"Not Fake" is the sixth episode of Season 1 of The Good Doctor. The episode aired on October 30, 2017.
Synopsis[]
Dr. Shaun Murphy and Dr. Claire Browne devise an experimental procedure that can save the leg and life of a young groom, that is if his bride-to-be and parents can learn to work together. Meanwhile, Jared struggles to emotionally connect with his patient whose scars may prove too deep to overcome.
Summary[]
Shaun, Jared and Claire are working the night shift with Dr. Audrey Lim when a call comes in that there was a massive accident and they’ve got the victims coming in. The interns are all trauma for the night with the patients from a wedding bus that crashed. Neil and Claire examine a patient that has an object in her neck but Neil tells Claire to treat her like any other patient. While they’re working, Shaun stares at the patients being brought in bay 5 when a nurse grabs his arm and he pulls back. Everyone observes this but he quickly recovers as he tends to a patient who is bleeding out. Shaun calls out all the medical supplies needed while Dr. Glassman comes in. Shaun says they don't have one so he is making a REBOA, though the nurse has no idea what he is talking about as he envisions what he is doing. He tells the EMS workers to release the pressure and the patient stabilizes.
Dr. Andrews stops Jared from misdiagnosing a patient, Celez, and quickly cuts her throat to relieve the constricting on her neck from the burnt skin. He tells Jared to get her up to isolation in the burn unit as quickly as possible. Dr. Glassman doesn't have an ultrasound machine, making Neil worry he might pierce the heart of their patient, but he proceeds while laughing as Neil says the REBOA could have gone really wrong. Glassman reminds him that it didn't, it's a cowboy move Neil would have never dreamed of even trying and questions how long will Shaun have to try to prove himself to him. As Neil and Claire prepare for surgery, he understands that this is her first trauma but reminds her she needs to think clearly, quickly and methodically and should think a little more like Shaun. Jared is removing the burnt skin from Celez's neck, but she is in pain and he can’t get her more morphine. When he opts to wait a while before continuing, she demands a mirror since he won't even look her in the eye as she wants to know how bad it is. She sobs at the image and talks about how she looks like Freddy Kruger and who would marry her looking like that.
Neil brings Shaun upstairs to see their patient Marco's family, whom they inform that they cannot fix his leg and their only choice is to amputate to their devastation. Back in the ER, Shaun runs past everyone trying to use one of the computers, but all the doctors take them before he can get there. Jessica and Neil are asked about their plans for their wedding by Dr. Lim and they fend off saying they will have to figure it all out. Jessica suggests they can talk about it later when she prefers a beach wedding and Neil says his family likes churches better. Glassman listens with concern as Shaun rushes off again after the nurse asks him if he wants love and he says no.
Shaun begins to visualize any options to save the leg but agrees there are none. However, before he can dash out the door, Claire wonders if they could replace the entire femur. Neil watches as they are building a femur out of titanium, which he states he needs to think about as he still has 7 tags to deal with. Claire tells Neil it was her idea, but he doesn't believe her; he says it's a problem to believe she is brilliant because he has known her for six months. Outside, Claire comes to see Jared sitting on the bench. When he states that he doesn’t know what to tell Celez, Claire advises him not to talk to Celez but just listen to her because she is trapped inside there, alone with her fears and thought and he is her only escape.
Neil and Shaun go to see Marco's family, who are in disbelief about the "fake" femur (though Shaun repeatedly corrects them saying it is real). Shaun says this is the first time he is doing this surgery and admits there is a 10% chance he could die. Marco's mother Lorena immediately refuses, but his bride-to-be Sonia says Marco would want them to take the chance. Neil informs her that his parents are the next of kin and they need to decide; his father Ricardo tells them to amputate Marco’s leg. As Neil quizzes Shaun as they prep for surgery, Shaun questions why he is marrying Jessica. Neil says he loves her but Shaun doesn't understand why having someone to love is so important to everyone. Jessica comes in to the room and tells them they can't go forward with the surgery as she filed a injunction to stop it.
Claire talks to her patient about her neck surgery and how lucky she is to be alive. Claire extubates her and immediately the patient wants to see her wife. Claire checks the list and her name isn't on it, so she promises to check the waiting room and to bring her up. Jessica tells Neil that Judge Singh is en route as Shaun frets about testifying. When Neil reminds Jessica it is Marco's parents’ decision, she objects when he says all parents love their children no matter what. She gets defensive, wondering if he would want his parents to make the decision over her. He says there is no need to be bright red lights when it comes to the rules while Shaun states they have three hours before Marco's leg will die. Jared returns to Celez, telling her to pick a movie but she says a funny one won't change this for her. She mocks him, saying he has all the answers for her. Meanwhile, Lorena, Ricardo and Sonia meet with the Judge; they both want him to live but if there is a chance to save his leg, they need to do it. Ricardo says Marco can still be happy but with a prosthetic leg, while Sonia finally reveals to his parents that they met at rehab.
