Skip to playerSkip to main contentSkip to footer
Show Movies TV
  • yesterday
The Good Doctor S01E14


#ShowMoviesTV


Transcript
00:00Good morning, Doc.
00:08Good morning, Kenny.
00:11Hey, hey, hey.
00:15Roseph, your cable's out.
00:21I don't have cable.
00:23I have a digital antenna.
00:25Why?
00:26Digital antennae receive superior picture and sound quality.
00:32And the channels are free.
00:34Yeah, but you only get, like, ten channels that way.
00:35I only watch three.
00:37You mind if I run a line of your tube?
00:40Cable guy can't fit me until next week.
00:43My ten channels are better than none.
00:46Yes, they are.
00:48All right. Gracias, amigo.
00:50No hay nada que agradecer.
00:52What?
00:56Dr. Resnick was orphaned once Dr. Coyle was transferred, so she'll be joining our team.
01:02Hi. I'm Claire. Nice to meet you.
01:05Are you the autistic one?
01:08No.
01:09That's me, Dr. Sean Murphy.
01:13We've got two pretty straightforward cases.
01:16Nice level playing field for an eager group.
01:19Not interested.
01:20Competition can foster teamwork, which can lead to a greater understanding and appreciation
01:25of residents' strengths and weaknesses, and improve patient care.
01:29You're playing the same game Glassman had us do when we were interns. Not interested.
01:32Winning team gets first dibs on assisting on all surgeries next week.
01:36In.
01:37Out.
01:44I pick the boy genius.
01:49That's you.
01:50Dr. Brown.
02:02Kalou.
02:03Dr. Resnick.
02:05I'm looking forward to it.
02:08I'm looking forward to it.
02:15Same mistakes as last time?
02:17Absolutely.
02:18Hi, Quinn. We hear you've had some stomach pain. Do you mind if we take a look?
02:26It doesn't hurt that bad.
02:28Poor thing says everything is okay, but when Quinny didn't want to go swimming today, I knew
02:33that something must be wrong.
02:36We'll be as gentle with her as possible.
02:40Quinn's parents are out of town, so I'm... I flew in to babysit.
02:45Okay, that's...
02:52That's a-
02:56Penis.
02:57She's not a girl. He's a boy.
03:03It's just a phase.
03:14saying that. I'm not a boy, I'm a girl. You're transgender? Yes. No, Quinn has XY chromosomes
03:20like Jared and me, not XX like you. Science says he's male. No, Quinn has gender dysphoria.
03:28Her assigned gender is not the one she identifies with. She's mismatched, Dr. Murphy. But
03:32biologically... Other than biologically, how do you know you're supposed to be a boy?
03:39Your question doesn't make sense. I'm not supposed to be anything. I am a boy.
03:44Biologically, that's it.
03:49Okay, deep tenderness at McBurney's Point. Could be acute appendicitis.
03:53Murphy, get imaging to confirm.
04:03Mr. Shaw, your chart says that you passed out in class. What do you teach?
04:07History. I got a little dizzy because I skipped breakfast. It's nothing. The school insisted
04:12on calling an ambulance.
04:14You've taken any medications in the last few months?
04:17I took some Vicodin after I threw out my back six weeks ago. And then I had a stomach flu,
04:24so I took ofloxacin. But the flu part didn't totally go away, so I took azithromycin and prednisone
04:31because my glands were swollen. But I still had a sore throat, so I took some Cipro.
04:38What doctor prescribed you all that?
04:40They were leftovers I had in my medicine cabinet.
04:43All right, lay back for me.
04:48Look, I'm a single dad with twins who bring home every disgusting germ they touch.
04:54Preschool, I can't afford to miss work.
04:57You've got a fever. And you've gone through two IVs, which tells me that you're severely
05:03dehydrated. And you can't stand me touching your stomach without wincing in pain. Dr. Resnick,
05:07let's get Mr. Shaw here in ultrasound.
05:11We've been trying for a while.
05:13Five months.
05:13I realize my prime egg days were two decades ago, but I've been vigilant.
05:17Ovulation kits, LH and FSH testing, basal body temp. I've checked my estradiol and AMH levels.
