The Good Doctor Season 3 Episode 16
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08:59in science. I am who I am because I believe in God. So do you think all people who are sick are
09:09being punished? I mean, we have an eight-year-old down the hall with bone cancer. You want to go
09:16tell her God hates her? I'm sure that girl is not suffering as a punishment. She's suffering so
09:22others may have a chance to show her mercy, to show her compassion so she can inspire.
09:29I don't know his plan, but I know it's not as simple as you would. No, it's not simple, except for your pain.
09:47His name was Michael.
09:48His wife found his body. You had no idea. I knew he was depressed. But you thought he was getting
10:02better. I didn't take his call because I was having a drink. It had been a long day dealing
10:14with the renovations, and I was having a damn drink.
10:27Hey, son. Hey, Carly. I started Sadie Barnes on anti-seizure medication. Needs you to run a
10:33peak phenyton level.
10:35The couriers must be happy that the surgeons are doing their own specimen deliveries.
10:38How you doing down here? Carly says pathologists are the detectives. Surgeons are just the beat cops.
10:56Sean, are you happy here? When did you give the patient her loading dose?
11:01One hour ago. Sean, if you're happy, that's great. But if you're not, you have to tell
11:08Han how you feel. You need to show them you care, and then you believe in yourself.
11:19Do you need this done stat?
11:21Well, she's asymptomatic. It's just for seizure prevention.
11:24Good. Carly says that in pathology, you can take a break whenever you want.
11:27I want to take a break now. I'm going for a walk.
11:35He shouldn't be in pathology. He's a good surgical resident.
11:38You're right.
11:39Then you'll move him back?
11:40No, you're wrong about that part. He should be in pathology, but he was a good surgical resident.
11:44Then why...
11:45Because he'll never be a good surgeon.
11:47How do you think he'll do in three years when no one's looking over his shoulder?
11:51When he's looking over someone else's shoulder, supervising new residents, leading grand rounds,
11:56advocating for vulnerable patients, do you see him doing any of that without a safety net?
12:02We can help him get there.
12:05Just because he wants to be a surgeon, just because you want him to be a surgeon,
12:08doesn't mean he gets to have that dream come true.
12:11Has it occurred to you that maybe we know Sean better than you do?
12:14Has it occurred to you that that might be your problem?
12:19That your view of him might be distorted because you like him?
12:22Has it occurred to you that maybe he's better off in pathology?
12:25That maybe he'll even like it?
12:27Do you care?
12:28I thought you might.
12:37We need better ventral exposure.
12:39Drill off more of the pedicle and vertebral body.
12:43Legate the exiting nerve root.
12:44We'll take it with the tumor for a wider margin.
12:50I can't see it.
12:52The tumor's causing the spinal cord to be bowed up to us.
12:54We need more exposure to get around it and in front of it.
13:00The vertebrae is too fragmented and displaced.
13:03We can't get a complete resection without stabilization.
13:06He's tanking.
13:07Probably spinal shock from tension on the cord.
13:09We need to abort.
13:14Alright, on three.
13:16One, two, three.
13:19You fixed me.
13:21No, no.
13:22What happened to my pain?
13:23Stop.
13:24We didn't fix you.
13:27There was a complication.
13:29We injected anesthetic.
13:31It'll wear off.
13:32We had to stop the surgery before we could remove the tumor.
13:36You went into shock.
13:37We lost your heart rate and blood pressure.
13:41We warned it would be a trickier surgery without the fusion.
13:44Nothing has changed.
13:45The anesthetic will wear off.
13:47The pain will come back.
13:48But worse.
13:49When can you try again?
13:51Try again?
13:52We failed.
13:53There is no reason to think we will succeed next time unless we do this easy.
13:57But you know what the issues are.
13:59You learned.
14:00Why haven't you?
14:01Do you think God wants you to die?
14:07Do you think God wants you to die?
14:14Please.
14:17Try again.
14:18The cause of death on the Atlin case?
14:28You know how I found it?
14:33I smelled it.
14:35Almonds.
14:36Dr. Park's patient.
14:44I flagged her eosinophil count.
