The Good Doctor Season 4 Episode 4

Quick Flicks

The Good Doctor Season 4 Episode 4  #TheGoodDoctor #ShowMoviesTV

Transcript

00:00Move from Vujingasana into Adhobhuku Savadasana and hold that.

00:11Do you like this?

00:14I'm not sure.

00:16I like that you like it.

00:20Time for work.

00:24Guess we'll finish Vinyasa flow next time I come over.

00:27You shouldn't come over anymore.

00:31You should move in.

00:35Things are different now.

00:37You lived here before. What's different?

00:40Everything is different.

00:42Then we were roomies, pals, buddies, and now we're a real thing.

00:47A better thing for sure, but also more complicated.

00:51We're the same people in the same place doing the same things.

00:55It's bigger than that, Sean. I hope it is.

01:00Living together means more commitment, more trust.

01:05And I don't think we're quite there yet.

01:09You don't trust me?

01:11No, I do. It's just I need a bit more.

01:25Copernicus 1543.

01:31It's my banking password.

01:47I got you!

01:48No!

01:49Go to your queen.

01:50No, bitch! No!

01:55Where did you find the 10,000 hours that you put into that?

01:59I like filling my evenings with numbing mindlessness.

02:05Morgan needs me to go in ASAP.

02:09You figure she shouldn't page you?

02:11She can handle it on her own because she used to be a surgical resident?

02:14Be the bigger person.

02:16It's an ingrown hair.

02:22Definitely an ingrown hair.

02:24Unfortunately, the ingrown hair caused an abscess that needs to be lanced.

02:28By a surgeon.

02:31Please give this man the VIP treatment.

02:33I have another case to attend to, but don't worry. I'll be checking in.

02:41Such a nice lady.

02:44So, how shall we proceed?

02:48I'm going with drain the abscess and dress the wound.

02:51Set it up?

02:54Maybe we should do a biopsy?

02:57Well, it could be a cutaneous pili migrans, or have a deep sinus tract, or a creeping eruption caused by a parasitic disease.

03:06Give him the VIP treatment.

03:09Abdominal pain can be scary when you're pregnant.

03:12But I wouldn't worry. You have two rambunctious boys.

03:14I know. It's like a cage mansion here.

03:17Sean, where's your first year resident?

03:18I have two first year residents, but I don't want to teach them. They're very distracting.

03:22You have a dizygotic, dichorionic, diamniotic pregnancy.

03:27It just means your twins are fraternal and in separate amniotic sacs.

03:30First years aren't distractions, they're godsense.

03:32She has edema.

03:33Not surprising for someone who's 26 weeks pregnant.

03:36They'll do anything you want.

03:38Scut work, follow-ups, coffee runs, laundry.

03:40I don't like coffee.

03:41Apple runs. I already did that.

03:46What was her BP?

03:47Normal.

03:48BP's no longer normal. She's hypertensive.

03:51What does that mean, Dr. Murray?

03:56Is your vision blurred?

03:57A bit. I'm tired.

04:00Sounds like preeclampsia.

04:02If we don't get your BP down ASAP, you could lose your pregnancy.

04:18We need to start you on antihypertensive meds, but your edema makes it difficult to place an IV, so we need to run a central line.

04:28Dr. Jackson?

04:47Mind if I give a hand, Dr. Murphy?

05:02Is there anyone you want us to call?

05:05My boyfriend decided his obligations ended at offering to pay for an abortion.

05:11Soft man in a hard world.

05:16Fetal heart rate's dropping.

05:18But only one of them.

05:23Did you have another birth?

05:25No.

05:26Any pregnancy, miscarriage, abortion, stillbirth?

05:30I had an abortion when I was 15.

05:33It's not preeclampsia.

05:35One fetus is RH positive, and the mother is RH negative, and her body is perceiving him as a threat and attacking him with antibodies.

05:43Antibodies she could only have if she had an earlier pregnancy.

05:48My body is trying to kill one of my babies?

05:51Yes.

05:59And Billy's biopsy results?

06:01To confirm an ingrown hair?

06:05You grew up in a Hasidic family, right?

06:10How are they handling you being a doctor?

