- 5/28/2025
The Good Doctor Season 6 Episode 13
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Short filmTranscript
00:00Good morning, admissions percentages at top colleges have dropped to record lows.
00:07You thinking about going back to school?
00:09No, I'm thinking about our son's future.
00:12As in, starting a college fund for the peanut?
00:15No, I've put the peanut on the wait list for pre-kindergarten at McClelland Hall.
00:20Isn't McClelland Hall that snobby private school in Menlo Park?
00:23It is one of the top three feeder schools for Stanford University.
00:27So, you've not only decided he's going to college, you've also picked out which one.
00:31Given our son's genetic makeup, he will probably be very intelligent and will require a challenging academic curriculum.
00:39Or, he may not even enjoy academics. Whatever he ends up doing will be his call, not ours.
00:44Whatever pre-kindergarten he ends up attending will be our call, not his.
00:52Oh, no coffee.
00:53Has he still in his room?
00:55No, I heard him leave at 6.14.
00:57He's been so sad about losing his house.
01:00How can you tell he's sad?
01:02Have you noticed how quiet he's been?
01:04Yes, it's been nice.
01:07I guess he's just throwing himself into his work.
01:25Dr. Murphy, a little help here?
01:32Give tetanus booster, clean the wound with betadine, administer...
01:35No, we got that. It's...
01:37We wanted a second opinion.
01:39Victor did.
01:40Before these young pups take a saw to our son's foot, I'd like to talk to a supervisor.
01:45The nail's bent.
01:46I am their supervisor, and we need the saw to cut the nail, not his foot.
01:56Be a good Ricky.
02:13You all know my angel for the past 11 years, Dr. Lynn.
02:17Hey, Roses. Oh, and this is my resident, Dr. Jordan Allen.
02:20Hi. Roses?
02:23My website's called More Than 65 Roses. It's what I called it when I was diagnosed at five.
02:2865 Roses, Cystic Fibrosis. Okay.
02:32And welcome to vlog number 458, going out all around the world.
02:37And what does DLT stand for?
02:40Oh, that would be Double Lung Transplant.
02:46Your new lungs just arrived.
02:53Oh.
03:09I never should have agreed to let him go.
03:11You didn't. You just stopped fighting with me about it.
03:15He's running a mild fever. 100.4. Go where?
03:19Church camping trip. Less than an hour away.
03:22Camping can be very dangerous.
03:24Thank you, Dr. Murphy.
03:26You know, I had my first fire-roasted s'more last summer, so camping can also be very fun.
03:31Thank you, Dr. Wolk.
03:33Be careful, please.
03:35Victor, he's a doctor. Just try to trust.
03:38Trust that things will work out. Yep. I know.
03:43You're a Warriors fan, huh? You like Steph Curry?
03:46I like Draymond.
03:48Rebel. I like it.
03:53Look at this beast.
03:58Nice job, Ricky.
04:07His temperature just jumped two degrees.
04:09Let's get a CBC blood cultures and a CT of his foot to check for damage to the bones and muscles.
04:23Dr. Park, how kind of you to join me.
04:25Yeah, page me.
04:27Have a seat. And yes, there, Herman Miller.
04:30The cappuccino, mochaccino, espresso, latte?
04:33None of those are for you.
04:37Okay, I was wrong.
04:39This is the perfect job for you. Your first study has, what, 800 patients?
04:44But since you've had four whole days to hire all the clinical trial nurses you'll need, it should be easy.
04:51I may be a little behind and may already have 13 patients waiting, but I will handle it.
04:56With a lot of cappuccinos.
04:58Thanks for your support.
05:02Do you want me to give you a hand?
05:04I have 90 minutes before my next surgery.
05:07In exchange for unlimited use of your espresso machine.
05:12We'll see.
05:21Oh.
05:25Poor Ricky.
05:27He probably just has a minor infection.
05:30I meant the parents.
05:32They went to two very different schools of thought on child rearing.
05:35It's harder on the marriage, but harder on the kid.
05:38Everyone has different opinions, Dr. Walke.
05:41Yeah, which they really need to sort out before having kids.
05:45My college roommate, who was Jewish, married a wonderful Catholic woman.
