1
00:00:02,336 --> 00:00:04,880
[ Indistinct conversations ]

2
00:00:04,880 --> 00:00:06,673
Claire:
Can you pop the trunk?

3
00:00:06,673 --> 00:00:09,593
♪♪

4
00:00:09,593 --> 00:00:11,512
Ah!

5
00:00:11,512 --> 00:00:13,764
[ Sighs ]
We made good time.

6
00:00:13,764 --> 00:00:15,307
Thank goodness,
or else we wouldn't have

7
00:00:15,307 --> 00:00:17,726
the full three hours to wait
before our flight.

8
00:00:17,726 --> 00:00:19,394
Great.

9
00:00:19,394 --> 00:00:20,896
♪♪

10
00:00:20,896 --> 00:00:23,106
Alright. Thanks.

11
00:00:23,106 --> 00:00:24,233
[ Trunk shuts ]

12
00:00:24,233 --> 00:00:25,526
Alright.

13
00:00:25,526 --> 00:00:26,777
Oh.

14
00:00:28,612 --> 00:00:29,947
Starbucks is on me.

15
00:00:29,947 --> 00:00:32,324
No kidding.
And I'm getting a cake pop.

16
00:00:32,324 --> 00:00:37,913
♪♪

17
00:00:37,913 --> 00:00:39,540
[ Car door shuts ]

18
00:00:39,540 --> 00:00:42,751
♪♪

19
00:00:42,751 --> 00:00:44,169
Hey, Dr. Reznick.

20
00:00:44,169 --> 00:00:47,714
♪♪

21
00:00:47,714 --> 00:00:49,299
I thought this was
a surgical mission.

22
00:00:49,299 --> 00:00:51,718
Uh, we're bring‐‐
we're bringing some support.

23
00:00:51,718 --> 00:00:54,263
Morgan's gonna help with
patient selection and aftercare.

24
00:00:54,263 --> 00:00:56,890
Oh. That's great.

25
00:00:56,890 --> 00:00:59,685
10 days, huh?
[ Chuckles ]

26
00:00:59,685 --> 00:01:06,900
♪♪

27
00:01:06,900 --> 00:01:08,485
Can't have you
forgetting me.

28
00:01:08,485 --> 00:01:09,695
I'll be back
before you know it.

29
00:01:09,695 --> 00:01:11,530
[ Chuckles ]

30
00:01:11,530 --> 00:01:18,829
♪♪

31
00:01:18,829 --> 00:01:20,539
Tickets, passports,

32
00:01:20,539 --> 00:01:23,917
travel wallet containing
quetzales and American currency.

33
00:01:23,917 --> 00:01:25,168
You've got 'em.

34
00:01:25,168 --> 00:01:27,462
I know,
because I checked.

35
00:01:27,462 --> 00:01:28,589
You alright?

36
00:01:28,589 --> 00:01:30,799
Oh, it's not that heavy.
I got it.

37
00:01:30,799 --> 00:01:33,343
That's not what I meant.

38
00:01:33,343 --> 00:01:35,804
[ Sighs ]
I'm okay.

39
00:01:35,804 --> 00:01:37,723
I think this trip
will be good.

40
00:01:37,723 --> 00:01:39,099
Change things up.

41
00:01:39,099 --> 00:01:42,352
Focus on
helping other people.

42
00:01:42,352 --> 00:01:44,896
For whatever it's worth,
if you ever need to talk,

43
00:01:44,896 --> 00:01:46,481
you can always call me.

44
00:01:47,733 --> 00:01:49,443
I'm not gonna do that.

45
00:01:49,443 --> 00:01:51,069
I know.

46
00:01:51,069 --> 00:01:53,405
We will not have any time
to shop,

47
00:01:53,405 --> 00:01:55,782
but would you or Debbie
like anything from duty‐free?

48
00:01:55,782 --> 00:01:58,160
♪♪

49
00:01:58,160 --> 00:02:01,204
Guatemala is known
for its rum.

50
00:02:01,204 --> 00:02:02,456
We're okay. Thanks.

51
00:02:04,458 --> 00:02:06,376
Okay.

52
00:02:06,376 --> 00:02:09,671
♪♪

53
00:02:09,671 --> 00:02:11,882
[ Car door shuts ]

54
00:02:11,882 --> 00:02:14,301
You're on this trip, too?

55
00:02:14,301 --> 00:02:15,677
Yeah, got inspired
last night,

56
00:02:15,677 --> 00:02:18,764
decided to take some
personal days, go help out.

57
00:02:18,764 --> 00:02:21,141
And you're bringing
a toilet seat?

58
00:02:22,225 --> 00:02:23,560
Spoken like someone

59
00:02:23,560 --> 00:02:26,063
who's never been on
one of these surgical missions.

60
00:02:26,063 --> 00:02:27,814
[ Airplane engine roaring ]

61
00:02:27,814 --> 00:02:34,488
♪♪

62
00:02:34,488 --> 00:02:41,453
♪♪

63
00:02:41,453 --> 00:02:48,085
♪♪

64
00:02:48,085 --> 00:02:50,295
[ Donkeys bray ]

65
00:02:50,295 --> 00:02:58,553
♪♪

66
00:02:58,553 --> 00:03:06,853
♪♪

67
00:03:06,853 --> 00:03:09,356
The airline
will find your bag.

68
00:03:09,356 --> 00:03:11,858
♪♪

69
00:03:11,858 --> 00:03:14,569
We'll get you some clothes
when we get situated.

70
00:03:14,569 --> 00:03:16,655
[ Scoffs ]

71
00:03:16,655 --> 00:03:23,078
♪♪

72
00:03:27,749 --> 00:03:30,502
Would you like some vitamin B12
to help with exhaustion,

73
00:03:30,502 --> 00:03:32,796
or a motion sickness
wristband?

74
00:03:32,796 --> 00:03:34,172
I have an extra.

75
00:03:34,172 --> 00:03:35,674
No, thanks.

76
00:03:37,676 --> 00:03:39,761
I'm glad we're here.

77
00:03:41,054 --> 00:03:42,597
Yes.

78
00:03:42,597 --> 00:03:45,475
After all the loss
this year.

79
00:03:45,475 --> 00:03:48,103
It's just...
such an amazing way

80
00:03:48,103 --> 00:03:51,648
to be reminded what we have
to be grateful for.

81
00:03:51,648 --> 00:03:52,732
Sapo: Careful!

82
00:03:52,732 --> 00:03:54,025
[ Tires screech ]

83
00:03:57,529 --> 00:03:59,197
Let's see.

84
00:04:00,782 --> 00:04:02,242
[ Sheep bleating ]

85
00:04:02,242 --> 00:04:04,619
Pardon me, sir, could you please
move your flock of sheep?

86
00:04:04,619 --> 00:04:07,038
My sheep don't like
to be rushed. Be patient.

87
00:04:07,038 --> 00:04:08,457
These people are our guests.

88
00:04:08,457 --> 00:04:10,292
Well,
I did not invite them.

89
00:04:10,292 --> 00:04:13,795
We're doctors.

90
00:04:13,795 --> 00:04:16,631
It's been a long trip
and we need to get to our hotel.

91
00:04:16,631 --> 00:04:21,178
♪♪

92
00:04:21,178 --> 00:04:23,597
Doctor?

93
00:04:23,597 --> 00:04:27,058
You're a doctor?

94
00:04:27,058 --> 00:04:28,393
Of course I am.

95
00:04:30,312 --> 00:04:32,981
[ Sheep continue bleating ]

96
00:04:32,981 --> 00:04:35,400
It's a fungus.

97
00:04:35,400 --> 00:04:37,068
It's...
It's a fungus!

98
00:04:38,528 --> 00:04:40,489
It's a fungus.

99
00:04:46,495 --> 00:04:49,498
♪♪

100
00:04:49,498 --> 00:04:52,000
[ Insects chirping ]

101
00:04:53,293 --> 00:04:56,505
Thank you!

102
00:04:56,505 --> 00:04:57,756
Whew!

103
00:04:57,756 --> 00:04:59,466
♪♪

104
00:04:59,466 --> 00:05:01,176
Ah.

105
00:05:01,176 --> 00:05:05,764
♪♪

106
00:05:05,764 --> 00:05:06,807
Need help with that?

107
00:05:06,807 --> 00:05:08,558
No, that's a friend thing.

