1
00:00:01,537 --> 00:00:03,071
You go going
to the club or work?
2
00:00:03,204 --> 00:00:05,016
Yeah, these early calls are
gonna take some getting used to.
3
00:00:05,040 --> 00:00:06,309
Browne retractor.
4
00:00:06,442 --> 00:00:07,876
No Browne retractor.
5
00:00:08,009 --> 00:00:09,521
I thought I put it on
your tray from the supply room.
6
00:00:09,545 --> 00:00:10,945
Dr. Kalu
is not your peer.
7
00:00:11,079 --> 00:00:12,679
He's your employee,
and you are his boss.
8
00:00:12,782 --> 00:00:15,618
I do not plan to give Jared
special treatment.
9
00:00:15,751 --> 00:00:18,421
And if I see it, it won't
be good for either of you.
10
00:00:18,554 --> 00:00:20,623
I'm not expecting
special treatment, Shaun,
11
00:00:20,756 --> 00:00:23,067
but I don't appreciate being
treated like an intern either.
12
00:00:23,091 --> 00:00:25,852
Dr. Andrews said he is judging my
performance off of your performance,
13
00:00:25,927 --> 00:00:27,896
and your performance
is not good.
14
00:00:28,029 --> 00:00:31,434
You come in with your fancy car
and your old tricks and think,
15
00:00:31,567 --> 00:00:34,169
"Ta-da, I'm a surgeon,"
but you're not.
16
00:00:34,303 --> 00:00:35,863
I just want to prove
that I belong here.
17
00:00:35,904 --> 00:00:37,807
When I checked
on Yara post-operatively,
18
00:00:37,939 --> 00:00:39,785
I noticed you only used
eight sutures when you closed,
19
00:00:39,809 --> 00:00:41,453
and she had a small bleed.
You should have used ten.
20
00:00:41,477 --> 00:00:43,679
Dr. Glassman
closed the galea and skin.
21
00:00:43,813 --> 00:00:47,282
- Dr. Glassman skipped two sutures?
- Guess so.
22
00:00:53,622 --> 00:00:55,957
At what time did you wake up
yesterday morning?
23
00:00:56,091 --> 00:00:58,059
The usual, 5:30. Why?
24
00:00:58,193 --> 00:01:00,433
At lunch, you had a Cobb salad
with balsamic vinaigrette,
25
00:01:00,563 --> 00:01:02,897
so that's 450 calories ingested,
assuming you kept it down.
26
00:01:03,031 --> 00:01:04,834
Yes, I kept it down.
27
00:01:04,966 --> 00:01:08,006
Did you use a sauna, engage in rigorous
exercise, and/or experience diarrhea?
28
00:01:08,136 --> 00:01:09,572
No, I didn't do
any of those things.
29
00:01:09,705 --> 00:01:11,172
What's with the questions,
Shaun?
30
00:01:11,307 --> 00:01:13,376
You made an error
in yesterday's craniotomy.
31
00:01:13,509 --> 00:01:15,243
I'm trying to evaluate
various factors
32
00:01:15,378 --> 00:01:17,045
that would negatively
impact focus.
33
00:01:17,178 --> 00:01:18,213
I made an error?
34
00:01:18,347 --> 00:01:20,248
You closed
with only eight sutures.
35
00:01:20,383 --> 00:01:22,083
The size of the wound
required ten.
36
00:01:22,217 --> 00:01:23,586
We need to figure out why.
37
00:01:23,719 --> 00:01:25,521
Why do we need
to figure out why?
38
00:01:25,654 --> 00:01:27,456
Two sutures, it's a blip.
It's not a thing.
39
00:01:27,590 --> 00:01:30,693
It could be part of a more
troubling pattern needing attention.
40
00:01:30,826 --> 00:01:33,662
- Shaun, the surgery was a success, right?
- Yes.
41
00:01:33,796 --> 00:01:35,096
The patient had a great outcome.
42
00:01:35,230 --> 00:01:36,332
There is no pattern.
43
00:01:37,833 --> 00:01:39,134
Goodbye.
44
00:01:46,040 --> 00:01:48,878
I'm a surgeon,
and I belong here.
45
00:01:49,010 --> 00:01:51,580
I'm a surgeon,
and I belong here.
46
00:01:57,353 --> 00:02:00,689
You are a surgeon,
and you belong here.
47
00:02:02,558 --> 00:02:04,326
I just keep imagining you
in the mirror
48
00:02:04,460 --> 00:02:08,731
like, "You have the hair of Tracee
Ellis Ross and the swag of Beyonce."
49
00:02:08,864 --> 00:02:10,231
Do not shame my self-care.
50
00:02:12,501 --> 00:02:14,570
Affirmations are backed
by research.
51
00:02:15,704 --> 00:02:17,272
FMRI evidence
shows a correlation
52
00:02:17,406 --> 00:02:20,208
with positive changes
in the brain.
53
00:02:20,342 --> 00:02:22,378
I've just put the finishing
touches on a surprise.
54
00:02:23,646 --> 00:02:24,914
Drum roll please.
55
00:02:27,282 --> 00:02:28,918
Or not.
56
00:02:29,050 --> 00:02:30,419
Well, get your song lists ready
57
00:02:30,553 --> 00:02:32,588
because you are all
officially invited to...
58
00:02:36,358 --> 00:02:39,093
Star Karaoke, 7:00 p.m.
until question mark, question mark.
59
00:02:39,227 --> 00:02:42,398
You know it's gonna be a party when
there's double punctuation involved.
60
00:02:42,531 --> 00:02:45,401
Yeah, just the chance to unwind and
get to know you all a little better.
61
00:02:45,534 --> 00:02:47,536
Sounds fun.
Thanks for the invite.
62
00:02:47,670 --> 00:02:51,072
Prepare to be destroyed.
My "Someone Like You" slays.
63
00:02:51,206 --> 00:02:54,006
Need a surgical consult for a clinic
patient with a dislocated patella.
64
00:02:54,075 --> 00:02:56,144
Sorry, ER.
65
00:02:57,813 --> 00:03:00,649
You two are it. Room one.
66
00:03:05,921 --> 00:03:08,591
When did the chest pain start?
67
00:03:08,724 --> 00:03:10,291
I first noticed it
Tuesday morning
68
00:03:10,426 --> 00:03:11,827
along with shortness of breath.
69
00:03:12,962 --> 00:03:15,096
Are you taking any medications?
70
00:03:15,230 --> 00:03:17,433
I started with one,
then switched a few times.
71
00:03:19,301 --> 00:03:21,370
These are used to treat ADHD.
72
00:03:21,504 --> 00:03:23,171
And brain fog.
73
00:03:23,305 --> 00:03:24,305
I'm a COVID long-hauler.
74
00:03:25,975 --> 00:03:30,446
Um, and I just started
guanfacine and N-acetylcysteine,
75
00:03:30,579 --> 00:03:33,983
which may actually be
helping finally.
76
00:03:34,115 --> 00:03:36,819
- When was your initial infection?
- Eight months ago.
77
00:03:36,952 --> 00:03:39,522
It just felt like a mild flu,
but then it got worse,
78
00:03:39,655 --> 00:03:41,991
like someone poured molasses
on my brain.
79
00:03:42,123 --> 00:03:43,993
I've done cognitive therapy,
80
00:03:44,125 --> 00:03:45,928
memory exercises,
81
00:03:46,060 --> 00:03:47,363
still am,
82
00:03:47,496 --> 00:03:49,465
whatever I can do
to get back in the field.
83
00:03:50,298 --> 00:03:51,901
- Which one?
- Clover.
