1 00:00:03,440 --> 00:00:05,374 Grasp is good, 2 00:00:05,398 --> 00:00:09,857 but Steve's not gaining weight quite as quickly as I'd like. 3 00:00:09,881 --> 00:00:12,512 I'm feeding him every two to three hours during the day, 4 00:00:12,536 --> 00:00:14,296 every three to four at night. 5 00:00:14,320 --> 00:00:16,958 And pumping in between to increase milk production. 6 00:00:16,982 --> 00:00:19,238 Well, I'm going to recommend you start supplementing with formula. 7 00:00:19,735 --> 00:00:22,130 But everyone says "breast is best"? 8 00:00:22,154 --> 00:00:23,403 Breast milk is the ideal. 9 00:00:23,427 --> 00:00:25,515 Right now, Steve just needs a little extra. 10 00:00:25,853 --> 00:00:27,744 Some samples to get you started. 11 00:00:27,768 --> 00:00:29,746 This is an excellent product, 12 00:00:29,770 --> 00:00:31,487 and it will make it easier for me 13 00:00:31,511 --> 00:00:33,078 to do more nighttime feedings. 14 00:00:33,861 --> 00:00:36,318 Yeah. Yeah. 15 00:00:39,824 --> 00:00:41,323 I thought being co-presidents 16 00:00:41,347 --> 00:00:43,262 meant we would do things together. 17 00:00:45,308 --> 00:00:46,995 I was aiming for... 18 00:00:47,571 --> 00:00:51,377 you do some things and I do some things. 19 00:00:51,401 --> 00:00:54,641 Funny how your "some things" leads to more work for me. 20 00:00:54,665 --> 00:00:56,556 I have no idea what you're talking about. 21 00:00:56,580 --> 00:00:59,446 The affiliation deal with San Jose Med School? 22 00:00:59,470 --> 00:01:02,866 We had to cover the overages because the nurses unionized. 23 00:01:02,890 --> 00:01:04,781 In exchange, we teach a few med students. 24 00:01:04,805 --> 00:01:06,957 You won't be teaching anyone. 25 00:01:06,981 --> 00:01:08,350 I will have the useless baby docs 26 00:01:08,374 --> 00:01:09,954 wandering around the department 27 00:01:09,978 --> 00:01:12,137 like lost children with scalpels. 28 00:01:12,161 --> 00:01:14,564 We made a good deal. That's it. 29 00:01:15,120 --> 00:01:16,706 It's a good deal. 30 00:01:32,311 --> 00:01:34,028 We should go introduce ourselves. 31 00:01:34,052 --> 00:01:37,420 No, they are baby ducklings, and I will not be their mommy. 32 00:01:38,002 --> 00:01:39,961 Let them imprint on Shaun and Park. 33 00:01:41,786 --> 00:01:43,005 Hi! 34 00:01:43,291 --> 00:01:44,335 Bye. 35 00:01:52,068 --> 00:01:53,504 Hi, I'm Dr. Park. This is Doctor... 36 00:01:53,529 --> 00:01:55,009 Dr. Shaun Murphy. 37 00:01:55,034 --> 00:01:57,130 I... I can't believe it's really you. 38 00:01:57,155 --> 00:01:59,109 I'm just so excited, I'm about to pee myself. 39 00:01:59,382 --> 00:02:00,576 Please do not. 40 00:02:00,600 --> 00:02:02,926 Of course not. You're... You're not a shaker. 41 00:02:02,950 --> 00:02:04,754 There was a March 2012 abstract 42 00:02:04,778 --> 00:02:06,756 that demonstrated a reluctance to shake hands 43 00:02:06,780 --> 00:02:08,541 could be used as a diagnostic marker for ASD. 44 00:02:08,565 --> 00:02:09,846 But I love a good, firm grip. 45 00:02:09,870 --> 00:02:11,262 That's why they call it a spectrum. 46 00:02:11,287 --> 00:02:12,680 We could shake. 47 00:02:13,613 --> 00:02:14,764 That's not very firm. 48 00:02:14,788 --> 00:02:15,896 Okay. That's better. 49 00:02:15,920 --> 00:02:16,940 I'm Charlotte Lukaitis. 50 00:02:16,964 --> 00:02:18,464 Nice to meet you, Charlotte. 51 00:02:18,488 --> 00:02:20,335 I go by "Charlie" for now, "Dr. Lukaitis" soon. 52 00:02:20,359 --> 00:02:21,423 Only two years away from my goal, 53 00:02:21,447 --> 00:02:23,033 which I've had since I was 17, 54 00:02:23,057 --> 00:02:24,600 ever since I saw that viral video of you saving 55 00:02:24,624 --> 00:02:25,993 that boy at the San Jose Airport 56 00:02:26,017 --> 00:02:27,299 using a homemade one-way valve. 57 00:02:27,323 --> 00:02:29,431 It was the coolest, most heroic thing 58 00:02:29,455 --> 00:02:30,998 I've ever seen from a person with ASD. 59 00:02:31,022 --> 00:02:32,826 It was very heroic. 60 00:02:32,850 --> 00:02:34,044 I picked San Jose for medical school 61 00:02:34,068 --> 00:02:35,481 hoping to engineer a run-in with you, 62 00:02:35,505 --> 00:02:36,960 but then your hospital partnered with my school, 63 00:02:36,984 --> 00:02:38,571 and it's like what Taylor Swift says in "Mastermind"... 64 00:02:38,595 --> 00:02:40,399 Charlie. 65 00:02:40,423 --> 00:02:43,228 Dom helps me when I, you know, talk too much. 66 00:02:43,252 --> 00:02:45,012 Hi, I'm Dominick Hubank. 67 00:02:45,036 --> 00:02:48,102 And we're happy to have such eager future doctors joining the team. 68 00:02:48,126 --> 00:02:49,625 Future surgeon. 69 00:02:49,649 --> 00:02:51,061 I don't want to be a surgeon, 70 00:02:51,085 --> 00:02:52,621 but I'm excited for the rotation. 71 00:02:53,218 --> 00:02:54,804 Okay. 72 00:02:54,828 --> 00:02:56,632 Charlie, you are on my team. 73 00:02:56,656 --> 00:02:57,614 Yes! 74 00:03:02,271 --> 00:03:10,271 Synced & corrected by -robtor- www.addic7ed.com 75 00:03:11,976 --> 00:03:13,562 Would you like to present? 76 00:03:13,586 --> 00:03:14,726 I'd love to. 77 00:03:17,068 --> 00:03:20,003 - Richard Shelford, 53... - Call me Rich. 78 00:03:20,027 --> 00:03:21,309 Not that I'm wealthy. 79 00:03:21,333 --> 00:03:23,964 Right, Rich Shelford, 53 years old... 80 00:03:23,988 --> 00:03:25,444 Don't feel a day over 52. 81 00:03:25,468 --> 00:03:27,185 That's funny. 82 00:03:27,209 --> 00:03:29,491 Okay. This is taking too long. 83 00:03:29,515 --> 00:03:31,284 Please tell us what happened. 84 00:03:31,309 --> 00:03:34,095 He was coughing so hard he couldn't catch his breath, 85 00:03:34,120 --> 00:03:36,206 and then he fainted and hit his head. 86 00:03:36,827 --> 00:03:38,124 Cough syncope. 87 00:03:38,524 --> 00:03:40,372 He's thinner and way more tired 88 00:03:40,396 --> 00:03:41,982 than the last time he visited me. 89 00:03:42,006 --> 00:03:43,418 Yeah, but I'm fine. 90 00:03:43,442 --> 00:03:44,854 It's just a little cold. 91 00:03:44,878 --> 00:03:47,004 You could barely breathe, Dad. 92 00:03:47,028 --> 00:03:49,511 Um, chest X-ray shows multiple lung nodules 93 00:03:49,535 --> 00:03:52,427 and enlarged lymph nodes in the hilar and mediastinal areas. 