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Previously on The Good Doctor

2
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I feel something.

3
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A crush.

4
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Shaun, did you change the surgical plan?

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Parameters. It was based on change.

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-I adjusted accordingly. -And ignored my instructions?

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Your bedside manner is impressive.

8
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I spent two years in Afghanistan.

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-You okay? -No, I am not okay.

10
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I'm so sick of this chair.

11
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And I hate that my body won't do what I want.

12
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And I hate Shaun Murphy.

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What exactly do you want from me?

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I am sitting in this chair because of that surgery,

15
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and everybody here seems completely fine with it.

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I'm not fine with it.

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I don't want you to ask me about my personal life,

18
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and I don't want to hear about yours.

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From now on, our relationship is medicine only.

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-Good morning. -You had the volume up very loud.

21
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I'm sorry. I was watching Hairspray before you got home last night.

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At those decibels, damage to the inner ear is very possible.

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Daddy, chill. It was only for the last song.

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-Couldn't sleep again? -I needed to read these.

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If you're feeling anxious or upset, you know you can talk to me.

26
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I'm not anxious or upset.

27
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You've already read all this.

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Information retention is increased by multiple exposures over time.

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I'm sure Lim just needs some time.

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She's struggling to adjust, which is understandable.

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Yes, it's okay.

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I still have Dr. Glassman and Dr. Andrews as mentors

33
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and other friends I can go to for advice.

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Steve always said that if someone didn't want to be my friend,

35
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it's their problem. So I shouldn't worry about it.

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Your brother was pretty smart.

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Yes, he was.

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I have to go. I'm meeting Dr. Glassman for pancakes.

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Good morning. I haven't seen you around lately.

40
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Yeah, I've been really busy at work.

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I know the feeling.

42
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That Murphy guy still making your life miserable?

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Actually, no. We had a very honest discussion.

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I set some boundaries, feel good about it.

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Nice. I bet that's a relief.

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Sorry I was such a mess in the garage last week.

47
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-It was nothing. -Not true, but thank you.

48
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I owe you.

49
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Actually, I could use a ride to the airport tomorrow.

50
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I have a 6:00 am flight.

51
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-Okay. -I'm kidding.

52
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I was happy to help.

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-Have a good one. -You, too.

54
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It was nice.

55
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For once, my complete clumsiness actually paid off.

56
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You might change your mind when you get the cleaning bill.

57
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It was worth every penny.

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I'd gladly sacrifice another shirt to do it all again.

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Hopefully, soon?

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Or not.

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Sorry, I was only in town to finalize the sale of a West Coast distributor.

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And, now, that it's done

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I've been looking for an excuse to visit New York.

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I would love that, but I'm pretty sure my husband wouldn't.

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Don't hate me. We had fun.

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We've got some powder burns and a penetrating shrapnel wound.

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You were playing Airsoft?

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I'm in a historical battle re-enactment club.

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I thought some explosions would make it more realistic and fun.

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One of the fireworks went off when I was setting it up.

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Doesn't look too bad.

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It was gushing blood.

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It's bleeding. It's not gushing.

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I spent a year as a Navy corpsman in Afghanistan,

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treated hundreds of shrapnel wounds that actually were gushing.

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You're gonna be fine.

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Can you move your arm?

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Yeah. A little.

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No step-offs. Good range of motion. The humerus isn't fractured,

80
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which means Dr. Powell is right. You're going to be fine.

81
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Irrigate with antibiotic saline.

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Get a CT to locate the fragments.

83
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Page me to the ER when he's prepped for surgery.

84
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Will do.

85
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Need help over here.

86
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He's in and out of consciousness.

87
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BP's in the toilet from massive blood loss.

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-Damn. -Fluid resuscitation initiated en route.

89
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-Shark bite? -Speedboat.

90
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Got run over on a predawn skinny-dip.

91
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Luckily, his girlfriend's a former lifeguard,

92
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got him to shore, applied a tourniquet.

93
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What've we got?

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Attending is 20 minutes late to his call shift.

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Total amputation of the left lower extremity at the tibiotalar joint.

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Speedboat propeller.

97
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Thank you. See how easy and productive that was.

98
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Grumpy as well as late. Must've been a rough night.

99
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It was a great night and an even better morning.

100
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Not that it's any of your business.

101
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-Then why tell me? -Because it bothers you.

102
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What's weird is, this isn't much different than when they were dating,

103
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One of the many reasons we're not anymore.

104
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Transfuse four units PRBCs and stay four ahead.

105
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On it.

106
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Clean cut. He's got 6-8 hours max of ischemic time.

107
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You're gonna try to reattach it?

108
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We're gonna do more than try. And the proper term is replant.

109
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Call it whatever you want. It's still a bad idea.

110
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Lack of a sensate plantar surface

111
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would make it likely no better than a prosthetic.

112
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I disagree and seeing as I'm the only attending

113
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who's an actual surgeon, I'll take it from here.

114
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-Where's the foot? -I assume at the bottom of the lake.

115
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You mean the top?

116
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Not unless he was skinny-dipping with his shoes on.

117
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-Bodies float. -Severed feet sink.

118
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Okay, wherever it is, we need to find it fast.

119
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Get police Search and Rescue out there ASAP.

120
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Good luck.

121
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I'll call them.

122
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Increase fluid and blood resuscitation.

123
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If we don't get his BP up, finding his foot won't matter.

124
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Vitals have stabilized.

125
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He's opening his eyes.

126
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I'm Dr. Park. You're at St. Bonaventure Hospital.

127
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Can you tell me your name?

128
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-Andy. -You know what city you're in?

129
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San Jose. Is Britney here?

130
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Your girlfriend couldn't ride in the ambulance,

131
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but the EMT said she was gonna follow in her car.

132
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She's not my girlfriend. It was our first date.

133
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She saved your life. Sounds like a keeper.

134
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How many stitches did I need? She said the cut was pretty bad.

135
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Andy.

136
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I'm sorry, but your left foot was completely severed at the ankle.

137
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What? It didn't even hurt that much.

138
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You were in hypovolemic shock, nearly died from the blood loss.

