1 00:00:01,937 --> 00:00:04,940 I've been thinking and I need a break from our coffees. 2 00:00:05,073 --> 00:00:07,175 If you don't value what the nurses do, 3 00:00:07,308 --> 00:00:09,578 how much can you care about me? 4 00:00:09,712 --> 00:00:12,013 - This is my patient. - And I'm your boss. 5 00:00:12,146 --> 00:00:14,449 You can either do this with me, or I'll find someone who will. 6 00:00:17,786 --> 00:00:19,187 If you don't trust me, fire me. 7 00:00:19,320 --> 00:00:21,857 And if you do, then stay out of my way. 8 00:00:21,991 --> 00:00:23,659 Are you trying to pick your embryo? 9 00:00:23,792 --> 00:00:27,630 I'm leaning towards a girl. I have a playbook to work from. 10 00:00:27,763 --> 00:00:30,431 I didn't OD because of you. Or us. 11 00:00:30,566 --> 00:00:32,801 Jordan, if I let myself get close to you, 12 00:00:32,935 --> 00:00:34,269 I will fall for you. 13 00:00:34,402 --> 00:00:36,505 I can't risk that. 14 00:00:36,639 --> 00:00:38,641 You deserve somebody who's ready to fully commit, 15 00:00:38,774 --> 00:00:40,375 somebody who makes you happy. 16 00:00:40,509 --> 00:00:43,278 Your brain cancer may have returned. 17 00:00:44,780 --> 00:00:46,015 The crib needs to be assembled. 18 00:00:46,147 --> 00:00:48,584 Go. I got this. 19 00:00:48,717 --> 00:00:51,887 There are two screws missing. 20 00:00:52,021 --> 00:00:54,657 Dr. Glassman doesn't have brain cancer, 21 00:00:54,790 --> 00:00:57,492 but there is something wrong with his brain. 22 00:01:00,629 --> 00:01:02,698 Lea forgot to add the blueberries, 23 00:01:02,831 --> 00:01:04,499 but we can still put them on top. 24 00:01:04,633 --> 00:01:05,734 Sorry. 25 00:01:05,868 --> 00:01:07,168 Not a problem. 26 00:01:07,302 --> 00:01:09,137 Underneath, on top, on the side. 27 00:01:09,270 --> 00:01:10,706 I can eat them here. I can eat them there. 28 00:01:10,839 --> 00:01:11,907 I can eat them anywhere. 29 00:01:14,610 --> 00:01:16,845 Not Dr. Seuss fans. 30 00:01:16,979 --> 00:01:18,446 We need to discuss something very important. 31 00:01:18,581 --> 00:01:20,716 After we eat. 32 00:01:20,849 --> 00:01:22,851 Don't worry, I'm fine, the baby's fine. 33 00:01:22,985 --> 00:01:24,853 Shaun just wanted to have a bit of a discussion... 34 00:01:24,987 --> 00:01:28,456 You forgot two screws when you built the crib. 35 00:01:28,591 --> 00:01:30,826 - Okay. - Okay, Shaun, slow down. 36 00:01:30,960 --> 00:01:32,561 Let's all at least take a seat first. 37 00:01:32,695 --> 00:01:35,096 We're gonna have a discussion about a crib? 38 00:01:35,229 --> 00:01:38,466 Your CSF DNA test showed your brain cancer has not returned, 39 00:01:38,601 --> 00:01:39,935 but there is clearly something 40 00:01:40,069 --> 00:01:41,737 impacting your neurological function. 41 00:01:43,672 --> 00:01:47,275 Shaun, the crib has like 100 different parts 42 00:01:47,408 --> 00:01:49,511 and instructions without any words. 43 00:01:49,645 --> 00:01:52,047 Just pictures with arrows going in every possible direction. 44 00:01:52,180 --> 00:01:55,249 Okay. Thankfully, I was there to correct your mistake, 45 00:01:55,383 --> 00:01:57,553 but that won't always be possible in the O.R. 46 00:02:00,990 --> 00:02:01,824 The O.R.? 47 00:02:01,957 --> 00:02:04,192 Yes. 48 00:02:04,325 --> 00:02:06,695 - I would like to do more tests. - That's not gonna happen. 49 00:02:06,829 --> 00:02:08,564 - That's not gonna happen. - And... And Dr. Lim should be notified. 50 00:02:08,697 --> 00:02:10,766 That's absolutely not gonna happen! 51 00:02:10,899 --> 00:02:12,801 If your executive function has deteriorated 52 00:02:12,935 --> 00:02:14,536 - even a small percentage... - Shaun, just one second. 53 00:02:14,670 --> 00:02:16,639 Just stop for a second. 54 00:02:16,772 --> 00:02:18,741 Two screws? 55 00:02:18,874 --> 00:02:20,709 There's nothing wrong with my brain. 56 00:02:20,843 --> 00:02:22,310 There's nothing wrong with any part of my body, 57 00:02:22,443 --> 00:02:24,780 for that matter, not that that concerns you. 58 00:02:24,913 --> 00:02:28,149 You go to Lim, and you're gonna look ridiculous. 59 00:02:28,282 --> 00:02:29,985 - Doctor... - That's the end of the discussion! 60 00:02:33,555 --> 00:02:34,590 And breakfast. 61 00:02:42,497 --> 00:02:43,498 He's right. 62 00:02:43,632 --> 00:02:45,299 It's okay. You were just trying... 63 00:02:45,433 --> 00:02:47,636 I can't go to Dr. Lim 64 00:02:47,770 --> 00:02:50,606 without conclusive medical evidence. 65 00:02:51,472 --> 00:02:54,009 Or maybe he was right. 66 00:02:54,143 --> 00:02:56,545 It is just a crib, and he was in a rush. 67 00:02:56,679 --> 00:02:59,815 Everyone forgets things. I-I forgot the blueberries. 68 00:02:59,948 --> 00:03:01,817 Instead of tests, 69 00:03:01,950 --> 00:03:05,120 I can gather data through direct observation. 70 00:03:05,253 --> 00:03:06,588 What does that mean? 71 00:03:06,722 --> 00:03:08,189 Are you gonna spy on him? 72 00:03:08,322 --> 00:03:10,458 Please put my pancakes in the fridge. 73 00:03:10,592 --> 00:03:11,894 I will eat them for dinner. 74 00:03:17,533 --> 00:03:18,634 Good morning. 75 00:03:18,767 --> 00:03:21,537 Mind if I join you? 76 00:03:21,670 --> 00:03:22,938 Sure. 77 00:03:27,375 --> 00:03:28,644 How are things in surgical? 78 00:03:31,814 --> 00:03:33,949 - Great. - Great, as in, actually great? 79 00:03:34,083 --> 00:03:36,484 Or great, as in, "I'm saying the right thing 80 00:03:36,618 --> 00:03:38,286 because he's the president of the hospital"? 81 00:03:40,189 --> 00:03:41,222 Both. 82 00:03:41,355 --> 00:03:42,524 Well, any feedback you have, 83 00:03:42,658 --> 00:03:44,059 you can always come to me. 84 00:03:47,395 --> 00:03:48,964 Sorry to interrupt. I have a clinic patient 85 00:03:49,098 --> 00:03:50,899 who needs a surgical consult. 86 00:03:51,033 --> 00:03:53,535 It's a former patient of yours, Eddie Richter. 87 00:03:53,669 --> 00:03:54,737 Eddie? 88 00:03:54,870 --> 00:03:56,839 I haven't seen him in years. 89 00:03:56,972 --> 00:03:59,041 He came in with GI pain and acid reflux. 90 00:03:59,174 --> 00:04:01,744 Ultrasound reveals a small mass on his duodenum. 91 00:04:01,877 --> 00:04:03,846 He'll need surgery to remove it. 92 00:04:03,979 --> 00:04:06,181 I think I can fit that in. Join me. 93 00:04:07,916 --> 00:04:09,651 Dr. Lim scheduled us with Dr. Park today. 94 00:04:09,785 --> 00:04:11,385 Doctors Park and Lim will understand. 95 00:04:11,520 --> 00:04:12,755 This is a unique case. 96 00:04:15,023 --> 00:04:16,491 A small duodenal mass? 97 00:04:16,625 --> 00:04:17,960 I don't know. 98 00:04:22,497 --> 00:04:23,699 Eddie! 99 00:04:26,434 --> 00:04:28,036 Long time no see. 100 00:04:28,170 --> 00:04:29,872 I wish it were longer. No offense. 