1. News time, 4:31.
I'm Gail Reissmeyer...
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2. bringing you traffic
and weather on the 1.
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3. Rain all over Chicagoland today.
The rain continues to come down...
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4. causing flooding on I-94
and other expressways.
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5. The WMAQ weather calls for
the rain to continue into tonight...
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6. and it stays in our forecast
through tomorrow.
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7. Bring an umbrella, raincoat
and life preserver—
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8. Son of a bitch.
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9. Son of a bitch!
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10. Please leave a message at the tone.
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11. Mark? Mark, if you're there,
it's Kerry Weaver. Could you pick up?
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12. We got a little problem.
Neal Hansen's on tonight...
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13. but his mother-in-law died, so...
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14. The answer is no, Kerry.
I am not coming in.
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15. I don't care if his
mother-in-law died, okay?
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16. I've been on three nights in a row.
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17. Tell Morgenstern that I can't
and give the shift to Doug Ross.
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18. He could use the money.
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19. What do you mean, whiplash?
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20. No evidence of fracture or dislocation.
Vertebral bodies are in good alignment.
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21. There is, however,
reversal of cervical lordosis...
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22. suggesting the possibility of
acute cervical ligamentous injury.
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23. My headache tripled
during that dissertation.
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24. Does the name Evelyn Wood
mean anything to you?
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25. You know, Doug, I like you in that collar.
It's a good look.
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26. Bold, yet spiritual.
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27. No, I'm stopped dead
at the stoplight...
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28. and this Pakistani cabdriver
plows into me.
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29. I get out. He doesn't speak
a word of English.
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30. I look at his photo ID and it's some
sandy-haired guy named Kroopf.
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31. Kroopf?
Isn't that kind of a German name?
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32. - Can I have your shoes?
- What?
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33. Can I have your shoes?
Mine are sopping wet.
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34. Sure, Mark, absolutely. You know,
I'll just walk home barefoot in the rain.
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35. - Sorry. I would've taken that shift—
- No problem at all, Doug.
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36. I've only worked graveyard
the last three nights.
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37. Got off at 8:00 this morning...
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38. drove to Milwaukee
to spend the day with Rachel...
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39. only to have Jennifer tell me
that she got the dates mixed up.
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40. See, Rachel, it turns out, is on some
Brownie troop camping trip.
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41. So I drove back,
three and a half hours this time...
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42. because of the heavy rain
and flooding on I-94.
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43. And here I am, refreshed
and full of enthusiasm for my work.
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44. Are you on tonight?
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45. Go with God.
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46. - Why are these patients in the hallway?
- No beds.
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47. - You're on tonight, right?
- No, dinner with my lawyer at 7:00.
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48. Dr. Lewis, a Peter Kreidman called.
Can't make dinner till 7:30.
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49. - Oh, 7:30.
- Can you change that to tomorrow night?
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50. Hansen's out,
Doug has got whiplash...
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51. Benton's in some marathon surgery
and Kerry and I will be short-handed.
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52. Mark, I'm sorry, I can't.
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53. Chloe's gonna try and fight
this adoption. I can't miss this.
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54. - Mark, I was afraid I'd miss you.
- You're leaving too?
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55. - I've been on 14 hours.
- I've been on the last three nights.
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56. I'd stay, but Morgenstern wants me
to present our QA...
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57. at the JCAH in the morning.
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58. Whoever handled it dropped the ball.
I'll be up all night pulling it together.
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59. - It's a real mess.
- Yeah, I was handling it.
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60. I'll walk you through it
once I get it straightened out.
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61. Shall we make rounds?
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62. Mr. PCP is sleeping it off.
Probably needs another six hours.
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63. Second-degree burns, both hands.
Checking pot roast, forgot hotpads.
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64. Gangbanger in a fistfight.
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65. - Fistfight? That's quaint.
- Waiting on x-rays.
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66. 38 years old, AIDS,
hand and foot spasms.
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67. CMV retinitis, PCP pneumonia,
GI lymphoma, waiting on ICU.
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68. Rule-out MI.
Waiting on Cardiology consult.
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69. Calls himself Bobby Darin,
claims he got a shark bite...
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70. while in the pool at the Four
Seasons Hotel. Waiting on Psych.
