1 00:00:01,902 --> 00:00:03,304 Don't put any food down the sink. 2 00:00:03,437 --> 00:00:05,005 Garbage disposal's broken. 3 00:00:05,139 --> 00:00:07,375 I'll call the landlord. All right. 4 00:00:07,508 --> 00:00:08,976 He took a week to call the plumber 5 00:00:09,110 --> 00:00:10,344 when we lost the hot water, 6 00:00:10,478 --> 00:00:12,213 but I guess this doesn't matter as much. 7 00:00:12,346 --> 00:00:14,915 We'll just use the regular trash. 8 00:00:15,049 --> 00:00:16,317 Yes. 9 00:00:20,788 --> 00:00:24,258 10% to 15% of known pregnancies end in miscarriage. 10 00:00:24,392 --> 00:00:25,693 This wasn't unusual. 11 00:00:28,529 --> 00:00:29,997 No. You're right. 12 00:00:30,131 --> 00:00:32,733 We're not the only people to go through this. 13 00:00:32,866 --> 00:00:35,469 The best thing to do is to just get back to normal. 14 00:00:37,037 --> 00:00:38,572 Hmm. 15 00:00:38,706 --> 00:00:41,008 I'm glad you're going back into work. 16 00:00:41,142 --> 00:00:43,677 Couple more days of rest, and I'll be doing that, too. 17 00:00:47,915 --> 00:00:50,284 Are you sure you're all right? 18 00:00:52,553 --> 00:00:54,988 "All right" is stretching it, 19 00:00:55,123 --> 00:00:56,490 but yeah. 20 00:00:57,391 --> 00:00:58,992 We just need some time. 21 00:01:03,030 --> 00:01:05,566 **** 22 00:01:17,178 --> 00:01:19,380 (EXHALES DEEPLY) 23 00:01:19,513 --> 00:01:22,183 **** 24 00:01:26,354 --> 00:01:28,589 (MELANCHOLIC VERSION OF THEME MUSIC PLAYING) 25 00:01:46,140 --> 00:01:47,675 How you feeling? 26 00:01:47,808 --> 00:01:48,742 All right. 27 00:01:51,745 --> 00:01:53,113 How's Lea doing? 28 00:01:53,247 --> 00:01:55,115 She thinks we need time. I agree. 29 00:01:56,484 --> 00:01:57,751 Hey, Shaun. How are you feeling? 30 00:01:59,287 --> 00:02:02,256 All right. And Lea thinks we need time. 31 00:02:02,390 --> 00:02:04,124 Well, I didn't expect to see you here. 32 00:02:04,258 --> 00:02:05,926 You have a few days leave. I thought you'd be home. 33 00:02:06,059 --> 00:02:08,095 I prefer to work. 34 00:02:08,229 --> 00:02:09,363 (INDISTINCT RADIO CHATTER) 35 00:02:09,497 --> 00:02:12,733 Well, we respect your judgment. 36 00:02:12,866 --> 00:02:13,934 Bon appetit. 37 00:02:14,067 --> 00:02:16,136 **** 38 00:02:19,873 --> 00:02:22,876 Gastric reflux causing projectile vomiting. 39 00:02:23,010 --> 00:02:24,678 **** 40 00:02:27,415 --> 00:02:30,584 I'm clearing your schedule for the next... How many days? 41 00:02:30,718 --> 00:02:35,155 Oh. Well, that is up to my lovely and talented doctors. 42 00:02:35,289 --> 00:02:37,225 Welcome to St. Bonaventure, Senator Clark. 43 00:02:37,358 --> 00:02:38,626 Oh, please. Marian. 44 00:02:38,759 --> 00:02:41,094 Oh, Marian, I am a huge supporter. 45 00:02:41,229 --> 00:02:43,331 You had my vote in the presidential primaries. 46 00:02:43,464 --> 00:02:45,333 Thank you, Dr. Browne. 47 00:02:45,466 --> 00:02:46,967 Oh, Claire. Claire. 48 00:02:47,100 --> 00:02:49,203 If only there'd been another couple million like you. 49 00:02:49,337 --> 00:02:50,238 (CHUCKLES) Yeah. 50 00:02:54,275 --> 00:02:57,010 It's okay. Nothing wrong with a balanced ticket. 51 00:02:57,144 --> 00:02:59,747 I was in my hotel this morning, going over my speech, 52 00:02:59,880 --> 00:03:02,883 when this started happening to my face. 53 00:03:03,016 --> 00:03:04,718 Whole left side went rogue, 54 00:03:04,852 --> 00:03:07,221 blinking and twitching like crazy. 55 00:03:07,355 --> 00:03:08,489 Has it happened before? 56 00:03:08,622 --> 00:03:09,823 This was the third time. 57 00:03:09,957 --> 00:03:11,825 Fortunately, all in private. 58 00:03:11,959 --> 00:03:13,961 Needless to say, I had to cancel my appearance. 59 00:03:14,094 --> 00:03:15,329 Can I see that again? 60 00:03:15,463 --> 00:03:17,298 Oh. I'm sorry. I just deleted it. 61 00:03:19,300 --> 00:03:21,835 The only thing worse than people seeing my twitchy face in person 62 00:03:21,969 --> 00:03:23,804 is them seeing my twitchy face on a hacked video. 63 00:03:23,937 --> 00:03:25,773 Mm. 64 00:03:25,906 --> 00:03:28,642 So, how do we go about deleting it from my body? 65 00:03:29,743 --> 00:03:31,312 It's a hemi-facial spasm. 66 00:03:31,445 --> 00:03:32,680 We should do an MRI 67 00:03:32,813 --> 00:03:34,214 to rule out the more serious possible causes. 68 00:03:34,348 --> 00:03:35,616 Which are? 69 00:03:35,749 --> 00:03:38,218 Aneurysm, MS, possibly a brain tumor. 70 00:03:38,352 --> 00:03:40,053 (SIGHS) What are the less serious causes? 71 00:03:40,187 --> 00:03:42,790 Stress, exhaustion, too much coffee. 72 00:03:42,923 --> 00:03:44,492 (CHUCKLES) Well, that's my job description. 73 00:03:44,625 --> 00:03:47,995 Which can be treated with Botox injections and Ativan. 74 00:03:48,128 --> 00:03:49,530 Ah. Sold. 75 00:03:49,663 --> 00:03:51,499 We still need to do the MRI. 76 00:03:52,900 --> 00:03:54,702 Do both. 77 00:03:54,835 --> 00:03:58,539 Oh. As Claire knows, I always have to control the agenda. 78 00:03:58,672 --> 00:04:00,741 **** 79 00:04:03,877 --> 00:04:06,246 Hi. Artie Hill. 80 00:04:06,380 --> 00:04:08,181 I have mild heart failure. 81 00:04:08,316 --> 00:04:09,249 I'm Dr. Park. 82 00:04:09,383 --> 00:04:10,384 How do you know 83 00:04:10,518 --> 00:04:11,519 you have mild heart failure? 84 00:04:11,652 --> 00:04:14,588 I'm tired, and I've been having palpitations. 85 00:04:14,722 --> 00:04:17,425 We'll run tests, but if it makes you feel better, 86 00:04:17,558 --> 00:04:18,626 a lot of people have palpitations, 87 00:04:18,759 --> 00:04:20,728 and it doesn't usually mean heart failure. 88 00:04:20,861 --> 00:04:23,230 Yeah, but I was just talking to my doctor on the phone, 89 00:04:23,364 --> 00:04:24,598 and he told me I have heart failure. 90 00:04:25,666 --> 00:04:26,967 The doctor who did my bypass. 91 00:04:27,100 --> 00:04:29,403 Your bypass? 92 00:04:29,537 --> 00:04:31,872 He told me I should go to the nearest emergency room. 93 00:04:32,005 --> 00:04:34,107 I was in the park, looking at the cherry trees, 94 00:04:34,241 --> 00:04:36,209 and I started feeling funny, so I called... 95 00:04:36,344 --> 00:04:37,244 When was this bypass? 96 00:04:37,378 --> 00:04:38,712 Um... A month ago. 97 00:04:40,314 --> 00:04:41,915 Paul Nakano. 98 00:04:42,049 --> 00:04:44,552 I performed his surgery at San Jose General. 99 00:04:44,685 --> 00:04:48,055 Mr. Hill, I hope you took a taxi, as I asked you to. 100 00:04:48,188 --> 00:04:49,189 It was only three blocks. 101 00:04:51,425 --> 00:04:53,727 If you don't mind, I'd like to get a 12-lead EKG, 102 00:04:53,861 --> 00:04:56,430 cardiac CT, and bloodwork. 103 00:04:56,564 --> 00:04:58,932 Ordinarily, I'd be thinking about volume overload as the cause... 