101 00:04:30,005 --> 00:04:31,940 I wasn't planning on seeing a surgeon today. 102 00:04:32,074 --> 00:04:34,442 Yeah, yeah, fair enough. I've brought along with me 103 00:04:34,576 --> 00:04:36,779 Doctors Allen and Wolke to assist. 104 00:04:36,912 --> 00:04:38,814 - Hi. - Nice to meet you. 105 00:04:38,947 --> 00:04:40,516 Judging by the astonishment 106 00:04:40,649 --> 00:04:41,884 they are both desperately trying to hide, 107 00:04:42,017 --> 00:04:43,752 you did not tell them about my condition. 108 00:04:43,886 --> 00:04:46,487 I did not. Very few residents get to see 109 00:04:46,622 --> 00:04:49,958 Epidermodysplasia Verruciformis outside of a textbook, 110 00:04:50,092 --> 00:04:52,961 and I figured this would be an important learning opportunity. 111 00:04:53,095 --> 00:04:54,630 They definitely failed the bedside manner part. 112 00:04:54,763 --> 00:04:56,231 I'm sorry. 113 00:04:56,364 --> 00:04:58,634 Eh, heartthrobs like me and Brad Pitt are used to it. 114 00:05:12,781 --> 00:05:14,650 Any deep pain or tenderness here? 115 00:05:14,783 --> 00:05:15,918 A little. 116 00:05:16,051 --> 00:05:17,119 How's business? 117 00:05:17,252 --> 00:05:19,320 Oh, fantastic. Thank the Lord. 118 00:05:19,453 --> 00:05:20,923 Eddie is an amazing carpenter. 119 00:05:21,056 --> 00:05:22,224 He built Isabel and I 120 00:05:22,356 --> 00:05:26,261 this stunning mahogany live edge dining table. 121 00:05:26,394 --> 00:05:30,833 I have no idea what that is, but it sounds delightful. 122 00:05:30,966 --> 00:05:32,835 Yeah. Not much good for guitar, 123 00:05:32,968 --> 00:05:34,937 but I can still wield a power tool. 124 00:05:35,070 --> 00:05:36,470 You'll need to use a carotid pulse monitor 125 00:05:36,605 --> 00:05:37,906 and upper thigh for BP. 126 00:05:38,040 --> 00:05:40,275 Got it. 127 00:05:40,408 --> 00:05:42,144 How painful are the growths? 128 00:05:42,277 --> 00:05:44,680 I mean, that depends. They're basically just huge warts, 129 00:05:44,813 --> 00:05:46,480 so face, not much. 130 00:05:46,615 --> 00:05:47,883 Hands, a little. 131 00:05:48,016 --> 00:05:49,184 Feet, a lot. 132 00:05:50,418 --> 00:05:52,054 I'm blessed. 133 00:05:52,187 --> 00:05:53,354 The Lord knows that a pretty face 134 00:05:53,487 --> 00:05:55,489 can only get a handyman in trouble. 135 00:05:55,624 --> 00:05:59,360 Dr. Reznick gave us a really good view with her ultrasound, 136 00:05:59,493 --> 00:06:02,531 but I'd like an MRI and a biopsy to better assess the lesion. 137 00:06:02,664 --> 00:06:04,766 Ah, might as well get my money's worth, huh? 138 00:06:04,900 --> 00:06:06,467 It's good seeing you, Eddie. 139 00:06:12,674 --> 00:06:14,176 The team doc's playing it safe. 140 00:06:14,309 --> 00:06:15,577 It was a damn curveball. 141 00:06:15,711 --> 00:06:17,713 Well, even a damn double-A curveball 142 00:06:17,846 --> 00:06:19,882 comes in at, what, 80, 85? 143 00:06:20,015 --> 00:06:22,251 It can still do some damage, helmet or no. 144 00:06:22,383 --> 00:06:24,653 Two weeks isn't a long time to be in concussion protocol. 145 00:06:24,786 --> 00:06:27,589 Okay, well, I-I didn't have a concussion. 146 00:06:27,723 --> 00:06:29,625 I mean, I barely even had a headache, so... 147 00:06:32,027 --> 00:06:33,461 Can I help you, Dr. Murphy? 148 00:06:33,595 --> 00:06:36,198 I came to observe. Please continue. 149 00:06:40,168 --> 00:06:42,537 Your ImPACT scores are a bit worse than baseline. 150 00:06:42,671 --> 00:06:43,705 Okay, that's one test. 151 00:06:43,839 --> 00:06:46,875 I mean, I-I passed all the others, 152 00:06:47,009 --> 00:06:48,877 but the doc still won't clear me. 153 00:06:49,011 --> 00:06:50,679 It's not a bad idea to play it safe, though. 154 00:06:50,812 --> 00:06:52,413 It is your brain we're talking about. 155 00:06:52,547 --> 00:06:55,117 I mean, you're an outfielder so you don't need one just now... 156 00:06:55,250 --> 00:06:58,419 but you are gonna retire someday. 157 00:06:58,553 --> 00:07:00,355 Look, if I don't get back on the field ASAP, 158 00:07:00,488 --> 00:07:02,024 I won't have a career to retire from. 159 00:07:04,526 --> 00:07:06,862 I wouldn't have come to the best brain doctor in town otherwise. 160 00:07:08,697 --> 00:07:09,865 Alright. We'll take a look. 161 00:07:12,401 --> 00:07:14,569 Do a neuro and get me an MRI. 162 00:07:14,703 --> 00:07:17,072 An MRI? For a concussion? 163 00:07:17,205 --> 00:07:19,440 Well, he's got some dilation of his left pupil. 164 00:07:19,574 --> 00:07:21,910 Probably not significant, 165 00:07:22,044 --> 00:07:24,445 but if we're gonna override the team doctor, 166 00:07:24,579 --> 00:07:26,581 we better be sure, hmm? 167 00:07:26,715 --> 00:07:28,884 - On it. - The MRI is a good idea. 168 00:07:29,017 --> 00:07:30,786 I did not notice the dilated pupil. 169 00:07:30,919 --> 00:07:31,954 Well, thank you. 170 00:07:32,087 --> 00:07:33,889 Not a problem since it's not your case. 171 00:07:34,022 --> 00:07:35,624 But it is an interesting case, 172 00:07:35,757 --> 00:07:37,826 even if I did not know that when I came here. 173 00:07:37,960 --> 00:07:39,728 Since I've cleared my schedule, 174 00:07:39,861 --> 00:07:41,229 I would like to continue observing. 175 00:07:41,363 --> 00:07:43,966 You cleared your schedule of people with actual ailments? 176 00:07:44,099 --> 00:07:45,834 Mmm. 177 00:07:45,968 --> 00:07:47,436 Okay, fine. Observe all you want. 178 00:07:47,569 --> 00:07:49,104 I will. 179 00:07:49,237 --> 00:07:50,605 Both you and the case. 180 00:07:52,774 --> 00:07:56,445 Oh, there's no bleeding or hematoma in your groin, 181 00:07:56,578 --> 00:07:59,414 which means you're doing fantastic. 182 00:08:01,383 --> 00:08:02,985 Her color looks better. 183 00:08:03,118 --> 00:08:06,021 Everything looks better. 184 00:08:06,154 --> 00:08:08,824 I just got off the phone with Eden's social worker. 185 00:08:08,957 --> 00:08:10,926 She's having trouble finding foster parents 186 00:08:11,059 --> 00:08:13,195 who are willing to take a newborn with Turner Syndrome. 187 00:08:13,328 --> 00:08:14,596 Well, it's not that difficult. 188 00:08:14,730 --> 00:08:16,965 Her long-term symptoms might not even be that severe. 189 00:08:17,099 --> 00:08:20,435 Still, Eden will always need special care. 190 00:08:28,076 --> 00:08:31,246 It'll take a minute for the lidocaine to take effect. 191 00:08:31,380 --> 00:08:32,914 You may feel some discomfort 192 00:08:33,048 --> 00:08:34,616 when the scope goes down your throat. 193 00:08:34,750 --> 00:08:37,052 Got it. 194 00:08:37,185 --> 00:08:39,988 I assume you've discussed surgical removal 195 00:08:40,122 --> 00:08:42,290 of your EV growths with Dr. Andrews? 