The Good Doctor Season 4 Episode 15

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The Good Doctor Season 4 Episode 15  #TheGoodDoctor #ShowMoviesTV

Transcript

00:002-6-6! 2-6-6!

00:03It's just an hour.

00:05Which really means an hour and a half,

00:07which means by the time we get to Jason's,

00:09the party will be over.

00:10It's not a party, it's 4 boys arguing over

00:12who's gonna play Call of Duty's warfare.

00:14Meanwhile, you're gonna be learning

00:15how to exercise your First Amendment rights.

00:17By leaving signs at cars,

00:19and it's Call of Duty, colon, modern warfare.

00:22Everyone who sees our signs knows that they're not alone,

00:25and when we have numbers, we have a voice, we are heard.

00:29At least someone's being heard.

00:31This is democracy, Ethan.

00:33Making a difference.

00:34This is how change happens.

00:36Yeah, well, change sucks.

00:382-6-6! 2-6-6!

00:42It's 10-30, I will have you at Jason's by 11-45, okay?

00:462-6-6!

00:47Ooh, I see a spot.

00:482-6-6!

00:51Really?

00:52Why'd you let her in?

00:53Because the idiot would've smashed our car.

00:57How about we go get milkshakes instead, hmm?

01:00I spent three hours making signs.

01:03Oh, there! There's the spot!

01:052-6-6! 2-6-6!

01:08Sweet.

01:11Any hint of trouble, we are leaving, got it?

01:15Inspiring speech, Mom.

01:16Very Vince Lombardi.

01:18I saw his hologram.

01:21Oh, here's your very own wristband.

01:26Solidarity!

01:28Yeah!

01:34Yes, they already did the finger prick and gave me the gloop.

01:37It's a 50-gram glucose solution.

01:40It was gloop, and it tasted awful.

01:42Gloop wouldn't tell us if you have gestational diabetes,

01:44which is associated with hypertension, preeclampsia, preterm labor,

01:47and for the baby, respiratory issues and obesity.

01:50Before we buy jumbo baby clothes, let's get the test results, okay?

01:53Okay.

01:54Okay, well, you text me when...

01:55Whoa.

01:56What's this?

02:00We know at least two people have been shot,

02:03but we have no information on their status.

02:06By all reports, the rally in support of...

02:08That is less than a mile from here.

02:11...despite the presence of some counter-protesters.

02:14But just about 20 minutes ago, what witnesses...

02:16I have to go to the ER.

02:18Stat!

02:20...the passenger opening fire.

02:36Nine-year-old boy with multiple gunshots to chest and abdomen.

02:39He took three rounds of epi, still PEA.

02:41From base six, checking ABCs,

02:43have to take over compressions, clear assessed wounds.

02:45You're the mom?

02:46What's his name?

02:47Mason.

02:49Entry wound, left chest.

02:51Right over his heart.

02:53Emergency thoracotomy.

02:5420 blade.

02:55We'll take good care of Mason, but right now you need to go.

02:58I can't now.

02:59Rib spreader.

03:02You got a pumper.

03:05I can't see a thing. Suction.

03:09Whole and right ventricle, I got my finger on it.

03:12That stopped the bleed,

03:13but we got to get the heart pumping normally again.

03:15Urinary catheter.

03:16Stick it in the hole.

03:18Inflate the balloon inside the ventricle.

03:21Then occlude the hole.

03:27And we've got a regular heartbeat.

03:29Red cells, platelet transfusions.

03:30Let's get him to the OR.

03:31Very good, Dr. Brown.

03:34Kid took one gunshot to the head,

03:36became unresponsive en route, intubated him.

03:38He's bradycardic.

03:41Pupils are blown.

03:42No response to sternal rub.

03:44And the kid's leaking brain.

03:46Glasgow coma scale, 3T.

03:48One gram per kilo mannitol,

03:4950 milligrams per kilo keppra.

03:55Elevating at 30 degrees and banging down to CO2.

03:58All right, let's take him. OR2.

04:04We got him.

04:05We got him.

04:06We got him.

04:07We got him.

04:08We got him.

04:25And we can now confirm that the shooting victims

04:27were young boys.

04:28Witnesses describing them as both under 10 years of age.

04:32According to accounts, one was shot several times

04:35in the chest and abdomen.