104 00:04:59,066 --> 00:05:01,635 But in this case, sodium and B.U.N. are normal. 105 00:05:01,769 --> 00:05:04,905 The next thing I'd look at is a post-op myocardial infarction. 106 00:05:05,038 --> 00:05:06,740 But in this case, the troponins are normal. 107 00:05:08,776 --> 00:05:09,777 So you know what I'm thinking? 108 00:05:09,910 --> 00:05:12,646 Yes. You did your job too damn well. 109 00:05:12,780 --> 00:05:15,248 The heart's been so strengthened from the bypass 110 00:05:15,383 --> 00:05:17,084 that it's revealed a weakness in the valve. 111 00:05:17,217 --> 00:05:18,452 It can't handle the pump pressure. 112 00:05:18,586 --> 00:05:19,753 Hmm. 113 00:05:22,823 --> 00:05:24,625 Dr. Nakano was my Chief of Surgery 114 00:05:24,758 --> 00:05:25,826 when I was a resident. 115 00:05:27,094 --> 00:05:28,128 Hmm. 116 00:05:28,261 --> 00:05:29,296 So, when do you want to open him up? 117 00:05:29,430 --> 00:05:31,064 I'm hoping never. 118 00:05:31,198 --> 00:05:32,400 Have either of you ever done 119 00:05:32,533 --> 00:05:35,068 a transcatheter aortic valve replacement? 120 00:05:35,202 --> 00:05:37,004 I've read about it. 121 00:05:37,137 --> 00:05:39,139 It's minimally invasive and way preferable 122 00:05:39,272 --> 00:05:41,509 to opening up the patient for the second time in a month. 123 00:05:41,642 --> 00:05:43,744 Well, I look forward to learning from you again. 124 00:05:43,877 --> 00:05:44,778 Hmm. 125 00:05:47,280 --> 00:05:48,982 (GRUNTS) 126 00:05:52,319 --> 00:05:53,821 (MONITOR BEEPING) 127 00:05:53,954 --> 00:05:57,791 Oh. Excuse me! Sir? Person in the hall? 128 00:06:03,664 --> 00:06:04,998 Oh, sorry. 129 00:06:05,132 --> 00:06:07,601 Hello. I am Dr. Shaun Murphy. I am a surgeon. 130 00:06:08,869 --> 00:06:10,971 Uh, I-I can't find my socks. 131 00:06:11,104 --> 00:06:12,640 And I can't find the button to call someone. 132 00:06:17,478 --> 00:06:18,679 Ah. (CHUCKLES) 133 00:06:18,812 --> 00:06:19,747 Now, why would they put it there? 134 00:06:19,880 --> 00:06:20,881 You can't even see it. 135 00:06:21,014 --> 00:06:22,115 What about the socks? 136 00:06:27,688 --> 00:06:29,389 (ARTIE CLEARS THROAT) 137 00:06:29,523 --> 00:06:30,991 I have mild heart failure. 138 00:06:31,124 --> 00:06:33,026 I was in the park, looking at the cherry trees... 139 00:06:33,160 --> 00:06:35,529 Cherry trees aren't in bloom at this time of year. 140 00:06:35,663 --> 00:06:37,030 Well, I can still look at them, though. 141 00:06:37,164 --> 00:06:38,666 They don't disappear just because the blossoms fall. 142 00:06:40,167 --> 00:06:43,537 Mm. I can get you socks from the pre-op supplies area. 143 00:06:43,671 --> 00:06:45,839 Ah, yes. I remember those crappy socks they give you. I'll take 'em. 144 00:06:47,475 --> 00:06:49,577 Why do you guys keep it so cold in here? 145 00:06:49,710 --> 00:06:50,844 My feet are freezing. 146 00:06:51,545 --> 00:06:53,847 **** 147 00:06:57,685 --> 00:06:59,186 WOMAN 1: (ON TV) It's beautiful to look at 148 00:06:59,319 --> 00:07:01,188 if you're inside and don't have to go anywhere. 149 00:07:01,321 --> 00:07:03,724 And you might not want to go anywhere if you don't... 150 00:07:03,857 --> 00:07:05,058 WOMAN 2: Take care of Arthur. 151 00:07:05,192 --> 00:07:07,227 But he lost his silly head and shot Br... 152 00:07:07,360 --> 00:07:09,697 Every night, we have three clients a week 153 00:07:09,830 --> 00:07:10,731 who think I'm waiting tables... 154 00:07:10,864 --> 00:07:13,834 (INSTRUMENTAL MUSIC PLAYING) 155 00:07:13,967 --> 00:07:15,736 (TV SHUTS OFF) 156 00:07:15,869 --> 00:07:18,138 (CELL PHONE RINGING) 157 00:07:18,271 --> 00:07:20,440 **** 158 00:07:20,574 --> 00:07:21,341 (CELL PHONE BEEPS) 159 00:07:25,779 --> 00:07:26,947 (SIGHS) 160 00:07:33,253 --> 00:07:36,223 We'll use a pigtail catheter to place the guide wire, 161 00:07:36,356 --> 00:07:39,392 then run a delivery catheter through an 18 French sheath 162 00:07:39,527 --> 00:07:43,296 to ferry the new valve through the femoral artery to the heart. 163 00:07:43,430 --> 00:07:46,667 Then we inflate a balloon that expands the new valve 164 00:07:46,800 --> 00:07:48,869 and installs it right inside his current one. 165 00:07:49,002 --> 00:07:50,504 SHAUN: That would kill him. 166 00:07:55,008 --> 00:07:56,476 He has cold feet. 167 00:07:56,610 --> 00:07:58,512 Who are you? 168 00:07:58,646 --> 00:08:00,280 I'm Dr. Shaun Murphy. 169 00:08:01,114 --> 00:08:02,883 He's one of my residents. 170 00:08:03,016 --> 00:08:04,852 Oh. Artie has cold feet? 171 00:08:04,985 --> 00:08:06,186 He's afraid of the procedure? 172 00:08:06,319 --> 00:08:09,289 No, I think Dr. Murphy means it literally. 173 00:08:09,422 --> 00:08:10,457 The patient has cold feet. 174 00:08:10,591 --> 00:08:12,526 Is his body temperature dropping? 175 00:08:12,660 --> 00:08:15,328 No, his core body temperature is stable at 98.5. 176 00:08:15,462 --> 00:08:17,931 He rarely has cold feet. I got him socks. 177 00:08:20,067 --> 00:08:22,970 You're gonna need to draw some dotted lines here for me. 178 00:08:23,103 --> 00:08:26,273 Okay. Cold feet means impaired circulation, 179 00:08:26,406 --> 00:08:27,841 which means constricted blood flow from the heart, 180 00:08:27,975 --> 00:08:29,476 which means a damaged vessel. 181 00:08:29,610 --> 00:08:31,478 If we try to push the new valve through the damaged area, 182 00:08:31,612 --> 00:08:32,946 it will rip open, killing him. 183 00:08:33,581 --> 00:08:34,982 "Damaged vessel"? 184 00:08:35,115 --> 00:08:36,817 Yes. You make a mistake during the bypass, 185 00:08:36,950 --> 00:08:38,552 most likely a tear in the aorta. 186 00:08:39,820 --> 00:08:41,088 I didn't make a mistake. 187 00:08:41,221 --> 00:08:43,657 Mm, you caused an aortic dissection. 188 00:08:43,791 --> 00:08:45,358 Shaun, this man has more cardiac experience 189 00:08:45,492 --> 00:08:48,428 than everyone in this room times ten. 190 00:08:48,562 --> 00:08:51,264 A lot of people have cold feet. My wife has cold feet. 191 00:08:51,398 --> 00:08:53,333 Everyone has cold feet in a hospital. 192 00:08:54,635 --> 00:08:57,470 Yes. We should perform an angio on Mr. Hill. 193 00:08:57,605 --> 00:08:59,372 That will show the aortic dissection. 194 00:08:59,506 --> 00:09:02,142 This man recently underwent an open heart surgery. 195 00:09:02,275 --> 00:09:04,211 He's gonna have valve replacement. 196 00:09:04,344 --> 00:09:06,614 We don't need to load him up with yet another procedure 197 00:09:06,747 --> 00:09:08,248 when there was no mistake. 198 00:09:11,785 --> 00:09:16,089 Studies show that old people are less likely to admit mistakes 199 00:09:16,223 --> 00:09:18,158 because they are less aware when they've made one. 200 00:09:23,664 --> 00:09:27,167 Okay, Dr. Murphy, you've told us your thoughts on this case. 201 00:09:27,300 --> 00:09:29,703 It's my understanding that you have a few days of leave. 