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[KNOCKING ON DOOR]
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00:00:02,493 --> 00:00:07,329
♪
3
00:00:09,129 --> 00:00:10,216
[KNOCKING CONTINUES]
4
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KENNY: Morning, Doc!
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Good morning, Kenny.
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♪
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Hey, hey, hey.
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♪
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Brosef, your cable's out.
10
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I don't have cable.
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I have a digital antenna.
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- Why?
- Digital antennae
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receive superior picture
and sound quality,
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and the channels are free.
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Yeah, but you only get, like,
10 channels that way.
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I only watch three.
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You mind if I run a line to your tube?
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Cable guy can't fit me in
till next week.
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Mm.
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Come on, 10 channels
are better than none.
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Yes, they are.
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All right.
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Gracias, amigo.
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No hay na que agradecer.
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What?
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♪
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MELENDEZ: Dr. Reznick was orphaned
28
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once Dr. Coyle was transferred,
29
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so she'll be joining our team.
30
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Hi. I'm Claire.
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Nice to meet you.
32
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Are you the autistic one?
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No.
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That's me.
35
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Dr. Shaun Murphy.
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Hi.
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We've got two
pretty straightforward cases,
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nice level playing field
for an eager group.
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Not interested.
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Competition can foster teamwork,
41
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which can lead to
a greater understanding
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and appreciation
43
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of residents' strengths and weaknesses
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and improve patient care.
45
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You're playing the same game
Glassman had us do
46
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when we were interns.
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Not interested.
48
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Winning team gets first dibs
49
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on assisting on all surgeries next week.
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- In.
- In.
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Out.
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Mm.
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♪
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I pick the boy genius.
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♪
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That's you.
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♪
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♪
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Dr. Browne.
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♪
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- Kalu.
- MELENDEZ: Dr. Reznick.
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Thank you. I'm looking forward to it.
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Thank you.
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♪
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Same stakes as last time?
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Absolutely.
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♪
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LIM: Hi, Quinn.
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We hear you've had some stomach pain.
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Do you mind if we take a look?
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It doesn't hurt that bad.
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Poor thing says everything is okay,
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but when Quinnie didn't
want to go swimming today,
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I knew that something must be wrong.
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We'll be as gentle with her as possible.
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[GROANS]
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Quinn's parents are out of town,
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so I'm... I flew in to babysit.
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Mm-hmm.
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[INHALES SHARPLY]
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Okay.
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Let's see.
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♪
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- That's a...
- Penis.
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She's not a girl.
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He's a boy.
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Synced & corrected by kinglouisxx
www.addic7ed.com
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♪
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It's just a phase.
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QUINN: Stop saying that.
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I'm not a boy. I'm a girl.
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- You're transgender?
- Yes.
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SHAUN: No.
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Quinn has XY chromosomes
like Jared and me,
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not XX like you.
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Science says he's male.
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No, Quinn has gender dysphoria.
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Her assigned gender is not
the one she identifies with.
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She's mismatched, Dr. Murphy.
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But biologically...
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QUINN: Other than biologically,
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how do you know
you're supposed to be a boy?
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Your question doesn't make sense.
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I'm not supposed to be anything.
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I am a boy.
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Biologically, that's it.
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♪
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[INHALES SHARPLY]
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Okay, deep tenderness
at McBurney's point.
110
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Could be acute appendicitis.
111
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Murphy, get imaging to confirm.
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Mm.
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♪
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[BREATHING DEEPLY]
115
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Mr. Shaw, your chart says
116
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that you passed out in class.
117
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- What do you teach?
- History.
118
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I got a little dizzy
because I skipped breakfast.
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I-It's nothing.
120
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The school insisted on
calling an ambulance.
121
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Taken any medications
in the last few months?
122
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Uh, I took some Vicodin
123
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after I threw out my back six weeks ago,
124
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and then I had a stomach flu,
125
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so I took Ofloxacin.
126
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But the flu part didn't totally go away,
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so I took Azithromycin and Prednisone
128
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because my glands were swollen.
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But I still had a sore throat,
so I took some Cipro.
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What doctor prescribed you all that?
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Uh, they were leftovers
132
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I had in my medicine cabinet.
133
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- Uh...
- All right, lay back for me.
134
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[GROANS]
135
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Look, I'm a single dad with twins
136
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who bring home every disgusting germ
137
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they touch at preschool.
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I can't afford to miss work.
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[GROANS]
140
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You've got a fever
141
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and you've gone through two IVs
142
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which tells me that
you're severely dehydrated.
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You can't stand me touching your stomach
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without wincing in pain.
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Dr. Reznick, let's get
Mr. Shaw here an ultrasound.
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♪
147
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- We've been trying for a while.
- Five months.
148
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I realize my prime egg days
were two decades ago,
149
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but I've been vigilant.
150
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Ovulation kits, LH and FSH testing,
151
00:05:23,431 --> 00:05:24,530
basal body temp.
152
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I've checked my estradiol
and AMH levels.
153
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The old-fashioned way wasn't working.
154
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Okay, well, there are a lot of
possibilities to consider.
155
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Many benign, many easily corrected.
156
00:05:34,876 --> 00:05:37,176
So I will take some samples
from you both,
157
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run some tests, we go from there.
158
00:05:38,646 --> 00:05:39,845
There's a clock.
159
00:05:39,847 --> 00:05:42,214
We need to know
if we start with IUI or IVF...
160
00:05:42,216 --> 00:05:44,884
Both of you...
You need to stop worrying.
161
00:05:44,886 --> 00:05:47,586
Isabel, you are not
the first 40-something woman
162
00:05:47,588 --> 00:05:49,822
to come here and ask these questions.
163
00:05:49,824 --> 00:05:52,491
Myself included.
164
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You came to me
because you trust me, yes?
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Right.
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So let me do what I do,
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and you two focus on each other.
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♪
169
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Hey.
170
00:06:02,603 --> 00:06:04,203
We're a team, babe.
171
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In this together, all right?
172
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Okay.
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♪
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♪
175
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I'm afraid, Howard,
176
00:06:18,686 --> 00:06:20,753
your appendix has already ruptured.
177
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Book an OR stat and page Melendez.
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Wait. I need to figure out
179
00:06:24,514 --> 00:06:25,707
who's gonna take care of my kids,
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call the school so they can
get subs for my classes.
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00:06:28,061 --> 00:06:30,129
Mr. Shaw, if we don't
get you into surgery now,
182
00:06:30,131 --> 00:06:32,465
your infection could spread
and you could become septic.
183
00:06:32,467 --> 00:06:34,467
Dr. Browne will make all
the necessary phone calls
184
00:06:34,469 --> 00:06:36,035
while I prep you for surgery.
185
00:06:36,037 --> 00:06:37,703
Isn't that so, Dr. Browne?
186
00:06:40,073 --> 00:06:41,440
You're in good hands, Mr. Shaw.
187
00:06:41,442 --> 00:06:42,541
We've got you covered.
188
00:06:42,543 --> 00:06:43,709
Let's go.
189
00:06:43,711 --> 00:06:51,684
♪
190
00:06:51,686 --> 00:06:53,552
SHAUN: Hello.
191
00:06:53,554 --> 00:06:54,520
Do you wear dresses?
192
00:06:54,522 --> 00:06:56,789
Murphy, don't.
193
00:06:56,791 --> 00:06:59,492
Quinn is a boy who thinks he's a girl.
194
00:06:59,494 --> 00:07:01,994
I want to know why he thinks that.
195
00:07:01,996 --> 00:07:04,130
Sometimes I wear dresses,
but sometimes I wear leggings.
196
00:07:04,132 --> 00:07:07,433
Do you like the color pink?
197
00:07:07,435 --> 00:07:08,467
[CHUCKLES]
198
00:07:08,469 --> 00:07:10,035
I'm more of a purple girl.
199
00:07:10,037 --> 00:07:12,238
- Do you play with dolls?
- Since I was 5,
200
00:07:12,240 --> 00:07:13,939
but I'm super into mermaids.
201
00:07:13,941 --> 00:07:14,974
Do you take dance...
202
00:07:14,976 --> 00:07:16,642
Murphy, 20 questions are up.
203
00:07:16,644 --> 00:07:18,177
I only asked four.
204
00:07:18,179 --> 00:07:19,678
- Do you wear perfume?
- It doesn't matter.
205
00:07:19,680 --> 00:07:20,728
The CT's ready. Let's go.
206
00:07:20,753 --> 00:07:22,448
- Do you always paint your nails?
- Let's go.
207
00:07:22,450 --> 00:07:32,358
♪
208
00:07:32,360 --> 00:07:34,493
MELENDEZ: Perforated appendix is out.
209
00:07:34,495 --> 00:07:36,362
Lavage or no lavage.
210
00:07:36,364 --> 00:07:37,630
Dr. Browne.
211
00:07:37,632 --> 00:07:39,365
Lavage before closing the wound
212
00:07:39,367 --> 00:07:41,367
decreases residual fluid accumulation
213
00:07:41,369 --> 00:07:44,570
- and minimizes residual contamination.
- MORGAN: Claire's right.
214
00:07:44,572 --> 00:07:45,704
Although, a recent study
215
00:07:45,706 --> 00:07:47,339
documented a higher abscess rate
216
00:07:47,341 --> 00:07:49,775
when irrigation was used
for perforated appendicitis.
217
00:07:49,777 --> 00:07:51,844
Well, someone did their homework.
218
00:07:51,846 --> 00:07:53,846
I'm partial to AMSURG
since they published me.
219
00:07:53,848 --> 00:07:55,915
As a medical student?
220
00:07:55,917 --> 00:07:58,284
It was about the cost
and stabilization of disease
221
00:07:58,286 --> 00:08:00,085
in patients undergoing transcatheter
222
00:08:00,087 --> 00:08:01,854
and surgical aortic valve replacement.
