1 00:00:01,085 --> 00:00:02,920 Previously, on The Good Doctor… 2 00:00:03,003 --> 00:00:04,338 Going to the club or work? 3 00:00:04,422 --> 00:00:06,507 These early calls need some getting used to. 4 00:00:06,590 --> 00:00:09,009 -Brown Retractor. -No brown Retractor. 5 00:00:09,093 --> 00:00:10,720 I thought I put it on your tray. 6 00:00:10,803 --> 00:00:12,346 Dr. Kalu is not your peer. 7 00:00:12,430 --> 00:00:14,181 He's your employee, you're his boss. 8 00:00:14,265 --> 00:00:17,143 I do not plan to give Jared special treatment. 9 00:00:17,226 --> 00:00:19,895 And if I see it, it won't be good for either of you. 10 00:00:20,020 --> 00:00:21,897 I'm not expecting special treatment. 11 00:00:21,981 --> 00:00:24,358 I don't appreciate being treated like an intern. 12 00:00:24,442 --> 00:00:28,028 Dr. Andrews is judging my performance off yours 13 00:00:28,112 --> 00:00:29,113 and it is not good. 14 00:00:29,196 --> 00:00:32,491 You come in with your fancy car, and your old tricks 15 00:00:32,575 --> 00:00:35,536 and think, "Ta-da. I'm a surgeon." But you're not. 16 00:00:35,703 --> 00:00:37,121 I want to prove I belong. 17 00:00:37,204 --> 00:00:40,416 When I checked Yara post-op, I noticed you only used eight sutures 18 00:00:40,499 --> 00:00:42,877 and she had a small bleed. You should've used ten. 19 00:00:42,960 --> 00:00:45,171 Dr. Glassman closed the galea and skin. 20 00:00:45,254 --> 00:00:48,883 -Dr. Glassman skipped two sutures? -Guess so. 21 00:00:54,889 --> 00:00:57,683 At what time did you wake up yesterday morning? 22 00:00:57,767 --> 00:00:59,393 The usual, 5:30. Why? 23 00:00:59,477 --> 00:01:01,645 At lunch, you had a Cobb salad. 24 00:01:01,729 --> 00:01:04,355 450 calories ingested, assuming you kept it down? 25 00:01:04,440 --> 00:01:06,317 -Yes. -Did you use a sauna, 26 00:01:06,400 --> 00:01:09,361 engage in rigorous exercise and/or experience diarrhea? 27 00:01:09,445 --> 00:01:12,656 No, I didn't do any of those things. What's with the questions? 28 00:01:12,740 --> 00:01:14,950 You made an error in yesterday's craniotomy. 29 00:01:15,034 --> 00:01:18,662 I'm trying to evaluate various factors that would negatively impact focus. 30 00:01:18,746 --> 00:01:19,872 I made an error? 31 00:01:19,955 --> 00:01:23,709 You closed with only eight sutures. The size of the wound required ten. 32 00:01:23,793 --> 00:01:25,085 We need to figure out why-- 33 00:01:25,169 --> 00:01:27,588 Why do we need to figure out why? Two sutures. 34 00:01:27,670 --> 00:01:29,215 It's a blip. It's not a thing. 35 00:01:29,298 --> 00:01:32,801 It could be part of a troubling pattern needing attention-- 36 00:01:32,884 --> 00:01:36,722 Shaun, the surgery was a success, right? The patient had a great outcome. 37 00:01:36,806 --> 00:01:38,223 There is no pattern. 38 00:01:39,475 --> 00:01:40,768 Goodbye. 39 00:01:47,274 --> 00:01:50,152 I'm a surgeon and I belong here. 40 00:01:50,235 --> 00:01:53,322 I'm a surgeon and I belong here. 41 00:01:58,661 --> 00:02:01,539 You are a surgeon and you belong here. 42 00:02:03,499 --> 00:02:05,835 I just keep imagining you in the mirror, 43 00:02:05,918 --> 00:02:08,628 like, you have the hair of Tracee Ellis Ross, 44 00:02:08,711 --> 00:02:11,799 -and the swag of Beyoncé. -Do not shame my self-care. 45 00:02:14,176 --> 00:02:16,303 Affirmations are backed by research. 46 00:02:17,221 --> 00:02:20,808 FMRI evidence shows a correlation with positive changes in the brain. 47 00:02:21,851 --> 00:02:24,770 I've just put the finishing touches on a surprise. 48 00:02:25,228 --> 00:02:26,438 Drum roll, please. 49 00:02:29,108 --> 00:02:31,735 Or not. Well, get your song lists ready 50 00:02:31,819 --> 00:02:34,947 because you are all officially invited to 51 00:02:37,074 --> 00:02:40,494 "Star Karaoke. 7:00 p.m. until question mark, question mark." 52 00:02:40,578 --> 00:02:43,789 It's gonna be a party when there's double punctuation involved. 53 00:02:43,873 --> 00:02:46,959 Just the chance to unwind, get to know you all better. 54 00:02:47,042 --> 00:02:49,837 -Sounds fun. Thanks. -Prepare to be destroyed. 55 00:02:49,920 --> 00:02:52,339 My "Someone Like You" slays. 56 00:02:52,423 --> 00:02:55,926 Need a surgical consult for a patient with a dislocated patella. 57 00:02:56,927 --> 00:02:57,761 Sorry, ER. 58 00:02:59,179 --> 00:03:02,057 You two are it. Room One. 59 00:03:07,855 --> 00:03:09,940 When did the chest pains start? 60 00:03:10,357 --> 00:03:14,278 I first noticed it Tuesday morning, along with shortness of breath. 61 00:03:14,403 --> 00:03:16,238 Are you taking any medications? 62 00:03:16,572 --> 00:03:19,366 I started with one, then switched a few times. 63 00:03:21,118 --> 00:03:24,413 -These are used to treat ADHD. -And brain fog. 64 00:03:24,788 --> 00:03:30,586 I'm a COVID long hauler, and I just started Guanfacine 65 00:03:30,669 --> 00:03:35,299 and N-acetylcysteine, which may actually be helping, finally. 66 00:03:35,424 --> 00:03:37,343 When was your initial infection? 67 00:03:37,426 --> 00:03:41,221 Eight months ago. Just felt like a mild flu. But then it got worse. 68 00:03:41,305 --> 00:03:43,724 like someone poured molasses on my brain. 69 00:03:43,807 --> 00:03:45,476 I've done cognitive therapy, 70 00:03:45,809 --> 00:03:48,270 memory exercises. Still am. 71 00:03:48,437 --> 00:03:50,981 Whatever I can do to get back in the field. 72 00:03:51,815 --> 00:03:53,567 -Which one? -Clover. 