The Good Doctor Season 4 Episode 18

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The Good Doctor Season 4 Episode 18  #TheGoodDoctor #ShowMoviesTV

Transcript

00:00Previously on The Good Doctor.

00:30That isn't good for me. I want to give Heather a chance.

00:36Thanks for cooking.

00:38And the new skillet. The chicken was delicious.

00:41What did I tell you? Cast iron kicks ass.

00:44Wait till you see her steak in it. You won't believe the difference.

00:47I'll definitely try it.

00:51So, you up for a movie?

00:53Actually, I thought maybe we could just talk.

00:58We could spend all night talking.

01:00Yeah, about our jobs, the news, the weather.

01:04But we never really talked about the past.

01:11We did when you were at the hospital.

01:14Barely.

01:18Have you forgiven me?

01:28I think I'd rather just watch a movie.

01:31Claire, I don't...

01:32If you want to join, great. If not, let's just call it a night.

01:38Okay. Movie it is.

01:41Okay.

01:49How'd your presentation go?

01:51It was long.

01:54Didn't you do laundry yesterday?

01:56I'm not doing laundry. I'm packing for our camping trip.

02:00We've done nothing but work for three weeks, and neither of us feels better.

02:05A weekend in the woods isn't going to change anything.

02:09Not to mention, you can't even sleep on a couch, much less outside on the ground.

02:13I agree. It's going to be a challenge, but that's the point.

02:18The further outside our comfort zones we go, the more distracted we'll be.

02:24I agree.

02:26Oh, man! It's me, okay?

02:55Don't shoot! I'm fine!

02:56Are you okay?

02:57Can you put the gun down, please?

02:59I opened the door and the alarm went off. It's broken.

03:02Oh, thank God.

03:04Man.

03:05I thought somebody...

03:07Hi.

03:09Hi.

03:16It's not loaded.

03:19Yeah, good.

03:20No, no, not good. I store this loaded, always.

03:25I unloaded it. For this exact reason. You could have killed me.

03:30And if you had been an intruder, you could have killed me.

03:33I'm not an intruder. I'm me.

03:35Hello? You had the gun pointed right at my head.

03:39No, I was aiming center mass. My finger wasn't even on the trigger.

03:43Thank you very much for the apology. Really appreciate it.

03:45Apology? What in the world would make you think that it was okay to unload my gun?

03:53You almost shot me center mass, okay? But by all means, don't apologize.

03:58I did not almost shoot you, and if you don't stop with the apology...

04:03I'm going to bed. Alone.

04:16The discoloration is a deeper red than her last exam.

04:20And it's warm to the touch.

04:22Oh.

04:23Sorry. How long has it been tender?

04:26About a week.

04:28Well, it's not a bruise or muscle strain. The AV malformation's growing,

04:32which is why I've been recommending surgery since she was five.

04:36And I've agreed. Every time.

04:38It's the first time I've ever seen you.

04:42And I've agreed. Every time.

04:44I mean, it's the first time there's been any pain.

04:46And the meds and the nutritional supplements have been working.

04:48No, they haven't. And puberty will accelerate the growth even more,

04:52which puts her at a high risk for spontaneous hemorrhage.

04:55Turtleneck sweaters are definitely not the solution any longer.

04:58She needs the surgery.

05:03When?

05:05We can admit her and start the prep right now.

05:08Awesome.

05:12I hate turtlenecks.

05:16Your EKG's normal, cholesterol's low, and I didn't see any concerning moles.

05:20I wear SPF 50 every day.

05:22There was one thing.

05:24I noticed that you previously had been on antidepressants.

05:27I stopped taking those nine months ago.

05:29They didn't help, and I found an alternative therapy that's working great.

05:31Wonderful. Cognitive behavioral therapy?

05:33Nope.

05:35I'm extracting a psilocybin serum that I make from hallucinogenic mushrooms

05:38I grow in my basement.

05:42Okay, that's the crazy.

05:44You need to stop that immediately.

05:46There's tons of studies online that show that psilocybin causes

05:49dopamine surges that treat depression.

05:51And even more studies that show that people who self-medicate with street drugs

05:54end up more depressed, addicted, and sometimes even dead.

