1 00:00:17,685 --> 00:00:18,952 Shaun... 2 00:00:19,019 --> 00:00:21,322 You need to give me your driver's license. 3 00:00:22,022 --> 00:00:23,557 No, I don't. 4 00:00:23,624 --> 00:00:27,395 Do you remember the memory test I gave you? Vividly. 5 00:00:27,461 --> 00:00:30,698 Yes. It demonstrated you have a deficit. 6 00:00:30,764 --> 00:00:33,901 A deficit. You shouldn't be driving. Dr. Blaize agreed. 7 00:00:33,967 --> 00:00:37,238 Shaun, that test was supposed to be between us, 8 00:00:37,305 --> 00:00:39,440 that's why I didn't want to do it at the hospital. 9 00:00:39,507 --> 00:00:42,643 Yes, your doctor needs to be informed 10 00:00:42,710 --> 00:00:44,912 of the results of all your medical tests. 11 00:00:44,978 --> 00:00:46,947 Even tests that are done at home. 12 00:00:47,014 --> 00:00:50,084 Shaun, I've been driving for like half a century. 13 00:00:50,151 --> 00:00:51,752 I'm an excellent driver, okay? 14 00:00:51,819 --> 00:00:54,021 I don't need to give you my driver's license. 15 00:00:54,088 --> 00:00:56,857 Okay. Then I'll have to notify the DMV. 16 00:00:57,791 --> 00:00:59,093 Dr. Glassman? 17 00:01:01,262 --> 00:01:03,264 You're not gonna notify the DMV, Shaun. 18 00:01:03,331 --> 00:01:06,934 Yes, I will notify the DMV. 19 00:01:07,000 --> 00:01:09,002 Shaun, you will not notify the DMV. 20 00:01:09,069 --> 00:01:10,471 Dr. Glassman, 21 00:01:10,538 --> 00:01:13,607 if you don't give me your driver's license, 22 00:01:13,674 --> 00:01:15,809 I will notify the DMV. 23 00:01:16,710 --> 00:01:18,579 NURSE: Dr. Glassman? 24 00:01:43,171 --> 00:01:44,472 George Reynolds, 28, 25 00:01:44,538 --> 00:01:46,140 sudden onset of arm and leg weakness, 26 00:01:46,207 --> 00:01:48,108 right facial droop, and trouble speaking. 27 00:01:48,176 --> 00:01:50,711 CT confirmed a middle cerebral artery embolism. 28 00:01:50,778 --> 00:01:52,813 I booked us into interventional radiology. 29 00:01:52,880 --> 00:01:54,715 When did you first notice your symptoms, George? 30 00:01:54,782 --> 00:01:57,685 About, uh, four and a half hours ago. 31 00:01:57,751 --> 00:01:59,019 Wait, what's wrong with me? 32 00:01:59,086 --> 00:02:00,087 You may be having a stroke. 33 00:02:01,655 --> 00:02:03,324 You're on monthly injections of Lupron? 34 00:02:03,391 --> 00:02:04,792 For three months. 35 00:02:04,858 --> 00:02:05,859 That may have caused this. 36 00:02:05,926 --> 00:02:07,395 Do you have prostate cancer? 37 00:02:07,461 --> 00:02:11,832 No. I... I was diagnosed with atypical hyperplasia. 38 00:02:11,899 --> 00:02:13,701 That shouldn't have any effect on what we're gonna do now. 39 00:02:13,767 --> 00:02:15,336 We're gonna take care of you, George. Don't worry. 40 00:02:15,403 --> 00:02:18,606 ** 41 00:02:18,672 --> 00:02:21,809 SHAUN: This is local anesthetic, you'll feel a pinch. 42 00:02:24,745 --> 00:02:26,380 Are you a real doctor? 43 00:02:26,447 --> 00:02:29,082 I'm Dr. Shaun Murphy. 44 00:02:29,149 --> 00:02:30,518 People ever call you Murph? 45 00:02:30,584 --> 00:02:31,585 No. 46 00:02:31,652 --> 00:02:34,021 I'm going to make a small incision 47 00:02:34,087 --> 00:02:36,924 so we can insert the tube and re-inflate your lung. 48 00:02:38,459 --> 00:02:39,727 What do they call you, Billy? 49 00:02:39,793 --> 00:02:40,861 (SCOFFS) 50 00:02:40,928 --> 00:02:45,065 CraterHead, Volcano, ThreeEyes, 51 00:02:45,132 --> 00:02:46,634 those are just the creative ones. 52 00:02:47,501 --> 00:02:48,702 Hold tight. 53 00:02:48,769 --> 00:02:49,903 Here comes the tube... 54 00:02:53,374 --> 00:02:55,976 (BREATHES DEEPLY) 55 00:02:59,713 --> 00:03:01,482 You guys really know what you're doing. 56 00:03:01,549 --> 00:03:03,251 Yes, we do. 57 00:03:04,318 --> 00:03:06,654 We'll order an MRI for your lungs. 58 00:03:06,720 --> 00:03:09,790 Then we will fix your fractured eye orbit, 59 00:03:09,857 --> 00:03:11,459 that will require surgery. 60 00:03:12,993 --> 00:03:15,329 What do you say we fix your forehead, too? 61 00:03:15,396 --> 00:03:16,497 You could do that? 62 00:03:16,564 --> 00:03:19,233 I think so... I don't think so. 63 00:03:19,300 --> 00:03:23,871 It's a pre-existing condition, and it's not medically necessary. 64 00:03:23,937 --> 00:03:26,073 It shouldn't be approved. 65 00:03:26,139 --> 00:03:28,309 ** 66 00:03:30,544 --> 00:03:32,546 (THEME MUSIC PLAYING) 67 00:03:42,390 --> 00:03:45,793 The MCA clot is obstructing all distal flow. 68 00:03:45,859 --> 00:03:49,297 CLAIRE: Anti-androgens aren't indicated for hyperplasia... 69 00:03:49,363 --> 00:03:50,764 He said atypical. 70 00:03:50,831 --> 00:03:52,132 You think he's lying? 71 00:03:53,767 --> 00:03:56,637 Maybe he's gender transitioning. 72 00:03:56,704 --> 00:04:00,308 Aside from cancer, there aren't many other indications. 73 00:04:00,374 --> 00:04:02,643 Let's focus on what we do know. 74 00:04:02,710 --> 00:04:04,645 Feeding the catheter. 75 00:04:04,712 --> 00:04:06,246 Suctioning the thrombus, 76 00:04:07,848 --> 00:04:10,050 and he's recanalizing. Slowly retract. 77 00:04:12,353 --> 00:04:14,622 Whatever his reasons are for taking anti-androgens, 78 00:04:14,688 --> 00:04:16,089 hopefully there are options. 79 00:04:16,156 --> 00:04:18,459 He either drops them or he's gonna keep having strokes. 80 00:04:18,526 --> 00:04:20,628 ** 81 00:04:20,694 --> 00:04:24,798 The forehead repair would be expensive and cosmetic... 82 00:04:24,865 --> 00:04:26,199 It's not about prettying him up, 83 00:04:26,266 --> 00:04:28,469 it could give him a new life, friends, 84 00:04:28,536 --> 00:04:29,870 maybe a few less beatings. 85 00:04:29,937 --> 00:04:32,406 Stopping the beatings is the guards' job. 86 00:04:33,707 --> 00:04:36,143 You really don't have any empathy for Billy? 87 00:04:36,209 --> 00:04:39,913 Empathy is a bad reason to fight for someone. 88 00:04:39,980 --> 00:04:42,483 If empathy makes me only want to help patients 89 00:04:42,550 --> 00:04:45,018 who are from Wyoming or have ASD, 90 00:04:45,085 --> 00:04:46,654 then that's very unfair 91 00:04:46,720 --> 00:04:48,922 to all my neuro-typical patients from Idaho. 92 00:04:56,397 --> 00:04:57,931 I need to take those drugs. 93 00:04:57,998 --> 00:04:59,567 They caused your stroke. 94 00:05:02,903 --> 00:05:05,205 We don't think you have hyperplasia. 95 00:05:05,272 --> 00:05:06,407 If you tell us the real reason, 96 00:05:06,474 --> 00:05:08,175 I'm sure there are other safer treatments... 97 00:05:08,241 --> 00:05:09,443 No, there aren't! 98 00:05:11,278 --> 00:05:14,582 If you're transitioning, there are alternatives... 