The Good Doctor Season 2 Episode 18
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00:00Previously on The Good Doctor
00:02I tried to help you, and you pushed me away.
00:06It can't just be about having fun together.
00:10If I have to call security, you understand that I'm also going to have to fire you.
00:16I am a surgeon!
00:19I am, I am a surgeon!
00:22I am a surgeon, Dr. Haunt!
00:30Why are you sad?
00:34I'm not sad.
00:36Is there another reason to get drunk at 10 in the morning?
00:39Shut up.
00:51It's fun to drink with someone who is fun. Leah is fun. You're not fun.
01:00Shut up.
01:05Shut up.
01:09No.
01:13If I have something to say, I will say it.
01:19Well, if I have someone to shut up, then I'll shut them up.
01:29If I have something...
01:31Just...
01:32Okay, I do not like to be touched.
01:35Just shut up.
01:38Just shut up.
01:47I...am...a surgeon.
01:49I...
01:50No...
01:51No...
01:52No...
01:53No...
01:54It's on fire, Jeremy.
01:55It's over, Jeremy.
01:56Yeah, Jeremy, they're not aсяger.
01:58I'm the only one who died of three years later.
01:59Is it okay?
02:00It's fair to take them to my mother's tree?
02:01Good night.
02:02I was like, I'm not a counselor.
02:03I was just going to do something to suffer.
02:04Can't wait for you?
02:05No, you're not a man.
02:06You're not a maid.
02:07You're not a friend of three years, and you're not a man.
02:09You're not a man.
02:11You're not a man.
02:12You're not a man.
02:13You're not a man.
02:14I'll be the woman.
02:15You're a man.
02:16you've had sex with each other yes and you're planning on doing so again
02:26yes good news because neither of you are in a subservient position to the other yes sometimes
02:34you work together and you're sleeping together you don't see
02:40any way that can go wrong nothing for your employer to worry about i'm going to interview
02:48each of you separately to ensure that the relationship is consensual zach cordell 31
02:54loss of consciousness laceration with closed head injury possible brain contusion gcs score
02:59nine dr murphy thinks it might be an epidural hematoma dr murphy yeah he's where'd he go
03:05sean come in tell us what you saw what you did i can't i'm not a doctor here you're still
03:20a doctor sean we need to know what happened
03:25i found him like that
03:32i want a stat head ct give me a cbc and a tox cream
03:39it might be an epidural hematoma
03:42we heard let's get a bold icp monitor ready come on it dr lim how was your meeting i confirmed the
03:49lack of inducement of pressure i assume you did likewise we are approved for what
03:56at last
04:03my love has come along
04:10my lonely days are over
04:19i farted i peed i pooped everything's working as well as i can possibly hope we just need to know
04:44there are no post surgical complications
04:47you're not wearing a wedding ring
04:49i'm not married
04:51gays can get married
04:53they have children
04:54you need to have children
04:56i'll tell you what's more interesting than a non-married woman not wearing a ring
04:59dr park here wears a wedding ring even though he's not married
05:05i'm divorced
05:07but we're trying to reconcile
05:09well good for you
05:11kids
05:12son
05:13pp looks good
05:15how often do you see them
05:16dinners i hope
05:17i mean dinners are really important
05:20they live in phoenix
05:21oh no
05:22no no no no no no
05:24jp drain site looks good with no bilious output
05:28do you have any other symptoms
05:30i've got a bit of a stomach ache
05:32because those nasty veggie slushies dr mitzger has me on
05:38does this look inflamed
05:40i don't think she's ready to go
05:42what
05:43why not
05:44we need to order an abdominal ultrasound to make sure you don't have a deep post surgical abscess
05:49hopefully
05:50just one more day with us either
05:52you
05:55i am concerned about how you dealt with dr murphy
05:58have you known anyone else with asd
06:01not well have you
06:03when you give people responsibility they can't handle the results can be devastating
06:08well every time dr murphy's been given responsibility he's risen to you
06:12he's never been given responsibility
06:15he's been given things to do but always with someone right behind him
06:19i'm the first one to really challenge him
06:23then he failed
06:25are you okay
06:28yes
06:32when something bad happens we have to remember we're not defined by any one thing
06:38you're not just a doctor sean
06:51you're not just a doctor sean
06:53you're a good friend
06:55a good person
06:57there are so many things you can do
