1 00:00:01,153 --> 00:00:03,730 Hello. I'm Freddie Highmore. 2 00:00:03,754 --> 00:00:06,900 The following episode portrays our hope for the future, 3 00:00:06,924 --> 00:00:08,970 a future where no one will have to wear masks 4 00:00:08,993 --> 00:00:11,939 or take other steps to stay safe from COVID. 5 00:00:11,962 --> 00:00:15,244 Until then, please protect yourself and others. 6 00:00:18,269 --> 00:00:19,646 I'm Jordan Allen. 7 00:00:19,670 --> 00:00:21,916 My first year in med school, I designed an ankle brace 8 00:00:21,940 --> 00:00:25,152 that monitors extent of immobilization via a phone app. 9 00:00:25,176 --> 00:00:26,687 When I licensed it to Bioventus, 10 00:00:26,710 --> 00:00:28,946 I was able to pay off over half my student loans. 11 00:00:30,548 --> 00:00:32,093 John Lundberg. 12 00:00:32,116 --> 00:00:34,962 I've worked every summer since I was 16 at Camp Hope Heartland, 13 00:00:34,985 --> 00:00:37,298 a summer program for kids with cancer in Des Moines, 14 00:00:37,322 --> 00:00:38,542 where I grew up. 15 00:00:38,789 --> 00:00:40,301 Asher Wolke. 16 00:00:40,325 --> 00:00:41,768 Uh, when I was 18, 17 00:00:41,792 --> 00:00:45,606 I left the Hasidic community that I was raised in. 18 00:00:45,630 --> 00:00:47,307 I realized if there really was a God, 19 00:00:47,332 --> 00:00:49,377 it had to be a cruel being 20 00:00:49,401 --> 00:00:51,634 that I felt nothing but contempt for. 21 00:00:52,904 --> 00:00:54,948 That's also when I decided to go to med school, 22 00:00:54,972 --> 00:00:56,207 and start dating men. 23 00:01:00,545 --> 00:01:04,057 I'm Olivia Jackson. I'm 25. From Chicago. 24 00:01:06,918 --> 00:01:09,253 I play ragtime piano alone in my apartment. 25 00:01:11,989 --> 00:01:13,466 Is that interesting? 26 00:01:13,490 --> 00:01:15,203 Will Hooper. 27 00:01:15,227 --> 00:01:17,805 Technically, I'm a professional athlete. 28 00:01:17,829 --> 00:01:19,807 Although in a sport nobody pays attention to, 29 00:01:19,831 --> 00:01:22,376 and the stipend barely covers our training expenses, 30 00:01:22,400 --> 00:01:25,102 but I'm on the US National Rowing team. 31 00:01:25,837 --> 00:01:26,837 Men's Eight. 32 00:01:28,340 --> 00:01:31,251 Hey, I'm Enrique. 33 00:01:31,275 --> 00:01:33,521 I spent last summer in Costa Rica, 34 00:01:33,545 --> 00:01:37,325 where I learned to surf, which I'm totally obsessed with now. 35 00:01:37,348 --> 00:01:42,597 Uh, I had a pretty interesting encounter with a saltwater crocodile. 36 00:01:42,621 --> 00:01:44,064 I just thought it was a big... 37 00:01:44,088 --> 00:01:46,090 Why are you wearing a swimsuit? 38 00:01:48,894 --> 00:01:50,760 Oh, they're actually hybrid boardshorts. 39 00:01:51,563 --> 00:01:53,608 I like to work hard, 40 00:01:53,632 --> 00:01:55,286 and it's easier to do when you're comfortable. 41 00:01:56,401 --> 00:02:00,281 Plus, I think the casual dress puts patients at ease. 42 00:02:04,975 --> 00:02:06,219 Uh... 43 00:02:06,243 --> 00:02:07,477 And Dr. Lim said that the 44 00:02:08,379 --> 00:02:09,379 shorts were fine. 45 00:02:10,814 --> 00:02:14,127 Hospital policy requires all residents to... 46 00:02:14,151 --> 00:02:16,264 He's not a resident. He's a resident applicant. 47 00:02:16,288 --> 00:02:18,532 One of six finalists for four openings. 48 00:02:18,556 --> 00:02:20,568 Now, they'll be shadowing for two days. 49 00:02:20,591 --> 00:02:22,068 Give them the grand tour, show them the ropes, 50 00:02:22,092 --> 00:02:23,403 feel free to turn up the heat a bit. 51 00:02:23,427 --> 00:02:24,739 See how they react under pressure. 52 00:02:24,763 --> 00:02:27,140 You will be responsible for supervising them, 53 00:02:27,164 --> 00:02:28,975 so I want your totally honest input 54 00:02:29,000 --> 00:02:30,478 before I make any final decisions. 55 00:02:30,502 --> 00:02:31,646 Those shorts... 56 00:02:31,670 --> 00:02:33,480 Let's call them strike one. 57 00:02:33,504 --> 00:02:36,417 Oh, and in addition to being an Olympian, 58 00:02:36,441 --> 00:02:37,985 Will Hooper is a Rhodes 59 00:02:38,009 --> 00:02:40,420 and graduated top of his class at Stanford. 60 00:02:40,444 --> 00:02:42,223 He is very handsome. 61 00:02:42,247 --> 00:02:43,658 He's very full of himself. 62 00:02:43,682 --> 00:02:45,593 He's ranked first by every top program, 63 00:02:45,616 --> 00:02:48,128 so whatever you can do to recruit him to ours, do it. 64 00:02:48,152 --> 00:02:50,298 I can already give you my input on the sh... 65 00:02:50,322 --> 00:02:51,688 Don't judge a book by its boardshorts. 66 00:03:02,834 --> 00:03:04,245 You wanted to see me? 67 00:03:04,269 --> 00:03:05,780 Good morning. 68 00:03:05,804 --> 00:03:07,782 Sorry. Good morning. 69 00:03:07,806 --> 00:03:09,449 What'd I do wrong? 70 00:03:09,473 --> 00:03:10,651 Just wanted to check in. 71 00:03:10,675 --> 00:03:12,141 See how the new role was coming along. 72 00:03:12,544 --> 00:03:13,544 Honestly? 73 00:03:16,046 --> 00:03:19,426 You could start our new supervisor-resident relationship with a lie. 74 00:03:19,450 --> 00:03:20,872 That's always fun. 75 00:03:22,486 --> 00:03:24,500 Internal medicine is 76 00:03:25,536 --> 00:03:26,536 boring. 77 00:03:27,192 --> 00:03:29,603 Between smokers and obese diabetics, 78 00:03:29,627 --> 00:03:31,591 seems like all I'm doing is protecting people from themselves. 79 00:03:35,133 --> 00:03:36,711 As a surgical resident, 80 00:03:36,735 --> 00:03:38,312 you never treated drunk drivers? 81 00:03:38,336 --> 00:03:40,313 Or extracted random objects from guys'... 82 00:03:40,337 --> 00:03:42,283 I get it. People are stupid. 83 00:03:42,307 --> 00:03:43,686 Not my point, but true. 84 00:03:46,343 --> 00:03:47,854 Not the same adrenaline rush, 85 00:03:47,878 --> 00:03:50,213 but internal medicine can be rewarding. 86 00:03:51,248 --> 00:03:53,820 Given time, if you're patient. 87 00:03:55,378 --> 00:03:56,378 Thanks. 88 00:03:58,949 --> 00:04:01,079 That is not how I thought this meeting was gonna go. 89 00:04:02,493 --> 00:04:04,337 I thought one of the nurses complained about me. 90 00:04:04,361 --> 00:04:06,125 Wasn't just one. 91 00:04:07,091 --> 00:04:08,146 And if it happens again, 92 00:04:08,169 --> 00:04:10,712 this meeting will go exactly how you thought it would. 93 00:04:23,615 --> 00:04:24,925 Sorry. 94 00:04:24,949 --> 00:04:26,521 I should've just canceled the appointment. 95 00:04:27,052 --> 00:04:28,329 You were right. 96 00:04:28,353 --> 00:04:29,764 Dizziness went away as soon as I stopped 97 00:04:29,788 --> 00:04:31,197 drinking coffee and Red Bull all day. 98 00:04:31,221 --> 00:04:32,221 No worries. 99 00:04:33,391 --> 00:04:34,601 Can you lie flat on your back, please? 100 00:04:34,625 --> 00:04:35,625 Yeah. 101 00:04:36,927 --> 00:04:38,572 You get that scar in a fire? 102 00:04:38,596 --> 00:04:39,774 Sort of. 103 00:04:39,798 --> 00:04:42,043 A homemade Roman candle when I was 12. 104 00:04:42,067 --> 00:04:43,711 You'd be surprised 105 00:04:43,735 --> 00:04:46,547 how many of us at the firehouse were pyros as kids. 106 00:04:46,571 --> 00:04:49,250 I made a potato gun for my sixth-grade science fair. 107 00:04:49,274 --> 00:04:50,918 Almost got me kicked out of school. 108 00:04:50,942 --> 00:04:52,552 You'll have to come visit us sometime. 109 00:04:52,576 --> 00:04:54,048 You'd fit right in. 110 00:04:56,548 --> 00:04:57,757 You see something? 111 00:04:57,781 --> 00:04:59,459 Don't talk. Just breathe normally. 112 00:05:07,725 --> 00:05:09,821 You have a large tumor on the wall of your heart. 113 00:05:10,995 --> 00:05:12,072 Cancer? 114 00:05:12,096 --> 00:05:13,641 I don't know. 115 00:05:13,665 --> 00:05:15,360 But you're definitely gonna need surgery. 