1. Montana to Rice!
Copy !req
2. - They're on different teams.
- Since when?
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3. When I watched their last game at Carol's.
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4. - But that was way back.
- I'll say.
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5. - Go long.
- Me go long?
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6. - I'm out of shape. You go long.
- I'll go long.
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7. - Too far for the lvy League arm?
- Car!
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8. Hey, you butthead!
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9. What are you, out of your mind?
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10. Not another one!
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11. Go get a gurney, Doug.
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12. I'm not playing catch
with you anymore.
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13. - Nice of them to drop him off.
- What are friends for?
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14. Three-month-old seizing in 1.
Temp's 105.
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15. - I got him, Doug. Go!
- ls Dr. Benton—?
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16. - Give her three more of morphine.
- Five.
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17. - Call X-ray down here, stat.
- Susan, I need you in here.
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18. - What x-rays do you want?
- Move, Carter.
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19. Please, Petey. Oh, it hurts!
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20. Okay, Ma, okay.
Listen, all right?
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21. Get an x-ray of the hip,
chest and pelvis.
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22. - What about a C-spine?
- Get out of here!
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23. Carter, come with me.
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24. Pulse, weak.
He's bleeding.
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25. - Multiple trauma. Gown up!
- O-2, 15 liters.
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26. - What's Benton doing?
- His mom broke her hip.
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27. - That's bad at her age.
- What about labs?
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28. CBC, type and cross 8 units.
Run the saline wide open.
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29. Carter, Deb, the guy's out of it.
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30. Primary survey's done.
Now what do you get?
Copy !req
31. - Get a CT.
- Narcan, 0.8.
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32. - And then you gotta get the—
- Glucose, 85.
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33. Get smart nurses and nod sagely.
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34. Get her another 5 of morphine.
CBC, Chem-7, UA, EKG...
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35. hip, chest and pelvis.
Move! Come on!
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36. Don't take it off!
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37. Call the chief of Orthopedics.
Tell him to get down here now!
Copy !req
38. - We need to undress you, Mrs. Benton.
- Please. Not in front of Petey.
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39. - Peter. Peter.
- What?
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40. She doesn't want to be naked
in front of her son.
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41. Okay. All right, Ma.
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42. I'll be outside, okay?
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43. Here's the blood clav.
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44. I'll be right out here.
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45. He's going down the tubes.
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46. - Can I intubate?
- No. It could be a neck fracture.
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47. Always look everywhere.
We'll roll him.
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48. Ready, and now.
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49. There we go!
Single gunshot wound. And back.
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50. Heart's racing. 180.
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51. - He barely has a pulse.
- Put the blood on a pressure bag.
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52. Cap refill's bad.
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53. - No pulse. He's arrested.
- All right.
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54. Carter, take over CPR.
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55. - We gotta crack his chest.
- I got it.
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56. Thoracotomy tray!
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57. We do a thoracotomy when?
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58. - Penetrating trauma and full arrest?
- Exactamundo!
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59. I need the rib spreader.
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60. Towel, scalpel.
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61. Move your hands, Carter.
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62. Put the blood on the pump.
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63. Rib spreader.
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64. I'm in.
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65. Pericardium's dry.
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66. Aorta...
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67. Statinsky.
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68. ls O.R. on alert?
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69. - They just finished that perfed appy.
- Tell them they've got another customer.
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70. - There it is.
- Nice save, Mark.
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71. Got a faint pulse.
Let's go!
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72. I gotta go.
I'm on tonight.
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73. - I'll have the place emptied out.
- Deal!
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74. You taking the El home?
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75. I'll go with you.
I'm back tonight...
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76. - ... could you finish the nurse's notes?
- Sure.
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77. Who the hell stat-paged me here
for some old lady with a broken hip?
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78. - I'm Dr. Benton—
- Pulled me out of a meeting.
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79. This is my mother
and she broke her hip, sir.
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80. Well, that she did, Dr. Benton.
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81. Blair, put her on your O.R. schedule.
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82. No, no. Sir, I want you
to do the surgery.
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83. ER admits go to
the teaching—
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84. I don't want a resident
operating on my mother.
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85. - I'll scrub in.
- So you'll be holding the knife?
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86. I wanna scrub in too.
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87. - I'll be in there.
- That's not good enough.
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88. I know this is your mother...
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89. but you are way
over the line, son.
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90. I'll page you when we're done.
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91. Now back off.
