1
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Previously on The Good Doctor...

2
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I'm Charlotte Lukaitis.

3
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- Charlie. You are on my team.
- Yes!

4
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Positive affirmations are
empowering for people with ASD.

5
00:00:09,440 --> 00:00:10,570
My autism is awesome.

6
00:00:10,610 --> 00:00:12,400
We should prep a bolus dose of TPA.

7
00:00:12,440 --> 00:00:14,270
No, we should not do that.

8
00:00:14,310 --> 00:00:17,093
You ordered a nurse to prep an
unindicated and very risky medication.

9
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I didn't order her.
I was just making a suggestion.

10
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Get out!

11
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I believe your intense curiosity

12
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and attention to organization

13
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will one day make you
an excellent pathologist.

14
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I don't want to be a pathologist.

15
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I just want to be a surgeon like you.

16
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You're nothing like me.

17
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So much of my life in Orthodox world.

18
00:00:34,730 --> 00:00:37,380
I still don't feel like
I know what I'm doing.

19
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I have so little figured out,

20
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except that I'm really into you.

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- Mom?
- Hey, Audie.

22
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But what are you doing here?
Are you okay?

23
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Oh, I'm just here for a drug trial.
For my hyperthyroid.

24
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You heard they're calling
a board meeting tomorrow?

25
00:00:52,920 --> 00:00:54,960
- Can you cover for me?
- I wish I could cover it.

26
00:00:55,010 --> 00:00:57,050
It would be preferable
to taking my mom shopping.

27
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I'll take her shopping.

28
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Thank you for your help.

29
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Oh, no. Happy to help.

30
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See, and here you are, stuck with me.

31
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Oh! No.

32
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You have been very sweet.

33
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- Should we just...
- No.

34
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Can't we just check on him?
It's been ten minutes.

35
00:01:30,960 --> 00:01:33,350
- Nine.
- I'm rounding up.

36
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You shouldn't. This process
is tiring and difficult.

37
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But once we finish,
we will all be happier

38
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and more well-rested.

39
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How does the crying not bother you?

40
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In prehistoric times,

41
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when infants awoke in the night

42
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and didn't see their parents,

43
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it could mean they had
been killed by wild animals

44
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or competing tribes.

45
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Steve's cries are designed by nature

46
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to alert other adults
to take care of him.

47
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Mm-hmm.

48
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How much longer?

49
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Ten seconds.

50
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Nine, eight...

51
00:02:10,950 --> 00:02:13,740
seven, six, five, four, three, two, one.

52
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Don't worry, Steve. Mommy's coming.

53
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Mm.

54
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Morning.

55
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Morning.

56
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That was fun.

57
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Yeah.

58
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Mm.

59
00:02:44,460 --> 00:02:46,160
I have to go, unfortunately.

60
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When's your first meeting?

61
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After this.

62
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I have a consult.

63
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No, Shaun, please stay.

64
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Sorry. I was, um...

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Sorry.

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I was just about to tell Shaun

67
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that he'll be working
with Charlie Lukaitis today.

68
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No, I'm going to work with Dom.

69
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Charlie is disruptive and distracting.

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She should be failed
out of this rotation.

71
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That's a harsh assessment,

72
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and one you can't make until
she's completed her rotation.

73
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Then...

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I want to opt out of being
a teaching attending.

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You can't do that, Shaun.
This is a teaching hospital.

76
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You can't opt out.

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Well, actually, you can,
but you lose access to the residents...

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00:03:36,690 --> 00:03:37,860
Jordan, Kalu, Asher.

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I prefer to work alone.

80
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And you'd stick to simple surgeries.

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Lap choles, appendectomies,
hernia repairs.

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Not to mention, you'd lose
a third of your salary.

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I cannot teach her.

84
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She interrupts me, and when
I point out her mistakes,

85
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she just argues with me.

86
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Well, why don't you stop
pointing out her mistakes?

87
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Why don't you start

88
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pointing out things she does well?

89
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Why would I do that?

90
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Because when you criticize
people, they feel bad,

91
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and that leads to arguments.

92
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And that leads to Charlie
standing alone, mute in an elevator.

93
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And that leads to more meetings with us.

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I can't just let her mistakes go.

95
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So, how about you try
a compliment sandwich?

96
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When you need to give negative feedback,

97
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stick it between layers of praise.

98
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Charlie...

99
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doesn't have two pieces
of bread to work with.

100
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Then make it a compliment
open-faced sandwich.

101
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Find the bread, Shaun.

102
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Synced & corrected by -robtor-
www.addic7ed.com

103
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- Hi, honey.
- Hey, you okay?

104
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Your door was closed when I left.

105
00:04:55,900 --> 00:04:57,900
I wasn't there. I, um...

106
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stayed over at Aaron's.

107
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You... s-slept over there?

108
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Yes.

109
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- Like...
- Yes.

110
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I hope you don't have
a problem with that.

111
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You're a grown woman.

112
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That decided to have sex
with my co-president.

113
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Sure. That's... fine.

114
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Great.

115
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It was amazing, Audrey.

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I mean, for a man his age,

117
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you cannot believe the stamina
and the decisiveness.

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That's great, Mom.

119
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It's just sex.

120
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I'll be going home
after the study is over.

121
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But as sex goes,
this is pretty high quality.

122
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Where did you fall?

123
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In the shower.

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I hate how old that makes me sound.

125
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Don't worry, you also lookold.

126
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Oh, thank you for that.

127
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BP's 100 over 70, heart rate 75 BPMs.

128
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Hip bone's swollen and deformed.

129
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Does this hurt?

130
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Ow! Ow!

131
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You have a fractured and dislocated hip.

132
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Oh, no.

133
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Don't worry. We'll get him
to the OR right away.

134
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Your dad will be fine.

135
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He's my fiance.

136
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Then your fiance will be fine.

137
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Thank you.

138
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Hi! I know the last time
we worked together

139
00:06:28,990 --> 00:06:30,820
could have gone better.

140
00:06:30,860 --> 00:06:33,844
I always quote the great Taylor
Swift at important moments,

141
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- so let me just say...
- Don't do that.

142
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I promise I won't interrupt you today.

143
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I'll work extra hard to be helpful.

144
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What were you doing when
you first started throwing up?

145
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Walking with Mom.

146
00:06:46,856 --> 00:06:48,206
We weren't overdoing it or anything.

147
00:06:48,231 --> 00:06:50,644
We walk together
every morning before school.

148
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It's our special time.

149
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That's awesome.
Do you know Mirna Valerio?

150
00:06:54,259 --> 00:06:57,219
She's a large-bodied woman
who runs ultramarathons.

151
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You could work your way up to that.

152
00:06:58,500 --> 00:06:59,540
Or just marathons.

153
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That wasn't an interruption.

154
00:07:02,550 --> 00:07:04,550
It was...

155
00:07:04,590 --> 00:07:06,680
good that you did not interrupt me,

156
00:07:06,730 --> 00:07:08,990
but you did not need to tell that story.

157
00:07:10,290 --> 00:07:13,650
Although, it was not
completely irrelevant.

158
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With the fever and white count,
I thought she had a UTI.

159
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Lucy, please lie down.

160
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Take a deep breath.

161
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Positive Murphy sign.

162
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And it was spotted
by Dr. Murphy. So cool.

163
00:07:32,627 --> 00:07:34,412
It wasn't named after
Dr. Murphy, though.

164
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It is, in fact, named after Dr. Murphy.

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- He just wasn't me.
- It's still cool.

