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The Good Doctor Season 3 Episode 11

#TheGoodDoctor
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Transcript
00:00Well, there'll be
00:01Sean, you okay?
00:27We have to be at the airport at 7 a.m.
00:31I think when you're taking the first flight out of Casper,
00:34you don't need to be there 90 minutes early.
00:38Or maybe you do.
00:45You want to talk about last night?
00:49I think we should.
00:54Why?
00:55Because you were in a pretty bad place,
00:58which is totally understandable.
01:01I feel better now.
01:03I'm glad I could help you.
01:13But I also think we shouldn't tell anyone I stayed here all night.
01:18People might get the wrong idea.
01:20Okay.
01:22We slept together.
01:52Did you use protection?
02:02No, we did not have sex.
02:05We just slept together, held each other.
02:10I was upset and Leah comforted me.
02:16Lying in bed with her, it felt different than it does with Carly.
02:26Well, maybe that's why you invited Leah instead of Carly in the first place?
02:32Leah and I are just friends.
02:35Yeah, she's made that very clear.
02:38Sometimes you learn more about someone by what they do than what they say.
02:43Of course, who the hell knows what she wants, but more importantly, what do you want?
02:50I don't know.
02:53Well, you better figure it out soon.
02:56There's sex for no sex.
02:58The wheels are in motion and someone's about to get run over.
03:04They had malamars.
03:06Let's roll.
03:08Sean, are you back already?
03:32Why wouldn't I be?
03:33I like being here.
03:35Sean, I'm really sorry to hear about your father.
03:40How are you doing?
03:42He died and the seat was very uncomfortable on the flight so I couldn't sleep.
03:47And they only had the salty peanuts and not the pretzels I like.
03:52Yeah, life sucks.
03:54We need a doctor!
03:56We were mountain biking.
03:57She fell down a rocky slide.
03:58Her leg.
03:59We all need an x-ray and an MRI.
04:01Let's also get you something stronger than this ice pack for the pain.
04:02No!
04:03They gave me Vicodin when I had my wisdom teeth pulled.
04:04I was sick for two days.
04:05Have other painkillers?
04:06Really?
04:07I'm fine.
04:08I made it through childbirth without drugs.
04:09I can make it through this.
04:10That hurts less than childbirth.
04:11Tender and bloated.
04:12We should get you admitted.
04:13Get an x-ray.
04:14That's all right.
04:15All I need are laxatives.
04:16Does that hurt?
04:17No.
04:18No.
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05:10Sean, you're back.
05:13Hello, Carly. It's good to see you. I missed you.
05:16Morgan and I have a patient with a comminuted leg fracture.
05:19We need a rush on a CBC and coagulation panel.
05:24Sean, I'm sorry about your dad.
05:27Why didn't you return any of my calls or texts?
05:31I was very busy.
05:35You had time to text me.
05:38I wasn't sure what to say.
05:40Sean, I know that you don't always understand people's feelings.
05:46But a part of you had to understand that ignoring me would be hurtful.
05:53I'm not sure what to say now.
06:01My patient is getting an MRI. I need to get back to them.
06:06Are you going to take the samples?
06:11Hey.
06:30PTSD.
06:31It's an interesting topic.
06:32I was organizing some notes for a potential case report.
06:36Nice. Look forward to reading it.
06:37I started seeing a therapist.
06:46Good.
06:49I hope you find it helpful.
06:50She thinks I, uh, I might have PTSD.
06:56Sounds a bit excessive.
06:58You've definitely dealt with some childhood trauma.
07:02You think she's right?
07:03I think doctors make the worst patients.
07:07The best patients are the ones who ask a lot of questions.
07:09And keep an open mind.
07:24We gave him the laxatives and right away he tried to leave.
07:26Ended up passing out and vomiting.
07:27I'm fine. I can take care of this at home.
07:29Hey, we need to get him to radiology and we need an abdominal CT stat.
07:32No, you can't keep me.
07:34You can't keep me against my will.
07:35Wherever you need to be, it can wait.
07:36You need help now.
07:37What are you transporting?
07:39Painful constipation, nervous agitation, refusing scans.
07:43You're obviously packing trucks.
