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The Good Doctor S01E18


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Transcript
00:00I want to be your friend again.
00:09Why, Sean, what happened?
00:12People need friends.
00:14Well, yeah they do.
00:18But you said you wanted me to stop interfering, remember?
00:23You wanted space.
00:25You wanted to make your own mistakes.
00:28I need a friend more than I need space.
00:35You were a good mentor and a good friend.
00:39Well, thank you, Sean.
00:43You don't know how much it means to me to hear you say that.
00:47But I think...
00:52I think you may need a new mentor.
00:57I'm dying.
01:13Twelve to eighteen months.
01:15I'd appreciate it if you didn't tell anyone.
01:18Okay? I will in my own time.
01:20Okay. Have you had a full workup?
01:22Yes, of course.
01:24It could be a secondary tumor metastasized to your brain from somewhere else.
01:28It's the only tumor found.
01:30It could be an inflammatory or infectious process.
01:33It was a tumor, Sean.
01:34You should get a second opinion.
01:36Sean, I've been a neurosurgeon for thirty years.
01:38I think that qualifies as a second opinion.
01:41You should get a second opinion.
01:45You have to know whether or not...
01:46Alright, alright, alright, alright, alright, Sean.
01:47I'll get a second opinion.
01:49Okay?
01:50Okay.
01:51Can I go to work now?
01:53Okay, doctor, what's your diagnosis?
01:59I'm drunk.
02:01Not you.
02:02Other doctor.
02:03Well, given the degree of the rotation and the fact that the break is almost compound,
02:09I'd say we're dealing with a bimalleolar or trimalleolar fracture.
02:12Very good.
02:13What else?
02:14Color?
02:15Blood flow is restricted.
02:16His foot's dying.
02:17Oh, no.
02:18I'm going to have to reset it now.
02:19Hold his leg.
02:20No.
02:21No, it's okay.
02:22No, no, no, no.
02:23This is just going to take a second.
02:24I need you to count to three.
02:25One.
02:26One.
02:27Two.
02:28Ah!
02:29Is Caden's leg going to be okay?
02:30How long has his leg been like this?
02:31One.
02:32One.
02:33Two.
02:34Ah!
02:35Ah!
02:36Ah!
02:37Ah!
02:38Ah!
02:39Ah!
02:40Ah!
02:41Ah!
02:42Ah!
02:43Ah!
02:44I'm not myself, I'm not even ere hey, I'll мой king!
02:45Will you be fine or helping me work like this?
02:46And how exactly did it happen?
02:47Well, he's been like that since I found him.
02:48He probably, like, tripped over a curb or something because that's where he was.
02:52Any reason you felt the need to tell me twice that you found him like this?
02:57Dr. Park, boy's going to surgery, you're going with.
02:59Don't go anywhere.
03:11Shouldn't I be asleep for this?
03:14Well, your blood alcohol level complicates anesthesia.
03:18And we think you have a concussion, so we want to keep you responsive.
03:22We did give you a regional nerve block, so you shouldn't feel anything.
03:28Oh, cool.
03:30Ben, the LCP played about two degrees on the proxom line.
03:33Contouring pliers?
03:34VPs dropping, hot waste rising.
03:42Let's tube him.
03:42IV fluids and phenylephrine stat.
03:44We need to do a board until we can get a handle on what else is going on.
03:48Give me full body CT, full blood panels, and an echo.
03:50I think Jared and I may be able to dig up an answer quicker.
03:53Great. Get on it.
04:04I think Jared and I may be able to dig up an answer.
04:34Come up with anything?
05:01Neither did I.
05:02I think Jared and I may be able to dig up an answer.
05:04I had a friend, a neurosurgeon at SF Muni.
05:07She looked at the scan.
05:09She came to the same diagnosis.
05:11Sean, I have an inoperable glioma.
05:15Okay.
05:15I think you should go back to work, yes?
05:34I need to go to work.
05:35Be reasonable.
05:44Be reasonable.
05:45Be reasonable.
05:47I have no idea what you're talking about.
05:49Boy, it'll be clear.
05:51What the hell happened to Katie?
05:52I don't know.
05:52He twisted his ankle.
05:53I don't know.
05:53You lied to me before.
05:54You're lying to me now, you spoiled little coward.
05:56Hey, hey.
05:57Be reasonable.
05:59His friend's hurt, you're scared, and you're freaking him out.
06:01He's angry, but he's not wrong.