06:59what do you want
07:10i want
07:13to be a surgeon
07:16what else
07:22what else do you want
07:24i want
07:30what everybody wants
07:31i want
07:36i want my life to matter
07:39i want to have fun
07:41i
07:44i want to fall in love
07:45i think i'd be a good father
07:59i think
08:01you will be too
08:06but i don't know how
08:08to fall in love
08:15good morning claire
08:19good morning
08:21here are some chocolates
08:31they're not really chocolates
08:38here's a stapler
08:40which represents flowers
08:42thank you
08:46flowers are beautiful
08:48you have nice hair
08:52thank you sean
08:54i like your shirt
08:56it's old
09:00i was wondering if
09:02you would like
09:04to
09:06say that
09:08you would like
09:09to
09:12say the words
09:15there could be other people there
09:16that would be distracting
09:17there could be noises
09:18that would be distracting
09:19she could misunderstand my question
09:21you can't let that
09:22she could say no
09:30sean
09:40she will
09:42you
09:43you don't know
09:45someone will
09:49sean
09:51you're gonna fall in love
09:53and you're gonna have your heart broken
09:55and you're gonna fall in love again
09:59and you're gonna lose your job again
10:01no
10:03yeah
10:04this is life you know that
10:05you've been hurt and you've survived
10:08you've gotten stronger
10:10better
10:12not
10:14better
10:16it's not better
10:17it's not better
10:29tax tests already
10:33large iced extra shot
10:35oh no no extra shot for me
10:37today i'm already kind of up
10:39having a good day
10:41uh yeah
10:43a real doozy
10:45as of today i'm officially cancer free
10:47that's fantastic
10:48thank you
10:50i'm so happy for you
10:52you
10:53just got yourself
10:55a free coffee
10:57thank you
10:58i got you something too
11:02a bottle j
11:05just like the one that we never got to see
11:07at the car show we never made it to
11:11well
11:13went up the hood check out the engine
11:15oh okay
11:21you're right
11:23we're too old to just have fun
11:25i i wanna commit
11:27commit
11:29i meant commit to a relationship
11:32not to like pledging our
11:34never ending love before god
11:37in sickness and in health that's what you wanted
11:38i have just been through the seven levels of hell
11:42i am ready to embrace life
11:44to be bold
11:49this is definitely bold
11:55it's also
11:57it's also stupid
11:58let's do it
12:08i made it a part of our wedding vows
12:11marty and i pledged we would never be apart for more than five days at a time
12:17and we never were
12:19until he died
12:21two years ago
12:23i made my daughter put it in her vows
12:25juni lives in napa
12:27three children
12:29two boys and a girl
12:31you're still young
12:33you should give your son a brother and sister
12:37everything looks great
12:39i think we can send you home
12:41jenny's driving in with her youngest
12:44i can't feel my fingers
12:53other than the contusions no hematoma
12:56i wish you were back in path
12:58i don't wish i was back in path
13:02cbc is normal
13:07tox screen is basically clear
13:09no drugs
13:10trace amounts of alcohol
13:14maybe he tripped and hit his head
13:16no his gait was erratic
13:18and so was his behavior both highly suggestive of intoxication
13:21i thought you found him unconscious
13:22what happened
13:32did he do something to you
13:34say something to you
13:38sean
13:40you never lie
13:42why would you lie about this
13:43if zach wasn't intoxicated then he has a neurological issue you need to run an EEG and a CT angiogram
13:55i have to go
14:04it could be guillain barret
14:06maybe peripheral neuropathy
14:08i think we should perform an EMG and a nerve conduction study
14:09what do you want to do
14:11send her home
14:13i think she's making it up
14:15her symptoms are very mild
14:16they're typical post-op reactions
14:18except the one that suddenly appeared as soon as we told her she could go home
14:21she's just lonely
14:23looking for attention
14:24she can be lonely and sick
14:26according to the MRI she's just lonely
14:28it's no fun releasing a patient only to find them in the morgue 24 hours later
14:33recheck her history
14:34run whatever tests you need
14:36roll out everything you can
14:37thank you
14:38and congratulations
14:40you and Dr. Lim
14:42it's an excellent match
14:43i have a sample i'd like you to test
14:44i have a sample i'd like you to test
14:46i have a sample i'd like you to test
14:49Sean you don't work here anymore
14:51how do you have a patient
14:52it's Claire's patient
14:53I have a sample I'd like you to test.
