The.Good.Doctor.S01E01
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00:00Thank you for listening.
03:30You're killing him.
03:33I'm saving his life.
03:34He was bleeding out.
03:35You have it in the wrong place.
03:37I think I remember enough of Anatomy 101 to know what the jugular vein is.
03:40You would be in the right place if you were an adult, he's a boy, which means you're also putting pressure on his trachea, which means he's not currently breathing.
03:48You have to put the pressure higher up.
03:57Some glass, he'll be fine.
04:07Some glass.
04:10He'll be fine.
04:11He'll be fine.
04:11He'll be fine.
04:11He'll be fine.
04:11He'll be fine.
04:12Who are you?
04:13Hello.
04:15I'm Dr. Sean Murphy.
04:16I'm a surgical resident at San Jose, I'm a surgical resident at San Jose, St. Bonaventure Hospital.
04:19Autism, a mental condition characterized by difficulty in communicating and using language and abstract concepts.
04:39That's the definition.
04:40Does it sound like I'm describing a surgeon?
04:43He's not Rain Man.
04:44He's high functioning.
04:46He's capable of living on his own, capable of managing his own affairs.
04:50High functioning.
04:51Is that our new hiring standard?
04:54If it were, you wouldn't be here.
04:56I'm sorry, is this really necessary, really a special meeting of the board of directors, as much as I love you all, questioning one of my hiring decisions?
05:06Did you bother to look up the definition of president while you were skimming the dictionary?
05:09And you're hiring him to be a surgical resident, my department over my objections.
05:16Marcus, stop making everything so personal.
05:18I made it personal.
05:19You've wanted his job since day one.
05:20Everyone in this room knows that.
05:21And, Aaron, yes, this is your hospital, but the money it takes to run it comes from the foundation I control, so let's all play nice, shall we?
05:29Stop acting like you're stunned that you're standing there.
05:32You tried to slip one past us.
05:33I vetted him like I would any other candidate.
05:36And you genuinely thought that this board wouldn't reasonably have any doubts about hiring a surgeon who's been diagnosed with autism.
05:44So justify your decision.
05:45I met Sean Murphy when he was 14 years old.
05:52I was living in Wyoming at the time.
05:54He was, and he still is, an extraordinary young man.
05:58Yes, he has autism, but he also has savant syndrome, genius-level skills in several areas.
06:05He has almost perfect recall.
06:07He has spatial intelligence, and he sees things and analyzes things in ways that are just remarkable, in ways that we can't even begin to understand.
06:18Those are assets, undeniable assets for any doctor, particularly a surgeon.
06:23Dr. Andrews, your wife is going to be very upset with you.
06:34If you're trying to turn this into a nepotism case, we're going to have to fire her idiot nephew from bookkeeping.
06:45Hey.
06:46Sorry, you seen Claire?
06:48Would you turn off the light?
06:49Sure, you seen Claire?
06:50Why?
06:51Would you turn off the light?
06:52Melendez wants to operate on 104, but Claire hasn't gotten informed consent, and she's ignoring her page.
06:58You seen her?
06:59No.
06:59Now go away and turn off the light.
07:01Sure.
07:07I need you to, um...
07:12I heard.
07:16Oh, she's such a bitch.
07:19No.
07:19She just doesn't like you.
07:22It's kind of silly, isn't it?
07:28Um, maybe.
07:31To say for sure, I need to know what it is you're talking about.
07:35Us.
07:36Ah.
07:36Oh.
07:37Not silly at all.
07:39Quite a bit of fun, actually.
07:40I meant that we're hiding it.
07:43Our relationship?
07:44Huh.
07:45Well...
07:47Jared,
07:48we don't have a relationship.
07:52We have sex.
07:54But...
07:55If you want to tell people that you're screwing me,
07:58go for it.
07:59The veins in the boy's left arm are popping.
08:29Is that bad?
08:30I...
08:30I don't see.
08:32Intra-toracic pressure.
08:33No, his chest is rising.
08:34He's breathing.
08:35No, the...
08:36The chest is moving paradoxically.
08:39The left lung is in distress.
08:47Yes.
08:48Who here has a sharp knife?
08:54Blade five inches or longer?
08:57No body?
08:58You should start artificial respiration,
09:00and he's going to stop breathing very soon.
