The Good Doctor (2017–…): Season 5, Episode 5 - Crazytown - full transcript

Dr. Park and Dr. Murphy treat an elderly Asian man brought to St. Bonaventure by his daughter after being the victim of a hate crime. In addition, Lea goes behind Shaun's back to help raise his negative patient satisfaction scores.

Think of these
not as a report card,

but a window into the minds
of your clients,

their families
and support persons,

and also as a window
into yourselves.

To see your greatest strengths

and the areas where you have

the greatest opportunity
for growth.

First round of results
is already in your inbox.

Regular updates to follow.


Third highest
in the department.

Pretty good.


How'd you do?



"Dr. Reznick
cares deeply about people."

"Sweet." "Kind."


What do I have to do
to get that level of service?

Let me bill your insurance.

You have six comments.

Four "OKs." Two "Goods."

I have 46.

It's hard to live
in your long, sweet shadow.

I'll give you some pointers.
We could role play.

You could be the shirtless
and eager-to-please doctor,

and I'll be the
sexy-but-demanding patient

with a nasty
fungal infection.

Top five. Nice work.

Thank you.

But as Chief of Surgery,
wouldn't hurt to aim higher.

Speaking of which,
where's my numero uno?

Dr. Rendon.
Top of the class.

Oh, he was called away on

a medical mission
in Guatemala.

It was urgent.

Huh. Heroic.

When will he be back?

Should be just
a few more days.

In the future,
please let me know

about any extended
absences, hmm?

He can't make
our clients happy

if he's not in the country.


I have to go.

I had the lowest ranking in

the entire
surgical department.

I made five people
"very uncomfortable."

Seven patients
said I talked weird,

and one woman was "a little
creeped out" by my manner.

The algorithm has
some major blind spots.

I can make it better.
I'll talk to Salen.

No. The data reflects
actual opinions.

I will learn how to make
people feel comfortable

and improve my scores.


Rosa Castillo, 35,
needs immediate bypass surgery

for acute kidney failure.

She was treated
for renal artery stenosis

three years ago.

Looks like the stent failed.

This imaging is barely
readable. It's from 1985.

Try Guatemala.
Mateo sent her here.

They don't have the equipment
for a bypass.

Ms. Castillo.

I am Dr. Lim.
This is Dr. Wolke.

I heard
so much about you.

The Chief. La Jefa.

Oh. Well, hopefully,
we can have you in the O.R.

in the next couple of hours.

We already have
your medical history

from Dr. Rendon, which helps.

Teo told me I would
be in good hands here.

Uh, is that what all his
patients call him back home?

Probably just
the ones who dated him.


Bruising of the jaw,
sublingual hematoma,

most likely
a parasymphyseal fracture.

It's just a little bump.
I'm fine.

You're not fine, Dad.
How did it happen?

Ah, some kids were horsing
around outside

when I was opening up.

He runs a hardware shop.
They attacked him.

It was an accident.

I fell off the sidewalk into
someone's side-view mirror.

Your jaw's broken.

They pushed you
off the sidewalk,

told you
to not get them sick.

They were just
being stupid.

She's so sensitive.

Checking for abnormal movement
of the mandible

or any malocclusion.

Okay, we need
to file a report.

A report?
Why would I--



The fractured bone and
tongue are sliding backwards,

blocking his oropharynx.

We need to secure
the airway, now!


ANDREWS: Placing the last
two-millimeter miniplate.

He must have been
in a lot of pain.

[SIGHS] Good for you

if you can stay positive
after a hate crime.

Satisfactory occlusion
and fragment reduction.

Doctors Allen and Murphy,

let's remove
the temporary MMF.

Mr. Song and his daughter

see the same situation
very differently.


He's bradycardic.
Heart rate dropped to 35.

And hypotensive,
73 over 42.

Let's dial back
the sedation and opiates,

push one milligram
I.V. atropine.


Jordan: Maybe an adverse
reaction to the anesthesia?

We need to figure out
if there's

an underlying cardiac problem.

Get a post-op EKG,
echo in recovery,

and check for electrolytes.

And I need to figure out

how to get a good review
from both of them.

How's the water pressure?

I decreased output by 5%.

Saves 150 gallons a month,
$17,000 annually.

Which, in three years
and five months,

will make up for
what you're about to spend

operating on
this new client,

whom Dr. Rendon gifted us.

Mateo's commitment
to patients

is the reason he's numero uno
in the department.

My concern isn't Mateo.

You allowed him to fly in
an uninsured patient

without informing me.