116 00:05:15,766 --> 00:05:16,987 As soon as possible. 117 00:05:18,603 --> 00:05:26,605 Synced & corrected by -robtor- www.addic7ed.com 118 00:05:29,980 --> 00:05:32,064 I appreciate you letting me share your case with the whole class. 119 00:05:32,095 --> 00:05:33,290 No problem. 120 00:05:33,314 --> 00:05:35,963 I stopped being shy after the 100th time I had to do this. 121 00:05:35,987 --> 00:05:39,066 I'll be using a version of Lejour's technique I've adapted. 122 00:05:39,090 --> 00:05:41,334 We'll divide the breast into three pedicles, 123 00:05:41,358 --> 00:05:42,802 and then redistribute the tissue 124 00:05:42,826 --> 00:05:44,170 and insert saline implants 125 00:05:44,194 --> 00:05:46,005 to correct the tuberous breast deformity. 126 00:05:46,029 --> 00:05:48,808 Why would you want breast implants? 127 00:05:48,832 --> 00:05:51,612 You're beautiful. And your breasts look fine just the way they are. 128 00:05:51,636 --> 00:05:53,447 No. No, they don't. 129 00:05:53,471 --> 00:05:55,582 The base is constricted, 130 00:05:55,606 --> 00:05:57,617 horizontal development is deficient, 131 00:05:57,641 --> 00:05:59,120 and the nipple-areola complex... 132 00:05:59,144 --> 00:06:01,422 - Murphy. - It's okay. He's right. 133 00:06:01,446 --> 00:06:02,824 That's why I'm here. 134 00:06:03,781 --> 00:06:05,369 Thank you. 135 00:06:05,783 --> 00:06:07,761 I know that you're trying to be nice. 136 00:06:07,785 --> 00:06:10,331 My friends and family have been telling me for years, 137 00:06:10,355 --> 00:06:12,165 "You're beautiful just the way you are." 138 00:06:12,189 --> 00:06:14,367 But I don't feel beautiful. 139 00:06:14,391 --> 00:06:16,670 You're 17. 140 00:06:16,694 --> 00:06:18,771 Every girl your age feels like that. 141 00:06:18,795 --> 00:06:20,540 That can't be true. 142 00:06:20,564 --> 00:06:23,009 Tuberous breast deformity is a rare condition. 143 00:06:23,033 --> 00:06:24,778 We're not going to debate 144 00:06:24,802 --> 00:06:27,266 a personal decision the patient's already made. 145 00:06:28,173 --> 00:06:31,151 I've been thinking about this since I was 13. 146 00:06:31,175 --> 00:06:33,153 Every time I look in the mirror. 147 00:06:33,177 --> 00:06:34,988 I'm about to start college, 148 00:06:35,012 --> 00:06:37,557 and there is no way that I'm gonna begin this new chapter 149 00:06:37,581 --> 00:06:39,194 until I'm fixed. 150 00:06:40,576 --> 00:06:41,576 Great. 151 00:06:44,822 --> 00:06:47,567 You thinking median sternotomy or right thoracotomy? 152 00:06:47,591 --> 00:06:50,204 I'm thinking I should finish my review of the imaging. 153 00:06:50,228 --> 00:06:51,790 Sure. No rush. 154 00:06:52,730 --> 00:06:54,542 Actually, there is a bit of a rush. 155 00:06:54,566 --> 00:06:56,911 But you know what I mean. 156 00:06:56,935 --> 00:06:59,213 So, newbies. What up? Where y'all from? 157 00:06:59,237 --> 00:07:00,247 Like hometowns, or... 158 00:07:00,271 --> 00:07:01,415 Med schools. 159 00:07:01,439 --> 00:07:02,415 Why would I care where you grew up? 160 00:07:02,439 --> 00:07:03,550 Stanford. 161 00:07:03,574 --> 00:07:04,985 - Uh, NYU. - Harvard. 162 00:07:05,009 --> 00:07:06,221 Preferred specialties? 163 00:07:06,511 --> 00:07:08,088 Ortho. All the way. 164 00:07:08,112 --> 00:07:09,389 Neuro. 165 00:07:09,413 --> 00:07:10,858 I'm planning a dual specialty 166 00:07:10,882 --> 00:07:12,526 in neonatal and pediatric oncology. 167 00:07:12,550 --> 00:07:13,860 Impressive. Also unlikely. 168 00:07:13,884 --> 00:07:15,762 I know, it's a ton of work, 169 00:07:15,786 --> 00:07:17,230 but I'm pretty good at multi-tasking. 170 00:07:17,254 --> 00:07:19,199 In med school, I did a combined MD/PhD... 171 00:07:19,223 --> 00:07:21,144 - What's your Mom do? - My mom? 172 00:07:21,192 --> 00:07:22,603 Don't stall. Just answer. 173 00:07:22,627 --> 00:07:24,156 She teaches high-school French. 174 00:07:24,562 --> 00:07:25,773 Homemaker. 175 00:07:25,797 --> 00:07:26,874 Surgeon. 176 00:07:26,898 --> 00:07:28,542 Ouch. Dad? 177 00:07:28,565 --> 00:07:29,709 Also a surgeon. 178 00:07:29,733 --> 00:07:31,011 Double ouch. And yours? 179 00:07:31,035 --> 00:07:32,245 Hasidic rabbi. 180 00:07:32,269 --> 00:07:33,447 You've left the nest. 181 00:07:33,471 --> 00:07:35,915 Actually, the... the whole forest. 182 00:07:35,939 --> 00:07:37,784 And yours obviously works on Wall Street. 183 00:07:37,808 --> 00:07:39,586 But not a trader. 184 00:07:39,610 --> 00:07:41,721 I'm guessing... an M&A lawyer? 185 00:07:41,745 --> 00:07:42,889 How'd you know? 186 00:07:42,913 --> 00:07:44,124 She's read your resume, 187 00:07:44,148 --> 00:07:45,459 researched your social media. 188 00:07:45,483 --> 00:07:47,595 She's probably run a credit check, too. 189 00:07:47,619 --> 00:07:50,029 And you're under 50, but wear Brooks Brothers button-downs. 190 00:07:50,053 --> 00:07:51,574 Are you done yet? 191 00:07:52,055 --> 00:07:53,533 Left thoracotomy 192 00:07:53,557 --> 00:07:56,237 with a possible incision into the right atrium 193 00:07:56,261 --> 00:07:58,204 and inter-atrial septum as needed. 194 00:07:58,228 --> 00:08:00,040 Left atrial approach through Sondergaard's groove 195 00:08:00,064 --> 00:08:01,064 makes more sense. 196 00:08:01,466 --> 00:08:02,466 Not to me. 197 00:08:04,401 --> 00:08:05,545 He's my patient. 198 00:08:05,569 --> 00:08:07,247 But you're not a surgeon. 199 00:08:07,271 --> 00:08:09,550 Which is why there is no reason for you to be grilling them, 200 00:08:09,574 --> 00:08:11,117 or picking the approach. 201 00:08:11,141 --> 00:08:12,987 Stop worrying about protecting your turf. 202 00:08:13,011 --> 00:08:14,153 Stop stepping all over it. 203 00:08:14,177 --> 00:08:16,322 You're looking at tests I did for my patient. 204 00:08:16,346 --> 00:08:17,957 How am I stepping all over your turf? 205 00:08:17,981 --> 00:08:20,293 I think what Dr. Browne is trying to say is, 206 00:08:20,317 --> 00:08:22,096 given there's no perfect approach, 207 00:08:22,120 --> 00:08:23,297 maybe it's best to defer 208 00:08:23,321 --> 00:08:24,966 to the surgical department's recommendation. 209 00:08:26,189 --> 00:08:27,595 Did he just mansplain? 210 00:08:28,492 --> 00:08:29,637 Not at all. I... I was just trying... 211 00:08:29,661 --> 00:08:30,971 So you're just gonna do it again? 212 00:08:30,995 --> 00:08:32,072 No, I'm just trying... 213 00:08:32,096 --> 00:08:33,096 Shut up. 214 00:08:35,000 --> 00:08:36,812 We're gonna go in through a left thoracotomy. 215 00:08:37,601 --> 00:08:38,745 Not my preference, 216 00:08:38,769 --> 00:08:40,399 but it'll work. 217 00:08:42,206 --> 00:08:43,350 What were you thinking? 218 00:08:43,374 --> 00:08:45,085 You thought you'd impress me 219 00:08:45,109 --> 00:08:48,322 by undermining the patient's confidence in my judgment? 220 00:08:48,346 --> 00:08:50,090 I'm sorry. That wasn't my intent. 221 00:08:50,114 --> 00:08:51,859 And you're supposed to be a mentor now, 222 00:08:51,883 --> 00:08:53,427 modeling professional behavior, 223 00:08:53,451 --> 00:08:55,495 not making it worse, Murphy. 224 00:08:55,519 --> 00:08:57,998 She questioned your surgical plan. 225 00:08:58,022 --> 00:08:59,299 I defended it. 226 00:08:59,323 --> 00:09:00,801 How can we both be wrong? 227 00:09:00,825 --> 00:09:02,504 I don't need you to defend me. 228 00:09:03,293 --> 00:09:06,673 And I never wanna have a surgical debate in front of a patient. 229 00:09:06,697 --> 00:09:08,760 We're not in front of the patient now. 230 00:09:10,642 --> 00:09:13,287 The patient's breasts are small and a bit asymmetrical, 231 00:09:13,312 --> 00:09:16,018 but no woman's breasts are perfectly shaped. 