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71. Ten-centimeter laceration sustained while
sliding into second. Needs sutures.
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72. Abdominal pain, probably food poisoning,
but Surgery's ruling out an appy.
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73. Severe shoulder pain and nosebleed.
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74. Platelet count, 15,000.
Waiting on Hematology.
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75. TPA patient on dopamine.
Pulmonary edema.
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76. Intubated on a nitro drip.
Waiting on ICU.
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77. Bicycle versus postal truck.
Multiple rib fractures...
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78. bilateral hemopneumothoraces.
Critical but stable.
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79. Let me guess. ICU?
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80. Anaphylactic shock...
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81. and septic shock.
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82. I think that's about it.
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83. How are things in Glocca Morra?
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84. Unbelievable. It's been
like this since the rain started.
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85. - Who else is on besides me?
- A few Residents, a Psych intern...
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86. and maybe Carter. Good night.
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87. LOL with burned hands
admitted to burn service...
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88. films on that gang kid were negative,
sent him home...
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89. and the rule-out appy
was ruled out and discharged.
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90. Excellent, Haleh,
you get three gold stars. Carter?
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91. I have sutured the leg lac in 4, knee lac
in 3, arm lac in 2 and head lac in 1.
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92. That's it? All right.
We have seven waiting for ICU.
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93. Make it eight. Bounce-back hip
replacement with DVT and PE.
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94. We have 33 in the ER
and 41 in the waiting room.
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95. Make that 42. Paramedics
pulling in with an altered LOC.
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96. Your mission,
should you choose to accept it...
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97. which you will,
because you have no choice...
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98. is to move these folks out
so we can move these folks in.
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99. I want quick turnover.
No big workups.
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100. No unnecessary labs, x-rays
or consults. And no comments.
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101. Carol, Carter,
let's go meet the incoming.
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102. Randi, I want a turkey sandwich
from the cafeteria...
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103. because Jerry isn't here yet.
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104. Sorry, I'm late. And I can't be
responsible for him, Dr. Greene.
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105. Let me out of here!
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106. - Hi, Chuny. You're late.
- I'm on at 8:00.
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107. It's 8:04.
What have we got?
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108. Omar Gandera, 15. Strolling down
by The Loop, drunk out of his mind.
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109. Vitals are stable. BP, 120/80.
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110. Fell on his knees.
He needs stitches.
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111. - Are you guys having a party?
- Don't start, Doris.
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112. - How much did you drink, Omar?
- Don't touch me! Get out of here!
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113. - Can I give Mrs. Layton more Demerol?
- How long has it been?
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114. - Three hours.
- All right, if you help with this kid.
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115. All right. On my count.
One, two, three.
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116. - Put me down!
- Buckle him up tight. Party on.
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117. - Let me out of here!
- Sinus tach at 110.
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118. - Carter, what do you want to do?
- BP's still 120/80.
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119. CBC, Chem-7,
blood alcohol, tox screen...
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120. ABG and saline. Wide open.
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121. - Carter, she said tie him tight.
- I did!
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122. - Labs are back on the kid with the fever.
- Any films?
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123. - Not yet.
- Go sit on Radiology...
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124. and don't bug me
until you've got everything.
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125. - Carter, get the labs going. I'll be back.
- Oh, yeah. We're having some fun now.
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126. There are non-displaced
oblique fractures...
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127. of the third and fourth
metatarsal shafts...
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128. with no significant
angulation or comminution.
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129. The foot's busted, okay?
Splint him and ship him out.
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130. - What are you doing?
- Gonna fix his feet.
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131. What did he do, stick them in a blender?
No more mixed drinks.
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132. Put him on the back burner.
We've got people who are a lot worse.
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133. - Could you take a look at my mother?
- In a minute.
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134. What a mess, huh?
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135. It's not helped by the fact
you were late.
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136. - Are you the doctor in charge?
- The one and only.
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137. My son has a horrible cut on his hand.
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138. - We'll get to him as soon as we can.
- I'll bring him in.
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139. Jerry, can you take her
to the waiting room?
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140. It's bleeding.
We've been waiting out there.
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141. - Come on, ma'am.
- Jerry?
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142. Don't let people sneak in.
Whoever's out there has been triaged.
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143. We'll see them as soon as we can.
No one gets in...
