The Good Doctor S01E09
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00:00so who was that a housekeeper leaving your place at seven in the morning i was interviewing her
00:18you're hiring a housekeeper for a studio apartment i'm not hiring her her clothes don't match right
00:24you're such an ass hatched on murphy
00:39today we realize a dream seeing our international humanitarian program come to fruition
00:45our cardiothoracic surgeon dr neil melendez in consultation with our head cardiologist
00:51dr avi meta evaluated children from tanzania to malawi to guinea they screened over 100 candidates
00:59each of them needing life-saving surgeries ultimately we decided on a particularly
01:03inspiring young boy named gabriel who hails from the democratic republic of congo with severe
01:09congenital heart anomalies we identified three perfect candidates children i can actually help
01:16gabriel wasn't one of them yes and no i signed off on your choices but i wouldn't necessarily
01:21eliminated gabriel based on the echo i saw a non-surgeon undermining a surgeon on his selection
01:25of surgical candidates it's healthy when colleagues challenge each other's decisions it doesn't make
01:30any sense we gave you good candidates you're not a doctor why wouldn't you stick with the list
01:35there were several intangibles
01:36can you say hi to dr melendez one of those intangibles i'm guessing is cuteness
01:58family displaced during the war mother took care of her husband until he died of yellow fever he bled out
02:03at home a month later gabriel was born people tend to give more when the cause is not only noble but
02:12photogenic adorable kids and sympathetic moms may work on donors but they won't work on me and they
02:18certainly won't work on echo results kind of working on me before you say no at least do your own workup
02:33i don't know what's going to happen to me why can't i come the hospital's worried that children bring
02:37in germs oh mommy i promise no boo it's just it's the rules okay baby i have to go now do what
02:44meggy says i'll call you later okay i love you to the moon and back can't imagine voice rest can be
02:50very easy with a three-year-old yeah not very effective for my podcast audience either of which by
02:55the way i'm a huge fan grandma irony though right podcaster who loses her voice elizabeth i'm sure
03:02the nodule will be benign and this will be nothing more than inspiration for another great episode
03:07if it's not benign isabel let's not get ahead of ourselves today we're just focused on removing
03:11the nodule and doing the biopsy and you've done everything you could do and when the horsiness
03:14started you sought early care from the rest and i sent you to the best you work perfectly together
03:20kind of ping and pongish it's nice a lot of doctors who are married more like miss and match
03:28mrs bungroh this is dr murphy and dr kaloo they're gonna help me run some tests on gabriel
03:34i heard that you and gabriel have never been away from home before i was hoping that these
03:38would make him feel welcome yes you are kind i brought one for myself too hey how about we all do some
03:47medicine
04:02he really needs our help
04:10he needs our help sounds like he's got a blow dryer in his chest exactly which is why he needs our help
04:15this is the problem with cardiologists you're really good at telling people when something's
04:18broken not so good at knowing when they can't be fixed if that kid is dying i'm not going to tell
04:22his mother that unless i'm damn sure you heard that i heard that heart and it sounded like crap
04:27but until we do a transesophageal echo i don't know anything
04:30do a transesophageal echo she has a master's degree in sociology impeccable credentials excellent
04:45references and you turned her away because her clothes didn't match it's relevant if a life skills
04:51coach can't select a complimenting wardrobe they lack life skills but she's not going to pick out your
04:56clothes for you she's not a nanny she's there to help you with problem solving financial social
05:02interaction you're doing this because i did not react well to a man with a gun robbing a store i
05:06was in statistically that is very unlikely to ever happen to me again social interactions will happen
05:12again and again and again statistically irrefutable and if you learn how to get along with people a
05:18little bit better you'll have a fuller life a happier life if you don't like this woman we'll find
