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The Good Doctor Season 3 Episode 2

#TheGoodDoctor
#ShowMoviesTV



Transcript
00:00It's a pleasure to meet you.
00:02You had a date last night, didn't you?
00:04It was hard, uncomfortable, unpleasant,
00:08and I have no idea if she was happy,
00:10and I know I wasn't happy.
00:19I don't like when you do that.
00:21I know, but I did it anyway,
00:23because you need to snap out of it.
00:25The moping, it accomplishes nothing.
00:28I'm not moping, I'm eating.
00:30Which is the only thing you're doing outside your room now.
00:34You didn't even come out to tell me to turn down the talking heads.
00:37It didn't bother me.
00:39The walls were shaking.
00:41I'm surprised the cops didn't show up.
00:45You like Carly.
00:47You need to get back in the saddle.
00:49And luckily, you have a totally awesome roomie
00:52who's here to help you.
00:53I'm not going on any more dates.
00:56Sean, everyone gets it.
00:59Dating is stressful.
01:01But being alone is worse.
01:03I'm not alone.
01:05I have you.
01:06I have Dr. Glassman.
01:08Yeah, friends are great.
01:09But everyone needs a special friend.
01:11I don't.
01:12Sean.
01:13I'm not like everyone.
01:15No one is like everyone.
01:26We're all unique.
01:28But we're also the same.
01:32I have rent control.
01:50The only way for them to jack the rent is to get me out.
01:53So they just make up a reason.
01:55Said that I was playing my music too loud.
01:57And the all night parties.
01:59The fighting with the neighbors.
02:01The wandering around the parking lot without any clothes on.
02:03I had a robe on.
02:05And I wasn't wandering.
02:06I was trying to take the trash out.
02:08But they moved the damn bins.
02:11It was windy.
02:12Mom.
02:13You were clearly off your meds and drinking.
02:17Okay.
02:18Once.
02:20It was a temporary setback.
02:22Okay.
02:23Nobody's perfect.
02:25But it is all under control now.
02:26People have things under control.
02:27Don't show up with their daughters at 1am looking for a place to stay.
02:31I will be out of your hair before you even know.
02:34Two weeks.
02:35Three.
02:36Tops.
02:37One.
02:38I don't have time to babysit a grown woman.
02:40Well, it's three weeks until the end of the month.
02:42You at least owe me that.
02:43No, I don't actually.
02:44One week.
02:45You need some help over here.
02:50Male 30s gaping 10-centimeter laceration to his left cheek.
02:53Probable fractured temporal bone.
02:55Maxilla.
02:56Definitely shattered mandible.
02:57What happened?
02:58You had to stop some creeper from groping a woman on the subway.
03:00Maniac ended crashing his skull with some kid's skateboard.
03:02Wheels broke off and the metal axle did that.
03:06We need to secure his airways.
03:07Mouth is filling up with blood.
03:08Intubation card.
03:09He has a through and through oral defect.
03:11And the mandible is crushed.
03:13We need hemostats.
03:14The woman?
03:15She's fine.
03:16Cops arrived.
03:17Taser dude took him away in cuffs.
03:19Everybody's fine except for the hero.
03:21We're going to need to intubate through the neck.
03:24Betadine.
03:25Scalpel 602 to play surgical, Craig.
03:26Could you do me a huge favor and take this up to Lim's office?
03:44Sure.
03:45Running late.
03:46No problem.
03:47Melendez is waiting.
03:48Sir, I had to help Kellen with the biology project this morning.
03:51What's in the box?
03:52A Ducati throw pillow.
03:54You really think you can bribe Luma with a pillow?
03:57I'm not bribing her.
03:58I'm being nice.
03:59She's starting a new job and a new office.
04:00Where she'll decide who gets the first lead surgery.
04:02I'm not stupid enough to think I can influence a decision with a gift.
04:06But it never hurts to have a good relationship with your boss.
04:09And it's a damn cool pillow.
04:11No signs of any post-op infection.
04:19There's also no sign your surgery did any good.
04:21Tom.
04:22How often is he vomiting?
04:26After every feeding.
04:27Okay.
04:29This is obviously not the outcome we had hoped for.
04:34But a pyloric stenosis requires a cautious approach.
04:37If we're too aggressive.
04:39It's okay, buddy.