84
00:03:53,502 --> 00:03:54,702
I'm an evolutionary biologist.
85
00:03:55,371 --> 00:03:57,171
Wow.
86
00:03:57,306 --> 00:04:01,109
I have been studying how white clover
adapts to environmental changes...
87
00:04:02,678 --> 00:04:06,015
And I'm on indefinite leave.
88
00:04:06,147 --> 00:04:07,349
Please stop talking now.
89
00:04:09,818 --> 00:04:12,555
Bluish skin, low O2 levels,
rapid heart rate.
90
00:04:12,688 --> 00:04:14,055
And increasingly
labored breathing.
91
00:04:14,188 --> 00:04:15,691
Possible pulmonary embolism.
92
00:04:15,824 --> 00:04:18,027
Order a chest CTA and echo,
stat.
93
00:04:18,159 --> 00:04:19,159
I have to go.
94
00:04:31,205 --> 00:04:32,575
You will need this.
95
00:04:32,708 --> 00:04:34,868
I sent one half of a high
volume order to your printer.
96
00:04:36,378 --> 00:04:39,147
These are Glassman's op reports?
97
00:04:39,280 --> 00:04:41,215
For the last three months.
January to March.
98
00:04:41,350 --> 00:04:44,218
October to December is printing
in Park's and my office.
99
00:04:44,353 --> 00:04:47,088
So you sent reports for, like,
100 surgeries to my printer?
100
00:04:47,221 --> 00:04:49,525
No, 176 surgeries.
101
00:04:49,658 --> 00:04:51,493
473 pages.
102
00:04:51,627 --> 00:04:53,729
I've emailed Operations
to replace your toner.
103
00:04:53,862 --> 00:04:55,531
Many elements are in color.
104
00:04:55,664 --> 00:04:57,566
And why, exactly,
do you need all of this?
105
00:04:58,801 --> 00:05:01,202
To find out
if his mistake was a blip.
106
00:05:15,384 --> 00:05:17,975
Second time
I've dislocated my knee.
107
00:05:18,000 --> 00:05:20,456
First was
a few months ago, I think.
108
00:05:20,589 --> 00:05:22,725
That was the sprained ankle.
109
00:05:22,858 --> 00:05:24,727
The dislocation was last year.
110
00:05:24,860 --> 00:05:28,129
Your MRI shows no associated
damage to bones or ligaments.
111
00:05:29,398 --> 00:05:32,835
She's also been complaining
about dizziness,
112
00:05:32,968 --> 00:05:36,305
swollen ankles,
maybe menopause-related.
113
00:05:36,438 --> 00:05:38,998
Dr. Reznick is looking to get her
on hormone replacement therapy.
114
00:05:39,041 --> 00:05:41,710
Orion insisted I come in
and get everything checked out
115
00:05:41,844 --> 00:05:44,513
before she leaves
and moves 6,000 miles away
116
00:05:44,647 --> 00:05:46,482
to live alone.
117
00:05:46,615 --> 00:05:49,485
I'm moving to Prague
next week for a new job,
118
00:05:49,618 --> 00:05:51,520
and you can come visit me
anytime you want, Mom.
119
00:05:51,654 --> 00:05:52,655
Not with a busted knee.
120
00:05:53,689 --> 00:05:55,289
To move forward with HRT,
121
00:05:55,424 --> 00:05:56,925
I need to confirm
all the medications
122
00:05:57,059 --> 00:05:58,661
you've used
over the last five years.
123
00:05:58,794 --> 00:06:03,098
There was a purple triangle one,
124
00:06:03,231 --> 00:06:05,567
but they took me off that
last year
125
00:06:05,701 --> 00:06:07,770
and an orange-shaped one.
126
00:06:07,903 --> 00:06:08,904
I'll review it with you.
127
00:06:10,806 --> 00:06:12,941
We need to see
how your knee is moving.
128
00:06:13,075 --> 00:06:14,109
Lay back, please.
129
00:06:17,946 --> 00:06:19,848
Go ahead
with the exam, Dr. Kalu.
130
00:06:21,083 --> 00:06:22,151
I thought I'd observe.
131
00:06:22,283 --> 00:06:23,552
It's a knee exam,
132
00:06:23,686 --> 00:06:25,854
not a multi-ligament
reconstruction.
133
00:06:25,988 --> 00:06:28,424
You told me last time not
to assume I know everything.
134
00:06:28,557 --> 00:06:29,917
This is just making me
do your job.
135
00:06:35,998 --> 00:06:38,634
That sounded like an apneic spell.
Check her tonsils.
136
00:06:39,301 --> 00:06:40,302
Ms. Garcia.
137
00:06:45,273 --> 00:06:47,810
Did I fall asleep again?
138
00:06:47,943 --> 00:06:49,277
Yes.
139
00:06:49,411 --> 00:06:50,891
Can I take a quick look
in your mouth?
140
00:06:55,317 --> 00:06:56,785
Kissing tonsils.
141
00:06:56,919 --> 00:06:58,387
They're so enlarged,
they're touching
142
00:06:58,520 --> 00:07:00,656
and obstructing your airway,
causing severe apnea.
143
00:07:01,857 --> 00:07:03,291
You need a tonsillectomy
right away.
144
00:07:08,697 --> 00:07:11,633
No pulmonary embolism,
but multiple cardiac issues.
145
00:07:11,767 --> 00:07:13,569
Severe narrowing
of the pulmonic valve,
146
00:07:13,702 --> 00:07:15,236
hypertrophied right ventricle
147
00:07:15,370 --> 00:07:16,890
and opening between
the lower chambers.
148
00:07:17,005 --> 00:07:19,675
This set of defects
almost looks like
149
00:07:19,808 --> 00:07:21,288
- tetralogy of Fallot, but...
- It is.
150
00:07:23,445 --> 00:07:25,246
She has the fourth malformation,
151
00:07:25,380 --> 00:07:26,682
overriding aorta.
152
00:07:26,815 --> 00:07:28,851
I've never seen tet
in an adult before.
153
00:07:31,019 --> 00:07:32,688
How is she still alive?
154
00:07:34,389 --> 00:07:35,657
Hang on a sec.
155
00:07:35,791 --> 00:07:37,191
I have to write
everything down now.
156
00:07:39,461 --> 00:07:41,597
Tet is almost always
diagnosed in infancy.
157
00:07:41,730 --> 00:07:43,699
Doctors somehow missed it
in your case.
158
00:07:43,832 --> 00:07:45,868
You have a rare presentation.
159
00:07:46,001 --> 00:07:47,921
The right ventricle obstruction
has been balanced
160
00:07:48,003 --> 00:07:50,205
by an increased flow
into the left ventricle.
161
00:07:50,339 --> 00:07:53,041
Damage from COVID
disrupted the balance.
162
00:07:53,175 --> 00:07:54,543
The virus may have
saved your life.
163
00:07:54,676 --> 00:07:56,111
Very few undiagnosed
tet patients
164
00:07:56,245 --> 00:07:57,412
survive past childhood.
165
00:07:57,546 --> 00:07:59,381
A mere 2% make it to 40.
166
00:07:59,515 --> 00:08:00,816
You're saying
167
00:08:00,949 --> 00:08:02,527
I would have just dropped dead
at some point?
168
00:08:02,551 --> 00:08:04,620
It's very likely.
169
00:08:04,753 --> 00:08:08,257
We can remove that risk
with two separate procedures.
170
00:08:08,390 --> 00:08:10,559
First, we'll close
the extra vessels
171
00:08:10,692 --> 00:08:13,128
that have formed to compensate
for your heart defects.
