1 00:00:34,951 --> 00:00:37,027 Today is not Saturday. 2 00:00:37,028 --> 00:00:38,847 Why did you make me pancakes? 3 00:00:38,872 --> 00:00:41,213 They are fresh start pancakes. 4 00:00:41,238 --> 00:00:43,695 Like the first day of school every year 5 00:00:43,720 --> 00:00:45,777 when you get to wear a brand-new outfit. 6 00:00:47,665 --> 00:00:49,832 Well, not everyone wore a new outfit. 7 00:00:49,857 --> 00:00:51,902 But the rule in this house 8 00:00:51,927 --> 00:00:54,041 is that when you start a new life event, 9 00:00:54,066 --> 00:00:55,363 you get pancakes. 10 00:00:55,388 --> 00:00:59,574 I... don't want a fresh start. 11 00:00:59,599 --> 00:01:01,670 I want to stay in surgery. 12 00:01:03,255 --> 00:01:04,757 I know. 13 00:01:04,782 --> 00:01:07,089 And I am really proud of you 14 00:01:07,114 --> 00:01:09,454 for handling it all so... 15 00:01:19,680 --> 00:01:22,222 Doctors... please give me one more minute. 16 00:01:22,247 --> 00:01:24,763 We have an associate pastor at the church, 17 00:01:24,788 --> 00:01:28,219 but Clarence likes to write the sermons. 18 00:01:28,220 --> 00:01:29,342 - Sorry. - Please. 19 00:01:29,367 --> 00:01:31,082 Although this is important too. 20 00:01:31,107 --> 00:01:33,970 The surgery consists of two steps... 21 00:01:33,995 --> 00:01:36,336 first we fuse the spine to stabilize it, 22 00:01:36,361 --> 00:01:37,936 and then we remove the tumor. 23 00:01:37,961 --> 00:01:39,988 Because the cancer has spread to your lymph nodes, 24 00:01:40,013 --> 00:01:41,751 you'll still have to follow up with chemo. 25 00:01:43,806 --> 00:01:46,069 Clarence, are you in pain? 26 00:01:46,070 --> 00:01:48,758 Quite a bit actually, but I'm fine. 27 00:01:48,783 --> 00:01:50,289 Well, since what's causing your pain 28 00:01:50,314 --> 00:01:52,307 is the tumor pushing against your spine, 29 00:01:52,332 --> 00:01:54,151 the spinal fusion will ease pressure on your nerves 30 00:01:54,176 --> 00:01:55,404 and should eliminate your pain. 31 00:01:55,429 --> 00:01:58,940 Please, I, uh... I need this pain. 32 00:02:00,195 --> 00:02:02,731 Can't you just do the second part and remove the tumor? 33 00:02:02,732 --> 00:02:03,924 If we don't fuse the spine, 34 00:02:03,949 --> 00:02:06,637 it'll make removing the tumor a lot more difficult. 35 00:02:06,662 --> 00:02:08,308 More difficult, but it can be done? 36 00:02:08,333 --> 00:02:10,151 It can. But I recommend against it. 37 00:02:10,176 --> 00:02:12,540 Especially since there's no reason not to. 38 00:02:19,674 --> 00:02:21,668 I did something... 39 00:02:23,711 --> 00:02:25,379 ...unforgivable. 40 00:02:27,294 --> 00:02:30,505 This pain is my punishment. 41 00:02:36,931 --> 00:02:40,560 Can I ask what you did that was so bad? 42 00:02:43,318 --> 00:02:44,893 I killed someone. 43 00:02:50,659 --> 00:02:58,644 Synced & corrected by -robtor- www.addic7ed.com 44 00:03:16,446 --> 00:03:17,855 My sister and I were 45 00:03:17,880 --> 00:03:19,594 coming home from climbing Mt. Whitney. 46 00:03:19,619 --> 00:03:21,333 We're doing the State 50 climbs. 47 00:03:21,358 --> 00:03:23,178 The numbness started during the climb? 48 00:03:23,203 --> 00:03:25,833 First my hands, and then my feet. 49 00:03:27,725 --> 00:03:29,499 - You have a headache? - Yeah. 50 00:03:29,500 --> 00:03:31,331 High altitude causes headaches. 51 00:03:31,356 --> 00:03:32,795 Dehydration compounds it. 52 00:03:32,820 --> 00:03:34,536 From now on just... climb slower. 53 00:03:34,561 --> 00:03:35,776 And drink more. 54 00:03:39,536 --> 00:03:41,598 Tell them about the other thing. 55 00:03:45,144 --> 00:03:46,337 Before leaving for the mountain, 56 00:03:46,362 --> 00:03:50,859 I had this weird sensation like... 57 00:03:50,884 --> 00:03:52,181 dread. 58 00:03:52,206 --> 00:03:54,134 I couldn't shake it. 59 00:03:55,338 --> 00:03:58,422 Well, when people describe a sense of impending doom, 60 00:03:58,423 --> 00:03:59,789 it's usually anxiety. 61 00:03:59,814 --> 00:04:02,073 No, it was like a premonition... 62 00:04:04,728 --> 00:04:06,909 ...that I was going to die. 63 00:04:09,243 --> 00:04:11,980 - I'm sure it was... - Dr. Park will run a brain scan, 64 00:04:11,981 --> 00:04:13,242 and we'll do some lab work. 65 00:05:02,196 --> 00:05:03,829 Shaun. 66 00:05:04,354 --> 00:05:06,363 Hello, Dr. Lever. 67 00:05:06,364 --> 00:05:08,079 Carly is fine. 68 00:05:08,104 --> 00:05:09,888 Welcome to pathology. 69 00:05:12,700 --> 00:05:15,458 It is going to be great working with you. 70 00:05:21,401 --> 00:05:23,460 What do you think? 71 00:05:25,746 --> 00:05:27,882 I know it's a lot to take in. 72 00:05:27,883 --> 00:05:30,675 It's kind of like your first time at Disneyland, right? 73 00:05:30,700 --> 00:05:32,936 I've never been to Disneyland. 74 00:05:35,993 --> 00:05:37,847 Let me give you a tour. 75 00:05:37,872 --> 00:05:40,109 Cytopathology, forensics, 76 00:05:40,134 --> 00:05:42,543 genomics, microbiology. 77 00:05:42,568 --> 00:05:44,593 We get to identify organisms, 78 00:05:44,594 --> 00:05:47,003 interpret cell morphology, 79 00:05:47,028 --> 00:05:49,891 sequence genes. 80 00:05:50,792 --> 00:05:53,544 Is that a D300e 81 00:05:53,569 --> 00:05:56,258 pathogen antibacterial bioprinter? 82 00:05:56,283 --> 00:05:57,763 It's new. 83 00:05:57,764 --> 00:06:01,044 You're working on antibiotic resistance 84 00:06:01,069 --> 00:06:02,692 in emerging microorganisms? 85 00:06:02,693 --> 00:06:04,581 It's "we" now, Shaun. 86 00:06:04,606 --> 00:06:05,868 Yes, we are. 87 00:06:08,518 --> 00:06:09,974 Do you want to play with it? 88 00:06:11,612 --> 00:06:13,453 Very much. 89 00:06:13,478 --> 00:06:15,018 Go ahead. 90 00:06:15,043 --> 00:06:17,106 It's kind of your job now. 91 00:06:21,653 --> 00:06:23,241 We are the detectives. 