1
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Previously on The Good Doctor...

2
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I want to do another
embryo transfer ASAP.

3
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You have some lettuce.

4
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- Oh.
- No, no, no. Here.

5
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Dr. Glassman, it would be
hard to lose my father

6
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just as I am about to become one.

7
00:00:18,772 --> 00:00:20,674
Do the scan for me.

8
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[MACHINE WHIRRING]

9
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Please hold still.

10
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I'm breathing.

11
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You moved your head.

12
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Shaun, go away and let
the technician do his job.

13
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I sent him out for coffee.

14
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I am now scanning the location
of your prior tumor.

15
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Did you decline
maintenance chemotherapy?

16
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It's hard to hold still
while I'm talking.

17
00:00:47,301 --> 00:00:50,737
Dr. Blaize recommended
six cycles of temozolomide.

18
00:00:50,770 --> 00:00:51,972
The slight benefit of that stuff

19
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wasn't worth the constant nausea.

20
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The benefit is statistically...

21
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Shaun, I made my choice.

22
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You chose wrong.

23
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There's a spot on your brain.

24
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[DOCTOR] There's the right ovary.
And that looks like the...

25
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Corpus luteum.

26
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The endometrium is smooth
and around 13 millimeters,

27
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which means my uterine
infection is cleared.

28
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Carrying the pregnancy to term
should be a lot easier this time.

29
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Your transfer is on my
schedule for tomorrow evening.

30
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Fantastic.

31
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And you have two
high-grade embryos available.

32
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Do you want a boy or a girl?

33
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You don't have to decide now.

34
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Just let me know
before the embryo transfer.

35
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Seven and a half hours.

36
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Uninterrupted?

37
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Didn't even have to wake up
to use the bathroom.

38
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[SCOFFS]

39
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So?

40
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Six hours, 45 minutes.

41
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Oh, winner, winner, pancakes for dinner.

42
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I really thought I had it in the bag.

43
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- How'd you do, Danny?
- [ELEVATOR DINGS]

44
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How much sleep you get? Over or under?

45
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No clue.

46
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[JARED] Hold up.

47
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- Morning, all.
- Morning.

48
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Dr. Allen.

49
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Good morning, Dr. Kalu.

50
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Park is doing a hip arthroscopy today.

51
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I'd like to scrub in.

52
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Sorry, I'm already assigned to Park.

53
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I'm thinking about
specializing in ortho,

54
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so how about a trade?

55
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How about no?

56
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Sorry I asked.

57
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Go, team.

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Brady Sullivan. Oil rig worker.
Metal sheet hit him.

59
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Severe chest and pelvic injuries.

60
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O2 sats are critical.

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Brady, I'm Dr. Andrews.

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He's non-responsive. Sluggish pupils.

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[DR. LIM] There's major hemorrhage.

64
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GCS six, no head trauma.

65
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Three-inch right-sided sucking
chest wound. Collapsed lung.

66
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That's from the support hook.

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The metal sheet he was welding
caused another injury.

68
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How deep does this go?

69
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Down to the spinal column.

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He's nearly cut in half.

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[THEME MUSIC PLAYING]

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Synced & corrected by -robtor-
www.addic7ed.com

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[DR. GLASSMAN] It's scar tissue
from the radiation.

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Could be, but the FA value...

75
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Is more consistent with
a glioblastoma recurrence.

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That's right, and the path
of the radiation

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they blasted me with,

78
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that Swiss cheese look,
textbook necrosis.

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The irregular shape implies
a multifocal cancerous lesion.

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[DR. GLASSMAN] I've been
looking at brain scans

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since before electricity.

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I think I know what
scar tissue looks like.

83
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You are not objective here.

84
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Oh, right, and you are?

85
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Neither of you are.

86
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If that lesion is cancer,

87
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a DNA spinal fluid analysis
will confirm it.

88
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Yes.

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That is objective.

90
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I'll do a spinal tap
and send it to the lab.

91
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Should have results in 24 hours.

92
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Fine.

93
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I'll set it up.

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[FEMALE PARAMEDIC] O2 sat's 68.

95
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Chest tube's in,
draining a lot of blood.

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Every time I clamp a bleeder,
another one pops up.

97
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Dr. Lim? Where do you want us?

98
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We're busy with the chest trauma.

99
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I need you guys on the pelvic injury.

100
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How do we remove it?

101
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You don't. It's the only
reason he didn't bleed out.

102
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I need you four to figure out a plan

103
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to reattach his lower half.

104
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Read every journal.
Study every case report.

105
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Check all the international
surgery registries.

106
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Look everywhere.

107
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PA ruptured. Gotta move him.

108
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OR one, now.

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[DRAMATIC MUSIC]

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[BABY CRYING]

111
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- [GUARD] Give me the baby.
- [MAN] No, no, no, no, no, no.

112
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I'm here for Jazz.

113
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- Just hand her to me.
- I don't know you.

114
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I don't know you. I don't know you.

115
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- Sir, please.
- Hold on, let me talk to him.

116
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I'm a doctor here. I can help you.

117
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I don't need a doctor. I need Jazz.

118
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Jazz. Is Jazz the mother?

119
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Yes.

120
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You're trying to help the baby?

121
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Jazz... Jazz passed out

122
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and then the, uh...
the flashing lights took her.

123
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An ambulance?

124
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There's an encampment over on Elm.

125
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Is that where you and Jazz were?

126
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Then she's a patient here.

127
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They didn't see the baby in her tent.

128
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She didn't sound good.
She... she needs her mama.

129
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You did the right thing
bringing her here.

130
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Can I examine her?

131
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Uh...

132
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and you'll... you'll find...
you'll find Jazz?

133
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I promise.

134
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[BABY CRYING]

135
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We have a code pink.
The baby's in heart failure.

136
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You may have saved her life.

137
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[DR. LIM] Found another tear
in the pulmonary artery.

138
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A big one.

139
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[DR. ANDREWS] Every major
artery in this lung is damaged.

140
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His body needs to divert
every resource it has

141
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to his vital organs.

142
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We should amputate his lower half.

143
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- [DR. LIM] We're not there yet.
- [DR. ANDREWS] It's barely hanging on.

144
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[DR. LIM] But it is.
We're gonna try to save it.

145
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[DR. ANDREWS] It's a big job
to hand the residents.

146
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[DR. LIM] Good thing I hire the best.

147
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[MONITORS BEEPING RAPIDLY]

148
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This vessel's too damaged to repair.

149
00:06:39,152 --> 00:06:40,717
I need to clamp the trunk.

150
00:06:43,290 --> 00:06:45,405
Start the clock on lung ischemia.

151
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[BEEPING STEADIES]

152
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[DR. ANDREWS] I think we should sack

153
00:06:54,133 --> 00:06:56,525
the upper segmental pulmonary artery.

154
00:06:56,903 --> 00:06:58,838
[DR. LIM] That would mean
he'd lose his upper lung lobe.

155
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He has a physical job.

156
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[DR. ANDREWS] If we end up amputating,

157
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he's not gonna be working oil rigs.

158
00:07:03,677 --> 00:07:05,111
[DR. LIM] But he could be
playing wheelchair basketball.

159
00:07:05,144 --> 00:07:07,661
PTFE graft on his artery
could save his lung.

160
00:07:09,215 --> 00:07:10,417
[DR. ANDREWS] Okay.

161
00:07:17,090 --> 00:07:18,492
[MONITORS BEEPING RAPIDLY]

162
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Central line is in.

163
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Pushing milrinone
to increase cardiac output.

164
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Severely decreased heart function,

165
00:07:24,030 --> 00:07:25,299
but her chambers look normal.

166
00:07:25,332 --> 00:07:27,000
Increasing high flow oxygen.