172
00:08:13,262 --> 00:08:15,142
Then we'll do a surgery
to repair those defects.
173
00:08:18,233 --> 00:08:20,335
Is it possible
the tet is connected
174
00:08:20,469 --> 00:08:21,804
to my long COVID symptoms?
175
00:08:21,937 --> 00:08:23,739
Could fixing my heart
clear up my head,
176
00:08:25,407 --> 00:08:26,575
the brain?
177
00:08:27,543 --> 00:08:30,012
No. I'm sorry.
178
00:08:39,454 --> 00:08:40,656
You snagged our table.
179
00:08:41,757 --> 00:08:43,325
Beat Hawks and Nunez to it.
180
00:08:43,458 --> 00:08:45,160
You're a champion.
181
00:08:45,294 --> 00:08:47,763
One Splenda, half Sugar in the
Raw, light almond milk.
182
00:08:47,896 --> 00:08:49,690
Now who's the champion?
183
00:08:53,989 --> 00:08:55,538
I have something for you.
184
00:08:56,104 --> 00:08:57,272
Really?
185
00:09:04,246 --> 00:09:07,149
An agreement acknowledging
a consensual relationship.
186
00:09:07,282 --> 00:09:09,518
I, Marcus Andrews,
would like to take you,
187
00:09:09,651 --> 00:09:12,187
Dalisay Villanueva, on a date.
188
00:09:12,322 --> 00:09:16,124
And as hospital president,
you know, I already signed it.
189
00:09:18,460 --> 00:09:19,460
This is so romantic.
190
00:09:20,462 --> 00:09:21,496
Give me the pen.
191
00:09:28,770 --> 00:09:31,173
- Dinner this weekend?
- Let me see.
192
00:09:31,307 --> 00:09:33,642
I'm needed on the ward.
193
00:09:33,775 --> 00:09:35,110
Sorry. Lock it down later?
194
00:09:35,244 --> 00:09:36,244
Sure.
195
00:09:44,253 --> 00:09:45,253
Iced coffee?
196
00:09:45,321 --> 00:09:46,521
I'm good.
197
00:09:47,689 --> 00:09:48,824
How about a hot coffee?
198
00:09:51,493 --> 00:09:54,496
In honor of Daphne's
successful tonsillectomy,
199
00:09:54,630 --> 00:09:55,831
I got a few options.
200
00:09:57,666 --> 00:09:59,167
Is that a latte?
201
00:10:02,338 --> 00:10:04,539
It was a routine tonsillectomy.
202
00:10:04,673 --> 00:10:06,241
Those were
unusually large tonsils.
203
00:10:07,943 --> 00:10:09,543
A good thing her daughter
brought her in.
204
00:10:12,114 --> 00:10:13,691
You think Daphne was
better off not breathing?
205
00:10:13,715 --> 00:10:15,150
I don't think
it's a daughter's job
206
00:10:15,284 --> 00:10:16,852
to make sure
Mom goes to the doctor.
207
00:10:20,489 --> 00:10:21,489
It's Daphne.
208
00:10:24,192 --> 00:10:25,694
Heart rate spiked.
She's hypoxic.
209
00:10:25,827 --> 00:10:26,929
Turn up oxygen to max flow.
210
00:10:31,533 --> 00:10:33,702
Loud murmur from
the right ventricle and atrium.
211
00:10:33,835 --> 00:10:35,613
Chronic damage from apnea
could have increased
212
00:10:35,637 --> 00:10:37,349
the pressure in her lungs,
causing right heart failure.
213
00:10:37,373 --> 00:10:39,007
BP's dropping.
214
00:10:39,141 --> 00:10:40,501
We need to get her
to the cath lab.
215
00:10:46,081 --> 00:10:47,317
Positioning coiling system.
216
00:10:48,917 --> 00:10:50,218
Two vessels left to close.
217
00:10:51,753 --> 00:10:52,888
Deploying the coil.
218
00:10:55,724 --> 00:10:58,260
O2 sats are dropping.
219
00:10:58,699 --> 00:11:01,639
Her infundibular muscle
is clamping down.
220
00:11:01,664 --> 00:11:04,001
She is having a tet spell.
221
00:11:05,300 --> 00:11:07,602
Give phenylephrine
and 100% oxygen.
222
00:11:07,627 --> 00:11:10,021
I have never seen one
in-person before.
223
00:11:11,206 --> 00:11:12,774
We need to move blood
up to the lungs.
224
00:11:12,908 --> 00:11:14,710
Give her a bolus
and up the opiates.
225
00:11:19,435 --> 00:11:20,724
If we don't stop the spasm,
226
00:11:20,749 --> 00:11:22,229
she could have
permanent brain damage.
227
00:11:33,377 --> 00:11:37,159
The chance of a future
infundibular spasm is very high.
228
00:11:38,523 --> 00:11:41,585
Her tet repair surgery
will be much more risky.
229
00:11:46,826 --> 00:11:49,063
Pressure in Daphne's lungs
is still critically high.
230
00:11:49,347 --> 00:11:50,848
Not a routine
tonsillectomy at all.
231
00:11:52,116 --> 00:11:53,276
Puncturing the atrial septum.
232
00:11:55,185 --> 00:11:57,855
Right heart is decompressing.
233
00:11:57,988 --> 00:12:01,091
Give nitric oxide to relax
and dilate the vasculature.
234
00:12:01,226 --> 00:12:04,229
Her apnea really did a number
on her pulmonary vessels.
235
00:12:04,362 --> 00:12:06,563
No wonder
she's clumsy and forgetful.
236
00:12:06,697 --> 00:12:09,900
She's been sleep- and
oxygen-deprived for decades.
237
00:12:10,034 --> 00:12:12,636
It still doesn't make her
her daughter's responsibility.
238
00:12:12,770 --> 00:12:15,370
Would you want Kellan to put his
life on hold to take care of you?
239
00:12:16,173 --> 00:12:18,542
Not his whole life, no,
240
00:12:18,676 --> 00:12:21,545
but I don't think being overly
devoted is the worst quality in a kid.
241
00:12:21,679 --> 00:12:22,880
Remove the catheters.
242
00:12:24,316 --> 00:12:26,650
I was one of six growing up,
only girl.
243
00:12:26,784 --> 00:12:28,219
Mom and dad worked a lot,
244
00:12:28,353 --> 00:12:30,688
so I was basically
second mom since kindergarten.
245
00:12:32,156 --> 00:12:33,291
I love my brothers, but...
246
00:12:35,726 --> 00:12:38,095
there's a lot you miss out on
247
00:12:38,229 --> 00:12:40,197
if you're all about taking care
of someone else.
248
00:12:44,735 --> 00:12:46,603
She's throwing a lot of PVCs.
249
00:12:46,737 --> 00:12:47,938
Maybe an electrolyte issue.
250
00:12:51,108 --> 00:12:53,110
BP's dropping. Heart rate 172.
251
00:12:53,244 --> 00:12:55,813
We're barely getting a pulse.
She's in V-tach. Defib pads.
252
00:13:13,964 --> 00:13:15,499
BP and heart rate stabilizing.
253
00:13:17,801 --> 00:13:19,670
Get a new chemistry,
chest X-ray, EKG.
254
00:13:19,803 --> 00:13:22,123
We need to figure out what else
is going on with her heart.
255
00:13:31,815 --> 00:13:33,751
Please don't disturb
my materials.
256
00:13:33,884 --> 00:13:36,987
Which are what, exactly?
257
00:13:37,121 --> 00:13:39,290
Dr. Glassman made an
uncharacteristic surgical error.
258
00:13:39,424 --> 00:13:41,091
I am determining
if it was an anomaly
259
00:13:41,226 --> 00:13:42,993
or part of a pattern.
