1
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2
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Shaun...

3
00:00:18,018 --> 00:00:20,321
You need to give me
your driver's license.

4
00:00:21,021 --> 00:00:22,556
No, I don't.

5
00:00:22,621 --> 00:00:26,393
- Do you remember the memory test I gave you?
- Vividly.

6
00:00:26,460 --> 00:00:29,697
Yes. It demonstrated
you have a deficit.

7
00:00:29,763 --> 00:00:32,899
A deficit. You shouldn't be driving.
Dr. Blaize agreed.

8
00:00:32,966 --> 00:00:36,235
Shaun, that test was supposed
to be between us,

9
00:00:36,302 --> 00:00:38,439
that's why I didn't want
to do it at the hospital.

10
00:00:38,506 --> 00:00:41,642
Yes, your doctor needs
to be informed

11
00:00:41,707 --> 00:00:43,911
of the results
of all your medical tests.

12
00:00:43,978 --> 00:00:45,945
Even tests
that are done at home.

13
00:00:46,012 --> 00:00:49,082
Shaun, I've been driving
for like half a century.

14
00:00:49,149 --> 00:00:50,750
I'm an excellent driver,
okay?

15
00:00:50,817 --> 00:00:53,019
I don't need to give you
my driver's license.

16
00:00:53,085 --> 00:00:55,856
Okay. Then I'll have
to notify the DMV.

17
00:00:56,789 --> 00:00:58,091
Dr. Glassman?

18
00:01:00,259 --> 00:01:02,262
You're not gonna notify
the DMV, Shaun.

19
00:01:02,329 --> 00:01:05,932
Yes, I will notify
the DMV.

20
00:01:05,998 --> 00:01:07,999
Shaun, you will not
notify the DMV.

21
00:01:08,067 --> 00:01:09,469
Dr. Glassman,

22
00:01:09,537 --> 00:01:12,606
if you don't give me
your driver's license,

23
00:01:12,671 --> 00:01:14,808
I will notify the DMV.

24
00:01:15,709 --> 00:01:17,578
Dr. Glassman?

25
00:01:42,168 --> 00:01:43,469
George Reynolds, 28,

26
00:01:43,537 --> 00:01:45,139
sudden onset of arm
and leg weakness,

27
00:01:45,206 --> 00:01:47,106
right facial droop,
and trouble speaking.

28
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CT confirmed a middle cerebral
artery embolism.

29
00:01:49,775 --> 00:01:51,811
I booked us
into interventional radiology.

30
00:01:51,879 --> 00:01:53,713
When did you first notice
your symptoms, George?

31
00:01:53,781 --> 00:01:56,683
About, uh,
four and a half hours ago.

32
00:01:56,750 --> 00:01:58,018
Wait,
what's wrong with me?

33
00:01:58,084 --> 00:01:59,085
You may be having a stroke.

34
00:02:00,653 --> 00:02:02,322
You're on monthly injections
of Lupron?

35
00:02:02,388 --> 00:02:03,789
For three months.

36
00:02:03,856 --> 00:02:04,858
That may have
caused this.

37
00:02:04,924 --> 00:02:06,393
Do you have
prostate cancer?

38
00:02:06,459 --> 00:02:10,830
No. I... I was diagnosed
with atypical hyperplasia.

39
00:02:10,897 --> 00:02:12,698
That shouldn't have any effect
on what we're gonna do now.

40
00:02:12,765 --> 00:02:14,334
We're gonna take care of you,
George. Don't worry.

41
00:02:17,670 --> 00:02:20,807
This is local anesthetic,
you'll feel a pinch.

42
00:02:23,742 --> 00:02:25,378
Are you a real doctor?

43
00:02:25,445 --> 00:02:28,080
I'm Dr. Shaun Murphy.

44
00:02:28,147 --> 00:02:29,515
People ever call you
Murph?

45
00:02:29,582 --> 00:02:30,584
No.

46
00:02:30,651 --> 00:02:33,020
I'm going to make
a small incision

47
00:02:33,086 --> 00:02:35,923
so we can insert the tube
and re-inflate your lung.

48
00:02:37,456 --> 00:02:38,724
What do they call you,
Billy?

49
00:02:39,926 --> 00:02:44,063
CraterHead, Volcano,
ThreeEyes,

50
00:02:44,131 --> 00:02:45,633
those are just
the creative ones.

51
00:02:46,500 --> 00:02:47,700
Hold tight.

52
00:02:47,766 --> 00:02:48,902
Here comes the tube...

53
00:02:58,711 --> 00:03:00,479
You guys really know
what you're doing.

54
00:03:00,546 --> 00:03:02,248
Yes, we do.

55
00:03:03,316 --> 00:03:05,652
We'll order an MRI
for your lungs.

56
00:03:05,718 --> 00:03:08,787
Then we will fix
your fractured eye orbit,

57
00:03:08,854 --> 00:03:10,456
that will require surgery.

58
00:03:11,991 --> 00:03:14,326
What do you say
we fix your forehead, too?

59
00:03:14,394 --> 00:03:15,496
You could do that?

60
00:03:15,562 --> 00:03:18,231
- I think so...
- I don't think so.

61
00:03:18,298 --> 00:03:22,868
It's a pre-existing condition, and
it's not medically necessary.

62
00:03:22,936 --> 00:03:25,070
It shouldn't be approved.

63
00:03:34,560 --> 00:03:39,560
Subtitles by explosiveskull

64
00:03:41,388 --> 00:03:44,790
The MCA clot is obstructing
all distal flow.

65
00:03:44,858 --> 00:03:48,295
Anti-androgens aren't
indicated for hyperplasia...

66
00:03:48,361 --> 00:03:49,763
He said atypical.

67
00:03:49,830 --> 00:03:51,131
You think he's lying?

68
00:03:52,765 --> 00:03:55,635
Maybe he's
gender transitioning.

69
00:03:55,701 --> 00:03:59,306
Aside from cancer, there
aren't many other indications.

70
00:03:59,372 --> 00:04:01,641
Let's focus
on what we do know.

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00:04:01,707 --> 00:04:03,643
Feeding the catheter.

72
00:04:03,710 --> 00:04:05,246
Suctioning the thrombus,

73
00:04:06,847 --> 00:04:09,049
and he's recanalizing.
Slowly retract.

74
00:04:11,350 --> 00:04:13,620
Whatever his reasons are
for taking anti-androgens,

75
00:04:13,687 --> 00:04:15,088
hopefully
there are options.

76
00:04:15,154 --> 00:04:17,456
He either drops them or he's
gonna keep having strokes.

77
00:04:19,692 --> 00:04:23,797
The forehead repair would be
expensive and cosmetic...

78
00:04:23,862 --> 00:04:25,197
It's not
about prettying him up,

79
00:04:25,264 --> 00:04:27,466
it could give him
a new life, friends,

80
00:04:27,533 --> 00:04:28,869
maybe a few less beatings.

81
00:04:28,935 --> 00:04:31,404
Stopping the beatings
is the guards' job.

82
00:04:32,706 --> 00:04:35,141
You really don't have
any empathy for Billy?

83
00:04:35,208 --> 00:04:38,912
Empathy is a bad reason
to fight for someone.

84
00:04:38,978 --> 00:04:41,482
If empathy makes me
only want to help patients

85
00:04:41,548 --> 00:04:44,016
who are from Wyoming
or have ASD,

86
00:04:44,084 --> 00:04:45,651
then that's very unfair

87
00:04:45,718 --> 00:04:47,920
to all my neuro-typical
patients from Idaho.

88
00:04:55,394 --> 00:04:56,930
I need to take
those drugs.

