- 5/20/2025
The Good Doctor Season 4 Episode 13
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00:00We are having a baby.
00:04Morning, son.
00:06Are you watching me sleep?
00:08Yes.
00:10We're having a baby.
00:15That baby is making me feel like I ate three-month-old sushi.
00:23Good morning, Barry.
00:25Why are you making Mommy feel this way?
00:28Are we naming it Barry?
00:31For now, because he's the size of a blueberry.
00:34I can just picture your face on a little blueberry-sized baby.
00:41At week seven, the fetus has developed webbed hands and feet,
00:45and you have started to form a mucous plug.
00:48Ooh, your breath is killing me, Sean.
00:52I've brushed my teeth twice because of you.
00:56I've brushed my teeth twice because I thought we might have sex.
01:01The mint from the toothpaste is...
01:05Uh-uh.
01:12Stop smirking like you're picturing me naked.
01:15You don't have to picture it. I saw it already.
01:17You're running a little late. Did I keep you up too long last night?
01:20Don't flatter yourself. I'm not late, and it wasn't that long.
01:24What are you doing?
01:27Chewing us from the rain.
01:29What, do you think this is the notebook?
01:31It's raining, and I shared my umbrella.
01:35Having sex doesn't make us a thing.
01:38We didn't make clear boundaries.
01:40I don't need romantic gestures from you.
01:42I shared my umbrella. I didn't propose.
01:44But I hear you message loud and clear,
01:46you hate me, I hate you.
01:48See you tonight?
01:54Can I help you?
01:56Hello, Claire. My name's Miles Brown.
01:59I'm... your father.
02:06What are you doing here?
02:08I've owed you a lot of answers for a long time, and...
02:11Go home.
02:13Oh, I just, uh...
02:16Well, I wish I was a better...
02:20um...
02:22I don't want you to...
02:25hate me.
02:27Can you lift your arms?
02:29Keep them up, okay?
02:31Repeat after me. Don't cry over spilled milk.
02:34Don't... cry?
02:37We need to get you to the hospital. I think you're having a stroke.
02:51The quick step is my nemesis.
02:53I lost my footing and landed on a 90-year-old judge
02:56with very sharp elbows.
02:58And he insisted I come in even though I'm fine.
03:01Just a little sore.
03:03Yeah, but Maya's a little sore is a normal person's excruciating.
03:07Take the compliment, babe.
03:10You're shivering.
03:12The abdomen is tense and distended.
03:14She's hypotensive.
03:16We need to do an ultrasound to check
03:18for acute abdominal injury.
03:20I'm fine.
03:22When did you start feeling lightheaded?
03:25About an hour ago.
03:27There is significant pressure in the abdominal contents.
03:30What does that mean?
03:32She has a retroperitoneal bleed.
03:34We need to get you into surgery right away.
03:43Hi, Mr. Brown. I'm Dr. Allen.
03:45This is Dr. Park.
03:47How are you feeling?
03:49Much better.
03:51I see where Clare gets her good looks.
03:53BP looks good, 124 over 83.
03:56Have you had these symptoms before?
03:58Happens sometimes when I get migraines.
04:01Migraines come when I'm stressed.
04:04Don't cry over spilled milk.
04:09Look, I don't want to take up too much of your time,
04:12but is it possible we can go somewhere quiet and talk?
04:15Maybe we could grab a coffee or dessert.
04:17You know, you used to love Rocky Road ice cream.
04:20Is that still your favorite flavor?
04:22You just had a major neurological event.
04:24We need to run some CT scans to identify the cause.
04:30Found the bleeder, the clamp.
04:32We need to open up the retroperitoneal space and pack.
04:34BP still dropping?
04:36It's not clotting.
04:38Does she have any history of hemophilia or bleeding disorder?
04:40No.
04:41Push FFP, TXA, and fibrinogen.
04:43Pack more lab pads and evacuate the hematoma.
04:53Pressure's rising.
05:00This young lady almost died from a collision with an elbow.
05:04There must be something else going on here.
