1 00:00:20,880 --> 00:00:22,400 _ 2 00:00:26,443 --> 00:00:28,893 You're here early. Trouble sleeping? 3 00:00:28,913 --> 00:00:31,113 No. Just wanted to get out 4 00:00:31,173 --> 00:00:33,732 of my apartment and to work. 5 00:00:33,733 --> 00:00:36,143 We work you plenty hard enough. Go home. 6 00:00:36,363 --> 00:00:38,573 Making sure you're rested is also part of the job. 7 00:00:38,603 --> 00:00:39,803 I understand. 8 00:00:42,459 --> 00:00:44,269 What should I tell a patient 9 00:00:44,309 --> 00:00:45,629 if they don't think they're sick 10 00:00:45,649 --> 00:00:48,209 but I think they have pancreatic cancer? 11 00:00:48,609 --> 00:00:51,176 You think one of our patients has pancreatic cancer? 12 00:00:56,189 --> 00:00:58,058 Seventeen. 13 00:00:58,425 --> 00:01:01,329 He's burped 17 times 14 00:01:01,359 --> 00:01:02,659 in 10 minutes. 15 00:01:02,679 --> 00:01:05,524 It's a frequent symptom of pancreatic cancer. 16 00:01:05,524 --> 00:01:08,294 Shaun, it's acid reflux. 17 00:01:09,294 --> 00:01:11,534 He's also jaundiced. 18 00:01:14,774 --> 00:01:15,944 No, he isn't. 19 00:01:17,114 --> 00:01:18,954 Paul's skin is definitely not 20 00:01:18,984 --> 00:01:21,494 the same color it was six months ago. 21 00:01:21,714 --> 00:01:23,494 - Paul? - I looked at his mouth 22 00:01:23,514 --> 00:01:25,564 when he was telling me about his daughter. 23 00:01:25,584 --> 00:01:27,234 - She just... - Walk with me. 24 00:01:29,424 --> 00:01:31,004 Say nothing. 25 00:01:49,384 --> 00:01:50,864 Hey, Shaun. 26 00:01:54,954 --> 00:01:56,734 Do a CVC, CMP, 27 00:01:56,754 --> 00:01:59,334 amylase, lipase, CA-19 levels, 28 00:01:59,354 --> 00:02:01,634 and CT abdomen, pelvis pancreatic protocol, 29 00:02:01,664 --> 00:02:03,424 and do not tell him why. 30 00:02:03,474 --> 00:02:05,274 You want me to lie? 31 00:02:05,294 --> 00:02:06,774 I don't want you to tell the truth. 32 00:02:06,794 --> 00:02:09,474 The discoloration, if there is any, is very minor. 33 00:02:09,504 --> 00:02:11,314 I don't want you scaring the crap out of the man over nothing. 34 00:02:11,334 --> 00:02:13,944 Excellent. I've been practicing lying. 35 00:02:13,974 --> 00:02:15,614 I lied to you before when I said 36 00:02:15,644 --> 00:02:18,144 I just wanted to get out of my apartment and to work. 37 00:02:19,624 --> 00:02:21,294 Take Claire. 38 00:02:25,334 --> 00:02:26,784 Hello. I'm Dr. Lim. 39 00:02:26,804 --> 00:02:28,184 How can I help you today... 40 00:02:28,204 --> 00:02:29,474 Asha? 41 00:02:31,344 --> 00:02:33,734 I want plastic surgery. 42 00:02:34,274 --> 00:02:36,424 Sweetheart, this is the Emergency Room. 43 00:02:36,444 --> 00:02:38,824 If you want, I can make an appointment for you... 44 00:02:38,844 --> 00:02:41,044 Well, you do vaginal rejuvenation, right? 45 00:02:41,884 --> 00:02:43,464 Yes... 46 00:02:43,684 --> 00:02:45,394 On much older, much vainer women, 47 00:02:45,424 --> 00:02:47,814 generally after having many children. 48 00:02:48,634 --> 00:02:49,834 I don't know what the boys have told you... 49 00:02:49,854 --> 00:02:51,134 Examine me. 50 00:02:52,584 --> 00:02:53,784 Please. 51 00:02:55,434 --> 00:02:56,834 Please take off your underwear. 52 00:03:21,784 --> 00:03:23,494 Were you in an accident? 53 00:03:23,614 --> 00:03:24,884 No. 54 00:03:26,314 --> 00:03:27,444 Can you help me? 55 00:03:28,514 --> 00:03:30,424 - Did your father do this to you? - No. 56 00:03:30,454 --> 00:03:31,834 - Please just... - Did your mother... 57 00:03:31,854 --> 00:03:33,704 - I need to know who did this to you. - No, you don't! 58 00:03:33,724 --> 00:03:34,904 It doesn't matter who... 59 00:03:42,854 --> 00:03:45,294 When I was 2 years old... 60 00:03:46,444 --> 00:03:49,024 I was... Tied down, 61 00:03:49,044 --> 00:03:50,824 and I was circumcised. 62 00:03:54,714 --> 00:03:56,184 Please. 63 00:03:56,644 --> 00:03:58,314 I'm hideous. 64 00:04:03,524 --> 00:04:05,094 Will you help me? 65 00:04:07,794 --> 00:04:08,794 Yes. 66 00:04:10,164 --> 00:04:20,374 Synced & corrected by -robtor- www.addic7ed.com 67 00:04:21,254 --> 00:04:23,074 Why do you need to confirm 68 00:04:23,094 --> 00:04:25,634 a diagnosis of acid reflux? 69 00:04:25,654 --> 00:04:27,844 Because we're doctors. It's what we do. 70 00:04:27,864 --> 00:04:29,561 We just like to be sure of everything. 71 00:04:31,774 --> 00:04:34,254 There are a few remote possibilities... 72 00:04:34,274 --> 00:04:35,544 I've got this! 73 00:04:37,244 --> 00:04:40,654 Are you familiar with the hospital employee manual 74 00:04:40,684 --> 00:04:43,064 section 17, subsection C, triple I? 75 00:04:43,084 --> 00:04:44,524 - No. - Good. 76 00:04:44,554 --> 00:04:46,164 - Good? - Yes. 77 00:04:46,184 --> 00:04:49,634 It requires that all employees 78 00:04:49,654 --> 00:04:51,334 shall be subject to, 79 00:04:51,354 --> 00:04:53,104 and I quote, 80 00:04:53,124 --> 00:04:55,234 "Any and all possible necessary tests 81 00:04:55,264 --> 00:04:57,074 "to confirm any and all diagnoses, 82 00:04:57,094 --> 00:04:59,174 "no matter how mundane, the cost of which tests 83 00:04:59,204 --> 00:05:01,764 "shall be borne by the hospital," end quote. 84 00:05:08,504 --> 00:05:10,224 The Board wants to make sure 85 00:05:10,244 --> 00:05:12,754 that no one is exposed to patients 86 00:05:12,784 --> 00:05:14,654 if there is any chance that they have 87 00:05:14,684 --> 00:05:16,644 any communicable condition. 88 00:05:22,494 --> 00:05:25,204 I had the flu last week. 89 00:05:25,224 --> 00:05:27,584 Why didn't anybody do anything for me then? 90 00:05:30,594 --> 00:05:32,964 - It's a new policy. - You might have pancreatic cancer. 91 00:05:34,134 --> 00:05:35,754 What? 92 00:05:35,774 --> 00:05:37,004 What'd he say? 93 00:05:38,704 --> 00:05:40,484 Female genital mutilation 94 00:05:40,504 --> 00:05:43,154 is the ritual cutting or removal of some, or all, 95 00:05:43,174 --> 00:05:45,144 of the external female genitalia. 96 00:05:45,364 --> 00:05:48,004 Over 200 million victims worldwide. 97 00:05:48,034 --> 00:05:50,024 It is almost universally practiced 98 00:05:50,054 --> 00:05:52,483 in a number of African and Asian countries. 99 00:05:52,484 --> 00:05:53,684 Where was she born? 100 00:05:54,624 --> 00:05:56,134 Wisconsin. 