The Good Doctor Season 3 Episode 19
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#ShaunMurphy
#ClaireBrowne
#Melendez
#Park
#Lim
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#TheGoodDoctorSeason3Episode19
#TheGoodDoctorS3E19
#TheGoodDoctorSeason3
#TheGoodDoctor
#Season3Episode19
#ShaunMurphy
#ClaireBrowne
#Melendez
#Park
#Lim
#StBonaventureHospital
#MedicalDrama
#Drama
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Short filmTranscript
00:00leaving surgery that's tough but it's the right call no i don't think it is
00:05i'm doing the surgery you don't tell me anything about your life that's because you don't want to
00:11know anything that's not true you don't want to feel guilty about being a thousand miles away you
00:15just want to know that i'm okay i love you leah i want to be your boyfriend i am a challenge for
00:23anyone i just know it would be too hard for you you have to give me a chance you need to let me try
00:30no i will fix it sean you're autistic you can't fix that you acted like you cared about me
00:38but you don't even respect me you're going to end up alone and you deserve it because you're a
00:45superficial selfish and prejudiced person
00:49i saw the invite at the clinic and i assumed you wouldn't be here
01:19you're with a friend
01:23it's been a rough couple of weeks
01:27hey they're here the guys who made this all possible i don't know about all that yeah well
01:36you try opening a brewery or fundraising when you're dead oh oh honey uh you remember dr melendez
01:42and dr glassman this is my wife noreen
01:47this is leah your favorite profiles are epic
01:50how about a tour
01:52uh yes okay great come on
01:55carl
01:58she is in host mode we could be here forever
02:01i'll show you
02:02the hops in the colch is that the citra in combination with the noble german lady knows her stuff
02:15you feel that
02:20it's an earthquake
02:22get out of there
02:42it's an earthquake
03:00Hello?
03:25Thank God.
03:26Are you okay?
03:27I'm fine.
03:28I think...
03:29Ceiling caved in.
03:32Were you hit?
03:32Are you bleeding?
03:33As far as I can tell, just...
03:36Just some bruises.
03:38The brewing tanks fell over.
03:40One went right through the floor.
03:42And Glassman?
03:43Wasn't he with you?
03:44I was.
03:45I am.
03:50Your shoulder.
03:52It's dislocated.
03:53Yeah.
03:54Die!
03:56Ah!
03:56I'm okay.
04:00Now read.
04:02We're okay here.
04:04I'm about to assemble a hurt team and head out.
04:06Any idea how many wounded?
04:08No, let me check.
04:11Come on.
04:18Leah?
04:18Leah?
04:19Leah?
04:19Leah?
04:19Leah?
04:21Leah?
04:21Leah?
04:21Leah?
04:22Leah?
04:23Get here as fast as you can.
04:43The hospital is on mass casualty incident protocol.
04:50Cancel all elective surgeries, transfer non-critical patients to urgent or chronic care facilities.
04:55No family members or visitors are allowed in the ER.
04:57We're gonna need every inch of space we've got.
04:59Use the waiting room for patient overflow.
05:01Our hurt team, which I'll be running, has been assigned to the Bold Statement Brewery which collapsed during a charity event.
05:07Melendez and Glassman went through that.
05:08Melendez and Glassman went through that.
05:09I spoke with Melendez.
05:10They're both fine.
05:13That's two out of approximately a hundred.
05:16Park, Jean-Claire, you're with me.
05:18Get the equipment packed up.
05:19I want to be on the road in three minutes.
05:20I need you to cover surgery.
05:26I'll get another attending on the ER.
05:28I'll do both.
05:29At least run the whole hospital.
05:33It's just a cut.
05:33You'll be fine.
05:35I need to focus on medical emergencies.
05:37Cuts and scrapes do not qualify.
05:39My colleague and I will be com...
05:47Leah?
05:48Door to that brew hall is totally blocked.
05:50Dr. Melendez.
05:52Noreen?
05:57Marta?
06:00What hurts?
06:01My back.
06:07I'm going to need a towel and some tape and Glassman and I need every first aid kit you've got.
06:13Come.
06:13Hold still, you're going to be okay.
06:25I'm going to stabilize that leg, sir.
06:33Hold on a second.
