The Good Doctor Season 6 Episode 20
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00:01Previously on The Good Doctor.
00:03I've been thinking, and I need a break from our coffees.
00:06If you don't value what the nurses do, how much can you care about me?
00:10This is my patient.
00:12And I'm your boss. You can either do this with me, or I'll find someone who will.
00:17If you don't trust me, fire me. And if you do, then stay out of my way.
00:23You trying to pick your embryo?
00:25I'm leaning towards a girl I have a playbook to work from.
00:29I didn't know Deep because of you. Or us.
00:32Jordan, if I let myself get close to you, I will fall for you. I can't risk that.
00:38You deserve somebody who's ready to fully commit. Somebody who makes you happy.
00:42Your brain cancer may have returned.
00:46The crib needs to be assembled.
00:48Go. I got this.
00:50There are two screws missing.
00:53Dr. Glossman doesn't have brain cancer, but there is something wrong with his brain.
01:02We have forgot to add the blueberries, but we can still put them on top.
01:06Sorry.
01:07Not a problem. Underneath, on top, on the side, I can eat them here, I can eat them there, I can eat them anywhere.
01:16Not Dr. Seuss fans.
01:18We need to discuss something very important.
01:20After we eat.
01:22Don't worry, I'm fine. The baby's fine. Sean just wanted to have a bit of a discussion.
01:26You forgot two screws when you built the crib.
01:29Okay.
01:30Okay, Sean, slow down. Let's all at least take a seat first.
01:34We're going to have a discussion about a crib.
01:36Your CSF DNA test showed your brain cancer has not returned, but there is clearly something impacting your neurological function.
01:44Sean, the crib has like a hundred different parts and instructions without any words.
01:50Just pictures with arrows going in every possible direction.
01:53Thankfully, I was there to correct your mistake, but that won't always be possible in the OR.
02:02The OR?
02:03Yes.
02:05I would like to do more tests.
02:07That's not going to happen. That's not going to happen.
02:09And Dr. Lim should be notified.
02:10That's absolutely not going to happen.
02:12If your executive function has deteriorated even a small percentage...
02:15Sean, just one second. Just stop for a second.
02:18Two screws?
02:20There's nothing wrong with my brain.
02:22There's nothing wrong with any part of my body for that matter.
02:24Not that that concerns you.
02:26You go to Lim and you're going to look ridiculous.
02:29Doctor...
02:30That's the end of the discussion.
02:35And breakfast.
02:43He's right.
02:45It's okay. You were just trying to...
02:47I can't go to Dr. Lim without conclusive medical evidence.
02:53Or maybe he was right.
02:55It is just a crib and he was in a rush. Everyone forgets things. I forgot the blueberries.
03:01Instead of tests, I can gather data through direct observation.
03:06What does that mean? Are you going to spy on him?
03:09Please put my pancakes in the fridge. I will eat them for dinner.
03:18Good morning. Mind if I join you?
03:22Sure.
03:28How are things in surgical?
03:32Great.
03:33Great? As in actually great or great as in I'm saying the right thing because he's the president of the hospital?
03:41Both.
03:42Well, any feedback you have, you can always come to me.
03:48Sorry to interrupt. I have a clinic patient who needs a surgical consult. It's a former patient of yours, Eddie Richter.
03:55Eddie? I haven't seen him in years.
03:58He came in with GI pain and acid reflux. Ultrasound reveals a small mass on his duodenum. He'll need surgery to remove it.
04:05I think I can fit that in.
04:07Join me.
04:09Dr. Lim scheduled us with Dr. Park today.
04:11Doctors Park and Lim will understand. This is a unique case.
04:16A small duodenal mass?
04:18I don't know.
04:24Eddie.
04:28Long time no see.
04:29I wish it were longer. No offense. I wasn't planning on seeing a surgeon today.
04:33Fair enough. I brought along with me doctors Allen and Wolfe to assist.
04:38Hi.
04:39Nice to meet you.
