Scissors.
Clamp.
-O.R. -Dr. Rogers for Dr. Carson.
Doctor?
-Yes? -Ben, /t's Mark.
I need to see you up /n my off/ce. A spec/a/-needs case just came /n.
Okay. Soon as l'm done.
They were born by caesarean three months ago,
and, against all odds, they're still alive.
Their physician from West Germany called me this morning.
Occipital craniopagus twins have never both survived a separation.
Yeah. He knows that.
lf they're not separated...
...they'll spend the rest of thier lives in bed, on thier backs.
The hospital wants me to fly to Germany and examine them.
Ben, are you gonna do this?
Nobody's ever done it.
ln situations lke this, one baby always dies.
We/come to Germany.
We've been anx/ous/y awa/t/ng your arr/va/, Dr. Carson.
Allow me to introduce Peter and Augusta Rausch.
Thank you for coming.
-How do you do, Doctor? -My pleasure.
And this is Johann and Stefan.
l wanted to kill myself when l learned the truth,
but l realzed l would be killing two other beings, too.
And then, as soon as l saw them, my heart melted.
Please don't ask us to choose between them.
Well, they don't appear to be sharing any organs, which is good.
Though there are parts of the brain, such as the vision center,
that aren't completely separated.
-We won't know until we get in there. -How soon can that be?
Well, first we have to solve the problem of exsangiunation.
-xsan... -Bleeding to death.
lt's the reason why cranial separations have never succeeded.
You see, babes have very little blood,
and unless l can figure out a way to keep them from bleeding out,
l can't risk performing this operation.
l'll do it.
Good.
Thank you. l'll notify the doctor in Germany.
We'll schedule the operation for a month from now?
Make it two. Make it four.
Still haven't figured out how to save them both, huh?
l'm working on it.
Number 1 2, 1 4. Number 13, 27.
Number 15, 33.
All right, class, hand your test back to your neighbour.
All right, how many did you get right?
Kathy?
-Twenty-five. -That's excellent, Kathy.
-Mark? -Thirty.
Good for you, Mark. You got them all right.
Benjamin?
Benjamin, how many did you get right?
-None. -Nine?
Why, Benjamin, that's wonderful. l'm so proud of you.
Not nine, Miss Williamson. He got none.
You'd think he'd get at least one right.
He got one right last time, 'cause he was tryng to put down the wrong answer.
Hey, Carson, we know you're the dumbest kid in the class,
but did you hear what they sad on Cronk/te last night on the news?
You're the dumbest kid in the world.
He hit him! He hit him!
Bennie, how could this have been an accident?
Well, it was almost an accident.
Mom, l never would have hit him if l remembered l had the lock in my hand.
The boy had five stitches, and his parents are very upset.
l'm not sure how to discipline your son, Mrs. Carson.
l'll handle it.
l'm also very concerned about his grades. Have you seen his latest report card?
So, what happened? You weren't gett/ng grades //ke that /n Boston.
Boston was easier. They didn't ask us to do much.
Well, l ain't askng you, either, l'm tellng you.
You weren't meant to be a failure, Bennie.
-And you can control your temper. -He called me a dummy...
And you can bring your grades up, too. l know you can.
-l'm dumb, Mother. -No, you ain't.
You're a smart boy. Listen to me. Listen to me.
You just ain't usng that smartness.
Now, if you keep getting grades like that,
you're gonna spend the rest of your life mopping floors in a factory.
And that ain't the life l want for you.
That ain't the life God wants for you, either.
Yes, Mother.
l'm gonna have to have a talk with him about you and your brother, Curtis.
No, no. He /nv/ted us to the game ton/ght, remember?
Why don't you and I go? And get me Cand/est/ck Park, p/ease.
Hey, Mother. You're home early.
They didn't need me as long as they said they would.
You finish your homework?
Most of it.
Bennie, you're gonna ruin your eyes sitting so close to this TV.
-You do your homework? -l need help.
-Curtis, help your brother. -l gotta finish my math.
Mother, l need help.
-What you need help with? -This hstory. l don't really understand it.
-Well, what don't you understand? -Like, all the words.
Could you read this for me?
l need new reading glasses. Why don't you tell me what it's about?
lt's about Thomas Jefferson and the Declaration of lndependence.
-What is this word? -Sound it out.
''Self... Self...
''And t...''
-Self... -Look at me.
Can you tell me what them cereal boxes is on the shelf?
Sure.
-l mean, can you read them? -Not this far. Can you?
Looks like l ain't the only one around here gonna be needing glasses.
Tina, Sarah, Kathy, Bennie.