108
00:05:08,558 --> 00:05:13,271
♪♪

109
00:05:13,271 --> 00:05:15,899
[ Insects chirping ]

110
00:05:15,899 --> 00:05:18,235
[ Rooster crows ]

111
00:05:18,235 --> 00:05:25,867
♪♪

112
00:05:25,867 --> 00:05:28,662
♪♪

113
00:05:28,662 --> 00:05:30,622
[ Brakes squeal ]

114
00:05:30,622 --> 00:05:33,500
♪♪

115
00:05:33,500 --> 00:05:41,341
♪♪

116
00:05:41,341 --> 00:05:44,010
Hello, I'm Dr. Mateo Rendón.

117
00:05:44,010 --> 00:05:46,346
Dr. Saravia and her team
have spent several months

118
00:05:46,346 --> 00:05:47,806
gathering cases.

119
00:05:47,806 --> 00:05:49,432
From those, we selected 40.

120
00:05:49,432 --> 00:05:51,059
You're going to want
to save them all.

121
00:05:51,059 --> 00:05:52,102
You will not.

122
00:05:52,102 --> 00:05:53,895
We will perform
12 operations.

123
00:05:53,895 --> 00:05:56,064
I'm Dr. Marcus Andrews,
last‐minute addition.

124
00:05:56,064 --> 00:05:57,315
If we could add more cases,
I ‐‐

125
00:05:57,315 --> 00:05:58,275
Before I heard
you joined the trip,

126
00:05:58,275 --> 00:06:00,193
we were doing 10 surgeries.

127
00:06:00,193 --> 00:06:03,405
My organization has spent years
building trust.

128
00:06:03,405 --> 00:06:06,700
We save 12 people here,
that trust grows,

129
00:06:06,700 --> 00:06:10,120
more patients come to us,
more doctors volunteer.

130
00:06:10,120 --> 00:06:12,122
But if we lose a patient...

131
00:06:15,041 --> 00:06:17,836
We want surgeries we can do
but the locals couldn't.

132
00:06:17,836 --> 00:06:21,047
Surgeries that don't need
a lot of aftercare.

133
00:06:21,047 --> 00:06:23,592
12 patients, one alternate.

134
00:06:23,592 --> 00:06:26,219
Everyone else gets sent home,

135
00:06:26,219 --> 00:06:30,724
no matter how sick they are
or how sad their story is.

136
00:06:30,724 --> 00:06:33,685
[ Indistinct conversations ]

137
00:06:33,685 --> 00:06:42,027
♪♪

138
00:06:42,027 --> 00:06:50,577
♪♪

139
00:06:50,577 --> 00:06:58,877
♪♪

140
00:06:58,877 --> 00:07:07,260
♪♪

141
00:07:13,141 --> 00:07:15,393
[ Indistinct conversations ]

142
00:07:15,393 --> 00:07:17,771
[ Camera shutter clicking ]

143
00:07:17,771 --> 00:07:27,489
♪♪

144
00:07:27,489 --> 00:07:29,616
Uh, can you please tell me
what this means?

145
00:07:29,616 --> 00:07:30,700
Family...

146
00:07:30,700 --> 00:07:32,952
Your next of kin.

147
00:07:32,952 --> 00:07:34,496
Oh, well, nobody.

148
00:07:34,496 --> 00:07:35,997
Only Ignacio.

149
00:07:35,997 --> 00:07:37,248
Iggy is my only family.

150
00:07:37,248 --> 00:07:38,750
[ Dog whines ]

151
00:07:38,750 --> 00:07:41,836
He says his dog, Iggy.

152
00:07:41,836 --> 00:07:43,505
Ugly dog.

153
00:07:43,505 --> 00:07:45,548
Roberto Kantun Diaz?

154
00:07:45,548 --> 00:07:46,925
Yes!

155
00:07:46,925 --> 00:07:49,928
Andrea Torres Tzul?

156
00:07:49,928 --> 00:07:52,222
Aimé Navarro Gomez?

157
00:07:52,222 --> 00:07:54,224
♪♪

158
00:07:54,224 --> 00:07:55,558
Aimé Navarro Gomez?

159
00:07:55,558 --> 00:07:57,769
Here! Here!

160
00:07:57,769 --> 00:08:00,480
♪♪

161
00:08:00,480 --> 00:08:02,774
We need to do an abdominal exam
and ultrasound

162
00:08:02,774 --> 00:08:06,361
to see if there are any signs
of obstruction or strangulation.

163
00:08:06,361 --> 00:08:08,196
Please remove your bandage
and lie back.

164
00:08:08,196 --> 00:08:10,156
Lie down and remove
your bandages.

165
00:08:18,498 --> 00:08:20,792
How long
have you had that?

166
00:08:20,792 --> 00:08:23,628
A year...
Maybe more.

167
00:08:23,628 --> 00:08:25,547
He's had it for a year,
maybe longer.

168
00:08:25,547 --> 00:08:28,091
My neighbor told me to go
to the hospital in Xela...

169
00:08:28,091 --> 00:08:29,968
but I didn't have enough
for the trip...

170
00:08:29,968 --> 00:08:32,637
and I can't go a long time
without working.

171
00:08:32,637 --> 00:08:35,181
I'm the only one who takes care
of my sisters.

172
00:08:35,181 --> 00:08:36,599
He was told
to go to the hospital,

173
00:08:36,599 --> 00:08:38,935
but he couldn't afford the trip
or to miss work.

174
00:08:38,935 --> 00:08:41,646
He's the sole provider
for his siblings.

175
00:08:41,646 --> 00:08:45,108
Our parents died
two years ago.

176
00:08:45,108 --> 00:08:47,402
Their parents died
two years ago.

177
00:08:47,402 --> 00:08:51,573
♪♪

178
00:08:51,573 --> 00:08:56,119
She has a large
patent ductus arteriosus.

179
00:08:56,119 --> 00:08:58,872
I've only seen this condition
in infants.

180
00:08:58,872 --> 00:09:01,082
The blood is reversed.

181
00:09:01,082 --> 00:09:03,334
It's flowing the wrong way.

182
00:09:03,334 --> 00:09:04,836
[ Monitor beeps ]

183
00:09:07,088 --> 00:09:09,299
We could try going through
the femoral vein,

184
00:09:09,299 --> 00:09:11,634
do a percutaneous
device closure.

185
00:09:11,634 --> 00:09:15,638
She has irreversible
pulmonary hypertension.

186
00:09:15,638 --> 00:09:17,932
It would have been simple
to treat as an infant,

187
00:09:17,932 --> 00:09:23,646
but now closing the hole will ‐‐
will...kill her.

188
00:09:23,646 --> 00:09:27,859
♪♪

189
00:09:27,859 --> 00:09:30,987
Aimé's condition
is much too advanced.

190
00:09:32,947 --> 00:09:34,824
There's nothing we can do.

191
00:09:34,824 --> 00:09:35,867
[ Whimpers ]

192
00:09:35,867 --> 00:09:37,577
I'm sorry.

193
00:09:37,577 --> 00:09:39,746
[ Crying ]

194
00:09:39,746 --> 00:09:41,372
I'm sorry.

195
00:09:41,372 --> 00:09:42,832
No.

196
00:09:42,832 --> 00:09:46,419
[ Crying ] No.

197
00:09:46,419 --> 00:09:48,797
No, no.

198
00:09:48,797 --> 00:09:52,300
[ Crying ]

199
00:09:52,300 --> 00:09:59,516
♪♪

200
00:09:59,516 --> 00:10:01,893
[ Sighs ]

201
00:10:01,893 --> 00:10:03,770
Karla: Tissue?
Uh ‐‐

202
00:10:06,272 --> 00:10:09,609
I stock up
before the Americans come.

203
00:10:09,609 --> 00:10:10,860
And the French.

204
00:10:10,860 --> 00:10:13,988
They are surprisingly
sensitive people.

205
00:10:13,988 --> 00:10:16,241
I'm sorry. I know
this isn't helping anyone.

206
00:10:16,241 --> 00:10:18,409
[ Chuckles nervously ]
Never apologize for being human.

207
00:10:18,409 --> 00:10:20,745
I have a strict policy
against it.

208
00:10:22,288 --> 00:10:25,667
This week, you are
not just doing surgery.

209
00:10:25,667 --> 00:10:27,544
You are doing miracles.

210
00:10:27,544 --> 00:10:30,880
You're giving people hope
who had none.

211
00:10:30,880 --> 00:10:33,091
Except for the ones
that we send home to die.

212
00:10:33,091 --> 00:10:35,844
[ Sighs ]

213
00:10:35,844 --> 00:10:37,554
Focus on the miracles,

214
00:10:37,554 --> 00:10:40,265
or else you won't be able
to help any of them.

215
00:10:43,059 --> 00:10:44,519
And I will have to get
more tissues.

