The Good Doctor

After six open houses,

I'm sure that "fixer-upper" means decrepit.

Part of the fun is imagining what something could be.

It could be expensive, and messy and loud and even dangerous.

Do your thing with the real estate agent. I'll go wander.

Hi. Tori Vargas.

- Any questions? - Yes.

I have many, about school districts,

drought tolerant landscaping, seismic retrofitting...

Someone came prepared. Does that include loan pre-approval?

If not, I can help.

No, going to open houses out of our price range is our new hobby.

Sometimes there's cookies.

How fun! Excuse me for just a sec.

Hi, there.

I grew up with a reading nook just like this one.

I'd lay in a pile of pillows, watch the falling snow.

That sounds uncomfortable.

A lot of the work is just cosmetic.

I could do most of it myself, make it a perfect home.

These window frames are just painted shut, but all you have to do is…

- Damn it. - See?

Dangerous.

Forks and knives?

Hands only. Don't drown my shao bing in hot sauce.

Yes, ma'am.

A scallion omelet in sesame flatbread.

Did I forget an anniversary?

This is a thank you for planning our first road trip.

I'm planning more.

I can't wait to head south on PCH.

The last trip was a solo one on my Ducati.

Hold on. You're a biker chick?

Was. In another life.

You miss it, the other life?

Motorcycles are too dangerous. You could end up paralyzed.

Nice deflection.

I didn't know you in the other life. I like this one.

Still feel that way if I get hot sauce?

- We haven't had a chance to talk... - You kissing me.

Thereby crossing the line you said we shouldn't cross,

right as I was headed on a date.

- How did that go? - Great.

I barely heard a word he said

because the whole time, I was thinking about our kiss.

It was amazing.

Yes, it was.

Look, I like you, but I need some clarity here.

Okay.

Let me be clear.

How about I make you dinner tomorrow at my place

and talk about where we're headed?

Sounds good.

It's a date, then?

A date.

Good morning, Dr. Lim. Did Clay stay over last night?

- He did. - Excellent.

You're likely in a good mood and amenable because of the sex.

Amenable to what?

I think you will like it.

There was movement, flexion and lateral rotation,

which means that there was engagement with the psoas and the glutes,

and I saw it twice.

Signals are getting through to your spinal column.

This deformity is not just scar tissue, it's a compressive syrinx.

We enter from myelotomy, drain the fluid, after we detether your cord.

- I could… - You could walk again.

Audrey, this approach is much safer than the one we discussed last time.

I need time to think it over.

Of course.

Okay, today is the first day I will be implementing my new system.

I'm sure you agree it is a major improvement.

Don't know what you're talking about.

My new rating system for first-year residents?

I emailed you multiple drafts. You never responded.

Once all the data is in, I will share the completed version.

Can't wait.

When I asked where you worked, I didn't mean a challenge.

Had to get you on the mat to see if you exaggerated.

I'm not a fan of walks on the beach.

- Sunsets are overrated. - All right.

Nice.

What happens on the third date?

Lily?

Lily.

You okay?

My new system has over 50 metrics that go into your scores.

Everything will be assessed.

Everything? Could you be specific?

- No. - Is it a head-to-head competition?

It's to make you aware of your strengths and weaknesses.

Residents with more strengths are likely to get a full residency.

Hi, Teddy. Dr. Powell. What happened to your head?

I smacked myself with a 20-pound kettlebell.

Kettlebell injuries are common.

My gym has a printout of ten ways you can hurt yourself.

- Did you witness the accident? - Yeah, I'm there for workouts.

So you're his trainer?

- His brother. - My baby brother.

He's got a real knack for making me suffer.

All right. We're gonna run a full concussion protocol,

get a CT as precaution.

Not until we take care of this gash.

You're also experiencing abdominal pain.

Did that pain start before or after you hit your head?

Kind of simultaneous?

Mind lifting your shirt?

You've recently lost weight.

- Seventy pounds. - In five months.

Getting that summer beach bod.

Keeping the T-shirt on for now.

Mind if we laid you back to get a better look?

Got a lump, an inguinal hernia. It's non-reducible.

I think it's also strangulated.

Dr. Perez is right.

The blood flow to your herniated intestine is cut off. You need surgery.

Okay.

This is Lily, 37. Dizziness, epistaxis, purulent nasal discharge.

Let's get full labs and blood cultures.

I guess the upside of dating a doctor is no waiting in the ER.

I dated a guy at the DMV for that very reason.

- Do you have history of nosebleeds? - Yes.

Part of my perpetual sinus infection. Been on and off antibiotics for a year.

I figured it's because I teach kung fu to kids.

Adorable. Do you feel any sinus pressure? Also, how did you two meet?

Yes and Bumble.

Thanks, Doctor. I got this.

He's right. This will be awkward. I'm his ex.

Don't worry. We're friends now. Any other recent symptoms?

I've had a few migraines and a bad taste in my mouth.

Temp's elevated and she's hypertensive.

Acute-on-chronic bacterial rhinosinusitis?

Probably. Given the headaches,

I want a brain and sinus CT with and without contrast.

Hernia is reduced.

Next step in the tension-free hernioplasty?

Use mesh to cover the fascial defect.

By strengthening the inguinal floor, we hope to prevent hernias.

No extra credit will be given for statements of the obvious.

It's impressive how much weight Teddy's lost.

Hope he's doing it for the right reasons.

Hard to see a wrong reason. He was clearly overweight.

I agree. Obesity increases health risks

for diabetes, heart disease and some cancers.

Fair, but our culture can really go overboard in the fat-shaming,

which can lead to low self-esteem, depression,

none of which is healthy.

Trying to change to please someone else rarely works.

Getting someone you love to do what is best for them is a good thing.

There's ectopy in the EKG. QT looks prolonged.

Push two grams IV of magnesium.

He's going into Torsade's.

- Proper response? - Synchronized cardioversion.

Yes, prepare to shock him.

Charging 200 joules. Clear.

Good catch, Dr. Powell.

I caught the strangulated hernia.

His arrhythmia's likely a sign of an underlying condition.

It could be quite dangerous.

You'll be assessed on how you can determine what's causing it.

Suture scissors.

I'll start with the sinuses.

I found you a new prospect.

Unless your last date was a love connection.

That's a no.

How terrible for him, how exciting for me.

Berkeley law grad, former fitness model, just moved back to the valley from Paris.

Thanks, but I'll pass.

That's severe opacification.

Sinus mucosa's thickened.

There's already bone erosion.

Lily needs endoscopic sinonasal debridement.

He's smart, he's ripped,

he's worldly, and unlike Perez, he's available.

- We kissed. - What?

- You and Perez? - Yeah.

What about his boundaries?

Haven't figured that out,

but he did invite me to dinner at his place.

I'm exploring.

Just be careful, okay?

Okay.

The infection spread through her skull base.

That's a massive six-by-four-centimeter abscess.

Page Park. If that ruptures, she'll die. Lily needs sinus and brain surgery.

Sinus debridement looks very good.

Pulling the scope.

Bacitracin-coated telfa.

We'll use burr holes to drain the abscess using ultrasound guidance.

How did you get approval to operate on your new girlfriend?

Two dates doesn't equal a girlfriend. No approval necessary.

Trajectories look good.

Drainage tool.

Plus or minus, to parade her in front of Morgan?

Definitely not parading.

And Morgan and I are friends… So neither.

This is as much as I can get without risking rupture.

The rest is up to the antibiotics. Leave the drain and close.

Would you say you loved, liked or hated the last house we saw?

Are those the only options?