1 00:00:02,703 --> 00:00:04,779 Autism... a mental condition 2 00:00:04,804 --> 00:00:07,867 characterized by difficulty in communicating. 3 00:00:07,914 --> 00:00:10,525 Does it sound like I'm describing a surgeon? 4 00:00:10,550 --> 00:00:11,721 You saved his life. 5 00:00:11,746 --> 00:00:13,179 I'm Dr. Shaun Murphy. 6 00:00:13,297 --> 00:00:15,099 Never forget, you're the smart one 7 00:00:15,101 --> 00:00:16,344 and I'm proud of you, Shaun. 8 00:00:16,391 --> 00:00:18,445 My brother went to Heaven... 9 00:00:21,414 --> 00:00:22,914 ...in front of my eyes. 10 00:00:23,090 --> 00:00:24,848 He's got a serious deficit. 11 00:00:24,873 --> 00:00:26,078 We hire Shaun, 12 00:00:26,103 --> 00:00:28,350 and we give hope to those people with limitations 13 00:00:28,375 --> 00:00:29,842 that those limitations 14 00:00:29,844 --> 00:00:31,807 are not what they think they are, 15 00:00:31,832 --> 00:00:33,729 that they do have a shot! 16 00:00:33,769 --> 00:00:38,104 If Shaun doesn't live up to everything I know he can do, 17 00:00:38,106 --> 00:00:41,608 I will resign my position as president of this hospital. 18 00:02:01,262 --> 00:02:02,529 Where to? 19 00:02:02,594 --> 00:02:05,024 San Jose St. Bonaventure Hospital. 20 00:02:05,026 --> 00:02:07,939 I'm a surgical resident. Today is my first full day. 21 00:02:08,198 --> 00:02:09,831 I meant floor. 22 00:02:09,998 --> 00:02:11,231 Oh, ground floor. 23 00:02:13,268 --> 00:02:14,868 I'm taking the bus. 24 00:02:14,870 --> 00:02:20,171 Synced & corrected by kinglouisxx www.addic7ed.com 25 00:02:27,816 --> 00:02:30,016 This is Mitchell Brand, 55 years old, 26 00:02:30,018 --> 00:02:32,218 post-op day one from a radical prostatectomy. 27 00:02:32,220 --> 00:02:34,387 Morning, Mitchell. I'm Dr. Melendez. 28 00:02:34,389 --> 00:02:36,756 These are my residents Dr. Browne and Dr. Kalu. 29 00:02:36,758 --> 00:02:38,158 Your surgery went perfectly. 30 00:02:38,160 --> 00:02:39,159 Yeah. 31 00:02:39,161 --> 00:02:41,427 Am I ever gonna walk again? 32 00:02:41,429 --> 00:02:43,630 Yes. Of course. 33 00:02:43,632 --> 00:02:45,865 This is Mitchell Brand. I reviewed his chart. 34 00:02:45,867 --> 00:02:48,034 He's 55 years old from Chicago, 35 00:02:48,036 --> 00:02:49,369 divorced with two children. 36 00:02:49,371 --> 00:02:51,871 You did a radical prostatectomy on him yesterday. 37 00:02:51,873 --> 00:02:53,373 There are many possible complications 38 00:02:53,398 --> 00:02:54,941 but none related to motor neurons. 39 00:02:54,943 --> 00:02:57,043 There is no chance you won't be able to walk. 40 00:02:59,948 --> 00:03:02,549 He... he wasn't worried about his legs. 41 00:03:05,120 --> 00:03:06,619 Oh, yes. 42 00:03:06,621 --> 00:03:09,603 There's a significant chance of impotence. 43 00:03:09,958 --> 00:03:11,758 Dr. Murphy, you're late. 44 00:03:11,760 --> 00:03:13,558 No, the bus was late. 45 00:03:13,583 --> 00:03:15,762 The schedule was clear. They post it online. 46 00:03:15,787 --> 00:03:17,263 But the 4 bus was late which meant... 47 00:03:17,265 --> 00:03:18,878 - You're late. - Five minutes, we've all been... 48 00:03:18,902 --> 00:03:21,961 On your first day, no less. It is your responsibility to be here. 49 00:03:21,986 --> 00:03:24,003 if you are not, you have failed in your responsibility, 50 00:03:24,005 --> 00:03:27,055 - which makes it your fault. - Okay, how can it be my fault? 51 00:03:27,080 --> 00:03:28,828 - I did nothing wrong. The bus... - Yeah. 52 00:03:28,853 --> 00:03:29,945 This is gonna work out great. 53 00:03:29,970 --> 00:03:31,911 The board clearly made the right choice in hiring you. 54 00:03:32,539 --> 00:03:34,087 Thank you. 55 00:03:34,281 --> 00:03:37,495 Dr. Melendez, we've got an emergent consult in the E.R. 56 00:03:38,377 --> 00:03:39,509 You should be fine 57 00:03:39,534 --> 00:03:41,217 if you can leave it alone for a couple days. 58 00:03:42,356 --> 00:03:44,023 Four days of indigestion, 59 00:03:44,025 --> 00:03:45,925 bloating, constipation, and nausea. 60 00:03:45,950 --> 00:03:48,087 And a lot of pain, apparently. 61 00:03:48,111 --> 00:03:49,376 Yeah. 62 00:03:49,401 --> 00:03:51,764 - Did you give her morphine? - Yeah, 10 milligrams. 63 00:03:51,766 --> 00:03:52,834 Hasn't touched her pain. 64 00:03:54,035 --> 00:03:55,335 You have time to get a CT? 65 00:03:55,337 --> 00:03:57,203 Yeah. That's why I called you. 66 00:04:02,143 --> 00:04:03,476 That's very big. 67 00:04:05,079 --> 00:04:06,212 Yes, it is. 68 00:04:06,214 --> 00:04:08,081 What are we looking at? 69 00:04:08,083 --> 00:04:10,450 It's definitely abutting the aorta and the left kidney. 70 00:04:10,488 --> 00:04:12,871 Renal angiomyolipoma? 71 00:04:12,990 --> 00:04:15,800 - Do you see an extensive blood supply? - No. 72 00:04:15,893 --> 00:04:18,215 Maybe some kind of neurogenic tumor. 73 00:04:18,240 --> 00:04:19,762 Or maybe a lymphoma. 74 00:04:19,764 --> 00:04:22,364 She has a sarcoma, a malignant tumor. 75 00:04:23,387 --> 00:04:24,621 Malignant? 76 00:04:24,646 --> 00:04:26,573 - That means it's killing me, right? - Yes. 77 00:04:26,598 --> 00:04:28,904 Not necessarily. We're just speculating right now. 78 00:04:28,906 --> 00:04:30,726 No. It's definitely malignant. 79 00:04:30,751 --> 00:04:31,861 If it weren't malignant... 80 00:04:31,886 --> 00:04:34,310 - Please stop saying "malignant." - Should we talk outside? 81 00:04:37,221 --> 00:04:39,948 Give her more morphine. As much as she wants. 82 00:04:39,950 --> 00:04:41,517 Okay. 83 00:04:44,120 --> 00:04:46,013 You scared her. 84 00:04:46,390 --> 00:04:48,590 - Didn't need to be so blunt. - Why? 85 00:04:49,967 --> 00:04:51,427 Her prognosis is terminal 86 00:04:51,429 --> 00:04:53,162 without immediate medical intervention. 87 00:04:53,187 --> 00:04:54,263 Isn't that scary? 88 00:04:55,800 --> 00:04:57,132 Well... 89 00:04:57,134 --> 00:04:58,901 That fear does her no good. 90 00:04:59,981 --> 00:05:02,604 Does she have a malignant sarcoma? 91 00:05:02,856 --> 00:05:05,140 Are we gonna be doing a laparotomy? 92 00:05:06,609 --> 00:05:08,844 We need intra-operative staging for the biopsy, 93 00:05:08,846 --> 00:05:10,913 extensive dissection of the retroperitoneum, 94 00:05:10,915 --> 00:05:13,439 and excision of the mass with wide, clear margins. 95 00:05:14,612 --> 00:05:15,745 I want in. 96 00:05:15,770 --> 00:05:16,952 You do know you're drooling, right? 97 00:05:16,954 --> 00:05:18,954 About cutting open a 40-year-old woman. 98 00:05:18,956 --> 00:05:20,588 Real person. Right behind that door. 99 00:05:20,613 --> 00:05:21,744 It's called bedside manner... 