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  • 5/20/2025
The Good Doctor Season 4 Episode 9

#TheGoodDoctor
#ShowMoviesTV


Transcript
00:00Your primary care doctor was right. The mass is on the smaller side.
00:04We'll confirm with the new images, but it should be manageable with medication.
00:08No surgery needed.
00:10My fiancé will be so relieved.
00:12He's worried I'll look like Frankenstein in all our photos.
00:16Also that I might die.
00:18When's the big day?
00:19June.
00:21You've been dealing with wedding planning on top of a pituitary tumor?
00:25You deserve a medal.
00:27Our medical records system, on the other hand, it has you listed as female.
00:32Probably because of the pap smears.
00:34Software clearly needs a trans update. Deep breath.
00:36I'll fix it so everything is correct going forward.
00:39Please confirm your gender and pronouns.
00:41Male, he, him, his. Thanks for asking.
00:43We're the ones with the messed up software.
00:45Your scans from this morning were just uploaded.
00:50In less than two weeks, the tumor has doubled in size.
00:58You're just too good to be true.
01:00I can't take my eyes off of you.
01:03You be like a heavy touch.
01:0534-year-old female, Laura Norton, tachycardic and delirious.
01:08Dr. Garan, update vitals. Dr. Walt, draw bloods for CBC and electrolytes.
01:13Next.
01:15Dr. Garan, update vitals. Dr. Walt, draw bloods for CBC and electrolytes.
01:21Pupils are dilated but reactive.
01:23Miss Norton, smells like you've had some marijuana?
01:26Mm-mm. I just unloaded a shipment at the dispensary.
01:29Test for THC and a full tox screen?
01:31I am a peddler, not a user.
01:34Run it.
01:35BP is elevated 180 over 115. That could explain the delirium.
01:38Oh, that's down high. Let's take my meds.
01:41See, I'm never missing. Oh, no.
01:44No, that's not it.
01:45BP's climbing 210 over 120.
01:46And a lactyl at 1.25 milligrams IV.
01:48Miss Norton, do you remember the name of your medications?
01:50Call me Laura. It's right here on the...
01:54Okay, forget about the meds. She's not taking any. This is untreated chronic hypertension.
01:58What if you're wrong? What if she's on a loop diuretic?
02:00Her pressure, this could cause renal failure.
02:03She's heading into hypertensive crisis.
02:05What if we try an angiotensin receptor blocker? No drug interaction.
02:08Angiotensin receptor blockers work too slowly.
02:10I'm giving her the ACE inhibitor.
02:15BP's going down. Nice call.
02:35Latest budget report?
02:37Yeah, the PDF's sitting in my inbox. I'm trying to ignore it.
02:41And thus.
02:44A sit-down visit.
02:46Just checking in, see how you're doing.
02:48Okay. You?
02:49Me? I'm recovering from the year.
02:52Like everybody else. Pandemic, the surge.
02:56You were here for every minute of every day. It must have taken a toll.
02:59Right. Comes with the territory.
03:02You're not stressed or distracted?
03:05I'm tired.
03:08Okay, well, maybe you should take some time off?
03:12No.
03:15Thank you. I'm fine.
03:21You don't seem fine.
03:28Are there issues with my work performance?
03:30No, you do great work.
03:31And I'm not sure why we're having this conversation.
03:33Because I'm worried about you?
03:36Because other people are worried about you?
03:39There's no shame in struggling a little bit.
03:42You know what would be weird is if you didn't struggle at all.
03:47If you need to see someone, the hospital will cover the cost.
03:50Great. You'll pay my bills.
03:53And the damage to my reputation, who takes care of that?
03:57I don't think that seeing a therapist will affect your career.
04:03Says the white guy.
04:07Okay.
04:10Privacy protections are there for a reason. No one needs to know.
04:14Thank you for checking in.
04:32How you feeling?
04:33Good.
04:34Be better when I understand what landed me up in here.
04:37You had an acute hypertensive crisis.
04:39Oh, I know my blood pressure's high.
