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S01.E02: Mount Rushmore


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Ok, I guess I'm in.  Breezy, but a stronger second episode.

It was pretty obvious that one of Shaun's "scut" patients would have something more complicated, but I did enjoy him getting his hero moment.  Really liked him just saying screw it and going for the operation himself.  Boo to Dr. Douche for taking over.

It's good that Glassman saw that there was some validity to the other doctors' concerns, even though Shaun is his top priority.  

Claire seems cool.  I liked Carly (the woman in the lab) too.

Jared, it's not really going out on a limb for Shaun if you don't acknowledge that the whole thing was his idea.  Did I miss something there?  He still took the credit.

This might seem like a really dumb question, but was there a reason why they couldn't reattach the kidney once the tumor was removed?  

I wonder if Steve (little brother) is still alive somehow.  Like he's on life support or something.

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Instead of the arrogant doctor having a come to Jesus moment with Shaun can't he just have a surprise visit from Norman. I was so bummed when he showed up at the last second before he could start that little girls surgery. But no Dr. She has a tummy ache because mommy and daddy are fighting gets to save her.

I'm so happy that like 4 people called him out for being dick head but he sure isn't doing anything to change.

Grr British Dr for taking credit for Shaun's idea. As if he wouldn't have thrown Shaun under the bus if the idea didn't work. It did bother me that when Shaun diagnosed the woman they didn't even mention testing even though I'm sure they ran them. The two doctors practically popped wood at the thought of the surgery before even knowing if they would need to do surgery.

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 I'm only watching to snark at this point.

Melendez is an idiot.  He forces Shaun to do scutwork because Shaun was forced on him (what about the obligation to teach?) and then sends the guy with no social skills to hurry up the results from the lab.  Why didn't Melendez just tell the lab that the patient is lying cut open on the surgical table?  That should push her results to the top of the pile.

I liked Carly, I hope she sticks around.

Do people really die overnight from a twisted bowel because that seemed overly dramatic?

I don't like the flashbacks, they're even worse than on Arrow.

12 minutes ago, Amethyst said:

Jared, it's not really going out on a limb for Shaun if you don't acknowledge that the whole thing was his idea.  Did I miss something there?  He still took the credit.

He didn't go out on a limb for Shaun, he went out on it for himself. That was his little lecture to the woman he wants to sleep with that she wasn't willing to fight for the procedure and he was.

Those two are so Chase&Cameron V2.  Their conversation in the hallway was even a rip off of the House pilot where Chase castigates Cameron for offering false hope and she replies that it's the only hope they have to offer.  (I hated the Chase/Cameron pairing because it was such a cheap way to give the two characters something to do and just like Jared, Chase manipulated Cameron as Jared is manipulating Browne.)

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I loved Shaun actually going to that little girl's house to try and save her. He had some really sweet and touching moments this episode-I wanted to hug him. 

8 minutes ago, Amethyst said:

Claire seems cool.  I liked Carly (the woman in the lab) too.

I really like Claire. She's got a lovely rapport with Shaun, and I'm enjoying getting to know her as a character in her own right, too. I sympathized with her struggle over what to share with a patient. And much as Melendez continues to bug me, he had a good point about honesty, too, and I liked the frank debate he and Claire had about that whole issue.

(Also liked seeing his genuine concern for the patients-it was a nice glimpse into a softer side of him, so that made it a little easier to deal with his abrasiveness this time around.)

And yes, Carly seems neat, too. I'd be all for seeing more of her. I too think the exploration of the hospital politics this episode was quite interesting, and gave us a nice little bit of insight into the other characters. 

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This might seem like a really dumb question, but was there a reason why they couldn't reattach the kidney once the tumor was removed?  

I wondered about that, too. 

Some fun humorous moments mixed into this episode, too. Everything with the puke, the impotent guy, and the general awkwardness of dealing with embarrassing issues like that, it was entertaining :D. 

