- 14 hours ago
الطبيب الجيد 1 - Episode 3
Category
📺
TVTranscript
00:01Previously on The Good Doctor
00:02¿How hard can it be to just act like a normal human being?
00:06No!
00:08Stop 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.
00:20He's got a serious deficit.
00:22So 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,
00:33doesn't that make all this actually your fault?
00:35Well, I'm sorry.
00:35I 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
00:43literally hangs in the balance?
00:50Oh, yes!
00:55Yeah, I know.
00:58Thank you.
01:42So, I'm in the middle of Uncharted, and I'm dead.
01:45Can I borrow some triple A's?
01:48I'm your neighbor.
01:50Hello.
01:5134.
01:53I moved in last week, 33.
01:56Yeah, I know.
01:57I work at a hospital.
01:59That's cool.
02:01Yes.
02:02Triple A's poor for four.
02:06Batteries.
02:07Right.
02:08Do you have any?
02:21Triple A batteries.
02:23Thank you.
02:24Piece of advice, don't be the cat.
02:27What cat?
02:28Beat it once, and I'll never leave you alone.
02:29Thank you for the batteries, neighbor.
02:36You're welcome.
02:41Party X7.
02:44Party X7.
02:47Party X7.
02:50Surgical.
02:52You're not a nurse, I'm a surgical resident.
02:55How can I help you?
03:07We got a liver for Chuck.
03:09Where?
03:10SF Municipal Hospital.
03:11And how long do we have body-to-body on a liver transplant?
03:13Eight hours.
03:14You don't know the longevity of a liver?
03:16This is a teaching hospital, and I'm the teacher.
03:18You and Murphy, you're on organ pickup.
03:20Check the health and bring the liver back from SFM.
03:23I was at Chuck's intake.
03:24I'd really like to be...
03:25Now you're going to be at the intake for his new liver.
03:28Jared, get Chuck down here and get him prepped.
03:29We got eight hours on this thing, and the clock starts ticking now.
03:55I'm not interrupting your pregame, am I?
03:57I think this is my 400th breast reconstruction.
04:00The board should give me a plaque.
04:03What's up?
04:04You're 4 p.m.
04:05The VIP Wanamaker.
04:07Yes, the free flap.
04:08He's checked into the penthouse suite, resting comfortably, I'm sure.
04:11I've been working on him for a while now, and he's close.
04:14He's real close to making the foundation his tax relief.
04:17That's good to hear.
04:18I want aces on this.
04:20Everything perfect.
04:23That's good to know.
04:24I was going to phone it in.
04:30Is this the chairman's version of a pep talk?
04:33I'm looking for a fail-safe outcome on the procedure,
04:36and I want you to use Dr. Melendez as your second.
04:40That's your fail-safe, Melendez?
04:43I'm your chief of surgery.
04:44It's just a precaution to guarantee a perfect outcome.
04:48Are you doubting my abilities?
04:49Wanamaker is important.
04:52Everything has to be perfect.
04:53You said that already.
04:55I'm your fail-safe.
04:57The VIP will be fine.
05:04How are you doing?
05:06I know these sounds and everything might be a lot for you.
05:09It's hard for anyone.
05:11I like helicopters.
05:13I didn't know you've been on a helicopter.
05:15I have it.
05:36Fifteen minutes to San Francisco Municipal Hospital.
06:03You don't know what this is, right?
06:05Well, I'll tell you what it is.
06:07It's scut work.
06:09Well, Jared gets the golden ticket,
06:11and we got pizza delivery.
06:23The rotors just go round and round, Sean.
06:25They don't change.
06:43How do I talk to you?
06:47So, Chuck, any chest pain, you show up to breath?
06:49No.
06:50Any alcohol in the last six months?
06:52No.
06:53Just a quick pinch.
06:54Are you swelling in your limbs?
06:55It's like Walmart.
06:56I'm Black Friday in here.
06:57Things feed way up when you're having a transplant.
06:59I like it.
07:01It's good energy.
07:02So that's no on a swelling?
07:04No.
07:05No.
07:06I feel lousy all the time, pretty much.
07:10But I've got a second chance.
07:12You know, with this liver.