196 00:08:42,424 --> 00:08:43,792 Yeah. No, he wanted to try, 197 00:08:43,925 --> 00:08:45,827 but obviously, there's the risk of nerve damage, 198 00:08:45,961 --> 00:08:48,330 plus they would just grow back. 199 00:08:48,463 --> 00:08:50,799 This is how I was meant to be. 200 00:08:50,932 --> 00:08:52,534 Lord works in mysterious ways. 201 00:08:52,667 --> 00:08:53,969 But surgeons don't. 202 00:08:55,237 --> 00:08:57,873 The risk of nerve damage is actually quite small, 203 00:08:58,006 --> 00:09:01,043 and I'd imagine easier to live with than the pain 204 00:09:01,176 --> 00:09:02,944 and lack of mobility and... 205 00:09:03,078 --> 00:09:04,379 Repulsiveness? 206 00:09:05,013 --> 00:09:06,882 No, no. I-I was... 207 00:09:07,015 --> 00:09:08,850 It's alright. 208 00:09:08,984 --> 00:09:09,985 I know how I look. 209 00:09:11,286 --> 00:09:14,256 I see the frightened kids, people laughing, 210 00:09:14,389 --> 00:09:15,690 staring. 211 00:09:17,325 --> 00:09:18,528 I just try my best to keep my eyes and arms open 212 00:09:18,660 --> 00:09:20,395 to all of God's gifts. 213 00:09:24,332 --> 00:09:28,003 Cannot imagine taking an 80-mile-an-hour baseball to the dome. 214 00:09:28,136 --> 00:09:29,539 Some guys in the majors throw over 100. 215 00:09:29,671 --> 00:09:30,839 Phew. 216 00:09:32,508 --> 00:09:35,010 I don't see any edema or evidence of a hematoma. 217 00:09:35,710 --> 00:09:37,179 Neither do I. 218 00:09:37,312 --> 00:09:39,414 The anisocoria's probably harmless. 219 00:09:39,549 --> 00:09:42,017 Twenty percent of people actually have one pupil larger than the other. 220 00:09:44,352 --> 00:09:45,587 You play any sports? 221 00:09:45,720 --> 00:09:48,457 I played football and baseball in high school. Why? 222 00:09:48,590 --> 00:09:51,927 I have a friend who runs a sports program for at-risk teens. 223 00:09:52,060 --> 00:09:53,462 I've been helping coaching some indoor football, 224 00:09:53,595 --> 00:09:56,031 I mean soccer. 225 00:09:56,164 --> 00:09:58,266 She's always looking for help from positive role models. 226 00:09:58,400 --> 00:10:01,369 Yeah, I've... I've never coached kids before. 227 00:10:01,504 --> 00:10:03,905 Mainly just making sure they have fun and stay off the streets. 228 00:10:04,039 --> 00:10:05,508 And my friend's super cool. 229 00:10:05,640 --> 00:10:07,275 She's cute, too. 230 00:10:10,345 --> 00:10:12,214 Well, helping kids sounds great, 231 00:10:12,347 --> 00:10:13,715 but I'm trying to get a year in recovery 232 00:10:13,849 --> 00:10:15,183 before I start dating. 233 00:10:15,317 --> 00:10:16,384 Damn, my bad. 234 00:10:16,519 --> 00:10:18,019 Oh, it's no big deal. I just... 235 00:10:18,153 --> 00:10:20,055 No, I mean the... The anisocoria. 236 00:10:23,758 --> 00:10:26,061 Definitely not harmless. 237 00:10:26,194 --> 00:10:27,963 Or a concussion. 238 00:10:33,037 --> 00:10:34,704 You have multiple cerebral aneurysms, 239 00:10:34,838 --> 00:10:36,473 which puts you in danger of a brain hemorrhage. 240 00:10:38,975 --> 00:10:40,510 So, what now? 241 00:10:40,644 --> 00:10:42,712 Well, we're gonna map the precise vessels involved, 242 00:10:42,846 --> 00:10:45,049 take some pictures of the inside of your brain. 243 00:10:45,181 --> 00:10:47,283 It's called a... 244 00:10:47,417 --> 00:10:50,320 Cerebral angiogram. 245 00:10:50,453 --> 00:10:51,721 We'll feed a catheter into your brain 246 00:10:51,855 --> 00:10:52,956 through an artery in your wrist. 247 00:10:53,090 --> 00:10:54,524 You'll be sedated. It's harmless. 248 00:10:54,658 --> 00:10:57,160 As soon as we get the results, we'll map out a surgical plan. 249 00:10:59,096 --> 00:11:00,131 B-Brain surgery? 250 00:11:00,263 --> 00:11:03,166 Hey. Best brain doc in town, right? 251 00:11:10,240 --> 00:11:11,474 It just keeps getting worse. 252 00:11:11,608 --> 00:11:13,943 The tumor has significantly damaged the bile duct. 253 00:11:14,078 --> 00:11:15,679 Eddie's gonna need a surgical resection 254 00:11:15,812 --> 00:11:18,115 or possibly a major GI reconstruction. 255 00:11:18,248 --> 00:11:19,849 The poor guy. 256 00:11:19,983 --> 00:11:22,318 As if one rare and devastating disease wasn't enough. 257 00:11:22,452 --> 00:11:25,156 Well, the surgery is manageable. 258 00:11:25,288 --> 00:11:26,990 I've known Eddie for years. He's always been the embodiment 259 00:11:27,124 --> 00:11:29,259 of, "What doesn't kill you makes you stronger." 260 00:11:29,392 --> 00:11:30,560 Who needs strength 261 00:11:30,694 --> 00:11:32,262 when you're cradled in the Lord's loving arms? 262 00:11:33,863 --> 00:11:35,465 Given his situation, don't you think his, 263 00:11:35,598 --> 00:11:39,202 "I'm just thankful for all God's gifts" attitude's just a bit crazy? 264 00:11:39,335 --> 00:11:41,805 I find the strength he draws from his faith very inspiring. 265 00:11:41,938 --> 00:11:43,239 Except that his faith has inspired him 266 00:11:43,373 --> 00:11:45,475 to not do the only thing that would actually help him. 267 00:11:45,608 --> 00:11:49,046 Get an octreoscan to confirm that his liver, pancreas, 268 00:11:49,180 --> 00:11:50,647 and lymph nodes aren't involved. 269 00:11:50,780 --> 00:11:52,116 On it. 270 00:11:53,416 --> 00:11:55,452 - You should probably go and... - Referee? 271 00:11:55,585 --> 00:11:57,253 Assist. 272 00:12:01,591 --> 00:12:03,993 The radiolabeled tracer will light up any areas 273 00:12:04,128 --> 00:12:06,262 infiltrated by the tumor. 274 00:12:06,396 --> 00:12:08,498 Will I get spidey strength, too? 275 00:12:08,631 --> 00:12:10,667 Can I get you flat on your back for the scan? 276 00:12:10,800 --> 00:12:12,069 That won't be too painful, will it? 277 00:12:12,203 --> 00:12:13,903 No. Sure, I'll be alright. 278 00:12:15,305 --> 00:12:16,973 Is there any family you'd like to contact? 279 00:12:17,108 --> 00:12:19,876 No, it's just me. I live alone. 280 00:12:20,010 --> 00:12:23,379 If you don't mind my asking, E.V. is genetically inherited. 281 00:12:23,513 --> 00:12:25,982 I'd assume at least one of your parents suffered from it? 282 00:12:26,117 --> 00:12:27,350 Yeah, they both did. 283 00:12:27,484 --> 00:12:30,087 Did they both also decide against surgical treatment? 284 00:12:30,221 --> 00:12:33,057 Well, my parents were circus performers, 285 00:12:33,190 --> 00:12:34,958 made a living off their appearance, 286 00:12:35,092 --> 00:12:37,027 so I doubt they wanted any treatment. 287 00:12:37,161 --> 00:12:38,229 Can't say that for sure, though. 288 00:12:38,361 --> 00:12:41,598 They gave me up, uh, right after I was born. 289 00:12:41,731 --> 00:12:44,201 I'm sure they were trying to protect you from the life they had. 290 00:12:44,334 --> 00:12:46,669 Heh. No, from what I found out, 291 00:12:46,803 --> 00:12:49,073 they thought a family act would be too sad 292 00:12:49,206 --> 00:12:51,108 and ruin the gig, so they didn't want me around. 