1
00:00:04,613 --> 00:00:05,912
Very nice meeting you.
2
00:00:09,584 --> 00:00:13,353
So, who was that?
3
00:00:13,900 --> 00:00:15,199
A housekeeper.
4
00:00:15,224 --> 00:00:17,391
Leaving your place
at 7:00 in the morning?
5
00:00:17,393 --> 00:00:18,792
I was interviewing her.
6
00:00:18,794 --> 00:00:20,949
You're hiring a housekeeper
for a studio apartment?
7
00:00:20,996 --> 00:00:22,195
I'm not hiring her.
8
00:00:22,197 --> 00:00:23,697
Her clothes don't match.
9
00:00:23,699 --> 00:00:24,964
Right.
10
00:00:24,966 --> 00:00:26,232
Mm.
11
00:00:28,769 --> 00:00:30,770
You're such an asshat, Shaun Murphy.
12
00:00:38,947 --> 00:00:41,381
Today we realize a dream...
13
00:00:41,383 --> 00:00:43,950
seeing our international
humanitarian program
14
00:00:43,952 --> 00:00:45,185
come to fruition.
15
00:00:45,187 --> 00:00:48,388
Our cardiothoracic surgeon,
Dr. Neil Melendez,
16
00:00:48,390 --> 00:00:52,926
in consultation with our head
cardiologist, Dr. Avi Mehta,
17
00:00:52,928 --> 00:00:57,397
evaluated children from Tanzania
to Malawi to Guinea.
18
00:00:57,399 --> 00:00:59,632
They screened over 100 candidates,
19
00:00:59,661 --> 00:01:01,745
each of them
needing life-saving surgeries.
20
00:01:01,770 --> 00:01:04,704
Ultimately, we decided on a
particularly inspiring young boy
21
00:01:04,706 --> 00:01:05,950
named Gabriel,
22
00:01:05,951 --> 00:01:08,585
who hails from the
Democratic Republic of Congo,
23
00:01:08,610 --> 00:01:10,677
with severe congenital heart anomalies.
24
00:01:12,948 --> 00:01:15,014
We identified
three perfect candidates...
25
00:01:15,016 --> 00:01:16,516
- children I can actually help.
- Hi. Thank you.
26
00:01:16,518 --> 00:01:18,551
- Gabriel wasn't one of them.
- Yes and no.
27
00:01:18,553 --> 00:01:20,086
I signed off on your choices.
28
00:01:20,088 --> 00:01:21,888
But I wouldn't have
necessarily eliminated Gabriel
29
00:01:21,890 --> 00:01:23,289
based on the echo I saw.
30
00:01:23,291 --> 00:01:24,791
A non-surgeon undermining a surgeon
31
00:01:24,793 --> 00:01:26,659
on his selection of surgical candidates.
32
00:01:26,661 --> 00:01:29,629
It's healthy when colleagues challenge
each others' decisions.
33
00:01:29,631 --> 00:01:30,730
It doesn't make any sense.
34
00:01:30,732 --> 00:01:31,998
We gave you good candidates.
35
00:01:32,023 --> 00:01:35,135
You're not a doctor.
Why wouldn't you stick with the list?
36
00:01:35,137 --> 00:01:37,904
There were several intangibles.
37
00:01:39,441 --> 00:01:42,242
Can you say hi to Dr. Melendez?
38
00:01:42,244 --> 00:01:46,045
One of those intangibles,
I'm guessing, is cuteness.
39
00:01:48,037 --> 00:01:53,418
Synced & corrected by kinglouisxx
www.addic7ed.com
40
00:01:57,993 --> 00:02:00,160
Family displaced during the war.
41
00:02:00,162 --> 00:02:02,762
Mother took care of her husband
until he died of yellow fever.
42
00:02:02,764 --> 00:02:04,535
He bled out at home.
43
00:02:04,733 --> 00:02:06,866
A month later, Gabriel was born.
44
00:02:09,970 --> 00:02:11,171
People tend to give more
45
00:02:11,173 --> 00:02:13,673
when the cause is not
only noble, but photogenic,
46
00:02:13,675 --> 00:02:16,776
Adorable kids and sympathetic
moms may work on donors,
47
00:02:16,778 --> 00:02:18,011
but they won't work on me,
48
00:02:18,013 --> 00:02:19,879
and they certainly won't work
on echo results.
49
00:02:19,881 --> 00:02:21,681
Kinda working on me.
50
00:02:23,150 --> 00:02:26,453
Before you say no,
at least do your own work-up.
51
00:02:32,927 --> 00:02:35,395
Mommy, why can't I come?
52
00:02:35,397 --> 00:02:38,064
The hospital's worried
that children bring in germs.
53
00:02:38,066 --> 00:02:39,833
I won't, Mommy. I promise.
54
00:02:39,835 --> 00:02:42,635
I know, boo.
It's just... It's the rules.
55
00:02:42,637 --> 00:02:44,304
Okay, baby. I have to go now.
56
00:02:44,306 --> 00:02:46,639
Do what Aunt Maggie says.
I'll call you later, okay?
57
00:02:46,641 --> 00:02:48,074
I love you to the moon...
58
00:02:48,076 --> 00:02:49,455
And back.
59
00:02:49,488 --> 00:02:50,587
I can't imagine voice rest
60
00:02:50,612 --> 00:02:51,878
could be very easy with a 3-year-old.
61
00:02:51,880 --> 00:02:55,215
Yeah. Not very effective for
my podcast audience either.
62
00:02:55,217 --> 00:02:57,283
Of which, by the way, I'm a huge fan.
63
00:02:57,285 --> 00:02:59,586
Grim irony, though, right?
64
00:02:59,588 --> 00:03:01,488
A podcaster who loses her voice.
65
00:03:01,490 --> 00:03:04,157
Elizabeth, I'm sure
the nodule will be benign
66
00:03:04,159 --> 00:03:05,725
and this'll be nothing more
than an inspiration
67
00:03:05,727 --> 00:03:06,893
for another great episode.
68
00:03:06,895 --> 00:03:08,795
If it's not benign, Isabel?
69
00:03:08,797 --> 00:03:10,001
Let's not get ahead of ourselves.
70
00:03:10,026 --> 00:03:11,731
Today we're just focused
on removing the nodule
71
00:03:11,733 --> 00:03:12,799
and doing the biopsy.
72
00:03:12,801 --> 00:03:14,200
And you've done everything you could do.
73
00:03:14,202 --> 00:03:15,368
And when the hoarseness started,
74
00:03:15,370 --> 00:03:17,003
you sought early care from the best.
75
00:03:17,005 --> 00:03:18,037
And I sent you to the best.
76
00:03:18,039 --> 00:03:20,358
You work perfectly together,
77
00:03:20,385 --> 00:03:22,052
kind of ping and pong-ish.
78
00:03:22,077 --> 00:03:23,643
It's nice.
79
00:03:23,645 --> 00:03:25,111
A lot of doctors who are married
80
00:03:25,113 --> 00:03:26,713
are more like miss and match.
81
00:03:27,916 --> 00:03:31,384
Mrs. Bangura, this is
Dr. Murphy and Dr. Kalu.
82
00:03:31,386 --> 00:03:33,319
They're gonna help me run
some tests on Gabriel.
83
00:03:34,388 --> 00:03:35,722
I heard that you and Gabriel
84
00:03:35,724 --> 00:03:37,056
have never been away from home before.
85
00:03:37,058 --> 00:03:38,725
I was hoping that these
would make him feel welcome.
86
00:03:38,727 --> 00:03:41,261
Yes. You are kind.
87
00:03:42,632 --> 00:03:45,406
I brought one for myself, too.
88
00:03:45,867 --> 00:03:48,401
Hey, how 'bout we all do some medicine?
89
00:04:01,650 --> 00:04:03,383
He really needs our help.
90
00:04:09,824 --> 00:04:11,491
"He needs our help"?
91
00:04:11,493 --> 00:04:13,826
He sounds like he's got
a blow dryer in his chest.