166
00:07:38,463 --> 00:07:40,513
There's nothing cool about it,

167
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since it means Lucy's
gallbladder is inflamed

168
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and will need to be removed.

169
00:07:43,890 --> 00:07:46,491
Why would she be having
trouble with her gallbladder?

170
00:07:46,539 --> 00:07:48,910
Probably because she's morbidly obese.

171
00:07:51,416 --> 00:07:52,546
But don't worry,

172
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we do the surgery every day.

173
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Not on teenagers, though.

174
00:08:00,910 --> 00:08:03,040
I shouldn't have assumed.

175
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Placing second guidewire.

176
00:08:05,480 --> 00:08:07,790
But are we all just going
to ignore how gross this is?

177
00:08:07,830 --> 00:08:10,090
I mean, he's old enough
to be her grandfather.

178
00:08:10,140 --> 00:08:11,862
Lots of people think it's
gross that you and I are together.

179
00:08:11,912 --> 00:08:13,620
Yes, but we're actually in love.

180
00:08:13,660 --> 00:08:15,270
Okay? She's gold-digging.

181
00:08:15,320 --> 00:08:18,670
- Another assumption.
- A deduction, actually.

182
00:08:18,710 --> 00:08:21,580
If he's not loaded,
why would she be with him?

183
00:08:21,630 --> 00:08:23,060
Also, I found her Instagram.

184
00:08:23,110 --> 00:08:24,800
You should see the hotel
they stayed at in Baja.

185
00:08:24,850 --> 00:08:27,980
And they've been engaged for a year,
but no wedding website.

186
00:08:28,020 --> 00:08:29,368
He's clearly stalling,

187
00:08:29,408 --> 00:08:32,420
trying to have as much sex
as he can before tossing her.

188
00:08:32,460 --> 00:08:34,250
- He's 74.
- Yeah.

189
00:08:34,290 --> 00:08:36,120
And a man.

190
00:08:36,160 --> 00:08:38,690
Implanting primary FNS screw.

191
00:08:38,730 --> 00:08:40,820
If she's after his
money and he's after her youth,

192
00:08:40,860 --> 00:08:42,470
then they're both
getting something out of it.

193
00:08:44,300 --> 00:08:46,009
Tightening locking screw.

194
00:08:48,130 --> 00:08:50,680
Dissecting
the gallbladder off the liver.

195
00:08:51,800 --> 00:08:54,500
Processed foods, sugary drinks,
schools dropping PE...

196
00:08:54,525 --> 00:08:57,135
No wonder there's an epidemic
of childhood obesity.

197
00:08:57,169 --> 00:09:00,349
Weight is a bad proxy
for health, actually. BMI, too.

198
00:09:00,374 --> 00:09:02,544
It doesn't take into account
muscle mass or metabolic...

199
00:09:02,569 --> 00:09:04,099
Excuse me. What are you doing?

200
00:09:04,126 --> 00:09:06,696
Oh, I, um... I-I asked Charlie

201
00:09:06,721 --> 00:09:08,305
to learn the tools by laying them out.

202
00:09:08,330 --> 00:09:11,620
Laparoscopic instruments go on the left,

203
00:09:11,645 --> 00:09:13,215
then clamps, scissors,
retractors, and sutures.

204
00:09:13,240 --> 00:09:14,810
You have done the opposite.

205
00:09:17,016 --> 00:09:20,502
You... did lay them out, though.

206
00:09:21,950 --> 00:09:23,380
Thank you.

207
00:09:23,496 --> 00:09:26,406
One thing, though.
Shaming people who are overweight,

208
00:09:26,473 --> 00:09:28,483
which, sorry, Shaun, you kind of did

209
00:09:28,508 --> 00:09:29,728
with that "morbidly obese" comment,

210
00:09:29,753 --> 00:09:31,233
can actually lead to overeating.

211
00:09:31,440 --> 00:09:34,057
I was stating a medical fact.

212
00:09:34,263 --> 00:09:36,573
Ultrasonic coagulator. Starting the...

213
00:09:36,598 --> 00:09:38,208
But if your fact made her feel ashamed,

214
00:09:38,233 --> 00:09:39,453
- then you...
- You inter...

215
00:09:41,400 --> 00:09:43,880
Charlie, you did a good job

216
00:09:43,930 --> 00:09:46,150
when you were not
interrupting me earlier.

217
00:09:46,190 --> 00:09:47,670
Thank you.

218
00:09:47,710 --> 00:09:48,890
But you did not do a good job

219
00:09:48,930 --> 00:09:50,590
when you were interrupting me just now.

220
00:09:50,630 --> 00:09:52,533
Oh, I just thought we
were talking at the same time.

221
00:09:52,558 --> 00:09:55,175
But you are doing a good job right now

222
00:09:55,200 --> 00:09:56,761
because you are not interrupting...

223
00:09:56,786 --> 00:09:58,452
It's mostly I'm completing
your train of thought, which helps.

224
00:09:58,477 --> 00:10:00,120
Okay, I am running out of bread.

225
00:10:04,793 --> 00:10:06,273
Shaun.

226
00:10:06,298 --> 00:10:08,908
Her liver has yellow
diffuse deposits and fibrosis.

227
00:10:10,300 --> 00:10:11,970
She has advanced fatty liver.

228
00:10:13,300 --> 00:10:14,700
If this progresses,

229
00:10:14,740 --> 00:10:17,033
she will need a liver
transplant or she will die.

230
00:10:22,490 --> 00:10:25,270
It may take a few months
to regain full mobility,

231
00:10:25,320 --> 00:10:27,527
but that shouldn't stop you
from walking down the aisle.

232
00:10:28,320 --> 00:10:29,821
Thank you so much, Doctor.

233
00:10:32,710 --> 00:10:34,060
So, how'd you two meet?

234
00:10:34,085 --> 00:10:37,475
Well, we needed some
legal work done at the school

235
00:10:37,500 --> 00:10:39,640
where I teach seventh grade English,

236
00:10:39,665 --> 00:10:42,795
and somehow, a big fancy litigator

237
00:10:42,820 --> 00:10:43,990
took us on pro bono.

238
00:10:44,015 --> 00:10:45,755
- Not that fancy.
- No. Fancy.

239
00:10:45,900 --> 00:10:47,589
And very modest.

240
00:10:48,160 --> 00:10:50,990
I had, uh, lost my wife, Julie, to COVID

241
00:10:51,250 --> 00:10:53,390
a couple of years before and...

242
00:10:53,430 --> 00:10:54,679
Well, I was a mess.

243
00:10:54,704 --> 00:10:56,884
I certainly never thought
I could fall in love again.

244
00:10:57,130 --> 00:10:59,650
Neither of us expected this to happen.

245
00:10:59,700 --> 00:11:01,570
But we're real glad it did.

246
00:11:01,610 --> 00:11:02,854
It's a beautiful story.

247
00:11:05,667 --> 00:11:06,847
When's the big day?

248
00:11:09,270 --> 00:11:10,987
Hey, are you okay?

249
00:11:11,020 --> 00:11:12,614
Yeah, it's just my stomach thing.

250
00:11:13,540 --> 00:11:16,020
Uh, we're just waiting for Scott

251
00:11:16,060 --> 00:11:18,280
to finish converting to Judaism.

252
00:11:18,320 --> 00:11:20,630
I'm sure you know how long that
process can be, Dr. Wolke.

253
00:11:20,680 --> 00:11:21,831
You're Jewish, right?

254
00:11:22,693 --> 00:11:23,693
No.

