﻿1
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(BIRDS CHIRPING)

2
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<i>♪ </i>

3
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<i>♪ </i>

4
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_

5
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You're here early. Trouble sleeping?

6
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No. Just wanted to get out

7
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of my apartment and to work.

8
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We work you plenty hard enough. Go home.

9
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Making sure you're rested
is also part of the job.

10
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I understand.

11
00:00:43,330 --> 00:00:45,140
What should I tell a patient

12
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if they don't think they're sick

13
00:00:46,520 --> 00:00:49,080
but I think they have pancreatic cancer?

14
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You think one of our patients
has pancreatic cancer?

15
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(BURPS)

16
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Seventeen.

17
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He's burped 17 times

18
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in 10 minutes.

19
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It's a frequent symptom
of pancreatic cancer.

20
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Shaun, it's acid reflux.

21
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He's also jaundiced.

22
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No, he isn't.

23
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Paul's skin is definitely not

24
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the same color it was six months ago.

25
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- Paul?
- I looked at his mouth

26
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when he was telling me
about his daughter.

27
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- She just...
- Walk with me.

28
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<i>♪ </i>

29
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(QUIETLY) Say nothing.

30
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<i>♪ </i>

31
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<i>♪ </i>

32
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Hey, Shaun.

33
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<i>♪ </i>

34
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(NORMAL VOICE) Do a CVC, CMP,

35
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amylase, lipase, CA-19 levels,

36
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and CT abdomen,
pelvis pancreatic protocol,

37
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and do not tell him why.

38
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You want me to lie?

39
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I don't want you to tell the truth.

40
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The discoloration, if there
is any, is very minor.

41
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I don't want you scaring the crap
out of the man over nothing.

42
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Excellent. I've been practicing lying.

43
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I lied to you before when I said

44
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I just wanted to get out
of my apartment and to work.

45
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Take Claire.

46
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Hello. I'm Dr. Lim.

47
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How can I help you today...

48
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Asha?

49
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I want plastic surgery.

50
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Sweetheart, this is the Emergency Room.

51
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If you want, I can make
an appointment for you...

52
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Well, you do vaginal rejuvenation, right?

53
00:02:43,030 --> 00:02:44,610
Yes...

54
00:02:44,830 --> 00:02:46,540
On much older, much vainer women,

55
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generally after having many children.

56
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I don't know what the
boys have told you...

57
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Examine me.

58
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Please.

59
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Please take off your underwear.

60
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(SOMBER MUSIC PLAYS)

61
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<i>♪ </i>

62
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Were you in an accident?

63
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No.

64
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Can you help me?

65
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- Did your father do this to you?
- No.

66
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- Please just...
- Did your mother...

67
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- I need to know who did this to you.
- No, you don't!

68
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It doesn't matter who...

69
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<i>♪ </i>

70
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(INHALES DEEPLY)

71
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When I was 2 years old...

72
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I was... Tied down,

73
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and I was circumcised.

74
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<i>♪ </i>

75
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(VOICE BREAKING) Please.

76
00:03:57,790 --> 00:03:59,460
I'm hideous.

77
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<i>♪ </i>

78
00:04:04,670 --> 00:04:06,240
Will you help me?

79
00:04:06,270 --> 00:04:07,670
<i>♪ </i>

80
00:04:08,940 --> 00:04:09,940
Yes.

81
00:04:11,310 --> 00:04:21,520
Synced & corrected by -robtor-
www.addic7ed.com

82
00:04:22,400 --> 00:04:24,220
Why do you need to confirm

83
00:04:24,240 --> 00:04:26,780
a diagnosis of acid reflux?

84
00:04:26,800 --> 00:04:28,990
Because we're doctors. It's what we do.

85
00:04:29,010 --> 00:04:30,550
We just like to be sure of everything.

86
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There are a few remote possibilities...

87
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I've got this!

88
00:04:38,390 --> 00:04:41,800
Are you familiar with
the hospital employee manual

89
00:04:41,830 --> 00:04:44,210
section 17, subsection C, triple I?

90
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- No.
- Good.

91
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- Good?
- Yes.

92
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It requires that all employees

93
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shall be subject to,

94
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and I quote,

95
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"Any and all possible necessary tests

96
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"to confirm any and all diagnoses,

97
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"no matter how mundane,
the cost of which tests

98
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"shall be borne by
the hospital," end quote.

99
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The Board wants to make sure

100
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that no one is exposed to patients

101
00:05:13,930 --> 00:05:15,800
if there is any chance that they have

102
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any communicable condition.

103
00:05:23,640 --> 00:05:26,350
I had the flu last week.

104
00:05:26,370 --> 00:05:28,730
Why didn't anybody
do anything for me then?

105
00:05:31,740 --> 00:05:34,110
- It's a new policy.
- You might have pancreatic cancer.

106
00:05:35,280 --> 00:05:36,900
What?

107
00:05:36,920 --> 00:05:38,150
What'd he say?

108
00:05:39,850 --> 00:05:41,630
Female genital mutilation

109
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is the ritual cutting
or removal of some, or all,

110
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of the external female genitalia.

111
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Over 200 million victims worldwide.

112
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It is almost universally practiced

113
00:05:51,200 --> 00:05:53,629
in a number of African
and Asian countries.

114
00:05:53,630 --> 00:05:54,830
Where was she born?

115
00:05:55,770 --> 00:05:57,280
Wisconsin. (EXHALES DEEPLY)

116
00:05:57,300 --> 00:05:58,850
Yeah, it's way more common
here than you think.

117
00:05:58,870 --> 00:06:00,750
- What religion is she?
- I didn't ask.

118
00:06:00,870 --> 00:06:02,120
This isn't about religion.

119
00:06:02,250 --> 00:06:04,669
No legit religious organization
endorses this stuff.

120
00:06:04,670 --> 00:06:07,390
We're gonna do the labiaplasty
first thing in the morning.

121
00:06:07,510 --> 00:06:09,950
The damage done to her nerves
is not going to get undone,

122
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nor is the psych damage,

123
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but at least she'll
look like other girls.

124
00:06:14,280 --> 00:06:15,696
We should be able to have her out of here

125
00:06:15,720 --> 00:06:16,790
by 6:00 in the evening.

126
00:06:16,820 --> 00:06:19,080
Outpatient? Why the hurry?

127
00:06:19,180 --> 00:06:21,670
So her mother will simply
think she's in school,

128
00:06:21,690 --> 00:06:23,160
then out studying with her friends.

129
00:06:24,540 --> 00:06:26,620
She loves her parents
and doesn't want to tell them

130
00:06:26,640 --> 00:06:29,240
that she's rejecting one
of their cultural traditions.

131
00:06:29,260 --> 00:06:30,500
They won't stay in the dark for long,

132
00:06:30,520 --> 00:06:32,610
since we're legally obligated
to report them.

133
00:06:32,630 --> 00:06:34,810
That "cultural tradition" also fits

134
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- the definition of abuse.
- And they'll also find out when we ask

135
00:06:37,540 --> 00:06:39,380
for their permission to do this surgery.

136
00:06:39,410 --> 00:06:40,720
She's a minor.

137
00:06:40,740 --> 00:06:42,080
Her ID says she's 18.

138
00:06:42,100 --> 00:06:43,960
Yes, her fake ID

139
00:06:43,980 --> 00:06:45,560
says she's 18.

140
00:06:45,580 --> 00:06:47,896
Her number starts with an "H," which
means she was born in the '50s.

141
00:06:47,920 --> 00:06:50,700
Also, the photo background
is green instead of blue.

142
00:06:50,720 --> 00:06:52,529
- Also six other things.
- (SIGHS)

143
00:06:52,530 --> 00:06:54,410
Maybe we can get Legal
to get a court order...

144
00:06:54,430 --> 00:06:56,340
If I believe that ID is real,

145
00:06:56,360 --> 00:06:58,640
then I am entitled
to perform this surgery

146
00:06:58,670 --> 00:07:01,650
without seeking consent of
anyone other than the patient.

147
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And, as legally required within 36 hours,

148
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I will report the evidence of abuse

149
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under the name and address
listed on that ID.

150
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If the investigation of that report

151
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doesn't begin until the girl is long gone

152
00:07:14,650 --> 00:07:17,700
and happens to lead nowhere
because the name wasn't real,

153
00:07:17,720 --> 00:07:19,200
that's no fault of mine.

