1 00:00:03,129 --> 00:00:04,004 Come on. 2 00:00:08,509 --> 00:00:09,468 Stop looking at me. 3 00:00:22,898 --> 00:00:24,859 Pancakes. The Peanut is thrilled. 4 00:00:24,859 --> 00:00:28,070 You are wearing the maternity jeans I bought you. 5 00:00:28,070 --> 00:00:29,655 Glad you're happy about that. 6 00:00:29,655 --> 00:00:31,240 You're 28 weeks pregnant. 7 00:00:31,240 --> 00:00:35,286 Your weight has increased 21.5 pounds, and our baby is moving lower. 8 00:00:36,078 --> 00:00:37,747 At least there's pancakes., 9 00:00:37,747 --> 00:00:40,207 - We need to buy a minivan. - No, we don't. 10 00:00:40,583 --> 00:00:43,085 The Striped Tomato has no infant safety features. 11 00:00:43,544 --> 00:00:46,464 Shaun, I just surrendered to maternity jeans, 12 00:00:46,464 --> 00:00:49,550 this is not the right time for broaching the "Mom-mobile." 13 00:00:49,675 --> 00:00:51,594 When would be the right time? 14 00:00:52,428 --> 00:00:54,847 These are amazing. Did you use buttermilk? 15 00:00:54,847 --> 00:00:55,806 Greek yogurt? 16 00:00:56,807 --> 00:00:59,143 I'll email you my list of child-safe vehicles. 17 00:00:59,143 --> 00:01:00,978 We can discuss it during lunch. 18 00:01:17,870 --> 00:01:19,079 Sonja Baylor? 19 00:01:27,129 --> 00:01:30,591 Who's the Code Gold? Taylor Swift? Did her broken heart give out? 20 00:01:30,591 --> 00:01:32,760 Better. Roland Barnes. 21 00:01:34,303 --> 00:01:35,971 The green tech guy? 22 00:01:35,971 --> 00:01:38,349 - He's attacked by a tiger. - In San Jose? 23 00:01:38,349 --> 00:01:40,559 At his animal rescue in Santa Cruz mountains, 24 00:01:40,559 --> 00:01:42,895 concierge doc called to say they're on the way. 25 00:01:42,895 --> 00:01:45,064 San Jose General is much closer. 26 00:01:45,064 --> 00:01:46,982 - Why'd he come here? - Because of you. 27 00:01:47,608 --> 00:01:51,362 Deep chest wall lacerations, multiple rib fractures, hemopneumothorax. 28 00:01:51,362 --> 00:01:52,863 I stabilized him. 29 00:01:52,863 --> 00:01:54,156 But he needs a CT, Stat. 30 00:01:54,573 --> 00:01:56,242 - Dr. Kalu. - Dr. Andrews. 31 00:02:00,579 --> 00:02:02,248 Good to see you, Dr. Murphy. 32 00:02:02,498 --> 00:02:04,875 Hello, Jared. 33 00:02:05,251 --> 00:02:07,419 A famous billionaire and a cute reunion? 34 00:02:07,419 --> 00:02:09,046 This is almost Swift-worthy. 35 00:02:21,517 --> 00:02:23,435 Is Leo a decent poker player? 36 00:02:24,311 --> 00:02:28,023 Us Weekly has photos of Roland coming out of his game last week. 37 00:02:28,691 --> 00:02:29,692 Won my Lambo off him. 38 00:02:32,486 --> 00:02:35,364 No sign of trauma to the liver or spleen. 39 00:02:35,990 --> 00:02:38,367 Beyonce did a private show for his birthday? 40 00:02:38,367 --> 00:02:39,368 It was awesome. 41 00:02:40,369 --> 00:02:42,371 No major intra-peritoneal hematoma. 42 00:02:42,371 --> 00:02:44,373 Moving on to the chest. 43 00:02:47,960 --> 00:02:52,339 {\an8}So, how does one go from St. Bon's resident 44 00:02:52,339 --> 00:02:56,385 {\an8}to concierge doc for the fifth richest man in the world? 45 00:02:57,553 --> 00:03:00,556 {\an8}I was working at Denver Memorial when I met Roland, 46 00:03:00,973 --> 00:03:02,892 {\an8}at a fundraiser hosted by my parents. 47 00:03:03,976 --> 00:03:07,396 {\an8}His wife collapsed during the silent auction. Nutmeg allergy. 48 00:03:07,563 --> 00:03:10,107 I gave her epi, then helped her outbid John Legend 49 00:03:10,107 --> 00:03:12,318 for a weekend at an underwater hotel. 50 00:03:13,068 --> 00:03:14,570 Roland hired me that night. 51 00:03:14,862 --> 00:03:16,947 Why does he need a personal physician? 52 00:03:16,947 --> 00:03:19,575 Does he often get attacked by wild animals? 53 00:03:20,659 --> 00:03:21,994 Chronic sciatica. 54 00:03:23,120 --> 00:03:27,666 {\an8}And he travels a lot, so there's vaccines. Plus botox injections, 55 00:03:27,666 --> 00:03:30,711 {\an8}cholesterol scrips, medical advice for friends and family. 56 00:03:30,711 --> 00:03:32,296 Why'd you leave St. Bons? 57 00:03:32,421 --> 00:03:35,507 He was fired for assaulting an attending who harassed Claire, 58 00:03:35,507 --> 00:03:37,176 then he sued the hospital. 59 00:03:37,176 --> 00:03:39,011 - You're that guy. - Yeah. 60 00:03:39,011 --> 00:03:41,388 I heard Andrews wasn't your biggest fan. 61 00:03:41,388 --> 00:03:43,515 I'm surprised he let me in the building. 62 00:03:45,476 --> 00:03:49,188 {\an8}Depressed and dislocated sternum, manubrium, and rib fractures. 63 00:03:49,688 --> 00:03:52,858 {\an8}Too fragmented for standard sternal reconstruction. 64 00:04:02,493 --> 00:04:03,911 He still does this? 65 00:04:04,703 --> 00:04:05,955 Always makes my day. 66 00:04:06,830 --> 00:04:08,123 I have an idea. 67 00:04:10,167 --> 00:04:12,169 This is why I brought Roland here. 68 00:04:17,007 --> 00:04:17,925 It's a girl. 69 00:04:19,301 --> 00:04:20,719 {\an8}We're naming her Esther. 