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مسلسل Good Sam مترجم - Episode 1
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00:18Mr. Ferguson!
00:22Mr. Ferguson!
00:24Mr. Ferguson!
00:32Stop!
00:40Mr. Ferguson, stop!
00:40Mr. Ferguson, stop!
00:42Mr. Ferguson, stop!
00:44Mr. Ferguson, stop!
00:47If you have a heart attack out here, I am not going to save you.
00:49Do you hear me?
00:49I'm sorry, Dr. Sam.
00:51I just can't go through with it.
00:53It's too risky with my diabetes, my blood pressure.
00:56We have talked about this.
00:57The benefits outweigh the risks.
00:59I could die on the table!
01:01You won't die on the table.
01:02How can you be sure?
01:03Because Dr. Griffith is your surgeon.
01:06He is one of the best cardiothoracic surgeons in the country.
01:11And I say one of the best because I'm quoting U.S. News and World Report, but in my opinion,
01:15Dr. Rob Griffith is the best.
01:18He is incredibly detail-oriented.
01:26Meticulous, really.
01:29Sometimes to a degree that is hard to believe.
01:36He's a genius.
01:38And I know that you are scared, okay?
01:40I was too.
01:42You had heart surgery?
01:43A long time ago.
01:45Wow.
01:47But, instead of thinking about dying on the table or what could go wrong, I thought about
01:52Crystal Lake.
01:53My dad and I went fishing there every summer.
01:56It's beautiful.
01:57It's stocked with trout and coho salmon.
02:00And I just, I thought about the next trip we'd take.
02:05Do you have a place you'd like to go?
02:07Uh, my wife wants to do a cruise.
02:10Oh, yeah?
02:11Where to?
02:13Alaska.
02:13Alaska?
02:14It's colder than Michigan.
02:15What happened to going to the Bahamas?
02:19You know, I don't think you can promise that I won't die.
02:23Legally speaking.
02:25I'll tell you what.
02:26Have the surgery.
02:28And if you live, you can sue me.
02:30Deal?
02:31Deal.
02:31Okay.
02:37Well, Ferguson is prepped and I got my cardio in.
02:40Ha!
02:40Told you she'd get him back.
02:4220 bucks if this guy celebrates his new valves with a yard of beer and a blooming onion.
02:45Caleb, does your mechanic care how you drive your car after a tune-up?
02:48I'm so over blood and guts.
02:50Just give me some fake boobies and call it a day.
02:53You are so superficial.
02:54You know that.
02:55Lex, you know that frowny face you make when you're judging people?
02:57You're gonna need some Botox.
02:59Joey!
02:59Don't expect a discount, honey.
03:01Watch out.
03:01Okay, guys, we're a team.
03:02This is not a competition.
03:04You all have strengths.
03:06I'm afraid I disagree.
03:09Where I stand, I see a lot of weaknesses.
03:14Pathologically arrogant.
03:17Profoundly insecure.
03:22Emotionally unpredictable.
03:25And exceptionally vain.
03:29I don't know if any of you have what it takes.
03:31That's why you're here.
03:32To earn your seat at the grown-up table.
03:35By proving empirically that you are more valuable than the person next to you.
03:40This is surgical residency.
03:43Not a drum circle.
03:46And you, you're supervising these doctors.
03:50You're above them in knowledge, rank, and skill.
03:54Act like it.
04:01The patient suffers re-stenosis.
04:03Dr. Griffith is removing some of the failed stents before harvesting the left saphenous vein for bypassing.
04:08Actually, I've changed my mind.
04:11I'm gonna use the internal thoracic arteries.
04:13Why would we do that?
04:15Because some interventional cardiologist has run a full metal jacket down this artery, and now I have nowhere to put
04:23the anastomosis.
04:24But the patient is diabetic.
04:27Yeah, we all read his file, doctor.
04:29I just mean that he's at higher risk for infection, and harvesting arteries close to the breastbone only increases that
04:35risk.
04:35Maybe.
04:36That also decreases the risk of him coming back next year with an occluded vein graft.
04:41Clamps.
04:41A sternal complication could kill him.
04:46Good thing he's in the hands of a capable surgeon.
05:00Doctor?
05:02Doctor?
05:10Yep, just let it out.
05:12I am the cardiac fellow.