04:40Judging by the astonishment they're both desperately trying to hide, you did not tell them about my condition.
04:45I did not. Very few residents get to see epidermis dysplasia variciformis outside of a textbook and I figured this would be an important learning opportunity.
04:54I definitely failed the bedside manner part.
04:56I'm sorry.
04:57Ah, arthrobs like me and Brad Pitt are used to it.
05:14Any deep pain or tenderness here?
05:16A little.
05:17How's business?
05:18Oh, fantastic, thank the Lord.
05:20Eddie is an amazing carpenter. He built Isabelle and I this stunning mahogany live edge dining table.
05:27I have no idea what that is, but it sounds delightful.
05:32Yeah, not much good for guitar, but I can still wield a power tool.
05:36You'll need to use a carotid pulse monitor and upper thigh for BP.
05:39Got it.
05:41How painful are the growths?
05:43I mean, that depends. They're basically just huge warts. Face not much, hands a little, feet a lot.
05:52I'm blessed.
05:53Lord knows that a pretty face can only get a handyman in trouble.
05:57Dr. Resnick gave us a really good view with her ultrasound, but I'd like an MRI and a biopsy to better assess the lesion.
06:04Might as well get my money's worth, huh?
06:06It's good seeing you, Eddie.
06:14The team doc's playing it safe. It was a damn curveball.
06:17Well, even a damn double A curveball comes in at what, 80, 85? Could still do some damage, helmet or no.
06:23Two weeks isn't a long time to be in concussion protocol.
06:26Okay, well, I didn't have a concussion. I mean, I barely even had a headache, so.
06:33Can I help you, Dr. Murphy?
06:35I came to observe. Please continue.
06:38Your impact scores are a bit worse than baseline.
06:41Okay, that's one test. I mean, I passed all the others, but the doc still won't clear me.
06:47It's not a bad idea to play it safe, though. It is your brain we're talking about.
06:51I mean, you're an outfielder, so you don't need one just now, but you are going to retire someday.
06:57Look, if I don't get back on the field ASAP, I won't have a career to retire from.
07:01I wouldn't have come to the best brain doc in town otherwise.
07:05Alright, we'll take a look.
07:09Do a neuro and get me an MRI.
07:11An MRI? For a concussion?
07:14Well, he's got some dilation of his left pupil. Probably not significant.
07:18But if we're going to override the team doctor, we better be sure, huh?
07:23On it.
07:24The MRI is a good idea. I did not know that.
07:28On it.
07:29The MRI is a good idea. I did not notice the dilated pupil.
07:32Well, thank you. Not a problem, since it's not your case.
07:35But it is an interesting case, even if I did not know that when I came here.
07:39Since I've cleared my schedule, I would like to continue observing.
07:42You cleared your schedule of people with actual ailments?
07:47Okay, fine. Observe all you want.
07:49I will. Both you and the case.
07:53Oh, there's no bleeding or hematoma in your groin.
07:57Which means you're doing fantastic.
08:02Her color looks better.
08:04Everything looks better.
08:07I just got off the phone with Eden's social worker.
08:09She's having trouble finding foster parents who are willing to take a newborn with Turner syndrome.
08:14Well, it's not that difficult. Her long-term symptoms might not even be that severe.
08:18Still, Eden will always need special care.
08:21Okay.
08:29It'll take a minute for the lidocaine to take effect.
08:32You may feel some discomfort when the scope goes down your throat.
08:36Got it.
08:38I assume you've discussed surgical removal of your EV growths with Dr. Andrews?
08:43Yeah. I know you wanted to try it, but obviously there's the risk of nerve damage, plus they would just grow back.
08:48This is how it was meant to be.
08:51The Lord works in mysterious ways.
08:53But surgeons don't.
08:55The risk of nerve damage is actually quite small.
08:58And I imagine easier to live with than the pain and lack of mobility and...
09:03Repulsiveness?
09:05No, no. I...
09:07It's all right.
09:09I know how I look.
09:11I see the frightened kids. People laughing, staring.