70 00:04:21,220 --> 00:04:25,057 {\an8}We hope she'll be brave and selfless like Queen Esther. 71 00:04:25,349 --> 00:04:26,725 Baddest bitch in the Bible. 72 00:04:27,476 --> 00:04:28,727 How are that mud's going? 73 00:04:29,436 --> 00:04:31,939 - Fine. - Any excessive discharge? 74 00:04:32,564 --> 00:04:36,944 {\an8}A couple of days ago, I was on a walk and was a little like I peed myself. 75 00:04:39,822 --> 00:04:41,907 Could that be from the MilliDox? 76 00:04:43,033 --> 00:04:45,077 No. You're actually on the placebo. 77 00:04:46,370 --> 00:04:48,330 Your amniotic fluid is a bit low. 78 00:04:48,330 --> 00:04:50,833 We should admit you for further testing. 79 00:04:53,168 --> 00:04:55,879 He asked for you. Inoperable leiomyosarcoma 80 00:04:55,879 --> 00:04:57,881 with major vascular involvement. 81 00:05:02,261 --> 00:05:03,429 What're you doing here? 82 00:05:05,305 --> 00:05:06,348 {\an8}I'm dying. 83 00:05:09,351 --> 00:05:12,271 {\an8}My doctors say there's nothing they can do for me. 84 00:05:14,898 --> 00:05:16,150 {\an8}I'm hoping you can. 85 00:05:18,444 --> 00:05:21,030 We should get a CT and PET scan. 86 00:05:21,822 --> 00:05:22,698 Fine. 87 00:05:27,036 --> 00:05:29,246 We'll completely rebuild your sternum 88 00:05:29,246 --> 00:05:31,373 {\an8}and anterior chest wall with donor bones 89 00:05:31,373 --> 00:05:34,168 {\an8}and titanium plates. It's a very complicated surgery. 90 00:05:34,668 --> 00:05:36,545 {\an8}Jared says you're a damn good surgeon. 91 00:05:37,171 --> 00:05:40,382 {\an8}Yes, I am a damn good surgeon. 92 00:05:41,341 --> 00:05:44,595 {\an8}He is. And I'll be overseeing your care every step of the way. 93 00:05:45,637 --> 00:05:48,807 Appreciate the personal attention. I want Jared there, too. 94 00:05:49,683 --> 00:05:50,809 {\an8}Jared is my doctor. 95 00:05:50,809 --> 00:05:53,562 {\an8}Dr. Kalu will be read in on every major decision. 96 00:05:53,562 --> 00:05:54,980 I want him in the OR. 97 00:05:58,317 --> 00:06:00,819 I'll fast-track your surgical privileges. 98 00:06:18,420 --> 00:06:20,380 Something's going on between you two. 99 00:06:21,632 --> 00:06:23,342 {\an8}I'm very perceptive that way. 100 00:06:24,051 --> 00:06:25,344 It's a long story. 101 00:06:27,596 --> 00:06:29,515 Saw in his chart he's from Phoenix. 102 00:06:29,890 --> 00:06:33,727 He broke his arm a couple years ago in a Tae Kwon Do match, your sport. 103 00:06:33,727 --> 00:06:36,605 So I'm going with he's your Johnny Lawrence 104 00:06:36,605 --> 00:06:39,566 who cheated during the match at the All Valley tournament. 105 00:06:39,691 --> 00:06:41,693 I've been watching a lot of Cobra Kai. 106 00:06:43,904 --> 00:06:45,239 {\an8}He slept with my wife. 107 00:06:45,239 --> 00:06:48,575 {\an8}So, yes to the cheating. No to the tournament. 108 00:06:58,752 --> 00:07:00,420 This is from six months ago. 109 00:07:03,590 --> 00:07:04,883 This is from today. 110 00:07:06,135 --> 00:07:08,887 A leiomyosarcoma should've progressed more than that. 111 00:07:08,887 --> 00:07:10,681 Maybe they had the diagnosis wrong. 112 00:07:19,898 --> 00:07:22,526 Release the pectoral muscles from attachment medially. 113 00:07:22,526 --> 00:07:26,113 Should I place the low profile plate? 114 00:07:26,113 --> 00:07:29,533 Don't you need to create a landing zone for the fixation? 115 00:07:31,493 --> 00:07:32,786 He is right. 116 00:07:34,371 --> 00:07:38,125 Get a better exposure by elevating the right pectoral from the ribs. 117 00:07:40,085 --> 00:07:44,173 {\an8}I understand SF General's Cardiac Unit is named after your boss. 118 00:07:44,173 --> 00:07:47,926 {\an8}And that he sponsored a surgical exchange program with Haiti. 119 00:07:49,887 --> 00:07:51,889 Would you like to place the screws? 120 00:07:53,765 --> 00:07:54,808 Very much so. 121 00:07:55,392 --> 00:07:56,935 Thank you, Dr. Andrews. 122 00:07:58,520 --> 00:08:00,606 Drill guide, self-tapping screws. 123 00:08:05,652 --> 00:08:06,987 Feels good. 124 00:08:08,280 --> 00:08:12,951 You have been very polite to Dr. Kalu despite having fired him. 125 00:08:12,951 --> 00:08:15,996 Is that because you want a donation from Roland? 126 00:08:18,457 --> 00:08:19,833 - It's okay. - It's true. 127 00:08:19,833 --> 00:08:22,586 Dr. Kalu and I didn't part on the best terms. 128 00:08:22,586 --> 00:08:24,755 But I'm happy you found your niche. 129 00:08:25,547 --> 00:08:30,177 {\an8}And I believe in the work we do here. Roland Barnes can help us do even more. 130 00:08:30,177 --> 00:08:32,888 {\an8}I told Roland this was the best hospital in the state. 131 00:08:32,888 --> 00:08:36,016 When we get him healthy, I'd be happy to tell him again. 132 00:08:38,685 --> 00:08:41,063 BP's dropping. Cardiac output's awful. 133 00:08:41,063 --> 00:08:42,231 He's in heart failure. 134 00:08:42,231 --> 00:08:44,316 The cardiac contusion was missed on CT. 135 00:08:44,316 --> 00:08:47,277 Need a balloon pump to help his heart circulate more blood. 