15:13Sean, you don't work here anymore.
15:15How do you have a patient?
15:17It's Claire's patient.
15:18There's no patient name on it.
15:33What are this patient's symptoms?
15:41He's coughing blood.
15:48I'll expedite the test.
15:59We'll get the data analyzed by a neurologist as soon as possible.
16:02And when it comes back okay, we could have you discharged by the end of the day.
16:07You said when.
16:09You think I'm making this up?
16:11Wasting your time?
16:12No, I...
16:13Yes.
16:14I do.
16:18You're right.
16:20You're faking?
16:21No.
16:23Not entirely.
16:26I can feel my fingers.
16:30But they're tingling.
16:31Because you're 87, Ida.
16:33These are just symptoms of old age.
16:38Junie had leukemia.
16:40Months of chemo, and she just got sicker and weaker.
16:49Three days before her ninth birthday, two oncologists said there was nothing more they could do.
17:00Told us that she would never make it through the night.
17:02They said it was pointless, or it's so cruel.
17:15But it wasn't their little girl who was dying.
17:19The next morning, Junie was still alive.
17:34And the morning after that, she opened her eyes, and...
17:39All the people said, oh, it's a miracle.
17:43But it wasn't a miracle.
17:45Junie is alive with three beautiful children, only because I refused to let those doctors tell me what to do.
18:03Now that I'm old,
18:05they give me even less credit.
18:09We'll let you know the test results.
18:27WBC and PT are elevated, and hemoglobins are a little low.
18:31It could be pneumonia, DIC...
18:34It's trauma-induced, so more like...
18:36Trauma.
18:37Trauma.
18:39Then coagulopathy is possible, making bleeding worse.
18:50You need to get the patient on phytonodion as soon as possible.
18:58I'm writing a script.
18:59You'll tell your patient how important this is, right?
19:10Good news, Ida.
19:22Normal electrical activity at rest.
19:24Normal action potentials with contraction.
19:28I'm sorry I wasted your time.
19:30Now, you don't have to listen to your doctors, but you do have to be honest with them.
19:34Park.
19:35File.
19:36They're treating you for abdomyolysis.
19:48That makes sense.
19:49Why are you here?
19:50I am a doctor.
19:51Why are you sad?
19:52I'm sad and angry and confused and I don't know.
20:08I wasn't supposed to be at the bar, I was supposed to be at a job interview.
20:20Dr. Glassman got me a job interview, but I don't want a new job.
20:37And people tell me that I have to move on, but why can't I just be sad and angry and...
21:06It's not rhabdo.
21:08You need immediate treatment.
21:10What?
21:11For what?
21:13For what?
21:15For what?
21:16For what?
21:17Tra...
21:19Lean.
21:23Hey.
21:27Dr. Murphy?
21:31I need help in here!
21:37Left hemothorax and gray two splenic laceration resulting from a rib fracture.
21:41Inserted a chest tube to reduce the blood pooling in the pleural cavity.