09:17I just try my best to keep my eyes and arms open to all of God's gifts.
09:24Can I imagine taking an 80-mile-an-hour baseball to the dome?
09:28Some guys in the majors throw over a hundred.
09:32I don't see any edema or evidence of a hematoma.
09:35Neither do I.
09:37The anesthesia is probably harmless.
09:39Twenty percent of people actually have one pupil larger than the other.
09:43You play any sports?
09:44I played football and baseball in high school.
09:46Why?
09:47I have a friend who runs a sports program for at-risk teens.
09:50I've been helping coaching some indoor football.
09:52I mean, soccer.
09:54She's always looking for help from positive role models.
09:56Yeah, I've never coached kids before.
09:59Mainly just making sure they have fun instead of the streets.
10:02And my friend's super cool.
10:04She's cute, too.
10:05Well, helping kids sounds great,
10:07but I'm trying to get a year of recovery before I start dating.
10:10Damn, my bad.
10:11It's no big deal.
10:12I just...
10:13No, I mean the anesthesia.
10:19Definitely not harmless.
10:21Or a concussion.
10:36You have multiple cerebral aneurysms,
10:38which puts you in danger of a brain hemorrhage.
10:42So what now?
10:43Well, we're gonna map the precise vessels involved,
10:46take some pictures of the inside of your brain.
10:48It's called a...
10:50Cerebral angiogram.
10:53We'll feed a catheter into your brain through an artery in your wrist.
10:56You'll be sedated.
10:57It's harmless.
10:58As soon as we get the results, we'll map out a surgical plan.
11:02Like brain surgery?
11:03Hey, best brain doc in town.
11:05Right?
11:12It just keeps getting worse.
11:14The tumor has significantly damaged the bile duct.
11:16Eddie's gonna need a surgical resection,
11:18or possibly a major GI reconstruction.
11:21But poor guys, if one rare and devastating disease wasn't enough...
11:25No, the surgery is manageable.
11:27I've known Eddie for years.
11:29He's always been the embodiment of what doesn't kill you makes you stronger.
11:32But who needs strength when you're cradled in the Lord's loving arms?
11:36Given his situation, don't you think his
11:38I'm-just-thankful-for-all-God's-gifts attitude just a bit crazy?
11:42I find the strength he draws from his faith very inspiring.
11:45Except that his faith has inspired him to not do the only thing that would actually help him.
11:48Get an octreoscan to confirm that his liver, pancreas, and lymph nodes aren't involved.
11:54On it.
11:56You should probably go and...
11:57Referee?
11:58Assist.
12:03The radiolabeled tracer will light up any areas infiltrated by the tumor.
12:08I guess Spidey's strength, too.
12:11Can I get you flat on your back for the scan?
12:13That won't be too painful, will it?
12:15No, sure, I'll be alright.
12:18Is there any family you'd like to contact?
12:20No, it's just me. I live alone.
12:22If you don't mind my asking,
12:24EV is genetically inherited?
12:26I'd assume at least one of your parents suffered from it?
12:29Yeah, they both did.
12:30Did they both also decide against surgical treatment?
12:33Well, my parents were circus performers.
12:36Made a living off their appearance,
12:38so I doubt they wanted any treatment.
12:40Can't say that for sure that they gave me up right after I was born.
12:44I'm sure they were trying to protect you from the life they had.
12:47No, from what I found out,
12:49they thought a family act would be too sad and ruin the gig,
12:53so they didn't want me around.
12:55That's horrible.
12:56Not at all.
12:58I grew up in foster homes.
12:59I had one mom who was a minister.
13:02Introduced me to the power of the Lord.
13:04And then when I was older, I had a dad who was a carpenter.
13:08Taught me everything I know.
13:12I've always been blessed.
13:19Advancing the catheter to assess posterior circulation.
13:23Dr Murphy, do you mind if I ask, why are you observing us?
13:27I don't mind.
13:30Why are you observing us?
13:32I am not observing you.
13:33I am observing this case because it is interesting.