89
00:04:56,997 --> 00:04:58,564
They caused your stroke.

90
00:05:01,901 --> 00:05:04,204
We don't think
you have hyperplasia.

91
00:05:04,271 --> 00:05:05,405
If you tell us
the real reason,

92
00:05:05,471 --> 00:05:07,173
I'm sure there are
other safer treatments...

93
00:05:07,240 --> 00:05:08,442
No, there aren't!

94
00:05:10,276 --> 00:05:13,579
If you're transitioning,
there are alternatives...

95
00:05:13,646 --> 00:05:15,481
I told you
why I was taking the meds.

96
00:05:15,548 --> 00:05:18,484
George,
we are your doctors,

97
00:05:18,552 --> 00:05:20,487
we need to know
the truth.

98
00:05:20,553 --> 00:05:22,021
We're not gonna
tell anyone.

99
00:05:30,997 --> 00:05:32,633
I'm not transitioning.

100
00:05:34,834 --> 00:05:38,271
And I don't have
hyperplasia.

101
00:05:40,507 --> 00:05:42,108
I have problems...

102
00:05:42,175 --> 00:05:44,877
With my sex drive.

103
00:05:47,247 --> 00:05:51,018
I know it sounds stupid, like why
can't I just control myself, but...

104
00:05:53,586 --> 00:05:54,887
It's all I think about.

105
00:05:55,956 --> 00:05:57,358
It's all I can think about.

106
00:06:00,026 --> 00:06:02,295
I can't work,

107
00:06:02,362 --> 00:06:04,364
I can't socialize,

108
00:06:04,430 --> 00:06:06,532
I can't have a life.

109
00:06:08,634 --> 00:06:11,637
And those meds
are the only thing

110
00:06:11,704 --> 00:06:14,074
that makes it
even remotely tolerable.

111
00:06:15,141 --> 00:06:16,610
They'll kill you.

112
00:06:25,519 --> 00:06:27,321
The residents
have a betting pool

113
00:06:27,387 --> 00:06:29,122
on who you're going
to appoint

114
00:06:29,189 --> 00:06:31,691
as your replacement
as Chief of Surgery.

115
00:06:31,757 --> 00:06:34,593
The decision needs to be made
with decorum and expediency.

116
00:06:34,661 --> 00:06:36,329
I haven't quite gotten
around to analyzing...

117
00:06:36,396 --> 00:06:37,997
You've had little face time
with your attendings

118
00:06:38,064 --> 00:06:39,598
since you became
president.

119
00:06:39,665 --> 00:06:40,901
You need to correct that.

120
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I've scheduled
your announcement.

121
00:06:45,404 --> 00:06:46,539
You've got two days.

122
00:06:59,685 --> 00:07:02,322
- Where is he?
- He's gone, signed out AMA.

123
00:07:02,389 --> 00:07:04,223
- I tried...
- How long ago?

124
00:07:04,290 --> 00:07:06,026
Five minutes...

125
00:07:11,064 --> 00:07:12,165
Why are we
in a hurry?

126
00:07:12,232 --> 00:07:13,900
I was researching
alternative meds for him.

127
00:07:13,966 --> 00:07:15,701
Realized Lupron didn't
make any sense.

128
00:07:15,769 --> 00:07:18,170
Prescribing anti-androgens
for sexual urges

129
00:07:18,237 --> 00:07:19,605
is like hitting a mosquito
with a mallet.

130
00:07:19,673 --> 00:07:21,841
Unless
they're deviant urges.

131
00:07:21,908 --> 00:07:23,976
We might've just released
a child molester.

132
00:07:33,752 --> 00:07:35,188
Should
we call the police?

133
00:07:35,254 --> 00:07:36,557
We can't.

134
00:07:36,622 --> 00:07:38,158
We have
no evidence of a crime.

135
00:07:43,430 --> 00:07:46,400
Lim's at 3 to 2,
Melendez is just behind at 2 to 1,

136
00:07:46,466 --> 00:07:49,769
Cooperberg's 7 to 1, and if
Dartling, or anybody else comes in,

137
00:07:49,836 --> 00:07:50,904
you can retire.

138
00:07:50,971 --> 00:07:52,540
Andrews might bail
on Melendez

139
00:07:52,606 --> 00:07:54,841
when he finds out
our patient bolted.

140
00:07:54,909 --> 00:07:58,278
Which is why Melendez
is now 4 to 1.

141
00:07:58,344 --> 00:08:01,147
Pari-mutuel betting
is very exciting.

142
00:08:01,214 --> 00:08:03,450
Do you need empathy to be
a good doctor?

143
00:08:05,853 --> 00:08:08,454
No. I think
it can interfere

144
00:08:08,522 --> 00:08:10,257
with effective
decision-making.

145
00:08:10,324 --> 00:08:12,960
She's just saying that to
avoid hurting your feelings,

146
00:08:13,026 --> 00:08:15,163
thus making her
fake point for real.

147
00:08:15,228 --> 00:08:17,598
Her empathy
made her lie to you.

148
00:08:17,664 --> 00:08:19,065
I think
you just agreed with me

149
00:08:19,132 --> 00:08:20,433
and insulted me
at the same time.

150
00:08:20,500 --> 00:08:22,303
I think empathy's
very important...

151
00:08:22,370 --> 00:08:24,504
Telling the cold hard truth
even when it hurts,

152
00:08:24,570 --> 00:08:26,806
sometimes is the most
empathetic thing we can do.

153
00:08:26,873 --> 00:08:28,808
Which is what I'm doing
for Shaun right now.

154
00:08:28,875 --> 00:08:30,178
You're welcome.

155
00:08:31,677 --> 00:08:33,413
I have autism

156
00:08:33,479 --> 00:08:35,916
which means I have a
deficiency of mirror neurons,

157
00:08:35,983 --> 00:08:38,919
which inhibits me from emotionally
trading places with people,

158
00:08:38,985 --> 00:08:41,121
which makes empathy
very difficult.

159
00:08:45,258 --> 00:08:47,594
Does that mean
I can't be a good doctor?

160
00:08:49,397 --> 00:08:51,165
No, it doesn't.

161
00:08:51,230 --> 00:08:53,532
We all have our strengths
and weaknesses, Shaun.

162
00:08:53,599 --> 00:08:56,603
One of Claire's is making sure
everyone feels validated.

163
00:09:03,544 --> 00:09:05,312
The creep is back.

164
00:09:08,516 --> 00:09:10,349
Is George having
another stroke?

165
00:09:10,416 --> 00:09:11,819
No.

166
00:09:11,886 --> 00:09:13,987
Severe lacerations
to the scrotum.

167
00:09:14,054 --> 00:09:15,522
Did you give him
anything for pain?

168
00:09:15,589 --> 00:09:18,624
Morphine. Four milligrams.
And I notified the cops.

169
00:09:18,691 --> 00:09:19,692
I think
it was a hate crime.

170
00:09:19,759 --> 00:09:21,794
Yeah, I don't think so.

171
00:09:24,397 --> 00:09:26,300
All right.

172
00:09:26,367 --> 00:09:28,770
On my count.
One, two, three.

173
00:09:30,603 --> 00:09:31,671
We'll take it from here.

174
00:09:31,738 --> 00:09:33,240
I'll pack him
and prep him.

175
00:09:41,015 --> 00:09:42,283
You did this to yourself,
didn't you?

176
00:09:46,453 --> 00:09:49,357
I think I know what kind
of urges you've been having.

177
00:09:52,660 --> 00:09:54,327
I'm not a monster.

178
00:09:54,393 --> 00:09:56,829
I never touched anyone...