21:45Any idea what caused the trauma?
21:48Zach Cordell beat him up.
21:49The patient he brought in?
21:52Sean told you?
21:53Not explicitly.
21:55He was acting strange from the minute they came in.
21:58Sean acting strange isn't strange.
22:09Excuse me.
22:15Dr. Murphy saved another person today.
22:17Encountering an emergency is not a job qualification.
22:20And how can you trust a doctor who doesn't have the sense to tell someone he was injured before passing out?
22:25It's no longer a request, Jackson.
22:28Am I only allowed to do my job when you agree with me?
22:31You knew someone on the spectrum. What happened to them?
22:35They died.
22:36But if either of us are making decisions based on our personal experiences, we're making the wrong decisions.
22:42You paid a lot of money for my judgment.
22:45Too much, I'm starting to think.
22:47Well, that was the point.
22:49I didn't need the money.
22:50I needed the commitment.
22:54You went out on a limb for me.
22:56You fired me now, you look like a fool in front of the board.
23:06It's not the clips.
23:08I didn't need to be opened up again.
23:11That's too bad.
23:13There's one other test I'd like to try.
23:18I'm starting to feel some pain in my left side.
23:22It's important for a doctor to use all their senses.
23:37Tastes like a bit of kale.
23:39Seven delicious vegetables.
23:41Good news is you don't have a potentially fatal bile duct issue.
23:45Bad news is you know you've been dumping your veggie slushy into your drain to make us think you were sick.
23:58You'll be discharged this afternoon.
24:06You asked to see me?
24:17Yeah, for the last two hours.
24:19I'm sorry.
24:20I've been dealing with Dr. Murphy.
24:22Seems someone beat him up.
24:23Quite severely.
24:25Yeah, that shouldn't have happened.
24:26But before he passed out, he said he knew what was wrong with me.
24:29Well, we all know what's wrong with you.
24:30You're an ass with a head trauma and rhabdo.
24:32Oh, he said you're wrong.
24:33He kind of spaced out all distracted.
24:35Then he said that I don't have that.
24:37And then I need treatment.
24:39Distracted how?
24:42Like he was looking around trying to find something in the air.
24:45I don't know.
24:46And then it looked like he found it.
24:50What exactly did he say?
24:53Trampoline?
24:55And?
24:56That's it.
24:58You know, Sean, it could be a reference to something he read somewhere.
25:00Could be a metaphor.
25:01Could be the guy misheard.
25:04It could be delirium.
25:06Sean had a systolic pressure of 70.
25:08He may have been hallucinating.
25:10He may have just been wrong.
25:15This hypotensive O2 sats are dropping.
25:17He's crashing.
25:18Bag him.
25:20Oil is five units of vasopressin and scar to drip.
25:31Trampoline.
25:32From the Spanish word trampolino meaning springboard.
25:35From the Italian root trampoli meaning stilts.
25:38Maybe Sean was talking about an excessive growth disorder like acromegaly.
25:43Instead of just saying the name of the disorder, he used the English translation of the Spanish derivative of the Italian.
25:48Maybe we should just wake him up.
25:52His respiratory status is too fragile.
25:55We have a very sick patient.
25:56If Sean can save his life...
25:57We have two very sick patients.
25:59And if there's a 1% chance that waking Sean will risk his life, I say we don't do it.
26:03We shouldn't need Sean.
26:09We can figure this out ourselves.
26:11What do we know?
26:12Low BP.
26:13Nausea and dizziness.
26:14Erratic gait and behavior.
26:17Adrenal insufficiency could explain his gait and BP.
26:20We'd be seeing hyperpigmentation.
26:23Botulism?
26:24That'd be descending paralysis.
26:25If anything, he has ascending.
26:29Lyme disease?
26:30Explains fatigue and dizziness.
26:33And if advanced, impaired muscle movement.
26:36And an arrhythmia could be lowering his BP.
