Skip to playerSkip to main contentSkip to footer
  • 5/20/2025
The Good Doctor Season 4 Episode 19

#TheGoodDoctor
#ShowMoviesTV


Transcript
00:00You pop the trunk?
00:07All right.
00:10We made good time.
00:13Thank goodness, or else we wouldn't have the full three hours to wait before our flight.
00:18Great.
00:20All right, thanks.
00:23All right.
00:25Oh.
00:28Starbucks is on me.
00:30No kidding. And I'm getting a cake pop.
00:43Hey, Dr. Resnick.
00:48I thought this was a surgical mission.
00:50Bring in some support.
00:52Morgan's going to help with patient selection and aftercare.
00:55Oh, that's great.
00:57Ten days, huh?
01:07I can't have you forgetting me.
01:09I'll be back before you know it.
01:19Tickets, passports, travel wallet containing catalyst and American currency.
01:24You've got them.
01:25I know, because I checked.
01:27You all right?
01:29Oh, it's not that heavy. I got it.
01:31That's not what I meant.
01:35I'm okay. I think this trip will be good.
01:38Change things up, focus on helping other people.
01:42For whatever it's worth, if you ever need to talk, you can always call me.
01:48I'm not going to do that.
01:50I know.
01:52I will not have any time to shop.
01:54But would you or Debbie like anything from Duty Free?
01:59Guatemala is known for its rum.
02:02We're okay, thanks.
02:05Okay.
02:13You're on this trip too?
02:15Yeah. Got inspired last night, decided to take some personal days.
02:18Go help out.
02:20Bringing a toilet seat?
02:23Spoken like someone who's never been on one of these surgical missions.
02:51The airline won't find your bag.
02:56We'll get you some clothes when we get situated.
02:59The airline won't find your bag.
03:04We'll get you some clothes when we get situated.
03:28Would you like some vitamin B12 to help with exhaustion or emotion, sickness, wristband?
03:33I have an extra.
03:35No thanks.
03:38I'm glad we're here.
03:41Yes.
03:43After all the loss this year.
03:46It's just such an amazing way to be reminded what we have to be grateful for.
03:52Aguas!
03:58Okay.
04:02Excuse me, sir.
04:03Could you take off your shirt?
04:05My sheep don't like to be rushed.
04:07Be patient.
04:08These people are our guests.
04:09Well, I didn't invite them.
04:11We're doctors.
04:14It's been a long trip and we need to get to our hotel.
04:21Doctor.
04:24Are you a doctor?
04:27Of course.
04:33It's a fungus.
04:36It's a fungus.
04:39It's a fungus.
04:41It's a fungus.
04:54Gracias.
04:55A gusto.
05:06Need help with that?
05:07No, it's a friend thing.
05:42Hola, I'm Dr. Mateo Rendon.
05:44Dr. Sarabi and her team have spent several months gathering cases.
05:48From those we selected, 40.
05:50You're going to want to save them all.
05:52You will not.
05:53We will perform 12 operations.
05:55I'm Dr. Marcus Andrews.
05:56Last minute addition.
05:57If we can add more cases.
05:58Before I heard you join the trip, we were doing 10 surgeries.
06:01My organization has spent years building trust.
06:04We saved 12 people here.
06:06That trust grows.
06:07More patients come to us.
06:09More doctors volunteer.
06:10But if we lose a patient.
06:15We want surgeries we can do, but the locals couldn't.
06:18Surgeries that don't need a lot of aftercare.
06:2112 patients, one alternate.
06:24Everyone else gets sent home.
06:26No matter how sick they are.
06:28Or how sad their story is.
06:40♪♪♪
06:50♪♪♪
07:00♪♪♪
07:10♪♪♪
07:20♪♪♪
07:31Familia?
07:40He says he's dog. Iggy.
07:43Ugly dog.
07:45Roberto Canton-Diaz?
07:48Andrea Torres-Tazul?
07:51Amy Navarro-Gomez?
07:55Amy Navarro-Gomez?
