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The Good Doctor S01E06


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Transcript
00:01Previously on The Good Doctor.
00:03Is there something you're not telling me?
00:04When we're in meetings together, don't ever call my ideas ridiculous.
00:07Come on, I'm being serious.
00:09So am I.
00:10They will sign us for personal advice.
00:12And he picked you.
00:13I know, right?
00:14A surgeon needs to communicate.
00:16Can Dr. Murphy do that?
00:17Can he do that under stress?
00:18Can he do that?
00:19Knowing that a human life literally hangs in the balance.
00:27Thank you, Dr. Kalou.
00:29You're welcome.
00:30It's a special blend.
00:31I roast the beans myself.
00:32Smells like leather.
00:34And none for you, Murphy.
00:36I don't drink coffee.
00:40It is dead in here.
00:42That's why they call it the graveyard shift.
00:44Oh, well, I call it paradise.
00:46You my trauma virgins?
00:47Uh, Doctors Murphy, Kalou, Brown.
00:50Meet Dr. Audrey Lim.
00:51You're attending for the evening.
00:53Coffee?
00:54He roasts the beans himself.
00:55Oh.
00:56Kiss ass.
00:58E.R.
01:01How long?
01:04Got it.
01:05Listen up, everybody.
01:06We got a mass cash coming in.
01:08It's a bus crash.
01:09Two dozen passengers.
01:10Transfer all patients waiting for beds up to the nursing units.
01:13Have maintenance.
01:14Bring down cots.
01:15We're gonna convert the waiting room into triage.
01:17No one goes home till we're all clear.
01:19Did you ever want on call?
01:20I don't care what department they are.
01:21Tonight, everybody's trauma.
01:22Glove up and line up.
01:32EMTs will have triaged on site, so the patients are gonna come in tagged.
01:37I love these blank faces right before Armageddon.
01:39Trauma color coding.
01:40Who knows it?
01:41Green walking.
01:42Wounded.
01:43Yellow observation.
01:44Red needs immediate attention.
01:45Black go straight to the morgue.
01:47Red backs head.
01:48Spread the line.
01:49Reds head.
01:52Reds head.
01:53Reds head.
01:54Reds head.
01:55Reds head.
01:56White in the glass blue attire and flipped.
01:5726 year old female.
01:58Second, third degrees burns to her neck, chest and left arm.
02:00Blue you're up.
02:0226.
02:03Guy was ejected 30 feet from the vehicle.
02:0526-year-old female, second, third degrees, burns to her neck, chest, and left arm.
02:09Hulu, you're up.
02:1226. Guy was ejected 30 feet from the vehicle, multiple chest contusions, acute respiratory distress on the scene,
02:18pluggish pupillary response.
02:19How long have you been doing CPR?
02:2012 minutes.
02:21Have you shocked him?
02:21Three times.
02:22We got a cracker.
02:23Dr. Brown, I got this. You take the next one.
02:25All right, bay five.
02:30You secured the foreign object and staunched the bleeding but didn't want to touch it otherwise.
02:35Good thing. It nicked her carotid.
02:39What is it?
02:40Right now, it's a little Dutch boy keeping her from bleeding out.
02:42Pulse box is dropping. She's at 87.
02:45O2-sats down, 83.
02:49Forget about the neck, Claire. Treat her like any other patient. What are the first steps?
02:53Airwave breathing circulation.
02:54Good. Grab a kitten.
03:05I need help here. Somebody, help.
03:21Murphy, go.
03:26Let's go.
03:28Trauma three.
03:29Trauma three.
03:29I can't stop the bleeding.
03:48He's bleeding out.
03:50Do something.
03:51I need a urinary catheter, 14-gauge needle arterial guidewire occlusion balloon, and 20 cc's of saline.
04:05Stat.
04:05What's he doing?
04:30I have no idea.
04:30We don't have one, so I'm making a Reboa.
04:34A what?
04:37A Reboa.
04:39Is that even a word?
04:40A Reboa will occlude the damaged artery and stop the bleeding.
04:43Release the pressure.
05:03BPU stabilizing. 90 over 60.
05:13Nice work, Dr. Murphy.
05:19I made a Reboa.
