1 00:00:16,445 --> 00:00:17,779 Shaun... 2 00:00:17,781 --> 00:00:20,715 You need to give me your driver's license. 3 00:00:20,717 --> 00:00:22,450 No, I don't. 4 00:00:22,452 --> 00:00:23,880 Do you remember 5 00:00:23,905 --> 00:00:26,120 - the memory test I gave you? - Vividly. 6 00:00:26,122 --> 00:00:29,357 Yes. It demonstrated you have a deficit. 7 00:00:29,359 --> 00:00:31,626 A deficit; you shouldn't be driving. 8 00:00:31,628 --> 00:00:33,060 Dr. Blaize agreed. 9 00:00:33,062 --> 00:00:36,097 Shaun, that test was supposed to be between us; 10 00:00:36,099 --> 00:00:38,533 that's why I didn't want to do it at the hospital. 11 00:00:38,535 --> 00:00:41,636 Yes, your doctor needs to be informed 12 00:00:41,638 --> 00:00:43,938 of the results of all your medical tests. 13 00:00:43,940 --> 00:00:45,773 Even tests that are done at home. 14 00:00:45,775 --> 00:00:48,810 Shaun, I've been driving for like half a century. 15 00:00:48,812 --> 00:00:50,711 I'm an excellent driver, okay? 16 00:00:50,713 --> 00:00:52,980 I don't need to give you my driver's license. 17 00:00:52,982 --> 00:00:56,056 Okay. Then I'll have to notify the DMV. 18 00:00:56,685 --> 00:00:58,085 Dr. Glassman? 19 00:01:00,222 --> 00:01:02,256 You're not gonna notify the DMV, Shaun. 20 00:01:02,258 --> 00:01:05,493 Yes, I will notify the DMV. 21 00:01:05,495 --> 00:01:07,962 Shaun, you will not notify the DMV. 22 00:01:07,964 --> 00:01:09,297 Dr. Glassman, 23 00:01:09,299 --> 00:01:12,533 if you don't give me your driver's license, 24 00:01:12,535 --> 00:01:15,603 I will notify the DMV. 25 00:01:15,605 --> 00:01:17,338 Dr. Glassman? 26 00:01:41,830 --> 00:01:43,331 George Reynolds, 28, 27 00:01:43,333 --> 00:01:45,032 sudden onset of arm and leg weakness, 28 00:01:45,034 --> 00:01:47,034 right facial droop, and trouble speaking. 29 00:01:47,036 --> 00:01:49,737 CT confirmed a middle cerebral artery embolism. 30 00:01:49,739 --> 00:01:51,706 I booked us into interventional radiology. 31 00:01:51,708 --> 00:01:53,875 When did you first notice your symptoms, George? 32 00:01:53,877 --> 00:01:56,911 About, uh, four and a half hours ago. 33 00:01:56,913 --> 00:01:58,092 Wait, what's wrong with me? 34 00:01:58,094 --> 00:02:00,014 You may be having a stroke. 35 00:02:00,602 --> 00:02:02,450 You're on monthly injections of Lupron? 36 00:02:02,452 --> 00:02:03,584 For three months. 37 00:02:03,586 --> 00:02:04,652 That may have caused this. 38 00:02:04,654 --> 00:02:06,420 Do you have prostate cancer? 39 00:02:06,422 --> 00:02:10,591 No. I-I was diagnosed with atypical hyperplasia. 40 00:02:10,593 --> 00:02:12,527 That shouldn't have any effect on what we're gonna do now. 41 00:02:12,529 --> 00:02:13,628 We're gonna take care of you, George. 42 00:02:13,630 --> 00:02:14,629 Don't worry. 43 00:02:17,800 --> 00:02:19,133 This is local anesthetic; 44 00:02:19,135 --> 00:02:20,958 you'll feel a pinch. 45 00:02:23,639 --> 00:02:25,039 Are you a real doctor? 46 00:02:25,041 --> 00:02:28,175 I'm Dr. Shaun Murphy. 47 00:02:28,177 --> 00:02:29,477 People ever call you Murph? 48 00:02:29,479 --> 00:02:30,778 No. 49 00:02:30,780 --> 00:02:32,914 I'm going to make a small incision 50 00:02:32,916 --> 00:02:36,223 so we can insert the tube and re-inflate your lung. 51 00:02:37,419 --> 00:02:38,686 What do they call you, Billy? 52 00:02:39,923 --> 00:02:44,158 CraterHead, Volcano, ThreeEyes... 53 00:02:44,160 --> 00:02:46,460 those are just the creative ones. 54 00:02:46,462 --> 00:02:48,996 Hold tight. Here comes the tube... 55 00:02:58,640 --> 00:03:00,441 You guys really know what you're doing. 56 00:03:00,443 --> 00:03:03,244 Yes, we do. 57 00:03:03,246 --> 00:03:05,580 We'll order an MRI for your lungs. 58 00:03:05,582 --> 00:03:08,683 Then we will fix your fractured eye orbit; 59 00:03:08,685 --> 00:03:10,785 that will require surgery. 60 00:03:11,987 --> 00:03:14,322 What do you say we fix your forehead, too? 61 00:03:14,324 --> 00:03:15,356 You could do that? 62 00:03:15,358 --> 00:03:18,225 - I think so... - I don't think so. 63 00:03:18,227 --> 00:03:20,581 It's a pre-existing condition, 64 00:03:20,583 --> 00:03:22,730 and it's not medically necessary. 65 00:03:22,732 --> 00:03:24,398 It shouldn't be approved. 66 00:03:29,339 --> 00:03:32,340 ...Captions by VITAC... 67 00:03:32,342 --> 00:03:39,347 Synced & corrected by -robtor- www.addic7ed.com 68 00:03:41,316 --> 00:03:44,885 The MCA clot is obstructing all distal flow. 69 00:03:44,887 --> 00:03:48,189 Anti-androgens aren't indicated for hyperplasia... 70 00:03:48,191 --> 00:03:49,657 He said atypical. 71 00:03:49,659 --> 00:03:51,465 You think he's lying? 72 00:03:52,629 --> 00:03:55,563 Maybe he's gender transitioning. 73 00:03:55,565 --> 00:03:59,300 Aside from cancer, there aren't many other indications. 74 00:03:59,302 --> 00:04:01,235 Let's focus on what we do know. 75 00:04:01,237 --> 00:04:03,504 Feeding the catheter. 76 00:04:03,506 --> 00:04:05,437 Suctioning the thrombus, 77 00:04:06,609 --> 00:04:09,010 and he's recanalizing. Slowly retract. 78 00:04:11,213 --> 00:04:13,481 Whatever his reasons are for taking anti-androgens, 79 00:04:13,483 --> 00:04:15,049 hopefully there are options. 80 00:04:15,051 --> 00:04:17,652 He either drops them or he's gonna keep having strokes. 81 00:04:19,656 --> 00:04:23,624 The forehead repair would be expensive and cosmetic... 82 00:04:23,626 --> 00:04:25,159 It's not about prettying him up; 83 00:04:25,161 --> 00:04:27,595 it could give him a new life, friends, 84 00:04:27,597 --> 00:04:28,763 maybe a few less beatings. 85 00:04:28,765 --> 00:04:31,899 Stopping the beatings is the guards' job. 86 00:04:32,589 --> 00:04:35,102 You really don't have any empathy for Billy? 87 00:04:35,104 --> 00:04:38,939 Empathy is a bad reason to fight for someone. 88 00:04:38,941 --> 00:04:41,375 If empathy makes me only want to help patients 89 00:04:41,377 --> 00:04:44,011 who are from Wyoming or have ASD, 90 00:04:44,013 --> 00:04:45,513 then that's very unfair 91 00:04:45,515 --> 00:04:48,182 to all my neuro-typical patients from Idaho. 92 00:04:55,257 --> 00:04:56,924 I need to take those drugs. 93 00:04:56,926 --> 00:04:58,693 They caused your stroke. 94 00:05:01,596 --> 00:05:04,098 We don't think you have hyperplasia. 