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Previously on "The Good Doctor"...
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Coming back to California
and moving in with you...
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it's been harder than I anticipated.
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Hershey meant everything to me, Shaun.
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I took the biggest chance
of my life going back there.
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And then it just went away.
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Deep brain stimulation
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was used to treat anorexia.
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You want to use brain surgery
for a psychiatric disorder?
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DBS isn't FDA-approved
for anorexia treatment here.
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It's not a real option.
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My wife's decided against
the valve-repair surgery,
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at least until she's tried
the deep brain stimulation.
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You won't be a part of the surgery.
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Or any of my surgeries.
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You went around me,
directly to the patient.
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You're booting me off your service?
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Oh, he's... very affectionate.
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Ooh. Yeah.
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Cats are smart and independent.
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I don't think my first pet
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should be something I'm allergic to.
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Oh.
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Did you know constrictors
don't crush their prey?
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They induce arterial
circulatory collapse.
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He looks like a Hubert.
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The pH should be maintained
within a range of 7.1 to 7.3.
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And we're supposed to
add 3 drops of Klor-out
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to neutralize the tap water.
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Don't worry, Hubert.
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Daddy just shows his love
in a different way.
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Mnh-mnh, no.
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You don't come by for a month,
and then you think
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a store-bought pie is gonna
make it all right?
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It's from the Farmer's Market.
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- Uh-huh.
- Mm-hmm.
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Fine. Hand it over.
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Bring it in.
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- Hey.
- Thanks for coming.
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How is she?
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Why didn't you tell me
things were getting so bad?
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- I would have come.
- You're busy.
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I will always make time for you, Kay.
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Good, 'cause you're not leaving
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until the three of us
finish a bottle of Merlot.
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Did you call that oncologist
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doing the new ovarian cancer
PARP-I trial?
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The intake doctor said I don't
have the right tumor markers.
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Then you need to go back to your hos...
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My... My team put me
on hospice last week.
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Do you want a dose of morphine?
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No. I got it.
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Just give it a minute to pass.
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Her doctors keep upping the dosage,
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but it's not helping anymore.
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- Nothing is.
- Ohh.
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...Captions by VITAC...
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Synced & corrected by -robtor-
www.addic7ed.com
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Hey, um...
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Um, my college roommate was diagnosed
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with stage 4 ovarian cancer a year ago.
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She's had six cycles of Carbo-Taxol
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without cyto-reductive surgery
due to widespread disease.
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They stopped chemo when
she stopped responding.
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She has a month at most.
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Wow. I'm so sorry to hear that, Claire.
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As am I.
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And I assume you're not here
just seeking sympathy.
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I have reviewed her scans
and she can't be cured,
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but this metastatic lesion
extending through her diaphragm
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is causing most of her pain.
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Her surgeon has ruled out removing it
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due to vascular complexity.
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But I think laparoscopic
debulking is possible.
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Difficult, but possible.
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I know you're upset with me,
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but sh-she's my friend and she's in pain.
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I need your help.
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I'll take a look at her today.
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Thank you.
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We need a surgeon over here!
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He fell down the stairs
at a construction site
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while holding a nail gun.
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Portable head X-ray, stat.
Any other injuries?
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Nah. Just yank it off
and slap a Band-Aid.
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- Any weakness?
- No.
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All right. On my count.
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One, two, three.
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Let's get you that Band-Aid.
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We could have done that for free at home
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with a pair of vise grips.
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You don't pay for our equipment.
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You pay for me to tell you
that he got lucky.
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It's superficial.
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His pressure's dropping.
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- You feeling faint?
- A little banged up.
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All right, something else is going on.
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Let's log-roll him.
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What's wrong with my brother?
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I see a puncture wound in his flank.
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There's a nail in his abdomen, too.
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Let's get him up to the O.R.
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How bad is the pain?
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Maybe a six.
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She's lying.
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She, uh, hides it well,
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but she's in terrible pain all the time.
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But Claire said you're not out of options
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until Dr. Melendez says you are.
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So, am I?
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I think we can make things
a little easier for you.
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How soon?
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Dr. Park and I will do it today.
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What about Claire?
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I came here because of her.
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Dr. Park is excellent.
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You're in very capable hands.
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When my doctors gave up on me,
Claire found a way.
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I trust her. I won't do
this surgery without her.
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Dr. Park and Dr. Browne
will prep you for surgery.
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Now try that again.
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Show me.
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Straight. Straight.
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Straight. Yeah.
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Oh, almost.
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And pull back up.
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That's good.
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Thank you.
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The nail completely ruptured the kidney.
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Renal hilum's blown, too.
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4-0 on a driver.
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This isn't working.
Clamp the renal vessels.
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He's gonna have to live without it.
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Expose the other kidney,
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make sure it's got that new-car smell.
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The adrenal gland is low-lying.
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You won't find the left kidney there.
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You expect her to find it on the right?
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No. The most likely reason
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for the gland to be lower
is unilateral renal agenesis.
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He was born with one kidney.
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Is that the vena cava?
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There's so much tumor in there,
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it's hard to tell what anything is.
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I need to free this segment
without nicking that vein or...
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Park, pull on that fragment
very carefully.
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Got it.
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All right. Claire, I need you to tilt...
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Exactly.
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The tumor's invaded the vessel wall.
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I think you got it.
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Why isn't there tumor tissue
penetrating her diaphragm?
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Hmm.
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The CT scan showed...
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The segment we removed was
displacing the diaphragm upward,
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giving the appearance
of chest infiltration.
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If the cancer's just in her abdomen,
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she could be a candidate
for HIPEC treatment.
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Treatment?
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00:09:22,363 --> 00:09:24,263
Not pain relief?
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00:09:26,400 --> 00:09:28,267
We may be able to give her
a little more time.
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It's called HIPEC surgery.
