1 00:00:02,585 --> 00:00:04,761 After six open houses, 2 00:00:04,935 --> 00:00:08,156 I am sure that "fixer-upper" means decrepit. 3 00:00:08,330 --> 00:00:11,072 Well, part of the fun is imagining what something could be. 4 00:00:11,246 --> 00:00:13,640 It could be expensive 5 00:00:13,814 --> 00:00:15,946 and messy and loud and even dangerous. 6 00:00:18,949 --> 00:00:20,908 Hey, why don't you do your thing with the real estate agent? 7 00:00:21,082 --> 00:00:21,909 I'm gonna go wander. 8 00:00:24,129 --> 00:00:25,652 Hi. 9 00:00:25,826 --> 00:00:27,654 Tori Vargas. Any questions? 10 00:00:27,828 --> 00:00:29,264 Oh, yes, I have many. 11 00:00:29,438 --> 00:00:31,353 About school districts, drought-tolerant landscaping, 12 00:00:31,527 --> 00:00:33,007 seismic retrofitting-- 13 00:00:33,181 --> 00:00:34,878 Someone came prepared. 14 00:00:35,052 --> 00:00:36,967 Does that include loan pre-approval? 15 00:00:37,142 --> 00:00:39,187 - If not, I can help. - Oh, no. 16 00:00:39,361 --> 00:00:42,147 Going to open houses out of our price range is our new hobby, 17 00:00:42,321 --> 00:00:44,018 and sometimes, there are cookies. 18 00:00:44,192 --> 00:00:46,238 How fun! Uh, excuse me just a sec. 19 00:00:47,804 --> 00:00:49,154 Hi, there. 20 00:01:03,907 --> 00:01:06,780 I grew up with a reading nook just like this one. 21 00:01:06,954 --> 00:01:09,739 I'd lay in a pile of pillows, watch the falling snow. 22 00:01:10,827 --> 00:01:14,353 That sounds... uncomfortable. 23 00:01:14,527 --> 00:01:16,181 A lot of the work is just cosmetic. 24 00:01:16,355 --> 00:01:17,660 I could do most of it myself. 25 00:01:17,834 --> 00:01:20,576 Make it a perfect family home. 26 00:01:20,750 --> 00:01:22,665 Like, these window frames are just painted shut, 27 00:01:22,839 --> 00:01:23,623 but all you have to do is... 28 00:01:26,756 --> 00:01:29,019 - Ow! Damn it. - See? 29 00:01:30,673 --> 00:01:31,370 Dangerous. 30 00:01:33,328 --> 00:01:34,242 Forks and knives? 31 00:01:34,416 --> 00:01:36,113 Hands only. 32 00:01:36,288 --> 00:01:37,071 And don't you drown my shao bing in hot sauce. 33 00:01:38,681 --> 00:01:39,378 Yes, ma'am. 34 00:01:42,772 --> 00:01:45,732 A scallion omelet and sesame flatbread. 35 00:01:45,906 --> 00:01:47,124 Mm! Did I forget an anniversary? 36 00:01:50,171 --> 00:01:52,173 This is a thank-you for planning our first road trip. 37 00:01:56,395 --> 00:01:57,047 Mm! 38 00:01:58,353 --> 00:01:59,267 I'm planning more road trips. 39 00:02:00,921 --> 00:02:03,097 I can't wait to head south on PCH. 40 00:02:03,271 --> 00:02:05,230 Last trip was a solo one on my Ducati. 41 00:02:05,404 --> 00:02:06,535 Hold on. 42 00:02:07,884 --> 00:02:08,581 You're a biker chick? 43 00:02:09,495 --> 00:02:11,105 Was. In another life. 44 00:02:13,150 --> 00:02:13,803 You miss it? 45 00:02:14,891 --> 00:02:16,937 The other life? 46 00:02:17,111 --> 00:02:19,853 Motorcycles are too dangerous. You could end up paralyzed. 47 00:02:20,027 --> 00:02:21,985 Nice deflection. 48 00:02:24,771 --> 00:02:25,598 I didn't know you in the other life. 49 00:02:27,121 --> 00:02:27,817 I like this one. 50 00:02:32,344 --> 00:02:33,345 Still feel that way if I go get the hot sauce? 51 00:02:47,881 --> 00:02:49,056 We haven't had a chance to talk about-- 52 00:02:49,230 --> 00:02:51,406 You kissing me. 53 00:02:51,580 --> 00:02:54,453 Thereby crossing a line you said we shouldn't cross, 54 00:02:54,627 --> 00:02:56,498 right as I was headed on a date. 55 00:02:58,239 --> 00:02:59,284 How'd that go? 56 00:02:59,458 --> 00:03:00,372 Great. 57 00:03:02,591 --> 00:03:04,158 I barely heard a word he said, 58 00:03:04,332 --> 00:03:06,900 because the whole time, I was thinking about our kiss. 59 00:03:09,555 --> 00:03:10,860 It was-- It was amazing. 60 00:03:12,471 --> 00:03:13,863 Yes, it was. 61 00:03:15,735 --> 00:03:17,432 Look, I like you, 62 00:03:18,738 --> 00:03:20,348 but I need some clarity here. 63 00:03:21,349 --> 00:03:22,350 Right. 64 00:03:24,483 --> 00:03:25,179 Let me be clear. 65 00:03:26,963 --> 00:03:29,966 How about I make you dinner tomorrow, my place, 66 00:03:30,140 --> 00:03:30,880 and we talk about where we're headed? 67 00:03:35,189 --> 00:03:35,885 Sounds good. 68 00:03:37,191 --> 00:03:37,887 It's a date then. 69 00:03:39,454 --> 00:03:41,195 A date. 70 00:03:48,071 --> 00:03:49,334 Oh. 71 00:03:49,508 --> 00:03:50,987 Good morning, Dr. Lim. 72 00:03:51,161 --> 00:03:52,249 Did Clay stay over last night? 73 00:03:53,425 --> 00:03:55,644 - He did. - Excellent. 74 00:03:55,818 --> 00:03:57,646 That means you are likely in a good mood and amenable because of the sex. 75 00:03:59,126 --> 00:04:00,257 Amenable to what? 76 00:04:00,432 --> 00:04:01,433 I think you will like it. 77 00:04:03,913 --> 00:04:04,697 There was movement, 78 00:04:04,871 --> 00:04:06,916 flexion, and lateral rotation, 79 00:04:07,090 --> 00:04:09,658 which means that there was engagement with the psoas 80 00:04:09,832 --> 00:04:11,704 and the glutes, and I saw it twice. 81 00:04:13,662 --> 00:04:15,229 Signals are getting through to your spinal column. 82 00:04:17,666 --> 00:04:19,625 This deformity is not just scar tissue. 83 00:04:19,799 --> 00:04:20,756 It's a compressive syrinx. 84 00:04:20,930 --> 00:04:22,497 We can enter from a midline myelotomy 85 00:04:22,671 --> 00:04:24,369 and drain the fluid after we de-tether your cord. 86 00:04:27,589 --> 00:04:28,590 I could-- 87 00:04:28,764 --> 00:04:29,678 You could walk again. 88 00:04:32,855 --> 00:04:35,162 Audrey, this approach is much safer 89 00:04:35,336 --> 00:04:36,424 than the one we discussed last time. 90 00:04:44,650 --> 00:04:45,955 I need time to think it over. 91 00:04:47,261 --> 00:04:47,957 Of course. 92 00:04:53,136 --> 00:04:56,662 Okay, today is the first day I will be implementing my new system. 93 00:04:56,836 --> 00:04:59,404 I'm sure you agree it is a major improvement. 94 00:04:59,578 --> 00:05:00,883 I don't know what the hell you're talking about. 95 00:05:01,057 --> 00:05:03,712 My new rating system for first-year residents? 96 00:05:03,886 --> 00:05:05,671 I e-mailed you multiple drafts. 97 00:05:05,845 --> 00:05:07,499 You never responded. 