05:23The old-fashioned way wasn't working.
05:25Okay, well, there are a lot of possibilities to consider.
05:28Many benign. Many easily corrected.
05:31So I will take some samples from you both, run some tests, we go from there.
05:34There's a clock.
05:36We need to know if we start with IUI or IVF.
05:38Both of you, you need to stop worrying.
05:42Isabel, you are not the first 40-something woman to come here and ask these questions.
05:46Myself included.
05:48You came to me because you trust me, yes?
05:50Right, so let me do what I do, and you two focus on each other.
05:57Hey, we're a team, babe.
06:00In this together, all right?
06:02Okay.
06:03I'm afraid Howard, your appendix has already ruptured.
06:17We'll go to our stat in Paige Melendez.
06:19Wait, I need to figure out who's going to take care of my kids, call this school so they can get subs for my classes.
06:24Mr. Shah, if we don't get you into surgery now, your infection could spread and you could become septic.
06:28Dr. Brown will make all the necessary phone calls while I prep you for surgery.
06:32Isn't that so, Dr. Brown?
06:36You're in good hands, Mr. Shah.
06:37We've got you covered.
06:39Let's go.
06:39Hello.
06:49Do you wear dresses?
06:50Fee, don't.
06:53Quinn is a boy who thinks he's a girl.
06:56I want to know why he thinks that.
06:58Sometimes I wear dresses, but sometimes I wear leggings.
07:00Do you like the color pink?
07:03I'm more of a purple girl.
07:06Do you play with dolls?
07:07Since I was five, but I'm super into mermaids.
07:10Do you take dance?
07:11Murphy, 20 questions are up.
07:13I only asked four.
07:14Do you wear perfume?
07:15It doesn't matter.
07:15CT's ready, let's go.
07:16Do you always paint your nails?
07:17Let's go.
07:28Perforated appendixes out.
07:31Lavage or no lavage?
07:32Dr. Brown.
07:33Lavage before closing the wound decreases residual fluid accumulation and minimizes residual
07:39contamination.
07:40Claire's right.
07:41Although a recent study documented a higher abscess rate when irrigation was used for
07:44perforated appendicitis.
07:46Someone did their homework?
07:47I'm partial to AmSurge since they published me.
07:51As a medical student?
07:52It was about the cost and stabilization of disease in patients undergoing transcatheter
07:56and surgical erotic valve replacement.
07:58Are you thinking of specializing in cardiothoracic?
08:00A girl can dream.
08:01Staple up and close up.
08:04It's good to have you on board, Morgan.
08:10It's great to have another female surgeon.
08:15Oh, uh, I'm sorry.
08:17You and I are not going to be friends at hanging out, having sleepovers, braiding each other's
08:22hair.
08:22That's not exactly where I was going with it.
08:26When residency's over, the hospital's likely only keeping two of us.
08:29Sean has Glassman's vet project, so he's in.
08:32Jared has persona non grata, so he's out.
08:33Which means every time you win, I lose.
08:36And vice versa.
08:41Thanks for the heads up.
08:53Do you think he's complicated or confused?
08:57Dude, you've got to quit calling her a he.
09:01We're never going to win this competition if you're disrespecting our patient.
09:04Don't they have transgender people in Wyoming?
09:06Okay.
09:07Transgender patient care was not part of my medical school curriculum.
09:12Was it part of yours?
09:15No.
09:15Quinn doesn't have appendicitis.
09:24He has testicular cancer.
09:30She.
09:35We found a mass on Quinn's left testicle.
09:38She has cancer, but...
09:39Am I going to die?
09:40No, no.
09:41Prognosis is very good.
09:42We've caught it before it's spread, and we'll do surgery on the mass to remove it.
09:46The CT also showed he has osteopenia.
09:49Murphy, stop with the he.
09:52Um, Quinny, it's your mom.
09:55I have to...
09:56Of course.
10:01Osteopenia, that's low bone density, right?
10:03Yeah.
10:04How'd you know that?
10:05Do you know how I got cancer?
10:07There are several possible causes, but I would...
