1 00:00:01,004 --> 00:00:04,065 ♪ 2 00:00:05,634 --> 00:00:07,419 [ ALARM BEEPING ] 3 00:00:07,444 --> 00:00:09,193 ♪ 4 00:00:09,218 --> 00:00:10,759 [ BEEPING STOPS ] 5 00:00:10,784 --> 00:00:17,984 ♪ 6 00:00:19,581 --> 00:00:22,431 [ ALARM BEEPING ] 7 00:00:22,456 --> 00:00:23,405 [ BEEPING STOPS ] 8 00:00:23,430 --> 00:00:24,936 ♪ 9 00:00:24,961 --> 00:00:26,989 [ BRUSH THUDS ] 10 00:00:27,014 --> 00:00:35,826 ♪ 11 00:00:35,851 --> 00:00:37,927 Today is not Saturday. 12 00:00:37,928 --> 00:00:39,747 Why did you make me pancakes? 13 00:00:39,772 --> 00:00:42,113 They are fresh start pancakes. 14 00:00:42,138 --> 00:00:44,595 Like the first day of school every year 15 00:00:44,620 --> 00:00:46,677 when you get to wear a brand-new outfit. 16 00:00:46,702 --> 00:00:48,564 [ CHUCKLES ] 17 00:00:48,565 --> 00:00:50,732 Well, not everyone wore a new outfit. 18 00:00:50,757 --> 00:00:52,802 But the rule in this house 19 00:00:52,827 --> 00:00:54,941 is that when you start a new life event, 20 00:00:54,966 --> 00:00:56,263 you get pancakes. 21 00:00:56,288 --> 00:01:00,474 I... don't want a fresh start. 22 00:01:00,499 --> 00:01:02,570 I want to stay in surgery. 23 00:01:04,155 --> 00:01:05,657 I know. 24 00:01:05,682 --> 00:01:07,989 And I am really proud of you 25 00:01:08,014 --> 00:01:10,354 for handling it all so... 26 00:01:10,380 --> 00:01:18,182 ♪ 27 00:01:18,207 --> 00:01:20,555 [ KNOCK ON DOOR ] 28 00:01:20,580 --> 00:01:23,122 Doctors... please give me one more minute. 29 00:01:23,147 --> 00:01:25,663 We have an associate pastor at the church, 30 00:01:25,688 --> 00:01:29,119 but Clarence likes to write the sermons. 31 00:01:29,119 --> 00:01:30,242 - Sorry. - Please. 32 00:01:30,267 --> 00:01:31,982 Although this is important too. 33 00:01:32,007 --> 00:01:34,870 The surgery consists of two steps... 34 00:01:34,895 --> 00:01:37,236 first we fuse the spine to stabilize it, 35 00:01:37,261 --> 00:01:38,836 and then we remove the tumor. 36 00:01:38,861 --> 00:01:40,888 Because the cancer has spread to your lymph nodes, 37 00:01:40,913 --> 00:01:42,651 you'll still have to follow up with chemo. 38 00:01:44,706 --> 00:01:46,969 - [ GROANS ] - Clarence, are you in pain? 39 00:01:46,969 --> 00:01:49,658 Quite a bit actually, but I'm fine. 40 00:01:49,683 --> 00:01:51,189 Well, since what's causing your pain 41 00:01:51,214 --> 00:01:53,207 is the tumor pushing against your spine, 42 00:01:53,232 --> 00:01:55,051 the spinal fusion will ease pressure on your nerves 43 00:01:55,076 --> 00:01:56,304 and should eliminate your pain. 44 00:01:56,329 --> 00:01:59,840 Please, I, uh... I need this pain. 45 00:02:01,095 --> 00:02:03,631 Can't you just do the second part and remove the tumor? 46 00:02:03,631 --> 00:02:04,824 If we don't fuse the spine, 47 00:02:04,849 --> 00:02:07,537 it'll make removing the tumor a lot more difficult. 48 00:02:07,562 --> 00:02:09,208 More difficult, but it can be done? 49 00:02:09,233 --> 00:02:11,051 It can. But I recommend against it. 50 00:02:11,076 --> 00:02:13,440 Especially since there's no reason not to. 51 00:02:15,008 --> 00:02:16,920 [ SIGHS ] 52 00:02:20,574 --> 00:02:22,568 I did something... 53 00:02:22,593 --> 00:02:24,586 ♪ 54 00:02:24,611 --> 00:02:26,279 ...unforgivable. 55 00:02:28,194 --> 00:02:31,405 This pain is my punishment. 56 00:02:31,430 --> 00:02:37,806 ♪ 57 00:02:37,831 --> 00:02:41,460 Can I ask what you did that was so bad? 58 00:02:41,485 --> 00:02:44,217 ♪ 59 00:02:44,218 --> 00:02:45,793 I killed someone. 60 00:02:45,818 --> 00:02:48,925 ♪ 61 00:02:48,950 --> 00:02:51,534 ♪ 62 00:02:51,559 --> 00:02:59,544 Synced & corrected by -robtor- www.addic7ed.com 63 00:02:59,544 --> 00:03:02,129 [ BELL DINGS ] 64 00:03:02,154 --> 00:03:05,156 - [ APPLAUSE ] - [ BELL DINGING ] 65 00:03:05,181 --> 00:03:11,453 ♪ 66 00:03:11,478 --> 00:03:16,761 ♪ 67 00:03:17,346 --> 00:03:18,755 JESS: My sister and I were 68 00:03:18,780 --> 00:03:20,494 coming home from climbing Mt. Whitney. 69 00:03:20,519 --> 00:03:22,233 We're doing the State 50 climbs. 70 00:03:22,258 --> 00:03:24,078 The numbness started during the climb? 71 00:03:24,103 --> 00:03:26,733 First my hands, and then my feet. 72 00:03:26,758 --> 00:03:28,216 [ GRUNTS ] 73 00:03:28,625 --> 00:03:30,399 - You have a headache? - Yeah. 74 00:03:30,400 --> 00:03:32,231 LIM: High altitude causes headaches. 75 00:03:32,256 --> 00:03:33,695 Dehydration compounds it. 76 00:03:33,720 --> 00:03:35,436 From now on just... climb slower. 77 00:03:35,461 --> 00:03:36,676 And drink more. 78 00:03:40,436 --> 00:03:42,498 Tell them about the other thing. 79 00:03:42,523 --> 00:03:44,203 [ BEEP ] 80 00:03:44,228 --> 00:03:46,043 [ INDISTINCT TALKING OVER P.A. ] 81 00:03:46,044 --> 00:03:47,237 Before leaving for the mountain, 82 00:03:47,262 --> 00:03:51,759 I had this weird sensation like... 83 00:03:51,784 --> 00:03:53,081 dread. 84 00:03:53,106 --> 00:03:55,034 I couldn't shake it. 85 00:03:56,238 --> 00:03:59,322 Well, when people describe a sense of impending doom, 86 00:03:59,322 --> 00:04:00,689 it's usually anxiety. 87 00:04:00,714 --> 00:04:02,973 No, it was like a premonition... 88 00:04:05,628 --> 00:04:07,809 ...that I was going to die. 89 00:04:10,143 --> 00:04:12,880 - I'm sure it was... - Dr. Park will run a brain scan, 90 00:04:12,881 --> 00:04:14,142 and we'll do some lab work. 91 00:04:14,167 --> 00:04:22,492 ♪ 92 00:04:22,517 --> 00:04:29,509 ♪ 93 00:04:30,833 --> 00:04:39,158 ♪ 94 00:04:39,183 --> 00:04:46,313 ♪ 95 00:04:47,499 --> 00:04:55,824 ♪ 96 00:04:55,849 --> 00:05:03,083 ♪ 97 00:05:03,096 --> 00:05:04,729 Shaun. 98 00:05:05,254 --> 00:05:07,263 Hello, Dr. Lever. 99 00:05:07,264 --> 00:05:08,979 Carly is fine. 100 00:05:09,004 --> 00:05:10,788 Welcome to pathology. 101 00:05:10,813 --> 00:05:13,599 ♪ 102 00:05:13,600 --> 00:05:16,358 It is going to be great working with you. 103 00:05:16,383 --> 00:05:22,276 ♪ 104 00:05:22,301 --> 00:05:24,360 What do you think? 105 00:05:24,385 --> 00:05:26,621 ♪ 106 00:05:26,646 --> 00:05:28,782 I know it's a lot to take in. 107 00:05:28,782 --> 00:05:31,575 It's kind of like your first time at Disneyland, right? 108 00:05:31,600 --> 00:05:33,836 I've never been to Disneyland. 109 00:05:33,861 --> 00:05:36,893 ♪ 110 00:05:36,893 --> 00:05:38,747 Let me give you a tour. 111 00:05:38,772 --> 00:05:41,009 Cytopathology, forensics, 112 00:05:41,034 --> 00:05:43,443 genomics, microbiology. 113 00:05:43,468 --> 00:05:45,493 We get to identify organisms, 114 00:05:45,493 --> 00:05:47,903 interpret cell morphology, 115 00:05:47,928 --> 00:05:50,791 sequence genes. 116 00:05:51,692 --> 00:05:54,444 Is that a D300e 117 00:05:54,469 --> 00:05:57,158 pathogen antibacterial bioprinter? 