223
00:08:01,856 --> 00:08:03,989
Are you thinking of specializing
in cardio-thoracic?
224
00:08:03,991 --> 00:08:05,824
A girl can dream.
225
00:08:06,927 --> 00:08:08,260
Staple up and close up.
226
00:08:11,464 --> 00:08:12,531
It's, uh...
227
00:08:12,533 --> 00:08:14,466
it's good to have you on board, Morgan.
228
00:08:14,468 --> 00:08:18,170
It's great to have
another female surgeon.
229
00:08:18,172 --> 00:08:21,340
Oh, uh, I'm sorry,
230
00:08:21,342 --> 00:08:23,075
you and I are not gonna be friends,
231
00:08:23,077 --> 00:08:25,144
hanging out, having sleepovers,
232
00:08:25,146 --> 00:08:26,912
braiding each other's hair.
233
00:08:26,914 --> 00:08:30,182
That's not exactly
where I was going with it.
234
00:08:30,184 --> 00:08:31,417
When residency's over,
235
00:08:31,419 --> 00:08:32,685
the hospital's likely
only keeping two of us.
236
00:08:32,687 --> 00:08:35,387
Shaun is Glassman's pet project,
so he's in.
237
00:08:35,389 --> 00:08:37,990
Jared is persona non grata, so he's out.
238
00:08:37,992 --> 00:08:40,192
Which means every time you win, I lose.
239
00:08:40,194 --> 00:08:42,094
And vice versa.
240
00:08:42,096 --> 00:08:45,464
♪
241
00:08:45,466 --> 00:08:47,032
Thanks for the heads up.
242
00:08:47,034 --> 00:08:49,535
♪
243
00:08:49,537 --> 00:08:57,543
[CT MACHINE WHIRS]
244
00:08:57,545 --> 00:09:01,714
Do you think he's complicated
or confused?
245
00:09:01,716 --> 00:09:03,082
[SIGHS]
246
00:09:03,084 --> 00:09:05,384
Dude, you've got to quit
calling her a "he."
247
00:09:05,386 --> 00:09:06,986
We're never going
to win this competition
248
00:09:06,988 --> 00:09:08,207
with you disrespecting our patient.
249
00:09:08,232 --> 00:09:09,745
Don't they have transgender
people in Wyoming?
250
00:09:09,770 --> 00:09:12,725
Okay. Transgender patient care
251
00:09:12,727 --> 00:09:16,061
was not part of my
medical school curriculum.
252
00:09:16,063 --> 00:09:18,397
Was it part of yours?
253
00:09:18,399 --> 00:09:19,732
No.
254
00:09:19,734 --> 00:09:20,699
[MONITOR BEEPS]
255
00:09:24,504 --> 00:09:27,973
Quinn doesn't have appendicitis.
256
00:09:27,975 --> 00:09:31,010
He has testicular cancer.
257
00:09:31,074 --> 00:09:33,756
[SIGHS]
258
00:09:33,781 --> 00:09:34,813
She.
259
00:09:37,734 --> 00:09:40,951
We found a mass
on Quinn's left testicle.
260
00:09:40,976 --> 00:09:42,509
She has cancer, but...
261
00:09:42,511 --> 00:09:44,025
- Am I gonna die?
- LIM: No, no.
262
00:09:44,079 --> 00:09:45,412
Prognosis is very good.
263
00:09:45,414 --> 00:09:46,619
We've caught it before it spread,
264
00:09:46,651 --> 00:09:48,550
and we'll do surgery on the mass
to remove it.
265
00:09:48,552 --> 00:09:51,787
The CT also showed he has osteopenia.
266
00:09:51,789 --> 00:09:53,956
- [SIGHS]
- Murphy, stop with the "he."
267
00:09:53,958 --> 00:09:55,391
[CELLPHONE RINGING]
268
00:09:55,393 --> 00:09:57,960
Um, Quinnie, it's your mom.
269
00:09:57,962 --> 00:10:00,062
- I... I have to...
- Of course.
270
00:10:03,133 --> 00:10:04,366
Osteopenia.
271
00:10:04,368 --> 00:10:06,201
- That's low bone density, right?
- JARED: Yeah.
272
00:10:06,203 --> 00:10:07,469
How'd you know that?
273
00:10:07,471 --> 00:10:10,039
Do you know how I got cancer?
274
00:10:10,041 --> 00:10:12,207
There are several
possible causes, but I...
275
00:10:12,209 --> 00:10:14,610
- Microlithiasis, mumps, hypospadias...
- Murphy.
276
00:10:14,612 --> 00:10:16,478
Intraepithelial germ cell neoplasia,
277
00:10:16,480 --> 00:10:17,646
inguinal hernia, HIV...
278
00:10:17,648 --> 00:10:20,149
Murphy. Enough.
279
00:10:20,151 --> 00:10:22,785
Your parents are on their way here.
280
00:10:22,787 --> 00:10:25,220
Um, they just told me...
281
00:10:25,222 --> 00:10:27,089
Quinn, are you on puberty blockers?
282
00:10:28,658 --> 00:10:31,794
That's the likely cause
of the osteopenia.
283
00:10:31,796 --> 00:10:33,996
Are you taking leuprorelin or histrelin?
284
00:10:33,998 --> 00:10:36,632
I've been on leuprorelin for nine months.
285
00:10:36,634 --> 00:10:38,267
Why didn't you say anything earlier?
286
00:10:38,269 --> 00:10:41,503
Because my parents didn't
want my grandma to know.
287
00:10:41,505 --> 00:10:46,008
♪
288
00:10:46,010 --> 00:10:47,976
Looks like he has an abscess.
289
00:10:47,978 --> 00:10:49,278
You have an infection.
290
00:10:49,280 --> 00:10:51,613
We'll drain it, put you on antibiotics.
291
00:10:51,615 --> 00:10:52,648
It's nothing to worry about.
292
00:10:52,650 --> 00:10:53,749
It just means
you might be in the hospital
293
00:10:53,751 --> 00:10:54,750
a couple of extra nights.
294
00:10:54,752 --> 00:10:55,784
I... I can't spend
295
00:10:55,786 --> 00:10:56,885
a couple of extra nights.
296
00:10:56,887 --> 00:10:58,253
I need to get out of here.
297
00:10:58,255 --> 00:11:00,255
Are you worried about your kids?
298
00:11:00,257 --> 00:11:02,458
Well, they're with my sister,
they're safe,
299
00:11:02,460 --> 00:11:04,259
but they've never spent
a night without me
300
00:11:04,261 --> 00:11:05,327
since they were born.
301
00:11:05,329 --> 00:11:06,995
Well, then consider this a blessing.
302
00:11:06,997 --> 00:11:08,464
A free vacation from your kids.
303
00:11:08,466 --> 00:11:10,099
They're my life.
304
00:11:10,101 --> 00:11:14,103
♪
305
00:11:14,105 --> 00:11:17,439
My wife died of ovarian cancer
last year.
306
00:11:17,441 --> 00:11:20,175
♪
307
00:11:20,177 --> 00:11:22,211
I...
308
00:11:22,213 --> 00:11:23,679
I hate hospitals.
309
00:11:23,681 --> 00:11:25,781
I'm so sorry.
310
00:11:25,783 --> 00:11:28,383
Why don't I find a laptop
311
00:11:28,385 --> 00:11:29,718
so you can Skype with them?
312
00:11:30,954 --> 00:11:33,689
And I'll rustle up a couple
of toy bears from Peds
313
00:11:33,691 --> 00:11:35,424
for you to take home.
314
00:11:35,426 --> 00:11:36,692
Thank you.
315
00:11:36,694 --> 00:11:39,294
♪
316
00:11:39,296 --> 00:11:40,796
LIM: I want to reassure you
317
00:11:40,798 --> 00:11:42,231
that the puberty blockers
318
00:11:42,233 --> 00:11:44,733
are in no way responsible
for causing cancer.
319
00:11:44,735 --> 00:11:47,569
SHAUN: The leuprorelin
did cause your osteopenia.
320
00:11:47,571 --> 00:11:49,872
Does this mean I have to stop
taking puberty blockers?
321
00:11:49,874 --> 00:11:50,973
Yes.
322
00:11:50,975 --> 00:11:52,307
JARED: We'll get you
on dietary supplements
323
00:11:52,309 --> 00:11:53,542
to help regain your bone strength,
324
00:11:53,544 --> 00:11:54,843
but the puberty blockers
are hurting you.
325
00:11:54,845 --> 00:11:55,878
You'll be fine without them.
326
00:11:57,080 --> 00:11:59,248
Fine?
327
00:11:59,250 --> 00:12:01,283
I... I don't want an Adam's apple
328
00:12:01,285 --> 00:12:03,852
or a deep voice
or hair all over my body.
329
00:12:03,854 --> 00:12:05,888
You can't reverse that, can you?
330
00:12:05,890 --> 00:12:08,857
No, I'm afraid not.
331
00:12:08,859 --> 00:12:16,899
♪
332
00:12:16,901 --> 00:12:19,768
Girls have body hair, too.
333
00:12:19,770 --> 00:12:21,303
[SIGHS]
334
00:12:21,305 --> 00:12:25,240
♪
335
00:12:27,811 --> 00:12:30,379
Toy bears, Skype with kids...
336
00:12:30,381 --> 00:12:31,814
you've got game.
337
00:12:31,816 --> 00:12:34,283
[SCOFFS] "Game"?
338
00:12:34,285 --> 00:12:35,751
I believe the name for what I did
339
00:12:35,753 --> 00:12:38,687
is "basic human decency."
340
00:12:38,689 --> 00:12:40,389
Everyone has an agenda.