139
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We need to get you into an OR to clean and debride the wound.

140
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We'll leave it open for now.

141
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And if we can find the foot, we'll attempt to replant it.

142
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What do you mean if you can find it?

143
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It's in the lake?

144
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Search And Rescue are headed to the lake.

145
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I want you guys out there as well.

146
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I need you to start antibiotic irrigation with pulse lavage as soon as it's found,

147
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and then get in an organ transplant unit and perfuse during transport, one o'clock.

148
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Every second counts.

149
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That lake's huge. You really think we're gonna find it?

150
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Police divers find weapons perps toss in the ocean all the time.

151
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-With metal detectors, which obviously-- -Go.

152
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He is lucky.

153
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Not even any occult fractures.

154
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It still blows my mind you fought in a war.

155
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I wish that we could get a better view of the recon images

156
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at the level of the mid to distal humerus.

157
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We can.

158
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Watch and learn, young Padawan.

159
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Thanks.

160
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That's a big one.

161
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What made you decide to enlist?

162
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-Did you have family in-- -I didn't enlist.

163
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I went to the Naval Academy and got an officer's commission after graduation.

164
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There's a brachial artery pseudoaneurysm.

165
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Looks like the only thing stopping it from rupturing is that shrapnel.

166
00:10:27,127 --> 00:10:30,213
-Wedged against the vessel wall. -That's not good.

167
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-We have to get him to the OR. -I'll page Dr. Murphy.

168
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What are you doing?

169
00:10:50,776 --> 00:10:54,821
-This lamp was in the wrong place. -Seemed fine to me.

170
00:10:55,155 --> 00:10:57,699
You're not as easily distracted by the environment as I am.

171
00:10:57,824 --> 00:10:59,743
I understand. But next time, you mind checking with me

172
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before you start rearranging furniture?

173
00:11:02,954 --> 00:11:04,831
I think you'll like the lamps here.

174
00:11:05,207 --> 00:11:06,375
But that's not the point.

175
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I have to get to the OR.

176
00:11:13,548 --> 00:11:15,675
Park has more confidence in the cops than I do.

177
00:11:15,759 --> 00:11:17,552
There's no way they're gonna find it in time.

178
00:11:17,636 --> 00:11:19,304
I got a cousin who lost her engagement ring

179
00:11:19,388 --> 00:11:20,514
in a Halloween corn maze.

180
00:11:20,806 --> 00:11:23,350
A year later, the farmer found it inside an ear of corn.

181
00:11:23,475 --> 00:11:25,352
If you believe that, there's a Nigerian prince

182
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-I'd love to introduce you to. -It's true.

183
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No, it's not.

184
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The farmer found it the same day she lost it, probably in the bathroom.

185
00:11:32,859 --> 00:11:35,487
He figured he'd let the commotion die down before he tried to sell it.

186
00:11:35,654 --> 00:11:39,324
Then, someone in his family got cancer or something else

187
00:11:39,408 --> 00:11:40,742
he needed the Lord's help with.

188
00:11:40,867 --> 00:11:42,953
He couldn't very well pray for divine intervention

189
00:11:43,036 --> 00:11:44,955
with the hot diamond in his sock drawer.

190
00:11:45,872 --> 00:11:48,041
You have a very fertile and cynical imagination.

191
00:11:48,458 --> 00:11:49,501
Thank you.

192
00:11:50,836 --> 00:11:52,838
I've been listening to that Ten Percent Happier Podcast,

193
00:11:52,921 --> 00:11:54,673
so, I'm all about the positive vibes.

194
00:11:55,298 --> 00:11:56,341
That foot will be found.

195
00:11:57,426 --> 00:11:58,844
I got 20 bucks says you're wrong.

196
00:12:00,637 --> 00:12:02,514
Come on, Mr. Positive, you can't lose.

197
00:12:06,184 --> 00:12:07,436
-It's a bet. -Okay.

198
00:12:16,736 --> 00:12:17,988
Stop being so dramatic.

199
00:12:18,071 --> 00:12:19,573
You stop being so dramatic.

200
00:12:19,656 --> 00:12:21,491
The next one is the top one.

201
00:12:21,575 --> 00:12:24,536
-Stop second dealing. -I don't want a pilonidal cyst.

202
00:12:24,744 --> 00:12:27,122
I just had a guy with jock itch that was up to his belly button.

203
00:12:27,205 --> 00:12:29,166
And I just had a guy with a plantar wart infection

204
00:12:29,249 --> 00:12:31,418
who hasn't changed his socks since the Carter administration.

205
00:12:31,501 --> 00:12:33,044
The next one is the top one.

206
00:12:33,587 --> 00:12:34,504
Take it.

207
00:12:37,966 --> 00:12:39,050
Do you have a minute?

208
00:12:40,135 --> 00:12:40,969
Yes.

209
00:12:42,304 --> 00:12:45,432
I was just curious about how your breakfast with Shaun went.

210
00:12:46,141 --> 00:12:47,184
I canceled.

211
00:12:50,270 --> 00:12:51,688
I'm worried about him.

212
00:12:52,272 --> 00:12:55,609
He won't admit it, but I can tell what Lim said is still really bothering him.

213
00:12:55,692 --> 00:12:57,694
If you're worried about him, then you should talk to Shaun.

214
00:12:57,861 --> 00:12:59,321
Tried that. He says he's fine.

215
00:12:59,404 --> 00:13:00,739
It's not just about Shaun.

216
00:13:00,822 --> 00:13:02,365
-You know that, right? -No, it's not.

217
00:13:02,449 --> 00:13:04,409
-Lim is shutting him out. -Because Lim is hurting.

218
00:13:04,659 --> 00:13:07,120
Shaun's got to take some kind of responsibility for that.

219
00:13:07,204 --> 00:13:08,830
Why? He didn't hurt her.

220
00:13:10,665 --> 00:13:13,335
It's not so cut and dried. Certainly not to Lim.

221
00:13:14,586 --> 00:13:15,921
Well, what about for you?

222
00:13:16,004 --> 00:13:18,131
What about for me? If Shaun's got a problem with Lim,

223
00:13:18,215 --> 00:13:19,591
then he's got to deal with it.