202 00:09:29,837 --> 00:09:30,771 I suggest you take them. 203 00:09:30,904 --> 00:09:32,740 I prefer to continue working. 204 00:09:32,873 --> 00:09:34,507 Then do it somewhere else. 205 00:09:34,642 --> 00:09:36,476 **** 206 00:09:43,450 --> 00:09:44,685 SHAUN: You... 207 00:09:44,818 --> 00:09:46,386 Will kill him. 208 00:09:46,519 --> 00:09:48,622 **** 209 00:09:59,900 --> 00:10:01,368 You think my surgeon is wrong? 210 00:10:01,501 --> 00:10:02,770 Yes. 211 00:10:02,903 --> 00:10:05,538 And you're, like, a-a real doctor, right? 212 00:10:05,673 --> 00:10:07,407 I am a real doctor. 213 00:10:07,540 --> 00:10:11,712 No offense, but best heart guy around 214 00:10:11,845 --> 00:10:15,783 versus the guy who happened to be passing my room when I needed socks. 215 00:10:15,916 --> 00:10:17,985 Why shouldn't I let Dr. Nakano do what he thinks I need? 216 00:10:18,118 --> 00:10:20,153 If anything goes wrong, he can fix it. 217 00:10:20,287 --> 00:10:23,290 It could be difficult. 218 00:10:24,591 --> 00:10:26,226 The tip of the catheter would be likely 219 00:10:26,359 --> 00:10:27,795 to rupture your weakened aorta, 220 00:10:27,928 --> 00:10:28,962 ripping it open and causing you 221 00:10:29,096 --> 00:10:30,097 to hemorrhage into your chest 222 00:10:30,230 --> 00:10:32,465 and bleed out in a matter of minutes. 223 00:10:32,599 --> 00:10:34,234 If you survived, 224 00:10:34,367 --> 00:10:36,870 you'd have severe anoxic brain damage. 225 00:10:38,171 --> 00:10:40,273 But it's unlikely you'd survive. 226 00:10:40,407 --> 00:10:41,975 **** 227 00:10:43,744 --> 00:10:45,779 Go home. 228 00:10:46,747 --> 00:10:49,616 Is Mr. Hill requesting the angio? 229 00:10:49,750 --> 00:10:53,053 He's not just requesting. He's demanding. 230 00:10:53,186 --> 00:10:55,055 This is why you take a leave of absence when you need one. 231 00:10:55,188 --> 00:10:56,423 You're not thinking clearly 232 00:10:56,556 --> 00:10:58,091 or you never would have pulled a stunt like this. 233 00:10:59,793 --> 00:11:01,494 I prefer to stay at work. 234 00:11:01,628 --> 00:11:03,496 I could assist with E.R. consults. 235 00:11:06,433 --> 00:11:09,436 Dr. Murphy, because I'm being professional, 236 00:11:09,569 --> 00:11:12,105 you may not understand how angry I am right now. 237 00:11:17,444 --> 00:11:19,880 Will you do what Mr. Hill wants? 238 00:11:20,013 --> 00:11:21,181 What you want, you mean? 239 00:11:22,649 --> 00:11:24,484 Yes, we'll do it. You've forced our hand. 240 00:11:27,120 --> 00:11:28,455 Good. 241 00:11:28,588 --> 00:11:31,124 **** 242 00:11:39,566 --> 00:11:41,134 I would have fired him. 243 00:11:45,138 --> 00:11:46,339 (CHUCKLES) 244 00:11:46,473 --> 00:11:48,641 Honey, when Freya brings you a dead rat, 245 00:11:48,776 --> 00:11:50,510 she's offering you a gift. 246 00:11:50,643 --> 00:11:53,046 PETE: (CHUCKLES) I know. I waited until she was gone 247 00:11:53,180 --> 00:11:54,347 so she wouldn't see me toss it away. 248 00:11:54,481 --> 00:11:56,016 (CHUCKLES) Wish you were here. 249 00:11:56,149 --> 00:11:57,517 You could strike the right balance 250 00:11:57,650 --> 00:11:59,686 between enthusiasm and discouragement. 251 00:11:59,820 --> 00:12:02,055 Oh. Honey, I gotta go. My doctors are here. 252 00:12:02,189 --> 00:12:03,456 You sure everything is okay there? 253 00:12:03,590 --> 00:12:06,226 Absolutely. These shots are working like a charm. 254 00:12:06,359 --> 00:12:07,527 Love you! Love you. 255 00:12:07,660 --> 00:12:08,661 Mwah. 256 00:12:11,264 --> 00:12:12,232 The shots are not doing the job. 257 00:12:12,365 --> 00:12:13,901 What else do you have for me? 258 00:12:14,034 --> 00:12:17,104 I had another episode. It was shorter, but still there. 259 00:12:17,237 --> 00:12:19,973 The MRI shows a branch off the basilar artery 260 00:12:20,107 --> 00:12:21,374 that's compressing the facial nerve. 261 00:12:21,508 --> 00:12:24,411 Unfortunately, you have a "tortuous" artery. 262 00:12:24,544 --> 00:12:27,014 Where it should be straight, it bends and twists. 263 00:12:27,147 --> 00:12:28,515 Bad news is, it'd be a nightmare 264 00:12:28,648 --> 00:12:29,917 to try and address this surgically. 265 00:12:30,050 --> 00:12:31,251 Good news... 266 00:12:31,384 --> 00:12:33,120 Is, other than some twitching, 267 00:12:33,253 --> 00:12:35,222 which is minimized by the Botox, 268 00:12:35,355 --> 00:12:36,523 it's not causing any other problems. 269 00:12:36,656 --> 00:12:37,891 Exactly. 270 00:12:38,025 --> 00:12:40,360 (SIGHS) Aside from the complete destruction 271 00:12:40,493 --> 00:12:42,029 of all I want to achieve in life. 272 00:12:43,530 --> 00:12:45,198 Melodramatic, yet true. 273 00:12:46,499 --> 00:12:48,401 These episodes keep happening, 274 00:12:48,535 --> 00:12:51,104 eventually one of them will get caught on video. 275 00:12:51,238 --> 00:12:53,573 Ten minutes later, it'll be all over social media. 276 00:12:53,706 --> 00:12:55,608 My opponents will mock me relentlessly. 277 00:12:55,742 --> 00:12:57,777 I think a lot of people would have sympathy for you. 278 00:12:57,911 --> 00:13:00,213 We don't vote for people we feel sympathy for. 279 00:13:00,347 --> 00:13:01,949 We want strong leaders. 280 00:13:02,082 --> 00:13:04,885 We want the symbol more than the reality. 281 00:13:05,018 --> 00:13:06,887 **** 282 00:13:07,754 --> 00:13:10,423 Please help me. 283 00:13:10,557 --> 00:13:12,525 Unfortunately, there's nothing we can do. 284 00:13:12,659 --> 00:13:14,527 We'll see what we can come up with. 285 00:13:14,661 --> 00:13:16,229 **** 286 00:13:20,733 --> 00:13:22,802 (BEEPING) 287 00:13:22,936 --> 00:13:27,174 ** Last night I came out I was so damn manic... 288 00:13:27,307 --> 00:13:28,641 (SIGHS) 289 00:13:30,077 --> 00:13:35,315 ** I don't even know Where I went wrong 290 00:13:35,448 --> 00:13:37,150 ** But I went wrong 291 00:13:37,284 --> 00:13:40,487 **** 292 00:13:40,620 --> 00:13:44,257 ** And it's times like these That I swear to God 293 00:13:44,391 --> 00:13:47,660 ** Oh, that my mother can't See me and if she did 294 00:13:47,794 --> 00:13:51,198 ** I don't know how I would keep it together 295 00:13:51,331 --> 00:13:53,400 ** I don't know How I would keep it ** 296 00:13:53,533 --> 00:13:54,968 (SPEAKER BEEPS, MUSIC STOPS) 297 00:14:15,155 --> 00:14:16,156 Shaun? 298 00:14:23,931 --> 00:14:25,865 You shouldn't be here. 299 00:14:25,999 --> 00:14:28,902 Andrews is pissed at you, with good reason. 300 00:14:29,036 --> 00:14:30,637 There's no need to make him any more angry. 301 00:14:30,770 --> 00:14:32,472 That's why I'm hiding. 