1 00:00:01,480 --> 00:00:03,047 Don't put any food down the sink. 2 00:00:03,115 --> 00:00:04,649 Garbage disposal's broken. 3 00:00:04,683 --> 00:00:07,185 - I'll call the landlord. - All right. 4 00:00:07,219 --> 00:00:08,620 He took a week to call the plumber 5 00:00:08,654 --> 00:00:09,954 when we lost the hot water, 6 00:00:09,989 --> 00:00:12,023 but I guess this doesn't matter as much. 7 00:00:12,057 --> 00:00:14,626 We'll just use the regular trash. 8 00:00:14,660 --> 00:00:15,860 Yes. 9 00:00:20,499 --> 00:00:23,968 10% to 15% of known pregnancies end in miscarriage. 10 00:00:24,003 --> 00:00:25,843 This wasn't unusual. 11 00:00:28,140 --> 00:00:29,707 No. You're right. 12 00:00:29,742 --> 00:00:32,544 We're not the only people to go through this. 13 00:00:32,578 --> 00:00:35,310 The best thing to do is to just get back to normal. 14 00:00:36,715 --> 00:00:38,149 Hmm. 15 00:00:38,564 --> 00:00:40,752 I'm glad you're going back into work. 16 00:00:40,820 --> 00:00:43,354 Couple more days of rest, and I'll be doing that, too. 17 00:00:47,526 --> 00:00:50,117 Are you sure you're all right? 18 00:00:52,231 --> 00:00:54,732 "All right" is stretching it, 19 00:00:54,767 --> 00:00:56,457 but yeah. 20 00:00:57,069 --> 00:00:59,126 We just need some time. 21 00:01:28,319 --> 00:01:35,781 Synced & corrected by -robtor- www.addic7ed.com 22 00:01:45,818 --> 00:01:47,285 How you feeling? 23 00:01:47,319 --> 00:01:48,419 All right. 24 00:01:51,323 --> 00:01:52,757 How's Lea doing? 25 00:01:52,791 --> 00:01:55,140 She thinks we need time. I agree. 26 00:01:55,961 --> 00:01:58,018 Hey, Shaun. How are you feeling? 27 00:01:58,898 --> 00:02:01,900 All right. And Lea thinks we need time. 28 00:02:01,934 --> 00:02:03,835 Well, I didn't expect to see you here. 29 00:02:03,903 --> 00:02:05,570 You have a few days leave. I thought you'd be home. 30 00:02:05,604 --> 00:02:07,739 I prefer to work. 31 00:02:09,905 --> 00:02:12,343 Well, we respect your judgment. 32 00:02:12,411 --> 00:02:13,511 Bon appetit. 33 00:02:19,518 --> 00:02:22,453 Gastric reflux causing projectile vomiting. 34 00:02:27,026 --> 00:02:30,261 I'm clearing your schedule for the next... How many days? 35 00:02:30,296 --> 00:02:34,832 Oh. Well, that is up to my lovely and talented doctors. 36 00:02:34,867 --> 00:02:36,801 Welcome to St. Bonaventure, Senator Clark. 37 00:02:36,835 --> 00:02:38,169 Oh, please. Marian. 38 00:02:38,203 --> 00:02:40,805 Oh, Marian, I am a huge supporter. 39 00:02:40,839 --> 00:02:43,107 You had my vote in the presidential primaries. 40 00:02:43,142 --> 00:02:44,876 Thank you, Dr. Browne. 41 00:02:44,944 --> 00:02:46,711 - Oh, Claire. - Claire. 42 00:02:46,779 --> 00:02:48,813 If only there'd been another couple million like you. 43 00:02:48,847 --> 00:02:49,965 Yeah. 44 00:02:53,886 --> 00:02:56,621 It's okay. Nothing wrong with a balanced ticket. 45 00:02:56,655 --> 00:02:59,524 I was in my hotel this morning, going over my speech, 46 00:02:59,558 --> 00:03:02,560 when this started happening to my face. 47 00:03:02,628 --> 00:03:04,495 Whole left side went rogue, 48 00:03:04,530 --> 00:03:06,831 blinking and twitching like crazy. 49 00:03:06,865 --> 00:03:08,199 Has it happened before? 50 00:03:08,233 --> 00:03:09,534 This was the third time. 51 00:03:09,568 --> 00:03:11,569 Fortunately, all in private. 52 00:03:11,637 --> 00:03:13,571 Needless to say, I had to cancel my appearance. 53 00:03:13,639 --> 00:03:14,973 Can I see that again? 54 00:03:15,007 --> 00:03:17,264 Oh. I'm sorry. I just deleted it. 55 00:03:18,811 --> 00:03:21,412 The only thing worse than people seeing my twitchy face in person 56 00:03:21,480 --> 00:03:23,581 is them seeing my twitchy face on a hacked video. 57 00:03:23,649 --> 00:03:24,908 Mm. 58 00:03:24,951 --> 00:03:28,319 So, how do we go about deleting it from my body? 59 00:03:29,355 --> 00:03:31,055 It's a hemi-facial spasm. 60 00:03:31,090 --> 00:03:32,256 We should do an MRI 61 00:03:32,324 --> 00:03:33,992 to rule out the more serious possible causes. 62 00:03:34,026 --> 00:03:35,193 Which are? 63 00:03:35,227 --> 00:03:37,895 Aneurysm, MS, possibly a brain tumor. 64 00:03:38,017 --> 00:03:39,764 What are the less serious causes? 65 00:03:39,832 --> 00:03:42,367 Stress, exhaustion, too much coffee. 66 00:03:42,401 --> 00:03:44,202 Well, that's my job description. 67 00:03:44,236 --> 00:03:47,772 Which can be treated with Botox injections and Ativan. 68 00:03:47,840 --> 00:03:49,273 Ah. Sold. 69 00:03:49,341 --> 00:03:51,256 We still need to do the MRI. 70 00:03:52,444 --> 00:03:53,800 Do both. 71 00:03:54,413 --> 00:03:58,216 Oh. As Claire knows, I always have to control the agenda. 72 00:04:03,455 --> 00:04:05,857 Hi. Artie Hill. 73 00:04:05,891 --> 00:04:07,725 I have mild heart failure. 74 00:04:07,760 --> 00:04:08,793 I'm Dr. Park. 75 00:04:08,861 --> 00:04:11,095 How do you know you have mild heart failure? 76 00:04:11,130 --> 00:04:14,265 I'm tired, and I've been having palpitations. 77 00:04:14,299 --> 00:04:17,035 We'll run tests, but if it makes you feel better, 78 00:04:17,069 --> 00:04:18,436 a lot of people have palpitations, 79 00:04:18,470 --> 00:04:20,371 and it doesn't usually mean heart failure. 80 00:04:20,406 --> 00:04:22,907 Yeah, but I was just talking to my doctor on the phone, 81 00:04:22,941 --> 00:04:24,498 and he told me I have heart failure. 82 00:04:25,332 --> 00:04:26,778 The doctor who did my bypass. 83 00:04:26,812 --> 00:04:29,113 Your bypass? 84 00:04:29,148 --> 00:04:31,616 He told me I should go to the nearest emergency room. 85 00:04:31,650 --> 00:04:33,818 I was in the park, looking at the cherry trees, 86 00:04:33,886 --> 00:04:35,787 and I started feeling funny, so I called... 87 00:04:35,821 --> 00:04:37,055 When was this bypass? 88 00:04:37,089 --> 00:04:38,289 - Um... - A month ago. 89 00:04:39,958 --> 00:04:41,459 Paul Nakano. 90 00:04:41,493 --> 00:04:44,228 I performed his surgery at San Jose General. 