73 00:03:54,817 --> 00:03:56,612 I'm an evolutionary biologist. 74 00:03:58,447 --> 00:04:02,952 I have been studying how white clover adapts to environmental changes. 75 00:04:04,912 --> 00:04:07,456 And I'm on indefinite leave. 76 00:04:07,539 --> 00:04:08,999 Please stop talking now. 77 00:04:11,168 --> 00:04:13,796 Bluish skin, low O2 levels, rapid heart rate. 78 00:04:13,879 --> 00:04:17,216 And increasingly labored breathing. Possible pulmonary embolism. 79 00:04:17,298 --> 00:04:19,385 Order a chest CTA and echo, stat. 80 00:04:19,551 --> 00:04:20,678 I have to go. 81 00:04:33,148 --> 00:04:37,277 You will need this. I sent one half of a high-volume order to your printer. 82 00:04:37,820 --> 00:04:41,824 -These are Glassman's op reports? -For the last three months. 83 00:04:41,907 --> 00:04:45,661 January to March. October to December is printing in Park's and my office. 84 00:04:45,744 --> 00:04:48,789 So you sent reports for, like, 100 surgeries to my printer? 85 00:04:48,872 --> 00:04:52,751 No. 176 surgeries. 473 pages. 86 00:04:52,835 --> 00:04:55,170 I've emailed operations to replace your toner. 87 00:04:55,254 --> 00:04:57,214 Many elements are in color. 88 00:04:57,297 --> 00:04:59,675 And why exactly do you need all of this? 89 00:05:00,342 --> 00:05:03,012 To find out if his mistake was "a blip". 90 00:05:16,942 --> 00:05:19,069 Second time I've dislocated my knee. 91 00:05:19,445 --> 00:05:22,031 First was a few months ago, I think? 92 00:05:22,114 --> 00:05:24,199 That was the sprained ankle. 93 00:05:24,283 --> 00:05:26,076 The dislocation was last year. 94 00:05:26,243 --> 00:05:29,830 Your MRI shows no associated damage to bones or ligaments. 95 00:05:30,914 --> 00:05:34,126 She's also been complaining about dizziness, 96 00:05:34,460 --> 00:05:37,504 swollen ankles, maybe menopause related. 97 00:05:37,838 --> 00:05:40,591 Dr. Reznick wants her on hormone replacement therapy. 98 00:05:40,674 --> 00:05:43,302 Orion insisted I get everything checked out 99 00:05:43,385 --> 00:05:47,014 before she leaves and moves 6,000 miles away to live alone. 100 00:05:48,015 --> 00:05:50,851 I'm moving to Prague next week, for a new job. 101 00:05:50,933 --> 00:05:53,437 And you can visit me anytime you want, Mom. 102 00:05:53,520 --> 00:05:54,897 Not with a busted knee. 103 00:05:55,064 --> 00:05:56,690 To move forward with HRT, 104 00:05:56,774 --> 00:06:00,235 I need to confirm all your medications over the last five years. 105 00:06:02,446 --> 00:06:04,531 There was a purple triangle one. 106 00:06:04,615 --> 00:06:09,328 But they took me off that last year. And an orange-shaped one. 107 00:06:09,411 --> 00:06:10,871 I'll review it with you. 108 00:06:12,414 --> 00:06:15,667 We need to see how your knee's moving. Lay back, please. 109 00:06:19,546 --> 00:06:21,507 Go ahead with the exam, Dr. Kalu. 110 00:06:22,382 --> 00:06:24,885 -I thought I'd observe. -It's a knee exam, 111 00:06:24,968 --> 00:06:27,179 not a multi-ligament reconstruction. 112 00:06:27,262 --> 00:06:29,807 You told me last time not to assume I know everything. 113 00:06:29,890 --> 00:06:31,975 This is just making me do your job. 114 00:06:37,272 --> 00:06:40,984 That sounded like an apneic spell. Check her tonsils. 115 00:06:41,068 --> 00:06:41,944 Ms. Garcia? 116 00:06:47,908 --> 00:06:49,326 Did I fall asleep again? 117 00:06:49,827 --> 00:06:50,744 Yes. 118 00:06:50,828 --> 00:06:53,205 Could I take a quick look in your mouth? 119 00:06:56,875 --> 00:06:57,918 Kissing tonsils. 120 00:06:58,001 --> 00:07:01,255 They're so enlarged, they're touching and obstructing your airway, 121 00:07:01,338 --> 00:07:04,883 causing severe apnea. You need a tonsillectomy right away. 122 00:07:10,139 --> 00:07:13,016 No pulmonary embolism, but multiple cardiac issues, 123 00:07:13,142 --> 00:07:15,144 severe narrowing of the pulmonic valve, 124 00:07:15,227 --> 00:07:18,856 hypertrophied right ventricle an opening between the lower chambers. 125 00:07:18,939 --> 00:07:22,317 This set of defects almost looks like Tetralogy of Fallot, but-- 126 00:07:22,401 --> 00:07:23,443 It is. 127 00:07:24,903 --> 00:07:28,073 She has the fourth malformation. Overriding aorta. 128 00:07:28,157 --> 00:07:30,868 I've never seen Tet in an adult before. 129 00:07:32,494 --> 00:07:34,288 How is she still alive? 130 00:07:36,039 --> 00:07:39,126 Hang on a sec. I have to write everything down now. 131 00:07:40,502 --> 00:07:43,005 Tet is almost always diagnosed in infancy. 132 00:07:43,088 --> 00:07:45,090 Doctors missed it in your case. 133 00:07:45,257 --> 00:07:47,009 You have a rare presentation. 134 00:07:47,092 --> 00:07:49,428 The right ventricle obstruction is balanced 135 00:07:49,511 --> 00:07:51,680 by an increased flow into the left ventricle. 136 00:07:51,805 --> 00:07:55,933 Damage from COVID disrupted the balance. The virus may have saved your life. 137 00:07:56,058 --> 00:07:59,104 Very few undiagnosed Tet patients survive past childhood. 138 00:07:59,188 --> 00:08:01,023 A mere 2% make it to 40. 139 00:08:01,106 --> 00:08:04,026 I would've just dropped dead at some point? 140 00:08:04,109 --> 00:08:05,694 It's very likely. 141 00:08:05,777 --> 00:08:09,656 We can remove that risk with two separate procedures. 142 00:08:09,740 --> 00:08:12,451 First, we'll close the extra vessels that have formed 143 00:08:12,534 --> 00:08:14,369 to compensate for your heart defects. 