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The Good Doctor Season 2 Episode 13

#TheGoodDoctor
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Transcript
00:00Good morning. Morning. I'm Jake. We met last week. Yes, we did. I was just gonna get some juice.
00:24Hope you don't mind. Are you a drummer? Am I a drummer? No. No, I'm a chef. Well, actually, just a cook, but- Leah dates drummers.
00:35I played clarinet in junior high.
00:44What are you doing out here? I told you to stay in my room.
00:48You just got to grab some OJ. I was really thirsty.
00:54I'm sorry. I should have told you he was spending the night. I like Jake.
01:06That's nice of you to say. I know it's difficult to have a stranger in your home.
01:13You have to drive Dr. Glassman to his chemo appointment. He's five days in and doing very well. I'm helping him.
01:21Jake is very sweet. You know, when you get to know him, I'm sure you really will like him.
01:27I said I like him. Will he be spending the night here a lot now?
01:31No, not a lot.
01:35But would that be a problem?
01:38No.
01:39No.
01:40So is it cool if I have him over tonight to watch a movie?
01:44It's cool.
01:47I have to go.
01:48Good morning, Dr. Glassman.
02:10I let myself in. I'm downstairs.
02:15No.
02:30No.
02:32No.
02:33how are you feeling today good actually better than yesterday yes your skin was a bit pale
02:51yesterday today your color looks much better I brought you your electrolytes thank you cheers
02:59why did you do that I don't like the flavor of the grape are you experiencing nausea no I didn't
03:17like the flavor I told you I'm fine I'm glad you're feeling well let's go
03:28or we're going to be late yeah cancer's not gonna kill itself
03:33hey I was just thinking about you two actually can I call you at lunch I'm with some people right
03:45now and yes exactly and talk later love you
03:58new girlfriend still in the call each other the next morning phase yeah you got me
04:07actually no it was Mia we're giving our relationship another shot Wow Park that's great yeah I told you
04:17because part of the thing with Mia is I'm trying to be more open thanks you didn't need to explain but
04:28sounds good she sounds like she's good for you yeah of course if it doesn't work out I'll have to talk
04:37to you about that to admit I fail or I can be a supportive colleague regardless of what happens
04:43seven year old female neighbor saw her collapse in her yard I'm responsive no heartbeat EKG is flatline
04:59then she'd be cyanotic good capillary refill she's refusing stop CPR yeah she's breathing your EKG must be
05:07broken we're fine on our call right before her everything works fine up until it doesn't
05:11nothing told you hook her up let's check her vitals blood is definitely flowing to her extremities
05:22should we push epi get the crash wait everyone quiet
05:35listen
05:45listen
05:52she doesn't have a rhythm because she has a mechanical heart
06:01Lana Moore 34 year old female was slurring her words symptom passed but we found a grade 2
06:18arteriovenous malformation in her brain are we going to do endovascular embolization or stereotactic
06:25radiosurgery or resection endovascular embolization patient requests she's only sort of green jello and
06:31that we dim all of our incandescent light bulbs Lana has autism what are you looking at him for
06:36it's not like they all know each other I was just curious what his thoughts might be I think we
06:40should go with endovascular embolization now you know the AVM is dangerous but the embolization is a
06:47relatively minor procedure we'll make a small incision in your leg so we can insert a catheter into your
06:52femoral artery
06:56then we'll feed it up into the arteriovenous malform you brought a dictionary is there something I'm saying
06:58that you don't understand
07:00Lana loves learning new words she's memorized the scientific Latin name of every bug in South America
07:05so we don't understand what I'm saying
07:09a little
07:10a little
07:11please
07:12We'll insert the catheter into your femoral artery.
07:15Then we'll feed it up into the arteriovenous malform.
07:18You brought a dictionary.
07:20Is there something I'm saying that you don't understand?
07:22Lana loves learning new words.
07:24She's memorized the scientific Latin name of every bug in South America.
07:27Go ahead. Name any six-legged critter. I love being quizzed.
07:34Rhinoceros beetle.
07:36Megasoma actaeon, found in Guyana.
07:39It's the heaviest insect in the world and weighs as much as 300 grasshoppers.
07:45Is she right?
07:47I have no idea.