08:01We need to do an abdominal exam and ultrasound to see
08:04if there are any signs of obstruction or strangulation.
08:07Please remove your bandage and lie back.
08:23He's dismissed?
08:24He's had it for a year, maybe longer.
08:31He was told to go to the hospital,
08:33but he couldn't afford the trip or to miss work.
08:36He's the sole provider for his siblings.
08:42Their parents died two years ago.
08:49She has a large pitunductus arteriosus.
08:53I've only seen this condition in infants.
08:56The blood is reversed.
08:58It's flowing the wrong way.
09:04We could try going through the femoral vein,
09:06do a percutaneous device closure.
09:08She has irreversible pulmonary hypertension.
09:12It would have been simple to treat as an infant,
09:15but now closing the hole will...
09:19kill her.
09:20Now closing the hole will...
09:24kill her.
09:51No.
10:03Did you?
10:04No.
10:07They stock up before the Americans come.
10:11And the French, they are surprisingly sensitive people.
10:15I'm sorry, I know this isn't helping anyone.
10:17Never apologize for being human.
10:19I have a strict policy against it.
10:23This week, you are not just doing surgery.
10:26You are doing miracles.
10:28You are giving people hope who had none.
10:32Except for the ones that we send home to die.
10:37Focus on the miracles,
10:38or else you won't be able to help any of them.
10:44And I will have to get more tissues.
10:57Bastion Alonso Ramos, 12-year-old baseball fan.
11:01Roots for the St. Louis Cardinals.
11:03Also, he has enameloblastoma.
11:05Not a lot of baseball fans in Guatemala.
11:07You've been here before, or do you enjoy reading Wikipedia?
11:11I did a medical mission here during my residency.
11:14Oh, that explains Dr. Toilet Seat.
11:18You already have a nickname.
11:23Good afternoon, Bastion.
11:28I'm Dr. Andrews.
11:37What is that? Let me see.
11:39Let me see.
11:45That looks like Yari Molina.
11:47Yes, Yari Molina, St. Louis Cardinals.
11:52So are you a better hitter or catcher?
12:09He has a history.
12:10He's a good hitter.
12:11He's a good catcher.
12:12He's a good catcher.
12:13He's a good catcher.
12:14He's a good catcher.
12:15He's a good catcher.
12:16He's a good catcher.
12:17He's a good catcher.
12:18He's a good catcher.
12:19He's a good catcher.
12:20He's a good catcher.
12:21He's a good catcher.
12:22He's a good catcher.
12:23He's a good catcher.
12:24He's a good catcher.
12:25He's a good catcher.
12:26He's a good catcher.
12:27He's a good catcher.
12:28He's a good catcher.
12:29He's a good catcher.
12:30He's a good catcher.
12:31He's a good catcher.
12:32He's a good catcher.
12:34He has a hepatic adenoma in the right lobe of his liver.
12:42Does not appear cancerous.
12:43No.
12:44For now.
12:45The lesion is localized, well circumscribed, and not close to portal vein branches.
13:04She's here!
13:05She's here!
13:06She's here!
13:07She's here!
13:08She's here!
13:09She's here!
13:10She's here!
13:11She's here!
13:12She's here!
13:13She's here!
13:14She's here!
13:15She's here!
13:16She's here!
13:17She's here!
13:18She's here!
13:19She's here!
13:20She's here!
13:21She's here!
13:22She's here!
13:23She's here!
13:24She's here!
13:25She's here!
13:26She's here!
13:27She's here!
13:28She's here!
13:29She's here!
13:30She's here!
13:31She's here!
13:34I thought you put this kid in the no pile.
13:35I decided to take a closer look at the images.
13:37See where the mass is thinning the orbital floor and extending up near the skull base?
13:41That's exactly what you can't do.
13:43Reconsider?
13:44Weigh issues?
13:46Let emotion and personal attachment influence treatment decisions.
13:51Chicharrones?
13:52There's no beveling or erosions.
13:54I can stay extracranial and create a bone plane to resect the superior tumor.