99 00:05:14,648 --> 00:05:16,484 I told you why I was taking the meds. 100 00:05:16,550 --> 00:05:19,487 George, we are your doctors, 101 00:05:19,553 --> 00:05:21,489 we need to know the truth. 102 00:05:21,555 --> 00:05:23,023 We're not gonna tell anyone. 103 00:05:26,627 --> 00:05:27,795 (EXHALES SHARPLY) 104 00:05:31,999 --> 00:05:33,634 I'm not transitioning. 105 00:05:35,836 --> 00:05:39,272 And I don't have hyperplasia. 106 00:05:41,509 --> 00:05:43,110 I have problems... 107 00:05:43,176 --> 00:05:45,879 With my sex drive. 108 00:05:48,248 --> 00:05:52,019 I know it sounds stupid, like why can't I just control myself, but... 109 00:05:54,588 --> 00:05:55,889 It's all I think about. 110 00:05:56,957 --> 00:05:58,358 It's all I can think about. 111 00:06:01,028 --> 00:06:03,296 I can't work, 112 00:06:03,363 --> 00:06:05,365 I can't socialize, 113 00:06:05,433 --> 00:06:07,535 I can't have a life. 114 00:06:09,637 --> 00:06:12,640 And those meds are the only thing 115 00:06:12,706 --> 00:06:15,075 that makes it even remotely tolerable. 116 00:06:16,143 --> 00:06:17,611 They'll kill you. 117 00:06:20,047 --> 00:06:21,348 (SCOFFS) 118 00:06:26,520 --> 00:06:28,321 AOKI: The residents have a betting pool 119 00:06:28,388 --> 00:06:30,123 on who you're going to appoint 120 00:06:30,190 --> 00:06:32,693 as your replacement as Chief of Surgery. 121 00:06:32,760 --> 00:06:35,596 The decision needs to be made with decorum and expediency. 122 00:06:35,663 --> 00:06:37,330 I haven't quite gotten around to analyzing... 123 00:06:37,397 --> 00:06:38,999 You've had little face time with your attendings 124 00:06:39,066 --> 00:06:40,601 since you became president. 125 00:06:40,668 --> 00:06:41,902 You need to correct that. 126 00:06:43,904 --> 00:06:45,473 I've scheduled your announcement. 127 00:06:46,406 --> 00:06:47,541 You've got two days. 128 00:06:58,719 --> 00:07:00,621 ** 129 00:07:00,688 --> 00:07:03,323 Where is he? He's gone, signed out AMA. 130 00:07:03,390 --> 00:07:05,225 I tried... How long ago? 131 00:07:05,292 --> 00:07:07,027 Five minutes... 132 00:07:12,065 --> 00:07:13,166 Why are we in a hurry? 133 00:07:13,233 --> 00:07:14,902 I was researching alternative meds for him. 134 00:07:14,968 --> 00:07:16,704 Realized Lupron didn't make any sense. 135 00:07:16,770 --> 00:07:19,172 Prescribing anti-androgens for sexual urges 136 00:07:19,239 --> 00:07:20,608 is like hitting a mosquito with a mallet. 137 00:07:20,674 --> 00:07:22,843 Unless they're deviant urges. 138 00:07:22,910 --> 00:07:24,978 We might've just released a child molester. 139 00:07:25,045 --> 00:07:27,380 ** 140 00:07:30,984 --> 00:07:32,686 (AIR BRAKES HISS) 141 00:07:32,753 --> 00:07:34,688 ** 142 00:07:34,755 --> 00:07:36,189 DR. REZNICK: Should we call the police? 143 00:07:36,256 --> 00:07:37,558 We can't. 144 00:07:37,625 --> 00:07:39,159 We have no evidence of a crime. 145 00:07:45,232 --> 00:07:48,201 DR. PARK: Lim's at 3 to 2, Melendez is just behind at 2 to 1, 146 00:07:48,268 --> 00:07:51,572 Cooperberg's 7 to 1, and if Dartling, or anybody else comes in, 147 00:07:51,639 --> 00:07:52,706 you can retire. 148 00:07:52,773 --> 00:07:54,341 Andrews might bail on Melendez 149 00:07:54,407 --> 00:07:56,644 when he finds out our patient bolted. 150 00:07:56,710 --> 00:08:00,080 Which is why Melendez is now 4 to 1. 151 00:08:00,147 --> 00:08:02,950 Pari-mutuel betting is very exciting. 152 00:08:03,016 --> 00:08:05,252 Do you need empathy to be a good doctor? 153 00:08:07,655 --> 00:08:10,257 No. I think it can interfere 154 00:08:10,323 --> 00:08:12,059 with effective decision-making. 155 00:08:12,125 --> 00:08:14,762 She's just saying that to avoid hurting your feelings, 156 00:08:14,828 --> 00:08:16,964 thus making her fake point for real. 157 00:08:17,030 --> 00:08:19,399 Her empathy made her lie to you. 158 00:08:19,466 --> 00:08:20,868 I think you just agreed with me 159 00:08:20,934 --> 00:08:22,235 and insulted me at the same time. 160 00:08:22,302 --> 00:08:24,104 I think empathy's very important... 161 00:08:24,171 --> 00:08:26,306 Telling the cold hard truth even when it hurts, 162 00:08:26,373 --> 00:08:28,609 sometimes is the most empathetic thing we can do. 163 00:08:28,676 --> 00:08:30,611 Which is what I'm doing for Shaun right now. 164 00:08:30,678 --> 00:08:31,979 You're welcome. 165 00:08:33,480 --> 00:08:35,215 I have autism 166 00:08:35,282 --> 00:08:37,718 which means I have a deficiency of mirror neurons, 167 00:08:37,785 --> 00:08:40,721 which inhibits me from emotionally trading places with people, 168 00:08:40,788 --> 00:08:42,923 which makes empathy very difficult. 169 00:08:47,060 --> 00:08:49,396 Does that mean I can't be a good doctor? 170 00:08:51,198 --> 00:08:52,966 No, it doesn't. 171 00:08:53,033 --> 00:08:55,335 We all have our strengths and weaknesses, Shaun. 172 00:08:55,402 --> 00:08:58,405 One of Claire's is making sure everyone feels validated. 173 00:09:01,842 --> 00:09:03,243 (CELL PHONE BUZZING) 174 00:09:05,345 --> 00:09:07,114 The creep is back. 175 00:09:07,180 --> 00:09:10,250 ** 176 00:09:10,317 --> 00:09:12,152 Is George having another stroke? 177 00:09:12,219 --> 00:09:13,621 No. 178 00:09:13,687 --> 00:09:15,789 Severe lacerations to the scrotum. 179 00:09:15,856 --> 00:09:17,324 Did you give him anything for pain? 180 00:09:17,390 --> 00:09:20,427 Morphine. Four milligrams. And I notified the cops. 181 00:09:20,493 --> 00:09:21,494 I think it was a hate crime. 182 00:09:21,561 --> 00:09:23,597 Yeah, I don't think so. 183 00:09:23,664 --> 00:09:26,133 ** 184 00:09:26,199 --> 00:09:28,101 All right. 185 00:09:28,168 --> 00:09:30,570 On my count. One, two, three. 186 00:09:32,405 --> 00:09:33,473 We'll take it from here. 187 00:09:33,540 --> 00:09:35,042 I'll pack him and prep him. 188 00:09:42,816 --> 00:09:44,084 You did this to yourself, didn't you? 189 00:09:48,255 --> 00:09:51,158 I think I know what kind of urges you've been having. 190 00:09:54,461 --> 00:09:56,129 I'm not a monster. 191 00:09:56,196 --> 00:09:58,632 I never touched anyone... 192 00:09:58,699 --> 00:10:00,734 Any... Child. 193 00:10:05,572 --> 00:10:08,976 My sister and I were always best friends... 194 00:10:09,042 --> 00:10:10,377 But then she had children. 195 00:10:12,780 --> 00:10:14,715 If I can't keep taking the drugs... 196 00:10:16,717 --> 00:10:18,986 ...I had to do this. 197 00:10:19,052 --> 00:10:20,688 Home surgery tends to not have 198 00:10:20,754 --> 00:10:23,156 the results you're hoping for. 199 00:10:23,223 --> 00:10:26,293 You did a lot of damage but your testicles are unscathed. 