TvDx
The Good Doctor

The Good DoctorABC

Season 4, Episode 17

6 medical diagnoses portrayed

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Also known as: Pregnancy loss

Lea recently suffered a miscarriage, which is the central emotional arc of the episode. Both she and Shaun are struggling to cope with the loss, with Shaun throwing himself into work and Lea trying to process the grief at home.

The Good Doctor — S04E17Patient: Lea Dilallo

Also known as: Facial twitch

Senator Clark presents with recurrent episodes of left-sided facial twitching and blinking. MRI reveals a tortuous basilar artery branch compressing the facial nerve. The condition threatens her political career as she fears being caught on camera during an episode.

The Good Doctor — S04E17Patient: Senator Marian Clark

Also known as: Brain aneurysm

Progressive neurological deficitsBrain stem compressionRespiratory arrest

During surgery to sling the artery branch causing her facial spasms, the basilar artery becomes dilated and compresses the brain stem, causing her to stop breathing. Emergency bypass surgery is required with significant mortality risk.

The Good Doctor — S04E17Patient: Senator Marian Clark

Also known as: Leaking heart valve

Heart failure

Post-bypass surgery patient whose strengthened heart reveals weakness in the aortic valve that cannot handle the pump pressure. Initially planned for minimally invasive TAVR but ultimately requires open valve replacement.

The Good Doctor — S04E17Patient: Artie Hill

Also known as: Narrowing of the aorta

HypertensionHeart failure requiring bypass

Shaun discovers that Artie has a congenital narrowing of the abdominal aorta that his body had compensated for through elevated blood pressure for years. This compensatory mechanism led to heart deterioration requiring the original bypass. The diagnosis prevents a potentially fatal TAVR procedure.

The Good Doctor — S04E17Patient: Artie Hill

Also known as: Blocked arteries

Required coronary artery bypass grafting

The underlying condition that required Artie's initial bypass surgery one month prior to the episode events.

The Good Doctor — S04E17Patient: Artie Hill