The flashbacks continue to be poignant, especially the bit about lying to get money for food, and Glassman trying to get them to the hospital to save his brother. I'm liking the way they're slowly unveiling more of Shaun and his brother's childhood and background. Just enough tidbits to keep us intrigued, and the fact we're only seeing glimpses makes them that much more poignant. And the picture in his home at the end was a sweet touch, too. 

So yeah. Definitely liked this episode.-on a good path with this series so far. 

10 minutes ago, notcreative enough said:

Instead of the arrogant doctor having a come to Jesus moment with Shaun can't he just have a surprise visit from Norman. 

Ahahaha, I like this :D. 

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15 minutes ago, notcreative enough said:

Instead of the arrogant doctor having a come to Jesus moment with Shaun can't he just have a surprise visit from Norman.

Love it! Although what that guy should really be fearing is a visit from Mother...

I still liked this, even if it looks like the show is going to be pretty formulaic. I like Shaun a lot, and I love how Freddie plays him. You can tell how hard he tries to interact with people in a positive way, but he really struggles with nuance and being sensitive. Shaun is an interesting foil to House actually. While both of them have the "blunt but brilliant" doctor thing going on, House acts insensitive and like a jerk because he`s bitter, while Shaun tries to be sensitive and be nice to people, but he struggles with dealing with people. 

I like Claire, and I am glad that her subplot turned out alright. I thought her scenes with her patient were well done. Not many of the other supporting characters stand out much or are especially likable, except for Glassman. 

The flashbacks look like they'll be a reoccurring thing, which is alright for now, but I hope the show realizes when enough is enough. 

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I enjoyed this episode more than the pilot. Freddie Highmore is still the only reason to watch though. The other characters are predictable and I wish they'd get rid of the flashbacks. Past Shaun and Present Shaun don't look anything alike to me.

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36 minutes ago, sheetmoss said:

Besides reattaching the kidney, couldn't it be donated too?

Not without the patient's consent. They should have tried to reattach the kidney. Astrid from Fringe, they should give her a huge part.

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Another great episode. I hope to learn more about Shaun after his brother died. Like where he lived. 

The apartment was really sparse.  I think at the beginning he was measuring the spot for his tv?

Both Jared and Dr. Arrogance are on my shit list.  

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7 hours ago, sheetmoss said:

Besides reattaching the kidney, couldn't it be donated too?

The patient has stage 4 cancer—can cancer patients donate organs that have had a tumor wrapped around them?

I thought this was a good episode—Shaun’s backstory is being spooled out at a nice pace. Love the nurse and hope she is a regular character (get rid of the tall British doc/actor to make room for her—imo he’s not very good). 

I don’t know House or Norman Bates series so I am taking this show at face value and I like it. 

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Yeah, the medical aspect this episode wasn't great. I'm still really only in it for Freddie Highmore. I don't mind Shaun's flashbacks. They're not too distracting and they're pretty short each time they show it. As long as they have a purpose and not just thrown in because "well, we need to have flashbacks every episode", then I'm ok with them. 

Again, the Chase/Cameron of this show are....not good. I tune them out. I think I like Claire? But only when she interacts with Shaun. Doctor Arrogant is kind of awful, but I hate Hill Harper's character way more. 

Dr. Glassman and Shaun are still the reasons why I'm still tuning in. They're doing a good job in fleshing out Shaun's character. 

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Much better than the pilot.  Felt like more like a "medical" (yes that is in quotes because, ya know,  tee-vee medicine) drama and less like a show that is trying to SAY something.

So yeah it was nice seeing Shaun go about his day.  I do like how he is shown to take things very literally and at face value.  It was a nice little message (not too anvilicious) about non-verbal communication and subtext and how that both those things are important in communication - in hiding real meaning (sarcasm) also to add to it (sympathy).  And it is fun to see such blunt 'at face value' language interpretation flummoxing people.

