1 00:00:12,527 --> 00:00:14,062 What? 2 00:00:14,095 --> 00:00:15,496 It's time to wake up. 3 00:00:15,530 --> 00:00:17,799 Mnh-mnh. It's still dark outside. 4 00:00:17,607 --> 00:00:19,208 I'd like to have sex. 5 00:00:20,457 --> 00:00:22,659 As romantically as that was put, 6 00:00:22,692 --> 00:00:24,427 it's too early, Shaun. 7 00:00:25,962 --> 00:00:29,266 It's exactly early enough to have sex 8 00:00:29,299 --> 00:00:31,134 for the average duration it takes us 9 00:00:31,168 --> 00:00:32,869 and still allow precisely enough time 10 00:00:32,902 --> 00:00:34,871 to get ready for work. 11 00:00:36,406 --> 00:00:39,376 How long have you been up figuring that out? 12 00:00:39,409 --> 00:00:41,278 Since 4:53. 13 00:00:41,311 --> 00:00:43,045 But it only took two minutes. 14 00:00:45,148 --> 00:00:48,585 You've been waiting since then to propose this? 15 00:00:49,819 --> 00:00:52,522 I let you sleep as long as possible. 16 00:00:54,591 --> 00:00:58,461 That's... very considerate. 17 00:00:59,196 --> 00:01:00,597 Ohh. 18 00:01:24,120 --> 00:01:25,688 Sorry, I'm late. 19 00:01:25,722 --> 00:01:26,989 I'm Dr. Shaun Murphy. 20 00:01:27,023 --> 00:01:28,591 Kayley has a sore throat. 21 00:01:28,625 --> 00:01:30,068 More like this constant feeling 22 00:01:30,092 --> 00:01:31,470 like there's something stuck in my throat. 23 00:01:31,494 --> 00:01:33,129 And I've fainted a couple times, 24 00:01:33,162 --> 00:01:35,332 which I first thought was just random. 25 00:01:35,365 --> 00:01:37,166 And I'm obviously losing my voice. 26 00:01:37,200 --> 00:01:38,701 Since I've only just met you, 27 00:01:38,735 --> 00:01:41,471 I have no idea what your voice normally sounds like. 28 00:01:41,504 --> 00:01:42,705 Well, not this. 29 00:01:42,739 --> 00:01:46,376 Sometimes when swallowing, I get a super intense pain, 30 00:01:46,409 --> 00:01:49,712 like, worse than an ice cream headache. 31 00:01:49,746 --> 00:01:52,782 My internist sent me to an ear, nose, and throat guy, 32 00:01:52,815 --> 00:01:57,254 an orthopedic surgeon, um, three gastroenterologists, 33 00:01:57,287 --> 00:01:59,389 a voice issues specialist dude. 34 00:01:59,422 --> 00:02:01,658 An otolaryngologist. 35 00:02:03,893 --> 00:02:06,796 A-a neurosurgeon who thinks it might be a messed up nerve 36 00:02:06,829 --> 00:02:08,565 connecting the throat to the brain. 37 00:02:08,598 --> 00:02:11,100 The ninth cranial nerve, glossopharyngeal neuralgia. 38 00:02:11,133 --> 00:02:13,303 He recommended, like, brain surgery. 39 00:02:13,336 --> 00:02:15,472 Microvascular decompression. 40 00:02:15,505 --> 00:02:18,908 Which a second neurosurgeon said I don't need. 41 00:02:20,209 --> 00:02:22,178 You're not happy with the answers you're getting 42 00:02:22,211 --> 00:02:24,414 from a whole bunch of recommended specialists, 43 00:02:24,447 --> 00:02:26,649 so you came to the ER? 44 00:02:26,683 --> 00:02:28,685 I ran out of recommended specialists. 45 00:02:28,718 --> 00:02:29,752 Hmm. 46 00:02:29,786 --> 00:02:33,122 It is an intriguing combination of symptoms. 47 00:02:33,155 --> 00:02:35,024 We'll admit you and run some tests. 48 00:02:36,526 --> 00:02:37,560 Uh, Dr. Murphy? 49 00:02:39,596 --> 00:02:40,597 You're... 50 00:02:41,931 --> 00:02:42,999 Interesting. 51 00:02:43,032 --> 00:02:44,401 I have autism. 52 00:02:45,368 --> 00:02:46,369 That's so cool. 53 00:02:47,069 --> 00:02:48,405 Uh, I mean, no... 54 00:02:48,438 --> 00:02:50,773 Sor... Not... Not cool that you are. 55 00:02:50,807 --> 00:02:53,276 Be more insensitive, Kayley. Um... 56 00:02:54,344 --> 00:02:56,446 It's cool that you're this... 57 00:02:56,479 --> 00:02:59,816 Totally chill, super knowledgeable medico. 58 00:03:01,951 --> 00:03:05,388 Compliments... are very awkward. 59 00:03:09,459 --> 00:03:11,227 Cute doctor who's gonna cure me. 60 00:03:15,197 --> 00:03:16,933 Severe abdominal discomfort. 61 00:03:16,966 --> 00:03:19,035 Fever, tachy, hypotensive. 62 00:03:20,670 --> 00:03:23,272 It's okay, sweetie. 63 00:03:23,306 --> 00:03:24,574 What's your name? 64 00:03:24,607 --> 00:03:25,842 That's Marla. 65 00:03:26,576 --> 00:03:28,345 No one to leave her with. 66 00:03:28,378 --> 00:03:30,480 We're gonna take care of your mommy. 67 00:03:31,614 --> 00:03:34,050 Abdomen tender and distended. 68 00:03:34,083 --> 00:03:35,184 Dehydrated. 69 00:03:36,419 --> 00:03:37,787 Delayed capillary refill. 70 00:03:38,588 --> 00:03:40,089 Rapid respiratory rate. 71 00:03:40,122 --> 00:03:42,291 Skin cool and bluish, looks cyanotic. 72 00:03:42,325 --> 00:03:43,636 She's going into shock. 73 00:03:43,660 --> 00:03:45,294 We need aggressive fluid resuscitation. 74 00:03:45,328 --> 00:03:46,572 Start broad spectrum antibiotics, 75 00:03:46,596 --> 00:03:48,365 place an NG to decompress distended abdomen. 76 00:03:48,398 --> 00:03:51,067 Trend her lactates, initiate complete sepsis bundle. 77 00:04:05,448 --> 00:04:08,084 Her CBC, BMP autoimmune panel, 78 00:04:08,117 --> 00:04:10,252 nasal swab, and blood cultures. 79 00:04:10,286 --> 00:04:11,287 All normal. 80 00:04:12,054 --> 00:04:14,023 Ohh. That's exciting. 81 00:04:14,056 --> 00:04:15,692 Negative tests are exciting? 82 00:04:15,725 --> 00:04:18,995 No one's been able to find out what she has. 83 00:04:19,028 --> 00:04:22,632 I'm going to get brain FIESTA and time-of-flight MRI 84 00:04:22,665 --> 00:04:24,567 to assess the cranial nerves and vessels, 85 00:04:24,601 --> 00:04:25,968 and Doppler ultrasound to... 86 00:04:26,002 --> 00:04:28,405 I have to get back to work. 87 00:04:28,438 --> 00:04:31,073 Our pre-dawn romantic interlude made me late. 88 00:04:32,208 --> 00:04:35,011 Yes. There was a flaw in my methodology. 89 00:04:35,044 --> 00:04:37,480 My calculation was based on 90 00:04:37,514 --> 00:04:40,149 the mean duration of our sex overall, but generally, 91 00:04:40,182 --> 00:04:42,251 we take statistically significantly longer 92 00:04:42,284 --> 00:04:46,155 in the morning than at other times of day. 93 00:04:46,188 --> 00:04:47,724 Well, maybe we can discuss 94 00:04:47,757 --> 00:04:50,493 this whole timing-our-sex thing at lunchtime. 95 00:04:50,527 --> 00:04:53,530 Mm. No, thank you. 96 00:04:53,563 --> 00:04:56,332 I can't have lunch today. 97 00:04:56,365 --> 00:04:57,534 Too much to do. 98 00:05:03,205 --> 00:05:04,807 Sorry I'm late. 99 00:05:04,841 --> 00:05:06,676 I was going to cancel our lunch. 100 00:05:06,709 --> 00:05:07,744 Let me guess. 