1 00:00:21,880 --> 00:00:23,400 _ 2 00:00:27,550 --> 00:00:30,000 You're here early. Trouble sleeping? 3 00:00:30,020 --> 00:00:32,220 No. Just wanted to get out 4 00:00:32,280 --> 00:00:34,839 of my apartment and to work. 5 00:00:34,840 --> 00:00:37,250 We work you plenty hard enough. Go home. 6 00:00:37,470 --> 00:00:39,680 Making sure you're rested is also part of the job. 7 00:00:39,710 --> 00:00:40,910 I understand. 8 00:00:43,330 --> 00:00:45,140 What should I tell a patient 9 00:00:45,180 --> 00:00:46,500 if they don't think they're sick 10 00:00:46,520 --> 00:00:49,080 but I think they have pancreatic cancer? 11 00:00:49,480 --> 00:00:51,910 You think one of our patients has pancreatic cancer? 12 00:00:57,060 --> 00:00:59,440 Seventeen. 13 00:00:59,660 --> 00:01:02,200 He's burped 17 times 14 00:01:02,230 --> 00:01:03,530 in 10 minutes. 15 00:01:03,550 --> 00:01:06,450 It's a frequent symptom of pancreatic cancer. 16 00:01:06,670 --> 00:01:09,440 Shaun, it's acid reflux. 17 00:01:10,440 --> 00:01:12,680 He's also jaundiced. 18 00:01:15,920 --> 00:01:17,090 No, he isn't. 19 00:01:18,260 --> 00:01:20,100 Paul's skin is definitely not 20 00:01:20,130 --> 00:01:22,640 the same color it was six months ago. 21 00:01:22,860 --> 00:01:24,640 - Paul? - I looked at his mouth 22 00:01:24,660 --> 00:01:26,710 when he was telling me about his daughter. 23 00:01:26,730 --> 00:01:28,380 - She just... - Walk with me. 24 00:01:30,570 --> 00:01:32,150 Say nothing. 25 00:01:50,530 --> 00:01:52,010 Hey, Shaun. 26 00:01:56,100 --> 00:01:57,880 Do a CVC, CMP, 27 00:01:57,900 --> 00:02:00,480 amylase, lipase, CA-19 levels, 28 00:02:00,500 --> 00:02:02,780 and CT abdomen, pelvis pancreatic protocol, 29 00:02:02,810 --> 00:02:04,570 and do not tell him why. 30 00:02:04,620 --> 00:02:06,420 You want me to lie? 31 00:02:06,440 --> 00:02:07,920 I don't want you to tell the truth. 32 00:02:07,940 --> 00:02:10,620 The discoloration, if there is any, is very minor. 33 00:02:10,650 --> 00:02:12,460 I don't want you scaring the crap out of the man over nothing. 34 00:02:12,480 --> 00:02:15,090 Excellent. I've been practicing lying. 35 00:02:15,120 --> 00:02:16,760 I lied to you before when I said 36 00:02:16,790 --> 00:02:19,290 I just wanted to get out of my apartment and to work. 37 00:02:20,770 --> 00:02:22,440 Take Claire. 38 00:02:26,480 --> 00:02:27,930 Hello. I'm Dr. Lim. 39 00:02:27,950 --> 00:02:29,330 How can I help you today... 40 00:02:29,350 --> 00:02:30,620 Asha? 41 00:02:32,490 --> 00:02:34,880 I want plastic surgery. 42 00:02:35,420 --> 00:02:37,570 Sweetheart, this is the Emergency Room. 43 00:02:37,590 --> 00:02:39,970 If you want, I can make an appointment for you... 44 00:02:39,990 --> 00:02:42,190 Well, you do vaginal rejuvenation, right? 45 00:02:43,030 --> 00:02:44,610 Yes... 46 00:02:44,830 --> 00:02:46,540 On much older, much vainer women, 47 00:02:46,570 --> 00:02:48,960 generally after having many children. 48 00:02:49,780 --> 00:02:50,980 I don't know what the boys have told you... 49 00:02:51,000 --> 00:02:52,280 Examine me. 50 00:02:53,730 --> 00:02:54,930 Please. 51 00:02:56,580 --> 00:02:57,980 Please take off your underwear. 52 00:03:22,930 --> 00:03:24,640 Were you in an accident? 53 00:03:24,760 --> 00:03:26,030 No. 54 00:03:27,460 --> 00:03:28,590 Can you help me? 55 00:03:29,660 --> 00:03:31,570 - Did your father do this to you? - No. 56 00:03:31,600 --> 00:03:32,980 - Please just... - Did your mother... 57 00:03:33,000 --> 00:03:34,850 - I need to know who did this to you. - No, you don't! 58 00:03:34,870 --> 00:03:36,050 It doesn't matter who... 59 00:03:44,000 --> 00:03:46,440 When I was 2 years old... 60 00:03:47,590 --> 00:03:50,170 I was... Tied down, 61 00:03:50,190 --> 00:03:51,970 and I was circumcised. 62 00:03:55,860 --> 00:03:57,330 Please. 63 00:03:57,790 --> 00:03:59,460 I'm hideous. 64 00:04:04,670 --> 00:04:06,240 Will you help me? 65 00:04:08,940 --> 00:04:09,940 Yes. 66 00:04:11,310 --> 00:04:21,520 Synced & corrected by -robtor- www.addic7ed.com 67 00:04:22,400 --> 00:04:24,220 Why do you need to confirm 68 00:04:24,240 --> 00:04:26,780 a diagnosis of acid reflux? 69 00:04:26,800 --> 00:04:28,990 Because we're doctors. It's what we do. 70 00:04:29,010 --> 00:04:30,550 We just like to be sure of everything. 71 00:04:32,920 --> 00:04:35,400 There are a few remote possibilities... 72 00:04:35,420 --> 00:04:36,690 I've got this! 73 00:04:38,390 --> 00:04:41,800 Are you familiar with the hospital employee manual 74 00:04:41,830 --> 00:04:44,210 section 17, subsection C, triple I? 75 00:04:44,230 --> 00:04:45,670 - No. - Good. 76 00:04:45,700 --> 00:04:47,310 - Good? - Yes. 77 00:04:47,330 --> 00:04:50,780 It requires that all employees 78 00:04:50,800 --> 00:04:52,480 shall be subject to, 79 00:04:52,500 --> 00:04:54,250 and I quote, 80 00:04:54,270 --> 00:04:56,380 "Any and all possible necessary tests 81 00:04:56,410 --> 00:04:58,220 "to confirm any and all diagnoses, 82 00:04:58,240 --> 00:05:00,320 "no matter how mundane, the cost of which tests 83 00:05:00,350 --> 00:05:02,910 "shall be borne by the hospital," end quote. 84 00:05:09,650 --> 00:05:11,370 The Board wants to make sure 85 00:05:11,390 --> 00:05:13,900 that no one is exposed to patients 86 00:05:13,930 --> 00:05:15,800 if there is any chance that they have 87 00:05:15,830 --> 00:05:17,790 any communicable condition. 88 00:05:23,640 --> 00:05:26,350 I had the flu last week. 89 00:05:26,370 --> 00:05:28,730 Why didn't anybody do anything for me then? 90 00:05:31,740 --> 00:05:34,110 - It's a new policy. - You might have pancreatic cancer. 91 00:05:35,280 --> 00:05:36,900 What? 92 00:05:36,920 --> 00:05:38,150 What'd he say? 93 00:05:39,850 --> 00:05:41,630 Female genital mutilation 94 00:05:41,650 --> 00:05:44,300 is the ritual cutting or removal of some, or all, 95 00:05:44,320 --> 00:05:46,290 of the external female genitalia. 96 00:05:46,510 --> 00:05:49,150 Over 200 million victims worldwide. 97 00:05:49,180 --> 00:05:51,170 It is almost universally practiced 98 00:05:51,200 --> 00:05:53,629 in a number of African and Asian countries. 99 00:05:53,630 --> 00:05:54,830 Where was she born? 100 00:05:55,770 --> 00:05:57,280 Wisconsin. 