94 00:03:52,451 --> 00:03:54,386 Get an ABG, CBC, perform a bronchoscopy, 95 00:03:54,410 --> 00:03:55,952 and send biopsies to path. 96 00:03:55,976 --> 00:03:57,998 Can you apply a wound dressing using the Turban Technique? 97 00:03:58,022 --> 00:03:59,312 I sure can. 98 00:04:03,201 --> 00:04:04,265 Hey, uh... 99 00:04:04,289 --> 00:04:06,093 how long until we could get out of here? 100 00:04:06,117 --> 00:04:08,487 My daughter, she took some time off work to show me around. 101 00:04:08,511 --> 00:04:10,271 She's got her own business. 102 00:04:10,295 --> 00:04:12,491 Works as a tech consultant for a few companies around the Valley. 103 00:04:12,515 --> 00:04:14,536 - Dad. - Let the man brag. 104 00:04:14,560 --> 00:04:16,258 - It's every proud father's right. - Yeah. 105 00:04:17,084 --> 00:04:19,889 - Hold this, please. - Oh. 106 00:04:21,828 --> 00:04:23,632 Basic Turban Technique for head bandaging. 107 00:04:23,656 --> 00:04:27,332 Step one, tie the ends of two bandages together in a knot. 108 00:04:27,356 --> 00:04:29,290 Step two, starting from one ear... 109 00:04:29,314 --> 00:04:31,118 The patient was a good sport about it, 110 00:04:31,142 --> 00:04:32,337 but his daughter was not happy. 111 00:04:32,361 --> 00:04:34,687 A wound dressing is very low stakes. 112 00:04:34,711 --> 00:04:37,516 Did Charlie do a bad job following the tutorial? 113 00:04:37,540 --> 00:04:40,214 Uh, no. Actually, the dressing was pretty decent. 114 00:04:40,238 --> 00:04:42,327 But the point is, the patient's family were uncomfortable. 115 00:04:45,765 --> 00:04:47,221 I think someone should tell her 116 00:04:47,245 --> 00:04:48,986 no more how-to videos in front of patients. 117 00:04:49,922 --> 00:04:52,365 Oh. You can if you want. 118 00:04:56,492 --> 00:04:58,189 We were able to repair your skull fracture 119 00:04:58,214 --> 00:05:00,173 and evacuate a large subdural hematoma. 120 00:05:00,198 --> 00:05:02,243 Lucky day. Is there a Wi-Fi password? 121 00:05:02,268 --> 00:05:03,584 I need to get League Pass in here. 122 00:05:04,557 --> 00:05:06,458 Uh, the accident report says 123 00:05:06,482 --> 00:05:08,590 that you stepped right in front of an oncoming car. 124 00:05:08,614 --> 00:05:10,375 I just didn't see it. 125 00:05:10,399 --> 00:05:11,607 Big day today. 126 00:05:11,631 --> 00:05:13,935 I got the Clips and the points, the money line, and the over. 127 00:05:13,959 --> 00:05:16,076 And it's the last leg of a six-team parlay 128 00:05:16,100 --> 00:05:17,469 that I need to come through. 129 00:05:17,493 --> 00:05:18,948 That's a lot of action. 130 00:05:18,972 --> 00:05:21,410 Well, having some skin in the game makes life more fun. 131 00:05:23,760 --> 00:05:27,442 Hey, you're The Dominator. 132 00:05:29,069 --> 00:05:30,308 Uh, just "Dom" now. 133 00:05:30,332 --> 00:05:32,135 My football days are behind me. 134 00:05:32,159 --> 00:05:34,181 That pancake block you had against Stanford? 135 00:05:34,205 --> 00:05:35,922 Cleared the way for that 75-yard run? 136 00:05:35,946 --> 00:05:38,185 Made me 10 grand, that one play! 137 00:05:38,209 --> 00:05:39,317 Why aren't you in the league? 138 00:05:39,341 --> 00:05:42,320 Decided I wanted to help people instead of hurt them. 139 00:05:42,344 --> 00:05:45,018 Okay, let's draw blood for post-op hematocrit. 140 00:05:45,042 --> 00:05:47,045 Once the brain swelling comes down, you can go. 141 00:05:49,916 --> 00:05:51,049 Have you done a blood draw yet? 142 00:05:52,005 --> 00:05:53,652 It's my first day out of the classroom. 143 00:05:53,676 --> 00:05:55,008 Five bucks he gets an A. 144 00:05:55,621 --> 00:05:57,014 No. 145 00:06:00,666 --> 00:06:03,863 All right. You're going to palpate for a vein. 146 00:06:03,887 --> 00:06:06,735 Oh, and remember, when introducing the needle, 147 00:06:06,759 --> 00:06:10,826 always bevel up and insert the tube into the vacutainer. 148 00:06:10,850 --> 00:06:14,072 And you just passed phlebotomy 101. 149 00:06:14,898 --> 00:06:16,441 Oh, God. 150 00:06:20,425 --> 00:06:22,080 You could be up five right now. 151 00:06:23,354 --> 00:06:24,971 He went down. 152 00:06:24,995 --> 00:06:26,799 I mean, hard. 153 00:06:26,823 --> 00:06:28,920 Frontal and parietal lobes look clear. 154 00:06:31,514 --> 00:06:32,500 I'm sorry. 155 00:06:32,524 --> 00:06:35,242 I did deadlifts and squats this morning. 156 00:06:35,266 --> 00:06:36,678 Didn't have time to eat breakfast. 157 00:06:36,702 --> 00:06:38,201 Feeling okay now? 158 00:06:38,225 --> 00:06:40,348 My ego took a hit, but I'll be okay. 159 00:06:41,664 --> 00:06:42,795 Whoa! 160 00:06:43,101 --> 00:06:44,904 Is that our patient's brain? 161 00:06:44,928 --> 00:06:47,863 Mm. You just passed anatomy 101. 162 00:06:47,887 --> 00:06:49,387 Which part's the front? 163 00:06:49,411 --> 00:06:50,562 Oh, spoke too soon. 164 00:06:50,586 --> 00:06:52,085 This is the axial plane, 165 00:06:52,109 --> 00:06:53,695 which means we're looking down from the top. 166 00:06:56,114 --> 00:06:58,874 These are the temporal and occipital lobes here. Also clear. 167 00:06:58,898 --> 00:07:00,002 How can you tell? 168 00:07:00,026 --> 00:07:01,703 We injected gadolinium, which leaks out 169 00:07:01,727 --> 00:07:03,009 around the areas of injury 170 00:07:03,033 --> 00:07:05,209 and makes them show up brighter on the scan. 171 00:07:05,905 --> 00:07:06,875 Like that? 172 00:07:09,343 --> 00:07:11,671 Yeah. Like that. 173 00:07:13,086 --> 00:07:14,673 That's a tumor, 174 00:07:14,697 --> 00:07:16,370 completely interwoven with his brain stem 175 00:07:16,394 --> 00:07:17,589 and cranial nerves 176 00:07:17,613 --> 00:07:19,808 and extending to his upper spinal cord. 177 00:07:19,832 --> 00:07:22,289 I guess we know why he didn't see that car. 178 00:07:26,652 --> 00:07:28,306 You are descending through the larynx 179 00:07:28,331 --> 00:07:31,203 to the trachea and onto the carina. 