Claire learns Jenna hasn't been seen since the bus and suddenly realizes Jenna could still be at the crash site and tells them they need to go back. Marco knows what makes him happy and knows his weaknesses; Lorena interrupts saying he once cheated on her with an ex about a month ago out of stress, which Ricardo confirms. The judge says this matters as Lorena reminds Sonia that she isn't Marco’s wife yet. Claire rushes off at the accident site, telling everyone to scour the area. Claire finds Jenna lying on the ground in the woods, just off the side of the road. Her pupils are reactive but she needs to get her out immediately. Jared talks to Dr. Andrews about his Celez who is eligible for an experimental burn treatment. He thinks they can do it there and as Andrews attempts to speak Jared cuts him off again, hoping Dr. Andrews could expedite the process from 3 months to 2 hours; he tells Jared to keep thinking outside the box as initiative is good. Claire reveals that Jenna's pupil is blown showing she has a subdural hematoma and asks for a drill to alleviate it now, otherwise she won't make it to the hospital alive. Claire arrives at the hospital with Jenna whose stats are in the low 70s. Dr. Lim pulls the tube a little higher and told them she's good for the OR, while Dr. Glassman follows and tells Claire she made a good call.
Jared returns to the isolation room Celez is in, informing her the Tilapia skins to help her are on their way to the hospital and should be there within the hour. He tells her that she qualifies for the experimental treatment that might prevent her from needing skin grafts. Dr. Andrews demands to know how this happened and Jared says they are willing to provide the skins as long as they give them the data; he assures Celez he will do it. Shaun is brought in for questions by Judge Singh; he keeps reminding people that the femur is not fake, while processing what she wants to know as Jessica asks him to focus. Marco's parents are frustrated with Shaun being so slow but Sonia wants them to give him time. Shaun orders them to be quiet, he says Marco’s toes are changing color and quickly tells them to page Dr. Melendez, as he is clotting. Neil wants to know what the decision is, as they are running out of time. Judge Singh says his parents know him as their child while Sonia knows him as a man and agrees with her, ordering Neil to replace the femur. Shaun follows him into the OR, while Dr. Glassman allows Claire to perform the surgery on Jenna with him, saying the first time is a little exciting, a little nauseous and hopefully, no-one gets hurt.
Jared begins to lay the Tilapia skins on Celez as Shaun helps Neil with the surgery on Marco. Glassman is very proud of Claire and her performance and tells her to close up the roof/skull. Neil finishes the surgery and asks the nurse to release the clamps, the blood flow is restored to Marco's toes and his heart rate is normal. Claire and Glassman watch as Jenna has no brain activity on the monitor. Claire suggests her brain could rewire itself, though Glassman says no and she is "gone". Marco is surrounded by Ricardo, Lorena and Sonia when he is unable to move his leg, but Shaun shows them his toes moving. He says the surgery worked as Neil says it will be a long road to recovery and he thanks them for saving his leg. Marco wants to finish what they started but Sonia tells him to get well first as there is plenty of time for a wedding. Jared tells Celez she looks good, that she looks like Aquaman. She smiles, saying she looks like sushi but it is only for six months, giving her new skin a chance to grow in with minimal scarring. She thanks Jared, admitting she misjudged him, while he assures her that she judged him just right.
Claire is watching her patient sleep when Dr. Glassman comes in realizing she hasn’t told her that Jenna is dead. He takes Claire out of the room, asking her how long before she intubated Jenna and if she checked that she was breathing afterward. He shares that the ER doctor informed him that Jenna wasn’t ventilating properly when she got to the hospital because Claire inserted the tube too deep into her injured lung, accidentally killing her. They had no way of knowing how long she was hypoxic before they gave her the EEG. Claire says she drilled a perfect hole in the middle of nowhere in the dark of night but screwed up her intubation. He agrees it was tough conditions and any one of them could have made the same mistake. They sit down as Glassman tells her about having unintentionally killing four patients, one of his stories of a mother who came into the ER. Glassman sent her home with antibiotics and six hours later she was back after having a heart attack that he missed and she died. He states that she will never forget this, but she needs to find a way to keep going. He tells her to go home and get some rest, while saying Claire made a mistake and is not allowed to talk to the family nor anyone else about this. She understands and leaves.
Dr. Andrews joins Jared in the elevator after their shift, having called the other hospital who asked him to pass on their gratitude for his generous donation to their burn unit. Andrews doesn't begrudge that Jared comes from a wealthy family but reminds him he cannot open his wallet every time a patient is in need, as the lines can get real blurry, really fast. Jared nods and gets off the elevator. Claire looks in on her patient as Dr. Glassman informs her that Jenna has died. Jessica hands Neil her health care proxy, saying its good to know nothing will happen. They kiss as they leave the hospital. Outside the hospital, Glassman sits with Shaun on the bench, talking to him about not wanting love. He said he loved Steve and his rabbit, but now he doesn't because he doesn’t see how he can love anyone who is dead. He reaffirms he doesn't want love, while Glassman takes him to get breakfast.
Cast[]
Starring[]
Guest Starring[]
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Co-Starring[]
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Trivia[]
- Starting with this episode, Glassman is almost-always seen wearing or carrying a hat when not working at the hospital.
- This is the first episode in which a patient dies on screen.
- In the Turkish Mucize Doktor adaptation of this episode, Claire's neck surgery patient (and the female deceased patient's wife) is changed to a male, due to gay marriage being illegal in Turkey.
- Celez refers to Freddy Krueger, the central character in the Nightmare on Elm Street films.
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