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  • 2 days ago
The Good Doctor Season 4 Episode 12

#TheGoodDoctor
#ShowMoviesTV


Transcript
00:00I couldn't sleep.
00:21We should start taking your blood pressure every day.
00:26It's very sweet and responsible.
00:28Yes, I am going to try to be extra responsible now.
00:34Yeah.
00:37We have to talk about what we want to do.
00:42I love you. I want a child, so I want this child.
00:47I love you too.
00:49And I do want kids, but it's complicated.
00:54Is this the right time in my career?
00:56In our relationship?
00:58Am I too young?
01:00Can we afford this?
01:01Am I willing to make this commitment right now?
01:03We can start depositing money into a shared account for expenses,
01:07and I can talk to Dr. Glassman about hiring you an assistant to help with your workload.
01:11Sean, just slow down. I don't need you to answer these questions now.
01:14I just need to think to figure out what to do.
01:19And you do too.
01:21Dr. Chambers, I'd like you to meet a few of our residents.
01:28I know that I'm old, but I can still read name tags.
01:31Dr. Chambers, you started experiencing aches in your right hand a month ago?
01:36Then tremors, weakness, spasms.
01:38Had to drop out in the middle of a bowel resection last Friday.
01:41I sent you a video of the surgery.
01:42Given your symptoms, it seems that carpal tunnel...
01:44Oh, it seems.
01:46Well then, problem solved.
01:49I'll be on my way.
01:51Sir, can I just say that the documentary on your work in Haiti changed my life?
01:55It's the reason why I went to answer...
01:56If you want to suck up to me, call me doctor, not sir.
01:59And this is a hospital, not Coachella.
02:01If you can't wear something appropriate, at least try something that fits.
02:09Rule out autoimmune disorder, hypothyroidism, diabetes, amyloidosis, MS, and multiple myeloma.
02:15Then we'll get back to carpal tunnel.
02:20All right.
02:21If you have any other questions or concerns, please don't hesitate.
02:23Twelve.
02:24First, I prefer blankets not made of sandpaper.
02:28Second, dim these damn lights.
02:30This isn't some San Fernando Valley porn shoot.
02:33Third.
02:34If you made a list, you don't need to tell us.
02:40He's had the pain for nine months now.
02:42And it's on both sides?
02:43Sometimes it's the forehead.
02:45Other times his cheeks, his nose.
02:47And it's persisting through very high doses of hydrocodone.
02:49Yeah, obviously the drugs don't work. It's why I'm here.
02:52Oscar.
02:53It's a fair question.
02:55Look, I'm sorry.
02:57Okay?
02:58I've been to six doctors now.
03:00I can't work.
03:01I mean, I can't even kiss my wife.
03:04I can hardly smile.
03:06I'm just gonna lightly brush your cheek.
03:12Okay.
03:13Please, help me.
03:22Been on the phone for like an hour with the cable company.
03:24He is pregnant.
03:26You want to have?
03:36Yes.
03:38Wow.
03:41I'm glad you're happy.
03:43Um, do you have any concerns?
03:46Yes.
03:47Sleep deprivation, but I have started looking into an affordable night nurse.
03:52Well, there's gonna be some bigger issues.
03:56I mean, this is, uh...
03:59This is a gigantic moment for anyone, especially, especially for you.
04:05You mean because of my ASD?
04:09Yeah, because of your ASD, because of your family, your job.
04:15I mean, a million things.
04:19I don't want to tell you what to...
04:21I mean, I don't even know what I...
04:26Having a child...
04:30changes everything.
04:49When you look out, he's clear.
04:53There's no abscess, facial tumor, or sinusitis.
04:57It could be acoustic neuroma.
04:59Without any hearing loss?
05:01Let's do an MRI to check.
05:02We've run eight negative tests already.
05:04We don't need a ninth.
05:05We do the test till we know what he has.
05:06It's fibromyalgia.
05:08So your diagnosis for his pain is pain that no one can explain.
05:11Well done.
05:12Some pain's unavoidable.
05:14When I was competing in Taekwondo, they taught us to adjust our relationship to it.
05:18Learn to tolerate it.
05:19It can make you stronger.
05:20Wow, that statement has the absolute ideal ratio of heartlessness,
05:23humble bragging, and machismo.
05:25Bravo.
05:26Seriously?
05:27You're pleased with that?
05:28Machismo Spanish, bravo's Italian, and humble bragging's 2011.
