1
00:00:12,780 --> 00:00:14,315
(SIGHS) What?

2
00:00:14,348 --> 00:00:15,749
It's time
to wake up.

3
00:00:15,783 --> 00:00:18,052
Mnh-mnh. It's still
dark outside.

4
00:00:18,086 --> 00:00:19,687
I'd like
to have sex.

5
00:00:19,720 --> 00:00:21,355
(SIGHS)

6
00:00:21,389 --> 00:00:23,591
As romantically
as that was put,

7
00:00:23,624 --> 00:00:25,359
it's too early, Shaun.

8
00:00:26,894 --> 00:00:30,198
It's exactly early enough
to have sex

9
00:00:30,231 --> 00:00:32,066
for the average duration
it takes us

10
00:00:32,100 --> 00:00:33,801
and still allow
precisely enough time

11
00:00:33,834 --> 00:00:35,803
to get ready
for work.

12
00:00:35,836 --> 00:00:37,305
(SIGHS)

13
00:00:37,338 --> 00:00:40,308
How long have you
been up figuring that out?

14
00:00:40,341 --> 00:00:42,210
Since 4:53.

15
00:00:42,243 --> 00:00:43,977
But it only took
two minutes.

16
00:00:46,080 --> 00:00:49,517
You've been waiting
since then to propose this?

17
00:00:50,751 --> 00:00:53,454
I let you sleep
as long as possible.

18
00:00:55,523 --> 00:00:59,393
That's... very considerate.

19
00:01:00,128 --> 00:01:01,529
Ohh.

20
00:01:01,562 --> 00:01:02,763
**

21
00:01:10,304 --> 00:01:12,840
(LOCKER DOOR OPENS, CLOSES)

22
00:01:12,873 --> 00:01:13,874
**

23
00:01:16,310 --> 00:01:17,378
(CLACK)

24
00:01:17,411 --> 00:01:18,412
**

25
00:01:25,052 --> 00:01:26,620
Sorry, I'm late.

26
00:01:26,654 --> 00:01:27,921
I'm Dr. Shaun Murphy.

27
00:01:27,955 --> 00:01:29,523
Kayley has
a sore throat.

28
00:01:29,557 --> 00:01:30,991
[ Hoarsely ] More like
this constant feeling

29
00:01:31,024 --> 00:01:32,393
like there's something
stuck in my throat.

30
00:01:32,426 --> 00:01:34,061
And I've fainted
a couple times,

31
00:01:34,094 --> 00:01:36,264
which I first thought
was just random.

32
00:01:36,297 --> 00:01:38,098
And I'm obviously
losing my voice.

33
00:01:38,132 --> 00:01:39,633
Since I've only
just met you,

34
00:01:39,667 --> 00:01:42,403
I have no idea
what your voice
normally sounds like.

35
00:01:42,436 --> 00:01:43,637
Well, not this.

36
00:01:43,671 --> 00:01:47,308
Sometimes when swallowing,
I get a super intense pain,

37
00:01:47,341 --> 00:01:50,644
like, worse than
an ice cream headache.

38
00:01:50,678 --> 00:01:53,714
My internist sent me
to an ear, nose,
and throat guy,

39
00:01:53,747 --> 00:01:58,186
an orthopedic surgeon,
um, three gastroenterologists,

40
00:01:58,219 --> 00:02:00,321
a voice issues
specialist dude.

41
00:02:00,354 --> 00:02:02,590
An otolaryngologist.

42
00:02:04,825 --> 00:02:07,728
...a-a neurosurgeon who thinks
it might be a messed up nerve

43
00:02:07,761 --> 00:02:09,497
connecting the throat
to the brain.

44
00:02:09,530 --> 00:02:12,032
The ninth cranial nerve,
glossopharyngeal neuralgia.

45
00:02:12,065 --> 00:02:14,235
He recommended,
like, brain surgery.

46
00:02:14,268 --> 00:02:16,404
Microvascular decompression.

47
00:02:16,437 --> 00:02:19,840
Which a second neurosurgeon
said I don't need.

48
00:02:21,141 --> 00:02:23,110
You're not happy with
the answers you're getting

49
00:02:23,143 --> 00:02:25,346
from a whole bunch
of recommended specialists,

50
00:02:25,379 --> 00:02:27,581
so you came to the ER?

51
00:02:27,615 --> 00:02:29,617
I ran out of
recommended specialists.

52
00:02:29,650 --> 00:02:30,684
Hmm.

53
00:02:30,718 --> 00:02:34,054
It is an intriguing
combination of symptoms.

54
00:02:34,087 --> 00:02:35,956
We'll admit you
and run some tests.

55
00:02:37,458 --> 00:02:38,492
Uh, Dr. Murphy?

56
00:02:40,528 --> 00:02:41,529
You're...

57
00:02:42,863 --> 00:02:43,931
Interesting.

58
00:02:43,964 --> 00:02:45,333
I have autism.

59
00:02:46,300 --> 00:02:47,301
That's so cool.

60
00:02:48,001 --> 00:02:49,337
Uh, I mean, no...

61
00:02:49,370 --> 00:02:51,705
Sor... Not... Not cool
that you are.

62
00:02:51,739 --> 00:02:54,208
Be more insensitive,
Kayley. Um...

63
00:02:55,276 --> 00:02:57,378
It's cool
that you're this...

64
00:02:57,411 --> 00:03:00,748
Totally chill,
super knowledgeable medico.

65
00:03:02,883 --> 00:03:06,320
Compliments...
are very awkward.

66
00:03:06,354 --> 00:03:07,355
**

67
00:03:08,188 --> 00:03:10,358
(CAMERA CLICKS)
(CHUCKLES)

68
00:03:10,391 --> 00:03:12,159
Cute doctor
who's gonna cure me.

69
00:03:16,129 --> 00:03:17,865
Severe abdominal discomfort.

70
00:03:17,898 --> 00:03:19,967
Fever, tachy, hypotensive.

71
00:03:21,602 --> 00:03:24,204
(SIGHS)
It's okay, sweetie.

72
00:03:24,238 --> 00:03:25,506
What's your name?

73
00:03:25,539 --> 00:03:26,774
That's Marla.

74
00:03:27,508 --> 00:03:29,277
No one to leave her with.

75
00:03:29,310 --> 00:03:31,412
We're gonna take care
of your mommy.

76
00:03:31,445 --> 00:03:32,513
(GROANING)

77
00:03:32,546 --> 00:03:34,982
Abdomen tender
and distended.

78
00:03:35,015 --> 00:03:36,116
Dehydrated.

79
00:03:36,149 --> 00:03:37,318
(BREATHING RAPIDLY)

80
00:03:37,351 --> 00:03:38,719
Delayed capillary refill.

81
00:03:39,520 --> 00:03:41,021
Rapid respiratory rate.

82
00:03:41,054 --> 00:03:43,223
Skin cool and bluish,
looks cyanotic.

83
00:03:43,257 --> 00:03:44,558
(MONITOR BEEPING RAPIDLY)
She's going into shock.

84
00:03:44,592 --> 00:03:46,226
We need aggressive
fluid resuscitation.

85
00:03:46,260 --> 00:03:47,495
Start broad spectrum
antibiotics,

86
00:03:47,528 --> 00:03:49,297
place an NG to decompress
distended abdomen.

87
00:03:49,330 --> 00:03:51,999
Trend her lactates, initiate
complete sepsis bundle.

88
00:03:52,032 --> 00:03:53,033
(BEEPING CONTINUES)

89
00:03:57,070 --> 00:03:58,071
**

90
00:04:06,380 --> 00:04:09,016
Her CBC,
BMP autoimmune panel,

91
00:04:09,049 --> 00:04:11,184
nasal swab,
and blood cultures.

92
00:04:11,218 --> 00:04:12,219
All normal.

93
00:04:12,986 --> 00:04:14,955
Ohh.
That's exciting.

94
00:04:14,988 --> 00:04:16,624
Negative tests
are exciting?

95
00:04:16,657 --> 00:04:19,927
No one's been able
to find out what she has.

96
00:04:19,960 --> 00:04:23,564
I'm going to get brain FIESTA
and time-of-flight MRI

97
00:04:23,597 --> 00:04:25,499
to assess the cranial nerves
and vessels,

98
00:04:25,533 --> 00:04:26,900
and Doppler ultrasound
to...

99
00:04:26,934 --> 00:04:29,337
I have to
get back to work.

100
00:04:29,370 --> 00:04:32,005
Our pre-dawn romantic
interlude made me late.

101
00:04:33,140 --> 00:04:35,943
Yes. There was a flaw
in my methodology.

102
00:04:35,976 --> 00:04:38,412
My calculation
was based on

103
00:04:38,446 --> 00:04:41,081
the mean duration of our sex
overall, but generally,

104
00:04:41,114 --> 00:04:43,183
we take statistically
significantly longer

105
00:04:43,216 --> 00:04:47,087
in the morning
than at other times of day.

106
00:04:47,120 --> 00:04:48,656
Well, maybe
we can discuss

107
00:04:48,689 --> 00:04:51,425
this whole timing-our-sex
thing at lunchtime.

108
00:04:51,459 --> 00:04:54,462
Mm. No, thank you.

109
00:04:54,495 --> 00:04:57,264
I can't have lunch today.

110
00:04:57,297 --> 00:04:58,466
Too much to do.

111
00:05:01,502 --> 00:05:04,104
(IMPERCEPTIBLE CHATTER)

112
00:05:04,137 --> 00:05:05,739
Sorry I'm late.

