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00:01Previously on The Good Doctor.
00:02How hard can it be to just act like a normal human being?
00:06No!
00:07Will you stop petting that stupid rabbit?
00:10We're never going home again.
00:12We have each other and that's all we need.
00:17Your fiancé sure can't handle a knife.
00:19He's got a serious deficit.
00:21So are you proud or disappointed?
00:24Marcus, stop making everything so personal.
00:26You've wanted his job since day one.
00:28Everyone in this room knows that.
00:29How did you?
00:30It's my department.
00:30It's my job to know everything.
00:32Since I work for you, doesn't that make all this actually your fault?
00:35Well, I'm sorry. I stopped listening after I work for you.
00:37A surgeon needs to communicate.
00:39Can Dr. Murphy do that?
00:40Can he do that under stress?
00:41Can he do that knowing that a human life literally hangs in the balance?
00:59So remember...
01:01OK, Noah's dad turned around to Gordon's courtroom?
01:15That was pretty much fun and a chê°„ off...
01:16Go over to and check me off!
01:18You can do so many times a morning call.
01:19Okay, yeah, what?
01:19She's not a mini cook, but also...
01:20But then in the morning to guess that he's running.
01:27I've never seen the Iksel scene which work for me.
01:42so I'm in the middle of uncharted and I'm dead can I borrow some triple A's I'm your neighbor
01:50hello 34 I moved in last week 33 yeah I know I work at a hospital that's cool
02:00yes triple A's poor for four batteries right do you have any
02:21triple A batteries thank you piece of advice don't be the cat what cat feed it
02:28once and I'll never leave you alone thank you for the batteries neighbor
02:36you're welcome
02:52surgical well you're on luck because I'm not a nurse I'm a surgical resident how
02:55can I help you
03:08we got a liver for Chuck where I suck municipal hospital you know and do we
03:11have body-to-body on the liver transplant yes you don't know the longevity of a
03:15liver this is a teaching hospital and I'm the teacher you and Murphy you're on
03:19organ pickup check the health and bring the liver back from SFM I was at Chuck's
03:23intake I'd really like to be now you're gonna be at the intake for his new liver
03:27Jared get Chuck down here and get him prepped we got eight hours on this thing
03:30and the clock starts ticking now
03:44I'm not interrupting your pregame am I think this is my 400th breast reconstruction the board should give me a
03:51plaque
03:53what's up you're 4 p.m. the VIP one maker yes the free flap he's checked into the
03:58penthouse suite resting comfortably I'm sure I've been working on him for a while
04:02now and he's close he's real close to making the foundation is tax relief that's
04:06good to hear I want aces on this everything perfect that's good to know I was gonna
04:19phone it in just the chairman's version of a pep talk I'm looking for a failsafe
04:24outcome on the procedure and I want you to use dr. Melendez as your second that's
04:30your failsafe Melendez I'm your chief of surgery it's just a precaution to
04:36guarantee a perfect outcome are you doubting my abilities Wanamaker is
04:39important everything has to be perfect you said that already I'm your failsafe the VIP
04:47will be fine
04:54how are you doing I know these sounds and everything might be a lot for you it's hard
04:59for anyone I like helicopters I didn't know you've been on a helicopter
05:06I haven't
05:2515 minutes to San Francisco Municipal Hospital should be a smooth ride
05:52you don't know what this is right I'll tell you what it is it's scut work Jared gets the golden
06:00ticket and we got
06:03pizza delivery
06:13the rotors just go round and round Sean they don't change
06:32how do I talk to you
06:36so Chuck any chest pain you show up to breath no any alcohol in the last six months no just
06:42a quick pinch you swelling in your limbs it's like Walmart
06:45I'm black Friday I'm black Friday in here things feed way up when you're having a
06:48transplant I like it it's good energy so that's no one is swelling no I feel lousy all the time