09:02I feel fine.
09:09Dr. Melendez would like to do the surgery today.
09:11You need bypass surgery quite urgently.
09:15Would you please sign the consent?
09:18No.
09:19You're scared.
09:20I'm not scared.
09:22You should be.
09:22We're going to cut your chest open.
09:24We're going to stop your heart,
09:26repair it, and restart it.
09:27Are you seriously telling me
09:28that that doesn't scare you?
09:30I just want a second opinion.
09:32Callum,
09:33yesterday your life was perfect.
09:36You were playing tennis.
09:37You had a big anniversary.
09:39Today,
09:40you're lying in a hospital bed
09:41trying to figure out
09:42the best way to say goodbye,
09:43maybe forever,
09:44to your teenage children.
09:45Why are you doing this?
09:49Because I can't deal with lies.
09:51If you lie to me,
09:52my answers won't help you.
09:54But,
09:55if you're scared,
09:56I can help you.
10:02I'm scared.
10:04Okay.
10:09Can't be back here.
10:10Oh,
10:10I need a knife.
10:11Where do you keep the knives
10:12people forget they're traveling with?
10:14A knife?
10:15Sure.
10:15Anything else?
10:17I do also need a
10:18narrow six-foot tube
10:20and high-proof alcohol
10:21and gloves
10:22and baggage handling tape,
10:23but I'm going to get the alcohol
10:24from the duty-free store
10:25and the tube from the back
10:26of a soda machine.
10:27Well,
10:28I wish you all the luck with that,
10:29but I'm not going to give you a knife.
10:30No,
10:30I need a knife.
10:31It's,
10:31it's very,
10:32there is a medical emergency.
10:34There's a medical emergency.
10:35That one,
10:37that one right near the top
10:38looks very sharp.
10:39Would you get it for me?
10:40I'm not going to give you a knife.
10:41I'll ask you.
10:42There's not the time.
10:45Weapon!
10:46Weapon!
10:49Move!
10:49Get out of the way!
10:54Drop it!
10:56Idiot!
10:57You're lucky we didn't just shoot!
10:58No!
10:59He's trying to save my son's life.
11:09You get that consent on 104?
11:11Well,
11:12I made him a deal.
11:13He's got a meeting
11:14with Dr. Max
11:14from psychiatry at six.
11:16We'll get the consent by eight.
11:17We can operate
11:18first thing in the morning.
11:19You did pass anatomy,
11:20right,
11:20Dr. Brown?
11:21Problem's in his heart,
11:22not his head.
11:22He's not psychologically ready
11:24for surgery.
11:24He will be.
11:25Soon.
11:25Oh,
11:26he's physically ready.
11:27So get the consent.
11:28We're prepping R6 now.
11:29Do I need to cite you
11:30the 17 studies
11:31that show a correlation
11:32between attitude
11:33and outcome
11:33in surgical patients?
11:35Do I need to remind you
11:36that I am your superior?
11:38You do know
11:38what the opposite
11:39of superior is,
11:40right?
11:42Subordinate?
11:43Sure.
11:43It doesn't...
11:44Subordinate
11:44or inferior.
11:46Either way.
11:47It doesn't mean
11:47I'm wrong.
11:49I suppose not.
11:50But it doesn't mean
11:51you have to act
11:51like you're wrong.
11:56He's panic-stricken.
11:57Yesterday,
11:58he was young
11:58and healthy.
11:59Today,
12:00he's mortal.
12:00Just give him a chance
12:02to wrap his head
12:02around that.
12:08Dr. Kalou,
12:09do you think
12:11you can get me
12:12a signed informed consent
12:13on 104?
12:16Of course.
12:20You think he's right?
12:23I think he's my boss.
12:27And if I have to choose
12:28between my boss
12:29and the woman I'm screwing,
12:34not much of a choice,
12:35am I right?
12:40Excuse me.
12:42Excuse me, please.
12:43Excuse me, please.
12:50I think he's my boss.
13:15Bye.
13:15Bye.
13:16Bye.
13:16Bye.
13:16Bye.
13:17Incision should take place two ribs down.
13:47Okay, well, why the bottle?
14:04The air will continue to leak and accumulate until the damage can be properly repaired.