180 00:07:31,228 --> 00:07:33,405 - Nicely identified. - Thank you. 181 00:07:33,430 --> 00:07:35,997 Positive affirmations are empowering for people with ASD. 182 00:07:36,022 --> 00:07:37,197 "My autism is awesome." 183 00:07:37,222 --> 00:07:39,908 Onto the bronchi and bronchioles. 184 00:07:40,817 --> 00:07:43,494 I use Taylor Swift mnemonics. Do you guys do that, too? 185 00:07:43,813 --> 00:07:45,031 - No. - I do. 186 00:07:45,989 --> 00:07:47,270 I wonder if ours are the same. 187 00:07:47,294 --> 00:07:51,100 Basic airway anatomy, L, T, C, B, B. 188 00:07:51,124 --> 00:07:54,408 "Lover,"Treacherous,"Cardigan," "Babe," and "Bejeweled." 189 00:07:54,432 --> 00:07:57,716 I used "Bad Blood" for both bronchi and bronchioles. Two for one. 190 00:07:57,740 --> 00:07:58,891 Mm. 191 00:07:58,915 --> 00:08:00,428 He knows one song. 192 00:08:04,770 --> 00:08:07,727 Look at the patches on the bronchial mucosa. 193 00:08:08,490 --> 00:08:09,858 There's a luminal narrowing 194 00:08:09,882 --> 00:08:11,397 from the enlarged lymph nodes. 195 00:08:12,849 --> 00:08:14,807 This definitely isn't pneumonia. 196 00:08:14,832 --> 00:08:15,920 Cool. 197 00:08:15,945 --> 00:08:17,381 My first medical mystery. 198 00:08:18,158 --> 00:08:19,421 Can I page Dr. Murphy? 199 00:08:26,437 --> 00:08:28,539 Did you ever cut quartz countertops? 200 00:08:31,642 --> 00:08:32,794 Yeah. 201 00:08:33,391 --> 00:08:36,002 I started off in a fabrication shop. 202 00:08:36,422 --> 00:08:37,451 How'd you know that? 203 00:08:37,475 --> 00:08:39,671 Cutting quartz produces toxic fine-dust particles 204 00:08:39,695 --> 00:08:42,303 that have embedded in your airway and lungs. 205 00:08:42,741 --> 00:08:44,676 You have silicosis. 206 00:08:44,700 --> 00:08:46,516 It's like watching a magic trick. 207 00:08:47,833 --> 00:08:51,247 Uh, my doc said it was just a recurring pneumonia. 208 00:08:51,271 --> 00:08:54,468 Silicosis can often be misdiagnosed until it's too late. 209 00:08:54,492 --> 00:08:57,485 You will need a bilateral lung transplant. 210 00:08:59,758 --> 00:09:01,127 He needs new lungs? 211 00:09:01,151 --> 00:09:04,130 Yes. With your declining respiratory function 212 00:09:04,154 --> 00:09:05,827 and extensive damage, 213 00:09:05,851 --> 00:09:07,535 you should be prioritized for transplant. 214 00:09:07,559 --> 00:09:10,456 But you will need full-time home care for the rest of your life. 215 00:09:12,641 --> 00:09:15,315 But I live alone back in Florida. 216 00:09:15,339 --> 00:09:17,505 Dad, one step at a time. 217 00:09:18,777 --> 00:09:21,147 I think you should get the surgery here, 218 00:09:21,171 --> 00:09:21,975 then move in with me. 219 00:09:21,999 --> 00:09:23,192 I can't do that. 220 00:09:23,216 --> 00:09:24,450 Of course you can. 221 00:09:24,474 --> 00:09:26,935 Your career has just taken off. I'm not gonna burden you. 222 00:09:26,959 --> 00:09:30,243 It's not a burden. You're my dad. 223 00:09:30,267 --> 00:09:33,052 You peeled my oranges and coached my soccer team. 224 00:09:33,405 --> 00:09:35,930 Then you put me through college and business school. 225 00:09:36,926 --> 00:09:38,556 Let me take care of you. 226 00:09:46,359 --> 00:09:48,286 Someone raised his girl right. 227 00:09:51,680 --> 00:09:53,048 Okay. 228 00:09:53,072 --> 00:09:55,960 We will call a transplant coordinator. 229 00:09:59,252 --> 00:10:00,621 Where's Steve? 230 00:10:00,645 --> 00:10:02,144 Down the hall, flirting with the nurses. 231 00:10:02,168 --> 00:10:04,233 I need you to write me a prescription for domperidone. 232 00:10:04,257 --> 00:10:06,279 It increases breast milk production. 233 00:10:06,303 --> 00:10:07,802 All the mom message boards say so. 234 00:10:07,826 --> 00:10:10,413 It is not approved as a lactation aid anywhere. 235 00:10:10,437 --> 00:10:12,633 Doctors in Canada and Mexico are using it off-label. 236 00:10:12,657 --> 00:10:15,462 Does Steve not like the formula Dr. Hyland recommended? 237 00:10:15,486 --> 00:10:16,898 I don't like it, Shaun. 238 00:10:16,922 --> 00:10:19,640 I feel like... I feel like a failure as a mom. 239 00:10:19,664 --> 00:10:22,861 But you are not a failure. 240 00:10:22,885 --> 00:10:25,428 You are following all the recommended guidelines. 241 00:10:25,452 --> 00:10:27,205 In fact, the only guideline you're not following 242 00:10:27,229 --> 00:10:29,171 is supplementing with formula as advised. 243 00:10:31,792 --> 00:10:33,342 Shaun... 244 00:10:33,729 --> 00:10:36,819 I've been wanting to be a mom for so long, 245 00:10:36,844 --> 00:10:40,630 and part of that is my body is supposed to give Steve 246 00:10:40,655 --> 00:10:43,341 everything he needs, and mine won't. 247 00:10:44,297 --> 00:10:45,551 And I hate it. 248 00:10:50,216 --> 00:10:51,682 Come in. 249 00:10:52,305 --> 00:10:54,327 Good. You're both here. 250 00:10:54,351 --> 00:10:56,285 An invite to Baby Eden's Sip and See. 251 00:10:56,309 --> 00:10:57,809 So everyone can officially meet her 252 00:10:57,833 --> 00:10:59,482 in a cute dress instead of a hospital gown. 253 00:11:00,226 --> 00:11:01,856 Is Dr. Glassman going? 254 00:11:01,880 --> 00:11:04,511 - I think so. - Then I do not want to go. 255 00:11:04,535 --> 00:11:06,687 I thought you and Glassy had worked things out. 256 00:11:06,711 --> 00:11:08,210 He took Steve the other night. 257 00:11:08,234 --> 00:11:09,429 Hmm. 258 00:11:09,453 --> 00:11:10,822 Who cares if he's there? 259 00:11:10,846 --> 00:11:12,519 As long as you and that gorgeous baby make it. 260 00:11:12,543 --> 00:11:14,153 Wouldn't miss it. 261 00:11:14,547 --> 00:11:15,810 Isn't being a mom great? 262 00:11:16,143 --> 00:11:17,361 The greatest. 263 00:11:18,157 --> 00:11:20,570 You just said you feel like a failure. 264 00:11:20,594 --> 00:11:22,660 I think that is because of a postpartum decrease 265 00:11:22,684 --> 00:11:24,382 in estrogen and progesterone. 266 00:11:25,599 --> 00:11:26,968 Did you just call me hormonal? 267 00:11:26,992 --> 00:11:29,928 - No, actually reduced hormonal. - Okay, Shaun. 268 00:11:29,952 --> 00:11:31,973 - Time to go. - This is my office. 