1 00:00:01,969 --> 00:00:09,743 ** 2 00:00:09,777 --> 00:00:17,251 ** 3 00:00:17,285 --> 00:00:25,126 ** 4 00:00:25,159 --> 00:00:32,700 ** 5 00:00:32,733 --> 00:00:35,136 I was late! It's okay, sweetie. It's not your fault. 6 00:00:35,169 --> 00:00:36,770 I just wanted to play one more game at Gary's. 7 00:00:36,804 --> 00:00:39,107 Well, you did great. You called 911 right away. 8 00:00:39,140 --> 00:00:40,641 He looked dead. Daddy's not dead. 9 00:00:40,674 --> 00:00:42,310 He's gonna be okay, right? 10 00:00:42,343 --> 00:00:43,811 He had a stroke. That's not possible! 11 00:00:43,844 --> 00:00:45,813 Well, the CT confirmed a ruptured aneurysm. 12 00:00:45,846 --> 00:00:47,415 We have to operate to clip the bleeding 13 00:00:47,448 --> 00:00:48,782 and reduce intracranial pressure. 14 00:00:48,816 --> 00:00:50,318 No, he had a stroke six years ago. 15 00:00:50,351 --> 00:00:52,553 They put him on diltiazem. 16 00:00:52,586 --> 00:00:53,854 We're gonna take good care of your dad. 17 00:00:53,887 --> 00:00:57,258 ** 18 00:00:57,291 --> 00:01:00,461 Naja Modi -- 28 years old, suffered a burn to her left hand 19 00:01:00,494 --> 00:01:02,463 as a result of a cooking accident. 20 00:01:02,496 --> 00:01:05,633 Are Jared and I being punished? 21 00:01:07,468 --> 00:01:10,604 This is not a very interesting case, is it? 22 00:01:10,638 --> 00:01:12,240 Lesson one -- 23 00:01:12,273 --> 00:01:14,208 Don't suggest to the the head of surgery 24 00:01:14,242 --> 00:01:15,743 that working with the head of surgery 25 00:01:15,776 --> 00:01:17,345 is form of punishment. 26 00:01:17,378 --> 00:01:21,282 Dr. Melendez is very unhappy with Jared 27 00:01:21,315 --> 00:01:23,317 for how he got his job back. 28 00:01:23,351 --> 00:01:26,387 And Dr. Melendez is unhappy with me for t-taking -- 29 00:01:26,420 --> 00:01:27,888 taking two days off. 30 00:01:27,921 --> 00:01:31,592 I don't think he wants to talk about this, Shaun. 31 00:01:31,625 --> 00:01:34,228 [ Monitor beeping rhythmically ] 32 00:01:34,262 --> 00:01:35,263 [ Groans ] 33 00:01:35,296 --> 00:01:36,697 I was an idiot. 34 00:01:36,730 --> 00:01:39,300 It's on the stove. Of course it's hot, right? 35 00:01:39,333 --> 00:01:41,602 You wouldn't believe how often we see these types of accidents. 36 00:01:41,635 --> 00:01:43,404 Well, there are a lot of idiots. 37 00:01:43,437 --> 00:01:45,639 Okay, what do we need to do here, Murphy? 38 00:01:45,673 --> 00:01:48,142 A superficial partial-thickness burn 39 00:01:48,176 --> 00:01:49,677 should be managed conservatively. 40 00:01:49,710 --> 00:01:51,745 Cleanse the area, debride with soft gauze, 41 00:01:51,779 --> 00:01:54,148 and then cover with an antimicrobial 42 00:01:54,182 --> 00:01:55,316 petroleum dressing. 43 00:01:55,349 --> 00:01:56,484 All of which means, 44 00:01:56,517 --> 00:01:58,752 this should heal with minimal scarring. 45 00:01:58,786 --> 00:02:00,288 [ Gasps ] 46 00:02:00,321 --> 00:02:02,456 Naja, are you having chest pain? 47 00:02:02,490 --> 00:02:03,924 I think I'm having a heart attack. 48 00:02:03,957 --> 00:02:05,226 It's hard to breathe. 49 00:02:05,259 --> 00:02:07,761 Just relax if you can. 50 00:02:07,795 --> 00:02:09,530 Put her on oxygen, a 12 lead EKG, 51 00:02:09,563 --> 00:02:10,931 and order a portable chest X-ray. 52 00:02:10,964 --> 00:02:12,166 Murphy, let's move. Come on. 53 00:02:12,200 --> 00:02:14,468 Her vitals are stable. 54 00:02:14,502 --> 00:02:16,704 ** 55 00:02:16,737 --> 00:02:18,206 What the hell is going on here? 56 00:02:18,239 --> 00:02:20,208 I don't know. 57 00:02:20,241 --> 00:02:22,543 But it is interesting. 58 00:02:22,576 --> 00:02:25,513 -- Captions by VITAC -- 59 00:02:25,546 --> 00:02:32,553 ** 60 00:02:35,489 --> 00:02:37,358 We've got a subarachnoid hemorrhage. Suction. 61 00:02:37,391 --> 00:02:39,593 I need to isolate the aneurysm. 62 00:02:39,627 --> 00:02:41,829 Poor kid. 63 00:02:41,862 --> 00:02:44,465 Imagine finding your dad like that. 64 00:02:44,498 --> 00:02:46,600 Well, that's exactly how I want to die. 65 00:02:46,634 --> 00:02:48,402 [ Sighs ] 66 00:02:48,436 --> 00:02:49,337 If the dad doesn't make it, 67 00:02:49,370 --> 00:02:51,372 the kid will always remember that moment -- 68 00:02:51,405 --> 00:02:52,640 be traumatized by it. 69 00:02:52,673 --> 00:02:54,342 Because he loves him. 70 00:02:54,375 --> 00:02:56,677 The idea of dying without anybody getting hurt -- 71 00:02:56,710 --> 00:02:59,313 There's nothing sadder than an empty waiting room. 72 00:03:02,015 --> 00:03:04,518 Okay, what do you see? 73 00:03:04,552 --> 00:03:06,954 A bulge on the anterior communicating artery. 74 00:03:06,987 --> 00:03:08,756 Yeah, the ruptured aneurysm is compromising 75 00:03:08,789 --> 00:03:10,424 blood flow to the frontal lobe. 76 00:03:10,458 --> 00:03:12,393 Prep an 11 millimeter standard clip. 77 00:03:12,426 --> 00:03:13,861 Are you married? 78 00:03:13,894 --> 00:03:15,463 Not anymore. 79 00:03:15,496 --> 00:03:18,299 Turns out he had even worse judgment than I did. 80 00:03:18,332 --> 00:03:20,601 Oh, speaking of creeps, you hear Coyle got transferred? 81 00:03:20,634 --> 00:03:22,770 [ Chuckles ] I'm so glad they shut him down. 82 00:03:22,803 --> 00:03:25,005 Well, yeah, I guess. 83 00:03:25,038 --> 00:03:27,608 Just wish they'd spent the money on a Pediatric Trauma Pod. 84 00:03:27,641 --> 00:03:29,877 ** 85 00:03:29,910 --> 00:03:33,447 They gave him a raise. 86 00:03:33,481 --> 00:03:35,849 Clip. 87 00:03:35,883 --> 00:03:37,651 The EKG confirmed 88 00:03:37,685 --> 00:03:39,320 you weren't having a heart attack. 89 00:03:39,353 --> 00:03:40,988 I-I wasn't faking. 90 00:03:41,021 --> 00:03:41,789 I wouldn't do that. 91 00:03:41,822 --> 00:03:43,457 We know. 92 00:03:43,491 --> 00:03:44,425 The imaging also confirmed 93 00:03:44,458 --> 00:03:46,327 that you have considerable lung inflammation. 94 00:03:46,360 --> 00:03:47,828 Is it possible you inhaled smoke? 95 00:03:47,861 --> 00:03:49,363 I guess I must have. 96 00:03:49,397 --> 00:03:51,699 There was a minor grease fire. 97 00:03:51,732 --> 00:03:52,566 What happens now? 98 00:03:52,600 --> 00:03:54,735 You need a bronchoscopy. 99 00:03:54,768 --> 00:03:56,670 We put a camera down your throat to see how much damage there is 100 00:03:56,704 --> 00:03:58,572 and what we need to do to repair it. 101 00:03:58,606 --> 00:04:00,308 But don't worry. You'll be sedated. 102 00:04:00,341 --> 00:04:01,509 Please don't. 103 00:04:01,542 --> 00:04:02,943 Oh, I'm -- I'm sorry. 104 00:04:02,976 --> 00:04:04,512 The test is absolutely necessary. 105 00:04:04,545 --> 00:04:05,779 The test is fine. 106 00:04:05,813 --> 00:04:06,814 But, um... 107 00:04:06,847 --> 00:04:09,583 please don't touch me, except for medical purposes. 108 00:04:09,617 --> 00:04:11,051 Yeah, of course. 109 00:04:11,084 --> 00:04:16,357 ** 110 00:04:16,390 --> 00:04:20,561 That does not make sense. 111 00:04:20,594 --> 00:04:22,330 A number of religions have rules about touching. 112 00:04:22,363 --> 00:04:23,531 I don't quite get it, but -- 113 00:04:23,564 --> 00:04:24,698 That makes sense. 