Congratulations. You're doing much better.
Yes!
Well, it's an improvement, all right. And l'm proud of you for not getting an F.
You're a smart boy.
-But you both can do better. -l'm doing the best l can, Mother.
-How? l don't know how. -Well, l don't know how.
We're just gonna have to use our imagination.
l don't got one.
Of course you do. everybody got an imagination.
-Not me. -Of course you do.
Listen to me. lf l say,
''Once upon a time, there was a little blue mouse,''
don't you see a little blue mouse?
-No. -Bennie.
-Mother, my brain's too dumb. -Boy, your brain ain't dumb.
lt is, Mom.
You got all the world in here.
You just got to see beyond what you can see.
-What /s th/s, a race of some k/nd? -Betty, s/ow down.
You act as though th/s were your /ast mea/.
We've got to wr/te your contest essay ton/ght, Father.
Oh, we//, /n that case, maybe you had better hurry.
-Don't choke. -I'// get /t.
I never saw /t to fa//.
Every t/me we s/t down to eat, the phone r/ngs.
I know how to stop /t, Daddy. When the phone b/// comes, don't pay /t.
-Not a bad /dea. -That was Joe Ph////ps, Dad.
He wants me to come up to h/s unc/e's farm th/s weekend.
-Isn't that great? -But how are you gonna get there?
Joe's got a //cense. We cou/d dr/ve.
The /ast t/me he took a tr/p, he wrecked h/s dad's car.
Whose car /s he f/gur/ng on wreck/ng th/s t/me?
Yours.
-He thought... -I know what he thought.
But I wou/dn't trust Joe Ph////ps w/th a pogo st/ck.
P/ease, Dad. I'// be carefu/.
How can you be carefu/ /f he's dr/v/ng?
You never /et me do anyth/ng.
I'm not gonna /et you do th/s.
-You'd th/nk I was a juven//e or someth/ng. -When you act th/s way, you are.
-Now eat your d/nner. -I'm not hungry.
Then excuse yourse/f and /eave the tab/e.
Mother, come on, we'll be late for church.
You all go on ahead without me, honey.
Mama's having one of her days.
All right.
l'm reminded of the story of the missionary doctor and his wife
who were surprised by bandits.
You see, these thieves were terrible men.
Bloodthirsty. Vicious. They not only robbed their victims,
they slit their throats and laughed as they watched them die.
You all don't hear me.
This poor doctor and his wife ran for their lives
as the thieves chased them across rocky, barren land.
These missionares' feet were cut open by sharp stones.
Their clothes were torn by brambles,
and, finally, they came upon a great fortress,
but the Band/t K/ng was r/ght beh/nd them.
The doctor ran up to the front door of the fortress and tried to open it.
But it was locked.
lf only someone would let them in. No one was there.
And the doctor and h/s w/fe h/d, but the Band/t K/ng saw them and drew h/s sword.
There appeared to be noth/ng that cou/d save God's good peop/e.
The Bandit King was after me, and so l hid under some straw,
and a blue mouse came out and scared his horse.
And l got away. l saw it in my bran.
That's good. That's your imagination working.
But it was real, it was really real.
-Did l say it wasn't real? -lt's not real.
-That's why it's called imagination, dummy. -Shut up.
Watch your mouth, Curtis.
Mother, l want to be a doctor.
A missionary doctor, just like the one Pastor Ford told us about.
You can be anything you want to be in this life,
as long as you're willing to work at it.
That goes for you, too, Curtis.
God will not abandon you.
excuse me.
l need to talk to someone.
l have a darkness l can't control.
Come with me, ma'am. Let's see if we can help you. All right?
I've spent my ch//dhood /n foster care.
When my husband, Mr. Carson, married me, he was my ticket out of there.
-How old were you? -Thirteen.
We were happy.
We had a lovely home, two beautiful boys.
Then what?
l don't like to talk about it.
He had another wife and kids.
When l found out, my life fell apart.
When was this, Mrs. Carson?
Five years back.
But l couldn't leave my husband 'cause my boys needed their daddy
and l didn't know how l'd make it on my own.
-Are you still together? -No.
l found out he was dealing drugs, so me and the boys moved to Boston.
-l've got a sister there. -Why'd you come back to Detroit?
l got the house in the divorce, and l kept it. l rent it out for income,
but l've been saving money in a cookie jar,
and me and my boys are gonna move back in.
-How do you support yourself? -l clean houses, and l baby-sit.
That's about all l can do.
Nobody knows this.
l'm so dumb, l can't even read.
And l fear my boys are gonna turn out the same way.