98 00:05:07,673 --> 00:05:08,717 Once all the data is in, 99 00:05:08,891 --> 00:05:10,415 I will share the completed version. 100 00:05:10,589 --> 00:05:11,590 Well, can't wait. 101 00:05:20,686 --> 00:05:22,818 Whoa! 102 00:05:22,992 --> 00:05:23,906 When I asked to see where you worked, 103 00:05:24,080 --> 00:05:25,821 I didn't mean it as a challenge. 104 00:05:25,995 --> 00:05:28,781 I had to get you on the mat to see if you exaggerated on your profile. 105 00:05:28,955 --> 00:05:29,999 I'm-- I'm not really a fan of walks on the beach. 106 00:05:30,696 --> 00:05:31,914 Whoa! 107 00:05:32,088 --> 00:05:33,263 Sunsets are overrated. 108 00:05:33,438 --> 00:05:34,090 All right. 109 00:05:37,267 --> 00:05:38,007 Whoa! 110 00:05:39,444 --> 00:05:40,314 Nice. 111 00:05:49,149 --> 00:05:50,542 What happens on a third date? 112 00:05:53,327 --> 00:05:54,023 Lily? 113 00:05:55,721 --> 00:05:56,983 Lily? 114 00:06:00,116 --> 00:06:01,466 Are you okay? 115 00:06:13,303 --> 00:06:15,218 My new system has over 50 unique metrics 116 00:06:15,392 --> 00:06:16,785 that go into your scores. 117 00:06:16,959 --> 00:06:18,831 Everything you do will be assessed. 118 00:06:19,005 --> 00:06:20,485 Everything? Uh, could you be a bit more specific? 119 00:06:20,659 --> 00:06:22,051 No. 120 00:06:22,225 --> 00:06:23,139 Is this like a head-to-head competition? 121 00:06:23,313 --> 00:06:24,401 It's designed to make you aware 122 00:06:24,576 --> 00:06:26,360 of your individual strengths and weaknesses. 123 00:06:26,534 --> 00:06:27,970 Residents with more strengths are more likely 124 00:06:28,144 --> 00:06:29,929 to get invited back for a full residency. 125 00:06:34,281 --> 00:06:36,370 Hi, Teddy. Dr. Powell. 126 00:06:36,544 --> 00:06:38,677 What happened to your head? 127 00:06:38,851 --> 00:06:41,549 I idiotically smacked myself with a 20-pound kettlebell. 128 00:06:41,723 --> 00:06:43,029 Kettlebell injuries are surprisingly common. 129 00:06:43,943 --> 00:06:45,335 My gym has a printout 130 00:06:45,510 --> 00:06:46,075 of ten different ways you can hurt yourself. 131 00:06:47,381 --> 00:06:48,425 Did you witness the accident? 132 00:06:48,600 --> 00:06:50,340 Yeah. I'm there for all his workouts. 133 00:06:50,515 --> 00:06:51,733 Oh, so you're his trainer. 134 00:06:51,907 --> 00:06:52,952 His brother. 135 00:06:53,126 --> 00:06:54,867 My baby brother. 136 00:06:55,041 --> 00:06:56,129 He's got a real knack for making me suffer. 137 00:06:58,000 --> 00:06:59,524 All right. 138 00:06:59,698 --> 00:07:02,657 We're gonna run a full concussion protocol 139 00:07:02,831 --> 00:07:03,571 and get a CT as a precaution. 140 00:07:06,574 --> 00:07:07,575 Not until we take care of this gash. 141 00:07:09,969 --> 00:07:12,232 You're also experiencing abdominal pain. 142 00:07:12,406 --> 00:07:13,407 - Did that pain start... - Aah! 143 00:07:13,581 --> 00:07:15,452 ...before or after you hit your head? 144 00:07:15,627 --> 00:07:17,933 Uh, kind of simultaneous? 145 00:07:19,848 --> 00:07:20,632 Do you mind lifting your shirt? 146 00:07:28,901 --> 00:07:29,728 Teddy, you've recently lost a lot of weight. 147 00:07:30,642 --> 00:07:31,599 Seventy pounds. 148 00:07:31,773 --> 00:07:33,253 In five months. 149 00:07:33,427 --> 00:07:35,124 Getting that summer beach bod ready. 150 00:07:35,298 --> 00:07:36,648 Keeping the T-shirt on for now. 151 00:07:39,738 --> 00:07:41,261 Teddy, do you mind if we laid you back 152 00:07:41,435 --> 00:07:42,523 just to get a better look? 153 00:07:52,794 --> 00:07:54,796 Oh, got a lump. 154 00:07:54,970 --> 00:07:57,059 An inguinal hernia. It's not reducible. 155 00:07:57,233 --> 00:07:58,234 I think it's also strangulated. 156 00:08:03,022 --> 00:08:06,634 Hmm, Dr. Perez is right. 157 00:08:06,808 --> 00:08:08,375 The blood flow to your herniated intestine has been cut off. 158 00:08:08,549 --> 00:08:10,899 You need immediate surgery. Okay. 159 00:08:19,691 --> 00:08:21,388 This is Lily. 37, dizziness, epistaxis, 160 00:08:21,562 --> 00:08:22,824 purulent nasal discharge. 161 00:08:22,998 --> 00:08:24,260 Let's get full labs including blood cultures. 162 00:08:26,523 --> 00:08:28,351 I guess the upside of dating a doctor 163 00:08:28,525 --> 00:08:29,526 is no waiting in the ER. 164 00:08:32,834 --> 00:08:35,707 I dated a guy at the DMV for that very reason. 165 00:08:37,143 --> 00:08:38,448 Do you have a history of nosebleeds? 166 00:08:38,623 --> 00:08:39,624 Yes. 167 00:08:39,798 --> 00:08:40,929 Part of my perpetual 168 00:08:41,103 --> 00:08:42,583 sinus infection. 169 00:08:42,757 --> 00:08:44,411 I've been on and off antibiotics for a year. 170 00:08:44,585 --> 00:08:47,109 I figured it's because I teach Kung Fu to kids. 171 00:08:47,283 --> 00:08:49,024 Mm, adorable. 172 00:08:49,198 --> 00:08:50,373 Do you feel any sinus pressure? 173 00:08:50,547 --> 00:08:51,723 Also, how'd you two meet? 174 00:08:54,116 --> 00:08:56,902 Yes, and Bumble? 175 00:08:57,076 --> 00:08:58,947 Thank you, Dr. Reznick. I got this. 176 00:08:59,121 --> 00:09:00,209 He's worried this will be awkward because I'm his ex. 177 00:09:01,863 --> 00:09:03,082 Don't worry. We're friends now. 178 00:09:03,256 --> 00:09:04,649 Any other recent symptoms? 179 00:09:06,868 --> 00:09:08,391 I've had a few migraines 180 00:09:08,565 --> 00:09:10,655 and bad taste in my mouth recently. 181 00:09:10,829 --> 00:09:12,265 Temp's elevated, and she's hypertensive. 182 00:09:12,439 --> 00:09:14,833 Acute-on-chronic bacterial rhinosinusitis? 183 00:09:16,182 --> 00:09:17,749 Probably, but given the headaches, 184 00:09:17,923 --> 00:09:18,967 I want a stat brain and sinus CT 185 00:09:19,141 --> 00:09:19,794 with and without contrast. 186 00:09:22,928 --> 00:09:25,321 Hernia is reduced. 187 00:09:25,495 --> 00:09:27,715 Next step in the tension-free hernioplasty? 188 00:09:27,889 --> 00:09:29,238 Use mesh to cover the fascial defect. 189 00:09:30,718 --> 00:09:32,328 By strengthening the inguinal floor, 190 00:09:32,502 --> 00:09:34,548 we hope to prevent further hernias. 191 00:09:34,722 --> 00:09:37,333 No extra credit will be given for statements of the obvious. 192 00:09:42,208 --> 00:09:43,949 It's impressive how much weight Teddy's lost. 193 00:09:44,123 --> 00:09:45,777 I just hope he's doing it for the right reasons. 