255
00:11:24,590 --> 00:11:26,640
Oh, I-I'm sorry, I...

256
00:11:27,200 --> 00:11:28,338
I assumed...

257
00:11:31,860 --> 00:11:32,990
I feel sick.

258
00:11:33,040 --> 00:11:34,120
Ronit?

259
00:11:36,430 --> 00:11:37,430
Ronit.

260
00:11:39,750 --> 00:11:41,540
- Look at me.
- Ronit!

261
00:11:42,429 --> 00:11:43,559
Crash cart!

262
00:11:47,719 --> 00:11:49,849
Stomach and duodenum are normal.

263
00:11:50,050 --> 00:11:52,028
Are you ready to admit
you're wrong about them?

264
00:11:52,920 --> 00:11:54,750
Fine. They're in love.

265
00:11:54,800 --> 00:11:56,540
But why not just peacefully live out

266
00:11:56,580 --> 00:11:58,100
his golden years together?

267
00:11:58,140 --> 00:11:59,930
Why is she making him jump
through all these hoops to get married?

268
00:11:59,980 --> 00:12:01,850
Does he really want to spend
the rest of his years

269
00:12:01,890 --> 00:12:03,280
studying the Book of Ruth?

270
00:12:03,305 --> 00:12:04,995
She's not forcing him to do anything.

271
00:12:05,020 --> 00:12:06,110
He wants to make her happy.

272
00:12:06,135 --> 00:12:07,525
Yeah, by pretending to care about

273
00:12:07,550 --> 00:12:09,210
something he doesn't
actually care about.

274
00:12:09,235 --> 00:12:11,455
If he wants to stay married,
I also recommend pretending

275
00:12:11,480 --> 00:12:13,650
to care about every
other thing she cares about.

276
00:12:13,675 --> 00:12:15,235
Transverse colon is normal.

277
00:12:15,263 --> 00:12:16,873
Also, it doesn't hurt
for a man of his age

278
00:12:16,898 --> 00:12:18,858
to have a younger medical proxy
who cares about him.

279
00:12:18,883 --> 00:12:20,933
So just give her power of attorney.

280
00:12:21,070 --> 00:12:23,860
Yeah, maybe in a ceremony.
She could wear white.

281
00:12:23,885 --> 00:12:25,535
- They could exchange rings.
- What's that called?

282
00:12:25,560 --> 00:12:27,541
Why are you so invested in this?

283
00:12:27,570 --> 00:12:28,830
Why are you so cynical?

284
00:12:29,163 --> 00:12:30,433
Guys.

285
00:12:31,140 --> 00:12:33,111
Left ovary and pelvic organs.

286
00:12:40,670 --> 00:12:42,630
Dr. Glassman and Dr. Lim

287
00:12:42,670 --> 00:12:44,410
suggested the compliment sandwich,

288
00:12:44,450 --> 00:12:45,800
but it is very distracting

289
00:12:45,850 --> 00:12:47,540
having to find two things
Charlie is doing right

290
00:12:47,590 --> 00:12:49,335
just so I can correct her mistakes.

291
00:12:49,890 --> 00:12:51,940
There are a lot of them.

292
00:12:51,980 --> 00:12:53,882
What do we do in sleep training
when Steve cries?

293
00:12:55,640 --> 00:12:57,210
We ignore him.

294
00:12:57,250 --> 00:12:58,340
Ignore her.

295
00:12:58,380 --> 00:12:59,990
Charlie isn't a baby.

296
00:13:00,040 --> 00:13:02,990
When she makes mistakes,
it affects patients.

297
00:13:03,040 --> 00:13:04,950
How often do med students
get to do something

298
00:13:05,000 --> 00:13:06,519
that could actually hurt a patient?

299
00:13:07,870 --> 00:13:08,938
Not very often.

300
00:13:08,963 --> 00:13:11,913
So, when she does something
annoying, just let it go.

301
00:13:12,310 --> 00:13:13,570
If you ignore the mistakes,

302
00:13:13,610 --> 00:13:15,403
you don't need to look
for the compliments.

303
00:13:16,223 --> 00:13:18,533
Well, yeah. That is worth a try.

304
00:13:20,363 --> 00:13:22,583
Lucy's coming out of anesthesia.

305
00:13:22,608 --> 00:13:23,828
I have to go.

306
00:13:25,413 --> 00:13:27,543
Have you forgotten something?

307
00:13:27,670 --> 00:13:30,293
Something to steel you against
any level of annoyingness?

308
00:13:31,330 --> 00:13:34,680
It smells of adorableness
and diaper cream?

309
00:13:48,447 --> 00:13:49,927
Now go get your ignore on.

310
00:13:56,130 --> 00:13:58,570
You have stage three ovarian cancer.

311
00:13:58,620 --> 00:14:00,750
It's spread beyond
the ovaries and pelvis.

312
00:14:05,190 --> 00:14:06,450
I told my GP months ago

313
00:14:06,490 --> 00:14:08,060
that I was having back pain and nausea.

314
00:14:08,100 --> 00:14:09,540
He said that it was
probably just stress.

315
00:14:09,580 --> 00:14:11,542
Unfortunately, that's not uncommon.

316
00:14:11,650 --> 00:14:14,712
70% of cases are missed
at the early stages.

317
00:14:17,600 --> 00:14:20,340
We will do everything we can,

318
00:14:20,365 --> 00:14:23,972
starting with removing as many
of the tumors as possible.

319
00:14:25,030 --> 00:14:27,684
And hopefully chemo can get the rest.

320
00:14:41,480 --> 00:14:43,866
Thanks. Perfect.

321
00:14:45,140 --> 00:14:47,662
- Audrey!
- Oh!

322
00:14:48,750 --> 00:14:50,373
- Hi.
- Hello.

323
00:14:50,443 --> 00:14:52,833
So, we were just talking about
where to go for dinner.

324
00:14:53,100 --> 00:14:54,540
Yeah, what was that place?

325
00:14:54,580 --> 00:14:57,330
- The Chinese fusion on Elm?
- East-West.

326
00:14:58,500 --> 00:15:00,008
Try the wonton tacos.

327
00:15:02,110 --> 00:15:04,940
Excuse me. Um...

328
00:15:04,990 --> 00:15:08,730
Hey, uh, I'm guessing
you're not okay with this.

329
00:15:08,770 --> 00:15:10,380
You sleeping with my mom?

330
00:15:10,430 --> 00:15:12,380
My dad did it for years.
We got along fine.

331
00:15:12,430 --> 00:15:14,260
Since you're not okay with it, uh,

332
00:15:14,300 --> 00:15:16,740
is there anything that I can do

333
00:15:16,780 --> 00:15:18,390
to make this a little bit less awkward?

334
00:15:18,430 --> 00:15:20,194
There's not going out with her.

335
00:15:20,463 --> 00:15:21,513
Short of that?

336
00:15:22,530 --> 00:15:23,920
You asked.

337
00:15:39,890 --> 00:15:40,947
Are they?

338
00:15:40,987 --> 00:15:43,330
Please don't make me think about
this any more than I already have.

339
00:15:43,370 --> 00:15:46,030
Ah! Wow.

340
00:15:46,070 --> 00:15:47,640
You've really gotta hand it to Glassman.

341
00:15:47,680 --> 00:15:48,770
I really don't.

342
00:15:48,810 --> 00:15:50,030
Sleeping with your competitor's mom

343
00:15:50,070 --> 00:15:51,957
has got to be the 49th Law of Power.

