1 00:00:07,270 --> 00:00:09,300 We should not live together. 2 00:00:10,600 --> 00:00:13,029 That makes no sense. 3 00:00:13,030 --> 00:00:14,869 I rented that apartment, 4 00:00:14,870 --> 00:00:17,869 and neither of us can afford it on our own. 5 00:00:17,870 --> 00:00:19,869 It has a fireplace. 6 00:00:19,870 --> 00:00:22,240 We shouldn't live together. 7 00:00:22,630 --> 00:00:25,840 It has a fireplace. 8 00:00:29,780 --> 00:00:32,079 Do you ever think about us 9 00:00:32,080 --> 00:00:33,930 being together... 10 00:00:34,990 --> 00:00:37,889 as a couple? 11 00:00:37,890 --> 00:00:39,659 Sometimes. 12 00:00:39,660 --> 00:00:41,360 I don't want that. 13 00:00:45,330 --> 00:00:47,460 You don't want us to be a couple? 14 00:00:47,470 --> 00:00:50,270 Or you don't want me thinking about us as a couple? 15 00:00:52,140 --> 00:00:53,969 Neither. 16 00:00:53,970 --> 00:00:56,070 If we get an apartment together, 17 00:00:56,080 --> 00:00:58,179 I feel like that's a signal 18 00:00:58,180 --> 00:01:01,949 that you and I might end up as boyfriend and girlfriend, 19 00:01:01,950 --> 00:01:04,279 and that's not going to happen. 20 00:01:04,280 --> 00:01:06,880 You can't predict the future. 21 00:01:06,890 --> 00:01:08,649 Feelings change. 22 00:01:08,650 --> 00:01:11,050 I used to hate hugs, but now... 23 00:01:11,060 --> 00:01:12,219 sometimes I don't. 24 00:01:12,220 --> 00:01:14,189 But I don't want my feelings to change. 25 00:01:14,190 --> 00:01:15,929 I like being your friend, 26 00:01:15,930 --> 00:01:18,929 and romantic relationships a-are unpredictable. 27 00:01:18,930 --> 00:01:21,829 So much can go wrong, especially when I am involved. 28 00:01:21,830 --> 00:01:24,630 And if we live together, it's gonna be awkward. 29 00:01:24,640 --> 00:01:26,539 You're bound to walk in on me when I'm naked 30 00:01:26,540 --> 00:01:28,409 or hear the weird sex sounds I make 31 00:01:28,410 --> 00:01:30,109 with some out-of-work drummer 32 00:01:30,110 --> 00:01:31,540 or find me crying when that drummer dumps me, 33 00:01:31,560 --> 00:01:33,780 even though I was totally gonna dump him. 34 00:01:40,620 --> 00:01:42,989 I was so unhappy 35 00:01:42,990 --> 00:01:44,970 when we weren't getting along. 36 00:01:45,590 --> 00:01:47,760 You were, too, right? 37 00:01:50,480 --> 00:01:51,809 Yes. 38 00:01:51,810 --> 00:01:53,779 Anything that puts our friendship at risk 39 00:01:53,780 --> 00:01:55,770 isn't worth it to me. 40 00:01:56,220 --> 00:01:57,519 Okay, Shaun? 41 00:02:00,820 --> 00:02:02,619 Yes. 42 00:02:12,170 --> 00:02:14,169 Our gallbladder removal's off. 43 00:02:14,170 --> 00:02:15,499 Patient took an Ambien last night, 44 00:02:15,500 --> 00:02:17,000 woke up eating a roast chicken. 45 00:02:17,010 --> 00:02:18,299 Let's check the consult list 46 00:02:18,300 --> 00:02:19,900 for something a little more interesting. 47 00:02:19,930 --> 00:02:22,659 - See? Gallbladders are boring. - You're a resident. 48 00:02:22,660 --> 00:02:24,699 You don't get to call any surgery boring. 49 00:02:24,700 --> 00:02:26,199 See? 50 00:02:29,400 --> 00:02:31,030 This is interesting. 51 00:02:38,140 --> 00:02:39,479 Fizzy urine. 52 00:02:42,980 --> 00:02:44,779 42-year-old female, syncopal episode 53 00:02:44,780 --> 00:02:46,349 with persistent loss of consciousness. 54 00:02:46,350 --> 00:02:48,420 On the ride, she went into PVT, rate of 180. 55 00:02:48,480 --> 00:02:50,419 We shocked her back to normal sinus rhythm. 56 00:02:50,420 --> 00:02:51,789 I'm starting to feel... 57 00:02:52,990 --> 00:02:54,489 She's going back into PVT. 58 00:02:54,490 --> 00:02:55,679 We need to shock her. Get her into a bay. 59 00:02:55,680 --> 00:02:56,830 No. No. 60 00:03:00,070 --> 00:03:02,699 That was cool, but you may have just cracked her sternum. 61 00:03:02,700 --> 00:03:04,670 - Get her into bay 2. - What happened? 62 00:03:05,800 --> 00:03:07,600 - You're her husband? - Yes. 63 00:03:07,610 --> 00:03:09,709 Your wife is pretty frail. 64 00:03:09,710 --> 00:03:11,439 Any idea what could have caused that? 65 00:03:11,440 --> 00:03:12,920 She did. 66 00:03:13,680 --> 00:03:15,280 She's anorexic. 67 00:03:19,120 --> 00:03:27,120 Synced & corrected by -robtor- www.addic7ed.com 68 00:03:27,180 --> 00:03:30,040 I'm Dr. Murphy. This is Dr. Park. 69 00:03:30,050 --> 00:03:31,679 We're here about your urine. 70 00:03:31,680 --> 00:03:33,510 How long has it been fizzy? 71 00:03:33,520 --> 00:03:35,779 I hadn't even noticed. Is that a problem? 72 00:03:35,780 --> 00:03:38,719 Ah, it can be a symptom of several conditions, 73 00:03:38,720 --> 00:03:40,850 many of them minor. 74 00:03:40,860 --> 00:03:42,789 You're here for ortho, a scope on your right knee? 75 00:03:42,790 --> 00:03:45,489 It's been sore. I've been training for a race. 76 00:03:45,490 --> 00:03:48,699 Joint pain plus fizzy urine. 77 00:03:48,700 --> 00:03:51,460 You could have emphysematous cystitis, 78 00:03:51,470 --> 00:03:53,399 bladder cancer, kidney problems... 79 00:03:53,400 --> 00:03:55,739 Those sound serious. Should I call my husband? 80 00:03:55,740 --> 00:03:58,769 Emphysematous cystitis is a treatable bladder infection. 81 00:03:58,770 --> 00:04:01,709 Your symptoms could also be from a kidney stone 82 00:04:01,710 --> 00:04:03,079 or dehydration. 83 00:04:03,080 --> 00:04:05,309 Could my issues be caused by... 84 00:04:05,310 --> 00:04:07,179 gastric bypass surgery? 85 00:04:07,180 --> 00:04:08,779 It depends. When was it? 86 00:04:08,780 --> 00:04:10,449 15 years ago. 87 00:04:10,450 --> 00:04:12,789 I used to be 377 pounds. 88 00:04:12,790 --> 00:04:13,989 That's a lot. 89 00:04:13,990 --> 00:04:17,020 Your surgery wouldn't cause those symptoms, 90 00:04:17,030 --> 00:04:20,829 but we need to do a cystoscopy to find out what did. 91 00:04:20,830 --> 00:04:23,300 I'll cancel the ortho and get Lim to sign off. 92 00:04:24,700 --> 00:04:25,999 Hey, wait. What... 93 00:04:26,000 --> 00:04:27,970 So, what is a cystoscopy? 94 00:04:29,100 --> 00:04:31,369 It's like a knee scope, 95 00:04:31,370 --> 00:04:33,970 except the camera goes up your penis. 96 00:04:37,080 --> 00:04:39,209 You administered amiodarone? 97 00:04:39,210 --> 00:04:40,770 Rhythm's normal. 98 00:04:41,380 --> 00:04:43,480 That's good, right? 99 00:04:43,490 --> 00:04:45,360 It's better than when you came in. 100 00:04:46,050 --> 00:04:47,489 Your heart is failing 101 00:04:47,490 --> 00:04:50,859 as a result of a condition called mitral regurgitation. 