26:39But none of this sounds like trampoline.
26:48Let's get him started on 100 milligrams of doxycycline.
27:00What will he do?
27:01He struggled to finance his 45 minutes of doxycycline.
27:03Go to an arrhythmia.
27:05Let's start driving.
27:06More water, Eh?
27:07Oh, I don't know.
27:08Oh, that's isn't that secret.
27:09Here, you're after me.
27:10I'll buy some of my papers.
27:11I'll buy them as well.
27:12Oh, I guess I'll buy them as well.
27:13You can find me.
27:14You can find me.
27:16I'll buy them as well.
27:17Well, I'm gonna buy them as well.
27:18I'm gonna buy them as well.
27:20I'll buy them sometimes.
27:21Come on and buy them as well.
27:22We'll buy them as well.
27:23You can find them.
27:24I'm gonna buy them as well.
27:25Oh, I like it.
27:26You can find them.
27:27Do you need...
27:53Shh.
27:54Sorry.
27:55Sorry.
27:56Sorry.
27:57You were on duty when Dr. Murphy passed out, right?
28:02I was the first one in.
28:03Is this where he was standing?
28:06I think he was closer to the patient.
28:12What about the blinds?
28:16Were they like that?
28:18Please, I need to know what Sean's experience was when he was standing here.
28:21Also, can I get a stepstool?
28:36Sure.
28:38Thanks.
28:38Why can't you get him his job back?
28:48And you were the president for like a hundred years.
28:51I'm going to fight for him, but I'm only one vote.
28:56We all get smacked around.
28:59I've got to learn to take the hits, lick our wounds, and move on.
29:02He likes you, you know.
29:09Yeah, I like him too.
29:11He likes you more.
29:15When he gets rejected, I'm glad it's coming from somebody who cares about him.
29:19I'm hungry.
29:38What?
29:38Oh, my God.
30:08Oh, my God.
30:38You were pretty bad earlier, but now you...
30:42Zach.
30:43Zach has the wrong diagnosis.
30:46No, no, no, Sean.
30:47No, he'll die unless he's treated immediately.
30:50Sean, it's fine.
30:52Trampoline.
30:55Zach had an aortic arch aneurysm with signs of impending rupture, the evidence of which
31:01was a pulsatile mass in his neck.
31:03That and his erratic gait and behavior are explained by the fact that he had tertiary syphilis,
31:08also known as...
31:11Trapponema.
31:13Zach misheard you, but we were able to repair the aneurysm, and he is stable now.
31:19Okay.
31:22Okay.
31:23All right.
31:25Lie down, Dorothy.
31:26Get some rest, man.
31:27We finally got our history.
31:35Those doctors who said Junie wouldn't survive the night, they were right.
31:40Three days before her ninth birthday, Junie died.
31:44Ida never had any grandchildren.
31:46What about her husband?
31:47He did pass away two years ago, but he and Ida separated after their daughter's death.
31:58It doesn't change anything medically.
32:00Okay.
32:17I'm sorry.
32:33You know what 300,000 can get you in Tempe?
32:36How are you doing?
32:50I have an O2 sat of 97%, and you're an output of 200 cc's an hour, so I'm doing well.
33:00I just got off the phone with Dr. Turner at San Jose General.
33:06You missed a job interview.
33:09I like being a surgeon here.
33:15But you're not anymore.
33:19And we can't change that.
33:29Sean.
33:32Both of us.
33:36We need to face reality.
33:45My brother Steve said that whenever people want you to do something they think is wrong,
33:52they say it's reality.
33:53Yesterday, Dr. Sean Murphy did something that was different.
34:09And it wasn't because he showed mercy to someone who had been cruel and violent to him,
34:15although that's extraordinary.
34:16What was different is that yesterday, Dr. Sean Murphy made Dr. Claire Brown a better doctor.
34:23Why?
34:24Because Dr. Claire Brown looked at a problem through Dr. Murphy's eyes, and she saved a life.