260
00:13:43,127 --> 00:13:44,828
Glassman must be
really pleased about that.
261
00:13:44,962 --> 00:13:45,963
He is not.
262
00:13:47,031 --> 00:13:48,266
You are being sarcastic.
263
00:13:48,400 --> 00:13:50,000
Performance review
is a standard practice
264
00:13:50,100 --> 00:13:51,769
and benefits both doctors
and patients.
265
00:13:51,902 --> 00:13:54,702
I have identified three additional
errors made in the last four months.
266
00:13:54,805 --> 00:13:56,374
I don't see a pattern.
267
00:13:56,508 --> 00:13:58,976
A dural tear on scarred tissue,
268
00:13:59,109 --> 00:14:00,787
closing with a running nylon
instead of Monocryl...
269
00:14:00,811 --> 00:14:02,046
Is that even a mistake?
270
00:14:02,179 --> 00:14:04,948
Dr. Glassman has always used
subcutaneous Monocryl.
271
00:14:05,082 --> 00:14:07,452
These are variations,
minor missteps.
272
00:14:07,584 --> 00:14:09,824
You pore through four months
of any surgeon's op reports,
273
00:14:09,953 --> 00:14:11,513
and you'll find discrepancies
like this.
274
00:14:11,855 --> 00:14:13,991
- No.
- Yes.
275
00:14:14,124 --> 00:14:15,393
Not in mine.
276
00:14:16,193 --> 00:14:18,595
That's probably true.
277
00:14:18,729 --> 00:14:20,298
If you're not finding a pattern,
278
00:14:21,433 --> 00:14:22,793
maybe it's because
there isn't one.
279
00:14:26,237 --> 00:14:27,238
My patient is awake.
280
00:14:29,541 --> 00:14:33,010
Does this mean you can't move
forward with the tet repair?
281
00:14:33,143 --> 00:14:34,912
There's a medication
called propranolol
282
00:14:35,045 --> 00:14:36,647
that will
significantly reduce the risk
283
00:14:36,780 --> 00:14:38,916
of having another spasm
during surgery,
284
00:14:39,049 --> 00:14:40,518
but because of your long COVID,
285
00:14:40,651 --> 00:14:42,491
you're at risk for some
very rare side effects.
286
00:14:43,187 --> 00:14:45,256
- Are they serious?
- Yes.
287
00:14:45,390 --> 00:14:47,234
Well, some of them are not,
like nausea, vomiting,
288
00:14:47,258 --> 00:14:49,193
muscle aches, and dizziness,
but others,
289
00:14:49,327 --> 00:14:51,229
such as hypoglycemia
or visual changes...
290
00:14:51,362 --> 00:14:52,963
We'll start you
on the propranolol.
291
00:14:53,097 --> 00:14:55,657
There's a good chance you won't
experience the rare side effects,
292
00:14:55,766 --> 00:14:57,406
but we'll need to keep
a close eye on you.
293
00:14:59,736 --> 00:15:01,047
And are those patients
ahead of her
294
00:15:01,071 --> 00:15:02,639
also seniors with diabetes?
295
00:15:03,907 --> 00:15:05,142
Do not hang up on me, Phillip,
296
00:15:05,276 --> 00:15:06,796
or I'll head down
to do this in person.
297
00:15:07,245 --> 00:15:08,245
I'll wait.
298
00:15:09,813 --> 00:15:10,813
Hey.
299
00:15:12,883 --> 00:15:16,588
There is a great new
Portuguese spot I read about.
300
00:15:16,720 --> 00:15:19,491
I can make reservations for us
Friday or Saturday at 7:00?
301
00:15:21,292 --> 00:15:23,026
I'm working a double both days.
302
00:15:23,160 --> 00:15:25,320
It's been a nonstop scramble
since Baker and Linh left.
303
00:15:25,396 --> 00:15:27,374
Well, you have two new
travelers starting on Monday.
304
00:15:27,398 --> 00:15:28,632
We need staff nurses.
305
00:15:28,765 --> 00:15:30,211
These nurses
are highly skilled. We...
306
00:15:30,235 --> 00:15:31,768
It doesn't matter
how skilled they are.
307
00:15:31,902 --> 00:15:33,404
Travel nurses disrupt workflow,
308
00:15:33,538 --> 00:15:35,172
don't build
long-term relationships.
309
00:15:35,306 --> 00:15:38,209
Right now, we just don't have the
resources for permanent replacements.
310
00:15:38,343 --> 00:15:40,278
You just hired a new
full-time surgical resident
311
00:15:40,411 --> 00:15:41,921
to replace someone
who left way more recently.
312
00:15:41,945 --> 00:15:43,348
That was Lim's department. I...
313
00:15:44,449 --> 00:15:46,116
Yes, great.
I'm sending her down.
314
00:15:47,418 --> 00:15:48,586
Sorry. We'll talk later?
315
00:15:48,752 --> 00:15:49,752
Of course.
316
00:15:52,789 --> 00:15:55,058
So you're watching
to see if I throw up?
317
00:15:55,192 --> 00:15:57,094
Or faint, seize,
or have muscle spasms.
318
00:16:02,199 --> 00:16:04,668
You know, before COVID,
my brain was...
319
00:16:06,136 --> 00:16:08,972
I did evolutionary patterns,
320
00:16:09,106 --> 00:16:11,509
genetic...
321
00:16:13,010 --> 00:16:15,380
how genes go together.
322
00:16:16,947 --> 00:16:17,948
The sequence.
323
00:16:20,918 --> 00:16:23,278
Now my brain can't handle the
sequence of brushing my teeth.
324
00:16:25,390 --> 00:16:28,792
My focus, my working memory,
all of the...
325
00:16:32,230 --> 00:16:34,465
The executive function.
326
00:16:36,967 --> 00:16:39,703
It's not always happening.
327
00:16:42,873 --> 00:16:45,543
Please page Dr. Wolke to monitor
her and stay until he comes.
328
00:16:47,911 --> 00:16:49,146
Push your hand against mine.
329
00:16:50,582 --> 00:16:52,749
The pattern is errors
in executive function.
330
00:16:52,883 --> 00:16:54,160
Shaun, I'm in the middle
of doing something.
331
00:16:54,184 --> 00:16:57,054
Your brain cancer
may have returned.
332
00:17:00,961 --> 00:17:03,121
- All errors are tied to
executive function. - Shaun...
333
00:17:03,229 --> 00:17:05,365
Specifically to working
and procedural memory governed
334
00:17:05,498 --> 00:17:06,978
by the dorsolateral
prefrontal cortex,
335
00:17:07,100 --> 00:17:08,869
a common site
for a recurrent glioma,
336
00:17:09,003 --> 00:17:12,434
which strongly suggests
your cancer has returned.
337
00:17:12,473 --> 00:17:15,533
My last scan came back
completely clear. I'm fine.
338
00:17:15,558 --> 00:17:17,158
Your last scan
was six months ago.
339
00:17:17,183 --> 00:17:19,320
These errors all took place
in the last four months.
340
00:17:19,545 --> 00:17:20,848
So you need another scan.
341
00:17:20,981 --> 00:17:22,261
The evidence is very compelling.
342
00:17:22,348 --> 00:17:23,549
No, it's really not.
343
00:17:23,683 --> 00:17:26,086
I perform complex surgeries,
Shaun,
344
00:17:26,220 --> 00:17:29,022
more so than any other doctor
on this staff, by the way.