04:37Two were shot at least once in the head.

04:39The fact it was children who were shot is devastating news.

04:43And so we have yet another day in an otherwise peaceful community

04:46erupting in violence, the kind of atrocity

04:49that has sadly become all too commonplace.

04:52And that only makes this attack even more tragic and senseless.

04:56We are awaiting updates and we'll let you know

04:58as soon as we have any.

05:01Fixed the liver laceration.

05:03Let's get the spleen out of there.

05:05Right ventricle. Next up is left ventriculotomy.

05:07All that'll leave is the bronchial injury,

05:09the diaphragm tear, the VSD,

05:11and the hollow viscous bowel injury.

05:13BP's dropping fast.

05:15We're gonna need every unit of ONAG or compatible blood.

05:36Do you have someone in surgery?

05:39No. I'm just here for a test.

05:44Mrs. Wilkie?

05:45What is it?

05:46And Mrs. Bardo?

05:47What happened?

05:48Nothing. I just need you to fill out these forms.

05:51Forms?

05:52Necessary evil.

05:54Do you have copies of your insurance cards?

05:57Uh, no.

05:59I don't have any.

06:01Do you have copies of your insurance cards?

06:03Uh, no.

06:05I must have left my...

06:07I work here in IT.

06:09I'll help them with the forms.

06:21This is not a happy brain.

06:23Let's clean out as much as we can.

06:25Scalp, hair, skull fragments.

06:28And let's not forget bullet shrapnel.

06:31Ultrasound?

06:35I'm looking for any deeper bullet fragments.

06:40Brain's herniating.

06:41CO2 is normal.

06:44Is he storming?

06:46Heart rate's way too low.

06:49We need to take off his entire right skull.

06:53Drill with me one bit.

06:58The initial there.

07:01And the sign here.

07:09Leah.

07:10Leah.

07:17I... I think that's the other mom.

07:29I'm Karina.

07:32Were you...

07:34at the rally?

07:38Yeah.

07:39I'm Taryn.

07:47Mason's nine.

07:50Ethan's eight and a half.

07:53Ethan's eight and a half.

07:59They'll be fine.

08:03I know it.

08:18You're one of them.

08:22Them?

08:24Get away from me.

08:41It's so sad that people can't express their views peacefully.

08:45The right is so intolerant of political differences,

08:48of any differences.

08:50I think there are some intolerances on both sides.

08:53Like there are good people on both sides?

08:56What if I told you I belonged to the NRA?

08:59I think you were saying that to make a point.

09:02About five years ago, my wife and I went to a very trendy restaurant

09:05in a very shady part of town,

09:07and on our way back to the car, we were mugged at gunpoint.

09:10The next day, I bought us both handguns.

09:12I'm a card-carrying member.

09:15I voted for Trump.

09:17Too soon.

09:19I'm serious.

09:21I'd like to stand on Israel,

09:24but I've never told anyone because I'd be absolutely vilified.

09:28As you should be, especially.

09:30Pulling up. He's hypotensive. Lactate's rising.

09:32Okay, creeps down to 17.

09:34We could put him into deep hypothermia.

09:36The low temp would only worsen his coagulopathy.

09:38He just needs more blood.

09:40I've used up most of the Oneg and Aneg from the blood bank.

09:42Start calling other hospitals. Now.

09:52You actually voted for Trump?

09:56Once.

09:58And then what?

10:00You suddenly discovered he was exactly who he said he was?

10:04I don't feel like you want an answer.

10:06I feel like you want an apology.

10:08Well, this kind of changes how I feel about you.

10:11What does that mean?

10:13You think you don't respect me?

10:15We can't be friends because of a vote?

10:17It is more than a vote.

10:19Yeah. It's a fundamental right that I exercised.

10:21This kind of changes how I feel about you.

10:23If I can't have a political opinion

10:25about the best way to improve all our lives...

10:27Do you think anybody's life got better?

10:29That's enough.

10:31Are you okay?

10:33Your repairs are almost finished.

10:35We could be done with this in two or three hours.

10:37We have just enough blood.

10:39That's if we want to.

11:02Mrs. Bardo?

11:04What is it?

11:06Uh, we fixed two holes in your son's ventricles.