07:49I have to go.
07:54Javi?
07:56Javi!
07:58Where are you going?
08:00It's 11.15. I have to be home by noon to watch Judge Judy before work.
08:04It's important to us that your girlfriend doesn't get stressed out,
08:07so we'd prefer it if you stayed with her as long as you can.
08:11Lana's not my girlfriend. We're just roommates.
08:22Still stable?
08:24Diuretics have her O2 SATs up, but she's hypotensive.
08:27We checked every center approved to implant mechanical hearts,
08:29but none have any record of her as a patient.
08:31Check overseas.
08:32Let's start with-
08:33Mom?
08:35Is that her heart?
08:36The implanted device appears to be malfunctioning.
08:38Do you have any contact information for the surgeon who implanted?
08:41Yes, of course.
08:43Dr. Li Wei. He's in Beijing.
08:46When did she have it implanted?
08:48A little over nine months.
08:50She just went back for a follow-up exam last month.
08:56She was fine.
08:59Can you fix it?
09:01I'm gonna find out.
09:12Hello.
09:15Hello?
09:16Don't be stupid.
09:18There's no cameras in here.
09:22Dr. Lim, Dr. Melendez, how was your respective weekends?
09:32Good. Checked out some bikes?
09:35Brushed up on some reading.
09:36Excellent.
09:37I hear the search for chief of surgery is back on.
09:39As is our legal department's response to the DPH complaint against both of you,
09:42so I wouldn't get your hopes up.
09:45Probably just as well, I'd rather not see the two of you competing again.
09:50You seem to be getting along better.
10:03It's weird.
10:05Is it weird?
10:07They act like a couple, right?
10:09I live with Leah, but we're not a couple.
10:11Yeah, but you wish you were.
10:16Do you?
10:18Leah has a new boyfriend.
10:20You must be a little jealous.
10:24Why?
10:25Leah's my friend and Leah's happy.
10:29Okay.
10:30Jake, Leah, and I can all be friends together.
10:35Sean, Leah's new boyfriend doesn't want to hang out with the three of you.
10:38If Leah really likes this guy, she's going to want to spend time just with him.
10:44I know. For the sex.
10:46Her AVM has microbleeds.
10:52Her risk of rupture has doubled.
10:55They page Sunday surgeon.
10:56He's going to call you in an hour.
10:57Tell him I can't wait that long.
10:58Her cardiac output is low.
10:59Got it.
11:00He's in surgery.
11:01Excuse me.
11:02Uh, Dr. Melendez?
11:03I'm Grace Lee, Sunny Lee's daughter.
11:04They told me downstairs that you're going to go to the hospital.
11:05Hey, Paige, Sunny's surgeon.
11:06He's going to call you in an hour.
11:07Tell him I can't wait that long.
11:08Her cardiac output is low and...
11:09Got it.
11:10He's in surgery.
11:11Excuse me.
11:12Uh, Dr. Melendez?
11:13I'm Grace Lee, Sunny Lee's daughter.
11:15They told me downstairs that you're my mother's doctor.
11:17Yes.
11:18Get them to send her records and everything they can about the device.
11:20manufacturer model number, manuals.
11:23Your mother's stable but we're struggling to get the information we need from her doctor in China.
11:26I don't understand her doctors in China?
11:27Like...
11:28Why are you in a hospital in the hospital?
11:29Like, I don't understand.
11:30I know about your hospital.
11:31She's in surgery.
11:33Okay,
11:35USTique, Agentunde, Myrlandez's you?
11:36I'm Grace Lee, Sunny Lee's daughter.
11:38She told me downstairs that you're my mother's doctor.
11:41Yes.
11:43Get them to send her records and everything they can about the device.
11:44Manufacturer, model number, manuals.
11:45Your mother's stable
11:46But we're struggling to get the information we need from her doctor in China.
11:47I don't understand. Her doctor's in China, like, on vacation?
11:51No, her cardiac surgeon.
11:54Your sister can fill you in on everything we've done so far.
11:56I really need to get back on this phone call.
11:58Wait.
11:59I don't have a sister.
12:11We met ten years ago while I was volunteering at a senior center.
12:15We hit it off.
12:17Neither of us had anyone in our lives at the time.
