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  • 5/28/2025
The Good Doctor Season 6 Episode 18
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Transcript
00:01Previously on The Good Doctor
00:03You go on to the clever work!
00:05Yeah, these early calls are going to take some getting used to.
00:07Brown retractor.
00:08No brown retractor.
00:09I thought I put her on your tray from the supply room.
00:11Dr. Kaluu is not your peer, he is your employee and you are his boss.
00:14I do not plan to give Jared special treatment.
00:17And if I see it, it won't be good for either of you.
00:20I'm not expecting special treatment, Sean.
00:22But I don't appreciate being treated like an intern either.
00:24Dr. Andrew said he is judging my performance off of your performance.
00:27And your performance is not good.
00:29You come in with your fancy car and your old tricks
00:32and think to die I'm a surgeon, but you're not.
00:35I just want to prove that I belong here.
00:37When I checked on Yara post-operatively,
00:39I noticed you only used eight sutures when you closed
00:41and she had a small bleed, you should have used ten.
00:43Dr. Glassman closed the gallia and skin.
00:45Dr. Glassman skipped two sutures?
00:48Guess so.
00:55At what time did you wake up yesterday morning?
00:57The usual, 5.30. Why?
00:59At lunch you had a cobb salad with balsamic vinaigrette,
01:01so that's 450 calories ingested, assuming you kept it down?
01:04Yes, I kept it down.
01:05Did you use a sauna, engage in rigorous exercise,
01:07and or experience diarrhea?
01:09No, I didn't do any of those things.
01:11What's with the questions, Sean?
01:12You made an error in yesterday's craniotomy.
01:15I'm trying to evaluate various factors that would negatively impact focus.
01:18I made an error?
01:19You closed with only eight sutures, the size of the wound required ten.
01:23We need to figure out why.
01:25Why do we need to figure out why?
01:27Two sutures, it's a blip, it's not a thing.
01:29It could be part of a more troubling pattern, needing attention.
01:32Sean, the surgery was a success, right?
01:35The patient had a great outcome.
01:37There is no pattern.
01:39Goodbye.
01:47I am a surgeon, and I belong here.
01:50I am a surgeon, and I belong here.
01:56You are a surgeon, and you belong here.
02:02I just keep imagining you in the mirror, like,
02:04you have the hair of Tracee Ellis Ross and the swag of BeyoncΓ©.
02:08Do not shame my self-care.
02:12Affirmations are backed by research.
02:15FMRI evidence shows a correlation with positive changes in the brain.
02:19I've just put the finishing touches on a surprise.
02:22I've just put the finishing touches on a surprise.
02:25Drumroll, please.
02:29Or not.
02:30Well, get your song list ready, because you are all officially invited to...
02:35Hmm?
02:37Star Karaoke, 7pm until question mark, question mark.
02:41You know it's going to be a party when there's double punctuation involved.
02:44Yeah, just a chance to unwind and get to know you all a little better.
02:47Sounds fun. Thanks for the invite.
02:49Prepare to be destroyed.
02:50By someone like you, slays.
02:52Need a surgical consult for a clinic patient with a dislocated plagella.
02:57Sorry, ER.
02:59You two are it. Room one.
03:08And when did the chest pain start?
03:10I first noticed it Tuesday morning, along with shortness of breath.
03:14Are you taking any medications?
03:16I started with one, then switched a few times.
03:21These are used to treat ADHD.
03:23And brain fog. I'm a COVID long hauler.
03:28And I just started guanfacine and N-acetylcysteine, which may actually be helping, finally.
03:35When was your initial infection?
03:37Eight months ago. Just felt like a mild flu, but then it got worse.
03:41Like someone poured molasses on my brain.
03:43I've done cognitive therapy, memory exercises, still am.
03:48Whatever I can do to get back in the field.
03:51Which one?
03:52Clover. I'm an evolutionary biologist.
03:57Oh, wow.
03:58I have been studying how white clover adapts to environmental changes.
04:04And I'm on indefinite leave.
04:07Can we stop talking now?