345
00:17:29,156 --> 00:17:31,058
So yeah,
the percentages would dictate
346
00:17:31,191 --> 00:17:35,028
that I might make more minor
and irrelevant missteps,
347
00:17:35,162 --> 00:17:37,064
if that's what you want
to call them, and...
348
00:17:37,197 --> 00:17:38,766
And the rate of errors
has increased.
349
00:17:38,899 --> 00:17:41,434
Yeah, because I take on
the tougher cases,
350
00:17:41,567 --> 00:17:42,703
the ones no one else will.
351
00:17:42,836 --> 00:17:45,839
No, you need another MRI now.
352
00:17:45,973 --> 00:17:48,008
Shaun, what I need
is to get back to my patient.
353
00:17:48,142 --> 00:17:51,444
And you need to knock first
next time.
354
00:17:56,049 --> 00:17:57,416
It's the greening of the...
355
00:17:59,153 --> 00:18:00,353
My turn.
356
00:18:02,756 --> 00:18:04,500
I'm trying to get some
of my cognitive exercises in.
357
00:18:04,524 --> 00:18:06,526
What are you memorizing?
358
00:18:06,659 --> 00:18:08,461
It's a poem from
The Carrying, Ada Limon.
359
00:18:09,730 --> 00:18:11,297
The collection
is mostly about...
360
00:18:13,867 --> 00:18:16,737
not having the life you
thought you'd have, I guess.
361
00:18:18,272 --> 00:18:22,810
The one I was just reading,
it's about spring coming,
362
00:18:22,943 --> 00:18:24,945
Instructions on Not Giving Up.
363
00:18:25,846 --> 00:18:27,680
- Sounds useful.
- Yeah.
364
00:18:27,815 --> 00:18:29,215
Too bad I can't read it
all at once.
365
00:18:29,850 --> 00:18:32,385
I've just graduated from haikus.
366
00:18:32,518 --> 00:18:34,822
I never even thought to look
at a poem before I got sick.
367
00:18:36,723 --> 00:18:38,524
Didn't have the patience
for it at the time,
368
00:18:39,793 --> 00:18:41,195
but it's basically
all I read now.
369
00:18:42,461 --> 00:18:43,964
I started writing, too.
370
00:18:44,097 --> 00:18:47,633
It's kind of a creative therapy.
371
00:18:49,468 --> 00:18:52,572
There was a kind of poetry
372
00:18:52,706 --> 00:18:55,508
to the genetic variations
in white clover too.
373
00:18:59,179 --> 00:19:00,546
I'd give anything to...
374
00:19:06,485 --> 00:19:08,021
Your blood pressure
is going down,
375
00:19:08,155 --> 00:19:09,299
and your heart rate's climbing.
376
00:19:09,323 --> 00:19:10,324
I feel kind of dizzy.
377
00:19:10,456 --> 00:19:11,496
Let me check your glucose.
378
00:19:15,494 --> 00:19:17,663
She's having a seizure.
Crash cart now!
379
00:19:20,267 --> 00:19:22,427
We thought something else
was going on with your heart,
380
00:19:22,501 --> 00:19:23,636
but it's a kidney issue.
381
00:19:23,770 --> 00:19:25,480
You have a narrowing
of your renal arteries,
382
00:19:25,504 --> 00:19:27,544
which was exacerbated
by the pulmonary hypertension,
383
00:19:27,640 --> 00:19:28,785
causing your kidneys to fail.
384
00:19:28,809 --> 00:19:30,911
And this is
because of my sleep apnea?
385
00:19:31,044 --> 00:19:32,946
We believe so, yeah.
386
00:19:33,080 --> 00:19:35,816
Can she get a transplant?
387
00:19:35,949 --> 00:19:38,185
I can do a test,
see if I'm a match.
388
00:19:38,318 --> 00:19:41,687
Unfortunately, your other health
concerns rule out a transplant,
389
00:19:41,822 --> 00:19:46,226
but a renal artery bypass would allow
your kidneys to heal on their own.
390
00:19:46,360 --> 00:19:48,829
There's risk of complications,
some quite serious.
391
00:19:50,429 --> 00:19:54,801
But in success, you could live
a full, independent life.
392
00:19:54,935 --> 00:19:58,105
But... but serious,
393
00:19:58,238 --> 00:20:00,841
as in I could die?
394
00:20:00,974 --> 00:20:03,977
Some complications can be fatal.
395
00:20:04,111 --> 00:20:05,846
But the risk is relatively low.
396
00:20:07,114 --> 00:20:08,815
Are there other options?
397
00:20:09,548 --> 00:20:11,151
Well, there's dialysis,
398
00:20:11,285 --> 00:20:14,021
but you'd need multiple sessions
a week for the rest of your life.
399
00:20:16,549 --> 00:20:20,791
Um, that's less risky, but I...
400
00:20:21,328 --> 00:20:24,497
I don't think I could handle
all that on my own.
401
00:20:24,630 --> 00:20:28,869
Mom, Mom, if you want to choose the
dialysis, I'll stay in San Jose.
402
00:20:31,371 --> 00:20:32,438
I'm sorry.
403
00:20:33,774 --> 00:20:35,042
I don't want to keep you.
404
00:20:35,175 --> 00:20:38,245
No, you have nothing
to be sorry for.
405
00:20:38,378 --> 00:20:40,881
All this time you've been sick
and struggling, and I...
406
00:20:42,382 --> 00:20:43,382
I judged you.
407
00:20:44,517 --> 00:20:45,651
But your new job.
408
00:20:48,355 --> 00:20:49,355
It's just a job.
409
00:20:58,198 --> 00:21:01,168
So the medication you gave me
410
00:21:01,301 --> 00:21:03,636
to make my surgery safer
411
00:21:03,770 --> 00:21:06,106
will actually make it
more risky?
412
00:21:06,239 --> 00:21:07,239
That's right.
413
00:21:08,041 --> 00:21:09,608
But without that medication,
414
00:21:09,743 --> 00:21:12,412
I'm much more likely
to have another tet spell.
415
00:21:12,545 --> 00:21:16,183
Yes, and possibly more severe
than the last time.
416
00:21:16,316 --> 00:21:19,585
The brain fog,
all my deficits...
417
00:21:21,455 --> 00:21:22,455
could get worse,
418
00:21:24,458 --> 00:21:25,926
for possibly forever?
419
00:21:27,260 --> 00:21:28,328
Yes.
420
00:21:30,063 --> 00:21:31,798
But if we don't do
the tet repair,
421
00:21:31,932 --> 00:21:33,934
your heart will stop
at some point.
422
00:21:37,404 --> 00:21:39,239
I've already been through
423
00:21:39,373 --> 00:21:42,743
losing my thoughts,
my whole self.
424
00:21:47,014 --> 00:21:48,373
I can't do that again.
425
00:21:53,286 --> 00:21:54,788
Find another way
to fix my heart.
426
00:22:07,940 --> 00:22:09,581
All right, new idea.
427
00:22:09,638 --> 00:22:11,874
We go back to the old idea
and just do the surgery.
428
00:22:11,983 --> 00:22:13,586
It's a non-starter.
429
00:22:13,703 --> 00:22:16,473
We need to present a way to help
her tet without triggering her tet.
430
00:22:16,723 --> 00:22:19,459
A percutaneous valve and VSD
closure could help with blood flow.
431
00:22:19,852 --> 00:22:21,292
That involves catheters
in the heart,
432
00:22:21,352 --> 00:22:22,832
which would cause
the muscle to spasm.
433
00:22:23,856 --> 00:22:26,058
All right.
It's time for some WWSMD.
434
00:22:26,191 --> 00:22:28,594
Whatever you and Jerome do
on your own time is...