114 00:04:24,732 --> 00:04:26,367 People shouldn't touch people 115 00:04:26,400 --> 00:04:27,735 unless there's a very good reason. 116 00:04:27,768 --> 00:04:29,970 Okay, then... 117 00:04:30,003 --> 00:04:31,772 what doesn't make sense? 118 00:04:31,805 --> 00:04:34,442 The grease fire. 119 00:04:34,475 --> 00:04:36,043 The grease fire explains the whole thing -- 120 00:04:36,076 --> 00:04:37,711 the burn, the smoke. 121 00:04:37,745 --> 00:04:41,349 She told us she forgot the stove was hot. 122 00:04:41,382 --> 00:04:42,850 How can you forget something's hot 123 00:04:42,883 --> 00:04:44,084 when it is on fire? 124 00:04:44,117 --> 00:04:45,586 [ Snickers ] Shaun, 125 00:04:45,619 --> 00:04:46,787 I'm sure we would have heard more of the story 126 00:04:46,820 --> 00:04:50,524 if she hadn't suddenly thought she was having a heart attack. 127 00:04:50,558 --> 00:04:54,928 ** 128 00:04:54,962 --> 00:04:56,964 Why didn't you fire him? 129 00:04:56,997 --> 00:04:58,532 Because his story was different than yours. 130 00:04:58,566 --> 00:05:01,369 And you believe his story? 131 00:05:01,402 --> 00:05:02,936 I believe your story. 132 00:05:02,970 --> 00:05:04,972 But you can't prove it. 133 00:05:05,005 --> 00:05:06,740 And we simply can't make a policy 134 00:05:06,774 --> 00:05:08,909 of believing every woman who files a complaint 135 00:05:08,942 --> 00:05:10,010 against every man. 136 00:05:10,043 --> 00:05:12,112 [ Sighs ] 137 00:05:12,145 --> 00:05:15,082 After a few thousand years of doing the opposite, 138 00:05:15,115 --> 00:05:16,717 it wouldn't kill us to overcorrect. 139 00:05:16,750 --> 00:05:18,419 And the fact that your boyfriend assaulted him 140 00:05:18,452 --> 00:05:20,454 took away any leverage I had. 141 00:05:20,488 --> 00:05:21,789 I did what I could. 142 00:05:21,822 --> 00:05:23,891 I got him to take a position 143 00:05:23,924 --> 00:05:26,727 where he has very little contact with staff, with patients -- 144 00:05:26,760 --> 00:05:27,795 outreach chair. 145 00:05:27,828 --> 00:05:29,597 And it's a lousy assignment. 146 00:05:29,630 --> 00:05:31,499 Sooner or later, he's gonna quit. 147 00:05:31,532 --> 00:05:33,801 And get a job somewhere else. 148 00:05:33,834 --> 00:05:37,505 If you have any better ideas... 149 00:05:37,538 --> 00:05:39,973 I look forward to hearing them. 150 00:05:40,007 --> 00:05:45,713 ** 151 00:05:45,746 --> 00:05:51,585 ** 152 00:05:51,619 --> 00:05:54,655 Lim: You're very lucky. 153 00:05:54,688 --> 00:05:57,425 The aneurysm was in a small communicating artery. 154 00:05:57,458 --> 00:05:58,859 We were able to restore blood flow 155 00:05:58,892 --> 00:06:00,060 to the impacted brain areas. 156 00:06:00,093 --> 00:06:01,462 He's gonna be okay. 157 00:06:01,495 --> 00:06:02,630 Thank God. 158 00:06:04,932 --> 00:06:07,535 ** 159 00:06:07,568 --> 00:06:10,438 Is this what life is gonna be like from now on? 160 00:06:10,471 --> 00:06:13,441 A-Are these things just going to keep happening? 161 00:06:13,474 --> 00:06:15,443 We're gonna keep him here for a few days, 162 00:06:15,476 --> 00:06:16,710 do some follow-up testing, 163 00:06:16,744 --> 00:06:19,413 make some adjustments to his medications. 164 00:06:19,447 --> 00:06:21,849 Hopefully, we'll find out why this happened. 165 00:06:21,882 --> 00:06:24,518 [ Cellphone vibrates ] 166 00:06:24,552 --> 00:06:25,886 I have to go. 167 00:06:25,919 --> 00:06:27,721 ** 168 00:06:27,755 --> 00:06:29,757 Another one? 169 00:06:29,790 --> 00:06:32,460 Post-operative imaging showed a 26-millimeter aneurysm 170 00:06:32,493 --> 00:06:33,694 in the basilar artery. 171 00:06:33,727 --> 00:06:34,962 That size and location, 172 00:06:34,995 --> 00:06:36,564 we're looking at a high risk of rupture. 173 00:06:36,597 --> 00:06:38,098 He must have a genetic predisposition -- 174 00:06:38,131 --> 00:06:40,200 maybe a connective tissue disease? 175 00:06:40,233 --> 00:06:43,737 All academic till we repair it. 176 00:06:43,771 --> 00:06:44,872 Melendez: Through the pharynx 177 00:06:44,905 --> 00:06:47,441 and over to Grandmother's house we go. 178 00:06:47,475 --> 00:06:51,645 There's the epiglottis and the vocal cords. 179 00:06:51,679 --> 00:06:53,814 I know you're not happy that I sued the hospital. 180 00:06:53,847 --> 00:06:55,148 But I'm not gonna apologize for that. 181 00:06:55,182 --> 00:06:57,451 That makes it simple. 182 00:06:57,485 --> 00:06:59,453 I did it because I want to be here. 183 00:06:59,487 --> 00:07:00,854 I believe I can learn a lot from you, 184 00:07:00,888 --> 00:07:03,223 even from your doghouse. 185 00:07:03,256 --> 00:07:04,692 I just hope you give me a chance, sir. 186 00:07:04,725 --> 00:07:05,726 [ Monitor beeps rhythmically ] 187 00:07:05,759 --> 00:07:08,028 There's the carina. 188 00:07:08,061 --> 00:07:10,498 Gonna pass into the mainstem bronchus of the left lung. 189 00:07:10,531 --> 00:07:13,934 Is breaking up with your fiancée traumatic? 190 00:07:13,967 --> 00:07:17,137 ** 191 00:07:17,170 --> 00:07:19,172 When I saw a woman get shot, 192 00:07:19,206 --> 00:07:21,041 everyone told me it was traumatic 193 00:07:21,074 --> 00:07:22,943 and that I should be going home. 194 00:07:22,976 --> 00:07:26,580 Should you be going home? 195 00:07:26,614 --> 00:07:28,215 Give me a mucosal brush for a cellular sample. 196 00:07:28,248 --> 00:07:29,149 Loading it now. 197 00:07:29,182 --> 00:07:31,619 How long does it take to get over a breakup 198 00:07:31,652 --> 00:07:32,986 with the woman you love? 199 00:07:34,988 --> 00:07:36,624 I'm seeing a lot of inflammation, 200 00:07:36,657 --> 00:07:37,825 but no smoke damage. 201 00:07:37,858 --> 00:07:39,827 That makes se-sense. 202 00:07:39,860 --> 00:07:41,762 I thought we were doing this because she inhaled smoke. 203 00:07:41,795 --> 00:07:43,731 She said she inhaled smoke. 204 00:07:43,764 --> 00:07:45,733 I didn't believe her. 205 00:07:45,766 --> 00:07:46,867 Whatever the cause, the inflammation 206 00:07:46,900 --> 00:07:48,001 and the damage are real. 207 00:07:48,035 --> 00:07:50,137 Let's get a mucosal biopsy. 208 00:07:50,170 --> 00:07:53,040 I move down here, we -- 209 00:07:53,073 --> 00:07:54,575 The scope breached her bronchial wall. 210 00:07:54,608 --> 00:07:55,809 She's hemorrhaging. 211 00:07:55,843 --> 00:07:57,911 This is bad. Prep the O.R.! 212 00:07:57,945 --> 00:07:59,780 Type and cross two units of blood. We've gotta move! 213 00:08:04,685 --> 00:08:05,986 We know there was a burn. 214 00:08:06,019 --> 00:08:07,187 Was it something related to the grease fire, 215 00:08:07,220 --> 00:08:08,922 or separate coincidental injury? 216 00:08:08,956 --> 00:08:13,060 [ Monitor beeping rhythmically ] 217 00:08:13,093 --> 00:08:15,095 You don't have a theory, 218 00:08:15,128 --> 00:08:17,230 or are you refusing to talk to Jared? 219 00:08:17,264 --> 00:08:18,866 Melendez: I didn't answer because it doesn't matter 220 00:08:18,899 --> 00:08:20,233 until we can repair this puncture 221 00:08:20,267 --> 00:08:22,903 before bacteria passes through and spreads an infection. 222 00:08:22,936 --> 00:08:24,004 That's true. 223 00:08:24,037 --> 00:08:25,205 Cut this suture. 224 00:08:25,238 --> 00:08:27,641 Let's approximate the edges with forceps. 