Since I didn't like the relationship in the pilot between Claire and whatshisface, I am hope that their clash and her rapport with Shaun sends the death knell to that "romance."

Dr. Melendez remains the worst.  What a mustache twirler.  He is practicing blatant discrimination but is so blind to it.  I could get behind a good portrayal of a lack of self awareness but this just isn't it.  It would be one thing is Shaun had royally screwed up and that is where the mistrust comes from, but they couldn't even give us that and instead just makes him as asshole out of the gate with no real motivation.  Boring villains are boring.

I have a little more hope for Harper Hill's character.  I am not sure if he is as against Shaun as he was in the pilot.  If he is still against Shaun, then HH is playing the character with some nuance and that is good.  If he is not against Shaun, then HH is still playing the character with some nuance and that is good.

I love that Carly chose to be charmed by Shaun's pronouncement to throw a rock at her window instead of getting pissy about it. Something about the interaction between the two, plus Freddy's acting choice there made that scene work well.  Also it just doesn't seem right somehow to have Jasika Nicole portray pissy!

Edited by DearEvette
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I liked it better than the premiere.  

I admit I laughed at loud when he said if he didn't get his test results, he was going to throw a rock through the window.  

It was formulaic and cliched, but I was entertained.

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37 minutes ago, deaja said:

I liked it better than the premiere.  

I admit I laughed at loud when he said if he didn't get his test results, he was going to throw a rock through the window.  

It was formulaic and cliched, but I was entertained.

That bit made me laugh, too :D. The delivery of that line was just perfect.

To those picking at the medical aspects of the show, just wanting to say that I enjoy reading your comments, no matter how "nitpicky" they may be. Like I said with the pilot episode, I'm pretty good at overlooking the "how TV does medicine/law/crime versus how it works in the real world" aspect if there's other stuff about a show to keep me entertained, but I do still appreciate hearing how things are really done in these sorts of situations all the same. For one thing, it's educational for those of us who don't work in these fields-always fun to learn something new, after all, and for another, it's a good reminder to not take what we see on TV in regards to this stuff at face value. 

Edited by Annber03
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Great, now I'm the annoying person finding all the medical loopholes.

Not annoying, some of us love it!  I started a thread called "Morbidity and Mortality Review: Good and Bad Doctoring" here for this very purpose.

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2 hours ago, fan94 said:

Dr. Arrogance isn't very smart, is he?

 

 

And very self-unaware, given his conversation with Jessica Preston.

What really kills me is that he whines how this is "his team".  Yeah we get that douchebag but it's not your hospital and you still have a boss over you that can veto your decision.

Also, Shaun went to med school like all the other doctors there. Not like he skipped from high school and went straight to residency.  If he passed med school there is crediability there.

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The Korean equivalent has more believable characters... The equivalent of Dr. Arrogance still makes sense because he behaves like an actual doctor. The Shauns in both are likeable, but there are more likeable characters in the Korean one. This show has two, maybe three if Carly sticks (maybe she's the equivalent of the Korean leading lady).

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I think the best thing about this show is Highmore and how he plays her character.  There is so much thought and nuance that goes into it that Shaun is compelling.  Richard Schiff also is good but he has less to work with.  I also like Claire when she's away from both Jared & Melendez.

2 hours ago, tennisgurl said:

I hope Dr. Arrogance gets his comeuppance sometime soon, or learns a valuable lesson or something. His pointless asshole act is killing my schmaltzy buzz! 

His arrogance isn't pointless from a writing point of view because that's how the cheap drama is made.  A better writer would be writing a more nuanced Melendez.

The ratings look good so I expect the show will go on through a few seasons but it really isn't a well-written or clever show.

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Great, now I'm the annoying person finding all the medical loopholes. Stupid medical school. I'm gonna go back to watching Scrubs now.

You're the person we need to give us perspective.

ETA:  I don't understand the ranking among the residents.  Are Jared and Claire upper year residents?  Is that why they started before Shaun did? 