05:14I'm second in command here, and he shows me no respect.
05:18It's like undermining me as a sport for him.
05:20If it makes you feel any better, he doesn't respect anybody.
05:22It doesn't.
05:26I think I'm gonna take the Cleveland offer, Caleb.
05:29You don't want to do that.
05:32Are you saying I should stay?
05:39It's not about me.
05:40You need to do what's best for your career.
05:43Yeah.
05:45You know, I've told him before, if he can't respect me, I can't work here.
05:48End of story.
05:53You need to tell the wife you did a different procedure.
05:56Yeah.
05:57Okay, I'll tell her for you.
05:58Tell her I said you're welcome.
05:59There's something else.
06:03I've made a decision about my future.
06:07And...
06:09Ten-car pileup on I-94.
06:11They're running triage, one cardiac event.
06:15That's our code.
06:16Griff.
06:19Doctor, please, my wife is in pain.
06:22Oh, no.
06:23She's fine.
06:25Hurry!
06:25What do we got?
06:26Hang on.
06:28Came in with chest pain.
06:29Magic bless her?
06:30I already gave it to her.
06:31All right.
06:34Grab a crash cart.
06:35AED's closer.
06:36One, two, three.
06:39No pulse.
06:40No CPR.
06:42Hey!
06:43You can't walk away from me.
06:45What kind of doctor are you?
06:47Bad one.
06:47You don't want me.
06:48Keep waiting.
07:01Dad!
07:03Breaking news out of Lakeshore Sentinel Hospital, there has been a shooting.
07:07Suspect taken into custody.
07:09He apparently had no connection to the victim.
07:10The victim is Dr. Rob Griffith, a renowned surgeon at the very hospital where this random
07:15attack took place.
07:29What happened to my father was a shock for our entire community.
07:36As a community, we went on as I know he'd want us to.
07:41And me.
07:41Dr. Griffith.
07:43I was humbled to step in as interim chief in my father's absence.
07:47Hi.
07:48And I am humbled again today and grateful to the board for making my position permanent.
07:54My father can never be replaced, but I vow to carry on his legacy to the best of my ability.
08:01I love it.
08:02And so would he.
08:04I'm not so sure about that.
08:06No, do not feel guilty.
08:08You've earned this.
08:09And I say that as your chief medical officer, not your mother.
08:14It's perfect.
08:16Really?
08:16It's not boring.
08:17No, it's definitely boring, but...
08:19How can it be perfect and boring?
08:21I just mean it's a very appropriate speech for a room full of uptight rich donors.
08:26It's a compliment.
08:28Okay, don't do your overthinking thing.
08:30You're going to break out in hives again like you did when you spoke at that wellness retreat.
08:33That was an allergic reaction.
08:35Okay.
08:36What you call overthinking, I call evaluating from all sides to make the most important decision.
08:40Hmm.
08:41Is that how we're spinning it these days?
08:42Gotta love therapy.
08:43Good morning, all.
08:44Good morning, Dr. Griffiths.
08:45Big day?
08:46No kidding.
08:47Atrial fib, hiatal hernia, ICD candidate?
08:50You know I'm in your promotion.
08:52I know.
08:53Shall we?
08:54Mm-hmm.
08:55AFib, what do we know?
08:56Patient has failed three antiarrhythmia meds, including amiodarone.
08:59Yeah, probably needs an ablation, but I say we just cardiovert now.
09:02Dr. Shah, one point on that.
09:04Dr. Truly and Dr. Costa will take the ICD.
09:06And when Dr. Tucker catches up from being so very late for rounds, he'll take the hernia.
09:11One last thing.
09:14I couldn't have gotten through the last six months without you.
09:17Tonight is as much a celebration of you as it is of me, and I hope to see you there.
09:27That's the fifth hernia this month.
09:28That's also like the fifth time you've been late.
09:30It's not personal.
09:31I'm pretty sure it is.
09:32She's a professional.
09:33You two didn't work.
09:34She moved on.
09:34We did, though.
09:36I just, I panicked, you know?
09:37I didn't want her to plan her whole life around me.
09:39It was the Cleveland Clinic.
09:39Izan, what do you think I should do?
09:44Show up on time.
09:51My father can never be replaced, but I vow to carry on his legacy to the best of my ability.
09:58It's beautiful.