05:22somebody else i am happy you could be happier i don't think so my neighbor leah if she were ever
05:31in a fire she'd be rescued first why's that dr melendez says attractive people have advantages
05:39dr melendez says that does he why is that funny i don't know it's just um some people consider dr
05:45melendez attractive so how's it going with leah she doesn't like me why'd you say that she said i
05:55was an asshat yeah what was she doing when she said that touching me she was flirting with you
06:03sometimes people say the opposite of what they mean um they use teasing as a way of saying something
06:10they don't mean instead of saying something that they do i haven't seen any data on the use of
06:15antonyms as a flirting technique okay well um here's what to look for you ready yes wait the pretentious
06:22giggle the uh the squirm and the hair sweep i call it the flirting trifecta hair scuffing is used in both
06:34animals and humans claire secreting glands are located in the scalp and fur scuffing sends hormones out
06:40into the environment to let a potential mate know they're interested or it could be ringworm
06:46yeah i suppose you have to factor for that possibility
06:53nice touch beauty increases happiness happiness improves outlook
06:58you might want to try it i'm doing fine we're having dinner at the sink no we're enjoying
07:03dinner at the sink although if you keep talking like that
07:05andrews well look again it has to be there yeah okay
07:17who was that the lab they misplaced elizabeth's specimen oh my god don't worry they'll find it
07:25satisfied it's somewhere somewhere else i love how everyone in surgery is so fast to blame the lab
07:31double checking can't hurt actually it can because you were here when you should be double checking
07:36surgery i saw the specimen go in the container it means it has to be here no all that means is that
07:41it was put in a container doesn't mean that that container was actually put in the surgery
07:45refrigerator or that it was actually picked up by the courier he's even worse than we thought yeah
07:52hypertrophic obstructive cardiomyopathy atrial septal defect abnormal insertion of the mitral valve leaflet
07:58i've never seen so many anomalies in one heart
08:04i'm sorry i pushed for additional testing and only got his mother's hopes up
08:11any medication that'll help beta blockers maybe metoprolol it's not like they'll get him playing
08:17soccer but they might help him get to the field to watch for a couple years anyway better than dying
08:23on the table tomorrow utile aoki
08:29i'll break it to the mom
08:35it's called soccer given by our shaman
08:56it is heartbeat it follows the sound it reminds it to beat until you fix it
09:08mrs bangra i've completed all the tests and i'm sorry that you've come all this way gabriel was in my
09:14my belly evil spirits came to him in the way he's had a village shaman tried to rid them
09:23he could not
09:26then a vision came to him a stronger healer would come
09:32i don't know about evil spirits
09:46all i know is that your son was born with a heart that i can't fix
09:50i'm sorry would not have come so far if i did not believe
09:53we'll give him medicine to make him feel better and then you can take him home
10:15we tell her we're sorry we have no news yet and then nope can't say that it's expected more sorry
10:32you can act sorry you can feel sorry in fact you should feel sorry you just can't say it okay uh i
10:38feel bad for you because we made a mistake and a mistake isn't a mistake well it's an
10:44unanticipated outcome of an expected action you can't use language that implies blameworthy
10:49conduct but if we did lose the specimen isn't it actually a mistake and aren't we sorry and aren't we
10:54blameworthy yes doesn't mean we can make it any easier for our attorney
11:00leo elizabeth i'm jessica presson from risk management how are you i don't like the sound of
11:06that i know i really need a new job title seems that we've encountered an unexpected occurrence
11:11the laboratory has been unable to locate your tissue specimen we don't want you to be unnecessarily
11:16alarmed but we want you to be fully aware of what's going on but how will i know if i have cancer
11:22if you don't find it we are looking everywhere we will find it as long as it's in formalin or
11:27refrigerator everything will be fine for how long at least 24 hours maybe even 36
