1 00:00:00,086 --> 00:00:01,722 Previously on "The Good Doctor"... 2 00:00:01,746 --> 00:00:04,396 - Hey! Stop! - Danny! 3 00:00:07,540 --> 00:00:08,674 Just promise me. 4 00:00:08,698 --> 00:00:10,327 - What? - No opioids. 5 00:00:10,351 --> 00:00:11,577 He asked you not to do that. 6 00:00:11,601 --> 00:00:13,236 He's tachycardic and hypertensive 7 00:00:13,260 --> 00:00:14,776 because of the pain. He's going into shock. 8 00:00:14,800 --> 00:00:16,576 - He's not. He's praying. - He's dying. 9 00:00:16,600 --> 00:00:18,866 Forgive me. 10 00:00:18,890 --> 00:00:21,496 I need to go back to Texas with my family. 11 00:00:21,520 --> 00:00:23,666 You made an error in yesterday's craniotomy. 12 00:00:23,690 --> 00:00:25,416 You closed with only eight sutures. 13 00:00:25,440 --> 00:00:27,246 The size of the wound required 10. 14 00:00:27,270 --> 00:00:28,666 We need to figure out why. 15 00:00:28,690 --> 00:00:29,756 I've had a stroke. 16 00:00:29,780 --> 00:00:30,930 Yes. A small one. 17 00:00:30,954 --> 00:00:33,640 Dr. Glassman, please tell us what the next step is. 18 00:00:33,664 --> 00:00:35,948 Somebody please call security. Shaun, you are out of line. 19 00:00:35,972 --> 00:00:36,876 Answer. 20 00:00:36,900 --> 00:00:38,313 It's, um... 21 00:00:38,794 --> 00:00:42,190 You humiliated me in public in my operating room 22 00:00:42,214 --> 00:00:43,770 in front of my colleagues. 23 00:00:43,794 --> 00:00:45,610 Do you have any idea how much that hurt? 24 00:00:45,634 --> 00:00:46,980 I don't know what to do. 25 00:00:47,004 --> 00:00:49,150 You can just leave me alone. 26 00:00:49,174 --> 00:00:51,070 I don't think you should resign. 27 00:00:51,094 --> 00:00:52,400 Because you don't have to do it all alone. 28 00:00:52,424 --> 00:00:54,240 You're the reason I wake up in the morning, 29 00:00:54,264 --> 00:00:55,870 so whatever there is to figure out, 30 00:00:55,894 --> 00:00:58,292 all I want in the world is for us to do it as a family. 31 00:00:59,014 --> 00:01:01,330 I wanted to give you a heads-up as a friend. 32 00:01:01,354 --> 00:01:02,331 I've decided to resign. 33 00:01:04,404 --> 00:01:05,710 Congratulations, Mom and Dad. 34 00:01:09,654 --> 00:01:11,880 Look at what we made. 35 00:01:11,904 --> 00:01:15,050 Do you think Dr. Glassman is coming? 36 00:01:15,074 --> 00:01:16,800 This is from Dr. Glassman. 37 00:01:16,824 --> 00:01:19,180 How did he know his name would be Steve? 38 00:01:19,204 --> 00:01:20,940 Because he knows you. 39 00:01:28,794 --> 00:01:29,940 Gloves. 40 00:01:42,774 --> 00:01:44,750 Start the timer, please. 41 00:01:46,604 --> 00:01:48,290 Good luck, babe. It's a doozy. 42 00:02:21,667 --> 00:02:23,893 37 seconds. 43 00:02:24,314 --> 00:02:25,654 Good work. 44 00:02:30,175 --> 00:02:31,733 I think that was your fastest yet. 45 00:02:32,469 --> 00:02:34,054 Second-fastest. 46 00:02:35,904 --> 00:02:39,850 15 minutes of independent play is starting now. 47 00:02:39,874 --> 00:02:41,810 I will log it into my app. 48 00:02:41,834 --> 00:02:43,470 You sure you don't want to get in a few extra snuggles 49 00:02:43,494 --> 00:02:45,140 before you leave? 50 00:02:45,164 --> 00:02:47,310 Oh, I had 10 minutes of snuggles this morning. 51 00:02:47,334 --> 00:02:48,944 Very nice. 52 00:02:49,736 --> 00:02:52,020 I've also set up the app on your phone. 53 00:02:52,044 --> 00:02:53,320 It will alert you when it's time 54 00:02:53,344 --> 00:02:55,110 for Steve's nap, feeding, playtime... 55 00:02:55,134 --> 00:02:58,240 Just in case I miss the schedules posted on the fridge, 56 00:02:58,264 --> 00:03:00,370 the bathroom, and in our bedroom. 57 00:03:00,394 --> 00:03:03,870 Yes. And I will be able to track it while I'm at work. 58 00:03:03,894 --> 00:03:06,330 Steve and I will be fine. 59 00:03:06,354 --> 00:03:08,080 Just enjoy your first day back. 60 00:03:12,234 --> 00:03:13,670 We can finish reading the latest 61 00:03:13,694 --> 00:03:15,380 Journal of Trauma and Acute Care Surgery 62 00:03:15,404 --> 00:03:16,638 when I get home. 63 00:03:17,994 --> 00:03:19,720 After this, Steve should have at least 64 00:03:19,744 --> 00:03:20,970 five minutes of tummy time. 65 00:03:20,994 --> 00:03:22,850 Yesterday, he only logged 12 minutes, 66 00:03:22,874 --> 00:03:24,010 which is three less than... 67 00:03:24,034 --> 00:03:25,480 I love you. 68 00:03:26,084 --> 00:03:27,664 Say hi to everyone for me. 69 00:03:28,150 --> 00:03:29,900 Okay. I love you, too. 70 00:03:35,924 --> 00:03:37,780 I will miss you both. 71 00:04:10,935 --> 00:04:18,935 Synced & corrected by -robtor- www.addic7ed.com 72 00:04:21,184 --> 00:04:23,530 I don't know why you need three protein powders, for your smoothies. 73 00:04:23,554 --> 00:04:25,684 They do different things. 74 00:04:26,249 --> 00:04:28,063 She's barely taken an ounce. 75 00:04:28,088 --> 00:04:30,210 That's what the protein-powder companies want you to believe. 76 00:04:30,234 --> 00:04:33,290 - Are you holding her right? - Yes. 77 00:04:33,314 --> 00:04:37,774 She needs to be upright with her head properly supported. 78 00:04:38,345 --> 00:04:41,220 Good. And you mixed it enough? 79 00:04:41,244 --> 00:04:43,140 The same as always. 80 00:04:43,164 --> 00:04:45,812 She's not interested again. 81 00:04:46,204 --> 00:04:48,522 And she seems lethargic. 82 00:04:50,004 --> 00:04:51,900 I'll take her to get checked out. 83 00:04:56,844 --> 00:04:59,366 Well, I'd like to come, too. 84 00:05:00,054 --> 00:05:02,360 Sure. You can carry this. 85 00:05:09,394 --> 00:05:12,290 - Good morning. - How's Perez today? 86 00:05:12,314 --> 00:05:13,797 Don't know. 87 00:05:14,654 --> 00:05:16,130 It's almost 8:00 a.m. 88 00:05:16,154 --> 00:05:18,130 It's been "today" for a whole eight hours. 89 00:05:18,154 --> 00:05:19,960 You two haven't texted each other yet? 90 00:05:19,984 --> 00:05:22,220 We both decided we need space. 91 00:05:22,244 --> 00:05:25,640 He's focused on his recovery. I've got my life here. 92 00:05:25,664 --> 00:05:28,680 I fully support that. 93 00:05:28,704 --> 00:05:30,640 And your next chapter begins tonight. 94 00:05:30,664 --> 00:05:34,310 You and me. Drinks, music, questionable decisions. 