194 00:09:45,951 --> 00:09:47,169 Hard to see a wrong reason. 195 00:09:47,343 --> 00:09:48,910 He was clearly pretty overweight. 196 00:09:49,084 --> 00:09:50,172 I agree. 197 00:09:50,346 --> 00:09:52,827 Obesity increases health risks for diabetes, 198 00:09:53,001 --> 00:09:55,525 heart disease, and some cancers. 199 00:09:55,700 --> 00:09:59,442 Fair. But our culture can really go overboard on the fat-shaming, 200 00:09:59,616 --> 00:10:01,662 which can lead to low self-esteem, depression, 201 00:10:01,836 --> 00:10:03,577 none of which is healthy. 202 00:10:03,751 --> 00:10:06,014 Trying to change to please someone else rarely works. 203 00:10:07,320 --> 00:10:08,974 Getting someone you love 204 00:10:09,148 --> 00:10:10,715 to do what is best for them is a good thing. 205 00:10:13,674 --> 00:10:16,677 There's ectopy in the EKG. QT looks prolonged. 206 00:10:16,851 --> 00:10:18,766 Push 2 grams IV of magnesium. 207 00:10:21,726 --> 00:10:23,336 He's going into torsades. 208 00:10:23,510 --> 00:10:24,467 Proper response? 209 00:10:24,641 --> 00:10:25,294 Synchronized cardioversion. 210 00:10:26,426 --> 00:10:27,383 Yes. Prepare to shock him. 211 00:10:31,605 --> 00:10:33,302 Charging 200 joules. Clear. 212 00:10:42,485 --> 00:10:43,791 Good catch, Dr. Powell. 213 00:10:45,619 --> 00:10:48,143 I caught the strangulated hernia. 214 00:10:48,317 --> 00:10:50,972 Teddy's arrhythmia is likely a sign of an underlying condition. 215 00:10:51,146 --> 00:10:52,669 It could be quite dangerous. 216 00:10:52,844 --> 00:10:55,020 Next, you will be assessed on how quickly and accurately 217 00:10:55,194 --> 00:10:56,021 you can determine what's causing it. 218 00:10:56,195 --> 00:10:56,848 Suture scissors. 219 00:11:07,989 --> 00:11:09,208 I'll start with the sinuses. 220 00:11:10,600 --> 00:11:12,864 Hey, I found you a new prospect. 221 00:11:13,038 --> 00:11:15,257 Unless your last date was a love connection for the ages. 222 00:11:15,431 --> 00:11:17,303 - That's a no. - Oh. Hmm. 223 00:11:17,477 --> 00:11:21,089 How terrible for him. How exciting for me. 224 00:11:21,263 --> 00:11:23,700 Berkeley law grad, former fitness model, 225 00:11:23,875 --> 00:11:25,790 just moved back to the valley from Paris. 226 00:11:25,964 --> 00:11:27,617 Thanks, but I'll pass. 227 00:11:30,533 --> 00:11:32,100 That's severe opacification. 228 00:11:32,274 --> 00:11:34,276 Sinus mucosa's thickened. 229 00:11:34,450 --> 00:11:36,365 There's already bony erosion. 230 00:11:36,539 --> 00:11:37,584 Lily needs endoscopic 231 00:11:37,758 --> 00:11:38,672 sinonasal debridement. 232 00:11:40,239 --> 00:11:42,545 He's smart, he's ripped, he's worldly, 233 00:11:42,719 --> 00:11:44,852 and unlike Perez, he's available. 234 00:11:45,026 --> 00:11:46,506 - We kissed. - What? 235 00:11:46,680 --> 00:11:48,203 You and Perez? 236 00:11:48,377 --> 00:11:50,771 - Yeah. - What about his recovery-related boundaries? 237 00:11:50,945 --> 00:11:52,468 I haven't figured that out yet, 238 00:11:52,642 --> 00:11:55,776 but he did invite me to dinner at his place. 239 00:11:57,952 --> 00:11:58,953 I'm exploring. 240 00:12:01,434 --> 00:12:03,436 Just be careful, okay? 241 00:12:04,959 --> 00:12:05,612 Okay. 242 00:12:10,399 --> 00:12:12,358 Her sinus infection spread through her skull base. 243 00:12:12,532 --> 00:12:15,491 That's a massive 6x4 centimeter abscess. 244 00:12:15,665 --> 00:12:17,058 Page Park. If that thing ruptures, she'll die. 245 00:12:17,232 --> 00:12:19,408 Lily needs sinus and brain surgery. 246 00:12:29,679 --> 00:12:31,768 Sinus debridement looks very good, Dr. Allen. 247 00:12:31,943 --> 00:12:32,769 Pulling the scope. 248 00:12:34,293 --> 00:12:36,556 Bacitracin-coated Telfa. 249 00:12:36,730 --> 00:12:39,864 And we use two burr holes to drain the abscess using ultrasound guidance. 250 00:12:45,173 --> 00:12:46,783 So, how'd you get approval 251 00:12:46,958 --> 00:12:48,916 to operate on your new girlfriend? 252 00:12:49,090 --> 00:12:50,875 Two dates does not equal a girlfriend. No approval necessary. 253 00:12:53,268 --> 00:12:54,443 Trajectories look good. 254 00:12:54,617 --> 00:12:55,444 Drainage tool. 255 00:12:57,664 --> 00:12:59,274 Plus or minus that you got to parade her in front of Morgan? 256 00:13:00,580 --> 00:13:01,842 Definitely not parading, 257 00:13:02,016 --> 00:13:03,452 and Morgan and I are... 258 00:13:05,150 --> 00:13:06,412 friends, so neither. 259 00:13:06,586 --> 00:13:07,456 Uh-huh. 260 00:13:10,982 --> 00:13:13,201 Mm, this is as much as I can get 261 00:13:13,375 --> 00:13:15,421 without risking rupture into the ventricle. 262 00:13:15,595 --> 00:13:17,597 Eh, the rest is up to the antibiotics. 263 00:13:17,771 --> 00:13:18,467 Leave the drain and close. 264 00:13:21,296 --> 00:13:22,210 Would you say 265 00:13:22,384 --> 00:13:23,908 you loved, liked, or hated 266 00:13:24,082 --> 00:13:25,561 the last house we saw? 267 00:13:25,735 --> 00:13:27,476 Are those the only options? 268 00:13:27,650 --> 00:13:29,000 I should examine your hand. 269 00:13:29,174 --> 00:13:30,392 Oh, it's fine. 270 00:13:30,566 --> 00:13:32,438 I can't stop thinking about the crown molding 271 00:13:32,612 --> 00:13:34,005 and the reading nook, 272 00:13:34,179 --> 00:13:35,441 so as long as you don't hate it, 273 00:13:35,615 --> 00:13:37,399 I'm thinking we should talk to a mortgage broker 274 00:13:37,573 --> 00:13:38,487 about making an offer. 275 00:13:41,838 --> 00:13:43,666 You said going to open houses 276 00:13:43,840 --> 00:13:45,103 was only for fun. 277 00:13:45,277 --> 00:13:46,495 I've looked at our finances, and we can swing it. 278 00:13:47,409 --> 00:13:48,802 Rent is spent. 279 00:13:48,976 --> 00:13:50,369 A mortgage payment is... 280 00:13:50,543 --> 00:13:52,153 whatever rhymes with payment 281 00:13:52,327 --> 00:13:53,024 and-- and means good investment. 282 00:13:54,851 --> 00:13:57,289 My research shows we should adhere 283 00:13:57,463 --> 00:14:01,119 to the 28/36 rule with regards to monthly pre-tax income. 284 00:14:01,293 --> 00:14:02,816 You have swelling around your second digit's metacarpal 285 00:14:02,990 --> 00:14:04,731 and the proximal phalanx of your thumb. 286 00:14:04,905 --> 00:14:05,688 Okay, I've done worse on engine blocks. 