06:57pretty much but I've got a second chance you know with this liver sure oh excuse me it's my daughter
07:06I already spoke tomorrow and Uncle Tommy too yeah I need to see your face
07:13all right
07:15all right I love you all right
07:17all right you just graduated from law school at Cal
07:20all right
07:21I told you that no congratulations must have told dr. Brown then where's dr. Brown
07:36here's your liver I'm gonna need you to sign for it
07:38standard operating procedure is to leave the liver in the safety of the body cavity
07:41I'm aware of the procedure we had a John Doe at the top of the registry but that John Doe
07:46died before we complained how long ago did you take it out three hours we just lost three hours technically
07:52three hours and five minutes true clocks on the
07:54can't go below 39 degrees or above 47 degrees
07:59I'm gonna sign for it
08:06tissue looks healthy
08:10what are you doing
08:13what are you looking for
08:14what's he doing
08:15I'm not sure
08:23John
08:24what are you looking for masses
08:26cysts
08:26they're clean
08:27think we'd miss a tumor
08:29there's nothing there
08:33I know
08:35there's nothing there
08:37okay the liver needs to go back into cold storage and we gotta go
08:46then I'll release the vascular clamp and let your blood perfuse a new donor liver
08:49that's it
08:50connect the bile ducts so you up and then we wait
08:53does the new one always take
08:55over seventy percent of the time
08:57well I can live with those odds
09:00you get some rest
09:01see you later
09:03he looks at something I don't know what he's looking at
09:06is he
09:06you know
09:07is he curious
09:07is he concerned
09:08he won't answer me
09:09you're having trouble communicating with him
09:11it's a weekday
09:12it's Sean
09:13hmm
09:13let's see that seems about right
09:15he seemed different at the hospital
09:17you know I could kind of talk to him
09:19yeah well
09:19he knows what to expect in the hospital
09:21outside everything's different
09:22everything's new
09:23new stimuli
09:24so what do I do
09:25I don't know what he's thinking
09:26Claire you're not gonna figure out
09:28what he's thinking
09:29so don't even try
09:30in fact if he's thinking about something in his own mind
09:32just let him be
09:33I'd appreciate it if people gave me the same courtesy
09:35I thought with your history
09:36Claire
09:37if you want to connect with him
09:38you're gonna have to figure out your own way in
09:42how's Chuck?
09:43Chuck? Chuck's fine
09:44he's waiting for a liver
09:45so come home please
09:52Doctor
09:54what's up?
09:54I just wanted to thank you
09:56I haven't done anything yet
09:58you have
09:59you have
10:00you've given my dad help
10:06no Chuck was my first patient
10:09six months ago
10:10first day at St. Bonaventure
10:12I got a liver failure
10:14one of the nicest guy in the world
10:16I wanted to be the one to give him the good news
10:18we're not leaving
10:21you said you like telecomters
10:23we're not leaving
10:25we made it here safe
10:27yes
10:28we're not leaving
10:29we're not leaving
10:30we're not leaving
10:31fog's rolling in too quick
10:34does that mean it rolls out quick?
10:37could be an hour
10:38could be three
10:39don't know
10:42okay
10:42okay
10:42um
10:43we're gonna need a new ride
10:48excuse me
10:48I need an ambulance to St. Bonaventure
10:50sorry I just don't have the EMS
10:52I've got a pileup on I-80
10:53and four other vehicles out on call
10:54not one ambulance
11:00let me be clear
11:02let me be clear
11:02this is emergent
11:02it's time sensitive
11:03honey this ain't hurts
11:08what about a police escort
11:11that can be arranged
11:20of course
11:21don't want to ruin the festivities
11:22if I could just get a few minutes with my patient alone
11:30Mr. Bonaventure
11:33Dr. Andrews
11:37how are we doing today?
11:38incomplete
11:40let's see what we can do about that
11:43look here
11:46well looking not too bad considering we cut out a tumor less than two weeks ago
11:50yeah I've been walking around with a hole in my mouth
11:53ever drink scotch with a hole in your mouth?
11:57waste of good scotch
11:59we needed to give it time to heal
12:01yeah yeah you told me
12:04have you continued to smoke?
