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00:02Autism, a mental condition characterized by difficulty in communicating.
00:08Does it sound like I'm describing a surgeon?
00:10You saved his life.
00:12I'm Dr. Sean Murphy.
00:13Never forget, you're the smart one.
00:15And I'm proud of you, Sean.
00:16My brother went to heaven.
00:21In front of my eyes.
00:23He's got a serious deficit.
00:24We hire Sean and we give hope to those people with limitations,
00:28that those limitations are not what they think they are,
00:31that they do have a shot.
00:34If Sean doesn't live up to everything I know he can do,
00:38I will resign my position as president of this hospital.
01:28I'll ever leave certain circumstances.
01:28He's got a baby.
02:01Where to?
02:02San Jose, St. Bonaventure Hospital.
02:04I'm a surgical resident. Today's my first full day.
02:08I meant floor.
02:10Oh, ground floor.
02:13I'm taking the bus.
02:17This is Mitchell Brown, 55 years old, post-op day one from a radical prostatectomy.
02:21Morning, Mitchell. I'm Dr. Melendez. These are my residents, Dr. Brown and Dr. Kalou.
02:26Your surgery went perfectly.
02:27Yeah? Are you ever going to walk again?
02:30Yes, of course.
02:32This is Mitchell Brand. I reviewed his chart.
02:35He's 55 years old from Chicago, divorced with two children.
02:38You did a radical prostatectomy on him yesterday.
02:41There are many possible complications, but none related to motor neurons.
02:44There is no chance you won't be able to walk.
02:49He wasn't worried about his legs.
02:54Oh, yes. There's a significant chance of impotence.
02:59Dr. Murphy, you're late.
03:01No, the bus was late.
03:02The schedule was clear. They posted online, but the four bus was late, which meant...
03:07Five minutes. We've all been...
03:08On your first day, no less. It is your responsibility to be here. If you were not, you have failed
03:12in your responsibility, which makes it your fault.
03:14Okay, how can it be my fault? I did nothing wrong. The bus...
03:18This is going to work out great. The board clearly made the right choice in hiring you.
03:23Dr. Melendez, we've got an emergent consult in the ER.
03:28You should be fine if you can leave it alone for a couple days.
03:31Four days of indigestion, bloating, constipation, and nausea.
03:35And a lot of pain, apparently.
03:38Did you have remorphine?
03:39Yeah, 10 milligrams. Hasn't touched your pain.
03:43You have time to get a CT?
03:45That's why I called you.
03:51It's very big.
03:54Yes, it is.
03:55What are we looking at?
03:57It's definitely abutting the aorta in the left kidney.
04:00Renolangial myelipoma?
04:02Do you see an extensive blood supply?
04:04No.
04:05Maybe some kind of neurogenic tumor or maybe a lymphoma.
04:08She has a sarcoma, a malignant tumor.
04:13Malignant? That means it's killing me, right?
04:15Yes.
04:15Not necessarily. We're just speculating right now.
04:18It's definitely malignant. If it weren't malignant, then...
04:21Please stop saying malignant.
04:22Should we talk outside?
04:26Give her more morphine. As much as she wants.
04:33You scared her.
04:35You need to be so blunt.
04:36Why?
04:39Her prognosis is terminal without immediate medical intervention.
04:42Isn't that scary?
04:44Well, that fear does her no good.
04:48Does she have a malignant sarcoma?
04:52Are we going to be doing a laparoptomy?
04:55We need intraoperative staging of the biopsy,
04:58extensive dissection of the retroperitoneum,
05:00and excision of the mass with wide clear margins.
05:04I went in.
05:04You do know you're drooling, right?
05:06About cutting open a 40-year-old woman, real person, right behind that door.
05:10It's called bedside manor. No such thing as outside the door manor.
05:13It is exciting, Claire. We'd be saving a life, and we'd be learning.
05:17See?
05:17Dr. Brown, you're my number two.
