1 00:00:02,915 --> 00:00:05,048 [ALARM BEEPS] 2 00:00:05,092 --> 00:00:06,789 [VAMPIRE WEEKEND'S THIS LIFEPLAYS] 3 00:00:10,140 --> 00:00:12,186 ♪ Baby, I know pain I'm Dr. Browne. 4 00:00:12,229 --> 00:00:13,752 I'll be performing your surgery today. 5 00:00:13,796 --> 00:00:15,189 I'm Dr. Browne. I'll be performing your surgery today. 6 00:00:15,232 --> 00:00:17,234 ♪ I just thought it didn't rain 7 00:00:17,278 --> 00:00:18,322 Dr. Browne... 8 00:00:18,366 --> 00:00:19,454 ♪ In California 9 00:00:19,497 --> 00:00:21,499 [SIGHS] I'll be performing your surgery today. 10 00:00:21,543 --> 00:00:22,892 ♪ Baby, I know love [WATER RUNS, SHUTS OFF] 11 00:00:22,935 --> 00:00:24,198 It's a very simple procedure. 12 00:00:25,503 --> 00:00:27,288 It's a straightforward procedure. 13 00:00:27,331 --> 00:00:31,857 ♪ 'Cause I've never known love like this before 14 00:00:31,901 --> 00:00:33,294 It was a successful surgery. 15 00:00:33,337 --> 00:00:35,296 [BOTTLES CLINK] 16 00:00:35,339 --> 00:00:38,560 ♪♪ 17 00:00:38,603 --> 00:00:40,518 ♪ Baby, I know dreams 18 00:00:40,562 --> 00:00:42,303 ♪ Tend to crumble at extremes 19 00:00:42,346 --> 00:00:44,261 The surgery was a success. 20 00:00:44,305 --> 00:00:46,002 ♪ I just thought our dream would last 21 00:00:46,046 --> 00:00:49,310 We expect a full recovery. 22 00:00:49,353 --> 00:00:51,312 ♪ We're surviving, we're still living ♪ 23 00:00:51,355 --> 00:00:54,445 I expect a full recovery. 24 00:00:54,489 --> 00:00:55,707 WOMAN: Baby. 25 00:00:56,969 --> 00:00:57,970 Where do you want this? 26 00:00:59,798 --> 00:01:00,886 Uh, thanks, Mom. 27 00:01:00,930 --> 00:01:02,018 Uh, put it by my bag. 28 00:01:02,062 --> 00:01:03,280 I'll have the hospital lab run it. 29 00:01:11,288 --> 00:01:13,769 [SIGHS] 30 00:01:13,812 --> 00:01:17,033 Nausea and severe abdominal pain after eating. 31 00:01:17,077 --> 00:01:19,035 This patient could need a lap chole. 32 00:01:19,079 --> 00:01:21,037 That would be an ideal first surgery. 33 00:01:21,081 --> 00:01:22,821 Let's not get ahead of ourselves. 34 00:01:22,865 --> 00:01:24,519 She may just need an antacid. 35 00:01:26,738 --> 00:01:27,783 Hi, Michelle. 36 00:01:27,826 --> 00:01:29,828 I understand your mother is on her way in. 37 00:01:29,872 --> 00:01:32,048 I'm Dr. Browne. And I'm Dr. Shaun Murphy. 38 00:01:32,092 --> 00:01:33,702 You need to fix my sister. 39 00:01:33,745 --> 00:01:35,269 What's your name? 40 00:01:35,312 --> 00:01:37,401 Tisha.Hi, Tisha. 41 00:01:37,445 --> 00:01:38,707 Well, that is exactly why we're here... 42 00:01:38,750 --> 00:01:40,274 To help your sister. 43 00:01:40,317 --> 00:01:41,318 Fostersister. 44 00:01:42,493 --> 00:01:43,625 When did the pain start? 45 00:01:43,668 --> 00:01:44,887 About an hour ago. 46 00:01:44,930 --> 00:01:46,845 It was on the bus. 47 00:01:46,889 --> 00:01:50,588 My sister rides with me every day to school and back. 48 00:01:50,632 --> 00:01:53,548 My brother and I used to live on a bus. 49 00:01:53,591 --> 00:01:54,766 Cool. 50 00:01:54,810 --> 00:01:55,724 CLAIRE: Have you felt like this before? 51 00:01:55,767 --> 00:01:57,117 A few times. 52 00:01:59,423 --> 00:02:00,816 [GASPS] Ow. 53 00:02:00,859 --> 00:02:03,427 She has extreme upper-right quadrant tenderness. 54 00:02:03,471 --> 00:02:06,517 That's consistent with cholecystitis. 55 00:02:06,561 --> 00:02:10,304 As is her fever and elevated white count. 56 00:02:10,347 --> 00:02:12,915 Your gallbladder probably needs to be removed. 57 00:02:12,958 --> 00:02:15,091 ♪♪ 58 00:02:15,135 --> 00:02:16,527 You must be excited, Claire. 59 00:02:16,571 --> 00:02:18,442 This is going to be your first surgery. 60 00:02:18,486 --> 00:02:21,228 ♪♪ 61 00:02:21,271 --> 00:02:22,794 Has your urine changed color? 62 00:02:22,838 --> 00:02:24,405 Gotten darker? 63 00:02:26,233 --> 00:02:28,235 [THEME MUSIC PLAYING] 64 00:02:36,547 --> 00:02:39,855 I hear Dr. Browne might have landed her first lap chole. 65 00:02:39,898 --> 00:02:42,162 It's not exactly a straightforward case. 66 00:02:42,205 --> 00:02:43,902 The duct is massively dilated, 67 00:02:43,946 --> 00:02:46,427 the wall's inflamed, this scarring... 68 00:02:46,470 --> 00:02:48,603 It's gonna limit visibility. 69 00:02:48,646 --> 00:02:49,952 Well, the thickness of the gallbladder wall 70 00:02:49,995 --> 00:02:52,259 does pose a challenge. 71 00:02:52,302 --> 00:02:53,303 What do you think? 72 00:02:54,261 --> 00:02:55,610 It's not her decision. 73 00:02:55,653 --> 00:02:56,567 It's mine, as the attending. 74 00:02:58,395 --> 00:03:00,180 Doesn't mean she shouldn't offer her opinion. 75 00:03:04,445 --> 00:03:08,144 I think that, um, Dr. Melendez is right. 76 00:03:08,188 --> 00:03:10,146 With the limited visibility, I shouldn't be... 77 00:03:10,190 --> 00:03:13,454 Only with a laparoscopic cholecystectomy. 78 00:03:13,497 --> 00:03:16,283 Which I don't think we should do. 79 00:03:16,326 --> 00:03:18,720 An open procedure would provide a clearer view 80 00:03:18,763 --> 00:03:20,374 of the gallbladder and the surrounding anatomy 81 00:03:20,417 --> 00:03:22,027 despite the inflammation. 82 00:03:29,731 --> 00:03:31,820 Carly and I went on another date last night. 83 00:03:31,863 --> 00:03:32,864 Mm. What did you do? 84 00:03:32,908 --> 00:03:34,257 Dinner, movie... 85 00:03:34,301 --> 00:03:36,651 We walked 12 minutes to a deli 86 00:03:36,694 --> 00:03:38,043 and had some food and talked. 87 00:03:39,131 --> 00:03:40,437 Where are we going? 88 00:03:40,481 --> 00:03:42,961 Andrews is starting an open chole. 89 00:03:43,005 --> 00:03:44,049 Sounds like it's going well with you and Carly. 90 00:03:44,093 --> 00:03:45,181 Oh, yes. 91 00:03:45,225 --> 00:03:48,010 She answered all of my questions. 92 00:03:48,053 --> 00:03:49,403 How many did you ask? 93 00:03:49,446 --> 00:03:52,362 83, although some had multiple parts. 94 00:03:53,929 --> 00:03:55,713 "Do you want to have children? 95 00:03:55,757 --> 00:03:57,628 If yes, how many and when?" 96 00:03:57,672 --> 00:03:59,108 "Where do you plan to raise them? 97 00:03:59,151 --> 00:04:01,850 In what religious tradition?" 98 00:04:01,893 --> 00:04:04,113 Those are pretty intense. 99 00:04:04,156 --> 00:04:07,551 They're good questions, Claire, about important topics. 100 00:04:07,595 --> 00:04:10,424 Early on, people usually stick with lighter stuff... 101 00:04:10,467 --> 00:04:12,861 Favorite movies, bands, hometowns. 102 00:04:12,904 --> 00:04:13,688 Small talk. 103 00:04:13,731 --> 00:04:16,473 ♪♪ 104 00:04:16,517 --> 00:04:19,084 ANDREWS: Put some LAPs in the upper-right quadrant. 105 00:04:21,348 --> 00:04:22,262 WOMAN: Here's the Bovie, Dr. Andrews. 106 00:04:22,305 --> 00:04:24,742 Isn't the point of dating 107 00:04:24,786 --> 00:04:27,528 to gather information to determine compatibility? 108 00:04:27,571 --> 00:04:29,225 Retract the omentum. 109 00:04:29,269 --> 00:04:30,879 Sure. 110 00:04:30,922 --> 00:04:33,577 Isn't that best achieved 111 00:04:33,621 --> 00:04:36,232 by finding out what's important to the other person? 