05:06Find out what it is.
05:13Respiratory therapy.
05:22We'll start by scanning your abdomen.
05:24I'll help you up on the bed.
05:28You were right.
05:30It wasn't a migraine.
05:35I have terminal cancer.
05:44His oncologist started him on chemo.
05:46It shrunk the tumor, but Myles didn't finish it.
05:49Location of the metastasis still likely leaves it inoperable.
05:52I don't know.
05:54If we use transcatheter hepatic artery chemoemulsation,
05:56we might be able to attack the tumor and spare his liver.
06:00Claire, what do you think?
06:05It's the patient's decision.
06:07You should take it to him.
06:09Let him decide.
06:11Let him decide.
06:18You have abnormally large platelets.
06:21It's a rare condition called Bernard-Sully syndrome,
06:23which makes it very difficult for your blood to clot.
06:25It's why you almost bled out during surgery.
06:27Is it treatable? Will she be okay?
06:29There's no cure, but it is manageable.
06:32Keep an eye out for pain or bruising
06:34or any other symptoms that don't go away.
06:36That can be a sign of a larger problem.
06:38It's just a pulled muscle.
06:40You don't know that.
06:43My left leg has been bothering me for a few weeks.
06:46Months.
06:49I'm not overreacting.
06:56We'll need to run CTs of your hip and femur
06:58to rule out osteoarthritis or an occult fracture.
07:06How does that feel?
07:08Weird.
07:14Better?
07:16Short. Why do I need this?
07:18Back pain is a common symptom of pregnancy.
07:20It's preventative.
07:22You should take these twice a day
07:24with food or milk, preferably food.
07:26I already have prenatal vitamins.
07:28You have the chewable gummy kind.
07:30Tablets are better for the fetus.
07:32Will you please stop calling it a fetus?
07:34It is a fetus.
07:36A baby.
07:39I don't need you to do any of this, John.
07:44What do you need me to do?
07:46Just be the dad, not the doctor.
07:56Do you think I'm going to drink this?
07:58What's in it? Urine, saliva, tropical fish?
08:02Coffee.
08:04Dr. Park, need to talk to you about our implant patient?
08:06Let's do an additional split-thickness skin graft.
08:08It's a pretty long and complicated procedure.
08:10If you're going to scrub him,
08:12you'll probably need the caffeine more than I do.
08:14I hear you've been keeping some pretty late nights.
08:18Too much caffeine before surgery leads to unsteady hands.
08:21I can assure you I'm well-rested.
08:23I don't need the coffee.
08:35Your father refused surgery.
08:40His third speech was a side effect of chemo.
08:43Treatment almost took him out.
08:45He doesn't want to try again.
08:48Thanks for letting me know.
08:58I know a lot of girls who didn't have their fathers.
09:01But yours did something theirs didn't.
09:04He came back.
09:06He came back to solve himself of guilt.
09:08It's a gift I'm not giving him.
09:10That's his burden to carry.
09:12Forgiveness isn't for the one you're forgiving.
09:15It's for you.
09:21It's Miles.
09:23His liver's bleeding.
09:27Go.
09:32Go.
09:43They seem like a very nice couple.
09:46Very connected.
09:50I wish I knew how to be like that.
09:54They're not a couple.
09:57Leo's gay.
09:59Can gay people really detect other gay people?
10:02You can if you check out their Instagram.
10:07Dr. Murphy.
10:09I don't think she has arthritis, but I don't know what this is.
10:15Her disorder caused blood-filled pseudotumors in her leg.
10:21The blood ate away her bone.
10:25Your liver was bleeding because your tumor exceeded its blood supply.
10:30It puts you at risk for serious complications.
10:33Even a fatal one.
10:35Please reconsider the surgery.
10:38I'm not afraid of dying.
10:41Where's my daughter?
10:43Why isn't she here telling me any of this?
10:47I think it's time for me to go home.
10:51What about 3D-printed scaffolding?
10:54We could recreate the shape of the bone, graft new stem cells,
10:57and allograft onto it to generate new growth.
