1 00:00:20,350 --> 00:00:22,457 I HAVE GONE TO WORK. SHAUN. 2 00:00:25,859 --> 00:00:28,304 You're here early. Trouble sleeping? 3 00:00:28,328 --> 00:00:30,272 No. Just wanted to get out 4 00:00:30,296 --> 00:00:33,141 of my apartment and to work. 5 00:00:33,142 --> 00:00:35,554 We work you plenty hard enough. Go home. 6 00:00:35,578 --> 00:00:37,789 Making sure you're rested is also part of the job. 7 00:00:37,813 --> 00:00:39,013 I understand. 8 00:00:41,433 --> 00:00:42,980 What should I tell a patient 9 00:00:43,004 --> 00:00:44,202 if they don't think they're sick 10 00:00:44,226 --> 00:00:47,189 but I think they have pancreatic cancer? 11 00:00:47,190 --> 00:00:49,616 You think one of our patients has pancreatic cancer? 12 00:00:54,563 --> 00:00:56,941 Seventeen. 13 00:00:56,965 --> 00:00:59,508 He's burped 17 times 14 00:00:59,532 --> 00:01:00,831 in 10 minutes. 15 00:01:00,855 --> 00:01:03,754 It's a frequent symptom of pancreatic cancer. 16 00:01:03,778 --> 00:01:06,540 Shaun, it's acid reflux. 17 00:01:07,542 --> 00:01:09,410 He's also jaundiced. 18 00:01:12,829 --> 00:01:13,995 No, he isn't. 19 00:01:15,064 --> 00:01:16,909 Paul's skin is definitely not 20 00:01:16,933 --> 00:01:19,445 the same color it was six months ago. 21 00:01:19,469 --> 00:01:21,242 - Paul? - I looked at his mouth 22 00:01:21,266 --> 00:01:23,315 when he was telling me about his daughter. 23 00:01:23,339 --> 00:01:24,983 - She just... - Walk with me. 24 00:01:26,979 --> 00:01:28,554 Say nothing. 25 00:01:46,533 --> 00:01:48,010 Hey, Shaun. 26 00:01:52,005 --> 00:01:53,783 Do a CVC, CMP, 27 00:01:53,807 --> 00:01:56,385 amylase, lipase, CA-19 levels, 28 00:01:56,409 --> 00:01:58,588 and CT abdomen, pelvis pancreatic protocol, 29 00:01:58,612 --> 00:02:00,378 and do not tell him why. 30 00:02:00,379 --> 00:02:01,923 You want me to lie? 31 00:02:01,947 --> 00:02:03,424 I don't want you to tell the truth. 32 00:02:03,448 --> 00:02:06,127 The discoloration, if there is any, is very minor. 33 00:02:06,151 --> 00:02:07,962 I don't want you scaring the crap out of the man over nothing. 34 00:02:07,986 --> 00:02:10,598 Excellent. I've been practicing lying. 35 00:02:10,622 --> 00:02:12,266 I lied to you before when I said 36 00:02:12,290 --> 00:02:14,792 I just wanted to get out of my apartment and to work. 37 00:02:16,174 --> 00:02:17,841 Take Claire. 38 00:02:21,485 --> 00:02:22,930 Hello. I'm Dr. Lim. 39 00:02:22,955 --> 00:02:24,332 How can I help you today... 40 00:02:24,357 --> 00:02:25,624 Asha? 41 00:02:27,491 --> 00:02:29,883 I want plastic surgery. 42 00:02:30,327 --> 00:02:32,472 Sweetheart, this is the Emergency Room. 43 00:02:32,496 --> 00:02:34,874 If you want, I can make an appointment for you... 44 00:02:34,898 --> 00:02:37,099 Well, you do vaginal rejuvenation, right? 45 00:02:37,835 --> 00:02:39,411 Yes... 46 00:02:39,436 --> 00:02:41,147 On much older, much vainer women, 47 00:02:41,172 --> 00:02:43,563 generally after having many children. 48 00:02:44,088 --> 00:02:45,284 I don't know what the boys have told you... 49 00:02:45,309 --> 00:02:46,582 Examine me. 50 00:02:48,038 --> 00:02:49,238 Please. 51 00:02:50,681 --> 00:02:52,081 Please take off your underwear. 52 00:03:16,433 --> 00:03:18,144 Were you in an accident? 53 00:03:18,168 --> 00:03:19,435 No. 54 00:03:20,664 --> 00:03:21,798 Can you help me? 55 00:03:22,768 --> 00:03:24,679 - Did your father do this to you? - No. 56 00:03:24,703 --> 00:03:26,081 - Please just... - Did your mother... 57 00:03:26,105 --> 00:03:27,849 - I need to know who did this to you. - No, you don't! 58 00:03:27,873 --> 00:03:29,050 It doesn't matter who... 59 00:03:36,808 --> 00:03:39,243 When I was 2 years old... 60 00:03:40,294 --> 00:03:42,873 I was... Tied down, 61 00:03:42,897 --> 00:03:44,675 and I was circumcised. 62 00:03:48,469 --> 00:03:49,936 Please. 63 00:03:50,291 --> 00:03:51,968 I'm hideous. 64 00:03:56,871 --> 00:03:58,448 Will you help me? 65 00:04:01,049 --> 00:04:02,049 Yes. 66 00:04:03,217 --> 00:04:13,420 Synced & corrected by -robtor- www.addic7ed.com 67 00:04:14,579 --> 00:04:16,123 Why do you need to confirm 68 00:04:16,147 --> 00:04:18,826 a diagnosis of acid reflux? 69 00:04:18,850 --> 00:04:20,894 Because we're doctors. It's what we do. 70 00:04:20,918 --> 00:04:22,452 We just like to be sure of everything. 71 00:04:24,822 --> 00:04:27,301 There are a few remote possibilities... 72 00:04:27,325 --> 00:04:28,592 I've got this! 73 00:04:30,294 --> 00:04:33,707 Are you familiar with the hospital employee manual 74 00:04:33,731 --> 00:04:36,110 section 17, subsection C, triple I? 75 00:04:36,134 --> 00:04:37,578 - No. - Good. 76 00:04:37,602 --> 00:04:39,213 - Good? - Yes. 77 00:04:39,237 --> 00:04:42,683 It requires that all employees 78 00:04:42,707 --> 00:04:44,384 shall be subject to, 79 00:04:44,408 --> 00:04:46,153 and I quote, 80 00:04:46,177 --> 00:04:48,288 "Any and all possible necessary tests 81 00:04:48,312 --> 00:04:50,124 "to confirm any and all diagnoses, 82 00:04:50,148 --> 00:04:52,226 "no matter how mundane, the cost of which tests 83 00:04:52,250 --> 00:04:54,818 "shall be borne by the hospital," end quote. 84 00:05:01,559 --> 00:05:03,270 The Board wants to make sure 85 00:05:03,294 --> 00:05:05,806 that no one is exposed to patients 86 00:05:05,830 --> 00:05:07,708 if there is any chance that they have 87 00:05:07,732 --> 00:05:09,699 any communicable condition. 88 00:05:15,640 --> 00:05:18,252 I had the flu last week. 89 00:05:18,276 --> 00:05:20,637 Why didn't anybody do anything for me then? 90 00:05:23,648 --> 00:05:26,016 - It's a new policy. - You might have pancreatic cancer. 91 00:05:27,189 --> 00:05:28,800 What? 92 00:05:28,825 --> 00:05:30,058 What'd he say? 93 00:05:31,756 --> 00:05:33,534 Female genital mutilation 94 00:05:33,558 --> 00:05:36,203 is the ritual cutting or removal of some, or all, 95 00:05:36,227 --> 00:05:38,192 of the external female genitalia. 96 00:05:38,216 --> 00:05:40,857 Over 200 million victims worldwide. 97 00:05:40,881 --> 00:05:42,876 It is almost universally practiced 98 00:05:42,900 --> 00:05:45,136 in a number of African and Asian countries. 99 00:05:45,137 --> 00:05:46,338 Where was she born? 100 00:05:47,273 --> 00:05:48,784 Wisconsin. 