1 00:00:01,535 --> 00:00:03,971 Hello. I'm Freddie Highmore. 2 00:00:04,105 --> 00:00:07,241 The following episode portrays our hope for the future, 3 00:00:07,375 --> 00:00:09,343 a future where no one will have to wear masks 4 00:00:09,477 --> 00:00:12,280 or take other steps to stay safe from COVID. 5 00:00:12,413 --> 00:00:15,283 Until then, please protect yourself and others. 6 00:00:18,686 --> 00:00:19,987 I'm Jordan Allen. 7 00:00:20,121 --> 00:00:22,190 My first year in med school, I designed an ankle brace 8 00:00:22,323 --> 00:00:25,359 that monitors extent of immobilization via a phone app. 9 00:00:25,493 --> 00:00:26,994 When I licensed it to Bioventus, 10 00:00:27,128 --> 00:00:29,463 I was able to pay off over half my student loans. 11 00:00:31,099 --> 00:00:32,466 John Lundberg. 12 00:00:32,600 --> 00:00:35,303 I've worked every summer since I was 16 at Camp Hope Heartland, 13 00:00:35,436 --> 00:00:37,671 a summer program for kids with cancer in Des Moines, 14 00:00:37,805 --> 00:00:38,539 where I grew up. 15 00:00:39,140 --> 00:00:40,674 Asher Wolke. 16 00:00:40,808 --> 00:00:42,042 Uh, when I was 18, 17 00:00:42,176 --> 00:00:45,879 I left the Hasidic community that I was raised in. 18 00:00:46,013 --> 00:00:47,648 I realized if there really was a God, 19 00:00:47,781 --> 00:00:49,650 it had to be a cruel being 20 00:00:49,783 --> 00:00:52,052 that I felt nothing but contempt for. 21 00:00:53,354 --> 00:00:55,189 That's also when I decided to go to med school, 22 00:00:55,323 --> 00:00:56,524 and start dating men. 23 00:01:00,928 --> 00:01:04,398 I'm Olivia Jackson. I'm 25. From Chicago. 24 00:01:07,435 --> 00:01:09,570 I play ragtime piano alone in my apartment. 25 00:01:12,340 --> 00:01:13,874 Is that interesting? 26 00:01:14,007 --> 00:01:15,609 Will Hooper. 27 00:01:15,743 --> 00:01:18,146 Technically, I'm a professional athlete. 28 00:01:18,279 --> 00:01:20,047 Although in a sport nobody pays attention to, 29 00:01:20,181 --> 00:01:22,616 and the stipend barely covers our training expenses, 30 00:01:22,750 --> 00:01:25,519 but I'm on the US National Rowing team. 31 00:01:26,187 --> 00:01:27,188 Men's Eight. 32 00:01:28,822 --> 00:01:31,525 Hey, I'm Enrique. 33 00:01:31,659 --> 00:01:33,861 I spent last summer in Costa Rica, 34 00:01:33,994 --> 00:01:37,598 where I learned to surf, which I'm totally obsessed with now. 35 00:01:37,731 --> 00:01:42,970 Uh, I had a pretty interesting encounter with a saltwater crocodile. 36 00:01:43,103 --> 00:01:44,538 I just thought it was a big... 37 00:01:44,672 --> 00:01:46,540 Why are you wearing a swimsuit? 38 00:01:49,377 --> 00:01:51,212 Oh, they're actually hybrid boardshorts. 39 00:01:52,045 --> 00:01:53,914 I like to work hard, 40 00:01:54,047 --> 00:01:55,416 and it's easier to do when you're comfortable. 41 00:01:56,917 --> 00:02:00,621 Plus, I think the casual dress puts patients at ease. 42 00:02:05,426 --> 00:02:06,494 Uh... 43 00:02:06,627 --> 00:02:07,861 And Dr. Lim said that the 44 00:02:08,862 --> 00:02:09,597 shorts were fine. 45 00:02:11,232 --> 00:02:14,468 Hospital policy requires all residents to... 46 00:02:14,602 --> 00:02:16,470 He's not a resident. He's a resident applicant. 47 00:02:16,604 --> 00:02:18,772 One of six finalists for four openings. 48 00:02:18,906 --> 00:02:20,774 Now, they'll be shadowing for two days. 49 00:02:20,908 --> 00:02:22,476 Give them the grand tour, show them the ropes, 50 00:02:22,610 --> 00:02:23,644 feel free to turn up the heat a bit. 51 00:02:23,777 --> 00:02:24,978 See how they react under pressure. 52 00:02:25,112 --> 00:02:27,615 You will be responsible for supervising them, 53 00:02:27,748 --> 00:02:29,417 so I want your totally honest input 54 00:02:29,550 --> 00:02:30,918 before I make any final decisions. 55 00:02:31,051 --> 00:02:31,985 Those shorts... 56 00:02:32,119 --> 00:02:33,687 Let's call them strike one. 57 00:02:33,821 --> 00:02:36,757 Oh, and in addition to being an Olympian, 58 00:02:36,890 --> 00:02:38,326 Will Hooper is a Rhodes 59 00:02:38,459 --> 00:02:40,794 and graduated top of his class at Stanford. 60 00:02:40,928 --> 00:02:42,463 He is very handsome. 61 00:02:42,596 --> 00:02:43,964 He's very full of himself. 62 00:02:44,097 --> 00:02:45,999 He's ranked first by every top program, 63 00:02:46,133 --> 00:02:48,569 so whatever you can do to recruit him to ours, do it. 64 00:02:48,702 --> 00:02:50,504 I can already give you my input on the sh... 65 00:02:50,638 --> 00:02:52,105 Don't judge a book by its boardshorts. 66 00:03:03,317 --> 00:03:04,552 You wanted to see me? 67 00:03:04,685 --> 00:03:06,186 Good morning. 68 00:03:06,320 --> 00:03:08,121 Sorry. Good morning. 69 00:03:08,256 --> 00:03:09,790 What'd I do wrong? 70 00:03:09,923 --> 00:03:10,958 Just wanted to check in. 71 00:03:11,091 --> 00:03:12,626 See how the new role was coming along. 72 00:03:13,126 --> 00:03:13,827 Honestly? 73 00:03:16,430 --> 00:03:19,767 You could start our new supervisor-resident relationship with a lie. 74 00:03:19,900 --> 00:03:20,668 That's always fun. 75 00:03:22,936 --> 00:03:24,638 Internal medicine is 76 00:03:25,473 --> 00:03:26,474 boring. 77 00:03:27,741 --> 00:03:30,010 Between smokers and obese diabetics, 78 00:03:30,143 --> 00:03:31,645 seems like all I'm doing is protecting people from themselves. 79 00:03:35,483 --> 00:03:37,050 As a surgical resident, 80 00:03:37,184 --> 00:03:38,719 you never treated drunk drivers? 81 00:03:38,852 --> 00:03:40,554 Or extracted random objects from guys'... 82 00:03:40,688 --> 00:03:42,556 I get it. People are stupid. 83 00:03:42,690 --> 00:03:43,657 Not my point, but true. 84 00:03:46,694 --> 00:03:48,195 Not the same adrenaline rush, 85 00:03:48,329 --> 00:03:50,664 but internal medicine can be rewarding. 86 00:03:51,565 --> 00:03:53,667 Given time, if you're patient. 87 00:03:55,303 --> 00:03:56,270 Thanks. 88 00:03:59,507 --> 00:04:01,342 That is not how I thought this meeting was gonna go. 89 00:04:03,010 --> 00:04:04,678 I thought one of the nurses complained about me. 90 00:04:04,812 --> 00:04:07,615 Wasn't just one. 91 00:04:07,748 --> 00:04:10,684 And if it happens again, this meeting will go exactly how you thought it would. 92 00:04:24,197 --> 00:04:25,265 Sorry. 93 00:04:25,399 --> 00:04:26,700 I should've just canceled the appointment. 94 00:04:27,401 --> 00:04:28,736 You were right. 95 00:04:28,869 --> 00:04:30,070 Dizziness went away as soon as I stopped 96 00:04:30,203 --> 00:04:31,472 drinking coffee and Red Bull all day. 97 00:04:31,605 --> 00:04:32,606 No worries. 98 00:04:33,974 --> 00:04:35,075 Can you lie flat on your back, please? 99 00:04:35,208 --> 00:04:35,943 Yeah. 100 00:04:37,478 --> 00:04:38,979 You get that scar in a fire? 101 00:04:39,112 --> 00:04:40,080 Sort of. 102 00:04:40,213 --> 00:04:42,450 A homemade Roman candle when I was 12. 103 00:04:42,583 --> 00:04:44,184 You'd be surprised 104 00:04:44,318 --> 00:04:46,954 how many of us at the firehouse were pyros as kids. 105 00:04:47,087 --> 00:04:49,690 I made a potato gun for my sixth-grade science fair. 106 00:04:49,823 --> 00:04:51,224 Almost got me kicked out of school. 107 00:04:51,359 --> 00:04:52,793 You'll have to come visit us sometime. 108 00:04:52,926 --> 00:04:53,727 You'd fit right in. 109 00:04:56,930 --> 00:04:58,065 You see something? 110 00:04:58,198 --> 00:04:59,800 Don't talk. Just breathe normally. 111 00:05:08,241 --> 00:05:09,743 You have a large tumor on the wall of your heart. 112 00:05:11,379 --> 00:05:12,312 Cancer? 113 00:05:12,446 --> 00:05:13,847 I don't know. 114 00:05:13,981 --> 00:05:15,649 But you're definitely gonna need surgery. 