05:21With all due respect...
05:22Comments that start that way rarely come across that way.
05:25I was going to say that's an excellent call.
05:28Jared preps surgical team.
05:29Sir, what do I do?
05:33Scut work.
05:35What's scut work?
05:36Today I'm going to need my surgeons to have no distractions,
05:39so I'm going to need you to handle those distractions.
05:41All the work they do every day that they hate doing,
05:44you're handling it for them.
05:55I'm sure they know we still need to consent on that one.
06:04Am I being punished for something?
06:06No.
06:08Okay.
06:11So that's it?
06:12You just accept my answer at face value?
06:15Why?
06:17You're very arrogant.
06:19Arrogant people don't think they need to lie.
06:22So you must be doing this to teach me.
06:24I look forward to learning from scut work.
06:31Say, ah.
06:33Ah.
06:34How long will this be?
06:35Seven minutes.
06:38Without any complications,
06:39it takes seven minutes to do a discharge examination properly.
06:42Dr. Dunsmear has already cleared him to go,
06:44and we need the bed.
06:45Okay.
06:46Protocol requires that the surgical department also clears him.
06:52You have an ear infection?
06:54Yes, that's why he's here.
06:55My hearing's been a little muffled,
06:57and I've had some reading.
06:58They gave him amoxicillin,
07:00and we're sending him home,
07:02which is why you're here.
07:03To send him home.
07:05I'd like an MRI of the head and internal auditory meatus.
07:08I'm not being discharged?
07:10What do you think is wrong?
07:13I'll tell you when I know for sure.
07:16I don't want to scare you.
07:24Any available resident to IC?
07:27Any available resident to IC?
07:29Sean?
07:31What are you doing down here?
07:32I'm waiting for her to fart.
07:37Flatulence.
07:38But I'm using the word fart in front of the patient to be more casual.
07:41But you're the president of the hospital,
07:43so I'll say flatulence to you.
07:44Well, I appreciate that.
07:46Why are you doing that?
07:48She had her deviated septum repaired.
07:50Before we can release her,
07:51we have to be sure she isn't suffering from postoperative alias.
07:55Ah.
07:57This is what Dr. Melendez feels you'll be most useful doing today,
08:02waiting for farts.
08:03I'm not just waiting for farts.
08:05Thank goodness.
08:06I'm doing all this gut work.
08:11Well, welcome to your surgical residency.
08:20There.
08:21I think that was it.
08:27I don't think so.
08:29I'll wait a little longer.
08:31This is important.
08:35The procedure is called a laparotomy.
08:40Um...
08:42Yeah, your heart sounds good.
08:44So we make a long incision down the middle of your abdomen,
08:47expose the tumor.
08:48Am I going to die?
08:52Dr. Melendez is the best surgeon I have ever seen.
08:55Can this all wait?
08:57You have a very serious condition.
08:59It's not advisable.
09:00Just a couple of weeks.
09:01My son is getting married next weekend.
09:04They look very happy.
09:06After the initial incision.
09:08They've been planning this for months.
09:10They have to reschedule.
09:12Well, this is complicated surgery,
09:14but if all goes well,
09:16recovery is pretty easy.
09:18No need to reschedule anything.
09:21And if it doesn't?
09:22If it doesn't go well?
09:28My husband died in a car accident
09:30a couple of years ago.
09:33Mark is our only child.
09:37I can't die right before his wedding.
09:39I can't.
09:42You're not going to die.
09:45You will be at the wedding.
09:47Looking beautiful.
09:50Okay.
09:58You're not supposed to make promises like that,
10:00Dr. Brown.
10:01I told her what she needed to hear.
10:03Officially, our legal department's policy is
10:05tell the ugly truth the uglier the better.
10:07Is that what you did?
10:08I don't think that's what you did.
10:09Yeah, well, it's a dumb policy.
10:11She needs to have the surgery.
10:12Scaring her would change nothing.