10:00Hi.
10:01Oh, I'm sorry.
10:03Just trying to keep it tight and play to the audience.
10:06Which is?
10:07Oh, you know, boring rich donors.
10:10Well, at least there's an open bar.
10:13Plan on hitting that hard post-speech.
10:16I'm Sam, by the way.
10:18Everyone knows who you are, Dr. Griffith.
10:20I'm Malcolm Kingsley.
10:25Isn't the Kingsley Family Foundation currently underwriting the expansion of our surgical wing?
10:31A.K.A.
10:32Boy and Rich Stoner.
10:38Lovely to meet you.
10:39Pleasure to meet you.
10:42Well, this will be an awkward little stroll.
10:46Would you like to walk ahead of me?
10:48Sam!
10:49Mom, what is it?
10:50It's your father.
10:52He's waking up.
11:01Hi, Dad.
11:11Griff.
11:13I can't believe it.
11:15I mean, your MRIs and EEGs always showed high residual function, but...
11:20And your brainstem was intact, which is why we decided to...
11:23None of this matters right now.
11:25You're awake.
11:27Are you trying to say something?
11:29Oh, here, give him some water.
11:32Um...
11:33Here.
11:35Uh...
11:36Uh...
11:38Uh...
11:38How long?
11:40Uh...
11:41How long have you...
11:42been out?
11:43You were shot six months ago.
11:47Uh...
11:47Like I'm working.
11:50Uh...
11:51Did you hear what Sam said?
11:53It's been six months.
11:55Not to me.
11:56It's a long time to be in a coma.
11:58Long time.
12:00But no chief.
12:03Actually, the hospital named a new chief.
12:06I've been replaced.
12:08I think succeeded is a better word.
12:11Oh, what is that?
12:14It's me, Dad.
12:19Tonight was the reception.
12:22I see.
12:26So glad I wore my gown.
12:31I can't believe it.
12:33I know.
12:33I'd come by here every night wondering if he would ever open his eyes again.
12:37And he finally does.
12:39And...
12:39All he wants to do is get back to work.
12:42Oh.
12:43Wait.
12:44Every night?
12:45I...
12:45I don't know.
12:46I think I spent more time with him here than I did when we were married.
12:49He...
12:51He didn't talk.
12:53So that helped.
12:59Oh, baby.
13:02Mmh...
13:06Mmh...
13:07Mmh...
13:28Mmh...
13:43Hi.
13:44Some pretty impressive playing.
13:46You couldn't hear anything.
13:48That is true, but I witnessed some very powerful body language.
13:54That is more time.
13:57When I was a kid, I got it in my head that I should take the piano so that I'd
14:01make my fingers more agile, they'd be faster in surgery, and now it's my stress release.
14:08I have dragged this thing everywhere with me.
14:11Med school, residency.
14:13To here.
14:14Mm-hmm.
14:17Speaking of, what brings you here?
14:21I mean, I'm glad for another opportunity to apologize for insulting you in the elevator, but...
14:26I work here.
14:27What?
14:28Yeah, I'm the new director of finance.
14:31But your dad is one of our biggest donors.
14:34Well, he and I are very different people.
14:37He didn't get me this job, by the way.
14:40My dad didn't get me my job.
14:41I didn't think that he did.
14:42I didn't think yours did either.
14:43So we were both not thinking the same thing.
14:51How is he, by the way?
14:53My dad?
14:54Yeah.
14:55He's doing really well.
14:58Remarkably well.
15:03Well, if you ever need to talk, I'm here.
15:09Thanks.
15:17I've been more progress in two weeks than most patients doing months.
15:20You almost died.
15:22Don't you think you should use this time to, you know, take stock of your life?
15:278.40.
15:28What?
15:29I did once to two procedures per day.
15:30Five days a week.
15:31Seven hours median cut time.
15:33That's 35 hours a week.
15:34140 hours a month.
15:35840 hours in six months I've missed.
15:38That's the stock I've been taking.
15:41I meant more like I've never seen Paris.
15:44We saw Paris.
15:45Together.
15:46I had a good time.
15:47All right.
15:48The Parthenon, then.
15:49What do I have to do to get back into surgery?
15:54You have to be proctored.
15:55Oh, come on.
15:57It's state law.
15:58After a medical leave like this, you are months away from even picking up a scalpel.