92
00:04:13,828 --> 00:04:15,662
Exactly. Which is why he needs our help.
93
00:04:15,664 --> 00:04:17,030
This is the problem
with cardiologists...
94
00:04:17,032 --> 00:04:18,231
You're really good at telling people
95
00:04:18,233 --> 00:04:19,499
when something's broken,
96
00:04:19,501 --> 00:04:21,100
not so good at knowing
when they can't be fixed.
97
00:04:21,102 --> 00:04:22,835
If that kid is dying, I'm not
gonna tell his mother that
98
00:04:22,837 --> 00:04:24,203
unless I'm damn sure.
99
00:04:24,205 --> 00:04:25,238
You heard that heart.
100
00:04:25,240 --> 00:04:26,272
I heard that heart.
101
00:04:26,274 --> 00:04:27,840
And it sounded like crap.
102
00:04:27,842 --> 00:04:29,776
But until we do a transesophageal echo,
103
00:04:29,778 --> 00:04:31,778
I don't know anything.
104
00:04:39,321 --> 00:04:41,487
Do a transesophageal echo.
105
00:04:41,489 --> 00:04:43,890
She has a master's degree in Sociology,
106
00:04:43,892 --> 00:04:46,326
impeccable credentials,
excellent references,
107
00:04:46,328 --> 00:04:49,497
and you turned her away because
"her clothes didn't match"?
108
00:04:49,522 --> 00:04:50,630
It's relevant.
109
00:04:50,632 --> 00:04:53,967
If a life-skills coach can't
select a complementing wardrobe,
110
00:04:53,969 --> 00:04:55,301
they lack life skills.
111
00:04:55,303 --> 00:04:57,270
But she's not gonna pick out
your clothes for you.
112
00:04:57,272 --> 00:04:58,638
She's not a nanny.
113
00:04:58,640 --> 00:05:01,195
She's there to help you
with problem-solving,
114
00:05:01,219 --> 00:05:02,686
financial, social interactions.
115
00:05:02,711 --> 00:05:05,111
You're doing this
because I did not react well
116
00:05:05,113 --> 00:05:07,146
to a man with a gun
robbing a store I was in.
117
00:05:07,148 --> 00:05:09,282
Statistically, that is very unlikely
118
00:05:09,284 --> 00:05:10,523
to ever happen to me again.
119
00:05:10,548 --> 00:05:12,185
Social interactions
120
00:05:12,187 --> 00:05:14,354
will happen again and again and again.
121
00:05:14,356 --> 00:05:16,556
It's statistically irrefutable.
122
00:05:16,558 --> 00:05:18,257
And if you learn how
to get along with people
123
00:05:18,259 --> 00:05:19,926
a little bit better,
you'll have a fuller life.
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00:05:19,928 --> 00:05:21,327
A happier life.
125
00:05:21,329 --> 00:05:23,730
If you don't like this woman,
we'll find somebody else.
126
00:05:23,732 --> 00:05:24,764
I am happy.
127
00:05:24,766 --> 00:05:25,765
You could be happier.
128
00:05:25,767 --> 00:05:27,333
I don't think so.
129
00:05:28,669 --> 00:05:30,603
My neighbor, Lea.
130
00:05:30,605 --> 00:05:33,606
If she were ever in a fire,
she'd be rescued first.
131
00:05:33,608 --> 00:05:34,974
Why's that?
132
00:05:34,976 --> 00:05:37,910
Dr. Melendez says attractive
people have advantages.
133
00:05:38,947 --> 00:05:40,747
Dr. Melendez says that, does he?
134
00:05:40,749 --> 00:05:41,981
Why is that funny?
135
00:05:41,983 --> 00:05:43,449
I don't know.
136
00:05:43,451 --> 00:05:45,151
It's just, um, some people
137
00:05:45,153 --> 00:05:48,254
consider Dr. Melendez attractive.
138
00:05:48,256 --> 00:05:50,323
So, how's it going with Lea?
139
00:05:51,158 --> 00:05:53,092
She doesn't like me.
140
00:05:53,094 --> 00:05:55,094
Why do you say that?
141
00:05:55,096 --> 00:05:58,463
- She said I was an asshat.
- Yeah?
142
00:05:58,500 --> 00:06:00,333
What was she doing when she said that?
143
00:06:00,335 --> 00:06:03,336
- Touching me.
- She was flirting with you.
144
00:06:03,338 --> 00:06:06,706
Sometimes people say
the opposite of what they mean.
145
00:06:06,708 --> 00:06:09,509
Um, they use teasing as a way
146
00:06:09,511 --> 00:06:11,010
of saying something they don't mean
147
00:06:11,012 --> 00:06:13,012
instead of saying something
that they do.
148
00:06:13,037 --> 00:06:15,906
I haven't seen any data
on the use of antonyms
149
00:06:15,917 --> 00:06:17,216
as a flirting technique.
150
00:06:17,218 --> 00:06:20,258
Okay. Well, um, here's what to look for.
151
00:06:20,298 --> 00:06:21,665
- You ready?
- Yes.
152
00:06:21,690 --> 00:06:23,656
Okay. The pretentious giggle.
153
00:06:25,060 --> 00:06:27,794
The, uh... the squirm.
154
00:06:27,796 --> 00:06:29,896
And the hair sweep.
155
00:06:29,898 --> 00:06:31,998
I call it the flirting trifecta.
156
00:06:32,000 --> 00:06:35,601
Hair scuffing is used in both
animals and humans, Claire.
157
00:06:35,603 --> 00:06:38,404
Secreting glands are located
in the scalp and fur.
158
00:06:38,406 --> 00:06:40,873
Scuffing sends hormones
out into the environment
159
00:06:40,875 --> 00:06:43,852
to let a potential mate
know they're interested.
160
00:06:44,079 --> 00:06:45,411
Or it could be ringworm.
161
00:06:46,282 --> 00:06:47,480
Yeah.
162
00:06:47,482 --> 00:06:49,816
I suppose you have to factor
for that possibility.
163
00:06:52,619 --> 00:06:54,520
Nice touch.
164
00:06:54,522 --> 00:06:55,888
Beauty increases happiness.
165
00:06:55,890 --> 00:06:57,056
Happiness improves outlook.
166
00:06:57,058 --> 00:06:58,458
Still on Mission Carpe Diem.
167
00:06:58,460 --> 00:06:59,959
You might want to try it.
168
00:06:59,961 --> 00:07:00,927
I'm doing fine.
169
00:07:00,929 --> 00:07:02,361
We're having dinner at the sink.
170
00:07:02,363 --> 00:07:04,630
No, we're enjoying dinner at the sink.
171
00:07:04,632 --> 00:07:05,998
Although if you keep
talking like that...
172
00:07:06,000 --> 00:07:07,800
Mm.
173
00:07:09,303 --> 00:07:11,601
Andrews.
174
00:07:11,873 --> 00:07:13,835
Well, look again. It has to be there.
175
00:07:14,642 --> 00:07:16,175
Yeah. Okay.
176
00:07:17,745 --> 00:07:18,845
Who was that?
177
00:07:18,847 --> 00:07:20,146
The lab.
178
00:07:20,148 --> 00:07:22,348
They misplaced Elizabeth's specimen.
179
00:07:22,350 --> 00:07:24,050
- Oh, my God.
- Don't worry. They'll find it.
180
00:07:24,052 --> 00:07:26,352
Satisfied?
181
00:07:26,354 --> 00:07:28,421
- It's somewhere.
- Somewhere else.
182
00:07:28,423 --> 00:07:31,524
I love how everyone in surgery
is so fast to blame the lab.
183
00:07:31,526 --> 00:07:33,059
Well, double-checking can't hurt.
184
00:07:33,061 --> 00:07:34,127
Actually it can.
185
00:07:34,129 --> 00:07:35,182
Because you are here
186
00:07:35,207 --> 00:07:36,740
when you should be
double-checking surgery.
187
00:07:36,765 --> 00:07:39,132
I saw the specimen go in the container.