Do I still have the autonomy
to run my own department?

I hope you see yourself

as more than just
the head of one department.

You are a vital member
of the Ethicure family.

We have to work together,

all of us,
or we will all...


The colors on these are wild.


That yellow would look great
with your complexion.

double gerbera daisies.

Mr. Song has sinus rhythm
on his EKG.

Normal electrolytes, and
no abnormalities on the echo.

Which rules out a lot,

but not a P.E.
or small cardiac contusion.

Get a CTA chest.

Gerberas produce
excessive amounts of pollen,

which can
trigger migraines.

You don't need
to be here for this.

Text me.

Excellent point
about the gerberas.

Lucky me, working with such

a fabulous,
knowledgeable couple.

Mm, gerberas are notoriously
big pollen producers.

It's an obvious point,
not an excellent one.

You called Lea and me

Are you using hyperbolic
language to make us like you?

Mm, I think the language was
pretty accurate, actually.

I'm trying to improve

my own client
satisfaction scores,

which are poor.

You received 97%
five-star reviews on Yelp.

Your methods must be
very effective.

Are you using hyperbolic
language to make us like you?

It's all about
appeasing and affirming.

Appease. Give the customers
what they want.

And affirm. Make them feel

that what they want
is wise and good,

which in your case,
it is very much so.

Rotating everything medially

to expose the renal vessels.

I got three lap choles

waiting for Dr. Rendon
on Wednesday,

little thank-you gift

for letting us operate
on his patient.

Well, might be Thursday
before he's back.

Sorry the humanitarian crisis
is screwing up your schedule.

There's a massive aneurysm
cutting off blood flow.

There's no way to get vascular
control for reconstruction.

We might be able
to do a bypass

from the aorta or iliacs.

ASHER: There are several
aneurysmal segments

along the abdominal aorta.

This one's abnormal, too.

All of her arteries
are defective.


You should take me
on a date tonight.

Okay.It's a lecture

on leadership in medicine
by Dr. Chandra.

Recipient of two
NIH grants.

That's not a date.
That's homework.

Starting the scan.

There's a cocktail
party after.

How about we spend our time

doing that role playing
you suggested?

You know, minus the fungus.

The infection was the whole
motivation for my character.

Your guy's heart is fine.

Make sure
youbreak the good news.

Should bump up
your scores a notch.

The tests show
your heart function

and anatomy are normal.

The episode during surgery

was probably just
a minor anesthesia reaction.

You should be
good to go very soon.

Thank you, Dr. Allen.

We can stop by the police
station on the way home

so you can make a statement.

I told you,
no reports, no statements.

BP is 133 over 70.

Checking O2 sat.

Appa,these things
are underreported.

Our relatives,
our friends,

our people
are getting hurt out there.

"Our people."

It's not us versus them.

That doesn't help anyone.

You don't think
we're seen as different?

You wantto be seen
as different.

You rub people's
faces in it.

That's why you aren't
getting anywhere.

You don't have
a real job--

Community organizing
is a real job.

I am lucky to have such

knowledgeable clients.

Emily, you're right

about the importance
of recognizing problems.

Mr. Song, it is wise

to be concerned for your

professional future.

Please, Appa.

Go with me
to make a statement.

It's important.

Not to me.

You're right.

Community organizing does
not sound like a real job.

It's a real job.

Heart rate dropped.

A-line shows a widened
pulse pressure reading.

is wrong with my heart?

Respiration rate down,
trending apneic.

Cushing's Triad.

75 grams of mannitol.

Your heart is fine.

There's something wrong
with your brain.

It's invaded
the motor strip,

left temporal,
anterior corpus callosum.

Severe necrosis and edema,

and no way to see where
tumor ends and brain begins.

It's inoperable.

I will definitely
get a bad review.

I need more time
to find a surgical solution.


But we also need to leave
for our tux fitting.


We were able to
bypass the renal artery

using one of your veins.

But new imaging showed

you have a condition called
Fibromuscular Dysplasia.

It's caused areas
of stenosis and aneurysm

in your heart, brain,
and other major vessels.

We can give you medication

to manage
the underlying condition,

but we'll have to do
another surgery

to repair
each of the aneurysms.

There are risks of stroke,
or major hemorrhage.

But without it,
it's only a matter of time

before one of these
aneurysms ruptures.


if anything goes wrong,

can you please let
Teo know?

He should be the one
to tell my family.

I wouldn't want them
to hear it from a stranger.

Of course.

We could use intraoperative
stimulated raman histology

to determine tumor tissue
versus normal.