435
00:22:28,727 --> 00:22:30,047
It's "what would
Shaun Murphy do?"
436
00:23:06,665 --> 00:23:07,665
What about a shunt?
437
00:23:08,934 --> 00:23:10,903
It would improve blood flow,
buy a few months
438
00:23:11,036 --> 00:23:12,704
to continue
her cognitive recovery.
439
00:23:12,838 --> 00:23:14,758
Once she feels better
about where her brain's at,
440
00:23:14,873 --> 00:23:16,340
maybe she lets us fix her heart.
441
00:23:16,475 --> 00:23:18,811
Her tet will likely kill her
before that,
442
00:23:18,944 --> 00:23:22,981
but placing a shunt
won't trigger a spell,
443
00:23:23,115 --> 00:23:24,755
making it something
she'd actually accept.
444
00:23:27,553 --> 00:23:29,755
I'll take it to her.
445
00:23:31,156 --> 00:23:32,825
I can stay only 45 minutes.
446
00:23:32,958 --> 00:23:35,027
I have to review
Dr. Glassman's OR videos.
447
00:23:35,160 --> 00:23:36,400
Didn't you already review them?
448
00:23:36,528 --> 00:23:38,130
Not for symptoms
of glioma recurrence.
449
00:23:38,263 --> 00:23:40,499
New evidence will convince
Dr. Glassman to get a scan.
450
00:23:40,632 --> 00:23:43,268
Okay, you binged months
of data in one day.
451
00:23:43,402 --> 00:23:44,779
You'll have a clearer head
in the morning.
452
00:23:44,803 --> 00:23:47,472
Until then,
here we are, karaoke rager.
453
00:23:47,606 --> 00:23:49,174
- Yay.
- It is yay.
454
00:23:49,308 --> 00:23:51,510
We have song lists.
Plus Jared's our friend.
455
00:23:51,643 --> 00:23:53,363
He just moved back.
Celebration is in order.
456
00:23:54,546 --> 00:23:56,849
I will review the videos
in the morning.
457
00:23:56,982 --> 00:23:57,982
Yay!
458
00:23:58,717 --> 00:24:00,152
It sounds pretty wild in there.
459
00:24:15,667 --> 00:24:17,836
I was just warming up.
460
00:24:17,970 --> 00:24:20,806
- Where is everyone?
- There is a lot of food.
461
00:24:20,939 --> 00:24:23,008
Yeah, I had it catered.
You're the first to arrive.
462
00:24:24,076 --> 00:24:26,812
And so far,
last-minute rain checks
463
00:24:26,945 --> 00:24:29,314
from Morgan, Park, Asher, Danny.
464
00:24:30,816 --> 00:24:31,817
And Jerome.
465
00:24:34,453 --> 00:24:35,687
So it's just us four?
466
00:24:35,821 --> 00:24:39,324
Which means
that all these snacks
467
00:24:39,458 --> 00:24:42,361
and song binders are for us.
468
00:24:42,494 --> 00:24:44,563
Yes.
469
00:24:44,696 --> 00:24:47,599
The low turnout is the perfect
opportunity to discuss symptoms.
470
00:24:49,534 --> 00:24:51,436
In your recent surgeries
with Dr. Glassman,
471
00:24:51,570 --> 00:24:53,214
do you recall observing
any balance issues,
472
00:24:53,238 --> 00:24:54,673
tremors, or motor weakness?
473
00:25:00,145 --> 00:25:01,713
That sounds like
the perfect option.
474
00:25:03,048 --> 00:25:05,183
How soon can you do
the shunt procedure?
475
00:25:05,317 --> 00:25:07,452
I'll try to schedule it
for tomorrow.
476
00:25:12,324 --> 00:25:14,426
I've had a strange year myself.
477
00:25:17,763 --> 00:25:19,431
Eleven months ago,
478
00:25:19,564 --> 00:25:20,799
I was attacked
479
00:25:20,933 --> 00:25:22,868
and paralyzed
from the waist down.
480
00:25:24,202 --> 00:25:26,672
I thought it was permanent.
Almost everyone did.
481
00:25:29,841 --> 00:25:33,879
At first, all I wanted
was to walk again.
482
00:25:35,380 --> 00:25:38,583
I was ready to risk my life
to get back to the old me.
483
00:25:40,218 --> 00:25:41,353
But as time went on,
484
00:25:42,788 --> 00:25:47,427
I started to appreciate
my new life, my new self.
485
00:25:50,195 --> 00:25:52,097
I started a new relationship
486
00:25:52,230 --> 00:25:53,799
that wouldn't
have happened otherwise.
487
00:25:56,401 --> 00:25:57,903
In many ways, my life improved.
488
00:25:59,251 --> 00:26:01,848
You recognize you walked in
to tell me this story?
489
00:26:03,775 --> 00:26:05,243
I only agreed to do the surgery
490
00:26:05,377 --> 00:26:06,737
once I knew
my life wasn't at risk.
491
00:26:06,812 --> 00:26:09,398
And even then, I had doubts.
492
00:26:11,049 --> 00:26:12,751
I liked who I'd become.
493
00:26:12,884 --> 00:26:14,219
I wanted to hold on to her.
494
00:26:18,590 --> 00:26:19,591
I'm not...
495
00:26:22,594 --> 00:26:23,795
losing my mind...
496
00:26:25,731 --> 00:26:26,798
all over again.
497
00:26:29,868 --> 00:26:31,937
You don't strike me
as someone who's lost her mind.
498
00:26:50,022 --> 00:26:51,723
That covers the thrombectomy.
499
00:26:51,857 --> 00:26:53,001
In February, you assisted on a...
500
00:26:53,025 --> 00:26:56,161
Okay, I'm playing
the pregnant lady card.
501
00:26:57,696 --> 00:26:58,830
We're going, Shaun.
502
00:26:58,964 --> 00:26:59,965
Okay.
503
00:27:01,434 --> 00:27:02,968
Thank you. Goodbye.
504
00:27:04,669 --> 00:27:05,971
I should head out, too.
505
00:27:07,806 --> 00:27:09,975
- Early morning.
- Yeah.
506
00:27:14,279 --> 00:27:17,483
Maybe focus on being
a first-year resident
507
00:27:17,616 --> 00:27:21,454
before adding party planner
to your resume.
508
00:27:23,955 --> 00:27:25,690
The catering may have been
a bridge too far.
509
00:27:26,658 --> 00:27:27,692
Yeah.
510
00:27:32,498 --> 00:27:33,665
I bounced around growing up.
511
00:27:35,867 --> 00:27:39,004
Different schools,
cities, countries.
512
00:27:40,540 --> 00:27:44,176
But, um, wherever we were,
my parents had a big house,
513
00:27:45,243 --> 00:27:46,523
and I knew how to throw a party.
514
00:27:49,756 --> 00:27:52,693
Closest I'd get
to feeling like I fit.
515
00:27:55,887 --> 00:27:57,047
Old habits die hard, I guess.
516
00:27:59,925 --> 00:28:01,827
Fitting in takes time.
517
00:28:02,894 --> 00:28:05,664
But I never have, anywhere.
518
00:28:10,460 --> 00:28:11,460
Maybe not everyone
519
00:28:13,271 --> 00:28:14,271
finds their place.
520
00:28:19,650 --> 00:28:21,519
Daphne is getting septic.
We have to go.
521
00:28:27,249 --> 00:28:28,324
Morning.
522
00:28:28,349 --> 00:28:29,750
Hello.
523
00:28:32,560 --> 00:28:34,095
You should not have that.
524
00:28:34,228 --> 00:28:36,564
I'm permitted 12 ounces a day.