115 00:05:16,249 --> 00:05:17,150 As soon as possible. 116 00:05:30,498 --> 00:05:32,466 I appreciate you letting me share your case with the whole class. 117 00:05:32,600 --> 00:05:34,101 No problem. 118 00:05:34,234 --> 00:05:36,169 I stopped being shy after the 100th time I had to do this. 119 00:05:36,303 --> 00:05:39,407 I'll be using a version of Lejour's technique I've adapted. 120 00:05:39,540 --> 00:05:41,542 We'll divide the breast into three pedicles, 121 00:05:41,675 --> 00:05:43,143 and then redistribute the tissue 122 00:05:43,276 --> 00:05:44,545 and insert saline implants 123 00:05:44,678 --> 00:05:46,346 to correct the tuberous breast deformity. 124 00:05:46,480 --> 00:05:49,216 Why would you want breast implants? 125 00:05:49,349 --> 00:05:51,952 You're beautiful. And your breasts look fine just the way they are. 126 00:05:52,085 --> 00:05:53,687 No. No, they don't. 127 00:05:53,821 --> 00:05:55,789 The base is constricted, 128 00:05:55,923 --> 00:05:57,858 horizontal development is deficient, 129 00:05:57,991 --> 00:05:59,493 and the nipple-areola complex... 130 00:05:59,627 --> 00:06:01,695 Murphy. It's okay. He's right. 131 00:06:01,829 --> 00:06:02,796 That's why I'm here. 132 00:06:04,297 --> 00:06:05,999 Thank you. 133 00:06:06,133 --> 00:06:08,168 I know that you're trying to be nice. 134 00:06:08,301 --> 00:06:10,771 My friends and family have been telling me for years, 135 00:06:10,904 --> 00:06:12,540 "You're beautiful just the way you are." 136 00:06:12,673 --> 00:06:14,708 But I don't feel beautiful. 137 00:06:14,842 --> 00:06:16,977 You're 17. 138 00:06:17,110 --> 00:06:19,146 Every girl your age feels like that. 139 00:06:19,279 --> 00:06:20,981 That can't be true. 140 00:06:21,114 --> 00:06:23,383 Tuberous breast deformity is a rare condition. 141 00:06:23,517 --> 00:06:24,985 We're not going to debate 142 00:06:25,118 --> 00:06:27,054 a personal decision the patient's already made. 143 00:06:28,556 --> 00:06:31,525 I've been thinking about this since I was 13. 144 00:06:31,659 --> 00:06:33,561 Every time I look in the mirror. 145 00:06:33,694 --> 00:06:35,195 I'm about to start college, 146 00:06:35,328 --> 00:06:37,898 and there is no way that I'm gonna begin this new chapter 147 00:06:38,031 --> 00:06:38,832 until I'm fixed. 148 00:06:40,701 --> 00:06:41,702 Great. 149 00:06:45,338 --> 00:06:48,008 You thinking median sternotomy or right thoracotomy? 150 00:06:48,141 --> 00:06:50,511 I'm thinking I should finish my review of the imaging. 151 00:06:50,644 --> 00:06:51,845 Sure. No rush. 152 00:06:53,146 --> 00:06:54,848 Actually, there is a bit of a rush. 153 00:06:54,982 --> 00:06:57,184 But you know what I mean. 154 00:06:57,317 --> 00:06:59,419 So, newbies. What up? Where y'all from? 155 00:06:59,553 --> 00:07:00,554 Like hometowns, or... 156 00:07:00,688 --> 00:07:01,889 Med schools. 157 00:07:02,022 --> 00:07:02,756 Why would I care where you grew up? 158 00:07:02,890 --> 00:07:03,857 Stanford. 159 00:07:03,991 --> 00:07:05,392 Uh, NYU. Harvard. 160 00:07:05,526 --> 00:07:06,226 Preferred specialties? 161 00:07:06,894 --> 00:07:08,361 Ortho. All the way. 162 00:07:08,496 --> 00:07:09,597 Neuro. 163 00:07:09,730 --> 00:07:11,131 I'm planning a dual specialty 164 00:07:11,264 --> 00:07:12,833 in neonatal and pediatric oncology. 165 00:07:12,966 --> 00:07:14,201 Impressive. Also unlikely. 166 00:07:14,334 --> 00:07:16,036 I know, it's a ton of work, 167 00:07:16,169 --> 00:07:17,605 but I'm pretty good at multi-tasking. 168 00:07:17,738 --> 00:07:19,607 In med school, I did a combined MD/PhD... 169 00:07:19,740 --> 00:07:21,274 What's your mom do? My mom? 170 00:07:21,408 --> 00:07:22,876 Don't stall. Just answer. 171 00:07:23,010 --> 00:07:23,877 She teaches high-school French. 172 00:07:25,012 --> 00:07:26,213 Homemaker. 173 00:07:26,346 --> 00:07:27,280 Surgeon. 174 00:07:27,414 --> 00:07:28,882 Ouch. Dad? 175 00:07:29,016 --> 00:07:29,983 Also a surgeon. 176 00:07:30,117 --> 00:07:31,451 Double ouch. And yours? 177 00:07:31,585 --> 00:07:32,720 Hasidic rabbi. 178 00:07:32,853 --> 00:07:33,887 You've left the nest. 179 00:07:34,021 --> 00:07:36,189 Actually, the... the whole forest. 180 00:07:36,323 --> 00:07:38,158 And yours obviously works on Wall Street. 181 00:07:38,291 --> 00:07:39,860 But not a trader. 182 00:07:39,993 --> 00:07:42,095 I'm guessing... an M&A lawyer? 183 00:07:42,229 --> 00:07:43,263 How'd you know? 184 00:07:43,396 --> 00:07:44,532 She's read your resume, 185 00:07:44,665 --> 00:07:45,933 researched your social media. 186 00:07:46,066 --> 00:07:47,935 She's probably run a credit check, too. 187 00:07:48,068 --> 00:07:50,303 And you're under 50, but wear Brooks Brothers button-downs. 188 00:07:50,437 --> 00:07:51,772 Are you done yet? 189 00:07:52,606 --> 00:07:53,941 Left thoracotomy 190 00:07:54,074 --> 00:07:56,610 with a possible incision into the right atrium 191 00:07:56,744 --> 00:07:58,512 and inter-atrial septum as needed. 192 00:07:58,646 --> 00:08:00,480 Left atrial approach through Sondergaard's groove 193 00:08:00,614 --> 00:08:01,348 makes more sense. 194 00:08:01,915 --> 00:08:02,916 Not to me. 195 00:08:04,785 --> 00:08:05,786 He's my patient. 196 00:08:05,919 --> 00:08:07,454 But you're not a surgeon. 197 00:08:07,588 --> 00:08:09,790 Which is why there is no reason for you to be grilling them, 198 00:08:09,923 --> 00:08:11,424 or picking the approach. 199 00:08:11,559 --> 00:08:13,326 Stop worrying about protecting your turf. 200 00:08:13,460 --> 00:08:14,494 Stop stepping all over it. 201 00:08:14,628 --> 00:08:16,730 You're looking at tests I did for my patient. 202 00:08:16,864 --> 00:08:18,231 How am I stepping all over your turf? 203 00:08:18,365 --> 00:08:20,668 I think what Dr. Browne is trying to say is, 204 00:08:20,801 --> 00:08:22,469 given there's no perfect approach, 205 00:08:22,603 --> 00:08:23,637 maybe it's best to defer 206 00:08:23,771 --> 00:08:25,138 to the surgical department's recommendation. 207 00:08:26,774 --> 00:08:27,641 Did he just mansplain? 208 00:08:29,009 --> 00:08:29,943 Not at all. I... I was just trying... 209 00:08:30,077 --> 00:08:31,344 So you're just gonna do it again? 210 00:08:31,478 --> 00:08:32,512 No, I'm just trying... 211 00:08:32,646 --> 00:08:33,413 Shut up. 212 00:08:35,482 --> 00:08:36,984 We're gonna go in through a left thoracotomy. 213 00:08:37,985 --> 00:08:39,119 Not my preference, 214 00:08:39,252 --> 00:08:40,453 but it'll work. 215 00:08:42,723 --> 00:08:43,791 What were you thinking? 216 00:08:43,924 --> 00:08:45,292 You thought you'd impress me 217 00:08:45,425 --> 00:08:48,762 by undermining the patient's confidence in my judgment? 218 00:08:48,896 --> 00:08:50,363 I'm sorry. That wasn't my intent. 219 00:08:50,497 --> 00:08:52,165 And you're supposed to be a mentor now, 220 00:08:52,299 --> 00:08:53,867 modeling professional behavior, 221 00:08:54,001 --> 00:08:55,969 not making it worse, Murphy. 222 00:08:56,103 --> 00:08:58,471 She questioned your surgical plan. 223 00:08:58,606 --> 00:08:59,740 I defended it. 224 00:08:59,873 --> 00:09:01,041 How can we both be wrong? 225 00:09:01,174 --> 00:09:03,711 I don't need you to defend me. 226 00:09:03,844 --> 00:09:07,147 And I never wanna have a surgical debate in front of a patient. 227 00:09:07,280 --> 00:09:08,982 We're not in front of the patient now. 228 00:09:11,151 --> 00:09:13,721 The patient's breasts are small and a bit asymmetrical, 229 00:09:13,854 --> 00:09:15,856 but no woman's breasts are perfectly shaped. 