The Good Doctor

I Couldn't Sleep.

We should start taking your blood pressure every day.

This is very sweet and responsible.

Yes, I am going to try to be extra responsible now.

Yeah.

W-We... We have to talk about what we... want to do.

I love you.

I want a child.

So I want this child.

I love you, too.

And I do want kids, but it's complicated.

Is this the right btime in my career?

In our relationship?

Am I too young?

Can we afford this?

Am I willing to make this commitment right now?

We can start depositing money

into a shared account for expenses,

and I can talk to Dr. Glassman about hiring you an assistant

to help with your workload

Shaun, just slow down.

I-I don't need you to answer these questions now.

I just need to... think.

To figure out what to do.

And you do, too.

Dr. Chambers, I'd like you to meet a few of our residents.

This is Doctor... I know that I'm old,

but I can still read name tags.

Dr. Chambers, you startedn experiencing aches

in your right hand a month ago?

Then tremors, weakness, spasms.

Had to drop out in the middle of a bowel resection last Friday.

I sent you a videon nof the surgery.

Given your symptoms, it seems that carpal tunnel...

Oh, it "seems."

Well,then, problem solved.

I'll be on my way.

Sir, can I just saynnthat the documentary

on your work in Haitinnchanged my life.

It's the reason why I went into...

If you want to suck up to me, call me "doctor," not "sir."

And this is a hospital, not Coachella.

If you can't wear nsomething appropriate,

at least try something that fits.

Rule out autoimmune disorders, hypothyroidism,

diabetes, amyloidosis, MS, and multiple myeloma.

Then we'll get back to carpal tunnel.

Alright.

If you have any other questions or concerns,

please don't hesitate...

Twelve.

First, I prefer blankets not made of sandpaper.

Second, dim these damn lights.

This isn't some San Fernando Valley porn shoot.

Third... If you made a list,

you don't need to tell us.

He's had the pain for nine months now.

And it's on both sides?

Mm-hmm. Sometimes his forehead,

other times his cheeks, his nose.

And it's persisting through very high doses of hydrocodone.

Yeah, obviously, the drugs don't work.

It's why I'm here.

Oscar.

It's a fair question.

Look, I'm sorry.

Okay, I've been to six doctors now.

I can't work.

I mean, I-I c... I can't even kiss my wife.

I can hardly smile.

I'm just gonna lightly brush your cheek.

Okay.

Please... help me.

I've been on the phone for like an hour

with the cable company...

Lea's pregnant.

You want to have...

Yes.

Wow.

I'm glad you're happy.

Um, do you have any concerns?

Yes.

Sleep deprivation.

But I have started looking into an affordable night nurse.

Well, there's gonna be some bigger issues.

I mean, this is a...

This is a gigantic moment for anyone,

especially... Especially for you.

You mean

because of my ASD?

Yeah, because of your ASD.

Because of your family.

Your job.

I mean...

A million things.

I don't want to tell you what... what to

I mean, I don't even know what I...

Having a child

changes everything.

Nasal cavity's clear.

There's no abscess, facial tumor, or sinusitis.

It could be acoustic neuroma.

Without any hearing loss?

Let's do an MRI to check.

We've run eight negative tests already.

We don't need a ninth.

We do the tests till we know what he has.

It's fibromyalgia.

So, your diagnosis for his pain

is "pain that no one can explain"?

Well done. Some pain's unavoidable.

When I was competing in Tae Kwon Do,

they taught us to adjust our relationship to it,

learn to tolerate it.

It can make you stronger.

Wow. That statement has the absolute ideal ratio

of heartlessness, humble-bragging, and machismo.

Bravo.

Seriously? You're pleased with that?

"Machismo," Spanish, "bravo"'s Italian.

And "humble-bragging"'s 2011.

We can do better, don't you think?

Maybe we're not finding anything because it's psychological?

Some kind of conversion disorder?

You do the MRI.

I'll talk to the wife.

Negative for endocrine issues.

He's got a history of moderate carotid stenosis.

If enough plaque builds up,

starves the brain of oxygen,

maybe could cause the hand problems.

If it got that bad, we'd have already seen signs of a stroke.

Anyone else annoyed that we're wasting

all these resources to confirm what's clearly carpal tunnel?

He may be a jerk, but he's a great doctor.

If Silas Chambers has a medical opinion,

we better check it out.

I didn't think he was a jerk.

Dr. Andrews and Dr. Lim also criticize us

and have particular demands.

Yeah. They want us to improve.

How do you know Dr. Chambers doesn't?

He did improve Enrique.

Not kidding.

You look snazzy.

I know what Dr. Chambers has.

We're having trouble finding a physical basis

for your husband's pain.

And you defended me when I asked him

about painkillers earlier.

A few years ago, Oscar was on a job site.

Working crazy hours.

He was exhausted.

He shot himself with a... with a nail gun.

Right through his palm.

We didn't have insurance,

so we went to this clinic, and, um...

Opioids?

Really bad.

Took a year for him to kick.

Now, um... he's taking more pills than ever.

Whenever I talk to him about getting help,

he just gets mad.

I, uh

I had to move out last week.

I'm only here because he asked me to.

I think he's faking.

You threw 113 sutures in your last day of surgery.

In at least half, I detected a very subtle tremor.

Congratulations on discovering a symptom I told you about.

It occurs during the part of your stitch

when the wrist is straight, not when it's bent.

That is not carpal tunnel.

It is musician's dystonia.

My wrist flexes on every suture.

You're talking about a difference of milliseconds.

Yes, he is.

Your condition was probably caused

by your repetitive technique.

Even Dr. Andrews throws sutures in varied ways.

You never do. This kind of obsessive behavior

is common for those with autism.

So, I can refer...

What did you just say?

I'm not autistic.

Dr. Murphy didn't mean any offense.

He himself is on the spectrum.

Oh, is he?

I thought his robotic voice and hand clasping

were just charming affectations.

Do you really think I am anything like him?

I'm not saying that

I am.

You're extremely organized.

You hardly make eye contact.

And given your problems with food, blankets,

and lighting, plus the fact you wear headphones even in surgery,

you clearly have sensory issues.

I'm organized.

Would you rather I show up in the O.R. and just wing it?