1 00:00:12,780 --> 00:00:14,315 What? 2 00:00:14,348 --> 00:00:15,749 It's time to wake up. 3 00:00:15,783 --> 00:00:18,052 Mnh-mnh. It's still dark outside. 4 00:00:18,086 --> 00:00:19,687 I'd like to have sex. 5 00:00:21,389 --> 00:00:23,591 As romantically as that was put, 6 00:00:23,624 --> 00:00:25,359 it's too early, Shaun. 7 00:00:26,894 --> 00:00:30,198 It's exactly early enough to have sex 8 00:00:30,231 --> 00:00:32,066 for the average duration it takes us 9 00:00:32,100 --> 00:00:33,801 and still allow precisely enough time 10 00:00:33,834 --> 00:00:35,803 to get ready for work. 11 00:00:37,338 --> 00:00:40,308 How long have you been up figuring that out? 12 00:00:40,341 --> 00:00:42,210 Since 4:53. 13 00:00:42,243 --> 00:00:43,977 But it only took two minutes. 14 00:00:46,080 --> 00:00:49,517 You've been waiting since then to propose this? 15 00:00:50,751 --> 00:00:53,454 I let you sleep as long as possible. 16 00:00:55,523 --> 00:00:59,393 That's... very considerate. 17 00:01:00,128 --> 00:01:01,529 Ohh. 18 00:01:25,052 --> 00:01:26,620 Sorry, I'm late. 19 00:01:26,654 --> 00:01:27,921 I'm Dr. Shaun Murphy. 20 00:01:27,955 --> 00:01:29,523 Kayley has a sore throat. 21 00:01:29,557 --> 00:01:31,000 More like this constant feeling 22 00:01:31,024 --> 00:01:32,402 like there's something stuck in my throat. 23 00:01:32,426 --> 00:01:34,061 And I've fainted a couple times, 24 00:01:34,094 --> 00:01:36,264 which I first thought was just random. 25 00:01:36,297 --> 00:01:38,098 And I'm obviously losing my voice. 26 00:01:38,132 --> 00:01:39,633 Since I've only just met you, 27 00:01:39,667 --> 00:01:42,403 I have no idea what your voice normally sounds like. 28 00:01:42,436 --> 00:01:43,637 Well, not this. 29 00:01:43,671 --> 00:01:47,308 Sometimes when swallowing, I get a super intense pain, 30 00:01:47,341 --> 00:01:50,644 like, worse than an ice cream headache. 31 00:01:50,678 --> 00:01:53,714 My internist sent me to an ear, nose, and throat guy, 32 00:01:53,747 --> 00:01:58,186 an orthopedic surgeon, um, three gastroenterologists, 33 00:01:58,219 --> 00:02:00,321 a voice issues specialist dude. 34 00:02:00,354 --> 00:02:02,590 An otolaryngologist. 35 00:02:04,825 --> 00:02:07,728 A-a neurosurgeon who thinks it might be a messed up nerve 36 00:02:07,761 --> 00:02:09,497 connecting the throat to the brain. 37 00:02:09,530 --> 00:02:12,032 The ninth cranial nerve, glossopharyngeal neuralgia. 38 00:02:12,065 --> 00:02:14,235 He recommended, like, brain surgery. 39 00:02:14,268 --> 00:02:16,404 Microvascular decompression. 40 00:02:16,437 --> 00:02:19,840 Which a second neurosurgeon said I don't need. 41 00:02:21,141 --> 00:02:23,110 You're not happy with the answers you're getting 42 00:02:23,143 --> 00:02:25,346 from a whole bunch of recommended specialists, 43 00:02:25,379 --> 00:02:27,581 so you came to the ER? 44 00:02:27,615 --> 00:02:29,617 I ran out of recommended specialists. 45 00:02:29,650 --> 00:02:30,684 Hmm. 46 00:02:30,718 --> 00:02:34,054 It is an intriguing combination of symptoms. 47 00:02:34,087 --> 00:02:35,956 We'll admit you and run some tests. 48 00:02:37,458 --> 00:02:38,492 Uh, Dr. Murphy? 49 00:02:40,528 --> 00:02:41,529 You're... 50 00:02:42,863 --> 00:02:43,931 Interesting. 51 00:02:43,964 --> 00:02:45,333 I have autism. 52 00:02:46,300 --> 00:02:47,301 That's so cool. 53 00:02:48,001 --> 00:02:49,337 Uh, I mean, no... 54 00:02:49,370 --> 00:02:51,705 Sor... Not... Not cool that you are. 55 00:02:51,739 --> 00:02:54,208 Be more insensitive, Kayley. Um... 56 00:02:55,276 --> 00:02:57,378 It's cool that you're this... 57 00:02:57,411 --> 00:03:00,748 Totally chill, super knowledgeable medico. 58 00:03:02,883 --> 00:03:06,320 Compliments... are very awkward. 59 00:03:10,391 --> 00:03:12,159 Cute doctor who's gonna cure me. 60 00:03:16,129 --> 00:03:17,865 Severe abdominal discomfort. 61 00:03:17,898 --> 00:03:19,967 Fever, tachy, hypotensive. 62 00:03:21,602 --> 00:03:24,204 It's okay, sweetie. 63 00:03:24,238 --> 00:03:25,506 What's your name? 64 00:03:25,539 --> 00:03:26,774 That's Marla. 65 00:03:27,508 --> 00:03:29,277 No one to leave her with. 66 00:03:29,310 --> 00:03:31,412 We're gonna take care of your mommy. 67 00:03:32,546 --> 00:03:34,982 Abdomen tender and distended. 68 00:03:35,015 --> 00:03:36,116 Dehydrated. 69 00:03:37,351 --> 00:03:38,719 Delayed capillary refill. 70 00:03:39,520 --> 00:03:41,021 Rapid respiratory rate. 71 00:03:41,054 --> 00:03:43,223 Skin cool and bluish, looks cyanotic. 72 00:03:43,257 --> 00:03:44,568 She's going into shock. 73 00:03:44,592 --> 00:03:46,226 We need aggressive fluid resuscitation. 74 00:03:46,260 --> 00:03:47,504 Start broad spectrum antibiotics, 75 00:03:47,528 --> 00:03:49,297 place an NG to decompress distended abdomen. 76 00:03:49,330 --> 00:03:51,999 Trend her lactates, initiate complete sepsis bundle. 77 00:04:06,380 --> 00:04:09,016 Her CBC, BMP autoimmune panel, 78 00:04:09,049 --> 00:04:11,184 nasal swab, and blood cultures. 79 00:04:11,218 --> 00:04:12,219 All normal. 80 00:04:12,986 --> 00:04:14,955 Ohh. That's exciting. 81 00:04:14,988 --> 00:04:16,624 Negative tests are exciting? 82 00:04:16,657 --> 00:04:19,927 No one's been able to find out what she has. 83 00:04:19,960 --> 00:04:23,564 I'm going to get brain FIESTA and time-of-flight MRI 84 00:04:23,597 --> 00:04:25,499 to assess the cranial nerves and vessels, 85 00:04:25,533 --> 00:04:26,900 and Doppler ultrasound to... 86 00:04:26,934 --> 00:04:29,337 I have to get back to work. 87 00:04:29,370 --> 00:04:32,005 Our pre-dawn romantic interlude made me late. 88 00:04:33,140 --> 00:04:35,943 Yes. There was a flaw in my methodology. 89 00:04:35,976 --> 00:04:38,412 My calculation was based on 90 00:04:38,446 --> 00:04:41,081 the mean duration of our sex overall, but generally, 91 00:04:41,114 --> 00:04:43,183 we take statistically significantly longer 92 00:04:43,216 --> 00:04:47,087 in the morning than at other times of day. 93 00:04:47,120 --> 00:04:48,656 Well, maybe we can discuss 94 00:04:48,689 --> 00:04:51,425 this whole timing-our-sex thing at lunchtime. 95 00:04:51,459 --> 00:04:54,462 Mm. No, thank you. 96 00:04:54,495 --> 00:04:57,264 I can't have lunch today. 97 00:04:57,297 --> 00:04:58,466 Too much to do. 98 00:05:04,137 --> 00:05:05,739 Sorry I'm late. 99 00:05:05,773 --> 00:05:07,608 I was going to cancel our lunch. 100 00:05:07,641 --> 00:05:08,676 Let me guess. 