200 00:10:26,927 --> 00:10:28,261 (SIGHS) 201 00:10:30,798 --> 00:10:32,499 Please, finish the job. 202 00:10:37,671 --> 00:10:40,607 I say we do it, he's a pedophile. No, he's not. 203 00:10:40,674 --> 00:10:41,875 He just told us he was. 204 00:10:41,942 --> 00:10:43,510 He has never acted on his urges, 205 00:10:43,576 --> 00:10:46,346 and he's asking us to do something to ensure he never does. 206 00:10:46,413 --> 00:10:49,049 He is a decent person trying... I'm confused. 207 00:10:49,116 --> 00:10:50,450 What do you want to do with him? 208 00:10:50,517 --> 00:10:52,853 Treat him like a patient with a diagnosis. 209 00:10:52,920 --> 00:10:54,187 Put him on antidepressants, 210 00:10:54,254 --> 00:10:56,423 refer him to a urologist, give him a psych eval. 211 00:10:56,489 --> 00:10:59,259 Let the experts determine if he should have a castration. 212 00:10:59,326 --> 00:11:01,294 Psych eval? Antidepressants? 213 00:11:01,361 --> 00:11:03,030 When we refer people for counseling, 214 00:11:03,096 --> 00:11:04,531 how often do they get cured? 215 00:11:04,597 --> 00:11:06,299 I am looking to help him manage this dis... 216 00:11:06,366 --> 00:11:07,701 And if they don't get cured, what happens? 217 00:11:07,768 --> 00:11:10,637 They get more depressed, can't cope, quit jobs, 218 00:11:10,704 --> 00:11:12,039 maybe kill themselves? 219 00:11:12,105 --> 00:11:14,374 All bad, but not rape-a-child bad. 220 00:11:16,376 --> 00:11:18,178 DR. ANDREWS: So what are you going to do? 221 00:11:22,615 --> 00:11:26,386 We can't ethically remove healthy organs for crime prevention. 222 00:11:26,453 --> 00:11:28,321 We don't amputate a kleptomaniac's hands 223 00:11:28,388 --> 00:11:30,323 to prevent them from stealing. 224 00:11:30,390 --> 00:11:31,725 Hands have many purposes, 225 00:11:31,792 --> 00:11:34,294 the balls of a pedophile have but one. 226 00:11:34,361 --> 00:11:36,730 Set up his referrals and patch him up. 227 00:11:36,797 --> 00:11:39,199 ** 228 00:11:49,509 --> 00:11:51,211 How long you been in Foothills? 229 00:11:51,278 --> 00:11:52,813 Nine months. 230 00:11:52,880 --> 00:11:54,347 Time flies in juvie. 231 00:11:54,414 --> 00:11:56,516 Any visitors? 232 00:11:56,583 --> 00:11:59,652 I don't have a granny bringing me cookies, if that's what you mean. 233 00:11:59,719 --> 00:12:02,655 This is why empathy is bad. 234 00:12:02,722 --> 00:12:05,926 You're talking to our patient because you like him, 235 00:12:05,993 --> 00:12:07,160 which is causing him to move, 236 00:12:07,227 --> 00:12:09,062 which is affecting our imagery. 237 00:12:09,129 --> 00:12:10,597 He's scared. 238 00:12:10,663 --> 00:12:11,899 I'm talking to him to calm him down 239 00:12:11,965 --> 00:12:13,500 which is improving our imagery. 240 00:12:13,566 --> 00:12:15,668 The fact that I like him is beside the point. 241 00:12:16,403 --> 00:12:18,271 You grow up in San Jose? 242 00:12:18,338 --> 00:12:21,809 East Paly, but I got out of there as soon as I could... 243 00:12:21,875 --> 00:12:22,943 I was 15. 244 00:12:23,010 --> 00:12:24,244 Your parents still there? 245 00:12:25,012 --> 00:12:26,379 Mom's gone, 246 00:12:26,446 --> 00:12:29,549 dear old Dad is terrible. 247 00:12:29,616 --> 00:12:30,851 Siblings? 248 00:12:30,918 --> 00:12:32,152 Little brother... 249 00:12:32,219 --> 00:12:33,420 He's gone too. 250 00:12:37,557 --> 00:12:39,993 Crappy dad. Lost his brother... 251 00:12:40,060 --> 00:12:42,162 I mean, you really don't ha... He's not scared. 252 00:12:42,229 --> 00:12:45,665 He's short of breath because his diaphragm is lacerated. 253 00:12:45,732 --> 00:12:50,337 His stomach has passed through that tear and is now in his chest. 254 00:12:50,403 --> 00:12:53,773 Billy needs emergency surgery on his diaphragm. 255 00:12:56,276 --> 00:12:57,544 DR. PARK: The defect reaches all the way 256 00:12:57,610 --> 00:13:00,147 from the center to the anterior costal margin. 257 00:13:00,213 --> 00:13:01,849 DR. LIM: So what do we need to do? 258 00:13:01,915 --> 00:13:04,051 Divide the inferior pulmonary ligament to bring the lung upwards. 259 00:13:05,385 --> 00:13:06,753 Uh-huh. Mesh. 260 00:13:09,890 --> 00:13:12,292 Whoever kicked him was wearing some serious footwear. 261 00:13:12,359 --> 00:13:15,495 And they'll be waiting for him when he goes back. Unless we help him. 262 00:13:15,562 --> 00:13:17,797 Dr. Park wants to fix his forehead. 263 00:13:20,067 --> 00:13:21,601 The constitution guarantees prisoners 264 00:13:21,668 --> 00:13:23,303 get the same care as everyone else. 265 00:13:23,370 --> 00:13:26,739 Most non-prisoners can't afford cosmetic surgery. 266 00:13:26,806 --> 00:13:29,242 He would be getting better care than everyone else. 267 00:13:29,309 --> 00:13:33,013 Kid is smart and personable and puts up a great front. But he's scared to death. 268 00:13:33,080 --> 00:13:35,015 And he got 36 months for selling weed, 269 00:13:35,082 --> 00:13:36,749 a crime that doesn't even exist anymore. 270 00:13:36,816 --> 00:13:38,485 You think his life would be anything like this 271 00:13:38,551 --> 00:13:40,387 if he didn't grow up with a massive dent in his head? 272 00:13:41,955 --> 00:13:44,624 Sorry, I'm not convinced. 273 00:13:44,691 --> 00:13:48,128 Is that because you don't have any empathy for Billy? 274 00:13:49,396 --> 00:13:51,731 No. It's because I agree with you. 275 00:13:51,798 --> 00:13:54,167 It's expensive, risky and unnecessary. 276 00:13:54,234 --> 00:13:57,504 But empathy can be an invaluable motivator, 277 00:13:57,570 --> 00:14:00,941 Dr. Murphy, that truly connects the physician with their patient. 278 00:14:05,946 --> 00:14:07,747 (WHISPERS) Is he still up there? 279 00:14:07,814 --> 00:14:10,417 ** 280 00:14:14,587 --> 00:14:16,656 (WHISPERS) Yes he is. 281 00:14:19,192 --> 00:14:21,128 We can't do the castration, George. 282 00:14:21,194 --> 00:14:23,830 Not without the proper psychiatric clearance. 283 00:14:23,897 --> 00:14:24,965 That'll take forever. 284 00:14:25,032 --> 00:14:26,733 Just a few months. 285 00:14:26,799 --> 00:14:28,335 A few months is forever. 286 00:14:28,401 --> 00:14:31,304 Binge watch your favorite shows, catch up on your reading. 287 00:14:31,371 --> 00:14:33,006 You attracted to men, Dr. Reznick? 288 00:14:34,074 --> 00:14:36,609 Yes. Adult men. 289 00:14:36,676 --> 00:14:39,812 And if that were reprehensible, 290 00:14:39,879 --> 00:14:41,214 do you think you could stop? 291 00:14:43,483 --> 00:14:45,953 You have no idea what it's like 292 00:14:46,019 --> 00:14:47,754 to live with these thoughts. 