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Previously on "The Good Doctor"...
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00:00:02,500 --> 00:00:04,060
We had the clinic at the hospital.
3
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Come back as President, and...
and we'll re-open it.
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We need to go to HR and break up.
5
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I have accepted
your explanation and report.
6
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Thank you.
7
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But I don't believe it.
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♪
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Traditionally, you don't get to
lead surgeries until fourth year.
10
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That will be changing.
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When the right surgery
comes along, it'll be yours.
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I want you to meet our new attending,
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Dr. Marcus Andrews.
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Pleasure to meet you.
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You had a date last night, didn't you?
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It was hard, uncomfortable, unpleasant,
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and I have no idea if she was happy,
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and I know I wasn't happy.
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♪
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[THUD]
21
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I don't like when you do that.
22
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I know.
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But I did it anyway
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because you need to snap out of it.
25
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The moping... it accomplishes nothing.
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I'm not moping. I'm eating.
27
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Which is the only thing
28
00:00:56,940 --> 00:00:59,539
you're doing outside your room now.
29
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You didn't even come out to tell me
30
00:01:01,150 --> 00:01:02,579
to turn down the Talking Heads.
31
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It... didn't bother me.
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The walls were shaking.
33
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I'm surprised the cops didn't show up.
34
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You like Carly.
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You need to get back in the saddle.
36
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And luckily, you have
a totally awesome roomie
37
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who's here to help you.
38
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I'm not going on any more dates.
39
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Shaun... everyone gets it.
40
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Dating is stressful.
41
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But being alone is worse.
42
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I'm not alone.
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I have you. I have Dr. Glassman.
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Yeah, friends are great,
45
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but everyone needs a special friend.
46
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I don't.
47
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Shaun...
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I'm not like everyone!
49
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♪
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No one is like everyone.
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We're all unique.
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But we're also the same.
53
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♪
54
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[KEYS JINGLE]
55
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♪
56
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I had rent control.
57
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The only way for them to jack the rent
58
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is to get me out,
so they just make up a reason.
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Said that I was
playing my music too loud.
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And the all-night parties,
the fighting with the neighbors,
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the wandering around the parking
lot without any clothes on?
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I had a robe on!
63
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And I wasn't wandering.
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I was trying to take the trash out,
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but they moved the damn bins.
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It was windy.
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Mom, you were clearly
off your meds and drinking.
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Okay.
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"Was."
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It was a temporary setback.
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Okay, nobody's perfect,
but it is all under control now.
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People with things under control
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don't show up at
their daughter's at 1:00 a.m.
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looking for a place to stay.
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I will be out of your hair
before you even know.
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Two weeks.
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Three... tops.
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One!
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I don't have time
to babysit a grown woman.
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Well, it's three weeks
until the end of the month.
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You at least owe me that.
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No, I don't, actually.
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One week.
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[SIREN WAILING]
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We need some help over here!
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Male, 30s, gaping 10-centimeter
laceration to his left cheek.
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Probable fractured
temporal bone, maxilla,
88
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- definitely shattered mandible.
- What happened?
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He tried to stop some creeper
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from groping a woman on the subway.
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Maniac ended up bashing his skull
in with some kid's skateboard.
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Wheels broke off, and the metal axle...
93
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did that.
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Okay, we need to secure his airway.
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His mouth is filling up with blood.
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Intubation cart.
97
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He has a through-and-through oral defect,
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- [SUCTION]
- and the mandible is crushed.
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We need hemostats.
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The woman?
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She's fine.
102
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Cops arrived, tased the dude,
took him away in cuffs.
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Everybody's fine except for the hero.
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We're gonna need to intubate
through the neck.
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Betadine, scalpel,
6-0 tube to place surgical cric.
106
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Synced & corrected by -robtor-
www.addic7ed.com
107
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♪
108
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[INDISTINCT TALKING OVER P.A.]
109
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Could you do me a huge favor and
take this up to Lim's office?
110
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- Sure.
- I'm running late.
111
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No problem.
112
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Melendez is waiting.
113
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Sorry, I had to help Kellan
114
00:04:15,510 --> 00:04:17,270
with a biology project this morning.
115
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What's in the box?
116
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Ducati throw pillow.
117
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You really think you can
bribe Lim with a pillow?
118
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I'm not bribing her. I'm being nice.
119
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She's starting a new job in a new office.
120
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Where she'll decide who gets
the first lead surgery.
121
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I'm not stupid enough to think
122
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I can influence her decision with a gift.
123
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But it never hurts to have a
good relationship with your boss.
124
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And it's a damn cool pillow.
125
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[COOS]
126
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MELENDEZ: Hey.
127
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No signs of any post-op infection.
128
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There's also no sign
your surgery did any good.
129
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Tom.
130
00:04:50,570 --> 00:04:51,839
How often is he vomiting?
131
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After every feeding.
132
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Okay.
133
00:04:54,780 --> 00:04:55,810
Shh.
134
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This is obviously not
the outcome we had hoped for,
135
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but a pyloric stenosis
requires a cautious approach.
136
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If we're too aggressive...
137
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- [BABY VOMITS, CRIES]
- [GASPS]
138
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It's okay, buddy. I got you.
139
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Shh, shh, shh, shh.
140
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[CRYING]
141
00:05:10,951 --> 00:05:13,449
Our baby is in pain. He can't eat.
142
00:05:13,450 --> 00:05:15,420
And you don't seem to have any clue why.
143
00:05:17,790 --> 00:05:20,189
I would be upset, too,
if I were in your position.
144
00:05:20,190 --> 00:05:21,520
But you're wrong.
145
00:05:21,530 --> 00:05:24,190
We need to conduct some tests
to confirm, but I am confident
146
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it's just a matter of going back in
147
00:05:26,230 --> 00:05:28,130
and making a tiny adjustment.
148
00:05:28,540 --> 00:05:29,830
Your son's in good hands.
149
00:05:30,800 --> 00:05:32,300
Thank you.
150
00:05:32,740 --> 00:05:34,339
I'm sorry. I'm just...
151
00:05:34,340 --> 00:05:35,800
A father who loves his son.
152
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You've got nothing to apologize for.
153
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♪
154
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That was impressive.
155
00:05:47,480 --> 00:05:49,080
Get an abdominal ultrasound to confirm
156
00:05:49,090 --> 00:05:51,650
it's just an incomplete pyloromyotomy.
157
00:05:55,460 --> 00:05:57,259
You're wasting your ass-kissing.
158
00:05:57,260 --> 00:05:59,129
First surgery isn't his decision.
159
00:05:59,130 --> 00:06:02,130
No. He's just the one sleeping
with the one making that decision.
160
00:06:03,300 --> 00:06:05,730
[MONITOR BEEPING]
161
00:06:05,740 --> 00:06:09,809
Pupils are equal and reactive.
162
00:06:09,810 --> 00:06:11,630
Do you know where you are?
163
00:06:13,640 --> 00:06:15,210
And do you know how you ended up here?
164
00:06:17,980 --> 00:06:20,419
Josh, you have multiple fractures
165
00:06:20,420 --> 00:06:22,019
in your cheek and jaw,
166
00:06:22,020 --> 00:06:25,150
and a large piece
of your cheek tissue, skin,
167
00:06:25,160 --> 00:06:27,789
and underlying muscle was torn off.
168
00:06:27,790 --> 00:06:30,859
You're going to need
extensive reconstructive surgery
169
00:06:30,860 --> 00:06:32,699
to save your jaw function.
170
00:06:32,700 --> 00:06:35,829
You need to read these consent forms.
171
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And if you have any questions,
write them on this pad.
172
00:06:39,170 --> 00:06:42,370
Was the woman on the subway
a friend of yours?
173
00:06:46,280 --> 00:06:47,440
ANDREWS: He's a fool.
174
00:06:47,450 --> 00:06:50,779
Trying to prove how macho
you are can get you killed.
175
00:06:50,780 --> 00:06:53,649
Clamp the branch
of the inferior alveolar.
176
00:06:53,650 --> 00:06:55,820
[MONITOR BEEPING]
177
00:06:57,920 --> 00:07:00,989
So, you would just stand by?
178
00:07:00,990 --> 00:07:02,490
Let a woman get groped?
179
00:07:03,730 --> 00:07:06,160
Apply manual compression.
Try and close the fracture gap.
180
00:07:06,850 --> 00:07:09,160
You help every homeless drug addict
181
00:07:09,170 --> 00:07:10,399
you see on the subway?
182
00:07:10,400 --> 00:07:11,730
I don't.
183
00:07:11,740 --> 00:07:13,039
And neither does Browne,
184
00:07:13,040 --> 00:07:15,669
which is why she ought not
get so self-righteous.
185
00:07:15,670 --> 00:07:16,909
Yes.
