The Good Doctor

Good morning.

What time is it?

6:28.

You should be asleep, but I'm glad you're not.

Your post-op pathology and MRI results are finally in, and...

They're good.

Very good.

Was the pause for dramatic effect?

Yes.

The surgery was a success.

The only thing you need now is rest.

And chemo and radiation.

Have you been here all night?

I slept in a chair in the lab.

Well, you should go home and go to sleep.

I can't go home.

My next shift starts in 31 minutes.

(KATRINA AND THE WAVES' WALKING ON SUNSHINE PLAYS)

The surgery was a success.

The surgery was a success.

All Dr. Glassman needs now is rest.

That's great news.

And chemo and radiation.

How are you?

I don't need rest.

I fell asleep in a comfortable chair.

Good. Someone screwed up the on-call schedule

and left the ER short-staffed.

I need two volunteers to fill in.

Good news is you won't have me breathing down your neck.

Bad news is it's a 36-hour shift.

This new flex-time policy is ridiculous.

Aren't our salaries low enough already?

It's not about the money.

Andrews believes that surgeons need to be at their best

even when they're exhausted.

The only way for residents to learn it is to do it.

You got to practice like you play.

And you can't do either without sleep.

You're free to take it up with Andrews any time.

Pick a number between one and five.

2.5.

- One. - That's not between...

Five. - Three.

Aw, damn it.

Good news.

Dr. Melendez won't be breathing down our necks.

You're second-year residents.

This is a great opportunity for you to prove

that you don't need a babysitter anymore.

And I have a ton of personal crap

I got to take care of today, so I'm on call,

but don't call me unless you absolutely need to,

but you better not need to.

You've got a M.I. in one and compound femur in two.

I'm gonna kill that bastard!

He's dead!

And a bleeding, angry drunk guy in five.

Get your hands off of me!

What the hell are you looking at?!

Improved By: FidelPerez Sub Upload Date: October 9, 2018

Excising the endometrial lesions

should only take about an hour.

We'll be operating through a single incision in your belly button.

You won't even be able to see the scar.

How can you operate through such a small opening?

It's a new technique using a single port

divided into sections for the camera and our tools.

- New? - To them.

Don't worry. It isn't to me.

I'm confident that this will resolve your pain and infertility issues.

Thank you, all of you.

Being a mother is all I've ever wanted.

On our first date,

she told me the baby's name she'd picked out.

We were 17.

So let's hear 'em.

Jackson for a boy and Cameron for a girl.

Very nice. I like them.

So do I.

And you are going to be an amazing mother very soon.

Let's get her prepped.

- (INDISTINCT TALKING) - (TELEPHONE RINGING)

I thought it was just because she was so pretty and, uh,

it had been a while,

but after she left, it stayed.

You think she roofied me with Viagra?

Sure. That could have happened.

Or maybe it was the alcohol, marijuana, and Molly you pre-gamed with.

A lot of different drugs can cause priapism.

Especially those cooked up in a garage.

Is it okay if I touch it?

Uh, okay.

Rigid corpora cavernosa and flaccid glands.

What's that mean? What's she getting?

It's been over four hours.

You don't want necrosis to set in.

N-Necrosis? Are you saying that my... My penis could die?

It could, but it won't because we're going to move fast.

What the hell are you going to do with that?

We need to remove the deoxygenated blood to restore circulation.

You're going to feel a small pinch and then some pressure.

Is she lying?

I'm not sure.

Holy mother of God, that hurts!

Wow!

I go out for a short walk so I can have one moment of peace,

and this is what I come home to.

What's the problem?

His mouth was obviously big enough to get it in.

He must have strained his masseter.

It's gone into spasm and caused lockjaw.

So give him a sedative and pry it open with a McIvor.

I tried. It won't budge.

And he said it hurt like a son of a...

Inez.

That's what he said.

I put in a bite block, but I don't know...

Call Lim.

We're supposed to be proving our independence.

I will try again with the McIvor.

You don't want to tear the masseter.

If the bite block slips and he gags,

he will have broken glass and vomit in his lungs.

I could put him under.

Then I can dislocate his jaw if I have to.

We definitely can't do that without calling Lim.

That's true.

I hope we don't interrupt anything important.

Don't worry. She's either sleeping or doing laundry.

There's nothing interesting going on in her life.

Not guilty.

Do you have something against traffic school, ma'am?

Your Honor, the defendant's not eligible for traffic school.

This is her third moving violation in the last year.

Alleged violation, thank you very much.

Traveling 100 miles per hour on a motorcycle? Do you have a death wish?

I wasn't going anywhere near 100.

So how fast were you going?

Excellent question.

And one I assure you the officer who issued my ticket

will not be able to answer.

California State Vehicle Code mandates

that all LIDAR speed-measurement devices be calibrated...

- (CELL PHONE VIBRATES) - ...at least once a...

Sorry, I need to get this.

No, you need to turn it off.

Your Honor, I'm a trauma surgeon at St. Bonaventure,

- and I'm on call, so... - (GAVEL BANGS)

Five minutes.

The court is adjourned for a five-minute recess.

I thought I was clear.

I'm available to help with stuff you can't do on your own.

Uncle Fester Jr. does not qualify.

I think the situation warrants putting him under a general an...

And dislocating his jaw? He's not a damn snake.

So, what should we do?

Prove to me you're as capable as I think you are.

It doesn't make any sense.

We are the only hospital on the West Coast

that hasn't adopted the ACGME mandate

on a 24-hour max shift length.

And numerous studies have shown the negative effects

that sleep deprivation has on critical thinking,

which can cause residents to make mistakes

that not only harm patients, but that waste money.

You've done your homework.

Um, it's something I've been thinking about for a long time.

I actually did a paper on it at med school.

Well, Dr. Browne, I've also thought about it.

In fact, when the new ACGME guidelines were released,

I joined a nationwide study analyzing a flextime schedule.

It found that as long as a weekly max of 80 hours is adhered to,

patient outcomes and resident satisfaction scores are better

than at hospitals with a daily max.

So we're just going to have to agree to disagree

about whether my foolish new policies "make any sense."

No, I didn't say...

And I know I told you to be more assertive.

But you also need to make sure that you don't forsake

your normally excellent judgment in that effort.

- Whether... - Excuse me. Yeah, hi, I'm sorry.

- I'm back. - How wonderful.

Take a seat until your case is called.

Oh, my case was called.

You said I could have a five-minute break.

The court took a five-minute break.

Yours is going to be considerably longer.

Continue.

Make a stab incision with an 11 blade,

and I'll insert the Veress.

He'll get over it. Don't worry.

Andrews just likes to hammer a nail every now and then.

I didn't call him a fool. I just said his policy didn't make sense.

Insufflation's complete.

Ready for the multi-port.

You said it didn't make sense,