1 00:00:02,636 --> 00:00:05,639 ** 2 00:00:05,673 --> 00:00:07,375 (ALARM RINGING) 3 00:00:09,143 --> 00:00:10,544 (RINGING STOPS) 4 00:00:19,019 --> 00:00:20,954 (ALARM RINGING) 5 00:00:24,058 --> 00:00:25,993 (BRUSH THUDS) 6 00:00:36,036 --> 00:00:37,971 Today is not Saturday. 7 00:00:38,005 --> 00:00:39,840 Why did you make me pancakes? 8 00:00:39,873 --> 00:00:42,076 They are fresh start pancakes. 9 00:00:42,110 --> 00:00:44,512 Like the first day of school every year 10 00:00:44,545 --> 00:00:46,514 when you get to wear a brand-new outfit. 11 00:00:46,547 --> 00:00:48,716 (CHUCKLES) 12 00:00:48,749 --> 00:00:50,951 Well, not everyone wore a new outfit. 13 00:00:50,984 --> 00:00:52,520 But the rule in this house 14 00:00:52,553 --> 00:00:54,988 is that when you start a new life event, 15 00:00:55,022 --> 00:00:56,290 you get pancakes. 16 00:00:56,324 --> 00:01:00,494 I don't want a fresh start. 17 00:01:00,528 --> 00:01:02,363 I want to stay in surgery. 18 00:01:04,532 --> 00:01:05,733 I know. 19 00:01:05,766 --> 00:01:09,837 And I am really proud of you for handling it all so... 20 00:01:18,246 --> 00:01:20,581 (KNOCK ON DOOR) 21 00:01:20,614 --> 00:01:22,516 Doctors, please give me one more minute. 22 00:01:23,417 --> 00:01:25,419 We have an associate pastor at the church, 23 00:01:25,453 --> 00:01:27,955 but Clarence likes to write the sermons. 24 00:01:29,257 --> 00:01:30,391 Sorry. DR. MELENDEZ: Please. 25 00:01:30,424 --> 00:01:31,925 Although this is important too. 26 00:01:32,960 --> 00:01:34,895 The surgery consists of two steps. 27 00:01:34,928 --> 00:01:37,265 First we fuse the spine to stabilize it, 28 00:01:37,298 --> 00:01:38,832 and then we remove the tumor. 29 00:01:38,866 --> 00:01:41,034 Because the cancer has spread to your lymph nodes, 30 00:01:41,068 --> 00:01:42,470 you'll still have to follow up with chemo. 31 00:01:44,738 --> 00:01:47,074 (GROANS) Clarence, are you in pain? 32 00:01:47,107 --> 00:01:49,710 Quite a bit actually, but I'm fine. 33 00:01:49,743 --> 00:01:51,445 DR. MELENDEZ: Well, since what's causing your pain 34 00:01:51,479 --> 00:01:53,281 is the tumor pushing against your spine, 35 00:01:53,314 --> 00:01:55,082 the spinal fusion will ease pressure on your nerves 36 00:01:55,115 --> 00:01:56,284 and should eliminate your pain. 37 00:01:56,317 --> 00:01:59,753 Please, I, uh... I need this pain. 38 00:02:01,322 --> 00:02:03,791 Can't you just do the second part and remove the tumor? 39 00:02:03,824 --> 00:02:05,092 If we don't fuse the spine, 40 00:02:05,125 --> 00:02:07,695 it'll make removing the tumor a lot more difficult. 41 00:02:07,728 --> 00:02:09,430 More difficult, but it can be done? 42 00:02:09,463 --> 00:02:11,299 It can. But I recommend against it. 43 00:02:11,332 --> 00:02:13,234 Especially since there's no reason not to. 44 00:02:15,169 --> 00:02:16,437 (SIGHS) 45 00:02:20,774 --> 00:02:22,676 I did something 46 00:02:24,778 --> 00:02:26,013 unforgivable. 47 00:02:28,148 --> 00:02:31,219 This pain is my punishment. 48 00:02:31,252 --> 00:02:33,287 ** 49 00:02:38,526 --> 00:02:40,961 Can I ask what you did that was so bad? 50 00:02:44,265 --> 00:02:45,599 I killed someone. 51 00:02:49,303 --> 00:02:51,372 (THEME MUSIC PLAYING) 52 00:02:59,480 --> 00:03:02,149 (BELL DINGS) 53 00:03:02,182 --> 00:03:04,652 (APPLAUSE) 54 00:03:05,052 --> 00:03:07,355 ** 55 00:03:17,565 --> 00:03:18,699 JESS: My sister and I were 56 00:03:18,732 --> 00:03:20,468 coming home from climbing Mt. Whitney. 57 00:03:20,501 --> 00:03:22,202 We're doing the State 50 climbs. 58 00:03:22,236 --> 00:03:23,737 The numbness started during the climb? 59 00:03:24,572 --> 00:03:26,540 First my hands, and then my feet. 60 00:03:26,574 --> 00:03:28,175 (GRUNTS) 61 00:03:28,208 --> 00:03:30,278 You have a headache? Yeah. 62 00:03:30,311 --> 00:03:32,480 DR. LIM: High altitude causes headaches. 63 00:03:32,513 --> 00:03:33,814 Dehydration compounds it. 64 00:03:33,847 --> 00:03:36,350 From now on just climb slower and drink more. 65 00:03:40,754 --> 00:03:41,922 Tell them about the other thing. 66 00:03:46,327 --> 00:03:47,728 Before leaving for the mountain, 67 00:03:47,761 --> 00:03:51,965 I had this weird sensation like... 68 00:03:51,999 --> 00:03:53,066 Dread. 69 00:03:53,100 --> 00:03:54,868 I couldn't shake it. 70 00:03:57,037 --> 00:04:00,674 Well, when people describe a sense of impending doom, it's usually anxiety. 71 00:04:00,708 --> 00:04:02,743 No, it was like a premonition, 72 00:04:05,613 --> 00:04:07,381 that I was going to die. 73 00:04:10,418 --> 00:04:12,920 I'm sure it was... Dr. Park will run a brain scan, 74 00:04:12,953 --> 00:04:14,187 and we'll do some lab work. 75 00:04:24,298 --> 00:04:27,368 ** 76 00:05:03,170 --> 00:05:04,171 Shaun. 77 00:05:05,238 --> 00:05:07,140 Hello, Dr. Lever. 78 00:05:07,174 --> 00:05:09,042 Carly is fine. 79 00:05:09,076 --> 00:05:10,478 Welcome to pathology. 80 00:05:13,514 --> 00:05:15,949 It is going to be great working with you. 81 00:05:22,590 --> 00:05:24,358 What do you think? 82 00:05:26,427 --> 00:05:29,062 I know it's a lot to take in. 83 00:05:29,096 --> 00:05:31,465 It's kind of like your first time at Disneyland, right? 84 00:05:31,499 --> 00:05:33,534 I've never been to Disneyland. 85 00:05:36,870 --> 00:05:38,606 Let me give you a tour. 86 00:05:38,639 --> 00:05:40,941 Cytopathology, forensics, 87 00:05:40,974 --> 00:05:43,411 genomics, microbiology. 88 00:05:43,444 --> 00:05:45,579 We get to identify organisms, 89 00:05:45,613 --> 00:05:48,148 interpret cell morphology, 90 00:05:48,181 --> 00:05:49,783 sequence genes. 91 00:05:51,985 --> 00:05:54,187 Is that a D300e 92 00:05:54,221 --> 00:05:56,724 pathogen antibacterial bioprinter? 93 00:05:57,324 --> 00:05:58,526 It's new. 94 00:05:58,559 --> 00:06:01,862 You're working on antibiotic resistance 95 00:06:01,895 --> 00:06:03,931 in emerging microorganisms? 96 00:06:03,964 --> 00:06:05,866 It's "we" now, Shaun. 97 00:06:05,899 --> 00:06:07,000 Yes, we are. 98 00:06:07,034 --> 00:06:08,536 (SIGHS) 99 00:06:09,637 --> 00:06:10,871 Do you want to play with it? 100 00:06:12,673 --> 00:06:14,442 Very much. (LAUGHS) 101 00:06:14,475 --> 00:06:15,943 Go ahead. 