11:08We've removed his spleen and repaired his liver,

11:10but he's still in surgery.

11:14Your son has lost a lot of blood.

11:16We're giving him transfusions,

11:18but the blood loss may have caused damage to his brain.

11:22If his brain is fine,

11:24then we should push on.

11:26But if his brain isn't fine,

11:28then...

11:30continuing the surgery could kill him.

11:34Unfortunately, we can't accurately assess

11:37for brain function in the O.R.,

11:39so we would have to wake him up

11:41and do a traditional neuro exam.

11:43I'm sorry.

11:45I'm sorry.

11:47I'm sorry.

11:50You need her to decide that?

11:52Why put that on her?

11:54You guys are the doctors.

11:56Wake him up.

12:01If you wake him up, I can be there, right?

12:03You can.

12:05But he will be confused and stressed.

12:08His belly will still have to be open.

12:10My husband died in a car accident two years ago.

12:15I didn't get to say goodbye.

12:17This is not goodbye.

12:19This decision should not be based on...

12:21Please.

12:23Wake him up.

12:27Okay. Come with us.

12:35Why haven't I heard anything?

12:43The brain looks more relaxed.

12:45The brain looks more relaxed now.

12:48There are a lot of clots.

12:56Ketlin play soccer?

12:58I'm fine.

13:00Two kids shot? We all are.

13:06You're not supposed to be here.

13:08I know. I am so sorry.

13:10Is the baby okay? Did you get your test results?

13:13No, but I'm fine. The baby's fine.

13:15How's the boy?

13:16You can't be here and we can't tell you.

13:19I'm sitting in a waiting room with a terrified mother.

13:22Somebody needs to tell her he's being taken care of.

13:31Ms. Wilkie?

13:33I'm Dr. Sean Murphy.

13:34Is my son okay?

13:37Okay.

13:38We have successfully removed half of your son's skull

13:42to reduce brain pressure.

13:44We've removed blood clots, bone chips, and bullet fragments.

13:47But we are still trying to find the less accessible

13:50and deeper chunks of the bullet in his brain.

13:57Can I see him?

13:59Of course not. He's in surgery.

14:03We...

14:05just needed to let you know his status.

14:14I'm sorry.

14:24Mason.

14:26I need you to follow my finger, okay?

14:30I need you to follow my finger, okay?

14:42Can you wiggle your toes for me, you little piggies?

14:52You're acing this test, Mason.

14:54Now can you squeeze my fingers?

14:58Just try to make a fist.

15:00It doesn't have to be hard. Just a little squeeze.

15:08Okay, now that's okay.

15:09Hey, Mason, look at me.

15:16You're gonna be okay, pumpkin.

15:18Everything's gonna be okay.

15:23Hey.

15:29Hey.

15:34There's an indentation

15:37on a right M3 segment branch artery.

15:40That suggests the presence of a deeper fragment.

15:46Nice catch.

15:48Yes, but I'm not sure how we get it out.

15:59When was Ethan's birthday?

16:05Um, October.

16:11It was just the three of us.

16:13We have a golden doodle named Derber.

16:18Ethan wanted to invite a couple of friends over,

16:20but I said no, it wasn't safe.

16:23He wanted two friends.

16:25He has, like, a hundred of them, and I said no.

16:28To two.

16:34It feels like all Ethan and I ever do now is fight.

16:39Children don't need their parents to be buddies.

16:42They need limits, structure.

16:46You don't have kids, do you?

16:50You don't have kids, do you?

16:57You'll die hating me.

17:00Taryn, you cannot think like that.

17:09We found the last bullet fragment.

17:12It's deep but stable, so it is very unlikely

17:15to cause further brain damage, bleeds, or seizures.

17:17We should leave it where it is.

17:21You want to leave a bullet in my son's brain?

17:26Removing it comes with a high risk of lacerating key brain vessels.

17:36You can trust them.

17:38They're the best doctors I've ever known.

17:48Okay.

17:50Leave it in.

18:08Did you get to see Mason?

18:13They're doing more tests.

18:17But I know he'll be fine.

18:21He will.

18:26Does Mason play any sports?

18:31Basketball.

18:34Team captain.

18:37Likes to be in charge.

18:41So mature for his age.

18:44When my husband died, it was Mason who kept me going.