232 00:09:17,008 --> 00:09:20,453 You're wearing Prada shoes and a Dolce & Gabbana blouse, 233 00:09:20,477 --> 00:09:22,155 which cost more than most med students' rent, 234 00:09:22,179 --> 00:09:24,291 so, clearly, you understand 235 00:09:24,315 --> 00:09:26,860 your appearance has a tremendous impact on how people treat you. 236 00:09:26,884 --> 00:09:30,700 There's a difference between nice clothes and a major surgery. 237 00:09:31,580 --> 00:09:34,134 And I also understand the cosmetic surgery industry 238 00:09:34,158 --> 00:09:37,248 is dominated by male physicians with a sexist bias. 239 00:09:44,434 --> 00:09:47,341 I've invited you to observe as a learning opportunity. 240 00:09:48,438 --> 00:09:49,582 So I'd suggest 241 00:09:49,606 --> 00:09:50,817 less lecturing 242 00:09:50,841 --> 00:09:52,513 and more listening. 243 00:09:54,913 --> 00:09:57,057 We'll access the tumor via an incision 244 00:09:57,081 --> 00:09:58,826 in the chest wall between your ribs. 245 00:09:58,850 --> 00:10:00,059 It'll be an easier recovery 246 00:10:00,083 --> 00:10:01,595 than if we opened your sternum. 247 00:10:01,619 --> 00:10:04,163 Are you sure you don't want us to call your family 248 00:10:04,187 --> 00:10:05,371 before we put you under? 249 00:10:05,395 --> 00:10:07,333 Why? So they can freak out and worry? 250 00:10:07,357 --> 00:10:09,154 I'd rather just give them the good news when it's over. 251 00:10:10,628 --> 00:10:13,173 It is going to be good news, right? 252 00:10:13,197 --> 00:10:15,542 With a bit of cardiac rehab and a positive attitude, 253 00:10:15,566 --> 00:10:17,177 which I know you have, 254 00:10:17,201 --> 00:10:19,248 you'll be back sliding down the fire pole in no time. 255 00:10:19,537 --> 00:10:20,780 Our firehouse has stairs. 256 00:10:20,804 --> 00:10:22,250 Hmm. Bummer. 257 00:10:24,107 --> 00:10:25,451 It's a social media group 258 00:10:25,475 --> 00:10:27,173 where we all pretend to be ants. 259 00:10:27,912 --> 00:10:29,222 Why? 260 00:10:29,246 --> 00:10:32,793 Because ants don't care about politics, sports teams, 261 00:10:32,817 --> 00:10:35,129 or anything else people get so savage about. 262 00:10:35,153 --> 00:10:38,030 Male ants develop from unfertilized eggs, 263 00:10:38,054 --> 00:10:41,134 which means they don't have a father and can't have sons. 264 00:10:41,158 --> 00:10:44,104 But they do have grandfathers and can have grandsons. 265 00:10:44,128 --> 00:10:45,205 Interesting. 266 00:10:45,229 --> 00:10:46,539 And confusing. 267 00:10:46,563 --> 00:10:49,976 Is it just me, or are those doctors watching us? 268 00:10:50,000 --> 00:10:52,413 They're the new resident applicants. 269 00:10:52,437 --> 00:10:55,951 They're here so Park, Claire, and I can evaluate them for Dr. Lim. 270 00:10:56,407 --> 00:10:57,995 So, why are they standing over there? 271 00:10:58,842 --> 00:11:01,321 Park had a video chat with Kellan, 272 00:11:01,345 --> 00:11:03,456 and I had a real lunch with you. 273 00:11:03,480 --> 00:11:08,061 Shaun, you can't just have them stand there while you eat. 274 00:11:08,085 --> 00:11:10,096 Part of being a good boss is being a good host. 275 00:11:10,120 --> 00:11:11,754 You need to introduce them to people. 276 00:11:14,258 --> 00:11:15,792 Like me. Right now. 277 00:11:18,428 --> 00:11:19,428 Come here, please. 278 00:11:22,332 --> 00:11:24,644 Dr. Allen, Dr. Lundberg, Dr. Guerin, 279 00:11:24,668 --> 00:11:25,778 this is my girlfriend, Lea. 280 00:11:25,802 --> 00:11:27,374 She runs the IT department now. 281 00:11:27,504 --> 00:11:28,682 Okay. 282 00:11:28,706 --> 00:11:31,118 Nice to meet you all. Please join us. 283 00:11:31,142 --> 00:11:33,086 Shaun's been telling me all about you. 284 00:11:33,110 --> 00:11:36,490 Mmm. N... No. I haven't. 285 00:11:36,514 --> 00:11:39,759 So, I hope Shaun's not being too hard on you. 286 00:11:39,783 --> 00:11:41,794 No, he's been great. 287 00:11:41,818 --> 00:11:44,030 And the case we're observing is really interesting. 288 00:11:44,054 --> 00:11:47,301 We're correcting a 17-year-old girl's tuberous breasts 289 00:11:47,325 --> 00:11:49,135 with saline implants. 290 00:11:49,159 --> 00:11:51,672 Dr. Allen told Dr. Andrews it was unethical. 291 00:11:51,696 --> 00:11:53,105 He got mad. 292 00:11:53,129 --> 00:11:55,719 I didn't say it was unethical. I just... 293 00:11:57,134 --> 00:11:58,889 I suppose I shouldn't have interfered. 294 00:12:00,403 --> 00:12:02,883 Well, I don't know what a tuberous breast is, 295 00:12:02,907 --> 00:12:05,395 but I think implants are way overrated. 296 00:12:06,476 --> 00:12:09,056 That's because your breasts are excellent. 297 00:12:09,080 --> 00:12:10,525 Thank you. 298 00:12:11,081 --> 00:12:12,778 That's exactly my point. 299 00:12:13,250 --> 00:12:14,995 Mine aren't huge, 300 00:12:15,019 --> 00:12:17,331 but every guy who's ever seen them up close and personal 301 00:12:17,355 --> 00:12:18,491 has been thrilled. 302 00:12:19,322 --> 00:12:21,467 I definitely was. 303 00:12:21,491 --> 00:12:24,414 I am thrilled by every part of your body. 304 00:12:26,831 --> 00:12:28,056 Sorry. My bad. Total TMI. 305 00:12:28,086 --> 00:12:32,578 I'm not even bothered by your adenoidal voice. 306 00:12:32,602 --> 00:12:34,815 Except when you talk to your Mom on the phone. 307 00:12:34,838 --> 00:12:36,438 But I just put on headphones. 308 00:12:41,711 --> 00:12:44,880 At least you'll know he'll be a totally honest boss. 309 00:12:51,588 --> 00:12:53,332 The incision's extended superiorly 310 00:12:53,356 --> 00:12:54,902 to meet the atriotomy, 311 00:12:54,926 --> 00:12:56,614 and then the inter-atrial septum is opened up. 312 00:12:56,647 --> 00:12:57,770 Retractor. 313 00:12:57,794 --> 00:13:01,187 A Carpentier retractor is used to visualize the mitral valve. 314 00:13:01,224 --> 00:13:03,009 That will allow a clear view of the tumor. 315 00:13:03,033 --> 00:13:04,443 Can we turn the channel? 316 00:13:04,467 --> 00:13:06,436 Color commentary's getting a bit annoying. 317 00:13:06,484 --> 00:13:08,270 With the right atrium opened obliq... 318 00:13:10,908 --> 00:13:13,452 How's Team Browne? Any early standouts? 319 00:13:13,476 --> 00:13:16,056 Jackson's a bit timid, but smart. 320 00:13:16,080 --> 00:13:18,392 Wolke is definitely enthusiastic. 321 00:13:18,416 --> 00:13:20,961 And your star recruit is... 322 00:13:22,452 --> 00:13:24,120 Pretty full of himself. 323 00:13:24,754 --> 00:13:26,933 I'm looking for surgeons, and according to his recs, 324 00:13:26,957 --> 00:13:29,469 he can dissect and suture like a pro. 325 00:13:29,493 --> 00:13:31,938 I thought you were also looking for our input. 326 00:13:31,962 --> 00:13:34,274 He's ranked first by every top program. 327 00:13:34,298 --> 00:13:36,090 You really think they're all wrong and you're right? 328 00:13:39,149 --> 00:13:41,195 So, what brings you all to the biz? 329 00:13:41,338 --> 00:13:43,716 Had my ACL reconstructed in high school, 330 00:13:43,740 --> 00:13:45,390 both my rotators in college. 331 00:13:46,177 --> 00:13:48,154 I love the idea of fixing people, 332 00:13:48,178 --> 00:13:50,355 helping them be the best they can be. 333 00:13:51,422 --> 00:13:53,691 Surgeons are the ones with the God complex, right? 334 00:13:56,287 --> 00:13:57,287 I have that. 335 00:13:59,403 --> 00:14:01,881 I spent my life speaking Yiddish and studying the Talmud, 336 00:14:01,907 --> 00:14:03,784 and not shaving the sides of my hair, 337 00:14:03,809 --> 00:14:05,912 because someone up there supposedly cares. 338 00:14:06,797 --> 00:14:08,206 Uh, but then I realized 339 00:14:09,966 --> 00:14:11,125 no one's up there. 