154
00:07:19,220 --> 00:07:21,370
Are you sure you want
to risk your medical license

155
00:07:21,390 --> 00:07:22,770
to protect an abusive mother?

156
00:07:22,790 --> 00:07:24,300
If we do this by the book,

157
00:07:24,330 --> 00:07:26,340
we never see that girl again
and no one gets help.

158
00:07:26,360 --> 00:07:29,410
If we do this by the book, maybe
the cops lock the parents up.

159
00:07:29,430 --> 00:07:31,880
We shine a light on this thing,
her community gets scared,

160
00:07:31,900 --> 00:07:33,950
and maybe the next girl
doesn't need our help.

161
00:07:33,970 --> 00:07:35,810
Or maybe the testimony of the girl

162
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about what happened to her when she was 2

163
00:07:37,570 --> 00:07:39,220
doesn't help the cops at all.

164
00:07:39,240 --> 00:07:41,190
Maybe the parents just
take their daughter home,

165
00:07:41,210 --> 00:07:43,000
and maybe we scare the next girl

166
00:07:43,020 --> 00:07:45,080
into not even asking for help.

167
00:07:46,380 --> 00:07:49,490
I'm doing the surgery to this girl

168
00:07:49,520 --> 00:07:52,900
under this name
tomorrow morning at 7:00 a.m.

169
00:07:52,920 --> 00:07:54,760
<i>♪ </i>

170
00:08:03,770 --> 00:08:06,380
I can't believe people ever lie.

171
00:08:06,400 --> 00:08:08,979
There are so many questions

172
00:08:08,980 --> 00:08:10,680
people might ask you,

173
00:08:10,710 --> 00:08:12,380
but if you tell the truth,

174
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you already know the answers.

175
00:08:15,310 --> 00:08:17,860
And, also, it's wrong.

176
00:08:17,880 --> 00:08:19,790
But sometimes,

177
00:08:19,820 --> 00:08:22,320
you shouldn't tell the whole truth?

178
00:08:23,420 --> 00:08:26,060
No. Of course not.

179
00:08:26,090 --> 00:08:28,770
Because that lets you be honorable

180
00:08:28,790 --> 00:08:32,240
and tell the truth and be a good person,

181
00:08:32,260 --> 00:08:33,710
but at the same time,

182
00:08:33,730 --> 00:08:36,870
you get to completely deceive the person.

183
00:08:36,900 --> 00:08:39,260
- No, I don't think that...
- Lea came back.

184
00:08:40,070 --> 00:08:41,610
Wow, Shaun, that's great.

185
00:08:41,640 --> 00:08:45,220
She's staying with me
until she finds her own place.

186
00:08:45,240 --> 00:08:47,110
You must be so excited.

187
00:08:48,540 --> 00:08:49,740
Yes.

188
00:08:51,650 --> 00:08:53,310
You're not excited?

189
00:08:53,920 --> 00:08:55,520
I said, "Yes."

190
00:08:58,820 --> 00:09:00,690
Paul has one year to live.

191
00:09:02,090 --> 00:09:04,460
He has pancreatic cancer.

192
00:09:05,260 --> 00:09:06,570
Stage III.

193
00:09:06,600 --> 00:09:08,030
<i>♪ </i>

194
00:09:12,360 --> 00:09:14,170
There are no metastatic
lesions, but there are

195
00:09:14,200 --> 00:09:16,240
- local nodes involved.
- And there's partial encasement

196
00:09:16,260 --> 00:09:17,780
of the superior mesenteric artery.

197
00:09:17,800 --> 00:09:18,940
That puts it past the point

198
00:09:18,970 --> 00:09:21,030
where we can cure with local resection.

199
00:09:21,340 --> 00:09:23,580
We could do Whipple surgery.

200
00:09:23,600 --> 00:09:25,820
That's not advised for
stage III pancreatic cancer.

201
00:09:25,840 --> 00:09:28,590
Not quite. It's not advised for stage IV.

202
00:09:28,610 --> 00:09:30,950
For stage III, it's discretionary.

203
00:09:30,980 --> 00:09:32,720
- (BOOK THUDS)
- In my discretion,

204
00:09:32,740 --> 00:09:34,719
he's better off with
12 semi-comfortable months,

205
00:09:34,720 --> 00:09:37,030
rather than running the risk of
dying on the table tomorrow.

206
00:09:37,050 --> 00:09:39,930
If he doesn't die on the table,
he could have many years.

207
00:09:39,960 --> 00:09:42,010
CLAIRE: It isn't our call to make.

208
00:09:42,030 --> 00:09:44,220
I'll talk to Paul,
advise him of the parameters,

209
00:09:44,240 --> 00:09:45,710
let him make his own decision.

210
00:09:47,500 --> 00:09:48,740
No.

211
00:09:49,530 --> 00:09:50,630
Shaun should do it.

212
00:09:52,360 --> 00:09:53,600
Claire can do it.

213
00:09:53,630 --> 00:09:56,210
Yes, she can,
which is why you should do it.

214
00:09:56,230 --> 00:09:58,210
This is a teaching hospital.

215
00:09:58,330 --> 00:09:59,540
Andrews is right...

216
00:09:59,570 --> 00:10:01,580
Being a surgeon isn't just about cutting.

217
00:10:01,600 --> 00:10:04,040
<i>♪ </i>

218
00:10:11,090 --> 00:10:14,180
<i>♪ </i>

219
00:10:23,320 --> 00:10:24,670
Would it be okay

220
00:10:24,690 --> 00:10:27,430
if we spoke someplace more quiet?

221
00:10:28,120 --> 00:10:31,260
You need someplace quiet
to tell me I have acid reflux?

222
00:10:34,040 --> 00:10:37,050
I think we should be someplace quiet

223
00:10:37,070 --> 00:10:39,380
because people sometimes get very upset

224
00:10:39,410 --> 00:10:41,090
when they find out
they probably only have

225
00:10:41,110 --> 00:10:42,820
less than a year to live.

226
00:10:42,950 --> 00:10:44,680
<i>♪ </i>

227
00:10:49,880 --> 00:10:51,220
Okay, uh...

228
00:10:51,240 --> 00:10:53,260
Can I call my family?

229
00:10:53,300 --> 00:10:55,830
They should probably hear
what you have to say, too.

230
00:10:55,850 --> 00:10:57,380
I'd rather just talk to...

231
00:10:57,400 --> 00:10:59,130
Of course you can.

232
00:10:59,150 --> 00:11:01,170
<i>♪ </i>

233
00:11:01,380 --> 00:11:03,590
DR. LIM: I'll elevate it with
a 6-inch Ambler tissue hook.

234
00:11:03,610 --> 00:11:05,790
You separate the underlying
tissue with iris forceps.

235
00:11:06,010 --> 00:11:08,730
DR. REZNICK: I got it. Tenotomy scissors.

236
00:11:08,750 --> 00:11:10,360
I think we're actually
a little ahead of schedule.

237
00:11:10,380 --> 00:11:12,730
Might be able to get her home
in time to do her homework.

238
00:11:12,750 --> 00:11:14,960
Back to the bosom of her loving family.

239
00:11:18,160 --> 00:11:21,159
We'd remove as much
of the cancer as possible

240
00:11:21,160 --> 00:11:22,930
by removing the head of the pancreas

241
00:11:22,960 --> 00:11:24,439
and other attached organs,

242
00:11:24,440 --> 00:11:26,990
but then, we'd have to
reconstruct the anatomy.

243
00:11:27,090 --> 00:11:28,570
The easiest way to do that

244
00:11:28,590 --> 00:11:30,300
is to bring up a loop of jejunum...

245
00:11:30,330 --> 00:11:31,330
Shaun.

246
00:11:32,600 --> 00:11:34,040
Sorry.

247
00:11:34,060 --> 00:11:37,140
The jejunum is part
of the small intestine

248
00:11:37,170 --> 00:11:38,780
between the duodenum and ileum.

249
00:11:38,800 --> 00:11:42,960
It's complicated, very dangerous surgery.

250
00:11:43,040 --> 00:11:44,690
And even if it's successful,

251
00:11:44,710 --> 00:11:47,720
post-operative complications
are frequent and serious.

252
00:11:47,850 --> 00:11:50,460
And recovery can be very painful.

253
00:11:51,480 --> 00:11:54,590
But if it works, he's better?
He'll be healthy?