07:14Sure.
07:15Oh, excuse me.
07:16It's my daughter.
07:17I already spoke tomorrow.
07:20And Uncle Tommy, too.
07:22I need to see your face.
07:25All right.
07:26I love you.
07:27All right.
07:29She just graduated from law school at Cal.
07:31I told you that.
07:33No.
07:33Congratulations.
07:35Must have told Dr. Brown, then.
07:37Where's Dr. Brown?
07:38Oh.
07:47Here's your liver.
07:48I'm going to need you to sign for it.
07:49Standard operating procedure is to leave the liver and the safety of the body cavity.
07:52I'm aware of the procedure.
07:53We had a John Doe at the top of the registry, but that John Doe died before we complained.
07:58How long ago did you take it out?
07:59Three hours.
08:00We just lost three hours.
08:02Technically, three hours and five minutes.
08:04True clock's on the cooler.
08:05It can't go below 39 degrees or above 47 degrees.
08:09I'm going to sign for it.
08:17Tissue looks healthy.
08:21What are you doing?
08:23What are you looking for?
08:25What's he doing?
08:26I'm not sure.
08:34John.
08:35What are you looking for?
08:36Masses?
08:36Cysts?
08:37They're clean.
08:38Think we'd miss a tumor?
08:40There's nothing there.
08:43I know.
08:46There's nothing there.
08:48Okay, the liver needs to go back into cold storage, and we gotta go.
08:56Then I'll release the vascular clamp and let your blood perfuse the new donor liver.
09:00That's it?
09:01Connect the bile ducts, sew you up, and then we wait.
09:04Does the new one always take?
09:06Over 70% of the time.
09:08Well, I can live with those odds.
09:10You get some rest.
09:12See you later.
09:14He looks at something I don't know what he's looking at.
09:42and just let him be.
09:43I'd appreciate it if people gave me the same courtesy.
09:46I thought with your history...
09:47Claire, if you want to connect with him, you're going to have to figure out your own way in.
09:53How's Chuck?
09:53Chuck?
09:54Chuck's fine.
09:55He's waiting for a liver.
09:56So, come home, please.
10:02Doctor.
10:04What's up?
10:05I just wanted to thank you.
10:07But I haven't done anything yet.
10:08You have.
10:10You've given my dad all.
10:17No Chuck was my first patient.
10:20Six months ago, first day at St. Bonaventure.
10:22I got a liver failure.
10:24One of the nicest guy in the world.
10:26I wanted to be the one to give him the good news.
10:29We're not leaving.
10:32You said you like helicopters.
10:34We're not leaving.
10:36We made it here safe.
10:38Yes, we're not leaving.
10:40We're not leaving.
10:41Fog's rolling in too quick.
10:45Does that mean it rolls out quick?
10:48Could be an hour, could be three, don't know.
10:52Okay, uh, we're going to need a new ride.
10:58Excuse me, I need an ambulance to St. Bonaventure.
11:01Sorry, I just don't have the EMS.
11:02I've got to pile up on I-80 and four other vehicles out on call.
11:05Not one ambulance.
11:11Let me be clear, this is emergent.
11:13It's time sensitive.
11:14Honey, this ain't hurts.
11:18What about a police escort?
11:22That can be arranged.
11:31Don't want to ruin the festivities.
11:33If I could just get a few minutes with my patient alone.
11:40Mr. Wine, I'm at you.
11:44Dr. Andrews?
11:47How are we doing today?
11:49Incomplete.
11:51Let's see what we can do about that.
11:53Look here.
11:56Well, looking not too bad, considering we cut out a tumor less than two weeks ago.
12:01Yeah, I've been walking around with a hole in my mouth.
12:04Ever drink scotch with a hole in your mouth?
12:07Waste of good scotch.
12:09We needed to give it time to heal.
12:12Yeah, yeah, you told me.
12:14Have you continued to smoke?
12:16Okay.
12:17Constricts the vessel, slows the healing.
12:20Not a quitter.
12:24We are going to grasp some skin from your leg and fix that cheek up better than new.
12:34I'm a real estate guy.
12:36I'm a real estate guy.
12:36There's an old saying.