293 00:12:51,775 --> 00:12:52,976 That's horrible. 294 00:12:53,110 --> 00:12:54,844 Not at all. 295 00:12:54,978 --> 00:12:56,046 I grew up in foster homes. 296 00:12:56,180 --> 00:12:59,216 I had one mom who was a minister, 297 00:12:59,349 --> 00:13:01,284 introduced me to the power of the Lord. 298 00:13:01,417 --> 00:13:05,522 And then, when I was older, I had a dad who was a carpenter. 299 00:13:05,655 --> 00:13:06,990 Taught me everything I know. 300 00:13:08,792 --> 00:13:10,760 I've always been blessed. 301 00:13:16,267 --> 00:13:19,136 Advancing the catheter to assess posterior circulation. 302 00:13:23,140 --> 00:13:24,741 Dr. Murphy, do you mind if I ask, 303 00:13:24,874 --> 00:13:25,809 qhy are you observing us? 304 00:13:27,077 --> 00:13:28,578 I don't mind. 305 00:13:30,380 --> 00:13:31,681 Why are you observing us? 306 00:13:31,815 --> 00:13:33,017 I am not observing you. 307 00:13:33,150 --> 00:13:36,086 I observing this case because it is interesting. 308 00:13:36,220 --> 00:13:37,821 Also, because it is Dr. Glassman's, 309 00:13:37,954 --> 00:13:39,023 and he may display additional symptoms 310 00:13:39,156 --> 00:13:40,157 that will help me diagnose 311 00:13:40,291 --> 00:13:43,060 his deteriorating executive function. 312 00:13:43,194 --> 00:13:44,661 So you're worried because he forgot 313 00:13:44,794 --> 00:13:46,763 - a couple of stitches on a routine close? - Stop. 314 00:13:52,069 --> 00:13:54,671 The third aneurysm is low lying at the basilar trunk. 315 00:13:54,804 --> 00:13:57,041 That will be very difficult to clip. 316 00:13:57,607 --> 00:13:59,143 And dangerous. 317 00:13:59,276 --> 00:14:02,345 Definitely a very interesting case. 318 00:14:16,260 --> 00:14:17,794 You sure you should be doing that? 319 00:14:17,927 --> 00:14:19,796 Changing bandages or singing? 320 00:14:20,297 --> 00:14:21,497 Both. 321 00:14:25,635 --> 00:14:27,238 She's gonna be leaving soon. 322 00:14:27,370 --> 00:14:28,805 I'll be fine. 323 00:14:37,348 --> 00:14:39,482 No, I'm not overreacting. 324 00:14:39,616 --> 00:14:42,819 He is covered in these tree-like growths but refuses surgery. 325 00:14:42,952 --> 00:14:45,322 But everyone acts as if he's so inspiring. 326 00:14:45,455 --> 00:14:46,522 It's a pretty brave choice. 327 00:14:46,656 --> 00:14:48,225 No, it's a stupid choice. 328 00:14:48,359 --> 00:14:50,827 Living in isolation and unnecessary pain, 329 00:14:50,960 --> 00:14:52,196 all because of his belief 330 00:14:52,329 --> 00:14:54,797 in the Magical Mystery Tour that is religion. 331 00:14:54,931 --> 00:14:56,166 Well, given your family history, 332 00:14:56,300 --> 00:14:58,168 I see why this patient is a little triggering for you. 333 00:14:58,302 --> 00:14:59,736 Okay, I'm not triggered. 334 00:14:59,869 --> 00:15:03,007 This has nothing to do with my family. 335 00:15:03,140 --> 00:15:06,176 Religion is the opiate of the masses. 336 00:15:06,310 --> 00:15:08,212 You know, Marx got a lot wrong, but not that one. 337 00:15:08,345 --> 00:15:09,812 Why don't we talk about something else? 338 00:15:09,946 --> 00:15:12,682 I mean, look at terrorism, the countless wars, 339 00:15:12,815 --> 00:15:16,020 the KKK, al-Qaeda, bombed abortion clinics, 340 00:15:16,153 --> 00:15:17,987 the assault on women's rights, not to mention 341 00:15:18,122 --> 00:15:21,292 the rampant persecution of the LGBTQIA community. 342 00:15:21,424 --> 00:15:23,060 I mean, you either have to have your head in the sand 343 00:15:23,193 --> 00:15:25,329 or be a complete moron not to see that. 344 00:15:25,895 --> 00:15:26,863 Mmm. 345 00:15:28,065 --> 00:15:30,267 This is done. Will you grab the salad? 346 00:15:45,416 --> 00:15:48,218 Sorry. I was looking for a place to meditate. 347 00:15:48,352 --> 00:15:50,020 It's okay. 348 00:15:50,154 --> 00:15:54,058 I came here to decompress before I head home. 349 00:15:59,196 --> 00:16:00,663 Jordan. 350 00:16:02,999 --> 00:16:04,867 The other night at karaoke, 351 00:16:05,002 --> 00:16:07,503 I shouldn't have tried to give you relationship advice. 352 00:16:07,637 --> 00:16:09,739 I mean, you don't need me for that... 353 00:16:11,607 --> 00:16:13,310 or anything else, really. 354 00:16:16,579 --> 00:16:18,382 You're everything. 355 00:16:23,420 --> 00:16:24,154 Thanks. 356 00:16:28,436 --> 00:16:29,906 Sorry, I gotta go. 357 00:16:32,996 --> 00:16:34,730 He started vomiting blood and then lost consciousness. 358 00:16:35,099 --> 00:16:36,433 Get two units PRBC, stay two ahead, 359 00:16:36,566 --> 00:16:38,135 - and place an NG tube. - On it. 360 00:16:38,268 --> 00:16:40,837 Eddie, can you hear me? Eddie? 361 00:16:42,842 --> 00:16:44,666 The tumor's caused a severe duodenal ulcer 362 00:16:44,691 --> 00:16:46,628 and major hemorrhaging in his upper GI tract. 363 00:16:46,653 --> 00:16:49,535 Yeah. We can't excise it if we can't stop the bleed. 364 00:16:49,636 --> 00:16:52,267 We could do it in two steps, endoscopy to stop the bleed 365 00:16:52,292 --> 00:16:53,924 and a partial duodenectomy to remove the tumor. 366 00:16:53,949 --> 00:16:57,041 But it'd be safer to debulk the tumor after the scope 367 00:16:57,066 --> 00:16:58,891 and follow up with aggressive chemotherapy. 368 00:16:58,916 --> 00:17:00,642 Chemo would increase the pace of the E.V. growths. 369 00:17:00,667 --> 00:17:02,036 Which he doesn't seem bothered by. 370 00:17:02,061 --> 00:17:03,462 Doesn't mean we should make it worse. 371 00:17:03,595 --> 00:17:04,931 Well, it's better than bleeding out in the OR. 372 00:17:05,064 --> 00:17:07,100 He's not going to bleed out. 373 00:17:07,200 --> 00:17:08,936 We can solve both the GI bleed 374 00:17:08,961 --> 00:17:12,631 and totally excise the tumor with a pancreaticoduodenectomy. 375 00:17:13,014 --> 00:17:15,593 A Whipple while the patient is hemorrhaging? 376 00:17:15,618 --> 00:17:17,791 That's even more risky than combining the scope and... 377 00:17:17,816 --> 00:17:21,318 I'm aware of that, but unlike your department chief, 378 00:17:21,515 --> 00:17:23,044 I'm not interested in whether residents 379 00:17:23,069 --> 00:17:24,282 approve of my decisions. 380 00:17:24,525 --> 00:17:26,311 Get him prepped. 381 00:17:26,693 --> 00:17:28,380 We'll approach all three aneurysms 382 00:17:28,405 --> 00:17:29,956 from a left-sided craniotomy. 383 00:17:29,981 --> 00:17:32,984 Even though the ICA aneurysm is on the right side? 384 00:17:33,616 --> 00:17:34,984 Yes. 385 00:17:35,837 --> 00:17:37,739 We'll go after the basilar first, 386 00:17:37,764 --> 00:17:39,132 as that is the most challenging. 