06:16Katie's in bad shape, but we don't know why.
06:18We need to know what happened.
06:19No, no, don't worry about him.
06:25Talk to me.
06:27You tell me the truth.
06:28You won't get in trouble.
06:29You just help a friend.
06:33All right.
06:35We were pledging, and there's this wheel of torture thing you got to do for initiation.
06:42Torture?
06:42It's mostly stupid stuff, dude.
06:44It's like drink a cup of olive oil or eat a tablespoon of cinnamon.
06:49And what did Katie land on?
06:51Laundry.
06:52He had to do laundry?
06:53No, like he had to eat those laundry things.
06:58As many as he could in 30 seconds.
07:00Detergent.
07:01Eat detergent.
07:02And how many did he have?
07:04I don't know.
07:04Like six, maybe seven.
07:07He ate detergent.
07:09Could have burned a hole through his esophagus or his stomach and intestines.
07:20Catch that bleeder, please.
07:22Let's hope he doesn't breed.
07:25What?
07:26He isn't an idiot?
07:27We have healthy bowel attached to healthy bowel.
07:29Let's close him up.
07:30Dr. Melendez, the trauma S.O.D. is asking for you in OR number two.
07:34We got an emergency thoracotomy.
07:36Who can give me the remaining steps for closing?
07:38Cut anchoring sutures, clear labs, and reposition the bowel.
07:40Remove clamps from the duodenal resection site, keeping clear of the underlying aorta.
07:43Close the fascia using a luptomonofilament, close the dermal layer, then re-approximate the skin.
07:49Also, you need to ensure no momentum is caught in the fascial suture line.
07:55Close him up.
07:57Murphy, you're leading.
08:03Clearing labs.
08:07I will hold the repaired segment in place while you run the bowel for me.
08:13The bowel is clear and ready to be repositioned.
08:26Sean?
08:29Sean, is everything alright?
08:32I lost something.
08:35In the cavity?
08:36No, but I know where it is now.
08:43Sean, I left my scalpel here earlier today.
08:56You should get diffusion tensor imaging.
09:00A TTI?
09:02Messes are difficult to diagnose accurately.
09:06You should get more imaging.
09:15People make mistakes.
09:17That's not going to happen, Sean.
09:21My scalpel isn't here.
09:23What happened this time?
09:36It's got a bleed somewhere.
09:38I want a capsule endoscopy to check the entire length of the bowel for bleeding and leaks,
09:41and give me a complete coagulation and metabolic profile.
09:43On it.
09:43Sure.
09:44Dr. Glassman is dying.
09:55What?
09:58What do you mean?
09:59He seemed fine.
10:00They say he has a glioma.
10:04That's a brain tumor.
10:06And he won't do a DTI scan to confirm the diagnosis.
10:10Did he get a second opinion?
10:12He has, but delayed or missed or incorrect diagnosis has an occurrence rate of 10 to 20%.
10:20Doctors make mistakes.
10:22Sean, I don't know what you want me to do.
10:23I want you to sit down.
10:28That's what people say when they want to tell you something important.
10:36Part about him dying, that wasn't the important part.
10:40He won't listen to me.
10:49He is stubborn.
10:51I bet he is.
10:52Stubborn.
10:52He will listen to you.
10:55Okay, you have known him longer.
10:58You're his friend.
10:59He trusts you.
11:01Sean, I can't make him do anything with that.
11:02You're an attorney.
11:05I'm not skilled at lying or manipulation.
11:10So you want me to what?
11:13You want me to manipulate him?
11:17You want me to use our relationship and our history to trick him into doing this?
11:23Yes, please.
11:33I knew you wouldn't let him die.
11:35Our patient has disseminated intravascular coagulation.
11:42Can anyone tell me why that is very bad?
11:44Blood clots form throughout the blood vessels and rapidly deplete the body's clotting factors, thereby causing a systematic bleed.
11:50It's also a catch-22.
11:51If we treat the clotting, he might end up with a terminal bleed.
11:54And if we treat the bleeding, he'll have a terminal clot.
11:56So how do we treat it?
11:58Figure out the cause, treat the cause.
12:00More damage from the detergent?
12:01Margins were clear, it's not that.
12:02He could have a cross injury from his ankle.
12:04Or a bacterial infection he picked up before or during surgery.
12:07It might have been set off by drug use.
12:08Or we did this to him.
12:13And by we, I mean Sean.