04:41I'm already on medication for it. You probably want to know what it is.
04:44There's no medication.
04:46We need to do an echocardiogram to make sure your heart wasn't damaged in the crisis.
04:50Fine by me.
04:52Here's 10% discount on any purchase over $50 or more at Z and B Naturals.
04:57I'm Z. B is my partner, Bill.
05:00You're surrounded by pot all day every day, but you never touch this stuff?
05:03How? Why? It's just never been my thing.
05:10The name always trips me up.
05:12Chlorothaladone.
05:13That's for hypertension.
05:15The bottle seems pretty full. How long have you been on this?
05:17About six months. Just refilled it. I take it every day.
05:26Smile.
05:28Head tilt.
05:30Now he smiles.
05:33Bursts of laughter.
05:45Rio Gutierrez, 29. Pituitary mass went from manageable with meds to likely surgery.
05:50So, talking to a new radiology resident, huh?
05:54I want to doctor D'Souza's opinion on an intriguing set of scans. She is very talented.
05:59You're questionable, Herr.
06:01No. I am not. I love Leah.
06:05Those two things aren't mutually exclusive.
06:08Mr. Gutierrez's blood has high levels of prolactin.
06:12Prolactin is produced in the pituitary gland. The tumor could be secreting it.
06:15Or the tumor could be reacting to the high levels of hormones being produced elsewhere in the body.
06:19The patient is a transgender man.
06:25Do an ultrasound.
06:28Pass the probe until you see the cardiac chamber.
06:32Maybe Zara has secondary hypertension due to renal vascular disease.
06:35She doesn't. Her creatinine is 1.2. Her GFR is a normal range.
06:39That would make it unlikely, but not impossible.
06:41That would also explain why her prescribed hypertension meds weren't working.
06:44And why she got better when you gave her the ACE inhibitor.
06:46Simpler explanation. She's not taking her meds. Valve looks normal.
06:50Should I move on to the tube chamber review?
06:52Yeah.
06:53We have no reason to think that she's lying.
06:55She seems to be telling the truth about her pot usage. No THC in her blood or urine.
06:59She can possibly be lying about something else.
07:02The left ventricle is thickened, which is consistent with untreated hypertension.
07:08Heart rate's climbing.
07:11Cardiac output is dropping. Stroke volume as well.
07:14She's in cardiogenic shock.
07:19Would you mind if I did an ultrasound on your abdomen?
07:22For a brain tumor?
07:23This is my fiancé, Eli Simpson.
07:27When I heard about the new scans, I kind of stormed the castle.
07:31My hero.
07:33Your prolactin levels are very high, which might be caused by the tumor.
07:36Unless another condition raised your prolactin, encouraging more growth.
07:40What condition boosts prolactin?
07:43Do you think I'm pregnant?
07:46He can't be. He's on testosterone.
07:48Except for a few weeks last month, I forgot to take my shot before I tripped.
07:53But there's no way that...
07:54You're pregnant.
08:08You went into cardiogenic shock because your heart wasn't pumping adequately.
08:12We did a minor procedure and installed an impella pump.
08:15But it's a short-term solution.
08:17I do feel a little out of breath.
08:19But that might be just because of you, Dr. Andrews.
08:22Ms. Norton, I'm a married man, and you're a doctor.
08:26You have a rare condition.
08:27Certain parts of your heart muscle have become abnormally thick.
08:31So, this wall in between the chambers, that's the septum.
08:34That's a normal one.
08:37This is what yours looks like.
08:40It's going to require surgery.
08:42We're going to run a few more tests to determine the best approach.
08:46Wait, are you going to be my surgeon, Dr. Andrews?
08:48I sure will.
08:50Are y'all two going to be with him?
08:52Yeah.
08:54My lucky day!
08:56Three doctors of color taking care of me.
08:59Doctors who won't talk down to me.
09:01Not exactly what I'm used to.
09:03You guys know what I mean.
09:04My mother made me wear a suit and tie whenever we went to the pediatrician.
09:09But on your Sunday best, it's to get on the scale and touch your toes.