302 00:14:32,605 --> 00:14:34,141 I couldn't wait in the lounge 303 00:14:34,274 --> 00:14:36,576 because the walls are glass and people could see me. 304 00:14:36,709 --> 00:14:38,511 "Wait"? What are you waiting for? 305 00:14:38,645 --> 00:14:41,048 When they see that I was right, they'll let me come back. 306 00:14:41,181 --> 00:14:42,649 I want to be prepared. 307 00:14:42,782 --> 00:14:44,017 I'm reading about options in aortic dissection. 308 00:14:44,151 --> 00:14:46,119 Shaun, no. Yes. 309 00:14:46,253 --> 00:14:49,456 Once they do the angio, they'll see the evidence. 310 00:14:49,589 --> 00:14:51,524 Dr. Andrews won't be angry anymore. 311 00:14:51,658 --> 00:14:52,892 They did the angio. 312 00:14:53,026 --> 00:14:54,861 Mm. 313 00:14:54,995 --> 00:14:56,896 Oh. 314 00:14:57,030 --> 00:14:59,499 No. No, they... They couldn't. 315 00:14:59,632 --> 00:15:01,168 They did it. 316 00:15:01,301 --> 00:15:02,335 I was there. You were wrong. 317 00:15:03,803 --> 00:15:04,837 But... 318 00:15:07,040 --> 00:15:09,242 Cold feet... It was a focused angio. 319 00:15:09,376 --> 00:15:11,544 I saw the ascending aorta and the aortic root. 320 00:15:11,678 --> 00:15:13,213 There was no sign of dissection. 321 00:15:13,346 --> 00:15:15,415 **** 322 00:15:15,548 --> 00:15:17,317 They're giving the patient a chance to rest 323 00:15:17,450 --> 00:15:18,585 before scheduling the TAVR. 324 00:15:21,021 --> 00:15:22,455 We all make mistakes. 325 00:15:22,589 --> 00:15:24,191 **** 326 00:15:25,892 --> 00:15:27,327 But I think you should leave the building 327 00:15:27,460 --> 00:15:28,395 while you're still forgivable. 328 00:15:29,829 --> 00:15:32,199 **** 329 00:15:41,808 --> 00:15:44,377 **** 330 00:15:52,852 --> 00:15:59,092 ** There's a hole In the drywall still not fixed 331 00:15:59,226 --> 00:16:03,730 ** I just haven't Gotten around to it 332 00:16:03,863 --> 00:16:06,599 ** And besides 333 00:16:06,733 --> 00:16:11,704 ** I'm starting To get used to the gaps 334 00:16:11,838 --> 00:16:14,274 **** 335 00:16:17,810 --> 00:16:23,416 ** Say you wish you could Find some way to help 336 00:16:23,550 --> 00:16:27,954 ** Not to be so hard on myself 337 00:16:28,088 --> 00:16:33,793 ** So why is it easy For everyone else? 338 00:16:33,926 --> 00:16:36,763 ** I'm not always like this 339 00:16:36,896 --> 00:16:40,767 ** There's always tomorrow I guess ** 340 00:16:40,900 --> 00:16:42,202 **** 341 00:16:43,270 --> 00:16:45,438 NURSE VILLANUEVA: Lea. Yeah. 342 00:16:45,572 --> 00:16:46,739 How are you? 343 00:16:46,873 --> 00:16:48,108 I'm good. 344 00:16:51,211 --> 00:16:52,679 It happened to me, too. 345 00:16:52,812 --> 00:16:54,814 **** 346 00:16:54,947 --> 00:16:56,149 Twice. 347 00:17:04,924 --> 00:17:07,960 CLAIRE: We could bypass the basilar artery. 348 00:17:08,095 --> 00:17:10,163 A 25% mortality rate, sure. 349 00:17:13,100 --> 00:17:15,034 How about stereotactic radiosurgery? 350 00:17:15,168 --> 00:17:16,803 No, she wouldn't like it. 351 00:17:16,936 --> 00:17:18,838 It takes months to see any kind of improvement. 352 00:17:18,971 --> 00:17:20,240 It's interesting. 353 00:17:20,373 --> 00:17:22,442 The fact that you like this person makes you willing 354 00:17:22,575 --> 00:17:24,277 to make really stupid decisions that could kill her. 355 00:17:29,216 --> 00:17:31,084 We could meet in the middle. 356 00:17:31,218 --> 00:17:34,487 Tortuous or not, the main basilar isn't causing the spasms. 357 00:17:34,621 --> 00:17:36,456 So we leave it alone and just sling up 358 00:17:36,589 --> 00:17:38,125 the branch of the artery that's applying the pressure. 359 00:17:39,359 --> 00:17:40,493 Nice. 360 00:17:42,962 --> 00:17:44,264 I have two predictions to make. 361 00:17:46,032 --> 00:17:47,867 One, she'll come up with a rationalization 362 00:17:48,000 --> 00:17:50,703 to justify not telling her husband about this surgery, 363 00:17:50,837 --> 00:17:53,005 and two, you'll come up with a rationalization 364 00:17:53,140 --> 00:17:55,175 to justify forgiving her for that. 365 00:17:59,512 --> 00:18:00,680 You wouldn't have fired him. 366 00:18:04,217 --> 00:18:06,853 He's dealing with some personal issues, 367 00:18:06,986 --> 00:18:10,089 and I remember you giving me some slack once 368 00:18:10,223 --> 00:18:11,658 when I screwed up. 369 00:18:11,791 --> 00:18:13,893 Well, you were facing a challenging surgery, 370 00:18:14,026 --> 00:18:15,695 and your girlfriend, who I never liked, by the way, 371 00:18:15,828 --> 00:18:16,796 dumped you, so... 372 00:18:16,929 --> 00:18:18,298 You knew about the dumping? 373 00:18:18,431 --> 00:18:20,099 (CHUCKLING) Oh, yeah. I just didn't know why. 374 00:18:23,035 --> 00:18:25,672 She wanted a commitment. Said I didn't love her enough. 375 00:18:25,805 --> 00:18:27,106 And I told her I loved her, 376 00:18:27,240 --> 00:18:28,708 but I didn't have time to get into it 377 00:18:28,841 --> 00:18:30,042 because I had an esophagus to reconstruct. 378 00:18:30,177 --> 00:18:31,744 (CHUCKLES) 379 00:18:33,045 --> 00:18:34,281 Why did you help me? 380 00:18:34,414 --> 00:18:36,916 I mean, why me and not Penzer? 381 00:18:37,049 --> 00:18:39,118 He was always number one in our class. 382 00:18:39,252 --> 00:18:40,420 I was always second. 383 00:18:40,553 --> 00:18:42,389 Where's Penzer now? 384 00:18:42,522 --> 00:18:44,557 What, you think I've been following the guy's career for the past 20 years? 385 00:18:47,594 --> 00:18:49,296 He's at the NIH, making policy. 386 00:18:49,429 --> 00:18:51,264 That's Penzer. 387 00:18:51,398 --> 00:18:53,400 Great mind, great hands, 388 00:18:54,701 --> 00:18:55,968 but I knew he'd never be a surgeon. 389 00:18:58,338 --> 00:18:59,572 He didn't love it enough. 390 00:19:14,987 --> 00:19:15,822 (KNOCK ON DOOR) 391 00:19:20,393 --> 00:19:22,562 (CELL PHONE RINGS) 392 00:19:22,695 --> 00:19:25,332 I can wait. Oh, this can, too. 393 00:19:25,465 --> 00:19:27,300 Just letting the phone get to 10%, 394 00:19:27,434 --> 00:19:29,602 then I'll run the gauntlet of well-wishers and head out. 395 00:19:31,137 --> 00:19:32,605 Yeah. I'm one of them. 396 00:19:45,151 --> 00:19:47,220 When my grandma died, 397 00:19:48,288 --> 00:19:50,990 I remember a whole relay 398 00:19:51,123 --> 00:19:53,460 of the mothers of the church bringing food to the house. 399 00:19:54,927 --> 00:19:56,629 They all loved my grandma. 400 00:19:58,798 --> 00:20:02,335 The older ladies got their best hats and gloves out 401 00:20:02,469 --> 00:20:04,136 for the service. 402 00:20:04,271 --> 00:20:05,838 **** 403 00:20:05,972 --> 00:20:10,009 Pastor made a special prayer at the gravesite. 404 00:20:11,511 --> 00:20:14,281 We all told stories about her. 405 00:20:14,414 --> 00:20:15,648 There were rituals. 