224
00:13:26,932 --> 00:13:31,228
Medial longitudinal incision is used to extend the wound above and below.

225
00:13:31,937 --> 00:13:33,563
Next steps, Dr. Powell.

226
00:13:33,772 --> 00:13:35,398
Place clamps, both proximal and distal.

227
00:13:35,482 --> 00:13:38,527
Locate the foreign bodies and remove and suture with a 6-0 running.

228
00:13:38,818 --> 00:13:39,986
That's exactly right.

229
00:13:40,529 --> 00:13:42,197
Place the vascular clamps.

230
00:13:42,280 --> 00:13:45,033
The Navy definitely gave you some good training in trauma care.

231
00:13:45,200 --> 00:13:46,451
Is that why you went to the academy?

232
00:13:46,535 --> 00:13:48,537
Thought it would help you get into med school?

233
00:13:49,079 --> 00:13:51,373
Can we get a little bit more irrigation? Thanks.

234
00:13:52,040 --> 00:13:54,251
Did you ever want work on a fishing boat?

235
00:13:55,502 --> 00:13:56,545
At my high school,

236
00:13:56,628 --> 00:13:58,713
the people who talked about joining the military

237
00:13:58,797 --> 00:14:01,132
also wanted to work on fishing boats in Alaska.

238
00:14:01,508 --> 00:14:03,843
I hate fishing. It's both cruel and boring.

239
00:14:08,598 --> 00:14:13,186
I'm guessing the shrapnel in Afghanistan didn't have clown faces printed on it.

240
00:14:13,520 --> 00:14:14,437
No.

241
00:14:19,359 --> 00:14:20,443
Wait. Can I see that?

242
00:14:21,444 --> 00:14:23,905
That looks like it's from a propulsive charge, not a shell.

243
00:14:23,989 --> 00:14:25,824
-What's the difference? -Shut off the electrocautery.

244
00:14:25,907 --> 00:14:27,367
-There's still some bleeding. -No, no, don't!

245
00:14:29,786 --> 00:14:31,204
What the hell was that?

246
00:14:31,288 --> 00:14:33,248
Firework from one of the electrocautery detonated.

247
00:14:37,752 --> 00:14:39,379
His brachial artery shredded.

248
00:14:39,462 --> 00:14:41,548
Apply proximal pressure, and I need a Javid shunt.

249
00:14:53,893 --> 00:14:56,104
We stopped the bleeding and restored blood flow to your arm.

250
00:14:56,187 --> 00:14:57,314
But it's only a partial fix.

251
00:14:57,397 --> 00:15:00,066
You'll need more tests and then surgery to do a tissue flap and to stabilize

252
00:15:00,150 --> 00:15:01,318
the shattered humerus.

253
00:15:02,569 --> 00:15:04,154
How could it explode again?

254
00:15:05,113 --> 00:15:07,032
Aerial fireworks have two explosive charges.

255
00:15:07,490 --> 00:15:09,034
The shrapnel from the propulsive charge

256
00:15:09,117 --> 00:15:11,578
obstructed the CT view of the undetonated mortar.

257
00:15:12,370 --> 00:15:13,496
You're very lucky.

258
00:15:13,580 --> 00:15:17,334
If it had exploded in the field, you would have bled to death in under 90 seconds.

259
00:15:17,584 --> 00:15:19,294
I don't feel very lucky.

260
00:15:19,377 --> 00:15:20,962
We can increase your hydromorphone.

261
00:15:21,838 --> 00:15:24,382
You can pretend that you're in a combat support hospital.

262
00:15:24,466 --> 00:15:26,092
Make it all part of the realistic fun.

263
00:15:31,306 --> 00:15:34,434
I doubt that will help, but you can try.

264
00:15:42,859 --> 00:15:44,778
-It feels like it's on fire. -Almost done.

265
00:15:44,861 --> 00:15:47,280
For now. We'll need to repeat this every two hours

266
00:15:47,364 --> 00:15:49,908
to make sure you're ready to go the moment the foot arrives.

267
00:15:54,287 --> 00:15:55,455
Can you check my phone again?

268
00:15:59,209 --> 00:16:00,251
Nothing yet. Sorry.

269
00:16:06,633 --> 00:16:08,802
I know it was just a first date

270
00:16:10,178 --> 00:16:12,138
But I thought it was going really well.

271
00:16:13,807 --> 00:16:15,183
I always think that.

272
00:16:15,266 --> 00:16:19,604
But then find out I talk too much or not enough.

273
00:16:20,021 --> 00:16:23,983
Or she actually did like me, but she's heading off to grad school,

274
00:16:24,693 --> 00:16:26,361
or doesn't want anything exclusive.

275
00:16:26,611 --> 00:16:28,571
She's probably stuck in traffic.

276
00:16:33,785 --> 00:16:37,872
Maybe maybe some people are just meant to be alone.

277
00:16:44,045 --> 00:16:46,047
You know, I met a great woman last night,

278
00:16:46,214 --> 00:16:48,216
found out this morning she was married.

279
00:16:48,299 --> 00:16:49,884
And that's in the wake of a divorce

280
00:16:49,968 --> 00:16:52,929
and a serious relationship that crashed and burned

281
00:16:53,054 --> 00:16:54,139
a few months ago.

282
00:16:55,515 --> 00:16:58,977
And finding the right person? That's pretty damn hard.

283
00:17:00,979 --> 00:17:02,105
You gotta keep trying.

284
00:17:09,779 --> 00:17:11,740
Dr. Park and I are very different.

285
00:17:11,823 --> 00:17:13,408
You can't have your own office, Murphy.

286
00:17:13,491 --> 00:17:14,868
But prior attendings--

287
00:17:14,951 --> 00:17:17,162
You were hired when we had different budgetary constraints.

288
00:17:17,245 --> 00:17:20,081
Okay. Dr. Park and I have different work methods.

289
00:17:20,165 --> 00:17:22,792
Neither of us can perform at our best in a shared office.

290
00:17:22,876 --> 00:17:24,669
There are no other offices available.