113
00:05:05,773 --> 00:05:07,608
I was going to
cancel our lunch.

114
00:05:07,641 --> 00:05:08,676
Let me guess.

115
00:05:08,709 --> 00:05:11,044
A patient
more interesting than me.

116
00:05:11,612 --> 00:05:12,646
Exactly.

117
00:05:12,680 --> 00:05:13,981
(SIGHS) Yeah.

118
00:05:14,014 --> 00:05:16,850
She has
a mysterious condition.

119
00:05:16,884 --> 00:05:19,787
But I realized
I could use our lunch
to help understand it.

120
00:05:19,820 --> 00:05:22,022
I ordered you a salad.
Thank you.

121
00:05:22,055 --> 00:05:23,056
**

122
00:05:28,362 --> 00:05:30,864
How do I get
an ice cream headache?

123
00:05:30,898 --> 00:05:32,265
I've never had one.

124
00:05:32,299 --> 00:05:34,301
You don't want one.
Brain freeze is horrible.

125
00:05:35,335 --> 00:05:36,770
The scientific term

126
00:05:36,804 --> 00:05:39,106
is sphenopalatine
ganglioneuralgia.

127
00:05:39,139 --> 00:05:40,574
The trigeminal nerve
reacts to

128
00:05:40,608 --> 00:05:42,342
rapid temperature change
in the mouth,

129
00:05:42,376 --> 00:05:43,611
sending a signal
to the brain,

130
00:05:43,644 --> 00:05:46,246
which responds with
changes in blood flow
and dura irritation,

131
00:05:46,279 --> 00:05:49,983
which combats what
it perceives as a dangerous,
noxious stimuli,

132
00:05:50,017 --> 00:05:52,185
but is just ice cream.

133
00:05:52,219 --> 00:05:53,887
I need to experience that.

134
00:05:54,822 --> 00:05:55,956
Okay.

135
00:05:55,989 --> 00:05:57,791
The technique
I usually use is,

136
00:05:57,825 --> 00:05:59,359
eat way too much,
way too fast.

137
00:05:59,393 --> 00:06:00,394
**

138
00:06:04,665 --> 00:06:07,167
(INHALES)
I'm quitting my job.

139
00:06:08,368 --> 00:06:10,471
The job you came back
from Hershey for?

140
00:06:10,504 --> 00:06:13,273
Don't tell Glassy.
He already thinks I'm a flake.

141
00:06:13,306 --> 00:06:17,177
You kicking me out
is just what I needed.

142
00:06:17,210 --> 00:06:18,278
Mm-hmm.

143
00:06:18,311 --> 00:06:19,613
I was in a complete rut.

144
00:06:19,647 --> 00:06:22,850
In my personal life,
at work, super stale.

145
00:06:22,883 --> 00:06:24,184
I mean, we weren't
developing anything,

146
00:06:24,217 --> 00:06:26,820
just market
testing designs...

147
00:06:26,854 --> 00:06:27,855
Ow.

148
00:06:28,355 --> 00:06:30,691
Ow! Ow, ow!

149
00:06:31,258 --> 00:06:32,325
That's awful!

150
00:06:32,359 --> 00:06:33,994
What's the cure?
Time.

151
00:06:34,027 --> 00:06:35,663
How much time?
Depends.

152
00:06:37,264 --> 00:06:40,400
Do you think
I should include my job
in Hershey on my resume?

153
00:06:40,434 --> 00:06:42,570
It hurts so much!

154
00:06:43,604 --> 00:06:44,838
Or does it make me
look like

155
00:06:44,872 --> 00:06:46,740
I'm unable
to commit to anything?

156
00:06:46,774 --> 00:06:47,775
Ow!

157
00:06:49,777 --> 00:06:50,778
Okay.

158
00:06:52,379 --> 00:06:54,782
The ultrasound showed
your colon is distended.

159
00:06:54,815 --> 00:06:56,750
We placed a rectal tube
and an NG

160
00:06:56,784 --> 00:06:58,552
to try to get that
decompressed.

161
00:06:58,586 --> 00:07:00,087
Mommy,
can we go home?

162
00:07:00,120 --> 00:07:01,188
Not yet, sweetie.

163
00:07:01,221 --> 00:07:02,656
It would be helpful
to try to find out

164
00:07:02,690 --> 00:07:03,724
what could've triggered this.

165
00:07:03,757 --> 00:07:06,560
Any history of Crohn's
or ulcerative colitis?

166
00:07:06,594 --> 00:07:07,595
No.

167
00:07:08,562 --> 00:07:09,830
I, um...

168
00:07:09,863 --> 00:07:11,732
I have had
some UTIs lately.

169
00:07:11,765 --> 00:07:13,266
That's likely
not connected.

170
00:07:13,300 --> 00:07:14,902
Okay.
PARK: Diverticulitis?

171
00:07:14,935 --> 00:07:16,737
Any recent
international travel?

172
00:07:16,770 --> 00:07:18,672
I have a three-year-old
and no husband.

173
00:07:18,706 --> 00:07:19,740
MELENDEZ: Okay.

174
00:07:19,773 --> 00:07:21,542
We're gonna need
to keep you on IV antibiotics

175
00:07:21,575 --> 00:07:23,410
and monitor
the distention.

176
00:07:23,443 --> 00:07:26,279
In the meantime,
is there anyone
who can look after Marla?

177
00:07:26,313 --> 00:07:28,248
No one.

178
00:07:28,281 --> 00:07:31,418
My whole family's back east.
It's... It's just us.

179
00:07:31,451 --> 00:07:34,888
I'll get a social worker
to look after her.

180
00:07:34,922 --> 00:07:35,923
Thank you.

181
00:07:42,963 --> 00:07:44,632
Go ahead, honey.

182
00:07:44,665 --> 00:07:45,666
**

183
00:07:50,370 --> 00:07:51,371
**

184
00:07:59,446 --> 00:08:01,715
Why is my mom upset?

185
00:08:01,749 --> 00:08:02,750
**

186
00:08:03,851 --> 00:08:04,918
(SIGHS)

187
00:08:04,952 --> 00:08:08,488
If her anterior inferior
cerebellar artery

188
00:08:08,522 --> 00:08:10,490
is encroaching
on her glossopharyngeal nerve,

189
00:08:10,524 --> 00:08:11,592
it's very minor.

190
00:08:11,625 --> 00:08:12,826
Certainly not enough
to justify

191
00:08:12,860 --> 00:08:14,327
microvascular
decompression surgery.

192
00:08:14,361 --> 00:08:15,428
I agree.

193
00:08:15,462 --> 00:08:18,498
It could also be acid
reflux temporal arteritis,

194
00:08:18,532 --> 00:08:21,802
laryngopharyngeal dysesthesia.
We need to...

195
00:08:21,835 --> 00:08:23,671
We need to do
$50,000 of tests,

196
00:08:23,704 --> 00:08:25,906
and it might be
acid reflux?

197
00:08:25,939 --> 00:08:28,041
Or temporal arteritis or...

198
00:08:28,075 --> 00:08:29,176
It's a constellation

199
00:08:29,209 --> 00:08:30,811
of relatively insignificant
symptoms.

200
00:08:30,844 --> 00:08:33,981
Have you ever had
an ice cream headache,
Dr. Andrews?

201
00:08:35,148 --> 00:08:36,283
Yes.

202
00:08:36,316 --> 00:08:39,152
I believe it didn't require
brain surgery, Dr. Murphy.

203
00:08:40,053 --> 00:08:42,522
As a compromise,
we could do an MRI

204
00:08:42,556 --> 00:08:44,692
and CT her neck
and a swallow...

205
00:08:44,725 --> 00:08:46,493
Shaun.

206
00:08:46,526 --> 00:08:49,597
You don't compromise
with your boss.

207
00:08:49,630 --> 00:08:52,132
Start her on dilantin for
her pain and send her home.

208
00:08:52,165 --> 00:08:53,166
**

209
00:08:57,237 --> 00:08:58,238
**

210
00:09:02,242 --> 00:09:03,476
Can I just leave her
with you?

211
00:09:03,510 --> 00:09:05,378
I'm a receptionist,
not a social worker.

212
00:09:05,412 --> 00:09:06,413
And I'm a surgeon.

213
00:09:09,116 --> 00:09:10,550
I didn't mean
I'm more important.

214
00:09:10,584 --> 00:09:13,654
I just meant we both have
more important things to do.

215
00:09:13,687 --> 00:09:14,888
When will the social worker
be here?

216
00:09:14,922 --> 00:09:16,056
She said half an hour.

217
00:09:16,089 --> 00:09:17,490
Can you page her again?

218
00:09:17,524 --> 00:09:19,559
I want my mama.

219
00:09:19,593 --> 00:09:21,762
Why don't you just go play
with the toys, okay?

220
00:09:22,863 --> 00:09:24,732
Do you have her number?
I'll call her myself.

221
00:09:25,866 --> 00:09:27,367
I made Mommy sick.

222
00:09:28,936 --> 00:09:30,904
No, sweetie.
It's not your fault.

223
00:09:30,938 --> 00:09:32,439
Sometimes
people just get sick.

224
00:09:32,472 --> 00:09:34,742
Mommy drawk ma poop.

225
00:09:36,476 --> 00:09:38,879
Your mommy
drew your poop?
No!

226
00:09:38,912 --> 00:09:41,014
Drawk. Mommy drawk.

