1 00:00:00,033 --> 00:00:02,679 Severe Winter Weather Advisories 2 00:00:02,703 --> 00:00:04,280 have been issued from Kansas to western Minnesota. 3 00:00:04,304 --> 00:00:06,354 Severe ice and snow reported. 4 00:00:06,379 --> 00:00:08,379 Temperatures will likely reach below 20 degrees, 5 00:00:08,404 --> 00:00:09,492 and wind chill... 6 00:00:09,517 --> 00:00:11,328 Shaun. 7 00:00:11,352 --> 00:00:12,551 Shaun. 8 00:00:13,226 --> 00:00:17,507 Mm. There is a severe weather warning in Minnesota. 9 00:00:17,532 --> 00:00:19,977 You haven't been at work in three days. 10 00:00:20,001 --> 00:00:23,547 I want to be left alone. 11 00:00:26,608 --> 00:00:29,346 I'm sorry she hurt you. 12 00:00:29,944 --> 00:00:31,589 But you are strong. 13 00:00:31,613 --> 00:00:33,499 You're the most determined man I know. 14 00:00:33,523 --> 00:00:35,359 You're gonna get through this. 15 00:00:38,237 --> 00:00:41,583 I wish I was... 16 00:00:41,607 --> 00:00:43,274 normal. 17 00:00:46,078 --> 00:00:50,425 Everyone wishes they were normal, Shaun. 18 00:00:56,588 --> 00:00:58,600 You need to get up. 19 00:00:58,624 --> 00:01:01,170 You need to do your exercise routine, 20 00:01:01,194 --> 00:01:03,171 then shower, shave, and get to work. 21 00:01:03,195 --> 00:01:05,056 And not because your patients need your help, 22 00:01:05,080 --> 00:01:06,941 but because it'll make you feel better. 23 00:01:08,534 --> 00:01:11,012 I'm not leaving without you. 24 00:01:16,344 --> 00:01:19,654 Your sleep apnea is worse than we'd thought. 25 00:01:19,678 --> 00:01:22,090 You have a condition related to your pseudoachondroplasia 26 00:01:22,114 --> 00:01:24,125 that is narrowing the base of your skull 27 00:01:24,149 --> 00:01:26,094 and compressing the part of your brain 28 00:01:26,118 --> 00:01:27,654 that controls your breathing. 29 00:01:31,490 --> 00:01:33,702 People always say I'm too full of myself. 30 00:01:33,726 --> 00:01:35,103 Guess it's actually true. 31 00:01:35,127 --> 00:01:36,538 Finn, this is serious. 32 00:01:36,562 --> 00:01:38,373 Don't worry. I'm gonna be fine. 33 00:01:38,397 --> 00:01:40,475 We can remove bone from the wall of your skull 34 00:01:40,499 --> 00:01:42,844 and resect a small section of your cerebellum 35 00:01:42,868 --> 00:01:44,479 to reduce brain-stem pressure. 36 00:01:44,503 --> 00:01:47,549 You're... You're gonna cut out a piece of his brain? 37 00:01:47,573 --> 00:01:49,484 It won't affect your intellect, 38 00:01:49,508 --> 00:01:51,720 but it will cause a speech impediment 39 00:01:51,744 --> 00:01:53,488 and some difficulty with balance. 40 00:01:53,512 --> 00:01:56,091 I'd rather you knock a few points off my IQ. 41 00:01:56,115 --> 00:01:57,278 Stop it. 42 00:01:57,302 --> 00:01:58,560 I'm serious. 43 00:01:58,584 --> 00:02:01,017 My "gift of gab" is what you love about me. 44 00:02:01,480 --> 00:02:03,264 Uh, w-what's option two? 45 00:02:03,288 --> 00:02:06,334 I'm sorry, there is no other option. 46 00:02:06,358 --> 00:02:08,837 I'm a salesman. I don't hear the word "no." 47 00:02:08,861 --> 00:02:10,438 Th-There's always another way. 48 00:02:10,462 --> 00:02:12,373 You just got to think outside the box. 49 00:02:12,397 --> 00:02:13,908 We've already done that, 50 00:02:13,932 --> 00:02:15,744 which is how we came up with this surgery. 51 00:02:15,768 --> 00:02:17,345 It's the only way to keep you alive, 52 00:02:17,369 --> 00:02:20,248 so you have no choice but to accept it. 53 00:02:20,272 --> 00:02:23,184 Dr. Murphy is being rude and insensitive... 54 00:02:23,208 --> 00:02:24,586 but he's also right. 55 00:02:24,610 --> 00:02:27,021 Finn, please, I love you. 56 00:02:27,045 --> 00:02:29,224 And I will always be here for you 57 00:02:29,248 --> 00:02:30,947 no matter how you talk or walk. 58 00:02:31,510 --> 00:02:33,661 But you have to listen to your doctors. 59 00:02:35,020 --> 00:02:37,031 I love you, too. 60 00:02:42,928 --> 00:02:45,073 Do whatever you think's best. 61 00:02:56,657 --> 00:03:04,658 Synced & corrected by -robtor- www.addic7ed.com 62 00:03:04,683 --> 00:03:05,827 Let me guess. 63 00:03:05,851 --> 00:03:07,695 I'm gonna need another surgery. 64 00:03:07,719 --> 00:03:09,497 What's that now, my tenth? 65 00:03:09,521 --> 00:03:10,714 Eleventh. 66 00:03:11,356 --> 00:03:13,368 And I still can't work the farm; 67 00:03:13,392 --> 00:03:17,505 can't drive a tractor, pull a combine lever. 68 00:03:17,529 --> 00:03:20,008 I can't even twist open a bottle of beer. 69 00:03:20,032 --> 00:03:21,810 When we met, you were in an ambulance 70 00:03:21,834 --> 00:03:23,701 and your arms were still in your harvester. 71 00:03:23,725 --> 00:03:27,088 Today you have sensation and almost full mobility. 72 00:03:27,112 --> 00:03:29,217 Now we just need to treat the neuropathy 73 00:03:29,241 --> 00:03:31,219 and improve your strength. 74 00:03:31,243 --> 00:03:32,776 So how do we do that? 75 00:03:33,405 --> 00:03:35,779 I'm thinking a gracilis muscle transfer. 76 00:03:36,325 --> 00:03:39,741 That should improve his grip and relieve some of the pain, 77 00:03:39,765 --> 00:03:42,096 but there's only one way to eliminate all of it. 78 00:03:42,120 --> 00:03:45,033 Tyson, have you given any more thought to amputation 79 00:03:45,057 --> 00:03:47,202 and osseointegrated prosthetic arms? 80 00:03:47,226 --> 00:03:48,870 They'd attach directly to the bones 81 00:03:48,894 --> 00:03:50,104 and nerves in your forearm, 82 00:03:50,128 --> 00:03:52,173 and you can control them just like your own hands. 83 00:03:52,197 --> 00:03:55,043 Function would be reduced in some respects. 84 00:03:55,067 --> 00:03:57,920 Less dexterity, no sensory feedback. 85 00:03:57,944 --> 00:04:00,830 But others, like grip strength, would be better. 86 00:04:00,854 --> 00:04:03,340 And more importantly, you'd be pain-free. 87 00:04:06,677 --> 00:04:08,899 I want to be a farmer, 88 00:04:09,161 --> 00:04:10,593 not a cyborg. 89 00:04:11,649 --> 00:04:13,111 Okay. 90 00:04:14,237 --> 00:04:16,497 The pain's getting worse. 91 00:04:16,521 --> 00:04:19,667 Probably because I've been crazy busy in the O.R. 92 00:04:19,691 --> 00:04:21,436 with Murphy out till today. 