12:37You can have it fast, you can have it good, you can have it cheap.
12:40Pick two.
12:42It's not going to be cheap.
12:45Yeah, I like doctors like you.
12:48You're good.
12:49You know it.
12:53Yes, it was harvested before we got there.
12:55We're waiting for transportation.
12:57The itinerary and leg clock have changed.
13:00Um, four hours and 14 minutes.
13:02Are you talking to the hospital?
13:04Have someone tell Dr. Glassman that I might be late for our lunch, please?
13:10Yeah.
13:11Okay.
13:18So how do you know about the weather?
13:21Is it some kind of gift?
13:25Come on, I gotta know.
13:26Watch Sean Murphy as Zeus.
13:29I watch the Weather Channel.
13:38Get my doctors?
13:41Sean.
13:43Sean, we gotta go.
13:48No.
13:48¿Estás bien?
14:06Mi padre y mi mamá han tenido un gran día con tu hermano y tu hermano.
14:10Vamos, vamos.
14:11No.
14:12No.
14:12No, no!
14:14No!
14:14He promised me!
14:16He promised!
14:17He promised!
14:19He promised!
14:22Be.
14:30I think we'll get there much quicker if we drive.
14:38Could you turn off the flashers please?
14:52¿Qué es el nombre de los pacientes?
14:55No, no, no, el donor, ¿qué es su nombre?
15:00¿Qué? El liver.
15:04Oliver.
15:07Oliver.
15:19Oliver, ¿qué es el nombre de los pacientes?
15:19Hey, you got a second.
15:20What's up?
15:21Just waiting on a liver.
15:24Transplant. Everyone wants it.
15:26They trade their liver to do the liver.
15:30Hey, look, you want some help on this free flap?
15:32What's his name?
15:33Wanamaker.
15:34Right.
15:35You got the transplant. That should keep any attending busy.
15:38I can make tons.
15:40Hey, look, can he come to you about this?
15:41Look, I get it. You're the chief.
15:43That's right.
15:44Look, this isn't a coup.
15:46What is it?
15:47It's about making sure this hospital is first on Wanamaker's donation list.
15:51I'm aware of the stakes.
15:53Thanks for coming by.
15:56You know, it doesn't make you any less of a surgeon having me in there as your second.
16:00I'm the chief. You're my attending.
16:01Can't argue with that.
16:03And we both know what your presence in my OAR will say.
16:06It's not my intention.
16:07It's the impact. Intention doesn't matter.
16:10Thanks.
16:11But I'm good.
16:26These can't be right.
16:29Whatever it is, it's right.
16:30Chuck slaps.
16:31It's going to be a false flag or a bad reading.
16:34For what?
16:35Medications, foods, I don't know.
16:41Look, if this is right, we'll use our transplant.
16:43Sorry, that doesn't change the results.
16:46There's alcohol in his system.
16:49If you drink, the blood doesn't lie.
16:55Run to the lab again.
17:00ETA to St. Montementure?
17:0270 minutes.
17:10What are you looking for?
17:12What do you see?
17:15I have a girl neighbor.
17:17Okay.
17:20Is she nice?
17:23What does she do?
17:24Does she have a boyfriend?
17:28Do you know her name?
17:36What the hell are you looking for on the scans?
17:41What?
17:42The temperature's going up.
17:45Officer, we need to find a place with ice, like now.
17:51I tested it, Chuck.
17:52And retested it.
17:55Like, talk to me.
17:56You know the six-month rule.
17:59Was it a craving?
18:00Three days ago.
18:02Three days ago.
18:03My daughter's graduation.
18:10Nobody in my family had ever gone to college.
18:16There she was.
18:18My little girl.
18:21Wearing the robes.
18:24For just that day, I wanted to be normal.
18:32So why?
18:34I had a glass of champagne.
18:44We're out of ice?
18:45It's broken.
18:46Supermarket's about three miles down.
18:48We don't have time.
18:59The temperature's already at 47 degrees.
19:02We can't let it go any higher.
19:09Are you gonna help me?
19:12Sweet.
19:13You'll like it.
19:27What should I do with him?
19:29Child services are damaged I am.
