Skip to playerSkip to main contentSkip to footer
Show Movies TV
  • today
The Good Doctor S02E05

#ShowMoviesTV


Transcript
00:00we should not live together that makes no sense i rented that apartment and neither of us can
00:16afford it on our own it has a fireplace we shouldn't live together it has a fireplace
00:30do you ever think about us being together as a couple sometimes i don't want that
00:41you don't want us to be a couple or you don't want me thinking about us as a couple
00:50neither if we get an apartment together i feel like that's a signal that you and i
00:59might end up as boyfriend and girlfriend and that's not going to happen you can't predict the
01:06future feelings change i used to hate hugs but now sometimes i don't but i don't want my feelings
01:13to change i like being your friend and romantic relationships are unpredictable so much can go
01:19wrong especially when i am involved and if we live together it's gonna be awkward you're bound to walk
01:25in on me when i'm naked or hear the weird sex sounds i make with some out of work drummer
01:30or if i mean crying when that drummer dumps me even though i was totally gonna dump him
01:40i was so unhappy when we weren't getting along you were too right
01:47yes anything that puts our friendship at risk isn't worth it to me okay sean
02:01yes
02:01our gallbladder removal is off patient took an ambien last night woke up eating a roast chicken
02:17let's check the consult list for something a little more interesting see gallbladders are boring
02:22you're a resident you don't get to call any surgery boring see
02:25this is interesting
02:38is the urine
02:4342 year old female syncopal episode of persistent loss of consciousness on the ride she went into pvt
02:47rate of 180 we shot her back to normal sinus rhythm how's it going to feel
02:51she's going back into pvt we need to shock her get her into a bay
03:00that was cool but you may have just cracked her sternum get her into a bay too
03:06you're her husband yes your wife is pretty frail any idea what could have caused that she did she's anorexic
03:21i'm dr murphy this is dr park we're here about your urine how long has it been fizzy i hadn't even
03:34noticed is that a problem that can be a symptom of several conditions many of them minor
03:40you're here for ortho scope on your right knee it's been sore i've been training for a race joint pain
03:46plus fizzy urine you could have emphysematous cystitis bladder cancer kidney problems
03:53those sounds serious should i call my husband emphysematous cystitis is a treatable bladder
03:58infection your symptoms could also be from a kidney stone or dehydration could my issues be caused by
04:05gastric bypass surgery depends when was it 15 years ago i used to be 377 pounds that's a lot your
04:14surgery wouldn't cause those symptoms but we need to do a cystoscopy to find out what did i'll cancel
04:21the ortho and get limb to sign off hey wait what so what is a cystoscopy it's like a knee scope except
04:31the camera goes up your penis
04:33you administered amyodorant rhythm's normal that's good right it's better than when you came in
04:46your heart is failing as a result of a condition called mitral vergetation one of your valves isn't
04:51closing all the way blood keeps leaking back into your atrium that's why you fainted and why we need
04:57to repair that valve asap how long have you been anorexic i've had issues with food on and off since
05:09i was 14. mitral valve issues are a frequent complication of long-term malnutrition this bout
05:14started about a year ago skipping meals lying about eating exercising excessively i don't know what else
05:22i can do i can't monitor her 24 hours a day i'm not asking you to no but you are starving yourself
05:29grammy come here what's he doing here when i got home i heard about the ambulance i made cindy bring me
05:37here what's wrong with my mom
05:43she needs a surgery to repair a valve in her heart
05:45this heart thing is is that why she's so skinny look what matters graham
05:53is that these doctors are going to help your mom okay
06:04you haven't moved your bowels well thank you sean for that announcement saves me the trouble of tweeting
06:11the nurses already knew they told me they also said you're no longer talking to your dead
06:18daughter constipated but no longer psychotic i never went your first defecation event is a vital
06:25part of the discharge criteria event what is this the post-op decathlon pooping peeing walking talking
06:31yes you have to walk a full lap of the floor but you canceled physical therapy this morning
