The Good Doctor (2017) s05e14 Episode Script

1 Do you remember ♪ - Morgan's meatballs? - Garlic.
- Lim's brownies.
- Walnuts.
Okay, you can't have an empty plate the whole time, because it is kind of rude.
Wouldn't it be ruder to take food and not eat it? Your recliner does not go with any of the other furniture in the living room.
It's older and, you know, a little worn in.
Which is why I like it.
It's unique.
I do, too, and it's super comfortable, which is why it'll go great in the den.
Upstairs.
- Fair enough.
- Mm-hmm.
Ooh.
Loading up for an ultra-marathon? Figured I'd better try everyone's contributions.
- Your brownies were great.
- Well, thank you.
I should be the one carbo loading, seeing as half my department's in New York for the next three days.
Those conferences raise the hospital's profile, as well as your department's.
Ba-du-da, ba-du ♪ That has mayonnaise.
You don't have to eat it.
Just move some to a napkin every few minutes, then just Holdin' hands with your heart to see you Hm.
I am going to need a lot of napkins.
Hm.
Oh.
Or none at all.
I have to go.
Remember ♪ Jake Khan, 32.
Cut off his big toe while camping.
Chopping wood is very dangerous.
My neighbor in Wyoming nearly died after hitting his foot with an axe.
It wasn't an axe, it was a machete.
She wasn't chopping wood.
I woke up, and the tent was dark.
I thought I saw a snake, but it was his foot.
Do you normally wear glasses? I retract that question.
Can you reattach it? Your machete was very sharp.
So yes.
Your sweet potato casserole was a runaway hit.
It was gone before I got any.
You should have had some back at the apartment when you had the chance.
I got distracted, which I seem to remember was your fault.
You busy this weekend? Actually, a few of my college buddies are in town.
Well, I'd love to hear all about my boyfriend's frat house exploits.
I think they kind of just want to catch up with me.
Maybe next time? Yeah.
Totally.
Next time.
Digital nerve is fully re-attached.
Check for distal pulses.
Add this to the list of reasons I don't go camping.
Right after ticks, bears, and giardia.
Lea loves bears.
She thinks they're cute.
A grizzly bear can crush a bowling ball with its bite.
I watch a lot of Discovery.
Pulse present.
Color and capillary refill look good.
It's well-perfused.
Good.
Let's Dr.
Lim, are you okay? Yeah, I'm fine.
I just had a little bit too much at the potluck.
All good.
Let's finish up here.
Let's just place a dress ing.
Step away.
Very slowly.
Why? C-Can't you see the snake right there? T-There is no snake.
Dr.
Lim, I think you should step out.
Whoa! How are you feeling? Any nausea? Dizziness? No.
What is happening? Everyone here was at the potluck.
Has to be some sort of toxin or food poisoning.
Dr.
Lim's symptoms don't seem like typical food poisoning.
How many people are - Shaunie! - Oh.
- I missed ya.
- Okay.
Fourteen, including her.
I'm cool, right? Like, if you were hanging out with a bunch of friends, like, you'd want me to come? Totally.
You're the coolest.
Add insecure blabbering to the list of symptoms.
Start an IV, get him on some fluids.
Put me down! - You know what I love about you? - Oh, no.
You look like a Disney princess.
But you're mean.
And that's so hot.
I love you.
Uh, I love you, too.
That's why we need to talk about my recliner.
You can't hide it in the den.
It's living room or bust.
Okay, let's find you a nice place to lie down.
Are you experiencing nausea, confusion, or hallucinations? No.
I'm great.
Oh.
Almost as great as your hair.
Oh.
Temperature's elevated.
And you're using the same voice you use to talk to our neighbor's dog.
Oh.
How do you do that? Conditioner? Genetics? Pupils dilated.
Waiting room is utter pandemonium.
We have an ETA on surgeons returning from the conference? There's a huge storm in New York.
Flights are grounded till tomorrow.
We can't send anyone home till we know for sure what we're dealing with.
Let's keep them in the E.
R.
and watch for any renal, hepatic, or neurological complications.
There aren't enough bays in the E.
R.
to babysit a sick staff and also take in new patients.
We could use the private E.
R.
bays for the sicker staff, then use a conference room for overflow.