And nothing's gonna work out.
l try to fight these feelings. l don't show them to Bennie and Curtis.
But, lately, l can't stop them.
l even think about killing myself.
Mrs. Carson, what would you say to checking yourself in with us?
-No. -Just for a little while.
-l can't afford to do anythng like... -Don't think about the money.
We'll find the money.
Boys, l'm gonna be going away for a little while.
What? What do you mean?
-Where? -Just for a few weeks.
l'm going back to Boston to see your aunt Jean Avery.
-Can't we come with you? -No.
You got school. You got homework.
-So, you're just gonna leave us alone? -Of course not.
Sister Scott s gonna come and stay with you.
ln the meantime, l want you boys to do me a favour.
l want you both to learn your times tables while l'm gone.
-What? -No way!
You can do it.
Do you know how many there are?
-That could take a year. -Won't take my boys a year. You're smart.
Not that smart. Nobody can memorize them.
l did, and l just went to the third grade.
-But it's hard work. -Well,
hard work ain't never hurt nobody.
Besides, you ain't going outside to play till you learn them tables.
Wait. Mother, please, no. Come on, that's not fair.
Come on, Mother. You're the meanest mom in the world.
-Five times four. -Thirty.
-No. -Thrity-one?
This isn't a guessing game, Bennie.
Bennie, listen to your brother.
-Here you are, Mrs. Phillman. -Thank you.
-Mildred? -No.
-Kathy? -Twenty-two.
-Mark? -Twenty-five out of 25.
excellent.
Benjamin?
-Benjamin? -l didn't cheat.
l didn't say you did. What's your score?
Twenty-four out of 25.
S/ster Scott! S/ster Scott!
l got an A!
l got an A.
Sister Scott! Sister Scott!
l got... Mother!
-l missed you. l missed you. -l missed you, too.
l know all my times tables. l got them all right, except for one.
Let me see. l knew you could do it.
l knew you could do it.
Professor Burket, l'm Mrs. Carson, your new cleaning woman.
-Mrs. Carson. -Sir?
-The kitchen floor. -What about it?
lt sparkles.
Well, your last cleaning lady didn't do a very good job.
What l do, l do the best l can.
The last cleaning lady was me.
My late wife was very sick.
l took care of her and not much else.
-l'm sorry. -Thank you.
Sir.
-Did you read all these books? -Most of them. Why?
Just curious.
Take the rest of your men off the post.
They can stay w/th Corpora/ Do/an's fam//y /n Sa/t Lake t/// Barker's gone.
-Yes, s/r. -Come to th/nk of /t,
-you better stay there yourse/f. -Yes, s/r.
-Hey, why'd you do that for? -What's gong on? l was watching that.
You boys watch too much television.
-Not that much. -No more than everybody else.
Don't worry about everybody else. This whole world s full of everybody else.
From now on, you're gonna pick three, no, two pre-selected programs per week.
-A week? -You're crazy. l mean, this`s crazy.
And that's after you finish your homework.
What are we gonna do with all our free time?
l'm glad you asked. You're gonna go to the library and pick out two books,
and, at the end of the week,
you're gonna hand me a written report about what you read.
-Two books a week? -l don't believe what you're saying.
-l can't even read one. -We cannot possibly survive
-without television. -Well, you're gonna start now.
Why you waste all that time watching the TV?
lf you used that time to develop your God-given gifts,
it wouldn't be long before folks was watching you on TV.
-Man, there's a lot of books in here. -Shut up, boy. lt's a library.
''Hear/ng the great roar made the young man wonder /f he had chosen w/se/y.
''Maybe /t was a tr/ck.
''Was there rea//y a t/ger, or just a record/ng of a t/ger's roar?
''Maybe there was a tiger behind the other door,
''and he'd die like all the other princes before him.''
That's good, Bennie. That's real good.
Mother, what's this word?
l need to get new reading glasses. Sound it out.
Ag... Ag...
Agriculture. A-G-R-l-C-U-L-T-U-R-.
-Agriculture. -excellent, Benjamin.
Kathy. ''Combine.''
Combine. C-O-M-B-l-N-E. Combine.
For a 20-po/nt bonus, here's your toss-up. You know, severa/ //mer/cks beg/n,
''There was a young /ady from Perth. ''
L/mer/ck /s /n Ire/and. For 10 po/nts, where /s Perth?
Austra//a.
Wow. How could they know so much?
-R/ght, for 10 po/nts. -l don't know.
And, f/na//y, for 10 po/nts, what poet descr/bes...
Bennie, come on, we're gonna be late.
excuse me. Do you have any books on rocks?