13:36Also because it is Dr Glassman's
13:38and he may display additional symptoms
13:39that will help me diagnose his deteriorating executive function.
13:43So you're worried because he forgot a couple of stitches on a routine class?
13:47Stop!
13:49The third aneurysm is low-lying at the basilar trunk.
13:53That will be very difficult to clip.
13:56And dangerous.
13:57Definitely a very interesting case.
14:08Hush little baby, don't say a word.
14:11Mama's gonna buy you a mocha.
14:14Don't say a word.
14:15Mama's gonna buy you a mockingbird.
14:19You sure you should be doing that?
14:21Changing bandages or singing?
14:24Both.
14:29She's gonna be leaving soon.
14:31I'll be fine.
14:40No, I'm not overreacting.
14:42He is covered in these tree-like growths but refuses surgery.
14:46But everyone acts as if he's so inspiring.
14:48It's a pretty brave choice.
14:50It's a stupid choice.
14:51Living in isolation and unnecessary pain
14:54all because of his belief in the magical mystery tour that is religion.
14:58Well, given your family history,
14:59I see why this patient is a little triggering for you.
15:01Okay, I'm not triggered.
15:03This has nothing to do with my family.
15:06Religion is the opiate of the masses.
15:09You know, Mark's got a lot wrong, but not that one.
15:11Why don't we talk about something else?
15:12I mean, look at terrorism.
15:14The countless wars.
15:15The KKK.
15:16Al-Qaeda.
15:17Bombed abortion clinics.
15:18The assault on women's rights.
15:20Not to mention the rampant persecution of the LGBTQIA community.
15:24I mean, you either have to have your head in the sand
15:26or be a complete moron not to see that.
15:29Mmm.
15:31This is done. Will you grab the salad?
15:42Sorry, I was looking for a place to meditate.
15:46It's okay.
15:48I came here to decompress before I head home.
15:56Jordan.
16:00The other night at karaoke,
16:02I shouldn't have tried to give you relationship advice.
16:05I mean, you don't know me.
16:06I don't know you.
16:07At karaoke, I shouldn't have tried to give you relationship advice.
16:10I mean, you don't need me for that.
16:14Or anything else, really.
16:19You're everything.
16:26Thanks.
16:31Sorry, I gotta go.
16:32I gotta go.
16:36He started vomiting blood and then lost consciousness.
16:38Get two units PRBC.
16:39Stay two ahead and place an NG tube.
16:40On it.
16:41Eddie, can you hear me?
16:42Eddie!
16:48The tumor's caused a severe duodenal ulcer
16:50and major hemorrhaging in his upper GI tract.
16:52Yeah, we can't excise it if we can't stop the bleed.
16:55We could do it in two steps.
16:56Endoscopy to stop the bleed
16:57and a partial duodecamy to remove the tumor.
16:59But it'd be safer to debulk the tumor after the scope
17:02and follow up with aggressive chemotherapy.
17:04Chemo would increase the pace of the EV growths.
17:06Which he doesn't seem bothered by.
17:07Doesn't mean we shouldn't make it worse.
17:08Well, it's better than bleeding out in the OR.
17:10He's not going to bleed out.
17:12We can solve both the GI bleed
17:14and totally excise the tumor with a pancreatic odoidectomy.
17:18A whipple while the patient is hemorrhaging?
17:21That's even more risky than combining the scope.
17:23I'm aware of that.
17:24But unlike your department chief,
17:26I'm not interested in whether residents approve of my decisions.
17:29Get him prepped.
17:31We'll approach all three aneurysms
17:33from the left side of craniotomy.
17:35Even though the IC aneurysm is on the right side?
17:38Yes.
17:40We'll go after the basilar first,
17:42as that is the most challenging.
17:44What about the ipsilateral PCOM?
17:46It's pressing the third nerve and may rupture.
17:48If you let me finish,
17:50step two will be the PCOM.
17:53And after that,
17:54we will cut across the infield and go after the ICA.
17:57Have you considered...
