#video #الطبيب الجيد 1 - Episode 18
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00:10I want to be your friend again.
00:14Why, Sean, what happened?
00:16People need friends.
00:18Well, yeah, they do.
00:22But you said you wanted me to stop interfering, remember?
00:26You wanted space.
00:29You wanted to make your own mistakes.
00:32I need a friend more than I need space.
00:38You were a good mentor and a good friend.
00:42Well, thank you, Sean.
00:46You don't know how much it means to me to hear you say that.
00:50But I think...
00:55I think you may need a new mentor.
01:01I'm dying.
01:1712 to 18 months.
01:19I'd appreciate it if you didn't tell anyone.
01:22Okay?
01:22I will in my own time.
01:24Okay.
01:24Have you had a full workup?
01:26Yes, of course.
01:28It could be a secondary tumor metastasized to your brain from somewhere else.
01:32It's the only tumor found.
01:34It could be an inflammatory or infectious process.
01:37It was a tumor, Sean.
01:38You should get a second opinion.
01:40Sean, I've been a neurosurgeon for 30 years.
01:42I think that qualifies as a second opinion.
01:45You should get a second opinion.
01:49You have to know whether or not...
01:51All right, all right, all right, Sean.
01:51I'll get a second opinion.
01:53Okay?
01:54Okay.
01:55Can I go to work now?
02:01Okay, doctor, what's your diagnosis?
02:03I'm drunk.
02:05Not you.
02:06Other doctor.
02:09Well, given the degree of the rotation and the fact that the break is almost compound,
02:13I'd say we're dealing with a bimalleolar or trimalleolar fracture.
02:16Very good.
02:17What else?
02:20Um...
02:21Color?
02:23Blood flow is restricted.
02:25It's what's dying.
02:26Oh, no.
02:28I'm gonna have to reset it now.
02:29Hold his leg.
02:31No.
02:32No, it's okay.
02:33No, no, no, no.
02:33This is just gonna take a second.
02:34I need you to count to three.
02:36One.
02:37One.
02:38Two.
02:44Is Caden's leg gonna be okay?
02:46How long has his leg been like this and how exactly did it happen?
02:50Well, he's been like that since I found him.
02:52He probably, like, tripped over a curb or something because that's where he was.
02:56Any reason you felt the need to tell me twice that you found him like this?
03:00Dr. Park, boy's going to surgery.
03:02You're going with.
03:04Don't go anywhere.
03:16Shouldn't I be asleep for this?
03:18Well, your blood alcohol level complicates anesthesia.
03:22And we think you have a concussion, so we want to keep you responsive.
03:25We did give you a regional nerve block, so you shouldn't feel anything.
03:32Hmm.
03:33Cool.
03:34Then the LCP played about two degrees on the proximal line.
03:37Contouring pliers?
03:38Hmm.
03:44BP's dropping, heart weight's rising.
03:46Let's tube him.
03:46IV fluids and phenylephrine stat.
03:48We need to abort until we can get a handle on what else is going on.
03:52Give me full body CT, full blood panels, and an echo.
03:54I think Jared and I may be able to dig up an answer quicker.
03:57Great.
03:57Get on it.
04:35Thank you, Craig.
04:35Nice to meet you.
04:42Introduction
04:43I can't remember if you can.
04:43Then you have.
04:43You have to clone a dick hole.
04:43So most people don't deserve the Quin say شinger.
04:43Oh do you?
04:44Some people don't need for a drink.
04:46You have two people ruining that I have question
04:50Ah, how am.
04:54Well, the most people don't even wish.
05:01Come up with anything?
05:04Neither did I.
05:07I had a friend, a neurosurgeon at SF Muni.
05:11She looked at the scan.
05:13She came to the same diagnosis.
05:15Sean, I have an inoperable glioma.
05:19Okay.
05:31I think you should go back to work, yes?
05:38I need to go to work.
05:47Be reasonable.
05:50Be reasonable.
05:51I have no idea what you're talking about.
05:53Well, it'll be clear.
05:55What the hell happened to Caden?
05:56I don't know.
05:56He twisted his ankle.
05:57You lied to me before.
05:58You're lying to me now, you spoiled little coward.
06:00Hey, hey.
06:01Be reasonable.