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92. - So you tried to sand it off?
- isn't that what you do?
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93. Yeah, but we don't use
a power sander.
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94. Mr. Longet's a diabetic, as well
as an amateur dermatologist.
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95. Vera didn't want me
just crossing it out.
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96. Well, one gram of Ancef.
Update his tetanus.
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97. And get Plastics to see him.
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98. They may have to do a graft.
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99. - They can move that serpent head.
- Onto the body of a goddess?
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100. I'll be right back.
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101. - Did you eat lunch?
- No, the cafeteria's already closed.
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102. - Voilà!
- Thank you.
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103. Hey, you're gonna be an ER attending.
Congratulations!
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104. It's not a lock.
Can I borrow your pen?
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105. A lifetime of this, huh?
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106. The ER's great.
Free time's your own.
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107. What free time?
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108. After your residency, you get
skilled in every aspect of medicine.
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109. You see a variety of cases.
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110. You have an immediate effect
upon your patients' lives.
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111. But mainly it's like
joining the circus.
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112. I'm telling you,
the opening goes in the back.
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113. Oh, my God, I'm as big as a house!
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114. - I'm Dr. Mark Greene.
- Sean O'Brian.
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115. I'm Jodi.
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116. - Hop up on that bed.
- I don't think I can hop anywhere.
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117. Easy.
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118. What seems to be the problem?
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119. Our baby's due in two weeks and
I have to pee every 30 seconds.
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120. It burns and my stomach hurts.
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121. Sounds like a bladder infection.
Does this hurt?
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122. No, just don't push too hard.
I gotta go again.
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123. Thirty-six minus four.
Baby's about...
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124. five or six pounds.
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125. - You have any other medical problems?
- No, no.
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126. - Is that cold?
- Yes.
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127. Let's take a quick listen here.
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128. - I love that sound.
- It's great.
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129. It's great.
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130. - Any cramping? Any vaginal bleeding?
- No.
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131. Can you feel the baby move?
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132. Can you give me a urine sample?
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133. Are you kidding?
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134. Yes, I think I can do that.
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135. I want you to follow my finger
with just your eyes.
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136. Good. Now squeeze
your eyes tight like this.
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137. Great. Okay, press against
my hand with your face.
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138. Great. Okay, show me your teeth.
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139. - Will Grandma be able to walk again?
- Yeah, she'll be fine.
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140. I know what you're thinking, Jackie.
Why don't you just say it?
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141. - Shut up, Peter.
- No, go ahead and say it.
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142. I mean, it's my fault
that this happened, right?
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143. I'm so pigheaded and self-centered.
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144. Just shut up and sit down.
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145. BP's 90 over 60.
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146. I found him in the greenhouse,
passed out in the back.
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147. He visits at my work
and this is the shape he's in.
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148. - Hydrate with saline.
- I don't want to go.
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149. You'll go where I tell you to go.
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150. I am not losing another son
to alcohol and drugs.
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151. She's 38 weeks,
but I think her dates are off.
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152. The baby's small on exam.
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153. lnitial BP is 130 over 90,
but over a couple of hours...
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154. BP's been fine.
Around 120 over 80.
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155. FHT's normal, no cramps or spotting.
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156. I got your test results.
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157. UA shows white cells
too numerous to count.
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158. Bacteria, 2 plus protein.
CBC's normal. No fever.
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159. Simple cystitis. Fluids, rest
and a course of Bactrim.
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160. It's a bladder infection.
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161. - Who are they?
- Med students.
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162. - They're so young.
- I know. It's disgusting, isn't it?
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163. Near-term antibiotic of choice
is Macrodantin.
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164. Now, I want you to take these.
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165. Lots of fluids.
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166. Rest and follow up
with your doctor in the morning.
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167. The sulfas compete with bilirubin
for the binding sites on albumin...
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168. increasing the risk
of neonatal jaundice.
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169. He saves lives, he teaches,
he slices and dices.
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170. Deb, will you work up
a weak and dizzy in 3, please?
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171. Doctors? Would you sign a get-well card?
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172. Sure.
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173. - Who's this for?
- Me.
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174. - What is it?
- Hemorrhoids.
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175. That's right here.
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176. - Dr. Ross, kid's crashing!
- What?
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177. Alcohol level's down to 0,
his pulse is down 40.
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178. Pupils pinpoint. Haleh, get a BP.
Frothing at the mouth.
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179. - Is it drugs?
- He's incontinent.