07:45The balloons have either created a complete obstruction or one of them burst.
07:49Please, I just want to go home.
07:52Luca, we're doctors, not cops.
07:55He definitely smells like a cop.
07:57We won't call the police, I promise.
07:59Whatever is wrong, let us help you.
08:07How's Carly?
08:09She wasn't upset about you ghosting her while you were with Leah in Wyoming?
08:13She said it was hurtful.
08:16You got off easy.
08:17Is this your weird way of breaking up with Carly to get with Leah?
08:19I don't want to break up with Carly.
08:21But you do want to get with Leah.
08:23I didn't say that.
08:24Not out loud.
08:25And you're making a big mistake.
08:29Carly's smart.
08:30Pretty.
08:31And the fact that she's willing to deal with all your stuff means you should be thanking whatever God you pray to that you ever met her.
08:37While Leah is, well, a flake.
08:41She's not a flake.
08:44She showed up on your doorstep without even giving you a heads up that she was coming back to San Jose.
08:49Then she needed to move out, but then she moves in, not to mention the whole let's get drunk on tequila and I'll teach you how to kiss, but I just want to be friends nonsense.
08:59She's not a flake.
09:05There's traumatic avulsion of the ligaments.
09:09She's going to need surgery.
09:11We hammer a long rod through the medullary canal to hold the two ends of the break together.
09:21It's a broken leg.
09:22Can't you just put a cast on it or something?
09:26Obviously, you'll be asleep.
09:27You won't feel anything.
09:30I lied about the Vicodin making me sick.
09:37My husband doesn't know.
09:41I'm an opioid addict.
09:44I've been clean for 10 years, but one dose can send me right back.
09:48Do whatever you need to do to fix my leg, but you can't use any narcotics.
09:52Not even an epidural.
10:01Strongest thing she'll let us give her is Tylenol.
10:03Ketamine?
10:04What about ketamine?
10:05It's non-narcotic and can create a dissociative effect.
10:09It's mind-altering and potentially addictive.
10:13Hypnosis has been shown to be effective.
10:15Only when used in conjunction with narcotics.
10:18Studies say playing the patient's favorite music can help manage pain in certain surgeries.
10:23Yeah.
10:23We hammer a nine-inch rod through her tibia, but she's okay because she's listening to the soundtrack from Hamilton.
10:28I said certain surgeries.
10:32Okay.
10:32That's the answer.
10:34Music?
10:34A different surgery.
10:37Some other way of putting her leg back together.
10:40An external fixation?
10:44We put two pins through the proximal tibia, another two in the distal out of the bone beyond the fractures.
10:50Healing will take much longer, and there's an increased risk of infection and permanent deformity.
10:54And small pins are much less painful than a huge nail.
10:57I'll get her prepped.
11:13I got laid off.
11:15I needed money, and this was just a one-time thing, but it was a mistake.
11:20It was a stupid mistake.
11:24This works best if you don't talk.
11:27Our plan is to attach a metal frame with pins into your leg.
11:35It'll stabilize the fractures, and we can do it without narcotic anesthesia.
11:39I know she's worried about an allergic reaction, but aren't there any other drugs you can use?
11:50Given your wife's medical history, this is the best strategy.
11:54Don't worry, sweetie.
11:55Remember, I'm strong like Wonder Woman.
12:00Okay?
12:05There's over 50 latex balloons lodged near the ileocecal junction.
12:08They'll need to be surgically removed, and we need to alert San Jose Vice Narcotics.
12:12No.
12:13The only reason he agreed to treatment is because we promised he wouldn't do that.
12:16I didn't promise that, neither did Dr. Melendez.
12:18We don't call the police on overdose victims or addicts.
12:21He's got probably two kilos of what I'm sure is heroin in his gut.
12:25He's not an addict.
12:26He's a dealer.
12:29I know you feel for this guy, but hospital policy is clear.
12:32Take a few more of those deep breaths for us.
12:43There's two more to go.
12:45Look.
12:47Carrie, we need you to somehow keep your legs still.
12:49He's 190 over 110.
12:56Push IV beta blockers.
12:58Wait, no.
12:58No, they're not narcotics.