136 00:08:47,277 --> 00:08:50,155 We need to get it in five minutes or he dies. 137 00:08:54,826 --> 00:08:56,119 BP's stabilized. 138 00:08:56,119 --> 00:08:59,706 Cardiac output is improving. He should make a full recovery, 139 00:08:59,706 --> 00:09:02,709 but he should not get so close to jungle cats in the future. 140 00:09:05,963 --> 00:09:08,423 In the OR... I've really missed that. 141 00:09:09,424 --> 00:09:12,511 {\an8}Then why did you stop being a surgeon? 142 00:09:12,511 --> 00:09:16,390 {\an8}Working for Roland was too interesting an opportunity to pass up. 143 00:09:16,390 --> 00:09:18,850 {\an8}Is sciatica interesting to you? 144 00:09:19,142 --> 00:09:20,269 {\an8}It's more... 145 00:09:20,435 --> 00:09:23,230 - I came as soon as I heard... Poor Rolly. - Hey. 146 00:09:24,314 --> 00:09:25,899 {\an8}This is my girlfriend, Dalia. 147 00:09:25,899 --> 00:09:26,817 {\an8}Hi. 148 00:09:27,818 --> 00:09:28,652 You... 149 00:09:29,778 --> 00:09:34,283 I've seen you on the bus... in a perfume ad. 150 00:09:40,205 --> 00:09:43,166 {\an8}Fern test confirms it's a premature rupture of the membranes. 151 00:09:43,166 --> 00:09:45,669 We should terminate before an infection sets in. 152 00:09:45,669 --> 00:09:48,714 What about in-patient expectant management and antibiotics? 153 00:09:48,714 --> 00:09:50,757 PPROM pregnancies can be carried to term. 154 00:09:50,757 --> 00:09:53,093 {\an8}Rarely. When they are, babies are likely to have 155 00:09:53,093 --> 00:09:55,137 {\an8}cerebral palsy, neurologic abnormalities, 156 00:09:55,137 --> 00:09:57,264 - intellectual disability. - We'll tell them, 157 00:09:57,264 --> 00:09:59,182 but this is a badly wanted pregnancy. 158 00:09:59,182 --> 00:10:01,184 They've been trying for five years. 159 00:10:01,184 --> 00:10:03,687 Had two first trimester miscarriages already. 160 00:10:03,687 --> 00:10:05,897 Saving the baby may be her priority. 161 00:10:05,897 --> 00:10:07,274 But saving her is ours. 162 00:10:07,858 --> 00:10:09,651 Sonja is our patient. 163 00:10:10,027 --> 00:10:13,363 We should explain her options but recommend termination. 164 00:10:15,407 --> 00:10:16,366 Morgan is right. 165 00:10:17,492 --> 00:10:19,369 But be clear about the options. 166 00:10:23,582 --> 00:10:26,835 {\an8}The seat springs allow the car seat to move more than one inch, 167 00:10:27,794 --> 00:10:30,047 which creates additional injury risk. 168 00:10:30,047 --> 00:10:33,175 There are no over shoulder seatbelts for the car seat, 169 00:10:33,175 --> 00:10:36,386 no crumple zone, and you'd have to install a roll-cage, 170 00:10:36,386 --> 00:10:39,473 which still wouldn't be as reliable as one built in. 171 00:10:39,473 --> 00:10:42,434 Since you hate minivans, I have looked into hatchbacks 172 00:10:42,434 --> 00:10:45,020 and SUVs with sufficient safety features. 173 00:10:45,520 --> 00:10:48,065 It's not just about hating minivans. 174 00:10:48,899 --> 00:10:51,276 - What is it about? - I love this car. 175 00:10:51,276 --> 00:10:52,861 It's my history. 176 00:10:52,861 --> 00:10:56,531 {\an8}My brother and I restored it, used to drive it to shows at the Fillmore. 177 00:10:56,531 --> 00:10:59,618 {\an8}You and I took it on our first road trip. I can't sell it. 178 00:10:59,618 --> 00:11:04,373 {\an8}Then we do not have to. As long as you never put the Peanut in it. 179 00:11:04,373 --> 00:11:05,791 We still need a family car. 180 00:11:06,124 --> 00:11:08,001 {\an8}Yeah, we do. 181 00:11:11,046 --> 00:11:12,089 Roland's awake. 182 00:11:17,386 --> 00:11:20,847 But it's possible that we could save our baby? 183 00:11:21,932 --> 00:11:23,141 You'd have to live here. 184 00:11:23,141 --> 00:11:26,311 We'd monitor you every day, give you prophylactic antibiotics 185 00:11:26,311 --> 00:11:28,980 and steroids when the baby gets closer to viability. 186 00:11:28,980 --> 00:11:32,901 To be clear, even with all that, you may still develop 187 00:11:32,901 --> 00:11:36,863 a serious uterine infection that could require a hysterectomy 188 00:11:36,863 --> 00:11:38,824 or cause fatal complications. 189 00:11:44,955 --> 00:11:46,373 I think we should terminate. 190 00:11:53,505 --> 00:11:54,798 What would you do... 191 00:11:56,383 --> 00:11:57,843 if it was your baby? 192 00:11:58,427 --> 00:12:00,178 Termination is the safest. 193 00:12:00,178 --> 00:12:01,888 I was talking to Dr. Allen. 194 00:12:07,602 --> 00:12:11,314 I would... pray on it. 195 00:12:14,901 --> 00:12:15,986 And then? 196 00:12:19,406 --> 00:12:21,366 I want to know what you would do. 197 00:12:35,922 --> 00:12:41,136 I think I... would try to save the baby. 198 00:12:48,059 --> 00:12:50,645 We have to fight for our Esther. 199 00:12:59,029 --> 00:13:02,824 We need a biopsy before we can give you any definitive answer. 200 00:13:04,326 --> 00:13:05,494 Okay. 201 00:13:06,161 --> 00:13:07,496 So when do we do that? 202 00:13:08,914 --> 00:13:11,875 I'll give you a referral to take to another doctor. 