118 00:05:57,183 --> 00:05:58,663 It's new. 119 00:05:58,663 --> 00:06:01,944 You're working on antibiotic resistance 120 00:06:01,969 --> 00:06:03,592 in emerging microorganisms? 121 00:06:03,592 --> 00:06:05,481 It's "we" now, Shaun. 122 00:06:05,506 --> 00:06:06,768 Yes, we are. 123 00:06:06,793 --> 00:06:08,438 [ SIGHS ] 124 00:06:09,418 --> 00:06:10,874 Do you want to play with it? 125 00:06:12,512 --> 00:06:14,353 - Very much. - [ LAUGHS ] 126 00:06:14,378 --> 00:06:15,918 Go ahead. 127 00:06:15,943 --> 00:06:18,006 It's kind of your job now. 128 00:06:18,031 --> 00:06:22,528 ♪ 129 00:06:22,553 --> 00:06:24,141 We are the detectives. 130 00:06:24,701 --> 00:06:26,844 Surgeons are just the beat cops. 131 00:06:26,869 --> 00:06:30,242 [ WHIRRING ] 132 00:06:30,267 --> 00:06:33,079 ♪ 133 00:06:33,079 --> 00:06:35,838 Our best bet is to try to separate the tumor 134 00:06:35,863 --> 00:06:37,981 from his cord, and then resect it. 135 00:06:37,982 --> 00:06:39,870 Okay, this is insane. 136 00:06:39,895 --> 00:06:41,436 You know how he "killed" a person? 137 00:06:41,461 --> 00:06:44,124 He was counseling a parishioner who committed suicide. 138 00:06:44,124 --> 00:06:45,353 That must have been traumatic. 139 00:06:45,378 --> 00:06:47,718 Traumatic, yes. Murder, no. 140 00:06:47,743 --> 00:06:49,945 Hey, I know it's stupid, but he has autonomy. 141 00:06:49,970 --> 00:06:52,102 I didn't stay stupid. I said "insane." 142 00:06:52,127 --> 00:06:55,458 You want to override his wishes because he's religious? 143 00:06:55,459 --> 00:06:58,009 Something like 90% of Americans believe in God. 144 00:06:58,034 --> 00:07:00,862 I'm one of them. Are we all mentally impaired? 145 00:07:00,887 --> 00:07:03,262 Should you ignore us all if you don't like our choices? 146 00:07:03,287 --> 00:07:05,698 Only those getting divine messages from their tumors. 147 00:07:05,723 --> 00:07:07,403 - He's not crazy. - Okay, you're right. 148 00:07:07,428 --> 00:07:09,977 He is just stupid. But don't we have a duty to educate him? 149 00:07:10,002 --> 00:07:11,908 You're gonna talk him out of his religion? 150 00:07:11,933 --> 00:07:13,041 No. 151 00:07:13,066 --> 00:07:16,797 You told him the surgery was more dangerous this way. 152 00:07:16,822 --> 00:07:20,020 I don't think he appreciated how much more dangerous. 153 00:07:21,552 --> 00:07:22,783 Good idea. 154 00:07:23,677 --> 00:07:26,191 He thinks he'll go to hell if he dies before he's forgiven. 155 00:07:26,871 --> 00:07:29,009 Make sure he knows it can happen on the table. 156 00:07:29,034 --> 00:07:33,323 ♪ 157 00:07:33,348 --> 00:07:35,202 [ WHIRRING ] 158 00:07:35,227 --> 00:07:36,566 [ WARBLING ] 159 00:07:36,591 --> 00:07:38,159 PARK: An MRI for anxiety? 160 00:07:38,184 --> 00:07:40,212 It does fly in the face of reducing 161 00:07:40,237 --> 00:07:42,404 unnecessary medical tests. 162 00:07:42,429 --> 00:07:43,945 When I was a resident, 163 00:07:43,945 --> 00:07:46,432 I had a patient come through the E.R. 164 00:07:46,735 --> 00:07:48,275 Female. 35 years old. 165 00:07:48,300 --> 00:07:50,363 Slight cough. Slightly hypothyroid. 166 00:07:50,388 --> 00:07:52,272 Normal vitals. 167 00:07:52,273 --> 00:07:55,379 I labeled her a whiner because she kept insisting, 168 00:07:55,404 --> 00:07:57,242 "I'm gonna die." 169 00:07:57,243 --> 00:07:58,887 I sent her home. 170 00:07:58,912 --> 00:08:00,313 And she died? 171 00:08:00,338 --> 00:08:02,679 No. She kept coming back. 172 00:08:02,704 --> 00:08:05,463 - [ CHUCKLES ] - Over and over again. 173 00:08:05,488 --> 00:08:08,754 We do this test, we prove there's nothing wrong with her, 174 00:08:08,779 --> 00:08:10,831 we send her home reassured. 175 00:08:12,301 --> 00:08:13,877 [ BEEP ] 176 00:08:13,902 --> 00:08:19,582 ♪ 177 00:08:19,607 --> 00:08:21,133 Damn. 178 00:08:24,405 --> 00:08:27,060 The MRI showed a high grade meningioma. 179 00:08:27,085 --> 00:08:29,391 An advanced tumor that grows in the tissue layers 180 00:08:29,416 --> 00:08:30,922 that cover the brain. 181 00:08:30,947 --> 00:08:35,607 Its features are consistent with it being malignant. 182 00:08:37,488 --> 00:08:38,646 [ EXHALES SHARPLY ] 183 00:08:39,213 --> 00:08:41,226 These tumors tend to be aggressive 184 00:08:41,251 --> 00:08:44,050 and impossible to fully resect. 185 00:08:44,829 --> 00:08:47,512 Um, so what... what can you do? 186 00:08:48,555 --> 00:08:50,196 Palliative care, 187 00:08:50,221 --> 00:08:52,528 symptom control with medications. 188 00:08:52,553 --> 00:08:54,511 [ SNIFFLES ] 189 00:08:54,536 --> 00:08:57,051 ♪ 190 00:08:57,076 --> 00:08:59,730 [ BREATHES DEEPLY ] 191 00:08:59,755 --> 00:09:06,932 ♪ 192 00:09:06,957 --> 00:09:08,949 You're risking spinal damage, 193 00:09:08,974 --> 00:09:11,195 paralysis... death. 194 00:09:11,196 --> 00:09:14,512 If that's what God chooses, then that is His will. 195 00:09:14,537 --> 00:09:18,234 If you have cancer because he wants you to have cancer, 196 00:09:18,259 --> 00:09:20,078 why are you here? Getting treatment? 197 00:09:20,103 --> 00:09:23,090 I'm here because I believe in science. 198 00:09:24,139 --> 00:09:28,512 I am who I am because I believe in God. 199 00:09:29,392 --> 00:09:31,385 So do you think all people who are sick 200 00:09:31,410 --> 00:09:32,742 are being punished? 201 00:09:33,767 --> 00:09:35,769 I mean, we have an eight-year-old down the hall 202 00:09:35,794 --> 00:09:37,437 with bone cancer, 203 00:09:38,376 --> 00:09:39,847 you want to go tell her God hates her? 204 00:09:39,872 --> 00:09:43,257 I'm sure that girl is not suffering as a punishment. 205 00:09:43,944 --> 00:09:46,597 She's suffering so others may have a chance 206 00:09:46,622 --> 00:09:48,865 to show her mercy, 207 00:09:49,336 --> 00:09:52,117 to show her compassion, so she can inspire. 208 00:09:54,031 --> 00:09:55,189 I don't know His plan, 209 00:09:55,214 --> 00:09:56,407 but I know it's not as simple as you would... 210 00:09:56,432 --> 00:09:59,000 No. No, it's not simple. 211 00:10:00,154 --> 00:10:01,857 Except for your pain. 212 00:10:10,940 --> 00:10:12,411 His name was Michael. 213 00:10:12,436 --> 00:10:18,151 ♪ 214 00:10:18,176 --> 00:10:19,996 [ EXHALES SHARPLY ] 215 00:10:20,021 --> 00:10:21,909 His wife found his body. 216 00:10:21,934 --> 00:10:23,961 You had no idea. 217 00:10:23,986 --> 00:10:25,980 I knew he was depressed. 218 00:10:26,005 --> 00:10:27,823 But you thought he was getting better. 219 00:10:27,849 --> 00:10:30,355 [ SCOFFS ] 220 00:10:30,356 --> 00:10:32,117 I didn't take his call. 221 00:10:32,828 --> 00:10:34,960 Because I was having a drink. 