102 00:04:50,860 --> 00:04:53,090 One of your valves isn't closing all the way. 103 00:04:53,100 --> 00:04:55,699 Blood keeps leaking back into your atrium. 104 00:04:55,700 --> 00:04:56,899 That's why you fainted 105 00:04:56,900 --> 00:04:58,670 and why we need to repair that valve ASAP. 106 00:05:01,240 --> 00:05:03,440 How long have you been anorexic? 107 00:05:06,540 --> 00:05:08,939 I've had issues with food 108 00:05:08,940 --> 00:05:10,640 on and off since I was 14. 109 00:05:10,650 --> 00:05:12,809 Mitral valve issues are a frequent complication 110 00:05:12,810 --> 00:05:14,180 of long-term malnutrition. 111 00:05:14,220 --> 00:05:16,590 This bout started about a year ago... 112 00:05:17,620 --> 00:05:19,689 skipping meals, lying about eating, 113 00:05:19,690 --> 00:05:21,350 exercising excessively. 114 00:05:21,360 --> 00:05:22,859 I don't know what else I can do. 115 00:05:22,860 --> 00:05:24,859 I-I can't monitor her 24 hours a day. 116 00:05:24,860 --> 00:05:26,229 I'm not asking you to. 117 00:05:26,230 --> 00:05:27,829 No, but you are starving yourself. 118 00:05:27,830 --> 00:05:29,329 Mom. 119 00:05:29,330 --> 00:05:31,299 Graham-y, come here. 120 00:05:31,300 --> 00:05:32,990 What's he doing here? 121 00:05:33,800 --> 00:05:36,239 When I got home, I heard about the ambulance. 122 00:05:36,240 --> 00:05:38,410 I made Cindy bring me here. 123 00:05:38,430 --> 00:05:40,330 What's wrong with my mom? 124 00:05:43,140 --> 00:05:45,780 She needs a surgery to repair a valve in her heart. 125 00:05:47,250 --> 00:05:49,920 This heart thing, is, is that why she's so skinny? 126 00:05:50,890 --> 00:05:52,989 Look, what matters, Graham, 127 00:05:52,990 --> 00:05:56,050 is that these doctors are gonna help your mom. 128 00:05:57,090 --> 00:05:58,290 Okay? 129 00:06:04,570 --> 00:06:08,030 You haven't moved your bowels. 130 00:06:08,040 --> 00:06:09,739 Well, thank you, Shaun, for that announcement. 131 00:06:09,740 --> 00:06:11,539 Saves me the trouble of tweeting. 132 00:06:11,540 --> 00:06:14,509 The nurses already knew. They told me. 133 00:06:14,510 --> 00:06:16,309 They also said 134 00:06:16,310 --> 00:06:18,909 you're no longer talking to your dead daughter. 135 00:06:18,910 --> 00:06:22,149 Constipated, but no longer psychotic. A narrow win. 136 00:06:22,150 --> 00:06:24,419 Your first defecation event 137 00:06:24,420 --> 00:06:27,519 is a vital part of the discharge criteria. 138 00:06:27,520 --> 00:06:30,259 Event? What is this, the post-op decathlon, 139 00:06:30,260 --> 00:06:32,329 - pooping, peeing, walking, talking? - Yes. 140 00:06:32,330 --> 00:06:34,759 You have to walk a full lap of the floor. 141 00:06:34,760 --> 00:06:37,729 But you canceled physical therapy this morning. 142 00:06:37,730 --> 00:06:39,129 Those nurses have big mouths. 143 00:06:39,130 --> 00:06:42,199 I canceled because my leg is a little sore. 144 00:06:42,200 --> 00:06:44,400 That could be phlebitis 145 00:06:44,410 --> 00:06:45,539 or a DVT or a... 146 00:06:45,540 --> 00:06:47,870 Could also be an unsurprising complication 147 00:06:47,880 --> 00:06:50,040 from a surgeon poking around in my pons. 148 00:06:50,050 --> 00:06:51,879 Every day in the hospital 149 00:06:51,880 --> 00:06:56,449 increases your risk of infection by 1.37%. 150 00:06:56,450 --> 00:06:59,640 You need to move your bowels, and we should walk right now. 151 00:07:01,190 --> 00:07:03,089 I'll go very slow. 152 00:07:03,090 --> 00:07:04,320 Shaun, is there any chance 153 00:07:04,330 --> 00:07:07,000 that you are needed elsewhere right now? 154 00:07:08,860 --> 00:07:10,599 I-I have 8 minutes 155 00:07:10,600 --> 00:07:13,030 until my patient's cystoscopy. 156 00:07:13,040 --> 00:07:14,840 Good. Be early. 157 00:07:16,070 --> 00:07:17,800 Urethra looks clean. 158 00:07:17,810 --> 00:07:19,939 No lesions, no stones so far. 159 00:07:19,940 --> 00:07:22,779 How do we check for obstructions or stones further up? 160 00:07:22,780 --> 00:07:25,349 Contrast cystogram. 161 00:07:25,350 --> 00:07:27,079 Since you found this patient, 162 00:07:27,080 --> 00:07:28,550 how about you do the honors? 163 00:07:30,720 --> 00:07:33,389 You know this guy used to weigh 370 pounds? 164 00:07:33,390 --> 00:07:36,659 Thread the catheter further into the bladder. 165 00:07:36,660 --> 00:07:38,659 That's a big drop. Good for him. 166 00:07:38,660 --> 00:07:40,990 He did have gastric bypass. 167 00:07:41,000 --> 00:07:42,759 That makes it less impressive? 168 00:07:42,760 --> 00:07:44,760 - Now infuse the contrast. - Well, yeah, 169 00:07:44,770 --> 00:07:47,730 it is the easy way, compared to just diet and exercise. 170 00:07:47,740 --> 00:07:50,469 The contrast dye is dissipating. 171 00:07:50,470 --> 00:07:51,939 It's supposed to. 172 00:07:51,940 --> 00:07:54,209 You said he's training for a race. 173 00:07:54,210 --> 00:07:55,839 Obviously, he turned his life around. 174 00:07:55,840 --> 00:07:57,309 Still dissipating. 175 00:07:57,310 --> 00:07:59,009 Bypass made it physically impossible 176 00:07:59,010 --> 00:08:00,279 for him to eat as much as he wanted. 177 00:08:00,280 --> 00:08:03,140 It's gone. The contrast is gone. 178 00:08:05,620 --> 00:08:07,550 - That makes no sense. - Where did it go? 179 00:08:07,560 --> 00:08:11,489 He probably has a fistula, 180 00:08:11,490 --> 00:08:14,929 a tunnel connecting his bladder to his intestine. 181 00:08:14,930 --> 00:08:16,829 Air and bacteria moving the other direction 182 00:08:16,830 --> 00:08:18,429 caused bubbles in his urine. 183 00:08:21,740 --> 00:08:23,469 Her liver and thyroid are normal, 184 00:08:23,470 --> 00:08:26,109 but her electrolytes are off. 185 00:08:26,110 --> 00:08:27,809 Her albumin is at 2.1. 186 00:08:27,810 --> 00:08:29,179 She's severely malnourished. 187 00:08:29,180 --> 00:08:32,160 She'll be totally vulnerable to post-op infections. 188 00:08:32,650 --> 00:08:34,349 She needs this surgery to survive, 189 00:08:34,350 --> 00:08:36,519 but she may be too sick to survive the surgery. 190 00:08:44,220 --> 00:08:45,720 In order to operate safely, 191 00:08:45,750 --> 00:08:47,330 we need to boost your caloric intake, 192 00:08:47,360 --> 00:08:48,589 optimize protein. 193 00:08:48,590 --> 00:08:50,120 Can't you do that through my IV? 194 00:08:50,130 --> 00:08:52,290 It's more efficient to pump a nutritional supplement 195 00:08:52,300 --> 00:08:53,590 directly into your stomach. 