101 00:05:56,154 --> 00:05:57,704 Yeah, it's way more common here than you think. 102 00:05:57,724 --> 00:05:59,604 - What religion is she? - I didn't ask. 103 00:05:59,724 --> 00:06:00,974 This isn't about religion. 104 00:06:01,104 --> 00:06:03,523 No legit religious organization endorses this stuff. 105 00:06:03,524 --> 00:06:06,244 We're gonna do the labiaplasty first thing in the morning. 106 00:06:06,364 --> 00:06:08,804 The damage done to her nerves is not going to get undone, 107 00:06:08,834 --> 00:06:10,354 nor is the psych damage, 108 00:06:10,384 --> 00:06:13,014 but at least she'll look like other girls. 109 00:06:13,134 --> 00:06:14,550 We should be able to have her out of here 110 00:06:14,574 --> 00:06:15,644 by 6:00 in the evening. 111 00:06:15,674 --> 00:06:17,934 Outpatient? Why the hurry? 112 00:06:18,034 --> 00:06:20,524 So her mother will simply think she's in school, 113 00:06:20,544 --> 00:06:22,014 then out studying with her friends. 114 00:06:23,394 --> 00:06:25,474 She loves her parents and doesn't want to tell them 115 00:06:25,494 --> 00:06:28,094 that she's rejecting one of their cultural traditions. 116 00:06:28,114 --> 00:06:29,354 They won't stay in the dark for long, 117 00:06:29,374 --> 00:06:31,464 since we're legally obligated to report them. 118 00:06:31,484 --> 00:06:33,664 That "cultural tradition" also fits 119 00:06:33,694 --> 00:06:36,374 - the definition of abuse. - And they'll also find out when we ask 120 00:06:36,394 --> 00:06:38,234 for their permission to do this surgery. 121 00:06:38,264 --> 00:06:39,574 She's a minor. 122 00:06:39,594 --> 00:06:40,934 Her ID says she's 18. 123 00:06:40,954 --> 00:06:42,814 Yes, her fake ID 124 00:06:42,834 --> 00:06:44,414 says she's 18. 125 00:06:44,434 --> 00:06:46,750 Her number starts with an "H," which means she was born in the '50s. 126 00:06:46,774 --> 00:06:49,554 Also, the photo background is green instead of blue. 127 00:06:49,574 --> 00:06:51,383 Also six other things. 128 00:06:51,384 --> 00:06:53,264 Maybe we can get Legal to get a court order... 129 00:06:53,284 --> 00:06:55,194 If I believe that ID is real, 130 00:06:55,214 --> 00:06:57,494 then I am entitled to perform this surgery 131 00:06:57,524 --> 00:07:00,504 without seeking consent of anyone other than the patient. 132 00:07:00,524 --> 00:07:03,574 And, as legally required within 36 hours, 133 00:07:03,694 --> 00:07:05,404 I will report the evidence of abuse 134 00:07:05,434 --> 00:07:08,444 under the name and address listed on that ID. 135 00:07:08,464 --> 00:07:11,044 If the investigation of that report 136 00:07:11,054 --> 00:07:13,484 doesn't begin until the girl is long gone 137 00:07:13,504 --> 00:07:16,554 and happens to lead nowhere because the name wasn't real, 138 00:07:16,574 --> 00:07:18,054 that's no fault of mine. 139 00:07:18,074 --> 00:07:20,224 Are you sure you want to risk your medical license 140 00:07:20,244 --> 00:07:21,624 to protect an abusive mother? 141 00:07:21,644 --> 00:07:23,154 If we do this by the book, 142 00:07:23,184 --> 00:07:25,194 we never see that girl again and no one gets help. 143 00:07:25,214 --> 00:07:28,264 If we do this by the book, maybe the cops lock the parents up. 144 00:07:28,284 --> 00:07:30,734 We shine a light on this thing, her community gets scared, 145 00:07:30,754 --> 00:07:32,804 and maybe the next girl doesn't need our help. 146 00:07:32,824 --> 00:07:34,664 Or maybe the testimony of the girl 147 00:07:34,694 --> 00:07:36,404 about what happened to her when she was 2 148 00:07:36,424 --> 00:07:38,074 doesn't help the cops at all. 149 00:07:38,094 --> 00:07:40,044 Maybe the parents just take their daughter home, 150 00:07:40,064 --> 00:07:41,854 and maybe we scare the next girl 151 00:07:41,874 --> 00:07:43,934 into not even asking for help. 152 00:07:45,234 --> 00:07:48,344 I'm doing the surgery to this girl 153 00:07:48,374 --> 00:07:51,754 under this name tomorrow morning at 7:00 a.m. 154 00:08:02,624 --> 00:08:05,234 I can't believe people ever lie. 155 00:08:05,254 --> 00:08:07,833 There are so many questions 156 00:08:07,834 --> 00:08:09,534 people might ask you, 157 00:08:09,564 --> 00:08:11,234 but if you tell the truth, 158 00:08:11,264 --> 00:08:13,284 you already know the answers. 159 00:08:14,164 --> 00:08:16,714 And, also, it's wrong. 160 00:08:16,734 --> 00:08:18,644 But sometimes, 161 00:08:18,674 --> 00:08:21,174 you shouldn't tell the whole truth? 162 00:08:22,274 --> 00:08:24,914 No. Of course not. 163 00:08:24,944 --> 00:08:27,624 Because that lets you be honorable 164 00:08:27,644 --> 00:08:31,094 and tell the truth and be a good person, 165 00:08:31,114 --> 00:08:32,564 but at the same time, 166 00:08:32,584 --> 00:08:35,724 you get to completely deceive the person. 167 00:08:35,754 --> 00:08:38,114 - No, I don't think that... - Lea came back. 168 00:08:38,924 --> 00:08:40,464 Wow, Shaun, that's great. 169 00:08:40,494 --> 00:08:44,074 She's staying with me until she finds her own place. 170 00:08:44,094 --> 00:08:45,964 You must be so excited. 171 00:08:47,394 --> 00:08:48,594 Yes. 172 00:08:50,504 --> 00:08:52,164 You're not excited? 173 00:08:52,774 --> 00:08:54,374 I said, "Yes." 174 00:08:57,674 --> 00:08:59,544 Paul has one year to live. 175 00:09:00,944 --> 00:09:03,314 He has pancreatic cancer. 176 00:09:04,114 --> 00:09:05,424 Stage III. 177 00:09:11,214 --> 00:09:13,024 There are no metastatic lesions, but there are 178 00:09:13,054 --> 00:09:15,094 - local nodes involved. - And there's partial encasement 179 00:09:15,114 --> 00:09:16,634 of the superior mesenteric artery. 180 00:09:16,654 --> 00:09:17,794 That puts it past the point 181 00:09:17,824 --> 00:09:19,884 where we can cure with local resection. 182 00:09:20,194 --> 00:09:22,434 We could do Whipple surgery. 183 00:09:22,454 --> 00:09:24,674 That's not advised for stage III pancreatic cancer. 184 00:09:24,694 --> 00:09:27,444 Not quite. It's not advised for stage IV. 185 00:09:27,464 --> 00:09:29,804 For stage III, it's discretionary. 186 00:09:29,834 --> 00:09:31,574 In my discretion, 187 00:09:31,594 --> 00:09:33,573 he's better off with 12 semi-comfortable months, 188 00:09:33,574 --> 00:09:35,884 rather than running the risk of dying on the table tomorrow. 