188
00:07:39,134 --> 00:07:40,500
It means it has to be here.
189
00:07:40,502 --> 00:07:43,336
No, all that means is that
it was put in a container.
190
00:07:43,338 --> 00:07:44,537
It doesn't mean that that container
191
00:07:44,539 --> 00:07:46,272
was actually put
in the surgery refrigerator
192
00:07:46,274 --> 00:07:48,508
or that it was actually
picked up by the courier.
193
00:07:48,510 --> 00:07:50,476
He's even worse than we thought.
194
00:07:50,478 --> 00:07:52,078
Yeah.
195
00:07:52,080 --> 00:07:54,514
Hypertrophic obstructive cardiomyopathy,
196
00:07:54,516 --> 00:07:56,115
atrial septal defect,
197
00:07:56,117 --> 00:07:58,651
abnormal insertion
of the mitral valve leaflet.
198
00:07:58,653 --> 00:08:01,754
I've never seen so many
anomalies in one heart.
199
00:08:04,825 --> 00:08:07,260
I'm sorry I pushed
for additional testing.
200
00:08:07,262 --> 00:08:09,771
That only got his mother's hopes up.
201
00:08:10,832 --> 00:08:12,799
Any medication that'll help?
202
00:08:12,801 --> 00:08:14,567
Beta blockers.
203
00:08:14,569 --> 00:08:16,169
Maybe metoprolol.
204
00:08:16,171 --> 00:08:17,770
It's not like they'll
get him playing soccer,
205
00:08:17,772 --> 00:08:19,839
but they might help him get
to the field to watch.
206
00:08:19,841 --> 00:08:22,141
For a couple of years, anyway.
207
00:08:22,143 --> 00:08:25,322
Better than dying on a table tomorrow.
208
00:08:25,647 --> 00:08:28,014
You tell Aoki.
209
00:08:29,683 --> 00:08:31,617
I'll break it to the mom.
210
00:08:37,759 --> 00:08:39,969
Dr. Lippman to plastic surgery.
211
00:08:39,995 --> 00:08:42,262
Dr. Lippman to plastic surgery.
212
00:08:52,274 --> 00:08:57,010
It's called sakara, given by our shaman.
213
00:08:59,246 --> 00:09:01,159
His heartbeat...
214
00:09:01,450 --> 00:09:03,817
it follows the sound.
215
00:09:03,906 --> 00:09:07,607
It reminds it to beat until you fix it.
216
00:09:07,632 --> 00:09:11,334
Mrs. Bangura,
I've completed all the tests.
217
00:09:11,336 --> 00:09:13,002
And I'm sorry that you've
come all this way...
218
00:09:13,004 --> 00:09:17,400
When Gabriel was in my belly,
evil spirits came to him.
219
00:09:17,676 --> 00:09:19,476
Invade his heart.
220
00:09:19,627 --> 00:09:22,974
Our village shaman tried to rid them.
221
00:09:23,324 --> 00:09:25,498
He could not.
222
00:09:26,318 --> 00:09:29,555
Then a vision came to him.
223
00:09:29,654 --> 00:09:33,071
A stronger healer would come.
224
00:09:34,069 --> 00:09:35,939
You.
225
00:09:37,462 --> 00:09:40,396
You will save Gabriel.
226
00:09:42,600 --> 00:09:45,417
I don't know about evil spirits.
227
00:09:45,837 --> 00:09:48,304
All I know is that your son was born
228
00:09:48,306 --> 00:09:49,873
with a heart that I can't fix.
229
00:09:49,875 --> 00:09:51,040
I'm sorry.
230
00:09:51,042 --> 00:09:54,832
I would not have come so far
if I did not believe.
231
00:09:58,949 --> 00:10:01,987
We'll give him medicine
to make him feel better.
232
00:10:02,320 --> 00:10:04,394
And then you can take him home.
233
00:10:26,443 --> 00:10:27,977
We tell her we're sorry,
234
00:10:27,979 --> 00:10:29,779
we have no news yet, and then...
235
00:10:29,781 --> 00:10:31,700
Nope. You can't say that.
It's an expensive word.
236
00:10:31,727 --> 00:10:33,860
- "Sorry"?
- You can act sorry.
237
00:10:33,885 --> 00:10:35,084
You can feel sorry.
238
00:10:35,086 --> 00:10:36,419
In fact, you should feel sorry.
239
00:10:36,421 --> 00:10:37,654
You just can't say it.
240
00:10:37,656 --> 00:10:39,556
Okay, uh, "I feel bad for you
241
00:10:39,558 --> 00:10:41,524
- because we made a mistake and..."
- Nope.
242
00:10:41,526 --> 00:10:43,365
A mistake isn't a mistake?
243
00:10:43,390 --> 00:10:45,495
Well, it's "an unanticipated outcome
244
00:10:45,497 --> 00:10:46,996
of an expected action."
245
00:10:46,998 --> 00:10:49,465
You can't use language that
implies blameworthy conduct.
246
00:10:49,467 --> 00:10:52,569
But if we did lose the specimen,
isn't it actually a mistake,
247
00:10:52,571 --> 00:10:54,703
and aren't we sorry,
and aren't we blameworthy?
248
00:10:54,727 --> 00:10:55,771
Yes.
249
00:10:55,796 --> 00:10:59,742
Doesn't mean we can make it
any easier for her attorney.
250
00:10:59,744 --> 00:11:01,411
Hello, Elizabeth.
251
00:11:01,413 --> 00:11:03,880
I'm Jessica Preston
from Risk Management.
252
00:11:03,882 --> 00:11:06,182
- How are you?
- I don't like the sound of that.
253
00:11:06,184 --> 00:11:08,484
I know. I really need
a new... a new job title.
254
00:11:08,486 --> 00:11:11,321
Seems that we've encountered
an unexpected occurrence.
255
00:11:11,361 --> 00:11:12,632
The laboratory has been unable
256
00:11:12,657 --> 00:11:14,123
to locate your tissue specimen.
257
00:11:14,125 --> 00:11:16,626
We don't want you to be
unnecessarily alarmed,
258
00:11:16,651 --> 00:11:18,972
but we want you to be fully
aware of what's going on.
259
00:11:18,997 --> 00:11:22,165
But ho... How will I know
if I have cancer
260
00:11:22,167 --> 00:11:23,299
if you don't find it?
261
00:11:23,301 --> 00:11:25,068
We are looking everywhere.
262
00:11:25,070 --> 00:11:26,235
We will find it.
263
00:11:26,237 --> 00:11:28,304
As long as it's in formalin
or a refrigerator,
264
00:11:28,306 --> 00:11:29,339
everything will be fine.
265
00:11:29,341 --> 00:11:30,340
For how long?
266
00:11:30,342 --> 00:11:33,042
At least 24 hours. Maybe even 36.
267
00:11:34,979 --> 00:11:36,179
Well, then you better find it.
268
00:11:38,350 --> 00:11:39,682
Because I will be damned
269
00:11:39,684 --> 00:11:41,351
if I'm gonna have my voice box removed
270
00:11:41,353 --> 00:11:42,885
just because somebody screwed up.
271
00:11:46,992 --> 00:11:50,059
I've implemented
a proactive educational plan.
272
00:11:50,061 --> 00:11:52,028
Well, that's terrific, Shaun.
273
00:11:56,266 --> 00:11:58,835
Why are we talking about that here?
274
00:11:58,837 --> 00:12:00,870
I'm not stupid.
275
00:12:00,872 --> 00:12:02,605
I didn't say you were stupid, Shaun.
276
00:12:02,607 --> 00:12:03,840
Nobody said you were stupid.
277
00:12:03,842 --> 00:12:05,341
But sometimes you lack common sense.
278
00:12:05,343 --> 00:12:09,301
- I'm so sorry to have bothered you.
- This patient is deaf.
279
00:12:09,948 --> 00:12:11,481
Oh.
280
00:12:16,186 --> 00:12:19,656
I started flirting lessons yesterday.