11:00Her underlying disorder would eat away the new bone.
11:03Everything I do upsets Leah and makes her mad at me.
11:07I'm not afraid of dying.
11:10Her underlying disorder would eat away the new bone.
11:13Everything I do upsets Leah and makes her mad at me.
11:18Oh. That's what I'm doing here, I'm guessing?
11:21Yes. You're both here because I have two questions.
11:25When I tell my patient her femur bone is destroyed,
11:27she is going to ask if I can save her leg, and I don't have an answer to that.
11:31Leah and I are in love. We're going to have a baby.
11:34We should feel very happy right now,
11:36but I feel like I'm living with a stranger who doesn't want me to breathe on them.
11:41We could do an expandable osseointegrated limb replacement.
11:44Too risky.
11:47Well, you're going to have a kid, Sean.
11:50You can't expect everything to be the same.
11:53Leah's going through a whole lot of changes.
11:55We both are.
11:56No, I'm the same.
11:58Well, maybe that's the problem, Sean.
12:00You're in a relationship with three people now.
12:03We're going to have to make some adjustments.
12:05Both of you.
12:11Okay.
12:13We could use high-density polyethylene on the distal femoral segment to anchor it to the tendons.
12:18I don't like adjusting.
12:29He wanted to see me.
12:34If we discharge him, he's going to die.
12:40I don't expect you would feel anything but contempt for Miles.
12:45He was supposed to take care of you, and he didn't.
12:49And now I'm asking you to do for him what he never did for you.
12:53No, he did take care of me.
12:55He just quit.
12:58He used to pick me up every day after school.
13:03And then one day, he just stopped showing up.
13:09And for years after, I would come home, I'd make sure the curtains were open, and I'd wait.
13:17If a car slowed down in front of the house, I'd imagine it was him coming to grab me up and rescue me.
13:22And I thought if I wanted it enough, he'd come back.
13:25So I just had to want it more, you know?
13:30And finally I gave up, and I stopped looking out the window.
13:38I grieved and buried my father a long time ago, and I'm just, I'm not interested in getting to know him, just to grieve him all over again.
13:51But he's still your father, and you're still you.
13:57Someday you'll hate yourself if you turn your back on him.
14:07We would secure the titanium prosthetic to the hip socket and tibia using cement augmentation for stability and support.
14:14You would have full flexibility and range of motion, and with physical therapy, you should be able to dance again.
14:20If you survive the surgery.
14:23I could die?
14:25Yes. There is a 10 to 15 percent chance, approximately.
14:29Femur replacement is a very complicated procedure, made even riskier by your underlying condition.
14:35The safest route is to amputate. Very little chance of major complication during surgery.
14:41And there have been great advancements in prosthetics.
14:44My dance career would be over.
14:47Most likely. But you would still have your life.
14:51My life is dance.
14:56Do whatever it takes to save the leg.
14:58Oh my. It's too big a risk.
15:02You know what this means to me.
15:07But if there's a chance I could die tomorrow, there's something I have to do first.
15:21I apologize for it.
15:51It is very hard to believe these two are not having sex.
16:21I'm not writing to you.
16:40You should come over tonight.
16:42Unless you need to rest up for your Franken-penis surgery.
16:46He embarrassed me in front of his superior.
16:52Did you get fired? Did you get pulled off the surgery?
16:56I was just getting you back for giving me that rancid coffee.
16:59It was coffee. Plain coffee with one cream and one sugar.
17:04The exact coffee I've seen you have every day for the last three years.
17:07I was being nice.
17:09Same reason I put an umbrella over your gigantic head.
17:12I was being a decent human being.
17:15When did we start doing that?
17:17How was I supposed to know? You didn't dose my coffee.
17:20Because I'm not an emotionally stunted person. You are.
17:23Anything that resembles intimacy freaks you out and you start throwing blows. Low ones.
17:31And if hooking up causes you to cross boundaries like that, it's better to go back to the way things were.