05:31We can do better, don't you think?
05:33Maybe we're not finding anything because it's psychological?
05:38Some kind of conversion disorder?
05:41You do the MRI.
05:42I'll talk to the wife.
05:43Negative for endocrine issues.
05:48He's got a history of moderate carotid stenosis.
05:53If enough plaque builds up, starves the brain of oxygen, maybe could cause the hand problems.
05:57If it got that bad, we'd have already seen signs of a stroke.
06:00Anyone else annoyed that we're wasting all these resources to confirm what's clearly carpal tunnel?
06:04He may be a jerk, but he's a great doctor.
06:06If Silas Chambers has a medical opinion, we better check it out.
06:09I didn't think he was a jerk.
06:14Dr. Andrews and Dr. Lim also criticize us and have particular demands.
06:18Yeah, they want us to improve.
06:20How do you know Dr. Chambers doesn't?
06:23He did improve Enrique.
06:26Not kidding.
06:27You look snazzy.
06:35I know what Dr. Chambers has.
06:38We're having trouble finding a physical basis for your husband's pain.
06:44And you defended me when I asked him about painkillers earlier.
06:47A few years ago, Oscar was on a job site, working crazy hours.
07:01He was exhausted.
07:03He shot himself with a nail gun right through his palm.
07:08We didn't have insurance, so we went to this clinic and, um...
07:14Opioids?
07:17Really bad.
07:19Took a year for him to kick.
07:22But now, um...
07:25He's taking more pills than ever.
07:28Whenever I talk to him about getting help, he just gets mad.
07:34I, uh...
07:36I had to move out last week.
07:39I'm only here because he asked me to.
07:43I think he's faking.
07:52You threw 113 sutures in your last day of surgery,
07:56and at least half I detected a very subtle tremor.
07:59Congratulations on discovering a symptom I told you about.
08:03It occurs during the part of your stitch when the wrist is straight,
08:06not when it's bent.
08:08That is not carpal tunnel.
08:09It is musician's dystonia.
08:11My wrist flexes on every suture.
08:14You're talking about a difference of milliseconds.
08:16Yes, he is.
08:17Your condition was probably caused by your repetitive technique.
08:21Even Dr. Andrews throws sutures in varied ways you never do.
08:24This kind of obsessive behavior is common for those with autism.
08:28So I can refer...
08:29What did you just say?
08:30I'm not autistic.
08:34Dr. Murphy didn't mean any offense.
08:45He himself is on the spectrum.
08:47Oh, is he?
08:48I thought his robotic voice and hand clasping were just charming affectations.
08:53Do you really think I am anything like him?
08:56I'm not saying that...
08:57I am.
08:58You're extremely organized.
09:00You hardly make eye contact.
09:02And given your problems with food, blankets and lighting,
09:04plus the fact you wear headphones even in surgery,
09:07you clearly have sensory issues.
09:09I'm organized.
09:10Would you rather I show up in the OR and just wing it?
09:13I have good taste in food and music.
09:14Now that's a mental disorder.
09:16And as for eye contact...
09:22Okay.
09:23I didn't come here for a psych consult.
09:25It was just an observation about a possible reason for the behavior that led to your hand symptoms,
09:31which is what we should be talking about.
09:33Physical therapy is the recommended course for dystonia.
09:36I'm not wasting months on a treatment that won't work.
09:39I want an MRI-guided ultrasound ablation of the VO nucleus of the thalamus.
09:46You want to jump to brain surgery?
09:49I would jump right to amputating a toe if it got me my career back.
10:00What were you thinking?
10:02You just supported me.
10:04Yes.
10:05Because part of my job is not yelling at residents in front of patients.
10:08What you did is equivalent to looking at a fuzzy MRI and blurting out a patient has cancer.
10:13Cancer can kill you.
10:16Neither diagnosis is one a patient is excited to hear.
10:22Prep him for the ablation and do not talk to him again about autism.
10:33He's seen six doctors in the last month, gotten three opioid prescriptions,
10:36and he had a previous opioid problem.
10:38It's textbook drug seeking.
10:39It's also textbook a bunch of dingbats missing a trigeminal neuralgia diagnosis.
10:43His wife agrees with me. She knows him.
10:45But explain why yours left you?
10:47Snap.
10:48Except my wife didn't leave me, so neither a good point nor even a clever one.
10:52Fiesta imaging would take hours to set up, cost the patient serious money, and still come out negative because it's textbook drug seeking.