189 00:09:35,904 --> 00:09:38,784 If he doesn't die on the table, he could have many years. 190 00:09:38,814 --> 00:09:40,864 It isn't our call to make. 191 00:09:40,884 --> 00:09:43,074 I'll talk to Paul, advise him of the parameters, 192 00:09:43,094 --> 00:09:44,564 let him make his own decision. 193 00:09:46,354 --> 00:09:47,594 No. 194 00:09:48,384 --> 00:09:49,484 Shaun should do it. 195 00:09:51,214 --> 00:09:52,454 Claire can do it. 196 00:09:52,484 --> 00:09:55,064 Yes, she can, which is why you should do it. 197 00:09:55,084 --> 00:09:57,064 This is a teaching hospital. 198 00:09:57,184 --> 00:09:58,394 Andrews is right... 199 00:09:58,424 --> 00:10:00,434 Being a surgeon isn't just about cutting. 200 00:10:22,174 --> 00:10:23,524 Would it be okay 201 00:10:23,544 --> 00:10:26,284 if we spoke someplace more quiet? 202 00:10:26,974 --> 00:10:30,114 You need someplace quiet to tell me I have acid reflux? 203 00:10:32,894 --> 00:10:35,904 I think we should be someplace quiet 204 00:10:35,924 --> 00:10:38,234 because people sometimes get very upset 205 00:10:38,264 --> 00:10:39,944 when they find out they probably only have 206 00:10:39,964 --> 00:10:41,674 less than a year to live. 207 00:10:48,734 --> 00:10:50,074 Okay, uh... 208 00:10:50,094 --> 00:10:52,114 Can I call my family? 209 00:10:52,154 --> 00:10:54,684 They should probably hear what you have to say, too. 210 00:10:54,704 --> 00:10:56,234 I'd rather just talk to... 211 00:10:56,254 --> 00:10:57,984 Of course you can. 212 00:11:00,234 --> 00:11:02,444 I'll elevate it with a 6-inch Ambler tissue hook. 213 00:11:02,464 --> 00:11:04,644 You separate the underlying tissue with iris forceps. 214 00:11:04,864 --> 00:11:07,584 I got it. Tenotomy scissors. 215 00:11:07,604 --> 00:11:09,214 I think we're actually a little ahead of schedule. 216 00:11:09,234 --> 00:11:11,584 Might be able to get her home in time to do her homework. 217 00:11:11,604 --> 00:11:13,814 Back to the bosom of her loving family. 218 00:11:17,014 --> 00:11:20,013 We'd remove as much of the cancer as possible 219 00:11:20,014 --> 00:11:21,784 by removing the head of the pancreas 220 00:11:21,814 --> 00:11:23,293 and other attached organs, 221 00:11:23,294 --> 00:11:25,844 but then, we'd have to reconstruct the anatomy. 222 00:11:25,944 --> 00:11:27,424 The easiest way to do that 223 00:11:27,444 --> 00:11:29,154 is to bring up a loop of jejunum... 224 00:11:29,184 --> 00:11:30,184 Shaun. 225 00:11:31,454 --> 00:11:32,894 Sorry. 226 00:11:32,914 --> 00:11:35,994 The jejunum is part of the small intestine 227 00:11:36,024 --> 00:11:37,634 between the duodenum and ileum. 228 00:11:37,654 --> 00:11:41,814 It's complicated, very dangerous surgery. 229 00:11:41,894 --> 00:11:43,544 And even if it's successful, 230 00:11:43,564 --> 00:11:46,574 post-operative complications are frequent and serious. 231 00:11:46,704 --> 00:11:49,314 And recovery can be very painful. 232 00:11:50,334 --> 00:11:53,444 But if it works, he's better? He'll be healthy? 233 00:11:53,464 --> 00:11:55,344 He would still need chemotherapy 234 00:11:55,464 --> 00:11:57,314 and a lifetime of monitoring. 235 00:11:57,334 --> 00:12:00,204 But hopefully, a long lifetime. 236 00:12:02,284 --> 00:12:03,794 Let's do it, Dad. 237 00:12:03,814 --> 00:12:05,184 What do you say? 238 00:12:08,234 --> 00:12:09,504 What should I do? 239 00:12:11,894 --> 00:12:13,494 It's your decision. 240 00:12:14,784 --> 00:12:17,964 All we can do is present you with the facts. 241 00:12:19,984 --> 00:12:22,684 Yeah, here are the facts, Dad... 242 00:12:23,204 --> 00:12:25,184 The surgery may kill you. 243 00:12:25,404 --> 00:12:27,754 Not doing the surgery will kill you. 244 00:12:38,014 --> 00:12:39,454 Can you give us a few minutes? 245 00:12:39,484 --> 00:12:40,754 Of course. 246 00:12:48,464 --> 00:12:51,234 It was very nice of Dr. Andrews to give you an office, 247 00:12:51,254 --> 00:12:52,904 even though, you're on medical leave. 248 00:12:52,924 --> 00:12:54,474 Yeah, he is a prince. 249 00:12:54,594 --> 00:12:56,274 Who's your surgeon going to be? 250 00:12:56,304 --> 00:12:57,504 I haven't d... 251 00:12:58,334 --> 00:12:59,704 I haven't decided yet. 252 00:13:01,124 --> 00:13:03,104 You should definitely go with 253 00:13:03,154 --> 00:13:06,234 Dr. Joshua Atkinson at Stanford Medical Center. 254 00:13:06,314 --> 00:13:08,584 His mortality index is .3. 255 00:13:08,614 --> 00:13:10,084 It's too low. 256 00:13:10,114 --> 00:13:12,624 Not enough of his patients are dying? 257 00:13:12,644 --> 00:13:14,894 No, Shaun, sometimes patients die. 258 00:13:14,914 --> 00:13:16,394 Doesn't matter how good the doctor is. 259 00:13:16,414 --> 00:13:19,343 But when your mortality rate is as low as Atkinson's, 260 00:13:19,344 --> 00:13:21,324 it means you're turning away patients. 261 00:13:21,344 --> 00:13:23,424 You turn away patients, it means you lack confidence. 262 00:13:23,454 --> 00:13:26,654 You lack confidence, I don't want you inside my head. 263 00:13:26,884 --> 00:13:29,264 And I'd like to be able to dress myself 264 00:13:29,284 --> 00:13:30,654 when I'm all done. 265 00:13:32,484 --> 00:13:35,134 Shaun, what are you doing here? 266 00:13:35,254 --> 00:13:38,304 You showed up at work early this morning. 267 00:13:38,524 --> 00:13:40,464 Go home. Get some rest. 268 00:13:43,614 --> 00:13:45,854 I won't rest if I go home. 269 00:13:54,544 --> 00:13:56,004 The surgery went great. 270 00:13:56,914 --> 00:13:58,254 Once everything's healed, I think 271 00:13:58,284 --> 00:14:00,724 you'll be very happy with the results. 272 00:14:01,144 --> 00:14:04,014 - What time is it? - Not quite 5:45. 273 00:14:04,114 --> 00:14:05,260 We just need you to pee, and... 274 00:14:05,284 --> 00:14:06,694 I need to go home. 275 00:14:06,714 --> 00:14:09,064 And you will... very soon. 276 00:14:10,804 --> 00:14:13,344 - It hurts. - I told you it would. 277 00:14:13,574 --> 00:14:15,484 We did a lot of cutting and scraping. 278 00:14:15,504 --> 00:14:17,354 You had a lot of scar tissue. 