281
00:12:19,658 --> 00:12:21,124
Flirting lessons.
282
00:12:21,126 --> 00:12:23,092
Wish they'd had that when I was young.
283
00:12:23,094 --> 00:12:26,562
Yes, I learned about
the flirting trifecta.
284
00:12:26,564 --> 00:12:28,097
There's the pretentious giggle.
285
00:12:28,099 --> 00:12:29,966
Shaun, what are you getting at?
286
00:12:30,741 --> 00:12:32,023
Flirting,
287
00:12:32,537 --> 00:12:36,072
it requires primarily
nonverbal interactions.
288
00:12:36,074 --> 00:12:38,430
Being perceptive in one social dimension
289
00:12:38,453 --> 00:12:40,553
translates well to other social skills.
290
00:12:40,578 --> 00:12:42,879
You're studying flirting.
291
00:12:42,881 --> 00:12:45,181
Are you lonely, Shaun?
292
00:12:45,183 --> 00:12:46,683
'Cause you know there are...
293
00:12:46,685 --> 00:12:48,951
There are websites now where you can...
294
00:12:48,953 --> 00:12:51,020
I like being alone.
295
00:12:51,022 --> 00:12:53,423
Yeah, well, being alone and being lonely
296
00:12:53,425 --> 00:12:54,724
are two different things.
297
00:12:54,726 --> 00:12:57,527
Sometimes we're lonely,
and we don't even know it.
298
00:12:58,054 --> 00:13:00,968
How would I know it?
299
00:13:01,299 --> 00:13:04,400
Well, uh, loneliness,
300
00:13:04,402 --> 00:13:06,953
it's kind of a dull...
301
00:13:08,006 --> 00:13:09,105
It's like a dark...
302
00:13:09,107 --> 00:13:10,807
Are you lonely?
303
00:13:13,777 --> 00:13:16,686
Yeah, sometimes.
304
00:13:16,815 --> 00:13:19,382
You know, sometimes very much.
305
00:13:22,730 --> 00:13:24,698
You should learn the trifecta.
306
00:13:31,863 --> 00:13:33,529
Hey. Um, hey.
307
00:13:33,531 --> 00:13:34,864
We're looking for a lost specimen
308
00:13:34,866 --> 00:13:36,666
that I am positive left the O.R.
309
00:13:36,668 --> 00:13:38,234
And I'm positive it didn't
make it to the lab.
310
00:13:38,236 --> 00:13:39,936
And since you're the link
between the two,
311
00:13:39,938 --> 00:13:42,605
we wanted to ask you
about your 3:00 run yesterday.
312
00:13:42,607 --> 00:13:43,940
So, you took everything
313
00:13:43,942 --> 00:13:45,742
that was in the refrigerator
in the O.R.?
314
00:13:45,744 --> 00:13:47,477
In the refrigerator,
out of the refrigerator.
315
00:13:47,479 --> 00:13:48,778
Everything that's meant to go, I took.
316
00:13:48,780 --> 00:13:50,580
- Did you stop on the way?
- No.
317
00:13:50,582 --> 00:13:52,148
Straight from the surgery to the lab,
318
00:13:52,150 --> 00:13:53,249
just like the rules say.
319
00:13:53,251 --> 00:13:55,017
Well, did you stop at the restroom
320
00:13:55,019 --> 00:13:56,953
or the... the coffee machine,
the cafeteria?
321
00:13:56,955 --> 00:13:58,821
You know, believe it or not,
I can go a whole 30 minutes
322
00:13:58,823 --> 00:14:00,690
without stopping for a cream puff.
323
00:14:00,692 --> 00:14:01,724
We're just desperate.
324
00:14:01,726 --> 00:14:03,059
All we care about is the specimen
325
00:14:03,061 --> 00:14:04,594
and avoiding a full-on investigation.
326
00:14:04,595 --> 00:14:06,706
Investigation?
327
00:14:07,211 --> 00:14:09,632
Yeah. Yeah, yeah.
328
00:14:09,634 --> 00:14:10,767
I-I-I-If we don't find it,
329
00:14:10,769 --> 00:14:12,668
then the legal department gets involved.
330
00:14:12,670 --> 00:14:14,337
Everyone who was in contact with it,
331
00:14:14,339 --> 00:14:16,105
who might have been in contact with it
332
00:14:16,107 --> 00:14:17,594
goes under a magnifying glass.
333
00:14:17,619 --> 00:14:18,741
I'm not looking forward to it.
334
00:14:18,743 --> 00:14:20,910
You looking forward to it?
She's not looking forward to it.
335
00:14:20,912 --> 00:14:23,112
They're gonna check your
social media, your computer.
336
00:14:23,114 --> 00:14:25,515
- Blood tests.
- Blood tests.
337
00:14:25,517 --> 00:14:27,850
But if you find it before then...?
338
00:14:27,852 --> 00:14:28,985
Then life goes on.
339
00:14:28,987 --> 00:14:30,386
The same as it always has.
340
00:14:31,721 --> 00:14:33,256
I did stop.
341
00:14:33,258 --> 00:14:34,390
At the cafeteria.
342
00:14:34,392 --> 00:14:36,692
The cashier is smokin'.
343
00:14:36,694 --> 00:14:39,295
I might have been distracted
for a little while.
344
00:14:39,998 --> 00:14:42,686
Okay. Thanks.
345
00:15:25,743 --> 00:15:28,324
Water.
346
00:15:28,847 --> 00:15:30,880
Always more water.
347
00:15:32,851 --> 00:15:34,283
Even more.
348
00:15:39,668 --> 00:15:41,334
I know. It's scary.
349
00:15:45,864 --> 00:15:48,598
You are good with children.
350
00:15:48,600 --> 00:15:50,066
You are father?
351
00:15:50,068 --> 00:15:51,400
No.
352
00:15:51,402 --> 00:15:53,282
One day, I hope.
353
00:16:00,144 --> 00:16:02,378
Page rapid response team, STAT.
354
00:16:18,894 --> 00:16:21,944
The meds should've improved his
arrhythmia, not made it worse.
355
00:16:22,184 --> 00:16:23,414
Maybe in addition
to his other problems,
356
00:16:23,574 --> 00:16:24,532
he developed endocarditis?
357
00:16:24,692 --> 00:16:26,637
His echo didn't reveal vegetations
358
00:16:26,667 --> 00:16:28,292
on his valves or...
359
00:16:28,428 --> 00:16:30,628
endocardium.
360
00:16:30,630 --> 00:16:32,530
He has not developed a fever.
361
00:16:32,532 --> 00:16:34,200
Let's be sure. Get blood cultures.
362
00:16:34,225 --> 00:16:36,865
- Order them times two, 15 minutes.
- It's in the wrong place.
363
00:16:43,186 --> 00:16:45,224
It was in the wrong place.
364
00:16:45,428 --> 00:16:47,380
Okay.
365
00:16:47,470 --> 00:16:49,470
Times two. 15 minutes apart.
366
00:16:59,015 --> 00:17:00,248
Hey.
367
00:17:00,250 --> 00:17:03,217
Um, Leonard says that
he stops by here to see you.
368
00:17:03,219 --> 00:17:04,852
Yeah.
369
00:17:04,854 --> 00:17:07,021
He pretends the cafeteria
is on his route.
370
00:17:07,023 --> 00:17:08,523
Like I don't know where the lab is.
371
00:17:08,525 --> 00:17:10,224
Yesterday around 3:00, Gwen.
372
00:17:10,226 --> 00:17:12,593
Notice anything on the food
trays that wasn't food?
373
00:17:12,595 --> 00:17:14,519
Around 3:00?
374
00:17:14,675 --> 00:17:16,007
Just the usual...
375
00:17:16,032 --> 00:17:20,759
uh, Tupperware, sunglasses,
cellphones, a condom.
376
00:17:20,861 --> 00:17:22,403
Around 4:00, I found a glass eye.
377
00:17:22,405 --> 00:17:24,138
You see a biohazard bag?