340 00:14:12,336 --> 00:14:13,878 No one cares. 341 00:14:14,577 --> 00:14:18,158 No benevolent higher power is going to save us, so... 342 00:14:20,110 --> 00:14:21,144 We have to save each other. 343 00:14:24,215 --> 00:14:25,926 Can you top that? 344 00:14:25,950 --> 00:14:27,933 - Definitely not. - Try anyway. 345 00:14:28,466 --> 00:14:31,510 You're obviously smart. You've got two degrees from Harvard. 346 00:14:31,570 --> 00:14:33,514 My parents are Harvard alums, so... 347 00:14:33,538 --> 00:14:34,850 I'm sure that helped me get in. 348 00:14:34,874 --> 00:14:36,734 You're not gonna get hired by undermining your own... 349 00:14:38,009 --> 00:14:39,988 Something went wrong. 350 00:14:40,011 --> 00:14:41,355 Looks like they nicked a pulmonary artery. 351 00:14:41,379 --> 00:14:43,625 No. If they had, Browne would be suctioning 352 00:14:43,649 --> 00:14:44,682 instead of Lim reaching in with her hands. 353 00:14:49,388 --> 00:14:50,522 What are they doing now? 354 00:14:51,423 --> 00:14:52,423 Nothing. 355 00:14:53,359 --> 00:14:54,668 We can't access the tumor 356 00:14:54,692 --> 00:14:56,904 without compromising his entire cardiac outflow tract. 357 00:14:56,928 --> 00:14:59,573 What about going in the way I suggested? The median sternotomy. 358 00:14:59,597 --> 00:15:01,634 The tumor's too far back. We need to close him up. 359 00:15:08,565 --> 00:15:11,376 Proton beam radiation would be too toxic to the heart. 360 00:15:11,400 --> 00:15:13,211 So is immunotherapy. 361 00:15:13,235 --> 00:15:15,480 We can't access the entire tumor surgically, 362 00:15:15,504 --> 00:15:18,418 and we can't kill it without killing his heart along with it. 363 00:15:18,442 --> 00:15:20,552 What if we cut out the parts we can access 364 00:15:20,576 --> 00:15:23,590 and try our luck with chemo on what's left? 365 00:15:23,614 --> 00:15:27,059 IV doxorubicin and ifosfamide might slow the growth, 366 00:15:27,083 --> 00:15:28,661 give him a few more months. 367 00:15:28,684 --> 00:15:30,863 No, I'm not sending my patient home with just a few extra months. 368 00:15:30,886 --> 00:15:31,998 It's better than nothing. 369 00:15:32,022 --> 00:15:33,533 What about a transplant? 370 00:15:33,557 --> 00:15:34,767 Not an option. 371 00:15:34,790 --> 00:15:37,003 Heart tumors are a contraindication. 372 00:15:37,027 --> 00:15:39,605 What if we transplant his own heart? 373 00:15:39,629 --> 00:15:41,407 If we take it totally out of his chest, 374 00:15:41,431 --> 00:15:43,241 we'd have access to the posterior heart. 375 00:15:43,265 --> 00:15:44,376 We could excise the tumor, 376 00:15:44,400 --> 00:15:45,544 fix the defect it left behind, 377 00:15:45,568 --> 00:15:47,080 - and then put it back in. - Cool. 378 00:15:47,104 --> 00:15:48,413 Mmm. Not cool. 379 00:15:48,437 --> 00:15:50,082 At least with a normal heart transplant, 380 00:15:50,106 --> 00:15:51,884 you'd be getting a healthy heart. 381 00:15:51,908 --> 00:15:54,354 Her idea keeps the risk of removing the heart, 382 00:15:54,378 --> 00:15:56,788 and adds the risk that the heart we'd be putting back in 383 00:15:56,812 --> 00:15:58,423 has just been severely compromised 384 00:15:58,447 --> 00:16:00,120 having had a tumor cut out of it. 385 00:16:00,155 --> 00:16:01,596 He's young, and the part of his heart 386 00:16:01,620 --> 00:16:03,488 not infiltrated with tumor is strong. 387 00:16:06,657 --> 00:16:07,943 Do a cardiac MRA 388 00:16:07,967 --> 00:16:10,436 and see if the tumor's infiltrated the coronary arteries. 389 00:16:10,460 --> 00:16:12,304 If it hasn't, Morgan's idea could work. 390 00:16:12,328 --> 00:16:13,706 I'll schedule it. 391 00:16:16,799 --> 00:16:18,911 Dr. Murphy is dividing the breast parenchyma 392 00:16:18,934 --> 00:16:20,980 into three pedicles. 393 00:16:21,004 --> 00:16:23,048 Anyone know where this technique is derived from? 394 00:16:23,072 --> 00:16:24,634 Breast reduction surgery. 395 00:16:25,008 --> 00:16:26,552 That's right. 396 00:16:26,576 --> 00:16:29,922 And why would I use a breast reduction technique 397 00:16:29,946 --> 00:16:32,091 to make the patient's breasts larger? 398 00:16:32,115 --> 00:16:34,059 The technique frees up the tissue. 399 00:16:34,618 --> 00:16:36,328 You can bring the pedicles together 400 00:16:36,352 --> 00:16:37,730 to make the breasts smaller 401 00:16:37,754 --> 00:16:41,024 or spread them out over an implant to make them larger. 402 00:16:41,924 --> 00:16:43,168 Very good. 403 00:16:43,192 --> 00:16:45,937 And now I'm going to turn the sound off. 404 00:16:45,961 --> 00:16:47,506 Don't worry. Nothing's wrong. 405 00:16:47,530 --> 00:16:49,908 I just wanna talk about you behind your backs for a little bit. 406 00:16:52,168 --> 00:16:53,913 So, first impressions. 407 00:16:54,171 --> 00:16:55,447 Murphy? 408 00:16:55,471 --> 00:16:57,457 I like Dr. John Lundberg. 409 00:16:58,442 --> 00:17:00,153 I haven't even heard him speak yet. 410 00:17:00,177 --> 00:17:02,288 He has the highest U.S.M.L.E. scores. 411 00:17:02,312 --> 00:17:03,923 And that's important to you? 412 00:17:04,381 --> 00:17:05,633 Yes. 413 00:17:06,615 --> 00:17:09,636 It shows he has a broad knowledge of medicine. 414 00:17:10,119 --> 00:17:12,832 What is important to you? 415 00:17:12,855 --> 00:17:15,801 Well, I'm more interested in what they can do with their knowledge, 416 00:17:15,826 --> 00:17:19,005 which is why, so far, I'm most impressed with Jordan Allen. 417 00:17:19,028 --> 00:17:23,041 No. No, you said she undermined you. 418 00:17:23,066 --> 00:17:27,346 Which takes courage and an assertiveness that will serve her well. 419 00:17:27,369 --> 00:17:30,817 Then why did you tell her to stop lecturing you? 420 00:17:30,840 --> 00:17:33,219 It's easier to teach an aggressive resident restraint 421 00:17:33,242 --> 00:17:35,221 than a passive one to assert themselves. 422 00:17:35,244 --> 00:17:36,244 Oh. 423 00:17:38,347 --> 00:17:40,492 What about you, Park? What's important to you? 424 00:17:40,517 --> 00:17:43,395 I wanna know who I can stand to be around for 80 hours a week. 425 00:17:43,420 --> 00:17:44,830 One thing I learned as a cop, 426 00:17:44,855 --> 00:17:46,298 you don't really know a person 427 00:17:46,323 --> 00:17:48,134 until you've had a few drinks with them. 428 00:17:54,998 --> 00:17:56,642 LAD and circumflex look clean. 429 00:17:56,665 --> 00:17:58,711 What's with the right coronary? 430 00:17:58,734 --> 00:18:00,938 It looks narrowed at the origin. 431 00:18:01,538 --> 00:18:03,583 It's a bit narrow, but looks like a normal variant. 432 00:18:03,606 --> 00:18:05,151 Yeah, but it seems hazy, 433 00:18:05,174 --> 00:18:08,069 like there could be some tumor infiltration. 434 00:18:09,211 --> 00:18:10,211 What do you guys think? 435 00:18:10,614 --> 00:18:11,990 - Us? - Yeah. 436 00:18:12,015 --> 00:18:13,200 Come take a look. 437 00:18:16,219 --> 00:18:17,395 I guess... 438 00:18:17,420 --> 00:18:18,453 - It's angiogenesis of the left... - Stop. 439 00:18:20,257 --> 00:18:21,768 Interrupting a female coworker 440 00:18:21,791 --> 00:18:24,002 is almost as annoying as mansplaining. 441 00:18:24,027 --> 00:18:25,270 This isn't a rowing race. 442 00:18:25,295 --> 00:18:27,298 You don't always have to speak first. 443 00:18:28,597 --> 00:18:32,720 I... do not love the interruption. 444 00:18:34,169 --> 00:18:35,169 But... 445 00:18:35,805 --> 00:18:37,349 I like the enthusiasm. 446 00:18:39,055 --> 00:18:40,269 What were you gonna say? 447 00:18:41,611 --> 00:18:44,356 First, um, I'm not sexist. 448 00:18:45,357 --> 00:18:46,893 Of course not. 449 00:18:46,916 --> 00:18:49,228 He's shifting from right to left dominant circulation 450 00:18:49,251 --> 00:18:50,762 to feed blood to the tumor. 