101 00:05:48,808 --> 00:05:50,352 Yeah, it's way more common here than you think. 102 00:05:50,376 --> 00:05:52,254 - What religion is she? - I didn't ask. 103 00:05:52,278 --> 00:05:53,528 This isn't about religion. 104 00:05:53,552 --> 00:05:55,977 No legit religious organization endorses this stuff. 105 00:05:55,978 --> 00:05:58,690 We're gonna do the labiaplasty first thing in the morning. 106 00:05:58,714 --> 00:06:01,159 The damage done to her nerves is not going to get undone, 107 00:06:01,183 --> 00:06:02,707 nor is the psych damage, 108 00:06:02,731 --> 00:06:05,363 but at least she'll look like other girls. 109 00:06:05,387 --> 00:06:06,798 We should be able to have her out of here 110 00:06:06,822 --> 00:06:07,899 by 6:00 in the evening. 111 00:06:07,923 --> 00:06:10,368 Outpatient? Why the hurry? 112 00:06:10,392 --> 00:06:12,771 So her mother will simply think she's in school, 113 00:06:12,795 --> 00:06:14,262 then out studying with her friends. 114 00:06:15,898 --> 00:06:17,876 She loves her parents and doesn't want to tell them 115 00:06:17,900 --> 00:06:20,345 that she's rejecting one of their cultural traditions. 116 00:06:20,369 --> 00:06:21,780 They won't stay in the dark for long, 117 00:06:21,804 --> 00:06:23,715 since we're legally obligated to report them. 118 00:06:23,739 --> 00:06:25,917 That "cultural tradition" also fits 119 00:06:25,941 --> 00:06:28,620 - the definition of abuse. - And they'll also find out when we ask 120 00:06:28,644 --> 00:06:30,488 for their permission to do this surgery. 121 00:06:30,512 --> 00:06:31,823 She's a minor. 122 00:06:31,847 --> 00:06:33,325 Her ID says she's 18. 123 00:06:33,349 --> 00:06:35,060 Yes, her fake ID 124 00:06:35,084 --> 00:06:36,661 says she's 18. 125 00:06:36,685 --> 00:06:38,998 Her number starts with an "H," which means she was born in the '50s. 126 00:06:39,022 --> 00:06:41,800 Also, the photo background is green instead of blue. 127 00:06:41,824 --> 00:06:43,632 Also six other things. 128 00:06:43,633 --> 00:06:45,511 Maybe we can get Legal to get a court order... 129 00:06:45,535 --> 00:06:47,246 If I believe that ID is real, 130 00:06:47,270 --> 00:06:49,548 then I am entitled to perform this surgery 131 00:06:49,572 --> 00:06:52,551 without seeking consent of anyone other than the patient. 132 00:06:52,575 --> 00:06:55,621 And, as legally required within 36 hours, 133 00:06:55,645 --> 00:06:57,356 I will report the evidence of abuse 134 00:06:57,380 --> 00:07:00,392 under the name and address listed on that ID. 135 00:07:00,416 --> 00:07:02,995 If the investigation of that report 136 00:07:03,019 --> 00:07:05,331 doesn't begin until the girl is long gone 137 00:07:05,355 --> 00:07:08,400 and happens to lead nowhere because the name wasn't real, 138 00:07:08,424 --> 00:07:09,902 that's no fault of mine. 139 00:07:09,926 --> 00:07:12,071 Are you sure you want to risk your medical license 140 00:07:12,095 --> 00:07:13,472 to protect an abusive mother? 141 00:07:13,496 --> 00:07:15,007 If we do this by the book, 142 00:07:15,031 --> 00:07:17,042 we never see that girl again and no one gets help. 143 00:07:17,066 --> 00:07:20,112 If we do this by the book, maybe the cops lock the parents up. 144 00:07:20,136 --> 00:07:22,581 We shine a light on this thing, her community gets scared, 145 00:07:22,605 --> 00:07:24,650 and maybe the next girl doesn't need our help. 146 00:07:24,674 --> 00:07:26,518 Or maybe the testimony of the girl 147 00:07:26,542 --> 00:07:28,253 about what happened to her when she was 2 148 00:07:28,277 --> 00:07:29,922 doesn't help the cops at all. 149 00:07:29,946 --> 00:07:31,890 Maybe the parents just take their daughter home, 150 00:07:31,914 --> 00:07:33,425 and maybe we scare the next girl 151 00:07:33,449 --> 00:07:35,784 into not even asking for help. 152 00:07:37,086 --> 00:07:40,199 I'm doing the surgery to this girl 153 00:07:40,223 --> 00:07:43,602 under this name tomorrow morning at 7:00 a.m. 154 00:07:54,470 --> 00:07:57,082 I can't believe people ever lie. 155 00:07:57,106 --> 00:07:59,485 There are so many questions 156 00:07:59,509 --> 00:08:01,387 people might ask you, 157 00:08:01,411 --> 00:08:03,088 but if you tell the truth, 158 00:08:03,112 --> 00:08:05,135 you already know the answers. 159 00:08:06,015 --> 00:08:08,560 And, also, it's wrong. 160 00:08:08,584 --> 00:08:10,496 But sometimes, 161 00:08:10,520 --> 00:08:13,021 you shouldn't tell the whole truth? 162 00:08:14,123 --> 00:08:16,769 No. Of course not. 163 00:08:16,793 --> 00:08:19,471 Because that lets you be honorable 164 00:08:19,495 --> 00:08:22,941 and tell the truth and be a good person, 165 00:08:22,965 --> 00:08:24,410 but at the same time, 166 00:08:24,434 --> 00:08:27,579 you get to completely deceive the person. 167 00:08:27,603 --> 00:08:29,968 - No, I don't think that... - Lea came back. 168 00:08:30,773 --> 00:08:32,317 Wow, Shaun, that's great. 169 00:08:32,341 --> 00:08:35,921 She's staying with me until she finds her own place. 170 00:08:35,945 --> 00:08:37,813 You must be so excited. 171 00:08:39,148 --> 00:08:40,348 Yes. 172 00:08:42,251 --> 00:08:43,919 You're not excited? 173 00:08:44,520 --> 00:08:46,121 I said, "Yes." 174 00:08:49,425 --> 00:08:51,293 Paul has one year to live. 175 00:08:52,695 --> 00:08:55,063 He has pancreatic cancer. 176 00:08:55,865 --> 00:08:57,176 Stage III. 177 00:09:01,965 --> 00:09:03,777 There are no metastatic lesions, but there are 178 00:09:03,801 --> 00:09:05,845 - local nodes involved. - And there's partial encasement 179 00:09:05,869 --> 00:09:07,380 of the superior mesenteric artery. 180 00:09:07,404 --> 00:09:08,548 That puts it past the point 181 00:09:08,572 --> 00:09:10,639 where we can cure with local resection. 182 00:09:10,640 --> 00:09:12,885 We could do Whipple surgery. 183 00:09:12,909 --> 00:09:15,121 That's not advised for stage III pancreatic cancer. 184 00:09:15,145 --> 00:09:17,890 Not quite. It's not advised for stage IV. 185 00:09:17,914 --> 00:09:20,259 For stage III, it's discretionary. 186 00:09:20,283 --> 00:09:21,823 In my discretion, 187 00:09:21,847 --> 00:09:23,722 he's better off with 12 semi-comfortable months, 188 00:09:23,723 --> 00:09:26,034 rather than running the risk of dying on the table tomorrow. 