06:34Sir, please put the light on your leg.
06:39What was that?
06:40Just hold still.
06:41What if there's an aftershock?
06:42The whole place could come down.
06:44Just hold still, please, sir.
06:45Just hold still.
06:47Just please sit down.
06:49Hey, you guys can head across the street.
07:06You'll be okay over there.
07:07There might be about 40 people inside in need of treatment or some kind of on-site evaluation.
07:15Where do you need me?
07:16Back at the hospital.
07:17We're short on surgeons.
07:18Okay.
07:18Sean, Leah was here.
07:26Where is she now?
07:27I don't know.
07:28She was inside when the tanks fell down.
07:29But the first responders are going to find us, Sean.
07:44Jackson, please.
07:45Let's lift it.
07:52All right, she's clear.
07:54Come on, Dad.
07:5450-year-old woman, medical history includes spinal tumor resection, C1 through 3 fusion,
08:00complaining of severe back pain.
08:01Okay, where were you hip?
08:02Were you dizzy?
08:03You pain?
08:03I'm fine.
08:04A beam fell, hit me on my side, knocked me down.
08:06Let me see.
08:08I'm fine.
08:10Let me see.
08:14I'll lay off working my obliques to the gym for a bit.
08:17Ow.
08:18How much does that hurt?
08:19No more than it should.
08:20Okay, we're going to need a full evaluation.
08:22I'll go with Mark, go back to the hospital, get checked out.
08:26Where was Leah?
08:29In the brew hall.
08:30It's completely blocked in.
08:32Blastman and I already tried.
08:33The danger of spinal fracture.
08:35Let's get a real cervical collar on her and get her onto the board.
08:39Stop.
08:51Don't touch her.
08:54You winced when they touched your neck.
08:57Did your right hand hurt?
08:59Yeah.
09:00Like it was on fire.
09:02It's not just a fracture.
09:03Something is pressing on her spinal cord.
09:06Even the move to the board could shift the object, leading to permanent paralysis.
09:12I need to find Leah.
09:16Get the battery-powered X-ray.
09:17Lucky there weren't more books on that shelf.
09:26Bay 1, 500 milligrams IV-C, the minofin, a page calderon apiece.
09:31Resnick, no, you had surgery on your hands 48 hours ago.
09:33I don't need him to triage.
09:34You need a surgeon over here.
09:36Construction worker, through and through impalement.
09:38Point of vengeance is pelvis.
09:41BP 111 over 84.
09:42Pulse of 107 BPMs.
09:43Pupils?
09:44Ignore her.
09:45Normal and reactive.
09:46All right, now she's a patient, not a doctor.
09:48Motor exam?
09:49Normal.
09:50All right, thanks.
09:51I'm concerned about the iliac artery.
09:53You should check his femoral pulse.
09:54Planning to?
09:55Okay, okay, okay.
09:57Right leg is strong.
09:59Left is thready.
10:01Ultrasound is like to confirm.
10:02His abdomen, too.
10:03Look for additional damaged vessels.
10:06Then take him to OR2 and Paige Cohen.
10:08There could be a lot of vascular injuries.
10:10You should do his surgery while I help with triage.
10:12Dr. Resenick, I don't need or want your help.
10:16You have a habit of withholding key details from your attendings as it benefits you.
10:21Go to bed.
10:21Leah?
10:30Leah?
10:31Leah, can you hear me?
10:35Oh.
10:36Get the start.
10:36Sean, we need you on triage.
10:38Let the professionals...
10:39Okay.
10:40Help.
10:41Under here.
10:43Someone is down there.
10:45Someone's down there, but it's not, Leah.
10:51We need fire and rescue over here.
10:52Coming down.
10:54Sean!
11:05It's right up against the spinal canal.
11:07It's the C2 screws we used to fuse the vertebrae once the tumor was out.
11:10That doctor was right.
11:13I could end up paralyzed.
11:16I'm afraid so.
11:20So, what are we going to do about that?
11:28We could remove the screw here.
11:30No, we can't operate on my wife's spine in the middle of all this.
11:38It would have its risks.
11:40Significantly more than most surgeries, but Dr. Brown's right.
11:44If we don't remove the screw here, it's very likely that you'll be paralyzed from the neck down.