254
00:11:54,610 --> 00:11:56,490
He would still need chemotherapy

255
00:11:56,610 --> 00:11:58,460
and a lifetime of monitoring.

256
00:11:58,480 --> 00:12:01,350
But hopefully, a long lifetime.

257
00:12:03,430 --> 00:12:04,940
Let's do it, Dad.

258
00:12:04,960 --> 00:12:06,330
What do you say?

259
00:12:09,380 --> 00:12:10,650
What should I do?

260
00:12:13,040 --> 00:12:14,640
It's your decision.

261
00:12:15,930 --> 00:12:19,110
All we can do
is present you with the facts.

262
00:12:19,130 --> 00:12:21,010
<i>♪ </i>

263
00:12:21,130 --> 00:12:23,830
Yeah, here are the facts, Dad...

264
00:12:24,350 --> 00:12:26,330
The surgery may kill you.

265
00:12:26,550 --> 00:12:28,900
Not doing the surgery will kill you.

266
00:12:28,920 --> 00:12:30,920
<i>♪ </i>

267
00:12:39,160 --> 00:12:40,600
Can you give us a few minutes?

268
00:12:40,630 --> 00:12:41,900
Of course.

269
00:12:41,930 --> 00:12:43,360
<i>♪ </i>

270
00:12:46,240 --> 00:12:47,550
(LIQUID POURS)

271
00:12:47,570 --> 00:12:49,180
<i>♪ </i>

272
00:12:49,610 --> 00:12:52,380
It was very nice of Dr. Andrews
to give you an office,

273
00:12:52,400 --> 00:12:54,050
even though, you're on medical leave.

274
00:12:54,070 --> 00:12:55,620
Yeah, he is a prince.

275
00:12:55,740 --> 00:12:57,420
Who's your surgeon going to be?

276
00:12:57,450 --> 00:12:58,650
I haven't d...

277
00:12:59,480 --> 00:13:00,850
I haven't decided yet.

278
00:13:02,270 --> 00:13:04,250
You should definitely go with

279
00:13:04,300 --> 00:13:07,380
Dr. Joshua Atkinson
at Stanford Medical Center.

280
00:13:07,460 --> 00:13:09,730
His mortality index is .3.

281
00:13:09,760 --> 00:13:11,230
It's too low.

282
00:13:11,260 --> 00:13:13,770
Not enough of his patients are dying?

283
00:13:13,790 --> 00:13:16,040
No, Shaun, sometimes patients die.

284
00:13:16,060 --> 00:13:17,540
Doesn't matter how good the doctor is.

285
00:13:17,560 --> 00:13:20,489
But when your mortality rate
is as low as Atkinson's,

286
00:13:20,490 --> 00:13:22,470
it means you're turning away patients.

287
00:13:22,490 --> 00:13:24,570
You turn away patients,
it means you lack confidence.

288
00:13:24,600 --> 00:13:27,800
You lack confidence, I don't
want you inside my head.

289
00:13:28,030 --> 00:13:30,410
And I'd like to be able to dress myself

290
00:13:30,430 --> 00:13:31,800
when I'm all done.

291
00:13:33,630 --> 00:13:36,280
Shaun, what are you doing here?

292
00:13:36,400 --> 00:13:39,450
You showed up at work early this morning.

293
00:13:39,670 --> 00:13:41,610
Go home. Get some rest.

294
00:13:44,760 --> 00:13:47,000
I won't rest if I go home.

295
00:13:55,690 --> 00:13:57,150
The surgery went great.

296
00:13:58,060 --> 00:13:59,400
Once everything's healed, I think

297
00:13:59,430 --> 00:14:01,870
you'll be very happy with the results.

298
00:14:02,290 --> 00:14:05,160
- What time is it?
- Not quite 5:45.

299
00:14:05,260 --> 00:14:06,406
We just need you to pee, and...

300
00:14:06,430 --> 00:14:07,840
I need to go home.

301
00:14:07,860 --> 00:14:10,210
And you will... very soon.

302
00:14:10,230 --> 00:14:11,850
(EXHALES SHARPLY)

303
00:14:11,950 --> 00:14:14,490
- It hurts.
- I told you it would.

304
00:14:14,720 --> 00:14:16,630
We did a lot of cutting and scraping.

305
00:14:16,650 --> 00:14:18,500
You had a lot of scar tissue.

306
00:14:18,520 --> 00:14:19,800
It hurts a lot.

307
00:14:19,820 --> 00:14:21,270
We'll give you some Tylenol,

308
00:14:21,290 --> 00:14:23,170
and you can tell your mother
you're cramping.

309
00:14:23,190 --> 00:14:25,070
(GRUNTS) Ow!

310
00:14:25,100 --> 00:14:26,670
(BREATHING HEAVILY)

311
00:14:26,700 --> 00:14:29,500
Hang ketamine... 130 micrograms
per kilogram per hour.

312
00:14:32,500 --> 00:14:33,980
Why does it hurt this much?

313
00:14:34,000 --> 00:14:35,200
I don't know.

314
00:14:36,340 --> 00:14:37,640
But you're not going home.

315
00:14:38,420 --> 00:14:39,580
Ow!

316
00:14:44,200 --> 00:14:46,040
She's heavily sedated.

317
00:14:46,070 --> 00:14:47,540
What did we do to her?

318
00:14:47,570 --> 00:14:49,560
What if this is good news?

319
00:14:50,540 --> 00:14:52,750
I know you haven't been
a doctor all that long,

320
00:14:52,770 --> 00:14:54,820
but pain is rarely a sign of good news.

321
00:14:55,040 --> 00:14:57,110
It is if you're talking about
a part of the body

322
00:14:57,140 --> 00:14:58,620
you thought was dead.

323
00:14:58,640 --> 00:15:01,290
What if this means there's still
viable nerve endings in there?

324
00:15:01,410 --> 00:15:03,780
What if this means we can
actually reconstruct her clitoris

325
00:15:03,790 --> 00:15:05,350
and that it's capable of sensation?

326
00:15:06,120 --> 00:15:08,000
Maybe. All we know for sure

327
00:15:08,030 --> 00:15:09,870
is she's not gonna be home
anywhere near 6:00,

328
00:15:09,900 --> 00:15:12,520
which means we're about to have
a missing child on our hands.

329
00:15:13,610 --> 00:15:15,450
We have to bring Andrews up to speed.

330
00:15:15,480 --> 00:15:17,480
<i>♪ </i>

331
00:15:29,870 --> 00:15:32,410
I did a bad job of telling you

332
00:15:32,440 --> 00:15:33,980
that you're dying.

333
00:15:37,620 --> 00:15:39,180
Is there a good way?

334
00:15:39,720 --> 00:15:43,960
I can't figure out
when I'm supposed to lie,

335
00:15:43,980 --> 00:15:46,380
when I'm supposed to tell
part of the truth.

336
00:15:46,480 --> 00:15:48,120
And it doesn't really matter,

337
00:15:48,160 --> 00:15:51,350
because I can't figure out
how to do it anyway.

338
00:15:54,370 --> 00:15:55,870
You did fine with me.

339
00:15:56,690 --> 00:15:58,670
You never need to lie.

340
00:15:58,900 --> 00:16:00,930
Lies don't protect you from the truth.

341
00:16:03,820 --> 00:16:05,650
I don't like your haircut.

342
00:16:06,310 --> 00:16:08,120
(CHUCKLES)

343
00:16:08,150 --> 00:16:09,310
Okay.

344
00:16:10,940 --> 00:16:16,140
Maybe sometimes, when the
truth can't help someone...

345
00:16:19,400 --> 00:16:21,370
...you should definitely just lie.

346
00:16:24,320 --> 00:16:28,030
Do you think praying will
help you reach a decision?

347
00:16:29,560 --> 00:16:33,110
I've already reached a decision.

348
00:16:33,130 --> 00:16:37,680
I'm praying to help me find
comfort with that decision.

349
00:16:38,000 --> 00:16:40,240
My family wants the surgery.

350
00:16:43,070 --> 00:16:45,870
And what do you want?

351
00:16:47,430 --> 00:16:49,390
I want what my family wants.

352
00:16:50,580 --> 00:16:51,930
I love them.

353
00:16:52,050 --> 00:16:53,850
But they love you, too, right?