10:13Right, because a much better policy
10:15would be to lie to all of her patients,
10:16whatever it makes you feel better.
10:18No, it doesn't make me feel better.
10:19It makes her feel better.
10:24I'm pathetic.
10:27What?
10:28I am pathetic.
10:29And here's my thinking.
10:30So just, just bear with me
10:32because it kind of insults both of us.
10:35You met that woman an hour ago
10:36and you lied to her.
10:38A pity lie because you obviously care about her.
10:41A pity lie that has absolutely zero upside for you.
10:44But I can't make you the world's softest touch
10:47care about me.
11:05I need a consult.
11:09You have a question about this?
11:11This patient's perfectly healthy.
11:12There's not even any artifact in these images.
11:14Yeah, which in turn raises an interesting medical question.
11:17Why the hell did this patient get an MRI?
11:21I don't know anything about this.
11:22Yeah, someone on your team ordered it.
11:24It's your responsibility, which makes it your fault.
11:28But how did you...
11:29It's my department.
11:30It's my job to know everything.
11:32Well then, since I work for you,
11:34doesn't that make all this actually your fault?
11:35Well, I'm sorry.
11:36I stopped listening after I work for you.
11:42Does that hurt?
11:44Yes.
11:46Does that hurt?
11:48Yes.
11:49Does that hurt?
11:50How much are we paying for this?
11:52She has a tummy ache.
11:53That's what they do.
11:53They ache.
11:54Shh.
11:54She's just trying to get out of school again.
11:56Where do you think she learned that from?
11:58You don't think she hears you calling in sick to work
11:59right before you go golfing?
12:01I like school.
12:03Me too.
12:03What did you eat for dinner last night?
12:06Cereal?
12:07I thought you made meatloaf.
12:08I did.
12:08And it got cold.
12:09I'll be waiting for you.
12:10I want D-dimer lactate amylase.
12:13What test are you ordering?
12:15D-dimer lactate amylase.
12:17For a tummy ache.
12:19Yes.
12:20I'm concerned it may be...
12:25Shall we talk outside?
12:27Totally something's wrong.
12:28You're happy she might be sick.
12:30I'm happy you're wrong.
12:31Yeah.
12:31Let's talk outside.
12:35Have they been bickering like that the whole time?
12:37I didn't notice.
12:39They aren't sick.
12:40Yeah, they're what we call a vector.
12:42A carrier.
12:44A cause of disease.
12:45The parents?
12:46Yeah.
12:47That little girl has a tummy ache
12:48because mommy and daddy won't stop fighting.
12:50This isn't a medical issue.
12:51Send them home.
12:52Could be intestinal malrotation,
12:54which could quickly become fatal.
12:55And every patient in this hospital could have malaria.
12:58Well, that doesn't mean we're going to go around testing
12:59for every condition we think they could have.
13:01For example, an MRI you ordered on the guy with the ear infection.
13:04Nice call, genius.
13:07I was being sarcastic.
13:08It's normal.
13:09He's healthy.
13:10Send him home too.
13:13Why are you smiling?
13:14Because you're right.
13:16So you thought he was making a mistake
13:17and didn't say anything.
13:18Just stood by watching, taking notes
13:20while he wasted everybody's time.
13:22Is that your job?
13:24In my experience, doctors don't listen to nurses
13:26and they only talk to us to lecture us
13:28when they figure we screwed something up.
13:35From now on, you don't run any tests you don't have to run.
13:38How do I know if a test is needed until after I run it?
13:42She'll tell you.
13:43Today, she's your boss.
14:01I could never eat before surgery.
14:04Puke.
14:05I could do that.
14:07How do you cranky if I don't eat?
14:10I hear Sean made the call.
14:12He's an excellent diagnostician.
14:15Should get him a job in radiology.
14:16He doesn't want to be a radiologist.
14:18He wants to be a surgeon.
14:20That's what we hired him to be.