11:54Take it out.
11:54Leah!
12:06Leah!
12:09Leah!
12:11Are you there?
12:15Can you hear me?
12:17Leah!
12:22Leah, it's me!
12:23Leah, it's Sean!
12:24It's...
12:25Leah!
12:29Sean, help.
12:31Okay.
12:36Hey, this area needs to be stabilized before any medical person...
12:39Leah!
12:39Leah!
12:39I think I'm stuck.
12:58Okay.
13:15Okay.
13:21Leah...
13:21I'm coming.
13:23Okay.
13:23Okay, we're...
13:24I think we're in the house.
13:40Okay.
13:47Okay.
13:47That way.
13:48I am not afraid.
14:11I am not afraid, I am not afraid.
14:29Of course you are.
14:33You know why?
14:35Because this is stupid scary.
14:37Dispatch rerouted us to Good Sam for some reason?
14:44Put us on diversion, too many trauma patients, too few surgeons.
14:47Now you got two more patients and one more surgeon.
14:49Which procedure do you want?
14:50Pelvic fracture can wait, base seven.
14:52I'm overseeing the ER.
14:54Someone has to, doesn't have to be you.
14:57Morgan texted me, she's offered to help.
15:01Hands free.
15:02I'll handle the ER, you two go cut.
15:04Who's gonna actually treat the patient, Siri?
15:06The nurses.
15:07I'll tell them what to do and then oversee every move.
15:09Running this place isn't a job for a third year even on days without an earthquake.
15:13Well, we've had an earthquake, there are no options.
15:16Morgan, you be careful with those hands, you could screw them up for good.
15:20Understood.
15:21Sringa!
15:22OR3.
15:23What are you doing in the brewery, anyway?
15:24Sitting at the bar, having a beer.
15:25Yeah, I'm trapped under it.
15:26You're not 21.
15:27I can show you my ID, but my pockets are kind of underground right now.
15:42We should let your parents know where you are.
15:44I'm fine.
15:45It doesn't even hurt.
15:46You should have someone here.
15:47Mom, Dad.
15:48My mom's dead.
15:49My dad's on the plane.
15:53Do you know the flight number?
15:56We can get word to him.
15:57If my son was in your situation, I'd want to be there.
16:02No matter what else was going on, or how he got there.
16:06Man, my dad already thinks I'm a screw-up.
16:09And this doesn't exactly disprove that.
16:17Just get this thing off me.
16:22Call me a bitch.
16:25Call me a bitch.
16:27We are going to clear the CR and get the hospital off trauma diversion.
16:33With a patient in every bed and one doctor with zero hands?
16:36Actually, I've got eight.
16:37You guys are going to do exactly what I tell you.
16:39I ask you to probe two inches to the left.
16:41I don't mean 1.5 inches or 1.7.
16:43I have you debride of wound.
16:44That's three betadine swabs, not two.
16:46I don't care what shortcuts you've picked up.
16:47I will not say please.
16:48It is a wasted word.
16:49I will not say thank you.
16:50I will be moving on.
16:51I will be a bitch, so you may as well call me one now.
16:56Bitch.
16:57You're a bitch.
16:58Bitch.
16:59As a feminist, I'm really not coming.
17:00Say it.
17:01Bitch.
17:02Nice.
17:03Let's get to work.
17:07You should be up there doing your job.
17:09Not down here.
17:13Leah needs me.
17:14No, she doesn't.
17:19You think rescuing her will make her fall in love with you?
17:22It won't.
17:23You're being...
17:24You always said I could do...
17:25Because I believed in you.
17:26Right now I don't.
17:27She doesn't love you.
17:28She told you.
17:29She thinks you're limited.
17:30You are.
17:31You're not.
17:32You're not.
17:33You're not.
17:34You're not.
17:35You're not.
17:36You're not.
17:37You're not.
17:38You're not.
17:39You're not.
17:40You're not.
17:41You're.
17:42You're not.
17:43You're not.
17:44You're not.
17:45You're not.
17:46You're not.
17:47You're not.
17:48You're not.
17:49You're not.
17:50You're not.
17:51You're not.
17:52You're not.
17:53You're not.
17:54You're not.
17:55You're not.
17:56You're not.
17:57You're not.
