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  • 5 days ago
The Good Doctor Season 5 Episode 11

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Transcript
00:00to the morning sky first
00:04baby blue just like clear heads
00:09when I get up off this ground
00:11I shoot leaves back down
00:13to the brown, brown, brown, brown
00:16till I'm clean
00:24then walk where I'll be shaded by the trees
00:29by a leather or green
00:32or by mine
00:35I'm ready to town, town, town
00:38in the sky
00:42with all my favorite colors
00:45yes sir
00:48all my favorite colors
00:50right
00:53my sisters and my brothers
00:56I'm like no other
00:58all my favorite colors
01:26we're happy
01:28we just want to enjoy being happy
01:30we've had enough stress in our lives
01:32we're living in the moment
01:34good morning everyone
01:41thanks for coming
01:43as the new president
01:45I'd like to acknowledge
01:47we've been through a challenging time
01:50but St. Bonds has never been about
01:52a logo
01:55or a fancy coffee selection
01:57we've always been about the people in this room
01:59and how we can help the people
02:01who come through these doors
02:04so we're going to get back
02:06to what we've always done the best
02:08and that's putting patients first
02:14you know what a world class surgical center needs?
02:16it needs
02:18a world class chief of surgery
02:21and that's why I'm reinstating
02:24Dr. Audrey Lim
02:36I'll also be hiring
02:38three new oncology nurses
02:40so if you know some good people let me know
02:46you okay with all this?
02:48no more board meetings are you kidding?
02:50plus I get a lot more time with the clinic
02:52clinic glassman can I have a word with you two?
02:58we lost a clinic contract
03:00our biggest
03:02thanks to your confession of borderline malpractice
03:04to the person who runs their health plan
03:06Nira had the right to know the truth
03:08you're lucky it was an experimental procedure
03:10she's not pursuing a lawsuit
03:12but I'm closing the clinic
03:14I'm sorry
03:16I just can't justify the expense of keeping it open
03:18people need a way to get
03:21care they otherwise can't afford
03:23how's this for justification?
03:25we can and so we should
03:27exactly I've arranged for bay area medical
03:29to take over their care
03:33can I talk to you for one second?
03:35if I can just take a look at the budget
03:37I can figure out a way to keep this clinic open
03:39I'm afraid you're going to be busy in the OR
03:43Aaron you're a gifted surgeon
03:45this hospital needs those skills
03:47wow okay
03:49I'll give you 20 hours a week
03:51and we figure out a way to keep this clinic open
03:53so you can keep freezing bladder warts
03:57see someone must need
03:59a really good neurosurgeon
04:11family of three in a head on collision
04:13another ambulance is behind us with the occupant of the other vehicle
04:15Mark you're with me
04:18hypotensive in the field
04:20GCS 10
04:22abdominal bruising
04:24internal bleeding
04:26how's that leg look?
04:28I might be able to save his arm
04:30I need a vascular clamp
04:32Elaine hit her head on the dash
04:34GCS 15
04:36how bad was your headache?
04:38really bad
04:40is my daughter okay?
04:42she was wearing her seatbelt
04:44she has pain and bruising in her chest
04:47please don't talk
04:49those doctors are taking care of him
04:51she has decreased left-sided breath sounds
04:53we need to insert a chest tube
04:55why? what's wrong?
04:57a broken rib punctured her lung
04:59left pupil is dilated
05:01Elaine you may have some bleeding
05:03around your brain
05:05we're going to have to take you to the OR
05:07I'm okay sweetie
05:09we're all going to be just fine
05:11you just need to
05:13we've got to get him to the OR now
05:17mommy
05:19daddy
05:37splenocylum is clamped
05:39his pressure is holding
05:41amputation is complete
05:43start working on his arm
05:45I'm not getting any circulation to his hand
05:47we can use Andrew's
05:49vascular reconstruction skills
05:51try reducing the fracture to restore blood flow
05:56it's not helping
05:58I've got too much bleeding to help
06:00try fasciotomies to relieve pressure
06:02there's too much upstream damage
06:06page Andrews
06:12she has an SSS tear
06:15I have to open up her skull to find a fix
06:17which I do not want to do
06:19can't stop the leak with a dural flap
06:21wait till the swelling goes down
06:23find a better fix
06:27pressure is still dropping
06:31I've got a tight seal, no leaks
06:33maybe we're looking in the wrong place
06:40I hear an early diastolic murmur
06:42it's her heart
06:44contact social work
06:46make sure the daughter's not alone today
06:48she may be losing both her parents
06:50how bad are they?
