1 00:00:01,010 --> 00:00:02,400 Previously on "The Good Doctor"... 2 00:00:02,500 --> 00:00:04,060 We had the clinic at the hospital. 3 00:00:04,110 --> 00:00:07,440 Come back as President, and... and we'll re-open it. 4 00:00:07,470 --> 00:00:09,329 We need to go to HR and break up. 5 00:00:09,330 --> 00:00:11,790 I have accepted your explanation and report. 6 00:00:11,800 --> 00:00:12,829 Thank you. 7 00:00:12,830 --> 00:00:13,929 But I don't believe it. 8 00:00:15,220 --> 00:00:17,730 Traditionally, you don't get to lead surgeries until fourth year. 9 00:00:17,740 --> 00:00:18,899 That will be changing. 10 00:00:18,900 --> 00:00:21,800 When the right surgery comes along, it'll be yours. 11 00:00:22,270 --> 00:00:24,709 I want you to meet our new attending, 12 00:00:24,710 --> 00:00:25,979 Dr. Marcus Andrews. 13 00:00:25,980 --> 00:00:27,840 Pleasure to meet you. 14 00:00:27,850 --> 00:00:29,749 You had a date last night, didn't you? 15 00:00:29,750 --> 00:00:33,379 It was hard, uncomfortable, unpleasant, 16 00:00:33,380 --> 00:00:35,349 and I have no idea if she was happy, 17 00:00:35,350 --> 00:00:38,320 and I know I wasn't happy. 18 00:00:44,531 --> 00:00:46,729 I don't like when you do that. 19 00:00:46,730 --> 00:00:47,760 I know. 20 00:00:47,770 --> 00:00:49,130 But I did it anyway 21 00:00:49,180 --> 00:00:50,820 because you need to snap out of it. 22 00:00:51,410 --> 00:00:53,639 The moping... it accomplishes nothing. 23 00:00:53,640 --> 00:00:55,500 I'm not moping. I'm eating. 24 00:00:55,510 --> 00:00:56,939 Which is the only thing 25 00:00:56,940 --> 00:00:59,539 you're doing outside your room now. 26 00:00:59,540 --> 00:01:01,140 You didn't even come out to tell me 27 00:01:01,150 --> 00:01:02,579 to turn down the Talking Heads. 28 00:01:02,580 --> 00:01:04,849 It... didn't bother me. 29 00:01:04,850 --> 00:01:06,079 The walls were shaking. 30 00:01:06,080 --> 00:01:08,180 I'm surprised the cops didn't show up. 31 00:01:11,040 --> 00:01:13,089 You like Carly. 32 00:01:13,090 --> 00:01:15,189 You need to get back in the saddle. 33 00:01:15,190 --> 00:01:17,970 And luckily, you have a totally awesome roomie 34 00:01:18,000 --> 00:01:19,229 who's here to help you. 35 00:01:19,230 --> 00:01:22,529 I'm not going on any more dates. 36 00:01:22,530 --> 00:01:25,530 Shaun... everyone gets it. 37 00:01:25,540 --> 00:01:26,799 Dating is stressful. 38 00:01:26,800 --> 00:01:29,309 But being alone is worse. 39 00:01:29,310 --> 00:01:30,470 I'm not alone. 40 00:01:30,480 --> 00:01:33,750 I have you. I have Dr. Glassman. 41 00:01:33,780 --> 00:01:35,040 Yeah, friends are great, 42 00:01:35,050 --> 00:01:36,849 but everyone needs a special friend. 43 00:01:36,850 --> 00:01:38,349 I don't. 44 00:01:38,350 --> 00:01:39,359 Shaun... 45 00:01:39,360 --> 00:01:41,919 I'm not like everyone! 46 00:01:49,760 --> 00:01:52,359 No one is like everyone. 47 00:01:52,360 --> 00:01:54,350 We're all unique. 48 00:01:55,030 --> 00:01:58,249 But we're also the same. 49 00:02:13,950 --> 00:02:15,219 I had rent control. 50 00:02:15,220 --> 00:02:17,650 The only way for them to jack the rent 51 00:02:17,660 --> 00:02:20,389 is to get me out, so they just make up a reason. 52 00:02:20,390 --> 00:02:22,890 Said that I was playing my music too loud. 53 00:02:23,930 --> 00:02:26,680 And the all-night parties, the fighting with the neighbors, 54 00:02:26,700 --> 00:02:29,329 the wandering around the parking lot without any clothes on? 55 00:02:29,330 --> 00:02:31,199 I had a robe on! 56 00:02:31,200 --> 00:02:32,369 And I wasn't wandering. 57 00:02:32,370 --> 00:02:34,239 I was trying to take the trash out, 58 00:02:34,240 --> 00:02:35,870 but they moved the damn bins. 59 00:02:36,840 --> 00:02:38,139 It was windy. 60 00:02:38,140 --> 00:02:41,730 Mom, you were clearly off your meds and drinking. 61 00:02:42,830 --> 00:02:44,110 Okay. 62 00:02:44,120 --> 00:02:45,780 "Was." 63 00:02:46,350 --> 00:02:49,030 It was a temporary setback. 64 00:02:49,520 --> 00:02:52,350 Okay, nobody's perfect, but it is all under control now. 65 00:02:52,380 --> 00:02:53,759 People with things under control 66 00:02:53,760 --> 00:02:55,680 don't show up at their daughter's at 1:00 a.m. 67 00:02:55,700 --> 00:02:57,090 looking for a place to stay. 68 00:02:57,100 --> 00:03:00,099 I will be out of your hair before you even know. 69 00:03:00,100 --> 00:03:01,360 Two weeks. 70 00:03:01,370 --> 00:03:02,499 Three... tops. 71 00:03:02,500 --> 00:03:03,699 One! 72 00:03:03,700 --> 00:03:05,899 I don't have time to babysit a grown woman. 73 00:03:05,900 --> 00:03:08,039 Well, it's three weeks until the end of the month. 74 00:03:08,040 --> 00:03:09,139 You at least owe me that. 75 00:03:09,140 --> 00:03:10,370 No, I don't, actually. 76 00:03:10,380 --> 00:03:11,670 One week. 77 00:03:14,780 --> 00:03:15,960 We need some help over here! 78 00:03:15,980 --> 00:03:19,119 Male, 30s, gaping 10-centimeter laceration to his left cheek. 79 00:03:19,120 --> 00:03:21,480 Probable fractured temporal bone, maxilla, 80 00:03:21,490 --> 00:03:23,399 - definitely shattered mandible. - What happened? 81 00:03:23,400 --> 00:03:24,409 He tried to stop some creeper 82 00:03:24,410 --> 00:03:25,650 from groping a woman on the subway. 83 00:03:25,660 --> 00:03:28,120 Maniac ended up bashing his skull in with some kid's skateboard. 84 00:03:28,130 --> 00:03:30,590 Wheels broke off, and the metal axle... 85 00:03:30,600 --> 00:03:31,659 did that. 86 00:03:31,660 --> 00:03:32,899 Okay, we need to secure his airway. 87 00:03:32,900 --> 00:03:34,129 His mouth is filling up with blood. 88 00:03:34,130 --> 00:03:35,329 Intubation cart. 89 00:03:35,330 --> 00:03:37,530 He has a through-and-through oral defect, 90 00:03:37,540 --> 00:03:38,969 and the mandible is crushed. 91 00:03:38,970 --> 00:03:40,099 We need hemostats. 92 00:03:40,100 --> 00:03:41,139 The woman? 93 00:03:41,140 --> 00:03:42,639 She's fine. 94 00:03:42,640 --> 00:03:45,009 Cops arrived, tased the dude, took him away in cuffs. 95 00:03:45,010 --> 00:03:46,780 Everybody's fine except for the hero. 96 00:03:47,880 --> 00:03:49,309 We're gonna need to intubate through the neck. 97 00:03:49,310 --> 00:03:52,849 Betadine, scalpel, 6-0 tube to place surgical cric. 98 00:03:52,850 --> 00:04:00,889 Synced & corrected by -robtor- www.addic7ed.com 99 00:04:08,170 --> 00:04:10,369 Could you do me a huge favor and take this up to Lim's office? 100 00:04:10,370 --> 00:04:11,430 - Sure. - I'm running late. 101 00:04:11,440 --> 00:04:13,099 No problem. 102 00:04:13,100 --> 00:04:14,360 Melendez is waiting. 