PARK: Eh, if we
resect normal tissue,

we can't put it back in.

Drape is perfect
with your physique.

MRI guidance

would help us achieve
gross total resection.

And risk resecting eloquent
cortex, with major deficits.

You look like a little boy.

The shoulder sag is awful.
Take it off.

That was neither appeasing
nor affirming.

But your reviews
are exceptional.

You can't just tell people
what they want to hear.

You've got to give them
the cold, hard truth.

I always do that, and people
don't give me good reviews.

You have to follow it
with a compliment,

which now,
thanks to your honesty,

they'll believe.

Very striking
with those eyes. believe you.

GLASSMAN: Yeah, hey, Shaun.

Um, sorry for not replying.

You're late
for the tux fitting.

Oh, yeah, um...

I'm in Montana?

We need to reschedule
your appointment.

When will you be back?

Well, I'm not so sure.

I'm heading towards
a little town called Paradise,

and I'm--

I'm thinking of hunkering down
there for a little while.

How about Wednesday,
12:00 p.m.?

Will you be done
hunkering by then?

Sure. [SCOFFS]
I'll see what I can do.


You are confirmed.

We have to get back to the
hospital and talk to Mr. Song.

With only chemo and radiation,
you would die soon.

But I've found a way
to remove the tumor

using fluorescent light.

If we administer
5-ALA before surgery,

the cancer cells will turn
pink under the light.

Then we can resect those cells

and leave healthy
tissue unharmed.

You will likely have paralysis
on your right side,

but no cognitive
or speech impairment.



I've always
taken care of myself.

Without this procedure,
you'd have a year at most.

I'd better
make it count, then.

No surgery.

Chicken pepian, from the place
down the street.

Mateo says
it reminds him of home.

When he was "home,"

his favorite food
was pizza.


You're very kind.

I'm not sure
I would be this nice

to the ex-girlfriend
of my current boyfriend.

Mateo told you about us?

No, but you're his type.

Smarter than he is.

And Dr. Wolke
let something slip.


I can't quite
picture Teo here.

Everything is very


And shiny.


Did you meet here?


We met in Guatemala.

And then
he decided to move.

It was a little--



He moves fast
when he knows what he wants.

We were practically living
together by our third date.

Were you together
a long time?

Six months, maybe less.

Long enough for me
to start imagining

what our kids
would be like.

But then there was
a war in Congo

or an earthquake in Haiti.

Someone, somewhere
needed him.

But I am glad he's found
a place to settle down.

I wasn't sure that would
ever happen for him.

You left me.
At the party?

I was tired and bored.
I went home.

Without saying goodbye.

I was about to introduce you
to Dr. Chandra.

I didn't ask you
to do that.

And I didn't ask you
to tell that guy from Stanford

that I've done
over 50 robotic surgeries,

or give that research fellow
my ABSITE scores.

It's calling mingling.

Felt more like
being pimped out.

What can I say?
You're a stud.

I'm fine. I'm good.
My scores are average,

and it's driving you crazy.

You're not average, but you
shy away from the spotlight.

You're a hot Korean
martial artist surgeon,

and your face
isn't on a poster.

Why do you think that is?

I just want you to reach
your full potential.

I mean, don't you want that
for yourself?

ASHER: Rough night?

Not really.

You know,
when I don't sleep well,

it's usually
anxiety about work

or why some hot guy
isn't texting me back,

or, oh, he sent his
ex-girlfriend to me for help.

I was up late
prepping for this surgery.

Yeah. Me, too.

I have moisturizer in my bag,
just, if you want it.

Where is she?

Rosa was stable,
so I transferred her

to County Hospital
this morning.

She's my patient,
and I'm your boss.

This is the right call
for our department.

She'll get the care she needs,
and as a non-profit--

Their team has
far less experience

with this kind of surgery.

I know this patient
is important to Mateo,

and he's important to you,

but we cannot allocate
our limited resources

based on personal feelings.

Oh, this has
nothing to do with Mateo.

You are risking
a woman's life

so you can crawl
further up Salen's ass.

I'm protecting
this department,

which is actually
your job.

Pedes just hired
three new nurses.

I got approval
for a portable X-ray.

When's the last time Salen
approved one of your requests?

This is a hospital,
not a swap meet.

It's her hospital.

I'm contacting County.

You can't
bring her back here.

I know.

What about a limited
temporal lobe resection?

Lower the risk
of future brain herniation?

Good for preserving
motor function,

but he'd likely lose speech.