225 00:08:27,675 --> 00:08:31,078 Are you and Jared even now? 226 00:08:31,111 --> 00:08:33,647 He made a mistake. So did you. 227 00:08:33,681 --> 00:08:35,182 Exactly what mistake did I make? 228 00:08:35,215 --> 00:08:37,317 This breach was your fault. 229 00:08:37,350 --> 00:08:39,052 ** 230 00:08:39,086 --> 00:08:42,122 Is that traumatic? 231 00:08:42,155 --> 00:08:44,291 ** 232 00:08:48,195 --> 00:08:50,564 I had breakfast by myself. 233 00:08:50,598 --> 00:08:52,132 Where were you? 234 00:08:52,165 --> 00:08:54,635 I'm sorry. Were we supposed to have breakfast this morning? 235 00:08:54,668 --> 00:08:55,936 I had an early consult. [ Laughing ] 236 00:08:55,969 --> 00:08:59,339 Yes, we always have breakfast on Mondays. 237 00:08:59,372 --> 00:09:00,574 We do? 238 00:09:00,608 --> 00:09:02,075 Every Monday. 239 00:09:02,109 --> 00:09:03,310 Every Monday. 240 00:09:03,343 --> 00:09:05,145 Thank you. 241 00:09:05,178 --> 00:09:09,082 Well, I guess our streak has been broken then, huh? 242 00:09:09,116 --> 00:09:11,852 If someone punctures the bronchus 243 00:09:11,885 --> 00:09:15,155 during a routine bronchoscopy, that's a mistake, right? 244 00:09:15,188 --> 00:09:17,925 Well, I can't imagine how it wouldn't be. 245 00:09:17,958 --> 00:09:19,660 Why? What did you do, Shaun? 246 00:09:19,693 --> 00:09:23,130 I'm wondering if I need to report Dr. Melendez. 247 00:09:23,163 --> 00:09:24,965 Dr. Melendez did that? 248 00:09:24,998 --> 00:09:27,034 The protocol is very clear. 249 00:09:27,067 --> 00:09:30,137 I need to report it. 250 00:09:30,170 --> 00:09:33,641 But I've seen how Jared is being treated. 251 00:09:33,674 --> 00:09:37,010 Will Dr. Melendez treat me badly if I report this? 252 00:09:38,946 --> 00:09:40,013 He shouldn't, obviously. 253 00:09:40,047 --> 00:09:43,283 But human nature being what... 254 00:09:43,316 --> 00:09:45,252 Human nature? 255 00:09:47,688 --> 00:09:48,588 Shaun, you know what? 256 00:09:48,622 --> 00:09:51,391 You should make this decision for yourself. 257 00:09:51,424 --> 00:09:55,195 ** 258 00:09:55,228 --> 00:09:57,364 In fact -- In fact... 259 00:09:57,397 --> 00:09:59,066 you should to make all your decisions yourself 260 00:09:59,099 --> 00:10:01,234 from here on in. 261 00:10:01,268 --> 00:10:04,137 That's what we agreed on, right? 262 00:10:04,171 --> 00:10:09,977 ** 263 00:10:10,010 --> 00:10:11,244 Have you considered 264 00:10:11,278 --> 00:10:12,312 an endovascular embolization procedure? 265 00:10:12,345 --> 00:10:13,781 I have. 266 00:10:13,814 --> 00:10:14,882 It's a little less risky, 267 00:10:14,915 --> 00:10:16,083 but I haven't done as many, 268 00:10:16,116 --> 00:10:18,018 so I'm not sure which way we're better off. 269 00:10:18,051 --> 00:10:19,687 You want me to check the roster -- 270 00:10:19,720 --> 00:10:21,922 see if there's somebody available with more experience? 271 00:10:21,955 --> 00:10:25,425 I would like to assist, but yes. 272 00:10:25,458 --> 00:10:27,060 Okay, here we go. 273 00:10:29,096 --> 00:10:30,297 No, he's not available. 274 00:10:30,330 --> 00:10:31,899 So make him available. 275 00:10:31,932 --> 00:10:33,333 I got a husband and father 276 00:10:33,366 --> 00:10:35,736 who presented with two aneurysms in the last 12 hours. 277 00:10:35,769 --> 00:10:37,705 I'd rather not. 278 00:10:37,738 --> 00:10:40,941 This particular surgeon was recently... 279 00:10:40,974 --> 00:10:43,010 transferred. 280 00:10:45,412 --> 00:10:47,047 [ Mug thuds on table ] 281 00:10:47,080 --> 00:10:49,149 Not a chance. 282 00:10:49,182 --> 00:10:52,753 Coyle is the best available surgeon for the job. 283 00:10:52,786 --> 00:10:54,855 Coyle should've been fired, and if he'd been fired, 284 00:10:54,888 --> 00:10:55,989 he wouldn't be available. [ Sighs ] 285 00:10:56,023 --> 00:10:57,090 And if he wasn't available, 286 00:10:57,124 --> 00:10:59,793 you would be the best person for the job. 287 00:10:59,827 --> 00:11:01,895 Our ultimate duty is to the patient. 288 00:11:01,929 --> 00:11:04,297 ** 289 00:11:04,331 --> 00:11:07,067 No, it's not. 290 00:11:07,100 --> 00:11:09,036 You agree he should have been fired. 291 00:11:09,069 --> 00:11:11,238 Of course. Even if he was the best doctor in this hospital, 292 00:11:11,271 --> 00:11:12,773 he should have been fired, right? 293 00:11:12,806 --> 00:11:14,341 [ Sighs ] Yes. 294 00:11:14,374 --> 00:11:16,309 So some things have to matter more 295 00:11:16,343 --> 00:11:18,846 than who is the most skilled. 296 00:11:18,879 --> 00:11:21,281 If we forgive Coyle just because he's good at something, 297 00:11:21,314 --> 00:11:24,251 what does he do next? 298 00:11:24,284 --> 00:11:26,253 Either he matters or we matter. 299 00:11:35,863 --> 00:11:39,332 Were you upset during the procedure? 300 00:11:39,366 --> 00:11:42,135 Did Murphy tell you that I was "traumatized"? 301 00:11:42,169 --> 00:11:43,871 You think that I might have almost killed a person 302 00:11:43,904 --> 00:11:45,038 because you dumped me? 303 00:11:45,072 --> 00:11:47,274 The fact that you're describing it as "me dumping you" 304 00:11:47,307 --> 00:11:50,043 suggests that you are upset. 305 00:11:50,077 --> 00:11:52,846 Look, I'm fine. You're fine. 306 00:11:52,880 --> 00:11:53,981 Nobody's upset. 307 00:11:54,014 --> 00:11:55,916 Great. 308 00:11:55,949 --> 00:11:57,384 But you do understand 309 00:11:57,417 --> 00:11:59,386 that I have to ask you these questions, 310 00:11:59,419 --> 00:12:00,988 that I need a statement from you. 311 00:12:01,021 --> 00:12:02,990 Yes. 312 00:12:03,023 --> 00:12:04,825 Here's my statement -- 313 00:12:04,858 --> 00:12:06,126 "I wasn't distracted. 314 00:12:06,159 --> 00:12:07,494 I didn't screw up." 315 00:12:07,527 --> 00:12:08,929 You get all that? 316 00:12:08,962 --> 00:12:10,530 [ Elevator bell dings ] 317 00:12:10,563 --> 00:12:19,472 ** 318 00:12:19,506 --> 00:12:21,041 Your bronchus was punctured during the procedure, 319 00:12:21,074 --> 00:12:22,309 but it's been repaired. 320 00:12:22,342 --> 00:12:25,012 How? How could that happen? 321 00:12:25,045 --> 00:12:26,179 Why did you lie? 322 00:12:26,213 --> 00:12:28,248 You said that you inhaled smoke, 323 00:12:28,281 --> 00:12:30,383 but there was no evidence of smoke. 324 00:12:30,417 --> 00:12:32,820 So, what do you gain by lying to your doctors? 325 00:12:32,853 --> 00:12:33,821 I wasn't lying. 326 00:12:33,854 --> 00:12:35,422 I was just... 327 00:12:35,455 --> 00:12:37,224 confused, I guess. 328 00:12:37,257 --> 00:12:38,558 I was in a lot of pain, 329 00:12:38,591 --> 00:12:40,794 and it was all happening so fast. 330 00:12:40,828 --> 00:12:42,129 [ Grunts ] 331 00:12:42,162 --> 00:12:43,363 My stomach! 332 00:12:43,396 --> 00:12:45,532 Naja, what are you feeling? 333 00:12:45,565 --> 00:12:47,901 It's really sore and... I feel like I'm going to-- 334 00:12:47,935 --> 00:12:49,136 [ Gasping ] 335 00:12:49,169 --> 00:12:51,138 Can we get some help over here?! 336 00:12:51,171 --> 00:12:53,874 Four milligrams of ondansetron. 337 00:12:53,907 --> 00:12:56,810 [ Retching ] Airway inflammation, abdominal pain, nausea. 