101 00:05:57,300 --> 00:05:58,850 Yeah, it's way more common here than you think. 102 00:05:58,870 --> 00:06:00,750 - What religion is she? - I didn't ask. 103 00:06:00,870 --> 00:06:02,120 This isn't about religion. 104 00:06:02,250 --> 00:06:04,669 No legit religious organization endorses this stuff. 105 00:06:04,670 --> 00:06:07,390 We're gonna do the labiaplasty first thing in the morning. 106 00:06:07,510 --> 00:06:09,950 The damage done to her nerves is not going to get undone, 107 00:06:09,980 --> 00:06:11,500 nor is the psych damage, 108 00:06:11,530 --> 00:06:14,160 but at least she'll look like other girls. 109 00:06:14,280 --> 00:06:15,696 We should be able to have her out of here 110 00:06:15,720 --> 00:06:16,790 by 6:00 in the evening. 111 00:06:16,820 --> 00:06:19,080 Outpatient? Why the hurry? 112 00:06:19,180 --> 00:06:21,670 So her mother will simply think she's in school, 113 00:06:21,690 --> 00:06:23,160 then out studying with her friends. 114 00:06:24,540 --> 00:06:26,620 She loves her parents and doesn't want to tell them 115 00:06:26,640 --> 00:06:29,240 that she's rejecting one of their cultural traditions. 116 00:06:29,260 --> 00:06:30,500 They won't stay in the dark for long, 117 00:06:30,520 --> 00:06:32,610 since we're legally obligated to report them. 118 00:06:32,630 --> 00:06:34,810 That "cultural tradition" also fits 119 00:06:34,840 --> 00:06:37,520 - the definition of abuse. - And they'll also find out when we ask 120 00:06:37,540 --> 00:06:39,380 for their permission to do this surgery. 121 00:06:39,410 --> 00:06:40,720 She's a minor. 122 00:06:40,740 --> 00:06:42,080 Her ID says she's 18. 123 00:06:42,100 --> 00:06:43,960 Yes, her fake ID 124 00:06:43,980 --> 00:06:45,560 says she's 18. 125 00:06:45,580 --> 00:06:47,896 Her number starts with an "H," which means she was born in the '50s. 126 00:06:47,920 --> 00:06:50,700 Also, the photo background is green instead of blue. 127 00:06:50,720 --> 00:06:52,529 Also six other things. 128 00:06:52,530 --> 00:06:54,410 Maybe we can get Legal to get a court order... 129 00:06:54,430 --> 00:06:56,340 If I believe that ID is real, 130 00:06:56,360 --> 00:06:58,640 then I am entitled to perform this surgery 131 00:06:58,670 --> 00:07:01,650 without seeking consent of anyone other than the patient. 132 00:07:01,670 --> 00:07:04,720 And, as legally required within 36 hours, 133 00:07:04,840 --> 00:07:06,550 I will report the evidence of abuse 134 00:07:06,580 --> 00:07:09,590 under the name and address listed on that ID. 135 00:07:09,610 --> 00:07:12,190 If the investigation of that report 136 00:07:12,200 --> 00:07:14,630 doesn't begin until the girl is long gone 137 00:07:14,650 --> 00:07:17,700 and happens to lead nowhere because the name wasn't real, 138 00:07:17,720 --> 00:07:19,200 that's no fault of mine. 139 00:07:19,220 --> 00:07:21,370 Are you sure you want to risk your medical license 140 00:07:21,390 --> 00:07:22,770 to protect an abusive mother? 141 00:07:22,790 --> 00:07:24,300 If we do this by the book, 142 00:07:24,330 --> 00:07:26,340 we never see that girl again and no one gets help. 143 00:07:26,360 --> 00:07:29,410 If we do this by the book, maybe the cops lock the parents up. 144 00:07:29,430 --> 00:07:31,880 We shine a light on this thing, her community gets scared, 145 00:07:31,900 --> 00:07:33,950 and maybe the next girl doesn't need our help. 146 00:07:33,970 --> 00:07:35,810 Or maybe the testimony of the girl 147 00:07:35,840 --> 00:07:37,550 about what happened to her when she was 2 148 00:07:37,570 --> 00:07:39,220 doesn't help the cops at all. 149 00:07:39,240 --> 00:07:41,190 Maybe the parents just take their daughter home, 150 00:07:41,210 --> 00:07:43,000 and maybe we scare the next girl 151 00:07:43,020 --> 00:07:45,080 into not even asking for help. 152 00:07:46,380 --> 00:07:49,490 I'm doing the surgery to this girl 153 00:07:49,520 --> 00:07:52,900 under this name tomorrow morning at 7:00 a.m. 154 00:08:03,770 --> 00:08:06,380 I can't believe people ever lie. 155 00:08:06,400 --> 00:08:08,979 There are so many questions 156 00:08:08,980 --> 00:08:10,680 people might ask you, 157 00:08:10,710 --> 00:08:12,380 but if you tell the truth, 158 00:08:12,410 --> 00:08:14,430 you already know the answers. 159 00:08:15,310 --> 00:08:17,860 And, also, it's wrong. 160 00:08:17,880 --> 00:08:19,790 But sometimes, 161 00:08:19,820 --> 00:08:22,320 you shouldn't tell the whole truth? 162 00:08:23,420 --> 00:08:26,060 No. Of course not. 163 00:08:26,090 --> 00:08:28,770 Because that lets you be honorable 164 00:08:28,790 --> 00:08:32,240 and tell the truth and be a good person, 165 00:08:32,260 --> 00:08:33,710 but at the same time, 166 00:08:33,730 --> 00:08:36,870 you get to completely deceive the person. 167 00:08:36,900 --> 00:08:39,260 - No, I don't think that... - Lea came back. 168 00:08:40,070 --> 00:08:41,610 Wow, Shaun, that's great. 169 00:08:41,640 --> 00:08:45,220 She's staying with me until she finds her own place. 170 00:08:45,240 --> 00:08:47,110 You must be so excited. 171 00:08:48,540 --> 00:08:49,740 Yes. 172 00:08:51,650 --> 00:08:53,310 You're not excited? 173 00:08:53,920 --> 00:08:55,520 I said, "Yes." 174 00:08:58,820 --> 00:09:00,690 Paul has one year to live. 175 00:09:02,090 --> 00:09:04,460 He has pancreatic cancer. 176 00:09:05,260 --> 00:09:06,570 Stage III. 177 00:09:12,360 --> 00:09:14,170 There are no metastatic lesions, but there are 178 00:09:14,200 --> 00:09:16,240 - local nodes involved. - And there's partial encasement 179 00:09:16,260 --> 00:09:17,780 of the superior mesenteric artery. 180 00:09:17,800 --> 00:09:18,940 That puts it past the point 181 00:09:18,970 --> 00:09:21,030 where we can cure with local resection. 182 00:09:21,340 --> 00:09:23,580 We could do Whipple surgery. 183 00:09:23,600 --> 00:09:25,820 That's not advised for stage III pancreatic cancer. 184 00:09:25,840 --> 00:09:28,590 Not quite. It's not advised for stage IV. 185 00:09:28,610 --> 00:09:30,950 For stage III, it's discretionary. 186 00:09:30,980 --> 00:09:32,720 In my discretion, 187 00:09:32,740 --> 00:09:34,719 he's better off with 12 semi-comfortable months, 188 00:09:34,720 --> 00:09:37,030 rather than running the risk of dying on the table tomorrow. 