100 00:05:21,769 --> 00:05:23,392 no such thing as outside-the-door manner. 101 00:05:23,394 --> 00:05:25,088 It is exciting, Claire. 102 00:05:25,113 --> 00:05:27,329 We'd be saving a life, and we'd be learning. 103 00:05:27,331 --> 00:05:28,561 See? 104 00:05:28,586 --> 00:05:30,632 Dr. Browne, you're my number two. 105 00:05:31,710 --> 00:05:34,136 - With all due respect, doctor... - Comments that start that way 106 00:05:34,138 --> 00:05:35,637 rarely come across that way. 107 00:05:35,983 --> 00:05:38,741 - I was gonna say that's an excellent call. - Thank you. 108 00:05:38,743 --> 00:05:41,477 - Jared, prep the surgical team. - Sir, what do I do? 109 00:05:44,547 --> 00:05:46,912 - Scut work. - What's scut work? 110 00:05:46,974 --> 00:05:49,824 Today, I'm gonna need my surgeons to have no distractions. 111 00:05:49,849 --> 00:05:52,389 So I'm gonna need you to handle those distractions. 112 00:05:52,523 --> 00:05:54,356 All the work they do every day 113 00:05:54,358 --> 00:05:55,322 that they hate doing, 114 00:05:55,507 --> 00:05:57,282 you're handling it for them. 115 00:06:07,037 --> 00:06:09,304 Make sure they know we still need a consent on that one. 116 00:06:15,245 --> 00:06:16,512 Am I being punished for something? 117 00:06:16,682 --> 00:06:18,313 No. 118 00:06:18,612 --> 00:06:20,349 Okay. 119 00:06:21,370 --> 00:06:22,751 So that's it? 120 00:06:22,909 --> 00:06:25,354 You just accept my answer at face value? 121 00:06:25,690 --> 00:06:26,889 Why? 122 00:06:27,273 --> 00:06:29,506 You're very arrogant. 123 00:06:30,148 --> 00:06:32,249 Arrogant people don't think they need to lie. 124 00:06:32,587 --> 00:06:34,954 So you must be doing this to teach me. 125 00:06:35,040 --> 00:06:37,074 I look forward to learning from scut work. 126 00:06:41,955 --> 00:06:45,050 - Say "Ahh." - Ahhh. 127 00:06:45,075 --> 00:06:46,408 How long will this be? 128 00:06:46,410 --> 00:06:48,231 Seven minutes. 129 00:06:48,879 --> 00:06:51,254 Without any complications, it takes seven minutes 130 00:06:51,279 --> 00:06:53,415 to do a discharge examination properly. 131 00:06:53,417 --> 00:06:55,456 Dr. Dunsmuir has already cleared him to go 132 00:06:55,481 --> 00:06:57,019 - and we need the bed. - Okay. 133 00:06:57,021 --> 00:06:59,409 Protocol requires that the surgical department 134 00:06:59,434 --> 00:07:00,856 also clears him. 135 00:07:03,426 --> 00:07:05,143 You have an ear infection. 136 00:07:05,168 --> 00:07:06,595 Yes, that's why he's here. 137 00:07:06,597 --> 00:07:08,297 My hearing's been a little muffled, 138 00:07:08,299 --> 00:07:09,765 and I've had some ringing. 139 00:07:09,767 --> 00:07:11,102 They gave him amoxicillin. 140 00:07:11,127 --> 00:07:12,734 And we're sending him home. 141 00:07:12,736 --> 00:07:14,136 Which is why you're here. 142 00:07:14,138 --> 00:07:16,070 To send him home. 143 00:07:16,095 --> 00:07:17,223 I'd like an MRI 144 00:07:17,248 --> 00:07:19,208 of the head and internal auditory meatus. 145 00:07:19,210 --> 00:07:20,576 I'm not being discharged? 146 00:07:20,578 --> 00:07:22,077 What do you think is wrong? 147 00:07:24,548 --> 00:07:26,472 I'll tell you when I know for sure. 148 00:07:26,550 --> 00:07:28,484 I don't want to scare you. 149 00:07:40,206 --> 00:07:41,538 Shaun. 150 00:07:41,665 --> 00:07:42,898 What are you doing down here? 151 00:07:43,260 --> 00:07:45,234 I'm waiting for her to fart. 152 00:07:47,638 --> 00:07:48,871 Flatulence. 153 00:07:48,873 --> 00:07:50,857 But I'm using the word "fart" in front of the patient 154 00:07:50,882 --> 00:07:52,090 to be more casual. 155 00:07:52,115 --> 00:07:53,677 But you're the president of the hospital, 156 00:07:53,702 --> 00:07:54,977 so I'll say "flatulence" to you. 157 00:07:55,847 --> 00:07:57,348 Well, I appreciate that. 158 00:07:57,421 --> 00:07:59,287 Why are you doing that? 159 00:07:59,312 --> 00:08:01,374 She had her deviated septum repaired. 160 00:08:01,375 --> 00:08:02,491 Before we can release her, 161 00:08:02,516 --> 00:08:03,785 we have to be sure she isn't suffering 162 00:08:03,787 --> 00:08:05,053 from post-operative ileus. 163 00:08:05,055 --> 00:08:06,922 Ah. 164 00:08:08,222 --> 00:08:10,456 This is what Dr. Melendez feels 165 00:08:10,481 --> 00:08:12,928 you'll be most useful doing today? 166 00:08:12,930 --> 00:08:14,566 Waiting for farts? 167 00:08:14,591 --> 00:08:17,199 - I'm not just waiting for farts. - Thank goodness. 168 00:08:17,201 --> 00:08:18,934 I'm doing all the scut work. 169 00:08:20,961 --> 00:08:23,125 Well... 170 00:08:23,150 --> 00:08:25,417 Welcome to your surgical residency. 171 00:08:27,778 --> 00:08:28,810 Thank you. 172 00:08:31,211 --> 00:08:33,757 There. I think that was it. 173 00:08:37,876 --> 00:08:39,776 I don't think so. 174 00:08:39,990 --> 00:08:41,812 I'll wait a little longer. 175 00:08:41,882 --> 00:08:43,225 This is important. 176 00:08:46,564 --> 00:08:49,671 The procedure is called a laparotomy. 177 00:08:49,877 --> 00:08:51,968 Mm. 178 00:08:53,170 --> 00:08:55,366 Yeah, your heart sounds good. 179 00:08:55,710 --> 00:08:58,257 So, we make a long incision down the middle of your abdomen, 180 00:08:58,342 --> 00:09:00,442 - expose the tumor... - Am I going to die? 181 00:09:03,146 --> 00:09:06,514 Dr. Melendez is the best surgeon I have ever seen... 182 00:09:06,539 --> 00:09:08,772 Can this all wait? 183 00:09:08,796 --> 00:09:11,001 You have a very serious condition. It's not advisable to... 184 00:09:11,026 --> 00:09:14,681 Just a couple of weeks. My son is getting married next weekend. 185 00:09:15,390 --> 00:09:17,189 They look very happy. 186 00:09:17,394 --> 00:09:19,161 After the initial incision... 187 00:09:19,163 --> 00:09:21,463 They've been planning this for months. 188 00:09:21,465 --> 00:09:22,698 If they have to reschedule... 189 00:09:22,700 --> 00:09:25,356 Well... well, this... this is complicated surgery, 190 00:09:25,381 --> 00:09:26,902 but if all goes well, 191 00:09:26,904 --> 00:09:28,370 recovery is pretty easy. 192 00:09:28,372 --> 00:09:31,057 No need to reschedule anything. 193 00:09:31,604 --> 00:09:32,741 And if it doesn't? 194 00:09:33,026 --> 00:09:34,843 If it doesn't go well? 195 00:09:39,316 --> 00:09:41,290 My husband died in a car accident 196 00:09:41,385 --> 00:09:43,227 a couple of years ago. 197 00:09:44,388 --> 00:09:46,735 Mark is our only child. 198 00:09:47,891 --> 00:09:49,958 I can't die right before his wedding. 199 00:09:50,130 --> 00:09:51,893 I can't. 200 00:09:53,707 --> 00:09:55,778 You're not gonna die. 201 00:09:55,962 --> 00:09:57,929 You will be at the wedding. 