144 00:08:14,453 --> 00:08:17,331 Then we'll do a surgery to repair those defects. 145 00:08:19,625 --> 00:08:23,378 Is it possible the Tet is connected to my long COVID symptoms? 146 00:08:23,462 --> 00:08:25,839 Could fixing my heart clear up my head-- 147 00:08:27,007 --> 00:08:28,050 The brain? 148 00:08:29,134 --> 00:08:31,178 No, I'm sorry. 149 00:08:41,104 --> 00:08:42,481 You snagged our table. 150 00:08:43,357 --> 00:08:46,443 -Beat Hawks and Nuñez to it. -You're a champion. 151 00:08:46,526 --> 00:08:49,446 One Splenda, half sugar in the raw, light almond milk. 152 00:08:49,529 --> 00:08:50,989 Now who's the champion? 153 00:08:55,285 --> 00:08:58,288 -I have something for you. -Really? 154 00:09:05,587 --> 00:09:08,674 An agreement acknowledging a consensual relationship. 155 00:09:08,757 --> 00:09:13,553 I, Marcus Andrews, would like to take you Dalisay Villanueva on a date. 156 00:09:13,845 --> 00:09:17,808 And as hospital president, I've already signed it. 157 00:09:19,768 --> 00:09:20,978 This is so romantic. 158 00:09:22,062 --> 00:09:23,105 Give me the pen. 159 00:09:30,320 --> 00:09:32,614 -Dinner this weekend? -Let me see. 160 00:09:33,448 --> 00:09:35,826 I'm needed on the ward. Sorry. 161 00:09:35,909 --> 00:09:37,703 -Lock it down later? -Sure. 162 00:09:46,003 --> 00:09:48,130 -Iced coffee? -I'm good. 163 00:09:49,131 --> 00:09:50,590 How about hot coffee? 164 00:09:52,968 --> 00:09:56,013 In honor of Daphne's successful tonsillectomy. 165 00:09:56,096 --> 00:09:57,556 I got a few options. 166 00:09:59,057 --> 00:10:00,058 Is that a latte? 167 00:10:03,854 --> 00:10:05,939 It was a routine tonsillectomy. 168 00:10:06,064 --> 00:10:10,694 Those were unusually large tonsils. Good thing her daughter brought her in. 169 00:10:12,779 --> 00:10:15,240 You think Daphne was better off not breathing? 170 00:10:15,324 --> 00:10:19,661 I don't think it's a daughter's job to make sure mom goes to the doctor. 171 00:10:21,913 --> 00:10:22,831 It's Daphne. 172 00:10:25,625 --> 00:10:29,254 -Heart rate's spiked, she's hypoxic. -Turn up oxygen to max. 173 00:10:32,591 --> 00:10:34,634 Loud murmur, right ventricle and atrium. 174 00:10:34,718 --> 00:10:37,763 Chronic damage from apnea could have increased the pressure, 175 00:10:37,846 --> 00:10:39,431 causing right heart failure. 176 00:10:39,681 --> 00:10:42,309 -BP's dropping. -Get her to the cath lab. 177 00:10:47,606 --> 00:10:49,358 Positioning coiling system. 178 00:10:50,192 --> 00:10:51,693 Two vessels left to close. 179 00:10:53,362 --> 00:10:54,905 Deploying the coil. 180 00:10:57,324 --> 00:10:59,701 Her O2 sats are dropping. 181 00:10:59,868 --> 00:11:04,206 Her infundibular muscle is clamping down. She is having a Tet spell. 182 00:11:06,875 --> 00:11:09,002 Give phenylephrine and 100% oxygen. 183 00:11:09,086 --> 00:11:11,546 I have never seen one in person before. 184 00:11:12,714 --> 00:11:17,094 We need to move blood up to the lungs. Give her a bolus and up the opiates. 185 00:11:20,597 --> 00:11:23,725 If we don't stop the spasm, she could have permanent brain damage. 186 00:11:34,820 --> 00:11:38,115 The chance of a future infundibular spasm is very high. 187 00:11:40,075 --> 00:11:42,577 Tet repair surgery will be much more risky. 188 00:11:50,168 --> 00:11:52,838 Pressure in Daphne's lungs is critically high, 189 00:11:52,963 --> 00:11:55,048 Not a routine tonsillectomy at all. 190 00:11:55,841 --> 00:11:57,592 Puncturing the atrial septum. 191 00:11:59,010 --> 00:12:01,304 Right heart is decompressing. 192 00:12:01,430 --> 00:12:04,558 Give nitric oxide to relax and dilate the vasculature. 193 00:12:04,641 --> 00:12:07,894 Her apnea really did a number on her pulmonary vessels. 194 00:12:07,978 --> 00:12:10,147 No wonder she's clumsy, forgetful. 195 00:12:10,230 --> 00:12:13,316 She's been sleeping oxygen-deprived for decades. 196 00:12:13,400 --> 00:12:16,486 Still doesn't make her her daughter's responsibility. 197 00:12:16,570 --> 00:12:19,823 Would you want Kellan to put his life on hold to take care of you? 198 00:12:19,906 --> 00:12:23,743 Not his whole life, no. But I don't think being overly-devoted 199 00:12:23,827 --> 00:12:26,997 is the worst quality in a kid. Remove the catheters. 200 00:12:27,873 --> 00:12:31,668 I was one of six growing up. Only girl. Mom and Dad worked a lot. 201 00:12:31,751 --> 00:12:34,921 So I was basically second mom since kindergarten. 202 00:12:35,797 --> 00:12:37,757 I love my brothers. 203 00:12:38,967 --> 00:12:41,011 but there's a lot you miss out on 204 00:12:41,094 --> 00:12:43,763 if you're all about caring for someone else. 205 00:12:48,435 --> 00:12:51,771 She's throwing a lot of PVCs. Maybe an electrolyte issue? 206 00:12:54,691 --> 00:12:56,568 BP is dropping, heart rate 172. 207 00:12:56,651 --> 00:12:59,988 Barely getting a pulse. She's in v-tach. Defib paddles. 208 00:13:17,422 --> 00:13:19,216 BP and heart rate stabilizing. 209 00:13:20,800 --> 00:13:23,261 Get a new chemistry, chest X-ray, EKG. 210 00:13:23,345 --> 00:13:26,473 We need to learn what else is going on with her heart. 211 00:13:35,357 --> 00:13:37,400 Please don't disturb my materials. 212 00:13:37,776 --> 00:13:40,028 Which are what exactly? 213 00:13:40,111 --> 00:13:42,864 Dr. Glassman made an uncharacteristic surgical error. 214 00:13:42,948 --> 00:13:46,660 I am determining if it was an anomaly or part of a pattern. 