The residents' break room is better.
Has a sink and no carpet.
It's vomit-ready.
Prep the break room, and then start figuring out exactly what everyone ate.
Document any commonalities.
I'll loop in Dr.
Allen.
The four of us will run point on any surgical and E.
R Dr.
Andrews? I'm sorry.
Excuse me.
And then there were three.
I know it's a little crazy out there right now, but in here, it's just like any other day.
Mr.
Hoyt here fractured his skull while trying to fix his roof, and now we are going to try and fix him.
Dr.
Murphy, help me mark up the patient, and let's crack him open.
I think you mean mark the trauma flap for the craniotomy? Sure.
Who played Olympic Hills last week? Was that you? Put two balls in the pond off the first tee.
Went downhill from there.
I know that pond, and I hate that pond.
You know the pot bunker on 18? Dr.
Glassman, the CT scans show skull fragments are putting pressure on the brain.
We need to go faster.
Four times, I hit the lip.
Four times, the ball rolled right back to my feet.
Scalpel.
I feel Floaty.
Should I get a doctor? No, it's nice.
The snakes still in your bed? No.
I think they're sleeping.
Oh.
Your pink sweater is amazing.
And swirly.
So swirly.
It's a good thing you sent a chunk of the department to that conference.
Not that you asked me.
I'm head of the hospital.
Like I could ever forget that.
There it is.
That classic Audrey Lim passive aggressive pushback.
Whatever was in the food seems to have lowered your inhibitions, - so - Okay.
Good.
You want me to be less passive aggressive? Yes, I would.
Okay.
Okay.
All that talk about how much you care about the hospital? I don't buy it.
You love being the president.
Yes, you do.
And all that power and attention just feeds your ginormous ego.
Oh, that's rich, coming from the control freak who keeps just enough chaos in her life to feel cool.
This whole maverick, daredevil schtick? I'm so over it.
Aren't you over it? You know what I'm over? Your skin-tight clothes.
Yeah, we get it.
You're in great shape.
Excuse me, maybe you two should For your age.
I work out.
We know.
stop talking about anything.
The cranioplasty took seven minutes longer than it should have.
I'm okay with that, as long as we have a smooth surgery.
But with all the cases we have Shaun, you're in the O.
R.
You're a leader.
Okay? When people are stressed, that's when mistakes happen.
How does pretending a stressful situation isn't stressful make it less stressful? Dr.
Glassman? Bay seven is waiting.
Keep the morale up, keep the tension down.
Do you remember what you ate from the potluck? Your hair's emitting A glow.
Probably because it's on fire.
Let's move you to a quiet area.
This is so not the worst trip I've been on.
I work in tech.
You've been to one micro-dosing session in the Redwoods, you've been to all of them.
Please answer my questions.
I need to pinpoint what dish is affecting everyone.
Oh, good idea.
I wanna help.
- You are way too high for that.
- Ooh.
Oh, yeah? I ate Skarlen's cake, which definitely had too much nutmeg, which can be a hallucinogenic.
But she didn't make enough to affect everyone.
I also ate Giacomin's sandwiches, which were on rye.
Moldy rye supposedly caused the hysteria at the Salem Witch Trials, which I doubt everyone ate them, because they were terrible.
So dry.
But given what I am feeling, uh, my expert opinion, we're in the neighborhood of LSD, mescaline.
Start asking people questions.
Mm.
'Kay.
Irrigate into the incision site.
Does my urging you to move quickly make you tense? No.
I can handle it.
Dr.
Glassman thinks the O.
R.
staff can't, which is why he works too slowly.
And uses wrong terminology.
Hope you didn't tell him that.
I did.
He is normally open to my opinions.
We have known each other a long time.
Uh, I know, Shaun, but he's a senior surgeon, and you're still a resident.
You can't expect for him to adjust to your pace.
You can run things the way you want when you're the senior doctor.
So, if I'm not working with Dr.
Glassman and I am the senior doctor, I can run things how I want.
That's not exactly what I meant.
More patients.
I need to go.
Close him up and run an EKG, and thank you for the helpful advice.
No deep lacerations.
You done? I have to work in the morning.
You should take the day off.
Give yourself a chance to heal.
No, I need the hours.
