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The Good Doctor Season 3 Episode 13

#TheGoodDoctor
#ShowMoviesTV



Transcript
00:00Good morning.
00:10Morning.
00:12I'm Jake. We met last week.
00:18Yes, we did.
00:20I was just gonna get some juice. Hope you don't mind.
00:24Are you a drummer?
00:26Am I a drummer? No, I'm a chef.
00:30Well, actually, just a cook, but...
00:32Leah dates drummers.
00:34I played clarinet in junior high.
00:44What are you doing out here? I told you to stay in my room.
00:48You just got to grab some OJ.
00:50I was really thirsty.
00:56I'm sorry. I should have told you he was spending the night.
01:04I like Jake.
01:06That's nice of you to say.
01:10I know it's difficult to have a stranger in your home.
01:13I have to drive Dr. Glassman to his chemo appointment.
01:16He's five days in and doing very well.
01:20I'm helping him.
01:22Jake is very sweet.
01:24You know, when you get to know him, I'm sure you really will like him.
01:28I said I like him.
01:30Will he be spending the night here a lot now?
01:32No, not a lot.
01:36But would that be a problem?
01:38No.
01:40So is it cool if I have him over tonight to watch a movie?
01:44It's cool.
01:46I have to go.
01:48Good morning, Dr. Glassman.
01:58I let myself in. I'm downstairs.
02:14I'm downstairs.
02:44How are you feeling today?
02:46Good, actually.
02:48Better than yesterday.
02:50Yes, your skin was a bit pale yesterday.
02:52Today your color looks much better.
02:54I brought you your electrolytes.
02:58Cheers.
03:00Why did you do that?
03:12I don't like the flavor of the grape.
03:15Are you experiencing nausea?
03:17No, I didn't like the flavor, I told you.
03:21I'm fine.
03:26I'm glad you're feeling well.
03:28Let's go.
03:29Or we're going to be late.
03:31Yeah.
03:32Cancer's not gonna kill itself.
03:38Hey.
03:40I was just thinking about you two.
03:43Actually, can I call you at lunch?
03:44I'm with some people right now and...
03:47Yes, exactly.
03:49And talk later.
03:51Love you.
03:58New girlfriend?
03:59Still in the call each other the next morning phase?
04:04Yeah, you got me.
04:07Actually, no.
04:08It was Mia.
04:09We're giving our relationship another shot.
04:11Wow.
04:12Park, that's great.
04:13Yeah, I told you because part of the thing with Mia is...
04:17I'm trying to be more open.
04:21Thanks.
04:22You didn't need to explain, but sounds good.
04:24She sounds like she's good for you.
04:27Yeah.
04:29Of course, if it doesn't work out, I'll have to talk to you about that too.
04:32Admit I failed.
04:33Or I can be a supportive colleague regardless of what happens.
04:52Seven-year-old female, neighbor saw her collapse in her yard.
04:56Unresponsive.
04:57No heartbeat.
04:58PKG's flatlined.
04:59Then she'd be cyanotic.
05:01Good capillary refill.
05:03She's refusing.
05:04Then stop CPR.
05:06Yeah, she's breathing.
05:07Your EKG must be broken.
05:08Worked fine on our call right before her.
05:09Everything works fine up until it doesn't.
05:14Nothing.
05:15Told ya.
05:17Hook her up.
05:18Let's check her vitals.
05:20Blood is definitely flowing to her extremities.
05:32Should we push Epi?
05:33Get the crash?
05:34Wait.
05:35Everyone quiet.
05:45Listen.
05:46Listen.
05:47She doesn't have a rhythm because she has a mechanical heart.
06:01Lana Moore, 34-year-old female, was slurring her words, symptom passed, but we found a grade 2 arteriovenous malformation in her brain.
06:19Are we going to do endovascular embolization or stereotactic radiosurgery or resection?
06:26Endovascular embolization.
06:28Patient requests she's only served green jello and that we dim all of our incandescent lipols.
06:32Lana has autism.
06:34What are you looking at him for?
06:36It's not like they all know each other.
06:37I was just curious what his thoughts might be.
06:39I think we should go with endovascular embolization.
06:42Now you know.
06:44The AVM is dangerous, but the embolization is a relatively minor procedure.