269 00:11:31,997 --> 00:11:33,933 Let's not have it be your gravesite. 270 00:11:40,353 --> 00:11:42,483 Huh. There's gotta be something you can do. 271 00:11:43,182 --> 00:11:44,943 We can't safely remove the tumor 272 00:11:44,967 --> 00:11:46,814 without permanent injury to your brain stem. 273 00:11:46,838 --> 00:11:48,698 If you survive the surgery at all. 274 00:11:50,886 --> 00:11:53,778 I'm sorry. I know it's a lot to take in. 275 00:11:53,802 --> 00:11:55,780 But there's... there's new technology all the time. 276 00:11:55,804 --> 00:11:57,303 Nadal's back with the stem cells, 277 00:11:57,327 --> 00:11:59,044 and Bartolo Colon... 278 00:11:59,068 --> 00:12:01,786 Experimental treatments on athletes' orthopedic injuries 279 00:12:01,810 --> 00:12:03,744 are completely different than brain surgery. 280 00:12:03,768 --> 00:12:05,790 C-Could you remove some of the tumor? 281 00:12:05,814 --> 00:12:08,749 Buy me more time? How about chemo? 282 00:12:08,773 --> 00:12:11,012 This type of cancer doesn't respond to chemo. 283 00:12:11,036 --> 00:12:13,362 We did read a paper in class about a TCR approach. 284 00:12:13,386 --> 00:12:14,537 Could that be something? 285 00:12:14,561 --> 00:12:16,235 That was only done a few times, 286 00:12:16,259 --> 00:12:17,236 and never with brain stem involvement. 287 00:12:17,260 --> 00:12:18,716 TCR. 288 00:12:18,740 --> 00:12:20,761 It's my new favorite letters. 289 00:12:20,785 --> 00:12:22,526 Whatever they stand for, let's do that. 290 00:12:28,184 --> 00:12:31,554 TCR means we would saw up through your mandible 291 00:12:31,578 --> 00:12:33,905 and dislocate your lower jaw. 292 00:12:33,929 --> 00:12:35,733 Then we cut open from the roof of your mouth 293 00:12:35,757 --> 00:12:36,951 to the back of your throat. 294 00:12:36,975 --> 00:12:38,910 That's just to access the tumor. 295 00:12:38,934 --> 00:12:41,390 That tumor is woven into your brain stem. 296 00:12:41,414 --> 00:12:44,219 Removing it would very likely leave you quadriplegic, 297 00:12:44,243 --> 00:12:47,203 unable to speak or move, if you survive the surgery. 298 00:12:49,342 --> 00:12:50,573 Okay. 299 00:12:50,597 --> 00:12:51,886 Maybe it's not my favorite. 300 00:12:53,296 --> 00:12:54,471 But let's try. 301 00:12:57,082 --> 00:12:59,644 Sal, you should enjoy your remaining time. 302 00:13:00,912 --> 00:13:02,455 Travel. 303 00:13:02,479 --> 00:13:03,935 Connect with family. 304 00:13:10,617 --> 00:13:12,198 Who am I gonna connect with? 305 00:13:15,274 --> 00:13:17,513 Wife kicked me out when I gambled away 306 00:13:17,537 --> 00:13:19,830 the kids' college fund. 307 00:13:21,558 --> 00:13:24,043 None of them have talked to me for years. 308 00:13:29,593 --> 00:13:31,676 I got a break coming my way. 309 00:13:33,075 --> 00:13:34,387 I can feel it. 310 00:13:45,565 --> 00:13:48,327 We've got our annual presentation to the managed care companies. 311 00:13:48,351 --> 00:13:50,590 They want detailed reports on patient outcomes 312 00:13:50,614 --> 00:13:51,896 for diabetes, geriatrics... 313 00:13:51,920 --> 00:13:53,204 That's great. Schedule that for never. 314 00:13:53,228 --> 00:13:55,856 - No, I've set it for tomorrow at 9:00. - That's the wrong answer. 315 00:13:55,880 --> 00:13:57,945 Unfortunately, I have back-to-back surgeries. 316 00:13:57,969 --> 00:14:00,997 Thank goodness I have a partner to do the things I can't. 317 00:14:10,286 --> 00:14:11,340 Oh. 318 00:14:12,984 --> 00:14:15,267 You know, med students are allowed to eat with the residents. 319 00:14:15,291 --> 00:14:17,321 I find the sound of people chewing to be unsettling. 320 00:14:24,213 --> 00:14:26,278 Well, if you want some guidance 321 00:14:26,302 --> 00:14:28,889 and you don't mind the sound of sipping noises, 322 00:14:28,913 --> 00:14:31,370 Jordan and I can take you for coffee. 323 00:14:37,966 --> 00:14:39,378 Ha... 324 00:14:39,402 --> 00:14:42,381 Uh, baby, let me call you right back. 325 00:14:45,234 --> 00:14:46,994 Where did you get your bra? 326 00:14:47,018 --> 00:14:49,491 I've always been intrigued by lace. Is it okay? 327 00:14:49,515 --> 00:14:52,565 Kind of busy right now. Can we talk upstairs later? 328 00:14:52,589 --> 00:14:53,609 What are you doing? 329 00:14:53,633 --> 00:14:55,176 Just talking to a friend. 330 00:14:55,200 --> 00:14:57,428 You called him "Daddy," but your dad's upstairs. 331 00:14:58,464 --> 00:15:01,748 He's a client, a regular. 332 00:15:01,772 --> 00:15:04,098 He paid me five grand for a last-minute session. 333 00:15:04,122 --> 00:15:06,057 Lucky for me, he's into exhibitionism. 334 00:15:06,081 --> 00:15:09,069 Five grand? That's more than I made a whole month waitressing, 335 00:15:09,093 --> 00:15:10,278 including tips. 336 00:15:10,302 --> 00:15:12,150 Do people tip sex workers? 337 00:15:12,174 --> 00:15:14,848 Charlie, this isn't any of our business, so... 338 00:15:14,872 --> 00:15:16,676 Plenty of people know what I do. 339 00:15:16,700 --> 00:15:18,699 Just not my actual father. 340 00:15:19,773 --> 00:15:21,768 Please, you cannot say anything to him. 341 00:15:21,792 --> 00:15:23,402 Of course not. 342 00:15:24,577 --> 00:15:27,295 Ah. Good news. 343 00:15:27,319 --> 00:15:29,167 Donor lungs just became available. 344 00:15:29,191 --> 00:15:30,795 "Happy birthday, Daddy," indeed. 345 00:15:40,071 --> 00:15:41,962 The donor's upstairs on life support. 346 00:15:41,986 --> 00:15:43,808 His family is ready to withdraw care. 347 00:15:44,608 --> 00:15:46,227 We'll take you for some additional testing, 348 00:15:46,251 --> 00:15:48,096 but the transplant could happen as soon as tomorrow. 349 00:15:48,120 --> 00:15:49,395 - Wow. - You'll need a bedroom 350 00:15:49,419 --> 00:15:52,146 on the ground floor, and an easily accessible bathroom. 351 00:15:52,170 --> 00:15:54,018 I can convert my office. 352 00:15:54,042 --> 00:15:56,536 As long as you have privacy elsewhere for your work. 353 00:15:56,560 --> 00:15:59,414 Whoa, whoa, whoa. Why'd you say "work" like that? 354 00:15:59,438 --> 00:16:02,785 I mean, how much privacy do you need for tech consultations? 