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Previously on "The Good Doctor"...
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You need to take a break,
clear your head.
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You need a vacation.
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I'm gonna quit my job.
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I'm not looking forward to moving
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to Hershey, Pennsylvania.
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I don't want kids.
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Ever.
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I've just been fired
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for physically assaulting an employee.
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Go ahead. Chop us in half.
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When will they wake up?
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They should've already.
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We were worried about you, Jenny.
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So glad you're back.
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I am gonna give you three words.
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Try to remember them.
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Apple. Ball. House.
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Can you count back from 100 by 7 for me?
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I'm going to Harvard, you know.
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93, 86, 79, 72, 65.
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And what city are we in?
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San Jose.
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And what were those three words?
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Apple. Ball. House.
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Look out, Harvard.
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We'll be doing a lot more tests
to know for sure,
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but your heart does sound better.
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How's Katie?
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You woke up before her,
so too soon to tell.
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There's virtually no alpha
or beta brain activity.
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We must have missed something
during the separation surgery.
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We didn't.
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Katie's BP was steady, sats were fine,
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regional blood supplies
were reconstructed.
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Just like Jenny, yet she's awake,
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Katie's in a coma.
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Katie's got the new sagittal graft.
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A problem with blood flow in that
vein could cause her condition.
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An MRI angiogram should tell us
if the graft is open or not.
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Hello.
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I will proceed with the angiogram.
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Whoa!
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Murphy, you've been gone for two days.
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How about we start there?
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Okay.
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Just because you talked to the president
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doesn't qualify as permission.
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Okay. Yes.
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I... will notify Dr. Melendez
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next time I go on a road trip
with my girlfriend.
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Amazing.
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"Road trip"?
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Dr. Glassman said you were
dealing with a personal crisis.
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That is true.
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Do you know the definition
of personal crisis?
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Yes. A stage in a sequence of events
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at which the trend of all
future events is determined.
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- A death, an illness.
- Yes.
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No, not a road trip.
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Okay.
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You and Dr. Browne
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get going on Katie's angiogram,
unless, of course,
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you have any personal
emergencies to attend to.
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No. My crisis is over.
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Come in.
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Hey.
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How are the twins doing?
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Jenny's in recovery.
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Her numbers look good. She's talking.
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Katie... not so good.
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We need to talk about Murphy.
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I told you he's on personal leave.
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Yeah, well, that's not what he said.
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You talked to him?
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Yes.
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In the surgical unit five minutes ago.
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There's the sagittal vein graft
we constructed for Katie.
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It's open with good flow.
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Graft is fine.
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Which means we still have
no explanation for her coma.
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Go in closer.
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The middle cerebral vein,
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it has low flow out of the brain.
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You're thinking low flow out
means low flow in?
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Yes, that is what I'm thinking.
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We should look at
the arterial inflow phase.
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We'd like to look at the
arterial inflow phase, please.
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So, what'd you do on your trip?
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Well, sometimes
when we take a road trip,
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we're running away from something.
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I kissed Lea.
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And Dr. Glassman is mad at me.
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What is he mad at you about?
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It's almost entirely blocked.
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And... there's a malformation
in the Circle of Willis.
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Katie is barely getting
any blood to her brain.
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Excuse me. Shaun?
May I speak with you, please?
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Dr. Melendez... He was not angry.
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Oh, no, Shaun.
Dr. Melendez is angry with you.
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He's also angry with me.
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W-Why?
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"Why"? Because I lied to him for you.
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Why did you run away?
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I didn't... didn't run away.
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When you leave without
notifying your attending,
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when you drop all of your
responsibilities at this hospital...
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When you leave without
telling anyone, including me,
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then you are running away.
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Did this trip with this girl help?
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Yes. Yes, it did.
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Okay. How?
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I would like to give two-weeks notice.
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Synced & corrected by kinglouisxx
www.addic7ed.com.
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Mom, can you ask them
to bring me some more ice chips?
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I'll get them, sweetie.
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I'll get a doctor.
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No.
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I'm just...
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When you left, there was no one here.
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For the first time in my life,
I was alone.
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Sweetie.
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It felt... cold.
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Well, sometimes it is cold.
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But you know what?
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Someday, you might find
that you like it.
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Wrongful termination.
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Dr. Kalu assaulted an attending surgeon.
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I don't think you have
strong legal footing here.
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There's more to the story.
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And I am sympathetic to Dr. Kalu,
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but his ends don't justify his means.
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Obviously we can't tolerate
staff members...
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And yet you do.
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Please read on.
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The middle cerebral has narrowed.
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It's less than 2 millimeters.
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We bypass the artery here
and restore blood flow.
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Open her back up?
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She's just been through
a massive operation.
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The brain tissue hasn't settled.
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Another could very well
stroke Katie out.
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Other options.
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Intravascular.
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I don't see how
an intravascular ultrasound
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- gives us a better picture.
- No, not imaging.
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He wants a stent
in the middle cerebral artery
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in the angio lab. I like it.
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Stenting is usually reserved
for the heart and the carotid.
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It's not the usual,
but we are way past the usual.
