1
00:00:01,735 --> 00:00:03,571
(BIRDS CHIRPING)

2
00:00:04,805 --> 00:00:06,807
**

3
00:00:17,151 --> 00:00:18,586
**

4
00:00:27,495 --> 00:00:29,897
You're here early.
Trouble sleeping?

5
00:00:29,963 --> 00:00:31,865
No. Just wanted
to get out

6
00:00:31,932 --> 00:00:34,902
of my apartment
and to work.

7
00:00:34,968 --> 00:00:37,338
We work you plenty
hard enough. Go home.

8
00:00:37,405 --> 00:00:39,573
Making sure you're rested
is also part of the job.

9
00:00:39,640 --> 00:00:40,841
I understand.

10
00:00:43,677 --> 00:00:45,113
What should I
tell a patient

11
00:00:45,179 --> 00:00:46,547
if they don't think
they're sick

12
00:00:46,614 --> 00:00:49,550
but I think they have
pancreatic cancer?

13
00:00:49,617 --> 00:00:51,819
You think one of our patients
has pancreatic cancer?

14
00:00:55,055 --> 00:00:56,924
(BURPS)

15
00:00:56,990 --> 00:00:59,327
Seventeen.

16
00:00:59,393 --> 00:01:02,196
He's burped 17 times

17
00:01:02,263 --> 00:01:03,464
in 10 minutes.

18
00:01:03,531 --> 00:01:06,500
It's a frequent symptom
of pancreatic cancer.

19
00:01:06,567 --> 00:01:09,036
Shaun,
it's acid reflux.

20
00:01:10,404 --> 00:01:12,273
He's also jaundiced.

21
00:01:15,876 --> 00:01:17,044
No, he isn't.

22
00:01:18,112 --> 00:01:19,913
Paul's skin
is definitely not

23
00:01:19,980 --> 00:01:22,450
the same color
it was six months ago.

24
00:01:22,516 --> 00:01:24,652
Paul?
I looked at his mouth

25
00:01:24,718 --> 00:01:26,320
when he was telling me
about his daughter.

26
00:01:26,387 --> 00:01:27,988
She just...
Walk with me.

27
00:01:28,055 --> 00:01:30,458
**

28
00:01:30,524 --> 00:01:31,559
(QUIETLY)
Say nothing.

29
00:01:31,625 --> 00:01:33,060
**

30
00:01:39,700 --> 00:01:41,101
**

31
00:01:50,578 --> 00:01:52,012
Hey, Shaun.

32
00:01:52,079 --> 00:01:53,481
**

33
00:01:56,049 --> 00:01:57,785
(NORMAL VOICE)
Do a CVC, CMP,

34
00:01:57,851 --> 00:02:00,388
amylase, lipase,
CA-19 levels,

35
00:02:00,454 --> 00:02:02,656
and CT abdomen,
pelvis pancreatic protocol,

36
00:02:02,723 --> 00:02:04,825
and do not
tell him why.

37
00:02:04,892 --> 00:02:06,394
You want me to lie?

38
00:02:06,460 --> 00:02:07,895
I don't want you
to tell the truth.

39
00:02:07,961 --> 00:02:10,598
The discoloration,
if there is any,
is very minor.

40
00:02:10,664 --> 00:02:12,433
I don't want you
scaring the crap out of
the man over nothing.

41
00:02:12,500 --> 00:02:15,068
Excellent. I've been
practicing lying.

42
00:02:15,135 --> 00:02:16,737
I lied to you before
when I said

43
00:02:16,804 --> 00:02:19,307
I just wanted to get out
of my apartment and to work.

44
00:02:20,941 --> 00:02:22,610
Take Claire.

45
00:02:26,447 --> 00:02:27,848
Hello. I'm Dr. Lim.

46
00:02:27,915 --> 00:02:29,250
How can I
help you today...

47
00:02:29,317 --> 00:02:30,584
Asha?

48
00:02:32,486 --> 00:02:35,256
I want plastic surgery.

49
00:02:35,323 --> 00:02:37,425
Sweetheart, this is
the Emergency Room.

50
00:02:37,491 --> 00:02:39,827
If you want, I can make
an appointment for you...

51
00:02:39,893 --> 00:02:42,095
Well, you do
vaginal rejuvenation, right?

52
00:02:43,130 --> 00:02:44,832
Yes...

53
00:02:44,898 --> 00:02:46,567
On much older,
much vainer women,

54
00:02:46,634 --> 00:02:49,837
generally after
having many children.

55
00:02:49,903 --> 00:02:52,072
I don't know what
the boys have told you...
Examine me.

56
00:02:53,707 --> 00:02:54,908
Please.

57
00:02:56,610 --> 00:02:58,011
Please take off
your underwear.

58
00:03:16,564 --> 00:03:19,433
(SOMBER MUSIC PLAYS)

59
00:03:19,500 --> 00:03:22,903
**

60
00:03:22,970 --> 00:03:24,638
Were you
in an accident?

61
00:03:24,705 --> 00:03:25,973
No.

62
00:03:27,375 --> 00:03:28,509
Can you help me?

63
00:03:29,710 --> 00:03:31,579
Did your father
do this to you?
No.

64
00:03:31,645 --> 00:03:32,980
Please just...
Did your mother...

65
00:03:33,046 --> 00:03:34,748
I need to know
who did this to you.
No, you don't!

66
00:03:34,815 --> 00:03:35,949
It doesn't matter who...

67
00:03:36,016 --> 00:03:37,418
**

68
00:03:41,422 --> 00:03:43,891
(INHALES DEEPLY)

69
00:03:43,957 --> 00:03:46,394
When I was
2 years old...

70
00:03:47,595 --> 00:03:50,130
I was... Tied down,

71
00:03:50,197 --> 00:03:51,932
and I was
circumcised.

72
00:03:51,999 --> 00:03:53,401
**

73
00:03:55,769 --> 00:03:57,237
(VOICE BREAKING)
Please.

74
00:03:58,171 --> 00:03:59,807
I'm hideous.

75
00:03:59,873 --> 00:04:01,309
**

76
00:04:04,712 --> 00:04:06,246
Will you help me?

77
00:04:06,314 --> 00:04:07,715
**

78
00:04:08,882 --> 00:04:09,883
Yes.

79
00:04:11,319 --> 00:04:13,321
(THEME MUSIC PLAYING)

80
00:04:22,630 --> 00:04:24,131
Why do you
need to confirm

81
00:04:24,197 --> 00:04:26,834
a diagnosis
of acid reflux?

82
00:04:26,900 --> 00:04:28,902
Because we're doctors.
It's what we do.

83
00:04:28,969 --> 00:04:30,504
We just like
to be sure of everything.

84
00:04:32,873 --> 00:04:35,309
There are a few
remote possibilities...

85
00:04:35,376 --> 00:04:36,644
I've got this!

86
00:04:38,346 --> 00:04:41,715
Are you familiar with
the hospital employee manual

87
00:04:41,782 --> 00:04:44,117
section 17,
subsection c, triple i?

88
00:04:44,184 --> 00:04:45,586
No.
Good.

89
00:04:45,653 --> 00:04:47,220
Good?
Yes.

90
00:04:47,287 --> 00:04:50,691
It requires that
all employees

91
00:04:50,758 --> 00:04:52,393
shall be subject to,

92
00:04:52,460 --> 00:04:54,161
and I quote,

93
00:04:54,227 --> 00:04:56,296
"Any and all possible
necessary tests

94
00:04:56,364 --> 00:04:58,131
"to confirm
any and all diagnoses,

95
00:04:58,198 --> 00:05:00,233
"no matter how mundane,
the cost of which tests

96
00:05:00,300 --> 00:05:02,936
"shall be borne by
the hospital," end quote.

97
00:05:09,677 --> 00:05:11,345
The Board
wants to make sure

98
00:05:11,412 --> 00:05:13,881
that no one
is exposed to patients

99
00:05:13,947 --> 00:05:15,783
if there is any chance
that they have

100
00:05:15,849 --> 00:05:17,818
any communicable
condition.

101
00:05:23,757 --> 00:05:26,326
I had the flu
last week.

102
00:05:26,394 --> 00:05:28,328
Why didn't anybody
do anything for me then?

103
00:05:31,765 --> 00:05:34,134
It's a new policy.
You might have
pancreatic cancer.

104
00:05:34,968 --> 00:05:36,537
What?

105
00:05:36,604 --> 00:05:37,838
What'd he say?

106
00:05:39,873 --> 00:05:41,609
Female genital mutilation

107
00:05:41,675 --> 00:05:44,277
is the ritual cutting
or removal of some, or all,

108
00:05:44,344 --> 00:05:46,647
of the external
female genitalia.

109
00:05:46,714 --> 00:05:49,116
Over 200 million victims
worldwide.

110
00:05:49,182 --> 00:05:50,951
It is almost
universally practiced

111
00:05:51,018 --> 00:05:53,521
in a number of African
and Asian countries.