222 00:10:34,985 --> 00:10:36,491 ♪ 223 00:10:36,516 --> 00:10:37,848 [ EXHALES SHARPLY ] 224 00:10:37,873 --> 00:10:41,543 It'd been a long day dealing with the renovations, 225 00:10:41,787 --> 00:10:43,779 and I was having a damn drink. 226 00:10:43,804 --> 00:10:50,006 ♪ 227 00:10:50,031 --> 00:10:52,755 [ DOOR OPENS ] 228 00:10:52,780 --> 00:10:53,973 PARK: Hey, Shaun. 229 00:10:53,998 --> 00:10:55,848 Hey, Carly. 230 00:10:55,848 --> 00:10:58,363 I started Sadie Barnes on anti-seizure medication, 231 00:10:58,388 --> 00:11:00,479 need you to run a peak phenytoin level. 232 00:11:01,137 --> 00:11:02,817 The couriers must be happy that the surgeons 233 00:11:02,842 --> 00:11:05,310 are doing their own specimen deliveries. 234 00:11:07,782 --> 00:11:09,345 How you doing down here? 235 00:11:11,510 --> 00:11:15,208 Carly says pathologists are the detectives, 236 00:11:15,233 --> 00:11:17,249 surgeons are just the beat cops. 237 00:11:23,095 --> 00:11:25,506 Shaun, are you happy here? 238 00:11:25,531 --> 00:11:28,315 When did you give the patient her loading dose? 239 00:11:28,340 --> 00:11:29,841 - One hour ago. - Hmm. 240 00:11:30,814 --> 00:11:33,486 Shaun, if you're happy, that's great. 241 00:11:33,511 --> 00:11:35,329 But if you're not, 242 00:11:35,354 --> 00:11:37,084 you have to tell Han how you feel. 243 00:11:37,115 --> 00:11:39,100 You need to show him you care 244 00:11:39,125 --> 00:11:40,979 and that you believe in yourself. 245 00:11:41,004 --> 00:11:46,893 ♪ 246 00:11:46,918 --> 00:11:48,772 Do you need this done STAT? 247 00:11:48,797 --> 00:11:50,685 No. She's asymptomatic. 248 00:11:50,710 --> 00:11:52,494 - It's just for seizure prevention. - Good. 249 00:11:52,519 --> 00:11:53,852 Carly says that in pathology 250 00:11:53,877 --> 00:11:55,695 you can take a break whenever you want. 251 00:11:55,720 --> 00:11:58,618 I want to take a break now. I'm going for a walk. 252 00:11:58,643 --> 00:12:03,871 ♪ 253 00:12:03,896 --> 00:12:05,576 He shouldn't be in pathology. 254 00:12:05,601 --> 00:12:07,963 - He's a good surgical resident. - You're right. 255 00:12:07,988 --> 00:12:09,633 - Then you'll move him back? - No. 256 00:12:09,658 --> 00:12:11,721 You're wrong about that part. He should be in pathology. 257 00:12:11,746 --> 00:12:13,564 - But he was a good surgical resident. - Then why... 258 00:12:13,589 --> 00:12:16,696 Because he'll never be a good surgeon. 259 00:12:16,721 --> 00:12:17,879 How do you think he'll do in three years 260 00:12:17,904 --> 00:12:19,723 when no one's looking over his shoulder? 261 00:12:19,748 --> 00:12:22,610 When he's looking over someone else's shoulder? 262 00:12:22,635 --> 00:12:25,464 Supervising new residents, leading grand rounds, 263 00:12:25,489 --> 00:12:27,830 advocating for vulnerable patients. 264 00:12:27,855 --> 00:12:30,149 Do you see him doing any of that without a safety net? 265 00:12:32,323 --> 00:12:34,663 We can help him get there. 266 00:12:34,689 --> 00:12:36,404 Just because he wants to be a surgeon, 267 00:12:36,429 --> 00:12:37,760 just because you want him to be a surgeon, 268 00:12:37,785 --> 00:12:40,335 doesn't mean he gets to have that dream come true. 269 00:12:40,360 --> 00:12:41,691 [ BEEP ] 270 00:12:41,716 --> 00:12:43,570 Has it occurred to you that maybe 271 00:12:43,595 --> 00:12:45,892 we know Shaun better than you do? 272 00:12:45,917 --> 00:12:47,944 Has it occurred to you that 273 00:12:47,969 --> 00:12:49,336 that might be your problem? 274 00:12:49,361 --> 00:12:52,397 That your view of him might be distorted because you like him? 275 00:12:52,682 --> 00:12:53,874 Has it occurred to you 276 00:12:53,899 --> 00:12:55,944 that maybe he's better off in pathology? 277 00:12:55,969 --> 00:12:57,637 That maybe he'll even like it? 278 00:12:58,564 --> 00:13:00,070 Do you care? 279 00:13:00,682 --> 00:13:02,462 I thought you might. 280 00:13:02,487 --> 00:13:07,402 ♪ 281 00:13:07,427 --> 00:13:09,858 - [ WHIRRING ] - We need better ventral exposure. 282 00:13:09,883 --> 00:13:11,933 Drill off more of the pedicle and vertebral body. 283 00:13:13,434 --> 00:13:15,467 Ligate the exiting nerve root. 284 00:13:15,492 --> 00:13:17,590 We'll take it with the tumor for a wider margin. 285 00:13:17,615 --> 00:13:22,246 ♪ 286 00:13:22,271 --> 00:13:23,738 I can't see it. 287 00:13:23,763 --> 00:13:25,304 The tumor's causing the spinal cord 288 00:13:25,329 --> 00:13:26,522 to be bowed up to us. 289 00:13:26,547 --> 00:13:29,628 ♪ 290 00:13:29,653 --> 00:13:32,213 We need more exposure to get around and in front of it. 291 00:13:32,741 --> 00:13:35,152 The vertebrae is too fragmented and displaced. 292 00:13:35,177 --> 00:13:36,717 We can't get a complete resection 293 00:13:36,742 --> 00:13:38,283 without stabilization. 294 00:13:38,308 --> 00:13:39,865 - [ RAPID BEEPING ] - He's tanking. 295 00:13:39,890 --> 00:13:41,257 Probably spinal shock from tension on the cord. 296 00:13:41,262 --> 00:13:42,315 We need to abort. 297 00:13:42,340 --> 00:13:43,498 [ BEEPING CONTINUES ] 298 00:13:43,523 --> 00:13:47,848 ♪ 299 00:13:47,873 --> 00:13:50,523 All right, on three. One, two, three. 300 00:13:52,617 --> 00:13:53,949 You fixed me! 301 00:13:54,429 --> 00:13:56,830 - No, no. - What happened to my pain?! 302 00:13:56,855 --> 00:13:59,933 - Stop! - We didn't fix you. 303 00:14:00,527 --> 00:14:03,981 There was a complication. We injected anesthetic. 304 00:14:04,648 --> 00:14:06,103 It'll wear off. 305 00:14:06,128 --> 00:14:07,461 We had to stop the surgery 306 00:14:07,486 --> 00:14:08,921 before we could remove the tumor. 307 00:14:09,711 --> 00:14:10,941 You went into shock. 308 00:14:11,571 --> 00:14:14,282 We lost your heart rate and blood pressure. 309 00:14:15,033 --> 00:14:18,491 We warned it would be a trickier surgery without the fusion. 310 00:14:18,516 --> 00:14:20,996 Nothing has changed. The anesthetic will wear off, 311 00:14:21,021 --> 00:14:23,780 the pain will come back, but worse. 312 00:14:23,805 --> 00:14:24,997 When can you try again? 313 00:14:25,023 --> 00:14:28,198 Try again? We failed. 314 00:14:28,223 --> 00:14:29,560 [ SIGHS ] 315 00:14:29,561 --> 00:14:31,553 There is no reason to think we will succeed 316 00:14:31,578 --> 00:14:33,989 - next time unless we do the fusion... - But you know what the issues are, 317 00:14:34,014 --> 00:14:36,564 - you learned... - Why haven't you? 318 00:14:36,589 --> 00:14:40,600 ♪ 319 00:14:40,625 --> 00:14:43,104 Do think God wants you to die? 320 00:14:43,129 --> 00:14:50,202 ♪ 321 00:14:50,227 --> 00:14:52,011 Please. 322 00:14:52,862 --> 00:14:54,516 Try again. 323 00:14:54,541 --> 00:14:56,743 ♪ 324 00:14:56,768 --> 00:14:58,100 [ SIGHS ] 325 00:14:58,125 --> 00:15:01,358 Cyanide poisoning. 