227
00:09:43,884 --> 00:09:44,918
Drank?

228
00:09:44,952 --> 00:09:46,019
Yes.

229
00:09:46,053 --> 00:09:49,222
Mommy drawnk my poop.

230
00:09:49,256 --> 00:09:50,257
**

231
00:09:53,861 --> 00:09:56,697
The good news is,
we've ruled out
glossopharyngeal neuralgia.

232
00:09:56,730 --> 00:09:58,165
You don't need
brain surgery.

233
00:09:58,198 --> 00:10:00,533
Never any good news
without bad news.

234
00:10:00,567 --> 00:10:03,203
We've got a list of
a few things you don't have,

235
00:10:03,236 --> 00:10:04,672
but we don't know
what you do have.

236
00:10:05,806 --> 00:10:07,307
So you'll run more tests.

237
00:10:07,808 --> 00:10:08,876
We can't.

238
00:10:08,909 --> 00:10:12,012
There are 21 different things
this might be,

239
00:10:12,045 --> 00:10:15,048
but they don't want us
to run 37 more tests.

240
00:10:18,919 --> 00:10:20,020
Well, this is lame.

241
00:10:20,053 --> 00:10:23,490
I can afford the tests.
I make good money.

242
00:10:23,523 --> 00:10:26,026
(VOICE SQUEAKING) I can't
keep talking like this!

243
00:10:26,059 --> 00:10:27,060
I need a...

244
00:10:29,529 --> 00:10:30,530
(MONITOR ALARM)

245
00:10:32,165 --> 00:10:33,333
She's hypotensive.

246
00:10:33,366 --> 00:10:34,367
Code stroke.

247
00:10:36,336 --> 00:10:38,238
We need stat brain CT
and MRI.

248
00:10:38,271 --> 00:10:40,774
Call angio. She may need
mechanical thrombectomy.

249
00:10:40,808 --> 00:10:41,809
**

250
00:10:46,079 --> 00:10:49,416
3 cc's of 2% lidocaine.

251
00:10:49,449 --> 00:10:50,450
**

252
00:10:53,721 --> 00:10:54,722
(MONITOR ALARM BEEPING)

253
00:10:59,693 --> 00:11:00,694
**

254
00:11:08,501 --> 00:11:09,536
(INHALES SHARPLY)

255
00:11:09,569 --> 00:11:10,570
(ALARM STOPS)

256
00:11:12,472 --> 00:11:13,473
**

257
00:11:18,211 --> 00:11:20,080
Wow. (GASPS)

258
00:11:20,113 --> 00:11:21,114
(CHUCKLES LIGHTLY)

259
00:11:27,988 --> 00:11:29,589
I-I didn't drink it.
I just...

260
00:11:30,590 --> 00:11:33,193
I just used her stool
to do a home fecal transfer.

261
00:11:33,226 --> 00:11:35,028
And you didn't think
to mention that?

262
00:11:35,062 --> 00:11:37,064
You said my UTIs
were unrelated.

263
00:11:39,166 --> 00:11:41,001
They didn't get better
with antibiotics,

264
00:11:41,034 --> 00:11:43,403
so I did exactly
what I was supposed to do.

265
00:11:43,436 --> 00:11:46,573
The video swore that
it was completely safe.

266
00:11:46,606 --> 00:11:48,942
Make sure your friend
is completely healthy.

267
00:11:48,976 --> 00:11:50,878
I've had the best results
with vegans,

268
00:11:50,911 --> 00:11:52,112
though if it were between

269
00:11:52,145 --> 00:11:55,382
an 18-year-old carnivore
and a 60-year-old vegan...

270
00:11:55,415 --> 00:11:56,516
Well, don't make me choose.

271
00:11:56,549 --> 00:11:58,551
We're gonna add
the saline solution.

272
00:12:00,620 --> 00:12:03,190
Should be a one-to-one match,
more or less.

273
00:12:04,391 --> 00:12:07,494
Then, we're gonna puree...

274
00:12:07,527 --> 00:12:09,196
(BLENDER WHIRRS)

275
00:12:09,229 --> 00:12:11,331
...puree, and then
puree some more.

276
00:12:11,364 --> 00:12:12,866
While it's mixing...

277
00:12:14,234 --> 00:12:15,869
Let's talk enema bags.

278
00:12:16,870 --> 00:12:17,905
(INHALES DEEPLY)

279
00:12:17,938 --> 00:12:21,074
Marla must have seen her
using the blender,

280
00:12:21,108 --> 00:12:22,175
assumed she drank it.

281
00:12:22,209 --> 00:12:23,610
Yeah, that's
the mystery here,

282
00:12:23,643 --> 00:12:25,345
not how anyone
this stupid is still alive.

283
00:12:25,378 --> 00:12:27,547
It's not
completely irrational.

284
00:12:27,580 --> 00:12:30,183
The E. coli strain
in drug-resistant UTIs

285
00:12:30,217 --> 00:12:31,684
can hide out
in the gut.

286
00:12:31,718 --> 00:12:34,554
Repopulating the
colon microbiome using FMT

287
00:12:34,587 --> 00:12:35,923
has shown some success.

288
00:12:35,956 --> 00:12:38,591
In a hospital,
under controlled
and sterile conditions.

289
00:12:39,226 --> 00:12:40,493
Prep her for surgery.

290
00:12:40,527 --> 00:12:41,795
Between the dilation
and rigidity,

291
00:12:41,829 --> 00:12:44,431
there may be
colon perforation.

292
00:12:44,464 --> 00:12:47,901
And test Marla's stool
for toxins
and infectious bacteria.

293
00:12:49,970 --> 00:12:53,640
She was suffering
a mini-stroke,
and I saved her.

294
00:12:53,673 --> 00:12:56,509
I saved her.
I need to celebrate.
Outside?

295
00:12:56,543 --> 00:12:57,710
I want to celebrate
by kissing you.

296
00:12:57,744 --> 00:12:59,179
A lot.

297
00:12:59,212 --> 00:13:01,314
I-Inside would be
inappropriate.

298
00:13:02,816 --> 00:13:04,084
(CHUCKLES)

299
00:13:04,117 --> 00:13:06,753
Eagle Syndrome
is very rare.

300
00:13:06,786 --> 00:13:08,655
A longer-than-normal
styloid bone

301
00:13:08,688 --> 00:13:10,423
coming off the base
of the skull.

302
00:13:10,457 --> 00:13:11,791
And...
I only get
a five-minute break.

303
00:13:13,593 --> 00:13:15,528
It impinged
on her nerves,

304
00:13:15,562 --> 00:13:17,064
causing the
confusing symptoms

305
00:13:17,097 --> 00:13:19,199
that baffled
eight expert doctors.

306
00:13:19,232 --> 00:13:21,601
And then when she
turned her head suddenly,

307
00:13:21,634 --> 00:13:24,237
it pinched her carotid,
causing her TIA.
(LAUGHS)

308
00:13:25,272 --> 00:13:27,507
Yeah, it's him!
(GASPS)

309
00:13:29,977 --> 00:13:31,544
It's Dr. Murphy!

310
00:13:31,578 --> 00:13:32,579
(EXCITED LAUGHTER)

311
00:13:34,181 --> 00:13:35,548
How do I know you?

312
00:13:35,582 --> 00:13:37,317
He is cute!
(CAMERAS CLICKING)

313
00:13:37,350 --> 00:13:39,252
Is that his girlfriend?

314
00:13:39,286 --> 00:13:40,320
Kayley's hotter.

315
00:13:40,353 --> 00:13:41,354
(CLICKING CONTINUES)

316
00:13:42,289 --> 00:13:43,290
**

317
00:13:44,691 --> 00:13:45,692
WOMAN: He's so cute!

318
00:13:46,359 --> 00:13:47,460
(CLICKING CONTINUES)

319
00:13:51,531 --> 00:13:52,532
(LAUGHS)

320
00:13:54,667 --> 00:13:57,337
(NORMAL VOICE)
My personal... Chernobyl.

321
00:13:57,370 --> 00:13:58,438
(LAUGHS) What?

322
00:13:59,039 --> 00:14:00,107
Seriously, guys.

323
00:14:00,140 --> 00:14:01,374
Ohh, come on.

324
00:14:01,408 --> 00:14:03,977
A zone of exclusion
should be imposed
around my kitchen.

325
00:14:04,011 --> 00:14:05,712
(LAUGHS)
(CLICK)

326
00:14:05,745 --> 00:14:08,115
Millions of people
have watched that?

327
00:14:08,148 --> 00:14:09,816
(HOARSELY)
As of 9:00 a.m.

328
00:14:09,849 --> 00:14:11,518
You're an influencer.

329
00:14:11,551 --> 00:14:14,621
And you posted
how I saved you?

330
00:14:14,654 --> 00:14:17,057
But I take it
I'm not saved yet?
You still have to operate?

331
00:14:17,090 --> 00:14:19,692
A normal
styloid process

332
00:14:19,726 --> 00:14:21,828
is 2.5 centimeters
in length. Yours measures...

333
00:14:21,861 --> 00:14:22,930
Don't do that.

334
00:14:24,164 --> 00:14:25,865
There are two
surgical options.

335
00:14:28,835 --> 00:14:30,803
Transoral, where we go in
through your mouth.

336
00:14:30,837 --> 00:14:33,373
It's non-invasive, but
creates surgical challenges

337
00:14:33,406 --> 00:14:35,208
for physical
and visual access.

