TvDx
The Good Doctor

The Good DoctorABC

Season 4, Episode 1

6 medical diagnoses portrayed

Watch on Amazon

Also known as: COVID

acute respiratory distress syndromebacterial pneumoniacardiogenic shockcytokine stormmulti-organ failure

Elderly patient Mildred initially presents with flu-like symptoms but rapidly deteriorates with ground glass opacities on chest X-ray. She develops severe respiratory failure requiring ECMO, goes into pulseless V-tach, and ultimately dies despite aggressive treatment, representing the devastating impact of COVID-19 on vulnerable populations.

Also known as: COVID

bacterial pneumoniabacterial endocarditisrespiratory failure

Martin presents with COVID-19 and develops dangerously low oxygen saturation despite not feeling severely ill. He develops bacterial pneumonia and a bacterial abscess on his heart valve requiring surgical intervention. Despite successful cardiac surgery, his lungs remain severely compromised and he requires intubation with poor prognosis.

Also known as: COVID

respiratory failuremetabolic acidosis

Pregnant patient Ambar develops COVID-19 pneumonia with progressively worsening respiratory status. She successfully delivers a healthy, COVID-free baby girl via emergency delivery while on oxygen support. Her respiratory failure continues to worsen postpartum, requiring maxed ventilator settings and experimental therapeutic hypothermia as a rescue therapy.

Endocarditissupporting

Also known as: Heart valve infection

mitral valve vegetations

Martin develops a bacterial abscess on his heart valve as a complication of COVID-19, requiring surgical dissection and primary repair of the mitral valve. The cardiac surgery is successful, though his pulmonary complications persist.

COVID-19supporting

Also known as: Coronavirus

Walter presents with abdominal pain thinking he has diverticulitis, but CT imaging reveals COVID-19 pneumonia in his lungs. This misdiagnosis leads to significant exposure of healthcare workers on the non-COVID floor, highlighting the challenges of atypical presentations during the pandemic.

Influenzasupporting

Also known as: Severe flu

Early in the episode, a patient presents with fever, sore throat, body aches, and cough. She is diagnosed with influenza and sent home with supportive care instructions, representing the initial phase before COVID-19 becomes the dominant concern.