I don't understand why everyone thought Shaun should be doing surgeries since he just got out of medical school.  The "scut work" that everyone else looked down on seems to be just what he needs to get a feel for practicing medicine and its complications before he starts doing the complicated surgeries like bowel removal.

Edited by statsgirl
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What I found interesting is that, in theory, the idea of Shaun starting out doing "scut work" makes sense to me, because he did just graduate and is a newbie, and I'm assuming everyone has do go through that before they go through the big leagues.  The problem is that Melendez clearly didn't want him to do it in order to learn, but just so he would be out of his way.  And then when does do things like order tests or take too long, instead of actually doing his job and trying to teach him why he was arguably wrong, he just acts like an ass and dumps him on some nurse.  In short, Melendez is a dick and, despite his protests, is discriminating against Shaun.

Not surprised that both patients played out the way they did, because while I'm sure the show will get to it at one point, it is way too early for someone to die on Shaun (and the rest.)  Definitely side-eyeing Jared now.  I almost can understand why he kept it was Shaun's idea at first because Melendez is totally someone who would dismiss it if he knew it was Shaun's idea, but for a second I thought he was going to reveal it at the end in order to prove to Melendez that Shaun knows his stuff, but nope, he's just taking the credit for it.  Warming up to Claire, but automatically shook my head when fell into the obvious "Told a patient they would be OK" trap.  Rookie movie, Claire!

Hey, Jasika Nicole!  Always great to see her.  Hope she sticks around, because I'm already digging her rapport and interactions with Freddie Highmore.

So, I guess the flashbacks are going to continue to be a thing?

A slight improvement over the pilot, but I'm pretty much going to stick with it for Freddie Highmore and Richard Schiff (and hopefully more Jasika Nicole.)  Even if the writing, characters, and plots are kind of cliched and silly, Highmore in particular is just rising above the material and making Shaun a great lead.

Edited by thuganomics85
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Actually, Jessica Preston might be likeable, too.

 

But why does Dr. Arrogance smile whenever Shaun calls him arrogant?

 

 

Maybe Jessica Preston likes him because she can insult him in any way she wants and he'd smile.

 

We should rename him to Dr. Dimwit.

Edited by fan94
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On Monday, October 02, 2017 at 8:43 PM, statsgirl said:

Do people really die overnight from a twisted bowel because that seemed overly dramatic?

Yes. Fatal toxic shock syndrome can develop very quickly if untreated. I had this type of condition at age 14 at the same time President Eisenhower did, both requiring emergency surgery (called a bowel resection). My doctor had an article on the surgery published in a medical journal. It wasn't until after the surgery that he told my parents how close I came to dying.

 

(Additional) And, as someone pointed out above, I was doubled over in pain, not just complaining of a bellyache, which came on rather suddenly.

Edited by Bobbin
Added thought.
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My medical question is this: if the patient with the tumor was going to for sure die if they don't remove it, and fairly quickly besides, why was it so radical to consider "removing a healthy organ" (one of two working kidneys) to attempt to save her? What would she do with that kidney if she was dead in 3 months?

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13 hours ago, rwlevin said:

You can't donate a kidney from someone who isn't perfectly healthy. If it has cancer cells, you'd be giving some poor unsuspecting person cancer. Also, reattaching a kidney is a lot harder than it seems. 

 

Im sorry but this episode was filled with bad medicine. First of all, to avoid litigation, that girl would have gotten an ultrasound before she left the ed. She also would have been in so much more pain than it seemed. Malrotation is painful, not just "ouch, it hurts" Plus, her belly would have been distended and she would have major guarding during the exam. And no way in hell does a first year surgeon go into an OR by himself, especially if he's had only a day on the job. Meanwhile is Dr. Arrogant the only surgeon in that hospital? I thought he was a pediatric surgeon, but he's also working on a 40 year old.