91 00:04:44,263 --> 00:04:47,732 Mr. Hill, I hope you took a taxi, as I asked you to. 92 00:04:47,766 --> 00:04:49,272 It was only three blocks. 93 00:04:51,070 --> 00:04:53,438 If you don't mind, I'd like to get a 12-lead EKG, 94 00:04:53,472 --> 00:04:56,174 cardiac CT, and bloodwork. 95 00:04:56,241 --> 00:04:58,676 Ordinarily, I'd be thinking about volume overload as the cause... 96 00:04:58,744 --> 00:05:01,312 But in this case, sodium and B.U.N. are normal. 97 00:05:01,346 --> 00:05:04,236 The next thing I'd look at is a post-op myocardial infarction. 98 00:05:04,265 --> 00:05:06,207 But in this case, the troponins are normal. 99 00:05:08,287 --> 00:05:09,487 So you know what I'm thinking? 100 00:05:09,521 --> 00:05:12,290 Yes. You did your job too damn well. 101 00:05:12,324 --> 00:05:14,926 The heart's been so strengthened from the bypass 102 00:05:14,960 --> 00:05:16,794 that it's revealed a weakness in the valve. 103 00:05:16,829 --> 00:05:18,129 It can't handle the pump pressure. 104 00:05:18,163 --> 00:05:19,263 Hmm. 105 00:05:22,534 --> 00:05:24,335 Dr. Nakano was my Chief of Surgery 106 00:05:24,369 --> 00:05:25,536 when I was a resident. 107 00:05:26,605 --> 00:05:27,805 Hmm. 108 00:05:27,840 --> 00:05:29,040 So, when do you want to open him up? 109 00:05:29,108 --> 00:05:30,708 I'm hoping never. 110 00:05:30,776 --> 00:05:32,043 Have either of you ever done 111 00:05:32,111 --> 00:05:34,679 a transcatheter aortic valve replacement? 112 00:05:34,713 --> 00:05:36,547 I've read about it. 113 00:05:36,615 --> 00:05:38,950 It's minimally invasive and way preferable 114 00:05:38,984 --> 00:05:41,185 to opening up the patient for the second time in a month. 115 00:05:41,220 --> 00:05:43,354 Well, I look forward to learning from you again. 116 00:05:43,768 --> 00:05:44,835 Hmm. 117 00:05:53,465 --> 00:05:57,883 Oh. Excuse me! Sir? Person in the hall? 118 00:06:03,308 --> 00:06:04,575 Oh, sorry. 119 00:06:04,643 --> 00:06:07,559 Hello. I am Dr. Shaun Murphy. I am a surgeon. 120 00:06:08,514 --> 00:06:10,715 Uh, I-I can't find my socks. 121 00:06:10,749 --> 00:06:12,731 And I can't find the button to call someone. 122 00:06:17,156 --> 00:06:18,422 Ah. 123 00:06:18,490 --> 00:06:19,490 Now, why would they put it there? 124 00:06:19,525 --> 00:06:20,558 You can't even see it. 125 00:06:21,098 --> 00:06:22,265 What about the socks? 126 00:06:29,067 --> 00:06:30,768 I have mild heart failure. 127 00:06:30,836 --> 00:06:32,837 I was in the park, looking at the cherry trees... 128 00:06:32,871 --> 00:06:35,206 Cherry trees aren't in bloom at this time of year. 129 00:06:35,240 --> 00:06:36,607 Well, I can still look at them, though. 130 00:06:36,675 --> 00:06:38,715 They don't disappear just because the blossoms fall. 131 00:06:40,008 --> 00:06:43,347 Mm. I can get you socks from the pre-op supplies area. 132 00:06:43,382 --> 00:06:46,014 Ah, yes. I remember those crappy socks they give you. I'll take 'em. 133 00:06:47,085 --> 00:06:49,120 Why do you guys keep it so cold in here? 134 00:06:49,188 --> 00:06:50,421 My feet are freezing. 135 00:06:57,262 --> 00:06:58,763 It's beautiful to look at 136 00:06:58,797 --> 00:07:00,932 if you're inside and don't have to go anywhere. 137 00:07:00,966 --> 00:07:03,534 And you might not want to go anywhere if you don't... 138 00:07:03,569 --> 00:07:04,735 Take care of Arthur. 139 00:07:04,770 --> 00:07:06,971 But he lost his silly head and shot Br... 140 00:07:07,039 --> 00:07:09,273 Every night, we have three clients a week 141 00:07:09,308 --> 00:07:10,474 who think I'm waiting tables... 142 00:07:32,764 --> 00:07:36,000 We'll use a pigtail catheter to place the guide wire, 143 00:07:36,068 --> 00:07:39,170 then run a delivery catheter through an 18 French sheath 144 00:07:39,238 --> 00:07:43,074 to ferry the new valve through the femoral artery to the heart. 145 00:07:43,108 --> 00:07:46,310 Then we inflate a balloon that expands the new valve 146 00:07:46,345 --> 00:07:48,613 and installs it right inside his current one. 147 00:07:48,647 --> 00:07:50,287 That would kill him. 148 00:07:54,586 --> 00:07:56,254 He has cold feet. 149 00:07:56,668 --> 00:07:58,122 Who are you? 150 00:07:58,156 --> 00:08:00,380 I'm Dr. Shaun Murphy. 151 00:08:00,759 --> 00:08:02,593 He's one of my residents. 152 00:08:02,628 --> 00:08:04,629 Oh. Artie has cold feet? 153 00:08:04,663 --> 00:08:05,963 He's afraid of the procedure? 154 00:08:05,998 --> 00:08:08,966 No, I think Dr. Murphy means it literally. 155 00:08:09,001 --> 00:08:10,134 The patient has cold feet. 156 00:08:10,168 --> 00:08:12,203 Is his body temperature dropping? 157 00:08:12,271 --> 00:08:15,039 No, his core body temperature is stable at 98.5. 158 00:08:15,107 --> 00:08:17,814 He rarely has cold feet. I got him socks. 159 00:08:19,645 --> 00:08:22,546 You're gonna need to draw some dotted lines here for me. 160 00:08:22,614 --> 00:08:25,850 Okay. Cold feet means impaired circulation, 161 00:08:25,884 --> 00:08:27,385 which means constricted blood flow from the heart, 162 00:08:27,452 --> 00:08:28,986 which means a damaged vessel. 163 00:08:29,021 --> 00:08:31,122 If we try to push the new valve through the damaged area, 164 00:08:31,156 --> 00:08:32,829 it will rip open, killing him. 165 00:08:33,292 --> 00:08:34,558 "Damaged vessel"? 166 00:08:34,626 --> 00:08:36,627 Yes. You make a mistake during the bypass, 167 00:08:36,662 --> 00:08:38,543 most likely a tear in the aorta. 168 00:08:39,298 --> 00:08:40,831 I didn't make a mistake. 169 00:08:40,866 --> 00:08:42,855 Mm, you caused an aortic dissection. 170 00:08:42,908 --> 00:08:45,069 Shaun, this man has more cardiac experience 171 00:08:45,137 --> 00:08:48,005 than everyone in this room times ten. 172 00:08:48,040 --> 00:08:50,975 A lot of people have cold feet. My wife has cold feet. 173 00:08:51,009 --> 00:08:53,183 Everyone has cold feet in a hospital. 174 00:08:54,246 --> 00:08:57,148 Yes. We should perform an angio on Mr. Hill. 175 00:08:57,182 --> 00:08:58,916 That will show the aortic dissection. 176 00:08:58,984 --> 00:09:01,886 This man recently underwent an open heart surgery. 