11:32well then you better find it because i will be damned if i'm going to have my voice box removed
11:41just because somebody screwed up
11:47i've implemented a proactive educational plan oh that's terrific sean
11:51why are we talking about that here i'm not stupid i didn't say you were stupid sean nobody
12:03said you were stupid but sometimes you lack common sense i'm so sorry to bother you this patient is
12:08deaf i started flirting lessons yesterday flirting lessons i wish i had that when i was young yes i
12:23learned about the flirting trifecta there's the pretentious giggle sean what are you getting at
12:29flirting flirting it requires primarily non-verbal interactions being perceptive in one social
12:38dimension translates well to other social skills you're studying flirting are you lonely sean
12:46because you know there are there are websites now where you can i like being alone yeah well
12:52being alone and being lonely are two different things sometimes we're lonely and we don't even know it
12:57how would i know it well uh loneliness it's a kind of a dull
13:08it's like a dark are you lonely
13:14yeah sometimes you know sometimes very much
13:18you should learn the trifecta
13:32hey um hey we're looking for a lost specimen that i am positive left the or and i'm positive
13:37it didn't make it to the lab and since you're the one between the two we wanted to ask you about your
13:41three o'clock run yesterday so you took everything that was in the refrigerator in the or in the
13:46refrigerator out of the refrigerator everything's meant to go i took did you stop on the way no
13:50straight from surgery to the lab just like the rules say well did you stop at the restroom or the the
13:55coffee machine the cafeteria now believe it or not i can go a whole 30 minutes without stopping for
13:59cream puff we're just desperate all we care about is the specimen and avoiding a full-on investigation
14:05investigation yeah yeah yeah if we don't find it then the legal department gets involved
14:13everyone who was in contact with it who might have been in contact with it goes under magnifying
14:17glass i'm not looking forward to it you looking forward to it she's not looking forward to it
14:21they're gonna check your social media your computer blood tests blood tests but if you
14:27find it before then then life goes on same as it always has
14:32i did stop at the cafeteria the cashier's smoking i might have been distracted for a little while
14:39i don't know
15:09Water.
15:29Always more water.
15:33Even more.
15:39I know it's scary.
15:46You are good with children.
15:49You a father?
15:50No. One day, I hope.
16:00Page, rapid response team, start!
16:09The man should have improved his arrhythmia, not made it worse.
16:21Maybe in addition to his other problems, you developed endocarditis.
16:24His echo didn't reveal vegetations on his valves or endocardium.
16:30He has not developed a fever.
16:32Let's be sure. Get blood cultures or them times two, 15 minutes.
16:35It's in the wrong place.
16:43It was in the wrong place.
16:45Okay.
16:47Times two, 15 minutes apart.
16:49Hi.
16:59Um, Leonard says that he stops by here to see you.
17:03Yeah. He pretends the cafeteria's on his route. Like I don't know where the lab is.
17:08Yesterday, around three, Gwen. Notice anything on the food trays that wasn't food?
17:12Around three? Just the usual. Uh, Tupperware, sunglasses, cell phones, a condom.
17:20Around four, I found a glass eye.
17:22You see a biohazard bag?
17:24Uh, the Ziploc bag with the red circles?
17:27Yeah.
17:29Come on.
17:30You can move the mitral valve.
17:36Thanks for the visual aid. You can't move the mitral valve.
17:40Now, if Mr. Potato Head had an atrial septal nose and hypertrophic...
17:44I believe, I believe the normal insertion of the mitral valve can be...
17:47Stop.
17:48Follow me.
17:52Pretty sure I saw a biohazard bag in here yesterday.
17:58You're lucky you came when you did.
18:00It's due to get dumped in two hours?
18:03Ugh, dentures. They're the worst.
18:06You know, every patient gets a denture cup with their name on it.
18:08So tell me, why are the dentures never in the cup?
18:11And if they are, it's the wrong cup.
18:13Want to apply some mysteries?
18:15Biohazard bag exciting.
18:17A biohazard bag for a coin purse? Really?
18:22Finally, a septal myectomy will open the outflow tract
18:27and the mitral valve can be re-implanted into a more normal position.
18:31Thank you. That's my idea.
