The Good Doctor (2017–…): Season 2, Episode 1 - Hello - full transcript

Shaun's proposed treatment for a homeless patient puts him and Jared in Andrews' crosshairs. Meanwhile, Claire tries to overcome Melendez' reluctance to do a risky heart operation while ...












Boy: Mister?




Woman: Ladies and gentlemen,

welcome to San Jose
International Airport.

[Indistinct talking]


[Carriage rattling]


[Drill whirs]

- [Glass shatters]
- Look out! Watch out!


- Adam?!
- Oh, my God!


Somebody call 911!

Oh, my God!

I'm a doctor, let me take
a look. Let me take a look.

His jugular vein's been cut.

Does anyone have a clean cloth?
Please. Someone!

I have a fresh change
of clothes in my bag.

That's great.


You're killing him.

I'm saving his life.
He was bleeding out.

N... You have it in the wrong place.

I think I remember enough of Anatomy 101

to know where the jugular vein is.

You would be in the right place
if he were an adult.

He's not an adult. He is a boy.

Which means you're also putting
pressure on his trachea.

Which means he's not
currently breathing.

You have to put the pressure higher up.


- There.
- [Gasps]



Some glass. He'll be fine.

Who are you?

Hello. I'm Dr. Shaun Murphy.

I'm a surgical resident

at San Jose St. Bonaventure Hospital.



a mental condition
characterized by difficulty

in communicating and using
language and abstract concepts.

That's the definition.

Does it sound like
I'm describing a surgeon?

He's not Rain Man.

He's high functioning, he's
capable of living on his own,

capable of managing his own affairs.

"High functioning"?

Is that our new hiring standard?

If it were, you wouldn't be here.

I'm sorry. Is this
really necessary? Really?

A special meeting
of the Board of Directors...

as much as I love you all...

questioning one of my hiring decisions?

Did you bother to look up
the definition of "President"

while you were skimming the dictionary?

You're hiring him to be
a surgical resident...

my department... over my objections.

Marcus, stop making
everything so personal.

I made it personal?

You've wanted his job since day one.

Everyone in this room knows that.

And, Aaron, yes, this is your hospital.

But the money it takes to run it

comes from the Foundation I control.

So let's all play nice, shall we?

Stop acting like you're stunned
that you're standing there.

You tried to slip one past us.

I vetted him like I would
any other candidate.

And you genuinely thought
that this Board

wouldn't reasonably
have any doubts about

hiring a surgeon who's been
diagnosed with autism?

So justify your decision.


I met Shaun Murphy
when he was 14 years old.

I was living in Wyoming at the time.

He was, and he still is,
an extraordinary young man.

Yes, he has autism, but he also
has savant syndrome...

genius-level skills in several areas.

He has almost perfect recall.
He has spatial intelligence.

And he sees things
and analyzes things in ways

that... that are just remarkable.

In ways that we can't
even begin to understand.

Those are assets. Undeniable assets

for any doctor, particularly a surgeon.

You've known him since he was 14?

You care about him.
He's like a son to you.

Dr. Andrews, your wife is gonna
be very upset with you.

If you're trying to turn this
into a nepotism case,

we're gonna have to fire her
idiot nephew from bookkeeping.


[Woman speaking indistinctly on P.A.]


Sorry. You seen Claire?

Would you turn off the light?

Sure. You seen Claire?

Why? Would you turn off the light?

Melendez wants to operate on 104,

but Claire hasn't gotten
informed consent.

And she's ignoring her page.
You seen her?

No. Now go away and turn off the light.



[Woman giggling]

They need you to, um...

[Laughs] I heard.

Oh, she's such a bitch.



She just doesn't like you.


It's kind of silly, isn't it?

Um, maybe.

To say for sure, I'd need to know

what it is you're talking about.


- Ah. Not silly at all.
- Hmm.

Quite a bit of fun, actually.

I meant that we're hiding it.
Our relationship.

Hmm. Well...

Jared, we don't have a relationship.

We have sex.

But, if you want to tell people

that you're screwing me, go for it.


[Woman speaking indistinctly on P.A.]


The veins in the boy's
left arm are popping.

- Is that bad?
- I-I don't see.

Intrathoracic pressure.

No, his chest is rising. He's breathing.