17:58John, will you stop? Will you just please stop?
18:00I'm fine. I know what I'm doing.
18:02My memory is intact.
18:03Does anyone have an actual objection to the surgical plan?
18:08Nope, no.
18:10It is extensive
18:11and could put Ricky at risk for future seizures
18:15and your outburst could indicate a lack of impulse control,
18:17which is a symptom of executive dysfunction.
18:20I am exhibiting extraordinary impulse control.
18:23As we speak, as to the risks,
18:25I have clipped over 2,000 aneurysms.
18:28Tomorrow morning, I'm going to clip three more.
18:34Put Ricky on the schedule.
18:36Go home, get some sleep.
18:42It's not milk and cookies,
18:43but it'll have to do for now.
18:46Oh, sorry. I was going to take care of that.
18:49Why?
18:50Did Park tell you to?
18:52Dr. Park?
18:53No, I just got off my break and I was going to...
18:55Great news.
18:56I just got off the phone with her social worker.
18:59She found a foster family.
19:03Lucky girl.
19:04You've got a home.
19:14I know you were hoping for a pancake dinner,
19:16but I was thinking maybe we could go to Baroni's instead.
19:19I'm really craving a meatball.
19:21Yes, Dr. Glassman is not only highly experienced,
19:24he has above-average intelligence.
19:26I don't know. He is an A's fan.
19:29I have not noticed any symptoms
19:32significant enough to alert Dr. Lim.
19:34But even with a decline in executive function,
19:36he might not show serious deficits.
19:39I think we should definitely discuss it further
19:41over sauteed artichokes.
19:42I am not hungry,
19:43but I will come and keep you company
19:45while I continue to work.
19:48If Glassie can still do brain surgery,
19:51and you haven't seen any serious deficits...
19:54There is definitely something wrong with his brain.
19:57He's getting older. It happens to everyone.
20:00This is not just aging.
20:02I know Dr. Glassman.
20:04Do you think Glassman is a danger to his patients?
20:11No.
20:14Not yet.
20:17Then let's go to Baroni's
20:19and eat some meatballs and chicken wings
20:22that I will enjoy for a few glorious hours
20:24until the indigestion kicks in.
20:30You are right.
20:32Meatball stat.
20:40That's the last anastomosis. Remove the clamp.
20:47Looks like the sutures are holding.
20:49I can't believe we did a Whipple in under six hours.
20:51That's got to be a record.
20:53More importantly, no more tumor,
20:55no more bleeding ulcer.
20:57Went even better than I hoped.
20:58Got to give the good Lord his due.
21:01Eddie is truly blessed.
21:05We need a few more four prolines on a Castro
21:07and two surgical drains.
21:18Hey. You got your gear for tonight?
21:21Yep.
21:22Dug out the old football cleats.
21:24Awesome.
21:25Samira is really looking forward to meeting you.
21:28Don't worry. I respect your recovery.
21:30I'm not trying to set you up.
21:33Jordan also told me she'd kill me
21:35if I did anything to tempt you off your path.
21:38You and Dr. Allen were talking about me?
21:41Yeah, she's just making sure I knew what you were dealing with.
21:45She's definitely looking out for you.
21:58My head. It's going to explode.
22:00He has a thunderclap headache and double vision.
22:03His left eyelid is droopy.
22:05Looks like complete third nerve palsy.
22:07Left pupil non-reactive to light.
22:08The PCOM aneurysm must have ruptured.
22:10We need to get him to the OR stat.
22:12Hey, Dr. Glassman.
22:18Scalpel.
22:29Intracranial pressure is dropping.
22:31We bought him some temporary relief.
22:33Can we see the CT scans, the new ones, please?
22:38Given this arachnoid hemorrhage,
22:40the risk of the previous surgical plan has increased.
22:42We can still clip the two smaller aneurysms
22:44and ligate and bypass the ruptured one.
22:47We should consider coelombilization of the ruptured aneurysm.
22:50We treat that now and then come back for the other two
22:52once Ricky has recovered.