14:08The tube allows the air to get out.
14:09The water in the bottle stops the air from coming back in.
14:12A homemade one-way valve.
14:16He's breathing.
14:17He saved his life.
14:22He saved his life.
14:39Sean, where are you?
14:41I...
14:41Call me as soon as you can, please.
14:44That was a mistake.
14:45I agree.
14:46This is not about the new doctor.
14:47This is about you.
14:48They're baiting you and you're letting them.
14:50Maybe.
14:51Maybe what?
14:51What mistake are you talking about?
14:52You're shot at Andrew's nephew.
14:54Oh, come on.
14:54It was funny.
14:56It was very funny.
14:57It was also disrespectful.
14:58Well, you don't show him respect.
14:59I assume it's because you don't respect him.
15:01You show someone respect because you respect them or because you're afraid of them.
15:04I don't fit into either category.
15:05Well, neither do I.
15:06Well, neither do I.
15:07You should.
15:09You're only in that room because your grandfather founded this hospital.
15:13I'm going to pretend that this conversation didn't take this tangent and instead focus on something
15:19relevant, the debate you were losing.
15:22Here's how you win this.
15:24You do not make it personal.
15:25You do not make it about you.
15:26That is what they want.
15:27And if you give it to them, you will lose.
15:30I need to get to San Jose St. Bonaventure Hospital.
15:37That's where we're going.
15:39Good.
15:47How hard can it be to just act like a normal human being?
15:50He doesn't know how.
15:52Bull.
15:53What are we supposed to do now?
15:54This is the third school he's been thrown out of.
15:57We'll find another school.
15:58No, we won't because nothing's going to change.
16:00They can't handle him.
16:01I don't blame them because obviously we can't handle him either.
16:04What the hell happened this time?
16:05What happened?
16:06You're hurting him.
16:10What did you do?
16:12Sean!
16:13No!
16:14Can you stop beating a stupid rabbit?
16:28It changed.
16:30The Boise's CG changed.
16:34It's the same.
16:3686 BPM.
16:37No.
16:38It used to be higher.
16:39No, it used to be 86.
16:40It's still 86.
16:42It used to come up to here.
16:45Lower amplitude means lower voltage.
16:47Lower amplitude means lower voltage.
16:49What's going on?
16:50What does it mean?
16:50It means he's trying to read 20-year-old equipment while traveling in a vehicle going 40 miles an hour.
16:55How did you get him to sign?
16:57I simply told him it's either consenting or going home.
17:01Then I gave him two phones and told him to pick one.
17:02And you highlighted the release against medical advice form that mentions a possibility of death or permanent disability?
17:10Well done.
17:13Having the Mets in a pickup?
17:14I'm isolating this sending a order.
17:16That's my plan.
17:17What is that?
17:21Under the left atrium.
17:22Something white.
17:25Is that part of the one?
17:27It's a puss.
17:30Do you have TV?
17:31No, he doesn't have it.
17:33No, not currently.
17:33Does he have a history?
17:34When his younger is exploding.
17:34This is an abscess.
17:35It's going to hurt.
17:38Suction, the left splunge.
17:39His BP's crashing.
17:40Two liters saline wide open.
17:41Set up level one.
17:42Two units of tax cells now.
17:44Let's get a leaflet on board and keep that map at 60.
17:47Get in there with the suction.
17:48I can't see a damn thing.
17:49Suction.
17:51Hope it isn't too upsetting to him when he hears he would have died in his room if we'd waited until tomorrow.
17:56Dr. Melendez, we've got an incoming eight-year-old male pneumothorax stabilized but undetermined internal injuries.
18:02Who do you want to catch?
18:03Claire, I don't think we need you.
18:05This patient is going to be fine.
18:07Now.
18:11Eight-year-old healthy boy.
18:12Status post-encounter with a shattered blast sign.
18:14Numerous lacerations.
18:15Echo.
18:16Get him set up in trauma three with an EKG, full blood work, and a pan scan.
18:20We need an echo.
18:21Echo cardiogram?
18:22Who is this guy?
18:22The alpha first aid at the airport.
18:24I'm the doctor.
18:25He needs an echo cardiogram.
18:26Where are you taking him?
18:27It's a surgery.