17:58You're not.
17:59You're not.
18:00You're not.
18:01You're not.
18:02You're not.
18:03You're not.
18:04You're not.
18:05You're not.
18:06You're not.
18:07You're not.
18:08You're not.
18:09You're not.
18:10I need a central line, endotracheal tube, bag mask, portable oxygen, anesthesia, damidazolam.
18:31That combined with the morphine drip should work.
18:34Noreen?
18:35Don't do this surgery, please.
18:40Oh, I can't lose her, not this soon.
18:43Marta was with her husband.
18:45She was miserable.
18:47She didn't know.
18:47We're not the ones you need to persuade.
18:55Sorry.
19:00I will push your wheelchair.
19:03I'll wipe your mouth, whatever you need.
19:05And be glad for every minute of it, because you will still be alive.
19:18And we'll still be on our adventure.
19:22Five years.
19:25That's just not enough.
19:28I'm so greedy.
19:33Marta, please.
19:39Thank you for being willing to take care of me.
19:42Again.
19:46Five years isn't enough.
19:49However long I have with you will never be enough.
19:52I only found you once I stopped listening to my fear.
19:58Fear of hurting my husband.
20:02Being thrown out of the church.
20:05Dying alone.
20:10Pushing all that aside.
20:12Made room for you.
20:14And you are my life.
20:16Dr. Melinda saved me once.
20:25He's gonna do it again.
20:29Be brave with me.
20:31Be brave with me.
20:33Be brave with me.
20:46Okay.
21:04Okay.
21:04Okay.
21:16You found me.
21:46I'm Dr. Sean Murphy. I'm here to help you.
21:57What's your name?
21:59Vera.
22:01Where does it hurt, Vera?
22:03Everywhere, but mostly the shoulder.
22:13Take a deep breath, please.
22:25Your lungs are fine.
22:27Can you feel your hands?
22:30Yes.
22:31That means you have no nerve damage.
22:33It missed your vital organs.
22:35I can remove it without risking permanent injury.
22:38That's good news.
22:43This is bad.
22:55When I cut, brace this.
22:57Her neck cannot move at all.
22:59Making initial midline incision to posterior neck.
23:10It's going to take some time before we can move that bar.
23:20That's fine.
23:21We need to get a sense of the kids' injuries before we do anything.
23:24I need to get under there and take a look.
23:26Follow me.
23:28Asthma and dust inhalation.
23:31Bad combination.
23:34Take deep breaths.
23:37Higher.
23:39Higher.
23:40Where her lungs are.
23:41You're the one who can hear them.
23:42There.
23:43Deeper.
23:44Trying.
23:45Just...
23:46I can't.
23:47That's probably because your lungs are hyperinflated.
23:57Start nebulizer albuterol and oxygen eight liters per minute.
24:01Why are you using plaster repairs?
24:03You told me to cast her arm.
24:04You didn't tell me.
24:05To use fiberglass, which takes half the time and is twice as effective?
24:08I wasn't aware that I had to instruct you in common sense.
24:11Bitch.
24:12Can I speak to Dr. Lim, please?
24:34Sean, where are you?
24:35I found a woman with shoulder and leg impalements.
24:38I'm going to extract the shoulder, but freeing the leg could sever the posterior
24:42tibial artery.
24:43That sounds bad.
24:44You would die.
24:45What's the leg impaled on?
24:47It appears to be steel rebar.
24:50We'll send down a firefighter.
24:52Once they've sawed through the rebar, they'll transport her up.
24:55And keep this channel open so I can hear you.
25:03Have they found Leah?
25:05No.
25:06They're still searching.
25:07Okay.
25:08Hey, Aaron.
25:09You can head back to the ER when you finish here.
25:14Not unless you can take the transected aorta.
25:15Being prepped in OR3.
25:16I got a myocardial contusion in Tempon on in two.
25:17A ceiling fan fell in this guy's chest.
25:18Al?
25:19See you on the other side?
25:20Yeah.
25:21I got a myocardial contusion in Tempon on in two.
25:23A ceiling fan fell in this guy's chest.
25:25Al?
25:26See you on the other side?
25:27Yeah.
25:28Yeah.
25:29Yeah.
25:30We've got a bleed.
25:31Clamp.