05:23Oxygen's dropping to 89.
05:25Light light.
05:26Don't worry for me.
05:27Folks running from smoke annihilation.
05:29Cric it.
05:30You see soot in her mouth or nose?
05:32No.
05:33She doesn't need a crike.
05:34She needs an escharotomy.
05:35Sats are going back up.
05:4890 twin rising.
05:49Circumferential neck burns.
05:51The shrinking charred skin is acting like a noose.
05:53Escharotomy relieves the constriction.
05:55You need enough air now, ma'am?
05:58Yes.
06:00Get her out of this Petri dish and into an isolation ward in the burn unit ASAP.
06:04Sir.
06:07Your heart's a bit awful.
06:09How about you having a heart attack?
06:10No, but it's not completely good news.
06:12Cardiac tamponade.
06:13He needs a periocentesis.
06:15Yes, I'm aware of that.
06:1618 gauge and 50 cc syringe, please.
06:19We need a fast ultrasound in here.
06:21They're both in use.
06:23You don't have imaging.
06:24You could puncture his heart.
06:25Is the xiphoid in the same place as it was 20 years ago?
06:28A reboa.
06:49Ballsy.
06:50Could have gone really wrong.
06:51Yes, well, it didn't.
06:54It's a cowboy move.
06:55It's something you would never even dream of trying.
06:59How many times does Sean have to prove himself before you give him a shot?
07:02Dr. Holendez, score six.
07:13What happened in the ER?
07:15This one girl came in and you hesitated.
07:17I wasn't hesitating.
07:18I was thinking of the game plan.
07:19Murphy was thinking of the game plan.
07:21You got overwhelmed.
07:23I wasn't.
07:24First trauma.
07:25What happens?
07:25You have to think clearly, quickly, methodically.
07:29You need to think a little more like Sean.
07:33A little more.
07:34Not identically.
07:35You're maxed out on morphine.
07:49I'll have to, uh, debride any de-roof blisters, prevent a secondary nosocomial.
07:54I need a mirror.
07:55It's the least you can do since you can't even look me in the eye.
08:02You're maxed out on morphine.
08:03You're maxed out on morphine.
08:03You're maxed out on morphine.
08:03I'll hold off until it hurts.
08:05I'll have to, uh, debride any de-roof blisters, prevent a secondary nosocomial, and then-
08:20I need a mirror.
08:20I need a mirror.
08:21It's the least you can do since you can't even look me in the eye.
08:24You can't do since you can't even look me in the eye.
08:44Do you know how many hideous $300 bridesmaids dresses I've had to buy in the last two years?
09:00I decided that when I got married, my bridesmaids are going to wear black cocktail dresses
09:06so they can use them again, you know?
09:14But now, now I'm Freddy Krueger.
09:21Who's going to want to marry this?
09:27I'm going to find a nurse, have her adjust your morphine drip.
09:38You hit your face, your jaw got stuck, it hurts.
09:41So the shot I just gave you is going to knock you out so that I can fix that.
09:44Hang tight.
09:45Crash patient status check?
09:4623 people total, one fatality on site, lost one in the ER.
09:50Examine all the red tags, got 13 yellow and green still in the waiting room.
09:53I'll take whoever's up next.
09:54Marco Magellanes, severed femoral artery, crushed femur.
09:57I did the re-boa and then installed a temporary shunt.
10:00Here are his CT and MRI results.
10:07Find someone else, whoever's up next.
10:11Oh, finally.
10:31Excuse me, are you Marco's family?
10:33Yes.
10:34Yes, we just found out that my cousin didn't survive the accident.
10:38I'm sorry.
10:41It's a bit much.
10:42I'm so sorry.
10:44Dr. Melendez, this is Dr. Murphy.
10:46Um, Ricardo, I'm Marco's father.
10:50This is, uh, his mother Lorena, and this is Sonia.
10:54They were getting married tonight.
10:55Shh, shh, shh.
10:56How's my son?
10:57Marco's femur was completely shattered, and his lower leg isn't getting enough blood.
11:03Can you say this, like?
11:04Marco suffered too much bone fragmentation.
11:07We can't fix it.
11:09Our only choice is to amputate.