06:13I haven't spoken to them in four years, except one sister.

06:23I chose not to live by their rules.

06:26I knew the consequences.

06:29My dad was a real estate agent, obsessed with two completely unrelated things.

06:33Teeth and taxes.

06:35Thought I'd spend the rest of my life selling condos.

06:37Now I'm a surfing surgeon, but I still floss three times a day and pay my installments four times a year.

06:43So what's my dental floss?

06:46Fire and brimstone.

06:49Actually, that is from the New Testament.

06:54I know what brimstone is.

06:57I met you through disaster.

07:00New people's history is kind of filled with it.

07:05Billy has cancer.

07:15How are your first years doing?

07:17Jordan talks too much, and Olivia talks too little, and Olivia does not know where the jugular vein is.

07:25You see her resume?

07:27Her grades and USMLE scores were nearly perfect.

07:31So, if it's not a lack of knowledge, what do you think it is?

07:35I think Olivia has the potential to be an exemplary doctor if you push her, give her a little extra attention.

07:41Isn't that unfair to Jordan?

07:44Well, was it unfair to the applicant who didn't get your position because Dr. Glassman thought that you needed some extra attention?

07:52Olivia just doesn't like being in the spotlight, that's all.

07:56Olivia's resume didn't say anything about not liking the spotlight.

08:00Exactly. Don't trust resumes.

08:06Locate jugular vein.

08:11Insert needle. Get a venous flush.

08:15Remove syringe, leaving needle in, then thread.

08:18Thread wire into needle.

08:22Remove needle.

08:24Scalpel to skin.

08:27While being aware of a persistent left side of superior vena cava placement, present in 4% of those with congenital heart disease.

08:36Remove wire.

08:38Suture in line to skin. And done.

08:45I guess you were nervous before.

08:48Didn't you have first case jitters?

08:50No.

08:56The sick twin has gone into severe distress.

09:05You have a melanotic melanoma. Skin cancer.

09:10But there's good news. We should be able to remove all of it.

09:14We can do it today.

09:16Sorry. Car trouble.

09:18Hi, Dr. Park. Just telling Billy about his cancer.

09:23I got a great mechanic for you. If you tell her Billy sent you, she'll give you a friends and family.

09:29Okay. Thanks for that.

09:32You have an amazing attitude.

09:34You know, my wife used to tease me about that.

09:38She died three years ago.

09:41I'm sorry.

09:44Then on our second date, I got a flat.

09:47Now, I think she thought I was gonna curse, but all I could say was,

09:51good timing. Costco's got a sale on tires.

09:58That is Otto Los Gatos and Gateway.

10:08We are through the uterine wall.

10:11Dr. Jackson, what's our next step?

10:14Advance through the trocar 50 millimeters beyond the tip until the opening of the distal baskets can be confirmed by ultrasound.

10:26Frankly, what would you like me to advance, Dr. Jackson?

10:31Yes, right. Obviously, you'd be advancing the double basket rocket catheter and not this.

10:38Sorry.

10:40Not your fault.

10:42If a junior resident is ill-prepared, that's on the senior resident.

10:51How is it fair that I get blamed for a first-year's mistake,

10:54and how can I help that person without being unfair to the other one?

10:57And how fair was the preferential treatment that you gave me,

11:00and how fair was it to the other first-year resident who didn't get placed because you helped me?

11:05And how fair was...

11:07Whoa, whoa, whoa, whoa, whoa. Put the list down.

11:10Only four questions at a time. That's my limit.

11:13What kind of mistake?

11:16Even though I went over the procedure with Olivia, she still gave Dr. Andrews the pusher rod when he needed the rocket catheter,

11:23and he said it was my fault.

11:25It was your fault. You got to help her a little more.

11:30That is not fair to Jordan.

11:32What does fairness have to do with it? It's not about equality.

11:35It's about figuring out what each person needs and then teaching them how to get it.

11:39How do I know what they need?

11:43Well, you've taught them medicine, right?

11:46So maybe it's something else. Maybe it's an emotional issue.

11:50Then I definitely can't give them what they need.

11:53You can ask them.

11:54About their emotions?

11:56Yeah, ask them how they feel.

11:58I don't care how they feel.

