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The Good Doctor Season 4 Episode 1

#TheGoodDoctor
#ShowMoviesTV



Transcript
00:00All right, that'll be too close to you, huh?
00:16Okay.
00:17Oh, I'm so sorry.
00:32It's okay.
00:35And there you go.
00:42No worries.
00:44Thank you very much.
00:45Have a good day.
00:47Have you seen my ID badge?
00:57No.
00:58I had it last night, but maybe it fell out of my bag when I paid for the pizza?
01:03This wouldn't happen if you stayed over.
01:06If you'll remember back to when I lived here, my ability to lose things has always been top-notch.
01:11If you stayed over, you wouldn't have had to come all the way back here when you realized...
01:15It's too soon, Sean.
01:16Why?
01:19If I stayed over, we both would have gone a lot less sleep.
01:22Why is it too soon?
01:24Because we've only been together a few weeks.
01:26How many weeks of being together are required before you can stay over?
01:31Yes.
01:36Saturday.
01:37I will spend the night Saturday.
01:40I'm glad we come here.
01:51I don't want to stop coming.
01:54I don't want to stop coming.
01:55I don't want to stop coming.
01:56Why would we?
01:57Why would we?
01:58Well, that's the way it works.
01:59You mourn, you cry, and then you forget.
02:01Then you forget.
02:06You don't forget.
02:07You start to move on.
02:12I don't want to stop coming.
02:17Your temperature is almost 101.
02:18Your other symptoms?
02:19First, it was a sore throat, then my body started aching, and then there's this cough. I even had my flu shot.
02:36Unfortunately, influenza is constantly mutating. The shot always lags behind. Hopefully, it will recover faster because of it.
02:48My daughter is very worried that I might have this virus from China. What's it called?
02:55Have you been to China or been around anyone who's been to China recently?
02:59Taken any cruises? The coronavirus doesn't cause sore throats. This is a bad case of the flu. Go home, rest, drink plenty of fluids. You'll be fine in a week or two.
03:20The virus has damaged your mother's lungs. Her body is working harder and harder to breathe, but her blood oxygen levels continue to drop.
03:27She definitely has corona.
03:32We're doing everything we can to help her.
03:57You have COVID-19.
04:00But you haven't tested me.
04:02Your chest x-ray suggests grime glass opacities. That's COVID. I don't need a test, which is good because we don't have any.
04:09But I can't smell. I've been reading about it, and that's not a symptom.
04:13I guess it is now. You have COVID.
04:21Okay, now what?
04:22Now you go home.
04:25That's it?
04:26That's it. There's no treatment. Stay away from people. Come back if you have trouble breathing. Goodbye.
04:3025 tests? Per day? No, just give me one of tomorrow's.
04:38Hello?
04:39County Health Department. I don't have time for them, and apparently they don't have time for me.
04:43Patient.
04:45Needs a lumpectomy?
04:46Yes, needs. And yet.
04:47Surgery canceled?
04:48They ruled an elective.
04:49It is elective.
04:50You just said needs.
04:51I didn't say when. It's going to wait until after the pandemic.
04:56Yeah, I'm twice the size of S.J. General. I should have twice the amount of tests.
05:00Well, who do I speak to?
05:02Do you feel shortness of breath?
05:04A little.
05:08If I'm sick, is my baby sick?
05:10This disease doesn't really seem to affect children or babies like it does adults.
05:14Should we admit her?
05:15She's probably safer at home.
05:17Once at home, do you have a support system? Can anyone come help you in case you get worse?
05:25It's just me and the little one.
05:32Get her a room, start on oxygen via nasal cannula, and let's try some vancomycin and cefepine.
05:38Hey Mia, we're not headed back there today or this week. I found a temporary place here.
05:43There are hospitals in Phoenix, too.
05:45If I come home, do you want me living with you?
05:47Of course. That's the point.
05:48Every night, after 12 hours of COVID patients, to hang out with you and Kellen and his asthma.
05:56He's going to be really bummed. His graduation...
05:59Is until June. This will be over long before then.
06:03Someone must have connections.
06:05At County, Van Cleek does, Wu does, Nguyen's husband works at...