Why is my dad still here?

He isn't
telling me anything.

Emily, the break room is
for surgical residents only.

Your presence is not only
prohibited, it is unwelcome.

You're distracting us from

trying to change
your dad's mind

and save his life.

That sweater is very striking
with your eyes.

You should talk to him.

So he can tell me
everything's fine?

He needs you.

I used to be a cop.

In part to try
and please my dad.

He was all about
being tough.

He always had this, uh,

wall up, you know?

He came over with nothing.

Didn't know the language.

He got by on very little
for a long time.

It took a while
for me to realize it,

but being tough
was just a survival strategy.

My dad came here
when he was 19

and went "from a socket wrench
and a couple bolts

to Number One Convenience
Hardware in the Bay,

no problem."

I get that he's strong
because he had to be.

And I get

that it helps him to deny how
the world sees us as "other."

But when you do that,

it can make people
who are struggling feel

messed-up and...


Maybe he's protecting you

not because he thinks
you're weak

but because he'd rather take
on the world all by himself

than see you get hurt.

Your dad's a fighter,

But so are you.

And he needs you
to fight for him right now.

Why haven't you
told your daughter

what you're going through?

When she was a little girl,
she'd help out at the shop.


Make a mess, more like,

disappear in the middle
of stocking fasteners.

I'd find her
hiding behind the counter.

Someone said
something mean,

made her feel bad.

That's... That's the world.

I sell hammers
to people who hate me.

I get their money,
they get their hammers.

I kept my head down,

built a life for our family,
for her.

So, when I'd see her upset,
I'd tell her, "Hey,

forget that guy.

Focus on
the next customer."

I don't want her to hurt.

I need to be strong
for her.

Mr. Song,

the best way to show your
daughter what strength is...

Tell her what
you're going through.

She's not the little girl

hiding behind
the counter anymore.


I heard you're doing
Rosa's surgery at County.

I would like to assist.

You don't have any surgical
privileges at County.

And unless you want
to piss off the CEO,

you shouldn't do it anyway.

Maybe you shouldn't,

You don't know when Dr. Rendon
is coming back, do you?

Before I got
into this program,

I had heard so much about you,

how you were smart
and talented and

tough and fair.

And at first, I was like,
"Oh, my God. Stop. I get it."


But I didn't.

Until I met you.

Everyone who works for you

is a better doctor
because of it.

And I would hate

to see you put everything
you've worked for on the line

for someone who

isn't willing
to do the same for you.

Thank you.

Don't ever
give me advice again.

Whatever you and Jordan said
has improved the situation.

How did you do it?

I just affirmed
where Emily was coming from

and helped her see where
her dad was coming from, too.

That's what I
tried to do,

and it made them
both angry.

There's some
shared experiences.

Because you're both Asian.

American, yeah.

Both second generation,
similar fathers.

You're both outsiders.

I guess that's, uh...

Um, my dad

told me about the tumor.

Did you convince him
to accept the surgery?

The thought

of losing him terrifies me.

But he needs my support now.

Which means supporting
his decision.

Thank you for
helping me see that.

I was wrong.

What you and Jordan said
has made the situation worse.

SHAUN: My clients are finally
in agreement with each other.

But against me.

I'm sorry, Shaun.

I love the tuxes,
but where's Glassman?

Oh, he is "hunkering down"
in Paradise.

Dr. Park, Emily, and I
are all outsiders,

but I failed
to connect with her,

and Dr. Park succeeded.

To connect with people,

I need them to like me,
which they do not.

I need new strategies.

Shaun, I know you grew up
not feeling accepted,

you didn't have
many friends--

No. I did not
have any friends.

Maybe the scores
are bringing up

some of those
old, painful feelings?

The scores are
providing useful data

to help me
track my progress.

Many people like you.
Why do you think that is?


obsessing over
whether or not people like you

is a guaranteed trip
to Crazytown.

That is very easy to say
when you are likeable.

You're an amazing doctor,

which any functioning, decent
algorithm should recognize.

If I just talked
to Salen, I--

No. I don't want you
to do that.

It might be simpler.

Do you think I can't
improve my scores?

Of course not.

I know you can.


Mm. I have to go.


PARK: Securing the airway.

Give another two milligrams

What's happening?

The seizures and brain
herniation will only get worse

as the tumor grows.

All we can do now is keep him
in a medically induced coma.

Until the tumor kills him.

Without waking up first?

There's nothing
you can do?

You are his medical proxy.

Now, your dad
rejected surgery

when he thought
he still had time.