95 00:05:04,100 --> 00:05:05,266 If you tell us the real reason, 96 00:05:05,268 --> 00:05:07,201 I'm sure there are other safer treatments... 97 00:05:07,203 --> 00:05:08,669 No, there aren't! 98 00:05:10,105 --> 00:05:13,407 If you're transitioning, there are alternatives... 99 00:05:13,409 --> 00:05:15,309 I told you why I was taking the meds. 100 00:05:15,311 --> 00:05:18,312 George, we are your doctors; 101 00:05:18,314 --> 00:05:20,314 we need to know the truth. 102 00:05:20,316 --> 00:05:22,216 We're not gonna tell anyone. 103 00:05:30,892 --> 00:05:32,426 I'm not transitioning. 104 00:05:34,763 --> 00:05:38,632 And I don't have hyperplasia. 105 00:05:40,469 --> 00:05:42,203 I have problems... 106 00:05:42,205 --> 00:05:45,306 with my sex drive. 107 00:05:46,908 --> 00:05:48,008 I know it sounds stupid, 108 00:05:48,010 --> 00:05:50,411 like why can't I just control myself 109 00:05:50,413 --> 00:05:52,127 but... 110 00:05:53,349 --> 00:05:55,850 It's all I think about. 111 00:05:55,852 --> 00:05:57,651 It's all I can think about. 112 00:05:59,855 --> 00:06:02,123 I can't work, 113 00:06:02,125 --> 00:06:04,325 I can't socialize, 114 00:06:04,327 --> 00:06:06,761 I can't have a life. 115 00:06:08,563 --> 00:06:11,465 And those meds are the only thing 116 00:06:11,467 --> 00:06:14,935 that makes it even remotely tolerable. 117 00:06:14,937 --> 00:06:16,771 They'll kill you. 118 00:06:25,380 --> 00:06:27,381 The residents have a betting pool 119 00:06:27,383 --> 00:06:28,983 on who you're going to appoint. 120 00:06:28,985 --> 00:06:31,652 As your replacement as Chief of Surgery, 121 00:06:31,654 --> 00:06:34,421 the decision needs to be made with decorum and expediency. 122 00:06:34,423 --> 00:06:36,157 I haven't quite gotten around to analyzing... 123 00:06:36,159 --> 00:06:37,892 You've had little face time with your attendings 124 00:06:37,894 --> 00:06:39,627 since you became president. 125 00:06:39,629 --> 00:06:41,426 You need to correct that. 126 00:06:42,765 --> 00:06:44,721 I've scheduled your announcement. 127 00:06:45,168 --> 00:06:46,767 You've got two days. 128 00:06:59,382 --> 00:07:01,115 - Where is he? - He's gone; 129 00:07:01,117 --> 00:07:02,082 signed out AMA. 130 00:07:02,084 --> 00:07:04,018 - I tried... - How long ago? 131 00:07:04,020 --> 00:07:05,853 Five minutes... 132 00:07:10,827 --> 00:07:11,959 Why are we in a hurry? 133 00:07:11,961 --> 00:07:13,761 I was researching alternative meds for him. 134 00:07:13,763 --> 00:07:15,596 Realized Lupron didn't make any sense. 135 00:07:15,598 --> 00:07:17,865 Prescribing anti-androgens for sexual urges 136 00:07:17,867 --> 00:07:19,500 is like hitting a mosquito with a mallet. 137 00:07:19,502 --> 00:07:21,836 Unless they're deviant urges. 138 00:07:21,838 --> 00:07:23,804 We might've just released a child molester. 139 00:07:33,816 --> 00:07:35,115 Should we call the police? 140 00:07:35,117 --> 00:07:36,450 We can't. 141 00:07:36,452 --> 00:07:38,352 We have no evidence of a crime. 142 00:07:43,337 --> 00:07:44,304 Lim's at 3 to 2, 143 00:07:44,306 --> 00:07:46,326 Melendez is just behind at 2 to 1, 144 00:07:46,351 --> 00:07:47,450 Cooperberg's 7 to 1, 145 00:07:47,452 --> 00:07:49,552 and if Dartling, or anybody else comes in, 146 00:07:49,554 --> 00:07:50,586 you can retire. 147 00:07:50,588 --> 00:07:52,088 Andrews might bail on Melendez 148 00:07:52,090 --> 00:07:54,324 when he finds out our patient bolted. 149 00:07:54,326 --> 00:07:57,894 Which is why Melendez is now 4 to 1. 150 00:07:57,896 --> 00:08:00,930 Pari-mutuel betting is very exciting. 151 00:08:00,932 --> 00:08:03,533 Do you need empathy to be a good doctor? 152 00:08:05,602 --> 00:08:08,204 No. I think it can interfere 153 00:08:08,206 --> 00:08:10,039 with effective decision-making. 154 00:08:10,041 --> 00:08:12,675 She's just saying that to avoid hurting your feelings, 155 00:08:12,677 --> 00:08:14,944 thus making her fake point for real... 156 00:08:14,946 --> 00:08:17,413 her empathy made her lie to you. 157 00:08:17,415 --> 00:08:18,448 I think you just agreed with me 158 00:08:18,450 --> 00:08:20,249 and insulted me at the same time. 159 00:08:20,251 --> 00:08:22,151 I think empathy's very important... 160 00:08:22,153 --> 00:08:24,287 Telling the cold hard truth even when it hurts, 161 00:08:24,289 --> 00:08:26,622 sometimes is the most empathetic thing we can do. 162 00:08:26,624 --> 00:08:28,725 Which is what I'm doing for Shaun right now. 163 00:08:28,727 --> 00:08:30,535 You're welcome. 164 00:08:31,329 --> 00:08:33,196 I have autism 165 00:08:33,198 --> 00:08:35,631 which means I have a deficiency of mirror neurons, 166 00:08:35,633 --> 00:08:37,834 which inhibits me from emotionally trading places 167 00:08:37,836 --> 00:08:41,003 with people, which makes empathy very difficult. 168 00:08:45,042 --> 00:08:47,677 Does that mean I can't be a good doctor? 169 00:08:49,146 --> 00:08:50,747 No, it doesn't. 170 00:08:50,749 --> 00:08:53,383 We all have our strengths and weaknesses, Shaun. 171 00:08:53,385 --> 00:08:56,753 One of Claire's is making sure everyone feels validated. 172 00:09:03,227 --> 00:09:04,794 The creep is back. 173 00:09:08,199 --> 00:09:10,099 Is George having another stroke? 174 00:09:10,101 --> 00:09:11,601 No. 175 00:09:11,603 --> 00:09:13,736 Severe lacerations to the scrotum. 176 00:09:13,738 --> 00:09:14,971 Did you give him anything for pain? 177 00:09:14,973 --> 00:09:18,274 Morphine. Four milligrams. And I notified the cops; 178 00:09:18,276 --> 00:09:19,742 I think it was a hate crime. 179 00:09:19,744 --> 00:09:21,177 Yeah, I don't think so. 180 00:09:24,015 --> 00:09:26,082 All right. 181 00:09:26,084 --> 00:09:27,083 On my count. 182 00:09:27,085 --> 00:09:28,918 One, two, three. 183 00:09:30,287 --> 00:09:31,320 We'll take it from here. 184 00:09:31,322 --> 00:09:32,755 I'll pack him and prep him. 185 00:09:40,298 --> 00:09:42,231 You did this to yourself, didn't you? 186 00:09:46,236 --> 00:09:49,405 I think I know what kind of urges you've been having. 187 00:09:52,042 --> 00:09:54,110 I'm not a monster. 188 00:09:54,112 --> 00:09:56,512 I never touched anyone... 189 00:09:56,514 --> 00:09:59,215 any... child. 190 00:10:03,320 --> 00:10:06,856 My sister and I were always best friends... 191 00:10:06,858 --> 00:10:08,991 but then she had children. 