16:04Eh?
16:07Sam.
16:07No.
16:08It has to be Sam.
16:10It is her department now.
16:11Her promotion was...
16:13Immature.
16:14Unexpected.
16:15But it was also well-deserved.
16:17And if you are going to ask her to proctor you, you have to respect that she's in charge.
16:22I was thinking...
16:25Maybe you should.
16:26Oh.
16:29I'll do it.
16:31I'll supervise him.
16:33Sam.
16:33I'm the attending physician.
16:35Have you forgotten how tense things were between you two?
16:38You had one foot out the door.
16:39Exactly.
16:40Six months ago, Sam would not have been able to handle this.
16:43I'm different.
16:44I've changed.
16:46What if he hasn't?
16:47It doesn't really matter.
16:48I have the authority now and he will have to respect that.
16:51He also has to undergo extensive evaluation.
16:54Clinical, technical, procedural.
16:56You'll have to file assessment reports for peer review.
16:59And that's only after he regains his physical stamina.
17:03It's going to take a long time, Sam.
17:05I can do this.
17:07And I say that as your head of cardiothoracic surgery.
17:10Not your daughter.
17:17I thought I had the flu.
17:19I don't know why my doctor sent me here.
17:21Has anyone ever told you that you have a heart murmur?
17:23No.
17:24That's why.
17:25A new murmur can be cause for concern, especially with your recent dental work.
17:29It could be endocarditis.
17:31It's an infection that can spread from the teeth to the heart.
17:35So we are going to start you on some antibiotics and run a couple of tests.
17:38Okay.
17:40How long have you had the swollen lip?
17:43I don't want to talk about it.
17:45Okay.
17:47We'll get those tests ordered.
18:06What are you doing in here?
18:08This isn't your office anymore.
18:10Uh, looking for my white coat.
18:13I don't remember clearing you.
18:15Your physical isn't for two more weeks.
18:16Come on, we both know I'm ready.
18:18Hey, feel that muscle.
18:20I am not feeling your muscle.
18:22I'm just as a scientist.
18:23It's like a rock.
18:24It's like the statue of David.
18:25Larry David.
18:26Griff, the rules governing proctorship are serious.
18:29And if you disregard them, I have to answer to the licensing board.
18:32We can put the whole hospital at risk.
19:02You'll be able to take histories and talk to families.
19:03I don't think his eyebrows look like mustaches.
19:11Mr. Vargas' symptoms are consistent with left-sided native valve endocarditis, status post-dental implant.
19:16How did you lose a tooth?
19:18It got knocked out.
19:19Trust me.
19:20He deserved it.
19:22Blood culture's pending.
19:24We empirically started an antibiotic course.
19:26But the fever persists.
19:27Why?
19:28Maybe the infection is methicillin-resistant.
19:29You could change the vanco.
19:31Good.
19:31Anything else?
19:32Could be a deep space abscess the antibiotics can't reach.
19:35I'd get a soft tissue CT scan.
19:36I agree.
19:37I'm afraid I disagree.
19:40Who's that?
19:41Dr. Griffith.
19:42I thought you were Dr. Griffith.
19:44I am.
19:45And he is.
19:46We are Dr. Griffith.
19:48That's not confusing at all.
19:50You didn't say he was starting today?
19:51Your proctorship has not officially begun, doctor.
19:56Let's get Mr. Vargas down to radiology.
19:58He's not endocarditis.
19:58Please don't interrupt me.
19:59Fever hasn't gone down.
20:03Hasn't?
20:09Okay, let's go through the symptoms again.
20:11Whoa, whoa, whoa.
20:12What happened to my whiteboard?
20:14Oh, we upgraded.
20:15This can be updated in real time from any tablet on the network.
20:18It promotes the sharing of information across departments.
20:21Oh, I like to doodle on my whiteboard.
20:24Sorry for your loss.
20:25What do we have?
20:27The constellation of symptoms and clinical presentation really suggest infective endocarditis.
20:31Well, I would be inclined to agree.
20:34Oh, is that what you were doing when you parachuted into the room just now?
20:36But not before ruling out non-infective endocarditis, a.k.a. Libman Sachs endocarditis, a.k.a. lupus.
20:44Two diseases with almost identical symptoms.