22:54Then he has to come in every six months for an angiogram,
22:56weakening his muscles, damaging his coordination,
22:59effectively ending his pro career.
23:01That's your recommendation?
23:04The treatment is a much safer option.
23:07He's 19.
23:09There's lots of life to consider after baseball.
23:12I'm confident in what I promised.
23:13I'm confident that I can deliver it.
23:15Your experience mitigates the increased risks of the craniotomy,
23:19but it does not eliminate them.
23:21The patient should decide.
23:24Fine.
23:26Let's wake him up and present both plans.
23:32The surgery went better than we could have hoped.
23:35We removed the tumor,
23:37and your liver and pancreas are working great.
23:41So when do I get to go home?
23:44We need to keep an eye on you for a couple days.
23:46I took the liberty of getting you a few things to help pass the time.
23:57I'm so grateful to you all.
24:00I spend so much time on my own,
24:01I can forget how wonderful it is to have other people there who care about you.
24:05Yeah.
24:15Hey.
24:16Sorry, I got a little aggro last night.
24:18My family was big on dinner debate time.
24:21Okay.
24:23That's all you have to say?
24:25I have a blood draw to do.
24:27So...
24:29It was just a philosophical discussion.
24:31It's not like we got into a fight, right?
24:33No, we didn't.
24:35Okay.
24:44I'm terrible.
24:47Somebody's in a good mood.
24:49Indeed I am.
24:50It's the Eddie effect.
24:51Our patient radiates positivity.
24:54It's oddly contagious.
24:55It's got me wondering why I'm always so focused on choosing the right path,
24:59instead of just being open to God's gifts.
25:04Sorry.
25:06My gift is using my stomach as a speed bag.
25:14I don't know what's worse,
25:16that I might not walk out of here,
25:17or walking out knowing that I'll never play ball again.
25:20Yes.
25:22That is the question you need to answer.
25:25Don't get stuck on worst case scenarios.
25:28I worked real hard to get here, you know,
25:30and I got people counting on me.
25:32Hey, hey, hey.
25:34Shut out the noise.
25:36Other people are going to have opinions,
25:37whether you swing three and O,
25:39whether you don't take the extra base.
25:41Whatever decision you make,
25:43that's going to be the right decision.
25:54You know, there's a...
25:56There's a saying,
25:58back in the D.R.
26:00You can't walk off the island.
26:07You gotta take big swings.
26:13Let's fix all the aneurysms now.
26:17Good call.
26:19You'll need to keep the wound site clean and dry,
26:21and be sure to monitor her caloric intake closely.
26:24Babies with Turner Syndrome
26:25have difficulty swallowing and tongue dysfunction.
26:28Turner Syndrome?
26:29Will she need additional surgeries?
26:31Yes, but not for a few years.
26:34With things like this,
26:35it's best to take it one step at a time.
26:38We were hoping to get her out of the hospital,
26:40but I don't think that's going to happen.
26:43I don't know.
26:44It's best to take it one step at a time.
26:47We were hoping to foster, to adopt,
26:50and these long-term medical issues,
26:53they're significant.
26:55When it comes to medicine,
26:56Google's not your friend.
26:59Patrick, Annie,
27:01I know it all sounds scary,
27:03and you have every right to be nervous,
27:06but you can do this.
27:09Eden needs you.
27:14I know.
27:24Wouldn't it be best for Eden
27:26if you found someone more qualified?
27:33I'll let social services know.
27:45What's the score?
27:48How am I doing?
27:49My executive function.
27:51What's the score?
27:53It's not a score.
27:54It is data,
27:55and I am not ready to draw my conclusions.
27:58You're wasting your time.
27:59You should focus on people who actually need you.
28:02I'm fine.
28:04I am focused on you.
28:08Because for most of my life,
28:09you've watched out for me.
28:11No one asked you to do it.
28:14You chose to.
28:19Sometimes when I didn't want you to,
28:24I'm very glad you did.