12:59We just need to give you something to reduce the pressure.
13:01Okay.
13:06Back to 150 over 80.
13:08Carrie, how are we doing?
13:09Better.
13:10We'll get this last one in, and you'll be good to go.
13:13No, you promised me.
13:20Yeah, you value honesty and morality over all else.
13:22If you leave this hospital now, you will die.
13:25I'll take my chances.
13:27You know what'll happen when one of those balloons bursts?
13:30You'll start feeling weak, get cold.
13:33Soon you'll have secretions filling your lungs and airway.
13:35You'll try to scream for help, but nothing will come out.
13:43Can you get the release paperwork?
13:50I'll be back in a few minutes.
13:53Luca, I understand where you're coming from.
13:56You're a doctor.
13:57Last job I had, I was a busboy.
14:08I grew up in a trailer.
14:09A bunch of them, actually.
14:10My mother wasn't the type to save for a rainy day.
14:13But we never gave up.
14:17Even when you think you're alone, you're not.
14:19I want to help you.
14:21You just have to give me a little more time.
14:25One hour.
14:26If I can't figure out how to treat you and keep you out of jail,
14:30you can walk out the door.
14:35One hour.
14:37And then I'm gone.
14:43You'll have some discomfort for the next few weeks,
14:46but all you need right now is rest, and you should be able to...
14:50Mommy!
14:50My gosh.
14:52That's so cool.
14:54Everyone says their spouse is the strongest person they know.
14:57But I have actual proof now.
15:02Told you.
15:04Wonder one.
15:07This is absurd.
15:08If this was a tumor, we'd take it out and toss it.
15:10This time it just happens to be drugs.
15:12Yeah, because cancer is not a felony.
15:14You can't just toss out the drugs with the medical waste.
15:16He's not a gangster or a hardened criminal.
15:19He's just a scared guy trying to survive.
15:22You're assuming anything he's told you is true,
15:24and even if it is, not everyone who needs money becomes a drug mule.
15:28You can't imagine what it's like to grow up in that kind of poverty.
15:31Shouldn't you be judging this guy the harshest?
15:33You made it out just fine without breaking the law.
15:35Well, that's not exactly true.
15:41My mother used to go on these trips.
15:43I would come home from school, and she'd be gone.
15:46Sometimes hours, sometimes days.
15:48I didn't have any money.
15:50So when I needed supplies and food from the store,
15:53I would sneak them away in a backpack.
15:56One day the bag broke,
15:59and all of the soup and oatmeal that I had stolen
16:02fell out right in front of a security guard.
16:05And she looked at me, at my face, at my clothes,
16:10and then she helped me pick them up and let me go with a warning.
16:15If she hadn't given me a break,
16:16I wouldn't be standing here as a doctor discussing this with you.
16:25Maybe there's a way to save Luca
16:27without ruining his life or breaking policy.
16:30Maybe there's a way to save Luca.
16:47Sean, you need the elevator.
16:49Use the elevator.
16:50Use the elevator.
16:50What am I doing wrong?
17:10I never know where I stand with you.
17:14One minute we're sharing deep personal fears with each other,
17:18and the next you're running away because you can't stand to touch me.
17:24Be honest.
17:26Is there anything going on with Leah that you're not telling me?
17:34Say something, Sean.
17:36It's different.
17:44I like you, Carly.
17:48When I'm around you,
17:51I want to be impressive to you.
17:55I don't feel like I have to impress Leah like I do you.
17:59We will have to keep whatever medical waste
18:15we collect during our surgery in the lab for testing.
18:17But we will discharge you before the pathology report comes back.
18:22At which point, we'll be obligated to alert the police.
18:26How do I know you're not going to call the cops right after you put me to sleep?
18:28You're going to be a moron not to trust Dr. Brown at this point.
18:32She's gone way beyond the call to save your ass.
18:36Okay.
18:37Say thank you.
18:56Dr. Murphy, how about you head home for the night?
19:17We still need to monitor Carrie, and it's easier for me to avoid Carly here than it is for me to avoid Leah at home.
19:24Okay, I'm only going to respond to the first objection. You've had a long week, and it's important you get some rest. Morgan will take point.