189 00:09:26,058 --> 00:09:28,737 If he doesn't die on the table, he could have many years. 190 00:09:28,761 --> 00:09:30,814 It isn't our call to make. 191 00:09:30,839 --> 00:09:33,020 I'll talk to Paul, advise him of the parameters, 192 00:09:33,045 --> 00:09:34,513 let him make his own decision. 193 00:09:36,208 --> 00:09:37,442 No. 194 00:09:38,130 --> 00:09:39,230 Shaun should do it. 195 00:09:40,764 --> 00:09:42,008 Claire can do it. 196 00:09:42,032 --> 00:09:44,610 Yes, she can, which is why you should do it. 197 00:09:44,634 --> 00:09:46,612 This is a teaching hospital. 198 00:09:46,636 --> 00:09:47,847 Andrews is right... 199 00:09:47,871 --> 00:09:49,882 Being a surgeon isn't just about cutting. 200 00:10:10,729 --> 00:10:12,073 Would it be okay 201 00:10:12,097 --> 00:10:14,837 if we spoke someplace more quiet? 202 00:10:15,326 --> 00:10:18,461 You need someplace quiet to tell me I have acid reflux? 203 00:10:21,041 --> 00:10:24,054 I think we should be someplace quiet 204 00:10:24,078 --> 00:10:26,389 because people sometimes get very upset 205 00:10:26,413 --> 00:10:28,091 when they find out they probably only have 206 00:10:28,115 --> 00:10:29,828 less than a year to live. 207 00:10:36,581 --> 00:10:37,925 Okay, uh... 208 00:10:37,949 --> 00:10:39,961 Can I call my family? 209 00:10:39,985 --> 00:10:42,132 They should probably hear what you have to say, too. 210 00:10:42,156 --> 00:10:43,682 I'd rather just talk to... 211 00:10:43,706 --> 00:10:45,433 Of course you can. 212 00:10:47,480 --> 00:10:49,692 I'll elevate it with a 6-inch Ambler tissue hook. 213 00:10:49,716 --> 00:10:51,894 You separate the underlying tissue with iris forceps. 214 00:10:51,918 --> 00:10:54,630 I got it. Tenotomy scissors. 215 00:10:54,654 --> 00:10:56,265 I think we're actually a little ahead of schedule. 216 00:10:56,289 --> 00:10:58,634 Might be able to get her home in time to do her homework. 217 00:10:58,658 --> 00:11:00,860 Back to the bosom of her loving family. 218 00:11:03,897 --> 00:11:06,662 We'd remove as much of the cancer as possible 219 00:11:06,663 --> 00:11:08,439 by removing the head of the pancreas 220 00:11:08,463 --> 00:11:10,041 and other attached organs, 221 00:11:10,065 --> 00:11:12,494 but then, we'd have to reconstruct the anatomy. 222 00:11:12,495 --> 00:11:13,972 The easiest way to do that 223 00:11:13,996 --> 00:11:15,307 is to bring up a loop of jejunum... 224 00:11:15,331 --> 00:11:16,331 Shaun. 225 00:11:18,000 --> 00:11:19,444 Sorry. 226 00:11:19,468 --> 00:11:22,547 The jejunum is part of the small intestine 227 00:11:22,571 --> 00:11:24,182 between the duodenum and ileum. 228 00:11:24,206 --> 00:11:27,945 It's complicated, very dangerous surgery. 229 00:11:27,946 --> 00:11:29,590 And even if it's successful, 230 00:11:29,614 --> 00:11:32,627 post-operative complications are frequent and serious. 231 00:11:32,651 --> 00:11:35,261 And recovery can be very painful. 232 00:11:36,281 --> 00:11:39,393 But if it works, he's better? He'll be healthy? 233 00:11:39,417 --> 00:11:41,295 He would still need chemotherapy 234 00:11:41,319 --> 00:11:43,164 and a lifetime of monitoring. 235 00:11:43,188 --> 00:11:46,056 But hopefully, a long lifetime. 236 00:11:47,932 --> 00:11:49,443 Let's do it, Dad. 237 00:11:49,468 --> 00:11:50,835 What do you say? 238 00:11:53,684 --> 00:11:54,951 What should I do? 239 00:11:57,341 --> 00:11:58,942 It's your decision. 240 00:12:00,031 --> 00:12:03,210 All we can do is present you with the facts. 241 00:12:05,138 --> 00:12:07,839 Yeah, here are the facts, Dad... 242 00:12:08,253 --> 00:12:10,231 The surgery may kill you. 243 00:12:10,256 --> 00:12:12,601 Not doing the surgery will kill you. 244 00:12:22,561 --> 00:12:24,005 Can you give us a few minutes? 245 00:12:24,030 --> 00:12:25,307 Of course. 246 00:12:32,612 --> 00:12:35,184 It was very nice of Dr. Andrews to give you an office, 247 00:12:35,209 --> 00:12:36,853 even though, you're on medical leave. 248 00:12:36,878 --> 00:12:38,423 Yeah, he is a prince. 249 00:12:38,448 --> 00:12:40,125 Who's your surgeon going to be? 250 00:12:40,150 --> 00:12:41,350 I haven't d... 251 00:12:42,188 --> 00:12:43,555 I haven't decided yet. 252 00:12:44,778 --> 00:12:46,756 You should definitely go with 253 00:12:46,986 --> 00:12:50,165 Dr. Joshua Atkinson at Stanford Medical Center. 254 00:12:50,190 --> 00:12:52,235 His mortality index is .3. 255 00:12:52,260 --> 00:12:53,735 It's too low. 256 00:12:53,760 --> 00:12:56,272 Not enough of his patients are dying? 257 00:12:56,297 --> 00:12:58,341 No, Shaun, sometimes patients die. 258 00:12:58,366 --> 00:12:59,844 Doesn't matter how good the doctor is. 259 00:12:59,869 --> 00:13:02,797 But when your mortality rate is as low as Atkinson's, 260 00:13:02,798 --> 00:13:04,775 it means you're turning away patients. 261 00:13:04,799 --> 00:13:06,877 You turn away patients, it means you lack confidence. 262 00:13:06,901 --> 00:13:10,106 You lack confidence, I don't want you inside my head. 263 00:13:10,131 --> 00:13:12,510 And I'd like to be able to dress myself 264 00:13:12,535 --> 00:13:13,902 when I'm all done. 265 00:13:15,737 --> 00:13:18,382 Shaun, what are you doing here? 266 00:13:18,407 --> 00:13:21,453 You showed up at work early this morning. 267 00:13:21,478 --> 00:13:23,412 Go home. Get some rest. 268 00:13:26,567 --> 00:13:28,802 I won't rest if I go home. 269 00:13:37,392 --> 00:13:38,859 The surgery went great. 270 00:13:39,562 --> 00:13:40,906 Once everything's healed, I think 271 00:13:40,931 --> 00:13:43,376 you'll be very happy with the results. 272 00:13:43,691 --> 00:13:46,562 - What time is it? - Not quite 5:45. 273 00:13:46,563 --> 00:13:47,706 We just need you to pee, and... 274 00:13:47,730 --> 00:13:49,141 I need to go home. 275 00:13:49,165 --> 00:13:51,510 And you will... very soon. 276 00:13:53,154 --> 00:13:55,699 - It hurts. - I told you it would. 277 00:13:55,723 --> 00:13:57,634 We did a lot of cutting and scraping. 278 00:13:57,658 --> 00:13:59,503 You had a lot of scar tissue. 