1. Susan? Susan? Susan!
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2. You have to get up.
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3. What time is it?
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4. It's a baby.
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5. A baby.
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6. In respiratory arrest.
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7. One-year-old found unresponsive.
Couldn't get an lV.
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8. - What'd you find?
- No spontaneous resps.
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9. She's cyanotic, faint pulse at 200.
We scooped and ran.
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10. What happened?
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11. - She stopped breathing.
- Has she been sick?
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12. Any medication?
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13. - Any recent trauma?
- No. Nothing!
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14. Let's see if we can find a vein—
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15. Can't get a rhythm.
Sinus track 180.
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16. Come on.
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17. Laryngoscope.
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18. Magill forceps.
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19. Where are you?
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20. An earring.
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21. - Hyperventilate her. Blood sugar?
- Twenty.
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22. I need an 18-gauge spinal.
I'll go in interosseus.
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23. Will she be all right?
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24. I'll need dextrose.
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25. Is she gonna be okay?
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26. Dextrose is in.
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27. - Okay, got it?
- Got it.
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28. Get a blood gas, chest film,
CBC and Chem-7.
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29. She's gonna be fine.
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30. An infant in arrest
and you didn't wake me?
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31. An extra hour's sleep,
you should thank me.
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32. - I know, but—
- We didn't need you for the baby.
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33. Now we need you.
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34. - For what?
- German tourists.
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35. They got food poisoning at
a Hofbrau House on 46th.
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36. Guten Morgen.
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37. Das ist Dr. Carter.
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38. Guten Morgen, Herr Doctor.
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39. They need...
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40. stool guaiacs.
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41. Rectals?
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42. One, you gotta rule out Ml.
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43. Two, that baby Lewis saved.
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44. Three, some old guy who sticks
his hand up his shirt.
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45. Four, chest pains.
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46. Five, a kid with
an allergic reaction.
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47. Where's the guy with the hand?
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48. Morning.
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49. Hey, Timmy. What's up?
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50. We got four coming in
on a chopper, two critical.
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51. - How soon?
- Five to ten.
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52. - Hey, Timmy.
- Dr. Lewis. Hold, please.
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53. I got a chest pain in
Exam Room 4.
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54. Night shift ran an x-ray and EKG.
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55. You know, I really need
a cup of coffee.
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56. Cream, no sugar.
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57. Thank you.
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58. - Wanna help with a chest pain?
- Yes.
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59. Be right back.
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60. Mr. Zambano, I'm Dr. Lewis.
This is John Carter.
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61. In order to evaluate pain,
start with P.Q.R.S.T.
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62. So start.
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63. Great. Provoking/palliating, right?
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64. What brought on your pain?
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65. It started in the shower.
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66. Could you describe it?
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67. It's like somebody's
squeezing my chest.
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68. Right.
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69. Well, good.
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70. Radiation.
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71. Does the pain move anywhere?
Neck, back?
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72. No. What is he, a beginner?
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73. This is a teaching hospital,
Mr. Zambano.
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74. Your EKG's normal,
and your history of angina...
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75. I don't think we need
to be concerned.
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76. Dr. Carter will keep an eye on you
while we wait for the enzyme results.
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77. It's been eight weeks.
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78. You mean you haven't
even been out there yet?
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79. - Thought about it, just haven't done it.
- You and Hathaway were so close.
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80. It's not gonna get any easier, Doug.
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81. Just go!
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82. Let's go!
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83. Two majors, two minors.
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84. Passenger space intrusion.
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85. Guy ran a red light.
T-boned a car at 50 mph.
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86. Head, neck, chest, pelvic
and hip injury.
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87. She's had 3 liters.
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88. - GCN?
- Point-one-one.
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89. Pressure's 50 over 30,
pulse 120.
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90. All right, okay. Let's go.
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91. Hurry up. Let's go!
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92. What else you got?
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93. Head, neck and abdominal pain.
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94. Pressure's 65.
Pulse 150 and thready.
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95. GCS 4-6-5.
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96. She's got a scalp laceration
and a deformed humerus fracture.
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97. Let's get her downstairs right away.
All right?
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98. Take her into 2.
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99. Doug, take the little girl into 1.
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100. Mommy!
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101. All right,
do this on my count.
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102. And one, two, three, go!