18:33Can you do this procedure on Gabriel?
18:35No.
18:37It's a terrible idea and it won't work.
18:39So what was the point of this dog and pony show?
18:42Because you seem keen on making medical decisions for me.
18:44So just in subordination?
18:46And we were probably going to wind up coming to you anyway.
18:49Once Dr. Murphy gets an idea, he stays with it.
18:51Regardless of what anyone says.
18:53This can work?
18:54Yes, this can work.
18:56And it would be a great idea if the boy had two hours to live.
19:00Is fear of failure a good reason not to do this?
19:03No.
19:04But you know what is?
19:08The thought that he might have a few more birthdays.
19:13Or make a best friend.
19:15I don't know. I'm not sending him home in a box.
19:18We gotta go. Gabriel's arythmia has gotten worse.
19:24You still haven't found it?
19:25I can get Miss Preston to address any questions.
19:26She wasn't in the surgery. You were.
19:27She is the point person for all therapeutic misadventures.
19:28Are you kidding me?
19:29I may lose my voice for absolutely no reason and you are using canned jargon.
19:34That sample cup doesn't have toothpaste or socks or sunblock in it, okay?
19:36It has my life.
19:38I'm sorry.
19:40Good for you.
19:41Yeah, right.
19:42I just...
19:43I just...
19:44My voice.
19:45My voice.
19:46For absolutely no reason.
19:47And you are using canned jargon.
19:48That sample cup doesn't have toothpaste or socks or sunblock in it, okay?
19:51It has my life.
19:53I'm sorry.
19:57Good for you.
20:07You are right.
20:08I just broke about eight rolls.
20:09Maybe.
20:10Miss Preston won't hear about it from me.
20:14You should go find that sample, though.
20:22Meds aren't working.
20:23The question is why.
20:26Maybe the arythmia is just another manifestation of Gabriel's LV dysfunction?
20:31You'll still be seeing at least a modest decline in his ectopy.
20:34Maybe his gradient is worth.
20:36We could try calcium channel blockers.
20:37There's a much simpler explanation.
20:47Good news about his endocarditis.
20:50Heart inflammation.
20:51His tests are normal.
20:53But we still are concerned.
20:55For some reason, his medication isn't helping.
20:58Our best explanation is he hasn't been taking his medication.
21:05I'm trying to save his life.
21:19By withholding his medicine.
21:20By keeping him here.
21:22If he takes the medicine and becomes better, you send him home to die.
21:26But there's nothing else that we can do for him here.
21:29You do not understand where I live.
21:31What it is like.
21:34I don't know your village.
21:37But I do know what it's like to be poor.
21:40I grew up with nothing.
21:43My sister was disabled.
21:44My parents couldn't afford her meds or treatments.
21:46And I killed them.
21:48And me.
21:49To watch her suffer.
21:51When nothing can be done.
21:54Nothing can be done.
21:56You became a doctor.
21:59You did not accept being poor.
22:03No.
22:04Then you did not understand at all.
22:09That we want for everything.
22:14Food.
22:15Peace.
22:16Medicine.
22:17But our greatest want.
22:22Is hope.
22:27We live here.
22:28We leave hope behind.
22:38Okay.
22:39I'll do what I can.
22:47Drop by to see Elizabeth.
22:48Not surprisingly, she's very upset.
22:50There wasn't much I could offer in the way of comfort.
22:52If only people did their jobs.
22:54Which people?
22:56Scrub nurses.
22:57Couriers.
22:58Lab techs.
22:59That's a curiously limited list.
23:01I did the surgery correctly.
23:02I don't think it's too much to expect us to do their jobs correctly as well.
23:05So not your fault.
23:06Not your problem.
23:07What are you trying to do?
23:08Make me feel guilty?
23:09Yes.
23:10I want you to feel horrible.
23:11It's the only thing that's going to make you change.
23:13And the what?
23:14The guy I married.
23:15The guy who cared more about patients than politics.