378
00:17:24,140 --> 00:17:27,275
Uh, the ziplock bag
with the red circles?
379
00:17:27,277 --> 00:17:28,714
Yeah.
380
00:17:29,530 --> 00:17:31,196
C'mon.
381
00:17:34,661 --> 00:17:37,395
You can move the mitral valve.
382
00:17:37,420 --> 00:17:39,187
Thanks for the visual aid.
383
00:17:39,189 --> 00:17:41,189
You can't move the mitral valve.
384
00:17:41,191 --> 00:17:43,480
Now, if Mr. Potato Head
had an atrial septal nose
385
00:17:43,512 --> 00:17:44,978
- and hypertrophic obstructive...
- I believe...
386
00:17:45,003 --> 00:17:46,936
I believe the abnormal insertion
387
00:17:46,963 --> 00:17:48,996
- of the mitral valve can be...
- Stop.
388
00:17:51,534 --> 00:17:53,881
Follow me.
389
00:17:54,906 --> 00:17:58,741
Pretty sure I saw a biohazard
bag in here yesterday.
390
00:17:58,775 --> 00:18:00,384
You're lucky you came when you did.
391
00:18:00,409 --> 00:18:02,976
It's due to get dumped in two hours.
392
00:18:03,361 --> 00:18:06,080
Ugh, dentures. They're the worst.
393
00:18:06,082 --> 00:18:07,615
You know, every patient
gets a denture cup
394
00:18:07,640 --> 00:18:08,720
with their name on it.
395
00:18:08,745 --> 00:18:11,252
So, tell me, why are
the dentures never in the cup?
396
00:18:11,254 --> 00:18:13,154
And if they are, it's the wrong cup?
397
00:18:13,156 --> 00:18:15,490
One of life's mysteries.
398
00:18:15,492 --> 00:18:18,826
Biohazard bag sighting.
399
00:18:18,828 --> 00:18:20,862
A biohazard bag for a coin purse?
400
00:18:20,864 --> 00:18:21,863
Really?
401
00:18:24,033 --> 00:18:26,467
Finally, a septal myectomy
402
00:18:26,469 --> 00:18:27,935
will open the outflow tract,
403
00:18:27,937 --> 00:18:29,771
and the mitral valve can be re-implanted
404
00:18:29,773 --> 00:18:31,672
into a more normal position.
405
00:18:31,674 --> 00:18:33,674
Thank you. That's my idea.
406
00:18:33,676 --> 00:18:35,810
Can you do this procedure on Gabriel?
407
00:18:35,812 --> 00:18:37,725
No.
408
00:18:37,879 --> 00:18:39,879
It's a terrible idea, and it won't work.
409
00:18:39,928 --> 00:18:41,916
So, what was the point
of this dog and pony show?
410
00:18:41,918 --> 00:18:44,752
'Cause you seemed keen on
making medical decisions for me.
411
00:18:44,754 --> 00:18:46,154
So just insubordination?
412
00:18:46,156 --> 00:18:49,023
And we were probably gonna
wind up coming to you anyway.
413
00:18:49,025 --> 00:18:51,325
Once Dr. Murphy gets an idea,
he stays with it,
414
00:18:51,327 --> 00:18:52,894
regardless of what anyone says.
415
00:18:52,896 --> 00:18:54,753
This can work.
416
00:18:54,817 --> 00:18:56,761
Yes, this can work.
417
00:18:56,929 --> 00:19:00,030
And it would be a great idea if
the boy had two hours to live.
418
00:19:00,103 --> 00:19:03,571
Is fear of failure
a good reason not to do this?
419
00:19:05,741 --> 00:19:07,582
No.
420
00:19:07,734 --> 00:19:09,667
But you know what is?
421
00:19:09,724 --> 00:19:12,925
The thought that he might have
a few more birthdays...
422
00:19:12,982 --> 00:19:14,982
or make a best friend.
423
00:19:14,984 --> 00:19:16,951
And... I don't know.
424
00:19:16,953 --> 00:19:19,287
I'm not sending him home in a box.
425
00:19:21,457 --> 00:19:23,287
We got to go.
426
00:19:23,312 --> 00:19:24,992
Gabriel's arrhythmia, it's gotten worse.
427
00:19:26,295 --> 00:19:27,795
You still haven't found it?
428
00:19:27,797 --> 00:19:30,031
I can get Ms. Preston
to address any questions...
429
00:19:30,033 --> 00:19:31,966
She wasn't in the surgery. You were.
430
00:19:31,968 --> 00:19:35,089
She is the point person for
all therapeutic misadventures.
431
00:19:35,092 --> 00:19:37,092
Are you kidding me?
432
00:19:37,117 --> 00:19:40,952
I may lose my voice
for absolutely no reason,
433
00:19:40,977 --> 00:19:42,577
and you are using canned jargon.
434
00:19:42,579 --> 00:19:45,179
That sample cup doesn't have toothpaste
435
00:19:45,486 --> 00:19:48,261
or socks or sunblock in it, okay?
It has my life!
436
00:19:53,223 --> 00:19:55,256
I'm sorry.
437
00:19:57,169 --> 00:19:58,736
Thank you.
438
00:20:05,009 --> 00:20:07,611
- Good for you.
- Yeah, right.
439
00:20:07,637 --> 00:20:10,037
- I just broke about eight rules.
- Maybe.
440
00:20:10,039 --> 00:20:11,906
"Ms. Preston" won't hear
about it from me.
441
00:20:13,843 --> 00:20:15,843
You should go find that sample, though.
442
00:20:17,347 --> 00:20:18,913
Thanks.
443
00:20:21,913 --> 00:20:25,242
Meds aren't working.
The question is why.
444
00:20:25,855 --> 00:20:29,724
M-Maybe the arrhythmia
is just another manifestation
445
00:20:29,726 --> 00:20:31,216
of Gabriel's L.V. dysfunction.
446
00:20:31,260 --> 00:20:33,548
We should still be seeing
at least a modest decline
447
00:20:33,573 --> 00:20:35,940
- in his ectopy.
- Maybe his gradient is worse.
448
00:20:35,942 --> 00:20:37,562
We could try calcium channel blockers.
449
00:20:37,640 --> 00:20:40,374
There's a much simpler explanation.
450
00:20:47,510 --> 00:20:50,011
Good news about his endocarditis...
451
00:20:50,013 --> 00:20:51,078
heart inflammation.
452
00:20:51,080 --> 00:20:52,980
His tests are normal.
453
00:20:52,982 --> 00:20:55,249
But we still are concerned.
454
00:20:55,251 --> 00:20:58,450
For some reason,
his medication isn't helping.
455
00:20:58,475 --> 00:21:00,709
Our best explanation is...
456
00:21:00,790 --> 00:21:03,224
he hasn't been taking his medication.
457
00:21:17,606 --> 00:21:19,707
I am trying to save his life.
458
00:21:19,709 --> 00:21:20,890
By withholding his medicine?
459
00:21:20,962 --> 00:21:23,463
By keeping him here.
460
00:21:23,513 --> 00:21:25,379
If he takes the medicine
and becomes better,
461
00:21:25,381 --> 00:21:27,014
you send him home to die.
462
00:21:27,016 --> 00:21:29,650
But there is nothing else
that we can do for him here.
463
00:21:29,652 --> 00:21:33,648
You do not understand
where I live, what it is like.
464
00:21:34,424 --> 00:21:36,781
I don't know your village.
465
00:21:37,460 --> 00:21:39,660
But I do know what it's like to be poor.
466
00:21:41,363 --> 00:21:43,232
I grew up with nothing.
467
00:21:43,333 --> 00:21:44,532
My sister was disabled.
468
00:21:44,534 --> 00:21:46,966
My parents couldn't afford
her meds or treatments.
469
00:21:47,080 --> 00:21:51,279
And it killed them, and me,
to watch her suffer.
470
00:21:52,132 --> 00:21:56,409
But when nothing can be done,
nothing can be done.