186
00:07:16,910 --> 00:07:19,879
I help my patients
to the best of my ability
187
00:07:19,880 --> 00:07:21,609
because it's meaningful,
188
00:07:21,610 --> 00:07:24,410
and to me, the downside
is purely financial.
189
00:07:24,420 --> 00:07:26,519
For friends, I'll risk a little bit more,
190
00:07:26,520 --> 00:07:29,500
but the only people
I'm risking life and limb for
191
00:07:29,520 --> 00:07:31,089
are my family.
192
00:07:31,090 --> 00:07:32,889
Someone gropes my wife on the subway,
193
00:07:32,890 --> 00:07:34,160
they're gonna get whupped.
194
00:07:36,560 --> 00:07:38,690
This isn't gonna work.
195
00:07:38,700 --> 00:07:40,660
The mandibular ramus
is just too shattered,
196
00:07:40,670 --> 00:07:42,460
and I can't get adequate stabilization.
197
00:07:42,470 --> 00:07:44,769
We can't do any skin or muscle grafts
198
00:07:44,770 --> 00:07:46,669
if we can't fix the skeletal structures.
199
00:07:46,670 --> 00:07:49,869
Alloplastic augmentation
to bridge the gap?
200
00:07:49,870 --> 00:07:51,539
The span is too wide.
201
00:07:51,540 --> 00:07:59,079
♪
202
00:07:59,080 --> 00:08:00,550
We're gonna have to wire him shut.
203
00:08:02,890 --> 00:08:04,589
Wake him up.
204
00:08:04,590 --> 00:08:06,159
He should know he's never gonna talk
205
00:08:06,160 --> 00:08:07,820
or eat solid food again.
206
00:08:07,830 --> 00:08:10,530
♪
207
00:08:16,150 --> 00:08:18,150
_
208
00:08:19,230 --> 00:08:21,469
Forever.
209
00:08:21,470 --> 00:08:31,440
♪
210
00:08:31,450 --> 00:08:33,140
Do you have any questions?
211
00:08:36,820 --> 00:08:38,270
I'm sorry.
212
00:08:39,920 --> 00:08:41,489
[INHALES SHARPLY]
213
00:08:41,490 --> 00:08:44,379
♪
214
00:08:44,380 --> 00:08:49,970
_
215
00:08:50,000 --> 00:08:51,590
[CHUCKLES LIGHTLY]
216
00:08:51,610 --> 00:08:57,990
♪
217
00:09:01,120 --> 00:09:02,650
The Cantrells want a new surgeon.
218
00:09:04,880 --> 00:09:06,780
What can you tell me
about the first surgery?
219
00:09:07,890 --> 00:09:09,550
Is this an M&M review?
220
00:09:10,740 --> 00:09:12,210
Not yet.
221
00:09:14,390 --> 00:09:16,399
Is it possible...
222
00:09:16,400 --> 00:09:18,689
you may have been
a little too aggressive?
223
00:09:18,690 --> 00:09:19,859
Cut too deeply?
224
00:09:19,860 --> 00:09:21,610
Are you really asking me that?
225
00:09:21,620 --> 00:09:23,250
I need to know.
226
00:09:25,490 --> 00:09:26,509
[PEN CLICKS]
227
00:09:26,510 --> 00:09:28,050
I definitely didn't go too deep.
228
00:09:28,540 --> 00:09:30,029
Great.
229
00:09:30,030 --> 00:09:32,240
We'll talk to the Cantrells.
230
00:09:34,090 --> 00:09:35,130
Audrey.
231
00:09:36,980 --> 00:09:38,450
Is this weird for you?
232
00:09:38,470 --> 00:09:40,780
♪
233
00:09:40,800 --> 00:09:42,570
A little. You?
234
00:09:42,640 --> 00:09:44,510
I'm trying not to let it be.
235
00:09:45,340 --> 00:09:46,370
Good.
236
00:09:46,620 --> 00:09:47,830
Me too.
237
00:09:48,770 --> 00:09:51,270
[DOOR OPENS, CLOSES]
238
00:09:52,240 --> 00:09:53,250
Hello.
239
00:09:53,260 --> 00:09:57,279
I'm here to pick up artificial
dermal regeneration templates.
240
00:09:57,280 --> 00:09:58,319
Let me get it.
241
00:09:58,320 --> 00:09:59,510
Hey, Shaun.
242
00:10:00,820 --> 00:10:02,720
I heard what happened to the guy.
243
00:10:02,750 --> 00:10:03,850
Sounds horrible.
244
00:10:03,870 --> 00:10:05,510
Is he gonna be okay?
245
00:10:05,760 --> 00:10:09,760
He won't be able to eat
or speak normally ever again.
246
00:10:10,840 --> 00:10:11,840
Thank you.
247
00:10:11,870 --> 00:10:12,900
Shaun.
248
00:10:14,730 --> 00:10:16,860
You seem a bit uncomfortable.
249
00:10:17,840 --> 00:10:19,740
If it has anything to do with our date,
250
00:10:19,770 --> 00:10:22,800
I just want you to know,
I had a really good time...
251
00:10:23,010 --> 00:10:25,070
and hope we can do it again.
252
00:10:25,980 --> 00:10:28,280
[BREATHES SHAKILY]
253
00:10:29,970 --> 00:10:33,250
I had... a horrible time...
254
00:10:33,980 --> 00:10:37,910
and... don't want to do that ever again.
255
00:10:37,940 --> 00:10:43,910
♪
256
00:10:43,930 --> 00:10:49,940
♪
257
00:10:50,170 --> 00:10:51,930
Extensive swelling.
258
00:10:51,960 --> 00:10:54,760
But within the acceptable range
of post-op edema.
259
00:10:54,780 --> 00:10:56,580
The very top of the range.
260
00:10:56,610 --> 00:10:59,210
I think maybe Melendez did go too deep,
261
00:10:59,240 --> 00:11:00,679
injured the pylorus.
262
00:11:00,680 --> 00:11:01,690
Well?
263
00:11:02,390 --> 00:11:04,120
The swelling is within
the acceptable range
264
00:11:04,140 --> 00:11:05,240
for a post-op edema.
265
00:11:07,620 --> 00:11:09,449
Got your muffins. Delicious.
266
00:11:09,450 --> 00:11:10,549
I'm glad you liked them.
267
00:11:10,550 --> 00:11:11,589
I did.
268
00:11:11,590 --> 00:11:12,789
Just kinda surprised
269
00:11:12,790 --> 00:11:14,789
you thought I could be bought
with baked goods.
270
00:11:14,790 --> 00:11:17,529
We're not trying to buy you off
with muffins or a pillow.
271
00:11:17,530 --> 00:11:18,630
Someone got me a pillow?
272
00:11:21,450 --> 00:11:24,870
No. I wanted to show you my
support for your promotion.
273
00:11:25,180 --> 00:11:27,369
You're all gonna lead
surgeries... hundreds of them.
274
00:11:27,370 --> 00:11:29,539
So it doesn't matter
who does anything first.
275
00:11:29,540 --> 00:11:32,010
The only thing that matters
is that you do it right.
276
00:11:36,890 --> 00:11:38,890
So, what was in the box?
277
00:11:38,910 --> 00:11:40,580
Sample marketing pamphlets.
278
00:11:40,600 --> 00:11:41,870
My buddy owns a print shop,
279
00:11:41,890 --> 00:11:43,630
asked me to give Lim some samples.
280
00:11:44,760 --> 00:11:45,960
Well played.
281
00:11:46,120 --> 00:11:47,359
But it's all moot anyway.
282
00:11:47,360 --> 00:11:49,059
It doesn't matter who goes first.
283
00:11:49,060 --> 00:11:50,220
Right.
284
00:11:51,240 --> 00:11:53,830
Just so I'm clear,
that "right" was sarcastic, right?
285
00:11:53,910 --> 00:11:54,980
Right.
286
00:11:58,040 --> 00:12:00,110
[SIRENS WAIL IN DISTANCE]
287
00:12:02,270 --> 00:12:03,300
Hey.
288
00:12:03,310 --> 00:12:05,439
Since when does the President
289
00:12:05,440 --> 00:12:07,270
need to stock his own shelves?
290
00:12:07,280 --> 00:12:09,550
When it's a free clinic
and you want it done right.
291
00:12:11,910 --> 00:12:12,960
Thank you.
292
00:12:12,980 --> 00:12:15,970
[WHISPERING] Have you ever
had sex in the office?
293
00:12:15,990 --> 00:12:17,390
I'm not gonna answer that.
294
00:12:17,420 --> 00:12:19,910
First of all,
it's embarrassing if I say yes,
295
00:12:19,940 --> 00:12:22,110
and it's even more embarrassing
if I say no.
296
00:12:22,310 --> 00:12:23,840
I take the fifth.
297
00:12:23,870 --> 00:12:25,130
If we're gonna get married,
298
00:12:25,160 --> 00:12:26,690
I need to know all your naughty...