203 00:13:11,875 --> 00:13:14,127 If I wanted another doctor, I would have. 204 00:13:14,127 --> 00:13:16,546 - I don't have to treat you. - But you will. 205 00:13:18,298 --> 00:13:19,591 You're not a quitter. 206 00:13:21,009 --> 00:13:23,053 You worked hard to save your marriage. 207 00:13:23,053 --> 00:13:25,055 You never tapped out in a fight. 208 00:13:26,056 --> 00:13:28,058 I always admired your persistence. 209 00:13:29,768 --> 00:13:31,394 And kind of hated it, too. 210 00:13:38,527 --> 00:13:40,487 Looking back at my life, 211 00:13:42,280 --> 00:13:43,990 I don't like the view. 212 00:13:46,701 --> 00:13:47,702 I hurt... 213 00:13:49,454 --> 00:13:50,705 a lot of people. 214 00:13:53,917 --> 00:13:55,877 That's the real reason that I came here. 215 00:13:57,837 --> 00:13:59,005 For forgiveness. 216 00:14:12,269 --> 00:14:14,688 The intra-aortic balloon pump worked. 217 00:14:14,688 --> 00:14:16,189 You won't need a new heart. 218 00:14:16,189 --> 00:14:17,315 Great. 219 00:14:17,732 --> 00:14:19,234 So when can I get out of here? 220 00:14:19,693 --> 00:14:21,903 Not for a few days. 221 00:14:21,903 --> 00:14:25,865 We need to monitor you for post-surgical complications. 222 00:14:25,865 --> 00:14:27,576 Your heart rate is elevated. 223 00:14:27,576 --> 00:14:29,369 Have you been exerting yourself? 224 00:14:35,709 --> 00:14:37,127 She did most of the exerting. 225 00:14:41,673 --> 00:14:46,469 I need 1,000 mg levetiracetam and 4 mg lorazepam. Stat. 226 00:14:47,596 --> 00:14:49,014 Is Rolly gonna be okay? 227 00:15:01,776 --> 00:15:03,111 Roland had a seizure. 228 00:15:04,738 --> 00:15:07,407 You should sit down. 229 00:15:19,419 --> 00:15:20,837 Dalia was there. 230 00:15:23,048 --> 00:15:24,174 Naked. 231 00:15:25,216 --> 00:15:27,010 They were having sex. 232 00:15:33,600 --> 00:15:34,976 Dalia and I aren't together, 233 00:15:35,935 --> 00:15:37,270 she's with Roland. 234 00:15:37,270 --> 00:15:38,772 That's part of the gig. 235 00:15:39,230 --> 00:15:43,109 I pretend she's with me, so Roland's wife doesn't get suspicious. 236 00:15:45,153 --> 00:15:46,154 Okay. 237 00:15:46,821 --> 00:15:48,490 You think the sex caused seizure? 238 00:15:49,366 --> 00:15:51,993 Arousal can increase the heart rate by 38% 239 00:15:51,993 --> 00:15:54,079 and if his brain was deprived of oxygen, 240 00:15:54,079 --> 00:15:56,081 it'd cause a seizure, which would mean 241 00:15:56,081 --> 00:15:58,416 his heart's still not pumping enough blood. 242 00:15:59,501 --> 00:16:02,587 Does it bother you to have to lie on a regular basis? 243 00:16:03,213 --> 00:16:06,341 It's not my favorite responsibility, but it's a great job, so... 244 00:16:06,341 --> 00:16:07,759 Why is it a great job? 245 00:16:12,722 --> 00:16:16,267 On my last day, you told me that one day I'd be very happy. 246 00:16:16,810 --> 00:16:18,061 But I was miserable. 247 00:16:18,520 --> 00:16:19,896 I felt like a failure. 248 00:16:22,023 --> 00:16:24,693 Then I met Roland, and he saw something in me. 249 00:16:25,819 --> 00:16:31,825 This guy that I really admired, that the world admired, he valued me. 250 00:16:33,243 --> 00:16:35,412 I don't mind flying private to Amsterdam 251 00:16:35,412 --> 00:16:37,956 to have rijsttafel with the Queen of Netherlands. 252 00:16:37,956 --> 00:16:40,959 I also said you would fulfill your potential. 253 00:16:41,835 --> 00:16:42,752 I'm not doing that? 254 00:16:43,628 --> 00:16:44,462 No. 255 00:16:46,965 --> 00:16:47,882 Sciatica. 256 00:16:52,345 --> 00:16:54,472 Thanks for reminding me I'm still a failure. 257 00:16:57,183 --> 00:17:00,061 I'll get a BNP Test and echo to check out his heart. 258 00:17:07,110 --> 00:17:09,654 Inject saline to get us to submucosal plane. 259 00:17:13,658 --> 00:17:16,536 - Why'd you stay on the case? - There's the tumor. 260 00:17:18,413 --> 00:17:20,582 He was right. I take my obligations seriously. 261 00:17:20,582 --> 00:17:21,666 Take four samples. 262 00:17:23,585 --> 00:17:26,546 Not because some part of you wants to forgive him? 263 00:17:27,172 --> 00:17:28,715 Withdraw the scope slowly. 264 00:17:31,968 --> 00:17:33,636 He doesn't deserve it. 265 00:17:39,476 --> 00:17:40,727 Let's start with a sofa. 266 00:17:40,727 --> 00:17:41,978 Let's take a look. 267 00:17:42,312 --> 00:17:46,149 Finally, somebody recognizes my interior design genius. 268 00:17:46,524 --> 00:17:47,776 It looks nice. 269 00:17:48,735 --> 00:17:50,987 - Very. - Hey. I love this. I'll take it. 270 00:17:50,987 --> 00:17:54,324 No. This is literally the first thing you've sat on. 271 00:17:54,324 --> 00:17:57,577 Okay, I'll sit in 10 other ones, and then I'll take this one. 272 00:17:57,577 --> 00:18:00,580 No. If you know you like something, stick with it. 273 00:18:01,998 --> 00:18:03,583 Like my car. 274 00:18:05,084 --> 00:18:06,586 Shaun wants to buy a minivan. 