 00:30:00,445 without complication. 641 00:30:00,470 --> 00:30:02,602 - [ EXHALES SHARPLY ] - [ SIGHS ] 642 00:30:02,627 --> 00:30:04,244 Thank you. 643 00:30:04,747 --> 00:30:06,914 When can we start chemo? 644 00:30:07,365 --> 00:30:10,889 There are a few follow-up tests we want to run first. 645 00:30:10,914 --> 00:30:12,544 And we want to retake your history. 646 00:30:12,569 --> 00:30:13,866 Make sure we have a proper list 647 00:30:13,891 --> 00:30:15,490 of all medications you've been taking. 648 00:30:16,746 --> 00:30:19,608 You want to take his history? After the surgery? 649 00:30:19,633 --> 00:30:21,800 What's going on? What are you not telling us? 650 00:30:21,825 --> 00:30:23,992 - What went wrong? - Nothing. 651 00:30:24,017 --> 00:30:26,542 The fact is, the surgery went... 652 00:30:27,524 --> 00:30:29,099 better than we'd hoped. 653 00:30:29,485 --> 00:30:31,588 Your cancer seems to be... 654 00:30:32,651 --> 00:30:34,261 going away on its own. 655 00:30:34,947 --> 00:30:36,343 [ EXHALES SHARPLY ] 656 00:30:36,368 --> 00:30:38,012 We'll run our tests. 657 00:30:38,037 --> 00:30:41,770 We're confident that there is a medical explanation. 658 00:30:41,795 --> 00:30:44,333 Oh, Clarence. [ INHALES SHARPLY ] 659 00:30:47,094 --> 00:30:48,773 [ DOORBELL RINGS ] 660 00:30:48,798 --> 00:30:50,849 [ BIRDS CHIRPING ] 661 00:30:59,783 --> 00:31:02,332 - Hi. - Hi, Aaron. 662 00:31:02,870 --> 00:31:05,751 [ INHALES DEEPLY ] Um, what I... 663 00:31:05,776 --> 00:31:09,335 What I told you earlier, that I'm seeing someone... 664 00:31:09,360 --> 00:31:10,309 I'm not. 665 00:31:10,334 --> 00:31:12,675 I mean, I-I-I had one date, 666 00:31:12,700 --> 00:31:15,215 - but it wasn't, you know... - Okay. 667 00:31:18,754 --> 00:31:22,069 We're... We're just... We're not a good match. 668 00:31:22,094 --> 00:31:23,936 That's what I wanted to tell you. 669 00:31:30,061 --> 00:31:32,542 That's not true, you know. 670 00:31:32,567 --> 00:31:33,759 You know, that's not true. 671 00:31:33,784 --> 00:31:35,255 You like me. A lot. 672 00:31:35,280 --> 00:31:37,969 And I like you even more than that. 673 00:31:37,994 --> 00:31:39,569 So what is this? 674 00:31:39,594 --> 00:31:41,621 You know, I'd really rather not get into it. 675 00:31:41,646 --> 00:31:43,987 - You came to my house... - To tell you what I told you, 676 00:31:44,012 --> 00:31:46,179 - which I just told you. - Okay, you came here to be honest, 677 00:31:46,204 --> 00:31:47,742 and you're only gonna be honest halfway? 678 00:31:47,767 --> 00:31:48,850 - You're not timid. - No. 679 00:31:48,875 --> 00:31:51,293 Okay. Then what? 680 00:31:53,783 --> 00:31:55,506 The last time I was here, 681 00:31:56,064 --> 00:31:57,800 we were headed upstairs... 682 00:31:58,729 --> 00:32:00,547 Yes, we were. 683 00:32:00,572 --> 00:32:01,887 You fell. 684 00:32:02,404 --> 00:32:03,458 Yes, I did. 685 00:32:03,483 --> 00:32:06,519 I tried to help you, and you pushed me away. 686 00:32:07,184 --> 00:32:08,759 I was embarrassed. 687 00:32:08,784 --> 00:32:10,081 You were sick. 688 00:32:10,106 --> 00:32:12,664 - You needed help. - And I'm not sick anymore. 689 00:32:12,689 --> 00:32:15,750 Maybe. And I want to go and celebrate. 690 00:32:15,775 --> 00:32:17,769 With you. Specifically with you. 691 00:32:17,794 --> 00:32:19,821 'Cause we have fun. 692 00:32:19,846 --> 00:32:22,674 You... You make... You make me laugh. 