20:47But totally opposite treatment strategies.
20:48If that's true, we've been giving him antibiotics when we should have been treating him with immunosuppressants.
20:53What are you basing this on?
20:54Because Libman Sachs is characterized by lesions on the aortic valves and his transthoracic echo was clear.
20:59Well, echo imaging is notoriously insensitive.
21:02We don't know that, right?
21:04Fine.
21:05In the spirit of collaboration, I will order coags and a DIC panel.
21:10All righty, dude.
21:11Hey!
21:12Hey!
21:13Excuse me?
21:13Along with that, tiny, clear antibodies and ESR.
21:16You cannot order tests without my authorization.
21:19Should we get him started on Solumedrol?
21:21If it is a lupus flare, we'll need to deal with the inflammation.
21:24That's a dangerous suggestion.
21:25Suppressing Mr. Vargas' immune system if he's actually fighting an infection would be catastrophic.
21:29Exactly.
21:30We wait for test results before we change course.
21:33Well, looks like I got time to doodle.
21:49I thought I'd find you down here.
21:51I was going to ask how you're doing, but it looks like you're banging out a concerto, so...
21:56I wanted this to be a fresh start, but this all feels very familiar.
22:00Do not let this affect your confidence.
22:03These are famously difficult conditions to differentiate.
22:06I'm sure that's exactly what he'll say if he's right.
22:09Don't worry about what he'll say.
22:11It's easy to say when he's not your father.
22:13No.
22:14No, my father gambled away my college tuition, so you are not the only one with daddy issues around here,
22:20sweetheart.
22:21And you put it that way.
22:22Labs are ready.
22:30He was right.
22:34Damn it.
22:40Thanks to Dr. Griffith's diagnosis, we have started you on immunosuppressants and anticoagulants,
22:46and we will keep you here to monitor your overall heart function.
22:49I thought the other thing affected my heart.
22:50This one can, too, but in a different way.
22:53Thank you, Dr. Griffith.
22:54You're welcome.
22:55I think he was talking to me.
22:57And yet I was the one speaking.
23:00Julio, I know that your wife is the one who knocked your tooth out.
23:03Would you mind telling me why?
23:05It's a long story.
23:06Well, if I only had the time.
23:07I have time.
23:09I get the thing.
23:17I'm listening.
23:21What are you doing in here?
23:22Reading my eulogy.
23:23It's terrible.
23:24You hardly even mention me.
23:25That's because it's not your eulogy.
23:27It was my acceptance speech.
23:28Dad, you cannot run out of the room when patients want to talk anymore.
23:32It's not how I do things.
23:33So what, it's your way or the highway?
23:36It's my way because it works.
23:38If you'd followed protocols and listened to Mr. Vargas, you would know that he...
23:42He cheated on his wife and she ducked him.
23:44I don't need your protocols to solve that particular mystery.
23:48You do have a lot of experience to draw from, given what you did to Mom.
23:52I have work to do and this is my office, so if you could...
24:00Steroids are working.
24:01Inflammatory markers are down everywhere.
24:03Everywhere but the sore on his lip.
24:04What could cause that, Dr. Costa?
24:08He's immune suppressed from the treatment.
24:09Could have left him susceptible to a hepatic outbreak.
24:11But he came in with this sore.
24:12It was less pronounced, but it pre-existed treatment.
24:14So he got it from cheating and the immunosuppressants made it worse.
24:17Agreed.
24:18Give him an ice pack, some Valtrex.
24:20Let's move on.
24:21I am not ready to move on.
24:23It is the one symptom that doesn't fit the diagnosis, Dr. Schott.
24:26Could also be hereditary angioedema.
24:28Oh, a man has an affair.
24:30Turns up with a sore on his lip.
24:32STD or a rare genetic disorder.
24:34It's just about the patient's lip or needing to be right about something.
24:42All I'm saying is, Rob Griffith is gonna get his job back.
24:45Sam's just signing her own pink slip by helping him.
24:48You should tell her that.
24:49It'll really help your getting back together, Costa.
24:51Getting back together?
24:53After he went and come in?
24:54Please.
24:55A separate issue.
24:56Really?
24:57Is it?
24:57Sam was your girlfriend.
24:58You know better than anybody how hard he was on her.
25:01Yeah, and I also know that she put up with it for the same reason we all did.