04:10Lower skin. Low O2 levels. Rapid heart rate.
04:13And increasingly labored breathing. Possible pulmonary embolism.
04:16Order a chest CTA and echo stat. I have to go.
04:32You will need this. I sent one half of a high volume order to your printer.
04:37These are Glassman's offer reports?
04:40For the last three months. January to March, October to December is printing in parts in my office.
04:45So you sent reports for like a hundred surgeries to my printer?
04:48No. 176 surgeries, 473 pages. I've emailed operations to replace your toner. Many elements are in color.
04:56And why exactly do you need all of this?
04:59To find out if his mistake was a blip.
05:06Okay.
05:17Second time I've dislocated my knee. First was a few months ago, I think?
05:22That was the sprained ankle. The dislocation was last year.
05:26Your MRI shows no associated damage to bones or ligaments.
05:30She's also been complaining about dizziness, swollen ankles, maybe menopause related.
05:37Dr. Resnick is looking to get her on hormone replacement therapy.
05:40Orion insisted I come in and get everything checked out before she leaves and move 6,000 miles away to live alone.
05:47I'm moving to Prague next week for a new job and you can come visit me anytime you want, Mom.
05:53Not with a busted knee.
05:55To move forward with HRT, I need to confirm all the medications you've used over the last five years.
06:00Oh, uh, there was a purple triangle one, but they took me off that last year.
06:07And an orange shaped one.
06:09I'll review it with you.
06:12We need to see how your knee's moving. Lay back, please.
06:19Go ahead with the exam, Dr. Kalou.
06:22I thought I'd observe.
06:24It's a knee exam not a multiligament reconstruction.
06:27You told me last time not to assume I know everything.
06:30This is just making me do your job.
06:37That sounded like an apnea expel. Check her tonsils.
06:41Ms. Garcia?
06:47Oh, did I fall asleep again?
06:50Yes.
06:51Can I take a quick look in your mouth?
06:55Kissing tonsils?
06:58They're so enlarged they're touching and obstructing your airway causing severe apnea.
07:02You need a tonsillectomy right away.
07:09No pulmonary embolism, but multiple cardiac issues, severe narrowing of the pulmonic valve, hypertrophied right ventricle and opening between the lower chambers.
07:18This set of defects almost looks like Tetralogy of Fallot, but...
07:22It is.
07:24She has the fourth mouth formation overriding aorta.
07:28I've never seen Tet in an adult before.
07:32How is she still alive?
07:36Hang on a sec. I have to write everything down now.
07:40Tet is almost always diagnosed in infancy. Doctors somehow missed it in your case.
07:45Oh, you have a rare presentation. The right ventricle obstruction has been balanced by an increased flow into the left ventricle.
07:51Damage from COVID disrupted the balance.
07:54The virus may have saved your life. Very few undiagnosed Tet patients survive past childhood. A mere 2% make it to 40.
08:01Are you saying I would have just dropped dead at some point?
08:04It's very likely.
08:06We can remove that risk with two separate procedures.
08:09First, we'll close the extra vessels that have formed to compensate for your heart defects.
08:14Then we'll do a surgery to repair those defects.
08:19Is it possible the Tet is connected to my long COVID symptoms?
08:23Could fixing my heart clear up my head?
08:27The brain?
08:29No. I'm sorry.
08:41Snagged our table.
08:42Beat Hawks and Nunes to it.
08:44You're a champion. One Splenda, half sugar on the raw, light on the milk.
08:49Now he's a champion.
08:55I have something for you.
08:57Really?
09:05An agreement acknowledging a consensual relationship.
09:08I, Marcus Andrews, would like to take you, Dallas A. Villanueva, on a date.
09:13And as hospital president...
09:16I already signed it.
09:19This is so romantic.
09:21Give me the pen.
09:29Dinner this weekend?
09:30Let me see.
09:32Oh, I'm needed on the ward.
09:34Sorry. Walk it down later?
09:36Sure.
09:39Thanks.
09:46Ice coffee?
09:47I'm good.
09:49How about hot coffee?