112 00:04:36,276 --> 00:04:38,321 WOMAN: Hemostats.[SIGHS] 113 00:04:38,365 --> 00:04:39,888 It's a... It's a process, Shaun, 114 00:04:39,931 --> 00:04:41,019 like peeling an onion. 115 00:04:41,063 --> 00:04:42,891 People are more comfortable 116 00:04:42,934 --> 00:04:44,980 revealing their layers gradually, 117 00:04:45,023 --> 00:04:46,329 as opposed to getting sliced right down the middle. 118 00:04:47,504 --> 00:04:48,897 ANDREWS: I heard Dr. Lim selected you 119 00:04:48,940 --> 00:04:51,029 for the first lead. 120 00:04:51,073 --> 00:04:53,031 I'm guessing you drew a cholecystectomy. 121 00:04:53,075 --> 00:04:54,381 Sponge on a stick. 122 00:04:54,424 --> 00:04:55,730 What's your approach to dissecting... 123 00:04:55,773 --> 00:04:56,818 Retrograde or antegrade? 124 00:04:56,861 --> 00:04:58,210 Antegrade. 125 00:04:58,254 --> 00:04:59,821 Once I've located the porta hepatis. 126 00:04:59,864 --> 00:05:02,606 I think Carly was comfortable. 127 00:05:02,650 --> 00:05:03,912 Why does it matter 128 00:05:03,955 --> 00:05:06,218 what kind of questions are asked when? 129 00:05:06,262 --> 00:05:08,133 Aren't the answers what's important? 130 00:05:08,177 --> 00:05:09,570 I'm sure you're right.Yes. 131 00:05:09,613 --> 00:05:11,746 What is the plan for the next date? 132 00:05:11,789 --> 00:05:13,400 Hmm. 133 00:05:13,443 --> 00:05:16,533 We didn't make another date. 134 00:05:16,577 --> 00:05:18,579 Then I grasp gallbladder fundus 135 00:05:18,622 --> 00:05:20,189 and elevate it which way?S-Superiorly. 136 00:05:20,232 --> 00:05:21,799 Is that significant? 137 00:05:21,843 --> 00:05:22,887 No follow-up date? 138 00:05:22,931 --> 00:05:24,541 Not necessarily. 139 00:05:24,585 --> 00:05:25,847 How did the night end? 140 00:05:25,890 --> 00:05:26,978 Good-night kiss? 141 00:05:27,022 --> 00:05:29,241 I've exposed the triangle of Calot 142 00:05:29,285 --> 00:05:31,722 and ligated the cystic duct and artery. 143 00:05:31,766 --> 00:05:33,289 What is the risk at this juncture? 144 00:05:33,333 --> 00:05:34,986 Lacerating the liver during dissection. Correct. 145 00:05:35,030 --> 00:05:36,336 We didn't kiss. 146 00:05:36,379 --> 00:05:38,076 Ironically, a complication 147 00:05:38,120 --> 00:05:40,818 which I've inadvertently just demonstrated. 148 00:05:40,862 --> 00:05:42,037 Hold direct pressure. 149 00:05:42,080 --> 00:05:43,255 I need better exposure. 150 00:05:43,299 --> 00:05:45,736 I sliced instead of peeled. 151 00:05:45,780 --> 00:05:46,781 ANDREWS: You are familiar with the Pringle procedure, 152 00:05:46,824 --> 00:05:48,217 Dr. Browne? 153 00:05:48,260 --> 00:05:49,174 Yes, although I've never... 154 00:05:49,218 --> 00:05:50,437 Clamp down the portal triad 155 00:05:50,480 --> 00:05:52,526 with an atraumatic hemostat clamp, 156 00:05:52,569 --> 00:05:53,570 then use a number 2 catgut suture. 157 00:05:55,224 --> 00:05:57,226 ♪♪ 158 00:06:02,187 --> 00:06:04,189 ♪♪ 159 00:06:09,325 --> 00:06:12,241 Shaun, just go to her and explain. 160 00:06:12,284 --> 00:06:14,896 If what I said made her uncomfortable, 161 00:06:14,939 --> 00:06:17,246 then saying more could make her more uncomfortable. 162 00:06:17,289 --> 00:06:19,204 I sliced instead of peeled. 163 00:06:20,205 --> 00:06:21,816 After Michelle's surgery, 164 00:06:21,859 --> 00:06:23,905 I will go and talk to Carly. 165 00:06:23,948 --> 00:06:26,342 [SIGHS SHAKILY] Good. 166 00:06:26,386 --> 00:06:28,431 [PAGER BEEPS] 167 00:06:31,129 --> 00:06:33,784 You can talk to her soon. 168 00:06:33,828 --> 00:06:35,351 OR 2 had a cancellation. 169 00:06:35,395 --> 00:06:37,571 Your surgery is in 45 minutes. 170 00:06:39,747 --> 00:06:41,226 [SIGHS] 171 00:06:41,270 --> 00:06:42,445 Hi, I'm Dr. Browne. 172 00:06:42,489 --> 00:06:43,968 I will be performing Michelle's surgery. 173 00:06:44,012 --> 00:06:47,581 ♪♪ 174 00:06:47,624 --> 00:06:49,191 I will be removing her gallbladder. 175 00:06:49,234 --> 00:06:51,454 It is a simple procedure. 176 00:06:51,498 --> 00:06:52,803 We're gonna make sure your daughter 177 00:06:52,847 --> 00:06:54,065 is well taken care of. 178 00:06:55,893 --> 00:06:57,373 MAN: Ow![METAL CLATTERS] 179 00:06:57,417 --> 00:06:59,593 MORGAN: Sir, we need to decapitate it. 180 00:06:59,636 --> 00:07:01,246 MAN: No, don't. I'm begging you. 181 00:07:01,290 --> 00:07:02,683 Don't. 182 00:07:02,726 --> 00:07:03,814 Please. 183 00:07:04,728 --> 00:07:06,077 PARK: I can't get an image. 184 00:07:06,121 --> 00:07:07,165 How did that... 185 00:07:07,209 --> 00:07:08,602 I-Is that a swordfish? 186 00:07:08,645 --> 00:07:10,517 With that dorsal fin? It's a marlin. 187 00:07:10,560 --> 00:07:12,083 I hooked him with a naked ballyhoo. 188 00:07:12,127 --> 00:07:13,911 Battled me for over an hour. 189 00:07:13,955 --> 00:07:16,653 Suddenly, he just leapt out of the water. He came right at me. 190 00:07:16,697 --> 00:07:18,350 Save the story for the bar, Quint. 191 00:07:18,394 --> 00:07:19,874 Right now, we need to cut the damn thing in half. 192 00:07:19,917 --> 00:07:21,658 No. 40-plus years 193 00:07:21,702 --> 00:07:23,051 I've been chasing a fish like this. 194 00:07:23,094 --> 00:07:24,705 You can't just behead him! 195 00:07:24,748 --> 00:07:25,836 Can't leave his nose in your leg, either. 196 00:07:25,880 --> 00:07:27,229 His bill. 197 00:07:28,535 --> 00:07:32,190 Can't you just [SIGHS] pull him out gently? 198 00:07:32,234 --> 00:07:33,409 I'll sign a waiver. 199 00:07:33,453 --> 00:07:34,889 The pull-out method never works. 200 00:07:34,932 --> 00:07:37,848 If any of your blood vessels are damaged, it gets messy. 201 00:07:37,892 --> 00:07:39,415 Congrats. I hear your surgery is on the schedule. 202 00:07:39,459 --> 00:07:40,982 How's his distal pulse? 203 00:07:41,025 --> 00:07:42,157 A little thready, but still there. 204 00:07:42,200 --> 00:07:43,375 We need to get him to an MRI. 205 00:07:43,419 --> 00:07:44,638 I'm not going anywhere without Franklin. 206 00:07:47,249 --> 00:07:48,903 I named him after my father. 207 00:07:48,946 --> 00:07:50,252 You and Franklin both won't fit. 208 00:07:51,340 --> 00:07:52,863 Aah! [GROANS]Oh! Oh! 209 00:07:52,907 --> 00:07:55,344 How? You said he was dead! I didn't take a pulse. 210 00:07:55,387 --> 00:07:56,476 Go get something to kill it. 211 00:07:56,519 --> 00:07:58,434 No, it's dead!It's moving! 212 00:07:58,478 --> 00:07:59,696 It's a postmortem response. 213 00:07:59,740 --> 00:08:01,481 You guys are doctors. Don't people do this? 214 00:08:01,524 --> 00:08:02,482 No! No! 215 00:08:03,831 --> 00:08:04,527 [SIGHS] 216 00:08:08,662 --> 00:08:09,663 I'll help you review at lunch. 217 00:08:09,706 --> 00:08:12,100 Surgery's in 20 minutes. 218 00:08:12,143 --> 00:08:13,971 Good luck.You, too. 219 00:08:14,015 --> 00:08:15,538 [BREATHING HEAVILY] 220 00:08:25,679 --> 00:08:28,377 MICHELLE AND TISHA: I want to... 221 00:08:28,420 --> 00:08:29,465 PATRICIA: No, no, I haven't looked. 222 00:08:29,509 --> 00:08:32,729 TISHA: I want to be... 223 00:08:32,773 --> 00:08:33,817 MICHELLE: Great....great... 