279 00:14:17,374 --> 00:14:18,654 It hurts a lot. 280 00:14:18,674 --> 00:14:20,124 We'll give you some Tylenol, 281 00:14:20,144 --> 00:14:22,024 and you can tell your mother you're cramping. 282 00:14:22,044 --> 00:14:23,924 Ow! 283 00:14:25,554 --> 00:14:28,354 Hang ketamine... 130 micrograms per kilogram per hour. 284 00:14:31,354 --> 00:14:32,834 Why does it hurt this much? 285 00:14:32,854 --> 00:14:34,054 I don't know. 286 00:14:35,194 --> 00:14:36,494 But you're not going home. 287 00:14:37,274 --> 00:14:38,434 Ow! 288 00:14:43,054 --> 00:14:44,894 She's heavily sedated. 289 00:14:44,924 --> 00:14:46,394 What did we do to her? 290 00:14:46,424 --> 00:14:48,414 What if this is good news? 291 00:14:49,394 --> 00:14:51,604 I know you haven't been a doctor all that long, 292 00:14:51,624 --> 00:14:53,674 but pain is rarely a sign of good news. 293 00:14:53,894 --> 00:14:55,964 It is if you're talking about a part of the body 294 00:14:55,994 --> 00:14:57,474 you thought was dead. 295 00:14:57,494 --> 00:15:00,144 What if this means there's still viable nerve endings in there? 296 00:15:00,264 --> 00:15:02,634 What if this means we can actually reconstruct her clitoris 297 00:15:02,644 --> 00:15:04,204 and that it's capable of sensation? 298 00:15:04,974 --> 00:15:06,854 Maybe. All we know for sure 299 00:15:06,884 --> 00:15:08,724 is she's not gonna be home anywhere near 6:00, 300 00:15:08,754 --> 00:15:11,374 which means we're about to have a missing child on our hands. 301 00:15:12,464 --> 00:15:14,304 We have to bring Andrews up to speed. 302 00:15:28,724 --> 00:15:31,264 I did a bad job of telling you 303 00:15:31,294 --> 00:15:32,834 that you're dying. 304 00:15:36,474 --> 00:15:38,034 Is there a good way? 305 00:15:38,574 --> 00:15:42,814 I can't figure out when I'm supposed to lie, 306 00:15:42,834 --> 00:15:45,234 when I'm supposed to tell part of the truth. 307 00:15:45,334 --> 00:15:46,974 And it doesn't really matter, 308 00:15:47,014 --> 00:15:50,204 because I can't figure out how to do it anyway. 309 00:15:53,224 --> 00:15:54,724 You did fine with me. 310 00:15:55,544 --> 00:15:57,524 You never need to lie. 311 00:15:57,754 --> 00:15:59,984 Lies don't protect you from the truth. 312 00:16:02,674 --> 00:16:04,504 I don't like your haircut. 313 00:16:07,004 --> 00:16:08,164 Okay. 314 00:16:09,794 --> 00:16:15,183 Maybe sometimes, when the truth can't help someone... 315 00:16:18,254 --> 00:16:20,380 ...you should definitely just lie. 316 00:16:23,174 --> 00:16:27,053 Do you think praying will help you reach a decision? 317 00:16:28,414 --> 00:16:31,964 I've already reached a decision. 318 00:16:31,984 --> 00:16:36,534 I'm praying to help me find comfort with that decision. 319 00:16:36,854 --> 00:16:39,094 My family wants the surgery. 320 00:16:41,924 --> 00:16:44,724 And what do you want? 321 00:16:46,284 --> 00:16:48,244 I want what my family wants. 322 00:16:49,434 --> 00:16:50,784 I love them. 323 00:16:50,904 --> 00:16:52,704 But they love you, too, right? 324 00:16:54,684 --> 00:16:56,694 Don't they want what you want? 325 00:17:00,214 --> 00:17:02,244 Long ago, I made a decision 326 00:17:03,394 --> 00:17:04,894 to be there for them 327 00:17:06,854 --> 00:17:08,194 no matter what. 328 00:17:11,324 --> 00:17:15,044 And if the last choice I make in my life 329 00:17:15,164 --> 00:17:16,764 is consistent with that, 330 00:17:20,564 --> 00:17:22,134 I'm comfortable with that. 331 00:17:38,714 --> 00:17:40,743 I'm surprised by you. 332 00:17:40,744 --> 00:17:42,984 I, arguably, made errors in judgment, 333 00:17:43,014 --> 00:17:45,284 but it was all in an effort to help a patient. 334 00:17:45,314 --> 00:17:46,960 Yes, and that would make sense if you thought 335 00:17:46,984 --> 00:17:49,024 you'd never have another patient ever again. 336 00:17:49,044 --> 00:17:52,124 And if there wasn't currently an opening for Chief of Surgery. 337 00:17:52,324 --> 00:17:54,444 I didn't know that was on the table. 338 00:17:54,464 --> 00:17:57,074 See, that's the difference between you and Melendez. 339 00:17:57,104 --> 00:18:00,544 I have no doubt that as soon as I got this promotion, 340 00:18:00,574 --> 00:18:03,514 Melendez had done the math and reacted accordingly. 341 00:18:03,744 --> 00:18:07,024 But I suspect that even if you had done the math, 342 00:18:07,044 --> 00:18:09,664 it wouldn't have changed how you handled this patient. 343 00:18:09,784 --> 00:18:11,294 I don't view that as a weakness. 344 00:18:14,344 --> 00:18:16,724 I'll handle the administrative fallout. 345 00:18:16,744 --> 00:18:18,424 You... 346 00:18:18,544 --> 00:18:20,334 ...notify the parents immediately. 347 00:18:22,254 --> 00:18:23,734 I can't. 348 00:18:23,754 --> 00:18:25,204 We don't know the girl's real name, 349 00:18:25,224 --> 00:18:26,504 and we have to keep her sedated, 350 00:18:26,534 --> 00:18:27,644 so there's no way we can track... 351 00:18:27,664 --> 00:18:29,514 She's a teenager. She's got a phone. 352 00:18:29,534 --> 00:18:31,574 Next time it rings, answer it. 353 00:18:39,134 --> 00:18:41,014 - You feel the mesenteric artery pulsing? - Yes. 354 00:18:41,034 --> 00:18:43,044 You shouldn't. You're too close to the vein. 355 00:18:43,074 --> 00:18:45,894 Great. Dr. Browne, pass a penrose drain through. 356 00:18:48,774 --> 00:18:50,384 Bovie. 357 00:18:54,614 --> 00:18:55,714 Suction. 358 00:19:05,074 --> 00:19:06,444 Got it all. 359 00:19:08,154 --> 00:19:11,064 I see leaking pancreatic fluid. 360 00:19:11,084 --> 00:19:12,770 That'll eat holes in everything it touches. 361 00:19:12,794 --> 00:19:13,874 Our duct tie didn't hold. 362 00:19:13,894 --> 00:19:15,764 Suction. Needle driver. 363 00:19:16,804 --> 00:19:18,174 Excellent. 364 00:19:18,304 --> 00:19:21,084 You have approved a scrub nurse 365 00:19:21,204 --> 00:19:23,914 and a circulating nurse and seven other personnel. 366 00:19:24,044 --> 00:19:25,504 Everyone and everything is covered, 367 00:19:25,534 --> 00:19:26,744 except for an actual surgeon. 368 00:19:26,834 --> 00:19:28,814 Yeah. I think we may have to postpone. 369 00:19:28,844 --> 00:19:31,273 Have you notified your tumor to stop growing in the interim? 