06:03His friend's hurt.
06:04He's scared, and you're freaking him out.
06:17He's angry, but he's not wrong.
06:20Caden's in bad shape, but we don't know why.
06:22We need to know what happened.
06:26No, no, no, don't worry about him.
06:28Talk to me.
06:30You tell me the truth.
06:32You won't get in trouble.
06:33You'll just help a friend.
06:39We were pledging, and there's this wheel of torture thing you got to do for initiation.
06:46Torture?
06:46But it's mostly stupid stuff, dude.
06:48It's like drink a cup of olive oil or eat a tablespoon of cinnamon.
06:53And what did Caden land on?
06:55Laundry.
06:56He had to do laundry?
06:57No, like he had to eat those laundry things, as many as he could in 30 seconds.
07:04Detergent.
07:05Eat detergent.
07:06And how many did he have?
07:07I don't know, like six, maybe seven, seven.
07:11He ate detergent.
07:13He could have burned a hole through his esophagus or his stomach and intestines.
07:24Catch that bleeder, please.
07:26Let's hope he doesn't breed.
07:29What?
07:30He isn't an idiot?
07:31We have healthy bowel attached to healthy bowel.
07:33Let's close him up.
07:34Dr. Melendez, the trauma S.O.D. is asking for you in OR number two.
07:38We got an emergency thoracotomy.
07:40Don't give me the remaining steps for closing.
07:42Cut anchoring sutures, clear labs, and reposition the bowel.
07:44Remove clamps from the duodenal resection site, keeping clear of the underlying aorta.
07:47Close the fascia using a lufto monofilament.
07:49Close the dermal layer, then re-approximate the skin.
07:53Also, you need to ensure an elementum is caught in the fascial suture line.
07:59Close him up.
08:01Murphy, you're leading.
08:06Clearing labs.
08:10I will hold the repaired segment in place while you run the bowel for me.
08:19Okay.
08:22Bowel is clear and ready to be repositioned.
08:30Sean?
08:33Sean, is everything all right?
08:36I lost something.
08:38In the cavity?
08:40No, but I know where it is now.
08:55Sean?
08:56I left my scalpel here earlier today.
09:01You should get diffusion tensor imaging.
09:04A DTI?
09:06Messes are difficult to diagnose accurately.
09:14You should get more imaging.
09:19People make mistakes.
09:21That's not going to happen, Sean.
09:25My scalpel isn't here.
09:39What happened this time?
09:40It's going to bleed somewhere.
09:41I want a capsule endoscopy to check the entire length of the bowel for bleeding and leaks.
09:45And give me a complete coagulation and metabolic profile.
09:47On it.
09:56Dr. Glassman is dying.
09:58Dr. Glassman is dying.
09:59What?
10:02What do you mean?
10:02He seemed fine.
10:04They say he has a glioma.
10:08That's a brain tumor.
10:10And he won't do a DTI scan to confirm the diagnosis.
10:15Did he get a second opinion?
10:16He has.
10:17But delayed or missed or incorrect diagnosis has an occurrence rate of 10 to 20%.
10:24Doctors make mistakes.
10:26Sean, I don't know what you want me to do.
10:27I want you to sit down.
10:31That's what people say when they want to tell you something important.
10:40The part about him dying, that wasn't the important part.
10:51He won't listen to me.
10:53He is stubborn.
10:55That he is.
10:56Stubber, he will listen to you.
10:59Okay, you have known him longer.
11:02You're his friend.
11:03He trusts you.
11:05Sean, I can't make him do anything.
11:06You're an attorney.
11:09I'm not skilled at lying or manipulation.
11:14So you want me to what?
11:18You want me to manipulate him?
11:21You want me to use our relationship and our history
11:25to trick him into doing this?
11:29Yes, please.
11:37I knew you wouldn't let him die.
11:42Our patient has disseminated intravascular coagulation.
11:46Can anyone tell me why that is very bad?
11:48Blood clots form throughout the blood vessels and rapidly deplete the body's clotting factors,
11:52thereby causing a systematic bleed.
11:54It's also a catch-22.
11:55If we treat the clotting, he might end up with a terminal bleed.
11:58And if we treat the bleeding, he'll have a terminal clot.
12:00So how do we treat it?