406 00:20:18,718 --> 00:20:20,853 We said goodbye to the past. 407 00:20:27,327 --> 00:20:29,696 You're saying goodbye to the future. 408 00:20:37,570 --> 00:20:38,938 I'm sorry for your loss. 409 00:20:39,071 --> 00:20:41,073 **** 410 00:21:03,663 --> 00:21:05,197 And how soon could I get out of here? 411 00:21:05,332 --> 00:21:08,368 If all goes well, a day, maybe two at most. 412 00:21:08,501 --> 00:21:10,069 Oh. You hear that, Cal? 413 00:21:10,202 --> 00:21:10,937 Rebooking for Thursday. 414 00:21:11,738 --> 00:21:12,772 There was an "if" there. 415 00:21:12,905 --> 00:21:14,206 That's strange. I heard a "when." 416 00:21:16,242 --> 00:21:19,078 Now, I will be appointing Cal as my healthcare surrogate while I'm under. 417 00:21:20,613 --> 00:21:22,915 Mm, uh, most people appoint their spouse. 418 00:21:23,049 --> 00:21:24,651 Or at least notify them. 419 00:21:24,784 --> 00:21:26,285 He'll just try to talk me out of this. 420 00:21:26,419 --> 00:21:27,654 Because he loves me. 421 00:21:27,787 --> 00:21:30,623 Whereas Cal is using me to find a better position, 422 00:21:30,757 --> 00:21:32,892 but knows exactly what I want. 423 00:21:33,025 --> 00:21:34,894 (CHUCKLES) 424 00:21:35,027 --> 00:21:37,997 So... Let's fix my broken brain. 425 00:21:38,130 --> 00:21:39,732 **** 426 00:21:42,802 --> 00:21:44,103 (DOOR OPENS) 427 00:21:52,244 --> 00:21:53,413 I got your text. 428 00:21:58,385 --> 00:22:00,587 I'm a good diagnostician. 429 00:22:01,454 --> 00:22:02,922 Of course you are. 430 00:22:03,055 --> 00:22:04,056 Sit down. You... You want to sit? 431 00:22:04,691 --> 00:22:05,658 No. 432 00:22:06,693 --> 00:22:08,795 I accounted for every symptom. 433 00:22:08,928 --> 00:22:10,830 I listened to the patient's history. 434 00:22:10,963 --> 00:22:13,666 Someone's feet were cold. 435 00:22:13,800 --> 00:22:16,102 Okay? Uh, just... Sometimes that means something. 436 00:22:16,235 --> 00:22:18,137 Sometimes it doesn't. This time, it didn't. 437 00:22:18,270 --> 00:22:19,606 S-So what? 438 00:22:20,740 --> 00:22:22,475 What are you still doing here, Shaun? 439 00:22:22,609 --> 00:22:23,943 Wh... Do you not want to go home? 440 00:22:25,745 --> 00:22:28,047 You gotta go home. You suffered a loss. 441 00:22:28,180 --> 00:22:29,281 You gotta... 442 00:22:29,416 --> 00:22:30,783 You gotta deal with it. You gotta face it. 443 00:22:31,984 --> 00:22:32,852 Mm. 444 00:22:33,853 --> 00:22:35,855 Why do I have to "face it"? 445 00:22:35,988 --> 00:22:38,458 What does that mean? It happened. 446 00:22:38,591 --> 00:22:40,359 **** 447 00:22:40,493 --> 00:22:41,794 Yeah. 448 00:22:42,829 --> 00:22:44,296 It did happen. 449 00:22:44,431 --> 00:22:46,799 It happened, okay? 450 00:22:47,800 --> 00:22:48,801 Go home 451 00:22:49,602 --> 00:22:51,103 and be with Lea. 452 00:22:51,237 --> 00:22:53,372 **** 453 00:23:07,920 --> 00:23:10,089 Oh, Claire. I'm happy to see you. 454 00:23:10,222 --> 00:23:12,725 Uh, it seems the reporters have discovered I'm here, 455 00:23:12,859 --> 00:23:16,228 so poor Cal has gone off to craft a believable explanation. 456 00:23:16,362 --> 00:23:18,898 So, what's something a person might be hospitalized for 457 00:23:19,031 --> 00:23:21,367 that says "I'm an unstoppable force"? 458 00:23:21,501 --> 00:23:24,070 You want me to provide you with a good lie? 459 00:23:24,203 --> 00:23:25,204 Yeah. 460 00:23:35,147 --> 00:23:36,415 But you must be scared. 461 00:23:36,549 --> 00:23:38,050 I'm terrified. 462 00:23:39,519 --> 00:23:42,789 **** 463 00:23:42,922 --> 00:23:44,290 You know, when I'm scared, 464 00:23:46,258 --> 00:23:47,860 I think about Evvie Sinclair. 465 00:23:51,698 --> 00:23:53,232 You were the commencement speaker 466 00:23:53,365 --> 00:23:54,734 at my high school graduation. 467 00:23:55,334 --> 00:23:56,569 Oh. 468 00:23:56,703 --> 00:23:57,970 I was a bit of a mess back then. 469 00:23:58,104 --> 00:23:59,939 I had no idea what I was gonna do with my life 470 00:24:00,072 --> 00:24:01,774 or what I could do with my life. 471 00:24:03,009 --> 00:24:07,046 And you told us about Evvie Sinclair, 472 00:24:07,179 --> 00:24:10,883 born with Turner Syndrome, small in stature, 473 00:24:11,017 --> 00:24:13,920 facial abnormalities, speech impairment. 474 00:24:15,354 --> 00:24:17,590 But she just had 475 00:24:17,724 --> 00:24:20,593 a desperate need to learn. 476 00:24:22,662 --> 00:24:24,564 And against her parents' wishes, 477 00:24:25,598 --> 00:24:26,899 she started high school. 478 00:24:28,200 --> 00:24:29,335 And... 479 00:24:30,369 --> 00:24:31,804 And I just remember thinking... 480 00:24:33,439 --> 00:24:36,643 If Evvie can go through those doors 481 00:24:36,776 --> 00:24:38,310 and walk down those halls... 482 00:24:41,247 --> 00:24:43,482 I went home that day, and I applied to 11 colleges. 483 00:24:43,616 --> 00:24:44,951 (CHUCKLES) 484 00:24:46,653 --> 00:24:48,588 So, I am a doctor... 485 00:24:50,623 --> 00:24:52,258 Because of you. 486 00:24:52,391 --> 00:24:53,826 And Evvie. 487 00:24:53,960 --> 00:24:55,595 Mm. 488 00:24:55,728 --> 00:24:57,697 That was a great story. 489 00:24:58,798 --> 00:25:00,266 Rickie Demarest. 490 00:25:00,399 --> 00:25:02,334 He was my campaign manager before Cal. 491 00:25:03,803 --> 00:25:06,238 He made up some lovely stuff. 492 00:25:06,372 --> 00:25:08,307 **** 493 00:25:17,349 --> 00:25:18,450 (DOOR OPENS) 494 00:25:21,387 --> 00:25:22,855 You're back early. 495 00:25:23,823 --> 00:25:25,692 Dr. Andrews sent me home, 496 00:25:25,825 --> 00:25:27,960 and Dr. Glassman thinks we should talk. 497 00:25:51,618 --> 00:25:54,621 Dr. Glassman is not a counselor. 498 00:25:54,754 --> 00:25:56,055 He's a neurosurgeon. 499 00:26:00,026 --> 00:26:01,193 And a sometimes annoying person. 500 00:26:01,327 --> 00:26:02,261 I'm gonna make some tea. 501 00:26:07,066 --> 00:26:09,001 (CELL PHONE RINGS) Oh. It's your mother. 502 00:26:09,135 --> 00:26:10,302 No, no, no, no, no. Hello. 503 00:26:10,436 --> 00:26:12,004 PAM: Hi, Shaun. How are you? 504 00:26:12,138 --> 00:26:14,006 I'm... Well. 505 00:26:14,707 --> 00:26:16,542 Lea... 506 00:26:16,676 --> 00:26:18,410 Can't talk to you now. 507 00:26:18,544 --> 00:26:21,714 Oh, you're both home. I wanted to ask about strollers. 508 00:26:21,848 --> 00:26:24,050 The one Lea likes, I read a review 509 00:26:24,183 --> 00:26:26,152 that said the front wheel keeps coming off. 510 00:26:26,285 --> 00:26:28,320 I'm sure she won't listen, so I'm gonna send a link. 511 00:26:28,454 --> 00:26:30,556 You should read it, too. 512 00:26:30,690 --> 00:26:32,925 Yes. Thank you. 513 00:26:33,059 --> 00:26:34,226 You don't want your little girl 514 00:26:34,360 --> 00:26:35,795 pitching headfirst onto the sidewalk. 