354
00:16:55,830 --> 00:16:57,840
Don't they want what you want?

355
00:17:01,360 --> 00:17:03,390
Long ago, I made a decision

356
00:17:04,540 --> 00:17:06,040
to be there for them

357
00:17:08,000 --> 00:17:09,340
no matter what.

358
00:17:09,370 --> 00:17:10,770
<i>♪ </i>

359
00:17:12,470 --> 00:17:16,190
And if the last choice I make in my life

360
00:17:16,310 --> 00:17:17,910
is consistent with that,

361
00:17:21,710 --> 00:17:23,280
I'm comfortable with that.

362
00:17:23,310 --> 00:17:25,880
<i>♪ </i>

363
00:17:30,760 --> 00:17:33,870
(DOOR OPENS, CLOSES)

364
00:17:33,890 --> 00:17:35,300
<i>♪ </i>

365
00:17:39,860 --> 00:17:41,889
- (PAPER SHUFFLING)
- I'm surprised by you.

366
00:17:41,890 --> 00:17:44,130
I, arguably, made errors in judgment,

367
00:17:44,160 --> 00:17:46,430
but it was all in an effort
to help a patient.

368
00:17:46,460 --> 00:17:48,106
Yes, and that would make sense
if you thought

369
00:17:48,130 --> 00:17:50,170
you'd never have
another patient ever again.

370
00:17:50,190 --> 00:17:53,270
And if there wasn't currently an
opening for Chief of Surgery.

371
00:17:53,470 --> 00:17:55,590
I didn't know that was on the table.

372
00:17:55,610 --> 00:17:58,220
See, that's the difference
between you and Melendez.

373
00:17:58,250 --> 00:18:01,690
I have no doubt that as soon
as I got this promotion,

374
00:18:01,720 --> 00:18:04,660
Melendez had done the math
and reacted accordingly.

375
00:18:04,890 --> 00:18:08,170
But I suspect that even
if you had done the math,

376
00:18:08,190 --> 00:18:10,810
it wouldn't have changed
how you handled this patient.

377
00:18:10,930 --> 00:18:12,440
I don't view that as a weakness.

378
00:18:15,490 --> 00:18:17,870
I'll handle the administrative fallout.

379
00:18:17,890 --> 00:18:19,570
You...

380
00:18:19,690 --> 00:18:21,480
...notify the parents immediately.

381
00:18:23,400 --> 00:18:24,880
I can't.

382
00:18:24,900 --> 00:18:26,350
We don't know the girl's real name,

383
00:18:26,370 --> 00:18:27,650
and we have to keep her sedated,

384
00:18:27,680 --> 00:18:28,790
so there's no way we can track...

385
00:18:28,810 --> 00:18:30,660
She's a teenager. She's got a phone.

386
00:18:30,680 --> 00:18:32,720
Next time it rings, answer it.

387
00:18:35,710 --> 00:18:37,590
(KEYS CLACKING)

388
00:18:37,910 --> 00:18:40,260
(DOOR OPENS, CLOSES)

389
00:18:40,280 --> 00:18:42,160
- You feel the mesenteric artery pulsing?
- SHAUN: Yes.

390
00:18:42,180 --> 00:18:44,190
You shouldn't.
You're too close to the vein.

391
00:18:44,220 --> 00:18:47,040
Great. Dr. Browne,
pass a penrose drain through.

392
00:18:49,920 --> 00:18:51,530
Bovie.

393
00:18:51,560 --> 00:18:54,000
(MONITOR BEEPING)

394
00:18:54,030 --> 00:18:55,740
(ELECTRICITY CRACKLING FAINTLY)

395
00:18:55,760 --> 00:18:56,860
Suction.

396
00:18:57,760 --> 00:18:59,600
(SUCTION WHIRRING)

397
00:19:06,220 --> 00:19:07,590
Got it all.

398
00:19:09,300 --> 00:19:12,210
I see leaking pancreatic fluid.

399
00:19:12,230 --> 00:19:13,916
DR. MELENDEZ: That'll eat holes
in everything it touches.

400
00:19:13,940 --> 00:19:15,020
Our duct tie didn't hold.

401
00:19:15,040 --> 00:19:16,910
Suction. Needle driver.

402
00:19:17,950 --> 00:19:19,320
DR. BLAIZ: Excellent.

403
00:19:19,450 --> 00:19:22,230
You have approved a scrub nurse

404
00:19:22,350 --> 00:19:25,060
and a circulating nurse
and seven other personnel.

405
00:19:25,190 --> 00:19:26,650
Everyone and everything is covered,

406
00:19:26,680 --> 00:19:27,890
except for an actual surgeon.

407
00:19:27,980 --> 00:19:29,960
Yeah. I think we may have to postpone.

408
00:19:29,990 --> 00:19:32,419
Have you notified your tumor to
stop growing in the interim?

409
00:19:32,420 --> 00:19:34,920
I think any possible damage from a delay

410
00:19:34,940 --> 00:19:37,530
may be more than offset
by having somebody competent

411
00:19:37,550 --> 00:19:38,960
digging around in my brain.

412
00:19:38,990 --> 00:19:40,200
"Competent"?

413
00:19:40,520 --> 00:19:43,230
- What's wrong with Sanders?
- 6% mortality rate.

414
00:19:43,260 --> 00:19:45,106
- Taylor?
- I don't like the way he's planning on

415
00:19:45,130 --> 00:19:46,560
dealing with a carotid tear.

416
00:19:46,580 --> 00:19:48,500
- That's nowhere near your tumor.
- It's the principle.

417
00:19:48,520 --> 00:19:50,030
- Unger?
- He doesn't like me.

418
00:19:50,060 --> 00:19:52,070
- No one likes you.
- No! You don't like me.

419
00:19:52,090 --> 00:19:53,800
He doesn't like me. That's two.

420
00:19:53,930 --> 00:19:55,276
Just pick a name. I don't care who.

421
00:19:55,300 --> 00:19:56,840
I don't care if they're a doctor.

422
00:19:56,870 --> 00:19:58,310
Just pick a name.

423
00:19:58,320 --> 00:20:00,450
Because in 48 hours, you're
either getting your surgery

424
00:20:00,470 --> 00:20:02,850
or you're getting a new oncologist.

425
00:20:03,080 --> 00:20:04,480
<i>♪ </i>

426
00:20:09,560 --> 00:20:12,540
<i>♪ </i>

427
00:20:15,110 --> 00:20:16,820
ZANE: (IN AFRICAN ACCENT) She's in pain.

428
00:20:16,850 --> 00:20:18,820
That's why she's asleep right now,

429
00:20:18,850 --> 00:20:20,920
because of what you did to her?

430
00:20:23,510 --> 00:20:25,620
What I did to her

431
00:20:25,640 --> 00:20:29,460
I believe revealed
that what you did to her

432
00:20:29,480 --> 00:20:32,330
didn't do as much damage
as we initially feared.

433
00:20:32,450 --> 00:20:34,030
We want to do a second surgery...

434
00:20:34,050 --> 00:20:35,500
How can you stop her pain?

435
00:20:35,520 --> 00:20:37,500
It's called clitoral reconstruction.

436
00:20:37,530 --> 00:20:39,320
The nerves of her clitoris are exposed.

437
00:20:39,340 --> 00:20:40,750
We can sheath them using...

438
00:20:40,780 --> 00:20:42,660
(IN AFRICAN ACCENT)
Our daughter wants this?

439
00:20:42,800 --> 00:20:45,460
Asha wants to be like other girls.

440
00:20:45,590 --> 00:20:46,700
She wants to be able to...

441
00:20:46,720 --> 00:20:49,240
Mara told you that?

442
00:20:51,010 --> 00:20:52,580
That's our daughter's name.

443
00:20:53,250 --> 00:20:54,450
Not Asha.

444
00:20:56,110 --> 00:20:57,550
You don't know her at all.

445
00:20:57,570 --> 00:21:00,620
We need to do this surgery
to relieve her pain.

446
00:21:00,640 --> 00:21:03,800
No. There must be another way.

447
00:21:03,810 --> 00:21:05,520
We want a second opinion.

448
00:21:05,550 --> 00:21:07,360
Not at this hospital.

449
00:21:07,380 --> 00:21:09,060
How soon can our daughter be moved?

450
00:21:09,090 --> 00:21:10,740
Excuse me, Dr. Lim.