387 00:17:39,264 --> 00:17:41,333 What about the ipsilateral PCOM? 388 00:17:41,466 --> 00:17:43,703 It's pressing the third nerve and may rupture soon. 389 00:17:43,836 --> 00:17:45,570 If you'd let me finish, 390 00:17:45,775 --> 00:17:48,343 step two will be the PCOM, 391 00:17:48,613 --> 00:17:50,300 and after that, 392 00:17:50,596 --> 00:17:53,054 we'll cut across the infield and go after the ICA. 393 00:17:53,079 --> 00:17:54,346 Have you considered... 394 00:17:54,479 --> 00:17:56,515 Shaun, will you stop? Will you just please stop? 395 00:17:56,649 --> 00:17:58,283 I'm fine. I know what I'm doing. 396 00:17:58,417 --> 00:18:00,153 My memory is intact. 397 00:18:00,178 --> 00:18:03,394 Does anyone have an actual objection to the surgical plan? 398 00:18:04,144 --> 00:18:04,824 - No. - Nope. 399 00:18:04,957 --> 00:18:06,959 Thank you. It is extensive 400 00:18:07,093 --> 00:18:11,405 and could put Ricky at risk for future seizures. 401 00:18:11,430 --> 00:18:13,666 And your outburst could indicate a lack of impulse control, 402 00:18:13,800 --> 00:18:16,102 which is a symptom of executive dysfunction. 403 00:18:16,234 --> 00:18:19,872 I am exhibiting extraordinary impulse control as we speak. 404 00:18:19,897 --> 00:18:23,408 As to the risks, I have clipped over 2,000 aneurysms. 405 00:18:23,433 --> 00:18:26,496 Tomorrow morning, I'm going to clip three more. 406 00:18:29,281 --> 00:18:31,349 Put Ricky on the schedule. 407 00:18:31,483 --> 00:18:33,119 Go home. Get some sleep. 408 00:18:37,302 --> 00:18:40,005 It's not milk and cookies, but it'll have to do for now. 409 00:18:41,627 --> 00:18:44,197 Oh, sorry. I was gonna take care of that. 410 00:18:44,329 --> 00:18:46,833 Why? Did Park tell you to? 411 00:18:46,966 --> 00:18:48,835 Dr. Park? No. I just got off my break, 412 00:18:48,968 --> 00:18:51,170 - and I was going to... - Great news. 413 00:18:51,303 --> 00:18:53,673 I just got off the phone with her social worker. 414 00:18:53,806 --> 00:18:55,240 She found a foster family. 415 00:18:57,810 --> 00:19:00,079 Lucky girl. You've got a home. 416 00:19:09,055 --> 00:19:11,057 I know you were hoping for a pancake dinner, 417 00:19:11,190 --> 00:19:13,592 but I was thinking maybe we could go to Barone's instead. 418 00:19:13,726 --> 00:19:16,095 I'm really craving a meatball. 419 00:19:16,229 --> 00:19:18,831 Yes, Dr. Glassman is not only highly experienced. 420 00:19:18,965 --> 00:19:21,399 He has above average intelligence. 421 00:19:21,533 --> 00:19:23,069 I don't know. He is an A's fan. 422 00:19:24,137 --> 00:19:26,606 I have not noticed any symptoms 423 00:19:26,739 --> 00:19:28,908 significant enough to alert Dr. Lim, 424 00:19:29,041 --> 00:19:31,543 but even with a decline in executive function, 425 00:19:31,677 --> 00:19:33,846 he might not show serious deficits. 426 00:19:33,980 --> 00:19:35,248 I think we should definitely discuss it further, 427 00:19:35,380 --> 00:19:37,049 over sauteed artichokes. 428 00:19:37,183 --> 00:19:39,518 I am not hungry, but I will come and keep you company 429 00:19:39,652 --> 00:19:41,020 while I continue to work. 430 00:19:44,123 --> 00:19:46,626 If Glassy can still do brain surgery 431 00:19:46,759 --> 00:19:49,128 and you haven't seen any serious deficits... 432 00:19:49,262 --> 00:19:52,965 There is definitely something wrong with his brain. 433 00:19:53,099 --> 00:19:55,367 He's getting older. It happens to everyone. 434 00:19:55,500 --> 00:19:57,402 This is not just aging. 435 00:19:57,536 --> 00:19:58,971 I know Dr. Glassman. 436 00:20:00,606 --> 00:20:02,742 Do you think Glassman is a danger to his patients? 437 00:20:07,246 --> 00:20:08,614 No. 438 00:20:09,248 --> 00:20:10,249 Not yet. 439 00:20:12,084 --> 00:20:15,788 Then let's go to Barone's and eat some meatballs 440 00:20:15,922 --> 00:20:18,691 and chicken wings that I will enjoy for a few glorious hours 441 00:20:18,825 --> 00:20:20,760 until the indigestion kicks in. 442 00:20:24,697 --> 00:20:25,765 You are right. 443 00:20:27,200 --> 00:20:28,668 Meatball, stat. 444 00:20:35,574 --> 00:20:37,944 That's the last anastomosis. Remove the clamp. 445 00:20:41,881 --> 00:20:43,983 Looks like the sutures are holding. 446 00:20:44,116 --> 00:20:46,185 I can't believe we did a Whipple in under six hours. 447 00:20:46,319 --> 00:20:47,987 That's gotta be a record. 448 00:20:48,120 --> 00:20:51,489 More importantly, no more tumor, no more bleeding ulcer. 449 00:20:51,624 --> 00:20:52,859 Went even better than I'd hoped. 450 00:20:52,992 --> 00:20:54,994 Gotta give the good Lord his due. 451 00:20:56,128 --> 00:20:57,663 Eddie is truly blessed. 452 00:20:59,832 --> 00:21:01,701 We need a few more 4-0 prolenes on a Castro 453 00:21:01,834 --> 00:21:03,803 and two surgical drains. 454 00:21:13,511 --> 00:21:15,815 Hey. You got your gear for tonight? 455 00:21:15,948 --> 00:21:17,216 Yep. 456 00:21:17,350 --> 00:21:18,718 Dug out the old football cleats. 457 00:21:18,851 --> 00:21:20,219 Awesome. 458 00:21:20,353 --> 00:21:21,821 Samira's really looking forward to meeting you. 459 00:21:23,956 --> 00:21:25,791 Don't worry. I respect your recovery. 460 00:21:25,925 --> 00:21:27,293 - I'm not trying to set you up. - Thank you. 461 00:21:28,694 --> 00:21:29,962 Jordan also told me she'd kill me 462 00:21:30,096 --> 00:21:31,396 if I did anything to tempt you off your path. 463 00:21:33,866 --> 00:21:36,369 You and Dr. Allen were talking about me? 464 00:21:36,501 --> 00:21:38,070 Yeah. She was just making sure I knew what you were dealing with. 465 00:21:39,772 --> 00:21:41,073 She's definitely looking out for you. 466 00:21:52,985 --> 00:21:55,121 My head. It's gonna explode. 467 00:21:55,254 --> 00:21:58,590 He has a thunderclap headache and double vision. 468 00:21:58,724 --> 00:22:01,227 His left eyelid's droopy, looks like complete third nerve palsy. 469 00:22:01,360 --> 00:22:02,762 Left pupil non-reactive to light. 470 00:22:02,895 --> 00:22:04,230 The PCOM aneurysm must have ruptured. 471 00:22:04,363 --> 00:22:06,699 We need to get him to the OR, stat. 472 00:22:07,261 --> 00:22:08,296 Page Dr. Glassman. 473 00:22:09,578 --> 00:22:10,646 Scalpel. 474 00:22:20,656 --> 00:22:22,925 Intracranial pressure is dropping. 475 00:22:23,192 --> 00:22:24,801 We've bought him some temporary relief. 476 00:22:24,826 --> 00:22:27,629 Can we see the CT scans, the new ones, please? 477 00:22:30,059 --> 00:22:31,794 Given the subarachnoid hemorrhage, 478 00:22:31,927 --> 00:22:34,195 the risk of the previous surgical plan has increased. 479 00:22:34,330 --> 00:22:36,132 I can still clip the two smaller aneurysms, 480 00:22:36,264 --> 00:22:38,734 then ligate and bypass the ruptured one. 481 00:22:38,868 --> 00:22:40,336 We should consider coil embolization 482 00:22:40,469 --> 00:22:41,937 of the ruptured aneurysm. 483 00:22:42,071 --> 00:22:43,739 We treat that now and then come back for the other two 484 00:22:43,873 --> 00:22:45,307 once Ricky has recovered. 