18:50Brought me coffee every morning.

18:53Opened my curtains.

18:56Helped me get out of bed.

19:03I'm a single mom, too.

19:07A hell of a day to be one, isn't it?

19:10Why did you lose your husband?

19:14We divorced two years ago.

19:17Not amicably.

19:20Divorced?

19:23I know it's not the same, but...

19:25I buried my husband.

19:28You lost him in the worst possible way, yes.

19:31But I doubt you also lost half of your friends.

19:35It's your fault.

19:37I doubt you also lost half of your friends.

19:40It's your self-respect and...

19:43the love of your son.

19:46I doubt you ever had to tell your son

19:48that Daddy was never coming home again.

19:50Look, I didn't mean to...

19:52They figured you know me.

19:54You've experienced pain.

19:56So you understand all the pain everybody else has ever felt.

20:00I understand pain.

20:01Shut up.

20:02Right. Someone disagrees with you, and you shut them up.

20:06You let us wave our little signs in peace.

20:08You had to come shout us down,

20:10and when that didn't work, you had to shoot us!

20:37Yes.

20:38Yes?

20:40You can go first.

20:42Why?

20:44I'm being polite.

20:46It won't make any difference who hears their news first.

20:50We don't think there is any brain damage.

20:53We're going to take him back to the OR to finish the repairs.

20:57Wonderful. Thank you so much.

21:00Of course.

21:02We have to leave Ethan's skull off

21:05until his brain swelling has gone down,

21:08which could be a couple of days from now, or months.

21:13We've moved him to intensive care.

21:16You can see him now.

21:32When he was a baby, I used to love watching him sleep.

21:37It was the only time he wasn't bouncing off the walls.

21:40The only time I could just look at him.

21:44When he was older,

21:46even if he caught me watching him, he would say that I was weird.

21:51I just told him how beautiful he was.

21:54That only made me weirder.

21:56I just told him how beautiful he was.

21:59That only made me weirder.

22:02But he is so beautiful.

22:10His eyes moved. They moved.

22:12He's looking at me. That's good, right?

22:14Yes.

22:18No, he's not looking at you.

22:20His eyes are deviating to the right.

22:22What is that?

22:24He's squeezing my hand.

22:26Ethan, honey, mommy's here.

22:28How hard? Is it getting firmer?

22:31Ativan, increase propofol and we need a CT and an EEG.

22:35He is having a focal seizure,

22:37which is originating in the left side of the brain,

22:40which wasn't the damaged side, which is very strange.

22:45The bullet fragment must have migrated.

22:48It was a mistake to leave it in.

22:55He's seizing.

22:57This is exactly what he said wouldn't happen if we left the bullet in.

23:01Exactly.

23:03I'm sure he'll figure out what to do and...

23:07Who do you have news for?

23:11Ms. DiLello?

23:13Good news?

23:15Oh, it's nothing.

23:18It's okay for someone to be happy.

23:23I'm expecting.

23:25And all's good.

23:30I can't wait to see him.

23:32I can't wait to see him either.

23:34I can't wait to see him.

23:36I can't wait to see him either.

23:38I can't wait to see him either.

23:40I can't wait to see him either.

23:43I gave birth on Christmas Eve.

23:46All the nurses were singing carols.

23:50Kenny joked that the only thing missing were the three wise men.

23:55It was hokey and ridiculous.

24:01But it was magical.

24:06Ethan was three weeks premature.

24:10We were having just one last fun weekend, the two of us.

24:13And I guess Ethan didn't like that idea.

24:16So I gave birth in a motel room 300 miles from my OB.

24:23Left a really good tip for housekeeping.

24:36It's very strange.

24:39I knew I was wrong.

24:41It's very, very strange.

24:46No, you weren't.

24:48The fragment's still stable in location.

24:50No severe compression on MCA, no new bleeds.

24:53That just means we missed something else.

25:00There.

25:01Deep in the left thalamus.

25:04I wasn't wrong.

25:06I wasn't wrong.

25:08You were.

25:09You missed it.

25:10No, no, I wasn't wrong.

25:12I would have noticed another fragment.

25:16There.

25:17There was nothing there eight hours ago.

25:22Okay, so it's just new to this location, which means it's moving.

