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الطبيب الجيد 1 - Episode 9
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04:41She has a master's degree in sociology, impeccable credentials, excellent references,
04:46and you turned her away because her clothes didn't match?
04:49It's relevant.
04:50If a life skills coach can't select a complimenting wardrobe, they lack life skills.
04:55But she's not going to pick out your clothes for you.
04:57She's not a nanny.
04:58She's there to help you with problem solving, financial, social interactions.
05:03You're doing this because I did not react well to a man with a gun robbing a store I was
05:07in.
05:07Statistically, that is very unlikely to ever happen to me again.
05:11Social interactions will happen again and again and again.
05:15Statistically irrefutable.
05:16If you learn how to get along with people a little bit better, you'll have a fuller life, a happier
05:20life.
05:21If you don't like this woman, we'll find somebody else.
05:23I am happy.
05:24You could be happier.
05:25I don't think so.
05:29My neighbor Leah, if she were ever in a fire, she'd be rescued first.
05:33Why's that?
05:35Dr. Melendez says attractive people have advantages.
05:39Dr. Melendez says that, does he?
05:40Why is that funny?
05:42I don't know.
05:43It's just, um, some people consider Dr. Melendez attractive.
05:48So how's it going with Leah?
05:51She doesn't like me.
05:53Why'd you say that?
05:55She said I was an asshat.
05:57Yeah.
05:58What was she doing when she said that?
06:00Touching me.
06:01She was flirting with you.
06:03Sometimes people say the opposite of what they mean.
06:06Um, they use teasing as a way of saying something they don't mean instead of saying something that they do.
06:13I haven't seen any data on the use of antonyms as a flirting technique.
06:17Okay, well, um, here's what to look for.
06:20You ready?
06:21Yes.
06:22Great.
06:22The pretentious giggle.
06:24The, uh, the squirm.
06:27And the hair sweep.
06:29I call it the flirting trifecta.
06:32Hair scuffing is used in both animals and humans, Claire.
06:35Secreting glands are located in the scalp and fur.
06:38Scuffing sends hormones out into the environment to let a potential mate know they're interested.
06:43Or it could be ringworm.
06:46Yeah, I suppose you have to factor for that possibility.
06:53Nice touch.
06:54Beauty increases happiness.
06:56Happiness improves outlook.
06:57The long mission called BDM.
06:58You might want to try it.
07:00I'm doing fine.
07:01We're having dinner at the sink.
07:02No, we're enjoying dinner at the sink.
07:04Although if you keep talking like that...
07:09Andrews.
07:11Well, look again.
07:12It has to be there.
07:14Yeah.
07:15Okay.
07:17Who was that?
07:18The lab.
07:20They misplaced Elizabeth's specimen.
07:22Oh, my God.
07:23Don't worry.
07:23They'll find it.
07:25Satisfied?
07:26It's somewhere.
07:27Somewhere else.
07:28I love how everyone in surgery is so fast to blame the lab.
07:31Well, double-checking can't hurt.
07:33Actually, it can because you were here when you should be double-checking surgery.
07:36I saw the specimen go in the container.
07:39It means it has to be here.
07:40No, all that means is that it was put in a container.
07:43It doesn't mean that that container was actually put in the surgery refrigerator
07:46or that it was actually picked up by the courier.
07:48He's even worse than we thought.
07:50Yeah.
07:52Hypertrophic obstructive cardiomyopathy,
07:54atriociptal defect,
07:56abnormal insertion of the mitral valve leaflet.
07:58I've never seen so many anomalies in one heart.
08:04I'm sorry I pushed for additional testing.
08:07I'd only got his mother's hopes up.
08:11Any medication that'll help?
08:13Beta blockers, maybe mitopilol.
08:16It's not like they'll get him playing soccer,
08:17but they might help him get to the field to watch.
08:20For a couple years, anyway.
08:22Better than dying on the table tomorrow.
08:26Utiliochi.
08:29Don't break it to the mom.
08:52It's cold, Sakar.
08:55Keep in bio, Ashaman.
08:59It's a heartbeat.
09:02It follows the sound.
09:05Reminds it to beat until you fix it.
09:08Mrs. Bangura, I've completed all the tests.
09:11And I'm sorry that you've come all this way.
09:13Gabriel was in my belly.
09:14Evil spirits came to him.