Whoa, whoa, whoa, whoa, whoa.
Dr.
Glassman, there is a patient in bay two.
Thank you.
I'll be right there.
Just, uh, sit.
What kind of work do you do, Cameron? How severe is the rectal pain? I can barely sit down.
Any history of rectal fissures, inflammatory bowel disease, or hemorrhoids? I don't think so.
Dr.
Murphy, what was that last part? Hemorrhoids.
We are very busy.
You need to write faster.
Have you recently inserted a foreign object into your rectum? Please answer.
I am trying to help you, but also, I do not want to spend any longer than necessary.
It was a toothbrush.
I was bored.
Second degree electrical burn.
Were you touching anything else when you got shocked? I don't think so.
Burn ointment, morphine for debridement, maintenance fluids.
I asked for lactated ringers with D-5 saline, not D-10.
I'm sorry.
You were going so fast.
No, thank you.
I will get it myself.
I imagine with the pay cuts and the new hires, there's a lot of pressure at work, huh? Yeah.
My wife already lost her job, and I can't afford to lose mine, too.
Are you sleeping? Um What about the bean dip? I don't think I had any of that.
Hm.
Hm.
The mac and cheese.
Meatballs.
The soup.
No.
Wait.
I only thought about getting the soup.
Hilarious.
I barely see my wife anymore, and when I do, I'm just so tired and irritated all the time.
Have you been self-medicating? Stimulants? Amphetamines, maybe? I asked if I could join, find out what my boyfriend was like in college, and then That was a record scratch.
He totally shut me out.
Oh, that's so cool you and Jerome are officially "boyfriends.
" You just called him that.
I called him my boyfriend.
That's why he freaked out.
Wait.
Was that The first time? Oh, man.
No.
No.
That's not an unreasonable thing to assume, right? We've been on dates.
We've even had breakfast the morning after, but maybe he's seeing other people.
Hey, man.
You said how you feel, you just laid it out there, and that's great.
You gotta be who you are.
Yeah.
Otherwise, you'll find yourself moving into a new place where your kickass recliner is hidden away upstairs.
You deserve better than that.
You deserve the space to be you, to express yourself.
Sorta got lost in the middle there, but you're right.
I should express myself.
And we need to start Now.
- Dr.
Murphy.
- Hm? This man has been waiting on Dr.
Glassman.
Can you grab him? Oh, no, if he's on Dr.
Glassman's list He's falling a bit behind.
Okay.
Frank went off to the bathroom.
Then Park wrestled me out.
Into the sky ♪ Do you think time ♪ On the count of three.
would pass me by? ♪ One, two I'd walk a thousand miles if I could just see you ♪ Tonight ♪ It's my boyfriend! Oh! That's right! And I'm not afraid to say it! Oh! He's not afraid to say it! And I'm not afraid to say I love my recliner! - Yeah! - Whoo! - Yeah! Whoo! - Whoo! Get up here! Come on! Feel the music! Oh! Oh, oh! Here come the strings! And I need you ♪ Whoa, whoa, whoa, whoa! You okay? Ow.
If I could fall into ♪ We love Vanessa Carlton! Does your family have any history of strokes? I'm not sure.
Heart attacks? Blood clots? Why? Is that what's happening? I'm going to re-take your blood pressure.
Doctor, I-I I don't feel right.
190 over 110.
I need a 35 milligram push of esmolol.
What's happening? You're in range for complications from a hypertensive crisis.
Uh, like a heart attack? That's one possibility.
S-So I'm having a heart attack? Not yet.
This should bring down your blood pressure.
Continue to take deep breaths.
Does Dr.
Glassman have any more patients on hold? There are two more.
I will take them.
I'm faster than Dr.
Glassman, and we need to Doctor, help.
I can't breathe.
The O2 levels are dropping.
Increasing oxygen flow rate.
Get Dr.
Glassman.
Mr.
Cho, you had a minor asthma attack as a result of the esmolol.
W-Why did he give it to me then? You didn't tell the nurse - about your asthma.
- Shaun.
Didn't anyone check my medical records? You were an E.
R.
walk-in, and your blood pressure was Shaun, do me a favor, please, and And step outside and meet me in the hall? Mr.