93 00:04:21,460 --> 00:04:22,770 He's back? 94 00:04:22,794 --> 00:04:25,173 Only because Brown went to his apartment 95 00:04:25,197 --> 00:04:26,416 and dragged his ass in. 96 00:04:27,265 --> 00:04:28,676 She shouldn't have done that. 97 00:04:28,700 --> 00:04:30,511 He's trying to work this out on his own. 98 00:04:30,535 --> 00:04:31,613 That's a good thing. 99 00:04:32,871 --> 00:04:34,883 DMARDs aren't working. 100 00:04:34,907 --> 00:04:36,684 I know. 101 00:04:36,708 --> 00:04:39,898 Which is why I've been thinking about synovectomy surgery. 102 00:04:39,922 --> 00:04:42,423 You're gonna remove the joint linings in your fingers? 103 00:04:42,447 --> 00:04:44,525 That'll resolve the pain temporarily. 104 00:04:44,549 --> 00:04:45,560 Then what? 105 00:04:45,584 --> 00:04:47,517 It'll give me at least ten years. 106 00:04:48,552 --> 00:04:50,465 And then you're gonna be bone on bone; 107 00:04:50,489 --> 00:04:53,067 every joint in your hand will be mangled and deformed. 108 00:04:53,091 --> 00:04:55,487 What's your plan then? 109 00:04:57,228 --> 00:05:00,597 Who knows what treatments will be available in ten years? 110 00:05:00,939 --> 00:05:03,072 Have you thought about oncology? 111 00:05:03,554 --> 00:05:05,221 Surgeons do the real work. 112 00:05:05,437 --> 00:05:08,082 They cut out the tumor; they cure the patient. 113 00:05:08,106 --> 00:05:10,051 Oncologists just sweep up after. 114 00:05:10,075 --> 00:05:11,753 You want to know an even better job? 115 00:05:11,777 --> 00:05:13,521 Starting pitcher for the Oakland A's. 116 00:05:13,545 --> 00:05:16,324 You want to know why I didn't get that job? 117 00:05:16,348 --> 00:05:18,593 Because the scouts didn't like the way you wore your hat? 118 00:05:18,617 --> 00:05:21,162 Yeah, that, and I was born with this arm. 119 00:05:21,186 --> 00:05:23,231 You were born with those hands. 120 00:05:23,255 --> 00:05:24,332 What are you gonna do, 121 00:05:24,356 --> 00:05:26,200 practice surgery for a few more years 122 00:05:26,224 --> 00:05:27,535 and then spend the rest of your life 123 00:05:27,559 --> 00:05:30,026 not being able to pick up a pencil? 124 00:05:30,856 --> 00:05:32,740 You can pursue another specialty. 125 00:05:32,764 --> 00:05:35,498 You can practice for the rest of your life. 126 00:05:41,508 --> 00:05:43,251 You get rear-ended on the way to work 127 00:05:43,275 --> 00:05:45,203 or you just hate little people? 128 00:05:45,610 --> 00:05:48,890 Neither. EKG is normal. 129 00:05:48,914 --> 00:05:50,692 So you got dumped. 130 00:05:50,716 --> 00:05:54,196 No, I didn't. 131 00:05:54,220 --> 00:05:56,089 It's nothing to be ashamed of. 132 00:05:57,888 --> 00:06:00,054 We were never even going out. 133 00:06:01,262 --> 00:06:03,204 Finn? 134 00:06:03,228 --> 00:06:04,872 I've been worried sick. 135 00:06:04,896 --> 00:06:06,641 Ohh. 136 00:06:06,665 --> 00:06:08,710 Take it easy. 137 00:06:08,734 --> 00:06:11,512 I told you to stay home. There's nothing to worry about. 138 00:06:11,536 --> 00:06:13,081 Stop trying to act so tough. 139 00:06:13,105 --> 00:06:15,372 You shouldn't have to go through this alone. 140 00:06:18,242 --> 00:06:20,739 Sorry, baby, but you should wait outside. 141 00:06:20,763 --> 00:06:23,469 Let the doctors finish up, and I'll be right out. 142 00:06:23,493 --> 00:06:25,994 He's not going to the O.R. for a while, 143 00:06:26,018 --> 00:06:28,396 so there will be plenty of time to visit when we're done. 144 00:06:28,420 --> 00:06:29,519 Okay. 145 00:06:30,415 --> 00:06:32,166 I'll be right outside. 146 00:06:48,992 --> 00:06:50,685 Is there any way you could make sure 147 00:06:50,709 --> 00:06:52,949 she and Nathalie stay in separate waiting rooms 148 00:06:52,973 --> 00:06:54,856 and aren't allowed to visit at the same time? 149 00:06:54,880 --> 00:06:57,091 No. We're not helping you cheat. 150 00:06:57,115 --> 00:06:58,359 I'm not cheating. 151 00:06:58,383 --> 00:07:01,496 I've always made it clear I'm not ready to settle down, 152 00:07:01,520 --> 00:07:03,931 but sometimes women m-make assumptions. 153 00:07:03,955 --> 00:07:06,623 Oh, and you don't feel the need to correct that? 154 00:07:06,832 --> 00:07:09,143 I understand you don't approve, 155 00:07:09,167 --> 00:07:10,511 but all I'm asking 156 00:07:10,535 --> 00:07:12,819 is for you to help me get through brain surgery 157 00:07:12,843 --> 00:07:14,268 without emotional turmoil 158 00:07:14,292 --> 00:07:17,278 that I assume would be harmful to my recovery. 159 00:07:23,733 --> 00:07:24,959 Okay. 160 00:07:24,983 --> 00:07:26,555 Thank you. 161 00:07:35,027 --> 00:07:37,171 Are you seeing the same thing I'm seeing? 162 00:07:37,195 --> 00:07:40,174 The tendons are encased in scar tissue. 163 00:07:40,198 --> 00:07:42,499 The gracilis muscle transfer isn't gonna work. 164 00:07:43,405 --> 00:07:44,694 It still could. 165 00:07:44,718 --> 00:07:45,894 If we attach the muscle 166 00:07:45,918 --> 00:07:48,750 further down the forearm and bypass the scar ball. 167 00:07:48,774 --> 00:07:50,385 It wouldn't hold. 168 00:07:50,409 --> 00:07:52,553 There'd be too much tension on the graft. 169 00:07:54,079 --> 00:07:56,190 We can figure out a way to work around that. 170 00:07:56,214 --> 00:07:58,117 Let's wake him up and put him back in his room 171 00:07:58,141 --> 00:08:01,029 and pull every paper on free-muscle and nerve transfers. 172 00:08:01,053 --> 00:08:03,331 His only option is double amputation 173 00:08:03,355 --> 00:08:05,466 and the osseointegrated prosthetics. 174 00:08:05,490 --> 00:08:06,933 We don't have a choice. 175 00:08:06,957 --> 00:08:08,503 Yes, we do. 176 00:08:08,527 --> 00:08:10,738 And as Chief of Surgery, I just made it. 177 00:08:12,631 --> 00:08:16,077 He doesn't really look the part. 178 00:08:17,536 --> 00:08:19,846 He's a handsome guy with a great sense of humor 179 00:08:19,870 --> 00:08:21,349 and a high-paying job. 180 00:08:21,373 --> 00:08:23,057 He means because women don't like 181 00:08:23,081 --> 00:08:25,176 to be in relationships with men who are weird. 