1
00:00:17,685 --> 00:00:18,952
Shaun...

2
00:00:19,019 --> 00:00:21,322
You need to give me
your driver's license.

3
00:00:22,022 --> 00:00:23,557
No, I don't.

4
00:00:23,624 --> 00:00:27,395
Do you remember the memory
test I gave you? Vividly.

5
00:00:27,461 --> 00:00:30,698
Yes. It demonstrated
you have a deficit.

6
00:00:30,764 --> 00:00:33,901
A deficit. You shouldn't be driving.
Dr. Blaize agreed.

7
00:00:33,967 --> 00:00:37,238
Shaun, that test was supposed
to be between us,

8
00:00:37,305 --> 00:00:39,440
that's why I didn't want
to do it at the hospital.

9
00:00:39,507 --> 00:00:42,643
Yes, your doctor needs
to be informed

10
00:00:42,710 --> 00:00:44,912
of the results
of all your medical tests.

11
00:00:44,978 --> 00:00:46,947
Even tests
that are done at home.

12
00:00:47,014 --> 00:00:50,084
Shaun, I've been driving
for like half a century.

13
00:00:50,151 --> 00:00:51,752
I'm an excellent driver, okay?

14
00:00:51,819 --> 00:00:54,021
I don't need to give you
my driver's license.

15
00:00:54,088 --> 00:00:56,857
Okay. Then I'll have
to notify the DMV.

16
00:00:57,791 --> 00:00:59,093
Dr. Glassman?

17
00:01:01,262 --> 00:01:03,264
You're not gonna notify
the DMV, Shaun.

18
00:01:03,331 --> 00:01:06,934
Yes, I will notify the DMV.

19
00:01:07,000 --> 00:01:09,002
Shaun, you will not
notify the DMV.

20
00:01:09,069 --> 00:01:10,471
Dr. Glassman,

21
00:01:10,538 --> 00:01:13,607
if you don't give me
your driver's license,

22
00:01:13,674 --> 00:01:15,809
I will notify the DMV.

23
00:01:16,710 --> 00:01:18,579
Dr. Glassman?

24
00:01:43,171 --> 00:01:44,472
George Reynolds, 28,

25
00:01:44,538 --> 00:01:46,140
sudden onset of arm
and leg weakness,

26
00:01:46,207 --> 00:01:48,108
right facial droop,
and trouble speaking.

27
00:01:48,176 --> 00:01:50,711
CT confirmed a middle cerebral
artery embolism.

28
00:01:50,778 --> 00:01:52,813
I booked us
into interventional radiology.

29
00:01:52,880 --> 00:01:54,758
When did you first notice
your symptoms, George?

30
00:01:54,782 --> 00:01:57,685
About,
four and a half hours ago.

31
00:01:57,751 --> 00:01:59,019
Wait, what's wrong with me?

32
00:01:59,086 --> 00:02:00,166
You may be having a stroke.

33
00:02:01,655 --> 00:02:03,324
You're on monthly injections
of Lupron?

34
00:02:03,391 --> 00:02:04,792
For three months.

35
00:02:04,858 --> 00:02:05,898
That may have caused this.

36
00:02:05,926 --> 00:02:07,395
Do you have prostate cancer?

37
00:02:07,461 --> 00:02:11,832
No. I... I was diagnosed
with atypical hyperplasia.

38
00:02:11,899 --> 00:02:13,743
That shouldn't have any effect
on what we're gonna do now.

39
00:02:13,767 --> 00:02:15,379
We're gonna take care of you,
George. Don't worry.

40
00:02:18,672 --> 00:02:21,809
This is local anesthetic,
you'll feel a pinch.

41
00:02:24,745 --> 00:02:26,380
Are you a real doctor?

42
00:02:26,447 --> 00:02:29,082
I'm Dr. Shaun Murphy.

43
00:02:29,149 --> 00:02:30,518
People ever call you Murph?

44
00:02:30,584 --> 00:02:31,585
No.

45
00:02:31,652 --> 00:02:34,021
I'm going to make
a small incision

46
00:02:34,087 --> 00:02:36,924
so we can insert the tube
and re-inflate your lung.

47
00:02:38,459 --> 00:02:39,727
What do they call you, Billy?

48
00:02:40,928 --> 00:02:45,065
CraterHead, Volcano, ThreeEyes,

49
00:02:45,132 --> 00:02:46,634
those are just
the creative ones.

50
00:02:47,501 --> 00:02:48,702
Hold tight.

51
00:02:48,769 --> 00:02:49,903
Here comes the tube...

52
00:02:59,713 --> 00:03:01,482
You guys really know
what you're doing.

53
00:03:01,549 --> 00:03:03,251
Yes, we do.

54
00:03:04,318 --> 00:03:06,654
We'll order an MRI
for your lungs.

55
00:03:06,720 --> 00:03:09,790
Then we will fix
your fractured eye orbit,

56
00:03:09,857 --> 00:03:11,459
that will require surgery.

57
00:03:12,993 --> 00:03:15,329
What do you say
we fix your forehead, too?

58
00:03:15,396 --> 00:03:16,497
You could do that?

59
00:03:16,564 --> 00:03:19,233
I think so... I don't think so.

60
00:03:19,300 --> 00:03:23,871
It's a pre-existing condition, and
it's not medically necessary.

61
00:03:23,937 --> 00:03:26,073
It shouldn't be approved.

62
00:03:42,390 --> 00:03:45,793
The MCA clot is obstructing
all distal flow.

63
00:03:45,859 --> 00:03:49,297
Anti-androgens aren't
indicated for hyperplasia...

64
00:03:49,363 --> 00:03:50,764
He said atypical.

65
00:03:50,831 --> 00:03:52,132
You think he's lying?

66
00:03:53,767 --> 00:03:56,637
Maybe he's gender transitioning.

67
00:03:56,704 --> 00:04:00,308
Aside from cancer, there
aren't many other indications.

68
00:04:00,374 --> 00:04:02,643
Let's focus on what we do know.

69
00:04:02,710 --> 00:04:04,645
Feeding the catheter.

70
00:04:04,712 --> 00:04:06,246
Suctioning the thrombus,

71
00:04:07,848 --> 00:04:10,050
and he's recanalizing.
Slowly retract.

72
00:04:12,353 --> 00:04:14,622
Whatever his reasons are
for taking anti-androgens,

73
00:04:14,688 --> 00:04:16,089
hopefully there are options.

74
00:04:16,156 --> 00:04:18,459
He either drops them or he's
gonna keep having strokes.

75
00:04:20,694 --> 00:04:24,798
The forehead repair would be
expensive and cosmetic...

76
00:04:24,865 --> 00:04:26,199
It's not about prettying him up,

77
00:04:26,266 --> 00:04:28,469
it could give him
a new life, friends,

78
00:04:28,536 --> 00:04:29,870
maybe a few less beatings.

79
00:04:29,937 --> 00:04:32,406
Stopping the beatings
is the guards' job.

80
00:04:33,707 --> 00:04:36,143
You really don't have
any empathy for Billy?

81
00:04:36,209 --> 00:04:39,913
Empathy is a bad reason
to fight for someone.

82
00:04:39,980 --> 00:04:42,483
If empathy makes me
only want to help patients

83
00:04:42,550 --> 00:04:45,018
who are from Wyoming
or have ASD,

84
00:04:45,085 --> 00:04:46,654
then that's very unfair

85
00:04:46,720 --> 00:04:48,922
to all my neuro-typical
patients from Idaho.

86
00:04:56,397 --> 00:04:57,931
I need to take those drugs.