11:14Me here.
11:15So, they need a bed.
11:28They're ready for...
11:28Bay five needs a grade three hyphema.
11:30Head CT page ophthalmology.
11:32Read my mind.
11:33Been a while.
11:34How are you holding up?
11:35Pulling an all-nighter.
11:37I'll manage.
11:38But if you can find me a caffeine...
11:39Please move!
11:40...helpful.
11:43Tough night.
11:44Yeah.
11:45Thanks for coming.
11:46It's part of the job.
11:48So, when's the big day?
11:51Uh, we haven't said it yet.
11:53Oh, where is it gonna be?
11:55We'll figure it out.
11:57Maybe a beach somewhere.
11:58We should talk about this later.
12:00What, I like beaches?
12:02Do you have a more romantic idea?
12:04My family likes churches.
12:08We should talk about this later.
12:09Dr. Lam, I think one of your yellows is about to turn red.
12:17I've got my wedding all planned out.
12:18I've got the dress and I've got the flowers.
12:21All I need is a groom.
12:22You available, Dr. Murphy?
12:26No.
12:28You don't want some love?
12:30No.
12:31No, I don't.
12:31I don't want love.
12:32Dr. Glassman, Neuroconsult, Bay 3.
12:45Hey, I was here first.
12:48Sean.
12:48My patient scans are very important.
12:53Well, my patient's important too.
12:55I need to see my patient scans.
12:58Is your patient pre-op or post-op?
12:59Pre-op.
13:02Okay, I'll give you the computer.
13:03You need to apologize first.
13:05Okay, I'm sorry.
13:06Turn it on.
13:13Why was Marco's family crying when Dr. Melendez told them his leg would need to be amputated?
13:19Well, their son's leg is about to be cut off.
13:23It's sad.
13:24Crying is normal.
13:25But when your options are amputation or death, amputation is good news.
13:30People need time to adjust to big changes.
13:33Marco's family didn't even get a chance to pray for a miracle.
13:45It's not possible.
13:48The bone damage is too severe.
13:51A rod implantation won't work.
13:53There's nothing to anchor into.
13:56And the shunt won't last long enough to do reconstruction.
14:01There are no other options.
14:02What if we could replace the entire femur?
14:12We're making him a new femur.
14:14That's a 3D printer.
14:173D printed bones have only successfully been done with a mandible.
14:20We know.
14:21It's a fairly small bone.
14:22We know.
14:22The femur has to support the weight of the entire body.
14:25This one will be titanium.
14:27It can work.
14:27It's an interesting idea.
14:30But I need to think on it.
14:32Right now, we still got seven yellow tags waiting.
14:35What do you have to think about?
14:36It's a good idea.
14:37It's a brilliant idea.
14:38A kid has brilliant ideas.
14:39That doesn't mean...
14:39No, it was my idea.
14:40And I'm aware of the risks.
14:41Infection, clotting, hardware failure.
14:43Death.
14:45It wasn't your idea.
14:45It was my idea.
14:47And the risks are significant.
14:48But isn't that their call?
14:49Don't we have to...
14:50Maybe he said something, and then you said something,
14:52and together you feel...
14:53My idea.
14:54Completely my idea.
14:55The brilliant idea is 100% my brilliant idea.
14:58Why is that a problem for you?
14:59Maybe, because I've known you for six months.
15:02Every day, we learn new things.
15:04Today, you learned I'm brilliant.
15:07The idea was brilliant.
15:08And it was mine.
15:10And if anyone can do this brilliant surgery, it's you.
15:14Lattery.
15:16Also brilliant.
15:25Sleeping on the job?
15:27I just need some fresh air.
15:30Feels like I'm suffocating in there.
15:34She's in pain, spilling her guts out.
15:36And every time I open my mouth, I sound like an idiot.
15:40Dr. Kalou, unable to talk to women.
15:42There was a first.
15:43It's not going to be helpful, Claire.
15:45Just leave.
15:48You don't need to talk.
15:50Just listen to her.
15:52You get to come out here.
15:54Clear your head.
15:55She's trapped in there.
15:57Alone with her thoughts, her fears.
15:58You don't think she wants to get out?
16:01You are her escape.