344
00:15:51,997 --> 00:15:53,900
He's not my competitor.
He's my colleague.

345
00:15:57,300 --> 00:15:59,040
Imagine if they got married.

346
00:16:04,227 --> 00:16:07,592
That's why we are recommending
gastric sleeve surgery.

347
00:16:07,700 --> 00:16:09,270
She's 14.

348
00:16:09,310 --> 00:16:11,188
Lucy fits the guidelines.

349
00:16:11,238 --> 00:16:12,710
She has a BMI of 40,

350
00:16:12,750 --> 00:16:15,100
she's 136 pounds overweight,

351
00:16:15,140 --> 00:16:18,100
and she's having severe
medical problems as a result.

352
00:16:18,150 --> 00:16:19,970
Do other kids get surgery like that?

353
00:16:20,020 --> 00:16:21,980
There were 1,400 bariatric surgeries

354
00:16:22,020 --> 00:16:23,890
performed on adolescents in 2022,

355
00:16:23,930 --> 00:16:25,410
and it's becoming
more common every year.

356
00:16:25,460 --> 00:16:28,330
Dr. Murphy will remove a
large portion of your stomach.

357
00:16:28,370 --> 00:16:30,030
That will help you to eat less.

358
00:16:30,070 --> 00:16:31,810
And in ways
we don't fully understand yet,

359
00:16:31,860 --> 00:16:33,900
it reduces the hunger signals
in your brain.

360
00:16:35,437 --> 00:16:37,688
That is not wrong.

361
00:16:40,910 --> 00:16:42,300
I want to do this.

362
00:16:44,476 --> 00:16:47,306
Mom, I think about food all the time.

363
00:16:47,480 --> 00:16:49,867
I don't want to keep fighting my body.

364
00:16:49,976 --> 00:16:51,285
I'm just so tired.

365
00:16:52,790 --> 00:16:54,038
Baby, I didn't...

366
00:16:54,223 --> 00:16:56,663
I didn't realize you were
still hurting this much.

367
00:16:58,440 --> 00:17:00,420
I didn't want you to know.

368
00:17:00,970 --> 00:17:03,580
I was trying to fight it
on my own, but...

369
00:17:03,630 --> 00:17:05,133
I don't think I can anymore.

370
00:17:10,582 --> 00:17:12,502
Uh, okay. Let's do it.

371
00:17:13,720 --> 00:17:14,720
Let's do it.

372
00:17:17,120 --> 00:17:20,510
Charlie will return with
the preoperative consent form.

373
00:17:20,560 --> 00:17:22,340
Responsibility.

374
00:17:22,380 --> 00:17:23,690
Awesome.

375
00:17:27,470 --> 00:17:30,820
Gunderson's doing a robotic-assisted
thoracoscopic lobectomy.

376
00:17:30,930 --> 00:17:32,710
Gunderson. Isn't he a little green?

377
00:17:32,735 --> 00:17:35,395
Yeah. He'll probably push the wrong
button and start a robot rebellion.

378
00:17:35,570 --> 00:17:36,830
Can you assist?

379
00:17:36,880 --> 00:17:38,530
I could shuffle some stuff around.

380
00:17:38,570 --> 00:17:40,580
Great. Problem solved.

381
00:17:40,620 --> 00:17:42,800
I do need you to write
that memo to the board, though.

382
00:17:43,450 --> 00:17:44,380
What memo?

383
00:17:44,405 --> 00:17:46,774
"Latest Practices in Lean
Hospital Process Management."

384
00:17:47,100 --> 00:17:48,710
Oh, that memo.

385
00:17:48,760 --> 00:17:50,067
The one you were supposed to write.

386
00:17:50,117 --> 00:17:52,597
- Now that I'm bailing Gunderson out...
- You don't have the time.

387
00:17:53,846 --> 00:17:55,236
Let me guess, it's due...

388
00:17:55,279 --> 00:17:57,059
- Tomorrow.
- What a coincidence.

389
00:17:57,084 --> 00:17:59,312
Now I can't take your mom out to dinner.

390
00:18:00,349 --> 00:18:01,519
OR awaits.

391
00:18:05,730 --> 00:18:07,820
Before I have you sign this,
I need to tell you

392
00:18:07,860 --> 00:18:09,820
about the risks
of gastric sleeve surgery.

393
00:18:09,870 --> 00:18:11,610
- Yeah, okay.
- Okay.

394
00:18:11,650 --> 00:18:13,260
One, acid reflux.

395
00:18:13,300 --> 00:18:15,417
Two, vitamin or iron deficiency.

396
00:18:15,442 --> 00:18:16,705
Three, hernias.

397
00:18:16,730 --> 00:18:18,867
Four, internal bleeding
during surgery or afterwards.

398
00:18:18,892 --> 00:18:20,683
- That doesn't sound good.
- It's not.

399
00:18:20,750 --> 00:18:22,880
Five, surgical wound infection.

400
00:18:22,920 --> 00:18:24,230
Six, fatal blood clots.

401
00:18:24,270 --> 00:18:26,400
- Fatal?
- Yeah, like a pulmonary embolism.

402
00:18:26,450 --> 00:18:28,010
Oxygen is blocked from your lungs,

403
00:18:28,060 --> 00:18:29,091
and you start to suffocate.

404
00:18:29,273 --> 00:18:30,943
Seven, sepsis leading to organ failure.

405
00:18:30,968 --> 00:18:32,578
- Wait. Hold on.
- I've changed my mind.

406
00:18:32,603 --> 00:18:34,733
So have I. We're not doing this.

407
00:18:38,110 --> 00:18:40,102
Guess you don't need
to hear about number eight.

408
00:18:45,446 --> 00:18:48,096
You have put that girl's life
at risk by telling her that.

409
00:18:48,121 --> 00:18:49,471
I did what I was supposed to.

410
00:18:49,496 --> 00:18:51,326
I listed all the possible complications.

411
00:18:51,351 --> 00:18:53,841
- Did you say how unlikely each one was?
- No, but...

412
00:18:53,866 --> 00:18:55,089
Or explain that many were

413
00:18:55,113 --> 00:18:56,369
- a complication of any surgery?
- I didn't think!

414
00:18:56,393 --> 00:18:58,304
Or that this was a
relatively safe surgery?

415
00:18:58,329 --> 00:19:00,679
- This is unfair.
- Stop interrupting me.

416
00:19:00,704 --> 00:19:02,184
You're interrupting me.

417
00:19:02,209 --> 00:19:04,349
I am the attending.

418
00:19:04,530 --> 00:19:06,750
I have tried complimenting you,

419
00:19:06,790 --> 00:19:07,964
but that didn't work.

420
00:19:07,989 --> 00:19:10,066
I have also tried ignoring you,
but that also didn't work.

421
00:19:10,091 --> 00:19:12,661
But I am required
to keep teaching you, though,

422
00:19:12,686 --> 00:19:14,516
so you will have to go back to learning

423
00:19:14,541 --> 00:19:16,151
by observing only.

424
00:19:16,370 --> 00:19:18,330
You will not bother me.

425
00:19:18,370 --> 00:19:19,940
You will not say a word,

426
00:19:19,980 --> 00:19:22,290
either in surgery
or in front of the patient.

427
00:19:31,340 --> 00:19:32,446
You're quiet.

428
00:19:34,430 --> 00:19:36,242
I can't stop thinking about Ronit.

429
00:19:38,400 --> 00:19:40,660
If her doctor had
only taken her seriously.