189 00:09:37,050 --> 00:09:39,930 If he doesn't die on the table, he could have many years. 190 00:09:39,960 --> 00:09:42,010 It isn't our call to make. 191 00:09:42,030 --> 00:09:44,220 I'll talk to Paul, advise him of the parameters, 192 00:09:44,240 --> 00:09:45,710 let him make his own decision. 193 00:09:47,500 --> 00:09:48,740 No. 194 00:09:49,530 --> 00:09:50,630 Shaun should do it. 195 00:09:52,360 --> 00:09:53,600 Claire can do it. 196 00:09:53,630 --> 00:09:56,210 Yes, she can, which is why you should do it. 197 00:09:56,230 --> 00:09:58,210 This is a teaching hospital. 198 00:09:58,330 --> 00:09:59,540 Andrews is right... 199 00:09:59,570 --> 00:10:01,580 Being a surgeon isn't just about cutting. 200 00:10:23,320 --> 00:10:24,670 Would it be okay 201 00:10:24,690 --> 00:10:27,430 if we spoke someplace more quiet? 202 00:10:28,120 --> 00:10:31,260 You need someplace quiet to tell me I have acid reflux? 203 00:10:34,040 --> 00:10:37,050 I think we should be someplace quiet 204 00:10:37,070 --> 00:10:39,380 because people sometimes get very upset 205 00:10:39,410 --> 00:10:41,090 when they find out they probably only have 206 00:10:41,110 --> 00:10:42,820 less than a year to live. 207 00:10:49,880 --> 00:10:51,220 Okay, uh... 208 00:10:51,240 --> 00:10:53,260 Can I call my family? 209 00:10:53,300 --> 00:10:55,830 They should probably hear what you have to say, too. 210 00:10:55,850 --> 00:10:57,380 I'd rather just talk to... 211 00:10:57,400 --> 00:10:59,130 Of course you can. 212 00:11:01,380 --> 00:11:03,590 I'll elevate it with a 6-inch Ambler tissue hook. 213 00:11:03,610 --> 00:11:05,790 You separate the underlying tissue with iris forceps. 214 00:11:06,010 --> 00:11:08,730 I got it. Tenotomy scissors. 215 00:11:08,750 --> 00:11:10,360 I think we're actually a little ahead of schedule. 216 00:11:10,380 --> 00:11:12,730 Might be able to get her home in time to do her homework. 217 00:11:12,750 --> 00:11:14,960 Back to the bosom of her loving family. 218 00:11:18,160 --> 00:11:21,159 We'd remove as much of the cancer as possible 219 00:11:21,160 --> 00:11:22,930 by removing the head of the pancreas 220 00:11:22,960 --> 00:11:24,439 and other attached organs, 221 00:11:24,440 --> 00:11:26,990 but then, we'd have to reconstruct the anatomy. 222 00:11:27,090 --> 00:11:28,570 The easiest way to do that 223 00:11:28,590 --> 00:11:30,300 is to bring up a loop of jejunum... 224 00:11:30,330 --> 00:11:31,330 Shaun. 225 00:11:32,600 --> 00:11:34,040 Sorry. 226 00:11:34,060 --> 00:11:37,140 The jejunum is part of the small intestine 227 00:11:37,170 --> 00:11:38,780 between the duodenum and ileum. 228 00:11:38,800 --> 00:11:42,960 It's complicated, very dangerous surgery. 229 00:11:43,040 --> 00:11:44,690 And even if it's successful, 230 00:11:44,710 --> 00:11:47,720 post-operative complications are frequent and serious. 231 00:11:47,850 --> 00:11:50,460 And recovery can be very painful. 232 00:11:51,480 --> 00:11:54,590 But if it works, he's better? He'll be healthy? 233 00:11:54,610 --> 00:11:56,490 He would still need chemotherapy 234 00:11:56,610 --> 00:11:58,460 and a lifetime of monitoring. 235 00:11:58,480 --> 00:12:01,350 But hopefully, a long lifetime. 236 00:12:03,430 --> 00:12:04,940 Let's do it, Dad. 237 00:12:04,960 --> 00:12:06,330 What do you say? 238 00:12:09,380 --> 00:12:10,650 What should I do? 239 00:12:13,040 --> 00:12:14,640 It's your decision. 240 00:12:15,930 --> 00:12:19,110 All we can do is present you with the facts. 241 00:12:21,130 --> 00:12:23,830 Yeah, here are the facts, Dad... 242 00:12:24,350 --> 00:12:26,330 The surgery may kill you. 243 00:12:26,550 --> 00:12:28,900 Not doing the surgery will kill you. 244 00:12:39,160 --> 00:12:40,600 Can you give us a few minutes? 245 00:12:40,630 --> 00:12:41,900 Of course. 246 00:12:49,610 --> 00:12:52,380 It was very nice of Dr. Andrews to give you an office, 247 00:12:52,400 --> 00:12:54,050 even though, you're on medical leave. 248 00:12:54,070 --> 00:12:55,620 Yeah, he is a prince. 249 00:12:55,740 --> 00:12:57,420 Who's your surgeon going to be? 250 00:12:57,450 --> 00:12:58,650 I haven't d... 251 00:12:59,480 --> 00:13:00,850 I haven't decided yet. 252 00:13:02,270 --> 00:13:04,250 You should definitely go with 253 00:13:04,300 --> 00:13:07,380 Dr. Joshua Atkinson at Stanford Medical Center. 254 00:13:07,460 --> 00:13:09,730 His mortality index is .3. 255 00:13:09,760 --> 00:13:11,230 It's too low. 256 00:13:11,260 --> 00:13:13,770 Not enough of his patients are dying? 257 00:13:13,790 --> 00:13:16,040 No, Shaun, sometimes patients die. 258 00:13:16,060 --> 00:13:17,540 Doesn't matter how good the doctor is. 259 00:13:17,560 --> 00:13:20,489 But when your mortality rate is as low as Atkinson's, 260 00:13:20,490 --> 00:13:22,470 it means you're turning away patients. 261 00:13:22,490 --> 00:13:24,570 You turn away patients, it means you lack confidence. 262 00:13:24,600 --> 00:13:27,800 You lack confidence, I don't want you inside my head. 263 00:13:28,030 --> 00:13:30,410 And I'd like to be able to dress myself 264 00:13:30,430 --> 00:13:31,800 when I'm all done. 265 00:13:33,630 --> 00:13:36,280 Shaun, what are you doing here? 266 00:13:36,400 --> 00:13:39,450 You showed up at work early this morning. 267 00:13:39,670 --> 00:13:41,610 Go home. Get some rest. 268 00:13:44,760 --> 00:13:47,000 I won't rest if I go home. 269 00:13:55,690 --> 00:13:57,150 The surgery went great. 270 00:13:58,060 --> 00:13:59,400 Once everything's healed, I think 271 00:13:59,430 --> 00:14:01,870 you'll be very happy with the results. 272 00:14:02,290 --> 00:14:05,160 - What time is it? - Not quite 5:45. 273 00:14:05,260 --> 00:14:06,406 We just need you to pee, and... 274 00:14:06,430 --> 00:14:07,840 I need to go home. 275 00:14:07,860 --> 00:14:10,210 And you will... very soon. 276 00:14:11,950 --> 00:14:14,490 - It hurts. - I told you it would. 277 00:14:14,720 --> 00:14:16,630 We did a lot of cutting and scraping. 278 00:14:16,650 --> 00:14:18,500 You had a lot of scar tissue. 