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144. - ... unless they're dying.
- Right.
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145. Malik?
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146. Mrs. Votey, you're having
weakness in your right arm?
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147. Yesterday and again today.
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148. Everything's sort of out of focus.
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149. - At one point she couldn't even speak.
- Scared my students half to death.
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150. - My mother teaches self-defense.
- To seniors.
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151. Squeeze.
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152. Maybe I could just wait here
for my regular doctor.
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153. - Dr. Randall. Jack Randall.
- I know him.
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154. Mrs. Votey, you might be experiencing
what we call TIAs...
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155. transient ischemic attacks.
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156. They can be a warning sign
of impending stroke.
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157. I'll call Dr. Randall...
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158. but in the meantime I'll admit you
upstairs where they can work you up.
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159. Start her on heparin, 800 an hour...
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160. call Randall and get her admitted
to Medicine.
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161. - You want a CT first?
- Let them do it. We need the room.
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162. I don't get it. He's still altered...
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163. - ... but his tox screen's negative.
- I have to pee.
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164. - Ethanol?
- None detected.
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165. - PH?
- 7.30.
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166. - Omar, what did you drink?
- I've got to pee.
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167. Omar?
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168. - I gotta pee.
- Go ahead and pee.
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169. There's a tube in your bladder.
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170. Paramedics five minutes out.
Drive-by shooting.
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171. - Who's on call for Trauma?
- Shall I call Benton?
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172. - No. Call Thoracic.
- Thoracic?
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173. You heard me. Call Morgenstern,
tell him we are closing the Trauma now.
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174. - Lytes?
- Not back yet.
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175. - What's wrong with the lab tonight?
- Same thing as us.
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176. There's just too many patients.
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177. Okay. Say he has a gap.
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178. Methanol, uremia, DKA.
Ethylene glycol?
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179. - You think he drank antifreeze?
- Well, gotta rule it out.
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180. Get a Wood's lamp.
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181. - It's really jammed in there.
- What?
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182. I said, it's really jammed in there!
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183. - Carter, what are you doing?
- Foreign body in the canal.
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184. Have him lie down.
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185. - Do you know what it is, sir?
- What?
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186. A bead.
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187. Carter, you having fun paying
your penance in the ER?
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188. I'm off Surgical Service...
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189. I'm working nights in the ER.
What's not to be happy about?
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190. It's better than not graduating.
I thought Dr. Hicks might suspend me.
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191. She would if she could have.
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192. I can't believe I was that stupid,
drinking on call.
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193. I can. You're a medical student.
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194. Superglue?
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195. Yes. Just touch the bead.
Hit the skin, you're in trouble.
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196. - Don't move!
- Don't move!
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197. Dr. Greene, the paramedics are here.
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198. Got it!
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199. - How old is she?
- 18 months.
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200. Two gunshots to the right upper leg.
Hypotensive. Can't get a line.
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201. It's okay, baby. We're here.
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202. Cops got the boy who did it.
Black kid, 14 years old.
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203. Shot him dead. Can't say I'm sorry.
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204. - Cops never mind shooting a black kid.
- And he didn't mind shooting this one.
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205. CBC, type and cross for two.
Get a unit of O-neg.
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206. Right foot's cold. No pulse.
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207. - Femoral artery.
- I'll call for x-rays.
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208. Sixteen-gauge Jamshidi.
One percent with epi.
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209. Faint pulse. Dynamap's not reading.
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210. One-twenty of saline.
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211. Fill these tubes.
Haleh, page Netzley.
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212. - Malik, you're gonna take her up to O.R.
- You got it.
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213. Dr. Greene, about closing Trauma,
Morgenstern gave the big "N-O."
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214. - Get him on the phone for me.
- He went back up to Surgery.
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215. - All right, I'll find him.
- Mark, bingo on Omar.
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216. You got it?
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217. I want Daddy!
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218. - Ethylene glycol it is.
- What's that?
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219. Antifreeze. Get Renal down here stat.
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220. - Let's give him IV ethanol.
- We don't have any.
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221. What?
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222. I checked. Pharmacy's out.
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223. St. Luke's is sending us some,
but it won't be here for another hour.
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224. There's a bottle of bourbon
out in that shopping cart in the hall.
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225. - Bourbon?