06:08Oh, great. Get one of them to call.
06:10The problem is the board of every hospital has connections.
06:12They're all calling public health. They're all getting nowhere.
06:15So, we do nothing?
06:16No, we do everything we can.
06:17We hammer at official channels and every manufacturer's rep that we deal with,
06:22and see what companies, if any, have undisturbed...
06:25Nuts or no nuts?
06:26I'm sorry. I'm in the middle of a meeting with the board.
06:35Hey, everyone. I'm just making banana bread.
06:38You know what? Let's just take a... I'm going to take a quick break.
06:41If someone can give me a list of PPE suppliers in the area, thanks.
06:46I'll be back.
06:48I don't want banana bread. I want to be back at the hospital.
06:50I'm the president, and I'm at home watching.
06:52You're doing your job.
06:54Whatever you've got to do, whatever decisions you need to make,
06:57you just do it all right here.
06:58I can... I can take the necessary precautions.
07:02That whole meeting was about PPEs, mitigation.
07:05Aaron, you are 65 years old with a history of cancer.
07:08You get that virus? Then what?
07:14I don't know what I'm doing.
07:15You're being smart. You're being safe.
07:18What is wrong with that?
07:20And what is wrong with being home together for a while?
07:27Nothing, I guess.
07:29We have no choice.
07:31Let's enjoy it.
07:34Nuts or no nuts?
07:38Nuts.
07:39Okay.
07:44What's going on?
07:45Your mother's oxygen saturation has gotten critically low.
07:47We need to get her on a ventilator.
07:48And that'll help her get better?
07:50It'll keep her alive, hopefully long enough for her body to fight off the virus.
07:53Is it dangerous?
07:55More for us.
08:01She's out.
08:08Lots of swelling.
08:19Slow, you want this over with as soon as possible, but you also don't want her to cough.
08:23Hello?
08:24Sorry.
08:25I don't want her to cough.
08:26I don't want her to cough.
08:27I thought you had to be up now.
08:28I do.
08:29I put a snooze twice.
08:30I put a snooze twice.
08:31I read the numbers.
08:32You guys had seven deaths in Santa Clara County yesterday.
08:33NSA Bonaventure.
08:34I don't want her to cough.
08:35I don't want her to cough.
08:36I thought you had to be up now.
08:37I don't want her to cough.
08:38I don't want her to cough.
08:39I don't want her to cough.
08:40I don't want her to cough.
08:41I don't want her to cough.
08:42I don't want her to cough.
08:43I do.
08:44I put a snooze twice.
08:45I read the numbers.
08:46You guys had seven deaths in Santa Clara County yesterday.
09:00NSA Bonaventure?
09:01We have deaths at St. Bonaventure every day, Kellen.
09:05i know you already said that i wanted to reinforce the point you said you missed me a lot
09:12and we're together right now it's different not being actually together you mean not being able
09:17to have sex no i haven't been tested because there's no need i'm fine no symptoms you can be
09:24asymptomatic and still have it i know you still working out don't want to lose arm strength while
09:29you're off i'm making a salad figured i'd bring you fine we'll have a mask you can't eat with the
09:35mask on okay we'll take them off when we're eating and turn our heads they say the regular masks don't
09:40work okay you can bring me one from work no do you have enough ppe personal protective equipment dad
09:49someone's been doing their research yes we have enough yes i'm being careful
09:52where's your mother joined a book club sean being careful oh yes i am very so am i so it should be
10:00safe for me to come over you can't come over because we are being safe what about apples do
10:05you have enough apples i could go shop for he does see everything is under control everything's under
10:12control i told you not to come back unless your breathing got worse between the fever and the cough
10:24he's barely sleeping who said that my wife wanted to come with me but she has to work she's essential
10:34personnel he's lost 10 pounds breathe he should have come in a week ago please don't talk when i'm
10:43listening breathe he's also coughing a lot he hasn't told you but he is i'm sorry did you just apologize
10:54for me because i'm worried about you so sorry i'm a wife who's worried about her husband forgive me i'm
11:01i'm evil it's lucky that you're so irritating what your husband's blood oxygen level is dangerously low