95 00:05:34,334 --> 00:05:37,060 You and Jerome finally got the surgery! 96 00:05:37,084 --> 00:05:38,610 You're no longer joined at the hip? 97 00:05:38,634 --> 00:05:40,070 Jerome is obsessed with some docuseries 98 00:05:40,094 --> 00:05:42,594 about one of the many sports that I don't care about. 99 00:05:42,826 --> 00:05:44,820 Come on. It's been too long. 100 00:05:44,844 --> 00:05:47,660 I've been busy. You've been... 101 00:05:47,684 --> 00:05:49,200 mopey. 102 00:05:49,224 --> 00:05:51,200 Fine. I agree to drinks and music, 103 00:05:51,224 --> 00:05:54,000 but I'm definitely a "maybe" on questionable decisions. 104 00:05:54,024 --> 00:05:55,920 - Alright. We'll work up to it. - Okay. 105 00:05:55,944 --> 00:05:58,840 We're going out tonight for drinks, starting a new chapter. 106 00:05:58,864 --> 00:06:00,340 That's right. We're calling it 107 00:06:00,364 --> 00:06:02,840 "Bad decisions with good friends." 108 00:06:02,864 --> 00:06:04,220 We're definitely not calling it that. 109 00:06:04,244 --> 00:06:05,340 Wanna join? 110 00:06:05,364 --> 00:06:06,864 No, thank you. 111 00:06:09,074 --> 00:06:10,560 Papa Murphy, welcome back. 112 00:06:10,584 --> 00:06:11,850 Pictures of Steve. 113 00:06:11,874 --> 00:06:13,560 I was just about to ask. 114 00:06:13,584 --> 00:06:16,400 This way, I avoid the disruption of pulling out my phone. 115 00:06:17,964 --> 00:06:21,190 Look at that smile! Just like his mom! 116 00:06:21,214 --> 00:06:24,530 He was pooping in that one. Here he is... about to poop. 117 00:06:24,554 --> 00:06:26,150 A theme develops. 118 00:06:27,884 --> 00:06:30,330 Aww. He's got your eyes, Shaun. 119 00:06:30,354 --> 00:06:32,160 I need to find Dr. Lim. 120 00:06:32,184 --> 00:06:34,734 You may keep those. I made enough for everyone. 121 00:06:36,524 --> 00:06:38,330 Marcus sends greetings from Spain. 122 00:06:38,354 --> 00:06:40,380 Oh, I thought he was at a meditation retreat in Vietnam. 123 00:06:40,404 --> 00:06:43,260 He was, and now he's walking the Camino de Santiago. 124 00:06:43,284 --> 00:06:45,010 How nice for him. 125 00:06:45,034 --> 00:06:48,260 I'm two surgeons down with no one to approve hiring a new one. 126 00:06:48,284 --> 00:06:51,050 I need the Board to appoint an Interim President, stat. 127 00:06:51,074 --> 00:06:52,930 Just as long as it's not O'Brien. 128 00:06:52,954 --> 00:06:54,470 They wouldn't. 129 00:06:54,494 --> 00:06:56,100 I heard from a staffer who covers Board Meetings 130 00:06:56,124 --> 00:06:57,560 that his name's on the short list. 131 00:06:57,584 --> 00:07:00,770 Ugh. Of the worst possible candidates for the position. 132 00:07:00,794 --> 00:07:02,900 Good morning! Pictures of Steve. 133 00:07:02,924 --> 00:07:04,230 Aww. 134 00:07:04,254 --> 00:07:06,280 You no longer have your cane. 135 00:07:06,304 --> 00:07:08,610 Yeah. PT said I was ready. I'm glad to have you back. 136 00:07:08,634 --> 00:07:10,724 I would like to join your case. 137 00:07:12,644 --> 00:07:15,660 He's adorable, Dr. Murphy. Welcome back. 138 00:07:15,684 --> 00:07:17,830 Shaun, I'm thrilled to see you, 139 00:07:17,854 --> 00:07:20,219 but I'm not sure this is the case where you want to start 140 00:07:20,243 --> 00:07:21,920 as a new dad. 141 00:07:21,944 --> 00:07:24,550 It is an exciting and challenging surgery. 142 00:07:28,652 --> 00:07:31,010 Thank you for coming in on such short notice. 143 00:07:31,034 --> 00:07:33,140 Hello. I am Dr. Shaun Murphy, 144 00:07:33,164 --> 00:07:36,390 attending surgeon and father of a baby boy. 145 00:07:36,414 --> 00:07:39,100 He is two weeks old, and today is my first day back, 146 00:07:39,124 --> 00:07:42,900 but that will not affect my performance as your son's doctor. 147 00:07:42,924 --> 00:07:44,780 Is it true there might be a heart for Jack? 148 00:07:44,804 --> 00:07:47,780 Yes, but the heart isn't available yet, 149 00:07:47,804 --> 00:07:50,204 and we may not get it once it is. 150 00:07:50,724 --> 00:07:52,497 We've been through this before. 151 00:07:52,934 --> 00:07:54,740 Why isn't the heart available yet? 152 00:07:54,764 --> 00:07:57,626 Well, the donor family is still 153 00:07:57,650 --> 00:08:01,000 saying their goodbyes before they turn off life support. 154 00:08:04,734 --> 00:08:07,920 Jack is an excellent match for the donor heart, 155 00:08:07,944 --> 00:08:09,300 and his latest echo indicates 156 00:08:09,324 --> 00:08:11,720 that his cardiomyopathy and overall cardiac function 157 00:08:11,744 --> 00:08:14,100 has worsened, so he should be at the top of the list. 158 00:08:14,124 --> 00:08:15,850 I just want to run some additional tests 159 00:08:15,874 --> 00:08:17,140 to make sure he's otherwise healthy. 160 00:08:17,164 --> 00:08:18,690 There is a problem. 161 00:08:19,441 --> 00:08:22,770 There is a small scratch, likely from his fingernails, 162 00:08:22,794 --> 00:08:24,820 which has developed cellulitis and an abscess. 163 00:08:24,844 --> 00:08:26,900 If the infection spreads and he spikes a fever, 164 00:08:26,924 --> 00:08:29,514 Jack will be ineligible for the transplant. 165 00:08:29,660 --> 00:08:32,120 We have to lance and debride it right away. 166 00:08:44,006 --> 00:08:45,176 Morning. 167 00:08:45,636 --> 00:08:47,636 Hi. 168 00:08:48,534 --> 00:08:52,590 This is Steve, our son, who is now two weeks old. 169 00:08:52,614 --> 00:08:54,800 Steve, this is the grumpy man who lives down the hall 170 00:08:54,824 --> 00:08:56,930 and gave you your favorite blanket. 171 00:08:58,374 --> 00:09:00,980 Shaun was very impressed you guessed his first name. 172 00:09:01,004 --> 00:09:02,714 Wanna take a stab at the middle? 173 00:09:04,794 --> 00:09:06,214 Aaron. 174 00:09:06,821 --> 00:09:08,530 I was lobbying pretty hard for Bowie, 175 00:09:08,554 --> 00:09:10,110 because why not name your kid after 176 00:09:10,134 --> 00:09:11,610 the coolest person who every lived? 177 00:09:11,634 --> 00:09:13,360 But... Shaun insisted. 178 00:09:15,224 --> 00:09:16,660 You should come over sometime. 179 00:09:16,684 --> 00:09:18,684 You two both grunt a lot and make strange faces. 