25:05Griffith was tough, okay, but he's also the best.
25:08He makes us better.
25:10You are really a black belt ass kisser.
25:12You know that?
25:13You made me miserable.
25:15Sam's made the whole place better.
25:18We are all happier.
25:19We get more sleep.
25:21We're more effective.
25:21Okay, Y-san, you have to have open heart surgery tomorrow.
25:26Which Dr. Griffith do you choose?
25:28Anybody who opens my chest has to be a good person and a good doctor.
25:32Oh!
25:34You know what?
25:35You're in time.
25:41Oh!
25:46Oh, hello.
25:48Hi.
25:49You are officially the first administrative executive to ever set foot in this lab.
25:54Look, I was thinking about asking you to dinner.
25:57But I received a tip that you rarely leave the hospital for meals.
26:02And that if I wanted some alone time with you, I'd have to get it in the lab.
26:06After hours.
26:09My office is next to your mom, so do you always prep your own lab work?
26:14Um, just when the lab is backed up.
26:16Makes sense.
26:17Why wait?
26:18I hate waiting.
26:20Speaking of when were you going to ask me to dinner?
26:23Oh, no.
26:25It's Julio.
26:26He's coding.
26:32He was responding to treatment, so why the cardiogenic shock?
26:35Oh, oh, miss!
26:36If you say lesions on his valves...
26:37He's on his valves!
26:39Jinx.
26:40Lactate and blood cultures were negative.
26:42What are we missing?
26:43Pre-existing malignancy, maybe?
26:45Or an undiagnosed thrombotic disorder.
26:46For months, I was here in this hospital.
26:48You all carried on without me.
26:50There was no evidence of me at all.
26:51If you wanted to find me, you would have had to go looking.
26:54Like with the transesophageal echo?
26:57No.
26:57We just got him stabilized.
26:59It would answer the question, and it's relatively low risk.
27:02It is not low risk.
27:03His ejection fraction is at 35%.
27:07Why don't we take a boat?
27:09All in favor of a diagnostic test.
27:10An unnecessary diagnostic test.
27:12Diagnostic test to find out what's actually going on.
27:30Slow down, Sam.
27:32Talk to me.
27:33No.
27:34Since when do we vote on risky, invasive procedures?
27:36This is not a democracy.
27:37I know.
27:38What?
27:38No.
27:39I have to do a tea on a patient now because the almighty Griff can't fathom that he could
27:42possibly be wrong.
27:43He's not wrong.
27:45Three sets of bacterial cultures were negative.
27:47We are missing something, Lex.
27:48Sam.
27:49I know it.
27:50I know it.
27:52He was right.
27:53And I know it's hard to not make this personal, but...
27:56That's what you think I'm doing?
27:58I think that you are being very emotional, and it's possibly clouding your judgment.
28:02Huh.
28:04Yeah, maybe my judgment is off.
28:07Because I thought my best friend would have my back.
28:38We're looking in the wrong place.
28:43Tricuspid valve appears intact.
28:45Same with the pulmonic.
28:46Valves look fine.
28:47Exactly.
28:48There's nothing here.
28:49So does it here for you to say, I told you so, doctor.
28:51That is not why I agreed to this procedure, doctor.
28:53It's not the valves we need to see.
28:55It's what's around them.
28:56Like the failing ventricle.
29:00What failing ventricle?
29:01No transgastric?
29:03The myocardium's dead.
29:05It's going after the muscle.
29:07Lupus doesn't attack heart muscle.
29:10Which means we're missing something.
29:12Exactly.
29:13This has nothing to do with his valves, but unless we figure out what this is, he's going to need
29:17a whole new heart.
29:28Daisy, I relate to living next to someone you'd like to punch more than you can possibly imagine.
29:37But Julio needs your help right now, and so do I.
29:40Will you tell me the story, your version?
29:44There's nothing to tell.
29:45Julio came home from Rio with that sore on his lip.
29:48He tried to hide it, but I saw it.
29:50By the time he confessed, he was so angry, he punched him.
29:54Right in the mouth.
29:56Business trooper Julio had the affair, where did you say it was?
30:00Rio de Janeiro saw a dramatic uptick in cases of trypanosoma cruzi over the last decade.
30:06Cruzi?
30:07Sounds like a girl I dated in college.
