The Good Doctor S02E10
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00:00this is andrew's fault agreed the bourbon may also bear some responsibility agreed
00:23you said fault you don't regret that no not at all seriously it was pretty great
00:36and definitely shouldn't happen again no it shouldn't make things too complicated to work
00:46let's chalk it up to uh andrew's screwed us so we screwed each other impulse
00:53i gotta get going yeah i'm covering the er today oh right before christmas gonna be a manhouse
01:04i love those j-i-m-g-l-e bells oh those holiday j-i-m-g-l-e bells
01:17oh those happy j-i-m-g-l-e v-e double l-s i love those j-i-m-g-l-e bells
01:28jingle bells jingle bells jingle all the way oh what fun it is to ride
01:39what is that noise jingle bells two ambulances coming in back to back
01:50okay i need you on your game today murphy okay
01:55mail mid-30s found unresponsive at arrivals restart his heart on site low o2 wheezing
02:09significant airway resistance to the bag mask we need more hands on deck stabs i've been calling
02:13everyone's left town for the holidays resnick's around weird you know that but glad you do get
02:17resnick in here take him to bay four murphy i need you with me what do we got this is mary
02:23in southern she collapsed some baggage claim both patients came from the airport it's that
02:27time of year everyone's traveling right leg is red and swollen she's complaining of chest pain
02:31shortness of breath and she has a low-grade fever did you just get off a long flight 20 hours
02:36from malaysia deep vein thrombosis formed while she was seated that explains the red leg and the
02:41fever part of the clot broke off travel to her lung that explains the chest pain pulmonary embolism
02:47we lost this pulse again take marianne to bay five i'll talk if you're managing a pulmonary embolism
02:54i'm gonna light him up clear
03:01got a rhythm barely can't live on 30 beats a minute his lungs are too stiff to pre-oxygenate
03:05fiber optic blade in a 7.5 et tube murphy anti-coagulator with a 5 000 unit heparin bolus
03:17heparin bolus infused fever spiking at 103.5 could be ards from a viral pneumonia get a chest x-ray
03:33lost him again oh two sat is 92 your chest pain should be getting better
03:40yes thank you peak airway pressure is 50. switch the ventilator to prvc pushing iv epinephrine
03:47now you need to insert a central line in case we go to thrombolysis
03:54i need you murphy
04:06still v-pip there's 300 of amiodarone
04:08a systole he's still not responding it's over 30 minutes of brain and cardiac hypoxia
04:25stop compressions
04:29time of death 10 07
04:30have you had contact with this man
04:42he was on my flight from malaysia they both have vesicular rashes on their necks whatever infection
04:49killed him she may have it too
05:11this is a negative pressure room designed so no air flows out keeps germs from spreading
05:16because whatever i have is going to kill me just like the man from the plane your symptoms are not
05:20as severe as his although yours will probably get worse as the virus progresses
05:26we don't know for sure whether you have the same thing we know nothing about him his condition
05:31or his history when did you start feeling sick on the plane i've never even been outside the u.s
05:38before my ex-husband hated to travel and
05:46was the man who died sitting near you
05:50no he was six or seven rows in front of me
05:55were you ever physically close to him say waiting for the restroom or in line to board
06:00no i think he slept almost the entire flight that suggests the virus can be transmitted in the air
06:06which means everyone in the plane and this emergency room has been exposed
06:17we'll start conditioning tomorrow so we use chemo and total body radiation
06:20to wipe out my crappy leukemia producing bone marrow so you can replace with some good stuff
06:25well said looks like your dad's good to go on his marrow donation
06:28please don't call him that bob cravens walked out on me and my mom when i was four this biological
06:35material gave me life and apparently he's going to save me but he's not my dad
06:39any unusual complaints or pain we should know about i've been tired and the last day achy kind of stiff
06:49standard leukemia woes anywhere in particular my neck left arm chris you're having a heart attack
07:00now my chest feels we need to get you up to radiation right away call and let them know we're
07:04coming it is donor in here how's radiation going to help a heart attack your blockage is most likely
07:09excess blast white cells the best way to clear out your heart is to treat your leukemia
07:15it's what we planned just a day early
07:21it might not be airborne maybe both passengers were already infected when they got on the plane
07:26marian said she felt fine before the flight but even if she did contract it on the plane it could have
07:31been through a shared water cup or napkin which would make a quarantine unnecessary
