The Good Doctor

Morning, Doc!

Good morning, Kenny.

Hey, hey, hey.

Brosef, your cable's out.

I don't have cable.

I have a digital antenna.

- Why? - Digital antennae

receive superior picture and sound quality,

and the channels are free.

Yeah, but you get, like, 10 channels that way.

I only watch three.

You mind if I run a line to your tube?

Cable guy can't fit me in till next week.

Mm.

Come on, 10 channels are better than none.

Yes, they are.

All right.

Gracias, amigo.

No hay na que agradecer.

What?

Dr. Reznick was orphaned

once Dr. Coyle was transferred,

so she'll be joining our team.

Hi. I'm Claire.

Nice to meet you.

Are you the autistic one?

No.

That's me.

Dr. Shaun Murphy.

Hi.

We've got two pretty straightforward cases,

nice level playing field for an eager group.

Not interested.

Competition can foster teamwork,

which can lead to a greater understanding

and appreciation

of residents' strengths and weaknesses

and improve patient care.

You're playing the same game Glassman had us do

when we were interns.

Not interested.

Winning team gets first dibs

on assisting on all surgeries next week.

- In. - In.

Out.

Mm.

I pick the boy genius.

That's you.

Dr. Browne.

- Kalu. - Dr. Reznick.

Thank you. I'm looking forward to it.

Thank you.

Same stakes as last time?

Absolutely.

Hi, Quinn.

We hear you've had some stomach pain.

Do you mind if we take a look?

It doesn't hurt that bad.

Poor thing says everything is okay,

but when Quinnie didn't want to go swimming today,

I knew that something must be wrong.

We'll be as gentle with her as possible.

Quinn's parents are out of town,

so I'm... I flew in to babysit.

Mm-hmm.

Okay.

Let's see.

- That's a... - Penis.

She's not a girl.

He's a boy.

It's just a phase.

Stop saying that.

I'm not a boy. I'm a girl.

- You're transgender? - Yes.

No.

Quinn has XY chromosomes like Jared and me,

not XX like you.

Science says he's male.

No, Quinn has gender dysphoria.

Her assigned gender is not the one she identifies with.

She's mismatched, Dr. Murphy.

But biologically...

Other than biologically,

how do you know you're supposed to be a boy?

Your question doesn't make sense.

I'm not supposed to be anything.

I am a boy.

Biologically, that's it.

Okay, deep tenderness at McBurney's point.

Could be acute appendicitis.

Murphy, get imaging to confirm.

Mm.

Mr. Shaw, your chart says

that you passed out in class.

- What do you teach? - History.

I got a little dizzy because I skipped breakfast.

I-It's nothing.

The school insisted on calling an ambulance.

Taken any medications in the last few months?

Uh, I took some Vicodin

after I threw out my back six weeks ago,

and then I had a stomach flu,

so I took Ofloxacin.

But the flu part didn't totally go away,

so I took Azithromycin and Prednisone

because my glands were swollen.

But I still had a sore throat, so I took some Cipro.

What doctor prescribed you all that?

Uh, they were leftovers

I had in my medicine cabinet.

- Uh... - All right, lay back for me.

Look, I'm a single dad with twins

who bring home every disgusting germ

they touch at preschool.

I can't afford to miss work.

You've got a fever

and you've gone through two IVs

which tells me that you're severely dehydrated.

You can't stand me touching your stomach

without wincing in pain.

Dr. Reznick, let's get Mr. Shaw here an ultrasound.

- We've been trying for a while. - Five months.

I realize my prime egg days were two decades ago,

but I've been vigilant.

Ovulation kits, LH and FSH testing,

basal body temp.

I've checked my estradiol and AMH levels.

The old-fashioned way wasn't working.

Okay, well, there are a lot of possibilities to consider.

Many benign, many easily corrected.

So I will take some samples from you both,

run some tests, we go from there.

There's a clock.

We need to know if we start with IUI or IVF...

Both of you... You need to stop worrying.

Isabel, you are not the first 40-something woman

to come here and ask these questions.

Myself included.

You came to me because you trust me, yes?

Right.

So let me do what I do,

and you two focus on each other.

Hey.

We're a team, babe.

In this together, all right?

Okay.

I'm afraid, Howard,

your appendix has already ruptured.

Book an OR stat and page Melendez.

Wait. I need to figure out

who's gonna take care of my kids,

call the school so they can get subs for my classes.

Mr. Shaw, if we don't get you into surgery now,

your infection could spread and you could become septic.

Dr. Browne will make all the necessary phone calls

I prep you for surgery.

Isn't that so, Dr. Browne?

You're in good hands, Mr. Shaw.

We've got you covered.

Let's go.

Hello.

Do you wear dresses?

Murphy, don't.

Quinn is a boy who thinks he's a girl.

I want to know why he thinks that.

Sometimes I wear dresses, but sometimes I wear leggings.

Do you like the color pink?

I'm more of a purple girl.

- Do you play with dolls? - Since I was 5,

but I'm super into mermaids.

Do you take dance...

Murphy, 20 questions are up.

I only asked four.

- Do you wear perfume? - It doesn't matter.

The CT's ready. Let's go.

- Do you always paint your nails? - Let's go.

Perforated appendix is out.

Lavage or no lavage.

Dr. Browne.

Lavage before closing the wound

decreases residual fluid accumulation

- and minimizes residual contamination. - Claire's right.

Although, a recent study

documented a higher abscess rate

when irrigation was used for perforated appendicitis.

Well, someone did their homework.

I'm partial to AMSURG since they published me.

As a medical student?

It was about the cost and stabilization of disease

in patients undergoing transcatheter

and surgical aortic valve replacement.

Are you thinking of specializing in cardio-thoracic?

A girl can dream.

Staple up and close up.

It's, uh...

it's good to have you on board, Morgan.

It's great to have another female surgeon.

Oh, uh, I'm sorry,

you and I are not gonna be friends,

hanging out, having sleepovers,