92 00:06:23,801 --> 00:06:25,944 Surgeons are just the beat cops. 93 00:06:32,179 --> 00:06:34,938 Our best bet is to try to separate the tumor 94 00:06:34,963 --> 00:06:37,081 from his cord, and then resect it. 95 00:06:37,082 --> 00:06:38,970 Okay, this is insane. 96 00:06:38,995 --> 00:06:40,536 You know how he "killed" a person? 97 00:06:40,561 --> 00:06:43,224 He was counseling a parishioner who committed suicide. 98 00:06:43,225 --> 00:06:44,453 That must have been traumatic. 99 00:06:44,478 --> 00:06:46,818 Traumatic, yes. Murder, no. 100 00:06:46,843 --> 00:06:49,045 Hey, I know it's stupid, but he has autonomy. 101 00:06:49,070 --> 00:06:51,202 I didn't stay stupid. I said "insane." 102 00:06:51,227 --> 00:06:54,558 You want to override his wishes because he's religious? 103 00:06:54,559 --> 00:06:57,109 Something like 90% of Americans believe in God. 104 00:06:57,134 --> 00:06:59,962 I'm one of them. Are we all mentally impaired? 105 00:06:59,987 --> 00:07:02,362 Should you ignore us all if you don't like our choices? 106 00:07:02,387 --> 00:07:04,798 Only those getting divine messages from their tumors. 107 00:07:04,823 --> 00:07:06,503 - He's not crazy. - Okay, you're right. 108 00:07:06,528 --> 00:07:09,077 He is just stupid. But don't we have a duty to educate him? 109 00:07:09,102 --> 00:07:11,008 You're gonna talk him out of his religion? 110 00:07:11,033 --> 00:07:12,141 No. 111 00:07:12,166 --> 00:07:15,897 You told him the surgery was more dangerous this way. 112 00:07:15,922 --> 00:07:19,120 I don't think he appreciated how much more dangerous. 113 00:07:20,652 --> 00:07:21,883 Good idea. 114 00:07:22,777 --> 00:07:25,291 He thinks he'll go to hell if he dies before he's forgiven. 115 00:07:25,971 --> 00:07:28,109 Make sure he knows it can happen on the table. 116 00:07:35,691 --> 00:07:37,259 An MRI for anxiety? 117 00:07:37,284 --> 00:07:39,312 It does fly in the face of reducing 118 00:07:39,337 --> 00:07:41,504 unnecessary medical tests. 119 00:07:41,529 --> 00:07:43,045 When I was a resident, 120 00:07:43,046 --> 00:07:45,532 I had a patient come through the E.R. 121 00:07:45,835 --> 00:07:47,375 Female. 35 years old. 122 00:07:47,400 --> 00:07:49,463 Slight cough. Slightly hypothyroid. 123 00:07:49,488 --> 00:07:51,372 Normal vitals. 124 00:07:51,373 --> 00:07:54,479 I labeled her a whiner because she kept insisting, 125 00:07:54,504 --> 00:07:56,342 "I'm gonna die." 126 00:07:56,343 --> 00:07:57,987 I sent her home. 127 00:07:58,012 --> 00:07:59,413 And she died? 128 00:07:59,438 --> 00:08:01,779 No. She kept coming back. 129 00:08:01,804 --> 00:08:04,563 Over and over again. 130 00:08:04,588 --> 00:08:07,854 We do this test, we prove there's nothing wrong with her, 131 00:08:07,879 --> 00:08:09,931 we send her home reassured. 132 00:08:18,707 --> 00:08:20,233 Damn. 133 00:08:22,693 --> 00:08:25,348 The MRI showed a high grade meningioma. 134 00:08:25,373 --> 00:08:27,679 An advanced tumor that grows in the tissue layers 135 00:08:27,704 --> 00:08:29,210 that cover the brain. 136 00:08:29,235 --> 00:08:33,895 Its features are consistent with it being malignant. 137 00:08:37,501 --> 00:08:39,514 These tumors tend to be aggressive 138 00:08:39,539 --> 00:08:42,338 and impossible to fully resect. 139 00:08:43,117 --> 00:08:45,800 Um, so what... what can you do? 140 00:08:46,843 --> 00:08:48,484 Palliative care, 141 00:08:48,509 --> 00:08:50,816 symptom control with medications. 142 00:09:05,245 --> 00:09:07,237 You're risking spinal damage, 143 00:09:07,262 --> 00:09:09,483 paralysis... death. 144 00:09:09,484 --> 00:09:12,800 If that's what God chooses, then that is his will. 145 00:09:12,825 --> 00:09:16,522 If you have cancer because he wants you to have cancer, 146 00:09:16,547 --> 00:09:18,366 why are you here? Getting treatment? 147 00:09:18,391 --> 00:09:21,378 I'm here because I believe in science. 148 00:09:22,427 --> 00:09:26,800 I am who I am because I believe in God. 149 00:09:27,680 --> 00:09:29,673 So do you think all people who are sick 150 00:09:29,698 --> 00:09:31,030 are being punished? 151 00:09:32,055 --> 00:09:34,057 I mean, we have an eight-year-old down the hall 152 00:09:34,082 --> 00:09:35,725 with bone cancer, 153 00:09:36,664 --> 00:09:38,135 you want to go tell her God hates her? 154 00:09:38,160 --> 00:09:41,545 I'm sure that girl is not suffering as a punishment. 155 00:09:42,232 --> 00:09:44,885 She's suffering so others may have a chance 156 00:09:44,910 --> 00:09:47,153 to show her mercy, 157 00:09:47,624 --> 00:09:50,405 to show her compassion, so she can inspire. 158 00:09:52,319 --> 00:09:53,477 I don't know His plan, 159 00:09:53,502 --> 00:09:54,695 but I know it's not as simple as you would... 160 00:09:54,720 --> 00:09:57,288 No. No, it's not simple. 161 00:09:58,442 --> 00:10:00,145 Except for your pain. 162 00:10:09,228 --> 00:10:10,699 His name was Michael. 163 00:10:18,309 --> 00:10:20,197 His wife found his body. 164 00:10:20,222 --> 00:10:22,249 You had no idea. 165 00:10:22,274 --> 00:10:24,268 I knew he was depressed. 166 00:10:24,293 --> 00:10:26,111 But you thought he was getting better. 167 00:10:28,644 --> 00:10:30,405 I didn't take his call. 168 00:10:31,116 --> 00:10:33,248 Because I was having a drink. 169 00:10:36,161 --> 00:10:39,831 It'd been a long day dealing with the renovations, 170 00:10:40,075 --> 00:10:42,067 and I was having a damn drink. 171 00:10:51,068 --> 00:10:52,261 Hey, Shaun. 172 00:10:52,286 --> 00:10:54,136 Hey, Carly. 173 00:10:54,137 --> 00:10:56,651 I started Sadie Barnes on anti-seizure medication, 174 00:10:56,676 --> 00:10:58,767 need you to run a peak phenytoin level. 175 00:10:59,425 --> 00:11:01,105 The couriers must be happy that the surgeons 176 00:11:01,130 --> 00:11:03,598 are doing their own specimen deliveries. 