05:57I spent a year researching mushroom cultivation

06:00and learning how to extract the psilocybin.

06:02And most importantly, this is the first treatment that's ever worked.

06:07I've never felt better.

06:11At least let me do some additional tests to make sure there aren't any adverse side effects.

06:15Sure. I'm always open to new information.

06:25Good morning. How can I help you?

06:27We're here to camp at Yosemite Creek.

06:29Great. You have a reservation?

06:31Reservation?

06:32Campsites are reservation only.

06:34That's not true.

06:36There are 27 first-come, first-served campsites.

06:39There were 27 campsites at 6 a.m. by 6.45.

06:44They were all taken.

06:46I'm going to need to turn the car around.

06:48No, we need to go camping.

06:50Sir, I understand you're upset, but...

06:52No, you don't understand at all why...

06:54Sean, it's okay. We'll find another place to camp.

07:01♪♪♪

07:06Tighten up.

07:07Now work from the outside in.

07:09Eliminate any arterial feeders.

07:13This would be a lot easier if they'd let me do this seven years ago.

07:16That's not their fault.

07:17They're scared of surgery for their 12-year-old child.

07:20They're arrogant and stubborn.

07:24You're quiet.

07:27Oh, sorry.

07:29Well, I was actually thinking about my own parents.

07:32Miles thinks that we should deal with the past

07:35so that there's not a barrier between us.

07:37Things have been going pretty good.

07:39You know, why mess with success?

07:41I agree.

07:43When it comes to parents, some things, in fact, many things,

07:45should just be left unsaid.

07:47Says the guy who doesn't have a relationship with his.

07:49Yeah, because I said things that should have been unsaid.

07:53Well, I agree with Miles.

07:55It's not gonna be an easy conversation,

07:57but wounds that aren't treated get worse.

08:02There's blood in her ET tube.

08:04Must be a bleeder in the airway.

08:06Retract the wound.

08:13The research on psilocybin for drug-resistant depression is promising.

08:17Apex of the lungs look clear.

08:19There's a big difference between promising and proven.

08:21Not to mention a drug made by professionals

08:23versus some guy growing mushrooms in his basement.

08:26You're the most skeptical guy I know about alternative medicine,

08:29but this you agree with?

08:31I'm not surprised.

08:32That Park's a total hypocrite?

08:34That you two disagree.

08:36You never agree on anything.

08:39I think you just enjoy arguing with each other.

08:45We need to get closer.

08:49Can you focus on the left inferior lobe?

08:54What is that?

08:55A lesion.

08:56A fungal lesion.

09:09This isn't camping, it's tailgating.

09:12There's trees, a place we can pitch a tent and build a fire.

09:18It smells like gasoline.

09:22Oh.

09:24I think their generator might have a leak.

09:27Just what you want right next to a campfire.

09:34We have a view of the lake.

09:37It's pretty, isn't it?

09:40Yeah.

09:52We had to abort the laser surgery due to a bleed,

09:55but she's conscious and stable now and post-op recovery.

09:58The AVM infiltrated too deep into the upper lobe of the lung

10:01to ablate with the laser.

10:02We'll have to go back in and remove her collarbone

10:04for better access.

10:06Another surgery?

10:08To remove her bone?

10:10Yes.

10:12And we'll have to do it again.

10:14We'll have to do it again.

10:16We'll have to do it again.

10:18Another surgery?

10:20To remove her bone?

10:22We'll put it back after we excise the AVM.

10:24She'll have to wear a brace until the bone heals.

10:27Vascular malformations are chameleons.

10:29It's hard to tell where abnormal blood vessels end

10:31and normal ones begin.

10:33You were all a lot more confident in your assessment this morning.

10:36We want to take our daughter home.

10:38Yeah.

10:39Now.

10:40I'm sorry, that's not possible.

10:42The laser surgery caused weakening in the AVM,

10:44which means it could re-bleed at any time.

10:49Okay.

10:55Okay.

10:57You're lucky.

10:58If you scheduled your physical a week later,

11:00your liver and lungs would be failing.

11:03And after the surgery?

11:06What about my depression?

11:08You're asking if you can continue a treatment that's killing you?

11:12Before I started the psilocybin,

11:16Before I started the psilocybin injections,

11:20I was miserable.