216
00:10:44,519 --> 00:10:47,313
[ Chuckles ]

217
00:10:47,313 --> 00:10:49,065
Thank you.

218
00:10:50,567 --> 00:10:52,443
[ Sniffles ]

219
00:10:55,864 --> 00:10:57,991
Bastion Alonso Ramos.

220
00:10:57,991 --> 00:10:59,909
12‐year‐old baseball fan.

221
00:10:59,909 --> 00:11:02,036
Roots for
the St. Louis Cardinals.

222
00:11:02,036 --> 00:11:04,038
Also, he has
an ameloblastoma.

223
00:11:04,038 --> 00:11:06,166
Not a lot of baseball fans
in Guatemala.

224
00:11:06,166 --> 00:11:09,836
You've been here before, or do
you enjoy reading Wikipedia?

225
00:11:09,836 --> 00:11:13,339
I did a medical mission here
during my residency.

226
00:11:13,339 --> 00:11:17,051
Oh, that explains
"Dr. Toilet Seat."

227
00:11:17,051 --> 00:11:19,053
You already
have a nickname.

228
00:11:19,053 --> 00:11:22,140
♪♪

229
00:11:22,140 --> 00:11:23,850
Good afternoon, Bastion.

230
00:11:23,850 --> 00:11:26,603
♪♪

231
00:11:26,603 --> 00:11:27,854
I'm Dr. Andrews.

232
00:11:27,854 --> 00:11:31,482
Good afternoon, Bastion.
This is Dr. Andrews.

233
00:11:31,482 --> 00:11:33,610
Hello, Dr. Andrews.

234
00:11:33,610 --> 00:11:36,237
Hello!

235
00:11:36,237 --> 00:11:38,531
What is that?
Let me see.

236
00:11:38,531 --> 00:11:41,451
♪♪

237
00:11:41,451 --> 00:11:43,369
[ Laughs ] Oh.

238
00:11:43,369 --> 00:11:45,205
That looks like Yadi Molina.

239
00:11:45,205 --> 00:11:46,748
Yes! It's Yadi Molina.

240
00:11:46,748 --> 00:11:48,416
St. Louis Cardinals.

241
00:11:48,416 --> 00:11:50,084
Mm‐hmm.

242
00:11:50,084 --> 00:11:52,170
So, are you a better
hitter or catcher?

243
00:11:52,170 --> 00:11:54,964
♪♪

244
00:11:57,550 --> 00:12:07,518
♪♪

245
00:12:07,518 --> 00:12:17,195
♪♪

246
00:12:17,195 --> 00:12:26,829
♪♪

247
00:12:26,829 --> 00:12:36,673
♪♪

248
00:12:36,673 --> 00:12:40,301
He has a hepatic adenoma
in the right lobe of his liver.

249
00:12:40,301 --> 00:12:41,552
Does not appear cancerous.

250
00:12:41,552 --> 00:12:44,097
No. For now.

251
00:12:44,097 --> 00:12:46,266
The lesion is localized,
well‐circumscribed,

252
00:12:46,266 --> 00:12:48,643
and not close
to portal vein branches.

253
00:12:48,643 --> 00:12:50,895
There's a tumor
in Adelmo's liver,

254
00:12:50,895 --> 00:12:52,647
but it's not cancer.

255
00:12:52,647 --> 00:12:55,191
The doctor believes
they can remove it.

256
00:12:55,191 --> 00:12:56,776
He's a good candidate.

257
00:12:56,776 --> 00:12:59,696
♪♪

258
00:12:59,696 --> 00:13:00,947
[ Chuckles ]

259
00:13:00,947 --> 00:13:06,244
♪♪

260
00:13:06,244 --> 00:13:07,745
Thank you.
Thank you.
Thank you.

261
00:13:07,745 --> 00:13:09,289
Cheers!
Cheers!
Cheers!

262
00:13:09,289 --> 00:13:11,499
[ Laughs ]

263
00:13:11,499 --> 00:13:14,043
I can continue like this
for a long time.

264
00:13:14,043 --> 00:13:15,503
But you have
a strange accent.

265
00:13:15,503 --> 00:13:19,215
It's not from Guatemala,
or Mexican.

266
00:13:19,215 --> 00:13:21,009
Did you spend some time
in Venezuela?

267
00:13:21,009 --> 00:13:23,303
In the library
where I grew up,

268
00:13:23,303 --> 00:13:27,390
they had some tapes named
"Speak Spanish like a Spaniard."

269
00:13:27,390 --> 00:13:29,726
I listened to them
every night

270
00:13:29,726 --> 00:13:32,186
until they broke.

271
00:13:32,186 --> 00:13:34,022
Oh, thank you. I thought you put
this kid in the "no" pile.

272
00:13:34,022 --> 00:13:35,940
I decided to take a closer look
at the images.

273
00:13:35,940 --> 00:13:37,734
See where the mass is thinning
the orbital floor

274
00:13:37,734 --> 00:13:39,527
and extending up
near the skull base?

275
00:13:39,527 --> 00:13:41,779
But that's exactly
what you can't do.

276
00:13:41,779 --> 00:13:45,491
Reconsider?
Weigh issues?

277
00:13:45,491 --> 00:13:47,118
Let emotional
and personal attachment

278
00:13:47,118 --> 00:13:49,370
influence
treatment decisions.

279
00:13:49,370 --> 00:13:50,580
Chicharrones?

280
00:13:50,580 --> 00:13:52,540
There's no beveling
or erosions.

281
00:13:52,540 --> 00:13:54,542
I can stay extracranial

282
00:13:54,542 --> 00:13:58,588
and create a bony plane
to resect the superior tumor.

283
00:13:58,588 --> 00:14:00,965
Did that sound
too emotional?

284
00:14:00,965 --> 00:14:03,176
Even if you stay
out of the brain,

285
00:14:03,176 --> 00:14:06,179
two major arteries are involved.
He could bleed out.

286
00:14:06,179 --> 00:14:09,640
[ Upbeat Spanish music
playing over speakers ]

287
00:14:09,640 --> 00:14:12,351
Can I get
one of those, please?

288
00:14:12,351 --> 00:14:14,020
[ Crunching ]

289
00:14:14,020 --> 00:14:15,438
♪♪

290
00:14:21,736 --> 00:14:23,946
[ Sheep bleating ]

291
00:14:23,946 --> 00:14:30,244
♪♪

292
00:14:30,244 --> 00:14:33,998
Apply it twice a day,
for 10 days.

293
00:14:35,917 --> 00:14:37,502
Thank you,
Dr. Shaun Murphy.

294
00:14:37,502 --> 00:14:39,045
Thank you.

295
00:14:39,045 --> 00:14:41,172
You're welcome.

296
00:14:41,172 --> 00:14:46,135
♪♪

297
00:14:46,135 --> 00:14:49,055
My chest hurts,
and so does my arm.

298
00:14:49,055 --> 00:14:51,099
And sometimes,
my hand feels cold,

299
00:14:51,099 --> 00:14:54,060
or it's as if I wasn't able
to feel it at all.

300
00:14:54,060 --> 00:14:56,687
It could be angina
or a blockage,

301
00:14:56,687 --> 00:14:58,773
which requires
bypass surgery.

302
00:14:58,773 --> 00:15:02,443
We should do an EKG before
he goes to the cath lab ‐‐

303
00:15:02,443 --> 00:15:05,696
You don't have a cath lab.

304
00:15:05,696 --> 00:15:07,573
Stretch out your arm,
please.

305
00:15:07,573 --> 00:15:09,534
Turn your head
to the side.

306
00:15:11,452 --> 00:15:13,079
Feel his pulse.

307
00:15:14,080 --> 00:15:16,749
♪♪

308
00:15:16,749 --> 00:15:18,417
There isn't one.

309
00:15:18,417 --> 00:15:20,920
Turn your head
forward.

310
00:15:20,920 --> 00:15:24,674
♪♪

311
00:15:24,674 --> 00:15:26,843
His pulse is back.

312
00:15:28,761 --> 00:15:31,347
It's not
a cardiac problem.

313
00:15:31,347 --> 00:15:33,558
He has thoracic
outlet syndrome.

314
00:15:33,558 --> 00:15:36,644
Dr. Saravia has just showed me
that the nerves and arteries

315
00:15:36,644 --> 00:15:39,063
in your neck and chest are being
compressed by your ribs.

316
00:15:39,063 --> 00:15:40,731
It's a very rare condition,

317
00:15:40,731 --> 00:15:45,194
that may cause blood clots
or an embolism ‐‐

318
00:15:45,194 --> 00:15:48,489
He doesn't seem happy.