101 00:05:08,709 --> 00:05:11,044 A patient more interesting than me. 102 00:05:11,612 --> 00:05:12,646 Exactly. 103 00:05:12,680 --> 00:05:13,981 Yeah. 104 00:05:14,014 --> 00:05:16,850 She has a mysterious condition. 105 00:05:16,884 --> 00:05:19,787 But I realized I could use our lunch to help understand it. 106 00:05:19,820 --> 00:05:22,022 I ordered you a salad. Thank you. 107 00:05:28,362 --> 00:05:30,864 How do I get an ice cream headache? 108 00:05:30,898 --> 00:05:32,265 I've never had one. 109 00:05:32,299 --> 00:05:34,301 You don't want one. Brain freeze is horrible. 110 00:05:35,335 --> 00:05:36,770 The scientific term 111 00:05:36,804 --> 00:05:39,106 is sphenopalatine ganglioneuralgia. 112 00:05:39,139 --> 00:05:40,574 The trigeminal nerve reacts to 113 00:05:40,608 --> 00:05:42,342 rapid temperature change in the mouth, 114 00:05:42,376 --> 00:05:43,611 sending a signal to the brain, 115 00:05:43,644 --> 00:05:46,246 which responds with changes in blood flow and dura irritation, 116 00:05:46,279 --> 00:05:49,983 which combats what it perceives as a dangerous, noxious stimuli, 117 00:05:50,017 --> 00:05:52,185 but is just ice cream. 118 00:05:52,219 --> 00:05:53,887 I need to experience that. 119 00:05:54,822 --> 00:05:55,956 Okay. 120 00:05:55,989 --> 00:05:57,791 The technique I usually use is, 121 00:05:57,825 --> 00:05:59,359 eat way too much, way too fast. 122 00:06:04,665 --> 00:06:07,167 I'm quitting my job. 123 00:06:08,368 --> 00:06:10,471 The job you came back from Hershey for? 124 00:06:10,504 --> 00:06:13,273 Don't tell Glassy. He already thinks I'm a flake. 125 00:06:13,306 --> 00:06:17,177 You kicking me out is just what I needed. 126 00:06:17,210 --> 00:06:18,278 Mm-hmm. 127 00:06:18,311 --> 00:06:19,613 I was in a complete rut. 128 00:06:19,647 --> 00:06:22,850 In my personal life, at work, super stale. 129 00:06:22,883 --> 00:06:24,193 I mean, we weren't developing anything, 130 00:06:24,217 --> 00:06:26,820 just market testing designs... 131 00:06:26,854 --> 00:06:27,855 Ow. 132 00:06:28,355 --> 00:06:30,691 Ow! Ow, ow! 133 00:06:31,258 --> 00:06:32,325 That's awful! 134 00:06:32,359 --> 00:06:33,994 What's the cure? Time. 135 00:06:34,027 --> 00:06:35,663 How much time? Depends. 136 00:06:37,264 --> 00:06:40,400 Do you think I should include my job in Hershey on my resume? 137 00:06:40,434 --> 00:06:42,570 It hurts so much! 138 00:06:43,604 --> 00:06:44,838 Or does it make me look like 139 00:06:44,872 --> 00:06:46,740 I'm unable to commit to anything? 140 00:06:46,774 --> 00:06:47,775 Ow! 141 00:06:49,777 --> 00:06:50,778 Okay. 142 00:06:52,379 --> 00:06:54,782 The ultrasound showed your colon is distended. 143 00:06:54,815 --> 00:06:56,750 We placed a rectal tube and an NG 144 00:06:56,784 --> 00:06:58,552 to try to get that decompressed. 145 00:06:58,586 --> 00:07:00,087 Mommy, can we go home? 146 00:07:00,120 --> 00:07:01,188 Not yet, sweetie. 147 00:07:01,221 --> 00:07:02,666 It would be helpful to try to find out 148 00:07:02,690 --> 00:07:03,733 what could've triggered this. 149 00:07:03,757 --> 00:07:06,560 Any history of Crohn's or ulcerative colitis? 150 00:07:06,594 --> 00:07:07,595 No. 151 00:07:08,562 --> 00:07:09,830 I, um... 152 00:07:09,863 --> 00:07:11,732 I have had some UTIs lately. 153 00:07:11,765 --> 00:07:13,266 That's likely not connected. 154 00:07:13,300 --> 00:07:14,902 - Okay. - Diverticulitis? 155 00:07:14,935 --> 00:07:16,737 Any recent international travel? 156 00:07:16,770 --> 00:07:18,672 I have a three-year-old and no husband. 157 00:07:18,706 --> 00:07:19,740 Okay. 158 00:07:19,773 --> 00:07:21,551 We're gonna need to keep you on IV antibiotics 159 00:07:21,575 --> 00:07:23,410 and monitor the distention. 160 00:07:23,443 --> 00:07:26,279 In the meantime, is there anyone who can look after Marla? 161 00:07:26,313 --> 00:07:28,248 No one. 162 00:07:28,281 --> 00:07:31,418 My whole family's back east. It's... It's just us. 163 00:07:31,451 --> 00:07:34,888 I'll get a social worker to look after her. 164 00:07:34,922 --> 00:07:35,923 Thank you. 165 00:07:42,963 --> 00:07:44,632 Go ahead, honey. 166 00:07:59,446 --> 00:08:01,715 Why is my mom upset? 167 00:08:04,952 --> 00:08:08,488 If her anterior inferior cerebellar artery 168 00:08:08,522 --> 00:08:10,490 is encroaching on her glossopharyngeal nerve, 169 00:08:10,524 --> 00:08:11,592 it's very minor. 170 00:08:11,625 --> 00:08:12,836 Certainly not enough to justify 171 00:08:12,860 --> 00:08:14,327 microvascular decompression surgery. 172 00:08:14,361 --> 00:08:15,428 I agree. 173 00:08:15,462 --> 00:08:18,498 It could also be acid reflux temporal arteritis, 174 00:08:18,532 --> 00:08:21,802 laryngopharyngeal dysesthesia. We need to... 175 00:08:21,835 --> 00:08:23,671 We need to do $50,000 of tests, 176 00:08:23,704 --> 00:08:25,906 and it might be acid reflux? 177 00:08:25,939 --> 00:08:28,041 Or temporal arteritis or... 178 00:08:28,075 --> 00:08:29,176 It's a constellation 179 00:08:29,209 --> 00:08:30,811 of relatively insignificant symptoms. 180 00:08:30,844 --> 00:08:33,981 Have you ever had an ice cream headache, Dr. Andrews? 181 00:08:35,148 --> 00:08:36,283 Yes. 182 00:08:36,316 --> 00:08:39,152 I believe it didn't require brain surgery, Dr. Murphy. 183 00:08:40,053 --> 00:08:42,522 As a compromise, we could do an MRI 184 00:08:42,556 --> 00:08:44,692 and CT her neck and a swallow... 185 00:08:44,725 --> 00:08:46,493 Shaun. 186 00:08:46,526 --> 00:08:49,597 You don't compromise with your boss. 187 00:08:49,630 --> 00:08:52,132 Start her on dilantin for her pain and send her home. 188 00:09:02,242 --> 00:09:03,476 Can I just leave her with you? 189 00:09:03,510 --> 00:09:05,378 I'm a receptionist, not a social worker. 190 00:09:05,412 --> 00:09:06,413 And I'm a surgeon. 191 00:09:09,116 --> 00:09:10,550 I didn't mean I'm more important. 192 00:09:10,584 --> 00:09:13,654 I just meant we both have more important things to do. 193 00:09:13,687 --> 00:09:14,898 When will the social worker be here? 194 00:09:14,922 --> 00:09:16,056 She said half an hour. 195 00:09:16,089 --> 00:09:17,490 Can you page her again? 196 00:09:17,524 --> 00:09:19,559 I want my mama. 197 00:09:19,593 --> 00:09:21,762 Why don't you just go play with the toys, okay? 198 00:09:22,863 --> 00:09:24,732 Do you have her number? I'll call her myself. 199 00:09:25,866 --> 00:09:27,367 I made Mommy sick. 200 00:09:28,936 --> 00:09:30,904 No, sweetie. It's not your fault. 