12:07constricts the vessels
12:08slows the healing
12:10not a quitter
12:14we are going to grasp some skin
12:18from your leg
12:20and fix that cheek up better than new
12:23I'm a real estate guy
12:25there's an old saying
12:26you can have it fast
12:27you can have it good
12:28you can have it cheap
12:29pick two
12:31it's not going to be cheap
12:32ha ha
12:35yeah I like doctors like you
12:37you're good
12:38you know it
12:42yes it was harvested before we got there
12:44we're waiting for transportation
12:47the itinerary and life clock have changed
12:49um 4 hours and 14 minutes
12:51excuse me
12:51are you talking to the hospital?
12:54have someone tell Dr. Glassman that I might be late for our lunch please
12:59yeah
13:00yeah
13:01okay
13:07so how do you know about the weather?
13:10is it some kind of gift?
13:14come on I gotta know
13:16not Sean Murphy as Zeus
13:19can I watch the weather channel?
13:27are you my doctors?
13:31Sean
13:32Sean we gotta go
13:53you're home?
13:55dad and mom have had a tough night with your brother and all
13:59come on let's go
14:01no
14:02no
14:02no
14:03no
14:03no
14:03no
14:03no
14:03no
14:03no
14:03no
14:03no
14:03no
14:03no
14:04no
14:04no
14:04no
14:04no
14:04no
14:04no
14:05no
14:05no
14:06no
14:06He promised me. He promised me. He promised me.
14:10He promised me. He promised me.
14:19I think we'll get there much quicker if we drive, Sean.
14:28Could you turn off the flashers, please?
14:41What's the patient's name?
14:43I told you it's Chuck.
14:45No.
14:45No?
14:46No. The donor? What's his name?
14:50What? The liver?
14:54Oliver?
14:57Oliver?
15:08Hey, you got a second?
15:09What's up?
15:11Just waiting on the liver.
15:13Transplant. Everyone wants it.
15:15They trade their liver to do the liver.
15:19Hey, look. You want some help on this free flap?
15:22What's his name?
15:23Wanamaker.
15:24Right.
15:24You got the transplant. That should keep any attending busy.
15:28I can make time.
15:29Hey, look. He coming to you about this?
15:31Look, I get it. You're the chief.
15:33That's right.
15:33Look, this isn't a coup.
15:35What is it?
15:37It's about making sure this hospital is first on Wanamaker's donation list.
15:40I'm aware of the stakes.
15:42Thanks for coming by.
15:46You know, it doesn't make you any less of a surgeon having me in there as your second.
15:49I'm the chief. You're my attending.
15:51Can't argue with that.
15:52And we both know what your presence in my OR will say.
15:55It's not my intention.
15:57It's the impact. Intention doesn't matter.
15:59Thanks.
16:00But I'm good.
16:16This can't be right.
16:18Whatever it is, it's right.
16:20Chuck slaps.
16:21It's gonna be a false flag or a bad reading.
16:23For what?
16:24Medications, foods, I don't know.
16:30Look, if this is right, we'll lose our transplant.
16:33Sorry, that doesn't change the results.
16:36There's alcohol in his system.
16:39If you drink, the blood doesn't lie.
16:45Run to lab again.
16:50ETA to St. Montaventure?
16:52Seventy minutes.
17:00What are you looking for?
17:02What do you see?
17:05I have a girl neighbor.
17:07Okay.
17:10Is she nice?
17:13What does she do?
17:14Does she have a boyfriend?
17:17Do you know her name?
17:25What the hell are you looking for on the scans?
17:30What?
17:31The temperature's going up.
17:34Officer, we need to find a place with ice, like now.
17:40I tested it, Chuck.
17:42And retested it.
17:44Like, talk to me.
17:45You know.
17:46You know the six-month rule.
17:48Was it a craving?
17:50Three days ago.
17:52My daughter's graduation.
17:59Nobody in my family had ever gone to college.
18:05There she was.
18:08My little girl.
18:10Wearing the robes.
18:14I thought for just that day, I...
18:17I wanted to be normal.
18:22So why?
18:24I had a glass of champagne.
18:34You're out of ice?
18:35It's broken.
18:36Supermarket's about three miles down.
18:37We don't have time.
18:38I mean...
18:41I know, okay.
18:49The temperature's already at 47 degrees.
18:51We can't let it go any higher.
18:58Are you gonna help me?
19:02Sweet.
19:03You'll like it.
19:17What should I do with him?