102 00:06:15,976 --> 00:06:17,711 It's kind of your job now. 103 00:06:22,483 --> 00:06:24,685 We are the detectives. 104 00:06:24,718 --> 00:06:27,054 Surgeons are just the beat cops. 105 00:06:27,087 --> 00:06:29,523 (WHIRRING) 106 00:06:33,427 --> 00:06:35,896 Our best bet is to try to separate the tumor 107 00:06:35,929 --> 00:06:38,198 from his cord, and then resect it. 108 00:06:38,231 --> 00:06:39,833 Okay, this is insane. 109 00:06:39,867 --> 00:06:41,301 You know how he "killed" a person? 110 00:06:41,334 --> 00:06:44,237 He was counseling a parishioner who committed suicide. 111 00:06:44,271 --> 00:06:45,506 That must have been traumatic. 112 00:06:45,539 --> 00:06:48,408 Traumatic, yes. Murder, no. 113 00:06:48,442 --> 00:06:50,644 Hey, I know it's stupid, but he has autonomy. 114 00:06:50,678 --> 00:06:52,513 I didn't stay stupid. I said "insane." 115 00:06:52,546 --> 00:06:55,649 You want to override his wishes because he's religious? 116 00:06:55,683 --> 00:06:58,151 Something like 90% of Americans believe in God. 117 00:06:58,185 --> 00:07:01,489 I'm one of them. Are we all mentally impaired? 118 00:07:01,522 --> 00:07:03,256 Should you ignore us all if you don't like our choices? 119 00:07:03,290 --> 00:07:05,726 Only those getting divine messages from their tumors. 120 00:07:05,759 --> 00:07:07,495 He's not crazy. Okay, you're right. 121 00:07:07,528 --> 00:07:10,498 He is just stupid. But don't we have a duty to educate him? 122 00:07:10,531 --> 00:07:13,266 You're gonna talk him out of his religion? No. 123 00:07:13,300 --> 00:07:16,737 You told him the surgery was more dangerous this way. 124 00:07:16,770 --> 00:07:19,473 I don't think he appreciated how much more dangerous. 125 00:07:21,709 --> 00:07:23,711 Good idea. 126 00:07:23,744 --> 00:07:26,079 He thinks he'll go to hell if he dies before he's forgiven. 127 00:07:27,114 --> 00:07:28,749 Make sure he knows it can happen on the table. 128 00:07:29,650 --> 00:07:31,885 ** 129 00:07:33,654 --> 00:07:35,422 (WHIRRING) 130 00:07:35,455 --> 00:07:36,590 (WARBLING) 131 00:07:36,624 --> 00:07:38,526 DR. PARK: An MRI for anxiety? 132 00:07:38,559 --> 00:07:40,127 It does fly in the face of reducing 133 00:07:40,160 --> 00:07:41,595 unnecessary medical tests. 134 00:07:42,796 --> 00:07:46,734 When I was a resident, I had a patient come through the ER. 135 00:07:46,767 --> 00:07:48,201 Female. 35 years old. 136 00:07:48,235 --> 00:07:50,237 Slight cough. Slightly hypothyroid. 137 00:07:50,270 --> 00:07:52,239 Normal vitals. 138 00:07:52,272 --> 00:07:55,375 I labeled her a whiner because she kept insisting, 139 00:07:55,408 --> 00:07:57,277 "I'm gonna die." 140 00:07:57,310 --> 00:07:58,879 I sent her home. 141 00:07:58,912 --> 00:08:00,247 And she died? 142 00:08:00,280 --> 00:08:02,449 No. She kept coming back. 143 00:08:02,482 --> 00:08:05,719 (CHUCKLES) Over and over again. 144 00:08:05,753 --> 00:08:08,756 We do this test, we prove there's nothing wrong with her, 145 00:08:08,789 --> 00:08:10,323 we send her home reassured. 146 00:08:12,192 --> 00:08:13,727 (BEEP) 147 00:08:13,761 --> 00:08:15,996 ** 148 00:08:19,767 --> 00:08:20,934 Damn. 149 00:08:24,772 --> 00:08:27,274 The MRI showed a high grade meningioma. 150 00:08:27,307 --> 00:08:30,310 An advanced tumor that grows in the tissue layers that cover the brain. 151 00:08:31,679 --> 00:08:35,348 Its features are consistent with it being malignant. 152 00:08:37,517 --> 00:08:39,286 (EXHALES SHARPLY) 153 00:08:39,319 --> 00:08:41,521 These tumors tend to be aggressive 154 00:08:41,555 --> 00:08:44,024 and impossible to fully resect. 155 00:08:45,525 --> 00:08:47,360 Um, so what... What can you do? 156 00:08:48,696 --> 00:08:50,363 Palliative care, 157 00:08:50,397 --> 00:08:52,465 symptom control with medications. 158 00:08:52,499 --> 00:08:53,801 (SNIFFLES) 159 00:08:57,938 --> 00:09:00,240 (BREATHES DEEPLY) 160 00:09:00,273 --> 00:09:02,776 ** 161 00:09:07,514 --> 00:09:09,049 You're risking spinal damage, 162 00:09:09,082 --> 00:09:11,418 paralysis, death. 163 00:09:11,451 --> 00:09:15,322 If that's what God chooses, then that is his will. 164 00:09:15,355 --> 00:09:18,692 If you have cancer because he wants you to have cancer, 165 00:09:18,726 --> 00:09:20,894 why are you here? Getting treatment? 166 00:09:20,928 --> 00:09:22,863 I'm here because I believe in science. 167 00:09:24,564 --> 00:09:27,901 I am who I am because I believe in God. 168 00:09:29,703 --> 00:09:32,673 So do you think all people who are sick are being punished? 169 00:09:34,407 --> 00:09:37,110 I mean, we have an eight-year-old down the hall with bone cancer. 170 00:09:38,278 --> 00:09:40,547 You want to go tell her God hates her? 171 00:09:40,580 --> 00:09:44,017 I'm sure that girl is not suffering as a punishment. 172 00:09:44,051 --> 00:09:47,420 She's suffering so others may have a chance 173 00:09:47,454 --> 00:09:49,723 to show her mercy, 174 00:09:49,757 --> 00:09:51,959 to show her compassion, so she can inspire. 175 00:09:54,261 --> 00:09:56,664 I don't know His plan, but I know it's not as simple as you would... 176 00:09:56,697 --> 00:09:58,866 No. No, it's not simple. 177 00:10:00,400 --> 00:10:01,935 Except for your pain. 178 00:10:11,278 --> 00:10:12,379 His name was Michael. 179 00:10:13,213 --> 00:10:15,282 ** 180 00:10:18,218 --> 00:10:20,053 (EXHALES SHARPLY) 181 00:10:20,087 --> 00:10:22,222 His wife found his body. 182 00:10:22,255 --> 00:10:24,057 You had no idea. 183 00:10:24,091 --> 00:10:26,059 I knew he was depressed. 184 00:10:26,093 --> 00:10:27,728 But you thought he was getting better. 185 00:10:27,761 --> 00:10:30,563 (SCOFFS) 186 00:10:30,597 --> 00:10:33,133 I didn't take his call. 187 00:10:33,166 --> 00:10:35,135 Because I was having a drink. 188 00:10:36,770 --> 00:10:38,071 (EXHALES SHARPLY) 189 00:10:38,105 --> 00:10:41,809 It'd been a long day dealing with the renovations, 190 00:10:41,842 --> 00:10:43,811 and I was having a damn drink. 191 00:10:46,013 --> 00:10:48,348 ** 192 00:10:51,785 --> 00:10:52,820 (DOOR OPENS) 193 00:10:52,853 --> 00:10:53,854 DR. PARK: Hey, Shaun. 