14:00Did that sound too emotional?
14:02Even if you stay out of the brain, two major arteries are involved.
14:06He could bleed out.
14:11I'll get one of those, please.
14:13Gracias.
14:31Aplíquelo dos veces al día, durante diez días.
14:37Gracias, Dr. Sean Murphy. Gracias.
14:40Por nada.
14:47Me duele el pecho y también el brazo.
14:50Y a veces siento la mano fría, o como si no pudiera sentirla para nada.
14:56Could be angina or a blockage which requires bypass surgery.
15:01We should do an EKG before he goes to the cath lab.
15:04You don't have a cath lab.
15:19There isn't one.
15:26His pulse is back.
15:30It's not a cardiac problem. He has thoracic outlet syndrome.
15:47He doesn't seem happy.
15:50Did I translate wrong?
15:52No, your Spanish is perfect.
15:55But you left out that this problem can be fixed.
16:06I'm not good at communication in two languages.
16:11Una enfermera viene en un momento.
16:19The translator should be here soon.
16:22If you want, I can translate.
16:24You can speak English.
16:25We lived in the U.S. for a few years.
16:27My mother cleaned houses.
16:29I watch Grey's Anatomy.
16:32Being a surgeon is not much like that.
16:36Ms. Garza, can you show me where you feel pain?
16:45Aquí.
16:46And do you have indigestion or cramping?
16:49Or ever feel like you might throw up?
16:59A veces.
17:01Sometimes.
17:03But she's lying. It's always.
17:08She has fevers too. And throws up.
17:13I need to feel your abdomen. Can you lie on the bed for me?
17:16Tienes que palparte el estomago, mamá. Recuéstate.
17:30Ms. Garza, I think you have gallstones.
17:33We will have to run some tests,
17:35but it is likely that you will need surgery.
17:41Mamá, la doctora cree que tienes cálculos biliares.
17:44Tienen que hacerte un estudio para estar seguros,
17:47pero necesitas una cirugía.
17:51No. No. Nada de cirugía.
17:54Yo vine aquí por medicinas.
17:56Tú me dijiste que me iban a dar medicina.
17:59No sé si hace caso la doctora.
18:02If she doesn't want surgery, why is she here?
18:06I told her you would have pills that would help her.
18:09I told her I wouldn't eat until she came.
18:13Yo tengo que trabajar.
18:16Tengo que cuidar.
18:18She says she can't miss work.
18:20She needs to take care of me.
18:26I need you to translate accurately.
18:31My mother was very sick too.
18:34Su madre también estuvo muy enferma.
18:38She tried to hide her pain,
18:40but children know when people are suffering,
18:43especially their mothers.
18:57You can't take care of your daughter
19:00if you do not take care of yourself.
19:11¿Revisaste el archivo de Bastian?
19:13Hacer una trepidación bifrontal
19:15y reconstruir la base cerebral
19:17podría prevenir la herniación del cerebro.
19:19¿Y el riesgo de una ruptura de CSF?
19:21Se reduce con un multilayer de duroplastia
19:23usando una flecha paracranial.
19:25Digo cinco sentencias a un paciente,
19:27tú dices cinco palabras.
19:29La médica quiere que te lo diga.
19:31Porque el jargón médico no hace nada.
19:33No.
19:35No.
19:37No.
19:39That medical jargon does nothing but scare them
19:41and waste her time.
19:42All they care about is can we help, yes or no.
19:45Let's go.
20:07Your son's heart valves are damaged.
20:10Las válvulas del corazón de su hijo están dañadas.
20:14They were the result of his rheumatic fever last year.
20:17Probablemente como el resultado de la fiebre reumática
20:19que tuvo el año pasado.
20:22Because of his heart,
20:24we can't remove his liver tumor.
20:28It makes the surgery too risky.
20:32I'm very sorry.
20:45Lo sentimos mucho.
20:56Thank you, doctor.
21:00No, I'm sorry.
21:01We can't do the operation on your son.