19:32It's 150 miles, and Elvis turned you around
19:34and sent me back to the parents.
19:36That's normal.
19:39I don't know.
19:40He doesn't seem to want the parents, that's for sure.
19:44Dating him to the hospital.
19:45Social worker there.
19:52That won't work.
19:55How do you know?
19:56Sean.
20:00You're right, it's not working.
20:02Why?
20:03Sean.
20:05Are you even listening to me?
20:07Just one drink?
20:08That's what he said.
20:11Should I inform the registry?
20:13How long would it chuck out the drink?
20:15Three days ago.
20:16Give me your marker.
20:34What type of alcohol?
20:36Champagne.
20:37What percentage of alcohol is that?
20:39I don't know.
20:39What's the difference?
20:40Take out your phone.
20:40Then look it up.
20:43I don't know why it's not working.
20:45It needs to be submerged to cool.
21:03Hey.
21:05Every five seconds is an XL.
21:07Why did you answer me last time, but not before?
21:11Was it because I was angry?
21:14Was it random?
21:16Why can't you answer my questions?
21:23This better work.
21:25It will work.
21:28You answer when I don't ask.
21:34You don't like questions.
21:36I don't.
21:44I didn't do well in calculus.
21:46This is algebra.
21:47With his severe cirrhosis, his alcohol clearance rate is one milligram per deciliter per hour.
21:56One drink, say, eight ounces.
21:58It's champagne, six ounces tops.
21:59Play conservative.
22:00Eight ounces results in a blood alcohol level of 39 milligrams per deciliter.
22:06One standard drink.
22:10Now the purpose of abstinence, at least according to the transplant registry, is...
22:15Patients who kill their liver due to excessive drinking prove they can be sober.
22:20Let me see that report.
22:230.02.
22:25Shep was telling the truth.
22:27He did just have the one drink.
22:29He didn't fall off the wagon.
22:31Corporate loves its data.
22:33I'm not sure it will actually make a difference, but it does give us an argument.
22:52You don't like the cafeteria food?
22:54You only make one thing well.
22:56What does it say when the staff sees the president of the hospital not eating their cafeteria food?
23:01Well, it says the president of the hospital isn't allowed in the kitchen.
23:05You sat down.
23:06What can I do for you?
23:08I'd like your advice.
23:10Really?
23:11Where's Aoki?
23:12Did she die?
23:14This was a mistake.
23:15That's insulting.
23:16Sit down.
23:17At least hear what I have to say and then decide it's bad advice.
23:20Sit.
23:23Aoki is pushing Melendez on me for the VIP.
23:26Ah, you didn't get the email blast.
23:28Rich people aren't allowed to die in this hospital.
23:31You're not the young star anymore.
23:32Melendez is.
23:34I know that.
23:35And you're upset about the why?
23:36Why does Aoki think that?
23:38You should be asking who.
23:40Who?
23:40I know who.
23:41Melendez.
23:42Who are you?
23:44Are you a chief who wants to be top surgeon or are you a chief who wants to be president?
23:48Because if it's the latter, take your ego, shove it in the cupboard somewhere, and start acting presidential.
24:04Dr. Melendez is going to argue to the board that you get to deliver.
24:07I think it's a pretty good argument.
24:10Do I deserve it?
24:12I'm not sure that's relevant.
24:17You know, when you're dying, and I've been dying for a long time, you start to think about your life.
24:31I haven't led a great one.
24:34I could have been a better dad.
24:37A better man.
24:41It was flash.
24:43I drank too much.
24:45You know, I also have a son.
24:48Yeah.
24:49First marriage.
24:52I haven't seen him in three years.
24:56Getting a liver is not a second chance.
24:58And it's not a reward for being perfect.
25:01It's just what we can do.
25:03Maybe.
25:06But on the registry, all of us wait in line together.
25:11And I see these...
25:15These people here waiting.
25:20I know their faces.
25:23Even their names.
25:25They all have stories.
25:28We're in it together.
25:32And I...
25:34I broke the...
25:37Chuck.
25:40Chuck.
25:41Go blue!
25:42Chuck, can you hear me?
25:57It's got blood in his esophagus.
26:00It's got very sore bleed.