451
00:21:10,760 --> 00:21:13,970
I am Ellen Vahtra from
Child Protective Services.

452
00:21:13,990 --> 00:21:15,060
Until I complete my review,

453
00:21:15,070 --> 00:21:18,190
I'm afraid you're not going to be
moving your daughter anywhere.

454
00:21:18,520 --> 00:21:24,160
♪

455
00:21:28,460 --> 00:21:31,000
How did it go? Is Dad okay?

456
00:21:33,530 --> 00:21:35,510
There were complications,

457
00:21:35,530 --> 00:21:37,850
but we found solutions.

458
00:21:37,870 --> 00:21:40,880
It went very well. We got it all.

459
00:21:40,910 --> 00:21:43,690
(ALL CRYING)

460
00:21:43,710 --> 00:21:44,750
Oh, my...

461
00:21:44,780 --> 00:21:46,220
There's still...

462
00:21:46,750 --> 00:21:49,430
♪

463
00:21:49,450 --> 00:21:51,609
I don't think I did that well.

464
00:21:51,610 --> 00:21:52,810
They're too happy.

465
00:21:53,110 --> 00:21:55,920
Post-surgical complications are
still a major concern that they...

466
00:21:55,940 --> 00:21:58,220
Let them enjoy the good news.

467
00:21:58,250 --> 00:22:01,220
Is deceiving someone in a
way that makes them happy

468
00:22:01,250 --> 00:22:04,130
better than deceiving someone
in a way that makes them sad?

469
00:22:04,250 --> 00:22:07,390
Shaun. I think there's
someone here to see you.

470
00:22:08,220 --> 00:22:09,770
Hey.

471
00:22:09,840 --> 00:22:11,880
I had some time, so I thought

472
00:22:11,910 --> 00:22:14,240
you might want to have
some lunch with me?

473
00:22:14,460 --> 00:22:16,589
♪

474
00:22:16,590 --> 00:22:18,750
I do not have time.

475
00:22:18,760 --> 00:22:25,510
♪

476
00:22:25,530 --> 00:22:32,170
♪

477
00:22:33,170 --> 00:22:34,920
What's wrong?

478
00:22:34,940 --> 00:22:36,520
What did she do?

479
00:22:36,540 --> 00:22:37,790
Shaun. Sha...

480
00:22:37,910 --> 00:22:42,460
♪

481
00:22:42,580 --> 00:22:46,230
You don't want to talk to Lea.
I don't understand.

482
00:22:46,450 --> 00:22:48,890
(INHALES SHARPLY) I don't understand.

483
00:22:49,420 --> 00:22:51,120
I don't understand!

484
00:22:51,140 --> 00:22:53,380
You're not being fair to her or yourself.

485
00:22:53,450 --> 00:22:55,820
- She's always been nice to you.
- No, she hasn't.

486
00:22:57,260 --> 00:22:59,070
She's your friend.

487
00:22:59,100 --> 00:23:00,956
Whatever's happened, you have
to talk to her about it.

488
00:23:00,980 --> 00:23:02,170
Be honest about what you're feeling...

489
00:23:02,190 --> 00:23:03,370
I can't be.

490
00:23:03,420 --> 00:23:07,100
- Of course you can.
- I don't know...

491
00:23:07,480 --> 00:23:10,160
I don't know how I feel!

492
00:23:10,190 --> 00:23:13,210
♪

493
00:23:13,430 --> 00:23:16,530
I can't be honest
if I don't know how I feel!

494
00:23:16,560 --> 00:23:23,540
♪

495
00:23:23,770 --> 00:23:25,380
Our 16-year-old daughter

496
00:23:25,400 --> 00:23:27,610
is lying in a hospital bed unconscious

497
00:23:27,640 --> 00:23:29,940
to protect her from overwhelming pain

498
00:23:29,960 --> 00:23:33,740
because of what this place did
to her without our permission.

499
00:23:34,460 --> 00:23:36,050
And you are investigating us?

500
00:23:36,080 --> 00:23:38,160
Your daughter is suffering
because you butchered her

501
00:23:38,180 --> 00:23:39,459
when she was 2 years old.

502
00:23:39,460 --> 00:23:42,240
Dr. Lim, please refrain from
unsubstantiated allegations.

503
00:23:42,330 --> 00:23:45,180
Either they're the butchers or
they're protecting the butchers.

504
00:23:45,200 --> 00:23:47,500
If you didn't do it, tell us who did.

505
00:23:52,160 --> 00:23:55,080
It was an aunt
and a grandmother from Kenya.

506
00:23:55,200 --> 00:23:58,010
They were watching Mara
while we were on vacation.

507
00:23:58,040 --> 00:24:00,210
Well, you must've been horrified.

508
00:24:00,340 --> 00:24:02,580
Did you take her to a doctor?

509
00:24:02,780 --> 00:24:05,530
That girl's sex organs
were covered with scar tissue.

510
00:24:05,550 --> 00:24:08,240
She had no medical attention
to treat any of her wounds.

511
00:24:08,260 --> 00:24:09,640
ZANE: She was fine.

512
00:24:09,740 --> 00:24:12,290
She was happy, laughing.

513
00:24:12,510 --> 00:24:13,950
It's not that big a deal.

514
00:24:19,110 --> 00:24:21,190
I was cut.

515
00:24:21,210 --> 00:24:23,920
My mother was cut. Her mother was cut.

516
00:24:24,050 --> 00:24:27,790
It is a rite of passage connecting
our women to their ancestors.

517
00:24:28,000 --> 00:24:29,930
She will not find a husband
in our culture if she's...

518
00:24:29,950 --> 00:24:31,320
So she'll find someone else.

519
00:24:32,470 --> 00:24:34,250
It's not that big a deal.

520
00:24:34,410 --> 00:24:36,360
These parents forfeited
the right to make any calls

521
00:24:36,380 --> 00:24:38,060
about their daughter a long time ago.

522
00:24:38,080 --> 00:24:40,130
Our daughter is an honor student,

523
00:24:40,230 --> 00:24:43,480
taking three AP classes
in her junior year,

524
00:24:43,600 --> 00:24:46,580
went on a mission to Haiti
to build a school.

525
00:24:46,700 --> 00:24:48,560
We have raised her well.

526
00:24:49,730 --> 00:24:50,970
She is a good person.

527
00:24:52,810 --> 00:24:54,240
We're proud of her.

528
00:24:55,510 --> 00:24:58,480
I'm sure she is a good person.

529
00:24:58,500 --> 00:24:59,800
But you are not gonna convince me

530
00:24:59,820 --> 00:25:01,870
that what happened to Mara
when she was 2 years old

531
00:25:01,890 --> 00:25:04,240
is anything short of an abomination.

532
00:25:04,360 --> 00:25:06,340
But that's not the issue today.

533
00:25:06,570 --> 00:25:09,500
The issue is, how do we
best help this girl now?

534
00:25:10,960 --> 00:25:14,240
The clitoral reconstruction
should protect the exposed nerve.

535
00:25:14,270 --> 00:25:15,280
ZANE: "Should"?

536
00:25:15,300 --> 00:25:18,100
That is the surgery that,
in my medical opinion,

537
00:25:18,120 --> 00:25:19,120
is called for.

538
00:25:19,190 --> 00:25:20,790
But it's not the only option?

539
00:25:22,560 --> 00:25:24,800
We could oblate the peripheral nerves

540
00:25:24,830 --> 00:25:27,010
and remove the remaining clitoral tissue.

541
00:25:27,030 --> 00:25:29,420
And is that surgery safer
or more dangerous?

542
00:25:29,640 --> 00:25:31,620
It's simpler, but that's not
the only factor here.

543
00:25:31,740 --> 00:25:34,520
It's the only factor to us.

544
00:25:34,750 --> 00:25:36,890
We want to know that our daughter

545
00:25:36,920 --> 00:25:40,000
won't spend the rest of her life in pain.

546
00:25:40,020 --> 00:25:41,430
Please.

547
00:25:41,460 --> 00:25:42,760
For a moment,

548
00:25:42,820 --> 00:25:46,000
can we think about something
other than Mara's pain?

549
00:25:46,640 --> 00:25:48,790
Can we think about her pleasure?

550
00:25:49,010 --> 00:25:51,520
We have a chance to give her

551
00:25:51,550 --> 00:25:54,400
a healthy, meaningful sex life.