12:01That's the beauty of it. You don't have to care.

12:03You just have to ask them how they really feel.

12:05Then they start talking.

12:07People love to talk.

12:14Ugh.

12:22Oh, have you been working out?

12:26I can only find mediums.

12:29You know how many sets of large scrubs I had to hide?

12:32Thirty-one.

12:38Detecting dye.

12:44Uh-oh.

12:46BP's dropping. Diffuse skin flushing. He's in anaphylactic shock.

12:49He's allergic to the dye.

12:5010 cc epinephrine.

12:53BP barely measurable. We should intubate. Initiate CPR.

12:56You should cannulate his femoral vein to give pressure and volume.

13:00Let's intubate and cannulate.

13:07His jugular's distended.

13:09Maybe he has cardiac tamponade from a pericardial effusion.

13:12He might need open-heart surgery.

13:13Worst-case scenario worked out for you the first time.

13:15Really think lightning's gonna strike twice?

13:17Maybe not, but I'm still not gonna stand on a hill in a thunderstorm.

13:22What's how, Lim?

13:24Preparation for a pericardiotomy.

13:27Two for two.

13:39Okay, you can't do yoga at work.

13:41You can do it at home. What's the difference?

13:44Work behavior is not the same as home behavior.

13:48Ooh, so you're saying context matters.

13:51Of course.

13:53Same way that two roommates living together is different from a couple living together.

13:59Same people, same place, different context.

14:04Once our feelings change, everything changes.

14:12I still feel the same way when I'm with you.

14:15Happy.

14:27Kenzie's speed panedema have improved.

14:30Fetus's echo shows improved heart function.

14:33Catheter's working.

14:37How do you feel?

14:40Okay.

14:42How do you really feel?

14:49Really okay.

14:56You want to know why I'm so nervous?

14:59You want to know why I'm so nervous all the time?

15:06I don't know.

15:08I've always been very terrified of firsts.

15:11First day of school, camp, church.

15:14All the new faces watching me, just waiting for me to screw up.

15:19First day of fifth grade when Mrs. Deloitte asked me what six times nine was, I told the whole class it was forty-five.

15:26I can still hear them laughing at me.

15:30Two nights ago, I dreamt I was standing in front of Mr. Deloitte's class again.

15:34Couldn't wait to wake up.

15:36But when I did, I realized that if I got the answer wrong today, no one will laugh, but someone may die.

15:46The kids laughed at me too.

15:50Even though I knew six times nine was fifty-four.

15:57One of the amniotic sacs ruptured. The strong twins.

16:06It's metastasized to his liver, so what do we do?

16:11Laparoscopic radiofrequency ablation.

16:13Short recovery time, but a significant chance his cancer returns. Care to rebut?

16:18I think we should consider a hepatic lobectomy and lymph node dissection.

16:24Remove the affected area of the liver, all the surrounding tissue, and every swollen node we find.

16:29That's the aggressive approach. Longer recovery time, high risk of complications, and admittedly the best shot at beating the cancer.

16:37By complications, you mean a barely functioning liver, a persistent threat of fatal bleeds, and chronic pain.

16:42As surgeons, you can gut him, but as his primary doctor, I have to find the balance between longevity and quality of life.

16:48Last week you were trying to perform surgery from the gallery, and now you hate surgeons. Pick a side.

16:53A piecemeal approach is not going to work with Billy. Every time we try to solve a problem, we discover another one.

17:00You may have left your religion in Brooklyn, but you keep looking for meaning in random events. The dice have no memory.

17:05I'm not looking for meaning. I'm looking for patterns. Maybe he's got some underlying condition.

17:10I agree with Asher. The dice have no memory, but they can be loaded.

17:14So, safe and seriously compromised, or aggressive and possibly dead?

17:24Your case, Dr. Brown. Your call.

17:29How you feeling? You've sacrificed a lot, your hands, your career, and you're taking it out on me and Claire and the whole surgical profession.

17:47And I get it. It hurts.

17:50You're pathetic. You're worried about me because I'll never be a surgeon? Boo hoo.

17:55You're worried about me because I took pleasure in screwing with you and Claire? That's who I am.