177 00:09:01,920 --> 00:09:03,821 He's gonna have valve replacement. 178 00:09:03,855 --> 00:09:06,223 We don't need to load him up with yet another procedure 179 00:09:06,258 --> 00:09:08,156 when there was no mistake. 180 00:09:11,263 --> 00:09:15,900 Studies show that old people are less likely to admit mistakes 181 00:09:15,934 --> 00:09:18,041 because they are less aware when they've made one. 182 00:09:22,508 --> 00:09:26,177 Okay, Dr. Murphy, you've told us your thoughts on this case. 183 00:09:26,845 --> 00:09:29,246 It's my understanding that you have a few days of leave. 184 00:09:29,281 --> 00:09:30,548 I suggest you take them. 185 00:09:30,582 --> 00:09:32,550 I prefer to continue working. 186 00:09:32,584 --> 00:09:34,251 Then do it somewhere else. 187 00:09:42,928 --> 00:09:44,428 You... 188 00:09:44,463 --> 00:09:45,963 Will kill him. 189 00:09:59,363 --> 00:10:00,663 You think my surgeon is wrong? 190 00:10:00,697 --> 00:10:02,198 Yes. 191 00:10:02,232 --> 00:10:04,867 And you're, like, a-a real doctor, right? 192 00:10:04,902 --> 00:10:06,869 I am a real doctor. 193 00:10:06,904 --> 00:10:11,040 No offense, but best heart guy around 194 00:10:11,074 --> 00:10:15,244 versus the guy who happened to be passing my room when I needed socks. 195 00:10:15,312 --> 00:10:17,547 Why shouldn't I let Dr. Nakano do what he thinks I need? 196 00:10:17,581 --> 00:10:19,582 If anything goes wrong, he can fix it. 197 00:10:19,650 --> 00:10:23,106 It could be difficult. 198 00:10:23,987 --> 00:10:25,688 The tip of the catheter would be likely 199 00:10:25,722 --> 00:10:27,190 to rupture your weakened aorta, 200 00:10:27,224 --> 00:10:28,257 ripping it open and causing you 201 00:10:28,325 --> 00:10:29,392 to hemorrhage into your chest 202 00:10:29,426 --> 00:10:31,828 and bleed out in a matter of minutes. 203 00:10:32,198 --> 00:10:33,729 If you survived, 204 00:10:34,159 --> 00:10:36,703 you'd have severe anoxic brain damage. 205 00:10:37,537 --> 00:10:39,602 But it's unlikely you'd survive. 206 00:10:43,366 --> 00:10:45,300 Go home. 207 00:10:46,236 --> 00:10:49,271 Is Mr. Hill requesting the angio? 208 00:10:49,305 --> 00:10:52,641 He's not just requesting. He's demanding. 209 00:10:52,709 --> 00:10:54,743 This is why you take a leave of absence when you need one. 210 00:10:54,778 --> 00:10:56,078 You're not thinking clearly 211 00:10:56,112 --> 00:10:58,016 or you never would have pulled a stunt like this. 212 00:10:59,449 --> 00:11:01,116 I prefer to stay at work. 213 00:11:01,151 --> 00:11:03,480 I could assist with E.R. consults. 214 00:11:05,889 --> 00:11:08,924 Dr. Murphy, because I'm being professional, 215 00:11:08,958 --> 00:11:11,821 you may not understand how angry I am right now. 216 00:11:17,000 --> 00:11:19,435 Will you do what Mr. Hill wants? 217 00:11:19,469 --> 00:11:20,836 What you want, you mean? 218 00:11:22,238 --> 00:11:24,459 Yes, we'll do it. You've forced our hand. 219 00:11:26,643 --> 00:11:28,177 Good. 220 00:11:39,335 --> 00:11:40,902 I would have fired him. 221 00:11:45,862 --> 00:11:48,197 Honey, when Freya brings you a dead rat, 222 00:11:48,264 --> 00:11:50,199 she's offering you a gift. 223 00:11:50,266 --> 00:11:52,601 I know. I waited until she was gone 224 00:11:52,635 --> 00:11:54,002 so she wouldn't see me toss it away. 225 00:11:54,037 --> 00:11:55,771 Wish you were here. 226 00:11:55,805 --> 00:11:57,172 You could strike the right balance 227 00:11:57,207 --> 00:11:59,341 between enthusiasm and discouragement. 228 00:11:59,375 --> 00:12:01,610 Oh. Honey, I gotta go. My doctors are here. 229 00:12:01,644 --> 00:12:03,178 You sure everything is okay there? 230 00:12:03,213 --> 00:12:05,881 Absolutely. These shots are working like a charm. 231 00:12:05,949 --> 00:12:07,216 - Love you! - Love you. 232 00:12:07,283 --> 00:12:08,217 Mwah. 233 00:12:10,687 --> 00:12:11,887 The shots are not doing the job. 234 00:12:11,955 --> 00:12:13,555 What else do you have for me? 235 00:12:13,623 --> 00:12:16,658 I had another episode. It was shorter, but still there. 236 00:12:16,693 --> 00:12:19,495 The MRI shows a branch off the basilar artery 237 00:12:19,529 --> 00:12:21,063 that's compressing the facial nerve. 238 00:12:21,131 --> 00:12:23,899 Unfortunately, you have a "tortuous" artery. 239 00:12:23,967 --> 00:12:26,535 Where it should be straight, it bends and twists. 240 00:12:26,569 --> 00:12:28,170 Bad news is, it'd be a nightmare 241 00:12:28,204 --> 00:12:29,571 to try and address this surgically. 242 00:12:29,639 --> 00:12:30,973 Good news... 243 00:12:31,007 --> 00:12:32,841 Is, other than some twitching, 244 00:12:32,876 --> 00:12:34,710 which is minimized by the Botox, 245 00:12:34,744 --> 00:12:36,211 it's not causing any other problems. 246 00:12:36,246 --> 00:12:37,479 Exactly. 247 00:12:37,514 --> 00:12:40,015 Aside from the complete destruction 248 00:12:40,049 --> 00:12:41,744 of all I want to achieve in life. 249 00:12:43,052 --> 00:12:45,165 Melodramatic, yet true. 250 00:12:46,055 --> 00:12:47,923 These episodes keep happening, 251 00:12:47,991 --> 00:12:50,726 eventually one of them will get caught on video. 252 00:12:50,760 --> 00:12:53,228 Ten minutes later, it'll be all over social media. 253 00:12:53,263 --> 00:12:55,097 My opponents will mock me relentlessly. 254 00:12:55,165 --> 00:12:57,399 I think a lot of people would have sympathy for you. 255 00:12:57,433 --> 00:12:59,868 We don't vote for people we feel sympathy for. 256 00:12:59,903 --> 00:13:01,537 We want strong leaders. 257 00:13:01,571 --> 00:13:04,540 We want the symbol more than the reality. 258 00:13:07,210 --> 00:13:09,912 Please help me. 259 00:13:09,946 --> 00:13:12,181 Unfortunately, there's nothing we can do. 260 00:13:12,215 --> 00:13:14,049 We'll see what we can come up with. 261 00:13:22,525 --> 00:13:26,795 ♪ Last night I came out I was so damn manic... ♪ 262 00:13:29,599 --> 00:13:34,970 ♪ I don't even know Where I went wrong ♪ 263 00:13:35,038 --> 00:13:36,772 ♪ But I went wrong ♪ 264 00:13:40,076 --> 00:13:43,879 ♪ And it's times like these That I swear to God ♪ 265 00:13:43,913 --> 00:13:47,149 ♪ Oh, that my mother can't See me and if she did ♪ 266 00:13:47,217 --> 00:13:50,786 ♪ I don't know how I would keep it together ♪ 267 00:13:50,820 --> 00:13:53,055 ♪ I don't know How I would keep it ♪ 268 00:14:14,964 --> 00:14:15,931 Shaun? 