224 00:08:33,861 --> 00:08:34,949 Okay. 225 00:08:34,992 --> 00:08:36,385 ...or nothing.Nothing. 226 00:08:36,428 --> 00:08:38,909 Got it. I'll be back as soon as I can. 227 00:08:41,477 --> 00:08:43,392 Hi. You must be Michelle's mother. 228 00:08:43,435 --> 00:08:44,915 I'm Dr. Browne. I'll be... 229 00:08:44,959 --> 00:08:46,438 Yeah. How long will she have to stay in here? 230 00:08:46,482 --> 00:08:48,005 Hospitals make me nervous. 231 00:08:48,049 --> 00:08:50,312 Three days to a week, depending on... 232 00:08:50,355 --> 00:08:52,836 Well, she's gonna miss a lot of school. 233 00:08:52,880 --> 00:08:55,360 And she watches Tisha and her brothers in the afternoon. 234 00:08:55,404 --> 00:08:57,537 Your daughter has a serious infection in her gallbladder. 235 00:08:57,580 --> 00:08:59,277 She's been experiencing symptoms 236 00:08:59,321 --> 00:09:01,279 on and off for a while now. 237 00:09:01,323 --> 00:09:02,542 She never told me that. 238 00:09:03,673 --> 00:09:05,153 Why didn't you tell me that? 239 00:09:06,241 --> 00:09:07,547 Mama...My point is, 240 00:09:07,590 --> 00:09:09,505 she's been ill for a while, 241 00:09:09,549 --> 00:09:10,985 so her recovery may take... 242 00:09:11,028 --> 00:09:13,161 [WEAKLY] Mom. 243 00:09:13,204 --> 00:09:14,554 Mom? 244 00:09:14,597 --> 00:09:17,600 P-Please, my... my chest hurts. 245 00:09:17,644 --> 00:09:18,819 [ALARM CHIRPING]PATRICIA: What's wrong? 246 00:09:18,862 --> 00:09:20,211 Her oxygen levels are dropping. She's tachycardic. 247 00:09:20,255 --> 00:09:22,213 I need a chest CT, stat. 248 00:09:22,692 --> 00:09:25,042 ♪♪ 249 00:09:28,306 --> 00:09:29,830 You had a blood clot 250 00:09:29,873 --> 00:09:31,483 in the artery that feeds your lungs. 251 00:09:31,527 --> 00:09:33,094 It's called a pulmonary embolism. 252 00:09:33,137 --> 00:09:34,791 This medicine broke it up. 253 00:09:34,835 --> 00:09:36,314 How could that happen? 254 00:09:36,358 --> 00:09:37,489 MELENDEZ: According to our scan, 255 00:09:37,533 --> 00:09:38,795 it was part of a larger clot in your leg 256 00:09:38,839 --> 00:09:40,667 that broke off and traveled there. 257 00:09:40,710 --> 00:09:43,060 As for why the larger one formed, 258 00:09:43,104 --> 00:09:45,672 when I asked you if you were taking birth control pills, 259 00:09:45,715 --> 00:09:47,325 you said no. 260 00:09:47,369 --> 00:09:48,370 Was that the truth? 261 00:09:49,850 --> 00:09:52,330 You asked me in front of Tisha. 262 00:09:52,374 --> 00:09:54,681 I'm doing it with my boyfriend, and I don't want babies, 263 00:09:54,724 --> 00:09:56,291 so I'm taking birth control pills. 264 00:09:56,334 --> 00:09:57,422 How long have you been taking them? 265 00:09:57,466 --> 00:09:59,947 I don't know. A year? 266 00:09:59,990 --> 00:10:02,079 I'm prescribing condoms for your boyfriend. 267 00:10:02,123 --> 00:10:04,952 You need to go off the pill to prevent further clots. 268 00:10:04,995 --> 00:10:08,869 Dr. Browne is gonna place an IVC filter via your femoral vein, 269 00:10:08,912 --> 00:10:10,784 in case other parts of the clot break off. 270 00:10:10,827 --> 00:10:11,959 Your gallbladder surgery's gonna have to wait till tomorrow. 271 00:10:13,525 --> 00:10:14,526 [GASPS] What are you doing? 272 00:10:16,137 --> 00:10:17,921 This is where the catheter goes in. 273 00:10:17,965 --> 00:10:19,967 ♪♪ 274 00:10:23,492 --> 00:10:25,494 ♪♪ 275 00:10:29,063 --> 00:10:31,195 How did you get these scars? 276 00:10:31,239 --> 00:10:33,676 I cut myself climbing a fence. 277 00:10:33,720 --> 00:10:35,678 ♪♪ 278 00:10:40,901 --> 00:10:42,206 Those scars... 279 00:10:44,556 --> 00:10:47,342 They're straight, in a row, 280 00:10:47,385 --> 00:10:48,212 all the same length. 281 00:10:50,867 --> 00:10:52,086 I don't believe you got them from a fence. 282 00:10:54,349 --> 00:10:56,264 I don't care what you believe. 283 00:10:59,789 --> 00:11:02,444 [INHALES DEEPLY] 284 00:11:02,487 --> 00:11:04,707 Kids who cut, 285 00:11:04,751 --> 00:11:08,755 most of them are really sad, 286 00:11:08,798 --> 00:11:10,844 in a lot of pain, 287 00:11:10,887 --> 00:11:12,367 and they say cutting makes them feel better. 288 00:11:12,410 --> 00:11:13,716 Is that how it is with you? 289 00:11:15,413 --> 00:11:16,545 I don't want to talk about it. 290 00:11:16,588 --> 00:11:19,548 [SIGHS] 291 00:11:19,591 --> 00:11:20,941 Okay. 292 00:11:37,653 --> 00:11:39,394 [PAPER RUSTLES] 293 00:11:43,050 --> 00:11:44,573 My life sucks, okay? 294 00:11:44,616 --> 00:11:46,749 Tell me how. 295 00:11:46,793 --> 00:11:47,968 Why? 296 00:11:48,969 --> 00:11:50,100 It won't change anything. 297 00:11:52,494 --> 00:11:54,888 Talking might make you feel better, 298 00:11:56,498 --> 00:11:58,108 and maybe I can help. 299 00:12:00,154 --> 00:12:03,810 I live in a foster home, but I'm not a foster kid. 300 00:12:03,853 --> 00:12:06,116 I'm a whole mother, but I've never had a baby. 301 00:12:08,510 --> 00:12:10,904 My mom brought three kids in our home, 302 00:12:10,947 --> 00:12:13,036 and now it's my job to take care of them... 303 00:12:13,080 --> 00:12:15,604 Make breakfast, get the kids dressed, 304 00:12:15,647 --> 00:12:17,040 take them to school, go to school, 305 00:12:17,084 --> 00:12:18,650 pick them up, dinner, homework, laundry. 306 00:12:18,694 --> 00:12:19,739 Repeat. 307 00:12:20,870 --> 00:12:22,437 I barely ever leave the house 308 00:12:22,480 --> 00:12:24,569 without a kid attached to me. 309 00:12:24,613 --> 00:12:26,528 Can you help me with that? 310 00:12:26,571 --> 00:12:29,183 ♪♪ 311 00:12:29,226 --> 00:12:31,011 Michelle wouldn't hurt herself on purpose. 312 00:12:31,054 --> 00:12:32,142 CLAIRE: Michelle is unhappy. 313 00:12:32,186 --> 00:12:33,840 She feels pressure 314 00:12:33,883 --> 00:12:35,363 to look after her foster siblings, 315 00:12:35,406 --> 00:12:36,451 help out at home... 316 00:12:36,494 --> 00:12:37,582 Yeah, her home life is fine. 317 00:12:39,280 --> 00:12:40,847 I'll talk to her. 318 00:12:40,890 --> 00:12:43,153 It might be helpful to have her speak with a psychiatrist. 319 00:12:43,980 --> 00:12:45,199 My daughter is not crazy. 320 00:12:45,242 --> 00:12:46,983 We... We don't do psychiatrists. You know that. 321 00:12:47,027 --> 00:12:48,245 That needs to change. 322 00:12:48,289 --> 00:12:49,812 When are you doing her surgery? 323 00:12:49,856 --> 00:12:50,987 Tomorrow.Thank you. 324 00:12:52,902 --> 00:12:54,382 I will speak to my daughter. 325 00:12:59,039 --> 00:13:01,302 Don't. 326 00:13:01,345 --> 00:13:03,043 It's your job to fix her gallbladder, not her life. 327 00:13:04,261 --> 00:13:05,959 It's your first surgery. 328 00:13:06,002 --> 00:13:06,916 Don't get distracted. 329 00:13:09,876 --> 00:13:12,617 [ALARM BEEPING] 330 00:13:20,538 --> 00:13:21,713 Have you talked to Carly? 331 00:13:21,757 --> 00:13:23,237 [ALARM BEEPING RAPIDLY] 332 00:13:23,280 --> 00:13:24,325 No. 333 00:13:24,368 --> 00:13:25,456 [FLATLINE] 334 00:13:25,500 --> 00:13:26,762 [SIGHS] 335 00:13:26,806 --> 00:13:28,895 Blood pressure is 62/31. 336 00:13:28,938 --> 00:13:30,200 Your patient is in cardiac arrest. 