Cho, the important thing is that your vitals are normal now, and there won't be any long-term effects as a result of the medication.
I'll be right back.
You didn't have time to get a clear history? His blood pressure was critically high and trending up.
And now it's low.
I warned you about this, didn't I? You were stressed and then you stressed him.
Okay, I would feel less stressed if you were moving faster.
That's not your call.
I wasn't wrong.
An asthmatic response to esmolol is rare and less critical than a hypertensive crisis.
And if you had not been so slow to get to the patient Shaun.
because I know you are not able to work at my pace, but your medical strategy is not working.
No, no.
Work at your pace? Yes.
You need to go get something to eat, take a break.
No, thank you.
I need to get I said take a break! If you don't want to eat something, then go take a walk! Now! I'll take care of Mr.
Cho.
Ow.
That was quite the fall.
I'm sorry I flipped you out, calling you my boyfriend.
But I I need to know if you're seeing other people.
No.
No, I'm not seeing anyone else.
And, yes, the boyfriend thing did surprise me, but I liked it.
Ow.
Not enough to introduce me to your college friends? You wouldn't like them.
They're boring.
They're boring, or Or I'm boring? Or too loud? Or too young? Like, what about me is so embarrassing? I just I just thought you wouldn't want to Listen to us rehash our glory days.
Okay, if that was you thinking of an excuse, you should have taken longer.
Just finish me up and take me back to the Break Room, please.
Okay.
Try and drink as much as you can.
Ever stop and think how bizarre it is that we got together? Like, if you'd told us even a year ago Well, stranger things have happened.
Wha I landed weird earlier.
You know what else is weird? How people say "opposites attract.
" But the novelty wears off, right? Remember that video with Paula Abdul and that cartoon cat They didn't have a future.
They probably couldn't agree on furniture, either.
How about we talk about this later? You know, that recliner has been with me through marriage, Kellan, med school, divo I asked you to put it in the den, not throw it out.
Because you're embarrassed by it.
You don't respect it.
If you don't respect it, maybe you don't respect me.
And before you know it, you'll be hiding me upstairs in a house you're paying for, where you'll be the boss, and I'll be nothing but a sad, lonely piece of furniture.
You're not furniture, but you are high, and in no shape to be having a rational conversation.
Keep hydrating.
What are you doing? I can climb this wall.
I need to climb this wall.
What, like Spider-Man? Exactly like Spider-Man.
Cool, cool.
Hey, just please be quiet.
I'll need a running start.
It'll take power and inertia to stick.
No.
Wait, wait, no! You gotta let me do this.
- You're delusional.
- No.
And you're gonna wake the snakes.
I'm President.
If I want to climb the wall, I will climb the wall.
What did Spider-Man value the most? That with great power comes great resp Yeah, yeah, that.
Yeah.
But also His secret identity.
If you have these powers, you don't want people to know, right? Yeah.
You're right.
Good thinking.
Yeah.
Are you stroking my sleeve? Yeah.
Yeah.
This is incredible.
What is it? Cashmere.
Yeah.
Dr.
Murphy.
Take a look at his ultrasound.
I'm taking a break.
I am eating an apple.
It's very strange.
His spleen is on the wrong side.
Okay.
Were you in a car accident? No, he used a ball launcher to fire a basketball at his stomach.
Yeah, my followers love that stuff.
You have a wandering spleen.
The ligaments holding it were likely weakened from past trauma.
The impact from the ball caused it to break away.
Oh, snap.
Can you e-mail me those pics? That's dope content for my follow-up video.
L-Later.
You're not getting adequate blood flow to the spleen.
We need to get you into surgery now.
Sweet.
Hey, can you guys film this for me? Urine samples from the dosed are inconclusive.
Any food updates? No-go on the ribs and the pasta salad.
In your extensive tripping experience, do people usually talk crazy or reveal their true feelings? Both.
Though often they're related.
Yeah, Park's definitely acting crazy.
I mean, dancing on tables? You want to talk Park or the mystery? Both? Great.
We just moved in together, and now he's rambling about how opposites don't attract.
Or shouldn't? I You know the word rambling can refer to horny horses? Maybe he's just nervous about change.
Park doesn't get nervous.
Well, it's either completely irrelevant or something you two need to have a very serious talk about.
