The Good Doctor

This might be the first place we've visited that feels right.

That's good.

But, Shaun, we really need to

talk about something non-wedding related.

Oh, it's perfect.

Yes, and it is the only venue available on our date

that meets all our criteria.

I'll stand at the altar.

You walk down the aisle.

Okay.

The fireplace tile, is that original?

Uh, I have no idea.

Well, let's say it is.

If you want to up the curb appeal,

maybe a fresh coat of paint, some landscaping...

"As-is" is just fine.

How soon can we sell the place?

We'll get multiple bids on day one.

Oh, great.

Hi, Aaron.

Shelly Carroll, Ethan Ray Realty.

Ilana Reeves, ex-wife.

We should drop off this agreement

with our deposit check tomorrow.

Once I explain the issue to the pastor,

I'm sure he will replace the problematic floorboards.

Shaunie, there's something I really need to tell you.

S-Stop!

I'll call 911.

Hello, I'm Dr. Shaun Murphy.

Where are you hurt?

It's my hand.

Your fourth and fifth fingers are broken.

If you have no other injuries...

Shaun! Over here!

Hello, hi, I'm Dr. Shaun Murphy. Are you injured?

My leg's trapped.

My chest hurts when I breathe.

How far along is your pregnancy?

Twenty-six weeks.

Do you think my baby's okay?

I have no way of knowing...

...but you have tachycardia and your jugular is distended,

which are signs of a cardiac tamponade.

If I don't drain it, you'll die before the paramedics arrive.

Sorry about the mess.

Uh, Debbie talk you into a fresh start?

No, no.

Um, we didn't exactly work out.

Oh, I'm sorry.

Yeah, me, too.

But I am moving to a small town in Montana,

which, hopefully, you know, will be good for me.

Aaron, I need your help.

It's my husband, Sunil.

He's dying.

What's your name?

Alma.

Alma. Hi, I'm Lea.

Is there anyone you need me to call?

Uh, um, no. My... My boyfriend's out of town.

What are you gonna do with that?

A subxiphoid pericardiocentesis.

An echo-guided one would be better,

but I don't have a J-tipped wire, or an echo machine.

Maybe we should wait for the paramedics.

Alma, you can trust him.

My...chest... is...exploding.

Okay, hold.

You are very lucky.

We usually don't drive to work this way.

His diagnosis is Lewy Body Dementia.

Oh.

How long has he had the symptoms?

It began two years ago.

Insomnia, muscle weakness, agitation.

Recently, he's started having bouts of confusion.

We found an experimental trial that uses deep brain stimulation

to slow cognitive deterioration.

Would you look at it, see if it's worth it?

There are so many more doctors

with more experience in this field than I have.

Aaron, I... I need somebody who's gonna give me the truth,

so we don't waste what time we have left.

How many clients have been referred

for elective procedures from the clinic?

Forty-three.

Those satisfied clients will lead to more.

And the automated intake screens have cut labor costs by 8%.

But the nurses don't like it. They think they're next.

Handle them right, they'll get over it.

If you have specific thoughts on that,

I'd love to hear them.

Maybe over lunch?

Morgan, you excel at striking the right balance

between enthusiasm and obsequiousness.

Thank you.

Instead of lunch,

how about you and Alex have dinner with Marcus and me?

Marcus...

Marcus Andrews?

It'll be a hoot.

Twenty-three-year-old pregnant female,

blunt chest trauma from a car accident.

I performed a subxiphoid pericardiocentesis

at the scene with a gas siphon.

Cool? Is the baby...

Fetal heart rate is normal, no signs of distress.

Mother became hemodynamically unstable en route.

She needs surgery for internal bleeding.

Okay, keep rolling. Keep rolling!

We're gonna do a couple of tests

to get a sense of your cognitive state,

and then we're gonna throw you in the MRI,

the big donut, very loud,

to see if you're right for the deep brain stimulation.

Any questions?

None.

What I know or don't know about the medicine

will not change the outcome.

A patient who doesn't think they know more than their doctors

is rare these days.

Implicit social contracts are my field of study.

They're the agreements we make daily,

often without even realizing.

But perhaps that's a conversation for another...

Who are you?

Why are we here?

Sunil? Sunil?

Uh...

You're right where you're supposed to be.

Take a deep breath.

Tell me their names.

Pavan.

Reema.

And little Raj.

Good.

Some spells pass a little more quickly than others.

I... I think I'm okay now.

Sunil.

Hmm?

Do you remember why you're here?

Because I'm dying.

Let's get started with those tests.

Sunil's MRI shows no contraindication

to deep brain stimulation.

Initial labs look good.

He's a great candidate.

Is the coat hanging in my closet your "good" blazer?

It's my only blazer, so, yes.

Get it dry-cleaned.

For our dinner with Andrews and Salen.

As intriguing as that pairing is,

dinner's a hard pass.

Not an option.

But compensation is fair.

We can finally binge The Wire.

Your first offer doesn't get you off the couch, and...

Wait, Andrews and Salen?

Game respects game.

And sometimes sleeps with it.

Tickets for you and Kellan to a UFC fight in Vegas.

Still no.

But save that thought for his birthday.

Salen and Andrews?

They may have one soul between them.

Any sign of motor weakness?

He's gonna have to tolerate the head frame.

Here's the cervical spine MRI.

We could replicate the DBS trial on site.

I'd be happy to coordinate.

Oh, that's very kind of you.

Are you sure you're gonna have time

while you overhaul my clinic into an Ethicure profit center?

Oh, and by the way, I'm gonna need my office back.

I hope you don't mind.

Parathyroid looks off. Hmm.

Is that an ectopic lesion?

He's had a history of renal stones.

I don't...

What were his calcium and PTH levels?

They were only mildly elevated.

Nothing that triggered for the workup.

What are you thinking?

I'm thinking this may not be Lewy Body Dementia.

Repairing the ventricular tear with Prolene sutures.

No remaining arterial or major bleeds.

Good. I'd prefer not to have to open her belly.

I would like both of you to wear socks to my wedding.

No shoes. Just socks.

Lea and I found a nearly perfect church, but the floor squeaks.

Should make for some interesting pictures.

No.

No way you are robbing me

of a chance to show off my new Bruno Maglis.

Also, wet and stinky feet are not in Lea's dream wedding.

That's... probably true.

Last suture is in.

Dr. Allen, how's the baby?

Heart rate is stable.