The Good Doctor (2017–…): Season 3, Episode 15 - Unsaid - full transcript

I followed
Gordon Ramsay's recipe

for the perfect scrambled eggs.

Oh, thank you.
This looks amazing.

Except I cut
the tomatoes in half.

The recipe says
to saute them whole,

but I once had a patient

who almost choked
to death on a...

Oh, my God.

These are perfect.

I'm glad
you like your breakfast.

I read that if I made you feel
loved and cared for,

it could help us work out
your insecurity.

Over my friendship with Lea.

Aww, Shaun.

You don't have to do
any more research.

I am fine with you
and Lea being friends.

But you can keep making
me eggs anytime you want.

You're late.

I made Carly a special
breakfast this morning.

And then she wanted to have sex.

So we did.

That's great, Shaun.

Next time,
feel free just to say you missed the bus.

Women don't like it
when you kiss and tell.

Even though
they do it all the time.

Not at work.

Apparently, you've never been
in the nurses' break room.

What were you doing in there?

Delivering the donuts.

Best lesson I learned as a cop,

better to feed down
than kiss up.

Oh, it's my fault we
haven't started our rounds.

I missed the bus.

It's all right.

I'm glad you're all here.

Because I want to apologize.

Dr. Lim told me
she received a complaint

about me playing favorites.

She obviously didn't
reveal any names,

but I want to assure you all

that I don't have any favorites.

And if I did anything
to give that impression,

it's my mistake.

It won't happen again.

We're a team.

And we need to be able
to communicate

and trust each other
in order to be our best.

So in the future,
if you have any concerns,

you can come to me directly.


She got blindsided,
never saw it coming.

Thank God a woman driving by
had pepper spray in her purse,

or the dog would've killed her.

- Brave woman.
- Loosen the tourniquet.

Oh. Okay.

We need an OR stat.
Page Dr. Melendez.

Right away, Doctor.

And start empiric antibiotics.

I'm gonna guess this dog
wasn't big on flossing.

On it.

Wasn't that funny.

Donuts. Best 10 bucks
you'll ever spend.

Cory's upper trachea never
fully developed in the womb.

His upper airway
is totally blocked,

and he has no larynx at all.

The trach tube
he needs to breathe

continues to cause reoccurring
infections and pneumonias.

He says it tickles
when you touch his neck.


Not much I can do about that,

but I'll try to make it quick.

Why are you signing?

He's mute, but he's not deaf.

It helps us stay mindful
of what he's going through.

What did he say?

He says when we get mad,
we don't sign... We yell.

And when
we play soccer together.

So keep your room clean

and pass your dad the ball
every once in a while,

and then
they won't have to yell.

The good news is
his lungs are clear

and I don't see
any sign of infection.

Thank God. The better news is

he's a good candidate
for the surgery we discussed.

Yes, it seems
a bit experimental.

It's shown great results.

If we can excise the scar
tissue and open up the airway,

he still won't be able to talk,

but he'll finally be able
to breathe normally.

It's a complicated procedure,
but given the severity

of the infections
he's been dealing with,

I think it's definitely
the best option.

He says he'll do anything

to get rid of the tube
sticking out of his neck.

And you two?

now you're the one yelling. We hear you.

What do you think?

Let's do it.


Fran, I'm Dr. Melendez.

This is Doctors Park and Browne.

You were attacked by a dog,
almost bled to death.

You remember?


We had to repair a
severed artery in your arm.

So, am I okay now?

The surgery went well.

Dr. Park.

We were able
to stop the bleeding,

which had caused you
to go into shock.

But we still need to go back in,

stabilize the shattered bone,
repair nerve damage,

and do skin and tissue grafts.

But after that?

I'm a firefighter.
I need my full strength.

With plenty of physical therapy,

we should be able
to get you pretty close.

It must be hard
for him to communicate.

My friend's 12-year-old daughter

took a signing class
at summer camp.

She picked it up pretty fast.

Non-verbal communication
is definitely more confusing.

That's why Carly and I
always talk out our problems.

Sorry to break it
to you, Murphy,

but it doesn't matter
how explicitly Carly speaks.