196 00:08:53,600 --> 00:08:55,560 We use a tube running down from your nose. 197 00:08:55,570 --> 00:08:57,530 I had an NG tube once. 198 00:08:58,500 --> 00:09:00,430 It didn't work. 199 00:09:01,020 --> 00:09:02,640 She couldn't tolerate it. 200 00:09:03,170 --> 00:09:06,139 Because it's not really about food. 201 00:09:06,140 --> 00:09:07,510 It's about control. 202 00:09:08,780 --> 00:09:10,849 You've lived for decades 203 00:09:10,850 --> 00:09:13,049 with a condition that has killed more people 204 00:09:13,050 --> 00:09:15,880 than any other psychiatric illness. 205 00:09:15,890 --> 00:09:18,290 You didn't just survive. You had a child. 206 00:09:20,120 --> 00:09:21,760 Can you tell us how? 207 00:09:24,660 --> 00:09:29,599 When I got pregnant, it was like this terrifying miracle. 208 00:09:29,600 --> 00:09:33,669 And the thought of gaining all that weight, but... 209 00:09:33,670 --> 00:09:37,369 I wanted him so much. 210 00:09:37,370 --> 00:09:38,739 We both did. 211 00:09:38,740 --> 00:09:42,779 Every meal, I would sit with pictures of his ultrasound, 212 00:09:42,780 --> 00:09:45,710 I-imagining the food going directly to him. 213 00:09:49,690 --> 00:09:51,550 Can you do that again? 214 00:09:52,060 --> 00:09:53,520 Eat for Graham? 215 00:10:04,700 --> 00:10:06,069 We've determined the fistula 216 00:10:06,070 --> 00:10:07,299 between your bladder and intestine 217 00:10:07,300 --> 00:10:09,139 was caused by Crohn's disease, 218 00:10:09,140 --> 00:10:11,339 an inflammatory intestinal condition. 219 00:10:11,340 --> 00:10:13,639 Once we reverse your gastric bypass, 220 00:10:13,640 --> 00:10:16,379 - you'll need... - Wait. R-Reverse my bypass? 221 00:10:16,380 --> 00:10:17,509 Are you sure? 222 00:10:17,510 --> 00:10:19,879 Bypass surgery shortens the digestive tract. 223 00:10:19,880 --> 00:10:21,479 People with Crohn's disease need 224 00:10:21,480 --> 00:10:22,780 every inch of intestine they have, 225 00:10:22,790 --> 00:10:24,349 or they risk critical, 226 00:10:24,350 --> 00:10:25,989 even fatal malnutrition. 227 00:10:25,990 --> 00:10:28,189 Okay, but I don't want my husband to know, 228 00:10:28,190 --> 00:10:30,059 and he'll be here soon. 229 00:10:30,060 --> 00:10:32,059 Well, we would never reveal anything 230 00:10:32,060 --> 00:10:33,490 without your permission, 231 00:10:33,500 --> 00:10:36,680 but Crohn's disease is going to require 232 00:10:36,700 --> 00:10:38,469 some major adjustments. 233 00:10:38,470 --> 00:10:40,939 Well, I'll tell Spence about the Crohn's, 234 00:10:40,940 --> 00:10:44,020 and I'll tell him I'm having surgery... 235 00:10:44,510 --> 00:10:46,110 on my bladder. 236 00:10:48,210 --> 00:10:50,440 Your husband doesn't know you had gastric bypass? 237 00:10:50,450 --> 00:10:52,679 That would require him knowing I was obese to begin with. 238 00:10:52,680 --> 00:10:53,710 That's not gonna happen. 239 00:10:53,720 --> 00:10:56,320 Your husband must be very shallow. 240 00:10:57,290 --> 00:10:59,789 Even if I don't disclose 241 00:10:59,790 --> 00:11:02,689 that I reversed your bypass, your scars might. 242 00:11:02,690 --> 00:11:04,559 It requires a separate incision. 243 00:11:04,560 --> 00:11:06,209 Well, tell him there was a complication. 244 00:11:06,210 --> 00:11:09,529 Our obligation to protect your privacy doesn't include lying. 245 00:11:09,530 --> 00:11:10,869 And you shouldn't have to go through this without him. 246 00:11:10,870 --> 00:11:15,070 The single abdominal umbilical port. 247 00:11:16,640 --> 00:11:19,609 We can repair Wade's fistula 248 00:11:19,610 --> 00:11:21,679 and reverse his bypass 249 00:11:21,680 --> 00:11:23,979 all through a single incision. 250 00:11:23,980 --> 00:11:27,249 We can help deceive your husband. 251 00:11:27,250 --> 00:11:28,949 - Oh, honey, I'm so sorry. - That's okay, Spence. 252 00:11:28,950 --> 00:11:31,050 - Got here... as soon as I could. - It's all right. 253 00:11:33,190 --> 00:11:36,520 And since my husband is surrounded by surgeons, 254 00:11:36,530 --> 00:11:38,029 what's the issue, what are you gonna do about it, 255 00:11:38,030 --> 00:11:40,390 and how often have you done it successfully? 256 00:11:48,870 --> 00:11:50,340 How are you doing? 257 00:11:51,110 --> 00:11:52,470 I'm fine. 258 00:11:57,050 --> 00:11:59,079 Graham, would you mind filling this? 259 00:12:02,690 --> 00:12:04,749 You've had one spoonful of tuna, 260 00:12:04,750 --> 00:12:07,089 2 ounces of apple sauce. 261 00:12:07,090 --> 00:12:08,519 That's it? 262 00:12:08,520 --> 00:12:11,189 Mom, if that's all I had, you'd never let me up from the table. 263 00:12:11,190 --> 00:12:13,129 This is different. I... 264 00:12:13,130 --> 00:12:14,399 can't eat too quickly. 265 00:12:14,400 --> 00:12:15,600 I don't believe you. 266 00:12:16,700 --> 00:12:17,770 It's true. 267 00:12:17,780 --> 00:12:20,130 Your mother is suffering from severe malnutrition, 268 00:12:20,140 --> 00:12:22,069 - and she's trying her best... - I knew it. 269 00:12:22,070 --> 00:12:24,300 You're too skinny. That's why you're here. 270 00:12:24,320 --> 00:12:25,570 That's probably why your heart's messed up, 271 00:12:25,580 --> 00:12:27,779 - and you still won't eat. - Graham, I am trying. 272 00:12:27,780 --> 00:12:30,040 - How hard can it be to eat? - I'm not feeling well. 273 00:12:30,050 --> 00:12:31,649 Me and Dad are really worried about you. 274 00:12:31,650 --> 00:12:33,840 - Don't you care? - Of course I do, Graham. 275 00:12:34,520 --> 00:12:36,430 - So much. - Then do something. 276 00:12:37,350 --> 00:12:38,889 Prove it. 277 00:12:47,900 --> 00:12:49,329 You provoked that argument? 278 00:12:49,330 --> 00:12:52,099 Yep, and I may have just saved our patient. 279 00:12:52,100 --> 00:12:54,569 She requested an NG tube. 280 00:12:54,570 --> 00:12:57,200 Understanding is nice. Calories are better. 281 00:13:00,210 --> 00:13:02,409 He's screwing this up. His husband's scared, 282 00:13:02,410 --> 00:13:03,940 and he just wants to know what's going on. 283 00:13:03,950 --> 00:13:06,910 Nothing like marital advice from the divorced. 284 00:13:06,920 --> 00:13:09,249 - You're divorced, too. - And I'm not advising. 285 00:13:09,250 --> 00:13:11,319 I'm not judging the health of a marriage 286 00:13:11,320 --> 00:13:14,259 based on a single secret, which is neither shocking 287 00:13:14,260 --> 00:13:15,920 nor a sign of its imminent demise. 288 00:13:15,930 --> 00:13:17,759 What, truth in a marriage is overrated? 