21:04He... I'm not sure he...
21:06Pero lo intentaron.
21:10Thank you for trying.
21:12God bless you.
21:43Leon Castillo, 22-year-old male,
21:46large, non-reducible umbilical hernia.
21:49He's the sole provider for his siblings.
21:51No personal details. They're irrelevant.
21:53Two children's survival depends on his.
21:55Seems relevant to me.
21:56Decisions need to be based on medical data alone.
21:59This can't turn into a contest of whose life is more tragic.
22:02There would be too many winners.
22:04Without surgery,
22:05the hernia is at a very high risk for strangulation.
22:08It's a fast, simple procedure,
22:10and he will almost certainly have a full recovery.
22:12From a surgery,
22:13he could survive another 15 years without.
22:16Replacing the valve with a bioprosthetic
22:18means he won't need to be on blood thinners forever.
22:20But he'll probably need follow-up surgeries
22:22to replace the replacement.
22:24This guy's an athlete.
22:25He's got a lot of experience.
22:27He's got a lot of experience.
22:29He's got a lot of experience.
22:31He's got a lot of experience.
22:33This guy's an athlete, a football star.
22:35Is that relevant?
22:39Yes, because his underlying cardiac health is excellent.
22:42He should make it a full recovery.
22:43Unfortunately, his dental health isn't.
22:45He has cavities,
22:47which puts him at high risk for endocarditis,
22:49which would contribute to valve deterioration.
22:51A total abdominal colectomy
22:53offers her an 80% to 90% chance at full recovery.
22:56Otherwise healthy, no complicating factors.
22:59The tumor could be removed using ultrasound-guided surgery.
23:02She has no access to post-op chemo and radiation.
23:04The mast is round, localized,
23:06no signs of infiltration in the adjacent structures.
23:08Minimal chance of recurrence.
23:10If you get all of it.
23:14She just got married last week.
23:16Dr. Resnick?
23:17Which is medically relevant,
23:18because studies have shown optimistic people
23:20have better long-term prognosis.
23:22And she is full of hope.
23:25There's a boy. He needs blankets.
23:28Cobijas, por favor?
23:30Ahí.
23:31Gracias.
23:55Oh, my God.
24:08The gallstones are intermittently blocking the bile duct,
24:11which could lead to ascending cholangitis, sepsis, and death.
24:14Her condition might respond to medication.
24:16No, it's extremely unlikely, given how advanced her symptoms are.
24:19But she has a non-surgical option.
24:21Bastion doesn't.
24:22It's a miracle he made it to 12.
24:24Without surgery, he will not see 15.
24:26He's unable to eat solid foods.
24:28He's already showing signs of malnutrition.
24:30Sean's surgical plan is very ambitious.
24:32It runs the risk of graft failure and necrosis.
24:35You could leave this boy worse off.
24:37Meanwhile, Edna's surgery is straightforward,
24:39and she is all her daughter has in the world.
24:42Who a person is cannot be completely separated from their medical care.
24:46And I'm done pretending it can be.
24:53We've got a mom who needs a simple procedure she might live without.
24:59Or a son whose only shot at life is a very complicated surgery
25:03that may not work.
25:23We have to focus on the miracles.
25:29Let's go eat.
25:35Okay, so look at the nail bed.
25:37Carla said if you see alternating red lines,
25:40that's a sign that something is wrong.
25:42So we're going to do the same thing.
25:44We're going to do the same thing.
25:46We're going to do the same thing.
25:48We're going to do the same thing.
25:50Carla said if you see alternating redness with a pulse,
25:53that's a sign of aortic insufficiency.
25:56Well, your heart is fine, and your cuticles are great.
25:59You get manicures.
26:04Ah, you like?
26:06It's a national treasure.
26:08No, I just wanted the experience.
26:12Shouldn't have any more first day of surgery tomorrow.
26:15Oh no, I'm good.
26:21Ha ha ha!
26:25You're terrible at this.
26:27I am terrible, but I look fantastic.
26:29Watch this.