202 00:09:58,016 --> 00:09:59,081 Looking beautiful. 203 00:10:09,213 --> 00:10:11,546 You're not supposed to make promises like that, Dr. Browne. 204 00:10:11,548 --> 00:10:13,515 Yeah, I told her what she needed to hear. 205 00:10:13,517 --> 00:10:16,002 Officially, our legal department's policy is... 206 00:10:16,027 --> 00:10:18,416 tell the ugly truth... the uglier the better. 207 00:10:18,441 --> 00:10:20,147 Is that what you did? I don't think that's what you did. 208 00:10:20,172 --> 00:10:21,671 Yeah, well, it's a dumb policy. 209 00:10:21,702 --> 00:10:23,069 She needs to have the surgery. 210 00:10:23,094 --> 00:10:24,514 Scaring her would change nothing. 211 00:10:24,539 --> 00:10:25,940 Right, because a much better policy 212 00:10:25,972 --> 00:10:27,455 would be to lie to all of our patients 213 00:10:27,494 --> 00:10:28,664 whenever it makes you feel better. 214 00:10:28,666 --> 00:10:30,049 No, it doesn't make me feel better. 215 00:10:30,074 --> 00:10:31,600 It makes her feel better. 216 00:10:34,795 --> 00:10:35,978 I'm pathetic. 217 00:10:37,940 --> 00:10:40,216 - What? - I am pathetic. 218 00:10:40,286 --> 00:10:42,044 And here's my thinking, so just... 219 00:10:42,069 --> 00:10:45,450 just bear with me, because it kind of insults both of us. 220 00:10:46,193 --> 00:10:48,750 You met that woman an hour ago, and you lied to her. 221 00:10:48,752 --> 00:10:51,720 A pity lie because you obviously care about her. 222 00:10:51,722 --> 00:10:55,557 A pity lie that has absolutely zero upside for you, 223 00:10:55,559 --> 00:10:57,673 but I can't make you, the world's softest touch, 224 00:10:57,698 --> 00:10:59,561 care about me. 225 00:11:09,807 --> 00:11:11,773 Hey. 226 00:11:16,847 --> 00:11:19,243 I need a consult. 227 00:11:19,837 --> 00:11:22,070 What? You have a question about this? 228 00:11:22,157 --> 00:11:23,819 This patient is perfectly healthy. 229 00:11:23,821 --> 00:11:25,357 There's not even any artifact in these images. 230 00:11:25,382 --> 00:11:28,457 Yeah, which in turn raises an interesting medical question... 231 00:11:28,459 --> 00:11:31,271 why the hell did this patient get an MRI? 232 00:11:31,595 --> 00:11:33,161 I don't know anything about this. 233 00:11:33,163 --> 00:11:35,056 Yeah. Someone on your team ordered it. 234 00:11:35,081 --> 00:11:37,265 It's your responsibility, which makes it your fault. 235 00:11:38,602 --> 00:11:39,901 What... How did you...? 236 00:11:39,903 --> 00:11:42,337 It's my department. It's my job to know everything. 237 00:11:42,339 --> 00:11:44,585 Well, then, since I work for you, 238 00:11:44,610 --> 00:11:46,408 doesn't that make all of this actually your fault? 239 00:11:46,410 --> 00:11:49,352 Oh, I'm sorry, I stopped listening after "I work for you." 240 00:11:53,550 --> 00:11:54,950 Does that hurt? 241 00:11:54,952 --> 00:11:56,017 Yes. 242 00:11:57,220 --> 00:11:58,220 Does that hurt? 243 00:11:58,325 --> 00:11:59,848 Yes. 244 00:12:00,224 --> 00:12:01,423 Does that hurt? 245 00:12:01,425 --> 00:12:03,620 How much are we paying for this? She has a tummy ache. 246 00:12:03,645 --> 00:12:04,960 - That's what they do... they ache. - Shh. 247 00:12:04,962 --> 00:12:07,001 She's just trying to get out of school. Again. 248 00:12:07,026 --> 00:12:08,497 Where do you think she learned that from? 249 00:12:08,522 --> 00:12:10,198 You don't think she hears you calling in sick to work 250 00:12:10,200 --> 00:12:11,366 right before you go golfing? 251 00:12:11,368 --> 00:12:13,168 I like school. 252 00:12:13,320 --> 00:12:14,586 Me too. 253 00:12:14,611 --> 00:12:16,271 What did you eat for dinner last night? 254 00:12:16,273 --> 00:12:18,039 Cereal. 255 00:12:18,041 --> 00:12:19,341 - I thought you made meatloaf. - I did. 256 00:12:19,343 --> 00:12:21,209 And it got cold while we were waiting for you. 257 00:12:21,211 --> 00:12:23,533 I want D-dimer, lactate, and amylase... 258 00:12:23,558 --> 00:12:24,846 What tests are you ordering? 259 00:12:24,848 --> 00:12:27,849 D-dimer, lactate, and amylase. 260 00:12:27,874 --> 00:12:30,445 - For a tummy ache? Hmm? - Yes. 261 00:12:30,616 --> 00:12:32,849 I'm concerned it may be... 262 00:12:35,554 --> 00:12:37,488 Shall we talk outside? 263 00:12:37,513 --> 00:12:38,900 I told you something was wrong. 264 00:12:38,925 --> 00:12:40,595 You're happy she might be sick? 265 00:12:40,597 --> 00:12:41,663 I'm happy you're wrong. 266 00:12:41,665 --> 00:12:43,431 Yeah. Let's talk outside. 267 00:12:46,429 --> 00:12:48,584 Have they been bickering like that the whole time? 268 00:12:48,668 --> 00:12:51,209 I didn't notice. They aren't sick. 269 00:12:51,256 --> 00:12:53,436 - Yeah, they're what we call a vector. - Hmm? 270 00:12:53,461 --> 00:12:55,677 A carrier. A cause of disease. 271 00:12:55,764 --> 00:12:57,712 - You mean the parents? - Yeah. 272 00:12:57,714 --> 00:12:59,314 That little girl has a tummy ache 273 00:12:59,316 --> 00:13:01,116 because mommy and daddy won't stop fighting. 274 00:13:01,118 --> 00:13:02,984 This isn't a medical issue. Send them home. 275 00:13:03,009 --> 00:13:04,653 Could be intestinal malrotation, 276 00:13:04,655 --> 00:13:06,154 which could quickly become fatal. 277 00:13:06,156 --> 00:13:08,423 And every patient in this hospital could have malaria, 278 00:13:08,425 --> 00:13:10,358 but that doesn't mean we're gonna go around testing 279 00:13:10,360 --> 00:13:12,027 for every condition we think they could have. 280 00:13:12,029 --> 00:13:13,628 For example, that MRI you ordered 281 00:13:13,630 --> 00:13:15,330 on the guy with the ear infection? 282 00:13:15,332 --> 00:13:16,464 Nice call, genius. 283 00:13:16,466 --> 00:13:18,099 Thank you. 284 00:13:18,101 --> 00:13:19,301 I was being sarcastic. 285 00:13:19,303 --> 00:13:21,736 It's normal. He's healthy. Send him home, too. 286 00:13:23,740 --> 00:13:25,006 Why are you smiling? 287 00:13:25,008 --> 00:13:26,141 Because you're right. 288 00:13:26,767 --> 00:13:28,160 So you thought he was making a mistake 289 00:13:28,185 --> 00:13:29,546 and didn't say anything? 290 00:13:29,571 --> 00:13:31,751 Just stood by watching, taking notes 291 00:13:31,776 --> 00:13:33,470 while he wasted everybody's time? 292 00:13:33,495 --> 00:13:34,816 Is that your job? 293 00:13:35,251 --> 00:13:37,664 In my experience, doctors don't listen to nurses. 