09:12Yeah.
09:13Made me so mad, I wound up becoming a doctor.
09:17The testing confirmed your tumor is a hormone-producing prolactinoma,
09:22and the pregnancy is about six weeks along.
09:25Do you consider yourself gay?
09:29I don't think that.
09:30Yes.
09:31Because I am gay.
09:33But you have vaginal intercourse with your fiancé.
09:36That is how he got pregnant.
09:38Dr. Murphy, that's enough.
09:40I think you should leave.
09:41I just want...
09:51I'm sorry.
09:52That was completely inappropriate.
09:56Our treatment plan for your tumor depends on your plan for your pregnancy.
10:01So...
10:06We've talked about kids, but...
10:09I always figured that was way down the road.
10:13Not this way.
10:15I always assumed we'd adopt.
10:19I'd have to go off T and stay off.
10:23If Rio doesn't continue the pregnancy, then what happens?
10:28Your hormone levels would drop quickly, which would cause the tumor to shrink.
10:31After that, we'd use medication, possibly a minor surgery.
10:36I'd like to terminate the pregnancy.
10:41I looked over all of Lazara's labs.
10:43All signs point to her taking her hypertension medicine regularly.
10:47Her MRIs show significant ventricular septal thickness,
10:51bad turbulence, jet flow.
10:53There's myocardial edema, too.
10:56Asinoperters are a bad call.
10:59Which eventually sent our patient into cardiogenic shock.
11:06Why'd you ignore what she was telling us?
11:10I made a medical diagnosis based on pattern processing that we're taught in med school,
11:15which involves considering race, education, occupation, BMI.
11:23Always sounded like profiling to me.
11:35The wind, that rain's going to be coming in sideways.
11:37Just take a look at how the wind increases as we progress throughout the day.
11:41So this afternoon, we're talking about 50 mph gusts as possible.
11:45Sorry for crashing. Radiology doesn't have a TV.
11:50Do you like the weather channel?
11:54I find it soothing.
11:57Would you like to join me?
11:59Now you've got the wind picking up.
12:00Now you have a more intense rainfall coming through,
12:03and that's going to also lead to some flood potential,
12:05because all of us are going to get into the action.
12:08Would you mind if I lowered the volume by four output levels?
12:13Oh, that would be perfect.
12:16Perfect.
12:31I find the reflection on the screen so distracting.
12:37So do I.
12:46Could I do this?
13:17Oh.
13:40Nurse paged me.
13:43Is something wrong?
13:46I've changed my mind.
13:50I want to keep the baby.
13:55Since you're continuing the pregnancy, we'll need to surgically remove the prolactinoma.
14:00So you'll cut into his brain?
14:03Our safest option is to go in through the nasal cavity,
14:05in what's known as a transphenoidal surgery, TSS for short.
14:09It's less invasive than our other option.
14:13That still sounds dangerous.
14:14I've made up my mind.
14:16Do I get any say in this?
14:20I'm all for us having a family, but I'm not ready to...
14:23No one's ever ready for kids.
14:25Yesterday you said that you never considered getting pregnant,
14:27and now you're willing to risk your life for it.
14:34When I was about seven, I had this one refuge.
14:38I'd hang a quilt over a couple chairs and hide out with my two buds.
14:45Foxy the fox and Fuzz the lion.
14:48And I'd imagine I was the dad.
14:54And they were my twin little guys.
14:58Fraternal, obviously.
15:01We were a family.
15:03We were a family.
15:07When I transitioned, I put that dream aside.
15:11At least as far as them coming from me.
15:13But now...
15:18Whether we planned it or not, this is our baby.
15:28How soon can you do the surgery?
15:30I'll order an image guidance MRI to get things started.
15:42Based on the cardiac MRI and catheterization, there are two treatment options.
15:46Myectomy, basically open heart surgery, and alcohol septal ablation,
15:51where we use the alcohol to kill targeted sections of the heart muscle.
15:56But what would you recommend?
15:57This surgery is more invasive, tougher recovery, but better efficacy long term.