18:28All cardiac vital signs are within normal range.
18:30Do you have any ID?
18:31No.
18:32His heart.
18:33It's his heart.
18:33His heart is fine.
18:34I'll stay here.
18:35Adam needs an echo cardiogram.
18:37No.
18:37Behave yourself.
18:38Or you'll be removed from the building.
18:53Echo.
18:54Echo.
18:54What's that?
19:02A one-way valve.
19:04EMT reports the boy suffered a pneumothorax.
19:08That is cool.
19:09Do you think we should do an echo cardiogram?
19:19Based on the presenting symptoms, which give no indication that an echo cardiogram is necessary,
19:24I'm going to answer no.
19:26Am I missing something?
19:28No, sir.
19:30Knife.
19:30OK.
19:48You're OK.
19:53OK.
19:53We don't normally treat rabbits especially
20:23This was the closest doctor place and it was an emergency
20:26Now I can see that but even if I was a vet the rabbit is dead
20:30I'm sorry guys
20:36Everything smells different when it rains
20:39What do we do now?
20:45Well you should bury him
20:46I guess
20:48I don't know give him a nice funeral
20:52Has he gone to heaven?
20:58Yeah sure sure sure he has
21:00No I don't want him to go to heaven I want him to be here
21:03This won't happen again
21:09It can't happen again
21:10He's dead
21:11I know that
21:12I mean nothing like this is ever going to happen to us ever again
21:16Because we're not going home
21:19We're never going home again
21:21We have each other and that's all we need
21:24A surgeon needs to communicate
21:36Not just information
21:37But sympathy
21:39Empathy
21:41Can Dr. Murphy do that?
21:44He can't even reliably show up for a job interview
21:46Are you going to sit here and tell us that there were no other equally qualified young surgeons
21:53Surgeons without this one's issues
21:58No
21:59Which is why
22:01Exactly why we should hire Sean
22:04We should hire him because he is qualified
22:07And because he is different
22:09How long ago was it that we wouldn't hire black doctors in this hospital?
22:12How long ago was it that we wouldn't hire female doctors at this hospital?
22:17So you're comparing being African American or a woman with being autistic?
22:23Please
22:23Go on
22:25Okay
22:26The rationalization is exactly the same
22:31Words like temperament
22:33And oh no
22:35Oh
22:35How are the patients going to react?
22:38Aren't we judged by how we treat people?
22:40I don't mean as doctors
22:41I mean as people
22:43Especially those who don't have the same advantages that we have
22:47We hire Sean
22:48And we give hope to those people with limitations
22:51That those limitations are not what they think they are
22:54That they do have a shot
22:56We hire Sean
23:03And we make this hospital better for it
23:06We hire Sean
23:08And we are better people for it
23:10We'd be better people
23:13Spending a lot more on malpractice insurance
23:18How old is this kid again?
23:21Eight
23:21Spong stick
23:23What was his heart rate five minutes ago?
23:33Uh, eighty-six
23:34You sure?
23:35Satson
23:35He's been a rock
23:36It's barely changed
23:37Oh, something's changed
23:39Something's different
23:40You asked earlier about an echo
23:46You had no medical reason
23:47But you asked anyway why?
23:48There was this weird guy
23:51The one that did the one-way valve
23:53He kept insisting that the boy needed an echo carrier
23:55You didn't say why?
23:57He was really weird
23:58His blood pressure's dropping
24:02That makes no sense
24:03He's not bleeding anymore
24:04Everything's under control
24:05Do an echo
24:07I'm sad the boys won't open
24:09It's gonna take a while
24:10Good
24:10That'll give me time to figure out why the hell we're doing an echo
24:12So, Dr. Brown, you're with me
24:14We're gonna go find your weird guy
24:15Keep him stable
24:16Why the echo?