337 00:13:30,244 --> 00:13:31,288 I know. 338 00:13:31,332 --> 00:13:32,681 [ALARM BEEPING] 339 00:13:32,724 --> 00:13:35,815 You're practicing the Pringle maneuver 340 00:13:35,858 --> 00:13:37,425 in the event of a liver bleed? 341 00:13:37,468 --> 00:13:39,340 Yes. 342 00:13:39,383 --> 00:13:40,602 [BEEPING STOPS] 343 00:13:40,645 --> 00:13:41,690 [EXHALES SHARPLY] 344 00:13:41,733 --> 00:13:43,823 That was better. Thanks. 345 00:13:43,866 --> 00:13:45,607 Now you can talk to Carly. 346 00:13:45,650 --> 00:13:46,913 I need to practice. 347 00:13:49,567 --> 00:13:50,699 [ALARM BEEPING] 348 00:13:50,742 --> 00:13:53,441 Dr. Lim says 349 00:13:53,484 --> 00:13:56,966 getting away from things every now and again, 350 00:13:57,010 --> 00:13:59,490 having balance in our lives 351 00:13:59,534 --> 00:14:03,364 can be just as important to our performance as practice. 352 00:14:03,407 --> 00:14:06,454 Maybe you should get some balance by talking to Carly. 353 00:14:06,497 --> 00:14:07,542 I don't know. 354 00:14:07,585 --> 00:14:09,326 [BEEPING STOPS][SIGHS] 355 00:14:09,370 --> 00:14:11,328 I'm nervous about my surgery, Shaun. 356 00:14:11,372 --> 00:14:13,069 Practice will make me less nervous. 357 00:14:13,113 --> 00:14:15,115 That will improve my performance. 358 00:14:17,204 --> 00:14:17,987 Okay. 359 00:14:21,164 --> 00:14:22,557 Okay. 360 00:14:22,600 --> 00:14:23,993 [ALARM BEEPING] 361 00:14:24,037 --> 00:14:26,517 You should also practice not causing a liver bleed. 362 00:14:26,561 --> 00:14:29,172 Planning on it. 363 00:14:29,216 --> 00:14:34,221 Also, how you will recover if you cut the portal vein. 364 00:14:34,264 --> 00:14:37,050 That's potentially fatal. 365 00:14:37,093 --> 00:14:39,966 Or if you perforate the small bowel, 366 00:14:40,009 --> 00:14:42,098 which could cause sepsis, leading to death. 367 00:14:42,142 --> 00:14:44,753 Or if you cut the common bile duct, 368 00:14:44,796 --> 00:14:46,102 which would cause...I'm gonna go talk to Carly. 369 00:14:46,146 --> 00:14:47,756 Right now? Right now. 370 00:14:47,799 --> 00:14:49,845 Aren't you still nervous?Nope, all better. 371 00:14:49,889 --> 00:14:53,327 ♪♪ 372 00:14:53,370 --> 00:14:54,632 MORGAN: What blade for the Kocher? 373 00:14:54,676 --> 00:14:56,199 What? 374 00:14:56,243 --> 00:14:58,854 Incision for the chole... what blade? 375 00:14:58,898 --> 00:14:59,986 Uh... 376 00:15:02,423 --> 00:15:04,164 10. Mm-hmm. 377 00:15:05,687 --> 00:15:08,081 No, they won't both fit in the MRI. 378 00:15:08,124 --> 00:15:10,648 Fish Boy doesn't buy it. 379 00:15:10,692 --> 00:15:12,128 Location of the incision. 380 00:15:14,478 --> 00:15:15,958 Why are you trying to help me? 381 00:15:16,002 --> 00:15:17,873 Lim picked you for the first surgery. 382 00:15:17,917 --> 00:15:19,744 Everyone knows that makes you 383 00:15:19,788 --> 00:15:21,442 the front-runner for Chief Resident. 384 00:15:21,485 --> 00:15:22,922 This is me sucking up. 385 00:15:25,098 --> 00:15:26,360 I've never been big on pretense... 386 00:15:26,403 --> 00:15:27,970 [BANGS][SCREAMS] 387 00:15:30,581 --> 00:15:31,974 Are you okay? 388 00:15:32,018 --> 00:15:33,106 What the hell just happened? 389 00:15:33,149 --> 00:15:34,846 [BREATHING HEAVILY] 390 00:15:34,890 --> 00:15:36,413 The marlin must have had metal in his body... 391 00:15:36,457 --> 00:15:37,588 Lures and stuff. 392 00:15:37,632 --> 00:15:39,721 I think a license plate flew by me. 393 00:15:39,764 --> 00:15:41,418 Franklin! 394 00:15:41,462 --> 00:15:42,767 Oh, no! 395 00:15:42,811 --> 00:15:43,899 Franklin! 396 00:15:43,943 --> 00:15:46,423 ♪♪ 397 00:15:46,467 --> 00:15:48,338 Oh, it's okay. 398 00:15:48,382 --> 00:15:49,426 Franklin's okay. 399 00:15:49,470 --> 00:15:51,124 It all came out one side. 400 00:15:52,690 --> 00:15:53,822 It won't show when I mount him. 401 00:15:55,824 --> 00:15:57,130 Well, thank goodness for small miracles. 402 00:15:57,173 --> 00:15:58,218 Ooh. Oh! 403 00:15:58,261 --> 00:15:59,349 Ow! 404 00:15:59,393 --> 00:16:00,089 Oh! Ah! 405 00:16:01,177 --> 00:16:02,222 [GROANS] 406 00:16:02,265 --> 00:16:05,007 ♪♪ 407 00:16:05,051 --> 00:16:06,182 I've got his femoral. 408 00:16:06,226 --> 00:16:07,270 Call the OR. We're coming. 409 00:16:07,314 --> 00:16:12,275 ♪♪ 410 00:16:12,319 --> 00:16:17,498 ♪♪ 411 00:16:17,541 --> 00:16:19,239 LIM: Hang on, Dr. Browne. 412 00:16:19,282 --> 00:16:20,718 Just need to make an incision 413 00:16:20,762 --> 00:16:23,852 above and below the arterial injury site. 414 00:16:23,895 --> 00:16:25,941 We need to clamp the femoral proximal to the bleed 415 00:16:25,985 --> 00:16:27,725 without clipping the femoral nerve. 416 00:16:27,769 --> 00:16:30,424 Got it. I feel the nerve right above my index finger. 417 00:16:30,467 --> 00:16:31,816 One down. 418 00:16:31,860 --> 00:16:33,470 My hand is starting to cramp. 419 00:16:33,514 --> 00:16:34,994 Lean over this way a little bit. Rotate your wrist. 420 00:16:35,037 --> 00:16:37,431 [GROANS]Just a little bit more. 421 00:16:37,474 --> 00:16:39,476 ♪♪ 422 00:16:39,520 --> 00:16:40,782 Let's see if that holds. 423 00:16:40,825 --> 00:16:43,741 ♪♪ 424 00:16:43,785 --> 00:16:46,309 [INHALES SHARPLY] 425 00:16:46,353 --> 00:16:48,094 [MONITORS BEEPING STEADILY] 426 00:16:50,357 --> 00:16:51,836 [CHUCKLES] 427 00:16:51,880 --> 00:16:53,664 Go get cleaned up. We'll take it from here. 428 00:16:53,708 --> 00:16:57,016 ♪♪ 429 00:16:59,235 --> 00:17:00,497 [INHALES DEEPLY] 430 00:17:00,541 --> 00:17:03,326 [DOOR OPENS] 431 00:17:03,370 --> 00:17:05,285 I wanted to check the patient's bloodwork. 432 00:17:05,328 --> 00:17:07,243 He's negative for HIV, Hep B and C. 433 00:17:07,287 --> 00:17:09,158 You don't need prophylactic meds. 434 00:17:12,074 --> 00:17:14,424 I'm nervous about my surgery. 435 00:17:15,817 --> 00:17:17,253 You'll be fine. 436 00:17:19,081 --> 00:17:20,169 And don't ever say that again. 437 00:17:21,388 --> 00:17:23,564 Why? 438 00:17:23,607 --> 00:17:25,435 Weren't you nervous before your first lead? 439 00:17:25,479 --> 00:17:26,567 If I was, 440 00:17:26,610 --> 00:17:28,264 I didn't volunteer that to the Chief of Surgery... 441 00:17:29,265 --> 00:17:31,137 Or anyone. 442 00:17:31,180 --> 00:17:32,486 We're women, we're not white, 443 00:17:32,529 --> 00:17:33,922 and we're surgeons. 444 00:17:33,965 --> 00:17:36,751 Unicorns consider us a fabled species. 445 00:17:36,794 --> 00:17:39,058 We don't get the luxury of public insecurity. 446 00:17:40,711 --> 00:17:43,801 I will aspire to repressed stoicism in the future. 447 00:17:43,845 --> 00:17:46,065 We don't need to be insecure, 448 00:17:46,108 --> 00:17:47,805 because every step of the way, 449 00:17:47,849 --> 00:17:50,069 we've had to be twice as good as everybody else. 450 00:17:51,157 --> 00:17:52,549 Suck it up. 451 00:17:52,593 --> 00:17:54,595 You got this. 452 00:17:54,638 --> 00:17:59,687 ♪♪ 453 00:17:59,730 --> 00:18:01,732 ♪♪ 454 00:18:07,564 --> 00:18:11,829 [ALARM BEEPING] 455 00:18:11,873 --> 00:18:13,831 [SWITCH CLICKS, BEEPING STOPS] 456 00:18:13,875 --> 00:18:18,532 ♪♪ 457 00:18:18,575 --> 00:18:23,189 ♪♪ 458 00:18:23,232 --> 00:18:25,191 [COMPUTER BEEPS] 459 00:18:25,234 --> 00:18:31,240 ♪♪ 460 00:18:35,026 --> 00:18:37,072 [BIRDS CHIRPING] 461 00:18:42,208 --> 00:18:45,689 Don't forget we have our session with Dr. Donovan today. 