370 00:19:31,274 --> 00:19:33,774 I think any possible damage from a delay 371 00:19:33,794 --> 00:19:36,384 may be more than offset by having somebody competent 372 00:19:36,404 --> 00:19:37,814 digging around in my brain. 373 00:19:37,844 --> 00:19:39,054 "Competent"? 374 00:19:39,374 --> 00:19:42,084 - What's wrong with Sanders? - 6% mortality rate. 375 00:19:42,114 --> 00:19:43,960 - Taylor? - I don't like the way he's planning on 376 00:19:43,984 --> 00:19:45,414 dealing with a carotid tear. 377 00:19:45,434 --> 00:19:47,354 - That's nowhere near your tumor. - It's the principle. 378 00:19:47,374 --> 00:19:48,884 - Unger? - He doesn't like me. 379 00:19:48,914 --> 00:19:50,924 - No one likes you. - No! You don't like me. 380 00:19:50,944 --> 00:19:52,654 He doesn't like me. That's two. 381 00:19:52,784 --> 00:19:54,130 Just pick a name. I don't care who. 382 00:19:54,154 --> 00:19:55,694 I don't care if they're a doctor. 383 00:19:55,724 --> 00:19:57,164 Just pick a name. 384 00:19:57,174 --> 00:19:59,304 Because in 48 hours, you're either getting your surgery 385 00:19:59,324 --> 00:20:01,704 or you're getting a new oncologist. 386 00:20:13,964 --> 00:20:15,674 She's in pain. 387 00:20:15,704 --> 00:20:17,674 That's why she's asleep right now, 388 00:20:17,704 --> 00:20:19,774 because of what you did to her? 389 00:20:22,364 --> 00:20:24,474 What I did to her 390 00:20:24,494 --> 00:20:28,314 I believe revealed that what you did to her 391 00:20:28,334 --> 00:20:31,184 didn't do as much damage as we initially feared. 392 00:20:31,304 --> 00:20:32,884 We want to do a second surgery... 393 00:20:32,904 --> 00:20:34,354 How can you stop her pain? 394 00:20:34,374 --> 00:20:36,354 It's called clitoral reconstruction. 395 00:20:36,384 --> 00:20:38,174 The nerves of her clitoris are exposed. 396 00:20:38,194 --> 00:20:39,604 We can sheath them using... 397 00:20:39,634 --> 00:20:41,514 Our daughter wants this? 398 00:20:41,654 --> 00:20:44,314 Asha wants to be like other girls. 399 00:20:44,444 --> 00:20:45,554 She wants to be able to... 400 00:20:45,574 --> 00:20:48,094 Mara told you that? 401 00:20:49,864 --> 00:20:51,434 That's our daughter's name. 402 00:20:52,104 --> 00:20:53,304 Not Asha. 403 00:20:54,964 --> 00:20:56,404 You don't know her at all. 404 00:20:56,424 --> 00:20:59,474 We need to do this surgery to relieve her pain. 405 00:20:59,494 --> 00:21:02,654 No. There must be another way. 406 00:21:02,664 --> 00:21:04,374 We want a second opinion. 407 00:21:04,404 --> 00:21:06,214 Not at this hospital. 408 00:21:06,234 --> 00:21:07,914 How soon can our daughter be moved? 409 00:21:07,944 --> 00:21:09,594 Excuse me, Dr. Lim. 410 00:21:09,614 --> 00:21:12,824 I am Ellen Vahtra from Child Protective Services. 411 00:21:12,844 --> 00:21:13,914 Until I complete my review, 412 00:21:13,924 --> 00:21:17,044 I'm afraid you're not going to be moving your daughter anywhere. 413 00:21:27,314 --> 00:21:29,854 How did it go? Is Dad okay? 414 00:21:32,384 --> 00:21:34,364 There were complications, 415 00:21:34,384 --> 00:21:36,704 but we found solutions. 416 00:21:36,724 --> 00:21:39,734 It went very well. We got it all. 417 00:21:42,564 --> 00:21:43,604 Oh, my... 418 00:21:43,634 --> 00:21:45,074 There's still... 419 00:21:48,304 --> 00:21:50,463 I don't think I did that well. 420 00:21:50,464 --> 00:21:51,664 They're too happy. 421 00:21:51,964 --> 00:21:54,774 Post-surgical complications are still a major concern that they... 422 00:21:54,794 --> 00:21:57,074 Let them enjoy the good news. 423 00:21:57,104 --> 00:22:00,074 Is deceiving someone in a way that makes them happy 424 00:22:00,104 --> 00:22:02,984 better than deceiving someone in a way that makes them sad? 425 00:22:03,104 --> 00:22:06,244 Shaun. I think there's someone here to see you. 426 00:22:07,074 --> 00:22:08,624 Hey. 427 00:22:08,694 --> 00:22:10,734 I had some time, so I thought 428 00:22:10,764 --> 00:22:13,094 you might want to have some lunch with me? 429 00:22:15,444 --> 00:22:17,604 I do not have time. 430 00:22:32,024 --> 00:22:33,774 What's wrong? 431 00:22:33,794 --> 00:22:35,374 What did she do? 432 00:22:35,394 --> 00:22:36,644 Shaun. Sha... 433 00:22:41,434 --> 00:22:45,084 You don't want to talk to Lea. I don't understand. 434 00:22:45,304 --> 00:22:47,744 I don't understand. 435 00:22:48,274 --> 00:22:49,974 I don't understand! 436 00:22:49,994 --> 00:22:52,234 You're not being fair to her or yourself. 437 00:22:52,304 --> 00:22:54,674 - She's always been nice to you. - No, she hasn't. 438 00:22:56,114 --> 00:22:57,924 She's your friend. 439 00:22:57,954 --> 00:22:59,810 Whatever's happened, you have to talk to her about it. 440 00:22:59,834 --> 00:23:01,024 Be honest about what you're feeling... 441 00:23:01,044 --> 00:23:02,224 I can't be. 442 00:23:02,274 --> 00:23:05,954 - Of course you can. - I don't know... 443 00:23:06,334 --> 00:23:09,014 I don't know how I feel! 444 00:23:12,284 --> 00:23:15,384 I can't be honest if I don't know how I feel! 445 00:23:22,624 --> 00:23:24,234 Our 16-year-old daughter 446 00:23:24,254 --> 00:23:26,464 is lying in a hospital bed unconscious 447 00:23:26,494 --> 00:23:28,794 to protect her from overwhelming pain 448 00:23:28,814 --> 00:23:32,594 because of what this place did to her without our permission. 449 00:23:33,314 --> 00:23:34,904 And you are investigating us? 450 00:23:34,934 --> 00:23:37,014 Your daughter is suffering because you butchered her 451 00:23:37,034 --> 00:23:38,313 when she was 2 years old. 452 00:23:38,314 --> 00:23:41,094 Dr. Lim, please refrain from unsubstantiated allegations. 453 00:23:41,184 --> 00:23:44,034 Either they're the butchers or they're protecting the butchers. 454 00:23:44,054 --> 00:23:46,354 If you didn't do it, tell us who did. 455 00:23:51,014 --> 00:23:53,934 It was an aunt and a grandmother from Kenya. 456 00:23:54,054 --> 00:23:56,864 They were watching Mara while we were on vacation. 457 00:23:56,894 --> 00:23:59,064 Well, you must've been horrified. 458 00:23:59,194 --> 00:24:01,434 Did you take her to a doctor? 459 00:24:01,634 --> 00:24:04,384 That girl's sex organs were covered with scar tissue. 460 00:24:04,404 --> 00:24:07,094 She had no medical attention to treat any of her wounds. 