12:21People assumed we were mother and daughter because we did everything together.
12:25After a while, we just went with it.
12:29She'll be glad to see you.
12:31You look like you've put your problems behind you.
12:34Problems?
12:35She told me about your issues with drugs.
12:39Oh, my God.
12:41She caught me smoking pot.
12:44Once.
12:45I was a teenager.
12:46So you're fine?
12:47Of course I'm fine.
12:49Then you don't really have an excuse for not calling for 15 years, do you?
12:57They won her back.
12:59They've arranged for transport.
13:00They'll do the repairs in Beijing.
13:02Is that safe?
13:03Can she travel for that long in her condition?
13:05It's a specially equipped plane for patients requiring urgent medical assistance.
13:08Twenty hours in the air is much safer than at least that long on an operating table here while we basically fly blind.
13:13Okay.
13:14Okay.
13:18Rupert for transport.
13:19The microbleeds indicate that it may already be starting to rupture.
13:35If it goes, you could suffer permanent brain damage or death.
13:38Because of that, embolization is no longer a preferred approach.
13:41We want to open you up and cut it out.
13:47Can you try talking to her?
13:49Just because I have autism doesn't...
13:51I'm not asking you because you have autism.
13:52I'm asking you because you're her doctor and I'm getting nowhere.
13:56The sting of the Japanese giant hornet can dissolve human flesh and attack the nervous system.
14:16Recommended treatment includes oral antihistamine and acetaminophen.
14:24Comforting choice of words.
14:25Comforting choice of words.
14:36It's 6.30.
14:38Dinner time.
14:38I brought burgers and jello.
14:40This one's yours.
14:41Lana can't eat now.
14:42We're trying to schedule surgery to...
14:44I could die.
14:48Surgery sounds scary, but necessary, so I'll do it.
14:52I'll do it.
14:55Big Fee got there first.
14:58Johnny stumbled, caught himself, and swung silently about it.
15:01Dove, gosh, Johnny, I'm sorry, snickered.
15:02Dove, sorry, you're going to be a lot sorrier.
15:04I just didn't notice you do that again.
15:05Sean.
15:06What are you doing?
15:07Reading to you from Johnny Tremaine.
15:09You're reading words.
15:10You're not reading sentences.
15:11This edition of Johnny Tremaine is 320 pages long.
15:15To get through the entire thing, I need to read 270 words per minute.
15:18You don't have to finish the book in one sitting.
15:21Yes, that's how I read novels.
15:23I want to know where the characters end up.
15:25You know what?
15:25Let's just stop.
15:27I can go slower.
15:28I'm not listening anyway.
15:30Are you in pain?
15:31No, no.
15:32You seem fatigued.
15:33You know what?
15:33I have a good idea.
15:35Why don't you take out the garbage?
15:50Where is your recycling?
15:52It's under the sink.
15:59Dr. Glassman, this cannot be recycled.
16:02If it's broken, it cannot be recycled because shards of glass...
16:06I don't care.
16:07Sean, I didn't ask you to resort the garbage.
16:10I just asked you to take it out.
16:12Can you do that?
16:20Your call light is on.
16:22How can I help you?
16:27Any new symptoms or discomfort?
16:30Lana?
16:32Rhinoceros beetle?
16:41I'm going to get Javi on the phone.
16:42You can talk to both of us.
16:44Do these doors lock?
16:46No.
16:47Do you want them to?
16:51Is there someone you're worried about?
16:53Is it Javi or someone else?
16:56I'm nervous about the surgery.
16:58Dr. Lim is an excellent surgeon.
17:03I've seen her do...
17:03I'd like Javi to come and have sex with me.
17:07I think an orgasm would help calm me.
17:11Do the blinds close?
17:12She's going to need a norepinephrine drip to maintain her pressure during transport.
17:28Mom?
17:28You look pretty.
17:39Mom, I've been so worried.
17:41You shouldn't have.
17:42Teresa takes good care of me.
17:47I'm so glad.
17:48Why did you never call me?
17:56You made it clear you wanted nothing to do with me.
18:00I just wanted to live my own life.
18:02So that's what you got.
18:04Your own life.
18:05Without me.
18:07This isn't a good time to...
18:09You were so good.