462 00:18:45,733 --> 00:18:46,951 I won't. 463 00:18:54,916 --> 00:18:56,918 Your patient. Mm-hmm. 464 00:18:56,961 --> 00:18:58,789 What are they like? 465 00:18:58,833 --> 00:19:01,227 Man, woman, young, old? 466 00:19:01,270 --> 00:19:04,012 Woman. 467 00:19:04,055 --> 00:19:06,754 Girl, actually. 468 00:19:06,797 --> 00:19:11,541 She's tough, smart... really sad. 469 00:19:13,326 --> 00:19:15,763 Her mom has her taking care of three foster kids. 470 00:19:18,592 --> 00:19:20,159 At least you were only stuck looking after me. 471 00:19:25,990 --> 00:19:27,166 How old? 472 00:19:27,209 --> 00:19:29,124 14. 473 00:19:29,168 --> 00:19:32,823 Although she acts a lot older. 474 00:19:32,867 --> 00:19:34,390 She's been having sex for almost a year. 475 00:19:36,131 --> 00:19:38,394 Well, you were about that age when you were with Wayne. 476 00:19:39,700 --> 00:19:41,963 I didn't have sex with Wayne.What? 477 00:19:42,006 --> 00:19:43,704 He was in love with you, 478 00:19:43,747 --> 00:19:46,141 always sniffing around our place. 479 00:19:46,185 --> 00:19:47,273 Maybe. He didn't get any. 480 00:19:47,316 --> 00:19:48,404 So, who? 481 00:19:48,448 --> 00:19:50,276 Junior prom guy... Derek. 482 00:19:50,319 --> 00:19:51,625 Der... No. 483 00:19:51,668 --> 00:19:53,148 [SCOFFS] 484 00:19:53,192 --> 00:19:55,803 I didn't lose my virginity 485 00:19:55,846 --> 00:19:58,632 until sophomore year of college. 486 00:19:58,675 --> 00:20:00,416 What were you hoping for, a proposal? 487 00:20:00,460 --> 00:20:01,461 No. 488 00:20:03,332 --> 00:20:05,073 I wanted it to be special. 489 00:20:07,206 --> 00:20:08,250 [SNIFFS] 490 00:20:08,294 --> 00:20:10,818 Oh, good for you. [CHUCKLES] 491 00:20:10,861 --> 00:20:11,993 I mean, I wouldn't have held out... 492 00:20:12,036 --> 00:20:13,429 No....but good for you. 493 00:20:13,473 --> 00:20:15,823 I thought for sure you and Wayne were doing it. 494 00:20:18,086 --> 00:20:19,696 You were okay with that? 495 00:20:19,740 --> 00:20:21,611 You were so serious. 496 00:20:21,655 --> 00:20:23,396 So restrained. 497 00:20:23,439 --> 00:20:25,963 We talked about birth control. 498 00:20:26,007 --> 00:20:27,487 I figured, "Good for her. 499 00:20:27,530 --> 00:20:29,880 She's finally relaxing, having some fun." 500 00:20:34,015 --> 00:20:37,497 Well, I was so restrained and serious 501 00:20:37,540 --> 00:20:39,238 'cause I never knew when you were gonna fall apart. 502 00:20:42,371 --> 00:20:44,939 [SMACKS LIPS] 503 00:20:44,982 --> 00:20:45,896 Got to get to work. 504 00:20:45,940 --> 00:20:48,551 [LAPTOP LID THUDS] 505 00:20:48,595 --> 00:20:50,249 [INDISTINCT CONVERSATIONS] 506 00:20:55,906 --> 00:20:58,169 I'll be back before Michelle goes into surgery. 507 00:20:58,213 --> 00:20:59,475 Have you had a chance to talk to her 508 00:20:59,519 --> 00:21:01,608 about her cutting? 509 00:21:01,651 --> 00:21:04,654 Oh, yeah, some fool friend of hers gave her the idea. 510 00:21:04,698 --> 00:21:06,700 She's not unhappy. It's just peer pressure. 511 00:21:06,743 --> 00:21:08,441 She sounded unhappy to me. 512 00:21:08,484 --> 00:21:11,095 She's upset I didn't let her go hang out with her friends. 513 00:21:11,139 --> 00:21:12,880 It's typical teen drama. 514 00:21:12,923 --> 00:21:14,490 She promised me she's done cutting. 515 00:21:14,534 --> 00:21:16,362 Self-harming behavior doesn't just stop. 516 00:21:16,405 --> 00:21:18,668 Michelle might need...Dr. Browne. 517 00:21:18,712 --> 00:21:20,235 My daughter needs to have surgery 518 00:21:20,279 --> 00:21:21,454 and get out of this hospital. 519 00:21:35,424 --> 00:21:37,296 You didn't tell your mom the truth 520 00:21:37,339 --> 00:21:40,342 about why you cut yourself, 521 00:21:40,386 --> 00:21:41,604 about how unhappy you are. 522 00:21:41,648 --> 00:21:43,214 I tried. 523 00:21:43,258 --> 00:21:44,520 She didn't want to hear it, 524 00:21:44,564 --> 00:21:46,914 just said that things aren't always gonna go my way 525 00:21:46,957 --> 00:21:49,003 and I need to be more responsible. 526 00:21:49,046 --> 00:21:50,700 Like I'm not already. 527 00:22:04,105 --> 00:22:06,977 Growing up, I had to take care of my mom. 528 00:22:07,021 --> 00:22:08,152 What was wrong with her? 529 00:22:08,196 --> 00:22:09,806 She's mentally ill. 530 00:22:09,850 --> 00:22:11,417 Bipolar disorder 531 00:22:11,460 --> 00:22:14,158 and a drinking problem, pills. 532 00:22:14,202 --> 00:22:15,377 When things were bad, 533 00:22:15,421 --> 00:22:18,467 she'd forget to buy groceries 534 00:22:18,511 --> 00:22:21,818 or clean the trailer or pick me up. 535 00:22:21,862 --> 00:22:25,866 Or she'd spend all our rent on something stupid. 536 00:22:25,909 --> 00:22:28,347 [SCOFFS SOFTLY] And I thought 537 00:22:28,390 --> 00:22:31,654 if I could make her life easy enough... 538 00:22:31,698 --> 00:22:35,049 If I cooked and cleaned and got good grades... 539 00:22:35,092 --> 00:22:37,094 Then she'd get better. 540 00:22:37,138 --> 00:22:39,053 But she never did. 541 00:22:39,096 --> 00:22:41,621 And for the longest time, 542 00:22:41,664 --> 00:22:43,797 I thought it was my fault she was sick. 543 00:22:43,840 --> 00:22:46,756 And I probably still would 544 00:22:46,800 --> 00:22:49,411 if a psychiatrist hadn't refused to believe me 545 00:22:49,455 --> 00:22:52,458 when I said I was fine. 546 00:22:54,285 --> 00:22:55,809 You've been to a psychiatrist? 547 00:22:55,852 --> 00:22:59,508 ♪♪ 548 00:22:59,552 --> 00:23:01,945 But you're, like, a fancy surgeon. 549 00:23:04,600 --> 00:23:07,603 ♪♪ 550 00:23:07,647 --> 00:23:09,692 I could have a therapist come by and see you 551 00:23:09,736 --> 00:23:10,693 before your surgery. 552 00:23:10,737 --> 00:23:16,786 ♪♪ 553 00:23:16,830 --> 00:23:22,705 ♪♪ 554 00:23:22,749 --> 00:23:24,228 Okay. 555 00:23:24,272 --> 00:23:28,581 ♪♪ 556 00:23:28,624 --> 00:23:31,322 [INDISTINCT CONVERSATIONS] 557 00:23:40,984 --> 00:23:42,682 MORGAN: He should be getting better. 558 00:23:42,725 --> 00:23:44,858 It's got to be an infection from the marlin. 559 00:23:44,901 --> 00:23:47,513 Aeromonas or mycobacterium marinum. 560 00:23:47,556 --> 00:23:49,515 Would've responded to the antibiotics. 561 00:23:49,558 --> 00:23:52,605 Guys, I'm trying to focus. 562 00:23:52,648 --> 00:23:56,347 What if he has an underlying autoimmune disorder? 563 00:23:56,391 --> 00:23:57,740 It could've been triggered by the surgery 564 00:23:57,784 --> 00:23:59,873 or even the initial fish stabbing. 565 00:23:59,916 --> 00:24:02,179 It would explain why the leg ulcerations are progressing 566 00:24:02,223 --> 00:24:03,485 despite good arterial flow. 567 00:24:03,529 --> 00:24:05,835 We could see if he responds to steroids. 568 00:24:05,879 --> 00:24:08,229 Which could kill him if it is an infection. 