167
00:07:27,033 --> 00:07:28,408
[DR. REZNICK] BP is improving a little.

168
00:07:28,432 --> 00:07:30,704
Found it. In her posterior chest,
there's a critical...

169
00:07:30,737 --> 00:07:32,185
[SHAUN] Narrowing of her aorta.

170
00:07:34,708 --> 00:07:36,476
Her eye spacing is approximately

171
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six millimeters wider
than the upper limit of normal.

172
00:07:38,912 --> 00:07:40,398
She also has slightly low-set ears

173
00:07:40,432 --> 00:07:42,070
and her hands are swollen.

174
00:07:46,218 --> 00:07:48,076
She has Turner syndrome.

175
00:07:53,092 --> 00:07:55,228
If we don't get that narrowing
fixed in the next few days,

176
00:07:55,261 --> 00:07:56,543
she'll die.

177
00:07:58,131 --> 00:08:00,199
It won't be easy to access,
but I need an angio

178
00:08:00,233 --> 00:08:02,035
for a better view.

179
00:08:02,068 --> 00:08:03,903
I'll locate the mother and get consent.

180
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[BABY FUSSING]

181
00:08:10,544 --> 00:08:12,379
Brady's pelvis is broken

182
00:08:12,412 --> 00:08:13,880
and separated from the spinal column.

183
00:08:13,913 --> 00:08:15,849
So to reattach his lower half,

184
00:08:15,882 --> 00:08:18,284
we need to repair the pelvis,
plus all the damaged organs,

185
00:08:18,318 --> 00:08:20,587
plus the major vascular injuries,

186
00:08:20,620 --> 00:08:22,611
and then find a way
to ensure it all heals.

187
00:08:24,424 --> 00:08:26,907
Are we even doing the
right thing by trying to fix this?

188
00:08:27,727 --> 00:08:29,295
You want to give up
before we even start?

189
00:08:29,329 --> 00:08:31,064
I've just never read anything

190
00:08:31,097 --> 00:08:32,632
supporting reattaching
this kind of injury.

191
00:08:32,666 --> 00:08:33,900
Could kill him.

192
00:08:33,933 --> 00:08:35,134
Amputation is the safest thing to do.

193
00:08:35,168 --> 00:08:36,302
Lim already knows about that option.

194
00:08:36,336 --> 00:08:38,304
- Our job is to find a better one.
- No, our job...

195
00:08:38,338 --> 00:08:40,962
Danny's right.
We need to divide and conquer.

196
00:08:41,808 --> 00:08:43,109
I will work on organ damage.

197
00:08:43,142 --> 00:08:44,711
I'll focus on public fractures.

198
00:08:44,744 --> 00:08:47,213
I need intraoperative imaging
to build a 3D model.

199
00:08:47,246 --> 00:08:48,615
Oh, well, I'll go with you.

200
00:08:48,648 --> 00:08:51,150
I need to see the full extent
of the vascular injuries.

201
00:08:51,184 --> 00:08:53,683
That leaves you to figure out
how these repairs heal.

202
00:08:54,988 --> 00:08:56,856
I'll see what I can find.

203
00:09:01,761 --> 00:09:04,130
- This is the baby's mom?
- We think so.

204
00:09:04,163 --> 00:09:05,331
She was brought in a few hours ago

205
00:09:05,365 --> 00:09:06,733
from a homeless encampment

206
00:09:06,766 --> 00:09:08,573
with a delayed postpartum infection.

207
00:09:09,503 --> 00:09:10,904
She's septic.

208
00:09:10,937 --> 00:09:12,338
[SIGHS]

209
00:09:12,611 --> 00:09:14,446
They're optimistic she'll pull through.

210
00:09:15,694 --> 00:09:17,730
Soon, let's hope.

211
00:09:17,844 --> 00:09:20,447
We've got some big decisions
to make for her baby.

212
00:09:28,079 --> 00:09:29,480
Her name's Jasmine West.

213
00:09:29,513 --> 00:09:32,249
She's homeless and has bipolar disorder.

214
00:09:32,283 --> 00:09:34,886
County records show the baby
was born seven weeks ago.

215
00:09:34,919 --> 00:09:38,489
No dad in the picture, no other family.

216
00:09:38,522 --> 00:09:42,593
And this was all she had on her
when EMS brought her in.

217
00:09:42,626 --> 00:09:43,794
We need your consent

218
00:09:43,827 --> 00:09:45,997
for the baby's diagnostic angiogram.

219
00:09:46,030 --> 00:09:47,529
Sure.

220
00:09:48,132 --> 00:09:50,501
The baby's Turner syndrome
makes every procedure,

221
00:09:50,534 --> 00:09:53,284
even a diagnostic test,
a little riskier.

222
00:09:53,938 --> 00:09:56,705
Well, this is your area of expertise.

223
00:10:04,315 --> 00:10:06,650
[GENTLE MUSIC]

224
00:10:08,652 --> 00:10:10,854
Her baby's name is Eden.

225
00:10:14,658 --> 00:10:17,028
[DR. ANDREWS] Pretty close
to the upper lung bifurcation.

226
00:10:17,061 --> 00:10:18,862
[DR. LIM] I reinforced it with sealant.

227
00:10:18,896 --> 00:10:20,764
[DR. ANDREWS] With a synthetic wrap?

228
00:10:20,797 --> 00:10:22,499
[DR. LIM] Are you
questioning my surgical skills?

229
00:10:22,533 --> 00:10:24,035
[DR. ANDREWS] Are you getting defensive?

230
00:10:24,068 --> 00:10:27,504
[MONITORS BEEPING STEADILY]

231
00:10:27,538 --> 00:10:29,506
Okay. We're done.

232
00:10:29,540 --> 00:10:30,780
Let's test it.

233
00:10:35,379 --> 00:10:38,049
[TENSE MUSIC]

234
00:10:38,882 --> 00:10:40,017
Good job.

235
00:10:41,352 --> 00:10:44,421
- [MONITORS BEEPING RAPIDLY]
- [DRAMATIC MUSIC]

236
00:10:56,600 --> 00:10:58,702
Cardiac function stable.
You're good to go.

237
00:10:58,735 --> 00:11:00,769
Inserting the catheter.

238
00:11:01,205 --> 00:11:04,908
What a cute little girl.
Little girls are cute.

239
00:11:04,942 --> 00:11:07,244
- Mine would be really cute.
- Yeah, she'd be adorable.

240
00:11:07,278 --> 00:11:09,069
A boy could be adorable too.

241
00:11:09,913 --> 00:11:11,196
Are you trying to pick your embryo?

242
00:11:11,715 --> 00:11:13,084
I'm leaning towards a girl.

243
00:11:13,117 --> 00:11:14,986
I have a playbook to work from.

244
00:11:15,019 --> 00:11:16,587
My playbook didn't help me much.

245
00:11:16,620 --> 00:11:18,155
A lot of my issues with Kellan came

246
00:11:18,189 --> 00:11:19,756
from me trying to stop him

247
00:11:19,790 --> 00:11:21,592
from making the mistakes I made.

248
00:11:21,625 --> 00:11:22,926
If I'd had a daughter,
maybe I wouldn't have

249
00:11:22,960 --> 00:11:24,584
dumped all my baggage on her.

250
00:11:25,029 --> 00:11:26,628
You should choose a girl.

251
00:11:27,198 --> 00:11:29,200
But you're having a boy.

252
00:11:29,233 --> 00:11:30,834
We didn't get to choose.

253
00:11:30,867 --> 00:11:32,336
In all long-term health metrics,

254
00:11:32,369 --> 00:11:34,371
females are more likely
to outperform males,

255
00:11:34,405 --> 00:11:36,240
although they'll probably
make less money.

256
00:11:36,273 --> 00:11:38,348
The narrowing is longer
than it measured on echo.