269 00:14:23,353 --> 00:14:25,487 You shouldn't be here. 270 00:14:25,521 --> 00:14:28,523 Andrews is pissed at you, with good reason. 271 00:14:28,591 --> 00:14:30,192 There's no need to make him any more angry. 272 00:14:30,260 --> 00:14:32,127 That's why I'm hiding. 273 00:14:32,161 --> 00:14:33,762 I couldn't wait in the lounge 274 00:14:33,796 --> 00:14:36,265 because the walls are glass and people could see me. 275 00:14:36,299 --> 00:14:38,100 "Wait"? What are you waiting for? 276 00:14:38,134 --> 00:14:40,769 When they see that I was right, they'll let me come back. 277 00:14:40,803 --> 00:14:42,137 I want to be prepared. 278 00:14:42,171 --> 00:14:43,705 I'm reading about options in aortic dissection. 279 00:14:43,773 --> 00:14:45,707 - Shaun, no. - Yes. 280 00:14:45,775 --> 00:14:48,944 Once they do the angio, they'll see the evidence. 281 00:14:48,978 --> 00:14:51,146 Dr. Andrews won't be angry anymore. 282 00:14:51,180 --> 00:14:52,547 They did the angio. 283 00:14:52,615 --> 00:14:53,960 Mm. 284 00:14:54,550 --> 00:14:55,878 Oh. 285 00:14:56,519 --> 00:14:59,054 No. No, they... They couldn't. 286 00:14:59,122 --> 00:15:00,689 They did it. 287 00:15:00,723 --> 00:15:02,260 I was there. You were wrong. 288 00:15:03,473 --> 00:15:04,640 But... 289 00:15:06,529 --> 00:15:08,830 - Cold feet... - It was a focused angio. 290 00:15:08,865 --> 00:15:11,199 I saw the ascending aorta and the aortic root. 291 00:15:11,234 --> 00:15:12,834 There was no sign of dissection. 292 00:15:15,171 --> 00:15:16,805 They're giving the patient a chance to rest 293 00:15:16,839 --> 00:15:18,443 before scheduling the TAVR. 294 00:15:20,476 --> 00:15:22,044 We all make mistakes. 295 00:15:25,481 --> 00:15:26,815 But I think you should leave the building 296 00:15:26,849 --> 00:15:28,050 while you're still forgivable. 297 00:16:43,046 --> 00:16:45,181 - Lea. - Yeah. 298 00:16:45,215 --> 00:16:46,382 How are you? 299 00:16:46,416 --> 00:16:47,750 I'm good. 300 00:16:50,754 --> 00:16:52,555 It happened to me, too. 301 00:16:55,091 --> 00:16:56,424 Twice. 302 00:17:04,601 --> 00:17:07,636 We could bypass the basilar artery. 303 00:17:07,704 --> 00:17:10,096 A 25% mortality rate, sure. 304 00:17:12,742 --> 00:17:14,710 How about stereotactic radiosurgery? 305 00:17:14,744 --> 00:17:16,412 No, she wouldn't like it. 306 00:17:16,446 --> 00:17:18,547 It takes months to see any kind of improvement. 307 00:17:18,582 --> 00:17:19,982 It's interesting. 308 00:17:20,050 --> 00:17:22,118 The fact that you like this person makes you willing 309 00:17:22,152 --> 00:17:24,235 to make really stupid decisions that could kill her. 310 00:17:28,826 --> 00:17:30,727 We could meet in the middle. 311 00:17:30,761 --> 00:17:34,131 Tortuous or not, the main basilar isn't causing the spasms. 312 00:17:34,165 --> 00:17:36,166 So we leave it alone and just sling up 313 00:17:36,234 --> 00:17:38,040 the branch of the artery that's applying the pressure. 314 00:17:39,003 --> 00:17:40,103 Nice. 315 00:17:42,607 --> 00:17:44,422 I have two predictions to make. 316 00:17:45,475 --> 00:17:47,744 One, she'll come up with a rationalization 317 00:17:47,778 --> 00:17:50,580 to justify not telling her husband about this surgery, 318 00:17:50,615 --> 00:17:52,749 and two, you'll come up with a rationalization 319 00:17:52,783 --> 00:17:55,183 to justify forgiving her for that. 320 00:17:59,257 --> 00:18:00,771 You wouldn't have fired him. 321 00:18:03,861 --> 00:18:06,463 He's dealing with some personal issues, 322 00:18:06,497 --> 00:18:09,552 and I remember you giving me some slack once 323 00:18:09,593 --> 00:18:10,846 when I screwed up. 324 00:18:10,882 --> 00:18:13,537 Well, you were facing a challenging surgery, 325 00:18:13,604 --> 00:18:15,372 and your girlfriend, who I never liked, by the way, 326 00:18:15,439 --> 00:18:16,540 dumped you, so... 327 00:18:16,607 --> 00:18:18,008 You knew about the dumping? 328 00:18:18,042 --> 00:18:20,208 Oh, yeah. I just didn't know why. 329 00:18:22,445 --> 00:18:25,280 She wanted a commitment. Said I didn't love her enough. 330 00:18:25,329 --> 00:18:26,696 And I told her I loved her, 331 00:18:26,721 --> 00:18:28,188 but I didn't have time to get into it 332 00:18:28,213 --> 00:18:29,680 because I had an esophagus to reconstruct. 333 00:18:32,657 --> 00:18:33,957 Why did you help me? 334 00:18:33,991 --> 00:18:36,693 I mean, why me and not Penzer? 335 00:18:36,727 --> 00:18:38,995 He was always number one in our class. 336 00:18:39,030 --> 00:18:40,197 I was always second. 337 00:18:40,231 --> 00:18:41,705 Where's Penzer now? 338 00:18:41,739 --> 00:18:43,309 What, you think I've been following the guy's career 339 00:18:43,333 --> 00:18:44,565 for the past 20 years? 340 00:18:47,338 --> 00:18:49,072 He's at the NIH, making policy. 341 00:18:49,140 --> 00:18:51,074 That's Penzer. 342 00:18:51,142 --> 00:18:53,282 Great mind, great hands, 343 00:18:54,212 --> 00:18:55,868 but I knew he'd never be a surgeon. 344 00:18:57,882 --> 00:18:59,249 He didn't love it enough. 345 00:19:22,406 --> 00:19:25,041 - I can wait. - Oh, this can, too. 346 00:19:25,076 --> 00:19:27,077 Just letting the phone get to 10%, 347 00:19:27,111 --> 00:19:29,610 then I'll run the gauntlet of well-wishers and head out. 348 00:19:30,748 --> 00:19:32,405 Yeah. I'm one of them. 349 00:19:44,762 --> 00:19:46,896 When my grandma died, 350 00:19:47,865 --> 00:19:50,634 I remember a whole relay 351 00:19:50,701 --> 00:19:53,384 of the mothers of the church bringing food to the house. 352 00:19:54,572 --> 00:19:56,596 They all loved my grandma. 