338 00:12:56,844 --> 00:12:59,112 We need a full blood panel and abdominal ultrasound. 339 00:12:59,146 --> 00:13:01,982 [ Coughing, retching ] 340 00:13:02,015 --> 00:13:05,518 The procedure will seal off the aneurysm, 341 00:13:05,552 --> 00:13:09,389 but there will almost certainly be some brain damage -- 342 00:13:09,422 --> 00:13:12,826 anything from mild visual or speech disturbances 343 00:13:12,860 --> 00:13:16,496 to significant paralysis. 344 00:13:16,529 --> 00:13:19,833 But without the surgery, he'll die. 345 00:13:19,867 --> 00:13:29,109 ** 346 00:13:29,142 --> 00:13:33,113 No. I-I won't consent to the operation. 347 00:13:33,146 --> 00:13:36,316 There really isn't a lot of choice here. 348 00:13:36,349 --> 00:13:37,517 Without the operation -- 349 00:13:37,550 --> 00:13:40,854 After his first stroke, it -- 350 00:13:40,888 --> 00:13:44,524 it took him so long to recover. 351 00:13:44,557 --> 00:13:49,362 It was frustrating and painful for him. 352 00:13:49,396 --> 00:13:51,198 But he did recover. 353 00:13:51,231 --> 00:13:55,602 ** 354 00:13:55,635 --> 00:14:00,007 He made it clear he'd never want to live compromised. 355 00:14:00,040 --> 00:14:02,910 ** 356 00:14:02,943 --> 00:14:04,411 [ Voice shaking ] Excuse me. 357 00:14:04,444 --> 00:14:07,547 ** 358 00:14:14,955 --> 00:14:18,025 Thank you for having breakfast with me. 359 00:14:18,058 --> 00:14:19,893 My pleasure. 360 00:14:19,927 --> 00:14:22,229 People lie a lot, don't they? 361 00:14:22,262 --> 00:14:23,563 No, I-I meant it, Shaun. 362 00:14:23,596 --> 00:14:24,597 I'm happy to spend time with you. 363 00:14:24,631 --> 00:14:28,068 There are seven reasons that I've thought of. 364 00:14:28,101 --> 00:14:31,271 There may even be more. 365 00:14:31,304 --> 00:14:34,307 Do people ever lie without a reason? 366 00:14:34,341 --> 00:14:35,575 No. 367 00:14:41,448 --> 00:14:44,051 Reason number six. I think you just lied. 368 00:14:44,084 --> 00:14:45,552 I think you just lied to avoid something. 369 00:14:45,585 --> 00:14:47,420 You don't like this conversation. 370 00:14:47,454 --> 00:14:49,923 Shaun, n-- Shaun, I'm sorry. 371 00:14:49,957 --> 00:14:52,492 I'm just -- just a little distracted. 372 00:14:52,525 --> 00:14:53,927 My aneurysm patient -- 373 00:14:53,961 --> 00:14:56,196 We're treating him with blood-pressure meds 374 00:14:56,229 --> 00:14:57,664 to try and avoid a rupture. 375 00:14:57,697 --> 00:15:00,934 You should do an endovascular embolization. 376 00:15:00,968 --> 00:15:02,269 He doesn't want one. 377 00:15:02,302 --> 00:15:03,536 It could leave him with brain damage. 378 00:15:03,570 --> 00:15:05,538 I thought he was unconscious. 379 00:15:05,572 --> 00:15:07,407 He is. 380 00:15:07,440 --> 00:15:09,576 His wife knows what he wants. 381 00:15:09,609 --> 00:15:10,443 [ Chuckles ] 382 00:15:10,477 --> 00:15:12,712 It's amazing. I just -- 383 00:15:12,745 --> 00:15:15,215 I don't think I'd be able to do that. 384 00:15:15,248 --> 00:15:18,018 She's sacrificing her happiness, her future, 385 00:15:18,051 --> 00:15:19,119 just because she knows -- 386 00:15:19,152 --> 00:15:20,453 She's lying. 387 00:15:20,487 --> 00:15:21,989 She's lying. 388 00:15:22,022 --> 00:15:25,325 It could be either reason number four or -- 389 00:15:25,358 --> 00:15:26,994 No, she's not lying, Shaun. She loves him. 390 00:15:27,027 --> 00:15:28,095 She doesn't love him. 391 00:15:28,128 --> 00:15:29,529 You haven't even met her! 392 00:15:29,562 --> 00:15:31,598 You haven't seen what she's like with him, with their son. 393 00:15:31,631 --> 00:15:33,300 I'm not good at reading people. 394 00:15:33,333 --> 00:15:35,735 Well, I am, and -- I think people-reading 395 00:15:35,768 --> 00:15:38,571 embraces personal biases. 396 00:15:38,605 --> 00:15:42,375 I think we should try to avoid biases. 397 00:15:42,409 --> 00:15:45,145 Knowledge of human behavior 398 00:15:45,178 --> 00:15:48,281 can help us make informed, intuitive decisions. 399 00:15:48,315 --> 00:15:50,283 Mm, my way is better. 400 00:15:50,317 --> 00:15:53,486 It's based on actions. She's lying. 401 00:15:53,520 --> 00:15:54,687 All right. 402 00:15:54,721 --> 00:15:57,024 If you love someone, 403 00:15:57,057 --> 00:16:01,061 you'll do anything to prevent their death. 404 00:16:01,094 --> 00:16:07,200 ** 405 00:16:07,234 --> 00:16:09,202 This...situation -- 406 00:16:09,236 --> 00:16:12,539 There seems to be a conflict of interest. 407 00:16:12,572 --> 00:16:15,108 So I would like to bring in someone else from legal 408 00:16:15,142 --> 00:16:17,044 to handle it. 409 00:16:17,077 --> 00:16:19,112 Yeah, I agree. 410 00:16:19,146 --> 00:16:21,548 You're an excellent lawyer, but -- 411 00:16:21,581 --> 00:16:24,084 But what? 412 00:16:24,117 --> 00:16:25,418 Do you think this is my problem? 413 00:16:25,452 --> 00:16:27,120 It's understandable. 414 00:16:27,154 --> 00:16:28,421 48 hours ago, we were engaged. 415 00:16:28,455 --> 00:16:30,057 And now, suddenly, 416 00:16:30,090 --> 00:16:31,224 you're supposed to be investigating me? 417 00:16:31,258 --> 00:16:33,093 Yes. 418 00:16:33,126 --> 00:16:34,127 And doing crazy things, 419 00:16:34,161 --> 00:16:36,329 like expecting you to give me complete answers 420 00:16:36,363 --> 00:16:37,764 to appropriate questions. 421 00:16:37,797 --> 00:16:40,300 You were trusting Murphy's judgment over mine. 422 00:16:40,333 --> 00:16:42,469 His judgment about my demeanor. 423 00:16:42,502 --> 00:16:44,404 Seriously? 424 00:16:44,437 --> 00:16:46,439 I asked you a question. 425 00:16:46,473 --> 00:16:47,507 You wanted me to screw up. 426 00:16:47,540 --> 00:16:49,109 You did screw up. 427 00:16:49,142 --> 00:16:50,077 So what? 428 00:16:50,110 --> 00:16:53,680 So we just deal with it. 429 00:16:53,713 --> 00:16:56,216 But if you can't even admit that you're not always perfect, 430 00:16:56,249 --> 00:16:58,151 then I -- I am not perfect! 431 00:16:58,185 --> 00:17:01,054 ** 432 00:17:01,088 --> 00:17:03,323 Clearly, I have made mistakes in my life. 433 00:17:03,356 --> 00:17:05,158 ** 434 00:17:05,192 --> 00:17:06,726 But not this time. 435 00:17:06,759 --> 00:17:10,130 That punctured bronchus was not my fault. 436 00:17:10,163 --> 00:17:16,236 ** 437 00:17:16,269 --> 00:17:22,542 ** 438 00:17:22,575 --> 00:17:27,814 [ Monitor beeping rhythmically ] 439 00:17:27,847 --> 00:17:31,218 The nurse says his vital signs are stable. 440 00:17:31,251 --> 00:17:32,385 No change. 441 00:17:32,419 --> 00:17:33,720 Claire: That's good. 442 00:17:37,457 --> 00:17:39,259 It's... 443 00:17:39,292 --> 00:17:42,695 such a great sacrifice 444 00:17:42,729 --> 00:17:46,699 to respect his wishes enough to let him go. 445 00:17:46,733 --> 00:17:49,202 You must love your husband very much. 446 00:18:00,713 --> 00:18:03,883 But... 447 00:18:03,916 --> 00:18:07,154 there could be another explanation. 448 00:18:07,187 --> 00:18:11,691 Either you love him enough to let him die... 449 00:18:11,724 --> 00:18:16,129 or you hate him enough to let him die. 450 00:18:16,163 --> 00:18:19,832 You don't know what you're talking about. 