06:48We'll make a small incision in your leg so we can insert a catheter into your-
06:52Are you okay, Javi?
06:54The lights aren't bothering you too much?
06:57A little.
07:07Please, continue.
07:13We'll insert the catheter into your femoral artery.
07:16Then we'll feed it up into the arteriovenous malform you brought a dictionary.
07:20Is there something I'm saying that you don't understand?
07:23Lana loves learning new words.
07:24She's memorized the scientific Latin name of every bug in South America.
07:28Go ahead, name any six-legged critter.
07:30I love being quizzed.
07:32Rhinoceros beetle.
07:36Megasoma actaeon, found in Guyana.
07:39It's the heaviest insect in the world and weighs as much as 300 grasshoppers.
07:45Is she right?
07:47I have no idea.
07:49I have to go.
07:55Javi?
07:57Javi?
07:59Where are you going?
08:00It's 11.15.
08:01I have to be home by noon to watch Judge Judy before work.
08:04It's important to us that your girlfriend doesn't get stressed out.
08:07So we'd prefer it if you stayed with her as long as you can.
08:11Lana's not my girlfriend.
08:13We're just roommates.
08:23Still stable?
08:25Diuretics have her O2 SATs up, but she's hypotensive.
08:27We checked every center approved to implant mechanical hearts, but none have any record of her as a patient.
08:32Check overseas.
08:34Mom?
08:36Is there her heart?
08:38The implanted device appears to be malfunctioning.
08:40Do you have any contact information for the surgeon who implanted?
08:43Yes, of course.
08:45Dr. Li Wei. He's in Beijing.
08:47When did she have it implanted?
08:48A little over nine months.
08:52She just went back for a follow-up exam last month.
08:57She was fine.
09:00Can you fix it?
09:02I'm gonna find out.
09:03Hello.
09:16Hello?
09:23Don't be stupid.
09:24There's no cameras in here.
09:29Dr. Lim.
09:30Dr. Melendez.
09:31How was your respective weekends?
09:34Good.
09:35Checked out some bikes.
09:36Brushed up on some reading.
09:37Excellent.
09:38Hear the search for chief of surgery is back on.
09:40As is our legal department's response to the DPH complaint against both of you, so I'm gonna get your hopes up.
09:46Probably just as well, I'd rather not see the two of you competing again.
09:50You seem to be getting along better.
10:03This is weird.
10:06Is it weird?
10:08They act like a couple, right?
10:10I live with Leah, but we're not a couple.
10:13Yeah, but you wish you were.
10:17Do you?
10:18Leah has a new boyfriend.
10:21You must be a little jealous.
10:25Why?
10:26Leah's my friend and Leah's happy.
10:30Okay.
10:31Jake, Leah, and I can all be friends together.
10:36Sean, Leah's new boyfriend doesn't want to hang out with the three of you.
10:40If Leah really likes this guy, she's gonna want to spend time just with him.
10:45I know.
10:46For the sex.
10:52Her AVM has microbleeds.
10:55Her risk of rupture has doubled.
10:57He's gonna call you in an hour.
10:58Tell him I can't wait that long.
10:59Her cardiac output is low and now.
11:00Got it.
11:01Wait.
11:02He's in surgery.
11:04Excuse me.
11:05Uh, Dr. Melendez?
11:06I'm Grace Lee, Sunny Lee's daughter.
11:07They told me downstairs that you're my mother's doctor.
11:09Yes.
11:10Get them to send her records and everything they can.
11:11I'm Grace Lee, Sunny Lee's daughter.
11:12They told me downstairs that you're my mother's doctor.
11:13Yes.
11:14Get them to send her records and everything they can about the device,
11:17manufacturer, model number, manuals.
11:19Yes, they also let go of school.
11:20Don't be told.
11:21Ifosit placebo is very low and low,
11:22But if you don't have acan't be a doctor,
11:23we have to be able to justute advantage with him.
11:24He's child culture.
11:25I'm Anne going to help.
11:26I don't see my doctor.
11:27Yeah.
11:28I am.
11:29we know it's Verum.
11:30I can stop this.
11:31My doctor.
11:32My doctor.
11:33I'm Grace Lee, Sunny Lee's daughter tortoise.