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It would lower the danger of a stroke.
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Dr. Murphy, would you like to assist?
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Y-Yes.
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Dr. Melendez, would you like to write me
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a letter of recommendation?
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You see the narrowing there,
in the horizontal segment
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- of the middle cerebral artery.
- Middle cerebral artery.
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Yeah. I've heard about you.
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You're the one making
the old guard nervous.
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W-Why would I make people nervous?
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'Cause you have a gift.
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And surgeons judge themselves
against their peers,
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and right now, you're winning.
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We're in position.
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Dr. Murphy, please inflate the balloon.
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Give us another squirt of contrast.
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And we should have good blood flow.
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Yes, the proximal end
of the artery is dissecting.
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The balloon is damaging her artery.
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Waveform is worsening.
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Stent won't hold.
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She's gonna stroke. I'm aborting.
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Okay.
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Waveform is normalizing.
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We're right back where we started.
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Katie's brain is starving.
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I want to see Katie.
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I know she's in a coma.
I still need to see her.
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I miss her.
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We can't risk contamination
for either of you.
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She needs to know I'm there.
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We understand.
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You can't understand.
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No one can.
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We have always been there
for each other,
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and now when she needs me most,
I'm not there.
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You've just been through
a 40-hour surgery.
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We need you to focus
on your own healing.
189
00:09:56,956 --> 00:09:58,622
And what about her heart?
190
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We're going to do
a cardiac catheterization test
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00:10:01,126 --> 00:10:03,026
to see if her heart circulation
has improved.
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Inject the contrast to evaluate
the heart's blood supply.
193
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How's my soul looking?
194
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That's a different specialty.
195
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Katie says the eyes
are the window to the soul.
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I say the eyes lie. It's the heart.
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Well, then, so far your soul
is looking good.
198
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Strong, unobstructed blood flow.
199
00:10:26,585 --> 00:10:29,119
Ventriculogram will tell us how
the muscle function's doing.
200
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So quiet. Is everything okay?
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Ventricle's strained and dilated.
202
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We were hoping for some
improvement post-separation,
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but it's barely pumping.
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It just doesn't make any sense.
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The separation was supposed
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to relieve the stress on Jenny's heart.
207
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Half the need, half the work.
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00:10:58,284 --> 00:11:00,584
Jenny's heart was even sicker
than it appeared.
209
00:11:00,586 --> 00:11:02,419
Seems we couldn't see that
because Katie's heart
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was doing all the work for Jenny's.
211
00:11:03,622 --> 00:11:04,988
What can we do to fix it?
212
00:11:04,990 --> 00:11:06,490
Give her a new heart.
213
00:11:06,492 --> 00:11:08,292
We're not gonna find
a donor match in time.
214
00:11:08,294 --> 00:11:11,495
Yes, we already have
the perfect heart for Jenny.
215
00:11:11,497 --> 00:11:15,499
The sisters are monozygotic
and therefore a genetic match.
216
00:11:16,467 --> 00:11:18,635
On the other hand, Katie is alive.
217
00:11:18,637 --> 00:11:21,038
- She is GCS-3.
- Her heart is still beating.
218
00:11:21,040 --> 00:11:22,739
Yes, but she is unresponsive.
219
00:11:22,741 --> 00:11:25,642
And I don't see a way to return
blood flow to the brain.
220
00:11:25,644 --> 00:11:28,623
In all likelihood,
Katie's not coming back.
221
00:11:28,624 --> 00:11:31,592
Yes, Katie very well may die, but
we can't predict when that'll be.
222
00:11:31,617 --> 00:11:33,717
It could be today.
It could be 20 years from now.
223
00:11:33,719 --> 00:11:35,185
If Katie stays on the ventilator.
224
00:11:35,187 --> 00:11:37,454
- That's not up to us.
- I know.
225
00:11:37,456 --> 00:11:39,656
But I also know that,
based on these scans,
226
00:11:39,658 --> 00:11:41,325
Jenny might not make it
through the night.
227
00:11:44,263 --> 00:11:46,163
We need to propose this to the mother.
228
00:11:53,427 --> 00:11:56,231
There's no chance Katie will wake up?
229
00:12:00,193 --> 00:12:02,394
We can't say with 100% certainty,
230
00:12:02,419 --> 00:12:06,497
but from what we saw
on Katie's brain scan...
231
00:12:07,691 --> 00:12:09,324
we have little reason for hope.
232
00:12:09,326 --> 00:12:11,333
But what we can say with certainty
233
00:12:11,528 --> 00:12:14,329
is that without Katie's heart,
Jenny will die.
234
00:12:16,465 --> 00:12:18,379
Can we wait?
235
00:12:18,802 --> 00:12:20,377
Just a little. Maybe you'll know more.
236
00:12:20,402 --> 00:12:21,936
Maybe something will change.
237
00:12:22,035 --> 00:12:25,303
If we don't do anything, Jenny's
heart will stop before the morning.
238
00:12:29,275 --> 00:12:31,276
How do you...
239
00:12:35,682 --> 00:12:37,182
Would it be painful?