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I'd remove as much tumor as possible,
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and then we'd infuse your abdomen
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with a chemotherapy
solution for 90 minutes.
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It could give you another six months.
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It comes with a big risk.
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This is a major operation,
and your body's frail.
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You could die on the table.
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Uh... I-I want more time.
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But her pain is finally manageable.
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I-I'm afraid to press our luck anymore.
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The thought of gambling
away your last few weeks
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terrifies me, too, but this wasn't luck.
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Dr. Melendez has proved that
despite all of the challenges
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of your cancer, he can safely
navigate inside your abdomen.
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I think it's worth putting
your trust in him again.
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Okay.
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We'll start with a complete PET-CT scan
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00:10:42,929 --> 00:10:44,762
so we can plan our approach.
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He has extensive vein thrombosis.
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There's a clear segment we can use
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00:10:57,644 --> 00:10:59,210
for an AV dialysis graft.
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It's short, but we can attach it
to the brachial artery...
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00:11:03,449 --> 00:11:05,550
Ohh.
186
00:11:07,920 --> 00:11:10,088
Hello, Lea.
187
00:11:10,090 --> 00:11:11,589
I'm sorry, but I can't talk right...
188
00:11:11,591 --> 00:11:13,573
There's a problem with Hubert.
189
00:11:14,894 --> 00:11:17,328
Oh, okay.
190
00:11:17,330 --> 00:11:19,897
Yeah. The pH is exactly 7.2,
191
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temp's 73, everything is perfect.
192
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Perfect.
193
00:11:23,636 --> 00:11:24,735
He looks bored.
194
00:11:25,971 --> 00:11:27,271
Bored?
195
00:11:27,273 --> 00:11:29,774
He can't be bored.
196
00:11:29,776 --> 00:11:31,142
He's a fish.
197
00:11:31,144 --> 00:11:34,011
He's just floating there
with nothing to do.
198
00:11:34,013 --> 00:11:35,813
I thought you were working today.
199
00:11:35,815 --> 00:11:37,315
I was... from home.
200
00:11:37,317 --> 00:11:39,917
Now I'm procrastinating with Hubert.
201
00:11:39,919 --> 00:11:41,285
You should work.
202
00:11:41,287 --> 00:11:43,821
Okay, can you pick up one
of those little castles?
203
00:11:43,823 --> 00:11:45,323
Mm.
204
00:11:45,325 --> 00:11:47,148
Okay.
205
00:11:47,827 --> 00:11:49,594
I'm not sure who's being domesticated...
206
00:11:49,596 --> 00:11:51,596
you or the fish.
207
00:11:51,598 --> 00:11:53,863
Uh, yes, I'm still here.
208
00:11:56,069 --> 00:11:57,902
Call us if anything changes.
209
00:11:57,904 --> 00:11:59,904
Due to his tissue type,
210
00:11:59,906 --> 00:12:03,007
UNOS doesn't expect to
locate a match in time.
211
00:12:03,009 --> 00:12:04,742
We'll need to find a living donor.
212
00:12:07,813 --> 00:12:09,547
You did a great job today.
213
00:12:12,150 --> 00:12:15,620
Ooh! You want some pirate booty
and a juice box with that?
214
00:12:17,457 --> 00:12:19,323
You keep me waiting for hours on end.
215
00:12:19,325 --> 00:12:20,691
Now at least I have something to do.
216
00:12:20,693 --> 00:12:22,126
Cancer is keeping you waiting.
217
00:12:22,128 --> 00:12:24,895
- Yeah.
- We're ready for you.
218
00:12:24,897 --> 00:12:27,298
Here you go. Oh, you can keep that.
219
00:12:27,300 --> 00:12:29,800
Oh. Oh, thank you.
220
00:12:29,802 --> 00:12:31,035
Bye.
221
00:12:32,738 --> 00:12:34,705
That story is not gonna end well, is it?
222
00:12:34,707 --> 00:12:35,947
Mnh.
223
00:12:36,609 --> 00:12:38,609
You know, the yo-yo has been around
224
00:12:38,611 --> 00:12:40,811
for 1,400 years, since ancient China.
225
00:12:40,813 --> 00:12:42,113
Watch this.
226
00:12:44,984 --> 00:12:47,184
You're not my only patient.
227
00:12:47,186 --> 00:12:50,755
Remembering and executing these tricks
228
00:12:50,757 --> 00:12:52,890
will help with my sequential memory
229
00:12:52,892 --> 00:12:55,359
and protect my brain
against your radiation.
230
00:12:55,361 --> 00:12:57,395
With this new targeted therapy,
I can better focus
231
00:12:57,397 --> 00:13:00,564
on just knocking the things out
of your head that I want to.
232
00:13:00,566 --> 00:13:03,134
Of course I'm also
making a little wish list
233
00:13:03,136 --> 00:13:05,169
about other things I might
want to get rid of.
234
00:13:13,211 --> 00:13:14,612
I'm worried.
235
00:13:14,614 --> 00:13:17,748
Whether it's tomorrow
or a few months from now,
236
00:13:17,750 --> 00:13:20,051
Dash is gonna lose me.
237
00:13:20,053 --> 00:13:22,053
And he'll be devastated.
238
00:13:22,055 --> 00:13:25,038
He's an amazing, loving husband.
239
00:13:27,759 --> 00:13:29,927
I want you to go out with him.
240
00:13:29,929 --> 00:13:32,263
What?
241
00:13:32,265 --> 00:13:33,564
You two get along.
242
00:13:33,566 --> 00:13:35,800
You even have chemistry.
243
00:13:35,802 --> 00:13:37,635
No. We're friends.
244
00:13:37,637 --> 00:13:39,537
If Dash is gonna move on with his life,
245
00:13:39,539 --> 00:13:41,405
he needs something to live for.
246
00:13:41,407 --> 00:13:43,674
I think that could be you.
247
00:13:45,178 --> 00:13:46,777
We need to begin now.