177 00:11:06,070 --> 00:11:07,633 How you doing down here? 178 00:11:09,798 --> 00:11:13,496 Carly says pathologists are the detectives, 179 00:11:13,521 --> 00:11:15,537 surgeons are just the beat cops. 180 00:11:21,383 --> 00:11:23,794 Shaun, are you happy here? 181 00:11:23,819 --> 00:11:26,603 When did you give the patient her loading dose? 182 00:11:26,628 --> 00:11:28,129 One hour ago. Hmm. 183 00:11:29,102 --> 00:11:31,774 Shaun, if you're happy, that's great. 184 00:11:31,799 --> 00:11:33,617 But if you're not, 185 00:11:33,642 --> 00:11:35,372 you have to tell Han how you feel. 186 00:11:35,403 --> 00:11:37,388 You need to show him you care 187 00:11:37,413 --> 00:11:39,267 and that you believe in yourself. 188 00:11:45,206 --> 00:11:47,060 Do you need this done STAT? 189 00:11:47,085 --> 00:11:48,973 No. She's asymptomatic. 190 00:11:48,998 --> 00:11:50,782 - It's just for seizure prevention. - Good. 191 00:11:50,807 --> 00:11:52,140 Carly says that in pathology 192 00:11:52,165 --> 00:11:53,983 you can take a break whenever you want. 193 00:11:54,008 --> 00:11:56,906 I want to take a break now. I'm going for a walk. 194 00:12:02,184 --> 00:12:03,864 He shouldn't be in pathology. 195 00:12:03,889 --> 00:12:06,251 - He's a good surgical resident. - You're right. 196 00:12:06,276 --> 00:12:07,921 - Then you'll move him back? - No. 197 00:12:07,946 --> 00:12:10,009 You're wrong about that part. He should be in pathology. 198 00:12:10,034 --> 00:12:11,852 - But he was a good surgical resident. - Then why... 199 00:12:11,877 --> 00:12:14,984 Because he'll never be a good surgeon. 200 00:12:15,009 --> 00:12:16,167 How do you think he'll do in three years 201 00:12:16,192 --> 00:12:18,011 when no one's looking over his shoulder? 202 00:12:18,036 --> 00:12:20,898 When he's looking over someone else's shoulder? 203 00:12:20,923 --> 00:12:23,752 Supervising new residents, leading grand rounds, 204 00:12:23,777 --> 00:12:26,118 advocating for vulnerable patients. 205 00:12:26,143 --> 00:12:28,437 Do you see him doing any of that without a safety net? 206 00:12:30,611 --> 00:12:32,951 We can help him get there. 207 00:12:32,977 --> 00:12:34,692 Just because he wants to be a surgeon, 208 00:12:34,717 --> 00:12:36,048 just because you want him to be a surgeon, 209 00:12:36,073 --> 00:12:38,623 doesn't mean he gets to have that dream come true. 210 00:12:40,004 --> 00:12:41,858 Has it occurred to you that maybe 211 00:12:41,883 --> 00:12:44,180 we know Shaun better than you do? 212 00:12:44,205 --> 00:12:46,232 Has it occurred to you that 213 00:12:46,257 --> 00:12:47,624 that might be your problem? 214 00:12:47,649 --> 00:12:50,685 That your view of him might be distorted because you like him? 215 00:12:50,970 --> 00:12:52,162 Has it occurred to you 216 00:12:52,187 --> 00:12:54,232 that maybe he's better off in pathology? 217 00:12:54,257 --> 00:12:55,925 That maybe he'll even like it? 218 00:12:56,852 --> 00:12:58,358 Do you care? 219 00:12:58,970 --> 00:13:00,750 I thought you might. 220 00:13:05,715 --> 00:13:08,146 We need better ventral exposure. 221 00:13:08,171 --> 00:13:10,221 Drill off more of the pedicle and vertebral body. 222 00:13:11,722 --> 00:13:13,755 Ligate the exiting nerve root. 223 00:13:13,780 --> 00:13:15,878 We'll take it with the tumor for a wider margin. 224 00:13:20,559 --> 00:13:22,026 I can't see it. 225 00:13:22,051 --> 00:13:23,592 The tumor's causing the spinal cord 226 00:13:23,617 --> 00:13:24,810 to be bowed up to us. 227 00:13:27,941 --> 00:13:30,501 We need more exposure to get around and in front of it. 228 00:13:31,029 --> 00:13:33,440 The vertebrae is too fragmented and displaced. 229 00:13:33,465 --> 00:13:35,005 We can't get a complete resection 230 00:13:35,030 --> 00:13:36,571 without stabilization. 231 00:13:36,596 --> 00:13:38,153 He's tanking. 232 00:13:38,178 --> 00:13:39,545 Probably spinal shock from tension on the cord. 233 00:13:39,550 --> 00:13:40,603 We need to abort. 234 00:13:46,161 --> 00:13:48,811 All right, on three. One, two, three. 235 00:13:49,919 --> 00:13:51,251 You fixed me! 236 00:13:51,731 --> 00:13:54,132 - No, no. - What happened to my pain?! 237 00:13:54,157 --> 00:13:57,235 - Stop! - We didn't fix you. 238 00:13:57,829 --> 00:14:01,283 There was a complication. We injected anesthetic. 239 00:14:01,950 --> 00:14:03,405 It'll wear off. 240 00:14:03,430 --> 00:14:04,763 We had to stop the surgery 241 00:14:04,788 --> 00:14:06,223 before we could remove the tumor. 242 00:14:07,013 --> 00:14:08,243 You went into shock. 243 00:14:08,873 --> 00:14:11,584 We lost your heart rate and blood pressure. 244 00:14:12,335 --> 00:14:15,793 We warned it would be a trickier surgery without the fusion. 245 00:14:15,818 --> 00:14:18,298 Nothing has changed. The anesthetic will wear off, 246 00:14:18,323 --> 00:14:21,082 the pain will come back, but worse. 247 00:14:21,107 --> 00:14:22,299 When can you try again? 248 00:14:22,325 --> 00:14:25,500 Try again? We failed. 249 00:14:26,863 --> 00:14:28,855 There is no reason to think we will succeed 250 00:14:28,880 --> 00:14:31,291 - next time unless we do the fusion... - But you know what the issues are, 251 00:14:31,316 --> 00:14:33,866 - you learned... - Why haven't you? 252 00:14:37,927 --> 00:14:40,406 Do think God wants you to die? 253 00:14:47,529 --> 00:14:49,313 Please. 254 00:14:50,164 --> 00:14:51,818 Try again. 255 00:14:55,427 --> 00:14:58,660 Cyanide poisoning. 256 00:14:59,889 --> 00:15:02,427 The cause of death on the Atlin case. 257 00:15:05,051 --> 00:15:06,730 You know how I found it? 258 00:15:06,755 --> 00:15:10,720 I smelled it... almonds. 259 00:15:15,921 --> 00:15:18,439 Dr. Park's patient. 260 00:15:18,464 --> 00:15:20,979 I flagged her eosinophil count... 