19:34How did you know your wife was the right woman for you?
19:37Personal advice? I thought that was Dr. Glassman's domain.
19:43Dr. Glassman is divorced. He seems happy with his marriage now, but I have no way of knowing for sure you're better than him.
19:54For this.
20:01I knew I wanted to be with Isabel the first time we spoke. Freshman year biology class, and I have not wavered in that resolve in the 27 years since.
20:11But how did you know?
20:16It was a feeling I had in the pit of my stomach every time I was around her. I felt...
20:22Nervous?
20:24Excited.
20:26It's a cliche, but my heart sped up every time I saw her. Still does. Not quite in the same way, but...
20:41If you don't mind, I need to get home to that woman.
20:57Hey, you. How was the first day back?
21:00Confusing.
21:01Problem with the patient or Carly?
21:13If you don't want to talk about it, we can just hang.
21:15Let's just hang.
21:17Copy that. Commencing a hang.
21:24Uh...
21:43Um, Sean, what's up?
21:52This will just take a few seconds.
22:10Hello?
22:11It didn't work.
22:11Carrie's leg is swelling up.
22:13I think she has compartment syndrome.
22:15You need to get back here.
22:22We'll have to do the surgery we've been trying to avoid.
22:25We'll first have to make multiple incisions to relieve the pressure,
22:29and then replace the external frame with an internal nail.
22:32If we don't act soon, you could be facing an amputation.
22:38Okay.
22:39You'll need to be sedated.
22:41No.
22:42Look, I can take it.
22:43I can take it.
22:45You'll need to do the pressure spike during the fixation procedure.
22:48Without anesthesia, you could have a hypertensive crisis, a risk of stroke, or heart attack.
22:54Post-op, we can help you manage the dosing.
22:56And if you relapse, we have counselors that...
22:59No.
23:04I remember waking up all those mornings cold and alone, wondering if I could ever be happy again.
23:10I deserve to be happy.
23:13Any amount of pain is better than losing everything I can.
23:19My husband, my daughter.
23:22How long can you keep secrets from the people you love before they stop being the people you love?
23:29Every relationship has secrets.
23:34This, it doesn't have to be one of them.
23:37Drug addiction is a disease.
23:39You have nothing to be ashamed of.
23:41It happens because of the choices you make.
23:46Well, you have lost everything, but you still managed to find someone who makes you want to get up and live another day and do whatever you can to hold on to them.
24:00Even if it means burying a piece of yourself in the process.
24:11If we can't convince her to change her mind, maybe her husband can.
24:16Impracticality isn't cause for breaking doctor-patient confidentiality.
24:20This isn't impractical.
24:22It's irrational and barbaric.
24:25We're not permitted to reveal any secrets to the husband.
24:30But, we can tell him that.
24:43Last one.
24:49What's wrong?
24:50It's too adherent to the intestinal wall.
24:53Could you use pot scissors to dissect it free?
24:58Let's give it a try.
24:59Nurse?
25:03Your idea.
25:04Only fair you do the honors.
25:06Check it for perforations.
25:17It's intact.
25:18Vitals are stable.
25:19Take the specimen container to the lab.
25:21Dr. Brown, you're leading closure.
25:23There's been some complications.
25:24We need to perform an additional surgery.
25:25What do you need to do?
25:26I can't tell you.
25:27What do you need to do?
25:28I can't tell you.
25:29I'm unable to go into further detail.
25:30It would violate your wife's confidentiality.
25:31Confidentiality?
25:32Confidentiality?
25:33Haven't you been telling me everything?
25:34Again, I'm unable to go into further detail.
25:35It would violate your wife's confidentiality.
25:37Confidentiality?
25:38Confidentiality?
25:39Haven't you been telling me everything?
25:40Again, I'm unable to go into further detail.
25:41It would violate your wife's confidentiality.
25:42Confidentiality?
25:43Haven't you been telling me everything?
25:44I can't.
25:45I can't.
25:46I can't.
25:47I can't.
25:48Hey.
25:49Hey.
25:50Hey.
25:51What's going on?
25:52Why can't the doctor just talk to me?
25:53Wow.