10:09Mycrolithiasis, mumps, hypospadiasis...
10:11Intrepithelial, germ cell, neoplasia, inguinal hernia, HIV...
10:15Murphy?
10:16Enough.
10:18Your parents are on their way here.
10:20They just told me...
10:22Quinn, are you on puberty blockers?
10:27That's the likely cause of the osteopenia.
10:29Are you taking leproilin or histaline?
10:31I've been on leproilin for nine months.
10:34Why didn't you say anything earlier?
10:36Because my parents didn't want my grandma to know.
10:38It looks like he has an abscess.
10:45You have an infection.
10:46We'll drain it, put you on antibiotics.
10:48It's nothing to worry about.
10:49It just means you might be in the hospital a couple extra nights.
10:52I can't spend a couple of extra nights.
10:54I need to get out of here.
10:55Are you worried about your kids?
10:57Well, they're with my sister.
10:59They're safe, but they've never spent a night without me since they were born.
11:02Well, then consider this a blessing.
11:04A free vacation from your kids.
11:06They're my life.
11:11My wife died of ovarian cancer last year.
11:18I hate hospitals.
11:21I'm so sorry.
11:22Why don't I find a laptop so you can Skype with them?
11:28And I'll rustle up a couple of toy bears from Peds for you to take home.
11:36I want to reassure you that the puberty blockers are in no way responsible for causing cancer.
11:42The leproilin did cause your osteopenia.
11:44Does this mean I have to stop taking puberty blockers?
11:47Yes.
11:48We'll get you on dietary supplements to help regain your bone strength.
11:50But the puberty blockers are hurting you.
11:52You'll be fine without them.
11:54Fine?
11:56I don't want an Adam's apple or a deep voice or hair all over my body.
12:01You can't reverse that, can you?
12:03No.
12:04I'm afraid not.
12:14Girls have body hair too.
12:17Toy bears?
12:26Skype with kids?
12:27You've got game.
12:30Game?
12:31I don't believe the name for what I did is basic human decency.
12:35Everyone has an agenda.
12:37Sometimes it's conscious, sometimes it's not, but it's always there.
12:41And you've got this whole queen of kindness thing down pat.
12:44Awfully cynical for someone so young.
12:46I'm not cynical, just the reality of how the world works.
12:50It's Howard.
12:52Spike to fever.
12:54Tempts 105.
12:55BP's tanking 80 over 40.
12:56He's sold the sheets.
12:57Sites clean.
12:58Infections should be clearing by now.
13:00What's going on?
13:01I don't know.
13:01Paige Melendez.
13:02Give me 500 milligrams of acetaminophen, 2 grams of meropenem, IV infusion empirically.
13:06Run a full chem panel, CBC, and get cultures ASAP.
13:08Hey, hang in there, Howard.
13:11I'm going to figure this out.
13:20Any word on Quinn Darby's laps?
13:22Big backup today.
13:23Nothing much I can do.
13:24Text you when they're ready?
13:25Yeah.
13:26Hey, Gus.
13:29I saw raspberry and rose petal donuts in the cafeteria today.
13:32Got you the last one.
13:34You remembered.
13:38Howard Shaw's laps.
13:39I put a rush on them for you.
13:40You're the best.
13:43Why did you give Gus a donut?
13:47I was being nice.
13:49I needed my patients' labs expedited.
13:51Gus likes donuts.
13:52That's cool bribery.
13:53I call it basic human decency.
13:56See you later.
14:03Howard has a superbug.
14:06A C. diff infection?
14:07It's resistant to all medication.
14:13Quinn's pre-op labs are normal, so we can do the surgery first thing in the morning.
14:16The procedure is called a radical inguinal orchiectomy.
14:20It's radical in that the entire cancerous testicle is removed.
14:25All functionality will remain the same.
14:27Quinn should be able to resume her normal activities in one or two weeks.
14:30See?
14:31Baby, that's good news.
14:32No, not really.
14:33Without the puberty blockers, there'll be the freaking ballet with a mustache.
14:37Aren't there any other options?
14:39I wish there were.
14:40If we do a bilateral orchiectomy, Quinn will have the testosterone level of a girl.