16:11You want to put a fake femur into Marco's leg?
16:13It's not fake.
16:14It's real.
16:15It's not a real bone.
16:17We're making it out of titanium.
16:18It's still real.
16:19That's incredible.
16:20And Marco will be able to walk, run, climb.
16:23And swim.
16:25Hopefully.
16:26That's the intention.
16:27Well, have you done this surgery before?
16:29I haven't.
16:30We'll be the first.
16:34Nobody has ever attempted this surgery with a bone as large as the femur.
16:37I believe it's a viable option, but there are risks.
16:40Risks?
16:42Could Marco die?
16:43In my estimation, there's a 10% chance he won't make it.
16:45Then no.
16:47I'm not losing my son.
16:48Wait.
16:48If there's a chance we can save Marco's leg, we should at least discuss this some more.
16:53That's what he'd want.
16:53He'd want to live.
16:55He'd want to have a life.
16:57I know him.
16:59He'd want to take the chance.
17:00I will never forgive myself if Marco died because I made a reckless decision.
17:06Whose decision is this?
17:07Does he have a healthcare proxy?
17:09I don't know what that is.
17:10Then when the accident happened, were you on the way to your wedding or on the way back?
17:15We were headed to the wedding.
17:18Marco's parents are the next of kin.
17:19Then they decide.
17:27Please, amputate our son's leg.
17:36Harvey.
17:44Why is the primary closure on the stump so vital in amputation surgery?
17:47For proper prosthetic fitting, why are you marrying Jessica?
17:53Why does anyone get married?
17:56I don't know.
17:59I love her.
18:01I don't understand why having someone to love is so important to everyone.
18:07You have to stand down.
18:09You can't amputate Marco's leg.
18:10Why not?
18:11I filed an emergency injunction to stop the surgery.
18:18You were in a car accident.
18:20Your neck was punctured.
18:21The repair surgery went well.
18:23You're going to have to stay put for a week before he can release you.
18:27You were very lucky to be alive.
18:28My wife, Jenna Hensel.
18:40Is she okay?
18:41Can I see her?
18:42She's not listed.
18:50That's a good thing.
18:51She's probably still in the waiting room.
18:53I'll find her, bring her up.
18:55She'll be relieved to know you're okay.
18:58Okay.
19:00What the hell am I supposed to do with an unconscious patient whose leg is a ticking time bomb?
19:04Judge Singh is en route.
19:05She wants to hear from both parties and the doctors on the case.
19:08I have to testify?
19:10Hopefully not.
19:10Hopefully not.
19:11I thought you would be happy.
19:12You thought you could save the leg.
19:14And I didn't want that not happening because the parents are afraid to make a tough call.
19:17It's their call to make.
19:18And if the accident happened an hour later, it would be the wife's.
19:22And she wants the fake leg.
19:23It's not fake.
19:25I thought you didn't believe in just blindly following protocol.
19:29He's their son.
19:30Nobody's going to love him more than them.
19:31Seriously?
19:32All parents love all children more than anybody else?
19:35People get divorced all the time.
19:38How often do they give up their kids?
19:39So if this was us, you'd want your parents to decide over me.
19:42I didn't say that.
19:43You kind of did.
19:45I was saying there needs to be rules.
19:48That there needs to be bright red lines telling us who gets to make these calls.
19:52It's the parents' call.
19:54Not anymore.
19:55Now it's the judges.
19:57How much time does Marco have left in the temporary shunt?
20:00Three hours.
20:02And then his leg will die.
20:06Okay.
20:07Yeah.
20:17Dr. Torture returns.
20:19Thought I'd scared you off for good.
20:22Pick a movie.
20:24You deserve to get out of this room for a little while too.
20:26You think Groundhog Day is going to make a difference?
20:32I'm torturing you, but hey, you get to watch a funny movie.
20:36That is sort of what I was going for, yeah.
20:38I'm sorry.
20:47Also, there's something else I could do.
20:49How do you know there isn't?
20:51This is pro school.
20:52This is what they teach.
20:52I lucked out.
20:53I got the world's greatest expert on burn victims.
20:58You know everything that can be done.
21:03He loves to rock climb, scuba dive, bungee jump.