693 00:32:22,699 --> 00:32:25,035 You make me feel good. 694 00:32:25,718 --> 00:32:26,946 I like being with you. 695 00:32:26,971 --> 00:32:28,233 Sounds horrible. 696 00:32:28,258 --> 00:32:30,390 But bad things are gonna happen. 697 00:32:30,763 --> 00:32:34,186 Aaron, I-it can't just be about having fun together. 698 00:32:34,211 --> 00:32:35,717 One of us is gonna get sick, 699 00:32:35,742 --> 00:32:37,596 one of us is gonna need to be taken care of... 700 00:32:37,621 --> 00:32:39,439 Wait, wait, wait. I just want to go out 701 00:32:39,464 --> 00:32:41,840 and have a nice dinner with you. 702 00:32:41,865 --> 00:32:45,377 Not to run away to Reno, find a priest in an Elvis suit. 703 00:32:48,514 --> 00:32:50,368 What are we gonna do, Aaron? 704 00:32:50,393 --> 00:32:53,747 Just drive to a hill with a view and neck till prom? 705 00:32:53,772 --> 00:32:56,867 And then I'm gonna come home and hope you call? 706 00:33:02,827 --> 00:33:06,994 Yeah, uh, you know, I just came to apologize. 707 00:33:08,015 --> 00:33:09,413 I'm sorry. 708 00:33:10,148 --> 00:33:12,249 And I'm really glad... 709 00:33:13,649 --> 00:33:16,045 I'm... I'm glad you're finished with chemo. 710 00:33:16,070 --> 00:33:17,402 And... 711 00:33:17,427 --> 00:33:19,767 ♪ 712 00:33:19,792 --> 00:33:22,307 ...you're gonna... you're gonna beat this thing. 713 00:33:22,332 --> 00:33:32,292 ♪ 714 00:33:32,317 --> 00:33:36,455 ♪ 715 00:33:45,060 --> 00:33:47,053 Your immunoglobulins are normal. 716 00:33:47,078 --> 00:33:48,897 Everything is normal. 717 00:33:48,922 --> 00:33:51,390 We can't find a scientific explanation. 718 00:33:54,456 --> 00:33:57,272 Our prayers... It's a miracle. 719 00:33:59,254 --> 00:34:00,923 Miracle or not, 720 00:34:00,948 --> 00:34:03,277 it seems we're on the same page now. 721 00:34:04,680 --> 00:34:07,021 There is no reason not to do the spinal fusion 722 00:34:07,046 --> 00:34:08,470 to eliminate your pain. 723 00:34:12,091 --> 00:34:14,293 Do more tests. 724 00:34:14,318 --> 00:34:16,415 - Clarence. - There are no more tests. 725 00:34:16,440 --> 00:34:18,851 T-T-There must be. There must be an explanation. 726 00:34:18,876 --> 00:34:21,691 Redo your tests. Find new tests. 727 00:34:25,822 --> 00:34:28,559 "Let all bitterness and wrath 728 00:34:28,584 --> 00:34:30,751 and anger and clamor and slander 729 00:34:30,776 --> 00:34:32,429 be put away from you." 730 00:34:32,454 --> 00:34:35,977 ♪ 731 00:34:36,529 --> 00:34:38,627 Ephesians 4:31. 732 00:34:40,551 --> 00:34:42,056 I didn't take you for a believer. 733 00:34:42,081 --> 00:34:43,840 I'm not, anymore. 734 00:34:44,974 --> 00:34:46,794 I'm not sure you are either. 735 00:34:46,819 --> 00:34:48,846 ♪ 736 00:34:49,471 --> 00:34:53,141 God speaks directly to Noah, 737 00:34:53,166 --> 00:34:56,342 Moses, Job, and Solomon. 738 00:34:56,367 --> 00:34:58,568 And now apparently he has singled out 739 00:34:58,593 --> 00:35:00,378 Pastor Clarence of San Jose 740 00:35:00,403 --> 00:35:03,510 to join the ranks of the prophets. 741 00:35:03,900 --> 00:35:07,065 I'm sorry, but unless there is a burning bush 742 00:35:07,090 --> 00:35:09,291 it is narcissistic to think that God 743 00:35:09,316 --> 00:35:11,935 has made you his personal project. 744 00:35:11,960 --> 00:35:14,913 God speaks to every one of us, 745 00:35:16,162 --> 00:35:19,546 - you just have to listen. - You are not listening. 