319
00:15:48,489 --> 00:15:49,782
Did I translate wrong?

320
00:15:49,782 --> 00:15:52,368
No.
Your Spanish is perfect.

321
00:15:52,368 --> 00:15:55,496
But you left out
that his problem can be fixed.

322
00:15:56,873 --> 00:15:57,957
It can be remedied.

323
00:15:57,957 --> 00:15:59,667
Oh, okay.

324
00:16:00,918 --> 00:16:03,087
Okay.

325
00:16:03,087 --> 00:16:05,840
I am not good
at communication.

326
00:16:05,840 --> 00:16:07,633
In two languages.

327
00:16:07,633 --> 00:16:10,303
♪♪

328
00:16:10,303 --> 00:16:16,142
The nurse should
come momentarily.

329
00:16:18,186 --> 00:16:20,313
The translator
should be here soon.

330
00:16:20,313 --> 00:16:22,732
Um ‐‐
If you want, I can translate.

331
00:16:22,732 --> 00:16:24,108
Oh, you can speak English?

332
00:16:24,108 --> 00:16:25,902
We lived in the U. S.
for a few years.

333
00:16:25,902 --> 00:16:27,904
Uh, my mother
cleaned houses.

334
00:16:27,904 --> 00:16:29,197
I watched "Grey's Anatomy."

335
00:16:29,197 --> 00:16:30,448
[ Laughs ] Oh.

336
00:16:30,448 --> 00:16:34,660
Well, being a surgeon
is not much like that.

337
00:16:34,660 --> 00:16:38,206
Ms. Garza, can you show me
where you feel pain?

338
00:16:39,498 --> 00:16:41,959
Show them where
it hurts you, Mom.

339
00:16:42,919 --> 00:16:44,420
Here.

340
00:16:44,420 --> 00:16:47,673
And do you have indigestion
or cramping

341
00:16:47,673 --> 00:16:50,593
or ever feel like
you might throw up?

342
00:16:50,593 --> 00:16:53,387
She wants to know if you have
indigestion or cramping.

343
00:16:53,387 --> 00:16:55,056
Do you feel like you
might throw up?

344
00:16:57,183 --> 00:16:59,143
Sometimes.

345
00:16:59,143 --> 00:17:01,229
"Sometimes."

346
00:17:01,229 --> 00:17:03,981
But she's lying.
It's always.

347
00:17:05,691 --> 00:17:08,653
She has fevers, too,
and throws up.

348
00:17:11,239 --> 00:17:14,116
I need to feel your abdomen.
Can you lie on the bed for me?

349
00:17:14,116 --> 00:17:15,785
She has to feel
your stomach, Mom.

350
00:17:15,785 --> 00:17:17,161
Lie down.

351
00:17:19,747 --> 00:17:21,540
Okay.

352
00:17:23,000 --> 00:17:25,503
Mm.

353
00:17:25,503 --> 00:17:27,505
[ Grunts ]

354
00:17:27,505 --> 00:17:31,259
Ms. Garza, I think
you have gallstones.

355
00:17:31,259 --> 00:17:33,135
We will have to run some tests,

356
00:17:33,135 --> 00:17:35,972
but it is likely
that you will need surgery.

357
00:17:38,599 --> 00:17:42,270
Mom, the doctor believes
you have gallstones.

358
00:17:42,270 --> 00:17:44,855
They need to do a test
to be sure,

359
00:17:44,855 --> 00:17:48,943
but you need surgery.

360
00:17:48,943 --> 00:17:51,737
No, no.
Not surgery.

361
00:17:51,737 --> 00:17:54,490
I came here for medicine.

362
00:17:54,490 --> 00:17:56,284
You told me they were gonna
give me medicine.

363
00:17:56,284 --> 00:17:57,994
Don't be stubborn.
Do what the doctor says.

364
00:17:59,912 --> 00:18:03,666
If she doesn't want surgery,
why is she here?

365
00:18:03,666 --> 00:18:07,378
I told her you would have pills
that would help her.

366
00:18:07,378 --> 00:18:09,922
I told her I wouldn't eat
until she came.

367
00:18:09,922 --> 00:18:11,924
♪♪

368
00:18:11,924 --> 00:18:14,885
I have to work.

369
00:18:14,885 --> 00:18:16,220
I need to take care of you.

370
00:18:16,220 --> 00:18:18,306
She says
she can't miss work.

371
00:18:18,306 --> 00:18:20,683
She needs
to take care of me.

372
00:18:20,683 --> 00:18:24,312
♪♪

373
00:18:24,312 --> 00:18:27,398
I‐I need you to translate
accurately.

374
00:18:27,398 --> 00:18:29,609
♪♪

375
00:18:29,609 --> 00:18:33,154
My mother was very sick, too.

376
00:18:33,154 --> 00:18:36,282
Her mother
also was very sick.

377
00:18:36,282 --> 00:18:38,659
And she tried
to hide her pain,

378
00:18:38,659 --> 00:18:41,662
but children know
when people are suffering ‐‐

379
00:18:41,662 --> 00:18:45,291
especially their mothers.

380
00:18:45,291 --> 00:18:47,126
She tried to hide her pain,

381
00:18:47,126 --> 00:18:51,547
but kids know when people
are suffering.

382
00:18:51,547 --> 00:18:54,050
Especially
when it's their mother.

383
00:18:56,260 --> 00:18:58,804
You can't take care
of your daughter

384
00:18:58,804 --> 00:19:01,182
if you do not
take care of yourself.

385
00:19:03,392 --> 00:19:05,561
You can't take care
of your daughter

386
00:19:05,561 --> 00:19:07,855
if you don't take care
of yourself.

387
00:19:07,855 --> 00:19:10,775
♪♪

388
00:19:10,775 --> 00:19:12,860
[ Sighs ]

389
00:19:12,860 --> 00:19:19,325
♪♪

390
00:19:19,325 --> 00:19:20,576
Andrews:
Did you review Bastion's file?

391
00:19:20,576 --> 00:19:22,203
Doing a bifrontal trepanation

392
00:19:22,203 --> 00:19:23,579
and reconstructing
the skull base

393
00:19:23,579 --> 00:19:25,414
could prevent
brain herniation.

394
00:19:25,414 --> 00:19:27,333
What about risk
of CSF leak?

395
00:19:27,333 --> 00:19:29,126
It reduces with
a multilayer duraplasty

396
00:19:29,126 --> 00:19:31,337
using a pericranial flap.

397
00:19:31,337 --> 00:19:33,506
Lim: I say five sentences
to a patient.

398
00:19:33,506 --> 00:19:34,840
You say five words.

399
00:19:34,840 --> 00:19:36,384
A nurse wanted me
to give this to you.

400
00:19:36,384 --> 00:19:37,760
Because medical jargon
does nothing

401
00:19:37,760 --> 00:19:39,804
but scare them
and waste our time.

402
00:19:39,804 --> 00:19:41,597
All they care about is,
can we help ‐‐

403
00:19:41,597 --> 00:19:42,807
yes or no?

404
00:19:42,807 --> 00:19:46,143
♪♪

405
00:19:46,143 --> 00:19:48,145
[ Sighs ]

406
00:19:48,145 --> 00:19:56,195
♪♪

407
00:19:56,195 --> 00:20:04,412
♪♪

408
00:20:04,412 --> 00:20:07,373
Morgan: Your son's heart valves
are damaged.

409
00:20:07,373 --> 00:20:10,918
Your son's heart valves
are damaged.

410
00:20:10,918 --> 00:20:13,713
It's probably the result of
his rheumatic fever last year.

411
00:20:13,713 --> 00:20:15,798
Probably as a result

412
00:20:15,798 --> 00:20:19,301
of the rheumatic fever
he had last year.

413
00:20:19,301 --> 00:20:21,637
Because of his heart,

414
00:20:21,637 --> 00:20:24,056
we can't remove
his liver tumor.

415
00:20:25,558 --> 00:20:28,018
I‐It makes the surgery
too risky.

416
00:20:29,603 --> 00:20:31,647
I'm very sorry.

417
00:20:31,647 --> 00:20:34,525
♪♪

418
00:20:34,525 --> 00:20:39,280
Due to his heart, we can't
remove the tumor in his liver

419
00:20:39,280 --> 00:20:43,701
because it makes the surgery
very risky.

420
00:20:43,701 --> 00:20:45,786
We are very sorry.

421
00:20:45,786 --> 00:20:54,295
♪♪

422
00:20:54,295 --> 00:20:55,963
Thank you, Doctor.

423
00:20:57,882 --> 00:20:59,425
Uh, no, I'm sorry.