Isn't Dr.
Gentry vegan? Yes.
That takes out chicken, mac and cheese, and Jell-O.
The sweet potatoes.
Whose dish was that? That's impossible.
I got the recipe online.
I followed it exactly.
Interesting.
And did you help him? You think I did something to his dish? Maybe you thought it'd be funny.
That makes no sense, which isn't surprising because you're tripping.
But I'm not, and I remember you put a bag labeled "organs" in the shared fridge and changed Dr.
Riley's license plate to "IMPOTENT.
" Those were harmless pranks, unlike dosing a hospital.
I'm sorry Pause.
When exactly was this Prank Master era? It wasn't an era.
It was just some stuff I did my first few years here.
Oh.
So you were different then? Or are you just morphing into different people depending on who you're talking to? Do you have other personalities that I should know about? Whatever you ate is making you paranoid.
If this is going to work, you need to be your true self with me.
Enough couples' therapy.
Go to your apartment and bring back all the ingredients.
Okay, no problem.
Hello.
You're scheduled to assist Dr.
Glassman on the wandering spleen surgery.
- That is my patient.
- Okay.
With a spleen this fractured, complications could easily be missed Peritonitis, fragments left behind that can cause infection.
You need to convince Dr.
Glassman to let me assist, too.
Why can't you tell him yourself? We had an argument a few hours ago.
I'm not sure he would listen to me.
Then by all means, you should operate with him.
Yes.
Today has been rough enough without you dragging me into the middle of whatever this thing is.
Talk to Glassman yourself.
I am not scheduled for this spleen surgery, but I should be included.
This is a rare procedure.
Did you take a break? I had an apple.
Half an apple.
I understand if you're disappointed, Shaun.
I need a team who listens to me, who knows my style, and who embraces it.
Just because I don't like to talk about irrelevant topics doesn't mean I can't help.
Shaun, Shaun, you're not in this surgery.
Hey.
I thought about what you said about the recliner and other things.
Once this is over, we should talk.
Ow.
What's wrong? Park? Park.
Park.
I need CBC, blood cultures, and CT, stat.
Where does it hurt? Good job double checking at the end there.
Thank you.
With a spleen this fractured, complications can be easily missed Peritonitis, fragments left behind that can cause infection.
That sounds familiar.
You're stressing him out.
You made him question himself.
He should question himself.
He's a great surgeon.
Great surgeons should continue to question themselves.
That's how we learn.
Shaun is great, and he's learned a lot from you.
Maybe it's time you let him return the favor.
I've learned a lot from both of you.
Stat page to O.
R.
One.
I'll meet you there.
Olive oil, pecans, cilantro.
- Seasonings? - Salt, pepper Okay, we need an answer now.
Park has advanced appendicitis.
He needs surgery, but not before we know what's in his system.
I got everything.
On my way back.
Wait, Jerome, go back.
Wait.
Bring the phone closer to the seasonings.
No.
That's the wrong cumin shaker.
I used the other one.
What other shaker? The first shaker was almost empty so I used the one from your spice rack.
The clear one.
I don't have another It's psilocybin.
Magic mushrooms.
A few weeks ago, my roommate had a party.
Someone brought shrooms in a cumin shaker.
That's all we need.
Shrooms won't disrupt anesthesia.
We can operate.
Jake Khan was originally admitted with an amputated toe, but his most recent EKG was abnormal.
CTA revealed an anomalous left coronary artery.
He's at risk of cardiac arrest.
Since you don't want me in the O.
R.
, you and Dr.
Allen will need to open him up and increase blood flow to his heart.
This is complicated.
I'm gonna need a senior resident.
I'm a senior resident.
Yes, I know.
Let's scrub in.
Dr.
Glassman, Park is in O.
R.
number three.
On the table.
His appendix is about to rupture.
We have an immediate cardiac surgery here.
It's a quick laparoscopic.
And it's Park.
The moment we're in the home stretch, Dr.
Murphy can start the procedure on him.
What about Dr.
Allen? She's only a second-year.
Solo surgeries are third year.
I assisted appendectomies all the time in my second year.
I can talk her through.
I got this.
Go prep.
Well, look at all the areas of stenosis.
