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The.Good.Doctor.S01E04


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Transcript
00:01Previously on The Good Doctor.
00:03I'm your neighbor.
00:04I'm in the middle of Uncharted, and I'm dead.
00:06Can I borrow some triple A's?
00:07It's kind of silly, isn't it?
00:09Our relationship?
00:10No, we're hiding it.
00:11We don't have a relationship.
00:13We have sex.
00:14You're late.
00:15Nah, the bus was late.
00:16I did nothing wrong.
00:17The bus...
00:18This is gonna work out great.
00:19So you're treating him like anybody else?
00:21Do you have any idea how many patients he scared the crap out of today?
00:23So teach him.
00:24I'm teaching you both that he doesn't belong.
00:26Here, you got Sean off Scott back into surgery.
00:29You figure you give him a little authority.
00:31He'll screw something up.
00:32Either way, if he succeeds, I'm the guy who just backed him.
00:35And if he fails, I'm the president.
00:56Hello.
00:57I've looked everywhere.
00:58All right, I'm here now.
00:59I'll...
01:00I'll just keep looking until we find it.
01:01Why is the furniture in the middle of the room?
01:02No.
01:03No.
01:04No.
01:05No.
01:06No.
01:07No.
01:08No.
01:09No.
01:10No.
01:11No.
01:12No.
01:13No.
01:14No.
01:15No.
01:16No.
01:17No.
01:18No.
01:19No.
01:20No.
01:21No.
01:22No.
01:23No.
01:24I can't find it.
01:25Why is the furniture in the middle of the room?
01:27I know I packed it.
01:29I made a list.
01:30Star tip screwdriver.
01:31Look, it's checked.
01:33It's checked.
01:46Maybe you threw it out with the newspapers you use
01:48to pack the dishes.
01:49I packed with bubble wrap.
01:50It's safer.
01:51And you can see through it.
01:52Of course you did. Sean, there's a hardware store up the road.
01:55You can buy a new one.
01:56I don't want a new screwdriver. I want my screwdriver!
01:59Stop it!
02:05It's the middle of the... I'm sorry. I just shouldn't have yelled.
02:08Let's just take a moment. Sit down, please.
02:15You know what? We can use this for now, okay?
02:22I can't stay here.
02:25Of course you can. It'll be fine.
02:27I can't stay here. The dishwasher doesn't dry. The shower drain has someone else's hair in it.
02:32And the crisper drawer keeps coming off the track.
02:35I assume that's what you were fixing?
02:39I forgot. Of course you forgot.
02:41It's understandable. You've been working your ass off.
02:44You're exhausted. You're under a lot of stress.
02:47There's a super in the building. You can call him any time.
02:51Just make a list of the things you need repaired.
02:54Later, Sean. Later. Later, Sean.
02:58Go to bed now. Go to bed.
03:0036 years old, 22 weeks pregnant. Ultrasound at 16 weeks revealed a tumor on the fetus's tailbone.
03:18Mom's got antiphospholipid syndrome. Make surgery high risk.
03:21Now something's pregnancy high risk. She's had three miscarriages.
03:24We need to do an ultrasound and MRI to measure the tumor's growth rate.
03:30Late bust doesn't explain why you're showing up tired after you just had 12 hours off.
03:34We're all tired. Last shift was 36 hours.
03:37I'm not interested in debating the shift schedule with you. But I am curious why you always feel the need to defend him.
03:44We're all on the same team.
03:46Yes. But you're all quarterbacks. And when training camp is over, there's only going to be one starter.
03:52The crown rump length for the fetus is 21.5 centimeters. And the diameter of the tumor is...
04:0710.6 centimeters. Half the size of the fetus.
04:15The tumor's grown.
04:17It's not cancer, but it is monopolizing the blood supply, which is weakening the fetus's heart.
04:23I'm sorry, but there's no chance it would survive long enough to be viable.
04:28The safest course is to terminate the pregnancy.