06:52we won't know anything for sure
06:54until your parents get out of surgery
06:56the chest tube was successful
06:58that doctor said my mom was bleeding in her brain
07:00did he stop it?
07:02they're trying
07:04she's one of the best neurosurgeons in the state
07:06did they fix my dad's leg?
07:08I don't know yet
07:10I understand how scary and confusing it must be
07:13I just want to know what's happening
07:15your dad's leg is likely unsalvageable
07:19he also had a severe spinal injury
07:21that caused catastrophic internal bleeding
07:23and hypovolemic shock
07:25removing his spleen may stop the bleeding
07:27but if not they may need to remove his kidney as well
07:29he may also lose his lower arm
07:31Dr. Murphy, maybe Isla and I should
07:33chat along for a few minutes
07:35it's okay
07:37you can stay
07:39you can go
07:42thank you for talking to me
07:44are you sure?
07:46okay
07:48I'll check in later
07:50you can always have a nurse page me
07:56could my parents
07:58die?
08:02it is too soon to say
08:04if either of them will survive their injuries
08:12I love you
08:32I'll round on Ashley's patients
08:34and the night nurse said Mr. Jones
08:36is ready for discharge
08:38my bowel obstruction in 4C
08:404C, did he pass gas?
08:41Why do you think the nurses want him discharged?
08:46I'm hungry.
08:49The nurse gave me a sandwich, but it has pickles.
08:52They're gross.
08:53They are.
08:55I'd like something else, please.
08:58I gotta discharge your windbag in 4C.
09:02Nurse, will you find this patient
09:04something to eat without pickles?
09:07Sure.
09:11I'm hungry.
09:13She isn't just hungry.
09:16She's scared.
09:17She wants to spend time with you
09:19so she doesn't feel all alone.
09:21Doctors need to maintain professional boundaries.
09:24Convenient, since you don't wanna get close to patients.
09:28I think it's the most rewarding part of our job.
09:31No, minimally invasive microvascular surgery
09:34is the most rewarding part.
09:37I already treated her pneumothorax, she's fine.
09:40What?
09:43Glabian artery's also damaged.
09:45Brachial plexus nerves, too.
09:51Thought she'd be a little more excited
09:52about being chief again.
09:53It's hard to get too jubilant about being given a job
09:55I never should've lost in the first place,
09:58one you were happy to step into.
10:01BP stabilizing?
10:04His arm's a mess.
10:05There's no distal blood supply, nerve shot,
10:08hand shown signs of ischemia.
10:10I think I can save it.
10:12I need to open up his chest,
10:13get access to proximal vessel for graft bypass.
10:16It's a big, lengthy surgery
10:17with a catastrophic risk of bleeding.
10:19Yeah, which may save his arm.
10:21He's already lost too much blood from his other injuries.
10:25We have to amputate.
10:31Sorry to interrupt.
10:32Dr. Lim, there's major damage to Elaine's heart valve.
10:35We need a trauma surgeon.
10:38Go.
10:39Dr. Parkin, close up the abdomen.
10:42Put a wound back on the arm stump
10:43and run antibiotics.
10:44Go, stop.
10:45Go.
10:50Whoo, don't go.
10:52Worst sleep of the night.
10:55Where'd you go?
10:57Weren't you sleeping?
10:58I was down with a sophomore.
11:00Without the doctor?
