1. Dr. Greene?
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2. Dr. Greene!
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3. What is it?
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4. Patient for you, Dr. Greene.
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5. Can't the intern take it?
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6. No, it's for you.
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7. - What time is it?
- Five o'clock.
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8. All right.
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9. - Can't the intern take it?
- It's Dr. Ross.
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10. Dr. Ross.
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11. I'll be right there.
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12. Come on, Doug.
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13. Markie-boy! Did I wake you up?
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14. Yes, you did.
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15. I want you to know
you're a real friend
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16. - That's all right.
- Real friend.
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17. - Do we have a room?
- Room 3 is free.
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18. Room three is free!
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19. Three is free. Free for three.
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20. - Come on, Doug.
- All right, I gotcha.
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21. But come ye back
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22. When summer's in the meadow
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23. I can't tell you...
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24. how much I appreciate this, Mark.
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25. I'm a little under the weather.
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26. D5, NS. I need the dextrose.
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27. - Give him 600 of ASA.
- Aspirin.
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28. I almost forgot aspirin.
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29. So anyway...
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30. she says to me, she says...
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31. "l didn't know that pediatricians
could be so sexy."
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32. And I said, "Honey, you ain't seen
nothing yet."
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33. All right. Give me the fast drip.
I need the hydration.
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34. Don't worry, Doug. Just lie back.
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35. How's your beautiful wife, Jennifer?
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36. She's fine, really.
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37. You two settle your problems?
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38. Everything's okay.
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39. Hate to lose you in the ER, you know.
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40. - Lie back.
- I am.
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41. I can't tell you how much
I appreciate this.
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42. Really do.
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43. Here's your aspirin.
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44. Give him 2000cc's
in a fast drip.
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45. Don't let it run dry.
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46. Does he always do this?
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47. Only on his nights off.
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48. I'm going to bed.
Wake me at 6:30.
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49. Doctor Greene?
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50. Doctor Greene? Mark!
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51. What is it?
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52. Can I give Mrs. Williston
more Demerol?
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53. 50 milligrams, l.M.
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54. Thanks, Mark.
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55. - Dr. Greene!
- What is it?
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56. 6:30, Dr. Greene.
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57. - Hey, Timmy.
- Morning, Dr. Lewis.
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58. Oh, Dr. Lewis!
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59. Thank you.
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60. - Good morning, Dr. Benton.
- Hey, Jerry.
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61. This was the scene at 6: 1 5
this morning...
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62. where a building
collapsed during construction.
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63. Any estimate on the injuries?
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64. How long before they arrive?
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65. — 12 people injured
and 2 dead.
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66. Oh, yeah? That soon?
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67. - What's up, Timmy?
- Hey, Dr. Benton.
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68. Notify trauma.
An accident in the Loop.
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69. Twelve injuries, seven critical.
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70. Good day for us surgeons.
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71. Mrs. Willis in 4 needs a CBC.
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72. The man in 5 is a rule-out Ml waiting
for cardiac enzymes and 12 units.
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73. Dr. Ross is in 3, sleeping it off.
Wake him and get him out of there.
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74. I need a uric acid—
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75. What's this is all about?
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76. Building collapsed.
They're sending us a dozen.
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77. - Yeah, well, who's on?
- Just us.
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78. Forget all that. Call Susan Lewis.
Call the 7th and 8th floor.
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79. Tell them we need anybody
they can spare. Do that now.
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80. Take him to Trauma Room 2.
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81. What's your name, sir?
Can you tell me your name?
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82. - Next to 3. That way.
- Which way?
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83. That way!
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84. Take him to 1.
Down to the end, on the right.
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85. - What's your name, sir?
- It's Wilson.
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86. What is your address?
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87. Mr. Wilson?
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88. Get it later.
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89. Let's go. Let's bring him in.
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90. And on my count. On three.
One, two...
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91. three!
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92. How you doing, sir?
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93. Don't worry.
Everything will be fine.
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94. Sorry about the suit.
So is it just your hand?
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95. Let's see. Light?
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96. Light! Let's move.
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97. Have nice, pleasant thoughts.
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98. Let's have a CBC...
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99. type and cross-match.
We got a pre-op here.
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100. Notify the O.R., get us a room.
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101. Call Vascular and call Orthopedic.
Tell them to come down now.
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102. This is their lucky day.
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103. Mr. Wilson, your hand is barely
attached, but it's gonna be okay.
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104. Give me an EKG and X-ray
of his wrist and hand.
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105. - Can you feel anything in your hand?
- No.
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106. We'll save your hand,
don't worry.
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107. Clear!
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108. Mr. Jackson, where does it hurt?
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109. Where does it hurt, Mr. Jackson?
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110. Does it hurt when you breathe in?
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111. Have you been coughing up any blood?
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112. Okay, let me take a listen.
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113. Dr. Lewis!
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114. Okay. Where are we taking him?
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115. Do you have any pain in your head?
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116. How about your neck?
Any pain here?
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117. What I want you to do now—
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118. I want you to tell me if
it hurts you when you breathe.
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119. I don't get a BP.
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120. Start two large bore lVs.
Saline, wide open.
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121. Type and cross for 10 units, get me
4 units of O-negative, stat.
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122. Drop an NG tube
and get Dr. Benton in here.
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123. This is no place for a pediatrician.
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124. No sensation: radial, median or ulnar.
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125. No pulses. Color and
temperature as you see.
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126. He's gotten 500cc's saline.
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127. Crit's 32-5, type and cross-match sent.
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128. X-ray's waiting. O.R. will have
a room in 10 minutes.
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129. Let's get him out of here.
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130. You think you can save the hand?
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131. It looks good. I think so.
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132. I told him you could.
He's counting on you.
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133. Peter, you're a smart-ass.
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134. You'd love to do this case,
wouldn't you?
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135. I'm ready.
I could do it.
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136. You're a resident, Peter.
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137. You're years from a case like this.
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138. - How many fingers?
- Three.
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139. - What's your name?
- Jeff Barr.
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140. - Where are you?
- Cook County General.
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141. - What's today?
- St. Patrick's Day.
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142. You're fine.
Get a set of facial bones.
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143. You're gonna be just fine, Mr. Barr.
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144. - You're beautiful, doc.
- Thank you.
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145. - You married?
- No, I'm a doctor.
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146. - Then, listen—
- Take it easy, Mr. Barr.
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147. You don't want to fall on your face
twice in one day.
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148. How much did she vomit?
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149. A couple hundred cc's.
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150. Would you please take a deep breath?
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151. Good. Now another.
Any pain there?
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152. Okay, how about here?
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153. Call O.R., get a room.
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154. - What is her crit?
- 23.
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155. Wait a minute. Here we go!
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156. No pulse. Code blue.
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157. - Call the time.
- 8:37.
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158. Paddles!
That's a shockable rhythm.
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159. Let's move! Here we go.
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160. Nice and easy.
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161. Clear!
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162. - No response.
- Get me an amp of epi...
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163. and a hundred lidocaine.
Let's move it.
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164. Okay, what've we got here?
Where are the paramedics?
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165. Get his clothes off him.
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166. Give me something. I can't stand it!
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167. I'll give you something for the pain.
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168. Notify the orthopods we have
an open fracture.
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169. Give him tetanus and 5
of morphine right away.
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170. - Does it hurt anywhere else?
- My knee.
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171. - Need help?
- Check his knee.
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172. Here we go.
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173. We got patients on surgical
2 and 3. One of them looks bad.
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174. Fine, but this woman's
heart stopped...
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175. - ... and she needs it. Call the AR.
- They're in surgery.
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176. Get them.
Can't you see I'm busy?
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177. - Time?
- Two minutes.
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178. Come on, sweetheart.
You make us a little nervous here.
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179. Paddles. Let's go.
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180. Clear.
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181. Is that a blip?
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182. There it is.
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183. Come on.
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184. Come on back to us.
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185. Keep it pumping.
I think she's coming back.
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186. Bring her back for me, baby.
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187. Come on back to us.
Come on, baby. Yes!
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188. That one to Trauma 3.
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189. That's down the hall and to the left.
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190. Call Pathology. We got one...
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191. who won't be charged.
The name's Canelli.
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192. Canelli?
Relatives of Robert Canelli.
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193. Right here.
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194. - I'm his son.
- Hi, I'm Mark Greene.
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195. My father, he's...
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196. Your father was in an accident,
you know that?
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197. Come with me, please.
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198. No, just tell me. He's here, right?
Just tell me.