201 00:09:30,938 --> 00:09:32,439 Sometimes people just get sick. 202 00:09:32,472 --> 00:09:34,742 Mommy drawk ma poop. 203 00:09:36,476 --> 00:09:38,879 Your mommy drew your poop? No! 204 00:09:38,912 --> 00:09:41,014 Drawk. Mommy drawk. 205 00:09:43,884 --> 00:09:44,918 Drank? 206 00:09:44,952 --> 00:09:46,019 Yes. 207 00:09:46,053 --> 00:09:49,222 Mommy drawnk my poop. 208 00:09:53,861 --> 00:09:56,697 The good news is, we've ruled out glossopharyngeal neuralgia. 209 00:09:56,730 --> 00:09:58,165 You don't need brain surgery. 210 00:09:58,198 --> 00:10:00,533 Never any good news without bad news. 211 00:10:00,567 --> 00:10:03,203 We've got a list of a few things you don't have, 212 00:10:03,236 --> 00:10:04,672 but we don't know what you do have. 213 00:10:05,806 --> 00:10:07,307 So you'll run more tests. 214 00:10:07,808 --> 00:10:08,876 We can't. 215 00:10:08,909 --> 00:10:12,012 There are 21 different things this might be, 216 00:10:12,045 --> 00:10:15,048 but they don't want us to run 37 more tests. 217 00:10:18,919 --> 00:10:20,020 Well, this is lame. 218 00:10:20,053 --> 00:10:23,490 I can afford the tests. I make good money. 219 00:10:23,523 --> 00:10:26,026 I can't keep talking like this! 220 00:10:26,059 --> 00:10:27,060 I need a... 221 00:10:32,165 --> 00:10:33,333 She's hypotensive. 222 00:10:33,366 --> 00:10:34,367 Code stroke. 223 00:10:36,336 --> 00:10:38,238 We need stat brain CT and MRI. 224 00:10:38,271 --> 00:10:40,774 Call angio. She may need mechanical thrombectomy. 225 00:10:46,079 --> 00:10:49,416 3 cc's of 2% lidocaine. 226 00:11:18,211 --> 00:11:20,080 Wow. 227 00:11:27,988 --> 00:11:29,589 I-I didn't drink it. I just... 228 00:11:30,590 --> 00:11:33,193 I just used her stool to do a home fecal transfer. 229 00:11:33,226 --> 00:11:35,028 And you didn't think to mention that? 230 00:11:35,062 --> 00:11:37,064 You said my UTIs were unrelated. 231 00:11:39,166 --> 00:11:41,001 They didn't get better with antibiotics, 232 00:11:41,034 --> 00:11:43,403 so I did exactly what I was supposed to do. 233 00:11:43,436 --> 00:11:46,573 The video swore that it was completely safe. 234 00:11:46,606 --> 00:11:48,942 Make sure your friend is completely healthy. 235 00:11:48,976 --> 00:11:50,878 I've had the best results with vegans, 236 00:11:50,911 --> 00:11:52,112 though if it were between 237 00:11:52,145 --> 00:11:55,382 an 18-year-old carnivore and a 60-year-old vegan... 238 00:11:55,415 --> 00:11:56,516 Well, don't make me choose. 239 00:11:56,549 --> 00:11:58,551 We're gonna add the saline solution. 240 00:12:00,620 --> 00:12:03,190 Should be a one-to-one match, more or less. 241 00:12:04,391 --> 00:12:07,494 Then, we're gonna puree... 242 00:12:09,229 --> 00:12:11,331 puree, and then puree some more. 243 00:12:11,364 --> 00:12:12,866 While it's mixing... 244 00:12:14,234 --> 00:12:15,869 Let's talk enema bags. 245 00:12:17,938 --> 00:12:21,074 Marla must have seen her using the blender, 246 00:12:21,108 --> 00:12:22,175 assumed she drank it. 247 00:12:22,209 --> 00:12:23,610 Yeah, that's the mystery here, 248 00:12:23,643 --> 00:12:25,345 not how anyone this stupid is still alive. 249 00:12:25,378 --> 00:12:27,547 It's not completely irrational. 250 00:12:27,580 --> 00:12:30,183 The E. Coli strain in drug-resistant UTIs 251 00:12:30,217 --> 00:12:31,684 can hide out in the gut. 252 00:12:31,718 --> 00:12:34,554 Repopulating the colon microbiome using FMT 253 00:12:34,587 --> 00:12:35,923 has shown some success. 254 00:12:35,956 --> 00:12:38,591 In a hospital, under controlled and sterile conditions. 255 00:12:39,226 --> 00:12:40,493 Prep her for surgery. 256 00:12:40,527 --> 00:12:41,805 Between the dilation and rigidity, 257 00:12:41,829 --> 00:12:44,431 there may be colon perforation. 258 00:12:44,464 --> 00:12:47,901 And test Marla's stool for toxins and infectious bacteria. 259 00:12:49,970 --> 00:12:53,640 She was suffering a mini-stroke, and I saved her. 260 00:12:53,673 --> 00:12:56,509 I saved her. I need to celebrate. Outside? 261 00:12:56,543 --> 00:12:57,720 I want to celebrate by kissing you. 262 00:12:57,744 --> 00:12:59,179 A lot. 263 00:12:59,212 --> 00:13:01,314 I-Inside would be inappropriate. 264 00:13:04,117 --> 00:13:06,753 Eagle Syndrome is very rare. 265 00:13:06,786 --> 00:13:08,655 A longer-than-normal styloid bone 266 00:13:08,688 --> 00:13:10,423 coming off the base of the skull. 267 00:13:10,457 --> 00:13:11,937 And... I only get a five-minute break. 268 00:13:13,593 --> 00:13:15,528 It impinged on her nerves, 269 00:13:15,562 --> 00:13:17,064 causing the confusing symptoms 270 00:13:17,097 --> 00:13:19,199 that baffled eight expert doctors. 271 00:13:19,232 --> 00:13:21,601 And then when she turned her head suddenly, 272 00:13:21,634 --> 00:13:24,237 it pinched her carotid, causing her TIA. 273 00:13:25,272 --> 00:13:27,507 Yeah, it's him! 274 00:13:29,977 --> 00:13:31,544 It's Dr. Murphy! 275 00:13:34,181 --> 00:13:35,548 How do I know you? 276 00:13:35,582 --> 00:13:37,317 He is cute! 277 00:13:37,350 --> 00:13:39,252 Is that his girlfriend? 278 00:13:39,286 --> 00:13:40,320 Kayley's hotter. 279 00:13:44,691 --> 00:13:45,692 He's so cute! 280 00:13:54,667 --> 00:13:57,337 My personal... Chernobyl. 281 00:13:57,370 --> 00:13:58,438 What? 282 00:13:59,039 --> 00:14:00,107 Seriously, guys. 283 00:14:00,140 --> 00:14:01,374 Ohh, come on. 284 00:14:01,408 --> 00:14:03,977 A zone of exclusion should be imposed around my kitchen. 285 00:14:05,745 --> 00:14:08,115 Millions of people have watched that? 286 00:14:08,148 --> 00:14:09,816 As of 9:00 a.m. 287 00:14:09,849 --> 00:14:11,518 You're an influencer. 288 00:14:11,551 --> 00:14:14,621 And you posted how I saved you? 289 00:14:14,654 --> 00:14:17,057 But I take it I'm not saved yet? You still have to operate? 290 00:14:17,090 --> 00:14:19,692 A normal styloid process 291 00:14:19,726 --> 00:14:21,828 is 2.5 centimeters in length. Yours measures... 292 00:14:21,861 --> 00:14:22,930 Don't do that. 293 00:14:24,164 --> 00:14:25,865 There are two surgical options. 294 00:14:28,835 --> 00:14:30,803 Transoral, where we go in through your mouth. 295 00:14:30,837 --> 00:14:33,373 It's non-invasive, but creates surgical challenges 296 00:14:33,406 --> 00:14:35,208 for physical and visual access. 297 00:14:35,242 --> 00:14:37,310 The alternative transcervical procedure 298 00:14:37,344 --> 00:14:39,279 involves an incision in your neck 299 00:14:39,312 --> 00:14:40,981 with none of those access issues, 300 00:14:41,014 --> 00:14:43,616 but with some post-operative scarring. 