746 00:35:19,611 --> 00:35:22,170 People get cancer all the time. 747 00:35:22,499 --> 00:35:24,004 Often that results in pain. 748 00:35:24,029 --> 00:35:25,501 Those things are not unique. 749 00:35:25,526 --> 00:35:27,092 What is unique 750 00:35:27,495 --> 00:35:29,871 is having an aggressive metastatic cancer 751 00:35:29,896 --> 00:35:34,185 start to disappear without any rational explanation. 752 00:35:35,267 --> 00:35:37,943 The issue isn't God. 753 00:35:38,578 --> 00:35:41,457 You have to forgive yourself. 754 00:35:41,482 --> 00:35:45,105 ♪ 755 00:35:45,105 --> 00:35:46,298 What I did... 756 00:35:46,323 --> 00:35:47,933 Cannot be undone. 757 00:35:47,958 --> 00:35:50,716 But your pain can. 758 00:35:50,741 --> 00:35:57,710 ♪ 759 00:35:57,735 --> 00:35:59,015 Clarence. 760 00:35:59,040 --> 00:36:03,885 ♪ 761 00:36:04,358 --> 00:36:05,964 Your pain... 762 00:36:08,030 --> 00:36:10,754 Your pain does no one any good. 763 00:36:10,779 --> 00:36:15,276 ♪ 764 00:36:15,301 --> 00:36:18,756 [ BREATHES DEEPLY ] 765 00:36:18,781 --> 00:36:19,904 Okay. 766 00:36:19,929 --> 00:36:25,250 ♪ 767 00:36:27,081 --> 00:36:28,135 Osteotome and mallet. 768 00:36:28,160 --> 00:36:30,211 [ MONITOR BEEPING ] 769 00:36:33,025 --> 00:36:35,398 You lied when you said you never went to church. 770 00:36:35,423 --> 00:36:36,692 What happened? 771 00:36:36,717 --> 00:36:38,772 I didn't want to have this conversation 772 00:36:38,797 --> 00:36:40,961 - is what happened. - I'm not judging. 773 00:36:40,986 --> 00:36:42,143 My brother took a year off school 774 00:36:42,168 --> 00:36:43,778 to travel and came back a non-believer. 775 00:36:44,085 --> 00:36:45,823 So ask him. 776 00:36:52,913 --> 00:36:53,997 Was it freeing, 777 00:36:54,022 --> 00:36:55,840 or did you feel empty? 778 00:36:55,865 --> 00:36:58,068 Hand me the first polyaxial pedicle screw. 779 00:36:58,093 --> 00:37:01,186 [ BEEPING CONTINUES ] 780 00:37:05,019 --> 00:37:07,142 It was like losing a loved one. 781 00:37:18,740 --> 00:37:22,217 [ CLICKING ] 782 00:37:24,618 --> 00:37:26,620 The moment of truth. 783 00:37:37,691 --> 00:37:39,197 Follow me. 784 00:37:39,222 --> 00:37:48,520 ♪ 785 00:37:48,545 --> 00:37:54,319 ♪ 786 00:37:58,402 --> 00:38:00,587 Our initial diagnosis was wrong. 787 00:38:00,612 --> 00:38:02,292 You don't have a meningioma. 788 00:38:02,537 --> 00:38:04,033 You have a worm in your brain. 789 00:38:06,678 --> 00:38:09,038 And while that sounds fairly gross, 790 00:38:09,493 --> 00:38:11,242 it is completely curable. 791 00:38:11,267 --> 00:38:12,947 [ EXHALES SHARPLY ] 792 00:38:12,992 --> 00:38:14,973 [ LAUGHS ] 793 00:38:17,539 --> 00:38:21,723 So, the sense of doom, it was... it was wrong? 794 00:38:21,748 --> 00:38:24,785 - It saved your life. - As did Dr. Murphy. 795 00:38:25,643 --> 00:38:26,824 This is the pathologist who noticed 796 00:38:26,834 --> 00:38:28,710 an abnormality in one of your tests. 797 00:38:32,332 --> 00:38:34,605 That led us to this discovery. 798 00:38:34,630 --> 00:38:37,388 Can I give you a hug, too, Dr. Murphy? 799 00:38:38,437 --> 00:38:39,902 No. 800 00:38:42,506 --> 00:38:44,813 You and your sister will be free to conquer 801 00:38:44,838 --> 00:38:47,593 whichever of the remaining 50 peaks you choose 802 00:38:47,618 --> 00:38:49,809 as soon as my team surgically removes the worm. 803 00:38:52,805 --> 00:38:55,334 [ JESS LAUGHS ] 804 00:38:56,145 --> 00:38:59,414 - Thank you. - Oh! Of course. 