11:22I couldn't sleep.

11:24I barely ate.

11:26I can't bear to face that darkness again.

11:33I don't know if it's the psilocybin or placebo effect

11:38or something else neither of us understands.

11:42But if you found the light once,

11:46you can find it again.

12:05Okay.

12:06It's a nice fire.

12:09I used the TB method.

12:29I'm thinking open thoracotomy and midline laparotomy.

12:32We might be able to use minimally invasive scope surgery

12:35to get the big lesions and attack the rest postoperatively with antifungals.

12:38More like minimally effective.

12:40Better to be aggressive. Take them all out at once.

12:42That's a huge operation with a long painful recovery.

12:44He has a huge problem.

12:46This lesion looks like it extends behind the liver.

12:52You're the senior surgical resident.

12:54You need to start making these calls.

12:56I'm not so sure about that.

13:01I'm sorry, but I question Dr. Park's objectivity

13:04when it comes to Dr. Resnick's ideas.

13:06I don't care where an idea comes from,

13:08and I don't appreciate you accusing me of...

13:10It wasn't an accusation.

13:11Then what would you call it?

13:12A respectful and sincere question.

13:16What's the answer?

13:20My objective opinion is...

13:24a minimally invasive approach is best.

13:28Okay.

13:30I want it all mapped out with a 3D reconstruction simulation

13:33before we go in there.

13:35We'll operate in the morning.

13:44It's actually kind of soothing.

13:48Reminds me of the dripping faucet in our old apartment

13:51that sound helped me fall asleep.

13:55I love that building.

13:58It's where we had our first hug.

14:01Definitely not soothing.

14:09This might help.

14:13You brought earplugs to a camping trip?

14:16Sometimes you snore.

14:30Here.

14:46That's it. I give up.

14:50I have a repair kit.

14:52I don't want to fix things, Sean. I just want to go home.

14:57I...

15:00don't want to go home.

15:02If you want to stay in a cold, wet, leaky tent, go ahead.

15:06But I am sleeping in the car.

15:08I'm sorry.

15:282932.

15:30I used to do sub-25 on recovery days.

15:34Hey, you have time to grab a quick bite before you go in?

15:39I was actually thinking...

15:42maybe we could talk.

15:45I would love that.

15:59The last time I saw you before you left...

16:03I...

16:05screamed at you because you missed my birthday party.

16:09And for the longest time, I thought if I could just tell you...

16:15I was sorry that you'd come back.

16:21It wasn't you, Claire.

16:23None of it.

16:24I mean, you...

16:26were a great kid.

16:28So smart and...

16:30thoughtful.

16:32How could you just disappear?

16:38Things between your mother and I were such a mess.

16:43One night, she was having one of her episodes.

16:48Told me...

16:50I was worthless.

16:54The only thing I was good for was money.

16:59I said, okay.

17:01If that's all you want, that's all I'm gonna give you.

17:04I sent her a check every month.

17:06Never saw or spoke to her again.

17:10It was mean...

17:12and petty.

17:14Pathetic.

17:16We never got any money.

17:19What are you talking about?

17:21I sent monthly support until you finished college.

17:25I worked two jobs.

17:27I took out a loan to pay for tuition and our rent.

17:38Look.

17:39I sent more than enough for rent,

17:41for clothes, for food.

17:43She stole my money from my child.

17:46The child you totally abandoned.

17:48No, not totally.

17:49It's not my fault she squandered that money.

17:51It's not your fault.

17:53I grew up without a father.

17:56Without any social life

17:57because I was so busy being a mom to my own mom.

18:00The woman that you walked out on

18:02when things stopped being fun.

18:04Okay, listen, I'm sorry, okay?

18:05I didn't mean for this to become an argument.

18:07No, you're not sorry.

18:08If you were, you wouldn't still be blaming her,

18:10using her as an excuse.

18:15You took off

18:17because you were too weak

18:18to do what a father is supposed to do.

18:22To take care of me, to protect me.

18:26And now you're back when it's easy?

18:28When I don't need a father?

18:33No, you know what? Forget it.

18:35Claire.

18:36Just don't, don't call.

18:37Don't come to the door.

18:38Just leave me alone.

18:52Sigh.

19:22Sigh.