240
00:12:37,792 --> 00:12:41,853
No. We simply power down
Katie's ventilator.
241
00:12:41,855 --> 00:12:44,890
Once off life support,
she will peacefully pass.
242
00:13:00,874 --> 00:13:03,008
Do you want us to explain this to Jenny?
243
00:13:03,010 --> 00:13:04,509
I'm sure she'll want to be present.
244
00:13:04,544 --> 00:13:06,144
No.
245
00:13:08,782 --> 00:13:11,916
I put trust in them from an early age,
246
00:13:11,918 --> 00:13:15,019
thinking responsibility
would build strength.
247
00:13:16,790 --> 00:13:19,624
I think it worked.
248
00:13:19,626 --> 00:13:21,392
But this...
249
00:13:21,394 --> 00:13:24,095
No.
250
00:13:24,097 --> 00:13:26,164
Jenny can't be part of this in any way.
251
00:13:26,166 --> 00:13:27,599
It'd destroy her.
252
00:13:31,771 --> 00:13:33,805
I'll tell her Katie died.
253
00:13:41,247 --> 00:13:43,381
"Dr. Shaun Murphy
254
00:13:43,383 --> 00:13:46,332
exhibits technical skills
beyond his years."
255
00:13:46,357 --> 00:13:48,319
- You wrote that?
- Yes.
256
00:13:48,321 --> 00:13:50,455
That's why I signed
my name at the bottom.
257
00:13:52,091 --> 00:13:54,692
You think Shaun survives
at another hospital?
258
00:13:55,694 --> 00:13:57,662
I didn't think he'd survive here.
259
00:13:57,664 --> 00:14:01,366
Without your endorsement,
Shaun isn't going anywhere.
260
00:14:02,735 --> 00:14:04,769
I may have my issues with him,
261
00:14:04,771 --> 00:14:07,605
but no matter how stupid
an idea this may be,
262
00:14:07,607 --> 00:14:10,441
I'm not gonna stop him
from going after what he wants.
263
00:14:12,645 --> 00:14:14,579
There's another signature line
next to mine.
264
00:14:14,581 --> 00:14:16,661
It's where the president
of the hospital has to sign.
265
00:14:23,122 --> 00:14:24,756
The chief oncologist.
266
00:14:24,758 --> 00:14:27,759
This is before I came here
in December of '14.
267
00:14:27,761 --> 00:14:30,395
Dr. Marshall shoved a scrub nurse
268
00:14:30,397 --> 00:14:32,363
during a post-op discussion
of some sort.
269
00:14:32,365 --> 00:14:33,464
Do you remember that?
270
00:14:33,466 --> 00:14:34,499
I do.
271
00:14:34,501 --> 00:14:36,534
Your response
was to settle with the nurse
272
00:14:36,536 --> 00:14:39,570
while Dr. Marshall
was let off with a warning.
273
00:14:39,572 --> 00:14:44,108
There's another almost identical
instance earlier in that year.
274
00:14:44,110 --> 00:14:47,712
In both cases, the doctors
in question were white.
275
00:14:47,714 --> 00:14:50,882
They were censured. Dr. Kalu was fired.
276
00:14:51,133 --> 00:14:54,149
You think this was a racial matter?
277
00:14:54,421 --> 00:14:57,755
Do you think I'm racist?
278
00:14:57,757 --> 00:14:59,390
That I favor white people?
279
00:14:59,392 --> 00:15:03,361
Then why the leniency then and not now?
280
00:15:05,898 --> 00:15:07,598
They're stars...
281
00:15:07,600 --> 00:15:10,301
that happened to be white.
282
00:15:10,303 --> 00:15:13,705
Doctors like Marshall
allow St. Bonaventure
283
00:15:13,707 --> 00:15:16,541
to compete with other
West Coast institutions.
284
00:15:16,543 --> 00:15:18,023
So, that's our defense?
285
00:15:18,048 --> 00:15:20,445
"We're not racist.
We just allow our doctors
286
00:15:20,447 --> 00:15:22,980
to assault people as long as
they bring in enough donors."
287
00:15:22,982 --> 00:15:24,796
They were reprimanded.
288
00:15:24,821 --> 00:15:26,555
And there were no further incidents.
289
00:15:26,580 --> 00:15:29,520
And how do you think all of this
is gonna play out in court?
290
00:15:34,027 --> 00:15:35,827
Settle.
291
00:15:38,465 --> 00:15:40,031
Okay.
292
00:15:44,104 --> 00:15:45,269
Hi.
293
00:15:47,506 --> 00:15:48,673
Floor?
294
00:15:48,675 --> 00:15:49,741
Four.
295
00:15:53,012 --> 00:15:56,147
Shaun asked Dr. Melendez
for a letter of recommendation.
296
00:15:56,149 --> 00:15:59,183
Yeah.
297
00:15:59,185 --> 00:16:01,619
All I have to do is sign it
and off he goes.
298
00:16:05,424 --> 00:16:07,992
I think...
299
00:16:07,994 --> 00:16:10,928
he might think that you're mad at him.