09:53In honor of Daphne's successful tonsillectomy, I got a few options.
09:59Is that a latte?
10:04It was a routine tonsillectomy.
10:05Those were unusually large tonsils.
10:08A good thing her daughter brought her in.
10:12You think Daphne was better off not breathing?
10:14I don't think it's a daughter's job to make sure mom goes to the doctor.
10:21It's Daphne.
10:24Heart rate's big. She's hypoxic.
10:26Internal oxygen at max flow.
10:32Loud murmur from the right ventricle and atrium.
10:35Chronic damage from apnea could have increased the pressure in her lungs, causing right heart failure.
10:40Baby's dropping and we need to go to the cath lab.
10:47Positioning coiling system.
10:50Two vessels left to close.
10:53Deploying the coil.
10:57O2 sets are dropping.
11:00Her infundibular muscle is clamping down.
11:03She is having a tet spell.
11:06Give phenylephrine and 100% oxygen.
11:09I've never seen one in person before.
11:12We need to move blood up to the lungs.
11:14Give her a bolus and up the opiates.
11:20If we don't stop the spasm, she could have permanent brain damage.
11:35The chance of a future infundibular spasm is very high.
11:40Her tet repair surgery will be much more risky.
11:50Pressure in Daphne's lungs is still critically high.
11:53Not a routine tonsillectomy at all.
11:56Puncturing the atrial septum?
11:59Right heart is decompressing.
12:02Give nitric oxide to relax and dilate the vasculature.
12:05Daphne really did a number on her pulmonary vessels.
12:08No wonder she's clumsy and forgetful.
12:10She's been sleep and oxygen deprived for decades.
12:13Still doesn't make her her daughter's responsibility.
12:16Would you want Kellen to put his life on hold to take care of you?
12:20Not his whole life, no.
12:22But I don't think being overly devoted is the worst quality in a kid.
12:25Remove the catheters.
12:28I was one of six growing up.
12:30Only girl. Mom and dad worked a lot, so I was basically second mom since kindergarten.
12:36I love my brothers, but...
12:39There's a lot you miss out on if you're all about taking care of someone else.
12:48She's throwing a lot of PVCs.
12:50Maybe an electrolyte issue.
12:54BP's dropping. Heart rate 172.
12:57Barely getting a pulse. She's in V-tach defib pads.
13:06BP and heart rate stabilizing.
13:21Get a new chemistry, chest x-ray, EKG. We need to figure out what else is going on with her heart.
13:35Oh, please don't disturb my materials.
13:38Which are what exactly?
13:41Dr. Glassman made an uncharacteristic surgical error. I am determining if it was an anomaly or part of a pattern.
13:47Glassman must be really pleased about that.
13:49He is not.
13:51You are being sarcastic.
13:53Performance review is a standard practice and benefits both doctors and patients.
13:56I have identified three additional errors made in the last four months.
13:59I don't see a pattern.
14:00Endural tear on scar tissue. Closing with a running nylon instead of monocle. Is that even a mistake?
14:06Dr. Glassman has always used subcutaneous monocle.
14:09These are variations, minor missteps.
14:11You import through four months of any surgeon's op reports and you find discrepancies like this.
14:15No.
14:17Yes.
14:19Not in mine.
14:21That's probably true.
14:23If you're not finding a pattern, maybe it's because there isn't one.
14:30My patient is awake.
14:33Does this mean you can't move forward with the tut repair?
14:37There's a medication called propanolol that will significantly reduce the risk of having another spasm during surgery.
14:43But because of your long COVID, you're at risk for some very rare side effects.
14:47Are they serious?
14:49Yes. Well, some of them are not like nausea, vomiting, muscle aches and dizziness.
14:52But others, such as hypoglycemia or visual changes...
14:55We'll start you on the propanolol.
14:57There's a good chance you won't experience the rare side effects.
15:00We'll need to keep a close eye on you.
15:03And are those patients ahead of her also seniors with diabetes?
15:07Do not hang up on me, Phillip, or I head down to do this in person.