18:10Straight A's.
18:11Always so smart.
18:13You threw it all away.
18:14You never understood.
18:16Dad did.
18:17Dad wanted me to be happy.
18:19He wanted you to have fun as a child.
18:21Not waste your life.
18:23Singing is not a career.
18:26Sonny, you need to calm down.
18:27Grace, your mother cannot handle this stress right now.
18:30Teresa.
18:31Teresa is a teacher.
18:33Mom.
18:34Stop.
18:35Listen to the doctor.
18:35You forgot about me.
18:39I wish you'd stayed away.
18:42But...
18:43Her arterial blood pressure is dropping.
18:47Start bagging.
18:48Give her 40 Lasix.
18:49I'm calling the code.
18:49Sean.
19:11Sean.
19:12Yes.
19:15It's Sean.
19:16I've picked out a very good movie that we can all watch together.
19:21Not the time, Sean.
19:27I made popcorn.
19:30This is okay. Can you just see her?
19:32Let me see.
19:37Sean, we kind of need some privacy right now.
19:40I also bought orange juice for Jake. He was looking for some in the fridge.
19:46I thought you said you were okay with this.
19:54Jake will like the movie, Leah. It's about a chef.
19:57Sean, but you're not respecting boundaries.
19:59If Jake and I are friends, then we can all spend time together.
20:05Sean, of course we can all be friends. That would be great.
20:10It's just sometimes it's going to be just me and Jake without you.
20:17For the sex?
20:21And some other times too.
20:24Okay?
20:27Okay.
20:28Just give us a minute and we can watch the movie in the living room together.
20:44Okay.
20:45Having sex right now is extremely dangerous for someone in Lana's condition.
20:49I studied the pre-op list of things I couldn't do.
20:53Sex was not on the list.
20:54We'll update the list.
20:58Anything that elevates her blood pressure could rupture the AVM before we get a chance to remove it.
21:03You will definitely need to abstain until you're fully recovered.
21:09Seems like you two are more than just roommates.
21:13Why?
21:15You care for each other. You have sex.
21:17It's convenient. He's available, and it's frequently better than masturbation.
21:23I praise.
21:23And he leaves afterward.
21:25She doesn't like being touched when she sleeps.
21:27Are you two exclusive?
21:30Lana and Javi don't have to define their relationship in order to make it more digestible for you.
21:34Clearly whatever it is is working for them.
21:37Now, you need to get some rest.
21:38We're going to do your surgery at 10 a.m.
21:43Sunny's on full life support.
21:44Unfortunately, she can't be flown to China.
21:48Her condition is beyond the scope of the plane's medical facilities.
21:54Dr. Melendez is discussing next steps with Sunny's surgeon in China.
22:01No daughter would treat a wonderful woman like Sunny the way you did.
22:05Does a wonderful woman refuse to go to her daughter's recitals?
22:08Then, when she gets accepted to Juilliard, cut her off.
22:11Tell her she'll never make it, that she'll wind up broke and on the streets.
22:14Gently incise the duro.
22:35Nicely done.
22:36And there's our AVM.
22:39Aneurysm clips.
22:43Wouldn't it be nice to have what Lana and Javi have?
22:45All the benefits of a relationship without the emotional baggage?
22:49The emotional baggage is the relationship.
22:53Everybody has their issues.
22:54The point is to sort them out together.
22:57Yeah, that's all it takes.
22:59I greet all the single people in the room.
23:01I can't get under the AVM.
23:07It's much closer to Baraka's area than the MRI indicated.
23:11Any damage could destroy her ability to speak.
23:13And what if we used stereotactic image guidance?
23:15That would only show us where we are.
23:18It wouldn't tell us if we're affecting function.
23:23But if we track Lana's vocal function during the operation,
23:27it will help us avoid the speech center nerve tracts.
23:32You want to operate on her while she's awake?
23:35We can barely get answers out of her at the best of times.
23:38How do you think it'll go while her skull is open in the middle of an OR?
23:42Well, it's a good thing she has a roommate who can help.
23:44It's hard to walk away.
23:59We get angry.
24:00We want to run away.
24:01But when it's family...
24:05I'm not angry.
24:10When I got the call telling me she was here,
24:12all I could think about was how my lousy, bitter mother
24:16was about to die alone.