515 00:26:35,928 --> 00:26:37,529 Oh, no. 516 00:26:37,664 --> 00:26:39,031 No. We wouldn't. 517 00:26:39,165 --> 00:26:40,166 (QUIETLY) Just hang up. Just... 518 00:26:40,299 --> 00:26:42,869 Okay. I should go. 519 00:26:43,002 --> 00:26:45,004 And now that we know it's a girl, I was wondering... 520 00:26:45,137 --> 00:26:47,406 I already bought a onesie with little dinosaurs on it. 521 00:26:47,539 --> 00:26:48,540 Unbelievably cute. 522 00:26:48,675 --> 00:26:49,976 Mm. Cute. Yes. 523 00:26:50,109 --> 00:26:51,911 Okay, that sounds good. 524 00:26:52,044 --> 00:26:53,045 I am due at the hospital. 525 00:26:53,179 --> 00:26:54,446 Just a quick question. 526 00:26:54,580 --> 00:26:56,949 Since it's not a boy, the dinosaurs will have to go. 527 00:26:57,083 --> 00:26:58,350 I'm... What would be nice for a girl? 528 00:26:58,484 --> 00:26:59,852 I don't... I don't know. 529 00:26:59,986 --> 00:27:01,053 There's one with ballet shoes. 530 00:27:01,187 --> 00:27:02,188 That's stupid. 531 00:27:02,321 --> 00:27:03,622 Why would you have to change it? 532 00:27:03,756 --> 00:27:05,624 A girl would like dinosaurs just as much as a boy. 533 00:27:05,758 --> 00:27:08,060 Dinosaurs are fascinating. You need to shut up. 534 00:27:09,696 --> 00:27:10,763 Um... 535 00:27:12,564 --> 00:27:13,900 (PAM SIGHS) 536 00:27:14,033 --> 00:27:15,367 Shaun? (CELL PHONE BEEPS) 537 00:27:15,501 --> 00:27:18,304 **** 538 00:27:25,144 --> 00:27:28,580 As you all know, Senator Clark is a very competitive person. 539 00:27:28,715 --> 00:27:30,883 She tore her meniscus while charging the net 540 00:27:31,017 --> 00:27:32,418 to return a drop shot. 541 00:27:32,551 --> 00:27:34,586 For the record, it was match point, which she won. 542 00:27:34,721 --> 00:27:35,988 She underwent... 543 00:27:36,122 --> 00:27:38,825 I wonder if he negotiates employment contracts. 544 00:27:38,958 --> 00:27:41,427 And thanks to the terrific doctors here at St. Bonaventure, 545 00:27:41,560 --> 00:27:43,462 she will be back fighting for you before you know it. 546 00:27:43,595 --> 00:27:45,131 Senator Clark wanted to thank all... 547 00:27:45,264 --> 00:27:47,233 Oh, did you hear that? We're terrific. 548 00:27:47,366 --> 00:27:49,168 You must be. You repaired her meniscus through her head. 549 00:27:49,301 --> 00:27:52,104 It's no one's business why she's here. 550 00:27:52,238 --> 00:27:54,473 And there's the rationalization I've been waiting for. 551 00:27:54,606 --> 00:27:56,475 If this was someone you didn't like, 552 00:27:56,608 --> 00:27:58,310 these character flaws would reveal some deep problem 553 00:27:58,444 --> 00:28:00,279 worthy of your eternal judgment, but since... 554 00:28:00,412 --> 00:28:01,914 You're head of department. 555 00:28:02,048 --> 00:28:03,582 I'm sure you've had to spin things sometimes. 556 00:28:04,550 --> 00:28:06,018 "Spin things"? Sure. 557 00:28:06,152 --> 00:28:07,887 Lie? No. 558 00:28:08,020 --> 00:28:10,056 Just one more example of how Senator Clark has been able... 559 00:28:10,189 --> 00:28:12,024 And that was an example of both. 560 00:28:12,158 --> 00:28:14,660 (CELL PHONES CHIME) 561 00:28:14,794 --> 00:28:16,195 Marian isn't waking up. 562 00:28:18,164 --> 00:28:22,001 And to that end, she's already making calls and sending e-mails. 563 00:28:22,134 --> 00:28:24,070 Oh. And texts. 564 00:28:24,203 --> 00:28:25,671 She just told me to wrap it up. 565 00:28:25,805 --> 00:28:27,940 (LAUGHTER) 566 00:28:28,074 --> 00:28:30,142 **** 567 00:28:35,481 --> 00:28:36,816 I yelled at your mother. 568 00:28:37,616 --> 00:28:38,851 Yeah. 569 00:28:40,452 --> 00:28:43,722 I misdiagnosed a patient. 570 00:28:43,856 --> 00:28:45,391 That's why they sent me home. 571 00:28:48,094 --> 00:28:49,661 I'm not behaving normally. 572 00:28:51,697 --> 00:28:53,199 Neither am I. 573 00:28:53,332 --> 00:28:55,601 But maybe this is normal for where we're at. 574 00:29:00,639 --> 00:29:03,742 Dr. Glassman talked about "facing my loss," 575 00:29:03,876 --> 00:29:05,544 but I don't know what that means, 576 00:29:05,677 --> 00:29:07,914 and even if we could face it, 577 00:29:08,047 --> 00:29:10,850 won't we just hurt ourselves for no reason? 578 00:29:10,983 --> 00:29:12,584 I don't know. 579 00:29:12,718 --> 00:29:15,687 I don't think grief has an actual solution. 580 00:29:15,822 --> 00:29:18,190 It has to. I can't stay this way. 581 00:29:24,230 --> 00:29:26,899 Claire told me about this support group. 582 00:29:29,435 --> 00:29:33,039 I'm not sure we can just force ourselves past this. 583 00:29:39,745 --> 00:29:42,381 The cold feet are not a coincidence. 584 00:29:42,514 --> 00:29:44,250 **** 585 00:29:44,383 --> 00:29:48,921 If they do the TAVR procedure, they'll kill the patient. 586 00:29:49,055 --> 00:29:50,589 For a different reason. 587 00:29:50,722 --> 00:29:53,225 **** 588 00:29:58,030 --> 00:29:58,965 (DOOR CLOSES) 589 00:29:59,098 --> 00:30:01,767 (MONITOR BEEPING) 590 00:30:01,901 --> 00:30:03,202 **** 591 00:30:03,335 --> 00:30:05,737 NAKANO: The guide wire's in place. 592 00:30:05,872 --> 00:30:07,406 I'm preparing to deliver the valve. 593 00:30:07,539 --> 00:30:08,875 (DOOR OPENS) 594 00:30:09,008 --> 00:30:10,176 SHAUN: Okay, you... You have to stop. 595 00:30:10,309 --> 00:30:11,610 If that valve goes through... 596 00:30:11,743 --> 00:30:12,811 Get out of here, Murphy. No. 597 00:30:12,945 --> 00:30:15,982 If that valve goes through, he'll die. 598 00:30:16,115 --> 00:30:18,417 Call Security. I thought it was an aortic dissection, but I was wrong. 599 00:30:18,550 --> 00:30:20,819 The cold feet are from a coarctation... No. 600 00:30:20,953 --> 00:30:23,455 No. No, no. It's too close. 601 00:30:23,589 --> 00:30:24,756 You're too close. Stop! 602 00:30:24,891 --> 00:30:26,658 Stop! Stop, please! Stop! (ALARM BLARING) 603 00:30:26,792 --> 00:30:28,460 B.P.'s spiking. 200 over 100. 604 00:30:28,594 --> 00:30:29,996 Heart rate's up. He's gonna stroke. 605 00:30:30,129 --> 00:30:31,263 Give him nitro and cardene! 606 00:30:32,965 --> 00:30:34,633 I'm pulling out. (ALARM BLARING) 607 00:30:35,968 --> 00:30:37,669 (BLARING STOPS) 608 00:30:37,803 --> 00:30:38,837 B.P.'s dropping. 609 00:30:40,239 --> 00:30:41,440 He's starting to stabilize. 610 00:30:41,573 --> 00:30:43,109 **** 611 00:30:45,777 --> 00:30:46,512 Okay. 612 00:30:50,549 --> 00:30:51,650 Dr. Murphy? 613 00:30:52,784 --> 00:30:53,986 Go on. 614 00:30:56,688 --> 00:30:59,491 Dr. Nakano did not make a mistake in the bypass. 615 00:30:59,625 --> 00:31:00,659 He did everything right. 616 00:31:02,962 --> 00:31:06,465 But Mr. Hill has a congenital narrowing of the abdominal aorta. 