15:11I'll wait.
15:13Hey.
15:16There is a great new Portuguese spot I read about.
15:20I can make reservations for us Friday or Saturday at seven.
15:24I'm working a double both days.
15:27It's been a non-stop scramble since Baker and Lynn left.
15:28We have two new travelers starting on Monday.
15:31We need staff nurses.
15:33These nurses are highly skilled.
15:35It doesn't matter how skilled they are. Travel nurses disrupt workflow, don't build long-term relationships.
15:39Right now, we just don't have the resources for permanent replacements.
15:42You just hired a new full-time surgical resident to replace someone who left way more recently.
15:46That was Lynn's department. I...
15:48Yes. Great. I'm sending her down.
15:51Sorry. We'll talk later?
15:53Of course.
15:55So, you're watching to see if I throw up?
15:59Or faint, seizure, or have muscle spasms?
16:05Before COVID, my brain was...
16:09I did evolutionary patterns, genetic...
16:14Uh...
16:16How genes go together.
16:20The sequence.
16:24Now my brain can't handle the sequence of brushing my teeth.
16:29My focus, my working memory, all of the...
16:34Oh, my...
16:36The executive function.
16:40It's not always happening.
16:46Please pinch Dr. Walt to monitor her and stay until he comes.
16:51Put your hand against mine.
16:54The pattern is errors in executive function.
16:57Sean, I'm in the middle of doing something.
16:59Your brain cancer may have returned.
17:07All errors are tied to executive function.
17:09Sean...
17:11Specifically to working and procedural memory governed by the dorsolateral prefrontal cortex,
17:14a common site for a recurrent glioma, which strongly suggests your cancer has returned.
17:19My last scan came back completely clear. I'm fine.
17:21Your last scan was six months ago.
17:23These errors all took place in the last four months, so you need another scan.
17:27The evidence is very compelling.
17:29No, it's really not. I perform complex surgeries, Sean,
17:32more so than any other doctor on this staff, by the way.
17:35So, yeah, the percentages would dictate that I might make more minor and irrelevant missteps,
17:41if that's what you want to call them, and...
17:43And the rate of errors has increased.
17:45Yeah, because I take on the tougher cases, the ones no one else will.
17:48No, you need another MRI now.
17:51Sean, what I need is to get back to my patient, and you need to knock first next time.
18:01It's the greening of the tree.
18:04My turn?
18:07Trying to get some of my cognitive exercises in.
18:10What are you memorizing?
18:12It's a poem from The Carrying, Ada Limon.
18:14The collection is mostly about...
18:18not having the life you thought you'd have, I guess.
18:23The one I was just reading, it's about spring coming.
18:28Instructions on not giving up.
18:31Sounds useful.
18:33Yeah, too bad I can't read it all at once.
18:35I just graduated from haikus.
18:37Never even thought to look at a poem before I got sick.
18:41Didn't have the patience for it.
18:42Didn't have the patience for it, or the time.
18:45But it's basically all I read now.
18:48Started writing, too. It's kind of a...
18:51creative therapy.
18:53Hmm.
18:55There was a kind of...
18:57poetry to the genetic variations in White Clover, too.
19:04Can't give anything to...
19:12Your blood pressure is going down and your heart rate's climbing.
19:16I feel kind of dizzy.
19:18I'm gonna check your glucose.
19:21She's having a seizure! Crash cart now!
19:26You thought something else was going on with your heart, but it's a kidney issue.
19:30You have a narrowing of your renal arteries,
19:32which was exacerbated by the pulmonary hypertension causing your kidneys to fail.
19:35And this is because of my sleep apnea?
19:38We believe so, yeah.
19:40Can she get a transplant?
19:43I can do a test, see if I'm a match.
19:45Unfortunately, your other health concerns rule out a transplant.
19:48But a renal artery bypass would allow your kidneys to heal on their own.
19:52There's risk of complications, some quite serious.
19:56But in success, you could live a full, independent life.
20:03But serious, as in...
20:06I could die?
20:07Some complications can be fatal.
20:10But the risk is relatively low.