12:16He spaced out in the OR when he was closing.
12:18Kind of like he is now.
12:20I'm listening.
12:21Comforting.
12:22He wasn't focused.
12:23He could have nicked a vessel, which could have caused me-
12:24Okay, we're talking about Sean.
12:25Um, yeah, he's quiet.
12:28But he was focused.
12:30He's always focused.
12:31His stitches look like they came out of a sewing machine.
12:35Okay, complications happen.
12:37Kid was in pretty bad shape when we got him.
12:39Physician error is way down on the list of likely causes.
12:42Crush trauma being top.
12:43Get him started on fresh frozen plasma and crystalloid fluids.
12:53Yeah.
12:53I don't know.
12:55You got a second?
12:57Well, that's an open question.
12:59What can I do for you?
13:02I got a patient with DIC.
13:04One of the possible causes is surgeon error.
13:07Your patient?
13:08Your error?
13:08Sean's.
13:10He got distracted during surgery.
13:12Spaced out.
13:14It's not like him.
13:15One place he never misses a beat is the OR.
13:17Is there anything going on that I should know about him?
13:25He got some bad news.
13:27About what?
13:28It's a personal matter.
13:31Sean was distracted by a personal issue.
13:34What, did Leah come back?
13:39Did she have a new boyfriend?
13:41Does cable get cut off?
13:44I have an inoperable glioma.
13:4818 months.
13:49Aaron, I am so sorry.
13:59Me too.
14:02Is there anything I can do?
14:03I wish.
14:09You should have told me.
14:14Or at least you shouldn't have told him.
14:15His coagulation factors are still off.
14:37Cross trauma isn't the issue.
14:38And his tox screen came back clean.
14:40It's not drugs, Arthur.
14:41We don't know that.
14:42He's had so many transfusions.
14:43The blood in his veins isn't the same blood he came in with.
14:46The drugs could still be in his organs.
14:48I'll get that you don't want to think that this could be caused by your friend.
14:50But we have to be against it.
14:51The kid came directly from a frat hazing, hammered.
14:53What are the odds he wasn't on drugs?
14:55We should start ibimidazolam and sodium bicarbonate to counteract.
14:58That's the treatment for amphetamines.
15:00If you're wrong, that could cause a fatal arrhythmia.
15:02I'll find out what drugs he's on.
15:09You gonna find out by asking?
15:10Blake was honest with me before.
15:11It's a lot easier to be honest when you're not confessing to a crime.
15:14You don't have a lot of choice in the matter.
15:18That's not true.
15:22Thanks for doing this.
15:24Yeah, no worries.
15:27Noticed I was cut when I first saw you.
15:29I figured I should get cleaned up.
15:33Is it all right if I draw some blood?
15:35Just want to make sure you don't have any toxins or infections.
15:37Sure.
15:38So, uh, the nurse said that Caden has DIC?
15:47Do you know what that is?
15:49It...
15:50Well, in short, his body is clotting and hemorrhaging at the same time.
15:54If we can't figure out what's causing it, he'll die.
15:56If you just hold that there for me.
16:05Well done.
16:09Blake, buddy, you're on something.
16:11Your pupils are dilated and you're sweating in a 68-degree room.
16:14Now, I can hand this over to the cops or you can tell the truth about what Caden's on.
16:18Molly, I would have told you the truth if you'd asked.
16:29I'm sorry.
16:32Do you have time to talk?
16:37Sean told you.
16:38He did, yeah.
16:39I wish I would have heard it from you.
16:41Yeah, I'm sorry.
16:43We're friends.
16:44I get it.
16:45I want to be there for you.
16:46What, are you mad at me?
16:47Yes.
16:49I'm supposed to be there for you.
16:51To do what?
16:52To do what exactly?
16:53Hold my hand.
16:53Yes, if that's what's needed.
16:55Okay, well, what I need is to be left alone, okay?
16:57Well, you told Sean, so that was brilliant strategy.
17:00Okay, okay, I get it.
17:02Stupid, stupid, stupid, stupid, okay?
17:04Sometimes when people are told they are dying, they do stupid things.
17:07Sometimes people around them do stupid things.
17:11Sean told you to come here to try to convince me to get more imaging, right?
17:15Aaron, you can't stop fighting.
17:22Maddie wouldn't have wanted you to stop.
17:24Don't, don't, don't you dare.
17:26Don't you dare.