Okay, class,
what about this one? Does anybody know what this is?
Anybody?
Yes, Benjamin,
can you identify this rock?
-lt's obsidine. -Obsidian. That's right.
Do you know how it was made?
Well, it was formed after a volcanic eruption,
by the supercooling of the lava when it hits the water.
The volcano erupts, and the lava flows down red hot.
So, when it hits the water, the elements coalesce,
and since that water s cold, the air is forced out,
and the surface glazes over, and the lava becomes hard,
and that makes obsidine. l mean obsidian, sorry.
May l see you after class?
-What happened? -l'm sorry.
What are you sorry for? Someone unlocked the door.
Look at this.
You know what that is?
That's a whole other world, Benjamin.
You just stepped into a whole other world.
Magnitude. M-A-G-N-l-T-U-D-E. Magnitude.
Mark. ''Perpetuate.''
Perpetuate.
''The feast
''of unleavened...
''The un...''
-Unleavened. -Unleavened.
Yeah.
B, come on. l gotta go.
Bennie, are you in there?
What pot/on had a sort of m/xed f/avor of cherry tart, custard, p/neapp/e...
A//ce In Wonder/and.
The pot/on wh/ch A//ce /n Wonder/and drank,
wh/ch made her grow /nto var/ous s/zes.
Te// me, when Ca/n sett/ed down east of Eden, /n what /and d/d he //ve?
-ln the land of Nod! -In the /and of Nod.
R/ght. For 10 po/nts. How many ta/es /n The Canterbury Tales?
-Twenty-four. -R/ght.
Twenty-po/nt bonus. A 20-po/nt bonus com/ng up. Here's your toss-up.
A /ead/ng major-/eague baseba// p/ayer and the /ayer of the earth between...
Mantle. Mckey Mantle.
R/ght. Between the crust and the core...
Wow, you were there before I had the quest/on.
Okay. Rutgers, for 20 po/nts.
-''Saunter.'' -Saunter.
S-A-U-N-T-E-R. Saunter.
-''Lacquer.'' -Lacquer.
L-A-C-K-E-R. Lacquer.
Sorry, Clff.
Benjamin, if you spell it correctly, you win.
Lacquer.
L-A-C-Q-U-E-R. Lacquer.
-That`s correct. -Yes! Yes!
The cert/f/cate for the student w/th the h/ghest academ/c ach/evement
/n the e/ghth grade goes to Benjam/n Carson.
Before Benjam/n takes h/s seat, I have a few words I want to say.
Benjam/n /s a boy of co/or.
He has no father /n h/s //fe.
He comes to us w/th tremendous d/sadvantages.
There's no reason you shou/dn't have done better than h/m.
What's wrong w/th you k/ds? You're not try/ng hard enough.
You shou/d be ashamed.
The cert/f/cate for outstand/ng c/t/zensh/p goes to A/exa Courtney.
R/ght, for 10 po/nts.
A// r/ght, here's a 20-po/nt bonus, Brande/s.
Ident/fy the composer.
-V/va/d/. -That's r/ght, for 10 po/nts.
Th/s p/cture by Monet wou/d be c/ass/f/ed as French Impress/on/sm.
For 10 po/nts, how /s th/s p/cture c/ass/f/ed?
-Pr/m/t/ve Amer/can. -That's r/ght.
Turn off that thing!
-l'll turn it down. -No, l like it. Turn it up.
Won't Mrs. Graham knock on the ceilng again?
Let her knock. We're moving.
We're moving?
That speech your eighth-grade teacher gave ticked me off, so l went to the bank.
l've finally saved up enough money
to take back that house we've been renting out.
So, starting next fall, you're going to a school that appreciates you.
Hey, Carl, you heard what Goodwill did with all the clothes so old and so ugly
-even the winos didn't want them? -What?
They gave them to New Blood over there.
Do we have any money left?
-What do you mean? -l need clothes for school.
-You got clothes for school. -Old clothes.
-Good clothes. -Not good enough for Hunter High.
l've seen the clothes them kids wear. They're cheap.
No, they're not.
l didn't say they weren't expensive. l sad they're cheap.
Most folks that wear cheap clothes on the outside are dead on the inside.
The folks l work for, they buy clothes that last.
That's what l try to get you.
Take Professor Burket. l wash his clothes every week, and they always...
Bennie, don't you be slamming around here,
and don't you walk away when l'm talking to you!
Hey, Carl, they should use Carson's shirt in class as a chemistry lesson.
-A chemistry lesson? -Yeah,
'cause it smelled so bad it killed all the bugs that was breeding inside of it.