291
00:17:25,003 --> 00:17:27,756
And I'm quite confident you and Park can make it work.

292
00:17:27,964 --> 00:17:30,133
-You'll have to make a few compromises. -But--

293
00:17:30,216 --> 00:17:32,844
And if I know Park, I'm guessing he's already made a few.

294
00:17:32,969 --> 00:17:36,347
Which means it's your turn.

295
00:17:49,903 --> 00:17:51,613
-Officer Baxter? -That's me.

296
00:17:52,530 --> 00:17:53,698
Dr. Perez, Dr. Allen.

297
00:17:54,866 --> 00:17:57,619
No foot yet, just a bunch of old ball caps,

298
00:17:57,911 --> 00:17:59,412
beer bottles and dirty diapers.

299
00:17:59,913 --> 00:18:01,664
Some people just don't deserve nice things.

300
00:18:02,332 --> 00:18:03,333
Was that on the bottom?

301
00:18:03,416 --> 00:18:05,752
Yeah, actually got us excited for a minute.

302
00:18:06,961 --> 00:18:09,464
I'd find some shade. We're gonna be here a while.

303
00:18:09,589 --> 00:18:11,591
It's really important that we find it as soon as possible.

304
00:18:12,008 --> 00:18:13,551
We'll find it when we find it.

305
00:18:19,182 --> 00:18:22,268
Well, I'll be right back. I've got a beach towel in my trunk.

306
00:18:22,602 --> 00:18:23,603
You going for a swim?

307
00:18:23,686 --> 00:18:26,147
No, I just want to be able to sit down and not get my pants dirty.

308
00:18:26,356 --> 00:18:29,234
Look at you, all prepared. Such a Boy Scout.

309
00:18:30,527 --> 00:18:32,987
-What about me? -It's big enough for both of us.

310
00:18:40,411 --> 00:18:42,247
Severe trauma at the distal subclavian.

311
00:18:42,372 --> 00:18:44,874
We can do the bypass more proximally than we planned.

312
00:18:45,625 --> 00:18:49,045
I've seen it done at the Royal 3 Field Hospital. It'll work.

313
00:18:49,587 --> 00:18:51,047
I'm surprised you're so invested.

314
00:18:51,381 --> 00:18:53,675
Certainly didn't seem that sympathetic in the room.

315
00:18:54,092 --> 00:18:55,385
I shouldn't have said that.

316
00:18:57,220 --> 00:18:59,264
I can see how it would be upsetting to deal with a guy

317
00:18:59,347 --> 00:19:01,641
who thinks combat is a fun game to play.

318
00:19:02,517 --> 00:19:04,310
-Were you ever in actual-- -That is wrong.

319
00:19:04,978 --> 00:19:08,565
-It's okay. We all let our personal-- -No, I mean about the bypass.

320
00:19:09,023 --> 00:19:11,359
There's avulsion on multiple nerves just beyond the plexus.

321
00:19:11,484 --> 00:19:13,820
So, even if we can restore blood flow,

322
00:19:13,903 --> 00:19:16,698
the arm would still be immobile and without sensation.

323
00:19:20,660 --> 00:19:21,995
We're gonna have to amputate.

324
00:19:31,296 --> 00:19:32,964
We're not going to do that.

325
00:19:33,423 --> 00:19:35,508
We can use external fixation to stabilize the fracture,

326
00:19:35,592 --> 00:19:37,594
thoracotomy for the subclavian artery bypass

327
00:19:37,677 --> 00:19:40,430
and repair the peripheral nerves with sural grafts from his leg.

328
00:19:40,597 --> 00:19:42,390
There are multiple nerves damaged.

329
00:19:42,473 --> 00:19:45,935
And we will find multiple solutions. We are not going to amputate.

330
00:19:47,854 --> 00:19:49,314
Dr. Murphy, we need to talk.

331
00:19:49,731 --> 00:19:51,900
-I'm busy. -So am I. So I'll make it fast.

332
00:19:54,903 --> 00:19:58,156
Keep looking for a solution to those nerve injuries.

333
00:19:58,239 --> 00:19:59,449
I will be right back.

334
00:20:02,535 --> 00:20:06,831
Really? And my desk is facing a window?

335
00:20:06,915 --> 00:20:09,626
I also moved my desk several inches.

336
00:20:09,876 --> 00:20:12,462
Dr. Andrews said we both needed to make compromises.

337
00:20:12,545 --> 00:20:14,172
Shaun, I told you this morning--

338
00:20:14,255 --> 00:20:17,675
Now, neither of us will be bothered 'cause we won't be facing each other as we work.

339
00:20:17,759 --> 00:20:20,428
I'm not bothered by that. And if you are, then you should turn your desk around.

340
00:20:20,511 --> 00:20:21,554
No, no, no, no.

341
00:20:21,638 --> 00:20:24,933
I can't work facing the window, People constantly walking by us.

342
00:20:25,016 --> 00:20:28,561
You're not the only person who needs a comfortable environment to do their job.

343
00:20:29,270 --> 00:20:30,897
I don't care what you do with your stuff,

344
00:20:30,980 --> 00:20:33,566
but do not move or touch anything that belongs to me again.

345
00:20:50,208 --> 00:20:52,418
Page me if you find a surgical solution.

346
00:20:55,338 --> 00:20:56,756
Murphy wants his own office.

347
00:20:57,423 --> 00:20:58,549
Is that surprising?

348
00:20:58,800 --> 00:21:02,595
No. What was surprising was him coming to me instead of his supervisor.

349
00:21:02,929 --> 00:21:05,682
Okay, I'm not sure why you're sharing that with me.

350
00:21:06,182 --> 00:21:08,559
Is there a problem between Murphy and Lim I should be aware of?

351
00:21:10,311 --> 00:21:13,314
-Maybe. -Care to elaborate?

352
00:21:13,648 --> 00:21:16,943
If there's a problem between Lim and Shaun, why are you asking me?

353
00:21:17,026 --> 00:21:20,613
Because I value your insight, and I'm under the impression

354
00:21:20,697 --> 00:21:21,906
that they're both close friends of yours.

355
00:21:22,365 --> 00:21:25,618
Okay, so it's definitely my responsibility to sort that out.