19:19Child services.
19:20They're damaged.
19:21I am.
19:21It's 150 miles, and they'll just turn me around and send me back to the parents.
19:26That's normal.
19:28I don't know.
19:30He doesn't seem to want the parents, that's for sure.
19:33I'm dating in the hospital.
19:35Social worker there.
19:42That won't work.
19:44How do you know?
19:46Sean.
19:50You're right, it's not working.
19:51Why?
19:53Sean.
19:55Are you even listening to me?
19:56Just one drink?
19:58That's what he said.
20:00Should I inform the registry?
20:03How long ago did Chuck have the drink?
20:05Three days ago.
20:06Give me your marker.
20:24What type of alcohol?
20:26Champagne.
20:27What percentage of alcohol is that?
20:28I don't know.
20:29What's the difference?
20:29Take out your phone.
20:30Then look it up.
20:33I don't know why it's not working.
20:34It needs to be submerged to cool.
20:53Hey.
20:55Every five seconds is an XL.
20:56Why didn't you answer me last time, but not before?
21:01Was it because I was angry?
21:04Was it random?
21:06Why can't you answer my questions?
21:12This better work.
21:14It will work.
21:18You answer when I don't ask.
21:24You don't like questions.
21:26I don't.
21:34I didn't do well in calculus.
21:35This is algebra.
21:37With his severe cirrhosis, his alcohol clearance rate is one milligram per deciliter per hour.
21:45One drink, say eight ounces.
21:47It's champagne, six ounces tops.
21:49Play conservative.
21:50Eight ounces results in a blood alcohol level of 39 milligrams per deciliter.
21:55One standard drink.
21:59The purpose of abstinence, at least according to the transplant registry, is...
22:04Patients who kill their liver due to excessive drinking prove they can be sober.
22:09Let me see that report.
22:120.02.
22:15Chuck was telling the truth.
22:17He did just have the one drink.
22:18He didn't fill off the wagon.
22:20Corporate loves its data.
22:22I'm not sure it'll actually make a difference, but...
22:25It does give us an argument.
22:28You're a genius.
22:42You don't like the cafeteria food?
22:44You only make one thing well.
22:45What does it say when the staff sees the president of the hospital not eating their cafeteria food?
22:50Well, it says the president of the hospital isn't allowed in the kitchen.
22:55You sat down. What can I do for you?
22:58I'd like your advice.
22:59Really?
23:00Where's Aoki? Did she die?
23:03This was a mistake.
23:05That's insulting. Sit down.
23:06At least hear what I have to say and then decide it's bad advice.
23:09Sit.
23:13Aoki is pushing Melendez on me for the VIP.
23:16Ah, you didn't get the email blast.
23:18Rich people aren't allowed to die in this hospital.
23:20You're not the young star anymore.
23:22Melendez is.
23:23I know that.
23:24And you're upset about the why?
23:26Why does Aoki think that?
23:28You should be asking who.
23:29Who? I know who. Melendez.
23:31Who are you?
23:33Are you a chief who wants to be top surgeon or are you a chief who wants to be president?
23:37Because if it's the latter, take your ego, shove it in the cupboard somewhere and start acting presidential.
23:54Dr. Melendez is going to argue to the board that you get to deliver.
23:57I think it's a pretty good argument.
23:59Do I deserve it?
24:02I'm not sure that's relevant.
24:07You know, when you're dying, and I've been dying for a long time, you start to think about your life.
24:20I haven't led a great one.
24:23I could have been a better dad.
24:26A better man.
24:30It was flash.
24:33I drank too much.
24:35You know, I also have a son.
24:38Yeah.
24:39First marriage.
24:41I haven't seen him in three years.
24:45Getting a liver is not a second chance.
24:48And it's not a reward for being perfect.
24:50It's just what we can do.
24:53Maybe.
24:55But on the registry, all of us wait in line together.
25:00And I see these, these people here waiting.
25:09I know their faces.
25:12Even their names.
25:14They all have stories.
25:18We're in it together.
25:21And I...
25:23I broke the...
25:27Chuck.
25:28Chuck.
25:29Chuck.
25:30Code Blue!
25:31Chuck, can you hear me?