182 00:08:25,200 --> 00:08:26,768 He's not weird. And neither are you. 183 00:08:26,792 --> 00:08:28,856 And a week ago, you were juggling two women, 184 00:08:28,880 --> 00:08:30,825 so stop feeling so sorry for yourself. 185 00:08:30,849 --> 00:08:32,725 Have you ever dated anyone who wasn't tall, 186 00:08:32,749 --> 00:08:34,084 handsome, and neurotypical? 187 00:08:35,486 --> 00:08:37,328 It's not about me. 188 00:08:38,957 --> 00:08:40,768 - Talk to me. - He stopped breathing, 189 00:08:40,792 --> 00:08:42,670 and I haven't even administered the paralytics. 190 00:08:44,896 --> 00:08:46,107 What just happened? 191 00:08:46,131 --> 00:08:48,476 Pressure on the medulla must be getting worse. 192 00:08:48,500 --> 00:08:50,411 He's lucky he didn't wait any longer to come in. 193 00:08:50,435 --> 00:08:51,930 Let's tube him and get to work. 194 00:08:51,954 --> 00:08:53,348 Wait. 195 00:08:53,372 --> 00:08:55,950 Flex his head into position again. 196 00:09:01,279 --> 00:09:02,757 Extend his neck. 197 00:09:04,616 --> 00:09:06,383 What's going on? 198 00:09:07,284 --> 00:09:10,598 Flexing the neck offsets the posterior compression. 199 00:09:10,622 --> 00:09:12,911 But that should take the pressure off, not make it worse. 200 00:09:12,935 --> 00:09:14,369 Doesn't make any sense. 201 00:09:14,393 --> 00:09:16,838 And we're not gonna do brain surgery on him until it does. 202 00:09:23,365 --> 00:09:26,167 I don't see anything different in the flexed-neck views. 203 00:09:27,229 --> 00:09:31,179 Should his C2 bone be curved inward like that? 204 00:09:31,204 --> 00:09:32,870 It could exacerbate the narrowing on the front of his... 205 00:09:32,895 --> 00:09:34,095 It's not significant. 206 00:09:35,200 --> 00:09:36,856 Well, if his apnea's getting worse 207 00:09:36,880 --> 00:09:38,124 because of pressure from the front as well as the back... 208 00:09:38,148 --> 00:09:39,163 The treatment is the same. 209 00:09:39,187 --> 00:09:41,329 Surgery to create more room in the skull base. 210 00:09:41,353 --> 00:09:43,751 It's not the same, and stop interrupting me. 211 00:09:44,787 --> 00:09:47,099 If we drill off the C2 in the front, 212 00:09:47,123 --> 00:09:49,001 as well as open the back, 213 00:09:49,025 --> 00:09:51,404 we might not have to resect the cerebellum. 214 00:09:51,428 --> 00:09:54,307 He wouldn't have any speech impediment or balance issues. 215 00:09:54,331 --> 00:09:56,676 We'd have to approach through his mouth; 216 00:09:56,700 --> 00:09:58,110 a bacteria-rich environment, 217 00:09:58,134 --> 00:10:00,046 which can't be fully sterilized. 218 00:10:00,070 --> 00:10:02,381 There would be too high a risk of a post-op brain infection. 219 00:10:02,405 --> 00:10:03,604 So we figure out another approach. 220 00:10:03,628 --> 00:10:06,552 There's only one safe way to access the C2. 221 00:10:06,576 --> 00:10:09,134 Okay, so come up with something outside the box. 222 00:10:09,158 --> 00:10:10,890 No, that's a stupid expression. 223 00:10:10,914 --> 00:10:11,924 There is no box. 224 00:10:11,948 --> 00:10:14,193 And you are wasting valuable time 225 00:10:14,217 --> 00:10:16,147 just because you want to be nice to her. 226 00:10:16,171 --> 00:10:17,133 Murphy... 227 00:10:17,157 --> 00:10:19,393 We should do the cerebellar surgery before he has a fatal apnea... 228 00:10:19,417 --> 00:10:20,645 Murphy. 229 00:10:21,679 --> 00:10:22,868 I'm not being nice. 230 00:10:22,892 --> 00:10:25,304 I'm using my experience and judgment to make the call. 231 00:10:25,328 --> 00:10:26,405 That's my job. 232 00:10:26,429 --> 00:10:28,608 - You are being nice. - And you're being a jerk. 233 00:10:33,158 --> 00:10:34,736 You've got the night. 234 00:10:35,118 --> 00:10:37,550 If you two can't come up with a solution by morning, 235 00:10:37,574 --> 00:10:39,418 we'll proceed with the original plan. 236 00:10:56,890 --> 00:10:58,738 Your patient's in desperate need 237 00:10:58,762 --> 00:11:00,239 of an Oklahoma weather report? 238 00:11:00,263 --> 00:11:02,730 I didn't even want to be here today. 239 00:11:05,434 --> 00:11:07,413 You should try a martial arts class. 240 00:11:07,437 --> 00:11:10,349 Focused distraction is key to dealing with stress... 241 00:11:10,373 --> 00:11:11,684 and heartbreaks. 242 00:11:11,708 --> 00:11:13,719 That's just avoiding the problem. 243 00:11:13,743 --> 00:11:15,855 Don't obsess over what you've lost, 244 00:11:15,879 --> 00:11:18,024 focus on what you've gained from the relationship. 245 00:11:18,048 --> 00:11:19,692 I hate to interrupt group therapy, 246 00:11:19,716 --> 00:11:21,861 but what if we approached 247 00:11:21,885 --> 00:11:23,396 through the side of the neck? 248 00:11:23,420 --> 00:11:25,564 We could transpose the vertebral artery, 249 00:11:25,588 --> 00:11:27,967 open up the spine laterally to drill off the C2. 250 00:11:27,991 --> 00:11:30,069 It would leave his spine permanently unstable 251 00:11:30,093 --> 00:11:31,370 and could cause a stroke. 252 00:11:31,394 --> 00:11:33,241 There might be a way to mitigate stroke risk. 253 00:11:33,265 --> 00:11:35,374 And he'd still have the instability and... 254 00:11:35,398 --> 00:11:36,509 Come on, Shaun. 255 00:11:36,533 --> 00:11:38,598 I need help, not criticism. 256 00:11:40,099 --> 00:11:41,714 I have always supported you 257 00:11:41,738 --> 00:11:43,215 when you were trying to come up with 258 00:11:43,239 --> 00:11:44,739 an unconventional treatment option. 259 00:11:47,409 --> 00:11:49,877 You supported me when you thought I was right. 260 00:11:57,087 --> 00:11:58,868 What do you guys think? 261 00:12:00,556 --> 00:12:01,890 We gotta go. 262 00:12:01,915 --> 00:12:03,481 We do? 263 00:12:05,030 --> 00:12:06,797 We remove the scar tissue and the nerves. 264 00:12:06,822 --> 00:12:08,522 Then harvest nerves from his upper arm 265 00:12:08,547 --> 00:12:09,679 to rewire his forearms. 266 00:12:09,704 --> 00:12:10,703 It'll improve his grip, 267 00:12:10,728 --> 00:12:12,194 and with the scar tissue removed, 268 00:12:12,219 --> 00:12:13,585 the pain should decrease, too. 269 00:12:13,610 --> 00:12:15,777 Does nothing to solve the blood-flow problem 270 00:12:15,802 --> 00:12:17,135 that's causing the scarring. 