101 00:05:07,777 --> 00:05:10,112 A patient more interesting than me. 102 00:05:10,680 --> 00:05:11,714 Exactly. 103 00:05:11,748 --> 00:05:13,049 Yeah. 104 00:05:13,082 --> 00:05:15,918 She has a mysterious condition. 105 00:05:15,952 --> 00:05:18,855 But I realized I could use our lunch to help understand it. 106 00:05:18,888 --> 00:05:21,090 I ordered you a salad. Thank you. 107 00:05:27,430 --> 00:05:29,932 How do I get an ice cream headache? 108 00:05:29,966 --> 00:05:31,333 I've never had one. 109 00:05:31,367 --> 00:05:33,369 You don't want one. Brain freeze is horrible. 110 00:05:34,403 --> 00:05:35,838 The scientific term 111 00:05:35,872 --> 00:05:38,174 is sphenopalatine ganglioneuralgia. 112 00:05:38,207 --> 00:05:39,642 The trigeminal nerve reacts to 113 00:05:39,676 --> 00:05:41,410 rapid temperature change in the mouth, 114 00:05:41,444 --> 00:05:42,679 sending a signal to the brain, 115 00:05:42,712 --> 00:05:45,314 which responds with changes in blood flow and dura irritation, 116 00:05:45,347 --> 00:05:49,051 which combats what it perceives as a dangerous, noxious stimuli, 117 00:05:49,085 --> 00:05:51,253 but is just ice cream. 118 00:05:51,287 --> 00:05:52,955 I need to experience that. 119 00:05:53,890 --> 00:05:55,024 Okay. 120 00:05:55,057 --> 00:05:56,859 The technique I usually use is, 121 00:05:56,893 --> 00:05:58,427 eat way too much, way too fast. 122 00:06:03,733 --> 00:06:06,235 I'm quitting my job. 123 00:06:07,436 --> 00:06:09,539 The job you came back from Hershey for? 124 00:06:09,572 --> 00:06:12,341 Don't tell Glassy. He already thinks I'm a flake. 125 00:06:12,374 --> 00:06:16,245 You kicking me out is just what I needed. 126 00:06:16,278 --> 00:06:17,346 Mm-hmm. 127 00:06:17,379 --> 00:06:18,681 I was in a complete rut. 128 00:06:18,715 --> 00:06:21,918 In my personal life, at work, super stale. 129 00:06:21,951 --> 00:06:23,261 I mean, we weren't developing anything, 130 00:06:23,285 --> 00:06:25,888 just market testing designs... 131 00:06:25,922 --> 00:06:26,923 Ow. 132 00:06:27,423 --> 00:06:29,759 Ow! Ow, ow! 133 00:06:30,326 --> 00:06:31,393 That's awful! 134 00:06:31,427 --> 00:06:33,062 What's the cure? Time. 135 00:06:33,095 --> 00:06:34,731 How much time? Depends. 136 00:06:36,332 --> 00:06:39,468 Do you think I should include my job in Hershey on my resume? 137 00:06:39,502 --> 00:06:41,638 It hurts so much! 138 00:06:42,672 --> 00:06:43,906 Or does it make me look like 139 00:06:43,940 --> 00:06:45,808 I'm unable to commit to anything? 140 00:06:45,842 --> 00:06:46,843 Ow! 141 00:06:48,845 --> 00:06:49,846 Okay. 142 00:06:51,447 --> 00:06:53,850 The ultrasound showed your colon is distended. 143 00:06:53,883 --> 00:06:55,818 We placed a rectal tube and an NG 144 00:06:55,852 --> 00:06:57,620 to try to get that decompressed. 145 00:06:57,654 --> 00:06:59,155 Mommy, can we go home? 146 00:06:59,188 --> 00:07:00,256 Not yet, sweetie. 147 00:07:00,289 --> 00:07:01,734 It would be helpful to try to find out 148 00:07:01,758 --> 00:07:02,801 what could've triggered this. 149 00:07:02,825 --> 00:07:05,628 Any history of Crohn's or ulcerative colitis? 150 00:07:05,662 --> 00:07:06,663 No. 151 00:07:07,630 --> 00:07:08,898 I, um... 152 00:07:08,931 --> 00:07:10,800 I have had some UTIs lately. 153 00:07:10,833 --> 00:07:12,334 That's likely not connected. 154 00:07:12,368 --> 00:07:13,970 - Okay. - Diverticulitis? 155 00:07:14,003 --> 00:07:15,805 Any recent international travel? 156 00:07:15,838 --> 00:07:17,740 I have a three-year-old and no husband. 157 00:07:17,774 --> 00:07:18,808 Okay. 158 00:07:18,841 --> 00:07:20,619 We're gonna need to keep you on IV antibiotics 159 00:07:20,643 --> 00:07:22,478 and monitor the distention. 160 00:07:22,511 --> 00:07:25,347 In the meantime, is there anyone who can look after Marla? 161 00:07:25,381 --> 00:07:27,316 No one. 162 00:07:27,349 --> 00:07:30,486 My whole family's back east. It's... It's just us. 163 00:07:30,519 --> 00:07:33,956 I'll get a social worker to look after her. 164 00:07:33,990 --> 00:07:34,991 Thank you. 165 00:07:42,031 --> 00:07:43,700 Go ahead, honey. 166 00:07:58,514 --> 00:08:00,783 Why is my mom upset? 167 00:08:04,020 --> 00:08:07,556 If her anterior inferior cerebellar artery 168 00:08:07,590 --> 00:08:09,558 is encroaching on her glossopharyngeal nerve, 169 00:08:09,592 --> 00:08:10,660 it's very minor. 170 00:08:10,693 --> 00:08:11,904 Certainly not enough to justify 171 00:08:11,928 --> 00:08:13,395 microvascular decompression surgery. 172 00:08:13,429 --> 00:08:14,496 I agree. 173 00:08:14,530 --> 00:08:17,566 It could also be acid reflux temporal arteritis, 174 00:08:17,600 --> 00:08:20,870 laryngopharyngeal dysesthesia. We need to... 175 00:08:20,903 --> 00:08:22,739 We need to do $50,000 of tests, 176 00:08:22,772 --> 00:08:24,974 and it might be acid reflux? 177 00:08:25,007 --> 00:08:27,109 Or temporal arteritis or... 178 00:08:27,143 --> 00:08:28,244 It's a constellation 179 00:08:28,277 --> 00:08:29,879 of relatively insignificant symptoms. 180 00:08:29,912 --> 00:08:33,049 Have you ever had an ice cream headache, Dr. Andrews? 181 00:08:34,216 --> 00:08:35,351 Yes. 182 00:08:35,384 --> 00:08:38,220 I believe it didn't require brain surgery, Dr. Murphy. 183 00:08:39,121 --> 00:08:41,590 As a compromise, we could do an MRI 184 00:08:41,624 --> 00:08:43,760 and CT her neck and a swallow... 185 00:08:43,793 --> 00:08:45,561 Shaun. 186 00:08:45,594 --> 00:08:48,665 You don't compromise with your boss. 187 00:08:48,698 --> 00:08:51,200 Start her on dilantin for her pain and send her home. 188 00:09:01,310 --> 00:09:02,544 Can I just leave her with you? 189 00:09:02,578 --> 00:09:04,446 I'm a receptionist, not a social worker. 190 00:09:04,480 --> 00:09:05,481 And I'm a surgeon. 191 00:09:08,184 --> 00:09:09,618 I didn't mean I'm more important. 192 00:09:09,652 --> 00:09:12,722 I just meant we both have more important things to do. 193 00:09:12,755 --> 00:09:13,966 When will the social worker be here? 194 00:09:13,990 --> 00:09:15,124 She said half an hour. 195 00:09:15,157 --> 00:09:16,558 Can you page her again? 196 00:09:16,592 --> 00:09:18,627 I want my mama. 197 00:09:18,661 --> 00:09:20,830 Why don't you just go play with the toys, okay? 198 00:09:21,931 --> 00:09:23,800 Do you have her number? I'll call her myself. 199 00:09:24,934 --> 00:09:26,435 I made Mommy sick. 200 00:09:28,004 --> 00:09:29,972 No, sweetie. It's not your fault. 