430
00:19:40,685 --> 00:19:42,645
Imagine trying to plan a wedding

431
00:19:42,670 --> 00:19:45,100
while she's in chemo and he's
recovering from a broken hip.

432
00:19:45,125 --> 00:19:47,255
Who cares about their wedding planning?
She could die.

433
00:19:47,280 --> 00:19:49,280
- They care.
- Well, they shouldn't.

434
00:19:49,305 --> 00:19:51,005
Marriage is an outdated institution

435
00:19:51,030 --> 00:19:53,990
that was invented
as a property transaction,

436
00:19:54,015 --> 00:19:55,715
not as an expression of love.

437
00:19:55,740 --> 00:19:57,221
How people feel about it now is...

438
00:19:58,670 --> 00:19:59,760
That's all that matters.

439
00:19:59,800 --> 00:20:01,760
Well, sometimes our feelings trap us

440
00:20:01,800 --> 00:20:04,500
in conventional ways of thinking.

441
00:20:04,550 --> 00:20:07,231
Like, Rashi says
that most of the Israelites

442
00:20:07,289 --> 00:20:09,469
stayed enslaved in Egypt
because it's all they knew.

443
00:20:09,494 --> 00:20:11,844
Are you seriously comparing
a loving marriage to slavery?

444
00:20:11,979 --> 00:20:14,809
Both were invented as a means
of exchanging human chattel.

445
00:20:14,834 --> 00:20:17,194
That is offensive on so many levels.

446
00:20:17,219 --> 00:20:19,439
And I doubt it's what Rashi,
whoever that is,

447
00:20:19,516 --> 00:20:21,346
meant when he wrote that parable.

448
00:20:21,371 --> 00:20:22,901
It's a Midrash, not a parable.

449
00:20:23,023 --> 00:20:24,463
Well, you sure know a lot about Judaism

450
00:20:24,488 --> 00:20:25,928
for someone who isn't Jewish.

451
00:20:25,953 --> 00:20:27,433
Okay, I'm not a practicing Jew,

452
00:20:27,458 --> 00:20:29,028
but I don't have to share
my life story with a patient.

453
00:20:29,053 --> 00:20:31,793
Why didn't you just say,
"I was raised Jewish, but I don't"...

454
00:20:33,140 --> 00:20:34,675
Hold on. I'll get you a bandage.

455
00:20:38,580 --> 00:20:39,580
Here.

456
00:20:43,590 --> 00:20:45,460
I don't feel like cooking anymore.

457
00:20:46,240 --> 00:20:47,550
I'm going home.

458
00:20:57,380 --> 00:20:58,900
What are you still doing here?

459
00:20:58,950 --> 00:21:01,340
Aaron and I are going out to dinner.

460
00:21:01,390 --> 00:21:02,690
And salsa dancing.

461
00:21:03,137 --> 00:21:04,407
You dance salsa?

462
00:21:05,480 --> 00:21:06,610
You dance salsa?

463
00:21:06,650 --> 00:21:09,390
My Spanish teacher got me into it.

464
00:21:09,440 --> 00:21:10,700
You have a Spanish teacher?

465
00:21:10,740 --> 00:21:12,310
She could actually be a Spanish teacher.

466
00:21:12,350 --> 00:21:14,270
Habla muy bueno.

467
00:21:14,310 --> 00:21:16,230
- Ah, bien, actually.
- Bien, actually.

468
00:21:16,270 --> 00:21:19,970
So, I was doing research
for this very urgent memo,

469
00:21:20,010 --> 00:21:23,890
and I came upon this great
article on Lean Practices

470
00:21:23,930 --> 00:21:25,980
in the Argentinian Journal
for Hospital Administration,

471
00:21:26,020 --> 00:21:27,370
and it was in Spanish.

472
00:21:27,410 --> 00:21:29,200
So I translated it for him.

473
00:21:29,240 --> 00:21:30,940
So she translated it for me

474
00:21:30,980 --> 00:21:34,330
and had some great ideas
for the memo itself

475
00:21:34,380 --> 00:21:37,120
and saved me hours of work.

476
00:21:37,160 --> 00:21:39,865
Oh, don't wait up tonight, hon.

477
00:21:44,120 --> 00:21:45,430
With an open surgery,

478
00:21:45,470 --> 00:21:47,080
Park and I can get more of the tumors.

479
00:21:47,130 --> 00:21:50,390
Laparoscopic surgery lowers
the risk of complications,

480
00:21:50,430 --> 00:21:52,040
which would allow her
to start chemo sooner.

481
00:21:53,090 --> 00:21:54,714
Ronit's pre-op labs.

482
00:21:56,400 --> 00:21:58,400
- Hey, Jordan.
- Hey, Jerome.

483
00:21:58,440 --> 00:21:59,716
How's Grandma E?

484
00:21:59,756 --> 00:22:01,320
Doctor said she'll recover fine.

485
00:22:01,360 --> 00:22:02,930
Whether they'll recover
from me second-guessing

486
00:22:02,970 --> 00:22:04,670
everything they're doing
is another question.

487
00:22:04,710 --> 00:22:07,393
I'm glad to hear it. On both counts.

488
00:22:10,320 --> 00:22:11,670
What was that?

489
00:22:13,500 --> 00:22:14,984
We had a fight last night.

490
00:22:17,940 --> 00:22:19,380
All right, this weekend,

491
00:22:19,420 --> 00:22:21,657
I found a box in Jerome's drawer.

492
00:22:22,250 --> 00:22:24,340
I'm pretty sure it was a ring box.

493
00:22:24,380 --> 00:22:26,829
Tomorrow night's the second
anniversary of our first date.

494
00:22:27,470 --> 00:22:28,730
I think he's going to propose.

495
00:22:28,780 --> 00:22:32,260
Or I should say, was.
I don't know about now.

496
00:22:32,300 --> 00:22:35,260
- But isn't that what you wanted?
- No, it is.

497
00:22:35,310 --> 00:22:37,530
There's just something
about the ceremony of it all,

498
00:22:37,570 --> 00:22:40,220
the ancient rituals,
it just feels... icky.

499
00:22:40,270 --> 00:22:42,270
Ancient rituals?

500
00:22:42,310 --> 00:22:45,230
We're talking about you getting married,
not sacrificing a goat.

501
00:22:45,270 --> 00:22:47,933
I worry we'd only be doing it
because we're supposed to.

502
00:22:48,720 --> 00:22:52,354
In Brooklyn, my path
was laid out for me.

503
00:22:53,550 --> 00:22:56,770
Study the Talmud,
get married, have kids.

504
00:22:56,795 --> 00:22:59,065
I didn't really have a choice.

505
00:22:59,106 --> 00:23:00,716
What if this is the same thing?

506
00:23:01,496 --> 00:23:03,406
Do you love Jerome?

507
00:23:03,431 --> 00:23:05,911
- Absolutely.
- Then you do have a choice.

508
00:23:05,936 --> 00:23:08,116
You can make a life
with the man you love

509
00:23:08,141 --> 00:23:10,491
or find another path without him.

510
00:23:18,470 --> 00:23:21,300
Bariatric surgery is conducted
hundreds of thousands

511
00:23:21,325 --> 00:23:23,585
of times a year
in United States hospitals.

512
00:23:23,610 --> 00:23:25,690
But what Ms. Lukaitis talked about,

513
00:23:25,715 --> 00:23:27,495
the bleeding, the clots...

514
00:23:27,520 --> 00:23:29,780
Serious complications are very rare.

515
00:23:30,010 --> 00:23:31,140
How rare?