279 00:14:18,520 --> 00:14:19,800 It hurts a lot. 280 00:14:19,820 --> 00:14:21,270 We'll give you some Tylenol, 281 00:14:21,290 --> 00:14:23,170 and you can tell your mother you're cramping. 282 00:14:23,190 --> 00:14:25,070 Ow! 283 00:14:26,700 --> 00:14:29,500 Hang ketamine... 130 micrograms per kilogram per hour. 284 00:14:32,500 --> 00:14:33,980 Why does it hurt this much? 285 00:14:34,000 --> 00:14:35,200 I don't know. 286 00:14:36,340 --> 00:14:37,640 But you're not going home. 287 00:14:38,420 --> 00:14:39,580 Ow! 288 00:14:44,200 --> 00:14:46,040 She's heavily sedated. 289 00:14:46,070 --> 00:14:47,540 What did we do to her? 290 00:14:47,570 --> 00:14:49,560 What if this is good news? 291 00:14:50,540 --> 00:14:52,750 I know you haven't been a doctor all that long, 292 00:14:52,770 --> 00:14:54,820 but pain is rarely a sign of good news. 293 00:14:55,040 --> 00:14:57,110 It is if you're talking about a part of the body 294 00:14:57,140 --> 00:14:58,620 you thought was dead. 295 00:14:58,640 --> 00:15:01,290 What if this means there's still viable nerve endings in there? 296 00:15:01,410 --> 00:15:03,780 What if this means we can actually reconstruct her clitoris 297 00:15:03,790 --> 00:15:05,350 and that it's capable of sensation? 298 00:15:06,120 --> 00:15:08,000 Maybe. All we know for sure 299 00:15:08,030 --> 00:15:09,870 is she's not gonna be home anywhere near 6:00, 300 00:15:09,900 --> 00:15:12,520 which means we're about to have a missing child on our hands. 301 00:15:13,610 --> 00:15:15,450 We have to bring Andrews up to speed. 302 00:15:29,870 --> 00:15:32,410 I did a bad job of telling you 303 00:15:32,440 --> 00:15:33,980 that you're dying. 304 00:15:37,620 --> 00:15:39,180 Is there a good way? 305 00:15:39,720 --> 00:15:43,960 I can't figure out when I'm supposed to lie, 306 00:15:43,980 --> 00:15:46,380 when I'm supposed to tell part of the truth. 307 00:15:46,480 --> 00:15:48,120 And it doesn't really matter, 308 00:15:48,160 --> 00:15:51,350 because I can't figure out how to do it anyway. 309 00:15:54,370 --> 00:15:55,870 You did fine with me. 310 00:15:56,690 --> 00:15:58,670 You never need to lie. 311 00:15:58,900 --> 00:16:00,930 Lies don't protect you from the truth. 312 00:16:03,820 --> 00:16:05,650 I don't like your haircut. 313 00:16:08,150 --> 00:16:09,310 Okay. 314 00:16:10,940 --> 00:16:16,140 Maybe sometimes, when the truth can't help someone... 315 00:16:19,400 --> 00:16:21,370 ...you should definitely just lie. 316 00:16:24,320 --> 00:16:28,030 Do you think praying will help you reach a decision? 317 00:16:29,560 --> 00:16:33,110 I've already reached a decision. 318 00:16:33,130 --> 00:16:37,680 I'm praying to help me find comfort with that decision. 319 00:16:38,000 --> 00:16:40,240 My family wants the surgery. 320 00:16:43,070 --> 00:16:45,870 And what do you want? 321 00:16:47,430 --> 00:16:49,390 I want what my family wants. 322 00:16:50,580 --> 00:16:51,930 I love them. 323 00:16:52,050 --> 00:16:53,850 But they love you, too, right? 324 00:16:55,830 --> 00:16:57,840 Don't they want what you want? 325 00:17:01,360 --> 00:17:03,390 Long ago, I made a decision 326 00:17:04,540 --> 00:17:06,040 to be there for them 327 00:17:08,000 --> 00:17:09,340 no matter what. 328 00:17:12,470 --> 00:17:16,190 And if the last choice I make in my life 329 00:17:16,310 --> 00:17:17,910 is consistent with that, 330 00:17:21,710 --> 00:17:23,280 I'm comfortable with that. 331 00:17:39,860 --> 00:17:41,889 I'm surprised by you. 332 00:17:41,890 --> 00:17:44,130 I, arguably, made errors in judgment, 333 00:17:44,160 --> 00:17:46,430 but it was all in an effort to help a patient. 334 00:17:46,460 --> 00:17:48,106 Yes, and that would make sense if you thought 335 00:17:48,130 --> 00:17:50,170 you'd never have another patient ever again. 336 00:17:50,190 --> 00:17:53,270 And if there wasn't currently an opening for Chief of Surgery. 337 00:17:53,470 --> 00:17:55,590 I didn't know that was on the table. 338 00:17:55,610 --> 00:17:58,220 See, that's the difference between you and Melendez. 339 00:17:58,250 --> 00:18:01,690 I have no doubt that as soon as I got this promotion, 340 00:18:01,720 --> 00:18:04,660 Melendez had done the math and reacted accordingly. 341 00:18:04,890 --> 00:18:08,170 But I suspect that even if you had done the math, 342 00:18:08,190 --> 00:18:10,810 it wouldn't have changed how you handled this patient. 343 00:18:10,930 --> 00:18:12,440 I don't view that as a weakness. 344 00:18:15,490 --> 00:18:17,870 I'll handle the administrative fallout. 345 00:18:17,890 --> 00:18:19,570 You... 346 00:18:19,690 --> 00:18:21,480 ...notify the parents immediately. 347 00:18:23,400 --> 00:18:24,880 I can't. 348 00:18:24,900 --> 00:18:26,350 We don't know the girl's real name, 349 00:18:26,370 --> 00:18:27,650 and we have to keep her sedated, 350 00:18:27,680 --> 00:18:28,790 so there's no way we can track... 351 00:18:28,810 --> 00:18:30,660 She's a teenager. She's got a phone. 352 00:18:30,680 --> 00:18:32,720 Next time it rings, answer it. 353 00:18:40,280 --> 00:18:42,160 - You feel the mesenteric artery pulsing? - Yes. 354 00:18:42,180 --> 00:18:44,190 You shouldn't. You're too close to the vein. 355 00:18:44,220 --> 00:18:47,040 Great. Dr. Browne, pass a penrose drain through. 356 00:18:49,920 --> 00:18:51,530 Bovie. 357 00:18:55,760 --> 00:18:56,860 Suction. 358 00:19:06,220 --> 00:19:07,590 Got it all. 359 00:19:09,300 --> 00:19:12,210 I see leaking pancreatic fluid. 360 00:19:12,230 --> 00:19:13,916 That'll eat holes in everything it touches. 361 00:19:13,940 --> 00:19:15,020 Our duct tie didn't hold. 362 00:19:15,040 --> 00:19:16,910 Suction. Needle driver. 363 00:19:17,950 --> 00:19:19,320 Excellent. 364 00:19:19,450 --> 00:19:22,230 You have approved a scrub nurse 365 00:19:22,350 --> 00:19:25,060 and a circulating nurse and seven other personnel. 366 00:19:25,190 --> 00:19:26,650 Everyone and everything is covered, 367 00:19:26,680 --> 00:19:27,890 except for an actual surgeon. 368 00:19:27,980 --> 00:19:29,960 Yeah. I think we may have to postpone. 369 00:19:29,990 --> 00:19:32,419 Have you notified your tumor to stop growing in the interim? 