06:37most nurses have big mouths i canceled because my leg is a little sore that could be phlebitis or a dvt
06:45it also be an unsurprising complications from a surgeon poking around in my ponds every day in the hospital
06:51increases your risk of infection by 1.37 percent you need to move your bowels and we should walk right now
06:59i'll go very slow sean is there any chance that you are needed elsewhere right now
07:09i have eight minutes until my patient's cystoscopy good be early urethra looks clean no lesions no
07:18stones so far how do we check for obstructions or stones further up contrast cystogram
07:25since you found this patient how about you do the honors
07:30you know this guy used to weigh 370 pounds throw the catheter further into the bladder
07:36that's a big drop good for him he did have gastric bypass that makes it less impressive now infuse the
07:43contrast well yeah it is the easy way compared to just diet and exercise the contrast dye is
07:49dissipating it's supposed to you said he's training for a race obviously he turned his life around
07:55still dissipating bypass made it physically impossible for him to eat as much as he wanted
08:00it's gone the contrast is gone that makes no sense where did it go he probably has a fistula a tunnel
08:12connecting his bladder to his intestine air and bacteria moving the other direction cause bubbles in
08:17his urine her liver and thyroid are normal but her electrolytes are off her albumin is at 2.1 she's
08:27severely malnourished she'll be totally vulnerable to post-op infections
08:31she needs a surgery to survive but she may be too sick to survive the surgery
08:36in order to operate safely we need to boost your caloric intake optimize protein can't you do that
08:49through my ivy it's more efficient to pump a nutritional supplement directly into your stomach
08:53we use a tube running down from your nose i had an ng tube once it didn't work
08:59she couldn't tolerate it because it's not really about food it's about control you've lived for decades
09:10with the condition that has killed more people than any other psychiatric illness
09:15you didn't just survive you had a child can you tell us how
09:21when i got pregnant it was like this terrifying miracle i mean the thought of gaining all that weight
09:32but i wanted him so much both did every meal i would sit with pictures of his ultrasound imagining the food
09:44going directly to him
09:49can you do that again eat for graham
10:04we've determined the fistula between your bladder and intestine was caused by crohn's disease
10:09an inflammatory intestinal condition once we reverse your gastric bypass you'll
10:14need reverse my bypass are you sure well bypass surgery shortens the digestive tract
10:20people with crohn's disease need every inch of intestine they have or they risk critical
10:24even fatal malnutrition okay but i don't want my husband to know and he'll be here soon
10:30well we would never reveal anything without your permission
10:33but crohn's disease is going to require some major adjustments well i'll tell spence about the crohn's
10:40and i'll tell him i'm having surgery on my bladder
10:48your husband doesn't know you had gastric bypass that would require him knowing i was obese to begin
10:52with that's not gonna happen your husband must be very shallow even if i don't disclose that i reversed
11:00your bypass your scars might it requires a separate incision well tell him there was a complication our
11:06obligation to protect your privacy doesn't include lying and you should have to go through this
11:10without a single abdominal umbilical port we can repair weights fistula and reverse his bypass all
11:21through a single incision we can help deceive your husband oh honey i'm so sorry it's okay
11:28got here as soon as i could it's all right and since my husband is surrounded by surgeons
11:36what's the issue what are you going to do about it and how often have you done it successfully
11:39how are you doing i'm fine
11:57grant would you mind filling this
12:02you've had one spoonful of tuna two ounces of applesauce
12:06that's it mom if that's all i had you'd never let me up from the table this is different i
12:13can't eat too quickly i don't believe you it's true your mother's suffering from severe malnutrition
12:20and she's trying her best i knew it you're too skinny that's why you're here that's probably why
12:24your heart's messed up and you still won't eat graham i am trying how hard can it be to eat i'm not
12:29feeling well me and dad are really worried about you don't you care of course i do graham
12:33so much then do something prove it