192 00:10:10,694 --> 00:10:12,728 If I can't keep taking the drugs... 193 00:10:14,631 --> 00:10:17,066 ...I had to do this. 194 00:10:17,068 --> 00:10:18,568 Home surgery tends to not have 195 00:10:18,570 --> 00:10:21,103 the results you're hoping for. 196 00:10:21,105 --> 00:10:22,438 You did a lot of damage 197 00:10:22,440 --> 00:10:24,407 but your testicles are unscathed. 198 00:10:28,712 --> 00:10:31,013 Please... finish the job. 199 00:10:35,552 --> 00:10:37,620 I say we do it; he's a pedophile. 200 00:10:37,622 --> 00:10:38,646 No, he's not. 201 00:10:38,648 --> 00:10:39,755 He just told us he was. 202 00:10:39,757 --> 00:10:41,357 He has never acted on his urges, 203 00:10:41,359 --> 00:10:42,792 and he's asking us to do something 204 00:10:42,794 --> 00:10:44,193 to ensure he never does. 205 00:10:44,195 --> 00:10:45,940 He is a decent person trying... 206 00:10:45,942 --> 00:10:47,225 I'm confused. 207 00:10:47,227 --> 00:10:48,431 What do you want to do with him? 208 00:10:48,433 --> 00:10:50,766 Treat him like a patient with a diagnosis. 209 00:10:50,768 --> 00:10:52,293 Put him on antidepressants, 210 00:10:52,295 --> 00:10:54,403 refer him to a urologist, give him a psych eval. 211 00:10:54,405 --> 00:10:57,173 Let the experts determine if he should have a castration. 212 00:10:57,175 --> 00:10:59,308 Psych eval? Antidepressants? 213 00:10:59,310 --> 00:11:00,910 When we refer people for counseling, 214 00:11:00,912 --> 00:11:02,378 how often do they get cured? 215 00:11:02,380 --> 00:11:03,913 I am looking to help him manage this dis... 216 00:11:03,915 --> 00:11:05,681 And if they don't get cured, what happens? 217 00:11:05,683 --> 00:11:08,551 They get more depressed, can't cope, quit jobs, 218 00:11:08,553 --> 00:11:09,919 maybe kill themselves? 219 00:11:09,921 --> 00:11:12,614 All bad, but not... rape-a-child bad. 220 00:11:14,157 --> 00:11:16,025 So what are you going to do? 221 00:11:20,397 --> 00:11:22,732 We can't ethically remove healthy organs 222 00:11:22,734 --> 00:11:24,467 for crime prevention. 223 00:11:24,469 --> 00:11:26,202 We don't amputate a kleptomaniac's hands 224 00:11:26,204 --> 00:11:27,937 to prevent them from stealing. 225 00:11:27,939 --> 00:11:29,572 Hands have many purposes; 226 00:11:29,574 --> 00:11:32,141 the balls of a pedophile have but one. 227 00:11:32,143 --> 00:11:34,477 Set up his referrals and patch him up. 228 00:11:47,357 --> 00:11:49,225 How long you been in Foothills? 229 00:11:49,227 --> 00:11:50,760 Nine months... 230 00:11:50,762 --> 00:11:52,428 Time flies in Juvie. 231 00:11:52,430 --> 00:11:54,363 Any visitors? 232 00:11:54,365 --> 00:11:56,299 I don't have a granny bringing me cookies, 233 00:11:56,301 --> 00:11:57,633 if that's what you mean. 234 00:11:57,635 --> 00:12:00,703 This is why empathy is bad. 235 00:12:00,705 --> 00:12:03,573 You're talking to our patient because you like him, 236 00:12:03,575 --> 00:12:04,974 which is causing him to move, 237 00:12:04,976 --> 00:12:07,076 which is affecting our imagery. 238 00:12:07,078 --> 00:12:08,411 He's scared. 239 00:12:08,413 --> 00:12:09,679 I'm talking to him to calm him down 240 00:12:09,681 --> 00:12:11,347 which is improving our imagery. 241 00:12:11,349 --> 00:12:14,317 The fact that I like him is beside the point. 242 00:12:14,319 --> 00:12:16,185 You grow up in San Jose? 243 00:12:16,187 --> 00:12:19,822 East Paly... but I got out of there as soon as I could... 244 00:12:19,824 --> 00:12:20,957 I was 15. 245 00:12:20,959 --> 00:12:22,858 Your parents still there? 246 00:12:22,860 --> 00:12:24,393 Mom's gone... 247 00:12:24,395 --> 00:12:27,463 dear old Dad is... terrible. 248 00:12:27,465 --> 00:12:28,631 Siblings? 249 00:12:28,633 --> 00:12:30,132 Little brother... 250 00:12:30,134 --> 00:12:31,534 He's gone too... 251 00:12:35,439 --> 00:12:37,773 Crappy dad. Lost his brother... 252 00:12:37,775 --> 00:12:38,674 I mean, you really don't ha... 253 00:12:38,676 --> 00:12:40,109 He's not scared. 254 00:12:40,111 --> 00:12:41,510 He's short of breath 255 00:12:41,512 --> 00:12:43,512 because his diaphragm is lacerated. 256 00:12:43,514 --> 00:12:45,881 His stomach has passed through that tear 257 00:12:45,883 --> 00:12:48,184 and is now in his chest. 258 00:12:48,186 --> 00:12:52,054 Billy needs emergency surgery on his diaphragm. 259 00:12:53,746 --> 00:12:54,980 The defect reaches all the way 260 00:12:54,982 --> 00:12:57,276 from the center to the anterior costal margin. 261 00:12:57,459 --> 00:12:58,925 So what do we need to do? 262 00:12:58,927 --> 00:13:00,526 Divide the inferior pulmonary ligament 263 00:13:00,528 --> 00:13:02,729 to bring the lung upwards. 264 00:13:02,731 --> 00:13:04,230 Uh-huh. Mesh. 265 00:13:07,267 --> 00:13:09,836 Whoever kicked him was wearing some serious footwear. 266 00:13:09,838 --> 00:13:11,938 And they'll be waiting for him when he goes back. 267 00:13:11,940 --> 00:13:12,972 Unless we help him. 268 00:13:12,974 --> 00:13:15,675 Dr. Park wants to fix his forehead. 269 00:13:17,344 --> 00:13:18,978 The Constitution guarantees prisoners 270 00:13:18,980 --> 00:13:20,613 get the same care as everyone else. 271 00:13:20,615 --> 00:13:24,150 Most non-prisoners can't afford cosmetic surgery. 272 00:13:24,152 --> 00:13:26,419 He would be getting better care than everyone else. 273 00:13:26,421 --> 00:13:29,021 Kid is smart and personable and puts up a great front. 274 00:13:29,023 --> 00:13:30,523 But he's scared to death. 275 00:13:30,525 --> 00:13:32,358 And he got 36 months for selling weed; 276 00:13:32,360 --> 00:13:34,193 a crime that doesn't even exist anymore. 277 00:13:34,195 --> 00:13:35,762 You think his life would be anything like this 278 00:13:35,764 --> 00:13:38,426 if he didn't grow up with a massive dent in his head? 279 00:13:39,067 --> 00:13:41,554 Sorry, I'm not convinced. 280 00:13:42,070 --> 00:13:46,706 Is that because you don't have any empathy for Billy? 281 00:13:46,708 --> 00:13:49,075 No. It's because I agree with you: 282 00:13:49,077 --> 00:13:51,611 it's expensive, risky and unnecessary. 283 00:13:51,613 --> 00:13:54,881 But empathy can be an invaluable motivator, 284 00:13:54,883 --> 00:13:57,483 Dr. Murphy, that truly connects the physician 285 00:13:57,485 --> 00:13:59,118 with their patient. 