103 00:04:14,380 --> 00:04:15,500 Sorry, I had to help Kellan 104 00:04:15,510 --> 00:04:17,270 with a biology project this morning. 105 00:04:17,280 --> 00:04:18,639 What's in the box? 106 00:04:18,640 --> 00:04:20,540 Ducati throw pillow. 107 00:04:20,550 --> 00:04:22,559 You really think you can bribe Lim with a pillow? 108 00:04:22,560 --> 00:04:23,949 I'm not bribing her. I'm being nice. 109 00:04:23,950 --> 00:04:25,840 She's starting a new job in a new office. 110 00:04:25,860 --> 00:04:28,080 Where she'll decide who gets the first lead surgery. 111 00:04:28,090 --> 00:04:29,589 I'm not stupid enough to think 112 00:04:29,590 --> 00:04:31,520 I can influence her decision with a gift. 113 00:04:32,230 --> 00:04:35,559 But it never hurts to have a good relationship with your boss. 114 00:04:35,560 --> 00:04:37,430 And it's a damn cool pillow. 115 00:04:40,200 --> 00:04:42,869 Hey. 116 00:04:42,870 --> 00:04:45,230 No signs of any post-op infection. 117 00:04:45,240 --> 00:04:47,539 There's also no sign your surgery did any good. 118 00:04:47,540 --> 00:04:49,170 Tom. 119 00:04:50,570 --> 00:04:51,839 How often is he vomiting? 120 00:04:51,840 --> 00:04:53,439 After every feeding. 121 00:04:53,440 --> 00:04:54,779 Okay. 122 00:04:54,780 --> 00:04:55,810 Shh. 123 00:04:57,380 --> 00:04:59,949 This is obviously not the outcome we had hoped for, 124 00:04:59,950 --> 00:05:03,019 but a pyloric stenosis requires a cautious approach. 125 00:05:03,020 --> 00:05:04,189 If we're too aggressive... 126 00:05:05,840 --> 00:05:07,909 It's okay, buddy. I got you. 127 00:05:07,910 --> 00:05:09,949 Shh, shh, shh, shh. 128 00:05:10,951 --> 00:05:13,449 Our baby is in pain. He can't eat. 129 00:05:13,450 --> 00:05:15,420 And you don't seem to have any clue why. 130 00:05:17,790 --> 00:05:20,189 I would be upset, too, if I were in your position. 131 00:05:20,190 --> 00:05:21,520 But you're wrong. 132 00:05:21,530 --> 00:05:24,190 We need to conduct some tests to confirm, but I am confident 133 00:05:24,200 --> 00:05:26,229 it's just a matter of going back in 134 00:05:26,230 --> 00:05:28,130 and making a tiny adjustment. 135 00:05:28,540 --> 00:05:29,830 Your son's in good hands. 136 00:05:30,800 --> 00:05:32,300 Thank you. 137 00:05:32,740 --> 00:05:34,339 I'm sorry. I'm just... 138 00:05:34,340 --> 00:05:35,800 A father who loves his son. 139 00:05:35,810 --> 00:05:37,739 You've got nothing to apologize for. 140 00:05:44,920 --> 00:05:46,450 That was impressive. 141 00:05:47,480 --> 00:05:49,080 Get an abdominal ultrasound to confirm 142 00:05:49,090 --> 00:05:51,650 it's just an incomplete pyloromyotomy. 143 00:05:55,460 --> 00:05:57,259 You're wasting your ass-kissing. 144 00:05:57,260 --> 00:05:59,129 First surgery isn't his decision. 145 00:05:59,130 --> 00:06:02,130 No. He's just the one sleeping with the one making that decision. 146 00:06:05,740 --> 00:06:09,809 Pupils are equal and reactive. 147 00:06:09,810 --> 00:06:11,630 Do you know where you are? 148 00:06:13,640 --> 00:06:15,210 And do you know how you ended up here? 149 00:06:17,980 --> 00:06:20,419 Josh, you have multiple fractures 150 00:06:20,420 --> 00:06:22,019 in your cheek and jaw, 151 00:06:22,020 --> 00:06:25,150 and a large piece of your cheek tissue, skin, 152 00:06:25,160 --> 00:06:27,789 and underlying muscle was torn off. 153 00:06:27,790 --> 00:06:30,859 You're going to need extensive reconstructive surgery 154 00:06:30,860 --> 00:06:32,699 to save your jaw function. 155 00:06:32,700 --> 00:06:35,829 You need to read these consent forms. 156 00:06:35,830 --> 00:06:39,169 And if you have any questions, write them on this pad. 157 00:06:39,170 --> 00:06:42,370 Was the woman on the subway a friend of yours? 158 00:06:46,280 --> 00:06:47,440 He's a fool. 159 00:06:47,450 --> 00:06:50,779 Trying to prove how macho you are can get you killed. 160 00:06:50,780 --> 00:06:53,649 Clamp the branch of the inferior alveolar. 161 00:06:57,920 --> 00:07:00,989 So, you would just stand by? 162 00:07:00,990 --> 00:07:02,490 Let a woman get groped? 163 00:07:03,730 --> 00:07:06,160 Apply manual compression. Try and close the fracture gap. 164 00:07:06,850 --> 00:07:09,160 You help every homeless drug addict 165 00:07:09,170 --> 00:07:10,399 you see on the subway? 166 00:07:10,400 --> 00:07:11,730 I don't. 167 00:07:11,740 --> 00:07:13,039 And neither does Browne, 168 00:07:13,040 --> 00:07:15,669 which is why she ought not get so self-righteous. 169 00:07:15,670 --> 00:07:16,909 Yes. 170 00:07:16,910 --> 00:07:19,879 I help my patients to the best of my ability 171 00:07:19,880 --> 00:07:21,609 because it's meaningful, 172 00:07:21,610 --> 00:07:24,410 and to me, the downside is purely financial. 173 00:07:24,420 --> 00:07:26,519 For friends, I'll risk a little bit more, 174 00:07:26,520 --> 00:07:29,500 but the only people I'm risking life and limb for 175 00:07:29,520 --> 00:07:31,089 are my family. 176 00:07:31,090 --> 00:07:32,889 Someone gropes my wife on the subway, 177 00:07:32,890 --> 00:07:34,160 they're gonna get whupped. 178 00:07:36,560 --> 00:07:38,690 This isn't gonna work. 179 00:07:38,700 --> 00:07:40,660 The mandibular ramus is just too shattered, 180 00:07:40,670 --> 00:07:42,460 and I can't get adequate stabilization. 181 00:07:42,470 --> 00:07:44,769 We can't do any skin or muscle grafts 182 00:07:44,770 --> 00:07:46,669 if we can't fix the skeletal structures. 183 00:07:46,670 --> 00:07:49,869 Alloplastic augmentation to bridge the gap? 184 00:07:49,870 --> 00:07:51,539 The span is too wide. 185 00:07:59,080 --> 00:08:00,550 We're gonna have to wire him shut. 186 00:08:02,890 --> 00:08:04,589 Wake him up. 187 00:08:04,590 --> 00:08:06,159 He should know he's never gonna talk 188 00:08:06,160 --> 00:08:07,820 or eat solid food again. 189 00:08:16,150 --> 00:08:18,150 _ 190 00:08:19,230 --> 00:08:21,469 Forever. 191 00:08:31,450 --> 00:08:33,140 Do you have any questions? 192 00:08:36,820 --> 00:08:38,270 I'm sorry. 193 00:08:44,380 --> 00:08:49,970 _ 194 00:09:01,120 --> 00:09:02,650 The Cantrells want a new surgeon. 195 00:09:04,880 --> 00:09:06,780 What can you tell me about the first surgery? 196 00:09:07,890 --> 00:09:09,550 Is this an M&M review? 197 00:09:10,740 --> 00:09:12,210 Not yet. 198 00:09:14,390 --> 00:09:16,399 Is it possible... 199 00:09:16,400 --> 00:09:18,689 you may have been a little too aggressive? 200 00:09:18,690 --> 00:09:19,859 Cut too deeply? 