112
00:05:53,587 --> 00:05:54,788
Where was she born?

113
00:05:55,723 --> 00:05:57,190
Wisconsin.
(EXHALES DEEPLY)

114
00:05:57,257 --> 00:05:58,759
Yeah, it's way more
common here
than you think.

115
00:05:58,826 --> 00:06:00,661
What religion is she?
I didn't ask.

116
00:06:00,728 --> 00:06:02,195
This isn't about
religion.

117
00:06:02,262 --> 00:06:04,732
No legit religious
organization
endorses this stuff.

118
00:06:04,798 --> 00:06:07,468
We're gonna do the labiaplasty
first thing in the morning.

119
00:06:07,535 --> 00:06:09,937
The damage done to her nerves
is not going to get undone,

120
00:06:10,003 --> 00:06:11,138
nor is
the psych damage,

121
00:06:11,204 --> 00:06:14,141
but at least she'll
look like other girls.

122
00:06:14,207 --> 00:06:15,576
We should be able
to have her out of here

123
00:06:15,643 --> 00:06:16,677
by 6:00
in the evening.

124
00:06:16,744 --> 00:06:19,146
Outpatient?
Why the hurry?

125
00:06:19,212 --> 00:06:21,549
So her mother will simply
think she's in school,

126
00:06:21,615 --> 00:06:23,083
then out studying
with her friends.

127
00:06:24,718 --> 00:06:26,654
She loves her parents
and doesn't want to tell them

128
00:06:26,720 --> 00:06:29,122
that she's rejecting one
of their cultural traditions.

129
00:06:29,189 --> 00:06:30,558
They won't stay in the dark
for long,

130
00:06:30,624 --> 00:06:32,493
since we're legally obligated
to report them.

131
00:06:32,560 --> 00:06:34,695
That "cultural tradition"
also fits

132
00:06:34,762 --> 00:06:37,397
the definition of abuse.
And they'll also find out
when we ask

133
00:06:37,465 --> 00:06:39,266
for their permission
to do this surgery.

134
00:06:39,332 --> 00:06:40,601
She's a minor.

135
00:06:40,668 --> 00:06:42,102
Her ID says she's 18.

136
00:06:42,169 --> 00:06:43,837
Yes, her fake ID

137
00:06:43,904 --> 00:06:45,439
says she's 18.

138
00:06:45,506 --> 00:06:48,041
Her number starts with
an "H," which means she
was born in the '50s.

139
00:06:48,108 --> 00:06:50,578
Also, the photo background
is green instead of blue.

140
00:06:50,644 --> 00:06:52,680
Also six other things.
(SIGHS)

141
00:06:52,746 --> 00:06:54,582
Maybe we can get Legal
to get a court order...

142
00:06:54,648 --> 00:06:56,316
If I believe
that ID is real,

143
00:06:56,383 --> 00:06:58,619
then I am entitled
to perform this surgery

144
00:06:58,686 --> 00:07:01,689
without seeking consent of
anyone other than the patient.

145
00:07:01,755 --> 00:07:04,758
And, as legally required
within 36 hours,

146
00:07:04,825 --> 00:07:06,494
I will report
the evidence of abuse

147
00:07:06,560 --> 00:07:09,530
under the name and address
listed on that ID.

148
00:07:09,597 --> 00:07:12,132
If the investigation
of that report

149
00:07:12,199 --> 00:07:14,468
doesn't begin until
the girl is long gone

150
00:07:14,535 --> 00:07:17,538
and happens to lead nowhere
because the name wasn't real,

151
00:07:17,605 --> 00:07:19,039
that's no fault of mine.

152
00:07:19,106 --> 00:07:21,208
Are you sure you want
to risk your medical license

153
00:07:21,274 --> 00:07:22,610
to protect
an abusive mother?

154
00:07:22,676 --> 00:07:24,144
If we do this
by the book,

155
00:07:24,211 --> 00:07:26,179
we never see that girl again
and no one gets help.

156
00:07:26,246 --> 00:07:29,249
If we do this by the book,
maybe the cops
lock the parents up.

157
00:07:29,316 --> 00:07:31,719
We shine a light
on this thing,
her community gets scared,

158
00:07:31,785 --> 00:07:33,787
and maybe the next girl
doesn't need our help.

159
00:07:33,854 --> 00:07:35,656
Or maybe the testimony
of the girl

160
00:07:35,723 --> 00:07:37,390
about what happened to her
when she was 2

161
00:07:37,457 --> 00:07:39,059
doesn't help the cops
at all.

162
00:07:39,126 --> 00:07:41,028
Maybe the parents just
take their daughter home,

163
00:07:41,094 --> 00:07:42,563
and maybe we scare
the next girl

164
00:07:42,630 --> 00:07:44,965
into not even
asking for help.

165
00:07:46,266 --> 00:07:49,336
I'm doing the surgery
to this girl

166
00:07:49,402 --> 00:07:52,740
under this name
tomorrow morning at 7:00 a.m.

167
00:07:52,806 --> 00:07:54,642
**

168
00:08:03,717 --> 00:08:06,286
I can't believe
people ever lie.

169
00:08:06,353 --> 00:08:08,689
There are
so many questions

170
00:08:08,756 --> 00:08:10,591
people might ask you,

171
00:08:10,658 --> 00:08:12,292
but if you
tell the truth,

172
00:08:12,359 --> 00:08:14,261
you already
know the answers.

173
00:08:15,262 --> 00:08:17,765
And, also,
it's wrong.

174
00:08:17,831 --> 00:08:19,700
But sometimes,

175
00:08:19,767 --> 00:08:22,269
you shouldn't tell
the whole truth?

176
00:08:23,370 --> 00:08:25,973
No. Of course not.

177
00:08:26,039 --> 00:08:28,676
Because that lets you
be honorable

178
00:08:28,742 --> 00:08:32,145
and tell the truth
and be a good person,

179
00:08:32,212 --> 00:08:33,614
but at the same time,

180
00:08:33,681 --> 00:08:36,784
you get to completely
deceive the person.

181
00:08:36,850 --> 00:08:39,953
No, I don't
think that...
Lea came back.

182
00:08:40,020 --> 00:08:41,521
Wow, Shaun,
that's great.

183
00:08:41,589 --> 00:08:45,125
She's staying with me
until she finds her own place.

184
00:08:45,192 --> 00:08:47,060
You must be so excited.

185
00:08:48,395 --> 00:08:49,597
Yes.

186
00:08:51,498 --> 00:08:53,166
You're not excited?

187
00:08:53,767 --> 00:08:55,368
I said, "Yes."

188
00:08:58,672 --> 00:09:00,540
Paul has
one year to live.

189
00:09:02,009 --> 00:09:04,377
He has pancreatic cancer.

190
00:09:05,178 --> 00:09:06,446
Stage III.

191
00:09:06,513 --> 00:09:07,948
**

192
00:09:12,352 --> 00:09:14,121
There are
no metastatic lesions,
but there are

193
00:09:14,187 --> 00:09:16,189
local nodes involved.
And there's
partial encasement

194
00:09:16,256 --> 00:09:17,725
of the superior
mesenteric artery.

195
00:09:17,791 --> 00:09:18,892
That puts it
past the point

196
00:09:18,959 --> 00:09:21,294
where we can cure
with local resection.

197
00:09:21,361 --> 00:09:23,563
We could do
Whipple surgery.

198
00:09:23,631 --> 00:09:25,799
That's not advised for
stage III pancreatic cancer.

199
00:09:25,866 --> 00:09:28,568
Not quite. It's not advised
for stage IV.

200
00:09:28,636 --> 00:09:30,938
For stage III,
it's discretionary.

201
00:09:31,004 --> 00:09:32,773
(BOOK THUDS)
In my discretion,

202
00:09:32,840 --> 00:09:34,642
he's better off with
12 semi-comfortable months,

203
00:09:34,708 --> 00:09:36,977
rather than running
the risk of dying
on the table tomorrow.

204
00:09:37,044 --> 00:09:39,680
If he doesn't
die on the table,
he could have many years.

205
00:09:39,747 --> 00:09:41,915
CLAIRE: It isn't
our call to make.

206
00:09:41,982 --> 00:09:44,217
I'll talk to Paul,
advise him of the parameters,

207
00:09:44,284 --> 00:09:45,753
let him make
his own decision.

208
00:09:47,454 --> 00:09:48,689
No.

209
00:09:49,456 --> 00:09:50,557
Shaun should do it.

210
00:09:52,425 --> 00:09:53,627
Claire can do it.

211
00:09:53,694 --> 00:09:56,229
Yes, she can,
which is why you should do it.

212
00:09:56,296 --> 00:09:58,231
This is
a teaching hospital.

213
00:09:58,298 --> 00:09:59,466
Andrews is right...

214
00:09:59,532 --> 00:10:01,501
Being a surgeon
isn't just about cutting.