11:34They told me downstairs that you're my mother's doctor.
11:35Yes.
11:36But I told him that you're my mother's doctor.
11:37Law tales goodbye to her records and everything they can about the device.
11:40Manufacturer or model number, manuals.
11:40manuals your mother's stable but we're struggling to get the information we need from her doctor
11:46in china i don't understand her doctors in china like on vacation no her cardiac surgeon
11:53your sister can fill you in on everything we've done so far i really need to get back
11:57on this phone wait i don't have a sister
12:01we met 10 years ago while i was volunteering at a senior center
12:14we hit it off neither of us had anyone in our lives at the time
12:19people assumed we were mother and daughter because we did everything together after a while we just
12:26went with it she'll be glad to see you you look like you've put your problems behind you
12:33problems she told me about your issues with drugs
12:36oh my god she caught me smoking pot once i was a teenager so you're fine of course i'm fine
12:49then you don't really have an excuse for not calling for 15 years do you
12:53they want her back they've arranged for transport they'll do the repairs in beijing
13:01is that safe can she travel for that long in her condition
13:05it's a specially equipped plane for patients requiring urgent medical assistance
13:0820 hours in the air is much safer than at least that long on an operating table here while we
13:12basically fly blind okay okay
13:18proper for transport
13:19the microbleeds indicate that it may already be starting to rupture if it goes you could suffer permanent brain damage or death
13:37because of that embolization is no longer a preferred approach we want to open you up and cut it out
13:43can you try talking to her
13:48just because i have autism
13:50i'm not asking you because you have autism
13:52i'm asking you because you're her doctor and
13:54i'm getting nowhere
13:56the sting of the japanese giant hornet can dissolve human flesh and attack the nervous system recommended treatment includes oral antihistamine and acetaminophen
14:18comforting choice of words
14:25it's 6 30 dinner time i brought burgers and jello this one's yours
14:41lana can't eat now we're trying to schedule surgery to i could die
14:45surgery sounds scary but necessary so i'll do it
14:52big feet got there first johnny stumbled caught himself and swung silently about it dove gosh johnny i'm sorry snicker dove sorry you're going to be a lot sorry i just didn't notice you do that
15:04john what are you doing
15:06reading to you from johnny tremaine
15:08you're reading words you're not reading sentences
15:10this edition of johnny tremaine is 320 pages long to get through the entire thing i need to read 270 words per minute
15:17you don't have to finish the book in one cinema
15:20yes that's how i read novels i want to know where the characters end up
15:24you know what let's just stop
15:25i can go slower
15:27i'm not listening anyway
15:29are you in pain?
15:30no no
15:31you seem fatigued
15:32you know what i have a good idea
15:34why don't you take out the garbage
15:37thank you
15:45thank you
15:46where is your recycling?
15:51it's under the sink
15:52Dr. Glassman this cannot be recycled
16:01if it's broken it cannot be recycled because shards of glass
16:06i don't care sean i didn't ask you to resort the garbage i just asked you to take it out can you do that?
16:12your call light is on how can i help you?
16:26any new symptoms or discomfort?
16:30lana?
16:35rhinoceros beetle?
16:40i'm gonna get javi on the phone you can talk to both of us
16:43do these doors lock?
16:45no
16:47do you want them to?
16:49is there someone you're worried about?
16:53is it javi or someone else?
16:55i'm nervous about the surgery
16:59Dr. Lim is an excellent surgeon
17:02i've seen her do-
17:03i'd like javi to come and have sex with me
17:05i think an orgasm would help calm me
17:09did the blinds close?
17:12she's gonna need a norepinephrine drip to maintain her pressure during transport
17:20mom
17:27you look pretty
17:35mom i've been so worried
17:40you shouldn't have
17:41Teresa takes good care of me
17:44i'm so glad
17:48why did you never call me?