194 00:10:54,421 --> 00:10:55,989 Hey, Carly. 195 00:10:56,023 --> 00:10:58,558 I started Sadie Barnes on anti-seizure medication, 196 00:10:58,591 --> 00:11:01,128 need you to run a peak phenytoin level. 197 00:11:01,161 --> 00:11:03,063 The couriers must be happy that the surgeons 198 00:11:03,096 --> 00:11:05,098 are doing their own specimen deliveries. 199 00:11:08,001 --> 00:11:09,136 How you doing down here? 200 00:11:11,638 --> 00:11:15,108 Carly says pathologists are the detectives, 201 00:11:15,142 --> 00:11:16,844 surgeons are just the beat cops. 202 00:11:23,650 --> 00:11:26,119 Shaun, are you happy here? 203 00:11:26,153 --> 00:11:28,421 When did you give the patient her loading dose? 204 00:11:28,455 --> 00:11:30,190 One hour ago. Hmm. 205 00:11:31,024 --> 00:11:33,894 Shaun, if you're happy, that's great. 206 00:11:33,927 --> 00:11:35,662 But if you're not, 207 00:11:35,695 --> 00:11:37,230 you have to tell Han how you feel. 208 00:11:37,998 --> 00:11:39,366 You need to show him you care 209 00:11:39,399 --> 00:11:40,868 and that you believe in yourself. 210 00:11:41,835 --> 00:11:43,904 ** 211 00:11:46,974 --> 00:11:48,809 Do you need this done STAT? 212 00:11:48,842 --> 00:11:50,944 No. She's asymptomatic. 213 00:11:50,978 --> 00:11:52,545 It's just for seizure prevention. Good. 214 00:11:52,579 --> 00:11:54,147 Carly says that in pathology 215 00:11:54,181 --> 00:11:55,849 you can take a break whenever you want. 216 00:11:55,883 --> 00:11:58,051 I want to take a break now. I'm going for a walk. 217 00:12:04,391 --> 00:12:05,692 He shouldn't be in pathology. 218 00:12:05,725 --> 00:12:08,328 He's a good surgical resident. You're right. 219 00:12:08,361 --> 00:12:09,963 Then you'll move him back? No. 220 00:12:09,997 --> 00:12:12,032 You're wrong about that part. He should be in pathology. 221 00:12:12,065 --> 00:12:13,934 But he was a good surgical resident. Then why... 222 00:12:13,967 --> 00:12:16,837 Because he'll never be a good surgeon. 223 00:12:16,870 --> 00:12:18,205 How do you think he'll do in three years 224 00:12:18,238 --> 00:12:19,572 when no one's looking over his shoulder? 225 00:12:20,673 --> 00:12:22,910 When he's looking over someone else's shoulder? 226 00:12:22,943 --> 00:12:25,712 Supervising new residents, leading grand rounds, 227 00:12:25,745 --> 00:12:27,881 advocating for vulnerable patients. 228 00:12:27,915 --> 00:12:30,117 Do you see him doing any of that without a safety net? 229 00:12:32,685 --> 00:12:34,855 We can help him get there. 230 00:12:34,888 --> 00:12:36,489 Just because he wants to be a surgeon, 231 00:12:36,523 --> 00:12:37,891 just because you want him to be a surgeon, 232 00:12:37,925 --> 00:12:40,093 doesn't mean he gets to have that dream come true. 233 00:12:41,929 --> 00:12:43,596 Has it occurred to you that maybe 234 00:12:43,630 --> 00:12:45,198 we know Shaun better than you do? 235 00:12:46,266 --> 00:12:48,001 Has it occurred to you that 236 00:12:48,035 --> 00:12:49,870 that might be your problem? 237 00:12:49,903 --> 00:12:52,906 That your view of him might be distorted because you like him? 238 00:12:52,940 --> 00:12:56,109 Has it occurred to you that maybe he's better off in pathology? 239 00:12:56,143 --> 00:12:57,978 That maybe he'll even like it? 240 00:12:58,645 --> 00:12:59,779 Do you care? 241 00:13:00,780 --> 00:13:01,882 I thought you might. 242 00:13:02,782 --> 00:13:05,118 ** 243 00:13:07,454 --> 00:13:10,090 (WHIRRING) DR. MELENDEZ: We need better ventral exposure. 244 00:13:10,123 --> 00:13:11,992 Drill off more of the pedicle and vertebral body. 245 00:13:14,161 --> 00:13:15,562 Ligate the exiting nerve root. 246 00:13:15,595 --> 00:13:17,297 We'll take it with the tumor for a wider margin. 247 00:13:22,769 --> 00:13:24,137 CLAIRE: I can't see it. 248 00:13:24,171 --> 00:13:26,273 The tumor's causing the spinal cord to be bowed up to us. 249 00:13:29,943 --> 00:13:33,046 We need more exposure to get around and in front of it. 250 00:13:33,080 --> 00:13:35,315 DR. REZNICK: The vertebrae is too fragmented and displaced. 251 00:13:35,348 --> 00:13:38,318 We can't get a complete resection without stabilization. 252 00:13:38,351 --> 00:13:40,053 (RAPID BEEPING) CLAIRE: He's tanking. 253 00:13:40,087 --> 00:13:42,422 Probably spinal shock from tension on the cord. We need to abort. 254 00:13:42,455 --> 00:13:44,124 (BEEPING CONTINUES) 255 00:13:44,157 --> 00:13:46,526 ** 256 00:13:47,995 --> 00:13:50,463 All right, on three. One, two, three. 257 00:13:52,499 --> 00:13:53,766 CLARENCE: You fixed me! 258 00:13:54,834 --> 00:13:56,970 No, no. What happened to my pain? 259 00:13:57,004 --> 00:14:00,807 Stop! We didn't fix you. 260 00:14:00,840 --> 00:14:03,843 There was a complication. We injected anesthetic. 261 00:14:05,178 --> 00:14:06,346 It'll wear off. 262 00:14:06,379 --> 00:14:07,847 We had to stop the surgery 263 00:14:07,881 --> 00:14:09,482 before we could remove the tumor. 264 00:14:09,516 --> 00:14:11,684 You went into shock. 265 00:14:11,718 --> 00:14:15,155 We lost your heart rate and blood pressure. 266 00:14:15,188 --> 00:14:18,491 We warned it would be a trickier surgery without the fusion. 267 00:14:18,525 --> 00:14:21,161 Nothing has changed. The anesthetic will wear off, 268 00:14:21,194 --> 00:14:23,696 the pain will come back, but worse. 269 00:14:23,730 --> 00:14:25,332 When can you try again? 270 00:14:25,365 --> 00:14:28,135 Try again? We failed. 271 00:14:28,168 --> 00:14:29,536 (SIGHS) 272 00:14:29,569 --> 00:14:31,771 There is no reason to think we will succeed 273 00:14:31,804 --> 00:14:33,106 next time unless we do the fusion... 274 00:14:33,140 --> 00:14:36,609 But you know what the issues are, you learned... Why haven't you? 275 00:14:36,643 --> 00:14:38,745 ** 276 00:14:40,747 --> 00:14:42,916 Do think God wants you to die? 277 00:14:50,323 --> 00:14:51,558 CLARENCE: Please. 278 00:14:52,993 --> 00:14:54,227 Try again. 279 00:14:56,729 --> 00:14:57,897 (SIGHS) 280 00:14:58,398 --> 00:15:00,367 Cyanide poisoning. 281 00:15:02,569 --> 00:15:04,604 The cause of death on the Atlin case. 282 00:15:07,840 --> 00:15:09,376 You know how I found it? 283 00:15:09,409 --> 00:15:12,512 I smelled it. Almonds. 