07:38i'll call the public health department the cdc they may want to track the passengers and anyone
07:42they came into contact with keep me up to date hey i'm done jill you still on give me the cdc and a
07:53change of clothes i'm coming in thanks for getting me called in tyler you're welcome that was sarcasm
08:00i wasn't if this turns into a crisis where else would you want to be i hear you're having some
08:06stomach pain it hurts a lot i figured it was probably the candy canes but i took some pepto
08:11didn't help at all how many candy canes we talking three or four dozen of the little ones they pass them
08:17out tomorrow where i work i like to munch on them keeps me in character sounds like you might be over
08:21doing it take off your shirt how'd you know i was still in town
08:29because the holidays are an obligatory performance where families buy each other gifts and pretend
08:34everything is perfect which is why you tell yours you have to work every year even when you don't
08:40he's a good listener
08:44what's that scar from rudolph is an ass
08:47yes it's a minor bowel resection for diverticulitis eight months ago oh we need to do a contrast ct
08:56you need to come with me dr limb he has it too there on his neck a rash it wasn't there earlier
09:07it hasn't fully developed but it could be the same thing it can't be i had on a mask gloves
09:11did you keep on the mask the whole time with airborne diseases that's important
09:17it's marianne pro two sets are crashing get another dose of ivy methylprednisolone
09:23we need to move up the transplant no it doesn't change anything
09:28we'll be anesthetized you won't feel a thing and when you wake up your son will be on his way to being
09:34healthy
09:40we'll see you soon
09:45sorry couldn't meet you at the airport
09:47this cool t-shirt it probably freaks you out right like is he gonna gender transition or something
09:55if that's your thing i'm cool
09:56how long am i stuck here that's just for the rest of this shift then i'm out of here for three days
10:04there's a new rock climbing gym we can check out and the batting cages
10:08i'm good i gotta see you in a rick of morning on my phone
10:11clear
10:27let's fix rounds of defab and 30 minutes of cpr
10:31okay dr murphy you can stop
10:41i just spoke with dr andrews we're on soft quarantine while he consults the board
10:51call dispatch put all ambulances on diversion do your best to stop all walk-ins say we're
10:56at capacity and send them to county stall discharges tyler stays in isolation and on antivirals
11:03fever's likely the next stage so keep a close eye what else are we dealing with i always have lunch
11:08by two o'clock it's 2 15 i need to eat i've got a banana in my bag if you want it a banana isn't
11:14lunch a turkey sandwich and milk is lunch dr murphy patients first then we'll work on that sandwich
11:20what else 60 year old woman with angina visiting her family for the holidays forgot her blood
11:24pressure meds came in for a prescription her refill just got delayed what else the crib was almost
11:29finished when the screwdriver slipped my family doctors closed for the holidays they would have sent
11:33you here anyway this type of injury can cause permanent damage makes me feel less guilty for
11:38bringing my baby into a germ pit no offense guessing this is your first my husband and i waited a long
11:49time i want everything to be perfect which as my husband reminds me is impossible yet my birth plan is
11:56five pages long all closed up so i can go home not before we do a nerve study i would hate for you to
12:06lose feeling in your fingers we can't leave i'm sorry what hospital policy look i'm not a patient
12:15i just came down here to get some chips my dad's a doctor who's your dad dr alex park can you call him
12:21my phone's charging upstairs i'll call him so he knows where to come find you when he's free
12:26but for now you gotta stay put why because i'm older than you
12:39find the employee contactless call park he should know where his son is sure
12:49i feel so much worse than when i was having a heart attack i don't doubt it because of the urgency of
12:54your situation we use combined leukophoresis chemo and radiation you're no longer at risk for
13:00another heart attack or stroke and i also no longer have an immune system
13:07my donor's on his way right i spoke with him he said he was getting in his car
13:10he's still finding new ways to let me down
13:29i thought you guys were going to do a ct we're doing a kub x-ray instead it's almost as good
13:35why would you go with almost
13:55can you hear that
13:56you're what excuse me i'm looking for a patient you'll need to speak with the nurse
14:04i've been waiting to speak to a nurse you must hear that the light is buzzing
14:08i don't hear anything it's loud and very distracting it needs to be fixed
14:12you like italian
14:26la nostra it's great barbecue ethiopian what are you talking about
14:33where we're going on our date you haven't asked me on one and i haven't said yes
14:42who turns down the request of a man trapped in isolation