05:48They had three children in quick succession, started fighting about how to parent them non-stop.
05:54See, my parents never fought about us because my dad didn't care.
05:57As long as my mom got me and my brother dressed and out in time for chores.
06:04No hematoma or abscess, no explanation for the fever.
06:09My neck really hurts.
06:13Okay.
06:19Hey, I got you.
06:24He has dick bites on his back.
06:34Pink, plump and spongy.
06:37Who's that?
06:43Pneumonia?
06:45In both lungs.
06:49Pneumonia.
07:00She's lucky if she has another week.
07:06Ex vivo lung perfusion. Maybe we can make the lungs heal themselves.
07:11That's usually used in cases involving pulmonary edema.
07:18Get the lungs. Meet me in the procedure room.
07:24Dick bites?
07:26His fever, vomiting and sore neck, which could be neurological.
07:29It's in his brain?
07:31Possibly, but the blood tests were inconclusive, so we'd like to do a lumbar puncture to check Ricky's cerebral spinal fluid.
07:36This camp just keeps getting better and better.
07:39Can we not do this right now?
07:41I just want to make sure this never happens again.
07:43And I don't. I care about our son every bit as much as you do.
07:47And yet you keep prioritizing fun over safety.
07:50Yes, I care about fun and socialization, self-esteem, self-expression.
07:54Yeah, none of which are as important as his safety.
07:59I can't do this anymore.
08:01Come on.
08:17Got through six so far. Only one with a minor reaction. You?
08:20Me too. So, we are twelve down, one to go.
08:26Mr. Riggs? Mr. Riggs?
08:33Sorry. I just drifted off.
08:36My fault for keeping you waiting so long.
08:40So, how are you feeling? Aside from tired.
08:44Just a bit achy. Especially my knees and elbows. Hips.
08:49And some mild jaundice.
08:51Other than that, I feel pretty good.
09:00Hello. We should sort out our differences about child raising.
09:04Oh, this is about McLellan-Halchon. It's not a big deal.
09:06Oh, no. I have made a list of thirty-seven other potential differences.
09:09I'd love to discuss them all, but Andrew's just approved new EMR software and wants me to run a beta test on it in the next twenty-four hours.
09:15Have you talked to Classy?
09:17He didn't come to work today, but I got a text. He says that he is okay.
09:22So, where is he?
09:39I'm sorry.
09:41Okay.
10:08It is not over yet.
10:10Lungs are remarkably resilient organs
10:14when they are in a body,
10:16which is why we have to convince them they still are.
10:19We give them a blood supply
10:20by hooking them up to a perfusion machine,
10:23an air supply by hooking them up to a ventilator,
10:27IV drips to feed them antibiotics,
10:29and we might just be able to con them back into viability.
10:33The next six hours are crucial.
10:35How will you know if they're viable?
10:38Our main indicator is a calculation called a PF ratio.
10:41When that reaches at least 400 millimeters of mercury,
10:44those lungs are good to go.
10:49Mom, relax.
10:50It's Dr. L.
10:51Palpate to find the L3 for inner space.
11:10Maybe Leah and I will not be able to sort out
11:13our differences about child raising
11:14and become angry like Victor and Shelly.
11:17You and Leah are nothing like Victor and Shelly.
11:20They come from completely different worlds,
11:21have vastly different outlooks.
11:24Leah and I are very different, too.
11:26Insert the spinal needle.
11:28And who knows how much they love each other?
11:29You and Leah, on the other hand, I know you do, a lot.
11:32And that's all that matters,
11:34at least according to the Hallmark Channel.
11:37I'm in.
11:42Whoa, whoa, whoa, whoa, whoa.
11:44The infection has elevated his intracranial pressure.
11:47Intubate and load him with levotriazetam
11:49and dexamethasone before his brain herniates.
12:00CFF confirmed a very rare infection
12:02called naegleria fowleri.
12:04It's a brain-eating amoeba
12:05that's caused serious cerebral swelling.
12:07We need to put Ricky in a barbiturate-induced coma
12:10and surgically place a port into the center of his brain.