451 00:18:50,787 --> 00:18:52,431 - Angiogenesis. - I doubt it. 452 00:18:52,454 --> 00:18:54,366 Surgery already showed his tumor extending to the right side, as well. 453 00:18:54,391 --> 00:18:55,701 What were you gonna say? 454 00:18:56,660 --> 00:18:58,953 The pulmonary artery is right behind that vessel. 455 00:19:00,963 --> 00:19:03,576 It's causing radiographic scatter in this area. 456 00:19:03,599 --> 00:19:05,211 The haze is just an artifact. 457 00:19:05,634 --> 00:19:06,921 His arteries are clean. 458 00:19:08,438 --> 00:19:09,632 I think she's right. 459 00:19:10,205 --> 00:19:11,205 Hmm. 460 00:19:13,442 --> 00:19:15,136 Your idea might just work. 461 00:19:19,827 --> 00:19:22,662 If you invert the sutures and bury them under the skin, 462 00:19:22,685 --> 00:19:24,462 the scar will be invisible. 463 00:19:24,487 --> 00:19:26,398 No one will ever know we were here. 464 00:19:28,758 --> 00:19:29,758 Nice work, both of you. 465 00:19:32,194 --> 00:19:33,673 Her BP's dropping. 466 00:19:33,697 --> 00:19:35,974 Push fluids, start IV pressors. Check for bleeding. 467 00:19:35,999 --> 00:19:37,377 She's in V-tach. 468 00:19:37,402 --> 00:19:38,868 Move in the crash cart. 469 00:19:40,336 --> 00:19:42,003 No bleeding. No hematomas. 470 00:19:43,373 --> 00:19:45,007 Charging. 471 00:19:45,709 --> 00:19:46,853 Clear. 472 00:19:55,317 --> 00:19:57,797 Sinus rhythm. Her BP is stabilizing. 473 00:20:00,656 --> 00:20:04,336 Get her to the ICU. I want post-op labs, CTA chest, 474 00:20:04,361 --> 00:20:06,271 and full 24-hour cardiac telemetry. 475 00:20:07,696 --> 00:20:08,941 We need to figure out what just happened. 476 00:20:15,511 --> 00:20:17,323 She's stable, 477 00:20:17,346 --> 00:20:19,025 but diffuse delta wave slowing. 478 00:20:19,048 --> 00:20:21,059 Minimal brain activity. 479 00:20:21,084 --> 00:20:23,663 An undiagnosed metabolic disorder could've caused 480 00:20:23,686 --> 00:20:25,298 an adverse reaction to the anesthesia. 481 00:20:25,321 --> 00:20:27,532 Yeah, but her pre-op labs were all normal. 482 00:20:27,557 --> 00:20:29,836 It's gotta be some sort of hidden heart condition. 483 00:20:30,398 --> 00:20:34,174 You're big on opinions. How are you with ideas? What would you do next? 484 00:20:36,333 --> 00:20:37,910 I'd check train of fours 485 00:20:37,933 --> 00:20:40,880 and reverse the paralytics with neostigmine. 486 00:20:40,903 --> 00:20:43,099 If Dr. Murphy's right, she should wake up. 487 00:20:43,506 --> 00:20:45,483 Smart. But risky. 488 00:20:45,508 --> 00:20:47,420 The meds will stress her heart. 489 00:20:47,443 --> 00:20:49,537 If Park's right, she could arrest again. 490 00:20:51,280 --> 00:20:53,692 I saw a similar case last year. In Borneo. 491 00:20:53,717 --> 00:20:55,528 You interned at a hospital in Borneo? 492 00:20:55,551 --> 00:20:59,657 Uh, no. I, uh, volunteered at an orangutan rescue foundation. 493 00:21:00,522 --> 00:21:03,868 Our guide, a local villager, fell out of a tree. 494 00:21:03,893 --> 00:21:05,337 He was, like, 80 feet up. 495 00:21:05,362 --> 00:21:08,106 How is falling out of a tree similar to a patient arresting 496 00:21:08,131 --> 00:21:10,542 during breast reconstruction surgery? 497 00:21:10,567 --> 00:21:12,178 Well, he broke his back, 498 00:21:12,201 --> 00:21:13,679 uh, but when we got him to the hospital, 499 00:21:13,702 --> 00:21:15,681 I found he also had heart damage from rheumatic fever 500 00:21:15,704 --> 00:21:19,384 and metabolic abnormality from iodine deficiency. 501 00:21:19,409 --> 00:21:21,721 It's rare here, but it's common there. 502 00:21:21,744 --> 00:21:23,788 We only realized it when we ran a nuclear profusion scan 503 00:21:23,813 --> 00:21:24,974 of his entire body. 504 00:21:25,448 --> 00:21:27,058 Good catch. 505 00:21:27,083 --> 00:21:30,395 But a scan that extensive requires multiple radioactive tracers. 506 00:21:30,420 --> 00:21:31,731 You think her heart could handle that? 507 00:21:32,255 --> 00:21:33,932 Not tonight. 508 00:21:33,957 --> 00:21:35,818 I'll get consent from the mom. 509 00:21:36,226 --> 00:21:37,425 We'll do it first thing in the morning. 510 00:21:38,461 --> 00:21:40,205 Once we confirm atrial closure, 511 00:21:40,230 --> 00:21:42,040 we'll put the heart back in. 512 00:21:42,065 --> 00:21:43,909 Dr. Lim will reconnect the aorta 513 00:21:43,932 --> 00:21:45,744 and the superior venous connections, 514 00:21:45,769 --> 00:21:47,413 while I connect the inferior. 515 00:21:47,436 --> 00:21:49,147 During my sub-internship, 516 00:21:49,172 --> 00:21:51,384 I assisted on multiple heart transplants. 517 00:21:51,407 --> 00:21:52,961 Even sutured the atrial cuff in one. 518 00:21:54,411 --> 00:21:56,589 I got to scrub in on a liver transplant once. 519 00:21:57,113 --> 00:21:58,423 The... The patient died. 520 00:21:58,448 --> 00:22:00,009 What'd you learn? 521 00:22:00,616 --> 00:22:03,261 That bile duct leaks are a lot harder to detect than bleeds. 522 00:22:03,286 --> 00:22:04,730 Good. Next time, I'd lead with that 523 00:22:04,753 --> 00:22:06,224 instead of the patient's death. 524 00:22:10,125 --> 00:22:11,336 Are you all done yet? 525 00:22:11,361 --> 00:22:12,837 Why? 526 00:22:12,862 --> 00:22:16,109 Dr. Park wants everyone to join him in the break room. 527 00:22:22,771 --> 00:22:24,482 I'm Alex Park. 528 00:22:24,507 --> 00:22:27,653 I'm a former amateur martial arts competitor 529 00:22:27,676 --> 00:22:29,989 who once thought it'd be fun to spar with a pro boxer 530 00:22:30,012 --> 00:22:31,690 visiting my Dad's gym. 531 00:22:31,713 --> 00:22:34,836 And that guy was, uh, Mike Tyson. 532 00:22:37,467 --> 00:22:38,943 Who's Mike Tyson? 533 00:22:39,154 --> 00:22:41,700 He's a guy from The Hangover. 534 00:22:41,723 --> 00:22:43,804 With the tiger and the tattoo on his face. 535 00:22:45,028 --> 00:22:47,641 Nice. You've just revealed you're crazy and old. 536 00:22:51,401 --> 00:22:54,212 I've seen the musical Wicked over 50 times. 537 00:22:54,237 --> 00:22:57,516 The San Francisco tryout, Broadway, Chicago. 538 00:22:57,539 --> 00:22:59,852 I've even seen a friend's boyfriend's niece play Glinda 539 00:22:59,875 --> 00:23:01,321 at Stagedoor summer camp. 540 00:23:01,845 --> 00:23:03,824 Nerd. Next. 541 00:23:06,915 --> 00:23:09,494 I'm Claire Browne. 542 00:23:09,519 --> 00:23:12,865 Um, I love music, 543 00:23:12,888 --> 00:23:16,367 but I hate musicals, and, um, I don't... 544 00:23:16,392 --> 00:23:19,464 I don't really like to talk about myself, so it's Shaun's turn. 545 00:23:26,201 --> 00:23:28,413 My name is Dr. Shaun Murphy. 546 00:23:28,438 --> 00:23:30,316 I used to not like music, 547 00:23:30,339 --> 00:23:33,751 but my girlfriend, Lea, she changed my mind. 548 00:23:33,776 --> 00:23:37,441 I also like to watch The Weather Channel on TV. 549 00:23:37,947 --> 00:23:39,057 And... 550 00:23:41,116 --> 00:23:43,061 I think pickles are disgusting. 551 00:23:46,256 --> 00:23:47,732 Cops know how to manage up. 552 00:23:47,757 --> 00:23:49,201 Managing down's another story. 553 00:23:49,224 --> 00:23:51,537 Well, he's mature, thoughtful, 554 00:23:51,560 --> 00:23:53,039 doesn't have an ego. 555 00:23:53,529 --> 00:23:55,207 Neither does Murphy, 556 00:23:55,230 --> 00:23:57,795 but do you think that qualifies him to supervise First Years? 557 00:23:58,535 --> 00:24:00,213 Well, Murphy's smart, 558 00:24:00,636 --> 00:24:02,681 brutally honest, has no regard for social convention. 559 00:24:02,704 --> 00:24:04,048 Mmm. 560 00:24:04,073 --> 00:24:05,469 It works for Bill Belichick. 