87
00:04:57,998 --> 00:04:59,567
They caused your stroke.

88
00:05:02,903 --> 00:05:05,205
We don't think
you have hyperplasia.

89
00:05:05,272 --> 00:05:06,450
If you tell us the real reason,

90
00:05:06,474 --> 00:05:08,194
I'm sure there are
other safer treatments...

91
00:05:08,241 --> 00:05:09,443
No, there aren't!

92
00:05:11,278 --> 00:05:14,582
If you're transitioning,
there are alternatives...

93
00:05:14,648 --> 00:05:16,484
I told you
why I was taking the meds.

94
00:05:16,550 --> 00:05:19,487
George, we are your doctors,

95
00:05:19,553 --> 00:05:21,489
we need to know the truth.

96
00:05:21,555 --> 00:05:23,023
We're not gonna tell anyone.

97
00:05:31,999 --> 00:05:33,634
I'm not transitioning.

98
00:05:35,836 --> 00:05:39,272
And I don't have hyperplasia.

99
00:05:41,509 --> 00:05:43,110
I have problems...

100
00:05:43,176 --> 00:05:45,879
With my sex drive.

101
00:05:48,248 --> 00:05:52,019
I know it sounds stupid, like why
can't I just control myself, but...

102
00:05:54,588 --> 00:05:55,889
It's all I think about.

103
00:05:56,957 --> 00:05:58,358
It's all I can think about.

104
00:06:01,028 --> 00:06:03,296
I can't work,

105
00:06:03,363 --> 00:06:05,365
I can't socialize,

106
00:06:05,433 --> 00:06:07,535
I can't have a life.

107
00:06:09,637 --> 00:06:12,640
And those meds
are the only thing

108
00:06:12,706 --> 00:06:15,075
that makes it
even remotely tolerable.

109
00:06:16,143 --> 00:06:17,611
They'll kill you.

110
00:06:26,520 --> 00:06:28,321
The residents
have a betting pool

111
00:06:28,388 --> 00:06:30,123
on who you're going to appoint

112
00:06:30,190 --> 00:06:32,693
as your replacement
as Chief of Surgery.

113
00:06:32,760 --> 00:06:35,596
The decision needs to be made
with decorum and expediency.

114
00:06:35,663 --> 00:06:37,373
I haven't quite gotten
around to analyzing...

115
00:06:37,397 --> 00:06:39,042
You've had little face time
with your attendings

116
00:06:39,066 --> 00:06:40,601
since you became president.

117
00:06:40,668 --> 00:06:41,902
You need to correct that.

118
00:06:43,904 --> 00:06:45,473
I've scheduled
your announcement.

119
00:06:46,406 --> 00:06:47,541
You've got two days.

120
00:07:00,688 --> 00:07:03,323
Where is he? He's
gone, signed out AMA.

121
00:07:03,390 --> 00:07:05,225
I tried... How long ago?

122
00:07:05,292 --> 00:07:07,027
Five minutes...

123
00:07:12,065 --> 00:07:13,166
Why are we in a hurry?

124
00:07:13,233 --> 00:07:14,913
I was researching
alternative meds for him.

125
00:07:14,968 --> 00:07:16,704
Realized Lupron didn't
make any sense.

126
00:07:16,770 --> 00:07:19,172
Prescribing anti-androgens
for sexual urges

127
00:07:19,239 --> 00:07:20,650
is like hitting a mosquito
with a mallet.

128
00:07:20,674 --> 00:07:22,843
Unless they're deviant urges.

129
00:07:22,910 --> 00:07:24,978
We might've just released
a child molester.

130
00:07:34,755 --> 00:07:36,189
Should we call the police?

131
00:07:36,256 --> 00:07:37,558
We can't.

132
00:07:37,625 --> 00:07:39,159
We have no evidence of a crime.

133
00:07:45,232 --> 00:07:48,201
Lim's at 3 to 2, Melendez
is just behind at 2 to 1,

134
00:07:48,268 --> 00:07:51,572
Cooperberg's 7 to 1, and if
Dartling, or anybody else comes in,

135
00:07:51,639 --> 00:07:52,706
you can retire.

136
00:07:52,773 --> 00:07:54,341
Andrews might bail on Melendez

137
00:07:54,407 --> 00:07:56,644
when he finds out
our patient bolted.

138
00:07:56,710 --> 00:08:00,080
Which is why Melendez
is now 4 to 1.

139
00:08:00,147 --> 00:08:02,950
Pari-mutuel betting
is very exciting.

140
00:08:03,016 --> 00:08:05,252
Do you need empathy to be
a good doctor?

141
00:08:07,655 --> 00:08:10,257
No. I think it can interfere

142
00:08:10,323 --> 00:08:12,059
with effective decision-making.

143
00:08:12,125 --> 00:08:14,762
She's just saying that to
avoid hurting your feelings,

144
00:08:14,828 --> 00:08:16,964
thus making her
fake point for real.

145
00:08:17,030 --> 00:08:19,399
Her empathy made her lie to you.

146
00:08:19,466 --> 00:08:20,868
I think you just agreed with me

147
00:08:20,934 --> 00:08:22,235
and insulted me
at the same time.

148
00:08:22,302 --> 00:08:24,104
I think empathy's
very important...

149
00:08:24,171 --> 00:08:26,306
Telling the cold hard truth
even when it hurts,

150
00:08:26,373 --> 00:08:28,609
sometimes is the most
empathetic thing we can do.

151
00:08:28,676 --> 00:08:30,611
Which is what I'm doing
for Shaun right now.

152
00:08:30,678 --> 00:08:31,979
You're welcome.

153
00:08:33,480 --> 00:08:35,215
I have autism

154
00:08:35,282 --> 00:08:37,718
which means I have a
deficiency of mirror neurons,

155
00:08:37,785 --> 00:08:40,721
which inhibits me from emotionally
trading places with people,

156
00:08:40,788 --> 00:08:42,923
which makes empathy
very difficult.

157
00:08:47,060 --> 00:08:49,396
Does that mean
I can't be a good doctor?

158
00:08:51,198 --> 00:08:52,966
No, it doesn't.

159
00:08:53,033 --> 00:08:55,335
We all have our strengths
and weaknesses, Shaun.

160
00:08:55,402 --> 00:08:58,405
One of Claire's is making sure
everyone feels validated.

161
00:09:05,345 --> 00:09:07,114
The creep is back.

162
00:09:10,317 --> 00:09:12,152
Is George having another stroke?

163
00:09:12,219 --> 00:09:13,621
No.

164
00:09:13,687 --> 00:09:15,789
Severe lacerations
to the scrotum.

165
00:09:15,856 --> 00:09:17,324
Did you give him
anything for pain?

166
00:09:17,390 --> 00:09:20,427
Morphine. Four milligrams.
And I notified the cops.

167
00:09:20,493 --> 00:09:21,537
I think it was a hate crime.

168
00:09:21,561 --> 00:09:23,597
Yeah, I don't think so.

169
00:09:26,199 --> 00:09:28,101
All right.

170
00:09:28,168 --> 00:09:30,570
On my count. One, two, three.

171
00:09:32,405 --> 00:09:33,473
We'll take it from here.

172
00:09:33,540 --> 00:09:35,042
I'll pack him and prep him.

173
00:09:42,816 --> 00:09:44,256
You did this to yourself,
didn't you?

174
00:09:48,255 --> 00:09:51,158
I think I know what kind
of urges you've been having.

175
00:09:54,461 --> 00:09:56,129
I'm not a monster.

176
00:09:56,196 --> 00:09:58,632
I never touched anyone...