471
00:21:57,340 --> 00:21:59,480
You became a doctor?
472
00:22:00,772 --> 00:22:03,573
You did not accept being poor.
473
00:22:04,450 --> 00:22:06,154
No.
474
00:22:06,998 --> 00:22:09,991
Then you do not understand at all.
475
00:22:12,928 --> 00:22:15,693
We want for everything... food.
476
00:22:15,932 --> 00:22:19,389
Peace. Medicine.
477
00:22:20,654 --> 00:22:24,638
But our greatest want is hope.
478
00:22:27,343 --> 00:22:30,111
If we leave here, we leave hope behind.
479
00:22:38,488 --> 00:22:39,754
Okay.
480
00:22:39,952 --> 00:22:42,238
I'll do what I can.
481
00:22:47,067 --> 00:22:48,479
I dropped by to see Elizabeth.
482
00:22:48,528 --> 00:22:50,486
Not surprisingly, she's very upset.
483
00:22:50,607 --> 00:22:52,552
There wasn't much I could offer
in the way of comfort.
484
00:22:52,593 --> 00:22:53,926
If only people did their jobs.
485
00:22:54,014 --> 00:22:55,347
Which people?
486
00:22:55,399 --> 00:22:59,467
Scrub nurses, couriers, lab techs...
487
00:22:59,469 --> 00:23:01,336
That's a curiously limited list.
488
00:23:01,338 --> 00:23:02,671
I did the surgery correctly.
489
00:23:02,673 --> 00:23:04,139
I don't think it's too much
to expect others
490
00:23:04,141 --> 00:23:05,907
to do their jobs correctly, as well.
491
00:23:05,909 --> 00:23:07,679
So, not your fault, not your problem.
492
00:23:07,759 --> 00:23:09,459
What are you trying to do,
make me feel guilty?
493
00:23:09,580 --> 00:23:11,713
Yes. I want you to feel horrible.
494
00:23:11,715 --> 00:23:13,448
That's the only thing
that's gonna make you change.
495
00:23:13,450 --> 00:23:15,417
- Into what?
- The guy I married.
496
00:23:15,419 --> 00:23:18,186
The guy who cared more
about patients than politics.
497
00:23:18,188 --> 00:23:20,021
Ah, okay, I get it.
498
00:23:20,023 --> 00:23:22,891
This is about me vying
for president of the hospital.
499
00:23:22,893 --> 00:23:24,426
Which we discussed at length,
500
00:23:24,428 --> 00:23:27,206
which you said you were
100% behind me on.
501
00:23:27,241 --> 00:23:28,807
I didn't realize how far behind.
502
00:23:28,832 --> 00:23:30,599
You think I've left you behind?
503
00:23:30,601 --> 00:23:32,133
Hmm.
504
00:23:32,135 --> 00:23:35,009
Uh, Tuesday...
505
00:23:35,072 --> 00:23:36,805
"Capital expenditures meeting delayed.
506
00:23:36,807 --> 00:23:37,806
Will be late."
507
00:23:37,808 --> 00:23:41,042
Wednesday... "Fundraising event
ran over. Don't wait up."
508
00:23:41,044 --> 00:23:42,944
- Thursday...
- Iz, there are things about my job...
509
00:23:42,946 --> 00:23:43,949
Right.
510
00:23:44,214 --> 00:23:45,832
"Not your fault."
511
00:23:58,362 --> 00:23:59,394
Hello.
512
00:23:59,798 --> 00:24:01,438
Hey.
513
00:24:01,609 --> 00:24:04,843
Did you know that specimens
in formalin go to one place,
514
00:24:04,868 --> 00:24:06,902
exempt specimens somewhere else,
515
00:24:06,904 --> 00:24:08,370
aerobic and anaerobic cultures...
516
00:24:08,372 --> 00:24:09,604
two different places?
517
00:24:09,606 --> 00:24:11,940
Um, radioactive, medical device,
518
00:24:11,942 --> 00:24:13,875
forensic specimens... all different?
519
00:24:13,877 --> 00:24:15,310
And all handled by different staff?
520
00:24:15,312 --> 00:24:16,278
Did you know that?
521
00:24:17,076 --> 00:24:18,576
Yes.
522
00:24:18,726 --> 00:24:19,825
Oh.
523
00:24:19,850 --> 00:24:21,883
I made a chart, too.
524
00:24:21,885 --> 00:24:24,486
A qualitative observation log
of what you taught me.
525
00:24:24,488 --> 00:24:25,687
What did I teach you?
526
00:24:25,689 --> 00:24:27,248
Flirting.
527
00:24:27,324 --> 00:24:29,691
Every time I saw
someone flirt, I noted it
528
00:24:29,693 --> 00:24:31,259
and cross-referenced the subject,
529
00:24:31,261 --> 00:24:33,862
object, and nonverbal gestures.
530
00:24:33,864 --> 00:24:35,297
I knew it.
531
00:24:35,299 --> 00:24:36,965
Gwen, the cashier.
532
00:24:36,967 --> 00:24:39,935
She made out that it was
all the courier, but...
533
00:24:39,937 --> 00:24:41,136
That's my name.
534
00:24:41,138 --> 00:24:42,771
Yes. You made flirting gestures.
535
00:24:42,773 --> 00:24:44,149
- No, I didn't.
- Yes, you did.
536
00:24:44,855 --> 00:24:46,608
You brushed your hair back.
537
00:24:47,089 --> 00:24:50,369
Right hand, side sweeping.
538
00:24:51,377 --> 00:24:53,425
At Dr. Melendez?
539
00:24:53,450 --> 00:24:56,189
No, I don't think so. Shaun.
540
00:24:56,386 --> 00:24:57,986
- No.
- Yes.
541
00:24:57,988 --> 00:24:59,621
You were at the nurses station,
542
00:24:59,623 --> 00:25:01,623
and he said, "Good for you,"
543
00:25:01,625 --> 00:25:04,000
and you said, "Yeah, right.
I just broke about eight rules,"
544
00:25:04,094 --> 00:25:06,361
and smiled and giggled
and brushed your hair back.
545
00:25:08,999 --> 00:25:10,799
"Ms. Preston" won't hear
about it from me.
546
00:25:16,006 --> 00:25:18,006
It's possible you have ringworm.
547
00:25:19,742 --> 00:25:22,410
Shaun, sometimes people toss their hair
548
00:25:22,412 --> 00:25:23,912
just 'cause it's in their face.
549
00:25:23,914 --> 00:25:25,613
Murphy.
550
00:25:25,615 --> 00:25:27,182
I'd like you to elaborate on your idea.
551
00:25:27,184 --> 00:25:29,017
Mm, my terrible idea?
552
00:25:29,019 --> 00:25:30,285
That's the one.
553
00:25:43,667 --> 00:25:46,334
You can move the anterior
leaflet of the valve
554
00:25:46,336 --> 00:25:47,435
and reattach it.
555
00:25:47,576 --> 00:25:50,045
No, we can't.
556
00:25:50,307 --> 00:25:53,108
This is an exact replica
of the kid's heart,
557
00:25:53,110 --> 00:25:55,855
and there's no anchor point
to reattach it.
558
00:25:56,113 --> 00:25:57,779
So that part of your idea
is still terrible.
559
00:25:57,781 --> 00:25:59,793
Okay.
560
00:26:00,387 --> 00:26:01,853
But the rest of it?
561
00:26:01,895 --> 00:26:03,762
We're dealing with a huge septum...
562
00:26:03,787 --> 00:26:05,120
25 millimeters.
563
00:26:05,122 --> 00:26:06,588
What would that number be
in a healthy kid?
564
00:26:06,590 --> 00:26:07,989
About 8.
565
00:26:07,991 --> 00:26:09,591
If we go anywhere near that number,
566
00:26:09,593 --> 00:26:12,527
we won't have enough support
for the valve.
567
00:26:14,530 --> 00:26:18,666
But let's say we took that down to 20...
