﻿1
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(ALARM BEEPS)

2
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(VAMPIRE WEEKEND'S<i> THIS LIFE</i> PLAYS)

3
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<i>- ♪ Baby, I know pain ♪</i>
- I'm Dr. Browne.

4
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I'll be performing your surgery today.

5
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I'm Dr. Browne.
I'll be performing your surgery today.

6
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<i>♪ I just thought it didn't rain ♪</i>

7
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Dr. Browne...

8
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♪ <i>In California</i> ♪

9
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(SIGHS) I'll be performing
your surgery today.

10
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<i>- ♪ Baby, I know love ♪</i>
- (WATER RUNS, SHUTS OFF)

11
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It's a very simple procedure.

12
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It's a straightforward procedure.

13
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<i>♪ 'Cause I've never known love
like this before ♪</i>

14
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It was a successful surgery.

15
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(BOTTLES CLINK)

16
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♪♪♪♪

17
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♪ <i>Baby, I know dreams</i> ♪

18
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♪ <i>Tend to crumble at extremes</i> ♪

19
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The surgery was a success.

20
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♪ <i>I just thought ♪
♪ our dream would last</i> ♪

21
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We expect a full recovery.

22
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<i>♪ We're surviving, we're still living ♪</i>

23
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I expect a full recovery.

24
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WOMAN: Baby.

25
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Where do you want this?

26
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Uh, thanks, Mom.

27
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Uh, put it by my bag.

28
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I'll have the hospital lab run it.

29
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(SIGHS)

30
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Nausea and severe
abdominal pain after eating.

31
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This patient could need a lap chole.

32
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That would be an ideal first surgery.

33
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Let's not get ahead of ourselves.

34
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She may just need an antacid.

35
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Hi, Michelle.

36
00:01:27,270 --> 00:01:29,050
I understand your mother
is on her way in.

37
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- I'm Dr. Browne.
- And I'm Dr. Shaun Murphy.

38
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You need to fix my sister.

39
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What's your name?

40
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- Tisha.
- Hi, Tisha.

41
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Well, that is exactly why we're here...

42
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To help your sister.

43
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<i>Foster</i> sister.

44
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When did the pain start?

45
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About an hour ago.

46
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It was on the bus.

47
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My sister rides with me
every day to school and back.

48
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My brother and I used to live on a bus.

49
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Cool.

50
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CLAIRE: Have you felt like this before?

51
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A few times.

52
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(GASPS) Ow.

53
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She has extreme upper-right
quadrant tenderness.

54
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That's consistent with cholecystitis.

55
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As is her fever and elevated white count.

56
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Your gallbladder probably
needs to be removed.

57
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♪♪♪♪

58
00:02:14,230 --> 00:02:16,050
You must be excited, Claire.

59
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This is going to be your first surgery.

60
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♪♪♪♪

61
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Has your urine changed color?

62
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Gotten darker?

63
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Synced & corrected by -robtor-
www.addic7ed.com

64
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I hear Dr. Browne might have
landed her first lap chole.

65
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It's not exactly a straightforward case.

66
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The duct is massively dilated,

67
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the wall's inflamed, this scarring...

68
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It's gonna limit visibility.

69
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Well, the thickness
of the gallbladder wall

70
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does pose a challenge.

71
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What do you think?

72
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It's not her decision.

73
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It's mine, as the attending.

74
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Doesn't mean she shouldn't
offer her opinion.

75
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I think that, um, Dr. Melendez is right.

76
00:03:07,780 --> 00:03:09,760
With the limited visibility,
I shouldn't be...

77
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Only with a laparoscopic cholecystectomy.

78
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Which I don't think we should do.

79
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An open procedure
would provide a clearer view

80
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of the gallbladder
and the surrounding anatomy

81
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despite the inflammation.

82
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Carly and I went on
another date last night.

83
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Mm. What did you do?

84
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Dinner, movie...

85
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We walked 12 minutes to a deli

86
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and had some food and talked.

87
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Where are we going?

88
00:03:39,960 --> 00:03:42,440
Andrews is starting an open chole.

89
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Sounds like it's going
well with you and Carly.

90
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Oh, yes.

91
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She answered all of my questions.

92
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How many did you ask?

93
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83, although some had multiple parts.

94
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"Do you want to have children?

95
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If yes, how many and when?"

96
00:03:57,160 --> 00:03:58,710
"Where do you plan to raise them?

97
00:03:58,730 --> 00:04:01,370
In what religious tradition?"

98
00:04:01,400 --> 00:04:03,640
Those are pretty intense.

99
00:04:03,670 --> 00:04:06,980
They're good questions,
Claire, about important topics.

100
00:04:07,000 --> 00:04:09,950
Early on, people usually
stick with lighter stuff...

101
00:04:09,970 --> 00:04:12,350
Favorite movies, bands, hometowns.

102
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Small talk.

103
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♪♪♪♪

104
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ANDREWS:<i> Put some LAPs
in the upper-right quadrant.</i>

105
00:04:20,240 --> 00:04:21,830
WOMAN:<i> Here's the Bovie, Dr. Andrews.</i>

106
00:04:21,850 --> 00:04:24,000
Isn't the point of dating

107
00:04:24,030 --> 00:04:27,100
to gather information
to determine compatibility?

108
00:04:27,130 --> 00:04:28,770
<i>Retract the omentum.</i>

109
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Sure.

110
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Isn't that best achieved

111
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by finding out what's
important to the other person?

112
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- WOMAN:<i> Hemostats.</i>
- (SIGHS)

113
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It's a... It's a process, Shaun,

114
00:04:39,280 --> 00:04:40,430
like peeling an onion.

115
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People are more comfortable

116
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revealing their layers gradually,

117
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as opposed to getting sliced
right down the middle.

118
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ANDREWS:<i> I heard Dr. Lim selected you</i>

119
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<i>for the first lead.</i>

120
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<i>I'm guessing you drew a cholecystectomy.</i>

121
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<i>Sponge on a stick.</i>

122
00:04:53,770 --> 00:04:55,140
What's your approach to dissecting...

123
00:04:55,170 --> 00:04:56,620
Retrograde or antegrade?

124
00:04:56,640 --> 00:04:57,650
<i>Antegrade.</i>

125
00:04:57,660 --> 00:04:59,210
<i>Once I've located the porta hepatis.</i>

126
00:04:59,240 --> 00:05:02,020
I think Carly was comfortable.

127
00:05:02,040 --> 00:05:03,320
Why does it matter

128
00:05:03,340 --> 00:05:05,590
what kind of questions are asked when?

129
00:05:05,610 --> 00:05:07,520
Aren't the answers what's important?

130
00:05:07,550 --> 00:05:08,990
- I'm sure you're right.
- Yes.

131
00:05:09,010 --> 00:05:11,160
What is the plan for the next date?

132
00:05:11,180 --> 00:05:12,800
Hmm.

133
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We didn't make another date.

134
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<i>Then I grasp gallbladder fundus</i>

135
00:05:18,020 --> 00:05:19,760
<i>- and elevate it which way?</i>
- S-Superiorly.

136
00:05:19,780 --> 00:05:21,440
Is that significant?

137
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No follow-up date?

138
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Not necessarily.

139
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How did the night end?

140
00:05:25,350 --> 00:05:26,360
Good-night kiss?

141
00:05:26,380 --> 00:05:28,640
<i>I've exposed the triangle of Calot</i>

142
00:05:28,670 --> 00:05:31,340
<i>and ligated the cystic duct and artery.</i>

143
00:05:31,360 --> 00:05:32,680
<i>What is the risk at this juncture?</i>

144
00:05:32,710 --> 00:05:34,860
- Lacerating the liver during dissection.
<i>- Correct.</i>

145
00:05:34,880 --> 00:05:36,070
We didn't kiss.

146
00:05:36,090 --> 00:05:37,880
<i>Ironically, a complication</i>

147
00:05:37,900 --> 00:05:40,220
<i>which I've inadvertently
just demonstrated.</i>

148
00:05:40,250 --> 00:05:41,420
<i>Hold direct pressure.</i>

149
00:05:41,450 --> 00:05:42,660
<i>I need better exposure.</i>

150
00:05:42,680 --> 00:05:45,090
I sliced instead of peeled.

151
00:05:45,120 --> 00:05:46,580
ANDREWS:<i> You are familiar
with the Pringle procedure,</i>

152
00:05:46,590 --> 00:05:47,600
<i>Dr. Browne?</i>

153
00:05:47,620 --> 00:05:48,840
Yes, although I've never...

154
00:05:48,860 --> 00:05:50,260
<i>Clamp down the portal triad</i>

155
00:05:50,280 --> 00:05:51,900
<i>with an atraumatic hemostat clamp,</i>

156
00:05:51,920 --> 00:05:53,620
<i>then use a number 2 catgut suture.</i>

157
00:05:54,630 --> 00:05:56,630
♪♪♪♪

158
00:06:01,600 --> 00:06:03,600
♪♪♪♪

159
00:06:08,680 --> 00:06:11,620
Shaun, just go to her and explain.