19:27I thought this would be helpful.

19:31I was wrong.

19:34We can go home.

19:40Why don't we do the hike you planned first?

19:46Is that what you want?

19:49Is that what you want?

19:52I think so.

19:59Okay.

20:00New plan.

20:02Blueberry pancakes.

20:04Then hike.

20:05Then back home to our warm and cozy and dry bed.

20:15Divide the sternal attachment of the SEM.

20:19And done.

20:21Removing the medial clavicle.

20:25You have the talk?

20:28Yeah.

20:29I never said it would be easy.

20:31You can't excise a tumor without some bleeding.

20:34Some tumors are inoperable.

20:38He wants to be forgiven.

20:41I, I just can't.

20:45He doesn't deserve it.

20:48It's not the kid's job to make the parents feel good about themselves.

20:53This mat of vessels is invading the upper lung tissue.

20:56How deep does it go on your end?

20:58I can see underneath the apex,

21:00but can't tell what's tumor and what's subclavian artery.

21:03We can't get this out without pulling out the whole upper lobe of her lung.

21:07My parents are not going to like that.

21:10I'll go.

21:12They don't trust you.

21:13Well, that's not your problem.

21:14Well, I shouldn't be the patients either.

21:16I'll have a better chance of getting their consent.

21:33Brought some pastries.

21:35I'm good.

21:46I, I'm sorry that I, uh,

21:49unloaded the gun without telling you.

21:56I, uh, I appreciate that.

22:00I know that you're nervous around guns,

22:03which is all the more reason that you should just leave mine alone.

22:07Well, maybe there's a better way to deal with this.

22:10So, what if we kept your gun in your nightstand, like always,

22:14but we keep the ammunition in another room?

22:17So, your idea of a compromise is that

22:20I agree to do what you've been doing behind my back all along?

22:24An intruder is not going to wait for me

22:27to collect my bullets from the guest room closet?

22:30My house is not that big.

22:32I don't, I'm so confused.

22:33You still have to run up the stairs and get the thing either way.

22:37Did you notice that whenever we're talking about

22:40something related to the home that we both share,

22:43that you always refer to it as your house?

22:48I do?

22:50This isn't about gun safety.

22:53This is about your house and your rules

22:56and your wanting to control me.

22:57You don't trust me to make decisions about my own life.

23:01I'm just trying to find a way to make you feel safe.

23:03I, I don't need you or any other man

23:07to find a way to make me feel safe.

23:34It's actually pretty outside the campground.

23:37Another half mile and we can see the lake.

23:41You're really cute.

23:42I'm going to take a picture.

23:44Go stand on that log.

23:46I'll get you from a low angle,

23:48a hero angle because you're my hero.

23:56Okay.

23:58Okay, uh, switch to the left.

24:04Ah!

24:05Sean!

24:07Are you okay?

24:11Oh my God, you are not okay.

24:26Okay.

24:27On the count of three.

24:29Ready?

24:30One, two.

24:32Ah!

24:33You were supposed to wait until I got to three.

24:35I know, but in the movies they always go early

24:37to catch you off guard.

24:38You don't need the element of surprise

24:40to reduce a dislocated ankle.

24:41Okay, but did it work?

24:45Yes.

24:47You, you relocated it correctly.

24:52Damn.

24:53But my toes are still dusky and numb.

24:59The posterior tibial artery is torn.

25:03I thought it was just pinched.

25:05If circulation isn't restored,

25:07I'll have permanent tissue damage,

25:09maybe even have to have my foot amputated.

25:13This is not a problem.

25:14I can run to where I can get a cell signal

25:16and call 911.

25:17It'll take at least two hours for you

25:19to run back to the campground.

25:20I'm faster than you look.

25:22You told me you used to skip phys ed class

25:24because you hated running.

25:25I can hate it and still be good at it.

25:27No.

25:29My pocket knife is as sharp as a scalpel.

25:32The tent repair kit has nylon thread

25:34and you can use a fishhook as a suturing needle.

25:36You are obviously delirious because there's no way

25:39in hell I'm doing surgery.

25:40It's not a complicated procedure.

25:42For a surgeon, which I'm not.

25:44I'll guide you step by step, okay?

25:46It'll just take two sutures.