14:22That's what I worked damn hard to hire him to be.
14:25Not a glorified orderly.
14:27Every resident does scutwork.
14:29So you're treating him like anybody else?
14:30Are you?
14:31Yes, yes, I am.
14:32He more than earned the right to be here.
14:35He has had to get past people like you
14:36and their prejudices every step of the way.
14:39Prejudices?
14:39Yeah, prejudices.
14:41Do you have any idea how many patients
14:42he scared the crap out of today?
14:43How many wasted tests he ordered?
14:46So teach him.
14:47I'm doing that.
14:48I'm teaching you both that he doesn't belong.
14:53Okay.
14:54Are you going to make me pull rank?
14:56I will pull rank.
14:57This is my hospital.
14:59But it's my team.
15:02You can't tell me how to run my team.
15:13Hey.
15:15How are you doing?
15:17What's the point of sarcasm?
15:20Um...
15:22Like sometimes it's a way of critiquing people
15:26in a way that's funny
15:28so they don't feel quite so bad.
15:30Isn't it just lying?
15:32Um...
15:32Well, it's not lying
15:33because people know you're lying.
15:36I'm not good at that.
15:39You may remember me from last year.
15:41We sell chocolate bars every year
15:42to pay for our class trip to Mount Rushmore.
15:45Okay.
15:45But this year we're not going to Mount Rushmore
15:48because Kenny can't go.
15:51He's got cancer.
15:53So Samantha had the idea
15:54that if he can't go,
15:56none of us would go
15:56and we all thought that was a great idea.
15:58So we're going to have a party
16:00at the hospital for him.
16:02There are two Kennys in your class.
16:04Is it Kenny L or Kenny M?
16:06No one's sick.
16:08You lied?
16:09You weren't supposed to lie.
16:10Yeah.
16:11And you and me aren't supposed to starve.
16:13We need money for food.
16:15Was any of that true?
16:17Yeah.
16:18We're not going to Mount Rushmore.
16:26I can't discharge people
16:27if I think they might still be sick.
16:30Um, of course not.
16:31Why would you?
16:32Dr. Melendez made Nurse Friday my boss today.
16:35Should I speak to Dr. Glassman?
16:37No.
16:39What did you think this job was?
16:42To save people's lives.
16:43No.
16:44I mean, yeah.
16:46Sometimes we do save lives.
16:48But the job?
16:50It's doing whatever Melendez asks us to do.
16:53Yeah.
16:54Paging Dr. Brown.
16:55Paging Dr. Brown to DOR.
17:06I'm Dr. Claire Brown.
17:08I'm first assist today
17:09and I'll be leading the timeout.
17:10Patient's name?
17:12Stephanie Willis.
17:14Scheduled surgery?
17:15Excision of an indeterminate
17:16retroperitoneal tumor.
17:18We don't anticipate
17:19any complications with the surgery.
17:21Thank you, Dr. Brown.
17:23Ten blade.
17:23Ten blade.
17:34Let's remove a tumor.
17:38Excuse me.
17:45No.
17:48He might be infected.
17:50It's not.
17:50There is some discoloration.
17:52He's 82 years old.
17:54Everything is discolored.
17:55Dr. Brown, 7247.
17:57Dr. Brown, 7247.
18:02Once we get through the muscle layer,
18:04proceed carefully.
18:06Blood pressure 120 over 70.
18:08Heart rate 60.
18:09She's holding steady.
18:12I've opened the fascia.
18:15You kept your puke?
18:18Yeah, I thought you'd want to see it.
18:21It looks like puke.
18:23No, no, no.
18:24It's not the regular color.
18:26Your puke has a regular color?
18:28Yeah.
18:29It is a bit of an unusual color.
18:31We could order some...
18:34I'm sending you home.
18:36You sure?
18:39It's safe for me to go home?
18:42I don't know what to say.
18:44You'll learn.
18:45By doing.