26:31I'll get us another crown.
26:34Tequila dos, por favor.
26:38What's going on over there?
26:42I'm getting my ass kicked in darts.
26:44You're flirting.
26:46Just being nice.
26:48You're being so nice that you regret it when you get home.
26:53You have nothing to worry about.
26:56I guarantee it.
26:59All right, I'm going to grab a cab back to the hotel.
27:01Okay.
27:09Good night, guys.
27:11Good night.
27:19Hotel Florencia.
27:25Mind if I tag along? Big day tomorrow.
27:27Sure.
27:42I saw you break the news to that boy's dad.
27:46You want to talk about it?
27:57Morgan.
28:01I just wanted to know if you're okay.
28:03You don't get to ask me that anymore.
28:05We're not friends.
28:07You drew a line.
28:09You drew a line.
28:11So don't ask me how I am
28:13and then pretend to be some nice guy who cares
28:15when you obviously don't.
28:23I just got a text from Carla.
28:25Miguel is crashing.
28:27Sean and I are going to head back to the hospital.
28:40Eight?
28:42I'm only fluent in six.
28:44I didn't set out to learn them.
28:46I just picked them up as I moved around.
28:48Oh.
28:50So you're an accidental language genius.
28:57So what are some of these places that you moved around to?
29:00I was born in Mexico,
29:02went to medical school in New Haven,
29:04did my residence in Chicago,
29:06stayed a while in Syria, Haiti.
29:08The Congo.
29:10You're throwing your stop at Yale to impress me?
29:13I threw my stop at the Congo to impress you.
29:38What's happening?
29:40Don't be too alarmed,
29:42but we're being kidnapped.
30:08♪♪♪♪
30:10♪♪♪♪
30:12♪♪♪♪
30:14Pase, por favor.
30:16Apúrense.
30:18♪♪♪♪
30:20♪♪♪♪
30:22Ella es mi sobrina.
30:24Lleva 14 horas en parto.
30:2614 hours like this.
30:28Hola, soy doctora.
30:30Can you handle the additional talking?
30:32Venimos a ayudarte a ti y a tu bebé, ¿okay?
30:34Te vamos a revisar, ¿sí?
30:36¿Sí? Sí, ahí vamos.
30:40Well, the baby's head is down,
30:42so position's not a problem.
30:48I can't hear anything.
30:50The cab driver,
30:52he had a cup of coffee in his cab.
30:54Have him get it.
31:00Please tell her I have to check her cervix.
31:06She's fully dilated.
31:10Tear out the bottom, hand it to me.
31:18I can hear a heartbeat.
31:20Maybe he has D-cells.
31:22Oh, no, no, don't push!
31:24Don't do this.
31:26He became short of breath
31:28and then lost consciousness.
31:30I believe his thoracic outlet syndrome
31:32caused him to lose consciousness.
31:34I believe his thoracic outlet syndrome
31:36caused a clot in his arm,
31:38which went into his lungs.
31:40That would explain the drop in blood pressure
31:42and respiratory rate.
31:44But not his elevated end-tidal CO2 level
31:46that is inconsistent with a pulmonary embolism.
31:50What is it consistent with, Sean?
32:05His brain.
32:07A clot that traveled from his arm
32:09through a hole in his heart into his aorta
32:11and up to his brain.
32:19His gag reflex is only active on one side.
32:22I was right.
32:24He has a small clot in the brainstem
32:26near the respiratory center.
32:28Well, we can surgically remove a clot in his lung,
32:30but in his brain...
32:32We can't do that here.
32:34If we have TPA, we could break it up.
32:37TPA, no.
32:39But we have a snake venom derivative.
32:42It does the same thing, more or less.
32:50Any movement at all?
32:52None. No cord presentation.
32:54Maybe her pelvis is too narrow.
32:56Heart rate's getting slower.
32:58Wait, wait. I can feel a hand by the face.
33:00The baby's sucking its thumb.
33:02That's why it's not progressing.