286 00:14:03,090 --> 00:14:05,258 Is he still up there? 287 00:14:11,766 --> 00:14:14,734 Yes he is. 288 00:14:16,471 --> 00:14:18,471 We can't do the castration, George. 289 00:14:18,473 --> 00:14:21,240 Not without the proper psychiatric clearance. 290 00:14:21,242 --> 00:14:22,541 That'll take forever. 291 00:14:22,543 --> 00:14:24,110 Just a few months. 292 00:14:24,112 --> 00:14:25,812 A few months is forever. 293 00:14:25,814 --> 00:14:27,280 Binge watch your favorite shows, 294 00:14:27,282 --> 00:14:28,614 catch up on your reading. 295 00:14:28,616 --> 00:14:31,384 You attracted to men, Dr. Reznick? 296 00:14:31,386 --> 00:14:33,653 Yes. Adult men. 297 00:14:33,655 --> 00:14:37,256 And if that were... reprehensible, 298 00:14:37,258 --> 00:14:38,861 do you think you could stop? 299 00:14:40,928 --> 00:14:43,496 You have no idea what it's like 300 00:14:43,498 --> 00:14:45,798 to live with these thoughts. 301 00:14:45,800 --> 00:14:48,401 I hate them, 302 00:14:48,403 --> 00:14:51,457 and I hate myself for having them. 303 00:14:52,507 --> 00:14:54,377 But I can't stop them... 304 00:14:55,076 --> 00:14:57,844 and I'm afraid of what I could do. 305 00:15:02,750 --> 00:15:05,084 We will start the process immediately. 306 00:15:05,086 --> 00:15:07,220 In the meantime, we'll transfuse you, 307 00:15:07,222 --> 00:15:08,454 get you on antibiotics... 308 00:15:08,456 --> 00:15:11,624 No. I'm refusing treatment. 309 00:15:11,626 --> 00:15:15,895 No transfusion. No antibiotics. No repair. 310 00:15:15,897 --> 00:15:17,196 Let 'em rot. 311 00:15:20,635 --> 00:15:22,869 We have something in common. 312 00:15:25,005 --> 00:15:27,373 Neither of us has a driver's license. 313 00:15:29,910 --> 00:15:34,292 How do you feel about not having a driver's license? 314 00:15:35,116 --> 00:15:37,149 I'm pissed, Shaun. 315 00:15:37,151 --> 00:15:38,784 You feel pissed. 316 00:15:38,786 --> 00:15:40,887 Yes, I feel pissed. I feel very pissed 317 00:15:40,889 --> 00:15:43,523 because something important was taken away from me. 318 00:15:43,525 --> 00:15:45,057 And by a friend. 319 00:15:45,059 --> 00:15:47,059 You feel very pissed 320 00:15:47,061 --> 00:15:49,762 because something important was taken away from you... 321 00:15:49,764 --> 00:15:50,997 and by a friend. 322 00:15:50,999 --> 00:15:54,133 And parroting everything I say isn't helping. 323 00:15:54,135 --> 00:15:57,637 I'm finding commonality, Dr. Glassman, 324 00:15:57,639 --> 00:16:00,139 and inquiring about your emotional state, 325 00:16:00,141 --> 00:16:03,342 and actively listening by restating your responses. 326 00:16:03,344 --> 00:16:08,080 "External corroboration enhances our sense of self-worth." 327 00:16:08,082 --> 00:16:09,619 Okay. 328 00:16:10,518 --> 00:16:12,518 The day after I got my driver's license, 329 00:16:12,520 --> 00:16:14,053 you want to know what I did? 330 00:16:14,055 --> 00:16:17,290 I went out and bought a 1963 Galaxie, Midnight Blue. 331 00:16:17,292 --> 00:16:19,025 1,255 bucks; 332 00:16:19,027 --> 00:16:22,261 every penny I earned for the past three years 333 00:16:22,263 --> 00:16:23,896 working in a gas station. 334 00:16:23,898 --> 00:16:26,010 How do you think that made me feel? 335 00:16:26,434 --> 00:16:27,633 You liked it? 336 00:16:27,635 --> 00:16:29,835 No, Shaun. I loved it. 337 00:16:29,837 --> 00:16:30,937 You want to know why? 338 00:16:30,939 --> 00:16:33,372 Because a car to a sixteen-year-old kid 339 00:16:33,374 --> 00:16:34,440 means independence, 340 00:16:34,442 --> 00:16:36,309 which means he can go wherever he wants 341 00:16:36,311 --> 00:16:38,177 whenever he wants. 342 00:16:38,179 --> 00:16:41,984 And that doesn't change with age, Shaun; 343 00:16:42,817 --> 00:16:44,650 in fact, it means even more. 344 00:16:48,188 --> 00:16:50,690 When you took my license, that's what you took from me. 345 00:16:53,427 --> 00:16:54,927 I don't expect you to understand. 346 00:16:54,929 --> 00:16:57,163 So you don't have to pretend. 347 00:17:07,774 --> 00:17:10,142 Hey. Is Andrews stalking you? 348 00:17:10,144 --> 00:17:11,510 - Yeah. - It's annoying. 349 00:17:11,512 --> 00:17:13,646 We need to stand together and tell him to back off. 350 00:17:14,782 --> 00:17:16,616 I'm not telling the president he's annoying. 351 00:17:16,618 --> 00:17:18,384 He's infringing on our autonomy 352 00:17:18,386 --> 00:17:20,353 and inhibiting the free flow of ideas, 353 00:17:20,355 --> 00:17:21,787 both of which affect our ability 354 00:17:21,789 --> 00:17:24,402 to deliver the best patient care. 355 00:17:25,560 --> 00:17:27,994 That sounds slightly better. 356 00:17:27,996 --> 00:17:29,996 Okay. I'm in. 357 00:17:34,501 --> 00:17:36,769 - Are you? - No. Of course not. 358 00:17:36,771 --> 00:17:38,938 The last thing I'm gonna do right now is confront him; 359 00:17:38,940 --> 00:17:40,041 I'm the front-runner. 360 00:17:40,043 --> 00:17:41,140 Not according to Vegas; 361 00:17:41,142 --> 00:17:42,208 I'm three to two. 362 00:17:44,212 --> 00:17:47,613 Guess they don't know that you have double my mortality rate. 363 00:17:49,016 --> 00:17:50,316 I'm a trauma surgeon; 364 00:17:50,318 --> 00:17:53,219 you're comparing apples to asshats. 365 00:17:53,221 --> 00:17:55,521 I resent being called an apple. 366 00:17:57,024 --> 00:17:59,692 The diaphragm repair went very well. 367 00:17:59,694 --> 00:18:02,194 And we've scheduled your orbital fracture repair. 368 00:18:02,196 --> 00:18:05,364 We'll get you some stronger pain meds for the recovery. 369 00:18:05,366 --> 00:18:07,133 When are you gonna fix my forehead, 370 00:18:07,135 --> 00:18:08,868 make me all John Legend? 371 00:18:11,138 --> 00:18:12,867 I tried, Billy. 372 00:18:13,374 --> 00:18:14,994 I'm sorry. 373 00:18:15,576 --> 00:18:17,872 I wasn't really getting my hopes up anyway. 374 00:18:18,546 --> 00:18:19,745 My dad taught me that. 375 00:18:19,747 --> 00:18:21,947 He'd say, "You know what, Billy?" 376 00:18:21,949 --> 00:18:24,650 And he'd just punch me in the face. 377 00:18:24,652 --> 00:18:25,785 At least, I think that was the lesson 378 00:18:25,787 --> 00:18:27,153 he was trying to impart. 379 00:18:27,155 --> 00:18:29,021 That's what happened to your forehead? 