261 00:15:21,004 --> 00:15:22,858 it doesn't match up with the diagnosis 262 00:15:22,883 --> 00:15:25,467 of advanced meningioma listed on the requisition. 263 00:15:25,492 --> 00:15:28,564 Great. Nice work. 264 00:15:28,589 --> 00:15:31,487 I'm going to talk to Dr. Lim about it. 265 00:15:31,512 --> 00:15:32,809 Whoa there, Shaun. Hold up. 266 00:15:32,834 --> 00:15:35,000 You don't need to do that. 267 00:15:35,025 --> 00:15:37,054 The attendings are on the lookout for the flags. 268 00:15:37,079 --> 00:15:39,767 - They'll run with it. - I want to run with it. 269 00:15:39,792 --> 00:15:42,133 You've been on the receiving end... you know how it works. 270 00:15:42,158 --> 00:15:46,169 How it works is I see something abnormal 271 00:15:46,194 --> 00:15:48,221 and then I discuss it with the team, 272 00:15:48,246 --> 00:15:50,065 and we plan how we'll fix it. 273 00:15:50,090 --> 00:15:51,770 We run with it. 274 00:15:52,416 --> 00:15:58,015 Shaun, once a test is done, we move on to the next one. 275 00:16:00,644 --> 00:16:04,364 I'd like to... take a walk. 276 00:16:06,592 --> 00:16:08,586 Are you going to walk to Dr. Lim 277 00:16:08,611 --> 00:16:10,487 and discuss this case, Shaun? 278 00:16:15,561 --> 00:16:18,110 That's not what we do here. 279 00:16:18,135 --> 00:16:22,807 We investigate, report, and then we move on. 280 00:16:24,849 --> 00:16:26,669 Are you gonna be able to do that... 281 00:16:26,694 --> 00:16:28,221 move on? 282 00:16:29,199 --> 00:16:31,182 I don't know. 283 00:16:31,739 --> 00:16:35,472 But I will try very hard. 284 00:16:39,011 --> 00:16:40,829 Next time. 285 00:16:50,422 --> 00:16:51,615 Dr. Browne. 286 00:16:51,640 --> 00:16:53,458 Is this about a patient? 287 00:16:53,955 --> 00:16:55,534 No. 288 00:16:57,102 --> 00:16:58,317 Come in. 289 00:17:00,727 --> 00:17:02,547 I've heard a lot about you... 290 00:17:03,128 --> 00:17:04,947 I'm aware you stood up to a supervisor. 291 00:17:04,972 --> 00:17:06,362 Is that what's happening now? 292 00:17:08,989 --> 00:17:13,347 Um, I put together a list of cases 293 00:17:13,372 --> 00:17:16,374 which Dr. Murphy contributed to. 294 00:17:16,399 --> 00:17:17,687 Uniquely. 295 00:17:18,452 --> 00:17:19,680 You're a loyal friend. 296 00:17:20,238 --> 00:17:22,191 I've specified the ideas he had... 297 00:17:22,539 --> 00:17:25,541 ideas that no one else around here could have... 298 00:17:25,566 --> 00:17:27,164 Do you think I hate him? 299 00:17:29,224 --> 00:17:30,266 No. 300 00:17:34,227 --> 00:17:36,916 But I think 301 00:17:36,941 --> 00:17:38,470 you might be biased against him 302 00:17:38,471 --> 00:17:39,872 because of his condition. 303 00:17:39,897 --> 00:17:41,194 So he doesn't have communication issues? 304 00:17:41,219 --> 00:17:43,560 - I'm wrong about that? - No. But he... 305 00:17:43,585 --> 00:17:46,274 If he had the flu, I would tell him to stay home 306 00:17:46,299 --> 00:17:48,466 until he got better. 307 00:17:48,491 --> 00:17:49,858 He has autism... 308 00:17:50,428 --> 00:17:52,710 I could tell him to stay home until he gets better. 309 00:17:52,735 --> 00:17:55,911 Instead I found a place for him to help us, 310 00:17:55,936 --> 00:17:57,987 to save lives. 311 00:17:59,172 --> 00:18:00,364 And you should know 312 00:18:00,389 --> 00:18:02,857 I have rather mixed feelings about loyalty. 313 00:18:29,286 --> 00:18:31,677 All righty. There you go. 314 00:18:33,476 --> 00:18:34,931 Hello. 315 00:18:35,564 --> 00:18:37,475 Aaron. 316 00:18:38,417 --> 00:18:39,610 It's good to see you. 317 00:18:39,635 --> 00:18:41,604 Yeah. The feeling is mutual. 318 00:18:42,516 --> 00:18:44,148 Can I have one of those? 319 00:18:45,310 --> 00:18:47,407 - The chocolate chip muffin? - Yes, please. 320 00:18:47,432 --> 00:18:49,065 Special occasion? 321 00:18:49,090 --> 00:18:50,770 - Yes. - Yeah? 322 00:18:50,795 --> 00:18:54,353 As of today, I am no longer injecting toxins into my body. 323 00:18:54,378 --> 00:18:56,371 Except, of course, with chocolate chips. 324 00:18:57,029 --> 00:18:59,430 Oh, you're done with chemo? Wow. 325 00:18:59,455 --> 00:19:00,648 That's amazing. 326 00:19:00,673 --> 00:19:02,500 Congratulations. Thank you. 327 00:19:03,028 --> 00:19:05,891 I was thinking of going out tonight and celebrating 328 00:19:05,916 --> 00:19:08,256 what may be very good news. 329 00:19:08,281 --> 00:19:10,483 If you're free, my treat. 330 00:19:10,508 --> 00:19:12,187 I... I'm sorry, Aaron. 331 00:19:12,212 --> 00:19:13,684 I have a-another commitment. 332 00:19:13,709 --> 00:19:15,597 Oh. Um, tomorrow then? 333 00:19:15,622 --> 00:19:16,955 This week is really crazy. 334 00:19:16,980 --> 00:19:19,093 You know what? I am not doing chemo 335 00:19:19,118 --> 00:19:21,980 every night next week, so I am free 336 00:19:22,005 --> 00:19:23,407 every single night, so... 337 00:19:23,432 --> 00:19:26,979 Aaron, I'm seeing someone. 338 00:19:28,148 --> 00:19:30,140 I'm sorry. 339 00:19:34,135 --> 00:19:35,815 Nothing to be sorry about. 340 00:19:39,596 --> 00:19:41,722 It was good to see you. 341 00:19:50,237 --> 00:19:53,621 Keep an extra close eye on blood pressure and heart rate. 342 00:19:55,970 --> 00:19:57,650 I have extra fluid, vasopressors, 343 00:19:57,675 --> 00:19:58,891 and inotropes ready. 344 00:20:01,535 --> 00:20:02,810 Why no God? 345 00:20:05,036 --> 00:20:07,064 You follow in the tradition that you're handed. 346 00:20:07,089 --> 00:20:09,290 My family wasn't religious. We never went to church. 347 00:20:09,315 --> 00:20:10,821 I was there every Sunday. 348 00:20:10,846 --> 00:20:13,044 8:00 a.m. for Catholic mass. 349 00:20:13,069 --> 00:20:14,749 My parents eventually got tired of all the rules 350 00:20:14,774 --> 00:20:16,001 and turned Lutheran. 351 00:20:16,026 --> 00:20:17,587 They found that dull and went back to Catholic. 