215 00:13:46,743 --> 00:13:48,870 Glassman must be pleased about that. 216 00:13:48,954 --> 00:13:51,873 He is not. You are being sarcastic. 217 00:13:51,957 --> 00:13:55,752 Performance review is a standard practice, benefits doctors and patients. 218 00:13:55,835 --> 00:13:58,755 I've noted three additional errors from last four months. 219 00:13:58,838 --> 00:14:02,175 -I don't see a pattern. -Dural tear on scar tissue, 220 00:14:02,259 --> 00:14:05,762 closing with a running nylon instead of Monocryl. That a mistake? 221 00:14:05,845 --> 00:14:08,598 Dr. Glassman has always used subcutaneous Monocryl. 222 00:14:08,682 --> 00:14:11,059 These are variations, minor missteps. 223 00:14:11,142 --> 00:14:13,812 Pore through four months of any surgeon's reports 224 00:14:13,895 --> 00:14:16,648 -and you'll find discrepancies like this. -No. 225 00:14:16,731 --> 00:14:19,150 -Yes. -Not in mine. 226 00:14:19,693 --> 00:14:22,904 -That's probably true. -Yeah. 227 00:14:22,988 --> 00:14:26,950 If you're not finding a pattern, maybe it's because there isn't one. 228 00:14:29,995 --> 00:14:31,454 My patient is awake. 229 00:14:33,081 --> 00:14:35,875 Does this mean you can't do the Tet repair? 230 00:14:36,084 --> 00:14:40,213 There's a medication, propranolol, that'll significantly reduce the risk 231 00:14:40,297 --> 00:14:42,424 of having another spasm during surgery. 232 00:14:42,507 --> 00:14:46,761 But 'cause of your long COVID, you're at risk for some rare side effects. 233 00:14:46,845 --> 00:14:48,680 -Are they serious? -Yes. 234 00:14:48,763 --> 00:14:51,683 Not some, like nausea, vomiting, muscle aches. 235 00:14:51,766 --> 00:14:54,894 But others, such as hypoglycemia or visual-- 236 00:14:54,978 --> 00:14:56,271 Start with propranolol. 237 00:14:56,354 --> 00:14:59,524 Good chance you won't experience the side effects. 238 00:14:59,608 --> 00:15:02,110 But we'll need to keep a close eye on you. 239 00:15:03,278 --> 00:15:07,324 And are those patients ahead of her also seniors with diabetes? 240 00:15:07,407 --> 00:15:10,702 Do not hang up, or I'll head down to do this in person. 241 00:15:10,869 --> 00:15:12,037 I'll wait. 242 00:15:13,371 --> 00:15:14,331 Hey. 243 00:15:16,374 --> 00:15:19,836 There is a great new Portuguese spot I read about. 244 00:15:19,919 --> 00:15:23,298 I can make reservations for us Friday or Saturday at 7:00? 245 00:15:24,924 --> 00:15:29,054 I'm working a double both days. Been hectic since Baker and Linh left. 246 00:15:29,137 --> 00:15:32,223 -Two travelers are starting Monday. -I need staff nurses. 247 00:15:32,307 --> 00:15:33,516 They're highly skilled. 248 00:15:33,600 --> 00:15:36,895 Doesn't matter. Travel nurses disrupt workflow, 249 00:15:36,978 --> 00:15:38,897 don't build long-term relationships. 250 00:15:39,022 --> 00:15:41,650 We don't have the resources for permanent staff. 251 00:15:41,733 --> 00:15:45,695 You just hired a new full-time resident to replace someone who left recently. 252 00:15:45,779 --> 00:15:47,656 That was Lim's department. 253 00:15:47,906 --> 00:15:49,949 Yes. Great. I'm sending her down. 254 00:15:51,076 --> 00:15:53,286 -Sorry. We'll talk later? -Of course. 255 00:15:56,164 --> 00:15:58,540 So you're watching to see if I throw up? 256 00:15:58,625 --> 00:16:00,877 Or faint, seize or have muscle spasms. 257 00:16:05,840 --> 00:16:08,385 You know, before COVID, my brain was. 258 00:16:09,844 --> 00:16:13,890 I did evolutionary patterns, genetic… 259 00:16:16,768 --> 00:16:19,229 how genes go together. 260 00:16:20,689 --> 00:16:21,606 The sequence. 261 00:16:24,109 --> 00:16:27,612 Now my brain can't handle the sequence of brushing my teeth. 262 00:16:29,072 --> 00:16:32,409 My focus, my working memory, all of the… 263 00:16:34,160 --> 00:16:35,286 Oh, my… 264 00:16:35,954 --> 00:16:38,081 The executive function. 265 00:16:40,417 --> 00:16:42,961 It's not always happening. 266 00:16:46,047 --> 00:16:49,342 Please page Dr. Wolke to monitor her and stay until he comes. 267 00:16:51,428 --> 00:16:53,096 Push your hand against mine. 268 00:16:53,680 --> 00:16:56,349 The pattern is errors in executive function. 269 00:16:56,433 --> 00:17:00,729 -I'm in the middle of something. -Your brain cancer may have returned. 270 00:17:06,734 --> 00:17:09,445 -All errors tied to executive function. -Shaun. 271 00:17:09,529 --> 00:17:13,199 Specifically procedural memory in the dorsolateral prefrontal cortex, 272 00:17:13,282 --> 00:17:15,492 a common site for a recurrent glioma, 273 00:17:15,577 --> 00:17:18,413 which strongly suggests your cancer has returned. 274 00:17:18,496 --> 00:17:20,790 My last scan came back completely clear. 275 00:17:20,874 --> 00:17:23,041 -I'm fine. -Last scan was six months ago. 276 00:17:23,126 --> 00:17:26,963 These errors are from last four months. You need another scan. 277 00:17:27,046 --> 00:17:29,591 -The evidence is very compelling. -It's not. 278 00:17:29,674 --> 00:17:31,801 I perform complex surgeries, 279 00:17:31,885 --> 00:17:35,138 more so than any other doctor on this staff, by the way. 280 00:17:35,221 --> 00:17:36,931 So the percentages would dictate 281 00:17:37,015 --> 00:17:41,060 that I might make more minor and irrelevant missteps, 282 00:17:41,144 --> 00:17:43,146 if that's what you wanna call 'em. 283 00:17:43,229 --> 00:17:45,231 The rate of errors has increased. 284 00:17:45,315 --> 00:17:47,525 Yeah, 'cause I take on tougher cases. 