248
00:13:53,051 --> 00:13:54,485
Okay.
249
00:13:59,392 --> 00:14:01,192
Don't say a word.
250
00:14:01,194 --> 00:14:02,993
It's none of my business.
251
00:14:05,998 --> 00:14:08,432
- Dash seems like a nice guy.
- Shut up.
252
00:14:10,769 --> 00:14:13,038
- You're a perfect match.
- Great.
253
00:14:13,063 --> 00:14:14,863
We just need you to
sign the consent forms.
254
00:14:16,508 --> 00:14:19,610
Donation carries several risks,
255
00:14:19,612 --> 00:14:22,947
including blood clots,
infection, hemorrhage,
256
00:14:22,949 --> 00:14:26,016
lung collapse, and possibly death.
257
00:14:26,018 --> 00:14:27,985
There are also lifelong risks,
258
00:14:27,987 --> 00:14:30,888
such as high blood pressure,
which can cause a heart attack,
259
00:14:30,890 --> 00:14:32,957
and protein-losing nephropathy,
260
00:14:32,959 --> 00:14:34,558
which can impair your remaining kidney,
261
00:14:34,560 --> 00:14:37,294
leading to the need for
a transplant yourself.
262
00:14:40,499 --> 00:14:41,565
It's a big ask.
263
00:14:41,567 --> 00:14:43,334
Yes, it is.
264
00:14:48,106 --> 00:14:51,008
I'm happy to sign the forms
on one condition.
265
00:14:52,511 --> 00:14:54,278
I'm not selling the business.
266
00:14:55,882 --> 00:14:57,681
I told you 10 times.
267
00:14:57,683 --> 00:14:59,817
We're not taking that offer.
268
00:14:59,819 --> 00:15:02,119
Either sell or buy me out
at the same price.
269
00:15:02,121 --> 00:15:03,254
You know I can't afford that.
270
00:15:03,256 --> 00:15:04,755
I can't afford anything.
271
00:15:04,757 --> 00:15:06,323
Look, Dad left you in charge,
272
00:15:06,325 --> 00:15:08,793
but all of my money is tied up in it.
273
00:15:08,795 --> 00:15:10,127
I got investment opportunities.
274
00:15:10,129 --> 00:15:12,196
I got things that I'm excited about.
275
00:15:12,198 --> 00:15:14,999
Dad left me in charge because
when things got tough,
276
00:15:15,001 --> 00:15:17,067
you took off to college while we rebuilt.
277
00:15:17,069 --> 00:15:20,104
- And now you want to cash in?
- We'll both cash in.
278
00:15:20,106 --> 00:15:22,606
The deal I negotiated is way over-market.
279
00:15:22,608 --> 00:15:24,508
I don't care how good the deal is.
280
00:15:24,510 --> 00:15:27,545
- I like what I do.
- And I like my kidney.
281
00:15:27,547 --> 00:15:29,980
It seems we both need
to make a sacrifice.
282
00:15:32,584 --> 00:15:33,918
I'm not selling.
283
00:15:45,402 --> 00:15:46,769
Kayla's back in her room.
284
00:15:46,771 --> 00:15:47,970
We finished her staging,
285
00:15:47,972 --> 00:15:51,040
and everything supports
our operative plan.
286
00:15:51,042 --> 00:15:54,478
Do you have any questions
about her upcoming surgery?
287
00:15:55,013 --> 00:15:56,689
Uh...
288
00:15:58,283 --> 00:16:02,945
did Kay bring up anything about, uh...
289
00:16:03,922 --> 00:16:05,531
us?
290
00:16:08,059 --> 00:16:09,992
Oh, my God. I'm so sorry.
291
00:16:09,994 --> 00:16:11,694
I told her not to do that.
292
00:16:11,696 --> 00:16:13,329
I mean, it's, uh...
293
00:16:13,331 --> 00:16:14,964
It's nuts, you know?
294
00:16:14,966 --> 00:16:18,267
Well, that's a little insulting.
295
00:16:18,269 --> 00:16:20,269
Uh...
296
00:16:20,271 --> 00:16:22,004
I'm kidding.
297
00:16:22,006 --> 00:16:23,005
It's insane.
298
00:16:24,175 --> 00:16:26,275
Uh... just, you know...
299
00:16:26,277 --> 00:16:28,578
we'll just forget she mentioned it, okay?
300
00:16:29,680 --> 00:16:31,047
Will she?
301
00:16:31,049 --> 00:16:32,915
I mean, we've both said no.
302
00:16:32,917 --> 00:16:34,283
What's she gonna do?
303
00:16:34,285 --> 00:16:36,052
You've been married to her eight years.
304
00:16:36,054 --> 00:16:38,481
You still ask that question?
305
00:16:39,123 --> 00:16:42,325
Well, we, uh, do have one other choice.
306
00:16:44,094 --> 00:16:45,328
You guys have a chapel here, right?
307
00:16:47,765 --> 00:16:49,365
He's exploiting this situation.
308
00:16:49,367 --> 00:16:51,667
Yes. He's entitled to.
309
00:16:53,036 --> 00:16:54,570
You don't think an organ donation
310
00:16:54,572 --> 00:16:56,572
should be an altruistic act?
311
00:16:56,574 --> 00:16:58,107
Can it be?
312
00:16:58,109 --> 00:17:00,042
A majority of donors do it
313
00:17:00,044 --> 00:17:02,511
to make their own lives more worthwhile,
314
00:17:02,513 --> 00:17:03,946
and almost a quarter do it
315
00:17:03,948 --> 00:17:06,282
to relieve guilt over a past mistake.
316
00:17:06,284 --> 00:17:10,052
Redemption, meaning, sure, but not money.
317
00:17:10,054 --> 00:17:12,255
So, you never take
an opportunity to get ahead
318
00:17:12,257 --> 00:17:13,623
at someone else's expense?