24:21That it wasn't her fault.
24:22It was just her nature.
24:27So I needed to be here to let her know
24:30that she was loved in spite of everything.
24:36And then I found out about Teresa.
24:39Saw them together.
24:40Saw that my mother was capable of caring.
24:46Capable of warmth.
24:48And love.
24:52Just...
24:53Not for me.
24:56Dr. Farmer, please report to ICU, too.
24:58She's bleeding from her cannula site.
25:08She's intolerant to the ECMO.
25:11We can't wait for the new heart.
25:13We have to try and repair this one ourselves.
25:14China thinks Sunny's heart failure
25:24is most likely due to a broken blade in the impeller.
25:27They're suggesting we weld it back together
25:28using an intraoperative device,
25:30which we don't have.
25:31We could repair it with fiber and bio glue.
25:33Blade spins at 1,200 RPMs.
25:35The glue won't hold.
25:38What if we use the schematics
25:39to 3D print a new impeller?
25:41The plastic replacement probably wouldn't hold up long term.
25:43We don't need long term.
25:45We just need it to work
25:46until the replacement arrives from China.
25:48Let's get these to the lab.
25:52You need me in the OR?
25:55Yes.
25:56While you operate on her brain with her head open?
25:58You wouldn't be able to see what we're doing.
26:01You won't see any blood.
26:02What's the central illuminance of the OR?
26:05I don't know.
26:06140,000 lux.
26:10140,000 lux is way worse than a grocery store.
26:13I can't go to grocery stores.
26:15We can provide you with protective gear
26:17and eye shades that can filter out some of the lights.
26:20Bright lights are like needles in my eyes.
26:22Megasoma actaeon found in Kiana.
26:32It's the heaviest insect in the world
26:33and weighs as much as 300 grasshoppers.
26:39Do you like playing insect trivia with Lana?
26:43This is crazy.
26:44You shouldn't do it because of Trivia Night.
26:46You should do it because you love her.
26:54Your life is better with her.
26:58You're a better person with her.
27:02You need her.
27:03That's what love is.
27:05Do it because you love her.
27:10I don't love her.
27:14She's my roommate.
27:16Impeller blades are fine.
27:37The bearings are functioning properly.
27:42Electrical consumption is good.
27:43Maybe the machine isn't the problem.
27:47Heart failure is either caused by insufficient pumping
27:49or constricted outflow.
27:51Since her pump is fine.
27:56She doesn't have valvular stenosis.
27:58The surgeons removed her aortic valve
27:59when they implanted this device.
28:01It could be the aorta itself.
28:03If it narrowed, that would reduce her outflow,
28:05cause her pressure to drop.
28:06If we do an intra-panjo, we can see evidence of that.
28:09Call x-ray.
28:09Have them bring a C-arm stat.
28:10Dr. Glassman?
28:17I got you cherry gastrolyte.
28:21Sean, I'm fine.
28:22You can go back to work.
28:23At the Nathan County Fair.
28:25I was 14, and you got a cherry slushie.
28:28Instead, it was your...
28:31Why do you have an IV?
28:35It's just fluid.
28:37Sean, with potassium, I had a nurse come by from the hospital.
28:41I could have done this.
28:45You're busy.
28:47I'm helping you.
28:49You wouldn't need the fluids if you listened to me.
28:51I know.
28:52You didn't drink the gastrolyte I brought you.
28:55But now...
28:56Sean, my head really hurts right now.
29:01How long have you been experiencing pain?
29:03It pretty much never stops.
29:05That's not true.
29:07I asked you if you were in pain last night, and you said you weren't.
29:11I was in pain last night, Sean.
29:13I just didn't want you to worry.
29:14Why would you lie about a symptom?
29:22Why would you lie, Dr. Glassman?
29:24This could...
29:25This is why, Sean.
29:26This is why.
29:28I can handle the pain.
29:30I can handle the nausea.
29:32You have nausea?
29:33Yes.
29:33Yes, I have nausea.
29:34Okay.
29:35You should stop the PCV chemo.
29:37Sean.
29:37Okay.
29:38You should stop.
29:39I'm going to call Dr. Blaze.
29:41No.