17:36Barely friends. No benefits.
17:51You're in love with him. Aren't you?
17:56Is that why you're having the surgery?
18:00You're afraid that if you lose dance, you lose him?
18:05You are risking your life to save something that isn't real.
18:14Leo and I share a life together.
18:17We're partners in every sense of the word. Except one.
18:26My best friend growing up was a girl named Rachel.
18:33She and I lived in a very religious community, so it was kind of assumed we'd get married.
18:40Which was fine with me because Rachel was beautiful and smart and funny.
18:51And I loved her.
18:54But then I fell in love with the boy down the street.
18:58He never knew. Nothing ever happened between us.
19:02But it's like all of a sudden the world lit up.
19:10And I realized Rachel and I wasn't enough.
19:15I'd been lying to myself and to her.
19:21She deserved to be loved and wanted in a way that lit up someone's world.
19:33And she spent years loving someone who could never give her that.
19:40You need to tell Leo how you feel.
19:49We share our secrets. Our pain.
19:54He listens to me when I'm at a bad day.
19:57He holds me when I'm scared.
20:03I don't want anything to change between us.
20:08Do you like me to spin you?
20:32Okay.
20:36Okay.
20:48Okay, this swaying is making me feel really pukey right now.
20:53Could we maybe try this at another time?
21:06Okay.
21:18I feel disconnected from you and the baby,
21:28which, yes, you are very connected to already,
21:32but I don't feel anything because it is not a baby yet.
21:37It is a fetus, and it is making my girlfriend sick and mad at me,
21:45and I feel very alone.
22:03You are being so selfish.
22:09I'm growing your baby, Sean,
22:11and reading books and making appointments
22:13and taking vitamins the size of my face and working a full-time job,
22:16and on top of that, you just dropped on me
22:19that you don't feel anything for our baby
22:22and expect me to make you feel loved and connected and, yeah.
22:29No, you know.
22:33Okay.
22:55Dr. Lim suggested I come talk to you.
23:01I know you deserve better than me.
23:04You deserve the father, and I failed you,
23:07and I can't make up for that.
23:10Breeze and I were high school sweethearts.
23:12We thought we were gonna take over the world together.
23:16We were young and naive and stupid,
23:21and we got pregnant before graduation.
23:24I had a scholarship to Howard,
23:26but it didn't cover family housing,
23:28and I gave it up because I wanted to be there.
23:31And yet you left the family you gave it up for.
23:33You should have taken the scholarship.
23:35We got married, and we gave it a go for a while,
23:39but I could not handle Breeze's mental illness.
23:41When we broke up, she made it hard to see.
23:44Don't blame her for what you didn't do.
23:46I am not blaming her.
23:48I was immature.
23:50At least she was there.
23:52At least she stuck around.
23:54Drunk and sick and out of her mind.
23:56I-I waited for you, and I loved you,
24:00and you left.
24:02Claire, I've always loved you.
24:04Nothing could change that.
24:07I thought about you every single day.
24:10You know what? I don't care.
24:12Thinking about me wasn't enough.
24:14It didn't do anything for me at all.
24:17And you...
24:20You could have fought for me.
24:23You could have come back for me.
24:27I ran away.
24:29I was a coward.
24:32And I stayed away because I was running from my own guilt.
24:42Whether I'm in your life or not, you should get the surgery.
24:46Because if you don't...
24:49then you're still a coward.
24:53āŖāŖāŖ
25:08I feel scared, too.
25:13What are you scared of?
25:17Everything.
25:19And I don't want to go through this alone.
25:23I don't want to go through nine months
25:25knowing you view this baby as a medical condition
25:29you don't feel anything for.
25:32I'll resent you.
25:34And that scares me more than anything.
25:40And I want to help you feel connected.
25:49Oh, no, sorry. We're not having sex right now.
25:52I realized that was misleading.
25:54I want you to put your head on my belly and talk to Barry.
26:01About what?
26:03Anything.
26:05āŖāŖāŖ
26:20Hello.
26:23Barry.