160
00:06:11,640 --> 00:06:14,260
If what I said made her uncomfortable,

161
00:06:14,280 --> 00:06:17,000
then saying more could make
her more uncomfortable.

162
00:06:17,020 --> 00:06:19,160
I sliced instead of peeled.

163
00:06:19,620 --> 00:06:21,460
After Michelle's surgery,

164
00:06:21,480 --> 00:06:23,600
I will go and talk to Carly.

165
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(SIGHS SHAKILY) Good.

166
00:06:25,760 --> 00:06:27,790
(PAGER BEEPS)

167
00:06:30,500 --> 00:06:33,140
You can talk to her soon.

168
00:06:33,270 --> 00:06:35,000
OR 2 had a cancellation.

169
00:06:35,040 --> 00:06:37,480
Your surgery is in 45 minutes.

170
00:06:39,240 --> 00:06:40,550
(SIGHS)

171
00:06:40,580 --> 00:06:41,600
Hi, I'm Dr. Browne.

172
00:06:41,620 --> 00:06:43,520
I will be performing Michelle's surgery.

173
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♪♪♪♪

174
00:06:47,080 --> 00:06:48,850
I will be removing her gallbladder.

175
00:06:48,880 --> 00:06:50,960
It is a simple procedure.

176
00:06:50,980 --> 00:06:52,290
We're gonna make sure your daughter

177
00:06:52,320 --> 00:06:53,590
is well taken care of.

178
00:06:55,390 --> 00:06:56,870
- MAN: Ow!
- (METAL CLATTERS)

179
00:06:56,890 --> 00:06:58,880
MORGAN: Sir, we need to decapitate it.

180
00:06:58,900 --> 00:07:01,090
MAN: No, don't. I'm begging you.

181
00:07:01,110 --> 00:07:02,200
Don't.

182
00:07:02,230 --> 00:07:03,500
Please.

183
00:07:04,230 --> 00:07:05,570
PARK: I can't get an image.

184
00:07:05,600 --> 00:07:06,640
How did that...

185
00:07:06,670 --> 00:07:08,080
I-Is that a swordfish?

186
00:07:08,100 --> 00:07:10,010
With that dorsal fin? It's a marlin.

187
00:07:10,040 --> 00:07:11,580
I hooked him with a naked ballyhoo.

188
00:07:11,600 --> 00:07:13,380
Battled me for over an hour.

189
00:07:13,410 --> 00:07:16,180
Suddenly, he just leapt out of
the water. He came right at me.

190
00:07:16,210 --> 00:07:17,700
Save the story for the bar, Quint.

191
00:07:17,720 --> 00:07:19,600
Right now, we need to cut
the damn thing in half.

192
00:07:19,620 --> 00:07:21,190
No. 40-plus years

193
00:07:21,210 --> 00:07:22,560
I've been chasing a fish like this.

194
00:07:22,580 --> 00:07:23,880
You can't just behead him!

195
00:07:23,900 --> 00:07:25,730
Can't leave his nose in your leg, either.

196
00:07:25,750 --> 00:07:27,120
His bill.

197
00:07:28,050 --> 00:07:31,860
Can't you just (SIGHS)
pull him out gently?

198
00:07:31,880 --> 00:07:32,900
I'll sign a waiver.

199
00:07:32,930 --> 00:07:34,400
The pull-out method never works.

200
00:07:34,430 --> 00:07:37,300
If any of your blood vessels
are damaged, it gets messy.

201
00:07:37,330 --> 00:07:39,060
Congrats. I hear your surgery
is on the schedule.

202
00:07:39,100 --> 00:07:40,480
How's his distal pulse?

203
00:07:40,500 --> 00:07:41,640
A little thready, but still there.

204
00:07:41,670 --> 00:07:42,850
We need to get him to an MRI.

205
00:07:42,870 --> 00:07:44,760
I'm not going anywhere without Franklin.

206
00:07:46,970 --> 00:07:48,420
I named him after my father.

207
00:07:48,440 --> 00:07:50,220
You and Franklin both won't fit.

208
00:07:50,840 --> 00:07:52,320
Aah! (GROANS) Oh! Oh!

209
00:07:52,340 --> 00:07:54,680
- How? You said he was dead!
- I didn't take a pulse.

210
00:07:54,700 --> 00:07:55,990
Go get something to kill it.

211
00:07:56,010 --> 00:07:57,930
- No, it's dead!
- It's moving!

212
00:07:57,950 --> 00:07:59,380
It's a postmortem response.

213
00:07:59,400 --> 00:08:01,000
You guys are doctors.
Don't people do this?

214
00:08:01,020 --> 00:08:02,020
- No!
- No!

215
00:08:03,500 --> 00:08:05,070
(SIGHS)

216
00:08:08,130 --> 00:08:09,590
I'll help you review at lunch.

217
00:08:09,610 --> 00:08:11,610
Surgery's in 20 minutes.

218
00:08:11,630 --> 00:08:13,480
- Good luck.
- You, too.

219
00:08:13,500 --> 00:08:15,000
(BREATHING HEAVILY)

220
00:08:25,150 --> 00:08:27,860
MICHELLE AND TISHA: I want to...

221
00:08:27,880 --> 00:08:28,960
PATRICIA: No, no, I haven't looked.

222
00:08:28,980 --> 00:08:32,260
TISHA: I want to be...

223
00:08:32,290 --> 00:08:33,330
- MICHELLE: Great.
- ...great...

224
00:08:33,350 --> 00:08:34,460
Okay.

225
00:08:34,490 --> 00:08:35,860
- ...or nothing.
- Nothing.

226
00:08:35,890 --> 00:08:39,020
Got it. I'll be back as soon as I can.

227
00:08:40,960 --> 00:08:42,870
Hi. You must be Michelle's mother.

228
00:08:42,900 --> 00:08:44,370
I'm Dr. Browne. I'll be...

229
00:08:44,400 --> 00:08:45,910
Yeah. How long will
she have to stay in here?

230
00:08:45,930 --> 00:08:47,510
Hospitals make me nervous.

231
00:08:47,530 --> 00:08:49,810
Three days to a week, depending on...

232
00:08:49,830 --> 00:08:52,310
Well, she's gonna miss a lot of school.

233
00:08:52,340 --> 00:08:54,850
And she watches Tisha and her
brothers in the afternoon.

234
00:08:54,870 --> 00:08:57,050
Your daughter has a serious
infection in her gallbladder.

235
00:08:57,080 --> 00:08:58,790
She's been experiencing symptoms

236
00:08:58,810 --> 00:09:00,760
on and off for a while now.

237
00:09:00,780 --> 00:09:02,420
She never told me that.

238
00:09:03,180 --> 00:09:05,090
Why didn't you tell me that?

239
00:09:05,720 --> 00:09:07,060
- Mama...
- My point is,

240
00:09:07,090 --> 00:09:09,000
she's been ill for a while,

241
00:09:09,020 --> 00:09:10,500
so her recovery may take...

242
00:09:10,520 --> 00:09:12,700
(WEAKLY) Mom.

243
00:09:12,720 --> 00:09:14,070
Mom?

244
00:09:14,090 --> 00:09:17,070
P-Please, my... my chest hurts.

245
00:09:17,100 --> 00:09:18,120
- (ALARM CHIRPING)
- PATRICIA: What's wrong?

246
00:09:18,140 --> 00:09:20,120
Her oxygen levels are dropping.
She's tachycardic.

247
00:09:20,140 --> 00:09:21,730
I need a chest CT, stat.

248
00:09:22,200 --> 00:09:25,690
♪♪♪♪

249
00:09:28,090 --> 00:09:29,420
You had a blood clot

250
00:09:29,450 --> 00:09:31,230
in the artery that feeds your lungs.

251
00:09:31,260 --> 00:09:32,840
It's called a pulmonary embolism.

252
00:09:32,860 --> 00:09:34,330
This medicine broke it up.

253
00:09:34,360 --> 00:09:35,730
How could that happen?

254
00:09:35,750 --> 00:09:36,760
MELENDEZ: According to our scan,

255
00:09:36,780 --> 00:09:38,540
it was part of a larger clot in your leg

256
00:09:38,560 --> 00:09:39,910
that broke off and traveled there.

257
00:09:39,930 --> 00:09:42,810
As for why the larger one formed,

258
00:09:42,830 --> 00:09:45,440
when I asked you if you were
taking birth control pills,

259
00:09:45,470 --> 00:09:47,110
you said no.

260
00:09:47,140 --> 00:09:48,320
Was that the truth?

261
00:09:49,360 --> 00:09:51,430
You asked me in front of Tisha.

262
00:09:51,900 --> 00:09:54,240
I'm doing it with my boyfriend,
and I don't want babies,

263
00:09:54,270 --> 00:09:55,810
so I'm taking birth control pills.

264
00:09:55,830 --> 00:09:57,220
How long have you been taking them?

265
00:09:57,250 --> 00:09:58,920
I don't know. A year?

266
00:09:58,940 --> 00:10:01,550
I'm prescribing condoms
for your boyfriend.

267
00:10:01,900 --> 00:10:04,450
You need to go off the pill
to prevent further clots.