10:59We have other patients who need us.
11:02I'm sending the discharge order.
11:04Hey!
11:05I hate poop.
11:06Like what if I suck at changing diapers?
11:10Maybe we should start with the bigger issues and work our way down.
11:17This isn't at the top of my list, but since you are a doctor, Shawn's ASD, is it...
11:40Inheritable?
11:42Probably.
11:43But it's unclear how much.
11:47So even that, what am I supposed to do with that?
11:51Think it through.
11:53Let's say you have a little baby Shawn.
11:57The tiny, honest, brilliant guy who adores me.
12:08Mini button-down, teeny blue eyes.
12:16And me?
12:20A mom.
12:22I mean, I'm not saying my life would be worse, but it would just be so different from what I was planning.
12:28Not that I was really planning, but...
12:31I am enjoying just...
12:34being.
12:36And so what if you wait?
12:38I just want to make sure I'm making the right decision.
12:45I guess you'll never really know.
12:51I have to make a lot of hard choices about my mom.
12:56And I still wake up wondering which of them went the wrong way.
13:02But...
13:05you still gotta choose.
13:08No abnormal signal in the mid-ponds.
13:23So are you and Dr. Park like this at home too?
13:26When I let him out of his cage for meals?
13:28Yes.
13:29Hey, we're almost...
13:35Oh, come on.
13:36Did you not get the text I didn't send about this?
13:38Don't bother asking for consults if you're gonna...
13:40Wait.
13:41What's that on the right superior cerebellar artery?
13:46Abnormal loop causing compression.
13:53He has trigeminal neuralgia.
13:56Pain's real.
14:00We have good visualization of the target area.
14:03Connect the ultrasound to the stereotactic frame.
14:06Ablation won't work.
14:25You changed your mind?
14:27You don't think he has dystonia?
14:29He does.
14:30But it's a symptom.
14:31His vertebral artery takes an aberrant course.
14:35It is pressing against his spinal cord.
14:38He needs vascular surgery or he'll die.
14:43It's a disorder of the nerve that carries sensation from the face to the brain.
14:47And it's one of the most painful conditions that exist.
14:50And very hard to diagnose.
14:51Thank God Dr. Park approved all those tests.
14:57You were in agony.
15:00And I...
15:04I told him I thought you were lying.
15:10You thought I was lying.
15:15You thought I was just being an addict.
15:21But still he came here with me.
15:25Sat at my side.
15:30We'd like to do a microvascular decompression.
15:33We'd go in through the back of your skull and put in a teflon patch to...
15:37...cushion the affected nerve.
15:39You're cutting into his brain?
15:40It's relatively safe and other options are unlikely to relieve the pain.
15:46I'll do it.
15:49Thank you so much.
15:52We want to run a vertebral artery BTO.
15:55If you tolerate it then we would sacrifice the...
15:57Sacrifice the vessel with onyx embolization.
16:00We recognize you might not love this proposal.
16:02The one in which my hand weakness remains?
16:04Destroying my career?
16:07Did you consider vertebral to vertebral artery bypass with physical removal of the aberrant artery?
16:11That would carry a very high risk for a stroke or bleed.
16:15It would fix the dystonia and let me get back to work.
16:19With your history of carotid stenosis it would be a coin flip whether you survive.
16:24I can live with those numbers.
16:26Or, for that matter, die with them.
16:32Corridor to the trigeminal nerve origin is open.
16:35I freed up the offending vessel. Teflon sponge.
16:40The sponge is too big. It'll compress the brainstem.
16:42I have at least four millimeters of room.
16:44You have half that.
16:45Yes, you have a better view 50 feet away.
16:47How long have they been like this?
16:48A while. It's getting worse though.
16:50Sorry Park, you're right.
16:51Just like you were when you decided to discharge the sick guy.
16:54Wow, you invented sarcasm. Really impressive.
16:57Hey, look at me. I'm using it too.
16:58Park, you missed the diagnosis.
17:01Resnick, you ignored protocol.
17:03How about you both show some humility and shut up?
17:06I'm sorry. Teflon's placed.
17:09What if we use a saphenous vein for the bypass?
17:12Not enough flow he'll stroke out.
17:14Carotid to distal birthing?
17:15Stenosis is too severe.
17:17Dude's loaded.
17:19He's at retirement age.
17:20He can teach, travel, screw around all day.
17:23Why is he demanding that we do this?
17:25When you dedicate your life to something that gives you meaning.