11:12that that can't that can't be i mean i don't i don't feel that bad not great but my breathing that's
11:18interesting you don't feel bad but you are admit him to the covid floor start heated humidified high
11:24flow nasal cannula at 8 lpm
11:39her crp esr ferritin d-dimer transaminases and il-6 are all way up try around doxamethasone i read
11:57in my online physicians group that the uk's had some success with that
12:00thank you sorry what'd you say couldn't hear with the mask thank you i heard you stepped in for
12:10a therapist that didn't come in today my son has asthma i've been doing this kind of stuff for years
12:17i got a dresser and a crib both of them both to the wall
12:23all that matters is her i'm gonna do everything right
12:31you're gonna be a parent know where you're doing everything right
12:41even tray 200 surplus vials for your kobe test kits
12:45well what do you need i've got hydroxychloroquine ribavirin
12:48ekg leads no no i'm not saying no we'll pick them up in two hours we have a surplus of ekg leads
12:55no we've got a shortage but that's a problem that can wait mildred's p to f is below 50. she's
12:59showing signs of cardiogenic shock started on steroids i already have she continues to go
13:03downhill i'd like to add ecmo take the strain of her heart and lungs good idea
13:09i need ekg leads what do you need should we intubate him not yet not a minute before we need to his
13:16oxygen saturation has been dropping steadily it's 74 now at this rate we're gonna prone him
13:21buddy in york says it helps sometimes
13:35i don't know how is claire feeling
13:42i assume she's exhausted that isn't a feeling how is she feeling it's a little tough to tell sean
13:49she's wearing a mask exactly you can't tell if she's happy you can't tell if she's sad you can't
13:54tell if i'm sad or if i'm happy oh you seem distressingly happy sean it's exciting i can't
13:59read people now no one can read people we're all forced to rely on more reliable markers like what
14:05people are saying well since you can't tell from my face i'll use my words i feel terrible we all feel
14:11terrible because you spent the last 18 hours watching people get sicker we didn't help anyone
14:16we just fended off death for a little while we're all pretty disgusted at the joy you're taking from
14:20this situation give him a break you're enjoying this too all elective surgeries have been cancelled so no
14:26one is a surgeon anymore not just you claire we're all exhausted and tomorrow won't be any different
14:34but it'd help if we didn't hate each other when that time comes
14:56so
15:06so
15:10so
16:18Are you working in a hospital?
16:30Yes.
16:31Could you wait for the next elevator?
16:38I appreciate you.
16:39No.
16:46What's wrong?
16:46No, no.
16:48They had toilet paper, 12 rolls, double ply.
16:50No, no.
16:51This is Leah's cabinet.
16:53She's not using it.
16:54It needs to stay free for when she comes back.
16:58This is my apartment.
16:59You had no right to put anything anywhere without my permission.
17:03I miss Kellen and Mia, too.
17:21What do they have to do with Leah's cabinet?
17:24You miss her, Sean?
17:25No, I don't.
17:26If I saw Leah, she might be exposed to COVID and she might get sick.
17:31I don't want that.
17:33And yet, you miss her.
17:35Why would I want something that isn't what I want?
17:44Why do people on diets want ice cream?
17:46I thought the ECMO was supposed to help her heart.
17:54It's taken some of the strain off of it, but her own immune system is still attacking her organs.
17:59And the steroids were supposed to stop that.
18:01We switched to a stronger medication, so hopefully that'll help.
18:04This is from her bedside table at home.
18:11I gave it to her for Mother's Day when I was 13.
18:15Would you like me to...
18:16Please, can I bring it to her?
18:21I'm sorry, Lachelle.
18:23I can't.
18:23It's just too risky.
18:24I don't care what happens to me.
18:27My mother is in there, all alone, hooked up to a machine.
18:30I just need to see her.
18:32And tell her that I love her.
18:40I can't.
19:02Your lungs are filling with fluid and secretions.
19:09Suction catheter, please.
19:12Is that from COVID?
19:13I guess so.
19:14I don't know.
19:15It keeps changing.
19:16Probably in combination with the bacterial pneumonia he's developed.
19:20First, I probably brought this home to him.
19:22Then I send him to the hospital, where he...
19:24Honey, don't blame yourself.