180 00:09:21,184 --> 00:09:23,546 I've got a lot going on, so... 181 00:09:24,106 --> 00:09:26,091 We live next door. You have nothing going on. 182 00:09:27,774 --> 00:09:30,262 You're mad. And I get it. 183 00:09:30,694 --> 00:09:34,470 But are you really gonna ignore Shaun and Steve and me forever? 184 00:09:34,494 --> 00:09:35,800 Is that the plan? 185 00:09:37,824 --> 00:09:39,970 I'm not ignoring you. 186 00:09:39,994 --> 00:09:41,504 And he's beautiful. 187 00:09:43,874 --> 00:09:45,270 Congratulations. 188 00:09:50,134 --> 00:09:51,360 I tried. 189 00:09:55,304 --> 00:09:57,450 Any cyanosis while eating? 190 00:09:57,474 --> 00:10:00,790 Maybe a hint of bluishness on her lips last night. 191 00:10:00,814 --> 00:10:02,160 I haven't noticed anything. 192 00:10:02,184 --> 00:10:04,460 But given her prior surgery and the Turner syndrome, 193 00:10:04,484 --> 00:10:06,424 I thought we should... 194 00:10:07,716 --> 00:10:10,614 The blood flow is reduced. 195 00:10:10,927 --> 00:10:13,420 It looks like Eden's aortic stenosis 196 00:10:13,444 --> 00:10:16,349 has progressed more rapidly than we were expecting. 197 00:10:17,994 --> 00:10:20,284 Can we put her on beta blockers? 198 00:10:20,812 --> 00:10:24,940 We can try, but given how dysplastic the valve is, 199 00:10:24,964 --> 00:10:27,100 I don't think it will do much good. 200 00:10:27,124 --> 00:10:29,446 You'll want to get more imaging, but... 201 00:10:29,844 --> 00:10:32,940 I think Eden's gonna need another surgery... very soon. 202 00:10:45,462 --> 00:10:49,080 Cardiac MRI confirmed severe narrowing of the valve, 203 00:10:49,104 --> 00:10:51,550 obstruction, and left ventricular dysfunction. 204 00:10:51,574 --> 00:10:52,840 Eden needs a new aortic valve, 205 00:10:52,864 --> 00:10:55,670 or her heart failure will get worse. 206 00:10:55,694 --> 00:10:57,930 Are you thinking mechanical or cryopreserved homograft 207 00:10:57,954 --> 00:10:59,390 for the replacement? 208 00:10:59,414 --> 00:11:01,510 Mechanical valve for a neonate needs to be built, 209 00:11:01,534 --> 00:11:03,220 and it will require future surgeries 210 00:11:03,244 --> 00:11:05,180 plus lifetime blood thinners. 211 00:11:05,204 --> 00:11:07,940 Cryopreserved valves risk degeneration down the line, 212 00:11:07,964 --> 00:11:10,020 but it is a solid idea, 213 00:11:10,044 --> 00:11:12,230 especially as part of the Ross Procedure. 214 00:11:12,254 --> 00:11:13,900 Possible complications? 215 00:11:13,924 --> 00:11:16,951 Aortic insufficiency, pulmonary stenosis. 216 00:11:20,304 --> 00:11:22,280 We can take some time, discuss the different options... 217 00:11:22,304 --> 00:11:23,790 Do the Ross Procedure. 218 00:11:29,854 --> 00:11:31,630 I'll have Asher get her prepped. 219 00:11:41,704 --> 00:11:43,430 It's time to get off the sidelines. 220 00:11:43,454 --> 00:11:45,310 I'm not sure what you're referring to. 221 00:11:45,334 --> 00:11:46,680 Are you gonna throw me a ball? 222 00:11:46,704 --> 00:11:47,850 You've run the hospital before. 223 00:11:47,874 --> 00:11:49,390 You can handle a few more months. 224 00:11:49,414 --> 00:11:51,610 I can, but why would I want to? 225 00:11:51,634 --> 00:11:53,174 - That's a no? - Yes. 226 00:11:53,863 --> 00:11:56,530 Get ready for Interim President O'Brien. 227 00:11:56,554 --> 00:11:58,240 They would never. 228 00:11:58,264 --> 00:12:01,240 That's like Mao meets Basil Fawlty. 229 00:12:01,264 --> 00:12:03,700 Wow. That's two obscure and dated references. 230 00:12:03,724 --> 00:12:05,410 They're never gonna move on O'Brien. 231 00:12:05,434 --> 00:12:08,200 Well, apparently, he's on the Board's short list. 232 00:12:08,224 --> 00:12:11,250 Throw your hat in the ring, he won't stand a chance. 233 00:12:11,274 --> 00:12:14,509 My hat's gonna stay on my head, but I'll handle it. 234 00:12:15,774 --> 00:12:17,260 Okay, Jack. 235 00:12:17,284 --> 00:12:19,720 You know that little bump behind your ear? 236 00:12:19,744 --> 00:12:21,890 We have to poke it with something sharp, 237 00:12:21,914 --> 00:12:24,140 which will hurt, but we have to do it 238 00:12:24,164 --> 00:12:26,244 so hopefully you can get a new heart. 239 00:12:28,624 --> 00:12:31,902 But Mr. Snugglepuff is here to keep you company. 240 00:12:34,794 --> 00:12:37,650 Asher said the taco truck added chorizo to the menu, 241 00:12:37,674 --> 00:12:39,320 and it's bussin'. 242 00:12:39,344 --> 00:12:42,860 The next late night, we should share an order. 243 00:12:42,884 --> 00:12:44,780 Not really my thing. Thanks. 244 00:12:44,804 --> 00:12:46,160 The sheet papoose is secure. 245 00:12:46,184 --> 00:12:48,950 Good. Dr. Kalu, cradle the baby. 246 00:12:48,974 --> 00:12:52,630 Dr. Allen, sterilize the area behind the ear. 247 00:13:03,534 --> 00:13:05,050 Okay, baby, don't look. 248 00:13:05,074 --> 00:13:09,180 His eyes are not yet able to focus beyond 8 to 12 inches. 249 00:13:17,844 --> 00:13:20,150 The abscess is pretty deep. 250 00:13:20,174 --> 00:13:22,280 It may take a while to heal. 251 00:13:22,304 --> 00:13:24,070 What about a wound vac? 252 00:13:24,094 --> 00:13:25,990 We don't have one small enough. 253 00:13:27,474 --> 00:13:28,684 It's okay. 254 00:13:32,295 --> 00:13:33,710 Maggots. 255 00:13:33,734 --> 00:13:36,580 How are those better than just using antibiotics? 256 00:13:36,604 --> 00:13:39,050 Maggots work faster to clear necrotic debris 257 00:13:39,074 --> 00:13:41,260 on account of the antimicrobial nature 258 00:13:41,284 --> 00:13:43,930 of their saliva and other digestive secretions. 259 00:13:43,954 --> 00:13:46,454 It's safe to put those bugs on my baby? 260 00:13:46,768 --> 00:13:48,890 - Larvae. - These are medical maggots. 261 00:13:48,914 --> 00:13:50,310 They've been specially disinfected. 262 00:13:50,334 --> 00:13:51,366 It's completely safe. 263 00:13:51,390 --> 00:13:54,859 I would use maggots on my son, Steve, in this situation. 264 00:13:55,674 --> 00:13:57,480 That is unlikely to happen, 265 00:13:57,504 --> 00:13:59,610 but I hope the parallel puts you at ease. 266 00:14:02,509 --> 00:14:03,719 Go ahead. 267 00:14:03,744 --> 00:14:04,944 Hm! 268 00:14:11,564 --> 00:14:13,160 You want some coffee? 