09:18Inverade his heart.
09:20A village shaman tried to rip them.
09:23He could not.
09:25Then a vision came to him.
09:30A stronger healer would come.
09:34You.
09:37You.
09:39Will save Gabriel.
09:42I don't know about evil spirits.
09:46All I know is that your son was born with a heart that I can't fix.
09:50I'm sorry.
09:51Would not have come so far if I did not believe.
09:59We'll give him medicine to make him feel better.
10:02And then you can take him home.
10:26I'm sorry.
10:28I'm sorry.
10:28I'm sorry.
10:29I'm sorry.
10:29I'm sorry.
10:30I'm sorry.
10:30I can't say that.
10:31It's an accepted word.
10:32Sorry?
10:32You can act sorry.
10:34You can feel sorry.
10:35In fact, you should feel sorry.
10:36You just can't say it.
10:37Okay.
10:38I feel bad for you because we made a mistake.
10:41Nope.
10:41A mistake isn't a mistake.
10:43Well, it's an unanticipated outcome of an expected action.
10:47You can't use language that implies blameworthy conduct.
10:49But if we did lose the specimen, isn't it actually a mistake and aren't we sorry and aren't we blameworthy?
10:55Yes.
10:55Doesn't mean we can make it any easier for our attorney.
11:00Hello, Elizabeth.
11:01I'm Jessica Presson from Risk Management.
11:04How are you?
11:05I don't like the sound of that.
11:06I know.
11:06I really need a new job title.
11:08It seems that we've encountered an unexpected occurrence.
11:11The laboratory has been unable to locate your tissue specimen.
11:14We don't want you to be unnecessarily alarmed, but we want you to be fully aware of what's going on.
11:20But how will I know if I have cancer if you don't find it?
11:23We are looking everywhere.
11:25We will find it.
11:26As long as it's in formalin or a refrigerator, everything will be fine.
11:29For how long?
11:30At least 24 hours, maybe even 36.
11:35Well, then you better find it.
11:38Because I will be damned if I'm going to have my voice box removed just because somebody screwed up.
11:47I have implemented a proactive educational plan.
11:50Well, that's terrific, Sean.
11:56Why are we talking about that here?
11:59I'm not stupid.
12:01I didn't say you were stupid, Sean.
12:03Nobody said you were stupid, but sometimes you lack common sense.
12:05I'm so sorry to bother you.
12:07The patient is deaf.
12:10Oh.
12:16I started flirting lessons yesterday.
12:19Flirting lessons?
12:21I wish I had that when I was young.
12:23Yes, I learned about the flirting trifecta.
12:26There's the pretentious giggle.
12:28Sean, what are you getting at?
12:31Flirting.
12:32It requires primarily nonverbal interactions.
12:36Being perceptive in one social dimension translates well to other social skills.
12:40You're studying flirting.
12:43Are you lonely, Sean?
12:45Because, you know, there are websites now where you can...
12:49I like being alone.
12:51Yeah, well, being alone and being lonely are two different things.
12:55Sometimes we're lonely and we don't even know it.
12:58How would I know it?
13:02Well, uh, loneliness.
13:04It's a kind of a dull...
13:07It's like a dark...
13:09Are you lonely?
13:14Yeah.
13:15Sometimes.
13:17You know, sometimes.
13:18Very much.
13:23You should learn the trifecta.
13:32Hey, um, hey, we were looking for a lost specimen that I am positive left the OR.
13:36And I'm positive it didn't make it to the lab.
13:38And since you're the link between the two, we wanted to ask you about your 3 o'clock run yesterday.
13:42So you took everything that was in the refrigerator in the OR?
13:46In the refrigerator, out of the refrigerator.
13:47Everything that's meant to go, I took.
13:49Did you stop on the way?
13:50No, straight from the surgery to the lab, just like the rules say.
13:53Well, did you stop at the restroom or the coffee machine in the cafeteria?
13:57Now, believe it or not, I can go a whole 30 minutes without stopping for a cream puff.
14:00We're just desperate.
14:01All we care about is the specimen and avoiding a full-on investigation.
14:06Investigation.
14:08Yeah, yeah, yeah, if we don't find it, then the legal department gets involved.
14:13Everyone who was in contact with it, who might have been in contact with it, goes under a magnifying glass.