21:07This is insane.
21:09His leg is literally dying while we sit here reminiscing.
21:12Please, we're trying to figure out what your son would want.
21:15You want to live.
21:16I want that too, but if there's a way that we can save Marco's leg, he'd want me to do it.
21:23Do you know what he wanted most of all?
21:29He wanted to marry you.
21:31He wanted to spend his life with you, have children with you.
21:34Now, he can do all that.
21:36He can be happy with the prosthetic leg.
21:41He's young, he's strong.
21:42Mika, he can get through this.
21:51When we met, I don't care about your stories.
21:55I don't care that you met rock climbing or kayaking or whatever.
22:01I just want...
22:02We met in rehab.
22:13Hey, are either of you Jenna Hensel?
22:15I haven't seen Jenna since we took pictures at the hotel.
22:19But she got on the bus.
22:21Yeah, she was sitting with Numi.
22:29I think she's still out there.
22:31Hey guys, we've got to go back.
22:32Where?
22:33To the crash site, now.
22:35He never wanted you to know.
22:37He's an addict.
22:41He replaced one addiction for another one, a healthier one.
22:45But he needs...
22:47What?
22:48He needs to wakeboard or he'll drink himself to death?
22:52This is ridiculous.
22:53No, it's not.
22:53We talked about it a lot.
22:56It's pretty much all you do in rehab.
22:58Marco has clarity for the first time in his life.
23:02He knows what makes him happy.
23:03He knows his weaknesses.
23:06He's not as strong as you think.
23:09And that's okay, but...
23:12Marco cheated on you.
23:16It was about a month ago.
23:19He was overwhelmed with the wedding and the planning.
23:22He ran into an ex-girlfriend.
23:24It only happened once.
23:28You're lying.
23:28You're upset that he had secrets from you, so...
23:33No, she's not lying.
23:38Yeah, he was...
23:39He was so upset.
23:40He does love you.
23:41Okay, maybe we're digressing here a little bit and we really don't have the time.
23:45It matters.
23:48She doesn't know him like...
23:52Maybe none of us do, but...
23:54But we are his parents.
23:57And you're not his wife.
23:59Yet.
24:16Get the cops checked everywhere.
24:18Other side of the road, bushes, trees.
24:20If she was ejected from the bus, she could be 40, 50 feet in any direction.
24:26I found her! I need some help!
24:41She's got a brain bleed! We need to get her out of here now!
24:44Uh, Dr. Andrews, I think sellers may be eligible for experimental burn treatment.
24:53Sell it to me.
24:53Well, I've been doing some digging.
24:55San Diego Community Hospital's burn unit has been following a bazillion hospital's protocol to wrap burns in tilapia skins.
25:01Now, I know fish skins sound a bit crazy, but I was thinking we could do the same thing here.
25:07Dr. Koulou, I applaud your thinking, but we...
25:11Flapia skins contain more collagen proteins, both types one and three, than even human skin,
25:15which aids in tissue repair, negating the need for grass,
25:17it's trying to accelerate healing, reduce risk of infection, and cut down on a patient's physical pain.
25:22Are you finished, or would you like to cut me off again?
25:25Okay, let's follow this through, shall we?
25:28You have to come up with a proposal for the experimental treatment, get it approved by our institutional review board,
25:33get your hands on medical-grade tilapia skins, and then we...
25:36Well, I thought you'd help expedite the process.
25:41You think I could bring it down from three months to two hours?
25:45You finished the debridement?
25:47Okay, I'll take over from here.
25:49Hey, keep thinking outside the box. Initiative is good.
26:04I'm in. Bagger.
26:06Did you get me the drill?
26:07The fire truck had one. What's going on?
26:09Her pupil's blown.
26:10She has a subdural hematoma, causing increased intramural pressure.
26:13If I don't alleviate it now, there's no way she makes it to the hospital alive.
26:16Okay.
26:41Unconscious female. Flailed chest. I had to do a burr hole in field.
26:44Her sats are in the low 70s.
26:56She's good to go to the O.R.
26:59Subdrural hematoma.
27:00She had the cervix posturing, a blown left pupil. When I passed the drill bit through her skull,
27:04a whole lot of blood pulled out.