485 00:22:45,441 --> 00:22:47,877 Then he has to come in every six months for an angiogram, 486 00:22:48,010 --> 00:22:50,946 weakening his muscles, damaging his coordination, 487 00:22:51,080 --> 00:22:52,682 effectively ending his pro career. 488 00:22:52,815 --> 00:22:53,983 That's your recommendation? 489 00:22:55,718 --> 00:22:58,988 The treatment is a much safer option. 490 00:22:59,121 --> 00:23:00,656 He's 19. 491 00:23:00,790 --> 00:23:02,892 He has lots of life to consider after baseball. 492 00:23:03,025 --> 00:23:04,694 I'm confident in what I promised. 493 00:23:04,827 --> 00:23:06,662 I'm confident that I can deliver it. 494 00:23:06,796 --> 00:23:09,932 Your experience mitigates the increased risks 495 00:23:10,066 --> 00:23:12,034 of the craniotomy, but it does not eliminate them. 496 00:23:12,168 --> 00:23:13,636 The patient should decide. 497 00:23:15,638 --> 00:23:17,573 Fine. 498 00:23:17,707 --> 00:23:19,875 Let's wake him up and present both plans. 499 00:23:23,713 --> 00:23:26,649 The surgery went better than we could have hoped. 500 00:23:26,782 --> 00:23:28,784 We removed the tumor, 501 00:23:28,918 --> 00:23:31,219 and your liver and pancreas are working great. 502 00:23:32,755 --> 00:23:35,658 So when do I get to go home? 503 00:23:35,791 --> 00:23:37,727 Well, we need to keep an eye on you for a couple days. 504 00:23:37,860 --> 00:23:39,361 I took the liberty of getting you a few things 505 00:23:39,495 --> 00:23:41,063 to help pass the time. 506 00:23:44,100 --> 00:23:45,300 Thank you. 507 00:23:48,804 --> 00:23:51,774 I'm so grateful to you all. 508 00:23:51,907 --> 00:23:54,376 I've spent so much time on my own, I can forget how wonderful it is 509 00:23:54,510 --> 00:23:55,911 to have other people there who care about you. 510 00:24:06,388 --> 00:24:09,759 Hey. Sorry. I got a little aggro last night. 511 00:24:09,892 --> 00:24:11,594 My family was big on dinner debate time. 512 00:24:12,194 --> 00:24:13,329 Okay. 513 00:24:14,797 --> 00:24:16,432 That's all you have to say? 514 00:24:16,565 --> 00:24:18,701 I have a blood draw to do, so... 515 00:24:20,536 --> 00:24:22,037 It was just a philosophical discussion. 516 00:24:22,171 --> 00:24:24,073 It's not like we got into a fight, right? 517 00:24:24,206 --> 00:24:25,941 No, we didn't. 518 00:24:34,617 --> 00:24:36,418 - It was awful. - Terrible. 519 00:24:38,454 --> 00:24:39,989 Somebody's in a good mood. 520 00:24:40,122 --> 00:24:41,323 Indeed I am. 521 00:24:41,457 --> 00:24:42,691 It's the Eddie effect. 522 00:24:42,825 --> 00:24:44,894 Our patient radiates positivity. 523 00:24:45,027 --> 00:24:46,462 It's oddly contagious. 524 00:24:46,595 --> 00:24:48,764 It's got me wondering why I'm always so focused 525 00:24:48,898 --> 00:24:51,500 on choosing the right path instead of... 526 00:24:51,634 --> 00:24:54,303 just being open to God's gifts. 527 00:24:54,436 --> 00:24:55,738 Sorry. 528 00:24:58,007 --> 00:25:00,576 My gift is using my stomach as a speedbag. 529 00:25:05,648 --> 00:25:07,683 I don't know what's worse... 530 00:25:07,817 --> 00:25:09,318 that I might not walk out of here, 531 00:25:09,451 --> 00:25:11,987 or walking out knowing that I'll never play ball again. 532 00:25:12,121 --> 00:25:16,392 Yes. That is the question you need to answer. 533 00:25:16,525 --> 00:25:18,594 Don't get stuck on worst-case scenarios. 534 00:25:20,262 --> 00:25:21,864 I worked real hard to get here, you know? 535 00:25:21,997 --> 00:25:23,532 And I... And I got people counting on me... 536 00:25:23,666 --> 00:25:25,167 Hey, hey, hey. 537 00:25:25,301 --> 00:25:27,503 Shut out the noise. 538 00:25:27,636 --> 00:25:28,737 Other people are gonna have opinions, 539 00:25:28,871 --> 00:25:30,307 whether you swing 3-0, 540 00:25:30,439 --> 00:25:32,508 whether you don't take the extra base. 541 00:25:32,641 --> 00:25:34,810 Whatever decision you make, 542 00:25:34,944 --> 00:25:36,645 that's gonna be the right decision. 543 00:25:45,120 --> 00:25:48,591 You know, uh, there's a... There's a saying 544 00:25:49,425 --> 00:25:50,960 back in the DR... 545 00:25:52,428 --> 00:25:54,196 "You can't walk off the island." 546 00:25:58,767 --> 00:25:59,835 You gotta take big swings. 547 00:26:04,940 --> 00:26:06,675 Let's fix all the aneurysms now. 548 00:26:08,811 --> 00:26:09,812 Good call. 549 00:26:19,755 --> 00:26:22,124 You'll need to keep the wound site clean and dry. 550 00:26:22,258 --> 00:26:24,560 And be sure to monitor her caloric intake closely. 551 00:26:24,693 --> 00:26:26,528 Babies with Turner Syndrome have difficulty swallowing 552 00:26:26,662 --> 00:26:28,331 and tongue dysfunction. 553 00:26:28,464 --> 00:26:29,565 Turner Syndrome? 554 00:26:29,698 --> 00:26:31,334 Will she need additional surgeries? 555 00:26:31,467 --> 00:26:34,503 Yes, but not for a few years. 556 00:26:34,637 --> 00:26:38,040 With things like this, it's best to take it one step at a time. 557 00:26:38,173 --> 00:26:41,110 We were hoping to foster to adopt. 558 00:26:41,243 --> 00:26:44,381 And these long-term medical issues... 559 00:26:44,513 --> 00:26:46,048 they're significant. 560 00:26:46,181 --> 00:26:48,550 When it comes to medicine, Google is not your friend. 561 00:26:50,185 --> 00:26:54,357 Patrick, Annie, I know it all sounds scary, 562 00:26:54,490 --> 00:26:57,059 and you have every right to be nervous. 563 00:26:58,093 --> 00:26:59,628 But you can do this. 564 00:27:00,896 --> 00:27:02,564 Eden needs you. 565 00:27:15,711 --> 00:27:17,579 Wouldn't it be best for Eden 566 00:27:17,713 --> 00:27:19,882 if you found someone more qualified? 567 00:27:24,196 --> 00:27:25,998 I'll let Social Services know. 568 00:27:37,476 --> 00:27:39,595 What's the score? 569 00:27:40,973 --> 00:27:43,374 How am I doing? My executive function. 570 00:27:43,508 --> 00:27:45,044 What's the score? 571 00:27:45,176 --> 00:27:47,545 It is not a score, it is data, 572 00:27:47,679 --> 00:27:49,814 and I am not ready to draw my conclusions. 573 00:27:49,949 --> 00:27:51,249 Well, you're wasting your time. 574 00:27:51,382 --> 00:27:53,885 You should focus on people who actually need you. 575 00:27:54,019 --> 00:27:56,254 I'm fine. 576 00:27:56,387 --> 00:28:00,224 I am focused on you... 577 00:28:00,358 --> 00:28:03,428 because for most of my life, you've watched out for me. 578 00:28:05,563 --> 00:28:07,532 No one asked you to do it. 579 00:28:08,232 --> 00:28:09,400 You chose to. 580 00:28:13,571 --> 00:28:15,540 Sometimes when I didn't want you to. 581 00:28:18,077 --> 00:28:19,377 I'm very glad you did. 582 00:28:22,380 --> 00:28:26,051 So no matter what anyone, including you, says, 583 00:28:26,184 --> 00:28:28,419 I am going to watch out for you. 584 00:28:35,995 --> 00:28:37,862 What are you talking about? It's fantastic. 