19:26I'll be fine.
19:26I need to suction out your lungs.
19:28I'm going to feed this tube up your nose and down into your airway.
19:32It will be quite uncomfortable.
19:38Please try not to grab my arm.
19:39Take deep breaths.
19:54I need a prone herb.
19:56You can't.
19:56She's pregnant.
19:57That's why I bought this off Michelle and PT.
19:59She does pregnancy massage.
20:00I'm sorry.
20:17I'm sorry.
20:18I'm on another call.
20:19Can you hold it down?
20:20Yeah, you can close your door.
20:22Okay.
20:23I'm making cioppino for Merchant Marine night.
20:27Where did you get the clams?
20:29Oh, I ran out to Bruno's.
20:31You ran out to buy clams?
20:33Yeah, I wore a mask.
20:34And they were really good about social distancing.
20:37I'm sorry.
20:37I'm not supposed to go to the hospital where I possibly could save lives.
20:41But you can go to Bruno's to buy clams for Merchant Marine night?
20:45I'm younger than you are.
20:47I have no history of health issues.
20:49And unlike a hospital, Bruno's is not a petri dish of COVID.
20:54Now this whole menu planned.
20:56I thought I could wear my uniform.
20:59And you could...
21:00We're on quarantine.
21:01We're not on a cruise.
21:02I know.
21:03But I thought since we're stuck at home, we could have some fun.
21:05It's not a party.
21:06It's a pandemic.
21:07I don't have time for themed dinners and elaborate menus and sourdough starter.
21:15Okay.
21:15We could, we could at least dress up for dinner.
21:22Yeah.
21:22Were you able to drain his lungs?
21:43Yes.
21:44Why are you here?
21:47It helps Martin relax.
21:51Knowing that I'm around.
21:54Do you think it helps Martin miss you less?
22:00Yeah.
22:01Yes.
22:01Martin has a heart murmur.
22:15What?
22:15Martin.
22:16Martin.
22:17Hello.
22:18I'm glad you're awake.
22:19You may have a bacterial abscess on your heart valve.
22:22That sounds really bad.
22:23It is.
22:24COVID's complications are not at all consistent.
22:26It's becoming annoying.
22:28I'll tell you more on the way to the procedure.
22:38ECMO isn't working for her.
22:40She's pulsed as V-TAC.
22:41Epi in the crash car.
22:46Pushing Epi.
22:55120 joules.
22:56Clear.
22:57V-SIP now.
23:02Pushing Amiodarone.
23:04300 in.
23:06200 joules.
23:07Clear.
23:08Clear.
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24:16Seventeen deaths in the county yesterday, up by two from the day before.
24:20Too small of a sample to draw any conclusions. What were the new case numbers again?
24:24Also up by 112.
24:26Hey, does Sean look okay to you?
24:28I'm fine.
24:29He looks fine.
24:30I wasn't asking you, you'll lie.
24:32Kellen, how does Sean look?
24:34I'm fine.
24:35He looks tired, right?
24:37I am tired, but I'm also fine.
24:39Yeah, Sean's fine. He just misses you.
24:42No, no, I don't. I miss having sex with you.
24:45Hey, not a lone teenager present.
24:47Does Kellen not know what sex is? He's graduating high school in two weeks. Congratulations, Kellen.
24:53Thanks, Sean.
24:53He knows. He doesn't want to hear about you having it. Neither do I.
24:57Does he think Leah and I don't have sex? Because we do a lot. Or we did.
25:02I'm sure you do. We're all sure you do. We don't need to talk about it.
25:05Sexual intimacy is beautiful.
25:08I'm going to skip breakfast.
25:09You miss me.
25:12Uh-uh. No, we talk twice a day. The only difference is the lack of physical contact, which reduces your risk of infection.
25:20But I do miss sex. Don't you?
25:25I do.
25:25We can't do that over the phone.
25:31That's not really true.
25:34Hmm? Go on.
25:36Call me after work when you're alone.
25:39Are you muted?
25:52Yeah.
25:53I'm sorry to bother you.
25:55When, uh...
25:57When can you take a break?
25:58Can you come back in an hour?
25:59You really should take a break.