24:23Uh, okay
24:24He, uh, he
24:25Okay
24:27Uh, uh, I, uh
24:30Okay
24:30I understand you think he needs an echocardiogram
24:34We just don't know why
24:35Well, I noticed that there was a slight reduction in the intensity of the electrocardiogram
24:41The electrical flow
24:42I noticed that, too
24:43The heart rate was the same, but the amplitude dropped
24:46Pericardial effusion
24:48Reduced cardiac output
24:49It would stress other organs
24:50Causing them to shut down
24:52Yes
24:52Hold on
24:56Yeah, we're coming right back up
24:59Thank you
25:00They did the echo
25:02It's normal
25:03No pericardial effusion
25:05No, it has to be
25:06There, there is no other explanation
25:08The echo is normal
25:08Which means we just wasted our time
25:11Okay, um
25:24Hey
25:25Come with me
25:27Show them
25:43Again
25:53Again
25:59Again
26:00Again
26:02There
26:04Looks normal to me
26:06It's not normal
26:08There's a concave deformity in the right atrium
26:11Um, no, there's not
26:13Yes, there is
26:14It's very subtle
26:15Even if you are right
26:16That's not where a pericardial effusion manifests
26:18Not usually
26:23But
26:25It
26:25It could
26:26This kid was sprayed with glass shards
26:30Caught his jugular
26:31What if a piece of glass entered his bloodstream?
26:35It
26:35Could have traveled down the jugular vein
26:37Into the brachiocephalic vein
26:39And onto the superior vena cava
26:41That punctured the SVC
26:42If blood could be leaking behind the heart
26:44Restricting the heart's ability to expand and fill
26:47During diastole reducing the heart's efficiency
26:49Lord of ifs there
26:51Dr. Chen
26:57A pair of 14 gauge on syringe
27:00All in favor of ratifying Dr. Glassman's decision in hiring Dr. Sean Murphy
27:09All against?
27:20Excuse me
27:21Is this a medical emergency?
27:23No, no medical emergency
27:24And you weren't supposed to
27:25Yes, I know, but you need to go online
27:27What?
27:27What site?
27:28Pretty much any of them
27:29Twitter, YouTube
27:30Any local news site
27:32Save his life
27:38The YouTube clip already has over 200,000 views
27:45Apparently he's one of our doctors
27:47Dr. Sean Murphy saved this boy
27:51The boy is in OR2
27:54Dr. Melendez isn't sure if he's going to make it
27:57Your fiancé sure can't handle a knife
28:10Why did you warn me about respecting Dr. Andrews?
28:15What's going on?
28:21I'm not going to always be here to protect you
28:23You think you're going to lose?
28:27Everybody loses
28:28Eventually
28:30Is that your guy?
28:34Okay
28:34Can we get a TV?
28:54No
28:55Why not?
28:58Because we're poor, dude
28:59We live in a bus
29:01Do you think Mom is looking for us?
29:05Yeah
29:05No
29:06She loves us
29:12But she knows it's better this way
29:15I got you a present
29:28It's not my birthday
29:30I got you a present anyway
29:32Here
29:50There she is
29:55You and her
29:56This is the day
29:57Still
29:57I got youuns
29:59I got you
30:01I got you
30:02As far as the day
30:03As far as the night
30:04I was getting ready
30:06I had no idea
30:08The day
30:09Is that what
30:09Was there
30:12When you look
30:14And then
30:15The kid
30:16And again
30:18And after
30:19Julia
30:20Kelly.
30:50I don't like pickles.
31:19I know.
31:20I don't want...
31:21And I checked.
31:26You saved that boy's life.
31:28Oh, good.
31:30His name is Adam, Traumatic Pneumothorax.
31:34I'm hungry.
31:39Board reconvenes in 45 minutes.
31:46Can you stay here until I get back?
31:49Okay.
31:53Okay.
31:54He's got a serious deficit.
32:03A child is alive today because of that deficit.
32:06And tomorrow one may be dead because of it.
32:08I seem to remember that when I hired you, you weren't exactly making the most adult decisions.
32:14You haven't killed anyone yet, have you?
32:16Thankfully, there's a cure for youth and stupidity.
32:20Time and experience.
32:21It's a cure for stupidity.
32:24Okay.
32:25That would be a windfall.
32:27All Sean has is a diagnosis.
32:30I'd like your help.
32:33I take it I'm not gonna get it.
32:36Okay.
32:37Wait.
32:40What's the story with this kid?
32:43Why is this so important to you?
32:45Why not?
32:48Because letting things get personal is a short formula for screwing things up.
32:53I don't know.
32:54Letting things get personal is how we, how we make it matter.
33:11So are you proud or disappointed?
33:14Do I have to pick just one?