257
00:11:41,912 --> 00:11:43,947
We should resect the narrowed segment

258
00:11:43,981 --> 00:11:46,583
and do an aortic anastomosis.

259
00:11:46,617 --> 00:11:48,385
Huge surgery for a baby.

260
00:11:48,419 --> 00:11:50,387
It's the only definitive treatment.

261
00:11:50,421 --> 00:11:52,223
Very definitive
if she dies on the table.

262
00:11:52,256 --> 00:11:53,724
Balloon dilation is safer.

263
00:11:53,757 --> 00:11:56,527
We can do a bigger procedure in a
few years when Eden can tolerate it.

264
00:11:56,560 --> 00:11:59,452
Her heart failure could
relapse between surgeries.

265
00:12:04,235 --> 00:12:06,303
Your two-step approach is safer,

266
00:12:06,337 --> 00:12:07,938
but only if the baby gets
daily medication

267
00:12:07,971 --> 00:12:09,740
and regular follow-up care.

268
00:12:09,773 --> 00:12:11,881
That's a lot to ask of a homeless mom.

269
00:12:15,912 --> 00:12:18,749
I'll page CPS and get consent.

270
00:12:18,782 --> 00:12:20,151
You two practice the surgery.

271
00:12:20,184 --> 00:12:21,349
A lot.

272
00:12:24,821 --> 00:12:28,662
His pelvis looks like a jigsaw
puzzle with a 100 missing pieces.

273
00:12:29,179 --> 00:12:30,947
Jared may be right.

274
00:12:32,496 --> 00:12:34,265
You're taking his side.

275
00:12:34,298 --> 00:12:35,732
I'm not taking anyone's side.

276
00:12:35,766 --> 00:12:38,199
- Scans don't lie.
- Okay.

277
00:12:39,603 --> 00:12:42,073
I'm not sure if you're mad at him or me,

278
00:12:42,106 --> 00:12:44,414
but we all need to get along.

279
00:12:47,144 --> 00:12:48,479
Well, you two seemed to be getting along

280
00:12:48,512 --> 00:12:50,378
pretty well at the taco truck
the other night.

281
00:12:51,782 --> 00:12:53,250
That was nothing.

282
00:12:53,284 --> 00:12:54,418
Mm-hmm.

283
00:12:54,684 --> 00:12:56,119
You're spying on me?

284
00:12:56,720 --> 00:12:58,261
I was getting a taco.

285
00:12:58,286 --> 00:13:01,323
This green-eyed monster thing
is not a good look for you.

286
00:13:01,625 --> 00:13:03,094
I'm not jealous.

287
00:13:03,127 --> 00:13:05,196
But you're right.

288
00:13:05,229 --> 00:13:08,099
We're supposed to be a team.
He's just not a good fit.

289
00:13:08,132 --> 00:13:09,856
Let's just focus on the patient.

290
00:13:11,302 --> 00:13:12,302
Fine.

291
00:13:15,972 --> 00:13:19,210
Can't see how we're gonna
repair all of that arterial damage.

292
00:13:20,677 --> 00:13:21,845
What if we don't?

293
00:13:24,320 --> 00:13:25,663
They could bypass it.

294
00:13:27,164 --> 00:13:28,399
All of it.

295
00:13:32,223 --> 00:13:34,491
This paper by Dr. Alice Chen features

296
00:13:34,525 --> 00:13:37,161
interesting data on tumor
treating fields, for GBM tumors.

297
00:13:37,194 --> 00:13:38,829
I'm trying to enjoy my tuna melt.

298
00:13:38,862 --> 00:13:40,997
Dr. Chen is starting a new study soon.

299
00:13:41,030 --> 00:13:42,306
You should call her.

300
00:13:42,339 --> 00:13:44,901
I'm not gonna spend the day
chasing down cancer treatments

301
00:13:44,935 --> 00:13:47,571
because I don't have cancer.

302
00:13:47,604 --> 00:13:50,407
Okay, there is a higher
probability of cancer relapse

303
00:13:50,441 --> 00:13:52,042
because you refused
maintenance chemotherapy.

304
00:13:52,075 --> 00:13:53,344
I'm not gonna talk about this.

305
00:13:53,377 --> 00:13:56,079
Recurrent GBM causes much
worse symptoms than temozolomide.

306
00:13:56,113 --> 00:13:57,748
That's the decision I made.

307
00:13:57,781 --> 00:14:01,318
I'm going crazy.
There are three crib sets I like.

308
00:14:01,352 --> 00:14:03,187
I just can't decide.

309
00:14:03,220 --> 00:14:05,689
Could you guys go to the store
after work tonight

310
00:14:05,722 --> 00:14:07,538
and pick your fave?

311
00:14:10,060 --> 00:14:11,228
Okay.

312
00:14:11,262 --> 00:14:12,296
[PHONE CHIMES]

313
00:14:13,897 --> 00:14:16,381
I have to go practice
the baby's surgery.

314
00:14:16,967 --> 00:14:19,270
I will see you after work.

315
00:14:21,931 --> 00:14:23,199
Oh, my God!

316
00:14:25,376 --> 00:14:26,610
Should I be worried?

317
00:14:26,643 --> 00:14:28,351
About me? No.

318
00:14:34,050 --> 00:14:35,986
[MONITOR BEEPING STEADILY]

319
00:14:39,155 --> 00:14:40,291
[DR. ANDREWS] We're going to kill him

320
00:14:40,324 --> 00:14:42,092
trying to save the lobe of his lung.

321
00:14:42,125 --> 00:14:44,928
Removing it still leaves him
with 4/5ths capacity.

322
00:14:44,961 --> 00:14:47,231
[DR. LIM] When there's a chance
you might lose half your body,

323
00:14:47,264 --> 00:14:48,997
everything you have left matters.

324
00:14:53,583 --> 00:14:55,753
[DR. ANDREWS] I need
lobectomy instruments.

325
00:14:57,774 --> 00:14:59,976
[DR. LIM] This is my OR, my department.

326
00:15:00,010 --> 00:15:01,578
[DR. ANDREWS] My hospital.

327
00:15:01,612 --> 00:15:03,747
And when a doctor's judgment
is compromised,

328
00:15:03,780 --> 00:15:07,551
it's my responsibility to step
in and protect our patients.

329
00:15:07,584 --> 00:15:10,321
[DR. LIM] In what possible way
am I compromised?

330
00:15:12,776 --> 00:15:16,146
Are you implying that my time in a
wheelchair is affecting my objectivity?

331
00:15:17,461 --> 00:15:18,943
[DR. ANDREWS] How could it not?

332
00:15:21,965 --> 00:15:23,364
[DR. LIM] This is my patient.

333
00:15:24,268 --> 00:15:25,769
[DR. ANDREWS] And I'm your boss.

334
00:15:34,811 --> 00:15:37,754
You can either do this with me,
or I'll find someone who will.

335
00:15:43,554 --> 00:15:44,728
[DR. LIM] Deaver retractor.

336
00:15:56,599 --> 00:15:58,736
[JORDAN] After they fix
the colon, Lim can use

337
00:15:58,769 --> 00:16:01,004
some preserved bowel
to create a new bladder

338
00:16:01,038 --> 00:16:02,472
like these Korean surgeons did.

339
00:16:02,505 --> 00:16:04,842
That would work perfectly
with what I found.

340
00:16:04,875 --> 00:16:06,910
We can bypass all of the artery injuries

341
00:16:06,944 --> 00:16:08,645
through two Dacron conduits

342
00:16:08,678 --> 00:16:10,113
directly to his lower extremities.

343
00:16:10,147 --> 00:16:12,449
And the improved blood flow
would help with my idea

344
00:16:12,482 --> 00:16:14,017
with his pelvis.