585 00:28:37,997 --> 00:28:39,564 These are incredible, seriously. 586 00:28:41,899 --> 00:28:43,267 I didn't mean to interrupt. 587 00:28:43,401 --> 00:28:46,137 No, Dalisay was just showing me her watercolor landscapes. 588 00:28:46,270 --> 00:28:47,940 She's a wonderful painter. 589 00:28:48,073 --> 00:28:49,874 Really? I had no idea. 590 00:28:50,009 --> 00:28:53,211 There's increased output in his J.P. drains. 591 00:28:53,344 --> 00:28:54,947 That's not surprising, considering your EV. 592 00:28:56,648 --> 00:28:57,916 Send a sample to the lab and add meropenem 593 00:28:58,050 --> 00:28:59,617 to his antibiotic regimen, just to be safe. 594 00:29:02,654 --> 00:29:04,923 Your recovery looks to be on track. 595 00:29:05,057 --> 00:29:06,791 And we've made significant advances 596 00:29:06,925 --> 00:29:09,227 in plastic surgery techniques since your last consult. 597 00:29:09,360 --> 00:29:11,130 Yeah, I don't doubt it. 598 00:29:11,262 --> 00:29:12,697 But we both know it would still be painful, 599 00:29:12,830 --> 00:29:15,968 and they'd just grow back anyway. 600 00:29:16,101 --> 00:29:19,637 There's one thing I've learned from the home reno business, 601 00:29:19,771 --> 00:29:21,606 "If it ain't broke, don't fix it." 602 00:29:24,542 --> 00:29:25,843 A proverb for the ages. 603 00:29:35,120 --> 00:29:36,121 I wanted to say goodbye. 604 00:29:36,254 --> 00:29:38,023 The foster parents backed out. 605 00:29:38,157 --> 00:29:40,025 She's scrambling to find someone else. 606 00:29:47,465 --> 00:29:48,833 I don't have another family lined up. 607 00:29:51,302 --> 00:29:52,503 Can you give me more time? 608 00:29:54,973 --> 00:29:55,873 N-No. 609 00:29:57,775 --> 00:30:00,645 Eden needs a home, and I know the perfect person to foster her. 610 00:30:02,313 --> 00:30:03,414 Me. 611 00:30:18,796 --> 00:30:20,264 One down, two to go. 612 00:30:23,135 --> 00:30:25,837 It's been five hours. Do you need a break? 613 00:30:25,971 --> 00:30:27,638 Not when I have a 30-year-old Macallan 614 00:30:27,772 --> 00:30:30,341 waiting for me at the finish line. 615 00:30:30,475 --> 00:30:32,077 Fenestrated aneurysm clip. 616 00:30:34,179 --> 00:30:35,279 We've got an intra-op rupture. 617 00:30:35,413 --> 00:30:36,514 Bleed is massive. 618 00:30:36,647 --> 00:30:38,016 Suction. Both of you, suction. 619 00:30:38,150 --> 00:30:39,650 Let's keep this field clear. 620 00:30:39,784 --> 00:30:40,852 Should we try balloon occlusion? 621 00:30:40,986 --> 00:30:42,386 - Or a flow diverting stent? - No. 622 00:30:42,520 --> 00:30:43,855 We should adjust the clips 623 00:30:43,989 --> 00:30:45,456 to get better proximal and distal control 624 00:30:45,590 --> 00:30:48,693 and pivot to a Muslin wrapping. 625 00:30:48,826 --> 00:30:51,262 Push 6 mg bolus adenosine. 626 00:30:53,798 --> 00:30:55,500 We're gonna stop the heart. 627 00:30:55,633 --> 00:30:56,901 Push it, please. Push it. 628 00:31:00,790 --> 00:31:03,292 Aneurysm clips. 629 00:31:04,209 --> 00:31:07,578 Oh. That is very innovative. 630 00:31:07,712 --> 00:31:09,014 Inducing a brief cardiac arrest 631 00:31:09,148 --> 00:31:11,749 reduces blood flow to the aneurysm. 632 00:31:11,883 --> 00:31:14,086 Gives us time to apply the clips. 633 00:31:23,674 --> 00:31:27,678 Okay. Let us proceed with the parent vessel reconstruction. 634 00:31:28,046 --> 00:31:31,416 One more time, fenestrated aneurysm clip. 635 00:31:31,869 --> 00:31:32,938 Thank you. 636 00:31:34,438 --> 00:31:36,008 That was exciting. 637 00:31:43,198 --> 00:31:44,149 He's in Vfib, 638 00:31:44,283 --> 00:31:45,951 not responding to chest compressions or epi... 639 00:31:46,084 --> 00:31:47,451 We need to shock him. Charge to 200, 640 00:31:47,585 --> 00:31:48,753 and push another milligram of epi. 641 00:31:48,886 --> 00:31:49,922 He must have thrown a clot. 642 00:31:50,055 --> 00:31:51,156 Clear! 643 00:32:16,831 --> 00:32:20,310 Time of death, 7:34. 644 00:32:23,386 --> 00:32:26,790 His underlying illness weakened his immune system 645 00:32:27,065 --> 00:32:30,935 and made his blood more susceptible to clots. 646 00:32:31,124 --> 00:32:32,591 There's nothing we could have done. 647 00:32:42,843 --> 00:32:44,511 Do you know what hospital you're in? 648 00:32:44,645 --> 00:32:45,981 St. Bonaventure. 649 00:32:46,114 --> 00:32:47,548 And why are you here? 650 00:32:47,681 --> 00:32:51,086 Aneurysms, which you were supposed to fix. 651 00:32:51,219 --> 00:32:53,888 Which we did. And we did quite well. 652 00:32:54,022 --> 00:32:55,957 In fact, if you stick to your rehab, 653 00:32:56,091 --> 00:32:58,392 you might be back on the field by mid-season. 654 00:33:01,162 --> 00:33:02,830 Thank you, Dr. Glassman. 655 00:33:06,334 --> 00:33:08,402 You got a surgery that can help me hit a curveball? 656 00:33:08,535 --> 00:33:10,804 Try hitting a knuckleball. 657 00:33:10,939 --> 00:33:13,807 You don't know what it is until, pfft, it's too late. 658 00:33:13,942 --> 00:33:15,076 That's old school. 659 00:33:16,177 --> 00:33:17,411 I haven't even seen one in a game. 660 00:33:17,544 --> 00:33:19,180 Oh, I used to throw a knuckleball, actually, 661 00:33:19,314 --> 00:33:20,581 back in the day. 662 00:33:20,714 --> 00:33:22,783 I tried to be a pitcher. 663 00:33:22,918 --> 00:33:24,852 But I didn't have a fastball... 664 00:33:32,726 --> 00:33:34,561 And then you have no idea where it's gonna go 665 00:33:34,695 --> 00:33:36,097 'cause it had just a... 666 00:33:38,832 --> 00:33:40,068 Just a slight amount of spin. 667 00:33:44,571 --> 00:33:46,440 You heard? 668 00:33:49,510 --> 00:33:51,179 Thank you for checking on me. 669 00:33:52,646 --> 00:33:53,781 Andrews was right. 670 00:33:53,915 --> 00:33:55,116 There's nothing more we could have done. 671 00:33:57,419 --> 00:33:59,453 I'm really sorry about your patient, 672 00:33:59,586 --> 00:34:01,655 but I actually came to tell you 673 00:34:01,789 --> 00:34:04,892 that I'm meeting up with some friends tonight. 674 00:34:05,026 --> 00:34:06,894 I'm gonna go back to my place after. 675 00:34:08,462 --> 00:34:09,897 Okay. 676 00:34:12,100 --> 00:34:14,069 But what's wrong? 677 00:34:14,202 --> 00:34:16,237 Nothing. 678 00:34:16,371 --> 00:34:20,075 I've been meaning to see these folks for a while, and... 679 00:34:20,208 --> 00:34:22,077 we're meeting near my place. No big deal. 680 00:34:22,210 --> 00:34:24,145 Well, it's starting to feel like one. 681 00:34:25,947 --> 00:34:27,983 Clearly, you're mad. Please tell me what I did. 682 00:34:31,252 --> 00:34:34,655 Sometimes having a conversation with you 683 00:34:34,788 --> 00:34:36,757 feels like combat. 684 00:34:36,890 --> 00:34:38,859 Well, I was just stating my opinion. 