380 00:18:32,292 --> 00:18:34,226 He was a big A's fan. 381 00:18:34,228 --> 00:18:36,766 Watched every game with a bat in his hand. 382 00:18:37,999 --> 00:18:41,067 August 14th, 2008, 383 00:18:41,069 --> 00:18:43,502 they lost in the 12th inning... 384 00:19:04,358 --> 00:19:05,725 Infection's setting in but his testicles 385 00:19:05,727 --> 00:19:07,626 still show good flow on the Doppler. 386 00:19:07,628 --> 00:19:09,028 - Pain meds? - He won't take them. 387 00:19:09,030 --> 00:19:10,062 Thinks they'll knock him out 388 00:19:10,064 --> 00:19:11,464 and we'll step in and repair them. 389 00:19:13,167 --> 00:19:15,167 I hate this. 390 00:19:15,169 --> 00:19:16,535 Me too. 391 00:19:23,906 --> 00:19:27,576 I'm going to be a good driver. 392 00:19:27,578 --> 00:19:30,312 I got every answer correct on the written test. 393 00:19:30,314 --> 00:19:31,480 Except one 394 00:19:31,482 --> 00:19:33,849 but that was because it was improperly worded. 395 00:19:33,851 --> 00:19:36,985 I told the DMV they need to rewrite it and... 396 00:19:36,987 --> 00:19:40,555 they said they'd take it under advisement. 397 00:19:40,557 --> 00:19:42,090 Great. 398 00:19:42,092 --> 00:19:43,859 Let's go. 399 00:19:51,235 --> 00:19:53,735 Okay... let's close our eyes... 400 00:19:53,737 --> 00:19:57,472 And take some nice, deep breaths... 401 00:20:01,345 --> 00:20:04,146 And how about a little guided imagery, 402 00:20:04,148 --> 00:20:08,550 to evoke positive visualizations? 403 00:20:11,622 --> 00:20:12,921 Okay. 404 00:20:12,923 --> 00:20:14,990 Let's picture the parking lot... 405 00:20:14,992 --> 00:20:17,426 the cars around us... 406 00:20:17,428 --> 00:20:20,629 the yellow steel thingy at the entrance of the parking lot 407 00:20:20,631 --> 00:20:22,864 that could really do a lot of damage... 408 00:20:22,866 --> 00:20:24,749 A bollard. 409 00:20:25,836 --> 00:20:31,306 The speed bump that is 15 feet from the corner 410 00:20:31,308 --> 00:20:35,377 with the stop sign that someone put a "Hate" sticker on 411 00:20:35,379 --> 00:20:37,813 so it says "Stop Hate," 412 00:20:37,815 --> 00:20:40,382 which is right in front of the Jiff-E Mart, 413 00:20:40,384 --> 00:20:43,285 which says it's open "8 til Late, 24/7," 414 00:20:43,287 --> 00:20:44,353 which can't be true beca... 415 00:20:44,355 --> 00:20:45,787 That's great, Shaun. 416 00:20:45,789 --> 00:20:47,656 Super amount of visualization. 417 00:20:47,658 --> 00:20:50,058 And now that we're feeling comfortable 418 00:20:50,060 --> 00:20:51,393 about our surroundings, 419 00:20:51,395 --> 00:20:54,296 we can put the car into drive, 420 00:20:54,298 --> 00:20:57,466 ease our foot off the brake... 421 00:20:57,468 --> 00:20:58,934 Very nice... 422 00:20:58,936 --> 00:21:00,969 We can open our eyes now, Shaun. 423 00:21:00,971 --> 00:21:02,571 What we're doing is cruel. 424 00:21:02,573 --> 00:21:05,006 I'm open to all options, Dr. Browne. 425 00:21:13,516 --> 00:21:15,786 I'm gonna have to ask you to give us some privacy. 426 00:21:15,788 --> 00:21:17,252 Really? 427 00:21:17,254 --> 00:21:18,820 You want to throw the president of the hospital 428 00:21:18,822 --> 00:21:20,555 out of a medical discussion? 429 00:21:23,726 --> 00:21:25,427 You're infringing on my autonomy 430 00:21:25,429 --> 00:21:27,396 and inhibiting the free flow of ideas, 431 00:21:27,398 --> 00:21:28,830 both of which affect my ability 432 00:21:28,832 --> 00:21:30,365 to deliver the best patient care. 433 00:21:40,510 --> 00:21:42,444 Dr. Melendez. 434 00:21:48,152 --> 00:21:49,651 There are many drivers 435 00:21:49,653 --> 00:21:52,020 not following the rules of the road. 436 00:21:52,022 --> 00:21:57,092 They fail to signal, check their blind spots... 437 00:21:57,094 --> 00:22:00,262 display a red flag when the load extends 438 00:22:00,264 --> 00:22:02,831 more than four feet past the tail lamp. 439 00:22:02,833 --> 00:22:05,033 You're right, Shaun, it's a mad world. 440 00:22:05,035 --> 00:22:06,768 But there's nothing you can do about them; 441 00:22:06,770 --> 00:22:08,069 you just got to focus on you. 442 00:22:08,071 --> 00:22:10,005 Yes, let's focus on me. 443 00:22:10,007 --> 00:22:11,740 Yes. 444 00:22:11,742 --> 00:22:14,409 Let's take the next right. 445 00:22:17,547 --> 00:22:19,681 You can drive in the bike lane 446 00:22:19,683 --> 00:22:21,450 when you're this close to the turn, Shaun. 447 00:22:21,452 --> 00:22:23,318 No, I can't. 448 00:22:23,320 --> 00:22:24,486 It's a broken line. 449 00:22:24,488 --> 00:22:26,922 That was the improperly worded question... 450 00:22:26,924 --> 00:22:28,757 whether it's broken or solid, 451 00:22:28,759 --> 00:22:30,225 you can't enter the bike lane 452 00:22:30,227 --> 00:22:32,561 this distance from the intersection. 453 00:22:32,563 --> 00:22:34,362 I told them that it... 454 00:22:39,135 --> 00:22:42,637 Okay, Shaun. You don't have to go so slow. 455 00:22:44,408 --> 00:22:45,407 She's in the lane; 456 00:22:45,409 --> 00:22:47,242 she's not supposed to be in the lane. 457 00:22:47,244 --> 00:22:49,678 It's a violation carrying a fine... 458 00:22:49,680 --> 00:22:51,912 Okay, Shaun, don't worry about what she's doing... 459 00:22:51,937 --> 00:22:52,921 No. 460 00:22:52,923 --> 00:22:54,783 Shaun, you have to pull into the bike lane... 461 00:22:54,785 --> 00:22:55,984 Don't worry about what she's doing... 462 00:22:57,821 --> 00:22:59,087 You can't just stop. 463 00:22:59,089 --> 00:23:00,255 Shaun, you can't just stop... 464 00:23:01,792 --> 00:23:03,325 Shaun! 465 00:23:06,963 --> 00:23:08,797 George is screaming in agony 466 00:23:08,799 --> 00:23:09,865 and we are doing nothing. 467 00:23:09,867 --> 00:23:12,167 Except hiding behind ethical red tape. 468 00:23:12,169 --> 00:23:14,436 Ethical red tape is there to protect people like him 469 00:23:14,438 --> 00:23:16,538 from making permanent regrettable mistakes. 470 00:23:16,540 --> 00:23:18,666 I'm glad we're not using it to cover our asses 471 00:23:18,668 --> 00:23:20,925 the day before the new Chief of Surgery is announced. 472 00:23:25,482 --> 00:23:28,617 Let me sign off on the documentation. 473 00:23:28,619 --> 00:23:31,686 I'll note his scrotum is already beyond repair 474 00:23:31,688 --> 00:23:35,156 and surgical castration is our only option. 475 00:23:35,158 --> 00:23:36,825 - I vote yes. - No. 476 00:23:36,827 --> 00:23:39,394 I'm not gonna let anyone falsify medical records. 