17:29It starts to define you.
17:32His decision may be irrational, but I get it.
17:34I don't think it is irrational.
17:38Dr. Chambers has no friends, no children, no family, no outside interests.
17:43If he can't be a surgeon, he'll have nothing.
17:48I think our best bet is a radial graft.
17:51Highest flow I can think of.
17:52Any other ideas?
17:55Okay, we go with the radial graft.
18:05I'm impressed.
18:07I was actually starting to wonder if I was losing my touch.
18:11But then I had a dark afternoon of the soul, and suddenly I knew it.
18:15Those were totally solid burns.
18:16Maybe not A-plus, but A-minus.
18:19B-plus at the worst.
18:21So it hit me.
18:23Your plan was to throw me off my game.
18:25Make me doubt myself.
18:26I'm attracted to you.
18:29I have been fighting this stupid feeling, trying to find reasons to not...
18:34feel...
18:35Are you kidding me?
18:51Yes.
18:53Your jokes were lame, and that's how you screw with someone.
18:56No.
18:59You're not that good of a liar.
19:03I can't have a roommate who has feelings for me.
19:06Since when can't you take a joke?
19:07Since my roommate hit on me.
19:11You have to move out.
19:13As soon as possible.
19:15We've decided to use your radial artery for the graft.
19:30You've scheduled an alarm for tomorrow morning.
19:32Good call.
19:34I agree.
19:35You should risk your life for this surgery.
19:38Are you being facetious?
19:40No.
19:41It just boggles the mind.
19:46You can't understand what anyone means.
19:48You can't express yourself like an adult.
19:50You're a child playing dress-up.
19:53And everyone here just plays along.
19:55Let's go, Sean.
19:57You're agitated.
19:58I'm fine.
20:00You are rubbing your mug.
20:02People with ASD often have comfort objects for when they become agitated.
20:07I can order you propranolol.
20:08You're going to give me the Rusekis-Friedman ASD diagnostic questionnaire and that's going to shut your damn mouth.
20:15Okay, the ref-ed cue is just a tool.
20:17An official diagnosis needs to come from a psychiatrist.
20:20Well, since I might be dead tomorrow, this is your next best option.
20:23I'll get the test.
20:30Why can't you treat people with just an ounce of respect?
20:36Respect has to be earned, not doled out like candy.
20:40No, that's just an excuse people like you use to justify your garbage behavior.
20:43That's just an excuse people like you use to avoid facing reality.
20:47No one was respectful to me when I was a resident.
20:50They were dismissive and cruel.
20:53But it lit a fire and it made me the man I am today.
20:56The man that you came into my room idolizing.
20:59Not anymore.
21:01I'm devastated.
21:06Surgeons deal in human lives, not childish fantasies.
21:10If you want to succeed, you're going to have to be a lot more like me.
21:15Everything okay?
21:28Yep.
21:29Surgery went very smoothly.
21:31No pain right now.
21:32Want to take it for a test drive?
21:45It's worse.
21:56Collateral circulation is not ideal.
21:59How are you going to harvest the artery?
22:05What's going on?
22:08How much am I going to have to change who I am to be a surgeon?
22:11Well, to be great or even good at anything, we have to compromise.
22:16I used to get too emotionally involved in my work with patients, everyone.
22:22I had to learn to distance myself.
22:24Yeah, you've really grown cold and heartless.
22:26I have changed. We all end up changing.
22:29You just got to try and make it a good change.
22:35Well, I don't want to change.
22:36I want to change what's around me.
22:45Well, I'll figure it out.
22:47I'm sure you will.
22:48Hey, you're the guy who makes living with a man look cool.
22:54So, uh, circulation.
22:56The right side looks like it has better life.
22:59Yeah, collateral too.
23:06Given the poor outcome, we can't recommend further surgery right now.
23:10We suggest six months of pain medication and referrals to neurology and pain management specialists.
23:16What surgery aren't you recommending?
23:19Address lesioning.
23:21We'd cut the signal from the trigeminal nerve to the sensory areas of your brain.
23:25But there's a real possibility of paralysis on one side of your body.
23:29I want the surgery.
23:32Baby, I'll help you manage the pain.
23:35I'll move back in.
23:38I'll take care of you.
23:39You know how I treated you before.
23:43I'm only gonna get worse.
23:46I would never leave you again.
23:48That's what scares me.
23:52I'd start cutting you down.
23:55Being cruel.
23:57And you just put up with it.