370 00:19:32,420 --> 00:19:34,920 I think any possible damage from a delay 371 00:19:34,940 --> 00:19:37,530 may be more than offset by having somebody competent 372 00:19:37,550 --> 00:19:38,960 digging around in my brain. 373 00:19:38,990 --> 00:19:40,200 "Competent"? 374 00:19:40,520 --> 00:19:43,230 - What's wrong with Sanders? - 6% mortality rate. 375 00:19:43,260 --> 00:19:45,106 - Taylor? - I don't like the way he's planning on 376 00:19:45,130 --> 00:19:46,560 dealing with a carotid tear. 377 00:19:46,580 --> 00:19:48,500 - That's nowhere near your tumor. - It's the principle. 378 00:19:48,520 --> 00:19:50,030 - Unger? - He doesn't like me. 379 00:19:50,060 --> 00:19:52,070 - No one likes you. - No! You don't like me. 380 00:19:52,090 --> 00:19:53,800 He doesn't like me. That's two. 381 00:19:53,930 --> 00:19:55,276 Just pick a name. I don't care who. 382 00:19:55,300 --> 00:19:56,840 I don't care if they're a doctor. 383 00:19:56,870 --> 00:19:58,310 Just pick a name. 384 00:19:58,320 --> 00:20:00,450 Because in 48 hours, you're either getting your surgery 385 00:20:00,470 --> 00:20:02,850 or you're getting a new oncologist. 386 00:20:15,110 --> 00:20:16,820 She's in pain. 387 00:20:16,850 --> 00:20:18,820 That's why she's asleep right now, 388 00:20:18,850 --> 00:20:20,920 because of what you did to her? 389 00:20:23,510 --> 00:20:25,620 What I did to her 390 00:20:25,640 --> 00:20:29,460 I believe revealed that what you did to her 391 00:20:29,480 --> 00:20:32,330 didn't do as much damage as we initially feared. 392 00:20:32,450 --> 00:20:34,030 We want to do a second surgery... 393 00:20:34,050 --> 00:20:35,500 How can you stop her pain? 394 00:20:35,520 --> 00:20:37,500 It's called clitoral reconstruction. 395 00:20:37,530 --> 00:20:39,320 The nerves of her clitoris are exposed. 396 00:20:39,340 --> 00:20:40,750 We can sheath them using... 397 00:20:40,780 --> 00:20:42,660 Our daughter wants this? 398 00:20:42,800 --> 00:20:45,460 Asha wants to be like other girls. 399 00:20:45,590 --> 00:20:46,700 She wants to be able to... 400 00:20:46,720 --> 00:20:49,240 Mara told you that? 401 00:20:51,010 --> 00:20:52,580 That's our daughter's name. 402 00:20:53,250 --> 00:20:54,450 Not Asha. 403 00:20:56,110 --> 00:20:57,550 You don't know her at all. 404 00:20:57,570 --> 00:21:00,620 We need to do this surgery to relieve her pain. 405 00:21:00,640 --> 00:21:03,800 No. There must be another way. 406 00:21:03,810 --> 00:21:05,520 We want a second opinion. 407 00:21:05,550 --> 00:21:07,360 Not at this hospital. 408 00:21:07,380 --> 00:21:09,060 How soon can our daughter be moved? 409 00:21:09,090 --> 00:21:10,740 Excuse me, Dr. Lim. 410 00:21:10,760 --> 00:21:13,970 I am Ellen Vahtra from Child Protective Services. 411 00:21:13,990 --> 00:21:15,060 Until I complete my review, 412 00:21:15,070 --> 00:21:18,190 I'm afraid you're not going to be moving your daughter anywhere. 413 00:21:28,460 --> 00:21:31,000 How did it go? Is Dad okay? 414 00:21:33,530 --> 00:21:35,510 There were complications, 415 00:21:35,530 --> 00:21:37,850 but we found solutions. 416 00:21:37,870 --> 00:21:40,880 It went very well. We got it all. 417 00:21:43,710 --> 00:21:44,750 Oh, my... 418 00:21:44,780 --> 00:21:46,220 There's still... 419 00:21:49,450 --> 00:21:51,609 I don't think I did that well. 420 00:21:51,610 --> 00:21:52,810 They're too happy. 421 00:21:53,110 --> 00:21:55,920 Post-surgical complications are still a major concern that they... 422 00:21:55,940 --> 00:21:58,220 Let them enjoy the good news. 423 00:21:58,250 --> 00:22:01,220 Is deceiving someone in a way that makes them happy 424 00:22:01,250 --> 00:22:04,130 better than deceiving someone in a way that makes them sad? 425 00:22:04,250 --> 00:22:07,390 Shaun. I think there's someone here to see you. 426 00:22:08,220 --> 00:22:09,770 Hey. 427 00:22:09,840 --> 00:22:11,880 I had some time, so I thought 428 00:22:11,910 --> 00:22:14,240 you might want to have some lunch with me? 429 00:22:16,590 --> 00:22:18,750 I do not have time. 430 00:22:33,170 --> 00:22:34,920 What's wrong? 431 00:22:34,940 --> 00:22:36,520 What did she do? 432 00:22:36,540 --> 00:22:37,790 Shaun. Sha... 433 00:22:42,580 --> 00:22:46,230 You don't want to talk to Lea. I don't understand. 434 00:22:46,450 --> 00:22:48,890 I don't understand. 435 00:22:49,420 --> 00:22:51,120 I don't understand! 436 00:22:51,140 --> 00:22:53,380 You're not being fair to her or yourself. 437 00:22:53,450 --> 00:22:55,820 - She's always been nice to you. - No, she hasn't. 438 00:22:57,260 --> 00:22:59,070 She's your friend. 439 00:22:59,100 --> 00:23:00,956 Whatever's happened, you have to talk to her about it. 440 00:23:00,980 --> 00:23:02,170 Be honest about what you're feeling... 441 00:23:02,190 --> 00:23:03,370 I can't be. 442 00:23:03,420 --> 00:23:07,100 - Of course you can. - I don't know... 443 00:23:07,480 --> 00:23:10,160 I don't know how I feel! 444 00:23:13,430 --> 00:23:16,530 I can't be honest if I don't know how I feel! 445 00:23:23,770 --> 00:23:25,380 Our 16-year-old daughter 446 00:23:25,400 --> 00:23:27,610 is lying in a hospital bed unconscious 447 00:23:27,640 --> 00:23:29,940 to protect her from overwhelming pain 448 00:23:29,960 --> 00:23:33,740 because of what this place did to her without our permission. 449 00:23:34,460 --> 00:23:36,050 And you are investigating us? 450 00:23:36,080 --> 00:23:38,160 Your daughter is suffering because you butchered her 451 00:23:38,180 --> 00:23:39,459 when she was 2 years old. 452 00:23:39,460 --> 00:23:42,240 Dr. Lim, please refrain from unsubstantiated allegations. 453 00:23:42,330 --> 00:23:45,180 Either they're the butchers or they're protecting the butchers. 454 00:23:45,200 --> 00:23:47,500 If you didn't do it, tell us who did. 455 00:23:52,160 --> 00:23:55,080 It was an aunt and a grandmother from Kenya. 456 00:23:55,200 --> 00:23:58,010 They were watching Mara while we were on vacation. 457 00:23:58,040 --> 00:24:00,210 Well, you must've been horrified. 458 00:24:00,340 --> 00:24:02,580 Did you take her to a doctor? 459 00:24:02,780 --> 00:24:05,530 That girl's sex organs were covered with scar tissue. 460 00:24:05,550 --> 00:24:08,240 She had no medical attention to treat any of her wounds. 