The Good Doctor Season 3 Episode 8
#TheGoodDoctor
#ShowMoviesTV
#TheGoodDoctor
#ShowMoviesTV
Category
🎥
Short filmTranscript
00:00Okay.
00:02Okay.
00:12Okay.
00:24This is terrifying!
00:30It's beautiful!
00:32It's beautiful!
01:00Are you ready to try lying down? Because I am ready, Sean. I am very ready.
01:22Very early.
01:25600 thread count microfiber sheets, a shredded memory foam pillow, a 40-watt A19 incandescent bowl.
01:52I'm sorry.
02:06I'm sorry.
02:08I didn't return my calls this week.
02:10After a ride up Skyline Boulevard, 60 minutes of Muay Thai and a 15-year reserve scotch, I had a moment of clarity.
02:22What you said about my objectivity in the fields case wasn't about me. You were in pain.
02:26I was taking responsibility and asking you to take your share.
02:28It was a good surgical plan.
02:30You need to accept that despite being a gifted surgeon, you are fallible.
02:34I think I should run my procedures by Glassman from now on.
02:36You need to accept that despite being a gifted surgeon, you are fallible.
02:40I think I should run my procedures by Glassman from now on.
02:42Andra, we need some checks and balances.
02:44I am sure.
02:46I'm sure you're in pain.
02:48I'm sure you're in pain.
02:50I'm sure you're in pain.
02:52I'm sure you're in pain.
02:54I was taking responsibility and asking you to take your share.
02:56It was a good surgical plan.
02:58You need to accept that despite being a gifted surgeon, you are fallible.
03:02I think I should run my procedures by Glassman from now on.
03:05Andra, we need some checks and balances.
03:09I am checked and balanced.
03:17And I'm the chief of this department.
03:21You will continue to run your medical decisions past me.
03:39Brown, you're with Melendez today.
03:41Murphy and Park meet me in the ER observation unit in 20.
03:43I thought I was on ER consults with Park today.
03:45If I'm being bumped because I took off the other day, Dr. Brown was every bit...
03:49First lead surgery.
03:54Schedule for tomorrow.
03:55Study the images and prep your patient.
03:59Yes! I rock! I rock!
04:01The surgery gods know it. I know it.
04:03And apparently, so does Andrews.
04:05Boasting doesn't have the same impact when you're picked last.
04:09He was obviously waiting for the right case to come along.
04:11No.
04:13Are you kidding me?
04:15This is much better than my first surgery.
04:19Damn right. A med student could do an appy.
04:21The carotid endarterectomy takes serious finesse.
04:25Fair to say it's really a fifth year procedure, but I don't have time to sit around debating semantics.
04:29I have the holy grail of resident surgeries to prep for.
04:33The tumor was found on my left lung at my medical fitness exam.
04:41Tricky spot.
04:43Curable.
04:45But tough to remove without taking the entire lung.
04:48That's what they said.
04:50And you didn't like that answer.
04:52I need my lung.
04:54I'm going to the moon.
05:03When did the chest pain start?
05:12Around nine this morning.
05:14Hey, I'm going to look at your heart.
05:16This gel may be a little cold.
05:18You see a cardiologist.
05:19Did you use the nitrate prescribed?
05:21It usually relieves the angina, but not this time.
05:24Are you the same Rosalind Ellion who just published a study on IDH2 inhibitors in myeloid leukemia in the Journal of Pediatric Oncology?
05:37Yeah.
05:38Wow.
05:39You're famous.
05:43I used an IDH2 on a kid with AML.
05:45I mean, he's doing great.
05:46Your studies revolutionized leukemia treatment.
05:49It's an honor to meet you.
05:51That's kind of you to say.
05:52Noticing interopical wall motion abnormalities.
05:55Is your chest pain worsening?
05:56Yes.
05:57How did you...
05:58She's having a heart attack.
05:59Contact her family.
06:00Meet us in surgery.
06:01She needs a triple bypass.
06:09The moon?
06:10The moon.
06:11In 2020.
06:12It's a private venture partnership with NASA.
06:15Floating in an expansive, unhabitable emptiness 200,000 miles from the nearest Starbucks.
06:21Not for me.
06:22You never wanted to be an astronaut when you were a kid.
06:27Had enough challenges here on Earth.
06:29Did you?