177
00:09:58,699 --> 00:10:00,734
Any... Child.

178
00:10:05,572 --> 00:10:08,976
My sister and I
were always best friends...

179
00:10:09,042 --> 00:10:10,377
But then she had children.

180
00:10:12,780 --> 00:10:14,715
If I can't keep taking
the drugs...

181
00:10:16,717 --> 00:10:18,986
I had to do this.

182
00:10:19,052 --> 00:10:20,688
Home surgery tends to not have

183
00:10:20,754 --> 00:10:23,156
the results you're hoping for.

184
00:10:23,223 --> 00:10:26,293
You did a lot of damage but
your testicles are unscathed.

185
00:10:30,798 --> 00:10:32,499
Please, finish the job.

186
00:10:37,671 --> 00:10:40,607
I say we do it, he's a pedophile.
No, he's not.

187
00:10:40,674 --> 00:10:41,875
He just told us he was.

188
00:10:41,942 --> 00:10:43,510
He has never acted on his urges,

189
00:10:43,576 --> 00:10:46,346
and he's asking us to do something
to ensure he never does.

190
00:10:46,413 --> 00:10:49,049
He is a decent person trying...
I'm confused.

191
00:10:49,116 --> 00:10:50,450
What do you want to do with him?

192
00:10:50,517 --> 00:10:52,853
Treat him like a patient
with a diagnosis.

193
00:10:52,920 --> 00:10:54,187
Put him on antidepressants,

194
00:10:54,254 --> 00:10:56,423
refer him to a urologist,
give him a psych eval.

195
00:10:56,489 --> 00:10:59,259
Let the experts determine if
he should have a castration.

196
00:10:59,326 --> 00:11:01,294
Psych eval? Antidepressants?

197
00:11:01,361 --> 00:11:03,030
When we refer people
for counseling,

198
00:11:03,096 --> 00:11:04,531
how often do they get cured?

199
00:11:04,597 --> 00:11:06,299
I am looking to help him
manage this dis...

200
00:11:06,366 --> 00:11:07,744
And if they don't get cured,
what happens?

201
00:11:07,768 --> 00:11:10,637
They get more depressed,
can't cope, quit jobs,

202
00:11:10,704 --> 00:11:12,039
maybe kill themselves?

203
00:11:12,105 --> 00:11:14,374
All bad, but not
rape-a-child bad.

204
00:11:16,376 --> 00:11:18,178
So what are you going to do?

205
00:11:22,615 --> 00:11:26,386
We can't ethically remove healthy
organs for crime prevention.

206
00:11:26,453 --> 00:11:28,321
We don't amputate
a kleptomaniac's hands

207
00:11:28,388 --> 00:11:30,323
to prevent them from stealing.

208
00:11:30,390 --> 00:11:31,725
Hands have many purposes,

209
00:11:31,792 --> 00:11:34,294
the balls of a pedophile
have but one.

210
00:11:34,361 --> 00:11:36,730
Set up his referrals
and patch him up.

211
00:11:49,509 --> 00:11:51,211
How long you been in Foothills?

212
00:11:51,278 --> 00:11:52,813
Nine months.

213
00:11:52,880 --> 00:11:54,347
Time flies in juvie.

214
00:11:54,414 --> 00:11:56,516
Any visitors?

215
00:11:56,583 --> 00:11:59,652
I don't have a granny bringing me
cookies, if that's what you mean.

216
00:11:59,719 --> 00:12:02,655
This is why empathy is bad.

217
00:12:02,722 --> 00:12:05,926
You're talking to our patient
because you like him,

218
00:12:05,993 --> 00:12:07,160
which is causing him to move,

219
00:12:07,227 --> 00:12:09,062
which is affecting our imagery.

220
00:12:09,129 --> 00:12:10,597
He's scared.

221
00:12:10,663 --> 00:12:11,941
I'm talking to him
to calm him down

222
00:12:11,965 --> 00:12:13,500
which is improving our imagery.

223
00:12:13,566 --> 00:12:15,668
The fact that I like him
is beside the point.

224
00:12:16,403 --> 00:12:18,271
You grow up in San Jose?

225
00:12:18,338 --> 00:12:21,809
East Paly, but I got out
of there as soon as I could...

226
00:12:21,875 --> 00:12:22,943
I was 15.

227
00:12:23,010 --> 00:12:24,244
Your parents still there?

228
00:12:25,012 --> 00:12:26,379
Mom's gone,

229
00:12:26,446 --> 00:12:29,549
dear old Dad is terrible.

230
00:12:29,616 --> 00:12:30,851
Siblings?

231
00:12:30,918 --> 00:12:32,152
Little brother...

232
00:12:32,219 --> 00:12:33,420
He's gone too.

233
00:12:37,557 --> 00:12:39,993
Crappy dad. Lost his brother...

234
00:12:40,060 --> 00:12:42,162
I mean, you really don't ha...
He's not scared.

235
00:12:42,229 --> 00:12:45,665
He's short of breath because
his diaphragm is lacerated.

236
00:12:45,732 --> 00:12:50,337
His stomach has passed through
that tear and is now in his chest.

237
00:12:50,403 --> 00:12:53,773
Billy needs emergency surgery
on his diaphragm.

238
00:12:56,276 --> 00:12:57,544
The defect reaches all the way

239
00:12:57,610 --> 00:13:00,147
from the center
to the anterior costal margin.

240
00:13:00,213 --> 00:13:01,849
So what do we need to do?

241
00:13:01,915 --> 00:13:04,475
Divide the inferior pulmonary
ligament to bring the lung upwards.

242
00:13:05,385 --> 00:13:06,753
Mesh.

243
00:13:09,890 --> 00:13:12,292
Whoever kicked him was
wearing some serious footwear.

244
00:13:12,359 --> 00:13:15,495
And they'll be waiting for him when
he goes back. Unless we help him.

245
00:13:15,562 --> 00:13:17,797
Dr. Park wants
to fix his forehead.

246
00:13:20,067 --> 00:13:21,601
The constitution
guarantees prisoners

247
00:13:21,668 --> 00:13:23,303
get the same care
as everyone else.

248
00:13:23,370 --> 00:13:26,739
Most non-prisoners can't
afford cosmetic surgery.

249
00:13:26,806 --> 00:13:29,242
He would be getting better
care than everyone else.

250
00:13:29,309 --> 00:13:33,013
Kid is smart and personable and puts up a
great front. But he's scared to death.

251
00:13:33,080 --> 00:13:35,015
And he got 36 months
for selling weed,

252
00:13:35,082 --> 00:13:36,749
a crime that doesn't
even exist anymore.

253
00:13:36,816 --> 00:13:38,527
You think his life
would be anything like this

254
00:13:38,551 --> 00:13:40,631
if he didn't grow up with a
massive dent in his head?

255
00:13:41,955 --> 00:13:44,624
Sorry, I'm not convinced.

256
00:13:44,691 --> 00:13:48,128
Is that because you don't have
any empathy for Billy?

257
00:13:49,396 --> 00:13:51,731
No. It's because
I agree with you.

258
00:13:51,798 --> 00:13:54,167
It's expensive, risky
and unnecessary.

259
00:13:54,234 --> 00:13:57,504
But empathy can be
an invaluable motivator,

260
00:13:57,570 --> 00:14:00,941
Dr. Murphy, that truly connects
the physician with their patient.

261
00:14:05,946 --> 00:14:07,747
Is he still up there?

262
00:14:14,587 --> 00:14:16,656
Yes he is.

263
00:14:19,192 --> 00:14:21,128
We can't do the castration,
George.