No, the... the chest
is moving paradoxically.

The left lung is in distress.


Who here has a sharp knife,
blade five inches or longer?


You should start artificial respiration.

He's going to stop breathing very soon.


- I feel fine.
- Dr. Melendez would like

to do the surgery today.

You need bypass surgery quite urgently.

Would you please sign the consent?


You're scared.

- I-I'm not scared.
- Well, you should be.

We're gonna cut your chest open,

we're gonna stop your heart,
repair it and restart it.

Are you seriously telling me
that that doesn't scare you?

I just want a second opinion.

Callum, yesterday,
your life was perfect.

You were playing tennis,
you had a big anniversary.

Today, you're lying in a hospital bed

trying to figure out
the best way to say goodbye,

maybe forever, to your teenage children.

Why are you doing this?

Because I can't deal with lies.

If you lie to me,
my answers won't help you.

But, if you're scared, I can help you.


I'm scared.


[Man speaking indistinctly on P.A.]

- You can't be back here.
- Oh, I need a knife.

Where do you keep the knives

people forget they're traveling with?

A knife? Sure. Anything else?

I do also need a narrow six-foot tube

and high-proof alcohol and gloves

and baggage-handling tape,
but I am going to get

the alcohol from the duty-free store

and the tube from
the back of a soda machine.

Well, I wish you all the luck with that.

But I'm not gonna give you a knife.

No, I need a knife.
It-It's... It's very...

There is a medical emergency.
There's a medical emergency.

That one. That one, right near
the top, looks very sharp.

Would you get it for me?

No, I'm not gonna give you a knife.

- I'll ask...
- There's not the time.

Weapon! Weapon!

Move! Get out of the way!


Drop it.

You idiot! You're lucky
we didn't just shoot.

No! He's trying to save my son's life.


You get that consent on 104?

Well, I made him a deal.

He's got a meeting with
Dr. Max from psychiatry at 6:00,

we'll get the consent by 8:00,

we can operate first thing
in the morning.

You did pass anatomy, right, Dr. Browne?

His problem's in his heart,
not his head.

He's not psychologically
ready for surgery.

He will be. Soon.

Well, he is physically ready.

So, get the consent.
We're prepping O.R. 6 now.

Do I need to cite you
the 17 studies that show

a correlation between
attitude and outcome

in surgical patients?

Do I need to remind you
that I am your superior?

You do know what the opposite
of superior is, right?

- Subordinate. Doesn't...
- Sure. Subordinate. Or... inferior.

- Either way.
- It doesn't mean I'm wrong.

[Scoffs] I suppose not.

But it does mean you have
to act like you're wrong.

He's panic stricken.

Yesterday, he was young and healthy.

Today, he's mortal.

Just give him a chance
to wrap his head around that.


Dr. Kalu?

Do you think you can get me

a signed informed consent on 104?

- Of course.
- Thank you.


You think he's right?

I think he's my boss.

And if I have to choose
between my boss and...

the woman I'm screwing,

not much of a choice, am I right?


Shaun: Excuse me. Excuse me, please?








The incision should
take place two ribs down.




Okay, well, why the bottle?

The air will continue
to leak and accumulate

until the damage
can be properly repaired.

The tube allows the air to get out.

The water in the bottle stops
the air from coming back in.

A homemade one-way valve.


He's breathing.


You saved his life.

He saved his life!



Shaun, where are you? I-I...

[Clears throat]

Call me as soon as you can, please.

- That was a mistake.
- I agree,

'cause it's not about the new
doctor, this is about you.

They're baiting you.
And you're letting them.

- Maybe.
- Maybe what?

What mistake are you talking about?

- Your shot at Andrews' nephew.
- Oh, come on. It was funny.

It was very funny.
It was also disrespectful.

Well, you don't show him respect.

I assume it's because
you don't respect him.

You show someone respect
because you respect them,

or because you're afraid of them.

I don't fit into either category.

Well, neither do I.

You should.

You're only in that room
because your grandfather

founded this hospital.

I'm gonna pretend that this conversation

didn't take this tangent,
and instead focus on something

relevant... the debate you are losing.

Here's how you win this.

You don't make it personal.
You do not make it about you.