27:06Good call.
27:13San Diego Community Hospital called.
27:14They're sending the tilapia skins. They're medevac in a mint.
27:18Should be here within the hour.
27:19So, Les, if you meet the criteria for an experimental treatment,
27:24that I think will prevent you from having to undergo skin grafts.
27:28Hold up. How did this even happen?
27:29Well, I found out San Diego's trial allows for multi-site collaborations.
27:34So there's no need for us to get her own IRB.
27:36They give us the skins. We provide the patient data.
27:39Fish skins?
27:40The tilapia skins have been cleaned and sterilized. They're perfectly safe.
27:49You'll do it?
27:53I'll do it.
27:54Well done, Dr. Kalou. Well done.
28:01So help you God?
28:02Yes.
28:05Dr. Melendez can tell you-
28:07He has.
28:08But the fake femur is yours though, right?
28:10How confident are you in its design?
28:12It's not fake.
28:13Sean, she needs-
28:14I know what she needs to know.
28:15She needs to know will it work.
28:18She needs to know how long it will last.
28:20Yes.
28:23Okay.
28:31He's this doctor?
28:32He's a surgical resident. He's very gifted.
28:34Is he going to answer my questions?
28:37Sean, I really need you to focus.
28:42Marco is running out of time.
28:44Just let him answer.
28:45No, we already know the answer. They don't know.
28:47This thing has never been done before.
28:48Be quiet!
28:58His toes are changing color.
29:08He's clotting. That's bad.
29:10Page Dr. Melendez stat!
29:15Murphy, what do we got?
29:16The shunt is clotting.
29:17It's restricting blood flow.
29:18It is failing.
29:19All right, we need a decision now.
29:20Are we cutting off the leg or replacing the bone?
29:22There's no doubt in my mind that Marco's parents and fiance all love Marco,
29:26but it's become clear that-
29:27Now, I need a decision now.
29:31His parents know him as their child.
29:33Sonia knows him as a man.
29:35Replace the femur.
29:38Let's go.
29:38There's the bleed.
29:52See it?
29:52Yes, sir.
29:53You ever clip an intracranial artery before?
29:57No, sir.
29:58Go for it.
30:07Just like every first time, you're a little excited, a little nauseous.
30:13Hopefully nobody gets hurt.
30:26It's good to go.
30:37It's very good.
30:38Four sips.
30:39You ready?
30:46Yes.
30:47Yes.
30:59Be careful, the clip blades don't catch any perforated arteries.
31:23I don't see any vessels in the way.
31:26What are you waiting for?
31:28Very nice.
31:39Everything's dry, say goodbye, close the roof.
31:46You need blood back into his leg in the next minute or so.
31:49I'm gonna have to amputate after all.
31:51Insulin's hanging, loaded him with calcium, best I can do.
31:55Let's release lives.
31:58Check for capillary refill.
32:01Blood flow is restored.
32:16KG is normal.
32:18Okay, Kim, I want to hear words like variability and delta.
32:25Give them to me.
32:29I'm waiting patiently.
32:31I'm not getting anything.
32:34Show me.
32:43Check the leads.
32:44Still nothing.
32:45Maybe there will be some neuroplasticity.
32:56Her brain, it could rewire itself.
32:59No.
33:00Zero brain activity.
33:01I don't know why, but she's gone.
33:06What?
33:07Your nurse surgery patient that died tonight.
33:08There's something you should know.
33:09What?
33:10Your nurse surgery patient that died tonight.
33:12There's something you should know.
33:13What?
33:14Marco, I want you to try to move your toes.
33:21What?
33:27Your neurosurgery patient that died tonight.
33:29There's something you should know.
33:31What?
33:40Now, Marco, I want you to try to move your toes.
33:51I can't.
33:55Is he okay?
33:56We're not sure if the bone...
33:57He's not going to die.
33:58He's not going to get an infection.
33:59His body's just not going to reject...
34:00No, no, we're monitoring him very closely.
34:02The biggest threat...
34:03He moved.
34:04He moved.
34:13It worked.
34:15Long recovery ahead.
34:17Months of physical therapy.
34:19But for now, you have to do his rest.