They was breeding because your mama wore it.
l thnk you're confusing that with your mama.
Her clothes are so raggedy, even the mummy turned them down.
Your mama's so old, she's the mummy's mama.
Your mama's so old, your daddy's a dinosaur.
Your mama's so old, her birth certificate says ''expired'' on it.
-Man, where we going? -Come on.
You got the money?
-I need c/othes for schoo/. -You got c/othes for schoo/.
Not good enough for Hunter H/gh.
Come on.
Jerome.
This s my man.
Give him the money.
Okay.
-Morning. -Morning.
Why aren't you wearing the pants l got you? Don't they fit?
l don't know. l didn't try them on.
-Why not? -They're the wrong kind.
What you mean, they're the wrong kind? l paid good money for them pants.
That's too bad. You can take them back if you want.
l can't take them back. l bought them on specal.
Well, that's too bad, but l'm not gonna wear them.
l'm fixing this window myself, Bennie, so l'd have money to get you them pants.
That's your problem.
Look, throw them away! l'm not gonna wear them!
You can't have everythng in life you want, Bennie.
-l can! l will! -Not as long as you keep going
down this path. Talking smart and acting stupid!
-Well, if l didn't know any better... -Shut up! Shut up!
-All you do is preach at me! Shut up! -Bennie!
-What are you, crazy? -Get off! Get off!
l said stop it! All right, all right!
You can buy whatever you want.
You pay the bills, you pay the bills next month.
l'll bring home every dime l make in cash and hand it to you.
-What you got left, you keep for yourself. -Now you're talking.
Hey, B.
-What's this crap? -lt's not crap, all right.
Shut up.
-You like this? You call this music? -lt's better than what you like.
Hey, man, quit proving how stupid you are. You don't have to act so ignorant!
-Go to hell, man. -What'd you say to me?
Get off me!
Bennie, what did you do?
Joe.
Get a teacher or something.
Lord. Lord, you have to take this temper away from me.
Please. Please. Just take it.
The protesters are here /n Centra/ Park, 50,000 strong.
And there has been a s/gn/f/cant show/ng...
lt is, in my opinion, the most amazing organ the human body holds.
By stimulating one section of the brain of an 85-year-old,
you can bring back, verbatim, memories of a newspaper article read 60 years before.
Consider your own brains.
They've absorbed and digested enough information to bring you here,
which is no small achievement.
Your dreams are all possible because of three pounds of gray matter.
We can describe it physically,
but that won't give a clue as to how it does what it does.
Which is why l've devoted my life, as a surgeon, to probing ts mysteries.
How did you do that?
A lot of time away from home, my wife would tell you.
But dedication and intelligence are the easy part.
You also need an incredible hand-eye coordinaton, which is a gift.
A brain surgeon? My goodness. Well, l always said you can do
-anyth/ng anybody e/se can do, Benn/e. -Anything anybody else can do, Bennie.
-Only you can do it better. -On/y you can do /t better.
Don't laugh at me, it's true.
-Your grades are good? -They're fine.
Now, tell me, how's that girl-friend of yours?
-My mother says hi. -l can't wait to meet her.
You think she's coming for Parents Weekend?
Not if l'm not here.
What? What are you talking about?
Candy, you're a triple major. l'm having trouble with just one.
-Trouble? -Yale's too much for me.
What am l dong here, anyway?
You got a scholarship. You were third in your class.
Yeah, and everybody else here graduated first.
My grades are lousy, especially chemistry.
lf l don't pass this final exam, l lose my scholarship,
which means l can't be a doctor,
-which is the only thing... -Slow down.
What are you good at?
What are you good at? When it comes to studying, what works best for you?
l don't know.
Reading. l'm good at reading. lf all l ever did was read, l'd be just fine.
lnstead, l got to sit through all these boring lectures
-eight hours a day... -Well, skip the lectures.
The professors don't care.
-That'll only make things worse. -They can't be any worse than they are now.
Hey, what do l know? Maybe l'm just...
No, no, no. No, you're right.
-Thank you. -You're welcome.
-Joseph Lister. -Pioneered the compound microscope,
and made surgeons wear clean gloves and swab wounds with carbolic acid.
Newton's second /aw.
An app//ed force on an object
equa/s the t/me change of rate of /ts momentum.
-The formu/a for methane. -No.
-Propane. -No.
Finish them.
You don't need the book.
You got the book inside you.
Well, congratulations, Mr. Carson. You have arrived with seconds to spare.
everyone, open your test booklets.
And begin.
Maybe we should ask. Right?
See you guys later.
-What? What? What? -l got an A.