14:47It doesn't match up with the diagnosis of advanced meningioma listed on the requisition.
14:51Great.
14:52Nice work.
14:53I'm going to talk to Dr. Lim about it.
14:56Whoa there, Sean.
14:57Hold up.
14:58You don't need to do that.
15:00The attendings are on the lookout for the flags.
15:02They'll run with it.
15:03I want to run with it.
15:05You've been on the receiving end.
15:06You know how it works.
15:07How it works is I see something abnormal and then I discuss it with the team and we plan
15:13how we'll fix it.
15:15We run with it.
15:17Sean, once a test is done, we move on to the next one.
15:21Sean, I'd like to take a walk.
15:30Are you going to walk to Dr. Lim and discuss this case, Sean?
15:39That's not what we do here.
15:41We investigate, report, and then we move on.
15:48Are you going to be able to do that?
15:50Move on?
15:51I don't know, but I will try very hard.
16:01Next time.
16:10Dr. Brown, is this about a patient?
16:15No.
16:19Come in.
16:22I've heard a lot about you.
16:24I'm aware you stood up to a supervisor.
16:26Is that what's happening now?
16:27I put together a list of cases which Dr. Murphy contributed to uniquely.
16:39You're a loyal friend.
16:41I've specified the ideas he had.
16:43Ideas that no one else around here could have.
16:46Do you think I hate him?
16:47No.
16:48I think you might be biased against him because of his condition.
17:00So he doesn't have communication issues.
17:01I'm wrong about that.
17:02No, but he...
17:03If he had the flu, I would tell him to stay home until he got better.
17:08He has autism.
17:10I could tell him to stay home until he gets better.
17:12Instead, I found a place for him to help us.
17:15To save lives.
17:18And you should know I have rather mixed feelings about loyalty.
17:45All righty.
17:48There you go.
17:51Hello.
17:54Aaron.
17:56It's good to see you.
17:57Yeah.
17:57Feeling is mutual.
18:00Can I have one of those?
18:02The chocolate chip muffin?
18:03Yes, please.
18:05Special occasion?
18:06Yes.
18:07Yeah?
18:08As of today, I am no longer injecting toxins into my body, except, of course, with chocolate chips.
18:14You're done with chemo.
18:15Wow.
18:16That's amazing.
18:17Congratulations.
18:19I was thinking of going out tonight and celebrating what may be very good news if you're free, my treat.
18:27I'm sorry, Aaron.
18:28I have another commitment.
18:30Oh, tomorrow then.
18:31This week is really crazy.
18:33You know what?
18:33I am not doing chemo every night next week, so I am free every single night.
18:39Aaron, I'm seeing someone.
18:43I am sorry.
18:49Nothing to be sorry about.
18:54It's good to see you.
18:56Keep an extra close eye on blood pressure and heart rate.
19:10I have extra fluid vasopressors and inotropes ready.
19:16Why no God?
19:19You follow in the tradition that you're handed.
19:21My family wasn't religious.
19:22We never went to church.
19:23That was every Sunday.
19:258 a.m. for Catholic mass.
19:27My parents eventually got tired of all the rules and turned Lutheran.
19:29They found that doll and went back to Catholic.
19:32That's my tradition.
19:36What do you think it'll be like when you die?
19:39Probably like it was before I was born a whole lot of nothing.
19:42We're there.
19:47Where we were when everything went wrong last time.
19:49We need to remove the tumor without putting any pressure on his cord at all or he'll be back in spinal shock.
19:56And we need more tumor release from the vertebral body.
19:58Extend your osteotomies proximal and distal.
20:00I think I got a free plane.
20:09Attract it from the cord a little more.
20:15I got it.
20:16Now when you remove it, be careful not to morselize it.
20:23Can you hold that up?
20:26Dr. Rezin, give me a measurement.
20:30Max length is 4.5.
20:32Get a pre-op scan up.
20:35That says the tumor's 8 centimeters.
20:38How does a tumor shrink from 8 centimeters to 4.5 without radiation in two weeks?
20:45It doesn't.
20:51Why the page, Sean?
20:52And why are you in radiology?
20:53We rely on flags.