25:32The hardware tore a muscular branch for a right for teeth.
25:35I got a myocardial contusion in Tempon on in two.
25:36I got a myocardial contusion in Tempon on in two.
25:37A ceiling fan fell in this guy's chest.
25:38Al?
25:39See you on the other side?
25:41Yeah.
25:42Yeah.
25:43We've got a bleed.
25:44Clamp.
25:45The hardware tore a muscular branch for a right for tebal artery.
25:59I can't find a bleed without suction.
26:02I see it.
26:04Her vitals are stable but she's lost too much blood.
26:10We can't keep cutting till we give her a transfusion.
26:13Check all local hospitals and blood banks so you can get us own negative stat.
26:20There might be another way to transfuse her.
26:31Some 16 in my dad's car, a dime bag in my pocket and a cop approaching.
26:36Did you get arrested?
26:37Hey, let me tell the story.
26:39It's got a beginning, middle and end.
26:40I want the end.
26:41That's better with the middle.
26:43We roll down the window and the cop is hit with a cloud of smoke.
26:48She makes us get out, bats us both down, searches the whole car.
26:54I'll be right back.
26:55Wait, come on, come on.
26:56Don't leave me hanging.
26:57Come on.
26:58She didn't find anything.
27:00What?
27:01Our bodies can do amazing things, even hide dive bags.
27:04Holy crap.
27:05Blue weight, did you still smoke it?
27:07I'll be right back.
27:09Oh man, you did.
27:10How bad is it?
27:13His spine's been severed.
27:20He's lost a lot of blood.
27:22No femoral pulses.
27:23His legs are ice cold.
27:24The bar is basically cross clamping his abdominal aorta.
27:28He's gonna bleed out when we lift the bar.
27:44Now there's gotta be something we can do.
27:46We can get his dad here before it's too late.
27:57Inject five cc's bupefacaine, wait 20 minutes, then pull it out.
28:04You here for me to discharge our asthmatic?
28:06No, she's gotten worse.
28:07And she's complaining about back pain.
28:09She said she fell during the earthquake.
28:11Symptom explained.
28:12Those sutures need to be closer together.
28:14Add venisonite to her nebulizer.
28:16That should help her breathing.
28:17I think she might be pregnant.
28:19Shortness of breath plus back pain could be UTI kidney stones or pregnancy.
28:23Urine dip ruled out UTI and kidney stones.
28:25So are symptoms of nothing to do with the earthquake?
28:28It's possible.
28:31How can you people slow and sloppy?
28:33This is my first time doing sutures.
28:36Finish up so I can discharge him.
28:38Stop with the zebra hunting.
28:40Put her on venisonite and clear the bed.
28:42I asked you to be my hands, not my brain.
28:44Dr. Bresnik, I'm over the bitch plan after three years of it.
28:47We're in crisis.
28:48That you are using to rehabilitate your reputation with Andrews, which is fine.
28:51But, stop biting the hands that are your hands.
28:55What are you doing?
29:05Sterilizing the instrument.
29:08Do you know someone with cancer?
29:10I'm curious why you were at a fundraiser for cancer research.
29:17I was there for a man.
29:21One without cancer or any interest in being with me.
29:27My ex-boyfriend is on the board of the charity.
29:31Why did you want to see your ex-boyfriend?
29:34I guess...
29:37I hoped he'd realize he was still in love with me and beg me to take him back.
29:43Clever, huh?
29:44I understand.
29:51I still want Leah to be my girlfriend.
29:54But she doesn't feel the same way.
29:59I have autism.
30:03Oh.
30:04Sean, that shouldn't be...
30:06Why didn't you warn me?
30:21Studies have shown that anticipation only heightens pain.
30:24I used small talk to distract you.
30:41Where did you two meet?
30:47Church.
30:49I'm not a member anymore.
30:51Okay.
30:54Okay.
30:59Place that in the surgical cavity.
31:02You made a cell saver out of a...
31:05Behringer.
31:06I ran alcohol through it to sterilize it.
31:09Attach this to an IV.
31:12We are going to pump her own blood back into her.
31:26Hey, we got somebody down here.
31:29Can you hear us?
31:30We're coming.
31:31How long, of course?
31:32Yeah.
31:33Leah.