561 00:24:07,042 --> 00:24:09,221 The Patriots are the most corrupt, dishonest organization 562 00:24:09,244 --> 00:24:10,516 in the history of the NFL. 563 00:24:11,213 --> 00:24:12,393 Well, the Seahawks suck. 564 00:24:14,083 --> 00:24:16,063 So, how's your experience been here? 565 00:24:16,885 --> 00:24:18,315 It's been good. 566 00:24:21,990 --> 00:24:23,903 Did you consider any other programs 567 00:24:23,926 --> 00:24:25,446 or was this your first choice? 568 00:24:25,894 --> 00:24:28,366 This was my only choice. 569 00:24:28,932 --> 00:24:30,411 Why do you hate God? 570 00:24:31,667 --> 00:24:33,979 Oh. Uh, actually, 571 00:24:34,002 --> 00:24:36,083 I don't believe there is a God. 572 00:24:37,272 --> 00:24:39,151 I thought maybe it was because 573 00:24:39,174 --> 00:24:41,452 you believed he hated homosexuals. 574 00:24:41,477 --> 00:24:43,588 I... I don't think this is something 575 00:24:43,613 --> 00:24:45,259 that we should be discussing at work. 576 00:24:47,916 --> 00:24:48,916 Why not? 577 00:24:51,354 --> 00:24:54,143 Well, because it's personal. 578 00:24:57,492 --> 00:24:59,137 Do you have a boyfriend? 579 00:24:59,162 --> 00:25:02,407 I... I'm sorry, but you can't ask that question in a workplace. 580 00:25:02,432 --> 00:25:06,010 Dr. Park, he wants us to get to know you. 581 00:25:06,035 --> 00:25:10,082 How can I do that without asking personal questions? 582 00:25:10,105 --> 00:25:13,451 I have a girlfriend, and she is very important to me. 583 00:25:13,476 --> 00:25:15,372 It affects my life in every way. 584 00:25:16,613 --> 00:25:18,324 Probably should've thought of that before you told her 585 00:25:18,347 --> 00:25:20,126 how much her voice annoyed you. 586 00:25:20,950 --> 00:25:24,128 I said it didn't bother me. 587 00:25:24,153 --> 00:25:25,964 It... It was a compliment. 588 00:25:25,989 --> 00:25:29,335 What I heard is you criticizing her voice, 589 00:25:29,358 --> 00:25:30,826 and you bringing her mother into it. 590 00:25:33,328 --> 00:25:34,328 You're in trouble. 591 00:25:40,397 --> 00:25:42,609 What about Browne? 592 00:25:42,634 --> 00:25:45,045 She may have as much problem being a leader as Murphy, 593 00:25:45,068 --> 00:25:46,361 and without his gifts. 594 00:25:46,738 --> 00:25:48,516 She has her own gifts. 595 00:25:48,539 --> 00:25:51,251 Yeah, dealing with patients and their families. 596 00:25:51,276 --> 00:25:55,055 But with her colleagues, she can be insecure. 597 00:25:55,078 --> 00:25:56,891 Her assertiveness has always been a question mark for me. 598 00:25:56,914 --> 00:25:59,093 They've all got areas that need improving, 599 00:25:59,116 --> 00:26:01,484 but I've gotten to know Browne a bit better these past few months. 600 00:26:03,086 --> 00:26:04,837 She's stronger than she looks. 601 00:26:07,125 --> 00:26:09,369 When's the last time you saw anyone digging a ditch in a suit and tie? 602 00:26:09,394 --> 00:26:11,404 Surgeons don't dig ditches. 603 00:26:11,429 --> 00:26:14,807 They help people at the most vulnerable time in their life. 604 00:26:14,832 --> 00:26:17,711 And you shouldn't take the responsibility on 605 00:26:17,734 --> 00:26:18,935 if you're not fully committed to it. 606 00:26:20,404 --> 00:26:22,249 You're entering a new phase in your career, 607 00:26:22,272 --> 00:26:23,651 position of authority. 608 00:26:23,674 --> 00:26:25,483 Maybe my clothes are making you feel disrespected. 609 00:26:25,676 --> 00:26:26,987 No. 610 00:26:27,010 --> 00:26:28,721 The truth is, 611 00:26:28,746 --> 00:26:30,905 I just hate wearing anything that makes me feel like 612 00:26:32,174 --> 00:26:33,174 a suit. 613 00:26:34,618 --> 00:26:36,096 Great news. 614 00:26:36,119 --> 00:26:38,204 I was able to get Sowinski on anesthesia for tomorrow. 615 00:26:38,489 --> 00:26:40,134 Uh, why? What happened to Foley? 616 00:26:40,157 --> 00:26:41,969 Nothing, I just think Sowinski's better. 617 00:26:41,992 --> 00:26:43,804 And we definitely need the A-team on this. 618 00:26:43,827 --> 00:26:45,338 Yeah, I... I agree. 619 00:26:45,363 --> 00:26:48,342 Which is why I went out of my way to get Foley. 620 00:26:48,365 --> 00:26:50,174 But Foley doesn't do well under pressure. 621 00:26:50,835 --> 00:26:52,301 - Remember that time... - Morgan. 622 00:26:52,836 --> 00:26:55,305 You need to butt out. You're not a surgeon. This is not your job. 623 00:26:56,840 --> 00:27:00,653 My job is to help my patient through the entire treatment process. 624 00:27:00,678 --> 00:27:03,457 The best anesthesiologist for transplant surgery is Sowinski. 625 00:27:03,480 --> 00:27:05,214 And I've already cleared it with Lim, so that's who it's gonna be. 626 00:27:06,351 --> 00:27:07,351 Deal with it. 627 00:27:16,087 --> 00:27:18,119 Are you mad at me? 628 00:27:21,460 --> 00:27:24,835 I said your voice doesn't bother me. 629 00:27:25,096 --> 00:27:27,875 It was a compliment. 630 00:27:27,900 --> 00:27:31,211 Actually, what you said is that you love my breasts so much 631 00:27:31,236 --> 00:27:34,382 that with the help of noise-canceling headphones, 632 00:27:34,405 --> 00:27:36,971 you're willing to put up with my annoying voice. 633 00:27:37,923 --> 00:27:38,923 Yes. 634 00:27:39,964 --> 00:27:41,393 Not a compliment. 635 00:27:42,146 --> 00:27:43,724 Oh. 636 00:27:43,749 --> 00:27:45,835 So you are mad at me? 637 00:27:45,858 --> 00:27:47,628 I'm not mad, Shaun. I'm just busy, 638 00:27:47,653 --> 00:27:49,897 trying to keep, like, a billion bots and hackers out of our network. 639 00:27:51,990 --> 00:27:53,335 Actually, no. I'm not doing that. 640 00:27:53,358 --> 00:27:54,568 Gonna go home. 641 00:27:54,593 --> 00:27:57,739 You want to have some tequila, stat? 642 00:27:57,762 --> 00:27:59,773 We also have some pizza left. 643 00:27:59,798 --> 00:28:02,496 No, I don't want tequila or pizza. 644 00:28:02,519 --> 00:28:04,278 That must mean you're mad. 645 00:28:04,303 --> 00:28:06,751 I'm just... upset. 646 00:28:07,205 --> 00:28:09,284 And confused. 647 00:28:09,307 --> 00:28:12,186 And I really don't think there is anything you can do about it, 648 00:28:12,211 --> 00:28:15,760 so you just need to stop trying and leave me alone. 649 00:28:24,656 --> 00:28:26,867 She's not mad at me. 650 00:28:26,892 --> 00:28:28,536 She's definitely mad at you. 651 00:28:28,559 --> 00:28:31,306 She doesn't usually hide what she thinks. 652 00:28:31,329 --> 00:28:33,028 She's not mad at him. 653 00:28:33,999 --> 00:28:37,211 She knows how he is, how he talks. 654 00:28:37,236 --> 00:28:39,451 She's mad at herself. And scared. 655 00:28:40,638 --> 00:28:42,951 We all have stuff that we're insecure about. 656 00:28:42,974 --> 00:28:44,748 That's why it's so risky falling in love. 657 00:28:47,481 --> 00:28:49,156 We all hope that when we let our guard down, 658 00:28:49,181 --> 00:28:51,296 it's for the one person that doesn't see our flaws. 659 00:28:55,421 --> 00:28:58,552 So, what do I do? 660 00:28:59,657 --> 00:29:02,804 You were being honest. You can't apologize that away. 661 00:29:02,827 --> 00:29:03,949 You gotta figure out what she needs 662 00:29:03,972 --> 00:29:05,644 to feel secure in the relationship again. 663 00:29:08,901 --> 00:29:10,941 Don't look at me. I'm single. 664 00:29:16,040 --> 00:29:18,686 It's not my place to comment on your personal life. 665 00:29:18,711 --> 00:29:20,784 You have an opinion. Let's hear it. 666 00:29:21,246 --> 00:29:22,246 Fine. 667 00:29:24,048 --> 00:29:25,894 Can you zoom in on her skull base? 668 00:29:25,917 --> 00:29:27,362 I can, but why? 669 00:29:27,385 --> 00:29:30,085 We're worried about her heart and metabolic abnormalities. 