17:54you made it clear you wanted nothing to do with me
17:58i just wanted to live my own life
18:01so that's what you got
18:03your own life
18:04your own life
18:05without me
18:06this isn't a good time to
18:08you were so good
18:09straight a's
18:11always so smart
18:12you threw it all away
18:14you never understood
18:15dad did
18:16dad wanted me to be happy
18:18he wanted you to have fun as a child
18:20not waste your life
18:22singing is not a career
18:24sonny you need to calm down grace
18:27your mother cannot handle this stress right now
18:29Teresa
18:31Teresa is a teacher
18:32mom
18:33stop
18:34listen to the doctor
18:35you forgot
18:36about me
18:37i wish you'd
18:40stayed away
18:41but
18:42her
18:43her arterial blood pressure is dropping
18:45start bagging
18:47give her 40 lasix
18:48i'm calling the code
18:59she can hear
19:01is there a meaning to your creed
19:05where there is pain
19:07her secret
19:09shan?
19:14yes it's shawn
19:16i picked out a very good movie
19:18that we can all watch together
19:20not the time shawn
19:22I made popcorn
19:28Sean, we kind of need some privacy right now
19:40I also bought orange juice for Jake
19:42He was looking for some in the fridge
19:52I thought you said you were okay with this
19:54Jake will like the movie, Leah
19:56It's about a chef
19:57Sean, but you're not respecting boundaries
19:59If Jake and I are friends, then we can all spend time together
20:02Sean, of course
20:07We can all be friends
20:09That would be great
20:10It's just sometimes it's gonna be just me and Jake
20:15Without you
20:16For the sex?
20:19And some other times, too
20:23Okay?
20:27Okay
20:28Just give us a minute
20:35And we can watch the movie in the living room together
20:38Okay
20:44Having sex right now is extremely dangerous
20:48For someone in Lana's condition
20:49I studied the pre-op list of things I couldn't do
20:52Sex was not on the list
20:54We'll update the list
20:58Anything that elevates her blood pressure
21:00Could rupture the AVM before we get a chance to remove it
21:03You will definitely need to abstain until you're fully recovered
21:06Seems like you two are more than just roommates
21:11Why?
21:14You care for each other
21:16You have sex
21:17It's convenient
21:18He's available
21:19And it's frequently better than masturbation
21:22I praise
21:23And he leaves afterward
21:24She doesn't like being touched when she sleeps
21:27Are you two exclusive?
21:30Lana and Javi don't have to define their relationship
21:32In order to make it more digestible for you
21:34Clearly whatever it is is working for them
21:36Now you need to get some rest
21:38We're going to do your surgery at 10am
21:40Sunny's on full life support
21:44Unfortunately she can't be flown to China
21:47Her condition is beyond the scope of the plane's medical facilities
21:51Dr. Melendez is discussing next steps with Sunny's surgeon in China
21:57No daughter would treat a wonderful woman like Sunny the way you did
22:04Does a wonderful woman refuse to go to her daughter's recitals?
22:08Then, when she gets accepted to Juilliard, cut her off
22:11Tell her she'll never make it
22:12That she'll wind up broke and on the streets
22:14Gently incise the duro
22:32Nicely done
22:36And there's our AVM
22:39Aneurysm clips
22:40Isn't it nice to have what Lana and Javi have?
22:45All the benefits of a relationship without the emotional baggage
22:48The emotional baggage is the relationship
22:52Everybody has their issues
22:54The point is to sort them out together
22:56Yeah, that's all it takes
22:59Agreed all the single people in the room
23:01Can't get under the AVM
23:06It's much closer to Baraka's area than the MRI indicated
23:09Any damage could destroy her ability to speak
23:13What if we used stereotactic image guidance?
23:15That would only show us where we are
23:17It wouldn't tell us if we're affecting function
23:19But if we track Lana's vocal function during the operation
23:27It will help us avoid the speech center nerve tracts
23:30You want to operate on her while she's awake?
23:35We can barely get answers out of her at the best of times
23:38How do you think it'll go while her skull is open in the middle of an OR?