451 00:18:19,866 --> 00:18:24,637 There's a doctor here who harassed me. 452 00:18:24,671 --> 00:18:27,374 He made me feel vulnerable, worthless -- 453 00:18:27,407 --> 00:18:31,778 neither of which I am. 454 00:18:31,811 --> 00:18:35,882 But he never hurt me. 455 00:18:35,915 --> 00:18:40,620 I can't imagine how I would feel if he did, 456 00:18:40,653 --> 00:18:43,590 what I would do, 457 00:18:43,623 --> 00:18:46,259 what I would want to do to him. 458 00:18:46,293 --> 00:18:49,629 ** 459 00:18:49,662 --> 00:18:51,264 What did your husband do to you? 460 00:18:51,298 --> 00:18:54,434 ** 461 00:18:54,467 --> 00:18:57,270 He's a good father. 462 00:18:57,304 --> 00:18:59,439 No, he's not. 463 00:18:59,472 --> 00:19:01,774 A good father doesn't hurt a mother. 464 00:19:01,808 --> 00:19:03,443 Payton loves him. 465 00:19:03,476 --> 00:19:04,344 All the more reason -- 466 00:19:04,377 --> 00:19:05,845 No. 467 00:19:05,878 --> 00:19:08,915 Payton doesn't know anything. He never can. 468 00:19:08,948 --> 00:19:11,751 I know you're afraid he'll come after you, 469 00:19:11,784 --> 00:19:14,854 but there are people who can help. 470 00:19:14,887 --> 00:19:20,893 ** 471 00:19:20,927 --> 00:19:27,300 ** 472 00:19:27,334 --> 00:19:29,436 Payton is better off with the memory of a loving father 473 00:19:29,469 --> 00:19:30,803 than the truth. 474 00:19:37,244 --> 00:19:40,380 Let him die. 475 00:19:40,413 --> 00:19:47,920 ** 476 00:19:47,954 --> 00:19:52,325 Methanol is causing her abdominal pain. 477 00:19:52,359 --> 00:19:53,960 She drank wood alcohol? 478 00:19:53,993 --> 00:19:55,027 People drink whatever they can drink. 479 00:19:55,061 --> 00:19:57,364 Well, she's Muslim -- Wouldn't let me touch her. 480 00:19:57,397 --> 00:19:59,466 Religious people aren't immune to hypocrisy. 481 00:19:59,499 --> 00:20:03,603 There are other ways to explain the presence of methanol. 482 00:20:03,636 --> 00:20:05,505 It's also produced by the liver 483 00:20:05,538 --> 00:20:08,275 when the body is exposed to certain caustic chemicals. 484 00:20:08,308 --> 00:20:11,311 If inhaled, caustic chemicals could also inflame the lungs. 485 00:20:11,344 --> 00:20:13,246 And caustic chemicals also burn, 486 00:20:13,280 --> 00:20:14,781 so it would explain all her symptoms. 487 00:20:14,814 --> 00:20:16,283 Do you happen to have a list 488 00:20:16,316 --> 00:20:17,517 of which caustic chemicals do all that? 489 00:20:17,550 --> 00:20:19,986 Dimethyl sulfate -- 490 00:20:20,019 --> 00:20:22,589 It's used in the pharmaceutical industry. 491 00:20:22,622 --> 00:20:24,357 She's a school teacher. It's also used 492 00:20:24,391 --> 00:20:26,526 in water treatment, industrial pesticides, 493 00:20:26,559 --> 00:20:27,927 and chemical weapons. 494 00:20:27,960 --> 00:20:29,562 She has no reason to be involved 495 00:20:29,596 --> 00:20:31,598 with water treatment or industrial pesticides. 496 00:20:31,631 --> 00:20:33,733 But she could be a school teacher 497 00:20:33,766 --> 00:20:34,834 and a terrorist. 498 00:20:34,867 --> 00:20:38,538 ** 499 00:20:44,311 --> 00:20:44,944 So, what do we do? The surgery. 500 00:20:44,977 --> 00:20:46,779 We don't have her consent. 501 00:20:46,813 --> 00:20:49,048 Technically, the issue is we don't have his consent. 502 00:20:49,081 --> 00:20:51,484 We go to his wife because we can't get his, 503 00:20:51,518 --> 00:20:52,852 the assumption being that she's operating 504 00:20:52,885 --> 00:20:54,321 in his best interests. 505 00:20:54,354 --> 00:20:57,557 Pretty sure that's not happening here. 506 00:20:57,590 --> 00:20:58,925 Go back to the wife, get her to change her mind, 507 00:20:58,958 --> 00:21:00,960 or we'll take it to court. 508 00:21:00,993 --> 00:21:02,962 Okay. 509 00:21:02,995 --> 00:21:04,464 Hey, you look annoyed. 510 00:21:04,497 --> 00:21:05,898 I'm annoyed we're sending him home 511 00:21:05,932 --> 00:21:07,534 to keep abusing his wife. 512 00:21:07,567 --> 00:21:09,769 She's a world-class liar. 513 00:21:09,802 --> 00:21:11,771 I mean, for all we know, she wants her husband dead 514 00:21:11,804 --> 00:21:13,973 so that she can run off with her Pilates instructor. 515 00:21:14,006 --> 00:21:15,908 I'll get the consent. 516 00:21:15,942 --> 00:21:17,310 Thank you. 517 00:21:19,446 --> 00:21:22,515 [ Indistinct speaking over PA ] 518 00:21:22,549 --> 00:21:24,817 She refused initial treatment for methanol toxicity. 519 00:21:24,851 --> 00:21:25,818 It's ethanol -- 520 00:21:25,852 --> 00:21:27,454 Because she's Muslim, she can't consume it. 521 00:21:27,487 --> 00:21:29,589 Shaun: She has alcohol in her system 522 00:21:29,622 --> 00:21:31,624 but won't let us put alcohol in her system to treat it, 523 00:21:31,658 --> 00:21:33,560 because she doesn't want alcohol in her system. 524 00:21:33,593 --> 00:21:35,895 We put her on fomepi-- Dr. Murphy... 525 00:21:35,928 --> 00:21:37,797 Is this part of your evidence that she's a terrorist? 526 00:21:37,830 --> 00:21:39,699 Because she's Muslim? 527 00:21:39,732 --> 00:21:41,634 There are billions of Muslims that aren't terrorists. 528 00:21:41,668 --> 00:21:44,704 Is that part of your evidence that she's not? 529 00:21:44,737 --> 00:21:47,073 I think she's a terrorist because it's the easiest way 530 00:21:47,106 --> 00:21:48,875 to explain her symptoms and her lie. 531 00:21:48,908 --> 00:21:51,043 Do you have a way? 532 00:21:51,077 --> 00:21:53,613 She had an accident. It scared her. 533 00:21:53,646 --> 00:21:54,514 Maybe we scare her. 534 00:21:54,547 --> 00:21:56,783 Hell, maybe this whole place scares her. 535 00:21:56,816 --> 00:21:58,685 There are a lot of reasons people don't tell the truth 536 00:21:58,718 --> 00:21:59,852 other than criminal activity. 537 00:21:59,886 --> 00:22:01,654 Six other reasons. 538 00:22:01,688 --> 00:22:04,090 If a person comes in with a gunshot wound, 539 00:22:04,123 --> 00:22:05,825 we have to report it. 540 00:22:05,858 --> 00:22:07,360 Why don't we have to report 541 00:22:07,394 --> 00:22:08,995 someone who might be making chemical weapons? 542 00:22:09,028 --> 00:22:12,665 Because unfounded accusations can destroy people's lives. 543 00:22:12,699 --> 00:22:15,368 What does it matter what people speculate 544 00:22:15,402 --> 00:22:16,803 as long as the truth comes out? 545 00:22:16,836 --> 00:22:18,405 Because people make up their minds 546 00:22:18,438 --> 00:22:19,539 before the truth comes out. 547 00:22:19,572 --> 00:22:21,541 Says the guy who played the race card 548 00:22:21,574 --> 00:22:22,742 when he needed an advantage. 549 00:22:22,775 --> 00:22:24,644 Even if you're right, 550 00:22:24,677 --> 00:22:27,514 she's not making bombs while she's in our ICU. 551 00:22:27,547 --> 00:22:29,782 Also, you're wrong. Now, keep me posted. 552 00:22:29,816 --> 00:22:31,851 If she's not better in the next two hours, 553 00:22:31,884 --> 00:22:33,853 I want to know. 554 00:22:33,886 --> 00:22:40,427 ** 555 00:22:45,097 --> 00:22:47,900 We need you to consent to your husband's surgery. 556 00:22:50,537 --> 00:22:52,371 I said "no." 557 00:22:54,541 --> 00:22:58,445 There's a better way, Tessa. 558 00:22:58,478 --> 00:23:00,112 Leave him. 559 00:23:00,146 --> 00:23:02,682 Start a new life. 560 00:23:08,755 --> 00:23:09,956 [ Voice breaking ] I'm afraid. 