287 00:14:05,862 --> 00:14:09,866 Shaun, we can be homeowners. 288 00:14:10,041 --> 00:14:11,477 Doesn't that excite you even a little? 289 00:14:11,651 --> 00:14:12,521 Hmm. 290 00:14:14,306 --> 00:14:17,178 I am a little excited that you are excited. 291 00:14:17,352 --> 00:14:19,528 Good, because I made an appointment 292 00:14:19,702 --> 00:14:20,965 with a mortgage broker. 293 00:14:21,139 --> 00:14:22,879 And you guys can talk 25/36. 294 00:14:28,363 --> 00:14:29,016 Twenty-eight. 295 00:14:56,565 --> 00:14:58,524 You know, it's silly for us to be competitive. 296 00:14:58,698 --> 00:15:00,134 Said the loser while losing. 297 00:15:01,222 --> 00:15:03,311 Olive branch. 298 00:15:03,485 --> 00:15:05,052 I don't know what's causing the arrhythmia. Do you? 299 00:15:05,966 --> 00:15:06,880 I have ideas. 300 00:15:08,882 --> 00:15:10,579 O-kay. 301 00:15:10,753 --> 00:15:13,887 So you can present them and land the knockout blow... 302 00:15:14,061 --> 00:15:15,106 if you're confident that you're right. 303 00:15:17,369 --> 00:15:18,979 - Or? - Or we can bounce ideas off each other, 304 00:15:19,153 --> 00:15:20,154 get the right answer, and help this guy. 305 00:15:22,765 --> 00:15:24,245 For all we know, one of Dr. Murphy's metrics 306 00:15:24,419 --> 00:15:26,595 is cooperation amongst colleagues. 307 00:15:28,728 --> 00:15:29,729 Fine. 308 00:15:29,903 --> 00:15:30,599 But I present. 309 00:15:32,079 --> 00:15:34,081 Do you have any idea how often women 310 00:15:34,255 --> 00:15:35,604 get zero credit for their ideas, 311 00:15:35,778 --> 00:15:36,953 even when they come out of their mouths? 312 00:15:37,128 --> 00:15:40,131 Fine. 313 00:15:40,305 --> 00:15:42,524 Blood sample showed critically low potassium and sodium, 314 00:15:42,698 --> 00:15:44,918 which makes no sense given the power-food diet 315 00:15:45,092 --> 00:15:46,702 that his brother's got him on. 316 00:15:46,876 --> 00:15:47,834 There's plenty of nutrients. 317 00:15:48,008 --> 00:15:49,705 - So maybe celiac. - Mm. 318 00:15:49,879 --> 00:15:52,186 IgA and IgG antibody tests were normal. 319 00:15:54,014 --> 00:15:55,189 I'm thinking primary aldosteronism. 320 00:15:56,712 --> 00:15:59,019 That's interesting. 321 00:15:59,193 --> 00:16:01,456 Please present your ideas on what is causing our patient's arrhythmia. 322 00:16:04,764 --> 00:16:07,636 We think that Teddy has primary aldosteronism. 323 00:16:09,116 --> 00:16:11,162 Explains initial electrolyte levels and... 324 00:16:15,949 --> 00:16:18,299 That doesn't align with urine studies or lack of hypertension. 325 00:16:18,473 --> 00:16:19,083 This was your idea. 326 00:16:20,301 --> 00:16:22,173 Congenital long QT syndrome. 327 00:16:22,347 --> 00:16:24,175 Teddy's QT levels have returned to normal, 328 00:16:24,349 --> 00:16:26,133 and he has no family history. 329 00:16:26,307 --> 00:16:29,919 He has critically low levels of potassium, sodium, and magnesium. 330 00:16:30,094 --> 00:16:31,878 I noticed that. Despite a good diet. 331 00:16:32,052 --> 00:16:33,662 It suggests absorption and-- 332 00:16:36,622 --> 00:16:39,494 What happened to cooperation amongst colleagues? 333 00:16:39,668 --> 00:16:40,669 I didn't realize you were gonna be wrong. 334 00:16:43,585 --> 00:16:45,457 Slight enamel erosion on the molars 335 00:16:45,631 --> 00:16:47,023 and trauma to the oral mucosa. 336 00:16:49,156 --> 00:16:52,986 And these tiny abrasions on his knuckles are from his teeth. 337 00:16:53,160 --> 00:16:54,640 Self-induced vomiting led to malnutrition, 338 00:16:54,814 --> 00:16:55,684 which caused the arrhythmia. 339 00:16:57,077 --> 00:16:59,035 Teddy, you are bulimic. 340 00:17:09,568 --> 00:17:11,787 That's quite the cocktail. 341 00:17:11,961 --> 00:17:13,789 Not the kind I was hoping we'd share, but here we are. 342 00:17:15,661 --> 00:17:18,229 Not exactly what I would have worn either. 343 00:17:18,403 --> 00:17:21,101 We're hoping the antibiotics will clear the remaining infected areas 344 00:17:21,275 --> 00:17:22,233 of your sinuses and brain. 345 00:17:24,365 --> 00:17:26,672 I feel like I'm already getting the VIP treatment from you. 346 00:17:27,586 --> 00:17:29,283 Dr. Reznick was right. 347 00:17:29,457 --> 00:17:31,720 She said your flower game was very solid. 348 00:17:35,115 --> 00:17:36,116 She stopped by? 349 00:17:36,290 --> 00:17:36,943 Yes. 350 00:17:38,814 --> 00:17:40,338 Ostensibly to check on me, 351 00:17:41,730 --> 00:17:43,079 but mostly to sing your praises. 352 00:17:44,646 --> 00:17:46,387 Not many guys have an ex as a hype man. 353 00:17:47,214 --> 00:17:48,215 Lucky me. 354 00:17:55,266 --> 00:17:56,919 I think it's too soon to discharge Teddy. 355 00:17:57,093 --> 00:17:59,835 He has responded well to electrolyte replacement, 356 00:18:00,009 --> 00:18:01,489 there are no signs of recurrent arrhythmia, 357 00:18:01,663 --> 00:18:03,578 and the hernioplasty only requires simple wound care. 358 00:18:05,232 --> 00:18:07,016 - He's bulimic. - I know. 359 00:18:07,191 --> 00:18:08,714 I diagnosed him, thank you, 360 00:18:08,888 --> 00:18:11,325 after you and Dr. Powell failed to. 361 00:18:11,499 --> 00:18:13,849 Eating disorders have the highest mortality rate of any mental illness. 362 00:18:15,938 --> 00:18:19,028 I referred him for a psych consult 363 00:18:19,203 --> 00:18:21,466 and provided a list of clinics for eating disorders. 364 00:18:21,640 --> 00:18:24,947 He needs help now, not in a few weeks. 365 00:18:25,121 --> 00:18:27,254 Give me some time. Maybe I can get psych to talk to him before he leaves. 366 00:18:27,428 --> 00:18:30,301 Points are given for passion and commitment 367 00:18:30,475 --> 00:18:32,346 and taken away for arguing with an attending. 368 00:18:32,520 --> 00:18:33,347 I don't care about the points. 369 00:18:35,741 --> 00:18:38,483 We can't keep him hospitalized 370 00:18:38,657 --> 00:18:40,659 without a clear surgical indication. 371 00:18:48,928 --> 00:18:50,234 Stop hounding me. 372 00:18:50,408 --> 00:18:52,497 I'm having a coffee. Can I have a coffee? 373 00:18:52,671 --> 00:18:53,976 You're hovering. 374 00:18:54,150 --> 00:18:55,717 I'm excited about the prospect 375 00:18:55,891 --> 00:18:57,545 of getting you back on your feet. 376 00:18:59,765 --> 00:19:02,333 This surgery is not an easy decision. 