12:02Figure out the cause, treat the cause.
12:04More damage from the detergent?
12:05Margins were clear.
12:06It's not that.
12:06He could have a cross injury from his ankle.
12:08Or a bacterial infection he picked up before or during surgery.
12:11It might have been set off by drug use.
12:12Or we did this to him.
12:17And by we, I mean Sean.
12:20He spaced out on the OR when he was closing.
12:22Kind of like he is now.
12:23I'm listening.
12:25Comforting.
12:25He wasn't focused.
12:27He could have nicked the vessel, which could have caused me-
12:28Okay, we're talking about Sean.
12:30Yeah, he's quiet.
12:32But he was focused.
12:34He's always focused.
12:35His stitches look like they came out of a sewing machine.
12:39Okay, complications happen.
12:41Kid was in pretty bad shape when we got him.
12:42Physician error is way down on the list of likely causes.
12:46Crush trauma being top.
12:47Get him started on fresh frozen plasma and crystalloid fluids.
12:57Yeah.
12:59You got a second?
13:01Well, that's an open question.
13:03What can I do for you?
13:06I got a patient with DIC.
13:08One of the possible causes is surgeon error.
13:11Your patient?
13:12Your error?
13:12Sean's.
13:14He got distracted during surgery.
13:16Spaced out.
13:18It's not like him.
13:19One place he never misses a beat is the OR.
13:23Is there anything going on that I should know about him?
13:29You got some bad news.
13:31About what?
13:32It's a personal matter.
13:35Sean was distracted by a personal issue.
13:40What, did Leah come back?
13:43Did she have a new boyfriend?
13:45Did his cable get cut off?
13:48I have an inoperable glioma.
13:5218 months.
14:00Aaron, I am so sorry.
14:02Aaron, I am so sorry.
14:03Me too.
14:06Is there anything I can do?
14:09I wish.
14:13You should have told me.
14:18Or at least you shouldn't have told him.
14:39His coagulation factors are still off.
14:41Cross trauma isn't the issue.
14:42And his tox screen came back clean.
14:44It's not drugs, Arthur.
14:45We don't know that.
14:46He's had so many transfusions.
14:48The blood in his veins isn't the same blood he came in with.
14:50The drugs could still be in his organs causing...
14:52I'll get that you don't want to think that this could be caused by your friend, but we have to
14:54be...
14:54The kid came directly from a frat hazing, hammered.
14:57What are the odds he wasn't on drugs?
14:59We should start ibumidazolam and sodium bicarbonate to counteract...
15:02That's the treatment for amphetamines.
15:03If you're wrong, that could cause a fatal arrhythmia.
15:06I'll find out what drugs he's on.
15:12You gonna find out by asking?
15:14Blake was honest with me before.
15:16It's a lot easier to be honest when you're not confessing to a crime.
15:18You don't have a lot of choice in the matter.
15:22That's not true.
15:26Thanks for doing this.
15:28Yeah, no worries.
15:31Noticed it was cut when I first saw you.
15:33I figured it should get cleaned up.
15:37Is it alright if I draw some blood?
15:39Just want to make sure you don't have any toxins or infections.
15:41Sure.
15:46So, the nurse said that Caden has DIC?
15:51Do you know what that is?
15:54Well, in short, his body is clotting and hemorrhaging at the same time.
15:58If we can't figure out what's causing it, he'll die.
16:06If you just hold that there for me.
16:09Well done.
16:13Blake, buddy, you're on something.
16:15Your pupils are dilated and you're sweating in a 68-degree broom.
16:18Now I can hand this over to the cops or you can tell the truth about what Caden's on.
16:25Molly.
16:29I would have told you the truth if you'd asked.
16:33I'm sorry.
16:36Do you have time to talk?
16:41Sean told you.
16:42He did.
16:43Yeah.
16:43I wish I would have heard it from you.
16:45Yeah.
16:46I'm sorry.
16:47We're friends.
16:48I get it.
16:49I want to be there for you.
16:50What, are you mad at me?
16:51Yes.
16:53I'm supposed to be there for you.
16:55To do what?
16:56To do what exactly?
16:57Hold my hand.
16:57Yes, if that's what's needed.
16:59Okay, well, what I need is to be left alone, okay?