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103. Type and cross-match 6 units
packed-cell CBC. Chem-7.
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104. Let's get the O-neg moving, now.
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105. I need a chest tube tray.
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106. Let's move. This isn't
a museum, we got work to do.
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107. - Who else is on the floor?
- Everybody's working.
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108. Call the O.R. and let's
see who they can spare.
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109. Mommy!
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110. - Type and cross-match four units.
- Positive.
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111. She's still 50 palp. Pulse is 180.
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112. Sweetheart, tell me where
else it hurts, okay?
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113. Concentrate, all right?
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114. - You hear me?
- Mommy!
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115. Okay, you hear me?
Tell me where it hurts.
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116. Does it hurt here? How about here?
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117. - Spleen.
- We gotta get her to the O.R., now!
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118. Stay really still, okay?
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119. Mommy!
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120. This the guy who hit them?
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121. - Is he gonna be all right?
- Yep.
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122. Too bad.
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123. We'll need blood alcohol.
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124. - Bet it's over.20
- .35, easy.
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125. Let's get a tox screen
and a CT of his head.
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126. We have to rule out head trauma.
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127. - Has he done this before?
- Five times.
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128. Mr. Ring, we called Orthopedics.
They'll be down to look at your leg.
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129. My wife and daughter okay?
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130. We're working on them right now.
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131. I didn't even see him.
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132. The light changed, Janet screamed,
and there he was.
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133. We're working on your family.
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134. - How many more do we have?
- Three.
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135. Three. I have to check on
a patient. I'll be right back.
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136. Still feeling okay?
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137. How much longer am I gonna
have to wait?
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138. Just a couple more minutes.
We are very busy today.
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139. But you're feeling all right
otherwise?
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140. Mr. Zambano?
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141. Mr. Zambano?
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142. Hey! I need some help in here!
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143. Clear!
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144. - What the hell you doing?
- Sorry.
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145. - You need help?
- I'm here.
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146. - Vital signs stable?
- Yes. Sir, you're gonna be just fine.
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147. Pressure's 80 over 50. Pulse 120.
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148. They ready for her upstairs?
All right, let's go.
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149. Get Ortho to the O.R.
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150. We're taking you to another part of
the hospital to make you better.
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151. - Where's Mommy?
- We're taking care of her too.
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152. And your daddy will be there
when you wake up.
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153. Here you go, Doug.
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154. - She gonna make it?
- Ruptured spleen. How's the father?
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155. Orthopods are doing his leg.
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156. The driver's sleeping like a baby.
Not a scratch on him.
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157. How's the mother?
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158. Maybe.
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159. It's 8 weeks since she
attempted suicide.
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160. You two were close.
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161. You and Hathaway shared
a lot of things.
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162. I stopped by. A couple of times.
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163. Never got out of the car.
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164. Take her some flowers.
You don't have to stay long.
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165. You want me to go with you?
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166. I'm off Sundays.
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167. I don't know. I don't know.
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168. I'll drive.
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169. It's me.
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170. It's not your fault, Doug.
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171. You gotta forgive yourself
sooner or later.
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172. Pop! Pop! Just like that,
he shoot me. For cigarettes!
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173. Give him a gram of ancef lV.
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174. No older than my grandson.
Twelve, maybe. With a little gun.
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175. CBC chest and shoulder films.
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176. Little man. Little gun.
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177. Fifteen years I am selling liquor
out of the same store.
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178. Robbed seven times,
never hurt. Nothing!
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179. Now I get shot by sixth grader
with baby gun.
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180. Patient in 2
with abdominal pain...
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181. and one in Trauma with
a stab wound.
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182. Mr. Gregor, you're lucky.
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183. The bullet went straight through.
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184. I'm gonna send you up to O.R.
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185. They'll explore the wound for
serious damage...
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186. remove any dead tissue
and debris.
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187. Work up the patient in 2,
focus H and P.
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188. I'll be there in ten minutes.
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189. - Ten minutes?
- Or less.
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190. You like cognac?
I can get you a good cognac.
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191. Smooth as silk.
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192. - That won't be necessary.
- Cigars, then?
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193. Cuban, maybe?
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194. No, no, no. That's fine.
Thank you, though.
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195. I don't smoke.
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196. Dr. Carter.
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197. You have nine minutes.