284 00:15:18,885 --> 00:15:21,354 Dr. Park's patient. 285 00:15:21,388 --> 00:15:23,890 I flagged her eosinophil count. 286 00:15:23,923 --> 00:15:25,692 It doesn't match up with the diagnosis 287 00:15:25,725 --> 00:15:28,261 of advanced meningioma listed on the requisition. 288 00:15:28,295 --> 00:15:30,897 Great. Nice work. 289 00:15:31,798 --> 00:15:34,201 I'm going to talk to Dr. Lim about it. 290 00:15:34,234 --> 00:15:35,468 Whoa there, Shaun. Hold up. 291 00:15:35,502 --> 00:15:37,704 You don't need to do that. 292 00:15:37,737 --> 00:15:40,607 The attendings are on the lookout for the flags. They'll run with it. 293 00:15:40,640 --> 00:15:42,942 I want to run with it. 294 00:15:42,976 --> 00:15:45,245 You've been on the receiving end. You know how it works. 295 00:15:45,278 --> 00:15:48,715 How it works is I see something abnormal 296 00:15:48,748 --> 00:15:50,717 and then I discuss it with the team, 297 00:15:50,750 --> 00:15:52,752 and we plan how we'll fix it. 298 00:15:52,785 --> 00:15:54,054 We run with it. 299 00:15:55,555 --> 00:15:59,659 Shaun, once a test is done, we move on to the next one. 300 00:16:03,096 --> 00:16:06,566 I'd like to take a walk. 301 00:16:09,302 --> 00:16:11,304 Are you going to walk to Dr. Lim 302 00:16:11,338 --> 00:16:12,772 and discuss this case, Shaun? 303 00:16:16,576 --> 00:16:18,311 (SIGHS) 304 00:16:18,345 --> 00:16:20,580 That's not what we do here. 305 00:16:20,613 --> 00:16:25,485 We investigate, report, and then we move on. 306 00:16:25,518 --> 00:16:27,487 ** 307 00:16:27,520 --> 00:16:29,289 Are you gonna be able to do that, 308 00:16:29,322 --> 00:16:30,590 move on? 309 00:16:31,958 --> 00:16:33,426 I don't know. 310 00:16:34,327 --> 00:16:37,464 But I will try very hard. 311 00:16:41,634 --> 00:16:42,802 Next time. 312 00:16:49,809 --> 00:16:52,779 (KNOCKING) 313 00:16:52,812 --> 00:16:53,880 Dr. Browne. 314 00:16:54,547 --> 00:16:55,815 Is this about a patient? 315 00:16:56,783 --> 00:16:57,884 No. 316 00:16:59,486 --> 00:17:00,620 Come in. 317 00:17:03,456 --> 00:17:05,725 I've heard a lot about you. 318 00:17:05,758 --> 00:17:07,460 I'm aware you stood up to a supervisor. 319 00:17:07,494 --> 00:17:08,861 Is that what's happening now? 320 00:17:11,631 --> 00:17:16,002 Um, I put together a list of cases 321 00:17:16,035 --> 00:17:19,005 which Dr. Murphy contributed to. 322 00:17:19,038 --> 00:17:21,007 Uniquely. 323 00:17:21,040 --> 00:17:22,775 You're a loyal friend. 324 00:17:22,809 --> 00:17:25,145 I've specified the ideas he had, 325 00:17:25,178 --> 00:17:28,148 ideas that no one else around here could have... 326 00:17:28,181 --> 00:17:29,582 Do you think I hate him? 327 00:17:31,551 --> 00:17:32,652 No. 328 00:17:37,023 --> 00:17:39,559 But I think 329 00:17:39,592 --> 00:17:42,729 you might be biased against him because of his condition. 330 00:17:42,762 --> 00:17:45,232 So he doesn't have communication issues? I'm wrong about that? 331 00:17:45,265 --> 00:17:48,168 No. But he... If he had the flu, 332 00:17:48,201 --> 00:17:51,238 I would tell him to stay home until he got better. 333 00:17:51,271 --> 00:17:53,173 He has autism... 334 00:17:53,206 --> 00:17:55,508 I could tell him to stay home until he gets better. 335 00:17:55,542 --> 00:17:58,711 Instead I found a place for him to help us, 336 00:17:58,745 --> 00:18:00,180 to save lives. 337 00:18:02,081 --> 00:18:05,051 And you should know I have rather mixed feelings about loyalty. 338 00:18:10,257 --> 00:18:12,759 ** 339 00:18:25,438 --> 00:18:27,840 (INDISTINCT CONVERSATIONS) 340 00:18:32,044 --> 00:18:34,080 All righty. There you go. 341 00:18:36,216 --> 00:18:37,217 Hello. 342 00:18:38,718 --> 00:18:39,952 Aaron. 343 00:18:41,087 --> 00:18:42,255 It's good to see you. 344 00:18:42,289 --> 00:18:43,756 Yeah. The feeling is mutual. 345 00:18:45,057 --> 00:18:46,259 Can I have one of those? 346 00:18:48,094 --> 00:18:49,662 The chocolate chip muffin? Yes, please. 347 00:18:50,297 --> 00:18:51,731 Special occasion? 348 00:18:51,764 --> 00:18:53,366 Yes. Yeah? 349 00:18:53,400 --> 00:18:57,136 As of today, I am no longer injecting toxins into my body. 350 00:18:57,170 --> 00:18:59,606 Except, of course, with chocolate chips. 351 00:18:59,639 --> 00:19:03,075 Oh, you're done with chemo? Wow. That's amazing. 352 00:19:03,109 --> 00:19:04,611 Congratulations. Thank you. 353 00:19:05,812 --> 00:19:08,581 I was thinking of going out tonight and celebrating 354 00:19:08,615 --> 00:19:10,983 what may be very good news. 355 00:19:11,017 --> 00:19:12,919 If you're free, my treat. 356 00:19:12,952 --> 00:19:14,621 I... I'm sorry, Aaron. 357 00:19:14,654 --> 00:19:16,088 I have, uh, another commitment. 358 00:19:16,122 --> 00:19:17,924 Oh. Um, tomorrow then? 359 00:19:17,957 --> 00:19:19,426 This week is really crazy. 360 00:19:19,459 --> 00:19:22,995 You know what? I am not doing chemo every night next week, 361 00:19:23,029 --> 00:19:26,132 so I am free every single night, so... 362 00:19:26,165 --> 00:19:28,935 Aaron, I'm seeing someone. 363 00:19:31,103 --> 00:19:32,505 I'm sorry. 364 00:19:32,539 --> 00:19:35,107 ** 365 00:19:35,141 --> 00:19:36,743 (CHUCKLES) 366 00:19:36,776 --> 00:19:38,478 Nothing to be sorry about. 367 00:19:42,315 --> 00:19:43,683 It was good to see you. 368 00:19:53,293 --> 00:19:56,128 DR. MELENDEZ: Keep an extra close eye on blood pressure and heart rate. 369 00:19:56,162 --> 00:19:58,765 (MONITOR BEEPING) 370 00:19:58,798 --> 00:20:00,400 DR. REZNICK: I have extra fluid, vasopressors, 371 00:20:00,433 --> 00:20:01,501 and inotropes ready. 372 00:20:04,371 --> 00:20:05,572 Why no God? 373 00:20:08,007 --> 00:20:09,709 You follow in the tradition that you're handed. 374 00:20:09,742 --> 00:20:12,178 My family wasn't religious. We never went to church. 375 00:20:12,211 --> 00:20:13,646 I was there every Sunday. 376 00:20:13,680 --> 00:20:15,548 8:00 a.m. for Catholic mass. 377 00:20:15,582 --> 00:20:18,618 My parents eventually got tired of all the rules and turned Lutheran. 378 00:20:18,651 --> 00:20:20,387 They found that dull and went back to Catholic. 