338
00:14:35,242 --> 00:14:37,310
The alternative
transcervical procedure

339
00:14:37,344 --> 00:14:39,279
involves an incision
in your neck

340
00:14:39,312 --> 00:14:40,981
with none of those
access issues,

341
00:14:41,014 --> 00:14:43,616
but with some
post-operative scarring.

342
00:14:43,650 --> 00:14:46,519
So one way is safer,
but the other way,
I'll look better?

343
00:14:46,553 --> 00:14:47,620
It's a pretty
bad-ass scar.

344
00:14:47,654 --> 00:14:48,655
(CHUCKLES)

345
00:14:49,756 --> 00:14:51,824
Can I take a bit
to decide which?

346
00:14:51,858 --> 00:14:52,859
Of course.

347
00:14:56,429 --> 00:14:58,865
You had no right
to tell the world about me.

348
00:14:58,898 --> 00:15:00,300
It was flattering.

349
00:15:00,333 --> 00:15:03,170
Not everyone
wants to be famous.

350
00:15:03,203 --> 00:15:06,039
Uh... If it's
any consolation,

351
00:15:06,073 --> 00:15:08,508
you've had over
70 marriage proposals.

352
00:15:10,110 --> 00:15:11,178
It's not.

353
00:15:11,211 --> 00:15:12,212
**

354
00:15:17,384 --> 00:15:20,487
Some of us
are more comfortable
in the spotlight than others.

355
00:15:20,520 --> 00:15:22,022
I think you're great.

356
00:15:22,055 --> 00:15:23,223
Thanks.

357
00:15:23,256 --> 00:15:24,257
**

358
00:15:28,395 --> 00:15:30,730
MARLA:
I don't have to poop.

359
00:15:31,298 --> 00:15:32,465
Be patient.

360
00:15:36,436 --> 00:15:38,738
I don't have to poop!

361
00:15:38,771 --> 00:15:40,840
Is there something
your mom does

362
00:15:40,873 --> 00:15:42,609
to help you
when you can't go?

363
00:15:42,642 --> 00:15:45,312
MARLA: Sometimes
she hold my hand.

364
00:15:46,246 --> 00:15:47,747
Would you like me to?

365
00:15:47,780 --> 00:15:49,416
MARLA:
You're not my mom.

366
00:15:49,449 --> 00:15:51,584
Well, just keep trying.

367
00:15:53,353 --> 00:15:54,554
MARLA: Pbbbbbbht.

368
00:15:55,355 --> 00:15:56,956
(SIGHS)

369
00:15:56,990 --> 00:16:00,527
Sweetie, we really
need you to go.

370
00:16:00,560 --> 00:16:05,398
If you can't,
there is another way
we can do this.

371
00:16:05,432 --> 00:16:06,466
MARLA: How?

372
00:16:06,499 --> 00:16:09,269
CLAIRE: Well, it's not fun.

373
00:16:09,302 --> 00:16:10,603
For either of us.

374
00:16:10,637 --> 00:16:11,804
(INHALES SHARPLY)

375
00:16:13,273 --> 00:16:15,075
(SIGHS)

376
00:16:15,108 --> 00:16:18,878
MELENDEZ: Isolate and divide
middle colic artery and vein.

377
00:16:18,911 --> 00:16:20,147
It's an epidemic.

378
00:16:20,180 --> 00:16:21,814
People taking
online medical advice.

379
00:16:21,848 --> 00:16:23,816
CLAIRE: It's not the problem.
It's the symptom.

380
00:16:23,850 --> 00:16:26,419
Medical care is a financial
stress for lots of people,

381
00:16:26,453 --> 00:16:29,089
not to mention
physician arrogance,

382
00:16:29,122 --> 00:16:30,923
incompetence, impatience.

383
00:16:30,957 --> 00:16:32,792
So it's our fault?

384
00:16:32,825 --> 00:16:34,627
Resect and cut the colon
proximal and distal

385
00:16:34,661 --> 00:16:36,329
to the perforation
with GIA stapler.

386
00:16:37,497 --> 00:16:38,998
A friend of a friend
self-diagnosed

387
00:16:39,032 --> 00:16:41,601
her own
Cushing's disease online

388
00:16:41,634 --> 00:16:44,804
after a series of doctors
barely listened to her,

389
00:16:44,837 --> 00:16:47,307
told her
to get more rest.

390
00:16:47,340 --> 00:16:48,741
I'm guessing
she didn't then perform

391
00:16:48,775 --> 00:16:50,210
do-it-yourself
brain surgery at home.

392
00:16:50,243 --> 00:16:51,244
(GROANS)

393
00:16:51,844 --> 00:16:52,845
Claire's right.

394
00:16:54,647 --> 00:16:56,383
I was...
supporting your point.

395
00:16:56,416 --> 00:16:58,618
She convinced me
I was wrong.

396
00:16:58,651 --> 00:17:00,553
Divide mesentery
with LigaSure.

397
00:17:02,689 --> 00:17:03,890
(MONITOR ALARM)

398
00:17:06,559 --> 00:17:07,660
WOMAN: We have a bleed.

399
00:17:07,694 --> 00:17:08,761
It's major.

400
00:17:08,795 --> 00:17:10,163
Tension during mobilization

401
00:17:10,197 --> 00:17:11,331
must have caused
a splenic capsule tear.

402
00:17:11,364 --> 00:17:12,399
We need to do
a splenectomy.

403
00:17:12,432 --> 00:17:13,833
Cut the connecting
attachments.

404
00:17:13,866 --> 00:17:15,335
(ALARM CONTINUES)

405
00:17:17,237 --> 00:17:18,305
Kidney.

406
00:17:18,338 --> 00:17:19,606
Diaphragm.

407
00:17:19,639 --> 00:17:21,541
Take the vascular pedicle
with a white load stapler.

408
00:17:21,574 --> 00:17:23,110
Do not get the tail
of the pancreas.

409
00:17:24,377 --> 00:17:25,378
**

410
00:17:26,213 --> 00:17:27,214
(ALARM STOPS)

411
00:17:28,281 --> 00:17:29,282
**

412
00:17:33,520 --> 00:17:35,021
Dr. Melendez?

413
00:17:35,054 --> 00:17:36,156
Can this wait?

414
00:17:36,189 --> 00:17:37,224
I'm not sure.

415
00:17:37,257 --> 00:17:39,259
The fecal sample
that your team sent me...

416
00:17:39,292 --> 00:17:42,429
(SIGHS) It might be normal,
but was it mislabeled?

417
00:17:42,462 --> 00:17:44,464
It seems to be
from a 70-year-old.

418
00:17:45,432 --> 00:17:47,167
It's from a three-year-old.

419
00:17:47,200 --> 00:17:52,572
SCFAs, elevated isobutyric
and isovaleric acid.

420
00:17:52,605 --> 00:17:55,642
She is at high risk
for serious cardiac problems.

421
00:17:55,675 --> 00:17:56,676
**

422
00:18:07,187 --> 00:18:08,188
(BRAKES SQUEAL)

423
00:18:17,597 --> 00:18:18,598
Oh, are you okay?

424
00:18:30,577 --> 00:18:33,413
Her social media posts
about Shaun have gone viral.

425
00:18:33,446 --> 00:18:35,448
I've got reporters
clamoring to speak

426
00:18:35,482 --> 00:18:37,284
to the "twice-exceptional"
Dr. Murphy.

427
00:18:37,317 --> 00:18:39,085
Bad idea.
Luckily, he won't do it.

428
00:18:39,118 --> 00:18:41,288
He went off on Kayley
about his privacy.

429
00:18:41,321 --> 00:18:42,889
The publicity would be good
for the hospital.

430
00:18:42,922 --> 00:18:45,958
And I'm sure Dr. Glassman
can make him see
the wisdom of that.

431
00:18:45,992 --> 00:18:47,594
MELENDEZ:
I'm with Andrews.

432
00:18:47,627 --> 00:18:49,028
It smacks of us
patting ourselves on the back.

433
00:18:49,061 --> 00:18:51,130
It could also come off
as exploitative.

434
00:18:51,164 --> 00:18:53,300
But the bigger issue is,
it could blow up in our face.

435
00:18:53,333 --> 00:18:55,635
Shaun is a complete
communications wild card.

436
00:18:55,668 --> 00:18:57,770
Who knows what he'll say
about you, about me,

437
00:18:57,804 --> 00:18:59,439
about being demoted,
about screw-ups.

438
00:18:59,472 --> 00:19:01,241
Well, we would
have to coach him.

439
00:19:01,274 --> 00:19:03,943
Do we have six years
before they need
to go to press?

440
00:19:03,976 --> 00:19:06,479
I can go with him,
manage the situation.

441
00:19:06,513 --> 00:19:07,714
GLASSMAN: No, no, no.

442
00:19:08,715 --> 00:19:10,517
If we consider Shaun
an asset,

443
00:19:10,550 --> 00:19:12,385
we shouldn't treat him
like a liability.

444
00:19:14,454 --> 00:19:16,556
I'll talk to him,
see what he says.

445
00:19:18,991 --> 00:19:21,828
You can see the proximity
of her elongated styloid

446
00:19:21,861 --> 00:19:23,530
to the nerves and carotid.

447
00:19:23,563 --> 00:19:25,598
The trick is to break off
the excess length

448
00:19:25,632 --> 00:19:27,934
without injury to local
neurovascular structures.

449
00:19:27,967 --> 00:19:30,002
If done transcervically,
entry point is key.