568
00:26:18,668 --> 00:26:20,168
That won't be enough
569
00:26:20,170 --> 00:26:22,537
to relieve the outflow obstruction.
570
00:26:25,474 --> 00:26:27,000
Okay.
571
00:26:27,411 --> 00:26:29,044
18.
572
00:26:30,413 --> 00:26:31,913
Okay.
573
00:27:25,535 --> 00:27:26,763
Let's take him off bypass.
574
00:27:39,149 --> 00:27:40,348
He's dead.
575
00:27:40,350 --> 00:27:42,408
Again. 16.
576
00:27:42,861 --> 00:27:44,533
I'm really tired.
577
00:27:46,047 --> 00:27:49,424
I used to think that I wanted to be
578
00:27:49,426 --> 00:27:51,292
the best surgeon in history.
579
00:27:51,294 --> 00:27:53,148
But my new goal?
580
00:27:53,173 --> 00:27:56,942
Is just not to get washed out
of my residency.
581
00:27:59,247 --> 00:28:01,817
You have a surgery now?
582
00:28:02,205 --> 00:28:03,304
No.
583
00:28:03,306 --> 00:28:04,869
I'm here to see how I can help.
584
00:28:04,893 --> 00:28:07,427
The Chief of Surgery
joining the search party?
585
00:28:07,452 --> 00:28:08,851
Should I take a selfie,
586
00:28:08,853 --> 00:28:10,420
show my friends that
this really happened?
587
00:28:10,422 --> 00:28:12,038
This is a team problem.
588
00:28:12,071 --> 00:28:15,996
- It should be a team solution.
- How do you get a boss like this?
589
00:28:16,061 --> 00:28:17,994
What do we know so far?
590
00:28:23,568 --> 00:28:25,134
Let's take him off bypass.
591
00:28:36,247 --> 00:28:39,415
His outflow is perfect
at 13 millimeters.
592
00:28:40,000 --> 00:28:41,883
Which is irrelevant...
593
00:28:42,014 --> 00:28:44,314
...the mitral valve doesn't have
enough support to close.
594
00:28:45,024 --> 00:28:46,727
He's dead.
595
00:28:48,293 --> 00:28:49,926
Again.
596
00:28:51,396 --> 00:28:52,771
Dr. Browne.
597
00:28:52,896 --> 00:28:54,831
Any reason you assumed responsibility
598
00:28:54,856 --> 00:28:56,748
on behalf of the hospital...
599
00:28:56,868 --> 00:28:59,649
told Elizabeth you were "sorry"?
600
00:29:00,472 --> 00:29:02,572
Because I was.
601
00:29:05,895 --> 00:29:08,864
Well, I hope we don't see
the price tag on that.
602
00:29:10,936 --> 00:29:13,292
And I think you're out of time.
603
00:29:21,464 --> 00:29:23,564
Let's take him off bypass.
604
00:29:35,073 --> 00:29:36,706
Yes.
605
00:29:38,990 --> 00:29:40,676
14 millimeters.
606
00:29:41,115 --> 00:29:42,780
Exactly.
607
00:29:42,981 --> 00:29:44,335
Yeah.
608
00:29:44,453 --> 00:29:46,476
Exactly.
609
00:29:46,951 --> 00:29:51,733
Our margin of error is exceedingly low.
610
00:29:51,856 --> 00:29:54,163
Good luck.
611
00:29:54,292 --> 00:29:56,171
You believe in luck?
612
00:29:56,261 --> 00:30:00,163
It's something people say
in difficult situations.
613
00:30:02,746 --> 00:30:04,012
Neither do I.
614
00:30:04,225 --> 00:30:05,258
Again.
615
00:30:07,050 --> 00:30:10,318
The reality is, even
if we found your specimen now,
616
00:30:10,749 --> 00:30:13,435
it's unlikely that it'd still be viable.
617
00:30:17,081 --> 00:30:19,849
You don't know if I have cancer,
618
00:30:20,777 --> 00:30:22,543
and there's no way to find out.
619
00:30:24,364 --> 00:30:29,510
So my choices
are surgery I may not need...
620
00:30:31,313 --> 00:30:33,849
...that will leave me without speech,
621
00:30:35,100 --> 00:30:37,084
or I do nothing and maybe die.
622
00:30:38,029 --> 00:30:40,615
Unfortunately, yes.
623
00:32:02,554 --> 00:32:04,434
Knife.
624
00:32:21,278 --> 00:32:22,945
3 hours, 30 minutes.
625
00:32:23,176 --> 00:32:25,743
You didn't want him on bypass
any longer than five hours.
626
00:32:30,008 --> 00:32:33,452
"Wynken and Blynken are two little eyes,
627
00:32:33,578 --> 00:32:36,461
and Nod is a little head,
628
00:32:37,048 --> 00:32:39,563
and the wooden shoe
that sailed the skies
629
00:32:39,695 --> 00:32:41,828
is a wee one's trundle-bed.
630
00:32:42,321 --> 00:32:47,875
So shut your eyes while Mother sings...
631
00:32:51,029 --> 00:32:52,795
How's it look, Dr. Murphy?
632
00:32:56,067 --> 00:32:58,568
14 millimeters.
633
00:32:58,570 --> 00:33:00,303
Exactly.
634
00:33:00,305 --> 00:33:01,337
Perfect.
635
00:33:04,476 --> 00:33:06,754
His septal tissue...
636
00:33:11,216 --> 00:33:14,002
It's stiffer than I anticipated.
637
00:33:22,060 --> 00:33:24,783
I don't think this is gonna be
enough for adequate outflow.
638
00:33:29,000 --> 00:33:31,931
I'm taking the septum down to 13.
639
00:33:32,237 --> 00:33:36,172
Okay, the valve wasn't supported at 13.
640
00:33:36,174 --> 00:33:37,440
The patient died.
641
00:33:37,442 --> 00:33:39,175
That was a model, not a patient.
642
00:33:39,177 --> 00:33:42,337
We're at five hours and three minutes.
643
00:33:47,986 --> 00:33:49,919
We're taking him down to 13.
644
00:33:56,394 --> 00:33:58,391
Field.
645
00:33:59,164 --> 00:34:02,265
All quiet for the time-out.
646
00:34:02,267 --> 00:34:03,966
Patient is Elizabeth McLaren.
647
00:34:03,968 --> 00:34:05,101
No known allergies.
648
00:34:05,103 --> 00:34:07,203
We'll be doing a total laryngectomy
649
00:34:07,205 --> 00:34:08,938
with a Gluck Sorenson U-shaped incision.
650
00:34:08,940 --> 00:34:10,072
Is everyone in agreement?
651
00:34:11,675 --> 00:34:12,742
Antibiotics in?
652
00:34:12,744 --> 00:34:14,811
One gram of cefotaxime has been infused.
653
00:34:14,813 --> 00:34:16,078
We anticipate a specimen.
654
00:34:16,080 --> 00:34:18,014
I've requested labels be printed.
655
00:34:18,016 --> 00:34:19,773
Pen.
656
00:34:20,151 --> 00:34:21,884
Prepare to intubate.
657
00:34:23,720 --> 00:34:24,854
Dentures.
658
00:34:25,823 --> 00:34:27,690
You've gotta hold the surgery.
659
00:34:27,692 --> 00:34:30,393
Uh... just give me a little time.
660
00:34:35,500 --> 00:34:37,700
That's 13.
661
00:34:43,575 --> 00:34:45,836
Dammit.
662
00:34:46,044 --> 00:34:47,883
Too thin?
663
00:34:48,566 --> 00:34:52,523
The valve doesn't have adequate support.
664
00:34:52,684 --> 00:34:54,684
It won't be able to close.
665
00:34:57,922 --> 00:34:59,577
I was wrong.
666
00:35:13,738 --> 00:35:14,737
Whoa.
667
00:35:14,739 --> 00:35:17,940
There's a reattachment point.
668
00:35:17,942 --> 00:35:19,609
We must not have seen it at 14
669
00:35:19,611 --> 00:35:22,011
'cause it was obscured
by the subvalvular tissue.