26:02All right, saline wide open.
26:03I've been crossed four units.
26:07I'm gonna ban the vein.
26:19Pressure's coming up.
26:25Chuck.
26:42Chuck had a very sore bleed.
26:43I was in there.
26:44Portal hypertension, decompositions.
26:45Are you finished?
26:47You've got three months to live.
26:48Maybe.
26:51You have to be six months alcohol-free
26:53before you age too eligible.
26:54And you said you weren't good at math.
26:59He gets this one or he dies.
27:10Do you know what this thing looks like at 8 a.m.?
27:12I need a police escort to work every morning.
27:14280 south.
27:16We're all roads meet.
27:21No, they don't.
27:33What's wrong with him?
27:34He's autistic, officer.
27:36What's that mean?
27:38Does he need to be in a hospital?
27:40Last place he should be is the hospital.
28:04What are you doing?
28:07Sean.
28:08What are you thinking?
28:17This isn't a question.
28:18I just...
28:19I don't know what you're looking for, Sean.
28:21Yes, I can feel it.
28:23It's firmer.
28:24And?
28:26I don't know what that means.
28:28There must be a clot.
28:29But there isn't a clot.
28:30The scans show no clot.
28:40It's because...
28:41The scans were taken before they harvested the liver.
28:44Prior to the liver being flushed with UW solution.
28:47It's dying.
28:48To preserve the liver, they replaced all its blood with a solution to protect it from the cold storage,
28:52but they must have left some blood behind, which clotted.
28:54How long does St. Bonaventure?
28:56Less than 30 minutes.
28:57Can't wait.
28:57We have to immediately remove the clot and flush the left lobe to protect it from the ice bath.
29:02Okay, we need to stop the car.
29:03Here?
29:03Yes, yes.
29:04We need to operate right here, right now.
29:22Flushes from the right.
29:23So, the left lobe starting at the middle hepatic vein.
29:26Less intrusive cut would be along the falciform ligament to allow access to segment three.
29:31When you locate the blockage, I'm going to have to remove it.
30:00I need a straw to cannulate the vein, please.
30:03There's a straw in my cup.
30:13UW solution will stabilize the cell walls.
30:16Preserve the integrity of the organ.
30:34This is better than having a baby in my car.
30:43How are you feeling?
30:44Like I'm writing a blank check.
30:47You're going to be fine.
30:49You're the best.
30:57This bleed, these varices.
31:00This isn't good news.
31:01Tells us that your liver failure has progressed considerably.
31:05How much?
31:07You have two to three months.
31:09We're getting the liver today.
31:11In an hour.
31:12I don't get it.
31:14You didn't tell them.
31:15What?
31:17Your father had a drink.
31:21He had one glass.
31:23Transplant registry doesn't quantify things like that.
31:25So he doesn't get the liver?
31:27I'm going to try and get it for him.
31:29Why are you a car salesman?
31:30What are you going to try?
31:31The final decision is out of my hands.
31:38And if you fail?
31:40I'm going to do everything that I can.
31:43I'm meeting with the committee in ten minutes.
31:48Excuse me.
31:55I handed my dad the drink.
31:58It doesn't matter how it happened.
32:00He didn't want it.
32:01He just wanted to make me happy.
32:03If you let him die, he'll have killed my father.
32:34It was a glass.
32:35A glass of champagne at his daughter's graduation.
32:38I had the labs to prove it.
32:39Chuck didn't fall off the wagon.
32:40He had one drink.
32:41Never went back.
32:42The transplant registry guidelines don't play in the gray for a reason.
32:46These guidelines are so arbitrary.
32:47Have one drink and you die.
32:48A couple pills of ecstasy, no problem.
32:51Hepatitis B from careless sexual practice.
32:53No, nothing at all about that.
32:54So what do you want us to do?
32:55Throw out the rules?
32:56I want us not to hide behind them.
32:58We do have a responsibility.
33:00Without the rules, we're playing God.
33:02We need the rules.
33:03Does that help you sleep better at night?
33:05Yes.
33:06It does.
33:08We have one liver today and 800 people in this state need it.
33:12I don't want to be haunted by the other $7.99.
33:15Your guy hasn't earned it.