516
00:23:31,190 --> 00:23:33,230
Based on my surgical record,

517
00:23:33,280 --> 00:23:35,320
site infection rate is less than 1.5%,

518
00:23:35,370 --> 00:23:38,280
and I would identify it early
and treat it well.

519
00:23:38,320 --> 00:23:40,070
Excess bleeding is less than 1%,

520
00:23:40,110 --> 00:23:42,196
and death is 1/20th of that.

521
00:23:43,680 --> 00:23:45,032
What do you think, Mom?

522
00:23:49,990 --> 00:23:51,250
I don't know.

523
00:23:51,416 --> 00:23:53,166
I don't want her to be ashamed.

524
00:23:55,439 --> 00:23:56,794
Last year...

525
00:23:57,636 --> 00:24:01,590
she was suicidal because of
the teasing and the bullying.

526
00:24:02,440 --> 00:24:04,718
And I was too, when I was her age.

527
00:24:05,000 --> 00:24:06,595
We got counseling

528
00:24:06,807 --> 00:24:10,637
and were really in a place
where she loved herself,

529
00:24:10,662 --> 00:24:12,792
and I don't want you to lose that.

530
00:24:15,390 --> 00:24:18,090
I was diagnosed with ASD
when I was five years old.

531
00:24:18,115 --> 00:24:20,075
That's not relevant.
And I told you not...

532
00:24:20,100 --> 00:24:22,660
Shaun, I think they want to
hear what Charlie has to say.

533
00:24:29,460 --> 00:24:30,460
Thank you.

534
00:24:32,030 --> 00:24:33,340
My brain...

535
00:24:33,380 --> 00:24:35,990
it doesn't process emotional signals

536
00:24:36,030 --> 00:24:37,730
like other people's brains.

537
00:24:37,780 --> 00:24:40,000
Same with Lucy's brain with hunger.

538
00:24:41,193 --> 00:24:43,023
My parents wanted what was best for me,

539
00:24:43,048 --> 00:24:45,308
but my mom, she didn't want me
to feel different.

540
00:24:45,333 --> 00:24:48,283
So she was against me
having an in-school aid.

541
00:24:48,308 --> 00:24:51,398
Thought it would stigmatize me,
but my dad convinced her.

542
00:24:51,423 --> 00:24:53,083
They found a great aid

543
00:24:53,270 --> 00:24:56,604
that helped me learn
to navigate the world.

544
00:24:57,010 --> 00:24:59,648
This surgery won't stigmatize
your daughter.

545
00:25:00,043 --> 00:25:02,393
It will give her
what she needs to thrive.

546
00:25:04,213 --> 00:25:05,905
Everyone needs help sometimes.

547
00:25:06,777 --> 00:25:08,427
Let Dr. Murphy help you.

548
00:25:14,420 --> 00:25:15,770
Mom, please.

549
00:25:19,160 --> 00:25:20,170
Yeah.

550
00:25:21,553 --> 00:25:22,553
Okay.

551
00:25:25,300 --> 00:25:26,592
Good job.

552
00:25:31,036 --> 00:25:32,386
After radical debulking,

553
00:25:32,411 --> 00:25:34,099
I don't see any obvious gross tumor.

554
00:25:35,383 --> 00:25:38,562
Assessing abdominal organs and spleen.

555
00:25:40,773 --> 00:25:43,067
There are sub-centimeter
lesions on her liver.

556
00:25:43,760 --> 00:25:45,736
Infiltrative hepatic metastasis.

557
00:25:48,843 --> 00:25:50,153
Check her diaphragm.

558
00:25:56,106 --> 00:25:57,626
It's everywhere.

559
00:25:57,730 --> 00:26:00,470
She probably only
has a couple months, if that.

560
00:26:02,843 --> 00:26:04,103
Let's close.

561
00:26:08,506 --> 00:26:10,726
What exactly is your motivation here?

562
00:26:10,830 --> 00:26:14,260
Are you trying to piss me off?
Mark your territory?

563
00:26:14,310 --> 00:26:15,310
What are you talking about?

564
00:26:15,350 --> 00:26:17,267
You, dating my mom.

565
00:26:17,750 --> 00:26:19,880
You think this is about you?

566
00:26:19,920 --> 00:26:21,315
It's crossed my mind.

567
00:26:21,340 --> 00:26:23,115
Are you out of your mind?

568
00:26:23,140 --> 00:26:24,660
Oh, come on. What do you
have in common with her?

569
00:26:25,476 --> 00:26:26,649
My mom's...

570
00:26:27,360 --> 00:26:28,410
She's, uh...

571
00:26:28,970 --> 00:26:29,970
Yes?

572
00:26:30,540 --> 00:26:31,540
Dull.

573
00:26:32,630 --> 00:26:34,535
- My mom's dull.
- No, she's not.

574
00:26:36,136 --> 00:26:39,707
She's a great person, a loving mother.

575
00:26:40,900 --> 00:26:42,510
But she was a homemaker.

576
00:26:42,550 --> 00:26:44,770
Not exactly the world's
most interesting woman.

577
00:26:45,990 --> 00:26:48,340
Let me tell you something
about your mom.

578
00:26:48,380 --> 00:26:51,300
She learned Spanish
so she could read Don Quixote

579
00:26:51,340 --> 00:26:53,095
in the original. Who does that?

580
00:26:53,189 --> 00:26:55,929
She's seen every movie
in the Criterion Collection.

581
00:26:55,954 --> 00:26:57,304
That's five stars right there.

582
00:26:57,329 --> 00:27:00,159
She buys The New York Times
in paper form

583
00:27:00,239 --> 00:27:01,669
so she can do the crossword,

584
00:27:01,773 --> 00:27:03,723
which she does through Saturday.

585
00:27:03,748 --> 00:27:05,858
I don't even get past Wednesday.

586
00:27:07,220 --> 00:27:09,611
- She does?
- Yes, she does.

587
00:27:10,393 --> 00:27:12,213
Maybe you should get to know
your mom a little bit better.

588
00:27:12,238 --> 00:27:13,628
I certainly will.

589
00:27:14,630 --> 00:27:16,150
Thrilled for you two.

590
00:27:16,323 --> 00:27:17,983
Plus, the sex is amazing.

591
00:27:27,250 --> 00:27:28,714
I want to marry you.

592
00:27:32,300 --> 00:27:34,870
It won't be a Jewish wedding, but...

593
00:27:36,350 --> 00:27:38,891
der mentsh trakht un got lakht.

594
00:27:42,313 --> 00:27:44,480
"Man plans, God laughs."

595
00:27:49,920 --> 00:27:52,360
But if a Beit Din,

596
00:27:52,400 --> 00:27:55,616
a council of three rabbis,
approves your conversion,

597
00:27:56,930 --> 00:27:58,930
then there are only a couple steps left.

598
00:27:58,980 --> 00:28:01,413
The big one being a ritual bath.

599
00:28:05,160 --> 00:28:06,770
You can have a Jewish wedding here.

600
00:28:09,550 --> 00:28:10,990
I'll set it all up for you.

601
00:28:13,820 --> 00:28:15,260
I was raised Hasidic.

602
00:28:20,000 --> 00:28:22,350
You've done this with strength.

603
00:28:22,390 --> 00:28:23,390
You will be blessed.

604
00:28:42,540 --> 00:28:44,810
I'm sorry.
I just can't take this anymore.

605
00:28:44,850 --> 00:28:46,680
- No. No.
- I have to rock him to sleep.

606
00:28:46,720 --> 00:28:49,240
No, that is the worst thing we could do.