04:41I got you.
04:42There we go.
04:43Shh.
04:44Our baby is in pain.
04:47He can't eat.
04:48And you don't seem to have any clue why.
04:52I would be upset too, if I were in your position.
04:55But you're wrong.
04:56We need to conduct some tests to confirm, but I am confident.
04:59It's just a matter of going back in and making a tiny adjustment.
05:03Your son's in good hands.
05:07I'm sorry.
05:08I'm just...
05:09Father who loves his son.
05:10You've got nothing to apologize for.
05:14That was impressive.
05:20Get an abdominal ultrasound to confirm it's just an incomplete pyloromyotomy.
05:29You're wasting your ass kissing.
05:31The first surgery isn't his decision.
05:33No.
05:34He's just the one sleeping with the one making that decision.
05:36People are equal and reactive.
05:37Do you know where you are?
05:38And do you know how you ended up here?
05:51Josh, you have multiple fractures in your cheek and jaw.
05:55And a large piece of your cheek tissue, skin and underlying muscle was torn off.
06:01You're going to need extensive reconstructive surgery to save your jaw function.
06:07You need to read these consent forms.
06:10And if you have any questions, write them on this pad.
06:14Was the woman on the subway a friend of yours?
06:21He's a fool.
06:22Trying to prove how macho you are can get you killed.
06:25Plant the branch of the inferior alveolar.
06:28So you would just stand by?
06:35Let a woman get groped?
06:38Apply manual compression, try and close the fracture gap.
06:41You help every homeless drug addict you see on the subway?
06:44I don't.
06:46And neither does Brown.
06:47Which is why she ought not get so self-righteous.
06:50Yes.
06:51I help my patients to the best of my ability because it's meaningful.
06:56And to me, the downside is purely financial.
06:59For friends, I'll risk a little bit more.
07:00But the only people I'm risking life and limb for are my family.
07:06Someone gropes my wife on the subway, they're going to get whooped.
07:11This isn't going to work.
07:13The mandibular ramus is just too shattered and I can't get adequate stabilization.
07:16We can't do any skin or muscle grafts if we can't fix the skeletal structures.
07:21Teleplastic augmentation to bridge the gap?
07:24The span is too wide.
07:33We're going to have to wire him shut.
07:37Wake him up.
07:39He should know he's never going to talk or eat solid food again.
07:46We're going to have to wire him up.
07:51Forever?
08:04Do you have any questions?
08:09I'm sorry.
08:16The Cantrells want a new surgeon.
08:21Well, can you tell me about the first surgery?
08:39Is this an M&M review?
08:42Not yet.
08:43Not yet.
08:47Is it possible you may have been a little too aggressive?
08:51Cut too deeply?
08:52Are you really asking me that?
08:54I need to know.
08:59I definitely didn't go too deep.
09:01Great.
09:03We'll talk to the Cantrells.
09:06Audrey.
09:07Is this weird for you?
09:09Is this weird for you?
09:13A little? You?
09:15I'm trying not to let it be.
09:17Good.
09:19Me too.
09:25Hello.
09:26I'm here to pick up artificial dermal regeneration templates.
09:29Let me get it.
09:31Hey, Chuck.
09:33I heard what happened to the guy.
09:35Sounds horrible.
09:36Is he going to be okay?
09:38He won't be able to eat or speak normally ever again.
09:45Sean.
09:47You seem a bit uncomfortable.
09:48If it has anything to do with our date, I just want you to know I had a really good time.
09:55And hope we can do it again.
10:02I had a horrible time.
10:06And don't want to do that ever again.
10:22Extensive swelling.
10:24But within the acceptable range of post-apodema.
10:27Very top of the range.
10:29I think maybe Melinda's did go too deep.
10:31Entered the pylorus.
10:33Well?
10:35Swelling is within the acceptable range for post-apodema.
10:40Got your muffins. Delicious.
10:42I'm glad you like them.
10:43I did.
10:44Just kind of surprised you thought I could be bought with baked goods.
10:47We're not trying to buy you off with muffins or a pillow.
10:50Someone got me a pillow?
10:54No. I wanted to show you my support for your promotion.
10:57You're all going to lead surgeries, hundreds of them.
11:00So it doesn't matter who does anything first.
11:02The only thing that matters is that you do it right.