14:45We are not removing both testicles.
14:47You want to castrate my grandson?
14:49No!
14:51I'm so sorry for Dr. Murphy's outburst.
14:54I'm going to have gender confirmation surgery when I'm 18 anyway.
14:58Why not just do it now?
15:02Quinn is a child who still plays dress-up and make-believe.
15:08He may want to have children of his own someday.
15:10Ew.
15:12We'll give you some privacy.
15:14I will not allow you to...
15:21It's not up to you.
15:24You are making me doubt the wisdom of drafting you, Murphy.
15:27If you go around saying inflammatory things to people, it will only upset them.
15:30How will I know if I said something inflammatory until I say it?
15:35Test it on Kalou first.
15:37Which you can do while the two of you prep an SDA for this case.
15:42An SDA?
15:42A shared decision aid is a paper presenting the pros and cons of making the difference.
15:47I know what it is, Murphy.
15:48But why am I being punished?
15:50It's not a punishment.
15:51It's necessary.
15:51It'll help Quinn's family understand all the options available to them for her care.
15:55Understood?
15:57Understood.
15:58The soul culture and sensitivity tests indicate that you're resistant to every antibiotic.
16:06Which only happens when you've been exposed to every antibiotic.
16:08I...
16:09I did this to myself?
16:13But I've used those medications before without a problem.
16:16Why did this happen now?
16:19You weren't under a doctor's care.
16:21So you were likely taking the wrong medication for the wrong symptoms.
16:24But you can fix this, right?
16:25We're going to have to perform a colostomy where we attach an ostomy pouching system to your abdomen to collect waste from your body.
16:33For how long?
16:34With the level of damage we're seeing throughout the colon indefinitely.
16:40I'm so sorry, Howard.
16:50I don't understand why you'd suggest a bilateral orchiectomy when you don't even believe Quinn's a girl.
16:54I was answering Dr. Lim's question.
16:58She said there were no other options, but I found one.
17:01And now we're here.
17:03Yes.
17:05You're actually enjoying this scut work, aren't you?
17:07Yes, we are being helpful.
17:11We're not doing this to be helpful, Murphy.
17:13We're doing this because you pissed off Lim and I'm collateral damage.
17:16We're still being helpful.
17:24It doesn't matter.
17:26It doesn't matter.
17:27Competition's over.
17:28Is it?
17:30We're in here not with a patient.
17:32No FaceTime plus you calling her.
17:33He equals crappy survey scores.
17:35It's okay.
17:36It's a game.
17:37It's not important.
17:38It is to me.
17:39I'm a pariah.
17:46These scores are part of our resident evaluation.
17:48Our jobs depend on them.
17:50Mine does at least.
17:57Then we should do this scut work very well.
18:01Finola called.
18:14She found an irregularity with one of the tests, but wants to rerun it to be sure.
18:18Okay, so we wait until she reruns it.
18:22Marcus, we're both doctors.
18:25The results aren't going to change.
18:26I waited too long.
18:34It's all my fault.
18:39This is the part where you say, no, babe, it isn't.
18:42You had goals.
18:44Other priorities.
18:46You said you supported my career choices, just like I supported yours.
18:50I do support you always.
18:51And I am so proud of you, but it came at a cost that we both knew was possible.
18:58We should have started trying sooner.
19:00When?
19:01When you were 3,000 miles away teaching at Dartmouth, or what when you were chasing down head of surgery?
19:06I would have figured it out.
19:07Figuring it out would have meant me and a nanny raising a baby.
19:09I didn't want that.
19:10I tried to bring it up four years ago, but you wanted to get your practice up and running.
19:13A baby didn't fit in that picture either.
19:15It is not the same.
19:16How many pregnant women get hired for anything?
19:18And when they find out a woman's got a child at home, suddenly it's all, who's going to take care of the baby?
19:23No one asks men that question.
19:24Well, none of it matters now.
19:27Right?
19:28Because it's probably too late.
19:29And I knew it.
19:30I knew this was going to happen.
19:33You've been stewing over this.
19:36Resenting me.
19:37For how long?
19:38I don't resent you, Iz.