569 00:24:08,272 --> 00:24:12,799 ♪♪ 570 00:24:12,842 --> 00:24:14,844 But we could run an ANA, see if he's positive. 571 00:24:16,106 --> 00:24:17,543 What about a parasite? 572 00:24:17,586 --> 00:24:20,328 Rhinosporidium seeberi or a gill worm. 573 00:24:20,371 --> 00:24:22,069 Have you talked to Carly? 574 00:24:22,112 --> 00:24:23,549 [SIGHS] Sorry. 575 00:24:23,592 --> 00:24:25,333 I got sidetracked by a marlin. 576 00:24:25,376 --> 00:24:28,858 ♪♪ 577 00:24:28,902 --> 00:24:30,860 [PAGER BEEPS] 578 00:24:30,904 --> 00:24:33,123 ♪♪ 579 00:24:38,607 --> 00:24:39,782 [KNOCK ON DOOR] 580 00:24:39,826 --> 00:24:41,044 LIM: Come in. 581 00:24:41,088 --> 00:24:43,438 You wanted to see me? 582 00:24:43,482 --> 00:24:45,788 Ms. Reynolds tells me that you went against her wishes 583 00:24:45,832 --> 00:24:47,529 and had her daughter speak with a psychiatrist. 584 00:24:48,835 --> 00:24:53,187 Uh, Michelle asked to see a therapist. 585 00:24:53,230 --> 00:24:55,711 Only after you talked her into it. 586 00:24:55,755 --> 00:24:57,365 I'm gonna report you to the medical board. 587 00:24:57,408 --> 00:24:58,497 You had no right... 588 00:24:58,540 --> 00:25:00,673 Dr. Browne, were you concerned 589 00:25:00,716 --> 00:25:02,109 that Michelle might be a serious danger to herself? 590 00:25:02,979 --> 00:25:04,372 Yes. 591 00:25:04,415 --> 00:25:05,939 In that case, the consult was required. 592 00:25:05,982 --> 00:25:07,636 That said, 593 00:25:07,680 --> 00:25:11,118 Dr. Browne's failure to inform you was inappropriate. 594 00:25:11,161 --> 00:25:12,598 You're off the case. 595 00:25:12,641 --> 00:25:15,078 Dr. Melendez will perform the surgery. 596 00:25:15,122 --> 00:25:19,387 ♪♪ 597 00:25:24,566 --> 00:25:26,176 DR. DONOVAN: How are you doing? 598 00:25:27,221 --> 00:25:28,701 Claire? 599 00:25:28,744 --> 00:25:30,311 I understand today's a big day for you. 600 00:25:30,354 --> 00:25:32,269 Your first surgery. 601 00:25:32,313 --> 00:25:33,183 We don't need to talk about that. 602 00:25:33,227 --> 00:25:35,838 Hmm, I think we do. 603 00:25:35,882 --> 00:25:37,971 You've been taking care of your mother for a long time. 604 00:25:38,014 --> 00:25:40,364 That's a pattern you both need to break out of. 605 00:25:43,324 --> 00:25:44,847 I know I haven't always been there for you, 606 00:25:44,891 --> 00:25:46,719 and I just... I... [SIGHS] 607 00:25:46,762 --> 00:25:47,807 I'm trying to change that. 608 00:25:47,850 --> 00:25:49,460 I know, Mom. 609 00:25:49,504 --> 00:25:50,592 I'm good. Everything is fine. 610 00:25:50,636 --> 00:25:51,767 DR. DONOVAN: And your first surgery? 611 00:25:51,811 --> 00:25:53,813 Is that this afternoon? 612 00:25:53,856 --> 00:25:54,553 It's... 613 00:25:56,729 --> 00:25:57,991 Actually, it's not. 614 00:25:58,034 --> 00:25:59,514 Um... 615 00:25:59,558 --> 00:26:00,820 [SIGHS] 616 00:26:00,863 --> 00:26:02,604 I arranged a psych consult 617 00:26:02,648 --> 00:26:04,650 without the mother's permission, 618 00:26:04,693 --> 00:26:06,608 so I got thrown off the case. 619 00:26:06,652 --> 00:26:08,088 How could the hospital allow that? 620 00:26:08,131 --> 00:26:09,219 What is wrong with them? 621 00:26:09,263 --> 00:26:10,612 After how hard you've worked, I just... 622 00:26:10,656 --> 00:26:13,049 It's okay, Mom. They kind of had to. 623 00:26:13,093 --> 00:26:14,137 That must be a big disappointment... 624 00:26:14,181 --> 00:26:15,574 It is. 625 00:26:19,229 --> 00:26:20,753 Anything else, Claire? 626 00:26:23,451 --> 00:26:25,758 [SIGHS] I'm upset, humiliated, 627 00:26:27,586 --> 00:26:30,850 so, so mad at my patient's mother 628 00:26:30,893 --> 00:26:32,329 for not taking care of her daughter. 629 00:26:32,373 --> 00:26:35,681 [INHALES SHAKILY, SIGHS] 630 00:26:35,724 --> 00:26:37,944 And I... I'm relieved. 631 00:26:37,987 --> 00:26:40,642 I'm so, so relieved to have that weight off of me, 632 00:26:40,686 --> 00:26:42,296 and that makes me feel like a fraud. 633 00:26:42,339 --> 00:26:43,384 Don't you say that. 634 00:26:43,427 --> 00:26:44,820 How can I be so scared 635 00:26:44,864 --> 00:26:47,823 to do something I've wanted for so long? 636 00:26:47,867 --> 00:26:50,478 Because things that matter are scary. 637 00:26:52,045 --> 00:26:54,830 That's how I feel about coming here, 638 00:26:54,874 --> 00:26:57,659 talking about my life and our relationship. 639 00:26:59,182 --> 00:27:00,096 What if I can't fix it? 640 00:27:02,490 --> 00:27:03,709 What if I can't make up 641 00:27:03,752 --> 00:27:05,624 for all the times I've let you down? 642 00:27:07,582 --> 00:27:08,801 And then I think... 643 00:27:11,499 --> 00:27:13,675 ..."Just be like Claire." 644 00:27:13,719 --> 00:27:17,723 ♪♪ 645 00:27:17,766 --> 00:27:21,509 Because nothing stops you... ever. 646 00:27:21,552 --> 00:27:23,032 You see what you want, 647 00:27:23,076 --> 00:27:25,426 and you go after it with everything you've got. 648 00:27:25,469 --> 00:27:27,341 ♪♪ 649 00:27:27,384 --> 00:27:28,864 You are an inspiration. 650 00:27:31,345 --> 00:27:33,042 You're myinspiration. 651 00:27:33,086 --> 00:27:35,001 ♪♪ 652 00:27:40,310 --> 00:27:41,747 [CLAIRE SIGHS] 653 00:27:41,790 --> 00:27:46,055 ♪♪ 654 00:27:46,099 --> 00:27:47,404 Carly? 655 00:27:47,448 --> 00:27:48,841 Hi. Do you have a second? 656 00:27:48,884 --> 00:27:50,103 OR 2 is waiting to learn 657 00:27:50,146 --> 00:27:52,409 the patient's mass wasn't cancerous so they can close. 658 00:27:52,453 --> 00:27:53,280 I can come back after. 659 00:27:53,323 --> 00:27:54,411 I'll be at the cafe? 660 00:27:54,455 --> 00:27:56,065 Mm-hmm. Okay. 661 00:27:56,109 --> 00:27:58,677 WOMAN OVER P.A.: Anesthesiology, line 271. 662 00:27:58,720 --> 00:28:01,723 Anesthesiology, call line 271. 663 00:28:01,767 --> 00:28:06,641 ♪♪ 664 00:28:06,685 --> 00:28:08,121 Cancer. 665 00:28:08,164 --> 00:28:09,949 The marlin guy has cancer. 666 00:28:09,992 --> 00:28:11,864 CT chest, abdomen, and pelvis showed no masses. 667 00:28:11,907 --> 00:28:13,648 [TELEPHONE RINGING]It's in his leg. 668 00:28:13,692 --> 00:28:15,345 It explains progressive ulcerations 669 00:28:15,389 --> 00:28:16,782 despite good arterial flow. 670 00:28:16,825 --> 00:28:18,827 And why the antibiotics aren't working.[SIGHS] 671 00:28:18,871 --> 00:28:20,394 We'll send a tissue sample from the ulcerated area. 672 00:28:22,875 --> 00:28:25,181 And when I'mChief Resident, I'll remember this. 673 00:28:26,487 --> 00:28:27,923 [CHUCKLES SOFTLY] 674 00:28:29,620 --> 00:28:30,534 There's a problem with Michelle. 675 00:28:30,578 --> 00:28:31,753 MICHELLE: I'm not doing it! 676 00:28:31,797 --> 00:28:33,233 PATRICIA: You need to calm down. 677 00:28:33,276 --> 00:28:34,800 You don't get to tell me what to do! 678 00:28:34,843 --> 00:28:36,366 I want Dr. Browne! 679 00:28:36,410 --> 00:28:37,716 CLAIRE: Michelle? What's going on? 680 00:28:37,759 --> 00:28:39,892 I want you to do my surgery. 681 00:28:39,935 --> 00:28:41,545 I want her, Mama, not somebody else. 682 00:28:41,589 --> 00:28:43,547 Dr. Melendez is gonna do your surgery. 