Shaun and Lea have been through a lot in season 4 of The Good Doctor, but the show’s latest tragedy will change them forever.

WARNING: The following contains spoilers for The Good Doctor. Season 4, episode 16, “Dr. Ted”, which aired Monday on ABC.

Season 4 of The good doctor It hasn’t been easy for Shaun and Lea. After the series’ third season ended devastatingly with the death of Dr. Melendez, Lea finally confesses her feelings for Shaun and they quickly begin their relationship. Soon after, the couple receive a wonderful surprise to discover that Lea is pregnant. Unfortunately, things took a turn for the worse for Shaun and Lea in the last episode of the show, “Dr. Ted.”

The good doctor The latest episode, “Waiting,” saw Shaun and the rest of the St. Joseph St. Bonaventure Hospital surgical team deal with two young children who arrived with life-threatening gunshot wounds. They spend most of the episode trying to save them, and while they are successful, another shocking event occurs outside the hospital.

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As Shaun and Lea prepare to return home after a difficult day at work, Lea collapses as the episode draws to a close and her fate is left up in the air. “Dr. Ted” picks up a day after Lea’s incident, when Claire is controlling her. Claire and Lea’s OB / GYN believe their collapse was nothing more than a complication of being pregnant, but Shaun isn’t so sure. He ticks off a list of possible explanations, and Claire, being the good friend that she is, decides to run more tests.

Clair discovers that Lea has a condition affecting her fetal blood vessels and that she needs emergency surgery. Shaun comes up with a surgical plan, but Dr. Lim informs him that it is a conflict of interest for him to work on the case. Lea’s surgery ends up being a success, and all she and Shaun can do is wait for the results of more tests. Unfortunately, Lea begins to have a complication from her procedure, one that is life-threatening for the baby.

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After further testing, the surgical team found another problem with Lea’s blood vessels that the images missed. It prevents the baby from receiving adequate lung function and, without the ability to breathe, there is no chance of survival. Shaun goes to tell Lea, and when she starts to break down, they hug. The next morning, Lim explains that the couple have two options: Lea can either have a D&R or they can induce labor, giving them the opportunity to hold their child at least once. Not wanting to go into labor without the opportunity to take the baby home, Lea decides to have the D&R done.

After the procedure, Lea and Shaun leave the hospital while their colleagues watch. It’s a difficult time to watch for many of them, and as a result, several, including Park and Dr. Glassman, evaluate the good things in their lives. Shaun and Lea then return to their apartment, forever changed by the events that just happened.

Created by David Shore, The Good Doctor stars Freddie Highmore, Antonio Thomas, Richard Schiff, Paige Spara, Fiona Gubelmann, Will Yun Lee, and Christina Chang. New episodes air Mondays at 10 pm ET / PT on ABC.

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