230 00:09:17,524 --> 00:09:20,794 You're wearing Prada shoes and a Dolce & Gabbana blouse, 231 00:09:20,928 --> 00:09:22,529 which cost more than most med students' rent, 232 00:09:22,663 --> 00:09:24,497 so, clearly, you understand 233 00:09:24,632 --> 00:09:27,234 your appearance has a tremendous impact on how people treat you. 234 00:09:27,367 --> 00:09:30,570 There's a difference between nice clothes and a major surgery. 235 00:09:32,339 --> 00:09:34,341 And I also understand the cosmetic surgery industry 236 00:09:34,474 --> 00:09:37,477 is dominated by male physicians with a sexist bias. 237 00:09:44,852 --> 00:09:47,454 I've invited you to observe as a learning opportunity. 238 00:09:48,856 --> 00:09:49,923 So I'd suggest 239 00:09:50,057 --> 00:09:51,158 less lecturing 240 00:09:51,291 --> 00:09:52,425 and more listening. 241 00:09:55,663 --> 00:09:57,364 We'll access the tumor via an incision 242 00:09:57,497 --> 00:09:59,099 in the chest wall between your ribs. 243 00:09:59,232 --> 00:10:00,367 It'll be an easier recovery 244 00:10:00,500 --> 00:10:01,969 than if we opened your sternum. 245 00:10:02,102 --> 00:10:04,537 Are you sure you don't want us to call your family 246 00:10:04,672 --> 00:10:05,605 before we put you under? 247 00:10:05,739 --> 00:10:07,574 Why? So they can freak out and worry? 248 00:10:07,708 --> 00:10:09,109 I'd rather just give them the good news when it's over. 249 00:10:11,178 --> 00:10:13,413 It is going to be good news, right? 250 00:10:13,546 --> 00:10:15,783 With a bit of cardiac rehab and a positive attitude, 251 00:10:15,916 --> 00:10:17,384 which I know you have, 252 00:10:17,517 --> 00:10:19,052 you'll be back sliding down the fire pole in no time. 253 00:10:19,853 --> 00:10:21,188 Our firehouse has stairs. 254 00:10:21,321 --> 00:10:22,422 Hmm. Bummer. 255 00:10:24,557 --> 00:10:25,893 It's a social media group 256 00:10:26,026 --> 00:10:27,294 where we all pretend to be ants. 257 00:10:28,395 --> 00:10:29,596 Why? 258 00:10:29,730 --> 00:10:33,266 Because ants don't care about politics, sports teams, 259 00:10:33,400 --> 00:10:35,402 or anything else people get so savage about. 260 00:10:35,535 --> 00:10:38,438 Male ants develop from unfertilized eggs, 261 00:10:38,571 --> 00:10:41,608 which means they don't have a father and can't have sons. 262 00:10:41,742 --> 00:10:44,577 But they do have grandfathers and can have grandsons. 263 00:10:44,712 --> 00:10:45,412 Interesting. 264 00:10:45,545 --> 00:10:46,880 And confusing. 265 00:10:47,014 --> 00:10:50,283 Is it just me, or are those doctors watching us? 266 00:10:50,417 --> 00:10:52,820 They're the new resident applicants. 267 00:10:52,953 --> 00:10:55,555 They're here so Park, Claire, and I can evaluate them for Dr. Lim. 268 00:10:56,824 --> 00:10:58,091 So, why are they standing over there? 269 00:10:59,192 --> 00:11:01,729 Park had a video chat with Kellan, 270 00:11:01,862 --> 00:11:03,731 and I had a real lunch with you. 271 00:11:03,864 --> 00:11:08,268 Shaun, you can't just have them stand there while you eat. 272 00:11:08,401 --> 00:11:10,403 Part of being a good boss is being a good host. 273 00:11:10,537 --> 00:11:12,105 You need to introduce them to people. 274 00:11:14,775 --> 00:11:16,109 Like me. Right now. 275 00:11:18,979 --> 00:11:19,713 Come here, please. 276 00:11:22,783 --> 00:11:24,852 Dr. Allen, Dr. Lundberg, Dr. Guerin, 277 00:11:24,985 --> 00:11:26,019 this is my girlfriend, Lea. 278 00:11:26,153 --> 00:11:27,154 She runs the IT department now. 279 00:11:27,921 --> 00:11:29,122 Okay. 280 00:11:29,256 --> 00:11:31,424 Nice to meet you all. Please join us. 281 00:11:31,558 --> 00:11:33,426 Shaun's been telling me all about you. 282 00:11:33,560 --> 00:11:36,830 Mmm. N... No. I haven't. 283 00:11:36,964 --> 00:11:40,033 So, I hope Shaun's not being too hard on you. 284 00:11:40,167 --> 00:11:42,169 No, he's been great. 285 00:11:42,302 --> 00:11:44,471 And the case we're observing is really interesting. 286 00:11:44,604 --> 00:11:47,707 We're correcting a 17-year-old girl's tuberous breasts 287 00:11:47,841 --> 00:11:49,342 with saline implants. 288 00:11:49,476 --> 00:11:52,012 Dr. Allen told Dr. Andrews it was unethical. 289 00:11:52,145 --> 00:11:53,346 He got mad. 290 00:11:53,480 --> 00:11:55,382 I didn't say it was unethical. I just... 291 00:11:57,484 --> 00:11:59,019 I suppose I shouldn't have interfered. 292 00:12:00,821 --> 00:12:03,156 Well, I don't know what a tuberous breast is, 293 00:12:03,290 --> 00:12:05,058 but I think implants are way overrated. 294 00:12:06,894 --> 00:12:09,496 That's because your breasts are excellent. 295 00:12:09,629 --> 00:12:10,530 Thank you. 296 00:12:11,598 --> 00:12:12,665 That's exactly my point. 297 00:12:13,801 --> 00:12:15,368 Mine aren't huge, 298 00:12:15,502 --> 00:12:17,737 but every guy who's ever seen them up close and personal 299 00:12:17,871 --> 00:12:18,638 has been thrilled. 300 00:12:19,840 --> 00:12:21,775 I definitely was. 301 00:12:21,909 --> 00:12:24,344 I am thrilled by every part of your body. 302 00:12:27,214 --> 00:12:30,017 Sorry. My bad. Total TMI. 303 00:12:30,150 --> 00:12:32,886 I'm not even bothered by your adenoidal voice. 304 00:12:33,020 --> 00:12:35,055 Except when you talk to your mom on the phone. 305 00:12:35,188 --> 00:12:36,890 But I just put on headphones. 306 00:12:42,129 --> 00:12:45,198 At least you'll know he'll be a totally honest boss. 307 00:12:51,972 --> 00:12:53,740 The incision's extended superiorly 308 00:12:53,874 --> 00:12:55,408 to meet the atriotomy, 309 00:12:55,542 --> 00:12:58,111 and then the inter-atrial septum is opened up. Retractor. 310 00:12:58,245 --> 00:13:01,581 A Carpentier retractor is used to visualize the mitral valve. 311 00:13:01,714 --> 00:13:03,283 That will allow a clear view of the tumor. 312 00:13:03,416 --> 00:13:04,784 Can we turn the channel? 313 00:13:04,918 --> 00:13:07,054 Color commentary's getting a bit annoying. 314 00:13:07,187 --> 00:13:08,421 With the right atrium opened obliq... 315 00:13:11,224 --> 00:13:13,861 How's Team Browne? Any early standouts? 316 00:13:13,994 --> 00:13:16,296 Jackson's a bit timid, but smart. 317 00:13:16,429 --> 00:13:18,798 Wolke is definitely enthusiastic. 318 00:13:18,932 --> 00:13:21,301 And your star recruit is... 319 00:13:22,936 --> 00:13:23,803 pretty full of himself. 320 00:13:25,205 --> 00:13:27,340 I'm looking for surgeons, and according to his recs, 321 00:13:27,474 --> 00:13:29,809 he can dissect and suture like a pro. 322 00:13:29,943 --> 00:13:32,345 I thought you were also looking for our input. 323 00:13:32,479 --> 00:13:34,681 He's ranked first by every top program. 324 00:13:34,814 --> 00:13:36,149 You really think they're all wrong and you're right? 325 00:13:39,686 --> 00:13:41,588 So, what brings you all to the biz? 326 00:13:41,721 --> 00:13:43,924 Had my ACL reconstructed in high school, 327 00:13:44,057 --> 00:13:45,492 both my rotators in college. 328 00:13:46,593 --> 00:13:48,428 I love the idea of fixing people, 329 00:13:48,561 --> 00:13:50,330 helping them be the best they can be. 330 00:13:51,932 --> 00:13:53,934 Surgeons are the ones with the God complex, right? 331 00:13:56,803 --> 00:13:57,537 I have that. 332 00:13:59,806 --> 00:14:02,409 I spent my life speaking Yiddish and studying the Talmud, 333 00:14:02,542 --> 00:14:04,277 and not shaving the sides of my hair, 334 00:14:04,411 --> 00:14:06,046 because someone up there supposedly cares. 335 00:14:07,114 --> 00:14:08,315 Uh, but then I realized 336 00:14:10,417 --> 00:14:11,284 no one's up there. 