289 00:13:17,760 --> 00:13:20,360 Well, it was in mine. Not every single insight, 290 00:13:20,420 --> 00:13:22,499 opinion, or impulse needs to be shared. 291 00:13:22,500 --> 00:13:24,099 Marriage sounds confusing. 292 00:13:24,100 --> 00:13:25,870 No wonder you both failed at it. 293 00:13:30,670 --> 00:13:32,770 How's it going in here? 294 00:13:32,780 --> 00:13:34,740 Not as bad as I remember. 295 00:13:35,980 --> 00:13:38,279 Does it hurt, Mom? 296 00:13:38,280 --> 00:13:41,240 No, just a little awkward. 297 00:13:41,720 --> 00:13:43,619 Makes it hard to talk. 298 00:13:43,620 --> 00:13:45,390 But I'm okay. 299 00:13:48,920 --> 00:13:50,459 I am so proud of you. 300 00:14:01,870 --> 00:14:03,939 Dr. Glassman hasn't defecated 301 00:14:03,940 --> 00:14:05,709 or done his physical therapy. 302 00:14:05,710 --> 00:14:08,209 I am aware and yet unalarmed. 303 00:14:08,210 --> 00:14:11,140 - Who are you? - I'm Dr. Shaun Murphy. 304 00:14:11,150 --> 00:14:13,060 Oh, right! 305 00:14:13,820 --> 00:14:17,080 Your Dr. Glassman's... friend. 306 00:14:17,090 --> 00:14:19,989 Please order him to do physical therapy 307 00:14:19,990 --> 00:14:22,889 and give him 15 milligrams of ex-lax. 308 00:14:22,890 --> 00:14:24,959 The ex-lax is a decent idea. 309 00:14:24,960 --> 00:14:28,559 As for the physical therapy, of course, he's stalling. 310 00:14:28,560 --> 00:14:31,460 Glassman's a proud man. He ran this hospital. 311 00:14:31,470 --> 00:14:33,199 He's reluctant to feel weak and vulnerable 312 00:14:33,200 --> 00:14:35,239 in front of people who used to work for him. 313 00:14:35,240 --> 00:14:37,400 That doesn't make sense. 314 00:14:37,410 --> 00:14:39,539 He is weak. He just had brain surgery. 315 00:14:39,540 --> 00:14:41,639 Well, sensical or not, that's my take. 316 00:14:41,640 --> 00:14:43,009 He'll walk eventually. 317 00:14:43,010 --> 00:14:45,779 Every day in the hospital 318 00:14:45,780 --> 00:14:48,719 increases his risk of infection by 1.37... 319 00:14:48,720 --> 00:14:50,259 Well, you tell him that, 320 00:14:50,260 --> 00:14:51,949 and maybe he'll hop right out of bed. 321 00:14:51,950 --> 00:14:53,850 I did. It didn't work. 322 00:14:53,860 --> 00:14:56,119 He didn't respond to the stick. 323 00:14:56,120 --> 00:14:58,600 Try the carrot. Although, really, I would just advise... 324 00:15:00,200 --> 00:15:03,080 Dr. Glassman doesn't like carrots. 325 00:15:04,130 --> 00:15:06,070 What should I do with the stick? 326 00:15:07,330 --> 00:15:09,299 It's a metaphor. 327 00:15:09,300 --> 00:15:12,409 Uh, Glassman, appropriately, is the donkey. 328 00:15:12,410 --> 00:15:14,970 The stick signifies punishment. 329 00:15:14,980 --> 00:15:17,019 The carrot signifies... 330 00:15:17,020 --> 00:15:19,879 reward, but he is, he's recovering nicely, 331 00:15:19,880 --> 00:15:22,279 and your best bet is to just be patient with him. 332 00:15:23,450 --> 00:15:26,249 So, I should use a reward 333 00:15:26,250 --> 00:15:30,189 to motivate Dr. Glassman to do physical therapy. 334 00:15:30,190 --> 00:15:32,229 Actually... what I'm saying 335 00:15:32,230 --> 00:15:35,559 is that you should be patient and supportive... 336 00:15:37,070 --> 00:15:39,330 ...and please, please answer that. 337 00:15:46,610 --> 00:15:48,110 Close the door. 338 00:15:53,480 --> 00:15:56,179 We were headed to pre-op when he started projectile vomiting. 339 00:15:56,180 --> 00:15:58,619 It's... green. 340 00:15:58,620 --> 00:16:01,819 That could mean bile and a partial bowel obstruction. 341 00:16:01,820 --> 00:16:04,159 - We need an NG tube. - An obstruction? 342 00:16:04,160 --> 00:16:06,340 Did the Crohn's cause that? 343 00:16:06,930 --> 00:16:09,259 It's hard to know for sure. NG tube, stat. 344 00:16:17,770 --> 00:16:19,310 You're doing great. 345 00:16:20,510 --> 00:16:22,939 You should try and get some sleep. 346 00:16:22,940 --> 00:16:24,360 I can't. 347 00:16:24,910 --> 00:16:28,149 There's this voice in my head, 348 00:16:28,150 --> 00:16:29,660 and it won't be quiet. 349 00:16:30,350 --> 00:16:32,089 It keeps telling me that 350 00:16:32,090 --> 00:16:37,459 this bag has 60 grams of protein, 351 00:16:37,460 --> 00:16:39,489 40 grams of fat, 352 00:16:39,490 --> 00:16:41,999 1,200 calories in total. 353 00:16:42,000 --> 00:16:44,399 It just won't stop. 354 00:16:46,600 --> 00:16:49,670 Try... to think of Graham and Sam. 355 00:16:51,170 --> 00:16:52,570 I'm trying. 356 00:16:55,010 --> 00:16:56,710 I'll get something to put over that. 357 00:17:02,620 --> 00:17:03,649 Louisa, no! 358 00:17:03,650 --> 00:17:06,549 No! 359 00:17:06,550 --> 00:17:08,120 No! 360 00:17:10,120 --> 00:17:11,689 I'm sorry. 361 00:17:11,690 --> 00:17:13,759 I c... I just... 362 00:17:13,760 --> 00:17:15,700 I can't stand it. 363 00:17:22,950 --> 00:17:24,820 I got your deposit back. 364 00:17:25,530 --> 00:17:26,800 Why? 365 00:17:26,960 --> 00:17:30,859 Shaun, I told you that you and I can't live together. 366 00:17:30,860 --> 00:17:32,399 No. 367 00:17:32,400 --> 00:17:33,799 You told me 368 00:17:33,800 --> 00:17:35,729 we can't be boyfriend 369 00:17:35,730 --> 00:17:37,230 and girlfriend. 370 00:17:37,240 --> 00:17:40,870 We can s-still be friends with benefits. 371 00:17:42,210 --> 00:17:44,709 The benefit is... 372 00:17:44,710 --> 00:17:47,440 we would be living together. 373 00:17:47,450 --> 00:17:48,749 I was clear. 374 00:17:48,750 --> 00:17:50,410 - It's too complicated... - You were. 375 00:17:50,420 --> 00:17:53,649 We can't date or kiss or have sex. 376 00:17:58,160 --> 00:18:00,459 But I thought you wanted to be friends. 377 00:18:00,460 --> 00:18:01,959 Yes. Of course. 378 00:18:01,960 --> 00:18:03,559 - And spend time together. - Right. 379 00:18:03,560 --> 00:18:04,830 Then it's simple. 380 00:18:09,900 --> 00:18:12,139 She begged us to reinsert the NG tube, 381 00:18:12,140 --> 00:18:13,869 then pulled it out again an hour later. 382 00:18:13,870 --> 00:18:16,839 Do we try again with the tube and restraints? 383 00:18:16,840 --> 00:18:19,309 Oh, we'd just be raising her risk of self-injury, 384 00:18:19,310 --> 00:18:20,879 pneumonia, a blood clot. 385 00:18:20,880 --> 00:18:22,709 What about going back to solid food? 386 00:18:22,710 --> 00:18:24,679 Anything less than 1,200 calories a day, 387 00:18:24,680 --> 00:18:27,119 and her malnutrition wouldn't be improving. 388 00:18:27,120 --> 00:18:29,140 In fact, she'll keep losing weight. 