18:00The question is, who are you? You don't show up late with lame-ass excuses, and when you get dissed, you diss back.

18:05So, how are you feeling?

18:09Forget I asked.

18:15He's lost most of his amniotic fluid. It won't last very long in utero.

18:20In helping the weak, we hurt the strong. C-section?

18:24If we do a C-section to save the strong baby, there's a 90% chance the weak baby will die.

18:29But if we do an MU infusion to save the weak baby, there's an 85% chance that strong baby will die.

18:37It's the better option.

18:405% to decide which baby lives?

18:43Kenzie's body has already made that choice. If there's a strong baby and a weak baby, it's pretty clear which one we save.

18:48Survival of the fittest.

18:51Sorry, it's just...

18:54It's not really what we're about, is it? As a civilization, aren't the strong morally obligated to help the weak?

19:00And if they don't, isn't everybody ultimately worse off?

19:05Neither baby has to die.

19:09Delayed interval delivery.

19:11We induce labor, deliver the strong twin, then stop the labor to keep the weak twin in utero until his lungs mature.

19:18The chances of stopping labor are very slim.

19:21That's true. There's about a 70% chance that both babies would die.

19:25Which makes it the worst possible choice.

19:28We need to ask Kenzie.

19:29No, we don't. Once she hears there's the slightest chance of saving both babies, she won't listen to any alternatives.

19:36Statistically, it's a terrible option.

19:40But it is an option.

19:49No.

19:50No, you can't seriously be asking me this.

19:53I know that this is something no mother should ever have to decide.

19:57There are no good options here, but there is one that will most likely make you the mother of a healthy baby boy.

20:12Okay.

20:14Okay.

20:17Prep for an amnioinfusion.

20:18Have you named them?

20:20Dr. Allen.

20:29Braden.

20:30And?

20:33Landon.

20:37No. No, I can't do this.

20:44You have to save both of them.

20:50We're at the tumor. Unipolar ablation probe.

20:55Pretty cool to think that we diagnosed Billy with metastatic melanoma on Tuesday and sent him home on a Thursday.

21:02Let's wait until Friday to congratulate ourselves. Current at 480 hertz, please.

21:10Wait. We got a leak.

21:13Bile duct.

21:14Suction, suture, linear stapler, stat.

21:35I believe she made the right choice.

21:36She made the choice any mother would make because the alternative is unthinkable.

21:40Isn't that exactly what made it the right choice?

21:42She has to live with it.

21:44The safe choice is not always the best choice.

21:47If it were, I'd be on an army base in Germany, married to First Lieutenant Duane Buckman.

22:01Dr. Andrews, you wanted to see me?

22:03Yes, Dr. Jackson. Please come in.

22:05Please come in.

22:09Dr. Jackson, I cannot say those two words without grinning.

22:13I know.

22:16So?

22:18I'm just checking in with you, Libby.

22:21What did you do with all your first years?

22:23You wanted hands off. You're getting hands off.

22:27But I can still say hi to my niece.

22:31It looks like you're settling in pretty well.

22:33No, no, no. The way you spoke up yesterday.

22:36I mean, that's a tough case, tough crowd, but you held your own.

22:40I'm getting there.

22:41Dr. Murphy's been very supportive.

22:44Murphy? Yeah, I'm glad to hear it.

22:46I'm sure he sees your potential.

22:49But if you need anything, you ask anyone but me.

22:54Very hands off.

23:04Sean, this is not an argument I ever thought I'd have to have with a boyfriend.

23:10Whether moving in together matters, it so obviously does.

23:14It so obviously changes everything.

23:20But one of the reasons I'm in this relationship is because of that.

23:28You are different.

23:30And when I think about us, say, a year from now, I can't imagine us not living together.

23:35So if it's inevitable...

23:41Sean, I am moving in with you.

23:46Wow.

23:53Does that mean you think we have enough commitment and trust?

24:01Honestly, I'm not sure.

24:09So you want to do it just because it's inevitable?

24:16That makes it sound terrible.

24:18But that is kind of how I feel.

24:22So, yeah.

24:30You're moving back in?

24:47My girlfriend is moving in with me.

24:52We need additional venous access to start the oxytocin.