11:09So what was in the box?
11:11Sample marketing pamphlets.
11:13My buddy owns a print shop and asked me to give them some samples.
11:16Well played.
11:18But it's all moot anyway.
11:19It doesn't matter who goes first.
11:21Right.
11:23Just so I'm clear that right was sarcastic, right?
11:26Right.
11:35Hey.
11:36Since when does the president need to stock his own shelves?
11:39When it's a free clinic and you want it done right.
11:44Hey, Kim.
11:46Have you ever had sex in the office?
11:48I'm not going to answer that.
11:50First of all, it's embarrassing if I say yes.
11:52And it's even more embarrassing if I say no.
11:55I take the fifth.
11:57If we're going to get married, I need to know all you're nodding.
11:59I brought us lunch.
12:01I know what you each like.
12:03Dr. Melendez is not just our best surgeon.
12:08He's one of the tops in the entire country.
12:10With the expertise to know that the best way to avoid a truly bad outcome in this procedure is to err on the side of caution.
12:16We hear all that.
12:20We do.
12:21And we really appreciate you taking the time to explain everything.
12:23But we would just be more comfortable having someone else take over from here.
12:32You do understand?
12:34Of course.
12:36I assume you'd be okay if I perform Braden's second surgery.
12:42The chief of the department?
12:44Absolutely.
12:46Thank you, doctor.
12:47Of course.
12:54Nobody likes dating.
12:56It's awkward and uncomfortable.
12:57It's expensive.
12:59Ah, that's why you proposed after two dates.
13:01To save money.
13:02I proposed after two dates because after one date, I realized how much I loved being around you.
13:07And how much fun we'd have together.
13:09He's right, Sean, because the fun can be so fun.
13:14That didn't happen to me.
13:17Mmm.
13:21I have to go to surgery.
13:23Sean?
13:25Whenever you're ready, you'll try again.
13:32What?
13:33Whenever he's ready?
13:35He's gotta go at his own pace.
13:37He needs to be pushed.
13:39Then I'll push him.
13:40A man doesn't push another man into a date.
13:42He pushed you?
13:43Sean doesn't know any better.
13:44If you want him to find love, he literally needs to be pushed into it.
13:49Literally?
13:51Sean's not like other men.
13:53Oh, he easily admits he's wrong?
13:55He easily changes course?
13:59If you don't talk to him, is anything gonna change?
14:06No good deed goes unpunished.
14:09Why does it always work out that way?
14:10It doesn't.
14:12Most good deeds get rewarded.
14:15What do you base that on, Murphy?
14:17Certainly not the news or the Forbes 500.
14:20Or the Bible.
14:21I base it on neuroscience.
14:23Bad outcomes just implant deeper in our cerebral cortex.
14:27So evolution agrees with me.
14:29Our brains encourage us to be selfish.
14:31Yes.
14:33Which makes it strange that people keep being unselfish.
14:37You are.
14:40You saved my job.
14:42And now you're an attending instead of the president.
14:47Screws and wire ligature.
14:54We're not doing this.
14:56We can do better.
14:57There is no other procedure.
15:01We'll invent one.
15:03True starting surgery.
15:05Fair.
15:06What about procedures?
15:07Imaging is fair game.
15:08Anything invasive, we go to our corners.
15:09Crap, I left my keys in my locker.
15:11Losing my mind.
15:12I'll see you tomorrow.
15:13Night.
15:14What about a muscle graft from the temporalis?
15:15That wouldn't address deep mucosal or bone.
15:17Unless we took an osseocutaneous free flap from the radial forearm.
15:18We'd need approximately two inches and could use the natural concavity.
15:19And he could lose the use of his hand.
15:20That seems like a reasonable trade-off.
15:21I'm not telling this guy that we can restore his speech and all it'll cost is his hand.
15:22Because he's a hero?
15:23I'll see you tomorrow.
15:24Night.
15:25What about a muscle graft from the temporalis?
15:29That wouldn't address deep mucosal or bone.
15:32Unless we took an osseocutaneous free flap from the radial forearm.
15:38We'd need approximately two inches and could use the natural concavity.
15:42And he could lose the use of his hand.
15:44That seems like a reasonable trade-off.
15:45I'm not telling this guy that we can restore his speech and all it'll cost is his hand.