301 00:14:43,650 --> 00:14:46,519 So one way is safer, but the other way, I'll look better? 302 00:14:46,553 --> 00:14:47,633 It's a pretty bad-ass scar. 303 00:14:49,756 --> 00:14:51,824 Can I take a bit to decide which? 304 00:14:51,858 --> 00:14:52,859 Of course. 305 00:14:56,429 --> 00:14:58,865 You had no right to tell the world about me. 306 00:14:58,898 --> 00:15:00,300 It was flattering. 307 00:15:00,333 --> 00:15:03,170 Not everyone wants to be famous. 308 00:15:03,203 --> 00:15:06,039 Uh... If it's any consolation, 309 00:15:06,073 --> 00:15:08,508 you've had over 70 marriage proposals. 310 00:15:10,110 --> 00:15:11,178 It's not. 311 00:15:17,384 --> 00:15:20,487 Some of us are more comfortable in the spotlight than others. 312 00:15:20,520 --> 00:15:22,022 I think you're great. 313 00:15:22,055 --> 00:15:23,223 Thanks. 314 00:15:28,395 --> 00:15:30,730 I don't have to poop. 315 00:15:31,298 --> 00:15:32,465 Be patient. 316 00:15:36,436 --> 00:15:38,738 I don't have to poop! 317 00:15:38,771 --> 00:15:40,840 Is there something your mom does 318 00:15:40,873 --> 00:15:42,609 to help you when you can't go? 319 00:15:42,642 --> 00:15:45,312 Sometimes she hold my hand. 320 00:15:46,246 --> 00:15:47,747 Would you like me to? 321 00:15:47,780 --> 00:15:49,416 You're not my mom. 322 00:15:49,449 --> 00:15:51,584 Well, just keep trying. 323 00:15:53,353 --> 00:15:54,554 Pbbbbbbht. 324 00:15:56,990 --> 00:16:00,527 Sweetie, we really need you to go. 325 00:16:00,560 --> 00:16:05,398 If you can't, there is another way we can do this. 326 00:16:05,432 --> 00:16:06,466 How? 327 00:16:06,499 --> 00:16:09,269 Well, it's not fun. 328 00:16:09,302 --> 00:16:10,603 For either of us. 329 00:16:15,108 --> 00:16:18,878 Isolate and divide middle colic artery and vein. 330 00:16:18,911 --> 00:16:20,147 It's an epidemic. 331 00:16:20,180 --> 00:16:21,814 People taking online medical advice. 332 00:16:21,848 --> 00:16:23,816 It's not the problem. It's the symptom. 333 00:16:23,850 --> 00:16:26,419 Medical care is a financial stress for lots of people, 334 00:16:26,453 --> 00:16:29,089 not to mention physician arrogance, 335 00:16:29,122 --> 00:16:30,923 incompetence, impatience. 336 00:16:30,957 --> 00:16:32,792 So it's our fault? 337 00:16:32,825 --> 00:16:34,627 Resect and cut the colon proximal and distal 338 00:16:34,661 --> 00:16:36,329 to the perforation with GIA stapler. 339 00:16:37,497 --> 00:16:38,998 A friend of a friend self-diagnosed 340 00:16:39,032 --> 00:16:41,601 her own Cushing's disease online 341 00:16:41,634 --> 00:16:44,804 after a series of doctors barely listened to her, 342 00:16:44,837 --> 00:16:47,307 told her to get more rest. 343 00:16:47,340 --> 00:16:48,741 I'm guessing she didn't then perform 344 00:16:48,775 --> 00:16:50,215 do-it-yourself brain surgery at home. 345 00:16:51,844 --> 00:16:52,845 Claire's right. 346 00:16:54,647 --> 00:16:56,383 I was... supporting your point. 347 00:16:56,416 --> 00:16:58,618 She convinced me I was wrong. 348 00:16:58,651 --> 00:17:00,553 Divide mesentery with LigaSure. 349 00:17:06,559 --> 00:17:07,660 We have a bleed. 350 00:17:07,694 --> 00:17:08,761 It's major. 351 00:17:08,795 --> 00:17:10,163 Tension during mobilization 352 00:17:10,197 --> 00:17:11,340 must have caused a splenic capsule tear. 353 00:17:11,364 --> 00:17:12,408 We need to do a splenectomy. 354 00:17:12,432 --> 00:17:13,833 Cut the connecting attachments. 355 00:17:17,237 --> 00:17:18,305 Kidney. 356 00:17:18,338 --> 00:17:19,606 Diaphragm. 357 00:17:19,639 --> 00:17:21,550 Take the vascular pedicle with a white load stapler. 358 00:17:21,574 --> 00:17:23,110 Do not get the tail of the pancreas. 359 00:17:33,520 --> 00:17:35,021 Dr. Melendez? 360 00:17:35,054 --> 00:17:36,156 Can this wait? 361 00:17:36,189 --> 00:17:37,224 I'm not sure. 362 00:17:37,257 --> 00:17:39,259 The fecal sample that your team sent me... 363 00:17:39,292 --> 00:17:42,429 It might be normal, but was it mislabeled? 364 00:17:42,462 --> 00:17:44,464 It seems to be from a 70-year-old. 365 00:17:45,432 --> 00:17:47,167 It's from a three-year-old. 366 00:17:47,200 --> 00:17:52,572 SCFAs, elevated isobutyric and isovaleric acid. 367 00:17:52,605 --> 00:17:55,642 She is at high risk for serious cardiac problems. 368 00:18:17,597 --> 00:18:18,598 Oh, are you okay? 369 00:18:30,577 --> 00:18:33,413 Her social media posts about Shaun have gone viral. 370 00:18:33,446 --> 00:18:35,448 I've got reporters clamoring to speak 371 00:18:35,482 --> 00:18:37,284 to the "twice-exceptional" Dr. Murphy. 372 00:18:37,317 --> 00:18:39,085 Bad idea. Luckily, he won't do it. 373 00:18:39,118 --> 00:18:41,288 He went off on Kayley about his privacy. 374 00:18:41,321 --> 00:18:42,898 The publicity would be good for the hospital. 375 00:18:42,922 --> 00:18:45,958 And I'm sure Dr. Glassman can make him see the wisdom of that. 376 00:18:45,992 --> 00:18:47,594 I'm with Andrews. 377 00:18:47,627 --> 00:18:49,037 It smacks of us patting ourselves on the back. 378 00:18:49,061 --> 00:18:51,130 It could also come off as exploitative. 379 00:18:51,164 --> 00:18:53,300 But the bigger issue is, it could blow up in our face. 380 00:18:53,333 --> 00:18:55,635 Shaun is a complete communications wild card. 381 00:18:55,668 --> 00:18:57,770 Who knows what he'll say about you, about me, 382 00:18:57,804 --> 00:18:59,439 about being demoted, about screw-ups. 383 00:18:59,472 --> 00:19:01,241 Well, we would have to coach him. 384 00:19:01,274 --> 00:19:03,943 Do we have six years before they need to go to press? 385 00:19:03,976 --> 00:19:06,479 I can go with him, manage the situation. 386 00:19:06,513 --> 00:19:07,714 No, no, no. 387 00:19:08,715 --> 00:19:10,517 If we consider Shaun an asset, 388 00:19:10,550 --> 00:19:12,385 we shouldn't treat him like a liability. 389 00:19:14,454 --> 00:19:16,556 I'll talk to him, see what he says. 390 00:19:18,991 --> 00:19:21,828 You can see the proximity of her elongated styloid 391 00:19:21,861 --> 00:19:23,530 to the nerves and carotid. 392 00:19:23,563 --> 00:19:25,598 The trick is to break off the excess length 393 00:19:25,632 --> 00:19:27,934 without injury to local neurovascular structures. 394 00:19:27,967 --> 00:19:30,002 If done transcervically, entry point is key. 395 00:19:30,036 --> 00:19:33,072 Minimizes risk of a marginal mandibular nerve injury. 