20:55You have to count on the ordering physician seeing it while you move on to something else.
20:59Okay, and?
21:00I don't agree with Sadie Barnes' diagnosis and I think her tumor should be biopsied.
21:06Sean, I...
21:07Dr. Hahn wanted me away from patients.
21:09Patients are not allowed in the viewing room, so I'm not doing anything wrong.
21:12Two radiologists said it was a malignant meningioma in the insular region and encasing the MCA vessels.
21:21That's exactly where it is.
21:22And her clinical picture matches perfectly arm and leg numbness.
21:26The tumor attachment to the dura is slightly anomalous, and the insular region is slightly atypical, too.
21:32What differential diagnoses are you proposing?
21:40I need to speak to the patient.
21:42Should I ask Dr. Hahn for permission?
21:45Sean, I will bring your concern about the scan to the head of radiology, but approaching Dr. Hahn...
21:51Don't do that.
21:52No, I already talked to him about your reassignment.
21:56I don't know if it'll make any difference.
21:58If I were Claire, would you let me approach Dr. Hahn about something that concerned me?
22:08Yes.
22:08I probably would.
22:11Hmm.
22:13Is that because Claire doesn't make mistakes when she's communicating?
22:19Yes.
22:20Then do you think Dr. Hahn made the right decision by sending me to pathology?
22:29No.
22:42The lymph nodes have shrunk, too.
22:44This is a PET scan from two weeks ago, enlarged and cancerous.
22:47Today, they've all regressed.
22:58Spontaneous regression has been reported in melanomas, renal cell carcinomas, neuroblastomas, and some types of blood cancers.
23:05In a sarcoma that's metastasized?
23:08No, but if it happened in those others, why not?
23:10Because none of them make sense.
23:12When I read about disappearing cancer, I always think some doctor missed something, forgot something, screwed up something.
23:18The theory is that the body somehow triggers an immune response against the cancer, something somehow led to a fuse.
23:27The theory says a fuse is lit by an infection.
23:29His lab work proves he hasn't had one.
23:31At this point, the most credible explanation is...
23:34Are you going to use the M-word?
23:35You seriously can't say it?
23:38Only when referencing the 1980 U.S. hockey team.
23:42Keep testing.
23:43Anything you can think of.
23:44Molecular markers, T-cells, PD-L1.
23:47We'll need permission from the patient.
23:48Which raises another issue.
23:50What are we going to do next medically?
23:52He was supposed to start chemo next week.
23:53It'll wipe out his immune system, which may be what's actually killing his cancer.
23:56If we don't know what's making him better, we don't know what to stop, what to start.
24:03So we do nothing?
24:05Just trust God to fix him?
24:08We trust whatever is currently fixing him to keep fixing him.
24:11If he took a Tylenol yesterday at 8, he takes a Tylenol today at 8.
24:14Monitor him closely.
24:16Scans constantly.
24:26Hello, Dr. Glassman.
24:42Hi.
24:43Thank you for coming.
24:45He has been doing this for two hours.
24:50John?
24:52What are you up to?
24:54Alphabetizing our canned goods and checking all the expiration dates.
24:59Well, somebody's got to do it.
25:02Is something wrong?
25:03No.
25:09Okay.
25:10Okay.
25:10I think Dr. Lim's patient's diagnosis is wrong, but I can't prove it without information,
25:17and I'm not allowed to talk to patients.
25:20Sure.
25:24I want to run with things.
25:28I want to fix people.
25:33Can you help me become a surgical resident again?
25:37No.
25:38I can't, Sean.
25:39I'm not president.
25:40Yes!
25:41I'm not the president of the hospital anymore, Sean, and even if I was, it's irrelevant.
25:49You have to stand up for yourself.
25:52And you know what?
25:53If you can't, then the new head of surgery, the chief, he's right.
25:58Now I can go tell him he's wrong, won't do any good, or you can go show him.
26:03I'm doing research concerning Sadie Barnes.
26:14She's asleep.
26:17Perfect.
26:18I'm not allowed to speak with her.
26:20I'm looking for her sister, Jess.
26:27I haven't seen her.
26:28Sorry.