424
00:20:59,425 --> 00:21:02,219
W‐We can't do the operation
on your son.

425
00:21:02,219 --> 00:21:04,263
He ‐‐ I'm not sure he ‐‐

426
00:21:04,263 --> 00:21:06,140
But you tried.

427
00:21:06,140 --> 00:21:08,100
♪♪

428
00:21:08,100 --> 00:21:10,519
Thank you for trying.

429
00:21:10,519 --> 00:21:12,730
God bless you.

430
00:21:12,730 --> 00:21:18,652
♪♪

431
00:21:18,652 --> 00:21:24,241
♪♪

432
00:21:24,241 --> 00:21:26,410
Everything's gonna be okay.

433
00:21:26,410 --> 00:21:28,537
Don't worry.

434
00:21:28,537 --> 00:21:34,627
♪♪

435
00:21:34,627 --> 00:21:40,257
♪♪

436
00:21:45,095 --> 00:21:47,932
León Castillo. 22‐year‐old male.

437
00:21:47,932 --> 00:21:50,267
Large, non‐reducible
umbilical hernia.

438
00:21:50,267 --> 00:21:52,269
He's the sole provider
for his siblings ‐‐

439
00:21:52,269 --> 00:21:54,396
No personal details.
They're irrelevant.

440
00:21:54,396 --> 00:21:56,315
Two children's survival
depends on his.

441
00:21:56,315 --> 00:21:57,483
Seems relevant to me.

442
00:21:57,483 --> 00:22:00,569
Decisions need to be based
on medical data alone.

443
00:22:00,569 --> 00:22:03,614
This can't turn into a contest
of whose life is more tragic.

444
00:22:03,614 --> 00:22:05,074
There would be
too many winners.

445
00:22:08,619 --> 00:22:10,329
Without surgery,

446
00:22:10,329 --> 00:22:13,374
the hernia's at a very high risk
for strangulation.

447
00:22:13,374 --> 00:22:15,042
It's a fast, simple procedure,

448
00:22:15,042 --> 00:22:17,169
and he will almost certainly
have a full recovery.

449
00:22:17,169 --> 00:22:21,882
From a surgery he could survive
another 15 years without.

450
00:22:21,882 --> 00:22:23,884
Replacing the valve
with a bioprosthetic

451
00:22:23,884 --> 00:22:26,262
means he won't need
to be on blood thinners forever.

452
00:22:26,262 --> 00:22:27,888
Morgan: But he'll probably need
follow‐up surgeries

453
00:22:27,888 --> 00:22:29,431
to replace the replacement.

454
00:22:29,431 --> 00:22:31,809
Well, this guy's an athlete,
a fútbol star.

455
00:22:31,809 --> 00:22:33,686
Is that relevant?

456
00:22:33,686 --> 00:22:35,729
♪♪

457
00:22:35,729 --> 00:22:38,357
Yes, because his underlying
cardiac health is excellent.

458
00:22:38,357 --> 00:22:40,025
He should make
a full recovery.

459
00:22:40,025 --> 00:22:42,319
Unfortunately,
his dental health isn't.

460
00:22:42,319 --> 00:22:45,447
He has cavities, which puts him
at high risk for endocarditis,

461
00:22:45,447 --> 00:22:47,616
which would contribute
to valve deterioration.

462
00:22:47,616 --> 00:22:49,910
A total abdominal colectomy

463
00:22:49,910 --> 00:22:53,205
offers her an 80% to 90% chance
at full recovery.

464
00:22:53,205 --> 00:22:55,958
Otherwise healthy,
no complicating factors.

465
00:22:55,958 --> 00:22:58,794
The tumor could be removed
using ultrasound‐guided surgery.

466
00:22:58,794 --> 00:23:01,088
But she has no access
to post‐op chemo and radiation.

467
00:23:01,088 --> 00:23:03,007
The mass is round, localized.

468
00:23:03,007 --> 00:23:05,384
No signs of infiltration
in the adjacent structures.

469
00:23:05,384 --> 00:23:06,844
Minimal chance of recurrence.

470
00:23:06,844 --> 00:23:08,470
If you get all of it.

471
00:23:08,470 --> 00:23:11,348
♪♪

472
00:23:11,348 --> 00:23:12,516
She just got married
last week...

473
00:23:12,516 --> 00:23:14,101
Dr. Reznick.

474
00:23:14,101 --> 00:23:16,353
...which is medically relevant,
because studies have shown

475
00:23:16,353 --> 00:23:18,772
optimistic people
have better long‐term prognosis.

476
00:23:18,772 --> 00:23:20,649
And she is full of hope.

477
00:23:20,649 --> 00:23:28,616
♪♪

478
00:23:28,616 --> 00:23:30,409
Uh, there's a boy.

479
00:23:30,409 --> 00:23:31,869
He needs blankets. Uh.

480
00:23:31,869 --> 00:23:33,245
Blankets, please?

481
00:23:33,245 --> 00:23:34,496
There.

482
00:23:34,496 --> 00:23:35,915
Thank you.

483
00:23:35,915 --> 00:23:37,958
[ Indistinct conversations ]

484
00:23:43,631 --> 00:23:45,466
[ Baby fussing ]

485
00:23:47,343 --> 00:23:53,474
♪♪

486
00:23:53,474 --> 00:23:59,647
♪♪

487
00:23:59,647 --> 00:24:01,690
[ Sighs ]

488
00:24:01,690 --> 00:24:04,443
♪♪

489
00:24:04,443 --> 00:24:05,653
Claire: The gallstones

490
00:24:05,653 --> 00:24:07,655
are intermittently
blocking the bile duct,

491
00:24:07,655 --> 00:24:10,491
which could lead to ascending
cholangitis, sepsis, and death.

492
00:24:10,491 --> 00:24:12,534
Her condition
might respond to medication.

493
00:24:12,534 --> 00:24:13,744
No, it's extremely unlikely

494
00:24:13,744 --> 00:24:15,287
given how advanced
her symptoms are.

495
00:24:15,287 --> 00:24:17,498
But she has
a non‐surgical option.

496
00:24:17,498 --> 00:24:18,832
Bastion doesn't.

497
00:24:18,832 --> 00:24:20,376
It's a miracle
he made it to 12.

498
00:24:20,376 --> 00:24:22,628
Without surgery,
he will not see 15.

499
00:24:22,628 --> 00:24:24,296
He's unable
to eat solid foods.

500
00:24:24,296 --> 00:24:26,090
He's already showing
signs of malnutrition.

501
00:24:26,090 --> 00:24:28,467
Shaun's surgical plan
is very ambitious.

502
00:24:28,467 --> 00:24:31,220
It runs the risk
of graft failure and necrosis.

503
00:24:31,220 --> 00:24:32,972
You could leave this boy
worse off.

504
00:24:32,972 --> 00:24:35,391
Meanwhile, Edna's surgery
is straightforward,

505
00:24:35,391 --> 00:24:38,310
and she is all
her daughter has in the world.

506
00:24:38,310 --> 00:24:39,687
Who a person is

507
00:24:39,687 --> 00:24:42,356
cannot be completely separated
from their medical care.

508
00:24:42,356 --> 00:24:44,566
And I'm done
pretending it can be.

509
00:24:44,566 --> 00:24:47,361
♪♪

510
00:24:47,361 --> 00:24:49,113
[ Sighs ]

511
00:24:50,948 --> 00:24:52,908
We've got a mom
who needs a simple procedure

512
00:24:52,908 --> 00:24:56,161
she might live without...

513
00:24:56,161 --> 00:25:00,499
or a son whose only shot at life
is a very complicated surgery

514
00:25:00,499 --> 00:25:02,584
that may not work.

515
00:25:02,584 --> 00:25:09,466
♪♪

516
00:25:09,466 --> 00:25:16,640
♪♪

517
00:25:16,640 --> 00:25:23,772
♪♪

518
00:25:23,772 --> 00:25:26,650
[ All gasp, chuckle ]

519
00:25:26,650 --> 00:25:32,239
♪♪

520
00:25:32,239 --> 00:25:34,742
We have to focus
on the miracles.

521
00:25:34,742 --> 00:25:38,454
[ Sighs ]

522
00:25:38,454 --> 00:25:40,414
Let's go eat.

523
00:25:40,414 --> 00:25:44,460
♪♪

524
00:25:44,460 --> 00:25:46,462
Okay, so,
look at the nail bed.

525
00:25:46,462 --> 00:25:48,797
Karla said if you see
alternating redness

526
00:25:48,797 --> 00:25:52,634
with the pulse, that's a sign
of aortic insufficiency.

527
00:25:52,634 --> 00:25:55,554
So, your heart is fine,
and your cuticles are great.