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199. Mr. Canelli, your father
had a heart attack...
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200. and we were unable to revive him.
I'm sorry.
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201. You bastard! You bastards!
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202. You're sorry?
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203. Come over here.
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204. That will make you
feel better.
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205. And we'll have you in the O.R.
in no time, okay?
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206. - Any others?
- No, that's it.
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207. - That's it?
- Yeah. Last two were DO A.
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208. That's it.
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209. Yeah, for now.
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210. Orderly, please bring
a wheelchair to Admitting.
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211. Orderly, please bring
a wheelchair to Admitting.
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212. - Where's Ross?
- He went to change.
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213. Somebody threw up on him.
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214. - That lady.
- The lady who arrested?
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215. - She make it?
- We got her going again.
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216. She's got a junctional rhythm,
but she's going.
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217. What about that guy's hand?
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218. They're still in surgery.
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219. They're gonna be working
all day on that one.
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220. - Anybody want coffee?
- I do.
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221. How do you take it?
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222. Same as yesterday and the day before.
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223. And they call me a smart-ass.
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224. You get any sleep last night?
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225. About an hour.
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226. The nurses raided the coffee.
Why don't they make their own?
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227. I'm gonna tell them.
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228. Never mind.
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229. Okay. Never mind.
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230. Aren't we getting
some new students today?
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231. Yeah, I think so.
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232. I hope they're good.
The last two were hopeless.
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233. - Something wrong?
- Oh, you bet there is.
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234. We're out of coffee again because
the nurses have been taking it.
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235. - Make some more.
- Make some more?
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236. We work 36 hours on, 18 off...
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237. which is 90 hours a week,
52 weeks a year.
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238. For that we are paid
$23,739 before taxes.
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239. And we also have to make the coffee?
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240. My heart is breaking.
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241. - Where are the filters?
- In the refrigerator.
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242. Dr. Greene, your wife is waiting
in the cafeteria. Dr. Greene.
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243. Damn it!
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244. Everything's fine.
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245. Morning, Dr. Greene.
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246. Hey, Mom! Look!
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247. Two more bites, baby. Please?
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248. Then you're done.
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249. - Hi, Rachel.
- Hey, Dad, look!
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250. Oh, look!
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251. Grilled cheese sandwich
for breakfast.
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252. I gave in. What can I say?
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253. You're late.
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254. Sorry, we had a big one.
A building collapsed.
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255. Mommy's reading about tarts.
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256. Torts.
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257. Are you getting any sleep?
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258. Yeah, yeah. I'm okay.
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259. - You look tired.
- Yeah, Dad. You look tired.
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260. Oh, I do, do l?
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261. Are you gonna finish that?
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262. You mind if I eat it?
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263. Dr. Harris' office called
to confirm your meeting.
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264. Oh, jeez! That was today.
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265. You can still go, right?
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266. Yeah, yeah. I guess.
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267. You're not gonna forget
or get too busy?
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268. I'll go.
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269. What's so funny?
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270. - You know you're gonna hate it.
- Maybe not.
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271. At least the patients
don't throw up on you.
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272. Who threw up?
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273. Who threw up?
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274. Nobody threw up.
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275. It's just that between your hours
and my studying...
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276. I feel like we never see
each other.
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277. I'll go meet Harris today, okay?
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278. I just hope you like it.
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279. Look at this.
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280. It's the first tailored
white coat I've seen.
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281. - isn't he lovely?
- Lovely.
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282. Think he knows anything?
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283. He knows how to dress.
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284. He's my student. I'll find out.
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285. - John Carter?
- Yes, sir.
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286. Peter Benton.
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287. - You the surgical student?
- Third year.
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288. We'll spend a lot of time together,
so let me show you around.
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289. The Admitting desk is where you
page someone or get a chart.
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290. Don't shake his hand.
He's afraid of disease.
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291. In the lab we do crits,
counts, spin-downs.
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292. Mark chemistries "stat" whether
you want it fast or not.
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293. The chem lab is 7022. The heme lab
is 6944. Memorize it.
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294. lVs are given to everybody.
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295. Use an angiocath and 16 needle.
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296. You need a large bore
to transfuse them.
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297. - Can you start an lV?
- Actually, no.
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298. Aren't you third year?
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299. All I've done are
dermatology and psychiatry.
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300. The well-dressed specialties, huh?
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301. You'll find surgeons try to
help people, not just bill them.
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302. Pull the skin tight so the veins
don't roll, and go in low.
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303. Once in, pull this out
and hook it here.
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304. This is Carol Hathaway, the head nurse.
John Carter.
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305. Terrific, isn't she?
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306. She dates an orthopod who used
to be a Big Ten tackle.
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307. You want to tape it.
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308. Moderate flow, two or three
drips per second.
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309. That's it. That's all
there is to it.
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310. All along here you have
the medical examining rooms.
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311. It's where the pill-pushers
kill their victims.
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312. But this...
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313. this is the surgical room.
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314. This is where the real action is.
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315. We use this phone to
call the O.R., 6440.
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316. X-ray is around the corner.
They're idiots.
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317. They scare the patients.
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318. Whenever you can,
go with the patients to X-ray.
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319. Don't let them get scared.
Don't let them get hurt.
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320. Here's Dr. Morgenstern.
He's the head of ER.
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321. Watch out, he eats students for lunch.
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322. David Morgenstern.
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323. - When did that severed hand go up?
- A vascular took it up an hour ago.
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324. Dr. Benton is one of
our best residents.
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325. Learn everything you can from him.
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326. Except attitude.
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327. - He didn't mean that.
- Yes, he did!
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328. You'll sew people up here.
Do you know how to suture?
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329. Okay, I'll teach you.
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330. - ls there anyone to sew?
- How would I know?
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331. I love this great spirit of
camaraderie. Everyone wants to help.
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332. Here's the suture room.
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333. Good morning, I'm Dr. Benton.
This is Dr. Carter.
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334. Let's have a look.
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335. - How'd you do this?
- Broke one of the breakfast dishes.
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336. Don't worry. We'll have you
fixed up right away.
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337. - Now, can you feel this?
- Yes!
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338. - Can you move your finger?
- It's just a cut!
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339. We have a policeman coming in
with a gunshot wound.
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340. Put him in Room 2, notify X-ray.
I'll be right there.
Copy !req
341. Now, here's all your stuff.
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342. Ask if she's allergic
to locals or any drugs.
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343. This is lidocaine, but call it
Novocaine. They've heard of that.
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344. Any allergy to Novocaine?
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345. My teeth are okay.
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346. - No reactions, rashes, anything?
- No, of course not.
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347. You inject both sides of the wound.
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348. You have to put on surgical gloves.
You know how to do that?
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349. Great. Here we go.
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350. Here you go, Dr. Ross.
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351. Thank you, Nance.
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352. Dr. Ross.
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353. Tracy Young.
I'm your third-year student.
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354. Hello, Tracy Young.
Nice to meet you.
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355. We'll be working
very closely together—
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356. Not that closely, but
I'll do my best to help you.
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357. - I'd like to get started.
- Just being friendly.
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358. I've got all the friends
I need, thanks.
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359. Shall we get started?
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360. Evert the edges and space them...
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361. because the tissues will be swelling.
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362. Space them this way.
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363. The policeman's here.
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364. Okay, I'm coming. Here, you finish.
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365. Okay, this isn't going to hurt at all.
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366. Now, what happened, Billy?
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367. The school sent him home.
They said he vomited blood.
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368. Can you tell me what happened?
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369. He's a very high-strung child.
Always very tense, very nervous.
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370. Maybe you better wait outside
while I examine your son.
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371. It's procedure.
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372. I should be here!
I'm worried about Billy. He needs me.
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373. Please wait outside.
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374. Look, doctor, this is my son...
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375. and I want to be here.
He's very high-strung!
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376. You're absolutely right.
You love your son.
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377. You want him treated immediately.
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378. So it's best...
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379. if you have a seat outside here.
And we'll be right with you.
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380. Hey, kiddo. All right.
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381. Did you vomit blood?
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382. Do you have any pain?
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383. Okay, can you point to the pain?
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384. Right in here.
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385. Have you vomited blood before?
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386. Many times?
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387. First eight-year-old
ulcer patient I've seen.
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388. You still here?
You doing a Sistine Chapel?
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389. Finish her up, start an lV
in Room 2. Bye, ma'am.
Copy !req
390. Nurse, could you bandage this?
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391. - Thank you, doctor.
- You're very welcome.
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392. When do I get my stitches out?