670
00:35:22,013 --> 00:35:25,748
We can use that as an anchor
point and move the valve.
671
00:35:25,750 --> 00:35:28,317
Your terrible idea just got
a hell of a lot better.
672
00:35:28,319 --> 00:35:29,385
Stitch.
673
00:35:29,387 --> 00:35:32,121
5 hours, 23 minutes.
674
00:35:47,138 --> 00:35:48,404
Hey.
675
00:35:48,406 --> 00:35:49,472
Dentures.
676
00:35:49,474 --> 00:35:50,773
They always end up in the wrong cup,
677
00:35:50,775 --> 00:35:52,742
which is why they're so hard
to get back to the owner.
678
00:35:52,744 --> 00:35:53,943
- Okay.
- Right.
679
00:35:53,945 --> 00:35:55,912
What if the label
on the specimen was wrong?
680
00:35:55,914 --> 00:35:58,180
What... What if the nodule is here,
681
00:35:58,182 --> 00:35:59,749
but the container
has the wrong name on it?
682
00:35:59,751 --> 00:36:01,617
Okay, I'm reconciling
the operative records
683
00:36:01,619 --> 00:36:03,586
to the surgery schedule to the specimen.
684
00:36:03,588 --> 00:36:05,542
I'll read the cases,
check the containers,
685
00:36:05,567 --> 00:36:06,966
and feel like a jerk for judging you.
686
00:36:06,991 --> 00:36:09,392
Well, you're only a jerk if I'm right.
687
00:36:11,996 --> 00:36:13,851
Pump time?
688
00:36:13,932 --> 00:36:16,065
6 hours, 48 minutes.
689
00:36:20,805 --> 00:36:22,738
Get Mehta in here.
690
00:36:23,941 --> 00:36:26,208
Let's take him off bypass.
691
00:36:55,569 --> 00:36:57,903
12 seconds. Should I get the paddles?
692
00:36:58,202 --> 00:37:00,769
Not yet. Come on, Gabriel.
693
00:37:02,171 --> 00:37:03,872
How long has he been on bypass?
694
00:37:03,874 --> 00:37:05,607
Nearly two hours too long.
We need to jump-start...
695
00:37:05,609 --> 00:37:06,908
Not yet!
696
00:37:15,484 --> 00:37:16,551
Yeah.
697
00:37:16,553 --> 00:37:18,620
Yes!
698
00:37:24,194 --> 00:37:26,494
Dr. Murphy, close him up.
699
00:37:48,452 --> 00:37:51,074
It's beating just fine on its own.
700
00:38:05,769 --> 00:38:07,435
Marcus.
701
00:38:18,548 --> 00:38:22,751
There was a specimen cup in
the O.R. prior to your surgery.
702
00:38:22,753 --> 00:38:25,253
It was supposed to be used
for a bullet removal,
703
00:38:25,255 --> 00:38:27,789
but they left the bullet in the body,
704
00:38:27,791 --> 00:38:31,226
and the cup was used
accidentally for your specimen.
705
00:38:31,339 --> 00:38:33,800
Not only was it in formalin,
706
00:38:33,890 --> 00:38:36,958
but it was refrigerated
and fresh as a daisy.
707
00:38:37,293 --> 00:38:40,540
Elizabeth, you don't have cancer.
708
00:38:46,709 --> 00:38:49,361
Thank you.
709
00:38:49,646 --> 00:38:51,880
Doctor.
710
00:39:08,799 --> 00:39:10,265
Intangibles.
711
00:39:20,114 --> 00:39:21,313
Hello.
712
00:39:21,378 --> 00:39:22,705
Hello.
713
00:39:22,779 --> 00:39:25,146
- I had a very good day today.
- Yes, you did.
714
00:39:25,148 --> 00:39:27,482
- That was a hell of an operation.
- Yes.
715
00:39:27,484 --> 00:39:29,254
And I caught Claire flirting.
716
00:39:29,279 --> 00:39:30,345
With you?
717
00:39:30,370 --> 00:39:33,145
- Shaun, I think you might be mis...
- With Dr. Melendez.
718
00:39:33,490 --> 00:39:36,091
- Ah, Dr. Melendez.
- I conducted observations,
719
00:39:36,093 --> 00:39:38,360
successfully interpreted them,
and logged them.
720
00:39:38,362 --> 00:39:40,562
Romance in a spreadsheet.
721
00:39:40,564 --> 00:39:41,896
I love it.
722
00:39:41,898 --> 00:39:45,882
I was aware of the cues
even when Claire wasn't.
723
00:39:46,109 --> 00:39:48,476
I think she needs a life-skills coach.
724
00:39:48,572 --> 00:39:50,939
Extrapolating. I like that, too.
725
00:39:50,941 --> 00:39:52,040
That's great, Shaun.
726
00:39:52,042 --> 00:39:54,242
You're paying attention.
You're learning.
727
00:39:54,244 --> 00:39:57,013
And when we find you a life coach,
728
00:39:57,038 --> 00:39:58,371
one with a fashion sense,
729
00:39:58,415 --> 00:40:00,148
then you're gonna be learning better,
730
00:40:00,150 --> 00:40:02,117
you're gonna be learning faster.
731
00:40:04,865 --> 00:40:07,200
Are you giving up on me?
732
00:40:07,524 --> 00:40:09,598
What?
733
00:40:09,801 --> 00:40:11,856
No. I haven't given up on you.
734
00:40:11,881 --> 00:40:14,748
I don't want a stranger helping me.
735
00:40:15,198 --> 00:40:17,599
I know, Shaun.
736
00:40:17,601 --> 00:40:19,176
But...
737
00:40:20,249 --> 00:40:22,831
And I can't...
738
00:40:22,939 --> 00:40:25,559
I can't always be there. I-I...
739
00:40:25,698 --> 00:40:28,835
I can't always help you
the way you need to be helped,
740
00:40:28,860 --> 00:40:30,793
the way you deserve to be helped.
741
00:40:30,818 --> 00:40:33,319
I don't want a stranger helping me.
742
00:40:45,929 --> 00:40:47,439
Congratulations.
743
00:40:47,701 --> 00:40:49,467
You too.
744
00:40:49,543 --> 00:40:51,410
On your mad sleuthing skills.
745
00:40:51,435 --> 00:40:54,135
Something to fall back on
if this surgery thing gets old.
746
00:40:56,273 --> 00:40:58,127
You did a nice job, Claire.
747
00:40:58,152 --> 00:41:00,561
- Thanks.
- And here is our price tag.
748
00:41:00,586 --> 00:41:01,953
We've been served.
749
00:41:02,373 --> 00:41:04,546
But we found it. Elizabeth's fine.
750
00:41:04,548 --> 00:41:05,613
I know.
751
00:41:05,638 --> 00:41:07,417
But we put her through two days of hell,
752
00:41:07,442 --> 00:41:09,442
and she wants to make sure it
doesn't happen to anybody else.
753
00:41:09,467 --> 00:41:10,666
I mean, good for her.
754
00:41:14,180 --> 00:41:15,985
What is this?
755
00:41:16,232 --> 00:41:18,165
Gabriel's pacemaker.
756
00:41:18,276 --> 00:41:20,577
I heard you were brilliant again today.
757
00:41:22,331 --> 00:41:23,431
I got lucky.
758
00:41:28,859 --> 00:41:31,573
Do you think Armen would kill
me if I got a pet hedgehog?
759
00:41:31,575 --> 00:41:33,107
I mean, I read that
they're actually pretty...
760
00:41:33,109 --> 00:41:35,109
- Lea.
- Yes, Shaun?
761
00:41:36,111 --> 00:41:38,567
You look absurd in that sweater.
762
00:41:45,077 --> 00:41:47,214
I have apples.
763
00:41:47,471 --> 00:41:49,677
Do you want an apple?
764
00:41:52,228 --> 00:41:54,136
Yeah.
765
00:41:58,721 --> 00:42:03,221
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