269 00:14:13,184 --> 00:14:15,540 Or I have a stash of protein bars in my office. 270 00:14:15,564 --> 00:14:17,290 I'm fine, thanks. 271 00:14:17,314 --> 00:14:19,300 But if you want something, go ahead. 272 00:14:29,143 --> 00:14:31,271 What's your family here for? 273 00:14:32,704 --> 00:14:36,504 A heart transplant, hopefully, for our son, Jack. 274 00:14:36,776 --> 00:14:38,044 How old is he? 275 00:14:38,111 --> 00:14:39,633 12 weeks. 276 00:14:40,113 --> 00:14:42,480 Oh. My daughter, Eden, is 11 weeks. 277 00:14:42,504 --> 00:14:45,076 She's having heart surgery right now. 278 00:14:45,594 --> 00:14:47,578 Y'all will be in my prayers. 279 00:14:50,206 --> 00:14:52,830 Is this Jack's first surgery? 280 00:14:52,854 --> 00:14:54,540 He's had other procedures, 281 00:14:54,564 --> 00:14:57,104 but this would be his first open heart surgery. 282 00:14:58,090 --> 00:14:59,680 If it happens. 283 00:15:02,114 --> 00:15:06,220 When it happens, I recommend Biafine cream for post-op. 284 00:15:06,244 --> 00:15:08,712 It contains a natural compound called trolamine. 285 00:15:08,736 --> 00:15:11,180 It really helped with Eden's recovery. 286 00:15:11,204 --> 00:15:13,390 How many surgeries has your daughter had? 287 00:15:13,414 --> 00:15:15,310 Uh, one. At seven weeks. 288 00:15:15,334 --> 00:15:16,390 Hmm. 289 00:15:16,414 --> 00:15:18,568 Eden and I are old hands. 290 00:15:19,214 --> 00:15:22,238 You're two very resilient ladies. 291 00:15:23,239 --> 00:15:25,950 I'm Kate Pierce. This is my husband, Owen. 292 00:15:27,514 --> 00:15:28,700 Morgan Reznick. 293 00:15:32,224 --> 00:15:33,564 Alex Park. 294 00:15:36,044 --> 00:15:37,331 Would you like to... 295 00:15:47,994 --> 00:15:51,470 Yeah! You can do it! Come on. 296 00:15:51,494 --> 00:15:54,680 Oh! There you go! You got it! You got it! 297 00:15:54,704 --> 00:15:57,810 You got it! 298 00:15:57,834 --> 00:16:00,230 Hi, Daddy. How is it being back at work? 299 00:16:00,254 --> 00:16:03,020 I just applied maggots to a baby a few months older than Steve. 300 00:16:03,044 --> 00:16:05,320 Is that Steve? 301 00:16:05,344 --> 00:16:07,690 He is supposed to be asleep. 302 00:16:07,714 --> 00:16:09,860 Mm. He's doing well with tummy time. 303 00:16:09,884 --> 00:16:11,740 And you mentioned yesterday he was behind, 304 00:16:11,764 --> 00:16:14,620 so I thought I'd add a few extra minutes. 305 00:16:14,644 --> 00:16:16,370 No, no. 306 00:16:16,394 --> 00:16:19,620 Tummy time should not be extended into his sleep window. 307 00:16:19,644 --> 00:16:21,420 Did you not get the app alert? 308 00:16:21,444 --> 00:16:23,420 You are seven minutes into nap time. 309 00:16:23,444 --> 00:16:26,460 Nope. I guess I missed it. 310 00:16:26,484 --> 00:16:28,260 Delaying his nap could make him overtired 311 00:16:28,284 --> 00:16:30,010 or delay his next feeding. 312 00:16:30,034 --> 00:16:31,930 The schedule is very important. 313 00:16:31,954 --> 00:16:34,470 I know, Shaun, I know. It's just a few extra minutes. 314 00:16:34,494 --> 00:16:38,231 Eight minutes. That is not a few. It is several. 315 00:16:39,315 --> 00:16:41,464 Uh, I should go put Steve down. 316 00:16:41,818 --> 00:16:43,190 Bye-bye. 317 00:16:43,214 --> 00:16:44,520 Okay. 318 00:16:46,924 --> 00:16:48,134 Oh. 319 00:16:52,554 --> 00:16:54,160 We had to abort the procedure. 320 00:16:54,184 --> 00:16:56,240 Eden has a bicuspid pulmonary valve. 321 00:16:56,264 --> 00:16:59,410 There wasn't enough tissue to attach it to the aorta. 322 00:16:59,434 --> 00:17:01,964 And we observed leaking at the valve. 323 00:17:05,383 --> 00:17:07,683 Her heart is failing even faster than we thought. 324 00:17:08,309 --> 00:17:09,889 I'm so sorry. 325 00:17:11,070 --> 00:17:12,610 What's our next move? 326 00:17:15,454 --> 00:17:17,850 Oh. The maggots worked! 327 00:17:17,874 --> 00:17:19,100 Baby Jack's infection has cleared, 328 00:17:19,124 --> 00:17:21,084 and the heart is on its way here. 329 00:17:21,649 --> 00:17:23,350 Eden has two bad valves 330 00:17:23,374 --> 00:17:25,652 and rapidly progressing heart failure. 331 00:17:27,196 --> 00:17:30,360 We have one donor heart and two babies who need it. 332 00:17:36,844 --> 00:17:38,990 It's up to us to decide which baby gets this heart. 333 00:17:39,014 --> 00:17:40,750 Jack has been waiting for three months. 334 00:17:40,774 --> 00:17:42,410 A transplant is his only option. 335 00:17:42,434 --> 00:17:43,870 He could go on a V.A.D. until another heart is available. 336 00:17:43,894 --> 00:17:44,944 That could take months. 337 00:17:44,968 --> 00:17:46,548 And a V.A.D. isn't a good option for Jack because of the... 338 00:17:46,572 --> 00:17:48,926 Morgan. Morgan. 339 00:17:49,927 --> 00:17:51,710 You can't be here. Neither of you. 340 00:17:51,734 --> 00:17:53,220 I can't be anywhere else, 341 00:17:53,244 --> 00:17:55,664 so either someone should sedate me or... 342 00:17:55,963 --> 00:17:58,123 Well, that can be arranged. 343 00:17:59,874 --> 00:18:02,100 It's only a problem that Park and I are here 344 00:18:02,124 --> 00:18:04,735 if we influence your decision, so don't let us. 345 00:18:06,350 --> 00:18:07,650 I won't say a word. 346 00:18:14,766 --> 00:18:16,136 Dr. Kalu? 347 00:18:16,287 --> 00:18:18,070 Yeah, um... 348 00:18:18,094 --> 00:18:20,410 as far as the V.A.D. for Jack, he's underweight, 349 00:18:20,434 --> 00:18:22,080 so a high risk of complications, 350 00:18:22,104 --> 00:18:24,040 infections, bleeding, stroke. 351 00:18:24,064 --> 00:18:27,216 It's not a great option for Eden, either. 352 00:18:28,524 --> 00:18:30,800 Eden can go on ECMO while we're waiting 353 00:18:30,824 --> 00:18:32,880 for mechanical replacement valves. 354 00:18:32,904 --> 00:18:35,340 ECMO has risks, especially for a baby with Turner syndrome. 355 00:18:35,364 --> 00:18:37,010 And the longer she's on it, the greater the risk 356 00:18:37,034 --> 00:18:39,430 of serious complications. 357 00:18:39,454 --> 00:18:41,374 The valves may not get here in time. 358 00:18:45,100 --> 00:18:46,860 Care to weigh in, Dr. Murphy? 