355 00:16:04,400 --> 00:16:06,769 Charlie's speech pattern can be a bit unusual. 356 00:16:06,793 --> 00:16:07,901 Her autism is awesome. 357 00:16:07,925 --> 00:16:08,989 Thank you. 358 00:16:09,013 --> 00:16:11,557 Don't mention it. Really. Do not. 359 00:16:11,581 --> 00:16:13,254 Love you, Daddy. 360 00:16:13,278 --> 00:16:15,343 So many daddies, so little time. 361 00:16:15,367 --> 00:16:16,803 Whoa, whoa. 362 00:16:18,414 --> 00:16:19,427 What does that mean? 363 00:16:20,503 --> 00:16:21,959 Uh, Dad, nothing. 364 00:16:21,983 --> 00:16:23,569 I'm not asking you. I'm asking her. 365 00:16:27,684 --> 00:16:29,140 Saying "observe" isn't enough. 366 00:16:29,164 --> 00:16:31,272 You need to tell them, "Don't speak." 367 00:16:31,296 --> 00:16:33,774 I realize that now. So does The Dominator. 368 00:16:35,257 --> 00:16:37,452 What are your thoughts about the TCR? 369 00:16:37,476 --> 00:16:38,976 You're considering the surgery? 370 00:16:39,000 --> 00:16:41,326 It's either that or do nothing and Sal is dead in a year. 371 00:16:41,350 --> 00:16:44,610 A year is a year. You're not his executioner. 372 00:16:44,635 --> 00:16:45,854 So you wouldn't do it? 373 00:16:45,879 --> 00:16:47,881 No, I'm not making this decision for you. 374 00:16:48,052 --> 00:16:49,812 You're an attending now. 375 00:16:49,836 --> 00:16:51,417 Your surgery, your call. 376 00:17:00,456 --> 00:17:01,824 What are you doing? 377 00:17:01,848 --> 00:17:03,739 Work order says deliver them here. 378 00:17:03,763 --> 00:17:05,200 Signed by the president. 379 00:17:09,508 --> 00:17:11,520 Co... president. 380 00:17:14,165 --> 00:17:16,056 Once Rich's questions picked up speed, 381 00:17:16,080 --> 00:17:18,319 it wasn't long before Charlie mentioned "sex worker." 382 00:17:18,344 --> 00:17:20,112 Shortly thereafter, he banned Grace from the room 383 00:17:20,136 --> 00:17:21,363 and called off the surgery. 384 00:17:21,955 --> 00:17:23,846 Okay. 385 00:17:23,870 --> 00:17:26,501 His oxygen saturation is decreasing. 386 00:17:26,525 --> 00:17:28,982 He is profoundly hypoxic. Rich needs new lungs now. 387 00:17:29,006 --> 00:17:30,070 I told him that. 388 00:17:30,094 --> 00:17:31,463 He booked a flight back to Florida. 389 00:17:31,487 --> 00:17:33,204 Said he'll get on the transplant list there. 390 00:17:33,228 --> 00:17:35,510 No, no, no. His lungs cannot handle transport. 391 00:17:35,534 --> 00:17:37,208 Charlie's mistake is endangering our patient's health. 392 00:17:37,232 --> 00:17:39,732 Our patient is doing that all on his own. 393 00:17:39,756 --> 00:17:41,995 But Rich would not be upset if Charlie had not revealed... 394 00:17:42,019 --> 00:17:43,910 She didn't violate any HIPAA laws. 395 00:17:43,934 --> 00:17:45,216 The only thing she did wrong 396 00:17:45,240 --> 00:17:47,105 was not keep Grace's secret life a secret. 397 00:17:47,129 --> 00:17:50,574 Which kind of sounds like something you might have done 398 00:17:50,598 --> 00:17:52,464 back in your first year. 399 00:17:53,157 --> 00:17:53,984 Hmm. 400 00:17:57,178 --> 00:17:59,876 Our patient needs a bilateral whole-lung lavage 401 00:17:59,901 --> 00:18:01,598 in order to get home safely. 402 00:18:01,623 --> 00:18:02,895 Please get his consent. 403 00:18:04,215 --> 00:18:05,950 Charlie can do scut work. 404 00:18:08,524 --> 00:18:10,265 Dissecting the tumor from the ventral surface 405 00:18:10,290 --> 00:18:11,508 of the pons and cranial nerves. 406 00:18:15,076 --> 00:18:16,961 Applied too much pressure. Bleeder. 407 00:18:17,750 --> 00:18:19,119 - Oh, God. - What? Dom, 408 00:18:19,143 --> 00:18:20,338 it's not even real. 409 00:18:20,362 --> 00:18:22,079 Oh, God. 410 00:18:22,103 --> 00:18:23,297 Again? 411 00:18:23,321 --> 00:18:24,448 Again. 412 00:18:26,709 --> 00:18:28,667 Have you eaten? 413 00:18:28,692 --> 00:18:30,042 Two double cheeseburgers, 414 00:18:30,067 --> 00:18:31,807 fries, coleslaw, cottage cheese, 415 00:18:31,851 --> 00:18:33,394 a pudding, and fruit salad. 416 00:18:36,117 --> 00:18:37,529 You know, hemophobia can make 417 00:18:37,553 --> 00:18:40,053 for a pretty rough surgical rotation. 418 00:18:40,077 --> 00:18:41,402 You got any idea how to get over it? 419 00:18:42,427 --> 00:18:43,709 I gotta. 420 00:18:43,733 --> 00:18:46,320 My brother and I, we have this deal 421 00:18:46,344 --> 00:18:48,534 to become family docs, then move back home. 422 00:18:49,645 --> 00:18:50,907 When our mother got sick, 423 00:18:50,932 --> 00:18:52,663 we saw how lousy medical care can get. 424 00:18:54,978 --> 00:18:56,458 You could try exposure therapy, 425 00:18:56,483 --> 00:18:57,919 watch a few hours of blood draws. 426 00:18:57,944 --> 00:19:00,686 Ooh, there's a twist. 427 00:19:00,711 --> 00:19:01,973 You good? 428 00:19:02,012 --> 00:19:03,159 Okay. Just breathe. 429 00:19:35,159 --> 00:19:37,988 Shaun doesn't like her? But she worships him. 430 00:19:38,013 --> 00:19:39,275 Charlie blabbed to the patient, 431 00:19:39,300 --> 00:19:41,389 blew up his double lung transplant. 432 00:19:41,414 --> 00:19:44,200 Double lumen endotracheal tubes and clamps. 433 00:19:44,225 --> 00:19:46,270 My guy did the same thing, but in reverse. 434 00:19:46,317 --> 00:19:47,947 Mentioned a virtually impossible surgery. 435 00:19:47,971 --> 00:19:49,236 Now the patient wants it. 436 00:19:49,495 --> 00:19:52,368 I think I actually saw smoke come out of Park's ears. 437 00:19:52,628 --> 00:19:54,606 Well, 20% of med school students don't make it, 438 00:19:54,630 --> 00:19:56,477 and most of that happens during surgical rotation. 439 00:19:56,501 --> 00:19:58,784 I wonder which one of our ducklings goes first? 440 00:19:58,808 --> 00:20:00,147 Ten bags of saline. 441 00:20:03,073 --> 00:20:04,443 Oh, you're gonna need a cart. 442 00:20:05,641 --> 00:20:08,272 The big guy's on a mission. I'll take the girl. 443 00:20:08,296 --> 00:20:10,622 I've never said those words before. 