341
00:12:40,391 --> 00:12:42,658
Sometimes it's conscious,
sometimes it's not,
342
00:12:42,660 --> 00:12:43,725
but it's always there.
343
00:12:43,727 --> 00:12:44,960
And you've got this whole
344
00:12:44,962 --> 00:12:46,728
"queen of kindness" thing down pat.
345
00:12:46,730 --> 00:12:49,131
Awfully cynical for someone so young.
346
00:12:49,133 --> 00:12:50,299
Mm, not cynical.
347
00:12:50,301 --> 00:12:51,466
Just the reality of how the world works.
348
00:12:51,468 --> 00:12:53,435
[ALARM BLARING]
349
00:12:53,437 --> 00:12:54,469
It's Howard.
350
00:12:54,471 --> 00:12:55,838
[MONITOR BEEPING RAPIDLY]
351
00:12:55,840 --> 00:12:57,973
NURSE DHANOA:
He spiked a fever, temp's 105.
352
00:12:57,975 --> 00:12:59,408
BP's tanking, 80 over 40.
353
00:12:59,410 --> 00:13:01,176
- He's soiled his sheets.
- MORGAN: Site's clean.
354
00:13:01,178 --> 00:13:02,644
Infection should be clearing by now.
355
00:13:02,646 --> 00:13:04,046
- What's going on?
- I don't know.
356
00:13:04,048 --> 00:13:05,113
Page Melendez.
357
00:13:05,115 --> 00:13:06,715
Give me 500 milligrams acetaminophen,
358
00:13:06,717 --> 00:13:08,584
2 grams of meropenem
IV infusion empirically.
359
00:13:08,586 --> 00:13:11,420
Run a chem panel, CBC,
and get cultures ASAP.
360
00:13:12,155 --> 00:13:13,655
Hang in there, Howard.
361
00:13:13,657 --> 00:13:15,023
We're gonna figure this out.
362
00:13:15,025 --> 00:13:17,793
♪
363
00:13:22,230 --> 00:13:23,931
Any word on Quinn Darby's labs?
364
00:13:23,974 --> 00:13:25,848
Big backup today. Nothing much I can do.
365
00:13:25,880 --> 00:13:27,279
Text you when they're ready.
366
00:13:27,281 --> 00:13:28,347
Yeah.
367
00:13:29,816 --> 00:13:30,883
MORGAN: Hey, Gus.
368
00:13:30,885 --> 00:13:33,085
I saw raspberry and rose petal doughnuts
369
00:13:33,087 --> 00:13:34,487
in the cafeteria today.
370
00:13:34,489 --> 00:13:36,218
Got you the last one.
371
00:13:36,280 --> 00:13:37,790
You remembered.
372
00:13:37,792 --> 00:13:39,458
Thank you.
373
00:13:39,460 --> 00:13:41,594
Howard Shaw's labs.
374
00:13:41,596 --> 00:13:44,063
- I put a rush on them for you.
- You're the best.
375
00:13:44,065 --> 00:13:45,131
♪
376
00:13:45,133 --> 00:13:49,001
Why did you give Gus a doughnut?
377
00:13:49,003 --> 00:13:50,202
I was being nice.
378
00:13:50,204 --> 00:13:52,705
I needed my patient's labs expedited.
379
00:13:52,707 --> 00:13:55,141
- Gus likes doughnuts.
- It's called bribery.
380
00:13:55,143 --> 00:13:56,876
I call it "basic human decency."
381
00:13:58,678 --> 00:13:59,812
See you later.
382
00:14:04,985 --> 00:14:06,786
Howard has a superbug.
383
00:14:08,321 --> 00:14:09,555
A C. Diff infection?
384
00:14:09,557 --> 00:14:12,825
It's resistant to all medication.
385
00:14:12,827 --> 00:14:15,161
[SIGHS]
386
00:14:15,163 --> 00:14:16,729
LIM: Quinn's pre-op labs are normal,
387
00:14:16,731 --> 00:14:18,731
so we can do the surgery
first thing in the morning.
388
00:14:18,733 --> 00:14:19,765
The procedure is called
389
00:14:19,767 --> 00:14:21,734
a radical inguinal orchiectomy.
390
00:14:21,736 --> 00:14:24,503
It's radical in that
391
00:14:24,505 --> 00:14:26,705
the entire cancerous testicle
is removed.
392
00:14:26,707 --> 00:14:28,874
All functionality will remain the same.
393
00:14:28,876 --> 00:14:30,843
Quinn should be able
to resume her normal activities
394
00:14:30,845 --> 00:14:31,844
in one or two weeks.
395
00:14:31,846 --> 00:14:33,846
See? Baby, that's good news.
396
00:14:33,848 --> 00:14:35,181
QUINN: No, not really.
397
00:14:35,183 --> 00:14:36,549
Without the puberty blockers,
398
00:14:36,551 --> 00:14:38,651
I'll be the freak in ballet
with a mustache.
399
00:14:38,653 --> 00:14:40,953
Aren't there any other options?
400
00:14:40,955 --> 00:14:41,954
I wish there were...
401
00:14:41,956 --> 00:14:43,789
If we do a bilateral orchiectomy,
402
00:14:43,791 --> 00:14:44,824
Quinn will have
403
00:14:44,826 --> 00:14:46,458
the testosterone level of a girl.
404
00:14:46,460 --> 00:14:48,961
We are not removing both testicles.
405
00:14:48,963 --> 00:14:50,972
You want to castrate my grandson?
406
00:14:50,997 --> 00:14:52,064
- No.
- No.
407
00:14:52,066 --> 00:14:53,232
[SIGHS]
408
00:14:53,234 --> 00:14:55,434
I'm so sorry for Dr. Murphy's outburst.
409
00:14:55,436 --> 00:14:58,103
I'm gonna have
gender confirmation surgery
410
00:14:58,105 --> 00:14:59,805
when I'm 18 anyway.
411
00:14:59,807 --> 00:15:00,873
Why not just do it now.
412
00:15:00,875 --> 00:15:04,310
♪
413
00:15:04,312 --> 00:15:05,978
Quinn is a child
414
00:15:05,980 --> 00:15:09,982
who still plays dress-up
and make-believe.
415
00:15:09,984 --> 00:15:12,255
He may want to have children
of his own some day.
416
00:15:12,280 --> 00:15:13,219
Ew.
417
00:15:13,221 --> 00:15:14,086
♪
418
00:15:14,088 --> 00:15:15,588
We'll give you some privacy.
419
00:15:15,590 --> 00:15:16,755
DENISE: Thank you.
420
00:15:16,757 --> 00:15:21,527
♪
421
00:15:21,529 --> 00:15:23,762
- I will not allow you...
- It's not up to you.
422
00:15:26,410 --> 00:15:28,886
You are making me doubt the
wisdom of drafting you, Murphy.
423
00:15:28,911 --> 00:15:31,003
If you go around saying
inflammatory things to people,
424
00:15:31,005 --> 00:15:32,705
it will only upset them.
425
00:15:32,707 --> 00:15:35,007
How will I know if I said
something inflammatory
426
00:15:35,009 --> 00:15:36,375
until I say it?
427
00:15:36,377 --> 00:15:38,878
Test it on Kalu first.
428
00:15:38,880 --> 00:15:40,746
Which you can do
429
00:15:40,748 --> 00:15:43,349
the two of you prep
an SDA for this case.
430
00:15:43,351 --> 00:15:45,251
An SDA?
431
00:15:45,253 --> 00:15:46,652
A Shared Decision Aid
432
00:15:46,654 --> 00:15:48,888
is a paper presenting the pros and cons
433
00:15:48,890 --> 00:15:50,689
- of making a difficult...
- I know what it is, Murphy.
434
00:15:50,691 --> 00:15:52,057
But why am I being punished?
435
00:15:52,059 --> 00:15:53,525
It's not a punishment, it's necessary.
436
00:15:53,527 --> 00:15:54,660
It'll help Quinn's family
437
00:15:54,662 --> 00:15:57,596
understand all the options
available to them for her care.
438
00:15:57,598 --> 00:16:00,232
- Understood?
- Understood.
439
00:16:00,234 --> 00:16:03,969
♪
440
00:16:03,971 --> 00:16:05,437
The stool culture and sensitivity test
441
00:16:05,439 --> 00:16:06,605
indicate that you're resistant
442
00:16:06,607 --> 00:16:07,706
to every antibiotic.
443
00:16:07,708 --> 00:16:09,575
Which only happens
when you've been exposed
444
00:16:09,577 --> 00:16:10,542
to every antibiotic.
445
00:16:10,544 --> 00:16:15,247
I... I did this to myself?
446
00:16:15,249 --> 00:16:16,749
But I've used those medications before
447
00:16:16,751 --> 00:16:17,750
without a problem.
448
00:16:17,752 --> 00:16:18,817
Why did this happen now?
449
00:16:20,921 --> 00:16:22,755
You weren't under a doctor's care,
450
00:16:22,757 --> 00:16:24,790
so you were likely
taking the wrong medication
451
00:16:24,792 --> 00:16:25,958
for the wrong symptoms.
452
00:16:25,960 --> 00:16:27,860
But you can fix this, right?
453
00:16:27,862 --> 00:16:29,929
We're gonna have to perform a colostomy
454
00:16:29,931 --> 00:16:31,597
where we attach
an ostomy pouching system
455
00:16:31,599 --> 00:16:32,798
to your abdomen
456
00:16:32,800 --> 00:16:34,300
to collect waste from your body.
457
00:16:34,302 --> 00:16:35,901
For how long?
458
00:16:35,903 --> 00:16:37,036
Well, with the level of damage
459
00:16:37,038 --> 00:16:38,304
we're seeing throughout the colon,
460
00:16:38,306 --> 00:16:39,371
indefinitely.