477 00:23:39,396 --> 00:23:42,030 Not for pain. Not for a pedophile. 478 00:23:42,032 --> 00:23:44,566 Once his testes are actually beyond repair, 479 00:23:44,568 --> 00:23:46,508 we will castrate him. 480 00:23:47,070 --> 00:23:48,637 So we're just gonna leave him there screaming; 481 00:23:48,639 --> 00:23:50,572 keeping his entire unit awake? 482 00:23:51,413 --> 00:23:52,908 Move him. 483 00:24:00,683 --> 00:24:04,019 I'd like a clean dissection through the periosteal planes 484 00:24:04,021 --> 00:24:06,588 so I can slip the MEDPOR mesh over the fracture. 485 00:24:06,590 --> 00:24:09,090 Why do I prefer MEDPOR mesh? 486 00:24:09,092 --> 00:24:11,293 It allows fibrovascular ingrowth 487 00:24:11,295 --> 00:24:13,728 and integration of the patient's tissue. 488 00:24:15,765 --> 00:24:16,932 Prisoner surgeries are approved 489 00:24:16,934 --> 00:24:19,067 for psychological reasons all the time. 490 00:24:19,069 --> 00:24:20,335 Tattoo removal, 491 00:24:20,337 --> 00:24:22,704 gender reassignments include breast implants; 492 00:24:22,706 --> 00:24:23,939 hell if he had a crappy smile 493 00:24:23,941 --> 00:24:25,440 we could justify dental work as needed 494 00:24:25,442 --> 00:24:27,309 for proper mastication... 495 00:24:27,311 --> 00:24:29,576 You sent a few kids to Juvie? 496 00:24:30,614 --> 00:24:32,538 More than a few. 497 00:24:33,584 --> 00:24:35,332 You feel guilty. 498 00:24:35,686 --> 00:24:38,419 Think that's maybe clouding your judgment? 499 00:24:39,089 --> 00:24:40,455 Maybe. 500 00:24:43,092 --> 00:24:45,393 You're afraid of ruffling Andrews' feathers 501 00:24:45,395 --> 00:24:46,828 this close to decision day. 502 00:24:46,830 --> 00:24:48,971 Think that's maybe clouding yours? 503 00:24:49,666 --> 00:24:52,300 We could give Billy a breast implant. 504 00:24:54,737 --> 00:24:56,104 We could insert it 505 00:24:56,106 --> 00:24:58,807 over his split thickness frontal bone defect; 506 00:24:58,809 --> 00:25:02,210 it would only require a tiny incision at his eyebrow. 507 00:25:02,212 --> 00:25:03,878 Now you're in favor of this? 508 00:25:03,880 --> 00:25:06,481 I was against it because it was too expensive 509 00:25:06,483 --> 00:25:08,383 and unnecessary and risky 510 00:25:08,385 --> 00:25:10,018 but if we do it now, 511 00:25:10,020 --> 00:25:12,253 it won't require any additional surgery. 512 00:25:12,255 --> 00:25:14,489 And it'd be very economical. 513 00:25:14,491 --> 00:25:17,425 He did give us verbal consent when he was first admitted. 514 00:25:21,497 --> 00:25:23,464 Keep him under. 515 00:25:24,067 --> 00:25:25,767 Get what we need, Dr. Murphy. 516 00:25:39,349 --> 00:25:41,383 Ready or not... 517 00:25:41,385 --> 00:25:43,418 Tell Melendez to meet us in the O.R. 518 00:25:47,797 --> 00:25:50,038 Showing signs of ischemia; 519 00:25:50,063 --> 00:25:52,368 we have a strong medical case for removing. 520 00:25:55,168 --> 00:25:56,768 Dr. Lim. You a castration fan? 521 00:25:56,770 --> 00:25:58,303 Right now, I am. 522 00:25:58,305 --> 00:26:00,639 - Andrews told me he's backing off. - Great. 523 00:26:00,641 --> 00:26:02,908 Because you presented him with a very good argument. 524 00:26:02,910 --> 00:26:05,043 My argument. Which you regurgitated to him 525 00:26:05,045 --> 00:26:07,346 right after you said you wouldn't back me up. 526 00:26:07,348 --> 00:26:08,447 Call that leadership? 527 00:26:08,449 --> 00:26:09,681 Yes I do. 528 00:26:09,683 --> 00:26:11,650 You presented me with a very good argument 529 00:26:11,652 --> 00:26:14,519 but you didn't have the guts to take it to Andrews on your own. 530 00:26:14,521 --> 00:26:16,622 One more reason I don't want to work under you. 531 00:26:16,624 --> 00:26:19,391 You don't want this promotion so that you can improve the hospital, 532 00:26:19,393 --> 00:26:20,859 you want it for the pretty title. 533 00:26:20,861 --> 00:26:22,060 You're an adrenaline junky; 534 00:26:22,062 --> 00:26:25,230 you won't last 2 weeks liaising with board members. 535 00:26:25,232 --> 00:26:27,032 There's a long and dusty trail 536 00:26:27,034 --> 00:26:29,901 littered with people who have underestimated me. 537 00:26:32,972 --> 00:26:35,007 We're ready to go. 538 00:26:36,109 --> 00:26:37,943 Curved tissue scissors, please. 539 00:26:40,848 --> 00:26:43,682 His systolic is 68. And look at this. 540 00:26:46,552 --> 00:26:47,519 He's septic. 541 00:26:47,521 --> 00:26:48,854 He's going into D.I.C. 542 00:26:48,856 --> 00:26:50,622 Rerun his labs, 543 00:26:50,624 --> 00:26:52,257 have platelets, plasma and cryo ready. 544 00:26:52,259 --> 00:26:55,027 If he starts bleeding, he'll die. 545 00:26:58,598 --> 00:27:02,134 I reduced the volume from 80 cc's to 35. 546 00:27:13,914 --> 00:27:16,181 Have the odds changed in the last 24 hours? 547 00:27:16,183 --> 00:27:17,616 - Little. - Where am I at? 548 00:27:17,618 --> 00:27:19,371 Six to one. 549 00:27:20,821 --> 00:27:23,088 I'll put 100 on me. 550 00:27:25,793 --> 00:27:27,526 He's becoming severely bradycardic. 551 00:27:27,528 --> 00:27:31,263 The pressure on his orbit caused a retrobulbar hematoma. 552 00:27:31,265 --> 00:27:32,564 If we don't relieve it now, he'll arrest. 553 00:27:32,566 --> 00:27:34,199 Forceps and scissors. 554 00:27:34,201 --> 00:27:36,468 Just lost his pulse; pushing atropine. 555 00:27:36,470 --> 00:27:38,570 Set up a temporary transcutaneous pacemaker. 556 00:27:38,572 --> 00:27:40,439 If we inject the orbital muscle with local anesthetic 557 00:27:40,441 --> 00:27:42,074 we might be able to fatigue the reflex. 558 00:27:42,076 --> 00:27:43,775 Do it. 559 00:27:46,080 --> 00:27:48,080 Starting CPR. 560 00:27:51,217 --> 00:27:53,018 I hope that's a look of resolve. 561 00:27:54,072 --> 00:27:57,534 Melendez stood up to me in front of his residents. 562 00:27:57,991 --> 00:28:01,993 I did the same thing to O'Connell when I was his age. 563 00:28:01,995 --> 00:28:03,395 What about Lim? 564 00:28:03,397 --> 00:28:07,299 She has the kind of focus that took me years to develop. 565 00:28:07,301 --> 00:28:10,802 And Cooperberg, he reminds me of me when I was... 566 00:28:10,804 --> 00:28:13,572 Marcus. You were good. 567 00:28:13,574 --> 00:28:16,174 But no one's gonna be as good as you think you were. 568 00:28:17,677 --> 00:28:21,213 One of your weaknesses was decision-making. 