271 00:12:17,160 --> 00:12:19,160 I'm sure we can come up with a solve for that. 272 00:12:19,185 --> 00:12:21,185 That's what you said last time. 273 00:12:21,211 --> 00:12:23,356 And I was right. We're making progress. 274 00:12:23,380 --> 00:12:25,395 Would you two give us a moment? 275 00:12:25,859 --> 00:12:27,982 We'll meet you in the Residents' Lounge when we're done. 276 00:12:33,903 --> 00:12:35,534 Are you so against the prosthetics 277 00:12:35,558 --> 00:12:37,336 because you think it's in Tyson's best interest? 278 00:12:37,360 --> 00:12:38,741 Or because it's my idea? 279 00:12:40,562 --> 00:12:43,175 You think I care whose idea anything is? 280 00:12:43,199 --> 00:12:44,877 You're a competitive person 281 00:12:44,901 --> 00:12:47,702 working with the guy who used to hold your job. 282 00:12:48,737 --> 00:12:52,885 I'll admit my competitive drive may kick up a notch 283 00:12:52,909 --> 00:12:54,387 when we work together. 284 00:12:54,411 --> 00:12:57,723 I'll also admit that I admire the courage 285 00:12:57,747 --> 00:13:00,493 of a guy who stumbled a half-mile back to his house 286 00:13:00,517 --> 00:13:03,362 after his arms were ripped off by a combine. 287 00:13:03,386 --> 00:13:05,164 He opened a door with his mouth 288 00:13:05,188 --> 00:13:07,111 and dialed 911 with his nose, 289 00:13:07,135 --> 00:13:09,168 and as long as he wants to keep fighting, 290 00:13:09,192 --> 00:13:11,076 I'm gonna fight along with him. 291 00:13:11,100 --> 00:13:13,528 Which has nothing to do with my ego. 292 00:13:13,943 --> 00:13:15,007 Good. 293 00:13:15,031 --> 00:13:17,087 That's all I wanted to confirm. 294 00:13:18,826 --> 00:13:21,132 But I'm gonna start prepping for the amputation 295 00:13:21,156 --> 00:13:23,516 because that's the only rational choice we have, 296 00:13:23,540 --> 00:13:25,596 which I'm confident you'll realize soon enough. 297 00:13:33,254 --> 00:13:34,749 Make any progress? 298 00:13:35,673 --> 00:13:39,951 Yeah, I figured out a lateral approach, 299 00:13:39,975 --> 00:13:43,202 but Shaun thinks it would leave his spine unstable 300 00:13:43,226 --> 00:13:45,226 and increase his risk of stroke. 301 00:13:46,476 --> 00:13:49,175 - I agree. - Yeah, me too. 302 00:13:49,199 --> 00:13:50,709 There has to be a way to mitigate the... 303 00:13:50,733 --> 00:13:52,400 Dr. Browne? 304 00:13:52,608 --> 00:13:54,207 These just got delivered. 305 00:13:57,574 --> 00:13:59,418 - Enjoy. - Thanks. 306 00:13:59,442 --> 00:14:00,986 Dash is a romantic. 307 00:14:01,010 --> 00:14:02,992 Thought you hated romantics. 308 00:14:03,746 --> 00:14:06,692 Yeah, he's... he's teasing me. 309 00:14:06,716 --> 00:14:10,229 I told him I thought guys who sent flowers were lame. 310 00:14:12,222 --> 00:14:14,856 We haven't even kissed yet. 311 00:14:15,891 --> 00:14:17,525 What are you waiting for? 312 00:14:19,384 --> 00:14:21,006 I don't know. 313 00:14:21,030 --> 00:14:22,842 Um... 314 00:14:22,866 --> 00:14:25,678 I enjoy being with him. 315 00:14:25,702 --> 00:14:27,680 Actually, I forgot how funny he is. 316 00:14:27,704 --> 00:14:31,383 Just... hasn't seemed like the right time. 317 00:14:35,711 --> 00:14:39,191 I'm more worried about the stroke risk 318 00:14:39,215 --> 00:14:40,678 than spinal instability, 319 00:14:40,702 --> 00:14:43,362 so focus on fixing that. 320 00:14:43,386 --> 00:14:45,118 Okay. 321 00:14:48,558 --> 00:14:52,037 And, Claire, if he's the right guy, 322 00:14:52,061 --> 00:14:54,139 stop holding out for the right time. 323 00:15:05,208 --> 00:15:07,152 Your vitals are stable. 324 00:15:07,176 --> 00:15:10,184 The nurses will monitor you during the night. 325 00:15:10,810 --> 00:15:13,659 Your problem's simple to solve. 326 00:15:13,683 --> 00:15:15,683 You just need to ask someone else out. 327 00:15:18,220 --> 00:15:20,900 Lea was special. 328 00:15:20,924 --> 00:15:22,368 I'm sure she was. 329 00:15:22,392 --> 00:15:24,937 But there are so many others, just as special. 330 00:15:24,961 --> 00:15:26,972 You just have to get to know them. 331 00:15:26,996 --> 00:15:29,008 No, I don't want to. 332 00:15:29,032 --> 00:15:30,496 Yes, you do. 333 00:15:31,247 --> 00:15:33,379 You think I don't know how you feel? 334 00:15:33,403 --> 00:15:36,115 Afraid of being rejected because you're too... 335 00:15:36,139 --> 00:15:37,138 different. 336 00:15:37,754 --> 00:15:40,019 Finally I decided, screw it. 337 00:15:40,043 --> 00:15:42,721 I started talking to every woman I saw. 338 00:15:42,745 --> 00:15:45,858 Street corners, elevators, grocery stores. 339 00:15:45,882 --> 00:15:48,360 And I learned I'm pretty good at it. 340 00:15:48,384 --> 00:15:49,628 That's my gift. 341 00:15:49,652 --> 00:15:51,697 Everyone has one. 342 00:15:51,721 --> 00:15:53,198 They just... 343 00:15:53,222 --> 00:15:56,302 have to figure out what it is... 344 00:16:01,230 --> 00:16:03,197 Okay. Code Blue! 345 00:16:03,959 --> 00:16:05,635 Code Blue! 346 00:16:20,549 --> 00:16:21,857 Murphy and I just inserted 347 00:16:21,882 --> 00:16:24,440 a diaphragmatic pacemaker on Finn. 348 00:16:24,465 --> 00:16:26,167 It'll only trigger shallow breaths, 349 00:16:26,192 --> 00:16:29,401 so he's at high risk for pneumonia. 350 00:16:29,425 --> 00:16:30,436 You got anything? 351 00:16:30,460 --> 00:16:32,671 Yeah, I was thinking of using 352 00:16:32,695 --> 00:16:35,341 a more inferior transatlas approach. 353 00:16:35,365 --> 00:16:37,576 That would minimize stroke risk. 354 00:16:37,600 --> 00:16:38,744 That won't work. 355 00:16:38,768 --> 00:16:40,868 It would destabilize the C1-2 joint. 356 00:16:45,192 --> 00:16:47,252 You did all you could. 357 00:16:47,276 --> 00:16:48,587 Go home. 358 00:16:48,611 --> 00:16:50,412 We'll do the original cerebellar surgery 359 00:16:50,436 --> 00:16:52,024 first thing in the morning. 