215
00:10:01,568 --> 00:10:04,004
**

216
00:10:12,245 --> 00:10:13,647
**

217
00:10:23,290 --> 00:10:24,591
Would it be okay

218
00:10:24,658 --> 00:10:28,028
if we spoke
someplace more quiet?

219
00:10:28,095 --> 00:10:31,231
You need someplace quiet
to tell me I have acid reflux?

220
00:10:33,867 --> 00:10:36,837
I think we should be
someplace quiet

221
00:10:36,904 --> 00:10:39,172
because people
sometimes get very upset

222
00:10:39,239 --> 00:10:40,874
when they find out
they probably only have

223
00:10:40,941 --> 00:10:42,910
less than a year
to live.

224
00:10:42,976 --> 00:10:44,411
**

225
00:10:49,883 --> 00:10:51,184
Okay, uh...

226
00:10:51,251 --> 00:10:53,220
Can I call my family?

227
00:10:53,286 --> 00:10:55,823
They should probably hear
what you have to say, too.

228
00:10:55,889 --> 00:10:57,224
I'd rather
just talk to...

229
00:10:57,290 --> 00:10:58,692
Of course you can.

230
00:10:58,759 --> 00:11:01,394
**

231
00:11:01,461 --> 00:11:03,697
DR. LIM: I'll elevate it with
a 6-inch Ambler tissue hook.

232
00:11:03,764 --> 00:11:05,899
You separate the underlying
tissue with iris forceps.

233
00:11:05,966 --> 00:11:08,635
DR. REZNICK: I got it.
Tenotomy scissors.

234
00:11:08,702 --> 00:11:10,270
I think we're actually
a little ahead of schedule.

235
00:11:10,337 --> 00:11:12,639
Might be able to get her home
in time to do her homework.

236
00:11:12,706 --> 00:11:14,908
Back to the bosom
of her loving family.

237
00:11:17,945 --> 00:11:20,848
We'd remove as much
of the cancer as possible

238
00:11:20,914 --> 00:11:22,649
by removing the head
of the pancreas

239
00:11:22,716 --> 00:11:24,251
and other
attached organs,

240
00:11:24,317 --> 00:11:26,954
but then, we'd have to
reconstruct the anatomy.

241
00:11:27,020 --> 00:11:28,455
The easiest way
to do that

242
00:11:28,521 --> 00:11:29,790
is to bring up
a loop of jejunum...

243
00:11:29,857 --> 00:11:30,858
Shaun.

244
00:11:32,525 --> 00:11:33,927
Sorry.

245
00:11:33,994 --> 00:11:37,030
The jejunum is part
of the small intestine

246
00:11:37,097 --> 00:11:38,665
between the duodenum
and ileum.

247
00:11:38,732 --> 00:11:42,903
It's complicated,
very dangerous surgery.

248
00:11:42,970 --> 00:11:44,571
And even
if it's successful,

249
00:11:44,637 --> 00:11:47,607
post-operative complications
are frequent and serious.

250
00:11:47,674 --> 00:11:50,010
And recovery can be
very painful.

251
00:11:51,511 --> 00:11:54,581
But if it works, he's better?
He'll be healthy?

252
00:11:54,647 --> 00:11:56,483
He would still need
chemotherapy

253
00:11:56,549 --> 00:11:58,351
and a lifetime
of monitoring.

254
00:11:58,418 --> 00:12:01,354
But hopefully,
a long lifetime.

255
00:12:03,490 --> 00:12:04,958
Let's do it, Dad.

256
00:12:05,025 --> 00:12:06,393
What do you say?

257
00:12:09,296 --> 00:12:10,563
What should I do?

258
00:12:13,166 --> 00:12:14,768
It's your decision.

259
00:12:15,869 --> 00:12:19,006
All we can do
is present you with the facts.

260
00:12:19,072 --> 00:12:20,908
**

261
00:12:20,974 --> 00:12:23,676
Yeah, here are
the facts, Dad...

262
00:12:24,544 --> 00:12:26,479
The surgery
may kill you.

263
00:12:26,546 --> 00:12:28,849
Not doing the surgery
will kill you.

264
00:12:28,916 --> 00:12:30,918
**

265
00:12:39,159 --> 00:12:40,560
Can you give us
a few minutes?

266
00:12:40,627 --> 00:12:41,862
Of course.

267
00:12:41,929 --> 00:12:43,363
**

268
00:12:46,633 --> 00:12:47,901
(LIQUID POURS)

269
00:12:47,968 --> 00:12:49,536
**

270
00:12:49,602 --> 00:12:52,505
It was very nice
of Dr. Andrews
to give you an office,

271
00:12:52,572 --> 00:12:54,174
even though, you're on
medical leave.

272
00:12:54,241 --> 00:12:55,742
Yeah, he is a prince.

273
00:12:55,809 --> 00:12:57,444
Who's your surgeon
going to be?

274
00:12:57,510 --> 00:12:58,711
I haven't d...

275
00:12:59,412 --> 00:13:00,814
I haven't
decided yet.

276
00:13:02,349 --> 00:13:04,284
You should
definitely go with

277
00:13:04,351 --> 00:13:07,487
Dr. Joshua Atkinson
at Stanford Medical Center.

278
00:13:07,554 --> 00:13:09,556
His mortality index
is .3.

279
00:13:09,622 --> 00:13:11,291
It's too low.

280
00:13:11,358 --> 00:13:13,827
Not enough of his patients
are dying?

281
00:13:13,894 --> 00:13:15,896
No, Shaun,
sometimes patients die.

282
00:13:15,963 --> 00:13:17,397
Doesn't matter
how good the doctor is.

283
00:13:17,464 --> 00:13:20,500
But when your mortality rate
is as low as Atkinson's,

284
00:13:20,567 --> 00:13:22,502
it means you're
turning away patients.

285
00:13:22,569 --> 00:13:24,604
You turn away patients,
it means you lack confidence.

286
00:13:24,671 --> 00:13:28,075
You lack confidence, I don't
want you inside my head.

287
00:13:28,141 --> 00:13:30,477
And I'd like to be able
to dress myself

288
00:13:30,543 --> 00:13:31,912
when I'm all done.

289
00:13:33,914 --> 00:13:36,516
Shaun, what are you
doing here?

290
00:13:36,583 --> 00:13:39,586
You showed up at work
early this morning.

291
00:13:39,652 --> 00:13:41,588
Go home.
Get some rest.

292
00:13:44,691 --> 00:13:46,927
I won't rest
if I go home.

293
00:13:55,635 --> 00:13:57,104
The surgery went great.

294
00:13:58,238 --> 00:13:59,539
Once everything's healed,
I think

295
00:13:59,606 --> 00:14:02,075
you'll be very happy
with the results.

296
00:14:02,142 --> 00:14:03,376
What time is it?

297
00:14:03,443 --> 00:14:05,212
Not quite 5:45.

298
00:14:05,278 --> 00:14:06,379
We just need you
to pee, and...

299
00:14:06,446 --> 00:14:07,814
I need to go home.

300
00:14:07,881 --> 00:14:10,183
And you will...
very soon.

301
00:14:10,250 --> 00:14:12,052
(EXHALES SHARPLY)

302
00:14:12,119 --> 00:14:13,220
It hurts.

303
00:14:13,286 --> 00:14:14,621
I told you it would.

304
00:14:14,687 --> 00:14:16,556
We did a lot of cutting
and scraping.

305
00:14:16,623 --> 00:14:18,425
You had a lot
of scar tissue.

306
00:14:18,491 --> 00:14:19,726
It hurts a lot.

307
00:14:19,792 --> 00:14:21,194
We'll give you
some Tylenol,

308
00:14:21,261 --> 00:14:23,096
and you can tell your mother
you're cramping.

309
00:14:23,163 --> 00:14:24,998
(GRUNTS) Ow!

310
00:14:25,065 --> 00:14:26,599
(BREATHING HEAVILY)

311
00:14:26,666 --> 00:14:29,469
Hang ketamine...
130 micrograms
per kilogram per hour.

312
00:14:32,472 --> 00:14:33,907
Why does it
hurt this much?

313
00:14:33,974 --> 00:14:35,175
I don't know.

314
00:14:36,309 --> 00:14:37,610
But you're not
going home.

315
00:14:38,678 --> 00:14:39,846
Ow!

316
00:14:44,517 --> 00:14:46,319
She's heavily sedated.

317
00:14:46,386 --> 00:14:47,820
What did we do
to her?

318
00:14:47,887 --> 00:14:49,522
What if this is
good news?

319
00:14:50,757 --> 00:14:52,926
I know you haven't been
a doctor all that long,

320
00:14:52,993 --> 00:14:54,995
but pain is rarely
a sign of good news.

321
00:14:55,062 --> 00:14:56,829
It is if you're talking about
a part of the body

322
00:14:56,896 --> 00:14:58,598
you thought was dead.

323
00:14:58,665 --> 00:15:01,268
What if this means
there's still viable
nerve endings in there?