461 00:24:08,260 --> 00:24:09,640 She was fine. 462 00:24:09,740 --> 00:24:12,290 She was happy, laughing. 463 00:24:12,510 --> 00:24:13,950 It's not that big a deal. 464 00:24:19,110 --> 00:24:21,190 I was cut. 465 00:24:21,210 --> 00:24:23,920 My mother was cut. Her mother was cut. 466 00:24:24,050 --> 00:24:27,790 It is a rite of passage connecting our women to their ancestors. 467 00:24:28,000 --> 00:24:29,930 She will not find a husband in our culture if she's... 468 00:24:29,950 --> 00:24:31,320 So she'll find someone else. 469 00:24:32,470 --> 00:24:34,250 It's not that big a deal. 470 00:24:34,410 --> 00:24:36,360 These parents forfeited the right to make any calls 471 00:24:36,380 --> 00:24:38,060 about their daughter a long time ago. 472 00:24:38,080 --> 00:24:40,130 Our daughter is an honor student, 473 00:24:40,230 --> 00:24:43,480 taking three AP classes in her junior year, 474 00:24:43,600 --> 00:24:46,580 went on a mission to Haiti to build a school. 475 00:24:46,700 --> 00:24:48,560 We have raised her well. 476 00:24:49,730 --> 00:24:50,970 She is a good person. 477 00:24:52,810 --> 00:24:54,240 We're proud of her. 478 00:24:55,510 --> 00:24:58,480 I'm sure she is a good person. 479 00:24:58,500 --> 00:24:59,800 But you are not gonna convince me 480 00:24:59,820 --> 00:25:01,870 that what happened to Mara when she was 2 years old 481 00:25:01,890 --> 00:25:04,240 is anything short of an abomination. 482 00:25:04,360 --> 00:25:06,340 But that's not the issue today. 483 00:25:06,570 --> 00:25:09,500 The issue is, how do we best help this girl now? 484 00:25:10,960 --> 00:25:14,240 The clitoral reconstruction should protect the exposed nerve. 485 00:25:14,270 --> 00:25:15,280 "Should"? 486 00:25:15,300 --> 00:25:18,100 That is the surgery that, in my medical opinion, 487 00:25:18,120 --> 00:25:19,120 is called for. 488 00:25:19,190 --> 00:25:20,790 But it's not the only option? 489 00:25:22,560 --> 00:25:24,800 We could oblate the peripheral nerves 490 00:25:24,830 --> 00:25:27,010 and remove the remaining clitoral tissue. 491 00:25:27,030 --> 00:25:29,420 And is that surgery safer or more dangerous? 492 00:25:29,640 --> 00:25:31,620 It's simpler, but that's not the only factor here. 493 00:25:31,740 --> 00:25:34,520 It's the only factor to us. 494 00:25:34,750 --> 00:25:36,890 We want to know that our daughter 495 00:25:36,920 --> 00:25:40,000 won't spend the rest of her life in pain. 496 00:25:40,020 --> 00:25:41,430 Please. 497 00:25:41,460 --> 00:25:42,760 For a moment, 498 00:25:42,820 --> 00:25:46,000 can we think about something other than Mara's pain? 499 00:25:46,640 --> 00:25:48,790 Can we think about her pleasure? 500 00:25:49,010 --> 00:25:51,520 We have a chance to give her 501 00:25:51,550 --> 00:25:54,400 a healthy, meaningful sex life. 502 00:25:54,420 --> 00:25:56,520 That is what she came here looking for. 503 00:26:02,460 --> 00:26:03,970 Wake her up. 504 00:26:04,200 --> 00:26:06,980 She's in pain, and she's already told me what she wanted. 505 00:26:07,030 --> 00:26:09,510 Yesterday, she was requesting cosmetic surgery. 506 00:26:09,530 --> 00:26:11,980 Today, you're asking her to risk a lifetime of pain 507 00:26:12,000 --> 00:26:13,540 for a chance at pleasure. 508 00:26:13,570 --> 00:26:14,880 From everything I've heard, 509 00:26:14,890 --> 00:26:17,110 she's mature enough to make the call herself, 510 00:26:17,140 --> 00:26:19,720 even if it means suffering for a few minutes to do so. 511 00:26:24,190 --> 00:26:27,270 Dr. Unger has a mortality index 512 00:26:27,300 --> 00:26:29,900 that is not too high and not too low. 513 00:26:29,930 --> 00:26:31,280 It's not gonna be Unger. 514 00:26:31,300 --> 00:26:33,950 You have not eliminated Dr. Ko. 515 00:26:34,170 --> 00:26:35,400 Not yet. 516 00:26:35,760 --> 00:26:39,100 I may have to go out of state to find a neurosurgeon. 517 00:26:39,430 --> 00:26:41,840 Plus, I may have to find myself a new oncologist. 518 00:26:41,860 --> 00:26:45,180 You've used Dr. Ko many times. 519 00:26:45,200 --> 00:26:47,350 Did you think she might kill your patients? 520 00:26:47,370 --> 00:26:48,500 No. 521 00:26:48,830 --> 00:26:50,670 Do you think you're better than them? 522 00:26:50,700 --> 00:26:52,500 Yes, a little. 523 00:26:55,960 --> 00:26:58,110 That was a joke. 524 00:26:58,320 --> 00:27:00,270 You don't want to talk about this. 525 00:27:00,300 --> 00:27:03,440 No, I don't want to talk about this, Shaun. 526 00:27:03,470 --> 00:27:06,450 That, in fact, is the point of the alcohol. 527 00:27:06,690 --> 00:27:08,850 Okay, I understand. 528 00:27:08,880 --> 00:27:09,910 Good. 529 00:27:18,050 --> 00:27:20,530 Why can't we talk about it? 530 00:27:20,660 --> 00:27:22,370 Because it's upsetting. 531 00:27:22,390 --> 00:27:24,170 Is that why you're stalling? 532 00:27:24,200 --> 00:27:26,210 Because you're afraid of dying? 533 00:27:26,430 --> 00:27:28,640 I'm not afraid of dying. 534 00:27:28,670 --> 00:27:30,410 Really? 535 00:27:30,440 --> 00:27:31,980 Why not? 536 00:27:32,010 --> 00:27:35,120 You should be. Dying is terrible. 537 00:27:35,140 --> 00:27:36,780 Yes, dying is terrible. 538 00:27:37,500 --> 00:27:39,310 But there are worse things. 539 00:27:39,440 --> 00:27:41,380 What's worse than dying? 540 00:27:45,570 --> 00:27:46,750 Not dying. 541 00:27:49,330 --> 00:27:50,940 That doesn't make sense. 542 00:27:50,960 --> 00:27:52,160 Makes sense to me. 543 00:27:53,750 --> 00:27:55,260 That doesn't make sense. 544 00:27:55,280 --> 00:27:56,920 That's the middle ground, Shaun. 545 00:27:59,030 --> 00:28:00,770 Brain surgeries have a tendency 546 00:28:00,790 --> 00:28:03,110 to end in the middle ground. 547 00:28:03,330 --> 00:28:06,180 Brain surgeries can be considered a success 548 00:28:06,200 --> 00:28:09,450 even when the patient ends up compromised. 549 00:28:09,470 --> 00:28:11,010 He can't walk. He can't talk. 550 00:28:11,040 --> 00:28:13,180 His hand can't stop shaking. 551 00:28:16,990 --> 00:28:20,440 I've been terrible at a lot of things in my life, 552 00:28:20,560 --> 00:28:22,370 but I am damn smart. 553 00:28:24,320 --> 00:28:26,700 And I am a damn good surgeon. 