16:03The ablation is less dangerous, but you are more likely to need further medical interventions.
16:09Now you call that a recommendation?
16:11There are pros and cons to both.
16:13You'll need to weigh them.
16:15I'll give you some time.
16:17You always want to take care of people, Dr. Brown.
16:20Pretty much.
16:22Me too.
16:24Me too.
16:26You run a marijuana dispensary.
16:28It's not all about getting people high.
16:30No, maybe not, but I'm guessing most of your clientele...
16:34My great aunt Lucy had pancreatic cancer.
16:39A year she hung on.
16:41In agony.
16:44Marijuana was the only thing that helped her eat or sleep.
16:48Doctors didn't give her anything for the pain?
16:50They suggested ibuprofen.
16:53Now you know doctors are 22% less likely to give pain meds to black patients than to white patients with the same symptoms.
17:02My point is, you and I, we're a lot alike.
17:06We're both strong black women finding our way in the world, but one of us knows more about medicine than the other.
17:12So, I'd like to know what would you do in my situation?
17:16The open myectomy is a bigger risk, but offers more long-term benefits.
17:24I've made my decision.
17:28I'm with you, Dr. Brown.
17:30Book the myectomy.
17:40Here's the Rio Gutierrez image I sent you.
17:43Here's the Rio Gutierrez imaging for your upcoming TSS.
17:46Set that on the table, please.
17:52I, um, I noted the tumor's supercellular expansion and surrounding edema and displaying of circle of Willis.
17:59That is very helpful.
18:04Bye, Dr. Murphy.
18:09You're safe, Sean. She's gone.
18:10Not really.
18:13Dr. D'Souza is still in my brain. I don't like it.
18:17We kissed.
18:19When?
18:20I have so many thoughts about her, and I have so many questions I want to ask Rio.
18:24Wouldn't he get more pleasure?
18:26Questions you're not supposed to ask him. The kiss, Sean. When did you kiss?
18:29Last night. In my dream.
18:32If I can't ask questions, how do I understand?
18:37My brain, my brain isn't behaving the way I want it to. How do I make it stop?
18:47You're attracted to Dr. D'Souza. Why does that bother you?
18:53When I was with Carly and had feelings for Leah, it meant I was supposed to be with Leah.
19:01What if this means I'm supposed to be with Dr. D'Souza?
19:03No. You've loved Leah for years. This is just attraction.
19:10But shouldn't loving Leah make it go away?
19:15Relationships would be a lot easier if it worked that way.
19:20You're feeling guilty. I say take Leah out for a nice dinner. Something special.
19:24And tell her about my crush. I need to let Leah know.
19:29No, you do not.
19:30No, you do not.
19:32Why don't I get your thoughts on the supercellular extension of the tumor from Steve?
19:35You remember Sarah Pepper runs nephrology at S. Averigil?
19:38Always wears a shawl?
19:40So, during a staff meeting last week, she fell apart. Screaming, crying in front of the whole department. Totally nuts.
19:47Rough day at the office. I wonder how you'd approach and resect without getting a CSF leak.
19:52Yeah. Place a lumbar drain, then infuse saline and do Valsalva maneuver.
19:58Apparently, Pepper's meltdown was so over the top, the hospital forced her to take a leave.
20:04How long?
20:05Unspecified. She's always been a little crazy.
20:09Last I checked, eccentric and emotional didn't qualify as crazy. Thanks for taking a look.
20:15I read that cisgender people often reduce transgender people to their genitalia and that that is offensive.
20:22Did I do that to you and Rio?
20:25Yes.
20:28I'm sorry.
20:33Rio will be going into surgery soon.
20:37He's been asking for you. You haven't been answering his questions.
20:41He's been asking for you. You haven't been answering your phone.
20:45Thanks for letting me know.
20:51He is very confusing to me, too. Rio has worked so hard.
20:56He had a bilateral subcutaneous mastectomy and takes hormone replacement therapy, but now he is choosing the most female act.
21:08It's not female if Rio's doing it.