17:27What are you going to say, huh?
17:34That Maddie was a fighter?
17:37Huh?
17:38That she never quit?
17:48I'm sorry.
17:59And you should get the DTI.
18:03Not for you.
18:06You've accepted your diagnosis.
18:10Sean hasn't.
18:14He needs to.
18:15Hey, Neil.
18:23I heard there was a complication in one of your cases.
18:25Kate and Holly?
18:27Heard?
18:27Or you've been monitoring all of Murphy's cases?
18:30I've been monitoring all of my department's cases.
18:3218-year-old with DIC.
18:34Any idea what's said at all?
18:35Complications happen.
18:37Kid was in pretty bad shape when he got to us.
18:40I'm also wondering why you were in two surgeries at once.
18:43He left three first years unattended?
18:47You know we do this all the time.
18:49We couldn't function efficiently if we didn't.
18:53Hope Kate pulls through.
18:55Yeah.
19:02You got a very quick appointment.
19:05I have connections, Sean.
19:09Why did you listen to Jessica but not me?
19:13Well, Jessica's pretty smart too.
19:15Yes.
19:16But what did she tell you?
19:19I don't think this is a good time.
19:20When is a good time?
19:24I have a lot to learn from you.
19:25And if you're dying, less than two years to learn.
19:28Sorry to keep you waiting.
19:34There were some surprises on your images.
19:37The previous diagnosis was incorrect.
19:39You have a glioblastoma multiforme located in your palms.
19:44I'm sure I don't need to tell you this, but...
19:47It's the most aggressive form of brain cancer.
19:50We estimate...
19:52Three...
19:54Maybe four months.
19:55I can have my assistant get in touch with you.
20:00I'm going to refer you to a therapist.
20:02And when you're ready,
20:03you can't forget the nursing team to contact you.
20:07He's wrong with the doctor.
20:12He still has low blood pressure and thin blood,
20:15which means the treatment for the MDMA didn't work.
20:17So the Molly wasn't the problem?
20:19It certainly didn't help him, but now we think...
20:21Our best guess is Caden has a bacterial infection.
20:25Thanks.
20:30D.I.C.?
20:31What happened there?
20:35Uh, we're not sure yet.
20:36He was pretty sick when he came in.
20:38I guess sometimes complications just happen.
20:41Interesting choice of words.
20:42Eerily similar to what Dr. Melendez said to me.
20:45Yeah, he said it during a differential, I guess.
20:48The phrasing just stuck with me.
20:49It's not like Melendez would be that laissez-faire.
20:51He usually likes to know exactly why things happen.
20:53I want to know the traits I admire about him.
20:55Well, we're trying to figure it out.
20:57But so far, culture's a negative.
21:00Sean's closing was textbook.
21:01Drug use doesn't seem to be a problem.
21:05I didn't realize Murphy did the closing.
21:07Good for him.
21:08Oh my God, Sean.
21:32Yes, there are many different explanations.
21:36You asked me to get a second opinion, I got a second opinion.
21:40You asked me to get more imaging, I got more imaging.
21:42Sean, you have to accept.
21:44No, I don't accept.
21:45I don't accept.
21:47I was right.
21:47No, you were not right.
21:49I'm dying, Sean.
21:49I said doctors make mistakes.
21:51Yeah, they made a mistake.
21:52And he made a mistake.
21:53Sean was right.
21:54Sean was right.
21:56Imaging is unreliable.
21:58The imaging that you asked me to get.
21:59Imaging is subject to interpretation.
22:03Yes, studies have shown that experts rely on subjective measures based on experience
22:10rather than object, rather than exception.
22:13No more.
22:14No more.
22:15Many theories consistent with that.
22:17You can't do a biopsy to confirm because many tumors look alike.
22:20Some are treatable.
22:21Some are curable.
22:24Stop.
22:24Some are curable.
22:25Stop.
22:26Stop.
22:27Stop talking.
22:28Stop.
22:29I'm not hurting you.
22:37Oh my God, stop.
22:39I'm helping you.
22:41No, you're not.
22:41You're not helping.
22:43I don't need theories.
22:46I don't need whiteboards.
22:48I don't need doctors.
22:50I don't want to think about the tumor.
22:53I don't want to think about dying.
22:56You know what I want?
22:57You know what I actually want?
22:58I want to, I want to, I want to, I want to go on a long drive somewhere.
23:01I want to, I want to eat pancakes.