17:01Well, you told Sean, so that was brilliant strategy.
17:04Okay, okay, I get it.
17:06Stupid, stupid, stupid, stupid, okay?
17:08Sometimes when people are told they are dying, they do stupid things.
17:11Sometimes people around them do stupid things.
17:14Sean told you to come here to try to convince me to get more imaging.
17:18Right?
17:20Aaron, you can't stop fighting.
17:26Maddie wouldn't have wanted you to stop.
17:28Don't, don't, don't, don't you dare.
17:30Don't you dare.
17:35What are you going to say, huh?
17:38That Maddie was a fighter?
17:41Huh?
17:42That she never quit?
17:51I'm sorry.
18:02And you should get the DTI.
18:07Not for you.
18:09You've accepted your diagnosis.
18:14Sean hasn't.
18:18He needs to.
18:25Hey, Neil.
18:26I heard there was a complication in one of your cases.
18:29Kate and Holly?
18:30Heard?
18:31Or you've been monitoring all of Murphy's cases?
18:34I've been monitoring all of my department's cases.
18:3618-year-old with DIC.
18:37Any idea what's said at all?
18:39Complications happen.
18:41Kid was in pretty bad shape when he got to us.
18:44I'm also wondering why you were in two surgeries at once.
18:47He left three first years unattended.
18:51You know we do this all the time.
18:53We couldn't function efficiently if we didn't.
18:57Okay, and pull us through.
18:59Yeah.
19:06You got a very quick appointment.
19:10I have connections, Sean.
19:13Why did you listen to Jessica but not me?
19:17Well, Jessica's pretty smart too.
19:19Yes.
19:20But what did she tell you?
19:22I don't think this is a good time.
19:24When is a good time?
19:27I have a lot to learn from you.
19:29And if you're dying, less than two years to learn.
19:36Sorry to keep you waiting.
19:38There were some surprises on your images.
19:41The previous diagnosis was incorrect.
19:43You have a glioblastoma multiforme located in your pons.
19:48I'm sure I don't need to tell you this,
19:50but it's the most aggressive form of brain cancer.
19:54We estimate three, maybe four months.
20:00I can have my assistant get in touch with you.
20:04I'll refer you to a therapist.
20:06When you're ready,
20:07I can bring up the nerve-in-team to contact you.
20:11It's all right.
20:16He still has low blood pressure and thin blood,
20:19which means the treatment for the MDMA didn't work.
20:21So the molly wasn't the problem?
20:22It certainly didn't help him, but now we think...
20:25Our best guess is Kaden has a bacterial infection.
20:29Thanks.
20:34DIC?
20:37What happened there?
20:39Uh, we're not sure yet.
20:40He was pretty sick when he came in.
20:42I guess sometimes complications just happen.
20:45Interesting choice of words,
20:46eerily similar to what Dr. Melendez said to me.
20:49Yeah, he said it during a differential, I guess.
20:52The phrasing just stuck with me.
20:53It's not like Melendez would be that laissez-faire.
20:55He usually likes to know exactly why things happen,
20:57one of the traits I admire about him.
20:59Well, we're trying to figure it out.
21:01But so far, culture's a negative.
21:03Sean's closing was textbook.
21:05Drug use doesn't seem to be a problem.
21:09I didn't realize Murphy did the closing.
21:10Good for him.
21:33Oh, my God, Sean.
21:36Yes, there are many different explanations.
21:41You asked me to get a second opinion, I got a second opinion.
21:44You asked me to get more imaging, I got more imaging.
21:46Sean, you have to accept.
21:48No, I don't accept. I don't accept. I was right.
21:51No, you were not right. I'm dying, Sean.
21:53I said doctors make mistakes.
21:55Yeah, they made a mistake.
21:56And he made a mistake.
21:57Sean was right.
21:58Sean was right. Imaging is unreliable.
22:02The imaging that you asked me to get.
22:03The imaging is subject to interpretation.
22:07Yes, studies have shown that experts rely on subjective measures based on experience rather than...
22:15Rather than...
22:17No more.
22:18No more.
22:18No more.
22:19You can't do a biopsy to confirm because many tumors look alike.
22:24Some are treatable.
22:25Some are curable.
22:28Stop.
22:28Will you stop, please?