359 00:18:49,754 --> 00:18:55,070 Jack and Eden are equally good matches to the donor heart 360 00:18:55,094 --> 00:18:57,204 based on size and blood type. 361 00:19:00,083 --> 00:19:01,293 Anything else? 362 00:19:06,354 --> 00:19:08,080 It's okay, Shaun. 363 00:19:15,614 --> 00:19:17,224 Without this heart... 364 00:19:18,626 --> 00:19:20,546 Jack will die. 365 00:19:21,914 --> 00:19:25,060 Eden may also die without it. 366 00:19:25,084 --> 00:19:27,526 But she has other options. 367 00:19:28,334 --> 00:19:30,674 They are risky, but they are options. 368 00:19:33,634 --> 00:19:35,280 Jack should get the heart. 369 00:19:42,854 --> 00:19:45,080 We'll put Eden on ECMO tonight. 370 00:19:47,144 --> 00:19:50,830 And I'll contact Abbott about getting the 15-millimeter valves ASAP. 371 00:20:01,664 --> 00:20:05,260 Hey. I'm sorry. Can we rain-check tonight? 372 00:20:05,284 --> 00:20:07,680 I'm exhausted, and Jerome promised 373 00:20:07,704 --> 00:20:10,276 that we could watch a nice crime procedural. 374 00:20:10,754 --> 00:20:13,060 Sometimes you need a case of the week. 375 00:20:13,084 --> 00:20:15,020 Yeah. 376 00:20:15,044 --> 00:20:16,900 Mm-hmm. 377 00:20:20,264 --> 00:20:22,240 Mmm! My favorite! 378 00:20:22,264 --> 00:20:24,330 One cheddar brisket with mild sauce 379 00:20:24,354 --> 00:20:27,080 so little Steve's next meal doesn't burn his mouth. 380 00:20:27,104 --> 00:20:30,922 You are a treasure. I am starving. 381 00:20:31,631 --> 00:20:32,710 Thank you. 382 00:20:32,734 --> 00:20:33,904 Mm-hmm. 383 00:20:35,064 --> 00:20:37,590 Poor Eden, having to go on ECMO. 384 00:20:37,614 --> 00:20:39,260 And poor Morgan and Park. 385 00:20:39,284 --> 00:20:41,824 It's... been a day. 386 00:20:42,250 --> 00:20:45,170 And how are you holding up? Without Perez? 387 00:20:48,244 --> 00:20:52,770 Everything that happens, at home or at work, 388 00:20:52,794 --> 00:20:55,190 he's the first person I want to tell. 389 00:20:55,214 --> 00:20:56,690 Mm-hmm. 390 00:20:56,714 --> 00:20:58,320 And I can't. 391 00:20:58,344 --> 00:21:00,242 Or I shouldn't. 392 00:21:01,035 --> 00:21:03,013 I really miss him. 393 00:21:03,245 --> 00:21:05,120 You can tell me everything. 394 00:21:05,144 --> 00:21:07,160 If it's too surgical, I may not understand it, 395 00:21:07,184 --> 00:21:10,750 but I am excellent at nodding and acting interested. 396 00:21:10,774 --> 00:21:12,005 Mm! 397 00:21:13,005 --> 00:21:16,300 I'm here for you. So is Asher. 398 00:21:17,984 --> 00:21:20,800 What's going on? Tell me. 399 00:21:20,824 --> 00:21:22,220 Babies are terrible at gossip. 400 00:21:24,784 --> 00:21:27,260 Asher and I were supposed to hang out tonight, 401 00:21:27,284 --> 00:21:28,510 just the two of us. 402 00:21:29,544 --> 00:21:30,887 Do you need to check on him? 403 00:21:30,911 --> 00:21:32,440 No. If he smells me, I'll never get out of there. 404 00:21:32,464 --> 00:21:33,900 He'll settle back down. 405 00:21:33,924 --> 00:21:35,770 So you and Asher had plans... 406 00:21:35,794 --> 00:21:37,860 He blew me off... for Jerome... 407 00:21:37,884 --> 00:21:40,900 because he had a hard day on Eden's case, which I get, 408 00:21:40,924 --> 00:21:42,360 but I had a hard day, too. 409 00:21:42,384 --> 00:21:43,400 Mm-hmm. 410 00:21:46,394 --> 00:21:47,950 Steve's not settling. 411 00:21:47,974 --> 00:21:50,160 Well, he can wait a minute. You had a hard day, too? 412 00:21:50,184 --> 00:21:52,660 It... It just seems like everybody has someone except... 413 00:21:56,154 --> 00:21:57,670 Go. 414 00:21:57,694 --> 00:21:59,550 I am so sorry. I-I will be right back. 415 00:21:59,574 --> 00:22:01,550 I swear. 416 00:22:01,574 --> 00:22:02,840 Mm. 417 00:22:15,924 --> 00:22:17,988 You didn't have to do this, Shaun. 418 00:22:18,964 --> 00:22:21,980 I am more thorough than anyone else in this hospital. 419 00:22:24,974 --> 00:22:26,910 Starting ECMO. 420 00:22:45,954 --> 00:22:48,430 I just got an e-mail from Gail on the Board. 421 00:22:48,454 --> 00:22:51,720 I'm suddenly a top candidate for Interim President? 422 00:22:51,744 --> 00:22:53,544 You're welcome. 423 00:22:53,814 --> 00:22:55,560 I don't want that job. 424 00:22:55,584 --> 00:22:58,730 It's bet... better you than O'Brien. 425 00:22:58,754 --> 00:23:00,310 You're a good manager, you're... 426 00:23:00,334 --> 00:23:01,900 you're well-respected, 427 00:23:01,924 --> 00:23:04,190 and, you know, as a diverse woman... 428 00:23:04,214 --> 00:23:05,740 People aren't diverse. 429 00:23:05,764 --> 00:23:07,280 I'm part of an underrepresented group. 430 00:23:07,304 --> 00:23:09,620 Right. That. Makes you an ideal candidate. 431 00:23:09,644 --> 00:23:11,894 Look. Gail loved the idea. 432 00:23:12,291 --> 00:23:14,143 I hate you. You're welcome. 433 00:23:16,854 --> 00:23:20,840 Shh, shh, shh. Shh, shh, shh. 434 00:23:20,864 --> 00:23:23,710 I am glad to see you, Steve, 435 00:23:23,734 --> 00:23:25,720 but you are not supposed to be awake. 436 00:23:25,744 --> 00:23:27,970 Yeah, I-I fell asleep during his afternoon nap. 437 00:23:27,994 --> 00:23:30,050 We didn't wake up until 4:30. 438 00:23:30,074 --> 00:23:33,350 You need to set an alarm. The schedule is very important. 439 00:23:33,374 --> 00:23:35,220 I know. I know. 440 00:23:39,964 --> 00:23:41,650 Tomorrow I am doing a heart transplant 441 00:23:41,674 --> 00:23:43,940 on a 12-week-old baby. 442 00:23:43,964 --> 00:23:45,650 Okay. You need sleep. 443 00:23:45,674 --> 00:23:47,110 Yes, I do. 444 00:23:47,134 --> 00:23:51,120 Go to bed. I'll handle Steve tonight. 445 00:23:51,144 --> 00:23:52,910 I-I don't think I can. 446 00:23:52,934 --> 00:23:55,120 Shh, it's okay. What about your noise-canceling headphones? 447 00:23:55,144 --> 00:23:58,580 I fall asleep on my side. I cannot do that in those. 448 00:23:58,604 --> 00:24:00,670 Maybe you could go spend the night at Glassman's? 449 00:24:00,694 --> 00:24:02,290 No. 450 00:24:02,314 --> 00:24:04,710 What about your office? Can you sleep there? 451 00:24:52,154 --> 00:24:54,686 We can save them both with one heart. 