356
00:21:34,585 --> 00:21:36,838
Not a bad spot for a postdate skinny-dip.

357
00:21:37,338 --> 00:21:39,340
As long as you stay out of the speedboat lane.

358
00:21:41,009 --> 00:21:42,385
You're not a skinny-dipper?

359
00:21:42,885 --> 00:21:43,845
Definitely not.

360
00:21:45,013 --> 00:21:47,807
A strong aversion. Interesting.

361
00:21:49,642 --> 00:21:52,562
Is it the cold water, the nudity or you just hate swimming?

362
00:21:53,563 --> 00:21:54,647
All of the above.

363
00:21:55,231 --> 00:21:57,692
I don't do outdoor naked or outdoor hookups.

364
00:21:58,693 --> 00:22:02,238
Same goes for cars, airplanes, elevators.

365
00:22:04,323 --> 00:22:06,993
I'm more of a comfortable private spot type of girl.

366
00:22:08,244 --> 00:22:09,203
Good to know.

367
00:22:11,914 --> 00:22:14,000
I definitely agree on the planes and elevators,

368
00:22:14,083 --> 00:22:16,044
and I'm not a big fan of cars myself.

369
00:22:16,127 --> 00:22:20,214
But tractor combines, they're a whole another story.

370
00:22:22,383 --> 00:22:23,551
Tractor combines?

371
00:22:25,011 --> 00:22:26,679
It's something about being high up,

372
00:22:26,804 --> 00:22:30,683
looking out over a few hundred acres of alfalfa blowing in the breeze.

373
00:22:32,810 --> 00:22:33,895
What?

374
00:22:34,020 --> 00:22:35,354
You are a strange dude.

375
00:22:36,230 --> 00:22:38,357
And why do you keep a beach towel in your trunk?

376
00:22:39,484 --> 00:22:41,611
I do yoga in the park after--

377
00:22:41,694 --> 00:22:44,655
-Yes, the yoga. -You should try it sometime.

378
00:22:45,573 --> 00:22:47,366
Might help soften up some of that cynicism.

379
00:22:48,451 --> 00:22:49,827
I'd rather be cynical than gullible.

380
00:22:50,787 --> 00:22:53,039
"Found a diamond ring in an ear of corn."

381
00:22:53,206 --> 00:22:55,333
God, it's true, all right? You can ask my dad.

382
00:22:55,458 --> 00:22:57,293
He's known that farmer his entire life.

383
00:22:57,627 --> 00:22:58,961
And now I know where you got it from.

384
00:22:59,170 --> 00:23:01,672
The apple doesn't fall far from the alfalfa.

385
00:23:13,851 --> 00:23:15,645
There's an active bleed at the debridement site.

386
00:23:18,064 --> 00:23:19,649
-BP is plummeting. -Damn it.

387
00:23:20,233 --> 00:23:21,400
We have to get the stump closed.

388
00:23:21,484 --> 00:23:23,319
That'll make it impossible to replant his foot.

389
00:23:23,402 --> 00:23:25,071
There's still time for them to find it.

390
00:23:25,655 --> 00:23:27,281
I just need to stop the bleed.

391
00:23:37,125 --> 00:23:38,835
I can't get the bleeding under control.

392
00:23:39,460 --> 00:23:40,795
If I ligate, it'll clot,

393
00:23:40,878 --> 00:23:43,965
and if I don't, the reduced flow will destroy everything we've already fixed.

394
00:23:45,591 --> 00:23:46,509
Still no word?

395
00:23:48,302 --> 00:23:51,097
I just got off the phone with Dr. Allen. They still haven't found it.

396
00:23:55,810 --> 00:23:57,895
Let's get him to the OR. We need to fully close the wound.

397
00:24:00,898 --> 00:24:02,024
You tried your best.

398
00:24:10,032 --> 00:24:11,409
What are you doing, Murphy?

399
00:24:11,617 --> 00:24:13,035
Setting up my new office.

400
00:24:13,161 --> 00:24:15,621
No, you're not. I told you there was no extra space.

401
00:24:15,872 --> 00:24:17,165
But you were wrong.

402
00:24:17,582 --> 00:24:21,169
Nurse Hawks told me this room has not been used by anyone in months.

403
00:24:24,046 --> 00:24:27,300
-Because we need it for storage. -We can still use it for storage.

404
00:24:27,383 --> 00:24:30,761
There's room for my new desk and all this other stuff,

405
00:24:30,845 --> 00:24:33,139
which won't distract me by sharpening pencils,

406
00:24:33,222 --> 00:24:36,517
doing back stretches, looking at me or breathing.

407
00:24:39,979 --> 00:24:41,647
Fine for now.

408
00:24:41,731 --> 00:24:43,733
But as soon as someone needs it, I'm kicking you out.

409
00:24:43,858 --> 00:24:45,067
Thank you, Dr. Andrews.

410
00:25:01,042 --> 00:25:02,210
You owe me 20 bucks.

411
00:25:03,044 --> 00:25:04,295
We still have another hour.

412
00:25:04,378 --> 00:25:05,546
Park couldn't control the bleeding.

413
00:25:05,630 --> 00:25:07,381
He's moved the guy to the OR to close the wound.

414
00:25:07,465 --> 00:25:09,258
We can still scrub in, and we'd beat traffic.

415
00:25:10,927 --> 00:25:11,802
Hey!

416
00:25:13,179 --> 00:25:14,305
Where are you going?

417
00:25:15,223 --> 00:25:17,475
I've got five little piggies that need to go home.

418
00:25:18,935 --> 00:25:20,686
-Page Park. -Already am.

419
00:25:25,650 --> 00:25:28,361
We need to repair the left subclavian artery first.

420
00:25:29,070 --> 00:25:30,738
We still need a way to get distal control.

421
00:25:30,821 --> 00:25:34,075
Can we just extend the incision to the supraclavicular one?

422
00:25:35,117 --> 00:25:37,870
No. High risk transection of the phrenic nerve.

423
00:25:40,331 --> 00:25:44,669
So, why did you want to join the Navy?