14:48what about sushi everybody likes it also i'm pretty good with chopsticks never
14:54hurts to display a little manual dexterity you know tends to impress
14:57i don't want a cocktail to soothe my nerves but why would you be nervous have you seen you
15:09you are smart as well as beautiful and i will need all the tools in my toolkit to dazzle you so
15:18no drink for me
15:19i went after the appetizers i'll be impressed by then
15:35you have a fever
15:40he has a fever and the rash is fully materialized
15:43okay
15:47here we go
15:49quarantine has been approved
16:01can i have everyone's attention
16:07this emergency room and everyone in it is now under quarantine
16:12we're hoping none of you have been exposed but a serious respiratory virus has infected three patients
16:17what this can't happen we're starting everyone on antivirals just as a precaution we'll also be
16:22bringing in food and water so if any of you have any dietary restrictions please let us know now
16:27you can't make us stay here that's right i i can't especially not if someone's seriously ill
16:32we are legally entitled to keep you for as long as they locked us in
16:35are we locked in are we locked in oh no way
16:41i gotta get out sir
16:43like it or not no one's leaving
16:55like it or not no one's leaving
17:09the decision to implement the quarantine was made after consultation with the board the cdc has been
17:27kept fully informed and we'll be proceeding in accordance with all protocol
17:33sean morgan and lim are in there and our patient is out here that's the most
17:37sign of the donor he's not answering my calls that's my contact at san jose pd to do a home check
17:41you can't
17:46park he's down there how yeah put him on security kellen's stuck in the quarantine
17:55i'll pass along anything i hear from san jose pd
18:04tyler started coughing lets up his antiviral start high flow oxygen and zosin to counter any
18:09underlying infection santa pete has a sigmoid volvulus he needs surgery very soon my call ended 37
18:16minutes ago i'm supposed to be somewhere else it's important no it's not
18:23we need a non-surgical fix to a bowel obstruction anyone
18:39so
18:50murphy
18:53you got something
18:57not really anything at all please
19:00we
19:05we
19:07we usually
19:09we
19:10we usually make a hole
19:13and
19:15and come at an obstruction from the side but we can't we need to use the existing holes
19:24an endoscope we're staring right through the bowel
19:26a saline enema doesn't
19:30it might untwist the bowel
19:33simple but it could work nice
19:41i'm fine do you have your inhaler of course i do
19:44what are you doing down here
19:48this isn't my fault
19:50if you hadn't been working
19:52kellen i know you must be scared
19:56i'm fine
19:56i'm keeping this hat on for luck
20:07here we go
20:09threading the tube into the rectum
20:12now slowly push the saline
20:15it's not a pleasant experience
20:16i'm getting some resistance to fly must have reached the obstruction
20:21push harder hang in there pete
20:22call me santa
20:25keep pushing the saline
20:26i'm sorry santa
20:28i feel so much better
20:46we've got you on a pretty high dose of antivirals
20:51so what's next
20:53we're debating nitric oxide
20:55i mean if this doesn't turn around
21:00what happens to me next
21:03ards
21:05then full respiratory failure
21:11hey i've got a new idea for our first date
21:15archery i used to compete when i was young
21:20basically be showing off
21:22i can show you some tricks
21:25teach you a split finger hook
21:27how to anchor
21:28and then proceed to demolish you
21:31that sounds like a reason to live
21:44i'm here to take you to your imaging appointment
21:57i'm here to take you to your imaging appointment
21:59where's sean
22:00sean is quarantined in the er
22:03quarantined what what what quarantine
22:06apparently for some highly contagious deadly virus
22:09but sean sounds fine except for some buzzing light and his concern about lunch and you missing your
22:16appointment at the imaging clinic so
22:18let's go take me to the hospital we are going to your appointment and making sure your think
22:24melon remains tumor free take me to the hospital please i'd like to help
22:28how by taking your old job back and saving the day putting on an outbreak suit and rescuing sean
22:37some people may find your sassy attitude appealing i'm not one of them
22:41and i am crushed
22:55sir i'm sorry you can't i i my wife's in there viola look that's her i need to get in there
23:00yeah they're setting up a room inside for friends and family
23:03and what are you doing look i'm coming in
23:07calm down or you're gonna get hurt
23:10this is all my fault no i just put the crib together like you asked
23:13forget about the crib i need you to take care of yourself
23:18because if something happens to me
23:22our son needs someone to take care of him
23:30it's it's it's a boy i'm sorry i'm ruining your surprise
23:44i love you so much i love you too
24:00i love you
24:06my
24:12my
24:14my
24:28Dr. Sean Murphy.