528
00:25:55,554 --> 00:25:57,723
I get manicures.

529
00:25:57,723 --> 00:26:00,684
[ Upbeat Spanish music
playing over speakers ]

530
00:26:00,684 --> 00:26:02,811
Ah, you like?

531
00:26:02,811 --> 00:26:05,147
It's a national treasure.

532
00:26:05,147 --> 00:26:08,984
No. I just wanted
the experience.

533
00:26:08,984 --> 00:26:11,403
I shouldn't have any more.
First day of surgery tomorrow.

534
00:26:11,403 --> 00:26:13,530
Oh, no, I'm good.
Mm.

535
00:26:13,530 --> 00:26:17,409
♪♪

536
00:26:17,409 --> 00:26:19,953
[ Ana laughs ]

537
00:26:19,953 --> 00:26:21,997
Ah.
[ Both laugh ]

538
00:26:21,997 --> 00:26:23,499
You are terrible
at this!

539
00:26:23,499 --> 00:26:25,626
I am terrible,
but I look fantastic.

540
00:26:25,626 --> 00:26:27,419
Watch this.

541
00:26:27,419 --> 00:26:29,046
[ Laughs ]
I'll get us another round.

542
00:26:29,046 --> 00:26:30,798
[ Laughs ] Okay.

543
00:26:30,798 --> 00:26:32,883
Tequila, two, please.

544
00:26:32,883 --> 00:26:35,135
Mm.

545
00:26:35,135 --> 00:26:38,097
What's going on
over there?

546
00:26:38,097 --> 00:26:40,599
Uh, I'm getting
my ass kicked in darts.

547
00:26:40,599 --> 00:26:42,768
You're flirting.

548
00:26:42,768 --> 00:26:44,436
Just being nice.

549
00:26:44,436 --> 00:26:47,147
Well, don't be so nice that you
regret it when you get home.

550
00:26:47,147 --> 00:26:50,275
♪♪

551
00:26:50,275 --> 00:26:52,820
You have nothing
to worry about.

552
00:26:52,820 --> 00:26:55,489
I guarantee it.

553
00:26:55,489 --> 00:26:57,449
Alright, I'm gonna grab a cab
back to the hotel.

554
00:26:57,449 --> 00:26:59,243
Okay.

555
00:26:59,243 --> 00:27:03,163
♪♪

556
00:27:03,163 --> 00:27:04,623
Up, down, to the center
and to the belly.

557
00:27:04,623 --> 00:27:07,126
Lim: Good night, guys.

558
00:27:07,126 --> 00:27:11,296
♪♪

559
00:27:11,296 --> 00:27:14,049
[ Insects chirping ]

560
00:27:14,049 --> 00:27:17,511
Uh, Hotel Provincia?

561
00:27:17,511 --> 00:27:19,179
Yeah.

562
00:27:21,765 --> 00:27:23,141
Mind if I tag along?

563
00:27:23,141 --> 00:27:25,185
Big day tomorrow.
Sure.

564
00:27:25,185 --> 00:27:27,145
[ Engine starts ]

565
00:27:33,735 --> 00:27:36,071
[ Indistinct conversations ]

566
00:27:36,071 --> 00:27:40,158
♪♪

567
00:27:40,158 --> 00:27:42,035
I saw you break the news
to that boy's dad.

568
00:27:42,035 --> 00:27:44,037
♪♪

569
00:27:44,037 --> 00:27:46,331
You want
to talk about it?

570
00:27:46,331 --> 00:27:55,507
♪♪

571
00:27:55,507 --> 00:27:56,925
Morgan.

572
00:27:59,344 --> 00:28:02,014
I just wanted to know
if you're okay.

573
00:28:02,014 --> 00:28:03,181
You don't get
to ask me that anymore.

574
00:28:03,181 --> 00:28:05,726
We're not friends.

575
00:28:05,726 --> 00:28:07,060
You drew a line.

576
00:28:07,060 --> 00:28:09,271
So don't ask me how I am

577
00:28:09,271 --> 00:28:10,898
and then pretend to be
some nice guy who cares,

578
00:28:10,898 --> 00:28:12,524
when you obviously don't.

579
00:28:12,524 --> 00:28:19,656
♪♪

580
00:28:19,656 --> 00:28:22,618
I‐I just got a text from Karla.
Miguel is crashing.

581
00:28:22,618 --> 00:28:24,578
Shaun and I are gonna head back
to the hospital.

582
00:28:24,578 --> 00:28:29,708
♪♪

583
00:28:29,708 --> 00:28:34,838
♪♪

584
00:28:36,840 --> 00:28:37,799
[ Horn honks in distance ]

585
00:28:37,799 --> 00:28:39,843
[ Sighs ] Eight?

586
00:28:39,843 --> 00:28:42,471
I'm only fluent in six.

587
00:28:42,471 --> 00:28:44,097
[ Chuckles ]
I didn't set out to learn them.

588
00:28:44,097 --> 00:28:46,391
I just picked them up
as I moved around.

589
00:28:46,391 --> 00:28:49,728
Oh, so you're an accidental
language genius?

590
00:28:49,728 --> 00:28:51,188
[ Both chuckle ]

591
00:28:54,816 --> 00:28:56,860
So, what are
some of these places,

592
00:28:56,860 --> 00:28:58,487
I mean, that you
moved around to?

593
00:28:58,487 --> 00:29:00,030
Uh, I was born in Mexico.

594
00:29:00,030 --> 00:29:02,699
Went to medical school
in New Haven.

595
00:29:02,699 --> 00:29:04,242
Did my residency
in Chicago.

596
00:29:04,242 --> 00:29:07,663
Stayed a while in Syria,
Haiti, the Congo.

597
00:29:07,663 --> 00:29:10,374
You throw in your stop
at Yale to impress me?

598
00:29:10,374 --> 00:29:13,085
I threw in my stop at the Congo
to impress you.

599
00:29:13,085 --> 00:29:14,711
[ Chuckles ]

600
00:29:20,968 --> 00:29:22,844
Hey, this is not the way
to the Provincia Hotel.

601
00:29:22,844 --> 00:29:24,638
Where are you taking us?

602
00:29:24,638 --> 00:29:27,224
We're gonna make a stop.

603
00:29:27,224 --> 00:29:28,809
Do you want money?

604
00:29:28,809 --> 00:29:31,228
I don't need your money.

605
00:29:31,228 --> 00:29:34,856
♪♪

606
00:29:34,856 --> 00:29:37,567
What's happening?

607
00:29:37,567 --> 00:29:40,487
Don't be too alarmed,
but we're being kidnapped.

608
00:29:40,487 --> 00:29:45,075
♪♪

609
00:29:50,789 --> 00:29:52,416
[ Frogs croaking ]

610
00:29:52,416 --> 00:29:57,879
♪♪

611
00:29:57,879 --> 00:30:06,555
♪♪

612
00:30:06,555 --> 00:30:08,056
[ Engine shuts off ]

613
00:30:09,975 --> 00:30:12,769
Come in, please!
Hurry!

614
00:30:12,769 --> 00:30:17,899
♪♪

615
00:30:17,899 --> 00:30:19,109
This is my niece.

616
00:30:19,109 --> 00:30:21,111
She's been in labor
for 14 hours.

617
00:30:21,111 --> 00:30:24,072
Mateo: 14 hours like this.

618
00:30:24,072 --> 00:30:26,491
Hello. I'm a doctor.

619
00:30:26,491 --> 00:30:28,452
Uh, can you handle
the additional talking?

620
00:30:28,452 --> 00:30:30,245
We're here to help you
and your baby, okay?

621
00:30:30,245 --> 00:30:31,747
We're going to examine you,
yeah?

622
00:30:31,747 --> 00:30:32,873
It hurts so bad!

623
00:30:32,873 --> 00:30:35,667
Yes, here we go.

624
00:30:35,667 --> 00:30:38,211
Well, the baby's head is down,
so position's not a problem.

625
00:30:38,211 --> 00:30:40,130
[ Panting ]

626
00:30:43,592 --> 00:30:44,843
I can't hear anything.

627
00:30:47,054 --> 00:30:49,431
The cab driver, he had a‐a‐a cup
of coffee in his cab.

628
00:30:49,431 --> 00:30:50,974
Have him get it.

629
00:30:50,974 --> 00:30:52,809
Um, a cup of coffee
from the taxi...

630
00:30:52,809 --> 00:30:55,812
Go get it quickly!

631
00:30:55,812 --> 00:30:57,439
Please tell her
I have to check her cervix.

632
00:30:57,439 --> 00:30:59,316
The doctor will check
your cervix.