670 00:29:30,556 --> 00:29:33,367 We shouldn't be. Not anymore. 671 00:29:33,392 --> 00:29:36,104 You and Dr. Murphy were both wrong. 672 00:29:36,127 --> 00:29:39,507 She doesn't have a cardiac or metabolic issue. 673 00:29:39,530 --> 00:29:42,042 She has poor blood flow in the artery supplying blood 674 00:29:42,067 --> 00:29:43,944 to the area of her brain that controls consciousness. 675 00:29:43,969 --> 00:29:47,015 A small clot in her artery of Percheron. 676 00:29:47,038 --> 00:29:50,480 If we don't remove it fast, she's never going to wake up. 677 00:30:02,453 --> 00:30:03,798 That's amazing. 678 00:30:03,821 --> 00:30:06,067 No, it's not. 679 00:30:06,090 --> 00:30:09,304 The heart's totally outside of the body and still beating. 680 00:30:09,327 --> 00:30:11,239 It's like it has a mind of its own. 681 00:30:11,262 --> 00:30:13,741 She should've started the reimplantation by now. 682 00:30:13,766 --> 00:30:15,643 Is everything okay, Dr. Lim? 683 00:30:15,666 --> 00:30:18,378 The tumor had tendrils invading the right atrial wall. 684 00:30:18,403 --> 00:30:20,448 We took so much tissue to get a clear margin, 685 00:30:20,471 --> 00:30:23,951 there's not enough left to reconstruct his heart's inflow chambers. 686 00:30:23,976 --> 00:30:25,553 How about expanded PTFE graft? 687 00:30:25,576 --> 00:30:27,422 There's not enough atrial remnant to attach the graft. 688 00:30:27,445 --> 00:30:28,923 You could use the septal wall. 689 00:30:28,946 --> 00:30:30,825 He's got dense conduction fibers there. 690 00:30:30,848 --> 00:30:32,660 - It could cause heart arrhythmias. - Not if you use... 691 00:30:32,683 --> 00:30:34,566 He's got low arterial pressure. 692 00:30:35,119 --> 00:30:36,897 He's springing leaks at the cannulation sites. 693 00:30:36,922 --> 00:30:38,833 It's a bleeding disorder caused by prolonged bypass. 694 00:30:38,856 --> 00:30:40,468 You need to get his heart back in ASAP. 695 00:30:40,491 --> 00:30:43,657 Morgan, we can't put the heart back in with two missing chambers. 696 00:30:50,086 --> 00:30:51,597 It's a rare complication, 697 00:30:51,622 --> 00:30:54,034 but a blood clot is a risk in any surgery. 698 00:30:54,057 --> 00:30:55,902 It's too deep in the brain for open surgery. 699 00:30:55,925 --> 00:30:57,371 If we go rooting around in there, 700 00:30:57,394 --> 00:31:00,307 we'd definitely damage the PCA and kill her. 701 00:31:00,330 --> 00:31:02,742 We could inject a dissolving agent into the clot. 702 00:31:02,767 --> 00:31:07,314 There's a 50% probability it won't fully dissolve, 703 00:31:07,337 --> 00:31:08,872 which could leave her with permanent weakness 704 00:31:08,895 --> 00:31:10,116 and cognitive difficulties. 705 00:31:10,141 --> 00:31:12,228 Assuming she wakes up at all. 706 00:31:16,614 --> 00:31:19,415 We need to remove the clot with a stent retriever. 707 00:31:21,919 --> 00:31:23,963 If we rupture the posterior cerebral artery, 708 00:31:23,988 --> 00:31:25,741 she'll die on the table. 709 00:31:27,691 --> 00:31:29,621 Or total recovery. 710 00:31:31,095 --> 00:31:32,972 That's how she came into this hospital. 711 00:31:32,997 --> 00:31:34,834 That's how she's leaving. 712 00:31:37,634 --> 00:31:39,213 Prep her for stent retrieval. 713 00:31:41,372 --> 00:31:44,151 I'm hanging platelets and fresh frozen plasma. 714 00:31:44,174 --> 00:31:45,986 His pressure is still in the toilet, 715 00:31:46,009 --> 00:31:47,621 but the bleeding is slowing down. 716 00:31:47,644 --> 00:31:49,088 Not for long. 717 00:31:49,113 --> 00:31:51,357 Small intestine submucosa has the right compliance 718 00:31:51,382 --> 00:31:53,192 to shape the chamber walls, but... 719 00:31:53,217 --> 00:31:54,795 There isn't enough to cover that much area. 720 00:31:54,818 --> 00:31:57,163 Use too little and he'll have heart failure in a month. 721 00:31:57,188 --> 00:31:59,165 I know. That's the "but." 722 00:31:59,190 --> 00:32:00,366 How thick is his deep fascia? 723 00:32:00,391 --> 00:32:01,367 If it's over 2 millimeters... 724 00:32:01,392 --> 00:32:02,392 Morgan. 725 00:32:03,227 --> 00:32:04,503 Get out. 726 00:32:04,528 --> 00:32:06,138 I'm sorry. I'll... I'll be quiet. 727 00:32:06,163 --> 00:32:07,339 No, you won't. You can't. 728 00:32:07,364 --> 00:32:08,701 So leave the OR gallery. 729 00:32:11,201 --> 00:32:12,201 Now. 730 00:32:18,675 --> 00:32:22,288 We need 2.6-millimeter-thick tissue with perfect compliance 731 00:32:22,313 --> 00:32:24,790 for arterial filling and contractile pressures. 732 00:32:24,815 --> 00:32:27,993 If it was just the valve, we'd use a bovine pericardial graft. 733 00:32:28,018 --> 00:32:31,698 But cow heart tissue is not durable enough to do an entire chamber. 734 00:32:31,721 --> 00:32:34,366 But pig bladder tissue is just right. 735 00:32:34,391 --> 00:32:37,671 I've used it for bladder reconstructive surgeries, but never hearts. 736 00:32:37,694 --> 00:32:39,773 Let's rebuild the entire atrial walls with it. 737 00:32:40,730 --> 00:32:42,209 Get down to the tissue procurement lab 738 00:32:42,232 --> 00:32:44,099 and get 200 centimeters of porcine bladder tissue. 739 00:32:54,044 --> 00:32:56,522 Her EEG delta waves are slowing further. 740 00:32:56,547 --> 00:32:59,044 She only has one vessel feeding her thalamus. 741 00:32:59,884 --> 00:33:02,095 That's why the clot landed where it did. 742 00:33:02,118 --> 00:33:05,265 I'm approaching the artery of Percheron. 743 00:33:05,288 --> 00:33:07,500 I'm one millimeter from the clot. 744 00:33:07,525 --> 00:33:08,803 Stop right there. 745 00:33:14,131 --> 00:33:15,375 If we disrupt this clot, 746 00:33:15,398 --> 00:33:17,394 we could cause a shower of emboli into her brain. 747 00:33:41,125 --> 00:33:42,545 Deploying the retriever. 748 00:33:46,297 --> 00:33:47,606 EEG just went flatline. 749 00:33:47,631 --> 00:33:49,134 Calm down. I'm almost... 750 00:33:51,501 --> 00:33:52,721 Got it. 751 00:33:58,976 --> 00:34:01,121 Blood's flowing through the artery. 752 00:34:01,144 --> 00:34:03,123 Her brain tracing's looking better. 753 00:34:09,619 --> 00:34:13,599 This should fill the gap between the inferior and superior vena cava 754 00:34:13,623 --> 00:34:15,536 when the new chambers get sewn in. 755 00:34:15,693 --> 00:34:17,836 Where's that graft? 756 00:34:17,860 --> 00:34:20,072 I need more sponges. The bleeding is getting worse. 757 00:34:20,097 --> 00:34:21,474 Oh, he's tanking. 758 00:34:21,498 --> 00:34:22,608 Can you push epi? 759 00:34:22,632 --> 00:34:23,976 I already did. He's maxing out. 760 00:34:24,001 --> 00:34:25,713 I'm running out of ways to keep his pressure up. 761 00:34:26,202 --> 00:34:27,447 I got it. 762 00:34:27,471 --> 00:34:29,092 They had 205 centimeters of it. 763 00:34:29,373 --> 00:34:31,010 Thank you. 764 00:34:31,641 --> 00:34:34,086 If you want to gown up, you can watch from down here. 765 00:34:34,110 --> 00:34:35,639 Definitely. Thanks. 766 00:34:38,215 --> 00:34:40,126 I thought telling her how much I love her 767 00:34:40,150 --> 00:34:42,161 in front of other people would make her feel good. 768 00:34:42,186 --> 00:34:46,067 But Dr. Guerin said I made her feel insecure, and scared. 769 00:34:46,657 --> 00:34:48,027 Women are sensitive. 770 00:34:48,726 --> 00:34:51,003 When commenting on their flaws, 771 00:34:51,027 --> 00:34:53,472 total honesty is a high-risk procedure. 772 00:34:53,496 --> 00:34:54,974 That sounds sexist. 773 00:34:54,998 --> 00:34:57,510 Aren't men also insecure about their flaws? 774 00:34:57,534 --> 00:34:59,012 Men are much, much worse. 775 00:34:59,036 --> 00:35:00,713 And also, we're really stupid. 776 00:35:00,737 --> 00:35:01,815 Okay. 777 00:35:01,838 --> 00:35:04,550 What can I do now? 778 00:35:04,574 --> 00:35:07,186 I've already said my stupid stuff. 