33:04I can do an episiotomy, try to pull the baby out,
33:06but with the arm where it's at,
33:08I'm probably gonna break the clavicle
33:10and damage the brachial plexus nerve.
33:12Reach inside, find the baby's finger,
33:14and pinch it hard.
33:26It worked.
33:29Okay, mamita.
33:31Ahora sí, vamos a empujar.
33:33Okay? Push.
33:35Ah!
33:49Lo siento.
33:54Do you speak English?
33:56No, no hablo inglés.
34:01Me llamo Leah.
34:03I'm with the Americans.
34:07Yo soy Sofia.
34:09Él es mi marido, Oscar.
34:13Y ella es Isabela.
34:20Isabela.
34:23She is perfecta.
34:27Um...
34:33I found these in my suitcase.
34:36My mom got them from...
34:40It gets cold in here.
34:42A gift for Isabela.
34:48Gracias.
34:50Gracias.
34:55¿Te gustaría cargarla?
35:08No, gracias.
35:10I have to go.
35:20♪♪♪
35:28Felicidades, mamá.
35:31Que niño más guapo.
35:34♪♪♪
35:51Sean's keeping an eye on Miguel.
35:54Okay.
36:08You know, it's okay to not be okay.
36:14It's...
36:17It's...
36:19Every time I feel like things are getting better,
36:23it's there again.
36:27Yeah, I know.
36:30Like it comes in waves.
36:32Yeah.
36:34Eventually, it subsides.
36:37It's a process.
36:40It's a terrible process.
36:43It's one you don't have to go through alone.
36:50Sean has no idea, does he?
36:53No.
36:59He's doing great, important work.
37:01I don't want to interfere with that.
37:04And...
37:08He can't fix it.
37:11It's not about fixing it.
37:14It's about the two of you just being in this together.
37:19♪♪♪
37:22♪♪♪
37:40Tiziana.
37:51Tiziana?
37:53Tiziana, wake up.
37:55Hey, I need you to tell your mother something.
37:58We're gonna do her surgery.
38:10I couldn't die without that surgery.
38:13♪♪♪
38:16♪♪♪
38:24You're welcome.
38:26♪♪♪
38:29♪♪♪
38:35-♪♪♪
38:40That was...
38:42It was.
38:44♪♪♪
38:49♪♪♪
38:52Buenas noches, Dr. Lim.
38:54♪♪♪
39:00You know...
39:03I'm not really tired.
39:06♪♪♪
39:11Me either.
39:13♪♪♪
39:21Tomorrow, I will be removing an adenocarcinoma
39:25from my young woman's medial stynum.
39:28That can be a very dangerous area
39:31because of the vasculature.
39:35It will be an excellent challenge.
39:38Are you coming to bed?
39:41I would like to turn off the light.
39:48I don't want to ruin your trip.
39:52You're having such a good time, but...
39:57I'm not.
39:59What's wrong? Are you sick?
40:02Did you open your mouth in the shower?
40:04That is very common.
40:07I'm just sad.
40:10Every time something reminds me of a baby,
40:13I get even sadder.
40:15I'm glad you're doing better than I am.
40:17I'm glad you're happy,
40:19but sometimes you being happy makes me feel worse.
40:23I hate that I feel that way,
40:25and I didn't even want to tell you,
40:27but I think I need to tell you.
40:29I'm sorry.
40:32Do you want me to not talk about work?
40:36No, I can't ask you to do that.
40:39Yes, you can.
40:41I want you to feel better.
40:43It won't help, Sean.
40:45What will help?
40:48Nothing.
40:54I miss her so much.
40:57And even looking at your blue eyes
41:00breaks my heart because I dreamed she would have them.
41:10My parents are really worried.
41:15My parents are really worried.
41:18I'm calling all the time.
41:21They want me to come back to Hershey for a while.
41:25They think it'll help.
41:31Do you want to?
41:39I think it would be good for me to get some time away
41:43from everything.
41:55I'm sorry you're sad.
42:13I'm sorry you're sad.

Recommended