552
00:25:54,420 --> 00:25:56,520
That is what she came here looking for.

553
00:25:56,620 --> 00:26:02,340
♪

554
00:26:02,460 --> 00:26:03,970
Wake her up.

555
00:26:04,200 --> 00:26:06,980
She's in pain, and she's already
told me what she wanted.

556
00:26:07,030 --> 00:26:09,510
Yesterday, she was requesting
cosmetic surgery.

557
00:26:09,530 --> 00:26:11,980
Today, you're asking her
to risk a lifetime of pain

558
00:26:12,000 --> 00:26:13,540
for a chance at pleasure.

559
00:26:13,570 --> 00:26:14,880
From everything I've heard,

560
00:26:14,890 --> 00:26:17,110
she's mature enough
to make the call herself,

561
00:26:17,140 --> 00:26:19,720
even if it means suffering
for a few minutes to do so.

562
00:26:19,740 --> 00:26:23,990
♪

563
00:26:24,190 --> 00:26:27,270
Dr. Unger has a mortality index

564
00:26:27,300 --> 00:26:29,900
that is not too high and not too low.

565
00:26:29,930 --> 00:26:31,280
It's not gonna be Unger.

566
00:26:31,300 --> 00:26:33,950
You have not eliminated Dr. Ko.

567
00:26:34,170 --> 00:26:35,400
Not yet.

568
00:26:35,760 --> 00:26:39,100
I may have to go out of state
to find a neurosurgeon.

569
00:26:39,430 --> 00:26:41,840
Plus, I may have to find
myself a new oncologist.

570
00:26:41,860 --> 00:26:45,180
You've used Dr. Ko many times.

571
00:26:45,200 --> 00:26:47,350
Did you think
she might kill your patients?

572
00:26:47,370 --> 00:26:48,500
No.

573
00:26:48,830 --> 00:26:50,670
Do you think you're better than them?

574
00:26:50,700 --> 00:26:52,500
Yes, a little.

575
00:26:55,960 --> 00:26:58,110
That was a joke.

576
00:26:58,320 --> 00:27:00,270
You don't want to talk about this.

577
00:27:00,300 --> 00:27:03,440
No, I don't want
to talk about this, Shaun.

578
00:27:03,470 --> 00:27:06,450
That, in fact, is the point
of the alcohol.

579
00:27:06,690 --> 00:27:08,850
Okay, I understand.

580
00:27:08,880 --> 00:27:09,910
Good.

581
00:27:18,050 --> 00:27:20,530
Why can't we talk about it?

582
00:27:20,660 --> 00:27:22,370
Because it's upsetting.

583
00:27:22,390 --> 00:27:24,170
Is that why you're stalling?

584
00:27:24,200 --> 00:27:26,210
Because you're afraid of dying?

585
00:27:26,430 --> 00:27:28,640
I'm not afraid of dying.

586
00:27:28,670 --> 00:27:30,410
Really?

587
00:27:30,440 --> 00:27:31,980
Why not?

588
00:27:32,010 --> 00:27:35,120
You should be. Dying is terrible.

589
00:27:35,140 --> 00:27:36,780
Yes, dying is terrible.

590
00:27:37,500 --> 00:27:39,310
But there are worse things.

591
00:27:39,440 --> 00:27:41,380
What's worse than dying?

592
00:27:41,500 --> 00:27:45,340
♪

593
00:27:45,570 --> 00:27:46,750
Not dying.

594
00:27:46,770 --> 00:27:49,300
♪

595
00:27:49,330 --> 00:27:50,940
That doesn't make sense.

596
00:27:50,960 --> 00:27:52,160
Makes sense to me.

597
00:27:53,750 --> 00:27:55,260
That doesn't make sense.

598
00:27:55,280 --> 00:27:56,920
That's the middle ground, Shaun.

599
00:27:59,030 --> 00:28:00,770
Brain surgeries have a tendency

600
00:28:00,790 --> 00:28:03,110
to end in the middle ground.

601
00:28:03,330 --> 00:28:06,180
Brain surgeries can be
considered a success

602
00:28:06,200 --> 00:28:09,450
even when the patient
ends up compromised.

603
00:28:09,470 --> 00:28:11,010
He can't walk. He can't talk.

604
00:28:11,040 --> 00:28:13,180
His hand can't stop shaking.

605
00:28:13,210 --> 00:28:16,870
♪

606
00:28:16,990 --> 00:28:20,440
I've been terrible
at a lot of things in my life,

607
00:28:20,560 --> 00:28:22,370
but I am damn smart.

608
00:28:24,320 --> 00:28:26,700
(VOICE BREAKING)
And I am a damn good surgeon.

609
00:28:26,830 --> 00:28:28,500
And if I can't be those things,

610
00:28:28,530 --> 00:28:30,970
then I don't know who I'd be.

611
00:28:31,000 --> 00:28:36,560
♪

612
00:28:36,990 --> 00:28:38,800
You'd be my friend.

613
00:28:39,020 --> 00:28:45,260
♪

614
00:28:48,360 --> 00:28:49,870
Well, thank you, Shaun.

615
00:28:49,900 --> 00:28:51,610
(CELLPHONE VIBRATING)

616
00:28:51,630 --> 00:28:57,920
♪

617
00:28:57,940 --> 00:28:59,070
(VIBRATING STOPS)

618
00:28:59,290 --> 00:29:02,210
I have to go. My patient just crashed.

619
00:29:02,230 --> 00:29:06,990
♪

620
00:29:07,310 --> 00:29:11,260
It's not enough. Is it?

621
00:29:11,320 --> 00:29:15,210
♪

622
00:29:15,230 --> 00:29:16,230
No.

623
00:29:18,020 --> 00:29:19,400
I'm sorry it isn't.

624
00:29:19,630 --> 00:29:26,010
♪

625
00:29:26,030 --> 00:29:31,840
♪

626
00:29:31,940 --> 00:29:33,920
(WEAKLY) Mom. Dad.

627
00:29:33,950 --> 00:29:35,310
We're here.

628
00:29:35,950 --> 00:29:37,930
We love you.

629
00:29:38,050 --> 00:29:40,430
We just don't understand
why you would turn your back.

630
00:29:40,450 --> 00:29:41,450
Uh...

631
00:29:41,460 --> 00:29:42,780
VAHTRA: Hello, Mara.

632
00:29:42,860 --> 00:29:45,200
I'm Ellen Vahtra. I'm a social worker.

633
00:29:45,220 --> 00:29:46,530
Your parents know what happened,

634
00:29:46,560 --> 00:29:48,740
and Dr. Lim gave you a nerve block.

635
00:29:48,760 --> 00:29:51,110
It hurts. It still hurts.

636
00:29:51,130 --> 00:29:52,876
I understand that, and we are
going to try to get you

637
00:29:52,900 --> 00:29:55,440
back to sleep as quickly as possible.

638
00:29:55,470 --> 00:29:57,580
But something happened during
your surgery, and we need you

639
00:29:57,600 --> 00:29:59,600
to make a decision
about what is done next.

640
00:30:03,310 --> 00:30:06,450
We believe that, despite what
was done to you as a child,

641
00:30:06,480 --> 00:30:08,960
the reason you're in so much
pain because you still have

642
00:30:08,980 --> 00:30:10,630
functioning nerves in your clitoris,

643
00:30:10,650 --> 00:30:13,360
nerves that had been covered
with scar tissue.

644
00:30:13,390 --> 00:30:15,000
I'd like to repair that.

645
00:30:15,020 --> 00:30:17,100
We can make you physiologically complete.

646
00:30:17,120 --> 00:30:19,220
But there's no guarantee
that it would work.

647
00:30:21,490 --> 00:30:23,540
I'm confident.

648
00:30:23,660 --> 00:30:25,560
There is a safer choice.

649
00:30:26,200 --> 00:30:27,770
(INHALES DEEPLY)

650
00:30:29,100 --> 00:30:32,460
We could... remove your entire clitoris.

651
00:30:32,870 --> 00:30:35,120
This is your choice.

652
00:30:35,140 --> 00:30:37,140
You will be protected no matter what.

653
00:30:41,310 --> 00:30:42,560
Take it out.

654
00:30:42,580 --> 00:30:44,220
Mara, we can make you whole...

655
00:30:44,250 --> 00:30:46,630
I made a mistake. Take it out.