179
00:09:56,897 --> 00:09:58,932
Any... Child.

180
00:10:03,771 --> 00:10:07,174
My sister and I
were always best friends...

181
00:10:07,239 --> 00:10:08,575
But then she had children.

182
00:10:10,978 --> 00:10:12,914
If I can't keep taking
the drugs...

183
00:10:14,915 --> 00:10:17,184
...I had to do this.

184
00:10:17,249 --> 00:10:18,885
Home surgery tends
to not have

185
00:10:18,951 --> 00:10:21,354
the results
you're hoping for.

186
00:10:21,421 --> 00:10:24,492
You did a lot of damage but
your testicles are unscathed.

187
00:10:28,996 --> 00:10:30,698
Please, finish the job.

188
00:10:35,868 --> 00:10:38,805
- I say we do it, he's a pedophile.
- No, he's not.

189
00:10:38,873 --> 00:10:40,074
He just told us he was.

190
00:10:40,141 --> 00:10:41,708
He has never acted
on his urges,

191
00:10:41,775 --> 00:10:44,545
and he's asking us to do something
to ensure he never does.

192
00:10:44,612 --> 00:10:47,247
- He is a decent person trying...
- I'm confused.

193
00:10:47,314 --> 00:10:48,647
What do you want
to do with him?

194
00:10:48,714 --> 00:10:51,050
Treat him like a patient
with a diagnosis.

195
00:10:51,118 --> 00:10:52,386
Put him
on antidepressants,

196
00:10:52,453 --> 00:10:54,621
refer him to a urologist,
give him a psych eval.

197
00:10:54,688 --> 00:10:57,457
Let the experts determine if
he should have a castration.

198
00:10:57,523 --> 00:10:59,493
Psych eval?
Antidepressants?

199
00:10:59,560 --> 00:11:01,228
When we refer people
for counseling,

200
00:11:01,295 --> 00:11:02,728
how often
do they get cured?

201
00:11:02,796 --> 00:11:04,498
I am looking to help him
manage this dis...

202
00:11:04,565 --> 00:11:05,898
And if they don't get cured,
what happens?

203
00:11:05,965 --> 00:11:08,835
They get more depressed,
can't cope, quit jobs,

204
00:11:08,902 --> 00:11:10,236
maybe kill themselves?

205
00:11:10,304 --> 00:11:12,573
All bad, but not
rape-a-child bad.

206
00:11:14,574 --> 00:11:16,377
So what are you going to do?

207
00:11:20,815 --> 00:11:24,584
We can't ethically remove healthy
organs for crime prevention.

208
00:11:24,651 --> 00:11:26,520
We don't amputate
a kleptomaniac's hands

209
00:11:26,585 --> 00:11:28,522
to prevent them
from stealing.

210
00:11:28,589 --> 00:11:29,924
Hands have many purposes,

211
00:11:29,989 --> 00:11:32,491
the balls of a pedophile
have but one.

212
00:11:32,559 --> 00:11:34,928
Set up his referrals
and patch him up.

213
00:11:47,708 --> 00:11:49,410
<i>How long you been
in Foothills?</i>

214
00:11:49,477 --> 00:11:51,011
Nine months.

215
00:11:51,078 --> 00:11:52,546
Time flies in juvie.

216
00:11:52,613 --> 00:11:54,714
Any visitors?

217
00:11:54,781 --> 00:11:57,851
I don't have a granny bringing me
cookies, if that's what you mean.

218
00:11:57,917 --> 00:12:00,854
This is why empathy
is bad.

219
00:12:00,921 --> 00:12:04,123
You're talking to our patient
because you like him,

220
00:12:04,190 --> 00:12:05,358
which is causing him
to move,

221
00:12:05,425 --> 00:12:07,261
which is affecting
our imagery.

222
00:12:07,328 --> 00:12:08,795
He's scared.

223
00:12:08,862 --> 00:12:10,097
I'm talking to him
to calm him down

224
00:12:10,162 --> 00:12:11,698
which is improving
our imagery.

225
00:12:11,766 --> 00:12:13,868
The fact that I like him
is beside the point.

226
00:12:14,600 --> 00:12:16,469
You grow up in San Jose?

227
00:12:16,536 --> 00:12:20,007
East Paly, but I got out
of there as soon as I could...

228
00:12:20,073 --> 00:12:21,141
I was 15.

229
00:12:21,206 --> 00:12:22,442
<i>Your parents still there?</i>

230
00:12:23,209 --> 00:12:24,578
Mom's gone,

231
00:12:24,645 --> 00:12:27,748
dear old Dad is terrible.

232
00:12:27,814 --> 00:12:29,049
Siblings?

233
00:12:29,116 --> 00:12:30,351
<i>Little brother...</i>

234
00:12:30,416 --> 00:12:31,618
<i>He's gone too.</i>

235
00:12:35,756 --> 00:12:38,190
Crappy dad.
Lost his brother...

236
00:12:38,257 --> 00:12:40,360
- I mean, you really don't ha...
- He's not scared.

237
00:12:40,427 --> 00:12:43,863
He's short of breath because
his diaphragm is lacerated.

238
00:12:43,930 --> 00:12:48,535
His stomach has passed through
that tear and is now in his chest.

239
00:12:48,602 --> 00:12:51,973
Billy needs emergency surgery
on his diaphragm.

240
00:12:53,849 --> 00:12:55,118
The defect
reaches all the way

241
00:12:55,184 --> 00:12:57,719
from the center
to the anterior costal margin.

242
00:12:57,786 --> 00:12:59,421
So what do we need to do?

243
00:12:59,488 --> 00:13:01,623
Divide the inferior pulmonary
ligament to bring the lung upwards.

244
00:13:02,958 --> 00:13:04,327
Uh-huh.
Mesh.

245
00:13:07,463 --> 00:13:09,866
Whoever kicked him was
wearing some serious footwear.

246
00:13:09,932 --> 00:13:13,068
And they'll be waiting for him when
he goes back. Unless we help him.

247
00:13:13,136 --> 00:13:15,372
Dr. Park wants
to fix his forehead.

248
00:13:17,640 --> 00:13:19,175
The constitution
guarantees prisoners

249
00:13:19,242 --> 00:13:20,876
get the same care
as everyone else.

250
00:13:20,943 --> 00:13:24,313
Most non-prisoners can't
afford cosmetic surgery.

251
00:13:24,379 --> 00:13:26,814
He would be getting better
care than everyone else.

252
00:13:26,882 --> 00:13:30,587
Kid is smart and personable and puts up a
great front. But he's scared to death.

253
00:13:30,652 --> 00:13:32,589
And he got 36 months
for selling weed,

254
00:13:32,655 --> 00:13:34,324
a crime that doesn't
even exist anymore.

255
00:13:34,390 --> 00:13:36,058
You think his life
would be anything like this

256
00:13:36,124 --> 00:13:37,960
if he didn't grow up with a
massive dent in his head?

257
00:13:39,528 --> 00:13:42,197
Sorry,
I'm not convinced.

258
00:13:42,263 --> 00:13:45,701
Is that because you don't have
any empathy for Billy?

259
00:13:46,969 --> 00:13:49,305
No. It's because
I agree with you.

260
00:13:49,371 --> 00:13:51,740
It's expensive, risky
and unnecessary.

261
00:13:51,806 --> 00:13:55,076
But empathy can be
an invaluable motivator,

262
00:13:55,143 --> 00:13:58,514
Dr. Murphy, that truly connects
the physician with their patient.

263
00:14:03,518 --> 00:14:05,320
Is he still up there?

264
00:14:12,161 --> 00:14:14,229
Yes he is.