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393. Three weeks.
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394. When my son had stitches
they said ten days.
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395. Really? Ten days, three weeks.
Any time in there.
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396. We need an anesthesiologist to ICU.
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397. Please report to the ICU, stat.
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398. 250 mg Rocephin l.M. for the
man in Room 4...
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399. and remind him to come back
in two days.
Copy !req
400. Carol, are we out of oral
ampicillin?
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401. We ordered some yesterday.
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402. - Dr. Greene wants more Lasix.
- We were out an hour ago.
Copy !req
403. Dr. Ross wants some PKU cards.
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404. No. He'll have to get
a blue-top from the baby.
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405. He says he can't.
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406. Are you sure that you don't have
a PKU card tucked away in...
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407. that special stash of yours?
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408. Like this?
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409. I can always count on you.
Even if you do prefer football players.
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410. You had your chance.
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411. I was young. I was a fool!
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412. You're still a fool.
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413. What's the worst
paying medical specialty?
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414. - Pediatrics?
- You were right the first time.
Copy !req
415. Carol, did that Lasix come up yet?
Because we need it now!
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416. Good morning. I'm Dr. Carter.
What seems to be the problem?
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417. What's it look like?
I shot myself in the freaking leg.
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418. - We'll fix you up.
- You guys keep saying that.
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419. But first, we have to start
a little lV.
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420. Just hurry it up, okay?
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421. Yes, sir.
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422. Oh, excuse me. Sorry.
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423. I wanted to belt her in the mouth.
I really did.
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424. Then I go and shoot myself in the leg.
Copy !req
425. These things happen.
Copy !req
426. I bet you see a lot
working in a place like this.
Copy !req
427. Oh, yeah. All the time.
Copy !req
428. You don't mind my asking,
have you done this before?
Copy !req
429. I'd hate to tell you how often
I've done this.
Copy !req
430. You'll feel a needle.
Copy !req
431. Come on, it wasn't that bad.
Copy !req
432. But we missed the vein.
Copy !req
433. We have to try this one more time.
Copy !req
434. My wife's not that bad.
We don't argue that much.
Copy !req
435. Once in a while. In this case
it's lucky I didn't kill her.
Copy !req
436. Oh, man!
Copy !req
437. I'm afraid we missed again.
Copy !req
438. We'll try one more time.
Copy !req
439. You have very tough veins.
Copy !req
440. My wife...
Copy !req
441. is a very beautiful woman.
Copy !req
442. I'm not proud of beating up any woman.
Even when she's asking for it.
Copy !req
443. I mean in this case, it's lucky
I didn't break her neck!
Copy !req
444. I got it. Don't move.
Copy !req
445. Don't move!
Copy !req
446. It's in the vein. Do not move at all.
Copy !req
447. There you go, officer.
You got yourself an lV!
Copy !req
448. Everything's gonna be fine now.
Copy !req
449. Can I move?
Copy !req
450. Sure, move around.
You're fine.
Copy !req
451. That's all I can do for the moment.
Copy !req
452. They'll take you to X-ray,
then to surgery.
Copy !req
453. - Surgery?
- But believe me...
Copy !req
454. the worst is over.
Copy !req
455. This happened when you woke up?
Copy !req
456. Yes, when I got out of bed.
Copy !req
457. - Are you still seeing double now?
- No.
Copy !req
458. - How many fingers?
- Three.
Copy !req
459. - Have you had eye trouble before?
- No, never.
Copy !req
460. Did you have pain while
seeing double?
Copy !req
461. Headache?
Trouble with your balance?
Copy !req
462. Funny taste in your mouth?
Flashing spots?
Copy !req
463. - Weakness in limbs?
- No, none of those things. Never.
Copy !req
464. I can call a neurologist
to go over you...
Copy !req
465. but that'll cost you $200.
Copy !req
466. if you don't have any symptoms now,
I'd leave it alone.
Copy !req
467. Come back if you have
more trouble.
Copy !req
468. - Who's next?
- You're just saying that because I'm black.
Copy !req
469. Trying to save you money,
I know you don't have insurance.
Copy !req
470. You wouldn't say this
if I wasn't black.
Copy !req
471. You're Jewish, right?
Copy !req
472. Call a neuro consult for Mr. Ervin,
cc transient diplopia, and bill him.
Copy !req
473. Hello, somebody! Hello!
Copy !req
474. - What is it?
- I got a lady pregnant in my cab outside.
Copy !req
475. Why'd you do that?
Copy !req
476. We don't deliver here.
Copy !req
477. You have to take her up to OB.
Copy !req
478. She's having a baby whether you
deliver it or not.
Copy !req
479. Hey, you busy?
Why don't you come with me?
Copy !req
480. Get us an OB nurse.
Copy !req
481. Okay, okay, ma'am.
Come on. Let's go. Let's get out.
Copy !req
482. - You'll be fine.
- When did it start snowing?
Copy !req
483. Come on, doctor, give me a hand!
Copy !req
484. Up on the gurney, there you go.
Copy !req
485. Is this your first child?
Copy !req
486. Okay, let's go.
Copy !req
487. It's starting, it's coming!
Copy !req
488. Hold the head in. We don't
want her to deliver here.
Copy !req
489. Put your hand between her legs
and hold the head in.
Copy !req
490. Breathe, ma'am.
Blow through the pain.
Copy !req
491. Get me Anesthesia, call the
pediatrician. Hook up those stirrups.
Copy !req
492. You doing an episiotomy?
Copy !req
493. I don't have time.
She's already crowning.
Copy !req
494. Blow through the pain, ma'am.
Blow through the pain.
Copy !req
495. Blow through the pain.
That's right.
Copy !req
496. - What should I do?
- Just what you're doing.
Copy !req
497. Is it snowing out there?
Copy !req
498. When I'm done scrubbing,
I'll take over while you scrub.
Copy !req
499. - Where's the OB resident?
- They're on call.
Copy !req
500. You want a gown?
Copy !req
501. I don't think I have time.
Copy !req
502. I'm gonna have to catch this one
anyway I can.
Copy !req
503. No kidding? All right, dear.
You'll be just fine.
Copy !req
504. You just have to blow, okay? Blow.
Copy !req
505. - Is it snowing?
- Yeah, it's snowing.
Copy !req
506. Snowing on March 17th.
This is unbelievable.
Copy !req
507. It's okay, ma'am.
You're going to be just fine.
Copy !req
508. Let me take over. There we go.
Copy !req
509. Ma'am, we're gonna push on
the next one, okay?
Copy !req
510. One, two, three...
Copy !req
511. One more. This is the one.
Copy !req
512. And, push, push, push...
Copy !req
513. One more push.
Copy !req
514. We're gonna get him out.
Copy !req
515. One, two, three, push.
Good!
Copy !req
516. Shoulders are clear.
Copy !req
517. You have a beautiful little boy.
Copy !req
518. Clamp.
Copy !req
519. There you go.
Copy !req
520. He's a cutie-pie.
Copy !req
521. You did a good job there.
Copy !req
522. Dr. Carter. You have 3 sutures
waiting for you.
Copy !req
523. You're not on medical services.
They don't need your help.
Copy !req
524. Come on, let's get cracking.
Copy !req
525. Martin, Jonathan.
Copy !req
526. Anterior and lateral
right lower extremity.
Copy !req
527. Femur articulation...
Copy !req
528. patella, tibia, fibula
all appear normal.
Copy !req
529. There's a radiolucent density
in the soft tissue...
Copy !req
530. superficial to the fibula.
Copy !req
531. A bullet is what it's called, Steve.
Copy !req
532. There is no apparent fragmentation of
the foreign body.
Copy !req
533. Distal tibia and fibula
all appear...
Copy !req
534. - Come on, Steve!
- ... within normal limits.
Copy !req
535. Foreign body in
the right lower extremity...
Copy !req
536. consistent with possible bullet.
Copy !req
537. Is that it? Thank you.
Copy !req
538. I'll take these.
Copy !req
539. There's a guy with a bullet in
his leg who'd like to have it out.
Copy !req
540. Sure you're not feeling any pain?
No pain here in your back?
Copy !req
541. You know what?
Copy !req
542. All you've got is
a fracture to your ankle.
Copy !req
543. Everything else is fine.
Copy !req
544. Now, what's the story, doc?
Do I get worker's comp?
Copy !req
545. The story?
Copy !req
546. The story is, you're still alive.
Copy !req
547. Great, but I got a few bills and—
Copy !req
548. There it is, nice and red.
Copy !req
549. He has Otitis media.
He'll be fine.