377 00:19:02,507 --> 00:19:04,030 The surgical plan is a very good one. 378 00:19:04,204 --> 00:19:06,511 Yes, it's a solid plan. 379 00:19:06,685 --> 00:19:07,599 But? 380 00:19:09,340 --> 00:19:13,518 But my life is good right now, really good. 381 00:19:13,692 --> 00:19:15,084 Better than it's been in a while. 382 00:19:15,259 --> 00:19:16,912 And the idea of that changing is-- 383 00:19:17,086 --> 00:19:19,001 Lea said we would go to open houses as a fun hobby, 384 00:19:19,175 --> 00:19:20,829 but now she wants to buy one. 385 00:19:21,003 --> 00:19:22,091 - Shaun, I'm in the middle of a-- - No, you're not. 386 00:19:28,272 --> 00:19:30,926 A house? Okay, well, congratulations. 387 00:19:31,100 --> 00:19:32,580 Look at you two, grown-up-ing. 388 00:19:32,754 --> 00:19:35,017 No, it's a fixer-upper. 389 00:19:35,191 --> 00:19:36,062 Dr. Glassman, I don't like it. 390 00:19:37,193 --> 00:19:39,108 Did you tell Lea that? 391 00:19:39,283 --> 00:19:42,764 No, she is excited when she talks about the house. It makes her happy. 392 00:19:42,938 --> 00:19:44,853 And I think she has been sad lately. 393 00:19:45,941 --> 00:19:47,465 Why has she been sad? 394 00:19:47,639 --> 00:19:49,641 I told you, we have to wait to get pregnant 395 00:19:49,815 --> 00:19:52,252 because of her Asherman's syndrome. 396 00:19:52,426 --> 00:19:55,908 Well, maybe Lea is looking for a way to move you two forward. 397 00:19:57,213 --> 00:20:00,695 You think if we buy that house, 398 00:20:00,869 --> 00:20:02,828 Lea will be less sad? 399 00:20:03,002 --> 00:20:04,830 I don't know, but, you know, buying a house can be exciting. 400 00:20:05,004 --> 00:20:06,788 It's a distraction. Distractions can be useful. 401 00:20:06,962 --> 00:20:08,747 No, no, no. I do not like distractions. 402 00:20:08,921 --> 00:20:11,010 Shaun... 403 00:20:11,184 --> 00:20:13,229 you've been rating residents for quite a while now, 404 00:20:13,404 --> 00:20:15,319 and now all of a sudden, you revamp your entire system? 405 00:20:15,493 --> 00:20:17,233 When did you decide to do that? 406 00:20:17,408 --> 00:20:19,453 Mm, after the sextuplets were born. 407 00:20:19,627 --> 00:20:21,063 Wasn't that around the same time 408 00:20:21,237 --> 00:20:23,327 you found out about Lea's Asherman's? 409 00:20:23,501 --> 00:20:24,850 Yes. 410 00:20:25,024 --> 00:20:26,634 We were both very sad. 411 00:20:29,420 --> 00:20:33,206 You think my new system was a distraction? 412 00:20:33,380 --> 00:20:34,381 Yeah, and-- and now maybe Lea needs one. 413 00:20:35,556 --> 00:20:37,863 Oh, excellent idea. 414 00:20:38,037 --> 00:20:39,343 Thank you, Dr. Glassman. 415 00:20:49,091 --> 00:20:50,876 Brought your ride outta here 416 00:20:51,050 --> 00:20:53,008 and your discharge papers. 417 00:20:54,923 --> 00:20:56,969 Pulled some strings, got you a psych consult 418 00:20:57,143 --> 00:20:58,623 at an eating-disorder clinic day after tomorrow. 419 00:20:58,797 --> 00:21:02,061 Thanks, but I'm good. 420 00:21:02,235 --> 00:21:03,497 This hospital stay was the wake-up call I needed. 421 00:21:06,805 --> 00:21:07,936 You don't have to go through this alone. 422 00:21:10,112 --> 00:21:13,202 Discharge party. I brought drinks. 423 00:21:13,377 --> 00:21:15,204 Special Potassium Powerhouse for my big bro. 424 00:21:17,642 --> 00:21:19,861 So, um, Teddy tells me he has some, like, 425 00:21:20,035 --> 00:21:21,036 freak electrolyte deficiency? 426 00:21:22,473 --> 00:21:23,778 Do you know what caused it? 427 00:21:25,084 --> 00:21:25,563 Teddy's got all the information. 428 00:21:28,174 --> 00:21:31,307 Do I need to make any adjustments to his diet? 429 00:21:31,482 --> 00:21:33,440 It might be a good time to dial back on the weight-loss goals. 430 00:21:33,614 --> 00:21:34,702 Uh, why? 431 00:21:34,876 --> 00:21:36,617 Simon, uh, let's just go. 432 00:21:36,791 --> 00:21:38,663 Is it dangerous for him to diet now? 433 00:21:38,837 --> 00:21:40,142 For how long? 434 00:21:40,316 --> 00:21:42,928 Um, I-I-I can't really say. 435 00:21:43,102 --> 00:21:45,278 Simon, forget it. 436 00:21:45,452 --> 00:21:47,236 It's on me to make sure you're okay. 437 00:21:47,411 --> 00:21:50,022 No, it's actually not. It's my life. 438 00:21:50,196 --> 00:21:51,632 Why are you getting mad at me? I'm just being supportive. 439 00:21:51,806 --> 00:21:53,329 Otherwise known as micromanaging everything I do. 440 00:21:53,504 --> 00:21:56,071 You were miserable and a mess, okay? 441 00:21:56,245 --> 00:21:57,072 I'm the one getting you healthy. 442 00:22:01,425 --> 00:22:02,469 What am I missing? 443 00:22:05,124 --> 00:22:05,820 Tell him. 444 00:22:11,957 --> 00:22:13,828 It wasn't your workouts that took off the weight. 445 00:22:15,613 --> 00:22:16,657 I've been... 446 00:22:18,093 --> 00:22:19,007 purging. 447 00:22:22,837 --> 00:22:24,012 Making myself puke. 448 00:22:32,934 --> 00:22:35,023 Is that what caused your heart thing? 449 00:22:37,678 --> 00:22:39,854 Why would you do something so stupid? 450 00:22:40,028 --> 00:22:42,466 Maybe because you're so obsessed with me not being a fat embarrassment. 451 00:22:42,640 --> 00:22:43,815 - I never said that. - You didn't have to. 452 00:22:43,989 --> 00:22:45,556 You've never been so excited 453 00:22:45,730 --> 00:22:47,383 as when I mentioned maybe losing some weight. 454 00:22:47,558 --> 00:22:49,342 - Because I'm worried about you? - You're ashamed of me. 455 00:22:50,909 --> 00:22:52,301 It's been years since we've hung out, 456 00:22:52,476 --> 00:22:54,390 and now every day, 457 00:22:54,565 --> 00:22:56,349 you're all over me to meet you at the gym. 458 00:22:56,523 --> 00:22:57,916 You're killing yourself, but this is my fault? 459 00:23:00,396 --> 00:23:02,529 Get your own ride home. I don't want to micromanage. 460 00:23:05,184 --> 00:23:05,924 Sim-- 461 00:23:11,669 --> 00:23:12,626 Teddy, I am so sorry. 462 00:23:12,800 --> 00:23:13,497 It's fine. 463 00:23:15,455 --> 00:23:16,543 I can Uber. 464 00:23:22,723 --> 00:23:25,596 - You sent her flowers from me? - You're welcome. 