324
00:15:01,334 --> 00:15:03,971
What if this means
we can actually
reconstruct her clitoris

325
00:15:04,037 --> 00:15:05,338
and that it's capable
of sensation?

326
00:15:06,173 --> 00:15:08,008
Maybe.
All we know for sure

327
00:15:08,075 --> 00:15:09,876
is she's not gonna be home
anywhere near 6:00,

328
00:15:09,943 --> 00:15:12,379
which means
we're about to have
a missing child on our hands.

329
00:15:13,713 --> 00:15:15,515
We have to bring Andrews
up to speed.

330
00:15:15,582 --> 00:15:17,584
**

331
00:15:29,829 --> 00:15:32,332
I did a bad job
of telling you

332
00:15:32,399 --> 00:15:33,700
that you're dying.

333
00:15:37,570 --> 00:15:39,139
Is there a good way?

334
00:15:40,607 --> 00:15:43,876
I can't figure out
when I'm supposed to lie,

335
00:15:43,943 --> 00:15:46,313
when I'm supposed to tell
part of the truth.

336
00:15:46,379 --> 00:15:48,081
And it doesn't
really matter,

337
00:15:48,148 --> 00:15:51,151
because I can't figure out
how to do it anyway.

338
00:15:54,254 --> 00:15:55,755
You did fine with me.

339
00:15:56,923 --> 00:15:58,858
You never need to lie.

340
00:15:58,925 --> 00:16:00,994
Lies don't protect you
from the truth.

341
00:16:03,863 --> 00:16:05,698
I don't like
your haircut.

342
00:16:06,399 --> 00:16:08,168
(CHUCKLES)

343
00:16:08,235 --> 00:16:09,402
Okay.

344
00:16:11,104 --> 00:16:16,309
Maybe sometimes,
when the truth
can't help someone...

345
00:16:19,446 --> 00:16:21,414
...you should definitely
just lie.

346
00:16:24,284 --> 00:16:27,987
Do you think praying
will help you reach
a decision?

347
00:16:29,589 --> 00:16:33,093
I've already
reached a decision.

348
00:16:33,160 --> 00:16:37,964
I'm praying to help me
find comfort
with that decision.

349
00:16:38,031 --> 00:16:40,267
My family
wants the surgery.

350
00:16:43,103 --> 00:16:45,905
And what do you want?

351
00:16:47,374 --> 00:16:49,342
I want
what my family wants.

352
00:16:50,477 --> 00:16:52,079
I love them.

353
00:16:52,145 --> 00:16:53,946
But they love you,
too, right?

354
00:16:55,682 --> 00:16:57,684
Don't they want
what you want?

355
00:17:01,354 --> 00:17:03,456
Long ago,
I made a decision

356
00:17:04,491 --> 00:17:05,992
to be there for them

357
00:17:07,927 --> 00:17:09,229
no matter what.

358
00:17:09,296 --> 00:17:10,697
**

359
00:17:12,599 --> 00:17:16,403
And if the last choice
I make in my life

360
00:17:16,469 --> 00:17:18,071
is consistent
with that,

361
00:17:21,808 --> 00:17:23,376
I'm comfortable
with that.

362
00:17:24,544 --> 00:17:25,978
**

363
00:17:31,017 --> 00:17:34,087
(DOOR OPENS, CLOSES)

364
00:17:34,154 --> 00:17:35,555
**

365
00:17:39,726 --> 00:17:41,894
(PAPER SHUFFLING)
I'm surprised by you.

366
00:17:41,961 --> 00:17:44,164
I, arguably,
made errors in judgment,

367
00:17:44,231 --> 00:17:46,466
but it was all in an effort
to help a patient.

368
00:17:46,533 --> 00:17:48,135
Yes, and that would make sense
if you thought

369
00:17:48,201 --> 00:17:50,203
you'd never have
another patient ever again.

370
00:17:50,270 --> 00:17:53,506
And if there wasn't
currently an opening
for Chief of Surgery.

371
00:17:53,573 --> 00:17:55,642
I didn't know
that was on the table.

372
00:17:55,708 --> 00:17:58,278
See, that's the difference
between you and Melendez.

373
00:17:58,345 --> 00:18:01,748
I have no doubt that as soon
as I got this promotion,

374
00:18:01,814 --> 00:18:04,784
Melendez had done the math
and reacted accordingly.

375
00:18:04,851 --> 00:18:08,388
But I suspect that even
if you had done the math,

376
00:18:08,455 --> 00:18:11,023
it wouldn't have changed
how you handled this patient.

377
00:18:11,090 --> 00:18:12,392
I don't view that
as a weakness.

378
00:18:15,595 --> 00:18:17,930
I'll handle
the administrative fallout.

379
00:18:17,997 --> 00:18:19,632
You...

380
00:18:19,699 --> 00:18:21,368
...notify the parents
immediately.

381
00:18:23,436 --> 00:18:24,871
I can't.

382
00:18:24,937 --> 00:18:26,339
We don't know
the girl's real name,

383
00:18:26,406 --> 00:18:27,640
and we have to
keep her sedated,

384
00:18:27,707 --> 00:18:28,775
so there's no way
we can track...

385
00:18:28,841 --> 00:18:30,643
She's a teenager.
She's got a phone.

386
00:18:30,710 --> 00:18:32,745
Next time it rings,
answer it.

387
00:18:36,115 --> 00:18:37,950
(KEYS CLACKING)

388
00:18:38,017 --> 00:18:40,320
(DOOR OPENS, CLOSES)

389
00:18:40,387 --> 00:18:42,222
You feel the mesenteric
artery pulsing?
SHAUN: Yes.

390
00:18:42,289 --> 00:18:44,257
You shouldn't.
You're too close to the vein.

391
00:18:44,324 --> 00:18:46,593
Great. Dr. Browne,
pass a penrose drain through.

392
00:18:49,929 --> 00:18:51,498
Bovie.

393
00:18:51,564 --> 00:18:53,966
(MONITOR BEEPING)

394
00:18:54,033 --> 00:18:55,702
(ELECTRICITY CRACKLING
FAINTLY)

395
00:18:55,768 --> 00:18:56,869
Suction.

396
00:18:57,770 --> 00:18:59,606
(SUCTION WHIRRING)

397
00:19:06,213 --> 00:19:07,580
Got it all.

398
00:19:09,316 --> 00:19:12,185
I see
leaking pancreatic fluid.

399
00:19:12,252 --> 00:19:13,886
DR. MELENDEZ:
That'll eat holes
in everything it touches.

400
00:19:13,953 --> 00:19:15,154
Our duct tie
didn't hold.

401
00:19:15,222 --> 00:19:16,923
Suction.
Needle driver.

402
00:19:18,225 --> 00:19:19,559
DR. BLAIZ: Excellent.

403
00:19:19,626 --> 00:19:22,362
You have approved
a scrub nurse

404
00:19:22,429 --> 00:19:25,097
and a circulating nurse
and seven other personnel.

405
00:19:25,164 --> 00:19:26,633
Everyone and everything
is covered,

406
00:19:26,699 --> 00:19:28,067
except for
an actual surgeon.

407
00:19:28,134 --> 00:19:29,936
Yeah. I think
we may have to postpone.

408
00:19:30,002 --> 00:19:32,639
Have you notified
your tumor to stop
growing in the interim?

409
00:19:32,705 --> 00:19:34,907
I think any possible damage
from a delay

410
00:19:34,974 --> 00:19:37,777
may be more than offset
by having somebody competent

411
00:19:37,844 --> 00:19:39,212
digging around
in my brain.

412
00:19:39,279 --> 00:19:40,447
"Competent"?

413
00:19:40,513 --> 00:19:43,182
What's wrong
with Sanders?
6% mortality rate.

414
00:19:43,250 --> 00:19:45,051
Taylor?
I don't like the way
he's planning on

415
00:19:45,117 --> 00:19:46,619
dealing with
a carotid tear.

416
00:19:46,686 --> 00:19:48,555
That's nowhere near
your tumor.
It's the principle.

417
00:19:48,621 --> 00:19:50,089
Unger?
He doesn't like me.

418
00:19:50,156 --> 00:19:52,124
No one likes you.
No! You don't like me.

419
00:19:52,191 --> 00:19:53,860
He doesn't like me.
That's two.

420
00:19:53,926 --> 00:19:55,228
Just pick a name.
I don't care who.

421
00:19:55,295 --> 00:19:56,796
I don't care
if they're a doctor.

422
00:19:56,863 --> 00:19:58,265
Just pick a name.

423
00:19:58,331 --> 00:20:00,500
Because in 48 hours, you're
either getting your surgery

424
00:20:00,567 --> 00:20:02,902
or you're getting
a new oncologist.

425
00:20:02,969 --> 00:20:04,371
**

426
00:20:08,641 --> 00:20:10,042
**

427
00:20:15,014 --> 00:20:16,683
ZANE: (IN AFRICAN ACCENT)
She's in pain.