25:47It's got blood in his oesophagus.
25:50It's got very sore bleed.
25:51All right, saline wide open.
25:53I can cross four units.
25:56I'm gonna ban the vein.
26:09Pressure's coming up.
26:17Chuck got it very soon.
26:32What was in there?
26:33Portal hypertension.
26:34Decompensate.
26:35You finished?
26:36You got three months to live.
26:38Maybe.
26:40You have to be six months alcohol free before you register eligible.
26:44And you said you weren't good at math.
26:48He gets this one or he dies.
26:59Do you know what this thing looks like at 8am?
27:01I need a police escort to work every morning.
27:04280 south.
27:06Or all roads meet.
27:11No they don't.
27:22What's wrong with him?
27:24He's autistic, officer.
27:26What's that mean?
27:27Does he need to be in a hospital?
27:29Last place he should be is a hospital.
27:54What are you doing?
27:56Sean.
27:58What are you thinking?
27:59What are you thinking?
28:00What's wrong with him?
28:06Okay, this isn't a question.
28:08I just...
28:08I don't know what you're looking for Sean.
28:11Yes.
28:11I can feel it.
28:12It's firmer.
28:13And?
28:16I don't know what that means.
28:17There must be a clot, but there isn't a clot.
28:20The scans show no clot.
28:30It's because the scans were taken before they harvested the liver.
28:34Prior to the liver being flushed with UW solution.
28:37It's dying.
28:38To preserve the liver, they replaced all its blood with a solution to protect it from the cold storage,
28:41but they must have left some blood behind, which clotted.
28:44How long does St. Bonaventure?
28:45Less than 30 minutes.
28:46Can't wait.
28:47We have to immediately remove the clot and flush the left lobe to protect it from the ice bath.
28:51Okay, we need to stop the car.
28:52Here?
28:53Yes, yes.
28:54We need to operate right here, right now.
29:11Flushes from the right?
29:12So, the left lobe, starting at the middle hepatic vein.
29:16Less intrusive cut would be along the falciform ligament to allow access to segment three.
29:21When you locate the blockage, I'm going to have to remove it.
29:50I need a straw to cannulate the vein, please.
29:52There's a straw in my cup.
30:02UW solution will stabilize the cell walls.
30:05Preserve the integrity of the ordnance.
30:24This is better than having a baby in my car.
30:32How are you feeling?
30:34Like I'm writing a blank check.
30:36You're going to be fine.
30:38You're the best.
30:46The spleed, these varices.
30:49This isn't good news.
30:51Tells us that your liver failure has progressed considerably.
30:55How much?
30:56You have two to three months.
30:58We're getting the liver today.
31:00In an hour.
31:01I don't get it.
31:03You didn't tell them.
31:05What?
31:06Your father had a drink.
31:10He had one glass.
31:12Transplant registry doesn't quantify things like that.
31:15So he doesn't get the liver?
31:16I'm going to try and get it for him.
31:18Why are you a car salesman?
31:20What, are you going to try?
31:21The final decision is out of my hands.
31:27And if you fail?
31:30I'm going to do everything that I can.
31:33I'm meeting with the committee in ten minutes.
31:38Excuse me.
31:44I handed my dad the drink.
31:47It doesn't matter how it happened to you.
31:50He didn't want it.
31:50He just wanted to make me happy.
31:53If you let him die, he'll have killed my father.
32:23It was a glass.
32:24A glass of champagne at his daughter's graduation.
32:27I had the labs to prove it.
32:29Chuck didn't fall off the wagon.
32:30He had one drink.
32:31Never went back.
32:32The transplant registry guidelines
32:33don't play in the gray for a reason.
32:35Those guidelines are so arbitrary.
32:37Have one drink and you die.
32:38A couple pills of ecstasy, no problem.
32:40Hepatitis B from careless sexual practice.
32:42No, nothing at all about that.
32:44So what do you want us to do?
32:45Throw out the rules?
32:45I want us not to hide behind them.
32:48We do have a responsibility.
32:50Without the rules, we're playing God.
32:52We need the rules.
32:53Does that help you sleep better at night?
32:54Yes.
32:55It does.