268
00:10:04,480 --> 00:10:08,160
Dr. Browne is gonna place an IVC
filter via your femoral vein,

269
00:10:08,180 --> 00:10:09,920
in case other parts
of the clot break off.

270
00:10:09,940 --> 00:10:12,300
Your gallbladder surgery's gonna
have to wait till tomorrow.

271
00:10:13,020 --> 00:10:14,380
(GASPS) What are you doing?

272
00:10:15,650 --> 00:10:17,500
This is where the catheter goes in.

273
00:10:17,520 --> 00:10:19,530
♪♪♪♪

274
00:10:23,030 --> 00:10:25,030
♪♪♪♪

275
00:10:28,530 --> 00:10:30,780
How did you get these scars?

276
00:10:30,800 --> 00:10:33,210
I cut myself climbing a fence.

277
00:10:33,240 --> 00:10:35,240
♪♪♪♪

278
00:10:40,300 --> 00:10:42,940
Those scars...

279
00:10:43,900 --> 00:10:46,820
They're straight, in a row,

280
00:10:46,890 --> 00:10:48,480
all the same length.

281
00:10:50,360 --> 00:10:52,200
I don't believe you
got them from a fence.

282
00:10:53,910 --> 00:10:55,880
I don't care what you believe.

283
00:10:59,330 --> 00:11:02,010
(INHALES DEEPLY)

284
00:11:02,030 --> 00:11:03,670
Kids who cut,

285
00:11:04,270 --> 00:11:08,220
most of them are really sad,

286
00:11:08,240 --> 00:11:10,090
in a lot of pain,

287
00:11:10,120 --> 00:11:11,890
and they say cutting
makes them feel better.

288
00:11:11,910 --> 00:11:13,210
Is that how it is with you?

289
00:11:14,600 --> 00:11:16,120
I don't want to talk about it.

290
00:11:16,150 --> 00:11:19,130
(SIGHS)

291
00:11:19,150 --> 00:11:20,490
Okay.

292
00:11:37,090 --> 00:11:38,820
(PAPER RUSTLES)

293
00:11:42,570 --> 00:11:44,120
My life sucks, okay?

294
00:11:44,590 --> 00:11:46,290
Tell me how.

295
00:11:46,310 --> 00:11:47,510
Why?

296
00:11:48,510 --> 00:11:50,010
It won't change anything.

297
00:11:51,980 --> 00:11:54,720
Talking might make you feel better,

298
00:11:56,020 --> 00:11:57,660
and maybe I can help.

299
00:11:59,660 --> 00:12:02,520
I live in a foster home,
but I'm not a foster kid.

300
00:12:03,060 --> 00:12:05,980
I'm a whole mother,
but I've never had a baby.

301
00:12:08,000 --> 00:12:10,210
My mom brought three kids in our home,

302
00:12:10,230 --> 00:12:12,550
and now it's my job
to take care of them...

303
00:12:12,570 --> 00:12:14,800
Make breakfast, get the kids dressed,

304
00:12:14,820 --> 00:12:16,240
take them to school, go to school,

305
00:12:16,260 --> 00:12:18,550
pick them up, dinner, homework, laundry.

306
00:12:18,580 --> 00:12:19,900
Repeat.

307
00:12:20,410 --> 00:12:22,040
I barely ever leave the house

308
00:12:22,050 --> 00:12:23,890
without a kid attached to me.

309
00:12:23,910 --> 00:12:26,090
Can you help me with that?

310
00:12:26,120 --> 00:12:28,730
♪♪♪♪

311
00:12:28,750 --> 00:12:30,560
Michelle wouldn't
hurt herself on purpose.

312
00:12:30,590 --> 00:12:33,180
CLAIRE: Michelle is unhappy.
She feels pressure

313
00:12:33,200 --> 00:12:34,870
to look after her foster siblings,

314
00:12:34,890 --> 00:12:35,970
help out at home...

315
00:12:36,000 --> 00:12:37,390
Yeah, her home life is fine.

316
00:12:38,800 --> 00:12:40,340
I'll talk to her.

317
00:12:40,370 --> 00:12:43,420
It might be helpful to have
her speak with a psychiatrist.

318
00:12:43,470 --> 00:12:44,750
My daughter is not crazy.

319
00:12:44,770 --> 00:12:46,510
We... We don't do psychiatrists.
You know that.

320
00:12:46,540 --> 00:12:47,780
That needs to change.

321
00:12:47,810 --> 00:12:49,380
When are you doing her surgery?

322
00:12:49,410 --> 00:12:51,020
- Tomorrow.
- Thank you.

323
00:12:52,440 --> 00:12:53,910
I will speak to my daughter.

324
00:12:58,580 --> 00:12:59,960
Don't.

325
00:13:00,370 --> 00:13:02,790
It's your job to fix her
gallbladder, not her life.

326
00:13:03,790 --> 00:13:05,470
It's your first surgery.

327
00:13:05,490 --> 00:13:06,920
Don't get distracted.

328
00:13:09,390 --> 00:13:12,160
(ALARM BEEPING)

329
00:13:20,040 --> 00:13:21,350
Have you talked to Carly?

330
00:13:21,370 --> 00:13:22,780
(ALARM BEEPING RAPIDLY)

331
00:13:22,810 --> 00:13:23,850
No.

332
00:13:23,880 --> 00:13:25,670
- (FLATLINE)
- (SIGHS)

333
00:13:25,700 --> 00:13:27,970
Blood pressure is 62/31.

334
00:13:28,000 --> 00:13:29,690
Your patient is in cardiac arrest.

335
00:13:29,710 --> 00:13:30,820
I know.

336
00:13:30,850 --> 00:13:32,080
(ALARM BEEPING)

337
00:13:32,100 --> 00:13:35,360
You're practicing the Pringle maneuver

338
00:13:35,390 --> 00:13:37,000
in the event of a liver bleed?

339
00:13:37,020 --> 00:13:38,640
Yes.

340
00:13:38,660 --> 00:13:40,170
(BEEPING STOPS)

341
00:13:40,190 --> 00:13:41,240
(EXHALES SHARPLY)

342
00:13:41,260 --> 00:13:43,370
- That was better.
- Thanks.

343
00:13:43,400 --> 00:13:45,170
Now you can talk to Carly.

344
00:13:45,200 --> 00:13:46,710
I need to practice.

345
00:13:49,070 --> 00:13:50,250
(ALARM BEEPING)

346
00:13:50,270 --> 00:13:52,950
Dr. Lim says

347
00:13:52,970 --> 00:13:56,550
getting away from things
every now and again,

348
00:13:56,570 --> 00:13:59,020
having balance in our lives

349
00:13:59,040 --> 00:14:02,640
can be just as important to
our performance as practice.

350
00:14:02,680 --> 00:14:06,080
Maybe you should get some
balance by talking to Carly.

351
00:14:06,100 --> 00:14:07,119
I don't know.

352
00:14:07,120 --> 00:14:08,860
- (BEEPING STOPS)
- (SIGHS)

353
00:14:08,890 --> 00:14:10,870
I'm nervous about my surgery, Shaun.

354
00:14:10,890 --> 00:14:12,770
Practice will make me less nervous.

355
00:14:12,800 --> 00:14:14,660
That will improve my performance.

356
00:14:16,880 --> 00:14:17,920
Okay.

357
00:14:20,730 --> 00:14:22,080
Okay.

358
00:14:22,100 --> 00:14:23,180
(ALARM BEEPING)

359
00:14:23,200 --> 00:14:26,250
You should also practice
not causing a liver bleed.

360
00:14:26,280 --> 00:14:27,960
Planning on it.

361
00:14:28,710 --> 00:14:33,760
Also, how you will recover
if you cut the portal vein.

362
00:14:33,780 --> 00:14:35,970
That's potentially fatal.

363
00:14:36,620 --> 00:14:39,490
Or if you perforate the small bowel,

364
00:14:39,520 --> 00:14:41,660
which could cause sepsis,
leading to death.

365
00:14:41,690 --> 00:14:44,270
Or if you cut the common bile duct,

366
00:14:44,290 --> 00:14:45,630
- which would cause...
- I'm gonna go talk to Carly.

367
00:14:45,660 --> 00:14:47,270
- Right now?
- Right now.

368
00:14:47,290 --> 00:14:49,600
- Aren't you still nervous?
- Nope, all better.

369
00:14:49,620 --> 00:14:52,870
♪♪♪♪

370
00:14:52,900 --> 00:14:54,310
MORGAN: What blade for the Kocher?

371
00:14:54,340 --> 00:14:55,740
What?

372
00:14:55,770 --> 00:14:58,380
Incision for the chole... what blade?

373
00:14:58,400 --> 00:14:59,660
Uh...

374
00:15:01,750 --> 00:15:03,250
- 10.
- Mm-hmm.

375
00:15:05,000 --> 00:15:07,590
No, they won't both fit in the MRI.

376
00:15:07,610 --> 00:15:10,230
Fish Boy doesn't buy it.

377
00:15:10,250 --> 00:15:12,060
Location of the incision.

378
00:15:13,990 --> 00:15:15,460
Why are you trying to help me?