428
00:20:16,749 --> 00:20:18,685
That's why she's asleep
right now,

429
00:20:18,751 --> 00:20:20,820
because of
what you did to her?

430
00:20:23,590 --> 00:20:25,658
What I did to her

431
00:20:25,725 --> 00:20:29,496
I believe revealed
that what you did to her

432
00:20:29,562 --> 00:20:32,365
didn't do as much damage
as we initially feared.

433
00:20:32,432 --> 00:20:33,966
We want to do
a second surgery...

434
00:20:34,033 --> 00:20:35,435
How can you
stop her pain?

435
00:20:35,502 --> 00:20:37,437
It's called
clitoral reconstruction.

436
00:20:37,504 --> 00:20:39,472
The nerves of her clitoris
are exposed.

437
00:20:39,539 --> 00:20:40,907
We can sheath them
using...

438
00:20:40,973 --> 00:20:42,809
(IN AFRICAN ACCENT)
Our daughter wants this?

439
00:20:42,875 --> 00:20:45,478
Asha wants to be
like other girls.

440
00:20:45,545 --> 00:20:46,613
She wants
to be able to...

441
00:20:46,679 --> 00:20:48,748
Mara told you that?

442
00:20:50,950 --> 00:20:52,519
That's our daughter's name.

443
00:20:53,185 --> 00:20:54,387
Not Asha.

444
00:20:56,088 --> 00:20:57,490
You don't know her
at all.

445
00:20:57,557 --> 00:21:00,560
We need to do this surgery
to relieve her pain.

446
00:21:00,627 --> 00:21:03,696
No. There must be
another way.

447
00:21:03,763 --> 00:21:05,432
We want
a second opinion.

448
00:21:05,498 --> 00:21:07,266
Not at this hospital.

449
00:21:07,334 --> 00:21:08,968
How soon can our daughter
be moved?

450
00:21:09,035 --> 00:21:10,837
Excuse me, Dr. Lim.

451
00:21:10,903 --> 00:21:13,873
I am Ellen Vahtra from
Child Protective Services.

452
00:21:13,940 --> 00:21:15,975
Until I complete
my review,

453
00:21:16,042 --> 00:21:18,578
I'm afraid you're not
going to be moving
your daughter anywhere.

454
00:21:18,645 --> 00:21:24,283
**

455
00:21:28,455 --> 00:21:30,990
How did it go?
Is Dad okay?

456
00:21:33,593 --> 00:21:35,528
There were complications,

457
00:21:35,595 --> 00:21:37,864
but we found solutions.

458
00:21:37,930 --> 00:21:40,900
It went very well.
We got it all.

459
00:21:40,967 --> 00:21:43,703
(ALL CRYING)

460
00:21:43,770 --> 00:21:44,771
Oh, my...

461
00:21:44,837 --> 00:21:46,238
There's still...

462
00:21:46,305 --> 00:21:49,509
**

463
00:21:49,576 --> 00:21:51,878
I don't think
I did that well.

464
00:21:51,944 --> 00:21:53,413
They're too happy.

465
00:21:53,480 --> 00:21:56,248
Post-surgical
complications are still
a major concern that they...

466
00:21:56,315 --> 00:21:58,551
Let them enjoy
the good news.

467
00:21:58,618 --> 00:22:01,253
Is deceiving someone
in a way
that makes them happy

468
00:22:01,320 --> 00:22:04,223
better than deceiving someone
in a way that makes them sad?

469
00:22:04,290 --> 00:22:07,427
Shaun. I think there's
someone here to see you.

470
00:22:08,260 --> 00:22:09,762
Hey.

471
00:22:09,829 --> 00:22:12,231
I had some time,
so I thought

472
00:22:12,298 --> 00:22:14,033
you might want to have
some lunch with me?

473
00:22:14,100 --> 00:22:16,703
**

474
00:22:16,769 --> 00:22:18,571
I do not have time.

475
00:22:18,638 --> 00:22:25,344
**

476
00:22:25,412 --> 00:22:32,051
**

477
00:22:33,420 --> 00:22:35,121
What's wrong?

478
00:22:35,187 --> 00:22:36,723
What did she do?

479
00:22:36,789 --> 00:22:37,990
Shaun. Sha...

480
00:22:38,057 --> 00:22:42,562
**

481
00:22:42,629 --> 00:22:46,232
You don't want
to talk to Lea.
I don't understand.

482
00:22:46,298 --> 00:22:48,735
(INHALES SHARPLY)
I don't understand.

483
00:22:49,368 --> 00:22:51,370
I don't understand!

484
00:22:51,438 --> 00:22:53,372
You're not being fair
to her or yourself.

485
00:22:53,440 --> 00:22:55,808
She's always
been nice to you.
No, she hasn't.

486
00:22:57,309 --> 00:22:59,078
She's your friend.

487
00:22:59,145 --> 00:23:01,213
Whatever's happened,
you have to
talk to her about it.

488
00:23:01,280 --> 00:23:02,449
Be honest about
what you're feeling...

489
00:23:02,515 --> 00:23:03,650
I can't be.

490
00:23:03,716 --> 00:23:04,851
Of course you can.

491
00:23:04,917 --> 00:23:07,019
I don't know...

492
00:23:07,754 --> 00:23:10,089
I don't know
how I feel!

493
00:23:10,156 --> 00:23:13,325
**

494
00:23:13,392 --> 00:23:16,496
I can't be honest
if I don't know how I feel!

495
00:23:16,996 --> 00:23:23,936
**

496
00:23:24,003 --> 00:23:25,572
Our 16-year-old daughter

497
00:23:25,638 --> 00:23:27,807
is lying in a hospital bed
unconscious

498
00:23:27,874 --> 00:23:30,176
to protect her
from overwhelming pain

499
00:23:30,242 --> 00:23:33,980
because of what this place
did to her
without our permission.

500
00:23:34,046 --> 00:23:35,948
And you are
investigating us?

501
00:23:36,015 --> 00:23:38,050
Your daughter is suffering
because you butchered her

502
00:23:38,117 --> 00:23:39,652
when she was
2 years old.

503
00:23:39,719 --> 00:23:42,321
Dr. Lim, please refrain from
unsubstantiated allegations.

504
00:23:42,388 --> 00:23:45,191
Either they're the butchers
or they're
protecting the butchers.

505
00:23:45,257 --> 00:23:47,560
If you didn't do it,
tell us who did.

506
00:23:52,264 --> 00:23:55,134
It was an aunt
and a grandmother from Kenya.

507
00:23:55,201 --> 00:23:57,970
They were watching Mara
while we were on vacation.

508
00:23:58,037 --> 00:24:00,172
Well, you must've
been horrified.

509
00:24:00,239 --> 00:24:02,875
Did you take her
to a doctor?

510
00:24:02,942 --> 00:24:05,645
That girl's sex organs
were covered with scar tissue.

511
00:24:05,712 --> 00:24:08,147
She had no medical attention
to treat any of her wounds.

512
00:24:08,214 --> 00:24:09,816
ZANE: She was fine.

513
00:24:09,882 --> 00:24:12,384
She was happy,
laughing.

514
00:24:12,451 --> 00:24:13,886
It's not
that big a deal.

515
00:24:19,158 --> 00:24:21,193
I was cut.

516
00:24:21,260 --> 00:24:23,930
My mother was cut.
Her mother was cut.

517
00:24:23,996 --> 00:24:28,100
It is a rite of passage
connecting our women
to their ancestors.

518
00:24:28,167 --> 00:24:29,836
She will not find a husband
in our culture if she's...

519
00:24:29,902 --> 00:24:31,270
So she'll find
someone else.

520
00:24:32,471 --> 00:24:34,206
It's not
that big a deal.

521
00:24:34,273 --> 00:24:36,175
These parents forfeited
the right to make any calls

522
00:24:36,242 --> 00:24:37,877
about their daughter
a long time ago.

523
00:24:37,944 --> 00:24:40,379
Our daughter
is an honor student,

524
00:24:40,446 --> 00:24:43,650
taking three AP classes
in her junior year,

525
00:24:43,716 --> 00:24:46,653
went on a mission to Haiti
to build a school.

526
00:24:46,719 --> 00:24:48,187
We have raised her well.

527
00:24:49,756 --> 00:24:50,990
She is a good person.

528
00:24:52,825 --> 00:24:54,260
We're proud of her.

529
00:24:55,427 --> 00:24:58,497
I'm sure
she is a good person.

530
00:24:58,565 --> 00:24:59,966
But you are not gonna
convince me

531
00:25:00,032 --> 00:25:02,068
that what happened to Mara
when she was 2 years old

532
00:25:02,134 --> 00:25:04,503
is anything short
of an abomination.

533
00:25:04,571 --> 00:25:06,505
But that's not
the issue today.

534
00:25:06,573 --> 00:25:09,508
The issue is, how do we
best help this girl now?

535
00:25:11,177 --> 00:25:14,080
The clitoral reconstruction
should protect
the exposed nerve.