11:03Can you tell me
11:03about the lymph node in the abdomen?
11:05How long does it last?
11:06It's not that painful.
11:09I'm leaving you to yourself.
11:12Why?
11:13What are you doing?
11:17Practicing mindfulness.
11:20I don't know what that means.
11:25It helps you let go, not be self-obsessed, stressed out, utterly career-driven.
11:33I still don't understand.
11:44You're being mindful right now.
11:48By letting go of your wedding plan, being in the moment with Leah.
11:53Leah and I are still getting married, we're only enjoying the moment for now.
11:58Good for you.
12:00I suck at the moment.
12:03I like making a plan, having a plan, following a plan.
12:13Do you want my apple?
12:16You're acting very strangely.
12:21Isla's hemoglobin drops to nine and there's blood in her chest tube.
12:26Oh, that's not good.
12:30We'll take a few pitches to find out what the problem is. It won't hurt at all.
12:34Then you can stop the bleeding?
12:37Probably, but it will likely require something that does hurt.
12:40You need to remove that before the MR angiogram?
12:45No, I can't.
12:48It's a gum wrapper.
12:51My dad gave it to me. I wanted my birthstone, sapphire, but we couldn't afford it.
12:57So my dad made me this. He called it a placeholder.
13:01That's really sweet.
13:03An MRI is a powerful magnet. It will destroy your gum wrapper ring and it could burn your finger.
13:09Promise you won't lose it?
13:12I promise.
13:25Okay.
13:28She damaged her aortic valve. We'll need to open her up.
13:31CP bypass is generally not a good chaser to a brain bleed.
13:35She needs a functional valve.
13:36We'll need to figure out a way to give her one without turning her into a vegetable.
13:41Brought you here for your expertise or would you rather I try to figure it out for you?
13:47Turning up your hands and making someone else solve the problem is not leadership.
13:51I'm going to guess we're not talking about a heart valve.
13:55When Ethicure took over, you just walked out, headed for paradise.
14:00I know you were going through a rough patch, but we were going through it here, too.
14:03You didn't bother to step up until it became a problem for Sean.
14:07You want me to apologize for my commitment to Sean? That's not going to happen.
14:10I would never ask you to do that.
14:12I just didn't realize how little the rest of us matter to you.
14:20I can insert an aortic pump to support her heart.
14:24That should buy me some time to fix her valve.
14:27That chest trauma damaged a branch of her pulmonary artery.
14:31The bleeding has stopped, but her artery could re-bleed at any time.
14:34How do we get to it? It's surrounded by vital organs.
14:38Our economy, dissect from proximal to distal hilum, isolate the vessel and reconstruct the vessel.
14:44That's a big surgery for a small injury.
14:48It's almost as risky as a re-rupture. We need a safer plan.
14:53I don't have one. I need time to figure it out.
14:57I'll need to monitor her around the clock in case she bleeds again.
15:00Looks like Ila's getting some QT with Dr. Murphy, after all.
15:08Are we done?
15:11I'm bored.
15:13I'm bored, too.
15:15I'm bored, too.
15:17I'm bored.
15:19I'm bored.
15:20I'm bored.
15:29Who's your friend?
15:31She's not my friend. She's my patient.
15:33Ila Liu, 10-year-old female with a pseudoaneurysm of a segmental branch of the left pulmonary artery.
15:37I need to monitor her closely to make sure she does not bleed out.
15:40This is my fiancée, Leah. She's head of the IT department.
15:43I need you to talk to her while I figure out how to fix her.
15:47She talks a lot.
15:50I do.
15:52Where's your ring? He said you're his fiancée.
15:55I proposed to him, and it was a spur-of-the-moment kind of thing, so no ring.
16:03Very modern. I asked out my last boyfriend, but it didn't work out.
16:07When's your wedding?
16:09We don't have to...
16:11Did you pick a cake? My aunt had red velvet. It was really good.
16:14And her gown was super long. They call it a train. Do you have one of those?