554 00:28:26,830 --> 00:28:28,500 And if I can't be those things, 555 00:28:28,530 --> 00:28:30,970 then I don't know who I'd be. 556 00:28:36,990 --> 00:28:38,800 You'd be my friend. 557 00:28:48,360 --> 00:28:49,870 Well, thank you, Shaun. 558 00:28:59,290 --> 00:29:02,210 I have to go. My patient just crashed. 559 00:29:07,310 --> 00:29:11,260 It's not enough. Is it? 560 00:29:15,230 --> 00:29:16,230 No. 561 00:29:18,020 --> 00:29:19,400 I'm sorry it isn't. 562 00:29:31,940 --> 00:29:33,920 Mom. Dad. 563 00:29:33,950 --> 00:29:35,310 We're here. 564 00:29:35,950 --> 00:29:37,930 We love you. 565 00:29:38,050 --> 00:29:40,430 We just don't understand why you would turn your back. 566 00:29:40,450 --> 00:29:41,450 Uh... 567 00:29:41,460 --> 00:29:42,780 Hello, Mara. 568 00:29:42,860 --> 00:29:45,200 I'm Ellen Vahtra. I'm a social worker. 569 00:29:45,220 --> 00:29:46,530 Your parents know what happened, 570 00:29:46,560 --> 00:29:48,740 and Dr. Lim gave you a nerve block. 571 00:29:48,760 --> 00:29:51,110 It hurts. It still hurts. 572 00:29:51,130 --> 00:29:52,876 I understand that, and we are going to try to get you 573 00:29:52,900 --> 00:29:55,440 back to sleep as quickly as possible. 574 00:29:55,470 --> 00:29:57,580 But something happened during your surgery, and we need you 575 00:29:57,600 --> 00:29:59,600 to make a decision about what is done next. 576 00:30:03,310 --> 00:30:06,450 We believe that, despite what was done to you as a child, 577 00:30:06,480 --> 00:30:08,960 the reason you're in so much pain because you still have 578 00:30:08,980 --> 00:30:10,630 functioning nerves in your clitoris, 579 00:30:10,650 --> 00:30:13,360 nerves that had been covered with scar tissue. 580 00:30:13,390 --> 00:30:15,000 I'd like to repair that. 581 00:30:15,020 --> 00:30:17,100 We can make you physiologically complete. 582 00:30:17,120 --> 00:30:19,220 But there's no guarantee that it would work. 583 00:30:21,490 --> 00:30:23,540 I'm confident. 584 00:30:23,660 --> 00:30:25,560 There is a safer choice. 585 00:30:29,100 --> 00:30:32,460 We could... remove your entire clitoris. 586 00:30:32,870 --> 00:30:35,120 This is your choice. 587 00:30:35,140 --> 00:30:37,140 You will be protected no matter what. 588 00:30:41,310 --> 00:30:42,560 Take it out. 589 00:30:42,580 --> 00:30:44,220 Mara, we can make you whole... 590 00:30:44,250 --> 00:30:46,630 I made a mistake. Take it out. 591 00:30:46,650 --> 00:30:48,230 She's on medication. She's in pain... 592 00:30:48,250 --> 00:30:50,860 Dr. Lim, please let her go back to sleep. 593 00:30:50,960 --> 00:30:53,770 And prepare to operate to remove the damaged tissue. 594 00:31:06,510 --> 00:31:09,060 Hang fresh, frozen plasma, too. Looks like he's going into DIC. 595 00:31:09,070 --> 00:31:10,070 Give me another hemostat. 596 00:31:10,080 --> 00:31:12,260 BP's 71 over 53. 597 00:31:12,280 --> 00:31:13,819 We should have warned the family. 598 00:31:13,820 --> 00:31:15,200 Can't see anything in here. There's too much blood. 599 00:31:15,220 --> 00:31:17,166 - More suction. - I think you got the hepatic artery. 600 00:31:17,190 --> 00:31:18,500 The warning wouldn't have made any difference. 601 00:31:18,520 --> 00:31:20,036 The bleeding is not slowing down. 602 00:31:20,060 --> 00:31:22,269 We need to send the aorta to the celiac. 603 00:31:22,270 --> 00:31:24,696 - I need to see it to clamp it. - They would have been prepared. 604 00:31:24,720 --> 00:31:27,400 A-line systolic's 54. He's bottoming out. No, they wouldn't. 605 00:31:27,420 --> 00:31:29,470 You two, shut up and pack his abdomen with laps 606 00:31:29,500 --> 00:31:31,280 while I sort through this mess. 607 00:31:32,000 --> 00:31:33,610 I won't do it. 608 00:31:33,740 --> 00:31:35,210 Can we appeal this? Do you know? 609 00:31:35,240 --> 00:31:36,596 I've spoken with our legal department. 610 00:31:36,620 --> 00:31:38,490 Unless we can prove the social worker was biased, 611 00:31:38,510 --> 00:31:39,850 we are stuck with this ruling. 612 00:31:39,880 --> 00:31:42,080 Well, then you're also stuck with "I won't do it." 613 00:31:42,970 --> 00:31:45,550 You're a good doctor. This hospital will miss you. 614 00:31:45,670 --> 00:31:48,480 You're gonna fire me because I won't butcher a teenage girl? 615 00:31:48,500 --> 00:31:49,500 Of course I am. 616 00:31:49,580 --> 00:31:51,590 This hospital will face lawsuits, suspensions, 617 00:31:51,610 --> 00:31:53,060 perhaps criminal charges, 618 00:31:53,180 --> 00:31:56,180 and this little girl will still get the surgery you hate. 619 00:32:01,300 --> 00:32:04,010 Could Dr. Lim at least talk to Mara again? 620 00:32:04,040 --> 00:32:06,640 You want to wake her up again in pain? 621 00:32:06,860 --> 00:32:08,300 Every woman deserves the right 622 00:32:08,330 --> 00:32:09,716 to make decisions about her sexuality 623 00:32:09,740 --> 00:32:11,670 without her parents hanging over her. 624 00:32:17,400 --> 00:32:18,740 Okay. 625 00:32:40,540 --> 00:32:42,650 When I was 15 years old, 626 00:32:42,680 --> 00:32:44,760 my father caught me with a boy. 627 00:32:44,990 --> 00:32:47,060 I mean, we weren't doing it, 628 00:32:47,080 --> 00:32:49,230 but my top was off and 629 00:32:49,560 --> 00:32:50,960 Well, it doesn't matter. 630 00:32:52,260 --> 00:32:53,560 My father hit me. 631 00:32:54,420 --> 00:32:56,070 I still have a small scar. 632 00:32:57,620 --> 00:32:59,300 Our relationship was never the same. 633 00:33:00,400 --> 00:33:01,810 But that's what growing up is. 634 00:33:01,930 --> 00:33:04,380 Not everyone gets called a slut. 635 00:33:04,400 --> 00:33:07,140 Not everyone gets butchered. 636 00:33:08,050 --> 00:33:10,990 But everyone becomes a man or a woman 637 00:33:11,020 --> 00:33:12,790 and stops being a child. 638 00:33:14,650 --> 00:33:17,690 I want to take a piece of tissue from inside your cheek 639 00:33:17,920 --> 00:33:20,160 and I want to graft it to your clitoris. 640 00:33:22,760 --> 00:33:25,870 We can make you feel... love. 641 00:33:35,320 --> 00:33:38,890 I can't turn my back on my family, on my traditions. 642 00:33:41,560 --> 00:33:43,330 Traditions 643 00:33:43,460 --> 00:33:45,320 connect us to the past. 644 00:33:46,510 --> 00:33:48,460 What about the future? 645 00:33:57,190 --> 00:33:58,800 Please. 