461 00:24:07,114 --> 00:24:08,494 She was fine. 462 00:24:08,594 --> 00:24:11,144 She was happy, laughing. 463 00:24:11,364 --> 00:24:12,804 It's not that big a deal. 464 00:24:17,964 --> 00:24:20,044 I was cut. 465 00:24:20,064 --> 00:24:22,774 My mother was cut. Her mother was cut. 466 00:24:22,904 --> 00:24:26,644 It is a rite of passage connecting our women to their ancestors. 467 00:24:26,854 --> 00:24:28,784 She will not find a husband in our culture if she's... 468 00:24:28,804 --> 00:24:30,174 So she'll find someone else. 469 00:24:31,324 --> 00:24:33,104 It's not that big a deal. 470 00:24:33,264 --> 00:24:35,214 These parents forfeited the right to make any calls 471 00:24:35,234 --> 00:24:36,914 about their daughter a long time ago. 472 00:24:36,934 --> 00:24:38,984 Our daughter is an honor student, 473 00:24:39,084 --> 00:24:42,334 taking three AP classes in her junior year, 474 00:24:42,454 --> 00:24:45,434 went on a mission to Haiti to build a school. 475 00:24:45,554 --> 00:24:47,414 We have raised her well. 476 00:24:48,584 --> 00:24:49,824 She is a good person. 477 00:24:51,664 --> 00:24:53,094 We're proud of her. 478 00:24:54,364 --> 00:24:57,334 I'm sure she is a good person. 479 00:24:57,354 --> 00:24:58,654 But you are not gonna convince me 480 00:24:58,674 --> 00:25:00,724 that what happened to Mara when she was 2 years old 481 00:25:00,744 --> 00:25:03,094 is anything short of an abomination. 482 00:25:03,214 --> 00:25:05,194 But that's not the issue today. 483 00:25:05,424 --> 00:25:08,354 The issue is, how do we best help this girl now? 484 00:25:09,814 --> 00:25:13,094 The clitoral reconstruction should protect the exposed nerve. 485 00:25:13,124 --> 00:25:14,134 "Should"? 486 00:25:14,154 --> 00:25:16,954 That is the surgery that, in my medical opinion, 487 00:25:16,974 --> 00:25:17,974 is called for. 488 00:25:18,044 --> 00:25:19,644 But it's not the only option? 489 00:25:21,414 --> 00:25:23,654 We could oblate the peripheral nerves 490 00:25:23,684 --> 00:25:25,864 and remove the remaining clitoral tissue. 491 00:25:25,884 --> 00:25:28,274 And is that surgery safer or more dangerous? 492 00:25:28,494 --> 00:25:30,474 It's simpler, but that's not the only factor here. 493 00:25:30,594 --> 00:25:33,374 It's the only factor to us. 494 00:25:33,604 --> 00:25:35,744 We want to know that our daughter 495 00:25:35,774 --> 00:25:38,854 won't spend the rest of her life in pain. 496 00:25:38,874 --> 00:25:40,284 Please. 497 00:25:40,314 --> 00:25:41,614 For a moment, 498 00:25:41,674 --> 00:25:44,854 can we think about something other than Mara's pain? 499 00:25:45,494 --> 00:25:47,644 Can we think about her pleasure? 500 00:25:47,864 --> 00:25:50,374 We have a chance to give her 501 00:25:50,404 --> 00:25:53,254 a healthy, meaningful sex life. 502 00:25:53,274 --> 00:25:55,374 That is what she came here looking for. 503 00:26:01,314 --> 00:26:02,824 Wake her up. 504 00:26:03,054 --> 00:26:05,834 She's in pain, and she's already told me what she wanted. 505 00:26:05,884 --> 00:26:08,364 Yesterday, she was requesting cosmetic surgery. 506 00:26:08,384 --> 00:26:10,834 Today, you're asking her to risk a lifetime of pain 507 00:26:10,854 --> 00:26:12,394 for a chance at pleasure. 508 00:26:12,424 --> 00:26:13,734 From everything I've heard, 509 00:26:13,744 --> 00:26:15,964 she's mature enough to make the call herself, 510 00:26:15,994 --> 00:26:18,574 even if it means suffering for a few minutes to do so. 511 00:26:23,044 --> 00:26:26,124 Dr. Unger has a mortality index 512 00:26:26,154 --> 00:26:28,754 that is not too high and not too low. 513 00:26:28,784 --> 00:26:30,134 It's not gonna be Unger. 514 00:26:30,154 --> 00:26:32,804 You have not eliminated Dr. Ko. 515 00:26:33,024 --> 00:26:34,254 Not yet. 516 00:26:34,614 --> 00:26:37,954 I may have to go out of state to find a neurosurgeon. 517 00:26:38,284 --> 00:26:40,694 Plus, I may have to find myself a new oncologist. 518 00:26:40,714 --> 00:26:44,034 You've used Dr. Ko many times. 519 00:26:44,054 --> 00:26:46,204 Did you think she might kill your patients? 520 00:26:46,224 --> 00:26:47,354 No. 521 00:26:47,684 --> 00:26:49,524 Do you think you're better than them? 522 00:26:49,554 --> 00:26:51,354 Yes, a little. 523 00:26:54,814 --> 00:26:56,964 That was a joke. 524 00:26:57,174 --> 00:26:59,124 You don't want to talk about this. 525 00:26:59,154 --> 00:27:02,294 No, I don't want to talk about this, Shaun. 526 00:27:02,324 --> 00:27:05,304 That, in fact, is the point of the alcohol. 527 00:27:05,544 --> 00:27:07,704 Okay, I understand. 528 00:27:07,734 --> 00:27:08,764 Good. 529 00:27:16,904 --> 00:27:19,384 Why can't we talk about it? 530 00:27:19,514 --> 00:27:21,224 Because it's upsetting. 531 00:27:21,244 --> 00:27:23,024 Is that why you're stalling? 532 00:27:23,054 --> 00:27:25,064 Because you're afraid of dying? 533 00:27:25,284 --> 00:27:27,494 I'm not afraid of dying. 534 00:27:27,524 --> 00:27:29,264 Really? 535 00:27:29,294 --> 00:27:30,834 Why not? 536 00:27:30,864 --> 00:27:33,974 You should be. Dying is terrible. 537 00:27:33,994 --> 00:27:35,634 Yes, dying is terrible. 538 00:27:36,354 --> 00:27:38,164 But there are worse things. 539 00:27:38,294 --> 00:27:40,234 What's worse than dying? 540 00:27:44,424 --> 00:27:45,604 Not dying. 541 00:27:48,184 --> 00:27:49,794 That doesn't make sense. 542 00:27:49,814 --> 00:27:51,014 Makes sense to me. 543 00:27:52,604 --> 00:27:54,114 That doesn't make sense. 544 00:27:54,134 --> 00:27:55,774 That's the middle ground, Shaun. 545 00:27:57,884 --> 00:27:59,624 Brain surgeries have a tendency 546 00:27:59,644 --> 00:28:01,964 to end in the middle ground. 547 00:28:02,184 --> 00:28:05,034 Brain surgeries can be considered a success 548 00:28:05,054 --> 00:28:08,304 even when the patient ends up compromised. 549 00:28:08,324 --> 00:28:09,864 He can't walk. He can't talk. 550 00:28:09,894 --> 00:28:12,034 His hand can't stop shaking. 551 00:28:15,844 --> 00:28:19,294 I've been terrible at a lot of things in my life, 552 00:28:19,414 --> 00:28:21,224 but I am damn smart. 553 00:28:23,174 --> 00:28:25,554 And I am a damn good surgeon. 