- 120 cc oral loading dose.
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226. Thirty cc's POQ one hour.
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227. Otherwise, he's got brain damage
and renal failure.
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228. Bourbon shooters it is.
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229. Labs are finally back
on that coma in 2. It's DKA.
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230. Start an insulin drip,
0.1 per kilo per hour.
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231. - Mrs. Votey had another TIA.
- She's supposed to be at Medicine.
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232. - Dr. Randall said to discharge her.
- Discharge her? Is he nuts?
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233. Page him 911 and tell him
to get in here now.
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234. Here you go—
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235. Who let this dog in here?
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236. Try taking it away and it bites you.
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237. - That puker in 4 is still at it.
- 10 of Compazine and a liter of saline.
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238. - Mr. Nathan in 5, he's—
- Morgenstern is up at the front.
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239. What about the turkey sandwich?
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240. - I can get it almost immediately.
- Who are we talking about?
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241. Mr. Nathan in 5, high white count...
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242. temp's 101,
has left lower-quadrant pain.
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243. Probably diverticulitis. Give him amp,
gent, Flagyl and get an abdominal series.
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244. That's right. Bring him in.
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245. - Answering the phones?
- I'm here to help.
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246. Then why don't you close up
the Trauma?
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247. Sorry, Mark.
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248. County's looking for excuses
to put us out of business.
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249. Well, it's 10:30. We've got
enough business to last a year.
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250. - 32 in the ER, 49 in the waiting room.
- Look, Mark, I'm sorry.
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251. Got a little Benton fracas in Trauma 2.
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252. Board of Commissioners wants to close
an ER and save $80 million a year.
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253. Every time we close, we're saying
that we're not capable of providing.
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254. Well, we're not. I now have
nine ICU patients draining my staff...
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255. we've no monitored beds.
Here are the films on Robinson.
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256. I can't even help half
the patients here. It's insane.
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257. I talked to the critical care
coordinators.
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258. We move six patients from ICU
to Telemetry, but we're staying open.
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259. So what? He's oxygenating well.
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260. The tube heads medially,
striking the mediastinum.
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261. Peter, Shelly.
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262. - Why didn't you page me?
- Shelly's handling it.
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263. - I'm on call for Trauma.
- We didn't need you.
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264. - If you don't want help during—
- Gentlemen, please. Ladies!
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265. I don't hear anybody helping here.
What's going on?
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266. Third-year Surgical Resident Leung
placed the chest tube anteriorly.
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267. - Which has relieved the pneumothorax.
- But will not drain the hemothorax.
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268. Which can be repositioned
when we prep.
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269. Excellent idea! Let's all scrub in.
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270. Come on, folks. Let's go.
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271. - If you need anything, give me a call.
- How about a turkey sandwich?
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272. Too late. Cafeteria closes
at 10 now. County cutbacks.
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273. It's a piece of cartilage that doesn't
turn to bone until you're grown-up.
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274. - Dr. Greene.
- Carter. Chloe.
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275. Hi, Mark. I came here to see Susie,
but John says she's not on tonight.
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276. No, she isn't.
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277. Chloe was curious
about how to read an x-ray.
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278. I guess the interest in medicine
must run in the family.
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279. Yeah, right.
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280. Junior gymnast in 5. Fractured patella.
Time to break the bad news.
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281. That hand is so little.
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282. - Look at that.
- It's probably 4 or 5 years old.
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283. Little Susie's hand
is about that big, right?
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284. So Susie probably told you
what's going on with us.
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285. Yeah, she mentioned some things.
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286. I understand why she's upset with me.
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287. I never thought I could change,
why should she?
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288. I just want her to see that things are
different now, that I'm different now.
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289. - Did she tell you that I'm engaged?
- No, she didn't.
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290. He's a great guy. Steady.
He's as smart as Susie is.
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291. He's the only person, besides Susie,
who's ever taken the time with me...
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292. to get to know me, you know...
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293. that thought that there was
something in me worth finding out.
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294. It's really busy out there.
I gotta get back to work.
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295. Hey, Mark.
The thing is, I really miss her.
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296. I'm sure you do.
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297. I know it's hard, but as far as babies go,
Little Susie's doing great.
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298. Yeah. I miss her too.
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299. Jerry, put out a page on Steve Flint.