683 00:28:43,591 --> 00:28:44,679 He is a great doctor. 684 00:28:44,723 --> 00:28:45,898 He's not you. 685 00:28:45,941 --> 00:28:47,203 Y-You care about me. 686 00:28:47,247 --> 00:28:49,292 Everybody here cares about you, Michelle. 687 00:28:49,336 --> 00:28:51,468 Now, please sit down. You could rupture your gallbladder. 688 00:28:51,512 --> 00:28:53,644 I-I-I don't want to get better. 689 00:28:53,688 --> 00:28:55,734 Don't say that.It's the truth! 690 00:28:55,777 --> 00:28:57,257 CLAIRE: Michelle, you need this surgery. 691 00:28:57,300 --> 00:28:59,389 That is all that matters... not whether I do it. 692 00:28:59,433 --> 00:29:01,217 ♪♪ 693 00:29:02,436 --> 00:29:03,959 I'm gonna be there. 694 00:29:04,003 --> 00:29:05,395 I will be watching from the gallery 695 00:29:05,439 --> 00:29:06,527 the whole time. 696 00:29:09,225 --> 00:29:12,185 You just... You need... You need to sit down. 697 00:29:12,228 --> 00:29:13,926 ♪♪ 698 00:29:13,969 --> 00:29:15,797 [SIGHS] 699 00:29:15,841 --> 00:29:21,194 ♪♪ 700 00:29:21,237 --> 00:29:23,065 [P.A. SYSTEM BEEPS] 701 00:29:23,109 --> 00:29:25,764 [INDISTINCT ANNOUNCEMENT OVER P.A. SYSTEM] 702 00:29:25,807 --> 00:29:26,982 The kid okay? 703 00:29:28,854 --> 00:29:30,725 I had to pull you off. 704 00:29:30,769 --> 00:29:32,988 If you made even the tiniest misstep during surgery, 705 00:29:33,032 --> 00:29:34,903 that mom would go from threat to lawsuit. 706 00:29:38,211 --> 00:29:40,213 Is Patricia okay with me watching from the gallery? 707 00:29:40,256 --> 00:29:41,344 No. 708 00:29:43,346 --> 00:29:44,652 You can't remove her gallbladder from the gallery. 709 00:29:45,784 --> 00:29:46,828 What? 710 00:29:46,872 --> 00:29:48,961 You're doing Michelle's surgery. 711 00:29:49,004 --> 00:29:51,746 How'd you get the mom to change her mind? 712 00:29:51,790 --> 00:29:54,705 I explained that, given Dr. Browne's commitment to her daughter, 713 00:29:54,749 --> 00:29:56,925 she's the perfect choice to lead the surgery. 714 00:29:56,969 --> 00:29:58,884 Especially with me over her shoulder the whole time. 715 00:30:02,104 --> 00:30:03,671 Thank you for fighting for me. 716 00:30:03,714 --> 00:30:04,672 That's what bosses do. 717 00:30:04,715 --> 00:30:05,891 Let's go. 718 00:30:05,934 --> 00:30:11,113 ♪♪ 719 00:30:11,157 --> 00:30:16,292 ♪♪ 720 00:30:16,336 --> 00:30:18,773 You stood me up. Sorry about that. 721 00:30:18,817 --> 00:30:20,557 What's up? 722 00:30:20,601 --> 00:30:23,082 Shaun's a little worried he may have freaked you out 723 00:30:23,125 --> 00:30:25,693 with his...questionnaire the other night. 724 00:30:25,736 --> 00:30:27,347 Oh, I thought it was cool. 725 00:30:27,390 --> 00:30:28,739 Small talk bores the hell out of me. 726 00:30:28,783 --> 00:30:30,480 Well, then, great. 727 00:30:30,524 --> 00:30:32,395 I'll tell him. 728 00:30:32,439 --> 00:30:34,920 Shaun got worried about that all on his own? 729 00:30:34,963 --> 00:30:35,877 That doesn't seem like him. 730 00:30:37,444 --> 00:30:39,141 I may have mentioned 731 00:30:39,185 --> 00:30:41,796 that people don't usually ask deeply personal questions 732 00:30:41,840 --> 00:30:42,841 on an early date. [CHUCKLES] 733 00:30:45,147 --> 00:30:46,932 Claire, I like you, 734 00:30:46,975 --> 00:30:48,411 but we don't really know each other. 735 00:30:48,455 --> 00:30:50,370 And yet you decided 736 00:30:50,413 --> 00:30:52,720 how I was going to react to Shaun's questions, 737 00:30:52,763 --> 00:30:55,070 which isn't your business. 738 00:30:55,114 --> 00:30:56,332 And you were wrong... 739 00:30:56,376 --> 00:30:59,161 Totally, totally wrong. 740 00:30:59,205 --> 00:31:01,685 Shaun and I don't need you or anyone else 741 00:31:01,729 --> 00:31:05,080 to run interference on our relationship. 742 00:31:05,124 --> 00:31:06,212 Butt out. 743 00:31:16,700 --> 00:31:18,702 ♪♪ 744 00:31:25,753 --> 00:31:27,755 ♪♪ 745 00:31:34,805 --> 00:31:35,632 [CAMERA SHUTTER CLICKS] 746 00:31:35,676 --> 00:31:37,678 ♪♪ 747 00:31:43,292 --> 00:31:45,338 ♪♪ 748 00:31:55,348 --> 00:32:00,657 ♪♪ 749 00:32:00,701 --> 00:32:06,446 ♪♪ 750 00:32:06,489 --> 00:32:08,448 CLAIRE: Is everybody ready for a Time Out? 751 00:32:08,491 --> 00:32:10,711 ♪♪ 752 00:32:10,754 --> 00:32:14,193 Dr. Claire Browne, lead surgeon. 753 00:32:14,236 --> 00:32:16,021 Dr. Neil Melendez, attending surgeon. 754 00:32:16,064 --> 00:32:18,937 Dr. Shaun Murphy, assisting. 755 00:32:18,980 --> 00:32:22,027 Dr. Jan Lancaster, anesthesia. 756 00:32:22,070 --> 00:32:24,116 Donna Petringa, scrub nurse. 757 00:32:24,159 --> 00:32:26,814 Shani Walden, circulating nurse. 758 00:32:26,857 --> 00:32:28,990 Patient is Michelle Reynolds. 759 00:32:29,034 --> 00:32:31,471 We will be performing an open cholecystectomy. 760 00:32:31,514 --> 00:32:34,039 All tools I need are confirmed to be present. 761 00:32:34,082 --> 00:32:36,780 Estimated blood loss, 100 cc. 762 00:32:36,824 --> 00:32:39,000 Patient will go to the ICU after surgery. 763 00:32:39,044 --> 00:32:40,610 Is everybody in agreement? 764 00:32:42,961 --> 00:32:45,093 Dr. Murphy, have you ChloraPrepped the site? 765 00:32:45,615 --> 00:32:46,747 I have. 766 00:32:48,053 --> 00:32:49,141 10 blade. 767 00:32:49,184 --> 00:32:51,404 ♪♪ 768 00:32:51,447 --> 00:32:54,276 [STEADY HEARTBEAT] 769 00:32:54,320 --> 00:32:56,191 ♪♪ 770 00:33:02,589 --> 00:33:05,113 ♪♪ 771 00:33:10,901 --> 00:33:13,165 ♪♪ 772 00:33:19,475 --> 00:33:20,346 Sponge. 773 00:33:20,389 --> 00:33:22,391 ♪♪ 774 00:33:28,136 --> 00:33:30,095 Top layer of abdominal muscle is exposed. 775 00:33:30,138 --> 00:33:31,400 I'll need a Bovie to cut through. 776 00:33:31,444 --> 00:33:36,623 ♪♪ 777 00:33:36,666 --> 00:33:42,107 ♪♪ 778 00:33:42,150 --> 00:33:48,939 ♪♪ 779 00:33:48,983 --> 00:33:50,593 Nice work, Dr. Browne. 780 00:33:50,637 --> 00:33:53,988 ♪♪ 781 00:33:54,032 --> 00:33:55,337 Bookwalter Retractor. 782 00:33:55,381 --> 00:33:57,383 ♪♪ 783 00:34:02,823 --> 00:34:04,433 I see the liver, 784 00:34:04,477 --> 00:34:06,696 and I need to better expose the inferior surface. 785 00:34:06,740 --> 00:34:08,307 Retract the duodenum inferiorly, please. 786 00:34:12,441 --> 00:34:14,487 Gallbladder exposed. 787 00:34:14,530 --> 00:34:16,532 ♪♪ 788 00:34:24,062 --> 00:34:25,411 Dr. Browne? 789 00:34:28,066 --> 00:34:30,546 There is more scarring than the imaging suggested. 790 00:34:30,590 --> 00:34:31,939 True. 791 00:34:32,983 --> 00:34:36,335 ♪♪ 792 00:34:36,378 --> 00:34:37,727 Talk through your approach. 793 00:34:37,771 --> 00:34:40,600 [BREATHES DEEPLY] 794 00:34:40,643 --> 00:34:44,908 I...grasp the gallbladder fundus forward 795 00:34:44,952 --> 00:34:47,302 and use a right-angle clamp in my suction 796 00:34:47,346 --> 00:34:49,957 to develop a plane around the gallbladder. 797 00:34:50,000 --> 00:34:51,393 Kelly clamp, 798 00:34:51,437 --> 00:34:52,916 a right-angle clamp, and suction. 799 00:34:52,960 --> 00:34:54,918 ♪♪ 800 00:35:01,621 --> 00:35:04,102 [SUCTION HISSING] 801 00:35:04,145 --> 00:35:06,191 [MONITOR BEEPING STEADILY] 802 00:35:06,234 --> 00:35:08,802 ♪♪ 803 00:35:13,981 --> 00:35:17,332 That was elegant use of the Kelly clamp. 