337 00:14:12,920 --> 00:14:15,088 No one cares. 338 00:14:15,222 --> 00:14:18,791 No benevolent higher power is going to save us, so... 339 00:14:20,493 --> 00:14:21,494 We have to save each other. 340 00:14:24,731 --> 00:14:26,166 Can you top that? 341 00:14:26,299 --> 00:14:28,835 Definitely not. Try anyway. 342 00:14:28,969 --> 00:14:32,139 You're obviously smart. You've got two degrees from Harvard. 343 00:14:32,272 --> 00:14:34,107 My parents are Harvard alums, so... 344 00:14:34,241 --> 00:14:35,442 I'm sure that helped me get in. 345 00:14:35,575 --> 00:14:37,010 You're not gonna get hired by undermining your own... 346 00:14:38,578 --> 00:14:40,547 Something went wrong. 347 00:14:40,680 --> 00:14:41,848 Looks like they nicked a pulmonary artery. 348 00:14:41,982 --> 00:14:44,084 No. If they had, Browne would be suctioning 349 00:14:44,217 --> 00:14:45,318 instead of Lim reaching in with her hands. 350 00:14:50,023 --> 00:14:51,158 What are they doing now? 351 00:14:51,959 --> 00:14:52,926 Nothing. 352 00:14:53,994 --> 00:14:55,195 We can't access the tumor 353 00:14:55,328 --> 00:14:57,364 without compromising his entire cardiac outflow tract. 354 00:14:57,497 --> 00:15:00,067 What about going in the way I suggested? The median sternotomy. 355 00:15:00,200 --> 00:15:02,035 The tumor's too far back. We need to close him up. 356 00:15:10,710 --> 00:15:13,280 Proton beam radiation would be too toxic to the heart. 357 00:15:13,413 --> 00:15:15,248 So is immunotherapy. 358 00:15:15,382 --> 00:15:17,517 We can't access the entire tumor surgically, 359 00:15:17,650 --> 00:15:20,520 and we can't kill it without killing his heart along with it. 360 00:15:20,653 --> 00:15:22,455 What if we cut out the parts we can access 361 00:15:22,589 --> 00:15:25,725 and try our luck with chemo on what's left? 362 00:15:25,858 --> 00:15:29,129 IV doxorubicin and ifosfamide might slow the growth, 363 00:15:29,262 --> 00:15:30,663 give him a few more months. 364 00:15:30,797 --> 00:15:32,899 No, I'm not sending my patient home with just a few extra months. 365 00:15:33,033 --> 00:15:34,067 It's better than nothing. 366 00:15:34,201 --> 00:15:35,568 What about a transplant? 367 00:15:35,702 --> 00:15:36,736 Not an option. 368 00:15:36,869 --> 00:15:38,972 Heart tumors are a contraindication. 369 00:15:39,106 --> 00:15:41,541 What if we transplant his own heart? 370 00:15:41,674 --> 00:15:43,276 If we take it totally out of his chest, 371 00:15:43,410 --> 00:15:45,112 we'd have access to the posterior heart. 372 00:15:45,245 --> 00:15:46,279 We could excise the tumor, 373 00:15:46,413 --> 00:15:47,447 fix the defect it left behind, 374 00:15:47,580 --> 00:15:48,948 and then put it back in. Cool. 375 00:15:49,082 --> 00:15:50,517 Mmm. Not cool. 376 00:15:50,650 --> 00:15:52,119 At least with a normal heart transplant, 377 00:15:52,252 --> 00:15:53,786 you'd be getting a healthy heart. 378 00:15:53,920 --> 00:15:56,289 Her idea keeps the risk of removing the heart, 379 00:15:56,423 --> 00:15:58,791 and adds the risk that the heart we'd be putting back in 380 00:15:58,925 --> 00:16:00,327 has just been severely compromised 381 00:16:00,460 --> 00:16:02,262 having had a tumor cut out of it. 382 00:16:02,395 --> 00:16:05,098 He's young, and the part of his heart not infiltrated with tumor is strong. 383 00:16:08,768 --> 00:16:12,572 Do a cardiac MRA and see if the tumor's infiltrated the coronary arteries. 384 00:16:12,705 --> 00:16:14,274 If it hasn't, Morgan's idea could work. 385 00:16:14,407 --> 00:16:15,408 I'll schedule it. 386 00:16:18,978 --> 00:16:21,048 Dr. Murphy is dividing the breast parenchyma 387 00:16:21,181 --> 00:16:22,915 into three pedicles. 388 00:16:23,050 --> 00:16:25,118 Anyone know where this technique is derived from? 389 00:16:25,252 --> 00:16:26,419 Breast reduction surgery. 390 00:16:26,986 --> 00:16:28,621 That's right. 391 00:16:28,755 --> 00:16:31,924 And why would I use a breast reduction technique 392 00:16:32,059 --> 00:16:34,161 to make the patient's breasts larger? 393 00:16:34,294 --> 00:16:35,495 The technique frees up the tissue. 394 00:16:36,629 --> 00:16:38,231 You can bring the pedicles together 395 00:16:38,365 --> 00:16:39,632 to make the breasts smaller 396 00:16:39,766 --> 00:16:42,602 or spread them out over an implant to make them larger. 397 00:16:44,071 --> 00:16:45,205 Very good. 398 00:16:45,338 --> 00:16:47,974 And now I'm going to turn the sound off. 399 00:16:48,108 --> 00:16:49,509 Don't worry. Nothing's wrong. 400 00:16:49,642 --> 00:16:51,478 I just wanna talk about you behind your backs for a little bit. 401 00:16:54,147 --> 00:16:55,615 So, first impressions. 402 00:16:56,249 --> 00:16:57,350 Murphy? 403 00:16:57,484 --> 00:16:59,119 I like Dr. John Lundberg. 404 00:17:00,587 --> 00:17:02,189 I haven't even heard him speak yet. 405 00:17:02,322 --> 00:17:04,157 He has the highest U.S.M.L.E. scores. 406 00:17:04,291 --> 00:17:05,292 And that's important to you? 407 00:17:06,493 --> 00:17:07,460 Yes. 408 00:17:08,795 --> 00:17:11,030 It shows he has a broad knowledge of medicine. 409 00:17:12,299 --> 00:17:14,867 What is important to you? 410 00:17:15,001 --> 00:17:17,870 Well, I'm more interested in what they can do with their knowledge, 411 00:17:18,004 --> 00:17:21,007 which is why, so far, I'm most impressed with Jordan Allen. 412 00:17:21,141 --> 00:17:25,145 No. No, you said she undermined you. 413 00:17:25,278 --> 00:17:29,382 Which takes courage and an assertiveness that will serve her well. 414 00:17:29,516 --> 00:17:32,685 Then why did you tell her to stop lecturing you? 415 00:17:32,819 --> 00:17:35,288 It's easier to teach an aggressive resident restraint 416 00:17:35,422 --> 00:17:37,224 than a passive one to assert themselves. 417 00:17:37,357 --> 00:17:38,358 Oh. 418 00:17:40,460 --> 00:17:42,429 What about you, Park? What's important to you? 419 00:17:42,562 --> 00:17:45,265 I wanna know who I can stand to be around for 80 hours a week. 420 00:17:45,398 --> 00:17:46,833 One thing I learned as a cop, 421 00:17:46,966 --> 00:17:48,335 you don't really know a person 422 00:17:48,468 --> 00:17:49,736 until you've had a few drinks with them. 423 00:17:57,043 --> 00:17:58,511 LAD and circumflex look clean. 424 00:17:58,645 --> 00:18:00,613 What's with the right coronary? 425 00:18:00,747 --> 00:18:02,115 It looks narrowed at the origin. 426 00:18:03,650 --> 00:18:05,585 It's a bit narrow, but looks like a normal variant. 427 00:18:05,718 --> 00:18:07,154 Yeah, but it seems hazy, 428 00:18:07,287 --> 00:18:09,756 like there could be some tumor infiltration. 429 00:18:11,391 --> 00:18:12,125 What do you guys think? 430 00:18:12,759 --> 00:18:14,060 Us? Yeah. 431 00:18:14,194 --> 00:18:14,927 Come take a look. 432 00:18:18,231 --> 00:18:19,466 I guess... 433 00:18:19,599 --> 00:18:20,533 It's angiogenesis of the left... Stop. 434 00:18:22,469 --> 00:18:23,703 Interrupting a female coworker 435 00:18:23,836 --> 00:18:26,038 is almost as annoying as mansplaining. 436 00:18:26,173 --> 00:18:27,340 This isn't a rowing race. 437 00:18:27,474 --> 00:18:28,908 You don't always have to speak first. 438 00:18:30,577 --> 00:18:34,414 I... do not love the interruption. 439 00:18:35,982 --> 00:18:36,949 But... 440 00:18:37,850 --> 00:18:38,951 I like the enthusiasm. 441 00:18:41,087 --> 00:18:41,921 What were you gonna say? 442 00:18:43,690 --> 00:18:45,558 First, um, I'm not sexist. 443 00:18:47,260 --> 00:18:48,761 Of course not. 444 00:18:48,895 --> 00:18:51,298 He's shifting from right to left dominant circulation 445 00:18:51,431 --> 00:18:52,732 to feed blood to the tumor. 