Or would you prefer to discuss sports or another topic? I appreciate that.
I'm good with the medicine for now.
And there's the anomaly.
What's the ideal approach? We should unroof the coronary.
An incision into the ostium to the aortic root.
You heard the man.
Let's get to cutting.
How do you feel? Still itching to climb these walls? Thanks for talking me down.
That could have been ugly.
You know, I never pegged you for a Spider-Man fan.
Always pictured you watching a 10-part Ken Burns doc on the history of pencils.
Mm.
Isabel dragged me to the first movie, and I loved it.
Peter Parker reminded me of myself at that age.
Science nerds unite.
She really knew me well.
When I was a first-year, I had this nightmare shift, and this other resident insisted, instead of going home and falling apart, that we see the matinee of Spider-Man 3.
Thought it would cheer me up.
- That's a good friend.
- Yeah.
Melendez was pretty cool.
Seeing those movies became a bit of a tradition for us.
I haven't seen the new one yet.
It feels off without him.
Yeah.
It isn't the same without Isabel, either.
The other day, I was working on projected hospital goals for the year, and it got me thinking about The life goals I had set for myself.
Mm.
A new house The presidency Kids.
And I never imagined a version without Isabel.
And here I am Alone, surrounded by people who hate me.
Yeah, not that I blame them.
I don't hate you.
Don't get me wrong, you're a major pain in the ass.
And I do not love the way you became president, but it's a level of responsibility I don't even want to comprehend.
And you make it look so easy it's infuriating.
And you're actually not half bad at it.
Tell anyone I said that and I'll tell them you tried to run into a wall.
Don't move.
There's a snake beside you.
And done.
Decrease the flow and let's check out the heart.
Function's not improving.
Heart's not getting adequate perfusion.
We need a bigger fix.
We can make a patch, widen the vessel, and increase the blood flow, but that's not ideal.
The risk of thrombosis is too high.
He might not even last a few hours.
We could move the left coronary artery from the right side of the aorta and re-implant it to the correct side.
That's a hell of an idea.
Dr.
Murphy, take the lead.
We need to get back on full bypass.
7-0 prolene sutures.
That was good work.
I shouldn't have cut you out of the surgery earlier.
I'm sorry.
It's been a long time since I've done an all-nighter.
I thought it was quite invigorating.
I need a Scotch.
It's 8:00 a.
m.
I know.
Care to join? Officially cleared for discharge.
I wanted to apologize for before.
I was kind of an ass.
You were right before.
I wasn't being myself with you, or not my whole self at least.
I was a bit of a goofball in college.
My buddies still can't believe I work in a hospital.
I like to think I've changed, but That part of me is still there and tends to come roaring back when I'm around them.
And you thought that would be an issue for me? You're a doctor.
I figured you wanted someone smart, mature Serious.
That's what I thought you wanted.
I spent so much of my life in Orthodox world I still don't feel like I know what I'm doing.
And you seemed like you had it all figured out.
It felt It felt intimidating.
I have so little figured out, except that I'm really into you.
I'm meeting my friends at Grant's Tavern.
If you're still interested? Say.
Yes.
You okay? All good.
Just waiting for Shaunie.
As your surgeon, I advise no exercise for six weeks, keep the wound dry.
I'm well aware.
Please, listen to your surgeon.
Dr.
Reznick, nice to see you.
Last time we were all together was in the operating room during my solo surgery Please leave.
I've been thinking about the recliner.
Mm.
Was I, uh, ranting about that thing? You were.
I thought we could keep it in the living room, but get it re-upholstered in a fabric we agree on.
Make it something that represents us both.
No purple.
Otherwise, deal.
S Do you remember anything else from last night? Beyond that I should never dance in public again? No.
Why? Was there something important? No, nothing important.
Hey.
Hey.
Get home all right? I did.
Everything okay? Better than okay.
Turn on your TV.
Channel 39.
You know, I was thinking, how about a weekly meeting? Be good to keep a line of communication open.
I'd like that, thanks.
Spider-Man 2, awesome.
We'll do it here.
"The power of the sun in the palm of my hand.
" "Nothing will stand in our way.
" - "Nothing!" - "Nothing!" To us evolving.
Hm.
I think I prefer tequila.
You've got a lot to learn.