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180. - Negative drug screen.
- BP's 70 over 50.
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181. Where do you work?
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182. - Wrigleyville Nursery.
- Nursery, as in school?
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183. No, like in plants.
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184. - Outside or in the office?
- Both.
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185. Mag of atropine, lV push.
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186. Tear off his clothes, wear gloves.
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187. Start a drip. A milligram an hour.
2-Pam. 1 gram over 30 minutes.
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188. What's wrong?
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189. lnsecticide poisoning.
What chemicals do you carry?
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190. We use everything.
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191. We were spraying in
the greenhouse today.
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192. - Will he be okay?
- I think so.
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193. I'm gonna call the nursery.
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194. - What do you have?
- Elderly man with hemorrhoids.
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195. Yuck! Everyone's so old
and sick around here.
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196. Yeah. This is a hospital.
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197. - Yeah, I guess. Where's Benton?
- He's in surgery with his mom.
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198. - Hi, guys.
- Working the graveyard?
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199. Seven p.m., no Benton. I may
get home by 8:00, for once.
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200. Somebody help me.
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201. My wife's unconscious in the car.
Dr. Greene!
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202. Please, somebody help me!
She's pregnant. Hurry!
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203. She's passed out.
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204. Freeze right there!
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205. It's my mother.
I wanna scrub in.
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206. You take one more step and I'll
have your ass hanging on my wall...
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207. right next to your residency.
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208. - I wanna help.
- Don't test me.
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209. Out!
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210. Now divide the iliotibial tract.
Hemosat.
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211. Watch her airway.
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212. Get a stat BP.
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213. Oh, my God! What's going on?
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214. Carter, help Mr. O'Brian.
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215. Mr. O'Brian, we need to work.
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216. - Start a second lV.
- BP's high, 160 over 1 1 0.
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217. You're okay, babe!
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218. She's eclamptic! Load her
with mag sulfate, four grams, lV.
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219. Do you need blood?
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220. She needs a Chem-24, a coag panel
and put her on a fetal monitor.
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221. Cap refill's fair.
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222. - Mr. O'Brian?
- Yeah.
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223. - Your wife has eclampsia.
- Is she gonna die?
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224. No, we need to get her admitted and—
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225. She's seizing!
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226. Grab a bite block!
ls the mag in?
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227. - Got it.
- Restrain her.
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228. Do something!
Somebody help her!
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229. Help her.
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230. Push another four mag sulfate.
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231. You'll be okay.
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232. lV's out!
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233. The other one's blown.
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234. I'll throw in an external jugular.
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235. Two migs of Ativan.
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236. - Where's the prep pad?
- Restrain her.
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237. Restrain her.
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238. It's in.
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239. O-2 to 15 liters.
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240. Okay, seizure's stopping.
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241. Let's hyperventilate her. Get
doptones. Let me do a quick pelvic.
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242. Let's get a blood gas.
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243. Fetal heart tones, strong at 140.
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244. - That's good news.
- 30cc's of saline.
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245. Two cm dilated. Eighty percent effaced.
Membrane's intact.
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246. Call upstairs,
see who's on call for OB.
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247. What the hell is going on?
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248. Your wife has a disorder of late
pregnancy known as eclampsia.
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249. The blood vessels spasm,
causing lack of oxygen to the brain...
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250. which leads to the seizures.
We're relaxing them with medicine.
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251. - What about the baby?
- We'll need to deliver.
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252. - When?
- Soon.
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253. Very soon.
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254. Who's in Trauma 1?
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255. A pregnant woman
with an eclamptic seizure.
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256. She's postdictal but coming around.
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257. BP's stabilized?
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258. Mag sulfate going?
I'll take over. Go home.
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259. I'd like to see her through the OB.
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260. - I can handle it.
- It's not you, it's me.
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261. I saw her earlier
and I diagnosed UTl.
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262. Sent her out and
she seized in the parking lot.
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263. I thought the protein in her urine
was due to cystitis...
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264. and I blew off one borderline BP.
I'd feel better if I saw her through.
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265. Fundal placenta. Looks okay.
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266. BP, 120 over 70.
That's very nice.
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267. - Look at little Hunter.
- Dermot.
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268. - Jason.
- Patrick.
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269. - Is that a boy or what?
- Four plus turtle sign.
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270. What's that?
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271. Looks like a little head
peeking out right there.
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272. You give a score of zero or two
for each category.
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273. - Movement?