446 00:18:52,865 --> 00:18:54,334 Angiogenesis. I doubt it. 447 00:18:54,467 --> 00:18:56,269 Surgery already showed his tumor extending to the right side, as well. 448 00:18:56,403 --> 00:18:57,404 What were you gonna say? 449 00:18:58,838 --> 00:19:00,573 The pulmonary artery is right behind that vessel. 450 00:19:02,975 --> 00:19:05,478 It's causing radiographic scatter in this area. 451 00:19:05,612 --> 00:19:06,946 The haze is just an artifact. 452 00:19:07,747 --> 00:19:08,615 His arteries are clean. 453 00:19:10,450 --> 00:19:11,484 I think she's right. 454 00:19:11,884 --> 00:19:12,885 Hmm. 455 00:19:15,422 --> 00:19:16,789 Your idea might just work. 456 00:19:22,329 --> 00:19:24,597 If you invert the sutures and bury them under the skin, 457 00:19:24,731 --> 00:19:26,599 the scar will be invisible. 458 00:19:26,733 --> 00:19:28,000 No one will ever know we were here. 459 00:19:30,737 --> 00:19:31,604 Nice work, both of you. 460 00:19:34,307 --> 00:19:35,708 Her BP's dropping. 461 00:19:35,842 --> 00:19:38,077 Push fluids, start IV pressors. Check for bleeding. 462 00:19:38,211 --> 00:19:40,280 She's in V-tach. Move in the crash cart. 463 00:19:42,549 --> 00:19:44,083 No bleeding. No hematomas. 464 00:19:45,552 --> 00:19:47,053 Charging. 465 00:19:47,854 --> 00:19:48,888 Clear. 466 00:19:57,464 --> 00:19:59,766 Sinus rhythm. Her BP is stabilizing. 467 00:20:02,802 --> 00:20:06,373 Get her to the ICU. I want post-op labs, CTA chest, 468 00:20:06,506 --> 00:20:07,874 and full 24-hour cardiac telemetry. 469 00:20:09,942 --> 00:20:10,710 We need to figure out what just happened. 470 00:20:18,551 --> 00:20:20,353 She's stable, 471 00:20:20,487 --> 00:20:22,021 but diffuse delta wave slowing. 472 00:20:22,154 --> 00:20:23,990 Minimal brain activity. 473 00:20:24,123 --> 00:20:26,793 An undiagnosed metabolic disorder could've caused 474 00:20:26,926 --> 00:20:28,295 an adverse reaction to the anesthesia. 475 00:20:28,428 --> 00:20:30,563 Yeah, but her pre-op labs were all normal. 476 00:20:30,697 --> 00:20:33,533 It's gotta be some sort of hidden heart condition. 477 00:20:33,666 --> 00:20:36,903 You're big on opinions. How are you with ideas? What would you do next? 478 00:20:39,539 --> 00:20:40,840 I'd check train of fours 479 00:20:40,973 --> 00:20:43,810 and reverse the paralytics with neostigmine. 480 00:20:43,943 --> 00:20:45,878 If Dr. Murphy's right, she should wake up. 481 00:20:46,546 --> 00:20:48,581 Smart. But risky. 482 00:20:48,715 --> 00:20:50,450 The meds will stress her heart. 483 00:20:50,583 --> 00:20:52,385 If Park's right, she could arrest again. 484 00:20:54,354 --> 00:20:56,556 I saw a similar case last year. In Borneo. 485 00:20:56,689 --> 00:20:58,491 You interned at a hospital in Borneo? 486 00:20:58,625 --> 00:21:01,761 Uh, no. I, uh, volunteered at an orangutan rescue foundation. 487 00:21:03,630 --> 00:21:06,799 Our guide, a local villager, fell out of a tree. 488 00:21:06,933 --> 00:21:08,234 He was, like, 80 feet up. 489 00:21:08,368 --> 00:21:11,103 How is falling out of a tree similar to a patient arresting 490 00:21:11,237 --> 00:21:13,440 during breast reconstruction surgery? 491 00:21:13,573 --> 00:21:15,107 Well, he broke his back, 492 00:21:15,241 --> 00:21:16,676 uh, but when we got him to the hospital, 493 00:21:16,809 --> 00:21:18,711 I found he also had heart damage from rheumatic fever 494 00:21:18,845 --> 00:21:22,415 and metabolic abnormality from iodine deficiency. 495 00:21:22,549 --> 00:21:24,717 It's rare here, but it's common there. 496 00:21:24,851 --> 00:21:26,786 We only realized it when we ran a nuclear profusion scan 497 00:21:26,919 --> 00:21:27,720 of his entire body. 498 00:21:28,521 --> 00:21:30,122 Good catch. 499 00:21:30,256 --> 00:21:33,426 But a scan that extensive requires multiple radioactive tracers. 500 00:21:33,560 --> 00:21:34,694 You think her heart could handle that? 501 00:21:35,227 --> 00:21:36,896 Not tonight. 502 00:21:37,029 --> 00:21:39,131 I'll get consent from the mom. 503 00:21:39,265 --> 00:21:40,567 We'll do it first thing in the morning. 504 00:21:41,634 --> 00:21:43,235 Once we confirm atrial closure, 505 00:21:43,370 --> 00:21:44,937 we'll put the heart back in. 506 00:21:45,071 --> 00:21:46,806 Dr. Lim will reconnect the aorta 507 00:21:46,939 --> 00:21:48,641 and the superior venous connections, 508 00:21:48,775 --> 00:21:50,477 while I connect the inferior. 509 00:21:50,610 --> 00:21:52,111 During my sub-internship, 510 00:21:52,244 --> 00:21:54,347 I assisted on multiple heart transplants. 511 00:21:54,481 --> 00:21:55,648 Even sutured the atrial cuff in one. 512 00:21:57,484 --> 00:21:59,419 I got to scrub in on a liver transplant once. 513 00:22:00,252 --> 00:22:01,287 The... The patient died. 514 00:22:01,421 --> 00:22:03,556 What'd you learn? 515 00:22:03,690 --> 00:22:06,258 That bile duct leaks are a lot harder to detect than bleeds. 516 00:22:06,393 --> 00:22:07,627 Good. Next time, I'd lead with that 517 00:22:07,760 --> 00:22:08,761 instead of the patient's death. 518 00:22:13,265 --> 00:22:14,300 Are you all done yet? 519 00:22:14,434 --> 00:22:15,902 Why? 520 00:22:16,035 --> 00:22:18,805 Dr. Park wants everyone to join him in the break room. 521 00:22:25,845 --> 00:22:27,480 I'm Alex Park. 522 00:22:27,614 --> 00:22:30,617 I'm a former amateur martial arts competitor 523 00:22:30,750 --> 00:22:32,985 who once thought it'd be fun to spar with a pro boxer 524 00:22:33,119 --> 00:22:34,787 visiting my dad's gym. 525 00:22:34,921 --> 00:22:37,156 And that guy was, uh, Mike Tyson. 526 00:22:40,660 --> 00:22:42,061 Who's Mike Tyson? 527 00:22:42,194 --> 00:22:44,797 He's a guy from The Hangover. 528 00:22:44,931 --> 00:22:46,699 With the tiger and the tattoo on his face. 529 00:22:48,267 --> 00:22:50,470 Nice. You've just revealed you're crazy and old. 530 00:22:54,474 --> 00:22:57,176 I've seen the musical Wicked over 50 times. 531 00:22:57,309 --> 00:23:00,413 The San Francisco tryout, Broadway, Chicago. 532 00:23:00,547 --> 00:23:02,815 I've even seen a friend's boyfriend's niece play Glinda 533 00:23:02,949 --> 00:23:04,016 at Stagedoor summer camp. 534 00:23:04,951 --> 00:23:06,619 Nerd. Next. 535 00:23:09,889 --> 00:23:12,391 I'm Claire Browne. 536 00:23:12,525 --> 00:23:15,995 Um, I love music, 537 00:23:16,128 --> 00:23:19,466 but I hate musicals, and, um, I don't... 538 00:23:19,599 --> 00:23:22,134 I don't really like to talk about myself, so it's Shaun's turn. 539 00:23:29,308 --> 00:23:31,444 My name is Dr. Shaun Murphy. 540 00:23:31,578 --> 00:23:33,245 I used to not like music, 541 00:23:33,379 --> 00:23:36,816 but my girlfriend, Lea, she changed my mind. 542 00:23:36,949 --> 00:23:39,852 I also like to watch The Weather Channel on TV. 543 00:23:41,153 --> 00:23:42,121 And... 544 00:23:44,190 --> 00:23:46,125 I think pickles are disgusting. 545 00:23:49,361 --> 00:23:50,863 Cops know how to manage up. 546 00:23:50,997 --> 00:23:52,198 Managing down's another story. 547 00:23:52,331 --> 00:23:54,400 Well, he's mature, thoughtful, 548 00:23:54,534 --> 00:23:55,568 doesn't have an ego. 549 00:23:56,503 --> 00:23:58,237 Neither does Murphy, 550 00:23:58,370 --> 00:24:00,873 but do you think that qualifies him to supervise First Years? 551 00:24:01,508 --> 00:24:03,610 Well, Murphy's smart, 552 00:24:03,743 --> 00:24:05,612 brutally honest, has no regard for social convention. 553 00:24:05,745 --> 00:24:07,013 Mmm. 554 00:24:07,146 --> 00:24:08,280 It works for Bill Belichick. 