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198. Good doctor, eh?
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199. He's the best.
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200. He has a low-grade fever,
slight cough...
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201. postural hypotension,
and he's dehydrated.
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202. - I have to go home.
- I know.
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203. You told us your first name.
Do you remember your last name?
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204. - I have to go home.
- Victor, lie still.
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205. Why don't you lie back?
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206. We might need some restraints.
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207. I have to feed my dog.
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208. Give him D5, NS. 300cc's.
Do a head CT, non-contrast.
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209. Get Psych Services down here for a
consult. Do a GGF-1.
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210. A GGF-1?
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211. Grandpa's Got a Fever. CBC,
Chem-7, chest x-ray, UA...
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212. and blood cultures.
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213. Give it to me quick.
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214. 65-year-old male with
vascular disease...
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215. manifested by claudication
of the left calf.
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216. He's 10 days post-op from Mercy General
after an aorto-bifemoral bypass.
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217. Normal post-op course until
six hours ago...
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218. when he experienced lower
left quadrant pain...
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219. without palliative
or provoking factors.
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220. Other than a large Mexican dinner.
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221. - Meds?
- 30cc's Milk of Magnesia, constipation.
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222. Mother's maiden name?
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223. He's joking.
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224. Good morning, Mr. Thunhurst.
I'm Dr. Benton.
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225. - You have abdominal pain?
- I called my doctor. He isn't here yet.
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226. Joe Arndt. You know Joe?
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227. No, I don't.
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228. Is it sensitive here?
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229. No rebound or guarding.
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230. Leg is warm.
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231. Cap refill is normal.
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232. My leg is fine, my stomach hurts.
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233. Dr. Carter, what would you do?
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234. With his history of constipation
and the type of pain...
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235. I'd order a CBC...
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236. Chem-7, UA amylase
and a KUB.
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237. - if they're normal?
- I'd discharge him. Let him see his physician.
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238. Congratulations.
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239. You just cost this hospital
a $2-million settlement.
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240. You could have a thrombosis
with extension...
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241. into the mesenteric arteries.
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242. What's a thrombosis?
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243. It's a blood clot.
They replaced an artery in your leg.
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244. Sometimes a clot forms in the artery.
I'd like to rule it out.
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245. Get him an arteriogram.
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246. Can't we wait for my doctor?
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247. I don't think that'd be wise.
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248. Notify Radiology and get them
on it right away.
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249. Thrombosis.
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250. The mother's still in surgery.
The blood alcohol came back at.435
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251. What about the drug screen?
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252. It was negative.
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253. There's no justice, is there?
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254. Not much.
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255. He's dehydrated and has a slight
respiratory infection.
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256. He's still confused and agitated.
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257. Sir, sir.
I have two dogs and—
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258. Two? That's great, sir.
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259. - Did you run a CAT scan?
- Diffuse atrophy. Nothing new or focal.
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260. I'm out of here.
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261. - That's it?
- What were you expecting?
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262. I thought he'd be admitted to
Psych Services.
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263. But he's got an infection.
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264. He's senile and he needs
psych support.
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265. So now you're a psychiatrist?
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266. I can recognize senile dementia
when I see it.
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267. He's not medically
cleared to my service.
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268. He has a respiratory
infection and he's dehydrated.
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269. What he needs is antibiotics
and lV hydration.
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270. I'll buff him up, start
the antibiotics and pull the lV.
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271. Give him 2.5 Haldol and have Social
Services do a follow-up.
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272. I don't have a bed for him.
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273. He needs our help.
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274. You want me turning away
homicidal psychotics...
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275. because your patient's got
one of my beds?
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276. Find him a medical bed
or release him. I'm not admitting him.
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277. End of discussion.
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278. You fell asleep?
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279. Oak Street Beach.
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280. You fell asleep in the sun?
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281. Can you sit down?
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282. I don't think so.
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283. Maybe we should lean
him against the gurney.
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284. I passed.
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285. The bar?
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286. I am so proud of you!
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287. This is heartwarming...
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288. but can I get some help here?
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289. - Can you take vital signs?
- Sure thing.
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290. Congratulations.
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291. What are you doing?
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292. Remember the back seat
of your Celica?
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293. Remember the trip to Hawaii?
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294. You gotta get accepted
to the bar more often.