379
00:15:15,490 --> 00:15:17,980
Lim picked you for the first surgery.

380
00:15:18,000 --> 00:15:19,270
Everyone knows that makes you

381
00:15:19,290 --> 00:15:20,970
the front-runner for Chief Resident.

382
00:15:20,990 --> 00:15:22,460
This is me sucking up.

383
00:15:24,600 --> 00:15:25,910
I've never been big on pretense...

384
00:15:25,930 --> 00:15:27,530
- (BANGS)
- (SCREAMS)

385
00:15:30,140 --> 00:15:31,510
Are you okay?

386
00:15:31,540 --> 00:15:32,800
What the hell just happened?

387
00:15:32,820 --> 00:15:34,180
(BREATHING HEAVILY)

388
00:15:34,210 --> 00:15:35,950
The marlin must have had
metal in his body...

389
00:15:35,970 --> 00:15:37,120
Lures and stuff.

390
00:15:37,140 --> 00:15:39,290
I think a license plate flew by me.

391
00:15:39,310 --> 00:15:40,960
Franklin!

392
00:15:40,980 --> 00:15:42,320
Oh, no!

393
00:15:42,350 --> 00:15:43,420
Franklin!

394
00:15:43,450 --> 00:15:45,990
♪♪♪♪

395
00:15:46,020 --> 00:15:47,860
Oh, it's okay.

396
00:15:47,890 --> 00:15:48,960
Franklin's okay.

397
00:15:48,990 --> 00:15:51,040
It all came out one side.

398
00:15:52,190 --> 00:15:53,710
It won't show when I mount him.

399
00:15:55,330 --> 00:15:56,670
Well, thank goodness for small miracles.

400
00:15:56,690 --> 00:15:57,770
- Ooh.
- Oh!

401
00:15:57,800 --> 00:15:58,910
Ow!

402
00:15:58,930 --> 00:15:59,950
Oh! Ah!

403
00:16:00,670 --> 00:16:01,780
(GROANS)

404
00:16:01,800 --> 00:16:04,580
♪♪♪♪

405
00:16:04,600 --> 00:16:05,750
I've got his femoral.

406
00:16:05,770 --> 00:16:06,810
Call the OR. We're coming.

407
00:16:06,840 --> 00:16:12,090
♪♪♪♪

408
00:16:12,110 --> 00:16:17,020
♪♪♪♪

409
00:16:17,180 --> 00:16:18,790
LIM: Hang on, Dr. Browne.

410
00:16:18,820 --> 00:16:20,260
Just need to make an incision

411
00:16:20,280 --> 00:16:23,370
above and below the arterial injury site.

412
00:16:23,390 --> 00:16:25,440
We need to clamp the femoral
proximal to the bleed

413
00:16:25,470 --> 00:16:27,540
without clipping the femoral nerve.

414
00:16:27,580 --> 00:16:29,970
Got it. I feel the nerve
right above my index finger.

415
00:16:30,000 --> 00:16:31,340
One down.

416
00:16:31,360 --> 00:16:32,800
My hand is starting to cramp.

417
00:16:32,820 --> 00:16:34,540
Lean over this way a little bit.
Rotate your wrist.

418
00:16:34,570 --> 00:16:36,980
- (GROANS)
- Just a little bit more.

419
00:16:37,000 --> 00:16:39,010
♪♪♪♪

420
00:16:39,040 --> 00:16:40,540
Let's see if that holds.

421
00:16:40,580 --> 00:16:43,250
♪♪♪♪

422
00:16:43,270 --> 00:16:45,850
(INHALES SHARPLY)

423
00:16:45,880 --> 00:16:47,550
(MONITORS BEEPING STEADILY)

424
00:16:49,910 --> 00:16:51,360
(CHUCKLES)

425
00:16:51,380 --> 00:16:53,230
Go get cleaned up.
We'll take it from here.

426
00:16:53,250 --> 00:16:56,590
♪♪♪♪

427
00:16:58,760 --> 00:17:00,030
(INHALES DEEPLY)

428
00:17:00,060 --> 00:17:02,840
(DOOR OPENS)

429
00:17:02,860 --> 00:17:04,700
I wanted to check
the patient's bloodwork.

430
00:17:04,730 --> 00:17:06,810
He's negative for HIV, Hep B and C.

431
00:17:06,830 --> 00:17:08,730
You don't need prophylactic meds.

432
00:17:11,600 --> 00:17:14,540
I'm nervous about my surgery.

433
00:17:15,310 --> 00:17:16,810
You'll be fine.

434
00:17:18,270 --> 00:17:20,140
And don't ever say that again.

435
00:17:20,910 --> 00:17:22,260
Why?

436
00:17:22,840 --> 00:17:24,990
Weren't you nervous
before your first lead?

437
00:17:25,020 --> 00:17:26,040
If I was,

438
00:17:26,060 --> 00:17:28,180
I didn't volunteer that
to the Chief of Surgery...

439
00:17:28,790 --> 00:17:30,370
Or anyone.

440
00:17:30,400 --> 00:17:32,030
We're women, we're not white,

441
00:17:32,060 --> 00:17:33,260
and we're surgeons.

442
00:17:33,280 --> 00:17:36,130
Unicorns consider<i> us</i> a fabled species.

443
00:17:36,150 --> 00:17:38,860
We don't get the luxury
of public insecurity.

444
00:17:40,170 --> 00:17:43,250
I will aspire to repressed
stoicism in the future.

445
00:17:43,280 --> 00:17:45,550
We don't need to be insecure,

446
00:17:45,580 --> 00:17:47,260
because every step of the way,

447
00:17:47,280 --> 00:17:49,550
we've had to be twice as
good as everybody else.

448
00:17:50,710 --> 00:17:52,190
Suck it up.

449
00:17:52,210 --> 00:17:54,120
You got this.

450
00:17:54,150 --> 00:17:59,260
♪♪♪♪

451
00:17:59,280 --> 00:18:01,290
♪♪♪♪

452
00:18:07,130 --> 00:18:11,370
(ALARM BEEPING)

453
00:18:11,400 --> 00:18:13,410
(SWITCH CLICKS, BEEPING STOPS)

454
00:18:13,430 --> 00:18:18,110
♪♪♪♪

455
00:18:18,140 --> 00:18:22,750
♪♪♪♪

456
00:18:22,770 --> 00:18:24,750
(COMPUTER BEEPS)

457
00:18:24,780 --> 00:18:30,650
♪♪♪♪

458
00:18:34,890 --> 00:18:36,990
(BIRDS CHIRPING)

459
00:18:41,790 --> 00:18:45,370
Don't forget we have our
session with Dr. Donovan today.

460
00:18:45,400 --> 00:18:46,860
I won't.

461
00:18:54,540 --> 00:18:56,580
- Your patient.
- Mm-hmm.

462
00:18:56,610 --> 00:18:58,000
What are they like?

463
00:18:58,480 --> 00:19:00,890
Man, woman, young, old?

464
00:19:00,910 --> 00:19:02,630
Woman.

465
00:19:03,680 --> 00:19:05,590
Girl, actually.

466
00:19:06,260 --> 00:19:11,500
She's tough, smart... really sad.

467
00:19:12,740 --> 00:19:15,860
Her mom has her taking care
of three foster kids.

468
00:19:18,200 --> 00:19:20,350
At least you were only stuck
looking after<i> me.</i>

469
00:19:25,640 --> 00:19:26,980
How old?

470
00:19:27,000 --> 00:19:28,750
14.

471
00:19:28,770 --> 00:19:32,450
Although she acts a lot older.

472
00:19:32,480 --> 00:19:34,280
She's been having sex for almost a year.

473
00:19:35,710 --> 00:19:38,160
Well, you were about that age
when you were with Wayne.

474
00:19:39,320 --> 00:19:41,630
- I didn't have sex with Wayne.
- What?

475
00:19:41,650 --> 00:19:43,330
He was in love with you,

476
00:19:43,350 --> 00:19:45,370
always sniffing around our place.

477
00:19:45,390 --> 00:19:46,930
Maybe. He didn't get any.

478
00:19:46,960 --> 00:19:48,040
So, who?

479
00:19:48,060 --> 00:19:50,040
Junior prom guy... Derek.

480
00:19:50,060 --> 00:19:51,270
Der... No.

481
00:19:51,300 --> 00:19:52,580
(SCOFFS)

482
00:19:52,610 --> 00:19:55,410
I didn't lose my virginity

483
00:19:55,430 --> 00:19:58,200
until sophomore year of college.

484
00:19:58,220 --> 00:20:00,110
What were you hoping for, a proposal?

485
00:20:00,140 --> 00:20:01,760
No.

486
00:20:02,970 --> 00:20:04,710
I wanted it to be special.

487
00:20:06,810 --> 00:20:07,890
(SNIFFS)

488
00:20:07,910 --> 00:20:10,460
Oh, good for you. (CHUCKLES)

489
00:20:10,480 --> 00:20:11,660
I mean, I wouldn't have held out...

490
00:20:11,680 --> 00:20:13,090
- No.
- ...but good for you.

491
00:20:13,120 --> 00:20:15,780
I thought for sure
you and Wayne were doing it.