279 00:13:59,527 --> 00:14:00,804 It hurts a lot. 280 00:14:00,828 --> 00:14:02,272 We'll give you some Tylenol, 281 00:14:02,296 --> 00:14:04,174 and you can tell your mother you're cramping. 282 00:14:04,198 --> 00:14:06,076 Ow! 283 00:14:07,702 --> 00:14:10,503 Hang ketamine... 130 micrograms per kilogram per hour. 284 00:14:13,507 --> 00:14:14,985 Why does it hurt this much? 285 00:14:15,009 --> 00:14:16,209 I don't know. 286 00:14:17,345 --> 00:14:18,645 But you're not going home. 287 00:14:19,420 --> 00:14:20,586 Ow! 288 00:14:24,101 --> 00:14:25,946 She's heavily sedated. 289 00:14:25,970 --> 00:14:27,447 What did we do to her? 290 00:14:27,471 --> 00:14:29,105 What if this is good news? 291 00:14:30,341 --> 00:14:32,552 I know you haven't been a doctor all that long, 292 00:14:32,576 --> 00:14:34,621 but pain is rarely a sign of good news. 293 00:14:34,645 --> 00:14:36,456 It is if you're talking about a part of the body 294 00:14:36,480 --> 00:14:38,225 you thought was dead. 295 00:14:38,249 --> 00:14:40,894 What if this means there's still viable nerve endings in there? 296 00:14:40,918 --> 00:14:43,053 What if this means we can actually reconstruct her clitoris 297 00:14:43,077 --> 00:14:44,854 and that it's capable of sensation? 298 00:14:45,228 --> 00:14:47,106 Maybe. All we know for sure 299 00:14:47,131 --> 00:14:48,976 is she's not gonna be home anywhere near 6:00, 300 00:14:49,001 --> 00:14:51,436 which means we're about to have a missing child on our hands. 301 00:14:52,510 --> 00:14:54,355 We have to bring Andrews up to speed. 302 00:15:08,072 --> 00:15:10,618 I did a bad job of telling you 303 00:15:10,643 --> 00:15:12,186 that you're dying. 304 00:15:15,820 --> 00:15:17,388 Is there a good way? 305 00:15:17,936 --> 00:15:21,249 I can't figure out when I'm supposed to lie, 306 00:15:21,274 --> 00:15:24,090 when I'm supposed to tell part of the truth. 307 00:15:24,282 --> 00:15:26,027 And it doesn't really matter, 308 00:15:26,052 --> 00:15:29,054 because I can't figure out how to do it anyway. 309 00:15:31,970 --> 00:15:33,470 You did fine with me. 310 00:15:34,299 --> 00:15:36,277 You never need to lie. 311 00:15:36,302 --> 00:15:38,337 Lies don't protect you from the truth. 312 00:15:41,220 --> 00:15:43,054 I don't like your haircut. 313 00:15:45,552 --> 00:15:46,719 Okay. 314 00:15:48,241 --> 00:15:53,445 Maybe sometimes, when the truth can't help someone... 315 00:15:56,403 --> 00:15:58,371 ...you should definitely just lie. 316 00:16:01,027 --> 00:16:04,730 Do you think praying will help you reach a decision? 317 00:16:06,266 --> 00:16:09,813 I've already reached a decision. 318 00:16:09,838 --> 00:16:14,383 I'm praying to help me find comfort with that decision. 319 00:16:14,408 --> 00:16:16,643 My family wants the surgery. 320 00:16:19,273 --> 00:16:22,075 And what do you want? 321 00:16:23,531 --> 00:16:25,498 I want what my family wants. 322 00:16:26,688 --> 00:16:28,030 I love them. 323 00:16:28,055 --> 00:16:29,856 But they love you, too, right? 324 00:16:31,739 --> 00:16:33,740 Don't they want what you want? 325 00:16:37,064 --> 00:16:39,099 Long ago, I made a decision 326 00:16:40,041 --> 00:16:41,542 to be there for them 327 00:16:43,504 --> 00:16:44,848 no matter what. 328 00:16:47,876 --> 00:16:51,590 And if the last choice I make in my life 329 00:16:51,615 --> 00:16:53,215 is consistent with that, 330 00:16:56,719 --> 00:16:58,287 I'm comfortable with that. 331 00:17:14,264 --> 00:17:16,290 I'm surprised by you. 332 00:17:16,291 --> 00:17:18,536 I, arguably, made errors in judgment, 333 00:17:18,560 --> 00:17:20,838 but it was all in an effort to help a patient. 334 00:17:20,862 --> 00:17:22,507 Yes, and that would make sense if you thought 335 00:17:22,531 --> 00:17:24,575 you'd never have another patient ever again. 336 00:17:24,599 --> 00:17:27,678 And if there wasn't currently an opening for Chief of Surgery. 337 00:17:27,679 --> 00:17:29,790 I didn't know that was on the table. 338 00:17:29,814 --> 00:17:32,426 See, that's the difference between you and Melendez. 339 00:17:32,450 --> 00:17:35,896 I have no doubt that as soon as I got this promotion, 340 00:17:35,920 --> 00:17:38,866 Melendez had done the math and reacted accordingly. 341 00:17:38,890 --> 00:17:42,174 But I suspect that even if you had done the math, 342 00:17:42,199 --> 00:17:44,811 it wouldn't have changed how you handled this patient. 343 00:17:44,836 --> 00:17:46,340 I don't view that as a weakness. 344 00:17:49,193 --> 00:17:51,571 I'll handle the administrative fallout. 345 00:17:51,596 --> 00:17:53,274 You... 346 00:17:53,299 --> 00:17:54,966 ...notify the parents immediately. 347 00:17:56,807 --> 00:17:58,284 I can't. 348 00:17:58,309 --> 00:17:59,754 We don't know the girl's real name, 349 00:17:59,779 --> 00:18:01,056 and we have to keep her sedated, 350 00:18:01,081 --> 00:18:02,191 so there's no way we can track... 351 00:18:02,216 --> 00:18:04,061 She's a teenager. She's got a phone. 352 00:18:04,086 --> 00:18:06,120 Next time it rings, answer it. 353 00:18:13,285 --> 00:18:15,163 - You feel the mesenteric artery pulsing? - Yes. 354 00:18:15,187 --> 00:18:17,199 You shouldn't. You're too close to the vein. 355 00:18:17,223 --> 00:18:20,041 Great. Dr. Browne, pass a penrose drain through. 356 00:18:22,828 --> 00:18:24,439 Bovie. 357 00:18:28,667 --> 00:18:29,767 Suction. 358 00:18:38,724 --> 00:18:40,091 Got it all. 359 00:18:41,701 --> 00:18:44,614 I see leaking pancreatic fluid. 360 00:18:44,639 --> 00:18:46,316 That'll eat holes in everything it touches. 361 00:18:46,341 --> 00:18:47,585 Our duct tie didn't hold. 362 00:18:47,610 --> 00:18:49,311 Suction. Needle driver. 363 00:18:50,350 --> 00:18:51,728 Excellent. 364 00:18:51,753 --> 00:18:54,532 You have approved a scrub nurse 365 00:18:54,557 --> 00:18:57,269 and a circulating nurse and seven other personnel. 366 00:18:57,294 --> 00:18:58,804 Everyone and everything is covered, 367 00:18:58,829 --> 00:18:59,998 except for an actual surgeon. 368 00:19:00,023 --> 00:19:01,868 Yeah. I think we may have to postpone. 369 00:19:01,893 --> 00:19:04,324 Have you notified your tumor to stop growing in the interim? 