18:55Hi.
18:59My brother said there's a kid named Kenny
19:01and he's sick and they're my...
19:03You should give us money.
19:08So am I okay?
19:11Am I okay?
19:14According to all hospital rules
19:15and direct instructions given to me, yes.
19:23Wait.
19:28Whoa.
19:29We need a better exposure of this tumor.
19:35Now let's get the deep valve four in here.
19:37Deep valve four retractor?
19:40Let's get this thing open.
19:42I've got to see where it's safe to cut.
19:44Yeah.
19:46I can't see anywhere where the tumor
19:47hasn't encased her arteries.
19:49Claire, tell me you got something.
19:50I've got nothing.
19:51This tumor is way bigger than it looked on the scans.
19:56I...
19:57I can't even see her aorta.
20:01That's a problem.
20:06I...
20:08I...
20:09I...
20:15I can't even see her aorta.
20:17That's a problem.
20:30Is that the girl with the bickering parents?
20:33Didn't we send her home four hours ago?
20:38Dr. Murphy, Dr. Malan does need you in surgery.
20:48That won't be necessary.
20:56The tumor is entirely encased the large abdominal arteries.
20:59That's very bad.
21:01If it's in the artery walls,
21:02it's going to be impossible to cut out without killing her.
21:05You should get a biopsy to determine where the margins are.
21:09You're welcome.
21:11I was being sarcastic.
21:12Again.
21:14Oh, I...
21:14I see because you already know everything I said
21:17and you already sent a biopsy to the lab.
21:19Yes.
21:20Because I'm a doctor too.
21:22Yes.
21:23But you need me?
21:23Yeah.
21:24I need you to run down to the lab and hurry them along.
21:43I'm Dr. Sean Murphy.
21:44I'm a surgical resident.
21:46Dr. Malan does sent you a biopsy.
21:48When will the results be ready?
21:49When I get to it.
21:51It's very important.
21:52They're all very important.
21:56Let me see the other test orders.
21:58I'll tell you which one's the most important
21:59and you can do them in that order.
22:01I'll be honest and fair.
22:04That is not the way that it works.
22:06Now go wait your turn.
22:13Do it again.
22:14Do it again.
22:23Get the hell away from me, you moron.
22:25Let's get out of here.
22:28Wait, wait, wait, wait.
22:31If you want to get anything in life, Sean,
22:33there's one thing you got to do.
22:35Never be afraid.
22:38You're the moron!
22:57If you don't do Dr. Melendez's test right now,
23:00I will throw a rock through your window.
23:07Well, I wouldn't want that.
23:12Go have a seat.
23:13Your results will be ready in 15 minutes.
23:26You got him, Matt?
23:28I have a patient lying in the OR waiting for lab results
23:31and I'm sitting here trying to figure out
23:32what the hell I'm going to do next
23:33and I don't like any of my options.
23:35So, yeah, unfortunately it seems I do.
23:38Okay, we can talk another time.
23:40Glassman talked to you.
23:43I don't have a problem with an autistic doctor.
23:45No, you just have a problem with one working for you.
23:48Really?
23:48That's how you see me?
23:49Let's not make this personal.
23:51You're accusing me of prejudice.
23:53I have a problem with the doctor
23:55who has a problem with communication.
23:57Okay, let's make this personal.
24:03Who do you respect at this hospital?
24:04You and Glassman.
24:07And who do you not respect?
24:12It doesn't bother you
24:14that it looks like you're on the wrong team.
24:18If the tumor hasn't invaded into the arterial walls
24:21we could create a plane of dissection.
24:23Now, if it's a non-invasive liposarcoma
24:25we can work it off from the outside.
24:27Blunt section tissue forceps.
24:28Peel it off piece by piece.
24:40It's a leiomyosarcoma.
24:44Well, that sucks.
24:46Yes, it's sad.
24:47The surgery's impossible.
24:49Well, might as well wake her up.
