The Good Doctor

Those are yours.

We bought them together.

Because you "found the pattern soothing."

I'm gonna miss you, Shaun.

I love Carly.

And that's great.

I am so happy for you.

Now you can hang the toilet paper incorrectly anytime you want.

And Carly and I can go back

to the way things were before our fight.

Well, sometimes couples need a little time to recover.

We won't.

Carly asked for you to move out.

You are moving out.

How many kidneys do I need in my body to attend prom?

Ryan...

Even if the surgery removes my kidney,

it'll be laparoscopic,

so my inpatient time will be seven days, tops.

And then three more days of rest at home.

I can take my girlfriend to prom, right?

That's not a purely medical decision.

I have to draw some blood.

What are the chances Dr. Melendez might be able

to remove the tumor but spare Ryan's kidney?

Well, the MRI will let us know

how much the chemo shrunk the tumor,

but you shouldn't count on it.

One chili burger, extra mustard, extra pickles.

Hi. Morning, Mr. Cooper.

I'm not sure he can have that with his surgery...

Oh, he's fine until about 6:30 tonight.

I know you.

Angie... Valens.

I helped put in your chemo port.

I owe you a big thank-you.

We met in chemo.

They should put us in a public service announcement or something.

Yeah... "I lost a tumor and gained a boyfriend. Thanks, chemo."

James McDougall?

That's who we're here for, too.

All of you can head over to Bay 4.

Guy saw me six months ago for a stress fracture.

He's a lunatic ultra-marathoner.

I just hope he didn't go too hard too soon and break it again.

He didn't break it again.

Your GP was right to start you on ketoprofen for the swelling,

but clearly, it isn't working.

That's why Drs. Murphy and Reznick

are going to block off some of your lymphatic channels.

It should reduce production.

The more pressing concern is why.

Have you ever had surgery on your lymph nodes?

What about cancer or radiation treatment?

No. Physically, I've always been healthy.

Physically?

I was diagnosed with Persistent Depressive Disorder when I was 16.

That's why you got to get me back out on the road, Doc.

Are antidepressants not effective for you?

I mean, they help.

But running really is key.

Saved my marriage and... And my life.

Lymphedema can be caused by an infection.

He doesn't have a fever.

Ketoprofen can suppress fevers.

Let's get some cultures

and start him on broad-spec antibiotics.

As requested, your restock on enemas.

Nice cover.

How've you been feeling?

The methotrexate is working great.

No pain, no redness.

Stiffness, flu-like symptoms?

No. All good.

How long are you planning to hide out

doing RA exams and clipping diabetics' toenails?

Dizziness, headaches, nausea?

I... Sometimes I'm a little queasy after I eat.

You had to love neurosurgery.

How about we try to get you a medication

that doesn't irritate your stomach?

No. My hands feel great. That's all I care about.

You used to open up skulls and poke around people's brains.

There's no way this fulfills you.

I enjoy it.

Or, rather, I usually enjoy it.

I'll let you get back to it.

Maybe someone out there needs an enema.

Got a measurement on the Wilms tumor?

Mm, not quite there yet.

You mentioned 7 centimeters as our limit

to doing this laparoscopically.

What if we pushed it to 7.2?

Would speed up recovery.

By a few days.

Forget I brought it up.

Ryan wanting to take his girlfriend to prom

should not factor into our surgical plan.

Is he nuts about her?

Ohh. Crazy, head over heels in love.

They both are.

Idiots.

I wouldn't mind being an idiot like that again.

Though, I'm not sure I ever felt that way,

totally happy.

So therapy's going well?

No metastasis in the lungs.

Look at that.

Your tumor is gone.

Gone?

How's that possible?

The chemotherapy worked better than we expected.

Wait, like, no tumor? Zero?

- No need for surgery whatsoever? - That is right.

These are discharge forms.

Both of my kidneys are taking you to prom!

Aah! Hell, yeah, we are!

Angie?

- Angie! - She's having a seizure!

2 milligrams of lorazepam and portable oxygen, stat.

Let's get that under her head.

His lungs are filled with fluid.

I need a chest X-ray and a bedside ultrasound.

And page Dr. Reznick.

Imaging has confirmed

a reoccurrence of your brain tumor.

What stage?

Three.

The best approach is surgery, a wide resection of the tumor,

followed by radiation and chemo to encourage full remission.

Sounds like a fun couple months.

Full recovery will probably take closer to eight.

We can get through this, baby, just like last time.

W-When will the surgery be?

We need to do some additional imaging,

and I'd like to consult a colleague

about the best surgical approach.

That'll take a few days.

Take your time.

Prom?

Yeah.

Now that Ryan can go, I have to go.

Honey.

This is your health we're talking about.

Mom, please.

I just want to do this one thing like a normal kid.

Can you tell her it's okay?

We can't.

Until we remove your tumor,

you're at risk of potentially fatal seizures.

After you're recovered,

you and Ryan can get all dressed up,

and we'll go have dinner at the Grandview. Okay?

Prom sucks.

My buddy had a fake ID.

I got so drunk in the limo that I passed out

and never made it into the dance.

Maybe that wasn't everybody's experience.

I was prom king. My date was queen.

I had the dress, I had the date,

I had the mom who got arrested.

Spent the night picking her up from the drunk tank.

Did you see Park while you were there?

Go to scheduling, get Angie's surgery set for Friday

with the best neurosurgery OR nurses.

Let's go see Glassman.

Now I'm identifying

the submillimeter lymphatic vessels.

I need an 11-0 micro suture and a 70 micron needle.

Instead of harvesting nodes to this area,

could we redirect lymphatics away from his lymph system?

We could.

If you identify an appropriate vessel,

you can make the connection.

We're clearly not dealing with an infection.

There must be a blockage somewhere in his lymph system.

Most likely cancer.

His CBC didn't show any abnormal cells.

Lymphoma doesn't always show up.

We need to run cytology on his lymphatic fluid.

It's either gonna be nasty or very nasty,

depending upon how it attaches to the thalamus and fornix.

Which no imaging or testing can possibly determine.

So, our options are?

Between an endoscopic approach or an open anterior one.

That is correct.

I'd run a stereotactic MRI with fiducials and DTI

to gauge how close the white matter tracts actually are.

You should scrub in.

Another doctor can cover the clinic.

I haven't been in an OR in over a year,

and then, as a patient.

I'm not asking you to cut.

But it'd be a huge value to have you there.

I appreciate that.

I'll consider it.

Hello. We need to run cytology on this lymphatic fluid.

I would be happy to.

Lea moved out this morning.

- Thank you. - You're welcome.