646 00:33:58,930 --> 00:34:01,770 No. I'm in pain. 647 00:34:14,000 --> 00:34:15,560 Cross-clamping his aorta. 648 00:34:15,600 --> 00:34:17,539 He's in ventricular fibrillation. 649 00:34:18,770 --> 00:34:20,520 Starting chest compressions. 650 00:34:26,450 --> 00:34:27,930 Okay. Everybody clear. 651 00:34:50,740 --> 00:34:52,220 Prep the cheek, as well. 652 00:34:54,780 --> 00:34:56,800 She's taking the graft? The paperwork doesn't say... 653 00:34:56,820 --> 00:34:58,000 She consented verbally. 654 00:34:58,020 --> 00:34:59,660 We didn't want to keep her awake any longer 655 00:34:59,680 --> 00:35:01,090 than absolutely necessary. 656 00:35:02,960 --> 00:35:04,740 I wanted to help her as much as you... 657 00:35:04,770 --> 00:35:06,440 When she wanted help. 658 00:35:06,570 --> 00:35:08,780 - But if she doesn't want this... - She wants this. 659 00:35:09,430 --> 00:35:10,710 Dr. Lim just told us. 660 00:35:15,070 --> 00:35:16,150 Prep the cheek. 661 00:35:30,000 --> 00:35:31,770 I'll tell the family. 662 00:35:33,410 --> 00:35:35,120 No. 663 00:35:35,150 --> 00:35:37,030 Claire, you do it. 664 00:35:37,250 --> 00:35:38,750 This isn't the time for learning. 665 00:36:05,960 --> 00:36:07,590 I'm sorry. 666 00:36:07,840 --> 00:36:09,990 Paul died during surgery. 667 00:36:10,560 --> 00:36:13,410 He had a gastroduodenal artery rupture. 668 00:36:13,430 --> 00:36:15,990 It's a common complication of a Whipple surgery, 669 00:36:16,110 --> 00:36:19,060 especially when someone's cancer was... 670 00:36:19,280 --> 00:36:21,930 As advanced as his was. 671 00:36:22,050 --> 00:36:23,900 We... did everything we could 672 00:36:23,930 --> 00:36:26,140 for as long as we could. 673 00:36:26,360 --> 00:36:28,110 He didn't suffer. 674 00:36:33,740 --> 00:36:35,170 You did this to him. 675 00:36:37,420 --> 00:36:39,000 Dad didn't want this. 676 00:36:40,530 --> 00:36:43,030 You saw that look on his face. He was scared. 677 00:36:43,060 --> 00:36:47,040 In my experience, it does no good to dwell... 678 00:36:47,060 --> 00:36:48,740 Of course he was scared. 679 00:36:48,760 --> 00:36:49,860 That doesn't mean... 680 00:36:49,880 --> 00:36:51,276 He just wanted to live his last few months. 681 00:36:51,300 --> 00:36:52,840 Stop it. 682 00:36:52,930 --> 00:36:55,040 Nobody made your father do anything. 683 00:36:55,060 --> 00:36:56,600 He knew the risks. 684 00:36:58,830 --> 00:37:00,680 It's your fault, too, Mom. 685 00:37:03,410 --> 00:37:04,670 All of us. 686 00:37:05,650 --> 00:37:07,530 He would do anything for us. 687 00:37:09,580 --> 00:37:11,540 We killed our father. 688 00:37:19,480 --> 00:37:20,820 It's not true. 689 00:37:25,230 --> 00:37:28,260 Paul wanted this surgery. 690 00:37:30,110 --> 00:37:33,560 He told me he wanted this surgery. 691 00:38:07,230 --> 00:38:08,430 Was that true? 692 00:38:10,930 --> 00:38:12,600 Paul told me... 693 00:38:14,080 --> 00:38:16,690 When the truth can't help someone, 694 00:38:16,910 --> 00:38:18,460 we should lie. 695 00:38:29,420 --> 00:38:30,420 Mom? 696 00:38:33,190 --> 00:38:35,860 How are you? Does anything hurt? 697 00:38:37,380 --> 00:38:40,120 Not much. I'm better. 698 00:38:42,080 --> 00:38:43,910 Looks like she's doing well. 699 00:38:44,940 --> 00:38:46,220 Thank you, Doctor. 700 00:38:48,420 --> 00:38:51,760 There should still be some discomfort at the surgical site. 701 00:38:51,790 --> 00:38:53,930 A nurse will bring you some... 702 00:39:01,290 --> 00:39:02,530 Sorry. 703 00:39:02,560 --> 00:39:04,640 A nurse will bring you some Tylenol, 704 00:39:04,660 --> 00:39:06,760 which should really be all you need. 705 00:39:07,160 --> 00:39:08,600 Thank you. 706 00:39:11,560 --> 00:39:13,340 You're gonna be great. 707 00:39:37,000 --> 00:39:39,210 You're here. 708 00:39:39,330 --> 00:39:41,610 Yes. I live here. 709 00:39:41,630 --> 00:39:43,140 You know that. 710 00:39:43,170 --> 00:39:46,250 Well, I was starting to doubt it the last couple of days. 711 00:39:46,270 --> 00:39:49,150 You come home after I'm asleep. 712 00:39:49,170 --> 00:39:51,500 You leave before I can even get up. 713 00:39:51,520 --> 00:39:52,670 Wow. 714 00:39:52,900 --> 00:39:55,240 Thank you. 715 00:40:04,340 --> 00:40:05,810 Please take this. 716 00:40:07,290 --> 00:40:09,430 No, this is yours, Shaun. 717 00:40:09,560 --> 00:40:11,780 I gave it to you to remember me by. 718 00:40:11,800 --> 00:40:13,190 It hurt. 719 00:40:16,820 --> 00:40:19,170 I didn't want to tell you the truth 720 00:40:19,190 --> 00:40:20,930 because I didn't know it, 721 00:40:20,960 --> 00:40:23,730 but I have to tell you the truth because it will help. 722 00:40:29,380 --> 00:40:31,660 Every night, I would come home, 723 00:40:32,540 --> 00:40:37,250 and I would look at that baseball, 724 00:40:37,480 --> 00:40:39,360 and I would think of you. 725 00:40:41,510 --> 00:40:43,550 The baseball was here, 726 00:40:43,580 --> 00:40:45,410 but you weren't. 727 00:40:45,960 --> 00:40:47,140 That's sweet. 728 00:40:47,170 --> 00:40:50,050 No, it isn't. 729 00:40:50,070 --> 00:40:51,620 It hurt. 730 00:40:51,640 --> 00:40:53,030 You hurt me. 731 00:40:53,520 --> 00:40:55,260 Okay, Shaun, you know... 732 00:40:55,290 --> 00:40:58,330 You went away, and it hurt, 733 00:40:58,350 --> 00:41:01,000 and it kept hurting, and now you're back. 734 00:41:04,000 --> 00:41:07,000 If you stay, you will go away again, 735 00:41:07,040 --> 00:41:09,560 and it will hurt again. 736 00:41:09,580 --> 00:41:12,060 So I want you to go back to Hershey. 737 00:41:14,590 --> 00:41:16,270 I know you don't mean that, and I know... 738 00:41:16,290 --> 00:41:19,710 Please go back to Hershey 739 00:41:19,930 --> 00:41:22,380 or anywhere other than here! 740 00:41:49,440 --> 00:41:50,470 Feeling okay? 741 00:41:52,140 --> 00:41:54,880 Yeah, sure, superduper. 742 00:41:55,950 --> 00:41:58,170 I want to thank you for your trust. 743 00:41:58,190 --> 00:41:59,660 I'll do my best to deserve it. 744 00:42:00,560 --> 00:42:02,830 Well, that's all I can ask. 745 00:42:05,510 --> 00:42:07,150 You know the drill. 746 00:42:13,620 --> 00:42:15,150 10... 747 00:42:15,880 --> 00:42:17,300 9... 748 00:42:19,690 --> 00:42:20,860 8... 749 00:42:22,350 --> 00:42:23,350 7...