She's saying
a lot more silently.

And it's often the opposite
of what she said out loud.

Why would Carly lie?

It's not lying.

It's communicating indirectly.

Everyone does it,
but women way more than men.

Most of the time,
we don't realize it.

That sounds sexist.

You gonna report me to HR
or listen and learn?

Has she ever told you that
she didn't want to have sex

because she had a headache?


And I thought you didn't want
to hear about my sex life.


But if you ever get the feeling
she's upset about something

and she insists nothing's wrong,

something's wrong.

Humerus isn't broken.

It's... pulverized.

Who do you think
complained to Lim?

No idea.

And we're gonna need
internal fixation

with locked
intramedullary nailing

to stabilize
the fractured pieces.

It must be Morgan.

She's always looking for
a competitive advantage.

Let's focus on the patient.

You can start your
whistleblower investigation

as soon as we're done.

How does she expect us
to trust her

if whenever something
doesn't go her way,

she just goes to the boss...

It wasn't Morgan.

It was me.


You're the least
competitive of all of us.

That's not true,
and I didn't do it to help me,

I did it to help you.

If people see you're getting
special treatment,

even if it's not your fault,
they'll resent you.

I'm not getting
special treatment.

And I don't need
your protection.

Fine. My mistake.

So you can yell at me

or we can get back to work.

Just what the doctor ordered.

W-W-What? You.

I need a double dose
of Shaunie, stat.

Glassy is driving me crazy.

What is it with old
people and technology?


Don't worry. I just need
to vent for a minute.

And I'll scram if Carly comes.

It's okay.

I think Carly's not insecure
about you anymore.

Really? That's awesome.

I added the "I think"
because Morgan thinks

women sometimes say the
opposite of what they think.

But I don't think Carly
would hide what she thinks.

What do you think?

Nobody always says
what they think.


Morgan's right?

Except for the sexist part?


I think Carly is very in tune
to how you communicate.

If she was unhappy,
I'm sure she wouldn't hide it.

Yes. I agree.

Lunch is over.
We have a surgery to do.

Hey, Morgan. Love your boots.

Thanks. Love your sweater.


- DR.
- Nice work.

Look at that. On the bone.

Teeth marks.

Must've been a huge dog.

During "no knock" searches,

I was more afraid
of dogs than guns.

Gangsters have horrible aim,

but their dogs
never miss the target...

Which was our crotches.

Damn. How many times
they get a hold of you?

Never. Another benefit
of martial arts training.

You kicked the dogs?

Like I needed a 60-yard field
goal to win the Super Bowl.

That's awful.

It's self-defense.


I need 9-oh nylon microsutures.

Next step is to suture in
the interposition graft.

Dr. Park's doing great.
Might as well continue.

I... I wouldn't mind
getting my hands dirty.

Let's see how Park does
with this first.

Make sure your stay sutures
are at six and twelve o'clock.

You are very efficient.

And you're very clever,

introing your insult
with a compliment.

Your "helping me out"

appears to have conveniently
helped you out.

Eh, I was expecting worse.

Melendez is
bending over backwards

to avoid anything
that might convey

the slightest bit of
appreciation for my work.

Because it couldn't possibly be

that I was actually doing
a better job than you.

Right. You're probably
buying him donuts, too.

I did what I thought
needed to be done,

and you're accomplishing nothing

by continuing
to badger me about it.

Thanks, Dad.

You're welcome, child.

The boy's obstructed
cricotracheal segment

looks bigger than
what we saw on imaging.

I chose to be aggressive
with resection.

Murphy, flex the neck
to mobilize the ends

and reduce tension
on the anastomosis.

Are you sure we're gonna
be able to cinch it closed?

Not "we." You.

Step on up.

Four-oh vicryl sutures
on a needle driver.

Place lateral traction sutures

at the proximal
and distal airway.

You all right? Yeah, it's just,

I... I hit my finger
with a hammer last night.

I was trying to hang a painting.

Murphy, take over.

It's all right. I can...

Move. You're a surgeon,
not a hockey player.

We don't play through
our injuries.

Next time, hire a handyman.

Those fingers
are your livelihood.

Got it.