24:01I won't let that happen.
24:08We'll prep into harm.
24:09I frequently point out other people's mistakes.
24:16Duh.
24:17That's a yes.
24:19People tell me I overthink things.
24:22Only people who underthink things.
24:24But fine, another yes.
24:26I sometimes speak in an abnormal tone.
24:28Who thinks they speak in an abnormal tone?
24:30Just mark no.
24:32How many more of these?
24:33None.
24:35Your answers are fully congruent with someone on the spectrum.
24:40No.
24:41You keyed it wrong.
24:42No. Look. No.
24:43For something. Here.
24:44Look. I didn't.
24:45Give it to me.
24:46No.
24:49You idiot!
24:52Stupid, careless.
24:53I stepped back.
24:54Get out of my room!
24:56Get out!
24:57Okay.
25:05Make sure we're not impacting normal spinal cord pathways.
25:08Somatosensories are at baseline.
25:10PP steady.
25:15Leg and arm SSEPs at 50% decreased amplitude.
25:17Check the cord above and below for hematoma or bony compression.
25:21Cord's fine.
25:23Push IV fluids and start pressers.
25:24So what is it?
25:26I don't know.
25:27Any issues with motor potentials?
25:28Unilateral amplitude down 70%.
25:29We're about to get total neurological collapse.
25:30It's a clot from a small branch artery.
25:31We checked the spinal blood vessels.
25:32The outside.
25:33But the electrode could have injured a sulcal artery.
25:34We need to follow the DRESS pathway inward and search for a small clot.
25:36Start at the site of last ablation with the electrodes.
25:37It's got to be deep.
25:38This will be easy if she's in here.
25:39Scrub in, Dr. Resnick.
25:41We're setting up the neuro monitoring for Siles's surgery.
25:42The outside, but the electrode could have injured a sulcal artery.
25:46We need to follow the DRESS pathway inward and search for a small clot.
25:49Start at the site of last ablation with the electrodes.
25:51It's got to be deep.
25:54This will be easy if she's in here.
25:57Scrub in, Dr. Resnick.
26:04We're setting up the neuromonitoring for Silas' surgery.
26:07He's angry with me.
26:12Silas?
26:13He's angry with everyone.
26:15Dr. Andrew said to stop talking to him about ASD,
26:18but I brought it up anyway, gave him a test, his mug broke,
26:21and I don't know what to do now.
26:24I don't know what to feel, and Leah...
26:29Leah told me about the pregnancy.
26:37Is this hard for me because I'm dealing with both things at once?
26:53I think both things are related.
26:59What if my child...
27:02has no friends?
27:04What if they're picked on?
27:05This is not small town Wyoming.
27:07The world has changed, Charlie.
27:08I haven't changed.
27:11How can I...
27:15know what they're feeling?
27:16How can I comfort them?
27:21How can I be a good father?
27:28Remember when we first met?
27:30Right over there.
27:31Right over there.
27:34You were mad at me.
27:35Yeah, but you were right about the patient.
27:39And you were stubborn, and crazy smart, and you are still all of those things.
27:44But if you were still just that guy that I met running through those doors, we would not be sitting here right now.
27:52You have changed.
27:57You've adapted.
27:59You've grown.
28:01Do you know how hard that is?
28:03Most people don't even try.
28:05And you are going to grow into a great father whenever it happens.
28:16You are at the angle of our ablation electrode.
28:17Still not seeing the clot.
28:18Amplitude loss at 80%.
28:19Maybe it's not a clot.
28:20Maybe it's something higher up in the brain.
28:21No.
28:22You were right the first time.
28:23Maybe it's hiding behind some ultrasound.
28:24Maybe it's not a clot.
28:25Maybe it's not a clot.
28:26Maybe it's something higher up in the brain.
28:27No, you were right.
28:28Maybe it's hiding behind some ultrasound-impervious segment.
28:49Cut the dentate ligament.
28:52Cut the dentate ligament.
28:54It'll get more lateral access.
28:57Completely section the ligament.
29:03I see it.
29:07Removing the clot.
29:13Amplitude returning to normal baseline.
29:22Let me know if you need me.
29:24We're good.
29:32Hey.
29:35We did good together.
29:37We did.
29:40You still have to move out, though, tonight.
29:52On my first day here, Dr. Melendez said I would never do anything besides suction, but later he let me make my first surgical incision.
30:01He became my friend.
30:03I miss him.
30:05Are you in the right room?