22:29Stop.
22:31Stop talking.
22:32Stop.
22:33Okay.
22:34Stop.
22:39I'm not hurting you.
22:41Oh, my God. Stop.
22:43I'm helping you.
22:45No, you're not. You're not helping.
22:47I don't need theories.
22:50I don't need whiteboards.
22:52I don't need doctors.
22:54I don't want to think about the tumor.
22:57I don't want to think about dying.
23:00You know what I want?
23:01You know what I actually want?
23:02I want to...
23:02I want to...
23:03I want to go on a long drive somewhere.
23:05I want to...
23:05I want to eat pancakes.
23:06I want to watch football.
23:08It's not football season.
23:10Oh, my God.
23:10I know.
23:11It's not football season.
23:15Do you mean you want to have fun?
23:23Yeah.
23:25I want to have fun.
23:30So you can keep fighting.
23:33Keep fighting if you want.
23:35It's futile, and it's stupid.
23:42Or you can come with me.
24:09How long has he been hypoxic?
24:11Came in suddenly five minutes ago.
24:12He's on 100% high flow oxygen.
24:14His numbers aren't budging.
24:15No.
24:15He's ventilating fine.
24:17He must have thrombosed his pulmonary artery.
24:19We need to dissolve this clot before his heart stops.
24:21Jared, prep for jocular axis.
24:2350 milligrams TPA infusion.
24:24Now.
24:25Let's go.
24:25Let's go.
24:26Let's go.
24:30Is this fun?
24:35The Saturday after Valentine's Day.
24:38Her favorite day of the year.
24:40Even more than her birthday.
24:42The Chamber of Commerce would decorate this place.
24:45And put out a crappy buffet meal, hire a DJ.
24:50And I'd put on a tux.
24:53And she'd put on a yellow bell dress.
24:56And she'd pin my bow tie.
25:01And I'd pin a little yellow corsage on her.
25:06And we'd come.
25:07And we'd eat.
25:09And we'd dance.
25:15Whenever I see your smiling face.
25:18I have to smile myself.
25:20Because I love you.
25:22Yes, I do.
25:24I love you, sweetie.
25:26I love you more.
25:28Oh, you think so, huh?
25:30Why?
25:30Well, I'll tell you what.
25:32You can take how much you love me, which I know is quite a lot.
25:36And then you can double it.
25:38And then you can add ten.
25:40And that's how much I love you.
25:41Tell me how much longer if it grows stronger every day.
25:45I love you more.
25:49Oh, how much longer I thought I was in love a couple of times before with a girl next door.
25:57And I remember thinking, this is the moment that I know will be in my mind when I close my
26:09eyes to die.
26:15Only I thought that she'd be sitting there right next to me.
26:20And I'd hear her say it one more time.
26:29I lost my toy scalpel.
26:34The one that Steve gave me.
26:40Yeah, I figured that was the one.
26:42I've been looking for a whole day.
26:45I think it may be gone forever.
26:54Maybe I'll come here when you're dead.
26:59Okay.
27:04Are your memories of your daughter enough for you?
27:10Not even close.
27:21Do you need me to listen to you anymore?
27:23No, Sean, you should go.
27:24Okay.
27:36Not all the cultures are back.
27:38But since he's not responding to any antibiotics, we can rule out bacteria.
27:41That was never a great fit.
27:43It's a better fit than surgical error.
27:44What if it is bacterial but resistant to all?
27:47Then he's dead.
27:47What about a parioxymal nocturnal hemoglobin area?
27:51PNH?
27:51The incidence is literally one in a million.
27:53All stars of Murphy screwing up.
27:55I put them about that.
27:56No, it's not PNH.
27:57Caden had normal flow cytometry.
27:59Exotic snake venom can trigger consumptive coagulopathies.
28:02So can preeclampsia, but he's not pregnant.
28:04He wasn't charming snakes.
28:09Murphy?
28:10Any thoughts here?
28:12It is kind of your ass on the line.
28:33I know why Caden has DIC.
28:39I squeezed the artery between two clamps.
28:43I must have ruptured the aortic wall causing a pseudoaneurysm.
28:47It was my mistake.
28:51And also, I have to make a bowel movement.
29:04He's lying.
29:06He's gonna puke.