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300. How's our score?
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301. Bleak, bleaker, bleakest.
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302. No, wait.
We can mark this one off.
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303. Omar Gandera. Renal finally got here.
They're gonna take him upstairs.
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304. - Did you call Psych for him?
- They said to call back in a week.
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305. Great. Kid OD'd on antifreeze
and Psych can't quite fit him in.
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306. Exam 2's open.
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307. Good work, Chuny.
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308. - Somebody help me, please!
- Park that guy. Jerry, clear Trauma 2.
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309. - What happened?
- It's his chest!
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310. - What's your name?
- Corky.
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311. - Are you all right?
- Yeah, but my dad is really sick.
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312. Was he vomiting blood?
It's on your shirt.
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313. No, I just cut myself.
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314. - What have we got?
- A possible MI.
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315. - What's your father's name?
- Louis Etheridge.
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316. Louis? Louis? Mr. Etheridge?
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317. - Is he on any medications?
- I don't know. Maybe.
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318. - Air.
- Tachy at 120.
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319. - BP, 160 palp.
- EKG, portable chest.
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320. ABG, first-day CCU labs.
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321. Fifteen liters of O-2, four of MS,
titrate a nitroglycerine drip.
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322. - O-2 sat's 100.
- Are you nauseous?
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323. Yes. Please help me.
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324. - Inferior MI?
- Has he had any heart trouble?
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325. No, that's not it.
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326. What is it, Corky?
It's okay to tell us.
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327. Dr. Greene? Why the hell did you pull me
down here in the middle of the night?
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328. Wait outside, Dr. Randall.
What's wrong with your father?
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329. - I need to talk to you.
- In a minute!
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330. - Corky?
- I don't know. He's just sick!
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331. Double lumen IVs.
Get a TPA tray.
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332. Let me know when the 12-lead's done.
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333. You got me out of bed
at midnight for no reason.
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334. - Your patient's just around the corner.
- I ordered her discharged hours ago.
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335. She's had three TIAs in two days.
She needs to be admitted.
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336. Stroke Council, AHA,
1995 recommendations:
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337. Hospitalize for four or more TIAs
in a two-week period.
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338. Or for findings suggesting
a worsening course. I know it.
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339. Her HMO will not authorize
her admission.
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340. She's one of your HMO patients.
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341. They're the only ones
who have patients anymore.
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342. So we wait till she strokes out
so they can keep their costs down?
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343. You don't have to wait for anything.
She is discharged.
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344. That migraine in 4 is still complaining.
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345. Try a milligram of DHE
and 10 of Reglan.
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346. - What's the story?
- His father's an alcoholic.
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347. His mother has been putting
Antabuse in his father's coffee.
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348. While he's still drinking?
And not telling him?
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349. So he's still drinking and now
he's having an Antabuse reaction.
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350. That could have been fatal.
The kid knew all along? Hey, Corky!
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351. Mark, the kid's scared enough, okay?
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352. He should be.
His father could have died.
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353. Call the mother and get her in here.
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354. Excuse me, doctor. My son's hand.
It really is a bad cut.
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355. Your son has been triaged
as a minor injury.
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356. There are more urgent cases
ahead of you.
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357. You have to wait in the waiting room.
Copy !req
358. I asked you to keep
these people out of here.
Copy !req
359. Now, I am running over to Doc's
to pick up my sandwich, okay?
Copy !req
360. I'll be back in two minutes.
Get this dead guy out of here.
Copy !req
361. Give me that!
Call for help, okay?
Copy !req
362. Hang on! I'm gonna get you out!
Copy !req
363. Hang on!
Copy !req
364. Hang on!
Copy !req
365. Leita! If you just crawl out the window,
we can get you out.
Copy !req
366. Anything?
Copy !req
367. We're waiting for the other unit
to show up with the equipment.
Copy !req
368. - Get the mother and daughter out.
- Her mother's unconscious.
Copy !req
369. Tell her to grab your hand.
You can pull her out.
Copy !req
370. I got it!
Copy !req
371. I'll try to get in!
Copy !req
372. - Come over to this side!
- All right. Hold it.
Copy !req
373. I can't reach her!
Copy !req
374. Let me get in. Grab my hand!
Come on, grab my hand!