Experts agree.
525
00:28:36,699 --> 00:28:40,419
Yes, but that was brewed
when I woke up at 3:30 a.m.
526
00:28:42,337 --> 00:28:43,871
You make it through the videos?
527
00:28:44,005 --> 00:28:46,407
Yes, and integrated
the observations
528
00:28:46,541 --> 00:28:48,109
Doctors Kalu and Allen
made last night
529
00:28:48,242 --> 00:28:50,690
regarding possible
glioma symptoms.
530
00:28:53,281 --> 00:28:56,050
I am now ready to present Dr. Glassman
with the revised evidence,
531
00:28:56,184 --> 00:28:57,820
which is very compelling.
532
00:29:02,256 --> 00:29:05,661
Thankfully, your infection is
responding to the antibiotics.
533
00:29:05,794 --> 00:29:08,496
The infection started
around your dialysis port.
534
00:29:08,630 --> 00:29:10,064
That could easily happen again.
535
00:29:11,700 --> 00:29:14,803
The renal artery bypass
is still an option.
536
00:29:14,936 --> 00:29:16,304
It's too risky.
537
00:29:16,971 --> 00:29:17,971
So is sepsis.
538
00:29:19,775 --> 00:29:22,678
Thank you, Doctor,
but I'll settle for being alive.
539
00:29:22,811 --> 00:29:23,811
You shouldn't.
540
00:29:26,180 --> 00:29:27,260
You deserve more than that.
541
00:29:28,549 --> 00:29:30,652
I know you've had a whole life
of feeling sick
542
00:29:30,786 --> 00:29:34,355
and stuck and repeating
the same old, bad patterns,
543
00:29:34,489 --> 00:29:36,849
but your past does not have to
tell your future where to go.
544
00:29:41,162 --> 00:29:43,197
You can choose a different path
545
00:29:43,331 --> 00:29:45,199
and who you're gonna be on it.
546
00:29:47,368 --> 00:29:49,036
And let your daughter
do the same.
547
00:29:54,342 --> 00:29:55,778
Prague is beautiful
in the spring.
548
00:30:33,682 --> 00:30:35,842
We've scheduled the shunt
placement for this afternoon.
549
00:30:37,585 --> 00:30:39,120
And that whole speech
last night?
550
00:30:39,253 --> 00:30:42,089
I stand by it,
but it's your decision.
551
00:30:48,029 --> 00:30:50,933
I've been waiting for the
old me to come back, and...
552
00:30:55,336 --> 00:30:56,872
That person
may not exist anymore.
553
00:30:59,808 --> 00:31:00,808
And...
554
00:31:03,377 --> 00:31:04,780
maybe I should be okay
with that.
555
00:31:10,886 --> 00:31:11,886
Do the tet repair.
556
00:31:27,134 --> 00:31:28,436
Releasing the proximal clamp.
557
00:31:31,105 --> 00:31:32,440
What made Daphne
change her mind?
558
00:31:33,976 --> 00:31:35,896
Dr. Allen has a way
of getting through to people.
559
00:31:40,448 --> 00:31:42,316
Blood flow looks obstructed.
560
00:31:42,450 --> 00:31:43,570
There's a kink in the graft.
561
00:31:45,486 --> 00:31:47,446
We can undo it, but most
likely, it happens again.
562
00:31:51,492 --> 00:31:55,496
We could anchor the bypass
off of the aorta instead.
563
00:31:55,631 --> 00:31:57,131
At that angle,
less chance of a kink.
564
00:32:00,167 --> 00:32:01,168
Could work.
565
00:32:14,248 --> 00:32:15,848
- Extending the incision.
- -Sternal saw.
566
00:32:20,756 --> 00:32:22,658
Starting the sternotomy.
567
00:32:24,592 --> 00:32:25,592
O2 dropped to 78.
568
00:32:26,527 --> 00:32:28,396
- 65.
- She's having a tet spell.
569
00:32:28,529 --> 00:32:31,767
Give her 500 cc fluid bolus
and 100% oxygen.
570
00:32:31,900 --> 00:32:34,569
Giving a mini bolus
to increase pulmonary flow.
571
00:32:37,538 --> 00:32:40,909
O2 sats are 50. 45.
572
00:32:41,043 --> 00:32:42,310
Come on, come on.
573
00:32:44,813 --> 00:32:46,682
Give her more oxygen
and up the opiates.
574
00:32:48,349 --> 00:32:49,429
It has stopped registering.
575
00:33:08,003 --> 00:33:09,403
O2's rising.
576
00:33:11,673 --> 00:33:12,673
Heart rate's stabilizing.
577
00:33:16,044 --> 00:33:18,880
She was in
prolonged gross hypoxia.
578
00:33:19,014 --> 00:33:21,549
That could extend
cognitive deficits...
579
00:33:22,918 --> 00:33:24,753
or worse.
580
00:33:24,886 --> 00:33:26,354
We won't know until she wakes.
581
00:33:26,487 --> 00:33:28,487
Let's get her on bypass
before she has another one.
582
00:33:31,359 --> 00:33:32,560
Okay.
583
00:33:33,629 --> 00:33:36,130
To a successful
renal artery bypass.
584
00:33:36,263 --> 00:33:38,934
Cheers.
Facilitated by moving speech
585
00:33:39,067 --> 00:33:40,636
from a wise
and persuasive surgeon.
586
00:33:40,769 --> 00:33:43,672
With a great
surgical save by a guy
587
00:33:43,805 --> 00:33:46,574
who's about to have
some life-changing tacos.
588
00:33:46,708 --> 00:33:47,708
Okay.
589
00:33:51,113 --> 00:33:53,115
My God.
590
00:33:53,247 --> 00:33:55,717
Okay, these are amaz...
You're amazing!
591
00:33:55,851 --> 00:33:58,419
Told you. Blue corn tortillas.
592
00:33:58,552 --> 00:34:00,588
I can get used to this.
593
00:34:04,325 --> 00:34:07,095
You have some lettuce there.
594
00:34:07,228 --> 00:34:09,765
No, no, no, mirror image.
595
00:34:09,898 --> 00:34:10,999
Now?
596
00:34:11,133 --> 00:34:12,668
- No.
- No laughing.
597
00:34:12,801 --> 00:34:13,911
No, right, right, right. Very...
598
00:34:13,935 --> 00:34:15,436
Very serious matter.
599
00:34:20,274 --> 00:34:22,978
Here. Um, yeah.
600
00:34:24,478 --> 00:34:25,947
Just a little bit more.
601
00:34:37,491 --> 00:34:40,062
We should go.
602
00:34:40,194 --> 00:34:44,198
- Yeah. - Um, we need to get
back early for Daphne's post-op.
603
00:34:44,331 --> 00:34:47,201
Yeah, right. Um, let's go.
604
00:34:52,599 --> 00:34:55,861
The bypass went smoothly,
and post-op labs look good.
605
00:34:56,000 --> 00:34:58,103
We expect a full recovery.
606
00:34:58,950 --> 00:34:59,950
How are you feeling, Mom?
607
00:35:01,786 --> 00:35:02,821
I'm...
608
00:35:04,462 --> 00:35:06,540
Breathing.
609
00:35:06,565 --> 00:35:09,418
Kind of feels like
the first time in my life.
610
00:35:10,687 --> 00:35:14,424
The post-op swelling from the
tonsillectomy has gone down.
611
00:35:14,589 --> 00:35:16,845
You're finally breathing
without any obstruction.
612
00:35:17,269 --> 00:35:19,949
You'll need to stay on top of your
medications and follow-up visits,
613
00:35:20,371 --> 00:35:21,974
observe some dietary guidelines,
614
00:35:21,999 --> 00:35:24,334
but the discharge plan
lays it all out.