492
00:20:17,720 --> 00:20:19,330
You were okay with that?

493
00:20:19,360 --> 00:20:21,200
You were so serious.

494
00:20:21,230 --> 00:20:23,000
So restrained.

495
00:20:23,030 --> 00:20:25,330
We talked about birth control.

496
00:20:25,360 --> 00:20:27,140
I figured, "Good for her.

497
00:20:27,170 --> 00:20:29,800
She's finally relaxing, having some fun."

498
00:20:33,380 --> 00:20:36,700
Well, I was so restrained and serious

499
00:20:36,720 --> 00:20:38,970
'cause I never knew when
you were gonna fall apart.

500
00:20:42,010 --> 00:20:44,330
(SMACKS LIPS)

501
00:20:44,350 --> 00:20:45,560
Got to get to work.

502
00:20:45,580 --> 00:20:48,200
(LAPTOP LID THUDS)

503
00:20:48,220 --> 00:20:49,920
(INDISTINCT CONVERSATIONS)

504
00:20:55,420 --> 00:20:57,530
I'll be back before
Michelle goes into surgery.

505
00:20:57,550 --> 00:20:59,030
Have you had a chance to talk to her

506
00:20:59,050 --> 00:21:00,840
about her cutting?

507
00:21:00,860 --> 00:21:03,980
Oh, yeah, some fool friend
of hers gave her the idea.

508
00:21:04,000 --> 00:21:06,240
She's not unhappy.
It's just peer pressure.

509
00:21:06,260 --> 00:21:07,940
She sounded unhappy to me.

510
00:21:07,960 --> 00:21:10,610
She's upset I didn't let her
go hang out with her friends.

511
00:21:10,630 --> 00:21:12,380
It's typical teen drama.

512
00:21:12,400 --> 00:21:14,040
She promised me she's done cutting.

513
00:21:14,070 --> 00:21:16,140
Self-harming behavior doesn't just stop.

514
00:21:16,180 --> 00:21:18,220
- Michelle might need...
- Dr. Browne.

515
00:21:18,240 --> 00:21:19,600
My daughter needs to have surgery

516
00:21:19,630 --> 00:21:21,010
and get out of this hospital.

517
00:21:34,960 --> 00:21:36,830
You didn't tell your mom the truth

518
00:21:36,860 --> 00:21:39,610
about why you cut yourself,

519
00:21:39,630 --> 00:21:41,170
about how unhappy you are.

520
00:21:41,200 --> 00:21:42,710
I tried.

521
00:21:42,730 --> 00:21:44,040
She didn't want to hear it,

522
00:21:44,060 --> 00:21:46,410
just said that things aren't
always gonna go my way

523
00:21:46,430 --> 00:21:48,510
and I need to be more responsible.

524
00:21:48,540 --> 00:21:50,240
Like I'm not already.

525
00:22:03,620 --> 00:22:06,500
Growing up, I had to take care of my mom.

526
00:22:06,520 --> 00:22:07,920
What was wrong with her?

527
00:22:07,940 --> 00:22:09,330
She's mentally ill.

528
00:22:09,360 --> 00:22:10,900
Bipolar disorder

529
00:22:10,920 --> 00:22:13,700
and a drinking problem, pills.

530
00:22:13,730 --> 00:22:15,180
When things were bad,

531
00:22:15,200 --> 00:22:17,980
she'd forget to buy groceries

532
00:22:18,000 --> 00:22:21,340
or clean the trailer or pick me up.

533
00:22:21,370 --> 00:22:25,380
Or she'd spend all our rent
on something stupid.

534
00:22:25,410 --> 00:22:27,880
(SCOFFS SOFTLY) And I thought

535
00:22:27,910 --> 00:22:31,190
if I could make her life easy enough...

536
00:22:31,210 --> 00:22:34,560
If I cooked and cleaned
and got good grades...

537
00:22:34,580 --> 00:22:36,630
Then she'd get better.

538
00:22:36,650 --> 00:22:38,560
But she never did.

539
00:22:38,590 --> 00:22:41,170
And for the longest time,

540
00:22:41,190 --> 00:22:43,330
I thought it was my fault she was sick.

541
00:22:43,360 --> 00:22:46,240
And I probably still would

542
00:22:46,260 --> 00:22:49,380
if a psychiatrist
hadn't refused to believe me

543
00:22:49,420 --> 00:22:51,900
when I said I was fine.

544
00:22:53,770 --> 00:22:55,720
You've been to a psychiatrist?

545
00:22:55,770 --> 00:22:58,700
♪♪♪♪

546
00:22:58,720 --> 00:23:01,780
But you're, like, a fancy surgeon.

547
00:23:04,110 --> 00:23:06,910
♪♪♪♪

548
00:23:06,940 --> 00:23:09,230
I could have a therapist
come by and see you

549
00:23:09,250 --> 00:23:10,460
before your surgery.

550
00:23:10,480 --> 00:23:16,270
♪♪♪♪

551
00:23:16,290 --> 00:23:22,240
♪♪♪♪

552
00:23:22,260 --> 00:23:23,770
Okay.

553
00:23:23,800 --> 00:23:28,110
♪♪♪♪

554
00:23:28,140 --> 00:23:30,840
(INDISTINCT CONVERSATIONS)

555
00:23:40,480 --> 00:23:42,000
MORGAN: He should be getting better.

556
00:23:42,020 --> 00:23:44,390
It's got to be an infection
from the marlin.

557
00:23:44,420 --> 00:23:47,060
Aeromonas or mycobacterium marinum.

558
00:23:47,090 --> 00:23:49,070
Would've responded to the antibiotics.

559
00:23:49,090 --> 00:23:51,500
Guys, I'm trying to focus.

560
00:23:52,130 --> 00:23:55,560
What if he has an underlying
autoimmune disorder?

561
00:23:55,580 --> 00:23:57,270
It could've been triggered by the surgery

562
00:23:57,300 --> 00:23:59,410
or even the initial fish stabbing.

563
00:23:59,430 --> 00:24:01,680
It would explain why the leg
ulcerations are progressing

564
00:24:01,700 --> 00:24:02,950
despite good arterial flow.

565
00:24:02,970 --> 00:24:05,310
We could see if he responds to steroids.

566
00:24:05,340 --> 00:24:07,780
Which could kill him
if it is an infection.

567
00:24:07,810 --> 00:24:12,290
♪♪♪♪

568
00:24:12,310 --> 00:24:14,380
But we could run an ANA,
see if he's positive.

569
00:24:15,650 --> 00:24:17,090
What about a parasite?

570
00:24:17,120 --> 00:24:19,830
Rhinosporidium seeberi or a gill worm.

571
00:24:19,850 --> 00:24:21,600
Have you talked to Carly?

572
00:24:21,620 --> 00:24:22,700
(SIGHS) Sorry.

573
00:24:22,720 --> 00:24:24,900
I got sidetracked by a marlin.

574
00:24:24,930 --> 00:24:28,370
♪♪♪♪

575
00:24:28,640 --> 00:24:30,370
(PAGER BEEPS)

576
00:24:30,400 --> 00:24:32,670
♪♪♪♪

577
00:24:38,140 --> 00:24:39,320
(KNOCK ON DOOR)

578
00:24:39,340 --> 00:24:40,620
LIM: Come in.

579
00:24:40,640 --> 00:24:42,950
You wanted to see me?

580
00:24:42,980 --> 00:24:45,290
Ms. Reynolds tells me that
you went against her wishes

581
00:24:45,310 --> 00:24:47,340
and had her daughter
speak with a psychiatrist.

582
00:24:48,200 --> 00:24:52,520
Uh, Michelle asked to see a therapist.

583
00:24:52,540 --> 00:24:54,600
Only after you talked her into it.

584
00:24:55,160 --> 00:24:57,070
I'm gonna report you
to the medical board.

585
00:24:57,090 --> 00:24:58,099
You had no right...

586
00:24:58,100 --> 00:25:00,050
Dr. Browne, were you concerned

587
00:25:00,070 --> 00:25:02,070
that Michelle might be
a serious danger to herself?

588
00:25:02,530 --> 00:25:03,720
Yes.

589
00:25:03,750 --> 00:25:05,760
In that case, the consult was required.

590
00:25:05,870 --> 00:25:07,140
That said,

591
00:25:07,170 --> 00:25:10,030
Dr. Browne's failure to
inform you was inappropriate.

592
00:25:10,670 --> 00:25:12,120
You're off the case.

593
00:25:12,140 --> 00:25:14,650
Dr. Melendez will perform the surgery.

594
00:25:14,680 --> 00:25:18,910
♪♪♪♪

595
00:25:24,380 --> 00:25:25,790
DR. DONOVAN: How are you doing?

596
00:25:26,820 --> 00:25:28,260
Claire?

597
00:25:28,290 --> 00:25:29,930
I understand today's a big day for you.

598
00:25:29,960 --> 00:25:31,740
Your first surgery.

599
00:25:31,760 --> 00:25:32,800
We don't need to talk about that.

600
00:25:32,830 --> 00:25:35,180
Hmm, I think we do.