23:02I want to watch football.
23:04It's not football season.
23:05Oh my God.
23:06I mean, I don't want to be good.
23:07I mean, I know it's not football season.
23:08Do you mean you want to have fun?
23:10I want to have fun.
23:11Do you mean you want to have fun?
23:17Yeah, I want to have fun, so you can keep fighting, keep fighting if you want.
23:32It's futile, and it's stupid, or you can come with me.
23:47How long has he been hypoxic?
24:07Came on suddenly five minutes ago.
24:08He's on 100% high flow oxygen, and his numbers aren't budging.
24:11No, he's ventilating fine.
24:13He must have thrombosed his pulmonary artery.
24:15We need to dissolve this clot before his heart stops.
24:17Jared prepped for jugular access, 50 milligrams TPA infusion, now.
24:20Let's go, let's go, let's go.
24:26Is this fun?
24:31The Saturday after Valentine's Day, her favorite day of the year, even more than her birthday,
24:38the Chamber of Commerce would decorate this place, and put out a crappy buffet meal, hire a DJ, and I'd put on a tux, and she'd put on a yellow bell dress, and she'd pin my bow tie on me, and I'd pin a little yellow corsage on her.
25:01And we'd come, and we'd eat, and we'd dance.
25:08Whenever I see your smiling face, I have to smile myself, because I love you.
25:16Because I love you, yes I do.
25:20I love you, sweetie.
25:22I love you more.
25:24Oh, you think so, huh?
25:26Well, I'll tell you what.
25:27You can take how much you love me, which I know is quite a lot, and then you can double it, and then you can add ten, and that's how much I love you.
25:37I love you.
25:41I love you more.
25:53And I remember thinking, this is the moment that I know will be in my mind when I close my eyes to die.
26:07Only I thought that she'd be sitting there right next to me, and I'd hear her say it one more time.
26:20I lost my toy scalpel.
26:27The one that Steve gave me.
26:32Yeah, I figured that was the one.
26:37I've been looking for a whole day.
26:40I think it may be gone forever.
26:44Maybe I'll come here when you're dead.
26:52Okay.
26:53Are your memories of your daughter enough for you?
27:06Not even close.
27:16Do you need me to listen to you anymore?
27:18No, Sean, you should go.
27:19Not all the cultures are back.
27:33But since he's not responding to any antibiotics, we can rule out bacteria.
27:36That was never a great fit.
27:38It's a better fit than surgical error.
27:40What if it is bacterial but resistant to all?
27:42Then he's dead.
27:43What about a parioxymal nocturnal hemoglobin area?
27:45PNH?
27:46The incidence is literally one in a million.
27:48What stars of Murphy screwing up?
27:50I'll put them about that.
27:51No, it's not PNH.
27:52Caden had normal flow cytometry.
27:54Exotic snake venom can trigger consumptive coagulopathies.
27:57So can preeclampsia, but he's not pregnant.
28:00He wasn't charming snakes.
28:04Murphy, any thoughts here?
28:08It is kind of your ass on the line.
28:27I know why Caden has DIC.
28:35I squeezed the artery between two clamps.
28:39I must have ruptured the aortic wall causing a pseudoaneurysm.
28:43It was my mistake.
28:47And also, I have to make a bowel movement.
28:57He's lying.
29:02He's gonna puke.
29:05He's going to Glassman.
29:10I told Dr. Melendez I had to make a bowel movement.
29:14I think he believed me.
29:17Color me proud.
29:18I have the answer.
29:21Sean, I hope you're referring to your patient,
29:23but due to the fact that you're here pretending to be in the bathroom,
29:25I kind of doubt that.
29:26Yes, it's your answer.
29:30We already have my answer, Sean.
29:33We can't do a biopsy on you because of the arteries in the way.
29:37Like the arteries in Caden's abdomen,
29:39but we can't move the arteries in your brain.
29:42Why did we go to the carousel?
29:45Because you were sad.
29:47What didn't I want to do?
29:50Do you not know the answers to these questions?
29:52I do know the answers, Sean.
29:53I don't think you know the answers to these questions.
29:55You're not hearing me.
29:57I'm dying.
29:58There is still hope.
30:01Sean, look at me.
30:04Look at me, please.
30:08There is no hope for me.
30:12I mean, hope.
30:14What is hope?
30:15You hope the 49ers find a defense.
30:17You hope the number four bus comes on time.