201 00:09:30,006 --> 00:09:31,507 Sometimes people just get sick. 202 00:09:31,540 --> 00:09:33,810 Mommy drawk ma poop. 203 00:09:35,544 --> 00:09:37,947 Your mommy drew your poop? No! 204 00:09:37,980 --> 00:09:40,082 Drawk. Mommy drawk. 205 00:09:42,952 --> 00:09:43,986 Drank? 206 00:09:44,020 --> 00:09:45,087 Yes. 207 00:09:45,121 --> 00:09:48,290 Mommy drawnk my poop. 208 00:09:52,929 --> 00:09:55,765 The good news is, we've ruled out glossopharyngeal neuralgia. 209 00:09:55,798 --> 00:09:57,233 You don't need brain surgery. 210 00:09:57,266 --> 00:09:59,601 Never any good news without bad news. 211 00:09:59,635 --> 00:10:02,271 We've got a list of a few things you don't have, 212 00:10:02,304 --> 00:10:03,740 but we don't know what you do have. 213 00:10:04,874 --> 00:10:06,375 So you'll run more tests. 214 00:10:06,876 --> 00:10:07,944 We can't. 215 00:10:07,977 --> 00:10:11,080 There are 21 different things this might be, 216 00:10:11,113 --> 00:10:14,116 but they don't want us to run 37 more tests. 217 00:10:17,987 --> 00:10:19,088 Well, this is lame. 218 00:10:19,121 --> 00:10:22,558 I can afford the tests. I make good money. 219 00:10:22,591 --> 00:10:25,094 I can't keep talking like this! 220 00:10:25,127 --> 00:10:26,128 I need a... 221 00:10:31,233 --> 00:10:32,401 She's hypotensive. 222 00:10:32,434 --> 00:10:33,435 Code stroke. 223 00:10:35,404 --> 00:10:37,306 We need stat brain CT and MRI. 224 00:10:37,339 --> 00:10:39,842 Call angio. She may need mechanical thrombectomy. 225 00:10:45,147 --> 00:10:48,484 3 cc's of 2% lidocaine. 226 00:11:17,279 --> 00:11:19,148 Wow. 227 00:11:24,935 --> 00:11:26,536 I-I didn't drink it. I just... 228 00:11:27,537 --> 00:11:30,140 I just used her stool to do a home fecal transfer. 229 00:11:30,173 --> 00:11:31,975 And you didn't think to mention that? 230 00:11:32,009 --> 00:11:34,011 You said my UTIs were unrelated. 231 00:11:36,113 --> 00:11:37,948 They didn't get better with antibiotics, 232 00:11:37,981 --> 00:11:40,350 so I did exactly what I was supposed to do. 233 00:11:40,383 --> 00:11:43,520 The video swore that it was completely safe. 234 00:11:43,553 --> 00:11:45,889 Make sure your friend is completely healthy. 235 00:11:45,923 --> 00:11:47,825 I've had the best results with vegans, 236 00:11:47,858 --> 00:11:49,059 though if it were between 237 00:11:49,092 --> 00:11:52,329 an 18-year-old carnivore and a 60-year-old vegan... 238 00:11:52,362 --> 00:11:53,463 Well, don't make me choose. 239 00:11:53,496 --> 00:11:55,498 We're gonna add the saline solution. 240 00:11:57,567 --> 00:12:00,137 Should be a one-to-one match, more or less. 241 00:12:01,338 --> 00:12:04,441 Then, we're gonna puree... 242 00:12:06,176 --> 00:12:08,278 puree, and then puree some more. 243 00:12:08,311 --> 00:12:09,813 While it's mixing... 244 00:12:11,181 --> 00:12:12,816 Let's talk enema bags. 245 00:12:14,885 --> 00:12:18,021 Marla must have seen her using the blender, 246 00:12:18,055 --> 00:12:19,122 assumed she drank it. 247 00:12:19,156 --> 00:12:20,557 Yeah, that's the mystery here, 248 00:12:20,590 --> 00:12:22,292 not how anyone this stupid is still alive. 249 00:12:22,325 --> 00:12:24,494 It's not completely irrational. 250 00:12:24,527 --> 00:12:27,130 The E. Coli strain in drug-resistant UTIs 251 00:12:27,164 --> 00:12:28,631 can hide out in the gut. 252 00:12:28,665 --> 00:12:31,501 Repopulating the colon microbiome using FMT 253 00:12:31,534 --> 00:12:32,870 has shown some success. 254 00:12:32,903 --> 00:12:35,538 In a hospital, under controlled and sterile conditions. 255 00:12:36,173 --> 00:12:37,440 Prep her for surgery. 256 00:12:37,474 --> 00:12:38,752 Between the dilation and rigidity, 257 00:12:38,776 --> 00:12:41,378 there may be colon perforation. 258 00:12:41,411 --> 00:12:44,848 And test Marla's stool for toxins and infectious bacteria. 259 00:12:46,917 --> 00:12:50,587 She was suffering a mini-stroke, and I saved her. 260 00:12:50,620 --> 00:12:53,456 I saved her. I need to celebrate. Outside? 261 00:12:53,490 --> 00:12:54,667 I want to celebrate by kissing you. 262 00:12:54,691 --> 00:12:56,126 A lot. 263 00:12:56,159 --> 00:12:58,261 I-Inside would be inappropriate. 264 00:13:01,064 --> 00:13:03,700 Eagle Syndrome is very rare. 265 00:13:03,733 --> 00:13:05,602 A longer-than-normal styloid bone 266 00:13:05,635 --> 00:13:07,370 coming off the base of the skull. 267 00:13:07,404 --> 00:13:08,884 And... I only get a five-minute break. 268 00:13:10,540 --> 00:13:12,475 It impinged on her nerves, 269 00:13:12,509 --> 00:13:14,011 causing the confusing symptoms 270 00:13:14,044 --> 00:13:16,146 that baffled eight expert doctors. 271 00:13:16,179 --> 00:13:18,548 And then when she turned her head suddenly, 272 00:13:18,581 --> 00:13:21,184 it pinched her carotid, causing her TIA. 273 00:13:22,219 --> 00:13:24,454 Yeah, it's him! 274 00:13:26,924 --> 00:13:28,491 It's Dr. Murphy! 275 00:13:31,128 --> 00:13:32,495 How do I know you? 276 00:13:32,529 --> 00:13:34,264 He is cute! 277 00:13:34,297 --> 00:13:36,199 Is that his girlfriend? 278 00:13:36,233 --> 00:13:37,267 Kayley's hotter. 279 00:13:41,638 --> 00:13:42,639 He's so cute! 280 00:13:51,614 --> 00:13:54,284 My personal... Chernobyl. 281 00:13:54,317 --> 00:13:55,385 What? 282 00:13:55,986 --> 00:13:57,054 Seriously, guys. 283 00:13:57,087 --> 00:13:58,321 Ohh, come on. 284 00:13:58,355 --> 00:14:00,924 A zone of exclusion should be imposed around my kitchen. 285 00:14:02,692 --> 00:14:05,062 Millions of people have watched that? 286 00:14:05,095 --> 00:14:06,763 As of 9:00 a.m. 287 00:14:06,796 --> 00:14:08,465 You're an influencer. 288 00:14:08,498 --> 00:14:11,568 And you posted how I saved you? 289 00:14:11,601 --> 00:14:14,004 But I take it I'm not saved yet? You still have to operate? 290 00:14:14,037 --> 00:14:16,639 A normal styloid process 291 00:14:16,673 --> 00:14:18,775 is 2.5 centimeters in length. Yours measures... 292 00:14:18,808 --> 00:14:19,877 Don't do that. 293 00:14:21,111 --> 00:14:22,812 There are two surgical options. 294 00:14:25,782 --> 00:14:27,750 Transoral, where we go in through your mouth. 295 00:14:27,784 --> 00:14:30,320 It's non-invasive, but creates surgical challenges 296 00:14:30,353 --> 00:14:32,155 for physical and visual access. 297 00:14:32,189 --> 00:14:34,257 The alternative transcervical procedure 298 00:14:34,291 --> 00:14:36,226 involves an incision in your neck 299 00:14:36,259 --> 00:14:37,928 with none of those access issues, 300 00:14:37,961 --> 00:14:40,563 but with some post-operative scarring. 