24:55I'll insert a 16-gauge IV.

24:58How do you feel?

25:01Good.

25:03Insert a 16-gauge IV.

25:07Okay.

25:17There's going to be a pinch.

25:25Very good.

25:29Once we start that drip, at least one baby will be born.

25:41I understand.

25:43Okay.

25:58Where are you going?

26:00Kenzie's only two centimeters dilated, and even though I'm not a surgeon, I have other important things to do.

26:05You were wrong. First years aren't godsends. They're a lot of work.

26:09But I fixed Olivia.

26:11Wonderful. Now fix Jordan. She's the one you have a problem with.

26:14No, I don't.

26:16Technically, she has a problem with you, and anyone in authority. You need to rein her in.

26:21Okay, how do I do that?

26:23How'd you fix Olivia?

26:33No new paint, no new parts, no way you took this job.

26:37So, there is something up with you. Something personal.

26:40Something you don't care about.

26:42That goes without saying. Except, it's messing with my games.

26:48I just want to humiliate you without feeling like I'm punching a kitten.

26:57I was finalizing my divorce.

27:01I thought you were already—

27:03Not until yesterday.

27:05And we didn't want to deal with a formal custody arrangement for Kellen, but now that he's 18, it's official.

27:13I know it's been over for years, but when it's really over,

27:20it hurts.

27:22And I'm pissed at myself for being hurt, and now I'm pissed at myself for admitting that to the coldest person I know.

27:32Admitting that to the coldest person I know.

27:42My place has two masters with en-suites, and it's rent-controlled, so it's still probably cheaper than your motel.

27:51But staying with me will cost you. Kitty got a punch back.

27:56Thanks, but I'm good.

28:03Okay.

28:09Is it 10 centimeters?

28:11Prepare packed red blood cells for possible transfusion. Prepare forceps, clamps, and scissors.

28:22How do you feel? Really feel?

28:26I feel fine.

28:28Why do you have a problem with authority?

28:32Seriously?

28:34I have a problem with you not acting like an authority. You're not doing the one thing any junior needs from their supervisor.

28:40If I'm screwing up—

28:41Not now. Not gonna screw up now.

28:44I need to know you're at least watching. I need to know you got my ass covered.

28:49No.

28:58The leak in your bowel duct has caused an infection that could lead to peritonitis.

29:04We've got you on multiple aggressive antibiotics, but this infection acts very quickly.

29:11Sometimes in a matter of hours.

29:14Well, I feel fine. Dopey, but fine.

29:20Billy, do you understand what I just told you?

29:25I might die tonight. I get it.

29:31How do you do it?

29:35I've had worse days.

29:44The day after Linda died, I went to buy a gun.

29:54Never used one before, but I figured how hard could it be to put it in my mouth and pull the trigger?

30:03On my way to the store, I saw a car parked on the side of the road with a flat.

30:14A couple of kids who clearly didn't know what the heck they were doing.

30:20And for some reason, I pulled over and changed their tire.

30:25As I was leaving, I told them,

30:28Good timing. Costco's got a sale on tires.

30:36That's when I heard Linda's laugh.

30:40Hey, dummy.

30:43If you kill yourself, who's gonna change the next tire?

30:51That's what saved my life.

30:55Just wanting to help people.

31:00Makes life worthwhile.

31:09Randy?

31:20Randy?

31:28His lungs are also underdeveloped. He needs to be placed on a ventilator.

31:32Let's get him to the NICU.

31:34Starting magnesium sulfate. That's to stop your labor.

31:37I also need to ligate the umbilical cord and return it to your uterus.

31:44Okay, I have to focus on the patient, and I have to focus on Jordan, and I also have to focus on you.

31:50I don't know how to do that clamp.

31:55Don't worry about me. I appreciate you noticing I needed help, but I'll be fine.

32:00I didn't.

32:02Dr. Andrews?

32:03Dr. Andrews?

32:05Your uncle, Absorbable Sutures?

32:07He told you?

32:09Not that part. I googled that. I couldn't trust your resume.

32:21How do you feel?

32:24I feel like my uncle doesn't think I can hack it.

32:29I feel sick.