24:52Let her know she has three months to live.
24:54Offer palliative care.
25:03Surgery isn't impossible.
25:05Just very, very, very difficult.
25:08Yes, in the sense that we'll be operating blind.
25:11Yes, because the left kidney is in the way.
25:13The healthy left kidney.
25:15Both kidneys are healthy, Jared.
25:16She only needs one.
25:18Without the left one
25:18it's theoretically possible
25:19to access the tumor and remove it.
25:21You're suggesting we cut out
25:22a perfectly healthy organ
25:23just to get a better view?
25:24Yes.
25:25But she might die anyway.
25:26Yes, quite probably.
25:29I have to go.
25:30I have a boil to Lance.
25:36It's a brilliant
25:38very, very, very terrible idea.
25:43Close her up and wake her up.
25:45He wants to join me
25:46when I tell her she has six weeks left to live.
25:51There is one possibility.
25:56If we remove the left kidney
25:57we might be able to get
25:58a good enough view
25:59to successfully remove the mass.
26:01Take out a healthy kidney
26:02to get a better view.
26:04That's insane.
26:06A good view is half the battle
26:07in any operation.
26:10Most likely outcome
26:11is we'd be depriving her
26:12of what little time she has left.
26:13What if we succeed?
26:16You want to do this
26:17because it's exciting.
26:18You want to be a hero.
26:19But if you fail
26:20this woman dies.
26:22She misses her son's wedding.
26:25That's the issue, isn't it?
26:27You promise this woman
26:28she'll be okay.
26:38She had to do the surgery.
26:40I might as well
26:40tell her good things.
26:41The reason we don't make
26:42patients' promises
26:43isn't just for legal.
26:45Jared's right.
26:46Your judgment is compromised.
26:47I still think...
26:48You're not objective.
26:49Who the hell is?
26:51We should at least
26:53wake her up
26:54explain what we found
26:55what we're hoping to do
26:57and get a new consent.
26:58What we're hoping to do
26:59is exactly what you told her
27:01we were going to do.
27:02Remove that tumor.
27:03The only thing we'd be explaining
27:04is why you undersold the risks.
27:07We're doing the surgery.
27:09And Jared,
27:10your menu number two.
27:26Mayo's?
27:27Mayo's.
27:31I'm going to open
27:32the fascia
27:33and expose the kidney.
27:34You clamp the renal hilum.
27:36Clamp it.
27:36Clamp it.
27:44Just cut off the blood supply
27:46to a perfectly healthy kidney.
27:47If you need a color commentary,
27:49I would have hired Jeff Van Gundy.
27:58John, I believe you've met Trevor?
28:01Yes.
28:01I sent him home.
28:03Yes, well, he didn't, uh, go home.
28:05He actually came to the president
28:07of the hospital instead.
28:09He said you sent him home
28:11even though you thought he was sick.
28:12I specifically never said that.
28:13I made sure not to say that.
28:15No, no.
28:15What the hell does that mean?
28:16What does that mean, Sean?
28:17Am I healthy?
28:18Probably.
28:19You're a doctor.
28:20You're supposed to know.
28:21No, we're not.
28:22Nobody knows anything for sure.
28:23Anybody could drop dead
28:24of a heart attack at any time.
28:26Who is this guy?
28:27Am I going to have a heart attack?
28:30Sean has some difficulty
28:32with certain social interactions,
28:34but if he said...
28:34I don't give a crap what he says.
28:36What do you say?
28:37Am I healthy?
28:40I've reviewed your chart,
28:41and I can say with complete confidence
28:43that you are in peak physical condition.
28:45Thank God.
28:58Sean, people need reassurance.
29:01I told him he was safe to go home.
29:04I was very clear.
29:05With your words,
29:06your actions said something
29:07completely different.
29:08No, they didn't.
29:09My actions were completely silent.
29:12When you reassure someone,
29:14they have to receive it.