345
00:16:14,051 --> 00:16:15,853
So skin flaps,

346
00:16:15,886 --> 00:16:18,155
Dacron artery bypass, neo-bladder,

347
00:16:18,188 --> 00:16:21,172
bowel repair with biomaterials, and...

348
00:16:22,860 --> 00:16:27,097
a badass, Wolverine-like
adamantium skeleton.

349
00:16:27,130 --> 00:16:29,099
It's experimental,
but it's pretty damn cool.

350
00:16:29,132 --> 00:16:31,849
Now, how do we make sure all this heals?

351
00:16:32,702 --> 00:16:34,371
There's one study in Canada.

352
00:16:34,404 --> 00:16:35,973
A cocktail of recumbent growth hormones

353
00:16:36,006 --> 00:16:37,841
and pentoxifylline showed
a threefold increase

354
00:16:37,875 --> 00:16:39,774
in traumatic wound healing rates.

355
00:16:40,516 --> 00:16:41,917
That's great.

356
00:16:42,545 --> 00:16:44,147
There's only four patients,

357
00:16:44,181 --> 00:16:46,030
and none of them had
the same injuries as Brady.

358
00:16:46,716 --> 00:16:47,951
So no one got cut in half

359
00:16:47,985 --> 00:16:49,619
with a metal sheet on an oil rig?

360
00:16:49,652 --> 00:16:51,955
Great, I guess we just
toss that study out.

361
00:16:51,989 --> 00:16:54,455
I'm just saying,
I wish we had something better.

362
00:16:55,092 --> 00:16:57,994
I'll happily take a threefold increase.

363
00:16:58,028 --> 00:16:59,729
This is a workable plan.

364
00:16:59,763 --> 00:17:01,546
Good, because Lim wants an update.

365
00:17:10,373 --> 00:17:11,908
Some promising ideas,

366
00:17:11,942 --> 00:17:14,016
but there's a lot
of frail tissue to heal.

367
00:17:15,846 --> 00:17:17,580
I found a study using growth hormones

368
00:17:17,614 --> 00:17:19,316
to accelerate the healing.

369
00:17:19,349 --> 00:17:21,315
Interesting. Would that work here?

370
00:17:22,953 --> 00:17:25,022
There was a threefold plan
that we had...

371
00:17:25,055 --> 00:17:27,090
Well, hang on, I want to hear
from the guy who did the research.

372
00:17:27,124 --> 00:17:28,125
[CHUCKLES]

373
00:17:30,560 --> 00:17:32,562
I'm not confident it would.

374
00:17:32,595 --> 00:17:34,564
You guys said you had a workable plan.

375
00:17:34,597 --> 00:17:36,166
- It can work.
- Jared's being overly cautious.

376
00:17:36,199 --> 00:17:38,035
If you close the pelvis
without good vascular support,

377
00:17:38,068 --> 00:17:39,602
all these repairs will get necrotic.

378
00:17:39,636 --> 00:17:40,735
We will have good support.

379
00:17:40,759 --> 00:17:42,005
The
Dacron conduit to restore blood flow...

380
00:17:42,039 --> 00:17:43,373
Not normal flow and not quick enough.

381
00:17:43,406 --> 00:17:44,607
Oh, dude, you've been
doom and gloom from the start.

382
00:17:44,641 --> 00:17:46,090
- I've been...
- Enough.

383
00:17:46,643 --> 00:17:48,078
Find a way to heal him.

384
00:17:48,111 --> 00:17:51,053
I don't care who it comes from,
but I need it soon.

385
00:18:08,265 --> 00:18:11,073
The nurse said she's
responding to the medication.

386
00:18:12,669 --> 00:18:15,605
How long will Eden be in
the hospital after the surgery?

387
00:18:15,638 --> 00:18:17,207
Two weeks.

388
00:18:17,240 --> 00:18:19,776
Jasmine's on the wait list
for long-term housing.

389
00:18:19,809 --> 00:18:21,334
She might have a place by then.

390
00:18:22,980 --> 00:18:25,087
Also, uh,

391
00:18:25,949 --> 00:18:28,285
is this safe if she keeps breastfeeding?

392
00:18:28,318 --> 00:18:29,759
The police found this in her tent.

393
00:18:30,820 --> 00:18:33,223
This is a bipolar mood stabilizer.

394
00:18:33,256 --> 00:18:34,430
It's safe.

395
00:18:35,092 --> 00:18:36,894
How long has she been taking this?

396
00:18:36,927 --> 00:18:38,561
She saw her psychiatrist
for the first time in years

397
00:18:38,595 --> 00:18:40,063
about five weeks ago.

398
00:18:40,097 --> 00:18:43,066
She responded to it in the past.

399
00:18:43,100 --> 00:18:45,668
She had a follow-up
scheduled with him tomorrow.

400
00:18:50,707 --> 00:18:53,276
There's another
treatment option for Eden.

401
00:18:53,310 --> 00:18:56,079
I know, I know. It's disgusting.

402
00:18:56,113 --> 00:18:57,847
You're gonna think,
"What are the percentages?"

403
00:18:57,881 --> 00:19:00,017
Trust me, you change his diapers

404
00:19:00,050 --> 00:19:01,484
and you are gonna bond with your son.

405
00:19:01,518 --> 00:19:03,086
Okay, here is the Angelic Dream Set.

406
00:19:03,120 --> 00:19:06,623
And be attentive to Lea.
Be extra attentive.

407
00:19:06,656 --> 00:19:08,091
She's gonna be sleep-deprived.

408
00:19:08,125 --> 00:19:09,659
You are gonna be sleep-deprived.

409
00:19:09,692 --> 00:19:11,094
You're both gonna
want to lose it. Don't.

410
00:19:11,128 --> 00:19:13,263
This mattress is very comfortable.

411
00:19:13,296 --> 00:19:15,865
This dark wood is a little bit funereal.

412
00:19:15,899 --> 00:19:18,301
The baby won't care about the color.

413
00:19:18,335 --> 00:19:21,038
It's all about first impressions.

414
00:19:21,071 --> 00:19:23,140
It's a newborn, you know? Clean slate.

415
00:19:23,173 --> 00:19:25,175
You want to surround it
with beautiful things.

416
00:19:25,208 --> 00:19:26,876
A stuffed, soft... No,
you don't want to do that.

417
00:19:26,910 --> 00:19:28,234
That's a hazard.

418
00:19:28,267 --> 00:19:29,947
But these spinny things...
what do you call these?

419
00:19:29,980 --> 00:19:31,448
Mobiles, mobiles.

420
00:19:31,481 --> 00:19:33,116
You know, everywhere he looks,

421
00:19:33,150 --> 00:19:34,851
you want him to be interested,
stimulated.

422
00:19:34,884 --> 00:19:36,686
Beautiful sounds. Beautiful music.

423
00:19:36,719 --> 00:19:38,521
Mozart. Joni Mitchell.

424
00:19:38,555 --> 00:19:40,690
If you want to talk about something

425
00:19:40,723 --> 00:19:41,959
other than selecting a crib,

426
00:19:41,992 --> 00:19:43,293
it should be brain cancer treatments.

427
00:19:43,326 --> 00:19:44,694
Oh my God!
I don't want to think about that.

428
00:19:44,727 --> 00:19:45,895
I can't not think about it.

429
00:19:45,929 --> 00:19:48,731
In 12 hours, we will have results...

430
00:19:48,765 --> 00:19:50,233
- Exactly.
- We should be prepared.

431
00:19:50,267 --> 00:19:54,427
Okay, Shaun, stop. Just...
just stop for a second

432
00:19:55,999 --> 00:19:57,033
Sit down.

433
00:19:58,908 --> 00:19:59,943
Okay.