450
00:19:30,036 --> 00:19:33,072
Minimizes risk of a marginal
mandibular nerve injury.

451
00:19:33,105 --> 00:19:34,641
Has she made a decision?

452
00:19:34,674 --> 00:19:35,675
SHAUN: Not yet.

453
00:19:36,743 --> 00:19:37,944
I'd like to lead.

454
00:19:37,977 --> 00:19:39,812
Being that it's such
a rare surgery,

455
00:19:39,846 --> 00:19:42,014
I may not get
another chance at it
during residency.

456
00:19:42,048 --> 00:19:44,116
When I have the benefit
of supervision.

457
00:19:44,150 --> 00:19:45,785
And it wouldn't have
anything to do with hoping

458
00:19:45,818 --> 00:19:47,820
Kayley might then post
glowingly about you?

459
00:19:47,854 --> 00:19:48,921
Not at all.

460
00:19:48,955 --> 00:19:50,323
Well, undoubtedly,
a little.

461
00:19:51,291 --> 00:19:52,725
Given the attention
this case has drawn,

462
00:19:52,759 --> 00:19:55,428
I think we should
put our best, most
experienced choice forward.

463
00:19:56,763 --> 00:19:59,198
Well, this is
a teaching hospital.

464
00:19:59,232 --> 00:20:02,269
It's exactly
the type of surgery
we'd give to a third-year.

465
00:20:02,302 --> 00:20:03,736
The fact that she has
an online presence

466
00:20:03,770 --> 00:20:04,837
shouldn't be a factor.

467
00:20:04,871 --> 00:20:07,106
And yet here you are,
the Chief of Surgery

468
00:20:07,139 --> 00:20:09,141
working a case you say
a third-year can handle.

469
00:20:09,175 --> 00:20:11,043
It also might reflect
well on this place

470
00:20:11,077 --> 00:20:14,213
to have a young woman
be the face
of Kayley's surgery.

471
00:20:14,247 --> 00:20:15,882
Assuming it goes well.

472
00:20:17,384 --> 00:20:19,218
Live by the Internet,
die by the Internet.

473
00:20:20,920 --> 00:20:21,921
You still want to lead?

474
00:20:23,022 --> 00:20:24,424
Yes.

475
00:20:24,457 --> 00:20:25,458
It's yours.

476
00:20:27,193 --> 00:20:28,227
**

477
00:20:51,618 --> 00:20:52,619
**

478
00:21:04,397 --> 00:21:05,532
(WHIRRING)

479
00:21:07,567 --> 00:21:08,568
**

480
00:21:18,144 --> 00:21:19,145
**

481
00:21:21,213 --> 00:21:22,214
(COMPUTER CHIRPS)

482
00:21:25,151 --> 00:21:26,152
**

483
00:21:28,087 --> 00:21:29,088
MELENDEZ: Ann?

484
00:21:30,390 --> 00:21:31,391
Ann.

485
00:21:38,465 --> 00:21:39,666
Am I okay?

486
00:21:39,699 --> 00:21:40,933
You're fine.

487
00:21:40,967 --> 00:21:42,935
We had to wake you up
a little earlier
than we'd like

488
00:21:42,969 --> 00:21:44,771
because we need
to discuss something
with you.

489
00:21:44,804 --> 00:21:45,838
Do you understand?

490
00:21:45,872 --> 00:21:47,206
(EXHALES SHARPLY)

491
00:21:47,239 --> 00:21:49,642
Your gut biome showed markers
for elevated cholesterol.

492
00:21:49,676 --> 00:21:51,444
Which you don't have.

493
00:21:51,478 --> 00:21:52,579
Your daughter does.

494
00:21:54,581 --> 00:21:56,683
Marla has
high cholesterol?

495
00:21:56,716 --> 00:21:59,452
She has
a genetic condition:
hyperlipidemia.

496
00:21:59,486 --> 00:22:01,854
Coronary testing
showed 90% narrowing

497
00:22:01,888 --> 00:22:03,956
of the left main artery
to her heart.

498
00:22:03,990 --> 00:22:05,392
(GROANS)

499
00:22:05,425 --> 00:22:08,628
I'm afraid your daughter
needs urgent heart surgery.

500
00:22:15,301 --> 00:22:18,270
I don't want to.

501
00:22:18,471 --> 00:22:19,506
Okay.

502
00:22:19,539 --> 00:22:21,140
I'll tell
the reporters that.

503
00:22:21,173 --> 00:22:24,010
But can... can we
talk about why?

504
00:22:24,043 --> 00:22:26,446
(COMPUTER BEEPS)
Your computer
just beeped.

505
00:22:26,479 --> 00:22:28,014
I know.

506
00:22:28,047 --> 00:22:30,817
I can think of a few reasons
why you might be reticent.

507
00:22:30,850 --> 00:22:32,519
You're shy.
No, I'm not.

508
00:22:32,552 --> 00:22:35,321
Well, you do have trouble
with social interactions,

509
00:22:35,354 --> 00:22:36,989
and you have
trouble anticipating

510
00:22:37,023 --> 00:22:39,526
what people might ask
and how you might respond.

511
00:22:39,559 --> 00:22:43,430
Yes, that is a problem when
I'm meeting with a patient

512
00:22:43,463 --> 00:22:46,433
or I'm at a job interview
or I'm on a date.

513
00:22:46,466 --> 00:22:47,800
Then my answers matter.

514
00:22:47,834 --> 00:22:50,136
But if I'm talking
to a reporter,
they don't matter.

515
00:22:50,169 --> 00:22:51,638
(COMPUTER BEEPS)
It beeped again.

516
00:22:51,671 --> 00:22:53,640
Yes, I know.
We're digitizing.

517
00:22:53,673 --> 00:22:55,975
Every time a patient
needs to take a drug,

518
00:22:56,008 --> 00:22:57,076
we send them
a reminder.

519
00:22:57,109 --> 00:23:00,379
For some unknown reason,
they keep sending me one, too.

520
00:23:00,413 --> 00:23:01,914
I think stories
do matter.

521
00:23:01,948 --> 00:23:05,184
I think what you do
and what you have done

522
00:23:05,217 --> 00:23:08,855
might be inspirational
for people to hear.

523
00:23:09,589 --> 00:23:10,657
Okay.

524
00:23:10,690 --> 00:23:12,058
Okay, you'll do it?

525
00:23:12,091 --> 00:23:13,926
Okay, you've convinced me
I should be nervous about it.

526
00:23:13,960 --> 00:23:15,762
Now I have two reasons
not to do it.

527
00:23:15,795 --> 00:23:16,929
What's the other reason?

528
00:23:16,963 --> 00:23:19,732
I'm very busy
between doing my job
and having sex.

529
00:23:19,766 --> 00:23:21,434
I don't have
a lot of free time.

530
00:23:22,669 --> 00:23:23,836
(COMPUTER BEEPS)

531
00:23:23,870 --> 00:23:25,438
You should hire Lea.

532
00:23:25,972 --> 00:23:27,339
No.
SHAUN: Yes.

533
00:23:27,373 --> 00:23:30,176
She's very good at tech

534
00:23:30,209 --> 00:23:32,745
and isn't happy
in her job right now.

535
00:23:32,779 --> 00:23:33,780
**

536
00:23:35,448 --> 00:23:37,550
I'll tell you what, Shaun.

537
00:23:37,584 --> 00:23:40,119
You think about this,
you really think about this,

538
00:23:40,152 --> 00:23:43,355
how your story
can benefit people,

539
00:23:43,389 --> 00:23:45,091
and I will...

540
00:23:47,126 --> 00:23:49,095
Interview Lea.

541
00:23:49,729 --> 00:23:50,797
Excellent.

542
00:23:52,164 --> 00:23:54,400
I'll think about it.

543
00:23:54,433 --> 00:23:57,937
I'll really think
about it.

544
00:23:57,970 --> 00:23:59,138
Okay.

545
00:24:02,975 --> 00:24:04,577
(COMPUTER BEEPS)
(SIGHS)

546
00:24:06,178 --> 00:24:08,114
(DOOR CLOSES)
(KEYBOARD CLANKING)

547
00:24:08,147 --> 00:24:10,416
Some people definitely thought
I would look amazeballs

548
00:24:10,449 --> 00:24:11,851
rocking a neck scar.

549
00:24:11,884 --> 00:24:14,420
But the consensus was,

550
00:24:14,453 --> 00:24:16,455
there's only so many
turtleneck days in a year.

551
00:24:16,489 --> 00:24:19,125
So I'm going with
the no-scar approach.

552
00:24:20,026 --> 00:24:22,629
Which one
did you vote for?

553
00:24:22,662 --> 00:24:25,532
Well, these are my people.
I mean, they know me.

554
00:24:25,565 --> 00:24:27,767
They know what's best for me
and my brand.

555
00:24:29,902 --> 00:24:31,337
"Wisdom of the crowd."

556
00:24:31,370 --> 00:24:33,940
My warrior goddess
lead surgeon.

557
00:24:33,973 --> 00:24:35,007
(CAMERA CLICKS)
(ANDREWS LAUGHS)

558
00:24:35,041 --> 00:24:36,342
We'll get you prepped
for surgery.

559
00:24:38,310 --> 00:24:39,979
New blouse?
It's nice.

560
00:24:41,213 --> 00:24:42,949
Dr. Murphy,
do you have a minute?

561
00:24:49,989 --> 00:24:52,625
I really am sorry
I upset you.

562
00:24:53,325 --> 00:24:55,127
And I really am
grateful.