352 00:20:17,612 --> 00:20:19,702 That's my tradition. 353 00:20:23,070 --> 00:20:25,708 What do you think it'll be like when you die? 354 00:20:26,318 --> 00:20:28,208 Probably like it was before I was born. 355 00:20:28,233 --> 00:20:29,670 A whole lot of nothing. 356 00:20:31,547 --> 00:20:32,891 We're there. 357 00:20:33,924 --> 00:20:36,518 Where we were when everything went wrong last time. 358 00:20:36,519 --> 00:20:38,895 We need to remove the tumor without putting any pressure 359 00:20:38,920 --> 00:20:41,596 on his cord at all, or he'll be back in spinal shock. 360 00:20:43,740 --> 00:20:45,697 And we need more tumor release from the vertebral body. 361 00:20:45,722 --> 00:20:47,924 Extend your osteotomies proximal and distal. 362 00:20:51,513 --> 00:20:52,695 Good. 363 00:20:54,610 --> 00:20:56,777 I think I got a free plane... 364 00:20:56,802 --> 00:20:58,949 Retract it from the cord a little more. 365 00:21:03,900 --> 00:21:06,067 - I got it. - Now, when you remove it 366 00:21:06,092 --> 00:21:07,389 careful not to morselize it. 367 00:21:11,345 --> 00:21:12,504 Can you hold that up? 368 00:21:15,064 --> 00:21:16,593 Dr. Reznick, give me a measurement. 369 00:21:19,101 --> 00:21:20,990 Max length is 4.5. 370 00:21:21,374 --> 00:21:23,576 Get a pre-op scan up. 371 00:21:24,920 --> 00:21:26,982 That says the tumor's eight centimeters. 372 00:21:28,121 --> 00:21:30,450 How does a tumor shrink from 8 centimeters 373 00:21:30,475 --> 00:21:33,267 to 4.5 without radiation in two weeks? 374 00:21:34,385 --> 00:21:35,542 It doesn't. 375 00:21:40,437 --> 00:21:42,292 Why the page, Shaun? And why are you in radiology? 376 00:21:42,317 --> 00:21:44,136 We rely on flags. 377 00:21:44,161 --> 00:21:46,154 You have to count on the ordering physician 378 00:21:46,179 --> 00:21:48,763 seeing it while you move on to something else. 379 00:21:48,788 --> 00:21:50,746 - Okay. And...? - I don't agree 380 00:21:50,771 --> 00:21:52,591 with Sadie Barnes' diagnosis, 381 00:21:52,616 --> 00:21:56,069 and I think her tumor should be biopsied. 382 00:21:56,094 --> 00:21:58,748 - Shaun, I... - Dr. Han wanted me away from patients. 383 00:21:58,773 --> 00:22:00,593 Patients are not allowed in the viewing room. 384 00:22:00,618 --> 00:22:02,888 So I'm not doing anything wrong. 385 00:22:04,270 --> 00:22:06,751 Two radiologists said 386 00:22:06,776 --> 00:22:08,803 it was a malignant meningioma 387 00:22:08,828 --> 00:22:11,273 in the insular region and encasing the MCA vessels. 388 00:22:11,298 --> 00:22:12,631 That's exactly where it is. 389 00:22:12,656 --> 00:22:14,648 And her clinical picture matches perfectly... 390 00:22:14,673 --> 00:22:16,402 arm and leg numbness. 391 00:22:16,865 --> 00:22:20,841 The tumor attachment to the dura is slightly anomalous. 392 00:22:20,866 --> 00:22:23,993 And the insular region is slightly atypical, too. 393 00:22:27,755 --> 00:22:30,757 What differential diagnoses are you proposing? 394 00:22:31,709 --> 00:22:33,923 I need to speak to the patient. 395 00:22:33,948 --> 00:22:35,940 Should I ask Dr. Han for permission? 396 00:22:35,965 --> 00:22:37,959 Shaun, I... 397 00:22:37,984 --> 00:22:39,664 ...will bring your concern about the scan 398 00:22:39,689 --> 00:22:41,029 to the head of radiology. 399 00:22:41,054 --> 00:22:44,462 But approaching Dr. Han? Don't do that. 400 00:22:46,160 --> 00:22:48,153 Now, I already talked to him about your reassignment. 401 00:22:48,178 --> 00:22:50,009 I don't know if it'll make any difference... 402 00:22:50,034 --> 00:22:53,870 If I were Claire, would you let me approach Dr. Han 403 00:22:53,895 --> 00:22:56,410 about something that concerned me? 404 00:22:59,983 --> 00:23:02,615 Yes. I probably would. 405 00:23:03,556 --> 00:23:04,742 Hmm. 406 00:23:06,295 --> 00:23:09,296 Is that because Claire doesn't make mistakes 407 00:23:09,321 --> 00:23:11,123 when she's communicating? 408 00:23:12,235 --> 00:23:13,626 Yes. 409 00:23:15,421 --> 00:23:18,249 Then do you think Dr. Han made the right decision 410 00:23:18,274 --> 00:23:20,442 by sending me to pathology? 411 00:23:22,751 --> 00:23:24,257 No. 412 00:23:36,302 --> 00:23:38,294 The lymph nodes have shrunk, too. 413 00:23:38,319 --> 00:23:40,312 This is a PET scan from two weeks ago. 414 00:23:40,337 --> 00:23:42,004 Enlarged and cancerous. 415 00:23:42,029 --> 00:23:43,396 Today... 416 00:23:44,573 --> 00:23:46,591 ...they've all regressed. 417 00:23:52,229 --> 00:23:54,899 Spontaneous regression has been reported 418 00:23:54,924 --> 00:23:57,406 in melanomas, renal cell carcinomas, 419 00:23:57,431 --> 00:23:59,988 neuroblastomas, and some types of blood cancers. 420 00:24:00,013 --> 00:24:01,902 In a sarcoma that's metastasized? 421 00:24:02,609 --> 00:24:05,594 No. But if it happened in those others, why not? 422 00:24:05,619 --> 00:24:07,779 Because none of them make sense. 423 00:24:07,804 --> 00:24:09,797 When I read about disappearing cancer, I always think 424 00:24:09,822 --> 00:24:12,337 some doctor missed something, forgot something, 425 00:24:12,362 --> 00:24:13,978 screwed up something. 426 00:24:15,485 --> 00:24:18,314 The theory is that the body somehow triggers 427 00:24:18,339 --> 00:24:20,332 an immune response against the cancer. 428 00:24:20,357 --> 00:24:22,732 Something somehow lights a fuse. 429 00:24:22,757 --> 00:24:25,098 The theory says the fuse is lit by an infection. 430 00:24:25,123 --> 00:24:26,942 His lab work proves he hasn't had one. 431 00:24:26,967 --> 00:24:29,885 At this point, the most credible explanation is... 432 00:24:29,910 --> 00:24:31,195 Are you gonna use the "m" word? 433 00:24:32,741 --> 00:24:34,630 You seriously can't say it? 434 00:24:34,655 --> 00:24:38,519 Only when referencing the 1980 U.S. hockey team. 435 00:24:38,544 --> 00:24:40,606 Keep testing. Anything you can think of. 436 00:24:40,631 --> 00:24:43,008 Molecular markers, T-cells, PD-L1. 