Now, you know, now that l'm gonna be a neurosurgeon,
you shouldn't marry me 'cause l probably won't be home much.
ls that a promise?
Johns Hopk/ns accepts on/y two students a year for neurosurgery res/dency.
This year, we have 125 applicants.
So, why we should take you?
l have good grades and excellent recommendations.
As do all of our applicants.
Johns Hopkins is my first choice. lt's my only choice.
You have confidence. Yes, that's good in a neurosurgeon.
But tell me something,
why did you decide to become a brain doctor?
The brain...
lt's a miracle.
Do you beleve in miracles?
Not a lot of doctors do. There's not a lot of faith among physicians.
l mean, we study reports,
we cut open bodies, it's all very tangible, solid.
But the fact is, there's still so many things we just can't explan.
l believe we're all capable of performing miracles, up here.
l believe we're all blessed with astonishing gifts and skills.
Look at Handel.
l mean, how can he compose something lke the Mess/ah n only three weeks?
This is the channel,
the source, the inspiraton for unbelievable accomplishments.
-You like classical music? -l love it.
l do, too.
l think we'll get on quite well together.
Nurs/ng superv/sor to second f/oor, p/ease. Nurs/ng superv/sor to second f/oor, p/ease.
Good morning.
You're late. Mr. Schwartz in 301 needs to be taken to surgery now.
No, l'm not an orderly. l'm the new intern.
Report to Dr. Farmington for rounds.
Dr. Car/, p/ease ca// 2-4-8-8.
This young man has a disease called von Hippel-Lindau.
lt's very rare and causes multiple tumors throughout the brain.
He has his second surgery tomorrow, and it will most likely cripple him.
Carson, draw some blood.
Doctor, according to his charts, he may be anaemic.
-l don't think... -Well, l don't care what you think.
You do as l say.
Don't think you're special, Carson,
simply 'cause there's no one like you in this department.
lf you don't change your attitude,
l'll get you kicked out of neurosurgery faster than you can say, ''Yassuh.''
-Are you finished? -Yes.
Fine.
Hey, buddy. Let's get you going here.
How was it?
Bennie?
Ben?
Good morning.
Good morning, Nurse Smith.
He was hit with a baseball bat. He's deteriorating rapidly.
Please tell him that all the neurosurgeons at Hopkins are away at a conference.
l am a resident. lt s illegal for me to operate without an attending physician present.
l can't reach Dr. Farmington, and l can't reach Dr.Udvarhely.
lf someone doesn't operate on this man soon, he will die.
Go for it.
l'm not qualified to do a lobectomy.
Thy will be done, Lord. Amen.
Scalpel.
Foley.
Bipolar.
Cottonods, please.
Rad/o/ogy, p/ease ca// to page.
Dr.Udvarhely wants to see you in his offce ASAP.
You operated on this man without permission, without supervision.
You put this hospital in serious legal jeopardy.
Had this man died, your career would have been over.
You did very well, Dr. Carson.
l congratulate you on taking the proper action,
inspite of its possible consequences.
Okay, come on, move, move. She's siezing.
-l want you to see it, too. -Okay.
Okay, okay.
They'll give you something to make you better.
-l don't have... -Okay, all right.
-lt's getting worse, Doctor. -Just relax, relax.
Ben, have a look at this.
The patient's a four-year-old by the name of Cynthia Gonzalez.
She's been having siezures since she was 18 months.
She now has about 100 a day.
They on/y affect her r/ght s/de, but they're so frequent,
she's forgett/ng how to wa/k, ta/k, eat, /earn.
She's been diagnosed with Rasmussen's.
Her parents have been told there's nothing to be done.
lt's the only time she's siezure-free.
When she's awake, she lives between convulsions.
She's been on 35 different medications over the years.
Sometimes they're so strong, she doesn't recognize me.
She's beautiful.
One doctor ca//ed her a menta//y-retarded ep//ept/c.
We//, I'm here to te// you that she's not.
Do you rea//y th/nk you can he/p?
I can try.
The left side of Cynthia's brain is like a troubled kid on a playground
beating up on her own twin.
Now, you control that kid, and the playground's at peace.
How do we do that?
There's an operation called a hemispherectomy.
lt involves removing the siezure-prone part of the brain.
-What? -How will she be able to live or survive
-with half a bran? -lt's not as bad as it sounds.
We don't know why, but a child's brain has a remarkable ability to recover.
lt's as if the brain cells haven't decided what they want to be when they grow up.
They take on the functions of the diseased cells
and then eventually restore the neurological function.
-You think there's a chance this will work? -Yes. l do.