201 00:09:19,860 --> 00:09:21,610 Are you really asking me that? 202 00:09:21,620 --> 00:09:23,250 I need to know. 203 00:09:26,510 --> 00:09:28,050 I definitely didn't go too deep. 204 00:09:28,540 --> 00:09:30,029 Great. 205 00:09:30,030 --> 00:09:32,240 We'll talk to the Cantrells. 206 00:09:34,090 --> 00:09:35,130 Audrey. 207 00:09:36,980 --> 00:09:38,450 Is this weird for you? 208 00:09:40,800 --> 00:09:42,570 A little. You? 209 00:09:42,640 --> 00:09:44,510 I'm trying not to let it be. 210 00:09:45,340 --> 00:09:46,370 Good. 211 00:09:46,620 --> 00:09:47,830 Me too. 212 00:09:52,240 --> 00:09:53,250 Hello. 213 00:09:53,260 --> 00:09:57,279 I'm here to pick up artificial dermal regeneration templates. 214 00:09:57,280 --> 00:09:58,319 Let me get it. 215 00:09:58,320 --> 00:09:59,510 Hey, Shaun. 216 00:10:00,820 --> 00:10:02,720 I heard what happened to the guy. 217 00:10:02,750 --> 00:10:03,850 Sounds horrible. 218 00:10:03,870 --> 00:10:05,510 Is he gonna be okay? 219 00:10:05,760 --> 00:10:09,760 He won't be able to eat or speak normally ever again. 220 00:10:10,840 --> 00:10:11,840 Thank you. 221 00:10:11,870 --> 00:10:12,900 Shaun. 222 00:10:14,730 --> 00:10:16,860 You seem a bit uncomfortable. 223 00:10:17,840 --> 00:10:19,740 If it has anything to do with our date, 224 00:10:19,770 --> 00:10:22,800 I just want you to know, I had a really good time... 225 00:10:23,010 --> 00:10:25,070 and hope we can do it again. 226 00:10:29,970 --> 00:10:33,250 I had... a horrible time... 227 00:10:33,980 --> 00:10:37,910 and... don't want to do that ever again. 228 00:10:50,170 --> 00:10:51,930 Extensive swelling. 229 00:10:51,960 --> 00:10:54,760 But within the acceptable range of post-op edema. 230 00:10:54,780 --> 00:10:56,580 The very top of the range. 231 00:10:56,610 --> 00:10:59,210 I think maybe Melendez did go too deep, 232 00:10:59,240 --> 00:11:00,679 injured the pylorus. 233 00:11:00,680 --> 00:11:01,690 Well? 234 00:11:02,390 --> 00:11:04,120 The swelling is within the acceptable range 235 00:11:04,140 --> 00:11:05,240 for a post-op edema. 236 00:11:07,620 --> 00:11:09,449 Got your muffins. Delicious. 237 00:11:09,450 --> 00:11:10,549 I'm glad you liked them. 238 00:11:10,550 --> 00:11:11,589 I did. 239 00:11:11,590 --> 00:11:12,789 Just kinda surprised 240 00:11:12,790 --> 00:11:14,789 you thought I could be bought with baked goods. 241 00:11:14,790 --> 00:11:17,529 We're not trying to buy you off with muffins or a pillow. 242 00:11:17,530 --> 00:11:18,630 Someone got me a pillow? 243 00:11:21,450 --> 00:11:24,870 No. I wanted to show you my support for your promotion. 244 00:11:25,180 --> 00:11:27,369 You're all gonna lead surgeries... hundreds of them. 245 00:11:27,370 --> 00:11:29,539 So it doesn't matter who does anything first. 246 00:11:29,540 --> 00:11:32,010 The only thing that matters is that you do it right. 247 00:11:36,890 --> 00:11:38,890 So, what was in the box? 248 00:11:38,910 --> 00:11:40,580 Sample marketing pamphlets. 249 00:11:40,600 --> 00:11:41,870 My buddy owns a print shop, 250 00:11:41,890 --> 00:11:43,630 asked me to give Lim some samples. 251 00:11:44,760 --> 00:11:45,960 Well played. 252 00:11:46,120 --> 00:11:47,359 But it's all moot anyway. 253 00:11:47,360 --> 00:11:49,059 It doesn't matter who goes first. 254 00:11:49,060 --> 00:11:50,220 Right. 255 00:11:51,240 --> 00:11:53,830 Just so I'm clear, that "right" was sarcastic, right? 256 00:11:53,910 --> 00:11:54,980 Right. 257 00:12:02,270 --> 00:12:03,300 Hey. 258 00:12:03,310 --> 00:12:05,439 Since when does the President 259 00:12:05,440 --> 00:12:07,270 need to stock his own shelves? 260 00:12:07,280 --> 00:12:09,550 When it's a free clinic and you want it done right. 261 00:12:11,910 --> 00:12:12,960 Thank you. 262 00:12:12,980 --> 00:12:15,970 Have you ever had sex in the office? 263 00:12:15,990 --> 00:12:17,390 I'm not gonna answer that. 264 00:12:17,420 --> 00:12:19,910 First of all, it's embarrassing if I say yes, 265 00:12:19,940 --> 00:12:22,110 and it's even more embarrassing if I say no. 266 00:12:22,310 --> 00:12:23,840 I take the fifth. 267 00:12:23,870 --> 00:12:25,130 If we're gonna get married, 268 00:12:25,160 --> 00:12:26,690 I need to know all your naughty... 269 00:12:26,720 --> 00:12:28,780 I brought us lunch. 270 00:12:28,810 --> 00:12:30,510 I know what you each like. 271 00:12:33,270 --> 00:12:35,700 Dr. Melendez is not just our best surgeon. 272 00:12:35,710 --> 00:12:37,930 He's one of the tops in the entire country, 273 00:12:37,960 --> 00:12:40,090 with the expertise to know that the best way 274 00:12:40,120 --> 00:12:42,580 to avoid a truly bad outcome in this procedure 275 00:12:42,610 --> 00:12:44,540 is to err on the side of caution. 276 00:12:46,630 --> 00:12:48,500 - W-We hear all that. - We do. 277 00:12:48,520 --> 00:12:50,590 And we really appreciate you taking the time 278 00:12:50,610 --> 00:12:51,980 to explain everything. 279 00:12:54,320 --> 00:12:57,380 But we would just... be more comfortable 280 00:12:57,410 --> 00:12:59,640 having someone else take over from here. 281 00:12:59,670 --> 00:13:01,030 You do understand? 282 00:13:01,980 --> 00:13:03,340 Of course. 283 00:13:04,270 --> 00:13:05,440 I assume you'd be okay 284 00:13:05,470 --> 00:13:07,500 if I perform Braden's second surgery? 285 00:13:08,840 --> 00:13:10,799 Eh... the Chief of the department? 286 00:13:10,800 --> 00:13:12,109 Eh... 287 00:13:12,110 --> 00:13:13,639 Absolutely. 288 00:13:13,640 --> 00:13:15,040 Thank you, Doctor. 289 00:13:15,050 --> 00:13:16,109 Of course. 290 00:13:21,810 --> 00:13:23,400 Nobody likes dating. 291 00:13:23,420 --> 00:13:25,570 It's awkward and uncomfortable. 292 00:13:25,580 --> 00:13:26,590 It's expensive. 293 00:13:26,610 --> 00:13:28,660 Ah. That's why you proposed after two dates? 294 00:13:28,680 --> 00:13:29,779 To save money? 295 00:13:29,780 --> 00:13:32,179 I proposed after two dates because after one date, 296 00:13:32,180 --> 00:13:34,349 I realized how much I loved being around you 297 00:13:34,350 --> 00:13:37,079 and how much fun we'd have together. 298 00:13:37,080 --> 00:13:40,490 He's right, Shaun, 'cause the fun can be so fun. 299 00:13:42,170 --> 00:13:44,600 That didn't happen to me. 300 00:13:48,670 --> 00:13:50,630 I have to go to surgery. 301 00:13:50,640 --> 00:13:52,299 Shaun. 302 00:13:52,300 --> 00:13:54,270 Whenever you're ready, you'll try again. 303 00:13:59,680 --> 00:14:02,000 - What? - Whenever he's ready? 304 00:14:02,090 --> 00:14:03,950 He's got to go at his own pace. 305 00:14:04,050 --> 00:14:06,200 He needs to be pushed. 