19:40But, you know, if you want me to sit here and tell you that it's not your fault, I can't do that.
19:48I'm sorry.
19:56I love you, my friend!
19:58I love you, my friend.
20:28So what kind of doctor are you?
20:32I'm a surgeon.
20:34A surgeon?
20:35Your stuff doesn't say surgeon, does it?
20:38It's like Selena and Justin.
20:42Doesn't really go together.
20:45Furniture's from like a dozen different places.
20:47Fourteen.
20:49Fourteen.
20:50The people in Casper knew I didn't have any money,
20:53so they gave me things to make a home.
20:55The bookshelf is from Jennifer, the town librarian.
21:00My table and chairs are from Mr. Grady's diner.
21:03The lamp is from Cheryl, who teaches Sunday school at Highland Church.
21:07Dr. Glassman, he got me my bed.
21:09Well, you don't have to tell me the whole list, but...
21:13Okay.
21:15Yes.
21:16Everything I have works.
21:17There is no need to change it.
21:20Respect.
21:25Hi.
21:40Hi.
21:41I'm Dr. Glassman.
21:43Hi.
21:43I'm the president of the hospital.
21:45Is everything okay?
21:46Sit down.
21:46There has been no change in Quinn's condition.
21:52However, her grandmother has made a claim of child abuse
21:56against you and your husband.
22:00She's claiming that putting Quinn on puberty blockers,
22:04and these are her words,
22:06making her think that being trans is okay
22:09as a form of emotional and physical abuse.
22:16Now, just to be clear,
22:18we don't believe any of these allegations have any merit whatsoever.
22:21I know my mom.
22:22Okay, she's not going to drop this.
22:24She'll go to court.
22:25Could she get custody?
22:27Well, she could try.
22:28But, uh, Dr. Lim would testify.
22:30They could put her in a foster home.
22:34Why?
22:34Ty, she won't make it.
22:36If we let Quinn do the surgery she wants now,
22:39it'll all be over.
22:41There'll be no reason for Ruth to fight us.
22:49Do what Quinn wants.
22:51Do the bilateral surgery.
23:00There is an issue.
23:04Your test confirmed abnormalities in the semen parameters.
23:12I beg your pardon?
23:13The semen analysis.
23:14It showed that you have a low sperm count and low motility.
23:18It's my fault.
23:20No.
23:20We do not speak in terms of fault.
23:25Fifteen percent of all couples struggle with infertility,
23:27and of those, fifty percent have a male factor component.
23:32It's not great news, but it's not a dead end.
23:35So what's the next step?
23:36I'm going to refer you to Dr. Arjun Dillon.
23:39He's an excellent urologist,
23:40and he'll give Marcus a full physical,
23:43do some blood work, and an ultrasound.
23:45It can't be right.
23:46Marcus.
23:47It can't be right.
23:47Marcus, we got this.
23:50Okay?
23:50We're going to get through this together.
23:57Hey.
24:00Hey.
24:01Why didn't you tell me Howard's labs came back?
24:03I should have been there when you broke the bad news to him.
24:05So Melinda's gets you a touching bedside manner?
24:08It doesn't matter anyway.
24:09Oh, it doesn't?
24:10How the hell not?
24:13Poor guy's getting a colostomy.
24:14There's no way we're winning this competition.
24:18You really have no sympathy for what Howard's going through.
24:21It's a major bummer, no doubt.
24:23But we don't have time to get emotionally invested in every patient that we treat.
24:26Our job is to go in, do the surgery, and get out.
24:29Afterwards, his poop, someone else's poop, it's not our problem.
24:36Hey, wait.
24:38What if we could get Howard a fecal microbiota transplant?
24:42FMT for a surgical case?
24:44Theoretically, we transfer healthy feces to him,
24:46restores good flora to the body,
24:48kills off the CDI,
24:49and he avoids surgery altogether.
24:52We could actually win this thing.
24:54I'm going to pull all the research before pitching it to Melinda's.
25:01This meeting is called
25:03Challenging Patient Consultation Process.
25:06The name sucks, but there are things about it I do like.