424
00:25:46,170 --> 00:25:47,672
Couldn't afford to pay for college?

425
00:25:48,589 --> 00:25:50,299
You wanted to see the world?

426
00:25:50,383 --> 00:25:52,468
Why are you so obsessed with this?

427
00:25:52,551 --> 00:25:55,680
I'm just curious. I'm trying to get to know you.

428
00:25:56,013 --> 00:25:57,932
Clearly, you have some sort of judgmental notion

429
00:25:58,015 --> 00:26:00,226
about the type of people that join the military.

430
00:26:01,269 --> 00:26:04,438
I'm not judging you. I'm genuinely impressed.

431
00:26:05,022 --> 00:26:08,567
Because I know how to treat a puncture wound and read a CT?

432
00:26:11,153 --> 00:26:15,950
Do you have such low expectations of all veterans or just the amputees?

433
00:26:18,953 --> 00:26:20,705
Hello. I have resolved the issue.

434
00:26:21,205 --> 00:26:23,749
We use biopolymer grafts to repair multiple nerves.

435
00:26:25,543 --> 00:26:28,254
I can definitely think more clearly in my new office.

436
00:26:29,046 --> 00:26:29,964
Great.

437
00:26:38,973 --> 00:26:39,890
Forceps.

438
00:26:41,684 --> 00:26:44,228
Some of the tissue edges are necrotic. You think you'll be able to remove it all?

439
00:26:44,312 --> 00:26:47,148
Hope so. Grab the DeBakey scissors and cut off the non-viable tissue.

440
00:26:54,989 --> 00:26:56,407
You mind keeping your eyes on the road?

441
00:26:56,490 --> 00:26:59,118
Sorry, it's just it's pretty cool.

442
00:27:05,374 --> 00:27:06,876
6-0 prolene on a castro.

443
00:27:10,379 --> 00:27:11,964
Get the transplant unit open and ready.

444
00:27:12,089 --> 00:27:13,841
It's been seven hours of cold ischemia time.

445
00:27:13,924 --> 00:27:15,259
We gotta get it perfused ASAP.

446
00:27:16,719 --> 00:27:18,804
Looks like we got perfusion.

447
00:27:40,993 --> 00:27:42,286
It's nearing the eight-hour mark.

448
00:27:43,454 --> 00:27:45,039
They got off the freeway four minutes ago.

449
00:27:45,122 --> 00:27:47,500
-Could be traffic. -They're in a squad car with a siren.

450
00:27:47,583 --> 00:27:50,628
Which you'd think will make people get out of the way, but apparently not.

451
00:27:56,217 --> 00:27:57,968
Nice color, healthy edges.

452
00:27:59,553 --> 00:28:01,889
Great work. Scrub in and let's do this.

453
00:28:06,394 --> 00:28:09,438
Biopolymer grafts aren't going to work.

454
00:28:09,855 --> 00:28:10,940
The gap's too wide.

455
00:28:11,315 --> 00:28:13,442
Nerve defects from the explosion are too big.

456
00:28:13,526 --> 00:28:16,695
Even if we bridge the nerves, what do we do about all this bleeding?

457
00:28:19,281 --> 00:28:20,449
We have to amputate.

458
00:28:21,325 --> 00:28:22,368
We have no choice.

459
00:28:27,415 --> 00:28:28,374
Dr. Murphy?

460
00:28:39,635 --> 00:28:42,888
We can do an end-to-side neurorrhaphy with coaptation of the distal stump

461
00:28:42,972 --> 00:28:45,057
to the transected nerves to adjacent donor nerves.

462
00:28:45,182 --> 00:28:47,059
What do we do about the bleeding? If we can't we stop this--

463
00:28:47,143 --> 00:28:49,562
We can facilitate anastomosis by using the parachute technique.

464
00:28:49,687 --> 00:28:50,646
We're running out of time.

465
00:28:50,729 --> 00:28:51,897
I can do it.

466
00:28:59,530 --> 00:29:00,781
Stabilizing the ankle joint.

467
00:29:00,865 --> 00:29:04,660
Matching the ends of the posterior tibial dorsalis pedis arteries.

468
00:29:04,952 --> 00:29:06,245
His date ever show up?

469
00:29:06,328 --> 00:29:07,997
-Nope. -Give me 7-0 Prolene.

470
00:29:08,080 --> 00:29:09,665
I just really feel bad for the guy.

471
00:29:09,748 --> 00:29:12,001
In all fairness, was it right for him to expect her to?

472
00:29:12,084 --> 00:29:13,627
It seems like the decent thing to do.

473
00:29:13,711 --> 00:29:15,921
Repairing the venae comitantes of the saphenous vein.

474
00:29:16,005 --> 00:29:17,423
Saving his life wasn't enough.

475
00:29:17,673 --> 00:29:18,799
She still could show up.

476
00:29:18,883 --> 00:29:21,010
And this could be a crazy story to tell their kids one day.

477
00:29:21,093 --> 00:29:23,554
Sorry, Mr. Positive, but that will definitely not happen.

478
00:29:23,637 --> 00:29:25,306
You never know. Most of the people I know

479
00:29:25,389 --> 00:29:27,933
who are in great relationships had super rocky starts.

480
00:29:36,525 --> 00:29:37,860
I can't get any pulse on the foot.

481
00:29:37,985 --> 00:29:39,570
The anastomosis has a hemostatic.

482
00:29:39,653 --> 00:29:40,946
Check the blood flow at the femoral,

483
00:29:41,030 --> 00:29:43,157
then work your way down to where the flow stops.

484
00:29:44,366 --> 00:29:45,367
Good in the groin.

485
00:29:46,702 --> 00:29:47,578
No flow here.

486
00:29:47,661 --> 00:29:49,455
He's thrombosed all the way to his popliteal.

487
00:29:49,538 --> 00:29:51,874
We may have just saved his foot but killed his leg.

488
00:30:01,800 --> 00:30:02,718
Shaun?

489
00:30:04,428 --> 00:30:06,096
I just saved my patient's arm.

490
00:30:06,222 --> 00:30:08,557
I heard that. That's good work.