434
00:20:05,615 --> 00:20:07,231
If I have cancer,

435
00:20:10,853 --> 00:20:13,190
I'd be at stage four, right?

436
00:20:13,223 --> 00:20:15,825
There's no miracle cure for that.

437
00:20:15,858 --> 00:20:18,695
You still haven't called
Dr. Chen in Cleveland.

438
00:20:18,728 --> 00:20:19,896
I read her paper.

439
00:20:19,929 --> 00:20:22,496
It doesn't work with recurrent GBM.

440
00:20:31,194 --> 00:20:34,425
How can you think about teddy
bears when you might be dying?

441
00:20:36,046 --> 00:20:38,948
If you're right, Shaun,

442
00:20:38,982 --> 00:20:41,724
then I won't be here
when your son is born.

443
00:20:42,752 --> 00:20:44,810
I won't be here to help you.

444
00:20:48,158 --> 00:20:50,293
We'll know when we know.

445
00:20:57,167 --> 00:20:58,824
I like the lighter wood.

446
00:21:00,770 --> 00:21:02,161
So do I.

447
00:21:07,170 --> 00:21:09,335
What else should I know about diapers?

448
00:21:19,105 --> 00:21:20,274
[DR. ANDREWS] Lung lobe is out.

449
00:21:20,307 --> 00:21:24,010
[MONITOR BEEPING STEADILY]

450
00:21:24,043 --> 00:21:26,180
These segmental vessels are damaged.

451
00:21:26,213 --> 00:21:28,081
[DR. LIM] Running 7-0 sutures
should fix them.

452
00:21:28,114 --> 00:21:30,517
[DR. ANDREWS] Why bother?
The upper lobe is out.

453
00:21:30,550 --> 00:21:32,752
[DR. LIM] If we can get
Perez's Dacron graft to work,

454
00:21:32,786 --> 00:21:34,053
we could use them
to save his lower half.

455
00:21:34,087 --> 00:21:35,422
[DR. ANDREWS] Very unlikely.

456
00:21:35,455 --> 00:21:36,890
[DR. LIM] The residents
are working on it.

457
00:21:36,923 --> 00:21:38,781
[DR.
ANDREWS] And obviously not succeeding.

458
00:21:41,728 --> 00:21:42,796
[DR. LIM] First, I'm compromised,

459
00:21:42,829 --> 00:21:44,231
now you're slagging on the residents?

460
00:21:44,264 --> 00:21:46,366
[DR. ANDREWS] Two are on probation,
you let another one go,

461
00:21:46,400 --> 00:21:48,134
and her replacement is someone I fired.

462
00:21:48,168 --> 00:21:49,936
[DR. LIM] He's also the world's
most experienced first-year,

463
00:21:49,969 --> 00:21:51,305
and he brings a new perspective
to the mix.

464
00:21:51,338 --> 00:21:53,240
And training these guys is my job.

465
00:21:53,273 --> 00:21:55,442
[DR. ANDREWS] Your job
is to make my job easier.

466
00:21:55,475 --> 00:21:57,143
[DR. LIM] I thought it was to
run a great surgical department.

467
00:21:57,177 --> 00:21:59,145
[DR. ANDREWS] If you were doing that,
I wouldn't have to think

468
00:21:59,179 --> 00:22:01,345
about that department
as much as I have recently.

469
00:22:03,817 --> 00:22:05,182
[DR. LIM] Vessel loops.

470
00:22:16,463 --> 00:22:18,398
[DR. PARK] You changed
the baby's surgery?

471
00:22:18,432 --> 00:22:20,634
We weren't giving Jasmine enough credit.

472
00:22:20,667 --> 00:22:22,168
She's done a lot to turn her life around

473
00:22:22,202 --> 00:22:23,437
since Eden was born.

474
00:22:23,470 --> 00:22:25,239
For seven weeks.

475
00:22:25,272 --> 00:22:26,485
And with this new treatment plan,

476
00:22:26,509 --> 00:22:28,414
she has to keep it up for seven years.

477
00:22:28,975 --> 00:22:30,541
A baby can change a person.

478
00:22:32,446 --> 00:22:33,747
[INTERCOM BEEPS]

479
00:22:33,780 --> 00:22:35,641
[ANNOUNCER ON INTERCOM]
Code pink, NICU bed three.

480
00:22:35,674 --> 00:22:36,916
That's Eden.

481
00:22:36,950 --> 00:22:39,052
Code pink, NICU bed three.

482
00:22:39,986 --> 00:22:42,989
[SIRENS WAILING IN DISTANCE]

483
00:22:49,863 --> 00:22:52,065
Lim asked for my opinion.

484
00:22:58,705 --> 00:23:03,343
I met so many rich, entitled
guys like you in college,

485
00:23:03,377 --> 00:23:05,345
and I couldn't stand them...

486
00:23:05,379 --> 00:23:07,036
even the ones I slept with.

487
00:23:08,715 --> 00:23:10,650
If you can't handle the hard work,

488
00:23:10,684 --> 00:23:13,186
just get in your Lamborghini
and go home.

489
00:23:15,855 --> 00:23:17,223
Sherry Lewis.

490
00:23:22,596 --> 00:23:24,470
One of my last patients in Denver.

491
00:23:25,432 --> 00:23:27,233
Late-stage ovarian cancer.

492
00:23:27,267 --> 00:23:29,225
Treatment's pelvic exenteration.

493
00:23:29,736 --> 00:23:31,838
You remove everything.

494
00:23:31,871 --> 00:23:35,481
The bladder, colon, uterus, and vagina.

495
00:23:36,075 --> 00:23:37,911
Now, in success,

496
00:23:37,944 --> 00:23:40,514
the patient lives with
colostomy and urostomy bags,

497
00:23:40,547 --> 00:23:43,030
severe menopause,
and absolutely no sex life.

498
00:23:44,418 --> 00:23:46,992
Well, it's brutal but effective.

499
00:23:47,921 --> 00:23:49,022
Would have been.

500
00:23:51,257 --> 00:23:53,624
But I talked my attending out of it,

501
00:23:54,260 --> 00:23:56,830
in favor of an experimental surgery.

502
00:23:56,863 --> 00:23:58,365
A wide excision of all the tumors,

503
00:23:58,398 --> 00:24:01,067
then you reconstruct the entire
pelvic floor with TRAM flaps.

504
00:24:01,100 --> 00:24:02,883
Incredibly advanced.

505
00:24:04,538 --> 00:24:06,627
The type of stuff you're
talking about doing to Brady.

506
00:24:11,778 --> 00:24:13,447
Sherry, um...

507
00:24:17,884 --> 00:24:19,653
Sherry died on the table.

508
00:24:24,296 --> 00:24:26,031
And I left Denver.

509
00:24:42,141 --> 00:24:44,341
We take risks and people die.

510
00:24:46,179 --> 00:24:48,053
But if we play it safe,

511
00:24:50,617 --> 00:24:51,974
they die too.

512
00:24:55,522 --> 00:24:57,591
I'd rather regret
fighting too hard for a patient

513
00:24:57,624 --> 00:24:59,493
than not hard enough.

514
00:25:17,777 --> 00:25:20,747
[SHAUN] Why would your
daughter shave your cat?

515
00:25:20,780 --> 00:25:24,951
[DR. GLASSMAN] Long story.
Point being, don't get a cat.

516
00:25:24,984 --> 00:25:27,086
Kids are gonna tell you they're
gonna clean the litter box.

517
00:25:27,120 --> 00:25:29,823
They're not gonna clean the litter box.
Don't fall for that trap.

518
00:25:29,856 --> 00:25:32,191
You made a lot of mistakes.

519
00:25:32,225 --> 00:25:33,326
Yeah.