444 00:20:10,646 --> 00:20:11,951 Done with my scut work. 445 00:20:13,382 --> 00:20:14,578 You guys need a cart. 446 00:20:15,564 --> 00:20:16,758 I'll be right back. 447 00:20:24,225 --> 00:20:25,226 Hey. 448 00:20:27,840 --> 00:20:30,368 Are you not going to go to Morgan's baby thing 449 00:20:30,392 --> 00:20:32,029 because I might be there? 450 00:20:32,854 --> 00:20:33,855 Yes. 451 00:20:35,279 --> 00:20:36,517 Well, that's pretty dumb. 452 00:20:37,890 --> 00:20:40,652 Don't you think it's time we moved past this stuff? 453 00:20:40,676 --> 00:20:41,590 No. 454 00:20:42,765 --> 00:20:44,441 Well, I'm trying to. 455 00:20:45,376 --> 00:20:47,277 I'm the one who should be mad at you. 456 00:20:48,814 --> 00:20:51,991 You should have met Steve on the day he was born. 457 00:20:52,304 --> 00:20:54,829 Yes. I should have. I should have done that. 458 00:20:56,492 --> 00:20:59,957 I was pretty upset back then. 459 00:21:01,131 --> 00:21:02,521 You humiliated me, 460 00:21:02,545 --> 00:21:06,714 and I'm not a surgeon now partly because of you. 461 00:21:07,833 --> 00:21:09,444 Did you forget that? 462 00:21:13,019 --> 00:21:16,806 That is not an apology. 463 00:21:31,335 --> 00:21:33,949 Drained ninth liter of effluent. 464 00:21:34,773 --> 00:21:37,578 Left lung output is looking clearer. 465 00:21:37,602 --> 00:21:39,788 Did everyone look at Grace's cam-girl site? 466 00:21:40,997 --> 00:21:43,167 What is she doing here? 467 00:21:43,608 --> 00:21:45,697 She was done with scut work. 468 00:21:46,003 --> 00:21:47,893 Infusing another liter of saline. 469 00:21:47,917 --> 00:21:50,485 Grace put herself online because she wants customers. 470 00:21:50,841 --> 00:21:52,051 I'm giving her what she wants. 471 00:21:52,384 --> 00:21:53,942 You actually subscribed? 472 00:21:53,966 --> 00:21:55,944 I am a feminist, and she's very beautiful. 473 00:21:55,968 --> 00:21:58,771 Her site offers tasteful nude portraits, 474 00:21:58,795 --> 00:22:00,688 sensual shower videos, and gritty bondage. 475 00:22:00,712 --> 00:22:03,343 No amount of money is worth selling your body. 476 00:22:03,367 --> 00:22:05,606 Uh, $3.6 million a year might be. 477 00:22:05,924 --> 00:22:07,328 What about you, Dr. Murphy? 478 00:22:07,353 --> 00:22:09,526 How would you feel if your son ended up doing sex work? 479 00:22:13,246 --> 00:22:14,746 What if he ends up sick 480 00:22:14,770 --> 00:22:16,742 from cutting quartz countertops for a living? 481 00:22:22,266 --> 00:22:24,750 We can clear Rich to fly home. 482 00:22:25,215 --> 00:22:27,294 But I need to talk to him first. 483 00:22:40,796 --> 00:22:43,209 How long ago did she wake up? 484 00:22:43,233 --> 00:22:46,021 About an hour or so. I just fed her. 485 00:23:01,643 --> 00:23:03,447 The patient wants to go for it, 486 00:23:03,471 --> 00:23:07,469 and there's a non-zero chance it works. 487 00:23:09,085 --> 00:23:10,715 So do it. 488 00:23:10,739 --> 00:23:12,871 Only the best of the best could pull this off. 489 00:23:14,395 --> 00:23:15,843 And what if that's you? 490 00:23:18,747 --> 00:23:20,986 I've been in the OR with you. 491 00:23:21,010 --> 00:23:22,379 I know your steadiness, 492 00:23:22,403 --> 00:23:25,519 your precision, your persistence. 493 00:23:30,280 --> 00:23:32,195 I believe you can do this. 494 00:23:38,810 --> 00:23:40,421 Maybe Eden should decide. 495 00:23:41,552 --> 00:23:43,269 She agrees with her mama. 496 00:23:57,114 --> 00:23:59,219 You are able to fly home now. 497 00:24:01,659 --> 00:24:03,974 But you should listen to your daughter. 498 00:24:11,887 --> 00:24:13,236 Dad. 499 00:24:13,676 --> 00:24:14,807 Please. 500 00:24:15,891 --> 00:24:17,825 Dr. Murphy says it's very unlikely 501 00:24:17,849 --> 00:24:20,115 they'll find another donor match before you die. 502 00:24:21,070 --> 00:24:22,326 Take the lungs. 503 00:24:24,676 --> 00:24:27,998 You don't have to live with me. I'll find a place for you. 504 00:24:30,775 --> 00:24:32,502 You have to stop what you're doing. 505 00:24:35,911 --> 00:24:37,049 No. 506 00:24:38,080 --> 00:24:39,995 I like what I do. 507 00:24:40,020 --> 00:24:42,979 I'm successful, and I'm not hurting anyone. 508 00:24:43,048 --> 00:24:44,983 You're hurting me. 509 00:25:04,986 --> 00:25:08,205 My son, Steve, is three weeks old. 510 00:25:10,249 --> 00:25:12,990 I have been thinking about what he might do when he gets older 511 00:25:13,015 --> 00:25:15,712 that I would not approve of. 512 00:25:18,234 --> 00:25:22,261 But I can't imagine not wanting him in my life 513 00:25:23,369 --> 00:25:25,889 unless he was cruel or unkind to others. 514 00:25:28,194 --> 00:25:30,370 She is kind and generous. 515 00:25:30,395 --> 00:25:32,441 She loves you and wants to care for you. 516 00:25:32,466 --> 00:25:34,523 She seems like a very good person. 517 00:25:39,409 --> 00:25:41,071 You did raise Grace right. 518 00:25:56,145 --> 00:25:57,973 You're a gambling addict who showed up here 519 00:25:57,998 --> 00:25:59,756 having already thrown everything away. 520 00:26:00,691 --> 00:26:02,713 The only way I do this surgery 521 00:26:02,737 --> 00:26:05,595 is if I know you'll make better use of the extra time. 522 00:26:07,524 --> 00:26:09,599 - This doesn't seem ethical. - It's not. 523 00:26:13,156 --> 00:26:15,731 Convince me you'll lead a life worth saving. 524 00:26:24,628 --> 00:26:26,693 My name is Sal Zacharia, 525 00:26:26,717 --> 00:26:28,285 and I have a gambling addiction. 526 00:26:29,502 --> 00:26:32,205 I promise I will get treatment. 527 00:26:33,594 --> 00:26:35,329 And you'll reach out to your ex-wife, 528 00:26:35,353 --> 00:26:36,523 try to reconnect with your family. 529 00:26:36,547 --> 00:26:38,837 How is this any business of yours? 530 00:26:44,625 --> 00:26:46,365 Tell me why I should believe you. 531 00:26:54,427 --> 00:26:57,606 Because I die if you don't. 532 00:27:04,276 --> 00:27:05,697 I don't wanna die. 533 00:27:13,459 --> 00:27:14,998 Let's get prepped for surgery. 534 00:27:27,885 --> 00:27:30,758 Scrub your arms to three inches above the elbow. 535 00:27:30,785 --> 00:27:32,917 How did you get Rich to change his mind? 536 00:27:32,942 --> 00:27:34,074 Did you trick him? 537 00:27:34,099 --> 00:27:36,014 I related to him as a father. 