465 00:23:25,770 --> 00:23:27,859 Have you considered that I may not even want to keep seeing Lily? 466 00:23:28,033 --> 00:23:30,383 She's clearly a keeper, and you need a girlfriend. 467 00:23:30,557 --> 00:23:32,080 How is that your business? 468 00:23:32,254 --> 00:23:33,386 Because I need you and I not to make 469 00:23:33,560 --> 00:23:35,388 the same mistake all over again. 470 00:23:35,562 --> 00:23:37,259 We both know we've been teetering on the edge of falling back into us. 471 00:23:37,433 --> 00:23:38,391 You're out of your mind. 472 00:23:38,565 --> 00:23:39,784 Like you haven't thought about it? 473 00:23:39,958 --> 00:23:41,176 You read too much into my friendly gestures. 474 00:23:41,350 --> 00:23:42,090 Like offering me your sperm? 475 00:23:42,264 --> 00:23:44,136 For IVF. 476 00:23:44,310 --> 00:23:45,790 Could the symbolism be any more heavy-handed? 477 00:23:47,792 --> 00:23:49,141 We can't go back. 478 00:23:49,315 --> 00:23:50,795 You made it very clear that I'm not what you wanted, 479 00:23:50,969 --> 00:23:52,144 and I haven't changed. 480 00:23:52,318 --> 00:23:53,101 So I need you to move on. 481 00:24:05,549 --> 00:24:07,202 - How long? - It's just over a minute. 482 00:24:07,376 --> 00:24:09,030 We pushed 2 milligram IV lorazepam. 483 00:24:09,204 --> 00:24:10,292 And the antibiotics clearly aren't working. 484 00:24:10,466 --> 00:24:11,729 Push another 2 lorazepam. 485 00:24:18,910 --> 00:24:20,651 Why do you look like you just watched the first two minutes of Up? 486 00:24:24,829 --> 00:24:25,786 I thought Teddy wasn't gonna get 487 00:24:25,960 --> 00:24:28,093 the help he needed for his bulimia. 488 00:24:28,267 --> 00:24:30,617 I thought maybe his meddling brother might make sure he did. 489 00:24:31,662 --> 00:24:33,359 Not a bad plan. 490 00:24:33,533 --> 00:24:36,275 The execution was... flawed. 491 00:24:36,449 --> 00:24:38,146 So congratulations on your upcoming blowout victory. 492 00:24:39,887 --> 00:24:41,454 Help! Someone call the RRT. 493 00:24:41,628 --> 00:24:43,151 I got it. 494 00:24:50,724 --> 00:24:51,420 Teddy. 495 00:24:54,467 --> 00:24:56,687 He's ruptured his esophagus. Page Dr. Murphy and prep an OR. 496 00:25:12,441 --> 00:25:13,921 Chest tube placed. 497 00:25:14,095 --> 00:25:15,662 The lung drainage is orange? 498 00:25:17,011 --> 00:25:18,360 What's left of the smoothie. 499 00:25:18,534 --> 00:25:21,407 Advance the endoscope. 500 00:25:21,581 --> 00:25:24,671 He is fortunate that you responded so quickly, Dr. Perez. 501 00:25:27,848 --> 00:25:29,676 I pushed Teddy to admit his bulimia to his brother. 502 00:25:31,112 --> 00:25:33,201 They fought, and then he did this. 503 00:25:34,812 --> 00:25:36,552 Oh. That was... 504 00:25:37,815 --> 00:25:38,903 not helpful. 505 00:25:39,077 --> 00:25:40,556 And there is too much damage 506 00:25:40,731 --> 00:25:43,603 for a primary esophageal repair. 507 00:25:43,777 --> 00:25:45,692 We can place an endoscopic stent, wait until edema improves. 508 00:25:45,866 --> 00:25:47,389 It will leak. 509 00:25:47,563 --> 00:25:49,653 What about using omentum as a patch? 510 00:25:49,827 --> 00:25:50,741 The tissue is too friable. 511 00:25:53,700 --> 00:25:55,702 It's usually for kids, but what about gastric transposition? 512 00:25:57,225 --> 00:25:58,487 We could resect the damaged esophagus 513 00:25:58,662 --> 00:25:59,445 and reconstruct it using stomach tissue. 514 00:26:01,621 --> 00:26:03,536 Good idea, Dr. Perez. 515 00:26:03,710 --> 00:26:05,146 This will improve your score. 516 00:26:05,320 --> 00:26:05,712 We need to open him up. 517 00:26:11,196 --> 00:26:13,372 The abscess is not responding to the antibiotics. 518 00:26:13,546 --> 00:26:15,069 The sinus infection is still seeding to the brain. 519 00:26:15,243 --> 00:26:16,636 We could drill an additional burr hole, 520 00:26:16,810 --> 00:26:18,333 get more aggressive with the drainage. 521 00:26:18,507 --> 00:26:19,944 The same approach will get you the same results. 522 00:26:20,118 --> 00:26:21,815 Thanks for the unhelpful cliche. 523 00:26:21,989 --> 00:26:23,121 Lily needs a bifrontal craniotomy 524 00:26:23,295 --> 00:26:24,949 with sinus exenteration. 525 00:26:25,123 --> 00:26:26,341 Remove the skull base on both sides, 526 00:26:26,515 --> 00:26:28,256 then rebuild it to stop bacterial entry. 527 00:26:28,430 --> 00:26:30,171 I'm not taking off Lily's forehead and consigning her 528 00:26:30,345 --> 00:26:31,912 to years of reconstructive surgeries. 529 00:26:32,086 --> 00:26:33,566 You want to save her life or protect her pretty face? 530 00:26:33,740 --> 00:26:35,437 Are you seriously accusing me of acting unethically 531 00:26:35,611 --> 00:26:37,091 because I've been on two dates with her, 532 00:26:37,265 --> 00:26:38,658 after your move with the flowers? 533 00:26:38,832 --> 00:26:40,660 - What move with the flowers? - Shut up. 534 00:26:40,834 --> 00:26:42,531 I'm accusing you of letting your medical judgment be clouded 535 00:26:42,706 --> 00:26:44,011 because you don't want to agree with me. 536 00:26:44,185 --> 00:26:46,057 I'm making the right call for the patient. 537 00:26:46,231 --> 00:26:47,145 Disagreeing with you is an unrelated bonus. 538 00:26:47,319 --> 00:26:48,537 Get Lily and the OR prepped. 539 00:26:53,499 --> 00:26:56,067 Removing the devitalized segment of the esophagus. 540 00:26:58,025 --> 00:26:59,331 We've got a good plane of healthy tissue. 541 00:27:01,420 --> 00:27:04,075 Dr. Perez, 542 00:27:04,249 --> 00:27:06,991 you may perform the two-layered, inverted, hand-sewn anastomosis. 543 00:27:27,533 --> 00:27:28,577 I had a l-late night on a research project. 544 00:27:30,014 --> 00:27:30,797 My hands aren't stable enough. 545 00:27:34,061 --> 00:27:34,670 Dr. Powell should take this. 546 00:27:43,767 --> 00:27:44,768 Starting to suture. 547 00:27:55,300 --> 00:27:57,084 I am ready to go home. 548 00:27:57,258 --> 00:27:59,913 I am not, thanks to Andrews dumping 549 00:28:00,087 --> 00:28:02,089 reconfiguring the remote interface in my lap. 550 00:28:02,263 --> 00:28:04,178 It's weeks, if not months, of debugging code. 551 00:28:04,352 --> 00:28:06,354 Well, that was fast. 552 00:28:06,528 --> 00:28:09,009 When I asked Dr. Andrews to assign you a new project, he could not think of any. 553 00:28:09,183 --> 00:28:10,358 How is your hand? 554 00:28:13,535 --> 00:28:16,495 Annoy-- Annoyed, along with the rest of me. Why would you do that? 555 00:28:16,669 --> 00:28:20,716 Because you have been sad that we have to wait to have a baby. 556 00:28:20,891 --> 00:28:23,894 Work will be a much better distraction than restoring an old house. 