That is what they want,
and if you give it to them,

you will lose.

[Siren wails]

I need to get to San Jose
St. Bonaventure Hospital.

That's where we're going.


[Monitor beeping]


Ethan: How hard can it be

to just act like a normal human being?!

- He doesn't know how.
- Bull!

What are we supposed to do now? Huh?

This is the third school
he's been thrown out of.

We'll find another school.

No, we won't, 'cause
nothing's gonna change.

They can't handle him,
and I don't blame them,

'cause obviously,
we can't handle him, either.

What the hell happened this time?

What happened?!

You're hurting him.


What did you do?!

- Shaun!
- No!

Will you stop petting
that stupid rabbit?!



It changed.

The boy's ECG changed.

It's the same... 86 BPM.

No. It used to be higher.

No, it used to be 86. It's still 86.

It used to come up to here.

Lower amplitude means lower voltage.

Lower amplitude means lower voltage.

What's going on? What does it mean?

It means he's trying to read
20-year-old equipment

while traveling in a vehicle
going 40 miles an hour.


How did you get him to sign?

I simply told him it was either
consenting or going home,

then I gave him two forms
and told him to pick one.

Melendez: And you highlighted
the Release Against

Medical Advice form that mentions

the "possibility of death
or permanent disability"?

Well done.

Hand me the Metz and a pick-up.

I'm isolating the descending aorta.

Sarah: Vascular clamp.

What is that?

Under the left atrium...

something white.

Is that part of the lung?

Melendez: It's pus.

Did he have TB?

No, he doesn't have any...

No, not currently.
Does he have a history...

When he was younger,
he was exposed to...

This is an abscess. It's gonna bur...

- [Monitor beeping rapidly]
- [Gasps]

Suction and a lap sponge.
His BP's crashing.

Two liters saline wide open.

Set up the level one.
Two units packed cells now.

Get Levophed on board
and keep that MAP at 60.

Get in there with the suction.
I can't see a damn thing.


I hope it isn't too upsetting
to him when he hears

he would have died in his room

if we'd waited until tomorrow.

Dr. Melendez, we've got
an incoming 8-year-old male,

pneumothorax stabilized,

but undetermined internal injuries.

Who do you want to catch?

Claire, I don't think we need you.

This patient is gonna be fine... now.

8-year-old healthy boy,

status post encounter with
a shattered glass sign.

Numerous lacerations.

- Echo...
- Get him set up in Trauma 3

with an EKG, full
blood work and a pan-scan.

We need an echo... echocardiogram.

- Who is this guy?
- He helped with first-aid at the airport.

I'm the doctor.
He needs an echocardiogram.

- Where are you taking him?
- To surgery.

All cardiac vital signs
are within normal range.

- Do you have any I.D.?
- No. His... His heart. It's his heart.

His heart is fine. Now stay here.

Adam needs an echocardiogram.

No. Behave yourself. Or you'll
be removed from the building.



[Breathing heavily]

Echo. Echo.

Melendez: What's that?

Claire: A one-way valve.

And he reports the boy
suffered a pneumothorax.

That is cool.


Do you think we should
do an echocardiogram?

Based on the presenting
symptoms, which give

no indication that
an echocardiogram is necessary,

I'm going to answer no.

Am I missing something?

No, sir.







Glassman: We don't normally
treat rabbits, especially...

This was the closest doctor
place, and it was an emergency.

No, I can see that.

But even if I was a vet,
the rabbit... is dead.

[Cries softly]

I'm sorry, guys.

Everything smells
different when it rains.

What do we do now?

Well, you should bury him, I guess.

I don't know, give him a...
a nice funeral.

Has he gone to heaven?

Yeah, sure. Uh, sure...
sure, he has. Um...

No, I don't want him to go to
heaven! I want him to be here!


This won't happen again.

It can't happen again. He's dead.

I know that.

I mean, nothing like this
is ever going to happen to us,

ever again.

Because we're not going home.

We're never going home again.

We have each other,
and that's all we need.


Andrews: A surgeon needs
to communicate...

not just information,
but sympathy, empathy.

Can Dr. Murphy do that?

He can't even reliably show up
for a job interview.

Are you gonna sit here
and tell us that there were

no other equally-qualified
young surgeons...

surgeons without this one's... issues?