265
00:14:16,766 --> 00:14:18,700
We can't do the castration,
George.

266
00:14:18,767 --> 00:14:21,403
Not without the proper
psychiatric clearance.

267
00:14:21,469 --> 00:14:22,537
That'll take forever.

268
00:14:22,604 --> 00:14:24,305
Just a few months.

269
00:14:24,373 --> 00:14:25,907
A few months is forever.

270
00:14:25,974 --> 00:14:28,877
Binge watch your favorite shows,
catch up on your reading.

271
00:14:28,944 --> 00:14:30,579
You attracted to men,
Dr. Reznick?

272
00:14:31,647 --> 00:14:34,182
Yes. Adult men.

273
00:14:34,249 --> 00:14:37,385
And if that
were reprehensible,

274
00:14:37,453 --> 00:14:38,788
do you think
you could stop?

275
00:14:41,056 --> 00:14:43,526
You have no idea
what it's like

276
00:14:43,593 --> 00:14:45,328
to live
with these thoughts.

277
00:14:45,961 --> 00:14:48,596
I hate them,

278
00:14:48,664 --> 00:14:50,633
and I hate myself
for having them.

279
00:14:52,801 --> 00:14:54,070
But I can't stop them.

280
00:14:55,503 --> 00:14:58,007
And I'm afraid
of what I could do.

281
00:15:02,810 --> 00:15:05,013
We will start the process
immediately.

282
00:15:05,080 --> 00:15:08,616
In the meantime, we'll transfuse
you, get you on antibiotics...

283
00:15:08,684 --> 00:15:11,920
No.
I'm refusing treatment.

284
00:15:11,987 --> 00:15:15,858
No transfusion. No antibiotics.
No repair.

285
00:15:15,925 --> 00:15:17,426
Let 'em rot.

286
00:15:21,063 --> 00:15:22,632
We have something
in common.

287
00:15:25,099 --> 00:15:27,236
Neither of us has
a driver's license.

288
00:15:30,339 --> 00:15:33,475
How do you feel about
not having a driver's license?

289
00:15:35,243 --> 00:15:37,180
I'm pissed, Shaun.

290
00:15:37,246 --> 00:15:38,948
You feel pissed.

291
00:15:39,013 --> 00:15:40,916
Yes, I feel pissed.
I feel very pissed

292
00:15:40,983 --> 00:15:43,585
because something important
was taken away from me.

293
00:15:43,652 --> 00:15:45,120
And by a friend.

294
00:15:45,186 --> 00:15:47,190
You feel very pissed

295
00:15:47,256 --> 00:15:49,925
because something important
was taken away from you,

296
00:15:49,992 --> 00:15:51,227
and by a friend.

297
00:15:51,294 --> 00:15:53,263
And parroting everything
I say isn't helping.

298
00:15:54,463 --> 00:15:57,599
I'm finding commonality,
Dr. Glassman,

299
00:15:57,666 --> 00:16:00,302
and inquiring
about your emotional state,

300
00:16:00,369 --> 00:16:03,371
and actively listening
by restating your responses.

301
00:16:03,439 --> 00:16:07,209
"External corroboration enhances
our sense of self-worth."

302
00:16:08,444 --> 00:16:10,479
Okay.

303
00:16:10,546 --> 00:16:12,647
The day after I got
my driver's license,

304
00:16:12,714 --> 00:16:14,349
you want to know
what I did?

305
00:16:14,416 --> 00:16:19,154
I went out and bought a 1963
Galaxie, Midnight Blue. 1,255 bucks,

306
00:16:19,220 --> 00:16:24,060
every penny I earned for the past
three years working in a gas station.

307
00:16:24,127 --> 00:16:25,527
How do you think
that made me feel?

308
00:16:26,461 --> 00:16:27,695
You liked it?

309
00:16:27,762 --> 00:16:29,965
No, Shaun.
I loved it.

310
00:16:30,031 --> 00:16:31,501
You want to know why?

311
00:16:31,566 --> 00:16:34,603
Because a car to a 16-year-old
kid means independence,

312
00:16:34,670 --> 00:16:36,505
which means he can go
wherever he wants

313
00:16:36,571 --> 00:16:38,340
whenever he wants.

314
00:16:38,406 --> 00:16:41,243
And that doesn't change
with age, Shaun,

315
00:16:43,045 --> 00:16:44,479
in fact,
it means even more.

316
00:16:48,249 --> 00:16:50,619
When you took my license,
that's what you took from me.

317
00:16:53,855 --> 00:16:55,256
I don't expect you
to understand.

318
00:16:55,324 --> 00:16:56,758
So you don't have
to pretend.

319
00:17:07,804 --> 00:17:10,205
Hey.
Is Andrews stalking you?

320
00:17:10,271 --> 00:17:11,573
- Yeah.
- It's annoying.

321
00:17:11,640 --> 00:17:13,575
We need to stand together
and tell him to back off.

322
00:17:14,811 --> 00:17:16,545
I'm not telling the president
he's annoying.

323
00:17:16,612 --> 00:17:18,279
He's infringing
on our autonomy

324
00:17:18,346 --> 00:17:20,215
and inhibiting
the free flow of ideas,

325
00:17:20,282 --> 00:17:21,750
both of which affect
our ability

326
00:17:21,816 --> 00:17:23,620
to deliver
the best patient care.

327
00:17:25,554 --> 00:17:28,024
That sounds
slightly better.

328
00:17:28,090 --> 00:17:29,792
Okay. I'm in.

329
00:17:34,462 --> 00:17:36,832
- Are you?
- No. Of course not.

330
00:17:36,899 --> 00:17:39,735
The last thing I'm gonna do right now
is confront him. I'm the front-runner.

331
00:17:39,802 --> 00:17:42,036
Not according to Vegas.
I'm 3 to 2.

332
00:17:44,273 --> 00:17:46,776
Guess they don't know that you
have double my mortality rate.

333
00:17:49,111 --> 00:17:50,412
I'm a trauma surgeon,

334
00:17:50,479 --> 00:17:52,448
you're comparing apples
to asshats.

335
00:17:53,748 --> 00:17:55,651
I resent
being called an apple.

336
00:17:57,620 --> 00:17:59,721
The diaphragm repair
went very well.

337
00:17:59,787 --> 00:18:02,091
And we've scheduled
your orbital fracture repair.

338
00:18:02,158 --> 00:18:05,327
We'll get you some stronger
pain meds for the recovery.

339
00:18:05,393 --> 00:18:07,261
When are you gonna
fix my forehead,

340
00:18:07,328 --> 00:18:08,664
make me all John Legend?

341
00:18:11,333 --> 00:18:14,103
I tried, Billy.
I'm sorry.

342
00:18:15,638 --> 00:18:17,407
I wasn't really getting
my hopes up anyway.

343
00:18:18,606 --> 00:18:19,774
My dad taught me that.

344
00:18:19,842 --> 00:18:22,044
He'd say,
"You know what, Billy?"

345
00:18:22,111 --> 00:18:24,680
And he'd just punch me
in the face.

346
00:18:24,747 --> 00:18:27,248
At least, I think that was the
lesson he was trying to impart.

347
00:18:27,315 --> 00:18:28,851
That's what happened
to your forehead?

348
00:18:32,286 --> 00:18:34,123
He was a big A's fan.

349
00:18:34,190 --> 00:18:36,225
Watched every game
with a bat in his hand.

350
00:18:38,160 --> 00:18:41,162
August 14th, 2008,

351
00:18:41,229 --> 00:18:43,464
they lost
in the 12th inning...