Copy !req
550. 250 milligrams of oral amoxicillan.
Copy !req
551. if he's not better tomorrow,
call me.
Copy !req
552. All right? It was nice to see you.
Copy !req
553. Bye, tiger.
Copy !req
554. - He's very handsome.
- He knows it.
Copy !req
555. We got a UA and a sed rate
for patient Rebecca Morton.
Copy !req
556. M-O-R—
Copy !req
557. What do you mean?
We sent this an hour ago!
Copy !req
558. It's 1:40 and it was a stat
determination.
Copy !req
559. What're you doing,
picking your noses?
Copy !req
560. Chest pains two hours, question AMl.
Copy !req
561. I will talk to you
any damn way I want to.
Copy !req
562. if I sent for a stat chem...
Copy !req
563. I want it in an hour,
not sometime next month.
Copy !req
564. Well, we're a little busy here too.
Copy !req
565. When they start going to lunch
things will really slow down.
Copy !req
566. - What do you want me to do?
- Go to lunch.
Copy !req
567. I'm okay, if there's
something to do.
Copy !req
568. Excuse me a minute.
Copy !req
569. Don't be a hero.
Copy !req
570. if I tell you to go to lunch, go.
Copy !req
571. It's a long time before dinner,
and you may be too busy to eat.
Copy !req
572. You never know how long till
your next meal, so eat when you can.
Copy !req
573. Get the hell out of here.
And don't take more than half an hour.
Copy !req
574. I'm Dr. Greene.
What's the trouble, Mrs. O'Rourke?
Copy !req
575. I'm not Mrs. O'Rourke.
Copy !req
576. Mrs. O'Rourke!
Copy !req
577. ls there a Mrs. O'Rourke here?
Copy !req
578. - Tyrone!
- What is it?
Copy !req
579. Crack dealer. Took 5 shots.
Copy !req
580. We need muscle in here!
Copy !req
581. - He's just a kid.
- Thirteen.
Copy !req
582. - Call security!
- Why?
Copy !req
583. The other gang members
may come and finish him off.
Copy !req
584. Let's keep it calm.
Here we go.
Copy !req
585. This is Tracy Young in ER.
I need someone in Trauma Room 1.
Copy !req
586. Surgical 2. Turn right and down.
Copy !req
587. We have a motorcycle accident coming.
Copy !req
588. - Wasn't wearing a helmet.
- Those are stat labs.
Copy !req
589. I'll be across the street. Told
my wife I'd keep this appointment.
Copy !req
590. Can Susan cover for me?
Copy !req
591. No, not there!
Copy !req
592. Surgical 2!
Copy !req
593. I'm Dr. Greene to see Dr. Harris.
Copy !req
594. Everyone has a family, Mark.
Copy !req
595. My wife wants to shop. Kids grow up.
Copy !req
596. You want private school, college.
You gotta think about that.
Copy !req
597. Now, the office for our
next associate is here.
Copy !req
598. As a junior man, you'll do all calls
and weekends for a year or so.
Copy !req
599. Compensation...
Copy !req
600. you'll start out at 120,000 per year,
plus bonuses.
Copy !req
601. The group has a condo in Jamaica
and one in Aspen. Do you ski?
Copy !req
602. Haven't had the opportunity.
Copy !req
603. You should. It's a great sport.
Copy !req
604. Morgenstern tells me that you're
the sharpest guy ER ever had.
Copy !req
605. But I'll tell you,
the ER is a young man's game.
Copy !req
606. You think you're doing good,
but there's a lot to life...
Copy !req
607. especially this one.
Copy !req
608. We find the practice
intellectually challenging...
Copy !req
609. so we send our physicians
to major conferences.
Copy !req
610. Last year: Maui, Paris, Rome.
Copy !req
611. We're proud to practice the best
possible medicine we can here.
Copy !req
612. - Seems great.
- You like this?
Copy !req
613. We had Prescott redesign it.
Copy !req
614. We redesign every couple of years.
Keeps us looking fresh.
Copy !req
615. Terrific.
Copy !req
616. Do we have time for lunch?
Copy !req
617. We'll go to the Crown Club.
They have a great porcini pasta.
Copy !req
618. - I gotta get back.
- No oil!
Copy !req
619. Melissa would you bring
Dr. Greene's coat?
Copy !req
620. Maybe next week?
Copy !req
621. - We'd love to have you.
- Thank you.
Copy !req
622. Mrs. McCormick, how are you?
Copy !req
623. I thought the Field Museum Ball
was wonderful!
Copy !req
624. Margo loved the flower arrangements.
Copy !req
625. Cheer up, doctor, it's only 3:00.
Copy !req
626. Three o'clock.
I must be crazy, huh?
Copy !req
627. That's a very good insight.
Copy !req
628. When did it start raining?
Copy !req
629. It's raining!
Copy !req
630. It has been for an hour.
Copy !req
631. - How's your new student?
- Very capable.
Copy !req
632. Tough.
Copy !req
633. So I hear you went up to
Harris' today.
Copy !req
634. Did he offer you a job?
Copy !req
635. Yeah. I think I have to go to
a lot of charity balls.
Copy !req
636. There are worse things.
Copy !req
637. I guess.
Copy !req
638. Must be.
Copy !req
639. What's this I hear about you
and that tech up on Surgical 4?
Copy !req
640. - I'm a married man.
- So?
Copy !req
641. - So whatever you heard is not true.
- All right.
Copy !req
642. I heard that she was seriously cute.
Copy !req
643. But you are faithful to your wife.
Is that what you're telling me?
Copy !req
644. Why would you do something like that?
Copy !req
645. Because I'm too tired
to do anything else.
Copy !req
646. We'll know more when we have
the x-rays. How much do you smoke?
Copy !req
647. Two, three packs a day sometimes.
Copy !req
648. And how long have you been
doing this?
Copy !req
649. Since I was about 14, I guess.
Copy !req
650. - You really should stop that.
- I know.
Copy !req
651. Excuse me.
You can put your clothes back on.
Copy !req
652. Listen, I can't talk at work
unless it's— It is?
Copy !req
653. Well, what—?
Copy !req
654. No, I'm on all night.
Copy !req
655. I get off tomorrow night at six.
Copy !req
656. Paul, I thought we broke up.
Copy !req
657. Oh, Paul, come on.
Copy !req
658. Damn!
Copy !req
659. What? No, not you. It's just,
I have to tell a patient something.
Copy !req
660. Listen, is everything all right?
I'm sorry, but I just—
Copy !req
661. Yeah. Okay, bye.
Copy !req
662. We have your x-rays, Mr. Parker.
Copy !req
663. You can see there's a density
in the right middle lobe.
Copy !req
664. What does that mean?
Copy !req
665. Something abnormal within
the structure of your lung.
Copy !req
666. - In my lung?
- That's right.
Copy !req
667. - What is it?
- It could be...
Copy !req
668. an infiltrate, a dense area
of tissue from an old infection.
Copy !req
669. Perhaps an inhaled foreign body.
Copy !req
670. It could be a granuloma.
It could be a lot of things.
Copy !req
671. - What do you think it is?
- There's no way to know.
Copy !req
672. You'll need
a bronchoscopy and possibly...
Copy !req
673. exploratory surgery.
Copy !req
674. I understand, but what do you
think in the meantime?
Copy !req
675. You should consider it
potentially serious.
Copy !req
676. So I got cancer.
Copy !req
677. I'm not saying that.
We don't know anything for sure.
Copy !req
678. Let me explain something to you.
Copy !req
679. I'm 40. I have a wife
and 3 children...
Copy !req
680. a house not paid for...
Copy !req
681. and a mother whose house
isn't paid for.
Copy !req
682. I have responsibilities.
Copy !req
683. So I need to know.
I need to know what you think.
Copy !req
684. You should regard your condition
as very serious...
Copy !req
685. but await a final determination.
Copy !req
686. I don't understand the problem.
Copy !req
687. Are you afraid to tell me the truth?
Copy !req
688. Your history of coughing blood,
weight loss...
Copy !req
689. and this x-ray
is suggestive of cancer.
Copy !req
690. But the diagnosis is not confirmed,
and it may be something else.
Copy !req
691. And we shouldn't jump to any
conclusions until we know.
Copy !req
692. That's what I think.
Copy !req
693. How long do I have?
Copy !req
694. Six months to a year.
Copy !req
695. Do I have six months for sure?
Copy !req
696. No, not for sure.
Copy !req
697. I was wondering because I always
wanted to take my wife to Nassau.