32:57We have one liver today.
32:59And 800 people in this state need it.
33:02I don't want to be haunted by the other $7.99.
33:04Your guy hasn't earned it.
33:06He knew the rules.
33:06And this, it's a technicality.
33:10No, the drink is a technicality.
33:11Jessica, what's the legal version here?
33:13Significant.
33:14If we move forward with this transplant, we could lose privileges on the registry.
33:19If it was discovered.
33:20If it were discovered, how narrow can you be about this?
33:23Dr. Glassman, where are you on this?
33:25I can make a good argument either way.
33:28Go ahead, please.
33:29Better to remove the arguments altogether.
33:32What the hell is he talking about?
33:33The hell I'm talking about is that we have a patient in this hospital who needs a liver.
33:38We also just happen to have a liver that needs a patient.
33:41It's not that simple.
33:42It is that simple if you consider the patient.
33:44Rules are secondary.
33:47But is saving this patient worth the risk of not being able to save hundreds of others?
33:53I don't have hundreds of patients right now.
33:55I have one.
33:56His name is Chuck.
34:01Blood pressure steady.
34:02Donor vessel to the facial artery.
34:04And we're ready to close him up 10-o-polypropylene in vascular forceps.
34:08Nice work, Dr. Andrews.
34:13What do we have here?
34:16A hematoma?
34:17I can see that.
34:18Let's find its source.
34:19Sponge, stick, and probe?
34:21Sponge, stick, and probe?
34:26It's not my recipient artery.
34:28Heart rate is dropping.
34:29Whatever it is, it's compressing as carotid.
34:31I can't get deep enough here.
34:33I need better access.
34:36We'll move to zone 3 from the outside.
34:38Zone 3 is a minefield.
34:39I'm aware, but we need to do this.
34:41Whatever you're going to do, do it quick.
34:43It's strangling him from the inside.
34:48Give me Melendez.
34:53We made it.
34:55Yeah, we're here.
34:57Downstairs, coming up.
34:59No, no, no, no, Derek.
35:00You're not going to believe.
35:01What?
35:02Yeah.
35:12Got it.
35:21Um, Chuck's been moved to the bottom of the list.
35:24San Jose, Presbyterian.
35:26You're coming to get the lure.
35:34Oxygen sats tanking.
35:35Help him to 100% O2.
35:37You have to go through the mandible from the inside while I probe for the source.
35:40It's the only way.
35:42Loops.
35:43You have to be careful in there, or you'll get a stroke.
35:47You just have to be careful, then.
35:51Give Dr. Melendez the mandibular channel retractor a number five bone cutter.
35:55Number five bone cutter?
36:1129 minutes.
36:12It's a lifetime.
36:14This is amazing.
36:15Gotta go.
36:16The whole team is waiting.
36:17His name is Oliver.
36:32It was a good day.
36:37We saved a life.
36:40Just not Chuck's.
36:55Everybody's praying for you, so it's going to be a cry.
36:58You could still see where the water was.
37:03In a line at the top of the chimney breaks.
37:08It's not your fault.
37:10I want to believe that.
37:12I want to believe that.
37:18So we saved a few things that were spared.
37:22Bye.
37:23Bye.
37:23And brought it to the ground.
37:26Better?
37:28Because you always build it better the second time around.
37:34I want to believe that.
38:04Hello.
38:04Are you a lab guy or something?
38:07I'm a surgeon.
38:08That's insane.
38:09May I have my batteries back?
38:12The ones you borrowed.
38:16Yeah.
38:23Go.
38:29What's your name?
38:31I'm Leah.
38:32I'm Dr. Sean Murphy.
38:33Nice to meet you.
38:34Nice to meet you.
38:34I'll never be faced.
38:40So we saved a few things that were spared.
38:45And brought it to the ground.
38:50Because you always build it better the second time around.
39:20I drove past the place where we used to live.
39:23I drove past the place where we used to live.
39:47And I drove past the next time.
40:04Stay with me tonight, and tomorrow we'll figure out the rest.
40:27Stay with me tonight, and tomorrow we'll figure out the rest.
40:50Stay with me tonight, and tomorrow we'll figure out the rest.
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