353 00:19:58,409 --> 00:20:02,145 The older ladies got their best hats and gloves out 354 00:20:02,213 --> 00:20:03,947 for the service. 355 00:20:05,716 --> 00:20:09,719 Pastor made a special prayer at the gravesite. 356 00:20:11,088 --> 00:20:13,923 We all told stories about her. 357 00:20:13,958 --> 00:20:15,573 There were rituals. 358 00:20:18,594 --> 00:20:20,729 We said goodbye to the past. 359 00:20:26,971 --> 00:20:29,795 You're saying goodbye to the future. 360 00:20:37,315 --> 00:20:38,815 I'm sorry for your loss. 361 00:21:03,046 --> 00:21:04,713 And how soon could I get out of here? 362 00:21:04,975 --> 00:21:08,178 If all goes well, a day, maybe two at most. 363 00:21:08,212 --> 00:21:09,813 Oh. You hear that, Cal? 364 00:21:09,847 --> 00:21:11,087 Rebooking for Thursday. 365 00:21:11,449 --> 00:21:12,615 There was an "if" there. 366 00:21:12,650 --> 00:21:14,465 That's strange. I heard a "when." 367 00:21:15,273 --> 00:21:16,650 Now, I will be appointing Cal 368 00:21:16,674 --> 00:21:19,009 as my healthcare surrogate while I'm under. 369 00:21:20,224 --> 00:21:22,659 Mm, uh, most people appoint their spouse. 370 00:21:22,693 --> 00:21:24,327 Or at least notify them. 371 00:21:24,362 --> 00:21:25,962 He'll just try to talk me out of this. 372 00:21:25,996 --> 00:21:27,297 Because he loves me. 373 00:21:27,645 --> 00:21:30,467 Whereas Cal is using me to find a better position, 374 00:21:30,501 --> 00:21:32,569 but knows exactly what I want. 375 00:21:34,705 --> 00:21:37,874 So... Let's fix my broken brain. 376 00:21:51,822 --> 00:21:53,056 I got your text. 377 00:21:57,995 --> 00:22:00,469 I'm a good diagnostician. 378 00:22:01,031 --> 00:22:02,732 Of course you are. 379 00:22:02,767 --> 00:22:04,098 Sit down. You... You want to sit? 380 00:22:04,681 --> 00:22:05,614 No. 381 00:22:06,437 --> 00:22:08,405 I accounted for every symptom. 382 00:22:08,439 --> 00:22:10,607 I listened to the patient's history. 383 00:22:10,674 --> 00:22:12,982 Someone's feet were cold. 384 00:22:13,444 --> 00:22:15,912 Okay? Uh, just... Sometimes that means something. 385 00:22:15,946 --> 00:22:18,014 Sometimes it doesn't. This time, it didn't. 386 00:22:18,048 --> 00:22:19,215 S-So what? 387 00:22:20,351 --> 00:22:22,118 What are you still doing here, Shaun? 388 00:22:22,186 --> 00:22:23,868 Wh... Do you not want to go home? 389 00:22:25,289 --> 00:22:27,724 You gotta go home. You suffered a loss. 390 00:22:27,758 --> 00:22:28,925 You gotta... 391 00:22:28,959 --> 00:22:30,708 You gotta deal with it. You gotta face it. 392 00:22:31,888 --> 00:22:32,955 Mm. 393 00:22:33,564 --> 00:22:35,632 Why do I have to "face it"? 394 00:22:35,699 --> 00:22:38,234 What does that mean? It happened. 395 00:22:40,204 --> 00:22:41,404 Yeah. 396 00:22:42,473 --> 00:22:44,140 It did happen. 397 00:22:44,533 --> 00:22:46,701 It happened, okay? 398 00:22:47,597 --> 00:22:48,530 Go home 399 00:22:49,313 --> 00:22:50,747 and be with Lea. 400 00:23:07,665 --> 00:23:09,966 Oh, Claire. I'm happy to see you. 401 00:23:10,000 --> 00:23:12,502 Uh, it seems the reporters have discovered I'm here, 402 00:23:12,570 --> 00:23:15,905 so poor Cal has gone off to craft a believable explanation. 403 00:23:15,940 --> 00:23:18,741 So, what's something a person might be hospitalized for 404 00:23:18,776 --> 00:23:21,110 that says "I'm an unstoppable force"? 405 00:23:21,145 --> 00:23:23,947 You want me to provide you with a good lie? 406 00:23:23,981 --> 00:23:24,914 Yeah. 407 00:23:34,792 --> 00:23:36,259 But you must be scared. 408 00:23:37,052 --> 00:23:38,553 I'm terrified. 409 00:23:42,633 --> 00:23:44,073 You know, when I'm scared, 410 00:23:45,970 --> 00:23:47,910 I think about Evvie Sinclair. 411 00:23:51,275 --> 00:23:52,976 You were the commencement speaker 412 00:23:53,010 --> 00:23:54,583 at my high school graduation. 413 00:23:55,045 --> 00:23:56,212 Oh. 414 00:23:56,280 --> 00:23:57,647 I was a bit of a mess back then. 415 00:23:57,681 --> 00:23:59,782 I had no idea what I was gonna do with my life 416 00:23:59,817 --> 00:24:01,384 or what I could do with my life. 417 00:24:02,506 --> 00:24:06,809 And you told us about Evvie Sinclair, 418 00:24:06,891 --> 00:24:10,727 born with Turner Syndrome, small in stature, 419 00:24:10,752 --> 00:24:13,936 facial abnormalities, speech impairment. 420 00:24:14,965 --> 00:24:16,939 But she just had 421 00:24:17,301 --> 00:24:20,693 a desperate need to learn. 422 00:24:22,239 --> 00:24:24,207 And against her parents' wishes, 423 00:24:25,281 --> 00:24:27,032 she started high school. 424 00:24:27,978 --> 00:24:29,045 And... 425 00:24:30,014 --> 00:24:31,745 And I just remember thinking... 426 00:24:33,083 --> 00:24:36,319 If Evvie can go through those doors 427 00:24:36,353 --> 00:24:38,021 and walk down those halls... 428 00:24:40,824 --> 00:24:43,326 I went home that day, and I applied to 11 colleges. 429 00:24:46,230 --> 00:24:48,231 So, I am a doctor... 430 00:24:50,167 --> 00:24:51,515 Because of you. 431 00:24:52,169 --> 00:24:53,536 And Evvie. 432 00:24:53,893 --> 00:24:55,438 Mm. 433 00:24:55,506 --> 00:24:57,813 That was a great story. 434 00:24:58,509 --> 00:25:00,076 Rickie Demarest. 435 00:25:00,110 --> 00:25:02,234 He was my campaign manager before Cal. 436 00:25:03,380 --> 00:25:06,082 He made up some lovely stuff. 437 00:25:20,905 --> 00:25:22,406 You're back early. 438 00:25:23,508 --> 00:25:25,342 Dr. Andrews sent me home, 439 00:25:25,376 --> 00:25:27,885 and Dr. Glassman thinks we should talk. 440 00:25:51,202 --> 00:25:54,171 Dr. Glassman is not a counselor. 441 00:25:54,205 --> 00:25:55,772 He's a neurosurgeon. 442 00:25:59,711 --> 00:26:00,877 And a sometimes annoying person. 443 00:26:00,912 --> 00:26:02,252 I'm gonna make some tea. 444 00:26:06,584 --> 00:26:08,752 Oh. It's your mother. 445 00:26:08,786 --> 00:26:09,953 - No, no, no, no, no. - Hello. 446 00:26:10,021 --> 00:26:11,688 Hi, Shaun. How are you? 447 00:26:11,723 --> 00:26:13,889 I'm... Well. 448 00:26:14,359 --> 00:26:16,126 Lea... 449 00:26:16,194 --> 00:26:18,061 Can't talk to you now. 450 00:26:18,096 --> 00:26:21,365 Oh, you're both home. I wanted to ask about strollers. 