20:13Are there other options?
20:16Well, there's dialysis.
20:18But you'd need multiple sessions a week for the rest of your life.
20:22Oh, um...
20:24Well, that's less risky, but I...
20:27I don't think I could handle all that on my own.
20:31Mom. Mom.
20:33If you want to choose the dialysis, I'll stay in San Jose.
20:37I'm sorry.
20:39I don't want to keep you.
20:41Oh, you have nothing to be sorry for.
20:44All this time you've been sick and struggling, and I...
20:48I judged you.
20:50But your new job...
20:54It's just a job.
20:58Okay.
21:00It's okay.
21:02So, the medication you gave me to make my surgery safer
21:08will actually make it more risky?
21:11That's right.
21:13But without that medication, I'm much more likely to have another Tet spell.
21:17Yes, and possibly more severe than the last time.
21:21The brain fog, all my...
21:24deficits...
21:26could get worse.
21:27Could get worse?
21:30For possibly forever?
21:33Yes.
21:36But if we don't do the Tet repair, your heart will stop at some point.
21:43I've already been through
21:45losing my thoughts,
21:47my whole self.
21:53I can't do that again.
21:58Find another way to fix my heart.
22:19A new idea.
22:21We go back to the old idea and just do the surgery.
22:24It's a non-starter.
22:25We need to present a way to help her Tet without triggering her Tet.
22:29A percutaneous valve and VSD closure could help with blood flow.
22:32That involves catheters in the heart, which would cause the muscle to spasm.
22:35Alright, it's time for some WWSMD.
22:38Whatever you and Jerome do on your own time is...
22:41What would Sean Murphy do?
22:55WHAT WOULD SEAN MURPHY DO?
23:18What about a shunt?
23:20It would improve blood flow.
23:22Buy a few months to continue her cognitive recovery.
23:24Once she feels better about where her brain's at,
23:26maybe she lets us fix her heart.
23:28Her tet will likely kill her before that,
23:30but placing a shunt won't trigger a spell,
23:34making it something she'd actually accept.
23:39I'll take it to her.
23:42I can stay only 45 minutes.
23:44I have to review Dr. Glassman's OR videos.
23:46Couldn't you already review them?
23:48Not for symptoms of glioma recurrence.
23:49New evidence will convince Dr. Glassman to get a scan.
23:52Can you binge months of data in one day?
23:54You'll have a clear head in the morning.
23:56Until then, here we are, Karaoke Rager!
23:59Yay!
24:00It is yay! We have song lists.
24:02Plus, Jared's our friend. He just moved back.
24:04Celebration is in order.
24:06I will review the videos in the morning.
24:08Yay!
24:10That was pretty wild in there.
24:12Me
24:15You're gonna be the one that saves me
24:21And after
24:27I was just warming up.
24:29Where is everyone?
24:30There is a lot of food.
24:32Yeah, I had it catered.
24:34You're the first to arrive.
24:36And so far, last minute rain checks from Morgan Park Asher Danny.
24:42Oh, and Jerome.
24:45So it's just us four.
24:47Which means that all these snacks and song binders are for us.
24:54Oh, yes.
24:56The low turnout is the perfect opportunity to discuss symptoms.
25:00In your recent surgeries with Dr. Glassman,
25:03do you recall observing any balance issues, tremors, or motor weakness?
25:06Yes.
25:12That sounds like the perfect option.
25:14How soon can you do the shunt procedure?
25:17I'll try to schedule it for tomorrow.
25:24I've had a strange year myself.
25:30Eleven months ago, I was attacked and paralyzed from the waist down.
25:35I thought it was permanent. Almost everyone did.
25:41At first, all I wanted was to walk again.
25:46I was ready to risk my life to get back to the old me.
25:51But as time went on, I started to appreciate my new life, my new self.
26:00I started a new relationship that wouldn't have happened otherwise.
26:06In many ways, my life improved.
26:09You recognize you walked in to tell me this story?
26:13I only agreed to do the surgery once I knew my life wasn't at risk.