21:12Yes. And he must have dealt with a lot of prejudice during his transition. I dealt with prejudice. My brother helped me. Does he have a brother?
21:27His family doesn't talk to him.
21:34And now Rio is having brain surgery.
21:37He is very brave. You can stay here.
21:47I have a patient, Zora Norton. We diagnosed her with Holcombe.
21:53I saw the file.
21:55Dr. Guerin expressed some concerns about my initial handling of the case in the ER.
22:01He thinks I stereotyped her based on her race.
22:05Do you think you did?
22:08She was crashing. I had to make a call. I didn't have a lot to go on.
22:14Glassman came to see me this morning. Someone told him I'm unstable and need help. Any idea where he heard that?
22:23I asked for help. You can, too.
22:26You're a resident. No one cares if you need help.
22:27I got this job in part because my main competition, a man, backed me. The second anyone thinks I can't handle this...
22:35No one is going to think that.
22:37They will if you keep telling them I'm a mess.
22:39You have PTSD. You shouldn't be ashamed.
22:43Says the woman who just profiled a black female patient.
22:48You judged her.
22:49Just like people will judge me and whisper that I've always been a little intense, so no wonder I was asked to step down.
23:00Nobody needs to know.
23:04Exactly.
23:08You tell me that it doesn't matter. You tell me everyone will understand. And then you tell me to keep it to myself.
23:13Should I be ashamed or shouldn't I be?
23:16All right, Ms. Norton, time to head to pre-op.
23:22What's in the bag, handsome? I like to know what goes into my body.
23:27It's Cefazolin. It's a prophylactic antibiotic we give before surgeries.
23:31Makes sense.
23:33Hey, what was the med y'all gave me when I first got here to the ER?
23:36Enolaprolat. It's an ACE inhibitor.
23:38Isn't that for hypertension?
23:40Mm-hmm.
23:42But I thought I already told you I was on meds for my blood pressure.
23:46You did.
23:48So you figured I needed more?
23:53Or did you not believe me?
23:54So you figured I needed more?
23:59Or did you not believe me?
24:15I'm sorry.
24:20You must be scared.
24:22You shouldn't have to be scared alone.
24:26I love you.
24:28I love you too.
24:34Eli.
24:38I can't see you.
24:40I'm right here, babe.
24:42Can you follow this with your eyes?
24:46It keeps disappearing.
24:47We've lost peripheral vision.
24:49The tumor is impinging on the optic fibers.
24:51We can't perform the TSS surgery.
24:58With the tumor's continued growth,
25:00the best remaining option is the open pteronal craniotomy.
25:03But it is higher risk with a lengthier recovery.
25:07All of which is on top of the potential for gender dysphoria during pregnancy.
25:11Is that still a concern?
25:15I think back to before.
25:17Before I started taking T.
25:19How terrible that felt.
25:23The thought of feeling that all over again.
25:29We could go back to the original plan.
25:34You mean terminate the pregnancy?
25:37The tumor should shrink on its own.
25:42After everything you've done to get where you are in your life,
25:46it's scary to think about doing something that would put that at risk.
25:53This is my next step.
25:56I'm ready to take it.
25:58Even if I'm scared.
26:02You have to take risks sometimes, Dr. Lim.
26:16Shouldn't you be prepping Zara for surgery?
26:19It's cancelled.
26:21She wants to be transferred to a different hospital.
26:24One where she won't be racially profiled into heart failure.
26:36Sean?
26:38You okay?
26:41I am having thoughts.
26:43I don't want to have both Park and Jordan say I shouldn't tell you.
26:48But you're going to, aren't you?
26:52Yes, I am.
26:54I have a work crush.
26:56Also, my patient is a pregnant trans man.
26:58Okay, one at a time, Sean.
27:00About this... crush?
27:03Her name is Dr. Cynthia D'Souza.
27:05She is a second year radiology resident.
27:07Last night I dreamed we were in the resident's lounge watching the Weather Channel,
27:10and then we started kissing.
27:11Okay, I got it.