299
00:12:26,720 --> 00:12:28,780
SHAUN: I brought us lunch.
300
00:12:28,810 --> 00:12:30,510
I know what you each like.
301
00:12:31,810 --> 00:12:33,050
[CHUCKLES LIGHTLY]
302
00:12:33,270 --> 00:12:35,700
Dr. Melendez is not
just our best surgeon.
303
00:12:35,710 --> 00:12:37,930
He's one of the tops
in the entire country,
304
00:12:37,960 --> 00:12:40,090
with the expertise to know
that the best way
305
00:12:40,120 --> 00:12:42,580
to avoid a truly bad outcome
in this procedure
306
00:12:42,610 --> 00:12:44,540
is to err on the side of caution.
307
00:12:46,630 --> 00:12:48,500
- W-We hear all that.
- We do.
308
00:12:48,520 --> 00:12:50,590
And we really appreciate you
taking the time
309
00:12:50,610 --> 00:12:51,980
to explain everything.
310
00:12:54,320 --> 00:12:57,380
But we would just... be more comfortable
311
00:12:57,410 --> 00:12:59,640
having someone else take over from here.
312
00:12:59,670 --> 00:13:01,030
You do understand?
313
00:13:01,980 --> 00:13:03,340
Of course.
314
00:13:04,270 --> 00:13:05,440
I assume you'd be okay
315
00:13:05,470 --> 00:13:07,500
if I perform Braden's second surgery?
316
00:13:08,840 --> 00:13:10,799
Eh... the Chief of the department?
317
00:13:10,800 --> 00:13:12,109
Eh...
318
00:13:12,110 --> 00:13:13,639
Absolutely.
319
00:13:13,640 --> 00:13:15,040
Thank you, Doctor.
320
00:13:15,050 --> 00:13:16,109
Of course.
321
00:13:16,110 --> 00:13:21,809
♪
322
00:13:21,810 --> 00:13:23,400
Nobody likes dating.
323
00:13:23,420 --> 00:13:25,570
It's awkward and uncomfortable.
324
00:13:25,580 --> 00:13:26,590
It's expensive.
325
00:13:26,610 --> 00:13:28,660
Ah. That's why you proposed
after two dates?
326
00:13:28,680 --> 00:13:29,779
To save money?
327
00:13:29,780 --> 00:13:32,179
I proposed after two dates
because after one date,
328
00:13:32,180 --> 00:13:34,349
I realized how much
I loved being around you
329
00:13:34,350 --> 00:13:37,079
and how much fun we'd have together.
330
00:13:37,080 --> 00:13:40,490
He's right, Shaun,
'cause the fun can be so fun.
331
00:13:42,170 --> 00:13:44,600
That didn't happen to me.
332
00:13:44,620 --> 00:13:46,080
[CELLPHONE BUZZES]
333
00:13:48,670 --> 00:13:50,630
I have to go to surgery.
334
00:13:50,640 --> 00:13:52,299
Shaun.
335
00:13:52,300 --> 00:13:54,270
Whenever you're ready, you'll try again.
336
00:13:59,680 --> 00:14:02,000
- What?
- Whenever he's ready?
337
00:14:02,090 --> 00:14:03,950
He's got to go at his own pace.
338
00:14:04,050 --> 00:14:06,200
He needs to be pushed.
339
00:14:06,220 --> 00:14:07,320
I'm not gonna push him.
340
00:14:07,350 --> 00:14:09,580
A man doesn't push another man
into a date.
341
00:14:09,610 --> 00:14:10,870
He pushed you.
342
00:14:10,960 --> 00:14:12,459
Shaun doesn't know any better.
343
00:14:12,460 --> 00:14:13,979
If you want him to find love,
344
00:14:13,980 --> 00:14:16,780
he literally needs to be pushed into it.
345
00:14:16,810 --> 00:14:18,470
Literally?
346
00:14:18,500 --> 00:14:20,030
Shaun's not like other men.
347
00:14:20,050 --> 00:14:22,190
Oh, he easily admits he's wrong?
348
00:14:22,750 --> 00:14:25,350
He easily changes course?
349
00:14:26,650 --> 00:14:30,220
If you don't talk to him,
is anything gonna change?
350
00:14:33,480 --> 00:14:35,990
CLAIRE: No good deed goes unpunished.
351
00:14:36,300 --> 00:14:38,300
Why does it always work out that way?
352
00:14:38,330 --> 00:14:39,420
It doesn't.
353
00:14:39,760 --> 00:14:42,410
Most good deeds get rewarded.
354
00:14:42,850 --> 00:14:44,819
And what do you base that on, Murphy?
355
00:14:44,820 --> 00:14:47,320
Certainly not the news or the Forbes 500.
356
00:14:47,330 --> 00:14:48,489
CLAIRE: Or the Bible.
357
00:14:48,490 --> 00:14:50,729
I base it on neuroscience.
358
00:14:50,730 --> 00:14:54,320
Bad outcomes just implant deeper
in our cerebral cortex.
359
00:14:54,340 --> 00:14:56,140
So, evolution agrees with me.
360
00:14:56,160 --> 00:14:58,770
Our brains encourage us to be selfish.
361
00:14:58,790 --> 00:14:59,890
Yes.
362
00:14:59,920 --> 00:15:01,950
Which makes it strange
363
00:15:01,980 --> 00:15:04,610
that people keep being unselfish.
364
00:15:04,630 --> 00:15:05,670
You were.
365
00:15:08,250 --> 00:15:10,110
You saved my job.
366
00:15:10,130 --> 00:15:13,100
And now you're an attending
instead of the President.
367
00:15:14,990 --> 00:15:16,260
Screws and wire ligature.
368
00:15:16,280 --> 00:15:18,280
[MONITOR BEEPING]
369
00:15:21,660 --> 00:15:23,190
We're not doing this.
370
00:15:24,390 --> 00:15:25,870
We can do better.
371
00:15:27,070 --> 00:15:28,929
There is no other procedure.
372
00:15:28,930 --> 00:15:31,190
♪
373
00:15:31,210 --> 00:15:32,880
We'll invent one.
374
00:15:32,900 --> 00:15:37,410
♪
375
00:15:40,720 --> 00:15:42,560
Truce during surgery.
376
00:15:43,390 --> 00:15:44,990
Fair. What about procedures?
377
00:15:45,020 --> 00:15:46,619
Imaging is fair game.
378
00:15:46,620 --> 00:15:48,170
Anything invasive, we go to our corners.
379
00:15:48,190 --> 00:15:50,029
Crap. I left my keys in my locker.
380
00:15:50,030 --> 00:15:52,559
- Losing my mind. I'll see you tomorrow.
- Night.
381
00:15:52,560 --> 00:15:54,960
[INDISTINCT TALKING OVER P.A.]
382
00:15:54,970 --> 00:15:58,049
CLAIRE: What about a muscle
graft from the temporalis?
383
00:15:58,050 --> 00:16:01,369
That wouldn't address
deep mucosa or bone.
384
00:16:01,370 --> 00:16:05,010
Unless we took
an osseocutaneous free flap
385
00:16:05,020 --> 00:16:06,849
from the radial forearm.
386
00:16:06,850 --> 00:16:08,540
We'd need approximately 2 inches
387
00:16:08,560 --> 00:16:10,249
and could use the natural concavity of...
388
00:16:10,250 --> 00:16:12,319
And he could lose the use of his hand.
389
00:16:12,320 --> 00:16:14,839
That seems like a reasonable trade-off.
390
00:16:14,840 --> 00:16:17,050
I'm not telling this guy
that we can restore his speech
391
00:16:17,080 --> 00:16:18,959
and all it'll cost is his hand.
392
00:16:18,960 --> 00:16:20,620
Because he's a hero?
393
00:16:21,400 --> 00:16:23,129
What he did has nothing to do with it.
394
00:16:23,130 --> 00:16:24,669
It's what we can do that matters.
395
00:16:24,670 --> 00:16:27,039
What we can do is what we were doing.
396
00:16:27,040 --> 00:16:28,339
That's the protocol.
397
00:16:28,340 --> 00:16:31,709
Aren't we risking more damage
by leaving him in an ICU bed
398
00:16:31,710 --> 00:16:34,380
while we try to invent a new treatment?
399
00:16:36,080 --> 00:16:38,810
How about attaching two free flaps
400
00:16:38,820 --> 00:16:41,249
on vessels on either side of his neck?
401
00:16:41,250 --> 00:16:43,489
Heard from Claire you're having
an all-hands-on-deck sesh.
402
00:16:43,490 --> 00:16:44,890
Happy to join.
403
00:16:44,940 --> 00:16:46,539
Good. How about Park?
404
00:16:46,540 --> 00:16:47,869
He left.
405
00:16:47,870 --> 00:16:50,309
Said he had a thing with his son.