285 00:17:47,609 --> 00:17:48,985 The ones no one else will. 286 00:17:49,068 --> 00:17:51,696 -No. You need another MRI, now. -Shaun, 287 00:17:51,780 --> 00:17:56,993 what I need is to get back to my patient, and you need to knock first, next time. 288 00:18:02,123 --> 00:18:04,292 "It's the greening of the trees." 289 00:18:05,168 --> 00:18:06,544 My turn. 290 00:18:08,546 --> 00:18:11,007 Trying to get my cognitive exercises in. 291 00:18:11,090 --> 00:18:12,467 What're you memorizing? 292 00:18:12,550 --> 00:18:15,136 It's a poem from The Carrying, Ada Limón. 293 00:18:15,970 --> 00:18:17,972 The collection is mostly about. 294 00:18:19,724 --> 00:18:22,769 not having the life you thought you'd have, I guess. 295 00:18:24,479 --> 00:18:28,900 The one I was just reading. it's about spring coming. 296 00:18:29,359 --> 00:18:31,277 "Instructions on Not Giving Up." 297 00:18:31,986 --> 00:18:35,073 -Sounds useful. -Too bad I can't read it all at once. 298 00:18:35,990 --> 00:18:37,992 I've just graduated from haikus. 299 00:18:38,535 --> 00:18:41,830 Never even thought to look at a poem before I got sick. 300 00:18:42,664 --> 00:18:45,416 Didn't have the patience for it, or the time. 301 00:18:46,042 --> 00:18:47,961 That's basically all I read now. 302 00:18:48,753 --> 00:18:51,172 Started writing, too, as kind of a… 303 00:18:52,173 --> 00:18:53,550 creative therapy. 304 00:18:55,426 --> 00:18:58,555 There was a kind of poetry 305 00:18:58,638 --> 00:19:01,641 to the genetic variations in white clover, too. 306 00:19:05,228 --> 00:19:06,896 I'd give anything to… 307 00:19:12,110 --> 00:19:15,238 Your blood pressure's dropping, heart rate's climbing. 308 00:19:15,363 --> 00:19:17,490 -I'm dizzy. -Checking your glucose. 309 00:19:21,536 --> 00:19:23,830 She's having a seizure. Crash cart now. 310 00:19:26,291 --> 00:19:29,460 We thought it was your heart, but it's a kidney issue. 311 00:19:29,586 --> 00:19:32,338 Narrowing of your renal arteries, which was exacerbated 312 00:19:32,422 --> 00:19:35,008 by the pulmonary hypertension, causing kidney failure. 313 00:19:35,091 --> 00:19:38,511 -This is 'cause of my sleep apnea? -We believe so. Yeah. 314 00:19:40,346 --> 00:19:44,017 Can she get a transplant? I can do a test, see if I'm a match. 315 00:19:44,100 --> 00:19:47,645 Unfortunately, your other health concerns rule out a transplant. 316 00:19:47,729 --> 00:19:52,066 But a renal artery bypass would allow your kidneys to heal on their own. 317 00:19:52,233 --> 00:19:55,737 There's risk of complications. Some quite serious. 318 00:19:56,404 --> 00:20:00,825 But in success, you could live a full, independent life. 319 00:20:03,119 --> 00:20:06,581 But serious, as in I could die? 320 00:20:07,040 --> 00:20:09,584 Some complications can be fatal. 321 00:20:09,667 --> 00:20:12,003 But the risk is relatively low. 322 00:20:13,171 --> 00:20:15,173 Are there other options? 323 00:20:15,256 --> 00:20:16,883 Well, there's dialysis, 324 00:20:17,008 --> 00:20:20,887 but you'd need multiple sessions a week for the rest of your life. 325 00:20:24,349 --> 00:20:30,229 That's less risky, but I don't think I could handle all that on my own. 326 00:20:30,396 --> 00:20:35,068 Mom, if you want to choose the dialysis, I'll stay in San Jose. 327 00:20:37,612 --> 00:20:38,655 I'm sorry. 328 00:20:39,739 --> 00:20:43,451 -I don't want to keep you. -You have nothing to be sorry for. 329 00:20:44,160 --> 00:20:49,374 You know, all this time you've been sick and struggling, and I judged you. 330 00:20:50,500 --> 00:20:51,834 But your new job. 331 00:20:54,337 --> 00:20:55,505 It's just a job. 332 00:21:03,972 --> 00:21:09,268 So the medication you gave me to make my surgery safer 333 00:21:09,727 --> 00:21:11,980 will actually make it more risky? 334 00:21:12,438 --> 00:21:13,356 That's right. 335 00:21:14,107 --> 00:21:18,528 But without that medication, I'm much more likely to have another Tet spell. 336 00:21:18,611 --> 00:21:21,698 Yes, and possibly more severe than the last time. 337 00:21:22,615 --> 00:21:28,538 Brain fog, all my deficits. could get worse? 338 00:21:30,456 --> 00:21:31,958 For possibly forever? 339 00:21:33,376 --> 00:21:34,460 Yes. 340 00:21:36,045 --> 00:21:40,758 But if we don't do the Tet repair, your heart will stop at some point. 341 00:21:43,469 --> 00:21:46,514 I've already been through losing my thoughts, 342 00:21:47,598 --> 00:21:48,808 my whole self. 343 00:21:53,187 --> 00:21:54,689 I can't do that again. 344 00:21:59,360 --> 00:22:01,404 Find another way to fix my heart. 345 00:22:19,338 --> 00:22:23,551 New idea. We go back to the old idea and just do the surgery. 346 00:22:23,634 --> 00:22:26,471 It's a nonstarter. We need to present a way to help her Tet 347 00:22:26,554 --> 00:22:27,847 without triggering her Tet. 348 00:22:27,930 --> 00:22:31,184 A percutaneous valve and VSD closure could help with blood flow. 349 00:22:31,267 --> 00:22:34,979 That involves catheters in the heart, which would cause the muscle to spasm. 350 00:22:35,063 --> 00:22:37,440 All right. It's time for some WWSMD. 351 00:22:37,523 --> 00:22:40,068 Whatever you and Jerome do on your own time is-- 352 00:22:40,151 --> 00:22:41,861 "What would Shaun Murphy do?" 353 00:23:18,064 --> 00:23:21,400 What about a shunt? It would improve blood flow. 354 00:23:21,484 --> 00:23:23,986 Buy a few months to continue her cognitive recovery. 355 00:23:24,070 --> 00:23:27,698 When she feels better about her heart, maybe she lets us fix her heart. 