396 00:19:33,105 --> 00:19:34,641 Has she made a decision? 397 00:19:34,674 --> 00:19:35,675 Not yet. 398 00:19:36,743 --> 00:19:37,944 I'd like to lead. 399 00:19:37,977 --> 00:19:39,812 Being that it's such a rare surgery, 400 00:19:39,846 --> 00:19:42,014 I may not get another chance at it during residency. 401 00:19:42,048 --> 00:19:44,116 When I have the benefit of supervision. 402 00:19:44,150 --> 00:19:45,794 And it wouldn't have anything to do with hoping. 403 00:19:45,818 --> 00:19:47,820 Kayley might then post glowingly about you? 404 00:19:47,854 --> 00:19:48,921 Not at all. 405 00:19:48,955 --> 00:19:50,323 Well, undoubtedly, a little. 406 00:19:51,291 --> 00:19:52,735 Given the attention this case has drawn, 407 00:19:52,759 --> 00:19:55,428 I think we should put our best, most experienced choice forward. 408 00:19:56,763 --> 00:19:59,198 Well, this is a teaching hospital. 409 00:19:59,232 --> 00:20:02,269 It's exactly the type of surgery we'd give to a third-year. 410 00:20:02,302 --> 00:20:03,746 The fact that she has an online presence 411 00:20:03,770 --> 00:20:04,837 shouldn't be a factor. 412 00:20:04,871 --> 00:20:07,106 And yet here you are, the Chief of Surgery 413 00:20:07,139 --> 00:20:09,141 working a case you say a third-year can handle. 414 00:20:09,175 --> 00:20:11,043 It also might reflect well on this place 415 00:20:11,077 --> 00:20:14,213 to have a young woman be the face of Kayley's surgery. 416 00:20:14,247 --> 00:20:15,882 Assuming it goes well. 417 00:20:17,384 --> 00:20:19,218 Live by the Internet, die by the Internet. 418 00:20:20,920 --> 00:20:21,921 You still want to lead? 419 00:20:23,022 --> 00:20:24,424 Yes. 420 00:20:24,457 --> 00:20:25,458 It's yours. 421 00:21:28,087 --> 00:21:29,088 Ann? 422 00:21:30,390 --> 00:21:31,391 Ann. 423 00:21:38,465 --> 00:21:39,666 Am I okay? 424 00:21:39,699 --> 00:21:40,933 You're fine. 425 00:21:40,967 --> 00:21:42,945 We had to wake you up a little earlier than we'd like 426 00:21:42,969 --> 00:21:44,771 because we need to discuss something with you. 427 00:21:44,804 --> 00:21:45,838 Do you understand? 428 00:21:47,239 --> 00:21:49,642 Your gut biome showed markers for elevated cholesterol. 429 00:21:49,676 --> 00:21:51,444 Which you don't have. 430 00:21:51,478 --> 00:21:52,579 Your daughter does. 431 00:21:54,581 --> 00:21:56,683 Marla has high cholesterol? 432 00:21:56,716 --> 00:21:59,452 She has a genetic condition: Hyperlipidemia. 433 00:21:59,486 --> 00:22:01,854 Coronary testing showed 90% narrowing 434 00:22:01,888 --> 00:22:03,956 of the left main artery to her heart. 435 00:22:05,425 --> 00:22:08,628 I'm afraid your daughter needs urgent heart surgery. 436 00:22:15,301 --> 00:22:18,270 I don't want to. 437 00:22:18,471 --> 00:22:19,506 Okay. 438 00:22:19,539 --> 00:22:21,140 I'll tell the reporters that. 439 00:22:21,173 --> 00:22:24,010 But can... can we talk about why? 440 00:22:24,043 --> 00:22:26,446 Your computer just beeped. 441 00:22:26,479 --> 00:22:28,014 I know. 442 00:22:28,047 --> 00:22:30,817 I can think of a few reasons why you might be reticent. 443 00:22:30,850 --> 00:22:32,519 You're shy. No, I'm not. 444 00:22:32,552 --> 00:22:35,321 Well, you do have trouble with social interactions, 445 00:22:35,354 --> 00:22:36,989 and you have trouble anticipating 446 00:22:37,023 --> 00:22:39,526 what people might ask and how you might respond. 447 00:22:39,559 --> 00:22:43,430 Yes, that is a problem when I'm meeting with a patient 448 00:22:43,463 --> 00:22:46,433 or I'm at a job interview or I'm on a date. 449 00:22:46,466 --> 00:22:47,800 Then my answers matter. 450 00:22:47,834 --> 00:22:50,136 But if I'm talking to a reporter, they don't matter. 451 00:22:50,169 --> 00:22:51,638 It beeped again. 452 00:22:51,671 --> 00:22:53,640 Yes, I know. We're digitizing. 453 00:22:53,673 --> 00:22:55,975 Every time a patient needs to take a drug, 454 00:22:56,008 --> 00:22:57,076 we send them a reminder. 455 00:22:57,109 --> 00:23:00,379 For some unknown reason, they keep sending me one, too. 456 00:23:00,413 --> 00:23:01,914 I think stories do matter. 457 00:23:01,948 --> 00:23:05,184 I think what you do and what you have done 458 00:23:05,217 --> 00:23:08,855 might be inspirational for people to hear. 459 00:23:09,589 --> 00:23:10,657 Okay. 460 00:23:10,690 --> 00:23:12,058 Okay, you'll do it? 461 00:23:12,091 --> 00:23:13,936 Okay, you've convinced me I should be nervous about it. 462 00:23:13,960 --> 00:23:15,762 Now I have two reasons not to do it. 463 00:23:15,795 --> 00:23:16,929 What's the other reason? 464 00:23:16,963 --> 00:23:19,732 I'm very busy between doing my job and having sex. 465 00:23:19,766 --> 00:23:21,434 I don't have a lot of free time. 466 00:23:23,870 --> 00:23:25,438 You should hire Lea. 467 00:23:25,972 --> 00:23:27,339 - No. - Yes. 468 00:23:27,373 --> 00:23:30,176 She's very good at tech 469 00:23:30,209 --> 00:23:32,745 and isn't happy in her job right now. 470 00:23:35,448 --> 00:23:37,550 I'll tell you what, Shaun. 471 00:23:37,584 --> 00:23:40,119 You think about this, you really think about this, 472 00:23:40,152 --> 00:23:43,355 how your story can benefit people, 473 00:23:43,389 --> 00:23:45,091 and I will... 474 00:23:47,126 --> 00:23:49,095 Interview Lea. 475 00:23:49,729 --> 00:23:50,797 Excellent. 476 00:23:52,164 --> 00:23:54,400 I'll think about it. 477 00:23:54,433 --> 00:23:57,937 I'll really think about it. 478 00:23:57,970 --> 00:23:59,138 Okay. 479 00:24:08,147 --> 00:24:10,416 Some people definitely thought I would look amazeballs 480 00:24:10,449 --> 00:24:11,851 rocking a neck scar. 481 00:24:11,884 --> 00:24:14,420 But the consensus was, 482 00:24:14,453 --> 00:24:16,455 there's only so many turtleneck days in a year. 483 00:24:16,489 --> 00:24:19,125 So I'm going with the no-scar approach. 484 00:24:20,026 --> 00:24:22,629 Which one did you vote for? 485 00:24:22,662 --> 00:24:25,532 Well, these are my people. I mean, they know me. 486 00:24:25,565 --> 00:24:27,767 They know what's best for me and my brand. 487 00:24:29,902 --> 00:24:31,337 "Wisdom of the crowd." 488 00:24:31,370 --> 00:24:33,940 My warrior goddess lead surgeon. 489 00:24:35,041 --> 00:24:36,361 We'll get you prepped for surgery. 490 00:24:38,310 --> 00:24:39,979 New blouse? It's nice. 491 00:24:41,213 --> 00:24:42,949 Dr. Murphy, do you have a minute? 