656
00:30:46,650 --> 00:30:48,230
She's on medication. She's in pain...

657
00:30:48,250 --> 00:30:50,860
Dr. Lim, please let her go back to sleep.

658
00:30:50,960 --> 00:30:53,770
And prepare to operate
to remove the damaged tissue.

659
00:30:53,790 --> 00:31:00,030
♪

660
00:31:01,170 --> 00:31:02,430
(SNIFFLES)

661
00:31:06,510 --> 00:31:09,060
Hang fresh, frozen plasma, too.
Looks like he's going into DIC.

662
00:31:09,070 --> 00:31:10,070
Give me another hemostat.

663
00:31:10,080 --> 00:31:12,260
SHAUN: BP's 71 over 53.

664
00:31:12,280 --> 00:31:13,819
We should have warned the family.

665
00:31:13,820 --> 00:31:15,200
Can't see anything in here.
There's too much blood.

666
00:31:15,220 --> 00:31:17,166
- More suction.
- I think you got the hepatic artery.

667
00:31:17,190 --> 00:31:18,500
The warning wouldn't
have made any difference.

668
00:31:18,520 --> 00:31:20,036
SHAUN: The bleeding is not slowing down.

669
00:31:20,060 --> 00:31:22,269
We need to send the aorta to the celiac.

670
00:31:22,270 --> 00:31:24,696
- I need to see it to clamp it.
- They would have been prepared.

671
00:31:24,720 --> 00:31:27,400
A-line systolic's 54. He's bottoming
out. No, they wouldn't.

672
00:31:27,420 --> 00:31:29,470
You two, shut up and
pack his abdomen with laps

673
00:31:29,500 --> 00:31:31,280
while I sort through this mess.

674
00:31:32,000 --> 00:31:33,610
I won't do it.

675
00:31:33,740 --> 00:31:35,210
Can we appeal this? Do you know?

676
00:31:35,240 --> 00:31:36,596
I've spoken with our legal department.

677
00:31:36,620 --> 00:31:38,490
Unless we can prove
the social worker was biased,

678
00:31:38,510 --> 00:31:39,850
we are stuck with this ruling.

679
00:31:39,880 --> 00:31:42,080
Well, then you're also
stuck with "I won't do it."

680
00:31:42,970 --> 00:31:45,550
You're a good doctor.
This hospital will miss you.

681
00:31:45,670 --> 00:31:48,480
You're gonna fire me because I
won't butcher a teenage girl?

682
00:31:48,500 --> 00:31:49,500
Of course I am.

683
00:31:49,580 --> 00:31:51,590
This hospital will face
lawsuits, suspensions,

684
00:31:51,610 --> 00:31:53,060
perhaps criminal charges,

685
00:31:53,180 --> 00:31:56,180
and this little girl will still
get the surgery you hate.

686
00:32:01,300 --> 00:32:04,010
Could Dr. Lim at least
talk to Mara again?

687
00:32:04,040 --> 00:32:06,640
You want to wake her up again in pain?

688
00:32:06,860 --> 00:32:08,300
Every woman deserves the right

689
00:32:08,330 --> 00:32:09,716
to make decisions about her sexuality

690
00:32:09,740 --> 00:32:11,670
without her parents hanging over her.

691
00:32:17,400 --> 00:32:18,740
Okay.

692
00:32:18,770 --> 00:32:24,310
♪

693
00:32:24,640 --> 00:32:30,080
♪

694
00:32:31,280 --> 00:32:32,560
(GRUNTS SOFTLY)

695
00:32:32,590 --> 00:32:37,060
♪

696
00:32:40,540 --> 00:32:42,650
When I was 15 years old,

697
00:32:42,680 --> 00:32:44,760
my father caught me with a boy.

698
00:32:44,990 --> 00:32:47,060
I mean, we weren't doing it,

699
00:32:47,080 --> 00:32:49,230
but my top was off and

700
00:32:49,560 --> 00:32:50,960
Well, it doesn't matter.

701
00:32:52,260 --> 00:32:53,560
My father hit me.

702
00:32:54,420 --> 00:32:56,070
I still have a small scar.

703
00:32:57,620 --> 00:32:59,300
Our relationship was never the same.

704
00:32:59,330 --> 00:33:00,370
(GROANS SOFTLY)

705
00:33:00,400 --> 00:33:01,810
But that's what growing up is.

706
00:33:01,930 --> 00:33:04,380
Not everyone gets called a slut.

707
00:33:04,400 --> 00:33:07,140
Not everyone gets butchered.

708
00:33:08,050 --> 00:33:10,990
But everyone becomes a man or a woman

709
00:33:11,020 --> 00:33:12,790
and stops being a child.

710
00:33:14,650 --> 00:33:17,690
I want to take a piece of
tissue from inside your cheek

711
00:33:17,920 --> 00:33:20,160
and I want to graft it to your clitoris.

712
00:33:20,190 --> 00:33:22,730
♪

713
00:33:22,760 --> 00:33:25,870
We can make you feel... love.

714
00:33:25,890 --> 00:33:30,560
♪

715
00:33:35,320 --> 00:33:38,890
I can't turn my back on my
family, on my traditions.

716
00:33:38,920 --> 00:33:41,530
♪

717
00:33:41,560 --> 00:33:43,330
Traditions

718
00:33:43,460 --> 00:33:45,320
connect us to the past.

719
00:33:46,510 --> 00:33:48,460
What about the future?

720
00:33:48,480 --> 00:33:54,990
♪

721
00:33:57,190 --> 00:33:58,800
Please.

722
00:33:58,930 --> 00:34:01,770
No. I'm in pain. (INHALES SHARPLY)

723
00:34:01,800 --> 00:34:07,910
♪

724
00:34:07,940 --> 00:34:13,800
♪

725
00:34:14,000 --> 00:34:15,560
DR. MELENDEZ: Cross-clamping his aorta.

726
00:34:15,600 --> 00:34:17,539
SHAUN: He's in ventricular fibrillation.

727
00:34:17,540 --> 00:34:18,750
(MONITORS BEEPING RAPIDLY)

728
00:34:18,770 --> 00:34:20,520
CLAIRE: Starting chest compressions.

729
00:34:20,540 --> 00:34:26,420
♪

730
00:34:26,450 --> 00:34:27,930
Okay. Everybody clear.

731
00:34:27,950 --> 00:34:29,090
(PADDLES WHINE)

732
00:34:29,120 --> 00:34:30,850
(THUMP)

733
00:34:40,330 --> 00:34:44,430
♪

734
00:34:50,740 --> 00:34:52,220
Prep the cheek, as well.

735
00:34:52,250 --> 00:34:54,760
♪

736
00:34:54,780 --> 00:34:56,800
She's taking the graft?
The paperwork doesn't say...

737
00:34:56,820 --> 00:34:58,000
She consented verbally.

738
00:34:58,020 --> 00:34:59,660
We didn't want to keep her
awake any longer

739
00:34:59,680 --> 00:35:01,090
than absolutely necessary.

740
00:35:02,960 --> 00:35:04,740
I wanted to help her as much as you...

741
00:35:04,770 --> 00:35:06,440
When she wanted help.

742
00:35:06,570 --> 00:35:08,780
- But if she doesn't want this...
- She wants this.

743
00:35:09,430 --> 00:35:10,710
Dr. Lim just told us.

744
00:35:10,730 --> 00:35:15,050
♪

745
00:35:15,070 --> 00:35:16,150
Prep the cheek.

746
00:35:16,170 --> 00:35:19,490
♪

747
00:35:19,510 --> 00:35:21,240
(FLATLINE)

748
00:35:23,320 --> 00:35:24,720
(MONITOR TURNS OFF)

749
00:35:30,000 --> 00:35:31,770
I'll tell the family.

750
00:35:33,410 --> 00:35:35,120
DR. MELENDEZ: No.

751
00:35:35,150 --> 00:35:37,030
Claire, you do it.

752
00:35:37,250 --> 00:35:38,750
This isn't the time for learning.

753
00:35:47,580 --> 00:35:49,080
(DOOR SLIDES)

754
00:36:05,960 --> 00:36:07,590
- I'm sorry.
- (WHIMPERS)

755
00:36:07,840 --> 00:36:09,990
Paul died during surgery.

756
00:36:10,560 --> 00:36:13,410
He had a gastroduodenal artery rupture.