536
00:25:14,146 --> 00:25:15,381
ZANE: "Should"?

537
00:25:15,447 --> 00:25:17,750
That is the surgery that,
in my medical opinion,

538
00:25:17,817 --> 00:25:18,985
is called for.

539
00:25:19,051 --> 00:25:20,653
But it's not
the only option?

540
00:25:22,488 --> 00:25:24,691
We could oblate
the peripheral nerves

541
00:25:24,757 --> 00:25:26,893
and remove the remaining
clitoral tissue.

542
00:25:26,959 --> 00:25:29,729
And is that surgery safer
or more dangerous?

543
00:25:29,796 --> 00:25:31,731
It's simpler, but that's not
the only factor here.

544
00:25:31,798 --> 00:25:34,533
It's the only factor to us.

545
00:25:34,601 --> 00:25:36,703
We want to know
that our daughter

546
00:25:36,769 --> 00:25:39,806
won't spend the rest
of her life in pain.

547
00:25:39,872 --> 00:25:41,240
Please.

548
00:25:41,307 --> 00:25:42,809
For a moment,

549
00:25:42,875 --> 00:25:45,645
can we think about something
other than Mara's pain?

550
00:25:46,813 --> 00:25:48,915
Can we think
about her pleasure?

551
00:25:48,981 --> 00:25:51,450
We have a chance
to give her

552
00:25:51,517 --> 00:25:54,320
a healthy,
meaningful sex life.

553
00:25:54,386 --> 00:25:56,255
That is what she came here
looking for.

554
00:25:56,322 --> 00:26:02,328
**

555
00:26:02,394 --> 00:26:04,030
Wake her up.

556
00:26:04,096 --> 00:26:06,999
She's in pain,
and she's already
told me what she wanted.

557
00:26:07,066 --> 00:26:09,501
Yesterday, she was requesting
cosmetic surgery.

558
00:26:09,568 --> 00:26:11,738
Today, you're asking her
to risk a lifetime of pain

559
00:26:11,804 --> 00:26:13,439
for a chance
at pleasure.

560
00:26:13,505 --> 00:26:15,041
From everything
I've heard,

561
00:26:15,107 --> 00:26:17,009
she's mature enough
to make the call herself,

562
00:26:17,076 --> 00:26:19,612
even if it means suffering
for a few minutes to do so.

563
00:26:19,679 --> 00:26:24,283
**

564
00:26:24,350 --> 00:26:27,386
Dr. Unger
has a mortality index

565
00:26:27,453 --> 00:26:29,822
that is not too high
and not too low.

566
00:26:29,889 --> 00:26:31,190
It's not
gonna be Unger.

567
00:26:31,257 --> 00:26:33,860
You have not eliminated
Dr. Ko.

568
00:26:33,926 --> 00:26:35,862
Not yet.

569
00:26:35,928 --> 00:26:39,231
I may have to go out of state
to find a neurosurgeon.

570
00:26:39,298 --> 00:26:41,668
Plus, I may have to find
myself a new oncologist.

571
00:26:41,734 --> 00:26:45,004
You've used Dr. Ko
many times.

572
00:26:45,071 --> 00:26:47,173
Did you think
she might kill your patients?

573
00:26:47,239 --> 00:26:48,808
No.

574
00:26:48,875 --> 00:26:50,677
Do you think
you're better than them?

575
00:26:50,743 --> 00:26:52,544
Yes, a little.

576
00:26:56,115 --> 00:26:58,217
That was a joke.

577
00:26:58,284 --> 00:26:59,986
You don't want
to talk about this.

578
00:27:00,052 --> 00:27:03,222
No, I don't want
to talk about this, Shaun.

579
00:27:03,289 --> 00:27:06,225
That, in fact, is the point
of the alcohol.

580
00:27:06,292 --> 00:27:08,460
Okay, I understand.

581
00:27:08,928 --> 00:27:09,962
Good.

582
00:27:18,270 --> 00:27:20,707
Why can't we
talk about it?

583
00:27:20,773 --> 00:27:22,441
Because it's upsetting.

584
00:27:22,508 --> 00:27:24,243
Is that why
you're stalling?

585
00:27:24,310 --> 00:27:26,278
Because
you're afraid of dying?

586
00:27:26,345 --> 00:27:28,514
I'm not afraid
of dying.

587
00:27:28,580 --> 00:27:30,282
Really?

588
00:27:30,349 --> 00:27:31,851
Why not?

589
00:27:31,918 --> 00:27:34,987
You should be.
Dying is terrible.

590
00:27:35,054 --> 00:27:36,689
Yes, dying is terrible.

591
00:27:37,690 --> 00:27:39,458
But there are
worse things.

592
00:27:39,525 --> 00:27:41,427
What's worse than dying?

593
00:27:41,493 --> 00:27:45,431
**

594
00:27:45,497 --> 00:27:46,632
Not dying.

595
00:27:46,699 --> 00:27:49,468
**

596
00:27:49,535 --> 00:27:51,103
That doesn't make sense.

597
00:27:51,170 --> 00:27:52,371
Makes sense to me.

598
00:27:53,906 --> 00:27:55,374
That doesn't make sense.

599
00:27:55,441 --> 00:27:57,076
That's the middle ground,
Shaun.

600
00:27:59,145 --> 00:28:00,847
Brain surgeries
have a tendency

601
00:28:00,913 --> 00:28:03,249
to end
in the middle ground.

602
00:28:03,315 --> 00:28:06,118
Brain surgeries can be
considered a success

603
00:28:06,185 --> 00:28:09,388
even when the patient
ends up compromised.

604
00:28:09,455 --> 00:28:10,957
He can't walk.
He can't talk.

605
00:28:11,023 --> 00:28:13,125
His hand
can't stop shaking.

606
00:28:13,192 --> 00:28:17,129
**

607
00:28:17,196 --> 00:28:20,599
I've been terrible
at a lot of things in my life,

608
00:28:20,666 --> 00:28:22,468
but I am damn smart.

609
00:28:24,536 --> 00:28:26,873
(VOICE BREAKING)
And I am a damn good surgeon.

610
00:28:26,939 --> 00:28:28,574
And if I can't
be those things,

611
00:28:28,640 --> 00:28:31,043
then I don't know
who I'd be.

612
00:28:31,110 --> 00:28:37,083
**

613
00:28:37,149 --> 00:28:38,918
You'd be my friend.

614
00:28:38,985 --> 00:28:45,224
**

615
00:28:48,494 --> 00:28:49,962
Well, thank you, Shaun.

616
00:28:50,029 --> 00:28:51,697
(CELLPHONE VIBRATING)

617
00:28:51,764 --> 00:28:58,004
**

618
00:28:58,070 --> 00:28:59,238
(VIBRATING STOPS)

619
00:28:59,305 --> 00:29:02,241
I have to go.
My patient just crashed.

620
00:29:02,308 --> 00:29:07,179
**

621
00:29:07,246 --> 00:29:10,983
It's not enough. Is it?

622
00:29:11,050 --> 00:29:15,254
**

623
00:29:15,321 --> 00:29:16,322
No.

624
00:29:17,957 --> 00:29:19,291
I'm sorry it isn't.

625
00:29:19,358 --> 00:29:25,697
**

626
00:29:25,764 --> 00:29:31,971
**

627
00:29:32,038 --> 00:29:33,973
(WEAKLY) Mom. Dad.

628
00:29:34,040 --> 00:29:35,407
We're here.

629
00:29:36,042 --> 00:29:37,977
We love you.

630
00:29:38,044 --> 00:29:40,379
We just don't understand
why you would turn your back.

631
00:29:40,446 --> 00:29:41,580
Uh...

632
00:29:41,647 --> 00:29:43,115
VAHTRA: Hello, Mara.

633
00:29:43,182 --> 00:29:45,151
I'm Ellen Vahtra.
I'm a social worker.

634
00:29:45,217 --> 00:29:46,485
Your parents
know what happened,

635
00:29:46,552 --> 00:29:48,687
and Dr. Lim gave you
a nerve block.

636
00:29:48,754 --> 00:29:51,057
It hurts.
It still hurts.

637
00:29:51,123 --> 00:29:52,825
I understand that, and we are
going to try to get you

638
00:29:52,892 --> 00:29:55,394
back to sleep
as quickly as possible.

639
00:29:55,461 --> 00:29:57,529
But something happened during
your surgery, and we need you

640
00:29:57,596 --> 00:29:59,598
to make a decision
about what is done next.

641
00:30:03,302 --> 00:30:06,405
We believe that,
despite what was done
to you as a child,

642
00:30:06,472 --> 00:30:08,908
the reason you're in so much
pain because you still have

643
00:30:08,975 --> 00:30:10,576
functioning nerves
in your clitoris,

644
00:30:10,642 --> 00:30:13,312
nerves that had been covered
with scar tissue.

645
00:30:13,379 --> 00:30:14,947
I'd like
to repair that.

646
00:30:15,014 --> 00:30:17,049
We can make you
physiologically complete.