16:17Trains can lead to tripping and orthopedic injuries.
16:20I don't want to dress with a train.
16:23You have no cake, no ring, no dress, and no date?
16:29We have a cake.
16:32Then how are you his fiancée? Isn't it just like boyfriend and girlfriend?
16:43What's IT?
16:44Well, IT stands for information technology, so I work with a lot of computers.
16:50Increase the flow to P8 and get a CT of her heart. We need exact valve measurements.
16:55Got some good news. I restored blood flow to Brian's arm.
16:59You were supposed to amputate.
17:01I didn't open his chest. I rebuilt his vessels from under the clavicle.
17:04Still got a large tissue defect, but I can cover that with a tissue flap.
17:07I know a great neurosurgeon for the nerve repairs.
17:10More surgery? He could bleed again.
17:12I can handle that.
17:15What about the potential for post-transfusion clotting issues?
17:19Removing his arm is the only way to guarantee we save his life.
17:22Losing two limbs would be devastating at such a high cost to avoid a relatively small risk.
17:28It's not small to that little girl whom you could orphan to serve your own ego.
17:32Pretty harsh assessment, especially considering I just rescued you and our colleagues from your suicide mission.
17:40You won a medal for finding your moral compass at the last possible moment?
17:45I was there when it counted.
17:51You did her bidding, even after the baby died, and then leveraged the situation so you came out in charge.
18:00I am in charge. I'm saving this man's arm.
18:04I am in charge. I'm saving this man's arm.
18:22Are you stealing from children now?
18:24This stuff's been in here since my first year of residency.
18:27Aren't you supposed to be in peer review?
18:29I'm tied up on this trauma case. I thought you might want to sit in on it for me.
18:33Dr. Farber's leading it. Chair of the Executive Ops Committee.
18:36If you want to run a hospital one day...
18:39Gotta go. Thanks for thinking of me.
18:45How can I ever suck to pseudoaneurysm without cutting off blood flow to the upper lobe?
18:50What about arterial bypass?
18:53Isla's ten years old. The bypass artery wouldn't grow with her lungs.
18:57Do you think Leah and I are just boyfriend and girlfriend?
19:00No.
19:01Me neither.
19:03But if we're not planning a wedding, then what are we doing? Are we moving backwards?
19:10Sean, a wedding's just a symbol. A very nice, very expensive one.
19:14But real stability comes from committing to each other every day.
19:18What should I do?
19:21You and Leah will need to figure that out.
19:24The older I get, the less everyone seems to know.
19:27That's probably true.
19:31Have you considered an endovascular embolization for Isla's pseudoaneurysm?
19:36Your medical advice is much better than your personal advice.
19:43What's up for training retractor?
19:47Stay out of my nerve field, please.
19:50I need better vessel exposure.
19:52This muscle needs a nerve.
19:58I feel bad about closing the clinic.
20:01But we can't help anyone if we can't keep the lights on.
20:05It's not about helping anyone.
20:07It's about making sure you can put your feet up on the biggest desk in the building.
20:11You look down on me because I want the big job.
20:14But it was your empathy towards it that made us vulnerable to ethic here in the first place.
20:20Nerves are attached.
20:22Reconstructed vessels blown.
20:25You want me to?
20:26No, I got it.
20:28The embolization will be short.
20:30It should prevent further bleeding in your chest.
20:33Dr. Park thinks you're wrong.
20:35Leah is still my fiancé.
20:37And a wedding is just a symbol.
20:39Symbols are a super big deal.
20:41They remind us what's important.
20:43That's what my mom said when I wanted to return my confirmation cross
20:47and use the money to get my ears pierced.
20:51Lie down.
20:53I need to inject the anesthetic.
20:54I hate needles.
20:56I still make my mom hold my hand when I get shots.
21:04You can squeeze my hand as hard as you want.
21:08I practiced when Leah was pregnant.
21:11You two have a baby?
21:16No.
21:18Why not?
21:20There was a clot in the umbilical cord.