23:42Well, it's a good thing she has a roommate who can help
23:44It's hard to walk away
23:57We get angry, we want to run away, but
24:01When it's family
24:04I'm not angry
24:05When I got the call telling me she was here
24:12All I could think about was how my lousy, bitter mother
24:16Was about to die alone
24:19That it wasn't her fault, it was just her nature
24:24So I needed to be here to let her know that she was loved in spite of everything
24:33And then I found out about Teresa
24:37Saw them together
24:40Saw that my mother was capable of caring
24:44Capable of warmth
24:47And love
24:49Just
24:53Not for me
24:55She's bleeding from her cannula site
25:08She's intolerant to the ECMO
25:09We can't wait for the new heart
25:12We have to try and repair this one ourselves
25:14China thinks Sunny's heart failure is most likely due to a broken blade in the impeller
25:26They're suggesting we weld it back together using an intraoperative device
25:30Which we don't have
25:31We could repair it with fiber and bio glue
25:33Blade spins at 1200 RPMs, the glue won't hold
25:36What if we use the schematics to 3D print a new impeller?
25:41The plastic replacement probably wouldn't hold up long term
25:43We don't need long term
25:45We just need it to work until the replacement arrives from China
25:48Let's get these to the lab
25:49You need me in the OR?
25:55Yes
25:55While you operate on her brain with her head open?
25:58You wouldn't be able to see what we're doing
26:00You won't see any blood
26:02What's the central illuminance of the OR?
26:05I don't know
26:06140,000 lux
26:08140,000 lux is way worse than a grocery store
26:13I can't go to grocery stores
26:15We can provide you with protective gear
26:17And eye shades that can filter out some of the lights
26:20Bright lights are like needles in my eyes
26:22Megasoma actaeon
26:30Found in Kiana
26:32It's the heaviest insect in the world
26:33And weighs as much as 300 grasshoppers
26:35Grasshoppers
26:36Do you like playing insect trivia with Lana?
26:43This is crazy
26:44You shouldn't do it because of trivia night
26:46You should do it because
26:48You love her
26:50Your life is better with her
26:57You're a better person with her
27:00You need her
27:03That's what love is
27:05Do it because you love her
27:07I don't love her
27:12She's my roommate
27:15Impeller blades are fine
27:37The bearings are functioning properly
27:39Electrical consumption is good
27:43Maybe the machine isn't the problem
27:46Heart failure is either caused by insufficient pumping
27:49Or constricted outflow
27:50Since her pump is fine
27:52She doesn't have valvular stenosis
27:57The surgeons removed her aortic valve
27:59When they implanted this device
28:00It could be the aorta itself
28:02If it narrowed
28:03That would reduce her outflow
28:05Cause her pressure to drop
28:06If we do an intra-op angio
28:07We can see evidence of that
28:08Call x-ray
28:09Have them bring a C-arm stat
28:11Dr. Glassman
28:14I got you cherry gastrolite
28:20Sean, I'm fine
28:22You can go back to work
28:23At the Nathan County Fair
28:25I was 14
28:26And you got a cherry slushie
28:28Instead it was your
28:29Why do you have an IV?
28:35It's just fluid
28:36Sean, with potassium
28:38I had a nurse come by from the hospital
28:41I could have done this
28:44You're busy
28:45I'm helping you
28:48You wouldn't need the fluids
28:50If you listened to me
28:51I know
28:52You didn't drink the gastrolite
28:54I brought you
28:55But now
28:56Sean
28:56My head really hurts right now
28:59How long have you been experiencing pain?
29:03It pretty much never stops
29:05That's not true
29:07I asked you if you were in pain last night
29:09And you said you weren't
29:11I was in pain last night, Sean
29:13I just didn't want you to worry
29:14Why would you lie about a symptom?
29:22Why would you lie, Dr. Glassman?
29:24This could...
29:25This is why, Sean
29:26This is why
29:27I can handle the pain
29:30I can handle the nausea
29:32You have nausea?
29:32Yes
29:33Yes, I have nausea
29:34Okay, you should stop the PCV chemo
29:37Sean
29:37Okay
29:38You should stop
29:39I'm going to call Dr. Blaze
29:41No
29:41Sean
29:42No
29:43I am trying to help you
29:46I am trying to help you
29:50But you are not a compliant patient
29:53You don't rest
29:54Sean
29:55When I tell you to rest
29:56You don't follow the diet
29:58That I am giving you
29:59Sean, will you just go?
30:00Please, will you just go?
30:02I promised that I would help you
30:04You are not my doctor
30:05Sean
30:06I don't
30:11I don't want you here
30:16I am sorry
30:21I don't want you here
30:22I don't know
30:33How to help you
30:35Then stop trying
30:37You are not helping
30:41You can't help, Sean
30:44He's in pain
31:08And frustrated
31:10And nauseous
31:11And taking it out on you
31:12He's in pain
31:13And frustrated
31:14And nauseous
31:15And I can't help him
31:16That may be true
31:17So what do I do?