461
00:16:39,373 --> 00:16:42,041
♪
462
00:16:42,043 --> 00:16:44,043
I'm so sorry, Howard.
463
00:16:44,045 --> 00:16:52,651
♪
464
00:16:52,653 --> 00:16:53,786
I don't understand
465
00:16:53,788 --> 00:16:55,187
why you'd suggest
the bilateral orchiectomy
466
00:16:55,189 --> 00:16:56,956
when you don't even
believe Quinn's a girl.
467
00:16:56,958 --> 00:16:59,725
I was answering Dr. Lim's question.
468
00:16:59,727 --> 00:17:01,760
She said there were no other options,
469
00:17:01,762 --> 00:17:02,828
but I found one.
470
00:17:02,830 --> 00:17:05,064
And now we're here.
471
00:17:05,066 --> 00:17:07,499
Yes.
472
00:17:07,501 --> 00:17:09,201
You're actually enjoying
this scut work, aren't you?
473
00:17:09,203 --> 00:17:11,270
Yes. We are being helpful.
474
00:17:13,073 --> 00:17:15,474
We're not doing this
to be helpful, Murphy.
475
00:17:15,476 --> 00:17:17,443
We're doing this because
you pissed off Lim,
476
00:17:17,445 --> 00:17:20,579
and I'm collateral damage.
477
00:17:20,581 --> 00:17:22,848
We're still being helpful.
478
00:17:26,386 --> 00:17:28,053
Doesn't matter.
479
00:17:28,055 --> 00:17:30,756
Doesn't matter, competition's over.
480
00:17:30,758 --> 00:17:32,424
Is it?
481
00:17:32,426 --> 00:17:34,059
We're in here and not with the patient.
482
00:17:34,061 --> 00:17:35,728
No face time plus you calling her a "he"
483
00:17:35,730 --> 00:17:37,930
equals crappy survey scores.
484
00:17:37,932 --> 00:17:39,365
[CHUCKLING] It's okay. It's a game.
485
00:17:39,367 --> 00:17:41,600
- It's not important.
- It is to me.
486
00:17:45,505 --> 00:17:47,740
I'm a pariah.
487
00:17:47,742 --> 00:17:50,242
These scores are part of
our resident evaluation.
488
00:17:50,244 --> 00:17:52,344
Our jobs depend on them.
489
00:17:52,346 --> 00:17:54,380
Mine does, at least.
490
00:17:54,382 --> 00:17:59,118
♪
491
00:17:59,120 --> 00:18:03,122
Then we should do
this scut work very well.
492
00:18:03,124 --> 00:18:08,460
♪
493
00:18:08,462 --> 00:18:09,795
[DOOR CLOSES]
494
00:18:14,100 --> 00:18:15,634
Finola called.
495
00:18:15,636 --> 00:18:17,736
She found an irregularity
with one of the tests
496
00:18:17,738 --> 00:18:19,338
but wants to re-run it to be sure.
497
00:18:19,340 --> 00:18:24,076
Okay, so we wait until she re-runs it.
498
00:18:24,078 --> 00:18:27,246
Marcus, we're both doctors.
499
00:18:27,248 --> 00:18:28,781
The results aren't gonna change.
500
00:18:32,852 --> 00:18:36,088
I waited too long.
501
00:18:36,090 --> 00:18:37,456
It's all my fault.
502
00:18:41,327 --> 00:18:42,828
This is the part where you say,
503
00:18:42,830 --> 00:18:43,896
"No, babe, it isn't."
504
00:18:43,898 --> 00:18:48,033
You had goals, other priorities.
505
00:18:48,035 --> 00:18:50,736
You said you supported
my career choices,
506
00:18:50,738 --> 00:18:52,404
just like I supported yours.
507
00:18:52,406 --> 00:18:54,840
I do support you. Always.
508
00:18:54,842 --> 00:18:56,375
And I am so proud of you.
509
00:18:56,377 --> 00:18:58,277
But it came at a cost
510
00:18:58,279 --> 00:19:00,279
that we both knew was possible.
511
00:19:00,304 --> 00:19:03,015
- We should have started trying sooner.
- When?
512
00:19:03,017 --> 00:19:05,350
When you were 3,000 miles away
teaching at Dartmouth?
513
00:19:05,352 --> 00:19:07,419
Or, what, when you were
chasing down head of surgery?
514
00:19:07,421 --> 00:19:09,922
- We would have figured it out.
- "Figuring it out"
515
00:19:09,924 --> 00:19:11,590
would have meant me and
a nanny raising a baby.
516
00:19:11,592 --> 00:19:12,658
I didn't want that.
517
00:19:12,660 --> 00:19:13,859
I tried to bring it up four years ago,
518
00:19:13,861 --> 00:19:15,394
but you wanted to get
your practice up and running.
519
00:19:15,396 --> 00:19:16,695
A baby didn't fit
in that picture, either.
520
00:19:16,697 --> 00:19:18,597
It is not the same.
521
00:19:18,599 --> 00:19:20,365
How many pregnant women
get hired for anything?
522
00:19:20,367 --> 00:19:22,434
Or when they find out a
woman's got a child at home,
523
00:19:22,436 --> 00:19:23,435
suddenly it's all
524
00:19:23,437 --> 00:19:24,870
"Who's gonna take care of the baby?"
525
00:19:24,872 --> 00:19:26,538
No one asks men that question.
526
00:19:26,540 --> 00:19:29,108
Yeah, well, none of it matters now.
527
00:19:29,110 --> 00:19:30,909
Right? Because it's probably too late.
528
00:19:30,911 --> 00:19:31,977
And I knew it.
529
00:19:31,979 --> 00:19:33,378
I knew this was gonna happen.
530
00:19:35,582 --> 00:19:37,983
You've been stewing over this.
531
00:19:37,985 --> 00:19:40,018
Resenting me. For how long?
532
00:19:40,020 --> 00:19:42,454
I don't resent you, Is.
533
00:19:42,456 --> 00:19:45,390
But, you know,
if you want me to sit here
534
00:19:45,392 --> 00:19:47,926
and tell you that it's not your fault,
535
00:19:47,928 --> 00:19:51,196
I... I can't do that, I'm sorry.
536
00:19:51,198 --> 00:19:58,437
♪
537
00:19:58,439 --> 00:20:06,678
[ALL SPEAKING SPANISH ON TV]
538
00:20:06,680 --> 00:20:08,280
[SLIDING DOOR OPENS]
539
00:20:08,882 --> 00:20:11,049
Hey. You like?
540
00:20:11,051 --> 00:20:13,519
That door was locked.
541
00:20:13,521 --> 00:20:15,220
Oh, I know.
542
00:20:15,222 --> 00:20:16,755
The cable guy had a cancellation,
543
00:20:16,757 --> 00:20:19,358
so he hooked me up,
got us a two-for-one.
544
00:20:19,360 --> 00:20:20,959
Little thanks for being
so chill earlier.
545
00:20:20,961 --> 00:20:23,395
Gracias, amigo.
546
00:20:23,397 --> 00:20:30,402
[INDISTINCT CONVERSATIONS ON TV]
547
00:20:30,404 --> 00:20:31,870
So, what kind of doctor are you?
548
00:20:34,707 --> 00:20:35,908
I'm a surgeon.
549
00:20:35,910 --> 00:20:37,543
A surgeon?
550
00:20:37,545 --> 00:20:40,546
Your stuff doesn't say surgeon, does it?
551
00:20:40,548 --> 00:20:42,714
It's like, uh, Selena and Justin.
552
00:20:44,450 --> 00:20:47,052
It doesn't really go together.
553
00:20:47,054 --> 00:20:48,554
Furniture's from, like,
a dozen different places.
554
00:20:48,556 --> 00:20:50,422
14.
555
00:20:50,424 --> 00:20:51,857
14.
556
00:20:51,859 --> 00:20:54,960
The people in Casper
knew I didn't have any money,
557
00:20:54,962 --> 00:20:57,062
so they gave me things to make a home.
558
00:20:57,064 --> 00:20:59,965
The bookshelf is from Jennifer,
559
00:20:59,967 --> 00:21:01,900
the town librarian.
560
00:21:01,902 --> 00:21:05,370
My table and chairs
are from Mr. Grady's diner.
561
00:21:05,372 --> 00:21:06,972
The lamp is from Sheryl
562
00:21:06,974 --> 00:21:09,308
who teaches Sunday school
at Highland Church.
563
00:21:09,310 --> 00:21:11,710
Dr. Glassman, he got me my bed.
564
00:21:11,712 --> 00:21:14,379
Well, you don't have to tell me
the whole list, but...
565
00:21:15,915 --> 00:21:17,950
Okay. Yes.
566
00:21:17,952 --> 00:21:19,418
Everything I have works.
567
00:21:19,420 --> 00:21:21,353
There is no need to change it.
568
00:21:21,355 --> 00:21:22,921
Respect.
569
00:21:31,397 --> 00:21:33,165
[MUFFLED SCREAMING ON TV]
570
00:21:33,167 --> 00:21:34,566
[WOMAN SPEAKING SPANISH]
571
00:21:37,870 --> 00:21:39,071
[SPEAKING SPANISH]
572
00:21:42,075 --> 00:21:43,875
Hi.
573
00:21:43,877 --> 00:21:45,577
- I'm Dr. Glassman.
- Hi.
574
00:21:45,579 --> 00:21:46,945
I'm the president of the hospital.
575
00:21:46,947 --> 00:21:47,946
Is everything okay?
576
00:21:47,948 --> 00:21:48,981
Sit down.
577
00:21:51,351 --> 00:21:53,986
There has been no change
in Quinn's condition.
578
00:21:53,988 --> 00:21:56,455
However, her grandmother
579
00:21:56,457 --> 00:21:58,824
has made a claim of child abuse
580
00:21:58,826 --> 00:22:01,827
against you and your husband.