561 00:23:09,989 --> 00:23:11,491 I know. 562 00:23:11,524 --> 00:23:14,193 But...this -- 563 00:23:14,226 --> 00:23:17,630 This isn't the answer. 564 00:23:17,664 --> 00:23:19,666 [ Sighs ] If you don't consent, 565 00:23:19,699 --> 00:23:20,733 we'll take this to the court, 566 00:23:20,767 --> 00:23:23,803 and we'll tell a judge what we know. 567 00:23:23,836 --> 00:23:26,172 I told you those things in confidence. 568 00:23:26,205 --> 00:23:28,207 You are not my patient. Your husband is. 569 00:23:28,240 --> 00:23:30,810 [ Scoffs ] 570 00:23:30,843 --> 00:23:33,513 Two things will happen. 571 00:23:33,546 --> 00:23:35,181 We wil get the consent, 572 00:23:35,214 --> 00:23:37,517 and Payton will find out the truth. 573 00:23:37,550 --> 00:23:45,892 ** 574 00:23:45,925 --> 00:23:54,066 ** 575 00:23:54,100 --> 00:24:02,709 ** 576 00:24:02,742 --> 00:24:10,950 ** 577 00:24:10,983 --> 00:24:14,220 Tessa? 578 00:24:14,253 --> 00:24:18,558 You are stronger than you think you are. 579 00:24:18,591 --> 00:24:23,663 ** 580 00:24:23,696 --> 00:24:28,735 ** 581 00:24:28,768 --> 00:24:31,638 [ Monitor beeping rhythmically ] 582 00:24:38,778 --> 00:24:41,914 Your methanol toxicity is abating -- 583 00:24:41,948 --> 00:24:43,850 The treatment's working. 584 00:24:43,883 --> 00:24:46,085 Great. 585 00:24:46,118 --> 00:24:49,689 Um...do you think that I'll be able to leave soon? 586 00:24:49,722 --> 00:24:51,858 All of your symptoms are consistent 587 00:24:51,891 --> 00:24:54,126 with exposure to dimethyl sulfate. 588 00:24:54,160 --> 00:24:57,129 I -- I've never heard of dimethyl -- 589 00:24:57,163 --> 00:25:01,000 Dimethyl sulfate is used to make chemical weapons. 590 00:25:02,935 --> 00:25:04,070 [ Scoffs ] 591 00:25:07,774 --> 00:25:11,611 I didn't expect this from you. 592 00:25:11,644 --> 00:25:14,681 I made a statement. 593 00:25:14,714 --> 00:25:17,049 You're different. 594 00:25:17,083 --> 00:25:19,151 I have autism. 595 00:25:19,185 --> 00:25:21,253 You've experienced bigotry. 596 00:25:21,287 --> 00:25:24,857 Yes. 597 00:25:24,891 --> 00:25:29,829 Have...people refused to serve you? 598 00:25:29,862 --> 00:25:32,899 Have you seen people 599 00:25:32,932 --> 00:25:35,001 change their flight 600 00:25:35,034 --> 00:25:37,970 because of you? 601 00:25:38,004 --> 00:25:39,238 [ Voice breaking ] Have people cursed you out 602 00:25:39,271 --> 00:25:41,774 before you've opened your mouth? 603 00:25:41,808 --> 00:25:44,310 ** 604 00:25:44,343 --> 00:25:46,613 I'm not prejudiced. 605 00:25:46,646 --> 00:25:48,615 I have evidence. 606 00:25:48,648 --> 00:25:51,350 Nobody's prejudiced. 607 00:25:51,383 --> 00:25:54,587 Everybody has evidence. 608 00:25:54,621 --> 00:25:57,223 And I'm always brown. 609 00:25:57,256 --> 00:25:59,358 [ Scoffs ] 610 00:25:59,391 --> 00:26:01,160 Maybe you're not so different. 611 00:26:01,193 --> 00:26:03,696 ** 612 00:26:03,730 --> 00:26:05,131 [ Inhales sharply ] 613 00:26:05,164 --> 00:26:08,768 You're sweating. 614 00:26:08,801 --> 00:26:11,137 Perspiration is a sign of dishonesty. 615 00:26:11,170 --> 00:26:13,606 [ Breathing shakily ] 616 00:26:13,640 --> 00:26:14,306 [ Gasps ] 617 00:26:14,340 --> 00:26:15,908 My chest. 618 00:26:15,942 --> 00:26:18,210 Chest pain can be brought on by anxiety. 619 00:26:18,244 --> 00:26:19,946 [ Monitor beeping rapidly ] 620 00:26:19,979 --> 00:26:22,649 Oh, but this time, you are having a heart attack. 621 00:26:22,682 --> 00:26:24,316 EKG, stat! 622 00:26:24,350 --> 00:26:27,253 ** 623 00:26:27,286 --> 00:26:29,956 The endothelial lining had moderate inflammation 624 00:26:29,989 --> 00:26:31,323 that appeared acute, 625 00:26:31,357 --> 00:26:34,060 and there was evidence of mucosal edema. 626 00:26:34,093 --> 00:26:35,828 I made no extraordinary motions, 627 00:26:35,862 --> 00:26:38,164 nor did I apply any unnecessary force. 628 00:26:38,197 --> 00:26:40,199 And yet, the bronchus was punctured. 629 00:26:40,232 --> 00:26:41,934 Which is a risk, albeit a small one, 630 00:26:41,968 --> 00:26:43,269 with this kind of procedure. 631 00:26:45,772 --> 00:26:46,806 Well... [ Pen clicks ] 632 00:26:46,839 --> 00:26:48,641 thank you. 633 00:26:48,675 --> 00:26:50,877 I appreciate the thoroughness of your answers. 634 00:26:50,910 --> 00:26:53,179 Not sure I understood it all... [ Chuckles ] 635 00:26:53,212 --> 00:26:57,016 ...but I think I've got what I need. 636 00:26:57,049 --> 00:27:00,352 I probably shouldn't say anything, 637 00:27:00,386 --> 00:27:01,788 but I know you and Ms. Preston 638 00:27:01,821 --> 00:27:03,122 are going through something right now. 639 00:27:03,155 --> 00:27:04,423 That really wasn't relevant. 640 00:27:04,456 --> 00:27:06,893 Oh, I-I know. I know. It's just... 641 00:27:08,394 --> 00:27:11,731 I know she'll get through it, but... 642 00:27:11,764 --> 00:27:14,667 it's good you're handling it better. 643 00:27:14,701 --> 00:27:17,804 It's one thing to be distracted while drafting a contract 644 00:27:17,837 --> 00:27:20,840 and a whole other thing entirely doing what you do. 645 00:27:20,873 --> 00:27:24,977 ** 646 00:27:25,011 --> 00:27:26,913 [ Footsteps depart ] 647 00:27:26,946 --> 00:27:29,782 ** 648 00:27:29,816 --> 00:27:31,818 [ Door closes ] 649 00:27:31,851 --> 00:27:33,953 Inject dye. 650 00:27:33,986 --> 00:27:36,989 Injecting dye. 651 00:27:37,023 --> 00:27:40,292 [ Monitor beeping rhythmically ] 652 00:27:40,326 --> 00:27:42,661 Hanging a left at the vertebral artery. 653 00:27:45,965 --> 00:27:49,301 Okay, withdrawing the guide wire. 654 00:27:49,335 --> 00:27:50,970 Inserting the platinum matrix. 655 00:27:51,003 --> 00:27:52,271 [ Monitor continues ] 656 00:27:55,742 --> 00:27:58,210 You know, sometimes, you do the right thing 657 00:27:58,244 --> 00:28:00,379 and things get a little better. 658 00:28:00,412 --> 00:28:02,715 And sometimes, things still suck. 659 00:28:06,052 --> 00:28:10,790 Entering the aneurysm. 660 00:28:10,823 --> 00:28:12,224 Okay. 661 00:28:12,258 --> 00:28:13,325 [ Monitor beeping rapidly ] 662 00:28:13,359 --> 00:28:14,260 Blood pressure's spiking. 663 00:28:14,293 --> 00:28:15,261 Wait, why? 664 00:28:15,294 --> 00:28:17,129 There's no rupture, no bleeding, 665 00:28:17,163 --> 00:28:18,397 no stroke. [ Sighs ] 666 00:28:18,430 --> 00:28:21,400 If his BP goes up any higher, he will have a stroke. 667 00:28:21,433 --> 00:28:23,135 [ Sighs ] I'm terminating the procedure. 668 00:28:23,169 --> 00:28:26,138 Push 20 milligrams of labetalol, stat. 669 00:28:26,172 --> 00:28:29,308 ** 670 00:28:33,512 --> 00:28:35,047 We need to stabilize him before we can retry the procedure, 671 00:28:35,081 --> 00:28:37,216 which means we need to figure out what we missed. 672 00:28:37,249 --> 00:28:39,051 This wasn't our fault. 673 00:28:39,085 --> 00:28:41,287 His BP was stable going in. 674 00:28:41,320 --> 00:28:42,889 He's been on calcium-channel blockers 675 00:28:42,922 --> 00:28:44,423 for the last six years. Well, we missed something. 676 00:28:44,456 --> 00:28:48,194 BP doesn't skyrocket for no reason. 