34:22Thank you for saving my life.
34:24For saving my leg.
34:28You're welcome, sir.
34:33Are you ready to finish what we started?
34:38Get well first.
34:40There's plenty of time for a wedding.
34:50You look good.
34:51Tough.
34:52Like Aquaman.
34:53I look like sushi.
34:55Everybody loves sushi.
34:56It's only for six months.
34:57Your new skin should have completely grown in by then.
34:58It should have minor scarring.
35:01I misjudged you.
35:03I misjudged you.
35:04You judged me just right.
35:05You judged me just right.
35:06You judged me just right.
35:08I misjudged you.
35:09You judged me just right.
35:10I look like sushi.
35:12Everybody loves sushi.
35:15It was only for six months.
35:17Your new skin should have completely grown in by then.
35:19It should have minor scarring.
35:25I misjudged you.
35:29You judged me just right.
35:40Is she still sleeping?
35:45You haven't told her yet?
35:49Can I have a moment, please?
35:52Of course.
36:00How soon after you found Jenna at the crash site, did you want to bait her?
36:05Almost immediately.
36:07I did a sternal rub.
36:08Uh, she had the cerebral posturing.
36:10Her left pupil was blown.
36:12I knew she had subdural hematomas, so I intubated the burl hole.
36:16She also had a flail chest.
36:19Did you check her breathing after you intubated her?
36:22Yes.
36:25At least I think I did.
36:30Dr. Lim told me that when Jenna came into the ER, she wasn't ventilating properly.
36:36You inserted the tube too deep.
36:38And to her right, main stem bronchus of her injured lung.
36:43We had no way of knowing how long she was hypoxic before we gave her the EEG.
36:48I drilled the perfect burl hole into her skull on the side of the road in the middle of the night.
37:05And I, I, I screw up her intubation.
37:07Yes.
37:08Yes.
37:09It was tough conditions for anyone resident or not.
37:13Any one of us could have made the same mistake.
37:14I had a woman come into the ER once, a mother, 51 years old, Francine Parker, she had two
37:41boys. She had a cough, a bad one, but a cough. I checked her out, gave her some antibiotics,
37:51sent her home. Six hours later, she was rolled into the ER. She had had a heart attack and
37:57I missed it and she died. No one day goes by when I don't think about her.
38:11She did your first. My fourth, actually.
38:19You're not going to forget this. You never forget. But I don't know, maybe we're better off for
38:27it the next time around. You got to find a way to keep going.
38:36Yeah.
38:37Go home, get some rest.
38:41I haven't even told her yet.
38:42And you're not going to.
38:45You made a mistake. You're too close to this. I'm not going to allow you to talk to the family,
38:50to anyone else outside this hospital about this. Do we understand each other?
38:57Yes, sir.
38:59I don't have all the words to say.
39:12I'm still healing from my mistakes.
39:15I'll take the weight if it makes you stronger.
39:25I don't want to leave you in this place.
39:28I called San Diego Community Hospital to thank them for including us in their study. They said they were happy to do it.
39:40And they asked that I pass along their thanks to you for your very generous donation to their burn unit.
39:47I know you come from a wealthy family. I don't begrudge that. But you can't open your wallet every time a patient's in need.
40:01The lines can get real blurry real fast.
40:04Yes, sir.
40:07Yes, sir.
40:07Yes, sir.
40:34My health care proxy.
40:44Jess, nothing's going to happen.
40:46Really? That's good to know.
41:04Well, that was quite a night.
41:13I've been a doctor for a long while.
41:16I don't remember a night quite like that one.
41:20Why did Nurse Farrar ask if I wanted love?
41:23Because she's a nosy...
41:24Sean, you really don't want love?
41:30I loved Steve and my rabbit.
41:33Not anymore.
41:36You don't love them anymore?
41:38No, I don't. They're dead.
41:41You can't love someone if they're dead.
41:45Well, I've lost people I love.
41:48I miss them. It hurts. But I still love them.
41:57I don't want love.
42:03You want breakfast?
42:10Can I have four pancakes instead of three?
42:15You can have five.
42:17I only want four.
42:18I don't want four.
42:19Okay.
42:21Okay.
42:22Okay.