581
00:22:01,829 --> 00:22:02,894
She's claiming that
582
00:22:02,896 --> 00:22:06,531
putting Quinn on puberty blockers...
583
00:22:06,533 --> 00:22:08,533
and these are her words,
584
00:22:08,535 --> 00:22:12,271
"making her think
that being trans is okay"...
585
00:22:12,273 --> 00:22:16,208
is a form of emotional
and physical abuse.
586
00:22:16,210 --> 00:22:17,676
♪
587
00:22:17,678 --> 00:22:20,045
Now, just to be clear,
588
00:22:20,047 --> 00:22:21,913
we don't believe
any of these allegations
589
00:22:21,915 --> 00:22:23,448
have any merit whatsoever.
590
00:22:23,450 --> 00:22:24,683
I know my mom, okay?
591
00:22:24,685 --> 00:22:26,184
She's not gonna drop this.
592
00:22:26,186 --> 00:22:27,753
She'll go to court.
593
00:22:27,755 --> 00:22:29,087
Could she get custody?
594
00:22:29,089 --> 00:22:33,592
Well, she could try,
but, uh, Dr. Lim would testify.
595
00:22:33,594 --> 00:22:36,662
- They could put her in a foster home.
- Hey.
596
00:22:36,664 --> 00:22:38,363
Ty, she won't make it.
597
00:22:38,365 --> 00:22:40,899
If we let Quinn do the surgery
she wants now,
598
00:22:40,901 --> 00:22:42,034
it'll all be over.
599
00:22:42,036 --> 00:22:44,970
There will be no reason
for Ruth to fight us.
600
00:22:44,972 --> 00:22:48,707
♪
601
00:22:48,709 --> 00:22:51,109
[SNIFFLES]
602
00:22:51,111 --> 00:22:52,827
Do what Quinn wants.
603
00:22:52,913 --> 00:22:54,561
Do the bilateral surgery.
604
00:22:54,615 --> 00:22:59,551
♪
605
00:23:03,043 --> 00:23:04,510
FINOLA: There is an issue.
606
00:23:05,121 --> 00:23:06,894
Your tests confirmed
607
00:23:06,933 --> 00:23:09,816
abnormalities in the semen parameters.
608
00:23:13,324 --> 00:23:14,524
I beg your pardon?
609
00:23:14,526 --> 00:23:16,581
The semen analysis.
It showed that you have
610
00:23:16,606 --> 00:23:18,562
a low sperm count and low motility.
611
00:23:19,561 --> 00:23:21,325
- It's my fault?
- No.
612
00:23:21,327 --> 00:23:23,661
We... we do not speak in terms of fault.
613
00:23:23,663 --> 00:23:26,197
[EXHALES SHARPLY]
614
00:23:26,199 --> 00:23:28,866
15% of all couples
struggle with infertility,
615
00:23:28,868 --> 00:23:31,769
and of those, 50% have
a male factor component.
616
00:23:33,372 --> 00:23:35,778
It's not great news,
but it's not a dead end.
617
00:23:35,808 --> 00:23:37,341
So what's the next step?
618
00:23:37,343 --> 00:23:39,744
I'm gonna refer you
to Dr. Arjun Dhillon.
619
00:23:39,746 --> 00:23:41,479
He's an excellent urologist,
620
00:23:41,481 --> 00:23:43,748
and he'll give Marcus
a... a full physical,
621
00:23:43,750 --> 00:23:46,159
do some blood work, and an ultrasound.
622
00:23:46,184 --> 00:23:47,583
That can't be right.
623
00:23:47,585 --> 00:23:49,085
- Marcus.
- It can't be right.
624
00:23:49,087 --> 00:23:50,486
Marcus. We got this.
625
00:23:50,488 --> 00:23:51,687
Okay?
626
00:23:51,689 --> 00:23:52,955
We're gonna get through this together.
627
00:23:52,957 --> 00:24:00,596
♪
628
00:24:00,598 --> 00:24:02,264
Hey. Hey!
629
00:24:02,266 --> 00:24:03,899
Why didn't you tell me
Howard's labs came back?
630
00:24:03,901 --> 00:24:06,268
I should have been there
when you broke the bad news to him.
631
00:24:06,270 --> 00:24:09,271
So Melendez could see
your touching bedside manner.
632
00:24:09,273 --> 00:24:10,706
It doesn't matter anyway.
633
00:24:10,708 --> 00:24:12,575
Oh, it doesn't? How the hell not?
634
00:24:13,610 --> 00:24:15,277
The poor guy's getting a colostomy.
635
00:24:15,279 --> 00:24:17,380
There's no way we're winning
this competition.
636
00:24:19,116 --> 00:24:20,750
You really have no sympathy
637
00:24:20,752 --> 00:24:22,051
for what Howard's going through?
638
00:24:22,053 --> 00:24:23,919
It's a major bummer, no doubt.
639
00:24:23,921 --> 00:24:25,788
But we don't have time
to get emotionally invested
640
00:24:25,790 --> 00:24:27,056
in every patient that we treat.
641
00:24:27,058 --> 00:24:29,625
Our job is to go in, do the surgery,
642
00:24:29,627 --> 00:24:30,893
and get out.
643
00:24:30,895 --> 00:24:34,130
Afterwards... his poop,
someone else's poop...
644
00:24:34,132 --> 00:24:35,398
it's not our problem.
645
00:24:36,466 --> 00:24:37,700
Hey, well, wait.
646
00:24:39,102 --> 00:24:40,236
What if we could get Howard
647
00:24:40,238 --> 00:24:41,470
a fecal microbiota transplant?
648
00:24:43,306 --> 00:24:45,041
FMT for a surgical case?
649
00:24:45,043 --> 00:24:47,543
Theoretically, we transfer
healthy feces to him,
650
00:24:47,545 --> 00:24:49,211
it restores good flora to the body,
651
00:24:49,213 --> 00:24:50,179
kills off the CDI,
652
00:24:50,181 --> 00:24:52,048
and he avoids surgery all together.
653
00:24:53,483 --> 00:24:55,117
We could actually win this thing.
654
00:24:55,119 --> 00:24:56,685
[SIGHS]
655
00:24:56,687 --> 00:24:57,920
I'm gonna pull all the research
656
00:24:57,922 --> 00:25:00,089
before pitching it to Melendez.
657
00:25:00,091 --> 00:25:02,625
♪
658
00:25:02,627 --> 00:25:04,427
GLASSMAN: So, this meeting is called
659
00:25:04,429 --> 00:25:07,463
a Challenging Patient
Consultation Process.
660
00:25:07,465 --> 00:25:08,597
The name sucks,
661
00:25:08,599 --> 00:25:11,000
but there are things about it I do like.
662
00:25:11,002 --> 00:25:15,471
All you got to do is talk and listen
663
00:25:15,473 --> 00:25:17,273
and try to understand each other.
664
00:25:17,275 --> 00:25:18,407
What's to understand?
665
00:25:18,409 --> 00:25:20,543
Ruth accused us of being child abusers.
666
00:25:20,545 --> 00:25:21,877
DENISE: And what's to discuss?
667
00:25:21,879 --> 00:25:23,145
We are Quinn's parents.
668
00:25:23,147 --> 00:25:24,880
We get to make her medical decisions.
669
00:25:24,882 --> 00:25:26,816
What if Quinnie's better off as a boy?
670
00:25:26,818 --> 00:25:29,985
You have no idea
what Quinn has been through.
671
00:25:29,987 --> 00:25:32,888
Every kid goes through rough patches.
672
00:25:32,890 --> 00:25:34,723
Every kid is confused.
673
00:25:34,725 --> 00:25:36,625
Quinn has always told us
exactly who she was,
674
00:25:36,627 --> 00:25:37,827
ever since she was 3.
675
00:25:37,829 --> 00:25:39,295
So you let Quinn play with dolls.
676
00:25:39,297 --> 00:25:40,596
Big deal.
677
00:25:40,598 --> 00:25:42,665
You don't make life-altering decisions
678
00:25:42,667 --> 00:25:45,167
because a child wants to be a princess.
679
00:25:49,773 --> 00:25:52,741
We used to let Quinn
do whatever she wanted at home.
680
00:25:52,743 --> 00:25:55,511
But when she went out in public,
681
00:25:55,513 --> 00:25:57,580
we made her present as a boy.
682
00:25:59,049 --> 00:26:01,083
It felt false to her.
683
00:26:01,085 --> 00:26:03,419
She hated it.
684
00:26:03,421 --> 00:26:04,553
She hated herself.
685
00:26:04,555 --> 00:26:07,957
She became reclusive, depressed.
686
00:26:07,959 --> 00:26:10,726
And then a year ago,
Quinn tried to kill herself.
687
00:26:10,728 --> 00:26:17,099
♪
688
00:26:17,101 --> 00:26:18,267
Sorry I'm late.
689
00:26:18,269 --> 00:26:23,906
♪
690
00:26:23,908 --> 00:26:29,512
♪
691
00:26:29,514 --> 00:26:31,380
Howard might not need the colostomy
692
00:26:31,382 --> 00:26:36,185
if we give him
a fecal microbiota transplant.
693
00:26:36,187 --> 00:26:37,953
Hasn't the FDA gone
back and forth on that?
694
00:26:37,955 --> 00:26:40,656
We could be introducing
new bacteria into his system
695
00:26:40,658 --> 00:26:41,824
that could kill him.
696
00:26:41,826 --> 00:26:42,925
The likelihood of that is low.
697
00:26:42,927 --> 00:26:43,959
But not zero.
698
00:26:43,961 --> 00:26:45,327
But if we do the colostomy,
699
00:26:45,329 --> 00:26:46,695
we may not really be helping him.