Which is why... exactly why...
we should hire Shaun.

We should hire him
because he is qualified

and because he is different.

How long ago was it
that we wouldn't hire

black doctors in this hospital?

How m... How long ago was it
that we wouldn't hire

female doctors at this hospital?

So, you're comparing
being African-American

or a woman with being autistic.

Please, go on...

Okay. [Chuckles]

The rationalization is exactly the same.

Words like "temperament"
and, "Oh, no! Ohh!

How are the patients going to react?"

Aren't we judged by how we treat people?

I don't mean as doctors.
I mean as people.

Especially those who... who don't have

the same advantages that we have.

We hire Shaun,
and we give hope to those people

with limitations that those limitations

are not what they think they are,

that they do have a shot!


We hire Shaun, and we make this
hospital better for it.

We hire Shaun, and we are
better people for it.

We'd be "better people,"

spending a lot more on
malpractice insurance.

- How old is this kid again?
- 8.

Sponge stick.

[Monitor beeping]

What was his heart rate
five minutes ago?

- Uh, 86.
- You sure?

Certain. He's been a rock.
It's barely changed.

No, something's changed.
Something's different.

You asked earlier about an echo.

You had no medical reason,
but you asked anyway. Why?

There was this weird guy,
the one that did

the one-way valve, he kept insisting

that the boy needed an echocardiogram.

- He didn't say why?
- H-He was really weird.

[Monitor beeping rapidly]

His blood pressure's dropping.
That makes no sense.

He's not bleeding anymore.
Everything's under control.

Do an echo.

Sir, the boy is wide open.
It's gonna take awhile.

Good. That'll give me time to figure out

why the hell we're doing an echo.

Dr. Browne, you're with me.

We're gonna go find your weird guy.

Keep him stable.

Why the echo?

Uh, okay. He, uh... He... Okay.

Uh, he... Uh, I, uh... He...

Okay. I understand you think
he needs an echocardiogram.

We just don't know why.

Well, I-I noticed that
there was a slight reduction

in the intensity
of the electrocardiogram.

The electrical flow...
I noticed that, too.

The heart rate was the same,
but the amplitude dropped.

Pericardial effusion.

Reduced cardiac output.

Would stress other organs.

Causing them to shut down.


[Cellphone rings]

Hold on.

Yeah, we're coming right back up...

Thank you.

They did the echo. It's normal.

No pericardial effusion.

No. It has to be. There...
There is no other explanation.

The echo is normal, which
means we just wasted our time.



[Mumbling indistinctly]

Okay, um, hey, come with me.

Come on.


Show them.







Looks normal to me.

[Chuckles] It's not normal.

There's a concave deformity
in the right atrium.

Um, no, there's not.

Yeah. Yes, there is. It's very subtle.

Even if you are right,

that's not where a pericardial
effusion manifests.

Not usually.

But it... it could.

This kid was sprayed with glass
shards... cut his jugular.

What if a piece of glass
entered his blood stream?

It could have traveled
down the jugular vein,

into the brachiocephalic vein

and on to the superior vena cava.

If it punctured the SVC,
blood could be leaking

behind the heart,
restricting the heart's ability

to expand and fill during diastole,

reducing the heart's efficiency.

[Smacks lips] Lot of ifs there.


Dr. Chen, pair of 14-gauge on a syringe.


All in favor of ratifying
Dr. Glassman's decision

in hiring Dr. Shaun Murphy?

All against.

[Knocks] Excuse me.

Is this a medical emergency?

No. No medical emergency...

Then you weren't
supposed to interrupt...

Yes, I know, but you need to go online.

- What? What site?
- Pretty much any of them...

Twitter, YouTube, any local news site.


He saved his life!

[ Applause]

The YouTube clip already has
over 200,000 views.

Apparently, he's one of our doctors.

Dr. Shaun Murphy saved this boy?

The boy is in O.R. 2.

Dr. Melendez isn't sure
if he's going to make it.


Your fiancé sure can handle a knife.

Why did you warn me about
respecting Dr. Andrews?

[Smacks lips]

What's going on?

I'm not gonna always
be here to protect you.

You think you're gonna lose?

Everybody loses...


Is that your guy?



Can we get a TV?