06:30I was a tracker.
06:32All my friends had spot gears.
06:34It was all about McCoy.
06:36There's our tumor.
06:39It's embedded in the hilum.
06:42NASA doctor was right.
06:45You'd have to take the entire lung to get it out.
06:47Not necessarily.
06:49The tumor's grown into the upper lobe.
06:51If we can remove it from the main bronchus, we can get a clean margin.
06:54The rest alone can stay.
06:56No go.
06:59You'd have 80% of your...
07:01If treatment reduces my lung volume at all, I'll be unfit for space travel.
07:05The mass is too deep.
07:06Major blood vessels, your airway, esophagus, and heart are right there.
07:11The next opinion you get will be the same.
07:13Or worse.
07:14Thank you for your time.
07:44What do you see at the apex?
07:57I see profusion abnormalities.
08:00Her LED and PD are completely occluded.
08:04She listed her husband as her medical proxy.
08:06You'll need to update him as soon as he gets here.
08:08The entire left side of her heart is compromised.
08:11He's not coming.
08:12They've been divorced for two years.
08:14He hasn't spoken to her in almost that long.
08:16Murphy, anastomose the internal mammary to the LAD.
08:20Let's see if we can give her heart a blood supply.
08:22I tracked down her sister in Santa Cruz.
08:24She hasn't seen Roslyn in years either.
08:26That's a lot of legwork for a surgeon.
08:27No social worker available.
08:29It's good that you didn't find anyone.
08:31Family members are the least qualified people in the room to make medical decisions.
08:37Judging by the state of her myocardium, there's only one choice anyway.
08:41She needs a new heart.
08:43I think it's possible to spare her upper lobe using a surgical robot.
08:56Ren Braxton came to see me.
08:58You're her second opinion?
09:00Her fourth or whatever she's up to?
09:02I'm surprised you didn't offer the robotic option.
09:05It's the type of surgery I usually send your way.
09:08I didn't offer it because with the robot, if I nicked her pulmonary artery, she'd likely bleed out before I had a chance to open her up to control it.
09:15She's just gonna keep looking until someone gives her the answer she wants, and then what?
09:19What do you think her odds of survival are if some hack tries to cut the tumor out, leaving the lungs intact?
09:25Roughly zero.
09:26I agree.
09:27And with you, with the robot?
09:29Still lousy.
09:31You can do this.
09:33You're overestimating the risk, and I know why.
09:35And you're doing exactly what you did last time, assuming that I can do anything.
09:39So everyone else is biased except for you, the one who just had a patient die on him.
09:44If it's had any effect, it's to make my judgment more acute.
09:48I won't risk having Ren leave here the same way that Patty Fields did.
09:53People risk things to make their dreams come true.
09:58If you don't want to help her, I'll do it myself.
10:09The intra-aortic balloon pump will support your heart until we find a donor.
10:14And when might that be?
10:16A heart is the most difficult organ to procure.
10:19But since yours is so badly damaged, you are very high on the list.
10:25I suppose that's a good thing?
10:27Not really.
10:29We're doing everything we can.
10:32Is there anyone you want us to call?
10:34Yes.
10:35My lab assistant.
10:40The next few days are crucial to my monoclonal antibody study.
10:45And it needs to stay with the cultures around the clock.
10:51I don't want five years of work to go to waste.
10:57Can I ask why you listed your ex-husband as your middle proxy?
11:01I had to name someone.
11:05Leo is the only person I ever discussed my medical wishes with.
11:09Now, if you don't mind, I have a lot of work to do.
11:11Which, as you've indicated, I may not have a lot of time to do it.
11:15How are you, Sean?
11:21These are stat cardiac labs. I have to go.
11:24I hope you're not embarrassed about last night.
11:25I want to have sex with you.
11:26That's nice.
11:27I think about it very often.
11:28Even when I'm supposed to focus on more pressing matter.
11:29I think about it very often.
11:30Even when I'm supposed to focus on more pressing matter.
11:33You know what I mean?
11:34I don't want to talk to you.
11:35How are you, Sean?
11:37These are stat cardiac labs. I have to go.
11:40I hope you're not embarrassed about last night.
11:44I want to have sex with you.