04:30If we were interested in the safest course, we wouldn't be on our third, second opinion.
04:38Please, Dr. Melendez, we want whatever will save our baby.
04:42Dr. Wright told us you've done fetal surgery to remove this type of tumor before.
04:46And without the tumor, our baby would be healthy.
04:49Your antiphospholipid syndrome makes long surgery extremely dangerous.
04:54There's a high chance for blood clots, which could have fatal consequences for you.
04:57We're willing to take that risk.
04:58Saving the fetus doesn't do any good if the mother dies in the process.
05:02I've had three miscarriages. If I have to go through that again, I might as well be dead.
05:07Barb. It's true.
05:09No, it's not. You're the strongest woman I've ever met.
05:13We'll get through this. We will. And then we'll try again.
05:17We could manage clotting risk preoperatively with an infusion of unfractionated heparin.
05:28Never contradict me in front of a patient again.
05:30I didn't.
05:32I agree with your assessment of the risks. I suggested a way we could mitigate them.
05:36Not in front of the patient.
05:37We're not in front of the patient now.
05:39I was just reading about a new technique for transesophageal echocardiography monitoring.
05:46If there is a cardiac issue, it would give us an early warning.
05:48Dr. Lopez, contact shop.
05:49Dr. Lopez, contact shop.
05:50Dr. Lopez, contact shop.
05:51Dr. Lopez, contact shop.
05:52Dr. Lopez, contact shop.
05:53Dr. Lopez, contact shop.
05:54Dr. Let's get her prepped.
05:55ASAP.
05:56I want JL on anesthesia.
05:57And let the neonatal nursing supervisor know that I want to do a full run-through.
06:15Yes?
06:16Dr. Lopez, contact shop.
06:17We're a little busy up here, too.
06:22Alright, I'll send someone.
06:23Dr. Andrews is covering for a limb in the ER.
06:27He's a patient that needs a boil.
06:28Classic surgeon can't lance a boil.
06:30Dr. Lopez, the surgeons can. Chief surgeons don't.
06:32You and Murphy.
06:33What?
06:34It was RIAs that convinced you to do the fetal surgery.
06:39Now you're punishing us with Andrews scut work?
06:42Dr. Well, you're not getting punished.
06:44He is for being late again, but I don't trust him alone with a patient and since you like to defend him and seem to know how to communicate with him
06:53Hurry back
07:00Olivia Hartman, yes, ma'am. I mean doctor
07:05You're 18. Yes, ma'am. Where's the boil? It's um
07:09Down there down where Sean? It's some on her labia
07:15Hmm is it painful like I used a bowling ball for a tampon
07:20Okay, well shouldn't hurt that much. Okay, if we take a look
07:25Okay, just scoop down put your feet in the stirrups
07:29The swelling is fairly localized extreme pain that's out of proportion of the visible injury could mean you have necrotizing flesh-eating bacteria what?
07:44I'm gonna use a heparin preoperatively and a TEE monitor
07:52Still not enough the risk of a heart attack or stroke was thoroughly explained patient still wants the surgery. She wants it or you want it
08:02Yes
08:04Saving a fetus's life would be good news for me
08:07any other questions
08:09or insults
08:11Relax, I'm not insulting you. Of course you want to do the surgery
08:15But you do surgeries like this some patients are going to die and then our department success rate goes down and then our funding goes down
08:21And then you can't do surgeries like this. So if your judgment is clouded in any way just it's not
08:30Okay
08:32I'm sorry. I know this hurts, but I really do need to insert the speculum for this part of the exam
08:44If I really have what he says does that mean you have to cut off no, no as I said
08:49The abscess is most likely the result of an untreated chlamydia infection
08:54We drain the abscess give you antibiotics. You'll be fine
08:57Ow! I'm sorry
09:01Inflamed Bartolin gland is causing the ischiocavernosis muscle to spasm and pinch the labial nerve
09:07You need to start with a more upward angle. Can I try?