14:18I'm not looking forward to it.
14:19You looking forward to it?
14:19She's not looking forward to it.
14:21They're going to check your social media, your computer.
14:23Blood tests.
14:23Blood tests.
14:26But if you find it before then...
14:28Then life goes on, same as it always has.
14:32I did stop at the cafeteria.
14:34The cashier's smoking.
14:36I might have been distracted for a little while.
14:41Okay, thanks.
15:00I might have been distracted for a little while.
15:33Even more.
15:40I know it's scary.
15:45You are good with children.
15:49You a father?
15:50No.
15:51One day I hope.
16:00Page, rapid response team, stat.
16:18The men should have improved his arrhythmia, not made it worse.
16:22Maybe in addition to his other problems, you developed endocarditis.
16:24His echo didn't reveal vegetations on his valves or endocardium.
16:30He has not developed a fever.
16:33Let's be sure.
16:33Get blood cultures or them times two, 15 minutes.
16:36It's in the wrong place.
16:43It was in the wrong place.
16:46Okay.
16:47Times two, 15 minutes apart.
17:00Um, Leonard says that he stops by here to see you.
17:04Yeah.
17:04He pretends the cafeteria is on his route.
17:07Like I don't know where the lab is.
17:08Yesterday, around three, Gwen.
17:10Notice anything on the food trays that wasn't food?
17:12Around three?
17:14Just the usual.
17:16Uh, Tupperware, sunglasses, cell phones, a condom.
17:20Around four, I found a glass eye.
17:22You see a biohazard bag?
17:24Uh, the Ziploc bag with the red circles?
17:27Yeah.
17:29Come on.
17:34You can move the mitral valve.
17:37Thanks for the visual aid.
17:39You can't move the mitral valve.
17:41Now, if Mr. Potato Head had an atrial septal nose and hypertrophic obstructed...
17:45I believe, I believe the abnormal insertion of the mitral valve can be...
17:52Follow me.
17:55Pretty sure I saw a biohazard bag in here yesterday.
17:59You're lucky you came when you did.
18:00It's due to get dumped in two hours?
18:04Ugh, dentures.
18:05They're the worst.
18:06You know, every patient gets a denture cup with their name on it.
18:08So tell me, why are the dentures never in the cup?
18:11And if they are, it's the wrong cup.
18:13One of life's mysteries?
18:16Biohazard bag exciting.
18:18A biohazard bag for a coin purse?
18:21Really?
18:24Finally, a septal myectomy will open the outflow tract...
18:28...and the mitral valve can be re-implanted into a more normal position.
18:31Thank you.
18:32That's my idea.
18:34Can you do this procedure on Gabriel?
18:36No.
18:37It's a terrible idea and it won't work.
18:40So what was the point of this dog and pony show?
18:42Because you seem keen on making medical decisions for me.
18:45So just in subordination?
18:46Yeah, we were probably going to wind up coming to you anyway.
18:49Once Dr. Murphy gets an idea, he stays with it.
18:51Regardless of what anyone says.
18:53This can work?
18:54Yes, this can work.
18:56And it would be a great idea if the boy had two hours to live.
19:00Is fear of failure a good reason not to do this?
19:06No.
19:07But you know what it is?
19:09The thought that he might have a few more birthdays.
19:13Or make a best friend.
19:16I don't know.
19:17I'm not sending him home in a box.
19:22We gotta go.
19:23Gabriel's arythmia has gotten worse.
19:26You still haven't found it?
19:27I can get Miss Preston to address any questions.
19:30She wasn't in the surgery.
19:31You were.
19:32She is the point person for all therapeutic misadventures.
19:35Are you kidding me?
19:37I may lose my voice for absolutely no reason.
19:41And you are using canned jargon.
19:42That sample cup doesn't have toothpaste.
19:45Or socks.
19:46Or some lock in it.
19:47Okay?
19:47It has my life.
19:53Sorry.
19:57Thank you.
20:05Good for you.
20:06Yeah, right.
20:07I just broke about eight rolls.
20:09Maybe.
20:10Miss Preston won't hear about it from me.
20:14You should go find that sample.
20:21Meds aren't working.
20:23The question is why.
20:26Maybe the arythmia is just another manifestation of Gabriel's LV dysfunction.
20:31You'll still be seeing at least a modest decline in his ectopy.