24:35Sean?
24:37Why are you answering our donor's phone?
24:40Because he's here in quarantine.
24:58What happened to the CDC getting a team here today?
25:15They've confirmed that it started in Malaysia last week.
25:18Between the virologists already there and the ones grounded on the east coast because of the snowstorm.
25:22Stay on them.
25:29What do we know about the virus?
25:31Similar symptoms to SARS, but much faster moving.
25:34Bob Craven's infected?
25:36Not so far.
25:37Currently, Tyler Derns, the EMT, is the only person displaying symptoms.
25:43I need his bone marrow.
25:44I'd like to go in and get it.
25:45I'll comply with all protocol.
25:46You're not hot zone certified.
25:47None of us are.
25:48My leukemia patient has no immune system.
25:51He'll die soon without a marrow transplant.
25:52Well, then you best find him another donor because no one or their bone marrow's leaving that quarantine.
25:58We've heard from County about taking our PQ transfers.
26:02How are my O2 sets?
26:30Holding steady.
26:31Do you want to call anyone?
26:36Well, I, uh, I thought about letting my mom know what was going on, but she's just worried about me and feel bad.
26:48She's not here, so she knows I love her.
26:54How's it going in here?
27:02Dr. Resnick was just telling me about some college lesbian experiences.
27:08Was that just my imagination?
27:10Actually, we were talking about your mother.
27:12I don't like the drop in his O2 sets.
27:22Let's start him on nitric oxide.
27:27I knew you liked me.
27:28He's in this hospital.
27:40Bob actually came through for once.
27:43Unfortunately, we can't wait for him to get out of quarantine.
27:46But we found an alternative donor in the Bay Area.
27:49How compatible are they?
27:50They share five out of eight of your markers.
27:54Bob is a much better match.
27:56I can't handle marrow rejection.
27:58You're having to repeat this nightmare.
28:00That's a symptom of the mac pneumonia.
28:14The antibiotics aren't working.
28:16You need bone marrow or this infection is going to kill you.
28:19Soon.
28:20Days, not weeks.
28:29Seven years.
28:30I've been battling leukemia.
28:33Been through four full courses of chemo.
28:36So many trips to the hospital, I've lost count.
28:39Just knowing my father showed up.
28:42I'm grateful.
28:44Relieved.
28:52I'm okay if this is the end.
28:56I'd like to sign a DNR.
28:58Chris, the CDC will be here tomorrow.
29:02If they can identify the virus, we can test Bob.
29:04If he's negative...
29:05Whatever you can manage before my heart stops, go for it.
29:08Please.
29:13Get me the form.
29:14His fever's climbing.
29:29Give the nebulizer time to work.
29:32Cooling blankets.
29:34If that could help.
29:35I'll go get some from the supply closet.
29:38Put your mask back on.
29:41Why?
29:42Because I'm infected.
29:44You got it, too?
30:05Are you guys any closer to figuring this thing out?
30:09Afraid not.
30:09On the bright side, I think I'm crying on Morgan.
30:16There's got to be a way.
30:40I mean, you can't go in.