12:48you provoked that argument yep and i may have just saved our patient she requested an ng2
12:54understanding is nice calories for better
12:57he's screwing this up his husband's scared and he just wants to know what's going on
13:04nothing like marital advice from the divorce you're divorced too and i'm not advising i'm
13:09not judging the health of a marriage based on a single secret which is neither shocking
13:14nor a sign of its eminent demise what truth in a marriage is overrated it wasn't mine not every
13:19single insight opinion or impulse needs to be shared marriage sounds confusing no wonder you both failed at it
13:30how's it going in here not as bad as i remember does it hurt mom no just a little awkward
13:40makes it hard makes it hard to talk but i'm okay
13:49i am so proud of you
14:02dr glassman hasn't defecated or done his physical therapy i am aware and yet unalarmed who are you
14:08i'm dr sean murphy oh right you're dr glassman's friend please order him to do physical therapy and
14:20give him 15 milligrams of x-lax the x-lax is a decent idea as for the physical therapy of course
14:27he's stalling glassman's a proud man he ran this hospital he's reluctant to feel weak and vulnerable
14:33in front of people who used to work for him that doesn't make sense he is weak he just had brain
14:39surgery well sensical or not that's my take he'll walk eventually every day in the hospital increases
14:46his risk of infection by one point you tell him that and maybe i'll hop right out of bed i did it
14:53didn't work he didn't respond to the stick try the carrot although really i would just advise
14:58dr glassman doesn't like carrots what should i do with the stick
15:07it's a metaphor uh glassman appropriately is the donkey the stick signifies punishment the carrot
15:15signifies reward but he is he's recovering nicely and your best bet is to just be patient with him
15:21so i should use a reward to motivate dr glassman to do physical therapy actually what i'm saying is that
15:32you should be patient and supportive and please please answer that
15:39close the door
15:53we were headed to pre-op when he started projectile vomiting it's green that could mean vile and a
16:00partial bowel obstruction we need an ng tube an obstruction did the crones cause that
16:05it's hard to know for sure it's a tube stat
16:17you're doing great you should try and get some sleep i can't there's this voice in my head and it
16:28won't be quiet it keeps telling me that this bag has 60 grams of protein 40 grams of fat 1200 calories
16:41in total they just won't stop
16:46try to think of graham and sam i'm trying
16:51i'll get something to put over there
17:02no no no
17:10i'm sorry i i just i can't stand it
17:21i got your deposit back
17:25why
17:27sean i told you that you and i can't live together no
17:32you told me we can't be boyfriend and girlfriend we can still be friends with benefits
17:42the benefit is we would be living together
17:46i was clear it's too complicated we can't date or kiss or have sex
17:58but i thought you wanted to be friends yes of course and spend time together right then it's simple
18:04she begged us to reinsert the ng tube then pulled it out again an hour later do we try again with the
18:15tube and restraints uh we'd just be raising her risk of self-injury pneumonia blood clot
18:20what about going back to solid food anything less than 1200 calories a day and her malnutrition
18:26wouldn't be improving in fact she'll keep losing weight we should go ahead with that valve repair now
18:31i think we can improve her nutrition without force feeding or ivs i found a small study
18:44our deep brain stimulation was used to treat anorexia you want to use brain surgery for a
18:49psychiatric disorder surgical procedures have been effective for depression ocd addiction
18:55this surgery could reduce her anxiety around eating when she's eating her malnutrition will
19:03improve and reduce the risk of the valve repair it could also cause personality changes
19:09and this study covers six subjects with only 50 success this could be louise's only shot at getting
19:16free of this illness and it was done in the uk dbs is an fda approved for anorexia treatment here
19:22so we call an irb ethics hearing and argue emergent use approval which we shouldn't get off such little
19:27data nice work digging this up but it's not a real option let's go talk to her about the valve surgery
19:43can help you i'm looking for a carrot
19:46you know sorry we don't have any carrot muffins how about the lemon poppy sean
19:57hello debbie wexler it's a metaphor for moving a donkey i need a carrot because i don't want to beat
