TvDx
The Good Doctor

The Good DoctorABC

Season 4, Episode 12

6 medical diagnoses portrayed

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Also known as: Focal hand dystonia

Hand tremorsMuscle spasmsInability to perform surgery

A renowned surgeon develops focal dystonia in his hand from repetitive surgical technique, causing tremors and weakness that prevent him from operating. The team initially suspects carpal tunnel but Shaun diagnoses musician's dystonia caused by an aberrant vertebral artery compressing his spinal cord.

The Good Doctor — S04E12Patient: Dr. Silas Chambers
Musician's dystoniaRisk of strokePotential death without treatment

The underlying cause of Dr. Chambers' dystonia is discovered to be an aberrant vertebral artery taking an abnormal course and compressing his spinal cord. This life-threatening condition requires high-risk vascular surgery with vertebral-to-vertebral bypass using a radial artery graft.

The Good Doctor — S04E12Patient: Dr. Silas Chambers

Also known as: Facial nerve pain

Severe chronic facial painOpioid dependenceRelationship strain

A patient with severe facial pain initially suspected of drug-seeking behavior is eventually diagnosed with trigeminal neuralgia caused by vascular compression of the trigeminal nerve. He undergoes microvascular decompression surgery, but when the pain worsens post-operatively, he requires a DREZ lesioning procedure.

Also known as: Carotid plaques

Increased surgical riskPoor collateral circulation

Dr. Chambers has a history of moderate carotid stenosis, which complicates his surgical options and significantly increases the risk of stroke during the planned vertebral artery bypass procedure.

The Good Doctor — S04E12Patient: Dr. Silas Chambers

Also known as: Heroin addiction

RelapseRelationship breakdownSuspected drug-seeking behavior

Oscar has a history of opioid addiction following a workplace injury and is taking high doses of opioids for his facial pain, leading his wife to suspect he is faking symptoms and causing her to temporarily move out.

Also known as: Unplanned pregnancy

Lea discovers she is pregnant with Shaun's child. The episode focuses on their decision-making process about whether to continue the pregnancy, ultimately deciding to have the baby despite their fears and uncertainties.

The Good Doctor — S04E12Patient: Lea Dilallo
Recurring storyline