300
00:16:18,404 --> 00:16:22,974
If you don't sign,
it reinforces what he thinks.
301
00:16:22,976 --> 00:16:26,010
But if you do,
302
00:16:26,012 --> 00:16:28,546
it lets him know
that you believe in him.
303
00:16:40,660 --> 00:16:42,493
Can I touch her?
304
00:16:42,495 --> 00:16:44,195
Of course.
305
00:16:57,043 --> 00:16:59,477
Goodbye, baby.
306
00:17:08,788 --> 00:17:11,055
- Are you ready?
- Yes.
307
00:17:45,458 --> 00:17:47,124
She's stabilizing.
308
00:17:49,294 --> 00:17:51,562
I don't understand.
309
00:17:51,564 --> 00:17:53,097
What's going on?
310
00:17:55,899 --> 00:17:57,833
Katie's not ready to go.
311
00:18:01,627 --> 00:18:03,939
She's breathing on our own,
which means Katie has
312
00:18:03,978 --> 00:18:05,780
normal brain stem function, correct?
313
00:18:05,863 --> 00:18:08,404
When a ventilator is removed,
life can continue.
314
00:18:08,475 --> 00:18:10,174
It's rare, but it can happen.
315
00:18:10,176 --> 00:18:12,109
It doesn't change
the prognosis for awakening.
316
00:18:12,111 --> 00:18:13,989
Off the ventilator with normal vitals
317
00:18:14,036 --> 00:18:16,567
suggests long-term
vegetative state, right?
318
00:18:16,614 --> 00:18:18,637
Yeah.
319
00:18:18,750 --> 00:18:21,651
We just lost our remedy
for Jenny's heart.
320
00:18:21,653 --> 00:18:23,686
What about ECMO?
321
00:18:23,688 --> 00:18:25,855
Use the machine as a replacement
for Jenny's heart.
322
00:18:25,857 --> 00:18:27,690
Buys us... two weeks of life?
323
00:18:27,692 --> 00:18:29,692
I don't like it.
324
00:18:29,694 --> 00:18:32,971
ECMO requires blood thinners.
She just had brain surgery.
325
00:18:32,996 --> 00:18:34,597
It could cause a catastrophic bleed.
326
00:18:34,599 --> 00:18:37,567
Well, ECMO and its complications
may be our only avenue.
327
00:18:37,569 --> 00:18:39,836
R-Re-conjoin them.
328
00:18:40,838 --> 00:18:43,072
You want... You want to put
their heads back together?
329
00:18:43,074 --> 00:18:45,775
Not the heads.
330
00:18:45,777 --> 00:18:47,877
The thighs, the femoral vessels.
331
00:18:48,980 --> 00:18:51,547
Is it a funny idea?
332
00:18:51,549 --> 00:18:53,649
I think it's funny
that I didn't think of it.
333
00:18:53,651 --> 00:18:55,284
The girls' blood is identical.
334
00:18:55,286 --> 00:18:58,821
No need for anti-clotting meds,
so no possibility of a bleed.
335
00:18:58,823 --> 00:19:01,424
As long as they're attached,
Katie's heart will beat for Jenny.
336
00:19:01,426 --> 00:19:04,026
When Katie dies, we sever
the femoral connection
337
00:19:04,028 --> 00:19:07,029
and transplant Katie's heart into Jenny.
338
00:19:08,866 --> 00:19:12,702
We just spent 40 hours separating them,
339
00:19:12,704 --> 00:19:15,405
and now we want
to put them back together.
340
00:19:15,407 --> 00:19:18,040
You tried to kill Katie?
341
00:19:18,042 --> 00:19:20,176
No.
342
00:19:20,178 --> 00:19:23,112
You took her off life support.
343
00:19:23,114 --> 00:19:24,841
What do you call that?
344
00:19:25,016 --> 00:19:27,771
Mercy. Not just for her.
345
00:19:28,153 --> 00:19:31,177
You need a heart or you're going to die.
346
00:19:31,498 --> 00:19:34,341
Katie's alive.
347
00:19:36,894 --> 00:19:39,962
She was then, and she's even more now.
348
00:19:39,964 --> 00:19:44,167
Katie's alive in the sense that
she has basic organ function,
349
00:19:44,169 --> 00:19:46,969
but she has no higher-cognitive
brain activity.
350
00:19:46,971 --> 00:19:49,138
She's surviving,
351
00:19:49,140 --> 00:19:50,973
but she is not living.
352
00:19:50,975 --> 00:19:55,111
Hours ago,
353
00:19:55,113 --> 00:19:57,413
you thought she'd die
354
00:19:57,415 --> 00:20:01,317
as soon as you pulled the plug.
355
00:20:03,154 --> 00:20:04,921
You were wrong.
356
00:20:04,923 --> 00:20:08,791
How do I know you're not wrong
this time, too?
357
00:20:10,894 --> 00:20:12,795
The demand on... on Katie's heart
358
00:20:12,797 --> 00:20:14,564
is minimal in her resting state.
359
00:20:14,566 --> 00:20:18,401
She can easily tolerate helping you.