677 00:28:48,227 --> 00:28:49,361 Run a full work-up. 678 00:28:52,364 --> 00:28:54,500 Why would a 28-year-old with no risk factors 679 00:28:54,533 --> 00:28:56,135 have a heart attack? 680 00:28:56,168 --> 00:28:57,269 Hmm. 681 00:28:57,303 --> 00:29:00,072 Her heart is burning. 682 00:29:00,106 --> 00:29:01,240 Burning? 683 00:29:01,273 --> 00:29:03,375 From the caustic chemical! 684 00:29:03,409 --> 00:29:06,412 Murphy. It's going through her system. 685 00:29:06,445 --> 00:29:08,881 Unlike thermal burns, 686 00:29:08,915 --> 00:29:11,050 chemical burns get worse over time. 687 00:29:11,083 --> 00:29:14,220 And it also explains the punctured bronchus. 688 00:29:14,253 --> 00:29:16,522 The caustic chemical thinned the bronchial walls. 689 00:29:16,555 --> 00:29:18,390 You did not make a mistake. 690 00:29:18,424 --> 00:29:20,026 That's not the only explanation. 691 00:29:21,327 --> 00:29:22,995 But I'll shut up now. 692 00:29:23,029 --> 00:29:24,230 You think you have a good idea, 693 00:29:24,263 --> 00:29:26,933 but you're going to shut yourself up? 694 00:29:26,966 --> 00:29:29,235 It could be caused by an infection 695 00:29:29,268 --> 00:29:32,839 from bacteria that leaked as a result of the puncture. 696 00:29:32,872 --> 00:29:36,408 The treatments are diametrically opposed -- 697 00:29:36,442 --> 00:29:39,011 antibiotics if it's infection, 698 00:29:39,045 --> 00:29:41,147 steroids if it's inflammation. 699 00:29:41,180 --> 00:29:44,150 If she needs antibiotics and she needs steroids instead, 700 00:29:44,183 --> 00:29:45,417 it will suppress her immune system, 701 00:29:45,451 --> 00:29:47,820 causing the infection to flourish and kill her. 702 00:29:47,854 --> 00:29:49,421 If she needs steroids 703 00:29:49,455 --> 00:29:51,257 and we give her antibiotics, then -- 704 00:29:51,290 --> 00:29:52,458 I get it. 705 00:29:52,491 --> 00:29:53,425 We'd better be right. 706 00:29:53,459 --> 00:29:55,227 Yes. 707 00:29:55,261 --> 00:29:57,930 Sir, I think we should bring another senior attending in 708 00:29:57,964 --> 00:30:00,099 to consult on this decision. Why? 709 00:30:00,132 --> 00:30:02,168 Because if Shaun's right, you're exonerated. 710 00:30:02,201 --> 00:30:03,502 And if I'm right, you may have made the mistake 711 00:30:03,535 --> 00:30:06,005 that could kill this woman. 712 00:30:06,038 --> 00:30:08,007 You don't think I can be objective? 713 00:30:08,040 --> 00:30:10,042 I think you're incredibly professional -- 714 00:30:10,076 --> 00:30:10,809 Shut up, Jared. 715 00:30:14,947 --> 00:30:21,320 It is possible that I screwed up. 716 00:30:21,353 --> 00:30:23,289 Let's put her on broad-spectrum antibiotics. 717 00:30:23,322 --> 00:30:25,424 You're wrong. 718 00:30:25,457 --> 00:30:27,026 Making a decision 719 00:30:27,059 --> 00:30:29,095 on the assumption you made a mistake 720 00:30:29,128 --> 00:30:29,996 is a mistake. 721 00:30:30,029 --> 00:30:33,599 You're very arrogant. 722 00:30:33,632 --> 00:30:35,968 It helps you be a great surgeon. 723 00:30:38,204 --> 00:30:40,306 Fortunately, I don't need your approval. 724 00:30:40,339 --> 00:30:45,577 ** 725 00:30:48,915 --> 00:30:51,017 [ Door closes ] 726 00:30:51,050 --> 00:30:54,220 We've determined what the underlying problem was. 727 00:30:54,253 --> 00:30:56,022 What caused your husband's aneurysm to rupture 728 00:30:56,055 --> 00:30:58,424 and why his blood pressure spiked in the O.R. 729 00:30:58,457 --> 00:31:01,193 According to his labs, he hasn't been taking his meds. 730 00:31:01,227 --> 00:31:03,029 As far as I know, he has. 731 00:31:03,062 --> 00:31:05,297 I mean, that's just not like him. 732 00:31:05,331 --> 00:31:07,934 We don't think it's like him, either. 733 00:31:10,602 --> 00:31:13,906 You think I had something to do with this? 734 00:31:13,940 --> 00:31:16,375 That I, what, threw his meds away? 735 00:31:16,408 --> 00:31:20,146 He'd just order more. 736 00:31:20,179 --> 00:31:23,482 But if you emptied his capsules and filled them with sugar -- 737 00:31:23,515 --> 00:31:26,185 or, even better, salt -- 738 00:31:26,218 --> 00:31:28,220 It would end your nightmare. 739 00:31:28,254 --> 00:31:31,123 ** 740 00:31:31,157 --> 00:31:33,525 I was willing to let him die, 741 00:31:33,559 --> 00:31:39,465 but I could never -- 742 00:31:39,498 --> 00:31:43,335 If I were strong enough to kill him... 743 00:31:43,369 --> 00:31:48,440 ** 744 00:31:48,474 --> 00:31:54,180 ** 745 00:31:54,213 --> 00:31:56,382 Is there a chance your son knows more 746 00:31:56,415 --> 00:31:58,384 than you think he does? 747 00:31:58,417 --> 00:32:06,625 ** 748 00:32:06,658 --> 00:32:15,234 ** 749 00:32:15,267 --> 00:32:19,405 [ Monitor beeping ] 750 00:32:19,438 --> 00:32:21,040 Her heart rate's 90. 751 00:32:21,073 --> 00:32:22,975 That's in the normal range. 752 00:32:23,009 --> 00:32:25,477 But it was 83. It should be going down. 753 00:32:25,511 --> 00:32:28,180 All her other signs are normal. 754 00:32:28,214 --> 00:32:31,150 You were right. This is the proper treatment. 755 00:32:31,183 --> 00:32:32,318 95. 756 00:32:32,351 --> 00:32:36,022 [ Monitor quickens ] 757 00:32:36,055 --> 00:32:38,124 I'm switching her to steroids. 758 00:32:38,157 --> 00:32:39,992 If we give her steroids, 759 00:32:40,026 --> 00:32:42,194 it will suppress her immune system, 760 00:32:42,228 --> 00:32:43,295 causing the infection to flourish... 761 00:32:43,329 --> 00:32:45,197 I'm going to push 40 milligrams of methylprednisolone. 762 00:32:45,231 --> 00:32:46,365 ...and she'll die. 763 00:32:46,398 --> 00:32:48,167 ** 764 00:32:48,200 --> 00:32:49,635 This is on me. 765 00:32:49,668 --> 00:32:51,437 I know. 766 00:32:51,470 --> 00:32:53,405 ** 767 00:32:58,077 --> 00:33:00,246 ** 768 00:33:00,279 --> 00:33:03,115 We switched her to methylprednisolone. 769 00:33:03,149 --> 00:33:04,250 It's working. 770 00:33:04,283 --> 00:33:05,717 You were wrong. 771 00:33:05,751 --> 00:33:07,386 Yeah, I got that. 772 00:33:07,419 --> 00:33:09,788 Just about the treatment choice. 773 00:33:09,821 --> 00:33:10,622 You didn't do anything wrong in the O.R. 774 00:33:10,656 --> 00:33:12,324 Don't kiss my ass. 775 00:33:12,358 --> 00:33:17,296 Jared saved her life. 776 00:33:17,329 --> 00:33:19,531 If he hadn't acted so quickly, she would've died, 777 00:33:19,565 --> 00:33:22,268 and that would've been your fault. 778 00:33:22,301 --> 00:33:23,335 Yes, it would've. 779 00:33:23,369 --> 00:33:24,470 You should thank him. 780 00:33:32,211 --> 00:33:34,080 Thank you, Dr. Kalu. 781 00:33:40,286 --> 00:33:49,361 ** 782 00:33:49,395 --> 00:33:58,704 ** 783 00:33:58,737 --> 00:34:08,280 ** 784 00:34:08,314 --> 00:34:17,489 ** 785 00:34:29,168 --> 00:34:29,768 Hey. 786 00:34:29,801 --> 00:34:31,203 Can I help you? 787 00:34:31,237 --> 00:34:34,106 I'm Dr. Shaun Murphy. 788 00:34:34,140 --> 00:34:37,809 You're my new neighbor, number 34. 789 00:34:37,843 --> 00:34:40,279 Yeah, cool. 790 00:34:40,312 --> 00:34:42,248 Uh, you wanna come in for a beer? 791 00:34:42,281 --> 00:34:43,415 No. 792 00:34:43,449 --> 00:34:51,423 ** 793 00:34:51,457 --> 00:34:53,392 Nice work. 794 00:34:53,425 --> 00:34:54,660 You, too. 795 00:34:54,693 --> 00:34:57,496 You can have the honors. 