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295. Timmy, where's the car accident?
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296. Hi, Mr. Ring.
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297. I'm Dr. Benton.
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298. ls my daughter out of surgery?
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299. Not yet, but don't worry.
She's gonna be okay.
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300. We had to repair her spleen.
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301. I need to talk to you
about your wife.
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302. She's got a spinal fracture and
massive internal bleeding.
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303. She has what's called DlC.
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304. Her blood won't clot
as a result of the trauma.
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305. She's going to die.
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306. Mr. Ring...
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307. did you and your wife ever
discuss organ donation?
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308. He needs to be admitted.
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309. - On what grounds?
- Change of mental status.
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310. He's senile, that's nothing new.
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311. Give him antibiotics, send him home.
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312. He has no one
to make sure he takes his meds...
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313. to feed him, use the bathroom—
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314. That's what Social Services are for.
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315. - They can't see him today.
- What about Psych?
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316. Cvetic won't admit him.
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317. He can be treated as an outpatient.
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318. We don't have the beds.
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319. if Cvetic won't take him, he's out.
Thank you, Timmy.
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320. Emergency alarm's going off.
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321. Malik, grab the crash cart.
Susan, we got a mayday.
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322. I can't find my earring.
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323. Your hand was on the emergency call
button the entire time?
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324. Oh, man.
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325. I miss all the good stuff.
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326. I'm never gonna live this down.
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327. This is great. Everybody thought you
were some kind of a saint.
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328. I was gonna call you "Mahatma."
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329. What'll happen when Wertz hears?
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330. You were with your wife.
Lucky you.
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331. I'm chief resident. I'm supposed
to set a good example.
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332. It's a big hospital. Maybe Wertz
won't even hear about it.
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333. Hey, Mark.
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334. How's it hanging?
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335. I'm a dead man.
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336. Carter!
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337. Doctor, time to get up.
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338. Clear!
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339. I've got a rash.
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340. I need a doctor.
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341. - Are you a doctor?
- Me?
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342. She's got a rash.
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343. - Can you help me?
- Sure. I can try.
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344. Pressure's 70 over 50.
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345. Pulse is 120, resps 32.
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346. Temperature's 102.5.
Pulse ox...
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347. is only 85 percent.
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348. - You her husband?
- Yes.
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349. Mr. Franks, this is Dr. Greene.
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350. What kind of medications is she on?
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351. I tried to get her to see our doctor
for weeks but she wouldn't go.
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352. Lasix, Dig, KCl...
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353. lsordil, nitro,
captopril, Antivert...
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354. Darvocet, Timaptic.
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355. We need a chest film,
EKG, CBC...
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356. Chem-7, Dig level, UA...
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357. blood cultures times two,
blood gases...
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358. and hydrate her with a
300cc bolus of saline.
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359. Is she gonna be all right?
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360. We may have to make a difficult
choice in the next few hours.
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361. We're dealing with impending
respiratory failure.
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362. Please do everything you can.
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363. We'll get blood gases first and
then take it from there, okay?
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364. Okay.
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365. So you're in your third year
of medical school.
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366. Must be hard.
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367. It's pretty demanding.
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368. Must be very...
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369. hard.
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370. Afternoon, Dr. Carter.
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371. Hi, Dr. Lewis.
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372. Poison ivy. Pretty nasty case.
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373. Saw lots of this when
I did my Dermatology rotation.
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374. You don't mind if I observe,
do you, doctor?
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375. He's doing fine on his own.
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376. I'm sure he is.
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377. Medrol Dosepak and
antihistamine will clear this right up.
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378. Remember the summer when Jerry
broke his arm up at the lake?
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379. And you were so worried.
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380. I told you that boys will be boys.
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381. But you pampered him.
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382. It's remarkable he turned out
as well as he did. Isn't it?
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383. Mr. Franks?
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384. I'm troubled with the results
of your wife's blood gases.
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385. How old is she?
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386. Eighty-six.
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387. Our options are limited.
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388. Her condition is terminal.
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389. if we put her on a respirator,
we may not be able to wean her off.
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390. We'd be prolonging her life
in a vegetative state.
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391. Or we can make her comfortable.
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392. Give her fluids, antibiotics...
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393. let nature run its course.
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394. You mean let her die.