28:28So no matter what anyone,
28:29including you, says,
28:32I am going to watch out for you.
28:35What are you talking about?
28:36It's fantastic.
28:37These are incredible.
28:38Seriously.
28:41I didn't mean to interrupt.
28:42No, Dallas A was just showing me
28:43her watercolor landscapes.
28:45She's a wonderful painter.
28:47Really?
28:48I had no idea.
28:49There's increased output in his JP drains.
28:53I don't know.
28:55I don't know.
28:56I don't know.
28:57I don't know.
28:58I don't know.
28:59I don't know.
29:00I don't know.
29:01I don't know.
29:02I don't know.
29:03I don't know.
29:05I don't know.
29:07I don't know.
29:09I don't know, Dallas.
29:11It's not surprising considering your AV.
29:14Send a sample to the lab
29:15and add maropin into his antibiotic regimen
29:17just to be safe.
29:21Your recovery looks to be on track.
29:23And we've made significant advances
29:25in plastic surgery techniques
29:26since your last consult.
29:28Yeah, I don't doubt it.
29:30We both know it'd still be painful
29:31Don't fix it.
29:35Proverb for the ages.
29:46Go on, say goodbye.
29:47The foster parents backed out. She's scrambling to find someone else.
29:58I don't have another family lined up.
30:02Can you give me more time?
30:06No.
30:08Edith needs a home and I know the perfect person to foster her.
30:13Me.
30:24Yeah.
30:26One down, two to go.
30:31It's been five hours. Do you need a break?
30:34Not when I have a 30-year-old Macallan waiting for me at the finish line.
30:39Fenestrated aneurysm clip.
30:43We've got an intra-op rupture.
30:44Bleed is massive.
30:45Suction, both of you, suction.
30:46To keep this field clear.
30:48Should we try a bloom occlusion?
30:49Or a flow-diverting stent?
30:50No, we should adjust the clips.
30:53Push six milligrams bolus adenosine.
30:58I'm going to stop the heart.
31:00Push it, please, push it.
31:05Aneurysm clips.
31:09Oh.
31:10That is very innovative.
31:12Inducing a brief cardiac arrest reduces blood flow to the aneurysm.
31:16I'm going to stop the heart.
31:17Push it, please, push it.
31:18Very innovative.
31:19Inducing a brief cardiac arrest reduces blood flow to the aneurysm.
31:23Gives us time to apply the clips.
31:35Okay.
31:36Let us proceed with the parent vessel reconstruction.
31:39One more time.
31:40Fenestrated aneurysm clip.
31:46That was exciting.
31:49Okay.
31:54He's in V-fib, not responding to chest compressions or epi.
31:57We need to shock him, charge the 200, push another milligram of epi.
32:00He must have thrown a clot.
32:01Clear.
32:19Time of death, 7.34.
32:31Time of death, 7.34.
32:37His underlying illness weakened his immune system and made his blood more susceptible to clots.
32:45There's nothing we could have done.
32:57Do you know what hospital you're in?
32:59St. Bonaventure.
33:00And why are you here?
33:02Aneurysms.
33:04That you're supposed to fix.
33:05Which we did.
33:06And we did quite well.
33:08In fact, if you stick to your rehab, you might be back on the field by mid-season.
33:15Thank you, Dr. Glassman.
33:19You got a surgery that can help you hit a curveball?
33:23Try hitting a knuckleball.
33:24You don't know what it is until it's too late.
33:27That's old school.
33:29I haven't even seen one in a game.
33:31Well, I used to throw a knuckleball, actually, back in the day.
33:34I tried to be a pitcher.
33:35I tried to be a pitcher.
33:47And you have no idea where it's gonna go, because that's just a...
33:52Just a slight amount of spin.
34:00You heard.
34:04Thank you for checking on me.
34:07Andrews was right. There's nothing more we could have done.
34:12I'm really sorry about your patient, but I actually came to tell you that I'm meeting up with some friends tonight.
34:19I'm gonna go back to my place after.