293 00:14:48,388 --> 00:14:51,024 I hate them, 294 00:14:51,091 --> 00:14:53,060 and I hate myself for having them. 295 00:14:55,228 --> 00:14:56,496 But I can't stop them. 296 00:14:57,931 --> 00:15:00,433 And I'm afraid of what I could do. 297 00:15:00,500 --> 00:15:02,936 ** 298 00:15:05,238 --> 00:15:07,440 We will start the process immediately. 299 00:15:07,507 --> 00:15:11,044 In the meantime, we'll transfuse you, get you on antibiotics... 300 00:15:11,111 --> 00:15:14,347 No. I'm refusing treatment. 301 00:15:14,414 --> 00:15:18,285 No transfusion. No antibiotics. No repair. 302 00:15:18,351 --> 00:15:19,852 Let 'em rot. 303 00:15:23,490 --> 00:15:25,058 We have something in common. 304 00:15:27,527 --> 00:15:29,662 Neither of us has a driver's license. 305 00:15:32,765 --> 00:15:35,902 How do you feel about not having a driver's license? 306 00:15:37,670 --> 00:15:39,606 I'm pissed, Shaun. 307 00:15:39,672 --> 00:15:41,374 You feel pissed. 308 00:15:41,441 --> 00:15:43,343 Yes, I feel pissed. I feel very pissed 309 00:15:43,410 --> 00:15:46,013 because something important was taken away from me. 310 00:15:46,079 --> 00:15:47,547 And by a friend. 311 00:15:47,614 --> 00:15:49,616 You feel very pissed 312 00:15:49,682 --> 00:15:52,352 because something important was taken away from you, 313 00:15:52,419 --> 00:15:53,653 and by a friend. 314 00:15:53,720 --> 00:15:55,688 And parroting everything I say isn't helping. 315 00:15:56,889 --> 00:16:00,027 I'm finding commonality, Dr. Glassman, 316 00:16:00,093 --> 00:16:02,729 and inquiring about your emotional state, 317 00:16:02,795 --> 00:16:05,798 and actively listening by restating your responses. 318 00:16:05,865 --> 00:16:09,636 "External corroboration enhances our sense of self-worth." 319 00:16:10,870 --> 00:16:12,905 Okay. 320 00:16:12,972 --> 00:16:15,075 The day after I got my driver's license, 321 00:16:15,142 --> 00:16:16,776 you want to know what I did? 322 00:16:16,843 --> 00:16:21,581 I went out and bought a 1963 Galaxie, Midnight Blue. 1,255 bucks, 323 00:16:21,648 --> 00:16:26,486 every penny I earned for the past three years working in a gas station. 324 00:16:26,553 --> 00:16:27,954 How do you think that made me feel? 325 00:16:28,888 --> 00:16:30,123 You liked it? 326 00:16:30,190 --> 00:16:32,392 No, Shaun. I loved it. 327 00:16:32,459 --> 00:16:33,926 You want to know why? 328 00:16:33,993 --> 00:16:37,030 Because a car to a 16-year-old kid means independence, 329 00:16:37,097 --> 00:16:38,931 which means he can go wherever he wants 330 00:16:38,998 --> 00:16:40,767 whenever he wants. 331 00:16:40,833 --> 00:16:43,670 And that doesn't change with age, Shaun, 332 00:16:45,472 --> 00:16:46,906 in fact, it means even more. 333 00:16:50,677 --> 00:16:53,046 When you took my license, that's what you took from me. 334 00:16:56,283 --> 00:16:57,684 I don't expect you to understand. 335 00:16:57,750 --> 00:16:59,186 So you don't have to pretend. 336 00:17:10,230 --> 00:17:12,632 Hey. Is Andrews stalking you? 337 00:17:12,699 --> 00:17:14,000 Yeah. It's annoying. 338 00:17:14,067 --> 00:17:16,002 We need to stand together and tell him to back off. 339 00:17:16,069 --> 00:17:17,170 (LAUGHS) 340 00:17:17,237 --> 00:17:18,971 I'm not telling the president he's annoying. 341 00:17:19,038 --> 00:17:20,707 He's infringing on our autonomy 342 00:17:20,773 --> 00:17:22,642 and inhibiting the free flow of ideas, 343 00:17:22,709 --> 00:17:24,177 both of which affect our ability 344 00:17:24,244 --> 00:17:26,045 to deliver the best patient care. 345 00:17:27,980 --> 00:17:30,450 That sounds slightly better. 346 00:17:30,517 --> 00:17:32,219 Okay. I'm in. 347 00:17:36,889 --> 00:17:39,259 Are you? No. Of course not. 348 00:17:39,326 --> 00:17:42,162 The last thing I'm gonna do right now is confront him. I'm the front-runner. 349 00:17:42,229 --> 00:17:44,464 Not according to Vegas. I'm 3 to 2. 350 00:17:44,531 --> 00:17:46,633 (LAUGHS) 351 00:17:46,699 --> 00:17:49,202 Guess they don't know that you have double my mortality rate. 352 00:17:51,538 --> 00:17:52,839 I'm a trauma surgeon, 353 00:17:52,905 --> 00:17:54,874 you're comparing apples to asshats. 354 00:17:56,176 --> 00:17:58,077 I resent being called an apple. 355 00:18:00,046 --> 00:18:02,149 The diaphragm repair went very well. 356 00:18:02,215 --> 00:18:04,517 And we've scheduled your orbital fracture repair. 357 00:18:04,584 --> 00:18:07,754 We'll get you some stronger pain meds for the recovery. 358 00:18:07,820 --> 00:18:09,689 When are you gonna fix my forehead, 359 00:18:09,756 --> 00:18:11,090 make me all John Legend? 360 00:18:13,760 --> 00:18:16,529 I tried, Billy. I'm sorry. 361 00:18:18,064 --> 00:18:19,832 I wasn't really getting my hopes up anyway. 362 00:18:21,033 --> 00:18:22,202 My dad taught me that. 363 00:18:22,269 --> 00:18:24,471 He'd say, "You know what, Billy?" 364 00:18:24,537 --> 00:18:27,106 And he'd just punch me in the face. 365 00:18:27,174 --> 00:18:29,676 At least, I think that was the lesson he was trying to impart. 366 00:18:29,742 --> 00:18:31,278 That's what happened to your forehead? 367 00:18:34,714 --> 00:18:36,549 He was a big A's fan. 368 00:18:36,616 --> 00:18:38,651 Watched every game with a bat in his hand. 369 00:18:40,587 --> 00:18:43,590 August 14th, 2008, 370 00:18:43,656 --> 00:18:45,892 they lost in the 12th inning... 371 00:18:45,958 --> 00:18:48,495 ** 372 00:19:04,411 --> 00:19:06,813 (GEORGE GROANS) 373 00:19:06,879 --> 00:19:08,248 Infection's setting in, but his testicles 374 00:19:08,315 --> 00:19:10,149 still show good flow on the Doppler. 375 00:19:10,217 --> 00:19:11,618 Pain meds? He won't take them. 376 00:19:11,684 --> 00:19:13,920 Thinks they'll knock him out and we'll step in and repair them. 377 00:19:13,986 --> 00:19:15,555 (GROANING) 378 00:19:15,622 --> 00:19:17,557 I hate this. 379 00:19:17,624 --> 00:19:19,025 Me too. 380 00:19:19,091 --> 00:19:20,793 (GROANING) 381 00:19:27,267 --> 00:19:30,770 I'm going to be a good driver. 382 00:19:30,837 --> 00:19:33,906 I got every answer correct on the written test. 383 00:19:33,973 --> 00:19:37,109 Except one, but that was because it was improperly worded. 384 00:19:37,176 --> 00:19:40,280 I told the DMV they need to rewrite it 385 00:19:40,347 --> 00:19:43,750 and they said they'd take it under advisement. 386 00:19:43,816 --> 00:19:45,084 Great. 387 00:19:45,151 --> 00:19:46,519 Let's go. 388 00:19:47,186 --> 00:19:49,656 ** 389 00:19:54,661 --> 00:19:56,963 Okay, let's close our eyes 390 00:19:57,029 --> 00:20:00,633 and take some nice, deep breaths... 391 00:20:00,700 --> 00:20:04,737 (BREATHES DEEPLY) 392 00:20:04,804 --> 00:20:07,474 And how about a little guided imagery 393 00:20:07,540 --> 00:20:11,778 to evoke positive visualizations? 