805 00:39:01,320 --> 00:39:03,661 There are not a lot of doctors who would have made the leap 806 00:39:03,686 --> 00:39:05,552 that you made today, Shaun. 807 00:39:06,710 --> 00:39:08,013 Good work. 808 00:39:09,291 --> 00:39:12,988 Yes, it was excellent work. 809 00:39:13,013 --> 00:39:15,354 [ CHUCKLES ] Most people would say "thank you", 810 00:39:15,379 --> 00:39:18,451 but technically that's not an incorrect response. 811 00:39:18,824 --> 00:39:19,841 Hmm. 812 00:39:20,545 --> 00:39:22,955 Have a good evening. You've earned it. 813 00:39:23,561 --> 00:39:25,255 [ BEEP ] 814 00:39:25,280 --> 00:39:27,091 [ INDISTINCT TALKING OVER P.A. ] 815 00:39:27,116 --> 00:39:29,491 I don't want to go on walks. 816 00:39:29,516 --> 00:39:33,945 ♪ 817 00:39:34,833 --> 00:39:37,536 I don't want to move on from cases 818 00:39:37,561 --> 00:39:40,045 after the tests are done. 819 00:39:41,727 --> 00:39:45,981 I do not want to be a pathologist. 820 00:39:46,006 --> 00:39:49,008 ♪ 821 00:39:49,033 --> 00:39:54,783 Dr. Han, you need to make me a surgical resident again. 822 00:39:54,808 --> 00:40:00,024 ♪ 823 00:40:00,049 --> 00:40:02,568 I appreciate you telling me that. 824 00:40:03,352 --> 00:40:04,684 I was wondering whether you had it in you 825 00:40:04,709 --> 00:40:06,180 to advocate for yourself. 826 00:40:06,205 --> 00:40:10,251 ♪ 827 00:40:10,276 --> 00:40:11,747 But the truth is, Shaun, 828 00:40:12,319 --> 00:40:13,954 what you did today, 829 00:40:14,719 --> 00:40:16,623 it proved I'm right. 830 00:40:17,695 --> 00:40:19,418 Your skills are tremendous. 831 00:40:19,674 --> 00:40:21,318 Your weaknesses... 832 00:40:21,343 --> 00:40:23,338 equally significant. 833 00:40:24,939 --> 00:40:27,627 You could be a great pathologist. 834 00:40:27,652 --> 00:40:30,167 Just think of all the Sadies out there, 835 00:40:30,192 --> 00:40:32,046 waiting for you to save them. 836 00:40:32,071 --> 00:40:39,595 ♪ 837 00:40:39,620 --> 00:40:47,180 ♪ 838 00:40:47,205 --> 00:40:54,799 ♪ 839 00:40:54,824 --> 00:41:02,002 ♪ 840 00:41:02,027 --> 00:41:04,228 Dr. Browne, Dr. Reznick. 841 00:41:04,253 --> 00:41:06,826 The surgery went well. Your spine is stable. 842 00:41:10,975 --> 00:41:12,429 I'm scared. 843 00:41:13,807 --> 00:41:16,609 There may still be some residual pain as you heal, but... 844 00:41:16,634 --> 00:41:17,935 No, I... 845 00:41:19,037 --> 00:41:20,729 I keep wondering, 846 00:41:21,123 --> 00:41:22,896 what if I disobeyed God? 847 00:41:22,921 --> 00:41:28,323 ♪ 848 00:41:29,878 --> 00:41:31,094 You have to have faith. 849 00:41:32,950 --> 00:41:34,445 But you lost yours. 850 00:41:34,470 --> 00:41:37,560 ♪ 851 00:41:37,585 --> 00:41:40,415 I didn't have a miracle to help me through the dark times. 852 00:41:40,440 --> 00:41:44,206 ♪ 853 00:41:44,438 --> 00:41:48,241 [ LP'S "MUDDY WATERS" PLAYS ] ♪ Hmm ♪ 854 00:41:48,266 --> 00:41:52,242 ♪ Hmm, hmm ♪ 855 00:41:52,267 --> 00:41:56,034 ♪ Oh, oh-oh-oh-oh ♪ 856 00:41:56,059 --> 00:42:00,244 ♪ In the muddy water we're falling ♪ 857 00:42:00,269 --> 00:42:04,245 ♪ Oh, oh-oh-oh-oh ♪ 858 00:42:04,270 --> 00:42:07,668 ♪ In the muddy water we're crawling ♪ 859 00:42:07,693 --> 00:42:11,205 ♪ Hold me down ♪ 860 00:42:11,230 --> 00:42:15,206 ♪ Hold me now ♪ 861 00:42:15,231 --> 00:42:18,975 ♪ Sold me out ♪ 862 00:42:19,000 --> 00:42:23,417 ♪ In the muddy water we're falling ♪