Copy !req
375. - Grab my hand.
- Get out of there.
Copy !req
376. - I can grab ahold of her.
- Let me get in there.
Copy !req
377. - I almost got her hand.
- Doc, I can get her out of there, okay?
Copy !req
378. Move!
Copy !req
379. Let me get her out, okay?
Copy !req
380. We'll bring her in. Why don't you go
dry off. Get the Trauma rooms ready.
Copy !req
381. Jerry?
Copy !req
382. - I wouldn't ask if I were you.
- Jerry.
Copy !req
383. Folding chairs for the waiting room.
They were ordered four hours ago.
Copy !req
384. Let me know when those
accident victims get in.
Copy !req
385. I'm gonna go grab
some coffee and dry scrubs.
Copy !req
386. And clear those Trauma rooms.
Copy !req
387. You don't have any coffee filters,
do you?
Copy !req
388. Are you kidding?
Copy !req
389. No. And we can't even do
the folded paper towel trick.
Copy !req
390. Mr. Carter, you are in luck.
Copy !req
391. Now, if we had a hair dryer,
it'd really be our lucky day.
Copy !req
392. How do you do this?
Copy !req
393. You gotta get the coffee grounds out
without ripping the paper.
Copy !req
394. No, I mean this. Patients stacked up
everywhere and no end in sight.
Copy !req
395. It's like the O'Hare
of emergency rooms.
Copy !req
396. It was a lot easier when I was younger.
I was newly married, I'd just had a baby.
Copy !req
397. Jennifer used to come in the middle
of the night with chicken sandwiches.
Copy !req
398. She'd have Rachel in the car seat.
We'd picnic...
Copy !req
399. between the waiting-to-be-sutured
and the bounced-back migraine.
Copy !req
400. - I guess it helped, having a family.
- Yeah. Yeah, it did.
Copy !req
401. What are you gonna do?
Copy !req
402. That is really bad.
Copy !req
403. I'm gonna go change.
Copy !req
404. That's a lovely little pup
you got there, Mrs...
Copy !req
405. Excuse me, Ms. Decksley.
Absolutely charming.
Copy !req
406. Hey, Stinky,
want a few little stitches?
Copy !req
407. - Shut that yappy little mouth of yours?
- You're not a dog-Iover, huh?
Copy !req
408. This is not a dog, it's a small,
furry object suitable for punting.
Copy !req
409. I bet you can't get him
over that desk back there.
Copy !req
410. - Don't tempt me.
- But tempting is what I do for a living.
Copy !req
411. - I'm a lap dancer.
- Okay.
Copy !req
412. So I hooked up with this
polyester guy tonight.
Copy !req
413. And I slipped right off his knee and bam!
Sliced my butt on his spurs.
Copy !req
414. Why would you wear boots
with polyester?
Copy !req
415. I don't think I would.
Copy !req
416. Are you gonna stitch me up next?
Because this cut really stings.
Copy !req
417. - You want something for the pain?
- Drugs? Sure.
Copy !req
418. Any word from outside?
Copy !req
419. They radioed over.
Probably be 10 minutes.
Copy !req
420. Jerry, call ICU. This ventilator guy
has been down here for days.
Copy !req
421. Do you want me to page Benton
for that rule-out appy in 4?
Copy !req
422. No, I'll check it out.
Lydia, get those labs on Cromley.
Copy !req
423. I thought you were trying
to get that girl out.
Copy !req
424. I can't even get the lab
to get a CBC in under three hours...
Copy !req
425. I can't get an x-ray in under two
or any ICU beds to open up.
Copy !req
426. Mark, Jennifer's on the phone.
Copy !req
427. - Jen, what's up?
- They brought Rachel home.
Copy !req
428. - She's not feeling well.
- It's 1 in the morning.
Copy !req
429. - They drove her back from the lake?
- Her stomach hurts.
Copy !req
430. - Stomachache and what else?
- She threw up.
Copy !req
431. Does she have a temperature?
Maybe it's altitude sickness.
Copy !req
432. How do I know where the lake is?
You didn't even tell me she was going.
Copy !req
433. Jen, I don't want to fight right now.
Listen, just put Rachel in bed.
Copy !req
434. Keep her on clear fluids
and I'll call you in the morning.