406
00:16:50,310 --> 00:16:53,609
Thankfully, I don't have kids,
so extra hours... not a problem.
407
00:16:53,610 --> 00:16:57,049
Have you considered an
allograft augmentation or a...
408
00:16:57,050 --> 00:16:59,819
Heard y'all were working late,
so I got some coffee.
409
00:16:59,820 --> 00:17:00,919
♪
410
00:17:00,920 --> 00:17:02,550
Any way I can help?
411
00:17:02,560 --> 00:17:04,859
♪
412
00:17:04,860 --> 00:17:05,990
[CLEARS THROAT]
413
00:17:08,060 --> 00:17:10,459
MELENDEZ: I want to talk about
our meeting with the Cantrells.
414
00:17:10,460 --> 00:17:12,660
On date night?
415
00:17:12,670 --> 00:17:15,270
Can it wait... 10 1/2 hours?
416
00:17:15,640 --> 00:17:16,800
I guess.
417
00:17:17,220 --> 00:17:18,480
Thank you.
418
00:17:19,970 --> 00:17:22,239
Have you ever been to The French Laundry?
419
00:17:22,240 --> 00:17:23,240
No.
420
00:17:23,241 --> 00:17:25,279
We should do a weekend in Napa.
421
00:17:25,280 --> 00:17:27,910
I know this great little B&B
just south of St. Helena...
422
00:17:27,920 --> 00:17:29,719
It's not about the Cantrells.
423
00:17:29,720 --> 00:17:31,570
It's about what you said to them.
424
00:17:32,090 --> 00:17:34,419
Has it been 10 1/2 hours already?
425
00:17:34,420 --> 00:17:37,389
I "erred on the side of caution."
426
00:17:37,390 --> 00:17:39,220
Caution is a good thing.
427
00:17:39,230 --> 00:17:40,859
Err isn't.
428
00:17:40,860 --> 00:17:43,199
I didn't err... not at all.
429
00:17:43,200 --> 00:17:44,899
I was going to bat for you.
430
00:17:44,900 --> 00:17:46,399
I think that maybe you're so afraid
431
00:17:46,400 --> 00:17:47,899
of appearing to favor your boyfriend
432
00:17:47,900 --> 00:17:49,199
that you're overcompensating.
433
00:17:49,200 --> 00:17:51,100
Given I think you may have erred,
434
00:17:51,110 --> 00:17:53,139
I'd say I was incredibly supportive.
435
00:17:53,140 --> 00:17:55,109
In which case, you went against
your better professional judgment
436
00:17:55,110 --> 00:17:56,239
to favor your boyfriend.
437
00:17:56,240 --> 00:17:59,410
So, I'm too supportive
or not supportive enough?
438
00:18:01,680 --> 00:18:05,149
Should I change the reservation
to two tables for one?
439
00:18:05,150 --> 00:18:07,119
♪
440
00:18:07,120 --> 00:18:10,719
I've had plenty of first dates
that were actual disasters.
441
00:18:10,720 --> 00:18:12,959
Took one woman to a Coyotes game,
442
00:18:12,960 --> 00:18:14,529
saw four minutes of it,
443
00:18:14,530 --> 00:18:16,029
spent the rest of the night in the ER
444
00:18:16,030 --> 00:18:19,800
while she got 17 stitches
after being hit by a puck.
445
00:18:20,490 --> 00:18:22,470
We got married eight months later.
446
00:18:23,500 --> 00:18:25,540
Then you divorced her.
447
00:18:25,880 --> 00:18:27,409
It was worth it.
448
00:18:27,410 --> 00:18:29,879
♪
449
00:18:29,880 --> 00:18:31,509
[EXHALES SHARPLY]
450
00:18:31,510 --> 00:18:32,979
We don't have a choice.
451
00:18:32,980 --> 00:18:35,510
Evolution needs us to propagate,
452
00:18:35,520 --> 00:18:38,719
so it gives us a shot of happiness
453
00:18:38,720 --> 00:18:41,689
every now and again
to suck us in like idiots.
454
00:18:41,690 --> 00:18:42,789
[SCOFFS]
455
00:18:42,790 --> 00:18:44,520
To keep us in a game
456
00:18:44,530 --> 00:18:46,829
that we know we're gonna lose
almost every time.
457
00:18:46,830 --> 00:18:50,499
Because the upside's like...
458
00:18:50,500 --> 00:18:52,330
nothing else.
459
00:18:53,530 --> 00:18:54,670
Love.
460
00:18:57,640 --> 00:19:01,069
But if Shaun really
doesn't need to play, then...
461
00:19:01,070 --> 00:19:02,610
good for him.
462
00:19:03,370 --> 00:19:06,850
We've officially turned into
an episode of "The Bachelor."
463
00:19:07,950 --> 00:19:09,549
Everyone go home.
464
00:19:09,550 --> 00:19:10,719
I'm not tired.
465
00:19:10,720 --> 00:19:12,319
I am.
466
00:19:12,320 --> 00:19:13,419
No.
467
00:19:13,420 --> 00:19:16,119
There are still
a number of possibilities.
468
00:19:16,120 --> 00:19:18,989
Murphy, you are smart
and you're creative,
469
00:19:18,990 --> 00:19:22,690
but there are things you can't do.
470
00:19:24,430 --> 00:19:27,530
You can't do miracles.
You can't fix the unfixable.
471
00:19:27,540 --> 00:19:30,939
♪
472
00:19:30,940 --> 00:19:32,869
[DOOR CLOSES]
473
00:19:32,870 --> 00:19:34,970
♪
474
00:19:34,980 --> 00:19:37,339
[FOOTSTEPS DEPART]
475
00:19:37,340 --> 00:19:40,479
[DOOR OPENS]
476
00:19:40,480 --> 00:19:41,879
[DOOR CLOSES]
477
00:19:41,880 --> 00:19:44,449
[LOCK CLICKS]
478
00:19:44,450 --> 00:19:47,589
[KEYS JINGLE]
479
00:19:47,590 --> 00:19:48,889
[SIGHS]
480
00:19:48,890 --> 00:19:50,859
Hey, baby.
481
00:19:50,860 --> 00:19:52,220
[EXHALES SHARPLY]
482
00:19:52,230 --> 00:19:54,829
You work way too hard.
483
00:19:54,830 --> 00:19:56,959
Yes, I do.
484
00:19:56,960 --> 00:19:58,999
Uh... let me get you something to eat,
485
00:19:59,000 --> 00:20:02,469
'cause I made some pulled pork
and some peanut coleslaw.
486
00:20:02,470 --> 00:20:03,569
No, thanks, Mom.
487
00:20:03,570 --> 00:20:05,539
Did you find a place?
488
00:20:05,540 --> 00:20:08,509
I saw one, but it was nasty.
489
00:20:08,510 --> 00:20:09,839
Y-You must be hungry.
490
00:20:09,840 --> 00:20:11,410
You saw one,
491
00:20:11,820 --> 00:20:14,450
and then you came home and cooked?
492
00:20:16,980 --> 00:20:18,419
Yes.
493
00:20:18,420 --> 00:20:21,620
I came home and cooked dinner
for my daughter.
494
00:20:22,090 --> 00:20:23,989
I'm trying, Claire.
495
00:20:23,990 --> 00:20:25,659
Okay, I'm taking my meds.
496
00:20:25,660 --> 00:20:27,459
I'm seeing Dr. Donovan.
497
00:20:27,460 --> 00:20:30,029
I am doing my best.
498
00:20:30,030 --> 00:20:31,860
♪
499
00:20:31,870 --> 00:20:33,960
I've heard that before.
500
00:20:34,840 --> 00:20:37,900
♪
501
00:20:37,910 --> 00:20:39,469
You got six days.
502
00:20:39,470 --> 00:20:47,080
♪
503
00:20:47,100 --> 00:20:54,650
♪
504
00:20:54,660 --> 00:20:56,519
[SIGHS]
505
00:20:56,520 --> 00:21:01,559
♪
506
00:21:01,560 --> 00:21:04,329
Shaun, you need sleep.
507
00:21:04,330 --> 00:21:06,629
Your neurons will be sparkier
in the morning.
508
00:21:06,630 --> 00:21:11,140
There are 640 muscles
and 206 bones in the body,
509
00:21:11,160 --> 00:21:13,269
but only 284 and 72 of those
510
00:21:13,270 --> 00:21:15,109
are of sufficient size for our grafts,
511
00:21:15,110 --> 00:21:20,379
but that still leaves
20,448 possible permutations.
512
00:21:20,380 --> 00:21:23,759
It's not unfixable
until I rule out every...
513
00:21:23,760 --> 00:21:27,449
So, some anatomy problem,
you won't give up on,
514
00:21:27,450 --> 00:21:29,050
but after one date,
515
00:21:29,060 --> 00:21:33,859
you think you've explored
all the possible permutations?