360
00:20:21,139 --> 00:20:26,008
I won't ask Katie to be
my life-support machine.
361
00:20:51,236 --> 00:20:52,602
Dr. Andrews.
362
00:20:56,139 --> 00:20:59,275
Let's put the sisters
in the same room overnight.
363
00:20:59,277 --> 00:21:03,546
I don't think that Jenny sees
herself as an individual yet.
364
00:21:03,548 --> 00:21:06,182
You know, I'm thinking the only
thing that'll change Jenny's mind
365
00:21:06,184 --> 00:21:08,518
about the reattachment is Katie.
366
00:21:08,520 --> 00:21:12,188
Being close might help Jenny
to see her as lifeless.
367
00:21:12,190 --> 00:21:14,457
Could backfire...
368
00:21:14,459 --> 00:21:16,826
and cement her feelings
that she's killing her sister.
369
00:21:16,828 --> 00:21:19,762
Yeah, possibly.
370
00:21:19,764 --> 00:21:23,466
And then we're in
the same position anyways.
371
00:21:24,902 --> 00:21:26,502
Okay, do it.
372
00:21:32,042 --> 00:21:33,409
Well, what about baseballs
373
00:21:33,411 --> 00:21:35,211
that this girl caught at a Giants game
374
00:21:35,213 --> 00:21:37,013
signed by Mr. Hunter Pence?
375
00:21:37,015 --> 00:21:39,248
He didn't hit it,
but that doesn't matter.
376
00:21:41,818 --> 00:21:44,921
- So, where is the sporting-goods one?
- There.
377
00:21:44,923 --> 00:21:49,225
Oh, no, that does not
go in sporting goods.
378
00:21:49,227 --> 00:21:50,293
It doesn't?
379
00:21:54,531 --> 00:21:56,132
I'm applying to move my residency
380
00:21:56,134 --> 00:21:58,334
to Hershey, Pennsylvania.
381
00:21:58,336 --> 00:21:59,869
Really?
382
00:21:59,871 --> 00:22:02,638
Yes. Penn State Medical Center.
383
00:22:05,075 --> 00:22:06,742
Are you following me?
384
00:22:11,481 --> 00:22:12,815
I need to make sure
385
00:22:12,817 --> 00:22:16,118
you're not just doing
this to stay close to me.
386
00:22:16,120 --> 00:22:17,720
No.
387
00:22:17,722 --> 00:22:19,488
Shaun.
388
00:22:19,490 --> 00:22:21,724
I want my own life.
389
00:22:21,726 --> 00:22:24,760
I want a life that I control,
not Dr. Glassman.
390
00:22:24,762 --> 00:22:26,963
Dr. Glassman is just trying to help you.
391
00:22:26,965 --> 00:22:28,364
I don't want help.
392
00:22:30,901 --> 00:22:33,703
But what if... you need help?
393
00:22:37,708 --> 00:22:40,346
How will I know if I stay?
394
00:22:43,513 --> 00:22:46,749
Too much stuff. You have too much stuff.
395
00:22:54,459 --> 00:22:56,058
We should book a trip.
396
00:22:58,228 --> 00:23:00,129
Maybe somewhere warm.
397
00:23:04,736 --> 00:23:08,522
Wow. You are so slow.
398
00:23:08,573 --> 00:23:10,640
You're only folding underwear.
Underwear's easy.
399
00:23:10,642 --> 00:23:13,009
Mnh-mnh.
400
00:23:13,011 --> 00:23:14,443
Okay.
401
00:23:14,445 --> 00:23:16,278
No, Neil, I don't want to...
402
00:23:21,219 --> 00:23:22,885
Fine.
403
00:23:22,887 --> 00:23:24,920
Let's go, Preston.
404
00:23:24,922 --> 00:23:26,288
I'm ready.
405
00:23:26,290 --> 00:23:27,723
Go.
406
00:23:30,495 --> 00:23:31,894
Boom.
407
00:23:48,111 --> 00:23:50,146
You're the only good thing about my day.
408
00:24:43,040 --> 00:24:44,993
I couldn't sleep last night.
409
00:24:47,829 --> 00:24:51,924
I couldn't even close my eyes until...
410
00:24:54,393 --> 00:24:58,592
I could feel Katie's heart
beat in my hand.
411
00:25:05,523 --> 00:25:07,778
If I do this,
412
00:25:07,925 --> 00:25:12,895
at some point Katie's heart
will beat for me, right?
413
00:25:16,834 --> 00:25:18,534
That's the plan.
414
00:25:26,544 --> 00:25:30,445
Then wherever I go,
she will always be with me.
415
00:25:39,056 --> 00:25:41,323
Okay. I'll do it.
416
00:25:51,116 --> 00:25:53,016
How you doing, Jenny?
417
00:25:53,018 --> 00:25:54,951
I can't feel anything.
418
00:25:54,953 --> 00:25:57,254
That would be the magic
of local anesthetic.
419
00:26:02,960 --> 00:26:05,929
Vessels are clamped. Okay, Doctor.
420
00:26:05,931 --> 00:26:08,198
We're ready to proceed
with the anastomotic grafts.