452 00:25:00,619 --> 00:25:04,310 It's called a Domino Transplant. Jack's heart is failing, 453 00:25:04,334 --> 00:25:05,690 but his valves are healthy, 454 00:25:05,714 --> 00:25:07,320 so when Jack receives the donor heart, 455 00:25:07,344 --> 00:25:09,900 we will use his valves to replace Eden's damaged ones. 456 00:25:09,924 --> 00:25:11,570 A fresh homograft donor means Eden won't need 457 00:25:11,594 --> 00:25:13,910 multiple surgeries or blood thinners. 458 00:25:13,934 --> 00:25:15,910 One heart could save both babies. 459 00:25:15,934 --> 00:25:18,120 What are the chances of valve failure? 460 00:25:18,144 --> 00:25:20,290 Minimal. Jack's valves are very functional 461 00:25:20,314 --> 00:25:22,460 despite his cardiomyopathy. 462 00:25:22,484 --> 00:25:24,290 The odds of success are high. 463 00:25:24,314 --> 00:25:28,678 It's the best option we have... for Eden. 464 00:25:29,234 --> 00:25:31,154 And for Jack? 465 00:25:31,472 --> 00:25:34,011 We would have to be very careful while removing his heart 466 00:25:34,035 --> 00:25:35,970 so as not to damage his valves. 467 00:25:35,994 --> 00:25:38,140 That would mean more time on bypass, 468 00:25:38,164 --> 00:25:40,940 which means a greater risk of bleeding or infection. 469 00:25:41,584 --> 00:25:43,100 It's a lot to ask. 470 00:25:43,124 --> 00:25:45,544 They can always say no. 471 00:25:46,278 --> 00:25:47,691 What would you say? 472 00:26:01,684 --> 00:26:03,410 You haven't eaten anything in 24 hours. 473 00:26:03,434 --> 00:26:04,838 I'm fine. 474 00:26:07,154 --> 00:26:09,250 No matter what they decide, we'll get through this. 475 00:26:09,274 --> 00:26:10,420 Don't. 476 00:26:10,444 --> 00:26:11,960 What, try to help? 477 00:26:11,984 --> 00:26:14,784 Yes, exactly. It's pointless and annoying. 478 00:26:17,074 --> 00:26:19,784 You know, I get that you don't think of Eden as mine yet... 479 00:26:20,104 --> 00:26:21,601 and that's why you haven't included me 480 00:26:21,625 --> 00:26:23,560 in any of her medical decisions. 481 00:26:23,584 --> 00:26:25,810 Not that I need that... 482 00:26:25,834 --> 00:26:27,270 or disagree with any of your choices... 483 00:26:27,294 --> 00:26:28,980 Is pissing me off another attempt to distract me? 484 00:26:29,004 --> 00:26:30,940 I'm not trying to pick a fight. 485 00:26:30,964 --> 00:26:33,030 I just want you to know that I love that girl 486 00:26:33,054 --> 00:26:35,494 like she's my own, and... 487 00:26:36,384 --> 00:26:38,410 I'm as scared as you are. 488 00:26:38,434 --> 00:26:41,418 And I wish you'd let me help you because... 489 00:26:42,564 --> 00:26:44,184 we're in this together. 490 00:26:44,510 --> 00:26:45,890 That's it. 491 00:26:47,548 --> 00:26:49,041 And I really don't want you to pass out, 492 00:26:49,065 --> 00:26:51,550 so please eat or drink something. 493 00:27:00,204 --> 00:27:04,230 If our baby can save your baby's life, we'd be honored. 494 00:27:13,714 --> 00:27:16,820 "I'll love you forever, 495 00:27:16,844 --> 00:27:19,070 I'll like you for always. 496 00:27:19,094 --> 00:27:23,292 As long as I'm living, my baby you'll be." 497 00:27:28,604 --> 00:27:31,760 Oh, my God. What a tear-jerker. 498 00:27:33,364 --> 00:27:35,800 We need to find one of Daddy's medical journals. 499 00:27:35,824 --> 00:27:37,010 Reminder... 500 00:27:37,034 --> 00:27:39,180 nap time in five minutes. 501 00:27:45,084 --> 00:27:48,100 How do I un-sync the baby app from our speaker? 502 00:27:48,124 --> 00:27:51,190 Oh, no. You should not do that. 503 00:27:51,214 --> 00:27:53,820 I set it up so you can remember the schedule. 504 00:27:53,844 --> 00:27:56,570 When it's just me and Steve home during the day, 505 00:27:56,594 --> 00:27:58,650 I like to be a little bit more... 506 00:27:58,674 --> 00:28:00,820 flexible, go with the flow. 507 00:28:00,844 --> 00:28:02,620 I'll just... I'll just unplug it. 508 00:28:02,644 --> 00:28:06,500 It has a battery in case of power outages. 509 00:28:06,524 --> 00:28:09,540 Lea, when I'm at work, 510 00:28:09,564 --> 00:28:12,170 I like knowing what you and Steve are doing. 511 00:28:12,194 --> 00:28:16,638 It makes me feel like I am still a part of his day. 512 00:28:17,284 --> 00:28:18,970 And when Steve gets off his sleep schedule, 513 00:28:18,994 --> 00:28:20,550 I have to go sleep at the hospital, 514 00:28:20,574 --> 00:28:23,140 and I miss you both even more. 515 00:28:23,164 --> 00:28:26,310 Aw, we missed you, too. How did you sleep? 516 00:28:26,334 --> 00:28:28,730 Not well. But I came up with a very good idea 517 00:28:28,754 --> 00:28:30,100 to save both babies. 518 00:28:30,124 --> 00:28:32,150 I have to go prep for my surgery now. I love you. 519 00:28:32,174 --> 00:28:35,020 Dr. Lim, we have a meeting to review... 520 00:28:35,044 --> 00:28:36,610 One minute, Shaun. 521 00:28:36,634 --> 00:28:38,860 Gail, of course, diversity and representation 522 00:28:38,884 --> 00:28:41,160 should be considered, but given this is 523 00:28:41,184 --> 00:28:43,490 an interim position, I think the top priority is 524 00:28:43,514 --> 00:28:46,580 finding someone who can hit the ground running from day one. 525 00:28:46,604 --> 00:28:48,580 And that means someone who's done it before. 526 00:28:48,604 --> 00:28:50,410 He's too modest to sing his own praises, 527 00:28:50,434 --> 00:28:52,370 but I think he's the obvious choice. 528 00:28:52,394 --> 00:28:54,728 Hmm. Compelling argument. 529 00:28:54,752 --> 00:28:56,864 - Thank you. - Oh. 530 00:28:57,136 --> 00:29:01,470 And seniors are also an underrepresented group. 531 00:29:01,494 --> 00:29:04,970 Dr. Murphy and I will start with Jack in OR 1. 532 00:29:04,994 --> 00:29:07,970 Asher, you'll be with Eden next door getting her ready. 533 00:29:07,994 --> 00:29:10,060 Allen and Kalu, you two will receive the donor heart 534 00:29:10,084 --> 00:29:11,640 and prep it for transplant. 535 00:29:11,664 --> 00:29:15,020 Then Dr. Lim and I will put Jack on bypass 536 00:29:15,044 --> 00:29:16,980 and start cooling him to 25 degrees. 537 00:29:17,004 --> 00:29:18,900 Given his age and underlying medical condition, 538 00:29:18,924 --> 00:29:22,860 he should not be on bypass for longer than two hours. 539 00:29:22,884 --> 00:29:25,530 Putting in Jack's new heart will take about 90 minutes. 