555 00:24:10,182 --> 00:24:12,251 The Patriots are the most corrupt, dishonest organization 556 00:24:12,384 --> 00:24:13,319 in the history of the NFL. 557 00:24:14,353 --> 00:24:15,321 Well, the Seahawks suck. 558 00:24:17,089 --> 00:24:18,791 So, how's your experience been here? 559 00:24:19,926 --> 00:24:21,193 It's been good. 560 00:24:24,997 --> 00:24:26,799 Did you consider any other programs 561 00:24:26,933 --> 00:24:28,267 or was this your first choice? 562 00:24:28,935 --> 00:24:30,670 This was my only choice. 563 00:24:32,038 --> 00:24:33,305 Why do you hate God? 564 00:24:34,707 --> 00:24:36,909 Oh. Uh, actually, 565 00:24:37,043 --> 00:24:38,911 I don't believe there is a God. 566 00:24:40,346 --> 00:24:42,081 I thought maybe it was because 567 00:24:42,214 --> 00:24:44,416 you believed he hated homosexuals. 568 00:24:44,551 --> 00:24:46,619 I... I don't think this is something 569 00:24:46,753 --> 00:24:48,120 that we should be discussing at work. 570 00:24:51,057 --> 00:24:51,924 Why not? 571 00:24:54,460 --> 00:24:56,929 Well, because it's personal. 572 00:25:00,667 --> 00:25:02,168 Do you have a boyfriend? 573 00:25:02,301 --> 00:25:05,337 I... I'm sorry, but you can't ask that question in a workplace. 574 00:25:05,471 --> 00:25:09,075 Dr. Park, he wants us to get to know you. 575 00:25:09,208 --> 00:25:13,112 How can I do that without asking personal questions? 576 00:25:13,245 --> 00:25:16,448 I have a girlfriend, and she is very important to me. 577 00:25:16,583 --> 00:25:18,150 It affects my life in every way. 578 00:25:19,619 --> 00:25:21,320 Probably should've thought of that before you told her 579 00:25:21,453 --> 00:25:22,955 how much her voice annoyed you. 580 00:25:23,956 --> 00:25:27,126 I said it didn't bother me. 581 00:25:27,259 --> 00:25:28,995 It... It was a compliment. 582 00:25:29,128 --> 00:25:32,298 What I heard is you criticizing her voice, 583 00:25:32,431 --> 00:25:33,966 and you bringing her mother into it. 584 00:25:36,468 --> 00:25:37,203 You're in trouble. 585 00:25:43,743 --> 00:25:45,678 What about Browne? 586 00:25:45,812 --> 00:25:48,147 She may have as much problem being a leader as Murphy, 587 00:25:48,280 --> 00:25:49,015 and without his gifts. 588 00:25:49,849 --> 00:25:51,550 She has her own gifts. 589 00:25:51,684 --> 00:25:54,286 Yeah, dealing with patients and their families. 590 00:25:54,420 --> 00:25:58,157 But with her colleagues, she can be insecure. 591 00:25:58,290 --> 00:26:00,092 Her assertiveness has always been a question mark for me. 592 00:26:00,226 --> 00:26:02,194 They've all got areas that need improving, 593 00:26:02,328 --> 00:26:04,697 but I've gotten to know Browne a bit better these past few months. 594 00:26:06,232 --> 00:26:07,767 She's stronger than she looks. 595 00:26:10,336 --> 00:26:12,504 When's the last time you saw anyone digging a ditch in a suit and tie? 596 00:26:12,639 --> 00:26:14,573 Surgeons don't dig ditches. 597 00:26:14,707 --> 00:26:17,944 They help people at the most vulnerable time in their life. 598 00:26:18,077 --> 00:26:20,847 And you shouldn't take the responsibility on 599 00:26:20,980 --> 00:26:22,014 if you're not fully committed to it. 600 00:26:23,549 --> 00:26:25,384 You're entering a new phase in your career, 601 00:26:25,517 --> 00:26:26,753 position of authority. 602 00:26:26,886 --> 00:26:28,320 Maybe my clothes are making you feel disrespected. 603 00:26:28,888 --> 00:26:30,156 No. 604 00:26:30,289 --> 00:26:31,791 The truth is, 605 00:26:31,924 --> 00:26:34,026 I just hate wearing anything that makes me feel like 606 00:26:35,061 --> 00:26:36,028 a suit. 607 00:26:37,897 --> 00:26:39,331 Great news. 608 00:26:39,465 --> 00:26:40,833 I was able to get Sowinski on anesthesia for tomorrow. 609 00:26:41,768 --> 00:26:43,102 Uh, why? What happened to Foley? 610 00:26:43,235 --> 00:26:45,171 Nothing, I just think Sowinski's better. 611 00:26:45,304 --> 00:26:46,806 And we definitely need the A-team on this. 612 00:26:46,939 --> 00:26:48,374 Yeah, I... I agree. 613 00:26:48,507 --> 00:26:51,377 Which is why I went out of my way to get Foley. 614 00:26:51,510 --> 00:26:53,045 But Foley doesn't do well under pressure. 615 00:26:53,913 --> 00:26:55,848 Remember that time... Morgan. 616 00:26:55,982 --> 00:26:58,250 You need to butt out. You're not a surgeon. This is not your job. 617 00:27:00,019 --> 00:27:03,622 My job is to help my patient through the entire treatment process. 618 00:27:03,756 --> 00:27:06,625 The best anesthesiologist for transplant surgery is Sowinski. 619 00:27:06,759 --> 00:27:08,327 And I've already cleared it with Lim, so that's who it's gonna be. 620 00:27:09,696 --> 00:27:10,429 Deal with it. 621 00:27:20,606 --> 00:27:22,074 Are you mad at me? 622 00:27:25,945 --> 00:27:28,748 I said your voice doesn't bother me. 623 00:27:29,581 --> 00:27:32,218 It was a compliment. 624 00:27:32,351 --> 00:27:35,454 Actually, what you said is that you love my breasts so much 625 00:27:35,587 --> 00:27:38,657 that with the help of noise-canceling headphones, 626 00:27:38,791 --> 00:27:40,860 you're willing to put up with my annoying voice. 627 00:27:42,128 --> 00:27:43,095 Yes. 628 00:27:44,196 --> 00:27:45,097 Not a compliment. 629 00:27:46,532 --> 00:27:48,000 Oh. 630 00:27:48,134 --> 00:27:49,702 So you are mad at me? 631 00:27:49,836 --> 00:27:51,871 I'm not mad, Shaun. I'm just busy, 632 00:27:52,004 --> 00:27:54,273 trying to keep, like, a billion bots and hackers out of our network. 633 00:27:56,342 --> 00:27:57,609 Actually, no. I'm not doing that. 634 00:27:57,744 --> 00:27:58,945 Gonna go home. 635 00:27:59,078 --> 00:28:01,981 You want to have some tequila, stat? 636 00:28:02,114 --> 00:28:03,983 We also have some pizza left. 637 00:28:04,116 --> 00:28:06,518 No, I don't want tequila or pizza. 638 00:28:06,652 --> 00:28:08,687 That must mean you're mad. 639 00:28:08,821 --> 00:28:10,957 I'm just... upset. 640 00:28:11,791 --> 00:28:13,760 And confused. 641 00:28:13,893 --> 00:28:16,662 And I really don't think there is anything you can do about it, 642 00:28:16,796 --> 00:28:19,598 so you just need to stop trying and leave me alone. 643 00:28:29,241 --> 00:28:31,110 She's not mad at me. 644 00:28:31,243 --> 00:28:32,945 She's definitely mad at you. 645 00:28:33,079 --> 00:28:35,647 She doesn't usually hide what she thinks. 646 00:28:35,782 --> 00:28:37,149 She's not mad at him. 647 00:28:38,384 --> 00:28:41,520 She knows how he is, how he talks. 648 00:28:41,653 --> 00:28:43,322 She's mad at herself. And scared. 649 00:28:45,091 --> 00:28:47,159 We all have stuff that we're insecure about. 650 00:28:47,293 --> 00:28:48,460 That's why it's so risky falling in love. 651 00:28:52,231 --> 00:28:53,599 We all hope that when we let our guard down, 652 00:28:53,732 --> 00:28:54,934 it's for the one person that doesn't see our flaws. 653 00:28:59,772 --> 00:29:02,241 So, what do I do? 654 00:29:04,043 --> 00:29:07,013 You were being honest. You can't apologize that away. 655 00:29:07,146 --> 00:29:09,548 You gotta figure out what she needs to feel secure in the relationship again. 656 00:29:13,252 --> 00:29:14,620 Don't look at me. I'm single. 657 00:29:20,526 --> 00:29:23,095 It's not my place to comment on your personal life. 658 00:29:23,229 --> 00:29:24,196 You have an opinion. Let's hear it. 659 00:29:25,564 --> 00:29:26,565 Fine. 660 00:29:28,400 --> 00:29:30,202 Can you zoom in on her skull base? 661 00:29:30,336 --> 00:29:31,637 I can, but why? 662 00:29:31,770 --> 00:29:34,073 We're worried about her heart and metabolic abnormalities. 663 00:29:35,074 --> 00:29:37,709 We shouldn't be. Not anymore. 