356 00:23:27,782 --> 00:23:30,284 Her Tet would likely kill her before that. 357 00:23:30,368 --> 00:23:36,207 But placing a shunt won't trigger a spell, making it something she'd actually accept. 358 00:23:40,086 --> 00:23:41,295 I'll take it to her. 359 00:23:42,505 --> 00:23:46,384 I can stay only 45 minutes. Have to review Dr. Glassman's OR videos. 360 00:23:46,467 --> 00:23:49,428 -Didn't you do that? -Not for glioma recurrence symptoms. 361 00:23:49,512 --> 00:23:51,806 New evidence will convince him to get a scan. 362 00:23:51,889 --> 00:23:55,935 You binged months of data in one day. You'll have a clearer head in the morning. 363 00:23:56,018 --> 00:23:59,021 Until then, here we are. Karaoke rager. 364 00:23:59,105 --> 00:24:01,732 -Yay. -It is "yay". We have a song list. 365 00:24:01,816 --> 00:24:05,820 Plus Jared's our friend. He just moved back. Celebration is in order. 366 00:24:05,903 --> 00:24:08,364 I will review the videos in the morning. 367 00:24:10,116 --> 00:24:11,784 Sounds pretty wild in there. 368 00:24:11,868 --> 00:24:14,954 Because maybe 369 00:24:15,037 --> 00:24:19,250 You're gonna be the one that saves me 370 00:24:19,584 --> 00:24:22,003 And after all 371 00:24:27,508 --> 00:24:28,885 I was just warming up. 372 00:24:29,260 --> 00:24:31,929 -Where is everyone? -There is a lot of food. 373 00:24:32,096 --> 00:24:35,057 Yeah, I had it catered. You're the first to arrive. 374 00:24:35,474 --> 00:24:40,771 And so far, last minute rain checks from Morgan, Park, Asher, Danny. 375 00:24:42,481 --> 00:24:43,441 And Jerome. 376 00:24:45,735 --> 00:24:47,278 So it's just us four. 377 00:24:47,361 --> 00:24:50,781 Which means that all these snacks 378 00:24:50,865 --> 00:24:53,910 and song binders are for us. 379 00:24:54,869 --> 00:24:59,582 Yes. The low turnout is the perfect opportunity to discuss symptoms. 380 00:25:00,082 --> 00:25:03,544 In your recent surgeries with Dr. Glassman, do you recall observing 381 00:25:03,628 --> 00:25:06,547 any balance issues, tremors or motor weakness? 382 00:25:11,427 --> 00:25:13,638 That sounds like the perfect option. 383 00:25:14,430 --> 00:25:16,557 How soon can you do the shunt procedure? 384 00:25:16,641 --> 00:25:19,018 I'll try to schedule it for tomorrow. 385 00:25:23,814 --> 00:25:26,275 I've had a strange year myself. 386 00:25:29,403 --> 00:25:34,283 Eleven months ago, I was attacked and paralyzed from the waist down. 387 00:25:35,618 --> 00:25:38,621 I thought it was permanent. Almost everyone did. 388 00:25:41,249 --> 00:25:45,503 At first, all I wanted was to walk again. 389 00:25:46,712 --> 00:25:50,466 I was ready to risk my life to get back to the old me. 390 00:25:51,592 --> 00:25:57,056 But as time went on, I started to appreciate my new life. 391 00:25:57,848 --> 00:25:58,933 My new self. 392 00:26:01,435 --> 00:26:05,481 I started a new relationship that wouldn't have happened otherwise. 393 00:26:07,858 --> 00:26:09,986 In many ways, my life improved. 394 00:26:10,069 --> 00:26:13,072 You recognize you walked in to tell me this story? 395 00:26:14,657 --> 00:26:18,327 I only agreed to do the surgery once I knew my life wasn't at risk. 396 00:26:18,411 --> 00:26:20,663 And even then, I had doubts. 397 00:26:22,581 --> 00:26:26,294 I liked who I'd become. I wanted to hold on to her. 398 00:26:30,131 --> 00:26:31,048 I'm not… 399 00:26:33,926 --> 00:26:35,219 losing my mind… 400 00:26:37,138 --> 00:26:38,389 all over again. 401 00:26:41,058 --> 00:26:44,020 You don't strike me as someone who's lost her mind. 402 00:27:01,120 --> 00:27:04,665 That covers the thrombectomy. In February, you assisted-- 403 00:27:04,749 --> 00:27:07,710 Okay. I'm playing the pregnant lady card. 404 00:27:09,253 --> 00:27:11,422 -We're going, Shaun. -Okay. 405 00:27:12,548 --> 00:27:14,258 Thank you. Goodbye. 406 00:27:16,135 --> 00:27:17,970 I should head out, too. 407 00:27:19,096 --> 00:27:20,014 Early morning. 408 00:27:25,519 --> 00:27:28,814 Maybe focus on being a first year resident 409 00:27:28,898 --> 00:27:32,943 before adding party planner to your resume. 410 00:27:35,196 --> 00:27:37,782 The catering may have been a bridge too far. 411 00:27:37,865 --> 00:27:38,824 Yeah. 412 00:27:43,871 --> 00:27:45,831 I bounced around growing up. 413 00:27:46,916 --> 00:27:50,669 at different schools, cities, countries. 414 00:27:51,921 --> 00:27:53,923 But wherever we were, 415 00:27:54,006 --> 00:27:57,927 my parents had a big house and I knew how to throw a party. 416 00:28:01,263 --> 00:28:04,767 Closest I get to feeling like I fit. 417 00:28:07,019 --> 00:28:09,021 Old habits die hard, I guess. 418 00:28:11,440 --> 00:28:13,275 Fitting in takes time. 419 00:28:14,443 --> 00:28:17,530 But I never have, anywhere. 420 00:28:21,909 --> 00:28:25,496 Maybe not everyone finds their place. 421 00:28:31,127 --> 00:28:33,671 Daphne is getting septic. We have to go. 422 00:28:41,345 --> 00:28:43,097 -Morning. -Hello. 423 00:28:46,767 --> 00:28:50,146 -You should not have that. -I'm permitted 12 ounces a day. 424 00:28:50,229 --> 00:28:51,272 Experts agree. 425 00:28:51,355 --> 00:28:54,859 Yes, but that was brewed when I woke up at 3:30 a.m. 426 00:28:56,610 --> 00:29:00,448 -You make it through the videos? -Yes, and integrated the observations 427 00:29:00,531 --> 00:29:04,910 Doctors Kalu and Allen made last night regarding possible glioma symptoms. 