540 00:29:25,554 --> 00:29:28,580 That leaves us half an hour to remove the old one. 541 00:29:28,604 --> 00:29:30,660 While Shaun is transplanting the new heart, 542 00:29:30,684 --> 00:29:33,170 I will be excising Jack's valves. 543 00:29:33,194 --> 00:29:35,508 We have zero room for error. 544 00:29:37,024 --> 00:29:38,250 Prep your patients. 545 00:29:42,704 --> 00:29:44,744 Exciting case... 546 00:29:45,523 --> 00:29:47,023 Yep. 547 00:29:47,954 --> 00:29:51,732 We're saving two babies at once, and your commentary is "yep"? 548 00:29:53,044 --> 00:29:55,810 - I was agreeing with you. - With as few words as possible, 549 00:29:55,834 --> 00:29:58,488 which you've been doing for the last two weeks. 550 00:30:00,634 --> 00:30:03,014 If you have a problem with me, just tell me. 551 00:30:05,412 --> 00:30:06,642 Okay. 552 00:30:07,088 --> 00:30:10,370 Okay. I have a problem with you and how you handled Perez's case. 553 00:30:10,394 --> 00:30:12,370 - That's completely stupid. - You just said I should tell you. 554 00:30:12,394 --> 00:30:13,870 I didn't say I would agree with you. 555 00:30:13,894 --> 00:30:15,790 You overrode our patient's wishes, 556 00:30:15,814 --> 00:30:17,630 - and Perez is gone because of it. - Perez is alive because of it. 557 00:30:17,654 --> 00:30:20,094 You don't know what would have happened if you'd listened to him. 558 00:30:20,969 --> 00:30:22,590 You made the decision you thought was best. 559 00:30:22,614 --> 00:30:24,364 Didn't matter what anyone else wanted. 560 00:30:24,848 --> 00:30:26,141 I'm sorry, but you don't get to do that 561 00:30:26,165 --> 00:30:28,100 and not deal with the consequences. 562 00:30:28,124 --> 00:30:29,770 The consequences? 563 00:30:30,284 --> 00:30:32,520 I lost someone I care about a lot, 564 00:30:32,544 --> 00:30:34,942 and I miss him every day. 565 00:30:35,664 --> 00:30:38,770 I'm really trying hard to focus on the good things in my life, 566 00:30:38,794 --> 00:30:40,634 the job I love, 567 00:30:40,893 --> 00:30:43,473 the friends I thought I had... 568 00:30:44,674 --> 00:30:49,748 But it feels like everyone is moving on, and I'm just alone. 569 00:30:52,724 --> 00:30:55,370 Spare yourself the burden of punishing me. 570 00:31:01,864 --> 00:31:04,130 Get her prepped, draped, and under anesthesia. 571 00:31:04,154 --> 00:31:05,720 I'll see you in 30 minutes, hopefully. 572 00:31:20,004 --> 00:31:22,044 I had an extra set. 573 00:31:23,714 --> 00:31:25,820 You don't have to be Catholic. 574 00:31:25,844 --> 00:31:28,280 They can just be a reminder that you're not alone. 575 00:31:30,684 --> 00:31:31,990 Thank you. 576 00:31:54,604 --> 00:31:58,350 There is a lot of scar tissue to dissect through. 577 00:31:58,374 --> 00:32:00,520 The cardiomyopathy has caused Jack's heart to enlarge 578 00:32:00,544 --> 00:32:02,904 and adhere to his chest wall. 579 00:32:03,674 --> 00:32:05,730 This will take longer than planned 580 00:32:05,754 --> 00:32:07,990 in order to preserve the valves. 581 00:32:08,014 --> 00:32:09,360 We inspected the mitral valve. 582 00:32:09,384 --> 00:32:11,530 The atrial septum is intact. The heart looks good. 583 00:32:11,554 --> 00:32:13,160 Dr. Allen, connect the pulmonary veins 584 00:32:13,184 --> 00:32:14,790 to prep the left atrial cuff. 585 00:32:14,814 --> 00:32:16,474 Dr. Kalu, you're with us. 586 00:32:18,104 --> 00:32:21,814 Okay. Increase flows and cool to 25 degrees. 587 00:32:22,074 --> 00:32:23,074 Start the clock. 588 00:32:27,679 --> 00:32:29,800 Come on, Peanut. 589 00:32:29,824 --> 00:32:32,284 We went with the flow, but now it's nap time. 590 00:32:32,850 --> 00:32:35,310 Come on. Settle. 591 00:32:35,954 --> 00:32:37,204 Oh. 592 00:32:41,714 --> 00:32:44,020 Ohh! We were so close, Peanut. 593 00:32:44,044 --> 00:32:45,770 I need to transect the aorta, 594 00:32:45,794 --> 00:32:48,440 but there are thick adhesions where it meets the valve. 595 00:32:48,464 --> 00:32:51,070 You now only have an hour and 14 minutes to put the new heart in. 596 00:32:51,094 --> 00:32:54,200 The annulus is at the tip of my dissection. 597 00:32:54,224 --> 00:32:57,080 If I nick that, the aortic valve is useless. 598 00:32:57,104 --> 00:32:59,620 Anterior retraction. We're running out of time. 599 00:32:59,644 --> 00:33:01,210 Jack's transplant is at serious risk. 600 00:33:01,234 --> 00:33:02,670 Metz. 601 00:33:02,694 --> 00:33:05,130 Dr. Murphy, you need to abort this procedure. 602 00:33:05,154 --> 00:33:07,670 Shaun, ECMO is still an option for Eden. 603 00:33:07,694 --> 00:33:09,670 - You need to abort... - Got it! 604 00:33:15,414 --> 00:33:16,686 The valves are good. 605 00:33:19,414 --> 00:33:20,930 Ready for the donor heart. 606 00:33:26,964 --> 00:33:28,968 - How is she? - Ready to go. 607 00:33:28,992 --> 00:33:30,440 Vitals are great. 608 00:33:30,464 --> 00:33:31,900 Open her chest and start her on bypass 609 00:33:31,924 --> 00:33:33,410 while I recover the valves. 610 00:33:33,434 --> 00:33:36,160 Scalpel. How do the valves look? 611 00:33:36,184 --> 00:33:38,120 A little bigger than we measured on imaging. 612 00:33:38,144 --> 00:33:40,580 Makes the anastomosis challenging. 613 00:33:40,604 --> 00:33:42,870 But it can still work? 614 00:33:42,894 --> 00:33:44,290 It has to. 615 00:33:50,137 --> 00:33:51,597 Hm. 616 00:33:55,224 --> 00:33:57,140 Feeding time starting in five minutes. 617 00:33:57,164 --> 00:33:59,060 Shh. 618 00:34:02,874 --> 00:34:04,900 It's not seating perfectly. 619 00:34:04,924 --> 00:34:06,480 Let's try a purse string suture. 620 00:34:06,504 --> 00:34:08,150 7-0 Prolene. 621 00:34:17,054 --> 00:34:18,490 Got it. Saline. 622 00:34:22,564 --> 00:34:24,854 There's a paravalvular leak at the aortic. 623 00:34:26,564 --> 00:34:28,000 How about pledgeted sutures? 624 00:34:28,024 --> 00:34:31,114 In an infant this small, that could cause stenosis. 625 00:34:31,507 --> 00:34:33,007 We try again. 626 00:34:33,910 --> 00:34:35,265 7-0 Prolene. 627 00:34:37,164 --> 00:34:38,720 It's been almost two and a half hours. 628 00:34:38,744 --> 00:34:40,060 We need to get him off bypass. 629 00:34:40,084 --> 00:34:41,770 The aortic anastomosis is complete. 