21:23The baby died.
21:36I'm injecting the anesthetic.
21:41I'm injecting the anesthetic.
21:44I'm injecting the anesthetic.
21:46I'm injecting the anesthetic.
21:47I'm injecting the anesthetic.
22:01You can let go of my hand now.
22:05That hardly hurt at all.
22:07You're very good at your job.
22:12Isla, the doctors are still taking care of your mom.
22:15But your dad's out of surgery.
22:20He lost his leg.
22:22But he's going to be okay.
22:25You can see him as soon as you're done.
22:31I don't want to see him.
22:40Fluid's backed up in Elaine's brain.
22:4175 nanotall.
22:43Hopefully that'll take the pressure off.
22:46Elaine needs a shunt.
22:48Can her heart take it?
22:50Not with just a pump keeping her alive,
22:52but she's got another problem.
22:54She's got a big tear in her trachea
22:56and she could lose her airway any minute.
22:58Do you know of any experts in tracheal reconstruction?
23:01I'm going to call the president.
23:06This is Donald Adler.
23:08He's had chest pain for the past few weeks.
23:09I'm fine.
23:11My son's taken me to the doctor.
23:13The one who's postponed three times already?
23:15I tried to contact his GP.
23:17No luck.
23:19We need to roll out coronary artery disease.
23:21Is he your patient?
23:23She's my chest partner at the home.
23:25I beat her three times in a row.
23:27Impressive.
23:29She always kicks my ass.
23:31He's much better than you are.
23:33How long is this going to take?
23:35We're having arts and crafts tonight.
23:37She's teaching us how to decoupage.
23:39Let's get you a cardiac CT.
23:41Help Mr. Adler into a gown.
23:50You look a lot like my girlfriend,
23:52but she doesn't decoupage.
23:54She mocks people who decoupage.
23:56She sounds like a real piece of work.
24:02Hey, I got this for Isla.
24:04How is she?
24:06Hello.
24:07I'm waiting on labs
24:09to see if the embolization
24:11repaired the artery in her chest.
24:13I meant emotionally.
24:15She's refusing to see her father.
24:17We don't know why.
24:19Shouldn't you find out?
24:21I am waiting on labs.
24:23Jordan is talking to her.
24:25I think we should pick a date
24:27for when we're going to start
24:29planning our wedding again.
24:31June 8th?
24:33What happened to enjoying the moment?
24:35I'm not enjoying it.
24:37Okay.
24:39We had a plan.
24:41Now we don't have a plan
24:43and you're okay with that,
24:45but I'm not.
24:47We will figure it out, Shawnie.
24:49How?
24:51I don't know yet.
24:53No one has good advice anymore.
24:55Isla's not talking to me.
24:57We should page the social worker.
25:00She's not going to open up
25:02to the social worker, Shawn.
25:04Isla trusts you.
25:14I can use a trans-cervical approach
25:16to reconstruct the airway.
25:18If you use a retractor at her neck,
25:20all this drainage from her brain...
25:22I need to start her on heparin
25:24so I can get working on her heart.
25:26You can't use heparin
25:28until I've placed the shot.
25:30Not while I'm working on her neck.
25:31If she has a vaginal sinus,
25:33she'll be brain-dead.
25:35If she has catastrophic heart failure,
25:37she'll be dead-dead.
25:39Okay.
25:41Airway's priority one.
25:43Once it's secure, you can fix the valve.
25:45You're overruling my judgment again.
25:47Overruling?
25:49Elaine's pump failed.
25:51She's in total heart failure.
25:53I'm prepping an OR.
25:55That is...
25:57a very accurate drawing of a horse.
26:00It's my dog, Abigail.
26:03Oh.
26:06She must look like a horse.
26:18Is my dad in a lot of pain?
26:21No.
26:22He is on very strong narcotics.
26:24Why don't you want to see him?
26:30His residual limb is heavily bandaged,
26:33so you won't be able to see any blood
26:36or tissue or bones.