617 00:31:06,598 --> 00:31:08,634 He's had that coarctation for year, but never knew 618 00:31:08,767 --> 00:31:10,469 because his body compensated for the poor circulation 619 00:31:10,602 --> 00:31:11,904 by raising his blood pressure, 620 00:31:12,038 --> 00:31:14,140 which caused his heart to deteriorate, requiring a bypass. 621 00:31:14,273 --> 00:31:15,874 The stronger, repaired heart put pressure on the valve, 622 00:31:16,008 --> 00:31:17,076 and his blood pressure dropped. 623 00:31:17,209 --> 00:31:19,445 No more compensation. 624 00:31:19,578 --> 00:31:20,947 His feet got cold. 625 00:31:21,080 --> 00:31:23,282 And I could get the guide wire up there, 626 00:31:23,415 --> 00:31:25,717 but the valve delivery system would be too big 627 00:31:25,851 --> 00:31:28,754 to fit through the coarctation without damaging the vessel. 628 00:31:28,887 --> 00:31:30,222 Yes. 629 00:31:31,623 --> 00:31:32,558 We'll have to open him up. 630 00:31:33,960 --> 00:31:37,529 And the valve will have to be replaced directly... 631 00:31:37,663 --> 00:31:38,397 Through surgery. 632 00:31:40,532 --> 00:31:42,468 I hope you'll join us for that. 633 00:31:42,601 --> 00:31:44,103 **** 634 00:31:52,979 --> 00:31:54,313 How's Cal gonna spin this? 635 00:31:54,446 --> 00:31:56,015 Her latest tennis match went into extra sets? 636 00:31:57,149 --> 00:31:58,517 (COMPUTER BEEPS) 637 00:32:00,352 --> 00:32:02,121 JORDAN: Slinged branch looks good, 638 00:32:02,254 --> 00:32:05,257 no conflict with the seventh nerve, 639 00:32:05,391 --> 00:32:07,359 no bleeds, no strokes. 640 00:32:09,495 --> 00:32:11,063 The basilar is dilated. 641 00:32:11,197 --> 00:32:13,065 And compressing her brain stem. 642 00:32:13,199 --> 00:32:15,101 (COMPUTER BEEPS) She's stopped breathing. 643 00:32:15,234 --> 00:32:16,702 We need to intubate. Get the airway cart. 644 00:32:16,835 --> 00:32:19,238 **** 645 00:32:26,878 --> 00:32:28,747 CAL: Tell them she's gonna be at the conference. 646 00:32:28,880 --> 00:32:31,083 And if they keep asking, tell them the Senator believes 647 00:32:31,217 --> 00:32:33,285 anyone not ready to commit on climate change action 648 00:32:33,419 --> 00:32:34,987 is on the wrong side of history. 649 00:32:35,121 --> 00:32:37,356 Just never use that phrase more than once a month. 650 00:32:37,489 --> 00:32:39,225 He has to run. (CELL PHONE BEEPS) 651 00:32:39,358 --> 00:32:41,293 The sling procedure went fine, 652 00:32:41,427 --> 00:32:43,729 but the basilar artery was less stable than we hoped. 653 00:32:43,862 --> 00:32:45,431 It's gotten even more dilated 654 00:32:45,564 --> 00:32:47,766 and is causing progressive neurological deficits. 655 00:32:47,899 --> 00:32:50,402 We have no choice but to bypass the artery. 656 00:32:50,536 --> 00:32:52,004 The last surgery was dangerous. 657 00:32:52,138 --> 00:32:53,272 This one way more so. 658 00:32:55,041 --> 00:32:55,774 What do you need me to sign? 659 00:32:56,908 --> 00:32:58,644 We should inform her husband. 660 00:32:58,777 --> 00:33:00,579 There is a one in four chance that she could die. 661 00:33:00,712 --> 00:33:02,614 **** 662 00:33:05,917 --> 00:33:08,254 If I told Pete that, he'd be at the airport in half an hour, 663 00:33:08,387 --> 00:33:10,289 and everyone would know that Marian is in this hospital 664 00:33:10,422 --> 00:33:11,657 for something this serious. 665 00:33:11,790 --> 00:33:13,759 She has a brain aneurysm. That doesn't make her weak. 666 00:33:13,892 --> 00:33:15,427 Even worse. It makes her mortal. 667 00:33:16,628 --> 00:33:18,364 Her husband has a right to be here. 668 00:33:18,497 --> 00:33:20,532 A moral right. To destroy her career. 669 00:33:20,666 --> 00:33:21,933 Which is what I'm protecting her from. 670 00:33:24,070 --> 00:33:25,437 This is just a game to you, isn't it? 671 00:33:25,571 --> 00:33:27,073 Yeah. The game they make you play 672 00:33:27,206 --> 00:33:28,440 before you can do anything real. 673 00:33:29,575 --> 00:33:33,445 **** 674 00:33:33,579 --> 00:33:35,681 (MONITOR BEEPING) 675 00:33:41,420 --> 00:33:44,323 NAKANO: Valve placed. Leaflets mobile. 676 00:33:45,757 --> 00:33:48,860 SHAUN: New valve is perfectly seated in the annulus. 677 00:33:48,994 --> 00:33:51,463 No regurgitation, flow in both coronary arteries. 678 00:33:52,798 --> 00:33:54,466 I'm about to close up. 679 00:33:54,600 --> 00:33:55,967 DR. PARK: Looks like we've got a paravalvular leak. 680 00:33:57,369 --> 00:33:59,238 We need to go back and fix this. 681 00:33:59,371 --> 00:34:00,539 NAKANO: Irrigate and check the image. 682 00:34:00,672 --> 00:34:02,074 **** 683 00:34:09,915 --> 00:34:12,151 No leak. 684 00:34:12,284 --> 00:34:14,686 Slight excess from the washing jets in the mechanical valve. 685 00:34:14,820 --> 00:34:15,787 Normal finding. 686 00:34:15,921 --> 00:34:18,390 **** 687 00:34:18,524 --> 00:34:20,192 Wow. You're very good. 688 00:34:20,326 --> 00:34:21,760 I think he knows that. 689 00:34:21,893 --> 00:34:22,861 Still nice to hear. 690 00:34:24,163 --> 00:34:26,031 Closing up now. 691 00:34:26,165 --> 00:34:27,499 Two-oh Vicryl suture. 692 00:34:28,567 --> 00:34:31,570 **** 693 00:34:47,786 --> 00:34:49,888 DR. LIM: Retracting temporal lobe and cerebellum... 694 00:34:50,021 --> 00:34:51,357 Very carefully. 695 00:34:51,490 --> 00:34:53,225 CLAIRE: Vascular anatomy is fully exposed, 696 00:34:53,359 --> 00:34:55,026 avoiding the tortuous area. 697 00:34:55,161 --> 00:34:56,528 JORDAN: Radial artery graft length 698 00:34:56,662 --> 00:34:58,297 looks to be a perfect fit. 699 00:34:58,430 --> 00:35:00,532 **** 700 00:35:02,734 --> 00:35:04,203 Anastomosing with 9-0 Prolene. 701 00:35:07,839 --> 00:35:09,841 Temporal lobe's swelling. (ALARM BLARING) 702 00:35:09,975 --> 00:35:11,677 CLAIRE: B.P. and heart rate are plummeting. 703 00:35:11,810 --> 00:35:13,545 Drop her CO2, full propofol burst suppression. 704 00:35:14,680 --> 00:35:15,747 Widen the craniotomy. 705 00:35:15,881 --> 00:35:17,583 With the cerebellum herniating outward? 706 00:35:17,716 --> 00:35:19,718 We do that, she may never walk normally again. 707 00:35:21,420 --> 00:35:22,254 If she didn't want a twitch... 708 00:35:22,388 --> 00:35:23,555 Drill. 709 00:35:26,057 --> 00:35:29,295 (DRILL WHIRRING) 710 00:35:29,428 --> 00:35:32,498 Open the arachnoid plane and release CSF collections. 711 00:35:32,631 --> 00:35:34,566 Reduce the pressure from the inside. 712 00:35:34,700 --> 00:35:36,268 For her, it's worth the risk. 713 00:35:36,402 --> 00:35:39,705 (BLARING CONTINUES) 714 00:35:39,838 --> 00:35:41,540 Arachnoid dissector. 715 00:35:41,673 --> 00:35:43,942 **** 716 00:35:50,449 --> 00:35:53,084 There was a patient admitted this morning I think you should see. 717 00:35:53,219 --> 00:35:54,520 You thinking of Mrs. Cavanaugh? 