But it s a gamble. There's no way around that.
lf Cynthia survives, she could be paralyzed on her right side.
The left sde of the brain controls the speech area.
She may lose her ability to speak.
Have you done one of these operations yourself?
No. l have not.
How you feeling?
Wishing it were four months from now.
Why? So we can get less sleep than we do now?
Good night.
Your mother called today.
She said the movers are coming in a week. She's so excited.
Me, too.
So, are you ready?
For my mother or two more babes?
For tomorrow.
Scalpel.
We are now exposing the skull.
Put more pressure on the edge, please.
Drill.
Please change to a footplate.
Saw.
Penfield 3.
Removing the skull to access the dura.
Holding skull flap for reconstruction.
We need to reduce the swelling.
lnserting to relieve fluid pressure.
I've removed the ent/re /eft hem/sphere of the bra/n.
Cynthia, can you hear me?
Can you open your eyes, sweetheart? We're all done.
Let's see those pretty eyes, sweetheart. Come on.
lt's time to wake up, Cynthia. Let's see those pretty eyes, sweetheart.
Can you open your eyes?
Let's see those pretty eyes. We're all done now.
l don't know why she's not waking up, Ben.
How is she?
lt took twice as long as we thought.
She lost nine pints of blood, which is double her normal volume.
But she came through just fine.
Though it might be a while before we know if she can move or speak.
Mommy?
-Daddy? -Oh, my God.
l love you.
Thank you.
Baby.
She talks, she hears, she thinks, she responds.
There are no additional signs of weakness.
-Dr. Carson... -Dr. Carson, how is this possble?
The brain's a miraculous organ.
How long have you been practicing?
l completed my residency three years ago, but l haven't yet taken my oral exams.
Are there any more se/zures, Doctor?
So far, the se/zures have subs/ded.
Grandma!
-Grandma! -Grandma! Grandma!
Baby.
-Your daddy... -Hey.
You're gonna love it here.
Ben.
Ben. Honey, wake up. Wake up.
l gotta go to the hospital.
Oh, no.
Get ready to crossmatch with two units of blood.
-Yes, Doctor. -Ben...
lt's best you wait out here, Dr. Carson.
How do you feel? Do you feel any contractions?
Okay, ma'am, this might feel tight around your arm
when we take your blood pressure.
Okay, hook up the fetal monitor.
Oxygen to help you breathe. Here you go, Mrs. Carson.
Breathing okay?
Just take it slow. You're doing fine.
Your wife will be fine, Dr. Carson. She'll be just fine.
But l'm sorry to say we lost the babies.
l'm so sorry.
There was nothing l could do.
What time s it?
11:30.
-Shouldn't you be on duty? -l`am.
l mean neurosurgery.
-Your patients need you. -You need me.
l have you. Go to work.
-Down this hall. -Okay. Thank you.
Doctor, where have you been? You're late. What happened?
-l've been calling your house all morning. -l'll make up for it.
That's...
Good girl. Hey.
She's a good girl. Yes, you are.
She's a big girl.
Okay. l love both of those hands.
That's very good. Very nice.
How are you feeling?
How are you feeling now?
Help me, Lord.
Ben, l've just been told you want to hold off the operaton on the twins.
The sooner we operate, the better the chances for recovery.
l know, l know, but they'll bleed out. l can't figure out a way around that.
Look, you're the best pediatric neurosurgeon in the world.
-You may think l'm the best. -That's why they chose you.
lf you can't find a solution, no one can.
Just like old times, huh?
You and me in the kitchen, doing dishes after dinner.
except in Detroit, we didn't have a dishwasher.
Yes, we did. You're lookng at her.
So proud of my boys.
Curtis, an engneer, you, a doctor.
You're still thinking about them Siamese twins, aren't you?
Sometimes l feel like...
l don't know, Mother.
Like a faucet that's all dried up.
l felt that way plenty of times.
The thing is, you got to fnd out what's blockng it
and move that thing out the way.
l don't know what's blocking it.
Sure you do.
You may not be able to bring back your babies by saving these,
but, even if you fail, at least you did something.
Bennie.
You can do this. Sure you can.
You got all the world in here.
You just gotta see beyond what you can see.
Yes. Come on.
-Yeah. -Yeah.
-He//o? -Mark, we're a go.
F/rst off, we'// need to have the room w/red w/th emergency power,
/n case there's an e/ectr/ca/ fa//ure. Then we'// need two of everyth/ng,
two anesthes/a mon/tors, two heart /ung mach/nes,
enough peop/e on each team to cover both bab/es.
