In The Good Doctor Season 5 Episode 1; Andrews, Lim, and Glassman get ready for work in a montage set to music. Shaun and Lea inform everyone that they will not be marrying. Lim is named Chief of Surgery by Andrews. He has, however, chosen to close Glassman’s clinic and assign Glassman to the OR. After a car accident, a family is taken to the emergency room. The mother’s brain may be bleeding, and the father is collapsing at the same moment. As her parents are rushed to the OR first, the little child is terrified. The patient’s leg was amputated by Lim and Park. In the arm, there is no circulation. Andrews, Park believes, can assist. Lim is uninterested, but they are compelled to page him since they have no other choice. Glassman does not want to open the patient’s skull, but her blood pressure continues to decrease. Is there a leak somewhere? It’s the heart, according to Asher. The small child asks the social worker a lot of questions. Shaun is candid about her father’s prospects. The social worker attempts to intervene. She is sent away by the small child. She inquires as to whether or not her parents might pass away.
Shaun tells her it’s too early to say. While Shaun and Jordan are discussing another patient, the small girl arrives and complains that her sandwich contained horrible pickles. Shaun summons a nurse to assist her. Jordan explains that the child is terrified and seeking attention, but Shaun insists that as a doctor, he must keep his distance. Andrews and Lim disagree over whether the arm can be saved. Asher comes in and interrupts. For the other patient, they require a trauma surgeon. Andrews claims that he and Park are able to close this patient, and that Lim should leave. Morgan is meditating when she notices the patient to whom she deceived interfering with her vision. Shaun interrupts her to inquire about her activities. He has no idea what practicing mindfulness entails and continues to be perplexed even after Morgan explains it to him. He’s being mindful, she claims, by being present with Lea. But, he adds, that is only for the time being. Morgan is terrible at being present. Jordan comes in and interrupts. Isla has started bleeding and is growing anemic. Shaun persuades Isla to have an MRI by convincing her to remove a gum wrapper her father gave her instead of a ring.
Lim and Glassman have a fight because Lim believes Glassman prioritised Shaun’s demands over the needs of the rest of the institution. Shaun is concerned about Isla’s artery rupturing again. He’ll have to consider how he’ll handle this. Jordan claims he gets some quality time with Isla after that. She walks away. Isla is uninterested. Isla is Shaun’s friend, according to Lea. Shaun explains everything in one breath and begs Lea to keep an eye on Isla. Isla inquires about Lea’s ring and the wedding date, and asks ten questions in one breath. Isla is perplexed as to how Lea can be Shaun’s fiancee without a ring or a wedding date. She shifts the focus to what IT is. Andrews has repaired the arm rather than amputating it. Lim is dissatisfied. Andrews, she claims, is feeding his ego. She is enraged that he took advantage of the Salen predicament for his personal gain. Shaun inquires about Isla’s predicament, as well as whether he and Lea are heading backward. What is the best course of action for him?
Park is unable to inform him. When Andrews apologizes for closing the clinic, Glassman feels Andrews is power-hungry, and the two dispute in the OR. Isla must grasp Shaun’s hand while he administers an anesthetic injection. He’s been used to it since Lea was pregnant. Isla inquires about the child. Shaun is honest with her. Jordan enters the room. Isla’s father has recovered from surgery. Isla is adamant about not seeing him. Elaine’s brain is clogged with fluid. Glassman inquires about Elaine’s heart’s suitability for a shunt. No, but there’s another issue: a tracheal rip. Andrews’ assistance is no longer required. Morgan has brought in an elderly man with a chest condition from the nursing home. Lea inquires about Isla’s emotional state. He has no idea what’s upsetting Isla and wants to set a wedding date because he can’t live without one. Jordan enters and informs her that Isla is refusing to speak with her and that she does not believe she will speak with the social worker. He was chosen by Isla. Glassman, Lim, and Andrews debate whether the procedure should be performed first.
Elaine succumbs to heart failure, putting an end to the debate. Shaun pays a visit to Isla. She crumples up the drawing of her dog because he believes it looks like a horse. She refuses to explain why she does not want to visit her father. She eventually confesses that she was kicking her father’s seat, something he despises and that he turned around to warn her to stop, which is when the accident occurred. Shaun informs her that it was not only his brother’s fault that he died, but it was also his fault. He assures her that the accident was not her fault and that, despite his parents’ dislike for him, her parents will most likely still adore her. Isla apologizes for everything that has occurred to Shaun. According to Shaun, a lot of wonderful things have happened as well. Isla is eager to see her father, but she begins to bleed in her chest and collides. Jordan claims that they must perform surgery or Isla will die. Shaun pauses before agreeing to prep and OR. Morgan’s volunteerism, Park speculates, may be motivated by a sense of remorse. She was on the verge of losing everything and wishes to nurture good aspirations in order to be less dreadful. Park does not want her to change into someone else. In the OR, there’s more friction between Glassman and Andrews.
Andrews claims that the death of that child keeps him awake at night and that he should have spoken out sooner, but Salen vowed to make changes, and he trusted her. He should have taken action sooner. The patient starts to lose consciousness. Shaun moves his feet back and forth. They don’t have time to wait 20 minutes for a doctor. He requests that they have an attending as soon as possible so that he can open Isla’s test. The patient has a fast heart rate. Andrews claims that the tracheal damage is causing her pulse rate to slow down. Jordan enters the room. Andrews estimates that it will take him 10 minutes to get there. Shaun has located the bleeding vessel, but he is concerned that he will clamp it incorrectly, causing Isla issues. He’s in desperate need of Andrews right now. There is no time to waste. Jordan claims that he is capable of completing the task. He requests instruments. Isla awakens next to her mother. They’ll have chest pain for a few weeks, but Shaun believes they’ll be fine. Isla’s gum wrapper is in Shaun’s possession. Isla extends her arms in greeting. Shaun doesn’t want to do it again after that. He wishes to return home. Morgan converses with Andrews. She believes that telemedicine for nursing homes will cover the clinic’s costs. Andrews claims that ideas aren’t her issue; rather, she messed up everything. Glassman, she believes, should be in control of the clinic until she is ready. Shaun proposes to Lea at home, using a homemade ring (hum wrapper?) and getting down on one knee. Yes, Lea says. They exchange kisses. Andrews’ office is visited by Lim and Glassman. Glassman is in search of his Scotch. Lim desires her carbonated beverage. They all share a drink.