- He seems very active.
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274. Every night, around the same time.
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275. Score two.
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276. Also breathing, tone,
amount of fluid.
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277. He's an eight. Anything less than a six,
then you worry.
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278. You do the AFl.
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279. You divide the abdomen into four.
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280. Find the deepest pockets of fluid...
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281. without fetal parts
or umbilical cord.
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282. You mark...
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283. each corner of the quadrant.
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284. Measure and then add up.
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285. Is that what this number is over here?
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286. That's the baby's heart rate.
That should be between 120 and 160.
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287. So 140's perfect.
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288. The baby's in great shape.
Biophysical profile's 8. AFl's 14.
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289. Cervix is favorable. I've got
a non-stress test started.
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290. I feel very comfortable. I've
delivered a couple hundred babies.
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291. It's 9:00, so we'll see you
in about an hour?
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292. What did Coburn say?
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293. She's at St. Luke's,
and she says she'll be here...
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294. as soon as she's finished
with her repeat C-section.
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295. She wants me to start an induction.
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296. That is, of course,
if I feel comfortable.
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297. She said that?
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298. What a bitch!
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299. Hey, Drake?
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300. - How do things look?
- Great.
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301. BP's have been perfectly normal.
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302. Oh, boy. How can l—?
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303. Excuse me.
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304. - He can't be more than 12 years old.
- He's the OB resident on call.
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305. I just spoke with Dr. Coburn,
our OB attending.
Copy !req
306. And she agrees that
we need to deliver you soon.
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307. - Will you have to do a C-section?
- I want to deliver naturally.
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308. Your eclampsia's under control,
the baby's good...
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309. and the cervix is favorable.
I'd say we do a trial of labor.
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310. And if it doesn't work?
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311. I think it will work.
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312. I want to give it a try.
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313. Let's do it!
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314. Excuse me.
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315. Do you feel competent
to handle this without me?
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316. - I think I can muddle through.
- I'll check back with you at 2300?
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317. Roger.
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318. Carol, could you give Mrs. O'Brian
.5 Pitocin lV?
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319. - You're inducing down here?
- We'll start here and then get her up to OB.
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320. - How frequent are the contractions?
- Every 10 minutes or so.
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321. - Okay, let's have Dr. Greene decide.
- You're kidding!
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322. We can't call him Baby X
when we call our parents.
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323. All right.
Let's take a quick look.
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324. It's five centimeters dilated.
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325. Ninety percent effaced.
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326. Station, minus two.
Membrane's intact.
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327. - You wanna look too?
- May l?
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328. Why not? Everybody else
has been poking around in there.
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329. Here.
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330. - lan, Patrick, Dermot...
- Sounds like the cast of Finian's Rainbow.
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331. - Sorry.
- Hunter?
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332. Hunter O'Brian?
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333. You agree with my assessment?
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334. Your labor's progressing
along nicely and quickly.
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335. The baby's great.
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336. Is it normal for the heart rate
to be going down like that?
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337. As long as it's only briefly,
and it stays over 120.
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338. Jared's on both lists.
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339. It's not my favorite.
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340. Compromise is the soul of marriage.
Jared, it is.
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341. Jared.
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342. - Hope you feel better.
- Thank you.
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343. You're welcome.
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344. The OB case is still here?
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345. They're still busy upstairs.
I gotta call again.
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346. Dr. Greene! Something's wrong.
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347. The baby's heart—
The monitor's down to 90.
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348. It's not supposed to go that low.
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349. Hey, Ma. Hanging in there?
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350. How are you doing?
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351. - Why so long in the recovery?
- She's 76.
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352. - Estimated blood loss?
- 500cc's.
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353. Post-op orders?
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354. She may be your mother,
but she's my patient.
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355. We're taking the O.R. elevator.
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356. She's going to 604.
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357. It was bound to happen
sooner or later, Peter.
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358. Sweetie, let's try a deep,
cleansing breath.
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359. - Let's exhale on the count of—
- Shut up, Sean!
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360. Call OB and get the FeSS in here.
How are we doing?
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361. - I'll have an epidural.
- Contractions are three minutes apart.
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362. - No kidding!
- Tracing showing decreased activity.
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363. What's that?
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364. The baby's heart rate is reacting
less than it should.
Copy !req
365. But babies sleep in 20-minute cycles,
so what we want to do...
Copy !req
366. is wake him up.
Rise and shine!
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367. There we go.