664 00:29:37,844 --> 00:29:40,579 You and Dr. Murphy were both wrong. 665 00:29:40,712 --> 00:29:43,749 She doesn't have a cardiac or metabolic issue. 666 00:29:43,883 --> 00:29:46,452 She has poor blood flow in the artery supplying blood 667 00:29:46,585 --> 00:29:48,187 to the area of her brain that controls consciousness. 668 00:29:48,320 --> 00:29:51,390 A small clot in her artery of Percheron. 669 00:29:51,523 --> 00:29:54,593 If we don't remove it fast, she's never going to wake up. 670 00:30:06,939 --> 00:30:08,140 That's amazing. 671 00:30:08,274 --> 00:30:10,442 No, it's not. 672 00:30:10,576 --> 00:30:13,645 The heart's totally outside of the body and still beating. 673 00:30:13,779 --> 00:30:15,681 It's like it has a mind of its own. 674 00:30:15,814 --> 00:30:18,217 She should've started the reimplantation by now. 675 00:30:18,350 --> 00:30:19,919 Is everything okay, Dr. Lim? 676 00:30:20,052 --> 00:30:22,621 The tumor had tendrils invading the right atrial wall. 677 00:30:22,754 --> 00:30:24,857 We took so much tissue to get a clear margin, 678 00:30:24,991 --> 00:30:28,160 there's not enough left to reconstruct his heart's inflow chambers. 679 00:30:28,294 --> 00:30:29,828 How about expanded PTFE graft? 680 00:30:29,962 --> 00:30:31,797 There's not enough atrial remnant to attach the graft. 681 00:30:31,931 --> 00:30:33,399 You could use the septal wall. 682 00:30:33,532 --> 00:30:35,167 He's got dense conduction fibers there. 683 00:30:35,301 --> 00:30:36,969 It could cause heart arrhythmias. Not if you use... 684 00:30:37,103 --> 00:30:38,270 He's got low arterial pressure. 685 00:30:39,638 --> 00:30:41,273 He's springing leaks at the cannulation sites. 686 00:30:41,407 --> 00:30:43,209 It's a bleeding disorder caused by prolonged bypass. 687 00:30:43,342 --> 00:30:44,944 You need to get his heart back in ASAP. 688 00:30:45,077 --> 00:30:47,646 Morgan, we can't put the heart back in with two missing chambers. 689 00:30:55,821 --> 00:30:57,189 It's a rare complication, 690 00:30:57,323 --> 00:30:59,658 but a blood clot is a risk in any surgery. 691 00:30:59,791 --> 00:31:01,360 It's too deep in the brain for open surgery. 692 00:31:01,493 --> 00:31:02,895 If we go rooting around in there, 693 00:31:03,029 --> 00:31:05,831 we'd definitely damage the PCA and kill her. 694 00:31:05,965 --> 00:31:08,334 We could inject a dissolving agent into the clot. 695 00:31:08,467 --> 00:31:12,905 There's a 50% probability it won't fully dissolve, 696 00:31:13,039 --> 00:31:15,641 which could leave her with permanent weakness and cognitive difficulties. 697 00:31:15,774 --> 00:31:17,376 Assuming she wakes up at all. 698 00:31:22,281 --> 00:31:25,117 We need to remove the clot with a stent retriever. 699 00:31:27,653 --> 00:31:29,521 If we rupture the posterior cerebral artery, 700 00:31:29,655 --> 00:31:31,023 she'll die on the table. 701 00:31:33,325 --> 00:31:35,027 Or total recovery. 702 00:31:36,662 --> 00:31:38,530 That's how she came into this hospital. 703 00:31:38,664 --> 00:31:40,232 That's how she's leaving. 704 00:31:43,169 --> 00:31:44,403 Prep her for stent retrieval. 705 00:31:47,139 --> 00:31:49,708 I'm hanging platelets and fresh frozen plasma. 706 00:31:49,841 --> 00:31:51,510 His pressure is still in the toilet, 707 00:31:51,643 --> 00:31:53,145 but the bleeding is slowing down. 708 00:31:53,279 --> 00:31:54,513 Not for long. 709 00:31:54,646 --> 00:31:56,983 Small intestine submucosa has the right compliance 710 00:31:57,116 --> 00:31:58,684 to shape the chamber walls, but... 711 00:31:58,817 --> 00:32:00,352 There isn't enough to cover that much area. 712 00:32:00,486 --> 00:32:02,754 Use too little and he'll have heart failure in a month. 713 00:32:02,888 --> 00:32:04,723 I know. That's the "but." 714 00:32:04,856 --> 00:32:05,958 How thick is his deep fascia? 715 00:32:06,092 --> 00:32:06,858 If it's over 2 millimeters... 716 00:32:06,993 --> 00:32:07,994 Morgan. 717 00:32:08,794 --> 00:32:10,162 Get out. 718 00:32:10,296 --> 00:32:11,697 I'm sorry. I'll... I'll be quiet. 719 00:32:11,830 --> 00:32:12,931 No, you won't. You can't. 720 00:32:13,065 --> 00:32:14,033 So leave the OR gallery. 721 00:32:16,735 --> 00:32:17,736 Now. 722 00:32:24,343 --> 00:32:27,779 We need 2.6-millimeter-thick tissue with perfect compliance 723 00:32:27,913 --> 00:32:30,282 for arterial filling and contractile pressures. 724 00:32:30,416 --> 00:32:33,552 If it was just the valve, we'd use a bovine pericardial graft. 725 00:32:33,685 --> 00:32:37,389 But cow heart tissue is not durable enough to do an entire chamber. 726 00:32:37,523 --> 00:32:39,958 But pig bladder tissue is just right. 727 00:32:40,092 --> 00:32:43,229 I've used it for bladder reconstructive surgeries, but never hearts. 728 00:32:43,362 --> 00:32:45,264 Let's rebuild the entire atrial walls with it. 729 00:32:46,465 --> 00:32:47,666 Get down to the tissue procurement lab 730 00:32:47,799 --> 00:32:49,668 and get 200 centimeters of porcine bladder tissue. 731 00:32:59,611 --> 00:33:01,980 Her EEG delta waves are slowing further. 732 00:33:02,114 --> 00:33:04,416 She only has one vessel feeding her thalamus. 733 00:33:05,651 --> 00:33:07,586 That's why the clot landed where it did. 734 00:33:07,719 --> 00:33:10,822 I'm approaching the artery of Percheron. 735 00:33:10,956 --> 00:33:12,924 I'm one millimeter from the clot. 736 00:33:13,059 --> 00:33:14,060 Stop right there. 737 00:33:19,831 --> 00:33:20,966 If we disrupt this clot, 738 00:33:21,100 --> 00:33:22,301 we could cause a shower of emboli into her brain. 739 00:33:46,792 --> 00:33:47,726 Deploying the retriever. 740 00:33:51,997 --> 00:33:53,299 EEG just went flatline. 741 00:33:53,432 --> 00:33:54,166 Calm down. I'm almost... 742 00:33:57,103 --> 00:33:58,070 Got it. 743 00:34:04,510 --> 00:34:06,612 Blood's flowing through the artery. 744 00:34:06,745 --> 00:34:08,680 Her brain tracing's looking better. 745 00:34:15,154 --> 00:34:19,191 This should fill the gap between the inferior and superior vena cava 746 00:34:19,325 --> 00:34:20,659 when the new chambers get sewn in. 747 00:34:21,327 --> 00:34:23,429 Where's that graft? 748 00:34:23,562 --> 00:34:25,497 I need more sponges. The bleeding is getting worse. 749 00:34:25,631 --> 00:34:27,099 Oh, he's tanking. 750 00:34:27,233 --> 00:34:28,234 Can you push epi? 751 00:34:28,367 --> 00:34:29,601 I already did. He's maxing out. 752 00:34:29,735 --> 00:34:31,002 I'm running out of ways to keep his pressure up. 753 00:34:31,970 --> 00:34:33,038 I got it. 754 00:34:33,172 --> 00:34:34,506 They had 205 centimeters of it. 755 00:34:34,940 --> 00:34:37,143 Thank you. 756 00:34:37,276 --> 00:34:39,578 If you want to gown up, you can watch from down here. 757 00:34:39,711 --> 00:34:40,879 Definitely. Thanks. 758 00:34:43,815 --> 00:34:45,751 I thought telling her how much I love her 759 00:34:45,884 --> 00:34:47,753 in front of other people would make her feel good. 760 00:34:47,886 --> 00:34:51,523 But Dr. Guerin said I made her feel insecure, and scared. 761 00:34:52,224 --> 00:34:53,392 Women are sensitive. 762 00:34:54,493 --> 00:34:56,428 When commenting on their flaws, 763 00:34:56,562 --> 00:34:59,097 total honesty is a high-risk procedure. 764 00:34:59,231 --> 00:35:00,566 That sounds sexist. 765 00:35:00,699 --> 00:35:03,101 Aren't men also insecure about their flaws? 766 00:35:03,235 --> 00:35:04,470 Men are much, much worse. 767 00:35:04,603 --> 00:35:06,238 And also, we're really stupid. 768 00:35:06,372 --> 00:35:07,339 Okay. 769 00:35:07,473 --> 00:35:10,176 What can I do now? 770 00:35:10,309 --> 00:35:12,678 I've already said my stupid stuff. 