633
00:30:59,316 --> 00:31:01,401
Okay,
yes, that's fine.

634
00:31:01,401 --> 00:31:04,529
[ Whimpering, panting ]

635
00:31:04,529 --> 00:31:06,531
She's fully dilated.

636
00:31:06,531 --> 00:31:08,909
♪♪

637
00:31:08,909 --> 00:31:11,119
Okay, tear out the bottom,
hand it to me.

638
00:31:11,119 --> 00:31:17,417
♪♪

639
00:31:17,417 --> 00:31:19,711
I can hear a heartbeat.

640
00:31:19,711 --> 00:31:21,463
The baby has decels.

641
00:31:21,463 --> 00:31:22,798
[ Whimpers, groans ]

642
00:31:22,798 --> 00:31:24,758
Oh, no, no! Don't push!
Don't push!

643
00:31:24,758 --> 00:31:26,510
[ Whimpers ]

644
00:31:26,510 --> 00:31:29,221
He became short of breath
and then lost consciousness.

645
00:31:29,221 --> 00:31:31,348
I believe his
thoracic outlet syndrome

646
00:31:31,348 --> 00:31:34,601
caused a clot in his arm,
which went into his lungs.

647
00:31:34,601 --> 00:31:36,103
That would explain
the drop in blood pressure

648
00:31:36,103 --> 00:31:37,312
and respiratory rate.

649
00:31:37,312 --> 00:31:40,065
But not his elevated
end tidal CO2 level.

650
00:31:40,065 --> 00:31:43,568
That is inconsistent
with a pulmonary embolism.

651
00:31:43,568 --> 00:31:45,737
♪♪

652
00:31:45,737 --> 00:31:47,697
What is it
consistent with, Shaun?

653
00:31:47,697 --> 00:31:54,579
♪♪

654
00:31:54,579 --> 00:32:01,753
♪♪

655
00:32:01,753 --> 00:32:04,673
His brain. A clot
that traveled from his arm

656
00:32:04,673 --> 00:32:06,174
through a hole in his heart
into his aorta

657
00:32:06,174 --> 00:32:07,676
and up to his brain.

658
00:32:07,676 --> 00:32:13,431
♪♪

659
00:32:13,431 --> 00:32:14,975
[ Gags ]

660
00:32:14,975 --> 00:32:18,145
His gag reflex is only active
on one side.

661
00:32:18,145 --> 00:32:20,689
I was right. He has a small clot
in the brain stem

662
00:32:20,689 --> 00:32:23,316
near the respiratory center.

663
00:32:23,316 --> 00:32:25,110
Well, we can surgically remove
a clot in his lung,

664
00:32:25,110 --> 00:32:27,237
but in his brain...

665
00:32:27,237 --> 00:32:28,613
We can't do that here.

666
00:32:28,613 --> 00:32:32,409
If we have TPA,
we could break it up.

667
00:32:32,409 --> 00:32:34,744
TPA? No.

668
00:32:34,744 --> 00:32:38,832
But we have
a snake venom derivative.

669
00:32:38,832 --> 00:32:41,126
I‐It does the same thing,
more or less.

670
00:32:41,126 --> 00:32:45,672
♪♪

671
00:32:45,672 --> 00:32:47,924
Mateo: Any movement at all?
None.

672
00:32:47,924 --> 00:32:49,134
No cord presentation.

673
00:32:49,134 --> 00:32:50,927
Maybe her pelvis
is too narrow?

674
00:32:50,927 --> 00:32:52,095
The heart rate's
getting slower.

675
00:32:52,095 --> 00:32:53,722
[ Groans ]
Wait, wait, wait.

676
00:32:53,722 --> 00:32:54,598
I can feel a hand
by the face.

677
00:32:54,598 --> 00:32:56,391
[ Groaning ]

678
00:32:56,391 --> 00:32:59,394
The baby's sucking its thumb.
That's why it's not progressing.

679
00:32:59,394 --> 00:33:01,521
I can do an episiotomy,
try to pull the baby out,

680
00:33:01,521 --> 00:33:03,565
but with the arm where it's at,
I'm probably gonna

681
00:33:03,565 --> 00:33:07,068
break the clavicle and damage
the brachial plexus nerve.

682
00:33:07,068 --> 00:33:08,570
Reach inside...
Yeah.

683
00:33:08,570 --> 00:33:10,864
...find the baby's finger,
and pinch it hard.

684
00:33:10,864 --> 00:33:16,661
♪♪

685
00:33:16,661 --> 00:33:22,709
♪♪

686
00:33:22,709 --> 00:33:25,420
It worked.
[ Chuckles ]

687
00:33:25,420 --> 00:33:29,132
Okay, dear,
now we are going to push, okay?

688
00:33:29,132 --> 00:33:30,342
Push.
Push.

689
00:33:30,342 --> 00:33:32,636
[ Straining ]

690
00:33:32,636 --> 00:33:34,262
♪♪

691
00:33:34,262 --> 00:33:38,058
[ Baby cooing ]

692
00:33:38,058 --> 00:33:44,648
♪♪

693
00:33:44,648 --> 00:33:47,442
I'm sorry...

694
00:33:47,442 --> 00:33:49,486
Um...

695
00:33:49,486 --> 00:33:51,696
Do you speak English?

696
00:33:51,696 --> 00:33:54,074
No.
I don't speak English.

697
00:33:54,074 --> 00:33:56,034
♪♪

698
00:33:56,034 --> 00:33:58,578
My name is Lea...

699
00:33:58,578 --> 00:34:01,498
I'm with the Americans.

700
00:34:01,498 --> 00:34:02,749
Mm.

701
00:34:02,749 --> 00:34:04,918
I'm Sofía.

702
00:34:04,918 --> 00:34:08,755
He is my husband, Oscar.

703
00:34:08,755 --> 00:34:12,217
And she is Isabela.

704
00:34:12,217 --> 00:34:15,553
[ Chuckles ]

705
00:34:15,553 --> 00:34:18,348
Isabela.

706
00:34:18,348 --> 00:34:19,432
She is...

707
00:34:19,432 --> 00:34:21,351
perfect.

708
00:34:21,351 --> 00:34:24,729
[ Baby cooing ]

709
00:34:24,729 --> 00:34:26,773
Um...

710
00:34:26,773 --> 00:34:31,027
♪♪

711
00:34:31,027 --> 00:34:33,697
I found these
in my suitcase.

712
00:34:33,697 --> 00:34:35,824
My mom got them for ‐‐

713
00:34:35,824 --> 00:34:37,742
♪♪

714
00:34:37,742 --> 00:34:39,286
It gets cold in here.

715
00:34:39,286 --> 00:34:41,871
A gift for Isabela.

716
00:34:41,871 --> 00:34:43,581
[ Chuckles ]

717
00:34:43,581 --> 00:34:45,709
♪♪

718
00:34:45,709 --> 00:34:47,836
Thank you.

719
00:34:47,836 --> 00:34:50,797
♪♪

720
00:34:50,797 --> 00:34:53,675
Would you like
to hold her?

721
00:34:53,675 --> 00:35:02,392
♪♪

722
00:35:02,392 --> 00:35:03,768
Uh.

723
00:35:03,768 --> 00:35:05,770
No, thank you.

724
00:35:05,770 --> 00:35:08,023
Uh, I have to go.

725
00:35:08,023 --> 00:35:10,275
♪♪

726
00:35:10,275 --> 00:35:12,152
[ Sighs ]

727
00:35:12,152 --> 00:35:20,827
♪♪

728
00:35:20,827 --> 00:35:23,288
[ Baby crying ]

729
00:35:23,288 --> 00:35:25,123
♪♪

730
00:35:25,123 --> 00:35:28,793
Congratulations, Mom.

731
00:35:28,793 --> 00:35:31,004
What a good‐looking boy!

732
00:35:31,004 --> 00:35:40,096
♪♪

733
00:35:45,477 --> 00:35:50,148
♪♪

734
00:35:50,148 --> 00:35:53,401
Shaun's keeping an eye
on Miguel.

735
00:35:53,401 --> 00:35:56,363
Yeah.

736
00:35:56,363 --> 00:35:58,239
[ Sighs ]

737
00:35:58,239 --> 00:36:06,331
♪♪

738
00:36:06,331 --> 00:36:09,834
You know, it's okay
to not be okay.

739
00:36:09,834 --> 00:36:12,295
♪♪

740
00:36:12,295 --> 00:36:14,339
I j‐‐

741
00:36:14,339 --> 00:36:17,717
Every time I feel like
things are getting better...