I know Carly says
she's not jealous anymore,

but based on what I saw
at lunch,

I'm thinking
maybe she should be.

I think Murphy's old enough

to handle
his own girlfriend trouble.

I don't have
any girlfriend trouble.

That "eating off the plate" move

is the oldest trick in the book.

Lea was hungry.

It looked more like she was claiming
territory than satisfying hunger.

She might as well
have peed on your leg.

You, shut up.

And you, keep a smaller gap
between the sutures.

We're gonna need a solid anchor

to get the anastomosis airtight.

That's better. Good job.

Good work today. Thanks.

See you tomorrow at the track.

I, uh...

I... I wanted to talk
to you about that.

We can't do this anymore.

It's just a run
on a public track.

It's not like
we're meeting at a hotel.

I just shouldn't be socializing
with residents outside of work.

Any of you.


I've been going through
a tough time.

Our friendship,
having someone I can talk to,

it helps.

I'm not abandoning you.

I'll be there
to support you at work.

You've got your therapist.
You're gonna be fine.

This is exactly why women have
such a hard time finding mentors.

No one questions
when guys hang out,

but anytime
a woman wants to build

a totally appropriate

with a male colleague,
the stupid rumors start.

I agree.

But the rumors have started.

I'm gonna plug the trach tube,

and I want you to try
to take a breath.

Nice and easy.

He says it hurts,

but it's the best feeling
he's ever had.

What's wrong?

You don't like it?

It's delicious.

I hear delicious,
but I see disappointed.

It's not the chicken.

It's my patient.

We fixed his airway,

and he can breathe
without the trach now.

That's fantastic.

But he still can't talk.

He can talk. He just
does it with his hands.

Mm, but only with people
who can also sign,

and they have to be
looking at him, and...

Well, could you do
a cadaveric larynx transplant?


I've heard that's worked for
some throat cancer patients.

No, Dr. Lim ruled that out
years ago.

The risk of tissue rejection

is too great in a child his age.

Well, could you wait
till he's older?


If he doesn't learn
to speak soon,

he'll never be able to.


I need to do some reading.

Oh, come on, Shaun.

You should at least
eat something first.


I'm hungry, but I will do
the reading first.

You're in early.

What's the haps?

Are you serious?

I didn't even know

Michelle Obama was in
SEAL Team Six.

Have you ever noticed
how Glassy grinds his teeth

when he's listening
to someone talk?

It's like a cow chewing on...

You never used to do that.

Do what?

Eat food off my plate.

I used to work full time
at a place with private chefs.

Now I work part time

in a place with hard-boiled
eggs in a vending machine.

She said it's like
you're peeing on my leg.

You're gonna have
to expand on that.

Morgan thinks
your body language says

you're trying to assert
your dominance over Carly.

Morgan is one twisted biatch.

Is she right?


Not even close.

I promise you my voice
and body language

are communicating
the same thing,

which is pure, non-threatening,
platonic friendship.


He also snores.

Really loud.

Glassman? Oh!

I have to go!


Incision sites look good.

And skin and tissue grafts

appear to be taking hold nicely.

We were able to reattach
your bicep muscle and tendon.

That's good to hear.

Can you lift your arm?

No. I... I can't.

Because it hurts too much?

It doesn't hurt at all.

I figured that was
because of the pain meds.

You feel that?


Vocal cords aren't the only way

a person can create sounds
with their mouth.

You want the kid to learn

to burp his way
through his conversation?

Mm, I don't think
it would be possible

to sustain
enough air output to...

It was a joke, Murphy.


Snoring is
a better model anyway.

Soft palate tissue
is what vibrates,

making the sound
when people snore,

but it's not stiff enough
to replace the vocal cords.

But we could use
his own costal cartilage

to act as vocal cords.

The larynx is a complicated
piece of anatomy.

a tiny musical instrument.

We can remove two of his ribs

to create the anterior
and posterior larynx frame

and then stretch
the cartilage across it.

And then cut open a trachea
we worked so hard to close?

We could destroy
everything we just fixed.


I think it's worth the risk.

Because you're thinking
the kid's like you,

that he needs to speak
out loud to be understood.