389 00:18:29,920 --> 00:18:31,760 We should go ahead with that valve repair now. 390 00:18:36,090 --> 00:18:38,929 I think we can improve her nutrition 391 00:18:38,930 --> 00:18:41,530 without force-feeding or IVs. 392 00:18:42,830 --> 00:18:46,180 I found a small study where deep brain stimulation 393 00:18:46,240 --> 00:18:47,739 was used to treat anorexia. 394 00:18:47,740 --> 00:18:50,880 You want to use brain surgery for a psychiatric disorder? 395 00:18:50,900 --> 00:18:52,739 Surgical procedures have been effective 396 00:18:52,740 --> 00:18:56,010 for, uh, depression, OCD, addiction. 397 00:18:58,480 --> 00:19:01,549 This surgery could reduce her anxiety around eating. 398 00:19:01,550 --> 00:19:03,519 Once she's eating, her malnutrition will improve 399 00:19:03,520 --> 00:19:05,419 and reduce the risk of the valve repair. 400 00:19:05,420 --> 00:19:07,820 It could also cause personality changes. 401 00:19:09,130 --> 00:19:11,899 And this study covers six subjects 402 00:19:11,900 --> 00:19:13,799 with only 50% success. 403 00:19:13,800 --> 00:19:15,699 Well, this could be Louisa's only shot 404 00:19:15,700 --> 00:19:16,969 at getting free of this illness. 405 00:19:16,970 --> 00:19:19,339 And it was done in the UK. 406 00:19:19,340 --> 00:19:21,939 DBS isn't FDA-approved for anorexia treatment here. 407 00:19:21,940 --> 00:19:24,139 So, we call an IRB ethics hearing 408 00:19:24,140 --> 00:19:25,839 and argue emergent-use approval. 409 00:19:25,840 --> 00:19:28,040 Which we shouldn't get off such little data. 410 00:19:29,690 --> 00:19:31,430 Nice work digging this up, 411 00:19:31,450 --> 00:19:33,390 but it's not a real option. 412 00:19:35,190 --> 00:19:37,250 Let's go talk to her about the valve surgery. 413 00:19:43,000 --> 00:19:44,569 Can I help you? 414 00:19:44,570 --> 00:19:47,139 I'm looking for a carrot. 415 00:19:47,140 --> 00:19:49,070 17, 18, 19... 416 00:19:49,080 --> 00:19:51,679 No, uh, sorry, we don't have any carrot muffins. 417 00:19:51,680 --> 00:19:53,680 How about a lemon-poppy, Shaun? 418 00:19:56,820 --> 00:19:58,949 Hello, Debbie Wexler. 419 00:19:58,950 --> 00:20:02,689 It's a metaphor for moving a donkey. 420 00:20:02,690 --> 00:20:05,000 I need a carrot because I don't want 421 00:20:05,020 --> 00:20:07,489 to beat Dr. Glassman with a stick. 422 00:20:07,490 --> 00:20:09,859 He likes blueberry muffins. 423 00:20:09,860 --> 00:20:11,299 How's Aaron, 424 00:20:11,300 --> 00:20:13,199 Dr. Glassman recovering? 425 00:20:13,200 --> 00:20:15,669 He moved his bowels this morning. 426 00:20:15,670 --> 00:20:18,520 But he doesn't want to appear weak, 427 00:20:18,540 --> 00:20:21,870 so he hasn't done physical therapy. 428 00:20:21,880 --> 00:20:24,419 I want that blueberry muffin, please. 429 00:20:24,420 --> 00:20:27,460 It has 23 visible blueberries. 430 00:20:27,560 --> 00:20:30,170 You know, Aaron once told me 431 00:20:30,200 --> 00:20:33,319 that his absolute favorites were the chocolate chip ones. 432 00:20:33,320 --> 00:20:35,089 Do you want one of those instead? 433 00:20:35,090 --> 00:20:38,120 Yes, I want one of those instead. 434 00:20:47,670 --> 00:20:49,669 Oh, hi, Dr. Park. 435 00:20:49,670 --> 00:20:52,240 Um, I have a few questions about Wade's surgery. 436 00:20:52,260 --> 00:20:53,540 Sorry, I'm pretty busy. 437 00:20:53,550 --> 00:20:55,109 Actually, I need to get going. 438 00:20:55,110 --> 00:20:56,370 Uh, I'll walk with you. 439 00:20:56,430 --> 00:20:58,189 I know Wade's surgery is this afternoon, 440 00:20:58,190 --> 00:21:00,729 but I've been researching treatments for Crohn's lesions. 441 00:21:00,730 --> 00:21:02,160 What'd we do before the Internet? 442 00:21:02,170 --> 00:21:04,529 I talked to two experts who felt that Wade should be put 443 00:21:04,530 --> 00:21:06,800 on REMICADE or Azathioprine 444 00:21:06,820 --> 00:21:08,539 before any surgical interventions. 445 00:21:08,540 --> 00:21:09,800 Interesting recommendations, 446 00:21:09,810 --> 00:21:11,609 but considering they haven't seen your husband's chart... 447 00:21:11,610 --> 00:21:13,280 Well, this doctor felt strongly that you should see 448 00:21:13,300 --> 00:21:14,539 how he responds to medication before... 449 00:21:14,540 --> 00:21:16,636 Wade's care is completely appropriate for his condition. 450 00:21:16,660 --> 00:21:18,109 But if his Crohn's lesions could be treated 451 00:21:18,110 --> 00:21:20,590 - without cutting him open... - That's not what we're treating. 452 00:21:22,690 --> 00:21:23,950 Excuse me? 453 00:21:25,850 --> 00:21:27,360 Go talk to your husband. 454 00:21:33,330 --> 00:21:37,200 I brought you a chocolate chip muffin. 455 00:21:37,930 --> 00:21:39,499 I love chocolate chip. 456 00:21:39,500 --> 00:21:40,840 Thank you. 457 00:21:43,610 --> 00:21:45,270 Where is it? 458 00:21:45,280 --> 00:21:47,609 At the nurse's station. 459 00:21:47,610 --> 00:21:50,360 - You can walk out to get it. - Shaun, you see, 460 00:21:50,380 --> 00:21:52,249 here I thought you were doing something nice for me. 461 00:21:52,250 --> 00:21:53,679 - I am. - No, you're not. 462 00:21:53,680 --> 00:21:54,800 You're manipulating. 463 00:21:54,860 --> 00:21:55,880 My leg hurts, 464 00:21:55,900 --> 00:21:58,219 and I-I have a sore throat, 465 00:21:58,220 --> 00:22:00,389 and I don't feel like walking. 466 00:22:00,390 --> 00:22:04,129 Dr. Blaize says you don't want to seem weak 467 00:22:04,130 --> 00:22:06,390 in front of people who used to work for you. 468 00:22:06,400 --> 00:22:07,420 Dr. Blaize is wrong. 469 00:22:07,440 --> 00:22:10,099 I don't want to walk because I don't want to walk. 470 00:22:10,100 --> 00:22:12,099 And this is condescending, 471 00:22:12,100 --> 00:22:14,200 and it's insulting, and it's annoying. 472 00:22:18,090 --> 00:22:20,020 Should I get you your muffin? 473 00:22:21,490 --> 00:22:22,860 Well, that would be nice. 474 00:22:29,030 --> 00:22:31,100 An orderly is eating it. 475 00:22:44,450 --> 00:22:46,450 Mr. DeLeon, can I help you? 476 00:22:48,190 --> 00:22:49,490 Uh... 477 00:22:50,590 --> 00:22:54,029 my wife's decided against the valve-repair surgery, 478 00:22:54,030 --> 00:22:55,290 at least until she's tried 479 00:22:55,300 --> 00:22:57,399 the deep brain stimulation for her anorexia. 480 00:23:02,490 --> 00:23:04,119 Did Dr. Browne tell you 481 00:23:04,120 --> 00:23:05,899 that it's an experimental brain surgery, 482 00:23:05,900 --> 00:23:07,989 which could alter your wife's personality forever? 