718 00:35:54,653 --> 00:35:56,588 That's a good idea, Dr. Park. 719 00:35:56,722 --> 00:35:58,824 We'd welcome another take 720 00:35:58,957 --> 00:36:03,429 as to whether she's a good candidate for inserting an ICD. 721 00:36:03,562 --> 00:36:06,031 I'll consult just on that question, if you'd like me to. 722 00:36:07,799 --> 00:36:09,401 But I won't join in the O.R. 723 00:36:10,402 --> 00:36:11,970 I'm quitting surgery. 724 00:36:12,103 --> 00:36:14,172 **** 725 00:36:14,306 --> 00:36:16,608 I don't understand. When did you decide... 726 00:36:17,943 --> 00:36:19,245 Fifteen minutes ago. 727 00:36:22,648 --> 00:36:25,617 I nearly closed up without doing a final antibiotic lavage. 728 00:36:27,286 --> 00:36:28,820 But you didn't. 729 00:36:28,954 --> 00:36:30,622 Nurse Barker prompted you with the syringe. 730 00:36:32,324 --> 00:36:33,792 It was a tiny error. 731 00:36:33,925 --> 00:36:36,395 There was no contamination of the field. 732 00:36:36,528 --> 00:36:38,964 Many surgeons don't even do a final lavage. 733 00:36:39,097 --> 00:36:42,368 I always told myself once I started making tiny errors, 734 00:36:42,501 --> 00:36:43,969 I'd stop before I made a big one. 735 00:36:44,102 --> 00:36:45,471 Paul, 736 00:36:45,604 --> 00:36:47,273 we almost lost a patient today. 737 00:36:47,406 --> 00:36:48,139 You were still rattled. 738 00:36:49,741 --> 00:36:50,809 Thank you, Marcus. 739 00:36:52,678 --> 00:36:54,546 But I made this plan years ago, 740 00:36:54,680 --> 00:36:57,249 because I knew that when the time came, 741 00:36:57,383 --> 00:37:00,018 I'd look for reasons why whatever I did wrong 742 00:37:00,151 --> 00:37:03,522 was tiny, minor, didn't count. 743 00:37:05,190 --> 00:37:06,258 That's when I made the rule. 744 00:37:07,326 --> 00:37:08,994 Everything counts. 745 00:37:09,127 --> 00:37:10,529 **** 746 00:37:13,799 --> 00:37:17,369 Dr. Murphy, it was nice sewing with you. 747 00:37:17,503 --> 00:37:19,137 **** 748 00:37:30,682 --> 00:37:32,183 (DOOR CLOSES) 749 00:37:35,687 --> 00:37:37,122 (WATER RUNNING) 750 00:37:42,227 --> 00:37:43,762 (MONITOR BEEPING) 751 00:37:53,171 --> 00:37:55,106 (SIGHS) You gave us a scare. 752 00:37:56,375 --> 00:37:57,709 But all good now. 753 00:38:00,346 --> 00:38:02,714 You're mad at me. 754 00:38:02,848 --> 00:38:04,215 About little Evvie. 755 00:38:04,350 --> 00:38:05,984 (SIGHS) 756 00:38:06,117 --> 00:38:08,420 Well, Evvie inspired me. 757 00:38:09,955 --> 00:38:12,324 I took strength from her for years. 758 00:38:14,159 --> 00:38:15,193 Now it's all fiction. 759 00:38:17,996 --> 00:38:22,033 Fictional lives can save real lives. 760 00:38:22,167 --> 00:38:26,104 Four years ago, I used that story on the Senate floor. 761 00:38:26,237 --> 00:38:29,341 I got my bill passed by one vote. 762 00:38:29,475 --> 00:38:33,311 That lie helped millions of people with disabilities. 763 00:38:35,246 --> 00:38:37,115 I'm really proud of that lie. 764 00:38:37,248 --> 00:38:39,518 **** 765 00:38:53,098 --> 00:38:56,301 I'm heading out to have a drink with Dr. Nakano. 766 00:38:56,435 --> 00:38:59,938 Are you going to try to talk him out of leaving surgery? 767 00:39:00,071 --> 00:39:01,773 No. 768 00:39:01,907 --> 00:39:05,711 I'm going because no one's meant to shoulder loss alone. 769 00:39:05,844 --> 00:39:07,446 And I'm the one who should be with him tonight. 770 00:39:08,480 --> 00:39:09,615 Why? 771 00:39:10,982 --> 00:39:13,519 Because we love the same thing. 772 00:39:13,652 --> 00:39:17,088 And he knows no one would understand what he's lost more than I would. 773 00:39:17,222 --> 00:39:19,791 **** 774 00:39:32,938 --> 00:39:35,173 **** 775 00:39:40,546 --> 00:39:42,714 I have been thinking... 776 00:39:42,848 --> 00:39:45,183 About all the people you've helped, including me. 777 00:39:46,752 --> 00:39:48,854 And about not... 778 00:39:50,689 --> 00:39:52,524 Sharing the danger you were in with your husband. 779 00:39:54,259 --> 00:39:56,662 Probably not sharing a lot of other things. 780 00:39:58,363 --> 00:40:02,033 And it struck me that... (SIGHS) 781 00:40:02,167 --> 00:40:03,902 Being in a marriage like that must be lonely. 782 00:40:08,039 --> 00:40:10,408 You can't trust him to lie. 783 00:40:12,210 --> 00:40:15,914 So you end up sharing more of yourself with a guy like Cal, 784 00:40:16,047 --> 00:40:18,149 who is a hired gun and who's gonna end up 785 00:40:18,283 --> 00:40:20,552 working for somebody else two years from now. 786 00:40:25,390 --> 00:40:27,092 The fact that Pete and I don't talk shop 787 00:40:27,225 --> 00:40:28,860 doesn't make our marriage less than wonderful. 788 00:40:35,366 --> 00:40:36,367 Another lie? 789 00:40:39,070 --> 00:40:41,640 **** 790 00:40:48,580 --> 00:40:50,115 Hey, hey! 791 00:40:50,248 --> 00:40:53,284 How 'bout those Devils, huh? (CHUCKLES) 792 00:40:53,418 --> 00:40:56,287 But before I go all fan girl about last night's game, 793 00:40:56,421 --> 00:40:59,891 let's talk about the upcoming climate change conference. 794 00:41:00,025 --> 00:41:01,793 I have to tell you guys a story 795 00:41:01,927 --> 00:41:04,162 about a little boy who lives on the Outer Banks 796 00:41:04,295 --> 00:41:05,997 of South Carolina, 797 00:41:06,131 --> 00:41:08,266 whose home is about to be washed away... 798 00:41:10,536 --> 00:41:16,074 ** I think if I fail again 799 00:41:16,207 --> 00:41:20,411 ** That I know You're still listening 800 00:41:20,546 --> 00:41:24,550 ** Maybe it's all gonna Turn out all right... 801 00:41:24,683 --> 00:41:28,253 (SIGHS) I could get another mug, or I could wash these. 802 00:41:28,386 --> 00:41:29,921 It's a tough decision. 803 00:41:31,289 --> 00:41:32,558 Mm. 804 00:41:32,691 --> 00:41:34,125 I should probably tell you, 805 00:41:34,259 --> 00:41:35,794 I didn't get to calling the landlord. 806 00:41:38,830 --> 00:41:40,198 And maybe ten minutes ago, 807 00:41:40,331 --> 00:41:42,634 I saw a couple fruit flies near the drain, so... 808 00:41:42,768 --> 00:41:46,672 ** I have to believe that it is 809 00:41:46,805 --> 00:41:48,640 ** Have to believe... 810 00:41:48,774 --> 00:41:51,777 (SIGHS) So... Yeah. 811 00:41:55,280 --> 00:41:57,916 (VOICE BREAKING) Now it's my fault if we're... 812 00:41:58,049 --> 00:41:59,317 If we get bugs. 813 00:41:59,450 --> 00:42:02,954 **** 814 00:42:03,088 --> 00:42:07,693 ** When I tell you that it is 815 00:42:07,826 --> 00:42:12,297 ** Oh, it's not for my benefit 816 00:42:12,430 --> 00:42:17,736 ** Maybe it's all gonna Turn out all right 817 00:42:17,869 --> 00:42:21,072 ** Oh, I know that it's not 818 00:42:21,206 --> 00:42:26,377 ** But I have to believe That it is ** 819 00:42:26,511 --> 00:42:27,979 (SNIFFLES) 820 00:42:31,182 --> 00:42:32,984 (CLOSING THEME MUSIC PLAYING)