301 00:14:40,597 --> 00:14:43,466 So one way is safer, but the other way, I'll look better? 302 00:14:43,500 --> 00:14:44,580 It's a pretty bad-ass scar. 303 00:14:46,703 --> 00:14:48,771 Can I take a bit to decide which? 304 00:14:48,805 --> 00:14:49,806 Of course. 305 00:14:53,376 --> 00:14:55,812 You had no right to tell the world about me. 306 00:14:55,845 --> 00:14:57,247 It was flattering. 307 00:14:57,280 --> 00:15:00,117 Not everyone wants to be famous. 308 00:15:00,150 --> 00:15:02,986 Uh... If it's any consolation, 309 00:15:03,020 --> 00:15:05,455 you've had over 70 marriage proposals. 310 00:15:07,057 --> 00:15:08,125 It's not. 311 00:15:14,331 --> 00:15:17,434 Some of us are more comfortable in the spotlight than others. 312 00:15:17,467 --> 00:15:18,969 I think you're great. 313 00:15:19,002 --> 00:15:20,170 Thanks. 314 00:15:25,342 --> 00:15:27,677 I don't have to poop. 315 00:15:28,245 --> 00:15:29,412 Be patient. 316 00:15:33,383 --> 00:15:35,685 I don't have to poop! 317 00:15:35,718 --> 00:15:37,787 Is there something your mom does 318 00:15:37,820 --> 00:15:39,556 to help you when you can't go? 319 00:15:39,589 --> 00:15:42,259 Sometimes she hold my hand. 320 00:15:43,193 --> 00:15:44,694 Would you like me to? 321 00:15:44,727 --> 00:15:46,363 You're not my mom. 322 00:15:46,396 --> 00:15:48,531 Well, just keep trying. 323 00:15:50,300 --> 00:15:51,501 Pbbbbbbht. 324 00:15:53,937 --> 00:15:57,474 Sweetie, we really need you to go. 325 00:15:57,507 --> 00:16:02,345 If you can't, there is another way we can do this. 326 00:16:02,379 --> 00:16:03,413 How? 327 00:16:03,446 --> 00:16:06,216 Well, it's not fun. 328 00:16:06,249 --> 00:16:07,550 For either of us. 329 00:16:12,055 --> 00:16:15,825 Isolate and divide middle colic artery and vein. 330 00:16:15,858 --> 00:16:17,094 It's an epidemic. 331 00:16:17,127 --> 00:16:18,761 People taking online medical advice. 332 00:16:18,795 --> 00:16:20,763 It's not the problem. It's the symptom. 333 00:16:20,797 --> 00:16:23,366 Medical care is a financial stress for lots of people, 334 00:16:23,400 --> 00:16:26,036 not to mention physician arrogance, 335 00:16:26,069 --> 00:16:27,870 incompetence, impatience. 336 00:16:27,904 --> 00:16:29,739 So it's our fault? 337 00:16:29,772 --> 00:16:31,574 Resect and cut the colon proximal and distal 338 00:16:31,608 --> 00:16:33,276 to the perforation with GIA stapler. 339 00:16:34,444 --> 00:16:35,945 A friend of a friend self-diagnosed 340 00:16:35,979 --> 00:16:38,548 her own Cushing's disease online 341 00:16:38,581 --> 00:16:41,751 after a series of doctors barely listened to her, 342 00:16:41,784 --> 00:16:44,254 told her to get more rest. 343 00:16:44,287 --> 00:16:45,688 I'm guessing she didn't then perform 344 00:16:45,722 --> 00:16:47,162 do-it-yourself brain surgery at home. 345 00:16:48,791 --> 00:16:49,792 Claire's right. 346 00:16:51,594 --> 00:16:53,330 I was... supporting your point. 347 00:16:53,363 --> 00:16:55,565 She convinced me I was wrong. 348 00:16:55,598 --> 00:16:57,500 Divide mesentery with LigaSure. 349 00:17:03,506 --> 00:17:04,607 We have a bleed. 350 00:17:04,641 --> 00:17:05,708 It's major. 351 00:17:05,742 --> 00:17:07,110 Tension during mobilization 352 00:17:07,144 --> 00:17:08,287 must have caused a splenic capsule tear. 353 00:17:08,311 --> 00:17:09,355 We need to do a splenectomy. 354 00:17:09,379 --> 00:17:10,780 Cut the connecting attachments. 355 00:17:14,184 --> 00:17:15,252 Kidney. 356 00:17:15,285 --> 00:17:16,553 Diaphragm. 357 00:17:16,586 --> 00:17:18,497 Take the vascular pedicle with a white load stapler. 358 00:17:18,521 --> 00:17:20,057 Do not get the tail of the pancreas. 359 00:17:30,467 --> 00:17:31,968 Dr. Melendez? 360 00:17:32,001 --> 00:17:33,103 Can this wait? 361 00:17:33,136 --> 00:17:34,171 I'm not sure. 362 00:17:34,204 --> 00:17:36,206 The fecal sample that your team sent me... 363 00:17:36,239 --> 00:17:39,376 It might be normal, but was it mislabeled? 364 00:17:39,409 --> 00:17:41,411 It seems to be from a 70-year-old. 365 00:17:42,379 --> 00:17:44,114 It's from a three-year-old. 366 00:17:44,147 --> 00:17:49,519 SCFAs, elevated isobutyric and isovaleric acid. 367 00:17:49,552 --> 00:17:52,589 She is at high risk for serious cardiac problems. 368 00:18:15,797 --> 00:18:16,798 Oh, are you okay? 369 00:18:25,445 --> 00:18:28,281 Her social media posts about Shaun have gone viral. 370 00:18:28,314 --> 00:18:30,316 I've got reporters clamoring to speak 371 00:18:30,350 --> 00:18:32,152 to the "twice-exceptional" Dr. Murphy. 372 00:18:32,185 --> 00:18:33,953 Bad idea. Luckily, he won't do it. 373 00:18:33,986 --> 00:18:36,156 He went off on Kayley about his privacy. 374 00:18:36,189 --> 00:18:37,766 The publicity would be good for the hospital. 375 00:18:37,790 --> 00:18:40,826 And I'm sure Dr. Glassman can make him see the wisdom of that. 376 00:18:40,860 --> 00:18:42,462 I'm with Andrews. 377 00:18:42,495 --> 00:18:43,905 It smacks of us patting ourselves on the back. 378 00:18:43,929 --> 00:18:45,998 It could also come off as exploitative. 379 00:18:46,032 --> 00:18:48,168 But the bigger issue is, it could blow up in our face. 380 00:18:48,201 --> 00:18:50,503 Shaun is a complete communications wild card. 381 00:18:50,536 --> 00:18:52,638 Who knows what he'll say about you, about me, 382 00:18:52,672 --> 00:18:54,307 about being demoted, about screw-ups. 383 00:18:54,340 --> 00:18:56,109 Well, we would have to coach him. 384 00:18:56,142 --> 00:18:58,811 Do we have six years before they need to go to press? 385 00:18:58,844 --> 00:19:01,347 I can go with him, manage the situation. 386 00:19:01,381 --> 00:19:02,582 No, no, no. 387 00:19:03,583 --> 00:19:05,385 If we consider Shaun an asset, 388 00:19:05,418 --> 00:19:07,253 we shouldn't treat him like a liability. 389 00:19:09,322 --> 00:19:11,424 I'll talk to him, see what he says. 390 00:19:13,859 --> 00:19:16,696 You can see the proximity of her elongated styloid 391 00:19:16,729 --> 00:19:18,398 to the nerves and carotid. 392 00:19:18,431 --> 00:19:20,466 The trick is to break off the excess length 393 00:19:20,500 --> 00:19:22,802 without injury to local neurovascular structures. 394 00:19:22,835 --> 00:19:24,870 If done transcervically, entry point is key. 395 00:19:24,904 --> 00:19:27,940 Minimizes risk of a marginal mandibular nerve injury. 