557 00:28:26,157 --> 00:28:28,420 That's not a judgment for you to make, Shaun. 558 00:28:28,594 --> 00:28:31,205 I'll pick my own distractions. 559 00:28:31,379 --> 00:28:34,165 And I have been sad. 560 00:28:35,688 --> 00:28:37,821 And that house is just a chance 561 00:28:37,995 --> 00:28:39,910 to make something broken beautiful again. 562 00:28:41,955 --> 00:28:44,479 So is reconfiguring the remote interface. 563 00:28:44,653 --> 00:28:46,786 The house feels like a step forward. 564 00:28:50,311 --> 00:28:52,618 I can really see us being happy in that home, Shaun. 565 00:28:52,792 --> 00:28:55,273 I just wish you would try to see that, too. 566 00:28:59,451 --> 00:29:00,408 Okay. 567 00:29:01,975 --> 00:29:03,585 Okay we can make an offer? 568 00:29:03,759 --> 00:29:05,979 No, I meant, okay, I will try. 569 00:29:08,590 --> 00:29:09,417 Thanks. 570 00:29:11,811 --> 00:29:13,117 I'll see you at home later. 571 00:29:27,609 --> 00:29:28,697 Sorry I'm late. 572 00:29:28,872 --> 00:29:30,308 I had an impulse. 573 00:29:30,482 --> 00:29:32,614 NBA 2K. 574 00:29:32,788 --> 00:29:34,225 Prepare to get smoked. 575 00:29:34,399 --> 00:29:36,836 Mm. Tip-off will have to wait. I'm buried. 576 00:29:37,793 --> 00:29:39,360 Maybe I could help? 577 00:29:39,534 --> 00:29:40,144 Trouble with a case? 578 00:29:41,493 --> 00:29:42,450 Yeah. 579 00:29:43,712 --> 00:29:44,452 My own. 580 00:29:45,758 --> 00:29:46,454 What's happened? 581 00:29:49,457 --> 00:29:51,459 Glassman found movement in my psoas and glutes. 582 00:29:53,244 --> 00:29:56,638 He and Murphy found an endoscopic solution. 583 00:29:56,812 --> 00:29:58,249 They'll de-tether your spinal cord. That's great. 584 00:30:01,165 --> 00:30:02,731 Is there a problem with the surgical plan? 585 00:30:04,124 --> 00:30:07,519 It's quite elegant. 586 00:30:07,693 --> 00:30:08,476 Then what's holding you back? 587 00:30:12,045 --> 00:30:13,829 I feel like we've been living in this bubble, 588 00:30:14,004 --> 00:30:16,006 this perfect bubble, 589 00:30:18,182 --> 00:30:19,923 and if I step outside of it, it will pop. 590 00:30:22,403 --> 00:30:23,230 This surgery... 591 00:30:25,363 --> 00:30:26,190 would change you, 592 00:30:28,409 --> 00:30:29,497 not us. 593 00:30:31,978 --> 00:30:34,241 What we have isn't going to disappear 594 00:30:34,415 --> 00:30:35,503 if you walk again. 595 00:30:38,419 --> 00:30:39,290 You need to believe that. 596 00:30:41,379 --> 00:30:42,075 I want to. 597 00:30:45,339 --> 00:30:46,732 Please. I can't be the reason you say no. 598 00:30:59,701 --> 00:31:02,269 We successfully repaired Teddy's distal esophagus 599 00:31:02,443 --> 00:31:05,229 with reconstructed stomach tissue. 600 00:31:05,403 --> 00:31:07,448 Teddy will be able to eat and swallow normally, 601 00:31:07,622 --> 00:31:10,060 but any further purging will cause irreparable damage. 602 00:31:15,630 --> 00:31:17,545 I thought we were finally close again. 603 00:31:19,373 --> 00:31:20,418 He's been hurting, and I... 604 00:31:23,812 --> 00:31:24,596 I had no idea. 605 00:31:31,864 --> 00:31:32,821 How do I fix this? 606 00:31:36,086 --> 00:31:39,176 Sometimes... trying to fix the problem is the problem. 607 00:31:42,266 --> 00:31:44,529 I went through some tough times, too, 608 00:31:44,703 --> 00:31:48,620 and plenty of people had ideas about how to fix me. 609 00:31:50,970 --> 00:31:52,580 See, I didn't-- I didn't need that. 610 00:31:54,669 --> 00:31:55,583 I just needed them... 611 00:31:58,021 --> 00:32:03,243 to love me, broken or not. 612 00:32:13,514 --> 00:32:15,429 Even though I don't like sanding 613 00:32:15,603 --> 00:32:17,518 and paint is sticky and smells terrible 614 00:32:17,692 --> 00:32:19,390 and power tools are loud and dangerous, 615 00:32:19,564 --> 00:32:22,523 I am positive that we, mostly you, 616 00:32:22,697 --> 00:32:26,527 can make that fixer-upper into a beautiful home for us 617 00:32:26,701 --> 00:32:27,659 and the family we will have. 618 00:32:30,531 --> 00:32:32,620 Are you saying we should buy the house? 619 00:32:35,101 --> 00:32:37,625 If it will make you happy. 620 00:32:40,324 --> 00:32:43,153 I bulldozed you, didn't I? 621 00:32:43,327 --> 00:32:45,633 Yes. But I do not mind. 622 00:32:47,244 --> 00:32:48,071 But I do. 623 00:32:49,550 --> 00:32:50,464 I'm being selfish. 624 00:32:52,814 --> 00:32:53,641 Thank you for letting me. 625 00:32:59,299 --> 00:33:02,128 But the only step forward I need right now 626 00:33:02,302 --> 00:33:03,651 is one we make together. 627 00:33:05,566 --> 00:33:07,177 Let's find a place we both love. 628 00:33:10,093 --> 00:33:11,050 That is a good approach. 629 00:33:14,401 --> 00:33:15,663 And, also, let's get my hand checked out. It does really hurt. 630 00:33:19,493 --> 00:33:20,538 Advancing into the abscess. 631 00:33:21,756 --> 00:33:23,280 Couldn't stay away? 632 00:33:23,454 --> 00:33:25,195 Lily is my patient. I admitted her. 633 00:33:28,372 --> 00:33:30,287 Resecting last bits of capsule from the abscess cavity. 634 00:33:33,768 --> 00:33:35,030 Got it. Pulling the scope. 635 00:33:38,338 --> 00:33:41,211 Heart rate's 32. BP, 210/122. 636 00:33:41,385 --> 00:33:43,822 Her brain is starting to herniate out of the burr holes. 637 00:33:43,996 --> 00:33:45,867 Give 100 grams mannitol, burst suppress high-dose propofol. 638 00:33:46,041 --> 00:33:47,347 That won't be enough. Get her CO2 below 30. 639 00:33:47,521 --> 00:33:49,262 I'm aware. Place an EVD. 640 00:33:49,436 --> 00:33:52,091 - Should we pivot to the bifrontal craniotomy? - No time. 641 00:33:52,265 --> 00:33:55,007 Can you connect the burr holes and run a small craniotomy flap? 642 00:33:55,181 --> 00:33:57,792 No, but a hemicraniectomy will reduce the brain pressure. 643 00:33:57,966 --> 00:33:59,403 And then you can debride the skull-base infection. 644 00:33:59,577 --> 00:34:01,013 - Good. - Good. 645 00:34:02,884 --> 00:34:03,972 Mm, that was hot. 646 00:34:13,199 --> 00:34:16,594 Doing this surgery is a good decision. 