15:50Because he's a hero?
15:52What he did has nothing to do with it.
15:54It's what we can do that matters.
15:55What we can do is what we were doing.
15:58That's the protocol.
15:59Aren't we risking more damage by leaving him in an ICU bed while we try to invent a new treatment?
16:07How about attaching two free flaps on vessels on either side of his neck?
16:12Heard from Claire you're having an all-hands-on-deck sesh.
16:15Happy to join.
16:16Good.
16:17How about Park?
16:18He left.
16:19Said he had a thing with his son.
16:21Thankfully I don't have kids so extra hours is not a problem.
16:25Have you considered an allograft augmentation or a-
16:28And y'all were working late.
16:29So I got some coffee.
16:32Any way I can help?
16:33I want to talk about our meeting with the Cantrells.
16:42On date night.
16:43Can it wait ten and a half hours?
16:47I guess.
16:49Have you ever been to the French Laundry?
16:53No.
16:54We should do a weekend in Napa.
16:56I know this great little B&B just south of St. Helena's.
16:59It's not about the Cantrells.
17:00It's about what you said to them.
17:03Has it been ten and a half hours already?
17:05I erred on the side of caution.
17:08Caution is a good thing.
17:10Error isn't.
17:12I didn't err.
17:13Not at all.
17:14I was going to bat for you.
17:16I think that maybe you're so afraid of appearing to favor your boyfriend that you're overcompensating.
17:20Given I think you may have erred, I'd say I was incredibly supportive.
17:24In which case you went against your better professional judgment to favor your boyfriend.
17:27So I'm too supportive or not supportive enough?
17:33Should I change the reservation to two tables for one?
17:38I've had plenty of first dates that were actual disasters.
17:42Took one woman to a Coyotes game.
17:44Saw four minutes of it.
17:45Spent the rest of the night in the ER while she got 17 stitches.
17:49After being hit by a puck.
17:51We got married eight months later.
17:54Then you divorced her.
17:57It was worth it.
18:02We don't have a choice.
18:04Evolution needs us to propagate.
18:06So it gives us a shot of happiness every now and again to suck us in like idiots.
18:13To keep us in a game that we know we're going to lose almost every time.
18:17Because the upside is like nothing else.
18:24Love.
18:28But if Shawn really doesn't need to play then good for him.
18:34We've officially turned to an episode of The Bachelor.
18:36Everyone go home.
18:40I'm not tired.
18:42I am.
18:44No.
18:45There are still a number of possibilities.
18:47Murphy, you are smart and you're creative.
18:50But there are things you can't do.
18:55You can't do miracles.
18:56You can't fix the unfixable.
18:57You can't fix the unfixable.
18:58Who, who, who, who?
18:59You're upset.
19:00I am.
19:01I am.
19:03I am.
19:09I am.
19:10I am.
19:12I am.
19:14Hi baby.
19:15You work way too hard.
19:17Yes, I do.
19:18Hey, baby.
19:22You work way too hard.
19:25Yes, I do.
19:28Let me get you something to eat, because I made some pulled pork and some peanut coleslaw.
19:33No, thanks, Mom.
19:34Did you find a place?
19:36I saw one, but it was nasty.
19:39You must be hungry.
19:40You saw one, and then you came home and cooked.
19:44Yes, I came home and cooked dinner for my daughter.
19:52I'm trying, Claire.
19:54I'm taking my meds.
19:56I'm seeing Dr. Donovan.
19:58I am doing my best.
20:02I've heard that before.
20:08Got six days.
20:14Sean, you need sleep.
20:35Your neurons will be sparkier in the morning.
20:37There are 640 muscles and 206 bones in the body, but only 284 and 72 of those are of sufficient size for our graft.
20:46But that still leaves 20,448 possible permutations.
20:51It's not unfixable until I rule out every...
20:54So, some anatomy problem you won't give up on, but...
20:58After one date, you think you've explored all the possible permutations?
21:06Stop distracting me.
21:08I'm distracting you.
21:09By talking about you.
21:11By talking about love.
21:12Yes.
21:12I need to concentrate.
21:16Okay.
21:17I'll shut up.
21:18You're still talking.
21:19Good night, Sean.
21:21You're still...
21:22We only have 206 bones.
21:24Still talking.
21:25Oh.
21:28Yes.