09:10I think it's better if I do this
09:19Okay, fine
09:26Can we uh call your parents let you know no
09:30I'm 18. I'm an adult even adults need emotional support. So I'm gonna drive them home after surgery. I'm gonna take a taxi. I have money
09:39There's nothing to be embarrassed about twenty-five percent of college students contract an STD before graduation
09:44I'm not embarrassed and I know all about STDs. I get tested every 30 days
09:52There's no necrosis on the vaginal wall or cervix
09:56You got it in already? Yes, it's definitely not flesh-eating bacteria. I was wrong. Thank God
10:02You do need surgery to drain the Bartolin gland abscess. Why do you get an STD test every 30 days?
10:07I have to for work
10:12I do porn
10:15The umbilical is 19 inches
10:18Which will allow us to remove the fetus via cesarean and rest in its mother's lap while I excise the tumor
10:24Now the hard part will be reinserting the fetus afterwards
10:29We can't overstretch the uterine wall
10:31And we must be certain that every suture is tight enough to handle four more months of kicks and thrown elbows
10:40Do you have a minute?
10:42Can I wait?
10:43No
10:54I don't want to do it
10:58Have you talked to your wife?
11:00Yes, but she's not thinking rationally
11:02You heard her say she'd rather die than lose this baby
11:04I'm sorry, but husbands don't have veto power over their wife's medical decision
11:11A husband can't stop you from operating on his wife, but a father can stop you from operating on his child
11:16I'm sorry I was too busy doing all the labs and imaging she needed for surgery
11:37I forgot to ask for her resume
11:39I just mean is she an actual actress liking stuff with a story or...
11:42Do they even make porn with stories anymore?
11:44Sometimes
11:47You watch porn
11:49Why wouldn't he?
11:50I don't know
11:51He's a guy all guys watch porn
11:54You finished with Andrew's patient?
11:55No, it wasn't a boil
11:57It's a large Bartolin gland abscess that's pressing on her pudendal nerve
12:00Which apparently does interest a chief surgeon
12:02We're gonna assist Andrew's when he drains it first thing in the morning
12:05We just thought we'd check back with you
12:07Go home and sleep
12:09Not play video games or whatever it is keeping you up
12:11I don't think it's video games
12:12You can head out too
12:13It's been a long day
12:14But what about...
12:15Fetal surgery's been put on hold
12:16What?
12:17Why?
12:18Go home
12:25Once the fetus is removed from the uterus, one could argue that it becomes a child
12:28That's ridiculous
12:30There are numerous legal presses
12:32I guarantee the mother's right to choose, it's her body, it's her control
12:35I'm completely comfortable going ahead with this surgery
12:38As am I
12:38I never was and I certainly am not now
12:40I'm sorry, until we're certain there is no liability connected to parental consent, neither am I
12:44Well, the one thing I think we can all agree on is that the mother has the power to do nothing
12:50And if she doesn't terminate or have the surgery to remove the tumor
12:54A fetus with a massive tumor will die inside a patient with APS
12:58And the mother would die too, right?
13:00So we do nothing and they both die
13:02Or we can do something that's legally and ethically complicated
13:07And maybe they both live
13:24The board has approved the surgery
13:26Thank you
13:28Barb, please
13:29Barb, please
13:29Mark, stop
13:35If you loved me
13:36No
13:37No, do not say that
13:38No, it's true
13:39If you really loved me
13:41I'm trying to protect you because I love you
13:43I don't need your protection
13:49I need your support
13:50We'll start prepping you first thing in the morning
13:54Try and get some sleep
13:57Thank you
14:11I still can't believe it
14:16That 18 year old college student's DuPont
14:20She's not the type
14:21How do you know what type she is?
14:22You just met her
14:23Did one medical history and pelvic exam
14:27What?