421
00:26:32,925 --> 00:26:35,792
It's done, isn't it?
422
00:26:35,794 --> 00:26:37,427
I can tell.
423
00:26:39,163 --> 00:26:41,523
Let's put both the girls' vitals
next to each other, please.
424
00:26:47,172 --> 00:26:49,106
Come on now.
425
00:26:49,108 --> 00:26:51,375
Give it a few cardiac cycles to adjust.
426
00:27:03,922 --> 00:27:05,322
How'd we do?
427
00:27:05,324 --> 00:27:08,125
You did great.
428
00:27:16,869 --> 00:27:18,368
Why Hershey?
429
00:27:21,806 --> 00:27:25,976
Lea is moving there.
430
00:27:25,978 --> 00:27:28,545
Ah.
431
00:27:28,547 --> 00:27:31,214
Well, they... they make good candy bars.
432
00:27:31,216 --> 00:27:34,618
I don't like candy bars.
433
00:27:34,620 --> 00:27:36,453
I love pancakes.
434
00:27:36,455 --> 00:27:38,655
Well, they make those, too.
435
00:27:45,897 --> 00:27:49,065
I brought you here because...
436
00:27:49,067 --> 00:27:51,868
I thought this place
437
00:27:51,870 --> 00:27:54,538
would provide a challenge
for your abilities.
438
00:27:56,808 --> 00:27:58,842
But I realized I really brought you here
439
00:27:58,844 --> 00:28:01,144
because I thought you needed me.
440
00:28:14,592 --> 00:28:18,195
This is a now signed
letter of recommendation.
441
00:28:19,898 --> 00:28:21,898
But...
442
00:28:21,900 --> 00:28:23,667
I don't want you to go.
443
00:28:26,871 --> 00:28:28,438
If you stay, I'll... I'll back off.
444
00:28:28,440 --> 00:28:30,607
I'll...
445
00:28:30,609 --> 00:28:32,342
I'll let you make your own choices,
446
00:28:32,344 --> 00:28:34,845
your own mistakes.
447
00:28:53,698 --> 00:28:55,632
I believe in you, Shaun.
448
00:29:06,944 --> 00:29:11,815
Their blood pressure dropped.
449
00:29:11,817 --> 00:29:14,584
5 millimeters of Mercury.
450
00:29:14,586 --> 00:29:17,087
I like when you say "their."
451
00:29:17,089 --> 00:29:18,889
You're gonna see some fluctuation.
452
00:29:18,891 --> 00:29:22,058
BP drops 5 millimeters every
complete cardiac circulation.
453
00:29:22,060 --> 00:29:24,694
Shouldn't the fluctuation
be inconsistent?
454
00:29:24,696 --> 00:29:28,398
Maybe Katie's heart isn't picking up
the workload for Jenny as expected.
455
00:29:28,400 --> 00:29:30,433
Jenny.
456
00:29:36,274 --> 00:29:37,741
Jenny.
457
00:29:42,435 --> 00:29:45,315
I'm... I'm right h-here, Katie.
458
00:29:46,517 --> 00:29:49,155
Right next to you.
459
00:29:54,825 --> 00:29:57,193
Take Murphy and get
a shotgun work-up on Katie.
460
00:29:57,195 --> 00:29:59,796
I want everything... EKG, EEG, and labs,
461
00:29:59,798 --> 00:30:01,364
and an echo on Jenny.
462
00:30:22,721 --> 00:30:25,486
Katie has an awake
alpha rhythm on her EEG.
463
00:30:25,549 --> 00:30:27,115
She's doing remarkably well.
464
00:30:27,164 --> 00:30:30,099
We're still not entirely sure what
caused Katie to regain consciousness.
465
00:30:30,127 --> 00:30:33,528
Attaching them again could have
redistributed fluid into Jenny's system,
466
00:30:33,530 --> 00:30:35,783
possibly decreasing
the swelling in Katie's brain.
467
00:30:35,846 --> 00:30:38,088
Just don't know.
468
00:30:38,549 --> 00:30:40,388
I know.
469
00:30:41,418 --> 00:30:44,453
They need each other. They always have.
470
00:30:46,389 --> 00:30:50,025
The issue right now
has become Jenny and her heart.
471
00:30:50,027 --> 00:30:52,961
When Katie was in a coma, the metabolic
demand on her heart was very low,
472
00:30:52,963 --> 00:30:54,463
but now that she's alert and active,
473
00:30:54,465 --> 00:30:56,500
there just isn't enough heart
for both of them.
474
00:30:56,525 --> 00:30:58,258
What does that mean?
475
00:30:58,302 --> 00:31:00,906
We're awaiting test results.
476
00:31:01,605 --> 00:31:03,752
We're not sure how long Katie's heart
477
00:31:03,777 --> 00:31:06,345
can tolerate the strain of
supporting Jenny's circulation.
478
00:31:06,370 --> 00:31:09,738
We'll closely monitor them
with cardiac labs and echoes.
479
00:31:09,847 --> 00:31:13,248
We need to find a donor heart
for Jenny as soon as possible.