25:48I've seen you hem your pants.

25:49An artery is not a pair of jeans.

25:51There's a bottle of tequila in my backpack.

25:55You'll need to sterilize the incision

25:57and I will need anesthesia.

25:59Sean, I...

26:00Tequila, stat!

26:03We thought you were certain before.

26:05I know you're scared and this is confusing.

26:07We brought her in with some minor inflammation.

26:11No, the inflammation was not minor.

26:15What we are proposing would reduce her lung capacity

26:18but she can still live a normal life.

26:20No, no, we're taking her someplace else.

26:22We're gonna get a second opinion.

26:23We can't cut out part of our daughter's lung.

26:27She'd never forgive us.

26:32And maybe she shouldn't.

26:37You were wrong to refuse the surgery

26:39that Dr. Lim proposed years ago.

26:43Are you trying to guilt us into agreeing with you?

26:46You are guilty.

26:49Ava is in this situation because you were too afraid

26:52to make a tough decision

26:53and now you are trying to blame everyone else

26:55because you can't deal with the guilt of having messed up.

27:01You need to stop thinking about

27:03what is gonna make you feel like a good parent

27:05and start thinking about what your daughter needs.

27:08Okay.

27:24Okay, careful with that anesthesia.

27:26I need you coherent enough to guide me through this.

27:28Don't worry.

27:29I've calculated the proper dosage.

27:32No, no, not like that.

27:34The scalpel goes on the left of the tray,

27:36sponges on the right,

27:37needle driver and sutures in the middle.

27:39Okay, got it.

27:42Okay.

27:43I might suggest not barking instructions at me.

27:45I'm freaked out enough already.

27:47I'll do my best.

27:49But even with the tequila,

27:50when you cut into my ankle I'll be in extreme pain

27:52which can cause irritability.

27:55I can't do this.

27:56You have to.

27:57The worst that could happen is you mess it up

28:00and cause permanent damage to my foot

28:02which is exactly what will happen if you don't do it.

28:06Here.

28:07Tequila, stat.

28:16Suction.

28:19That enough?

28:21Perfect.

28:22Mediastinum's cleared.

28:24Now on to the lung lesions.

28:27I'm having a problem maneuvering in here.

28:29There's too much peritoneal scarring from the fungal deposits.

28:32Can you cut at it sharply?

28:34I'm too close to the common bile duct.

28:36Need help?

28:40Morgan was right.

28:43There's no way to remove all the lesions laparoscopically.

28:47All right, let's pull the scopes and open them up.

29:05Okay.

29:06The blood's pouring out.

29:07What do I do now?

29:08Okay.

29:09Okay, tighten the tourniquet

29:11and then use a sponge to clear the blood.

29:18Okay.

29:20It's clearing up.

29:22You should be able to see.

29:25I see it.

29:26And the leaking hole.

29:27Now you just need to use the needle driver

29:30to sew the edges together.

29:33Be careful not...

29:36Be careful not to what?

29:40Sean?

29:43Put the backpack under my head.

29:45How's that going to help with your ankle?

29:46It won't.

29:47But I'm about to lose consciousness from blood loss

29:50and I don't want dirt in my...

29:56Sean!

29:57Sean!

30:00Sean!

30:01Sean!

30:02Sean!

30:07Sean!

30:09Sean, come on!

30:10Come on, Sean.

30:11Sean!

30:17Okay.

30:20Come on, Leo.

30:21If you can have a pant leg,

30:23apparently you can do this.

30:26All right.

30:28Okay.

30:32Okay.

30:39I have freed the pleural membrane.

30:49Why does blood have to be so damn slippery?

30:53Okay.

30:59How am I supposed to tie a knot

31:01if I can't even grip the damn thread?

31:13Here we go.

31:14Here we go.

31:15Okay.

31:18Okay.

31:20Here we go.

31:23Hmm.

31:34You're a woman.

31:37Um, yeah.

31:40I've always considered myself a supporter of women,

31:44you know, equal pay for equal work,

31:47right to choose.

31:49Thank you from all of us.

31:53Debbie seems to think that I am...

31:58overbearing and, uh, controlling.

32:10My ex was a humanities professor in ACLU chapter head.