11:47you. That's nice. I think about it very often, even when I'm supposed to focus on more pressing
11:57matters. Like 15 minutes ago when I was filling out that lab requisition, I almost forgot to add
12:03a BNP. That's good. No, it's not. We need a BNP to monitor her cardiac function on the balloon pump.
12:11I've been thinking about you too, sometimes when I shouldn't. That's bad. Not really.
12:17I've been doing some research. I came across this therapy psychologists use to treat phobias.
12:24Apparently it works in people with autism too. If you're game, we could try tonight.
12:33I'm game.
12:41I need a different first surgery.
12:44You have a problem with your patient?
12:45The plaque dissection is too advanced for a third-year resident.
12:48I was nervous as hell for my first surgery. It was only a tonsillectomy.
12:59I could take out a pair of tonsils and blindfold it. It's not nerves. This is more like a fifth-year
13:03procedure. You're setting me up to fail.
13:06This is why I picked you. You come to me scared and you couch it in arrogance.
13:10It's rare that a resident has what you have. The aggressiveness, the work ethic, and talent
13:18to be a leader. I'm not setting you up to fail. I'm setting you up to shine.
13:26Or am I wrong about you?
13:27No, sir.
13:30I want you to do my surgery. The one Dr. Lim suggested.
13:51It was Dr. Lim's idea. She's an excellent surgeon and my superior.
13:57And you think I'm an idiot. I am afraid of the surgery. And I'm afraid of going to the moon.
14:05It's not about the moon. It's about the fear. It's about getting beyond that. That's how great
14:11things happen. How they've always happened. Because someone took a chance.
14:15From what I've read about you, you're exactly the kind of person I need in my corner.
14:22Exactly the kind of person I would have thought would understand.
14:28Fear is also what keeps us alive.
14:33What do you think the odds are of you not coming back from the moon?
14:37The reason it's heroic, the reason it's exciting, is because you don't know what to expect.
14:42You can't anticipate everything.
14:45One, two, maybe five percent.
14:49Sixty percent.
14:50This surgery, if I were doing it, there's a sixty percent chance that you die on the table.
15:01It's called exposure therapy.
15:03We'll lie down on the bed side by side, fully clothed and not touching for fifteen seconds.
15:09When this timer goes off, you'll go into the other room for a three minute break, and then
15:14we'll go again for twenty seconds.
15:16Over time, we will progress to longer intervals and start to lie closer together.
15:21This seems like a good approach.
15:36Whenever you're ready.
15:37What is going on in the bed?
15:39Thanks, baby.
15:39Now we're going to do a existing abs, both of the needs of you.
15:40Congratulations.
15:41You got me.
15:42Go on in the bed.
15:42You got me ready?
15:44This is a dry scratch.
15:45I wheeled me.
15:46You got me ready.
15:47ação
16:07Are you okay?
16:36Honey?
16:37What are you feeling?
16:38I...
16:39I don't know.
16:40I don't...
16:41I don't know.
16:42I don't know why it didn't work.
16:44It's okay, Sean.
16:45We'll try again.
16:46No.
16:47No.
16:48No.
16:49No.
16:50I can't.
16:51We'll try for less time.
16:52I can't do this.
16:59Go.
17:01What?
17:02Go.
17:03Get out of here.
17:05We can watch the end.
17:08I got the sheets.
17:10The pillow.
17:11The damn light bulb.
17:12I read 18 sight journals.
17:14And you give up after 8 seconds?
17:18You're right.
17:19This isn't going to work.
17:21Go home.
17:25How are things with Carly?
17:26I lasted 8 seconds.
17:40She kicked me out of her house.
17:41First time is difficult.
17:42I'm sure she did...
17:43We tried timed exposure therapy to get physically closer, but I...
17:47couldn't do it.
17:48So try something else.
17:49When I lie close to her, I feel diaphoretic.
17:53My heart rate is elevated and mouth gets dry.
17:54I don't know how to not feel that way.
17:55I feel diaphoretic.
17:56My heart rate is elevated and mouth gets dry.
17:57I don't know how to not feel that way.
17:58You want this, Sean?
17:59Yes.
18:00I don't know how to not feel that way.
18:01You want this, Sean?
18:02Yes.
18:03Very much.
18:04Then rely on your strengths.
18:05Treat it like a surgical problem.
18:06Do you reset it?
18:07Yes, Sean.
18:08I feel anxious.
18:09I'm sure that I can't feel the same.