Copy !req
698. We talked about it,
but we never did it.
Copy !req
699. I just figured, spring's coming,
it's getting too late to go to Nassau.
Copy !req
700. She always wanted a suntan in the
winter to show off to the neighbors.
Copy !req
701. I understand.
Copy !req
702. So I guess I'd better go.
Copy !req
703. Summer will be here before you know it,
so I better go soon, huh?
Copy !req
704. Doctor, I want to thank you.
Copy !req
705. I want to thank you for your help
and for being straight with me.
Copy !req
706. I guess I don't have to quit smoking.
Copy !req
707. Mr. Parker, if there's one thing
you learn in my job...
Copy !req
708. it's that nothing is certain.
Copy !req
709. Nothing that seems very bad
and nothing that seems very good.
Copy !req
710. Nothing is certain.
Copy !req
711. Nothing.
Copy !req
712. I'm sorry.
Copy !req
713. Good evening.
Copy !req
714. How's it going tonight, Mrs. Raskin?
Copy !req
715. Timmy, I have a problem
that requires medical attention.
Copy !req
716. See Dr. Greene.
He's on duty tonight.
Copy !req
717. Dr. Greene!
Copy !req
718. How nice!
Copy !req
719. - Good evening.
- How you doing?
Copy !req
720. He says he doesn't drink. Then—
Copy !req
721. I require medical attention,
Dr. Greene.
Copy !req
722. Give me a minute, Chris.
Copy !req
723. Yes, Mrs. Raskin?
Copy !req
724. I have this troublesome...
Copy !req
725. hangnail.
Copy !req
726. - Mrs. Raskin.
- I'm afraid it may be infected.
Copy !req
727. if we treat you, it's gonna
cost you $ 180. You do know that?
Copy !req
728. I wish you'd do it for me.
Copy !req
729. You're such a nice young doctor...
Copy !req
730. and I do appreciate
your taking the time.
Copy !req
731. We'll handle this in the lab.
Copy !req
732. The lab? Oh, gracious!
Copy !req
733. I had no idea how complicated it was!
Copy !req
734. I'll be excising
Mrs. Raskin's hangnail.
Copy !req
735. I'll stand back.
Copy !req
736. Well, at my age,
you can't be too careful.
Copy !req
737. Please have a seat, Mrs. Raskin.
Copy !req
738. Thank you.
Copy !req
739. Dr. Greene, you look tired.
How have you been?
Copy !req
740. Fine, thanks.
Copy !req
741. And your wife? Is she still
studying for her bar exam?
Copy !req
742. Next month.
We won't see much of each other.
Copy !req
743. This alcohol may feel cold.
Copy !req
744. - Mark, you got time for coffee?
- In half an hour.
Copy !req
745. She's very cute.
She work here at the hospital?
Copy !req
746. She's a resident.
Copy !req
747. Did I tell you
my sister got remarried?
Copy !req
748. How long has it been
since I've seen you?
Copy !req
749. Just a week or so.
Copy !req
750. - Here we go.
- Oh, don't make such a fuss!
Copy !req
751. Thank you, Dr. Greene.
Copy !req
752. Now, you be a good boy...
Copy !req
753. and go home to your wife.
Copy !req
754. - Another day, another dollar.
- Good night, Timmy.
Copy !req
755. - See you.
- Good night.
Copy !req
756. Hey, Red.
Copy !req
757. - Hey, Tim.
- How you doing?
Copy !req
758. - I'm good.
- Yeah? Good.
Copy !req
759. Ready to work.
Copy !req
760. - Can you get some—
- Sorry, I'm off.
Copy !req
761. - I forgot. See you.
- Good night.
Copy !req
762. In 3, the lady with pulmonary edema
gets Lasix and a nitroglycerin drip.
Copy !req
763. In 4, there's some kid.
Dr. Ross is looking after him.
Copy !req
764. Five, there's a question pulmonary
embolism. Labs are coming.
Copy !req
765. I need 2 grams chloramphenicol.
Copy !req
766. You're gonna have to get it
from the next shift.
Copy !req
767. - See you tomorrow.
- Good night.
Copy !req
768. Malik needs chloramphenicol.
Copy !req
769. - Coming right up.
- All right.
Copy !req
770. - Good night.
- See you.
Copy !req
771. See you guys tomorrow.
Copy !req
772. Come on, it's not that bad.
It's a very minor cut.
Copy !req
773. - Three stitches.
- It's not the cut!
Copy !req
774. It's the car.
Copy !req
775. I smashed the car.
Copy !req
776. I wasn't supposed to drive it,
and I took the keys...
Copy !req
777. and I smashed it up.
Copy !req
778. And it was brand-new!
Copy !req
779. My father loves that car.
Copy !req
780. Well, it might not be
as bad as you think.
Copy !req
781. It was a brand-new Cadillac...
Copy !req
782. with power steering...
Copy !req
783. and air conditioning.
Copy !req
784. Oh, God! He'll kill me.
Copy !req
785. It was the first new car he ever had!
Copy !req
786. Suzanne.
Copy !req
787. - Oh, my God!
- Oh, Daddy.
Copy !req
788. Could we not move, please?
Copy !req
789. - Is she gonna be all right?
- She's gonna be fine.
Copy !req
790. Oh, honey.
Copy !req
791. Daddy...
Copy !req
792. I trashed the car.
Copy !req
793. It's all right.
Copy !req
794. The important thing is
that you're okay.
Copy !req
795. What car?
Copy !req
796. The Caddy?
Copy !req
797. Daddy, I'm so sorry.
Copy !req
798. You totaled my new Seville?
Copy !req
799. My new Cadillac!
Copy !req
800. It doesn't matter.
Copy !req
801. It doesn't matter.
Copy !req
802. You have 6 in backup.
That's not good.
Copy !req
803. The worst is yet to come.
Let's move, huh?
Copy !req
804. Who was that idiot?
Copy !req
805. Why'd he do it?
Copy !req
806. I don't know.
He just swallowed it.
Copy !req
807. - Jimmy, why'd you do it?
- Because.
Copy !req
808. You see? He's impossible!
Copy !req
809. Here's the KUB.
Copy !req
810. There it is, all right.
Copy !req
811. You mean it's in his stomach?
Copy !req
812. - You said he swallowed it.
- What do I do?
Copy !req
813. Check his stools.
He'll probably pass it.
Copy !req
814. I mean, how do I get into my house?
I'm locked out.
Copy !req
815. You don't have another key?
Copy !req
816. - It's not funny.
- I'm sorry.
Copy !req
817. It's possible to become pregnant
without actual penetration.
Copy !req
818. - Just by fooling around.
- I'm not pregnant.
Copy !req
819. It's important you tell me
why you think you may be.
Copy !req
820. No reason.
Copy !req
821. if you are, you might
have an ectopic pregnancy...
Copy !req
822. and you'd need
surgery right away.
Copy !req
823. It's serious. It could be
a matter of life and death.
Copy !req
824. I'm not pregnant.
Copy !req
825. Excuse me for one second.
Copy !req
826. - How old?
- She's 13.
Copy !req
827. She's got pain in her lower left
side and she's not pregnant?
Copy !req
828. Okay, let's see.
Copy !req
829. Hello, Miss Murphy.
I'm Dr. Benton.
Copy !req
830. How long has it been
since your last period?
Copy !req
831. - I don't know.
- Just think back. Tell me roughly.
Copy !req
832. It was after Christmas.
Copy !req
833. So it's been a few months.
Copy !req
834. I guess so.
I haven't paid attention.
Copy !req
835. You've had sexual intercourse?
Copy !req
836. Yes.
Copy !req
837. Dr. Carter...
Copy !req
838. it's an ectopic pregnancy...
Copy !req
839. and she needs to be scheduled
for ultrasound and surgery right away.
Copy !req
840. How'd it go?
Copy !req
841. You know what Harris' office is like.
It's like a nightclub or something.
Copy !req
842. - He offered you a job?
- Yeah.
Copy !req
843. - But I don't know.
- You don't wanna do it.
Copy !req
844. It doesn't seem
like real medicine to me.
Copy !req
845. - So what's the problem?
- You know what the problem is.
Copy !req
846. Jennifer?
Copy !req
847. You can't live your life
for someone else.
Copy !req
848. - I know.
- Especially a lawyer.
Copy !req
849. - She's not a lawyer yet.
- It's gotta be your life.
Copy !req
850. It is. It's just...
Copy !req
851. She keeps talking about
how she doesn't see me anymore.