31:21When there is nothing you can do
31:23You have to accept that
31:24You have to stop trying to help
31:29That's what he said
31:34Thank you, Leah
31:45Thank you, Leah
31:45My life is better with you
31:50Mine too
31:59We are in the aorta now
32:23If there is a narrowing
32:24We should see a sudden rise in pressure
32:25We should be able to replace the narrowed part with a graft
32:44Metz
32:45This is a horse
32:51This is a
32:56Lana, what do you see here?
33:04We need you to keep talking to us
33:06Have we already done damage?
33:09It's too soon, I think
33:11We need to stop
33:12If we leave the avion intact
33:14And it ruptures
33:15It will kill her
33:16Lana, do you understand?
33:26I have to keep going
33:27But if you stop talking
33:29You may never talk again
33:31Hand me the bipolar forceps
33:41Dr. Lim
33:43There is a Javi Maldonado
33:45Insisting he should be in here
34:01I'm sorry to keep you waiting
34:10The surgery was a success
34:11You can see her once she wakes up
34:13Thank you
34:17She wasn't great with you
34:34But she's great with Teresa
34:36That doesn't mean she loves her more than you
34:39It may just mean
34:40She's not the same person anymore
34:44As soon as she saw me
34:45She started giving me crap
34:47The same crap
34:49Actually, the first thing she said was
34:54You look pretty
35:17Lana, what's on the screen?
35:22A lion
35:23And what is that?
35:35Lana, what's on the screen?
35:37Javi?
35:58Madagascan hissing cockroach
36:00Grumfajorhina portentosa
36:08One of the few insects
36:12Who give birth to live young
36:16Rather than laying eggs
36:19Keep going
36:21You both are doing great
36:22Long-tailed south african scorpion
36:27Long-tailed south african scorpion
36:28Hadogenes troglodytes
36:30Reaches a length of over 8 inches
36:33The longest scorpion in the world
36:35You'll still need to fly to China
36:40To get checked out
36:41But everything looks great
36:42Thank you
36:44Mom, Grace is outside
36:52I think you should talk to her
36:58Because she's your daughter
37:03I'll step out
37:11It's okay
37:12Mom
37:18Since we stopped talking
37:22There hasn't been a day
37:23I haven't thought about you
37:24That I haven't missed you
37:27I'm sorry
37:32For everything
37:35I sat in the back
37:49At the Troubadour
37:54You were singing
37:56I Wish It Would Rain
37:57With that band
37:58I cried
38:05It was beautiful
38:19api
38:23寓 오른손
38:25Molly
38:26I did not see you
38:27You're singing
38:27Missing
38:28jazz
38:28Missing
38:28OSE
38:29Cryptitten
38:42Missing
38:43Missing
38:44Missing
38:45Missing
38:46Missing
38:47Missing
38:48Missing
38:48Missing
38:49Missing
38:49Missing
38:49Can you tell me your name?
39:02You remember your name?
39:09Of course I remember my name.
39:13Anna.
39:15And your hobby.
39:19I think I love you.
39:28I think you do too.
39:37Do you want to stay in bed with me after we have sex?
39:43No.
39:49You don't want to stay in bed with me.
39:51I hope you do too.
39:52I hope you do too.
39:56Yeah.
39:58I hope you do too.
39:58I don't know.
39:58I don't know.
39:59I do too.
40:00Yeah.
40:00I do too.
40:01I want to be there.
40:01You don't look...
40:03You don't look too.
40:03Right.
40:04I know.
40:04Hello.
40:05Hello.
40:06Hello.
40:07Hello.
40:08Hello.
40:09Hello.
40:34Hello.
40:35Dr. Glassman.
40:36Dr. Glassman.
40:41Dr. Glassman?
40:58Dr. Glassman?
41:03I'm not here to help.
41:11Take me to the station and put me on the train I've got no expectations to pass through
41:38here again.
41:42Once I was a rich man, now I am so poor, but never in my sweet short life have I felt like this before.