615
00:35:25,665 --> 00:35:27,033
I'll be there to help, Mom.
616
00:35:30,238 --> 00:35:31,238
No.
617
00:35:33,190 --> 00:35:34,358
You won't.
618
00:35:38,744 --> 00:35:40,512
You need to live your own life.
619
00:35:44,324 --> 00:35:47,825
But I... I will accept
FaceTime calls.
620
00:35:48,706 --> 00:35:50,173
And once I recover,
621
00:35:51,819 --> 00:35:53,219
I'll come visit.
622
00:35:57,781 --> 00:36:00,149
I hear that Prague
is beautiful in the spring.
623
00:36:04,420 --> 00:36:05,689
That sounds like a plan.
624
00:36:17,362 --> 00:36:20,036
Things not go well with Glassy?
625
00:36:20,061 --> 00:36:22,114
He returned the files
with a note saying
626
00:36:22,139 --> 00:36:25,532
he did not look at them
and does not intend to.
627
00:36:25,557 --> 00:36:27,614
I'm sorry. He probably...
628
00:36:27,639 --> 00:36:29,684
It was a mistake to leave them
for him to read on his own.
629
00:36:29,708 --> 00:36:33,578
Once I reorder the files, I will go to
his office to review with him in person.
630
00:36:33,830 --> 00:36:35,849
He made it pretty clear
he doesn't want to see them.
631
00:36:35,874 --> 00:36:38,176
But he doesn't know
about the new evidence.
632
00:36:38,201 --> 00:36:40,025
Maybe he doesn't want to know.
633
00:36:40,050 --> 00:36:42,983
Cancer survivors have to live
with that uncertainty that...
634
00:36:43,008 --> 00:36:45,256
Knowing is better
than not knowing.
635
00:36:47,730 --> 00:36:50,032
If he's not ready
to look at this,
636
00:36:50,204 --> 00:36:52,295
you can't force him.
637
00:36:52,904 --> 00:36:56,302
Maybe he's scared, Shaun.
638
00:36:56,790 --> 00:36:58,659
And I think
maybe you're scared, too.
639
00:37:00,350 --> 00:37:02,721
We're about to have a baby,
640
00:37:02,964 --> 00:37:05,300
you're about to be a dad,
641
00:37:05,330 --> 00:37:07,633
and I think you're worried
about family,
642
00:37:07,690 --> 00:37:09,611
and Glassman is a part of that.
643
00:37:10,943 --> 00:37:14,348
But if you keep pushing,
you risk damaging
644
00:37:14,373 --> 00:37:17,318
one of the most important
relationships in your life.
645
00:37:26,598 --> 00:37:27,598
Hey.
646
00:37:31,300 --> 00:37:32,300
- Hey.
- Hey.
647
00:37:35,735 --> 00:37:37,203
I've been thinking,
648
00:37:37,228 --> 00:37:39,358
and I need a break
from our coffees.
649
00:37:39,568 --> 00:37:40,913
Dalisay...
650
00:37:40,946 --> 00:37:42,586
I don't think dinner's
a good idea either.
651
00:37:44,081 --> 00:37:46,294
So we have a different point of
view about hospital business.
652
00:37:46,318 --> 00:37:48,487
That doesn't change
the way I feel about you.
653
00:37:48,666 --> 00:37:50,779
On or off the clock,
I'm the same person.
654
00:37:51,773 --> 00:37:54,509
To me, if you don't value
what the nurses do
655
00:37:54,641 --> 00:37:57,343
enough to treat us
like a resource to invest in,
656
00:37:57,745 --> 00:37:59,113
not a line item to be cut,
657
00:38:00,444 --> 00:38:01,684
how much can you care about me?
658
00:38:03,680 --> 00:38:04,747
And to be honest,
659
00:38:05,833 --> 00:38:07,877
if that is your point of view...
660
00:38:10,195 --> 00:38:12,268
it undercuts
the respect I have for you.
661
00:38:23,508 --> 00:38:26,144
Harper Louise Decrane,
662
00:38:26,316 --> 00:38:29,404
March 30, 1994.
663
00:38:30,051 --> 00:38:31,483
And do you know why you're here?
664
00:38:32,155 --> 00:38:33,498
For my heart issues.
665
00:38:36,465 --> 00:38:38,174
I had another tet spell,
didn't I?
666
00:38:39,401 --> 00:38:40,869
We'll need
to conduct more tests,
667
00:38:40,894 --> 00:38:43,029
but your speech
and memory seem intact.
668
00:38:43,226 --> 00:38:46,261
And with regard to your heart,
we expect a full recovery.
669
00:38:46,347 --> 00:38:49,885
And with time, you may recover your
full cognitive abilities as well.
670
00:38:51,042 --> 00:38:52,043
Maybe.
671
00:38:53,296 --> 00:38:57,760
But for now,
I'll just focus on being here.
672
00:39:12,854 --> 00:39:15,342
"It's the greening of the trees
673
00:39:15,777 --> 00:39:17,178
That really gets to me
674
00:39:18,813 --> 00:39:21,683
When all the shock
of white and taffy
675
00:39:21,708 --> 00:39:24,854
Leave the pavement strewn
With the confetti of aftermath
676
00:39:26,972 --> 00:39:28,315
The leaves come
677
00:39:29,356 --> 00:39:31,479
Patient, plodding
678
00:39:32,803 --> 00:39:36,436
A green skin growing over
Whatever winter did to us
679
00:39:38,714 --> 00:39:42,485
A return to the strange idea
Of continuous living
680
00:39:42,595 --> 00:39:44,145
Despite the mess of us
681
00:39:44,170 --> 00:39:46,068
The hurt, the empty..."
682
00:39:47,007 --> 00:39:48,432
Shaun, what?
683
00:39:49,327 --> 00:39:52,486
Lea thinks that because
I'm going to be a dad,
684
00:39:53,340 --> 00:39:55,412
I am worried about my family.
685
00:39:57,401 --> 00:39:58,740
Okay.
686
00:39:58,765 --> 00:40:02,236
She also thinks you are scared.
687
00:40:03,053 --> 00:40:04,627
I'm not scared, Shaun.
I'm fine.
688
00:40:04,652 --> 00:40:07,967
She says if you don't want to do the
scan, I should let it go.
689
00:40:11,863 --> 00:40:12,863
She...
690
00:40:15,578 --> 00:40:16,981
is right.
691
00:40:18,785 --> 00:40:20,283
Good. Thank you.
692
00:40:22,526 --> 00:40:23,861
I am scared.
693
00:40:37,434 --> 00:40:38,756
Dr. Glassman...
694
00:40:43,350 --> 00:40:46,887
I am asking you to do the scan
695
00:40:48,233 --> 00:40:49,233
because...
696
00:40:51,437 --> 00:40:54,834
the data and the evidence
are sound...
697
00:41:00,574 --> 00:41:01,574
and because...
698
00:41:09,257 --> 00:41:11,226
it would be hard
to lose my father
699
00:41:11,251 --> 00:41:13,209
just as I am about
to become one.
700
00:41:21,578 --> 00:41:22,959
Do the scan for me.
701
00:41:35,213 --> 00:41:38,013
Shaun, I'll do the scan.
702
00:41:56,176 --> 00:42:00,013
"'Fine then, I'll take it'
The tree seems to say
703
00:42:00,038 --> 00:42:03,832
A new slick leaf unfurling
Like a fist to an open palm
704
00:42:04,635 --> 00:42:05,903
'I'll take it all'"