480
00:31:19,873 --> 00:31:20,972
No.
481
00:31:20,997 --> 00:31:22,192
"No"?
482
00:31:22,217 --> 00:31:25,218
I've had CEOs settle for half
of what I just got for you.
483
00:31:25,243 --> 00:31:26,821
I don't care about the money.
484
00:31:26,846 --> 00:31:29,962
That's beautiful. It's admirable, even.
485
00:31:30,032 --> 00:31:32,922
But, you see, this is how it works because
we live in a civilized society...
486
00:31:32,947 --> 00:31:34,279
they hurt you,
487
00:31:34,304 --> 00:31:37,506
we hurt them by making them
cut you a massive check.
488
00:31:37,531 --> 00:31:38,997
I don't want them to hurt.
489
00:31:39,022 --> 00:31:40,422
I want them to give me my job back.
490
00:31:40,511 --> 00:31:42,667
A third of "your job back" is,
491
00:31:42,692 --> 00:31:45,714
by my calculation, uh, almost nothing.
492
00:31:48,600 --> 00:31:50,268
I'll pay you a third of this settlement.
493
00:31:50,371 --> 00:31:52,838
What are you talking about?
494
00:31:52,840 --> 00:31:55,607
You'll be paying me more
than you earn in a year.
495
00:31:55,609 --> 00:31:57,009
I want my job back.
496
00:32:01,180 --> 00:32:02,781
Lunch is on you.
497
00:32:02,783 --> 00:32:05,751
Lunch is on me.
498
00:32:08,855 --> 00:32:11,657
Are you moving to Pennsylvania
to be with Lea?
499
00:32:14,160 --> 00:32:16,728
Does she know that?
500
00:32:16,730 --> 00:32:20,799
Lea knows I'm moving to Hershey.
501
00:32:20,801 --> 00:32:23,302
Yeah, but does she know
you're going there
502
00:32:23,304 --> 00:32:25,304
because she is going there?
503
00:32:25,306 --> 00:32:26,872
I'm not.
504
00:32:32,145 --> 00:32:33,912
Lea makes me happy.
505
00:32:38,284 --> 00:32:41,086
Well, Lea's not the only one
that can do that.
506
00:32:45,525 --> 00:32:47,125
I'm gonna miss you.
507
00:32:50,730 --> 00:32:52,464
Your BNP.
508
00:32:54,701 --> 00:32:56,635
Jenny Kunkler's
cardio protein levels are...
509
00:32:56,637 --> 00:32:58,570
I've never seen anything like it.
510
00:32:58,572 --> 00:33:03,308
That's because the levels
are for two hearts, not one.
511
00:33:03,310 --> 00:33:05,310
Now Jenny is killing Katie!
512
00:33:09,049 --> 00:33:11,054
- What's going on?
- We got to separate them now
513
00:33:11,085 --> 00:33:12,951
- or we're gonna lose them both.
- We got the twins on the way?
514
00:33:12,953 --> 00:33:14,152
In transit.
515
00:33:19,226 --> 00:33:20,926
J.L.'s gonna do a local on the fly.
516
00:33:22,161 --> 00:33:26,298
On my count. Three, two, one.
517
00:33:28,669 --> 00:33:31,862
We can't do this. You'll die.
518
00:33:32,039 --> 00:33:33,271
We're gonna do it.
519
00:33:33,273 --> 00:33:35,040
No.
520
00:33:35,042 --> 00:33:36,742
We're in this together.
521
00:33:36,744 --> 00:33:38,777
The way we've always been.
522
00:33:38,779 --> 00:33:40,812
The way we were meant to be.
523
00:33:47,532 --> 00:33:49,085
It's Jenny! He's in v-fib!
524
00:33:49,110 --> 00:33:50,756
Push a milligram epinephrine now!
525
00:33:50,758 --> 00:33:52,124
Prepping Ambu bag.
526
00:33:52,126 --> 00:33:54,866
Murphy, start chest compressions!
527
00:34:27,939 --> 00:34:29,634
It's Jenny.
528
00:34:30,454 --> 00:34:33,252
Her heart had nothing left to give.
529
00:34:36,598 --> 00:34:38,798
Katie?
530
00:34:38,800 --> 00:34:40,433
She's stable.
531
00:34:40,435 --> 00:34:42,702
Her vitals are good,
532
00:34:42,704 --> 00:34:45,821
but we have an issue
that we need your help with.
533
00:34:45,846 --> 00:34:47,379
Okay.
534
00:34:47,421 --> 00:34:51,613
Um, Katie won't allow us
to separate her from Jenny.
535
00:34:51,661 --> 00:34:55,296
If she doesn't acquiesce,
Katie will clot and die.
536
00:34:57,766 --> 00:35:00,301
Bring 10,000 units on board.
537
00:35:08,411 --> 00:35:11,446
We'll clear out
and give you some privacy.
538
00:35:21,458 --> 00:35:23,024
Baby.
539
00:35:28,398 --> 00:35:30,298
We have to let her go.
540
00:35:30,300 --> 00:35:34,302
I won't let them separate us.