306 00:14:06,220 --> 00:14:07,320 I'm not gonna push him. 307 00:14:07,350 --> 00:14:09,580 A man doesn't push another man into a date. 308 00:14:09,610 --> 00:14:10,870 He pushed you. 309 00:14:10,960 --> 00:14:12,459 Shaun doesn't know any better. 310 00:14:12,460 --> 00:14:13,979 If you want him to find love, 311 00:14:13,980 --> 00:14:16,780 he literally needs to be pushed into it. 312 00:14:16,810 --> 00:14:18,470 Literally? 313 00:14:18,500 --> 00:14:20,030 Shaun's not like other men. 314 00:14:20,050 --> 00:14:22,190 Oh, he easily admits he's wrong? 315 00:14:22,750 --> 00:14:25,350 He easily changes course? 316 00:14:26,650 --> 00:14:30,220 If you don't talk to him, is anything gonna change? 317 00:14:33,480 --> 00:14:35,990 No good deed goes unpunished. 318 00:14:36,300 --> 00:14:38,300 Why does it always work out that way? 319 00:14:38,330 --> 00:14:39,420 It doesn't. 320 00:14:39,760 --> 00:14:42,410 Most good deeds get rewarded. 321 00:14:42,850 --> 00:14:44,819 And what do you base that on, Murphy? 322 00:14:44,820 --> 00:14:47,320 Certainly not the news or the Forbes 500. 323 00:14:47,330 --> 00:14:48,489 Or the Bible. 324 00:14:48,490 --> 00:14:50,729 I base it on neuroscience. 325 00:14:50,730 --> 00:14:54,320 Bad outcomes just implant deeper in our cerebral cortex. 326 00:14:54,340 --> 00:14:56,140 So, evolution agrees with me. 327 00:14:56,160 --> 00:14:58,770 Our brains encourage us to be selfish. 328 00:14:58,790 --> 00:14:59,890 Yes. 329 00:14:59,920 --> 00:15:01,950 Which makes it strange 330 00:15:01,980 --> 00:15:04,610 that people keep being unselfish. 331 00:15:04,630 --> 00:15:05,670 You were. 332 00:15:08,250 --> 00:15:10,110 You saved my job. 333 00:15:10,130 --> 00:15:13,100 And now you're an attending instead of the President. 334 00:15:14,990 --> 00:15:16,260 Screws and wire ligature. 335 00:15:21,660 --> 00:15:23,190 We're not doing this. 336 00:15:24,390 --> 00:15:25,870 We can do better. 337 00:15:27,070 --> 00:15:28,929 There is no other procedure. 338 00:15:31,210 --> 00:15:32,880 We'll invent one. 339 00:15:40,720 --> 00:15:42,560 Truce during surgery. 340 00:15:43,390 --> 00:15:44,990 Fair. What about procedures? 341 00:15:45,020 --> 00:15:46,619 Imaging is fair game. 342 00:15:46,620 --> 00:15:48,170 Anything invasive, we go to our corners. 343 00:15:48,190 --> 00:15:50,029 Crap. I left my keys in my locker. 344 00:15:50,030 --> 00:15:52,559 - Losing my mind. I'll see you tomorrow. - Night. 345 00:15:54,970 --> 00:15:58,049 What about a muscle graft from the temporalis? 346 00:15:58,050 --> 00:16:01,369 That wouldn't address deep mucosa or bone. 347 00:16:01,370 --> 00:16:05,010 Unless we took an osseocutaneous free flap 348 00:16:05,020 --> 00:16:06,849 from the radial forearm. 349 00:16:06,850 --> 00:16:08,540 We'd need approximately 2 inches 350 00:16:08,560 --> 00:16:10,249 and could use the natural concavity of... 351 00:16:10,250 --> 00:16:12,319 And he could lose the use of his hand. 352 00:16:12,320 --> 00:16:14,839 That seems like a reasonable trade-off. 353 00:16:14,840 --> 00:16:17,050 I'm not telling this guy that we can restore his speech 354 00:16:17,080 --> 00:16:18,959 and all it'll cost is his hand. 355 00:16:18,960 --> 00:16:20,620 Because he's a hero? 356 00:16:21,400 --> 00:16:23,129 What he did has nothing to do with it. 357 00:16:23,130 --> 00:16:24,669 It's what we can do that matters. 358 00:16:24,670 --> 00:16:27,039 What we can do is what we were doing. 359 00:16:27,040 --> 00:16:28,339 That's the protocol. 360 00:16:28,340 --> 00:16:31,709 Aren't we risking more damage by leaving him in an ICU bed 361 00:16:31,710 --> 00:16:34,380 while we try to invent a new treatment? 362 00:16:36,080 --> 00:16:38,810 How about attaching two free flaps 363 00:16:38,820 --> 00:16:41,249 on vessels on either side of his neck? 364 00:16:41,250 --> 00:16:43,489 Heard from Claire you're having an all-hands-on-deck sesh. 365 00:16:43,490 --> 00:16:44,890 Happy to join. 366 00:16:44,940 --> 00:16:46,539 Good. How about Park? 367 00:16:46,540 --> 00:16:47,869 He left. 368 00:16:47,870 --> 00:16:50,309 Said he had a thing with his son. 369 00:16:50,310 --> 00:16:53,609 Thankfully, I don't have kids, so extra hours... not a problem. 370 00:16:53,610 --> 00:16:57,049 Have you considered an allograft augmentation or a... 371 00:16:57,050 --> 00:16:59,819 Heard y'all were working late, so I got some coffee. 372 00:17:00,920 --> 00:17:02,550 Any way I can help? 373 00:17:08,060 --> 00:17:10,459 I want to talk about our meeting with the Cantrells. 374 00:17:10,460 --> 00:17:12,660 On date night? 375 00:17:12,670 --> 00:17:15,270 Can it wait... 10 1/2 hours? 376 00:17:15,640 --> 00:17:16,800 I guess. 377 00:17:17,220 --> 00:17:18,480 Thank you. 378 00:17:19,970 --> 00:17:22,239 Have you ever been to The French Laundry? 379 00:17:22,240 --> 00:17:23,240 No. 380 00:17:23,241 --> 00:17:25,279 We should do a weekend in Napa. 381 00:17:25,280 --> 00:17:27,910 I know this great little B&B just south of St. Helena... 382 00:17:27,920 --> 00:17:29,719 It's not about the Cantrells. 383 00:17:29,720 --> 00:17:31,570 It's about what you said to them. 384 00:17:32,090 --> 00:17:34,419 Has it been 10 1/2 hours already? 385 00:17:34,420 --> 00:17:37,389 I "erred on the side of caution." 386 00:17:37,390 --> 00:17:39,220 Caution is a good thing. 387 00:17:39,230 --> 00:17:40,859 Err isn't. 388 00:17:40,860 --> 00:17:43,199 I didn't err... not at all. 389 00:17:43,200 --> 00:17:44,899 I was going to bat for you. 390 00:17:44,900 --> 00:17:46,399 I think that maybe you're so afraid 391 00:17:46,400 --> 00:17:47,899 of appearing to favor your boyfriend 392 00:17:47,900 --> 00:17:49,199 that you're overcompensating. 393 00:17:49,200 --> 00:17:51,100 Given I think you may have erred, 394 00:17:51,110 --> 00:17:53,139 I'd say I was incredibly supportive. 395 00:17:53,140 --> 00:17:55,109 In which case, you went against your better professional judgment 396 00:17:55,110 --> 00:17:56,239 to favor your boyfriend. 397 00:17:56,240 --> 00:17:59,410 So, I'm too supportive or not supportive enough? 398 00:18:01,680 --> 00:18:05,149 Should I change the reservation to two tables for one? 399 00:18:07,120 --> 00:18:10,719 I've had plenty of first dates that were actual disasters. 400 00:18:10,720 --> 00:18:12,959 Took one woman to a Coyotes game, 401 00:18:12,960 --> 00:18:14,529 saw four minutes of it, 402 00:18:14,530 --> 00:18:16,029 spent the rest of the night in the ER 403 00:18:16,030 --> 00:18:19,800 while she got 17 stitches after being hit by a puck. 404 00:18:20,490 --> 00:18:22,470 We got married eight months later. 