520
00:25:34,027 --> 00:25:36,195
It all boils down to

521
00:25:36,229 --> 00:25:38,131
Maddy's mom basically raised her

522
00:25:38,164 --> 00:25:40,434
while I focused on work.

523
00:25:40,467 --> 00:25:43,002
You were a surgeon.
She was a real estate agent.

524
00:25:43,036 --> 00:25:44,438
I love surgery.

525
00:25:44,471 --> 00:25:46,339
I love poking around in people's brains.

526
00:25:46,372 --> 00:25:48,374
It's very exciting.

527
00:25:48,408 --> 00:25:51,010
And I get to save some lives
while I'm at it.

528
00:25:51,044 --> 00:25:54,013
Saving lives is very exciting.

529
00:25:54,047 --> 00:25:56,215
So were Maddy's first steps,
her first words,

530
00:25:56,249 --> 00:26:00,053
her first piano recital, or so I heard.

531
00:26:00,086 --> 00:26:02,021
Work over family,
and that's what you get.

532
00:26:02,055 --> 00:26:04,213
You're not gonna make the same mistakes.

533
00:26:05,191 --> 00:26:06,793
I don't think I will.

534
00:26:06,826 --> 00:26:08,968
We are very different people.

535
00:26:13,833 --> 00:26:15,001
Are we?

536
00:26:20,740 --> 00:26:24,544
I have learned some
very useful things from you.

537
00:26:24,750 --> 00:26:26,685
Well, right back at you.

538
00:26:29,248 --> 00:26:31,250
[PHONE CHIMES]

539
00:26:33,617 --> 00:26:36,022
The baby needs surgery.

540
00:26:36,055 --> 00:26:37,591
The crib needs to be assembled.

541
00:26:37,624 --> 00:26:38,992
Go.

542
00:26:39,025 --> 00:26:40,594
But you chose work way too often.

543
00:26:40,627 --> 00:26:42,496
When should I prioritize family?

544
00:26:42,529 --> 00:26:44,063
[CHUCKLES] When you have a sick baby

545
00:26:44,097 --> 00:26:47,798
and a piece of furniture,
the sick baby wins every time. Go.

546
00:26:48,067 --> 00:26:49,469
I got this.

547
00:27:01,481 --> 00:27:02,682
[PEREZ] Serial debridement.

548
00:27:02,716 --> 00:27:05,051
Helps healing a little, but...

549
00:27:05,084 --> 00:27:07,386
it increases infection risk a lot.

550
00:27:07,420 --> 00:27:08,610
Well, then I'm tapped out.

551
00:27:09,556 --> 00:27:10,624
Me too.

552
00:27:12,258 --> 00:27:14,093
I guess we should tell Lim.

553
00:27:15,061 --> 00:27:16,462
Lamborghinis.

554
00:27:16,496 --> 00:27:18,097
[BREATHING HEAVILY]

555
00:27:18,131 --> 00:27:19,538
Lamborghinis.

556
00:27:20,734 --> 00:27:22,869
Now, most sports cars use
pressurized combustion

557
00:27:22,902 --> 00:27:24,704
to achieve that kind of performance,
but not Lambos.

558
00:27:24,738 --> 00:27:25,872
No, no, no, no.

559
00:27:25,905 --> 00:27:27,273
To reduce engine wear, they use vacuums

560
00:27:27,306 --> 00:27:28,908
to pour gas into the pistons.

561
00:27:28,942 --> 00:27:30,710
Now, Brady's organs won't heal

562
00:27:30,744 --> 00:27:32,184
because we can't get
enough flow to them,

563
00:27:32,217 --> 00:27:33,813
but if you force more blood

564
00:27:33,847 --> 00:27:35,649
into the area, well,
then we cause lethally high

565
00:27:35,682 --> 00:27:38,918
abdominal compartment pressure. So...

566
00:27:38,952 --> 00:27:41,888
Let's pull in the blood
passively by creating a vacuum

567
00:27:41,921 --> 00:27:44,104
using internal suction devices.

568
00:27:47,961 --> 00:27:51,400
A low pressure system with low
tissue stress is better for healing.

569
00:27:51,743 --> 00:27:52,744
[ASHER] That's...

570
00:27:54,133 --> 00:27:55,741
That's a brilliant idea.

571
00:27:56,169 --> 00:27:57,637
But it won't work.

572
00:27:57,671 --> 00:27:59,828
Not without blood
coming into the right areas.

573
00:28:00,540 --> 00:28:02,247
I need your help with that.

574
00:28:04,010 --> 00:28:05,511
Where do you need the blood?

575
00:28:12,485 --> 00:28:14,420
It's what we proposed earlier,

576
00:28:14,453 --> 00:28:16,289
plus a healing plan that Jared...

577
00:28:16,322 --> 00:28:17,596
[DR. ANDREWS] I can read.

578
00:28:20,493 --> 00:28:21,728
[DR. LIM] Good work.

579
00:28:25,331 --> 00:28:27,300
[DR. ANDREWS] It's four
experimental techniques

580
00:28:27,333 --> 00:28:30,737
rolled into an eight-hour surgery
with lousy odds of success.

581
00:28:40,413 --> 00:28:41,912
Let's give it a try.

582
00:28:51,897 --> 00:28:54,332
[DR. LIM] Dacron conduits
are connected to the aorta.

583
00:28:54,366 --> 00:28:56,935
Do the anastomosis sites
look secure enough?

584
00:28:56,969 --> 00:28:58,771
Any weak spots in there
will move that metal.

585
00:28:58,804 --> 00:29:00,305
He'll bleed out.

586
00:29:00,338 --> 00:29:01,506
They know.

587
00:29:02,540 --> 00:29:03,842
[DR. ANDREWS] On three.

588
00:29:03,876 --> 00:29:06,979
One, two, three.

589
00:29:27,099 --> 00:29:28,400
[DR. LIM] We have hemostasis.

590
00:29:28,433 --> 00:29:30,568
[DR. ANDREWS] And good
blood flow through the conduits.

591
00:29:30,602 --> 00:29:32,337
Tissue's perfusing.

592
00:29:34,106 --> 00:29:36,308
[BOTH LAUGHING]

593
00:29:36,341 --> 00:29:39,377
Yes! Yes!

594
00:29:39,411 --> 00:29:42,480
[MUFFLED CHATTER]

595
00:29:42,514 --> 00:29:46,318
[LAUGHTER]

596
00:29:46,351 --> 00:29:48,620
[DR. ANDREWS] Time to move on
to the pelvic fractures.

597
00:29:51,056 --> 00:29:54,860
This is much more important
than assembling a crib.

598
00:29:54,893 --> 00:29:56,661
But patients will always need surgery,

599
00:29:56,694 --> 00:29:58,931
and my family will
always need attention.

600
00:29:58,964 --> 00:30:01,233
If there's no clear choice
between a patient

601
00:30:01,266 --> 00:30:04,002
and your family, pick the one
that's related to you.

602
00:30:04,489 --> 00:30:05,489
Hmm.

603
00:30:07,973 --> 00:30:10,342
Obviously, choose family when you can,

604
00:30:10,375 --> 00:30:13,178
but sacrifice is part of the job.

605
00:30:13,211 --> 00:30:15,213
That's a good point.

606
00:30:15,247 --> 00:30:16,849
But you are divorced.

607
00:30:16,882 --> 00:30:18,416
That is more sacrifice than I want.

608
00:30:18,450 --> 00:30:19,597
Fair.

609
00:30:19,621 --> 00:30:20,886
[MONITOR BEEPS]

610
00:30:20,919 --> 00:30:23,466
[DR. REZNICK] Eden's O2 sat
just dropped a bit.

611
00:30:23,499 --> 00:30:25,057
I'm nowhere near her lungs.

612
00:30:44,409 --> 00:30:46,444
Turner syndrome causes leaky vessels.