She's right.

The larynx is like
a musical instrument.

But if Bo Diddley can make
a guitar out of a cigar box,

I'm pretty sure
I can make a larynx

from bone and cartilage.

Absolutely not.
He's finally healthy.

There's no need
to take any more risks.

You're right.
There are definitely risks.

But I wouldn't present the option if I
didn't think we could manage them.

Couldn't we just wait
until he's a few years older?

I assume the stronger he is,
the safer it is.

Most verbal language
development happens

within the first eight years
of a child's life.

Cory's already 10.

It we wait any longer,
he may not be able

to learn to speak,
even with a larynx.

He can communicate
without speaking.

You're making a big mistake.


He'll always be... Limited.

It'll be difficult
to make friends,

to interact with strangers.

Murphy. That's enough.

They're aware of their options,

and they've made their decision.

The suture repair looks fine.

Which makes me think
the nerve here got compressed

between the bone
and the dog's teeth.

It's too wide a span
to repair with a graft.

What if we built a nerve conduit

out of silicone
and polyglycolide?

We could use it to guide
the severed nerve ends

to grow toward each other,

create a pathway for them
to connect and heal.

I'm not sure the nerves
can grow across that distance.

It's definitely worth a try.

We can't just experiment on her,
like a lab rat.

And we can't
just sit back and do nothing.

I'm not saying
we should do nothing.

I'm just saying we can't
experiment on her blindly.

Maybe we could use donor
tissue to bridge the gap.

Well, that means putting the
patient on a transplant list.

Who knows how long it would take

before she gets
a viable donation?

The firehouse won't hold
her position until she heals.

She'd lose her job.

Well, first,
you want to treat her like a guinea pig,

and now you're deeply
concerned about her life experience.

You just want to be right.
And you don't?

Are you gonna step in
at any point?

I think Park's idea has
the best chance of success.

Get her prepped.

Did you really think
his idea is better,

or do you just
not want to look like

you're biased toward me?

I'm not happy
about this situation either,

but I think you're overreacting.

You better get it under control,

or you're gonna find yourself
watching from the gallery.

Hi. Hey.

Do you have a problem with me
staying friends with Shaun?

I know you've told him
you're fine with it,

but are you?



I mean,
I'm totally glad you are.

It's great.

But I'm not sure I would be
if I were in your shoes.

If it was any other guy,
I probably wouldn't be.

But Shaun,
he always tells the truth.

So when he told me that
he's not interested in you,

I believe him.


You told the residents
not to come to me?

No. That's not at all
what I said.

You didn't tell them,

"Next time you have a problem,
come to me directly"?

I was encouraging
open communication

and trust on my team.

What I have is a group
of ambitious young residents

who are struggling to figure out

how to be cooperative
as well as competitive.

You're not helping them
figure it out

by suggesting they
resist taking complaints

up the chain of command.

I'm sorry you've had to waste
your time dealing with this,

but there really isn't...

Neil, I am not wasting my time.

You do have an issue.

And you've got to stop
pretending you don't.

The incision is healing nicely.

We should be able
to discharge you today.

Are you happy to be going home?

Do you have
any questions for us?

Are you sure?

Because you don't really seem
all that happy to be going home.

What is he saying?

He said Dr. Murphy was right.

He does have a hard time
talking to kids at school.

And making friends.

He doesn't want people
to ignore him

or act like he's stupid anymore.

Honey, I'm so sorry.


That's two segments
from the seventh rib.

Let's close his chest.

I need you to secure the posterior surface

while I place
PDS four-oh sutures.

Murphy, be ready
to suture the graft

into the anterior section.

Morgan realized
our patient wasn't happy,

even though he said he was.

If she hadn't been there,

we wouldn't be doing
this surgery.

It wouldn't have mattered
what I was able to realize

if you hadn't been so obsessed

about finding a new surgery
to help the patient.

Blood pressure's plummeting.

The field is filling with blood.

I can't see the source.

expose the external carotid

and find the superior thyroid.

BP still dropping.

Heart rate is up.

Place a temporary clamp
on it, Reznick.

It's not working.
This is venous.

10 blade.

I see what happened.