352
00:19:04,452 --> 00:19:05,820
Infection's setting in,
but his testicles

353
00:19:05,888 --> 00:19:07,723
still show good flow
on the Doppler.

354
00:19:07,789 --> 00:19:09,190
- Pain meds?
- He won't take them.

355
00:19:09,257 --> 00:19:11,494
Thinks they'll knock him out and
we'll step in and repair them.

356
00:19:13,196 --> 00:19:15,130
I hate this.

357
00:19:15,197 --> 00:19:16,599
Me too.

358
00:19:24,040 --> 00:19:27,544
I'm going to be
a good driver.

359
00:19:27,610 --> 00:19:30,679
I got every answer correct
on the written test.

360
00:19:30,746 --> 00:19:33,882
Except one, but that was because
it was improperly worded.

361
00:19:33,949 --> 00:19:37,053
I told the DMV
they need to rewrite it

362
00:19:37,120 --> 00:19:40,523
and they said they'd
take it under advisement.

363
00:19:40,590 --> 00:19:41,858
Great.

364
00:19:41,923 --> 00:19:43,292
Let's go.

365
00:19:51,434 --> 00:19:53,736
Okay,
let's close our eyes

366
00:19:53,803 --> 00:19:57,407
and take
some nice, deep breaths...

367
00:20:01,576 --> 00:20:04,246
And how about
a little guided imagery

368
00:20:04,313 --> 00:20:08,551
to evoke
positive visualizations?

369
00:20:11,655 --> 00:20:12,855
Okay.

370
00:20:12,921 --> 00:20:15,056
Let's picture
the parking lot,

371
00:20:15,123 --> 00:20:17,593
the cars around us,

372
00:20:17,660 --> 00:20:20,595
the yellow steel thingy at the
entrance of the parking lot

373
00:20:20,662 --> 00:20:22,899
that could really do
a lot of damage...

374
00:20:22,966 --> 00:20:24,368
A bollard.

375
00:20:25,968 --> 00:20:31,440
The speed bump that is
15 feet from the corner

376
00:20:31,506 --> 00:20:35,544
with the stop sign that someone
put a "Hate" sticker on

377
00:20:35,611 --> 00:20:37,846
so it says "Stop Hate,"

378
00:20:37,913 --> 00:20:40,549
which is right in front
of the Jiff-E Mart,

379
00:20:40,615 --> 00:20:43,419
which says it's open
"8 til Late, 24/7,"

380
00:20:43,486 --> 00:20:45,789
- which can't be true beca...
- That's great, Shaun.

381
00:20:45,854 --> 00:20:47,623
Super amount
of visualization.

382
00:20:47,690 --> 00:20:51,560
And now that we're feeling
comfortable about our surroundings,

383
00:20:51,627 --> 00:20:53,463
we can put the car
into drive,

384
00:20:54,496 --> 00:20:56,733
ease our foot
off the brake...

385
00:20:57,700 --> 00:20:59,067
Very nice...

386
00:20:59,134 --> 00:21:01,036
We can open our eyes now,
Shaun.

387
00:21:01,103 --> 00:21:02,638
What we're doing is cruel.

388
00:21:02,705 --> 00:21:04,741
I'm open to all options,
Dr. Browne.

389
00:21:13,582 --> 00:21:15,784
I'm gonna have to ask you
to give us some privacy.

390
00:21:15,851 --> 00:21:17,486
Really?

391
00:21:17,553 --> 00:21:20,590
You want to throw the president of the
hospital out of a medical discussion?

392
00:21:23,860 --> 00:21:25,661
You're infringing
on my autonomy

393
00:21:25,727 --> 00:21:27,462
and inhibiting
the free flow of ideas,

394
00:21:27,530 --> 00:21:28,899
both of which affect
my ability

395
00:21:28,965 --> 00:21:30,367
to deliver
the best patient care.

396
00:21:40,576 --> 00:21:42,211
Dr. Melendez.

397
00:21:48,051 --> 00:21:49,686
There are many drivers

398
00:21:49,753 --> 00:21:52,022
not following
the rules of the road.

399
00:21:52,089 --> 00:21:57,260
They fail to signal,
check their blind spots,

400
00:21:57,326 --> 00:22:00,529
display a red flag
when the load extends

401
00:22:00,596 --> 00:22:02,998
more than four feet
past the tail lamp.

402
00:22:03,065 --> 00:22:05,267
You're right, Shaun,
it's a mad world.

403
00:22:05,334 --> 00:22:06,936
But there's nothing
you can do about them,

404
00:22:07,003 --> 00:22:08,303
you just got
to focus on you.

405
00:22:08,371 --> 00:22:10,206
Yes, let's focus on me.

406
00:22:10,273 --> 00:22:11,875
Yes.

407
00:22:11,941 --> 00:22:14,176
Let's take
the next right.

408
00:22:17,880 --> 00:22:19,814
You can drive
in the bike lane

409
00:22:19,881 --> 00:22:21,516
when you're this close
to the turn, Shaun.

410
00:22:21,583 --> 00:22:23,284
No, I can't.

411
00:22:23,351 --> 00:22:24,553
It's a broken line.

412
00:22:24,620 --> 00:22:26,956
That was the improperly
worded question,

413
00:22:27,023 --> 00:22:28,891
whether it's broken
or solid,

414
00:22:28,957 --> 00:22:30,493
you can't enter
the bike lane

415
00:22:30,560 --> 00:22:32,662
this distance
from the intersection.

416
00:22:32,728 --> 00:22:34,663
I told them
that it...

417
00:22:39,201 --> 00:22:41,505
Okay, Shaun. You don't
have to go so slow.

418
00:22:44,607 --> 00:22:47,510
She's in the lane, she's not
supposed to be in the lane.

419
00:22:47,576 --> 00:22:49,778
It's a violation
carrying a fine...

420
00:22:49,845 --> 00:22:51,880
Okay, Shaun, don't worry
about what she's doing...

421
00:22:51,948 --> 00:22:54,717
- No.
- Shaun, you have to pull into the bike lane...

422
00:22:54,784 --> 00:22:55,985
Don't worry
about what she's doing...

423
00:22:58,120 --> 00:22:59,188
You can't just stop.

424
00:22:59,255 --> 00:23:00,590
Shaun,
you can't just stop...

425
00:23:02,092 --> 00:23:03,693
Shaun!

426
00:23:07,295 --> 00:23:09,032
George is screaming
in agony

427
00:23:09,099 --> 00:23:12,235
and we are doing nothing except
hiding behind ethical red tape.

428
00:23:12,301 --> 00:23:14,570
Ethical red tape is there
to protect people like him

429
00:23:14,637 --> 00:23:16,938
from making permanent
regrettable mistakes.

430
00:23:17,005 --> 00:23:18,707
I'm glad we're not using it
to cover our asses

431
00:23:18,775 --> 00:23:20,544
the day before the new
Chief of Surgery is announced.

432
00:23:25,680 --> 00:23:27,650
Let me sign off
on the documentation.

433
00:23:28,851 --> 00:23:31,888
I'll note his scrotum
is already beyond repair

434
00:23:31,955 --> 00:23:34,491
and surgical castration
is our only option.

435
00:23:35,524 --> 00:23:36,993
- I vote yes.
- No.

436
00:23:37,059 --> 00:23:39,595
I'm not gonna let anyone
falsify medical records.

437
00:23:39,661 --> 00:23:42,297
Not for pain.
Not for a pedophile.

438
00:23:42,364 --> 00:23:44,733
Once his testes
are actually beyond repair,

439
00:23:44,800 --> 00:23:46,269
we will castrate him.