394 00:20:11,844 --> 00:20:14,814 (BREATHES DEEPLY) 395 00:20:14,881 --> 00:20:16,082 Okay. 396 00:20:16,148 --> 00:20:18,285 Let's picture the parking lot, 397 00:20:18,351 --> 00:20:20,820 the cars around us, 398 00:20:20,887 --> 00:20:23,823 the yellow steel thingy at the entrance of the parking lot 399 00:20:23,890 --> 00:20:26,125 that could really do a lot of damage... 400 00:20:26,192 --> 00:20:27,594 A bollard. 401 00:20:29,195 --> 00:20:34,667 The speed bump that is 15 feet from the corner 402 00:20:34,734 --> 00:20:38,771 with the stop sign that someone put a "Hate" sticker on 403 00:20:38,838 --> 00:20:41,073 so it says "Stop Hate," 404 00:20:41,140 --> 00:20:43,776 which is right in front of the Jiff-E Mart, 405 00:20:43,843 --> 00:20:46,646 which says it's open "8 til Late, 24/7," 406 00:20:46,713 --> 00:20:49,015 which can't be true beca... That's great, Shaun. 407 00:20:49,081 --> 00:20:50,850 Super amount of visualization. 408 00:20:50,917 --> 00:20:54,787 And now that we're feeling comfortable about our surroundings, 409 00:20:54,854 --> 00:20:56,689 we can put the car into drive, 410 00:20:57,724 --> 00:20:59,959 ease our foot off the brake... 411 00:21:00,927 --> 00:21:02,295 Very nice... 412 00:21:02,362 --> 00:21:04,263 We can open our eyes now, Shaun. 413 00:21:04,331 --> 00:21:05,865 What we're doing is cruel. 414 00:21:05,932 --> 00:21:07,967 I'm open to all options, Dr. Browne. 415 00:21:16,809 --> 00:21:19,011 I'm gonna have to ask you to give us some privacy. 416 00:21:19,078 --> 00:21:20,713 Really? 417 00:21:20,780 --> 00:21:23,816 You want to throw the president of the hospital out of a medical discussion? 418 00:21:27,086 --> 00:21:28,888 You're infringing on my autonomy 419 00:21:28,955 --> 00:21:30,690 and inhibiting the free flow of ideas, 420 00:21:30,757 --> 00:21:32,124 both of which affect my ability 421 00:21:32,191 --> 00:21:33,593 to deliver the best patient care. 422 00:21:43,803 --> 00:21:45,438 Dr. Melendez. 423 00:21:46,573 --> 00:21:48,207 (DOOR OPENS) 424 00:21:48,274 --> 00:21:51,210 ** 425 00:21:51,277 --> 00:21:52,912 SHAUN: There are many drivers 426 00:21:52,979 --> 00:21:55,247 not following the rules of the road. 427 00:21:55,314 --> 00:22:00,487 They fail to signal, check their blind spots, 428 00:22:00,553 --> 00:22:03,756 display a red flag when the load extends 429 00:22:03,823 --> 00:22:06,225 more than four feet past the tail lamp. 430 00:22:06,292 --> 00:22:08,495 You're right, Shaun, it's a mad world. 431 00:22:08,561 --> 00:22:10,162 But there's nothing you can do about them, 432 00:22:10,229 --> 00:22:11,531 you just got to focus on you. 433 00:22:11,598 --> 00:22:13,433 Yes, let's focus on me. 434 00:22:13,500 --> 00:22:15,101 Yes. 435 00:22:15,167 --> 00:22:17,404 Let's take the next right. 436 00:22:21,107 --> 00:22:23,042 You can drive in the bike lane 437 00:22:23,109 --> 00:22:24,744 when you're this close to the turn, Shaun. 438 00:22:24,811 --> 00:22:26,513 No, I can't. 439 00:22:26,579 --> 00:22:27,780 It's a broken line. 440 00:22:27,847 --> 00:22:30,182 That was the improperly worded question, 441 00:22:30,249 --> 00:22:32,118 whether it's broken or solid, 442 00:22:32,184 --> 00:22:33,720 you can't enter the bike lane 443 00:22:33,786 --> 00:22:35,888 this distance from the intersection. 444 00:22:35,955 --> 00:22:37,890 I told them that it... 445 00:22:42,429 --> 00:22:44,731 Okay, Shaun. You don't have to go so slow. 446 00:22:46,032 --> 00:22:47,767 (HORN HONKS) 447 00:22:47,834 --> 00:22:50,737 She's in the lane, she's not supposed to be in the lane. 448 00:22:50,803 --> 00:22:53,005 It's a violation carrying a fine... 449 00:22:53,072 --> 00:22:55,107 Okay, Shaun, don't worry about what she's doing... 450 00:22:55,174 --> 00:22:57,944 No. Shaun, you have to pull into the bike lane... 451 00:22:58,010 --> 00:22:59,211 Don't worry about what she's doing... 452 00:22:59,278 --> 00:23:01,280 (TIRES SCREECH, HORN HONKS) 453 00:23:01,347 --> 00:23:02,415 You can't just stop. 454 00:23:02,482 --> 00:23:03,816 Shaun, you can't just stop... 455 00:23:03,883 --> 00:23:05,251 (HORNS HONKING, CHILDREN SHOUTING PLAYFULLY) 456 00:23:05,317 --> 00:23:06,919 Shaun! 457 00:23:10,523 --> 00:23:12,258 George is screaming in agony 458 00:23:12,324 --> 00:23:15,462 and we are doing nothing except hiding behind ethical red tape. 459 00:23:15,528 --> 00:23:17,797 Ethical red tape is there to protect people like him 460 00:23:17,864 --> 00:23:20,166 from making permanent regrettable mistakes. 461 00:23:20,232 --> 00:23:21,934 I'm glad we're not using it to cover our asses 462 00:23:22,001 --> 00:23:23,770 the day before the new Chief of Surgery is announced. 463 00:23:26,473 --> 00:23:27,707 (SIGHS) 464 00:23:28,908 --> 00:23:30,877 Let me sign off on the documentation. 465 00:23:32,078 --> 00:23:35,114 I'll note his scrotum is already beyond repair 466 00:23:35,181 --> 00:23:37,717 and surgical castration is our only option. 467 00:23:38,751 --> 00:23:40,219 I vote yes. No. 468 00:23:40,286 --> 00:23:42,822 I'm not gonna let anyone falsify medical records. 469 00:23:42,889 --> 00:23:45,525 Not for pain. Not for a pedophile. 470 00:23:45,592 --> 00:23:47,960 Once his testes are actually beyond repair, 471 00:23:48,027 --> 00:23:49,496 we will castrate him. 472 00:23:50,663 --> 00:23:52,031 So we're just gonna leave him there screaming, 473 00:23:52,098 --> 00:23:53,733 keeping his entire unit awake? 474 00:23:54,867 --> 00:23:56,235 Move him. 475 00:24:04,043 --> 00:24:07,614 DR. LIM: I'd like a clean dissection through the periosteal planes 476 00:24:07,680 --> 00:24:10,082 so I can slip the MEDPOR mesh over the fracture. 477 00:24:10,149 --> 00:24:12,485 Why do I prefer MEDPOR mesh? 478 00:24:12,552 --> 00:24:14,721 It allows fibrovascular ingrowth 479 00:24:14,787 --> 00:24:16,689 and integration of the patient's tissue. 480 00:24:18,991 --> 00:24:20,392 Prisoner surgeries are approved 481 00:24:20,459 --> 00:24:22,394 for psychological reasons all the time. 482 00:24:22,461 --> 00:24:23,630 Tattoo removal, 483 00:24:23,696 --> 00:24:25,932 gender reassignments include breast implants. 484 00:24:25,998 --> 00:24:28,868 Hell, if he had a crappy smile we could justify dental work as needed 485 00:24:28,935 --> 00:24:30,637 for proper mastication. 486 00:24:30,703 --> 00:24:32,238 You sent a few kids to juvie? 487 00:24:34,140 --> 00:24:35,274 More than a few. 488 00:24:37,109 --> 00:24:39,045 You feel guilty. 489 00:24:39,111 --> 00:24:41,080 Think that's maybe clouding your judgment? 