So about the ER and scutwork. Part of surgical culture is to devalue anything that takes place outside an operating room. This includes seeing patients post-operatively in clinic, seeing patients in the ER, examining patients before rounds, going on rounds, talking to families, checking labs, talking to other doctors about patients and lots of other similar activities. There are individual surgeons, of course, who do value these activities and are exceptionally good at talking with patients and families and explaining things to them. I remember one when I was in medical school who made it a point to personally see her patients briefly before they were anesthetized. These were elective surgeries and most doctors in her position would meet them in clinic, but then have a resident do the pre-op necessities on the day of surgery. And I worked with a pediatric neurosurgeon who once spent 2 hours discussing a prenatal diagnosis with a family. As a pediatric resident, I would go to clinic with him when I could, for the teaching. His own residents were seldom there, seeing clinic as a waste of time compared to actually operating.

Although I love the good doctor in general does anyone feel like for lack of a better word the trajectory has changed? I mean season 1 through 3 was all about Shaun proving himself, and how he analyzed things, different from any other medical show, season 4 feels well I love it but it feels again for lack of a better word like any other medical show, I mean as I said I love it, It just doesn't feel the same, what does everyone else think?


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Melendez's numbers come back. They're not good. Lim scrambles for a solution, but Dr. Aaron Glassman (Richard Schiff) tells her straight up: Even if Melendez could survive the crazy treatments they're brainstorming, he would have almost no quality of life. He tells her it's time to stop being a doctor, and start being a friend. Melendez is going to die.

But I did think this was an important story to tell, and I thought Claire's question at the end was powerful. After everything that happened, she wondered whether it was possible to succeed as a doctor of color without acting to "make white people comfortable."

I'm also surprised that ER doctors aren't required to go to a support group at the hospital. When I worked on a crisis line, we had to attend a group once a month as part of the job because of the risk of PTSD or other serious mental health issues related to dealing with people in crisis.

The finale had one more heartwarming ending in store as Claire, joined by Karla, kicked off her first surgery as a doctor at the hospital. The patient was none other than Miguel, who had been last seen walking away from the clinic with his little dog in toe, likely destined to die, as Shaun waved at him. Miguel would now be saved too as his loyal dog sat patiently outside, waiting for his human. 2351a5e196

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