360 00:17:01,057 --> 00:17:02,968 So I'll be able to work the farm. 361 00:17:02,992 --> 00:17:05,704 We still need to find a way to increase blood flow. 362 00:17:05,728 --> 00:17:08,540 You should regain most of your grip and forearm strength, 363 00:17:08,564 --> 00:17:10,442 but you'd still be in some pain. 364 00:17:12,390 --> 00:17:14,135 I-I can handle it. 365 00:17:15,170 --> 00:17:16,570 Can you? 366 00:17:17,228 --> 00:17:18,884 How can you know for sure? 367 00:17:18,908 --> 00:17:22,243 As the years go by and the pain doesn't stop... 368 00:17:22,775 --> 00:17:24,256 will you change your mind? 369 00:17:24,280 --> 00:17:26,313 Because it'll be too late. 370 00:17:27,744 --> 00:17:29,695 What's wrong? What are you... What are you feeling? 371 00:17:29,719 --> 00:17:32,030 Like a horse just kicked in my chest. 372 00:17:36,692 --> 00:17:38,804 I need an echo and pulmonary cath kit! 373 00:17:38,828 --> 00:17:40,205 And page Lim, stat! 374 00:17:43,254 --> 00:17:44,743 I think the last time 375 00:17:44,767 --> 00:17:48,144 that I was at an actual punk-rock show was, uh... 376 00:17:48,168 --> 00:17:49,677 College. 377 00:17:49,939 --> 00:17:51,150 Patti Smith. 378 00:17:51,174 --> 00:17:53,192 Oh, my God! 379 00:17:53,216 --> 00:17:54,764 I completely forgot about that. 380 00:17:54,788 --> 00:17:56,755 You forgot getting your ass tossed offstage 381 00:17:56,779 --> 00:17:57,890 by a 60-year-old woman? 382 00:17:57,914 --> 00:17:59,057 Yeah. 383 00:17:59,081 --> 00:18:00,993 Remember what you said when we picked you up? 384 00:18:01,017 --> 00:18:04,663 Uh, oh, something about her being, uh, thin but strong? 385 00:18:04,687 --> 00:18:06,498 "Thin but wiry." 386 00:18:06,522 --> 00:18:08,534 - Wiry. - Wiry. 387 00:18:16,431 --> 00:18:18,664 Okay, well, I, um... 388 00:18:19,235 --> 00:18:22,080 I have an early surgery, so I should probably get going. 389 00:18:22,104 --> 00:18:23,712 - Okay. - Okay. 390 00:18:25,007 --> 00:18:26,485 Have a good night. 391 00:18:26,509 --> 00:18:28,002 Good night. 392 00:19:04,710 --> 00:19:06,547 I got an idea. 393 00:19:07,004 --> 00:19:08,927 Actually, you had it first. 394 00:19:10,453 --> 00:19:13,298 It's the right approach, just the wrong route. 395 00:19:15,324 --> 00:19:18,036 We go in from the back, posterior transdural, 396 00:19:18,060 --> 00:19:20,706 gently move your spinal cord out of the way 397 00:19:20,730 --> 00:19:22,896 so we can drill off the misshaped C2. 398 00:19:22,920 --> 00:19:24,409 There is a risk of paralysis, 399 00:19:24,433 --> 00:19:26,264 but we would be monitoring your spinal functions 400 00:19:26,288 --> 00:19:27,980 to help avoid any nerve injuries. 401 00:19:28,004 --> 00:19:30,115 Let's do it. Where do I have to sign? 402 00:19:30,139 --> 00:19:31,906 You shouldn't sign anything. 403 00:19:33,364 --> 00:19:35,220 Consenting to this surgery 404 00:19:35,244 --> 00:19:38,279 would be incredibly shortsighted and reckless. 405 00:19:47,355 --> 00:19:48,567 It is one thing 406 00:19:48,591 --> 00:19:50,402 to take your bad mood out on your colleagues, 407 00:19:50,426 --> 00:19:52,428 but to try and undermine my surgical advice... 408 00:19:52,452 --> 00:19:54,139 My opinion's valid. 409 00:19:54,163 --> 00:19:55,507 Well, thankfully, he disagrees. 410 00:19:55,531 --> 00:19:58,577 He's risking paralysis to be charming. 411 00:19:58,601 --> 00:20:01,380 Because people expect everyone to be perfect. 412 00:20:01,404 --> 00:20:02,915 Everyone's opinion is valid 413 00:20:02,939 --> 00:20:04,862 all the way until we go into the patient room. 414 00:20:04,886 --> 00:20:07,530 We are a team with one opinion. 415 00:20:13,667 --> 00:20:15,115 I... 416 00:20:15,656 --> 00:20:17,629 I don't feel better! 417 00:20:17,653 --> 00:20:18,986 I feel worse! 418 00:20:19,010 --> 00:20:21,600 And doing the wrong surgery 419 00:20:21,624 --> 00:20:23,869 is not going to help anyone. 420 00:20:23,893 --> 00:20:26,572 I don't want to do it; I'm going home. 421 00:20:41,598 --> 00:20:43,484 You're not walking out on your patient. 422 00:20:43,508 --> 00:20:44,812 Or your team. 423 00:20:44,836 --> 00:20:47,333 I still have two sick days 424 00:20:47,357 --> 00:20:49,506 and 76 hours of unused P.T.O. 425 00:20:49,530 --> 00:20:51,607 You're not sick, and you're in the middle of a case. 426 00:20:51,631 --> 00:20:54,310 I don't care about the case or the patient. 427 00:20:58,768 --> 00:21:01,118 I don't care about anything. 428 00:21:13,756 --> 00:21:16,491 I've had my heart broken twice 429 00:21:16,516 --> 00:21:18,450 in the last few years. 430 00:21:19,637 --> 00:21:21,671 You want to know what I did? 431 00:21:24,094 --> 00:21:25,539 I came to work every day 432 00:21:25,564 --> 00:21:28,153 and pretended everything was fine. 433 00:21:28,479 --> 00:21:30,398 Until, eventually, 434 00:21:30,595 --> 00:21:33,162 I wasn't pretending anymore. 435 00:21:35,618 --> 00:21:38,948 That's not helpful at all. 436 00:21:45,095 --> 00:21:47,074 How about this? 437 00:21:47,098 --> 00:21:48,576 Go back in there 438 00:21:48,600 --> 00:21:50,244 and help Claire prep Finn for surgery, 439 00:21:50,268 --> 00:21:51,734 or you won't be my resident. 440 00:21:52,182 --> 00:21:54,839 Or anyone else's at St. Bonaventure. 441 00:21:56,281 --> 00:21:58,592 And I know you care about that. 442 00:22:21,425 --> 00:22:23,658 We were able to clear the clot, 443 00:22:23,968 --> 00:22:27,248 but due to the restricted arteries in your arms, 444 00:22:27,272 --> 00:22:29,621 we're gonna need to keep you on blood thinners... 445 00:22:29,646 --> 00:22:30,812 indefinitely. 446 00:22:32,670 --> 00:22:34,737 Okay. 447 00:22:36,133 --> 00:22:37,286 The blood thinners 448 00:22:37,311 --> 00:22:40,050 make the reconstructive surgery impossible. 449 00:22:40,819 --> 00:22:43,586 We have no choice but to amputate. 450 00:22:44,263 --> 00:22:45,900 I'm sorry. 451 00:22:47,821 --> 00:22:49,560 No. 452 00:22:50,788 --> 00:22:53,122 I'm not letting you cut off my arms. 453 00:22:53,598 --> 00:22:55,471 I don't want false limbs. 454 00:22:55,774 --> 00:22:57,271 I don't want to be that guy. 455 00:22:57,296 --> 00:22:58,944 I want to be who I am. 456 00:23:05,903 --> 00:23:08,662 You are the toughest, 457 00:23:08,687 --> 00:23:11,588 most tenacious person I've ever met. 458 00:23:12,458 --> 00:23:14,251 And that is not gonna change 459 00:23:14,276 --> 00:23:16,643 because we replace your hands with titanium. 