294 00:13:37,689 --> 00:13:39,265 And they only talk to us to lecture us 295 00:13:39,290 --> 00:13:40,889 when they figure we screwed something up. 296 00:13:46,263 --> 00:13:47,495 From now on, you don't run any tests 297 00:13:47,497 --> 00:13:48,463 you don't have to run. 298 00:13:48,465 --> 00:13:50,265 How do I know if a test is needed 299 00:13:50,267 --> 00:13:51,433 until after I run it? 300 00:13:52,536 --> 00:13:53,902 She'll tell you. 301 00:13:53,904 --> 00:13:56,071 Today, she's your boss. 302 00:14:11,646 --> 00:14:13,950 I could never eat before surgery. 303 00:14:14,083 --> 00:14:17,066 Puke? I could do that. 304 00:14:17,301 --> 00:14:18,901 I get cranky if I don't eat. 305 00:14:20,482 --> 00:14:22,522 - I hear Shaun made the call. - Mm. 306 00:14:22,560 --> 00:14:24,393 He's an excellent diagnostician. 307 00:14:24,395 --> 00:14:26,395 You should get him a job in radiology. 308 00:14:26,397 --> 00:14:28,264 He doesn't want to be a radiologist. 309 00:14:28,266 --> 00:14:29,786 He wants to be a surgeon. 310 00:14:29,811 --> 00:14:31,645 That's what we hired him to be. 311 00:14:31,670 --> 00:14:34,937 That's what I worked damn hard to hire him to be. 312 00:14:34,939 --> 00:14:36,639 Not a glorified orderly. 313 00:14:36,641 --> 00:14:38,370 Every resident does scut work. 314 00:14:38,395 --> 00:14:40,576 So you're treating him like anybody else? 315 00:14:40,578 --> 00:14:42,578 - Are you? - Yes, yes, I am. 316 00:14:42,580 --> 00:14:44,613 He more than earned the right to be here. 317 00:14:44,615 --> 00:14:46,582 He has had to get past people like you 318 00:14:46,584 --> 00:14:48,651 and their prejudices every step of the way. 319 00:14:48,653 --> 00:14:50,841 - Prejudices? - Yeah, prejudices. 320 00:14:50,866 --> 00:14:52,521 You have any idea how many patients 321 00:14:52,523 --> 00:14:53,923 he's scared the crap out of today? 322 00:14:53,925 --> 00:14:56,025 How many wasted tests he ordered? 323 00:14:56,027 --> 00:14:57,193 So teach him. 324 00:14:57,195 --> 00:14:58,458 I'm doing that. 325 00:14:58,629 --> 00:15:01,177 I'm teaching you both that he doesn't belong. 326 00:15:02,867 --> 00:15:04,166 Okay. 327 00:15:04,168 --> 00:15:07,232 You're gonna make me pull rank, I will pull rank. 328 00:15:07,427 --> 00:15:09,222 This is my hospital. 329 00:15:09,325 --> 00:15:11,401 But it's my team. 330 00:15:11,881 --> 00:15:13,514 You can't tell me how to run my team. 331 00:15:23,572 --> 00:15:25,305 Hey. 332 00:15:25,456 --> 00:15:26,822 How are you doing? 333 00:15:26,824 --> 00:15:28,724 What's the point of sarcasm? 334 00:15:29,187 --> 00:15:30,826 Um... 335 00:15:31,294 --> 00:15:32,495 Well, uh... 336 00:15:32,497 --> 00:15:36,437 Like, sometimes, it's a way of critiquing people 337 00:15:36,462 --> 00:15:38,134 in a way that's funny 338 00:15:38,136 --> 00:15:39,702 so they don't feel quite so bad. 339 00:15:39,704 --> 00:15:41,203 Isn't it just lying? 340 00:15:41,205 --> 00:15:42,905 Mm, well, it's not lying, 341 00:15:42,907 --> 00:15:44,940 because people know you're lying. 342 00:15:45,621 --> 00:15:47,799 I'm not good at that. 343 00:15:48,979 --> 00:15:51,080 You may remember me from last year. 344 00:15:51,082 --> 00:15:52,715 We sell chocolate bars every year 345 00:15:52,717 --> 00:15:54,750 to pay for our class trip to Mt. Rushmore. 346 00:15:54,752 --> 00:15:56,118 Okay. 347 00:15:56,120 --> 00:15:57,953 But this year we're not going to Mt. Rushmore, 348 00:15:57,955 --> 00:16:00,356 because Kenny can't go. 349 00:16:00,358 --> 00:16:01,791 He's got cancer. 350 00:16:02,674 --> 00:16:04,478 So, Samantha had the idea 351 00:16:04,503 --> 00:16:06,595 that if he can't go, none of us would go, 352 00:16:06,597 --> 00:16:08,397 and we all thought that was a great idea. 353 00:16:08,399 --> 00:16:10,766 So, we're gonna have a party at the hospital for him. 354 00:16:12,602 --> 00:16:14,376 There are two Kennys in your class. 355 00:16:14,516 --> 00:16:16,227 Is it Kenny L. or Kenny M.? 356 00:16:16,252 --> 00:16:18,018 No one's sick. 357 00:16:18,043 --> 00:16:19,242 Well, you lied? 358 00:16:19,343 --> 00:16:21,076 - You weren't supposed to lie. - Yeah. 359 00:16:21,078 --> 00:16:22,925 And you and me aren't supposed to starve. 360 00:16:22,950 --> 00:16:24,216 We need money for food. 361 00:16:25,125 --> 00:16:26,893 Was any of that true? 362 00:16:26,918 --> 00:16:28,417 Yeah. 363 00:16:28,419 --> 00:16:29,952 We're not going to Mt. Rushmore. 364 00:16:36,159 --> 00:16:37,359 I can't discharge people 365 00:16:37,361 --> 00:16:39,128 if I think they might still be sick. 366 00:16:39,130 --> 00:16:41,597 Um, of course not. Why would you? 367 00:16:41,599 --> 00:16:44,600 Dr. Melendez made Nurse Fryday my boss today. 368 00:16:45,053 --> 00:16:47,369 Should I speak to Dr. Glassman? 369 00:16:47,421 --> 00:16:49,225 No. 370 00:16:49,545 --> 00:16:51,645 What did you think this job was? 371 00:16:51,709 --> 00:16:53,286 To save people's lives. 372 00:16:53,311 --> 00:16:54,376 No. 373 00:16:54,378 --> 00:16:57,893 I mean, yeah, sometimes we do save lives. 374 00:16:57,982 --> 00:16:59,963 But the job... 375 00:17:00,166 --> 00:17:02,484 It's doing whatever Melendez asks us to do. 376 00:17:03,955 --> 00:17:05,629 Paging Dr. Browne. 377 00:17:05,684 --> 00:17:08,434 Paging Dr. Browne to the O.R. 378 00:17:16,395 --> 00:17:17,867 I'm Dr. Claire Browne. 379 00:17:17,869 --> 00:17:18,901 I'm first assist today, 380 00:17:18,926 --> 00:17:20,591 and I'll be leading the timeout. 381 00:17:20,616 --> 00:17:23,550 Patient's name, Stephanie Willis. 382 00:17:23,808 --> 00:17:25,107 Scheduled surgery? 383 00:17:25,109 --> 00:17:27,509 Excision of an indeterminate retroperitoneal tumor. 384 00:17:27,511 --> 00:17:30,754 We don't anticipate any complications with the surgery. 385 00:17:30,779 --> 00:17:32,579 Thank you, Dr. Browne. 386 00:17:32,750 --> 00:17:33,916 Ten blade. 387 00:17:43,961 --> 00:17:45,361 Let's remove a tumor. 388 00:17:49,367 --> 00:17:50,633 Excuse me. 389 00:17:54,877 --> 00:17:55,980 No. 390 00:17:58,276 --> 00:17:59,742 It might be infected. 391 00:17:59,744 --> 00:18:02,153 - It's not. - There is some discoloration. 392 00:18:02,178 --> 00:18:04,947 He's 82 years old. Everything is discolored. 393 00:18:12,263 --> 00:18:14,790 Once we get through the muscle layer, proceed carefully. 394 00:18:15,216 --> 00:18:17,747 Blood pressure, 120 over 70. 395 00:18:17,795 --> 00:18:18,894 Heart rate 60. 396 00:18:18,896 --> 00:18:20,195 She's holding steady. 397 00:18:21,629 --> 00:18:23,229 I've opened the facia. 398 00:18:25,179 --> 00:18:27,480 You kept your puke? 399 00:18:27,833 --> 00:18:30,372 Yeah, I thought you'd want to see it. 400 00:18:30,374 --> 00:18:33,208 It looks like puke. 401 00:18:33,210 --> 00:18:35,377 No. No, no. It's not the regular color. 