326 00:15:02,587 --> 00:15:05,125 The cause of death on the Atlin case. 327 00:15:07,749 --> 00:15:09,428 You know how I found it? 328 00:15:09,453 --> 00:15:13,418 I smelled it... almonds. 329 00:15:18,619 --> 00:15:21,137 Dr. Park's patient. 330 00:15:21,162 --> 00:15:23,677 I flagged her eosinophil count... 331 00:15:23,702 --> 00:15:25,556 it doesn't match up with the diagnosis 332 00:15:25,581 --> 00:15:28,165 of advanced meningioma listed on the requisition. 333 00:15:28,190 --> 00:15:31,262 Great. Nice work. 334 00:15:31,287 --> 00:15:34,185 I'm going to talk to Dr. Lim about it. 335 00:15:34,210 --> 00:15:35,507 Whoa there, Shaun. Hold up. 336 00:15:35,532 --> 00:15:37,698 You don't need to do that. 337 00:15:37,723 --> 00:15:39,752 The attendings are on the lookout for the flags. 338 00:15:39,777 --> 00:15:42,465 - They'll run with it. - I want to run with it. 339 00:15:42,490 --> 00:15:44,831 You've been on the receiving end... you know how it works. 340 00:15:44,856 --> 00:15:48,867 How it works is I see something abnormal 341 00:15:48,892 --> 00:15:50,919 and then I discuss it with the team, 342 00:15:50,944 --> 00:15:52,763 and we plan how we'll fix it. 343 00:15:52,788 --> 00:15:54,468 We run with it. 344 00:15:55,114 --> 00:16:00,713 Shaun, once a test is done, we move on to the next one. 345 00:16:03,342 --> 00:16:07,062 I'd like to... take a walk. 346 00:16:09,290 --> 00:16:11,284 Are you going to walk to Dr. Lim 347 00:16:11,309 --> 00:16:13,185 and discuss this case, Shaun? 348 00:16:16,771 --> 00:16:18,259 [ SIGHS ] 349 00:16:18,259 --> 00:16:20,808 That's not what we do here. 350 00:16:20,833 --> 00:16:25,505 We investigate, report, and then we move on. 351 00:16:25,530 --> 00:16:27,522 ♪ 352 00:16:27,547 --> 00:16:29,367 Are you gonna be able to do that... 353 00:16:29,392 --> 00:16:30,919 move on? 354 00:16:31,897 --> 00:16:33,880 I don't know. 355 00:16:34,437 --> 00:16:38,170 But I will try very hard. 356 00:16:38,195 --> 00:16:41,683 ♪ 357 00:16:41,709 --> 00:16:43,527 Next time. 358 00:16:43,552 --> 00:16:49,894 ♪ 359 00:16:49,919 --> 00:16:53,095 [ KNOCKING ] 360 00:16:53,120 --> 00:16:54,313 Dr. Browne. 361 00:16:54,338 --> 00:16:56,156 Is this about a patient? 362 00:16:56,653 --> 00:16:58,232 No. 363 00:16:59,800 --> 00:17:01,015 Come in. 364 00:17:03,425 --> 00:17:05,245 I've heard a lot about you... 365 00:17:05,826 --> 00:17:07,645 I'm aware you stood up to a supervisor. 366 00:17:07,670 --> 00:17:09,060 Is that what's happening now? 367 00:17:11,687 --> 00:17:16,045 Um, I put together a list of cases 368 00:17:16,070 --> 00:17:19,072 which Dr. Murphy contributed to. 369 00:17:19,097 --> 00:17:20,385 Uniquely. 370 00:17:21,150 --> 00:17:22,378 You're a loyal friend. 371 00:17:22,936 --> 00:17:24,889 I've specified the ideas he had... 372 00:17:25,237 --> 00:17:28,239 ideas that no one else around here could have... 373 00:17:28,264 --> 00:17:29,862 Do you think I hate him? 374 00:17:31,922 --> 00:17:32,964 No. 375 00:17:36,925 --> 00:17:39,614 But I think 376 00:17:39,639 --> 00:17:41,168 you might be biased against him 377 00:17:41,168 --> 00:17:42,570 because of his condition. 378 00:17:42,595 --> 00:17:43,892 So he doesn't have communication issues? 379 00:17:43,917 --> 00:17:46,258 - I'm wrong about that? - No. But he... 380 00:17:46,283 --> 00:17:48,972 If he had the flu, I would tell him to stay home 381 00:17:48,997 --> 00:17:51,164 until he got better. 382 00:17:51,189 --> 00:17:52,556 He has autism... 383 00:17:53,126 --> 00:17:55,408 I could tell him to stay home until he gets better. 384 00:17:55,433 --> 00:17:58,609 Instead I found a place for him to help us, 385 00:17:58,634 --> 00:18:00,685 to save lives. 386 00:18:01,870 --> 00:18:03,062 And you should know 387 00:18:03,087 --> 00:18:05,555 I have rather mixed feelings about loyalty. 388 00:18:10,324 --> 00:18:17,849 ♪ 389 00:18:17,874 --> 00:18:19,751 ♪ 390 00:18:25,388 --> 00:18:28,831 [ INDISTINCT CONVERSATIONS ] 391 00:18:31,984 --> 00:18:34,375 All righty. There you go. 392 00:18:36,174 --> 00:18:37,629 Hello. 393 00:18:38,262 --> 00:18:40,173 Aaron. 394 00:18:41,115 --> 00:18:42,308 It's good to see you. 395 00:18:42,333 --> 00:18:44,302 Yeah. The feeling is mutual. 396 00:18:45,214 --> 00:18:46,846 Can I have one of those? 397 00:18:48,008 --> 00:18:50,105 - The chocolate chip muffin? - Yes, please. 398 00:18:50,130 --> 00:18:51,763 Special occasion? 399 00:18:51,788 --> 00:18:53,468 - Yes. - Yeah? 400 00:18:53,493 --> 00:18:57,051 As of today, I am no longer injecting toxins into my body. 401 00:18:57,076 --> 00:18:59,069 Except, of course, with chocolate chips. 402 00:18:59,727 --> 00:19:02,128 Oh, you're done with chemo? Wow. 403 00:19:02,153 --> 00:19:03,346 That's amazing. 404 00:19:03,371 --> 00:19:05,198 - Congratulations. - Thank you. 405 00:19:05,726 --> 00:19:08,589 I was thinking of going out tonight and celebrating 406 00:19:08,614 --> 00:19:10,954 what may be very good news. 407 00:19:10,979 --> 00:19:13,181 If you're free, my treat. 408 00:19:13,206 --> 00:19:14,885 I... I'm sorry, Aaron. 409 00:19:14,910 --> 00:19:16,382 I have a-another commitment. 410 00:19:16,407 --> 00:19:18,295 Oh. Um, tomorrow then? 411 00:19:18,320 --> 00:19:19,653 This week is really crazy. 412 00:19:19,678 --> 00:19:21,791 You know what? I am not doing chemo 413 00:19:21,816 --> 00:19:24,678 every night next week, so I am free 414 00:19:24,703 --> 00:19:26,105 every single night, so... 415 00:19:26,130 --> 00:19:29,677 Aaron, I'm seeing someone. 416 00:19:30,846 --> 00:19:32,838 I'm sorry. 417 00:19:32,863 --> 00:19:35,103 ♪ 418 00:19:35,128 --> 00:19:36,808 [ CHUCKLES ] 419 00:19:36,833 --> 00:19:38,513 Nothing to be sorry about. 420 00:19:38,538 --> 00:19:42,269 ♪ 421 00:19:42,294 --> 00:19:44,420 It was good to see you. 422 00:19:44,445 --> 00:19:52,910 ♪ 423 00:19:52,935 --> 00:19:56,319 MELENDEZ: Keep an extra close eye on blood pressure and heart rate. 424 00:19:56,344 --> 00:19:58,643 [ MONITOR BEEPING ] 425 00:19:58,668 --> 00:20:00,348 MORGAN: I have extra fluid, vasopressors, 426 00:20:00,373 --> 00:20:01,589 and inotropes ready. 427 00:20:04,233 --> 00:20:05,508 Why no God? 428 00:20:07,734 --> 00:20:09,762 You follow in the tradition that you're handed. 429 00:20:09,787 --> 00:20:11,988 My family wasn't religious. We never went to church. 430 00:20:12,013 --> 00:20:13,519 I was there every Sunday. 431 00:20:13,544 --> 00:20:15,742 8:00 a.m. for Catholic mass. 432 00:20:15,767 --> 00:20:17,447 My parents eventually got tired of all the rules 433 00:20:17,472 --> 00:20:18,699 and turned Lutheran. 434 00:20:18,724 --> 00:20:20,285 They found that dull and went back to Catholic. 435 00:20:20,310 --> 00:20:22,400 [ CHUCKLES ] That's my tradition. 