26:02Just get out of the house for a bit.
26:05It'll help you work better.
26:07You need to stretch your legs and stretch your mind.
26:10Um, can you come back in an...
26:12Ah, man!
26:15Are you working?
26:23Who's good place fan 793?
26:26I don't know, but whoever he is is richer than he was five minutes ago.
26:29I want to go on a walk.
26:30Can I just finish this?
26:32No. No need.
26:33You just play as long as you want with your friends.
26:45Vegetations from the abscess had implanted on your mitral valve a narrow margin sharp dissection
26:50left enough leaflet to allow a primary repair...
26:52We expect a full recovery of the heart.
26:54Of the heart?
26:56What about the rest of me?
26:57Well, unfortunately, your lungs are still compromised.
27:03What?
27:04What was that?
27:06Someone's going home.
27:09Woo!
27:15Your lungs have a lot of inflammation and swelling.
27:19And we need to put you on a non-rebreather mask and hope it gets your O2 level up.
27:24That doesn't sound overly promising.
27:26Isn't there anything else you can do?
27:29No.
27:29You need to go on a ventilator, so I'm going to sedate you.
27:38For how long?
27:40Hopefully just a few days.
27:42But it could be longer.
27:42My baby's due in two weeks.
27:48Is this better for both of you?
27:53If I don't make it...
27:54You will.
27:55You may be safe, you're young, you're strong.
28:08Sex is not just about touch.
28:11It's about imagery, emotion, connection.
28:15Oh, but touch is very, very important.
28:19I mean, there will be touch, but I won't be touching you, and you won't be touching me.
28:27Are your ears okay?
28:29They hurt.
28:30Because of COVID, I have to wear two masks, and the elastics cut into the skin behind my ears.
28:36You're going to masturbate while I masturbate?
28:40Yeah, and we'll talk to each other.
28:43That sounds very distracting.
28:45Sean, we're going to talk about sex.
28:48Tell me what you're doing to me.
28:53Looking at you on my computer.
28:56What do you wish you were doing with me?
29:02Kissing you.
29:04Mm-hmm.
29:05But what if I have COVID, then you...
29:08I'm unfastening your belt.
29:10No, no, you're not.
29:12I don't have my belt on.
29:13Okay, no belt.
29:15Sean, just close your eyes and imagine we are...
29:19If I close my eyes, then I can't see you, Leah, and I can't see most of you anyway.
29:25And remember.
29:25No, no, this is stupid.
29:27I don't want to pretend to have sex with you.
29:29So I want to be with you.
29:37I miss you too, Sean.
29:39I miss you too, Sean.
29:39No, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no.
30:09just searing abdominal pain and the runs i'm pretty sure it's my diverticulitis acting up
30:15my roommate is deeply into pandemic baking i've avoided coming in i don't want to catch covid
30:23have a seat non-covid floor npo iv acetaminophen for pain while he waits on his abdominal ct
30:29no food usually my first top with abdominal pain patient is a cafeteria
30:34it's ambar repetitive light d says i got a baby coming go
30:39thank you i i know you're busy what can i help you with are you doing okay
30:53my mother had a necklace a cross she wore it every day i'm hoping to get it back
31:01the patient's things are all being held in one place
31:05we're not supposed to release them until after the crisis
31:13i'm so sorry
31:17thank you
31:24okay um
31:24let me see if i can find it i'll i'll clean it and get it back to you
31:41wanted to let you know that it'll be quiet around here for a little while i'm
31:45taking a walk on the beach with suzy we will stay six feet apart six feet is the absolute minimum
31:52it's still considered quite a risk
31:56so not not only do you not want to do things with me now you don't want me to do things with other
32:01people i want you to be careful like you want me to be careful you don't want me to do anything i
32:06can't go shopping i can't take a walk you won't spend any time i'm a little bit busy playing poker
32:13i played poker for one hour while i was working i spent every minute of every day with you well
32:18you should be so happy that i'm taking a hike it'll be a long one
32:23could you please wear your damn mask
32:39rodriguez or jeter easy jeter i hate a rod but the white hot hate but it's jeter who beat us
32:45who's your most hated yankee i never cared for paul revere your cbc doesn't show a high white count
32:51which is atypical for acute diverticulitis we'll see what the imaging shows will you bring walter
32:56down to ct sure thing you remember when they lost game seven to the diamondbacks oh i cried tears of joy
33:07i feel the rump applied pressure there don't be shy we need this baby out now
33:13baby's out
33:33now she's looking dr park good she's pink active i'm breathing great
33:43the third fuse on the left it looks like it hasn't been flipped but it has it just
34:03you turn it turn it off and then back on this is for the dryer i don't want you calling a repairman
34:10just because of the trip views
34:19the dryer is fine you're gonna be fine
34:27i love you you don't need to say that i want you don't need to okay this isn't a big moment
34:33you'll be fine
34:40lily
34:42most most people who go on a ventilator
34:48don't come off
34:49put the other doctor on
35:01i can't
35:08i can't
35:09she's right the majority of covid patients who go on a ventilator never come off
35:15put the other doctor on
35:19martin's relative youth is a positive
35:24i'm sorry i wish i could give you more
35:36i'm
35:54i'm
35:55i'm
35:57i'm
35:57i'm
35:58Your daughter's beautiful, six-and-a-half pounds, 19 inches, completely COVID-free.