630 00:34:41,794 --> 00:34:44,566 Unclamp the aorta and start rewarming. 631 00:34:45,901 --> 00:34:47,027 Now what? 632 00:34:50,044 --> 00:34:53,030 We wait... and hope his heart starts beating. 633 00:35:07,484 --> 00:35:09,960 It's been almost three hours. Do you think something's wrong? 634 00:35:23,044 --> 00:35:25,020 The sutures are holding. 635 00:35:25,044 --> 00:35:27,568 Now the little thing just has to beat. 636 00:35:27,964 --> 00:35:30,270 Start warming her up. Decrease the flows. 637 00:35:41,644 --> 00:35:43,040 We need to shock him. 638 00:35:47,314 --> 00:35:48,370 Clear! 639 00:35:55,300 --> 00:35:56,350 Again. 640 00:36:11,174 --> 00:36:13,020 The surgeries were successful. 641 00:36:13,044 --> 00:36:14,820 Both your babies are doing very well, 642 00:36:14,844 --> 00:36:16,742 and you can see them soon. 643 00:36:17,134 --> 00:36:18,780 Thank you. 644 00:36:22,330 --> 00:36:23,832 Thank you. 645 00:36:24,833 --> 00:36:26,620 You saved our daughter. 646 00:36:29,921 --> 00:36:31,631 You are welcome. 647 00:36:33,300 --> 00:36:35,381 I miss my baby. I'm going home now. 648 00:36:43,414 --> 00:36:45,310 Alright. Let me just jump in the shower. 649 00:36:45,334 --> 00:36:47,180 And then I'm good to go. 650 00:36:47,204 --> 00:36:49,270 Go home to your man. 651 00:36:49,294 --> 00:36:51,020 It's okay. 652 00:36:51,044 --> 00:36:53,230 Bless you. Tomorrow? 653 00:36:53,254 --> 00:36:54,151 Mm-hmm. 654 00:37:12,604 --> 00:37:17,274 You're right. This chorizo is... 655 00:37:17,820 --> 00:37:19,370 What'd you call it? 656 00:37:20,034 --> 00:37:21,220 Bussin'. 657 00:37:21,244 --> 00:37:24,560 Right. Definitely bussin'. 658 00:37:29,084 --> 00:37:31,060 I thought we could share an order. 659 00:37:44,014 --> 00:37:45,910 Tell me you didn't forget the hot sauce. 660 00:37:57,064 --> 00:37:59,045 - Hello. - Hm... 661 00:37:59,069 --> 00:38:00,960 Why is Steve awake? 662 00:38:02,574 --> 00:38:03,824 You look terrible. 663 00:38:05,975 --> 00:38:07,680 Thank you. 664 00:38:07,704 --> 00:38:10,310 Steve has been fed, burped, changed, 665 00:38:10,334 --> 00:38:14,694 and woken from his haphazard nap by a speaker reminder. 666 00:38:16,334 --> 00:38:18,320 How's Eden? 667 00:38:18,344 --> 00:38:21,008 Very good. And Jack's transplant was successful. 668 00:38:21,032 --> 00:38:22,367 Mm. 669 00:38:23,474 --> 00:38:25,884 Parenting can be very hard. 670 00:38:26,204 --> 00:38:27,594 Mm-hmm. 671 00:38:28,123 --> 00:38:30,290 Yeah. I've noticed. 672 00:38:30,314 --> 00:38:33,984 There are many hard choices 673 00:38:34,295 --> 00:38:37,880 about what works best. 674 00:38:37,904 --> 00:38:39,884 People want different things. 675 00:38:42,330 --> 00:38:44,460 I will try to... 676 00:38:46,614 --> 00:38:49,310 ...make room for your way. 677 00:38:51,267 --> 00:38:53,060 The schedule is important, 678 00:38:53,084 --> 00:38:55,442 but I will un-sync the app from the speaker. 679 00:38:56,834 --> 00:38:58,754 I put it out on the fire escape. 680 00:39:00,674 --> 00:39:02,440 Thank you. 681 00:39:02,464 --> 00:39:04,174 I really appreciate it. 682 00:39:06,384 --> 00:39:09,974 But the only room I need right now is the bedroom. 683 00:39:11,564 --> 00:39:14,250 - Okay. - Good night. 684 00:39:14,274 --> 00:39:16,410 I'm borrowing your noise-canceling headphones. 685 00:39:16,434 --> 00:39:18,120 I love you both. 686 00:39:35,504 --> 00:39:38,060 Are you kidding me? You recommended me?! 687 00:39:38,084 --> 00:39:39,810 I was just following your example. 688 00:39:39,834 --> 00:39:41,440 See? You're a natural leader. 689 00:39:41,464 --> 00:39:43,980 I'm old. I'm worn out and I'm old. 690 00:39:44,004 --> 00:39:46,400 - You're wise. - I remember rotary phones. 691 00:39:46,424 --> 00:39:48,320 You're vital. You're experienced. 692 00:39:48,344 --> 00:39:50,620 You're the most respected doctor in this hospital. 693 00:39:50,644 --> 00:39:52,913 Aaron, you have institutional knowledge 694 00:39:52,937 --> 00:39:55,450 and a... and a natural, unexplainable gravitas. 695 00:39:55,474 --> 00:39:58,000 Will you please stop being an idiot and just take the job? 696 00:39:58,024 --> 00:39:59,790 Stop being selfish and stubborn. 697 00:39:59,814 --> 00:40:01,210 How am I being selfish? I'm... 698 00:40:01,234 --> 00:40:03,676 Oh, you're together. That saves me a stop. 699 00:40:05,303 --> 00:40:07,380 Your recommendations presented the Board 700 00:40:07,404 --> 00:40:08,800 with a very difficult choice. 701 00:40:08,824 --> 00:40:11,300 So we didn't... 702 00:40:11,324 --> 00:40:13,100 choose. 703 00:40:13,124 --> 00:40:15,680 You two are the new Interim Co-Presidents 704 00:40:15,704 --> 00:40:17,584 of St. Bonaventure Hospital. 705 00:40:20,610 --> 00:40:21,861 Congratulations! 706 00:40:28,884 --> 00:40:31,780 This is not the schedule, Steve. 707 00:40:31,804 --> 00:40:34,450 Mommy needs to sleep. Daddy needs to sleep. 708 00:40:34,474 --> 00:40:35,740 You need to sleep. 709 00:40:37,314 --> 00:40:39,330 Please? 710 00:40:39,354 --> 00:40:42,210 Please. We are both very tired. 711 00:40:43,694 --> 00:40:47,130 Please. We are both very tired. 712 00:40:47,154 --> 00:40:48,340 Hey. 713 00:40:57,704 --> 00:40:59,230 I don't know what to do. 714 00:40:59,254 --> 00:41:03,060 I can't go inside because Lea needs to sleep. 715 00:41:03,084 --> 00:41:05,990 I've always been able to get him down before. 716 00:41:07,464 --> 00:41:09,820 Sometimes babies just need to cry. 717 00:41:15,304 --> 00:41:17,418 Hey. Um... 718 00:41:18,793 --> 00:41:20,830 why don't I take him? 719 00:41:20,854 --> 00:41:22,500 Get some sleep. 720 00:41:26,364 --> 00:41:28,590 It's okay. Just get some rest. 721 00:41:30,614 --> 00:41:33,260 I will just take a short nap. 722 00:41:36,244 --> 00:41:38,310 Take as long as you need. 723 00:41:40,469 --> 00:41:41,639 Hey. 724 00:41:43,544 --> 00:41:45,400 Hey. I got you. 725 00:41:45,424 --> 00:41:48,230 Hey. Hey. Hey, hey, hey, hey, hey. 726 00:41:51,974 --> 00:41:55,727 I got you. Huh. I got you. 727 00:42:01,734 --> 00:42:03,672 I'm Grandpa... 728 00:42:04,774 --> 00:42:06,210 in case you were wondering.