483 00:23:07,990 --> 00:23:10,189 That's if we get the special approval required. 484 00:23:10,190 --> 00:23:12,429 She's explained all the issues. 485 00:23:29,500 --> 00:23:32,069 I got our apartment back. 486 00:23:32,070 --> 00:23:35,609 I had to pay $300 more as a deposit 487 00:23:35,610 --> 00:23:38,009 because someone else wanted it, but that's okay. 488 00:23:38,010 --> 00:23:39,640 No, Shaun! 489 00:23:39,650 --> 00:23:41,479 It has a fireplace. 490 00:23:41,480 --> 00:23:43,479 Why aren't you listening to me?! 491 00:23:43,480 --> 00:23:45,319 You're not listening to me! 492 00:23:56,030 --> 00:23:59,660 I'll be okay running into you naked... 493 00:23:59,670 --> 00:24:02,880 or hearing sex noises 494 00:24:02,900 --> 00:24:05,700 or seeing you cry over breakups with drummers. 495 00:24:06,770 --> 00:24:09,069 I know that you think you can, but how can you be sure? 496 00:24:09,070 --> 00:24:11,439 Because living with you 497 00:24:11,440 --> 00:24:13,180 will be good for me. 498 00:24:14,750 --> 00:24:16,679 It makes me happy. 499 00:24:23,990 --> 00:24:27,720 You remember what you said, Shaun, 500 00:24:27,730 --> 00:24:30,990 that no one can predict the future 501 00:24:31,000 --> 00:24:33,400 and feelings can change? 502 00:24:34,970 --> 00:24:37,700 What if I end up hurting you again? 503 00:24:38,170 --> 00:24:41,199 I don't want to risk our friendship 504 00:24:41,200 --> 00:24:43,240 over an apartment. 505 00:24:44,110 --> 00:24:45,380 Do you? 506 00:24:51,450 --> 00:24:55,000 If we don't live together, 507 00:24:55,820 --> 00:24:59,430 you will have to buy your own batteries. 508 00:25:01,430 --> 00:25:03,759 - We'll still see each other. - That will be hard. 509 00:25:03,760 --> 00:25:06,599 - I work a lot. - We'll find a way. I know we will. 510 00:25:14,370 --> 00:25:17,270 I need to go to work. 511 00:25:26,020 --> 00:25:27,780 I'll stop on the way home 512 00:25:27,790 --> 00:25:30,119 and tell the manager 513 00:25:30,120 --> 00:25:32,420 we don't want the apartment. 514 00:25:34,760 --> 00:25:36,329 No, I'll do it. 515 00:25:55,150 --> 00:25:57,279 The subjects who responded in this study 516 00:25:57,280 --> 00:26:01,349 are all long-term sufferers with a target BMI of 13-16, 517 00:26:01,350 --> 00:26:03,150 who actively pursued this treatment, 518 00:26:03,160 --> 00:26:05,089 much like our patient. 519 00:26:05,090 --> 00:26:09,289 Additionally, DBS surgery requires lighter sedation 520 00:26:09,290 --> 00:26:11,029 and places less strain on her system 521 00:26:11,030 --> 00:26:13,300 than an open-chest procedure. 522 00:26:13,360 --> 00:26:14,999 You're referring to the valve repair 523 00:26:15,000 --> 00:26:16,600 recommended by Dr. Melendez? 524 00:26:17,800 --> 00:26:18,980 Yes. 525 00:26:19,040 --> 00:26:22,170 I propose delaying that surgery by a couple weeks, 526 00:26:22,200 --> 00:26:23,339 which would be well worth it 527 00:26:23,340 --> 00:26:24,739 in terms of reduction of risk 528 00:26:24,740 --> 00:26:26,780 if the DBS is successful. 529 00:26:28,480 --> 00:26:30,379 Excellent presentation, Dr. Browne. 530 00:26:30,380 --> 00:26:31,679 Very thorough. 531 00:26:31,680 --> 00:26:33,980 Agreed, though I do have concerns 532 00:26:33,990 --> 00:26:35,349 about approving this procedure 533 00:26:35,350 --> 00:26:37,789 based on the small subject pool. 534 00:26:37,790 --> 00:26:38,859 But I'll confer with... 535 00:26:38,860 --> 00:26:41,259 There is, uh, one more person 536 00:26:41,260 --> 00:26:44,429 I want you to hear from, the patient. 537 00:26:44,430 --> 00:26:47,100 This is an IRB, not a therapy session. 538 00:26:49,700 --> 00:26:52,239 Actually, patients who had the opportunity 539 00:26:52,240 --> 00:26:55,769 to air their concerns are eight times less likely 540 00:26:55,770 --> 00:26:57,709 to sue their hospital. 541 00:27:02,510 --> 00:27:03,749 You paged me? 542 00:27:03,750 --> 00:27:05,550 You can step out. Dr. Park's got this. 543 00:27:08,350 --> 00:27:09,590 Grab the sheet. 544 00:27:14,290 --> 00:27:16,690 You talked to Wade's husband. 545 00:27:16,700 --> 00:27:18,429 Maybe we should discuss this later. 546 00:27:18,430 --> 00:27:20,860 I can patch him up while tearing you down. 547 00:27:20,870 --> 00:27:23,030 You violated our patient's confidentiality. 548 00:27:23,040 --> 00:27:24,399 I told him what we weren't treating. 549 00:27:24,400 --> 00:27:25,939 That's not a violation. 550 00:27:25,940 --> 00:27:27,369 And their marriage is better off 551 00:27:27,370 --> 00:27:29,239 for having his secrets out in the open. 552 00:27:29,240 --> 00:27:31,009 That'd be meaningful if you were a marriage counselor 553 00:27:31,010 --> 00:27:33,479 instead of a surgical resident. 554 00:27:33,480 --> 00:27:35,049 Whatever lie blew up your marriage 555 00:27:35,050 --> 00:27:37,249 won't be undone if Wade tells the truth. 556 00:27:39,820 --> 00:27:41,349 I was just trying to help our patient. 557 00:27:41,350 --> 00:27:43,150 Our former patient. 558 00:27:43,160 --> 00:27:45,419 Wade's demanding a transfer to another hospital. 559 00:27:50,190 --> 00:27:54,899 I have tried cognitive behavioral therapy, 560 00:27:54,900 --> 00:27:57,810 food psychodynamic therapy, 561 00:27:59,040 --> 00:28:01,440 family therapy, 562 00:28:02,110 --> 00:28:05,239 in-patient treatment, out-patient treatment, 563 00:28:05,240 --> 00:28:08,379 anti-depressants, NG tubes, 564 00:28:08,380 --> 00:28:10,180 TPN. 565 00:28:11,920 --> 00:28:15,349 And yet, here I am, dying. 566 00:28:19,760 --> 00:28:21,730 Killing myself. 567 00:28:23,290 --> 00:28:26,999 And I can't stop on my own. 568 00:28:27,000 --> 00:28:28,720 Please... 569 00:28:29,540 --> 00:28:32,969 help me... to stop. 570 00:28:38,410 --> 00:28:40,109 Are you aware 571 00:28:40,110 --> 00:28:44,149 DBS has been known to cause personality changes? 572 00:28:44,150 --> 00:28:45,779 In your case, the electrode 573 00:28:45,780 --> 00:28:47,419 would be at the nucleus accumbens... 574 00:28:47,420 --> 00:28:50,689 Dr. Browne explained all of the risks. 575 00:28:50,690 --> 00:28:52,560 It's important we know that you understand. 576 00:28:53,890 --> 00:28:57,929 The nucleus accumbens plays a role in maternal attachment, 577 00:28:57,930 --> 00:29:01,250 delivering dopamine when moms interact with their children. 578 00:29:03,000 --> 00:29:07,670 Now, what if in trying to overcome your eating disorder... 