30:09It's a parasite.
30:10It's infected over six million people in Brazil, which is where Mr. Vargas had his affair,
30:15which is where he was likely bitten by an insect carrying T. Cruzi,
30:18which then likely entered his system through the insect's feces.
30:21So it bites you, and then it poops on you.
30:23You definitely dated that girl.
30:25The insect targets mucous membranes of the face, like the eyes and the lips.
30:29It's actually nicknamed the kissing bug.
30:31Yes.
30:31That explains the lip.
30:32Exactly.
30:33The STD is actually an acute phase symptom of Chaga's disease.
30:40So wait, the inflammation that we diagnose as lupus?
30:43Was another symptom an immune response to the tissue-nested parasite?
30:46I'll confirm with antibody tests.
30:47Start antiparasitic.
30:48I'm on it.
30:49It's too late.
30:51The troponin levels are sky-high.
30:54Massive myocyte necrosis.
30:56Cell death.
30:57So we put him on the transplant list, ventricular assist devices bridge.
31:01He's a young man.
31:02It's never going to happen in time.
31:03The family needs to start saying goodbye.
31:08Give us a minute.
31:10Come on.
31:15Why are you doing this?
31:17The heart is gone.
31:19You have to be able to call it.
31:22Not the case.
31:23This.
31:25You don't respect my authority or my roles.
31:29So why not work under someone else, somewhere else?
31:32Because you need me.
31:37It's actually the other way around.
31:41I can handle him, I said.
31:42He won't get under my skin.
31:43I can barely hold my team together.
31:46Well, they're confused.
31:48He was the boss for a long time, but he is not in charge.
31:51Well, that's not what he thinks.
31:53What do you think?
31:55I think that my entire management approach was naive.
31:58I think that ultimately, unfortunately, people respect tyrants and bullies more than kindness and decency.
32:04But that's not respect.
32:05It's fear.
32:06I thought that the whole almost dying thing would change him.
32:10Not a lot, but a little.
32:13Something in him's broken, Sam.
32:15Since the accident.
32:16I don't want to talk about the accident.
32:18Okay?
32:19That can't be the excuse for everything forever.
32:22He was speeding.
32:23So what?
32:24What happened to me?
32:25My heart?
32:26That wasn't his fault.
32:27And besides, if you feel badly for hurting someone, you don't push them away.
32:31You try to make it better.
32:34You do that.
32:36You try to make things better.
32:53Sam, what are you doing here?
32:54I'm sorry that I took my frustration out on you earlier, and I brought you a peace offering.
33:01What, do you have company?
33:04Look, I wanted to tell you.
33:06Tell me what?
33:07It started before the shooting.
33:10And look, I know I shouldn't have, but it did.
33:12But it is over now.
33:14It may not look that way.
33:16It probably looks really bad.
33:21We should have told you.
33:24We?
33:25Yeah.
33:25I.
33:26I should have told you.
33:28There is no we.
33:29All right.
33:29Look, if I may.
33:31No.
33:32You may not.
33:33At least not with me.
33:39Find someone else to proctor you.
34:00What do you mean there's nothing you can do?
34:02I have to uphold the chain of command, same as I did when you were attending.
34:05I can't force Sam to proctor you.
34:07You're insubordinate and disrespectful.
34:09Please, Vivi.
34:11Don't.
34:12Surgery is the only time it's quiet in my head.
34:16You know that.
34:17Then go somewhere else.
34:18Listen.
34:20I.
34:20I can make her stronger, better.
34:25Really?
34:25A resident or if Sam's a best friend.
34:29I know.
34:30I know.
34:31What do I do?
34:33Just tell me what to do.
34:38Make this right with your daughter.
34:40Be her father.
34:42Stop hiding behind your work.
34:44This is how I'm her father.
34:46I've always been like this.
34:48No, not always.
34:49No, no, not Dad again.
34:50You need professional help.
34:53You can't see how the accident affected your relationship with her.
34:57You have blocked it out.
34:58Stop!
34:59What is this?
35:00A memory test?
35:01I remember.
35:02Remember leaving the lake house?
35:04Driving too fast around the bend?
35:07Watching our daughter getting wheeled into surgery?
35:13Heart surgery, which I think we both agree was, uh...
35:17Yeah, it's traumatic.