34:22Okay.
34:27What's wrong?
34:28Nothing.
34:30I've been meaning to see these folks for a while, and...
34:34We're meeting near my place. No big deal.
34:37Well, it's starting to feel like one.
34:40Clearly, you're mad. Please, tell me what I did.
34:45Sometimes having a conversation with you feels like combat.
34:51I was just stating my opinion.
34:53No, you were obliterating all other opinions, including mine.
34:56And calling me a complete moron in the process.
34:58I have never said that you were a moron.
35:00Ash, I didn't grow up discussing religion or quoting Marx at the dinner table.
35:04That doesn't mean I don't value your opinion.
35:06It doesn't seem like it when you take a sledgehammer to my every argument.
35:09I could give you a hundred examples of times when...
35:11This is not another argument for you to win.
35:17I have to get to dinner.
35:22Okay.
35:32I'm so sorry.
35:35If you want some company or someone to talk to...
35:40It's alright. I'll be okay.
35:42I know.
35:44But...
35:46If you change your mind, I'll grab your back.
35:49Like you've had mine.
35:56You...
36:00Really see me.
36:04I think maybe you and I could be...
36:07Gifts to each other.
36:11And we should be open to that.
36:17I have no idea what it looks like for us to move forward.
36:22You'll figure it out.
36:43Dalotay!
36:45Dr. Andrews.
36:47Your landscapes.
36:48Your landscapes.
36:50You showed Eddie before he...
36:54I think you shared them with him because he was so open-hearted.
37:00See, my whole life I've believed...
37:04That success only came from constant striving.
37:09Constant dissatisfaction with where I was or what I'd accomplished.
37:14Contentment was a sign of complacency.
37:17That's no way to go through life.
37:20I know.
37:22And I know I didn't show you enough respect.
37:27And I didn't make enough effort to see things from your point of view.
37:33But I want to change.
37:36I want to value the people I care about.
37:40And whom I care about me.
37:47And if I haven't screwed up too badly...
37:50Then maybe one day I'll be worthy enough to...
37:54See those landscapes.
38:01How about dinner?
38:03You pick me up at 7.30 Saturday.
38:05We can try that Filipino place.
38:13Why would you say that?
38:15You know...
38:17What else do you say in that situation?
38:19I agree with the guy.
38:24You were right.
38:26I have a tendency to go...
38:28Scorched earth in a debate because I just want to win.
38:32I lose sight of what's important because I'm...
38:35I'm a moron.
38:37But today I realize...
38:39I shouldn't take anything or anyone for granted.
38:45You showed me what it truly means to belong.
38:51To not be an island.
38:55And I just feel so blessed to be in your life.
39:04And you should order the salmon carpaccio.
39:07It's delightful here. It's like butter.
39:14Is your boyfriend really that passionate or is he a little insane?
39:19Both.
39:27Hi.
39:29I thought I'd stop by, see how you and Eden are settling in.
39:32We're fine so far, I think.
39:36I'm fairly sure I have everything Eden needs.
39:39Though Pete's might find a few things missing from their inventory this month.
39:43I don't see one of these.
39:48Oh, Eden will love it.
39:56Toys.
39:58Onesies. I need to get a stroller.
40:00Hey, don't handle it.
40:02It's a perfect practice run for when your own comes along.
40:07I'm going off my IVF meds.
40:10I'm not doing another cycle.
40:13Eden.
40:15She's what I've been waiting for.
40:19She's my daughter.
40:37This is a knuckleball and it fooled me.
40:40I thought it was Dr. Glassman's cancer returning.
40:43But it is damage to Dr. Glassman's brain as a result of a mini-stroke.
40:54If that were the case, the area would have smooth edges.
40:57Usually yes, but rare presentations can show abnormalities like these rough edges,
41:01particularly when the patient has had radiation treatment.
41:05It explains why his memory has been impacted,
41:08especially during periods of intense focus involving many sequential steps.
41:15It is permanent.
41:21He shouldn't be doing surgery anymore.