405 00:18:23,500 --> 00:18:25,540 Then you divorced her. 406 00:18:25,880 --> 00:18:27,409 It was worth it. 407 00:18:31,510 --> 00:18:32,979 We don't have a choice. 408 00:18:32,980 --> 00:18:35,510 Evolution needs us to propagate, 409 00:18:35,520 --> 00:18:38,719 so it gives us a shot of happiness 410 00:18:38,720 --> 00:18:41,689 every now and again to suck us in like idiots. 411 00:18:42,790 --> 00:18:44,520 To keep us in a game 412 00:18:44,530 --> 00:18:46,829 that we know we're gonna lose almost every time. 413 00:18:46,830 --> 00:18:50,499 Because the upside's like... 414 00:18:50,500 --> 00:18:52,330 nothing else. 415 00:18:53,530 --> 00:18:54,670 Love. 416 00:18:57,640 --> 00:19:01,069 But if Shaun really doesn't need to play, then... 417 00:19:01,070 --> 00:19:02,610 good for him. 418 00:19:03,370 --> 00:19:06,850 We've officially turned into an episode of "The Bachelor." 419 00:19:07,950 --> 00:19:09,549 Everyone go home. 420 00:19:09,550 --> 00:19:10,719 I'm not tired. 421 00:19:10,720 --> 00:19:12,319 I am. 422 00:19:12,320 --> 00:19:13,419 No. 423 00:19:13,420 --> 00:19:16,119 There are still a number of possibilities. 424 00:19:16,120 --> 00:19:18,989 Murphy, you are smart and you're creative, 425 00:19:18,990 --> 00:19:22,690 but there are things you can't do. 426 00:19:24,430 --> 00:19:27,530 You can't do miracles. You can't fix the unfixable. 427 00:19:48,890 --> 00:19:50,859 Hey, baby. 428 00:19:52,230 --> 00:19:54,829 You work way too hard. 429 00:19:54,830 --> 00:19:56,959 Yes, I do. 430 00:19:56,960 --> 00:19:58,999 Uh... let me get you something to eat, 431 00:19:59,000 --> 00:20:02,469 'cause I made some pulled pork and some peanut coleslaw. 432 00:20:02,470 --> 00:20:03,569 No, thanks, Mom. 433 00:20:03,570 --> 00:20:05,539 Did you find a place? 434 00:20:05,540 --> 00:20:08,509 I saw one, but it was nasty. 435 00:20:08,510 --> 00:20:09,839 Y-You must be hungry. 436 00:20:09,840 --> 00:20:11,410 You saw one, 437 00:20:11,820 --> 00:20:14,450 and then you came home and cooked? 438 00:20:16,980 --> 00:20:18,419 Yes. 439 00:20:18,420 --> 00:20:21,620 I came home and cooked dinner for my daughter. 440 00:20:22,090 --> 00:20:23,989 I'm trying, Claire. 441 00:20:23,990 --> 00:20:25,659 Okay, I'm taking my meds. 442 00:20:25,660 --> 00:20:27,459 I'm seeing Dr. Donovan. 443 00:20:27,460 --> 00:20:30,029 I am doing my best. 444 00:20:31,870 --> 00:20:33,960 I've heard that before. 445 00:20:37,910 --> 00:20:39,469 You got six days. 446 00:21:01,560 --> 00:21:04,329 Shaun, you need sleep. 447 00:21:04,330 --> 00:21:06,629 Your neurons will be sparkier in the morning. 448 00:21:06,630 --> 00:21:11,140 There are 640 muscles and 206 bones in the body, 449 00:21:11,160 --> 00:21:13,269 but only 284 and 72 of those 450 00:21:13,270 --> 00:21:15,109 are of sufficient size for our grafts, 451 00:21:15,110 --> 00:21:20,379 but that still leaves 20,448 possible permutations. 452 00:21:20,380 --> 00:21:23,759 It's not unfixable until I rule out every... 453 00:21:23,760 --> 00:21:27,449 So, some anatomy problem, you won't give up on, 454 00:21:27,450 --> 00:21:29,050 but after one date, 455 00:21:29,060 --> 00:21:33,859 you think you've explored all the possible permutations? 456 00:21:33,860 --> 00:21:37,559 Stop distracting me. 457 00:21:37,560 --> 00:21:39,060 I'm distracting you? 458 00:21:39,070 --> 00:21:40,320 By talking about you? 459 00:21:40,350 --> 00:21:42,009 - By talking about love? - Yes. 460 00:21:42,010 --> 00:21:45,169 I... I need to concentrate. 461 00:21:45,170 --> 00:21:46,239 Okay. 462 00:21:46,240 --> 00:21:47,569 I'll shut up. 463 00:21:47,570 --> 00:21:48,670 You're still talking. 464 00:21:48,680 --> 00:21:50,109 Good night, Shaun. 465 00:21:50,110 --> 00:21:51,579 You're still... 466 00:21:51,580 --> 00:21:53,649 We only have 206 bones? 467 00:21:53,650 --> 00:21:55,510 - Still talking. - Oh... 468 00:21:59,750 --> 00:22:01,750 Yes. 469 00:22:25,480 --> 00:22:26,990 Shaun? 470 00:22:29,550 --> 00:22:31,279 I think we should talk. 471 00:22:31,280 --> 00:22:32,819 So did Lea. 472 00:22:32,820 --> 00:22:35,680 But I have to find a solution for an oromandibular defect 473 00:22:35,700 --> 00:22:37,489 that doesn't involve titanium plates, 474 00:22:37,490 --> 00:22:41,829 356 of our muscles, or 134 of our bones. 475 00:22:41,830 --> 00:22:43,729 I don't think you never want to see me again. 476 00:22:43,730 --> 00:22:47,399 I have to find a solution for an oromandibular... 477 00:22:47,400 --> 00:22:48,869 We have to talk. 478 00:22:48,870 --> 00:22:50,740 You owe me that much. 479 00:23:00,210 --> 00:23:03,149 Why do I owe you that much? 480 00:23:03,150 --> 00:23:05,780 Because I thought we had a nice time. 481 00:23:06,620 --> 00:23:08,870 And I thought you were a nice guy... 482 00:23:09,290 --> 00:23:11,700 an honest guy... and I still think you are, 483 00:23:11,720 --> 00:23:13,940 and I'm confused about how you feel 484 00:23:13,960 --> 00:23:15,759 and about how I feel about how you feel, 485 00:23:15,760 --> 00:23:17,660 and I just need to talk about it. 486 00:23:20,770 --> 00:23:22,630 So, if you have any feelings for me at all, 487 00:23:22,640 --> 00:23:24,369 you'll help me understand. 488 00:23:35,280 --> 00:23:37,020 Okay. 489 00:23:38,750 --> 00:23:41,530 My little sister, Andie, has autism. 490 00:23:41,920 --> 00:23:44,070 We're not all the same. 491 00:23:44,590 --> 00:23:45,860 I know. 492 00:23:46,950 --> 00:23:51,430 I think growing up with Andie helps me understand you. 493 00:23:52,930 --> 00:23:55,700 But it also makes me wonder about myself. 494 00:23:56,000 --> 00:23:59,340 And did I date you to prove something? 495 00:24:00,710 --> 00:24:02,870 Did I date you to... 496 00:24:02,880 --> 00:24:06,110 somehow make things better for Andie? 497 00:24:08,110 --> 00:24:10,219 I don't think I did, but... 498 00:24:14,250 --> 00:24:16,220 My point is... 499 00:24:16,730 --> 00:24:18,859 I have questions, too, Shaun. 500 00:24:20,690 --> 00:24:23,059 Trying to figure out what we want 501 00:24:23,060 --> 00:24:25,760 and why we want it and is it good for us 502 00:24:25,770 --> 00:24:27,330 are good questions. 503 00:24:28,700 --> 00:24:32,369 And they can't all be answered over one dinner. 504 00:24:40,980 --> 00:24:42,510 I have to go. 505 00:25:09,810 --> 00:25:11,479 Murphy... 506 00:25:12,850 --> 00:25:15,710 I've... I've got it! 507 00:25:15,720 --> 00:25:16,850 I've got it! 508 00:25:20,060 --> 00:25:22,630 We take a vascularized free flap 509 00:25:22,640 --> 00:25:25,029 and suture it to the facial artery and vein, 510 00:25:25,030 --> 00:25:26,890 then flip up the pectoralis. 