516
00:21:33,860 --> 00:21:37,559
Stop distracting me.
517
00:21:37,560 --> 00:21:39,060
I'm distracting you?
518
00:21:39,070 --> 00:21:40,320
By talking about you?
519
00:21:40,350 --> 00:21:42,009
- By talking about love?
- Yes.
520
00:21:42,010 --> 00:21:45,169
I... I need to concentrate.
521
00:21:45,170 --> 00:21:46,239
Okay.
522
00:21:46,240 --> 00:21:47,569
I'll shut up.
523
00:21:47,570 --> 00:21:48,670
You're still talking.
524
00:21:48,680 --> 00:21:50,109
Good night, Shaun.
525
00:21:50,110 --> 00:21:51,579
You're still...
526
00:21:51,580 --> 00:21:53,649
We only have 206 bones?
527
00:21:53,650 --> 00:21:55,510
- Still talking.
- Oh...
528
00:21:59,750 --> 00:22:01,750
[SIGHS] Yes.
529
00:22:05,260 --> 00:22:08,559
♪
530
00:22:08,560 --> 00:22:10,529
[KNOCK ON DOOR]
531
00:22:10,530 --> 00:22:15,569
♪
532
00:22:15,570 --> 00:22:18,070
[LOUD KNOCK ON DOOR]
533
00:22:22,110 --> 00:22:24,110
[KNOCK ON DOOR]
534
00:22:25,480 --> 00:22:26,990
CARLY: Shaun?
535
00:22:29,550 --> 00:22:31,279
I think we should talk.
536
00:22:31,280 --> 00:22:32,819
So did Lea.
537
00:22:32,820 --> 00:22:35,680
But I have to find a solution
for an oromandibular defect
538
00:22:35,700 --> 00:22:37,489
that doesn't involve titanium plates,
539
00:22:37,490 --> 00:22:41,829
356 of our muscles, or 134 of our bones.
540
00:22:41,830 --> 00:22:43,729
I don't think you never want
to see me again.
541
00:22:43,730 --> 00:22:47,399
I have to find a solution
for an oromandibular...
542
00:22:47,400 --> 00:22:48,869
We have to talk.
543
00:22:48,870 --> 00:22:50,740
You owe me that much.
544
00:23:00,210 --> 00:23:03,149
Why do I owe you that much?
545
00:23:03,150 --> 00:23:05,780
Because I thought we had a nice time.
546
00:23:06,620 --> 00:23:08,870
And I thought you were a nice guy...
547
00:23:09,290 --> 00:23:11,700
an honest guy...
and I still think you are,
548
00:23:11,720 --> 00:23:13,940
and I'm confused about how you feel
549
00:23:13,960 --> 00:23:15,759
and about how I feel about how you feel,
550
00:23:15,760 --> 00:23:17,660
and I just need to talk about it.
551
00:23:20,770 --> 00:23:22,630
So, if you have any feelings
for me at all,
552
00:23:22,640 --> 00:23:24,369
you'll help me understand.
553
00:23:24,370 --> 00:23:25,839
♪
554
00:23:25,840 --> 00:23:27,739
[SIGHS SHAKILY]
555
00:23:27,740 --> 00:23:35,279
♪
556
00:23:35,280 --> 00:23:37,020
Okay.
557
00:23:38,750 --> 00:23:41,530
My little sister, Andie, has autism.
558
00:23:41,920 --> 00:23:44,070
We're not all the same.
559
00:23:44,590 --> 00:23:45,860
I know.
560
00:23:46,950 --> 00:23:51,430
I think growing up with Andie
helps me understand you.
561
00:23:52,930 --> 00:23:55,700
But it also makes me wonder about myself.
562
00:23:56,000 --> 00:23:59,340
And did I date you to prove something?
563
00:24:00,710 --> 00:24:02,870
Did I date you to...
564
00:24:02,880 --> 00:24:06,110
somehow make things better for Andie?
565
00:24:08,110 --> 00:24:10,219
I don't think I did, but...
566
00:24:10,220 --> 00:24:14,249
♪
567
00:24:14,250 --> 00:24:16,220
My point is...
568
00:24:16,730 --> 00:24:18,859
I have questions, too, Shaun.
569
00:24:18,860 --> 00:24:20,689
♪
570
00:24:20,690 --> 00:24:23,059
Trying to figure out what we want
571
00:24:23,060 --> 00:24:25,760
and why we want it and is it good for us
572
00:24:25,770 --> 00:24:27,330
are good questions.
573
00:24:28,700 --> 00:24:32,369
And they can't all be answered
over one dinner.
574
00:24:32,370 --> 00:24:40,979
♪
575
00:24:40,980 --> 00:24:42,510
I have to go.
576
00:24:42,520 --> 00:24:51,390
♪
577
00:24:58,200 --> 00:25:00,799
[DOORBELL RINGS]
578
00:25:00,800 --> 00:25:09,809
♪
579
00:25:09,810 --> 00:25:11,479
Murphy...
580
00:25:11,480 --> 00:25:12,840
♪
581
00:25:12,850 --> 00:25:15,710
I've... I've got it!
582
00:25:15,720 --> 00:25:16,850
I've got it!
583
00:25:20,060 --> 00:25:22,630
We take a vascularized free flap
584
00:25:22,640 --> 00:25:25,029
and suture it
to the facial artery and vein,
585
00:25:25,030 --> 00:25:26,890
then flip up the pectoralis.
586
00:25:26,900 --> 00:25:29,139
♪
587
00:25:29,140 --> 00:25:30,810
It's a great idea.
588
00:25:32,250 --> 00:25:33,580
We're not doing it.
589
00:25:34,690 --> 00:25:36,490
It's never been tried before.
590
00:25:36,500 --> 00:25:39,599
Risk 1... graft failure brings infection
591
00:25:39,600 --> 00:25:41,769
and he loses the other half of his face.
592
00:25:41,770 --> 00:25:43,830
Risk 2... sepsis and he dies.
593
00:25:43,840 --> 00:25:45,069
Risk 3...
594
00:25:45,070 --> 00:25:46,300
Yeah, yeah, yeah, risk whatever.
595
00:25:46,310 --> 00:25:47,469
We do the standard procedure,
596
00:25:47,470 --> 00:25:48,870
the guy never speaks or eats again.
597
00:25:51,710 --> 00:25:53,740
Dr. Murphy, could you please
give us a minute?
598
00:26:04,090 --> 00:26:05,789
Why do you want to do this?
599
00:26:05,790 --> 00:26:08,640
You've been my boss for a few hours,
600
00:26:08,660 --> 00:26:11,399
and you're already
questioning my motivations?
601
00:26:11,400 --> 00:26:13,060
You fell on your sword for Shaun,
602
00:26:13,070 --> 00:26:15,599
and your reward for your act of heroism
603
00:26:15,600 --> 00:26:17,499
was getting fired.
604
00:26:17,500 --> 00:26:20,110
And now you're back here,
answerable to me.
605
00:26:21,510 --> 00:26:23,539
I imagine you've been asking yourself
606
00:26:23,540 --> 00:26:25,039
if it was worth it.
607
00:26:25,040 --> 00:26:27,209
[EXHALES SLOWLY]
608
00:26:27,210 --> 00:26:30,110
♪
609
00:26:30,120 --> 00:26:32,919
Your issues with the procedure are valid,
610
00:26:32,920 --> 00:26:35,119
but at least let me put them
before the patient.
611
00:26:35,120 --> 00:26:36,389
He'll say yes.
612
00:26:36,390 --> 00:26:38,119
I won't sugarcoat the risks.
613
00:26:38,120 --> 00:26:39,989
He'll say yes anyway.
614
00:26:39,990 --> 00:26:42,259
He wants to believe things will work out.
615
00:26:42,260 --> 00:26:44,229
That's why he's a hero.
616
00:26:44,230 --> 00:26:46,590
Sometimes the hero loses.
617
00:26:46,620 --> 00:26:49,300
Which is why he's got to learn
when to stand back
618
00:26:50,370 --> 00:26:52,769
when there's nothing he can do to help.
619
00:26:52,770 --> 00:26:57,109
♪
620
00:26:57,110 --> 00:26:59,299
Are you going to order me to stand back?
621
00:26:59,300 --> 00:27:03,479
♪
622
00:27:03,480 --> 00:27:04,959
No.
623
00:27:04,960 --> 00:27:09,219
♪
624
00:27:09,220 --> 00:27:10,950
[INDISTINCT TALKING OVER P.A.]
625
00:27:10,960 --> 00:27:12,289
Hey, Shaun?
626
00:27:12,290 --> 00:27:13,659
You got a minute?
627
00:27:13,660 --> 00:27:15,189
Okay.
628
00:27:15,190 --> 00:27:18,160
[SIGHS] Debbie wanted me to talk to you.