742
00:36:17,717 --> 00:36:19,511
it's there again.

743
00:36:19,511 --> 00:36:21,721
♪♪

744
00:36:21,721 --> 00:36:24,683
Yeah, I know.

745
00:36:24,683 --> 00:36:26,643
Like it comes in waves.

746
00:36:28,353 --> 00:36:31,856
Eventually, it subsides.

747
00:36:31,856 --> 00:36:34,401
It's a process.

748
00:36:34,401 --> 00:36:36,986
It's a terrible process.

749
00:36:38,655 --> 00:36:41,449
And it's one you don't
have to go through alone.

750
00:36:41,449 --> 00:36:45,704
♪♪

751
00:36:45,704 --> 00:36:48,415
Shaun has no idea,
does he?

752
00:36:48,415 --> 00:36:50,166
No.

753
00:36:50,166 --> 00:36:54,295
♪♪

754
00:36:54,295 --> 00:36:56,423
He's doing great,
important work.

755
00:36:56,423 --> 00:36:59,467
I don't want
to interfere with that.

756
00:36:59,467 --> 00:37:02,971
And...

757
00:37:02,971 --> 00:37:06,391
he can't fix it.

758
00:37:06,391 --> 00:37:09,436
It's not about fixing it.

759
00:37:09,436 --> 00:37:13,690
It's about the two of you
just being in this together.

760
00:37:13,690 --> 00:37:18,445
♪♪

761
00:37:18,445 --> 00:37:21,197
[ Sighs ]

762
00:37:21,197 --> 00:37:23,241
Karla: He's waking up.

763
00:37:25,034 --> 00:37:27,871
What happened?

764
00:37:27,871 --> 00:37:29,998
You had an embolism,

765
00:37:29,998 --> 00:37:34,377
but we were able
to give you treatment.

766
00:37:34,377 --> 00:37:38,339
Can I still have
the operation tomorrow?

767
00:37:38,339 --> 00:37:40,091
[ FINNEAS' "What They'll
Say About Us" plays ]

768
00:37:40,091 --> 00:37:43,344
No, I'm afraid not.

769
00:37:45,096 --> 00:37:46,931
Tiziana?

770
00:37:46,931 --> 00:37:48,516
Tiziana, wake up.
♪ You're tired now, lie down ♪

771
00:37:48,516 --> 00:37:51,519
Hey, I need you
to tell your mother something.

772
00:37:51,519 --> 00:37:54,731
We're gonna do her surgery.

773
00:37:54,731 --> 00:37:57,901
Mom, Mom, they're going to do
your operation!

774
00:37:57,901 --> 00:38:00,153
[ Laughs ]
♪ It might take patience ♪

775
00:38:00,153 --> 00:38:02,530
♪ And when you wake up ♪

776
00:38:02,530 --> 00:38:07,076
You told me that I could die
without that surgery.

777
00:38:07,076 --> 00:38:11,539
♪ So don't you give up ♪

778
00:38:11,539 --> 00:38:13,583
♪ We've got the time ♪

779
00:38:13,583 --> 00:38:14,584
[ Both laugh ]

780
00:38:14,584 --> 00:38:17,378
♪ To take the world ♪

781
00:38:17,378 --> 00:38:18,880
Thank you!

782
00:38:18,880 --> 00:38:20,548
You're welcome.

783
00:38:20,548 --> 00:38:27,555
♪ And make it better
than it ever was ♪

784
00:38:27,555 --> 00:38:29,849
[ Insects chirping ]

785
00:38:29,849 --> 00:38:31,726
[ Dog whines ]

786
00:38:31,726 --> 00:38:34,938
♪♪

787
00:38:34,938 --> 00:38:37,690
[ Sighs ] That was...

788
00:38:37,690 --> 00:38:39,734
It was.

789
00:38:39,734 --> 00:38:47,325
♪♪

790
00:38:47,325 --> 00:38:48,993
Good night, Audrey Lim.

791
00:38:48,993 --> 00:38:55,583
♪♪

792
00:38:55,583 --> 00:38:57,043
You know...

793
00:38:57,043 --> 00:38:59,796
♪♪

794
00:38:59,796 --> 00:39:02,507
I'm...not really tired.

795
00:39:02,507 --> 00:39:07,011
♪♪

796
00:39:07,011 --> 00:39:08,847
Me either.

797
00:39:08,847 --> 00:39:17,522
♪♪

798
00:39:17,522 --> 00:39:21,025
Tomorrow, I will be removing
an adenocarcinoma

799
00:39:21,025 --> 00:39:23,486
from a young woman's
mediastinum.

800
00:39:23,486 --> 00:39:27,031
[ Spits ] That can be
a very dangerous area

801
00:39:27,031 --> 00:39:28,199
because of the vasculature.

802
00:39:31,619 --> 00:39:33,788
It will be
an excellent challenge.

803
00:39:34,998 --> 00:39:37,083
Are you coming to bed?

804
00:39:37,083 --> 00:39:38,710
I would like
to turn off the light.

805
00:39:44,007 --> 00:39:47,093
I don't want
to ruin your trip.

806
00:39:48,803 --> 00:39:50,471
You're having
such a good time.

807
00:39:50,471 --> 00:39:52,432
But...

808
00:39:52,432 --> 00:39:54,058
I'm not.

809
00:39:54,058 --> 00:39:55,435
W‐What's wrong?

810
00:39:55,435 --> 00:39:57,228
Are you sick?

811
00:39:57,228 --> 00:39:58,771
Did you open your mouth
in the shower?

812
00:39:58,771 --> 00:40:00,398
That is very common.

813
00:40:01,983 --> 00:40:06,029
I'm just...sad.

814
00:40:06,029 --> 00:40:07,906
Every time something reminds me
of the baby,

815
00:40:07,906 --> 00:40:09,407
I get even sadder.

816
00:40:09,407 --> 00:40:12,493
I'm glad you're doing
better than I am.

817
00:40:12,493 --> 00:40:14,746
I'm glad you're happy,
but...

818
00:40:14,746 --> 00:40:18,249
sometimes, you being happy
makes me feel worse.

819
00:40:20,001 --> 00:40:21,794
I hate
that I feel that way,

820
00:40:21,794 --> 00:40:23,171
and I didn't even want
to tell you,

821
00:40:23,171 --> 00:40:26,299
but I think
I need to tell you.

822
00:40:26,299 --> 00:40:27,800
I'm sorry.

823
00:40:29,218 --> 00:40:33,139
Do you want me
to not talk about work?

824
00:40:33,139 --> 00:40:35,642
No. I can't
ask you to do that.

825
00:40:35,642 --> 00:40:36,976
Yes, you can.

826
00:40:36,976 --> 00:40:38,770
I want you
to feel better.

827
00:40:38,770 --> 00:40:41,397
It won't help, Shaun.

828
00:40:41,397 --> 00:40:44,025
What will help?

829
00:40:45,485 --> 00:40:48,196
[ Sighs ]

830
00:40:48,196 --> 00:40:49,822
Nothing.

831
00:40:49,822 --> 00:40:53,284
♪♪

832
00:40:53,284 --> 00:40:55,244
I miss her so much.

833
00:40:56,996 --> 00:41:00,375
I mean, even looking at your
blue eyes breaks my heart,

834
00:41:00,375 --> 00:41:02,669
because I dreamed
she would have them.

835
00:41:02,669 --> 00:41:06,965
♪♪

836
00:41:06,965 --> 00:41:08,925
[ Sniffles ]

837
00:41:08,925 --> 00:41:12,845
[ Sighs ] My parents
are really worried,

838
00:41:12,845 --> 00:41:16,140
been calling all the time.

839
00:41:16,140 --> 00:41:20,144
They want me to come back
to Hershey for a while.

840
00:41:20,144 --> 00:41:22,480
They think it'll help.

841
00:41:22,480 --> 00:41:25,566
♪♪

842
00:41:25,566 --> 00:41:29,988
Do you...want to?

843
00:41:29,988 --> 00:41:33,491
♪♪

844
00:41:33,491 --> 00:41:37,996
I think it would be good for me
to get some time away.

845
00:41:37,996 --> 00:41:40,623
From everything.

846
00:41:40,623 --> 00:41:50,216
♪♪

847
00:41:50,216 --> 00:41:52,927
I'm sorry you're sad.

848
00:41:52,927 --> 00:42:01,227
♪♪

849
00:42:01,227 --> 00:42:09,527
♪♪

850
00:42:09,527 --> 00:42:11,279
♪♪

851
00:42:11,279 --> 00:42:13,489
[ Sighs ]

852
00:42:13,489 --> 00:42:17,493
♪♪