379 00:20:20,420 --> 00:20:22,221 (CHUCKLES) That's my tradition. 380 00:20:25,992 --> 00:20:29,128 DR. REZNICK: What do you think it'll be like when you die? 381 00:20:29,161 --> 00:20:32,198 Probably like it was before I was born. A whole lot of nothing. 382 00:20:34,267 --> 00:20:35,268 We're there. 383 00:20:36,869 --> 00:20:39,472 Where we were when everything went wrong last time. 384 00:20:39,506 --> 00:20:41,874 We need to remove the tumor without putting any pressure 385 00:20:41,908 --> 00:20:44,277 on his cord at all, or he'll be back in spinal shock. 386 00:20:46,513 --> 00:20:48,415 And we need more tumor release from the vertebral body. 387 00:20:48,448 --> 00:20:50,750 Extend your osteotomies proximal and distal. 388 00:20:51,718 --> 00:20:53,886 (WHIRRING) 389 00:20:53,920 --> 00:20:55,054 Good. 390 00:20:57,290 --> 00:20:59,692 I think I got a free plane... 391 00:20:59,726 --> 00:21:01,361 Retract it from the cord a little more. 392 00:21:02,729 --> 00:21:04,897 ** 393 00:21:06,366 --> 00:21:07,534 I got it. 394 00:21:07,567 --> 00:21:10,036 Now, when you remove it careful not to morselize it. 395 00:21:13,806 --> 00:21:14,907 Can you hold that up? 396 00:21:17,644 --> 00:21:18,878 Dr. Reznick, give me a measurement. 397 00:21:21,881 --> 00:21:23,383 Max length is 4.5. 398 00:21:24,250 --> 00:21:25,452 Get a pre-op scan up. 399 00:21:25,818 --> 00:21:27,620 (BEEP) 400 00:21:27,654 --> 00:21:29,489 That says the tumor's eight centimeters. 401 00:21:30,890 --> 00:21:33,360 How does a tumor shrink from eight centimeters 402 00:21:33,393 --> 00:21:35,595 to 4.5 without radiation in two weeks? 403 00:21:37,296 --> 00:21:38,431 It doesn't. 404 00:21:43,836 --> 00:21:46,305 Why the page, Shaun? And why are you in radiology? 405 00:21:46,339 --> 00:21:47,940 We rely on flags. 406 00:21:47,974 --> 00:21:50,042 You have to count on the ordering physician 407 00:21:50,076 --> 00:21:52,579 seeing it while you move on to something else. 408 00:21:52,612 --> 00:21:53,713 Okay. And? 409 00:21:53,746 --> 00:21:56,383 I don't agree with Sadie Barnes' diagnosis, 410 00:21:56,416 --> 00:21:59,819 and I think her tumor should be biopsied. 411 00:21:59,852 --> 00:22:02,589 Shaun, I... Dr. Han wanted me away from patients. 412 00:22:02,622 --> 00:22:04,391 Patients are not allowed in the viewing room. 413 00:22:04,424 --> 00:22:06,025 So I'm not doing anything wrong. 414 00:22:07,960 --> 00:22:10,497 (BEEP) Two radiologists said 415 00:22:10,530 --> 00:22:12,399 it was a malignant meningioma 416 00:22:12,432 --> 00:22:14,934 in the insular region and encasing the MCA vessels. 417 00:22:14,967 --> 00:22:16,335 That's exactly where it is. 418 00:22:16,369 --> 00:22:18,104 And her clinical picture matches perfectly. 419 00:22:18,137 --> 00:22:20,407 Arm and leg numbness. 420 00:22:20,440 --> 00:22:24,411 The tumor attachment to the dura is slightly anomalous. 421 00:22:24,444 --> 00:22:26,979 And the insular region is slightly atypical, too. 422 00:22:28,147 --> 00:22:29,181 (MOUSE CLICKS) 423 00:22:29,215 --> 00:22:30,550 (BEEP) 424 00:22:31,518 --> 00:22:33,520 What differential diagnoses are you proposing? 425 00:22:35,488 --> 00:22:37,356 I need to speak to the patient. 426 00:22:37,390 --> 00:22:39,659 (SIGHS) Should I ask Dr. Han for permission? 427 00:22:39,692 --> 00:22:41,327 Shaun, I... (SCOFFS) 428 00:22:41,360 --> 00:22:44,497 ...will bring your concern about the scan to the head of radiology. 429 00:22:44,531 --> 00:22:47,734 But approaching Dr. Han? Don't do that. 430 00:22:49,769 --> 00:22:51,738 Now, I already talked to him about your reassignment. 431 00:22:51,771 --> 00:22:53,673 I don't know if it'll make any difference... 432 00:22:53,706 --> 00:22:57,810 If I were Claire, would you let me approach Dr. Han 433 00:22:57,844 --> 00:22:59,378 about something that concerned me? 434 00:23:00,480 --> 00:23:02,415 ** 435 00:23:03,583 --> 00:23:05,652 Yes. I probably would. 436 00:23:07,119 --> 00:23:09,822 Hmm. 437 00:23:09,856 --> 00:23:14,360 Is that because Claire doesn't make mistakes when she's communicating? 438 00:23:15,695 --> 00:23:17,163 Yes. 439 00:23:19,165 --> 00:23:23,269 Then do you think Dr. Han made the right decision by sending me to pathology? 440 00:23:26,172 --> 00:23:27,674 No. 441 00:23:38,751 --> 00:23:39,786 (BEEP) 442 00:23:39,819 --> 00:23:41,554 The lymph nodes have shrunk, too. 443 00:23:41,588 --> 00:23:43,690 This is a PET scan from two weeks ago. 444 00:23:43,723 --> 00:23:45,492 Enlarged and cancerous. 445 00:23:45,525 --> 00:23:46,926 Today... (BEEP) 446 00:23:48,227 --> 00:23:49,295 ...they've all regressed. 447 00:23:55,835 --> 00:23:58,270 Spontaneous regression has been reported 448 00:23:58,304 --> 00:24:00,907 in melanomas, renal cell carcinomas, 449 00:24:00,940 --> 00:24:03,576 neuroblastomas, and some types of blood cancers. 450 00:24:03,610 --> 00:24:05,912 In a sarcoma that's metastasized? 451 00:24:05,945 --> 00:24:09,081 No. But if it happened in those others, why not? 452 00:24:09,115 --> 00:24:11,250 Because none of them make sense. 453 00:24:11,283 --> 00:24:12,685 When I read about disappearing cancer, 454 00:24:12,719 --> 00:24:15,788 I always think some doctor missed something, forgot something, 455 00:24:15,822 --> 00:24:19,025 screwed up something. (SIGHS) 456 00:24:19,058 --> 00:24:21,961 The theory is that the body somehow triggers 457 00:24:21,994 --> 00:24:23,896 an immune response against the cancer. 458 00:24:23,930 --> 00:24:26,198 Something somehow lights a fuse. 459 00:24:26,232 --> 00:24:28,300 The theory says the fuse is lit by an infection. 460 00:24:28,334 --> 00:24:30,402 His lab work proves he hasn't had one. 461 00:24:30,436 --> 00:24:33,540 At this point, the most credible explanation is... 462 00:24:33,573 --> 00:24:34,774 Are you gonna use the "M" word? 463 00:24:36,208 --> 00:24:37,810 You seriously can't say it? 464 00:24:37,844 --> 00:24:41,981 Only when referencing the 1980 U.S. hockey team. 465 00:24:42,014 --> 00:24:44,083 Keep testing. Anything you can think of. 466 00:24:44,116 --> 00:24:46,452 Molecular markers, T-cells, PD-L1. 467 00:24:46,485 --> 00:24:48,988 We'll need permission from the patient. 