554 00:28:25,684 --> 00:28:27,354 And if I can't be those things, 555 00:28:27,384 --> 00:28:29,824 then I don't know who I'd be. 556 00:28:35,844 --> 00:28:37,654 You'd be my friend. 557 00:28:47,214 --> 00:28:48,724 Well, thank you, Shaun. 558 00:28:58,144 --> 00:29:01,064 I have to go. My patient just crashed. 559 00:29:06,164 --> 00:29:10,114 It's not enough. Is it? 560 00:29:14,084 --> 00:29:15,084 No. 561 00:29:16,874 --> 00:29:18,254 I'm sorry it isn't. 562 00:29:30,794 --> 00:29:32,774 Mom. Dad. 563 00:29:32,804 --> 00:29:34,164 We're here. 564 00:29:34,804 --> 00:29:36,784 We love you. 565 00:29:36,904 --> 00:29:39,284 We just don't understand why you would turn your back. 566 00:29:39,304 --> 00:29:40,304 Uh... 567 00:29:40,314 --> 00:29:41,634 Hello, Mara. 568 00:29:41,714 --> 00:29:44,054 I'm Ellen Vahtra. I'm a social worker. 569 00:29:44,074 --> 00:29:45,384 Your parents know what happened, 570 00:29:45,414 --> 00:29:47,594 and Dr. Lim gave you a nerve block. 571 00:29:47,614 --> 00:29:49,964 It hurts. It still hurts. 572 00:29:49,984 --> 00:29:51,730 I understand that, and we are going to try to get you 573 00:29:51,754 --> 00:29:54,294 back to sleep as quickly as possible. 574 00:29:54,324 --> 00:29:56,434 But something happened during your surgery, and we need you 575 00:29:56,454 --> 00:29:58,454 to make a decision about what is done next. 576 00:30:02,164 --> 00:30:05,304 We believe that, despite what was done to you as a child, 577 00:30:05,334 --> 00:30:07,814 the reason you're in so much pain because you still have 578 00:30:07,834 --> 00:30:09,484 functioning nerves in your clitoris, 579 00:30:09,504 --> 00:30:12,214 nerves that had been covered with scar tissue. 580 00:30:12,244 --> 00:30:13,854 I'd like to repair that. 581 00:30:13,874 --> 00:30:15,954 We can make you physiologically complete. 582 00:30:15,974 --> 00:30:18,074 But there's no guarantee that it would work. 583 00:30:20,344 --> 00:30:22,394 I'm confident. 584 00:30:22,514 --> 00:30:24,414 There is a safer choice. 585 00:30:27,954 --> 00:30:31,314 We could... remove your entire clitoris. 586 00:30:31,724 --> 00:30:33,974 This is your choice. 587 00:30:33,994 --> 00:30:35,994 You will be protected no matter what. 588 00:30:40,164 --> 00:30:41,414 Take it out. 589 00:30:41,434 --> 00:30:43,074 Mara, we can make you whole... 590 00:30:43,104 --> 00:30:45,484 I made a mistake. Take it out. 591 00:30:45,504 --> 00:30:47,084 She's on medication. She's in pain... 592 00:30:47,104 --> 00:30:49,714 Dr. Lim, please let her go back to sleep. 593 00:30:49,814 --> 00:30:52,624 And prepare to operate to remove the damaged tissue. 594 00:31:05,364 --> 00:31:07,914 Hang fresh, frozen plasma, too. Looks like he's going into DIC. 595 00:31:07,924 --> 00:31:08,924 Give me another hemostat. 596 00:31:08,934 --> 00:31:11,114 BP's 71 over 53. 597 00:31:11,134 --> 00:31:12,673 We should have warned the family. 598 00:31:12,674 --> 00:31:14,054 Can't see anything in here. There's too much blood. 599 00:31:14,074 --> 00:31:16,020 - More suction. - I think you got the hepatic artery. 600 00:31:16,044 --> 00:31:17,354 The warning wouldn't have made any difference. 601 00:31:17,374 --> 00:31:18,890 The bleeding is not slowing down. 602 00:31:18,914 --> 00:31:21,123 We need to send the aorta to the celiac. 603 00:31:21,124 --> 00:31:23,550 - I need to see it to clamp it. - They would have been prepared. 604 00:31:23,574 --> 00:31:26,254 A-line systolic's 54. He's bottoming out. No, they wouldn't. 605 00:31:26,274 --> 00:31:28,324 You two, shut up and pack his abdomen with laps 606 00:31:28,354 --> 00:31:30,134 while I sort through this mess. 607 00:31:30,854 --> 00:31:32,464 I won't do it. 608 00:31:32,594 --> 00:31:34,064 Can we appeal this? Do you know? 609 00:31:34,094 --> 00:31:35,450 I've spoken with our legal department. 610 00:31:35,474 --> 00:31:37,344 Unless we can prove the social worker was biased, 611 00:31:37,364 --> 00:31:38,704 we are stuck with this ruling. 612 00:31:38,734 --> 00:31:40,934 Well, then you're also stuck with "I won't do it." 613 00:31:41,824 --> 00:31:44,404 You're a good doctor. This hospital will miss you. 614 00:31:44,524 --> 00:31:47,334 You're gonna fire me because I won't butcher a teenage girl? 615 00:31:47,354 --> 00:31:48,354 Of course I am. 616 00:31:48,434 --> 00:31:50,444 This hospital will face lawsuits, suspensions, 617 00:31:50,464 --> 00:31:51,914 perhaps criminal charges, 618 00:31:52,034 --> 00:31:55,034 and this little girl will still get the surgery you hate. 619 00:32:00,154 --> 00:32:02,864 Could Dr. Lim at least talk to Mara again? 620 00:32:02,894 --> 00:32:05,494 You want to wake her up again in pain? 621 00:32:05,714 --> 00:32:07,154 Every woman deserves the right 622 00:32:07,184 --> 00:32:08,570 to make decisions about her sexuality 623 00:32:08,594 --> 00:32:10,524 without her parents hanging over her. 624 00:32:16,254 --> 00:32:17,594 Okay. 625 00:32:39,394 --> 00:32:41,504 When I was 15 years old, 626 00:32:41,534 --> 00:32:43,614 my father caught me with a boy. 627 00:32:43,844 --> 00:32:45,914 I mean, we weren't doing it, 628 00:32:45,934 --> 00:32:48,084 but my top was off and 629 00:32:48,414 --> 00:32:49,814 Well, it doesn't matter. 630 00:32:51,114 --> 00:32:52,414 My father hit me. 631 00:32:53,274 --> 00:32:54,924 I still have a small scar. 632 00:32:56,474 --> 00:32:58,154 Our relationship was never the same. 633 00:32:59,254 --> 00:33:00,664 But that's what growing up is. 634 00:33:00,784 --> 00:33:03,234 Not everyone gets called a slut. 635 00:33:03,254 --> 00:33:05,994 Not everyone gets butchered. 636 00:33:06,904 --> 00:33:09,844 But everyone becomes a man or a woman 637 00:33:09,874 --> 00:33:11,644 and stops being a child. 638 00:33:13,504 --> 00:33:16,544 I want to take a piece of tissue from inside your cheek 639 00:33:16,774 --> 00:33:19,014 and I want to graft it to your clitoris. 640 00:33:21,614 --> 00:33:24,724 We can make you feel... love. 641 00:33:34,174 --> 00:33:37,744 I can't turn my back on my family, on my traditions. 642 00:33:40,414 --> 00:33:42,184 Traditions 643 00:33:42,314 --> 00:33:44,174 connect us to the past. 644 00:33:45,364 --> 00:33:47,314 What about the future? 645 00:33:56,044 --> 00:33:57,654 Please. 