30:07Did somebody tell you I needed pointless stories?
30:11I used to think being a doctor was all I needed to make me happy.
30:18It did make me happy.
30:22But I realized I wanted more.
30:26And that I could have more.
30:30I changed.
30:35You can change, too.
30:37But not if you're dead from this surgery.
30:42I've made up my mind.
30:45Please leave.
30:47My brother, Steve, he gave me a plastic scalpel before he died.
30:52It broke.
30:53I was very sad.
30:54I asked you to leave.
30:55I asked you to leave.
31:02When I fixed my scalpel, it made me feel better.
31:04I was nine years old when my father died.
31:14I loved drinking hot chocolate with him in the morning.
31:31He'd bring me a mug after every business trip.
31:34He understood me.
31:38My mother didn't.
31:40Nobody did.
31:42I tried fitting in, but I got frustrated.
31:48So I gave up on relationships, on friends, on all but the one thing I was good at.
32:01And now, Dr. Murphy, I'm too old.
32:07I've made too many enemies, too many mistakes.
32:12People tolerate me because I save lives.
32:17Without that, why would anyone ever care about me?
32:33I care.
32:47I care.
33:15That smells good.
33:17Bland.
33:20Pasta with olive oil.
33:22Kinda puke-proof.
33:25Have you thought any more about...
33:29Yes.
33:35I need a list.
33:47I guess I learned from you.
34:02What's the first thing yours says?
34:04That I think I would be a good father.
34:14But that I can't know for sure.
34:18You'd make a great dad.
34:22It's on my list.
34:23You were right.
34:24It is very complicated.
34:38But...
34:40I do know...
34:42I want you to be happy, Leah.
34:51I have so many reasons to do this.
34:59And so many doubts.
35:01I'm just scared, Sean.
35:08But...
35:10If we are both having doubts, then...
35:12maybe now...
35:14isn't the right time.
35:15At the right time.
35:21Okay.
35:22I don't know.
35:23Okay.
35:24I'll be right back.
35:25I'm ready.
35:26I'm ready.
35:28I need to be ready.
35:30I need to be ready for the baby.
35:32I'm ready.
35:33Oh, my God.
36:03Hmm. I see that my hemoglobin's stable, and my white count is fine.
36:15Yeah. We just wrote your discharge orders.
36:18This is a referral for an ASD specialist.
36:23I can look into that on my own.
36:33Thank you, Dr. Murphy.
36:42And thank you, Dr. Garrett.
36:55Welcome back.
36:56Hmm.
37:00Hmm.
37:04Did it work?
37:06Let's find out.
37:18Hmm.
37:18Your hand's cold.
37:28I'm transferring out.
37:48Last year, I applied to a program at Johns Hopkins.
37:51They train doctors to travel the world, help out in needy areas.
37:55And they'll let me enroll late.
37:57Sounds like a good place for you.
38:02Thanks for always being a great boss.
38:05A great friend.
38:07Can't have been that great?
38:09Sneaking out like this?
38:11Uh, actually, for the first time I can remember,
38:14it felt hard to say goodbye.
38:15You're always doing so much for other people.
38:30Please don't forget to do something for yourself every now and then.
38:32Were you messing with me or not?
38:59If I was, would you let me stay?
39:00Yes.
39:11I wasn't messing with you.
39:18Then I guess it's good we're not roommates anymore.
39:25Because I couldn't do this.
39:26This is a one-time thing.
39:33Unless I change my mind, so consider that an incentive.
39:36We get by with a smile on our face.
39:51We get by with help from our kin.
39:58We get by with a smile on our face.
40:00We get by with a smile on our face.
40:01We get by with a smile on our face.
40:02Through thick and through thin.
40:07We get by.
40:11We get by.
40:13No matter what happens, I'll be there for you.
40:17We get by.
40:19It was just the other day, I heard from my old friends.
40:28Leah Delilah.
40:29She was going through changes, once again.
40:35She called your name.
40:50We get by.
40:53I spent all day reminding myself of all the reasons
41:00why this was a good idea.
41:06But now that it's actually happening,
41:08it doesn't make me feel any better.
41:11It just makes me feel really sad.
41:13Maybe it's not the right time, but will it ever be?
41:36I...
41:37feel the same.
41:43Are we really doing this?
41:53We are having a baby.
42:05I can't.
42:07No, no, no.
42:13No matter what happens, I'll be there for you.
42:19Oh, yeah.
42:23Oh, yeah.