23:18Ah, okay.
23:19I get it.
23:20This is about me vying for president of the hospital.
23:23Which we discussed at length.
23:24Which you said you were 100% behind me on.
23:27I didn't realize how far behind.
23:29You think I've left you behind?
23:31Hmm.
23:32Uh...
23:34Tuesday.
23:35Capital expenditures meeting delayed.
23:37Will be late.
23:38Wednesday.
23:39Fundraising event ran over.
23:40Don't wait up.
23:41Thursday.
23:42Yes, there are things about my job.
23:43All right.
23:44Not your fault.
23:58Hello.
23:59Hey.
24:00Did you know that specimens and formalin go to one place?
24:05Exempt specimens somewhere else.
24:07Aerobic and anaerobic cultures two different places.
24:09Um, radioactive, medical device, forensic specimens.
24:12All different.
24:13And all handled by different staff.
24:15Did you know that?
24:16Yes.
24:17Oh.
24:18I made a chart too.
24:20A qualitative observation log of what you taught me.
24:24What did I teach you?
24:25Flirting.
24:26Every time I saw someone flirt, I noted it and cross-referenced the subject, object and non-verbal gestures.
24:32I knew it.
24:33Gwen the cashier.
24:34She made out that it was all the courier, but that's my name.
24:37Yes, you made flirting gestures.
24:38No, I didn't.
24:39Yes, you did.
24:40You brushed your hair back.
24:41Right hand side sweeping.
24:42At Dr. Melendez?
24:43No, I don't think so.
24:44Sean.
24:45No.
24:46Yes.
24:47You were at the nurse's station and he said good for you and you said, yeah right, I just
24:48broke about eight rules.
24:49And smiled and giggled and brushed your hair back.
24:51Ms. Preston won't hear about it from me.
24:52It's possible you have ringworm.
24:53Sean.
24:54It's possible you have ringworm.
24:56Sean.
24:57Is it possible you have ringworm?
24:59Sean.
25:00I don't think so.
25:01I don't think so.
25:02I don't think so.
25:03Sean.
25:04No.
25:05Yes.
25:06You were at the nurse's station and he said good for you and you said, yeah right, I
25:07just broke about eight rules.
25:08And smiled and giggled and brushed your hair back.
25:10Ms. Preston won't hear about it from me.
25:13It's possible you have ringworm.
25:19Sean.
25:20Sometimes people toss their hair just because it's in their face.
25:24Murphy.
25:25I'd like you to elaborate on your idea.
25:27My terrible idea?
25:29That's the one.
25:30You can move the anterior leaflet of the valve and reattach it.
25:47No.
25:48We can't.
25:49It's the exact replica of the kid's heart.
25:53There's no anchor point to reattach it.
25:56So that part of your idea is still terrible.
25:58Okay.
25:59But the rest of it?
26:02We're dealing with a huge septum.
26:0425 millimeters.
26:05What would that number be in a healthy kid?
26:07About eight.
26:08If we go anywhere near that number, we won't have enough support for the valve.
26:12But let's say we took that down to 20.
26:19That won't be enough to relieve the outflow obstruction.
26:25Okay.
26:2618.
26:2718.
26:28Okay.
26:32There's a touch on the secret.
26:33But still, it won't be enough to conn interpolate.
26:35That's that spring.
26:36Time two years later.
26:37I think a little bit, lengthen out.
26:38I bet you that much.
26:39I think a little bit of a kicker.
26:40Your computer will not be able to use the место to keep the touch with the pressure of the
26:44like conditions.
26:46I don't know.
27:16Stay well, bypass.
27:26He's dead.
27:40Again, 16.
27:43I'm really tired.
27:46I used to think that I wanted to be the best surgeon in history, but my new goal was just
27:54not to get washed out of my residency.
27:59You have a surgery now?
28:02No.
28:03I'm here to see how I can help.
28:05The chief of surgery joining the search party?