26:17And even then, I had doubts.
26:21I liked who I'd become. I wanted to hold on to her.
26:25I'm not losing my mind all over again.
26:35You don't strike me as someone who's lost her mind.
26:55That covers the thrombectomy. In February, you assisted on a...
26:59Okay, I'm playing the pregnant lady card.
27:04We're going, Sean.
27:05Okay.
27:07Thank you, goodbye.
27:11I should head out, too.
27:14Early morning.
27:16Maybe focus on being a first-year resident before adding party planner to your resume.
27:26The catering may have been a bridge too far.
27:29Yeah.
27:35I bounced around, girl.
27:37You know, I'm not the type of person to just sit around and do nothing.
27:43I bounced around growing up.
27:46At different schools, cities, countries.
27:51But wherever we were, my parents had a big house and I knew I had to throw a party.
28:00As close as I get to feeling like I'm fit.
28:06Old habits die hard, I guess.
28:08Fitting in takes time.
28:11But I never have.
28:13Anywhere.
28:18Maybe not everyone finds their place.
28:28Daphne's getting accepted. We have to go.
28:39Morning.
28:42Hello.
28:46You should not have that.
28:48I'm permitted 12 ounces a day. Experts agree.
28:51Yes, but that was brewed when I woke up at 3.30 a.m.
28:56You'll make it through the videos?
28:58Yes. And integrated the observations Drs. Kalu and Alan made last night regarding possible glioma symptoms.
29:06I am now ready to present Dr. Glossman with the revised evidence, which is very compelling.
29:16Thankfully, your infection is responding to the antibiotics.
29:19The infection started around your dialysis report. That could easily happen again.
29:26The renal artery bypass is still an option.
29:29It's too risky.
29:31So is sepsis.
29:33Thank you, doctor, but I'll settle for being alive.
29:37You shouldn't.
29:40You deserve more than that.
29:42I know you've had a whole life of feeling sick and stuck and repeating the same old bad patterns.
29:48But your past does not have to tell your future where to go.
29:55You can choose a different path and who you're going to be on it.
30:00And let your daughter do the same.
30:07Prague is beautiful in the spring.
30:48We've scheduled a shunt placement for this afternoon.
30:52And that whole speech last night?
30:54I stand by it, but it's your decision.
31:00I've been waiting for the old me to come back and...
31:08That person may not exist anymore.
31:13And...
31:16Maybe I should be okay with that.
31:24Do the type repair.
31:30Okay.
31:41Releasing the proximal clamp?
31:45What made Daphne change her mind?
31:48Dr. Allen has a way of getting through to people.
31:55Blood flow looks obstructed. There's a kink in the graft.
31:59We can redo it, but most likely it happens again.
32:05We could anchor the bypass off of the aorta instead.
32:09At that angle, less chance of a kink.
32:15Good work.
32:17Okay.
32:29Extending the incision.
32:30External saw.
32:36Starting the sternotomy.
32:39O2 dropped to 78.
32:4165.
32:42She's having a tot spell.
32:43Give her 500 cc fluid bolus and 100% oxygen.
32:46Giving a mini bolus to increase pulmonary flow.
32:52O2 sets are 50.
32:5445.
32:55Come on, come on.
32:59Give her more oxygen and up the opiates.
33:03It has stopped registering.
33:14O2's rising.
33:18Heart rate's stabilizing.
33:22She was in prolonged gross hypoxia.
33:25That could extend cognitive deficits.
33:29Or worse.
33:31We won't know until she wakes.
33:33Let's get her on bypass before she has another one.
33:36Okay.
33:37To a successful renal artery bypass.
33:40Cheers.
33:41Facilitated by a moving speech from a wise and persuasive surgeon.
33:45With a great surgical save by a guy who's about to have some life-changing tacos.
33:51Okay.
33:56Oh my God.
33:58Oh my God.
34:00Oh my God.
34:02Oh my God.
34:04Oh my God.
34:06Oh my God.
34:07Okay.
34:09You're amazing.
34:10Told you.
34:11Blue corn tortilla.