25:31And based on its trajectory, it's going to cause a lot more damage.

25:36It's much deeper than the other.

25:40So we can't get to it.

25:52We can't go through the water drainage system at the boy's brain

25:55because that would mean having to puncture the ventricular wall at the thalamus.

25:57And we can't follow the injury pathway using MRI guidance

25:59because the metal in the bullet rules out the MRI.

26:01And we can't...

26:02Sean, Sean!

26:03You are a neurosurgeon, okay?

26:06You will know what I have missed.

26:12You don't think you missed anything?

26:16No.

26:17Then you didn't.

26:23Okay, then...

26:27Ethan is probably going to die.

26:33Oh.

26:38Okay.

26:49This one's different, huh?

26:52Because he is a child?

26:53Yeah, yeah, because he's a child.

26:56No.

26:58I've lost children before.

27:03Sean, every parent has one job,

27:06and that's to keep their kid alive.

27:09To keep him from all the horrors in the world.

27:13And maybe...

27:16Because you can't protect Ethan, you think?

27:21That's not rational.

27:24No, that's...

27:25It's not rational.

27:28The price of parenthood.

27:31But you know what? It's worth it.

27:33If it makes me upset and irrational,

27:35it doesn't sound like it's worth it.

27:38You don't mean that?

27:48I came here to ask for your surgical advice about Ethan,

27:52and all you've given me is emotional advice about me.

27:56Yeah.

27:57Because that's all I got.

28:00Yeah.

28:25Callan started playing soccer when he was seven.

28:29He loved that jersey so much.

28:32Wore it to bed every night.

28:33Wouldn't let us wash it.

28:40Then he spilled grape juice on it.

28:43A big purple stain.

28:49And I got angry at him.

28:54I always get a little like this with kids.

28:59I think maybe Sean and Lim can handle it fine without me.

29:04If it was Callan in that ICU,

29:07how would you feel if his doctor bailed on him

29:10because his kid had spilled grape juice ten years earlier?

29:15Yeah, it's brutal on you.

29:18About a hundredth as brutal as it is on them.

29:30So, you agree with Biden on every single issue?

29:34No, of course not.

29:36But I agree with him on more than one.

29:38How many?

29:40Where's the line?

29:42Every vote is a compromise.

29:44We support the things we think are important

29:47and rationalize the things that aren't.

29:51And for me, that's the most important thing.

29:54Unfortunately, compromise has become a dirty word,

29:57which is ironic, since that's the essence of democracy.

30:00And the lack of compromise is why I left home.

30:03His left foot is cold.

30:09It's pulseless.

30:15I've got a pulse here.

30:16Something's happening between here and you.

30:19Good.

30:21Something's happening between here and you.

30:24Good.

30:25Nothing.

30:26Good.

30:29Nothing.

30:30Nothing.

30:32It's his popliceal artery.

30:34He must have thrown a clot.

30:35We have to fix this now, or he loses the leg at best.

30:52Ethan's seizures were caused by a different fragment

30:57that migrated to the left side of his brain.

31:00We weren't wrong about leaving the other fragment in.

31:04So you weren't incompetent about that,

31:07just about completely missing this other fragment?

31:11Yes.

31:13But that doesn't mean that we can't fix it.

31:18Yes.

31:21But the new fragment isn't stable

31:24and will almost definitely continue to cause damage.

31:29So you'll remove it as soon as possible?

31:35It's too deep to remove.

31:38Which means...

31:40you'll do what?

31:44We'll keep him on anti-seizure meds

31:47and we'll monitor him.

31:50Hope for the best.

31:54Monitor?

31:56An eight-year-old boy is dying and you're gonna monitor him?

31:59If this was your child, you could live with that?

32:02They're in there doing nothing.

32:03They're doing nothing!

32:04Leah.

32:05It's okay. It's okay, Sean.

32:09You're a couple?

32:12I made a decision about my son's life

32:15based on your opinion of your boyfriend?

32:19Taryn, I'm so sorry.

32:30Isolate popliteal artery. Next.

32:33Incise vessel transversely.

32:35Use Fogarty catheter to complete the embolectomy.

32:38Use Fogarty catheter to complete the embolectomy.

32:41Confirm flow with angiogram.

32:43How's our blood?