451 00:26:21,399 --> 00:26:23,700 The one Lea likes, I read a review 452 00:26:23,735 --> 00:26:25,769 that said the front wheel keeps coming off. 453 00:26:25,803 --> 00:26:27,971 I'm sure she won't listen, so I'm gonna send a link. 454 00:26:28,039 --> 00:26:30,140 You should read it, too. 455 00:26:30,208 --> 00:26:32,542 Yes. Thank you. 456 00:26:32,577 --> 00:26:33,777 You don't want your little girl 457 00:26:33,811 --> 00:26:35,479 pitching headfirst onto the sidewalk. 458 00:26:35,546 --> 00:26:37,114 Oh, no. 459 00:26:37,148 --> 00:26:38,582 No. We wouldn't. 460 00:26:38,616 --> 00:26:39,816 Just hang up. Just... 461 00:26:39,884 --> 00:26:42,586 Okay. I should go. 462 00:26:42,620 --> 00:26:44,654 And now that we know it's a girl, I was wondering... 463 00:26:44,722 --> 00:26:47,057 I already bought a onesie with little dinosaurs on it. 464 00:26:47,091 --> 00:26:48,125 Unbelievably cute. 465 00:26:48,159 --> 00:26:49,726 Mm. Cute. Yes. 466 00:26:49,761 --> 00:26:51,661 Okay, that sounds good. 467 00:26:51,729 --> 00:26:52,763 I am due at the hospital. 468 00:26:52,797 --> 00:26:54,231 Just a quick question. 469 00:26:54,265 --> 00:26:56,600 Since it's not a boy, the dinosaurs will have to go. 470 00:26:56,634 --> 00:26:58,001 - I'm... - What would be nice for a girl? 471 00:26:58,069 --> 00:26:59,469 I don't... I don't know. 472 00:26:59,504 --> 00:27:00,737 There's one with ballet shoes. 473 00:27:00,772 --> 00:27:01,905 That's stupid. 474 00:27:01,939 --> 00:27:03,340 Why would you have to change it? 475 00:27:03,408 --> 00:27:05,342 A girl would like dinosaurs just as much as a boy. 476 00:27:05,410 --> 00:27:07,818 Dinosaurs are fascinating. You need to shut up. 477 00:27:09,681 --> 00:27:10,681 Um... 478 00:27:13,408 --> 00:27:14,841 Shaun? 479 00:27:24,609 --> 00:27:28,145 As you all know, Senator Clark is a very competitive person. 480 00:27:28,332 --> 00:27:30,634 She tore her meniscus while charging the net 481 00:27:30,668 --> 00:27:32,035 to return a drop shot. 482 00:27:32,103 --> 00:27:34,371 For the record, it was match point, which she won. 483 00:27:34,439 --> 00:27:35,639 She underwent... 484 00:27:35,673 --> 00:27:38,375 I wonder if he negotiates employment contracts. 485 00:27:38,443 --> 00:27:41,011 And thanks to the terrific doctors here at St. Bonaventure, 486 00:27:41,045 --> 00:27:43,180 she will be back fighting for you before you know it. 487 00:27:43,214 --> 00:27:44,681 Senator Clark wanted to thank all... 488 00:27:44,715 --> 00:27:46,850 Oh, did you hear that? We're terrific. 489 00:27:46,884 --> 00:27:48,952 You must be. You repaired her meniscus through her head. 490 00:27:48,986 --> 00:27:51,721 It's no one's business why she's here. 491 00:27:51,789 --> 00:27:54,157 And there's the rationalization I've been waiting for. 492 00:27:54,192 --> 00:27:56,226 If this was someone you didn't like, 493 00:27:56,294 --> 00:27:58,061 these character flaws would reveal some deep problem 494 00:27:58,129 --> 00:27:59,996 worthy of your eternal judgment, but since... 495 00:28:00,031 --> 00:28:01,565 You're head of department. 496 00:28:01,632 --> 00:28:03,765 I'm sure you've had to spin things sometimes. 497 00:28:04,068 --> 00:28:05,702 "Spin things"? Sure. 498 00:28:05,736 --> 00:28:07,637 Lie? No. 499 00:28:07,672 --> 00:28:09,840 Just one more example of how Senator Clark has been able... 500 00:28:09,874 --> 00:28:11,741 And that was an example of both. 501 00:28:15,025 --> 00:28:16,625 Marian isn't waking up. 502 00:28:17,849 --> 00:28:21,718 And to that end, she's already making calls and sending e-mails. 503 00:28:21,752 --> 00:28:23,687 Oh. And texts. 504 00:28:23,721 --> 00:28:25,422 She just told me to wrap it up. 505 00:28:35,066 --> 00:28:36,698 I yelled at your mother. 506 00:28:37,741 --> 00:28:38,908 Yeah. 507 00:28:40,071 --> 00:28:43,373 I misdiagnosed a patient. 508 00:28:43,407 --> 00:28:45,666 That's why they sent me home. 509 00:28:47,745 --> 00:28:49,279 I'm not behaving normally. 510 00:28:51,215 --> 00:28:52,782 Neither am I. 511 00:28:52,850 --> 00:28:55,801 But maybe this is normal for where we're at. 512 00:29:00,258 --> 00:29:03,393 Dr. Glassman talked about "facing my loss," 513 00:29:03,427 --> 00:29:05,228 but I don't know what that means, 514 00:29:05,263 --> 00:29:07,597 and even if we could face it, 515 00:29:07,632 --> 00:29:10,567 won't we just hurt ourselves for no reason? 516 00:29:10,601 --> 00:29:12,302 I don't know. 517 00:29:12,370 --> 00:29:15,372 I don't think grief has an actual solution. 518 00:29:15,406 --> 00:29:17,990 It has to. I can't stay this way. 519 00:29:23,948 --> 00:29:26,790 Claire told me about this support group. 520 00:29:28,953 --> 00:29:32,589 I'm not sure we can just force ourselves past this. 521 00:29:39,397 --> 00:29:41,998 The cold feet are not a coincidence. 522 00:29:43,935 --> 00:29:48,505 If they do the TAVR procedure, they'll kill the patient. 523 00:29:48,573 --> 00:29:50,340 For a different reason. 524 00:30:03,535 --> 00:30:05,422 The guide wire's in place. 525 00:30:05,456 --> 00:30:07,023 I'm preparing to deliver the valve. 526 00:30:08,526 --> 00:30:09,759 Okay, you... You have to stop. 527 00:30:09,794 --> 00:30:11,294 If that valve goes through... 528 00:30:11,329 --> 00:30:12,495 - Get out of here, Murphy. - No. 529 00:30:12,530 --> 00:30:15,532 If that valve goes through, he'll die. 530 00:30:15,600 --> 00:30:17,248 - Call Security. - I thought it was an aortic dissection, 531 00:30:17,272 --> 00:30:18,168 but I was wrong. 532 00:30:18,202 --> 00:30:20,470 The cold feet are from a coarctation... No. 533 00:30:20,504 --> 00:30:23,139 No. No, no. It's too close. 534 00:30:23,174 --> 00:30:24,474 You're too close. Stop! 535 00:30:24,508 --> 00:30:26,343 Stop! Stop, please! Stop! 536 00:30:26,377 --> 00:30:28,178 B.P.'s spiking. 200 over 100. 537 00:30:28,212 --> 00:30:29,813 Heart rate's up. He's gonna stroke. 538 00:30:29,847 --> 00:30:31,521 Give him nitro and cardene! 