629
00:27:18,500 --> 00:27:20,599
To tell you...
630
00:27:20,600 --> 00:27:22,700
not to give up on love.
631
00:27:27,310 --> 00:27:29,070
Don't give up on love.
632
00:27:29,680 --> 00:27:30,870
Okay.
633
00:27:30,880 --> 00:27:33,479
Do you want me to let her know
you told me?
634
00:27:33,480 --> 00:27:34,880
Yes, please.
635
00:27:36,680 --> 00:27:37,879
[SIGHS]
636
00:27:37,880 --> 00:27:39,219
Hey, Shaun?
637
00:27:39,220 --> 00:27:42,149
I know this, uh, dating thing
can be scary.
638
00:27:42,150 --> 00:27:43,689
You're good at dating.
639
00:27:43,690 --> 00:27:47,020
Well, before Debbie,
the last time I went on a date,
640
00:27:47,030 --> 00:27:50,259
"Wake Me Up Before You Go-Go"
was the big hit.
641
00:27:50,260 --> 00:27:53,029
'Cause a-a-after Maddie and the divorce,
642
00:27:53,030 --> 00:27:55,799
I kind of shut down for a while.
643
00:27:55,800 --> 00:27:57,669
Yeah, I... and it felt better
644
00:27:57,670 --> 00:28:00,839
to be in a place
where I couldn't get hurt.
645
00:28:00,840 --> 00:28:03,070
But then, last year, I got my diagnosis,
646
00:28:03,080 --> 00:28:04,679
I thought I was gonna die,
647
00:28:04,680 --> 00:28:07,440
and Debbie came into my life,
and I said to myself,
648
00:28:07,450 --> 00:28:09,449
"I-I-I don't want to be safe anymore."
649
00:28:09,450 --> 00:28:10,710
You know?
650
00:28:10,720 --> 00:28:13,680
I want to... I want to...
I want to feel alive.
651
00:28:14,050 --> 00:28:16,689
And... And if I get hurt, I get hurt.
652
00:28:16,690 --> 00:28:18,190
That's part of the deal.
653
00:28:19,360 --> 00:28:22,690
Morgan says it's biological,
654
00:28:22,700 --> 00:28:24,599
that it doesn't make sense.
655
00:28:24,600 --> 00:28:26,099
Morgan's right.
656
00:28:26,100 --> 00:28:27,799
So I'm right?
657
00:28:27,800 --> 00:28:30,200
No. No.
658
00:28:31,800 --> 00:28:33,369
Look, i...
659
00:28:33,370 --> 00:28:35,539
it's wonderful, this love thing.
660
00:28:35,540 --> 00:28:37,670
Why should it make any sense?
661
00:28:37,680 --> 00:28:40,409
When I think about the reasons
I-I'm in love with Debbie,
662
00:28:40,410 --> 00:28:42,879
okay, she's... she's kind, she's funny,
663
00:28:42,880 --> 00:28:44,779
she's... she's loving.
664
00:28:44,780 --> 00:28:46,920
But that's not it. Not really.
665
00:28:48,350 --> 00:28:49,980
[CHUCKLES] Don't tell her this,
666
00:28:50,000 --> 00:28:51,459
but there are other people in the world
667
00:28:51,460 --> 00:28:52,859
that are kinder, that are funnier,
668
00:28:52,860 --> 00:28:54,759
that are more loving than she is,
669
00:28:54,760 --> 00:28:58,159
but she makes me happy...
just being around her.
670
00:28:58,160 --> 00:29:00,499
It makes absolutely no sense,
671
00:29:00,500 --> 00:29:02,829
but I wouldn't trade it for anything.
672
00:29:02,830 --> 00:29:08,840
♪
673
00:29:08,860 --> 00:29:14,510
♪
674
00:29:14,540 --> 00:29:15,670
Okay.
675
00:29:22,590 --> 00:29:24,760
I have an ethical dilemma.
676
00:29:26,190 --> 00:29:27,989
I was going through state regulations
677
00:29:27,990 --> 00:29:29,160
for medical staff...
678
00:29:29,170 --> 00:29:31,409
specifically, residents...
679
00:29:31,410 --> 00:29:34,129
and their new guidelines
have raised an issue for me.
680
00:29:34,130 --> 00:29:36,499
The state caps residents
at 80 hours a week,
681
00:29:36,500 --> 00:29:38,899
but I don't think that's nearly enough.
682
00:29:38,900 --> 00:29:41,509
I work over 100, and I don't
plan on cutting back,
683
00:29:41,510 --> 00:29:44,100
so I'm wondering how I should be
reporting my hours.
684
00:29:44,120 --> 00:29:46,900
Park offered to co-write a paper with me.
685
00:29:47,480 --> 00:29:49,080
[SIGHS] What a suck-up.
686
00:29:49,100 --> 00:29:50,150
I said yes.
687
00:29:50,180 --> 00:29:52,419
It's an interesting case.
It should be written up.
688
00:29:52,420 --> 00:29:53,480
So he's...
689
00:29:53,490 --> 00:29:55,349
Gonna do a lot of work for nothing.
690
00:29:55,350 --> 00:29:57,450
Except for the good
of the medical community.
691
00:29:58,260 --> 00:30:00,189
And I'm gonna tell you what I told him...
692
00:30:00,190 --> 00:30:02,059
if you come to me with one more favor,
693
00:30:02,060 --> 00:30:03,259
one more humblebrag,
694
00:30:03,260 --> 00:30:06,199
if I suspect either of you
have your lips puckered,
695
00:30:06,200 --> 00:30:07,899
you're going to the bottom of the list.
696
00:30:07,900 --> 00:30:09,170
Yes, ma'am.
697
00:30:10,130 --> 00:30:13,439
[WATER RUNNING]
698
00:30:13,440 --> 00:30:14,769
[WATER STOPS]
699
00:30:14,770 --> 00:30:16,240
Dr. Lim?
700
00:30:17,180 --> 00:30:19,079
Do you ever think about what it means,
701
00:30:19,080 --> 00:30:20,579
me doing all this?
702
00:30:20,580 --> 00:30:22,580
Means you've underestimated me.
703
00:30:23,020 --> 00:30:24,779
Maybe.
704
00:30:24,780 --> 00:30:27,249
But it also means that I care.
705
00:30:27,250 --> 00:30:30,519
That getting the first surgery
means something to me...
706
00:30:30,520 --> 00:30:31,659
enough for me to go out
707
00:30:31,660 --> 00:30:33,689
and really overspend on designer desserts
708
00:30:33,690 --> 00:30:35,580
and then to spend even more time
709
00:30:35,600 --> 00:30:37,859
trying to make them look homemade.
710
00:30:37,860 --> 00:30:39,999
If I'm putting that much effort
into muffins,
711
00:30:40,000 --> 00:30:41,540
imagine how hard I'll work
712
00:30:41,560 --> 00:30:42,899
to make the most of this opportunity
713
00:30:42,900 --> 00:30:44,430
if it's given to me.
714
00:30:44,440 --> 00:30:48,109
♪
715
00:30:48,110 --> 00:30:50,070
[DOOR OPENS]
716
00:30:52,080 --> 00:30:55,379
With considerable
physio and speech therapy,
717
00:30:55,380 --> 00:30:58,879
this graft would allow you to not
only chew and swallow whole foods,
718
00:30:58,880 --> 00:31:00,840
but it would enable you to talk again.
719
00:31:00,860 --> 00:31:01,870
_
720
00:31:03,170 --> 00:31:06,840
It's an untested procedure
with not-insignificant risks.
721
00:31:06,870 --> 00:31:08,299
CLAIRE: If the graft doesn't take,
722
00:31:08,300 --> 00:31:11,230
more skin and bone could become infected,
723
00:31:11,240 --> 00:31:12,969
possibly necrotic.
724
00:31:12,970 --> 00:31:14,740
[STYLUS TAPPING]
725
00:31:14,840 --> 00:31:16,620
_
726
00:31:18,410 --> 00:31:20,379
We need to know you understand.
727
00:31:20,380 --> 00:31:22,349
It's an experimental procedure.
728
00:31:22,350 --> 00:31:25,079
In addition to all of
the usual surgical risks,
729
00:31:25,080 --> 00:31:26,980
there are all of the unknowns...
730
00:31:26,990 --> 00:31:30,089
bleeding out, permanent graft loss,
731
00:31:30,090 --> 00:31:31,919
stroke...
732
00:31:31,920 --> 00:31:33,429
death.
733
00:31:33,430 --> 00:31:38,560
♪
734
00:31:38,660 --> 00:31:39,700
_
735
00:31:41,670 --> 00:31:49,520
♪
736
00:31:49,560 --> 00:31:55,200
_
737
00:31:57,160 --> 00:31:59,060
Good for you, Josh.