264
00:14:21,194 --> 00:14:23,830
Not without the proper
psychiatric clearance.

265
00:14:23,897 --> 00:14:24,965
That'll take forever.

266
00:14:25,032 --> 00:14:26,733
Just a few months.

267
00:14:26,799 --> 00:14:28,335
A few months is forever.

268
00:14:28,401 --> 00:14:31,304
Binge watch your favorite shows,
catch up on your reading.

269
00:14:31,371 --> 00:14:33,006
You attracted to men,
Dr. Reznick?

270
00:14:34,074 --> 00:14:36,609
Yes. Adult men.

271
00:14:36,676 --> 00:14:39,812
And if that were reprehensible,

272
00:14:39,879 --> 00:14:41,214
do you think you could stop?

273
00:14:43,483 --> 00:14:45,953
You have no idea what it's like

274
00:14:46,019 --> 00:14:47,754
to live with these thoughts.

275
00:14:48,388 --> 00:14:51,024
I hate them,

276
00:14:51,091 --> 00:14:53,060
and I hate myself
for having them.

277
00:14:55,228 --> 00:14:56,496
But I can't stop them.

278
00:14:57,931 --> 00:15:00,433
And I'm afraid
of what I could do.

279
00:15:05,238 --> 00:15:07,440
We will start the process
immediately.

280
00:15:07,507 --> 00:15:11,044
In the meantime, we'll transfuse
you, get you on antibiotics...

281
00:15:11,111 --> 00:15:14,347
No. I'm refusing treatment.

282
00:15:14,414 --> 00:15:18,285
No transfusion. No antibiotics.
No repair.

283
00:15:18,351 --> 00:15:19,852
Let 'em rot.

284
00:15:23,490 --> 00:15:25,058
We have something in common.

285
00:15:27,527 --> 00:15:29,662
Neither of us has
a driver's license.

286
00:15:32,765 --> 00:15:35,902
How do you feel about
not having a driver's license?

287
00:15:37,670 --> 00:15:39,606
I'm pissed, Shaun.

288
00:15:39,672 --> 00:15:41,374
You feel pissed.

289
00:15:41,441 --> 00:15:43,343
Yes, I feel pissed.
I feel very pissed

290
00:15:43,410 --> 00:15:46,013
because something important
was taken away from me.

291
00:15:46,079 --> 00:15:47,547
And by a friend.

292
00:15:47,614 --> 00:15:49,616
You feel very pissed

293
00:15:49,682 --> 00:15:52,352
because something important
was taken away from you,

294
00:15:52,419 --> 00:15:53,653
and by a friend.

295
00:15:53,720 --> 00:15:55,688
And parroting everything
I say isn't helping.

296
00:15:56,889 --> 00:16:00,027
I'm finding commonality,
Dr. Glassman,

297
00:16:00,093 --> 00:16:02,729
and inquiring
about your emotional state,

298
00:16:02,795 --> 00:16:05,798
and actively listening
by restating your responses.

299
00:16:05,865 --> 00:16:09,636
"External corroboration enhances
our sense of self-worth."

300
00:16:10,870 --> 00:16:12,905
Okay.

301
00:16:12,972 --> 00:16:15,075
The day after I got
my driver's license,

302
00:16:15,142 --> 00:16:16,776
you want to know what I did?

303
00:16:16,843 --> 00:16:21,581
I went out and bought a 1963
Galaxie, Midnight Blue. 1,255 bucks,

304
00:16:21,648 --> 00:16:26,486
every penny I earned for the past
three years working in a gas station.

305
00:16:26,553 --> 00:16:27,954
How do you think
that made me feel?

306
00:16:28,888 --> 00:16:30,123
You liked it?

307
00:16:30,190 --> 00:16:32,392
No, Shaun. I loved it.

308
00:16:32,459 --> 00:16:33,926
You want to know why?

309
00:16:33,993 --> 00:16:37,030
Because a car to a 16-year-old
kid means independence,

310
00:16:37,097 --> 00:16:38,931
which means he can go
wherever he wants

311
00:16:38,998 --> 00:16:40,767
whenever he wants.

312
00:16:40,833 --> 00:16:43,670
And that doesn't change
with age, Shaun,

313
00:16:45,472 --> 00:16:46,906
in fact, it means even more.

314
00:16:50,677 --> 00:16:53,046
When you took my license,
that's what you took from me.

315
00:16:56,283 --> 00:16:57,684
I don't expect you
to understand.

316
00:16:57,750 --> 00:16:59,186
So you don't have to pretend.

317
00:17:10,230 --> 00:17:12,632
Hey. Is Andrews stalking you?

318
00:17:12,699 --> 00:17:14,000
Yeah. It's annoying.

319
00:17:14,067 --> 00:17:16,067
We need to stand together
and tell him to back off.

320
00:17:17,237 --> 00:17:18,971
I'm not telling the president
he's annoying.

321
00:17:19,038 --> 00:17:20,707
He's infringing on our autonomy

322
00:17:20,773 --> 00:17:22,642
and inhibiting
the free flow of ideas,

323
00:17:22,709 --> 00:17:24,177
both of which affect our ability

324
00:17:24,244 --> 00:17:26,045
to deliver
the best patient care.

325
00:17:27,980 --> 00:17:30,450
That sounds slightly better.

326
00:17:30,517 --> 00:17:32,219
Okay. I'm in.

327
00:17:36,889 --> 00:17:39,259
Are you? No. Of course not.

328
00:17:39,326 --> 00:17:42,205
The last thing I'm gonna do right now
is confront him. I'm the front-runner.

329
00:17:42,229 --> 00:17:44,464
Not according to Vegas.
I'm 3 to 2.

330
00:17:46,699 --> 00:17:49,202
Guess they don't know that you
have double my mortality rate.

331
00:17:51,538 --> 00:17:52,839
I'm a trauma surgeon,

332
00:17:52,905 --> 00:17:54,874
you're comparing apples
to asshats.

333
00:17:56,176 --> 00:17:58,077
I resent being called an apple.

334
00:18:00,046 --> 00:18:02,149
The diaphragm repair
went very well.

335
00:18:02,215 --> 00:18:04,517
And we've scheduled
your orbital fracture repair.

336
00:18:04,584 --> 00:18:07,754
We'll get you some stronger
pain meds for the recovery.

337
00:18:07,820 --> 00:18:09,689
When are you gonna
fix my forehead,

338
00:18:09,756 --> 00:18:11,090
make me all John Legend?

339
00:18:13,760 --> 00:18:16,529
I tried, Billy. I'm sorry.

340
00:18:18,064 --> 00:18:19,832
I wasn't really getting
my hopes up anyway.

341
00:18:21,033 --> 00:18:22,202
My dad taught me that.

342
00:18:22,269 --> 00:18:24,471
He'd say,
"You know what, Billy?"

343
00:18:24,537 --> 00:18:27,106
And he'd just punch me
in the face.

344
00:18:27,174 --> 00:18:29,676
At least, I think that was the
lesson he was trying to impart.

345
00:18:29,742 --> 00:18:31,278
That's what happened
to your forehead?

346
00:18:34,714 --> 00:18:36,549
He was a big A's fan.

347
00:18:36,616 --> 00:18:38,651
Watched every game
with a bat in his hand.

348
00:18:40,587 --> 00:18:43,590
August 14th, 2008,

349
00:18:43,656 --> 00:18:45,892
they lost in the 12th inning...

350
00:19:06,879 --> 00:19:08,291
Infection's setting in,
but his testicles

351
00:19:08,315 --> 00:19:10,149
still show good flow
on the Doppler.