779 00:35:07,210 --> 00:35:09,172 I don't want her to be upset with me. 780 00:35:11,414 --> 00:35:12,414 I have a thought. 781 00:35:14,692 --> 00:35:17,230 I think this run of sutures will hold it to the annulus, 782 00:35:17,253 --> 00:35:18,664 but I'm worried about leaks. 783 00:35:18,688 --> 00:35:20,367 We can put a second row of pledgeted sutures 784 00:35:20,391 --> 00:35:22,068 to make sure it's hemostatic. 785 00:35:22,092 --> 00:35:24,271 That is unreal. 786 00:35:25,362 --> 00:35:26,690 It's a work of art. 787 00:35:28,998 --> 00:35:30,342 Now let's get it back in 788 00:35:30,367 --> 00:35:32,155 while we can still get him off bypass alive. 789 00:35:36,873 --> 00:35:38,452 Re-perfusing the heart. 790 00:35:40,177 --> 00:35:41,376 We've got a rhythm. 791 00:36:11,679 --> 00:36:12,679 Hey. 792 00:36:14,682 --> 00:36:16,061 There was a complication 793 00:36:16,085 --> 00:36:17,824 during the reconstruction surgery. 794 00:36:18,954 --> 00:36:21,663 A clot, which caused you to lapse into a coma. 795 00:36:23,197 --> 00:36:25,309 We performed a second surgery on your brain, 796 00:36:25,367 --> 00:36:26,668 which was successful. 797 00:36:27,061 --> 00:36:28,172 Um... 798 00:36:28,197 --> 00:36:29,507 You're gonna be fine. 799 00:36:29,532 --> 00:36:31,378 But my breasts... 800 00:36:31,402 --> 00:36:35,467 The clot occurred after we finished inserting the implants. 801 00:36:38,467 --> 00:36:40,514 I think you're gonna be very pleased with the results. 802 00:36:42,038 --> 00:36:43,226 Thank you. 803 00:36:43,639 --> 00:36:44,639 Yep. 804 00:36:51,280 --> 00:36:55,153 I... think I'm sorry. 805 00:36:58,989 --> 00:37:03,235 Dr. Guerin said I should never say anything that might sound negative 806 00:37:03,260 --> 00:37:04,871 to a girlfriend. 807 00:37:04,894 --> 00:37:09,085 And Dr. Glassman said total honesty is a high-risk procedure 808 00:37:09,733 --> 00:37:11,110 with a girlfriend. 809 00:37:11,134 --> 00:37:14,172 It's better to show my love than try to explain it. 810 00:37:17,146 --> 00:37:22,597 But I want to be totally honest with you. 811 00:37:28,952 --> 00:37:33,599 I don't like your body because it's excellent. 812 00:37:33,623 --> 00:37:35,737 I like it because it's yours. 813 00:37:38,161 --> 00:37:42,141 And I love hearing you talk. 814 00:37:42,164 --> 00:37:44,036 When I hear your voice, 815 00:37:44,534 --> 00:37:47,612 especially when I've had a difficult day, 816 00:37:47,637 --> 00:37:49,250 I find it comforting. 817 00:37:54,677 --> 00:37:57,257 Now I want to hug you. Can I? 818 00:37:57,947 --> 00:37:59,177 I'd like that. 819 00:38:10,025 --> 00:38:11,025 I love you. 820 00:38:12,728 --> 00:38:13,940 Thank you. 821 00:38:15,297 --> 00:38:17,402 For your total honesty. 822 00:38:24,673 --> 00:38:25,851 Your surgery went well. 823 00:38:25,875 --> 00:38:27,052 With some time in rehab, 824 00:38:27,077 --> 00:38:28,623 you should be back to work in a month. 825 00:38:29,206 --> 00:38:30,655 Thank you. 826 00:38:30,679 --> 00:38:32,835 Don't thank me. Thank your surgeon. 827 00:38:33,750 --> 00:38:35,463 She did all the important stuff. 828 00:38:40,090 --> 00:38:42,335 Lim's golden boy is in. Nothing we can do about that. 829 00:38:42,358 --> 00:38:44,670 So that leaves three openings. 830 00:38:44,693 --> 00:38:47,672 The thought of working with Will Hooper for the next two years... 831 00:38:47,697 --> 00:38:49,742 If Dr. Lim thinks he'll be a good resident, 832 00:38:49,766 --> 00:38:51,978 I'm sure she has good reasons. 833 00:38:52,001 --> 00:38:55,581 She probably thinks arrogance is helpful to a surgeon. 834 00:38:55,605 --> 00:38:57,516 Well, we could try to change her mind. 835 00:38:57,539 --> 00:38:59,751 Eh, she asked us to evaluate the applicants, not her. 836 00:38:59,775 --> 00:39:02,722 She asked us to be totally honest. 837 00:39:02,746 --> 00:39:05,090 Eh, "totally honest" is a relative term 838 00:39:05,114 --> 00:39:07,411 when you're telling your boss she's totally wrong. 839 00:39:11,221 --> 00:39:13,032 So, Hooper's in. Who else? 840 00:39:13,056 --> 00:39:16,601 Dr. Andrews likes Dr. Jordan Allen. 841 00:39:16,626 --> 00:39:19,262 Oh, I do, too. She's confident, driven. 842 00:39:19,295 --> 00:39:20,739 She won't take a lot of hand-holding, 843 00:39:20,764 --> 00:39:23,469 and keeping Andrews happy keeps us happy. 844 00:39:23,900 --> 00:39:26,264 That leaves two more. Who's next? 845 00:39:26,936 --> 00:39:31,050 Asher Wolke is very up-front about who he is. 846 00:39:31,074 --> 00:39:33,619 - I like that. - He's definitely eager. 847 00:39:33,643 --> 00:39:35,253 And he couldn't be more open to learning. 848 00:39:35,277 --> 00:39:36,722 Agree. 849 00:39:36,746 --> 00:39:37,983 That leaves one more. 850 00:39:39,282 --> 00:39:40,695 John Lundberg. 851 00:39:41,951 --> 00:39:43,862 Smart, professional, mature. 852 00:39:43,887 --> 00:39:45,115 He's a no-brainer. 853 00:39:45,889 --> 00:39:47,199 Lundberg's in. 854 00:39:47,222 --> 00:39:49,034 Lundberg's out. 855 00:39:49,059 --> 00:39:50,902 He stopped by my office before he left. 856 00:39:50,927 --> 00:39:53,248 Said he's no longer interested. 857 00:39:54,130 --> 00:39:57,378 He said you all were unprofessional. 858 00:39:57,900 --> 00:39:59,505 Drinking at work. 859 00:40:00,170 --> 00:40:02,340 Asking inappropriate questions. 860 00:40:02,731 --> 00:40:04,110 Dating drama. 861 00:40:05,398 --> 00:40:07,253 Mmm-hmm. 862 00:40:07,277 --> 00:40:10,724 So, who's your alt? Olivia Jackson or Boardshorts? 863 00:40:11,947 --> 00:40:15,103 Olivia knows her stuff, but she's a bit insecure. 864 00:40:15,617 --> 00:40:18,130 Her answers sound like questions. 865 00:40:18,153 --> 00:40:20,666 I like Boardshorts. He's sensitive. 866 00:40:20,690 --> 00:40:22,027 Like a woman. 867 00:40:27,597 --> 00:40:29,577 I vote for both of them. 868 00:40:30,365 --> 00:40:32,954 That's not an option. We don't have the budget. 869 00:40:34,971 --> 00:40:36,626 Hooper is the worst. 870 00:40:37,507 --> 00:40:38,918 The person I said was the best? 871 00:40:39,641 --> 00:40:42,521 He is arrogant and obnoxious. 872 00:40:42,545 --> 00:40:44,923 If he works here, we'll hate him, 873 00:40:44,947 --> 00:40:48,293 the work will suffer, and we'll either kill patients 874 00:40:48,318 --> 00:40:50,014 or we'll kill him. 875 00:40:56,192 --> 00:40:59,106 And there is no way that you don't see that, which makes me think... 876 00:41:02,385 --> 00:41:03,527 You do. 877 00:41:04,567 --> 00:41:05,567 This was a test. 878 00:41:07,070 --> 00:41:10,867 You just wanted to see if we'd be totally honest. 879 00:41:12,675 --> 00:41:14,987 Well done. 880 00:41:15,010 --> 00:41:17,655 Hooper is definitely the worst. 881 00:41:17,679 --> 00:41:20,159 I only let him shadow as a favor to a board member. 882 00:41:20,182 --> 00:41:21,693 I figured I'd give him a second chance 883 00:41:21,717 --> 00:41:23,380 after his obnoxious interview. 884 00:41:23,853 --> 00:41:26,175 And also do a little experiment. 885 00:41:28,824 --> 00:41:29,824 So... 886 00:41:30,860 --> 00:41:35,240 It's Jordan, Asher, 887 00:41:35,264 --> 00:41:38,228 Olivia, and Enrique. 888 00:41:40,670 --> 00:41:43,315 To the next phase of your surgical training. 889 00:41:43,338 --> 00:41:44,884 You helped pick them. 890 00:41:44,907 --> 00:41:47,753 As senior residents, it's now your job to help train them. 891 00:41:47,777 --> 00:41:50,054 And don't take this responsibility lightly, 892 00:41:50,079 --> 00:41:51,867 because if you don't train them well, 893 00:41:52,181 --> 00:41:53,411 people will die.