21:56Sean?
21:56Sean?
21:58I think we should talk.
22:02So did Leah, but I have to find a solution for an oromandibular defect that doesn't involve titanium plates, 356 of our muscles, or 134 of our bones.
22:12I don't think you never want to see me again.
22:14I have to find a solution for an oromandibular...
22:18We have to talk.
22:19You owe me that much.
22:20Why do I owe you that much?
22:34Because I thought we had a nice time.
22:37And I thought you were a nice guy.
22:40An honest guy.
22:41And I still think you are, and I'm confused about how you feel and about how I feel about how you feel, and I just need to talk about it.
22:48So if you have any feelings for me at all, you'll help me understand.
23:06Okay.
23:06My little sister, Andy, has autism.
23:12We're not all the same.
23:15I know.
23:17I think growing up with Andy helps me understand you.
23:23But it also makes me wonder about myself.
23:27And did I date you to prove something?
23:29Did I date you to somehow make things better for Andy?
23:38I don't think I did, but...
23:44My point is, I have questions too, Sean.
23:49Trying to figure out what we want, and why we want it, and is it good for us, are good questions.
23:59And they can't all be answered over one dinner.
24:11I have to go.
24:12I have to go.
24:19Murphy.
24:43I've...
24:44I've got it.
24:46I've got it.
24:47We take a vascularized free flap and suture it to the facial artery and vein, then flip up the pectoralis.
24:58It's a great idea.
25:01We're not doing it.
25:03It's never been tried before.
25:06Risk one, graft failure brings infection, and he loses the other half of his face.
25:11Risk two, sepsis, and he dies.
25:13Risk three...
25:14Yeah, yeah, yeah, risk whatever.
25:15We do the standard procedure, the guy never speaks or eats again.
25:21Dr. Murphy, could you please give us a minute?
25:22Why do you want to do this?
25:35You've been my boss for a few hours, and you're already questioning my motivations?
25:40You fell on your sword for Sean, and your reward for your act of heroism was getting fired.
25:46And now you're back here, answerable to me.
25:50I imagine you've been asking yourself if it was worth it.
25:59Your issues with the procedure are valid, but at least let me put them before the patient.
26:04He'll say yes.
26:05I won't sugarcoat the risks.
26:07He'll say yes anyway.
26:09He wants to believe things will work out.
26:11That's why he's a hero.
26:13Sometimes the hero loses, which is why he's got to learn when to stand back, when there's nothing he can do to help.
26:26Are you going to order me to stand back?
26:33No.
26:33Hey, Sean.
26:41You got a minute?
26:43Okay.
26:45Debbie wants me to talk to you.
26:48To tell you not to give up on love.
26:56Don't give up on love.
26:58Okay.
27:00Do you want me to let her know you told me?
27:03Yes, please.
27:07Hey, Sean.
27:08I know this dating thing can be scary.
27:11You're good at dating.
27:13Well, before Debbie, the last time I went on a date,
27:16Wake Me Up Before You Go Go was the big hit.
27:18Because after Maddie and the divorce, I kind of shut down for a while.
27:25And it felt better to be in a place where I couldn't get hurt.
27:30But then last year I got my diagnosis.
27:32I thought I was going to die.
27:34And Debbie came into my life.
27:35And I said to myself, I don't want to be safe anymore.
27:39You know, I want to feel alive.
27:42And if I get hurt, I get hurt.
27:46That's part of the deal.
27:48Morgan says it's biological.
27:52That it doesn't make sense.
27:54Morgan's right.
27:55So I'm right?
27:57No.
27:58No.
28:00Look, it's wonderful, this love thing.
28:04Why should it make any sense?
28:06When I think about the reasons I'm in love with Debbie,
28:09Okay, she's kind, she's funny, she's loving.
28:14But that's not it.
28:15Not really.
28:18Don't tell her this.
28:19But there are other people in the world that are kinder,
28:21that are funnier, that are more loving than she is.
28:24But she makes me happy.
28:26Just being around her makes absolutely no sense.
28:30But I wouldn't trade her for anything.
28:39I have an ethical dilemma.
28:55I was going through state regulations from medical staff,
28:58specifically residents,
29:00and their new guidelines have raised an issue for me.
29:03The state caps residents at 80 hours a week,
29:05but I don't think that's nearly enough.