352
00:19:10,217 --> 00:19:11,618
Pain meds? He won't take them.

353
00:19:11,684 --> 00:19:14,164
Thinks they'll knock him out and
we'll step in and repair them.

354
00:19:15,622 --> 00:19:17,557
I hate this.

355
00:19:17,624 --> 00:19:19,025
Me too.

356
00:19:27,267 --> 00:19:30,770
I'm going to be a good driver.

357
00:19:30,837 --> 00:19:33,906
I got every answer correct
on the written test.

358
00:19:33,973 --> 00:19:37,109
Except one, but that was because
it was improperly worded.

359
00:19:37,176 --> 00:19:40,280
I told the DMV
they need to rewrite it

360
00:19:40,347 --> 00:19:43,750
and they said they'd
take it under advisement.

361
00:19:43,816 --> 00:19:45,084
Great.

362
00:19:45,151 --> 00:19:46,519
Let's go.

363
00:19:54,661 --> 00:19:56,963
Okay, let's close our eyes

364
00:19:57,029 --> 00:20:00,633
and take
some nice, deep breaths...

365
00:20:04,804 --> 00:20:07,474
And how about
a little guided imagery

366
00:20:07,540 --> 00:20:11,778
to evoke
positive visualizations?

367
00:20:14,881 --> 00:20:16,082
Okay.

368
00:20:16,148 --> 00:20:18,285
Let's picture the parking lot,

369
00:20:18,351 --> 00:20:20,820
the cars around us,

370
00:20:20,887 --> 00:20:23,823
the yellow steel thingy at the
entrance of the parking lot

371
00:20:23,890 --> 00:20:26,125
that could really do
a lot of damage...

372
00:20:26,192 --> 00:20:27,594
A bollard.

373
00:20:29,195 --> 00:20:34,667
The speed bump that is
15 feet from the corner

374
00:20:34,734 --> 00:20:38,771
with the stop sign that someone
put a "Hate" sticker on

375
00:20:38,838 --> 00:20:41,073
so it says "Stop Hate,"

376
00:20:41,140 --> 00:20:43,776
which is right in front
of the Jiff-E Mart,

377
00:20:43,843 --> 00:20:46,646
which says it's open
"8 til Late, 24/7,"

378
00:20:46,713 --> 00:20:49,015
which can't be true beca...
That's great, Shaun.

379
00:20:49,081 --> 00:20:50,850
Super amount of visualization.

380
00:20:50,917 --> 00:20:54,787
And now that we're feeling
comfortable about our surroundings,

381
00:20:54,854 --> 00:20:56,689
we can put the car into drive,

382
00:20:57,724 --> 00:20:59,959
ease our foot off the brake...

383
00:21:00,927 --> 00:21:02,295
Very nice...

384
00:21:02,362 --> 00:21:04,263
We can open our eyes now, Shaun.

385
00:21:04,331 --> 00:21:05,865
What we're doing is cruel.

386
00:21:05,932 --> 00:21:07,967
I'm open to all options,
Dr. Browne.

387
00:21:16,809 --> 00:21:19,011
I'm gonna have to ask you
to give us some privacy.

388
00:21:19,078 --> 00:21:20,713
Really?

389
00:21:20,780 --> 00:21:23,816
You want to throw the president of the
hospital out of a medical discussion?

390
00:21:27,086 --> 00:21:28,888
You're infringing on my autonomy

391
00:21:28,955 --> 00:21:30,690
and inhibiting
the free flow of ideas,

392
00:21:30,757 --> 00:21:32,124
both of which affect my ability

393
00:21:32,191 --> 00:21:33,593
to deliver
the best patient care.

394
00:21:43,803 --> 00:21:45,438
Dr. Melendez.

395
00:21:51,277 --> 00:21:52,912
There are many drivers

396
00:21:52,979 --> 00:21:55,247
not following
the rules of the road.

397
00:21:55,314 --> 00:22:00,487
They fail to signal,
check their blind spots,

398
00:22:00,553 --> 00:22:03,756
display a red flag
when the load extends

399
00:22:03,823 --> 00:22:06,225
more than four feet
past the tail lamp.

400
00:22:06,292 --> 00:22:08,495
You're right, Shaun,
it's a mad world.

401
00:22:08,561 --> 00:22:10,201
But there's nothing
you can do about them,

402
00:22:10,229 --> 00:22:11,531
you just got to focus on you.

403
00:22:11,598 --> 00:22:13,433
Yes, let's focus on me.

404
00:22:13,500 --> 00:22:15,101
Yes.

405
00:22:15,167 --> 00:22:17,404
Let's take the next right.

406
00:22:21,107 --> 00:22:23,042
You can drive in the bike lane

407
00:22:23,109 --> 00:22:24,749
when you're this close
to the turn, Shaun.

408
00:22:24,811 --> 00:22:26,513
No, I can't.

409
00:22:26,579 --> 00:22:27,780
It's a broken line.

410
00:22:27,847 --> 00:22:30,182
That was the improperly
worded question,

411
00:22:30,249 --> 00:22:32,118
whether it's broken or solid,

412
00:22:32,184 --> 00:22:33,720
you can't enter the bike lane

413
00:22:33,786 --> 00:22:35,888
this distance
from the intersection.

414
00:22:35,955 --> 00:22:37,890
I told them that it...

415
00:22:42,429 --> 00:22:44,731
Okay, Shaun. You don't
have to go so slow.

416
00:22:47,834 --> 00:22:50,737
She's in the lane, she's not
supposed to be in the lane.

417
00:22:50,803 --> 00:22:53,005
It's a violation
carrying a fine...

418
00:22:53,072 --> 00:22:55,107
Okay, Shaun, don't worry
about what she's doing...

419
00:22:55,174 --> 00:22:57,944
No. Shaun, you have to
pull into the bike lane...

420
00:22:58,010 --> 00:22:59,450
Don't worry
about what she's doing...

421
00:23:01,347 --> 00:23:02,415
You can't just stop.

422
00:23:02,482 --> 00:23:03,816
Shaun, you can't just stop...

423
00:23:05,317 --> 00:23:06,919
Shaun!

424
00:23:10,523 --> 00:23:12,258
George is screaming in agony

425
00:23:12,324 --> 00:23:15,462
and we are doing nothing except
hiding behind ethical red tape.

426
00:23:15,528 --> 00:23:17,797
Ethical red tape is there
to protect people like him

427
00:23:17,864 --> 00:23:20,166
from making permanent
regrettable mistakes.

428
00:23:20,232 --> 00:23:21,977
I'm glad we're not using it
to cover our asses

429
00:23:22,001 --> 00:23:24,081
the day before the new
Chief of Surgery is announced.

430
00:23:28,908 --> 00:23:30,877
Let me sign off
on the documentation.

431
00:23:32,078 --> 00:23:35,114
I'll note his scrotum
is already beyond repair

432
00:23:35,181 --> 00:23:37,717
and surgical castration
is our only option.

433
00:23:38,751 --> 00:23:40,219
I vote yes. No.

434
00:23:40,286 --> 00:23:42,822
I'm not gonna let anyone
falsify medical records.

435
00:23:42,889 --> 00:23:45,525
Not for pain.
Not for a pedophile.

436
00:23:45,592 --> 00:23:47,960
Once his testes
are actually beyond repair,

437
00:23:48,027 --> 00:23:49,496
we will castrate him.

438
00:23:50,663 --> 00:23:52,074
So we're just gonna
leave him there screaming,

439
00:23:52,098 --> 00:23:53,733
keeping his entire unit awake?

440
00:23:54,867 --> 00:23:56,235
Move him.