436 00:20:25,768 --> 00:20:28,406 What do you think it'll be like when you die? 437 00:20:29,016 --> 00:20:30,906 Probably like it was before I was born. 438 00:20:30,931 --> 00:20:32,368 A whole lot of nothing. 439 00:20:34,245 --> 00:20:35,589 We're there. 440 00:20:36,622 --> 00:20:39,216 Where we were when everything went wrong last time. 441 00:20:39,216 --> 00:20:41,593 We need to remove the tumor without putting any pressure 442 00:20:41,618 --> 00:20:44,294 on his cord at all, or he'll be back in spinal shock. 443 00:20:46,438 --> 00:20:48,395 And we need more tumor release from the vertebral body. 444 00:20:48,420 --> 00:20:50,622 Extend your osteotomies proximal and distal. 445 00:20:52,099 --> 00:20:54,066 [ WHIRRING ] 446 00:20:54,211 --> 00:20:55,393 Good. 447 00:20:57,308 --> 00:20:59,475 I think I got a free plane... 448 00:20:59,500 --> 00:21:01,647 Retract it from the cord a little more. 449 00:21:01,672 --> 00:21:05,301 ♪ 450 00:21:06,598 --> 00:21:08,765 - I got it. - Now, when you remove it 451 00:21:08,790 --> 00:21:10,087 careful not to morselize it. 452 00:21:10,112 --> 00:21:14,018 ♪ 453 00:21:14,043 --> 00:21:15,202 Can you hold that up? 454 00:21:15,227 --> 00:21:17,737 ♪ 455 00:21:17,762 --> 00:21:19,291 Dr. Reznick, give me a measurement. 456 00:21:21,799 --> 00:21:23,688 Max length is 4.5. 457 00:21:24,072 --> 00:21:26,274 Get a pre-op scan up. 458 00:21:26,299 --> 00:21:27,593 [ BEEP ] 459 00:21:27,618 --> 00:21:29,680 That says the tumor's eight centimeters. 460 00:21:30,819 --> 00:21:33,148 How does a tumor shrink from 8 centimeters 461 00:21:33,173 --> 00:21:35,965 to 4.5 without radiation in two weeks? 462 00:21:35,990 --> 00:21:37,058 ♪ 463 00:21:37,083 --> 00:21:38,240 It doesn't. 464 00:21:38,265 --> 00:21:41,829 ♪ 465 00:21:43,941 --> 00:21:46,170 Why the page, Shaun? And why are you in radiology? 466 00:21:46,195 --> 00:21:48,014 We rely on flags. 467 00:21:48,039 --> 00:21:50,032 You have to count on the ordering physician 468 00:21:50,057 --> 00:21:52,641 seeing it while you move on to something else. 469 00:21:52,666 --> 00:21:54,624 - Okay. And...? - I don't agree 470 00:21:54,649 --> 00:21:56,469 with Sadie Barnes's diagnosis, 471 00:21:56,494 --> 00:21:59,947 and I think her tumor should be biopsied. 472 00:21:59,972 --> 00:22:02,626 - Shaun, I... - Dr. Han wanted me away from patients. 473 00:22:02,651 --> 00:22:04,471 Patients are not allowed in the viewing room. 474 00:22:04,496 --> 00:22:06,766 So I'm not doing anything wrong. 475 00:22:08,821 --> 00:22:10,663 - [ BEEP ] - Two radiologists said 476 00:22:10,663 --> 00:22:12,690 it was a malignant meningioma 477 00:22:12,715 --> 00:22:15,160 in the insular region and encasing the MCA vessels. 478 00:22:15,185 --> 00:22:16,518 That's exactly where it is. 479 00:22:16,543 --> 00:22:18,135 And her clinical picture matches perfectly... 480 00:22:18,135 --> 00:22:19,864 arm and leg numbness. 481 00:22:20,327 --> 00:22:24,303 The tumor attachment to the dura is slightly anomalous. 482 00:22:24,328 --> 00:22:27,455 And the insular region is slightly atypical, too. 483 00:22:28,086 --> 00:22:29,139 [ MOUSE CLICKS ] 484 00:22:29,164 --> 00:22:31,192 [ BEEP ] 485 00:22:31,217 --> 00:22:34,219 What differential diagnoses are you proposing? 486 00:22:35,171 --> 00:22:37,385 I need to speak to the patient. 487 00:22:37,410 --> 00:22:39,402 - [ SIGHS ] - Should I ask Dr. Han for permission? 488 00:22:39,427 --> 00:22:41,421 Shaun, I... [ SCOFFS ] 489 00:22:41,446 --> 00:22:43,126 ...will bring your concern about the scan 490 00:22:43,151 --> 00:22:44,491 to the head of radiology. 491 00:22:44,516 --> 00:22:47,924 But approaching Dr. Han? Don't do that. 492 00:22:49,622 --> 00:22:51,615 Now, I already talked to him about your reassignment. 493 00:22:51,640 --> 00:22:53,471 I don't know if it'll make any difference... 494 00:22:53,496 --> 00:22:57,332 If I were Claire, would you let me approach Dr. Han 495 00:22:57,357 --> 00:22:59,872 about something that concerned me? 496 00:22:59,897 --> 00:23:03,420 ♪ 497 00:23:03,445 --> 00:23:06,077 Yes. I probably would. 498 00:23:07,018 --> 00:23:08,204 Hmm. 499 00:23:09,757 --> 00:23:12,758 Is that because Claire doesn't make mistakes 500 00:23:12,783 --> 00:23:14,585 when she's communicating? 501 00:23:15,697 --> 00:23:17,088 Yes. 502 00:23:18,883 --> 00:23:21,711 Then do you think Dr. Han made the right decision 503 00:23:21,736 --> 00:23:23,904 by sending me to pathology? 504 00:23:23,929 --> 00:23:25,388 ♪ 505 00:23:26,213 --> 00:23:27,719 No. 506 00:23:27,744 --> 00:23:33,286 ♪ 507 00:23:33,311 --> 00:23:38,695 ♪ 508 00:23:38,720 --> 00:23:39,739 [ BEEP ] 509 00:23:39,764 --> 00:23:41,756 The lymph nodes have shrunk, too. 510 00:23:41,781 --> 00:23:43,774 This is a PET scan from two weeks ago. 511 00:23:43,799 --> 00:23:45,466 Enlarged and cancerous. 512 00:23:45,491 --> 00:23:46,858 - Today... - [ BEEP ] 513 00:23:48,035 --> 00:23:50,053 ...they've all regressed. 514 00:23:50,511 --> 00:23:51,872 [ BEEP ] 515 00:23:52,753 --> 00:23:55,373 [ CHAIR CREAKS ] 516 00:23:55,691 --> 00:23:58,361 Spontaneous regression has been reported 517 00:23:58,386 --> 00:24:00,868 in melanomas, renal cell carcinomas, 518 00:24:00,893 --> 00:24:03,450 neuroblastomas, and some types of blood cancers. 519 00:24:03,475 --> 00:24:05,364 In a sarcoma that's metastasized? 520 00:24:06,071 --> 00:24:09,056 No. But if it happened in those others, why not? 521 00:24:09,081 --> 00:24:11,241 Because none of them make sense. 522 00:24:11,266 --> 00:24:13,259 When I read about disappearing cancer, I always think 523 00:24:13,284 --> 00:24:15,799 some doctor missed something, forgot something, 524 00:24:15,824 --> 00:24:17,440 - screwed up something. - [ SIGHS ] 525 00:24:18,947 --> 00:24:21,776 The theory is that the body somehow triggers 526 00:24:21,801 --> 00:24:23,794 an immune response against the cancer. 527 00:24:23,819 --> 00:24:26,194 Something somehow lights a fuse. 528 00:24:26,219 --> 00:24:28,560 The theory says the fuse is lit by an infection. 529 00:24:28,585 --> 00:24:30,404 His lab work proves he hasn't had one. 530 00:24:30,429 --> 00:24:33,347 At this point, the most credible explanation is... 531 00:24:33,372 --> 00:24:34,657 Are you gonna use the "m" word? 532 00:24:36,203 --> 00:24:38,092 You seriously can't say it? 533 00:24:38,117 --> 00:24:41,981 Only when referencing the 1980 U.S. hockey team. 534 00:24:42,006 --> 00:24:44,068 Keep testing. Anything you can think of. 535 00:24:44,093 --> 00:24:46,470 Molecular markers, T-cells, PD-L1. 536 00:24:46,896 --> 00:24:48,804 We'll need permission from the patient. 537 00:24:48,829 --> 00:24:50,335 Which raises another issue... 