34:32And that's extraordinary.
34:33Dr. Hahn, Dr. Murphy may not communicate like you do.
34:42He may not communicate like I do, but make no mistake, he does communicate.
34:47And he inspires.
34:48Well, welcome back to the board, Dr. Glassman.
34:55I've heard of your insights and passion, and I'm grateful to witness it.
35:01But I didn't fire Dr. Murphy because he doesn't inspire.
35:05I fired him because he was irrational, unprofessional, couldn't calm down, he couldn't control himself.
35:15I stand by that decision.
35:19And if Dr. Glassman insists on putting this to a vote, the issue isn't whether Dr. Murphy should be working here.
35:26The issue is whether I should.
35:29Whether I control my staff.
35:31Because I can't work here if I don't.
35:43Okay.
35:45I don't think there's anything else on the agenda, so...
35:48Steve was right.
35:51And Dr. Glassman is right.
35:57You're going to propose his motion?
35:59Dr. Andrews, I don't think you have the votes to carry it.
36:02I agree.
36:05But I don't need the votes.
36:10Just as you have the power to fire someone under your supervision, so do I.
36:14You're going to fire me to save Dr. Murphy.
36:19He's not ready to move on.
36:24Neither am I.
36:25Did you hear about Han?
36:39I can't imagine Andrews would survive the fallout.
36:42They're going to need a new chief of surgery.
36:44What if either of us has offered the job?
36:46One of us bossing the other around?
36:48I don't think that would fly with HR.
36:50Someone would have to resign, or we'd have to break up.
36:53Or we could turn it down.
37:02I think things are great.
37:05And they've been great for, what, four weeks now?
37:09Just over a month?
37:12It'd be crazy to pass on a chance at being a department ed.
37:17Are you that crazy?
37:18Are you?
37:21No.
37:23Are you?
37:26No.
37:30Good.
37:33I talked to Andrews' assistant.
37:36Aoki should be calling you with the offer any minute.
37:37You better answer that.
37:59Hello.
38:01Miss Aoki, it's good to hear from you.
38:03Hello.
38:03Hello.
38:03Hello.
38:03Hello.
38:03Hello.
38:03Hello.
38:03Hello.
38:04Hello.
38:04Hello.
38:04Hello.
38:05Hello.
38:05Hello.
38:06Hello.
38:06Hello.
38:07I got my job back.
38:27That's great.
38:31I have a question for you.
38:33Yes.
38:34I don't, I don't mean yes.
38:36I also don't mean no.
38:37Just, what is the question?
38:51Do I look nice?
38:52Yes, Sean, you look very nice.
38:58I know myself, I know what I want, and I know what I love, and I know what I love.
39:27You don't love me.
39:28You don't love me.
39:29You don't love me.
39:30You barely know me.
39:31I think I do.
39:32I think I know you.
39:34And sure, we can go out on another date, and another date after that, and more dates
39:39after that, but life is short and getting shorter, and I want to spend whatever time
39:45I have left with you.
39:47I don't know.
39:48I don't know.
39:49I don't know if I'm gotten older.
39:51I just don't know what I'm meant with one another.
39:52PCH in a Duesenberg 12 cylinders with 400 cc's and turbo boosts and picnic basket in the back
40:00with baguettes and guillere and prosciutto and chateau neuf de pop and you're sitting next to
40:06me wind in your hair and you're laughing that laugh and the sun and the ocean and it just feels
40:16like we can go forever debbie wexler will you marry me yes
40:46so
40:53so
40:58you have nice hair
41:20I know fabulous
41:23I was just
41:24here are flowers and chocolates
41:26real ones
41:32I was wondering
41:35if
41:37you
41:41would like
41:44to
41:44eat
41:52dinner
41:53are you asking me out
41:58yes
42:02on a date
42:04yes
42:07I would love to
42:11I would love to
42:25I would love to