539 00:30:32,516 --> 00:30:34,284 I'm pulling out. 540 00:30:37,321 --> 00:30:38,455 B.P.'s dropping. 541 00:30:39,724 --> 00:30:41,057 He's starting to stabilize. 542 00:30:45,802 --> 00:30:46,769 Okay. 543 00:30:50,067 --> 00:30:51,301 Dr. Murphy? 544 00:30:52,657 --> 00:30:53,757 Go on. 545 00:30:56,307 --> 00:30:59,108 Dr. Nakano did not make a mistake in the bypass. 546 00:30:59,133 --> 00:31:00,884 He did everything right. 547 00:31:02,434 --> 00:31:05,803 But Mr. Hill has a congenital narrowing of the abdominal aorta. 548 00:31:06,083 --> 00:31:08,184 He's had that coarctation for year, but never knew 549 00:31:08,219 --> 00:31:10,186 because his body compensated for the poor circulation 550 00:31:10,221 --> 00:31:11,655 by raising his blood pressure, 551 00:31:11,689 --> 00:31:13,823 which caused his heart to deteriorate, requiring a bypass. 552 00:31:13,858 --> 00:31:15,525 The stronger, repaired heart put pressure on the valve, 553 00:31:15,559 --> 00:31:16,860 and his blood pressure dropped. 554 00:31:16,894 --> 00:31:19,095 No more compensation. 555 00:31:19,163 --> 00:31:20,597 His feet got cold. 556 00:31:20,946 --> 00:31:22,899 And I could get the guide wire up there, 557 00:31:22,933 --> 00:31:25,335 but the valve delivery system would be too big 558 00:31:25,369 --> 00:31:28,538 to fit through the coarctation without damaging the vessel. 559 00:31:29,299 --> 00:31:30,500 Yes. 560 00:31:31,308 --> 00:31:32,582 We'll have to open him up. 561 00:31:33,611 --> 00:31:37,180 And the valve will have to be replaced directly... 562 00:31:37,214 --> 00:31:38,672 Through surgery. 563 00:31:40,217 --> 00:31:42,085 I hope you'll join us for that. 564 00:31:52,410 --> 00:31:53,810 How's Cal gonna spin this? 565 00:31:53,964 --> 00:31:56,231 Her latest tennis match went into extra sets? 566 00:32:00,071 --> 00:32:01,738 Slinged branch looks good, 567 00:32:01,772 --> 00:32:04,974 no conflict with the seventh nerve, 568 00:32:05,042 --> 00:32:07,576 no bleeds, no strokes. 569 00:32:09,113 --> 00:32:10,647 The basilar is dilated. 570 00:32:10,715 --> 00:32:12,716 And compressing her brain stem. 571 00:32:12,750 --> 00:32:14,751 She's stopped breathing. 572 00:32:14,785 --> 00:32:16,486 We need to intubate. Get the airway cart. 573 00:32:26,382 --> 00:32:28,617 Tell them she's gonna be at the conference. 574 00:32:28,651 --> 00:32:30,853 And if they keep asking, tell them the Senator believes 575 00:32:30,887 --> 00:32:32,888 anyone not ready to commit on climate change action 576 00:32:32,956 --> 00:32:34,790 is on the wrong side of history. 577 00:32:34,824 --> 00:32:37,159 Just never use that phrase more than once a month. 578 00:32:37,193 --> 00:32:38,861 He has to run. 579 00:32:39,191 --> 00:32:41,029 The sling procedure went fine, 580 00:32:41,064 --> 00:32:43,465 but the basilar artery was less stable than we hoped. 581 00:32:43,499 --> 00:32:45,067 It's gotten even more dilated 582 00:32:45,134 --> 00:32:47,569 and is causing progressive neurological deficits. 583 00:32:47,637 --> 00:32:50,205 We have no choice but to bypass the artery. 584 00:32:50,240 --> 00:32:51,673 The last surgery was dangerous. 585 00:32:51,708 --> 00:32:53,288 This one way more so. 586 00:32:54,644 --> 00:32:55,957 What do you need me to sign? 587 00:32:56,546 --> 00:32:58,313 We should inform her husband. 588 00:32:58,348 --> 00:33:00,249 There is a one in four chance that she could die. 589 00:33:05,521 --> 00:33:08,023 If I told Pete that, he'd be at the airport in half an hour, 590 00:33:08,057 --> 00:33:10,092 and everyone would know that Marian is in this hospital 591 00:33:10,159 --> 00:33:11,426 for something this serious. 592 00:33:11,494 --> 00:33:13,528 She has a brain aneurysm. That doesn't make her weak. 593 00:33:13,563 --> 00:33:15,685 Even worse. It makes her mortal. 594 00:33:16,366 --> 00:33:18,033 Her husband has a right to be here. 595 00:33:18,067 --> 00:33:20,369 A moral right. To destroy her career. 596 00:33:20,403 --> 00:33:22,109 Which is what I'm protecting her from. 597 00:33:23,706 --> 00:33:25,240 This is just a game to you, isn't it? 598 00:33:25,275 --> 00:33:26,742 Yeah. The game they make you play 599 00:33:26,776 --> 00:33:28,110 before you can do anything real. 600 00:33:41,157 --> 00:33:44,126 Valve placed. Leaflets mobile. 601 00:33:45,361 --> 00:33:48,463 New valve is perfectly seated in the annulus. 602 00:33:48,531 --> 00:33:51,133 No regurgitation, flow in both coronary arteries. 603 00:33:52,435 --> 00:33:54,202 I'm about to close up. 604 00:33:54,237 --> 00:33:56,117 Looks like we've got a paravalvular leak. 605 00:33:57,269 --> 00:33:58,907 We need to go back and fix this. 606 00:33:58,942 --> 00:34:00,242 Irrigate and check the image. 607 00:34:09,948 --> 00:34:11,753 No leak. 608 00:34:11,788 --> 00:34:14,389 Slight excess from the washing jets in the mechanical valve. 609 00:34:14,424 --> 00:34:15,624 Normal finding. 610 00:34:18,227 --> 00:34:19,995 Wow. You're very good. 611 00:34:20,063 --> 00:34:21,463 I think he knows that. 612 00:34:21,497 --> 00:34:22,919 Still nice to hear. 613 00:34:23,900 --> 00:34:25,901 Closing up now. 614 00:34:25,935 --> 00:34:27,674 Two-oh Vicryl suture. 615 00:34:47,323 --> 00:34:49,490 Retracting temporal lobe and cerebellum... 616 00:34:49,592 --> 00:34:51,026 Very carefully. 617 00:34:51,094 --> 00:34:53,095 Vascular anatomy is fully exposed, 618 00:34:53,129 --> 00:34:54,763 avoiding the tortuous area. 619 00:34:54,797 --> 00:34:56,331 Radial artery graft length 620 00:34:56,366 --> 00:34:58,033 looks to be a perfect fit. 621 00:35:02,472 --> 00:35:04,419 Anastomosing with 9-0 Prolene. 622 00:35:07,543 --> 00:35:09,644 Temporal lobe's swelling. 623 00:35:09,679 --> 00:35:11,346 B.P. and heart rate are plummeting. 624 00:35:11,381 --> 00:35:13,281 Drop her CO2, full propofol burst suppression. 625 00:35:14,350 --> 00:35:15,517 Widen the craniotomy. 626 00:35:15,551 --> 00:35:17,219 With the cerebellum herniating outward? 