490 00:24:42,414 --> 00:24:43,716 Maybe. 491 00:24:46,485 --> 00:24:50,089 You're afraid of ruffling Andrews' feathers this close to decision day. 492 00:24:50,156 --> 00:24:51,591 Think that's maybe clouding yours? 493 00:24:52,725 --> 00:24:55,261 We could give Billy a breast implant. 494 00:24:58,030 --> 00:25:02,134 We could insert it over his split thickness frontal bone defect. 495 00:25:02,201 --> 00:25:05,738 It would only require a tiny incision at his eyebrow. 496 00:25:05,805 --> 00:25:07,506 Now you're in favor of this? 497 00:25:07,574 --> 00:25:11,778 I was against it because it was too expensive and unnecessary and risky, 498 00:25:11,844 --> 00:25:13,379 but if we do it now, 499 00:25:13,445 --> 00:25:15,715 it won't require any additional surgery, 500 00:25:15,782 --> 00:25:17,684 and it'd be very economical. 501 00:25:17,750 --> 00:25:20,486 He did give us verbal consent when he was first admitted. 502 00:25:24,757 --> 00:25:25,992 Keep him under. 503 00:25:27,459 --> 00:25:29,161 Get what we need, Dr. Murphy. 504 00:25:29,228 --> 00:25:31,263 ** 505 00:25:31,330 --> 00:25:34,300 (GEORGE SCREAMING, GROANING) 506 00:25:35,001 --> 00:25:37,236 ** 507 00:25:41,540 --> 00:25:42,609 (GROANING STOPS) 508 00:25:42,675 --> 00:25:44,577 Ready or not... 509 00:25:44,644 --> 00:25:46,312 Tell Melendez to meet us in the OR. 510 00:25:51,784 --> 00:25:53,920 CLAIRE: Showing signs of ischemia, 511 00:25:53,986 --> 00:25:55,888 we have a strong medical case for removing. 512 00:25:59,025 --> 00:26:00,627 Dr. Lim. You a castration fan? 513 00:26:00,693 --> 00:26:02,028 Right now, I am. 514 00:26:02,094 --> 00:26:04,430 Andrews told me he's backing off. Great. 515 00:26:04,496 --> 00:26:06,766 Because you presented him with a very good argument. 516 00:26:06,833 --> 00:26:08,968 My argument. Which you regurgitated to him 517 00:26:09,035 --> 00:26:12,271 right after you said you wouldn't back me up. Call that leadership? 518 00:26:12,338 --> 00:26:13,505 Yes, I do. 519 00:26:13,572 --> 00:26:15,574 You presented me with a very good argument, 520 00:26:15,642 --> 00:26:18,344 but you didn't have the guts to take it to Andrews on your own. 521 00:26:18,410 --> 00:26:20,512 One more reason I don't want to work under you. 522 00:26:20,579 --> 00:26:23,282 You don't want this promotion so that you can improve the hospital. 523 00:26:23,349 --> 00:26:25,251 You want it for the pretty title. 524 00:26:25,317 --> 00:26:27,920 You're an adrenaline junky. You won't last two weeks liaising with board members. 525 00:26:29,055 --> 00:26:30,990 There's a long and dusty trail 526 00:26:31,057 --> 00:26:33,225 littered with people who have underestimated me. 527 00:26:36,829 --> 00:26:38,264 JL: We're ready to go. 528 00:26:40,266 --> 00:26:41,868 Curved tissue scissors, please. 529 00:26:43,435 --> 00:26:44,837 (MONITORS BEEPING RAPIDLY) 530 00:26:44,904 --> 00:26:47,707 DR. REZNICK: His systolic is 68. And look at this. 531 00:26:50,643 --> 00:26:52,712 He's septic. He's going into D.I.C. 532 00:26:52,779 --> 00:26:54,513 Rerun his labs. 533 00:26:54,580 --> 00:26:56,382 Have platelets, plasma and cryo ready. 534 00:26:56,448 --> 00:26:58,217 If he starts bleeding, he'll die. 535 00:27:02,488 --> 00:27:05,557 I reduced the volume from 80 cc's to 35. 536 00:27:06,392 --> 00:27:08,427 ** 537 00:27:17,770 --> 00:27:20,039 Have the odds changed in the last 24 hours? 538 00:27:20,106 --> 00:27:21,540 Little. Where am I at? 539 00:27:21,607 --> 00:27:22,942 6 to 1. 540 00:27:24,877 --> 00:27:26,145 I'll put $100 on me. 541 00:27:27,313 --> 00:27:29,581 (MONITORS BEEPING RAPIDLY) 542 00:27:29,648 --> 00:27:31,250 He's becoming severely bradycardic. 543 00:27:31,317 --> 00:27:35,187 The pressure on his orbit caused a retrobulbar hematoma. 544 00:27:35,254 --> 00:27:38,090 DR. LIM: If we don't relieve it now, he'll arrest. Forceps and scissors. 545 00:27:38,157 --> 00:27:40,359 Just lost his pulse, pushing atropine. 546 00:27:40,426 --> 00:27:42,428 Set up a temporary transcutaneous pacemaker. 547 00:27:42,494 --> 00:27:44,363 If we inject the orbital muscle with local anesthetic 548 00:27:44,430 --> 00:27:45,998 we might be able to fatigue the reflex. 549 00:27:46,065 --> 00:27:47,066 Do it. 550 00:27:47,700 --> 00:27:50,036 (FLATLINE) 551 00:27:50,102 --> 00:27:51,503 Starting CPR. 552 00:27:55,307 --> 00:27:57,910 I hope that's a look of resolve. 553 00:27:57,977 --> 00:28:01,948 Melendez stood up to me in front of his residents. 554 00:28:02,014 --> 00:28:04,650 I did the same thing to O'Connell when I was his age. 555 00:28:05,852 --> 00:28:07,386 What about Lim? 556 00:28:07,453 --> 00:28:09,822 She has the kind of focus that took me years to develop. 557 00:28:11,290 --> 00:28:14,593 And Cooperberg, he reminds me of me when I was... 558 00:28:14,660 --> 00:28:17,429 Marcus. You were good. 559 00:28:17,496 --> 00:28:19,665 But no one's gonna be as good as you think you were. 560 00:28:21,801 --> 00:28:25,204 One of your weaknesses was decision-making. 561 00:28:25,271 --> 00:28:27,573 I trust you've gotten past that since I made you president. 562 00:28:32,411 --> 00:28:34,180 ** 563 00:28:34,246 --> 00:28:37,817 DR. LIM: Continuing compressions until I have capture on the pacemaker. 564 00:28:37,884 --> 00:28:40,319 Pacing pads are in position. 565 00:28:42,488 --> 00:28:43,522 Stopping CPR. 566 00:28:44,857 --> 00:28:46,192 Injecting lidocaine. 567 00:28:47,226 --> 00:28:49,361 I have set the rate to 80. 568 00:28:49,428 --> 00:28:51,263 (FLATLINE CONTINUES) 569 00:28:51,330 --> 00:28:53,699 DR. LIM: Increase the ventricular by two milliamps. 570 00:28:53,766 --> 00:28:55,301 (BEEPS) 571 00:28:55,367 --> 00:28:58,170 ** 572 00:28:58,237 --> 00:29:00,672 Increase by two more. 573 00:29:00,739 --> 00:29:02,641 (BEEPS) (FLATLINE CONTINUES) 574 00:29:02,708 --> 00:29:04,977 ** 575 00:29:09,882 --> 00:29:11,884 (MONITOR BEEPING) 576 00:29:11,951 --> 00:29:15,754 Blood pressure is responding, 102 over 68. 577 00:29:16,789 --> 00:29:17,957 DR. LIM: Keep those pacer settings 578 00:29:18,024 --> 00:29:19,425 and let's get back to the main event. 579 00:29:24,196 --> 00:29:26,966 DR. REZNICK: Both his PT and PTT are coming back down, 580 00:29:27,033 --> 00:29:30,803 his systolic is stable at 110, and no ectopy on the monitor. 581 00:29:30,870 --> 00:29:33,339 His D.I.C. score is back under four. He's stabilized. 582 00:29:36,909 --> 00:29:37,977 Ball's in your court. 583 00:29:41,713 --> 00:29:44,016 Dr. Melendez? 584 00:29:44,083 --> 00:29:47,453 Effects of low testosterone on cardiovascular function and sepsis? 