The Good Doctor

Wes Keeler, 49,

pricked in the upper right arm by a cactus four days ago.

Temp 102.5.

Wound is seriously infected.

He was leading a camping trip on Mount Thayer.

We couldn't leave 'em up there alone.

BP's 86/51. Tachycardic.

Rapid, shallow breathing.

Signs of sepsis.

You gonna have to cut his arm off?

I'll be fine!

We need to debride the wound stat!

Shaun, I've been looking all over for you.

Hey, uh, h-how about getting some breakfast? Some pancakes?

No. I'm not hungry.

Okay.

Um, how about coming over for dinner tonight?

Is Debbie making lasagne?

She could.

No, thank you.

Okay, Shaun. Um, can we just stop and...

And talk for just a minute?

Why are... Aren't you, uh, responding to my texts?

Are you upset?

Are you sad because of Lea? - Yes. Yes.

I am very sad.

But it will be okay.

Yeah, of course it'll be okay.

I'm still going to be with Lea.

Wait. What?

She said she loves me.

She also gave you a hundred reasons

why she can't be with you, Shaun. Yes. Yes.

She gave me very specific reasons

why we can't be together,

but I've overcome other challenges...

No, Shaun, it's not... - to become a good doctor, a good friend.

It's not about overcoming challenges.

It's not about you.

It's about Lea.

I can't take two steps without falling down.

Is the issue balance or weakness?

All of the above.

Fatigue, dizziness, light-headedness, headaches,

occasional bouts of nausea.

And when d...

Five years ago, just after the birth of my daughter.

And there's no discernible fluctuation

based on time of day or time of the month.

Temp 98.2. BP 111/78.

That'll drop to 80/50 when I'm upright.

I don't drink, smoke, or take drugs.

I haven't traveled outside of the country

in the last ten years.

And there's no family history of a similar condition.

You've been through this before.

Seventeen times. Eighteen if you count the naturopath in Seattle.

Which I don't.

No one has been able to give me a diagnosis.

We need to do an EKG and stress test,

get a CT of your chest, abdomen, and pelvis.

Let me save you some time.

Five years' worth of tests, labs, scans, reports...

My entire medical odyssey.

Fun.

Set up in the lounge

and get me copies of each of those...

Claire!

Dash. Oh, my God!

Why are you here?

Uh, you changed your number.

Right. Um, it's a long story.

Uh, Dash, you remember Dr. Melendez, Dr. Murphy?

Yeah, of course.

Uh, you gave my wife six more good months.

We considered renaming our cat after you.

That would have been foolish. Cats remember their names.

Sorry for your loss. Wish we could've done more.

Let you two catch up.

Hi.

I think the infection spread quickly

because of the underlying damage to your liver and kidney.

We'll need to keep you on a prolonged course of IV antibiotics.

Hey, you hear that, guys?

Hep C and heroin aren't as much fun as they sound.

Although one was more fun than the other...

For a while.

Don't they have somewhere else to go?

Not likely.

Most of them haven't seen their parents in years, so they're with me...

Survivalist training program for at-risk youth.

We prefer "young adults with unrealized potential."

I'm supposed to be teaching these yahoos responsibility

and good decision-making.

Hell of an example.

Oof.

He's got a new murmur.

BP's dropping.

Wes, we need to take a look at your heart.

Wes, the infection's spread.

It's damaged your aortic valve.

You need emergency surgery.

Mm... What about vasculitis?

Or dysautonomia?

Both are consistent with weakness and fatigue.

Her temporal artery biopsy was negative.

That rules out vasculitis. - Mm.

And I thought I saw something about dysautonomia in here.

There are 15 different causes of dysautonomia.

Seven have been ruled out.

The rest are inconsistent with Alice's symptoms

or have no definitive diagnostic test.

How did you make Dr. Lim fall in love with you

after you had been friends for so long?

I assume that's directed at you.

I don't think you make anyone

fall in love with you, Shaun.

It unfolds naturally over time.

That's not true.

Everyone starts off not loving you.

Then you say and do things that make them love you.

Or not. That's the point of romance.

But romance is harder

if you're already friends with the person.

You can't hide the less attractive parts of yourself.

It can be an advantage.

You already know what pisses them off.

That's very true.

Shaun...

Did Carly tell you she just wants to be friends?

Or are you talking about someone else?

Hey, sorry to interrupt.

I'm... I'm looking for my dad. - Mm.

I just... I'm here visiting, and I locked mys... - Yes. Okay.

Dr. Park is not here,

and we're discussing something important.

Right. Sorry.

Kellan, your dad's in surgery.

It could be a couple hours.

Thanks.

Shaun.

That was a little harsh.

We're talking about your love life.

Talking about my love life is important.

It helps clear my head

so I can focus on the medicine.

Intracranial hypotension.

It is consistent with Alice's headaches

and dizziness getting worse when she's upright.

And a leak in spinal fluid can be triggered

by severe intracranial pressure during childbirth.

To confirm I'm right,

we need to insert a lumbar drain into Alice's spine,

infuse her with fluid, and see if her symptoms improve.

But if you're wrong,

she'll have an excruciating headache,

massive brain pressure, temporary vision loss...

She'll give her consent.

It's a reasonable diagnosis,

and the patient's desperate for an answer.

Can you do the procedure alone?

Only one doctor is needed to insert a lumbar drain,

and I have a time-sensitive matter to take care of.

Sure.

You okay? You look okay.

I'm fine.

Your text said it was urgent, a...

My text said it was "time sensitive."

I have to get back to work

before my lunch break is over.

I was at work, too, Shaun.

I know we left things in a weird place,

but now is not a good time.

The pinto beans are next to the tomatoes.

That is not in alphabetical order.

There's more.

The toilet paper is in the wrong direction.

The way you like it.

You got angry when we were roommates

because I sometimes couldn't accept

your way of doing things.

But I can learn to accept things

I'm not comfortable with.

This is not bothering me at all.

I can deal with your messiness

and neediness

and selfishness...

Stop.

Your way of proving

that you're flexible and attentive to my needs

is to pull me away from work

with no notice,

make me drive all the way across town,

just so you can show me you un-alphabetized your beans?

Doesn't that seem a little...

Inconsistent?

Oh.

That is a good point.

I should have waited until evening,

when you are done with work.