804 00:35:17,376 --> 00:35:19,552 ♪♪ 805 00:35:22,772 --> 00:35:24,687 I see the cystic duct 806 00:35:24,731 --> 00:35:27,168 and, behind it, the cystic artery. 807 00:35:27,212 --> 00:35:29,518 I need my first assist to confirm 808 00:35:29,562 --> 00:35:31,303 that I have identified the common bile duct 809 00:35:31,346 --> 00:35:32,608 and it is out of the way. 810 00:35:32,652 --> 00:35:33,870 Yes. 811 00:35:33,914 --> 00:35:35,437 Cutting the duct would be... 812 00:35:35,481 --> 00:35:36,569 Very, very bad. [CHUCKLES] 813 00:35:37,918 --> 00:35:40,138 Move the gallbladder cranially a little bit. 814 00:35:41,400 --> 00:35:42,705 Titanium clip applier. 815 00:35:42,749 --> 00:35:45,273 ♪♪ 816 00:35:51,497 --> 00:35:53,412 ♪♪ 817 00:35:59,940 --> 00:36:01,463 You sure you have a clear view? 818 00:36:01,507 --> 00:36:04,988 ♪♪ 819 00:36:05,032 --> 00:36:06,164 Making the cut. 820 00:36:07,513 --> 00:36:11,038 ♪♪ 821 00:36:14,998 --> 00:36:17,740 ♪♪ 822 00:36:22,528 --> 00:36:25,183 ♪♪ 823 00:36:30,449 --> 00:36:31,798 [ALARM BEEPING] 824 00:36:31,841 --> 00:36:32,973 She's hemorrhaging. 825 00:36:33,016 --> 00:36:37,195 ♪♪ 826 00:36:37,238 --> 00:36:38,718 I can't see the source of the bleeding. 827 00:36:38,761 --> 00:36:41,808 ♪♪ 828 00:36:46,465 --> 00:36:49,032 NURSE PETRINGA: MAP is 45 and dropping. 829 00:36:49,076 --> 00:36:51,078 [ALARM BEEPING] 830 00:36:51,121 --> 00:36:56,953 ♪♪ 831 00:36:56,997 --> 00:37:00,174 [BEEPING STOPS] 832 00:37:00,218 --> 00:37:01,610 What do you think is happening? 833 00:37:04,657 --> 00:37:06,049 Most likely, 834 00:37:06,093 --> 00:37:09,531 my scissors' tip nicked the right hepatic artery. 835 00:37:09,575 --> 00:37:10,750 It happens. 836 00:37:10,793 --> 00:37:11,751 It's happened to me. 837 00:37:12,839 --> 00:37:15,320 [BREATHES SHAKILY] 838 00:37:15,363 --> 00:37:18,018 I need to clamp the common hepatic artery, 839 00:37:18,061 --> 00:37:19,411 repair the arterial wall 840 00:37:19,454 --> 00:37:21,108 with running 6-0 Prolene sutures. 841 00:37:21,151 --> 00:37:22,936 That's what I would do. 842 00:37:22,979 --> 00:37:24,894 [INHALES DEEPLY] 843 00:37:24,938 --> 00:37:27,070 ♪♪ 844 00:37:31,336 --> 00:37:33,381 ♪♪ 845 00:37:36,950 --> 00:37:38,952 ♪♪ 846 00:37:55,708 --> 00:37:58,363 ♪♪ 847 00:37:58,406 --> 00:38:01,540 [LAUGHS] 848 00:38:01,583 --> 00:38:02,715 [SIGHS] 849 00:38:02,758 --> 00:38:05,326 ♪♪ 850 00:38:12,725 --> 00:38:14,596 Hey, hey, hey. Slow down. Slow down. 851 00:38:14,640 --> 00:38:16,119 No running. No running. 852 00:38:16,163 --> 00:38:17,512 [GIGGLES][SIGHS] 853 00:38:17,556 --> 00:38:19,514 Dr. Browne, how's my daughter? 854 00:38:19,558 --> 00:38:21,037 The surgery was a success, 855 00:38:21,081 --> 00:38:22,604 and we expect a full recovery. 856 00:38:22,648 --> 00:38:23,649 [SIGHS] 857 00:38:24,258 --> 00:38:26,173 I wanna see her! 858 00:38:27,740 --> 00:38:29,307 Is that okay? 859 00:38:29,350 --> 00:38:30,873 Yay! Okay. 860 00:38:34,964 --> 00:38:36,618 [SIGHS] 861 00:38:36,662 --> 00:38:38,707 Michelle says she wants to be a doctor. 862 00:38:41,231 --> 00:38:43,146 She would be a great one. 863 00:38:45,279 --> 00:38:48,369 Uh, that therapist Michelle talked to... 864 00:38:50,066 --> 00:38:52,373 ...could I get her card? 865 00:38:55,811 --> 00:38:58,031 ♪♪ 866 00:38:58,074 --> 00:39:00,338 Hi, baby.Hey. 867 00:39:03,993 --> 00:39:05,299 [TISHA GIGGLES] 868 00:39:05,343 --> 00:39:07,954 [CHILDREN CONVERSE INDISTINCTLY] 869 00:39:07,997 --> 00:39:14,134 ♪♪ 870 00:39:14,177 --> 00:39:15,614 PARK: Okay. 871 00:39:15,657 --> 00:39:17,224 ♪♪ 872 00:39:17,267 --> 00:39:19,226 Three, two, one. 873 00:39:24,187 --> 00:39:25,928 MORGAN: You were right. 874 00:39:25,972 --> 00:39:27,974 He had angiosarcoma of the leg. 875 00:39:28,017 --> 00:39:30,629 Had to amputate, but the margins were clean. 876 00:39:30,672 --> 00:39:32,239 Hmm. What happened to the... 877 00:39:32,282 --> 00:39:33,283 Franklin! 878 00:39:34,067 --> 00:39:36,939 [LAUGHING] Oh! 879 00:39:36,983 --> 00:39:39,594 ♪♪ 880 00:39:39,638 --> 00:39:42,989 Franklin, you amazing fish! 881 00:39:43,946 --> 00:39:45,513 You saved my life. 882 00:39:45,557 --> 00:39:47,167 Come on, bring him... bring him here. 883 00:39:47,210 --> 00:39:48,821 Bring him... Bring him in. 884 00:39:48,864 --> 00:39:49,952 Oh. 885 00:39:49,996 --> 00:39:51,954 [MAN LAUGHS] 886 00:39:51,998 --> 00:39:57,220 ♪♪ 887 00:39:57,264 --> 00:39:58,439 [SIGHS] Thank you, guys. 888 00:39:58,483 --> 00:40:01,224 Group hug. [SIGHS] 889 00:40:01,268 --> 00:40:06,926 ♪♪ 890 00:40:06,969 --> 00:40:08,667 SHAUN: Do you prefer to work in a team 891 00:40:08,710 --> 00:40:12,105 or do you prefer to lead or follow command? 892 00:40:12,148 --> 00:40:15,021 Team... and to lead. 893 00:40:15,064 --> 00:40:18,894 [CELLPHONE CHIMES] 894 00:40:18,938 --> 00:40:21,201 SHAUN: What machine or appliance in your house 895 00:40:21,244 --> 00:40:22,985 aggravates you the most? 896 00:40:23,029 --> 00:40:23,769 CARLY: The dishwasher. 897 00:40:25,335 --> 00:40:27,468 [CELLPHONE RINGS] 898 00:40:30,123 --> 00:40:31,777 Hey, I'm just leaving. 899 00:40:32,908 --> 00:40:34,693 Who is this? 900 00:40:34,736 --> 00:40:39,045 [GAZ COOMBES' "SLOW MOTION LIFE" PLAYS] 901 00:40:39,088 --> 00:40:41,700 [RADIO CHATTER] 902 00:40:41,743 --> 00:40:47,662 ♪♪ 903 00:40:47,706 --> 00:40:53,668 ♪♪ 904 00:40:53,712 --> 00:40:56,715 ♪ From the greatest height 905 00:40:56,758 --> 00:41:01,633 ♪♪ 906 00:41:01,676 --> 00:41:04,505 ♪ Slow motion life 907 00:41:04,549 --> 00:41:09,597 ♪♪ 908 00:41:09,641 --> 00:41:15,690 ♪ You know I'd pay to leave these tears behind 909 00:41:15,734 --> 00:41:17,866 ♪ But it's fine 910 00:41:17,910 --> 00:41:20,347 ♪ I know we're all the same 911 00:41:20,390 --> 00:41:26,092 ♪♪ 912 00:41:26,135 --> 00:41:28,529 ♪ Slow motion pain 913 00:41:28,573 --> 00:41:33,839 ♪♪ 914 00:41:33,882 --> 00:41:39,192 ♪ Now it's all blood in the open 915 00:41:39,235 --> 00:41:43,022 ♪ But we're not scared 916 00:41:43,065 --> 00:41:44,763 [LINE BEEPS]FEMALE VOICE: Message received 917 00:41:44,806 --> 00:41:48,941 at 5:30 p.m. from Mom. 918 00:41:48,984 --> 00:41:50,812 [LINE BEEPS] 919 00:41:50,856 --> 00:41:52,814 BREEZE: Hey, baby, I got your text. 920 00:41:52,858 --> 00:41:54,729 See, I knew it was just a temporary setback. 921 00:41:54,773 --> 00:41:56,165 We're gonna celebrate. 922 00:41:56,209 --> 00:41:57,558 I made dinner. 923 00:41:57,602 --> 00:41:59,168 And I'm gonna go get some dessert. 924 00:41:59,212 --> 00:42:00,692 I'll see you soon. 925 00:42:00,735 --> 00:42:02,563 I'm so proud of you, baby. 926 00:42:02,607 --> 00:42:04,783 ♪ Slow motion life 927 00:42:04,826 --> 00:42:10,702 ♪♪ 928 00:42:10,745 --> 00:42:13,356 ♪ Slow motion life ♪ 929 00:42:13,400 --> 00:42:19,841 ♪♪ 930 00:42:19,885 --> 00:42:21,887 ♪♪ 931 00:42:30,156 --> 00:42:33,159 ♪♪ 932 00:42:39,992 --> 00:42:42,690 ♪♪ 933 00:42:49,131 --> 00:42:52,134 ♪♪