TvDx
The Good Doctor

The Good DoctorABC

Season 4, Episode 16

7 medical diagnoses portrayed

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Fetal exsanguination riskPremature rupture of membranesFetal bradycardiaUmbilical artery thrombosisFetal demise

Lea is diagnosed with Type 2 vasa previa during pregnancy, where fetal blood vessels run across the cervix. The condition threatens the baby's life and requires fetoscopic laser ablation. Despite initial surgical success, complications develop including umbilical artery clot and inadequate fetal lung development, ultimately leading to fetal demise.

The Good Doctor — S04E16Patient: Lea Dilallo
Recurring storyline

Also known as: Blood clot in lung

Umbilical artery thrombosisFetal compromise

Lea develops a pulmonary embolism (clot in the lower right pulmonary artery) during her pregnancy hospitalization. An IVC filter is placed to prevent further clots, but a second clot is discovered in the umbilical artery, contributing to fetal demise.

The Good Doctor — S04E16Patient: Lea Dilallo

Also known as: Lung cancer

Sepsis from surgical site infectionCardiogenic shock

Maxine is a terminally ill patient with lung cancer who previously underwent lobectomy and chemotherapy. She has a cardiac assist device implanted during cancer surgery. She ultimately chooses to refuse antibiotics for a post-surgical infection, leading to her death on her own terms.

The Good Doctor — S04E16Patient: Maxine Stanley

Also known as: V-fib

Cardiac arrest

Maxine collapses at a fundraiser and goes into ventricular fibrillation. However, her cardiac assist device (not a pacemaker) automatically restores circulation, revealing she cannot honor her DNR while the device is in place.

The Good Doctor — S04E16Patient: Maxine Stanley
Sepsissupporting

Also known as: Blood infection

Cardiogenic shockDeath

Maxine develops a surgical site infection after removal of her cardiac assist device. She refuses antibiotics, knowing this will lead to sepsis and death within hours, choosing to die on her own terms at a party she throws.

The Good Doctor — S04E16Patient: Maxine Stanley

Also known as: Fetal decelerations

Fetal compromiseFetal demise

The fetus develops progressively slower heart rate due to compromised blood flow from umbilical artery thrombosis, indicating severe fetal distress and ultimately non-viability.

The Good Doctor — S04E16Patient: Lea Dilallo

Also known as: Underdeveloped fetal lungs

Despite steroid administration, testing shows the fetus's lungs are not developing adequately, indicating the baby cannot survive if delivered. This confirms the pregnancy is not viable.

The Good Doctor — S04E16Patient: Lea Dilallo