402 00:18:35,922 --> 00:18:37,546 Your puke has a regular color? 403 00:18:37,548 --> 00:18:38,614 Yeah. 404 00:18:38,616 --> 00:18:40,449 It is a bit of an unusual color. 405 00:18:40,944 --> 00:18:42,999 We could order some... 406 00:18:44,577 --> 00:18:46,499 I'm sending you home. 407 00:18:46,648 --> 00:18:48,615 You sure? 408 00:18:48,711 --> 00:18:50,392 It... It's safe for me to go home? 409 00:18:52,276 --> 00:18:53,476 I don't know what to say. 410 00:18:53,813 --> 00:18:55,461 You'll learn. 411 00:18:55,586 --> 00:18:56,832 By doing. 412 00:19:04,954 --> 00:19:06,288 Hi. 413 00:19:09,502 --> 00:19:11,580 My brother said there's a kid named Kenny, 414 00:19:11,605 --> 00:19:13,349 and he's sick, and there might... 415 00:19:13,351 --> 00:19:14,450 you should give us money. 416 00:19:17,989 --> 00:19:19,221 So, am I okay? 417 00:19:21,413 --> 00:19:23,080 Am... Am I okay? 418 00:19:23,536 --> 00:19:25,510 According to all hospital rules 419 00:19:25,535 --> 00:19:27,997 and direct instructions given to me, yes. 420 00:19:32,597 --> 00:19:33,886 But... 421 00:19:37,708 --> 00:19:38,941 Whoa. 422 00:19:38,943 --> 00:19:41,592 We need a better exposure of this tumor. 423 00:19:44,701 --> 00:19:46,383 Let's get the deep Balfour in here. 424 00:19:47,186 --> 00:19:49,225 Deep Balfour retractor. 425 00:19:50,254 --> 00:19:52,988 Let's get this thing open. I've got to see where it's safe to cut. 426 00:19:53,300 --> 00:19:55,667 Yeah. Thanks. 427 00:19:56,013 --> 00:19:58,861 I can't see anywhere where this tumor hasn't encased her arteries. 428 00:19:58,863 --> 00:20:00,219 Claire, tell me you got something. 429 00:20:00,244 --> 00:20:01,497 I've got nothing. 430 00:20:01,499 --> 00:20:03,966 This tumor is way bigger than it looked on the scans. 431 00:20:06,508 --> 00:20:10,106 I...I can't even see her aorta. 432 00:20:11,342 --> 00:20:12,908 That's a problem. 433 00:20:38,688 --> 00:20:41,382 Is that the girl with the bickering parents? 434 00:20:41,407 --> 00:20:44,062 Didn't we send her home four hours ago? 435 00:20:46,689 --> 00:20:49,112 Dr. Murphy, Dr. Melendez needs you in surgery. 436 00:20:56,354 --> 00:20:58,421 That won't be necessary. 437 00:21:05,141 --> 00:21:08,239 The tumor's entirely encased the large abdominal arteries. 438 00:21:08,264 --> 00:21:09,420 That's very bad. 439 00:21:09,445 --> 00:21:10,709 If it's in the artery walls, 440 00:21:10,734 --> 00:21:13,478 it's going to be impossible to cut out without killing her. 441 00:21:13,480 --> 00:21:16,080 You should get a biopsy to determine where the margins are. 442 00:21:16,118 --> 00:21:17,751 Thank you. 443 00:21:17,977 --> 00:21:19,420 You're welcome. 444 00:21:19,422 --> 00:21:21,522 I was being sarcastic... again. 445 00:21:22,148 --> 00:21:23,791 Oh, I-I see, 446 00:21:23,793 --> 00:21:25,726 because you are already know everything I said, 447 00:21:25,728 --> 00:21:27,945 and you already sent a biopsy to the lab? 448 00:21:27,970 --> 00:21:29,997 Yes, 'cause I'm a doctor, too. 449 00:21:30,195 --> 00:21:32,329 Yes. But you need me? 450 00:21:32,354 --> 00:21:33,930 Yeah, I need you to run down to the lab 451 00:21:33,955 --> 00:21:35,454 and hurry them along. 452 00:21:51,554 --> 00:21:53,261 I'm Dr. Shaun Murphy. 453 00:21:53,286 --> 00:21:54,886 I'm a surgical resident. 454 00:21:54,911 --> 00:21:56,657 Dr. Melendez sent you a biopsy. 455 00:21:56,659 --> 00:21:58,292 When will the results be ready? 456 00:21:58,294 --> 00:21:59,760 When I get to it. 457 00:21:59,762 --> 00:22:01,462 It's very important. 458 00:22:01,464 --> 00:22:02,896 They're all very important. 459 00:22:04,503 --> 00:22:06,455 Let me see the other test orders. 460 00:22:06,480 --> 00:22:08,302 I'll tell you which ones are most important, 461 00:22:08,304 --> 00:22:10,037 and you can do them in that order. 462 00:22:10,039 --> 00:22:11,672 I'll be honest and fair. 463 00:22:12,166 --> 00:22:14,942 That is not the way that it works. 464 00:22:15,097 --> 00:22:16,765 Now go wait your turn. 465 00:22:21,216 --> 00:22:22,483 Do it again. 466 00:22:31,652 --> 00:22:35,011 - Get the hell away from me, you moron. - Let's get out of here! 467 00:22:37,199 --> 00:22:38,565 Wait, wait, wait, wait! 468 00:22:40,101 --> 00:22:42,180 If you want to get anything in life, Shaun, 469 00:22:42,205 --> 00:22:43,637 there's one thing you got to do. 470 00:22:43,639 --> 00:22:45,205 Never be afraid. 471 00:22:47,042 --> 00:22:48,142 You're the moron! 472 00:23:05,342 --> 00:23:08,595 If you don't do Dr. Melendez's test right now, 473 00:23:08,597 --> 00:23:10,497 I will throw a rock through your window. 474 00:23:16,070 --> 00:23:18,197 Well, I wouldn't want that. 475 00:23:20,609 --> 00:23:22,104 Go have a seat. 476 00:23:22,239 --> 00:23:24,393 Your results will be ready in 15 minutes. 477 00:23:35,124 --> 00:23:36,523 You got a minute? 478 00:23:36,525 --> 00:23:38,412 I have a patient lying in the O.R. 479 00:23:38,437 --> 00:23:39,870 waiting for lab results, 480 00:23:39,895 --> 00:23:41,361 and I'm sitting here trying to figure out 481 00:23:41,363 --> 00:23:43,564 what the hell I'm gonna do next, and I don't like any of my options, 482 00:23:43,566 --> 00:23:46,592 so... yeah, unfortunately it seems I do. 483 00:23:46,802 --> 00:23:48,402 Okay, we can talk another time. 484 00:23:48,404 --> 00:23:49,603 Glassman talked to you? 485 00:23:51,857 --> 00:23:54,408 I don't have a problem with an autistic doctor. 486 00:23:54,410 --> 00:23:56,404 No, you just have a problem with one working for you. 487 00:23:56,429 --> 00:23:57,978 Really? That's how you see me? 488 00:23:57,980 --> 00:23:59,717 Let's not make this personal. 489 00:23:59,742 --> 00:24:01,909 You're accusing me of prejudice. 490 00:24:02,084 --> 00:24:03,750 I have a problem with the doctor 491 00:24:03,752 --> 00:24:05,652 who has a problem with communication. 492 00:24:05,654 --> 00:24:09,690 Okay, let's make this personal. 493 00:24:11,627 --> 00:24:12,993 Who do you respect at this hospital? 494 00:24:12,995 --> 00:24:15,893 You and Glassman. 495 00:24:16,074 --> 00:24:17,840 And who do you not respect? 496 00:24:21,391 --> 00:24:23,058 And does it bother you 497 00:24:23,138 --> 00:24:25,339 that it looks like you're on the wrong team? 498 00:24:27,280 --> 00:24:29,778 If the tumor hasn't invaded into the arterial walls, 499 00:24:29,803 --> 00:24:31,536 we could create a plane of dissection. 500 00:24:31,780 --> 00:24:33,785 Well, if it's a noninvasive liposarcoma 501 00:24:33,810 --> 00:24:35,415 we can work it off from the outside. 