428 00:29:06,787 --> 00:29:08,747 I am now ready to present Dr. Glassman 429 00:29:08,831 --> 00:29:12,042 with the revised evidence, which is very compelling. 430 00:29:16,338 --> 00:29:19,633 Thankfully, your infection is responding to the antibiotics. 431 00:29:19,758 --> 00:29:22,928 The infection started around your dialysis port, 432 00:29:23,012 --> 00:29:25,055 that could easily happen again. 433 00:29:26,098 --> 00:29:29,059 The renal artery bypass is still an option. 434 00:29:29,143 --> 00:29:30,603 It's too risky. 435 00:29:30,686 --> 00:29:32,104 So is sepsis. 436 00:29:33,689 --> 00:29:36,817 Thank you, doctor, but I'll settle for being alive. 437 00:29:37,401 --> 00:29:38,527 You shouldn't. 438 00:29:40,279 --> 00:29:42,031 You deserve more than that. 439 00:29:42,907 --> 00:29:45,993 I know you've had a whole life of feeling sick and stuck 440 00:29:46,076 --> 00:29:48,412 and repeating the same old bad patterns. 441 00:29:48,537 --> 00:29:51,707 But your past does not have to tell your future where to go. 442 00:29:55,419 --> 00:29:59,423 You can choose a different path, and who you're going to be on it. 443 00:30:01,383 --> 00:30:03,928 And let your daughter do the same. 444 00:30:08,557 --> 00:30:10,559 Prague is beautiful in the spring. 445 00:30:47,846 --> 00:30:51,141 We've scheduled a shunt placement for this afternoon. 446 00:30:52,059 --> 00:30:56,939 -And that whole speech last night? -I stand by it, but it's your decision. 447 00:31:02,278 --> 00:31:05,322 I've been waiting for the old me to come back. 448 00:31:09,535 --> 00:31:11,870 and that person may not exist anymore. 449 00:31:14,039 --> 00:31:14,915 And… 450 00:31:17,668 --> 00:31:19,962 maybe I should be okay with that. 451 00:31:25,175 --> 00:31:26,760 Do the Tet repair. 452 00:31:41,483 --> 00:31:43,319 Releasing the proximal clamp. 453 00:31:45,321 --> 00:31:47,281 What made Daphne change her mind? 454 00:31:47,573 --> 00:31:50,492 Dr. Allen has a way of getting through to people. 455 00:31:54,705 --> 00:31:58,000 Blood flow looks obstructed. There's a kink in the graft. 456 00:31:59,668 --> 00:32:02,671 We could redo it. But most likely it happens again. 457 00:32:05,591 --> 00:32:08,844 We could anchor the bypass off of the aorta instead. 458 00:32:09,887 --> 00:32:12,181 At that angle, less chance of a kink. 459 00:32:14,933 --> 00:32:15,976 That could work. 460 00:32:28,197 --> 00:32:30,574 -Extending the incision. -Sternal saw. 461 00:32:35,245 --> 00:32:36,830 Starting the sternotomy. 462 00:32:38,666 --> 00:32:41,418 O2 dropped to 78. Sixty-five. 463 00:32:41,502 --> 00:32:43,003 She's having a Tet spell. 464 00:32:43,087 --> 00:32:45,714 Give her 500cc fluid bolus and 100% oxygen, 465 00:32:46,090 --> 00:32:48,842 Giving a mini-bolus to increase pulmonary flow. 466 00:32:51,762 --> 00:32:55,099 Oxygen sat's on 50. Forty-five. 467 00:32:55,182 --> 00:32:56,725 Come on, come on. 468 00:32:59,061 --> 00:33:01,730 Give her more oxygen and up the opiates. 469 00:33:02,439 --> 00:33:04,316 It has stopped registering. 470 00:33:22,251 --> 00:33:23,669 O2 is rising. 471 00:33:25,629 --> 00:33:27,381 Heart rate's stabilizing. 472 00:33:30,342 --> 00:33:32,678 She was in prolonged gross hypoxia. 473 00:33:33,178 --> 00:33:35,806 That could extend cognitive deficits. 474 00:33:37,391 --> 00:33:38,308 or worse. 475 00:33:38,434 --> 00:33:40,436 We won't know until she wakes. 476 00:33:40,561 --> 00:33:43,731 Let's get her on bypass before she has another one. 477 00:33:45,774 --> 00:33:46,817 Okay. 478 00:33:48,068 --> 00:33:50,362 To a successful renal artery bypass. 479 00:33:50,446 --> 00:33:54,950 Cheers. Facilitated by a moving speech from a wise and persuasive surgeon. 480 00:33:55,033 --> 00:33:57,953 With a great surgical save by a guy 481 00:33:58,036 --> 00:34:00,998 who's about to have some life changing tacos. 482 00:34:01,081 --> 00:34:01,999 Okay. 483 00:34:06,128 --> 00:34:09,172 Oh, my God. Okay, this is amazing. 484 00:34:09,255 --> 00:34:12,592 -It's amazing. -Told you. Blue. Corn. Tortilla. 485 00:34:13,217 --> 00:34:14,719 I could get used to this. 486 00:34:18,431 --> 00:34:19,975 You have some lettuce. 487 00:34:20,058 --> 00:34:22,936 Here. No, mirror image. 488 00:34:24,103 --> 00:34:25,481 -Now? -No. 489 00:34:25,606 --> 00:34:26,857 No laughing. 490 00:34:26,940 --> 00:34:30,068 No. Right. Very serious matter. 491 00:34:34,239 --> 00:34:35,741 Here, let me. 492 00:34:36,699 --> 00:34:39,328 There. Just. 493 00:34:51,715 --> 00:34:53,257 We should go. 494 00:34:54,051 --> 00:34:55,052 Yeah. 495 00:34:55,135 --> 00:34:58,180 We need to get back early for Daphne post-op. 496 00:34:58,305 --> 00:34:59,348 Yeah, right. 497 00:35:09,858 --> 00:35:13,278 The bypass went smoothly and post-op labs look good. 498 00:35:13,362 --> 00:35:14,947 We expect a full recovery. 499 00:35:15,864 --> 00:35:17,241 How are you feeling, Mom? 500 00:35:18,951 --> 00:35:22,996 I am breathing. 501 00:35:23,747 --> 00:35:26,375 Kind of feels like the first time in my life. 502 00:35:27,668 --> 00:35:31,505 The post-op swelling from the tonsillectomy has gone down. 503 00:35:31,839 --> 00:35:34,299 You're finally breathing without any obstruction. 504 00:35:34,383 --> 00:35:36,426 You need to stay on top of your medications 505 00:35:36,510 --> 00:35:39,179 and follow-up visits, observe some dietary guidelines. 