319
00:17:13,625 --> 00:17:16,192
I'm competing, not trafficking organs.
320
00:17:16,194 --> 00:17:17,727
I need Armando's kidney.
321
00:17:17,729 --> 00:17:20,263
And I need it without getting
dragged into their family drama,
322
00:17:20,265 --> 00:17:21,797
which is why I have residents.
323
00:17:21,799 --> 00:17:23,866
So you two find a way to make it happen.
324
00:17:27,104 --> 00:17:29,972
This central line will
allow us to monitor your heart
325
00:17:29,974 --> 00:17:31,641
during tomorrow's surgery.
326
00:17:31,643 --> 00:17:33,943
Have you considered my proposal?
327
00:17:35,212 --> 00:17:38,681
I have been more focused on your surgery
328
00:17:38,683 --> 00:17:40,549
than seducing your husband.
329
00:17:40,551 --> 00:17:42,451
Typical.
330
00:17:42,453 --> 00:17:43,819
Ah. You got me.
331
00:17:43,821 --> 00:17:47,189
I'm not dating my cancer-riddled
friend's husband
332
00:17:47,191 --> 00:17:48,624
because I have commitment issues.
333
00:17:48,626 --> 00:17:50,226
You've been sprinting away from men
334
00:17:50,228 --> 00:17:51,627
as long as I've known you.
335
00:17:51,629 --> 00:17:52,728
Yeah.
336
00:17:52,730 --> 00:17:54,997
I will find the time
when I have the time.
337
00:17:54,999 --> 00:17:57,600
It will never be the right time.
338
00:17:57,602 --> 00:17:59,702
You're afraid to get hurt.
339
00:18:02,205 --> 00:18:04,573
I know how short life is.
340
00:18:04,575 --> 00:18:07,209
I don't want you to miss out
on the best part of it.
341
00:18:07,211 --> 00:18:08,544
All done.
342
00:18:08,546 --> 00:18:10,513
What do I owe you for
the therapy session?
343
00:18:10,515 --> 00:18:11,681
Date my husband.
344
00:18:11,683 --> 00:18:13,883
Do you know how stupid that sounds?
345
00:18:13,885 --> 00:18:16,419
I want someone to take care
of the man that I love.
346
00:18:16,421 --> 00:18:19,021
- Does that sound stupid?
- Yes, very, but...
347
00:18:20,824 --> 00:18:22,224
Please.
348
00:18:22,226 --> 00:18:23,793
Please, would you just drop this?
349
00:18:25,095 --> 00:18:28,507
I will drop this. If... one date.
350
00:18:29,266 --> 00:18:30,766
One dinner. That's all.
351
00:18:30,768 --> 00:18:33,936
But a real one, not a latte in the café.
352
00:18:33,938 --> 00:18:37,840
I want a real date...
appetizers, main course, wine.
353
00:18:37,842 --> 00:18:40,309
- I'm on call.
- No wine. But candles.
354
00:18:40,311 --> 00:18:42,378
I want candles.
355
00:18:42,380 --> 00:18:44,080
One date. I will never mention
356
00:18:44,082 --> 00:18:45,815
any of this again.
357
00:18:48,652 --> 00:18:50,753
It's a federal crime to
barter a human organ
358
00:18:50,755 --> 00:18:51,787
for anything of value.
359
00:18:51,789 --> 00:18:53,456
I'm not selling Santiago anything.
360
00:18:53,458 --> 00:18:55,257
You're receiving money from a third party
361
00:18:55,259 --> 00:18:56,692
in exchange for your kidney.
362
00:18:56,694 --> 00:19:00,629
He's receiving money from
a third party for his business.
363
00:19:00,631 --> 00:19:01,964
So is his brother.
364
00:19:01,966 --> 00:19:03,566
He should love him enough to not...
365
00:19:03,568 --> 00:19:05,000
I love him enough to give him a kidney.
366
00:19:05,002 --> 00:19:06,602
He should love me enough
to accept an offer
367
00:19:06,604 --> 00:19:08,304
that would improve my life, too.
368
00:19:08,306 --> 00:19:10,539
I mean, it's a much lower
ask than a vital organ.
369
00:19:10,541 --> 00:19:12,375
You're not allowed to ask for anything.
370
00:19:12,377 --> 00:19:13,442
Are you saying that if he agrees
371
00:19:13,444 --> 00:19:14,744
you're not gonna perform the surgery?
372
00:19:14,746 --> 00:19:16,112
- He doesn't agree.
- He will.
373
00:19:16,114 --> 00:19:17,646
Everything in life is transactional,
374
00:19:17,648 --> 00:19:19,882
and in this case,
I've got all the leverage.
375
00:19:19,884 --> 00:19:23,018
- Leverage?
- It's what you have that they need.
376
00:19:23,020 --> 00:19:25,588
It's how you shift a deal in your favor.
377
00:19:25,590 --> 00:19:28,424
You guys have no leverage
and no cards to play.
378
00:19:28,426 --> 00:19:30,326
Yes, we do.
379
00:19:30,328 --> 00:19:33,362
I don't believe you're willing
to let your brother die.
380
00:19:33,364 --> 00:19:35,664
A good negotiator doesn't bluff.
381
00:19:35,666 --> 00:19:37,867
If you cave on a threat,
you lose all credibility.
382
00:19:37,869 --> 00:19:40,202
And Santiago knows I'm a good negotiator.
383
00:19:40,204 --> 00:19:41,937
So he won't die
384
00:19:41,939 --> 00:19:44,440
precisely because I'm willing to let him.
385
00:19:48,612 --> 00:19:50,546
I'll talk to your brother.
386
00:19:50,548 --> 00:19:52,248
Okay.
387
00:20:13,604 --> 00:20:17,072
Um how long do we have to stay?
388
00:20:17,074 --> 00:20:20,176
She said dinner, so I assume
till we're done eating?