32:33She's having another contraction.

32:36Adding to butylene and calcium channel blocks.

32:38Am I going to lose Lady? Am I going to lose both of them?

32:43I don't know.

32:59She's still in labor?

33:01BP's 95 over 60.

33:03We need to do a C-section.

33:05No. No. If he comes out, he'll die.

33:07If he doesn't, you both will.

33:09No.

33:1069 over 40.

33:14We're doing a C-section. Let's prep and drape her.

33:17No. I can't. I can't lose Landy. No.

33:22We need to restrain her.

33:24Landy's going to be just fine.

33:26Landy is not.

33:28Lindsey, just listen to my voice, okay? Just focus.

33:31What's your favorite board game?

33:34No. Okay. Restraints, please.

33:38Look at me. Don't look at them.

33:40Board game.

33:43Scrabble.

33:45A classic. Nice.

33:47Eight years from now, Landy hits a triple word score with the word breathe.

33:51Try it. Breathe.

33:54Good.

33:58What's Brady doing?

34:01He's mad that his brother just schooled him.

34:06Of course he is.

34:27100 over 65.

34:29Contractions are stopping.

34:35Words with X and Z.

34:39Only way you're going to beat them.

34:42I better brush up.

34:59Delayed interval twin delivery? That's awesome.

35:02I can't teach.

35:05Did you ask the first years how they feel?

35:07Yes. Unhappy.

35:09Okay. That's great.

35:11Not that they're unhappy, but that you asked them, they confided in you, and you learned something.

35:17I learned that Olivia needed help, so I helped her, and now she feels sick because I helped her.

35:22Morgan says Jordan needs help, but Jordan says she doesn't need help, but Jordan's mad because I helped her.

35:26Okay. That sounds tricky.

35:28That was my point.

35:31You know what? You'll figure it out.

35:33And even if you don't this time, that's okay. You'll learn something.

35:37And you know what? You're a wonderful teacher.

35:41I've been learning from you since the first day we met.

35:57How's he doing?

36:01Neither he wakes, nor he lapses into a coma and slowly fades away.

36:09Beautiful day.

36:27You've been walking alone for so long.

36:37You call Addie, but your car?

36:41Not yet. I've been a little busy.

36:45Helpers aren't so good at asking for help.

36:50Kind of glad I did, though.

36:53This time, I know you'll be alright, cause I'm standing at your side.

37:03Cause when you feel like you've been broken...

37:06Congratulations. You helped save a life today, despite the bickering.

37:12Opposing points of view are great, as long as you actually listen to the other point of view.

37:18You're carrying baggage that is affecting your decisions.

37:22I know how that, because you're good at reading people.

37:25Other people.

37:27Figure out what you're carrying.

37:53And when the river sweeps you right off your feet, hold on.

38:07Hold on.

38:10It's a list of all the things you did right on this case.

38:15You can hack it.

38:16You can hack it.

38:19It's a list of all the things you did wrong on this case.

38:24I'm covering your ass.

38:43Would you do me a favor, Harry?

38:46What?

38:47You're out.

39:04Great to see you've started your own clothing line.

39:07The official gear of those who've given up.

39:10By en suite, I meant there's a trash can in your closet.

39:31Hey, wanna ride?

39:39Murphy told you.

39:47Yeah.

39:52You never knew your great aunt Wynne.

39:54She moved in with us when I was eight.

40:03Your grandparents weren't getting along, a lot of fighting.

40:07But whenever it got really bad,

40:11Auntie Wynne would take your mom and me into the kitchen,

40:15make cupcakes, something out of papier-mâché, or teach us a card game.

40:25I've always wanted to be that kind of person for you.

40:32You have been.

40:34But now I need to know you think I can do this.

40:37Accepting your help

40:41makes you feel like garbage.

40:45Lydia, I'm sorry.

40:46I know.

40:50I love you, too.

40:54But I have to make this work.

40:58I'm sorry.

40:59But I have to make this work.

41:30Feels like home again.

41:34Feels like home again to me, too.

41:39Maybe you were right.

41:41Maybe things are the same.

41:53No, you were right.

41:56It's not the same.

41:59It's better.

Category

Transcript

Recommended