Copy !req
435. What do you want me
to do from down here?
Copy !req
436. Well, I'm sorry you called too.
Copy !req
437. Jerry, get Carter in here.
Copy !req
438. - She'll be okay.
- Get this out of here.
Copy !req
439. - Do you want me to page Benton?
- Yeah.
Copy !req
440. The ankle's deformed.
No cap refill or pulses.
Copy !req
441. BP's 80 palp. Pulse, 110.
Copy !req
442. - Hey, doc, listen.
- Fracture dislocation. We need to reduce.
Copy !req
443. Let's sedate her.
Copy !req
444. Prep 35 migs Ketamine, 0.3 atropine.
Copy !req
445. - I was just trying to get her out of it.
- Start another line. Half a gram of Ancef.
Copy !req
446. CBC, Chem-7, UA, portable chest
and get an ankle.
Copy !req
447. We got her out, damn it.
Copy !req
448. Pulse, 140. BP, 90/60.
Copy !req
449. Probable flail chest but good bilateral
breath sounds. Fractured left femur.
Copy !req
450. Abdomen's rigid, x-rays on the way.
Copy !req
451. - O-2 sat, 90.
- Blood ordered?
Copy !req
452. Two units O-neg are up,
type and crossed for eight.
Copy !req
453. Atropine, now.
Good work, Carter.
Copy !req
454. - Prep for a lavage. You okay with that?
- I'm okay with that, yeah.
Copy !req
455. Clear!
Copy !req
456. Grab a C-spine and
a post-intubation chest next door.
Copy !req
457. Ketamine's on board. She's out.
Wanna wait for the films?
Copy !req
458. No, let's do it. Countertraction.
Copy !req
459. - That's it. Back in.
- She's coding!
Copy !req
460. Where the hell's Benton? Page him, stat!
Copy !req
461. All right, everybody off!
Copy !req
462. - Okay, sinus brady.
- Mig of atropine.
Copy !req
463. - Mix up dopamine.
- I paged him 911.
Copy !req
464. Muffled heart sounds.
Neck vein distension.
Copy !req
465. And another pulse.
Copy !req
466. Thoracotomy tray.
Chuny, do compression.
Copy !req
467. - Tamponade?
- Yeah. It could be a cardiac laceration.
Copy !req
468. 10 blade.
Copy !req
469. - Did you page him?
- Twice.
Copy !req
470. - Rib spreader.
- O-neg. Four more units.
Copy !req
471. Throw them on the infuser.
Copy !req
472. Sac's tense with blood. Metz!
Copy !req
473. - She's bleeding out.
- Rib punctured the heart.
Copy !req
474. Keep your finger over the hole
and do compressions.
Copy !req
475. Should we wait for Benton?
Copy !req
476. Let's try a 16 Foley, 30 cc balloon.
Copy !req
477. - Foley?
- Clamp the end.
Copy !req
478. And saline, not air.
Last thing she needs is an air embolism.
Copy !req
479. - She's in fib.
- Internal paddles.
Copy !req
480. One second.
Carter, pay attention.
Copy !req
481. Catheter is going into
the hole in the heart.
Copy !req
482. - Okay. Now fill the balloon.
- Two units O-neg in.
Copy !req
483. Excellent.
Copy !req
484. Now, traction.
Copy !req
485. - What have we got?
- Charging.
Copy !req
486. Charge 20.
Copy !req
487. Zapping.
Copy !req
488. - Sinus.
- Got a pulse.
Copy !req
489. Let's get her up to the O.R.
Copy !req
490. Where have you been?
We have a double trauma...
Copy !req
491. and you don't even respond?
Copy !req
492. I was closing
on a mesenteric infarction.
Copy !req
493. With how many Residents
who could've?
Copy !req
494. - It was my surgery. I was busy.
- No, no, Peter.
Copy !req
495. Down here is busy. In there is busy. In
there is where we ignore everything else.
Copy !req
496. I ignore my patients for in there. I ignore
my child, my marriage for in there.
Copy !req
497. Don't ever pull this again!
Copy !req
498. Maybe the rain
will keep the people home.
Copy !req
499. I thought it stopped raining.
Copy !req
500. Nope.
Copy !req
501. - Going...
- Going...
Copy !req
502. Gone.
Copy !req
503. - Is there a problem?