738
00:31:59,250 --> 00:32:00,980
Get him prepped.
739
00:32:00,990 --> 00:32:02,989
♪
740
00:32:02,990 --> 00:32:04,150
Okay.
741
00:32:04,160 --> 00:32:06,759
LIM: Infuse carbon dioxide.
742
00:32:06,760 --> 00:32:10,229
♪
743
00:32:10,230 --> 00:32:12,759
Grasping duodenum
just distal of the pylorus.
744
00:32:12,760 --> 00:32:14,869
[MONITOR BEEPING]
745
00:32:14,870 --> 00:32:16,099
♪
746
00:32:16,100 --> 00:32:18,000
Huh. Look at that.
747
00:32:18,410 --> 00:32:20,070
That's not good.
748
00:32:21,040 --> 00:32:22,520
Page Dr. Melendez.
749
00:32:25,600 --> 00:32:27,299
An intussusception.
750
00:32:27,300 --> 00:32:29,219
The telescoped bowel
is causing a blockage.
751
00:32:29,220 --> 00:32:32,479
The baby had two unrelated
conditions causing the same symptom.
752
00:32:32,480 --> 00:32:34,490
We only know about the second condition
753
00:32:34,520 --> 00:32:36,080
because of the first surgery.
754
00:32:36,090 --> 00:32:38,889
Treatment protocol is a barium enema,
755
00:32:38,890 --> 00:32:40,450
but not for someone Braden's age.
756
00:32:40,460 --> 00:32:42,320
An air enema might work.
757
00:32:42,330 --> 00:32:44,160
Unless the intestine's torn.
758
00:32:45,340 --> 00:32:47,739
- [BEEP]
- Morgan, reposition the scope
759
00:32:47,740 --> 00:32:49,579
to get a better look
at the intestinal wall
760
00:32:49,580 --> 00:32:51,310
around the intussusception site.
761
00:32:54,750 --> 00:32:56,680
There's too much swelling
and edema to be sure.
762
00:32:56,690 --> 00:32:58,909
With the risk of infection,
we don't have time to find out.
763
00:32:58,910 --> 00:33:00,799
You're gonna have to open him up.
764
00:33:00,800 --> 00:33:02,420
You should.
765
00:33:02,430 --> 00:33:04,359
The Cantrells made their wishes clear.
766
00:33:04,360 --> 00:33:06,690
Well, that's when I made them
think you'd erred,
767
00:33:06,700 --> 00:33:08,199
which you did not...
768
00:33:08,200 --> 00:33:09,749
not on the side of caution...
769
00:33:09,750 --> 00:33:11,170
not at all.
770
00:33:11,780 --> 00:33:13,410
We do the surgery together.
771
00:33:13,990 --> 00:33:15,349
Who's the lead?
772
00:33:15,350 --> 00:33:16,749
I think you know.
773
00:33:16,750 --> 00:33:18,089
Pulling rank?
774
00:33:18,090 --> 00:33:19,250
Absolutely.
775
00:33:19,260 --> 00:33:23,000
As Chief of Surgery, I designate you.
776
00:33:23,430 --> 00:33:24,789
ANDREWS: It's like a puzzle.
777
00:33:24,790 --> 00:33:26,529
You secure to the artery,
778
00:33:26,530 --> 00:33:29,860
then the vessel just won't quite
stretch to the vein.
779
00:33:29,870 --> 00:33:33,630
CLAIRE: You could mobilize
the recipient vessel.
780
00:33:34,500 --> 00:33:35,940
Repeat that, Dr. Browne.
781
00:33:35,960 --> 00:33:39,330
Mobilize the recipient vessel
to create more slack.
782
00:33:44,080 --> 00:33:45,410
You saw Carly again.
783
00:33:45,420 --> 00:33:46,549
How was it?
784
00:33:46,550 --> 00:33:48,230
Inconvenient.
785
00:33:48,550 --> 00:33:50,460
But despite her intrusion,
786
00:33:50,500 --> 00:33:53,389
I was still able
to concentrate on medicine.
787
00:33:53,390 --> 00:33:55,420
That wasn't an intrusion.
That was a date.
788
00:33:55,430 --> 00:33:56,959
It was walking.
789
00:33:56,960 --> 00:34:00,029
Walking with someone you like
who likes you, too,
790
00:34:00,030 --> 00:34:01,459
is a non-date date.
791
00:34:01,460 --> 00:34:03,280
Some of the best dates that I have had
792
00:34:03,300 --> 00:34:05,799
did not involve flowers
and restaurant reservations.
793
00:34:05,800 --> 00:34:07,330
Just...
794
00:34:07,340 --> 00:34:10,270
sharing a bag of chips
and sitting on a couch.
795
00:34:11,770 --> 00:34:13,339
ANDREWS: Secured.
796
00:34:13,340 --> 00:34:14,840
Remove clamps.
797
00:34:16,680 --> 00:34:19,349
Blood flow to and from graft.
798
00:34:19,350 --> 00:34:21,590
Let's move on to the pectoralis flap.
799
00:34:21,600 --> 00:34:23,649
- [MONITOR BEEPING RAPIDLY]
- Blood pressure's dropping.
800
00:34:23,650 --> 00:34:25,919
Okay. Heart rate is up.
801
00:34:25,920 --> 00:34:27,840
Push IV fluids,
give epinephrine 1 milligram,
802
00:34:27,870 --> 00:34:29,160
then start a drip.
803
00:34:30,490 --> 00:34:32,529
There's intestinal wall perforation.
804
00:34:32,530 --> 00:34:33,560
Repairable?
805
00:34:34,860 --> 00:34:37,060
[SIGHS] There's too much tissue damage.
806
00:34:37,070 --> 00:34:38,269
Infection?
807
00:34:38,270 --> 00:34:39,599
No sign of peritonitis,
808
00:34:39,600 --> 00:34:41,570
but we'll need to remove
this section of bowel.
809
00:34:44,340 --> 00:34:45,909
[ALARM BEEPING]
810
00:34:45,910 --> 00:34:47,739
- He's tachy.
- Hypotensive.
811
00:34:47,740 --> 00:34:49,920
Push vasopressors and antibiotics.
812
00:34:50,380 --> 00:34:52,200
- [MONITOR BEEPING RAPIDLY]
- Check an iSTAT hematocrit, ABG.
813
00:34:52,220 --> 00:34:53,810
Give two units PRBCs.
814
00:34:53,820 --> 00:34:55,919
I don't see any major bleeding.
815
00:34:55,920 --> 00:34:58,189
Push more fluids, start an inotrope.
816
00:34:58,190 --> 00:35:00,989
Check all vessels we worked on
for clots with the Doppler.
817
00:35:00,990 --> 00:35:02,089
Okay.
818
00:35:02,090 --> 00:35:08,029
♪
819
00:35:08,030 --> 00:35:10,260
Large clot in the carotid.
820
00:35:10,270 --> 00:35:11,799
Clamps back on,
821
00:35:11,800 --> 00:35:13,469
performing carotid arteriotomy.
822
00:35:13,470 --> 00:35:15,239
Will try to aspirate out the clot.
823
00:35:15,240 --> 00:35:16,639
Stand by with heparin.
824
00:35:16,640 --> 00:35:18,209
[BEEPING CONTINUES]
825
00:35:18,210 --> 00:35:23,140
♪
826
00:35:23,150 --> 00:35:25,109
Carotid clot removed.
827
00:35:25,110 --> 00:35:27,479
[BEEPING CONTINUES]
828
00:35:27,480 --> 00:35:29,600
♪
829
00:35:29,620 --> 00:35:30,780
[BEEPING SLOWS]
830
00:35:30,800 --> 00:35:32,289
EEG looking good.
831
00:35:32,290 --> 00:35:33,300
[SIGHS]
832
00:35:33,310 --> 00:35:36,120
Resuming pectoralis flap dissection.
833
00:35:37,560 --> 00:35:39,470
Good work, everybody.
834
00:35:43,400 --> 00:35:50,680
♪
835
00:35:50,700 --> 00:35:57,950
♪
836
00:35:57,970 --> 00:36:05,190
♪
837
00:36:05,220 --> 00:36:12,460
♪
838
00:36:13,830 --> 00:36:15,630
ANDREWS: Go ahead... say something.
839
00:36:16,700 --> 00:36:17,969
Yeah, you can talk.
840
00:36:17,970 --> 00:36:19,809
Maybe not too much at first...
841
00:36:19,810 --> 00:36:21,419
give the jaw a chance to heal.
842
00:36:21,420 --> 00:36:24,909
♪
843
00:36:24,910 --> 00:36:26,209
[HOARSELY] Thank you.
844
00:36:26,210 --> 00:36:27,309
[CHUCKLES LIGHTLY]
845
00:36:27,310 --> 00:36:30,779
♪
846
00:36:30,780 --> 00:36:32,950
On behalf of all of us,
you're very welcome.