468 00:24:49,021 --> 00:24:50,289 Which raises another issue, 469 00:24:50,322 --> 00:24:52,191 what are we gonna do next, medically? 470 00:24:52,224 --> 00:24:53,926 He was supposed to start chemo next week. 471 00:24:53,960 --> 00:24:55,394 No, it'll wipe out his immune system, 472 00:24:55,427 --> 00:24:57,564 which may be what's actually killing his cancer. 473 00:24:57,597 --> 00:24:59,498 If we don't know what's making him better, 474 00:24:59,532 --> 00:25:01,467 we don't know what to stop, what to start. 475 00:25:04,470 --> 00:25:05,938 So we do nothing? 476 00:25:06,873 --> 00:25:09,041 Just trust God to fix him? 477 00:25:09,075 --> 00:25:12,278 We trust whatever is currently fixing him to keep fixing him. 478 00:25:12,311 --> 00:25:14,013 If he took a Tylenol yesterday at 8:00, 479 00:25:14,046 --> 00:25:15,615 he takes a Tylenol today at 8:00. 480 00:25:15,648 --> 00:25:18,350 Monitor him. Closely. Scans constantly. 481 00:25:19,151 --> 00:25:21,487 ** 482 00:25:30,797 --> 00:25:33,032 ** 483 00:25:35,234 --> 00:25:36,235 Hmm. 484 00:25:41,507 --> 00:25:42,541 (KNOCK ON DOOR) 485 00:25:42,575 --> 00:25:44,611 Hello, Dr. Glassman. 486 00:25:44,644 --> 00:25:46,478 Hi. Thank you for coming. 487 00:25:47,747 --> 00:25:51,050 He has been doing this for two hours. 488 00:25:53,385 --> 00:25:54,386 Shaun. 489 00:25:55,788 --> 00:25:56,889 What are you up to? 490 00:25:57,890 --> 00:25:59,826 Alphabetizing our canned goods 491 00:25:59,859 --> 00:26:02,461 and checking all the expiration dates. 492 00:26:02,494 --> 00:26:03,830 Well, somebody's got to do it. 493 00:26:05,431 --> 00:26:06,899 Is something wrong? No. 494 00:26:07,499 --> 00:26:09,268 (EXHALES SHAKILY) 495 00:26:12,872 --> 00:26:15,474 Okay. Okay. I think 496 00:26:15,507 --> 00:26:19,045 Dr. Lim's patient's diagnosis is wrong, 497 00:26:19,078 --> 00:26:21,013 but I can't prove it without information, 498 00:26:21,047 --> 00:26:24,083 and I'm not allowed to talk to patients. 499 00:26:24,116 --> 00:26:25,618 Shaun. (SIGHS) 500 00:26:29,521 --> 00:26:31,223 I want to run with things. 501 00:26:32,258 --> 00:26:35,194 I want to fix people. 502 00:26:37,730 --> 00:26:40,466 Can you help me become a surgical resident again? 503 00:26:41,968 --> 00:26:44,403 No. I can't, Shaun. 504 00:26:44,436 --> 00:26:45,872 I'm not president... Yes. 505 00:26:47,406 --> 00:26:50,910 I'm not the president of the hospital anymore, Shaun. 506 00:26:50,943 --> 00:26:54,046 And even... Even if I was, it's irrelevant. 507 00:26:54,881 --> 00:26:57,083 You have to stand up for yourself. 508 00:26:57,984 --> 00:26:59,118 And you know what? If you can't, 509 00:26:59,151 --> 00:27:01,921 then the new Head of Surgery, the Chief, he's right. 510 00:27:03,389 --> 00:27:05,557 Now, I can go tell him he's wrong. 511 00:27:05,591 --> 00:27:07,359 It won't do any good. 512 00:27:07,393 --> 00:27:08,961 Or you can go show him. 513 00:27:13,800 --> 00:27:16,435 ** 514 00:27:16,468 --> 00:27:19,271 I'm doing research concerning Sadie Barnes. 515 00:27:21,073 --> 00:27:22,441 She's asleep. 516 00:27:23,943 --> 00:27:26,913 Perfect. I'm not allowed to speak with her. 517 00:27:29,982 --> 00:27:32,351 I'm looking for her sister Jess. 518 00:27:33,853 --> 00:27:35,755 I haven't seen her. Sorry. 519 00:28:08,520 --> 00:28:09,989 DR. HAN: What are you doing? 520 00:28:14,727 --> 00:28:16,195 (LIGHT CLICKS) 521 00:28:18,898 --> 00:28:22,835 Can you explain why, instead of remaining in pathology as directed, 522 00:28:22,869 --> 00:28:26,305 you were in a patient's room, going through her purse? 523 00:28:26,338 --> 00:28:29,041 I didn't speak to her. She was asleep. 524 00:28:29,708 --> 00:28:31,978 (EXHALES SHARPLY) 525 00:28:32,011 --> 00:28:34,680 Dr. Murphy, any reticence I had 526 00:28:34,713 --> 00:28:36,849 about removing you from surgery just vanished. 527 00:28:38,050 --> 00:28:40,686 You shouldn't be in contact with patients. 528 00:28:40,719 --> 00:28:42,855 Or their families. Or anything they own. 529 00:28:42,889 --> 00:28:45,491 Do you understand, or am I gonna be forced to fire you? 530 00:28:50,329 --> 00:28:52,865 Sadie's social media says that 531 00:28:52,899 --> 00:28:54,500 she finances her climbing travel 532 00:28:54,533 --> 00:28:56,702 by working as a freelance food critic. 533 00:28:57,837 --> 00:29:00,406 She reviewed a Japanese restaurant that used to have 534 00:29:00,439 --> 00:29:03,509 a Restaurant Grading System Score of "A," but then it dropped to a "C," 535 00:29:03,542 --> 00:29:06,745 which corresponds to very bad food safety practices. 536 00:29:06,779 --> 00:29:09,281 Bad sushi can lead to worms, but it usually doesn't 537 00:29:09,315 --> 00:29:12,084 because stomach acid almost always kills fish parasites. 538 00:29:12,118 --> 00:29:14,153 But not if someone is taking an acid blocker, 539 00:29:14,186 --> 00:29:16,088 which 60 million Americans are. 540 00:29:16,122 --> 00:29:18,224 I saw a bottle in her purse. 541 00:29:22,428 --> 00:29:25,331 Sadie could have sparganosis 542 00:29:25,364 --> 00:29:28,634 with an encapsulated worm that is mimicking a meningioma. 543 00:29:32,338 --> 00:29:33,639 That's a good idea. 544 00:29:34,706 --> 00:29:36,943 Excellent. I'll tell the patient. 545 00:29:36,976 --> 00:29:38,945 I will tell the patient. 546 00:29:39,979 --> 00:29:41,247 I'll tell her we're doing a biopsy 547 00:29:41,280 --> 00:29:42,915 to confirm the initial diagnosis. 548 00:29:42,949 --> 00:29:44,616 But we're... It will tell us 549 00:29:44,650 --> 00:29:46,718 if the initial diagnosis is correct. 550 00:29:47,686 --> 00:29:49,521 Your theory is a real long shot. 551 00:29:49,555 --> 00:29:52,124 It would be irresponsible to get her hopes up. 552 00:29:54,927 --> 00:29:56,195 SHAUN: Hmm. 553 00:29:56,228 --> 00:29:57,463 The surgery went well. 554 00:29:57,496 --> 00:30:00,466 We were able to extract the entire tumor without complication. 555 00:30:00,499 --> 00:30:02,301 (EXHALES SHARPLY) (SIGHS) 556 00:30:02,334 --> 00:30:03,335 Thank you. 557 00:30:04,904 --> 00:30:05,938 When can we start chemo? 558 00:30:07,139 --> 00:30:10,742 There are a few follow-up tests we want to run first. 