25:54I'm unable to go into further detail.
25:55Hey.
25:56Hey.
25:57What's going on?
25:59Why can't the doctor just talk to me?
26:02Wow.
26:03Hey.
26:04Hey.
26:05Hey.
26:06Hey.
26:07Hey.
26:08Hey.
26:09Hey.
26:10Hey.
26:11Hey.
26:12Hey.
26:13Hey.
26:14Carrie, obviously there's something going on you don't want me to know.
26:19Are you dying?
26:20No.
26:21No.
26:22It's nothing like that.
26:27Hey.
26:29Then what?
26:31Whatever it is, I want to be able to help.
26:35Please.
26:40I'm an opioid addict.
26:43I've been clean for a decade.
26:44But that's why I never take painkillers and that's why I can't let them use anesthesia.
26:55Why didn't you ever tell me?
26:59You don't know the kind of person that I was.
27:04Who the drugs turned me into.
27:08I tried quitting so many times, but it never stuck until you.
27:13Meeting you saved me.
27:19But...
27:20If I relapse, I know I'll drive you away.
27:25Hey.
27:25How could you ever think I'll stop loving you?
27:31The woman who knows the lyrics to every Boyz II Men song.
27:36The woman who rushes home to watch those stupid home makeover shows.
27:39The woman who will steal from you.
27:40The woman who will steal from you, the woman who will lie to you, who will hurt you.
27:51The woman you won't be able to trust.
27:54The woman who wants to...
27:54Punkte is the mood.
27:56Oh myровa-
27:59Just do what the doctors tell you.
28:01Take the meds.
28:02I'll be there for you, no matter what happens.
28:07I love you, and I know you mean that, but I'm not as strong as you think I am, I just can't, I'm so sorry.
28:37I'll start prepping you for surgery, I like your laugh, I like your smile, I don't usually look at eyes, but I think yours are pretty, I like your breasts, you can keep going if you want to.
29:07I like spending time with you, I like that you are kind, I like that you are patient, I like that you're my girlfriend.
29:16Are you going to break up with me?
29:18No, I am not planning on breaking up with you.
29:21We had a fight, couples fight, but I'm worried, Sean.
29:28Sean, I'm flattered that you want to impress me, but that is not worth anything if you feel like you can't talk to me.
29:37You're right, I have to tell you everything.
29:47I got very upset in Wyoming.
30:06Wyoming, Leah came in to comfort me, and we hugged and laid down on the bed, and we fell asleep hugging.
30:23We struggled with lying together for weeks, and you did it in one night with Leah?
30:38Leah?
30:41Yes, but she's a close friend, and she wanted to be there for me.
30:49Please, please, just stop talking.
30:53Sean, I just, I need some space.
30:56I can't be around you right now.
31:10Sean?
31:11I wanted to be honest.
31:13Carly said she wanted me to talk to her, Leah said not to tell what happened, Leah was right.
31:17Uh, take a breath, sit down.
31:18I can't, I have surgery in a few minutes, and I can't focus, and, and I feel sick, and is everyone going to leave me?
31:27What?
31:28What are you talking about?
31:30My dad didn't want me.
31:32My mom chose him over me.
31:37Carly now hates me.
31:38Sean, Sean.
31:38Leah will get tired of me.
31:40You'll get sick of me.
31:41I do everything wrong.
31:42Sean, Sean.
31:42Everyone will go away.
31:43Sean, get me for a second.
31:44Hey, hey, Sean.
31:45People are sick.
31:46Oh, my God.
31:46I need them to hate you.
31:47I need them to hate me.
31:48Sean, look at me, look at me, look at me.
31:49Right here.
31:50Right here.
31:51Look at me here.
31:52Don't ever say that about yourself.
31:53Don't ever say that.
31:55You hear me?
31:59You're going to get through this.
32:00You're going to go to surgery, and you're going to get this done.
32:03How?
32:03How?
32:03How?
32:04Because you're an extraordinary doctor.
32:05That's how.
32:06And that's what you do.
32:08That's what you do.
32:09Hey, hey, hey, hey, hey.
32:12I could not be more proud of you.
32:18You hear that?