36:19She's got your nose, eats like a champ, and everyone on the floor knows when she's hungry.
36:27She just needs you to get better so you can hold her.
36:50So far, good news. No signs of diverticulitis. Just need to scan you.
36:55What? Again my what?
37:04Hello?
37:05Put on a mask. Put on a mask now.
37:09Walter's abdominal CT cut the lower portion of his lungs. It's not diverticulitis, it's COVID. We've both been exposed and so has everyone who passed through that hallway Walter was sitting in for an hour.
37:22What?
37:23Ambar's acidosis is getting worse. She's not getting enough oxygen.
37:29What's her ventilator setting?
37:31She's been maxed out. We can't increase pressure without risking blowing out her lungs.
37:34Does she have any family? It might be time to notify next to kin.
37:36I read about a small clinical rescue therapy trial, the CHILL study. She's a good candidate. No cytokine storm. Her troponin's low, so are LFTs and creatinine. Her organs are in good shape.
37:45So why not freeze them and paralyze virtually every muscle in her body?
37:49Lowering the temperature reduces her inflammatory response and her need for oxygen. And it's better than calling her next to kin.
37:56She's gonna require constant monitoring. We're all already overstretched.
38:00I'll do it. I'll take full responsibility for her.
38:13Who's there?
38:14It's Leah.
38:15You can't come in.
38:17I got you something.
38:19That's too bad. You can't come in to give it to me.
38:30I saw online doctors are using these to help with their masks.
38:41You attach an elastic to each arm so they don't rub your ears.
38:46It is better. Thank you.
39:01I know I can't come in, but I don't want to leave.
39:11You can stay there.
39:20Where can I go where you don't hide?
39:25Who am I if not see through your eyes?
39:30What's for breakfast tomorrow?
39:35Park's making pancakes.
39:39That's great.
39:42He's done it before.
39:44They weren't very good.
39:46Why?
39:48They were not very good.
39:52I don't know, but I told him.
39:54I said, Dr. Park, thank you.
39:57You're falling from the sky.
40:12You're rolling in my mind.
40:18Whispering in my breath.
40:19How can I be without you?
40:33I'm falling from the sky.
40:34What?
40:35I'm falling from the sky.
40:36I'm falling from the sky.
40:37I'm falling from the sky.
40:38Are you happy?
40:39What is that?
40:40Or do I know you're not selling?
40:41I'm falling from the sky.
40:42It's a pain like a place to heal.
40:43And a couple of the two of us.
40:44I'm falling from the sky.
40:45Some know you're running away from the sky.
40:48I'm falling from the sky.
40:50Is that my nightstand?
41:00Oh, since you feel that our time together is something to be endured instead of enjoyed,
41:08I decided to make that easier for you.
41:13This is as far away as I can get right now, so could you just please shut the door?
41:20I'll go back to your home.
41:50I'll go back to your home.
42:00Things will be okay.
42:02Where can I go where you don't hide?
42:16Who am I if not seen through your eyes?