28:07Should I take a selfie?
28:08Show my friends that this really happened?
28:10This is a team problem.
28:12It should be a team solution.
28:13How do you get a boss like this?
28:16What do we know so far?
28:23Let's take him off bypass.
28:24His outflow is perfect at 13 millimeters.
28:40Which is irrelevant.
28:42The mitral valve doesn't have enough support to close.
28:45He's dead.
28:46Again.
28:51Dr. Brown?
28:52Any reason you assumed responsibility on behalf of the hospital?
28:56Told Elizabeth you were sorry?
29:00Because I was.
29:06Well, I hope we don't see the price tag on that.
29:11And I think you're out of time.
29:12Let's take him off bypass.
29:35Yes.
29:3914 millimeters.
29:41Exactly.
29:42Yeah.
29:44Exactly.
29:47The margin of error
29:48is exceedingly low.
29:53Good luck.
29:55You believe in luck?
29:56It's something people say in difficult situations.
30:02Neither do I.
30:04Again.
30:06The reality is
30:08even if we found your specimen now
30:10it's unlikely it would still be viable.
30:17You don't know if I have cancer.
30:20And there's no way to find out.
30:22So my choices are
30:26surgery I may not need
30:29that will leave me without speech
30:33or do nothing
30:36and maybe die.
30:38Unfortunately, yes.
30:40go
30:41over,
30:47Excuse me.
30:51It's a car
30:52go
30:53It's you're
30:53It's and sea
30:53if you isn't
30:55Aanda
30:55and
30:56you're
30:58it's
30:58going on
30:59on the
31:02and the river
31:03And the river of time
31:09Love is all that's left to lose
31:14Love is all that's left to lose
31:21Ooh, ooh, ooh
31:28Ooh, ooh, ooh
31:38Lost, lost, I'm not alone anymore
31:45Lost, lost, I'm not alone anymore
31:53This ancient life
32:03This ancient life
32:07Three hours, thirty minutes
32:23You didn't want to be bypassed any longer than five hours
32:25Winken and Blinken are two little eyes
32:33And Nod is a little head
32:35And the wooden shoe that sailed the skies
32:39Is a wee one's trundlebed
32:41So shut your eyes
32:44While Mother sings
32:47What's the look, Dr. Murphy?
32:56Fourteen millimeters
32:58Exactly
32:59Perfect
33:01Septal tissue
33:06It's stiffer than I anticipated
33:13I don't think it's gonna be enough for adequate outflow
33:28Taking the septum down to thirteen
33:32Okay, the valve wasn't supported at thirteen
33:36The patient died
33:37I was a model, not a patient
33:39We're at five hours and three minutes
33:48We're taking him down to thirteen
33:56Field
34:00All quiet for the timeout
34:02Patient is Elizabeth McLaren
34:04No known allergies
34:05We'll be doing a total laryngectomy
34:07With the glux horns and U-shaped incision
34:09Is everyone in agreement?
34:12Antibiotics in?
34:13My grandma's cepataxin has been infused
34:14We anticipate a specimen
34:16I've requested labels be printed
34:18Pen?
34:20Prepare to intubate?
34:24Dentures
34:26You've gotta hold the surgery
34:29Just give me a little time
34:30That's thirteen
34:35That's thirteen
34:43Dammit
34:45Too thin?
34:47The valve doesn't have adequate support
34:51It won't be able to close
34:53I was wrong
34:58I was wrong
35:14Whoa, there's a reattachment point
35:17You must not have seen it at fourteen
35:19Because it was obscured by the sub-valvular tissue
35:22We can use that as an anchor point
35:24And move the valve
35:26Your terrible idea just got a hell of a lot better
35:29Stitch
35:30Five hours, twenty-three minutes
35:46Hey
35:48Dentures
35:49They always end up in the wrong cup
35:50Which is why they're so hard to get back to the owner
35:52Okay
35:54What if the label on the specimen was wrong?