275 00:18:06,586 --> 00:18:10,256 You want to put an infant in a '75 Gran Torino? 276 00:18:10,256 --> 00:18:12,759 No, it's not safe for a baby. 277 00:18:14,010 --> 00:18:15,011 But... 278 00:18:16,596 --> 00:18:17,847 it is... 279 00:18:19,641 --> 00:18:20,683 cool. 280 00:18:22,060 --> 00:18:26,856 Even when I'm going to my super grown-up job, 281 00:18:26,856 --> 00:18:29,025 in my lady-boss pantsuit, 282 00:18:30,735 --> 00:18:34,155 I get out of that car and I'm cool. 283 00:18:34,572 --> 00:18:41,496 And soon, I'll be just another 30-something mom in a practical car, 284 00:18:41,496 --> 00:18:44,707 baby seat in the back and spit-up on my shirt. 285 00:18:47,043 --> 00:18:49,504 Maddie's mom used to warn me to take two shirts 286 00:18:49,504 --> 00:18:51,631 whenever I went out with the baby. 287 00:18:51,631 --> 00:18:53,341 I learned the hard way. 288 00:18:53,341 --> 00:18:57,762 How do I want this baby so badly, 289 00:18:58,805 --> 00:19:01,933 but feel so icked out about being a mom? 290 00:19:04,102 --> 00:19:05,395 Define "icked out." 291 00:19:06,104 --> 00:19:07,146 Like... 292 00:19:11,025 --> 00:19:14,070 - I know. - Okay. That's well said. 293 00:19:15,113 --> 00:19:18,366 You got mixed emotions. Welcome to the human condition. 294 00:19:19,742 --> 00:19:21,160 I'm gonna take this one. 295 00:19:25,164 --> 00:19:27,333 Her fever spiked, she's in a lot of pain. 296 00:19:27,333 --> 00:19:29,752 Her heart rate's 117. Fetal heart rate 180. 297 00:19:29,752 --> 00:19:31,212 They're both tachycardic. 298 00:19:31,212 --> 00:19:34,382 500 milligrams acetaminophen and start ampicillin. 299 00:19:38,094 --> 00:19:40,722 This is the infection we were worried about. 300 00:19:42,181 --> 00:19:46,144 Your baby is very unlikely to survive, 301 00:19:46,936 --> 00:19:48,605 and your life is in danger. 302 00:19:49,564 --> 00:19:51,107 We need to terminate now. 303 00:19:54,110 --> 00:19:56,738 But her heart's still beating. 304 00:19:57,196 --> 00:19:59,908 Esther can only stay alive in utero. 305 00:20:00,408 --> 00:20:04,078 And as long as she's in there, you'll keep getting sicker. 306 00:20:06,831 --> 00:20:08,207 I'm so sorry. 307 00:20:11,377 --> 00:20:13,546 I'm here. We can get through this. 308 00:20:14,714 --> 00:20:16,049 We can try again. 309 00:20:22,096 --> 00:20:22,972 No. 310 00:20:28,895 --> 00:20:32,857 Your baby needs at least two more weeks to be viable. 311 00:20:33,524 --> 00:20:36,527 And if we wait that long, you will probably die. 312 00:20:38,279 --> 00:20:40,114 "If I perish, I perish." 313 00:20:41,199 --> 00:20:42,742 That's what Queen Esther said 314 00:20:42,742 --> 00:20:44,827 before she risked her life for her family. 315 00:20:47,163 --> 00:20:48,039 Sonja... 316 00:20:49,707 --> 00:20:50,959 "If I perish... 317 00:20:54,754 --> 00:20:55,797 I perish." 318 00:21:03,721 --> 00:21:06,307 According to the BNP test and echo, 319 00:21:06,557 --> 00:21:08,893 your seizure wasn't related to heart trauma. 320 00:21:08,893 --> 00:21:11,521 The EEG will let us assess your brain. 321 00:21:11,521 --> 00:21:12,855 So what's your pitch? 322 00:21:12,855 --> 00:21:15,108 Hospital presidents don't supervise EEGs. 323 00:21:18,653 --> 00:21:22,448 I've been impressed by your Global Engineers Initiative. 324 00:21:22,448 --> 00:21:24,742 I think we can do the same with medicine. 325 00:21:24,742 --> 00:21:28,287 Train doctors from the developing world to take care of their people. 326 00:21:28,287 --> 00:21:30,665 What makes St. Bon's the place to do it? 327 00:21:30,665 --> 00:21:34,669 We're hands on here. Our residents don't just do appies and lap choles. 328 00:21:34,669 --> 00:21:38,506 With the guidance of our attendings, they come up with complex treatments, 329 00:21:38,506 --> 00:21:40,550 untangle the thorniest ethical dilemmas 330 00:21:40,550 --> 00:21:43,428 and learn how to provide top-notch patient care. 331 00:21:43,428 --> 00:21:47,598 If we could sponsor more residents from the developing world, 332 00:21:47,598 --> 00:21:50,184 we'll send them home ready to serve communities. 333 00:21:50,518 --> 00:21:52,645 But Jared, who I trust with my life, 334 00:21:52,645 --> 00:21:56,107 wasn't good enough to be one of those residents. You fired him. 335 00:21:57,567 --> 00:21:59,777 You saw something in him I missed. 336 00:21:59,777 --> 00:22:02,613 But I'm seeing it now. I've granted him full access. 337 00:22:02,613 --> 00:22:06,242 Very politic answer. What do you think, has he earned my money? 338 00:22:08,244 --> 00:22:10,496 I learned a tremendous amount at St. Bon's. 339 00:22:10,496 --> 00:22:12,832 As you've experienced, the care is top-notch. 340 00:22:12,832 --> 00:22:15,001 Unfortunately, the food isn't. 341 00:22:15,001 --> 00:22:20,339 Text Dalia and ask her to bring us back some of those pork buns from Yank Sing. 342 00:22:21,257 --> 00:22:22,508 Dalia went into the city? 343 00:22:22,508 --> 00:22:23,885 To meet up with friends. 