Copy !req
852. Well, she probably never does.
I never see Paul.
Copy !req
853. I thought you guys broke up.
Copy !req
854. Well, we did. But...
Copy !req
855. you know.
Copy !req
856. Yeah.
Copy !req
857. Yeah, yeah. Right away.
Copy !req
858. Come on, we gotta go.
Copy !req
859. We gotta go.
Copy !req
860. Mark, what?
Copy !req
861. Did you hear?
Copy !req
862. Yeah. She's on her way.
Copy !req
863. It's incredible.
Copy !req
864. I don't know how this happened...
Copy !req
865. to her, of all people.
Copy !req
866. I don't know.
Copy !req
867. Okay, people.
Let's break it up.
Copy !req
868. There's lots to do.
Let's get back to work.
Copy !req
869. Come on.
What do you expect to see?
Copy !req
870. Hey, let's get back to work!
Copy !req
871. Go in here. Head first.
Copy !req
872. My God, it is Hathaway!
Copy !req
873. All right, move her on three.
One, two, three.
Copy !req
874. Let's get her clothes off.
Let's go, let's go!
Copy !req
875. Let's go.
Copy !req
876. Call Respiratory.
Copy !req
877. What'd she take?
Copy !req
878. I don't know.
She went into the medicine cabinet.
Copy !req
879. You have no idea what she took?
Copy !req
880. I want a drug screen, two milligrams
of Narcan and an amp of D50.
Copy !req
881. - You wanna pump her?
- Yep.
Copy !req
882. Marie, call Neuro.
Call the nursing supervisor.
Copy !req
883. Did you call her family?
Copy !req
884. I don't know her family.
Copy !req
885. - Why'd she do it?
- It doesn't matter why.
Copy !req
886. We don't ask that about other ODs
and we don't ask it about this one.
Copy !req
887. I want blood gas and electrolytes.
Copy !req
888. - How hypotensive is she?
- 80 over 60.
Copy !req
889. - Did she have anything to drink?
- A Scotch.
Copy !req
890. - More than one?
- I don't know. Maybe.
Copy !req
891. What are you people
standing around for?
Copy !req
892. Do the arterial stick.
She got a Babinski?
Copy !req
893. Yeah, positive.
Copy !req
894. - How's the oxygen?
- Fifteen liters and running.
Copy !req
895. Morgenstern's on his way.
Her serum barb is 45.
Copy !req
896. - Is that a mistake?
- Repeated twice.
Copy !req
897. Close the curtain.
This isn't a show here, people.
Copy !req
898. And what's the nature of the—
Copy !req
899. I see.
Copy !req
900. Call Dr. Benton. We got a shotgun
wound to the chest coming in.
Copy !req
901. What a night!
Copy !req
902. Gas distention, distal
to the duodenum is...
Copy !req
903. Call the O.R.
Copy !req
904. Acute small
bowel obstruction.
Copy !req
905. This is a surgical candidate.
Copy !req
906. Oh, you guys are incredible.
What would we do without you?
Copy !req
907. It's nice to see you, Peter.
Man of many talents, all unproven.
Copy !req
908. We get a new barbiturate level yet?
Copy !req
909. It just came back.
Copy !req
910. It's still 45.
Copy !req
911. Mid-range and sluggish.
BP: 90 over 70.
Copy !req
912. We just got her barbiturate level.
It's 45 micrograms per milliliter.
Copy !req
913. She's intubated and we're getting
her ready for hemoperfusion.
Copy !req
914. But if she's decerebrating...
You know the question.
Copy !req
915. Should we be trying
any of this at all?
Copy !req
916. It doesn't look hopeful.
Copy !req
917. But for the morale of the unit,
we gotta do everything.
Copy !req
918. I mean, she was...
Copy !req
919. is...
Copy !req
920. very popular.
Copy !req
921. The unit's looking to you, Mark.
You set the tone.
Copy !req
922. She was one of us.
We loved her. We worked with her.
Copy !req
923. Now something's happened to her.
Copy !req
924. It makes us feel guilty and angry
and scares the hell out of us.
Copy !req
925. But we take care of her,
and then we go on with our jobs.
Copy !req
926. You set the tone, Mark.
Copy !req
927. You get the unit through this.
Copy !req
928. I'm fine.
Copy !req
929. Call me if anything happens.
Copy !req
930. Anything at all.
Copy !req
931. - She really did it, didn't she?
- Yeah, she did.
Copy !req
932. - She seemed okay today.
- Yeah, she seemed fine.
Copy !req
933. She was making jokes.
Copy !req
934. Everything was great. She was funny.
She was joking like always.
Copy !req
935. She was great.
Copy !req
936. Go get some coffee, Doug.
Copy !req
937. Come on. Let's get him up.
Copy !req
938. Alrighty. Good, good.
Copy !req
939. A knife wound.
I thought it was a gunshot wound.
Copy !req
940. Excuse me.
I feel a little...
Copy !req
941. I didn't need you anyway.
Notify the O.R. Let's get a room.
Copy !req
942. Move him out.
Here we go, buddy.
Copy !req
943. Jerry, hold that?
Copy !req
944. Feeling better?
Copy !req
945. I'll be okay in a minute.
It just got to me all of a sudden.
Copy !req
946. Keep your head down.
Copy !req
947. There's no rush. Just relax.
Copy !req
948. It stopped raining.
Copy !req
949. I thought I was going to be sick.
Copy !req
950. I'm sorry.
Copy !req
951. Don't ever say you're sorry.
Copy !req
952. There's two kinds of doctors.
Copy !req
953. Those who get rid
of their feelings...
Copy !req
954. and those who keep them.
Copy !req
955. if you're gonna keep your feelings,
you'll get sick sometimes.
Copy !req
956. That's just how it works.
Copy !req
957. Keep your head down.
Copy !req
958. People come in here...
Copy !req
959. and they're sick, dying
and bleeding...
Copy !req
960. and they need our help.
Copy !req
961. Helping them is
more important than how we feel.
Copy !req
962. But it's still a pain
in the ass sometimes.
Copy !req
963. Sometimes I just want to quit
and do something else.
Copy !req
964. Why don't you take
a few more minutes.
Copy !req
965. By the way...
Copy !req
966. I was in medical school
with Benton.
Copy !req
967. He used to get sick all the time.
Copy !req
968. So don't let him give you any crap.
Copy !req
969. You'll be fine.
Copy !req
970. Steven Howard has played
behind Damon.
Copy !req
971. He'll have to come out
and take that ball away from him...
Copy !req
972. What's the score?
Copy !req
973. De Paul is down.
Copy !req
974. You okay?
Copy !req
975. Good.
Copy !req
976. Don't worry about
what happened out there.
Copy !req
977. Just don't make a habit of it.
Copy !req
978. She's been on dialysis for three hours.
She's still comatose.
Copy !req
979. She took short-acting agents.
She knew what she was doing.
Copy !req
980. - Has the family been notified?
- I think so.
Copy !req
981. - Is she covered on the hospital policy?
- As far as I know.
Copy !req
982. Has anyone talked to the press office?
Copy !req
983. This is bad publicity.
Copy !req
984. Some damn TV network will try
to make a sentimental movie about her.
Copy !req
985. I'll get on it.
Anybody know why she did it?
Copy !req
986. No one knows.
Her fiancé didn't know anything.
Copy !req
987. They're supposed
to get married in June.
Copy !req
988. Who's next?
Copy !req
989. I am, doctor.
Copy !req
990. Now lean forward.
You feeling any pain?
Copy !req
991. It's better when I lean forward.
Copy !req
992. Lydia, could I borrow your pen?
Copy !req
993. Mr. Larkowsky, I'm going
to admit you to the hospital...
Copy !req
994. and start you on a medical regimen.
Copy !req
995. There's some question in my mind
whether that's necessary...
Copy !req
996. but it's better
to be safe than sorry.
Copy !req
997. What is it?
Copy !req
998. What's the matter?
Copy !req
999. - You don't have to hide the truth from me.
- The truth?
Copy !req
1000. I know you're being nice,
but you can tell me.
Copy !req
1001. It's okay.
I want to know the truth.
Copy !req
1002. You have a duodenal ulcer
with complicating pancreatitis.
Copy !req
1003. Rather mild pancreatitis, judging
from the lab figures. That's all.
Copy !req
1004. Come on. You can tell me.
Copy !req
1005. You don't have cancer, Mr. Larkowsky.
Copy !req
1006. I knew it, I knew it!
It's cancer.