 

Who calls a surgical consult for an ear infection?

 

as for the other patient, you can't let a patient lie under anesthesia waiting for test results. The longer a person is under, the higher risk of complication. The biopsy should have been done under a local before they even went to the operating room. Or they should have postponed the surgery for another day.

 

Great, now I'm the annoying person finding all the medical loopholes. Stupid medical school. I'm gonna go back to watching Scrubs now.

Hey, I call it bad medicine too. A nurse here, I have a lot of trouble watching so called medical dramas.  So many things were inaccurate on this show.  First off, one day the surgeons are doing heart surgery and then this episode they are doing tumor surgery and bowel resection.  They might has well do a craniotomy too. All those surgeries would be performed by different type of specialists.  

The woman with the tumor would first have a needle biopsy under local in radiology to determine the tumor type. Also, the CT would show exactly where it was.  The person who delivered the biopsy results, would not also be the one with the blood lab results on the little girl. The biopsy cytology would have been performed by a pathologist in a room adjacent to the OR, in a short period of time.  The results would have been walked or called into the OR.  The surgeons would not scrub out and go on their merry way while the patient was still under anesthesia.  Also, the lab results on the girl, would have been run stat , in a different part of the lab, with results in her electronic medical record before she even left the hospital.   No need for Shaun to go down to the lab to get either one.  

If this show doesn't get more realistic, medicine wise, them I'm out.

RWLevin, I am one of those annoying people too.

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howiveaddict, I said the exact same thing about the bloods and pathology in the M&M thread. What's funny is that most medical shows I used to watch I started before I went into medical school. Now I can barely watch them (except Scrubs) 

I know we have to hold some suspension of disbelief when it comes to tv shows (Designated Survivor comes to mind) but it's really really hard to believe that this show has medical consultants when even the way the hospital is portrayed is so bad. I mean, seriously, is Dr. Arrogance the only surgeon at that hospital? And are there only 3 surgical residents? A surgical residency is 5 years and even small programs have at least 2-3 residents per year.

And can somebody please tell me why a surgical consult was called on an ear infection? (yeah, I'm not going to let that one go)

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2 hours ago, possibilities said:

My medical question is this: if the patient with the tumor was going to for sure die if they don't remove it, and fairly quickly besides, why was it so radical to consider "removing a healthy organ" (one of two working kidneys) to attempt to save her? What would she do with that kidney if she was dead in 3 months?

This is the same as not allowing terminally ill patients to try an experimental treatment.

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15 hours ago, deaja said:

It was formulaic and cliched, but I was entertained.

I’m thinking that this whole series will be formulaic and cliched, but I have a bit of a crush on Freddie, and I do think I will be entertained.  He’s kind of a lovable dork.  Granted, there are problems when it comes to the actual medical stuff, but this isn’t a documentary.  All I really care about is enjoying the show, and so far I am.  

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On October 3, 2017 at 2:37 AM, AnimeMania said:

Not without the patient's consent. They should have tried to reattach the kidney. Astrid from Fringe, they should give her a huge part.

 That's who that is! Love Astrid!!!

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On 3/10/2017 at 5:43 AM, statsgirl said:

Those two are so Chase&Cameron V2.  Their conversation in the hallway was even a rip off of the House pilot where Chase castigates Cameron for offering false hope and she replies that it's the only hope they have to offer.  (I hated the Chase/Cameron pairing because it was such a cheap way to give the two characters something to do and just like Jared, Chase manipulated Cameron as Jared is manipulating Browne.)

Thank you! I only came here to see if anyone else noticed that. David Shore is totally ripping himself off here - they are totally C&C redux and not!Chase totally sucks here, too. 

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I love FH, but I find the supporting cast to be sort of meh.

For the medical professionals on the board, if you had to compare the accuracy of this show to Grey's Anatomy, which would be more on point?  Or are they about the same?