26:27My patient is a 26-year-old ballroom dancer
26:32with Bernard Soulier syndrome.
26:35She presented with a retroperitoneal bleed
26:40that now needs a total femur replacement.
26:43It is a very risky surgery.
26:50I am your father, and I am a surgeon.
26:56Did that make you feel better to talk to him?
27:02No.
27:04That fetus can't hear any sounds until 18 weeks,
27:07and we don't know if it's a him yet
27:09because it doesn't have fully formed genitals.
27:11I will see you at your appointment later.
27:15I don't think you should come.
27:21There's a chance it's not a good idea.
27:24There's a chance it's too early to hear a heartbeat,
27:27which will make me feel sad and scared.
27:30And if I can hear it, I will feel happy.
27:35And either way, you will probably feel nothing.
27:41And that'll make me feel more alone than I already do,
27:44so you should just not come.
27:48Okay.
28:18Okay.
28:49Isn't it possible Leo loves Maya as much as she loves him?
28:54Does it matter that he doesn't want to have sex with her?
28:57Sex isn't just about sex.
29:00It's about intimacy and desire
29:03and a deep, mutual physical connection.
29:06She thinks she has that.
29:11That's the last of the proximal femur.
29:14Let's get the distal end out.
29:16Maybe Maya and Leo have such a strong relationship
29:19because it's based entirely on an emotional connection.
29:25She's hypotensive.
29:27There are secretions around her breathing tube
29:29and her oxygen levels are dropping.
29:31She's rejecting the platelets.
29:33Stop the transfusion.
29:35Increase her oxygen and respiratory support.
29:37Start dopamine and epinephrine.
29:41BP's 87.
29:44BP's 87 over 52.
29:47She's stabilizing.
29:48But without the transfusions,
29:50her risk of bleeding out goes way up.
29:53Are we going to move forward or amputate?
29:59Her partner's her proxy, right?
30:03He's got a decision to make.
30:06Oh, my God.
30:14She trusted me to protect her wishes.
30:17And she wants to dance.
30:20You should try to save her leg.
30:29Maya's in love with you.
30:33Maya's in love with you.
30:36That's why she's having the surgery.
30:38She thinks if she loses dance,
30:40your relationship will end.
30:43And only you know if she's right.
30:47If she is, if losing her leg
30:50means losing the two things she loves most,
30:52then maybe you should honor her wishes.
30:55But if she's wrong,
30:57if you do love her and will stay with her no matter what,
31:01then you should do whatever it takes to save her life.
31:04Of course I'd love her.
31:07There's no question that I'd love her.
31:09So the only question is...
31:13how much?
31:19Miles is stable.
31:22But we found significant polyp burden
31:27not detected on his CT,
31:29and we sent to biopsies.
31:32His cancer was caused by familial adenomatous polyposis.
31:37That's genetic.
31:3950% chance of carrying the gene
31:41if you have an affected parent.
31:43You need to get a genetic test.
31:46Even if you have the gene with regular colonoscopies,
31:49we'll be able to catch it.
31:58What's this?
32:00Male, late 20s, needs bilateral carpal tunnel release surgery
32:03that he got playing in the United States Chess Federation.
32:09You like to play chess with Kellen.
32:11Your game sucks. Figured you might learn something.
32:19This is you being a decent human.
32:27Maybe sometimes it's not terrible.
32:31This is delightful.
32:34I can give it to someone else.
32:36Thanks.
32:46Are you glad you went to see your father before he died?
32:50No. My father hurt me.
32:52He was a bad man who did bad things.
32:55I already knew that.
32:57My father hurt me, too, by leaving me.
33:02He didn't even try to be a good dad.
33:07How can you be sure he didn't?
33:10Maybe he did try and he couldn't.
33:15Well, if something is important to you, you make it happen.
33:20But what if you can't?
33:22What if you are trying to connect with your child
33:26and it just doesn't work?
33:34It is difficult to feel something for someone you don't know yet.
33:44Do you want to know what kind of man your father is?