Copy !req
1007. You were hiding it.
Copy !req
1008. Every person that comes
into this hospital...
Copy !req
1009. whether they have
a heart attack or a skin rash...
Copy !req
1010. everybody worries about cancer.
Copy !req
1011. You don't have cancer.
Copy !req
1012. I swear to you.
You do not have cancer.
Copy !req
1013. It's not cancer?
Copy !req
1014. You have an ulcer
which flared up today...
Copy !req
1015. because you went to a party
and drank and smoked.
Copy !req
1016. Both of which
you're gonna have to quit.
Copy !req
1017. - Quit smoking and drinking?
- Yeah, that's right.
Copy !req
1018. Quit smoking and drinking?
What, are you kidding me?
Copy !req
1019. - We'll have to get x-rays on him.
- Right away, doctor.
Copy !req
1020. How did this happen?
Copy !req
1021. He fell out of his crib.
Copy !req
1022. He fell out of his crib?
Copy !req
1023. He was crying all night,
so I came here.
Copy !req
1024. I bet he was.
When did he fall?
Copy !req
1025. I don't know.
I don't want to get into trouble.
Copy !req
1026. - Your son has multiple contusions.
- He's not my son.
Copy !req
1027. - Whatever your relationship is—
- I'm his babysitter!
Copy !req
1028. This child has been beaten.
Copy !req
1029. - I'm gonna call Children Services.
- Please! I'll get into trouble.
Copy !req
1030. Stay here.
Copy !req
1031. Yes, doctor.
Copy !req
1032. I don't believe this.
Copy !req
1033. You want to make a guess
on the diagnosis of this one?
Copy !req
1034. I burnt my legs.
Copy !req
1035. I see.
Copy !req
1036. It's not funny.
Copy !req
1037. if you'll just come with me,
I'll take your name.
Copy !req
1038. College student?
Copy !req
1039. Sacred Heart.
Copy !req
1040. And how'd this happen?
Copy !req
1041. I was pouring hot water
into the sink and it splashed.
Copy !req
1042. It's not bad.
First-degree burns.
Copy !req
1043. There's no blistering,
and there won't be any scarring.
Copy !req
1044. It's very sensitive skin.
Copy !req
1045. Your touch is nice.
Copy !req
1046. This medication will make
you feel a lot better.
Copy !req
1047. Your fingers are very long.
Copy !req
1048. Long and strong.
Copy !req
1049. I wanted to change first
and put on some new underpants.
Copy !req
1050. I knew you'd be seeing my underpants.
Copy !req
1051. And touching them.
Copy !req
1052. You'll want to keep these bandages
very dry for a day or so.
Copy !req
1053. Don't take any showers or baths.
Just a sponge bath.
Copy !req
1054. Why is that nurse here?
Copy !req
1055. Hospital policy.
Copy !req
1056. She's not assisting.
She doesn't have to be here.
Copy !req
1057. Are you afraid of me?
Copy !req
1058. You're gonna be just fine
in a few days.
Copy !req
1059. Thanks, Lydia.
Copy !req
1060. After dinner?
Copy !req
1061. Yeah, right after dinner...
Copy !req
1062. I felt this little aching,
this burning, you know?
Copy !req
1063. Low.
Copy !req
1064. And you have an aneurysm?
Copy !req
1065. Yeah, they're gonna operate
on me next month.
Copy !req
1066. Mr. Harvey, we're just waiting
for your old film, so just rest easy.
Copy !req
1067. We'll fix you up right away.
We'll take care of it.
Copy !req
1068. Thank you, doctor.
Copy !req
1069. Okay, thank you.
Copy !req
1070. He's bleeding into his belly.
He can go anytime. Who's on?
Copy !req
1071. Ashley and Jimmy
have the appendectomy.
Copy !req
1072. Gill and Levine are
with the knife wound.
Copy !req
1073. They pulled Ed to do the lady
with the small bowel.
Copy !req
1074. Vascular team?
Copy !req
1075. - In Minneapolis.
- Where's Baker?
Copy !req
1076. Baker's in the Bahamas.
Copy !req
1077. This guy could die any minute.
Copy !req
1078. I know, but there's no one to do him.
Copy !req
1079. Okay, call Morgenstern.
Tell him to get over here.
Copy !req
1080. I'm starting a ruptured aneurysm.
Copy !req
1081. You can't.
You're just a resident.
Copy !req
1082. What do you want to do?
This guy could die.
Copy !req
1083. - I know that, but—
- Look!
Copy !req
1084. I'm just trying to keep him alive
until Morgenstern shows up.
Copy !req
1085. Now call the O.R. and tell them
to set up for a laparotomy.
Copy !req
1086. Please.
Copy !req
1087. This is Dr. Lewis.
Get me Morgenstern.
Copy !req
1088. Find him! We have an aortic
aneurysm, and Dr. Benton's starting.
Copy !req
1089. He'd like some help.
That's right. Dr. Benton's starting.
Copy !req
1090. - What's on?
- Ruptured abdominal aneurysm.
Copy !req
1091. - Who's doing it?
- Dr. Benton.
Copy !req
1092. Dr. Benton?
Copy !req
1093. I'm doing anesthesia for you.
Copy !req
1094. Great. Get down to the blood bank,
make sure they send us 20 units.
Copy !req
1095. And get the nurses jumping.
The patient's on his way.
Copy !req
1096. You sure you're okay about this?
Copy !req
1097. I'm scared as hell.
The guy's already ruptured his belly.
Copy !req
1098. He's bleeding to death internally.
Copy !req
1099. I gotta do him.
I'm his only chance.
Copy !req
1100. Evening. I wanted you to know...
Copy !req
1101. I'll be starting a ruptured
aortic aneurysm in Room 2.
Copy !req
1102. I'd appreciate a hand
when you have a minute.
Copy !req
1103. - What did he say?
- He said he's doing an aneurysm.
Copy !req
1104. That's a joke, isn't it?
Copy !req
1105. Cheryl? Go make sure he's joking.
Copy !req
1106. Dr. Ashley, he's doing it.
Copy !req
1107. You're kidding!
Jim, break and help him.
Copy !req
1108. I'll finish here
and get there as soon as I can.
Copy !req
1109. Okay, boys and girls, let's go.
This isn't a picnic.
Copy !req
1110. Prep, please.
Copy !req
1111. Prep, please!
Come on, quit staring at me.
Copy !req
1112. I'm just trying
to keep the poor guy alive.
Copy !req
1113. All right, plastic.
Copy !req
1114. - Jimmy's coming in to help.
- Oh, great!
Copy !req
1115. The only guy that knows less
about vascular surgery than I do.
Copy !req
1116. - Okay, is Mr. Harvey happy?
- He isn't complaining.
Copy !req
1117. Then let's do this.
Knife, please.
Copy !req
1118. Thank you.
Copy !req
1119. We're starting at 2:13 a.m.
Copy !req
1120. Let's see how long the chief takes
to get off of his girl and into work.
Copy !req
1121. Nice and slow.
Copy !req
1122. Started without you, Jimmy.
Copy !req
1123. There you go, sir.
Copy !req
1124. Listen up. We're going
straight down the linea alba.
Copy !req
1125. Nothing fancy.
The guy's got a 50% mortality anyway.
Copy !req
1126. Suction.
Thank you, for all the good it'll do.
Copy !req
1127. Pick up.
Come on, Jimmy, work with me.
Copy !req
1128. Pick up.
Copy !req
1129. Lot of blood in there.
Copy !req
1130. It's precisely his problem.
Copy !req
1131. Okay, here we go.
Copy !req
1132. Wish me luck. Knife.
Copy !req
1133. Systolic's holding at 100.
Copy !req
1134. Mother!
Copy !req
1135. Now!
Copy !req
1136. Can't find it.
Copy !req
1137. Damn it!
Copy !req
1138. There! No, no.
Copy !req
1139. Get your hand in there
and push away the small intestine.
Copy !req
1140. Where are you, little leak?
How bad is his pressure?
Copy !req
1141. - You won't like it.
- I won't like it? Think about him.
Copy !req
1142. Carol...
Copy !req
1143. hang 6 more units packed cells
and a unit of plasma and platelets.
Copy !req
1144. Wait a minute.
Copy !req
1145. Wait a minute.
Copy !req
1146. It's too much to hope, huh?
Copy !req
1147. I got it.
Copy !req
1148. Yeah, I got it.
Time down.