506 00:35:39,263 --> 00:35:41,890 But the discharge plan lays it all out. 507 00:35:43,016 --> 00:35:44,518 I'll be there to help, Mom. 508 00:35:47,479 --> 00:35:48,605 No. 509 00:35:50,440 --> 00:35:51,567 You won't. 510 00:35:56,029 --> 00:35:58,156 You need to live your own life. 511 00:36:01,577 --> 00:36:04,663 But I will accept FaceTime calls. 512 00:36:06,039 --> 00:36:10,669 And once I recover, I'll come visit. 513 00:36:15,048 --> 00:36:17,718 I hear that Prague is beautiful in the spring. 514 00:36:21,597 --> 00:36:23,265 It sounds like a plan. 515 00:36:34,735 --> 00:36:37,237 Things not go well with Glassy? 516 00:36:37,321 --> 00:36:39,281 He returned the files with a note 517 00:36:39,364 --> 00:36:42,743 saying he did not look at them and does not intend to. 518 00:36:42,826 --> 00:36:44,161 I'm sorry. 519 00:36:44,244 --> 00:36:47,164 It probably was a mistake to leave them for him to read. 520 00:36:47,247 --> 00:36:51,168 I'll reorder the files and go to his office to review with him. 521 00:36:51,251 --> 00:36:53,086 He doesn't want to see them. 522 00:36:53,170 --> 00:36:55,505 But he doesn't know about the new evidence. 523 00:36:55,589 --> 00:36:57,257 Maybe he doesn't want to know. 524 00:36:57,341 --> 00:37:00,427 Cancer survivors have to live with an uncertainty-- 525 00:37:00,510 --> 00:37:02,930 Knowing is better than not knowing. 526 00:37:05,057 --> 00:37:09,061 If he's not ready to look at this, you can't force him. 527 00:37:10,520 --> 00:37:16,026 Maybe he's scared, Shaun. And I think maybe you're scared, too. 528 00:37:17,653 --> 00:37:19,780 We're about to have a baby. 529 00:37:20,238 --> 00:37:21,740 You're about to be a dad. 530 00:37:22,574 --> 00:37:27,162 And I think you're worried about family and Glassman is a part of that. 531 00:37:28,330 --> 00:37:31,625 But if you keep pushing, you risk damaging 532 00:37:31,708 --> 00:37:34,878 one of the most important relationships in your life. 533 00:37:48,558 --> 00:37:49,851 -Hey. -Hey. 534 00:37:53,146 --> 00:37:56,858 I've been thinking, and I need a break from our coffees. 535 00:37:56,942 --> 00:37:58,110 Dalisay. 536 00:37:58,235 --> 00:38:00,570 I don't think dinner's a good idea, either. 537 00:38:00,654 --> 00:38:03,782 So we have a different point of view about hospital business. 538 00:38:03,865 --> 00:38:06,118 That doesn't change the way I feel about you. 539 00:38:06,201 --> 00:38:08,620 On or off the clock, I'm the same person. 540 00:38:09,037 --> 00:38:11,873 To me, if you don't value what the nurses do, 541 00:38:11,957 --> 00:38:16,586 enough to treat us like a resource to invest in, not a line item to be cut. 542 00:38:17,713 --> 00:38:19,548 How much can you care about me? 543 00:38:20,966 --> 00:38:24,970 And to be honest, if that is your point of view, 544 00:38:27,431 --> 00:38:30,308 it undercuts the respect I have for you. 545 00:38:40,777 --> 00:38:46,241 Harper Louise Decrane, March 30th, 1994. 546 00:38:46,616 --> 00:38:48,535 And do you know why you're here? 547 00:38:49,494 --> 00:38:51,163 For my heart issues. 548 00:38:53,707 --> 00:38:55,333 I had another Tet spell, didn't I? 549 00:38:56,460 --> 00:39:00,297 We'll need to conduct more tests. But your speech and memory seem intact, 550 00:39:00,380 --> 00:39:03,592 and with regard to your heart, we expect a full recovery. 551 00:39:03,675 --> 00:39:07,512 And with time, you may recover your full cognitive abilities as well. 552 00:39:08,055 --> 00:39:09,014 Maybe. 553 00:39:10,557 --> 00:39:14,686 But for now, I'll just focus on being here. 554 00:39:30,285 --> 00:39:34,456 "It's the greening of the trees that really gets to me. 555 00:39:36,124 --> 00:39:38,877 When all the shock of white and taffy 556 00:39:38,960 --> 00:39:42,297 leave the pavement strewn with the confetti of aftermath, 557 00:39:44,174 --> 00:39:45,801 the leaves come. 558 00:39:46,593 --> 00:39:48,762 patient, plodding. 559 00:39:50,013 --> 00:39:53,809 a green skin growing over whatever winter did to us. 560 00:39:55,811 --> 00:39:59,564 a return to the strange idea of continuous living, 561 00:39:59,898 --> 00:40:03,276 despite the mess of us, the hurt, the empty." 562 00:40:04,236 --> 00:40:05,612 Shaun, what? 563 00:40:06,571 --> 00:40:09,866 Lea thinks that because I am going to be a dad, 564 00:40:10,617 --> 00:40:12,577 I am worried about my family. 565 00:40:14,663 --> 00:40:15,914 Okay. 566 00:40:15,997 --> 00:40:18,917 She also thinks you are scared. 567 00:40:20,335 --> 00:40:21,878 I'm not scared, Shaun. I'm fine. 568 00:40:21,962 --> 00:40:25,799 She says if you don't want to do the scan, I should let it go. 569 00:40:29,386 --> 00:40:30,595 She… 570 00:40:32,848 --> 00:40:34,224 is right. 571 00:40:36,101 --> 00:40:37,686 Good. Thank you. 572 00:40:39,771 --> 00:40:41,231 I am scared. 573 00:40:54,828 --> 00:40:56,037 Dr. Glassman. 574 00:41:00,667 --> 00:41:04,212 I am asking you to do the scan. 575 00:41:05,755 --> 00:41:06,923 Because… 576 00:41:08,633 --> 00:41:11,970 the data and the evidence are sound. 577 00:41:17,809 --> 00:41:18,977 And because… 578 00:41:26,651 --> 00:41:30,989 it would be hard to lose my father just as I am about to become one. 579 00:41:38,872 --> 00:41:40,457 Do the scan for me. 580 00:41:52,552 --> 00:41:55,055 Shaun, I'll do the scan. 581 00:42:13,657 --> 00:42:15,492 "'Fine, then, I'll take it,' 582 00:42:15,951 --> 00:42:21,164 the tree seems to say. A new slick leaf unfurling like a fist to an open pond. 583 00:42:22,123 --> 00:42:23,416 'I'll take it all.'"