647
00:30:17,116 --> 00:30:19,218
But there's no guarantee
that it would work.

648
00:30:21,487 --> 00:30:23,489
I'm confident.

649
00:30:23,555 --> 00:30:25,457
There is
a safer choice.

650
00:30:26,092 --> 00:30:27,659
(INHALES DEEPLY)

651
00:30:28,995 --> 00:30:32,031
We could...remove
your entire clitoris.

652
00:30:32,965 --> 00:30:35,167
This is your choice.

653
00:30:35,234 --> 00:30:37,236
You will be protected
no matter what.

654
00:30:41,307 --> 00:30:42,508
Take it out.

655
00:30:42,574 --> 00:30:43,976
Mara, we can
make you whole...

656
00:30:44,043 --> 00:30:46,378
I made a mistake.
Take it out.

657
00:30:46,445 --> 00:30:47,980
She's on medication.
She's in pain...

658
00:30:48,047 --> 00:30:50,883
Dr. Lim, please let her
go back to sleep.

659
00:30:50,950 --> 00:30:53,519
And prepare to operate
to remove the damaged tissue.

660
00:30:53,585 --> 00:30:59,825
**

661
00:31:00,960 --> 00:31:02,294
(SNIFFLES)

662
00:31:06,365 --> 00:31:09,068
Hang fresh, frozen plasma,
too. Looks like
he's going into DIC.

663
00:31:09,135 --> 00:31:10,269
Give me another hemostat.

664
00:31:10,336 --> 00:31:12,071
SHAUN: BP's 71 over 53.

665
00:31:12,138 --> 00:31:13,672
We should have warned
the family.

666
00:31:13,739 --> 00:31:15,274
Can't see anything in here.
There's too much blood.

667
00:31:15,341 --> 00:31:16,976
More suction.
I think you got
the hepatic artery.

668
00:31:17,043 --> 00:31:18,544
The warning wouldn't
have made any difference.

669
00:31:18,610 --> 00:31:19,845
SHAUN: The bleeding
is not slowing down.

670
00:31:19,912 --> 00:31:22,448
We need to send the aorta
to the celiac.

671
00:31:22,514 --> 00:31:23,950
I need to see it
to clamp it.

672
00:31:24,016 --> 00:31:25,251
They would have been
prepared.

673
00:31:25,317 --> 00:31:26,785
A-line systolic's 54.
He's bottoming out.

674
00:31:26,852 --> 00:31:28,054
No, they wouldn't.

675
00:31:28,120 --> 00:31:29,788
You two, shut up and
pack his abdomen with laps

676
00:31:29,855 --> 00:31:31,390
while I sort
through this mess.

677
00:31:32,091 --> 00:31:33,659
I won't do it.

678
00:31:33,725 --> 00:31:35,161
Can we appeal this?
Do you know?

679
00:31:35,227 --> 00:31:36,695
I've spoken with
our legal department.

680
00:31:36,762 --> 00:31:38,430
Unless we can prove
the social worker was biased,

681
00:31:38,497 --> 00:31:39,798
we are stuck
with this ruling.

682
00:31:39,865 --> 00:31:42,068
Well, then you're also
stuck with "I won't do it."

683
00:31:43,335 --> 00:31:45,871
You're a good doctor.
This hospital will miss you.

684
00:31:45,938 --> 00:31:48,040
You're gonna fire me
because I won't butcher
a teenage girl?

685
00:31:48,107 --> 00:31:49,608
Of course I am.

686
00:31:49,675 --> 00:31:51,510
This hospital will face
lawsuits, suspensions,

687
00:31:51,577 --> 00:31:53,479
perhaps criminal charges,

688
00:31:53,545 --> 00:31:55,948
and this little girl
will still get the
surgery you hate.

689
00:32:01,387 --> 00:32:04,123
Could Dr. Lim at least
talk to Mara again?

690
00:32:04,190 --> 00:32:06,892
You want to wake her up
again in pain?

691
00:32:06,959 --> 00:32:08,360
Every woman
deserves the right

692
00:32:08,427 --> 00:32:10,062
to make decisions
about her sexuality

693
00:32:10,129 --> 00:32:11,763
without her parents
hanging over her.

694
00:32:17,736 --> 00:32:19,038
Okay.

695
00:32:19,105 --> 00:32:24,610
**

696
00:32:24,676 --> 00:32:30,116
**

697
00:32:31,283 --> 00:32:32,518
(GRUNTS SOFTLY)

698
00:32:32,584 --> 00:32:37,056
**

699
00:32:40,559 --> 00:32:42,628
When I was
15 years old,

700
00:32:42,694 --> 00:32:45,064
my father caught me
with a boy.

701
00:32:45,131 --> 00:32:47,466
I mean, we weren't
doing it,

702
00:32:47,533 --> 00:32:49,635
but my top was off and

703
00:32:49,701 --> 00:32:51,103
Well, it doesn't matter.

704
00:32:52,338 --> 00:32:53,639
My father hit me.

705
00:32:54,540 --> 00:32:55,941
I still have
a small scar.

706
00:32:57,709 --> 00:32:59,345
Our relationship
was never the same.

707
00:32:59,411 --> 00:33:00,412
(GROANS SOFTLY)

708
00:33:00,479 --> 00:33:01,847
But that's
what growing up is.

709
00:33:01,913 --> 00:33:04,383
Not everyone
gets called a slut.

710
00:33:04,450 --> 00:33:07,186
Not everyone
gets butchered.

711
00:33:08,187 --> 00:33:11,090
But everyone becomes
a man or a woman

712
00:33:11,157 --> 00:33:12,924
and stops
being a child.

713
00:33:14,760 --> 00:33:17,763
I want to take
a piece of tissue
from inside your cheek

714
00:33:17,829 --> 00:33:20,032
and I want to graft it
to your clitoris.

715
00:33:20,099 --> 00:33:22,601
**

716
00:33:22,668 --> 00:33:25,737
We can make you
feel...love.

717
00:33:25,804 --> 00:33:30,476
**

718
00:33:35,381 --> 00:33:38,917
I can't turn my back
on my family,
on my traditions.

719
00:33:38,984 --> 00:33:41,553
**

720
00:33:41,620 --> 00:33:43,555
Traditions

721
00:33:43,622 --> 00:33:45,491
connect us to the past.

722
00:33:46,658 --> 00:33:48,560
What about the future?

723
00:33:48,627 --> 00:33:55,134
**

724
00:33:57,369 --> 00:33:58,937
Please.

725
00:33:59,004 --> 00:34:01,807
No. I'm in pain.
(INHALES SHARPLY)

726
00:34:01,873 --> 00:34:08,013
**

727
00:34:08,080 --> 00:34:14,253
**

728
00:34:14,320 --> 00:34:15,754
DR. MELENDEZ:
Cross-clamping his aorta.

729
00:34:15,821 --> 00:34:17,589
SHAUN: He's in
ventricular fibrillation.

730
00:34:17,656 --> 00:34:18,824
(MONITORS BEEPING RAPIDLY)

731
00:34:18,890 --> 00:34:20,592
CLAIRE:
Starting chest compressions.

732
00:34:20,659 --> 00:34:26,498
**

733
00:34:26,565 --> 00:34:27,999
Okay.
Everybody clear.

734
00:34:28,066 --> 00:34:29,168
(PADDLES WHINE)

735
00:34:29,235 --> 00:34:30,969
(THUMP)

736
00:34:37,643 --> 00:34:43,849
**

737
00:34:50,856 --> 00:34:52,291
Prep the cheek,
as well.

738
00:34:52,358 --> 00:34:54,826
**

739
00:34:54,893 --> 00:34:56,862
She's taking the graft?
The paperwork doesn't say...

740
00:34:56,928 --> 00:34:58,063
She consented
verbally.

741
00:34:58,130 --> 00:34:59,831
We didn't want to keep her
awake any longer

742
00:34:59,898 --> 00:35:01,200
than absolutely necessary.

743
00:35:02,901 --> 00:35:04,703
I wanted to help her
as much as you...

744
00:35:04,770 --> 00:35:06,405
When she wanted help.

745
00:35:06,472 --> 00:35:08,174
But if she
doesn't want this...
She wants this.

746
00:35:09,475 --> 00:35:10,709
Dr. Lim just told us.

747
00:35:10,776 --> 00:35:15,046
**

748
00:35:15,113 --> 00:35:16,148
Prep the cheek.

749
00:35:16,215 --> 00:35:19,485
**

750
00:35:19,551 --> 00:35:21,287
(FLATLINE)

751
00:35:23,088 --> 00:35:24,490
(MONITOR TURNS OFF)

752
00:35:29,961 --> 00:35:31,730
I'll tell the family.

753
00:35:33,499 --> 00:35:35,167
DR. MELENDEZ: No.

754
00:35:35,234 --> 00:35:37,068
Claire, you do it.

755
00:35:37,135 --> 00:35:38,637
This isn't the time
for learning.