33:16He knew the rules.
33:17And this, it's a technicality.
33:20No, the drink is a technicality.
33:22Jessica, what's the legal version here?
33:24Significant.
33:25If we move forward with this transplant, we could lose privileges on the registry.
33:29If it was discovered.
33:31If it were discovered, how narrow can you be about this?
33:34Dr. Glassman, where are you on this?
33:36I can make a good argument either way.
33:38Go ahead, please.
33:40Better to remove the arguments altogether.
33:42What the hell is he talking about?
33:44The hell I'm talking about is that we have a patient in this hospital who needs a liver.
33:48We also just happen to have a liver that needs a patient.
33:51It's not that simple.
33:52It is that simple if you consider the patient.
33:55Rules are secondary.
33:57But is saving this patient worth the risk of not being able to save hundreds of others?
34:03I don't have hundreds of patients right now.
34:05I have one.
34:06His name is Chuck.
34:11Blood pressure steady.
34:13Donor vessel to the facial artery.
34:15And we're ready to close him up 10-o-polypropylene in vascular forceps.
34:19Nice work, Dr. Andrews.
34:23What do we have here?
34:26A hematoma?
34:27I can see that.
34:29Let's find its source.
34:30Sponge, stick, and probe.
34:31Sponge, stick, and probe.
34:37It's not my recipient artery.
34:39Heart rate is dropping.
34:40Whatever it is, it's compressing his carotid.
34:42I can't get deep enough here.
34:43I need better access.
34:46We'll move to zone three from the outside.
34:49Zone three's a minefield.
34:50I'm aware, but we need to do this.
34:52Whatever you're going to do, do it quick.
34:54It's strangling him from the inside.
34:59Give me Melendez.
35:04We made it.
35:05Yeah, we're here.
35:08Downstairs, coming up.
35:10No, no, no, no, Derek.
35:11You're not going to believe.
35:12What?
35:13Yeah.
35:22Got it.
35:31Um, the check's been moved to the bottom of the list.
35:35San Jose Presbyterian.
35:36You're coming to get the lower.
35:45Oxygen, sats, tanking.
35:46Help him to 100% O2.
35:48You have to go through the mandible from the inside
35:49while I probe for the source.
35:50It's the only way.
35:52Loops.
35:54You have to be careful in there
35:56or he'll get a stroke.
35:58You just have to be careful then.
36:01Give Dr. Melendez the mandibular channel retractor
36:04and number five bone cutter.
36:05Number five bone cutter?
36:22Twenty-nine minutes.
36:23It's a live time.
36:24Thank you.
36:25This is amazing.
36:26Gotta go.
36:26The whole team is waiting.
36:27His name is Oliver.
36:35Oliver!
36:35Oliver!
36:42It was a good day.
36:47We saved a life.
36:50Just not Chuck's.
37:19It's not your fault.
37:20I want to believe that.
37:28So we saved a few things that were spent
37:32and brought it to the ground
37:38because you always feel it better
37:42the second time around
37:44and brought it to her.
38:11¿Qué?
38:14Hola.
38:15¿Tienes un labo o algo?
38:17Soy una cirugía.
38:18¿Qué es eso?
38:19¿Puedo tener mis baterías?
38:23¿Los los que he comprado?
38:30¿Qué es tu nombre?
38:41I'm Leah.
38:43I'm Dr. Sean Murphy.
38:44Nice to meet you.
38:50So we saved a few things that were spent
38:56And brought it to the ground
39:00Cause you always build it better
39:04The second time around
39:31I drove past the place where we used to live
39:35I drove past the place where we used to live
39:36Well you said you never wanted kids
39:42Sometimes something so broken can never be fixed
39:47Are you expecting the things you got in the place?
39:47And you didn't have anything to be loved
39:52No you want to be in your house
39:53No you want to be in your house
39:57No you want to be in my house
40:00Just a little bit
40:14No you want to be in your house
40:19And tomorrow we'll figure out the rest.
40:46You always feel it better the second time now.
40:56You always feel it better the second time now.
41:06You always feel it better the second time now.
41:44Gracias por ver el video.
41:49Gracias por ver el video.
Comments