492 00:24:49,989 --> 00:24:52,625 I really am sorry I upset you. 493 00:24:53,325 --> 00:24:55,127 And I really am grateful. 494 00:24:55,862 --> 00:24:57,096 Being sick was... 495 00:24:57,129 --> 00:24:58,798 You don't need to explain 496 00:24:58,831 --> 00:25:01,000 why you're grateful we diagnosed your illness. 497 00:25:01,033 --> 00:25:02,334 Well, I do. 498 00:25:03,369 --> 00:25:05,938 You saved me and my career. 499 00:25:07,206 --> 00:25:09,609 At first, my followers were super into 500 00:25:09,642 --> 00:25:12,779 what I was going through, but after a while, 501 00:25:12,812 --> 00:25:14,747 you just start being "the sick girl." 502 00:25:14,781 --> 00:25:17,584 You give up your privacy. Doesn't that bother you? 503 00:25:17,617 --> 00:25:19,518 I have nothing to hide. 504 00:25:19,552 --> 00:25:20,653 No one should. 505 00:25:21,954 --> 00:25:24,557 We should all just be who we are. 506 00:25:28,861 --> 00:25:30,997 We are... 507 00:25:32,498 --> 00:25:35,167 The decisions we make. 508 00:25:36,235 --> 00:25:39,171 And you let other people make them for you. 509 00:25:41,073 --> 00:25:43,175 So you're not being anyone. 510 00:25:54,520 --> 00:25:57,556 You know how you and I like to do so many things together? 511 00:25:57,590 --> 00:25:59,425 We make clay mugs. 512 00:25:59,458 --> 00:26:00,693 That's right. 513 00:26:00,727 --> 00:26:04,964 Mommy was sick, and she needed to be fixed. 514 00:26:04,997 --> 00:26:07,734 And you're sick, too. 515 00:26:07,767 --> 00:26:09,035 I don't feel sick. 516 00:26:09,068 --> 00:26:10,236 That's good. 517 00:26:10,269 --> 00:26:11,971 And the doctors just want to make sure 518 00:26:12,004 --> 00:26:13,640 everything is all better before you do. 519 00:26:13,673 --> 00:26:14,774 How? 520 00:26:15,842 --> 00:26:18,077 They're gonna go inside you and... 521 00:26:18,110 --> 00:26:19,178 How? 522 00:26:19,211 --> 00:26:20,579 They're gonna make a little cut... 523 00:26:20,613 --> 00:26:21,681 No! 524 00:26:21,714 --> 00:26:22,815 You're gonna be asleep. 525 00:26:22,849 --> 00:26:24,383 No! Just like Mommy. 526 00:26:24,416 --> 00:26:26,518 I... No, no, no, no, no! 527 00:26:26,552 --> 00:26:28,396 I'll be with you, Marla. I'll take good care of you. 528 00:26:28,420 --> 00:26:29,598 No, no, no, no, no! It's okay. Just breathe, sweetie. 529 00:26:29,622 --> 00:26:30,690 Count to three. No! 530 00:26:30,723 --> 00:26:31,867 Hey, sweetie, you have to be brave. No! 531 00:26:31,891 --> 00:26:32,892 No! 532 00:26:34,961 --> 00:26:36,062 Code blue! 533 00:26:37,964 --> 00:26:39,031 What's happening? 534 00:26:39,065 --> 00:26:40,532 Please help my baby. 535 00:26:40,566 --> 00:26:41,600 She's had a heart attack! 536 00:26:42,735 --> 00:26:43,736 Marla. 537 00:26:44,336 --> 00:26:45,337 Marla? 538 00:26:46,405 --> 00:26:47,439 Marla! 539 00:26:54,280 --> 00:26:57,016 Uh, would you like my CV? 540 00:26:57,216 --> 00:26:58,885 No. 541 00:26:58,918 --> 00:27:01,520 I know who you are. I don't need to see a list. 542 00:27:04,090 --> 00:27:05,091 Where do I work? 543 00:27:07,326 --> 00:27:08,795 It's a tech company. 544 00:27:09,428 --> 00:27:10,462 You were there. 545 00:27:10,496 --> 00:27:12,932 Cars. Something about cars. 546 00:27:12,965 --> 00:27:15,768 You have no interest in hiring me, do you? 547 00:27:15,802 --> 00:27:17,770 No. It's not personal. 548 00:27:17,804 --> 00:27:19,205 It's a little personal. 549 00:27:19,238 --> 00:27:21,908 I'm doing a favor for Shaun. I don't really need anyone. 550 00:27:21,941 --> 00:27:23,810 Did he ask you to waste my time? 551 00:27:24,643 --> 00:27:25,912 Yeah... It's okay. 552 00:27:25,945 --> 00:27:27,947 I didn't really want to work for you anyway. 553 00:27:27,980 --> 00:27:29,215 You're a bit of a grouch. 554 00:27:29,248 --> 00:27:32,685 But make sure whoever does do the job shores up your firewall. 555 00:27:32,719 --> 00:27:34,220 A kindergartner can hack it. 556 00:27:34,253 --> 00:27:35,955 Thank you. I'm sure we'll be fine. 557 00:27:37,656 --> 00:27:38,891 And you're right, you know. 558 00:27:38,925 --> 00:27:40,927 We are not a good fit. 559 00:27:40,960 --> 00:27:42,795 And our mutual affection for Shaun 560 00:27:42,829 --> 00:27:44,864 isn't enough to stop us from killing each other. 561 00:27:47,666 --> 00:27:49,535 I... 562 00:27:49,568 --> 00:27:51,904 Your Chronicle subscription is about to expire 563 00:27:51,938 --> 00:27:54,006 because they don't have your updated credit card. 564 00:27:54,040 --> 00:27:55,708 The coffee maker you ordered, 565 00:27:55,742 --> 00:27:57,710 third new one in the last six months, 566 00:27:57,744 --> 00:27:59,712 will be delivered Tuesday. 567 00:27:59,746 --> 00:28:02,281 And you're deducting way too much money 568 00:28:02,314 --> 00:28:03,682 out of Debbie's paycheck for FICA. 569 00:28:03,716 --> 00:28:05,818 Would you like to hear about your Google searches? 570 00:28:08,187 --> 00:28:09,221 Thank you. 571 00:28:16,128 --> 00:28:18,965 Lea! 572 00:28:21,300 --> 00:28:24,536 Severe proximal LAD disease with mid total occlusion. 573 00:28:24,570 --> 00:28:26,839 Angioplasty won't resolve that stenosis. 574 00:28:26,873 --> 00:28:28,975 High risk of rupture in someone this young. 575 00:28:29,608 --> 00:28:30,743 A stent? 576 00:28:30,777 --> 00:28:33,279 Won't be enough effective revascularization. 577 00:28:33,312 --> 00:28:37,483 She needs a left IMA to LAD anastomosis. 578 00:28:37,516 --> 00:28:40,419 I've never done a coronary bypass on a three-year-old. 579 00:28:40,452 --> 00:28:42,054 Neither have I. 580 00:28:42,088 --> 00:28:43,489 I guess it was the right call 581 00:28:43,522 --> 00:28:45,157 to put her daughter's poop up her tush. 582 00:28:45,191 --> 00:28:46,725 Cost her a large chunk of her colon. 583 00:28:46,759 --> 00:28:48,761 Saved her daughter's life. Yeah, lucky coincidence. 584 00:28:48,795 --> 00:28:51,197 I'm sure the mother doesn't regret a thing. 585 00:28:51,230 --> 00:28:52,698 At least she shouldn't. 586 00:28:52,731 --> 00:28:53,766 I'm with Claire. 587 00:29:06,045 --> 00:29:08,380 Do you have time for lunch? 588 00:29:08,414 --> 00:29:10,082 And by "lunch," you mean...? 589 00:29:10,817 --> 00:29:11,818 Lunch. 590 00:29:12,584 --> 00:29:14,420 I need advice. 591 00:29:15,454 --> 00:29:19,058 I need to really think about something. 592 00:29:19,091 --> 00:29:20,126 Oh. 593 00:29:20,993 --> 00:29:22,494 Then yes, of course. 