538 00:24:50,360 --> 00:24:52,324 what are we gonna do next, medically? 539 00:24:52,349 --> 00:24:53,856 He was supposed to start chemo next week. 540 00:24:53,881 --> 00:24:55,491 No, it'll wipe out his immune system, 541 00:24:55,516 --> 00:24:57,300 which may be what's actually killing his cancer. 542 00:24:57,753 --> 00:24:59,415 If we don't know what's making him better, 543 00:24:59,440 --> 00:25:01,650 we don't know what to stop, what to start. 544 00:25:04,160 --> 00:25:06,500 So we do nothing? 545 00:25:06,525 --> 00:25:08,693 Just trust God to fix him? 546 00:25:08,718 --> 00:25:10,362 We trust whatever is currently 547 00:25:10,387 --> 00:25:12,160 fixing him to keep fixing him. 548 00:25:12,185 --> 00:25:13,865 If he took a Tylenol yesterday at 8:00, 549 00:25:13,890 --> 00:25:15,534 he takes a Tylenol today at 8:00. 550 00:25:15,559 --> 00:25:18,561 Monitor him. Closely. Scans constantly. 551 00:25:18,586 --> 00:25:26,146 ♪ 552 00:25:26,171 --> 00:25:32,257 ♪ 553 00:25:32,282 --> 00:25:39,772 ♪ 554 00:25:40,997 --> 00:25:42,641 [ KNOCK ON DOOR ] 555 00:25:42,666 --> 00:25:44,277 Hello, Dr. Glassman. 556 00:25:44,302 --> 00:25:46,904 Hi. Thank you for coming. 557 00:25:47,952 --> 00:25:51,256 He has been doing this for two hours. 558 00:25:53,569 --> 00:25:54,611 Shaun. 559 00:25:55,873 --> 00:25:57,725 What are you up to? 560 00:25:58,044 --> 00:26:00,059 Alphabetizing our canned goods 561 00:26:00,084 --> 00:26:02,211 and checking all the expiration dates. 562 00:26:02,236 --> 00:26:03,569 Well, somebody's got to do it. 563 00:26:05,047 --> 00:26:06,509 Is something wrong? 564 00:26:06,534 --> 00:26:07,623 No. 565 00:26:07,648 --> 00:26:11,264 [ EXHALES SHAKILY ] 566 00:26:12,812 --> 00:26:15,057 - Okay. - Okay. I think 567 00:26:15,366 --> 00:26:18,506 Dr. Lim's patient's diagnosis is wrong, 568 00:26:19,211 --> 00:26:20,881 but I can't prove it without information, 569 00:26:20,906 --> 00:26:23,260 and I'm not allowed to talk to patients. 570 00:26:24,034 --> 00:26:25,734 - Shaun. - [ SIGHS ] 571 00:26:26,658 --> 00:26:29,311 [ CANS THUDDING ] 572 00:26:29,336 --> 00:26:31,677 I want to run with things. 573 00:26:32,289 --> 00:26:35,786 I want to fix people. 574 00:26:37,595 --> 00:26:41,000 Can you help me become a surgical resident again? 575 00:26:42,047 --> 00:26:44,521 No. I can't, Shaun. 576 00:26:44,546 --> 00:26:46,140 - I'm not president... - Yes. 577 00:26:46,165 --> 00:26:47,252 [ CAN SCRAPES ] 578 00:26:47,277 --> 00:26:48,608 I'm not the president of the hospital 579 00:26:48,633 --> 00:26:50,835 anymore, Shaun. 580 00:26:50,860 --> 00:26:52,970 - And even... even if I was... - [ THUD ] 581 00:26:52,995 --> 00:26:54,606 ...it's irrelevant. 582 00:26:54,631 --> 00:26:57,285 You have to stand up for yourself. 583 00:26:57,934 --> 00:26:59,290 And you know what? If you can't, 584 00:26:59,322 --> 00:27:02,403 then the new Head of Surgery, the Chief, he's right. 585 00:27:03,250 --> 00:27:05,451 Now, I can go tell him he's wrong. 586 00:27:05,476 --> 00:27:07,470 It won't do any good. 587 00:27:07,502 --> 00:27:09,077 Or you can go show him. 588 00:27:09,102 --> 00:27:16,260 ♪ 589 00:27:16,285 --> 00:27:19,426 I'm doing research concerning Sadie Barnes. 590 00:27:20,925 --> 00:27:22,166 She's asleep. 591 00:27:22,191 --> 00:27:23,697 ♪ 592 00:27:23,722 --> 00:27:26,828 Perfect. I'm not allowed to speak with her. 593 00:27:26,853 --> 00:27:29,090 ♪ 594 00:27:30,127 --> 00:27:32,885 I'm looking for her sister Jess. 595 00:27:33,935 --> 00:27:36,472 I haven't seen her. Sorry. 596 00:27:36,497 --> 00:27:38,525 [ PAPERS RUSTLE ] 597 00:27:38,550 --> 00:27:47,502 ♪ 598 00:27:47,527 --> 00:27:53,160 ♪ 599 00:27:53,185 --> 00:28:02,311 ♪ 600 00:28:03,923 --> 00:28:05,116 [ LIGHT CLICKS ] 601 00:28:05,141 --> 00:28:08,421 ♪ 602 00:28:08,446 --> 00:28:10,681 MAN: What are you doing? 603 00:28:10,706 --> 00:28:13,987 ♪ 604 00:28:15,833 --> 00:28:17,606 [ LIGHT CLICKS ] 605 00:28:18,631 --> 00:28:21,800 Can you explain why, instead of remaining in pathology 606 00:28:21,825 --> 00:28:24,131 as directed, you were in a patient's room, 607 00:28:24,157 --> 00:28:26,115 going through her purse? 608 00:28:26,140 --> 00:28:29,559 I didn't speak to her. She was asleep. 609 00:28:29,584 --> 00:28:32,029 [ EXHALES SHARPLY ] 610 00:28:32,054 --> 00:28:34,359 Dr. Murphy, any reticence I had 611 00:28:34,384 --> 00:28:37,039 about removing you from surgery just vanished. 612 00:28:38,041 --> 00:28:40,379 You shouldn't be in contact with patients. 613 00:28:40,404 --> 00:28:42,675 Or their families. Or anything they own. 614 00:28:42,700 --> 00:28:45,516 Do you understand, or am I gonna be forced to fire you? 615 00:28:50,111 --> 00:28:52,800 Sadie's social media says that 616 00:28:52,825 --> 00:28:54,296 she finances her climbing travel 617 00:28:54,321 --> 00:28:57,017 by working as a freelance food critic. 618 00:28:57,630 --> 00:29:00,315 She reviewed a Japanese restaurant that used to have 619 00:29:00,340 --> 00:29:02,332 a Restaurant Grading System Score of "A," 620 00:29:02,357 --> 00:29:04,177 but then it dropped to a "C," which corresponds 621 00:29:04,202 --> 00:29:06,890 to very bad food safety practices. 622 00:29:06,915 --> 00:29:09,256 Bad sushi can lead to worms, but it usually doesn't 623 00:29:09,281 --> 00:29:12,144 because stomach acid almost always kills fish parasites. 624 00:29:12,169 --> 00:29:13,988 But not if someone is taking an acid blocker, 625 00:29:14,013 --> 00:29:16,123 which 60 million Americans are. 626 00:29:16,123 --> 00:29:18,591 I saw a bottle in her purse. 627 00:29:21,998 --> 00:29:25,178 Sadie could have sparganosis 628 00:29:25,203 --> 00:29:28,879 with an encapsulated worm that is mimicking a meningioma. 629 00:29:32,266 --> 00:29:33,676 That's a good idea. 630 00:29:34,278 --> 00:29:36,604 Excellent. I'll tell the patient. 631 00:29:36,629 --> 00:29:39,597 I will tell the patient. 632 00:29:40,115 --> 00:29:41,621 I'll tell her we're doing a biopsy 633 00:29:41,646 --> 00:29:42,873 to confirm the initial diagnosis. 634 00:29:42,898 --> 00:29:44,709 - But we're... - It will tell us 635 00:29:44,709 --> 00:29:47,154 if the initial diagnosis is correct. 636 00:29:47,499 --> 00:29:49,853 Your theory is a real long shot. 637 00:29:49,878 --> 00:29:52,763 It would be irresponsible to get her hopes up. 638 00:29:55,293 --> 00:29:57,161 - Hmm. - The surgery went well. 639 00:29:57,161 --> 00:29:59,299 We were able to extract the entire tumor 640 00:29:59,324 --> 00:30:00,620 without complication. 641 00:30:00,645 --> 00:30:02,463 - [ EXHALES SHARPLY ] - [ SIGHS ] 642 00:30:02,463 --> 00:30:04,080 Thank you. 643 00:30:04,583 --> 00:30:06,750 When can we start chemo? 