607
00:28:49,290 --> 00:28:51,250
It will teach Steve that
if he cries for ten minutes,

608
00:28:51,290 --> 00:28:53,730
he will get rewarded
with a hug from Mom.

609
00:28:53,770 --> 00:28:55,550
Steve isn't a test subject.

610
00:28:55,600 --> 00:28:59,730
He's our baby, and we need
to be flexible with him.

611
00:28:59,780 --> 00:29:02,080
He will be fine.

612
00:29:02,130 --> 00:29:03,520
I'm not sure I will be fine.

613
00:29:03,560 --> 00:29:05,596
This is so hard.

614
00:29:05,646 --> 00:29:07,220
And you have surgery tomorrow.

615
00:29:07,260 --> 00:29:08,960
Don't you need your sleep?

616
00:29:09,000 --> 00:29:13,880
We should focus
on how much better it will be

617
00:29:13,920 --> 00:29:15,970
for all three of us in a few weeks.

618
00:29:17,620 --> 00:29:18,660
Okay.

619
00:29:27,530 --> 00:29:29,880
Thank you for doing this,
Rabbi Benjamin.

620
00:29:29,905 --> 00:29:32,605
I've adored Scott and Ronit
since I met them last year.

621
00:29:32,969 --> 00:29:34,359
I'd do anything for them.

622
00:29:35,480 --> 00:29:38,130
Now, time for some Jewish math.

623
00:29:38,340 --> 00:29:41,990
300 gallons is about 150 se'ah.

624
00:29:42,040 --> 00:29:45,040
We need 40 se'ah of natural water

625
00:29:45,080 --> 00:29:48,520
and a wall between the
natural water and tap water.

626
00:29:48,560 --> 00:29:51,260
And we aren't getting rainwater in here,

627
00:29:51,310 --> 00:29:54,140
but Rav Kook and the Ben Ish Chai

628
00:29:54,180 --> 00:29:56,400
wrote that we can use ice,

629
00:29:56,440 --> 00:29:57,570
so we're going to need a lot.

630
00:29:57,620 --> 00:30:00,360
We have a giant ice maker
on every floor.

631
00:30:03,880 --> 00:30:05,020
Where do you go to shul, Asher?

632
00:30:06,710 --> 00:30:08,190
Uh, I don't.

633
00:30:10,670 --> 00:30:13,720
Or, you know, not since I came out.

634
00:30:13,760 --> 00:30:15,420
You can't be gay and Jewish?

635
00:30:15,460 --> 00:30:19,730
Well, aside from the explicit
prohibitions in Vayikra 18 and 20,

636
00:30:19,770 --> 00:30:21,080
there's the Noahide laws

637
00:30:21,120 --> 00:30:23,640
and the sin of Sodom,
as explained in Sanhedrin.

638
00:30:23,690 --> 00:30:25,250
You should brush up on Sanhedrin.

639
00:30:25,300 --> 00:30:26,990
According to the Midrash,

640
00:30:27,040 --> 00:30:29,040
the sin of Sodom was cruelty
toward strangers, not homosexuality.

641
00:30:31,260 --> 00:30:32,910
Is an Orthodox rabbi telling me

642
00:30:32,960 --> 00:30:35,180
that the real sodomites
are the homophobes?

643
00:30:35,220 --> 00:30:36,985
If the Midrash fits...

644
00:30:37,573 --> 00:30:39,793
You are a Jew, Asher.
Whether you want to be or not.

645
00:30:39,920 --> 00:30:41,970
Anti-Semites don't give you a pass

646
00:30:42,010 --> 00:30:44,140
because you have no mezuzah
on your door,

647
00:30:44,190 --> 00:30:46,010
so might as well get
something positive out of it.

648
00:30:46,060 --> 00:30:48,750
Respectfully, Rabbi,
I have everything I need in my life.

649
00:30:48,800 --> 00:30:50,800
5,000 years of tradition,

650
00:30:50,840 --> 00:30:52,890
and you can't find anything of value?

651
00:30:52,930 --> 00:30:54,890
The Torah isn't all or nothing.

652
00:30:54,940 --> 00:30:57,477
Try lighting some candles
on a Friday night.

653
00:30:57,501 --> 00:30:59,031
Take a little break on a Saturday.

654
00:30:59,071 --> 00:31:00,771
Put some spare change in
the Tzedakah box for the poor.

655
00:31:00,811 --> 00:31:02,094
Read Rambam...

656
00:31:02,771 --> 00:31:04,012
or Philip Roth.

657
00:31:07,731 --> 00:31:09,171
I do love bagels.

658
00:31:09,211 --> 00:31:12,651
They're super carby, but I can
always scoop out the middle, right?

659
00:31:12,691 --> 00:31:15,091
Heresy. And yet, a start.

660
00:31:18,131 --> 00:31:19,391
Ahh.

661
00:31:19,441 --> 00:31:20,661
Now let's make a mikveh.

662
00:33:14,341 --> 00:33:16,991
Placing the final staples.

663
00:33:17,031 --> 00:33:19,951
Okay. Removing the amputated stomach.

664
00:33:21,131 --> 00:33:22,466
You okay?

665
00:33:22,506 --> 00:33:25,278
I got less than the
optimal amount of sleep last night,

666
00:33:25,978 --> 00:33:27,906
but I am fine to operate.

667
00:33:28,949 --> 00:33:32,831
Partial stomach is removed.

668
00:33:34,181 --> 00:33:37,581
Heart rate's 115. BP is 146 over 93.

669
00:33:37,621 --> 00:33:39,101
Splenic infarct?

670
00:33:39,141 --> 00:33:41,411
No,
it is baseline color and well perfused.

671
00:33:41,453 --> 00:33:43,151
- It could be an intestinal...
- No, it couldn't.

672
00:33:43,191 --> 00:33:44,548
Why not?

673
00:33:45,018 --> 00:33:46,307
Charlie, we don't have time to
answer your questions

674
00:33:46,331 --> 00:33:47,452
right now, okay?

675
00:33:47,501 --> 00:33:48,501
That makes sense.

676
00:33:53,291 --> 00:33:55,811
Submerge the remaining
stomach in saline.

677
00:33:55,861 --> 00:33:57,731
Shoot air in from the endoscope.

678
00:33:57,771 --> 00:33:59,601
That will tell us what the problem is.

679
00:34:03,171 --> 00:34:04,561
It's a leak.

680
00:34:04,601 --> 00:34:06,741
We need to reinforce our
staple line with sutures and...

681
00:34:08,001 --> 00:34:09,701
Heart rate 128. BP 170.

682
00:34:09,741 --> 00:34:12,481
4-0 Vicryls, fibrin glue.

683
00:34:12,521 --> 00:34:14,221
Get the 4-0's from the suture cart.

684
00:34:14,271 --> 00:34:15,881
Why aren't they on the back table?

685
00:34:15,921 --> 00:34:17,621
I read in The Journal
for Bariatric Surgery

686
00:34:17,661 --> 00:34:18,921
that they were rarely used, so...

687
00:34:18,971 --> 00:34:20,271
You should have asked an attending.

688
00:34:20,311 --> 00:34:22,401
I know she can be quite unrelenting,

689
00:34:22,451 --> 00:34:23,711
but you should not make changes

690
00:34:23,751 --> 00:34:25,321
based on the instructions
of a medical student.

691
00:34:25,361 --> 00:34:27,631
- Starting sutures.
- It's not her fault or mine.

692
00:34:27,671 --> 00:34:29,021
You have the stitches now, so...