14:30Nothing
14:31No, go ahead
14:32Tell me all the reasons why I'm wrong
14:38I volunteered at a shelter for runaway teams
14:40When I was in high school
14:42Got to know a lot of sex workers
14:44They're not all the same
14:46But
14:48They do have
14:49They have
14:51Like the same
14:53Armour
14:56I don't believe it
14:58You think I'm lying
14:59No
15:00No, I think you just opened up to me
15:02Actually shared something personal
15:04It was high school community service
15:06It's not a big deal
15:07It's not a big deal
15:07Oh, no, it's a big deal
15:08This is huge
15:09Mm-hmm
15:10I am peeling the onion
15:11Shut up
15:12Actually, it's more like hacking for a coconut with a dull machete
15:14But
15:15Dull is right
15:16Very dull
15:18It feels good, doesn't it?
15:21Should do it more often
15:22How about
15:25You stop worrying about what I want to
15:29And just enjoy what I will
15:40Do you think she's of sound mind?
15:44You really want to talk about work right now?
15:46She's basically threatening to commit suicide
15:49She's not suicidal
15:50She's
15:51She's just desperate to have a child
15:53This is probably her last chance
15:54She could adopt
15:56It's not the same
15:57Really?
15:59You don't think there's a difference?
16:00No, I don't
16:01Carrying a fetus in your body for nine months
16:04You don't think that creates a unique relationship?
16:07I think every relationship is unique
16:09Yeah, of course
16:12What are you saying?
16:13I just think it's selfish
16:14I mean, for her to go through so much
16:17To put your husband
16:19Through so much
16:20Just so you can have a certain experience
16:21When there are other ways
16:24Yeah
16:25Okay
16:26But
16:27You want children though, right?
16:28And we've talked about this before
16:30Yes
16:30I
16:31I want children
16:32But our children
16:33Like from you getting pregnant
16:35Yes
16:39But what if that doesn't happen?
16:41What if I couldn't get pregnant?
16:43Or if I decided that I didn't want to
16:45That I wanted to adopt instead
16:48Is there something you're not telling me?
16:50Actually there is
16:53When we're in meetings together
16:54Don't ever call my ideas ridiculous
16:56Come on, I'm being serious
16:58So am I
17:01Okay
17:03You're right, I'm sorry
17:04I'm sorry, it won't happen again
17:06Geez, you scared me
17:30What are you reading?
17:31Nothing
17:31Can I read it?
17:33No
17:33Why?
17:34Because
17:35Why?
17:36Because
17:37Why?
17:38Because
17:39Why?
17:42Because
17:43There's nothing to read
17:45Just pictures
17:47Where'd you get this?
17:48Colleen Meyers
17:49Her dad has so many in his closet
17:51He doesn't even notice when she takes a few
17:54She's pretty
17:56She sure is
17:58It's bedtime
17:59That means lights out
18:18I missed my stop
18:20I missed my stop
18:21Linwood Place
18:22I need to get off at Linwood Place
18:26And then you should have been paying attention
18:27When I stopped at Linwood Place
18:30Next stop's gonna be even further away
18:32So far with you
18:52She's after her
18:53Sean?
19:22Are you okay?
19:25Yes.
19:26Are you waiting for someone?
19:29No.
19:33I'm horrible at directions too.
19:36Every time I exit a BART station, I walk like three blocks before I realize I'm going the wrong direction.
19:43You're lucky I actually made it to the gym.
19:46I like to go when it's not crowded, but it's so hard to motivate after work.
19:51Half the time, I end up not-
19:52You stink!
19:55I know, I'm disgusting.
19:57But I can't shower there.
19:59I'm terrified of foot fungus.
20:02And you know, as long as we're tossing out truth grenades, you suck at being a neighbor.
20:06First, you take back your batteries.
20:08And then, you wake me up in the middle of the night, stomping around and banging on pipes.
20:12What the hell's up with that?
20:14I don't want to sleep.
20:15I couldn't sleep, so I tried to fix it.
20:17Then I couldn't find my screwdriver, which made me anxious.
20:20You cucked me up because you're anxious about a screwdriver?
20:23Yes.