627 00:35:17,286 --> 00:35:19,454 We do that, she may never walk normally again. 628 00:35:20,990 --> 00:35:22,024 If she didn't want a twitch... 629 00:35:22,638 --> 00:35:23,738 Drill. 630 00:35:29,065 --> 00:35:32,367 Open the arachnoid plane and release CSF collections. 631 00:35:32,402 --> 00:35:34,336 Reduce the pressure from the inside. 632 00:35:34,370 --> 00:35:35,871 For her, it's worth the risk. 633 00:35:39,475 --> 00:35:41,243 Arachnoid dissector. 634 00:35:50,186 --> 00:35:52,821 There was a patient admitted this morning I think you should see. 635 00:35:52,855 --> 00:35:54,356 You thinking of Mrs. Cavanaugh? 636 00:35:54,390 --> 00:35:56,358 That's a good idea, Dr. Park. 637 00:35:56,392 --> 00:35:58,527 We'd welcome another take 638 00:35:58,561 --> 00:36:03,165 as to whether she's a good candidate for inserting an ICD. 639 00:36:03,199 --> 00:36:05,734 I'll consult just on that question, if you'd like me to. 640 00:36:07,503 --> 00:36:09,004 But I won't join in the O.R. 641 00:36:10,106 --> 00:36:11,606 I'm quitting surgery. 642 00:36:13,943 --> 00:36:16,344 I don't understand. When did you decide... 643 00:36:17,547 --> 00:36:18,880 Fifteen minutes ago. 644 00:36:22,351 --> 00:36:25,750 I nearly closed up without doing a final antibiotic lavage. 645 00:36:26,856 --> 00:36:28,423 But you didn't. 646 00:36:28,458 --> 00:36:30,589 Nurse Barker prompted you with the syringe. 647 00:36:31,834 --> 00:36:33,535 It was a tiny error. 648 00:36:33,560 --> 00:36:36,029 There was no contamination of the field. 649 00:36:36,054 --> 00:36:38,722 Many surgeons don't even do a final lavage. 650 00:36:38,747 --> 00:36:41,949 I always told myself once I started making tiny errors, 651 00:36:41,974 --> 00:36:43,474 I'd stop before I made a big one. 652 00:36:43,499 --> 00:36:44,967 Paul, 653 00:36:45,048 --> 00:36:46,815 we almost lost a patient today. 654 00:36:46,943 --> 00:36:48,315 You were still rattled. 655 00:36:49,412 --> 00:36:50,734 Thank you, Marcus. 656 00:36:52,215 --> 00:36:54,416 But I made this plan years ago, 657 00:36:54,450 --> 00:36:56,985 because I knew that when the time came, 658 00:36:57,053 --> 00:36:59,754 I'd look for reasons why whatever I did wrong 659 00:36:59,789 --> 00:37:03,330 was tiny, minor, didn't count. 660 00:37:04,827 --> 00:37:06,124 That's when I made the rule. 661 00:37:06,896 --> 00:37:08,630 Everything counts. 662 00:37:13,336 --> 00:37:17,139 Dr. Murphy, it was nice sewing with you. 663 00:37:53,637 --> 00:37:55,638 You gave us a scare. 664 00:37:56,346 --> 00:37:57,513 But all good now. 665 00:38:00,052 --> 00:38:02,420 You're mad at me. 666 00:38:02,454 --> 00:38:03,954 About little Evvie. 667 00:38:05,657 --> 00:38:08,311 Well, Evvie inspired me. 668 00:38:09,594 --> 00:38:12,315 I took strength from her for years. 669 00:38:13,665 --> 00:38:15,026 Now it's all fiction. 670 00:38:17,436 --> 00:38:21,806 Fictional lives can save real lives. 671 00:38:21,840 --> 00:38:25,776 Four years ago, I used that story on the Senate floor. 672 00:38:25,811 --> 00:38:29,080 I got my bill passed by one vote. 673 00:38:29,114 --> 00:38:33,128 That lie helped millions of people with disabilities. 674 00:38:34,820 --> 00:38:36,687 I'm really proud of that lie. 675 00:38:52,724 --> 00:38:55,793 I'm heading out to have a drink with Dr. Nakano. 676 00:38:55,941 --> 00:38:59,510 Are you going to try to talk him out of leaving surgery? 677 00:38:59,544 --> 00:39:01,445 No. 678 00:39:01,480 --> 00:39:05,349 I'm going because no one's meant to shoulder loss alone. 679 00:39:05,383 --> 00:39:07,245 And I'm the one who should be with him tonight. 680 00:39:08,120 --> 00:39:09,153 Why? 681 00:39:10,655 --> 00:39:12,876 Because we love the same thing. 682 00:39:13,325 --> 00:39:16,861 And he knows no one would understand what he's lost more than I would. 683 00:39:40,051 --> 00:39:42,353 I have been thinking... 684 00:39:42,387 --> 00:39:45,366 About all the people you've helped, including me. 685 00:39:46,358 --> 00:39:48,559 And about not... 686 00:39:50,162 --> 00:39:52,665 Sharing the danger you were in with your husband. 687 00:39:53,865 --> 00:39:56,503 Probably not sharing a lot of other things. 688 00:39:57,936 --> 00:40:01,572 And it struck me that... 689 00:40:01,606 --> 00:40:03,802 Being in a marriage like that must be lonely. 690 00:40:07,679 --> 00:40:10,391 You can't trust him to lie. 691 00:40:11,723 --> 00:40:15,692 So you end up sharing more of yourself with a guy like Cal, 692 00:40:15,754 --> 00:40:17,888 who is a hired gun and who's gonna end up 693 00:40:17,923 --> 00:40:20,124 working for somebody else two years from now. 694 00:40:25,030 --> 00:40:26,630 The fact that Pete and I don't talk shop 695 00:40:26,698 --> 00:40:28,827 doesn't make our marriage less than wonderful. 696 00:40:34,980 --> 00:40:36,080 Another lie? 697 00:40:48,220 --> 00:40:49,653 Hey, hey! 698 00:40:49,721 --> 00:40:53,057 How 'bout those Devils, huh? 699 00:40:53,091 --> 00:40:55,893 But before I go all fan girl about last night's game, 700 00:40:55,927 --> 00:40:59,630 let's talk about the upcoming climate change conference. 701 00:40:59,664 --> 00:41:01,432 I have to tell you guys a story 702 00:41:01,466 --> 00:41:03,801 about a little boy who lives on the Outer Banks 703 00:41:03,835 --> 00:41:05,769 of South Carolina, 704 00:41:05,804 --> 00:41:07,905 whose home is about to be washed away... 705 00:41:24,289 --> 00:41:26,555 I could get another mug, 706 00:41:26,579 --> 00:41:27,858 or I could wash these. 707 00:41:27,926 --> 00:41:29,862 It's a tough decision. 708 00:41:31,508 --> 00:41:32,674 Mm. 709 00:41:32,699 --> 00:41:33,864 I should probably tell you, 710 00:41:33,932 --> 00:41:35,685 I didn't get to calling the landlord. 711 00:41:38,503 --> 00:41:39,970 And maybe ten minutes ago, 712 00:41:40,005 --> 00:41:42,206 I saw a couple fruit flies near the drain, so... 713 00:41:48,446 --> 00:41:51,534 So... Yeah. 714 00:41:54,719 --> 00:41:56,915 Now it's my fault if we're... 715 00:41:57,622 --> 00:41:58,889 If we get bugs.