30:44Bob can't come out.
30:45The marrow can't come out.
30:49What if it doesn't?
30:52What if the marrow never leaves?
30:55Are you suggesting we put a man with no immune system into the quarantine?
30:58We expand the quarantine, create a section just for him.
31:01One of the doctors inside could do the extraction and the transplant.
31:06And then one of two things happens.
31:07He stays in isolation until we know he hasn't been infected.
31:11Or it kills him.
31:12There's no way Andrews will let us expand the quarantine.
31:20Wish me luck.
31:21We can crack his chest and do cardiac massage.
31:42Dr. Resner.
31:42Have Patricia bring in the internal panels from the trauma bank.
31:45Morgan.
31:45Hey, Dougie.
32:15He didn't hear me talking to you?
32:18My sugar's crazy high.
32:196.50.
32:23That doesn't make sense.
32:26I gave you the proper dosage of insulin.
32:29Ten units.
32:31Ten units?
32:32Ten units doesn't even make a dent with me.
32:35You got a doctor around here who knows what he's doing?
32:37I'm Dr. Sean Murphy.
32:39I'll give you another ten units.
32:41Waste of time.
32:42Make it 20.
32:43I'll give you ten.
32:44What's wrong with you?
32:45You sound like an idiot.
32:46Don't be a jerk.
32:47Mind your own business.
32:48Doc.
32:49Doc, I don't feel...
32:50What the hell?
32:53Did he just infect me?
32:55Possibly.
32:55I need to examine your abdomen.
32:57Your obstruction has returned.
33:09I'll be stuck in here.
33:10There's no operating room.
33:14We will have to improvise.
33:16There's no Neptune machine.
33:26Without suction, the surgical field will be filled with blood.
33:29We can use the wall suction set to continuous.
33:32That'll do.
33:41No electric cautery to control the bleeding.
33:44You'll have to do this combat style.
33:47Tie off each artery before you cut.
33:49Dr. Resnick, are you ready?
34:16Maybe because I think we are.
34:23I'll go get the patient.
34:32You should lie down.
34:34He's out.
35:03Scalpel.
35:19If we expand the quarantine, I can do the transplant.
35:23The only technical breach will be...
35:25She's infected.
35:42Melendez.
35:44Yeah.
35:45Take down the adhesions on the sigmoid.
35:54How are his vitals?
35:58Holding steady, doctor.
36:02That's dead bowel.
36:07It's perforated.
36:08Damn it.
36:09I need a doctor.
36:17Patrinka needs help.
36:19If I don't secure these clamps, there'll be stool everywhere.
36:25Murphy, go.
36:26се kill, cuatro, cuatro, cuatro.
36:45Fuck.
36:48Fuck.
36:51Fuck.
36:52Fuck.
36:53Fuck.
36:54Fuck.
36:54he signed a dnr he shouldn't have this is battery he doesn't need to die
37:03we're gonna get his donor's marrow andrews agree to the plan not yet
37:08if he doesn't we'll think of something else
37:24he said he was feeling lightheaded
37:31is he infected from when santa vomited on him he should go to isolation
37:48he's in hypoglycemic shock give him d50
37:58it's spreading
38:14dr. glassman
38:44hi we got what we needed for images you are okay to go
38:48we'll send them to dr blaze anything i should be worried about
38:52you're seeing dr blaze before the holiday
38:54as a matter of fact i'm seeing her now
38:58so i could just show her the hard copy
39:01i'm not supposed to do that oh no i know i've been a neurosurgeon for like a hundred years
39:06i understand protocol i'm not gonna look at it i just want to move things along
39:09thank you
39:14it's back
39:41i must submit the branch of the inferior mesenterical
40:11artery can't see where can you feel it
40:14i think so
40:20use your finger to plug the hole
40:21now what
40:26dr. limb
40:30everyone calm down
40:42hey kellen
40:43hey kellen kellen look at me look at me
40:45can you hear me can you hear me
40:49can you hear me
40:52come on
41:12Silent night, holy night
41:27All is calm, all is bright
41:36Round yon virgin, mother and child
41:45Holy infant so tender