644 00:30:07,201 --> 00:30:10,725 There are a few follow-up tests we want to run first. 645 00:30:10,750 --> 00:30:12,380 And we want to retake your history. 646 00:30:12,405 --> 00:30:13,702 Make sure we have a proper list 647 00:30:13,727 --> 00:30:15,326 of all medications you've been taking. 648 00:30:16,582 --> 00:30:19,444 You want to take his history? After the surgery? 649 00:30:19,469 --> 00:30:22,019 What's going on? What are you not telling us? 650 00:30:22,044 --> 00:30:23,865 - What went wrong? - Nothing. 651 00:30:23,865 --> 00:30:26,390 The fact is, the surgery went... 652 00:30:27,372 --> 00:30:28,947 better than we'd hoped. 653 00:30:29,333 --> 00:30:31,436 Your cancer seems to be... 654 00:30:32,499 --> 00:30:34,109 going away on its own. 655 00:30:34,795 --> 00:30:36,191 [ EXHALES SHARPLY ] 656 00:30:36,216 --> 00:30:37,860 We'll run our tests. 657 00:30:37,885 --> 00:30:41,618 We're confident that there is a medical explanation. 658 00:30:41,643 --> 00:30:44,181 Oh, Clarence. [ INHALES SHARPLY ] 659 00:30:46,942 --> 00:30:48,621 [ DOORBELL RINGS ] 660 00:30:48,646 --> 00:30:50,697 [ BIRDS CHIRPING ] 661 00:30:59,631 --> 00:31:02,180 - Hi. - Hi, Aaron. 662 00:31:02,718 --> 00:31:05,599 [ INHALES DEEPLY ] Um, what I... 663 00:31:05,624 --> 00:31:09,183 What I told you earlier, that I'm seeing someone... 664 00:31:09,208 --> 00:31:10,157 I'm not. 665 00:31:10,546 --> 00:31:12,887 I mean, I-I-I had one date, 666 00:31:12,912 --> 00:31:15,427 - but it wasn't, you know... - Okay. 667 00:31:18,966 --> 00:31:21,883 We're... We're just... We're not a good match. 668 00:31:21,883 --> 00:31:23,985 That's what I wanted to tell you. 669 00:31:30,172 --> 00:31:32,402 That's not true, you know. 670 00:31:32,402 --> 00:31:33,830 You know, that's not true. 671 00:31:33,855 --> 00:31:35,326 You like me. A lot. 672 00:31:35,351 --> 00:31:38,040 And I like you even more than that. 673 00:31:38,065 --> 00:31:39,299 So what is this? 674 00:31:39,299 --> 00:31:41,326 You know, I'd really rather not get into it. 675 00:31:41,351 --> 00:31:43,692 - You came to my house... - To tell you what I told you, 676 00:31:43,717 --> 00:31:45,884 - which I just told you. - Okay, you came here to be honest, 677 00:31:45,909 --> 00:31:47,447 and you're only gonna be honest halfway? 678 00:31:47,472 --> 00:31:48,555 - You're not timid. - No. 679 00:31:48,580 --> 00:31:50,998 Okay. Then what? 680 00:31:53,488 --> 00:31:55,211 The last time I was here, 681 00:31:55,769 --> 00:31:57,505 we were headed upstairs... 682 00:31:58,434 --> 00:32:00,252 Yes, we were. 683 00:32:00,277 --> 00:32:01,592 You fell. 684 00:32:02,109 --> 00:32:03,163 Yes, I did. 685 00:32:03,188 --> 00:32:06,224 I tried to help you, and you pushed me away. 686 00:32:06,889 --> 00:32:08,464 I was embarrassed. 687 00:32:08,489 --> 00:32:09,786 You were sick. 688 00:32:09,811 --> 00:32:12,369 - You needed help. - And I'm not sick anymore. 689 00:32:12,394 --> 00:32:15,455 Maybe. And I want to go and celebrate. 690 00:32:15,480 --> 00:32:17,474 With you. Specifically with you. 691 00:32:17,499 --> 00:32:19,526 'Cause we have fun. 692 00:32:19,551 --> 00:32:22,379 You... You make... You make me laugh. 693 00:32:22,404 --> 00:32:24,740 You make me feel good. 694 00:32:25,423 --> 00:32:26,651 I like being with you. 695 00:32:26,676 --> 00:32:27,938 Sounds horrible. 696 00:32:27,963 --> 00:32:30,095 But bad things are gonna happen. 697 00:32:30,468 --> 00:32:33,891 Aaron, I-it can't just be about having fun together. 698 00:32:33,916 --> 00:32:35,422 One of us is gonna get sick, 699 00:32:35,447 --> 00:32:37,301 one of us is gonna need to be taken care of... 700 00:32:37,326 --> 00:32:39,502 Wait, wait, wait. I just want to go out 701 00:32:39,527 --> 00:32:41,903 and have a nice dinner with you. 702 00:32:41,928 --> 00:32:45,440 Not to run away to Reno, find a priest in an Elvis suit. 703 00:32:48,115 --> 00:32:50,034 What are we gonna do, Aaron? 704 00:32:50,034 --> 00:32:53,388 Just drive to a hill with a view and neck till prom? 705 00:32:53,413 --> 00:32:56,508 And then I'm gonna come home and hope you call? 706 00:33:02,468 --> 00:33:06,635 Yeah, uh, you know, I just came to apologize. 707 00:33:07,656 --> 00:33:09,054 I'm sorry. 708 00:33:09,789 --> 00:33:11,890 And I'm really glad... 709 00:33:13,290 --> 00:33:15,686 I'm... I'm glad you're finished with chemo. 710 00:33:15,711 --> 00:33:17,043 And... 711 00:33:17,068 --> 00:33:19,408 ♪ 712 00:33:19,433 --> 00:33:21,948 ...you're gonna... you're gonna beat this thing. 713 00:33:21,973 --> 00:33:31,933 ♪ 714 00:33:31,958 --> 00:33:36,096 ♪ 715 00:33:44,701 --> 00:33:46,891 Your immunoglobulins are normal. 716 00:33:46,916 --> 00:33:48,735 Everything is normal. 717 00:33:48,760 --> 00:33:51,228 We can't find a scientific explanation. 718 00:33:54,081 --> 00:33:57,110 Our prayers... It's a miracle. 719 00:33:59,092 --> 00:34:00,761 Miracle or not, 720 00:34:00,786 --> 00:34:03,115 it seems we're on the same page now. 721 00:34:04,518 --> 00:34:06,859 There is no reason not to do the spinal fusion 722 00:34:06,884 --> 00:34:08,308 to eliminate your pain. 723 00:34:11,929 --> 00:34:13,749 Do more tests. 724 00:34:14,156 --> 00:34:16,253 - Clarence. - There are no more tests. 725 00:34:16,278 --> 00:34:18,689 T-T-There must be. There must be an explanation. 726 00:34:18,714 --> 00:34:21,529 Redo your tests. Find new tests. 727 00:34:25,660 --> 00:34:28,397 "Let all bitterness and wrath 728 00:34:28,422 --> 00:34:30,589 and anger and clamor and slander 729 00:34:30,614 --> 00:34:31,918 be put away from you." 730 00:34:32,292 --> 00:34:35,815 ♪ 731 00:34:36,367 --> 00:34:38,465 Ephesians 4:31. 732 00:34:40,389 --> 00:34:41,894 I didn't take you for a believer. 733 00:34:41,919 --> 00:34:43,373 I'm not, anymore. 734 00:34:44,812 --> 00:34:46,632 I'm not sure you are either. 735 00:34:46,657 --> 00:34:48,684 ♪ 736 00:34:49,309 --> 00:34:52,979 God speaks directly to Noah, 737 00:34:53,004 --> 00:34:56,180 Moses, Job, and Solomon. 738 00:34:56,205 --> 00:34:58,622 And now apparently he has singled out 739 00:34:58,647 --> 00:35:00,432 Pastor Clarence of San Jose 740 00:35:00,457 --> 00:35:02,820 to join the ranks of the prophets. 741 00:35:03,558 --> 00:35:06,994 I'm sorry, but unless there is a burning bush 742 00:35:07,019 --> 00:35:09,220 it is narcissistic to think that God 743 00:35:09,245 --> 00:35:11,864 has made you his personal project. 744 00:35:11,889 --> 00:35:14,842 God speaks to every one of us, 745 00:35:16,091 --> 00:35:19,475 - you just have to listen. - You are not listening. 746 00:35:19,540 --> 00:35:22,099 People get cancer all the time. 747 00:35:22,428 --> 00:35:23,933 Often that results in pain. 748 00:35:23,958 --> 00:35:25,430 Those things are not unique. 