The thing that they did in terms of flashing medical terms/diagrams whenever Sean thinks of something was cool at first, but I'm already over it.

I really wish they hadn't killed off his brother.  I was way more intrigued by what his brother would be like as an adult than I am with the other doctors on the show.

Edited by Brooke0707
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I'm really hoping that the writing improves on this show. Too many of the "jokes" seem to center on the audience laughing at Shaun's autism. Haha, it's so funny he doesn't get sarcasm and speaks literally. Or does something weird. Which is a strange whiplash from the rest of the time when it seems they are trying to have the audience feel bad for him because of his treatment by the others at the hospital. 

While there are certainly jokes that can be derived from autism (heck, my family and I joke about mine all the time), this show as it stands lacks the subtlety and nuance to execute them well. 

Then there are moments like his asking what the point of sarcasm is that are just completely unrealistic. He's an adult. There's no way that conversation hadn't already occurred a long, long time ago. 

Going to give the show another episode or two, but if things don't improve across the board I'm probably out. I've seen too many crappy portrayals of autistic characters, I don't need to suffer through another one. 

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I used to work in a medical school admissions office, and a lot of Shaun's problems with dealing with people (and patients) would have already been dealt with during his school career, by his classmates and his teachers. Also, his school would have helped him to get a residency placement, and all of the doctors in his new placement would have already known about him.

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Thank goodness the main character, The Good Doctor, is actually interesting, because everyone else on this show is dull, dull, dull. I can't tell if it's because of the acting or the writing. But the secondary characters are the most boring characters I've ever seen on a doctor show. And I've watched both ER and Grey's Anatomy after all the older characters were replaced. 

The reason I'm tuning in is because there is something endearing, sweet and innocent,  about the main character, but, my goodness, everyone else is snoozeville. Why? This is highly unusual for a doctor show. 

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On ‎10‎/‎3‎/‎2017 at 9:01 PM, howiveaddict said:

The surgeons would not scrub out and go on their merry way while the patient was still under anesthesia.  

I know, right?!?!?!  I just pictured this poor unconscious woman with her abdominal cavity open while the surgeons all left to grab lunch or something.  Hopefully, the anesthesiologist stuck around to keep her company.

I'm torn because I love Shaun but the rest of the cast runs the gamut from "I don't care about you" to "I hate you; get off my screen".

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One of the big differences between House and this show is that it looks like The Good Doctor is going to have villains.  There are definitely people to root against here.  On House, House played the villain and the hero, although there was that one cop who was after him for awhile.

I don't even mind of some of the medical situations are somewhat cartoonish because IMO it's all in fun.  

I see there were more flashbacks, those weren't very popular last episode.  Looks like we're going to continue to see the brother.  I don't recall seeing the bunny this episode though  :)

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On October 2, 2017 at 11:23 PM, possibilities said:

I would actually rather have a doctor like Shaun who communicates honestly than all the manipulative BS the other ones seem to think is comforting.

I would as well. At least you'd get the full truth from Shaun. All these other doctors are worried about being "gentle" with the patients. If I were a patient in that hospital, I wouldn't want "gentle" dancing around the bush.

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Yes but the other side of it is that Doctors without emotion don’t always think about what the patient wants, how they might cope with their illness or if they have a support system. They may be more concerned with making a name for themselves rather than what is truly best for the patient.

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Shaun seems way less ego-driven than the other doctors, though. He didn't understand why it mattered who took credit for something and he didn't seem to mind doing "scut work" or to find it any less meaningful than the "fun stuff" the other doctors prefer. And he doesn't lie to get people to sign off on "informed consent".

 

I agree some social skills are helpful, but I wouldn't describe Shaun as devoid of emotion or caring.

Edited by possibilities
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No, but in a real world Sean wouldn’t be in a position to make decisions or even suggestions in front of a patient while he is a resident. I’m also not sure he could connect on a personal level in terms of talking to the patients and their family beyond something he has read or learned.

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