700
00:26:46,697 --> 00:26:48,364
15% to 30% of patients
701
00:26:48,366 --> 00:26:50,757
get recurrent CDI
after the initial bout.
702
00:26:50,782 --> 00:26:51,800
That's a good point.
703
00:26:51,802 --> 00:26:54,069
I believe 65% of that time,
704
00:26:54,071 --> 00:26:55,437
recurrent CDI becomes chronic,
705
00:26:55,439 --> 00:26:57,306
which can lead to repeated
hospitalizations and death.
706
00:26:57,308 --> 00:27:00,242
♪
707
00:27:00,244 --> 00:27:01,744
Are my numbers right, Claire?
708
00:27:01,746 --> 00:27:03,279
Yes.
709
00:27:03,281 --> 00:27:05,548
But recent studies
710
00:27:05,550 --> 00:27:09,685
show better than
a 95% success rate with FMTs.
711
00:27:09,687 --> 00:27:11,620
Howard is a good candidate.
712
00:27:11,622 --> 00:27:12,721
We should try it
713
00:27:12,723 --> 00:27:14,123
before he develops a toxic megacolon.
714
00:27:14,125 --> 00:27:16,258
Don't we owe it to him, to his twins,
715
00:27:16,260 --> 00:27:18,194
to at least try
an experimental treatment
716
00:27:18,196 --> 00:27:19,795
before doing an invasive surgery
717
00:27:19,797 --> 00:27:21,463
which will alter his life forever?
718
00:27:21,465 --> 00:27:22,965
You're right.
719
00:27:22,967 --> 00:27:24,667
Prep him for the procedure.
720
00:27:24,669 --> 00:27:26,869
I appreciate your passionate advocacy
721
00:27:26,871 --> 00:27:27,903
for your patient.
722
00:27:27,905 --> 00:27:29,505
Good work, both of you.
723
00:27:32,909 --> 00:27:34,677
Oh, now you're a team player.
724
00:27:34,679 --> 00:27:35,911
When it benefits me, yes.
725
00:27:35,913 --> 00:27:37,680
Speaking of which,
726
00:27:37,682 --> 00:27:38,981
while you were doing your research,
727
00:27:38,983 --> 00:27:40,482
I found Howard a match
at the stool bank.
728
00:27:40,484 --> 00:27:41,817
Sample arrives in a couple of hours.
729
00:27:41,819 --> 00:27:42,918
Great.
730
00:27:42,920 --> 00:27:44,687
I let them know you'd be
the designated doctor
731
00:27:44,689 --> 00:27:46,121
to handle the medical chain of custody
732
00:27:46,123 --> 00:27:47,356
when the sample arrives.
733
00:27:47,358 --> 00:27:49,091
So...?
734
00:27:49,093 --> 00:27:51,760
So you're the only person
who can handle the sample.
735
00:27:51,762 --> 00:27:53,262
You'll have to dilute it,
blend it, strain it
736
00:27:53,264 --> 00:27:54,530
all on your own.
737
00:27:54,532 --> 00:27:56,498
To safeguard against
cross-contamination, of course.
738
00:27:56,500 --> 00:27:58,200
Of course.
739
00:27:58,202 --> 00:28:05,074
♪
740
00:28:06,776 --> 00:28:09,945
Your temperature and BP are normal.
741
00:28:09,947 --> 00:28:10,946
QUINN: Normal.
742
00:28:10,948 --> 00:28:12,848
Whatever that means.
743
00:28:12,850 --> 00:28:15,618
Typical. Usual.
744
00:28:15,620 --> 00:28:17,419
Expected.
745
00:28:17,421 --> 00:28:20,389
Yeah, I don't feel like
any of those things.
746
00:28:20,391 --> 00:28:22,758
What does it feel like to be a girl?
747
00:28:27,497 --> 00:28:28,831
Are you angry?
748
00:28:28,833 --> 00:28:31,400
Was that an inflammatory question?
749
00:28:31,402 --> 00:28:32,434
I'd rather people ask questions
750
00:28:32,436 --> 00:28:33,502
instead of pointing and staring.
751
00:28:35,739 --> 00:28:37,773
When I used to look like a boy,
752
00:28:37,775 --> 00:28:40,075
I felt... different.
753
00:28:40,077 --> 00:28:43,479
The kids at school didn't understand me,
754
00:28:43,481 --> 00:28:44,947
so they picked on me.
755
00:28:44,949 --> 00:28:46,915
I spent a lot of time alone.
756
00:28:46,917 --> 00:28:48,884
♪
757
00:28:48,886 --> 00:28:52,121
When my parents let me be me,
758
00:28:52,123 --> 00:28:53,956
I felt...
759
00:28:53,958 --> 00:28:55,658
like I didn't have to pretend anymore.
760
00:28:57,594 --> 00:28:58,494
I felt free,
761
00:28:58,496 --> 00:29:00,296
like when you're in a pool
762
00:29:00,298 --> 00:29:02,197
and you just let go and float.
763
00:29:02,199 --> 00:29:06,568
♪
764
00:29:06,570 --> 00:29:09,038
I'm not a very good swimmer.
765
00:29:09,040 --> 00:29:10,773
[CHUCKLES]
766
00:29:10,775 --> 00:29:18,580
♪
767
00:29:18,582 --> 00:29:20,949
I don't know what it feels like
768
00:29:20,951 --> 00:29:23,185
to be anyone but me.
769
00:29:23,187 --> 00:29:26,021
♪
770
00:29:26,023 --> 00:29:27,956
Me, too.
771
00:29:27,958 --> 00:29:29,491
♪
772
00:29:29,493 --> 00:29:32,294
Is the bilateral more risky
773
00:29:32,296 --> 00:29:34,496
than the unilateral surgery?
774
00:29:34,498 --> 00:29:36,131
The big issue with the bilateral
775
00:29:36,133 --> 00:29:38,467
is Quinn will never be able
to have biological children.
776
00:29:38,469 --> 00:29:40,602
If Quinn's parents think
that Quinn's mature enough
777
00:29:40,604 --> 00:29:42,137
and strong enough in her beliefs,
778
00:29:42,139 --> 00:29:43,238
then they should do it now.
779
00:29:43,240 --> 00:29:45,774
It's an elective surgery on a child.
780
00:29:45,776 --> 00:29:47,943
There is no medical necessity.
781
00:29:47,945 --> 00:29:49,978
Except with a previous suicide attempt,
782
00:29:49,980 --> 00:29:51,046
she's still at risk.
783
00:29:51,048 --> 00:29:52,614
Her situation is different now.
784
00:29:52,616 --> 00:29:55,484
She's socially transitioned
and living as a girl.
785
00:29:55,486 --> 00:29:57,786
But there just isn't enough good data
786
00:29:57,788 --> 00:29:59,488
on trans kids and their outcomes.
787
00:29:59,490 --> 00:30:01,623
On the other hand,
there's very good reason
788
00:30:01,625 --> 00:30:02,991
to preserve future fertility.
789
00:30:02,993 --> 00:30:05,194
GLASSMAN: Dr. Lim and Dr. Andrews
790
00:30:05,196 --> 00:30:06,495
are both very excellent surgeons,
791
00:30:06,497 --> 00:30:08,030
and they very clearly have
792
00:30:08,032 --> 00:30:09,331
some passionate points of view,
793
00:30:09,333 --> 00:30:10,833
but their views are their own.
794
00:30:10,835 --> 00:30:14,069
You all need to decide
what's best for Quinn.
795
00:30:15,572 --> 00:30:17,506
Whatever we decide,
796
00:30:17,508 --> 00:30:19,441
Quinn is still gonna be a girl.
797
00:30:22,612 --> 00:30:25,047
I don't know if I'll ever
be able to accept that.
798
00:30:26,649 --> 00:30:29,118
I know that makes me sound horrible.
799
00:30:29,120 --> 00:30:33,622
I know what it's like
to not put your family first,
800
00:30:33,624 --> 00:30:35,457
and it cost me.
801
00:30:35,459 --> 00:30:38,827
It cost me a great deal.
802
00:30:38,829 --> 00:30:41,730
And if I had to do it all over again,
803
00:30:41,732 --> 00:30:42,965
I'd ask myself...
804
00:30:42,967 --> 00:30:45,667
is it really worth sacrificing a life
805
00:30:45,669 --> 00:30:47,403
with someone I love
806
00:30:47,405 --> 00:30:51,607
over an idea that may never be?
807
00:30:51,609 --> 00:30:57,212
♪
808
00:30:57,214 --> 00:30:58,781
Why don't we give them the room?
809
00:30:58,783 --> 00:31:07,289
♪
810
00:31:07,291 --> 00:31:09,324
- [MONITOR BEEPING RAPIDLY]
- Hey. I got the page. What's going on?
811
00:31:09,326 --> 00:31:11,193
She started screaming in pain
and vomiting.
812
00:31:11,195 --> 00:31:12,161
Temp's 104.
813
00:31:12,163 --> 00:31:13,529
SHAUN: Increased groin pain
814
00:31:13,531 --> 00:31:15,230
could be attributed to epididymitis,
815
00:31:15,232 --> 00:31:16,832
kidney stones, inguinal hernia...
816
00:31:16,834 --> 00:31:17,997
The extra weight of the tumor
817
00:31:18,022 --> 00:31:19,635
could be causing the testicle
to twist on itself.
818
00:31:19,637 --> 00:31:22,204
There'd be no blood flow.
819
00:31:22,206 --> 00:31:26,108
♪
820
00:31:26,110 --> 00:31:27,643
QUINN: [RETCHES]
821
00:31:28,411 --> 00:31:31,313
She has a testicular torsion.
She needs surgery now.