25:09All you've got to do is talk and listen and try to understand each other.
25:16What's to understand?
25:17Ruth accused us of being child abusers.
25:19And what's to discuss?
25:21We are Quinn's parents.
25:22We get to make her medical decisions.
25:24What if Quinn is better off as a boy?
25:25You have no idea what Quinn has been through.
25:29Every kid goes through rough patches.
25:32Every kid is confused.
25:33Quinn has always told us exactly who she was ever since she was 30.
25:36So you let Quinn play with dolls.
25:38Big deal.
25:39You don't make life-altering decisions because a child wants to be a princess.
25:48We used to let Quinn do whatever she wanted at home.
25:52But when she went out in public, we made her present as a boy.
25:56It felt false to her.
26:00She hated it.
26:02She hated herself.
26:03She became reclusive, depressed.
26:07And then a year ago, Quinn tried to kill herself.
26:16Sorry I'm late.
26:17Howard might not need the colostomy if we give him a fecal microbiota transplant.
26:35Hasn't the FDA gone back and forth on that?
26:37We could be introducing new bacteria into a system that could kill him.
26:40Likelihood of that is low.
26:42But not zero.
26:42But if we do the colostomy, we may not really be helping him.
26:46Fifteen to thirty percent of patients get recurrent CDI after the initial bout.
26:50That's a good point.
26:51I believe sixty-five percent of the time, recurrent CDI becomes chronic,
26:54which can lead to repeated hospitalizations and death.
26:59Are my numbers right, Claire?
27:00Yes, but recent studies show better than a ninety-five percent success rate with FMTs.
27:09Howard is a good candidate.
27:10We should try it before he develops a toxic megacolon.
27:13Don't we owe it to him?
27:14His twins.
27:15To at least try an experimental treatment before doing an invasive surgery,
27:19which will alter his life forever.
27:21You're right.
27:22Prep him for the procedure.
27:24I appreciate your passionate advocacy for your patient.
27:27Good work.
27:27Both of you.
27:30Oh, now you're a team player.
27:33When it benefits me, yes.
27:35Speaking of which, while you were doing your research,
27:38I found Howard a match at the stool bank.
27:39Sample arrives in a couple hours.
27:41Great.
27:41I let them know you'd be the designated doctor
27:43to handle the medical chain of custody when the sample arrives.
27:47So?
27:48So, you're the only person who can handle the sample.
27:51You'll have to dilute it, blend it, strain it all on your own.
27:53To safeguard against cross-contamination, of course.
27:56Of course.
27:57Your temperature and BP are normal.
28:09Normal.
28:10Whatever that means.
28:11Typical?
28:13Usual?
28:15Expected?
28:16Yeah, I don't feel like any of those things.
28:19What does it feel like to be a girl?
28:21Are you angry?
28:27Was that an inflammatory question?
28:29I'd rather people ask questions instead of pointing and staring.
28:32When I used to look like a boy, I felt different.
28:40The kids at school didn't understand me, so they picked on me.
28:44I spent a lot of time alone.
28:47When my parents let me be me, I felt like I didn't have to pretend anymore.
28:54I felt free, like, when you're in a pool and you just let go and float.
29:05I'm not a very good swimmer.
29:07I don't know what it feels like to be anyone but me.
29:24Me too.
29:28Is the bilateral more risky than the unilateral surgery?
29:32The big issue with the bilateral is Quinn will never be able to have biological children.
29:37If Quinn's parents think that Quinn's mature enough and strong enough in her beliefs, then they should do it now.
29:42It's an elective surgery on a child.
29:45There is no medical necessity.
29:47Except with a previous suicide attempt, she's still at risk.
29:50Her situation is different now.
29:51She's socially transitioned and living as a girl.
29:54But there just isn't enough good data on trans kids and their outcomes.
29:58On the other hand, there's very good reason to preserve future fertility.
30:02Dr. Lam and Dr. Andrews are both very excellent surgeons, and they very clearly have some passionate points of view, but their views are their own.
30:10You all need to decide what's best for Quinn.
30:14Whatever we decide, Quinn is still going to be a girl.
30:21I don't know if I'll ever be able to accept that.