29:15You have to gauge
29:16whether they actually are reassured.
29:20You understand?
29:23When did you review Trevor's chart?
29:26I didn't.
29:28It's not really a lie.
29:29If you say that he is safe to go home,
29:31then I know for a fact
29:32that he's safe to go home.
29:36I sent a girl home today.
29:41How often do people develop stomach issues
29:43because of their brain?
29:44Based on my personal experience
29:46every single day.
29:50I want D-dimer lactate enamelies
29:53for 10-year-old girl Martine Le Duff.
29:55She might have a tummy ache
29:57caused by stress.
29:58Or she might not.
30:00Hi, Sean.
30:01Hi, Carly.
30:03That's a lot of tests
30:04for an upset stomach.
30:05You could get in trouble.
30:06That's definitely true.
30:11Remove the kidney.
30:12All right.
30:18Okay.
30:25Let's get in there
30:26with some suction clear
30:27so we can get a better view
30:28of what we're dealing with.
30:34There it is.
30:39It's a mess.
30:41Yes, it is.
30:42Now it's a mess we can see.
30:46Everything is within normal range.
30:50Slightly elevated lactate enamelies
30:52and she's very small.
30:54Normal should be lower.
30:56Normal should be lower.
31:00What do you think she has?
31:42I don't know.
32:06What the hell? It's after one.
32:08I ran tests. The results were ambiguous.
32:11I think Martine has intestinal malrotation and the devolvulus has occurred.
32:15Ambiguous test told you this.
32:17It's a genetic condition. The symptoms are very similar to stress.
32:21Call us in the morning.
32:22Okay, she may not be alive in the morning.
32:28Does your boss know you're here?
32:31No, I think he'd be upset with me for being here.
32:35I am not waking my daughter up in the middle of a school night because of some freak.
32:39And you don't need to call me in the morning because I'll be calling your boss in the morning.
32:52Were you being sarcastic?
32:53How hard is it to get rid of someone?
32:55I told him.
32:55You're right, I'm weird.
32:57Part of my weirdness is that I perseverate.
32:59That means I keep thinking about things.
33:01So I will keep knocking on your door until I know Martine is okay.
33:12Martine, Martine, Martine, you need to wake up.
33:20Oh, honey.
33:22Martine?
33:23She vomited.
33:24I can't wake her.
33:25I'll call 911.
33:26No, there's no time.
33:28Do you have a car?
33:29Yeah.
33:50What's wrong?
33:52What's wrong?
33:53What's wrong?
33:54Hey, hey.
33:55You called me.
33:55What's wrong?
33:56Hey, look at me.
33:57Look at me.
33:57You don't have to say the whole thing, okay?
34:00Just one thing, okay?
34:01One thing.
34:02My brother.
34:19Hold on, Sean.
34:20Hold on now.
34:20Hold on.
34:30Her pulse is too weak to perfuse her organs.
34:33What?
34:34What is that?
34:38Cherry!
34:40Please hurry.
34:48Watch your back, Shane.
34:50The patient is a 10-year-old female.
34:52She has bradycardia with hypovolemic shock.
34:55She needs oxygen, IV adrenaline, and a liter of saline.
34:59Wide open, please.
35:00Coming through!
35:00Right through the area.
35:02Her pulse is better.
35:03She needs an ultrasound.
35:10That is it.
35:15I think you got it all.
35:17You think?
35:17No, you definitely did.
35:19I just can't quite believe it.
35:20It was your idea.
35:21You should have more confidence.
35:26Nice work, doctor.
35:49There.
35:51The small bowel is twisted around the superior mesenteric artery.
35:55Martine needs surgery immediately.
35:58We need to confirm with Dr. Melendez if he...
36:00No, Dr. Melendez is in surgery.
36:03Part of Martine's bowel is dying and killing her with it.
36:05No, you cannot make these calls on your own.
36:07Dr. Melendez was very clear.