Left and right jugular veins
are connected by a venous arc

we injured during retraction.

Dr. Murphy, just double ligate

with two-oh silk ties
on both ends.

Silk ties.

He's stabilizing.

Good job.

Both of you.


It's not every day you get to
build a kid a brand-new larynx.

It was very exciting.

Those two are getting
pregnant tonight.


They should get a room.

So they can make out in private.

Oh, my God. It's Lea.

She's not getting pregnant.

She definitely uses protection.

Every time one of her
boyfriends would come over,

she... She would... That's okay.

I don't need the details.

Would you ever be comfortable
making out in public like that?


I... don't know.

As a board-certified

I think we need to conduct
an experiment.



I can't believe you're here!

10 blade.

Transverse incision approach
to the brachial plexus.

Adson forceps.

I can assist with ligating

the traversing
external jugular branches.

I could divide
the omohyoid muscle.

It's all right. Probably
best for me to handle this.

Retracting to the side.

I'm sorry.
I think we killed the mood.



You did manage
to wound it pretty bad.

It's bleeding out.


It's a joke, Shaun.
See, what Carly did was...

I get it.

I get it.

She anthropomorphized
the word "mood"

to make it seem like you hurt it

and it's now hemorrhaging.

It's very clever.

It was fun last night.

I'm glad
you and Lea are friends.


What was your favorite song?

Mine was Whip It.

I have to go.

I have an early morning.


I will see you at work.

You're at 60 meters per second.

Normal electrical signal
velocity of the nerve is 50-65.

That's... good?

Very. The surgery worked.

Your strength
might go down a bit,

but you definitely
should get function back.

How can I thank you? Seriously.

Well, actually, uh,
it's Dr. Melendez you should thank.

He did the surgery.

We didn't really do anything.

Well, you obviously
did something.

Okay. You're welcome.

Get some rest.

How are you feeling?

Any pain or discomfort?


If you're feeling up to it,

we'd like you
to try to make a sound.

Now, start down here
and just push the air up.

Be gentle.

We don't need you breaking
any wine glasses just yet.

That's the most beautiful
voice I've ever heard.

It's just a primitive sound.

With speech therapy,
he'll be able to fully speak.

Cory says thank you, Dr. Murphy,

for pushing for the surgery.

This is the best day
of his life.

You are very welcome.

This is not you.

And it's not right.

We can be friends
and have it not be weird.

It's already weird.

I'm not gonna stay.

Well, you don't have to run
away just because I'm here.

I'm not running.
I'm being professional.

You're overcompensating.

Trying to play it safe.

And it's... It's hurting things.

It got Park and I
in an argument.

That's not
how I want to be mentored.

That's not who you are.

At least, it's not
who I thought you were.

Enjoy your dinner.

I'm confused.

One day, you're filing
a complaint about your boss.

The next, you're being incredibly nice
and supportive to your fellow resident.

I told you,

I just felt like Dr. Melendez's
treatment of Browne

was starting to cause
dissension on the team.

I have no doubt
that's part of the truth.

I'm guessing
the other part was...


You thought
it would inoculate you.

We'd never be able
to fire someone

who filed a formal complaint
against their attending.

Which is why I'm so confused.

Why would you feel like
your job could be in jeopardy?

I don't.

I don't know
what you're talking about.


Just so you're clear...

I won't hesitate
to let you or anyone else go

if I feel it's deserved.

No matter whether they've
filed a complaint or not.

Of course.

I understand that.


Have a good night.


Two menus.

I'm going to make you
a surprise dinner tonight.

It's a special
grilled cheese sandwich.

It's special because it
uses four kinds of cheeses...

Gruyere, Parmesan, yellow...

I don't think that we
should be together anymore.


I can't be your girlfriend


Did I do something wrong?

No, Shaun. It's not...

Last night at karaoke,

when you and Lea
were singing together,

there was something
between you two.

You love her, not me.




I don't.

It's obvious.

You're wrong.

You say that.

And maybe you even believe it.


I saw what I saw, Shaun,
and I am telling you,

it doesn't matter what you say.

It's true.

And I think she loves you, too.

You should tell her
how you feel.