33:24Hey.
33:28You're new to town, right?
33:30Yes.
33:31Well, I'm sure you have a lot of questions.
33:33No.
33:38You gotta be curious about the place, about the people.
33:41Dr. Glassman gave me a map of the hospital and I got a map of San Jose online.
33:49Okay.
33:51Great.
33:58I do have one question.
33:59Yeah.
34:03Why were you rude to me when we first met, then nicer to me the second time we met and now you want to be my friend?
34:09Which time was it that you were pretending?
34:16Sean.
34:18We're ready.
34:27The vote was clear.
34:28Why are we reopening this?
34:29Is it really because of a piece of publicity?
34:31It's because the man just saved somebody's life.
34:33And thank God for that, but it doesn't change a single thing we discussed.
34:36Give him six months.
34:38If he proves anything less than excellent.
34:41Someone less than excellent means someone else dies.
34:44Well, I would love to make you happy, Doctor.
34:46I would love to hire someone who never ever makes a mistake.
34:50Unfortunately, God already has a job.
34:52I can accept that he will have insights that none of the rest of us will have.
34:57Can you accept that he will make mistakes none of the rest of us will make?
35:00You won't be the one who pays the price.
35:01If Sean doesn't live up to everything I know he can do, he will be immediately released.
35:15And I will resign my position as president of this hospital.
35:19We haven't heard from Dr. Murphy yet.
35:25Perhaps we should hear from him before we decide his fate.
35:30Sean.
35:31Dr. Murphy.
35:48I'd like you to tell us why you want to become a surgeon.
35:54Why do I want them to be my friends?
36:14Everybody needs friends, Sean.
36:16It's gonna be cool, okay?
36:18Play hide-and-seek, maybe?
36:20Okay.
36:21Tag in the warehouse?
36:24It's gonna be cool, hey!
36:26Hey, stop following her!
36:28Hey, stop following her!
36:29Bye!
36:31Wait!
36:32Hey, stop following!
36:34Hey, ask yourself!
36:36Aaaaaaaaah!
36:37Aaaaaaaah!
36:38Aaaaaaaah!
36:39The donné of joy is going to be possible!
36:42Aaaaaaah!
36:44Aaaaaaaaaah!
36:45Aaaaaah!
36:47Aaaaaah!
36:49Buh-buh-buh!
36:50Aaaaaah!
36:51Aaaaah!
36:52I told you, it's fine.
37:05Hey, you know what?
37:22The day that the rain
37:52smelled like ice cream, my bunny went to heaven in front of my eyes.
38:04The day that the copper pipes in the old building smelled like burnt food,
38:11my brother went to heaven in front of my eyes.
38:17I couldn't save them.
38:23It's sad.
38:25Neither one had the chance to become an adult.
38:33They should have become adults.
38:38They should have had children of their own and loved those children.
38:46And I want to make that possible for other people.
38:54And I want to make a lot of money so that I can have a television.
39:09Dr. Murphy, I want to be the first to welcome you to San Jose St. Bonaventure Hospital.
39:19I want to be the first to welcome you to San Jose St. Bonaventure Hospital.
39:32San Jose St. Bonaventure Hospital.
39:36We're very proud to have you.
39:38Sean, Dr. Melendez's team is going into surgery.
39:53I mean, if you're interested.
39:55You're interested in this.
40:13That's it.
40:15I mean, I'm the first to welcome you to San Jose St. Bonaventure Hospital.
40:49I've got a messy field here.
41:01Murphy.
41:10It's action.
41:19Never forget, you're the smart one.
41:22You can do anything.
41:24And I'm proud of you, Sean.
41:33But you've seen many of these.
41:34I remember my first.
41:40I kept thinking it doesn't get any better than this.
41:45And for you, I'm afraid that's literally true.
41:50You're a nice kid.
41:52And you're obviously very smart.
41:54But you don't belong here.
41:55So as long as you're part of my team, this is all you're ever going to be doing.
42:01Suction.
42:07I saw a lot of surgeons in medical school.
42:12You're much better than them.
42:14I have a lot to learn from you.
42:15You're very arrogant.
42:26Do you think that helps you be a good surgeon?
42:30Does it hurt you as a person?
42:34Is it worth it?
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