440
00:23:47,437 --> 00:23:48,803
So we're just gonna
leave him there screaming,

441
00:23:48,871 --> 00:23:50,506
keeping his entire unit
awake?

442
00:23:51,640 --> 00:23:53,008
Move him.

443
00:24:00,815 --> 00:24:04,386
I'd like a clean dissection
through the periosteal planes

444
00:24:04,454 --> 00:24:06,856
so I can slip the MEDPOR mesh
over the fracture.

445
00:24:06,922 --> 00:24:09,257
Why do I prefer
MEDPOR mesh?

446
00:24:09,324 --> 00:24:11,494
It allows
fibrovascular ingrowth

447
00:24:11,561 --> 00:24:13,463
and integration
of the patient's tissue.

448
00:24:15,764 --> 00:24:17,167
Prisoner surgeries
are approved

449
00:24:17,233 --> 00:24:19,169
for psychological reasons
all the time.

450
00:24:19,235 --> 00:24:20,402
Tattoo removal,

451
00:24:20,469 --> 00:24:22,704
gender reassignments
include breast implants.

452
00:24:22,772 --> 00:24:25,640
Hell, if he had a crappy smile we
could justify dental work as needed

453
00:24:25,707 --> 00:24:27,409
for proper mastication.

454
00:24:27,476 --> 00:24:29,012
You sent a few kids
to juvie?

455
00:24:30,913 --> 00:24:32,047
More than a few.

456
00:24:33,882 --> 00:24:35,817
You feel guilty.

457
00:24:35,884 --> 00:24:37,853
Think that's maybe clouding
your judgment?

458
00:24:39,188 --> 00:24:40,489
Maybe.

459
00:24:43,258 --> 00:24:46,861
You're afraid of ruffling Andrews'
feathers this close to decision day.

460
00:24:46,928 --> 00:24:48,364
Think that's maybe
clouding yours?

461
00:24:49,497 --> 00:24:52,034
We could give Billy
a breast implant.

462
00:24:54,803 --> 00:24:58,908
We could insert it over his split
thickness frontal bone defect.

463
00:24:58,974 --> 00:25:02,511
It would only require a tiny
incision at his eyebrow.

464
00:25:02,578 --> 00:25:04,280
Now you're in favor
of this?

465
00:25:04,346 --> 00:25:08,550
I was against it because it was too
expensive and unnecessary and risky,

466
00:25:08,618 --> 00:25:10,153
but if we do it now,

467
00:25:10,218 --> 00:25:12,487
it won't require
any additional surgery,

468
00:25:12,554 --> 00:25:14,457
and it'd be
very economical.

469
00:25:14,524 --> 00:25:17,260
He did give us verbal consent
when he was first admitted.

470
00:25:21,531 --> 00:25:22,765
Keep him under.

471
00:25:24,233 --> 00:25:25,935
Get what we need,
Dr. Murphy.

472
00:25:39,448 --> 00:25:41,350
Ready or not...

473
00:25:41,417 --> 00:25:43,086
Tell Melendez to meet us
in the OR.

474
00:25:48,007 --> 00:25:50,142
Showing signs
of ischemia,

475
00:25:50,209 --> 00:25:52,111
we have a strong medical case
for removing.

476
00:25:55,247 --> 00:25:56,850
Dr. Lim.
You a castration fan?

477
00:25:56,916 --> 00:25:58,251
Right now, I am.

478
00:25:58,318 --> 00:26:00,654
- Andrews told me he's backing off.
- Great.

479
00:26:00,719 --> 00:26:02,988
Because you presented him
with a very good argument.

480
00:26:03,055 --> 00:26:05,191
My argument.
Which you regurgitated to him

481
00:26:05,257 --> 00:26:08,494
right after you said you wouldn't
back me up. Call that leadership?

482
00:26:08,561 --> 00:26:09,728
Yes, I do.

483
00:26:09,795 --> 00:26:11,797
You presented me
with a very good argument,

484
00:26:11,865 --> 00:26:14,567
but you didn't have the guts to
take it to Andrews on your own.

485
00:26:14,634 --> 00:26:16,736
One more reason I don't
want to work under you.

486
00:26:16,802 --> 00:26:19,504
You don't want this promotion so
that you can improve the hospital.

487
00:26:19,571 --> 00:26:21,474
You want it
for the pretty title.

488
00:26:21,541 --> 00:26:24,144
You're an adrenaline junky. You won't last
two weeks liaising with board members.

489
00:26:25,278 --> 00:26:27,213
There's a long
and dusty trail

490
00:26:27,280 --> 00:26:29,449
littered with people
who have underestimated me.

491
00:26:33,052 --> 00:26:34,487
We're ready to go.

492
00:26:36,490 --> 00:26:38,091
Curved tissue scissors,
please.

493
00:26:41,128 --> 00:26:43,931
His systolic is 68.
And look at this.

494
00:26:46,867 --> 00:26:48,935
- He's septic.
- He's going into D.I.C.

495
00:26:49,002 --> 00:26:50,736
Rerun his labs.

496
00:26:50,803 --> 00:26:52,604
Have platelets, plasma
and cryo ready.

497
00:26:52,671 --> 00:26:54,440
If he starts bleeding,
he'll die.

498
00:26:58,712 --> 00:27:01,782
I reduced the volume
from 80 cc's to 35.

499
00:27:13,994 --> 00:27:16,263
Have the odds changed
in the last 24 hours?

500
00:27:16,329 --> 00:27:17,763
- Little.
- Where am I at?

501
00:27:17,830 --> 00:27:19,166
6 to 1.

502
00:27:21,100 --> 00:27:22,369
I'll put $100 on me.

503
00:27:25,871 --> 00:27:27,473
He's becoming
severely bradycardic.

504
00:27:27,540 --> 00:27:31,411
The pressure on his orbit
caused a retrobulbar hematoma.

505
00:27:31,477 --> 00:27:34,313
If we don't relieve it now,
he'll arrest. Forceps and scissors.

506
00:27:34,379 --> 00:27:36,582
Just lost his pulse,
pushing atropine.

507
00:27:36,649 --> 00:27:38,650
Set up a temporary
transcutaneous pacemaker.

508
00:27:38,717 --> 00:27:40,586
If we inject the orbital
muscle with local anesthetic

509
00:27:40,653 --> 00:27:42,222
we might be able
to fatigue the reflex.

510
00:27:42,289 --> 00:27:43,290
Do it.

511
00:27:46,326 --> 00:27:47,728
Starting CPR.

512
00:27:51,531 --> 00:27:54,133
I hope
that's a look of resolve.

513
00:27:54,199 --> 00:27:58,170
Melendez stood up to me
in front of his residents.

514
00:27:58,237 --> 00:28:00,873
I did the same thing to
O'Connell when I was his age.

515
00:28:02,073 --> 00:28:03,609
What about Lim?

516
00:28:03,676 --> 00:28:06,045
She has the kind of focus
that took me years to develop.

517
00:28:07,513 --> 00:28:10,817
And Cooperberg, he reminds
me of me when I was...

518
00:28:10,884 --> 00:28:13,653
Marcus. You were good.

519
00:28:13,719 --> 00:28:15,888
But no one's gonna be as good
as you think you were.

520
00:28:18,023 --> 00:28:21,427
One of your weaknesses
was decision-making.

521
00:28:21,494 --> 00:28:23,797
I trust you've gotten past that
since I made you president.

522
00:28:30,469 --> 00:28:34,039
Continuing compressions until
I have capture on the pacemaker.

523
00:28:34,107 --> 00:28:36,542
Pacing pads
are in position.

524
00:28:38,711 --> 00:28:39,746
Stopping CPR.