502 00:24:35,417 --> 00:24:37,217 Blunt dissection and tissue forceps... 503 00:24:37,219 --> 00:24:38,619 peel it off piece by piece. 504 00:24:48,474 --> 00:24:51,086 It's a leiomyosarcoma. 505 00:24:52,568 --> 00:24:54,901 Well, that sucks. 506 00:24:54,903 --> 00:24:57,070 - Yes, it's sad. - The surgery's impossible. 507 00:24:57,414 --> 00:25:00,546 Well, might as well wake her up... 508 00:25:00,719 --> 00:25:02,919 let her know she has three months to live, 509 00:25:02,999 --> 00:25:04,832 offer palliative care. 510 00:25:11,181 --> 00:25:13,582 The surgery isn't impossible... 511 00:25:13,789 --> 00:25:16,714 just, very, very, very difficult. 512 00:25:16,792 --> 00:25:19,293 Yes, in the sense that we'll be operating blind. 513 00:25:19,295 --> 00:25:21,828 Yes, because the left kidney is in the way. 514 00:25:21,909 --> 00:25:25,229 - The healthy left kidney. - Both kidneys are healthy, Jared. 515 00:25:25,254 --> 00:25:26,300 She only needs one. 516 00:25:26,325 --> 00:25:28,368 Without the left one, it's theoretically possible 517 00:25:28,370 --> 00:25:30,070 to access the tumor and remove it. 518 00:25:30,072 --> 00:25:32,239 You're suggesting we cut out a perfectly healthy organ 519 00:25:32,241 --> 00:25:33,745 - just to get a better view? - Yes. 520 00:25:33,770 --> 00:25:36,628 - But she might die anyway. - Yes. Quite probably. 521 00:25:38,179 --> 00:25:40,614 I have to go. I have a boil to lance. 522 00:25:44,025 --> 00:25:46,527 I mean, it's a brilliant... 523 00:25:47,174 --> 00:25:49,175 very, very, very terrible idea. 524 00:25:52,284 --> 00:25:54,184 Close her up and wake her up. 525 00:25:54,296 --> 00:25:55,520 Who wants to join me when I tell her 526 00:25:55,545 --> 00:25:57,097 she has six weeks left to live? 527 00:25:59,801 --> 00:26:02,069 There is one possibility. 528 00:26:05,039 --> 00:26:06,139 If we removed the left kidney, 529 00:26:06,141 --> 00:26:07,574 we might be able to get a good enough view 530 00:26:07,576 --> 00:26:09,236 to successfully remove the mass. 531 00:26:09,261 --> 00:26:11,035 Take out a healthy kidney 532 00:26:11,280 --> 00:26:12,479 to get a better view? 533 00:26:12,871 --> 00:26:14,184 That's insane. 534 00:26:14,515 --> 00:26:17,184 A good view's half the battle in any operation. 535 00:26:18,403 --> 00:26:20,620 Most likely outcome is we'd be depriving her 536 00:26:20,622 --> 00:26:21,922 of what little time she has left. 537 00:26:21,924 --> 00:26:23,993 But if we succeed... 538 00:26:24,860 --> 00:26:26,593 You want to do this 'cause it's exciting. 539 00:26:26,595 --> 00:26:27,961 You want to be a hero. 540 00:26:27,963 --> 00:26:30,531 But if you fail, this woman dies. 541 00:26:30,556 --> 00:26:31,932 She misses her son's wedding. 542 00:26:33,634 --> 00:26:34,868 Well, that's the issue, isn't it? 543 00:26:36,172 --> 00:26:38,508 You promised this woman she'll be okay. 544 00:26:46,778 --> 00:26:48,310 She had to do this surgery. 545 00:26:48,335 --> 00:26:50,150 I might as well tell her good things. 546 00:26:50,152 --> 00:26:52,287 The reason we don't make patients promises 547 00:26:52,312 --> 00:26:53,670 isn't just for legal. 548 00:26:53,695 --> 00:26:56,046 Jared's right. Your judgment is compromised. 549 00:26:56,071 --> 00:26:57,758 - I still think... - You're not objective. 550 00:26:57,760 --> 00:26:58,792 Who the hell is? 551 00:27:00,072 --> 00:27:02,439 We should at least wake her up, 552 00:27:02,626 --> 00:27:05,624 explain what we found, what we're hoping to do, 553 00:27:05,734 --> 00:27:08,201 - and get a new consent. - What we're hoping to do 554 00:27:08,203 --> 00:27:10,437 is exactly what you told her we were going to do... 555 00:27:10,494 --> 00:27:11,838 remove that tumor. 556 00:27:11,840 --> 00:27:13,218 The only thing we'd be explaining is 557 00:27:13,243 --> 00:27:14,608 why you undersold the risks. 558 00:27:15,972 --> 00:27:18,106 We're doing the surgery. 559 00:27:18,320 --> 00:27:20,388 And, Jared, you're my new number two. 560 00:27:33,819 --> 00:27:36,121 - Mayos. - Mayos. 561 00:27:39,285 --> 00:27:41,991 I'm going to open the fascia and expose the kidney. 562 00:27:41,993 --> 00:27:43,493 You clamp the renal hilum. 563 00:27:43,495 --> 00:27:45,226 - Clamp. - Clamp. 564 00:27:51,903 --> 00:27:53,589 We just cut off the blood supply 565 00:27:53,614 --> 00:27:55,261 to a perfectly healthy kidney. 566 00:27:55,286 --> 00:27:57,964 If we needed color commentary, I would have hired Jeff Van Gundy. 567 00:28:05,712 --> 00:28:08,313 Shaun, I believe you've met Trevor. 568 00:28:08,487 --> 00:28:10,286 Yes. I sent him home. 569 00:28:10,288 --> 00:28:12,964 Yes, well, he didn't go home. 570 00:28:12,989 --> 00:28:14,432 He actually came to 571 00:28:14,457 --> 00:28:17,043 the president of the hospital instead. 572 00:28:17,068 --> 00:28:18,418 H-He said you sent him home 573 00:28:18,443 --> 00:28:19,520 even though you thought he was sick. 574 00:28:19,598 --> 00:28:21,197 I specifically never said that. 575 00:28:21,199 --> 00:28:22,832 - I made sure not to say that. - No. Oh. 576 00:28:22,834 --> 00:28:24,267 What... what the hell does that mean? 577 00:28:24,269 --> 00:28:26,136 - What does that mean, Shaun? - A-Am I healthy? 578 00:28:26,138 --> 00:28:27,504 - Probably. - You're a doctor. 579 00:28:27,506 --> 00:28:29,210 - You're... you're supposed to know. - No, we're not... 580 00:28:29,257 --> 00:28:30,975 Nobody knows anything for sure. 581 00:28:31,038 --> 00:28:33,436 Anybody could drop dead of a heart attack at any time. 582 00:28:33,499 --> 00:28:34,678 Who is this guy? 583 00:28:34,710 --> 00:28:36,694 Am I... Am I gonna have a heart attack? 584 00:28:37,398 --> 00:28:39,899 Shaun has some difficulty 585 00:28:39,901 --> 00:28:42,368 with certain social interactions, but if he says that... 586 00:28:42,370 --> 00:28:43,669 I don't give a crap what he says. 587 00:28:43,671 --> 00:28:46,272 W-What do you say? Am I healthy? 588 00:28:47,341 --> 00:28:49,498 I've reviewed your chart, 589 00:28:49,592 --> 00:28:51,303 and I can say with complete confidence 590 00:28:51,328 --> 00:28:53,579 that you are in peak physical condition. 591 00:28:53,581 --> 00:28:55,381 Thank God. 592 00:29:05,279 --> 00:29:09,006 Shaun, people need reassurance. 593 00:29:09,197 --> 00:29:11,330 I told him he was safe to go home. 594 00:29:11,332 --> 00:29:13,599 - I was very clear. - W-With your words... 595 00:29:13,601 --> 00:29:15,434 Your actions said something completely different. 596 00:29:15,436 --> 00:29:18,270 No, they didn't. My actions were completely silent. 