389
00:20:20,178 --> 00:20:21,410
Okay.
390
00:20:23,513 --> 00:20:25,347
- Dessert?
- Do you want any?
391
00:20:25,349 --> 00:20:26,749
- Not really.
- I think we're good.
392
00:20:26,751 --> 00:20:28,751
- Okay.
- Okay.
393
00:20:44,735 --> 00:20:46,602
Look at that old clock.
394
00:20:46,604 --> 00:20:48,604
It's the same as the one
that they had at Meline's,
395
00:20:48,606 --> 00:20:50,005
off campus.
396
00:20:50,007 --> 00:20:51,340
Oh, yeah.
397
00:20:54,678 --> 00:20:56,712
Hey, remember that time we went
there on that double date?
398
00:20:57,881 --> 00:20:59,982
You set me up with your English T.A.
399
00:20:59,984 --> 00:21:02,084
Yeah. Kay said it was a bad idea.
400
00:21:02,086 --> 00:21:04,787
I just remember him droning on about
401
00:21:04,789 --> 00:21:07,623
Dryden's influence
on 18th-century literature.
402
00:21:07,625 --> 00:21:09,325
If you hadn't stepped in,
I think I might have
403
00:21:09,327 --> 00:21:11,260
stabbed him with my salad fork.
404
00:21:11,262 --> 00:21:13,095
Ah, Kay always knew better.
405
00:21:13,097 --> 00:21:16,665
Yeah. She fixed me up three times.
406
00:21:16,667 --> 00:21:18,834
- Then she gave up.
- Until now.
407
00:21:34,084 --> 00:21:37,486
You should sell the business.
408
00:21:37,488 --> 00:21:39,156
Excuse me?
409
00:21:39,757 --> 00:21:42,024
You would live.
410
00:21:42,026 --> 00:21:46,428
And you could take the proceeds
and start a new business
411
00:21:46,430 --> 00:21:49,164
without your brother as a partner.
412
00:21:49,166 --> 00:21:51,800
It's a good deal.
413
00:21:51,802 --> 00:21:55,237
Benitez Builders is my father's legacy.
414
00:21:55,239 --> 00:21:57,072
He built it from nothing.
415
00:21:57,074 --> 00:22:00,442
He was committed, hardworking, honorable.
416
00:22:00,444 --> 00:22:02,763
He expected the same thing
from both of us.
417
00:22:03,847 --> 00:22:08,484
My dad was difficult to please.
418
00:22:10,320 --> 00:22:13,322
I worked hard to be someone that
my father could be proud of.
419
00:22:13,324 --> 00:22:16,392
And I'm the one he trusted
with the controlling share.
420
00:22:16,394 --> 00:22:18,994
I'd rather die than let him down.
421
00:22:25,136 --> 00:22:26,835
Is that bothering you?
422
00:22:26,837 --> 00:22:28,470
Yeah. A little bit.
423
00:22:34,979 --> 00:22:36,579
The graft is failing.
424
00:22:40,650 --> 00:22:41,917
Oh!
425
00:22:45,089 --> 00:22:47,623
What's happening?
426
00:22:49,962 --> 00:22:52,323
Infusing heparin. He's hypercoagulable.
427
00:22:52,325 --> 00:22:54,732
The tunnel catheter is gonna
clot off just like the graft.
428
00:22:55,546 --> 00:22:58,514
That gives him even less leverage.
429
00:22:58,516 --> 00:23:02,284
It should convince Santiago to
accept his brother's offer.
430
00:23:02,286 --> 00:23:04,686
Santiago? Why him?
431
00:23:04,688 --> 00:23:06,288
I'm negotiating.
432
00:23:06,290 --> 00:23:07,790
With the wrong brother.
433
00:23:10,060 --> 00:23:11,717
The catheter's already obstructing.
434
00:23:11,719 --> 00:23:13,162
Whatever we're doing,
435
00:23:13,164 --> 00:23:15,330
it needs to happen in
the next couple of days.
436
00:23:18,268 --> 00:23:20,736
We'll do a live donor drive.
437
00:23:20,738 --> 00:23:22,137
Okay.
438
00:23:22,139 --> 00:23:24,173
One in 100,000 chance of success,
439
00:23:24,175 --> 00:23:25,874
but better than planning his funeral.
440
00:23:25,876 --> 00:23:28,177
I think the odds are better than that.
441
00:23:28,179 --> 00:23:29,812
We don't need to find a match.
442
00:23:29,814 --> 00:23:31,880
We just need the parade of
selfless family members
443
00:23:31,882 --> 00:23:34,283
to embarrass Armando into
doing the right thing.
444
00:23:39,189 --> 00:23:41,256
Evening, roomie.
445
00:23:41,258 --> 00:23:43,158
Evening, roomie.
446
00:23:51,901 --> 00:23:53,469
Hubert is dead.
447
00:23:53,471 --> 00:23:54,570
Yeah.
448
00:23:56,506 --> 00:23:57,573
Hmm.
449
00:23:57,575 --> 00:23:59,141
That's odd.
450
00:23:59,143 --> 00:24:01,076
I'm not sure if I overfed him
451
00:24:01,078 --> 00:24:03,879
or if it was when I changed
the water to clean his pebbles,
452
00:24:03,881 --> 00:24:06,882
but, yeah, definitely dead.
453
00:24:10,720 --> 00:24:13,288
We can get another fish.
454
00:24:13,290 --> 00:24:15,357
We don't need to.
455
00:24:15,359 --> 00:24:19,061
There are many fish in the sea.
456
00:24:19,063 --> 00:24:21,096
I said no.
457
00:24:21,098 --> 00:24:22,931
You wanted a pet.
458
00:24:22,933 --> 00:24:24,166
I got one.
459
00:24:24,168 --> 00:24:25,701
Very briefly.
460
00:24:25,703 --> 00:24:26,902
I'll go tomorrow and...