437 00:24:43,434 --> 00:24:45,342 We'll need permission from the patient. 438 00:24:45,367 --> 00:24:46,873 Which raises another issue... 439 00:24:46,898 --> 00:24:48,862 what are we gonna do next, medically? 440 00:24:48,887 --> 00:24:50,394 He was supposed to start chemo next week. 441 00:24:50,419 --> 00:24:52,029 No, it'll wipe out his immune system, 442 00:24:52,054 --> 00:24:53,838 which may be what's actually killing his cancer. 443 00:24:54,291 --> 00:24:55,953 If we don't know what's making him better, 444 00:24:55,978 --> 00:24:58,188 we don't know what to stop, what to start. 445 00:25:00,698 --> 00:25:03,038 So we do nothing? 446 00:25:03,063 --> 00:25:05,231 Just trust God to fix him? 447 00:25:05,256 --> 00:25:06,900 We trust whatever is currently 448 00:25:06,925 --> 00:25:08,698 fixing him to keep fixing him. 449 00:25:08,723 --> 00:25:10,403 If he took a Tylenol yesterday at 8:00, 450 00:25:10,428 --> 00:25:12,072 he takes a Tylenol today at 8:00. 451 00:25:12,097 --> 00:25:15,099 Monitor him. Closely. Scans constantly. 452 00:25:39,204 --> 00:25:40,815 Hello, Dr. Glassman. 453 00:25:40,840 --> 00:25:43,442 Hi. Thank you for coming. 454 00:25:44,490 --> 00:25:47,794 He has been doing this for two hours. 455 00:25:50,107 --> 00:25:51,149 Shaun. 456 00:25:52,411 --> 00:25:54,263 What are you up to? 457 00:25:54,582 --> 00:25:56,597 Alphabetizing our canned goods 458 00:25:56,622 --> 00:25:58,749 and checking all the expiration dates. 459 00:25:58,774 --> 00:26:00,107 Well, somebody's got to do it. 460 00:26:01,585 --> 00:26:03,047 Is something wrong? 461 00:26:03,072 --> 00:26:04,161 No. 462 00:26:09,350 --> 00:26:11,595 - Okay. - Okay. I think 463 00:26:11,904 --> 00:26:15,044 Dr. Lim's patient's diagnosis is wrong, 464 00:26:15,749 --> 00:26:17,419 but I can't prove it without information, 465 00:26:17,444 --> 00:26:19,798 and I'm not allowed to talk to patients. 466 00:26:20,572 --> 00:26:22,272 Shaun. 467 00:26:25,874 --> 00:26:28,215 I want to run with things. 468 00:26:28,827 --> 00:26:32,324 I want to fix people. 469 00:26:34,133 --> 00:26:37,538 Can you help me become a surgical resident again? 470 00:26:38,585 --> 00:26:41,059 No. I can't, Shaun. 471 00:26:41,084 --> 00:26:42,678 - I'm not president... - Yes. 472 00:26:43,815 --> 00:26:45,146 I'm not the president of the hospital 473 00:26:45,171 --> 00:26:47,373 anymore, Shaun. 474 00:26:47,398 --> 00:26:49,508 And even... even if I was... 475 00:26:49,533 --> 00:26:51,144 ...it's irrelevant. 476 00:26:51,169 --> 00:26:53,823 You have to stand up for yourself. 477 00:26:54,472 --> 00:26:55,828 And you know what? If you can't, 478 00:26:55,853 --> 00:26:58,934 then the new Head of Surgery, the Chief, he's right. 479 00:26:59,788 --> 00:27:01,989 Now, I can go tell him he's wrong. 480 00:27:02,014 --> 00:27:04,008 It won't do any good. 481 00:27:04,040 --> 00:27:05,615 Or you can go show him. 482 00:27:12,823 --> 00:27:15,964 I'm doing research concerning Sadie Barnes. 483 00:27:17,463 --> 00:27:18,704 She's asleep. 484 00:27:20,260 --> 00:27:23,366 Perfect. I'm not allowed to speak with her. 485 00:27:26,665 --> 00:27:29,423 I'm looking for her sister Jess. 486 00:27:30,473 --> 00:27:33,010 I haven't seen her. Sorry. 487 00:28:04,984 --> 00:28:07,219 What are you doing? 488 00:28:14,325 --> 00:28:17,119 Can you explain why, instead of remaining in pathology 489 00:28:17,144 --> 00:28:19,450 as directed, you were in a patient's room, 490 00:28:19,476 --> 00:28:21,434 going through her purse? 491 00:28:21,459 --> 00:28:24,878 I didn't speak to her. She was asleep. 492 00:28:27,373 --> 00:28:29,678 Dr. Murphy, any reticence I had 493 00:28:29,703 --> 00:28:32,358 about removing you from surgery just vanished. 494 00:28:32,383 --> 00:28:35,698 You shouldn't be in contact with patients. 495 00:28:35,723 --> 00:28:37,994 Or their families. Or anything they own. 496 00:28:38,019 --> 00:28:40,835 Do you understand, or am I gonna be forced to fire you? 497 00:28:45,430 --> 00:28:48,119 Sadie's social media says that 498 00:28:48,144 --> 00:28:49,615 she finances her climbing travel 499 00:28:49,640 --> 00:28:52,336 by working as a freelance food critic. 500 00:28:52,949 --> 00:28:55,634 She reviewed a Japanese restaurant that used to have 501 00:28:55,659 --> 00:28:57,651 a Restaurant Grading System Score of "A," 502 00:28:57,676 --> 00:28:59,496 but then it dropped to a "C," which corresponds 503 00:28:59,521 --> 00:29:02,209 to very bad food safety practices. 504 00:29:02,234 --> 00:29:04,575 Bad sushi can lead to worms, but it usually doesn't 505 00:29:04,600 --> 00:29:07,463 because stomach acid almost always kills fish parasites. 506 00:29:07,488 --> 00:29:09,307 But not if someone is taking an acid blocker, 507 00:29:09,332 --> 00:29:11,673 which 60 million Americans are. 508 00:29:11,698 --> 00:29:14,166 I saw a bottle in her purse. 509 00:29:17,573 --> 00:29:20,753 Sadie could have sparganosis 510 00:29:20,778 --> 00:29:24,454 with an encapsulated worm that is mimicking a meningioma. 511 00:29:27,841 --> 00:29:29,251 That's a good idea. 512 00:29:29,853 --> 00:29:31,880 Excellent. I'll tell the patient. 513 00:29:31,905 --> 00:29:34,873 I will tell the patient. 514 00:29:35,391 --> 00:29:36,897 I'll tell her we're doing a biopsy 515 00:29:36,922 --> 00:29:38,149 to confirm the initial diagnosis. 516 00:29:38,174 --> 00:29:40,167 - But we're... - It will tell us 517 00:29:40,192 --> 00:29:42,637 if the initial diagnosis is correct. 518 00:29:42,662 --> 00:29:45,016 Your theory is a real long shot. 519 00:29:45,041 --> 00:29:47,926 It would be irresponsible to get her hopes up. 520 00:29:50,456 --> 00:29:52,624 - Hmm. - The surgery went well. 521 00:29:52,649 --> 00:29:54,469 We were able to extract the entire tumor 522 00:29:54,494 --> 00:29:55,790 without complication. 