He was just sleeping.
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368. The heart rate's back up.
Get an ETA on Coburn.
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369. I'm Dr. Urami, anesthesiology.
I'm here to do your epidural.
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370. Yes, please. Let's do that.
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371. - How's that epidural?
- Wonderful.
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372. I'm gonna show these pictures
of Jared to my students.
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373. - Eighth graders?
- You know, like "show and tell."
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374. In math class?
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375. Now we can get a pressure
reading inside the uterus.
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376. This scalp electrode...
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377. monitors the pulse rate
more exactly.
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378. Enjoying the show?
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379. Yeah. I mean...
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380. no.
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381. She's eight centimeters dilated,
completely effaced.
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382. - Won't be long.
- There's another decel.
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383. Variable with a late component.
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384. Let's infuse 500cc's normal saline
through the uterine catheter.
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385. - Like a regular lV?
- Yeah.
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386. And we need to get her up to OB.
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387. I'll light a fire under someone.
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388. - ls something wrong?
- No, we're okay.
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389. - Page Coburn again.
- Okay.
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390. Why can't I send her up?
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391. She's inches away
and the epidural's wearing off.
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392. Well, then find Drake!
Hurry up.
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393. Breathe. Breathe.
Wanna try some breathing?
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394. Your fantasy about me
quitting work...
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395. and staying home to have kids?
Forget it! This is it.
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396. Repetitive lates.
We need to deliver.
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397. - I need to take a look.
- Try some single breaths.
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398. Fully dilated, 100% effaced.
It's time to start to push.
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399. Already?
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400. - Here?
- Here. Carter.
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401. Run and get Carol.
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402. Try some breathing!
Copy !req
403. I love you so much, babe.
So much!
Copy !req
404. Shut up!
Copy !req
405. Get a baby warmer and a newborn
resuscitation tray in 3, stat!
Copy !req
406. Nine, ten!
Copy !req
407. Take a breath, take a breath.
Copy !req
408. - Welcome back.
- Did I go home?
Copy !req
409. Push! One, two, three...
Copy !req
410. Eight, nine, ten!
Copy !req
411. I'm not ready to be a mother.
Copy !req
412. - Bear down.
- I can't! It's gonna rip me apart.
Copy !req
413. One, two, three, four...
Copy !req
414. I can't! I can't!
Get it out!
Copy !req
415. Carter! Go up to OB and drag Drake down.
Tell him to bring some forceps. Go!
Copy !req
416. She's not progressing.
Copy !req
417. The baby's rate is low.
I'll start the pudendal block.
Copy !req
418. Okay, I'll gown up.
Copy !req
419. - OB's got C-sections and deliveries.
- No one will blame you if you wait.
Copy !req
420. - The monitor says now.
- Why put your ass on the line?
Copy !req
421. I've come this far,
I'm gonna see it through.
Copy !req
422. - Where's Coburn?
- In transit.
Copy !req
423. What, is she coming by camel?
Copy !req
424. Get her BP.
Copy !req
425. BP's still climbing.
150 over 100.
Copy !req
426. Go, Mark. Baby's bradying down.
Copy !req
427. Now don't push.
Don't push.
Copy !req
428. Before I break the plates,
cut a median episiotomy.
Copy !req
429. Here comes the head.
Copy !req
430. - Get a blanket ready.
- Damn!
Copy !req
431. - Get him out!
- He's stuck.
Copy !req
432. - Shoulder dystocia.
- What's that?
Copy !req
433. Shoulder's hung up on the pubic bone.
Copy !req
434. Oh, my God!
Copy !req
435. Lead's off.
Copy !req
436. McRobert's maneuver.
Copy !req
437. - Push her legs up towards her head.
- Lift your legs.
Copy !req
438. Straight up in the air.
Copy !req
439. Somebody push on the abdomen.
Copy !req
440. - What are you doing?
- Trying to free his shoulders.
Copy !req
441. Carter, not fundal pressure.
Down here. Down here.
Copy !req
442. It's jammed! Stat page OB!
Copy !req
443. Oh, my God, do something!
Copy !req
444. Let's try a Woods.
Copy !req
445. I need to extend the episiotomy.
Copy !req
446. if I can rotate
the posterior shoulder...
Copy !req
447. I love you, baby.
Copy !req
448. Try to deliver
the posterior shoulder.