563
00:24:55,862 --> 00:24:57,096
Being sick was...

564
00:24:57,129 --> 00:24:58,798
You don't need to explain

565
00:24:58,831 --> 00:25:01,000
why you're grateful
we diagnosed your illness.

566
00:25:01,033 --> 00:25:02,334
Well, I do.

567
00:25:03,369 --> 00:25:05,938
You saved me
and my career. (CHUCKLES)

568
00:25:07,206 --> 00:25:09,609
At first,
my followers were super into

569
00:25:09,642 --> 00:25:12,779
what I was going through,
but after a while,

570
00:25:12,812 --> 00:25:14,747
you just start being
"the sick girl."

571
00:25:14,781 --> 00:25:17,584
You give up your privacy.
Doesn't that bother you?

572
00:25:17,617 --> 00:25:19,518
I have nothing to hide.

573
00:25:19,552 --> 00:25:20,653
No one should.

574
00:25:21,954 --> 00:25:24,557
We should all just be
who we are.

575
00:25:28,861 --> 00:25:30,997
We are...

576
00:25:32,498 --> 00:25:35,167
The decisions we make.

577
00:25:36,235 --> 00:25:39,171
And you let other people
make them for you.

578
00:25:41,073 --> 00:25:43,175
So you're not
being anyone.

579
00:25:43,542 --> 00:25:44,543
**

580
00:25:54,520 --> 00:25:57,556
You know how
you and I like to do
so many things together?

581
00:25:57,590 --> 00:25:59,425
We make clay mugs.

582
00:25:59,458 --> 00:26:00,693
That's right.

583
00:26:00,727 --> 00:26:04,964
Mommy was sick,
and she needed to be fixed.

584
00:26:04,997 --> 00:26:07,734
And you're sick, too.

585
00:26:07,767 --> 00:26:09,035
I don't feel sick.

586
00:26:09,068 --> 00:26:10,236
That's good.

587
00:26:10,269 --> 00:26:11,971
And the doctors
just want to make sure

588
00:26:12,004 --> 00:26:13,640
everything is all better
before you do.

589
00:26:13,673 --> 00:26:14,774
How?

590
00:26:15,842 --> 00:26:18,077
They're gonna
go inside you and...

591
00:26:18,110 --> 00:26:19,178
How?

592
00:26:19,211 --> 00:26:20,579
They're gonna make
a little cut...

593
00:26:20,613 --> 00:26:21,681
No!

594
00:26:21,714 --> 00:26:22,815
You're gonna be asleep.

595
00:26:22,849 --> 00:26:24,383
No!
Just like Mommy.

596
00:26:24,416 --> 00:26:26,518
I...
No, no, no, no, no!

597
00:26:26,552 --> 00:26:28,387
I'll be with you, Marla.
I'll take good care of you.

598
00:26:28,420 --> 00:26:29,588
No, no, no, no, no!
It's okay.
Just breathe, sweetie.

599
00:26:29,622 --> 00:26:30,690
Count to three.
No!

600
00:26:30,723 --> 00:26:31,858
Hey, sweetie,
you have to be brave.
No!

601
00:26:31,891 --> 00:26:32,892
No!

602
00:26:34,961 --> 00:26:36,062
Code blue!

603
00:26:37,964 --> 00:26:39,031
What's happening?

604
00:26:39,065 --> 00:26:40,532
(VOICE BREAKING)
Please help my baby.

605
00:26:40,566 --> 00:26:41,600
She's had a heart attack!

606
00:26:42,735 --> 00:26:43,736
Marla.

607
00:26:44,336 --> 00:26:45,337
Marla?

608
00:26:46,405 --> 00:26:47,439
Marla!

609
00:26:54,280 --> 00:26:57,016
Uh, would you
like my CV?

610
00:26:57,216 --> 00:26:58,885
No.

611
00:26:58,918 --> 00:27:01,520
I know who you are.
I don't need to see a list.

612
00:27:04,090 --> 00:27:05,091
Where do I work?

613
00:27:07,326 --> 00:27:08,795
It's a tech company.

614
00:27:09,428 --> 00:27:10,462
You were there.

615
00:27:10,496 --> 00:27:12,932
Cars.
Something about cars.

616
00:27:12,965 --> 00:27:15,768
You have no interest
in hiring me, do you?

617
00:27:15,802 --> 00:27:17,770
No.
It's not personal.

618
00:27:17,804 --> 00:27:19,205
It's a little personal.

619
00:27:19,238 --> 00:27:21,908
I'm doing a favor for Shaun.
I don't really need anyone.

620
00:27:21,941 --> 00:27:23,810
Did he ask you
to waste my time?

621
00:27:24,643 --> 00:27:25,912
Yeah... It's okay.

622
00:27:25,945 --> 00:27:27,947
I didn't really want
to work for you anyway.

623
00:27:27,980 --> 00:27:29,215
You're a bit of a grouch.

624
00:27:29,248 --> 00:27:32,685
But make sure
whoever does do the job
shores up your firewall.

625
00:27:32,719 --> 00:27:34,220
A kindergartner
can hack it.

626
00:27:34,253 --> 00:27:35,955
Thank you.
I'm sure we'll be fine.

627
00:27:37,656 --> 00:27:38,891
And you're right,
you know.

628
00:27:38,925 --> 00:27:40,927
We are not a good fit.

629
00:27:40,960 --> 00:27:42,795
And our mutual affection
for Shaun

630
00:27:42,829 --> 00:27:44,864
isn't enough to stop us
from killing each other.

631
00:27:47,666 --> 00:27:49,535
I...

632
00:27:49,568 --> 00:27:51,904
Your Chronicle subscription
is about to expire

633
00:27:51,938 --> 00:27:54,006
because they don't have
your updated credit card.

634
00:27:54,040 --> 00:27:55,708
The coffee maker
you ordered,

635
00:27:55,742 --> 00:27:57,710
third new one
in the last six months,

636
00:27:57,744 --> 00:27:59,712
will be delivered Tuesday.

637
00:27:59,746 --> 00:28:02,281
And you're deducting
way too much money

638
00:28:02,314 --> 00:28:03,682
out of Debbie's paycheck
for FICA.

639
00:28:03,716 --> 00:28:05,818
Would you like to hear
about your Google searches?

640
00:28:05,852 --> 00:28:06,853
**

641
00:28:08,187 --> 00:28:09,221
Thank you.

642
00:28:13,993 --> 00:28:14,994
(COMPUTER BEEPS)

643
00:28:16,128 --> 00:28:18,965
(SIGHS)
Lea!

644
00:28:18,998 --> 00:28:21,267
(MONITOR BEEPING)
(MELENDEZ SIGHS)

645
00:28:21,300 --> 00:28:24,536
Severe proximal LAD disease
with mid total occlusion.

646
00:28:24,570 --> 00:28:26,839
Angioplasty won't resolve
that stenosis.

647
00:28:26,873 --> 00:28:28,975
High risk of rupture
in someone this young.

648
00:28:29,608 --> 00:28:30,743
A stent?

649
00:28:30,777 --> 00:28:33,279
Won't be enough
effective revascularization.

650
00:28:33,312 --> 00:28:37,483
She needs a left IMA
to LAD anastomosis.

651
00:28:37,516 --> 00:28:40,419
I've never done a coronary
bypass on a three-year-old.

652
00:28:40,452 --> 00:28:42,054
Neither have I.

653
00:28:42,088 --> 00:28:43,489
I guess
it was the right call

654
00:28:43,522 --> 00:28:45,157
to put her daughter's poop
up her tush.

655
00:28:45,191 --> 00:28:46,725
Cost her a large chunk
of her colon.

656
00:28:46,759 --> 00:28:48,761
Saved her daughter's life.
Yeah, lucky coincidence.

657
00:28:48,795 --> 00:28:51,197
I'm sure the mother
doesn't regret a thing.

658
00:28:51,230 --> 00:28:52,698
At least she shouldn't.

659
00:28:52,731 --> 00:28:53,766
I'm with Claire.

660
00:28:53,800 --> 00:28:54,801
**

661
00:29:06,045 --> 00:29:08,380
Do you have time
for lunch?

662
00:29:08,414 --> 00:29:10,082
And by "lunch,"
you mean...?

663
00:29:10,817 --> 00:29:11,818
Lunch.

664
00:29:12,584 --> 00:29:14,420
I need advice.

665
00:29:15,454 --> 00:29:19,058
I need to really think
about something.

666
00:29:19,091 --> 00:29:20,126
Oh.

667
00:29:20,993 --> 00:29:22,494
Then yes, of course.

668
00:29:22,528 --> 00:29:24,596
CARLY:
It could be patronizing,

669
00:29:24,630 --> 00:29:28,767
being put up
as some kind of feel-good,
human interest story.

670
00:29:28,801 --> 00:29:30,769
Or objectified
and glorified

671
00:29:30,803 --> 00:29:33,940
as some kind of a symbol
for people who are different.

672
00:29:33,973 --> 00:29:37,509
But I also know
that when I told
my sister your story,

673
00:29:37,543 --> 00:29:38,677
she cried.

674
00:29:39,411 --> 00:29:40,546
She was sad?

675
00:29:40,579 --> 00:29:43,215
No, she was inspired.

676
00:29:45,617 --> 00:29:47,086
(EXHALES SHAKILY)

677
00:29:47,119 --> 00:29:51,824
I... don't know
what your advice
is telling me.

678
00:29:51,858 --> 00:29:54,793
I don't know
what you think
I'm supposed to do.