It's possible he'd make
a different choice now.

He made it clear
he didn't want

to live weakened in any way.

He'd hate me for choosing
the surgery for him.

I can't.

That is a very bad,
very irrational decision.

It doesn't matter
if your father hates you.

Being liked doesn't matter,

and worrying about that is

a guaranteed trip
to Crazytown.

What matters is
saving your dad's life.

Your watch is
a very nice shade of orange.

Teo's lucky to have you.

I told him he better not
screw this one up.

You talked to him?

Mm. Earlier today.

Only for a minute.

He said
he'll be back soon.


The nurse will come by
in a couple minutes

to take you to the O.R.

Hello, Dr. Glassman,

you haven't accepted
the calendar invite

for the rescheduled
tux fitting.

Should I send another one?

Also, in attempting to improve

my performance
with my clients,

I have not many progress,
even though--

EMILY: Dr. Murphy?

You were right.

Nothing matters
except saving my dad.

Do the surgery.

Ignore the part about
not making progress,

but please respond about
the calendar invite.


We got over 98%
of the tumor,

and your prognosis
is very good.

As expected,
we weren't able

to preserve
full motor strength

in your left arm and leg.


I told them to.


I couldn't stand
to lose you.

I know you may
never forgive me

or speak to me again,

but at least I know
you're still here

on the planet with me.

That decision...

...took a lot of strength.

Good thing
my daughter's so tough.

Wonder where
I got that from.

Everything went well.

I was able to repair
each of the aneurysms.

We should have you home
in a week, maybe less.

Thank you.

How did it end,
between you and Mateo?

It's none of my business.

You don't have to answer that
if you don't want to.

He would go on medical
missions all the time,

sometimes with no notice.

I would wake up
and find a little gift,

like a book
or a bottle of wine,

and a sweet note.

After a few days,
or weeks,

he would come back,
and everything would be good.

And then one time,
he didn't.

I waited for a long time.

Too long.

Thank you.

You want to
get some dinner?

I make a fairly
average lasagna.

Ah, I have to finish this

proposal for
Dr. Chandra's lab.

Unless you want
to work on it together.

I'm good.

You know, the day
I handed in my badge,

my dad told me
I was weak.

And then he didn't say

anything else to me
for a year.

I was only able to do it
because of him.

I'd watched him make
tough choices my whole life.

It cost me a lot
to get here,

but I'm finally
in a good place.

I love my work

and my pain-in-the-ass

I don't know if that's
"reaching my full potential,"

but I'm happy.

And I fought
too hard for that

to let anyone tell me
it's not enough.

Even the person
who makes me the happiest.

I'll eat the lasagna.


I need to know

at some point "good"
is gonna be good enough.

For you. For us.


I'm ambitious.
That doesn't mean I'm broken.

I think you're unhappy.

As long
as I've known you,

you've been reaching for
the next rung of the ladder.

Will it ever be enough?


GLASSMAN: Hi. You haven't
reached Aaron Glassman.

So I'll call you back.

Hi. It's Lea. Call me back.

And call Shaun. He needs you.



Did transferring that
young woman make you feel


It was the right call.


Pretty crappy.

A few years ago,
a colleague made me take

one of those online tests that

tells you
if you're a sociopath.



I'm not.

I'm just committed.

Allowing feelings to influence
business decisions leads to--

Bad decisions.

Yes. Exactly.

You think like somebody
who knows how to be in charge.

So why aren't you anymore?

I made a good call.
The board made a bad one.

Would you like to have dinner?
With me.

Before you answer, you should
know that going out with me

will not benefit you
professionally in any way.

Or personally, maybe.

Who's to say?

And turning me down
will have no repercussions.

Feelings do not
influence business.

I can sign something
to that effect.


I'd love
to have dinner with you.


Do you like shawarma?

I know the best
shawarma place.

Oh, I love their chicken,

but I hear their lamb is also
very good,

though I don't eat lamb

It makes me sad.




You have reached

the voicemail box of...

MATEO: Dr. Mateo Rendon.

Please record your message.

Hi. It's me.

If you're coming back
for work,

I'll see you Thursday.

If you're coming back
for me...


SHAUN: Ranunculus.

They have very low pollen,

and the colors
are also..."wild."

These are Delano Yellow.


they're perfect, Shaun.

Yes, we are celebrating
my success.

I received
a new batch of scores,

and they are elevated
2.3 points.

That's great.

Yes. It is.

My efforts
to improve my performance

have been effective
after all.

And no one said
I was weird.