36:10He was very clear.
36:12It's past midnight, which means it's tomorrow,
36:13which means you're no longer my boss.
36:18Is this the OR scheduler?
36:21Yes, this is Dr. Murphy.
36:23Prepare an OR for surgery.
36:32Ten blade?
36:33Ten blade.
36:40I'll take it from here.
36:42Nice diagnosis.
36:44I'll handle the repair work.
36:47Is Stephanie okay?
36:48Yes.
36:50Jared had an excellent idea and she's going to be fine.
36:52Light?
36:53Light.
36:57Would you like me to assist?
36:59Pretty basic.
37:00I think I can take this one on my own.
37:02Go home.
37:02Get some sleep.
37:04Let him stay.
37:07Dr. Andrews?
37:08Leave our opinions on the wisdom of hiring Dr. Murphy.
37:11That battle is lost.
37:12Sean is here and we have to accept it
37:14and we will treat him like any other resident.
37:16Sir, it's my team.
37:17And it's my department.
37:20Dr. Murphy?
37:26Back on suction.
37:27Congratulations.
37:30Suction ready.
37:37Whoa!
37:38I am going to get a drink.
37:40I'm way too wound up to sleep.
37:42You care to join me?
37:43For either?
37:44Don't think so.
37:46Seriously.
37:47We were just part of something amazing.
37:50We reached into that woman and we healed her and you're what?
37:53Cranky.
37:55Maybe you could learn something from me.
37:57Like what?
37:58To steal credit?
37:59Make yourself a hero with Sean's idea?
38:01No, but I fought for it.
38:03I went out on a limb for it.
38:05I deserve credit for that.
38:07Why didn't you rat me out as soon as I brought it up?
38:10It seemed beside the point.
38:11No, you didn't rat me out because you thought the idea was crazy.
38:15You would let me take the fool.
38:18Is that fair?
38:20My idea if it fails, but Sean's if it succeeds.
38:26But I tell you what.
38:28I'd accept that you're right.
38:30I'd apologize to the whole team.
38:33If you prove to me that you're not a hypocrite.
38:35How am I supposed to prove something like that?
38:38Our patient's about to come out of anesthesia.
38:41Tell her the truth.
38:44When she wakes up and here's what we did.
38:45How we miraculously saved her life.
38:48Be honest with her.
38:50About credit.
38:51Tell her you didn't want to do it.
38:54Tell her that you wanted to send her home to die.
39:05Here you got Sean off the gut.
39:08Back into surgery.
39:10I heard you tried.
39:14You're welcome.
39:16Just a friendly warning.
39:18I know you have no interest in helping Sean.
39:21You figure you give him a little authority.
39:23He'll screw something up.
39:24And then you'll be done with him.
39:25And then you'll be done with me.
39:29You're right about me.
39:30I am getting old.
39:32And maybe a little emotional.
39:35Maybe I overcommitted.
39:39But you're wrong about Sean.
39:41He's going to handle anything you throw at him.
39:45Either way, if he succeeds,
39:48I'm the guy who just backed him.
39:50And if he fails,
39:51I'm the president.
40:12Everything went great.
40:16There were complications.
40:18But I'm okay.
40:19Yeah.
40:19But the surgery...
40:20I don't care.
40:22You saved me.
40:24My son's going to be here soon.
40:25I told him you said it would be okay,
40:27but he flew in anyway.
40:30You saved me.
40:35You're going to be a beautiful mother of the world.
41:03Go on and take a bow.
41:05You've earned it.
41:05Why does it matter who gets credit?
41:09It matters because the people who get credit, they don't have to do scut work.
41:26Dr. Murphy, thank you so much.
41:33I'm so fast, it feels too late.
41:39I'll take care of you.
41:45If you ask me to.
41:52I'll take care of you.
41:56I'll take care of you.
42:04I'll take care of you.
42:04I'll take care of you.
42:04I'll take care of you.
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