20:34Maybe his gradient is worse.
20:36We could try calcium channel blockers.
20:37There's a much simpler explanation.
20:47Good news about his endocarditis.
20:50Heart inflammation.
20:51His tests are normal.
20:52But we still are concerned.
20:55For some reason, his medication isn't helping.
20:58Our best explanation is he hasn't been taking his medication.
21:18I'm trying to save his life.
21:20By withholding his medicine.
21:21By keeping him here.
21:23If he takes the medicine and becomes better, you send him home to die.
21:27But there's nothing else that we can do for him here.
21:29You do not understand where I live.
21:32What it is like.
21:35I don't know your village.
21:37But I do know what it's like to be poor.
21:41I grew up with nothing.
21:43My sister was disabled.
21:44My parents couldn't afford her meds or treatments.
21:47And it killed them.
21:48And me.
21:49To watch her suffer.
21:52When nothing can be done, nothing can be done.
21:57You became a doctor.
22:00You did not accept being poor.
22:04No.
22:07Then you did not understand at all.
22:12That we want for everything.
22:14Food.
22:16Peace.
22:18Medicine.
22:20But our greatest want is hope.
22:27We live here.
22:28We live hope behind.
22:39Okay.
22:40I'll do what I can.
22:47Drop by to see Elizabeth.
22:48Not surprisingly, she's very upset.
22:50There wasn't much I could offer in the way of comfort.
22:52If only people did their jobs.
22:54Which people?
22:56Scrub nurses.
22:58Couriers.
22:58Lab techs.
22:59That's a curiously limited list.
23:01I did the surgery correctly.
23:03I don't think it's too much to expect us to do their jobs correctly as well.
23:06So not your fault.
23:07Not your problem.
23:07What are you trying to do?
23:08Make me feel guilty?
23:09Yes.
23:10I want you to feel horrible.
23:12It's the only thing that's going to make you change.
23:13And the what?
23:14The guy I married.
23:15The guy who cared more about patients than politics.
23:18Ah, okay.
23:19I get it.
23:20This is about me vying for president of the hospital, which we discussed at length, which
23:24you said you were 100% behind me on.
23:27I didn't realize how far behind.
23:29You think I've left you behind?
23:31Hmm.
23:32Uh, Tuesday, capital expenditures meeting delayed.
23:37We'll be late.
23:38Wednesday, fundraising event ran over.
23:40Don't wait up.
23:41Thursday.
23:41Yes, there are things about my job.
23:43Right.
23:43Not your fault.
23:58Hello.
24:00Hey.
24:01Did you know that specimens and formalin go to one place?
24:05Exempt specimens somewhere else.
24:07Aerobic and anaerobic cultures, two different places.
24:09Um, radioactive, medical device, forensic specimens, all different, and all handled by different
24:15staff.
24:15Did you know that?
24:17Yes.
24:18Oh.
24:19I made a chart, too.
24:21A qualitative observation log of what you taught me.
24:24What did I teach you?
24:25Flirting.
24:27Every time I saw someone flirt, I noted it and cross-referenced the subject, object, and
24:32nonverbal gestures.
24:34I knew it.
24:35Gwen the cashier.
24:37She made out that it was all the courier, but that's my name.
24:41Yes, you made flirting gestures.
24:43No, I didn't.
24:43Yes, you did.
24:45You brushed your hair back.
24:48Right hand, side sweeping.
24:52At Dr. Melendez?
24:53No, I don't think so.
24:54Sean.
24:56No.
24:57Yes.
24:58You were at the nurse's station, and he said, good for you, and you said, yeah, right,
25:02I just broke about eight rules.
25:04And smiled and giggled and brushed your hair back.
25:09Miss Preston won't hear about it from me.
25:15It's possible you have ringworm.
25:19Sean, sometimes people toss their hair just because it's in their face.
25:24Murphy, I'd like you to elaborate on your idea.
25:27My terrible idea?
25:29That's the one.
25:43You can move the anterior leaflet of the valve and reattach it.
25:47No, we can't.
25:50It's the exact replica of the kid's heart.
25:53There's no anchor point to reattach it.
25:56So that part of your idea is still terrible.
25:58Okay.
26:00But the rest of it?
26:02We're dealing with a huge septum.
26:03It's 25 millimeters.