597 00:29:19,205 --> 00:29:22,975 When you reassure someone, they have to receive it. 598 00:29:23,000 --> 00:29:24,510 You have to gauge 599 00:29:24,512 --> 00:29:27,178 whether they actually are reassured. 600 00:29:27,315 --> 00:29:28,447 You understand? 601 00:29:30,576 --> 00:29:32,485 When did you review Trevor's chart? 602 00:29:33,653 --> 00:29:34,687 I didn't. 603 00:29:35,743 --> 00:29:37,077 It's not really a lie. 604 00:29:37,102 --> 00:29:39,302 If you say that he is safe to go home, 605 00:29:39,360 --> 00:29:42,027 then I know for a fact that he's safe to go home. 606 00:29:44,165 --> 00:29:46,265 I sent a girl home today. 607 00:29:48,702 --> 00:29:50,736 How often do people develop stomach issues 608 00:29:50,738 --> 00:29:51,871 because of their brain? 609 00:29:52,089 --> 00:29:54,300 Based on my personal experience? 610 00:29:54,331 --> 00:29:55,808 Every single day. 611 00:29:58,198 --> 00:30:00,479 I want D-dimer, lactate, and amylase 612 00:30:00,481 --> 00:30:02,548 for a 10-year-old girl, Martine LaDuff. 613 00:30:02,714 --> 00:30:05,417 She might have a tummy ache caused by stress. 614 00:30:05,628 --> 00:30:07,353 Or she might not. 615 00:30:08,021 --> 00:30:09,021 Hi, Shaun. 616 00:30:09,023 --> 00:30:10,560 Hi, Carly. 617 00:30:10,585 --> 00:30:13,053 That's a lot of tests for an upset stomach. 618 00:30:13,161 --> 00:30:14,393 You could get in trouble. 619 00:30:14,395 --> 00:30:16,061 That's definitely true. 620 00:30:18,699 --> 00:30:21,675 - Remove the kidney. - All right. 621 00:30:32,996 --> 00:30:34,651 Let's get in there with some suction, Claire, 622 00:30:34,676 --> 00:30:36,692 so we can get a better view of what we're dealing with. 623 00:30:42,123 --> 00:30:43,155 There it is. 624 00:30:45,959 --> 00:30:47,960 It's a mess. 625 00:30:48,067 --> 00:30:50,012 Yes, it is. 626 00:30:50,131 --> 00:30:52,665 But now it's a mess we can see. 627 00:30:53,518 --> 00:30:56,032 Everything is within normal range. 628 00:30:56,642 --> 00:30:57,917 Hmm. 629 00:30:58,024 --> 00:31:00,399 Slightly elevated lactate and amylase, 630 00:31:00,508 --> 00:31:01,907 and she's very small. 631 00:31:01,909 --> 00:31:03,409 Normal should be lower. 632 00:31:03,476 --> 00:31:05,578 Normal should be lower. 633 00:31:08,329 --> 00:31:10,288 What do you think she has? 634 00:31:13,136 --> 00:31:14,170 Thank you. 635 00:32:13,827 --> 00:32:15,911 W-What the hell? It... it's after 1:00. 636 00:32:15,936 --> 00:32:17,216 I ran tests. 637 00:32:17,218 --> 00:32:18,871 The results were ambiguous. 638 00:32:18,896 --> 00:32:21,043 I think Martine has intestinal malrotation 639 00:32:21,068 --> 00:32:22,755 and that a volvulus has occurred. 640 00:32:22,757 --> 00:32:25,068 Ambiguous tests told you this. 641 00:32:25,093 --> 00:32:26,558 It's a genetic condition. 642 00:32:26,560 --> 00:32:28,394 The symptoms are very similar to stress. 643 00:32:28,396 --> 00:32:30,162 Call us in the morning. 644 00:32:30,164 --> 00:32:31,597 Okay, she may not be alive in the morning. 645 00:32:36,036 --> 00:32:37,336 Does your boss know you're here? 646 00:32:39,141 --> 00:32:41,816 No, I think he'd be upset with me for being here. 647 00:32:43,210 --> 00:32:44,376 I am not waking my daughter up 648 00:32:44,378 --> 00:32:45,477 in the middle of a school night 649 00:32:45,479 --> 00:32:46,745 because of some freak. 650 00:32:46,747 --> 00:32:48,147 And you don't need to call me in the morning, 651 00:32:48,149 --> 00:32:50,582 because I'll be calling your boss in the morning. 652 00:32:59,427 --> 00:33:00,868 Were you being sarcastic? 653 00:33:00,893 --> 00:33:02,868 - How hard is it to get rid of someone. - I told him... 654 00:33:02,893 --> 00:33:04,693 You're right. I'm weird. 655 00:33:04,899 --> 00:33:07,087 Part of my weirdness is that I perseverate. 656 00:33:07,112 --> 00:33:09,212 That means I keep thinking about things. 657 00:33:09,237 --> 00:33:13,072 So I will keep knocking on your door until I know Martine is okay. 658 00:33:18,012 --> 00:33:20,020 Martine. 659 00:33:20,317 --> 00:33:21,750 Martine. 660 00:33:22,924 --> 00:33:24,291 Martine. 661 00:33:24,365 --> 00:33:26,348 Martine, you need to wake up! 662 00:33:28,533 --> 00:33:30,268 - Honey? - Martine? 663 00:33:30,986 --> 00:33:33,225 - She vomited. - I-I can't wake her! 664 00:33:33,227 --> 00:33:36,061 - I'll call 911. - N-No. There's no time. 665 00:33:36,063 --> 00:33:37,296 - Do you have a car? - Yeah. 666 00:33:57,184 --> 00:33:58,884 Shaun... 667 00:33:58,886 --> 00:34:00,819 ...what's wrong? 668 00:34:00,821 --> 00:34:01,920 What's wrong? 669 00:34:01,922 --> 00:34:03,963 Hey, hey. You called me. What's wrong? 670 00:34:03,988 --> 00:34:05,668 Hey, look at me. Look at me! 671 00:34:05,693 --> 00:34:07,699 What's... You don't have to say the whole thing, okay? 672 00:34:07,724 --> 00:34:08,761 Just one thing, okay? 673 00:34:08,763 --> 00:34:10,329 - One thing, - My... my brother. 674 00:34:26,450 --> 00:34:28,684 Hold on, Shaun. Hold on now, hold on. 675 00:34:38,568 --> 00:34:41,043 Her pulse is too weak to perfuse her organs. 676 00:34:41,068 --> 00:34:43,061 What? What does that... 677 00:34:45,890 --> 00:34:46,965 Jerry! 678 00:34:47,867 --> 00:34:49,007 Please hurry. 679 00:34:54,874 --> 00:34:56,459 Watch your back! 680 00:34:56,484 --> 00:34:57,968 Patient is a 10-year-old female. 681 00:34:57,993 --> 00:35:00,554 She has bradycardia with hypovolemic shock. 682 00:35:01,822 --> 00:35:04,080 - She needs oxygen, IV adrenaline... - Go! 683 00:35:04,105 --> 00:35:05,174 ...and a liter of saline. 684 00:35:05,199 --> 00:35:06,942 - Wide open, please! - Coming through! 685 00:35:08,456 --> 00:35:10,557 Her pulse is better. She needs an ultrasound. 686 00:35:16,998 --> 00:35:18,382 That is it. 687 00:35:18,407 --> 00:35:19,907 Wow. 688 00:35:22,046 --> 00:35:23,272 I think you got it all. 689 00:35:23,297 --> 00:35:25,481 - You "think"? - No. You definitely did. 690 00:35:25,506 --> 00:35:27,715 - I just can't quite believe it. - It was your idea. 691 00:35:27,740 --> 00:35:29,807 You should have more confidence. 692 00:35:32,324 --> 00:35:34,083 Nice work, Doctor. 693 00:35:56,148 --> 00:35:57,771 There. 694 00:35:57,896 --> 00:35:59,740 The small bowel is twisted around 695 00:35:59,765 --> 00:36:01,451 the superior mesenteric artery. 696 00:36:01,453 --> 00:36:03,720 Martine needs surgery immediately. 697 00:36:04,115 --> 00:36:06,423 We need to confirm with Dr. Melendez. 698 00:36:06,425 --> 00:36:08,892 N-No. Dr. Melendez is in surgery. 