847
00:36:34,450 --> 00:36:38,220
The woman who was being accosted
when you intervened is here.
848
00:36:38,230 --> 00:36:39,320
Is she all right?
849
00:36:39,330 --> 00:36:40,659
CLAIRE: She's not here as a patient.
850
00:36:40,660 --> 00:36:43,630
She's been... waiting to see you.
851
00:36:44,210 --> 00:36:45,350
Okay?
852
00:36:54,440 --> 00:36:55,910
Hello.
853
00:36:56,310 --> 00:36:57,810
Hey.
854
00:36:58,440 --> 00:37:01,280
I am so sorry this happened.
855
00:37:01,700 --> 00:37:03,200
Me too.
856
00:37:04,200 --> 00:37:06,080
You look...
857
00:37:06,090 --> 00:37:08,950
When the swelling goes down,
he'll look a lot better.
858
00:37:09,290 --> 00:37:10,819
It's okay.
859
00:37:10,820 --> 00:37:12,990
My face was never my fortune.
860
00:37:16,160 --> 00:37:17,550
What made you do it?
861
00:37:18,550 --> 00:37:20,629
Why did you step in?
862
00:37:20,630 --> 00:37:22,869
♪
863
00:37:22,870 --> 00:37:24,270
I don't know.
864
00:37:26,210 --> 00:37:27,839
You needed help.
865
00:37:27,840 --> 00:37:35,449
♪
866
00:37:35,450 --> 00:37:37,679
Olivia, by the way.
867
00:37:37,680 --> 00:37:38,719
Josh.
868
00:37:38,720 --> 00:37:40,419
We'll let you two get acquainted.
869
00:37:40,420 --> 00:37:48,259
♪
870
00:37:48,260 --> 00:37:51,499
It didn't matter who got
the first lead surgery... to me.
871
00:37:51,500 --> 00:37:54,229
But it's recently
been brought to my attention
872
00:37:54,230 --> 00:37:56,739
how much it might mean to some of you.
873
00:37:56,740 --> 00:37:59,669
Seems I'd forgotten
how important this decision is
874
00:37:59,670 --> 00:38:02,039
when you've been
dreaming about it for years.
875
00:38:02,040 --> 00:38:05,209
You're all excellent candidates,
each deserving,
876
00:38:05,210 --> 00:38:07,380
and will all get your turn.
877
00:38:07,720 --> 00:38:09,210
Starting with Dr. Browne.
878
00:38:09,220 --> 00:38:10,450
Yes!
879
00:38:11,520 --> 00:38:12,880
Thank you.
880
00:38:13,400 --> 00:38:14,750
[DOOR OPENS]
881
00:38:14,760 --> 00:38:17,420
[INDISTINCT CONVERSATIONS]
882
00:38:20,160 --> 00:38:22,230
- Congratulations.
- CLAIRE: Thanks.
883
00:38:24,630 --> 00:38:26,060
What the hell was that?
884
00:38:26,070 --> 00:38:27,729
I was happy for a colleague.
885
00:38:27,730 --> 00:38:29,430
You weren't campaigning for you to win.
886
00:38:29,440 --> 00:38:31,939
You were campaigning for me to lose.
887
00:38:31,940 --> 00:38:34,739
Do you dislike me that much?
888
00:38:34,740 --> 00:38:36,739
I just wouldn't want you supervising me
889
00:38:36,740 --> 00:38:38,209
as Chief Resident.
890
00:38:38,210 --> 00:38:39,950
You'd be a nightmare of a boss.
891
00:38:48,830 --> 00:38:50,640
Shaun.
892
00:38:53,030 --> 00:38:55,059
Dr. Lim thought my motives
for fighting this hard
893
00:38:55,060 --> 00:38:57,400
for this patient were miscalculated.
894
00:38:59,100 --> 00:39:00,470
She was right.
895
00:39:00,860 --> 00:39:03,269
We shouldn't have saved his face?
896
00:39:03,270 --> 00:39:06,380
We have limited resources,
and we're even more limited
897
00:39:06,400 --> 00:39:09,139
in our personal capacity
to determine who is deserving,
898
00:39:09,140 --> 00:39:11,740
so we make a choice
to treat everyone the same.
899
00:39:11,750 --> 00:39:15,280
So why did you treat
this patient differently?
900
00:39:15,920 --> 00:39:17,880
Because I was angry.
901
00:39:18,780 --> 00:39:21,800
I made a sacrifice to save you.
902
00:39:22,320 --> 00:39:25,559
I lost my job,
I took a substantial demotion.
903
00:39:25,560 --> 00:39:27,429
And I thought I was a fool.
904
00:39:27,430 --> 00:39:30,429
The cost was way too high.
905
00:39:30,430 --> 00:39:32,629
I resented you, and I...
906
00:39:32,630 --> 00:39:34,530
kind of resented the universe.
907
00:39:37,770 --> 00:39:39,500
But today...
908
00:39:40,510 --> 00:39:42,970
...you made me proud of my sacrifice.
909
00:39:44,650 --> 00:39:45,720
Thank you.
910
00:39:49,150 --> 00:39:50,780
You're welcome.
911
00:39:52,990 --> 00:39:55,150
Very few things
that are worthwhile in life
912
00:39:55,160 --> 00:39:58,020
come without a cost, Shaun.
913
00:39:58,030 --> 00:40:04,600
♪
914
00:40:04,630 --> 00:40:11,199
♪
915
00:40:11,200 --> 00:40:13,100
[KNOCK ON DOOR]
916
00:40:13,110 --> 00:40:18,179
♪
917
00:40:18,180 --> 00:40:19,540
This is tricky.
918
00:40:20,580 --> 00:40:23,210
I feel like we were just tested
and both of us failed.
919
00:40:23,220 --> 00:40:25,549
♪
920
00:40:25,550 --> 00:40:26,950
But...
921
00:40:27,350 --> 00:40:29,009
we'll get better at this.
922
00:40:29,010 --> 00:40:35,530
♪
923
00:40:35,550 --> 00:40:41,499
♪
924
00:40:41,500 --> 00:40:42,899
BREEZE: Hey, honey.
925
00:40:42,900 --> 00:40:45,839
I'll make you a plate, and you
can take it to your room.
926
00:40:45,840 --> 00:40:47,210
Thanks.
927
00:40:49,040 --> 00:40:50,579
I saw three more apartments today.
928
00:40:50,580 --> 00:40:52,079
One was kind of nice,
929
00:40:52,080 --> 00:40:55,360
but it's not ready
until a week from this Tuesday,
930
00:40:55,370 --> 00:40:58,120
which puts me over your deadline
by three days.
931
00:41:01,050 --> 00:41:02,290
No.
932
00:41:03,760 --> 00:41:05,020
Three days? Come on.
933
00:41:05,030 --> 00:41:07,329
You can stay here.
934
00:41:07,330 --> 00:41:11,760
For a little while,
until you're a bit better.
935
00:41:11,770 --> 00:41:14,129
But you have to stay on your meds.
936
00:41:14,130 --> 00:41:16,159
And keep away from other drugs
and alcohol.
937
00:41:16,160 --> 00:41:17,899
I'm testing your urine every two days.
938
00:41:17,900 --> 00:41:20,640
Don't miss any appointments
with Dr. Donovan.
939
00:41:21,860 --> 00:41:23,310
Can you live with that?
940
00:41:24,910 --> 00:41:27,379
[SQUEALS, LAUGHS]
941
00:41:27,380 --> 00:41:34,820
♪
942
00:41:34,840 --> 00:41:39,189
♪
943
00:41:39,190 --> 00:41:41,029
Do you have a couch?
944
00:41:41,030 --> 00:41:50,069
♪
945
00:41:50,070 --> 00:41:52,400
♪ You held the balance of the time ♪
946
00:41:52,410 --> 00:41:55,939
♪ That only blindly I could read you ♪
947
00:41:55,940 --> 00:41:57,740
♪ But I could read you ♪
948
00:41:58,880 --> 00:42:01,479
♪ It's like you told me ♪
949
00:42:01,480 --> 00:42:03,919
♪ Go forward slowly ♪
950
00:42:03,920 --> 00:42:06,920
♪ It's not a race to the end ♪
951
00:42:08,820 --> 00:42:11,119
♪ Well, you look like yourself ♪
952
00:42:11,120 --> 00:42:13,220
♪ But you're somebody else ♪
953
00:42:13,230 --> 00:42:16,290
♪ Only, it ain't on the surface ♪
954
00:42:18,000 --> 00:42:20,069
♪ Well, you talk like yourself ♪
955
00:42:20,070 --> 00:42:22,769
♪ No, I hear someone else, though ♪
956
00:42:22,770 --> 00:42:25,740
♪ Now you're making me nervous ♪