396 00:19:27,973 --> 00:19:29,509 Has she made a decision? 397 00:19:29,542 --> 00:19:30,543 Not yet. 398 00:19:31,611 --> 00:19:32,812 I'd like to lead. 399 00:19:32,845 --> 00:19:34,680 Being that it's such a rare surgery, 400 00:19:34,714 --> 00:19:36,882 I may not get another chance at it during residency. 401 00:19:36,916 --> 00:19:38,984 When I have the benefit of supervision. 402 00:19:39,018 --> 00:19:40,662 And it wouldn't have anything to do with hoping. 403 00:19:40,686 --> 00:19:42,688 Kayley might then post glowingly about you? 404 00:19:42,722 --> 00:19:43,789 Not at all. 405 00:19:43,823 --> 00:19:45,191 Well, undoubtedly, a little. 406 00:19:46,159 --> 00:19:47,603 Given the attention this case has drawn, 407 00:19:47,627 --> 00:19:50,296 I think we should put our best, most experienced choice forward. 408 00:19:51,631 --> 00:19:54,066 Well, this is a teaching hospital. 409 00:19:54,100 --> 00:19:57,137 It's exactly the type of surgery we'd give to a third-year. 410 00:19:57,170 --> 00:19:58,614 The fact that she has an online presence 411 00:19:58,638 --> 00:19:59,705 shouldn't be a factor. 412 00:19:59,739 --> 00:20:01,974 And yet here you are, the Chief of Surgery 413 00:20:02,007 --> 00:20:04,009 working a case you say a third-year can handle. 414 00:20:04,043 --> 00:20:05,911 It also might reflect well on this place 415 00:20:05,945 --> 00:20:09,081 to have a young woman be the face of Kayley's surgery. 416 00:20:09,115 --> 00:20:10,750 Assuming it goes well. 417 00:20:12,252 --> 00:20:14,086 Live by the Internet, die by the Internet. 418 00:20:15,788 --> 00:20:16,789 You still want to lead? 419 00:20:17,890 --> 00:20:19,292 Yes. 420 00:20:19,325 --> 00:20:20,326 It's yours. 421 00:21:22,955 --> 00:21:23,956 Ann? 422 00:21:25,258 --> 00:21:26,259 Ann. 423 00:21:33,333 --> 00:21:34,534 Am I okay? 424 00:21:34,567 --> 00:21:35,801 You're fine. 425 00:21:35,835 --> 00:21:37,813 We had to wake you up a little earlier than we'd like 426 00:21:37,837 --> 00:21:39,639 because we need to discuss something with you. 427 00:21:39,672 --> 00:21:40,706 Do you understand? 428 00:21:42,107 --> 00:21:44,510 Your gut biome showed markers for elevated cholesterol. 429 00:21:44,544 --> 00:21:46,312 Which you don't have. 430 00:21:46,346 --> 00:21:47,447 Your daughter does. 431 00:21:49,449 --> 00:21:51,551 Marla has high cholesterol? 432 00:21:51,584 --> 00:21:54,320 She has a genetic condition: Hyperlipidemia. 433 00:21:54,354 --> 00:21:56,722 Coronary testing showed 90% narrowing 434 00:21:56,756 --> 00:21:58,824 of the left main artery to her heart. 435 00:22:00,293 --> 00:22:03,496 I'm afraid your daughter needs urgent heart surgery. 436 00:22:08,510 --> 00:22:11,479 I don't want to. 437 00:22:11,680 --> 00:22:12,715 Okay. 438 00:22:12,748 --> 00:22:14,349 I'll tell the reporters that. 439 00:22:14,382 --> 00:22:17,219 But can... can we talk about why? 440 00:22:17,252 --> 00:22:19,655 Your computer just beeped. 441 00:22:19,688 --> 00:22:21,223 I know. 442 00:22:21,256 --> 00:22:24,026 I can think of a few reasons why you might be reticent. 443 00:22:24,059 --> 00:22:25,728 You're shy. No, I'm not. 444 00:22:25,761 --> 00:22:28,530 Well, you do have trouble with social interactions, 445 00:22:28,563 --> 00:22:30,198 and you have trouble anticipating 446 00:22:30,232 --> 00:22:32,735 what people might ask and how you might respond. 447 00:22:32,768 --> 00:22:36,639 Yes, that is a problem when I'm meeting with a patient 448 00:22:36,672 --> 00:22:39,642 or I'm at a job interview or I'm on a date. 449 00:22:39,675 --> 00:22:41,009 Then my answers matter. 450 00:22:41,043 --> 00:22:43,345 But if I'm talking to a reporter, they don't matter. 451 00:22:43,378 --> 00:22:44,847 It beeped again. 452 00:22:44,880 --> 00:22:46,849 Yes, I know. We're digitizing. 453 00:22:46,882 --> 00:22:49,184 Every time a patient needs to take a drug, 454 00:22:49,217 --> 00:22:50,285 we send them a reminder. 455 00:22:50,318 --> 00:22:53,588 For some unknown reason, they keep sending me one, too. 456 00:22:53,622 --> 00:22:55,123 I think stories do matter. 457 00:22:55,157 --> 00:22:58,393 I think what you do and what you have done 458 00:22:58,426 --> 00:23:02,064 might be inspirational for people to hear. 459 00:23:02,798 --> 00:23:03,866 Okay. 460 00:23:03,899 --> 00:23:05,267 Okay, you'll do it? 461 00:23:05,300 --> 00:23:07,145 Okay, you've convinced me I should be nervous about it. 462 00:23:07,169 --> 00:23:08,971 Now I have two reasons not to do it. 463 00:23:09,004 --> 00:23:10,138 What's the other reason? 464 00:23:10,172 --> 00:23:12,941 I'm very busy between doing my job and having sex. 465 00:23:12,975 --> 00:23:14,643 I don't have a lot of free time. 466 00:23:17,079 --> 00:23:18,647 You should hire Lea. 467 00:23:19,181 --> 00:23:20,548 - No. - Yes. 468 00:23:20,582 --> 00:23:23,385 She's very good at tech 469 00:23:23,418 --> 00:23:25,954 and isn't happy in her job right now. 470 00:23:28,657 --> 00:23:30,759 I'll tell you what, Shaun. 471 00:23:30,793 --> 00:23:33,328 You think about this, you really think about this, 472 00:23:33,361 --> 00:23:36,564 how your story can benefit people, 473 00:23:36,598 --> 00:23:38,300 and I will... 474 00:23:40,335 --> 00:23:42,304 Interview Lea. 475 00:23:42,938 --> 00:23:44,006 Excellent. 476 00:23:45,373 --> 00:23:47,609 I'll think about it. 477 00:23:47,642 --> 00:23:51,146 I'll really think about it. 478 00:23:51,179 --> 00:23:52,347 Okay. 479 00:24:01,356 --> 00:24:03,625 Some people definitely thought I would look amazeballs 480 00:24:03,658 --> 00:24:05,060 rocking a neck scar. 481 00:24:05,093 --> 00:24:07,629 But the consensus was, 482 00:24:07,662 --> 00:24:09,664 there's only so many turtleneck days in a year. 483 00:24:09,698 --> 00:24:12,334 So I'm going with the no-scar approach. 484 00:24:13,235 --> 00:24:15,838 Which one did you vote for? 485 00:24:15,871 --> 00:24:18,741 Well, these are my people. I mean, they know me. 486 00:24:18,774 --> 00:24:20,976 They know what's best for me and my brand. 487 00:24:23,111 --> 00:24:24,546 "Wisdom of the crowd." 488 00:24:24,579 --> 00:24:27,149 My warrior goddess lead surgeon. 489 00:24:28,250 --> 00:24:29,570 We'll get you prepped for surgery. 490 00:24:31,519 --> 00:24:33,188 New blouse? It's nice. 491 00:24:34,422 --> 00:24:36,158 Dr. Murphy, do you have a minute? 