33:52Why would you do this to me?
33:55I told you I was willing to take the risk.
33:59I wasn't.
34:05I love you. I couldn't risk your life.
34:08I'm so sorry. But I'm here.
34:11I'm not going anywhere.
34:13You're not going to leave me.
34:15You're not going to leave me.
34:18I'm here. I'm not going anywhere.
34:22You're not going to lose me.
34:27We're going to get through this, Mike.
34:31We'll be okay.
34:38I sleep all the time and I'm still tired.
34:40When was your last bowel movement?
34:42I don't know. A couple days.
34:45Sean, what are you doing here?
34:48Smile.
34:50What?
34:51There is something in your teeth.
34:52Sean.
34:54Do you eat a lot of black licorice?
34:57Yes.
34:58You should stop.
34:59Eating too much black licorice can lower potassium,
35:01which causes fatigue and constipation.
35:03Stop eating it.
35:05That's it?
35:06Yes.
35:09Leah doesn't want me at her OB-GYN appointment.
35:12There's a woman in the waiting room
35:14with a very interesting mole.
35:20The year Maddie was born,
35:22I took on twice as many surgeries.
35:25I hid at the hospital.
35:27I was afraid that I was going to piss off my wife.
35:30Sound familiar?
35:31Upset my daughter.
35:33I thought you liked being a dad.
35:35I did.
35:36I just didn't think I was very good at it.
35:39It didn't come naturally to me,
35:42not like brain surgery.
35:46I missed a lot.
35:49Sometimes I think if I had been there
35:52for the swaddling and for the changing of the diapers
35:56and seeing her first steps,
36:02Sean, do yourself a favor
36:05and be there for as many moments as you can.
36:26Taking the stairs.
36:29Taking the scenic route.
36:31Car needs brakes and Uber's taking forever.
36:36Chess guy's super cool.
36:38He's going to teach me Petrov's defense while he heals.
36:45I didn't mean to take things so far in front of Andrews.
36:48I guess I had a tiny overreaction.
36:51It's okay for us to be nice to each other.
36:54Sometimes.
36:59You headed home?
37:02I wouldn't mind some company if you're up for it.
37:06See?
37:08Nice is good.
37:12Sometimes.
37:14I'll see you at your place.
37:29Where's Leo?
37:32I don't know.
37:35I asked him if this could be enough.
37:39If I could be.
37:42He loves me.
37:44I knew that.
37:46But not enough.
37:52I suppose I knew that too.
37:56As long as he was here,
37:58I would never make room for anyone else.
38:02So I asked him to go.
38:14I'm sorry.
38:16It's okay.
38:18I'm sure there are a ton of great guys who'd be happy to help.
38:22I'm sure there are a ton of great guys who'd want to be with a one-legged,
38:26unemployed former dancer with chronic nosebleeds.
38:52I'm sorry.
39:01I've been mad at you for so long.
39:05I...
39:07That I couldn't feel any other emotion.
39:10Just anger.
39:12Angry at you.
39:15Angry at myself for secretly wishing you would turn up on my doorstep my entire life.
39:22I thought I'd outgrown it.
39:31But when you went into surgery today,
39:36I didn't feel anger.
39:38I felt...
39:41fear.
39:52Ah.
40:09I need some...
40:10I need to get some rest.
40:17When you feel better, you...
40:20You can take me for Rocky Road.
40:24It is still my favorite now.
40:43I love you.
40:51I love you.
41:09Are you ready?
41:11Mm-hmm.
41:15You came.
41:18Hello. I'm Dr. Sean Murphy.
41:22I'm the dad.
41:24Nice to meet you, dad.
41:27We just got started.
41:29Where did you go to medical school?
41:31Sean.
41:32Her diploma is not on the wall. I would like to know.
41:34Just be the dad.
41:36Sit there, be quiet, do nothing.
41:41Is that the...
41:44That's the heartbeat.
41:46Right there.
41:51We're having a baby.
42:02We're having a baby.
42:10We're having a baby.
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