12:13Then we will flood it with antibiotics,
12:14which will hopefully reduce the edema.
12:16And he contracted this from a tick?
12:18No, it's contracted via contaminated water
12:21through the nose.
12:22So he got it from the swimming hole at camp.
12:25That's a good guess.
12:26Ricky's way too anxious around water
12:28to ever put his head under,
12:29let alone get water up his nose.
12:32Naegleria fowleri has also been found
12:34in untreated swimming pools,
12:35nasal rinses, water heaters.
12:36Nasal rinses?
12:38If unboiled tap water is used.
12:42I gave him a nasal rinse the morning he left for camp.
12:46He had a runny nose.
12:48That is a better guess.
12:57Excuse me.
13:06Briggs has fatigue, joint pain,
13:08impaired mental acuity,
13:09tachycardia, and mild liver failure.
13:12Thanks.
13:13Maybe he has a pre-existing condition.
13:15In which case, he should have been eliminated
13:16by any remotely competent screening process.
13:19Those protocols were in place before you came on board.
13:21I'll remind the CRO of that when I tell them
13:23on my first day that their $4 million trial
13:26needs to be trashed.
13:27How about you save the doomsday predictions
13:28until after the blood panel results?
13:32Lab's on the way to the OR.
13:39It hasn't been six hours, has it?
13:42Six and a quarter.
13:48Okay.
14:11You want company?
14:15Thanks.
14:18Thanks.
14:34Hello.
14:35Where is Victor?
14:37Beating himself up somewhere?
14:41I just wish that made a difference.
14:47Do you love each other?
14:49Yeah.
14:52Of course.
14:53We've always been oil and water.
14:56That's how my dad describes us.
14:58Victor grew up in Belgrade.
14:59I grew up in Berkeley.
15:01Different religions, politics, socioeconomic status.
15:06But when I got pregnant, we knew.
15:09We had a lot of issues to work out.
15:12And we did.
15:14And then Ricky was born, and I was born.
15:19We suddenly started arguing over
15:22when can he safely eat tree nuts?
15:26How high should he climb on the jungle gym?
15:27When can you stay with a babysitter?
15:30Those little things were the ones we could never work out.
15:36But yes, we still love each other.
15:38It's just that
15:40I'm not sure love is enough anymore.
15:42Still waiting.
15:45Still hoping.
15:47But it's kind of what we do.
15:49Snare roses.
15:53And the wait is over.
16:05I'm so sorry.
16:08I'm so sorry.
16:12I'm sorry.
16:19We've put you back on the list.
16:23You're at the very top.
16:29I deserved this.
16:33I wanted those lungs.
16:37I wanted someone to die.
16:40Rebecca.
16:43♪ If you're different ♪
16:48♪ Can't leave it up to you ♪
16:55Honey, should we finish?
17:00No.
17:13Hello, Dr. Glassman.
17:15Jeez, man.
17:18Sean, you might try knocking next time.
17:22Although, you know, it might be a little tough.
17:29What are you looking for?
17:31Oh, you know, my life.
17:36Just my life.
17:38I'm just trying to figure out
17:41just my life.
17:59Not yet.
18:01I think I'm gonna keep at it for a bit.
18:08Okay.
18:09No, this is on me.
18:11You can head home.
18:13Thanks.
18:23I will miss your big screen LED TV.
18:27It was old.
18:28It had a pixel line down the right side.
18:31Did you love Alana?
18:34What?
18:36Did I love Alana?
18:37Yeah, of course.
18:39Did you love Debbie?
18:42Yeah, I loved Debbie.
18:44Where is this going, Sean?
18:45That wasn't enough for you to get over your differences.
18:48How do I know if love will be enough
18:51for me and Leah to get over our differences?
18:54Well, you won't know.
18:56I mean, how can you know?
18:57You can't know.
18:59I do not like worrying about this.
19:02Well, look, I mean,
19:03Leah had some doubts a little while ago, right?
19:06You both got over that.
19:07Yes, because I was very supportive.
19:10Okay, well, there you go.
19:11But differences about child raising
19:13seem to be bigger than normal differences.
19:15Well, yeah.
19:16I mean, having a child, I mean, that's big.