491
00:30:10,226 --> 00:30:11,519
Do you like my new office?

492
00:30:13,687 --> 00:30:15,314
No, I don't. I don't like it.

493
00:30:16,899 --> 00:30:18,734
I've already talked to Dr. Andrews.

494
00:30:18,817 --> 00:30:19,985
-He-- -It's a bad idea.

495
00:30:20,236 --> 00:30:22,738
No. Dr. Park and I distract and annoy each other.

496
00:30:22,821 --> 00:30:24,198
We will both do better work--

497
00:30:24,281 --> 00:30:26,325
-That's the reason? Really? -Yes, it is.

498
00:30:29,411 --> 00:30:30,996
Why are you isolating yourself?

499
00:30:31,956 --> 00:30:36,001
I'm not. You're the one who canceled our breakfast.

500
00:30:36,544 --> 00:30:38,963
Because I don't want to have to deal with this, Shaun.

501
00:30:39,838 --> 00:30:43,801
I'm I'm angry with you.

502
00:30:46,804 --> 00:30:47,805
Why?

503
00:30:48,138 --> 00:30:49,139
Why?

504
00:30:51,100 --> 00:30:52,309
Because of Lim's surgery.

505
00:30:52,393 --> 00:30:55,646
Because I told you exactly what to do and you didn't listen.

506
00:30:55,729 --> 00:30:58,315
-Parameters changed. -You went ahead and you did the procedure

507
00:30:58,440 --> 00:30:59,817
you wanted to do all along.

508
00:30:59,900 --> 00:31:02,403
Yes, the parameters changed. I made the right decision

509
00:31:02,486 --> 00:31:05,447
Shaun. Lim is paralyzed.

510
00:31:06,323 --> 00:31:07,408
You're the surgeon.

511
00:31:07,491 --> 00:31:09,952
You have to take some kind of responsibility for that.

512
00:31:11,912 --> 00:31:14,665
You shouldn't be angry with me.

513
00:31:15,749 --> 00:31:18,294
-Dr. Lim shouldn't be angry with me. -She

514
00:31:20,379 --> 00:31:22,381
She is paralyzed, Shaun.

515
00:31:25,593 --> 00:31:27,636
I saved her life. I made the right choice.

516
00:31:27,720 --> 00:31:28,762
You're acting like a child.

517
00:31:28,846 --> 00:31:30,764
-No, no, I am not. -You're acting like you did

518
00:31:30,848 --> 00:31:33,225
back in high school, like you did in the beginning of med school.

519
00:31:33,309 --> 00:31:35,269
You're a grown man, Shaun.

520
00:31:35,352 --> 00:31:37,062
You're a married man now.

521
00:31:37,146 --> 00:31:40,232
You gotta take some kind of responsibility. Accountability!

522
00:31:40,524 --> 00:31:42,651
You're running away. You're

523
00:31:42,735 --> 00:31:45,863
You're shrinking your world around you. You're retreating.

524
00:31:52,953 --> 00:31:53,954
You're wrong.

525
00:31:55,289 --> 00:31:57,833
You are being mean and calling me a child.

526
00:31:57,958 --> 00:32:00,502
-And you're taking Dr. Lim's side. -Shaun, you can't shrug this off.

527
00:32:00,586 --> 00:32:02,963
I do not want you in my office.

528
00:32:05,883 --> 00:32:07,343
Leave, now.

529
00:32:37,331 --> 00:32:39,583
We successfully repaired your shoulder.

530
00:32:40,125 --> 00:32:41,168
Thank you.

531
00:32:42,670 --> 00:32:44,296
Please don't play with anymore fireworks.

532
00:32:44,380 --> 00:32:46,215
You're lucky to have survived your own ignorance.

533
00:32:46,840 --> 00:32:47,758
Yeah.

534
00:32:48,676 --> 00:32:50,886
At the very least, stick to the non-explosive ones.

535
00:32:50,969 --> 00:32:53,931
I'll just stick to watching them on the Fourth of July.

536
00:32:54,640 --> 00:32:55,891
Probably for the best.

537
00:32:57,184 --> 00:33:01,063
With lots of rehab, you should regain full function of your arm.

538
00:33:10,364 --> 00:33:11,365
Feel that?

539
00:33:12,533 --> 00:33:13,951
Just a small pinch.

540
00:33:15,536 --> 00:33:16,745
That's exactly what we want.

541
00:33:17,663 --> 00:33:20,332
Six months of PT and you should be up on your feet, walking again.

542
00:33:22,626 --> 00:33:26,422
Thanks, doc, for holding out and not giving up on me

543
00:33:27,715 --> 00:33:28,799
And my foot.

544
00:33:32,344 --> 00:33:35,514
Do me a favor. Take a picture of me and that gnarly scar.

545
00:33:36,390 --> 00:33:37,516
That's for Britney?

546
00:33:38,100 --> 00:33:40,686
Nah. My new profile pic.

547
00:33:46,817 --> 00:33:48,110
You will stand out.

548
00:34:17,806 --> 00:34:18,974
I'm sorry I offended you.

549
00:34:21,268 --> 00:34:23,604
I grew up very sheltered.

550
00:34:27,107 --> 00:34:31,111
I'm still trying to figure things out

551
00:34:31,195 --> 00:34:33,572
and play catch up and get past my

552
00:34:34,782 --> 00:34:36,366
limited sense of imagination.

553
00:34:37,409 --> 00:34:39,036
Which is just a long way of saying that, yes,

554
00:34:39,119 --> 00:34:41,622
I was being ignorant and judgy and

555
00:34:44,082 --> 00:34:45,501
I hope you can forgive me.

556
00:34:53,842 --> 00:34:56,470
I tore my ACL.

557
00:35:01,266 --> 00:35:04,978
Growing up, my dream was to play Division One Soccer.

558
00:35:06,647 --> 00:35:08,023
And I was pretty good.

559
00:35:09,691 --> 00:35:12,736
Junior year of high school, I had a dozen offers for a full ride.

560
00:35:13,403 --> 00:35:15,072
That's impressive.

561
00:35:16,865 --> 00:35:20,577
First game of senior year, I tore my ACL trying to slide tackle a midfielder.