492 00:24:43,198 --> 00:24:45,834 I really am sorry I upset you. 493 00:24:46,534 --> 00:24:48,336 And I really am grateful. 494 00:24:49,071 --> 00:24:50,305 Being sick was... 495 00:24:50,338 --> 00:24:52,007 You don't need to explain 496 00:24:52,040 --> 00:24:54,209 why you're grateful we diagnosed your illness. 497 00:24:54,242 --> 00:24:55,543 Well, I do. 498 00:24:56,578 --> 00:24:59,147 You saved me and my career. 499 00:25:00,415 --> 00:25:02,818 At first, my followers were super into 500 00:25:02,851 --> 00:25:05,988 what I was going through, but after a while, 501 00:25:06,021 --> 00:25:07,956 you just start being "the sick girl." 502 00:25:07,990 --> 00:25:10,793 You give up your privacy. Doesn't that bother you? 503 00:25:10,826 --> 00:25:12,727 I have nothing to hide. 504 00:25:12,761 --> 00:25:13,862 No one should. 505 00:25:15,163 --> 00:25:17,766 We should all just be who we are. 506 00:25:22,070 --> 00:25:24,206 We are... 507 00:25:25,707 --> 00:25:28,376 The decisions we make. 508 00:25:29,444 --> 00:25:32,380 And you let other people make them for you. 509 00:25:34,282 --> 00:25:36,384 So you're not being anyone. 510 00:25:47,729 --> 00:25:50,765 You know how you and I like to do so many things together? 511 00:25:50,799 --> 00:25:52,634 We make clay mugs. 512 00:25:52,667 --> 00:25:53,902 That's right. 513 00:25:53,936 --> 00:25:58,173 Mommy was sick, and she needed to be fixed. 514 00:25:58,206 --> 00:26:00,943 And you're sick, too. 515 00:26:00,976 --> 00:26:02,244 I don't feel sick. 516 00:26:02,277 --> 00:26:03,445 That's good. 517 00:26:03,478 --> 00:26:05,180 And the doctors just want to make sure 518 00:26:05,213 --> 00:26:06,849 everything is all better before you do. 519 00:26:06,882 --> 00:26:07,983 How? 520 00:26:09,051 --> 00:26:11,286 They're gonna go inside you and... 521 00:26:11,319 --> 00:26:12,387 How? 522 00:26:12,420 --> 00:26:13,788 They're gonna make a little cut... 523 00:26:13,822 --> 00:26:14,890 No! 524 00:26:14,923 --> 00:26:16,024 You're gonna be asleep. 525 00:26:16,058 --> 00:26:17,592 No! Just like Mommy. 526 00:26:17,625 --> 00:26:19,727 I... No, no, no, no, no! 527 00:26:19,761 --> 00:26:21,605 I'll be with you, Marla. I'll take good care of you. 528 00:26:21,629 --> 00:26:22,807 No, no, no, no, no! It's okay. Just breathe, sweetie. 529 00:26:22,831 --> 00:26:23,899 Count to three. No! 530 00:26:23,932 --> 00:26:25,076 Hey, sweetie, you have to be brave. No! 531 00:26:25,100 --> 00:26:26,101 No! 532 00:26:28,170 --> 00:26:29,271 Code blue! 533 00:26:31,173 --> 00:26:32,240 What's happening? 534 00:26:32,274 --> 00:26:33,741 Please help my baby. 535 00:26:33,775 --> 00:26:34,809 She's had a heart attack! 536 00:26:35,944 --> 00:26:36,945 Marla. 537 00:26:37,545 --> 00:26:38,546 Marla? 538 00:26:39,614 --> 00:26:40,648 Marla! 539 00:26:45,406 --> 00:26:48,142 Uh, would you like my CV? 540 00:26:48,342 --> 00:26:50,011 No. 541 00:26:50,044 --> 00:26:52,646 I know who you are. I don't need to see a list. 542 00:26:55,131 --> 00:26:56,132 Where do I work? 543 00:26:58,367 --> 00:26:59,836 It's a tech company. 544 00:27:00,469 --> 00:27:01,503 You were there. 545 00:27:01,537 --> 00:27:03,973 Cars. Something about cars. 546 00:27:04,006 --> 00:27:06,809 You have no interest in hiring me, do you? 547 00:27:06,843 --> 00:27:08,811 No. It's not personal. 548 00:27:08,845 --> 00:27:10,246 It's a little personal. 549 00:27:10,279 --> 00:27:12,949 I'm doing a favor for Shaun. I don't really need anyone. 550 00:27:12,982 --> 00:27:14,851 Did he ask you to waste my time? 551 00:27:15,684 --> 00:27:16,953 Yeah... It's okay. 552 00:27:16,986 --> 00:27:18,988 I didn't really want to work for you anyway. 553 00:27:19,021 --> 00:27:20,256 You're a bit of a grouch. 554 00:27:20,289 --> 00:27:23,726 But make sure whoever does do the job shores up your firewall. 555 00:27:23,760 --> 00:27:25,261 A kindergartner can hack it. 556 00:27:25,294 --> 00:27:26,996 Thank you. I'm sure we'll be fine. 557 00:27:28,697 --> 00:27:29,932 And you're right, you know. 558 00:27:29,966 --> 00:27:31,968 We are not a good fit. 559 00:27:32,001 --> 00:27:33,836 And our mutual affection for Shaun 560 00:27:33,870 --> 00:27:35,905 isn't enough to stop us from killing each other. 561 00:27:38,707 --> 00:27:40,576 I... 562 00:27:40,609 --> 00:27:42,945 Your Chronicle subscription is about to expire 563 00:27:42,979 --> 00:27:45,047 because they don't have your updated credit card. 564 00:27:45,081 --> 00:27:46,749 The coffee maker you ordered, 565 00:27:46,783 --> 00:27:48,751 third new one in the last six months, 566 00:27:48,785 --> 00:27:50,753 will be delivered Tuesday. 567 00:27:50,787 --> 00:27:53,322 And you're deducting way too much money 568 00:27:53,355 --> 00:27:54,723 out of Debbie's paycheck for FICA. 569 00:27:54,757 --> 00:27:56,859 Would you like to hear about your Google searches? 570 00:27:59,228 --> 00:28:00,262 Thank you. 571 00:28:07,169 --> 00:28:10,006 Lea! 572 00:28:12,341 --> 00:28:15,577 Severe proximal LAD disease with mid total occlusion. 573 00:28:15,611 --> 00:28:17,880 Angioplasty won't resolve that stenosis. 574 00:28:17,914 --> 00:28:20,016 High risk of rupture in someone this young. 575 00:28:20,649 --> 00:28:21,784 A stent? 576 00:28:21,818 --> 00:28:24,320 Won't be enough effective revascularization. 577 00:28:24,353 --> 00:28:28,524 She needs a left IMA to LAD anastomosis. 578 00:28:28,557 --> 00:28:31,460 I've never done a coronary bypass on a three-year-old. 579 00:28:31,493 --> 00:28:33,095 Neither have I. 580 00:28:33,129 --> 00:28:34,530 I guess it was the right call 581 00:28:34,563 --> 00:28:36,198 to put her daughter's poop up her tush. 582 00:28:36,232 --> 00:28:37,766 Cost her a large chunk of her colon. 583 00:28:37,800 --> 00:28:39,802 Saved her daughter's life. Yeah, lucky coincidence. 584 00:28:39,836 --> 00:28:42,238 I'm sure the mother doesn't regret a thing. 585 00:28:42,271 --> 00:28:43,739 At least she shouldn't. 586 00:28:43,772 --> 00:28:44,807 I'm with Claire. 587 00:28:57,086 --> 00:28:59,421 Do you have time for lunch? 588 00:28:59,455 --> 00:29:01,123 And by "lunch," you mean...? 589 00:29:01,858 --> 00:29:02,859 Lunch. 590 00:29:03,625 --> 00:29:05,461 I need advice. 591 00:29:06,495 --> 00:29:10,099 I need to really think about something. 592 00:29:10,132 --> 00:29:11,167 Oh. 593 00:29:12,034 --> 00:29:13,535 Then yes, of course. 