441
00:24:04,043 --> 00:24:07,614
I'd like a clean dissection
through the periosteal planes

442
00:24:07,680 --> 00:24:10,082
so I can slip the MEDPOR mesh
over the fracture.

443
00:24:10,149 --> 00:24:12,485
Why do I prefer MEDPOR mesh?

444
00:24:12,552 --> 00:24:14,721
It allows fibrovascular ingrowth

445
00:24:14,787 --> 00:24:16,689
and integration
of the patient's tissue.

446
00:24:18,991 --> 00:24:20,392
Prisoner surgeries are approved

447
00:24:20,459 --> 00:24:22,394
for psychological reasons
all the time.

448
00:24:22,461 --> 00:24:23,630
Tattoo removal,

449
00:24:23,696 --> 00:24:25,932
gender reassignments
include breast implants.

450
00:24:25,998 --> 00:24:28,868
Hell, if he had a crappy smile we
could justify dental work as needed

451
00:24:28,935 --> 00:24:30,637
for proper mastication.

452
00:24:30,703 --> 00:24:32,238
You sent a few kids to juvie?

453
00:24:34,140 --> 00:24:35,274
More than a few.

454
00:24:37,109 --> 00:24:39,045
You feel guilty.

455
00:24:39,111 --> 00:24:41,080
Think that's maybe clouding
your judgment?

456
00:24:42,414 --> 00:24:43,716
Maybe.

457
00:24:46,485 --> 00:24:50,089
You're afraid of ruffling Andrews'
feathers this close to decision day.

458
00:24:50,156 --> 00:24:51,591
Think that's maybe
clouding yours?

459
00:24:52,725 --> 00:24:55,261
We could give Billy
a breast implant.

460
00:24:58,030 --> 00:25:02,134
We could insert it over his split
thickness frontal bone defect.

461
00:25:02,201 --> 00:25:05,738
It would only require a tiny
incision at his eyebrow.

462
00:25:05,805 --> 00:25:07,506
Now you're in favor of this?

463
00:25:07,574 --> 00:25:11,778
I was against it because it was too
expensive and unnecessary and risky,

464
00:25:11,844 --> 00:25:13,379
but if we do it now,

465
00:25:13,445 --> 00:25:15,715
it won't require
any additional surgery,

466
00:25:15,782 --> 00:25:17,684
and it'd be very economical.

467
00:25:17,750 --> 00:25:20,486
He did give us verbal consent
when he was first admitted.

468
00:25:24,757 --> 00:25:25,992
Keep him under.

469
00:25:27,459 --> 00:25:29,161
Get what we need, Dr. Murphy.

470
00:25:42,675 --> 00:25:44,577
Ready or not...

471
00:25:44,644 --> 00:25:46,312
Tell Melendez to meet us
in the OR.

472
00:25:51,784 --> 00:25:53,920
Showing signs of ischemia,

473
00:25:53,986 --> 00:25:55,888
we have a strong medical case
for removing.

474
00:25:59,025 --> 00:26:00,627
Dr. Lim. You a castration fan?

475
00:26:00,693 --> 00:26:02,028
Right now, I am.

476
00:26:02,094 --> 00:26:04,430
Andrews told me he's backing off.
Great.

477
00:26:04,496 --> 00:26:06,766
Because you presented him
with a very good argument.

478
00:26:06,833 --> 00:26:08,968
My argument.
Which you regurgitated to him

479
00:26:09,035 --> 00:26:12,271
right after you said you wouldn't
back me up. Call that leadership?

480
00:26:12,338 --> 00:26:13,505
Yes, I do.

481
00:26:13,572 --> 00:26:15,574
You presented me
with a very good argument,

482
00:26:15,642 --> 00:26:18,344
but you didn't have the guts to
take it to Andrews on your own.

483
00:26:18,410 --> 00:26:20,512
One more reason I don't
want to work under you.

484
00:26:20,579 --> 00:26:23,282
You don't want this promotion so
that you can improve the hospital.

485
00:26:23,349 --> 00:26:25,251
You want it
for the pretty title.

486
00:26:25,317 --> 00:26:28,517
You're an adrenaline junky. You won't last
two weeks liaising with board members.

487
00:26:29,055 --> 00:26:30,990
There's a long and dusty trail

488
00:26:31,057 --> 00:26:33,225
littered with people
who have underestimated me.

489
00:26:36,829 --> 00:26:38,264
We're ready to go.

490
00:26:40,266 --> 00:26:41,868
Curved tissue scissors, please.

491
00:26:44,904 --> 00:26:47,707
- His systolic is 68.
- And look at this.

492
00:26:50,643 --> 00:26:52,712
He's septic.
He's going into D.I.C.

493
00:26:52,779 --> 00:26:54,513
Rerun his labs.

494
00:26:54,580 --> 00:26:56,382
Have platelets, plasma
and cryo ready.

495
00:26:56,448 --> 00:26:58,217
If he starts bleeding,
he'll die.

496
00:27:02,488 --> 00:27:05,557
I reduced the volume
from 80 cc's to 35.

497
00:27:17,770 --> 00:27:20,039
Have the odds changed
in the last 24 hours?

498
00:27:20,106 --> 00:27:21,540
Little. Where am I at?

499
00:27:21,607 --> 00:27:22,942
6 to 1.

500
00:27:24,877 --> 00:27:26,145
I'll put $100 on me.

501
00:27:29,648 --> 00:27:31,250
He's becoming
severely bradycardic.

502
00:27:31,317 --> 00:27:35,187
The pressure on his orbit
caused a retrobulbar hematoma.

503
00:27:35,254 --> 00:27:38,090
If we don't relieve it now, he'll arrest.
Forceps and scissors.

504
00:27:38,157 --> 00:27:40,359
Just lost his pulse,
pushing atropine.

505
00:27:40,426 --> 00:27:42,428
Set up a temporary
transcutaneous pacemaker.

506
00:27:42,494 --> 00:27:44,406
If we inject the orbital
muscle with local anesthetic

507
00:27:44,430 --> 00:27:45,998
we might be able
to fatigue the reflex.

508
00:27:46,065 --> 00:27:47,066
Do it.

509
00:27:50,102 --> 00:27:51,503
Starting CPR.

510
00:27:55,307 --> 00:27:57,910
I hope that's a look of resolve.

511
00:27:57,977 --> 00:28:01,948
Melendez stood up to me
in front of his residents.

512
00:28:02,014 --> 00:28:04,650
I did the same thing to
O'Connell when I was his age.

513
00:28:05,852 --> 00:28:07,386
What about Lim?

514
00:28:07,453 --> 00:28:09,822
She has the kind of focus
that took me years to develop.

515
00:28:11,290 --> 00:28:14,593
And Cooperberg, he reminds
me of me when I was...

516
00:28:14,660 --> 00:28:17,429
Marcus. You were good.

517
00:28:17,496 --> 00:28:19,665
But no one's gonna be as good
as you think you were.

518
00:28:21,801 --> 00:28:25,204
One of your weaknesses
was decision-making.

519
00:28:25,271 --> 00:28:27,591
I trust you've gotten past that
since I made you president.

520
00:28:34,246 --> 00:28:37,817
Continuing compressions until I
have capture on the pacemaker.

521
00:28:37,884 --> 00:28:40,319
Pacing pads are in position.

522
00:28:42,488 --> 00:28:43,522
Stopping CPR.

523
00:28:44,857 --> 00:28:46,192
Injecting lidocaine.

524
00:28:47,226 --> 00:28:49,361
I have set the rate to 80.