Why not?

Because we're poor, dude.

We live in a bus.

Do you think Mom is looking for us?


She loves us, but she knows
it's better this way.


I got you a present.

It's not my birthday.

I got you a present anyway.













Dr. Browne...

You were right.

[Chuckles softly]



- I don't like pickles.
- I know.

- I don't want pickles.
- And I checked.

You saved that boy's life.

Oh, good.

His name is Adam.

Traumatic pneumothorax.

I'm hungry.

Board reconvenes in 45 minutes.

Can you stay here until I get back?



[Clears throat]

He's got a serious deficit.

A child is alive today
because of that deficit.

And tomorrow, one may
be dead because of it.

I seem to remember that
when I hired you,

you weren't exactly making
the most adult decisions.

You haven't killed anyone yet. Have you?

Well, thankfully,
there's a cure for youth

and stupidity... time and experience.

[Laughs] There's a cure
for stupidity? Okay.

That would be a windfall.

All Shaun has is a diagnosis.

I'd like your help.

I take it I'm not gonna get it.


[Door opens]


What's the story with this kid?

Why is it so important to you?


Why not?

Because letting things
get personal is a sure formula

for screwing things up.

I don't know.

Letting things get personal is how we...

[sighs] we make it matter.


So, are you proud or disappointed?

Do I have to pick just one?



You're new to town, right?


Well, I'm sure you have
a lot of questions.



You got to be curious about
the place, about the people.

Dr. Glassman gave me
a map of the hospital,

and I got a map of San Jose online.

[Chuckles] Okay.


I do have one question.


Why were you rude to me
when we first met,

then nicer to me the second time we met,

and now you want to be my friend?

Which time was it
that you were pretending?

Shaun. We're ready.


The vote was clear.
Why are we reopening this?

Is it really because
of a piece of publicity?

It's because the man just
saved somebody's life.

And thank God for that,

but it doesn't change
a single thing we discussed.

Glassman: Give him six months.

If he proves anything
less than excellent...

Someone "less than excellent"
means someone else dies.

Well, I-I would love
to make you happy, Doctor.

I would love to hire someone
who never, ever makes a mistake.

Unfortunately, God already has a job.

I can accept that he will have insights

that none of the rest of us will have.

Can you accept that
he will make mistakes

none of the rest of us will make?

You won't be the one who pays the price.

If Shaun doesn't live up to
everything I know he can do,

he will be immediately released.

And I will resign my position
as President of this hospital.

We haven't heard from Dr. Murphy yet.

Perhaps we should hear from him
before we decide his fate.


Dr. Murphy...

I'd like you to tell us why
you want to become a surgeon.


Why do I want them to be my friends?

Everybody needs friends, Shaun.

It's gonna be cool, okay?
Play hide and seek maybe?

- Okay.
- Tag in the warehouse?


Hey, stop following me.





- Told ya it was fun, right?
- Shh!


Hey, you know what?

[Gasps, screams]




The day that the rain
smelled like ice cream,

my bunny went to heaven
in front of my eyes.

The day that the copper pipes
in the old building

smelled like burnt food,

my brother...

went to heaven in front of my eyes.

I couldn't save them.

It's sad.

Neither one had the chance
to become an adult.

They should have become adults.

They should have had
children of their own

and loved those children.

And I want to make that possible

for other people.


And I want to make a lot of money

so that I can have a television.


Dr. Murphy...

I want to be the first to welcome you

to San Jose St. Bonaventure Hospital.


We're very proud to have you.



Shaun, Dr. Melendez's
team is going into surgery.

I mean, if you're interested.







Got a messy field here.



Shaun: Suction.


Never forget, you're the smart one.

You can do anything.

And I'm proud of you, Shaun.


Bet you've seen many of these.

I remember my first.

Kept thinking, "It doesn't get
any better than this."

And for you, I'm afraid,
that's literally true.

You're a nice kid,
and you're obviously very smart,

but you don't belong here.

So, as long as you're part of my team,

this is all you're ever
going to be doing... suction.

I saw a lot of surgeons
in medical school.

You're much better than them.

I have a lot to learn from you.


You're very arrogant.

Do you think that helps you
be a good surgeon?

Does it hurt you as a person?

Is it worth it?