Copy !req
1149. Call it out in minutes.
Copy !req
1150. Let's suck this field clean
so we can see what we're doing.
Copy !req
1151. Dr. Benton, the chief resident is
in the hospital and on his way.
Copy !req
1152. Well, suck that field clean,
we got the chief coming!
Copy !req
1153. We don't want him to think
we don't know what we're doing.
Copy !req
1154. - Pressure?
- 100 over 70 and falling.
Copy !req
1155. I won't sweat that.
Let's just keep that blood going in.
Copy !req
1156. Jimmy, your hands are trembling.
Copy !req
1157. - I can't imagine why.
- Yeah, well, me neither.
Copy !req
1158. But everything's cool here.
All we have to do is sit and wait.
Copy !req
1159. Dr. Ashley will be with you
as soon as he can.
Copy !req
1160. All of a sudden, I got all
the help I want, huh?
Copy !req
1161. Start a nitroglycerine drip.
Copy !req
1162. 50 and 250 D5W,
80 of Lasix. LV push.
Copy !req
1163. Get a CBC, lytes, cardiac enzyme...
Copy !req
1164. chest X-ray and a 12-reading EKG.
Copy !req
1165. You take digitalis, dear?
Copy !req
1166. Have you taken any today?
This morning?
Copy !req
1167. Add a dig. Level.
Copy !req
1168. Meanwhile, 3 milligrams
of morphine. LV push.
Copy !req
1169. I can't give this up.
Copy !req
1170. No, no, no.
Not you, you're fine.
Copy !req
1171. - Your wife on 2204.
- I'll have to call her back.
Copy !req
1172. Sure taking a long time
getting in here, huh?
Copy !req
1173. They've been out there scrubbing
for the last month.
Copy !req
1174. You know, it's times like these
when I get into a reflective mood...
Copy !req
1175. and I pause and think of how—
Copy !req
1176. Good morning, Peter.
Give it to me quick.
Copy !req
1177. 57-year-old male, in good health,
seen here 8 weeks ago...
Copy !req
1178. where he was found to have
a pulsatile abdominal mass...
Copy !req
1179. with aortic calcification on X-ray.
Copy !req
1180. Surgery was scheduled for next month.
Copy !req
1181. But this evening, he had
intermittent pain in the mid-back.
Copy !req
1182. When he got here, he had...
Copy !req
1183. a distended abdomen, peritoneal
irritation and reduced hematocrit.
Copy !req
1184. So you decided to open him up.
Copy !req
1185. This is the worst incision
I've seen in a while.
Copy !req
1186. A good veterinarian would do
a better skin cut than that.
Copy !req
1187. All right, hold on.
Copy !req
1188. Got it.
Copy !req
1189. What's his pressure?
Copy !req
1190. 90 over 65,
and he's gotten 12 units.
Copy !req
1191. We'll take over from here,
try to make something out of it.
Copy !req
1192. Hey, humor me.
Have some dopamine standing by.
Copy !req
1193. Hoover that, will you?
Copy !req
1194. Sounds like a plan.
Good.
Copy !req
1195. Give me a little more room in there.
Copy !req
1196. Thank you.
Copy !req
1197. Look at that.
Copy !req
1198. You did a good job.
Copy !req
1199. You were lucky,
but you were right to open him up.
Copy !req
1200. Good work.
Copy !req
1201. Yeah, clear it out.
Copy !req
1202. Let me see if I can...
Copy !req
1203. Pull it out for a second.
Copy !req
1204. That's what we want, right there.
That's right.
Copy !req
1205. Why is he still crying?
Why haven't you given him something?
Copy !req
1206. Look! He's still crying.
Why aren't you giving him something?
Copy !req
1207. I can't until I know
the extent of his injuries.
Copy !req
1208. He's been to X-ray.
We saw a skull fracture.
Copy !req
1209. A skull fracture?
The babysitter!
Copy !req
1210. I never trusted her.
Copy !req
1211. Your child has contusions
that are 12 hours old.
Copy !req
1212. He has a skull fracture. He also has
several old healed fractures.
Copy !req
1213. This is a battered child.
Copy !req
1214. I'm not even gonna respond to that.
You think I'd harm my child?
Copy !req
1215. It happens all the time.
Copy !req
1216. I'm taking him home.
Copy !req
1217. - No! You have anything to say?
- He's my date.
Copy !req
1218. Look.
Copy !req
1219. I can assure you, whoever you are—
Copy !req
1220. Dr. Ross.
Copy !req
1221. Dr. Ross, let me tell you
your concerns are unfounded, okay?
Copy !req
1222. How'd he burn his legs?
Copy !req
1223. These marks right here.
On his legs.
Copy !req
1224. Those are healed burn scars.
How did that happen?
Copy !req
1225. I don't know anything about burns.
I think you're making this up.
Copy !req
1226. - You might call an attorney.
- I am an attorney!
Copy !req
1227. Then you know what Child Services
will do.
Copy !req
1228. How dare you?
Copy !req
1229. How dare you treat your child
like this? He's a little kid!
Copy !req
1230. I try to be understanding in my job.
But, lady, this just stinks.
Copy !req
1231. - You find that chart?
- I can't find it.
Copy !req
1232. - Well, find it!
- I don't—
Copy !req
1233. Do you think I am deaf?
I heard you.
Copy !req
1234. - Now find me the chart!
- I told you, I don't know where it is!
Copy !req
1235. Is it okay?
Copy !req
1236. You can go now.
You did the right thing.
Copy !req
1237. I mean, is the baby okay?
Copy !req
1238. He will be.
Copy !req
1239. Oh, man!
Copy !req
1240. So how's Hathaway?
Copy !req
1241. It doesn't look good.
Copy !req
1242. They contact her family?
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1243. Yeah, they found them.
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1244. So how'd your aortic aneurysm go?
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1245. Morgenstern showed.
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1246. Dr. Benton to Trauma 1.
Dr. Benton to Trauma 1.
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1247. No rest for the wicked.
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1248. Jerry, Perez. Let's go.
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1249. - What's the problem?
- We picked him up in Old Town.
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1250. He was standing, blocking traffic.
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1251. But he's got that smell,
so I thought I'd check.
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1252. You did the right thing.
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1253. We got a diabetic ketoacidosis.
Let's go.
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1254. You probably saved his life.
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1255. What do you want, a medal?
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1256. Give him 10 units regular insulin,
lV push.
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1257. Start a drip, 10 units per hour.
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1258. I want him hydrated as soon
as possible with normal saline.
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1259. And you want KCl?
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1260. Not on your life.
Get a CBC and lytes.
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1261. Call me with the potassium,
and get a blood gas.
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1262. Did you get the message
your wife called?
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1263. No.
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1264. I'll call her in the morning.
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1265. Hello, Mrs. Harvey.
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1266. Okay, let's have a look here.
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1267. He seems to be doing fine.
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1268. Oh, I'm so grateful.
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1269. Dr. Morgenstern came so quickly.
He saved his life.
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1270. Yes, well, Dr. Morgenstern's
a wonderful surgeon.
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1271. He said you did a lot too.
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1272. Actually, I just helped out
a little bit. That's all.
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1273. I'll check on you later, okay?
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1274. I'm sorry I yelled at you.
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1275. You want some coffee?
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1276. Sure.
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1277. I wouldn't kid you about that.
I had a few.
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1278. Maybe more than a few.
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1279. Hell of a party, though!
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1280. Okay, Mr. Murphy, you are done.
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1281. Already?
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1282. I didn't feel a thing.
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1283. No, I didn't.
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1284. I still don't.
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1285. And he was in, I guess, ten days.
And you know what it cost?
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1286. $ 24,000.
More than $ 24,000!
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1287. That's what it cost.
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1288. And I want to know where doctors
get off charging money like that?
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1289. Medical costs certainly
are on the rise.
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1290. That's why we need
national health insurance.
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1291. It's a scandal! Those doctors
should be ashamed of themselves.
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1292. Many of them are, I'm sure.
Let's hear what folks out there think.
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1293. Call Carl Barker on Nightline.
We'll be back in just a minute.
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1294. That's it? Anybody else?
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1295. Well, I got a little problem.
My throat's acting up.
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1296. You need to see a doctor.
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1297. - Which room?
- Five and six are open.
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1298. Five.
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1299. Is that it?
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1300. Well, my throat.
I've got some soreness.
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1301. I'll be in Room 8.
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1302. You got a pen?
Wake me at 6:30.
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1303. That gives you an hour and a half.
You're lucky.
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1304. 6:30, Dr. Greene.
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