594 00:29:22,528 --> 00:29:24,596 It could be patronizing, 595 00:29:24,630 --> 00:29:28,767 being put up as some kind of feel-good, human interest story. 596 00:29:28,801 --> 00:29:30,769 Or objectified and glorified 597 00:29:30,803 --> 00:29:33,940 as some kind of a symbol for people who are different. 598 00:29:33,973 --> 00:29:37,509 But I also know that when I told my sister your story, 599 00:29:37,543 --> 00:29:38,677 she cried. 600 00:29:39,411 --> 00:29:40,546 She was sad? 601 00:29:40,579 --> 00:29:43,215 No, she was inspired. 602 00:29:47,119 --> 00:29:51,824 I... don't know what your advice is telling me. 603 00:29:51,858 --> 00:29:54,793 I don't know what you think I'm supposed to do. 604 00:29:54,827 --> 00:29:57,830 Shaun, you aren't supposed to do anything, 605 00:29:57,864 --> 00:30:00,132 except what you believe is right. 606 00:30:02,001 --> 00:30:04,136 Thank you. 607 00:30:06,438 --> 00:30:08,674 Now I'm going to go see what Lea thinks. 608 00:30:10,509 --> 00:30:12,211 I thought you had a surgery. 609 00:30:12,244 --> 00:30:13,279 I'm just going upstairs. 610 00:30:13,312 --> 00:30:15,814 Lea's meeting with Dr. Glassman about a job. 611 00:30:15,848 --> 00:30:17,483 A job here? Yes. 612 00:30:17,516 --> 00:30:19,218 Lea told me at lunch yesterday 613 00:30:19,251 --> 00:30:21,653 that she was looking for different work, so... 614 00:30:21,687 --> 00:30:23,990 Wait, you... you had lunch with Lea? Yesterday? 615 00:30:24,023 --> 00:30:25,391 And... And you kept it from me? 616 00:30:31,363 --> 00:30:34,433 I didn't keep it from you. 617 00:30:34,466 --> 00:30:36,502 There was no reason to mention it 618 00:30:36,535 --> 00:30:38,704 until just now, when I did. 619 00:30:39,371 --> 00:30:40,372 Shaun... 620 00:30:41,740 --> 00:30:43,175 You know how I feel 621 00:30:43,209 --> 00:30:46,112 about how Lea hovers over our relationship. 622 00:30:46,145 --> 00:30:47,146 And... 623 00:30:47,980 --> 00:30:50,116 You're just sneaking around with her? 624 00:30:50,149 --> 00:30:51,650 Arranging for her to work here, 625 00:30:51,683 --> 00:30:54,086 where she'll just loom all the more. 626 00:30:55,221 --> 00:30:58,324 She won't be looming or hovering. 627 00:30:58,357 --> 00:31:00,960 She'll be on a whole other floor. 628 00:31:00,993 --> 00:31:02,895 Yeah, where you can go and get her two cents 629 00:31:02,929 --> 00:31:05,664 whenever the advice given by your actual girlfriend 630 00:31:05,697 --> 00:31:07,266 is deemed insufficient. 631 00:31:09,768 --> 00:31:10,836 Yes. 632 00:31:27,786 --> 00:31:28,787 Hey. 633 00:31:30,957 --> 00:31:32,024 What are you doing? 634 00:31:32,058 --> 00:31:33,659 Eh, fresh air. 635 00:31:33,692 --> 00:31:34,693 You? 636 00:31:39,765 --> 00:31:42,969 Shaun lied to me about having lunch with Lea. 637 00:31:44,770 --> 00:31:45,771 No, he didn't. 638 00:31:47,273 --> 00:31:49,341 Shaun is incapable of deceit. 639 00:31:49,375 --> 00:31:52,078 He must have genuinely thought that you wouldn't mind. 640 00:31:52,111 --> 00:31:55,347 Well, then, he is completely tone deaf and insensitive, 641 00:31:55,381 --> 00:31:57,849 which are not better qualities in a boyfriend. 642 00:31:57,883 --> 00:31:58,917 True. 643 00:31:58,951 --> 00:32:00,552 But not exactly unanticipated 644 00:32:00,586 --> 00:32:02,554 when you get into a relationship with Shaun. 645 00:32:05,391 --> 00:32:07,393 And it's never really about the lie. 646 00:32:07,426 --> 00:32:09,295 It's what's underneath. 647 00:32:09,328 --> 00:32:10,562 You're jealous of Lea. 648 00:32:10,596 --> 00:32:12,731 I am not jealous. 649 00:32:12,764 --> 00:32:14,066 I am concerned... 650 00:32:14,100 --> 00:32:16,702 You don't need to justify. I'm on team jealousy. 651 00:32:16,735 --> 00:32:19,705 It's flattering, stimulating, it... 652 00:32:19,738 --> 00:32:21,507 It means you're committed and you care. 653 00:32:21,540 --> 00:32:23,976 It's ugly and reflects underlying trust issues 654 00:32:24,010 --> 00:32:25,077 that I don't want to... 655 00:32:25,111 --> 00:32:26,288 Yeah, yeah, yeah, like all things, 656 00:32:26,312 --> 00:32:28,780 a little is good, and a lot will kill you. 657 00:32:28,814 --> 00:32:29,815 My advice... 658 00:32:31,350 --> 00:32:33,619 Admit you're jealous, give in to it, 659 00:32:33,652 --> 00:32:34,820 and then get over it. 660 00:32:42,428 --> 00:32:43,695 Finding the styloid 661 00:32:43,729 --> 00:32:46,798 via digital palpitation of the tonsillar fossa. 662 00:32:47,799 --> 00:32:48,800 There. 663 00:32:51,103 --> 00:32:55,607 Making incision vertically along the mucosa of mandible. 664 00:32:57,576 --> 00:32:59,078 Next? 665 00:32:59,111 --> 00:33:03,415 I will free the styloid process from its muscle 666 00:33:03,449 --> 00:33:06,452 and ligament attachments. 667 00:33:07,286 --> 00:33:08,287 Done. 668 00:33:11,290 --> 00:33:14,693 Dissecting away from the internal carotid medially, 669 00:33:15,794 --> 00:33:19,265 and external, laterally. 670 00:33:19,298 --> 00:33:21,400 Now fracture and excise the styloid. 671 00:33:29,341 --> 00:33:30,485 Bradycardia. Hypotensive. 672 00:33:30,509 --> 00:33:32,611 Loss of EEG waveform. Cerebral ischemia. 673 00:33:32,644 --> 00:33:33,979 You may have injured the carotid. 674 00:33:34,012 --> 00:33:35,914 Or compressed it by fracturing the styloid. 675 00:33:35,947 --> 00:33:37,949 See if the fragment is impinging on the vessel. 676 00:33:37,983 --> 00:33:39,385 Dr. Murphy, extend her head. 677 00:33:47,859 --> 00:33:49,961 Yes. Found it. Easing it away. 678 00:33:54,166 --> 00:33:55,801 Carotid decompressed. 679 00:33:57,869 --> 00:34:00,639 EEG back to baseline normal. 680 00:34:06,745 --> 00:34:09,815 Resuming styloid extraction. 681 00:34:21,460 --> 00:34:23,362 Kayley's in ICU, stable. 682 00:34:23,395 --> 00:34:25,997 CT shows no signs of any permanent damage. 683 00:34:26,031 --> 00:34:29,034 No reason to anticipate any future problems. 684 00:34:29,067 --> 00:34:32,904 So, the question is, what do we tell her? 685 00:34:32,938 --> 00:34:35,174 That the surgery was a success. 686 00:34:35,207 --> 00:34:37,176 She had a cerebral ischemia. On the table. 687 00:34:37,209 --> 00:34:39,511 That did no damage and that there's no evidence of. 688 00:34:39,545 --> 00:34:41,713 Hospital policy is transparency... 689 00:34:41,747 --> 00:34:43,682 We don't tell them what music we played, 690 00:34:43,715 --> 00:34:44,816 what we talked about. 691 00:34:44,850 --> 00:34:47,853 This isn't relevant to the outcome or to her prognosis. 