601
00:25:35,330 --> 00:25:37,470
You've been taking care of
your mother for a long time.

602
00:25:37,500 --> 00:25:40,270
That's a pattern you both
need to break out of.

603
00:25:42,800 --> 00:25:44,470
I know I haven't always
been there for you,

604
00:25:44,480 --> 00:25:46,180
and I just... I... (SIGHS)

605
00:25:46,210 --> 00:25:47,530
I'm trying to change that.

606
00:25:47,550 --> 00:25:48,920
I know, Mom.

607
00:25:48,940 --> 00:25:50,090
I'm good. Everything is fine.

608
00:25:50,110 --> 00:25:51,670
DR. DONOVAN: And your first surgery?

609
00:25:51,690 --> 00:25:53,320
Is that this afternoon?

610
00:25:53,350 --> 00:25:54,410
It's...

611
00:25:56,250 --> 00:25:57,820
Actually, it's not.

612
00:25:57,850 --> 00:25:59,030
Um...

613
00:25:59,050 --> 00:26:00,330
(SIGHS)

614
00:26:00,350 --> 00:26:02,420
I arranged a psych consult

615
00:26:02,440 --> 00:26:04,170
without the mother's permission,

616
00:26:04,190 --> 00:26:06,070
so I got thrown off the case.

617
00:26:06,090 --> 00:26:07,570
How could the hospital allow that?

618
00:26:07,590 --> 00:26:08,700
What is wrong with them?

619
00:26:08,730 --> 00:26:10,070
After how hard you've worked, I just...

620
00:26:10,100 --> 00:26:12,540
It's okay, Mom. They kind of had to.

621
00:26:12,570 --> 00:26:13,960
That must be a big disappointment...

622
00:26:13,990 --> 00:26:15,040
It is.

623
00:26:18,640 --> 00:26:20,270
Anything else, Claire?

624
00:26:22,880 --> 00:26:25,860
(SIGHS) I'm upset, humiliated,

625
00:26:27,080 --> 00:26:30,550
so, so mad at my patient's mother

626
00:26:30,580 --> 00:26:31,800
for not taking care of her daughter.

627
00:26:31,820 --> 00:26:35,200
(INHALES SHAKILY, SIGHS)

628
00:26:35,220 --> 00:26:37,400
And I... I'm relieved.

629
00:26:37,420 --> 00:26:40,100
I'm so, so relieved
to have that weight off of me,

630
00:26:40,130 --> 00:26:41,770
and that makes me feel like a fraud.

631
00:26:41,800 --> 00:26:42,900
Don't you say that.

632
00:26:42,930 --> 00:26:44,460
How can I be so scared

633
00:26:44,480 --> 00:26:47,310
to do something I've wanted for so long?

634
00:26:47,330 --> 00:26:50,340
Because things that matter are scary.

635
00:26:51,470 --> 00:26:54,320
That's how I feel about coming here,

636
00:26:54,340 --> 00:26:57,680
talking about my life
and our relationship.

637
00:26:58,650 --> 00:27:00,180
What if I can't fix it?

638
00:27:01,950 --> 00:27:03,320
What if I can't make up

639
00:27:03,340 --> 00:27:05,560
for all the times I've let you down?

640
00:27:07,120 --> 00:27:08,320
And then I think...

641
00:27:10,990 --> 00:27:13,200
..."Just be like Claire."

642
00:27:13,230 --> 00:27:17,210
♪♪♪♪

643
00:27:17,230 --> 00:27:20,980
Because nothing stops you... ever.

644
00:27:21,000 --> 00:27:22,480
You see what you want,

645
00:27:22,500 --> 00:27:24,950
and you go after it
with everything you've got.

646
00:27:24,970 --> 00:27:26,820
♪♪♪♪

647
00:27:26,840 --> 00:27:28,520
You are an inspiration.

648
00:27:30,810 --> 00:27:32,590
You're<i> my</i> inspiration.

649
00:27:32,610 --> 00:27:34,480
♪♪♪♪

650
00:27:39,720 --> 00:27:41,260
(CLAIRE SIGHS)

651
00:27:41,290 --> 00:27:45,570
♪♪♪♪

652
00:27:45,590 --> 00:27:46,940
Carly?

653
00:27:46,960 --> 00:27:48,340
Hi. Do you have a second?

654
00:27:48,360 --> 00:27:49,720
OR 2 is waiting to learn

655
00:27:49,740 --> 00:27:52,000
the patient's mass wasn't
cancerous so they can close.

656
00:27:52,020 --> 00:27:53,039
I can come back after.

657
00:27:53,040 --> 00:27:54,360
- I'll be at the cafe?
- Mm-hmm.

658
00:27:54,380 --> 00:27:55,510
Okay.

659
00:27:55,540 --> 00:27:58,180
WOMAN OVER P.A.:<i>
Anesthesiology, line 271.</i>

660
00:27:58,210 --> 00:28:01,250
<i>Anesthesiology, call line 271.</i>

661
00:28:01,270 --> 00:28:06,160
♪♪♪♪

662
00:28:06,180 --> 00:28:07,620
Cancer.

663
00:28:07,650 --> 00:28:09,390
The marlin guy has cancer.

664
00:28:09,420 --> 00:28:11,360
CT chest, abdomen,
and pelvis showed no masses.

665
00:28:11,380 --> 00:28:12,900
- (TELEPHONE RINGING)
- It's in his leg.

666
00:28:12,920 --> 00:28:14,680
It explains progressive ulcerations

667
00:28:14,700 --> 00:28:16,300
despite good arterial flow.

668
00:28:16,320 --> 00:28:18,300
- And why the antibiotics aren't working.
- (SIGHS)

669
00:28:18,320 --> 00:28:20,320
We'll send a tissue sample
from the ulcerated area.

670
00:28:22,330 --> 00:28:25,100
And when<i> I'm</i> Chief Resident,
I'll remember this.

671
00:28:25,930 --> 00:28:27,430
(CHUCKLES SOFTLY)

672
00:28:29,070 --> 00:28:30,280
There's a problem with Michelle.

673
00:28:30,300 --> 00:28:31,320
MICHELLE: I'm not doing it!

674
00:28:31,340 --> 00:28:32,710
PATRICIA: You need to calm down.

675
00:28:32,740 --> 00:28:34,320
You don't get to tell me what to do!

676
00:28:34,340 --> 00:28:35,850
I want Dr. Browne!

677
00:28:35,880 --> 00:28:37,220
CLAIRE: Michelle? What's going on?

678
00:28:37,240 --> 00:28:39,360
I want you to do my surgery.

679
00:28:39,380 --> 00:28:41,020
I want her, Mama, not somebody else.

680
00:28:41,050 --> 00:28:43,310
Dr. Melendez is gonna do your surgery.

681
00:28:43,350 --> 00:28:44,380
He is a great doctor.

682
00:28:44,410 --> 00:28:45,419
He's not you.

683
00:28:45,420 --> 00:28:46,700
Y-You care about me.

684
00:28:46,720 --> 00:28:48,830
Everybody here cares about you, Michelle.

685
00:28:48,860 --> 00:28:50,970
Now, please sit down.
You could rupture your gallbladder.

686
00:28:50,990 --> 00:28:53,100
I-I-I don't want to get better.

687
00:28:53,130 --> 00:28:54,940
- Don't say that.
- It's the truth!

688
00:28:54,970 --> 00:28:56,900
CLAIRE: Michelle, you need this surgery.

689
00:28:56,920 --> 00:28:59,540
That is all that matters...
not whether I do it.

690
00:28:59,550 --> 00:29:00,740
♪♪♪♪

691
00:29:01,900 --> 00:29:03,480
I'm gonna be there.

692
00:29:03,500 --> 00:29:05,080
I will be watching from the gallery

693
00:29:05,100 --> 00:29:06,400
the whole time.

694
00:29:08,710 --> 00:29:11,720
You just... You need...
You need to sit down.

695
00:29:11,750 --> 00:29:13,420
♪♪♪♪

696
00:29:13,450 --> 00:29:15,330
(SIGHS)

697
00:29:15,350 --> 00:29:20,700
♪♪♪♪

698
00:29:20,720 --> 00:29:22,530
(P.A. SYSTEM BEEPS)

699
00:29:22,560 --> 00:29:25,270
(INDISTINCT ANNOUNCEMENT
OVER P.A. SYSTEM)

700
00:29:25,290 --> 00:29:26,870
The kid okay?

701
00:29:28,620 --> 00:29:30,210
I had to pull you off.

702
00:29:30,230 --> 00:29:32,510
If you made even the tiniest
misstep during surgery,

703
00:29:32,530 --> 00:29:34,630
that mom would go from threat to lawsuit.

704
00:29:37,710 --> 00:29:40,020
Is Patricia okay with me
watching from the gallery?

705
00:29:40,040 --> 00:29:41,100
No.

706
00:29:42,780 --> 00:29:44,740
You can't remove her
gallbladder from the gallery.

707
00:29:45,840 --> 00:29:46,910
What?

708
00:29:46,940 --> 00:29:48,420
You're doing Michelle's surgery.

709
00:29:49,100 --> 00:29:50,830
How'd you get the mom to change her mind?