579 00:29:08,410 --> 00:29:10,670 you lose the ability to feel love for your son? 580 00:29:20,290 --> 00:29:23,690 My son is everything to me. 581 00:29:25,090 --> 00:29:26,859 For that past year, he has been watching me 582 00:29:26,860 --> 00:29:28,760 starve myself to death. 583 00:29:30,760 --> 00:29:33,360 I'll risk anything 584 00:29:33,370 --> 00:29:36,029 to keep him from seeing me succeed. 585 00:29:43,910 --> 00:29:45,339 Thank you, Ms. DeLeon. 586 00:29:49,950 --> 00:29:51,679 We'll need a few minutes to talk. 587 00:29:58,440 --> 00:30:01,170 You kept it a secret because you think I'm shallow. 588 00:30:01,210 --> 00:30:03,340 - I said the same thing. - I kept it a secret 589 00:30:03,370 --> 00:30:04,769 because of "friendly fatties." 590 00:30:04,770 --> 00:30:06,139 Any news on my transfer? 591 00:30:06,140 --> 00:30:09,720 San Francisco General should have a bed tomorrow. 592 00:30:09,740 --> 00:30:11,539 Come on. It's a joke. 593 00:30:11,540 --> 00:30:13,080 - A joke?! - I'm here to clamp 594 00:30:13,100 --> 00:30:14,440 your nasogastric tube. 595 00:30:14,450 --> 00:30:16,320 About a couple we've known for years? 596 00:30:16,340 --> 00:30:17,570 We were at their wedding, 597 00:30:17,580 --> 00:30:18,580 and yet you treat them 598 00:30:18,590 --> 00:30:20,140 - like a punch line. - This used to be green. 599 00:30:20,150 --> 00:30:21,359 - Now it's brown. - You're the one who lied. 600 00:30:21,360 --> 00:30:22,989 If I'd known you were offended... 601 00:30:22,990 --> 00:30:25,920 The point is, is that's why I didn't tell you. 602 00:30:27,420 --> 00:30:30,190 Red and green makes brown. 603 00:30:30,200 --> 00:30:32,429 Your bowel is bleeding. 604 00:30:32,430 --> 00:30:36,030 You need surgery now! Page Dr. Park and Dr. Lim! 605 00:30:36,040 --> 00:30:37,699 He has a strangulated bowel. 606 00:30:37,700 --> 00:30:39,239 - Spence. - It's gonna be okay. 607 00:30:39,240 --> 00:30:41,069 We need to open up an O.R. now! 608 00:30:43,610 --> 00:30:45,500 By a margin of 2-to-1, 609 00:30:45,690 --> 00:30:47,929 this Internal Review Board has decided 610 00:30:47,930 --> 00:30:50,599 in favor of allowing this procedure. 611 00:30:50,600 --> 00:30:52,930 - Nicely done. - Thank you. 612 00:30:52,940 --> 00:30:54,500 Hope the surgery goes well. 613 00:31:03,020 --> 00:31:05,640 Use the 45 mm gold stapler. 614 00:31:07,050 --> 00:31:11,020 The truth coming out didn't help Wade's marriage. 615 00:31:12,890 --> 00:31:14,859 Hopefully, with some time. 616 00:31:14,860 --> 00:31:16,220 Secrets are corrosive. 617 00:31:16,230 --> 00:31:18,089 Wade should've been honest from the start. 618 00:31:18,090 --> 00:31:21,229 Maybe Wade thought Spencer would feel 619 00:31:21,230 --> 00:31:24,029 the same way you did about his bypass, 620 00:31:24,030 --> 00:31:26,370 that he lost weight the easy way. 621 00:31:34,910 --> 00:31:36,579 Okay. 622 00:31:36,580 --> 00:31:38,010 It's time. 623 00:31:54,730 --> 00:31:56,330 Graham-y. 624 00:32:03,940 --> 00:32:05,930 You are... 625 00:32:07,280 --> 00:32:09,890 the highlight of my life. 626 00:32:11,050 --> 00:32:12,420 You know that, right? 627 00:32:14,420 --> 00:32:16,919 Yeah. I love you, too. 628 00:32:16,920 --> 00:32:20,019 I love you more than any person on the planet 629 00:32:20,020 --> 00:32:22,860 ever loved any other person on the planet. 630 00:32:24,190 --> 00:32:26,200 I-I know. 631 00:32:27,630 --> 00:32:29,729 Mom, you're gonna be okay, right? 632 00:32:29,730 --> 00:32:31,330 Of course, baby. 633 00:32:32,350 --> 00:32:33,590 Of course. 634 00:32:33,870 --> 00:32:36,639 We'll see you guys in a few hours. 635 00:32:41,340 --> 00:32:42,640 I love you. 636 00:32:52,860 --> 00:32:55,489 The chocolate chip muffin didn't work. 637 00:32:55,490 --> 00:32:57,690 The donkey won't walk. 638 00:32:58,260 --> 00:33:00,929 I told you that Glassman's probably embarrassed. 639 00:33:00,930 --> 00:33:02,399 No. He's not. 640 00:33:02,400 --> 00:33:03,999 I asked him, 641 00:33:04,000 --> 00:33:05,940 and he said you were wrong. 642 00:33:07,570 --> 00:33:09,439 Doesn't mean I'm actually wrong. 643 00:33:12,810 --> 00:33:18,009 He needs help recovering. 644 00:33:18,010 --> 00:33:20,210 I'm trying to help, 645 00:33:20,220 --> 00:33:22,049 but it's not working. 646 00:33:22,050 --> 00:33:24,549 He got angry at me. 647 00:33:24,550 --> 00:33:29,200 Dr. Glassman is your patient. 648 00:33:29,220 --> 00:33:31,659 You need to fix his lack of mobility. 649 00:33:31,660 --> 00:33:33,020 This is your problem. 650 00:33:33,040 --> 00:33:35,259 I don't know what to do. 651 00:33:35,260 --> 00:33:37,199 I don't know how to help him. 652 00:33:37,200 --> 00:33:39,099 Being sick is hard. 653 00:33:39,100 --> 00:33:41,899 Being around sick people is hard. 654 00:33:41,900 --> 00:33:43,869 We want to help. 655 00:33:43,870 --> 00:33:45,469 We all struggle with what to do. 656 00:33:45,470 --> 00:33:47,609 - Your obsession... - Okay. 657 00:33:47,610 --> 00:33:50,239 More than a muffin or a bowel movement 658 00:33:50,240 --> 00:33:52,240 or a walk around the ward, 659 00:33:52,280 --> 00:33:55,540 what Glassman needs is someone to be there for him. 660 00:33:56,620 --> 00:33:58,889 A patient, supportive friend. 661 00:34:03,830 --> 00:34:06,329 I know the perfect person. 662 00:34:19,600 --> 00:34:20,870 Mm. 663 00:34:22,240 --> 00:34:23,850 Hey, there. 664 00:34:24,490 --> 00:34:26,559 How are you feeling? 665 00:34:26,560 --> 00:34:28,360 I'm okay. 666 00:34:31,930 --> 00:34:33,590 I feel like... 667 00:34:34,370 --> 00:34:36,199 I want something to eat. 668 00:34:38,470 --> 00:34:40,369 I'm hungry. 669 00:34:44,040 --> 00:34:45,379 All right, buddy. 670 00:34:45,380 --> 00:34:47,079 Let's get you home. 671 00:34:47,080 --> 00:34:49,809 Get you a decent night's sleep. 672 00:34:52,480 --> 00:34:53,919 See you in the morning. 673 00:35:04,080 --> 00:35:05,580 I'll get you some food. 674 00:35:08,550 --> 00:35:10,320 Are you sure you're all right? 675 00:35:11,820 --> 00:35:13,919 Yeah. 676 00:35:13,920 --> 00:35:15,760 I just... 677 00:35:17,490 --> 00:35:20,359 I wonder if that hug felt different for him. 678 00:35:22,330 --> 00:35:24,029 Did it for you? 679 00:35:38,380 --> 00:35:40,479 Your husband's surgery went well. 680 00:35:40,480 --> 00:35:42,079 He's in recovery now. 681 00:35:42,080 --> 00:35:43,649 I think he's awake. 682 00:35:43,650 --> 00:35:44,920 Thank you. 683 00:35:55,930 --> 00:35:58,180 Wade told me where to find these. 