27:14Are you mad?
27:16Park and Jordan were right. I shouldn't have told you.
27:19No, I'm not mad.
27:21A little surprised, but that's okay.
27:28I'm still attracted to other guys sometimes.
27:32No.
27:34No? What? Who?
27:36It doesn't matter.
27:38Who?
27:39Okay, there's this one physical therapist.
27:42No.
27:44No?
27:46No.
27:50What if we're attracted to other people because there is something wrong with our relationship?
27:59You're not planning on kissing Dr. D'Souza in real life.
28:02No.
28:03Or working late with her, doing some x-rays alone where you might end up leaning over the same light box.
28:11We don't use light boxes anymore.
28:18And I don't plan to work late with her.
28:20Then I don't think either of us has anything to be worried about.
28:34I have to go prep for a teratonal craniotomy.
28:43I'm Dr. Glassman, president of the hospital.
28:47Unless you're here to drive me to SF Regional, you can head right back on out.
28:52I apologize for your experience in the emergency room.
28:56That's mighty wide of you.
28:57That's mighty wide of you.
29:02I don't recommend that you transfer to SF Regional or any other hospital for that matter.
29:07I'm sure they got the same fancy equipment, same shiny sets of diplomas y'all got here, and maybe a few less racist doctors.
29:15Well, apparently that doesn't seem to be the case.
29:17I pulled data on comparable hospitals within a hundred miles.
29:21Did numbers on surgical outcomes and patient satisfaction aggregated by race.
29:29Apparently we're doing well, comparatively.
29:36Your argument is that your hospital may be racially biased, but it's less racially biased than these other hospitals.
29:44Yeah, pretty much.
29:46Yeah, pretty much.
29:49Stay at St. Bonaventure. The president of the hospital will monitor your care every step of the way.
29:56For whatever it's worth.
29:58I don't think you can do better than that.
29:59I don't think you can do better than that.
30:10She's gonna stay on one condition.
30:14That you're off the team.
30:25Dr. Park, please open Sylvia and Fisher.
30:27Brachmo knife and rotund dissector.
30:31Tumor is visible.
30:35What makes someone a man?
30:39I thought it was just the chromosomes, but that must not be it.
30:43Which makes things confusing and difficult, and I know Rio was uncomfortable.
30:48Life is uncomfortable.
30:50It hits you with tough situations and you muscle through them.
30:52I see a tiny bleed in the circular sinus. Pack it with Flo-Seal.
31:03Someone give me an update.
31:05We got a drop in end-tidal CO2 and oxygen set.
31:07See any evidence of exposed air cells?
31:09No, but waxing bone edges just to be safe.
31:12But the tumor thinned the cellar floor and sphenoid wall.
31:16Making it permeable to oxygen.
31:19It's an air embolism.
31:20BP's dropping.
31:24Dr. Lim, what should we do?
31:51Saline gauze.
31:53Tip the table to eliminate the negative air pressure gradient and place a central line.
31:58This will stop the air leak and allow us to access the air bubble.
32:01Inserting Gunagen air aspiration cath.
32:05You are two centimeters from the superior vena cava.
32:09Aspirate the right atrium until you don't see any more air bubbles.
32:21Nice save, Dr. Lim.
32:24Let's get this tumor out.
32:26Make your transverse erototomy with pot scissors, Dr. Wolk.
32:31Extending the muscular incision down to the mid-ventricle.
32:35There's the myectomy site.
32:38There's the aberrant muscle bundle.
32:51Bypass.
32:53See how she does.
32:55Bypass.
32:57See how she does.
33:17How's the cardiac output?
33:19Good.
33:21How's the cardiac output?
33:23Reduced and insufficient.
33:26Low output could mean we need to further reduce the septum.
33:30Unless it means that we reduced it too much.
33:32Damage the cardiac electrical conductors that control the heart rate.
33:35She's having third degree heart block.
33:37Henrique's right.
33:39We took too much muscle.
33:41Put her back on bypass.
33:43We could augment the wall with a bovine patch.