370 00:19:04,325 --> 00:19:06,570 I think any possible damage from a delay 371 00:19:06,594 --> 00:19:09,231 may be more than offset by having somebody competent 372 00:19:09,256 --> 00:19:10,667 digging around in my brain. 373 00:19:10,692 --> 00:19:11,902 "Competent"? 374 00:19:11,927 --> 00:19:14,639 - What's wrong with Sanders? - 6% mortality rate. 375 00:19:14,664 --> 00:19:16,509 - Taylor? - I don't like the way he's planning on 376 00:19:16,534 --> 00:19:17,964 dealing with a carotid tear. 377 00:19:17,989 --> 00:19:19,900 - That's nowhere near your tumor. - It's the principle. 378 00:19:19,925 --> 00:19:21,436 - Unger? - He doesn't like me. 379 00:19:21,461 --> 00:19:23,473 - No one likes you. - No! You don't like me. 380 00:19:23,498 --> 00:19:25,209 He doesn't like me. That's two. 381 00:19:25,234 --> 00:19:26,578 Just pick a name. I don't care who. 382 00:19:26,603 --> 00:19:28,147 I don't care if they're a doctor. 383 00:19:28,172 --> 00:19:29,616 Just pick a name. 384 00:19:29,641 --> 00:19:31,652 Because in 48 hours, you're either getting your surgery 385 00:19:31,677 --> 00:19:34,055 or you're getting a new oncologist. 386 00:19:45,916 --> 00:19:47,627 She's in pain. 387 00:19:47,651 --> 00:19:49,629 That's why she's asleep right now, 388 00:19:49,653 --> 00:19:51,721 because of what you did to her? 389 00:19:54,311 --> 00:19:56,422 What I did to her 390 00:19:56,447 --> 00:20:00,260 I believe revealed that what you did to her 391 00:20:00,285 --> 00:20:03,131 didn't do as much damage as we initially feared. 392 00:20:03,156 --> 00:20:04,733 We want to do a second surgery... 393 00:20:04,758 --> 00:20:06,203 How can you stop her pain? 394 00:20:06,228 --> 00:20:08,206 It's called clitoral reconstruction. 395 00:20:08,231 --> 00:20:10,022 The nerves of her clitoris are exposed. 396 00:20:10,047 --> 00:20:11,458 We can sheath them using... 397 00:20:11,483 --> 00:20:13,361 Our daughter wants this? 398 00:20:13,386 --> 00:20:15,865 Asha wants to be like other girls. 399 00:20:15,890 --> 00:20:17,000 She wants to be able to... 400 00:20:17,025 --> 00:20:19,093 Mara told you that? 401 00:20:21,118 --> 00:20:22,686 That's our daughter's name. 402 00:20:23,354 --> 00:20:24,554 Not Asha. 403 00:20:26,111 --> 00:20:27,555 You don't know her at all. 404 00:20:27,579 --> 00:20:30,625 We need to do this surgery to relieve her pain. 405 00:20:30,649 --> 00:20:33,694 No. There must be another way. 406 00:20:33,718 --> 00:20:35,429 We want a second opinion. 407 00:20:35,453 --> 00:20:37,265 Not at this hospital. 408 00:20:37,289 --> 00:20:38,966 How soon can our daughter be moved? 409 00:20:38,990 --> 00:20:40,835 Excuse me, Dr. Lim. 410 00:20:40,859 --> 00:20:43,871 I am Ellen Vahtra from Child Protective Services. 411 00:20:43,895 --> 00:20:45,494 Until I complete my review, 412 00:20:45,519 --> 00:20:48,098 I'm afraid you're not going to be moving your daughter anywhere. 413 00:20:57,365 --> 00:20:59,900 How did it go? Is Dad okay? No, I'm good. 414 00:21:02,337 --> 00:21:04,315 There were complications, 415 00:21:04,339 --> 00:21:06,651 but we found solutions. 416 00:21:06,675 --> 00:21:09,687 It went very well. We got it all. 417 00:21:12,514 --> 00:21:13,557 Oh, my... 418 00:21:13,581 --> 00:21:15,026 There's still... 419 00:21:17,757 --> 00:21:19,917 I don't think I did that well. 420 00:21:19,918 --> 00:21:21,110 They're too happy. 421 00:21:21,111 --> 00:21:23,924 Post-surgical complications are still a major concern that they... 422 00:21:23,948 --> 00:21:26,226 Let them enjoy the good news. 423 00:21:26,250 --> 00:21:28,929 Is deceiving someone in a way that makes them happy 424 00:21:28,953 --> 00:21:31,832 better than deceiving someone in a way that makes them sad? 425 00:21:31,856 --> 00:21:34,991 Shaun. I think there's someone here to see you. 426 00:21:35,826 --> 00:21:37,370 Hey. 427 00:21:37,394 --> 00:21:39,289 I had some time, so I thought 428 00:21:39,313 --> 00:21:41,641 you might want to have some lunch with me? 429 00:21:43,795 --> 00:21:45,639 I do not have time. 430 00:21:59,976 --> 00:22:01,720 What's wrong? 431 00:22:01,744 --> 00:22:03,322 What did she do? 432 00:22:03,346 --> 00:22:04,590 Shaun. Sha... 433 00:22:09,185 --> 00:22:12,831 You don't want to talk to Lea. I don't understand. 434 00:22:12,855 --> 00:22:15,290 I don't understand. 435 00:22:15,624 --> 00:22:17,324 I don't understand! 436 00:22:17,349 --> 00:22:19,327 You're not being fair to her or yourself. 437 00:22:19,352 --> 00:22:21,720 - She's always been nice to you. - No, she hasn't. 438 00:22:23,065 --> 00:22:24,876 She's your friend. 439 00:22:24,901 --> 00:22:26,757 Whatever's happened, you have to talk to her about it. 440 00:22:26,782 --> 00:22:27,970 Be honest about what you're feeling... 441 00:22:27,995 --> 00:22:29,172 I can't be. 442 00:22:29,197 --> 00:22:32,500 - Of course you can. - I don't know... 443 00:22:33,089 --> 00:22:35,468 I don't know how I feel! 444 00:22:38,536 --> 00:22:41,638 I can't be honest if I don't know how I feel! 445 00:22:48,671 --> 00:22:50,282 Our 16-year-old daughter 446 00:22:50,307 --> 00:22:52,518 is lying in a hospital bed unconscious 447 00:22:52,543 --> 00:22:54,540 to protect her from overwhelming pain 448 00:22:54,565 --> 00:22:58,345 because of what this place did to her without our permission. 449 00:22:58,868 --> 00:23:00,458 And you are investigating us? 450 00:23:00,483 --> 00:23:02,561 Your daughter is suffering because you butchered her 451 00:23:02,586 --> 00:23:03,868 when she was 2 years old. 452 00:23:03,869 --> 00:23:06,514 Dr. Lim, please refrain from unsubstantiated allegations. 453 00:23:06,538 --> 00:23:09,383 Either they're the butchers or they're protecting the butchers. 454 00:23:09,407 --> 00:23:11,709 If you didn't do it, tell us who did. 455 00:23:16,167 --> 00:23:19,080 It was an aunt and a grandmother from Kenya. 456 00:23:19,104 --> 00:23:21,916 They were watching Mara while we were on vacation. 457 00:23:21,940 --> 00:23:24,118 Well, you must've been horrified. 458 00:23:24,142 --> 00:23:26,389 Did you take her to a doctor? 459 00:23:26,390 --> 00:23:29,134 That girl's sex organs were covered with scar tissue. 460 00:23:29,158 --> 00:23:31,637 She had no medical attention to treat any of her wounds. 