511 00:25:29,140 --> 00:25:30,810 It's a great idea. 512 00:25:32,250 --> 00:25:33,580 We're not doing it. 513 00:25:34,690 --> 00:25:36,490 It's never been tried before. 514 00:25:36,500 --> 00:25:39,599 Risk 1... graft failure brings infection 515 00:25:39,600 --> 00:25:41,769 and he loses the other half of his face. 516 00:25:41,770 --> 00:25:43,830 Risk 2... sepsis and he dies. 517 00:25:43,840 --> 00:25:45,069 Risk 3... 518 00:25:45,070 --> 00:25:46,300 Yeah, yeah, yeah, risk whatever. 519 00:25:46,310 --> 00:25:47,469 We do the standard procedure, 520 00:25:47,470 --> 00:25:48,870 the guy never speaks or eats again. 521 00:25:51,710 --> 00:25:53,740 Dr. Murphy, could you please give us a minute? 522 00:26:04,090 --> 00:26:05,789 Why do you want to do this? 523 00:26:05,790 --> 00:26:08,640 You've been my boss for a few hours, 524 00:26:08,660 --> 00:26:11,399 and you're already questioning my motivations? 525 00:26:11,400 --> 00:26:13,060 You fell on your sword for Shaun, 526 00:26:13,070 --> 00:26:15,599 and your reward for your act of heroism 527 00:26:15,600 --> 00:26:17,499 was getting fired. 528 00:26:17,500 --> 00:26:20,110 And now you're back here, answerable to me. 529 00:26:21,510 --> 00:26:23,539 I imagine you've been asking yourself 530 00:26:23,540 --> 00:26:25,039 if it was worth it. 531 00:26:30,120 --> 00:26:32,919 Your issues with the procedure are valid, 532 00:26:32,920 --> 00:26:35,119 but at least let me put them before the patient. 533 00:26:35,120 --> 00:26:36,389 He'll say yes. 534 00:26:36,390 --> 00:26:38,119 I won't sugarcoat the risks. 535 00:26:38,120 --> 00:26:39,989 He'll say yes anyway. 536 00:26:39,990 --> 00:26:42,259 He wants to believe things will work out. 537 00:26:42,260 --> 00:26:44,229 That's why he's a hero. 538 00:26:44,230 --> 00:26:46,590 Sometimes the hero loses. 539 00:26:46,620 --> 00:26:49,300 Which is why he's got to learn when to stand back 540 00:26:50,370 --> 00:26:52,769 when there's nothing he can do to help. 541 00:26:57,110 --> 00:26:59,299 Are you going to order me to stand back? 542 00:27:03,480 --> 00:27:04,959 No. 543 00:27:10,960 --> 00:27:12,289 Hey, Shaun? 544 00:27:12,290 --> 00:27:13,659 You got a minute? 545 00:27:13,660 --> 00:27:15,189 Okay. 546 00:27:15,190 --> 00:27:18,160 Debbie wanted me to talk to you. 547 00:27:18,500 --> 00:27:20,599 To tell you... 548 00:27:20,600 --> 00:27:22,700 not to give up on love. 549 00:27:27,310 --> 00:27:29,070 Don't give up on love. 550 00:27:29,680 --> 00:27:30,870 Okay. 551 00:27:30,880 --> 00:27:33,479 Do you want me to let her know you told me? 552 00:27:33,480 --> 00:27:34,880 Yes, please. 553 00:27:37,880 --> 00:27:39,219 Hey, Shaun? 554 00:27:39,220 --> 00:27:42,149 I know this, uh, dating thing can be scary. 555 00:27:42,150 --> 00:27:43,689 You're good at dating. 556 00:27:43,690 --> 00:27:47,020 Well, before Debbie, the last time I went on a date, 557 00:27:47,030 --> 00:27:50,259 "Wake Me Up Before You Go-Go" was the big hit. 558 00:27:50,260 --> 00:27:53,029 'Cause a-a-after Maddie and the divorce, 559 00:27:53,030 --> 00:27:55,799 I kind of shut down for a while. 560 00:27:55,800 --> 00:27:57,669 Yeah, I... and it felt better 561 00:27:57,670 --> 00:28:00,839 to be in a place where I couldn't get hurt. 562 00:28:00,840 --> 00:28:03,070 But then, last year, I got my diagnosis, 563 00:28:03,080 --> 00:28:04,679 I thought I was gonna die, 564 00:28:04,680 --> 00:28:07,440 and Debbie came into my life, and I said to myself, 565 00:28:07,450 --> 00:28:09,449 "I-I-I don't want to be safe anymore." 566 00:28:09,450 --> 00:28:10,710 You know? 567 00:28:10,720 --> 00:28:13,680 I want to... I want to... I want to feel alive. 568 00:28:14,050 --> 00:28:16,689 And... And if I get hurt, I get hurt. 569 00:28:16,690 --> 00:28:18,190 That's part of the deal. 570 00:28:19,360 --> 00:28:22,690 Morgan says it's biological, 571 00:28:22,700 --> 00:28:24,599 that it doesn't make sense. 572 00:28:24,600 --> 00:28:26,099 Morgan's right. 573 00:28:26,100 --> 00:28:27,799 So I'm right? 574 00:28:27,800 --> 00:28:30,200 No. No. 575 00:28:31,800 --> 00:28:33,369 Look, i... 576 00:28:33,370 --> 00:28:35,539 it's wonderful, this love thing. 577 00:28:35,540 --> 00:28:37,670 Why should it make any sense? 578 00:28:37,680 --> 00:28:40,409 When I think about the reasons I-I'm in love with Debbie, 579 00:28:40,410 --> 00:28:42,879 okay, she's... she's kind, she's funny, 580 00:28:42,880 --> 00:28:44,779 she's... she's loving. 581 00:28:44,780 --> 00:28:46,920 But that's not it. Not really. 582 00:28:48,350 --> 00:28:49,980 Don't tell her this, 583 00:28:50,000 --> 00:28:51,459 but there are other people in the world 584 00:28:51,460 --> 00:28:52,859 that are kinder, that are funnier, 585 00:28:52,860 --> 00:28:54,759 that are more loving than she is, 586 00:28:54,760 --> 00:28:58,159 but she makes me happy... just being around her. 587 00:28:58,160 --> 00:29:00,499 It makes absolutely no sense, 588 00:29:00,500 --> 00:29:02,829 but I wouldn't trade it for anything. 589 00:29:14,540 --> 00:29:15,670 Okay. 590 00:29:22,590 --> 00:29:24,760 I have an ethical dilemma. 591 00:29:26,190 --> 00:29:27,989 I was going through state regulations 592 00:29:27,990 --> 00:29:29,160 for medical staff... 593 00:29:29,170 --> 00:29:31,409 specifically, residents... 594 00:29:31,410 --> 00:29:34,129 and their new guidelines have raised an issue for me. 595 00:29:34,130 --> 00:29:36,499 The state caps residents at 80 hours a week, 596 00:29:36,500 --> 00:29:38,899 but I don't think that's nearly enough. 597 00:29:38,900 --> 00:29:41,509 I work over 100, and I don't plan on cutting back, 598 00:29:41,510 --> 00:29:44,100 so I'm wondering how I should be reporting my hours. 599 00:29:44,120 --> 00:29:46,900 Park offered to co-write a paper with me. 600 00:29:47,480 --> 00:29:49,080 What a suck-up. 601 00:29:49,100 --> 00:29:50,150 I said yes. 602 00:29:50,180 --> 00:29:52,419 It's an interesting case. It should be written up. 603 00:29:52,420 --> 00:29:53,480 So he's... 604 00:29:53,490 --> 00:29:55,349 Gonna do a lot of work for nothing. 605 00:29:55,350 --> 00:29:57,450 Except for the good of the medical community. 