29:07I work over 100, and I don't plan on cutting back,
29:11so I'm wondering how I should be reporting my hours.
29:13Mark offered to co-write a paper with me.
29:17I'll just suck up.
29:18He said yes.
29:19It's an interesting case.
29:20It should be written up.
29:21So he's...
29:22Gonna do a lot of work for nothing,
29:24except for the good of the medical community.
29:27And I'm gonna tell you what I told him.
29:29If you come to me with one more favor,
29:31one more humble brag,
29:32if I suspect either of you have your lips puckered,
29:35you're going to the bottom of the list.
29:37Yes, ma'am.
29:44Dr. Lim,
29:45did you ever think about what it means,
29:48me doing all this?
29:50It means you've underestimated me.
29:52Maybe.
29:53But it also means that I care.
29:56That getting the first surgery means something to me.
30:00Enough for me to go out and really overspend on designer desserts,
30:03and then to spend even more time trying to make them look homemade.
30:07If I'm putting that much effort into muffins,
30:09imagine how hard I'll work to make the most of this opportunity,
30:12if it's given to me.
30:13With considerable physio and speech therapy,
30:24this graft would allow you to not only chew and swallow whole foods,
30:28but it would enable you to talk again.
30:32It's an untested procedure with not insignificant risks.
30:36If the graft doesn't take,
30:37more skin and bone could become infected,
30:40possibly necrotic.
30:43We need to know you understand.
30:49It's an experimental procedure.
30:51In addition to all of the usual surgical risks,
30:54there are all of the unknowns.
30:56Bleeding out,
30:58permanent graft loss,
30:59stroke,
31:01death.
31:13Good for you, Josh.
31:29Get him prepped.
31:29Infused carbon dioxide.
31:39Grasping duodenum just distal of the pylorus.
31:45Huh.
31:46Look at that.
31:47That's not good.
31:48Paige, Dr. Melendez.
31:53An intussusception.
31:55The telescope bowels causing a blockage.
31:57The baby had two unrelated conditions causing the same symptom.
32:00Will he know about the second condition because of the first surgery?
32:04The treatment protocol is a barium enema.
32:06But not for someone Brayden's age.
32:08An air enema might work.
32:10Unless the intestine's torn.
32:13Morgan,
32:14reposition the scope to get a better look at the intestinal wall around the intussusception site.
32:22There's too much swelling and edema to be sure.
32:24With the risk of infection,
32:25we don't have time to find out.
32:26You're going to have to open them up.
32:28You should.
32:30Tentrell's made their wishes clear.
32:32Well, that's when I made them think you'd erred.
32:34Which you did not.
32:35Not on the side of caution.
32:37Not at all.
32:39We do the surgery together.
32:42Who's lead?
32:43I think you know.
32:44Pulling wreck?
32:45Absolutely.
32:47As chief of surgery,
32:49I designate you.
32:51It's like a puzzle.
32:52You secure the artery
32:53and the vessel just won't quite stretch to the vein.
32:57You could mobilize the recipient vessel.
33:02Beat that, Dr. Brown.
33:03Mobilize the recipient vessel
33:05to create more slack.
33:11You saw Carly again.
33:13How was it?
33:14Inconvenient.
33:16But despite her intrusion,
33:18I was still able to concentrate on medicine.
33:21It wasn't an intrusion.
33:22That was a date.
33:23It was walking.
33:24Walking with someone you like
33:26who likes you too
33:27is a non-date date.
33:29Some of the best dates that I have had
33:30did not involve flowers
33:32and restaurant reservations.
33:33Just sharing a bag of chips
33:36and sitting on a couch.
33:39Secured.
33:40Remove clamps.
33:44Blood flow to and from graft.
33:47Let's move on to the pectoralis flap.
33:49Blood pressure's dropping.
33:51Okay.
33:52Heart rate is up.
33:53Push IV fluids,
33:54give epinephrine one milligram,
33:55then start a drip.
33:58There's intestinal wall perforation.
34:00Reparable?
34:02There's too much tissue damage.
34:05Infection?
34:06No sign of peritonitis,
34:07but we'll need to remove this section of bowel.
34:13He's tacky.
34:14Hypotensive.
34:15Push vasopressors and antibiotics.
34:18Check an ISAT hematocrit ABG.