461 00:23:31,661 --> 00:23:33,049 She was fine. 462 00:23:33,050 --> 00:23:35,594 She was happy, laughing. 463 00:23:35,618 --> 00:23:37,052 It's not that big a deal. 464 00:23:42,212 --> 00:23:44,290 I was cut. 465 00:23:44,314 --> 00:23:47,026 My mother was cut. Her mother was cut. 466 00:23:47,050 --> 00:23:50,797 It is a rite of passage connecting our women to their ancestors. 467 00:23:50,822 --> 00:23:52,533 She will not find a husband in our culture if she's... 468 00:23:52,558 --> 00:23:53,925 So she'll find someone else. 469 00:23:54,979 --> 00:23:56,757 It's not that big a deal. 470 00:23:56,917 --> 00:23:58,862 These parents forfeited the right to make any calls 471 00:23:58,886 --> 00:24:00,564 about their daughter a long time ago. 472 00:24:00,588 --> 00:24:02,635 Our daughter is an honor student, 473 00:24:02,636 --> 00:24:05,882 taking three AP classes in her junior year, 474 00:24:05,906 --> 00:24:08,885 went on a mission to Haiti to build a school. 475 00:24:08,909 --> 00:24:10,376 We have raised her well. 476 00:24:11,737 --> 00:24:12,971 She is a good person. 477 00:24:14,715 --> 00:24:16,149 We're proud of her. 478 00:24:17,311 --> 00:24:20,281 I'm sure she is a good person. 479 00:24:20,306 --> 00:24:21,750 But you are not gonna convince me 480 00:24:21,775 --> 00:24:23,674 that what happened to Mara when she was 2 years old 481 00:24:23,699 --> 00:24:26,044 is anything short of an abomination. 482 00:24:26,069 --> 00:24:28,047 But that's not the issue today. 483 00:24:28,072 --> 00:24:31,008 The issue is, how do we best help this girl now? 484 00:24:32,466 --> 00:24:35,259 The clitoral reconstruction should protect the exposed nerve. 485 00:24:35,284 --> 00:24:36,561 "Should"? 486 00:24:36,586 --> 00:24:38,931 That is the surgery that, in my medical opinion, 487 00:24:38,956 --> 00:24:40,167 is called for. 488 00:24:40,192 --> 00:24:41,792 But it's not the only option? 489 00:24:43,464 --> 00:24:45,709 We could oblate the peripheral nerves 490 00:24:45,734 --> 00:24:47,912 and remove the remaining clitoral tissue. 491 00:24:47,937 --> 00:24:50,321 And is that surgery safer or more dangerous? 492 00:24:50,346 --> 00:24:52,324 It's simpler, but that's not the only factor here. 493 00:24:52,349 --> 00:24:55,127 It's the only factor to us. 494 00:24:55,152 --> 00:24:57,297 We want to know that our daughter 495 00:24:57,322 --> 00:25:00,401 won't spend the rest of her life in pain. 496 00:25:00,426 --> 00:25:01,837 Please. 497 00:25:01,862 --> 00:25:03,169 For a moment, 498 00:25:03,194 --> 00:25:05,963 can we think about something other than Mara's pain? 499 00:25:06,848 --> 00:25:08,992 Can we think about her pleasure? 500 00:25:09,017 --> 00:25:11,529 We have a chance to give her 501 00:25:11,554 --> 00:25:14,400 a healthy, meaningful sex life. 502 00:25:14,425 --> 00:25:16,336 That is what she came here looking for. 503 00:25:22,368 --> 00:25:23,876 Wake her up. 504 00:25:23,901 --> 00:25:26,530 She's in pain, and she's already told me what she wanted. 505 00:25:26,531 --> 00:25:29,010 Yesterday, she was requesting cosmetic surgery. 506 00:25:29,034 --> 00:25:31,246 Today, you're asking her to risk a lifetime of pain 507 00:25:31,270 --> 00:25:32,947 for a chance at pleasure. 508 00:25:32,971 --> 00:25:34,549 From everything I've heard, 509 00:25:34,573 --> 00:25:36,517 she's mature enough to make the call herself, 510 00:25:36,541 --> 00:25:39,120 even if it means suffering for a few minutes to do so. 511 00:25:43,397 --> 00:25:46,476 Dr. Unger has a mortality index 512 00:25:46,500 --> 00:25:48,912 that is not too high and not too low. 513 00:25:48,936 --> 00:25:50,280 It's not gonna be Unger. 514 00:25:50,304 --> 00:25:52,950 You have not eliminated Dr. Ko. 515 00:25:52,974 --> 00:25:54,203 Not yet. 516 00:25:54,562 --> 00:25:57,908 I may have to go out of state to find a neurosurgeon. 517 00:25:57,933 --> 00:26:00,344 Plus, I may have to find myself a new oncologist. 518 00:26:00,369 --> 00:26:03,682 You've used Dr. Ko many times. 519 00:26:03,707 --> 00:26:05,852 Did you think she might kill your patients? 520 00:26:05,877 --> 00:26:07,007 No. 521 00:26:07,032 --> 00:26:08,876 Do you think you're better than them? 522 00:26:08,901 --> 00:26:10,702 Yes, a little. 523 00:26:13,967 --> 00:26:16,112 That was a joke. 524 00:26:16,330 --> 00:26:18,075 You don't want to talk about this. 525 00:26:18,100 --> 00:26:21,246 No, I don't want to talk about this, Shaun. 526 00:26:21,271 --> 00:26:24,250 That, in fact, is the point of the alcohol. 527 00:26:24,492 --> 00:26:26,659 Okay, I understand. 528 00:26:26,684 --> 00:26:27,717 Good. 529 00:26:35,557 --> 00:26:38,036 Why can't we talk about it? 530 00:26:38,061 --> 00:26:39,772 Because it's upsetting. 531 00:26:39,797 --> 00:26:41,575 Is that why you're stalling? 532 00:26:41,600 --> 00:26:43,611 Because you're afraid of dying? 533 00:26:43,636 --> 00:26:45,847 I'm not afraid of dying. 534 00:26:45,872 --> 00:26:47,617 Really? 535 00:26:47,642 --> 00:26:49,186 Why not? 536 00:26:49,211 --> 00:26:52,324 You should be. Dying is terrible. 537 00:26:52,349 --> 00:26:53,983 Yes, dying is terrible. 538 00:26:54,704 --> 00:26:56,515 But there are worse things. 539 00:26:56,540 --> 00:26:58,484 What's worse than dying? 540 00:27:02,374 --> 00:27:03,552 Not dying. 541 00:27:06,130 --> 00:27:07,741 That doesn't make sense. 542 00:27:07,766 --> 00:27:08,966 Makes sense to me. 543 00:27:10,453 --> 00:27:11,964 That doesn't make sense. 544 00:27:11,989 --> 00:27:13,623 That's the middle ground, Shaun. 545 00:27:15,430 --> 00:27:17,175 Brain surgeries have a tendency 546 00:27:17,199 --> 00:27:19,510 to end in the middle ground. 547 00:27:19,534 --> 00:27:22,380 Brain surgeries can be considered a success 548 00:27:22,404 --> 00:27:25,650 even when the patient ends up compromised. 549 00:27:25,674 --> 00:27:27,218 He can't walk. He can't talk. 550 00:27:27,242 --> 00:27:29,387 His hand can't stop shaking. 551 00:27:33,098 --> 00:27:36,544 I've been terrible at a lot of things in my life, 552 00:27:36,569 --> 00:27:38,370 but I am damn smart. 553 00:27:40,128 --> 00:27:42,506 And I am a damn good surgeon. 