460 00:23:20,010 --> 00:23:22,551 It's time to let go. 461 00:23:31,950 --> 00:23:33,437 Okay. 462 00:23:36,815 --> 00:23:38,519 Okay. 463 00:23:46,517 --> 00:23:48,283 Any way you could draw a skull 464 00:23:48,308 --> 00:23:50,761 with a cobra coming out of its eyes while you're back there? 465 00:23:50,786 --> 00:23:52,973 Would you settle for a lame smiley face? 466 00:23:52,998 --> 00:23:56,165 Because that is the only thing I can draw. 467 00:23:56,219 --> 00:23:58,153 There's my favorite nurse. 468 00:23:58,363 --> 00:24:00,384 Did you check out that Ethiopian place 469 00:24:00,409 --> 00:24:01,551 I told you about last night? 470 00:24:01,576 --> 00:24:04,577 Actually, I did, and the kik alicha was delish. 471 00:24:04,608 --> 00:24:07,275 Now, if you want a truly life-changing meal, 472 00:24:07,300 --> 00:24:09,434 you need to try Lennon's on Sixth. 473 00:24:09,459 --> 00:24:11,659 - Is it expensive? - Outrageously. 474 00:24:11,684 --> 00:24:13,083 But worth it. 475 00:24:13,444 --> 00:24:17,191 Now, it's all white tablecloths and candles, 476 00:24:17,215 --> 00:24:18,993 so you'll need a date. 477 00:24:19,017 --> 00:24:20,494 How 'bout Dr. Murphy? 478 00:24:23,431 --> 00:24:25,700 You told me yourself he's a gifted surgeon. 479 00:24:25,724 --> 00:24:27,401 That's pretty high praise. 480 00:24:28,459 --> 00:24:30,771 And he told me you're cute. 481 00:24:36,540 --> 00:24:37,716 Good luck today. 482 00:24:37,740 --> 00:24:39,205 Thanks. 483 00:24:42,740 --> 00:24:44,534 I totally teed you up. 484 00:24:44,558 --> 00:24:46,520 All you had to do was take a swing. 485 00:24:46,544 --> 00:24:49,658 I'm not interested in her. 486 00:24:49,682 --> 00:24:51,393 If she's not your type, 487 00:24:51,417 --> 00:24:53,265 I'm sure there are plenty of other cool nurses 488 00:24:53,289 --> 00:24:54,476 roaming around here 489 00:24:54,500 --> 00:24:56,164 who could make you feel better about yourself. 490 00:24:56,188 --> 00:24:59,048 He's miserable because he's had two relationships blow up. 491 00:24:59,072 --> 00:25:01,370 I don't think jumping into another one is the answer. 492 00:25:05,349 --> 00:25:07,250 No, no, no! 493 00:25:14,405 --> 00:25:16,839 Finn, you can't exert yourself like this. 494 00:25:18,664 --> 00:25:19,830 Just take it easy. 495 00:25:20,919 --> 00:25:22,953 I ran into a woman in the cafeteria. 496 00:25:22,978 --> 00:25:25,145 Real nice. But seemed stressed. 497 00:25:25,170 --> 00:25:27,170 Turns out that her boyfriend 498 00:25:27,195 --> 00:25:28,895 is having spinal surgery, too. 499 00:25:28,955 --> 00:25:31,433 Big coincidence, huh? 500 00:25:31,457 --> 00:25:32,668 But get this. 501 00:25:32,692 --> 00:25:36,071 He also has pseudoachondroplasia. 502 00:25:36,095 --> 00:25:38,412 I mean, what are the chances? 503 00:25:38,437 --> 00:25:39,736 Nathalie, don't you dare. 504 00:25:41,133 --> 00:25:42,277 Stop! 505 00:25:42,301 --> 00:25:44,213 Just slow down. 506 00:25:46,873 --> 00:25:49,835 You called me the love of your life! 507 00:25:49,859 --> 00:25:51,582 I do love you! 508 00:25:51,606 --> 00:25:53,277 Don't say that! 509 00:25:53,301 --> 00:25:55,858 I don't want to hear any more of your garbage. 510 00:25:55,882 --> 00:25:57,526 Please... 511 00:25:57,550 --> 00:25:59,062 you have to... listen. 512 00:25:59,086 --> 00:26:01,981 You need to get back to bed now, or you'll pass out. 513 00:26:19,572 --> 00:26:21,313 What's up? 514 00:26:21,338 --> 00:26:22,940 What are you doing in here? 515 00:26:23,743 --> 00:26:25,847 Once you get a patient on the table, 516 00:26:25,872 --> 00:26:27,205 there's too much going on 517 00:26:27,230 --> 00:26:29,863 to appreciate what this place is. 518 00:26:30,983 --> 00:26:32,561 Mm. It's nice. 519 00:26:34,086 --> 00:26:35,869 It's perfect. 520 00:26:39,020 --> 00:26:40,265 Time to scrub in. 521 00:26:41,815 --> 00:26:44,279 This will be my last surgery. 522 00:26:47,066 --> 00:26:48,577 Five months ago, 523 00:26:48,601 --> 00:26:51,113 I was diagnosed with rheumatoid arthritis. 524 00:26:52,761 --> 00:26:55,194 I'm not responding to medication. 525 00:27:12,834 --> 00:27:14,825 Why did you do that? 526 00:27:15,471 --> 00:27:16,803 I felt like it. 527 00:27:18,506 --> 00:27:21,786 It didn't change the fact that he cheated on you. 528 00:27:21,810 --> 00:27:24,289 It won't make your life any better. 529 00:27:26,982 --> 00:27:29,316 You can't control how you feel about someone. 530 00:27:30,007 --> 00:27:32,926 But you can control what you do with those feelings. 531 00:27:33,468 --> 00:27:36,803 I ended the relationship on my terms. 532 00:27:38,560 --> 00:27:40,309 More importantly... 533 00:27:41,997 --> 00:27:44,062 it made me feel better. 534 00:27:50,839 --> 00:27:53,251 A Louisville Slugger to a Porsche? 535 00:27:53,275 --> 00:27:54,875 It was insane. 536 00:27:55,449 --> 00:27:56,777 I like her. 537 00:27:57,117 --> 00:27:58,945 What is to like? 538 00:27:59,411 --> 00:28:01,159 I don't know. 539 00:28:01,183 --> 00:28:02,281 I just do. 540 00:28:04,219 --> 00:28:06,762 A sudden complete loss of any SSEP and MEP signals. 541 00:28:06,786 --> 00:28:09,367 B.P. and heart rate are tanking. We've injured his cord. 542 00:28:09,391 --> 00:28:10,967 Push high-dose steroids and pressors. 543 00:28:10,991 --> 00:28:13,144 Remove the retractor to take the pressure off. 544 00:28:17,633 --> 00:28:20,849 That's the last of the vessels and nerves ligated. 545 00:28:21,303 --> 00:28:22,768 Mayos. 546 00:28:26,895 --> 00:28:28,649 Specimen bag. 547 00:28:35,884 --> 00:28:38,552 We have healthy bone-anchor sites. 548 00:28:39,117 --> 00:28:40,699 Same here. 549 00:28:40,723 --> 00:28:43,330 Time to give him functional arms. 550 00:28:54,508 --> 00:28:56,715 Not me. Give it to her. 551 00:29:00,943 --> 00:29:02,721 She's a third-year resident... 552 00:29:02,745 --> 00:29:04,002 a talented one, but I wouldn't... 553 00:29:04,026 --> 00:29:06,424 I'm sure she's read every article written 554 00:29:06,448 --> 00:29:07,726 on osseointegration, 555 00:29:07,750 --> 00:29:10,365 spent countless hours in the Skills Lab, 556 00:29:10,389 --> 00:29:13,687 and could probably do this with one of her own arms tied behind her back. 557 00:29:14,361 --> 00:29:15,934 Blindfolded. 