559 00:30:10,776 --> 00:30:12,411 And we want to retake your history. 560 00:30:12,444 --> 00:30:13,812 Make sure we have a proper list 561 00:30:13,846 --> 00:30:15,414 of all medications you've been taking. 562 00:30:16,815 --> 00:30:19,685 You want to take his history after the surgery? 563 00:30:19,718 --> 00:30:22,121 What's going on? What are you not telling us? 564 00:30:22,154 --> 00:30:23,923 What went wrong? Nothing. 565 00:30:23,956 --> 00:30:27,293 The fact is, the surgery went 566 00:30:27,326 --> 00:30:28,760 better than we'd hoped. 567 00:30:29,461 --> 00:30:30,863 Your cancer seems to be 568 00:30:32,464 --> 00:30:34,233 going away on its own. 569 00:30:34,266 --> 00:30:36,735 (EXHALES SHARPLY) 570 00:30:36,768 --> 00:30:38,470 We'll run our tests. 571 00:30:38,504 --> 00:30:42,141 We're confident that there is a medical explanation. 572 00:30:42,174 --> 00:30:44,510 Oh, Clarence. (INHALES SHARPLY) 573 00:30:47,546 --> 00:30:49,215 (DOORBELL RINGS) 574 00:30:59,791 --> 00:31:02,294 Hi. Hi, Aaron. 575 00:31:02,328 --> 00:31:05,831 (INHALES DEEPLY) Um, what I... 576 00:31:05,864 --> 00:31:09,301 What I told you earlier, that I'm seeing someone... 577 00:31:09,335 --> 00:31:10,502 I'm not. 578 00:31:10,536 --> 00:31:12,939 I mean, I-I-I had one date, 579 00:31:12,972 --> 00:31:14,706 but it wasn't, you know... Okay. 580 00:31:18,810 --> 00:31:22,014 We're... We're just... We're not a good match. 581 00:31:22,048 --> 00:31:23,815 That's what I wanted to tell you. 582 00:31:30,056 --> 00:31:32,491 That's not true, you know. 583 00:31:32,524 --> 00:31:33,960 You know, that's not true. 584 00:31:33,993 --> 00:31:35,327 You like me. A lot. 585 00:31:35,361 --> 00:31:37,863 And I like you even more than that. 586 00:31:37,896 --> 00:31:39,398 So what is this? 587 00:31:39,431 --> 00:31:41,467 You know, I'd really rather not get into it. 588 00:31:41,500 --> 00:31:44,003 You came to my house... To tell you what I told you, 589 00:31:44,036 --> 00:31:46,005 which I just told you. Okay, you came here to be honest, 590 00:31:46,038 --> 00:31:47,673 and you're only gonna be honest halfway? 591 00:31:47,706 --> 00:31:49,008 You're not timid. No. 592 00:31:49,041 --> 00:31:50,576 Okay. Then what? 593 00:31:53,946 --> 00:31:55,847 The last time I was here, 594 00:31:55,881 --> 00:31:57,283 we were headed upstairs... 595 00:31:58,550 --> 00:31:59,585 Yes, we were. 596 00:32:00,419 --> 00:32:01,420 You fell. 597 00:32:02,421 --> 00:32:03,489 Yes, I did. 598 00:32:03,522 --> 00:32:06,092 I tried to help you, and you pushed me away. 599 00:32:07,293 --> 00:32:08,527 I was embarrassed. 600 00:32:08,560 --> 00:32:09,928 You were sick. 601 00:32:09,962 --> 00:32:12,431 You needed help. And I'm not sick anymore. 602 00:32:12,464 --> 00:32:15,667 Maybe. And I want to go and celebrate. 603 00:32:15,701 --> 00:32:18,237 With you. Specifically with you. 604 00:32:18,270 --> 00:32:19,838 'Cause we have fun. 605 00:32:19,871 --> 00:32:22,941 You... You make... You make me laugh. 606 00:32:22,975 --> 00:32:25,544 You make me feel good. 607 00:32:25,577 --> 00:32:26,845 I like being with you. 608 00:32:26,878 --> 00:32:28,414 Sounds horrible. 609 00:32:28,447 --> 00:32:30,849 But bad things are gonna happen. 610 00:32:30,882 --> 00:32:34,120 Aaron, i-it can't just be about having fun together. 611 00:32:34,153 --> 00:32:35,621 One of us is gonna get sick, 612 00:32:35,654 --> 00:32:37,623 one of us is gonna need to be taken care of... 613 00:32:37,656 --> 00:32:39,625 Wait, wait, wait. I just want to go out 614 00:32:39,658 --> 00:32:42,061 and have a nice dinner with you. 615 00:32:42,094 --> 00:32:44,997 Not to run away to Reno, find a priest in an Elvis suit. 616 00:32:48,300 --> 00:32:49,935 What are we gonna do, Aaron? 617 00:32:49,968 --> 00:32:53,572 Just drive to a hill with a view and neck till prom? 618 00:32:53,605 --> 00:32:56,108 And then I'm gonna come home and hope you call? 619 00:33:02,781 --> 00:33:06,285 Yeah, uh, you know, I just came to apologize. 620 00:33:07,919 --> 00:33:09,155 I'm sorry. 621 00:33:10,089 --> 00:33:11,623 And I'm really glad... 622 00:33:13,425 --> 00:33:15,827 I'm... I'm glad you're finished with chemo. 623 00:33:15,861 --> 00:33:17,696 And... 624 00:33:19,598 --> 00:33:21,467 You're gonna... You're gonna beat this thing. 625 00:33:22,601 --> 00:33:25,171 ** 626 00:33:45,091 --> 00:33:46,992 Your immunoglobulins are normal. 627 00:33:47,025 --> 00:33:48,827 Everything is normal. 628 00:33:48,860 --> 00:33:50,996 We can't find a scientific explanation. 629 00:33:54,333 --> 00:33:56,902 Our prayers... It's a miracle. 630 00:33:59,305 --> 00:34:00,806 Miracle or not, 631 00:34:00,839 --> 00:34:03,041 it seems we're on the same page now. 632 00:34:04,710 --> 00:34:08,180 There is no reason not to do the spinal fusion to eliminate your pain. 633 00:34:12,251 --> 00:34:13,319 Do more tests. 634 00:34:14,186 --> 00:34:16,455 Clarence. There are no more tests. 635 00:34:16,488 --> 00:34:18,990 T-T-There must be. There must be an explanation. 636 00:34:19,024 --> 00:34:21,360 Redo your tests. Find new tests. 637 00:34:25,897 --> 00:34:28,300 "Let all bitterness and wrath 638 00:34:28,334 --> 00:34:31,870 "and anger and clamor and slander be put away from you." 639 00:34:32,938 --> 00:34:34,573 ** 640 00:34:36,508 --> 00:34:38,043 Ephesians 4:31. 641 00:34:40,379 --> 00:34:41,747 I didn't take you for a believer. 642 00:34:41,780 --> 00:34:43,215 I'm not, anymore. 643 00:34:44,883 --> 00:34:46,385 I'm not sure you are either. 644 00:34:49,421 --> 00:34:53,259 God speaks directly to Noah, 645 00:34:53,292 --> 00:34:56,395 Moses, Job, and Solomon. 646 00:34:56,428 --> 00:34:58,597 And now apparently he has singled out 647 00:34:58,630 --> 00:35:00,432 Pastor Clarence of San Jose 648 00:35:00,466 --> 00:35:02,301 to join the ranks of the prophets. 649 00:35:03,802 --> 00:35:07,038 I'm sorry, but unless there is a burning bush, 650 00:35:07,072 --> 00:35:09,275 it is narcissistic to think that God 651 00:35:09,308 --> 00:35:11,810 has made you his personal project. 