أول 175 سطر.
You should be getting a raise.
You don't get a raise every time you do something well.
You did something very well and saved $1.75 million.
- I'll talk to Dr. Glassman about it. - No, you won't.
If any talking or anything else needs to be done,
I'm fully capable of handling that my...
Hey!
No, no, no, no, no, no, no, no, no.
Hey. Hey. That's my car.
You can pick it up at Tricky's Towing.
I'm picking it up right now because this is my car,
I'm allowed to park here, and you're a trespasser.
Any time after 1:00.
Shaun, tell him.
Mm, this is not your spot.
Oops. Someone told a lie.
I just got a spot last week, so it's kind of new to everyone.
So, yes, it is not my spot,
but that doesn't make it the wrong spot.
It'll be $250, cash or credit.
I'm not paying $250. I don't have $250 to waste on th...
If you get that raise...
- Shaun. -
Would you just stop for a minute?
Not once I start. That's not a law.
That's just some bull you bastards made up so you can do this.
$350.
Hostile work environment fee.
Jeffrey Williams. 21 years old years old.
When he was 5, he fell in love with baseball,
dreamt of playing with the Tigers.
By the time he was 8,
he was the best hitter in Little League.
Right, Jeff?
At 9, he led his team all the way to the Divisionals.
Pura vida, Dannie.
Retropulsion.
What?
Her thumb moved.
- What does that mean? Nothing.
If it happened, it's a normal response in dying muscles.
Or it could just be the result of hypoxia
or an electrolyte imbalance.
Or brain activity.
The E.E.G. showed no purposeful brain activity.
Hook her back up.
Elias, over the last 10 years, Dannie's had thousands of tests.
- If there was any chance... - Dr. Reznick, please. Now.
Ankylosing spondylitis.
Nasty little disease.
When Jeff was 10, the inflammation was so bad
the bones in his back started to fuse together
into one big, gnarly bone.
If you can't extend your back, you can't use your legs.
If you can't unwind your back, you can't use your arms.
Useless legs, useless arms.
Can't even fit into a standard wheelchair.
I've had breakfast in bed since I was 10.
And lunch.
And dinner.
Are you in a lot of pain?
Not compared to what it was.
I wish I'd met that rheumatologist
at the Baltimore Spine Clinic seven years earlier.
They didn't offer you surgery?
Well, I've... I've been to nine neurosurgeons,
and they all said that they couldn't fix me, so...
But thanks to Dr. Glassman,
my post-pretzel future's looking bright.
I wanna move out of long-term care,
study engineering,
go to Europe,
hell, go to a ballpark and see the game,
maybe with a girl.
I'd just love to be able to hug someone again.
I'm gonna need two residents to assist me
with...
With the surgery.
What were you doing 10 years ago?
That's how long it's been
since the aneurysm in her brain ruptured
and how long Elias has been visiting,
bringing her Peppermint Patties and hoping for that special day
she opens her eyes and says, "Hi, honey. Did I sleep in?"
And I had finally gotten him to give that up.
Give up hope?
Give up an impossible fantasy that has paralyzed his life.
He used to have a career, goals, a wife,
things he can have again if we let him move on.
And by "we," I mean you.
So you are gonna tell him that the twitch meant nothing.
But she has elevated levels of dopamine.
Which is a stress hormone, likely produced by the adrenal
when it was temporarily shut down.
But it's also a neurotransmitter in the brain
and may be associated with increased brain activity.
We need to do a SPECT C.T. of her brain and full body
with radiotracers to find the source of the dopamine.
You know about Elias, right?
The patient's husband who can't move on
and it's making everything worse?
Do you see an analogy here?
No.
No more tests, Shaun.
I'll ask Dr. Lim.
- I'm calling your bluff. - I don't know how to bluff.
Joint cuts are nearly perfect.
Nearly perfect leaves him with no feeling in his legs.
I kind of cracked the vertebral body.
But I got the rest right.
That is perfect.
Welcome to my team.
Textbook.
You followed the video demonstration exactly.
You didn't.
The third bone is the problem,
and you messed around with the first one.
Why?
My model was a bit more severe than the one in the demo,
so I thought a three-column reconstruction might be better.
Nice. Nice improv.
You're on my team.
I mapped out every screw placement,
osteotomy cut, rod contouring.
You know, I've been trying to figure out
why you're doing this.
I don't know. Change a kid's life?
Something like that.
I'm thinking you must be afraid.
- What? - Come on.
You've been impulsive ever since you recovered from cancer.
You quit surgery to start a clinic,
married my favorite barista after a few dates,
and I'm guessing none of it made you happy.
I'm sorry.
We barely talk to each other outside of the board meetings,
and now, all of a sudden, you can see into my soul?
I love my wife. I love my work.
Great.
And you still feel empty, don't you?
I'm thinking you're scared
something's missing from your life,
so you keep reaching.
You take on a case no other surgeon will touch.
As fascinating as all this is,
I don't think Jeffrey really cares all that much
- why we're doing the surgery. - He should.
Because your motives are affecting your ability
to properly assess whether that surgery is worth the risk.
Thank you for the input.
You were supposed to meet me for lunch at 12:15.
It's 12:23.
I'm not the first person Tricky has shafted.
He's earned his name.
I'm gathering every complaint I can find,
which I wouldn't be doing if you'd backed me up.
So no lunch.
Mm, are you mad at me?
When you're mad at me, you don't look at me.
Although, you are now, so maybe you're not.
I turned to my boyfriend for support,
and he hung me out to dry,
so let's just say I am disappointed.
I told the truth.
This isn't about honesty. This is about having my back.
We're a team now, Shaun, working together for a common goal.
And right now, our goal is to get my car back.
Then you need to pay $350.
I'm paying nothing. He is a pirate,
and I'm going to expose him to the world.
No increased dopamine-specific uptake.
It's not coming from the brain.
Which means it must've come from the adrenal glands
when we shut down their oxygen supply.
Move down to adrenals.
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