613
00:30:46,478 --> 00:30:49,047
The stress on Eden's body is
causing lymph fluid to build up.

614
00:30:49,081 --> 00:30:50,715
We can drain it with a chest tube.

615
00:30:50,748 --> 00:30:52,795
Her chest is so small, you'd risk a
collapsed lung

616
00:30:52,819 --> 00:30:54,294
and pleural infection.

617
00:30:55,120 --> 00:30:57,589
I could clear the lung with diuretics.

618
00:30:57,622 --> 00:31:01,677
The risks and benefits of both
treatments are nearly identical.

619
00:31:02,427 --> 00:31:04,296
But that also means it doesn't
matter which one we choose,

620
00:31:04,329 --> 00:31:05,830
which makes the choice easy.

621
00:31:05,864 --> 00:31:08,233
I find inserting chest tubes
particularly satisfying,

622
00:31:08,266 --> 00:31:10,102
so I will do that.

623
00:31:15,540 --> 00:31:18,860
The risks and benefits of a boy
and a girl are nearly identical too.

624
00:31:20,645 --> 00:31:22,521
But girls kick ass.

625
00:31:27,485 --> 00:31:30,105
[MONITOR BEEPING STEADILY]

626
00:31:30,138 --> 00:31:31,687
[DR. ANDREWS] This implant's gonna
be a tight fit

627
00:31:31,711 --> 00:31:33,625
around the cauda equina.

628
00:31:33,658 --> 00:31:36,094
The bioengineer's mapping algorithm

629
00:31:36,128 --> 00:31:38,630
was designed to optimize stability.

630
00:31:38,663 --> 00:31:40,265
[DR. LIM] Well,
Brady's not an algorithm.

631
00:31:40,298 --> 00:31:42,092
His nerves are gonna run where they run.

632
00:31:43,335 --> 00:31:45,337
[DR. ANDREWS] I'll set it in position.

633
00:31:45,370 --> 00:31:47,039
[MONITOR BEEPING]

634
00:31:47,072 --> 00:31:49,441
Nerve impingement.

635
00:31:49,474 --> 00:31:51,059
[DR. LIM] I'll expand
the narrowing with a rod.

636
00:31:58,550 --> 00:32:00,685
Wait, there's an alternate
algorithm that can fix that.

637
00:32:00,718 --> 00:32:03,355
[DR. LIM] Settle down,
Dr. Allen. I got this.

638
00:32:03,388 --> 00:32:06,491
That's $100,000 worth of tech,
and she's using a rod.

639
00:32:08,726 --> 00:32:11,696
[BEEPING RAPIDLY]

640
00:32:11,729 --> 00:32:13,915
[DR. ANDREWS] Nerve activity flattening.

641
00:32:14,566 --> 00:32:18,420
[DR. LIM] One more minute.

642
00:32:23,608 --> 00:32:25,843
[BEEPING STEADIES]

643
00:32:25,877 --> 00:32:27,545
[BREATHES DEEPLY]

644
00:32:34,286 --> 00:32:35,979
[DR. ANDREWS] The old
cantilever maneuver.

645
00:32:36,354 --> 00:32:37,555
Nice work.

646
00:32:37,589 --> 00:32:39,191
[DR. LIM] Can't beat the classics.

647
00:32:44,629 --> 00:32:48,116
Eden's surgery went well,
so I was hoping Jasmine might...

648
00:33:00,838 --> 00:33:02,006
V-fib.

649
00:33:04,582 --> 00:33:06,635
Ran a code for an hour, but...

650
00:33:08,786 --> 00:33:10,639
she'd just been through too much.

651
00:33:16,461 --> 00:33:19,364
[DR. LIM] Vacuum devices
are in position.

652
00:33:19,397 --> 00:33:21,566
Let's see if they work.

653
00:33:21,599 --> 00:33:24,111
[DR. ANDREWS] Keep a close eye
on his intra-abdominal pressure.

654
00:33:26,404 --> 00:33:27,781
[DR. LIM] We have vacuum.

655
00:33:28,806 --> 00:33:30,108
[VILLANUEVA] IA pressure's okay.

656
00:33:30,142 --> 00:33:32,144
[DR. LIM] Time for the tissue flaps.

657
00:33:32,177 --> 00:33:34,146
Looking good, Lambo.

658
00:33:36,448 --> 00:33:38,383
[VILLANUEVA] There's
a small spike in IA pressure.

659
00:33:38,416 --> 00:33:40,785
- [BEEPING RAPIDLY]
- [DR. LIM] Increasing vacuum suction.

660
00:33:40,818 --> 00:33:42,787
[VILLANUEVA] Still climbing.

661
00:33:45,790 --> 00:33:46,991
[DR. ANDREWS] Pressure's
compressing his organs.

662
00:33:47,025 --> 00:33:48,793
[BEEPING RAPIDLY]

663
00:33:48,826 --> 00:33:50,062
He's getting ischemic.

664
00:33:50,095 --> 00:33:51,805
[DR. LIM] I'm going up to 55.

665
00:33:58,436 --> 00:33:59,771
He's in shock.

666
00:34:01,206 --> 00:34:03,233
I did this.

667
00:34:03,807 --> 00:34:06,319
You didn't do anything.
We're in this together.

668
00:34:10,814 --> 00:34:11,816
[DR. ANDREWS] We need to amputate.

669
00:34:11,849 --> 00:34:13,251
[DR. LIM] Not yet.

670
00:34:13,285 --> 00:34:15,287
[DR. ANDREWS] Audrey, pressure's
too high. We're killing his organs.

671
00:34:15,320 --> 00:34:16,663
I think he's wrong.

672
00:34:18,222 --> 00:34:19,916
Then fight for your patient.

673
00:34:24,961 --> 00:34:26,698
[DR. ANDREWS] We need to amputate.

674
00:34:30,034 --> 00:34:31,436
- [DR. LIM] Okay.
- [DR. ANDREWS] All right.

675
00:34:31,468 --> 00:34:32,870
We need a Liston amputation knife,

676
00:34:32,903 --> 00:34:34,839
a bone saw, and a set
of 5 1/2-inch hemostats.

677
00:34:34,872 --> 00:34:36,850
He can handle 75.

678
00:34:37,709 --> 00:34:39,977
[DR. ANDREWS] With that kind
of pressure, he'll bleed out.

679
00:34:40,010 --> 00:34:41,313
Normally, yes.

680
00:34:41,345 --> 00:34:43,148
But the Dacron conduits Dr. Perez chose

681
00:34:43,180 --> 00:34:45,016
are more rigid than typical vessels.

682
00:34:45,048 --> 00:34:46,484
They'll hold up.

683
00:34:47,652 --> 00:34:48,904
[DR. LIM] Let's do it.

684
00:34:50,355 --> 00:34:54,117
I trust my residents, Marcus,
and I need you to trust me.

685
00:35:03,268 --> 00:35:04,794
[DR. ANDREWS] Let's go to 75.

686
00:35:22,645 --> 00:35:24,514
Brady's family are here.

687
00:35:28,051 --> 00:35:29,385
Is my husband...

688
00:35:29,418 --> 00:35:31,421
The surgery was a success.

689
00:35:31,854 --> 00:35:33,924
It will be a long recovery, but...

690
00:35:33,957 --> 00:35:34,957
Oh.

691
00:35:38,828 --> 00:35:41,731
Thank you for saving my dad.

692
00:35:45,701 --> 00:35:47,070
I'll take you to him.

693
00:35:51,707 --> 00:35:53,977
I should be dead on my feet,
but I just feel...

694
00:35:54,677 --> 00:35:56,304
- Awesome?
- Yeah.

695
00:36:03,186 --> 00:36:05,230
It's been 24 hours.

696
00:36:07,523 --> 00:36:08,658
Yeah.