594 00:29:13,569 --> 00:29:15,637 It could be patronizing, 595 00:29:15,671 --> 00:29:19,808 being put up as some kind of feel-good, human interest story. 596 00:29:19,842 --> 00:29:21,810 Or objectified and glorified 597 00:29:21,844 --> 00:29:24,981 as some kind of a symbol for people who are different. 598 00:29:25,014 --> 00:29:28,550 But I also know that when I told my sister your story, 599 00:29:28,584 --> 00:29:29,718 she cried. 600 00:29:30,452 --> 00:29:31,587 She was sad? 601 00:29:31,620 --> 00:29:34,256 No, she was inspired. 602 00:29:38,160 --> 00:29:42,865 I... don't know what your advice is telling me. 603 00:29:42,899 --> 00:29:45,834 I don't know what you think I'm supposed to do. 604 00:29:45,868 --> 00:29:48,871 Shaun, you aren't supposed to do anything, 605 00:29:48,905 --> 00:29:51,173 except what you believe is right. 606 00:29:53,042 --> 00:29:55,177 Thank you. 607 00:29:57,479 --> 00:29:59,715 Now I'm going to go see what Lea thinks. 608 00:30:01,550 --> 00:30:03,252 I thought you had a surgery. 609 00:30:03,285 --> 00:30:04,320 I'm just going upstairs. 610 00:30:04,353 --> 00:30:06,855 Lea's meeting with Dr. Glassman about a job. 611 00:30:06,889 --> 00:30:08,524 A job here? Yes. 612 00:30:08,557 --> 00:30:10,259 Lea told me at lunch yesterday 613 00:30:10,292 --> 00:30:12,694 that she was looking for different work, so... 614 00:30:12,728 --> 00:30:15,031 Wait, you... you had lunch with Lea? Yesterday? 615 00:30:15,064 --> 00:30:16,432 And... And you kept it from me? 616 00:30:22,404 --> 00:30:25,474 I didn't keep it from you. 617 00:30:25,507 --> 00:30:27,543 There was no reason to mention it 618 00:30:27,576 --> 00:30:29,745 until just now, when I did. 619 00:30:30,412 --> 00:30:31,413 Shaun... 620 00:30:32,781 --> 00:30:34,216 You know how I feel 621 00:30:34,250 --> 00:30:37,153 about how Lea hovers over our relationship. 622 00:30:37,186 --> 00:30:38,187 And... 623 00:30:39,021 --> 00:30:41,157 You're just sneaking around with her? 624 00:30:41,190 --> 00:30:42,691 Arranging for her to work here, 625 00:30:42,724 --> 00:30:45,127 where she'll just loom all the more. 626 00:30:46,262 --> 00:30:49,365 She won't be looming or hovering. 627 00:30:49,398 --> 00:30:52,001 She'll be on a whole other floor. 628 00:30:52,034 --> 00:30:53,936 Yeah, where you can go and get her two cents 629 00:30:53,970 --> 00:30:56,705 whenever the advice given by your actual girlfriend 630 00:30:56,738 --> 00:30:58,307 is deemed insufficient. 631 00:31:00,809 --> 00:31:01,877 Yes. 632 00:31:18,827 --> 00:31:19,828 Hey. 633 00:31:21,998 --> 00:31:23,065 What are you doing? 634 00:31:23,099 --> 00:31:24,700 Eh, fresh air. 635 00:31:24,733 --> 00:31:25,734 You? 636 00:31:30,806 --> 00:31:34,010 Shaun lied to me about having lunch with Lea. 637 00:31:35,811 --> 00:31:36,812 No, he didn't. 638 00:31:38,314 --> 00:31:40,382 Shaun is incapable of deceit. 639 00:31:40,416 --> 00:31:43,119 He must have genuinely thought that you wouldn't mind. 640 00:31:43,152 --> 00:31:46,388 Well, then, he is completely tone deaf and insensitive, 641 00:31:46,422 --> 00:31:48,890 which are not better qualities in a boyfriend. 642 00:31:48,924 --> 00:31:49,958 True. 643 00:31:49,992 --> 00:31:51,593 But not exactly unanticipated 644 00:31:51,627 --> 00:31:53,595 when you get into a relationship with Shaun. 645 00:31:56,432 --> 00:31:58,434 And it's never really about the lie. 646 00:31:58,467 --> 00:32:00,336 It's what's underneath. 647 00:32:00,369 --> 00:32:01,603 You're jealous of Lea. 648 00:32:01,637 --> 00:32:03,772 I am not jealous. 649 00:32:03,805 --> 00:32:05,107 I am concerned... 650 00:32:05,141 --> 00:32:07,743 You don't need to justify. I'm on team jealousy. 651 00:32:07,776 --> 00:32:10,746 It's flattering, stimulating, it... 652 00:32:10,779 --> 00:32:12,548 It means you're committed and you care. 653 00:32:12,581 --> 00:32:15,017 It's ugly and reflects underlying trust issues 654 00:32:15,051 --> 00:32:16,118 that I don't want to... 655 00:32:16,152 --> 00:32:17,329 Yeah, yeah, yeah, like all things, 656 00:32:17,353 --> 00:32:19,821 a little is good, and a lot will kill you. 657 00:32:19,855 --> 00:32:20,856 My advice... 658 00:32:22,391 --> 00:32:24,660 Admit you're jealous, give in to it, 659 00:32:24,693 --> 00:32:25,861 and then get over it. 660 00:32:33,469 --> 00:32:34,736 Finding the styloid 661 00:32:34,770 --> 00:32:37,839 via digital palpitation of the tonsillar fossa. 662 00:32:38,840 --> 00:32:39,841 There. 663 00:32:42,144 --> 00:32:46,648 Making incision vertically along the mucosa of mandible. 664 00:32:48,617 --> 00:32:50,119 Next? 665 00:32:50,152 --> 00:32:54,456 I will free the styloid process from its muscle 666 00:32:54,490 --> 00:32:57,493 and ligament attachments. 667 00:32:58,327 --> 00:32:59,328 Done. 668 00:33:02,331 --> 00:33:05,734 Dissecting away from the internal carotid medially, 669 00:33:06,835 --> 00:33:10,306 and external, laterally. 670 00:33:10,339 --> 00:33:12,441 Now fracture and excise the styloid. 671 00:33:20,382 --> 00:33:21,526 Bradycardia. Hypotensive. 672 00:33:21,550 --> 00:33:23,652 Loss of EEG waveform. Cerebral ischemia. 673 00:33:23,685 --> 00:33:25,020 You may have injured the carotid. 674 00:33:25,053 --> 00:33:26,955 Or compressed it by fracturing the styloid. 675 00:33:26,988 --> 00:33:28,990 See if the fragment is impinging on the vessel. 676 00:33:29,024 --> 00:33:30,426 Dr. Murphy, extend her head. 677 00:33:38,900 --> 00:33:41,002 Yes. Found it. Easing it away. 678 00:33:45,207 --> 00:33:46,842 Carotid decompressed. 679 00:33:48,910 --> 00:33:51,680 EEG back to baseline normal. 680 00:33:57,786 --> 00:34:00,856 Resuming styloid extraction. 681 00:34:10,236 --> 00:34:12,138 Kayley's in ICU, stable. 682 00:34:12,171 --> 00:34:14,773 CT shows no signs of any permanent damage. 683 00:34:14,807 --> 00:34:17,810 No reason to anticipate any future problems. 684 00:34:17,843 --> 00:34:21,680 So, the question is, what do we tell her? 685 00:34:21,714 --> 00:34:23,950 That the surgery was a success. 686 00:34:23,983 --> 00:34:25,952 She had a cerebral ischemia. On the table. 687 00:34:25,985 --> 00:34:28,287 That did no damage and that there's no evidence of. 688 00:34:28,321 --> 00:34:30,489 Hospital policy is transparency... 689 00:34:30,523 --> 00:34:32,458 We don't tell them what music we played, 690 00:34:32,491 --> 00:34:33,592 what we talked about. 691 00:34:33,626 --> 00:34:36,629 This isn't relevant to the outcome or to her prognosis. 