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395. She'd die in peace.
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396. Put her on the respirator.
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397. Mr. Franks, are you sure
that's what she'd want?
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398. We'll hold off until
we get another blood gas.
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399. Hopefully she'll improve
with nebulizer treatments.
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400. She has 13 grandchildren.
Did you know that?
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401. No, sir. I didn't know that.
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402. I just thought you should know.
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403. So you're finally up.
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404. What time is it?
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405. Seven-thirty.
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406. Boy, I must've really
tied one on this time.
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407. - I'll go get you a doctor.
- Thanks.
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408. Damn it!
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409. Did I get busted again?
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410. - You don't remember?
- No, not much.
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411. Am I hurt or something?
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412. The policeman went for coffee.
He'll be right back.
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413. I must've really screwed up
this time, didn't l?
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414. You hit a family.
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415. The mother's dead,
and the daughter's in lntensive Care.
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416. You ordered an angiogram?
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417. They haven't gotten to it.
Radiology's backed up.
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418. Thank God for small favors.
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419. No concern about a thrombosis?
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420. His urine came back positive.
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421. I think his pain is related
to a urinary tract infection.
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422. He had a Foley catheter in surgery.
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423. You don't think it's serious, Joe?
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424. I'll write you a prescription
and send you home.
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425. That's what he said.
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426. Excuse me, doctor. May I have
a word with you, please?
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427. I really think
you might want to reconsider.
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428. What are you, a third-year resident?
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429. Second year. Surgical resident.
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430. The next time you wanna practice
overly aggressive procedures...
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431. do it on one of your
indigent patients.
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432. They won't know you're
showing off for students.
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433. We'll have you out in five minutes.
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434. Joe, that's great.
Thanks so much.
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435. Right in the middle of the reception
she starts puking her guts out.
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436. Honey, I'm sorry. I just—
Oh, God!
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437. There she goes again.
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438. Compazine, 10 milligrams l.M.
CBC and Chem-7.
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439. What did she eat?
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440. I don't think she ate
until the reception.
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441. Did you, honey?
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442. Everybody had the same
buffet at Gerber's.
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443. You're holding your reception at
Gerber's Hofbrau House on 46th?
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444. That's where those German
tourists ate.
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445. How many guests at your wedding?
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446. Couple of hundred.
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447. I'll get more emesis basins.
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448. She's become a little more lucid.
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449. Have her blood gases improved?
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450. PCO-2's up to 70. She's tiring.
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451. She's getting better.
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452. Your wife was dehydrated, Mr. Franks.
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453. She woke because we gave her fluids.
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454. Her respiratory problem is worsening.
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455. I'm very tired.
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456. I know, dear.
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457. Are you in any pain?
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458. I'm dying, aren't l, doctor?
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459. No, you're gonna be fine.
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460. Mrs. Franks.
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461. You are not gonna be able
to continue breathing on your own...
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462. for very much longer.
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463. Do you want us to put you on
a machine to help you breathe?
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464. Yes. She does.
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465. I'm asking your wife, Mr. Franks.
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466. - For how long?
- I don't know.
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467. We've already discussed this!
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468. I don't want you to go.
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469. Oh, I know.
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470. It's okay, darling.
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471. A couple of hundred?
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472. But not everybody had the potato
salad. Only about 60 are sick.
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473. Connie! Thank God!
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474. I've never been so glad
to see anybody in my whole life.
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475. Good night, everybody!
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476. Just keep your head down.
We'll be with you soon.
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477. Not everybody gets Compazine.
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478. D5, NS lVs if they look like
they need it, okay?
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479. Yeah, I'm holding.
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480. - What was that?
- Accordions.
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481. Their wedding reception's
in our waiting room. 'Night!
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482. Dr. Lewis.
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483. I need you.
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484. They found him walking down
the middle of Halsted, naked.
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485. He was still wearing
his hospital bracelet.
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486. Hey, Victor.
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487. My dogs. I have to feed my dogs.
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488. I know you do.
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489. Should I get Cvetic?
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490. No. I want you to take him
to Psych Services, now.
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491. What if they won't accept him?
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492. Then I'll sign him
into Cvetic's service.
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493. How you holding up?
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494. I'll make it, I'm off in
three hours. You on tonight?
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495. No. Benton.