20:24I was very anxious.
20:27You're funny.
20:29I stink.
20:30You're anxious.
20:31You always say exactly what's on your mind.
20:35Just the total opposite of most guys.
20:38It's nice.
20:41Good night.
20:53And don't go fixing any faucets tonight.
20:55That's Armin's job.
21:11This is a list of repairs I need for my apartment.
21:18Number 33.
21:20What the hell's your problem?
21:22Sorry.
21:23Hello.
21:24My name is Shaw Murphy.
21:25It's very nice to meet you.
21:26No.
21:27It's not nice to meet me at 12.40 a.m.
21:31Yes.
21:32Dr. Glassman said I can call you anytime I need something fixed.
21:36Who the hell's Dr. Glassman?
21:38He's the president at San Jose St. Bonaventure Hospital.
21:41I'm a surgical resident there.
21:43Well, I don't care if you're St. Bonaventure himself.
21:46Unless it's a fire or flood, I only work nine to five.
21:50I'll try and come back tomorrow between those times.
21:53He already woke me up.
21:54Just give me the damn list.
22:01It's my fault.
22:02I should have known you would take what I said literally.
22:06It's okay.
22:08Actually, you know what, Sean?
22:10It's not my fault.
22:11It's your responsibility.
22:12You're smart.
22:13You should be able to use your common sense.
22:15When somebody says something, you should figure out what they really mean.
22:19And when things don't go exactly how you expected them, navigate that.
22:30There's a thing called a personal support worker.
22:33Think of it like a home health aide.
22:35No, thank you.
22:36I can take care of myself.
22:38Everybody needs a little help now and then.
22:40I'm thinking of asking them to give me one.
22:42I've lived by myself a long time.
22:44Casper, Wyoming.
22:46Everybody looked out for you in Casper.
22:48Everybody looks out for everybody in Casper.
22:50This is San Jose.
22:51It's a big city.
22:52And residency is a whole lot more demanding than medical.
22:55I don't need an aide.
22:56We're just talking about it.
22:57I don't need an aide.
22:58Okay.
22:59Okay.
23:00Okay.
23:01Okay.
23:02Okay.
23:03We'll table it for some other time.
23:08Let's enjoy our breakfast.
23:10Okay.
23:20Mr. Allen?
23:22I'm trying to convince her to save herself.
23:24I don't want to roll the dice with my wife's life.
23:26But she does.
23:27We're going to start prepping her now when she goes into the OR in a few hours.
23:31I understand why she's desperate, but not why you are.
23:37If she dies, it's your fault.
23:40And what if she lives?
23:43You're going to have a wife and child who need you, and you keep driving her out of your life.
23:48I'm not desperate.
23:50I'm confident.
23:52It should make you feel better.
24:01Retraction.
24:02I'll make the incision, and then I want you to insert the word catheter.
24:09Good job on the pelvic exam, Dr. Murphy, with all the swelling.
24:13It couldn't have been easy.
24:15How do you know?
24:16I have my ways.
24:18Like Santa.
24:19I told him.
24:20Hmm.
24:21No presents for you.
24:22Insert the drink.
24:25But I'm curious.
24:27How can a guy who can't even shake a co-worker's hand be comfortable doing a pelvic exam?
24:33People squeeze too hard.
24:34It hurts.
24:35Isn't this a lab for culture?
24:39So I'm guessing you're not that into hugs.
24:42I don't like to be squeezed.
24:44What if it's somebody you like?
24:46Or somebody you love?
24:48Have you ever had a girlfriend?
24:52I almost kissed a girl once.
24:54Well, you know what they say.
24:55First, you don't succeed.
24:58Are you trying to mock me or encourage me?
25:00I'm trying to get to know you so I know when I should mock and when I should encourage.
25:05When's the right time to mock you?
25:14Press harder on that abscess.
25:16You should have drained by now.
25:17Yeah, something's wrong.
25:19The gland's evacuated, but the swelling's not going down.