461
00:24:26,904 --> 00:24:28,470
No!
462
00:24:45,189 --> 00:24:47,523
Are you crying?
463
00:24:51,895 --> 00:24:53,629
Are you sad?
464
00:24:56,266 --> 00:24:58,367
I'm sad.
465
00:24:58,369 --> 00:25:02,504
And I'm angry and frustrated and upset.
466
00:25:05,542 --> 00:25:07,910
We should get another fish.
467
00:25:07,912 --> 00:25:11,446
The fish isn't the problem.
468
00:25:11,448 --> 00:25:13,415
I am.
469
00:25:13,417 --> 00:25:15,417
I'm pathetic.
470
00:25:15,419 --> 00:25:17,052
I went home to Hershey
471
00:25:17,054 --> 00:25:19,755
because I was unfulfilled with my life.
472
00:25:19,757 --> 00:25:24,092
I thought I could help
my bullheaded brother
473
00:25:24,094 --> 00:25:25,727
save the shop,
474
00:25:25,729 --> 00:25:29,928
be a part of something
I was really passionate about.
475
00:25:30,334 --> 00:25:32,935
Instead, we ended up tanking it together,
476
00:25:32,937 --> 00:25:34,403
along with our relationship.
477
00:25:34,405 --> 00:25:36,872
I came back here to get
my life back on track.
478
00:25:36,874 --> 00:25:38,373
How am I supposed to do that
479
00:25:38,375 --> 00:25:40,576
if I can't even keep a damn fish alive?
480
00:26:11,508 --> 00:26:13,308
I'll make it through this.
481
00:26:35,565 --> 00:26:38,767
It is okay to be afraid.
482
00:26:40,036 --> 00:26:42,437
How was your dinner with Dash?
483
00:26:44,941 --> 00:26:46,775
Forget about that.
484
00:26:46,777 --> 00:26:48,810
How are you?
485
00:26:48,812 --> 00:26:50,746
If I don't make it,
you have to give this thing
486
00:26:50,748 --> 00:26:51,947
with Dash a real shot.
487
00:26:51,949 --> 00:26:54,082
Kayla, please stop.
488
00:26:54,084 --> 00:26:56,718
Promise me. You have to.
489
00:26:56,720 --> 00:26:58,053
No.
490
00:26:58,055 --> 00:27:00,689
You can't put that on me.
491
00:27:00,691 --> 00:27:04,693
That's right. Claire never
turns her back on a friend,
492
00:27:04,695 --> 00:27:07,362
as long as it doesn't
put her heart at risk.
493
00:27:08,931 --> 00:27:10,465
That is not fair.
494
00:27:10,467 --> 00:27:13,435
- What you're asking...
- I'm asking you to trust my judgment
495
00:27:13,437 --> 00:27:15,270
- about the two of you.
- No, you're trying to pressure me
496
00:27:15,272 --> 00:27:16,838
into something that I don't want.
497
00:27:16,840 --> 00:27:19,421
- Like you always do.
- You need pushing
498
00:27:19,423 --> 00:27:21,877
because you've never known
what's best for you.
499
00:27:23,613 --> 00:27:28,450
S-So, is that why you dragged me out
500
00:27:28,452 --> 00:27:32,254
to pledge week to be rejected
by every sorority on campus?
501
00:27:32,256 --> 00:27:34,189
Or... Or went behind my back
502
00:27:34,191 --> 00:27:36,058
and invited my mother to graduation?
503
00:27:36,060 --> 00:27:37,659
At least you tried.
504
00:27:37,661 --> 00:27:38,960
You put something at risk.
505
00:27:38,962 --> 00:27:41,430
No. Give me a break.
506
00:27:41,432 --> 00:27:43,732
This was never about me, none of it.
507
00:27:43,734 --> 00:27:46,868
You always have to have it your way.
508
00:27:46,870 --> 00:27:49,538
You are a neurotic control freak
509
00:27:49,540 --> 00:27:51,640
who thinks she has the right
to dictate how everyone else
510
00:27:51,642 --> 00:27:53,408
should live their lives.
511
00:27:57,413 --> 00:27:58,480
It's time.
512
00:27:58,482 --> 00:28:00,148
I'm ready.
513
00:28:02,886 --> 00:28:04,186
Kayla...
514
00:28:26,843 --> 00:28:31,680
I'm sure you recognize Rafael,
your second cousin from Oxnard.
515
00:28:31,682 --> 00:28:34,149
He drove up as soon as he heard.
516
00:28:34,151 --> 00:28:36,518
Either we get lucky here
and you look like an ass,
517
00:28:36,520 --> 00:28:39,454
or we don't and you look like
an ass with a dead brother.
518
00:28:39,456 --> 00:28:41,156
Mm.
519
00:28:44,193 --> 00:28:47,095
He won't give his life for
a contracting company.
520
00:28:49,365 --> 00:28:52,567
He's not dying for the company.
521
00:28:52,569 --> 00:28:54,569
He's dying for your father.
522
00:28:57,507 --> 00:28:59,554
What makes you think that?
523
00:29:00,244 --> 00:29:04,768
He would rather die than
let your father down.
524
00:29:06,655 --> 00:29:08,956
He thinks that's what Dad would want?
525
00:29:11,855 --> 00:29:14,289
Santi did everything
the old man asked of him,
526
00:29:14,291 --> 00:29:16,258
worked twice as hard,
did everything twice as well
527
00:29:16,260 --> 00:29:18,160
as Dad ever could, but nothing
528
00:29:18,162 --> 00:29:20,295
was ever good enough for our father.
529
00:29:20,297 --> 00:29:22,197
No matter what we did,
he was always right there
530
00:29:22,199 --> 00:29:24,800
to point out where we had gone wrong.
531
00:29:26,869 --> 00:29:29,417
You know what he told me on his deathbed?