18:11I'm sure that I'm sure that I can't do it.
18:12I'm sure that I can't do it.
18:13But I couldn't do it.
18:14I can't do it.
18:16So try something else.
18:17When I lie close to her, I feel diaphoretic.
18:18My heart rate is elevated and mouth gets dry.
18:20I don't know how to not feel that way.
18:22You want this, Sean?
18:25Yes.
18:27Very much.
18:28Then rely on your strengths.
18:30Treat it like a surgical problem.
18:32Do your research, and Carly came up with a solution.
18:35It didn't work, but that doesn't mean the next one won't.
18:40Give me some good news.
18:42I had a potential donor in San Diego, but the heart was just too damaged.
18:45I'm at the GE junction now.
18:50Now she has complete right-sided failure, too.
18:55It's time to discuss the DNR.
18:57She's got one day left in this world.
18:59Let's keep her comfortable.
19:02Sixty percent? That number is grossly exaggerated.
19:09I spent an hour convincing my patient I'm not trying to kill her.
19:12She came to me. I gave her my surgical opinion.
19:15I could fire you for this.
19:17Because I contradicted your opinion after you contradicted my opinion.
19:20I gave her an option you were too afraid to present.
19:23No, you proposed a potentially deadly surgery to a woman who was desperate for any option, no matter how crazy.
19:28You don't have the authority.
19:29Authority? I thought we were talking about the patient.
19:31It was unprofessional, disrespectful.
19:33If anyone showed a lack of respect.
19:35Doctors.
19:37My office.
19:38I wouldn't want to be kept alive on life support.
19:48Not if there was no hope for recovery.
19:53There wouldn't be.
19:55As your heart failure worsens, you may get short of breath from fluid buildup.
20:00We can use diuretics and vasodilators to help control that.
20:04I recommend both of those.
20:06Of course. Yes.
20:08If that doesn't help, we could insert a catheter in your chest to drain the fluid.
20:13The procedure does risk a lung puncture which would worsen your symptoms.
20:18You should give us every option to keep your breathing easy.
20:22And we'll be on call all night to make sure you're as comfortable as possible.
20:30I went through this with my mom when she was dying of leukemia.
20:33I'm so sorry.
20:35Was that recent?
20:38I was 10.
20:40I remember feeling so helpless.
20:45You should reach out to Leo.
20:49It's too late.
20:51I don't believe that.
20:52There were things between my wife and I that I thought we could never get past.
21:09But last Christmas, we almost lost our son.
21:16And when I reached out, he was there.
21:21Leo always made me feel pressured to choose between my research and him.
21:31Eventually, I realized he was right.
21:36So I chose to go where I was needed the most.
21:40To call him now would be hypocritical and unfair.
21:50It took a lot of time and dedication to push our understanding of leukemia as far as you did.
21:58I'm glad I have treatment options for my patients.
22:02You made a good choice.
22:05Sorry to keep you waiting.
22:14I assume that some of this is professional, the other 90% is personal.
22:20Am I right?
22:21It's a very difficult case.
22:23We're both just overly invested.
22:25Actually, I'd love for you to weigh in on this one.
22:28Dr. Lim, are you confident in the surgical plan?
22:32Good luck.
22:34You didn't even look at the case.
22:37The pulmonary...
22:38Dr. Lim is my chief of surgery.
22:39I trust her judgment.
22:41I'm sorry things got out of hand.
22:44It won't happen again.
22:45It better not happen again.
22:46If you two can't control your interpersonal squabblings, I'm gonna have to lose one of you.
22:50At least.
22:51We need an endoscopy sweet to fetch a spoon out of this guy's stomach.
23:05Cool.
23:06How's the intimacy research going?
23:08Dr. Elion has had a very successful life without a relationship.
23:13So can I.
23:14Success and happiness aren't the same thing.
23:17You need to decide, but we'll make you happy in the end.
23:20I don't know if it's being a great surgeon or being close to Carly, but I'm better at surgery than I am with her.
23:27Dr. Elion is wrong.
23:29You don't have to choose.
23:30I fly to Phoenix every other weekend to spend time with Mia and Kellen.
23:33Then you won't be great at either.
23:35I think Dr. Elion is afraid.
23:40I think it was never about the journals and the lives she could save.
23:47I think she's always been afraid.