692 00:34:36,662 --> 00:34:37,806 Would you be taking the same position 693 00:34:37,830 --> 00:34:40,333 if Kayley wasn't someone whose criticism could go viral? 694 00:34:40,366 --> 00:34:41,500 I don't know. 695 00:34:41,534 --> 00:34:43,654 But it would be delusional to think it's not relevant. 696 00:34:44,803 --> 00:34:45,804 Dr. Reznick. 697 00:34:46,572 --> 00:34:48,841 Any thoughts? 698 00:34:48,874 --> 00:34:51,344 I don't think I can fairly offer an opinion, 699 00:34:51,377 --> 00:34:53,712 because my career could hang in the balance. 700 00:34:53,746 --> 00:34:56,082 Yeah, well, none of us are disinterested parties, 701 00:34:56,115 --> 00:34:59,685 given the hospital's reputation is also at stake. 702 00:34:59,718 --> 00:35:01,254 Did you screw up? 703 00:35:01,287 --> 00:35:03,022 Could that crisis have been avoided? 704 00:35:05,824 --> 00:35:10,096 If it could have been, then we are all responsible. 705 00:35:10,129 --> 00:35:12,031 We were watching everything she was doing, 706 00:35:12,065 --> 00:35:14,067 and none of us told her to stop. 707 00:35:15,568 --> 00:35:17,236 This is an easy call. 708 00:35:17,270 --> 00:35:19,705 There's only one reason to tell her everything, 709 00:35:19,738 --> 00:35:22,108 and that's you might feel guilty if you don't. 710 00:35:22,141 --> 00:35:24,810 On the other hand, there's the future of this hospital. 711 00:35:34,553 --> 00:35:35,554 Okay. 712 00:35:37,790 --> 00:35:41,694 Shaun, if the patient asks for details about the surgery, 713 00:35:41,727 --> 00:35:43,762 can you limit your answers? 714 00:35:46,299 --> 00:35:48,434 I... don't know. 715 00:35:49,635 --> 00:35:50,769 Okay, we need to know if... 716 00:35:50,803 --> 00:35:52,671 No. 717 00:35:52,705 --> 00:35:56,142 Dr. Murphy, I hope you will limit your answers. 718 00:35:56,175 --> 00:35:58,311 But I won't order you to defy your conscience. 719 00:36:09,255 --> 00:36:13,226 We don't normally have patients share rooms, but... 720 00:36:13,259 --> 00:36:16,062 She's...? Gonna be completely fine. 721 00:36:16,095 --> 00:36:19,032 And once she's recuperated, we'll begin her on statins and Ezetimibe, 722 00:36:19,065 --> 00:36:21,267 and she'll undergo lipid apheresis. 723 00:36:21,300 --> 00:36:22,568 It's kind of like dialysis, 724 00:36:22,601 --> 00:36:25,771 but it'll allow us to extract LDL out of her blood. 725 00:36:25,804 --> 00:36:27,940 Should get her cholesterol to within normal range. 726 00:36:29,608 --> 00:36:32,145 She'll need those drugs and that other stuff 727 00:36:32,178 --> 00:36:33,246 for the rest of her life? 728 00:36:33,279 --> 00:36:36,782 Yes. But hopefully a very long one. 729 00:36:40,753 --> 00:36:42,755 Thank you so much. 730 00:36:43,556 --> 00:36:45,258 Thank God I did what I did. 731 00:37:00,873 --> 00:37:03,942 Everything went great? 732 00:37:03,976 --> 00:37:06,179 The repair was successful. You should have no... 733 00:37:06,212 --> 00:37:08,847 Everything went great. Say it. Say it to your fans. 734 00:37:10,383 --> 00:37:12,618 Everything went great. 735 00:37:12,651 --> 00:37:14,387 You rocked it. 736 00:37:14,420 --> 00:37:17,190 You'll be with us another few days, and then you... 737 00:37:17,223 --> 00:37:19,525 She rocked it, right? 738 00:37:19,558 --> 00:37:22,561 She was lead surgeon in a successful... 739 00:37:22,595 --> 00:37:24,197 And how gorgeous is that hair? 740 00:37:24,230 --> 00:37:26,965 Dr. Morgan Reznick, take a bow! 741 00:37:30,669 --> 00:37:32,838 She was wrist-deep all up in my mouth, y'all. 742 00:37:32,871 --> 00:37:34,507 She is a damn hero! 743 00:37:37,343 --> 00:37:38,977 You've got work to do. 744 00:37:39,011 --> 00:37:40,012 We're proud of you. 745 00:37:43,449 --> 00:37:45,284 Any reason you screwed up? 746 00:37:45,318 --> 00:37:47,586 I didn't. It could've happened to anyone. 747 00:37:47,620 --> 00:37:50,123 Not anyone suffers from arthritic pain. 748 00:37:50,156 --> 00:37:51,657 That didn't affect anything. 749 00:37:51,690 --> 00:37:53,326 You sure about that? 750 00:37:53,359 --> 00:37:54,527 'Cause I'm not. 751 00:38:11,177 --> 00:38:13,078 Did you speak to Lea? 752 00:38:13,112 --> 00:38:14,180 Yes. 753 00:38:18,050 --> 00:38:21,320 I know she's a good friend. 754 00:38:21,354 --> 00:38:22,788 And it would be unfair 755 00:38:22,821 --> 00:38:25,424 for me to expect you to cut her out of your life. 756 00:38:25,458 --> 00:38:27,092 But... 757 00:38:27,126 --> 00:38:30,863 You going to ask her opinion right after I had given mine, 758 00:38:30,896 --> 00:38:35,000 it just called up Wyoming all over again. 759 00:38:35,033 --> 00:38:37,803 That you preferred Lea to me. 760 00:38:42,408 --> 00:38:43,742 I was jealous. 761 00:38:45,811 --> 00:38:48,447 And it's something that I have to work out. 762 00:38:51,284 --> 00:38:54,420 For the two of us to work out. 763 00:38:54,453 --> 00:38:55,621 Together. 764 00:39:06,865 --> 00:39:08,767 What was Lea's advice? 765 00:39:10,936 --> 00:39:14,540 That it'd be selfish not to share my story with the world. 766 00:39:18,076 --> 00:39:19,678 I liked your advice better. 767 00:39:32,191 --> 00:39:33,259 Hey. 768 00:39:34,427 --> 00:39:36,262 Uh-oh. 769 00:39:37,095 --> 00:39:39,164 Actually, yeah. 770 00:39:39,198 --> 00:39:41,367 There's something awkward we need to talk about. 771 00:39:42,568 --> 00:39:43,869 You and Claire. 772 00:39:46,639 --> 00:39:49,542 You can reopen the door. 773 00:39:49,575 --> 00:39:52,511 There's nothing remotely improper going on. 774 00:39:54,713 --> 00:39:57,850 I received an anonymous favoritism complaint. 775 00:39:58,884 --> 00:40:00,286 We need to deal with it. 776 00:40:07,993 --> 00:40:12,498 I don't want to talk to reporters. 777 00:40:12,531 --> 00:40:14,367 I know. 778 00:40:14,400 --> 00:40:18,203 So if I talked to reporters, 779 00:40:18,237 --> 00:40:21,106 it wouldn't be honest to who I really am. 780 00:40:22,107 --> 00:40:24,677 Well, sometimes, Shaun, 781 00:40:24,710 --> 00:40:27,313 people present a different version of themselves 782 00:40:27,346 --> 00:40:29,282 depending upon the circumstances. 783 00:40:29,315 --> 00:40:32,685 Like, I'm not always the same here as I am at home. 784 00:40:32,718 --> 00:40:33,819 I don't. 785 00:40:33,852 --> 00:40:36,255 No, you don't. 786 00:40:37,523 --> 00:40:40,493 I considered all the arguments. 787 00:40:43,962 --> 00:40:48,100 I want to be known as a good doctor. 788 00:40:49,101 --> 00:40:51,236 Not a good autistic doctor.