646 00:33:57,784 --> 00:34:00,624 No. I'm in pain. 647 00:34:12,854 --> 00:34:14,414 Cross-clamping his aorta. 648 00:34:14,454 --> 00:34:16,393 He's in ventricular fibrillation. 649 00:34:17,624 --> 00:34:19,374 Starting chest compressions. 650 00:34:25,304 --> 00:34:26,784 Okay. Everybody clear. 651 00:34:49,594 --> 00:34:51,074 Prep the cheek, as well. 652 00:34:53,634 --> 00:34:55,654 She's taking the graft? The paperwork doesn't say... 653 00:34:55,674 --> 00:34:56,854 She consented verbally. 654 00:34:56,874 --> 00:34:58,514 We didn't want to keep her awake any longer 655 00:34:58,534 --> 00:34:59,944 than absolutely necessary. 656 00:35:01,814 --> 00:35:03,594 I wanted to help her as much as you... 657 00:35:03,624 --> 00:35:05,294 When she wanted help. 658 00:35:05,424 --> 00:35:07,634 - But if she doesn't want this... - She wants this. 659 00:35:08,284 --> 00:35:09,564 Dr. Lim just told us. 660 00:35:13,924 --> 00:35:15,004 Prep the cheek. 661 00:35:28,854 --> 00:35:30,624 I'll tell the family. 662 00:35:32,264 --> 00:35:33,974 No. 663 00:35:34,004 --> 00:35:35,884 Claire, you do it. 664 00:35:36,104 --> 00:35:37,604 This isn't the time for learning. 665 00:36:04,814 --> 00:36:06,444 I'm sorry. 666 00:36:06,694 --> 00:36:08,844 Paul died during surgery. 667 00:36:09,414 --> 00:36:12,264 He had a gastroduodenal artery rupture. 668 00:36:12,284 --> 00:36:14,844 It's a common complication of a Whipple surgery, 669 00:36:14,964 --> 00:36:17,914 especially when someone's cancer was... 670 00:36:18,134 --> 00:36:20,784 As advanced as his was. 671 00:36:20,904 --> 00:36:22,754 We... did everything we could 672 00:36:22,784 --> 00:36:24,994 for as long as we could. 673 00:36:25,214 --> 00:36:26,964 He didn't suffer. 674 00:36:32,594 --> 00:36:34,024 You did this to him. 675 00:36:36,274 --> 00:36:37,854 Dad didn't want this. 676 00:36:39,384 --> 00:36:41,884 You saw that look on his face. He was scared. 677 00:36:41,914 --> 00:36:45,894 In my experience, it does no good to dwell... 678 00:36:45,914 --> 00:36:47,594 Of course he was scared. 679 00:36:47,614 --> 00:36:48,714 That doesn't mean... 680 00:36:48,734 --> 00:36:50,130 He just wanted to live his last few months. 681 00:36:50,154 --> 00:36:51,694 Stop it. 682 00:36:51,784 --> 00:36:53,894 Nobody made your father do anything. 683 00:36:53,914 --> 00:36:55,454 He knew the risks. 684 00:36:57,684 --> 00:36:59,534 It's your fault, too, Mom. 685 00:37:02,264 --> 00:37:03,524 All of us. 686 00:37:04,504 --> 00:37:06,384 He would do anything for us. 687 00:37:08,434 --> 00:37:10,394 We killed our father. 688 00:37:18,334 --> 00:37:19,674 It's not true. 689 00:37:24,084 --> 00:37:27,114 Paul wanted this surgery. 690 00:37:28,964 --> 00:37:32,414 He told me he wanted this surgery. 691 00:38:06,084 --> 00:38:07,284 Was that true? 692 00:38:09,784 --> 00:38:11,454 Paul told me... 693 00:38:12,934 --> 00:38:15,544 When the truth can't help someone, 694 00:38:15,764 --> 00:38:17,314 we should lie. 695 00:38:28,274 --> 00:38:29,274 Mom? 696 00:38:32,044 --> 00:38:34,714 How are you? Does anything hurt? 697 00:38:36,234 --> 00:38:38,974 Not much. I'm better. 698 00:38:40,934 --> 00:38:42,764 Looks like she's doing well. 699 00:38:43,794 --> 00:38:45,074 Thank you, Doctor. 700 00:38:47,274 --> 00:38:50,614 There should still be some discomfort at the surgical site. 701 00:38:50,644 --> 00:38:52,784 A nurse will bring you some... 702 00:39:00,144 --> 00:39:01,384 Sorry. 703 00:39:01,414 --> 00:39:03,494 A nurse will bring you some Tylenol, 704 00:39:03,514 --> 00:39:05,614 which should really be all you need. 705 00:39:06,014 --> 00:39:07,454 Thank you. 706 00:39:10,414 --> 00:39:12,194 You're gonna be great. 707 00:39:35,854 --> 00:39:38,064 You're here. 708 00:39:38,184 --> 00:39:40,464 Yes. I live here. 709 00:39:40,484 --> 00:39:41,994 You know that. 710 00:39:42,024 --> 00:39:45,104 Well, I was starting to doubt it the last couple of days. 711 00:39:45,124 --> 00:39:48,004 You come home after I'm asleep. 712 00:39:48,024 --> 00:39:50,354 You leave before I can even get up. 713 00:39:50,374 --> 00:39:51,524 Wow. 714 00:39:51,754 --> 00:39:54,094 Thank you. 715 00:40:03,194 --> 00:40:04,664 Please take this. 716 00:40:06,144 --> 00:40:08,284 No, this is yours, Shaun. 717 00:40:08,414 --> 00:40:10,634 I gave it to you to remember me by. 718 00:40:10,654 --> 00:40:12,044 It hurt. 719 00:40:15,674 --> 00:40:18,024 I didn't want to tell you the truth 720 00:40:18,044 --> 00:40:19,784 because I didn't know it, 721 00:40:19,814 --> 00:40:22,584 but I have to tell you the truth because it will help. 722 00:40:28,234 --> 00:40:30,514 Every night, I would come home, 723 00:40:31,394 --> 00:40:36,104 and I would look at that baseball, 724 00:40:36,334 --> 00:40:38,214 and I would think of you. 725 00:40:40,364 --> 00:40:42,404 The baseball was here, 726 00:40:42,434 --> 00:40:44,264 but you weren't. 727 00:40:44,814 --> 00:40:45,994 That's sweet. 728 00:40:46,024 --> 00:40:48,904 No, it isn't. 729 00:40:48,924 --> 00:40:50,474 It hurt. 730 00:40:50,494 --> 00:40:51,884 You hurt me. 731 00:40:52,374 --> 00:40:54,114 Okay, Shaun, you know... 732 00:40:54,144 --> 00:40:57,184 You went away, and it hurt, 733 00:40:57,204 --> 00:40:59,854 and it kept hurting, and now you're back. 734 00:41:02,854 --> 00:41:05,854 If you stay, you will go away again, 735 00:41:05,894 --> 00:41:08,414 and it will hurt again. 736 00:41:08,434 --> 00:41:10,914 So I want you to go back to Hershey. 737 00:41:13,444 --> 00:41:15,124 I know you don't mean that, and I know... 738 00:41:15,144 --> 00:41:18,564 Please go back to Hershey 739 00:41:18,784 --> 00:41:21,234 or anywhere other than here! 740 00:41:48,294 --> 00:41:49,324 Feeling okay? 741 00:41:50,994 --> 00:41:53,734 Yeah, sure, superduper. 742 00:41:54,804 --> 00:41:57,024 I want to thank you for your trust. 743 00:41:57,044 --> 00:41:58,514 I'll do my best to deserve it. 744 00:41:59,414 --> 00:42:01,684 Well, that's all I can ask. 745 00:42:04,364 --> 00:42:06,004 You know the drill. 746 00:42:12,474 --> 00:42:14,004 10... 747 00:42:14,734 --> 00:42:16,154 9... 748 00:42:18,544 --> 00:42:19,714 8... 749 00:42:21,204 --> 00:42:22,204 7...