Copy !req
449. He's jammed in. Come on.
Copy !req
450. Come on! Come on!
Copy !req
451. Why can't you deliver this baby?
Copy !req
452. Mr. O'Brian, please.
Copy !req
453. It's not working.
Let her go.
Copy !req
454. Let her go. It's not working.
Copy !req
455. Zavenelli.
Copy !req
456. What are you doing?
Copy !req
457. We gotta push the baby back in.
Copy !req
458. Then what?
Copy !req
459. We're almost through.
Copy !req
460. Susan, get your hand in here.
Grab a cesarean tray. Run!
Copy !req
461. Climb on up, hold her head in.
Throw a sheet over her.
Copy !req
462. Get her into Trauma 1.
Copy !req
463. Find out if Benton's still here.
Splash and crash.
Copy !req
464. - Where are you taking her?
- We gotta do an emergency C-section.
Copy !req
465. - Have you done this before?
- I've scrubbed in many times.
Copy !req
466. I want somebody else!
Copy !req
467. if we wait five more minutes,
your baby's brain dead.
Copy !req
468. Oh, my God. Go, go!
Copy !req
469. Do it!
Copy !req
470. Please get out of the way.
Let them work.
Copy !req
471. I love you so much.
Copy !req
472. We're almost home.
We're almost out of here.
Copy !req
473. Call Respiratory.
Copy !req
474. Mr. O'Brian, wait outside.
Copy !req
475. I love you!
Copy !req
476. I'm right here. I'm right here.
Copy !req
477. BP's sky high. 170 over 120.
Copy !req
478. - What about anesthesia?
- No time.
Copy !req
479. I'll throw in a local.
Copy !req
480. - She's seizing!
- Grab the bite block.
Copy !req
481. Let's paralyze and intubate.
Copy !req
482. Versed, four migs. Norcuron, 10.
Copy !req
483. lntubation tray.
Copy !req
484. - Get Respiratory down here.
- 7.5.
Copy !req
485. Suction standing by.
Copy !req
486. O-2 at 15.
Copy !req
487. Carter, try and get in here.
Copy !req
488. We're just gonna bag her for now.
Copy !req
489. Get that typed blood
cross-matched and down here.
Copy !req
490. - Where's that coag panel?
- Get a vent ready.
Copy !req
491. BP's 200 over 130!
Copy !req
492. Everybody just take
a deep breath, all right?
Copy !req
493. Hydralazine, 10 migs.
Copy !req
494. Another bolus of mag sulfate.
Copy !req
495. Somebody call NlCU
and get somebody down here...
Copy !req
496. for the baby.
Copy !req
497. Somebody physically go up to the OB...
Copy !req
498. and drag somebody
down here, okay? Go!
Copy !req
499. Get the suction in.
Copy !req
500. Scalpel.
Copy !req
501. Let's see.
Copy !req
502. Is that the fascia?
Copy !req
503. Yeah, that looks right.
Copy !req
504. - Grab with those clippies.
- Hydralazine's in.
Copy !req
505. Grab an army, navy.
Copy !req
506. - Suction.
- Metz.
Copy !req
507. The long scissors.
Copy !req
508. Retract there.
Copy !req
509. - I'm in.
- isn't there something about a bladder flap?
Copy !req
510. - Pickups.
- Suction.
Copy !req
511. - I'm dividing the peritoneum.
- Hemostat.
Copy !req
512. Okay, we're in.
Copy !req
513. Grab that side and pull.
Copy !req
514. Get a retractor in there.
Copy !req
515. We need exposure. Pull!
Copy !req
516. Oh, man!
Copy !req
517. That's wide enough.
Copy !req
518. All right. Now, scalpel.
Copy !req
519. Cut across the lower segment
of the uterus.
Copy !req
520. You're asking me?
Copy !req
521. I'm asking God.
Copy !req
522. Suction. No, here.
Copy !req
523. - You're not all the way through.
- I don't wanna cut the baby.
Copy !req
524. Open a pack of lap pads.
Copy !req
525. Retract this way, more.
Copy !req
526. - There, I think I'm in.
- Oh, my God.
Copy !req
527. There's two liters in there.
Copy !req
528. - She's got an abruption!
- She's bleeding out!
Copy !req
529. - Gown up!
- Get the baby out!
Copy !req
530. Open those lV lines.
Copy !req
531. Hurry, Mark. Get him out!
Copy !req
532. - Get the baby.
- Pump in saline.
Copy !req
533. Forget that cross-match!
Eight units O-neg down here, stat!