796 00:34:57,529 --> 00:34:59,165 [ Sighs ] 797 00:34:59,198 --> 00:35:00,766 This is the first time I'm not looking forward 798 00:35:00,799 --> 00:35:03,269 to telling the family it went well. 799 00:35:03,302 --> 00:35:12,411 ** 800 00:35:12,444 --> 00:35:21,320 ** 801 00:35:21,353 --> 00:35:30,196 ** 802 00:35:30,229 --> 00:35:32,198 You're going to be fine. 803 00:35:32,231 --> 00:35:34,533 The treatment worked? 804 00:35:34,566 --> 00:35:37,436 The second one did. The first one almost killed you. 805 00:35:37,469 --> 00:35:39,605 The fact that you're alive right now is evidence 806 00:35:39,638 --> 00:35:41,340 that you were working with dimethyl sulfate. 807 00:35:41,373 --> 00:35:45,944 You're a terrorist, aren't you? 808 00:35:45,977 --> 00:35:49,515 My brother works for a drug company. 809 00:35:49,548 --> 00:35:52,518 They use dimethyl sulfate to make one of their medications. 810 00:35:52,551 --> 00:35:53,952 He stole some for me. 811 00:35:53,985 --> 00:35:56,522 So you could make a chemical weapon. 812 00:35:56,555 --> 00:36:02,961 So I could make perfume. 813 00:36:02,994 --> 00:36:04,196 Smell that. 814 00:36:17,309 --> 00:36:20,512 It's...beautiful. 815 00:36:20,546 --> 00:36:21,880 But very stupid. 816 00:36:21,913 --> 00:36:23,915 Yeah. 817 00:36:23,949 --> 00:36:26,552 Especially since my brother would get fired 818 00:36:26,585 --> 00:36:27,753 if anyone ever found out. 819 00:36:29,888 --> 00:36:30,822 You believe her? 820 00:36:30,856 --> 00:36:32,958 Protecting someone -- 821 00:36:32,991 --> 00:36:34,993 reason number three. 822 00:36:35,026 --> 00:36:37,529 ** 823 00:36:37,563 --> 00:36:40,366 So...we good? 824 00:36:40,399 --> 00:36:42,534 Thing is, I'm not sure it really matters. 825 00:36:42,568 --> 00:36:44,403 I've been told I can only have three residents next year. 826 00:36:44,436 --> 00:36:45,404 That's great. 827 00:36:45,437 --> 00:36:46,838 Not really. 828 00:36:46,872 --> 00:36:49,575 Because of Coyle's transfer, I have to take on his. 829 00:36:49,608 --> 00:36:51,910 Reznick? 830 00:36:51,943 --> 00:36:54,513 [ Laughs ] She's a pain. 831 00:36:54,546 --> 00:36:56,848 Pain can be a hell of motivator. 832 00:36:56,882 --> 00:36:57,749 Good luck. 833 00:37:04,490 --> 00:37:05,757 You were right. 834 00:37:08,460 --> 00:37:12,631 And I think you were right that I wanted you to be wrong. 835 00:37:12,664 --> 00:37:15,401 And I'm sorry. 836 00:37:15,434 --> 00:37:18,604 You were right, too. 837 00:37:18,637 --> 00:37:22,441 I kept telling myself that I'm fine, but... 838 00:37:22,474 --> 00:37:24,009 it's been hard. 839 00:37:24,042 --> 00:37:25,877 Got me second-guessing myself, 840 00:37:25,911 --> 00:37:28,514 maybe affecting my judgment. 841 00:37:28,547 --> 00:37:31,317 I don't know. 842 00:37:31,350 --> 00:37:33,952 If we're hurting so bad, maybe we made a mistake. 843 00:37:33,985 --> 00:37:36,622 ** 844 00:37:36,655 --> 00:37:38,056 No. 845 00:37:38,089 --> 00:37:40,459 It just means that what we had mattered. 846 00:37:40,492 --> 00:37:43,695 Doesn't mean that it was right. 847 00:37:43,729 --> 00:37:46,398 I've also been thinking that... 848 00:37:46,432 --> 00:37:48,700 arrogance does make me a better surgeon. 849 00:37:51,036 --> 00:37:52,538 But it's not gonna make me a better husband. 850 00:37:52,571 --> 00:37:55,674 ** 851 00:37:55,707 --> 00:37:57,943 I'm sorry. 852 00:37:57,976 --> 00:38:03,982 ** 853 00:38:04,015 --> 00:38:10,055 ** 854 00:38:10,088 --> 00:38:12,491 Kristin? 855 00:38:12,524 --> 00:38:13,925 Hey, I'm Claire. 856 00:38:13,959 --> 00:38:15,361 Hi. 857 00:38:15,394 --> 00:38:18,964 Thanks. 858 00:38:18,997 --> 00:38:20,599 Um, 859 00:38:20,632 --> 00:38:26,037 I am doing some research on Dr. Coyle -- 860 00:38:26,071 --> 00:38:30,709 on the women who worked with him and then quit. 861 00:38:30,742 --> 00:38:36,415 I got another offer at SF Muni. 862 00:38:36,448 --> 00:38:40,786 I was harassed by Dr. Coyle. 863 00:38:40,819 --> 00:38:42,754 And I think you were, too. 864 00:38:42,788 --> 00:38:47,926 ** 865 00:38:47,959 --> 00:38:53,098 ** 866 00:38:53,131 --> 00:38:55,634 [ Sighs ] 867 00:38:55,667 --> 00:39:01,072 Doing the right thing can make things a little better... 868 00:39:01,106 --> 00:39:03,609 especially if we do it together. 869 00:39:03,642 --> 00:39:10,682 ** 870 00:39:10,716 --> 00:39:12,984 [ Speaks indistinctly ] 871 00:39:13,018 --> 00:39:20,559 ** 872 00:39:25,531 --> 00:39:27,966 I have a new neighbor. 873 00:39:27,999 --> 00:39:32,404 Hmm. So, Lea's really gone, huh? 874 00:39:32,438 --> 00:39:35,474 So, can we have breakfast tomorrow? 875 00:39:37,042 --> 00:39:39,678 I'd love to, Shaun, but... 876 00:39:39,711 --> 00:39:42,781 [ Clears throat ] 877 00:39:42,814 --> 00:39:44,716 we, um... 878 00:39:44,750 --> 00:39:46,151 We talked about this, right? 879 00:39:46,184 --> 00:39:49,120 I-I said that I would 880 00:39:49,154 --> 00:39:51,690 back off if you stayed, right? 881 00:39:51,723 --> 00:39:52,691 More space, less "fathering." 882 00:39:52,724 --> 00:39:53,992 I don't need a father. 883 00:39:54,025 --> 00:39:55,694 I hate fathers. 884 00:39:55,727 --> 00:39:56,662 Right, so -- 885 00:39:56,695 --> 00:39:58,564 I need a friend. 886 00:40:03,502 --> 00:40:07,105 Shaun, I-I am someone who can't help 887 00:40:07,138 --> 00:40:08,874 but give advice, you know? 888 00:40:08,907 --> 00:40:12,410 I don't know if I can not do that. 889 00:40:14,746 --> 00:40:18,684 So you think I can change and you can't? 890 00:40:21,620 --> 00:40:24,155 I think that we have a certain kind of relationship. 891 00:40:24,189 --> 00:40:26,858 And we can call it something different if we want, 892 00:40:26,892 --> 00:40:29,595 but we can't magically make it different. 893 00:40:29,628 --> 00:40:31,597 You said that you wanted space. 894 00:40:31,630 --> 00:40:33,632 You said that you needed space. 895 00:40:39,905 --> 00:40:45,243 I-I think you should be my friend. 896 00:40:45,276 --> 00:40:50,649 [ Patrick Watson's "Broken" plays ] 897 00:40:50,682 --> 00:40:52,150 Shaun... 898 00:40:52,183 --> 00:40:59,491 ** 899 00:40:59,525 --> 00:41:06,598 ** 900 00:41:06,632 --> 00:41:07,899 Okay. 901 00:41:07,933 --> 00:41:11,236 ** 902 00:41:11,269 --> 00:41:13,171 Shaun? 903 00:41:13,204 --> 00:41:19,811 * Do you feel a little broken? * 904 00:41:19,845 --> 00:41:26,552 * Do you feel a little broken? * 905 00:41:26,585 --> 00:41:33,191 * Do you feel a little broken? * 906 00:41:33,224 --> 00:41:41,633 * Do you feel a little bro-o-ken? * 907 00:41:41,667 --> 00:41:47,205 * Memories come and they go 908 00:41:47,238 --> 00:41:54,312 * You just learn to let go 909 00:41:54,345 --> 00:41:59,751 * Sometimes, sometimes, you wanna, wanna go back * 910 00:41:59,785 --> 00:42:04,055 What are you smelling right now? 911 00:42:04,089 --> 00:42:05,757 Pine trees. 912 00:42:05,791 --> 00:42:07,926 * Do you feel a little broken? * 913 00:42:07,959 --> 00:42:09,127 Mmm. 914 00:42:09,160 --> 00:42:12,230 ** 915 00:42:12,263 --> 00:42:17,202 * Do you feel a little broken? * 916 00:42:22,908 --> 00:42:32,584 ** 917 00:42:32,618 --> 00:42:41,860 ** 918 00:42:41,893 --> 00:42:51,202 **