19:18That's huge.
19:19It's a shift.
19:20It shifts everything.
19:20Marriage, everything.
19:22I do not want a shift in our marriage.
19:25Well, maybe it'll shift for the better.
19:34Artie's eye.
19:36First thing I ever bought Maddie was a stuffed aardvark.
19:46Back in the day, I performed a 21-hour surgery.
19:50I removed an astrocytoma from the medulla of the brain stem.
19:53It was heroic.
19:54It put me on the map.
19:55My elective surgeries were booked out for a year.
19:57I was in a zone, like playing scratch golf.
20:01And then Ilana got pregnant.
20:06She didn't want to stop working.
20:07She had a real estate thing.
20:08She was doing very well.
20:09I didn't want to stop working.
20:11I wanted to stay on the map.
20:13And then we brought Maddie home that first night.
20:19Everything changed.
20:27Go talk to Leanne.
20:29I tried.
20:31She had to run a beta test on new EMR software.
20:36Well, then you'll have to wait until she's done.
20:38All I had on my DVR was a marathon of Shark Tank.
21:07Can't say I was in the mood to be staring
21:09at Mr. Wonderful's bald head.
21:10So why not entertain myself
21:12by watching some hot lung perfusion action?
21:16I'm not one to kink shame.
21:17Coffee and cronuts from Chaz's Bakery.
21:20I'm happy for the company.
21:22Noomi's not much of a conversationalist.
21:25Noomi?
21:26My pet name for them.
21:27From the Greek word for lungs, pneumonus.
21:29I thought it was better than lungy.
21:32Yeah, I may be losing it.
21:33Cronut.
21:34No.
21:38Hmm.
21:39Any progress?
21:40Negligible.
21:42I keep doing the same thing over and over,
21:43hoping for a different outcome.
21:46Yeah, I'm definitely losing it.
21:49Then do something different.
21:58Okay.
22:00Doubling up on antibiotics and we can add steroids.
22:04This will either hammer out the infection or the lungs.
22:18How's Glassy?
22:19Very sore and very sooty.
22:21Oh.
22:22I'm sorry.
22:23I'm sorry.
22:24I'm sorry.
22:25I'm sorry.
22:26I'm sorry.
22:26I'm sorry.
22:27I'm sorry.
22:28I'm sorry.
22:29I'm sorry.
22:35We need to talk.
22:37About our 37 differences?
22:39I thought of two more.
22:43Sean, as you know, I'm kind of busy right now,
22:45so you'll have to settle for me agreeing that yes,
22:47we'll have many, many differences,
22:49but in time, we'll be able to work them out and-
22:52That's what Victor and Shelly thought
22:53and now they are talking about separating.
22:57I don't know who Victor and Shelly are,
23:00but in any event,
23:01I have at least two more hours of work to do tonight.
23:05Okay.
23:15You're waiting, aren't you?
23:17Yes.
23:18I am very patient.
23:20You are very patient and very understanding
23:23and you were so good with me on our babymoon.
23:25If you could just channel some of that.
23:27On our babymoon?
23:28I thought love was enough.
23:34That's kind of a big thing to drop on me this late at night.
23:40You were too busy to discuss it in the morning,
23:42so I talked to Dr. Glassman about it
23:44and he said having a child will shift our dynamics.
23:47If it does, we can talk about it then.
23:50So if we can't talk about our dynamics now,
23:52how about our differences?
23:53Apparently we have 39 of them,
23:55so we're gonna need a serious chunk of time
23:56and I'm pretty sure they'll keep
23:57because we're kind of committed to having a kid together,
24:00whether love is enough or not.
24:03Shawn, I'm just, I'm way too tired
24:05to have a productive conversation about this right now.
24:09Okay?
24:11Okay.
24:25Oh.
24:41It's time to call it.
24:46I had half an hour left on my call
24:47when she first came to the ER,
24:50coughing blood, vitals on the floor.
24:53When we opened her up,
24:54her lungs looked like they belonged to a 70-year-old.
24:56Didn't think she'd make it through the night.
24:58She was eight.
25:03I couldn't go home.
25:05I stayed with her that night.