30:25I know that makes me sound horrible.
30:28I know what it's like to not put your family first.
30:32And it cost me.
30:34It cost me a great deal.
30:38And if I had to do it all over again, I'd ask myself, is it really worth sacrificing a life with someone I love?
30:47Over an idea that may never be?
30:50Why don't we give them the room?
31:06Hey, I've got the page.
31:07What's going on?
31:08She started screaming in pain and vomiting.
31:10Temps 104.
31:11Increased groin pain could be attributed to epididymitis, kidney stones, inguinal hernia.
31:16The extra weight of the tumor could be causing the testicle to twist on itself.
31:19There'd be no blood flow.
31:23She has a testicular torsion.
31:29She needs surgery now.
31:39Excuse me.
31:39Have you made a decision?
31:41Not yet.
31:42I mean, there's a lot to...
31:43We need one now.
31:44Quinn has testicular torsion.
31:46The spermatic cord is twisted and cutting off blood supply.
31:49We need to operate.
31:53If you want Quinn to live the way she wants, don't limit her future now.
32:01You heard her when my mom said she might want kids someday.
32:04She can't even fathom the thought because she's just a child.
32:08Just do what's medically necessary.
32:24There doesn't appear to be any palpable lymphadenopathy.
32:29It's likely a stromal tumor, but get that to pathology right away.
32:32Yes, sir.
32:38Quinn has tachycardia and hypotension.
32:42Not seeing any bleeding.
32:43Beakage is normal.
32:44It's not coronary.
32:45CO2 and O2 are normal, so it's not a PE.
32:47It must be a reaction to the anesthesia.
32:49I'm already pushing fluids and basal constrictors.
32:59Six syringes in and no sign of leakage.
33:02Okay, we're wrapped up here.
33:04Let's get Howard into recovery.
33:05Well done.
33:06Thanks.
33:06I was thinking of writing up the procedure.
33:10Possibly submit it for publication.
33:12I'd be happy to assist, seeing as I've done it before.
33:16Thanks, but I think I can...
33:17I read your paper in AmSearch, Dr. Resnick.
33:19You continue to impress.
33:21Coming from you, I take that as a huge compliment.
33:25When you get a chance, Dr. Brown, you should read it.
33:29Will do.
33:29I've given vasopressors and reduced her meds as much as I can.
33:41She's losing volume somewhere.
33:43It was dry when we ligated the spermatic cord, until not seeing the bleed.
33:46Could be vagal stimulation from the severed nerve.
33:49She's not responding to epi.
33:50Sepsis?
33:51Too early for an infection.
33:52Her map is 20.
33:55She's barely perfusing.
33:57Okay.
33:57Come on.
33:57Come on.
34:00Okay.
34:00Excuse me, guys.
34:01You're breaking scrum.
34:02I'm so sorry.
34:04Great turn to sign.
34:06Could be a retroperitoneal hemorrhage.
34:07Jared could be right.
34:21It is possible that there is internal bleeding.
34:25The testicular artery can retract up into the pelvis.
34:28It's rare, but it can happen.
34:31Rare is an understatement.
34:32Dr. Andrews?
34:33I don't think we have any other choice.
34:37You need to do an X-lap 10 blade?
34:48Murphy retract.
34:58Internal bleeding.
35:00Jared was right.
35:03Nice call, Dr. Kalou.
35:04Thank you, sir.
35:06Kalou, suction.
35:07We need a clear view of the field.
35:15Fevers down, and the flora in your system seems to be returning to normal.
35:19We expect a full recovery.
35:21Thank you for everything.
35:23Do you know when I can have visitors?
35:25I thought you might ask that question.
35:27There are a couple of eager preschoolers who'd like to say hi.
35:30Oh, Kira, Sammy.
35:34Oh, I think you guys have grown.
35:39Hey, these are the doctors that saved Daddy.
35:42Dr. Resnick, and this is, uh, I'm sorry, I forgot your name.
35:48Dr. Brown.
35:50You're welcome.
36:01Who's this guy?
36:02Beaver.
36:02Beaver.
36:03Beaver.
36:03Did you do it?