697
00:36:15,498 --> 00:36:17,733
[SIGHS] I just need a minute.

698
00:36:17,767 --> 00:36:20,787
A minute won't change the results.

699
00:36:21,737 --> 00:36:23,164
No, it won't.

700
00:36:36,419 --> 00:36:40,423
No cancerous DNA detected.

701
00:36:40,456 --> 00:36:41,924
I was wrong!

702
00:36:42,892 --> 00:36:44,194
Yes, you were.

703
00:36:48,031 --> 00:36:50,933
[ EVERYBODY KARAOKE TRACK PLAYING]

704
00:36:50,967 --> 00:36:52,102
[LAUGHS]

705
00:36:52,135 --> 00:36:54,770
♪ Everybody ♪

706
00:36:54,804 --> 00:36:56,606
♪ Yeah ♪

707
00:36:56,639 --> 00:36:59,375
♪ Rock your body, yeah ♪

708
00:36:59,409 --> 00:37:01,011
♪ Yeah ♪

709
00:37:01,044 --> 00:37:03,946
♪ Everybody ♪

710
00:37:03,980 --> 00:37:06,549
♪ Rock your body right ♪

711
00:37:07,217 --> 00:37:08,351
What?

712
00:37:08,384 --> 00:37:11,921
♪ Backstreet's back, all right ♪

713
00:37:11,954 --> 00:37:13,689
I'm gonna keep up this same energy

714
00:37:13,723 --> 00:37:15,091
with some Whitney.

715
00:37:15,758 --> 00:37:16,926
You were right.

716
00:37:17,960 --> 00:37:19,095
You always are.

717
00:37:19,129 --> 00:37:20,388
You're learning.

718
00:37:21,964 --> 00:37:25,135
♪ Oh, my God, we're back again ♪

719
00:37:26,469 --> 00:37:29,914
You know, before when I was
bitching about Jared,

720
00:37:31,007 --> 00:37:32,142
it's because...

721
00:37:33,009 --> 00:37:34,878
Well, I am a little jealous.

722
00:37:35,392 --> 00:37:36,392
A little?

723
00:37:37,147 --> 00:37:38,340
Okay.

724
00:37:38,364 --> 00:37:39,649
[CHUCKLES]

725
00:37:39,682 --> 00:37:40,783
What you saw between Jared and I...

726
00:37:40,816 --> 00:37:42,952
It's none of my business.

727
00:37:42,985 --> 00:37:45,955
You deserve somebody
who's ready to fully commit.

728
00:37:45,988 --> 00:37:47,332
Somebody who makes you happy.

729
00:37:49,292 --> 00:37:50,826
Whoever that may be.

730
00:37:52,195 --> 00:37:54,064
- ♪ Yeah ♪
- Danny!

731
00:37:54,097 --> 00:37:55,331
We need your boy band face
for the chorus.

732
00:37:55,365 --> 00:37:57,633
- Come here.
- Yeah, we need those abs.

733
00:37:57,667 --> 00:37:59,602
Get up here, baby!

734
00:37:59,635 --> 00:38:01,071
♪ Am I everything you need ♪

735
00:38:01,104 --> 00:38:03,005
♪ You better rock your body now ♪

736
00:38:03,039 --> 00:38:05,775
♪ Everybody ♪

737
00:38:05,808 --> 00:38:07,677
♪ Yeah ♪

738
00:38:07,710 --> 00:38:10,180
♪ Rock your body ♪

739
00:38:10,213 --> 00:38:11,981
♪ Yeah ♪

740
00:38:12,014 --> 00:38:14,650
♪ Everybody ♪

741
00:38:14,684 --> 00:38:17,753
♪ Backstreet's back, all right ♪

742
00:38:17,787 --> 00:38:20,823
[ALL CHEER]

743
00:38:20,856 --> 00:38:22,692
[JEROME] The new
surgical robot is operational,

744
00:38:22,725 --> 00:38:24,860
and I just landed
the perfect nephrectomy

745
00:38:24,894 --> 00:38:26,296
for its inaugural run.

746
00:38:26,329 --> 00:38:27,463
Dibs.

747
00:38:27,497 --> 00:38:29,353
Ah, you did the last cool case.

748
00:38:29,387 --> 00:38:31,000
This one's going to Dr. Murphy.

749
00:38:32,635 --> 00:38:34,904
This is cool.

750
00:38:37,640 --> 00:38:39,309
Dr. Park should take it.

751
00:38:39,342 --> 00:38:41,553
I have to finish setting up our nursery.

752
00:38:53,489 --> 00:38:54,524
Hey.

753
00:38:57,693 --> 00:38:58,903
Good job today.

754
00:38:59,695 --> 00:39:00,896
Thanks.

755
00:39:04,100 --> 00:39:05,501
I've been under the microscope

756
00:39:05,535 --> 00:39:08,580
with the board lately,
and I am stressed.

757
00:39:12,575 --> 00:39:15,211
Things were said that
probably shouldn't have been.

758
00:39:19,115 --> 00:39:21,760
Things weren't said. You said them.

759
00:39:27,190 --> 00:39:30,477
If you don't trust me, fire me.

760
00:39:31,961 --> 00:39:34,898
And if you do, then stay out of my way.

761
00:39:48,077 --> 00:39:49,945
[BABY CRYING]

762
00:39:53,383 --> 00:39:54,384
Hey.

763
00:39:55,551 --> 00:39:56,586
Dalisay?

764
00:39:57,287 --> 00:39:58,454
The baby's upset.

765
00:39:58,488 --> 00:39:59,589
Her heart?

766
00:39:59,622 --> 00:40:01,291
No, everything's fine there.

767
00:40:01,324 --> 00:40:03,693
I just...
I think she needs some company.

768
00:40:03,726 --> 00:40:05,595
I'll get to her when I can,
but I'm slammed.

769
00:40:05,628 --> 00:40:07,730
[BABY WAILING]

770
00:40:07,763 --> 00:40:08,973
[SHUSHING GENTLY]

771
00:40:10,800 --> 00:40:11,901
[PHONE CHIMES]

772
00:40:16,956 --> 00:40:22,038
_

773
00:40:22,065 --> 00:40:24,771
_

774
00:40:30,986 --> 00:40:32,988
I'm here, Eden.

775
00:40:33,022 --> 00:40:35,024
[BABY COOING]

776
00:40:52,041 --> 00:40:53,893
You can open your eyes now.

777
00:40:55,978 --> 00:40:57,813
It's so sweet.

778
00:40:58,848 --> 00:41:00,383
The crib.

779
00:41:01,817 --> 00:41:03,085
The dresser.

780
00:41:03,118 --> 00:41:04,754
It's the Angelic Dream Set.

781
00:41:04,787 --> 00:41:06,121
The dark walnut was funereal,

782
00:41:06,155 --> 00:41:09,191
but it also came in natural pine.

783
00:41:09,225 --> 00:41:12,962
Oh, our little peanut is gonna love it.

784
00:41:14,169 --> 00:41:15,971
Oh.

785
00:41:17,967 --> 00:41:19,544
Whatcha got there?

786
00:41:20,970 --> 00:41:22,171
There are

787
00:41:22,805 --> 00:41:25,216
two screws missing.

788
00:41:26,175 --> 00:41:28,308
That is not good.

789
00:41:28,341 --> 00:41:31,046
No Biggie, Shaun.
It's just a couple screws.

790
00:41:31,080 --> 00:41:34,893
No, that means
Dr. Glassman missed a step.

791
00:41:39,255 --> 00:41:41,900
Dr. Glassman doesn't have brain cancer,

792
00:41:43,265 --> 00:41:45,486
but there is something wrong
with his brain.

793
00:42:00,109 --> 00:42:02,111
[CLOSING THEME PLAYING]