532
00:29:30,207 --> 00:29:31,807
He said that he wasn't proud of Santi
533
00:29:31,809 --> 00:29:34,109
for following in his footsteps...
534
00:29:34,111 --> 00:29:36,411
that he was disappointed that he settled.
535
00:29:40,149 --> 00:29:44,119
You should tell your brother that.
536
00:29:44,121 --> 00:29:46,354
It's a good card to play.
537
00:29:54,565 --> 00:29:56,264
He was wrong.
538
00:29:57,701 --> 00:30:00,569
You are the most loyal, hardworking,
539
00:30:00,571 --> 00:30:03,451
and principled guy I've ever known.
540
00:30:03,974 --> 00:30:06,208
And you deserve Dad's respect.
541
00:30:11,548 --> 00:30:15,116
You greedy, lying snake.
542
00:30:15,118 --> 00:30:17,586
You will say anything
to get what you want,
543
00:30:17,588 --> 00:30:19,387
even trying to ruin
the memories I have of Dad.
544
00:30:19,389 --> 00:30:20,622
Your memories of Dad?
545
00:30:20,624 --> 00:30:22,858
He was horrible. You know that.
546
00:30:22,860 --> 00:30:24,359
Get the hell out.
547
00:30:24,361 --> 00:30:26,628
- Santi, I'm not trying to...
- Get out!
548
00:30:51,766 --> 00:30:53,333
Give me the consent forms.
549
00:31:10,452 --> 00:31:15,389
My father told me he wished
I hadn't been born.
550
00:31:15,391 --> 00:31:17,624
I wasn't worth the trouble.
551
00:31:20,495 --> 00:31:26,199
But I knew I was worth the trouble
552
00:31:26,201 --> 00:31:31,790
because my brother always
looked out for me...
553
00:31:35,143 --> 00:31:38,245
...even when it made his life harder.
554
00:32:24,727 --> 00:32:26,678
5-0 prolene.
555
00:32:27,930 --> 00:32:30,515
Position the kidney in the pelvis.
556
00:32:33,001 --> 00:32:34,401
Dr. Murphy.
557
00:32:34,403 --> 00:32:36,002
Your stat cultures came back positive
558
00:32:36,004 --> 00:32:39,039
for ichthyophthirius multifiliis.
559
00:32:39,041 --> 00:32:40,507
Thank you.
560
00:32:44,011 --> 00:32:47,347
It's not for this patient.
561
00:32:47,349 --> 00:32:49,116
Do you need to deal with it?
562
00:32:49,118 --> 00:32:51,051
It's too late.
563
00:33:41,269 --> 00:33:42,969
You have a security problem.
564
00:33:42,971 --> 00:33:45,205
I will get my badge and my gun.
565
00:33:45,207 --> 00:33:48,575
Somebody stole my wallet
out of the locker.
566
00:33:49,844 --> 00:33:51,144
Are you sure you left it there?
567
00:33:51,146 --> 00:33:53,313
Yes. I'm sure.
568
00:34:02,456 --> 00:34:04,191
You were worried about it getting stolen,
569
00:34:04,193 --> 00:34:07,694
so you gave this to me
before your session today.
570
00:34:10,499 --> 00:34:12,265
Mine.
571
00:34:12,267 --> 00:34:13,967
Sorry.
572
00:34:13,969 --> 00:34:15,703
Stupid.
573
00:34:16,371 --> 00:34:18,205
Don't read anything into this.
574
00:34:28,349 --> 00:34:29,883
Uh, how is she?
575
00:34:29,885 --> 00:34:31,551
We removed a lot of the tumor
576
00:34:31,553 --> 00:34:33,320
and she's having the
chemotherapy bath now.
577
00:34:33,322 --> 00:34:35,288
- Mm-hmm.
- So far, she's doing well.
578
00:34:35,290 --> 00:34:37,624
Oh. Okay.
579
00:34:37,626 --> 00:34:39,593
- Kayla would want you to eat.
- Yeah.
580
00:34:39,595 --> 00:34:40,694
- Yeah.
- Of course she would.
581
00:34:40,696 --> 00:34:42,162
She'd forget to eat herself.
582
00:34:45,400 --> 00:34:47,901
Man, I-I really hate all...
all this waiting.
583
00:34:47,903 --> 00:34:50,136
Okay. Just sit.
584
00:34:50,138 --> 00:34:51,705
Breathe.
585
00:34:56,878 --> 00:34:59,289
Kayla's dealt with so much
586
00:35:00,148 --> 00:35:03,250
prodding and nausea,
587
00:35:03,252 --> 00:35:08,088
fatigue... and so much pain.
588
00:35:09,523 --> 00:35:11,614
I just wish she would let
me do something for her
589
00:35:11,616 --> 00:35:13,960
to make things easier.
590
00:35:17,499 --> 00:35:19,726
I want to protect my wife.
591
00:35:20,903 --> 00:35:24,104
Instead, I'm just sitting here,
waiting...
592
00:35:24,106 --> 00:35:26,706
waiting for her to die.
593
00:35:41,055 --> 00:35:42,355
Dash, I'm sorry.
594
00:35:42,357 --> 00:35:44,691
- They need me back in the O.R.
- Oh, yeah, yeah, yeah.
595
00:35:53,068 --> 00:35:55,219
Push another 60 of lasix.
596
00:35:56,538 --> 00:35:58,238
MAP is 26.
597
00:35:58,240 --> 00:35:59,973
She's in cardiopulmonary collapse.
598
00:36:06,584 --> 00:36:07,684
Second chest tube in.
599
00:36:07,686 --> 00:36:09,802
SATS are still dropping on 100%.
600
00:36:09,834 --> 00:36:11,000
It has to be heart failure.
601
00:36:11,002 --> 00:36:12,201
We need to crash her onto ECMO.
602
00:36:12,203 --> 00:36:13,669
Her cardiac index was fine.