35:56What if the nodule is here
35:58But the container has the wrong name on it?
36:00Okay, I'm reconciling the operative records
36:02To the surgery schedule to the specimen
36:04I'll read the cases, check the containers
36:06And feel like a jerk for judging you
36:08You're only a jerk if I'm right
36:12Pump time?
36:14Six hours, forty-eight minutes
36:21Get Meta in here?
36:24Let's take him off bypass
36:43Twelve seconds
36:57Should I get the pedals?
36:58Not yet
36:59Come on, Gabriel
37:02How long has he been on bypass?
37:03Nearly two hours too long
37:04We need to jump start
37:05Not yet
37:13Yeah?
37:14Damn it!
37:15Dr. Murphy, close him up
37:25Dr. Murphy, close him up
37:48He's beating just fine on its own
37:49And I'll build a fire
37:51You fetch the water
37:53And I'll lay the tables
37:55And in our hearts
37:57We still pray for
37:58Sons and daughters
38:00And all those evenings
38:01Out in the garden
38:03Red, red wine
38:05It's quiet hours
38:07Turn into years
38:09And all those evenings
38:10Out in the garden
38:11Red, red wine
38:13It's quiet hours
38:15Turn into years
38:16There was a specimen cup in the OR
38:21Prior to your surgery
38:23It was supposed to be used for bullet removal
38:25But they left the bullet in the body
38:28And the cup was used accidentally for your specimen
38:32Not only was it in formalin
38:34But it was refrigerated and fresh as a daisy
38:38Elizabeth, you don't have cancer
38:39I have cancer
38:47Thank you
38:51Doctor
38:53And I'll build a fire
38:55You fetch the water
38:57And I'll lay the table
39:00And in our hearts
39:02We still pray for
39:04Sons and daughters
39:05Intangibles
39:09Intangibles
39:20Hello
39:22Hello
39:23I had a very good day today
39:24Yes, you did
39:25That was a hell of an operation
39:26Yes, and I caught Claire flirting
39:29With you?
39:30Sean, I think you might be mis-
39:31With Dr. Melendez
39:33Ah, Dr. Melendez
39:34I conducted observations
39:36Successfully interpreted them and logged them
39:38Romance in a spreadsheet
39:40I love it
39:42I was aware of the cues even when Claire wasn't
39:46I think she needs a life skills coach
39:48Extrapolating
39:50I like that too
39:51That's great, Sean
39:52You're paying attention
39:53You're learning
39:54And when we find you
39:56A life coach
39:57One with a fashion sense
39:58Then you're gonna be learning better
39:59You're gonna be learning faster
40:00You're gonna be learning faster
40:05Are you giving up on me?
40:08What?
40:09No
40:10I haven't given up on you
40:11I don't want a stranger helping me
40:13I don't want a stranger helping me
40:16I know, Sean, but
40:21And I can't
40:23I can't always be there
40:25I can't always help you
40:28The way you need to be helped
40:29The way you deserve to be helped
40:31I don't want a stranger helping me
40:32Thank you for helping me
40:46Congratulations
40:48You too
40:50On your mad sleuthing skills
40:51Something to fall back on
40:52If this surgery thing gets old
40:54You did a nice job, Claire
40:57Thanks
40:58And here is our price tag
41:00We've been served
41:02But we found it
41:03Elizabeth's fine
41:04I know
41:05But
41:06We put her through two days of hell
41:07And she wants to make sure
41:08It doesn't happen to anybody else
41:09I mean, good for her
41:14What is this?
41:16Gabriel's pacemaker
41:17I heard you were brilliant again today
41:22I got lucky
41:23Do you think Armin would kill me if I got a pet hedgehog?
41:31I mean, I read that they're actually pretty
41:33Leah?
41:34Yes? Sean?
41:36You look absurd in that sweater
41:45I have apples
41:47Do you want an apple?
41:48Do you want an apple?