558 00:29:15,958 --> 00:29:17,435 Get to work. 559 00:29:29,505 --> 00:29:31,516 Push another milligram of atropine. 560 00:29:42,617 --> 00:29:45,597 We may have just paralyzed him trying to avoid a stutter. 561 00:29:45,621 --> 00:29:47,832 We won't know anything until we wake him up. 562 00:29:47,856 --> 00:29:49,334 Where's the pressure still coming from? 563 00:29:49,358 --> 00:29:50,440 Laterally now. 564 00:29:50,464 --> 00:29:52,871 So if we remove the joints of the C1 and C2 bones, 565 00:29:52,895 --> 00:29:54,205 that should make enough room 566 00:29:54,229 --> 00:29:55,540 so we could drill off the odontoid. 567 00:29:55,564 --> 00:29:57,242 We could replace them with screws and rods 568 00:29:57,266 --> 00:29:58,343 to stabilize his spine. 569 00:29:58,367 --> 00:29:59,656 That's... 570 00:30:01,408 --> 00:30:02,947 a good idea. 571 00:30:02,971 --> 00:30:04,315 Yes, it is. 572 00:30:04,339 --> 00:30:06,618 If he's not already paralyzed. 573 00:30:15,236 --> 00:30:16,713 Colleen Brown. 574 00:30:16,737 --> 00:30:18,248 Freshman year. 575 00:30:18,272 --> 00:30:21,385 I took her to the roller-skating rink 576 00:30:21,409 --> 00:30:23,898 'cause I thought that's what you're supposed to do... 577 00:30:23,922 --> 00:30:25,670 take girls to the roller-skating rink. 578 00:30:25,694 --> 00:30:27,517 I didn't know how to roller-skate; 579 00:30:27,735 --> 00:30:31,003 she ended up leaving with Bobby K.'s little brother. 580 00:30:31,352 --> 00:30:33,732 Broke me up. 581 00:30:34,304 --> 00:30:35,881 Couldn't go to school for a week. 582 00:30:36,090 --> 00:30:38,602 Convinced my mom that I was sick 583 00:30:38,626 --> 00:30:39,903 for the first three days, 584 00:30:39,927 --> 00:30:43,407 and the last two I spent in a double feature all day... 585 00:30:43,431 --> 00:30:45,310 "Where's Poppa?" and "Twelve Chairs." 586 00:30:45,335 --> 00:30:48,002 To this day, I can quote both films verbatim. 587 00:30:48,402 --> 00:30:50,797 So you think I should've stayed home 588 00:30:50,822 --> 00:30:52,004 for two more days? 589 00:30:52,029 --> 00:30:53,529 No, I don't think it would've mattered. 590 00:30:53,554 --> 00:30:54,720 It doesn't make a difference. 591 00:30:54,809 --> 00:30:56,135 And then I made a list 592 00:30:56,160 --> 00:30:58,250 of all the things that annoyed me about her. 593 00:30:58,275 --> 00:30:59,607 The way she chewed her gum, 594 00:30:59,632 --> 00:31:01,902 the way she used to sit in the front row of every class 595 00:31:01,927 --> 00:31:03,460 so that the teacher would call on her 596 00:31:03,485 --> 00:31:04,764 when she raised her hand, 597 00:31:04,789 --> 00:31:06,389 the way she said, "Excuse me?" 598 00:31:06,414 --> 00:31:08,547 instead of just "What?" or "Huh?" 599 00:31:09,023 --> 00:31:11,156 None of it makes any difference. 600 00:31:13,320 --> 00:31:15,888 Then why are you telling me? 601 00:31:17,917 --> 00:31:20,786 Maybe it'll make you feel a little bit better to know that, 602 00:31:20,811 --> 00:31:22,210 what you're going through, 603 00:31:22,235 --> 00:31:24,836 every other young man in the history of the world 604 00:31:24,861 --> 00:31:25,893 has gone through. 605 00:31:27,079 --> 00:31:30,048 You're trying to make it work with Lea and with Carly, 606 00:31:30,073 --> 00:31:32,207 and you're getting a little beat up, 607 00:31:32,232 --> 00:31:33,231 and that's okay. 608 00:31:33,256 --> 00:31:34,855 Join the club. 609 00:31:35,460 --> 00:31:36,812 You're in the mix. 610 00:31:36,837 --> 00:31:38,367 That's a good thing. 611 00:31:39,426 --> 00:31:42,092 I'm proud of you. 612 00:31:52,060 --> 00:31:53,250 You ready? 613 00:31:53,854 --> 00:31:56,356 It's gonna take some getting used to. 614 00:31:57,183 --> 00:32:00,318 But they're the same nerves you used before. 615 00:32:01,641 --> 00:32:03,906 All you have to do is think about using the arms 616 00:32:03,931 --> 00:32:05,764 the way you normally would. 617 00:32:14,204 --> 00:32:16,004 Whoa. 618 00:32:17,420 --> 00:32:20,288 That's pretty cool. 619 00:32:27,160 --> 00:32:28,905 It's not a beer, 620 00:32:28,930 --> 00:32:31,715 but you got to start somewhere. 621 00:32:41,749 --> 00:32:44,516 Now pinch your forefinger and thumb and twist off the cap. 622 00:33:01,235 --> 00:33:03,246 I-I can't feel the thing. 623 00:33:03,270 --> 00:33:06,183 You'll get used to it. You got this. 624 00:33:24,625 --> 00:33:26,154 Nice. 625 00:33:30,431 --> 00:33:32,828 You want me to say you were right? 626 00:33:33,420 --> 00:33:35,580 About the patient, or you? 627 00:33:36,656 --> 00:33:37,990 When you offered me a job, 628 00:33:38,015 --> 00:33:40,515 you said it was to help me get back on the horse. 629 00:33:40,540 --> 00:33:43,608 But what you really wanted was a mentor. 630 00:33:43,850 --> 00:33:45,116 Which I'm fine with, 631 00:33:45,141 --> 00:33:48,175 but I think maybe you feel threatened by that need. 632 00:33:49,076 --> 00:33:50,971 Well, maybe that's true. 633 00:33:51,445 --> 00:33:54,279 But maybe also you enjoy it a little too much. 634 00:33:54,304 --> 00:33:56,404 Maybe because you're having a hard time 635 00:33:56,429 --> 00:33:58,144 giving up being Chief. 636 00:34:00,046 --> 00:34:02,114 Maybe we're both right. 637 00:34:06,359 --> 00:34:08,393 How did it go? 638 00:34:09,489 --> 00:34:11,857 Can you lift your arms for me? 639 00:34:21,716 --> 00:34:23,382 Okay. 640 00:34:23,962 --> 00:34:27,531 I'm gonna push your arm, and I need you to resist. 641 00:34:29,724 --> 00:34:32,002 Good. More. 642 00:34:32,026 --> 00:34:34,104 Stronger. 643 00:34:34,128 --> 00:34:35,505 That's great. 644 00:34:35,529 --> 00:34:37,393 You should make a full recovery. 645 00:34:37,418 --> 00:34:38,550 Thank you. 646 00:34:39,899 --> 00:34:41,855 H-How's Nathalie's hand? 647 00:34:41,880 --> 00:34:44,915 There was no nerve or tendon damage. 648 00:34:44,940 --> 00:34:46,306 She'll be fine. 649 00:34:46,331 --> 00:34:48,030 She's a good person. 