26:40I'm not afraid of that.
26:46Okay.
26:48Okay.
27:04I was kicking the back of the seat,
27:07the driver's seat,
27:09which my dad hates.
27:11He missed my choir concert,
27:14which made me mad.
27:15So I kicked his seat.
27:18And he told me to stop,
27:21but I kept kicking and kicking.
27:24And then he turned around,
27:26told me to cut it out.
27:30And then I heard Mom scream.
27:33And there were sirens.
27:35And then we were here.
27:38He's going to hate me
27:40because I'm selfish and stupid,
27:42and it was all my fault.
27:43It was all my fault.
27:54It was my fault.
27:58My brother Steve died.
28:05But it was Steve's fault, too.
28:08It was his idea to hide
28:10on the roof of the train.
28:14He fell.
28:17He broke his neck.
28:22Your dad took his eyes off the road,
28:27and a car ran a red light,
28:29and the airbags didn't deploy.
28:31Those things are not your fault.
28:34And even if it were,
28:39your parents would probably still love you.
28:42Because of your shared experience
28:44in combination with
28:46the parental bonding hormone oxytocin.
28:52Although, in my case,
28:55it wasn't enough.
28:59My parents didn't like me.
29:04I'm sorry about your brother
29:07and your parents.
29:09And your baby.
29:12You've had a lot of bad things happen to you.
29:20I've had a lot of good things happen, too.
29:30Okay.
29:32I want to go see my dad.
29:39Okay.
29:44Mila?
29:48I need a rapid response team.
29:50Stat!
29:52She's bleeding in her chest.
29:57BP is 65 over power.
29:59Give another unit of blood.
30:01We have to open her up, Sean.
30:03We could injure her bronchi
30:05and cause chronic respiratory failure
30:07or rupture her pulmonary artery.
30:10Prevent OR for stat theracotomy
30:12and page Dr. Lim.
30:18The old fart needs angioplasty and a stent.
30:21You may have just saved this guy's life.
30:25I might be late for arts and crafts.
30:27Does this have anything to do with Nira?
30:31You made one bad call.
30:33You're not a bad person.
30:35That is not what you said last week.
30:37I may have overreacted.
30:40I've woken up every morning
30:42my whole life wanting to conquer the world,
30:44and then I hurt someone.
30:46And I almost lost...
30:50I almost lost everything.
30:53So now I am going to cultivate virtuous intentions
30:57and generally not be so awful.
31:01If you want to meditate and volunteer
31:03and save random old guys, go ahead.
31:06But don't become a totally different person.
31:10I would miss you.
31:13The world needs people who wake up every morning
31:16wanting to conquer it.
31:18Those kinds of people land on the moon
31:20and cure cancer
31:22and drag grumpy old men into the ER.
31:26And trample innocent souls along the way.
31:28Yeah, don't do that part.
31:32I'll be around to remind you.
31:34I'll prep a sweet for old fart.
31:43Make much longer until I have cardiac arrest.
31:47Okay, I can secure. Go ahead.
31:50Advancing the catheter to the ascending aorta.
31:55Bring down her CO2.
31:57Okay.
31:58Retract the neck muscles so there's room.
32:00Yeah, I got it.
32:12The death of that baby kept me up at night.
32:16Still does.
32:20I should have taken a stand then.
32:23I should have taken a stand.
32:25I should have taken a stand.
32:26I should have taken a stand then.
32:28But Salem told me I kept her up at night too.
32:31She promised to make changes
32:33to ensure that it never would happen again.
32:36And I believed her
32:38because I cared for her
32:41a lot.
32:45But my eyes were closed
32:48and I should have stepped up sooner
32:52because this place is my home.
32:54And you, pains in the ass, are my family.
33:01Together we can fix this woman's heart,
33:04her brain, and neck.
33:09We can do great things for all our patients
33:14and we don't kill each other first.
33:23She's through.
33:25We can go ahead with the tracheal repair.