562
00:35:21,703 --> 00:35:24,581
And just like that every D1 school rescinded.

563
00:35:25,624 --> 00:35:27,751
The only place that still wanted me was the Naval Academy.

564
00:35:29,795 --> 00:35:31,672
I never really had much interest in the military.

565
00:35:31,755 --> 00:35:33,674
But, hey, tuition was free.

566
00:35:34,341 --> 00:35:36,426
I was promised a roster spot.

567
00:35:37,219 --> 00:35:38,720
I played all four years on varsity

568
00:35:38,804 --> 00:35:41,557
and even won the Patriot League Championship my senior year.

569
00:35:45,018 --> 00:35:47,855
Nine months later, I was deployed to Afghanistan.

570
00:35:53,110 --> 00:35:54,695
That sounds horrible.

571
00:35:56,738 --> 00:35:57,823
Not at all.

572
00:35:58,282 --> 00:36:00,534
Joining the Navy was the best decision I ever made.

573
00:36:17,759 --> 00:36:19,011
I enjoyed our field trip.

574
00:36:19,094 --> 00:36:22,472
I had a good time, too. Being away from the hospital and all that.

575
00:36:23,557 --> 00:36:25,225
It's definitely nice out here.

576
00:36:26,518 --> 00:36:27,978
Might even have to come back for a swim.

577
00:36:28,520 --> 00:36:29,938
You could bring a date.

578
00:36:30,939 --> 00:36:32,024
Not a bad idea.

579
00:36:32,441 --> 00:36:34,651
We just need to find the right person.

580
00:36:38,363 --> 00:36:39,531
The bet.

581
00:36:40,574 --> 00:36:42,659
Yes. The bet.

582
00:37:05,974 --> 00:37:07,309
I'm sorry. I just

583
00:37:11,355 --> 00:37:12,439
I can't.

584
00:37:30,832 --> 00:37:31,833
Need some help?

585
00:37:32,167 --> 00:37:35,462
Although, it's after 5:00, so I'd have to charge you time and a half.

586
00:37:35,671 --> 00:37:39,091
Sweet of you to offer, but I think I got this.

587
00:37:42,010 --> 00:37:43,136
Are you sure?

588
00:37:43,220 --> 00:37:47,849
It would be a shame if this $70 bottle of olive oil hit the ground.

589
00:37:47,933 --> 00:37:51,353
-Well, I had a good day. I splurged a bit. -Good idea.

590
00:37:52,437 --> 00:37:53,438
I'm sure you deserve it.

591
00:37:54,064 --> 00:37:56,483
You do, too, for saving me twice.

592
00:37:57,192 --> 00:37:58,443
Can I offer you a taste?

593
00:37:58,568 --> 00:38:01,405
I got a baguette at Listo's. A brie, a gouda.

594
00:38:02,572 --> 00:38:03,615
It's a deal.

595
00:38:05,659 --> 00:38:06,702
Thanks.

596
00:38:42,029 --> 00:38:43,530
This is nice.

597
00:38:43,613 --> 00:38:47,200
Talking to someone I don't have to supervise or be serious with.

598
00:38:47,284 --> 00:38:48,410
I agree.

599
00:38:49,911 --> 00:38:52,664
I just realized. I don't know what you do.

600
00:38:53,457 --> 00:38:55,042
I'm a professional hockey player.

601
00:38:55,250 --> 00:38:56,752
Okay. I know that's a joke.

602
00:38:57,335 --> 00:39:00,213
Now I just have to decide if that means you love hockey or hate it.

603
00:39:00,338 --> 00:39:01,923
Now I'm curious what you'll decide.

604
00:39:02,716 --> 00:39:03,884
Let's see.

605
00:39:05,552 --> 00:39:08,847
You grew up in Michigan. You appear to have all your teeth,

606
00:39:09,598 --> 00:39:12,100
But they're also perfect, which means it could be veneers.

607
00:39:12,642 --> 00:39:15,312
I'm going to assume you're a Pistons fan that hates hockey.

608
00:39:15,395 --> 00:39:16,646
It's like you can see right through me.

609
00:39:18,398 --> 00:39:19,566
And my job?

610
00:39:19,858 --> 00:39:23,445
Clearly, you're the parking garage attendant or you're just stalking me.

611
00:39:24,154 --> 00:39:25,739
I'm a marketing exec at Greenzie.

612
00:39:26,990 --> 00:39:29,076
I have no idea what you guys do, but I know your building.

613
00:39:29,159 --> 00:39:31,203
There's an amazing Chilean restaurant right across the--

614
00:39:31,286 --> 00:39:32,954
-Velasquez? -I love that place.

615
00:39:33,580 --> 00:39:35,123
I've been craving their sopaipillas.

616
00:39:35,332 --> 00:39:38,085
We should take care of that craving. Dinner at Velasquez some time?

617
00:39:39,294 --> 00:39:40,295
Definitely.

618
00:39:49,888 --> 00:39:51,014
Are you okay?

619
00:39:51,098 --> 00:39:53,600
Yes. I'm thinking about work.

620
00:39:54,893 --> 00:39:56,978
I saved my patient's arm today.

621
00:39:57,395 --> 00:39:58,647
I should be happy.

622
00:39:59,231 --> 00:40:00,607
So why aren't you?

623
00:40:02,484 --> 00:40:04,236
This is about your fight with Glassy.

624
00:40:04,319 --> 00:40:06,613
I'm thinking about my patient's shoulder.

625
00:40:28,969 --> 00:40:30,095
I have to go.

626
00:40:41,857 --> 00:40:44,276
-Dr. Glassman! -Okay, okay.

627
00:40:44,359 --> 00:40:45,777
Okay. Okay.

628
00:40:45,902 --> 00:40:46,945
What?

629
00:40:48,113 --> 00:40:50,532
-Are you okay? -Yes, I know how to fix it.

630
00:40:51,199 --> 00:40:52,826
I know how to fix everything.

631
00:40:54,828 --> 00:40:57,914
There's a surgery that will cure Lim's paralysis.

632
00:41:04,963 --> 00:41:06,047
Okay.