710
00:29:50,860 --> 00:29:54,160
I explained that, given Dr. Browne's
commitment to her daughter,

711
00:29:54,190 --> 00:29:56,400
she's the perfect choice
to lead the surgery.

712
00:29:56,420 --> 00:29:58,880
Especially with me over her
shoulder the whole time.

713
00:30:01,590 --> 00:30:03,140
Thank you for fighting for me.

714
00:30:03,160 --> 00:30:04,460
That's what bosses do.

715
00:30:04,480 --> 00:30:05,780
Let's go.

716
00:30:05,800 --> 00:30:10,610
♪♪♪♪

717
00:30:10,640 --> 00:30:15,790
♪♪♪♪

718
00:30:15,810 --> 00:30:18,640
- You stood me up.
- Sorry about that.

719
00:30:18,660 --> 00:30:19,840
What's up?

720
00:30:19,870 --> 00:30:22,490
Shaun's a little worried
he may have freaked you out

721
00:30:22,520 --> 00:30:25,190
with his... questionnaire
the other night.

722
00:30:25,220 --> 00:30:26,830
Oh, I thought it was cool.

723
00:30:26,850 --> 00:30:28,580
Small talk bores the hell out of me.

724
00:30:28,600 --> 00:30:29,970
Well, then, great.

725
00:30:29,990 --> 00:30:31,230
I'll tell him.

726
00:30:31,770 --> 00:30:34,679
Shaun got worried about that
all on his own?

727
00:30:34,680 --> 00:30:36,190
That doesn't seem like him.

728
00:30:36,960 --> 00:30:38,400
I may have mentioned

729
00:30:38,420 --> 00:30:41,410
that people don't usually ask
deeply personal questions

730
00:30:41,420 --> 00:30:42,860
on an early date. (CHUCKLES)

731
00:30:44,640 --> 00:30:46,450
Claire, I like you,

732
00:30:46,470 --> 00:30:48,220
but we don't really know each other.

733
00:30:48,540 --> 00:30:49,850
And yet you decided

734
00:30:49,880 --> 00:30:52,190
how I was going to react
to Shaun's questions,

735
00:30:52,210 --> 00:30:54,590
which isn't your business.

736
00:30:54,610 --> 00:30:56,040
And you were wrong...

737
00:30:56,140 --> 00:30:58,660
Totally, totally wrong.

738
00:30:58,690 --> 00:31:01,160
Shaun and I don't need you or anyone else

739
00:31:01,190 --> 00:31:04,050
to run interference on our relationship.

740
00:31:04,620 --> 00:31:06,200
Butt out.

741
00:31:16,560 --> 00:31:20,320
♪♪♪♪

742
00:31:25,250 --> 00:31:27,250
♪♪♪♪

743
00:31:34,100 --> 00:31:35,160
(CAMERA SHUTTER CLICKS)

744
00:31:35,190 --> 00:31:37,120
♪♪♪♪

745
00:31:42,830 --> 00:31:44,830
♪♪♪♪

746
00:31:55,230 --> 00:32:00,540
♪♪♪♪

747
00:32:00,570 --> 00:32:06,280
♪♪♪♪

748
00:32:06,310 --> 00:32:08,350
CLAIRE: Is everybody ready
for a Time Out?

749
00:32:08,380 --> 00:32:10,590
♪♪♪♪

750
00:32:10,610 --> 00:32:13,370
Dr. Claire Browne, lead surgeon.

751
00:32:13,600 --> 00:32:15,450
Dr. Neil Melendez, attending surgeon.

752
00:32:15,480 --> 00:32:18,560
Dr. Shaun Murphy, assisting.

753
00:32:18,590 --> 00:32:21,670
Dr. Jan Lancaster, anesthesia.

754
00:32:21,690 --> 00:32:23,740
Donna Petringa, scrub nurse.

755
00:32:23,760 --> 00:32:26,410
Shani Walden, circulating nurse.

756
00:32:26,560 --> 00:32:28,520
Patient is Michelle Reynolds.

757
00:32:28,540 --> 00:32:30,950
We will be performing
an open cholecystectomy.

758
00:32:30,980 --> 00:32:33,810
All tools I need
are confirmed to be present.

759
00:32:33,840 --> 00:32:36,210
Estimated blood loss, 100 cc.

760
00:32:36,230 --> 00:32:38,780
Patient will go to the ICU after surgery.

761
00:32:38,810 --> 00:32:40,630
Is everybody in agreement?

762
00:32:42,680 --> 00:32:45,010
Dr. Murphy, have you
ChloraPrepped the site?

763
00:32:45,380 --> 00:32:46,480
I have.

764
00:32:47,780 --> 00:32:48,890
10 blade.

765
00:32:48,920 --> 00:32:51,160
♪♪♪♪

766
00:32:51,180 --> 00:32:54,030
(STEADY HEARTBEAT)

767
00:32:54,060 --> 00:32:55,960
♪♪♪♪

768
00:33:02,360 --> 00:33:04,830
♪♪♪♪

769
00:33:10,670 --> 00:33:12,940
♪♪♪♪

770
00:33:19,070 --> 00:33:20,120
Sponge.

771
00:33:20,150 --> 00:33:22,150
♪♪♪♪

772
00:33:27,340 --> 00:33:29,870
Top layer of abdominal muscle is exposed.

773
00:33:29,890 --> 00:33:31,200
I'll need a Bovie to cut through.

774
00:33:31,230 --> 00:33:36,410
♪♪♪♪

775
00:33:36,430 --> 00:33:41,880
♪♪♪♪

776
00:33:41,900 --> 00:33:48,650
♪♪♪♪

777
00:33:48,680 --> 00:33:50,390
Nice work, Dr. Browne.

778
00:33:50,410 --> 00:33:53,760
♪♪♪♪

779
00:33:53,780 --> 00:33:55,090
Bookwalter Retractor.

780
00:33:55,120 --> 00:33:57,150
♪♪♪♪

781
00:34:02,470 --> 00:34:03,560
I see the liver,

782
00:34:03,580 --> 00:34:06,210
and I need to better expose
the inferior surface.

783
00:34:06,230 --> 00:34:08,340
Retract the duodenum inferiorly, please.

784
00:34:12,170 --> 00:34:14,250
Gallbladder exposed.

785
00:34:14,270 --> 00:34:16,310
♪♪♪♪

786
00:34:23,810 --> 00:34:25,180
Dr. Browne?

787
00:34:27,380 --> 00:34:29,890
There is more scarring
than the imaging suggested.

788
00:34:30,320 --> 00:34:31,690
True.

789
00:34:31,710 --> 00:34:35,090
♪♪♪♪

790
00:34:36,070 --> 00:34:37,450
Talk through your approach.

791
00:34:37,470 --> 00:34:40,170
(BREATHES DEEPLY)

792
00:34:40,190 --> 00:34:44,470
I... grasp the gallbladder fundus forward

793
00:34:44,500 --> 00:34:46,910
and use a right-angle clamp in my suction

794
00:34:46,940 --> 00:34:49,580
to develop a plane
around the gallbladder.

795
00:34:49,840 --> 00:34:51,040
Kelly clamp,

796
00:34:51,060 --> 00:34:52,440
a right-angle clamp, and suction.

797
00:34:52,460 --> 00:34:54,430
♪♪♪♪

798
00:35:01,350 --> 00:35:03,860
(SUCTION HISSING)

799
00:35:03,890 --> 00:35:05,960
(MONITOR BEEPING STEADILY)

800
00:35:05,990 --> 00:35:08,560
♪♪♪♪

801
00:35:13,590 --> 00:35:17,030
That was elegant use of the Kelly clamp.

802
00:35:17,060 --> 00:35:19,260
♪♪♪♪

803
00:35:22,440 --> 00:35:24,480
I see the cystic duct

804
00:35:24,510 --> 00:35:26,920
and, behind it, the cystic artery.

805
00:35:26,940 --> 00:35:29,060
I need my first assist to confirm

806
00:35:29,080 --> 00:35:30,940
that I have identified
the common bile duct

807
00:35:30,960 --> 00:35:32,170
and it is out of the way.

808
00:35:32,200 --> 00:35:35,190
Yes. Cutting the duct would be...

809
00:35:35,220 --> 00:35:36,560
Very, very bad. (CHUCKLES)

810
00:35:37,490 --> 00:35:40,140
Move the gallbladder
cranially a little bit.

811
00:35:40,880 --> 00:35:42,500
Titanium clip applier.

812
00:35:42,520 --> 00:35:44,890
♪♪♪♪

813
00:35:51,230 --> 00:35:53,170
♪♪♪♪

814
00:35:59,500 --> 00:36:01,080
You sure you have a clear view?

815
00:36:01,100 --> 00:36:04,610
♪♪♪♪

816
00:36:04,780 --> 00:36:05,950
Making the cut.

817
00:36:07,250 --> 00:36:10,790
♪♪♪♪

818
00:36:14,760 --> 00:36:17,460
♪♪♪♪

819
00:36:22,300 --> 00:36:24,870
♪♪♪♪

820
00:36:30,170 --> 00:36:31,480
(ALARM BEEPING)

821
00:36:31,510 --> 00:36:32,750
She's hemorrhaging.