25:22R-ratum BP are stable.
25:24Can I get a little more light, please?
25:27Damn.
25:28What is it?
25:29The swelling isn't going down because there's a mass beneath the abscess and it's not just pressing on the pudendal nerve.
25:35It's totally engulfed.
25:37That's bad.
25:38Very bad.
25:39You're done already?
25:52We were able to drain the abscess.
25:54I already feel better.
25:56That's only because of the pain, Mets.
25:58The reason the pain was so severe was because it wasn't just an abscess.
26:01There's a perineal myoma underneath.
26:03What's that?
26:04A fibroid tumor.
26:06It's not cancerous, but it is wrapped around the nerve.
26:12We need to remove the tumor, but to do that, we will have to sever the nerve.
26:18You'll lose all feeling in your genitals.
26:22I'm so sorry.
26:25I knew it.
26:29God's punishing me.
26:30No.
26:31Absolutely not.
26:32This is just a random...
26:33You're religious?
26:34Yes.
26:35Or...
26:37At least I used to be.
26:41I haven't thought about God in a really long time.
26:44But...
26:45Being in here...
26:46Are you sure you don't want us to call your parents?
26:48No, I couldn't bear to see the look on their faces.
26:53Especially my dad's.
26:56That's what parents are for.
26:58So you don't have to do these things alone.
27:01Could you tell your father you're a whore?
27:05You made a mistake.
27:08That is all.
27:15Patient vitals?
27:16Stable.
27:17Fetus?
27:18Stable.
27:19Okay.
27:20Is everybody ready?
27:22Knife.
27:31T.E.E.
27:52Okay.
27:53Cutting into the uterus.
27:54Cutting into the uterus.
28:00TEE is showing anterior wall hypokinesis.
28:02Stolic pressure 90.
28:03Give me a swan.
28:05She's having a heart attack.
28:06I need you to close the incision.
28:07On that needle driver.
28:08Is the fluoroscope in here?
28:09I'm going to prep her for a balloon pump.
28:14Barbara?
28:17There was a complication during surgery.
28:20A blood clot blocked an artery in your heart.
28:22We were able to catch it in time.
28:23And my baby?
28:25The fetus is stable.
28:28The MI happened before we opened the uterus.
28:30So we're right back where we started.
28:33You just had a heart attack.
28:35I don't care.
28:36There is no other option now.
28:38If we don't terminate and the fetus dies in utero,
28:40the resulting clots will overwhelm your heart and brain.
28:43Which is exactly why we need to try again.
28:47What are you talking about?
28:49You need to remove the tumor.
28:53You begged me not to do the surgery before.
28:56I thought I could talk her out of it then.
28:57Now I know I can't.
29:00Either you do it or she dies.
29:02Before, if we got sued, we'd at least have one of them on our side.
29:09But now with them both aligned...
29:11Can they sue us for not operating?
29:13They could argue that we abandon care.
29:16We're still offering care, just not the care that they want.
29:18Which is your fault.
29:21If you hadn't offered her hope to begin with, we might have been able to reason with her.
29:24If she doesn't want to terminate, there's nothing we can do.
29:43Did we just send her home to die?
29:45It is her decision.
29:46We could tell her we were going ahead with the fetal surgery, but once she's under...
29:49I'm going to pretend you never said that.
29:51If it's the only chance to save her life...
29:52This is exactly what I'm talking about.
29:54You wouldn't lie to convince the suicidal person to climb down off the ledge.
29:57Knowingly lying to a patient about a major medical surgery...
30:00Okay, okay, okay, okay, hey!
30:02Lying to a patient is one thing.
30:03Performing surgery without their consent...
30:05It's unethical and illegal.
30:07And insane.
30:08I just...
30:09I don't want to do this.
30:16It's not our only option.
30:18You want me to attempt the fetal surgery again?
30:21If it's the only way to save her life.
30:22Well, the first time it was the only way to save her life.
30:24But a second heart attack one day after the first will kill her.