693
00:34:29,061 --> 00:34:31,201
I am trying to concentrate.

694
00:34:31,241 --> 00:34:32,761
- Suturing.
- I need to explain myself!

695
00:34:32,811 --> 00:34:34,501
Stop talking. You're distracting me.

696
00:34:34,551 --> 00:34:36,241
I wanted to impress you.
It's a top journal...

697
00:34:36,291 --> 00:34:37,681
Get out of the OR!

698
00:34:41,291 --> 00:34:42,731
Get out right now.

699
00:34:50,221 --> 00:34:51,261
Goggles.

700
00:34:59,011 --> 00:35:00,749
No more anastomotic leak.

701
00:35:02,361 --> 00:35:03,621
Let's close.

702
00:35:11,281 --> 00:35:13,451
Lucy, we'll keep you here
for a couple of days,

703
00:35:13,501 --> 00:35:15,071
and then you'll be good to go home.

704
00:35:15,111 --> 00:35:16,981
When will I start to lose weight?

705
00:35:17,021 --> 00:35:20,641
You can expect to lose
five to fifteen pounds per week

706
00:35:20,681 --> 00:35:22,729
over the next few months.

707
00:35:35,261 --> 00:35:36,368
You look nice.

708
00:35:36,987 --> 00:35:38,077
Going out?

709
00:35:38,671 --> 00:35:39,671
Maybe.

710
00:35:42,271 --> 00:35:44,401
I could tell that you were uncomfortable

711
00:35:44,441 --> 00:35:46,531
when I saw you with Aaron.

712
00:35:46,571 --> 00:35:50,541
And I think I knew you were
uncomfortable even before then.

713
00:35:50,581 --> 00:35:54,344
But I just was having so much fun, I...

714
00:35:54,891 --> 00:35:56,241
It was unfair of me.

715
00:35:56,281 --> 00:35:58,241
- And I think that maybe I should just...
- Mom.

716
00:36:00,411 --> 00:36:01,643
It was unfair of me.

717
00:36:02,631 --> 00:36:03,641
Go have fun.

718
00:36:04,664 --> 00:36:06,014
Are you sure?

719
00:36:06,901 --> 00:36:08,031
Yeah.

720
00:36:10,421 --> 00:36:12,654
Thank you, honey.

721
00:36:18,611 --> 00:36:21,571
Why didn't you ever tell me
about learning Spanish

722
00:36:22,571 --> 00:36:25,871
or salsa dancing or anything?

723
00:36:27,181 --> 00:36:28,670
You never asked.

724
00:36:30,531 --> 00:36:32,757
I guess I never thought
there was much to hear.

725
00:36:39,191 --> 00:36:41,021
You and Dad...

726
00:36:41,061 --> 00:36:44,551
He always seemed so in charge,

727
00:36:44,591 --> 00:36:46,104
and you just...

728
00:36:47,511 --> 00:36:48,681
went along.

729
00:36:51,941 --> 00:36:55,301
I'm sure it did seem that way,

730
00:36:55,341 --> 00:36:56,781
because I knew it was important to him.

731
00:36:56,821 --> 00:36:58,951
He was old school.

732
00:36:58,991 --> 00:37:00,452
But at its heart...

733
00:37:01,651 --> 00:37:03,330
it was a partnership.

734
00:37:05,221 --> 00:37:06,416
I didn't know.

735
00:37:08,181 --> 00:37:13,401
You have always been
so ambitious, driven.

736
00:37:13,441 --> 00:37:16,661
Is that because you didn't
want to be someone who just...

737
00:37:18,231 --> 00:37:19,429
went along?

738
00:37:21,671 --> 00:37:22,671
Maybe.

739
00:37:26,461 --> 00:37:28,813
Is that why you and Clay broke up?

740
00:37:29,631 --> 00:37:32,031
He hasn't called since I've been here.

741
00:37:32,071 --> 00:37:34,527
None of his clothes are in the closet.

742
00:37:40,251 --> 00:37:41,910
He wanted to get married.

743
00:37:44,341 --> 00:37:45,664
And I wasn't sure.

744
00:37:47,611 --> 00:37:48,911
So I did my usual.

745
00:37:48,961 --> 00:37:52,587
I just avoided him
and I focused on work.

746
00:37:54,351 --> 00:37:56,011
And he took the job in Chicago.

747
00:37:58,401 --> 00:38:00,136
I'm so sorry.

748
00:38:06,191 --> 00:38:07,644
I love my job.

749
00:38:09,151 --> 00:38:11,021
I like who I am.

750
00:38:11,071 --> 00:38:12,941
I don't need to get married again.

751
00:38:15,331 --> 00:38:18,601
But I don't always like being alone.

752
00:38:23,341 --> 00:38:27,131
I am always here for you.

753
00:38:46,281 --> 00:38:48,101
Charlie Lukaitis won't listen to me.

754
00:38:48,151 --> 00:38:52,461
She is putting patients at risk.

755
00:38:52,501 --> 00:38:55,551
She should finish her rotation
at another hospital.

756
00:38:55,591 --> 00:38:57,501
I cannot work with her anymore.

757
00:39:00,331 --> 00:39:03,825
Well, apparently she can't
work with you, either.

758
00:39:06,691 --> 00:39:08,371
She filed a complaint against you.

759
00:39:22,011 --> 00:39:24,011
Thanks for the ride.

760
00:39:24,051 --> 00:39:25,921
I really enjoyed our conversation today.

761
00:39:25,971 --> 00:39:27,101
Yeah.

762
00:39:27,141 --> 00:39:28,808
Yeah. Me too.

763
00:39:29,621 --> 00:39:31,478
Asher, when was the last time
you wrapped tefillin?

764
00:39:35,281 --> 00:39:37,281
Maybe another time.

765
00:39:37,331 --> 00:39:40,461
Sorry, I just have an important
dinner to get to with my boyfriend.

766
00:39:40,501 --> 00:39:42,906
I think he's going to pop the question.

767
00:39:43,461 --> 00:39:45,161
And if he doesn't, I will.

768
00:39:46,211 --> 00:39:47,251
Mazel tov.

769
00:39:47,291 --> 00:39:48,578
Thank you.

770
00:39:49,901 --> 00:39:51,781
- Until next time.
- Yeah.

771
00:40:09,751 --> 00:40:11,491
- Hey! What are you doing?
- Get out of here, man!

772
00:40:15,971 --> 00:40:17,801
You're desecrating a house of worship.

773
00:40:17,851 --> 00:40:19,541
What's going on?

774
00:40:19,591 --> 00:40:20,811
I've asked them to leave.

775
00:40:26,241 --> 00:40:27,771
Go.

776
00:40:27,811 --> 00:40:30,081
Go, and there won't be a problem.

777
00:40:30,121 --> 00:40:31,251
What do you care?

778
00:40:31,291 --> 00:40:32,831
He's a Jew too.

779
00:40:36,121 --> 00:40:38,171
Yeah, I am a Jew.

780
00:40:38,211 --> 00:40:39,561
A gay one, in fact.

781
00:40:39,611 --> 00:40:40,911
And I'm calling the cops.

782
00:40:43,521 --> 00:40:44,921
Go!

783
00:40:51,971 --> 00:40:53,581
Are you okay?

784
00:40:53,621 --> 00:40:55,478
Yeah. I'll call our security.

785
00:40:56,361 --> 00:40:58,106
- Are you sure?
- Yeah.

786
00:41:00,761 --> 00:41:02,193
Now go get engaged.