585 00:29:47,519 --> 00:29:50,056 CLAIRE: Possible acute vascular response, 586 00:29:50,122 --> 00:29:51,523 circulatory collapse... 587 00:29:51,590 --> 00:29:53,192 And what about on D.I.C.? 588 00:29:53,259 --> 00:29:54,894 DR. REZNICK: Increased risk of clots and stroke. 589 00:29:58,130 --> 00:29:59,365 George's body can't tolerate 590 00:29:59,431 --> 00:30:02,134 any loss of testosterone right now. 591 00:30:02,201 --> 00:30:05,437 We want to save his life, we have to save his testicles. 592 00:30:08,074 --> 00:30:09,408 Sutures. 593 00:30:10,843 --> 00:30:12,211 (SIGHS) 594 00:30:18,550 --> 00:30:19,919 I know how to get you to drive. 595 00:30:20,819 --> 00:30:21,954 I can't drive. 596 00:30:22,021 --> 00:30:24,423 Driving is just like surgery. 597 00:30:24,490 --> 00:30:26,425 Say you're driving down the street 598 00:30:26,492 --> 00:30:29,028 and suddenly, somebody steps off the sidewalk, 599 00:30:29,095 --> 00:30:30,329 right in front of you. 600 00:30:30,396 --> 00:30:31,630 Things like that must happen 601 00:30:31,697 --> 00:30:33,199 when you're deep inside someone's belly. 602 00:30:33,265 --> 00:30:35,434 That doesn't make any sense. 603 00:30:35,501 --> 00:30:38,304 It's an analogy, Shaun. I need you to work with me just a little bit. 604 00:30:38,871 --> 00:30:39,972 Give me. 605 00:30:44,143 --> 00:30:45,344 Okay. 606 00:30:50,582 --> 00:30:52,952 It would be something unexpected, 607 00:30:53,019 --> 00:30:55,121 out of our control, 608 00:30:55,187 --> 00:30:58,190 from an aberrant source, and very bad. 609 00:30:59,325 --> 00:31:03,662 It would be analogous to an arterial bleed. 610 00:31:03,729 --> 00:31:07,766 How about if a truck stalls out, crippling traffic? 611 00:31:07,833 --> 00:31:11,971 A thrombus impeding blood flow, so we divert. 612 00:31:12,038 --> 00:31:13,839 A thrombus, exactly. 613 00:31:13,906 --> 00:31:15,774 What if you're just cruising along 614 00:31:15,841 --> 00:31:18,644 and a car comes out of nowhere and goes racing by? 615 00:31:18,710 --> 00:31:20,412 A tachyarrhythmia. 616 00:31:20,479 --> 00:31:23,482 Yes! Shaun, you got this. Yes. 617 00:31:23,549 --> 00:31:25,284 So let's get you driving that hooptie. 618 00:31:25,351 --> 00:31:27,019 (CHUCKLES) 619 00:31:29,821 --> 00:31:31,390 I've got this, Albert. 620 00:31:39,331 --> 00:31:41,700 ** 621 00:31:45,104 --> 00:31:46,605 We did the surgery. 622 00:31:46,672 --> 00:31:49,108 Your circulatory and clotting systems were shutting down. 623 00:31:50,542 --> 00:31:53,512 But removing your testicles would have put you 624 00:31:53,579 --> 00:31:55,181 at greater risk by reducing your... 625 00:31:55,247 --> 00:31:56,748 You would have died. 626 00:31:58,884 --> 00:32:01,287 ** 627 00:32:01,353 --> 00:32:05,424 I've set you up with a psychiatrist and a urologist. 628 00:32:05,491 --> 00:32:07,426 They'll screen you, get you cleared, 629 00:32:07,493 --> 00:32:09,962 and then we can do this the right way. 630 00:32:10,029 --> 00:32:11,663 George, we can get this done. 631 00:32:12,831 --> 00:32:16,835 You just cannot try this again. 632 00:32:18,904 --> 00:32:20,872 I get it. 633 00:32:20,939 --> 00:32:23,575 I do it your way, or it just doesn't happen. 634 00:32:25,211 --> 00:32:27,513 ** 635 00:32:42,428 --> 00:32:44,463 It's just another intersection, Shaun, 636 00:32:44,530 --> 00:32:47,799 just like the last one and just like the next one... 637 00:32:47,866 --> 00:32:52,571 The last intersection isn't where everyone honked at me and made me freeze... 638 00:32:52,638 --> 00:32:55,874 That was a different day, with different drivers 639 00:32:55,941 --> 00:32:57,843 and a different Shaun behind the wheel, 640 00:32:57,909 --> 00:33:00,712 because today, this Shaun has a plan 641 00:33:00,779 --> 00:33:02,948 for this intersection, which is... 642 00:33:04,016 --> 00:33:06,918 ...I am going to dissect it. 643 00:33:06,985 --> 00:33:08,187 Damn right you are. 644 00:33:08,254 --> 00:33:10,656 And today, you're gonna turn right 645 00:33:10,722 --> 00:33:11,857 which you will do by... 646 00:33:11,923 --> 00:33:13,559 Determining laterality. 647 00:33:13,625 --> 00:33:16,428 And waiting until I can legally enter the bike lane. 648 00:33:17,663 --> 00:33:19,931 ** 649 00:33:27,273 --> 00:33:29,841 Somebody just made a turn... 650 00:33:37,849 --> 00:33:39,085 Shaun! 651 00:33:39,151 --> 00:33:41,453 (TIRES SCREECH) 652 00:33:42,654 --> 00:33:44,923 (HORN BLARES) 653 00:33:44,990 --> 00:33:46,458 MAN: Everybody okay? 654 00:33:47,693 --> 00:33:49,828 You were wrong. 655 00:33:51,197 --> 00:33:53,865 You were wrong, Lea. I can't drive. 656 00:33:56,034 --> 00:33:57,636 Shaun, I thought I had it figured out. 657 00:33:57,703 --> 00:33:58,970 I can't drive. 658 00:33:59,037 --> 00:34:00,639 I... 659 00:34:00,706 --> 00:34:02,541 Surgery is mechanical. 660 00:34:02,608 --> 00:34:03,942 Mechanics are predictable. 661 00:34:04,009 --> 00:34:06,145 Driving is subject to human foibles 662 00:34:06,212 --> 00:34:08,280 which means there are limitless possibilities. 663 00:34:08,347 --> 00:34:09,781 You're right. My metaphor sucked. 664 00:34:09,848 --> 00:34:11,483 It sucked very much. 665 00:34:13,051 --> 00:34:15,321 Because... 666 00:34:15,387 --> 00:34:19,024 Becoming a surgeon is about way more than operating. 667 00:34:21,393 --> 00:34:23,162 You had to learn about interacting 668 00:34:23,229 --> 00:34:27,266 with teachers, co-workers, patients, bosses. 669 00:34:27,333 --> 00:34:29,668 Cooperating with them, communicating with them... 670 00:34:29,735 --> 00:34:31,637 I am very bad at communicating. 671 00:34:32,838 --> 00:34:35,341 Shaun, you became a surgeon, 672 00:34:35,407 --> 00:34:39,978 one of the hardest things that anyone can do. 673 00:34:40,045 --> 00:34:42,814 And you proved that just because something is hard, 674 00:34:42,881 --> 00:34:44,216 doesn't mean you can't do it. 675 00:34:45,050 --> 00:34:46,618 And look what you just did. 676 00:34:46,685 --> 00:34:48,520 I just hit a trash can. 677 00:34:48,587 --> 00:34:52,191 Exactly, a trash can instead of an oncoming car or a pedestrian. 678 00:34:53,392 --> 00:34:54,626 You did great, Shaun. 679 00:34:58,063 --> 00:34:59,565 (SIGHS) 680 00:35:01,367 --> 00:35:05,771 That soccer ball was a dropped Metzenbaum. 681 00:35:07,038 --> 00:35:09,241 I know, right? 682 00:35:15,381 --> 00:35:19,718 When I accidentally drop an instrument in the OR, 683 00:35:19,785 --> 00:35:21,920 I react quickly to minimize damage. 684 00:35:22,888 --> 00:35:25,123 Yes. Yes. 685 00:35:25,191 --> 00:35:26,792 I dropped a Metzenbaum. 686 00:35:27,426 --> 00:35:29,795 ** 687 00:35:31,963 --> 00:35:34,333 I can drive this hooptie. 