822
00:31:31,315 --> 00:31:32,648
♪
823
00:31:38,694 --> 00:31:40,461
Excuse me. Have you made a decision?
824
00:31:40,463 --> 00:31:42,730
Not yet. I mean, there's a lot to...
825
00:31:42,732 --> 00:31:43,998
We need one now.
826
00:31:44,000 --> 00:31:45,500
Quinn has testicular torsion.
827
00:31:45,524 --> 00:31:47,139
The spermatic cord is twisted
828
00:31:47,164 --> 00:31:48,676
and cutting off blood supply.
829
00:31:48,701 --> 00:31:50,069
We need to operate.
830
00:31:50,094 --> 00:31:52,273
♪
831
00:31:52,275 --> 00:31:56,420
If you want Quinn
to live the way she wants,
832
00:31:56,579 --> 00:31:58,446
don't limit her future now.
833
00:32:00,990 --> 00:32:02,529
You heard her when my mom said
834
00:32:02,554 --> 00:32:04,252
she might want kids some day.
835
00:32:04,254 --> 00:32:05,820
She can't even fathom the thought
836
00:32:05,822 --> 00:32:07,855
because she's just a child.
837
00:32:07,880 --> 00:32:13,652
♪
838
00:32:13,738 --> 00:32:15,663
Just do what's medically necessary.
839
00:32:18,834 --> 00:32:20,001
[SIGHS]
840
00:32:20,903 --> 00:32:24,593
[MONITOR BEEPING]
841
00:32:24,618 --> 00:32:27,986
ANDREWS: Doesn't appear to be
any palpable lymphadenopathy.
842
00:32:28,044 --> 00:32:30,507
It's likely a stromal tumor,
843
00:32:30,532 --> 00:32:32,907
- but get that to pathology right away.
- Yes, sir.
844
00:32:34,550 --> 00:32:37,785
[MONITOR BEEPING RAPIDLY]
845
00:32:37,787 --> 00:32:41,756
Quinn has tachycardia and hypotension.
846
00:32:41,758 --> 00:32:42,890
I'm not seeing any bleeding.
847
00:32:42,892 --> 00:32:44,425
EKG's normal. It's not coronary.
848
00:32:44,427 --> 00:32:46,894
CO2 and O2 are normal,
so it's not a P.E.
849
00:32:46,896 --> 00:32:48,629
It must be a reaction to the anesthesia.
850
00:32:48,631 --> 00:32:50,898
I'm already pushing fluids
and vasoconstrictors.
851
00:32:50,900 --> 00:32:53,601
♪
852
00:32:58,841 --> 00:33:02,110
Six syringes in, and no sign of leakage.
853
00:33:02,112 --> 00:33:03,544
Okay, we're wrapped up here.
854
00:33:03,546 --> 00:33:04,812
Let's get Howard into recovery.
855
00:33:04,814 --> 00:33:07,014
- Well done.
- Thanks.
856
00:33:07,016 --> 00:33:09,851
I was thinking of
writing up the procedure,
857
00:33:09,853 --> 00:33:11,552
possibly submit it for publication.
858
00:33:11,554 --> 00:33:13,254
I'd be happy to assist,
859
00:33:13,256 --> 00:33:15,423
seeing as I've done it before.
860
00:33:15,425 --> 00:33:17,425
Thanks, but I think I can...
861
00:33:17,427 --> 00:33:19,594
I read your paper in AMSURG,
Dr. Reznick.
862
00:33:19,596 --> 00:33:20,895
You continue to impress.
863
00:33:20,897 --> 00:33:21,863
Coming from you,
864
00:33:21,865 --> 00:33:23,431
I take that as a huge compliment.
865
00:33:25,134 --> 00:33:26,959
When you get a chance, Dr. Browne,
866
00:33:27,030 --> 00:33:28,102
you should read it.
867
00:33:28,104 --> 00:33:29,637
Will do.
868
00:33:29,639 --> 00:33:37,712
♪
869
00:33:37,714 --> 00:33:39,247
J.L.: I've given vasopressors
870
00:33:39,249 --> 00:33:41,182
and reduced her meds as much as I can.
871
00:33:41,184 --> 00:33:42,817
She's losing volume somewhere.
872
00:33:42,819 --> 00:33:44,952
It was dry when we ligated
the spermatic cord.
873
00:33:44,954 --> 00:33:46,354
I'm still not seeing the bleed.
874
00:33:46,356 --> 00:33:49,123
SHAUN: Could be vagal stimulation
from the severed nerve.
875
00:33:49,125 --> 00:33:50,391
But she's not responding to epi.
876
00:33:50,393 --> 00:33:52,493
- Sepsis?
- It's too early for an infection.
877
00:33:54,263 --> 00:33:56,564
Her MAP is 20. She's barely profusing.
878
00:33:56,566 --> 00:33:59,834
♪
879
00:33:59,836 --> 00:34:01,169
Okay, excuse me, guys.
880
00:34:01,171 --> 00:34:02,804
- You're breaking scrub.
- I'm so sorry.
881
00:34:03,639 --> 00:34:05,072
Grey-Turner sign.
882
00:34:05,074 --> 00:34:07,041
Could be a retroperitoneal hemorrhage.
883
00:34:07,043 --> 00:34:13,080
♪
884
00:34:13,082 --> 00:34:19,120
♪
885
00:34:19,122 --> 00:34:21,222
Jared could be right.
886
00:34:21,224 --> 00:34:24,525
It is possible that
there's internal bleeding.
887
00:34:24,527 --> 00:34:26,360
The testicular artery
888
00:34:26,362 --> 00:34:28,596
can retract up into the pelvis.
889
00:34:28,598 --> 00:34:30,665
It's rare, but it can happen.
890
00:34:30,667 --> 00:34:32,600
Rare is an understatement. Dr. Andrews?
891
00:34:35,037 --> 00:34:36,804
I don't think we have any other choice.
892
00:34:36,806 --> 00:34:38,472
We need to do an ex-lap. 10 blade.
893
00:34:38,474 --> 00:34:48,482
♪
894
00:34:48,484 --> 00:34:49,784
Murphy, retract.
895
00:34:57,993 --> 00:34:59,627
Internal bleeding.
896
00:34:59,629 --> 00:35:00,928
Jared was right.
897
00:35:02,497 --> 00:35:04,298
Nice call, Dr. Kalu.
898
00:35:04,300 --> 00:35:05,466
Thank you, sir.
899
00:35:06,602 --> 00:35:08,769
Kalu, suction.
We need a clear view of the field.
900
00:35:08,771 --> 00:35:10,705
♪
901
00:35:13,547 --> 00:35:16,092
Fever's down, and the flora
in your system
902
00:35:16,117 --> 00:35:17,449
seems to be returning to normal.
903
00:35:17,451 --> 00:35:20,166
- We expect a full recovery.
- Thank you.
904
00:35:20,191 --> 00:35:21,824
For everything.
905
00:35:21,849 --> 00:35:23,515
Do you know when I can have visitors?
906
00:35:23,544 --> 00:35:25,536
I thought you might ask that question.
907
00:35:25,561 --> 00:35:27,394
There are a couple of eager preschoolers
908
00:35:27,419 --> 00:35:28,852
who'd like to say hi.
909
00:35:28,933 --> 00:35:29,899
Oh.
910
00:35:29,901 --> 00:35:31,323
- Daddy!
- Keira!
911
00:35:31,348 --> 00:35:34,069
Sammy! Oh!
912
00:35:34,071 --> 00:35:36,372
Oh, I think you guys have grown!
913
00:35:36,374 --> 00:35:38,169
- [CHUCKLES]
- Hey.
914
00:35:38,194 --> 00:35:40,576
Hey, these are the doctors
that saved Daddy.
915
00:35:40,578 --> 00:35:43,544
Dr. Reznick and this is, uh...
916
00:35:43,677 --> 00:35:45,560
Uh, I'm sorry, I forgot your name.
917
00:35:46,069 --> 00:35:48,348
Dr. Browne.
918
00:35:48,350 --> 00:35:50,050
- Thank you.
- Thank you.
919
00:35:50,052 --> 00:35:51,585
You're welcome.
920
00:35:51,587 --> 00:35:52,614
[CHUCKLES]
921
00:35:52,639 --> 00:35:53,854
Blah!
922
00:35:53,856 --> 00:35:55,989
[LAUGHTER]
923
00:35:55,991 --> 00:35:57,291
Okay.
924
00:35:59,043 --> 00:36:00,227
MORGAN: Who's this guy?
925
00:36:00,229 --> 00:36:01,261
- Bear Bear.
- Bear Bear?
926
00:36:10,638 --> 00:36:11,772
Did you do it?
927
00:36:11,774 --> 00:36:12,906
Did you remove both?
928
00:36:14,309 --> 00:36:15,409
No.
929
00:36:15,411 --> 00:36:16,543
Just the cancerous one.
930
00:36:16,545 --> 00:36:18,412
What? Why not?
931
00:36:19,697 --> 00:36:21,099
That's on me.
932
00:36:21,124 --> 00:36:23,317
I couldn't, in good conscience,
remove a healthy organ.
933
00:36:28,404 --> 00:36:30,071
Quinnie.
934
00:36:30,096 --> 00:36:31,529
This was our decision.
935
00:36:31,569 --> 00:36:33,446
No! You said you were on my side!
936
00:36:33,471 --> 00:36:36,218
Hey, we are. Always.
937
00:36:36,243 --> 00:36:38,198
We haven't had enough time to talk,
938
00:36:38,200 --> 00:36:40,767
not with each other,
with your therapist,
939
00:36:40,769 --> 00:36:42,208
with your doctors.
940
00:36:42,233 --> 00:36:43,837
So I'm gonna turn into a boy.
941
00:36:43,839 --> 00:36:45,772
Well, not right away.