35:17I was gonna say ironic.
35:21Give me your badge.
35:23Come on.
35:40My father and I disagree about a lot of things, including what we see in each of you.
35:45So, here's what I see.
35:49Inspiring confidence.
35:51Wisdom.
35:52And compassion.
35:54Commitment.
35:55Courage.
35:55And a complexion that I truly envy.
36:02A brilliant doctor who I need on this team.
36:05Right now, this patient is all there is.
36:09So, if you are with me, let's get to work.
36:14Lex, do a lit search on the most up-to-date treatments for chagas, even experimental ones.
36:18Joey, get him into the transplant network.
36:20Isan and Caleb, start him on inotropes and get a swan-gans calf into him right away.
36:25This is not over.
36:37Julio's in the transplant registry.
36:39Status 1A.
36:40And I ordered a CBC.
36:41We get a hit, we'll be ready.
36:43Thank you, Caleb.
36:46Second chances.
36:47Excuse me?
36:48Just your dad and this patient.
36:51You don't give up on people.
36:55Which, I'm hoping is also true in my case.
37:01You caught me off guard back then.
37:03And, after everything that happened, I never got the chance to take it back.
37:09What are you saying?
37:14Mount Sinai-Dearborn had a failed transplant.
37:16Doesn't say what happened, but they saw a request.
37:18They're sending it.
37:19There's a heart.
37:20It's in root.
37:21What are we doing here?
37:41Perfusing fluid.
37:42Vessels are cold.
37:44Dr. Tucker, we're ready.
37:48No.
37:49That cannot be right.
37:51I thought it was a match.
37:53Blood type is, but the donor's BMI is like 16.
37:56It's too small.
37:57But that's why Mount Sinai didn't want it.
37:58This heart's garbage.
37:59No, it isn't.
38:00We have to make it work.
38:15The heart's too small.
38:17If I abort and wait for the right heart, he dies.
38:19I agree.
38:19And if I transplant that heart, it'll fail before I close up.
38:22Read again.
38:22Neither of these hearts can keep him alive.
38:24Three in a row.
38:25Why'd you call me?
38:26Because maybe both of them can.
38:30A heterotopic transplant?
38:32That procedure's so rare it's almost a myth.
38:33He's done it.
38:34You know I can't perform a surgery.
38:36So talk me through it.
38:38The connection between atria is essential.
38:42If it's not exact, it'll either embolize or bleed out.
38:44Good thing he's in the hands of a capable surgeon.
38:53Dad.
38:57Client.
38:59A little pericardial flap on the right side, above the diaphragm.
39:05Eleven width?
39:07Eleven.
39:09Transverse incision should extend over the diaphragm.
39:12To here.
39:14Yeah.
39:16Slow now.
39:18Slow now.
39:18Watch out for the phrenic nerve.
39:20Be bold.
39:22Ready for the graft?
39:24Uh-huh.
39:27Okay.
39:28Okay.
39:29Start the anastomosis.
39:31The posterior portion of both left atria.
39:35Terminate the sutures.
39:36On the anterior edges?
39:38As large a connection as possible.
39:40Okay.
39:41The atrial pathway should be clear.
39:43Come on.
39:47Come on.
39:48Come on.
39:50Come on.
39:52Come on.
39:55Come on.
39:56Come on.
39:57Come on.
39:57Come on.
39:58Come on.
39:58Come on.
39:58Come on.
39:59Come on.
39:59Come on.
39:59Come on.
40:00Come on.
40:00Come on.
40:01Come on.
40:01Come on.
40:04Come on.
40:05Come on.
40:08Come on.
40:22lucky lucky man could easily have died
40:30i think what you're trying to say is well done
40:36look if i have been hard on you it's only because you have tremendous potential
40:46i want to help you realize it i want to teach you how to realize it
40:52that's my job as a father no that's your job as a surgeon
41:00maybe i i haven't always been there for you the way you would have wanted
41:06dad you have never been there for me
41:11at least not in a very long time but you were there for this
41:15today and we saved a man's life
41:21help no i've decided to continue proctoring you if that's what you want
41:34yes please
41:37i want to be very clear
41:41i am making this decision as a doctor
41:45as your daughter i'm calling it
41:55that'll be all doctor
41:57that'll be all doctor
42:16that'll be all doctor
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