33:31She's crashing.
33:43Dr. Kane will be here in 20 minutes.
33:45We don't have 20 minutes.
33:46We don't have 20 minutes.
33:53I have to open her chest now.
33:55Get an attending out of surgery.
34:07She has critical bradycardia
34:09but the valve is well positioned.
34:11Drain two cc's of CSF every minute.
34:14That should buy me 10 minutes.
34:17I'll remove the delivery valve.
34:19I'll put in a temporary pacer.
34:22I still don't know what's taking her heart rate.
34:24I do.
34:26The tracheal injury compressed her carotid.
34:28It's lowering her heart rate.
34:33Try removing the retractor.
34:35Push atropine.
34:40No good.
34:42Heart rate's in the 30s.
34:44She's going to arrest.
34:46Sean needs one of you in OR3.
34:48Alice pulmonary vessel ruptured.
34:50He's cracking her chest.
34:54I need 10 minutes.
34:56Tell Sean to use every bit of his Sean-ness
34:58to keep her alive until I get there.
35:08Angie's going to be here in 10 minutes.
35:10I've located the bleeding vessel.
35:17If I clamp too close to the pulmonary artery
35:19I'll extend the injury and she will bleed out.
35:22If I get too close to the hilum
35:24I could cause a pulmonary infarct.
35:26She'd need a ventilator for the rest of her life.
35:31I need Andrews's help.
35:34She's going into shock.
35:36You can do this, Sean.
35:47I need meds, stay sutures and a needle driver.
35:58BP's climbing.
36:10Well done, Dr. Murphy.
36:12Want me to take over?
36:14Yes.
36:34We're all going to be okay.
36:37Except for the severe chest pain
36:39you will both experience for several weeks.
36:41And there is a 1% chance of recurrent pseudoaneurysm.
36:44But yes, you will most likely be okay.
36:49Thank you, Dr. Murphy.
36:52We'll give you all some time.
36:58I didn't lose it.
37:13Thank you, Dr. Murphy.
37:44Personal connections aren't so bad, are they?
37:51No.
37:53They are not so bad.
37:57But I do not want to do it again.
38:00I have to go home.
38:06I think I can save the clinic.
38:09I can't.
38:10I think I can save the clinic.
38:12Dr. Resnick, it's been a long day.
38:14I talk fast.
38:16Old people, they need care the most
38:18and they have the least access.
38:20Telemedicine services for nursing homes.
38:22I just brought in a patient
38:24who needed a $100,000 Angio
38:26entirely paid for by Medicare.
38:28That alone would cover the cost
38:30of three uninsured clinic patients.
38:32That's a good idea.
38:35But ideas aren't your problem.
38:37I know.
38:38I made a mistake.
38:40And followed it up with another.
38:42You've bubbled your opportunity
38:44from every direction.
38:46I know.
38:48Which is why Dr. Glassman
38:50should be in charge of the clinic.
38:52I'm not ready.
38:54But I will be, someday.
38:56And you're going to need people like me
38:58if you're going to save this place.
39:01And you know I'm right.
39:03Because you wake up every morning
39:05wanting to conquer the world, too.
39:08I know.
39:35What is all of this?
39:36I got you something.
39:45I made it myself.
39:56Leah Delalo.
40:00Will you
40:03make a bond
40:04of shared experience
40:06and oxytocin
40:10and love
40:12with me for the rest of our lives?
40:17Of course.
40:19It's a placeholder.
40:21It's perfect.
40:49I left a bottle of scotch
40:51around here somewhere
40:53after the first time
40:55you stole my job.
40:57Did you drink all my fizzy water?
40:59There's a cucumber one
41:01left in the back.
41:03They're disgusting.
41:05It's refreshing and delicious.
41:07Agree to disagree.
41:09Yeah.
41:11I'm sorry.
41:13I'm sorry.
41:15I'm sorry.
41:16Yeah?
41:18Found it.
41:22Why not?
41:46Why not?
41:48Why not?