942
00:36:45,774 --> 00:36:47,474
Your endocrinologist will talk to you
943
00:36:47,476 --> 00:36:48,475
about the right timeline
944
00:36:48,477 --> 00:36:50,444
for starting feminizing hormones.
945
00:36:50,446 --> 00:36:53,580
[SIGHS]
946
00:36:53,582 --> 00:36:54,961
You know...
947
00:36:55,918 --> 00:36:58,352
the thought of having
your own kids someday
948
00:36:58,354 --> 00:36:59,987
is a big decision,
949
00:36:59,989 --> 00:37:01,855
but you never know
what you will or will not want
950
00:37:01,857 --> 00:37:03,023
once you get older.
951
00:37:03,025 --> 00:37:05,092
Cis people are always so worked up
952
00:37:05,094 --> 00:37:06,527
about having bio kids.
953
00:37:06,529 --> 00:37:08,362
If I really want a kid that bad,
954
00:37:08,364 --> 00:37:09,830
I can just adopt.
955
00:37:13,234 --> 00:37:14,701
You know, I'll be back when I'm 18
956
00:37:14,703 --> 00:37:16,603
for my gender confirmation surgery.
957
00:37:16,605 --> 00:37:20,541
And when you do,
I'll be here to help you.
958
00:37:20,543 --> 00:37:25,345
♪
959
00:37:28,249 --> 00:37:30,450
Patient satisfaction
survey scores are in,
960
00:37:30,452 --> 00:37:31,952
and it was very close.
961
00:37:31,954 --> 00:37:33,654
Not really. She's being kind.
962
00:37:33,656 --> 00:37:37,691
Congratulations go
to Dr. Reznick and Dr. Browne.
963
00:37:37,693 --> 00:37:39,493
- Yes.
- Thank you.
964
00:37:41,062 --> 00:37:43,063
Congratulations.
965
00:37:43,065 --> 00:37:44,131
Thank you, Shaun.
966
00:37:44,133 --> 00:37:46,066
Claire and I make a nice team.
967
00:37:49,370 --> 00:37:50,871
You should be psyched.
968
00:37:50,873 --> 00:37:52,639
Yeah. I should be.
969
00:37:55,253 --> 00:37:57,711
To the victor belong the spoils.
970
00:37:57,713 --> 00:37:59,212
Pay up.
971
00:37:59,214 --> 00:38:01,815
Oh, humility was never your strong suit.
972
00:38:03,751 --> 00:38:05,819
- Thank you, Mortimer.
- Mm.
973
00:38:05,821 --> 00:38:07,988
Don't spend it all in one place.
974
00:38:07,990 --> 00:38:09,423
Spend it?
975
00:38:09,425 --> 00:38:11,024
I'm gonna frame it.
976
00:38:11,026 --> 00:38:13,393
♪
977
00:38:13,395 --> 00:38:15,896
What made you think of
a retroperitoneal hemorrhage?
978
00:38:15,898 --> 00:38:16,863
Homework.
979
00:38:16,865 --> 00:38:17,931
You were right.
980
00:38:17,933 --> 00:38:19,700
Prepping for an SDA was important.
981
00:38:19,702 --> 00:38:21,435
We make a good team.
982
00:38:24,706 --> 00:38:26,873
Quinn doesn't like pink.
983
00:38:26,875 --> 00:38:28,141
Oh.
984
00:38:28,143 --> 00:38:30,877
Uh, I think she will like these.
985
00:38:30,879 --> 00:38:33,146
I hope so.
986
00:38:35,350 --> 00:38:38,151
She's more of a purple girl.
987
00:38:38,153 --> 00:38:45,592
♪
988
00:38:45,594 --> 00:38:47,661
Did you read Morgan's
AMSURG article yet?
989
00:38:47,663 --> 00:38:48,762
[SCOFFS]
990
00:38:48,764 --> 00:38:51,331
It is on the top of my to-do list.
991
00:38:51,333 --> 00:38:53,600
I didn't tell you to read it
to rub it in.
992
00:38:53,602 --> 00:38:56,236
♪
993
00:38:56,238 --> 00:38:58,271
I told you to read it so you
knew what you'd be up against.
994
00:38:58,273 --> 00:39:00,340
You think I need to be more cutthroat?
995
00:39:00,342 --> 00:39:01,354
No.
996
00:39:01,379 --> 00:39:03,913
That's Morgan's M.O. You're different.
997
00:39:03,979 --> 00:39:05,812
You're smart, you're special.
998
00:39:05,814 --> 00:39:09,750
Rise up, play the game
on your own terms.
999
00:39:09,752 --> 00:39:11,184
Don't wait for it.
1000
00:39:11,186 --> 00:39:16,890
♪ A year from now we'll all be gone ♪
1001
00:39:16,892 --> 00:39:21,128
♪ All our friends will move away ♪
1002
00:39:21,130 --> 00:39:22,496
♪
1003
00:39:22,498 --> 00:39:27,901
♪ And they're goin' to better places ♪
1004
00:39:27,903 --> 00:39:32,372
♪ But our friends will be gone away ♪
1005
00:39:36,778 --> 00:39:39,346
♪ Nothin' is as it has been ♪
1006
00:39:39,348 --> 00:39:42,049
I heard you saved Quinn's life.
1007
00:39:42,051 --> 00:39:44,785
Jared and I did.
1008
00:39:44,787 --> 00:39:46,453
I like her.
1009
00:39:46,455 --> 00:39:47,554
"Her."
1010
00:39:47,556 --> 00:39:49,189
♪ And I guess it's just as well ♪
1011
00:39:49,191 --> 00:39:53,727
So you get that she is a "she."
1012
00:39:53,729 --> 00:39:55,729
I have lots of questions.
1013
00:39:55,731 --> 00:39:58,699
Yeah, well, questions are good.
1014
00:39:58,701 --> 00:40:01,802
Leads to awareness and understanding.
1015
00:40:01,804 --> 00:40:04,004
And, who knows, maybe even acceptance.
1016
00:40:05,860 --> 00:40:07,235
Being a kid is tough enough,
1017
00:40:07,260 --> 00:40:09,810
But being a trans kid?
Oh, man, that's...
1018
00:40:09,812 --> 00:40:11,111
that's off the chart.
1019
00:40:11,113 --> 00:40:13,547
♪
1020
00:40:13,549 --> 00:40:15,849
I can't imagine how it must feel
1021
00:40:15,851 --> 00:40:19,119
to be so different on the outside
1022
00:40:19,121 --> 00:40:20,320
than you are on the inside.
1023
00:40:20,322 --> 00:40:23,924
♪ Oh, oh, oh ♪
1024
00:40:23,926 --> 00:40:27,294
♪ Oh, oh ♪
1025
00:40:27,296 --> 00:40:29,229
Hey, Shaun.
1026
00:40:29,231 --> 00:40:32,032
I can give you a lift.
1027
00:40:32,034 --> 00:40:33,667
We could grab a bite.
1028
00:40:33,669 --> 00:40:36,136
♪ Oh ♪
1029
00:40:36,138 --> 00:40:39,506
You said you can't be my friend.
1030
00:40:39,508 --> 00:40:41,241
So, no, thank you.
1031
00:40:42,810 --> 00:40:46,246
♪ Been talking 'bout ♪
1032
00:40:46,248 --> 00:40:47,447
Okay.
1033
00:40:47,449 --> 00:40:49,015
♪ The way things change ♪
1034
00:40:49,017 --> 00:40:50,951
♪
1035
00:40:50,953 --> 00:40:55,856
♪ If you don't know what
to make of this ♪
1036
00:40:55,858 --> 00:40:57,224
Hey, amigo. What's up?
1037
00:40:57,226 --> 00:40:59,760
- ♪ Then we will not relate ♪
- I need your help.
1038
00:40:59,762 --> 00:41:01,261
[SCOFFS]
1039
00:41:02,430 --> 00:41:04,898
♪ Rivers and roads ♪
1040
00:41:04,900 --> 00:41:07,901
♪ Rivers and roads ♪
1041
00:41:07,903 --> 00:41:11,438
♪ Rivers till I reach you ♪
1042
00:41:13,107 --> 00:41:15,976
♪ Rivers and roads ♪
1043
00:41:15,978 --> 00:41:18,445
♪ Oh, rivers and roads ♪
1044
00:41:18,447 --> 00:41:22,482
♪ Oh, rivers till I reach you ♪
1045
00:41:22,484 --> 00:41:24,584
♪
1046
00:41:24,586 --> 00:41:27,020
♪ Rivers and roads ♪
1047
00:41:27,022 --> 00:41:29,656
♪ Rivers and roads ♪
1048
00:41:29,658 --> 00:41:32,993
♪ Rivers till I reach you ♪
1049
00:41:34,896 --> 00:41:37,631
♪ Rivers and roads ♪
1050
00:41:37,633 --> 00:41:40,133
♪ Rivers and roads ♪
1051
00:41:40,135 --> 00:41:43,603
♪ Rivers till I reach you ♪
1052
00:41:43,605 --> 00:41:47,474
You're not gonna do any laps or nothing?
1053
00:41:47,476 --> 00:41:48,742
No.
1054
00:41:48,744 --> 00:41:51,411
♪
1055
00:41:51,413 --> 00:41:52,712
Then what are you doing?
1056
00:41:55,183 --> 00:41:57,417
Understanding.
1057
00:41:57,419 --> 00:42:01,922
♪
1058
00:42:01,924 --> 00:42:04,891
- ♪ Oh ♪
- ♪ Rivers and roads ♪
1059
00:42:04,893 --> 00:42:07,761
♪ Rivers and roads ♪
1060
00:42:07,763 --> 00:42:12,365
♪ Rivers till I reach you ♪
1061
00:42:12,389 --> 00:42:17,189
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