20:05dr glassman with a stick he likes blueberry muffins how's erin dr glassman recovering he moved his bowels
20:14this morning but he doesn't want to appear weak so he hasn't done physical therapy
20:22i want that blueberry muffin please it has 23 visible blueberries you know aaron once told me that his
20:30absolute favorites were the chocolate chip ones do you want one of those instead yes i want one of those
20:37ones instead
20:48oh hi dr park um i have a few questions about wade surgery sorry i'm pretty busy actually need to get
20:54going uh i'll walk with you i know wade surgeries this afternoon but i've been researching treatments
20:59for crohn's lesions what do we do before the internet i talked to two experts who felt that
21:03wade should be put on remicade or azathioprine before any surgical interventions interesting
21:09recommendations but considering they haven't seen your husband's chart well this doctor felt
21:12strongly that you should see how he responds to medication wade's care is completely appropriate
21:16for his condition but if his crohn's lesions could be treated without cutting him open that's not what
21:19what we're treating
21:22excuse me go talk to your husband
21:33i brought you a chocolate chip muffin i love chocolate chip thank you
21:40where is it at the nurse's station you can walk out to get it john you see here i thought you were
21:51doing something nice for me i am no you're not you're manipulating my leg hurts and i i have a sore throat
21:58and i don't feel like walking dr blaze says you don't want to seem weak in front of people who used to
22:05work for you dr blaze is wrong i don't want to walk because i don't want to walk and this is condescending
22:12and it's insulting and it's annoying should i get you your muffin well that would be nice
22:22and orderly is eating it
22:44mr neleon can i help you
22:46uh my wife's decided against the valve repair surgery at least until she's tried the deep brain
22:55stimulation for her anorexia
23:02did dr brown tell you that it's an experimental brain surgery which could alter your wife's
23:06personality forever that's if we get the special approval required she's explained all the issues
23:16i got our apartment back i had to pay three hundred dollars more as a deposit because someone else
23:36wanted it but that's okay because sean it has a fireplace why are you listening to me you are not listening to
23:44me i'll be okay running into you naked or hearing sex noises or seeing you cry over breakups with
24:04drummers i know that you think you can't but how can you be sure because living with you
24:10will be good for me it makes me happy
24:16you remember what you said sean that no one can predict the future and feelings can change
24:34what if i end up hurting you again
24:36i don't want to risk our friendship over an apartment do you
24:44if we don't live together you will have to buy your own batteries
25:01we'll still see each other that will be hard i work a lot
25:05we'll find a way i know you will
25:06i need to go to work
25:16i'll stop on the way home and tell the manager
25:29we don't want the apartment
25:32no do i
25:35the subjects who responded in this study are all long-term sufferers with the target bmi of 13 to 16
26:01who actively pursued this treatment much like our patient additionally dbs surgery requires lighter
26:08sedation and places less strain on her system than an open chest procedure
26:12you're referring to the valve repair recommended by dr melendez yes i propose delaying that surgery by a couple weeks which would be well worth it in terms of reduction of risk if the dbs is successful
26:26excellent presentation dr brown very thorough
26:31agreed though i do have concerns about approving this procedure based on the small subject pool
26:37but i'll confer with there is that one more person i want you to hear from
26:42the patient this is an irb not a therapy session
26:47actually patients who have the opportunity to air their concerns are eight times less likely to sue their hospital
26:57she pays me you can step out dr park's got this
27:05grab the sheet
27:09you talk to wade's husband
27:15maybe we should discuss this later i can patch him up while tearing you down
27:20you violated our patient's confidentiality
27:23i told them what we weren't treating that's not a violation and their marriage is better off
27:27for having his secrets out in the open
27:29that'd be meaningful if you're a marriage counselor instead of a surgical resident
27:32whatever lie blew up your marriage won't be undone if wade tells the truth
27:36i was just trying to help our patient