344 00:22:23,885 --> 00:22:25,053 You're okay with that? 345 00:22:25,053 --> 00:22:26,512 Why wouldn't I be? 346 00:22:27,305 --> 00:22:28,306 No reason. 347 00:22:29,098 --> 00:22:31,684 All right, let's start this. 348 00:22:31,684 --> 00:22:33,311 Close your eyes and relax. 349 00:22:35,313 --> 00:22:37,982 Labs confirm Sonja has chorioamnionitis. 350 00:22:38,441 --> 00:22:40,026 We should add gentamicin. 351 00:22:40,026 --> 00:22:41,778 That'll damage the baby's kidneys. 352 00:22:41,778 --> 00:22:43,946 It's our only way to keep Sonja alive. 353 00:22:43,946 --> 00:22:47,492 Buys us time to convince her to terminate. She's being suicidal. 354 00:22:47,492 --> 00:22:50,661 Risking your life for your child is considered admirable. 355 00:22:50,661 --> 00:22:55,083 Not if you're both going to die, because of the false hope you gave her. 356 00:22:55,416 --> 00:22:56,834 I answered her question. 357 00:22:56,834 --> 00:22:58,086 You gave her permission. 358 00:22:58,086 --> 00:23:00,713 We're supposed to at least try to be objective. 359 00:23:00,713 --> 00:23:03,716 Objectivity is a myth, especially on this subject. 360 00:23:03,716 --> 00:23:06,135 I know the pain Sonja's grappling with. 361 00:23:06,135 --> 00:23:07,178 So do I. 362 00:23:14,143 --> 00:23:19,482 I was in med school, on birth control, and I got pregnant anyway. 363 00:23:22,360 --> 00:23:23,861 I wasn't ready for a kid. 364 00:23:25,154 --> 00:23:26,447 I was scared. 365 00:23:27,615 --> 00:23:28,574 And sad. 366 00:23:30,493 --> 00:23:31,702 And relieved. 367 00:23:32,495 --> 00:23:34,705 It was a medical procedure I had years ago, 368 00:23:34,705 --> 00:23:36,499 and I'm at peace with it now. 369 00:23:37,041 --> 00:23:37,959 Most women are. 370 00:23:39,377 --> 00:23:41,170 Because it was their choice, 371 00:23:41,170 --> 00:23:45,341 a choice you got to make and I did, too. Let Sonja make hers. 372 00:23:45,508 --> 00:23:48,010 It's not our job to help patients choose death. 373 00:23:52,014 --> 00:23:53,391 Her lungs are failing. 374 00:24:02,358 --> 00:24:04,986 Her O2 sats are falling, fever's climbing. 375 00:24:05,319 --> 00:24:06,487 Intubation cart. 376 00:24:06,487 --> 00:24:08,614 Administer propofol and rocuronium. 377 00:24:08,614 --> 00:24:10,908 We need to sedate you so we can intubate. 378 00:24:10,908 --> 00:24:13,619 That'll keep you breathing. But the only way... 379 00:24:14,370 --> 00:24:15,496 You can't kill her. 380 00:24:16,122 --> 00:24:17,707 Esther's life before mine. 381 00:24:17,707 --> 00:24:19,750 - Sonja, please... - Promise me. 382 00:24:20,751 --> 00:24:22,587 - I can't... - Promise me. 383 00:24:31,971 --> 00:24:32,847 Anthony... 384 00:24:38,519 --> 00:24:39,395 I... 385 00:24:40,104 --> 00:24:41,397 I promise. 386 00:24:44,692 --> 00:24:45,776 I love you. 387 00:24:57,622 --> 00:25:00,708 Check out the activity in the left frontal lobe on Roland's EEG. 388 00:25:00,708 --> 00:25:02,168 Interictal spikes. 389 00:25:02,293 --> 00:25:04,921 They're very small, likely incidental. 390 00:25:06,005 --> 00:25:08,799 Roland's selfish and possessive. 391 00:25:09,008 --> 00:25:11,385 He hates it when people have fun without him. 392 00:25:11,385 --> 00:25:14,597 But today he was fine with Dalia hanging with friends. 393 00:25:15,514 --> 00:25:17,767 Being unselfish is a symptom. 394 00:25:17,767 --> 00:25:19,727 Maybe one of his wounds got infected? 395 00:25:19,727 --> 00:25:22,355 Bacterial encephalitis from the claws or teeth? 396 00:25:22,355 --> 00:25:24,065 This could be subtle edema. 397 00:25:24,065 --> 00:25:26,234 Plus behavior changes and interictal spikes. 398 00:25:26,234 --> 00:25:27,818 Sounds like neurocysticercosis. 399 00:25:27,818 --> 00:25:30,404 - A tapeworm cyst... - With larva in the brain. 400 00:25:32,031 --> 00:25:34,033 It would take a tape worm weeks 401 00:25:34,033 --> 00:25:36,410 to fully form larva and cysts in his brain. 402 00:25:36,410 --> 00:25:38,329 The attack was two days ago. 403 00:25:41,791 --> 00:25:45,211 Roland's last "local safari" was about two months ago. 404 00:25:45,211 --> 00:25:47,630 And he fell into a giant pile of tiger crap... 405 00:25:48,589 --> 00:25:50,508 We can remove the cyst and larva 406 00:25:50,508 --> 00:25:53,386 with stereotactic navigation and hydrodissection. 407 00:25:53,678 --> 00:25:54,595 Awesome. 408 00:25:58,641 --> 00:25:59,892 You're not a failure. 409 00:26:05,940 --> 00:26:06,857 Seriously? 410 00:26:07,066 --> 00:26:08,442 Four guesses? 411 00:26:08,693 --> 00:26:09,652 I got it in two. 412 00:26:12,530 --> 00:26:13,572 What's up with you? 413 00:26:14,907 --> 00:26:16,033 You lose a patient? 414 00:26:18,452 --> 00:26:19,787 Actually, I might save one. 415 00:26:22,540 --> 00:26:23,416 Joe. 416 00:26:24,208 --> 00:26:25,334 Mia's Joe? 417 00:26:26,544 --> 00:26:28,379 Waiting on his biopsy results. 