31:37Are you okay?
31:38I think so.
31:47Hey.
31:48How long before you guys get this thing off from me?
31:52I'm not working on it.
32:12You said your dad thinks you're a screw-up?
32:15Has he actually said that?
32:19No.
32:22The reason I told you that story is
32:26everyone does dumb stuff when they're a teenager.
32:31I bet your dad doesn't judge you nearly as harshly
32:33as you think he does.
32:37Dad doesn't know me.
32:40Neither do you.
32:47Can you stay with him?
32:52That's incredible.
33:10You spend enough time around Dr. Brown,
33:12you get used to incredible.
33:13There'll be a cruiser waiting to pick Casey's dad up when he lands in three hours.
33:32What if we compress Casey's aorta against his spine and create a higher cross clamp?
33:36You didn't tell him yet, did you?
33:37No.
33:41We could buy time to repair his aorta after we lift the bar.
33:46Casey's about Kellan's age.
33:47This has nothing to do with Kellan.
33:50Yes, it's...
33:51It's a 1% chance of success if we do this
33:53against a 100% chance of death if we don't.
33:56Okay.
34:03Prep him.
34:11When will we know if she's going to be okay?
34:13When she wakes up.
34:16And there's still a risk of infection.
34:18It's going to stabilize it and out of here.
34:19Okay.
34:19I'm administering the Budesonite and checking to see if she's pregnant.
34:32I told her I'm on the pill.
34:35Ever miss a day?
34:39Look at that.
34:40An unoccupied uterus.
34:42Prepper for discharge.
34:44Can you give me something for my back pain?
34:46It's bruised for when you fell in the earthquake.
34:48Take some Tylenol.
34:50It's been bad all week.
34:52Muscle relaxers usually help.
34:56Check her tubes.
35:07You're pregnant.
35:09The fetus is developing inside your fallopian tube.
35:11It's called an ectopic pregnancy.
35:13It's not viable.
35:15That's a relief.
35:16But if you're fallopian tube ruptures, it can cause a serious, possibly fatal bleed.
35:22So we'll get you into surgery as soon as possible to make sure that doesn't happen.
35:25It's going to be fine.
35:41If we get out of this alive, let's promise to move on.
35:46You can do better than Leah.
35:51Not that I have any business suggesting that.
35:56I might die because I'm still hung up on Paul.
35:58No, I don't want to move on.
36:06She doesn't know.
36:08I always knew I could be a good doctor.
36:12But until I met Leah, I never knew I could drive a car or enjoy music or sing karaoke or take tequila shots.
36:27Or fall in love.
36:38I don't want to stop being the person I am with her.
36:45Leah makes me more.
36:48But I don't make her more.
37:05If I did, then Leah would want to be my girlfriend.
37:09I don't want to stop being the person I am with her.
37:30She's tachycardic and hypotensive.
37:41Abdomen?
37:44Rigid.
37:45Her fallopian tube ruptured.
37:48Fuck.
37:56Any chance you can wait an hour?
37:58Rapidly expanding subdermal hematoma.
38:28I mean, it still doesn't hurt.
38:31Can't just wait.
38:32We need to fix something right away.
38:34Okay.
38:37Whatever you gotta do, I guess.
38:40Hey, about my dad.
38:43And the minute he lands, we'll get him here.
38:48Okay.
39:02She needs a surgeon.
39:05It's dad.
39:09I'm a surgeon.
39:12Harmonic scalpel, Debeki forceps, two yankower suctions, and vasopressin.
39:15What?
39:38What?
39:39What?
39:42Can you squeeze Noreen's hand?
39:44Let's get you to the hospital
39:50You too
39:54Free beer for life
39:56After shot
40:01You need to mobilize your leg
40:03Cover your head
40:14All right, get her out of here
40:26That was a big one
40:32Oh, are you okay?
40:37Yeah
40:37Just a little
40:39A little motion
40:41I need oxygen here now
40:49You okay?
40:59What about our patient?
41:01Vital stable
41:01Sean, you okay down there?
41:07I am okay
41:08Except
41:11For the water
41:11Please hurry
41:26Please hurry
41:37I am okay
41:41You know what?
41:43Okay
41:43Let's get you there
41:51Let's get you there