606 00:29:58,260 --> 00:30:00,189 And I'm gonna tell you what I told him... 607 00:30:00,190 --> 00:30:02,059 if you come to me with one more favor, 608 00:30:02,060 --> 00:30:03,259 one more humblebrag, 609 00:30:03,260 --> 00:30:06,199 if I suspect either of you have your lips puckered, 610 00:30:06,200 --> 00:30:07,899 you're going to the bottom of the list. 611 00:30:07,900 --> 00:30:09,170 Yes, ma'am. 612 00:30:14,770 --> 00:30:16,240 Dr. Lim? 613 00:30:17,180 --> 00:30:19,079 Do you ever think about what it means, 614 00:30:19,080 --> 00:30:20,579 me doing all this? 615 00:30:20,580 --> 00:30:22,580 Means you've underestimated me. 616 00:30:23,020 --> 00:30:24,779 Maybe. 617 00:30:24,780 --> 00:30:27,249 But it also means that I care. 618 00:30:27,250 --> 00:30:30,519 That getting the first surgery means something to me... 619 00:30:30,520 --> 00:30:31,659 enough for me to go out 620 00:30:31,660 --> 00:30:33,689 and really overspend on designer desserts 621 00:30:33,690 --> 00:30:35,580 and then to spend even more time 622 00:30:35,600 --> 00:30:37,859 trying to make them look homemade. 623 00:30:37,860 --> 00:30:39,999 If I'm putting that much effort into muffins, 624 00:30:40,000 --> 00:30:41,540 imagine how hard I'll work 625 00:30:41,560 --> 00:30:42,899 to make the most of this opportunity 626 00:30:42,900 --> 00:30:44,430 if it's given to me. 627 00:30:52,080 --> 00:30:55,379 With considerable physio and speech therapy, 628 00:30:55,380 --> 00:30:58,879 this graft would allow you to not only chew and swallow whole foods, 629 00:30:58,880 --> 00:31:00,840 but it would enable you to talk again. 630 00:31:00,860 --> 00:31:01,870 _ 631 00:31:03,170 --> 00:31:06,840 It's an untested procedure with not-insignificant risks. 632 00:31:06,870 --> 00:31:08,299 If the graft doesn't take, 633 00:31:08,300 --> 00:31:11,230 more skin and bone could become infected, 634 00:31:11,240 --> 00:31:12,969 possibly necrotic. 635 00:31:14,840 --> 00:31:16,620 _ 636 00:31:18,410 --> 00:31:20,379 We need to know you understand. 637 00:31:20,380 --> 00:31:22,349 It's an experimental procedure. 638 00:31:22,350 --> 00:31:25,079 In addition to all of the usual surgical risks, 639 00:31:25,080 --> 00:31:26,980 there are all of the unknowns... 640 00:31:26,990 --> 00:31:30,089 bleeding out, permanent graft loss, 641 00:31:30,090 --> 00:31:31,919 stroke... 642 00:31:31,920 --> 00:31:33,429 death. 643 00:31:38,660 --> 00:31:39,700 _ 644 00:31:49,560 --> 00:31:55,200 _ 645 00:31:57,160 --> 00:31:59,060 Good for you, Josh. 646 00:31:59,250 --> 00:32:00,980 Get him prepped. 647 00:32:02,990 --> 00:32:04,150 Okay. 648 00:32:04,160 --> 00:32:06,759 Infuse carbon dioxide. 649 00:32:10,230 --> 00:32:12,759 Grasping duodenum just distal of the pylorus. 650 00:32:16,100 --> 00:32:18,000 Huh. Look at that. 651 00:32:18,410 --> 00:32:20,070 That's not good. 652 00:32:21,040 --> 00:32:22,520 Page Dr. Melendez. 653 00:32:25,600 --> 00:32:27,299 An intussusception. 654 00:32:27,300 --> 00:32:29,219 The telescoped bowel is causing a blockage. 655 00:32:29,220 --> 00:32:32,479 The baby had two unrelated conditions causing the same symptom. 656 00:32:32,480 --> 00:32:34,490 We only know about the second condition 657 00:32:34,520 --> 00:32:36,080 because of the first surgery. 658 00:32:36,090 --> 00:32:38,889 Treatment protocol is a barium enema, 659 00:32:38,890 --> 00:32:40,450 but not for someone Braden's age. 660 00:32:40,460 --> 00:32:42,320 An air enema might work. 661 00:32:42,330 --> 00:32:44,160 Unless the intestine's torn. 662 00:32:45,340 --> 00:32:47,739 Morgan, reposition the scope 663 00:32:47,740 --> 00:32:49,579 to get a better look at the intestinal wall 664 00:32:49,580 --> 00:32:51,310 around the intussusception site. 665 00:32:54,750 --> 00:32:56,680 There's too much swelling and edema to be sure. 666 00:32:56,690 --> 00:32:58,909 With the risk of infection, we don't have time to find out. 667 00:32:58,910 --> 00:33:00,799 You're gonna have to open him up. 668 00:33:00,800 --> 00:33:02,420 You should. 669 00:33:02,430 --> 00:33:04,359 The Cantrells made their wishes clear. 670 00:33:04,360 --> 00:33:06,690 Well, that's when I made them think you'd erred, 671 00:33:06,700 --> 00:33:08,199 which you did not... 672 00:33:08,200 --> 00:33:09,749 not on the side of caution... 673 00:33:09,750 --> 00:33:11,170 not at all. 674 00:33:11,780 --> 00:33:13,410 We do the surgery together. 675 00:33:13,990 --> 00:33:15,349 Who's the lead? 676 00:33:15,350 --> 00:33:16,749 I think you know. 677 00:33:16,750 --> 00:33:18,089 Pulling rank? 678 00:33:18,090 --> 00:33:19,250 Absolutely. 679 00:33:19,260 --> 00:33:23,000 As Chief of Surgery, I designate you. 680 00:33:23,430 --> 00:33:24,789 It's like a puzzle. 681 00:33:24,790 --> 00:33:26,529 You secure to the artery, 682 00:33:26,530 --> 00:33:29,860 then the vessel just won't quite stretch to the vein. 683 00:33:29,870 --> 00:33:33,630 You could mobilize the recipient vessel. 684 00:33:34,500 --> 00:33:35,940 Repeat that, Dr. Browne. 685 00:33:35,960 --> 00:33:39,330 Mobilize the recipient vessel to create more slack. 686 00:33:44,080 --> 00:33:45,410 You saw Carly again. 687 00:33:45,420 --> 00:33:46,549 How was it? 688 00:33:46,550 --> 00:33:48,230 Inconvenient. 689 00:33:48,550 --> 00:33:50,460 But despite her intrusion, 690 00:33:50,500 --> 00:33:53,389 I was still able to concentrate on medicine. 691 00:33:53,390 --> 00:33:55,420 That wasn't an intrusion. That was a date. 692 00:33:55,430 --> 00:33:56,959 It was walking. 693 00:33:56,960 --> 00:34:00,029 Walking with someone you like who likes you, too, 694 00:34:00,030 --> 00:34:01,459 is a non-date date. 695 00:34:01,460 --> 00:34:03,280 Some of the best dates that I have had 696 00:34:03,300 --> 00:34:05,799 did not involve flowers and restaurant reservations. 697 00:34:05,800 --> 00:34:07,330 Just... 698 00:34:07,340 --> 00:34:10,270 sharing a bag of chips and sitting on a couch. 699 00:34:11,770 --> 00:34:13,339 Secured. 700 00:34:13,340 --> 00:34:14,840 Remove clamps. 701 00:34:16,680 --> 00:34:19,349 Blood flow to and from graft. 702 00:34:19,350 --> 00:34:21,590 Let's move on to the pectoralis flap. 703 00:34:21,600 --> 00:34:23,649 Blood pressure's dropping. 704 00:34:23,650 --> 00:34:25,919 Okay. Heart rate is up. 705 00:34:25,920 --> 00:34:27,840 Push IV fluids, give epinephrine 1 milligram, 706 00:34:27,870 --> 00:34:29,160 then start a drip. 707 00:34:30,490 --> 00:34:32,529 There's intestinal wall perforation. 708 00:34:32,530 --> 00:34:33,560 Repairable? 709 00:34:34,860 --> 00:34:37,060 There's too much tissue damage. 710 00:34:37,070 --> 00:34:38,269 Infection? 711 00:34:38,270 --> 00:34:39,599 No sign of peritonitis, 712 00:34:39,600 --> 00:34:41,570 but we'll need to remove this section of bowel. 713 00:34:45,910 --> 00:34:47,739 - He's tachy. - Hypotensive. 