525
00:28:51,330 --> 00:28:53,699
Increase the ventricular
by two milliamps.

526
00:28:58,237 --> 00:29:00,672
Increase by two more.

527
00:29:11,951 --> 00:29:15,754
Blood pressure is
responding, 102 over 68.

528
00:29:16,789 --> 00:29:17,957
Keep those pacer settings

529
00:29:18,024 --> 00:29:19,464
and let's get back
to the main event.

530
00:29:24,196 --> 00:29:26,966
Both his PT and PTT
are coming back down,

531
00:29:27,033 --> 00:29:30,803
his systolic is stable at 110,
and no ectopy on the monitor.

532
00:29:30,870 --> 00:29:33,339
His D.I.C. score is back
under four. He's stabilized.

533
00:29:36,909 --> 00:29:37,977
Ball's in your court.

534
00:29:41,713 --> 00:29:44,016
Dr. Melendez?

535
00:29:44,083 --> 00:29:47,453
Effects of low testosterone on
cardiovascular function and sepsis?

536
00:29:47,519 --> 00:29:50,056
Possible acute
vascular response,

537
00:29:50,122 --> 00:29:51,523
circulatory collapse...

538
00:29:51,590 --> 00:29:53,192
And what about on D.I.C.?

539
00:29:53,259 --> 00:29:54,894
Increased risk
of clots and stroke.

540
00:29:58,130 --> 00:29:59,365
George's body can't tolerate

541
00:29:59,431 --> 00:30:02,134
any loss of testosterone
right now.

542
00:30:02,201 --> 00:30:05,437
We want to save his life,
we have to save his testicles.

543
00:30:08,074 --> 00:30:09,408
Sutures.

544
00:30:18,550 --> 00:30:19,919
I know how to get you to drive.

545
00:30:20,819 --> 00:30:21,954
I can't drive.

546
00:30:22,021 --> 00:30:24,423
Driving is just like surgery.

547
00:30:24,490 --> 00:30:26,425
Say you're driving
down the street

548
00:30:26,492 --> 00:30:29,028
and suddenly, somebody
steps off the sidewalk,

549
00:30:29,095 --> 00:30:30,329
right in front of you.

550
00:30:30,396 --> 00:30:31,630
Things like that must happen

551
00:30:31,697 --> 00:30:33,241
when you're deep inside
someone's belly.

552
00:30:33,265 --> 00:30:35,434
That doesn't make any sense.

553
00:30:35,501 --> 00:30:38,304
It's an analogy, Shaun. I need you
to work with me just a little bit.

554
00:30:38,871 --> 00:30:39,972
Give me.

555
00:30:44,143 --> 00:30:45,344
Okay.

556
00:30:50,582 --> 00:30:52,952
It would be
something unexpected,

557
00:30:53,019 --> 00:30:55,121
out of our control,

558
00:30:55,187 --> 00:30:58,190
from an aberrant source,
and very bad.

559
00:30:59,325 --> 00:31:03,662
It would be analogous
to an arterial bleed.

560
00:31:03,729 --> 00:31:07,766
How about if a truck stalls
out, crippling traffic?

561
00:31:07,833 --> 00:31:11,971
A thrombus impeding blood
flow, so we divert.

562
00:31:12,038 --> 00:31:13,839
A thrombus, exactly.

563
00:31:13,906 --> 00:31:15,774
What if you're just
cruising along

564
00:31:15,841 --> 00:31:18,644
and a car comes out of nowhere
and goes racing by?

565
00:31:18,710 --> 00:31:20,412
A tachyarrhythmia.

566
00:31:20,479 --> 00:31:23,482
Yes! Shaun, you got this. Yes.

567
00:31:23,549 --> 00:31:25,284
So let's get you driving
that hooptie.

568
00:31:29,821 --> 00:31:31,390
I've got this, Albert.

569
00:31:45,104 --> 00:31:46,605
We did the surgery.

570
00:31:46,672 --> 00:31:49,108
Your circulatory and clotting
systems were shutting down.

571
00:31:50,542 --> 00:31:53,512
But removing your testicles
would have put you

572
00:31:53,579 --> 00:31:55,181
at greater risk
by reducing your...

573
00:31:55,247 --> 00:31:56,748
You would have died.

574
00:32:01,353 --> 00:32:05,424
I've set you up with a
psychiatrist and a urologist.

575
00:32:05,491 --> 00:32:07,426
They'll screen you,
get you cleared,

576
00:32:07,493 --> 00:32:09,962
and then we can do this
the right way.

577
00:32:10,029 --> 00:32:11,663
George, we can get this done.

578
00:32:12,831 --> 00:32:16,835
You just cannot try this again.

579
00:32:18,904 --> 00:32:20,872
I get it.

580
00:32:20,939 --> 00:32:23,575
I do it your way,
or it just doesn't happen.

581
00:32:42,428 --> 00:32:44,463
It's just another
intersection, Shaun,

582
00:32:44,530 --> 00:32:47,799
just like the last one
and just like the next one...

583
00:32:47,866 --> 00:32:52,571
The last intersection isn't where everyone
honked at me and made me freeze...

584
00:32:52,638 --> 00:32:55,874
That was a different day,
with different drivers

585
00:32:55,941 --> 00:32:57,843
and a different Shaun
behind the wheel,

586
00:32:57,909 --> 00:33:00,712
because today,
this Shaun has a plan

587
00:33:00,779 --> 00:33:02,948
for this intersection,
which is...

588
00:33:04,016 --> 00:33:06,918
I am going to dissect it.

589
00:33:06,985 --> 00:33:08,187
Damn right you are.

590
00:33:08,254 --> 00:33:10,656
And today,
you're gonna turn right

591
00:33:10,722 --> 00:33:11,857
which you will do by...

592
00:33:11,923 --> 00:33:13,559
Determining laterality.

593
00:33:13,625 --> 00:33:16,428
And waiting until I can
legally enter the bike lane.

594
00:33:27,273 --> 00:33:29,841
Somebody just made a turn...

595
00:33:37,849 --> 00:33:39,085
Shaun!

596
00:33:44,990 --> 00:33:46,458
Everybody okay?

597
00:33:47,693 --> 00:33:49,828
You were wrong.

598
00:33:51,197 --> 00:33:53,865
You were wrong, Lea.
I can't drive.

599
00:33:56,034 --> 00:33:57,636
Shaun, I thought
I had it figured out.

600
00:33:57,703 --> 00:33:58,970
I can't drive.

601
00:33:59,037 --> 00:34:00,639
I...

602
00:34:00,706 --> 00:34:02,541
Surgery is mechanical.

603
00:34:02,608 --> 00:34:03,942
Mechanics are predictable.

604
00:34:04,009 --> 00:34:06,145
Driving is subject
to human foibles

605
00:34:06,212 --> 00:34:08,280
which means there are
limitless possibilities.

606
00:34:08,347 --> 00:34:09,781
You're right.
My metaphor sucked.

607
00:34:09,848 --> 00:34:11,483
It sucked very much.

608
00:34:13,051 --> 00:34:15,321
Because...

609
00:34:15,387 --> 00:34:19,024
Becoming a surgeon is about
way more than operating.

610
00:34:21,393 --> 00:34:23,162
You had to learn
about interacting

611
00:34:23,229 --> 00:34:27,266
with teachers,
co-workers, patients, bosses.

612
00:34:27,333 --> 00:34:29,668
Cooperating with them,
communicating with them...

613
00:34:29,735 --> 00:34:31,637
I am very bad at communicating.

614
00:34:32,838 --> 00:34:35,341
Shaun, you became a surgeon,

615
00:34:35,407 --> 00:34:39,978
one of the hardest things
that anyone can do.