33:45Still wouldn't insulate the electrical system.
33:47She'd still be at risk of complete heart block.
33:48She'd still be at risk of complete heart block and cardiac arrest.
33:54We could insert a dual chamber pacer.
33:57She won't need the conduction system in the wall of her heart to control her heart rate.
34:03Let's go.
34:10How's the craniotomy?
34:12It went well. The patient is in recovery.
34:18Your text said you have good news.
34:21And by good news I mean bad news for Dr. DeSouza.
34:24Plenty of great stuff to crush a crush.
34:27First observation.
34:29She smells like cinnamon.
34:35Which is more puzzling than irritating.
34:38Actually kind of nice, which is obviously not helpful.
34:41Oh, okay. She does this weird self-grooming gesture where she tucks her hair behind her ear.
34:48And it sort of massages her ear.
34:50Also not helpful.
34:52Okay, I'm sorry. I'm sorry.
34:55Okay, at the salad bar.
34:57She used the cucumber tongs to reach for the cucumbers.
35:01And then the tomatoes.
35:06And the olives.
35:10And the pickles.
35:18Okay.
35:48Hey.
35:51Hey.
35:54I can see all of you.
36:01How'd we do?
36:03Great. We got all of the mass. Vision is restored.
36:07You have every reason to expect a full recovery and a healthy pregnancy.
36:15We're gonna be dads.
36:19Are you ready?
36:23I've never been a pregnant man before.
36:27You'll always be the best man that I've ever known.
36:44Came to see how you're doing.
36:45Came to see how you're doing.
36:47Dr. Andrews told me you were the one who figured out how to save me.
36:55Still don't change what went down earlier, though.
37:04When I got to med school,
37:09people took one look at me and they thought they knew exactly who I was.
37:13Black girl in financial aid.
37:17She must not be that smart. She must have gotten a lot of breaks.
37:22She'll probably need a lot more.
37:29And I worked.
37:32I worked so hard to prove them wrong.
37:37That I wasn't who they thought I was. That I deserved to be there.
37:40That I fit in.
37:48But when you came into the ER,
37:53loud and messy,
37:58I saw everything. I have tried hard not to be.
38:06And I think it made me angry.
38:14And I'm ashamed of that.
38:19And I'm really sorry.
38:24I used to be that way.
38:29But I got tired of working that hard to make white people comfortable.
38:35I'm sorry.
38:52You two heading out for the night?
38:57We saw our...
38:59How did the craniotomy go, Sean?
39:02Did you guys get all the prolactinoma?
39:05Yes.
39:07Is that cafeteria salad?
39:11Are there pickles in there?
39:15Did you want some?
39:17I'm good, thank you. Sean?
39:20No, thank you.
39:28It does help to focus on her irresponsible salad bar practices and dietary preferences.
39:32I've got a ton of strategies to manage discomfort.
39:36So do I.
39:40Hey. Hey.
39:42To replenish your supply, and a peace offering.
39:47I wasn't aware we were at war.
39:50Well, it seemed like my gossip about Pepper kind of landed wrong.
39:55Bad day.
39:57Sorry to crash the party. Dr. Glassman wanted me to show this to you two.
40:02I asked Leah to run some numbers on various metrics by race, and the results are not great.
40:09Especially when it comes to pain management.
40:11We are under-treating African-American and Latinx patients by a considerable margin.
40:17I think I need a little of that peace offering.
40:19Help yourself.
40:21Anyone else?
40:23No, thank you.
40:25Me neither.
40:33I...
40:36started taking sertraline.
40:40For PTSD.
40:44Sorry to hear that.
40:47Are you doing okay?
40:51Not really.
40:54But I'm...
40:56working on it.
40:59Okay.
41:03Dr. Brown.
41:05Good work.
41:33I apologize to Zara.
41:38She pointed out...
41:40I spent med school...
41:43trying to make white people comfortable.
41:49And she's right.
41:51It wasn't just med school.
41:56Exhausting, isn't it?
41:58We had to do it, right?
42:01To be here?