771 00:35:12,811 --> 00:35:14,546 I don't want her to be upset with me. 772 00:35:17,183 --> 00:35:17,916 I have a thought. 773 00:35:20,686 --> 00:35:22,754 I think this run of sutures will hold it to the annulus, 774 00:35:22,888 --> 00:35:24,156 but I'm worried about leaks. 775 00:35:24,290 --> 00:35:25,924 We can put a second row of pledgeted sutures 776 00:35:26,057 --> 00:35:27,659 to make sure it's hemostatic. 777 00:35:27,793 --> 00:35:29,395 That is unreal. 778 00:35:31,062 --> 00:35:31,797 It's a work of art. 779 00:35:34,600 --> 00:35:35,867 Now let's get it back in 780 00:35:36,001 --> 00:35:37,569 while we can still get him off bypass alive. 781 00:35:42,674 --> 00:35:43,742 Re-perfusing the heart. 782 00:35:45,911 --> 00:35:46,978 We've got a rhythm. 783 00:36:18,610 --> 00:36:19,611 Hey. 784 00:36:21,447 --> 00:36:22,814 There was a complication 785 00:36:22,948 --> 00:36:24,483 during the reconstruction surgery. 786 00:36:26,084 --> 00:36:28,454 A clot, which caused you to lapse into a coma. 787 00:36:30,322 --> 00:36:32,190 We performed a second surgery on your brain, 788 00:36:32,324 --> 00:36:33,492 which was successful. 789 00:36:33,992 --> 00:36:35,193 Um... 790 00:36:35,327 --> 00:36:36,395 You're gonna be fine. 791 00:36:36,528 --> 00:36:38,230 But my breasts... 792 00:36:38,364 --> 00:36:42,133 The clot occurred after we finished inserting the implants. 793 00:36:45,671 --> 00:36:47,473 I think you're gonna be very pleased with the results. 794 00:36:49,140 --> 00:36:50,141 Thank you. 795 00:36:50,942 --> 00:36:51,677 Yep. 796 00:36:58,350 --> 00:37:01,553 I... think I'm sorry. 797 00:37:06,224 --> 00:37:10,228 Dr. Guerin said I should never say anything that might sound negative 798 00:37:10,362 --> 00:37:11,897 to a girlfriend. 799 00:37:12,030 --> 00:37:15,734 And Dr. Glassman said total honesty is a high-risk procedure 800 00:37:16,935 --> 00:37:18,304 with a girlfriend. 801 00:37:18,437 --> 00:37:21,172 It's better to show my love than try to explain it. 802 00:37:24,510 --> 00:37:29,448 But I want to be totally honest with you. 803 00:37:36,021 --> 00:37:40,592 I don't like your body because it's excellent. 804 00:37:40,726 --> 00:37:42,494 I like it because it's yours. 805 00:37:45,397 --> 00:37:49,267 And I love hearing you talk. 806 00:37:49,401 --> 00:37:50,702 When I hear your voice, 807 00:37:51,837 --> 00:37:54,606 especially when I've had a difficult day, 808 00:37:54,740 --> 00:37:55,907 I find it comforting. 809 00:38:01,780 --> 00:38:03,715 Now I want to hug you. Can I? 810 00:38:05,216 --> 00:38:05,951 I'd like that. 811 00:38:17,363 --> 00:38:18,096 I love you. 812 00:38:19,998 --> 00:38:20,732 Thank you. 813 00:38:22,568 --> 00:38:24,202 For your total honesty. 814 00:38:31,743 --> 00:38:32,944 Your surgery went well. 815 00:38:33,078 --> 00:38:34,245 With some time in rehab, 816 00:38:34,380 --> 00:38:35,447 you should be back to work in a month. 817 00:38:36,281 --> 00:38:37,849 Thank you. 818 00:38:37,983 --> 00:38:39,751 Don't thank me. Thank your surgeon. 819 00:38:40,886 --> 00:38:42,120 She did all the important stuff. 820 00:38:47,426 --> 00:38:49,495 Lim's golden boy is in. Nothing we can do about that. 821 00:38:49,628 --> 00:38:51,730 So that leaves three openings. 822 00:38:51,863 --> 00:38:54,800 The thought of working with Will Hooper for the next two years... 823 00:38:54,933 --> 00:38:56,768 If Dr. Lim thinks he'll be a good resident, 824 00:38:56,902 --> 00:38:59,137 I'm sure she has good reasons. 825 00:38:59,270 --> 00:39:02,808 She probably thinks arrogance is helpful to a surgeon. 826 00:39:02,941 --> 00:39:04,610 Well, we could try to change her mind. 827 00:39:04,743 --> 00:39:06,778 Eh, she asked us to evaluate the applicants, not her. 828 00:39:06,912 --> 00:39:09,948 She asked us to be totally honest. 829 00:39:10,081 --> 00:39:12,050 Eh, "totally honest" is a relative term 830 00:39:12,183 --> 00:39:14,185 when you're telling your boss she's totally wrong. 831 00:39:18,457 --> 00:39:20,091 So, Hooper's in. Who else? 832 00:39:20,225 --> 00:39:23,762 Dr. Andrews likes Dr. Jordan Allen. 833 00:39:23,895 --> 00:39:25,964 Oh, I do, too. She's confident, driven. 834 00:39:26,097 --> 00:39:27,933 She won't take a lot of hand-holding, 835 00:39:28,066 --> 00:39:30,101 and keeping Andrews happy keeps us happy. 836 00:39:31,002 --> 00:39:32,804 That leaves two more. Who's next? 837 00:39:34,005 --> 00:39:38,076 Asher Wolke is very up-front about who he is. 838 00:39:38,209 --> 00:39:40,812 I like that. He's definitely eager. 839 00:39:40,946 --> 00:39:42,247 And he couldn't be more open to learning. 840 00:39:42,380 --> 00:39:43,715 Agree. 841 00:39:43,849 --> 00:39:44,816 That leaves one more. 842 00:39:46,585 --> 00:39:47,686 John Lundberg. 843 00:39:49,120 --> 00:39:50,989 Smart, professional, mature. 844 00:39:51,122 --> 00:39:51,857 He's a no-brainer. 845 00:39:53,124 --> 00:39:54,392 Lundberg's in. 846 00:39:54,526 --> 00:39:55,994 Lundberg's out. 847 00:39:56,127 --> 00:39:57,963 He stopped by my office before he left. 848 00:39:58,096 --> 00:39:59,865 Said he's no longer interested. 849 00:40:01,266 --> 00:40:04,002 He said you all were unprofessional. 850 00:40:05,136 --> 00:40:06,404 Drinking at work. 851 00:40:07,372 --> 00:40:08,840 Asking inappropriate questions. 852 00:40:09,675 --> 00:40:10,676 Dating drama. 853 00:40:12,210 --> 00:40:14,212 Mmm-hmm. 854 00:40:14,345 --> 00:40:17,348 So, who's your alt? Olivia Jackson or Boardshorts? 855 00:40:19,217 --> 00:40:21,753 Olivia knows her stuff, but she's a bit insecure. 856 00:40:22,888 --> 00:40:25,190 Her answers sound like questions. 857 00:40:25,323 --> 00:40:27,759 I like Boardshorts. He's sensitive. 858 00:40:27,893 --> 00:40:28,860 Like a woman. 859 00:40:34,666 --> 00:40:36,301 I vote for both of them. 860 00:40:37,536 --> 00:40:39,738 That's not an option. We don't have the budget. 861 00:40:42,207 --> 00:40:42,941 Hooper is the worst. 862 00:40:44,776 --> 00:40:45,877 The person I said was the best? 863 00:40:46,945 --> 00:40:49,715 He is arrogant and obnoxious. 864 00:40:49,848 --> 00:40:52,050 If he works here, we'll hate him, 865 00:40:52,183 --> 00:40:55,521 the work will suffer, and we'll either kill patients 866 00:40:55,654 --> 00:40:56,387 or we'll kill him. 867 00:41:03,428 --> 00:41:05,897 And there is no way that you don't see that, which makes me think... 868 00:41:09,200 --> 00:41:09,935 You do. 869 00:41:11,703 --> 00:41:12,671 This was a test. 870 00:41:14,372 --> 00:41:17,609 You just wanted to see if we'd be totally honest. 871 00:41:19,778 --> 00:41:22,047 Well done. 872 00:41:22,180 --> 00:41:24,716 Hooper is definitely the worst. 873 00:41:24,850 --> 00:41:27,218 I only let him shadow as a favor to a board member. 874 00:41:27,352 --> 00:41:28,920 I figured I'd give him a second chance 875 00:41:29,054 --> 00:41:29,921 after his obnoxious interview. 876 00:41:30,922 --> 00:41:32,924 And also do a little experiment. 877 00:41:36,061 --> 00:41:36,928 So... 878 00:41:37,996 --> 00:41:42,433 It's Jordan, Asher, 879 00:41:42,568 --> 00:41:44,770 Olivia, and Enrique. 880 00:41:47,839 --> 00:41:50,475 To the next phase of your surgical training. 881 00:41:50,609 --> 00:41:52,110 You helped pick them. 882 00:41:52,243 --> 00:41:54,913 As senior residents, it's now your job to help train them. 883 00:41:55,046 --> 00:41:57,082 And don't take this responsibility lightly, 884 00:41:57,215 --> 00:41:58,516 because if you don't train them well, 885 00:41:59,450 --> 00:42:00,185 people will die.