32:14But I made more money,

32:16and I don't think he was conscious of this,

32:19but I do feel he was threatened by my independence.

32:24The more insecure he got, the more controlling he became.

32:27He had to pick the restaurants where we ate,

32:30the movies we saw.

32:33I definitely had my own issues,

32:35but his need to control me

32:38was one of the many reasons our marriage fell apart.

32:50Okay.

33:03I can feel my toes.

33:08Are you finished?

33:12No.

33:14Oh.

33:18Now I'm finished.

33:26There's enough flow to keep the tissue alive until we get to an ER.

33:31You did this with a tent repair kit?

33:33And a fishhook.

33:36She is very good at fixing things.

33:40You're lucky.

33:43Yes.

33:45I am.

33:51How do you feel?

33:53Like a gutted fish.

33:55Sorry, we had no choice but to open you up to access all the lesions.

33:59But they were able to remove them all without damaging any of the organs.

34:02You should recover fully.

34:04Physically.

34:05There are new antidepressants you haven't tried.

34:09But I also wouldn't stop the mushroom cultivation.

34:12Really?

34:15After all this?

34:16Cultivation.

34:18If this helped you,

34:19it was either the placebo effect

34:21or all the focus you put into perfecting the process.

34:24Sometimes distraction is the best medicine.

34:43Hey.

34:47We are so sorry.

34:52This is our fault.

34:58It's okay.

35:03I love you.

35:13I love you.

35:25I thought our relationship was just a fun distraction.

35:30But when you pushed me away,

35:34I realized it was more than that.

35:38I was hurt.

35:40Resentful.

35:43Which made every interaction we had...

35:46complicated.

35:49What are you talking about?

35:51You made sure it wasn't complicated at all.

35:53We stopped having sex and now we're friends.

35:57You know it's more than that.

36:00And it can't be.

36:02Not anymore.

36:04What does that even mean?

36:06We still work together. We have to talk to each other?

36:09About work. That's it.

36:12We can't try to keep some sort of friendship going.

36:15Which means no more jokes, no more teasing,

36:17nothing that isn't totally professional.

36:20So what, we just...

36:22act like robots around each other?

36:29I don't want that.

36:32It's boring.

36:36No.

36:38We act like we did before we ever moved in together

36:41and let ourselves get into this...

36:44unprofessional mess.

36:48Yeah.

36:49Pretending that what happened didn't happen.

36:51That always works.

37:12You are a horrible father.

37:15And you can't undo the harm you did.

37:20But...

37:21I should forgive you.

37:25You deserve it.

37:27And I need it.

37:31Because I need you.

37:34And I need you.

37:37Because I need you.

37:42So I'd...

37:43I'd like to keep spending time together.

37:48And talking.

37:53I would love that.

37:57Do you think...

38:01Think maybe we could...

38:03Think maybe we could...

38:06restart everything with a...

38:11hug?

38:34I was wrong.

38:38I convinced myself that I was right, and I was wrong.

38:45I took...

38:47choice away from you.

38:52And I...

38:53will do everything...

38:55I can to make you happy.

38:58And...

38:59And I...

39:00will do everything...

39:02I can to make it right.

39:07I'm...

39:09I'm so sorry.

39:13You don't have to apologize.

39:15Can you stop doing that?

39:17I'm sorry.

39:27I don't think I can make this work.

39:31I have...

39:33had this feeling for months,

39:35it's like a pit in my stomach,

39:37and I didn't want to...

39:39face what it was, but when...

39:42we were fighting, I just felt like...

39:45I had to leave, like I had an out.

39:48You think I don't respect you? I don't...

39:52I do.

39:53Aaron, you almost walked out of our wedding because I...

39:58used bad grammar.

40:04That was bad.

40:08That was a bad moment.

40:11Marriages are made up of moments, right?

40:15Many of our moments are just... are great.

40:21Too many are so... just painful.

40:31This is crazy.

40:34We love each other.

40:37I love you.

40:46I love you so much.

40:51It's just not enough.

41:22The rain, the drunks, the freezing cold night alone in my car,

41:27and you almost losing your foot,

41:29was definitely a bit more of a distraction than I was hoping for.

41:37But I'm really glad you took me camping.

41:41You're welcome.

42:11You're welcome.

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