32:21And I could never get sick of you.
32:31You're not getting rid of me, pal, okay?
32:34Right here.
32:37Right here.
32:38I'm going to be late to surgery.
32:47Can you let me go now?
32:49Yeah, okay.
32:52Okay.
32:53Okay.
32:53Okay.
33:04Dulling cream applied.
33:06Are you ready?
33:12Are you ready?
33:12We were able to remove all the balloons, so you should be out of here in 24 hours.
33:37It'll likely take another 48 hours to get the contents tested.
33:42The lab's very busy.
33:47I know I've been a pain in the ass.
33:50I've just gotten used to people screwing me over.
33:53You're the first person that's made me feel, I don't know, seem.
34:01Maybe one day I'll find a way to pay it forward, right?
34:12Reamer's in the intermedullary canal.
34:15This will make space for inserting the nail.
34:18You're doing great, Carrie.
34:20Inserting in the canal.
34:21Here comes the nail.
34:22You ready?
34:22She's spiking.
34:29There's beta blockers.
34:36Hang in there.
34:38220 over 170.
34:40She's having a tachyarrhythmia.
34:41Screw it.
34:42We have to push the fentanyl.
34:47Nurse, help, Dr. Murphy.
34:48No, it's helping distract her.
34:52You sure, Dr. Murphy?
34:53Yes.
34:53Please hurry.
35:04It was a good day.
35:07It must be very gratifying, saving lives.
35:10I think I might have done a little more than that today.
35:12I think I might have changed one.
35:19Last time we met, you mentioned that your mother would frequently berate you when you were young.
35:28What kind of things would she say?
35:32We have to get into that right now.
35:34Can't I just have a good day?
35:39You know, enjoy feeling okay for once.
35:42Claire, I believe you've fallen into destructive patterns precisely to avoid confronting your feelings about your mother.
35:51Her death.
35:53Feelings that need to be confronted if you hope to get better.
35:57They're reviewing the security video.
36:17Someone faked a seizure.
36:18Staff responded.
36:20And another person broke into the storage locker.
36:24Do you think Luca...
36:26The only thing missing is his specimen.
36:28Is someone questioning him?
36:33Luca's gone.
36:38What will the police do?
36:39Nothing.
36:40All we have is a fake name and the knowledge that someone stole some balloons with unknown content.
36:44She definitely is a wonder woman.
36:58You were right the first time.
37:01She's totally irrational, needlessly engaged in her life.
37:06But I understand why.
37:08My mother used to say I'd end up like her.
37:35Putting my faith in the wrong people.
37:40Getting taken advantage of.
37:43That no one would ever truly love me except her.
37:47There are worse qualities in this world than trying to see the best in people.
37:59If you're a good person...
38:01Every now and again you're going to feel like an idiot.
38:06And today you were wrong.
38:07And I am still grateful that I work with you.
38:14Sure.
38:17Have you had enough space yet?
38:39Sean, do you remember the first time we met?
38:57I was checking on a biopsy to see if the tumor margins were in the artery walls.
39:08Yeah.
39:10And you said if I didn't do it right then, you would toss a rock through my window.
39:16Yes.
39:17I thought it was cute, how much you cared.
39:23And when you started working in Path, I realized...
39:27This guy may be the most genuine person I have ever known.
39:36You told me the truth.
39:39That is a good thing.
39:42It's why I like you.
39:44That's why I don't want to lose what we have.
39:53You hurt me.
39:57And I worry something like that could happen again.
40:08I want to be with you, Sean.
40:10But I don't know how this works if you're still living with Leah.
40:20You want me not to live with Leah?
40:26I know that's a lot to ask.
40:35And if it's too much...
40:38I understand.
40:46You don't have to answer right away.
40:48But you're running out, maybe...
40:51It takes some time.
40:52I'll find so I'll lift you
40:55Without you
40:58On a circle
41:02That we're moving
41:05And remind me
41:08If the love we're wasting
41:10If we're searching
41:13For the same thing
41:16Okay
41:17And the wild is still so hard
41:21Okay?
41:23I...
41:24Want to be with you
41:26I love you, Carly
41:31I love you, Carly
41:57I love you, Carly