418 00:26:29,922 --> 00:26:31,632 They asked me to forgive him. 419 00:26:32,925 --> 00:26:33,843 What'd you say? 420 00:26:34,552 --> 00:26:35,928 I refused. 421 00:26:37,972 --> 00:26:39,140 You would've, too. 422 00:26:39,807 --> 00:26:40,725 Maybe. 423 00:26:42,601 --> 00:26:44,562 I'm capable of letting things go. 424 00:26:44,562 --> 00:26:45,980 I can let things go. 425 00:26:47,189 --> 00:26:49,191 I prioritized my career for a day, 426 00:26:49,191 --> 00:26:51,694 which you decided was unacceptable. 427 00:26:51,694 --> 00:26:53,863 Even after I changed my mind. 428 00:26:56,032 --> 00:26:58,409 How long did it take you to forgive Mia? 429 00:26:59,368 --> 00:27:00,244 Dr. Park? 430 00:27:03,706 --> 00:27:04,999 Your diagnosis is in. 431 00:27:13,132 --> 00:27:17,219 Right this way. Guys, be careful. You've got history, you're carrying. 432 00:27:20,848 --> 00:27:22,808 There's a couple of steps. Be careful. 433 00:27:22,933 --> 00:27:24,894 Thanks, guys. First door on the right. 434 00:27:25,478 --> 00:27:26,520 Stadium seats? 435 00:27:26,520 --> 00:27:31,067 Authentic, Candlestick Park stadium seats. Got them from a broker. 436 00:27:31,067 --> 00:27:32,860 - Very cool. - Right? 437 00:27:32,860 --> 00:27:35,237 - Thanks for the inspiration. - You're welcome. 438 00:27:36,614 --> 00:27:39,033 Your turn next. Get your coat. 439 00:27:42,828 --> 00:27:46,874 You have a stromal tumor in your stomach, and a small lesion on your liver. 440 00:27:46,874 --> 00:27:48,292 We can remove both. 441 00:27:49,168 --> 00:27:50,503 You'll be cancer free. 442 00:27:56,133 --> 00:27:57,343 That's incredible. 443 00:27:58,344 --> 00:27:59,261 Thank you. 444 00:28:00,805 --> 00:28:01,889 You get it, right? 445 00:28:02,848 --> 00:28:04,058 You're not dying. 446 00:28:05,309 --> 00:28:06,143 Yes. 447 00:28:07,645 --> 00:28:09,021 This is amazing. 448 00:28:11,357 --> 00:28:12,566 I'm so grateful. 449 00:28:14,610 --> 00:28:16,821 - But-- - That's not why you came here. 450 00:28:36,507 --> 00:28:40,719 Sonja will likely be in multiorgan failure within the next 48 hours. 451 00:28:41,178 --> 00:28:44,056 When that happens, Esther will not survive. 452 00:28:46,100 --> 00:28:50,187 But if we terminate now, Sonja still can. 453 00:28:51,564 --> 00:28:53,816 You can save your wife's life. 454 00:28:55,443 --> 00:28:56,694 It's all up to you. 455 00:29:10,708 --> 00:29:11,625 He says... 456 00:29:13,461 --> 00:29:14,628 he says he can't do it. 457 00:29:16,505 --> 00:29:18,424 He needs to keep his promise. 458 00:29:23,929 --> 00:29:25,181 I know what to do. 459 00:29:38,277 --> 00:29:39,153 Sorry, man. 460 00:29:39,612 --> 00:29:40,446 Bring it. 461 00:29:53,876 --> 00:29:54,752 Are you okay? 462 00:30:05,763 --> 00:30:08,015 A worm laid eggs in my skull. 463 00:30:08,015 --> 00:30:09,099 Larva. 464 00:30:10,601 --> 00:30:12,853 You were right. Murphy's the best. 465 00:30:14,688 --> 00:30:17,775 What would you say to a hundred million dollars? 466 00:30:22,321 --> 00:30:25,866 I'd say that's remarkably generous. 467 00:30:26,617 --> 00:30:27,952 You can't accept it. 468 00:30:29,620 --> 00:30:32,873 You are not medically fit to be making any major decisions 469 00:30:32,873 --> 00:30:34,291 because of the larva. 470 00:30:34,875 --> 00:30:38,462 I closed a huge deal last week with Mr. Worm as my consigliere. 471 00:30:38,462 --> 00:30:39,838 I feel pretty competent. 472 00:30:39,838 --> 00:30:43,759 Well, I'd be happy to accept your money after the surgery. 473 00:30:55,354 --> 00:30:57,106 Sonja. It's okay. 474 00:30:57,606 --> 00:30:59,233 I turned off your sedation. 475 00:31:01,068 --> 00:31:02,403 I need to talk to you. 476 00:31:03,028 --> 00:31:06,115 I'm gonna let go of your hands, but you can't pull out the tube. 477 00:31:21,005 --> 00:31:22,965 When I was 18, 478 00:31:24,300 --> 00:31:25,634 I had an abortion. 479 00:31:28,470 --> 00:31:32,016 That child would have been 11 now. 480 00:31:32,933 --> 00:31:34,602 Just starting middle school. 481 00:31:36,437 --> 00:31:39,023 Every time I see a kid that age, 482 00:31:39,898 --> 00:31:42,484 I think about who they would have become. 483 00:31:43,193 --> 00:31:45,696 Or what kind of mom I would have been. 484 00:31:48,616 --> 00:31:50,784 I believe God's forgiven me. 485 00:31:52,036 --> 00:31:53,662 That's kind of His thing. 486 00:31:55,873 --> 00:31:58,959 And I believe God picked you from motherhood. 487 00:32:01,295 --> 00:32:02,671 You are so strong. 488 00:32:04,048 --> 00:32:05,841 So brave... 489 00:32:06,342 --> 00:32:09,053 with such a deep capacity for love. 490 00:32:16,018 --> 00:32:22,316 But your Esther, isn't developed enough to survive outside the womb. 491 00:32:23,776 --> 00:32:26,028 The infection will kill both of you. 492 00:32:29,448 --> 00:32:33,535 I told you if I were you, I would try to save the baby. 493 00:32:36,872 --> 00:32:38,457 I prayed for a miracle. 494 00:32:40,918 --> 00:32:43,170 I don't know why it didn't come today. 