692 00:34:47,886 --> 00:34:49,030 Would you be taking the same position 693 00:34:49,054 --> 00:34:51,557 if Kayley wasn't someone whose criticism could go viral? 694 00:34:51,590 --> 00:34:52,724 I don't know. 695 00:34:52,758 --> 00:34:54,878 But it would be delusional to think it's not relevant. 696 00:34:56,027 --> 00:34:57,028 Dr. Reznick. 697 00:34:57,796 --> 00:35:00,065 Any thoughts? 698 00:35:00,098 --> 00:35:02,568 I don't think I can fairly offer an opinion, 699 00:35:02,601 --> 00:35:04,936 because my career could hang in the balance. 700 00:35:04,970 --> 00:35:07,306 Yeah, well, none of us are disinterested parties, 701 00:35:07,339 --> 00:35:10,909 given the hospital's reputation is also at stake. 702 00:35:10,942 --> 00:35:12,478 Did you screw up? 703 00:35:12,511 --> 00:35:14,246 Could that crisis have been avoided? 704 00:35:17,048 --> 00:35:21,320 If it could have been, then we are all responsible. 705 00:35:21,353 --> 00:35:23,255 We were watching everything she was doing, 706 00:35:23,289 --> 00:35:25,291 and none of us told her to stop. 707 00:35:26,792 --> 00:35:28,460 This is an easy call. 708 00:35:28,494 --> 00:35:30,929 There's only one reason to tell her everything, 709 00:35:30,962 --> 00:35:33,332 and that's you might feel guilty if you don't. 710 00:35:33,365 --> 00:35:36,034 On the other hand, there's the future of this hospital. 711 00:35:45,777 --> 00:35:46,778 Okay. 712 00:35:49,014 --> 00:35:52,918 Shaun, if the patient asks for details about the surgery, 713 00:35:52,951 --> 00:35:54,986 can you limit your answers? 714 00:35:57,523 --> 00:35:59,658 I... don't know. 715 00:36:00,859 --> 00:36:01,993 Okay, we need to know if... 716 00:36:02,027 --> 00:36:03,895 No. 717 00:36:03,929 --> 00:36:07,366 Dr. Murphy, I hope you will limit your answers. 718 00:36:07,399 --> 00:36:09,535 But I won't order you to defy your conscience. 719 00:36:20,479 --> 00:36:24,450 We don't normally have patients share rooms, but... 720 00:36:24,483 --> 00:36:27,286 She's...? Gonna be completely fine. 721 00:36:27,319 --> 00:36:30,256 And once she's recuperated, we'll begin her on statins and Ezetimibe, 722 00:36:30,289 --> 00:36:32,491 and she'll undergo lipid apheresis. 723 00:36:32,524 --> 00:36:33,792 It's kind of like dialysis, 724 00:36:33,825 --> 00:36:36,995 but it'll allow us to extract LDL out of her blood. 725 00:36:37,028 --> 00:36:39,164 Should get her cholesterol to within normal range. 726 00:36:40,832 --> 00:36:43,369 She'll need those drugs and that other stuff 727 00:36:43,402 --> 00:36:44,470 for the rest of her life? 728 00:36:44,503 --> 00:36:48,006 Yes. But hopefully a very long one. 729 00:36:51,977 --> 00:36:53,979 Thank you so much. 730 00:36:54,780 --> 00:36:56,482 Thank God I did what I did. 731 00:37:12,097 --> 00:37:15,166 Everything went great? 732 00:37:15,200 --> 00:37:17,403 The repair was successful. You should have no... 733 00:37:17,436 --> 00:37:20,071 Everything went great. Say it. Say it to your fans. 734 00:37:21,607 --> 00:37:23,842 Everything went great. 735 00:37:23,875 --> 00:37:25,611 You rocked it. 736 00:37:25,644 --> 00:37:28,414 You'll be with us another few days, and then you... 737 00:37:28,447 --> 00:37:30,749 She rocked it, right? 738 00:37:30,782 --> 00:37:33,785 She was lead surgeon in a successful... 739 00:37:33,819 --> 00:37:35,421 And how gorgeous is that hair? 740 00:37:35,454 --> 00:37:38,189 Dr. Morgan Reznick, take a bow! 741 00:37:41,893 --> 00:37:44,062 She was wrist-deep all up in my mouth, y'all. 742 00:37:44,095 --> 00:37:45,731 She is a damn hero! 743 00:37:48,567 --> 00:37:50,201 You've got work to do. 744 00:37:50,235 --> 00:37:51,236 We're proud of you. 745 00:37:54,673 --> 00:37:56,508 Any reason you screwed up? 746 00:37:56,542 --> 00:37:58,810 I didn't. It could've happened to anyone. 747 00:37:58,844 --> 00:38:01,347 Not anyone suffers from arthritic pain. 748 00:38:01,380 --> 00:38:02,881 That didn't affect anything. 749 00:38:02,914 --> 00:38:04,550 You sure about that? 750 00:38:04,583 --> 00:38:05,751 'Cause I'm not. 751 00:38:22,401 --> 00:38:24,302 Did you speak to Lea? 752 00:38:24,336 --> 00:38:25,404 Yes. 753 00:38:29,274 --> 00:38:32,544 I know she's a good friend. 754 00:38:32,578 --> 00:38:34,012 And it would be unfair 755 00:38:34,045 --> 00:38:36,648 for me to expect you to cut her out of your life. 756 00:38:36,682 --> 00:38:38,316 But... 757 00:38:38,350 --> 00:38:42,087 You going to ask her opinion right after I had given mine, 758 00:38:42,120 --> 00:38:46,224 it just called up Wyoming all over again. 759 00:38:46,257 --> 00:38:49,027 That you preferred Lea to me. 760 00:38:53,632 --> 00:38:54,966 I was jealous. 761 00:38:57,035 --> 00:38:59,671 And it's something that I have to work out. 762 00:39:02,508 --> 00:39:05,644 For the two of us to work out. 763 00:39:05,677 --> 00:39:06,845 Together. 764 00:39:18,089 --> 00:39:19,991 What was Lea's advice? 765 00:39:22,160 --> 00:39:25,764 That it'd be selfish not to share my story with the world. 766 00:39:29,300 --> 00:39:30,902 I liked your advice better. 767 00:39:43,415 --> 00:39:44,483 Hey. 768 00:39:45,651 --> 00:39:47,486 Uh-oh. 769 00:39:48,319 --> 00:39:50,388 Actually, yeah. 770 00:39:50,422 --> 00:39:52,591 There's something awkward we need to talk about. 771 00:39:53,792 --> 00:39:55,093 You and Claire. 772 00:39:57,863 --> 00:40:00,766 You can reopen the door. 773 00:40:00,799 --> 00:40:03,735 There's nothing remotely improper going on. 774 00:40:05,937 --> 00:40:09,074 I received an anonymous favoritism complaint. 775 00:40:10,108 --> 00:40:11,510 We need to deal with it. 776 00:40:19,217 --> 00:40:23,722 I don't want to talk to reporters. 777 00:40:23,755 --> 00:40:25,591 I know. 778 00:40:25,624 --> 00:40:29,427 So if I talked to reporters, 779 00:40:29,461 --> 00:40:32,330 it wouldn't be honest to who I really am. 780 00:40:33,331 --> 00:40:35,901 Well, sometimes, Shaun, 781 00:40:35,934 --> 00:40:38,537 people present a different version of themselves 782 00:40:38,570 --> 00:40:40,506 depending upon the circumstances. 783 00:40:40,539 --> 00:40:43,909 Like, I'm not always the same here as I am at home. 784 00:40:43,942 --> 00:40:45,043 I don't. 785 00:40:45,076 --> 00:40:47,479 No, you don't. 786 00:40:48,747 --> 00:40:51,717 I considered all the arguments. 787 00:40:55,186 --> 00:40:59,324 I want to be known as a good doctor. 788 00:41:00,325 --> 00:41:02,460 Not a good autistic doctor.