569 00:28:21,215 --> 00:28:24,082 I trust you've gotten past that since I made you president. 570 00:28:30,524 --> 00:28:34,259 Continuing compressions until I have capture on the pacemaker. 571 00:28:34,261 --> 00:28:37,324 Pacing pads are in position. 572 00:28:38,565 --> 00:28:39,998 Stopping CPR. 573 00:28:40,933 --> 00:28:43,268 Injecting lidocaine. 574 00:28:43,270 --> 00:28:45,303 I have set the rate to 80. 575 00:28:47,407 --> 00:28:49,674 Increase the ventricular by two milliamps. 576 00:28:54,281 --> 00:28:55,947 Increase by two more. 577 00:29:07,494 --> 00:29:12,864 Blood pressure is responding, 102/68. 578 00:29:12,866 --> 00:29:13,965 Keep those pacer settings 579 00:29:13,967 --> 00:29:16,134 and let's get back to the main event. 580 00:29:20,306 --> 00:29:22,874 Both his PT and PTT are coming back down, 581 00:29:22,876 --> 00:29:26,678 his systolic is stable at 110, and no ectopy on the monitor. 582 00:29:26,680 --> 00:29:28,613 His D.I.C. score is back under four. 583 00:29:28,615 --> 00:29:30,115 He's stabilized. 584 00:29:33,019 --> 00:29:34,519 Ball's in your court. 585 00:29:37,924 --> 00:29:40,058 Dr. Melendez? 586 00:29:40,060 --> 00:29:42,494 Effects of low testosterone on cardiovascular function 587 00:29:42,496 --> 00:29:43,595 and sepsis? 588 00:29:43,597 --> 00:29:46,064 Possible acute vascular response, 589 00:29:46,066 --> 00:29:47,699 circulatory collapse... 590 00:29:47,701 --> 00:29:49,301 And what about on D.I.C.? 591 00:29:49,303 --> 00:29:51,703 Increased risk of clots and stroke. 592 00:29:54,273 --> 00:29:55,407 George's body can't tolerate 593 00:29:55,409 --> 00:29:58,343 any loss of testosterone right now. 594 00:29:58,345 --> 00:30:01,780 We want to save his life, we have to save his testicles. 595 00:30:04,383 --> 00:30:06,038 Sutures. 596 00:30:13,890 --> 00:30:16,091 I know how to get you to drive. 597 00:30:16,093 --> 00:30:17,393 I can't drive. 598 00:30:17,395 --> 00:30:19,895 Driving is just like surgery. 599 00:30:19,897 --> 00:30:21,764 Say you're driving down the street 600 00:30:21,766 --> 00:30:24,400 and suddenly, somebody steps off the sidewalk, 601 00:30:24,402 --> 00:30:25,701 right in front of you. 602 00:30:25,703 --> 00:30:26,835 Things like that must happen 603 00:30:26,837 --> 00:30:28,370 when you're deep inside someone's belly. 604 00:30:28,372 --> 00:30:30,639 That doesn't make any sense. 605 00:30:30,641 --> 00:30:31,840 It's an analogy, Shaun. 606 00:30:31,842 --> 00:30:34,143 I need you to work with me just a little bit. 607 00:30:34,145 --> 00:30:35,310 Give me. 608 00:30:39,416 --> 00:30:40,883 Okay. 609 00:30:45,855 --> 00:30:48,323 It would be something unexpected, 610 00:30:48,325 --> 00:30:50,559 out of our control, 611 00:30:50,561 --> 00:30:54,663 from an aberrant source, and very bad. 612 00:30:54,665 --> 00:30:58,934 It would be analogous to an arterial bleed. 613 00:30:58,936 --> 00:31:03,205 How about if a truck stalls out, crippling traffic? 614 00:31:03,207 --> 00:31:07,309 A thrombus impeding blood flow, so we divert. 615 00:31:07,311 --> 00:31:09,278 A thrombus, exactly. 616 00:31:09,280 --> 00:31:11,213 What if you're just cruising along 617 00:31:11,215 --> 00:31:13,916 and a car comes out of nowhere and goes racing by? 618 00:31:13,918 --> 00:31:15,717 A tachyarrhythmia. 619 00:31:15,719 --> 00:31:18,887 - Yes! Shaun, you got this. - Yes. 620 00:31:18,889 --> 00:31:20,756 So let's get you driving that hooptie. 621 00:31:25,195 --> 00:31:27,229 I've got this, Albert. 622 00:31:40,444 --> 00:31:41,844 We did the surgery; 623 00:31:41,846 --> 00:31:43,579 your circulatory and clotting systems 624 00:31:43,581 --> 00:31:45,137 were shutting down. 625 00:31:45,783 --> 00:31:48,817 But removing your testicles would have put you 626 00:31:48,819 --> 00:31:50,552 at greater risk by reducing your... 627 00:31:50,554 --> 00:31:52,269 You would have died. 628 00:31:56,794 --> 00:32:00,662 I've set you up with a psychiatrist and a urologist. 629 00:32:00,664 --> 00:32:02,898 They'll screen you, get you cleared, 630 00:32:02,900 --> 00:32:05,300 and then we can do this the right way. 631 00:32:05,302 --> 00:32:08,136 George, we can get this done. 632 00:32:08,138 --> 00:32:12,374 You just cannot try this again. 633 00:32:14,110 --> 00:32:15,459 I get it. 634 00:32:16,247 --> 00:32:18,947 I do it your way, or it just doesn't happen. 635 00:32:37,634 --> 00:32:39,968 It's just another intersection, Shaun, 636 00:32:39,970 --> 00:32:43,372 just like the last one and just like the next one... 637 00:32:43,374 --> 00:32:46,341 The last intersection isn't where everyone honked at me 638 00:32:46,343 --> 00:32:47,809 and made me freeze... 639 00:32:47,811 --> 00:32:51,246 That was a different day, with different drivers 640 00:32:51,248 --> 00:32:53,015 and a different Shaun behind the wheel, 641 00:32:53,017 --> 00:32:55,918 because today, this Shaun has a plan 642 00:32:55,920 --> 00:32:59,054 for this intersection, which is... 643 00:32:59,056 --> 00:33:02,024 ...I am going to dissect it. 644 00:33:02,026 --> 00:33:03,425 Damn right you are. 645 00:33:03,427 --> 00:33:05,794 And today, you're gonna turn right 646 00:33:05,796 --> 00:33:06,962 which you will do by... 647 00:33:06,964 --> 00:33:08,697 Determining laterality. 648 00:33:08,699 --> 00:33:12,267 And waiting until I can legally enter the bike lane. 649 00:33:22,446 --> 00:33:25,747 Somebody just made a turn... 650 00:33:33,523 --> 00:33:34,456 Shaun! 651 00:33:40,097 --> 00:33:41,863 Everybody okay? 652 00:33:42,799 --> 00:33:46,401 You were wrong. 653 00:33:46,403 --> 00:33:47,903 You were wrong, Lea. 654 00:33:47,905 --> 00:33:50,053 I can't drive. 655 00:33:51,275 --> 00:33:52,808 Shaun, I thought I had it figured out. 656 00:33:52,810 --> 00:33:54,276 I can't drive. 657 00:33:54,278 --> 00:33:55,811 I... 658 00:33:55,813 --> 00:33:57,646 Surgery is mechanical. 659 00:33:57,648 --> 00:33:59,281 Mechanics are predictable. 660 00:33:59,283 --> 00:34:01,516 Driving is subject to human foibles 661 00:34:01,518 --> 00:34:03,619 which means there are limitless possibilities. 662 00:34:03,621 --> 00:34:04,853 You're right. My metaphor sucked. 663 00:34:04,855 --> 00:34:07,404 It sucked very much. 664 00:34:08,025 --> 00:34:10,031 Because... 