25:08And then the next morning,
25:09she just opened her eyes, looked at me,
25:13and told me she liked my French braid.
25:19Once I call it,
25:23I have to go up there and tell her I failed her.
25:35Got Rick's latest test results.
25:37Turns out he did have a pre-existing condition,
25:40hemochromatosis.
25:41So the jerk lied about it to get into the study.
25:45That's your assumption?
25:47He got 3,500 bucks to participate.
25:48I think it's a pretty sound assumption.
25:50But whether he lied or not,
25:52it means the screeners are incompetent.
25:54That's gotta take a toll.
25:56Expecting the worst of everybody.
25:58I'd rather be pleasantly surprised
26:00than bitterly disappointed.
26:02And that's the worldview
26:04you want to impart to your future child?
26:07Assume the worst of everyone?
26:18Help!
26:19We need help in here!
26:22What's happening?
26:24Had a milligram of lorazepam.
26:26He's seizing.
26:26Because his ICPs are in the 40s,
26:28cerebral edema's gotten worse.
26:30If we don't open up Ricky's skull immediately,
26:32he will die.
26:41Removing large hemocranial skull flap,
26:44forming wide dural opening.
26:50Look at the monitor.
26:52EEG's all over the place.
26:53He's still seizing.
26:54Place an additional EVD
26:56and increase propofol to burst suppress.
26:58But he's maxed out.
26:59If we give him any more propofol,
27:00we could kill him.
27:01If we don't, the seizures will definitely kill him.
27:12Oh.
27:13We can remove the damaged cortex
27:14in the left anterior temporal lobe
27:16using ECOG and pre-op imaging to guide the process.
27:20Cut out part of his brain that's a little extreme.
27:23That is the area that's causing the seizures.
27:25Might just be a tough sell to his parents.
27:27Which is why you will help.
27:29Okay, please keep him stabilized
27:30with isotel R2 to the cortical surface.
27:39The country flew past as if they were seeing it
27:42from the windows of an express train.
27:45Faster and faster they raced.
27:48But no one got tired or out of breath.
27:53We can save the last chapter for later.
27:58There is no later.
28:09Where's Dr. L?
28:12She wasn't ready to give up on your lungs.
28:16There's still a chance.
28:20Dr. Lung thinks so.
28:28Let's finish.
28:42Chapter 16.
28:46Farewell to the Shadowlands.
28:50We would cut out a small piece of his cortex.
28:52It's already been damaged by the infection.
28:54Removing it may be the only way to keep him alive.
28:59But how would that affect him?
29:01There are areas of the brain
29:03that are significantly less essential than others.
29:06This part only impacts his speech and memory.
29:09Probably not long-term.
29:11So he might not be able to talk
29:13or know who we are.
29:15We wouldn't be able to fully assess him until he wakes up.
29:28Ricky's skull is open.
29:36We should do it.
29:39This is a very good hospital.
29:42These are very smart doctors.
29:45And someone very wise once told me that
29:50sometimes you just have to trust that things will work out.
29:59Okay.
30:12Okay.
30:26Hemochromatosis.
30:28He never noticed his symptoms until now?
30:30Joint pain, fatigue, mental fuzziness?
30:32Well, I turn 58 next week.
30:34I mean, I haven't felt a day over 30 until now.
30:37And it's very unlikely your hemochromatosis
30:40went from zero to 60 in a week.
30:45Is it possible you gave the screener someone else's blood?
30:49You think I cheated?
30:51For the money?
30:52No, Mr. Briggs, I'm just trying to...
30:56Are you a blood donor in the 20-gallon club?
30:59Yeah, regular donor.
31:00Last 30 years.
31:02When was the last time you donated?
31:04Two months ago, just before I started this trial.
31:06And you're not allowed to donate while you're in the trial.
31:09Well, see, that's the downside.
31:11I actually enjoy those cookies.
31:14I'll make sure you get all the cookies you want, Mr. Riggs.
31:28Don't you think it's time to come home?
31:30Don't you think it's time to come home?
31:33No.
31:36In that case, I wanted to make you something delicious
31:40like you've made us, but I'm not a very good cook
31:43and everything's closed.