523 00:29:57,972 --> 00:29:59,589 Thank you. 524 00:30:00,092 --> 00:30:02,259 When can we start chemo? 525 00:30:02,710 --> 00:30:06,234 There are a few follow-up tests we want to run first. 526 00:30:06,259 --> 00:30:07,889 And we want to retake your history. 527 00:30:07,914 --> 00:30:09,211 Make sure we have a proper list 528 00:30:09,236 --> 00:30:10,835 of all medications you've been taking. 529 00:30:12,091 --> 00:30:14,953 You want to take his history? After the surgery? 530 00:30:14,978 --> 00:30:17,145 What's going on? What are you not telling us? 531 00:30:17,170 --> 00:30:19,337 - What went wrong? - Nothing. 532 00:30:19,362 --> 00:30:21,887 The fact is, the surgery went... 533 00:30:22,869 --> 00:30:24,444 better than we'd hoped. 534 00:30:24,830 --> 00:30:26,933 Your cancer seems to be... 535 00:30:27,996 --> 00:30:29,606 going away on its own. 536 00:30:31,713 --> 00:30:33,357 We'll run our tests. 537 00:30:33,382 --> 00:30:37,115 We're confident that there is a medical explanation. 538 00:30:37,140 --> 00:30:39,678 Oh, Clarence. 539 00:30:55,128 --> 00:30:57,677 - Hi. - Hi, Aaron. 540 00:30:58,215 --> 00:31:01,096 Um, what I... 541 00:31:01,121 --> 00:31:04,680 What I told you earlier, that I'm seeing someone... 542 00:31:04,705 --> 00:31:05,654 I'm not. 543 00:31:05,679 --> 00:31:08,020 I mean, I-I-I had one date, 544 00:31:08,045 --> 00:31:10,560 - but it wasn't, you know... - Okay. 545 00:31:14,099 --> 00:31:17,414 We're... We're just... We're not a good match. 546 00:31:17,439 --> 00:31:19,281 That's what I wanted to tell you. 547 00:31:25,406 --> 00:31:27,887 That's not true, you know. 548 00:31:27,912 --> 00:31:29,104 You know, that's not true. 549 00:31:29,129 --> 00:31:30,600 You like me. A lot. 550 00:31:30,625 --> 00:31:33,314 And I like you even more than that. 551 00:31:33,339 --> 00:31:34,914 So what is this? 552 00:31:34,939 --> 00:31:36,966 You know, I'd really rather not get into it. 553 00:31:36,991 --> 00:31:39,332 - You came to my house... - To tell you what I told you, 554 00:31:39,357 --> 00:31:41,524 - which I just told you. - Okay, you came here to be honest, 555 00:31:41,549 --> 00:31:43,087 and you're only gonna be honest halfway? 556 00:31:43,112 --> 00:31:44,195 - You're not timid. - No. 557 00:31:44,220 --> 00:31:46,638 Okay. Then what? 558 00:31:49,128 --> 00:31:50,851 The last time I was here, 559 00:31:51,409 --> 00:31:53,145 we were headed upstairs... 560 00:31:54,074 --> 00:31:55,892 Yes, we were. 561 00:31:55,917 --> 00:31:57,232 You fell. 562 00:31:57,749 --> 00:31:58,803 Yes, I did. 563 00:31:58,828 --> 00:32:01,864 I tried to help you, and you pushed me away. 564 00:32:02,529 --> 00:32:04,104 I was embarrassed. 565 00:32:04,129 --> 00:32:05,426 You were sick. 566 00:32:05,451 --> 00:32:08,009 - You needed help. - And I'm not sick anymore. 567 00:32:08,034 --> 00:32:11,095 Maybe. And I want to go and celebrate. 568 00:32:11,120 --> 00:32:13,114 With you. Specifically with you. 569 00:32:13,139 --> 00:32:15,166 'Cause we have fun. 570 00:32:15,191 --> 00:32:18,019 You... You make... You make me laugh. 571 00:32:18,044 --> 00:32:20,380 You make me feel good. 572 00:32:21,063 --> 00:32:22,291 I like being with you. 573 00:32:22,316 --> 00:32:23,578 Sounds horrible. 574 00:32:23,603 --> 00:32:25,735 But bad things are gonna happen. 575 00:32:26,108 --> 00:32:29,531 Aaron, I-it can't just be about having fun together. 576 00:32:29,556 --> 00:32:31,062 One of us is gonna get sick, 577 00:32:31,087 --> 00:32:32,941 one of us is gonna need to be taken care of... 578 00:32:32,966 --> 00:32:34,784 Wait, wait, wait. I just want to go out 579 00:32:34,809 --> 00:32:37,185 and have a nice dinner with you. 580 00:32:37,210 --> 00:32:40,722 Not to run away to Reno, find a priest in an Elvis suit. 581 00:32:43,859 --> 00:32:45,713 What are we gonna do, Aaron? 582 00:32:45,738 --> 00:32:49,092 Just drive to a hill with a view and neck till prom? 583 00:32:49,117 --> 00:32:52,212 And then I'm gonna come home and hope you call? 584 00:32:58,172 --> 00:33:02,339 Yeah, uh, you know, I just came to apologize. 585 00:33:03,360 --> 00:33:04,758 I'm sorry. 586 00:33:05,493 --> 00:33:07,594 And I'm really glad... 587 00:33:08,994 --> 00:33:11,390 I'm... I'm glad you're finished with chemo. 588 00:33:11,415 --> 00:33:12,747 And... 589 00:33:15,137 --> 00:33:17,652 ...you're gonna... you're gonna beat this thing. 590 00:33:40,405 --> 00:33:42,398 Your immunoglobulins are normal. 591 00:33:42,423 --> 00:33:44,242 Everything is normal. 592 00:33:44,267 --> 00:33:46,735 We can't find a scientific explanation. 593 00:33:49,801 --> 00:33:52,617 Our prayers... It's a miracle. 594 00:33:54,599 --> 00:33:56,268 Miracle or not, 595 00:33:56,293 --> 00:33:58,622 it seems we're on the same page now. 596 00:34:00,025 --> 00:34:02,366 There is no reason not to do the spinal fusion 597 00:34:02,391 --> 00:34:03,815 to eliminate your pain. 598 00:34:07,436 --> 00:34:09,638 Do more tests. 599 00:34:09,663 --> 00:34:11,760 - Clarence. - There are no more tests. 600 00:34:11,785 --> 00:34:14,196 T-T-There must be. There must be an explanation. 601 00:34:14,221 --> 00:34:17,036 Redo your tests. Find new tests. 602 00:34:21,167 --> 00:34:23,904 "Let all bitterness and wrath 603 00:34:23,929 --> 00:34:26,096 and anger and clamor and slander 604 00:34:26,121 --> 00:34:27,774 be put away from you." 605 00:34:31,874 --> 00:34:33,972 Ephesians 4:31. 606 00:34:35,896 --> 00:34:37,401 I didn't take you for a believer. 607 00:34:37,426 --> 00:34:39,185 I'm not, anymore. 608 00:34:40,319 --> 00:34:42,139 I'm not sure you are either. 