665 00:34:10,594 --> 00:34:14,763 becoming a surgeon is about way more than operating. 666 00:34:16,766 --> 00:34:18,667 You had to learn about interacting 667 00:34:18,669 --> 00:34:22,504 with teachers, co-workers, patients, bosses. 668 00:34:22,506 --> 00:34:25,040 Cooperating with them, communicating with them... 669 00:34:25,042 --> 00:34:27,465 I am very bad at communicating. 670 00:34:28,012 --> 00:34:30,009 Shaun, you became a surgeon; 671 00:34:30,748 --> 00:34:34,639 one of the hardest things that anyone can do. 672 00:34:35,219 --> 00:34:37,886 And you proved that just because something is hard, 673 00:34:37,888 --> 00:34:39,895 doesn't mean you can't do it. 674 00:34:40,357 --> 00:34:41,990 And look what you just did. 675 00:34:41,992 --> 00:34:43,825 I just hit a trash can. 676 00:34:43,827 --> 00:34:46,561 Exactly; a trash can instead of an oncoming car 677 00:34:46,563 --> 00:34:48,764 or a pedestrian. 678 00:34:48,766 --> 00:34:50,365 You did great, Shaun. 679 00:34:56,674 --> 00:35:01,583 That soccer ball was a dropped Metzenbaum. 680 00:35:02,146 --> 00:35:05,047 I know, right? 681 00:35:10,420 --> 00:35:15,023 When I accidentally drop an instrument in the O.R., 682 00:35:15,025 --> 00:35:18,260 I react quickly to minimize damage. 683 00:35:18,262 --> 00:35:20,529 - Yes. - Yes. 684 00:35:20,531 --> 00:35:22,464 I dropped a Metzenbaum. 685 00:35:27,404 --> 00:35:29,438 I can drive this hooptie. 686 00:35:35,746 --> 00:35:37,345 Window's about to close. 687 00:35:37,347 --> 00:35:38,814 $10 will get you $20 on Melendez; 688 00:35:38,816 --> 00:35:41,483 $10 will get you $1,000 if you want to bet on me. 689 00:35:43,553 --> 00:35:44,920 Hey, everybody. 690 00:35:46,589 --> 00:35:48,724 I can't be prouder of all of you. 691 00:35:48,726 --> 00:35:50,959 We have grown into a preeminent surgical department, 692 00:35:50,961 --> 00:35:53,962 which has been recognized with the official designation 693 00:35:53,964 --> 00:35:56,331 of Surgical Center of Excellence. 694 00:35:59,870 --> 00:36:01,536 It's now more important than ever 695 00:36:01,538 --> 00:36:04,139 that we maintain our high standards. 696 00:36:04,141 --> 00:36:07,175 And so, while there are many worthy candidates, 697 00:36:07,177 --> 00:36:08,610 I've decided... 698 00:36:11,314 --> 00:36:13,381 to retain the title myself. 699 00:36:13,383 --> 00:36:14,950 Thank you. 700 00:36:18,222 --> 00:36:19,821 Thank you! 701 00:36:21,558 --> 00:36:22,998 Yes! 702 00:36:38,174 --> 00:36:39,908 Y... 703 00:36:40,844 --> 00:36:42,210 You... 704 00:36:42,212 --> 00:36:43,701 You did it. You... 705 00:36:44,715 --> 00:36:46,214 You really did it. 706 00:36:52,155 --> 00:36:54,112 It was his idea. 707 00:36:56,126 --> 00:36:57,492 Murph? You... 708 00:36:57,494 --> 00:37:00,562 We inserted a small breast implant 709 00:37:00,564 --> 00:37:01,797 to fill in the depression 710 00:37:01,799 --> 00:37:04,733 and create a more aesthetically pleasing contour. 711 00:37:04,735 --> 00:37:06,034 Breast implant? 712 00:37:06,036 --> 00:37:07,459 Yes. 713 00:37:11,408 --> 00:37:13,074 You saved my life. 714 00:37:18,615 --> 00:37:21,082 It was a mistake. 715 00:37:21,084 --> 00:37:22,951 It caused an oculocardiac reflex 716 00:37:22,953 --> 00:37:24,553 and you almost died. 717 00:37:28,257 --> 00:37:30,192 It was a mistake. 718 00:37:36,632 --> 00:37:38,466 George? 719 00:37:39,969 --> 00:37:41,203 George? 720 00:37:46,142 --> 00:37:47,809 Why didn't his monitor alarm go off? 721 00:37:47,811 --> 00:37:50,345 He was stable; I disconnected it so he could use the restroom. 722 00:37:50,347 --> 00:37:52,447 - I didn't... - Morgan! He's gone! 723 00:38:03,360 --> 00:38:05,060 George! 724 00:38:41,531 --> 00:38:44,389 I was never gonna confront Andrews. 725 00:38:45,068 --> 00:38:46,724 I was playing you. 726 00:38:47,638 --> 00:38:50,038 But damn if you didn't actually make it work. 727 00:38:50,040 --> 00:38:52,173 It didn't work for anybody. 728 00:38:52,175 --> 00:38:54,509 He played us both. He set us against each other. 729 00:38:59,482 --> 00:39:00,949 I think you were right. 730 00:39:02,718 --> 00:39:04,784 Even if you were just bluffing, 731 00:39:06,290 --> 00:39:08,079 we need to stand together. 732 00:39:09,372 --> 00:39:12,160 Where was that wisdom two days ago? 733 00:39:15,464 --> 00:39:17,299 Still in the bottle. 734 00:39:23,873 --> 00:39:25,206 Hey. How'd you come up with that idea? 735 00:39:25,208 --> 00:39:28,143 You mentioned breast implants and I thought... 736 00:39:28,145 --> 00:39:29,411 Of his forehead. 737 00:39:29,413 --> 00:39:31,046 We were operating on his eye, 738 00:39:31,048 --> 00:39:32,847 his forehead was covered. 739 00:39:32,849 --> 00:39:34,482 Why were you thinking of it? 740 00:39:37,386 --> 00:39:38,887 You care about him; 741 00:39:38,889 --> 00:39:40,822 you were worried about his problem. 742 00:39:41,203 --> 00:39:43,281 You empathized with him. 743 00:39:43,760 --> 00:39:46,361 My idea almost killed him. 744 00:39:46,363 --> 00:39:47,862 No it didn't. 745 00:39:50,833 --> 00:39:52,500 I found these in Billy's drawer. 746 00:39:52,502 --> 00:39:54,736 Three days of pain meds. 747 00:39:54,738 --> 00:39:58,273 He was cheeking them to build up a stash. 748 00:39:58,963 --> 00:40:00,842 He wasn't exaggerating. 749 00:40:03,379 --> 00:40:05,180 You saved his life, Shaun. 750 00:40:37,748 --> 00:40:40,181 This isn't the way this should have ended... 751 00:40:46,156 --> 00:40:48,523 But I'm not so sure the world is a worse place 752 00:40:48,525 --> 00:40:50,759 than it was a couple hours ago. 753 00:41:01,405 --> 00:41:03,271 You almost look comfortable behind the wheel. 754 00:41:03,273 --> 00:41:05,774 This seat has excellent lumbar support. 755 00:41:05,776 --> 00:41:07,609 But I am still very nervous. 756 00:41:18,487 --> 00:41:20,722 I can drive a car. 757 00:41:20,724 --> 00:41:21,790 I can see that. 758 00:41:21,792 --> 00:41:24,793 Lea taught me using a very bad analogy. 759 00:41:24,795 --> 00:41:26,661 Nothing works like a bad analogy. 760 00:41:26,663 --> 00:41:28,596 He's getting pretty good; 761 00:41:28,598 --> 00:41:30,865 won't be long before he gets his operator's. 762 00:41:30,867 --> 00:41:34,869 Your next radiation appointment is in 45 minutes. 763 00:41:46,722 --> 00:41:48,089 Ow. 764 00:42:00,630 --> 00:42:02,664 Thank you.