652 00:35:11,843 --> 00:35:14,480 God speaks to every one of us. 653 00:35:16,114 --> 00:35:18,684 You just have to listen. You are not listening. 654 00:35:19,651 --> 00:35:22,421 People get cancer all the time. 655 00:35:22,454 --> 00:35:23,955 Often that results in pain. 656 00:35:23,989 --> 00:35:25,524 Those things are not unique. 657 00:35:25,557 --> 00:35:27,359 What is unique 658 00:35:27,393 --> 00:35:29,928 is having an aggressive metastatic cancer 659 00:35:29,961 --> 00:35:33,899 start to disappear without any rational explanation. 660 00:35:35,367 --> 00:35:37,035 The issue isn't God. 661 00:35:38,437 --> 00:35:40,339 You have to forgive yourself. 662 00:35:45,110 --> 00:35:46,378 What I did... 663 00:35:46,412 --> 00:35:47,746 Cannot be undone. 664 00:35:48,314 --> 00:35:49,915 But your pain can. 665 00:35:51,116 --> 00:35:53,185 ** 666 00:35:57,656 --> 00:35:59,157 Clarence. 667 00:36:04,296 --> 00:36:05,597 Your pain... 668 00:36:08,033 --> 00:36:10,202 Your pain does no one any good. 669 00:36:15,040 --> 00:36:17,175 (BREATHES DEEPLY) 670 00:36:18,277 --> 00:36:19,311 Okay. 671 00:36:26,818 --> 00:36:28,420 DR. MELENDEZ: Osteotome and mallet. 672 00:36:29,655 --> 00:36:31,657 (MONITOR BEEPING) 673 00:36:33,024 --> 00:36:36,428 You lied when you said you never went to church. What happened? 674 00:36:36,462 --> 00:36:39,498 I didn't want to have this conversation is what happened. 675 00:36:39,531 --> 00:36:40,599 DR. REZNICK: I'm not judging. 676 00:36:40,632 --> 00:36:42,301 My brother took a year off school to travel 677 00:36:42,334 --> 00:36:43,335 and came back a non-believer. 678 00:36:43,935 --> 00:36:45,103 So ask him. 679 00:36:52,578 --> 00:36:56,014 Was it freeing, or did you feel empty? 680 00:36:56,047 --> 00:36:58,216 DR. MELENDEZ: Hand me the first polyaxial pedicle screw. 681 00:37:04,656 --> 00:37:06,425 It was like losing a loved one. 682 00:37:18,704 --> 00:37:21,340 (CLICKING) 683 00:37:24,410 --> 00:37:25,944 The moment of truth. 684 00:37:36,755 --> 00:37:38,023 Follow me. 685 00:37:39,558 --> 00:37:42,294 ** 686 00:37:58,043 --> 00:38:00,412 Our initial diagnosis was wrong. 687 00:38:00,446 --> 00:38:02,180 You don't have a meningioma. 688 00:38:02,213 --> 00:38:03,415 You have a worm in your brain. 689 00:38:06,284 --> 00:38:09,120 And while that sounds fairly gross, 690 00:38:09,154 --> 00:38:10,956 it is completely curable. 691 00:38:10,989 --> 00:38:12,624 (EXHALES SHARPLY) 692 00:38:12,658 --> 00:38:14,560 (LAUGHS) 693 00:38:17,295 --> 00:38:21,800 So, the sense of doom, it was... It was wrong? 694 00:38:21,833 --> 00:38:24,870 It saved your life. As did Dr. Murphy. 695 00:38:24,903 --> 00:38:26,872 This is the pathologist who noticed 696 00:38:26,905 --> 00:38:28,474 an abnormality in one of your tests. 697 00:38:31,910 --> 00:38:33,912 That led us to this discovery. 698 00:38:34,913 --> 00:38:36,682 Can I give you a hug, too, Dr. Murphy? 699 00:38:37,683 --> 00:38:38,684 No. 700 00:38:42,053 --> 00:38:44,423 You and your sister will be free to conquer 701 00:38:44,456 --> 00:38:47,058 whichever of the remaining 50 peaks you choose 702 00:38:47,092 --> 00:38:49,327 as soon as my team surgically removes the worm. 703 00:38:52,831 --> 00:38:54,433 (JESS LAUGHS) 704 00:38:56,768 --> 00:38:58,437 Thank you. Oh! Of course. 705 00:39:00,772 --> 00:39:03,141 There are not a lot of doctors who would have made the leap 706 00:39:03,174 --> 00:39:04,810 that you made today, Shaun. 707 00:39:06,344 --> 00:39:07,379 Good work. 708 00:39:08,847 --> 00:39:12,384 Yes, it was excellent work. 709 00:39:13,552 --> 00:39:15,020 (CHUCKLES) Most people would say "thank you," 710 00:39:15,053 --> 00:39:17,823 but technically that's not an incorrect response. 711 00:39:18,490 --> 00:39:19,991 Hmm. 712 00:39:20,025 --> 00:39:22,193 Have a good evening. You've earned it. 713 00:39:26,765 --> 00:39:28,900 I don't want to go on walks. 714 00:39:34,473 --> 00:39:37,175 I don't want to move on from cases 715 00:39:37,208 --> 00:39:39,344 after the tests are done. 716 00:39:41,246 --> 00:39:45,484 I do not want to be a pathologist. 717 00:39:45,517 --> 00:39:47,152 ** 718 00:39:48,487 --> 00:39:53,525 Dr. Han, you need to make me a surgical resident again. 719 00:40:00,065 --> 00:40:01,767 I appreciate you telling me that. 720 00:40:03,401 --> 00:40:05,937 I was wondering whether you had it in you to advocate for yourself. 721 00:40:09,941 --> 00:40:11,577 But the truth is, Shaun, 722 00:40:11,610 --> 00:40:14,345 what you did today, 723 00:40:14,379 --> 00:40:15,781 it proved I'm right. 724 00:40:17,248 --> 00:40:19,384 Your skills are tremendous. 725 00:40:19,417 --> 00:40:22,521 Your weaknesses, equally significant. 726 00:40:24,723 --> 00:40:27,392 You could be a great pathologist. 727 00:40:27,425 --> 00:40:29,828 Just think of all the Sadies out there, 728 00:40:29,861 --> 00:40:31,597 waiting for you to save them. 729 00:40:32,631 --> 00:40:34,766 ** 730 00:41:01,760 --> 00:41:03,929 Dr. Browne, Dr. Reznick. 731 00:41:03,962 --> 00:41:06,331 The surgery went well. Your spine is stable. 732 00:41:10,335 --> 00:41:11,670 I'm scared. 733 00:41:13,171 --> 00:41:15,974 There may still be some residual pain as you heal, but... 734 00:41:16,007 --> 00:41:17,442 No, I... 735 00:41:18,677 --> 00:41:22,514 I keep wondering, what if I disobeyed God? 736 00:41:29,621 --> 00:41:30,689 You have to have faith. 737 00:41:32,624 --> 00:41:33,959 But you lost yours. 738 00:41:37,162 --> 00:41:39,865 I didn't have a miracle to help me through the dark times. 739 00:41:44,202 --> 00:41:46,004 (LP'S MUDDY WATERS PLAYS) 740 00:41:46,037 --> 00:41:47,639 * Hmm 741 00:41:47,673 --> 00:41:51,610 * Hmm, hmm 742 00:41:51,643 --> 00:41:55,413 * Oh, oh-oh-oh-oh 743 00:41:55,446 --> 00:41:59,417 * In the muddy water we're falling 744 00:41:59,450 --> 00:42:03,288 * Oh, oh-oh-oh-oh 745 00:42:03,321 --> 00:42:07,092 * In the muddy water we're crawling 746 00:42:07,125 --> 00:42:10,829 * Hold me down 747 00:42:10,862 --> 00:42:14,700 * Hold me now 748 00:42:14,733 --> 00:42:18,503 * Sold me out 749 00:42:18,536 --> 00:42:23,041 * In the muddy water we're falling * 750 00:42:25,243 --> 00:42:27,846 **