30:27Maybe not.
30:29I am so sorry to interrupt, but I, um...
30:31I have an idea.
30:34What if we kill her before she kills herself?
30:37We'll stop your heart and put you in a bypass machine for the duration of the surgery.
30:45You can't have a heart attack if your heart's not beating to begin with.
30:48It takes the most significant danger off the table.
30:50But aren't the clots of danger to your brain as well?
30:52This doesn't completely eliminate every risk, but...
30:55It does reduce the biggest one.
31:01We'll do it first thing in the morning.
31:07You fixed my sink.
31:35Do you know how to tell time?
31:37You fixed my sink.
31:39You're welcome.
31:40Now go away.
31:41It was not on the list.
31:43The faucet, it was not on the list.
31:45You weren't supposed to touch it.
31:47So, after I fix everything you woke me up for,
31:51then I go out of my way to fix something else.
31:53It was not on the list because I'd already fixed it.
31:56Well, you fixed it wrong.
31:57Because it was still dripping.
31:59I need it to drip at the same rate as my sink and Casper.
32:02It was too slow before.
32:03Now I have to fix it all over again.
32:05It's not fair.
32:07I'm done.
32:08If you don't like your faucet or anything else in your apartment, move.
32:13If you knock on this door again after 5 p.m., I'm going to knock your teeth out.
32:17I wish I was a slave to an age-old trade.
32:41Like riding around on rail cars and working long days
32:49Lord, have mercy on my rough and rowdy ways
32:57Lord, have mercy on my rough and rowdy ways
33:02Call it one drink too many
33:05Call it pride of a man
33:08Don't make no difference if you sit or you stand
33:15Don't make no difference if you sit or you stand
33:16Is it both ending trouble and start to bring
33:23Do it over and over and over again
33:30Oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh
34:00I am on my way, I am on my way back to where I started, California, Oklahoma, all of the places I've never been to, down in the valley, the whiskey rivers, these are the places you will find where I am, these are the places I will always go.
34:28These are the places I will always go.
34:32Nerves are like pipes.
34:33Sean, this...
34:34We need to sever the pudendal nerve to excise the myoma, but if we reconnect the ends...
34:38The tumor is four centimeters in diameter, that's way too wide of a gap to reconnect the ends, and nerves don't stretch.
34:43We don't need to stretch it, we can connect the distal end of the pudendal nerve to the branch of the femoral cutaneous nerve from her inner thigh.
34:52Would you rather lose feeling in your thigh or genitals?
34:57Thigh, definitely.
34:58Is he right?
35:01Can we do that?
35:03It probably would have been better to discuss this prior to meeting with the patient, but yes, I think it could work.
35:16Cut the suture.
35:21Grafted nerves in place, let's see if it will conduct.
35:24Conduction electrodes are in position.
35:37Send a pulse.
35:43Again.
35:45Again.
35:47Again.
35:48Okay, Murphy, we'll get it.
35:49Your idea worked.
35:50Good job, both of you.
35:51Thanks.
35:54You know, I'm guessing Melinda doesn't let you know this enough, but you both are doing a great job, and if either of you needs anything, even just to talk, my door's always open.
36:05Yes, doctor.
36:06For a micro?
36:07Yes, doctor.
36:08For a micro.
36:13She's on bypass.
36:15Cross-clamping the aorta.
36:17You ready?
36:26Flush the heart.
36:27Flushing.
36:36Let's prep her for C-section.
36:38The operation went perfectly.
36:53But I don't feel anything down there.
36:55You're still on the meds, so it's going to...
36:57It's going to take six months to a year to regain complete sensation.
37:00It'll take a while for your brain to figure out what we did, but the grafted nerve is fully conducting.
37:06You're going to be fine.
37:09Can you do me a favor?
37:11Sure.
37:14Call my parents?
37:17Absolutely.
37:24Knife?
37:26Knife?
37:37Bovey.
37:52Bovey?
37:54Now, we on bypass.