647 00:34:17,812 --> 00:34:19,553 - I hope so. - Doubts? 648 00:34:21,251 --> 00:34:23,731 No. I'm a little nervous, but no doubts. 649 00:34:27,126 --> 00:34:29,215 Thank you both for not giving up. 650 00:34:32,436 --> 00:34:33,263 You're welcome. 651 00:34:36,440 --> 00:34:37,571 We'll see you in recovery. 652 00:34:45,840 --> 00:34:46,537 Welcome back. 653 00:34:49,192 --> 00:34:49,757 You've got a visitor. 654 00:34:57,635 --> 00:34:58,636 You're okay? 655 00:35:01,508 --> 00:35:03,293 Getting there. 656 00:35:03,467 --> 00:35:05,556 No gym for a while. You need time to heal. 657 00:35:07,210 --> 00:35:07,993 I'm on it, doc. 658 00:35:13,912 --> 00:35:15,000 Remember when we were kids, 659 00:35:17,002 --> 00:35:18,046 you made me watch Alien vs. Predator? 660 00:35:21,789 --> 00:35:23,269 I had to let you sleep in my room for three months. 661 00:35:26,577 --> 00:35:29,884 Turns out the combined Alien/Predator canon includes 13 movies. 662 00:35:32,060 --> 00:35:32,800 You and I are gonna watch them together. 663 00:35:35,629 --> 00:35:36,804 If that's cool with you. 664 00:35:40,025 --> 00:35:40,808 Sounds stupid. 665 00:35:43,811 --> 00:35:45,030 But fun. 666 00:36:05,442 --> 00:36:07,487 Looks like both brothers are on the mend. 667 00:36:07,661 --> 00:36:09,489 Take video. Maybe Murphy will give you some points. 668 00:36:09,663 --> 00:36:11,709 I'm good. 669 00:36:15,626 --> 00:36:18,237 What happened in the OR when you handed over the anastomosis? 670 00:36:20,500 --> 00:36:21,327 Just didn't feel like my day. 671 00:36:25,549 --> 00:36:28,856 I devised my first-year-resident rating system 672 00:36:29,030 --> 00:36:31,032 as a distraction. 673 00:36:31,206 --> 00:36:33,992 It was very complicated and encouraged too much competition. 674 00:36:34,166 --> 00:36:36,124 So I have decided to retire it. 675 00:37:02,020 --> 00:37:02,890 You okay? 676 00:37:06,590 --> 00:37:09,114 Easily the worst date I've ever been on. 677 00:37:09,288 --> 00:37:10,985 Well, the next one, I'll put the rest of your skull back on. 678 00:37:13,597 --> 00:37:15,512 We have to wait until the swelling in your brain has gone down. 679 00:37:20,343 --> 00:37:21,169 Am I gonna be okay? 680 00:37:23,346 --> 00:37:25,435 You've got a long road ahead, but yes. 681 00:37:27,350 --> 00:37:29,395 And you won't be alone. 682 00:37:34,052 --> 00:37:35,488 That's a lot of commitment... 683 00:37:38,535 --> 00:37:40,928 especially when you and Dr. Reznick don't really seem done. 684 00:37:46,978 --> 00:37:48,719 Thanks for everything... 685 00:37:50,547 --> 00:37:51,548 Dr. Park. 686 00:38:00,644 --> 00:38:01,427 I'm glad you didn't move on... 687 00:38:03,777 --> 00:38:04,517 from the case. 688 00:38:06,824 --> 00:38:07,825 Glad you listened. 689 00:38:07,999 --> 00:38:08,956 I'm working on it. 690 00:38:11,959 --> 00:38:14,962 Lily will be lucky to have you through her recovery, 691 00:38:15,136 --> 00:38:16,529 unless you decided not to see her anymore. 692 00:38:19,532 --> 00:38:21,360 You were right. She's a keeper. 693 00:38:24,232 --> 00:38:24,972 Then I'm happy for you two. 694 00:38:37,028 --> 00:38:38,856 Visiting hours still open? 695 00:38:39,030 --> 00:38:41,511 They don't usually let visitors into pre-op. 696 00:38:41,685 --> 00:38:42,990 Well, nobody says no to a guy in a wheelchair. 697 00:38:43,948 --> 00:38:46,341 I had to see you. 698 00:38:46,516 --> 00:38:52,565 I recognize this is terrible timing and kind of bonkers, 699 00:38:52,739 --> 00:38:54,306 but I couldn't let you go in before asking. 700 00:38:57,875 --> 00:38:58,745 Audrey... 701 00:39:03,968 --> 00:39:05,230 will you marry me? 702 00:39:12,411 --> 00:39:13,020 Definitely bonkers. 703 00:39:14,369 --> 00:39:16,023 I don't expect an answer now. 704 00:39:19,462 --> 00:39:22,639 This? This is me telling you that I am all in. 705 00:39:30,821 --> 00:39:31,517 Thank you. 706 00:39:37,871 --> 00:39:38,611 That's my cue. 707 00:39:40,744 --> 00:39:41,571 I'll be waiting. 708 00:39:46,140 --> 00:39:47,925 Do I look as silly as this feels? 709 00:39:49,187 --> 00:39:50,057 Ms. DiLallo? 710 00:39:53,974 --> 00:39:55,062 We're gonna have to postpone your CT. 711 00:40:02,940 --> 00:40:05,377 ♪ Talk to me ♪ 712 00:40:05,551 --> 00:40:07,248 ♪ She wants to know What's stuffed inside ♪ 713 00:40:07,422 --> 00:40:08,728 ♪ That's tearing me ♪ 714 00:40:10,600 --> 00:40:13,080 ♪ I don't have an answer For you now ♪ 715 00:40:14,778 --> 00:40:16,910 ♪ Stick around I'll find a reason ♪ 716 00:40:17,084 --> 00:40:21,132 ♪ Tell me what makes Tell me what makes you sad... ♪ 717 00:40:21,306 --> 00:40:23,395 I brought ice cream. 718 00:40:23,569 --> 00:40:25,223 Better let me in before it melts. 719 00:40:25,397 --> 00:40:28,487 ♪ I said, "Well It's more than you know" ♪ 720 00:40:31,272 --> 00:40:32,099 Danny? 721 00:40:33,623 --> 00:40:34,885 Danny! 722 00:40:35,059 --> 00:40:36,756 ♪ I wouldn't break your heart ♪ 723 00:40:36,930 --> 00:40:39,106 ♪ If I was you I'd fall apart ♪ 724 00:40:39,280 --> 00:40:41,892 ♪ Next to this beating Bruising art ♪ 725 00:40:42,066 --> 00:40:43,589 No. No, no, no, no, no. 726 00:40:43,763 --> 00:40:45,460 No, no. Danny. 727 00:40:45,635 --> 00:40:46,636 Danny. 728 00:40:48,855 --> 00:40:51,902 ♪ You leave me hanging And hoping ♪ 729 00:40:52,076 --> 00:40:55,993 ♪ Ooo-ooh, tell me What makes you sad... ♪ 730 00:40:58,386 --> 00:40:59,344 Shaun. 731 00:40:59,518 --> 00:41:00,606 W-What's wrong? 732 00:41:02,652 --> 00:41:03,914 I'm-- I'm pregnant. 733 00:41:07,657 --> 00:41:10,181 My OB told us it isn't safe for me, or the baby. 734 00:41:11,661 --> 00:41:12,836 And, um... 735 00:41:13,010 --> 00:41:14,141 And I'm really scared. 736 00:41:21,409 --> 00:41:22,149 Okay. 737 00:41:25,631 --> 00:41:29,461 You told me to imagine what could be. 738 00:41:30,941 --> 00:41:32,377 Yeah. 739 00:41:32,551 --> 00:41:33,421 Let's do that... 740 00:41:36,207 --> 00:41:37,904 together. 741 00:41:38,078 --> 00:41:39,079 ♪ You said "Tell me what makes ♪ 742 00:41:39,253 --> 00:41:42,343 ♪ Tell me what makes you sad ♪ 743 00:41:42,517 --> 00:41:44,868 ♪ Oh, tell me what makes Tell me what makes you sad" ♪