525
00:28:41,080 --> 00:28:42,416
Injecting lidocaine.

526
00:28:43,449 --> 00:28:45,584
I have set the rate
to 80.

527
00:28:47,553 --> 00:28:49,921
Increase the
ventricular by two milliamps.

528
00:28:54,459 --> 00:28:56,896
Increase by two more.

529
00:29:08,175 --> 00:29:11,979
Blood pressure is
responding, 102 over 68.

530
00:29:13,012 --> 00:29:14,179
Keep those pacer settings

531
00:29:14,246 --> 00:29:15,648
and let's get back
to the main event.

532
00:29:20,419 --> 00:29:23,188
Both his PT and
PTT are coming back down,

533
00:29:23,255 --> 00:29:27,025
his systolic is stable at 110,
and no ectopy on the monitor.

534
00:29:27,092 --> 00:29:29,562
His D.I.C. score is back
under four. He's stabilized.

535
00:29:33,131 --> 00:29:34,200
Ball's in your court.

536
00:29:37,936 --> 00:29:40,240
Dr. Melendez?

537
00:29:40,305 --> 00:29:43,676
Effects of low testosterone on
cardiovascular function and sepsis?

538
00:29:43,743 --> 00:29:46,279
Possible acute
vascular response,

539
00:29:46,346 --> 00:29:47,747
circulatory collapse...

540
00:29:47,813 --> 00:29:49,415
And what about
on D.I.C.?

541
00:29:49,482 --> 00:29:51,118
Increased risk
of clots and stroke.

542
00:29:54,353 --> 00:29:55,587
George's body
can't tolerate

543
00:29:55,655 --> 00:29:58,358
any loss of testosterone
right now.

544
00:29:58,425 --> 00:30:01,661
We want to save his life,
we have to save his testicles.

545
00:30:04,296 --> 00:30:05,631
Sutures.

546
00:30:13,923 --> 00:30:15,292
I know
how to get you to drive.

547
00:30:16,192 --> 00:30:17,327
I can't drive.

548
00:30:17,394 --> 00:30:19,796
Driving
is just like surgery.

549
00:30:19,863 --> 00:30:21,798
Say you're driving
down the street

550
00:30:21,865 --> 00:30:24,401
and suddenly, somebody
steps off the sidewalk,

551
00:30:24,467 --> 00:30:25,701
right in front of you.

552
00:30:25,769 --> 00:30:27,003
Things like that
must happen

553
00:30:27,069 --> 00:30:28,571
when you're deep inside
someone's belly.

554
00:30:28,638 --> 00:30:30,807
That doesn't make
any sense.

555
00:30:30,875 --> 00:30:33,678
It's an analogy, Shaun. I need you
to work with me just a little bit.

556
00:30:34,243 --> 00:30:35,346
Give me.

557
00:30:39,517 --> 00:30:40,718
Okay.

558
00:30:45,955 --> 00:30:48,324
It would be
something unexpected,

559
00:30:48,391 --> 00:30:50,494
out of our control,

560
00:30:50,559 --> 00:30:53,563
from an aberrant source,
and very bad.

561
00:30:54,699 --> 00:30:59,036
It would be analogous
to an arterial bleed.

562
00:30:59,103 --> 00:31:03,140
How about if a truck stalls
out, crippling traffic?

563
00:31:03,205 --> 00:31:07,343
A thrombus impeding blood
flow, so we divert.

564
00:31:07,411 --> 00:31:09,212
A thrombus, exactly.

565
00:31:09,279 --> 00:31:11,147
What if you're just
cruising along

566
00:31:11,214 --> 00:31:14,016
and a car comes out of nowhere
and goes racing by?

567
00:31:14,084 --> 00:31:15,786
A tachyarrhythmia.

568
00:31:15,853 --> 00:31:18,855
- Yes! Shaun, you got this.
- Yes.

569
00:31:18,922 --> 00:31:20,658
So let's get you driving
that hooptie.

570
00:31:25,195 --> 00:31:26,763
I've got this, Albert.

571
00:31:40,477 --> 00:31:41,979
We did the surgery.

572
00:31:42,046 --> 00:31:44,481
Your circulatory and clotting
systems were shutting down.

573
00:31:45,915 --> 00:31:48,885
But removing your testicles
would have put you

574
00:31:48,952 --> 00:31:50,554
at greater risk
by reducing your...

575
00:31:50,619 --> 00:31:52,122
You would have died.

576
00:31:56,726 --> 00:32:00,798
I've set you up with a
psychiatrist and a urologist.

577
00:32:00,865 --> 00:32:02,799
They'll screen you,
get you cleared,

578
00:32:02,865 --> 00:32:05,335
and then we can do this
the right way.

579
00:32:05,402 --> 00:32:07,038
George,
we can get this done.

580
00:32:08,204 --> 00:32:12,208
You just cannot
try this again.

581
00:32:14,277 --> 00:32:16,246
I get it.

582
00:32:16,313 --> 00:32:18,949
I do it your way,
or it just doesn't happen.

583
00:32:37,800 --> 00:32:39,836
It's just another
intersection, Shaun,

584
00:32:39,903 --> 00:32:43,173
just like the last one
and just like the next one...

585
00:32:43,240 --> 00:32:47,944
The last intersection isn't where everyone
honked at me and made me freeze...

586
00:32:48,010 --> 00:32:51,248
That was a different day,
with different drivers

587
00:32:51,315 --> 00:32:53,216
and a different Shaun
behind the wheel,

588
00:32:53,282 --> 00:32:56,086
because today,
this Shaun has a plan

589
00:32:56,153 --> 00:32:58,322
for this intersection,
which is...

590
00:32:59,390 --> 00:33:02,292
...I am going
to dissect it.

591
00:33:02,358 --> 00:33:03,559
Damn right you are.

592
00:33:03,626 --> 00:33:06,028
And today,
you're gonna turn right

593
00:33:06,096 --> 00:33:07,230
which you will do by...

594
00:33:07,297 --> 00:33:08,932
Determining laterality.

595
00:33:08,999 --> 00:33:11,802
And waiting until I can
legally enter the bike lane.

596
00:33:22,645 --> 00:33:25,215
Somebody just made
a turn...

597
00:33:33,223 --> 00:33:34,457
Shaun!

598
00:33:40,364 --> 00:33:41,832
Everybody okay?

599
00:33:43,066 --> 00:33:45,201
You were wrong.

600
00:33:46,569 --> 00:33:49,240
You were wrong, Lea.
I can't drive.

601
00:33:51,407 --> 00:33:53,009
Shaun, I thought
I had it figured out.

602
00:33:53,076 --> 00:33:54,345
I can't drive.

603
00:33:54,411 --> 00:33:56,013
I...

604
00:33:56,078 --> 00:33:57,913
Surgery is mechanical.

605
00:33:57,980 --> 00:33:59,316
Mechanics are predictable.

606
00:33:59,383 --> 00:34:01,519
Driving is subject
to human foibles

607
00:34:01,585 --> 00:34:03,653
which means there are
limitless possibilities.

608
00:34:03,721 --> 00:34:05,155
You're right.
My metaphor sucked.

609
00:34:05,221 --> 00:34:06,856
It sucked very much.

610
00:34:08,425 --> 00:34:10,693
Because...

611
00:34:10,760 --> 00:34:14,398
Becoming a surgeon is about
way more than operating.

612
00:34:16,766 --> 00:34:18,534
You had to learn
about interacting

613
00:34:18,601 --> 00:34:22,639
with teachers,
co-workers, patients, bosses.

614
00:34:22,706 --> 00:34:25,041
Cooperating with them,
communicating with them...