32:45Maxing out on procoagulants, antihemophiliacs,

32:48and recycling every last drop of cell saver suction.

32:51We're still down to our last 100 cc's.

32:53What about other hospitals?

32:55There was a multi-vehicle crash on the 280.

32:57Nobody has anything to spare.

32:59I'll just have to work a little faster.

33:01Removing catheter.

33:03BP's falling.

33:05Damn it.

33:06Catheter toward the artery.

33:08Clamp and suction.

33:09There's not enough blood.

33:11His hematocrit is on the floor. He's dying.

33:21You got your test results hours ago.

33:24You need to go home.

33:26I can't.

33:29Mason is hanging on,

33:31but we have used up all the Oneg and Aneg blood.

33:35We're having some medevac from L.A.

33:37How long will that take?

33:39Another couple of hours.

33:49You don't think he'll last that long?

33:53You don't think he'll last that long?

34:02We're hoping.

34:22I'm A-negative.

34:53Sometimes we can't.

34:58Every parent has an overwhelming need

35:01to protect their child from horrors.

35:05It's the price of parenthood.

35:08Taryn donated twice the typical amount of blood,

35:11and Mason needed every drop of it.

35:14It's the price of parenthood.

35:17Taryn donated twice the typical amount of blood,

35:20and Mason needed every drop of it.

35:23It's gonna be a long night.

35:31Where are you going?

35:33Yeah, you should come with.

35:35Where?

35:36You ever read Hansel and Gretel?

35:38That's what you were reading?

35:40I thought you were doing research.

35:47The scans show no sign that the fragment tore major brain tissue,

35:50and there are no significant bleeds or clots as it migrated,

35:53which means it didn't cut a new route.

35:56It took a trail that was already there.

35:58Okay. How is that helpful?

35:59It weaved through CSF spaces

36:01or sulci in between the brain parenchyma.

36:03If so, it left us some breadcrumbs.

36:06Heme, product, staining.

36:07Along the way.

36:08And we can use a rigid 3-millimeter endoscope,

36:10find the trail, and take that trail all the way to the bullet

36:13without damaging the brain.

36:17Okay.

36:35It's okay. It's a decaf.

36:41You shouldn't feel guilty about being happy.

36:46I didn't feel happy. Not right then.

36:50I felt...

36:53scared.

36:55For us?

36:57And for me.

36:59You, too. You're so different.

37:02And so...

37:05angry.

37:09But you are so strong.

37:12And I'm...

37:14You don't think you're strong?

37:17No. Not strong enough for this.

37:21This doesn't usually happen.

37:24This isn't supposed to happen.

37:27And the way we've been coping with it

37:29has nothing to do with whether we're good parents.

37:33Strength doesn't matter.

37:35It's compassion.

37:37And the way you've treated us...

37:42you're gonna be a great mother.

37:54Mason made it.

38:00Thanks to Taryn.

38:06Ethan made it.

38:08Thanks to Park.

38:23They're in the ICU.

38:27They want to see their moms.

38:42They want to see their moms.

38:45They want to see their moms.

39:15I love you.

39:46What's up?

39:48Bought you a cheeseburger.

39:53It's 6 a.m.

39:56Um...

39:58I figure we should talk.

40:02I'd like that.

40:16You saved Ethan's life.

40:19Nice job.

40:21I was ready to walk,

40:23and most people would have felt for me,

40:26supported that decision.

40:29You saved his life.

40:31Thank you for that nice,

40:33albeit completely inaccurate, thought.

40:36You just needed some encouragement.

40:40You want to come back to my place for a little more?

40:49It's been a long day and night.

40:52I think we should stop seeing each other.

40:56You're good for me,

40:59but just sleeping with you...

41:03isn't.

41:10I want to give Heather a chance.

41:14Good for you.

41:16She's such a wimp. She'll make you very happy.

41:34You know how I feel right now?

41:38No.

41:40I don't know how I feel right now.

41:44Lucky.

41:47I think I feel...

41:50tired.

41:55And lucky.

41:58Hmm.

42:01Leah?

42:03Leah?

42:04Shine.

42:05Leah?

42:06Okay.

42:07No.

42:08Okay.

42:09Help!

42:11Help! I need help!

42:14Please, help!

42:17Help!

42:19Okay.

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