684 00:35:59,470 --> 00:36:01,630 This is him before bypass? 685 00:36:01,640 --> 00:36:03,039 He said that seeing these 686 00:36:03,040 --> 00:36:05,610 would help me understand why he never told me. 687 00:36:06,970 --> 00:36:08,609 Which... 688 00:36:08,610 --> 00:36:10,779 I said was ridiculous. 689 00:36:21,220 --> 00:36:23,320 Is he gonna end up like this again? 690 00:36:25,260 --> 00:36:26,559 It's possible. 691 00:36:36,600 --> 00:36:38,069 I wish I didn't know that. 692 00:36:58,290 --> 00:36:59,560 Yeah? 693 00:37:03,260 --> 00:37:04,900 Debbie, hi. 694 00:37:07,330 --> 00:37:09,139 Oh, um... 695 00:37:09,140 --> 00:37:11,239 Shaun thought you could use a visit. 696 00:37:11,240 --> 00:37:13,339 - Huh. - Oh, and, uh, 697 00:37:13,340 --> 00:37:14,709 and another muffin. 698 00:37:14,710 --> 00:37:17,209 Thank you. I wish I'd known you were coming. 699 00:37:17,210 --> 00:37:20,249 I would've slipped into something a little less comfortable. 700 00:37:20,250 --> 00:37:21,810 You look... good. 701 00:37:21,820 --> 00:37:23,980 - Uh-huh. - Yeah, well... 702 00:37:23,990 --> 00:37:25,890 Unlikely, but thank you. 703 00:37:26,590 --> 00:37:28,389 I am... 704 00:37:28,390 --> 00:37:30,190 sorry that I've been... 705 00:37:31,130 --> 00:37:32,689 out of touch. 706 00:37:32,690 --> 00:37:35,229 - Well, I had a brain tumor. - Mm. 707 00:37:35,230 --> 00:37:38,060 Understandable. We both dropped the ball. 708 00:37:44,740 --> 00:37:46,210 Okay. 709 00:37:47,310 --> 00:37:48,839 - Here we go. - What's happening? 710 00:37:48,840 --> 00:37:50,940 - We're taking a walk. - Oh, no, no, thank you. 711 00:37:50,950 --> 00:37:52,249 - Oh, yes, we are. Yeah, mm-hmm. - No, my leg hurts a... Ow, ow. 712 00:37:52,250 --> 00:37:55,479 Which is exactly why you need to take a walk. 713 00:37:57,490 --> 00:37:59,519 Wow. You're really good at this. 714 00:37:59,520 --> 00:38:01,019 You sure you haven't done this before? 715 00:38:01,020 --> 00:38:02,719 Well... 716 00:38:02,720 --> 00:38:05,559 I spent a little time as a nurse. 717 00:38:08,000 --> 00:38:09,599 I always liked the night shift. 718 00:38:09,600 --> 00:38:11,760 Everything gets really quiet. 719 00:38:11,770 --> 00:38:13,769 It's almost... It's almost peaceful. 720 00:38:31,850 --> 00:38:34,350 Just came from Louisa's room. 721 00:38:34,360 --> 00:38:35,620 She's eating. 722 00:38:36,050 --> 00:38:37,489 That's great news. 723 00:38:37,490 --> 00:38:38,789 Yeah. 724 00:38:38,790 --> 00:38:40,729 Hopefully we'll be able to do the valve repair 725 00:38:40,730 --> 00:38:42,060 in a couple weeks. 726 00:38:43,230 --> 00:38:44,760 I hope you're right. 727 00:38:46,170 --> 00:38:47,730 But you won't be a part of the surgery. 728 00:38:49,070 --> 00:38:51,310 Or any of my surgeries. 729 00:38:51,740 --> 00:38:54,339 You went around me, directly to the patient. 730 00:38:54,340 --> 00:38:56,109 I had a good idea 731 00:38:56,110 --> 00:38:57,640 that you didn't take seriously. 732 00:38:57,650 --> 00:38:58,879 I considered it, 733 00:38:58,880 --> 00:39:01,110 and then I decided against taking it to the patient. 734 00:39:01,120 --> 00:39:02,819 And yet, I managed to get Aoki and Andrews 735 00:39:02,820 --> 00:39:04,520 to sign off at the IRB. 736 00:39:08,020 --> 00:39:09,520 You didn't get Andrews. 737 00:39:13,630 --> 00:39:15,090 You voted for me? 738 00:39:15,100 --> 00:39:17,360 You made a strong case. 739 00:39:17,370 --> 00:39:19,099 But you're, 740 00:39:19,100 --> 00:39:21,200 you're booting me off your service? 741 00:39:21,260 --> 00:39:23,239 Disagree with me all you want. 742 00:39:23,240 --> 00:39:24,900 I expect my residents to. 743 00:39:24,910 --> 00:39:28,060 I expect them to argue passionately for their position. 744 00:39:29,610 --> 00:39:32,380 And I expect them to then accept my decision. 745 00:39:34,310 --> 00:39:36,020 Even when you're wrong? 746 00:39:38,050 --> 00:39:40,950 I can't run my team any other way. 747 00:39:58,170 --> 00:40:02,879 You know what was insane, was the 1928 Torpedo Roadster. 748 00:40:02,880 --> 00:40:04,279 With the Purpleheart trim? 749 00:40:04,280 --> 00:40:06,549 Ah, and the lizard-skin interior. 750 00:40:06,550 --> 00:40:10,119 My neighbor in Wyoming had a Silver Arrow. 751 00:40:10,120 --> 00:40:12,419 Oh, I'd love to drive one just once. 752 00:40:14,720 --> 00:40:17,270 Good job. You got him walking. 753 00:40:17,890 --> 00:40:20,829 Debbie Wexler did it. 754 00:40:20,830 --> 00:40:23,960 She's a better carrot than I am. 755 00:40:23,970 --> 00:40:25,699 She's a better friend. 756 00:40:32,570 --> 00:40:34,540 Hey, it's me. 757 00:40:35,240 --> 00:40:37,920 Yeah, just making sure the check got there okay. 758 00:40:39,180 --> 00:40:41,130 Great, great. 759 00:40:42,720 --> 00:40:44,649 Hey, I have a question... 760 00:40:44,650 --> 00:40:46,430 about Phil. 761 00:40:46,950 --> 00:40:49,560 I know, I know. He's long gone. 762 00:40:50,160 --> 00:40:52,140 I was actually wondering... 763 00:40:53,190 --> 00:40:54,390 what do you think would've happened 764 00:40:54,400 --> 00:40:56,099 if I hadn't seen you two together? 765 00:41:11,750 --> 00:41:13,979 I found my next apartment. 766 00:41:13,980 --> 00:41:15,879 Okay. 767 00:41:15,880 --> 00:41:19,049 It's has a fireplace... 768 00:41:19,050 --> 00:41:20,489 and natural lighting... 769 00:41:20,490 --> 00:41:22,250 No. N-N-No. 770 00:41:22,260 --> 00:41:24,589 ...and a really great roommate 771 00:41:24,590 --> 00:41:26,829 who's also a friend. 772 00:41:26,830 --> 00:41:30,230 He works a lot, so might be hard to see him otherwise. 773 00:41:33,770 --> 00:41:35,560 I'm talking about you, Shaun. 774 00:41:37,970 --> 00:41:41,270 I don't want to risk anything hurting our friendship. 775 00:41:41,280 --> 00:41:45,140 If you say you can handle living together, 776 00:41:45,150 --> 00:41:46,809 I trust you. 777 00:41:53,020 --> 00:41:57,060 W-We're... going to be roommates? 778 00:41:59,660 --> 00:42:01,329 Oh... 779 00:42:04,970 --> 00:42:06,869 I-It has a fireplace. 780 00:42:06,870 --> 00:42:08,130 Yes, it does. 781 00:42:08,140 --> 00:42:09,839 Oh! 782 00:42:09,840 --> 00:42:11,570 We're going to be roommates! 783 00:42:11,580 --> 00:42:14,109 We're gonna be roommates! 784 00:42:14,110 --> 00:42:15,880 - Okay! - Yes. 785 00:42:15,900 --> 00:42:17,940 - Okay! - Yes! 786 00:42:17,950 --> 00:42:19,149 We're gonna be roommates! 787 00:42:19,150 --> 00:42:20,710 Oh, y... 788 00:42:20,720 --> 00:42:22,310 Yes!