27:41our former patient wade's demanding a transfer to another hospital
27:45i have tried
27:51cognitive behavioral therapy
27:54food psychodynamic therapy
27:57family therapy
28:00inpatient treatment
28:03outpatient treatment
28:05antidepressants
28:06ng tubes
28:08tpn
28:09and yet here i am
28:13dying
28:15killing myself
28:21and i can't stop on my own
28:26please
28:27help me
28:30to stop
28:32are you aware
28:39dbs has been known to cause personality changes
28:43in your case the electrode would be at the nucleus accumbens
28:46dr brown explained all the risks
28:49it's important we know that you understand
28:52the nucleus accumbens plays a role in maternal attachment
28:56delivering dopamine when moms interact with their children
29:00now what if in trying to overcome your eating disorder you lose the ability to feel love for your son
29:11my son is everything to me
29:22for the past year he's been watching me starve myself to death
29:28i'll risk anything to keep him from seeing me succeed
29:36thank you miss daleon
29:44we'll need a few minutes to talk
29:51you kept it a secret because you think i'm shallow
30:01i said the same thing
30:02i kept it a secret because of friendly fatties
30:04any news on my transfer
30:06san francisco general should have a bed tomorrow
30:09come on it's a joke
30:11i'm here to clap your nasogastric tube
30:14about a couple we've known for years
30:16we were at their wedding
30:17and yet you treat them like a punchline
30:19this used to be
30:20you're the one who lied
30:21if i'd known you were offended i
30:23the point is
30:23is that's why i didn't tell you
30:26red and green makes brown
30:30your bowel is bleeding
30:32you need surgery now
30:33page dr park and dr limb
30:36he has a strangulated bowel
30:37spence it's gonna be okay
30:39we need to open up an or now
30:41by a margin of two to one
30:45this internal review board has decided
30:47in favor of allowing this procedure
30:50nicely done
30:51thank you
30:52hope the surgery goes well
30:54use the 45 millimeter gold stapler
31:05the truth coming out
31:08didn't help wade's marriage
31:10hopefully with some time
31:14secrets are corrosive
31:16wade should have been honest from the start
31:17maybe
31:18wade thought spencer would feel
31:21the same way you did about his bypass
31:23that he lost weight the easy way
31:26okay
31:35it's time
31:37remy
31:55you are
32:05the highlight of my life
32:09you know that right
32:12yeah
32:15i love you too
32:16i love you more than any person on the planet
32:19ever loved any other person on the planet
32:22i
32:24i know
32:25mom
32:28you're gonna be okay right
32:29of course baby
32:30of course
32:33i will see you guys
32:35in a few hours
32:36i love you
32:43the chocolate chip muffin didn't work
32:55the donkey won't walk
32:57i told you that glassman's probably embarrassed
33:01no
33:01he's not
33:02i asked him
33:03and he said you were wrong
33:05doesn't mean i'm actually wrong
33:09yes
33:12he
33:13needs
33:15help
33:15recovering
33:16i'm
33:18trying to help
33:20but it's not working
33:21he got angry at me
33:23dr glassman
33:26is
33:26your
33:28patient
33:29you need to fix his lack of mobility
33:31this is your problem
33:32i don't know what to do
33:35i don't know how to help him
33:37being sick
33:38is hard
33:39being around sick people
33:40is hard
33:41we want to help
33:43we all struggle with what to do
33:45your obsession
33:46okay
33:47more than a muffin
33:48or a bowel movement
33:50or a walk around the ward
33:52what glassman needs
33:53is someone to be there for him
33:55a patient supportive friend
33:58i know the perfect person
34:06hey there
34:22how are you feeling
34:25okay
34:27i feel like
34:33i want something to eat
34:36i'm hungry
34:39all right buddy
34:44let's get you home
34:46get you a decent night's sleep
34:48see you in the morning
34:53we'll get you some food
35:05are you sure you're all right
35:10yeah
35:12i just
35:14i wonder if that hug
35:18felt different for him
35:20did it for you
35:23your husband's surgery went well
35:39he's in recovery now
35:41i think he's awake
35:43thank you
35:44wade told me where to find these
35:57is this him before bypass
36:01he said that seeing these would
36:03help me understand why he never told me
36:05which
36:07which
36:07i said was ridiculous
36:10is he gonna end up like this again
36:23that's possible
36:26wish i didn't know that
36:37yeah
36:58Debbie, hi
37:04Oh, um
37:08Sean thought you could use a visit
37:10Huh
37:11Oh, and another muffin
37:14Thank you
37:15I wish I had known you were coming
37:17I would have slipped into something a little less comfortable
37:19You look good
37:21Huh?