714 00:34:47,740 --> 00:34:49,920 Push vasopressors and antibiotics. 715 00:34:50,380 --> 00:34:52,200 Check an iSTAT hematocrit, ABG. 716 00:34:52,220 --> 00:34:53,810 Give two units PRBCs. 717 00:34:53,820 --> 00:34:55,919 I don't see any major bleeding. 718 00:34:55,920 --> 00:34:58,189 Push more fluids, start an inotrope. 719 00:34:58,190 --> 00:35:00,989 Check all vessels we worked on for clots with the Doppler. 720 00:35:00,990 --> 00:35:02,089 Okay. 721 00:35:08,030 --> 00:35:10,260 Large clot in the carotid. 722 00:35:10,270 --> 00:35:11,799 Clamps back on, 723 00:35:11,800 --> 00:35:13,469 performing carotid arteriotomy. 724 00:35:13,470 --> 00:35:15,239 Will try to aspirate out the clot. 725 00:35:15,240 --> 00:35:16,639 Stand by with heparin. 726 00:35:23,150 --> 00:35:25,109 Carotid clot removed. 727 00:35:30,800 --> 00:35:32,289 EEG looking good. 728 00:35:33,310 --> 00:35:36,120 Resuming pectoralis flap dissection. 729 00:35:37,560 --> 00:35:39,470 Good work, everybody. 730 00:36:13,830 --> 00:36:15,630 Go ahead... say something. 731 00:36:16,700 --> 00:36:17,969 Yeah, you can talk. 732 00:36:17,970 --> 00:36:19,809 Maybe not too much at first... 733 00:36:19,810 --> 00:36:21,419 give the jaw a chance to heal. 734 00:36:24,910 --> 00:36:26,209 Thank you. 735 00:36:30,780 --> 00:36:32,950 On behalf of all of us, you're very welcome. 736 00:36:34,450 --> 00:36:38,220 The woman who was being accosted when you intervened is here. 737 00:36:38,230 --> 00:36:39,320 Is she all right? 738 00:36:39,330 --> 00:36:40,659 She's not here as a patient. 739 00:36:40,660 --> 00:36:43,630 She's been... waiting to see you. 740 00:36:44,210 --> 00:36:45,350 Okay? 741 00:36:54,440 --> 00:36:55,910 Hello. 742 00:36:56,310 --> 00:36:57,810 Hey. 743 00:36:58,440 --> 00:37:01,280 I am so sorry this happened. 744 00:37:01,700 --> 00:37:03,200 Me too. 745 00:37:04,200 --> 00:37:06,080 You look... 746 00:37:06,090 --> 00:37:08,950 When the swelling goes down, he'll look a lot better. 747 00:37:09,290 --> 00:37:10,819 It's okay. 748 00:37:10,820 --> 00:37:12,990 My face was never my fortune. 749 00:37:16,160 --> 00:37:17,550 What made you do it? 750 00:37:18,550 --> 00:37:20,629 Why did you step in? 751 00:37:22,870 --> 00:37:24,270 I don't know. 752 00:37:26,210 --> 00:37:27,839 You needed help. 753 00:37:35,450 --> 00:37:37,679 Olivia, by the way. 754 00:37:37,680 --> 00:37:38,719 Josh. 755 00:37:38,720 --> 00:37:40,419 We'll let you two get acquainted. 756 00:37:48,260 --> 00:37:51,499 It didn't matter who got the first lead surgery... to me. 757 00:37:51,500 --> 00:37:54,229 But it's recently been brought to my attention 758 00:37:54,230 --> 00:37:56,739 how much it might mean to some of you. 759 00:37:56,740 --> 00:37:59,669 Seems I'd forgotten how important this decision is 760 00:37:59,670 --> 00:38:02,039 when you've been dreaming about it for years. 761 00:38:02,040 --> 00:38:05,209 You're all excellent candidates, each deserving, 762 00:38:05,210 --> 00:38:07,380 and will all get your turn. 763 00:38:07,720 --> 00:38:09,210 Starting with Dr. Browne. 764 00:38:09,220 --> 00:38:10,450 Yes! 765 00:38:11,520 --> 00:38:12,880 Thank you. 766 00:38:20,160 --> 00:38:22,230 - Congratulations. - Thanks. 767 00:38:24,630 --> 00:38:26,060 What the hell was that? 768 00:38:26,070 --> 00:38:27,729 I was happy for a colleague. 769 00:38:27,730 --> 00:38:29,430 You weren't campaigning for you to win. 770 00:38:29,440 --> 00:38:31,939 You were campaigning for me to lose. 771 00:38:31,940 --> 00:38:34,739 Do you dislike me that much? 772 00:38:34,740 --> 00:38:36,739 I just wouldn't want you supervising me 773 00:38:36,740 --> 00:38:38,209 as Chief Resident. 774 00:38:38,210 --> 00:38:39,950 You'd be a nightmare of a boss. 775 00:38:48,830 --> 00:38:50,640 Shaun. 776 00:38:53,030 --> 00:38:55,059 Dr. Lim thought my motives for fighting this hard 777 00:38:55,060 --> 00:38:57,400 for this patient were miscalculated. 778 00:38:59,100 --> 00:39:00,470 She was right. 779 00:39:00,860 --> 00:39:03,269 We shouldn't have saved his face? 780 00:39:03,270 --> 00:39:06,380 We have limited resources, and we're even more limited 781 00:39:06,400 --> 00:39:09,139 in our personal capacity to determine who is deserving, 782 00:39:09,140 --> 00:39:11,740 so we make a choice to treat everyone the same. 783 00:39:11,750 --> 00:39:15,280 So why did you treat this patient differently? 784 00:39:15,920 --> 00:39:17,880 Because I was angry. 785 00:39:18,780 --> 00:39:21,800 I made a sacrifice to save you. 786 00:39:22,320 --> 00:39:25,559 I lost my job, I took a substantial demotion. 787 00:39:25,560 --> 00:39:27,429 And I thought I was a fool. 788 00:39:27,430 --> 00:39:30,429 The cost was way too high. 789 00:39:30,430 --> 00:39:32,629 I resented you, and I... 790 00:39:32,630 --> 00:39:34,530 kind of resented the universe. 791 00:39:37,770 --> 00:39:39,500 But today... 792 00:39:40,510 --> 00:39:42,970 ...you made me proud of my sacrifice. 793 00:39:44,650 --> 00:39:45,720 Thank you. 794 00:39:49,150 --> 00:39:50,780 You're welcome. 795 00:39:52,990 --> 00:39:55,150 Very few things that are worthwhile in life 796 00:39:55,160 --> 00:39:58,020 come without a cost, Shaun. 797 00:40:18,180 --> 00:40:19,540 This is tricky. 798 00:40:20,580 --> 00:40:23,210 I feel like we were just tested and both of us failed. 799 00:40:25,550 --> 00:40:26,950 But... 800 00:40:27,350 --> 00:40:29,009 we'll get better at this. 801 00:40:41,500 --> 00:40:42,899 Hey, honey. 802 00:40:42,900 --> 00:40:45,839 I'll make you a plate, and you can take it to your room. 803 00:40:45,840 --> 00:40:47,210 Thanks. 804 00:40:49,040 --> 00:40:50,579 I saw three more apartments today. 805 00:40:50,580 --> 00:40:52,079 One was kind of nice, 806 00:40:52,080 --> 00:40:55,360 but it's not ready until a week from this Tuesday, 807 00:40:55,370 --> 00:40:58,120 which puts me over your deadline by three days. 808 00:41:01,050 --> 00:41:02,290 No. 809 00:41:03,760 --> 00:41:05,020 Three days? Come on. 810 00:41:05,030 --> 00:41:07,329 You can stay here. 811 00:41:07,330 --> 00:41:11,760 For a little while, until you're a bit better. 812 00:41:11,770 --> 00:41:14,129 But you have to stay on your meds. 813 00:41:14,130 --> 00:41:16,159 And keep away from other drugs and alcohol. 814 00:41:16,160 --> 00:41:17,899 I'm testing your urine every two days. 815 00:41:17,900 --> 00:41:20,640 Don't miss any appointments with Dr. Donovan. 816 00:41:21,860 --> 00:41:23,310 Can you live with that? 817 00:41:39,190 --> 00:41:41,029 Do you have a couch?