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Britt Lawrence

The Good Doctor season 7 episode 8 recap: making the right decisions

Richard Schiff as Dr. Glassman leaning over a body in The Good Doctor season 7 episode 8.

The Good Doctor season 7 episode 8, "The Overview Effect," certainly lives up to its name. Patients’ complex cases once again mirror the personal complications of the medical staff. This installment sees everyone assess their lives and the decisions surrounding them.

Compromise is another theme woven into episode 8. Can everyone find a middle ground that maximizes both sides’ happiness? Here’s what happened in The Good Doctor season 7 episode 8.

Tayo and his third arm

Aiden Stoxx, Ekeobong Utibe and Onye Eme-Akwari in The Good Doctor season 7 (Image credit: Disney/Jeff Weddell)

Shaun (Freddie Highmore), Kalu (Chuku Modu) and Charlie’s (Kayla Cromer)patient is Tayo, a little boy with trouble breathing, a history of asthma and, as Charlie discovers - a third arm. Tayo’s parents explain it is his "aburo" in Yoruba, or “little brother” in English, and it’s all that remains of his ibeji/twin. When the boy begins to crash, Shaun and the team rush him back for emergency surgery. 

There is an obstruction outside Tayo’s trachea from an enlarged blood vessel. Treatment requires limb removal surgery. When the parents begin to argue over which limb should be removed, Shaun steps in, saying a blood flow test will decide. Tayo looks on somberly.

Charlie later inquires as to Tayo’s feelings. He is upset by his parents arguing. Charlie comforts him by saying his parents are to blame for fighting, not Tayo. When talking with Tayo’s parents, Shaun suggests they not argue in front of Tayo, disclosing how it impacts their son.

During a brainstorming session, Kalu and Charlie’s suggestions help Shaun envision a way to transplant the blood flow from the small limb to the larger one, leaving Tayo with two aesthetically similar arms. There is a risk of losing the larger limb completely. 

Tayo’s parents ask him what he wants to do. While he is sad to lose his brother, Tayo knows he will understand. Shaun gets approval to operate. Afterward, Tayo is able to take his mom’s hand with his rebooted arm—mission accomplished.

Park's patient and the overview effect

Park (Will Yun Lee), Jordan (Bria Henderson) and Dom’s (Wavyy Jonez) patient, Mason, is a botanist who recently returned from outer space. Mason’s wife, Ana, explains that he has been sick ever since returning. When Dom is examining Mason, the botanist cries out. His arm appears broken. During surgery, he crashes yet regains normal sinus rhythm.

Zero gravity causes heart weakness. Mason’s wife claims he is "off mentally" because he wants to start a family. During an operation on his heart, Mason collapses again, and Park announces Mason’s heart is not the problem. It is time for a brain scan. That reveals he has extra fluid compressing his brain, and he needs a shunt.

For her part, Ana is disappointed to learn from Park that her husband’s condition has not caused his "personality change." In response, Park educates her on the "overview effect," a phenomenon that can bring sudden clarity to astronauts’ perspectives. Ana is not happy to hear this. She wants everything to stay the same and balks at Park’s suggestion of finding a “middle ground.” Is this couple doomed?

Mason’s shunt surgery is successful until it is not. Mason’s speech slurs, and he loses consciousness during an exam. Due to complications from space, Mason needs surgery to relieve the pressure, and Ana approves it.

When Mason wakes up, Ana has reconsidered her stance. She suggests giving up her fellowship in Buenos Aires while remaining uncertain about kids, suggesting they start with a puppy. Mason counteroffers: she keeps her fellowship, he takes a sabbatical and they get the puppy. Ana happily accepts.

Romance for Morgan and Park?

Fiona Gubelmann, The Good Doctor (Image credit: Disney/Jeff Weddell)

Morgan (Fiona Gubelmann) wants to schedule her and Park’s wedding at the courthouse to bolster their adoption of baby Eden, whereas Park wants a romantic affair. To inject romance into their engagement, Morgan proposes to Park after singing "Up Where We Belong." The gesture fails. 

Realizing her error, Morgan apologizes to Park, understanding his reaction. So, Morgan presents a ring with an epically romantic backstory and asks Park to marry her again (minus kneeling), and a moved Park accepts.

Shockingly, Park notices the inscription on the ring and that it holds no such significance. Morgan bought it at a pawn shop and made up the story. Busted! Park promptly turns down an unapologetic Morgan’s proposal. Later on, Park returns home, glimpsing Morgan with Eden. And just like that, Park goes inside, drops to his knee, and proposes. Morgan appears to accept by taking Park’s hand.

Glassman plays Hannah's hero

Chiari Zero patient, Hannah (Ruby Kelley), is discharged from the hospital, and Glassman wants to help with her opioid addiction. His tough love approach with his daughter haunts him. Hannah is in denial, so Glassman suggests lunch. They bond over her and his daughter’s commonalities. 

In the heartbreaking scene, Glassman explains that he lost his daughter and she believed her addiction was "under control." His voice breaks as he offers Hannah his contact info. Ignoring another of Lim’s warnings about Hannah, Glassman goes when Hannah calls about her car being stolen. Glassman offers her his couch, Hannah accepts, and things seem great.

Cut to Lim apologizing for lecturing Glassman. Lim then asks if he knows where Hannah is now. Glassman lies he is unaware of Hannah’s whereabouts. When Glassman gets home, he finds Hannah overdosed. Narcan saves her. When she awakes, Glassman suggests supplying Hannah with "safe" oxycodone he schedules while contemplating next steps.

Shaun Worries About Steve

Freddie Highmore, The Good Doctor (Image credit: Disney/Jeff Weddell)

Shaun (Freddie Highmore) believes that baby Steve is on the autism spectrum. Hence, Tayo’s situation resonates with Shaun amid his and Lea’s feelings around baby Steve. Shaun flashes back to his parents fighting over his care. Lea overwhelms Shaun with her volume during their argument.

Lea later goes to Glassman, who supports the study for Steve. He warns Lea of operating from fear, so she agrees to the study. While they are waiting at the appointment, Shaun remembers his parents fighting and his little brother, Steve, making them ice cream. 

Back in the present, Shaun suggests ice cream. Lea clarifies if he means now or after the appointment. Shaun says now, little Steve smiles, and the little family leaves with all the answers they need for now. They have each other.

Episodes of The Good Doctor's final season air on Tuesday at 10 pm ET/PT on ABC. Catch up with previous episodes of The Good Doctor on Hulu

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