29:41Sean!
29:42No!
29:43I am trying to help you.
29:48I am trying to help you, but you are not a compliant patient.
29:53You don't rest...
29:54Sean...
29:55When I tell you to rest, you don't follow the diet that I am giving you.
29:59Sean, will you just go?
30:01Please, will you just go?
30:02I promised that I would help you.
30:04You're not my doctor, Sean.
30:10I don't...
30:12I don't want you here.
30:20I'm sorry.
30:21I don't want you here.
30:22I don't know how to help you.
30:34I don't know how to help you.
30:36Then stop trying.
30:40You're not helping.
30:43You can't help, Sean.
30:44He's in pain and frustrated and nauseous and taking it out on you.
31:12He's in pain and frustrated and nauseous and I can't help him.
31:17That may be true.
31:18So what do I do?
31:21When there is nothing you can do, you have to accept that.
31:27You have to stop trying to help.
31:29That's what he said.
31:44Thank you, Leah.
31:48My life is better with you.
31:50Mine too.
31:58Mine too.
32:20We're in the aorta now.
32:22If there is a narrowing, we should see a sudden rise in pressure.
32:41We should be able to replace the narrowed part with a graft.
32:44Metz?
32:45This is a...
32:49Horse.
32:53This is a...
32:58Lana, what do you see here?
33:03We need you to keep talking to us.
33:07Have we already done damage?
33:08It's too soon, I think.
33:10We need to stop?
33:11If we leave the avium intact and it ruptures, it will kill her.
33:23Lana, do you understand?
33:25I have to keep going, but if you stop talking, you may never talk again.
33:29Hand me the bipolar forceps.
33:41Dr. Lim, there's a Javi Maldonado insisting he should be in here.
33:45I'm sorry to keep you waiting. The surgery was a success.
33:59You can see her once she wakes up.
34:07I'm sorry to keep you waiting. The surgery was a success.
34:09You can see her once she wakes up.
34:15She wasn't great with you, but she's great with Teresa.
34:33That doesn't mean she loves her more than you.
34:37It may just mean...
34:39She's not the same person anymore.
34:43As soon as she saw me, she started giving me crap.
34:46The same crap.
34:50Actually, the first thing she said was...
34:53You look pretty.
34:56Lana, what's on the screen?
35:20A lion.
35:24And what is that?
35:32Lana, what's on the screen?
35:37Javi?
35:47A lion.
35:52Madagascan hissing cockroach.
35:58Madagascan hissing cockroach.
36:04Grumfodrhina portentosa.
36:10One of the few insects who give birth to live young rather than laying eggs.
36:18Keep going.
36:20You both are doing great.
36:22Long-tailed South African scorpion.
36:26Hadogenes troglodytes.
36:28Reaches a length of over eight inches.
36:32The longest scorpion in the world.
36:34You'll still need to fly to China to get checked out, but everything looks great.
36:44You're welcome.
36:45You're welcome.
36:46You're welcome.
36:47You're welcome.
36:48You're welcome.
36:49Mom.
36:50Grace is outside.
36:52I think you should talk to her.
36:54Why?
36:55Because she's your daughter.
36:58I'll step out.
37:11It's okay.
37:12Mom.
37:13Since we stopped talking, there hasn't been a day I haven't thought about you.
37:26That I haven't missed you.
37:31I'm sorry for everything.
37:48I sat in the back.
37:53At the Troubadour.
37:54You were singing I Wish It Would Rain with that band.
38:04I cried.
38:07It was beautiful.
38:23I cried.
38:37I cried.
38:42Can you tell me your name?
39:02You remember your name?
39:09Of course I remember my name.
39:12Anna.
39:16And your Javi.
39:25I think I love you.
39:28I think you do too.
39:37Do you want to stay in bed with me after we have sex?
39:42No.
40:12After you do, I think a lot of people do need them.
40:13I love you.
40:14I love you.
40:15I love you.
40:46Dr. Glassman?
40:58Dr. Glassman?
41:03I'm not here to help.
41:16Take me to the station
41:24And put me on the train
41:29I got no expectations
41:35To pass through here again
41:39Once I was a rich man
41:46Now I am so whole
41:51But never in my sweet short life
41:58If I felt like this before