30:20Doesn't mean they magically learn how to tackle.
30:22Doesn't mean the bus driver suddenly drives faster.
30:27Hope is irrelevant for me.
30:30Hope is painful.
30:34I don't want to spend what's left of my life chasing my tail around in a circle.
30:39In a circle.
30:42You understand?
30:50Okay.
30:54Okay.
31:09Your tumor is located at the base of your skull.
31:15An open cranial biopsy would tell us what's wrong.
31:19But there are blood vessels in the way.
31:22The biopsy would cause an aneurysm or a bleed.
31:26But if we go through your nasal cribriform plate,
31:30we can cross the tentorium on the contralateral side and avoid all those blood vessels.
31:35We can do a biopsy through your nose.
31:38We can do a biopsy through your nose.
31:50You can't die too.
32:00I have to throw up.
32:06So how do we do this?
32:09Do we file a report, talk to Andrews personally?
32:11You want a report, Sean?
32:13I don't want to.
32:15I think we have to.
32:16No, you want to.
32:18And we'd certainly have to if our sole agenda would be to take down Sean
32:21and to give you one less person to compete against.
32:23And certainly we'd absolutely have to cover up and bury a possible fatal medical error
32:28if our sole agenda was to protect a friend.
32:30A protocol would seem to favor the bitch over the friend.
32:33Thanks.
32:36I threw up.
32:40Look, we have a duty to report errors so they won't happen again.
32:44The process saves lives.
32:46And exactly what errors are you trying to avoid a repeat of?
32:48You worry about the next time an autistic surgeon operates on a drugged up frat kid
32:52after finding out his mentor's dying of brain cancer?
32:53Dr. Melendez told us, Sean.
32:54I'm really sorry.
32:55It's okay.
32:56It's okay.
32:57I think he's going to be okay.
32:58The protocol exists so that we don't ask questions like that.
32:59That seems like a bad idea.
33:01You trust your judgment.
33:02You trust Morgan's judgment.
33:03You trust the judgment of all the doctors in this building.
33:07If you can make judgment calls, so can they.
33:08That's why we need these rules.
33:09No, the protocol is fine for everyone in this building except for Sean.
33:12They'd reprimand any one of us, but they will fire him.
33:13Okay.
33:14We report it.
33:15We get the investigation, make sure nothing like this ever happens again.
33:18But we tell them I did it.
33:19They'll fire you, too.
33:20You're right.
33:21You're right.
33:22You're right.
33:23You're right.
33:24I'm sorry.
33:25I'm sorry.
33:26I'm sorry.
33:27No.
33:28No, no.
33:29You're wrong.
33:30No, no.
33:31I'm sorry.
33:32No.
33:33No, no.
33:34You're wrong.
33:35No, no, no.
33:36No, no.
33:37No, no, no.
33:38No, no.
33:39No.
33:40No, no, no.
33:41No, no, no.
33:42No, no.
33:43No, no, no.
33:44It's not a terrible idea. It jars out the door either way.
33:47Okay, can we get back to the medicine?
33:49Caden is still alive, and if we can keep it that way,
33:52there won't be an M&M review,
33:53which means no one will be asking questions,
33:55and no one will have to give answers.
33:56It all goes away.
33:58If Caden dies, we tell the truth,
34:00and we face the consequences together.
34:03No.
34:06No.
34:08I thought I'd found my toy scalpel.
34:14I need you to come back to the group, Murphy.
34:20Get me imaging on that pseudoaneurysm.
34:35Hey, what's up?
34:36Do you still feel the same way about Dr. Murphy's when he got here?
34:39Dr. Glassman gave us certain assurances.
34:48If Sean proves anything less than excellent,
34:50if Sean doesn't live up to everything I know he can do,
34:52he will be immediately released,
34:54and I will resign my position as president of the hospital.
34:57And you wrote it down?
34:59I made sure it was in the minutes.
35:01Sean has exceeded my expectations.
35:04Mine as well.
35:05And?
35:06And my feelings about Dr. Glassman have not changed.
35:18We need to cut him open.
35:20Yeah, we cut him open and he dies.
35:22He'll bleed out before we can even get the artery exposed.
35:25If we don't cut him open, he dies.
35:30Don't cut him open.
35:32Murphy, if we don't...
35:33We should insert an endovascular graft through his leg.
35:37Instead, fix it from the inside out.
35:41I've done that for large abdominal aorta dilations,
35:43but this is a lengthy dissecting pseudoaneurysm.