We'// need an anesthes/o/ogy team, a team of card/ac surgeons,
a team of p/ast/c surgeons, a team of neurosurgeons.
And we'// need to f/gure out how to f/t a// 50 of us /nto one operat/ng room.
Each team must rehearse the/r respect/ve procedures step-by-step,
and each team must deve/op scenar/os
for the worst poss/b/e th/ngs that cou/d happen.
lf one baby dies, we need to separate him as fast as possible
and give all shared tissue to the surviving twin.
Card/othorac/c w/// start the/r procedures at 6.:00 a.m.
Hello, again, Peter, Augusta. Welcome to Johns Hopkins.
Your sons' blood vessels are like tiny faucets
with only so much blood to lose.
Now, if we can turn off the faucets, we can keep your sons from bleeding.
The only way to do this is to stop their hearts.
-Stop their... -lt's not a new procedure.
lt's been used by cardiovascular surgeons for years.
lt's just never been applied in a situation like this.
Now, we can do it in infants for an hour without causing brain damage.
-But that hour is critical. -Why? What happens in that hour?
We'll stop their hearts,
then spend that hour reconstructing all the blood vessels
so that when their hearts start again,
there won't be any life-threatening loss of blood.
All in one hour?
Which is why we've rehearsed and rehearsed,
and why we need to pray.
-You pray, Doctor? -every day.
l'm removing the pericardium to be used later as vascular tissue.
Cardio is done. All yours, Ben.
My light, please.
Scalpel.
l've opened the dura and revealed the venous sinus that they share.
l'm gong to start separation now, starting below the torcula.
There's a lot of bleeding.
Close it up. We'll try a different area.
Vital signs are stable.
Lord, it's like a lake of blood, it's huge.
Stitch.
We have to start hypothermic arrest.
Ben, we can't stop the hearts rght now. We haven't finished separating all the veins.
lf we do it now, it'll cut too deeply into our hour.
lf we don't stop the hearts, they'll bleed out.
-Start cooling the blood. -Cooling.
Prepare to inject the saline coolant solution to replace the blood.
Aortic cross-clamp.
Cardioplegic needle.
Blood cooling to 20 degrees.
The hearts are stopped. Turn off the heart-lung machine.
Okay. We have one hour to finish separation,
rebuild the severed veins and reconstruct the torcula.
Pick up.
Bipolar. More suction, please.
Dr. Wong, ca// the page operator.
l'm now separating the sagittal sinus.
Okay. Prepare for separation.
Right.
Set.
l'm ready to go.
All right, on my mark.
Three, two, one, separate.
-Slowly. -easy.
Get ready with the drapes. Make sure we don't contaminate the field.
Get that drape, too.
-Go ahead, hang it. -Adjust that light, please.
l got the drapes.
You adjust the drape?
-Anaesthesia? How does it look? -Give us a few minutes, Ben.
Start the restructuring of the torcula.
This is takng three times as long as l thought.
lt's just too darn small.
Pressure's coming down, Ben.
Done with vascular reconstruction.
-Turn on the pump. -Yes, Doctor.
-Start re-warming the blood. -Yes, Doctor. Warming the blood.
l don't think l can do it in time.
One minute, 30 seconds, Doctor.
You don't need the book.
You got the book inside you.
Done.
Start the pumps. Warm the blood.
Starting the pumps.
Get ready to start the heart, baby one.
Paddles in, baby two.
Clear, baby one.
Okay. Do it.
Baby two. Charge to 10.
Clear. All right, do it.
Looks like sinus rhythm.
-Start closing up the chest. -Closing.
Begin closing the dura, Dr. Long.
Closing, Ben.
Stitch, please.
Someone let the parents know we're almost finished.
Yes, Doctor.
-Close them up. Dr. Long? -One more stitch, Ben.
Disconnect my light, please.
Light, please.
Neuro's clear. Plastic surgeons, prepare to begin.
Thank you, Ben. Plastics, stepping in.
U/trasound tech to Labor 4, p/ease.
Peter.
Doctor?
Which child would you like to see first?
Thank you. Thank you.
Thank you.
-Good. -Yeah.
l'm okay.
-Okay. -Yeah?
Okay.
-All right. -Congratulations.
Fantastic. Nice work.
Good job.
Ben, congratulations. lncredible job.
Nice work, Dr. Carson.
Lad/es and gent/emen, /f you can g/ve Dr. Carson a moment, p/ease,
he'// be happy to answer a// of your quest/ons
as soon as he steps up to the pod/um.
l always said, you can do anything anyone else can do,
-only you can do it better. -Only you can do it better.
That goes for you, too, Mother.
-l love you. -l love you.