749 00:35:25,455 --> 00:35:27,021 What is unique 750 00:35:27,424 --> 00:35:29,800 is having an aggressive metastatic cancer 751 00:35:29,825 --> 00:35:34,114 start to disappear without any rational explanation. 752 00:35:35,196 --> 00:35:37,417 The issue isn't God. 753 00:35:38,507 --> 00:35:40,913 You have to forgive yourself. 754 00:35:41,411 --> 00:35:45,034 ♪ 755 00:35:45,034 --> 00:35:46,227 What I did... 756 00:35:46,252 --> 00:35:47,862 Cannot be undone. 757 00:35:47,887 --> 00:35:50,220 But your pain can. 758 00:35:50,670 --> 00:35:57,639 ♪ 759 00:35:57,664 --> 00:35:58,699 Clarence. 760 00:35:58,969 --> 00:36:03,814 ♪ 761 00:36:03,997 --> 00:36:05,603 Your pain... 762 00:36:07,685 --> 00:36:10,409 Your pain does no one any good. 763 00:36:10,708 --> 00:36:15,205 ♪ 764 00:36:15,230 --> 00:36:18,685 [ BREATHES DEEPLY ] 765 00:36:18,710 --> 00:36:19,833 Okay. 766 00:36:19,858 --> 00:36:25,179 ♪ 767 00:36:26,404 --> 00:36:27,788 Osteotome and mallet. 768 00:36:27,813 --> 00:36:29,864 [ MONITOR BEEPING ] 769 00:36:32,678 --> 00:36:35,051 You lied when you said you never went to church. 770 00:36:35,076 --> 00:36:36,345 What happened? 771 00:36:36,370 --> 00:36:38,425 I didn't want to have this conversation 772 00:36:38,450 --> 00:36:40,614 - is what happened. - I'm not judging. 773 00:36:40,639 --> 00:36:41,796 My brother took a year off school 774 00:36:41,821 --> 00:36:43,431 to travel and came back a non-believer. 775 00:36:43,738 --> 00:36:45,020 So ask him. 776 00:36:52,566 --> 00:36:53,650 Was it freeing, 777 00:36:53,675 --> 00:36:55,493 or did you feel empty? 778 00:36:55,518 --> 00:36:57,721 Hand me the first polyaxial pedicle screw. 779 00:36:57,746 --> 00:37:00,839 [ BEEPING CONTINUES ] 780 00:37:04,445 --> 00:37:06,568 It was like losing a loved one. 781 00:37:18,393 --> 00:37:21,870 [ CLICKING ] 782 00:37:24,271 --> 00:37:26,273 The moment of truth. 783 00:37:37,344 --> 00:37:38,850 Follow me. 784 00:37:38,875 --> 00:37:48,173 ♪ 785 00:37:48,198 --> 00:37:53,972 ♪ 786 00:37:58,055 --> 00:38:00,240 Our initial diagnosis was wrong. 787 00:38:00,265 --> 00:38:01,945 You don't have a meningioma. 788 00:38:02,190 --> 00:38:03,686 You have a worm in your brain. 789 00:38:06,331 --> 00:38:08,691 And while that sounds fairly gross, 790 00:38:09,146 --> 00:38:10,895 it is completely curable. 791 00:38:10,920 --> 00:38:12,600 [ EXHALES SHARPLY ] 792 00:38:12,645 --> 00:38:14,626 [ LAUGHS ] 793 00:38:17,192 --> 00:38:21,376 So, the sense of doom, it was... it was wrong? 794 00:38:21,401 --> 00:38:24,438 - It saved your life. - As did Dr. Murphy. 795 00:38:25,296 --> 00:38:27,377 This is the pathologist who noticed 796 00:38:27,402 --> 00:38:29,278 an abnormality in one of your tests. 797 00:38:31,985 --> 00:38:34,258 That led us to this discovery. 798 00:38:34,283 --> 00:38:37,041 Can I give you a hug, too, Dr. Murphy? 799 00:38:38,090 --> 00:38:39,555 No. 800 00:38:42,159 --> 00:38:44,466 You and your sister will be free to conquer 801 00:38:44,491 --> 00:38:47,246 whichever of the remaining 50 peaks you choose 802 00:38:47,271 --> 00:38:49,462 as soon as my team surgically removes the worm. 803 00:38:52,458 --> 00:38:54,987 [ JESS LAUGHS ] 804 00:38:55,798 --> 00:38:59,067 - Thank you. - Oh! Of course. 805 00:39:00,973 --> 00:39:03,314 There are not a lot of doctors who would have made the leap 806 00:39:03,339 --> 00:39:05,205 that you made today, Shaun. 807 00:39:06,363 --> 00:39:07,666 Good work. 808 00:39:08,944 --> 00:39:12,641 Yes, it was excellent work. 809 00:39:12,666 --> 00:39:15,007 [ CHUCKLES ] Most people would say "thank you," 810 00:39:15,032 --> 00:39:18,104 but technically that's not an incorrect response. 811 00:39:18,477 --> 00:39:19,494 Hmm. 812 00:39:20,198 --> 00:39:22,608 Have a good evening. You've earned it. 813 00:39:23,214 --> 00:39:24,908 [ BEEP ] 814 00:39:24,933 --> 00:39:26,744 [ INDISTINCT TALKING OVER P.A. ] 815 00:39:26,769 --> 00:39:29,144 I don't want to go on walks. 816 00:39:29,169 --> 00:39:33,598 ♪ 817 00:39:34,486 --> 00:39:37,189 I don't want to move on from cases 818 00:39:37,214 --> 00:39:39,698 after the tests are done. 819 00:39:41,380 --> 00:39:45,634 I do not want to be a pathologist. 820 00:39:45,659 --> 00:39:48,661 ♪ 821 00:39:48,686 --> 00:39:54,436 Dr. Han, you need to make me a surgical resident again. 822 00:39:54,461 --> 00:39:59,677 ♪ 823 00:39:59,702 --> 00:40:02,221 I appreciate you telling me that. 824 00:40:03,005 --> 00:40:04,337 I was wondering whether you had it in you 825 00:40:04,362 --> 00:40:05,833 to advocate for yourself. 826 00:40:05,858 --> 00:40:09,904 ♪ 827 00:40:09,929 --> 00:40:11,400 But the truth is, Shaun, 828 00:40:11,972 --> 00:40:13,607 what you did today, 829 00:40:14,372 --> 00:40:16,276 it proved I'm right. 830 00:40:17,348 --> 00:40:19,071 Your skills are tremendous. 831 00:40:19,327 --> 00:40:20,971 Your weaknesses... 832 00:40:20,996 --> 00:40:22,991 equally significant. 833 00:40:24,592 --> 00:40:27,280 You could be a great pathologist. 834 00:40:27,305 --> 00:40:29,820 Just think of all the Sadies out there, 835 00:40:29,845 --> 00:40:31,699 waiting for you to save them. 836 00:40:31,724 --> 00:40:39,248 ♪ 837 00:40:39,273 --> 00:40:46,833 ♪ 838 00:40:46,858 --> 00:40:54,452 ♪ 839 00:40:54,477 --> 00:41:01,655 ♪ 840 00:41:01,680 --> 00:41:03,881 Dr. Browne, Dr. Reznick. 841 00:41:03,906 --> 00:41:06,479 The surgery went well. Your spine is stable. 842 00:41:10,628 --> 00:41:12,082 I'm scared. 843 00:41:13,460 --> 00:41:16,262 There may still be some residual pain as you heal, but... 844 00:41:16,287 --> 00:41:17,588 No, I... 845 00:41:18,690 --> 00:41:20,382 I keep wondering, 846 00:41:20,776 --> 00:41:22,549 what if I disobeyed God? 847 00:41:22,574 --> 00:41:27,976 ♪ 848 00:41:29,531 --> 00:41:30,747 You have to have faith. 849 00:41:32,603 --> 00:41:34,098 But you lost yours. 850 00:41:34,123 --> 00:41:37,213 ♪ 851 00:41:37,238 --> 00:41:40,068 I didn't have a miracle to help me through the dark times. 852 00:41:40,093 --> 00:41:43,859 ♪ 853 00:41:44,091 --> 00:41:47,894 [ LP'S "MUDDY WATERS" PLAYS ] ♪ Hmm ♪ 854 00:41:47,919 --> 00:41:51,895 ♪ Hmm, hmm ♪ 855 00:41:51,920 --> 00:41:55,687 ♪ Oh, oh-oh-oh-oh ♪ 856 00:41:55,712 --> 00:41:59,897 ♪ In the muddy water we're falling ♪ 857 00:41:59,922 --> 00:42:03,898 ♪ Oh, oh-oh-oh-oh ♪ 858 00:42:03,923 --> 00:42:07,321 ♪ In the muddy water we're crawling ♪ 859 00:42:07,346 --> 00:42:10,858 ♪ Hold me down ♪ 860 00:42:10,883 --> 00:42:14,859 ♪ Hold me now ♪ 861 00:42:14,884 --> 00:42:18,628 ♪ Sold me out ♪ 862 00:42:18,653 --> 00:42:23,070 ♪ In the muddy water we're falling ♪