34:19Give two units PRBCs.
34:21I don't see any major bleeding.
34:23Push more fluids,
34:24start an inotrope.
34:26Check all vessels we worked on
34:27for class with the Doppler.
34:28Okay.
34:35Large clot in the carotid.
34:37Clamps back on.
34:39Performing carotid arteriotomy.
34:41We'll try to aspirate out the clot.
34:43Stand by with heparin.
34:44Parotic clot removed.
34:58E.G. looking good.
35:01Resuming pectoralis flap dissection.
35:05Good work, everybody.
35:06Good work, everybody.
35:36Go ahead, say something.
35:43Yeah, you can talk.
35:44Maybe not too much at first.
35:46You're the draw chance to heal.
35:52On behalf of all of us,
35:58you're very welcome.
36:00The woman who's being accosted
36:02when you intervened is here.
36:04Is she all right?
36:06She's not here as a patient.
36:07She's been waiting to see you.
36:10Okay.
36:11Okay.
36:11Hello.
36:22Hey.
36:24I am so sorry this happened.
36:28Me too.
36:30You look...
36:31When the swelling goes down,
36:33he'll look a lot better.
36:35It's okay.
36:37My face was never my fortune.
36:39What made you do it?
36:45Why did you step in?
36:49I don't know.
36:52You needed help.
36:53Olivia, by the way.
37:04Josh.
37:05We'll let you two get acquainted.
37:06It didn't matter who got
37:15the first lead surgery to me,
37:17but it's recently been brought
37:19to my attention
37:20how much it might mean
37:22to some of you.
37:23Seems I'd forgotten
37:24how important this decision is
37:26when you've been dreaming
37:26about it for years.
37:28You're all excellent candidates,
37:30each deserving,
37:31and we'll all get your turn.
37:34Starting with Dr. Brown.
37:35Yes.
37:46Congratulations.
37:47Thanks.
37:50What the hell was that?
37:52I was happy for a colleague.
37:54You weren't campaigning for you to win.
37:55You were campaigning for me to lose.
37:58Do you dislike me that much?
38:01I just wouldn't want you
38:02supervising me as chief resident.
38:03You'd be a nightmare for boss.
38:15John.
38:15Dr. Lim thought my motives
38:20for fighting this hard
38:21for this patient
38:22were miscalculated.
38:25She was right.
38:27We shouldn't have saved his face?
38:30We have limited resources,
38:31and we're even more limited
38:32in our personal capacity
38:33to determine who is deserving,
38:35so we make a choice
38:36to treat everyone the same.
38:37So why did you treat
38:40this patient differently?
38:42Because I was angry.
38:44I made a sacrifice
38:46to save you.
38:48I lost my job,
38:50I took a substantial demotion,
38:51and I thought I was a fool.
38:53The cost was way too high.
38:55I resented you,
38:58and I kind of resented
38:59the universe.
39:03But today,
39:05you made me proud
39:07of my sacrifice.
39:15You're welcome.
39:16Very few things
39:20that are worthwhile in life
39:21come without a cost,
39:23John.
39:44This is tricky.
39:46I feel like we were just tested
39:48and both of us failed.
39:52But
39:52we'll get better at this.
40:08Hey, honey.
40:09I'll make you a plate,
40:10and you can take it to your room.
40:12Thanks.
40:15I saw three more,
40:16apartments today.
40:17One was kind of nice,
40:18but it's not ready
40:19until a week from
40:20this Tuesday,
40:21which puts me over your deadline
40:23by three days.
40:27No.
40:30Three days.
40:31Come on.
40:31You can stay here
40:32for a little while
40:35until you're a bit better.
40:37You have to stay on your meds
40:40and keep away from other drugs
40:41and alcohol.
40:42I'm testing a urine
40:43every two days.
40:44Don't miss any appointments
40:45with Dr. Donovan.
40:48Can you live with that?
40:49Do you have a couch?
41:02Do you have a couch?
41:06You have a couch.
41:12You have the balance of the time, it only blindly I could read you, but I couldn't need you.
41:25It's like you told me, go for it slowly, it's not a race to the end.
41:32Well, you look like yourself, but you're somebody else, only it ain't on the surface.
41:44Well, you talk like yourself, no, I hear someone else, so now you're making me nervous.

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