29:09He's going to Glassman.
29:13I told Dr. Melendez I had to make a bowel movement.
29:18I think he believed me.
29:20Color me proud.
29:22I have the answer.
29:25Sean, I hope you're referring to your patient, but due to the fact that you're here pretending to be in
29:29the bathroom, I kind of doubt that.
29:31Yes, it's your answer.
29:34We already have my answer, Sean.
29:37We can't do a biopsy on you because of the arteries in the way.
29:41Like the arteries in Caden's abdomen, but we can't move the arteries in your brain.
29:46Why did we go to the carousel?
29:49Because you were sad.
29:51What didn't I want to do?
29:52Sean.
29:54Do you not know the answers to these questions?
29:57I do know the answers, Sean.
29:58I don't think you know the answers to these questions.
30:00You're not hearing me.
30:01I'm dying.
30:02There's still hope.
30:05Sean, look at me.
30:08Look at me, please.
30:12There is no hope for me.
30:16I mean, hope.
30:17What, what, what, what is hope?
30:19You hope the 49ers find a defense.
30:21You hope the number four bus comes on time.
30:24Doesn't mean they magically learn how to tackle.
30:26Doesn't mean the bus driver suddenly drives faster.
30:31Hope is irrelevant for me.
30:34Hope is painful.
30:38I don't want to spend what's left of my life chasing my tail around in a circle.
30:45You understand?
30:53Okay.
30:58Okay.
31:13Your tumor is located at the base of your skull.
31:19An open cranial biopsy would tell us what's wrong.
31:23But there are blood vessels in the way.
31:25The biopsy would cause an aneurysm or a bleed.
31:30But if we go through your nasal cribriform plate,
31:33we can cross the tentorium on the contralateral side
31:37and avoid all those blood vessels.
31:42We can do a biopsy through your nose.
31:53You can't die too.
32:03I have to throw up.
32:12So how do we do this?
32:13Do we file a report?
32:14Talk to Andrews personally?
32:15You want a report, Sean?
32:17I don't want to.
32:18I think we have to.
32:20No, you want to.
32:21And we'd certainly have to if our sole agenda would be to take down Sean
32:24and to give you one less person to compete against.
32:26And certainly we'd absolutely have to cover up and bury a possible fatal medical error
32:31if our sole agenda was to protect a friend.
32:33The protocol would seem to favor the bitch over the friend.
32:37Thanks.
32:40I threw up.
32:44We have a duty to report errors so they won't happen again.
32:48The process saves lives.
32:50And exactly what errors are you trying to avoid a repeat of?
32:52You worry about the next time an autistic surgeon operates on a drugged up fracket
32:56after finding out his mentor's dying of brain cancer?
33:01Dr. Melendez told us, Sean.
33:03I'm really sorry.
33:05It's okay.
33:08It's okay.
33:09I think he's going to be okay.
33:12The protocol exists so that we don't ask questions like that.
33:15That seems like a bad idea.
33:17You trust your judgment.
33:19You trust Morgan's judgment.
33:20You trust the judgment of all the doctors in this building.
33:22If you can make judgment calls, so can they.
33:25That's why we need these rules.
33:26No, the protocol is fine for everyone in this building except for Sean.
33:31They'd reprimand any one of us, but they will fire him.
33:34Okay.
33:37We report it.
33:38We get the investigation.
33:39Make sure nothing like this ever happens again.
33:42But we tell them I did it.
33:45They'd fire you too.
33:48It's not a terrible idea.
33:50It jars out the door either way.
33:52Okay, can we get back to the medicine?
33:53Caden is still alive.
33:55And if we can keep it that way, there won't be an M&M review.
33:58Which means no one will be asking questions and no one will have to give answers.
34:01It all goes away.
34:02If Caden dies, we tell the truth and we face the consequences together.
34:08No.
34:10No.
34:13I thought I'd found my toy scalpel.
34:19I need you to come back to the group, Murphy.
34:24Get me imaging on that pseudo-aneurysm.
34:39Hey, what's up?
34:40Do you still feel the same way about Dr. Murphy's when he got here?
34:46Dr. Glassman gave us certain assurances.
34:53If Sean proves anything less than excellent, if Sean doesn't live up to everything I know he can do, he
34:57will be immediately released and I will resign my position as president of the hospital.