Copy !req
534. - Hurry up.
- I've got him. He's big.
Copy !req
535. - Suction his airway.
- BP's okay, 120 over 80.
Copy !req
536. - Come out.
- Hurry up.
Copy !req
537. The cord's free.
Copy !req
538. Suction his nose.
Copy !req
539. Umbilical clamp.
Copy !req
540. He's not breathing.
Copy !req
541. Okay, clamp.
Copy !req
542. All right, bag him.
Copy !req
543. Carter, get in here.
Copy !req
544. Get in here.
Follow my hand down.
Copy !req
545. Feel the aorta?
Copy !req
546. - It's pulsing.
- Yeah, I do.
Copy !req
547. - Push down on it. Got it?
- I think so.
Copy !req
548. - Don't think, do.
- I got it.
Copy !req
549. - Is he alive?
- BP's holding. 1 1 0 over 70.
Copy !req
550. Move, move!
Copy !req
551. Start CPR.
Copy !req
552. I'm gonna intubate.
Copy !req
553. - Heel stick a glucose.
- Tone is flaccid.
Copy !req
554. We need a blood gas.
Copy !req
555. - I can't see. Suction!
- O-neg's here.
Copy !req
556. All right, pump it in.
Copy !req
557. I think I'm in.
Copy !req
558. Bag him.
Copy !req
559. Quick listen.
Copy !req
560. - Chest expands while we're bagging.
- Okay, we got it.
Copy !req
561. Tape it and keep bagging.
Copy !req
562. Blood sugar's 20.
Copy !req
563. Give him D-10.
Copy !req
564. - He's got no veins.
- Hyperventilate him.
Copy !req
565. I'm gonna try an umbilical line.
Copy !req
566. What about some epi?
Copy !req
567. 0.04 epi down the tube.
Copy !req
568. Here's the epi.
Copy !req
569. Release that clamp
after I tie this off.
Copy !req
570. Release the clamp.
Copy !req
571. Oh, my God. How can you see?
Copy !req
572. I don't know.
Copy !req
573. Grab a bag of O-neg.
Copy !req
574. Stick the pins per kilo.
Copy !req
575. 40cc's.
Copy !req
576. Come on.
Copy !req
577. That's the umbilical vein.
Hook it up while I advance it.
Copy !req
578. Okay, it's going.
Glucose at...
Copy !req
579. 5 mil per kilo.
Copy !req
580. Follow me down.
Copy !req
581. 20 mils.
Copy !req
582. Come on, little guy.
Come on.
Copy !req
583. He moved!
Copy !req
584. It's going. 100!
Copy !req
585. - Re-gown me.
- He's pinking up!
Copy !req
586. She's had three units,
two liters, saline.
Copy !req
587. - Vitals?
- BP's 80 over 50. Pulse, 1 1 2.
Copy !req
588. I can live with that and so can she.
Copy !req
589. - Baby's Apgar's much better. Eight.
- That's good.
Copy !req
590. - Re-gown, Susan.
- Look who's here.
Copy !req
591. What's going on in here?
Copy !req
592. I intubated. Baby went bad.
Copy !req
593. I tried forceps and got
a shoulder dystocia. She seized.
Copy !req
594. I paralyzed and did a crash section.
Copy !req
595. There were two liters
of blood in her uterus.
Copy !req
596. - You knew she'd abrupted?
- Once I got in.
Copy !req
597. - Baby nearly died.
- Who's this? And what's he doing?
Copy !req
598. John Carter, med student.
I'm pressing the aorta.
Copy !req
599. It's a mess!
What'd you use, a chain saw?
Copy !req
600. I couldn't stand around waiting
while that baby died.
Copy !req
601. Get an NlCU transport team
and the OB resident on call.
Copy !req
602. You should've let me know
you were in over your head.
Copy !req
603. We've got hemostasis.
Copy !req
604. Someone call Respiratory.
Copy !req
605. Okay, Carson.
You can let go of the aorta.
Copy !req
606. Wait! Wait!
Copy !req
607. Stop, stop.
Copy !req
608. Looks good. Bleeding's stopped.
Copy !req
609. Go talk to the father.
Copy !req
610. Suction.
Copy !req
611. - ls my baby okay?
- He was apneic at first.
Copy !req
612. But his Apgar's encouraging—
Copy !req
613. - Stop hiding behind that medical crap!
- Your baby's gonna be fine.