679
00:29:54,827 --> 00:29:57,830
Shaun, you aren't
supposed to do anything,

680
00:29:57,864 --> 00:30:00,132
except what you
believe is right.

681
00:30:02,001 --> 00:30:04,136
(SIGHS)
Thank you.

682
00:30:06,438 --> 00:30:08,674
Now I'm going to go see
what Lea thinks.

683
00:30:10,509 --> 00:30:12,211
I thought
you had a surgery.

684
00:30:12,244 --> 00:30:13,279
I'm just
going upstairs.

685
00:30:13,312 --> 00:30:15,814
Lea's meeting
with Dr. Glassman
about a job.

686
00:30:15,848 --> 00:30:17,483
A job here?
Yes.

687
00:30:17,516 --> 00:30:19,218
Lea told me
at lunch yesterday

688
00:30:19,251 --> 00:30:21,653
that she was looking
for different work, so...

689
00:30:21,687 --> 00:30:23,990
Wait, you... you had lunch
with Lea? Yesterday?

690
00:30:24,023 --> 00:30:25,391
And... And you kept it
from me?

691
00:30:25,424 --> 00:30:26,425
**

692
00:30:31,363 --> 00:30:34,433
I didn't keep it
from you.

693
00:30:34,466 --> 00:30:36,502
There was no reason
to mention it

694
00:30:36,535 --> 00:30:38,704
until just now,
when I did.

695
00:30:39,371 --> 00:30:40,372
Shaun...

696
00:30:41,740 --> 00:30:43,175
You know how I feel

697
00:30:43,209 --> 00:30:46,112
about how Lea hovers
over our relationship.

698
00:30:46,145 --> 00:30:47,146
And...

699
00:30:47,980 --> 00:30:50,116
You're just sneaking
around with her?

700
00:30:50,149 --> 00:30:51,650
Arranging for her
to work here,

701
00:30:51,683 --> 00:30:54,086
where she'll just loom
all the more.

702
00:30:55,221 --> 00:30:58,324
She won't be looming
or hovering.

703
00:30:58,357 --> 00:31:00,960
She'll be
on a whole other floor.

704
00:31:00,993 --> 00:31:02,895
Yeah, where you can go
and get her two cents

705
00:31:02,929 --> 00:31:05,664
whenever the advice given
by your actual girlfriend

706
00:31:05,697 --> 00:31:07,266
is deemed insufficient.

707
00:31:07,299 --> 00:31:08,300
**

708
00:31:09,768 --> 00:31:10,836
Yes.

709
00:31:10,869 --> 00:31:11,870
**

710
00:31:15,541 --> 00:31:16,542
(SIGHS)

711
00:31:20,512 --> 00:31:21,513
(DOOR OPENS)

712
00:31:24,183 --> 00:31:25,384
(SIGHS)

713
00:31:25,417 --> 00:31:26,418
(DOOR CLOSES)

714
00:31:27,786 --> 00:31:28,787
Hey.

715
00:31:30,957 --> 00:31:32,024
What are you doing?

716
00:31:32,058 --> 00:31:33,659
Eh, fresh air.

717
00:31:33,692 --> 00:31:34,693
You?

718
00:31:37,964 --> 00:31:39,731
(SIGHS)

719
00:31:39,765 --> 00:31:42,969
Shaun lied to me
about having lunch with Lea.

720
00:31:44,770 --> 00:31:45,771
No, he didn't.

721
00:31:47,273 --> 00:31:49,341
Shaun is incapable
of deceit.

722
00:31:49,375 --> 00:31:52,078
He must have
genuinely thought
that you wouldn't mind.

723
00:31:52,111 --> 00:31:55,347
Well, then, he is completely
tone deaf and insensitive,

724
00:31:55,381 --> 00:31:57,849
which are not better qualities
in a boyfriend.

725
00:31:57,883 --> 00:31:58,917
True.

726
00:31:58,951 --> 00:32:00,552
But not exactly
unanticipated

727
00:32:00,586 --> 00:32:02,554
when you get into
a relationship with Shaun.

728
00:32:05,391 --> 00:32:07,393
And it's never
really about the lie.

729
00:32:07,426 --> 00:32:09,295
It's what's underneath.

730
00:32:09,328 --> 00:32:10,562
You're jealous of Lea.

731
00:32:10,596 --> 00:32:12,731
I am not jealous.

732
00:32:12,764 --> 00:32:14,066
I am concerned...

733
00:32:14,100 --> 00:32:16,702
You don't need to justify.
I'm on team jealousy.

734
00:32:16,735 --> 00:32:19,705
It's flattering,
stimulating, it...

735
00:32:19,738 --> 00:32:21,507
It means you're committed
and you care.

736
00:32:21,540 --> 00:32:23,976
It's ugly and reflects
underlying trust issues

737
00:32:24,010 --> 00:32:25,077
that I don't want to...

738
00:32:25,111 --> 00:32:26,278
Yeah, yeah, yeah,
like all things,

739
00:32:26,312 --> 00:32:28,780
a little is good,
and a lot will kill you.

740
00:32:28,814 --> 00:32:29,815
My advice...

741
00:32:31,350 --> 00:32:33,619
Admit you're jealous,
give in to it,

742
00:32:33,652 --> 00:32:34,820
and then get over it.

743
00:32:36,922 --> 00:32:37,956
(SIGHS)

744
00:32:37,990 --> 00:32:38,991
(DOOR OPENS)

745
00:32:40,659 --> 00:32:41,660
(DOOR CLOSES)

746
00:32:42,428 --> 00:32:43,695
MORGAN:
Finding the styloid

747
00:32:43,729 --> 00:32:46,798
via digital palpitation
of the tonsillar fossa.

748
00:32:47,799 --> 00:32:48,800
There.

749
00:32:51,103 --> 00:32:55,607
Making incision vertically
along the mucosa of mandible.

750
00:32:57,576 --> 00:32:59,078
Next?

751
00:32:59,111 --> 00:33:03,415
I will free the styloid
process from its muscle

752
00:33:03,449 --> 00:33:06,452
and ligament attachments.

753
00:33:07,286 --> 00:33:08,287
Done.

754
00:33:11,290 --> 00:33:14,693
Dissecting away from
the internal carotid medially,

755
00:33:15,794 --> 00:33:19,265
and external, laterally.

756
00:33:19,298 --> 00:33:21,400
Now fracture and excise
the styloid.

757
00:33:24,002 --> 00:33:25,003
(HIGH-PITCHED WHIRRING)

758
00:33:28,240 --> 00:33:29,308
(MONITOR ALARM)

759
00:33:29,341 --> 00:33:30,476
SHAUN: Bradycardia.
Hypotensive.

760
00:33:30,509 --> 00:33:32,611
Loss of EEG waveform.
Cerebral ischemia.

761
00:33:32,644 --> 00:33:33,979
You may have injured
the carotid.

762
00:33:34,012 --> 00:33:35,914
Or compressed it
by fracturing the styloid.

763
00:33:35,947 --> 00:33:37,949
See if the fragment
is impinging on the vessel.

764
00:33:37,983 --> 00:33:39,385
Dr. Murphy,
extend her head.

765
00:33:39,418 --> 00:33:40,586
(ALARM CONTINUES)

766
00:33:40,619 --> 00:33:42,654
**

767
00:33:47,859 --> 00:33:49,961
Yes. Found it.
Easing it away.

768
00:33:51,997 --> 00:33:54,133
(ALARM STOPS)

769
00:33:54,166 --> 00:33:55,801
Carotid decompressed.

770
00:33:55,834 --> 00:33:57,836
(CLANK)

771
00:33:57,869 --> 00:34:00,639
EEG back to baseline normal.

772
00:34:00,672 --> 00:34:02,741
**

773
00:34:06,745 --> 00:34:09,815
Resuming styloid extraction.

774
00:34:09,848 --> 00:34:11,850
**

775
00:34:21,460 --> 00:34:23,362
Kayley's in ICU,
stable.

776
00:34:23,395 --> 00:34:25,997
CT shows no signs
of any permanent damage.

777
00:34:26,031 --> 00:34:29,034
No reason to anticipate
any future problems.

778
00:34:29,067 --> 00:34:32,904
So, the question is,
what do we tell her?

779
00:34:32,938 --> 00:34:35,174
That the surgery
was a success.

780
00:34:35,207 --> 00:34:37,176
She had a cerebral ischemia.
On the table.

781
00:34:37,209 --> 00:34:39,511
That did no damage
and that there's
no evidence of.

782
00:34:39,545 --> 00:34:41,713
Hospital policy
is transparency...

783
00:34:41,747 --> 00:34:43,682
We don't tell them
what music we played,

784
00:34:43,715 --> 00:34:44,816
what we talked about.

785
00:34:44,850 --> 00:34:47,853
This isn't relevant
to the outcome
or to her prognosis.

786
00:34:47,886 --> 00:34:49,020
Would you be taking
the same position

787
00:34:49,054 --> 00:34:51,557
if Kayley wasn't someone
whose criticism
could go viral?

788
00:34:51,590 --> 00:34:52,724
ANDREWS: I don't know.

789
00:34:52,758 --> 00:34:54,660
But it would be delusional
to think it's not relevant.

790
00:34:56,027 --> 00:34:57,028
Dr. Reznick.

791
00:34:57,796 --> 00:35:00,065
Any thoughts?