35:02And you wrote it down?
35:04I made sure it was in the minutes.
35:06Sean has exceeded my expectations.
35:09Mine as well. And?
35:11And my feelings about Dr. Glassman have not changed.
35:23We need to cut him open.
35:24Yeah, we cut him open and he dies. He'll bleed out before we can even get the artery exposed.
35:29If we don't cut him open, he dies.
35:34Don't cut him open.
35:36Murphy, if we don't...
35:37We should insert an endovascular graft through his leg. Instead, fix it from the inside out.
35:45I've done that for large abdominal aorta dilations, but this is a lengthy dissecting pseudoaneurysm.
35:50It's safer.
35:51The aorta wall is already compromised, could rupture completely.
35:54Caden could die as soon as we deflate the balloon inside the graft.
35:57But doing nothing will kill him.
35:58Not definitely. There's still a chance Caden will simply come out of this without any surgical intervention.
36:04Five percent. Ten percent, maybe.
36:06Not nothing. And we're doubling down on Sean after we know he caused this problem.
36:09How's that gonna look at an M&M?
36:12I trust Sean's idea.
36:15He makes mistakes no one else would make, but he also makes saves none of us would have ever thought
36:20of.
36:22You're welcome.
36:24I still don't think you should be working here. I don't think the trade-off is worth it.
36:29Let's prep him for surgery.
36:36Pull the guard wire, Resnick.
36:44I'm passing in the ground.
36:48Right over the pseudoaneurysm now.
37:03Inflating the balloon to deploy the graft.
37:15Deflating?
37:16Can I do it?
37:19It's delicate.
37:20No, it's not.
37:23But it will either work, or it won't work.
37:28If my idea is wrong, he'll die as soon as we complete this next step.
37:36You shouldn't have to live with that.
37:44Everything that happens in this room is my responsibility.
37:50We'll do it together.
37:57We'll do it together.
38:03Deflating.
38:32Nobody's going home.
38:35I am proud of this team.
38:37And what we accomplished today.
38:40The drinks are on me at Harry Hope's.
38:43We're celebrating?
38:45Today was a disaster and we got lucky.
38:49You're right.
38:50But when you get lucky, you celebrate.
38:54Let's go.
38:57Oh.
39:10At some point in your career, you're going to kill someone.
39:15And I hope for your sake, there's a doctor out there who still believes in you and you do.
39:34It was there all along.
39:37I have to go drinking, but I wanted you to know...
39:42Is that from an IV?
39:47You did the biopsy.
39:50I did.
39:52I have a low-grade glioma.
39:55Not a GBM?
39:57I told you...
39:59Cancer, Sean, it's still cancer.
40:01I have to undergo brain surgery, which is really scary because I'm not the one performing it.
40:06Five days a week for six weeks of radiation, ten more weeks of chemotherapy.
40:11And then?
40:16And then?
40:18With a little luck, you and I can go to the Super Bowl next season.
40:37You're going to live.
40:41There's hope.
40:46Go have some fun with your friends.
40:48Yes.
40:49First, I have to tell Dr. Andrews about the mistake I made.
40:52Sean, you can't.
40:55Protocol is clear, and reporting saves lives.
40:58And I hear Caden is on the road to recovery, so your mistake couldn't have been too bad.
41:03No, I made a mistake.
41:05Sean, I understand that, but Dr. Andrews will use this.
41:08And do you remember the commitment that Dr. Glassman made when you were hired?
41:11I promised you'd be excellent, right, Sean?
41:14And you have been excellent.
41:17You can't give Dr. Andrews this excuse.
41:21I was not excellent.
41:24This time, I was bad.
41:28And surgeons have to be excellent every time.
41:32Right, Sean?
41:34You agree with him?
41:36I'm not going to ask him to lie to save my job.
41:41Sean, don't do this.
41:45It's up to Sean.
41:47I trust your judgment.
41:55I'm not doing this to hurt you.
41:57I know.
41:59We are friends.
42:01Yes, we are.
42:03I love you.
42:05I know, I love you too.
42:11I love you more.
42:39I know.
42:42I know.
42:57I know, I love you too.
43:08I know, I love you too.
43:09You
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