34:13I can get used to this.
34:18You have some lettuce.
34:21No, no, no.
34:22Mirror image.
34:24Now?
34:25No.
34:26No laughing.
34:27No, right, right.
34:28Very serious matter.
34:31All right.
34:37Yeah.
34:52We should go.
34:55We need to get back early for Daphne's post-op.
34:58Yeah, right.
35:00Okay.
35:10The bypass went smoothly and post-op labs look good.
35:13We expect a full recovery.
35:16How are you feeling, Mom?
35:19I'm...
35:22Breathing feels like the first time in my life.
35:28The post-op swelling from the tesselectomy has gone down.
35:32You're finally breathing without any obstruction.
35:34You'll need to stay on top of your medications and follow-up visits.
35:37Observe some dietary guidelines, but the discharge plan lays it all out.
35:43I'll be there to help, Mom.
35:47No.
35:50You won't.
35:51You won't.
35:56You need to live your own life.
36:02But I will accept FaceTime calls.
36:06And once I recover, I'll come visit.
36:15I hear that Prague is beautiful in the spring.
36:21That sounds like a plan.
36:35Things not go well with Glassy.
36:37He returned the files with a note saying he did not look at them and does not intend to.
36:43I'm sorry. He probablyβ€”
36:45It was a mistake to leave them for him to read on his own.
36:47Once I reorder the files, I will go to his office to review with him in person.
36:51You made it pretty clear he doesn't want to see them.
36:53But he doesn't know about the new evidence.
36:55Maybe he doesn't want to know.
36:57Cancer survivors have to live with the uncertainty thatβ€”
37:00Knowing is better than not knowing.
37:05If he's not ready to look at this, you can't force him.
37:10Maybe he's scared, Sean.
37:14And I think maybe you're scared, too.
37:18We're about to have a baby.
37:20You're about to be a dad.
37:23And I think you're worried about family, and Glassman is a part of that.
37:28But if you keep pushing, you risk damaging one of the most important relationships in your life.
37:44Hey.
37:48Hey.
37:49Hey.
37:53I've been thinking, and I need a break from our coffees.
37:57What the hell is that?
37:58I don't think dinner's a good idea either.
38:01So we have a different point of view about hospital business. That doesn't change the way I feel about you.
38:06On or off the clock, I'm the same person.
38:09To me, if you don't value what the nurses do enough to treat us like a resource to invest in, not a line item to be cut.
38:18How much can you care about me?
38:21And to be honest, if that is your point of view, it undercuts the respect I have for you.
38:30Harper Louise Decrane, March 30th, 1994.
38:47And do you know why you're here?
38:49For my heart issues.
38:53I had another test spelled, didn't I?
38:56We'll need to conduct more tests, but your speech and memory seem intact.
39:00And with regard to your heart, we expect a full recovery.
39:03And with time, you may recover your full cognitive abilities as well.
39:08Maybe.
39:10But for now, I'll just focus on being here.
39:25It's the greening of the trees that really gets to me.
39:35When all the shock of white and taffy leave the pavement strewn with the confetti of aftermath.
39:43The leaves come, patient, plodding.
39:49A green skin growing over whatever winter did to us.
39:53A return to the strange idea of continuous living, despite the mess of us, the hurt, the empty.
40:03Sean, what?
40:05Leah thinks that because I am going to be a dad, I am worried about my family.
40:13Okay.
40:15She also thinks you are scared.
40:19I'm not scared, Sean. I'm fine.
40:20I'm not scared, Sean. I'm fine.
40:22She says if you don't want to do the scan, I should let it go.
40:29She is right.
40:36Good. Thank you.
40:39I am scared.
40:51Dr. Glassman, I am asking you to do the scan because the data and the evidence are sound.
41:12And because it would be hard to lose my father just as I am about to become one.
41:32Do the scan for me.
41:47Sean.
41:49I'll do the scan.
42:02Fine then. I'll take it.
42:05The tree seems to say, a new slick leaf unfurling like a fist to an open palm.
42:11I'll take it all.