616
00:34:40,045 --> 00:34:42,814
And you proved that just
because something is hard,

617
00:34:42,881 --> 00:34:44,216
doesn't mean you can't do it.

618
00:34:45,050 --> 00:34:46,618
And look what you just did.

619
00:34:46,685 --> 00:34:48,520
I just hit a trash can.

620
00:34:48,587 --> 00:34:52,191
Exactly, a trash can instead of
an oncoming car or a pedestrian.

621
00:34:53,392 --> 00:34:54,626
You did great, Shaun.

622
00:35:01,367 --> 00:35:05,771
That soccer ball was
a dropped Metzenbaum.

623
00:35:07,038 --> 00:35:09,241
I know, right?

624
00:35:15,381 --> 00:35:19,718
When I accidentally drop
an instrument in the OR,

625
00:35:19,785 --> 00:35:21,920
I react quickly
to minimize damage.

626
00:35:22,888 --> 00:35:25,123
Yes. Yes.

627
00:35:25,191 --> 00:35:26,792
I dropped a Metzenbaum.

628
00:35:31,963 --> 00:35:34,333
I can drive this hooptie.

629
00:35:40,439 --> 00:35:41,973
Window's about to close.

630
00:35:42,040 --> 00:35:43,442
$10 will get you $20
on Melendez,

631
00:35:43,509 --> 00:35:45,744
$10 will get you $1,000
if you want to bet on me.

632
00:35:48,146 --> 00:35:49,315
Hey, everybody.

633
00:35:51,217 --> 00:35:53,252
I can't be prouder
of all of you.

634
00:35:53,319 --> 00:35:56,021
We have grown into a preeminent
surgical department,

635
00:35:56,087 --> 00:35:58,690
which has been recognized
with the official designation

636
00:35:58,757 --> 00:36:01,026
of Surgical Center
of Excellence.

637
00:36:04,630 --> 00:36:06,164
It's now more important
than ever

638
00:36:06,232 --> 00:36:08,700
that we maintain
our high standards.

639
00:36:08,767 --> 00:36:10,802
And so, while there are
many worthy candidates,

640
00:36:11,770 --> 00:36:13,138
I've decided...

641
00:36:15,941 --> 00:36:18,076
to retain the title myself.

642
00:36:18,143 --> 00:36:19,745
Thank you.

643
00:36:22,948 --> 00:36:24,283
Thank you!

644
00:36:26,151 --> 00:36:27,353
Yes!

645
00:36:43,134 --> 00:36:44,670
Y...

646
00:36:45,971 --> 00:36:47,939
You... You did it. You...

647
00:36:49,341 --> 00:36:50,542
You really did it.

648
00:36:57,349 --> 00:36:58,884
It was his idea.

649
00:37:00,752 --> 00:37:02,120
Murph? You...

650
00:37:02,187 --> 00:37:06,358
We inserted a small breast implant
to fill in the depression

651
00:37:06,425 --> 00:37:09,328
and create a more aesthetically
pleasing contour.

652
00:37:09,395 --> 00:37:10,929
Breast implant?

653
00:37:10,996 --> 00:37:12,230
Yes.

654
00:37:16,167 --> 00:37:17,769
You saved my life.

655
00:37:23,375 --> 00:37:25,544
It was a mistake.

656
00:37:25,611 --> 00:37:28,880
It caused an oculocardiac
reflex and you almost died.

657
00:37:32,918 --> 00:37:34,520
It was a mistake.

658
00:37:41,527 --> 00:37:42,794
George?

659
00:37:44,596 --> 00:37:45,897
George?

660
00:37:50,769 --> 00:37:52,571
Why didn't his
monitor alarm go off?

661
00:37:52,638 --> 00:37:55,078
He was stable, I disconnected it
so he could use the restroom.

662
00:37:55,106 --> 00:37:56,775
I didn't... Morgan! He's gone!

663
00:38:07,953 --> 00:38:09,220
George!

664
00:38:46,257 --> 00:38:48,293
I was never gonna
confront Andrews.

665
00:38:49,695 --> 00:38:52,163
I was playing you.

666
00:38:52,230 --> 00:38:55,066
But damn if you didn't
actually make it work.

667
00:38:55,133 --> 00:38:56,768
It didn't work for anybody.

668
00:38:56,835 --> 00:38:59,270
He played us both.
He set us against each other.

669
00:39:04,275 --> 00:39:05,611
I think you were right.

670
00:39:07,245 --> 00:39:09,014
Even if you were just bluffing,

671
00:39:11,116 --> 00:39:12,418
we need to stand together.

672
00:39:14,319 --> 00:39:16,522
Where was that wisdom
two days ago?

673
00:39:20,358 --> 00:39:21,927
Still in the bottle.

674
00:39:28,500 --> 00:39:29,980
Hey. How'd you come up
with that idea?

675
00:39:30,035 --> 00:39:32,904
You mentioned breast implants
and I thought...

676
00:39:32,971 --> 00:39:34,072
Of his forehead.

677
00:39:34,139 --> 00:39:35,774
We were operating on his eye,

678
00:39:35,841 --> 00:39:37,476
his forehead was covered.

679
00:39:37,543 --> 00:39:38,910
Why were you thinking of it?

680
00:39:42,047 --> 00:39:43,415
You care about him,

681
00:39:43,482 --> 00:39:45,150
you were worried
about his problem.

682
00:39:45,851 --> 00:39:47,385
You empathized with him.

683
00:39:48,353 --> 00:39:51,022
My idea almost killed him.

684
00:39:51,089 --> 00:39:52,157
No, it didn't.

685
00:39:55,360 --> 00:39:56,995
I found these in Billy's drawer.

686
00:39:57,062 --> 00:39:59,397
Three days of pain meds.

687
00:39:59,465 --> 00:40:02,768
He was cheeking them
to build up a stash.

688
00:40:03,702 --> 00:40:05,336
He wasn't exaggerating.

689
00:40:08,006 --> 00:40:09,675
You saved his life, Shaun.

690
00:40:42,574 --> 00:40:44,543
This isn't the way
this should have ended...

691
00:40:50,749 --> 00:40:53,151
But I'm not so sure
the world is a worse place

692
00:40:53,218 --> 00:40:54,953
than it was a couple hours ago.

693
00:41:05,897 --> 00:41:08,066
You almost look comfortable
behind the wheel.

694
00:41:08,133 --> 00:41:10,502
This seat has
excellent lumbar support.

695
00:41:10,569 --> 00:41:12,037
But I am still very nervous.

696
00:41:22,881 --> 00:41:24,616
I can drive a car.

697
00:41:25,450 --> 00:41:26,652
I can see that.

698
00:41:26,718 --> 00:41:29,187
Lea taught me
using a very bad analogy.

699
00:41:29,254 --> 00:41:31,022
Nothing works
like a bad analogy.

700
00:41:31,089 --> 00:41:33,224
He's getting pretty good.

701
00:41:33,291 --> 00:41:35,260
Won't be long
before he gets his operator's.

702
00:41:35,326 --> 00:41:38,930
Your next radiation
appointment is in 45 minutes.

703
00:42:05,591 --> 00:42:06,792
Thank you.

704
00:42:11,630 --> 00:42:12,864
♪ I'd go the whole wide world

705
00:42:12,931 --> 00:42:15,767
♪ I'd go the whole wide world
just to find her

706
00:42:17,202 --> 00:42:18,904
♪ I'd go the whole wide world

707
00:42:18,970 --> 00:42:20,706
♪ I'd go the whole wide world