688 00:35:34,400 --> 00:35:37,269 ** 689 00:35:40,439 --> 00:35:41,973 DR. PARK: Window's about to close. 690 00:35:42,040 --> 00:35:43,442 $10 will get you $20 on Melendez, 691 00:35:43,509 --> 00:35:45,744 $10 will get you $1,000 if you want to bet on me. 692 00:35:48,146 --> 00:35:49,315 Hey, everybody. 693 00:35:51,217 --> 00:35:53,252 I can't be prouder of all of you. 694 00:35:53,319 --> 00:35:56,021 We have grown into a preeminent surgical department, 695 00:35:56,087 --> 00:35:58,690 which has been recognized with the official designation 696 00:35:58,757 --> 00:36:01,026 of Surgical Center of Excellence. 697 00:36:01,092 --> 00:36:03,462 (APPLAUSE) 698 00:36:04,630 --> 00:36:06,164 It's now more important than ever 699 00:36:06,232 --> 00:36:08,700 that we maintain our high standards. 700 00:36:08,767 --> 00:36:10,802 And so, while there are many worthy candidates, 701 00:36:11,770 --> 00:36:13,138 I've decided... 702 00:36:15,941 --> 00:36:18,076 ...to retain the title myself. 703 00:36:18,143 --> 00:36:19,745 Thank you. 704 00:36:19,811 --> 00:36:21,813 (APPLAUSE) 705 00:36:22,948 --> 00:36:24,283 Thank you! 706 00:36:24,350 --> 00:36:26,084 ** 707 00:36:26,151 --> 00:36:27,353 Yes! 708 00:36:28,387 --> 00:36:29,855 (DR. PARK LAUGHS) 709 00:36:29,921 --> 00:36:31,390 (CHUCKLES) 710 00:36:32,190 --> 00:36:34,460 (INDISTINCT CONVERSATIONS) 711 00:36:34,526 --> 00:36:36,928 ** 712 00:36:43,134 --> 00:36:44,670 (GASPS) Y... 713 00:36:44,736 --> 00:36:45,904 (SIGHS) 714 00:36:45,971 --> 00:36:47,939 You... You did it. You... 715 00:36:49,341 --> 00:36:50,542 You really did it. 716 00:36:52,678 --> 00:36:54,680 (BREATHES SHAKILY) 717 00:36:57,349 --> 00:36:58,884 DR. PARK: It was his idea. 718 00:37:00,752 --> 00:37:02,120 Murph? You... 719 00:37:02,187 --> 00:37:06,358 We inserted a small breast implant to fill in the depression 720 00:37:06,425 --> 00:37:09,328 and create a more aesthetically pleasing contour. 721 00:37:09,395 --> 00:37:10,929 (CHUCKLING) Breast implant? 722 00:37:10,996 --> 00:37:12,230 Yes. 723 00:37:13,299 --> 00:37:14,900 (BREATHES DEEPLY) 724 00:37:16,167 --> 00:37:17,769 You saved my life. 725 00:37:17,836 --> 00:37:19,871 ** 726 00:37:23,375 --> 00:37:25,544 It was a mistake. 727 00:37:25,611 --> 00:37:28,880 It caused an oculocardiac reflex and you almost died. 728 00:37:32,918 --> 00:37:34,520 It was a mistake. 729 00:37:41,527 --> 00:37:42,794 George? 730 00:37:44,596 --> 00:37:45,897 George? 731 00:37:50,769 --> 00:37:52,571 Why didn't his monitor alarm go off? 732 00:37:52,638 --> 00:37:55,040 He was stable, I disconnected it so he could use the restroom. 733 00:37:55,106 --> 00:37:56,775 I didn't... Morgan! He's gone! 734 00:37:57,543 --> 00:37:59,978 ** 735 00:38:07,953 --> 00:38:09,220 George! 736 00:38:10,389 --> 00:38:12,724 ** 737 00:38:16,662 --> 00:38:18,029 (BOTH SCREAM) 738 00:38:18,096 --> 00:38:21,367 ** 739 00:38:28,640 --> 00:38:31,309 ** 740 00:38:46,257 --> 00:38:48,293 I was never gonna confront Andrews. 741 00:38:49,695 --> 00:38:52,163 I was playing you. 742 00:38:52,230 --> 00:38:55,066 But damn if you didn't actually make it work. 743 00:38:55,133 --> 00:38:56,768 It didn't work for anybody. 744 00:38:56,835 --> 00:38:59,270 He played us both. He set us against each other. 745 00:38:59,337 --> 00:39:00,839 (SIGHS) 746 00:39:04,275 --> 00:39:05,611 I think you were right. 747 00:39:07,245 --> 00:39:09,014 Even if you were just bluffing, 748 00:39:11,116 --> 00:39:12,418 we need to stand together. 749 00:39:14,319 --> 00:39:16,522 Where was that wisdom two days ago? 750 00:39:20,358 --> 00:39:21,927 Still in the bottle. 751 00:39:21,993 --> 00:39:23,995 (SCOFFS) 752 00:39:24,062 --> 00:39:26,197 ** 753 00:39:28,500 --> 00:39:29,968 Hey. How'd you come up with that idea? 754 00:39:30,035 --> 00:39:32,904 You mentioned breast implants and I thought... 755 00:39:32,971 --> 00:39:34,072 Of his forehead. 756 00:39:34,139 --> 00:39:35,774 We were operating on his eye, 757 00:39:35,841 --> 00:39:37,476 his forehead was covered. 758 00:39:37,543 --> 00:39:38,910 Why were you thinking of it? 759 00:39:42,047 --> 00:39:43,415 You care about him, 760 00:39:43,482 --> 00:39:45,150 you were worried about his problem. 761 00:39:45,851 --> 00:39:47,385 You empathized with him. 762 00:39:48,353 --> 00:39:51,022 My idea almost killed him. 763 00:39:51,089 --> 00:39:52,157 No, it didn't. 764 00:39:55,360 --> 00:39:56,995 I found these in Billy's drawer. 765 00:39:57,062 --> 00:39:59,397 Three days of pain meds. 766 00:39:59,465 --> 00:40:02,768 He was cheeking them to build up a stash. 767 00:40:03,702 --> 00:40:05,336 He wasn't exaggerating. 768 00:40:08,006 --> 00:40:09,675 You saved his life, Shaun. 769 00:40:10,341 --> 00:40:12,778 ** 770 00:40:15,747 --> 00:40:18,750 (INDISTINCT PA ANNOUNCEMENT) 771 00:40:18,817 --> 00:40:21,419 ** 772 00:40:42,574 --> 00:40:44,543 This isn't the way this should have ended... 773 00:40:50,749 --> 00:40:53,151 But I'm not so sure the world is a worse place 774 00:40:53,218 --> 00:40:54,953 than it was a couple hours ago. 775 00:41:05,897 --> 00:41:08,066 LEA: You almost look comfortable behind the wheel. 776 00:41:08,133 --> 00:41:10,502 SHAUN: This seat has excellent lumbar support. 777 00:41:10,569 --> 00:41:12,037 But I am still very nervous. 778 00:41:12,103 --> 00:41:13,705 (HORN HONKS) 779 00:41:13,772 --> 00:41:15,306 (HORN BLARES) 780 00:41:22,881 --> 00:41:24,616 I can drive a car. 781 00:41:25,450 --> 00:41:26,652 I can see that. 782 00:41:26,718 --> 00:41:29,187 Lea taught me using a very bad analogy. 783 00:41:29,254 --> 00:41:31,022 Nothing works like a bad analogy. 784 00:41:31,089 --> 00:41:33,224 He's getting pretty good. 785 00:41:33,291 --> 00:41:35,260 Won't be long before he gets his operator's. 786 00:41:35,326 --> 00:41:38,930 Your next radiation appointment is in 45 minutes. 787 00:41:51,342 --> 00:41:52,510 Ow. 788 00:41:58,617 --> 00:41:59,818 (DOOR CLOSES) 789 00:42:02,621 --> 00:42:03,989 (SEAT BELT CLICKS) 790 00:42:05,591 --> 00:42:06,792 Thank you. 791 00:42:08,293 --> 00:42:10,461 ** 792 00:42:10,528 --> 00:42:11,563 (ENGINE STARTS) 793 00:42:11,630 --> 00:42:12,864 * I'd go the whole wide world 794 00:42:12,931 --> 00:42:15,767 * I'd go the whole wide world just to find her 795 00:42:15,834 --> 00:42:17,135 (TIRES SQUEAL) 796 00:42:17,202 --> 00:42:18,904 * I'd go the whole wide world 797 00:42:18,970 --> 00:42:20,706 * I'd go the whole wide world 798 00:42:20,772 --> 00:42:23,041 * To find out where they hide her * 799 00:42:25,711 --> 00:42:27,713 **