23:49Afraid she might lose Leo just like she lost her mother.
23:53And you, you lost the person you loved the most when your brother died.
23:58Your elevated heart rate, sweaty palms, they're not about your sensory issues, Sean.
24:03It's what we all feel.
24:06Fear.
24:07Fear.
24:10Why would anyone want to feel afraid?
24:17Because the thought of ending up alone is scarier.
24:21I don't think Dr. Elian refuses to call Leo because it's hypocritical.
24:33I think she's afraid he won't come.
24:36Can you handle this, Boone?
24:37Yes.
24:39Okay.
24:47Good morning, Dr. Glassman.
24:48Good morning.
24:49Which shoulder would you like to hurt for the next 24 hours?
24:53I'm not here for a vaccine.
24:55Okay.
24:57Wrist and thumb joint pain.
24:58I need cortisone shots.
25:00Surgery's in two hours.
25:04Can I ask you something?
25:06If a patient, say a violinist who concertized three or four times a week,
25:11would it come to you with achy joints, would you give them a cortisone shot?
25:14Or tell them to lay off for a while?
25:17Better question.
25:19If he or she came to you with achy joints and pretended they needed a vaccination,
25:24what would you do then?
25:28It's because I wanted you to know, and no one else.
25:33I saw a rheumatologist last month.
25:47I have rheumatoid arthritis.
25:49Well, I'm sorry to hear that.
26:00My mom had it too.
26:03It destroyed her wrist and finger joints.
26:06Maybe I should leave St. Bonaventure.
26:13Berkeley's chief is retiring this year.
26:15I could apply to replace him.
26:16We are entitled to have differing opinions.
26:19We can argue.
26:20Apparently we can't.
26:21I love you.
26:26I love you.
26:36I want our relationship to work.
26:40And I want to be chief.
26:42If we can't find a way to work together with me as your boss,
26:48then something has to change.
26:53Looks like you caught it early,
26:55without any noticeable erosion of the joints.
27:00That's good.
27:00What's your DMR dose?
27:0120 milligrams, but Dr. Baxter just started it.
27:10Okay.
27:12You're going to have to postpone your first lead surgery for a while.
27:16See how you respond?
27:18I'd have to explain why to Andrews and Lim.
27:20As you should.
27:21Cortisone shot is just a temporary fix.
27:24Do you know what the chances are that DMR can maintain the dexterity you need
27:28to perform an operation in the long run?
27:30145%.
27:31It'll change the way they see me.
27:34Yeah.
27:34You have a condition.
27:36A medical condition.
27:37They'll expect less from me.
27:38They'll be looking for me to fail.
27:41That's why I'm confiding in you instead of them.
27:45You advocated for Sean when everybody else thought he couldn't be a surgeon.
27:49I'm sorry.
27:49You're comparing arthritis to autism?
27:51I'm comparing people's assumptions.
27:53People's prejudices.
27:56I'm asking for a chance to prove myself.
28:00In the surgery today, you're going to have to create a plane as thin as paper between
28:09two delicate layers of tissue without disrupting the major blood flow to the brain.
28:14And if you miss by one-tenth, one-tenth of a millimeter, the patient will suffer permanent
28:20brain damage or worse.
28:21Right now, it's a matter of pain, not function.
28:32You think I would put a patient's life at risk?
28:35That's insulting.
28:36I'm sorry.
28:43Without the pain, I can do this.
28:48You believed in Sean.
28:51I need someone to believe in me, too.
28:53Okay.
29:03Leo Aiden?
29:04That's me.
29:07I'm Alex Park.
29:09I'm Rosalind's doctor.
29:12She's dying.
29:14She wants to see you.
29:17Then why didn't she call me?
29:18Why'd she send you?
29:20She doesn't know I'm here.
29:21Even when we were married, I never topped her to-do list.
29:27She wasn't cheating on you.
29:28She wasn't doing anything except saving lives.
29:31She deserves to be cut a little slack.
29:34Yeah.
29:36She was saving the whole damn world.
29:37She's a saint.
29:39I'm a partner.
29:40She wasn't there.
29:40Everybody understood.
29:41My mother died.
29:42She wasn't there.
29:42Everybody understood.
29:44Well, I didn't.
29:44Look, maybe I was a selfish jerk for wanting my wife to be around, but I did.
29:52She didn't send you.