538 00:27:36,039 --> 00:27:38,563 I have become very good at displaying empathy. 539 00:27:38,920 --> 00:27:40,071 Neurotypicals are weird. 540 00:27:40,095 --> 00:27:41,507 Yes, they are. 541 00:27:41,531 --> 00:27:44,205 Rinse your hands and arms from fingertips to elbows, 542 00:27:44,229 --> 00:27:46,279 one direction only. 543 00:27:46,754 --> 00:27:51,125 I am displaying empathy now, by allowing you into the OR. 544 00:27:51,149 --> 00:27:53,737 You should be grateful I was able to fix the case. 545 00:27:53,761 --> 00:27:55,372 Hands up, and don't touch anything. 546 00:28:00,486 --> 00:28:02,663 My first time being gowned and gloved. 547 00:28:02,688 --> 00:28:03,906 Do we get to shave his chest? 548 00:28:03,988 --> 00:28:05,574 It was done in pre-op. 549 00:28:05,598 --> 00:28:09,187 Oh, I shave my own body hair, so I'm great at it. 550 00:28:09,211 --> 00:28:10,797 Not my chest, though. 551 00:28:10,821 --> 00:28:12,511 - I mean, my underarms, my legs, my... - Charlie. 552 00:28:12,535 --> 00:28:14,758 Okay. Please stop talking. 553 00:28:14,782 --> 00:28:17,269 I... I, uh, was just trying to... 554 00:28:19,830 --> 00:28:23,418 You cannot touch your skin. 555 00:28:23,442 --> 00:28:25,943 I didn't, I touched my earring. 556 00:28:25,967 --> 00:28:28,447 You can't touch any non-sterile item. 557 00:28:32,016 --> 00:28:34,342 You've just contaminated the surgical field. 558 00:28:34,366 --> 00:28:35,996 You have to re-scrub in, 559 00:28:36,020 --> 00:28:38,148 and we have to re-drape everything. 560 00:28:38,172 --> 00:28:40,784 - You're speaking very loudly. - Go read the literature 561 00:28:40,808 --> 00:28:43,134 on operating-room sterile technique. 562 00:28:43,158 --> 00:28:45,266 That won't help. I'm an auditory learner. 563 00:28:45,290 --> 00:28:47,728 You need to leave. 564 00:28:48,772 --> 00:28:51,470 Okay? Leave now. 565 00:29:02,438 --> 00:29:03,502 That looks fun. 566 00:29:06,572 --> 00:29:08,768 Why did you e-mail "Will not attend"? 567 00:29:08,792 --> 00:29:10,683 You're clearly skipping my baby's party 568 00:29:10,707 --> 00:29:12,424 because you feel like a failure as a mom. 569 00:29:12,448 --> 00:29:13,686 But you're not. And that's stupid. 570 00:29:13,710 --> 00:29:15,035 And how can I help if you won't just tell me 571 00:29:15,059 --> 00:29:16,669 that you're having breastfeeding problems? 572 00:29:17,453 --> 00:29:19,126 Mm. I'm sorry. 573 00:29:19,150 --> 00:29:21,694 I feel like a jerk complaining to you about all of this. 574 00:29:21,718 --> 00:29:23,609 I know I'm lucky to breastfeed at all, 575 00:29:23,633 --> 00:29:26,046 and I am not being rational. 576 00:29:27,115 --> 00:29:29,552 You're not the only one failing. 577 00:29:34,078 --> 00:29:36,927 When Eden cries during the night, 578 00:29:36,951 --> 00:29:38,934 Alex is the one who wakes up. 579 00:29:39,388 --> 00:29:40,887 Every time. 580 00:29:40,911 --> 00:29:42,715 During one of his overnight shifts, 581 00:29:42,739 --> 00:29:46,787 I slept through my own baby crying for almost 20 minutes. 582 00:29:47,066 --> 00:29:50,504 I mean, that's actual neglect. 583 00:29:52,009 --> 00:29:54,509 Yeah, I'm pretty sure Child Protective Services is downstairs. 584 00:29:54,533 --> 00:29:56,250 Shut up, raisin boobs. 585 00:29:56,274 --> 00:29:58,146 Mm. 586 00:30:00,061 --> 00:30:03,083 You are the greatest mom. 587 00:30:04,028 --> 00:30:05,943 Adopting a baby with Turner syndrome, 588 00:30:05,968 --> 00:30:08,057 caring for her after two heart surgeries, 589 00:30:08,082 --> 00:30:10,563 and somehow throwing a party while being so put together. 590 00:30:11,724 --> 00:30:13,596 And I use formula exclusively. 591 00:30:24,785 --> 00:30:27,233 Finally got the last box removed from my office. 592 00:30:28,176 --> 00:30:30,850 - Space is a little tight. - And yet, I found some. 593 00:30:30,874 --> 00:30:34,114 Well, that's excellent use of your co-presidential powers. 594 00:30:34,530 --> 00:30:37,204 - I owe you. - Oh, my God, can we please stop? 595 00:30:37,228 --> 00:30:40,207 Can we... Can we just have a truce? 596 00:30:40,231 --> 00:30:42,059 - I'll think about it. - Please? 597 00:30:42,372 --> 00:30:43,950 I promise, from here on in, 598 00:30:43,974 --> 00:30:46,083 I will check in with all the big stuff. 599 00:30:46,107 --> 00:30:47,432 Okay? 600 00:30:47,456 --> 00:30:49,254 No more gotchas. 601 00:30:49,545 --> 00:30:51,464 Happy birthday! 602 00:30:53,114 --> 00:30:54,855 I sent the memo out this morning. 603 00:30:57,052 --> 00:30:58,227 Eighty? 604 00:31:00,077 --> 00:31:02,642 You look really good for your age. 605 00:31:17,355 --> 00:31:19,116 I got booted out of my first surgery 606 00:31:19,140 --> 00:31:20,900 for contaminating the sterile field. 607 00:31:20,924 --> 00:31:22,684 I'm probably about to join you. 608 00:31:22,708 --> 00:31:24,251 I fainted twice at the sight of blood. 609 00:31:24,275 --> 00:31:26,471 I'm already sweating and seeing little black dots. 610 00:31:26,495 --> 00:31:29,169 - What? - Feel better? 611 00:31:29,628 --> 00:31:32,085 That activated your sympathetic nervous system. 612 00:31:32,109 --> 00:31:34,049 More blood flow means you won't faint. 613 00:31:35,025 --> 00:31:37,134 Too bad I can't do that to myself. 614 00:31:37,158 --> 00:31:39,304 Try snapping your glove against your wrist. 615 00:31:58,842 --> 00:32:00,839 All right. Let's cut. 616 00:32:26,829 --> 00:32:29,049 Stair-step mandibulotomy complete. 617 00:32:29,074 --> 00:32:31,424 Dr. Wolke, dissect to the floor of the mouth posteriorly, 618 00:32:31,449 --> 00:32:34,234 then swing the tongue medially and the mandible laterally. 619 00:32:36,086 --> 00:32:39,406 Transecting eustachian tube and elevating the pharynx 620 00:32:39,430 --> 00:32:40,806 off the longus colli muscles. 621 00:32:43,093 --> 00:32:46,538 We now have access to the upper cervical spine and clivus. 622 00:32:48,838 --> 00:32:50,250 Now comes the hard part. 623 00:32:55,453 --> 00:32:58,606 Bring the Fabricius robot in. Get the arms in position. 