699 00:36:08,894 --> 00:36:10,360 Part of Martine's bowel is dying 700 00:36:10,362 --> 00:36:11,762 - and killing her with it. - No. 701 00:36:11,764 --> 00:36:13,864 You cannot make these calls on your own. 702 00:36:13,866 --> 00:36:15,332 Dr. Melendez was very clear. 703 00:36:17,001 --> 00:36:18,301 He was very clear. 704 00:36:18,303 --> 00:36:20,184 It's past midnight, which means it's tomorrow, 705 00:36:20,209 --> 00:36:21,972 which means you're no longer my boss. 706 00:36:24,562 --> 00:36:27,034 Is this the O.R. scheduler? 707 00:36:27,216 --> 00:36:29,369 Yes, this is Dr. Murphy. 708 00:36:29,595 --> 00:36:31,495 Prepare an O.R. for surgery. 709 00:36:38,690 --> 00:36:39,856 Ten blade. 710 00:36:47,060 --> 00:36:48,793 I'll take it from here. 711 00:36:49,067 --> 00:36:51,501 Nice diagnosis. I'll handle the repair work. 712 00:36:53,434 --> 00:36:54,998 Is Stephanie okay? 713 00:36:55,105 --> 00:36:56,604 Yes. 714 00:36:56,708 --> 00:36:58,935 Jared had an excellent idea, and she's gonna be fine. 715 00:36:58,960 --> 00:37:00,043 - Light. - Light. 716 00:37:04,149 --> 00:37:05,415 Would you like me to assist? 717 00:37:05,417 --> 00:37:06,610 Mm, pretty basic... 718 00:37:06,635 --> 00:37:08,318 I think I can take this one on my own. 719 00:37:08,320 --> 00:37:09,586 Go home. Get some sleep. 720 00:37:10,869 --> 00:37:12,155 Let him stay. 721 00:37:13,135 --> 00:37:15,469 Dr. Andrews, I believe our opinions 722 00:37:15,494 --> 00:37:17,160 on the wisdom of hiring Dr. Murphy... 723 00:37:17,162 --> 00:37:18,985 That battle is lost. 724 00:37:19,125 --> 00:37:20,697 Shaun is here, and we have to accept it, 725 00:37:20,699 --> 00:37:22,432 and we will treat him like any other resident. 726 00:37:22,457 --> 00:37:24,534 - Sir, it's my team. - And it's my department. 727 00:37:26,365 --> 00:37:28,033 Dr. Murphy. 728 00:37:32,386 --> 00:37:34,121 Back on suction... congratulations. 729 00:37:43,689 --> 00:37:44,921 Whoo! 730 00:37:44,923 --> 00:37:46,289 I am gonna get a drink. 731 00:37:46,291 --> 00:37:48,158 I'm way too wound up to sleep. 732 00:37:48,160 --> 00:37:50,639 You care to join me? For either? 733 00:37:50,664 --> 00:37:52,363 Don't think so. 734 00:37:52,493 --> 00:37:54,126 Seriously? 735 00:37:54,199 --> 00:37:55,999 We were just part of something amazing. 736 00:37:56,001 --> 00:37:58,068 We reached into that woman, and we healed her. 737 00:37:58,070 --> 00:37:59,555 And you're what? 738 00:37:59,640 --> 00:38:01,506 Cranky? 739 00:38:01,673 --> 00:38:03,672 Maybe you could learn something from me. 740 00:38:03,697 --> 00:38:05,752 Like what? To steal credit? 741 00:38:05,777 --> 00:38:08,025 Make yourself a hero with Shaun's idea? 742 00:38:08,050 --> 00:38:09,546 No, but I fought for it. 743 00:38:09,548 --> 00:38:11,214 I went out on a limb for him. 744 00:38:11,216 --> 00:38:12,749 I deserve credit for that. 745 00:38:13,849 --> 00:38:15,896 Why didn't you rat me out as soon as I brought it up? 746 00:38:16,998 --> 00:38:19,050 - It seemed beside the point. - No, you didn't rat me out 747 00:38:19,075 --> 00:38:20,834 'cause you thought the idea was crazy. 748 00:38:21,229 --> 00:38:23,315 You were letting me take the fall. 749 00:38:23,562 --> 00:38:25,395 Is that fair? 750 00:38:26,931 --> 00:38:30,200 My idea if it fails, but Shaun's if it succeeds? 751 00:38:32,010 --> 00:38:33,963 But I'll tell you what... 752 00:38:34,173 --> 00:38:36,578 I'll accept that you're right. 753 00:38:36,636 --> 00:38:38,770 I'll apologize to the whole team 754 00:38:38,944 --> 00:38:41,811 if you prove to me that you're not a hypocrite. 755 00:38:41,813 --> 00:38:43,813 How am I supposed to prove something like that? 756 00:38:44,039 --> 00:38:47,451 Our patient's about to come out of anesthesia. 757 00:38:47,551 --> 00:38:48,783 Tell her the truth. 758 00:38:49,709 --> 00:38:51,922 When she wakes up and hears what we did, 759 00:38:51,924 --> 00:38:54,576 how we miraculously saved her life, 760 00:38:54,779 --> 00:38:57,548 be honest with her... about credit. 761 00:38:57,796 --> 00:38:59,844 Tell her you didn't want to do it. 762 00:39:00,065 --> 00:39:04,282 Tell her that you wanted to send her home to die. 763 00:39:11,735 --> 00:39:14,477 I hear you got Shaun off scut 764 00:39:14,579 --> 00:39:16,079 and back into surgery. 765 00:39:16,360 --> 00:39:19,113 I heard you tried. 766 00:39:19,394 --> 00:39:20,850 You're welcome. 767 00:39:22,848 --> 00:39:24,521 Just a friendly warning... 768 00:39:24,523 --> 00:39:27,590 I know you have no interest in helping Shaun. 769 00:39:27,592 --> 00:39:29,465 You figure you'll give him a little authority, 770 00:39:29,490 --> 00:39:30,737 he'll screw something up, 771 00:39:30,762 --> 00:39:32,262 and then you'll be done with him, 772 00:39:32,264 --> 00:39:34,531 and then you'll be done with me. 773 00:39:34,833 --> 00:39:36,643 You're right about me. 774 00:39:36,668 --> 00:39:38,661 I am getting old 775 00:39:38,737 --> 00:39:41,671 and maybe a little emotional. 776 00:39:41,974 --> 00:39:45,022 Maybe I over-committed. 777 00:39:45,711 --> 00:39:47,310 But you're wrong about Shaun. 778 00:39:47,397 --> 00:39:50,540 He's gonna handle anything you throw at him. 779 00:39:51,945 --> 00:39:54,681 Either way, if he succeeds, 780 00:39:54,946 --> 00:39:56,486 I'm the guy who just backed him. 781 00:39:56,488 --> 00:39:59,712 And if he fails, I'm the president. 782 00:40:18,210 --> 00:40:20,110 Everything went great. 783 00:40:20,112 --> 00:40:21,911 Thank you. Thank you. 784 00:40:21,913 --> 00:40:24,014 - Thank you. - There were complications... 785 00:40:24,016 --> 00:40:26,717 - But I'm okay? - Yeah, but the surgery... 786 00:40:26,742 --> 00:40:28,051 I don't care. 787 00:40:28,053 --> 00:40:30,620 You saved me. Thank you. 788 00:40:30,622 --> 00:40:32,389 My son's going to be here soon. 789 00:40:32,391 --> 00:40:35,881 I told him you said it would be okay, but he flew in anyway. 790 00:40:36,116 --> 00:40:38,194 You saved me. 791 00:40:41,432 --> 00:40:44,167 You're gonna be a beautiful mother of the groom. 792 00:41:09,394 --> 00:41:11,027 Go on and take a bow. 793 00:41:11,029 --> 00:41:12,643 You've earned it. 794 00:41:12,690 --> 00:41:15,520 Why does it matter who gets credit? 795 00:41:15,673 --> 00:41:19,724 It matters because the people who get credit, 796 00:41:19,849 --> 00:41:21,738 they don't have to do scut work. 797 00:41:32,484 --> 00:41:35,941 Dr. Murphy, thank you so much. 798 00:41:38,824 --> 00:41:41,891 Thank you! 799 00:42:08,006 --> 00:42:13,006 Synced & corrected by kinglouisxx www.addic7ed.com