26:28I'm sorry.
26:30I'm sorry.
26:54I'm sorry.
26:54What are you doing?
27:10Can you explain why, instead of remaining in pathology as directed,
27:14you were in a patient's room, going through her purse?
27:17I didn't speak to her. She was asleep.
27:20Dr. Murphy, any reticence I had about removing you from surgery just vanished.
27:28You shouldn't be in contact with patients, or their families, or anything they own.
27:33Do you understand, or am I going to be forced to fire you?
27:40Sadie's social media says that she finances her climbing travel by working as a freelance food critic.
27:46She reviewed a Japanese restaurant that used to have a restaurant grading system score of A,
27:52but then it dropped to a C, which corresponds to very bad food safety practices.
27:56Bad sushi can lead to worms, but it usually doesn't because stomach acid almost always kills fish parasites,
28:01but not if someone is taking an acid blocker, which 60 million Americans are.
28:05I saw a bottle in her purse.
28:07Sadie could have sparganosis with an encapsulated worm that is mimicking a meningioma.
28:20That's a good idea.
28:23Excellent. I'll tell the patient.
28:25I will tell the patient.
28:28I'll tell her we're doing a biopsy to confirm the initial diagnosis.
28:31But we're...
28:31It will tell us if the initial diagnosis is correct.
28:35Your theory is a real long shot.
28:37It would be irresponsible to get her hopes up.
28:43The surgery went well.
28:44We were able to extract the entire tumor without complication.
28:51When can we start chemo?
28:54There are a few follow-up tests we want to run first.
28:57And we want to retake your history.
28:59Make sure we have a proper list of all medications you've been taking.
29:03You want to take his history after the surgery.
29:06What's going on?
29:07What are you not telling us?
29:08What went wrong?
29:09Nothing.
29:10The fact is, the surgery went...
29:13better than we'd hoped.
29:15Your cancer seems to be...
29:18going away on its own.
29:22We'll run our tests.
29:24We're confident that there is a medical explanation.
29:27Oh, God.
29:29We'll run our tests.
29:44Hi.
29:45Hi, Aaron.
29:48What I...
29:49What I told you earlier that I'm seeing someone...
29:53I'm not.
29:54I mean, I had one date, but it wasn't, you know...
29:58Okay.
30:03We're just...
30:04We're not a good match.
30:06That's what I wanted to tell you.
30:13That's not true, you know.
30:16You know, that's not true.
30:17You like me a lot, and I like you even more than that.
30:21So what is this?
30:22You know, I'd really rather not get into it.
30:24You came to my house.
30:25To tell you what I told you, which I just told you.
30:27Okay, you came here to be honest, and are you only going to be honest halfway?
30:30You're not timid?
30:31No.
30:31Okay, then.
30:32What?
30:36Last time I was here, we were headed upstairs.
30:41Yes, we were.
30:42You fell.
30:43Yes, I did.
30:45I tried to help you, and you pushed me away.
30:49I was embarrassed.
30:50You were sick.
30:52You needed help.
30:53And I'm not sick anymore, maybe.
30:55And I want to go and celebrate with you.
30:58Specifically with you.
30:59Because we have fun.
31:01You make me laugh.
31:04You make me feel good.
31:06I like being with you.
31:08Sounds horrible.
31:09But bad things are going to happen, Aaron.
31:12It can't just be about having fun together.
31:15One of us is going to get sick.
31:16One of us is going to need to be taken care of.
31:18Wait, wait, wait.
31:19I just want to go out and have a nice dinner with you.
31:22Not to run away to Reno, find a priest in an Elvis suit.
31:28What are we going to do, Aaron?
31:30Just drive to a hill with a view and knack till prom.
31:33And then I'm going to come home and hope you call.
31:42Yeah, I, you know, I just came to apologize.
31:47I'm sorry.
31:49And I'm really glad.
31:52I'm glad you're finished with chemo.
31:55And you're going to beat this thing.
32:00Your immunoglobulins are normal.
32:25Everything is normal.
32:26We can't find a scientific explanation.
32:31Our prayers.
32:33It's a miracle.
32:36Miracle or not, it seems we're on the same page now.