757
00:36:13,430 --> 00:36:15,990
It's a common complication
of a Whipple surgery,

758
00:36:16,110 --> 00:36:19,060
especially when someone's cancer was...

759
00:36:19,280 --> 00:36:21,930
As advanced as his was.

760
00:36:22,050 --> 00:36:23,900
We... did everything we could

761
00:36:23,930 --> 00:36:26,140
for as long as we could.

762
00:36:26,360 --> 00:36:28,110
He didn't suffer.

763
00:36:28,330 --> 00:36:30,140
(SOLEMN MUSIC PLAYS)

764
00:36:30,170 --> 00:36:33,710
♪

765
00:36:33,740 --> 00:36:35,170
You did this to him.

766
00:36:37,420 --> 00:36:39,000
Dad didn't want this.

767
00:36:40,530 --> 00:36:43,030
You saw that look on his face.
He was scared.

768
00:36:43,060 --> 00:36:47,040
In my experience,
it does no good to dwell...

769
00:36:47,060 --> 00:36:48,740
(SHAKILY) Of course he was scared.

770
00:36:48,760 --> 00:36:49,860
That doesn't mean...

771
00:36:49,880 --> 00:36:51,276
He just wanted to live
his last few months.

772
00:36:51,300 --> 00:36:52,840
LORI: Stop it.

773
00:36:52,930 --> 00:36:55,040
Nobody made your father do anything.

774
00:36:55,060 --> 00:36:56,600
He knew the risks.

775
00:36:58,830 --> 00:37:00,680
(VOICE BREAKING)
It's your fault, too, Mom.

776
00:37:00,900 --> 00:37:03,180
♪

777
00:37:03,410 --> 00:37:04,670
All of us.

778
00:37:05,650 --> 00:37:07,530
He would do anything for us.

779
00:37:07,660 --> 00:37:09,550
♪

780
00:37:09,580 --> 00:37:11,540
We killed our father.

781
00:37:12,490 --> 00:37:14,540
(WOMEN CRYING)

782
00:37:14,560 --> 00:37:19,360
♪

783
00:37:19,480 --> 00:37:20,820
It's not true.

784
00:37:20,850 --> 00:37:22,490
(CRYING STOPS)

785
00:37:22,520 --> 00:37:25,010
♪

786
00:37:25,230 --> 00:37:28,260
Paul wanted this surgery.

787
00:37:28,300 --> 00:37:30,090
♪

788
00:37:30,110 --> 00:37:33,560
He told me he wanted this surgery.

789
00:37:33,780 --> 00:37:40,370
♪

790
00:37:40,390 --> 00:37:46,130
♪

791
00:37:46,450 --> 00:37:48,720
(ALL CRYING)

792
00:37:49,180 --> 00:37:54,550
♪

793
00:37:54,580 --> 00:37:59,450
♪

794
00:38:07,230 --> 00:38:08,430
Was that true?

795
00:38:10,930 --> 00:38:12,600
Paul told me...

796
00:38:14,080 --> 00:38:16,690
When the truth can't help someone,

797
00:38:16,910 --> 00:38:18,460
we should lie.

798
00:38:18,780 --> 00:38:24,350
♪

799
00:38:29,420 --> 00:38:30,420
Mom?

800
00:38:31,590 --> 00:38:33,170
(EXHALES DEEPLY)

801
00:38:33,190 --> 00:38:35,860
How are you? Does anything hurt?

802
00:38:37,380 --> 00:38:40,120
Not much. I'm better.

803
00:38:42,080 --> 00:38:43,910
Looks like she's doing well.

804
00:38:44,940 --> 00:38:46,220
Thank you, Doctor.

805
00:38:48,420 --> 00:38:51,760
There should still be some
discomfort at the surgical site.

806
00:38:51,790 --> 00:38:53,930
A nurse will bring you some...

807
00:38:53,960 --> 00:38:58,430
♪

808
00:39:01,290 --> 00:39:02,530
Sorry.

809
00:39:02,560 --> 00:39:04,640
A nurse will bring you some Tylenol,

810
00:39:04,660 --> 00:39:06,760
which should really be all you need.

811
00:39:07,160 --> 00:39:08,600
Thank you.

812
00:39:08,630 --> 00:39:11,340
♪

813
00:39:11,560 --> 00:39:13,340
You're gonna be great.

814
00:39:13,370 --> 00:39:19,150
♪

815
00:39:19,170 --> 00:39:20,580
(SIGHS)

816
00:39:20,610 --> 00:39:24,990
♪

817
00:39:25,110 --> 00:39:27,350
(CEREAL POURING, BOX SHAKING)

818
00:39:37,000 --> 00:39:39,210
You're here.

819
00:39:39,330 --> 00:39:41,610
Yes. I live here.

820
00:39:41,630 --> 00:39:43,140
You know that.

821
00:39:43,170 --> 00:39:46,250
Well, I was starting to doubt
it the last couple of days.

822
00:39:46,270 --> 00:39:49,150
You come home after I'm asleep.

823
00:39:49,170 --> 00:39:51,500
You leave before I can even get up.

824
00:39:51,520 --> 00:39:52,670
Wow.

825
00:39:52,900 --> 00:39:55,240
Thank you.

826
00:40:04,340 --> 00:40:05,810
Please take this.

827
00:40:07,290 --> 00:40:09,430
No, this is yours, Shaun.

828
00:40:09,560 --> 00:40:11,780
I gave it to you to remember me by.

829
00:40:11,800 --> 00:40:13,190
It hurt.

830
00:40:16,820 --> 00:40:19,170
I didn't want to tell you the truth

831
00:40:19,190 --> 00:40:20,930
because I didn't know it,

832
00:40:20,960 --> 00:40:23,730
but I have to tell you the
truth because it will help.

833
00:40:29,380 --> 00:40:31,660
Every night, I would come home,

834
00:40:32,540 --> 00:40:37,250
and I would look at that baseball,

835
00:40:37,480 --> 00:40:39,360
and I would think of you.

836
00:40:41,510 --> 00:40:43,550
The baseball was here,

837
00:40:43,580 --> 00:40:45,410
but you weren't.

838
00:40:45,960 --> 00:40:47,140
That's sweet.

839
00:40:47,170 --> 00:40:50,050
No, it isn't.

840
00:40:50,070 --> 00:40:51,620
It hurt.

841
00:40:51,640 --> 00:40:53,030
You hurt me.

842
00:40:53,520 --> 00:40:55,260
Okay, Shaun, you know...

843
00:40:55,290 --> 00:40:58,330
You went away, and it hurt,

844
00:40:58,350 --> 00:41:01,000
and it kept hurting, and now you're back.

845
00:41:01,020 --> 00:41:03,940
♪

846
00:41:04,000 --> 00:41:07,000
If you stay, you will go away again,

847
00:41:07,040 --> 00:41:09,560
and it will hurt again.

848
00:41:09,580 --> 00:41:12,060
So I want you to go back to Hershey.

849
00:41:12,090 --> 00:41:14,570
♪

850
00:41:14,590 --> 00:41:16,270
I know you don't mean that, and I know...

851
00:41:16,290 --> 00:41:19,710
Please go back to Hershey

852
00:41:19,930 --> 00:41:22,380
or anywhere other than here!

853
00:41:22,400 --> 00:41:26,300
♪

854
00:41:26,330 --> 00:41:30,500
♪

855
00:41:33,990 --> 00:41:37,460
(DOOR OPENS, CLOSES)

856
00:41:37,480 --> 00:41:43,170
♪

857
00:41:43,190 --> 00:41:48,870
♪

858
00:41:49,440 --> 00:41:50,470
Feeling okay?

859
00:41:52,140 --> 00:41:54,880
Yeah, sure, superduper.

860
00:41:55,950 --> 00:41:58,170
I want to thank you for your trust.

861
00:41:58,190 --> 00:41:59,660
I'll do my best to deserve it.

862
00:42:00,560 --> 00:42:02,830
Well, that's all I can ask.

863
00:42:05,510 --> 00:42:07,150
You know the drill.

864
00:42:07,180 --> 00:42:13,520
♪

865
00:42:13,620 --> 00:42:15,150
10...

866
00:42:15,880 --> 00:42:17,300
9...

867
00:42:19,690 --> 00:42:20,860
8...

868
00:42:22,350 --> 00:42:23,350
7...