615
00:34:25,108 --> 00:34:27,010
I am very bad
at communicating.

616
00:34:28,211 --> 00:34:30,713
Shaun,
you became a surgeon,

617
00:34:30,780 --> 00:34:35,352
one of the hardest things
that anyone can do.

618
00:34:35,418 --> 00:34:38,187
And you proved that just
because something is hard,

619
00:34:38,255 --> 00:34:39,590
doesn't mean
you can't do it.

620
00:34:40,423 --> 00:34:41,992
And look what you just did.

621
00:34:42,059 --> 00:34:43,894
I just hit a trash can.

622
00:34:43,960 --> 00:34:47,564
Exactly, a trash can instead of
an oncoming car or a pedestrian.

623
00:34:48,764 --> 00:34:50,000
You did great, Shaun.

624
00:34:56,739 --> 00:35:01,144
That soccer ball was
a dropped Metzenbaum.

625
00:35:02,411 --> 00:35:04,614
I know, right?

626
00:35:10,753 --> 00:35:15,092
When I accidentally drop
an instrument in the OR,

627
00:35:15,159 --> 00:35:17,294
I react quickly
to minimize damage.

628
00:35:18,262 --> 00:35:20,497
- Yes.
- Yes.

629
00:35:20,563 --> 00:35:22,165
I dropped a Metzenbaum.

630
00:35:27,336 --> 00:35:29,706
I can drive this hooptie.

631
00:35:35,813 --> 00:35:37,347
Window's about to close.

632
00:35:37,414 --> 00:35:38,815
$10 will get you $20
on Melendez,

633
00:35:38,882 --> 00:35:41,117
$10 will get you $1,000
if you want to bet on me.

634
00:35:43,519 --> 00:35:44,688
Hey, everybody.

635
00:35:46,588 --> 00:35:48,625
I can't be prouder
of all of you.

636
00:35:48,692 --> 00:35:51,394
We have grown into a preeminent
surgical department,

637
00:35:51,460 --> 00:35:54,063
which has been recognized
with the official designation

638
00:35:54,130 --> 00:35:56,399
of Surgical Center
of Excellence.

639
00:36:00,003 --> 00:36:01,538
It's now more important
than ever

640
00:36:01,605 --> 00:36:04,074
that we maintain
our high standards.

641
00:36:04,139 --> 00:36:06,175
And so, while there are
many worthy candidates,

642
00:36:07,143 --> 00:36:08,511
I've decided...

643
00:36:11,315 --> 00:36:13,450
...to retain the title myself.

644
00:36:13,516 --> 00:36:15,118
Thank you.

645
00:36:18,322 --> 00:36:19,655
Thank you!

646
00:36:21,523 --> 00:36:22,726
Yes!

647
00:36:38,507 --> 00:36:40,042
Y...

648
00:36:41,344 --> 00:36:43,313
You... You did it.
You...

649
00:36:44,715 --> 00:36:45,916
You really did it.

650
00:36:52,722 --> 00:36:54,258
It was his idea.

651
00:36:56,126 --> 00:36:57,493
Murph? You...

652
00:36:57,559 --> 00:37:01,731
We inserted a small breast implant
to fill in the depression

653
00:37:01,798 --> 00:37:04,701
and create a more aesthetically
pleasing contour.

654
00:37:04,768 --> 00:37:06,302
Breast implant?

655
00:37:06,369 --> 00:37:07,605
Yes.

656
00:37:11,541 --> 00:37:13,143
You saved my life.

657
00:37:18,748 --> 00:37:20,916
It was a mistake.

658
00:37:20,983 --> 00:37:24,253
It caused an oculocardiac
reflex and you almost died.

659
00:37:28,291 --> 00:37:29,893
It was a mistake.

660
00:37:36,900 --> 00:37:38,168
George?

661
00:37:39,969 --> 00:37:41,270
George?

662
00:37:46,143 --> 00:37:47,943
Why didn't his
monitor alarm go off?

663
00:37:48,010 --> 00:37:50,413
He was stable, I disconnected it
so he could use the restroom.

664
00:37:50,480 --> 00:37:52,148
- I didn't...
- Morgan! He's gone!

665
00:38:03,326 --> 00:38:04,594
George!

666
00:38:41,632 --> 00:38:43,666
I was never gonna
confront Andrews.

667
00:38:45,068 --> 00:38:47,537
I was playing you.

668
00:38:47,603 --> 00:38:50,439
But damn if you didn't
actually make it work.

669
00:38:50,507 --> 00:38:52,142
It didn't work
for anybody.

670
00:38:52,208 --> 00:38:54,643
He played us both.
He set us against each other.

671
00:38:59,648 --> 00:39:00,983
I think you were right.

672
00:39:02,619 --> 00:39:04,387
Even if you were
just bluffing,

673
00:39:06,489 --> 00:39:07,791
we need to stand together.

674
00:39:09,693 --> 00:39:11,895
Where was that wisdom
two days ago?

675
00:39:15,731 --> 00:39:17,300
Still in the bottle.

676
00:39:23,873 --> 00:39:25,342
Hey. How'd you come up
with that idea?

677
00:39:25,407 --> 00:39:28,277
You mentioned breast implants
and I thought...

678
00:39:28,344 --> 00:39:29,445
Of his forehead.

679
00:39:29,512 --> 00:39:31,148
We were operating
on his eye,

680
00:39:31,213 --> 00:39:32,849
his forehead was covered.

681
00:39:32,916 --> 00:39:34,284
Why were you
thinking of it?

682
00:39:37,420 --> 00:39:38,788
You care about him,

683
00:39:38,855 --> 00:39:40,523
you were worried
about his problem.

684
00:39:41,224 --> 00:39:42,760
You empathized with him.

685
00:39:43,726 --> 00:39:46,396
My idea almost killed him.

686
00:39:46,463 --> 00:39:47,531
No, it didn't.

687
00:39:50,733 --> 00:39:52,368
I found these
in Billy's drawer.

688
00:39:52,434 --> 00:39:54,771
Three days of pain meds.

689
00:39:54,838 --> 00:39:58,142
He was cheeking them
to build up a stash.

690
00:39:59,074 --> 00:40:00,710
He wasn't exaggerating.

691
00:40:03,380 --> 00:40:05,048
You saved his life,
Shaun.

692
00:40:37,947 --> 00:40:39,916
This isn't the way
this should have ended...

693
00:40:46,121 --> 00:40:48,524
But I'm not so sure
the world is a worse place

694
00:40:48,592 --> 00:40:50,327
than it was
a couple hours ago.

695
00:41:01,271 --> 00:41:03,440
You almost look
comfortable behind the wheel.

696
00:41:03,505 --> 00:41:05,875
This seat has
excellent lumbar support.

697
00:41:05,942 --> 00:41:07,409
But I am still
very nervous.

698
00:41:18,255 --> 00:41:19,990
I can drive a car.

699
00:41:20,822 --> 00:41:22,025
I can see that.

700
00:41:22,090 --> 00:41:24,559
Lea taught me
using a very bad analogy.

701
00:41:24,626 --> 00:41:26,395
Nothing works
like a bad analogy.

702
00:41:26,463 --> 00:41:28,598
He's getting
pretty good.

703
00:41:28,664 --> 00:41:30,634
Won't be long
before he gets his operator's.

704
00:41:30,701 --> 00:41:34,304
Your next radiation
appointment is in 45 minutes.

705
00:41:46,715 --> 00:41:47,884
Ow.

706
00:42:00,963 --> 00:42:02,165
Thank you.

707
00:42:03,305 --> 00:42:09,768
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