38:08Now, we on bypass.
38:10Dr. Kalou, you still with us?
38:15Yeah.
38:16Oh, um, sensual venous pressure's good.
38:18Bipass oxygen tension's 200.
38:20Good.
38:21Comparing the fetal sacrum.
38:23I'm gonna put this baby back where it belongs.
38:25Baby.
38:27It's the first time you didn't call it a fetus.
38:31Just an expression.
38:40I told you.
38:46Yes, you did.
38:48You're gonna need to stay in bed for the next four months.
38:51But both you and your son's prognosis is excellent.
38:55Hey, we wanted it to be a surprise.
38:59Oops.
39:00Rookie mistake.
39:06Yes!
39:07We are definitely celebrating tonight.
39:10Whoa, whoa, whoa, whoa.
39:11Screw sleep, Murphy.
39:12You are coming with us.
39:14Where are you going?
39:15Out.
39:16We're gonna drink.
39:16I'm not thirsty.
39:17Don't be an idiot.
39:18Hey.
39:19I just meant...
39:21Come on, mate.
39:22You just saved an 18-year-old girl's sex life.
39:25And I saved two lives.
39:26We are drinking.
39:30Come on, Sean.
39:35Okay.
39:36Cool.
39:40I have to go home now.
39:55It'll be okay.
39:57Don't worry.
39:57We won't stay long.
39:58Now be the instant visitation.
40:04She wants me in.
40:07No.
40:07Keep the guesses.
40:10Cool.
40:12Baby, I should stop and start investing.
40:17Hi, Sean.
40:28Hi, Colleen.
40:30I heard Steve showed you my dad's magazine.
40:33Did you like it?
40:37Don't worry, I'm not going to tell anyone.
40:42It's nothing to be embarrassed about.
40:45All guys like that kind of stuff.
40:47You want to know a secret about me?
40:52I think you're really cute.
40:55You smell like bubblegum.
40:57I know, my lip gloss.
41:02Come here.
41:05Come here, silly.
41:10Do you think I'm pretty?
41:14I like you, too.
41:15I'll show you mine if you show me yours.
41:25Come on, I'm curious.
41:27You must be curious.
41:30Can I have a kiss?
41:30I want to know what it feels like.
41:36I'll give you a kiss if you show me.
41:39Show you what?
41:40You know, pull down your pants.
41:43No.
41:44Come on, Sean.
41:45No.
41:47I gotta go.
41:47Oh my God, I can't believe you were about to pull it out.
41:52No, I wasn't.
41:53I'm like I'd ever kiss a creepy weirdo like you.
41:56Leave him alone.
41:58Come on.
42:04All right, guys.
42:05A toast to us.
42:07Because we rock.
42:09Nothing else need be said.
42:10Cheers.
42:10Cheers.
42:11Cheers.
42:11Cheers.
42:12Cheers.
42:12Cheers.
42:12Cheers.
42:12Cheers.
42:12Cheers.
42:13Cheers.
42:13Cheers.
42:13Cheers.
42:13Cheers.
42:13Cheers.
42:14Cheers.
42:14Cheers.
42:14Cheers.
42:15Cheers.
42:15Cheers.
42:15Cheers.
42:15Cheers.
42:15Cheers.
42:16Cheers.
42:16Cheers.
42:16Cheers.
42:16Cheers.
42:17Cheers.
42:17Cheers.
42:17Cheers.
42:18Cheers.
42:18Cheers.
42:19Cheers.
42:19Cheers.
42:20Cheers.
42:20Cheers.
42:21Cheers.
42:21Cheers.
42:22Cheers.
42:22Cheers.
42:23Cheers.
42:23Cheers.
42:24Cheers.
42:24Cheers.
42:25Cheers.
42:25Cheers.
42:26Cheers.
42:27Cheers.
42:28Cheers.
42:29Cheers.
42:30Cheers.
42:31Cheers.
42:32Cheers.
42:33Cheers.