37:22Yeah, well
37:23Unlikely, but thank you
37:25I'm
37:27Sorry that I've been
37:29Out of touch
37:32Well, I had a brain tumor
37:34Understandable, we both dropped the ball
37:37Okay
37:45Here we go
37:48What's happening?
37:49We're taking a walk
37:49Oh, no, no, thank you
37:51No, my leg hurts a little
37:52Ow, ow
37:52Which is exactly why you need to take a walk
37:55Wow
37:58You're really good at this
37:59You sure you haven't done this before?
38:01Well
38:01I spend a little time as a nurse
38:05I always like the night shift
38:09Everything gets really quiet
38:11It's almost, it's almost peaceful
38:13Just came from Louise's room
38:33She's eating
38:35Great news
38:37Yeah
38:38Hopefully we'll be able to do the valve repair
38:40In a couple weeks
38:41I hope you're right
38:44But you won't be a part of the surgery
38:47Nor any of my surgeries
38:50You went around me
38:52Directly to the patient
38:53I had a good idea
38:55That you didn't take seriously
38:57I considered it
38:58And then I decided against taking it to the patient
39:01And yet I managed to get
39:02Awuki and Andrews to sign up for the IRB
39:04You didn't get Andrews
39:09You voted for me
39:14You made a strong case
39:16But you're
39:18You're booting me off your service
39:21Disagree with me all you want
39:22I expect my residents to
39:24I expect them to argue passionately for their position
39:27And I expect them to then accept my decision
39:32Even when you're wrong
39:35I can't run my team any other way
39:57You know what was insane
39:59Was the 1928 Torpedo Roadster
40:02With the Purple Heart trim
40:04Ugh
40:04And that lizard skin interior
40:06My neighbor in Wyoming had a silver arrow
40:08You look great now
40:09Oh, I'd love to drive you
40:11Just once
40:12Then again, you look great
40:14Good job
40:15You got him walking
40:16Debbie Wexler did it
40:19She's a better carrot than I am
40:23She's a better friend
40:25Hey, it's me
40:33Yeah, just making sure the chick got there, okay?
40:39Great, great
40:40I have a question
40:43About Phil
40:45I know
40:47I know he's long gone
40:48I was actually wondering
40:51What do you think would have happened
40:54If I hadn't seen you two together?
41:11I found my next apartment
41:13Okay
41:14It has a fireplace
41:18And natural lighting
41:20No, no
41:22And a really great roommate
41:24Who's also a friend
41:26He works a lot
41:27So it might be hard to see him otherwise
41:30I'm talking about you, Sean
41:34I don't want to risk anything
41:39Hurting our friendship
41:40If you say you can handle living together
41:43I trust you
41:46We're going to be roommates
41:56It has a fireplace
42:06Yes, it does
42:07We're going to be roommates
42:11We're going to be roommates
42:12We're going to be roommates
42:13We're going to be roommates
42:14We're going to be roommates
42:15We're going to be roommates
42:16We're going to be roommates
42:17We're going to be roommates
42:18We're going to be roommates
42:19We're going to be roommates
42:20We're going to be roommates
42:21We're going to be roommates
42:22We're going to be roommates
42:23We're going to be roommates
42:24We're going to be roommates
42:25We're going to be roommates
42:26We're going to be roommates
42:27We're going to be roommates
42:28We're going to be roommates
42:29We're going to be roommates
42:30We're going to be roommates
42:31We're going to be roommates
42:32We're going to be roommates
42:33We're going to be roommates
42:34We're going to be roommates
42:35We're going to be roommates
42:36We're going to be roommates
42:37We're going to be roommates
42:38We're going to be roommates