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496. Talk to Doug about Hathaway.
It's been two months.
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497. I did. I even offered
to drive him out there.
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498. Why is he acting like this?
They were together two years.
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499. He feels guilty.
He thinks it's his fault.
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500. I guess things are better
with you and Jennifer, huh?
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501. She passed her bar. She was excited.
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502. So were you, from what I could see.
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503. So what happens next?
She gets a job?
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504. She's looking.
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505. What the hell do you think
you're doing?
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506. Do not admit a patient
to my service without a consult.
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507. He needs psychiatric help.
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508. - Not in my opinion.
- He was found naked on Halsted.
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509. - He's senile, not psychotic!
- He needs care.
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510. - Admit him to your service.
- Wertz wouldn't let me.
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511. Don't ever do that to me again.
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512. Dr. Benton?
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513. I'm sorry about what happened
with the thrombosis patient.
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514. I think you were right.
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515. Is that so?
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516. He should've had the angiogram.
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517. Great.
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518. I'll be sure to notify the
New England Journal of Medicine.
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519. Doug Ross needs you.
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520. What's up?
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521. Mrs. Franks died.
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522. For you're the lover
I've been waiting for
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523. The mate that fate had me...
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524. created for
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525. And every time your lips...
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526. meet mine
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527. Darling, down and down I go
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528. Round and round I go
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529. In a spin
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530. Loving the spin I'm in
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531. Under That Old...
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532. Black Magic...
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533. called love
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534. - She asleep?
- Finally.
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535. I'm proud of you, counselor.
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536. Never thought I'd make it, huh?
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537. I knew you'd make it.
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538. I miss you.
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539. I miss you too.
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540. We have to make love more often.
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541. The look on your face!
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542. It was a little embarrassing.
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543. We could pick up where we left off.
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544. What if Rachel wakes up?
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545. We could stay out here.
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546. In the yard?
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547. if Mrs. Navrocki sees us?
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548. What if she did, huh?
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549. I have to be back in the hospital
in two hours, Jen.
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550. I'm sorry.
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551. You're never gonna leave, are you?
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552. The hospital.
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553. I don't know.
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554. I need you, Mark.
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555. I love you.
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556. - How did you get—
- Let's go.
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557. - Where?
- Your place.
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558. I live with my folks.
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559. My place, then.
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560. What are we there for, if we
can't keep a 75-year-old man...
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561. from wandering around
the North Side naked?
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562. I just get so frustrated sometimes,
you know. I just...
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563. wanna scream.
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564. You can't solve all
the world's problems.
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565. That's what Wertz said.
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566. Well, he's very wise.
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567. Listen, you have to be very careful
how you deal with consults.
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568. You can get yourself in real trouble.
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569. I just wanna make a difference.
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570. Yeah, well, you also wanna
have a career.
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571. And not everybody's gonna be as
understanding as I was.
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572. Yeah, you're real understanding.
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573. That's one of my best qualities.
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574. Well, one of them.
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575. Hello, Helen.
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576. Can I come in?
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577. No, you can't.
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578. Go away. Please.
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579. Who is it, Mama?
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580. I asked him to leave.
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581. It's okay, Mama.
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582. You look beautiful.
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583. How've you been?
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584. Okay.
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585. I just came by to see you.
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586. Say hi.
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587. It's good to see you.
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588. Take care.
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589. Dr. Benton?
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590. - What is it?
- EMTs are on their way.
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591. They think it's a ruptured bowel.
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592. What's the pulse?
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593. Pulse is 140. Pressure 60 over 40.
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594. We've been pumping in fluids.
He's had 1500cc's.
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595. Abdomen's rigid, extremely tender.
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596. Says he was here today
with a thrombosis.
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597. Let's get a CBC.
Type and cross six units.
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598. Let's drop an NG. Call the O.R., tell
them to prep for an exploratory lap.
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599. All right, people, come on!
We've done this before.
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600. Camacho, I got him.
Let's get him in close.
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601. Listen, don't worry.
Everything will be fine.
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602. All right, we've done it before.
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603. Here we go.
One, two, three! Let's go!
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604. All right, clear.
Let's move, people!
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605. Here we go.
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606. All right, I need to drop an NG.
Let's get a chest x-ray...
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607. and abdominal.
Make it a portable. Let's move!
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