495 00:32:47,466 --> 00:32:48,634 The only way... 496 00:32:49,134 --> 00:32:52,346 for you to be the mom God wants you to be... 497 00:32:55,849 --> 00:32:57,434 is to let Esther go. 498 00:33:12,616 --> 00:33:14,535 Please sign this consent form. 499 00:34:06,879 --> 00:34:07,796 Yes. 500 00:34:20,809 --> 00:34:21,727 Speculum. 501 00:34:43,999 --> 00:34:46,668 If your soul has not yet left your body, 502 00:34:49,171 --> 00:34:50,798 I baptize you, Esther... 503 00:35:05,562 --> 00:35:08,649 Cervix is sufficiently dilated. 504 00:35:21,203 --> 00:35:22,746 Is the name of the Father, 505 00:35:23,914 --> 00:35:25,040 and of the Son, 506 00:35:27,668 --> 00:35:29,086 and of the Holy Spirit. 507 00:35:33,382 --> 00:35:34,216 Amen. 508 00:35:37,845 --> 00:35:38,762 Amen. 509 00:35:39,388 --> 00:35:40,597 - Amen. - Amen. 510 00:36:07,833 --> 00:36:10,961 The margins were clean. We were able to get all the tumors. 511 00:36:11,503 --> 00:36:13,255 No additional metastasis. 512 00:36:14,089 --> 00:36:15,799 Your prognosis is excellent. 513 00:36:17,843 --> 00:36:18,760 Thank you. 514 00:36:30,439 --> 00:36:31,481 I forgive you. 515 00:36:44,119 --> 00:36:45,037 Thank you. 516 00:36:54,588 --> 00:36:56,882 Extracting the cyst... 517 00:36:58,675 --> 00:36:59,843 and larva. 518 00:36:59,843 --> 00:37:00,928 Awesome. 519 00:37:02,763 --> 00:37:04,598 - And I might hurl. - Let's close. 520 00:37:06,850 --> 00:37:09,019 Can Dr. Kalu do the closing? 521 00:37:10,938 --> 00:37:11,772 Be my guest. 522 00:37:16,193 --> 00:37:17,194 4-0 neurolon. 523 00:37:20,155 --> 00:37:22,199 You said you miss being a surgeon. 524 00:37:22,824 --> 00:37:27,162 If you complete your residency here, you can do more than closing. 525 00:37:28,288 --> 00:37:32,626 I doubt he wants to go from five star restaurants to hospital vending machines. 526 00:37:33,001 --> 00:37:38,298 Actually, someone helped me realize I'd love a second chance here. 527 00:37:47,099 --> 00:37:51,770 The Chief of Surgery is responsible for all hiring decisions in her department. 528 00:37:54,398 --> 00:37:56,108 I've learned a lot about myself. 529 00:37:56,858 --> 00:38:00,612 How to better communicate, how to manage challenging personalities. 530 00:38:01,947 --> 00:38:04,116 I hear Roland can be a handful. 531 00:38:04,741 --> 00:38:07,202 Prepared me for tough patients and attendings. 532 00:38:09,371 --> 00:38:11,373 My surgical skills is still sharp. 533 00:38:11,373 --> 00:38:13,208 Andrews let me do Roland's closing. 534 00:38:13,959 --> 00:38:15,043 I'm impressed. 535 00:38:16,003 --> 00:38:19,297 Murphy really wants you on his team, that carries weight. 536 00:38:20,632 --> 00:38:23,343 But I don't have any openings for third year residents. 537 00:38:26,805 --> 00:38:27,764 I understand. 538 00:38:31,810 --> 00:38:34,312 But I do have a slot for a first year. 539 00:38:57,794 --> 00:38:59,129 I'm so sorry... 540 00:39:00,088 --> 00:39:01,214 for your loss. 541 00:39:22,277 --> 00:39:24,488 So our Esther will always be with me. 542 00:39:28,909 --> 00:39:30,077 Someday, 543 00:39:31,495 --> 00:39:34,831 maybe we can tell her brothers and sisters all about her. 544 00:39:54,309 --> 00:39:57,104 This car is perfect for the Peanut. 545 00:39:57,104 --> 00:39:58,855 And pretty cool, too. 546 00:40:00,690 --> 00:40:03,068 Let's take this rocketship for a ride. 547 00:40:21,962 --> 00:40:23,088 Dr. Andrews? 548 00:40:25,298 --> 00:40:26,383 Here's your check. 549 00:40:27,676 --> 00:40:31,138 And this is what happens when you poach my employees. 550 00:40:45,569 --> 00:40:48,530 This is so good, especially after a day like today. 551 00:40:51,241 --> 00:40:52,450 To our differences. 552 00:40:57,664 --> 00:40:58,748 Excuse me. 553 00:40:58,748 --> 00:41:01,251 Time to exercise my reproductive freedom. 554 00:41:01,668 --> 00:41:03,503 I'm doing a third round of IVF. 555 00:41:03,503 --> 00:41:04,629 Gonna go jab yourself 556 00:41:04,629 --> 00:41:07,007 in the belly alone in the hospital bathroom? 557 00:41:09,176 --> 00:41:10,051 Gimme. 558 00:41:11,845 --> 00:41:12,846 I am a doctor. 559 00:41:15,932 --> 00:41:16,850 Have at it. 560 00:41:22,814 --> 00:41:25,150 To reuniting with old friends. 561 00:41:28,737 --> 00:41:33,742 And a mommy mocktail with fresh rosemary. 562 00:41:33,742 --> 00:41:36,870 Yum. Love having bougie Kalu back. 563 00:41:38,330 --> 00:41:39,372 To Jared... 564 00:41:41,166 --> 00:41:45,503 fulfilling his potential as my new first year resident. 565 00:41:54,054 --> 00:41:55,347 It's probably Glassy. 566 00:41:59,976 --> 00:42:02,020 - You Doctor Shaun Murphy? - Yes. 567 00:42:02,229 --> 00:42:05,482 I'm an attending surgeon at St. Bonaventure hospital. 568 00:42:07,317 --> 00:42:08,735 You've just been served. 569 00:42:09,819 --> 00:42:11,655 You're being sued for malpractice. 570 00:42:20,372 --> 00:42:22,707 It wasn't Doctor Glassman.