35:46It's safer.
35:47The aorta wall is already compromised.
35:48Could rupture completely.
35:49Caden could die as soon as we deflate the balloon inside the graft.
35:52But doing nothing will kill him.
35:54Well, not definitely.
35:55I mean, there's still a chance Caden will simply come out of this
35:58without any surgical intervention.
35:59Five percent.
36:00Ten percent, maybe.
36:01Not nothing.
36:02And we're doubling down on Sean after we know he caused this problem.
36:05How's that gonna look at an M&M?
36:08I trust Sean's idea.
36:11He makes mistakes no one else would make,
36:13but he also makes saves none of us would have ever thought of.
36:18You're welcome.
36:19I still don't think you should be working here.
36:21I don't think the trade-off is worth it.
36:25Well, let's prep him for surgery.
36:33Pull the guide wire, Resnick.
36:34I'm passing in the graft.
36:41Right over the pseudo-aneurysm now.
36:46Inflating the balloon to deploy the graft.
37:01Deflating?
37:02Can I do it?
37:03It's delicate.
37:04No, it's not.
37:05But it will either work or it won't work.
37:08If my idea is wrong, he'll die as soon as we complete this next step.
37:14You shouldn't have to live with that.
37:15Everything that happens in this room is my responsibility.
37:19We'll do it together.
37:20We'll do it together.
37:21We'll do it together.
37:22Okay.
37:24I fell in thefluid.
37:25I'll do it together.
37:26So, you understand me?
37:27I'm, I don't care.
37:28I'll do it together.
37:29I know you're safe with that.
37:30I know you're safe with me, Jason.
37:31You're not safe with me.
37:32You're safe with me.
37:33I'm not safe with you.
37:34I'm curious if I get you in the light,
37:35you're safe.
37:36I know you're safe with me.
37:37Yes.
37:38And I have to go back with me.
37:39Everything that happens in this room is my responsibility.
37:46We'll do it together.
37:59Deflating.
38:09Nobody's going home.
38:17I am proud of this team and what we accomplished today.
38:23Drinks are on me at Harry Hopes.
38:28I am proud of this team and what we accomplished today.
38:34Drinks are on me at Harry Hopes.
38:37Drinks are on me at Harry Hopes.
38:40We're celebrating?
38:42Today was a disaster and we got lucky.
38:45You're right.
38:47But when you get lucky, you celebrate.
38:50Let's go.
38:51At some point in your career, you're going to kill someone.
38:57And I hope for your sake there's a doctor out there who still believes in you and you do.
39:01Mr.
39:03At some point in your career, you're going to kill someone.
39:09And I hope for your sake there's a doctor out there who still believes in you and you do.
39:13Mr.
39:16It was there all along, I have to go drinking, but I wanted you to know, is that from an
39:40IV, you did the biopsy. I did. I have a low-grade glioma. Not a GBM? I told you. Cancer, Sean, it's still cancer.
39:57I have to undergo brain surgery, which is really scary because I'm not the one performing it.
40:02Five days a week for six weeks of radiation, ten more weeks of chemotherapy. And then?
40:10And then, with a little luck, you and I can go to the Super Bowl next season.
40:33You're going to live.
40:37There's hope.
40:40Go. Go have some fun with your friends.
40:45Yes. First, I have to tell Dr. Andrews about the mistake I made.
40:48No, Sean, you can't.
40:51Protocol is clear, and reporting saves lives.
40:54And I hear Caden is on the road to recovery, so your mistake couldn't have been too bad.
40:59No, I made a mistake.
41:01Sean, I understand that, but Dr. Andrews will use this. And do you remember the commitment
41:06that Dr. Glassman made when you were hired? I promised you'd be excellent, right, Sean?
41:10And you have been excellent. You can't give Dr. Andrews this excuse.
41:16I was not excellent. This time, I was bad.
41:25And surgeons have to be excellent every time. Right, Sean?
41:31You agree with him.
41:32I'm not going to ask him to lie to save my job.
41:35I'm not going to ask him to lie to you.
41:37Don't do this.
41:38Don't do this.
41:39It's up to Sean. I trust your judgment.
41:43I'm not doing this to hurt you.
41:44I know.
41:45We are friends.
41:46Yes, we are.
41:47I love you.
41:48I know.
41:49I know.
41:50I love you too.
41:51I love you more.
42:08I need more.