31:44So, I hope you like hot dog-flavored potato chips
31:50and Nutty Buddies.
31:53Hmm.
31:55Yeah.
32:00Nail polish?
32:02Father-daughter time.
32:04Maddie insisted that she paint my fingernails
32:07a sparkly rainbow color.
32:11The next day, my first patient was very uncomfortable.
32:16That's when I realized I forgot to remove the nail polish.
32:20It's a nice memory.
32:23Oh, sit, sit, sit, sit.
32:30So many memories.
32:34That Halloween, Maddie wanted to go as a ham
32:36because we had just seen To Kill a Mockingbird,
32:40but she wanted the ham to be made out of an actual ham.
32:46And then one night, the wind was blowing so hard,
32:48it blew her bedroom door shut.
32:51She was convinced that her grandmother's ghost
32:53had come back to visit her.
32:56Wanted to sleep in our bed for the next day.
33:00Two weeks.
33:05You didn't come here just to feed me junk food, did you?
33:10I thought you might need someone to talk to.
33:12I'm fine.
33:16I know someone you should talk to.
33:23I know.
33:25But this was easier.
33:30I love you.
33:43Hmm, hot dog should not be a flavor.
33:51All their life in this world
33:52and all their adventures in Narnia
33:54had only been the cover and the title page.
33:57which goes on forever,
34:00in which every chapter
34:03is better than the one before.
34:11Checking in.
34:13Need me to up your morphine?
34:15Couldn't hurt.
34:28Hey.
34:29I changed my mind
34:31about the vlog.
34:34Wonderful.
34:45Go for it.
34:51Hey, Roses.
34:54I'm back.
34:57The DLT didn't really work out,
35:00so
35:02this is
35:04gonna be my last update.
35:08I wasn't even gonna do this.
35:10I was gonna flip off Dylan Thomas
35:12and go gently into that good night.
35:16But
35:19I couldn't leave without saying goodbye.
35:23And that
35:25it's okay to be hurt.
35:28I am.
35:31My life's been cut short.
35:35But the upside to all of this
35:39is that I feel something I never thought I would.
35:43It's gratitude.
35:47I'm grateful to my sweet mother.
35:52And
35:55to the people who keep Hope alive.
36:01Like Dr. L. And...
36:10Crash cart!
36:13She's in full respiratory failure.
36:16We need to intubate her.
36:17No.
36:20We need to let her go.
36:25No.
36:55No.
37:12Numi hit 402. Get Brecka to the OR.
37:17The lungs are good.
37:19We should intubate.
37:21Yes.
37:25Okay.
37:41Ricky?
37:42Dr. Murphy!
37:45Ricky?
37:47Can you hear us?
37:50Hello.
37:56Do you know where you are?
38:04Do you know your name?
38:09I'm Ricky Pavlovich.
38:12I'm in the hospital
38:15because I stepped on a rusty nail
38:18at church camp.
38:23But I would still like to go back there.
38:28I'm Ricky Pavlovich.
38:30I'm in the hospital
38:33because I stepped on a rusty nail
38:36at church camp.
38:39But I would still like to go back there next year.
39:07Welcome home, Numi.
39:17So Riggs is a lifelong blood donor.
39:20Which totally eliminated his symptoms.
39:23Until he started this trial.
39:25And he's not allowed to donate until it's over.
39:27So there was nothing wrong with the protocols,
39:29nobody was incompetent,
39:31and Riggs isn't a big, fat liar.
39:34Riggs isn't a big, fat liar.
39:36In fact, he's a legit hero.
39:41Maybe my worldview does need a little adjustment.
39:46I prefer Italian roast.
39:48Noted.
39:54Ready to take Numi for a test run?
39:58That's what she named your lungs.
40:01It was a weird night.
40:04Start small.
40:34I love you.
40:36I love you.
41:03Thanks for coming.
41:06We should talk.
41:23Number 39.
41:26Dietary restrictions.
41:29Other than breast milk?
41:31No.
41:34I feel a kick.
41:44I'm very excited.
41:48Come here.
41:55Think of all the new memories
41:58waiting to be made.
42:04Hey.
42:05Let's go home.
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