29:55Good for her.
29:56She's not a hypocrite.
29:57At least that hasn't changed.
29:58Assistant port is secured.
30:12Load the forceps and electrocony.
30:13Okay.
30:13My chief's doing a difficult surgery.
30:27I'm here to help in any way I can.
30:36Instruments are ready.
30:37Okay.
30:37Okay.
30:43Time of initial incision, 11.32.
31:01How is she?
31:02She's really short of breath.
31:04I gave her basal dilators and diuretics, but she's not settling.
31:06She has bilateral pulmonary edema.
31:13She needs 40 milligrams of furosemide.
31:16I'll push two lirazepam, too.
31:17I can't.
31:19I can't show my breath.
31:22You've got fluid in your chest.
31:24This medication should help ease your breathing.
31:27She should be improving, but she's not.
31:30Maybe we should insert a drain.
31:32Sean, this isn't about the fluid.
31:37She's scared.
31:39Rosalind, I know this is frightening, but you are not alone.
31:43I'm here, and I am not going anywhere.
31:46As long as you need me.
31:47Leo.
32:04Leo.
32:04I see the base of the tumor.
32:34There's a lot of bleeding teasing off the pulmonary vein.
32:38Put a bipolar electrocautery instrument on the right arm.
32:41It's way more friable than it looks.
32:42The tumor's invaded the vessel wall.
32:45I need to load more hemostatic matrix.
32:50If I keep going, I'll end up with a bleed I can't control.
33:00I need to take the lung.
33:04Prepper for an open thoracotomy.
33:14I need a prostatectomy kit.
33:18Now, prostate cancers tend to grow along the surrounding nerves.
33:23Equipment's designed to dissect the tumor without injuring the nerves.
33:26Obstute arteries for nerves and you've got our situation.
33:35Load the hot shears.
33:38Unclamp the proximal intestinal end.
33:46You have good shunt flow.
33:48Loops.
34:01Forceps and dissector.
34:02Is there a problem, Dr. Rosling?
34:14You have a problem, Dr. Osling?
34:31You have a problem here?
34:32You have a problem.
34:32You have a problem here.
34:34You have a problem, Dr. Rosling?
34:39Nice work, Dr. Rezman.
35:09Did you...
35:16We got it all.
35:18And you'll still need that flight suit.
35:22Big stuff.
35:25He might have helped out a little, too.
35:27The tumor was more entangled in your arteries than it appeared,
35:30but Dr. Melendez pulled off a remarkable win for us.
35:34This is the reason you still have two complete lungs.
35:39Sign it.
35:46Both of you.
35:51I'm gonna leave it on the moon.
35:58She's very close.
36:09I'll see you next time.
36:17I love you.
36:20All right.
36:23I'll pronounce her.
36:41I'd like to do it.
36:53I'd like to do it.
37:39I hope it's not too late.
37:41It's fine.
37:42Come on.
37:54You were right.
37:57It was a crazy surgery.
38:00Not as crazy as I thought.
38:03Wouldn't have even happened if it wasn't for you.
38:06You were right, too.
38:08I'm not objective when it comes to you.
38:11I blew off your concerns about the risks because I thought you lost your mojo.
38:15Great.
38:17We're both right.
38:19And we found a way to work together.
38:22And our patient's better off for it.
38:23But today, what about the next time?
38:30We won't make the same mistakes.
38:34I'm not sure they were mistakes.
38:35I think they might have just been our nature.
38:46I don't think I can give you the unconditional support you deserve from a partner
38:51and the objectivity you need from a chief.
38:57And I don't want to give up on my dream.
39:02I love you.
39:03I love you.
39:10But it's not enough.
39:16Good night, Neil.
39:17Dr. Resnick.
39:35Dr. Glassman.
39:37Thank you for your support.
39:40My pain is 90% better than it was.
39:44The shots helped.
39:45Well, you did a remarkable job.
40:00I'm fine.
40:03Congratulations.
40:15I did extensive further research on intimacy treatment for autism.
40:33And?
40:35And I found nothing.
40:38You were right.
40:41Exposure therapy is the most effective option.
40:45You're very smart and thorough.
40:52I'd like to try again.
40:54I'm fine.
41:21I'm fine.
41:22it's time to take a break
41:33I know
41:39this is terrifying
41:52and very nice