Copy !req
614. Don't take my son!
Copy !req
615. And Jodi?
Copy !req
616. There was bleeding. She's had
transfusions, but she's stabilized.
Copy !req
617. Dr. Coburn is in there with her now.
Copy !req
618. - She's closing the incision.
- How can this happen?
Copy !req
619. What we need to do now
is get your son upstairs. Now! Go!
Copy !req
620. - Everything's okay, right?
- Go be with your baby.
Copy !req
621. - She'll be okay, right?
- She's stabilized. Go with your son.
Copy !req
622. I've never seen
such a chain of errors.
Copy !req
623. - I did what you said.
- You miss preeclampsia!
Copy !req
624. - You underestimate the fetal weight.
- I expected OB backup!
Copy !req
625. You miss a placental abruption!
Copy !req
626. Blood clot. Right there!
Copy !req
627. You do an ill-advised forceps
delivery on a baby that's too big.
Copy !req
628. Then you do a hack job
of a C-section!
Copy !req
629. It was me in the barrel
with a baby down the tubes.
Copy !req
630. What saved you
from disaster was dumb luck.
Copy !req
631. if not for me, the mother'd be dead
and the baby a vegetable!
Copy !req
632. - Who's on OB call?
- Drake.
Copy !req
633. - She's just covering herself.
- She was right. It was my screwup.
Copy !req
634. You were great.
I couldn't have done it.
Copy !req
635. It was my fault that she went sour.
She's my patient.
Copy !req
636. - No one will blame you.
- No, they don't have to.
Copy !req
637. She's crashing!
Copy !req
638. - How many units has she had?
- BP's falling. 70 over 40.
Copy !req
639. - I can't get a blood gas.
- Run a resuscitation.
Copy !req
640. - Cap refill's bad.
- I'll throw in an arterial line.
Copy !req
641. - Put blood bags on a rapid infuser.
- Get the kit!
Copy !req
642. Hook up the transducer.
Copy !req
643. Give her a mig of atropine.
Check a manual BP.
Copy !req
644. She's bleeding from the puncture.
Copy !req
645. - Somebody put pressure on it.
- I got it.
Copy !req
646. - lV site's oozing too.
- I don't hear it. 65 palp.
Copy !req
647. Hang a dopamine drip.
Copy !req
648. Pull her off that respirator
and bag her.
Copy !req
649. Blood's stopped clotting.
She's going into DlC!
Copy !req
650. Oh, damn! Order 10 units,
cryoprecipitated platelets.
Copy !req
651. - Multifocal PVCs!
- What now?
Copy !req
652. Lidocaine, 100 migs, lV push.
Start a drip.
Copy !req
653. Mark the time: 0542.
Charging 260.
Copy !req
654. Clear!
Copy !req
655. 300. Clear!
Copy !req
656. - She's oozing from every cut surface.
- We're chasing our tails in here.
Copy !req
657. - Time down?
- 33 minutes.
Copy !req
658. More PVC.
She's maxed out on lidocaine.
Copy !req
659. Add Pronestyl, 30 migs a minute,
up to 200.
Copy !req
660. - No pulse. We're losing her!
- Get a dopamine drip.
Copy !req
661. - Charging to 300.
- Out of the way!
Copy !req
662. Again. 360.
Copy !req
663. - Give her 300, lV push.
- Blood gas is bad, 302 over 50.
Copy !req
664. It's been five minutes
since her last epi.
Copy !req
665. Another seven.
Copy !req
666. Mark, she's gone.
Copy !req
667. It's thirty minutes past too late.
Copy !req
668. I'm calling it.
Copy !req
669. Time of death:
Copy !req
670. 0646.
Copy !req
671. It's not flatlined. It's fine V-fib.
Another 7 migs epi.
Copy !req
672. Dr. Greene.
Copy !req
673. l...
Copy !req
674. just wanted to tell you that...
Copy !req
675. I thought what you did
was a heroic thing.
Copy !req
676. It's one stop the other way,
right by the station.
Copy !req
677. - I gotta get going.
- Come on!
Copy !req
678. Not only does Shorty's
have the greasiest eggs...
Copy !req
679. stuff falls from the ceiling
when the El goes by.
Copy !req
680. Sounds attractive, Susan.
I got a million things to do.
Copy !req
681. Are you sure you're okay?
Copy !req
682. I'm fine.
Copy !req
683. Scout's honor.
Copy !req
684. ls Jen home?
Copy !req