541
00:35:34,304 --> 00:35:38,005
I never wanted to do this.
542
00:35:38,007 --> 00:35:41,609
You used to say we were
made this way for a reason.
543
00:35:44,980 --> 00:35:47,882
I won't let them do this.
544
00:35:47,884 --> 00:35:49,750
Even if it kills me.
545
00:35:52,387 --> 00:35:54,856
I want you to look at your sister.
546
00:35:56,358 --> 00:35:57,992
Look at her.
547
00:36:10,673 --> 00:36:14,242
I can't lose both of my daughters.
548
00:36:36,399 --> 00:36:38,920
Dr. Andrews. Evening.
549
00:36:39,035 --> 00:36:41,102
I, uh, checked out the twins' file.
550
00:36:41,104 --> 00:36:42,236
It's an amazing case.
551
00:36:42,238 --> 00:36:46,073
To be clear, Jared,
I don't want you here.
552
00:36:46,075 --> 00:36:48,843
What we presented
to Miss Preston was the truth.
553
00:36:48,845 --> 00:36:51,479
I understand that.
554
00:36:51,481 --> 00:36:54,315
And those problem doctors
and the ways we police ourselves
555
00:36:54,317 --> 00:36:56,250
will be dealt with, should have
been dealt with a long time ago,
556
00:36:56,252 --> 00:36:57,585
but you stepped over a line.
557
00:36:57,587 --> 00:36:58,686
I fought for my job.
558
00:36:58,688 --> 00:37:01,088
You compromised your integrity.
559
00:37:02,457 --> 00:37:05,359
The incident with that jerk Coyle had
nothing to do with black or white,
560
00:37:05,361 --> 00:37:07,762
but that's what you and
your lawyer sold for leverage.
561
00:37:07,764 --> 00:37:11,032
And when you misrepresent racism
for something it's not...
562
00:37:15,038 --> 00:37:17,038
it sets us two steps back.
563
00:37:22,245 --> 00:37:24,278
She's ready.
564
00:37:32,722 --> 00:37:34,533
Jared, you're on suction.
565
00:37:40,997 --> 00:37:42,969
Mayos.
566
00:37:49,806 --> 00:37:52,100
I'm cold.
567
00:38:14,163 --> 00:38:16,197
Gone fishing.
568
00:38:16,199 --> 00:38:18,165
Store's closed.
569
00:38:18,167 --> 00:38:20,234
I spoke to Claire.
570
00:38:56,172 --> 00:38:58,305
Hey.
571
00:38:58,307 --> 00:39:00,274
I want to break up.
572
00:39:04,347 --> 00:39:07,782
Why?
573
00:39:07,784 --> 00:39:10,751
Because I love you.
574
00:39:10,753 --> 00:39:12,653
Odd reason to break up with somebody.
575
00:39:13,655 --> 00:39:15,623
I want you to have everything
in your life.
576
00:39:17,726 --> 00:39:20,594
Which includes kids.
577
00:39:20,596 --> 00:39:23,397
I told you
I was willing to not have kids.
578
00:39:23,399 --> 00:39:26,500
You're gonna regret
that decision one day.
579
00:39:26,502 --> 00:39:29,303
- I won't.
- Yes, you will.
580
00:39:29,305 --> 00:39:31,972
You're just too decent
to think it, but you will.
581
00:39:31,974 --> 00:39:34,709
So what?
582
00:39:34,711 --> 00:39:36,143
We all have regrets.
583
00:39:36,145 --> 00:39:38,446
I-I wanted to play third base
for the Astros.
584
00:39:38,448 --> 00:39:40,614
It's not the same.
That is a child's dream.
585
00:39:40,616 --> 00:39:41,716
This is your life!
586
00:39:41,718 --> 00:39:43,350
This is my life,
587
00:39:43,352 --> 00:39:46,353
and it'd be more devastating
to be resented by you
588
00:39:46,984 --> 00:39:49,390
than to have my heart broken.
589
00:39:52,327 --> 00:39:58,032
And you are going to be a great dad.
590
00:40:12,148 --> 00:40:14,181
Shaun.
591
00:40:14,183 --> 00:40:17,451
I wanted to give you something.
592
00:40:21,590 --> 00:40:24,158
I'm letting you borrow it.
593
00:40:24,160 --> 00:40:27,294
Bring it when you come visit?
594
00:40:27,296 --> 00:40:29,096
Okay.
595
00:40:29,098 --> 00:40:30,564
Promise?
596
00:40:30,566 --> 00:40:32,556
You're gonna come visit, right?
597
00:40:32,668 --> 00:40:35,236
I promise. I like Hershey.
598
00:40:35,377 --> 00:40:38,868
- You've never been to Hershey.
- Lea's there.
599
00:40:45,314 --> 00:40:47,982
Can I put my arms around you?
600
00:41:02,365 --> 00:41:05,065
Are you a good doctor?
601
00:41:05,535 --> 00:41:09,870
'Cause when I think of you,
I think you are.
602
00:41:32,622 --> 00:41:35,782
Remember, I said borrow.
603
00:42:19,197 --> 00:42:23,397
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