756
00:35:47,346 --> 00:35:48,680
(DOOR SLIDES)

757
00:36:05,997 --> 00:36:07,032
I'm sorry.

758
00:36:07,098 --> 00:36:08,434
(WHIMPERS)

759
00:36:08,500 --> 00:36:10,602
Paul died
during surgery.

760
00:36:10,669 --> 00:36:13,472
He had a gastroduodenal
artery rupture.

761
00:36:13,539 --> 00:36:16,408
It's a common complication
of a Whipple surgery,

762
00:36:16,475 --> 00:36:19,378
especially when
someone's cancer was...

763
00:36:19,445 --> 00:36:22,047
As advanced as his was.

764
00:36:22,113 --> 00:36:24,216
We...did
everything we could

765
00:36:24,283 --> 00:36:26,452
for as long
as we could.

766
00:36:26,518 --> 00:36:28,220
He didn't suffer.

767
00:36:28,287 --> 00:36:30,055
(SOLEMN MUSIC PLAYS)

768
00:36:30,121 --> 00:36:33,625
**

769
00:36:33,692 --> 00:36:35,126
You did this to him.

770
00:36:37,729 --> 00:36:38,997
Dad didn't want this.

771
00:36:40,466 --> 00:36:43,068
You saw that look
on his face.
He was scared.

772
00:36:43,134 --> 00:36:47,072
In my experience,
it does no good to dwell...

773
00:36:47,138 --> 00:36:49,241
(SHAKILY)
Of course he was scared.

774
00:36:49,308 --> 00:36:51,109
That doesn't mean...
He just wanted to live
his last few months.

775
00:36:51,176 --> 00:36:52,911
LORI: Stop it.

776
00:36:52,978 --> 00:36:55,046
Nobody made your father
do anything.

777
00:36:55,113 --> 00:36:56,648
He knew the risks.

778
00:36:59,150 --> 00:37:00,952
(VOICE BREAKING)
It's your fault, too, Mom.

779
00:37:01,019 --> 00:37:03,322
**

780
00:37:03,389 --> 00:37:04,656
All of us.

781
00:37:05,591 --> 00:37:07,426
He would do anything
for us.

782
00:37:07,493 --> 00:37:09,461
**

783
00:37:09,528 --> 00:37:11,497
We killed our father.

784
00:37:12,364 --> 00:37:14,366
(WOMEN CRYING)

785
00:37:14,433 --> 00:37:18,537
**

786
00:37:19,705 --> 00:37:21,006
It's not true.

787
00:37:21,072 --> 00:37:22,674
(CRYING STOPS)

788
00:37:22,741 --> 00:37:25,311
**

789
00:37:25,377 --> 00:37:28,079
Paul wanted this surgery.

790
00:37:28,146 --> 00:37:30,081
**

791
00:37:30,148 --> 00:37:33,552
He told me
he wanted this surgery.

792
00:37:33,619 --> 00:37:40,158
**

793
00:37:40,225 --> 00:37:45,964
**

794
00:37:47,333 --> 00:37:49,601
(ALL CRYING)

795
00:37:51,437 --> 00:37:56,808
**

796
00:38:00,111 --> 00:38:05,050
**

797
00:38:07,353 --> 00:38:08,554
Was that true?

798
00:38:10,956 --> 00:38:12,624
Paul told me...

799
00:38:14,360 --> 00:38:16,928
When the truth
can't help someone,

800
00:38:16,995 --> 00:38:18,497
we should lie.

801
00:38:18,564 --> 00:38:24,135
**

802
00:38:28,940 --> 00:38:29,941
Mom?

803
00:38:31,543 --> 00:38:33,078
(EXHALES DEEPLY)

804
00:38:33,144 --> 00:38:35,814
How are you?
Does anything hurt?

805
00:38:37,416 --> 00:38:40,151
Not much. I'm better.

806
00:38:42,087 --> 00:38:43,922
Looks like
she's doing well.

807
00:38:44,956 --> 00:38:45,991
Thank you, Doctor.

808
00:38:48,427 --> 00:38:51,730
There should still be
some discomfort
at the surgical site.

809
00:38:51,797 --> 00:38:53,899
A nurse will
bring you some...

810
00:38:53,965 --> 00:38:58,437
**

811
00:39:01,407 --> 00:39:02,608
Sorry.

812
00:39:02,674 --> 00:39:04,776
A nurse will
bring you some Tylenol,

813
00:39:04,843 --> 00:39:06,945
which should really
be all you need.

814
00:39:07,479 --> 00:39:08,880
Thank you.

815
00:39:08,947 --> 00:39:11,617
**

816
00:39:11,683 --> 00:39:13,419
You're gonna be great.

817
00:39:13,485 --> 00:39:19,224
**

818
00:39:19,290 --> 00:39:20,659
(SIGHS)

819
00:39:20,726 --> 00:39:25,063
**

820
00:39:25,130 --> 00:39:27,365
(CEREAL POURING, BOX SHAKING)

821
00:39:37,208 --> 00:39:39,377
You're here.

822
00:39:39,445 --> 00:39:41,680
Yes. I live here.

823
00:39:41,747 --> 00:39:43,214
You know that.

824
00:39:43,281 --> 00:39:46,317
Well, I was starting
to doubt it
the last couple of days.

825
00:39:46,384 --> 00:39:49,220
You come home
after I'm asleep.

826
00:39:49,287 --> 00:39:51,623
You leave
before I can even get up.

827
00:39:51,690 --> 00:39:53,058
Wow.

828
00:39:53,759 --> 00:39:55,627
Thank you.

829
00:40:04,369 --> 00:40:05,837
Please take this.

830
00:40:07,238 --> 00:40:09,340
No, this is yours,
Shaun.

831
00:40:09,407 --> 00:40:12,110
I gave it to you
to remember me by.

832
00:40:12,177 --> 00:40:13,244
It hurt.

833
00:40:16,848 --> 00:40:19,150
I didn't want
to tell you the truth

834
00:40:19,217 --> 00:40:21,219
because I didn't know it,

835
00:40:21,286 --> 00:40:23,755
but I have to
tell you the truth
because it will help.

836
00:40:29,427 --> 00:40:32,698
Every night,
I would come home,

837
00:40:32,764 --> 00:40:37,435
and I would look
at that baseball,

838
00:40:37,503 --> 00:40:39,104
and I would think of you.

839
00:40:41,372 --> 00:40:43,374
The baseball was here,

840
00:40:43,441 --> 00:40:45,276
but you weren't.

841
00:40:45,877 --> 00:40:47,012
That's sweet.

842
00:40:47,078 --> 00:40:49,915
No, it isn't.

843
00:40:49,981 --> 00:40:51,483
It hurt.

844
00:40:51,550 --> 00:40:53,552
You hurt me.

845
00:40:53,619 --> 00:40:55,320
Okay, Shaun, you know...

846
00:40:55,386 --> 00:40:58,323
You went away,
and it hurt,

847
00:40:58,389 --> 00:41:00,992
and it kept hurting,
and now you're back.

848
00:41:01,059 --> 00:41:03,995
**

849
00:41:04,062 --> 00:41:06,798
If you stay,
you will go away again,

850
00:41:06,865 --> 00:41:09,568
and it will hurt again.

851
00:41:09,635 --> 00:41:12,070
So I want you
to go back to Hershey.

852
00:41:12,137 --> 00:41:14,573
**

853
00:41:14,640 --> 00:41:16,274
I know you don't mean that,
and I know...

854
00:41:16,341 --> 00:41:19,711
Please go back to Hershey

855
00:41:19,778 --> 00:41:22,180
or anywhere
other than here!

856
00:41:22,247 --> 00:41:26,151
**

857
00:41:26,985 --> 00:41:31,156
**

858
00:41:33,892 --> 00:41:37,362
(DOOR OPENS, CLOSES)

859
00:41:38,029 --> 00:41:43,669
**

860
00:41:43,735 --> 00:41:49,374
**

861
00:41:49,440 --> 00:41:50,475
Feeling okay?

862
00:41:52,310 --> 00:41:54,379
Yeah, sure, superduper.

863
00:41:55,914 --> 00:41:58,083
I want to thank you
for your trust.

864
00:41:58,149 --> 00:41:59,618
I'll do my best
to deserve it.

865
00:42:00,686 --> 00:42:03,021
Well, that's all
I can ask.

866
00:42:05,490 --> 00:42:07,092
You know the drill.

867
00:42:07,158 --> 00:42:13,732
**

868
00:42:13,799 --> 00:42:15,133
10...

869
00:42:15,867 --> 00:42:17,168
9...

870
00:42:19,705 --> 00:42:20,872
8...

871
00:42:22,340 --> 00:42:23,341
7...

872
00:42:24,509 --> 00:42:30,481
**

873
00:42:32,718 --> 00:42:37,989
**

874
00:42:39,891 --> 00:42:45,563
**

875
00:42:47,799 --> 00:42:54,072
**