792
00:35:00,098 --> 00:35:02,568
I don't think I can
fairly offer an opinion,

793
00:35:02,601 --> 00:35:04,936
because my career
could hang in the balance.

794
00:35:04,970 --> 00:35:07,306
Yeah, well, none of us
are disinterested parties,

795
00:35:07,339 --> 00:35:10,909
given the hospital's
reputation
is also at stake.

796
00:35:10,942 --> 00:35:12,478
Did you screw up?

797
00:35:12,511 --> 00:35:14,246
Could that crisis
have been avoided?

798
00:35:14,280 --> 00:35:17,015
**

799
00:35:17,048 --> 00:35:21,320
If it could have been,
then we are all responsible.

800
00:35:21,353 --> 00:35:23,255
We were watching
everything she was doing,

801
00:35:23,289 --> 00:35:25,291
and none of us
told her to stop.

802
00:35:26,792 --> 00:35:28,460
This is an easy call.

803
00:35:28,494 --> 00:35:30,929
There's only one reason
to tell her everything,

804
00:35:30,962 --> 00:35:33,332
and that's you might
feel guilty if you don't.

805
00:35:33,365 --> 00:35:36,034
On the other hand, there's
the future of this hospital.

806
00:35:36,067 --> 00:35:38,069
**

807
00:35:45,777 --> 00:35:46,778
Okay.

808
00:35:47,713 --> 00:35:48,980
**

809
00:35:49,014 --> 00:35:52,918
Shaun, if the patient asks
for details about the surgery,

810
00:35:52,951 --> 00:35:54,986
can you limit
your answers?

811
00:35:55,020 --> 00:35:57,088
**

812
00:35:57,523 --> 00:35:59,658
I...don't know.

813
00:36:00,859 --> 00:36:01,993
Okay, we need to know if--

814
00:36:02,027 --> 00:36:03,895
No.

815
00:36:03,929 --> 00:36:07,366
Dr. Murphy, I hope
you will limit your answers.

816
00:36:07,399 --> 00:36:09,535
But I won't order you
to defy your conscience.

817
00:36:09,568 --> 00:36:11,537
**

818
00:36:20,479 --> 00:36:24,450
We don't normally have
patients share rooms,
but...

819
00:36:24,483 --> 00:36:27,286
She's...?
Gonna be completely fine.

820
00:36:27,319 --> 00:36:30,256
And once she's recuperated,
we'll begin her on statins
and Ezetimibe,

821
00:36:30,289 --> 00:36:32,491
and she'll undergo
lipid apheresis.

822
00:36:32,524 --> 00:36:33,792
It's kind of like
dialysis,

823
00:36:33,825 --> 00:36:36,995
but it'll allow us
to extract LDL
out of her blood.

824
00:36:37,028 --> 00:36:39,164
Should get her cholesterol
to within normal range.

825
00:36:40,832 --> 00:36:43,369
She'll need those drugs
and that other stuff

826
00:36:43,402 --> 00:36:44,470
for the rest of her life?

827
00:36:44,503 --> 00:36:48,006
Yes. But hopefully
a very long one.

828
00:36:49,408 --> 00:36:51,943
(EXHALES SHARPLY)

829
00:36:51,977 --> 00:36:53,979
(SNIFFLES)
Thank you so much.

830
00:36:54,780 --> 00:36:56,482
Thank God
I did what I did.

831
00:36:56,515 --> 00:36:58,417
(CHUCKLES)

832
00:36:58,450 --> 00:37:00,452
**

833
00:37:08,059 --> 00:37:10,061
(CHUCKLES)

834
00:37:12,097 --> 00:37:15,166
KAYLEY: (NORMAL VOICE)
Everything went great?

835
00:37:15,200 --> 00:37:17,403
(SIGHS) The repair was
successful. You should
have no...

836
00:37:17,436 --> 00:37:20,071
KAYLEY: Everything went great.
Say it. Say it to your fans.

837
00:37:21,607 --> 00:37:23,842
Everything went great.
(KAYLEY GIGGLES)

838
00:37:23,875 --> 00:37:25,611
KAYLEY: You rocked it.

839
00:37:25,644 --> 00:37:28,414
(CHUCKLES) You'll be with us
another few days,
and then you...

840
00:37:28,447 --> 00:37:30,749
KAYLEY: She rocked it, right?

841
00:37:30,782 --> 00:37:33,785
She was lead surgeon
in a successful...

842
00:37:33,819 --> 00:37:35,421
KAYLEY: And how gorgeous
is that hair?

843
00:37:35,454 --> 00:37:38,189
Dr. Morgan Reznick,
take a bow!

844
00:37:40,292 --> 00:37:41,860
(KAYLEY LAUGHS)

845
00:37:41,893 --> 00:37:44,062
KAYLEY: She was wrist-deep
all up in my mouth, y'all.

846
00:37:44,095 --> 00:37:45,731
She is a damn hero!

847
00:37:45,764 --> 00:37:46,898
(KAYLEY LAUGHS)

848
00:37:48,567 --> 00:37:50,201
You've got work to do.

849
00:37:50,235 --> 00:37:51,236
We're proud of you.

850
00:37:54,673 --> 00:37:56,508
Any reason
you screwed up?

851
00:37:56,542 --> 00:37:58,810
I didn't. It could've
happened to anyone.

852
00:37:58,844 --> 00:38:01,347
Not anyone suffers
from arthritic pain.

853
00:38:01,380 --> 00:38:02,881
That didn't affect
anything.

854
00:38:02,914 --> 00:38:04,550
You sure about that?

855
00:38:04,583 --> 00:38:05,751
'Cause I'm not.

856
00:38:22,401 --> 00:38:24,302
CARLY: Did you speak to Lea?

857
00:38:24,336 --> 00:38:25,404
Yes.

858
00:38:29,274 --> 00:38:32,544
I know
she's a good friend.

859
00:38:32,578 --> 00:38:34,012
And it would be unfair

860
00:38:34,045 --> 00:38:36,648
for me to expect you
to cut her out of your life.

861
00:38:36,682 --> 00:38:38,316
But...

862
00:38:38,350 --> 00:38:42,087
You going to ask her opinion
right after I had given mine,

863
00:38:42,120 --> 00:38:46,224
it just called up Wyoming
all over again.

864
00:38:46,257 --> 00:38:49,027
That you preferred Lea
to me.

865
00:38:49,060 --> 00:38:51,062
**

866
00:38:53,632 --> 00:38:54,966
I was jealous.

867
00:38:57,035 --> 00:38:59,671
And it's something
that I have to work out.

868
00:38:59,705 --> 00:39:01,740
**

869
00:39:02,508 --> 00:39:05,644
For the two of us
to work out.

870
00:39:05,677 --> 00:39:06,845
Together.

871
00:39:06,878 --> 00:39:08,880
**

872
00:39:12,618 --> 00:39:14,620
**

873
00:39:18,089 --> 00:39:19,991
What was Lea's advice?

874
00:39:20,025 --> 00:39:22,127
**

875
00:39:22,160 --> 00:39:25,764
That it'd be selfish not to
share my story with the world.

876
00:39:26,197 --> 00:39:28,033
**

877
00:39:29,300 --> 00:39:30,902
I liked your advice better.

878
00:39:31,236 --> 00:39:33,238
**

879
00:39:41,647 --> 00:39:43,381
(KNOCK ON DOOR)

880
00:39:43,415 --> 00:39:44,483
MELENDEZ: Hey.

881
00:39:45,651 --> 00:39:47,486
Uh-oh.

882
00:39:48,319 --> 00:39:50,388
Actually, yeah.

883
00:39:50,422 --> 00:39:52,591
There's something awkward
we need to talk about.

884
00:39:53,792 --> 00:39:55,093
You and Claire.

885
00:39:57,863 --> 00:40:00,766
You can reopen the door.

886
00:40:00,799 --> 00:40:03,735
There's nothing
remotely improper going on.

887
00:40:05,937 --> 00:40:09,074
I received an anonymous
favoritism complaint.

888
00:40:10,108 --> 00:40:11,510
We need to deal with it.

889
00:40:19,217 --> 00:40:23,722
I don't want
to talk to reporters.

890
00:40:23,755 --> 00:40:25,591
I know.

891
00:40:25,624 --> 00:40:29,427
So if I talked
to reporters,

892
00:40:29,461 --> 00:40:32,330
it wouldn't be honest
to who I really am.

893
00:40:33,331 --> 00:40:35,901
Well, sometimes, Shaun,

894
00:40:35,934 --> 00:40:38,537
people present a different
version of themselves

895
00:40:38,570 --> 00:40:40,506
depending upon
the circumstances.

896
00:40:40,539 --> 00:40:43,909
Like, I'm not always
the same here as I am at home.

897
00:40:43,942 --> 00:40:45,043
I don't.

898
00:40:45,076 --> 00:40:47,479
No, you don't.

899
00:40:48,747 --> 00:40:51,717
I considered
all the arguments.

900
00:40:51,750 --> 00:40:53,752
**

901
00:40:55,186 --> 00:40:59,324
I want to be known
as a good doctor.

902
00:41:00,325 --> 00:41:02,460
Not a good autistic doctor.

903
00:41:02,494 --> 00:41:04,496
**

904
00:41:14,740 --> 00:41:16,742
**

905
00:41:23,014 --> 00:41:25,050
**

906
00:41:32,658 --> 00:41:34,660
**

907
00:41:45,604 --> 00:41:47,806
(MAN LAUGHS)

908
00:41:48,674 --> 00:41:50,676
**