609 00:34:44,816 --> 00:34:48,486 God speaks directly to Noah, 610 00:34:48,511 --> 00:34:51,687 Moses, Job, and Solomon. 611 00:34:51,712 --> 00:34:53,913 And now apparently he has singled out 612 00:34:53,938 --> 00:34:55,723 Pastor Clarence of San Jose 613 00:34:55,748 --> 00:34:58,855 to join the ranks of the prophets. 614 00:34:59,245 --> 00:35:02,410 I'm sorry, but unless there is a burning bush 615 00:35:02,435 --> 00:35:04,636 it is narcissistic to think that God 616 00:35:04,661 --> 00:35:07,280 has made you his personal project. 617 00:35:07,305 --> 00:35:10,258 God speaks to every one of us, 618 00:35:11,507 --> 00:35:14,891 - you just have to listen. - You are not listening. 619 00:35:14,956 --> 00:35:17,515 People get cancer all the time. 620 00:35:17,844 --> 00:35:19,349 Often that results in pain. 621 00:35:19,374 --> 00:35:20,846 Those things are not unique. 622 00:35:20,871 --> 00:35:22,437 What is unique 623 00:35:22,840 --> 00:35:25,216 is having an aggressive metastatic cancer 624 00:35:25,241 --> 00:35:29,530 start to disappear without any rational explanation. 625 00:35:30,612 --> 00:35:33,288 The issue isn't God. 626 00:35:33,923 --> 00:35:36,802 You have to forgive yourself. 627 00:35:40,450 --> 00:35:41,643 What I did... 628 00:35:41,668 --> 00:35:43,278 Cannot be undone. 629 00:35:43,303 --> 00:35:46,061 But your pain can. 630 00:35:53,080 --> 00:35:54,360 Clarence. 631 00:35:59,703 --> 00:36:01,309 Your pain... 632 00:36:03,375 --> 00:36:06,099 Your pain does no one any good. 633 00:36:14,126 --> 00:36:15,249 Okay. 634 00:36:21,266 --> 00:36:22,320 Osteotome and mallet. 635 00:36:27,210 --> 00:36:29,583 You lied when you said you never went to church. 636 00:36:29,608 --> 00:36:30,877 What happened? 637 00:36:30,902 --> 00:36:32,957 I didn't want to have this conversation 638 00:36:32,982 --> 00:36:35,146 is what happened. I'm not judging. 639 00:36:35,171 --> 00:36:36,328 My brother took a year off school 640 00:36:36,353 --> 00:36:37,963 to travel and came back a non-believer. 641 00:36:38,270 --> 00:36:40,008 So ask him. 642 00:36:47,098 --> 00:36:48,182 Was it freeing, 643 00:36:48,207 --> 00:36:50,025 or did you feel empty? 644 00:36:50,050 --> 00:36:52,253 Hand me the first polyaxial pedicle screw. 645 00:36:59,204 --> 00:37:01,327 It was like losing a loved one. 646 00:37:18,803 --> 00:37:20,805 The moment of truth. 647 00:37:31,876 --> 00:37:33,382 Follow me. 648 00:37:52,587 --> 00:37:54,772 Our initial diagnosis was wrong. 649 00:37:54,797 --> 00:37:56,477 You don't have a meningioma. 650 00:37:56,722 --> 00:37:58,218 You have a worm in your brain. 651 00:38:00,863 --> 00:38:03,223 And while that sounds fairly gross, 652 00:38:03,678 --> 00:38:05,427 it is completely curable. 653 00:38:11,724 --> 00:38:15,908 So, the sense of doom, it was... it was wrong? 654 00:38:15,933 --> 00:38:18,970 - It saved your life. - As did Dr. Murphy. 655 00:38:19,828 --> 00:38:21,909 This is the pathologist who noticed 656 00:38:21,934 --> 00:38:23,810 an abnormality in one of your tests. 657 00:38:26,517 --> 00:38:28,790 That led us to this discovery. 658 00:38:28,815 --> 00:38:31,573 Can I give you a hug, too, Dr. Murphy? 659 00:38:32,622 --> 00:38:34,087 No. 660 00:38:36,691 --> 00:38:38,998 You and your sister will be free to conquer 661 00:38:39,023 --> 00:38:41,778 whichever of the remaining 50 peaks you choose 662 00:38:41,803 --> 00:38:43,994 as soon as my team surgically removes the worm. 663 00:38:50,330 --> 00:38:53,599 - Thank you. - Oh! Of course. 664 00:38:55,505 --> 00:38:57,846 There are not a lot of doctors who would have made the leap 665 00:38:57,871 --> 00:38:59,737 that you made today, Shaun. 666 00:39:00,895 --> 00:39:02,198 Good work. 667 00:39:03,476 --> 00:39:07,173 Yes, it was excellent work. 668 00:39:07,198 --> 00:39:09,539 Most people would say "thank you," 669 00:39:09,564 --> 00:39:12,636 but technically that's not an incorrect response. 670 00:39:13,009 --> 00:39:14,026 Hmm. 671 00:39:14,730 --> 00:39:17,140 Have a good evening. You've earned it. 672 00:39:21,301 --> 00:39:23,676 I don't want to go on walks. 673 00:39:29,018 --> 00:39:31,721 I don't want to move on from cases 674 00:39:31,746 --> 00:39:34,230 after the tests are done. 675 00:39:35,912 --> 00:39:40,166 I do not want to be a pathologist. 676 00:39:43,218 --> 00:39:48,968 Dr. Han, you need to make me a surgical resident again. 677 00:39:54,234 --> 00:39:56,753 I appreciate you telling me that. 678 00:39:57,537 --> 00:39:58,869 I was wondering whether you had it in you 679 00:39:58,894 --> 00:40:00,365 to advocate for yourself. 680 00:40:04,461 --> 00:40:05,932 But the truth is, Shaun, 681 00:40:06,504 --> 00:40:08,139 what you did today, 682 00:40:08,904 --> 00:40:10,808 it proved I'm right. 683 00:40:11,880 --> 00:40:13,603 Your skills are tremendous. 684 00:40:13,859 --> 00:40:15,503 Your weaknesses... 685 00:40:15,528 --> 00:40:17,523 equally significant. 686 00:40:19,124 --> 00:40:21,812 You could be a great pathologist. 687 00:40:21,837 --> 00:40:24,352 Just think of all the Sadies out there, 688 00:40:24,377 --> 00:40:26,231 waiting for you to save them. 689 00:40:56,212 --> 00:40:58,413 Dr. Browne, Dr. Reznick. 690 00:40:58,438 --> 00:41:01,011 The surgery went well. Your spine is stable. 691 00:41:05,160 --> 00:41:06,614 I'm scared. 692 00:41:07,992 --> 00:41:10,794 There may still be some residual pain as you heal, but... 693 00:41:10,819 --> 00:41:12,120 No, I... 694 00:41:13,222 --> 00:41:14,914 I keep wondering, 695 00:41:15,308 --> 00:41:17,081 what if I disobeyed God? 696 00:41:24,063 --> 00:41:25,279 You have to have faith. 697 00:41:27,135 --> 00:41:28,630 But you lost yours. 698 00:41:31,770 --> 00:41:34,600 I didn't have a miracle to help me through the dark times.