603
00:36:13,671 --> 00:36:15,905
It must be toxic inflammatory
reaction to the chemo.
604
00:36:15,907 --> 00:36:17,673
She's intolerant.
605
00:36:17,675 --> 00:36:18,874
Stop the chemo.
606
00:36:24,716 --> 00:36:27,617
What if the fluid buildup isn't
a reaction to the chemo bath?
607
00:36:27,619 --> 00:36:29,518
What if it is the chemo bath?
608
00:36:31,088 --> 00:36:32,922
Her... Her mediastinum is widening.
609
00:36:32,924 --> 00:36:34,523
If her diaphragm perforated,
610
00:36:34,525 --> 00:36:37,026
fluid could be leaking into her
chest, compressing her heart.
611
00:36:37,028 --> 00:36:39,462
The tumor we removed yesterday
was clinging to her diaphragm.
612
00:36:39,464 --> 00:36:42,265
If we close the hole,
she can finish her treatment.
613
00:36:44,468 --> 00:36:46,335
Let's re-open her incision.
614
00:37:02,719 --> 00:37:04,920
I just wanted to see how you were doing.
615
00:37:07,724 --> 00:37:10,159
His kidney numbers
are starting to improve.
616
00:37:12,896 --> 00:37:14,630
Take me back to my room, Doc.
617
00:37:16,620 --> 00:37:22,265
Manny... thanks for the kidney.
618
00:37:23,440 --> 00:37:24,840
You're welcome.
619
00:37:24,842 --> 00:37:26,075
Just don't come looking for another one
620
00:37:26,077 --> 00:37:27,895
without a big check in your hand.
621
00:37:28,680 --> 00:37:30,413
Jerk.
622
00:37:47,432 --> 00:37:49,432
That's good.
623
00:37:49,434 --> 00:37:53,302
Hey. You're just in time for
some, uh, celebratory ice chips.
624
00:37:56,840 --> 00:37:58,741
- Kay, I'm sorry...
- Don't be.
625
00:37:58,743 --> 00:38:00,910
You weren't entirely wrong.
626
00:38:00,912 --> 00:38:05,514
I... I can be a little manipulative.
627
00:38:05,516 --> 00:38:06,851
No.
628
00:38:07,719 --> 00:38:09,251
No, I was wrong.
629
00:38:12,556 --> 00:38:14,256
You don't try to control everything
630
00:38:14,258 --> 00:38:16,986
because you think you know
better than everyone else.
631
00:38:17,695 --> 00:38:20,490
You do it because you're a caring friend.
632
00:38:22,300 --> 00:38:26,001
You focus all your energy
633
00:38:26,003 --> 00:38:29,457
trying to protect us from
pain and suffering, and...
634
00:38:32,009 --> 00:38:35,077
and that lets you not
think about your own.
635
00:38:39,149 --> 00:38:40,583
But you have to.
636
00:38:48,125 --> 00:38:50,893
You are dying, Kayla.
637
00:38:52,329 --> 00:38:53,763
I know.
638
00:38:56,266 --> 00:38:57,777
You're dying...
639
00:38:58,469 --> 00:39:01,904
and it is not fair.
640
00:39:03,707 --> 00:39:07,143
And it is painful and scary.
641
00:39:07,145 --> 00:39:09,512
And it feels like you're
all alone with it.
642
00:39:09,514 --> 00:39:12,047
- Please, stop.
- But you're not.
643
00:39:15,318 --> 00:39:17,386
Dash is here.
644
00:39:22,226 --> 00:39:24,260
So am I.
645
00:39:50,754 --> 00:39:53,989
Thank you for everything you did.
646
00:39:53,991 --> 00:39:55,543
Of course.
647
00:39:56,260 --> 00:40:00,196
I, um... I meant what I said to Kayla.
648
00:40:00,198 --> 00:40:02,064
You really are the most gifted surgeon
649
00:40:02,066 --> 00:40:03,365
I have ever worked with.
650
00:40:08,205 --> 00:40:10,139
You did well today.
651
00:40:11,434 --> 00:40:12,810
Thanks.
652
00:40:13,544 --> 00:40:15,511
I'll report back to
Dr. Lim in the morning
653
00:40:15,513 --> 00:40:16,846
if that's what you want.
654
00:40:21,485 --> 00:40:23,953
Yeah, that's probably for the best.
655
00:40:33,631 --> 00:40:35,664
Shaun, I don't need another fish.
656
00:40:35,666 --> 00:40:37,867
- I don't want another fish.
- I do.
657
00:40:37,869 --> 00:40:39,635
Our goldfish died.
658
00:40:39,637 --> 00:40:42,671
You need to provide a replacement.
659
00:40:42,673 --> 00:40:44,974
Store policy... once a fish
leaves this store,
660
00:40:44,976 --> 00:40:47,176
all responsibility for
its well-being falls up...
661
00:40:47,178 --> 00:40:51,847
Hubert had ichthyophthirius multifiliis,
662
00:40:51,849 --> 00:40:56,118
a common goldfish parasite
picked up in pet stores.
663
00:40:59,155 --> 00:41:03,325
You have no leverage
and no cards to play.
664
00:41:13,704 --> 00:41:15,337
Pick a fish.
665
00:41:25,349 --> 00:41:27,950
You didn't kill Hubert.
666
00:41:27,952 --> 00:41:31,353
He was defective.
667
00:41:31,355 --> 00:41:33,088
We'll try again.
668
00:41:35,058 --> 00:41:37,726
Thank you, Shaun.
669
00:41:40,464 --> 00:41:43,599
Caring for a fish won't
sort out my problems.
670
00:41:45,703 --> 00:41:49,738
That one's pretty cute.
671
00:41:50,908 --> 00:41:53,442
Platies are a very hardy fish.
672
00:41:53,444 --> 00:41:55,678
They are difficult to kill.
673
00:42:10,409 --> 00:42:18,413
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