624 00:32:58,630 --> 00:33:00,981 Have the Rhoton dissector and ultrasonic aspirator ready. 625 00:33:26,702 --> 00:33:28,288 25-degree angled Rhoton dissector. 626 00:33:36,929 --> 00:33:38,862 Dissecting a safe plane between the tumor 627 00:33:38,886 --> 00:33:41,195 and the ventral surface of the pons and cranial nerve. 628 00:33:49,638 --> 00:33:51,019 Final step. 629 00:33:51,246 --> 00:33:53,605 Too deep here and the guy's permanently paralyzed. 630 00:34:25,282 --> 00:34:26,805 All tumor's out. 631 00:34:32,159 --> 00:34:33,421 And heart is still beating. 632 00:34:57,358 --> 00:34:59,508 I'm not okay. 633 00:35:09,417 --> 00:35:10,975 - Dad. - Hmm? 634 00:35:12,599 --> 00:35:13,708 Hey. 635 00:35:13,734 --> 00:35:15,257 Hey! You're here. 636 00:35:16,412 --> 00:35:17,564 Of course. 637 00:35:20,381 --> 00:35:21,532 How do you feel? 638 00:35:24,211 --> 00:35:26,990 Like I can breathe again. 639 00:35:27,586 --> 00:35:29,218 Good. 640 00:35:29,438 --> 00:35:32,662 I found a place that can help with your meals and medicine. 641 00:35:40,457 --> 00:35:41,632 You know, I... 642 00:35:41,657 --> 00:35:43,423 I'd really like to stay with you. 643 00:35:46,302 --> 00:35:48,957 If the offer still stands. 644 00:35:52,891 --> 00:35:54,154 Of course it does. 645 00:35:54,806 --> 00:35:55,870 Yeah? 646 00:35:55,894 --> 00:35:57,026 Yeah. 647 00:36:06,122 --> 00:36:07,488 You're a good person. 648 00:36:24,297 --> 00:36:25,683 Hello. 649 00:36:25,707 --> 00:36:27,467 I would like a report on what you've learned 650 00:36:27,491 --> 00:36:29,382 from the sterile techniques manual. 651 00:36:29,406 --> 00:36:30,470 I'll e-mail it. 652 00:36:30,494 --> 00:36:32,603 I'm reorganizing for peak efficiency. 653 00:36:32,627 --> 00:36:34,648 Making a great day greater. 654 00:36:37,719 --> 00:36:39,740 No. Excuse me. Today was not a great day. 655 00:36:39,764 --> 00:36:41,731 Nor was yesterday. 656 00:36:41,755 --> 00:36:45,902 You made several big mistakes and dozens of small ones. 657 00:36:46,209 --> 00:36:48,516 My anatomy professor told us it's okay to make mistakes. 658 00:36:48,541 --> 00:36:49,822 That's how we learn. 659 00:36:50,427 --> 00:36:51,908 Your professor is wrong. 660 00:36:52,647 --> 00:36:55,278 And so is this re-organization. 661 00:36:55,302 --> 00:36:57,664 I had everything in the proper place. 662 00:36:58,689 --> 00:37:00,561 Restore it, then go home. 663 00:37:17,715 --> 00:37:19,606 Looks like we both caught a break. 664 00:37:19,630 --> 00:37:20,687 Mm. 665 00:37:22,177 --> 00:37:23,265 Hmm. 666 00:37:25,636 --> 00:37:27,318 Is Janet your ex-wife? 667 00:37:29,597 --> 00:37:30,965 Nice. 668 00:37:30,989 --> 00:37:32,358 Looks like she's pretty excited 669 00:37:32,382 --> 00:37:33,490 about you getting into treatment. 670 00:37:33,514 --> 00:37:34,384 Mm. 671 00:37:40,929 --> 00:37:43,418 And you got a confirmation for the bets you just placed. 672 00:38:10,377 --> 00:38:11,441 Good luck, Sal. 673 00:38:38,100 --> 00:38:39,101 You okay? 674 00:38:40,658 --> 00:38:43,096 Dr. Murphy doesn't appreciate efficient organization skills 675 00:38:43,121 --> 00:38:44,353 when he sees it. 676 00:38:47,705 --> 00:38:49,316 Hmm. 677 00:38:49,582 --> 00:38:50,713 I do. 678 00:38:51,592 --> 00:38:53,047 That doesn't matter very much. 679 00:38:53,071 --> 00:38:54,334 You're not my hero. 680 00:39:01,820 --> 00:39:02,956 Sure about that? 681 00:39:35,157 --> 00:39:37,048 - That's that smile I like to see. - Whoo! 682 00:39:42,033 --> 00:39:43,579 You're so sweet. 683 00:39:46,467 --> 00:39:48,251 - Formula? - You were right. 684 00:39:48,704 --> 00:39:49,749 No guilt, okay? 685 00:39:50,172 --> 00:39:51,587 I'm proud of you. 686 00:39:51,612 --> 00:39:54,715 Also, supplementing has advantages for Mama. 687 00:39:55,351 --> 00:39:57,832 Bless your dear, dear soul. 688 00:40:04,963 --> 00:40:06,878 Because we've had a long couple of days 689 00:40:06,903 --> 00:40:08,340 with our new babies. 690 00:40:12,325 --> 00:40:15,284 My first med school rotation was oncology. 691 00:40:15,458 --> 00:40:17,610 I was doing patient intake, and I asked a woman 692 00:40:17,634 --> 00:40:19,365 if she'd been keeping up with her mammograms. 693 00:40:20,396 --> 00:40:22,137 It was a follow-up to a double mastectomy. 694 00:40:26,034 --> 00:40:27,925 Mine was obstetrics. 695 00:40:27,949 --> 00:40:29,709 It was my first delivery, 696 00:40:29,733 --> 00:40:31,450 and the doctor handed me the newborn, 697 00:40:31,474 --> 00:40:34,148 and I said, "Ew," like, out loud. 698 00:40:36,258 --> 00:40:38,913 When I was in my first ever surgery, open heart, 699 00:40:38,938 --> 00:40:41,593 the attending asked me what the ACT was. 700 00:40:41,618 --> 00:40:43,890 I proudly said, "Activated clotting time." 701 00:40:44,648 --> 00:40:46,171 She said, "I know what it stands for. 702 00:40:46,196 --> 00:40:47,225 "I need you to tell me the number." 703 00:40:47,250 --> 00:40:49,076 Wow. 704 00:40:49,100 --> 00:40:52,123 Mm-hmm. That attending could have thrown me out of the OR. 705 00:40:52,147 --> 00:40:53,691 But she mentored me instead. 706 00:40:55,011 --> 00:40:56,193 Yeah. 707 00:40:58,015 --> 00:40:59,452 To taking care of our ducklings. 708 00:41:00,232 --> 00:41:01,320 Yeah. 709 00:41:12,553 --> 00:41:16,714 I have heard valid arguments both for and against sex work. 710 00:41:17,999 --> 00:41:19,455 Are you considering a career change? 711 00:41:19,479 --> 00:41:20,828 But it doesn't matter. 712 00:41:22,569 --> 00:41:26,015 It is okay for family to disagree. 713 00:41:28,052 --> 00:41:29,769 Being a family who argues 714 00:41:29,793 --> 00:41:33,144 is more important than not being a family at all. 715 00:41:36,517 --> 00:41:39,111 I'm sorry it took me so long to meet you. 716 00:41:40,430 --> 00:41:42,990 I look forward to spending some more time together. 717 00:41:43,764 --> 00:41:44,992 Okay? 718 00:41:47,550 --> 00:41:49,455 He was saying that for me. 719 00:41:51,772 --> 00:41:53,401 Hi. 720 00:41:59,128 --> 00:42:00,365 I got ya.