32:41There is no reason not to do the spinal fusion to eliminate your pain.
32:49Do more tests.
32:51Clearance.
32:52There are no more tests.
32:53There must be.
32:54There must be an explanation.
32:55Redo your tests.
32:57Find new tests.
33:02Let all bitterness and wrath and anger and clamor and slander be put away from you.
33:12Ephesians 4.31.
33:16I didn't take you for a believer.
33:17I'm not anymore.
33:18I'm not sure you are either.
33:25God speaks directly to Noah, Moses, Job, and Solomon.
33:31And now apparently he has singled out Pastor Clarence of San Jose to join the ranks of the prophets.
33:36I'm sorry.
33:37I'm sorry, but unless there is a burning bush, it is narcissistic to think that God has made you his personal project.
33:46God speaks to every one of us.
33:50You just have to listen.
33:51You are not listening.
33:54People get cancer all the time.
33:56Often that results in pain.
33:58Those things are not unique.
33:59What is unique is having an aggressive metastatic cancer start to disappear without any rational explanation.
34:07The issue isn't God.
34:11You have to forgive yourself.
34:17What I did...
34:19Cannot be undone.
34:21But your pain can.
34:22Clarence.
34:36Your pain...
34:37Your pain does no one any good.
34:50Okay.
34:52I'll see you at someone mallet.
35:04You lied when you said you never went to church.
35:06What happened?
35:07I didn't want to have this conversation, is what happened.
35:10I'm not judging.
35:11My brother took you off school to travel and came back a non-believer.
35:14So ask him.
35:15Okay.
35:22Was it freeing, or did you feel empty?
35:26Remember the first polyaxial pedicle screw?
35:34It was like losing a loved one.
35:36Moment of truth.
35:58Okay.
35:59Follow me.
36:25Our initial diagnosis was wrong.
36:27You don't have a meningioma.
36:29You have a worm in your brain.
36:33And while that sounds fairly gross,
36:36it is completely curable.
36:44So the sense of doom, it was...
36:46It was wrong?
36:48It saved your life.
36:49As did Dr. Murphy.
36:51This is the pathologist who noticed an abnormality
36:54in one of your tests.
36:55But that led us to this discovery.
37:01Can I give you a hug too, Dr. Murphy?
37:04No.
37:04You and your sister will be free to conquer
37:10whichever of the remaining 50 peaks you choose
37:12as soon as my team surgically removes the worm.
37:15There are not a lot of doctors
37:27who would have made the leap that you made today, Sean.
37:31Good work.
37:31Yes.
37:35It was excellent work.
37:38Most people would say thank you,
37:39but technically, that's not an incorrect response.
37:44Have a good evening.
37:46You've earned it.
37:46I don't want to go on walks.
37:57I don't want to move on from cases
38:00after the tests are done.
38:02I do not want to be a pathologist.
38:11Dr. Han,
38:12you need to make me a surgical resident again.
38:16I appreciate you telling me that.
38:25I was wondering whether you had it in you
38:27to advocate for yourself.
38:32But the truth is, Sean,
38:34what you did today,
38:35it proved I'm right.
38:37Your skills are tremendous.
38:41Your weaknesses,
38:43equally significant.
38:46You could be a great pathologist.
38:49Just think of all the Sadies out there
38:51waiting for you to save them.
39:07Dr. Brown,
39:23Dr. Resnick.
39:24The surgery went well.
39:25Your spine is stable.
39:30I'm scared.
39:33There may still be some residual pain
39:34as you heal,
39:35but...
39:36No, I...
39:37I keep wondering
39:39what if I disobeyed God?
39:48You have to have faith.
39:51You lost yours.
39:55I didn't have a miracle
39:57to help me through the dark times.
40:07But this is all about my history,
40:12and the show's vision.
40:14I still don't get rid of it.
40:14espioè,
40:15What if I disobeyed God?
40:15I still feel the trouble
40:17I want to help me through it.
40:20I am next to you.
40:21I am now in the darkfourick.
40:21I am now in the dark處 Film
40:23and then I have to have it.
40:25I am now.
40:25I am now in the darkata