822
00:36:32,770 --> 00:36:36,950
♪♪♪♪

823
00:36:36,980 --> 00:36:38,460
I can't see the source of the bleeding.

824
00:36:38,480 --> 00:36:41,580
♪♪♪♪

825
00:36:46,260 --> 00:36:48,100
NURSE PETRINGA: MAP is 45 and dropping.

826
00:36:48,120 --> 00:36:50,780
(ALARM BEEPING)

827
00:36:50,800 --> 00:36:56,650
♪♪♪♪

828
00:36:56,670 --> 00:36:59,820
(BEEPING STOPS)

829
00:36:59,840 --> 00:37:01,280
What do you think is happening?

830
00:37:04,350 --> 00:37:05,510
Most likely,

831
00:37:05,530 --> 00:37:09,030
my scissors' tip nicked
the right hepatic artery.

832
00:37:09,050 --> 00:37:10,140
It happens.

833
00:37:10,170 --> 00:37:11,580
It's happened to me.

834
00:37:12,520 --> 00:37:14,749
(BREATHES SHAKILY)

835
00:37:14,750 --> 00:37:17,460
I need to clamp
the common hepatic artery,

836
00:37:17,480 --> 00:37:18,980
repair the arterial wall

837
00:37:19,000 --> 00:37:20,560
with running 6-0 Prolene sutures.

838
00:37:20,590 --> 00:37:22,400
That's what I would do.

839
00:37:22,420 --> 00:37:24,330
(INHALES DEEPLY)

840
00:37:24,360 --> 00:37:26,490
♪♪♪♪

841
00:37:30,730 --> 00:37:32,670
♪♪♪♪

842
00:37:36,370 --> 00:37:38,370
♪♪♪♪

843
00:37:55,160 --> 00:37:57,800
♪♪♪♪

844
00:37:57,820 --> 00:38:00,970
(LAUGHS)

845
00:38:00,990 --> 00:38:02,170
(SIGHS)

846
00:38:02,190 --> 00:38:04,700
♪♪♪♪

847
00:38:12,100 --> 00:38:13,920
Hey, hey, hey. Slow down. Slow down.

848
00:38:13,950 --> 00:38:15,550
No running. No running.

849
00:38:15,580 --> 00:38:16,950
- (GIGGLES)
- (SIGHS)

850
00:38:16,980 --> 00:38:18,950
Dr. Browne, how's my daughter?

851
00:38:18,980 --> 00:38:20,600
The surgery was a success,

852
00:38:20,620 --> 00:38:22,180
and we expect a full recovery.

853
00:38:22,200 --> 00:38:23,220
(SIGHS)

854
00:38:23,940 --> 00:38:26,070
I wanna see her!

855
00:38:27,150 --> 00:38:28,730
Is that okay?

856
00:38:28,750 --> 00:38:30,260
- Yay!
- Okay.

857
00:38:34,490 --> 00:38:36,140
(SIGHS)

858
00:38:36,160 --> 00:38:38,230
Michelle says she wants to be a doctor.

859
00:38:40,730 --> 00:38:42,670
She would be a great one.

860
00:38:44,770 --> 00:38:48,190
Uh, that therapist Michelle talked to...

861
00:38:49,820 --> 00:38:52,120
...could I get her card?

862
00:38:55,310 --> 00:38:57,530
♪♪♪♪

863
00:38:57,550 --> 00:38:59,850
- Hi, baby.
- Hey.

864
00:39:03,420 --> 00:39:04,800
(TISHA GIGGLES)

865
00:39:04,830 --> 00:39:07,500
(CHILDREN CONVERSE INDISTINCTLY)

866
00:39:07,530 --> 00:39:13,280
♪♪♪♪

867
00:39:13,300 --> 00:39:15,140
PARK: Okay.

868
00:39:15,170 --> 00:39:16,560
♪♪♪♪

869
00:39:16,580 --> 00:39:18,740
Three, two, one.

870
00:39:23,710 --> 00:39:25,450
MORGAN: You were right.

871
00:39:25,480 --> 00:39:27,490
He had angiosarcoma of the leg.

872
00:39:27,510 --> 00:39:30,160
Had to amputate,
but the margins were clean.

873
00:39:30,180 --> 00:39:31,920
- Hmm.
- What happened to the...

874
00:39:31,940 --> 00:39:32,980
Franklin!

875
00:39:33,550 --> 00:39:36,500
(LAUGHING) Oh!

876
00:39:36,520 --> 00:39:39,100
♪♪♪♪

877
00:39:39,130 --> 00:39:42,500
Franklin, you amazing fish!

878
00:39:43,460 --> 00:39:45,010
You saved my life.

879
00:39:45,030 --> 00:39:47,120
Come on, bring him... bring him here.

880
00:39:47,140 --> 00:39:48,380
Bring him... Bring him in.

881
00:39:48,400 --> 00:39:49,680
Oh.

882
00:39:49,700 --> 00:39:51,510
(MAN LAUGHS)

883
00:39:51,540 --> 00:39:56,720
♪♪♪♪

884
00:39:56,740 --> 00:39:57,990
(SIGHS) Thank you, guys.

885
00:39:58,010 --> 00:40:00,760
Group hug. (SIGHS)

886
00:40:00,780 --> 00:40:06,430
♪♪♪♪

887
00:40:06,450 --> 00:40:08,400
SHAUN: Do you prefer to work in a team

888
00:40:08,420 --> 00:40:11,440
or do you prefer to lead
or follow command?

889
00:40:11,470 --> 00:40:14,540
Team... and to lead.

890
00:40:14,560 --> 00:40:18,410
(CELLPHONE CHIMES)

891
00:40:18,430 --> 00:40:21,000
SHAUN: What machine
or appliance in your house

892
00:40:21,020 --> 00:40:22,510
aggravates you the most?

893
00:40:22,540 --> 00:40:23,620
CARLY: The dishwasher.

894
00:40:24,870 --> 00:40:27,290
(CELLPHONE RINGS)

895
00:40:29,610 --> 00:40:31,280
Hey, I'm just leaving.

896
00:40:32,450 --> 00:40:34,220
Who is this?

897
00:40:34,250 --> 00:40:38,560
(GAZ COOMBES' "SLOW MOTION LIFE" PLAYS)

898
00:40:38,580 --> 00:40:41,230
(RADIO CHATTER)

899
00:40:41,250 --> 00:40:47,170
♪♪♪♪

900
00:40:47,190 --> 00:40:53,210
♪♪♪♪

901
00:40:53,230 --> 00:40:56,250
♪ <i>From the greatest height</i> ♪

902
00:40:56,270 --> 00:41:01,150
♪ ♪

903
00:41:01,170 --> 00:41:04,020
♪ <i>Slow motion life</i> ♪

904
00:41:04,040 --> 00:41:08,670
♪ ♪

905
00:41:08,690 --> 00:41:15,200
♪ <i>You know I'd pay to leave
these tears behind</i> ♪

906
00:41:15,220 --> 00:41:17,330
♪ <i>But it's fine</i> ♪

907
00:41:17,360 --> 00:41:19,900
♪ <i>I know we're all the same</i> ♪

908
00:41:19,930 --> 00:41:25,610
♪ ♪

909
00:41:25,630 --> 00:41:28,080
♪ <i>Slow motion pain</i> ♪

910
00:41:28,100 --> 00:41:33,310
♪ ♪

911
00:41:33,340 --> 00:41:38,690
♪ <i>Now it's all blood in the open</i> ♪

912
00:41:38,710 --> 00:41:42,490
♪ <i>But we're not scared</i> ♪

913
00:41:42,510 --> 00:41:44,290
- (LINE BEEPS)
- FEMALE VOICE:<i> Message received</i>

914
00:41:44,320 --> 00:41:48,719
<i>at 5:30 p.m. from Mom.</i>

915
00:41:48,720 --> 00:41:49,729
(LINE BEEPS)

916
00:41:49,730 --> 00:41:51,920
BREEZE:<i> Hey, baby, I got your text.</i>

917
00:41:51,950 --> 00:41:54,520
<i>See, I knew it was just
a temporary setback.</i>

918
00:41:54,540 --> 00:41:55,600
<i>We're gonna celebrate.</i>

919
00:41:55,620 --> 00:41:57,040
<i>I made dinner.</i>

920
00:41:57,060 --> 00:41:58,960
<i>And I'm gonna go get some dessert.</i>

921
00:41:58,980 --> 00:42:00,180
<i>I'll see you soon.</i>

922
00:42:00,200 --> 00:42:02,110
<i>I'm so proud of you, baby.</i>

923
00:42:02,140 --> 00:42:04,310
♪ <i>Slow motion life</i> ♪

924
00:42:04,340 --> 00:42:10,220
♪♪♪♪

925
00:42:10,240 --> 00:42:12,890
♪ <i>Slow motion life</i> ♪

926
00:42:12,910 --> 00:42:19,390
♪♪♪♪

927
00:42:19,420 --> 00:42:21,420
♪♪♪♪