554 00:27:42,531 --> 00:27:44,209 And if I can't be those things, 555 00:27:44,234 --> 00:27:46,679 then I don't know who I'd be. 556 00:27:52,292 --> 00:27:54,103 You'd be my friend. 557 00:28:03,466 --> 00:28:04,977 Well, thank you, Shaun. 558 00:28:14,199 --> 00:28:17,111 I have to go. My patient just crashed. 559 00:28:21,917 --> 00:28:25,697 It's not enough. Is it? 560 00:28:29,637 --> 00:28:30,637 No. 561 00:28:32,328 --> 00:28:33,705 I'm sorry it isn't. 562 00:28:45,949 --> 00:28:47,927 Mom. Dad. 563 00:28:47,951 --> 00:28:49,318 We're here. 564 00:28:49,953 --> 00:28:51,931 We love you. 565 00:28:51,955 --> 00:28:54,333 We just don't understand why you would turn your back. 566 00:28:54,357 --> 00:28:55,534 Uh... 567 00:28:55,558 --> 00:28:57,069 Hello, Mara. 568 00:28:57,093 --> 00:28:59,105 I'm Ellen Vahtra. I'm a social worker. 569 00:28:59,129 --> 00:29:00,439 Your parents know what happened, 570 00:29:00,463 --> 00:29:02,641 and Dr. Lim gave you a nerve block. 571 00:29:02,665 --> 00:29:05,010 It hurts. It still hurts. 572 00:29:05,034 --> 00:29:06,779 I understand that, and we are going to try to get you 573 00:29:06,803 --> 00:29:09,348 back to sleep as quickly as possible. 574 00:29:09,372 --> 00:29:11,484 But something happened during your surgery, and we need you 575 00:29:11,508 --> 00:29:13,509 to make a decision about what is done next. 576 00:29:17,213 --> 00:29:20,359 We believe that, despite what was done to you as a child, 577 00:29:20,383 --> 00:29:22,862 the reason you're in so much pain because you still have 578 00:29:22,886 --> 00:29:24,530 functioning nerves in your clitoris, 579 00:29:24,554 --> 00:29:27,266 nerves that had been covered with scar tissue. 580 00:29:27,290 --> 00:29:28,901 I'd like to repair that. 581 00:29:28,925 --> 00:29:31,003 We can make you physiologically complete. 582 00:29:31,027 --> 00:29:33,128 But there's no guarantee that it would work. 583 00:29:35,398 --> 00:29:37,443 I'm confident. 584 00:29:37,467 --> 00:29:39,368 There is a safer choice. 585 00:29:42,906 --> 00:29:46,268 We could... remove your entire clitoris. 586 00:29:46,876 --> 00:29:49,121 This is your choice. 587 00:29:49,145 --> 00:29:51,146 You will be protected no matter what. 588 00:29:55,218 --> 00:29:56,462 Take it out. 589 00:29:56,486 --> 00:29:57,930 Mara, we can make you whole... 590 00:29:57,954 --> 00:30:00,332 I made a mistake. Take it out. 591 00:30:00,356 --> 00:30:01,934 She's on medication. She's in pain... 592 00:30:01,958 --> 00:30:04,837 Dr. Lim, please let her go back to sleep. 593 00:30:04,861 --> 00:30:07,473 And prepare to operate to remove the damaged tissue. 594 00:30:19,315 --> 00:30:21,706 Hang fresh, frozen plasma, too. Looks like he's going into DIC. 595 00:30:21,730 --> 00:30:22,966 Give me another hemostat. 596 00:30:22,990 --> 00:30:25,063 BP's 71 over 53. 597 00:30:25,087 --> 00:30:26,665 We should have warned the family. 598 00:30:26,689 --> 00:30:28,266 Can't see anything in here. There's too much blood. 599 00:30:28,290 --> 00:30:29,968 - More suction. - I think you got the hepatic artery. 600 00:30:29,992 --> 00:30:31,174 The warning wouldn't have made any difference. 601 00:30:31,198 --> 00:30:32,838 The bleeding is not slowing down. 602 00:30:32,862 --> 00:30:35,075 We need to send the aorta to the celiac. 603 00:30:35,076 --> 00:30:37,051 - I need to see it to clamp it. - They would have been prepared. 604 00:30:37,076 --> 00:30:39,904 A-line systolic's 54. He's bottoming out. No, they wouldn't. 605 00:30:39,929 --> 00:30:42,230 You two, shut up and pack his abdomen with laps 606 00:30:42,255 --> 00:30:43,789 while I sort through this mess. 607 00:30:44,404 --> 00:30:46,015 I won't do it. 608 00:30:46,040 --> 00:30:47,518 Can we appeal this? Do you know? 609 00:30:47,543 --> 00:30:49,054 I've spoken with our legal department. 610 00:30:49,079 --> 00:30:50,790 Unless we can prove the social worker was biased, 611 00:30:50,815 --> 00:30:52,159 we are stuck with this ruling. 612 00:30:52,184 --> 00:30:54,385 Well, then you're also stuck with "I won't do it." 613 00:30:55,274 --> 00:30:57,853 You're a good doctor. This hospital will miss you. 614 00:30:57,877 --> 00:31:00,021 You're gonna fire me because I won't butcher a teenage girl? 615 00:31:00,045 --> 00:31:01,590 Of course I am. 616 00:31:01,614 --> 00:31:03,492 This hospital will face lawsuits, suspensions, 617 00:31:03,516 --> 00:31:04,964 perhaps criminal charges, 618 00:31:04,965 --> 00:31:07,367 and this little girl will still get the surgery you hate. 619 00:31:12,805 --> 00:31:15,517 Could Dr. Lim at least talk to Mara again? 620 00:31:15,541 --> 00:31:18,140 You want to wake her up again in pain? 621 00:31:18,165 --> 00:31:19,609 Every woman deserves the right 622 00:31:19,634 --> 00:31:21,312 to make decisions about her sexuality 623 00:31:21,337 --> 00:31:22,971 without her parents hanging over her. 624 00:31:28,701 --> 00:31:30,045 Okay. 625 00:31:50,744 --> 00:31:52,856 When I was 15 years old, 626 00:31:52,880 --> 00:31:54,968 my father caught me with a boy. 627 00:31:54,993 --> 00:31:57,064 I mean, we weren't doing it, 628 00:31:57,089 --> 00:31:59,234 but my top was off and 629 00:31:59,461 --> 00:32:00,861 Well, it doesn't matter. 630 00:32:02,063 --> 00:32:03,363 My father hit me. 631 00:32:04,378 --> 00:32:05,778 I still have a small scar. 632 00:32:07,329 --> 00:32:09,006 Our relationship was never the same. 633 00:32:10,100 --> 00:32:11,511 But that's what growing up is. 634 00:32:11,536 --> 00:32:13,981 Not everyone gets called a slut. 635 00:32:14,006 --> 00:32:16,741 Not everyone gets butchered. 636 00:32:17,552 --> 00:32:20,498 But everyone becomes a man or a woman 637 00:32:20,523 --> 00:32:22,290 and stops being a child. 638 00:32:23,952 --> 00:32:26,998 I want to take a piece of tissue from inside your cheek 639 00:32:27,022 --> 00:32:29,267 and I want to graft it to your clitoris. 640 00:32:31,860 --> 00:32:34,973 We can make you feel... love. 641 00:32:44,020 --> 00:32:47,599 I can't turn my back on my family, on my traditions. 642 00:32:50,261 --> 00:32:52,035 Traditions 643 00:32:52,060 --> 00:32:53,928 connect us to the past. 644 00:32:54,817 --> 00:32:56,761 What about the future? 645 00:33:05,494 --> 00:33:07,105 Please. 