685 00:34:38,994 --> 00:34:42,030 No, you were obliterating all other opinions, including mine. 686 00:34:42,163 --> 00:34:43,965 And calling me a complete moron in the process. 687 00:34:44,099 --> 00:34:45,499 I have never said that you were a moron. 688 00:34:45,632 --> 00:34:47,868 - I said... - Ash, I didn't grow up discussing religion 689 00:34:48,003 --> 00:34:49,703 or quoting Marx at the dinner table. 690 00:34:49,837 --> 00:34:51,439 That doesn't mean I don't value your opinion. 691 00:34:51,572 --> 00:34:53,441 It doesn't seem like it when you take a sledgehammer 692 00:34:53,574 --> 00:34:54,708 to my every argument. 693 00:34:54,842 --> 00:34:56,244 I can give you 100 examples of times when... 694 00:34:56,378 --> 00:34:58,146 This is not another argument for you to win. 695 00:35:02,816 --> 00:35:04,019 I have to get to dinner. 696 00:35:18,365 --> 00:35:19,967 I'm so sorry. 697 00:35:21,239 --> 00:35:24,542 If you want some company or someone to talk to... 698 00:35:25,974 --> 00:35:27,843 It's alright. I'll be okay. 699 00:35:28,910 --> 00:35:30,045 I know. 700 00:35:30,178 --> 00:35:31,769 But... 701 00:35:31,903 --> 00:35:34,806 if you change your mind, I've got your back. 702 00:35:35,283 --> 00:35:36,284 Like you've had mine. 703 00:35:37,485 --> 00:35:38,819 Thank you. 704 00:35:42,183 --> 00:35:43,218 You... 705 00:35:46,201 --> 00:35:47,402 really see me. 706 00:35:50,029 --> 00:35:55,816 I think maybe you and I could be gifts to each other. 707 00:35:57,682 --> 00:35:59,752 And we should be open to that. 708 00:36:03,858 --> 00:36:06,660 I have no idea what it looks like for us to move forward. 709 00:36:09,941 --> 00:36:11,709 We'll figure it out. 710 00:36:29,971 --> 00:36:31,839 Dalisay. 711 00:36:32,222 --> 00:36:33,674 Dr. Andrews. 712 00:36:33,807 --> 00:36:37,045 Your landscapes you showed Eddie before he... 713 00:36:40,050 --> 00:36:43,253 I think you shared them with him because he was so open-hearted. 714 00:36:46,486 --> 00:36:49,924 See, my whole life, I've believed 715 00:36:50,291 --> 00:36:55,063 that success only came from constant striving, 716 00:36:55,196 --> 00:36:58,133 constant dissatisfaction with where I was 717 00:36:58,266 --> 00:37:00,201 or what I'd accomplished. 718 00:37:00,226 --> 00:37:03,295 Contentment was a sign of complacency. 719 00:37:03,538 --> 00:37:05,473 That's no way to go through life. 720 00:37:05,607 --> 00:37:07,475 I know. 721 00:37:07,717 --> 00:37:12,688 And I know I didn't show you enough respect, 722 00:37:12,713 --> 00:37:14,482 and I didn't make enough effort 723 00:37:14,616 --> 00:37:18,086 to see things from your point of view. 724 00:37:19,154 --> 00:37:22,223 But I want to change. 725 00:37:22,357 --> 00:37:26,027 I want to value the people I care about 726 00:37:26,161 --> 00:37:27,895 and who might care about me. 727 00:37:33,067 --> 00:37:36,638 And if I haven't screwed up too badly, then maybe one day, 728 00:37:36,770 --> 00:37:41,309 I'll be worthy enough to see those landscapes. 729 00:37:46,948 --> 00:37:48,116 How about dinner? 730 00:37:48,249 --> 00:37:50,318 You pick me up at 7:30, Saturday. 731 00:37:50,451 --> 00:37:52,387 We can try that Filipino place. 732 00:37:58,193 --> 00:38:00,929 Why would you say that? 733 00:38:01,062 --> 00:38:02,263 - You know... - Oh, man. 734 00:38:02,397 --> 00:38:04,432 Hey, what else do you say in that situation? 735 00:38:04,566 --> 00:38:06,201 I think I agree with the guy. 736 00:38:06,334 --> 00:38:08,136 I mean, I think he's... I think... 737 00:38:10,638 --> 00:38:12,040 You were right. 738 00:38:12,173 --> 00:38:15,876 I have a tendency to go scorched earth in a debate 739 00:38:16,010 --> 00:38:17,744 because I just want to win. 740 00:38:17,878 --> 00:38:21,349 I lose sight of what's important because I'm... 741 00:38:21,482 --> 00:38:22,917 I-I'm a moron. 742 00:38:23,051 --> 00:38:24,519 But today, I realized 743 00:38:24,652 --> 00:38:28,356 I shouldn't take anything or anyone for granted. 744 00:38:31,792 --> 00:38:36,164 You showed me what it truly means to belong, 745 00:38:37,432 --> 00:38:39,167 to not be an island. 746 00:38:41,868 --> 00:38:45,340 And I just feel so blessed to be in your life. 747 00:38:50,712 --> 00:38:52,447 Uh, and you should order the salmon carpaccio. 748 00:38:52,580 --> 00:38:55,083 It's delightful here. It's like butter. 749 00:39:00,088 --> 00:39:01,356 Is your boyfriend really that passionate, 750 00:39:01,489 --> 00:39:03,024 or is he a little insane? 751 00:39:05,526 --> 00:39:06,694 Both. 752 00:39:13,001 --> 00:39:15,003 Hi. 753 00:39:15,136 --> 00:39:18,106 I thought I'd stop by, see how you and Eden are settling in. 754 00:39:18,239 --> 00:39:19,440 We're fine, so far. 755 00:39:19,574 --> 00:39:20,908 I think. 756 00:39:22,543 --> 00:39:24,811 I'm fairly sure I have everything Eden needs, 757 00:39:24,946 --> 00:39:27,115 though peds might find a few things missing 758 00:39:27,248 --> 00:39:29,484 from their inventory this month. 759 00:39:29,617 --> 00:39:31,719 I don't see one of these. 760 00:39:33,554 --> 00:39:34,989 Oh. 761 00:39:35,123 --> 00:39:36,424 Oh, Eden will love it. 762 00:39:37,725 --> 00:39:38,626 Thank you. 763 00:39:42,597 --> 00:39:44,299 Toys. 764 00:39:44,432 --> 00:39:46,534 Onesies. I need to get a stroller... 765 00:39:46,668 --> 00:39:48,636 Hey, you'll handle it. 766 00:39:48,770 --> 00:39:51,272 It's the perfect practice run for when your own comes along. 767 00:39:54,208 --> 00:39:56,177 I'm going off my IVF meds. 768 00:39:56,311 --> 00:39:57,811 I'm not doing another cycle. 769 00:39:59,714 --> 00:40:01,115 Eden, 770 00:40:01,249 --> 00:40:04,452 she's what I've been waiting for. 771 00:40:05,086 --> 00:40:06,721 She's my daughter. 772 00:40:23,504 --> 00:40:26,974 This is a knuckleball, and it fooled me. 773 00:40:27,108 --> 00:40:29,876 I thought it was Dr. Glassman's cancer returning, 774 00:40:30,011 --> 00:40:31,845 but it is damage to Dr. Glassman's brain 775 00:40:31,979 --> 00:40:33,880 as a result of a mini-stroke. 776 00:40:40,988 --> 00:40:42,856 If that were the case, the area would have smooth edges. 777 00:40:42,990 --> 00:40:45,026 Mmm, usually, yes. But rare presentations 778 00:40:45,159 --> 00:40:47,195 can show abnormalities like these rough edges, 779 00:40:47,328 --> 00:40:50,365 particularly when the patient has had radiation treatment. 780 00:40:52,700 --> 00:40:55,470 It explains why his memory has been impacted, 781 00:40:55,603 --> 00:40:57,305 especially during periods of intense focus 782 00:40:57,438 --> 00:40:59,807 involving many sequential steps. 783 00:41:02,377 --> 00:41:04,312 It is permanent. 784 00:41:09,350 --> 00:41:11,819 He shouldn't be doing surgery anymore.