36:13Did you remove both?
36:16No.
36:17Just the cancerous one.
36:18Why?
36:19Why not?
36:22That's on me.
36:23I couldn't, in good conscience, remove a healthy organ.
36:25Quinny, this was our decision.
36:33No, you said you were on my side.
36:35Hey, we are.
36:37Always.
36:38We haven't had enough time to talk.
36:40With each other.
36:41With your therapist.
36:42With your doctors.
36:43So I'm going to turn into a boy?
36:46Not right away.
36:47Your endocrinologist will talk to you about the right timeline for starting feminizing hormones.
36:51You know, the thought of having your own kids someday is a big decision, but you never
37:02know what you will or will not want once you get older.
37:05Cis people are always so worked up about having bio kids.
37:08If I really want a kid that bad, I can just adopt.
37:14You know, I'll be back when I'm 18 for my gender confirmation surgery.
37:18And when you do, I'll be here to help you.
37:30Patient satisfaction survey scores are in, and it was very close.
37:34Not really.
37:34She's being kind.
37:36Congratulations go to Dr. Resnick and Dr. Brown.
37:39Yes.
37:43Congratulations.
37:44Thank you, Sean.
37:45Claire and I make a nice team.
37:47Should we psyched?
37:52Yeah.
37:53They should be.
37:56To the victor belong the spoils.
38:00Yep.
38:01Oh, humility was never your strong suit.
38:05Thank you, Mortimer.
38:07Don't spend it all in one place.
38:10Spend it?
38:11I'm going to frame it.
38:12What made you think of a retroperitoneal hemorrhage?
38:17I work.
38:18You're right.
38:19Prepping for an SDA was important.
38:21We make a good team.
38:26Quinn doesn't like pink.
38:29Oh.
38:29Uh, I think she will like this.
38:33I hope so.
38:37She's more of a purple girl.
38:47Did you read Morgan's Amsterge article yet?
38:49It is on the top of my to-do list.
38:53I didn't tell you to read it to rub it in.
38:58I told you to read it so you knew what you'd be up against.
39:00You think I need to be more cutthroat?
39:02No.
39:03That's Morgan's MO.
39:04You're different.
39:05You're smart.
39:06Special.
39:08Rise up.
39:09Play the game on your own terms.
39:10Don't wait for it.
39:12A year from now
39:15We'll all be gone
39:18All our friends will move away
39:22And they're going to better places
39:28But our friends will be gone away
39:33I heard you saved Quinn's life
39:42Jared and I did
39:45I like her
39:47Her?
39:51You get that she is a she
39:53I have lots of questions
39:57Yeah, well, questions are good
39:59Leads to awareness and understanding
40:02And who knows
40:04Maybe even acceptance
40:05Being a kid is tough enough
40:09But being a trans kid
40:10Oh man, that's
40:10That's off the chart
40:12I can't imagine how
40:16It must feel to be so
40:18Different on the outside
40:21Than you are on the inside
40:22Hey, Sean
40:30I can give you a lift
40:32We could grab a bite
40:35You said you can't be my friend
40:39So no thank you
40:42Okay
40:49Hey, amigo
40:58What's up?
40:59I need your help
41:00Rivers and roads
41:06Rivers and roads
41:09Rivers till I reach you
41:13Rivers and roads
41:14Rivers and roads
41:17Oh, rivers and roads
41:20Oh, rivers till I reach you
41:24Oh, rivers and roads
41:31Rivers till I reach you
41:34You're not gonna do any laughs or nothing?
41:49No
41:50Then what are you doing?
41:57Understanding
41:58Rivers and roads
42:07Rivers and roads
42:09Rivers till I reach you
42:12Rivers and roads
42:13Rivers till I reach you
42:13Rivers till I reach you
42:14Rivers till I reach you
42:14Rivers till I reach you
42:15Rivers till I reach you
42:15Rivers till I reach you
42:16Rivers till I reach you
42:17Rivers till I reach you
42:18Rivers till I reach you
42:19Rivers till I reach you
42:20Rivers till I reach you
42:21Rivers till I reach you
42:22Rivers till I reach you