646 00:33:07,130 --> 00:33:09,976 No. I'm in pain. 647 00:33:22,007 --> 00:33:23,484 Cross-clamping his aorta. 648 00:33:23,508 --> 00:33:25,320 He's in ventricular fibrillation. 649 00:33:26,578 --> 00:33:28,323 Starting chest compressions. 650 00:33:34,253 --> 00:33:35,730 Okay. Everybody clear. 651 00:33:57,749 --> 00:33:59,227 Prep the cheek, as well. 652 00:34:01,789 --> 00:34:03,800 She's taking the graft? The paperwork doesn't say... 653 00:34:03,825 --> 00:34:05,002 She consented verbally. 654 00:34:05,027 --> 00:34:06,772 We didn't want to keep her awake any longer 655 00:34:06,797 --> 00:34:08,097 than absolutely necessary. 656 00:34:09,868 --> 00:34:11,646 I wanted to help her as much as you... 657 00:34:11,671 --> 00:34:13,348 When she wanted help. 658 00:34:13,373 --> 00:34:15,074 - But if she doesn't want this... - She wants this. 659 00:34:16,034 --> 00:34:17,312 Dr. Lim just told us. 660 00:34:21,675 --> 00:34:22,752 Prep the cheek. 661 00:34:36,508 --> 00:34:38,276 I'll tell the family. 662 00:34:39,918 --> 00:34:41,629 No. 663 00:34:41,654 --> 00:34:43,532 Claire, you do it. 664 00:34:43,557 --> 00:34:45,058 This isn't the time for learning. 665 00:35:11,519 --> 00:35:12,896 I'm sorry. 666 00:35:13,147 --> 00:35:15,292 Paul died during surgery. 667 00:35:15,864 --> 00:35:18,710 He had a gastroduodenal artery rupture. 668 00:35:18,734 --> 00:35:21,291 It's a common complication of a Whipple surgery, 669 00:35:21,316 --> 00:35:24,262 especially when someone's cancer was... 670 00:35:24,287 --> 00:35:26,932 As advanced as his was. 671 00:35:26,957 --> 00:35:28,806 We... did everything we could 672 00:35:28,831 --> 00:35:31,042 for as long as we could. 673 00:35:31,067 --> 00:35:32,812 He didn't suffer. 674 00:35:38,244 --> 00:35:39,678 You did this to him. 675 00:35:41,924 --> 00:35:43,191 Dad didn't want this. 676 00:35:44,734 --> 00:35:47,236 You saw that look on his face. He was scared. 677 00:35:47,261 --> 00:35:51,241 In my experience, it does no good to dwell... 678 00:35:51,266 --> 00:35:52,942 Of course he was scared. 679 00:35:52,967 --> 00:35:54,061 That doesn't mean... 680 00:35:54,086 --> 00:35:55,102 He just wanted to live his last few months. 681 00:35:55,127 --> 00:35:56,607 Stop it. 682 00:35:56,632 --> 00:35:58,744 Nobody made your father do anything. 683 00:35:58,769 --> 00:36:00,303 He knew the risks. 684 00:36:02,539 --> 00:36:04,384 It's your fault, too, Mom. 685 00:36:06,712 --> 00:36:07,979 All of us. 686 00:36:08,958 --> 00:36:10,836 He would do anything for us. 687 00:36:12,781 --> 00:36:14,749 We killed our father. 688 00:36:22,485 --> 00:36:23,829 It's not true. 689 00:36:28,036 --> 00:36:30,782 Paul wanted this surgery. 690 00:36:32,616 --> 00:36:36,062 He told me he wanted this surgery. 691 00:37:08,735 --> 00:37:09,935 Was that true? 692 00:37:12,339 --> 00:37:14,006 Paul told me... 693 00:37:15,482 --> 00:37:18,094 When the truth can't help someone, 694 00:37:18,119 --> 00:37:19,663 we should lie. 695 00:37:30,323 --> 00:37:31,323 Mom? 696 00:37:34,095 --> 00:37:36,764 How are you? Does anything hurt? 697 00:37:37,985 --> 00:37:40,720 Not much. I'm better. 698 00:37:42,383 --> 00:37:44,217 Looks like she's doing well. 699 00:37:45,486 --> 00:37:46,520 Thank you, Doctor. 700 00:37:48,622 --> 00:37:51,968 There should still be some discomfort at the surgical site. 701 00:37:51,993 --> 00:37:54,138 A nurse will bring you some... 702 00:38:01,195 --> 00:38:02,439 Sorry. 703 00:38:02,464 --> 00:38:04,542 A nurse will bring you some Tylenol, 704 00:38:04,567 --> 00:38:06,668 which should really be all you need. 705 00:38:07,061 --> 00:38:08,505 Thank you. 706 00:38:11,267 --> 00:38:13,045 You're gonna be great. 707 00:38:35,800 --> 00:38:38,011 You're here. 708 00:38:38,035 --> 00:38:40,314 Yes. I live here. 709 00:38:40,338 --> 00:38:41,848 You know that. 710 00:38:41,872 --> 00:38:44,952 Well, I was starting to doubt it the last couple of days. 711 00:38:44,976 --> 00:38:47,854 You come home after I'm asleep. 712 00:38:47,878 --> 00:38:49,987 You leave before I can even get up. 713 00:38:50,012 --> 00:38:51,379 Wow. 714 00:38:51,404 --> 00:38:53,748 Thank you. 715 00:39:02,647 --> 00:39:04,114 Please take this. 716 00:39:05,390 --> 00:39:07,535 No, this is yours, Shaun. 717 00:39:07,560 --> 00:39:09,784 I gave it to you to remember me by. 718 00:39:09,809 --> 00:39:11,196 It hurt. 719 00:39:14,727 --> 00:39:17,072 I didn't want to tell you the truth 720 00:39:17,096 --> 00:39:18,836 because I didn't know it, 721 00:39:18,861 --> 00:39:21,634 but I have to tell you the truth because it will help. 722 00:39:26,986 --> 00:39:29,267 Every night, I would come home, 723 00:39:29,942 --> 00:39:34,656 and I would look at that baseball, 724 00:39:34,681 --> 00:39:36,566 and I would think of you. 725 00:39:38,512 --> 00:39:40,557 The baseball was here, 726 00:39:40,582 --> 00:39:42,416 but you weren't. 727 00:39:42,969 --> 00:39:44,147 That's sweet. 728 00:39:44,172 --> 00:39:47,050 No, it isn't. 729 00:39:47,075 --> 00:39:48,620 It hurt. 730 00:39:48,645 --> 00:39:50,038 You hurt me. 731 00:39:50,423 --> 00:39:52,168 Okay, Shaun, you know... 732 00:39:52,193 --> 00:39:54,934 You went away, and it hurt, 733 00:39:54,959 --> 00:39:57,604 and it kept hurting, and now you're back. 734 00:40:00,566 --> 00:40:03,092 If you stay, you will go away again, 735 00:40:03,117 --> 00:40:05,863 and it will hurt again. 736 00:40:05,888 --> 00:40:08,366 So I want you to go back to Hershey. 737 00:40:10,895 --> 00:40:12,572 I know you don't mean that, and I know... 738 00:40:12,597 --> 00:40:16,010 Please go back to Hershey 739 00:40:16,035 --> 00:40:18,480 or anywhere other than here! 740 00:40:45,346 --> 00:40:46,379 Feeling okay? 741 00:40:47,942 --> 00:40:50,682 Yeah, sure, superduper. 742 00:40:51,758 --> 00:40:53,970 I want to thank you for your trust. 743 00:40:53,995 --> 00:40:55,462 I'll do my best to deserve it. 744 00:40:56,365 --> 00:40:58,633 Well, that's all I can ask. 745 00:41:01,215 --> 00:41:02,859 You know the drill. 746 00:41:09,525 --> 00:41:10,859 10... 747 00:41:11,813 --> 00:41:13,113 9... 748 00:41:15,396 --> 00:41:16,563 8... 749 00:41:18,053 --> 00:41:19,053 7...