650 00:34:48,055 --> 00:34:49,622 A little spirited, 651 00:34:49,647 --> 00:34:51,947 but that's what I loved about her. 652 00:34:53,079 --> 00:34:56,448 Are you going to try to win her back? 653 00:34:57,637 --> 00:35:00,405 I'm confident but not stupid. 654 00:35:00,430 --> 00:35:03,064 You gotta know when to call it, Dr. Murphy. 655 00:35:06,594 --> 00:35:08,531 I mean, there's a-a whole world 656 00:35:08,556 --> 00:35:10,656 of amazing people out there. 657 00:35:10,931 --> 00:35:14,533 Don't get bogged down with this notion of a soulmate. 658 00:35:20,658 --> 00:35:23,492 Finn's exam was normal. 659 00:35:24,704 --> 00:35:28,540 But I am not sure it was worth the risk. 660 00:35:29,016 --> 00:35:31,321 We did a good thing today. 661 00:35:31,819 --> 00:35:33,952 Mostly because of you. 662 00:35:34,574 --> 00:35:37,400 That's kind of you to say but... 663 00:35:38,620 --> 00:35:40,830 Your commitment to your patients... 664 00:35:42,248 --> 00:35:44,708 reminds me of why I got into medicine. 665 00:35:46,734 --> 00:35:50,548 Being around you makes me a better surgeon. 666 00:35:52,813 --> 00:35:55,614 A better person. 667 00:35:59,533 --> 00:36:01,400 Well, good night. 668 00:36:01,425 --> 00:36:02,791 Good night. 669 00:36:16,308 --> 00:36:18,326 You did good work today. 670 00:36:20,065 --> 00:36:22,100 And I understand you're leaving surgery. 671 00:36:22,956 --> 00:36:25,990 And I know that's a... that's tough. 672 00:36:26,015 --> 00:36:27,681 But it's the right call. 673 00:36:31,611 --> 00:36:34,346 No, I don't think it is. 674 00:36:37,053 --> 00:36:38,469 I love operating. 675 00:36:38,493 --> 00:36:42,063 So I'm gonna keep doing it as long as I can. 676 00:36:44,833 --> 00:36:48,271 I'm gonna have the synovectomy surgery. 677 00:36:49,430 --> 00:36:51,474 That's really stupid. 678 00:36:51,498 --> 00:36:54,511 That's incredibly... stupid. 679 00:36:56,036 --> 00:36:58,582 Not every dream comes true. 680 00:36:58,606 --> 00:37:00,415 You have other opportunities. 681 00:37:00,439 --> 00:37:01,929 You have another chance. 682 00:37:01,953 --> 00:37:04,475 Not everybody does. Be grateful for that. 683 00:37:04,499 --> 00:37:07,524 Pick another passion and pursue that. 684 00:37:10,684 --> 00:37:12,696 I'm doing the surgery. 685 00:37:32,854 --> 00:37:34,284 Enjoy. 686 00:37:37,779 --> 00:37:39,407 Another, please. 687 00:37:42,195 --> 00:37:45,030 Well, that's one way to start the night off right. 688 00:37:46,746 --> 00:37:48,750 Hello, Nurse Fletch. 689 00:37:49,476 --> 00:37:51,503 You can call me Julie. 690 00:37:52,393 --> 00:37:54,672 Are you here alone, or are you meeting someone? 691 00:37:55,202 --> 00:37:57,035 I'm alone. 692 00:37:57,223 --> 00:37:58,489 Well, to us. 693 00:38:07,279 --> 00:38:09,279 You have beautiful eyes. 694 00:38:10,344 --> 00:38:12,355 Thank you. 695 00:38:15,182 --> 00:38:17,373 Or did someone just tell you that 696 00:38:17,397 --> 00:38:19,930 that's a good opening line? 697 00:38:26,729 --> 00:38:29,140 It's right in our backyard, and I've never even been there. 698 00:38:29,165 --> 00:38:30,898 - Have you? - No. 699 00:38:30,923 --> 00:38:33,711 It's, uh, time we unleash our inner tree-hugger. 700 00:38:35,272 --> 00:38:36,413 You're off next weekend. 701 00:38:36,437 --> 00:38:37,922 I think we should go to Yosemite. 702 00:38:37,946 --> 00:38:39,249 What do you think? 703 00:38:39,273 --> 00:38:40,750 Yeah, sounds fun. 704 00:38:40,774 --> 00:38:42,185 I need to get me some hiking boots. 705 00:38:42,209 --> 00:38:43,872 - Mm. - And, uh, like a fleece. 706 00:38:43,896 --> 00:38:45,172 - Mm-hmm. - Beanie. 707 00:38:45,196 --> 00:38:47,180 I'm rocking the full lumbersexual look. 708 00:38:47,204 --> 00:38:48,892 'Cause I gotta blend in. 709 00:38:48,916 --> 00:38:52,128 I hear a bear can spot a tourist a mile away. 710 00:38:52,152 --> 00:38:53,482 Mm. 711 00:38:53,506 --> 00:38:54,983 Mm-hmm. 712 00:38:56,723 --> 00:38:58,390 You okay? 713 00:38:59,070 --> 00:39:01,638 Uh, you're, uh... 714 00:39:01,662 --> 00:39:05,897 you're here, but, you know, not. 715 00:39:06,953 --> 00:39:08,478 You're right. I'm sorry. 716 00:39:08,502 --> 00:39:10,449 It's... It's just been a long week. 717 00:39:10,473 --> 00:39:12,237 I'm a bit exhausted. 718 00:39:12,917 --> 00:39:17,387 Yeah, I think I might call it an early night. 719 00:39:17,411 --> 00:39:18,756 Oh, you sure? 720 00:39:18,905 --> 00:39:21,139 I... you know, we don't have to go to the club. 721 00:39:21,164 --> 00:39:23,331 We can chill here. We can watch a movie. 722 00:39:23,356 --> 00:39:24,455 I'm sorry. 723 00:39:24,480 --> 00:39:26,046 I just... 724 00:39:26,071 --> 00:39:27,974 I just think I should go home. 725 00:39:29,768 --> 00:39:31,301 Okay. 726 00:39:38,055 --> 00:39:39,694 Shaun? 727 00:39:43,704 --> 00:39:46,238 I want to smash your car up. 728 00:39:48,267 --> 00:39:50,802 I think that's a bad idea. 729 00:39:53,319 --> 00:39:58,357 I want to hurt you the way you hurt me. 730 00:39:59,819 --> 00:40:01,469 I'm s-sorry. 731 00:40:01,494 --> 00:40:03,134 You... 732 00:40:05,552 --> 00:40:07,222 You... 733 00:40:08,174 --> 00:40:09,599 You're... 734 00:40:26,461 --> 00:40:29,028 I can't. 735 00:40:31,412 --> 00:40:32,872 I can't. 736 00:40:37,191 --> 00:40:39,525 You acted like you cared about me... 737 00:40:41,929 --> 00:40:44,174 ...but you don't even respect me. 738 00:40:46,266 --> 00:40:48,244 You're flaky. 739 00:40:50,504 --> 00:40:51,766 And... 740 00:40:53,994 --> 00:40:56,396 And you can't keep a boyfriend. 741 00:40:57,364 --> 00:41:01,366 And you can't keep a job. 742 00:41:01,882 --> 00:41:04,027 And no one likes you. 743 00:41:05,819 --> 00:41:09,487 And... And you're going to end up alone, 744 00:41:09,512 --> 00:41:10,678 and you deserve it! 745 00:41:10,703 --> 00:41:12,874 Because you're a superficial, 746 00:41:12,899 --> 00:41:15,600 selfish, and prejudiced person! 747 00:41:34,281 --> 00:41:36,926 You ready to tell me what's on your mind? 748 00:41:39,464 --> 00:41:42,031 Not really. 749 00:41:54,140 --> 00:41:57,576 I... 750 00:41:58,038 --> 00:42:00,626 I think I'm in love with my boss.