26:05What would that number be in a healthy kid?
26:07About eight.
26:08If we go anywhere near that number, we won't have enough support for the valve.
26:14But let's say we took that down to 20.
26:19That won't be enough to relieve the outflow obstruction.
26:25Okay.
26:2718.
26:30Okay.
26:33Okay.
26:34Okay.
26:37Let's go.
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29:53Buen suerte.
29:55¿Crees en suerte?
29:56Es algo que las personas dicen en dificultad situaciones.
30:02Neither do I.
30:04De nuevo.
30:06La realidad es que incluso si encontramos tu especificación ahora,
30:11es probable que todavía no sea viable.
30:17No sabes si tengo cáncer.
30:20Y no hay manera de encontrarlo.
30:24¿Qué?
30:25¿So my choices are...
30:27¿Surgery I may not need?
30:31¿That will leave me without speech?
30:34¿Or do nothing and maybe die?
30:38Unfortunately, yes.
30:44¿De qué?
30:59¿Sí?
31:07¿Qué?
31:09¿Qué?
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35:51¿Qué es lo que se ha hecho para que el usuario?
35:53¿Qué si el label de la especificación era incorrecto?
35:56¿Qué si el nodule está aquí, pero el contenedor tiene el nombre de nombre?
35:59Ok, estoy reconciliando los operativos de la operación,
36:01la sugerencia, la sugerencia, la sugerencia de la especificación.
36:03Voy a leer los casos, ver los contenedores,
36:05y sentirme como una jerga por juzgarme.
36:07No, solo un jerga si estoy correcto.
36:12¿Pump time?
36:146 horas, 48 minutos.
36:21¿Tienes que Meta en aquí?
36:24Let's take him off bypass.
36:5612 segundos. ¿Puedo ir a los paddles?
36:58No, no.
36:59No, no, Gabriel.
37:02¿Cuánto tiempo ha estado en bypass?
37:032 horas, 2 horas.
37:05No, no.
37:05No, no.
37:15¿No?
37:16Sí.
37:18Sí.
37:24Dr. Murphy, close them up.
37:28A night
37:30will hold you tight
37:34like the moon
37:35in the arms of the sky.
37:48He's beating just fine on its own.
37:50He's beating just fine on its own.
37:53And I'll build a fire,
37:55you fetch the water,
37:57and I'll lay the table.
37:59And in our hearts,
38:01we still pray for sons and daughters.
38:06Marques.
38:06Marques.
38:18There was a specimen cup in the OR
38:21prior to your surgery.
38:22It was supposed to be used for bullet removal,
38:25but they left the bullet in the body,
38:27and the cup was used accidentally for your specimen.
38:31Not only was it in formalin,
38:34but it was refrigerated and fresh as daisy.
38:36Elizabeth, you don't have cancer.
38:46Thank you.
38:50Doctor.
38:53And I'll build a fire,
38:55you fetch the water,
38:57and I'll lay the table.
38:59And in our hearts,
39:01we still pray for sons and daughters.
39:05Duh.
39:06Duh.
39:06Duh.
39:07Duh.
39:09Duh.
39:10Duh.
39:10Duh.
39:21Duh.
39:22Duh.
39:24Duh.
39:24Duh.
39:26Duh.
39:26Duh.
39:28Duh.
39:29Duh.
39:42Duh.
39:43Duh.
39:43Duh.
39:54Duh.
40:09Duh.
40:10Duh.
40:14Duh.
40:24Duh.
40:30Duh.
40:32Duh.
40:45Duh.
40:47Duh.
40:48Duh.
40:50Duh.
40:54Duh.
40:54Duh.
40:56Duh.
40:57Duh.
40:58Duh.
40:58Duh.
40:58Duh.
41:01Duh.
41:02Duh.
41:03Duh.
41:05Duh.
41:05Duh.
41:09Duh.
41:17Duh.
41:21Duh.
41:25Duh.
41:28Duh.
41:31Duh.
41:32Duh.
41:32Duh.
41:32Duh.
41:33Duh.
41:33Duh.
41:34Duh.
41:35Duh.
41:38Duh.
41:39Duh.
41:39Duh.
41:40Duh.
41:42Duh.
41:44Duh.
41:46Duh.
41:48¿Quieres un apple?
41:52Sí.
42:32Gracias por ver el video.
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