- 2:00.
Copy !req
504. - Bars are closing.
- They're getting in their cars.
Copy !req
505. - Going too fast.
- Swerving.
Copy !req
506. - Crashing.
- Paramedics are rolling out.
Copy !req
507. - Scooping them up.
- And dropping them off on our doorstep.
Copy !req
508. Dr. Greene, that was a 911 call
from our waiting room.
Copy !req
509. - It's a jungle out there.
- I know.
Copy !req
510. Drs. Lewis, Ross, Weaver
and Treloggen will be on...
Copy !req
511. in four hours and 58 minutes.
They will not be pleased.
Copy !req
512. By the way, Jerry,
that light bulb's out.
Copy !req
513. - Did you discharge that ankle sprain?
- About an hour ago.
Copy !req
514. - The rule-out MI in 4?
- Cardiology took him up.
Copy !req
515. - What about that kid with the cut hand?
- With the mother?
Copy !req
516. - Yeah.
- No, he's still in the Suture Room.
Copy !req
517. There's a metallic foreign body
of 14 millimeters...
Copy !req
518. Iocated one centimeter medial
to the distal femoral condyle.
Copy !req
519. Morning, Harry.
Copy !req
520. - Labs back on that OD in 6.
- Excellent! Stick them on the chart.
Copy !req
521. Films are back
on that busted collarbone.
Copy !req
522. Excellent. Stick them on the chart.
Copy !req
523. - Mrs. Huggins.
- This is my son, Danny.
Copy !req
524. - Hello, Danny.
- Hi.
Copy !req
525. - I need to see you a minute.
- Can't it wait?
Copy !req
526. No, I don't think so.
Copy !req
527. Excuse me.
Copy !req
528. - Why Trauma 1?
- She's not doing so well.
Copy !req
529. There are no exam rooms.
Copy !req
530. - Is her son with her?
- Yeah.
Copy !req
531. Carol, why don't you
take Corky outside.
Copy !req
532. - You drink coffee yet?
- He's not supposed to, but he does.
Copy !req
533. Me too. Come on, let's go get a cup.
Copy !req
534. I'm Dr. Greene.
Copy !req
535. Corky didn't tell you about his father
because I told him not to.
Copy !req
536. I told him not to tell anybody.
Copy !req
537. His condition tonight was very serious.
Copy !req
538. Antabuse is a deterrent to alcohol.
Mixing them can be fatal.
Copy !req
539. It's not that I want him to die.
Copy !req
540. It's just that when he drinks,
it can get pretty bad.
Copy !req
541. There's blood on Corky's shirt.
Does your husband beat him as well?
Copy !req
542. No. Corky got in the middle.
I think it's from my nose.
Copy !req
543. There are places you can go,
Mrs. Etheridge.
Copy !req
544. Shelters where you
and your son can be safe.
Copy !req
545. I know.
Copy !req
546. In cases of domestic violence
I'm legally obligated to inform the police.
Copy !req
547. I know that too.
Copy !req
548. Jerry, call the police.
Domestic violence case.
Copy !req
549. Sure.
Copy !req
550. Carol, order a facial series
and clean up the abrasions.
Copy !req
551. Okay.
Copy !req
552. Did he want to talk about it?
Say anything?
Copy !req
553. No. Not a word.
Copy !req
554. Bend your finger.
Copy !req
555. - He was helping me hang a mirror.
- It weighed a ton.
Copy !req
556. Needless to say, we dropped it.
Copy !req
557. - Seven years of bad luck.
- I don't believe in that stuff.
Copy !req
558. It's fairly deep,
but there's no tendon damage.
Copy !req
559. See? That's good luck.
Copy !req
560. - What time did it happen?
- After dinner.
Copy !req
561. After Hard Copy, Mom.
Copy !req
562. - Unfortunately, I can't stitch it up.
- What?
Copy !req
563. After six hours,
the risk of infection is too high.
Copy !req
564. We've been here half the night
and now you can't even do anything?
Copy !req
565. I'll put him on antibiotics. Come back
in three days for a delayed closure.
Copy !req
566. Do we have to wait again?
Copy !req
567. - Did they admit that bowel obstruction?
- He's under the knife as we speak.
Copy !req
568. Good work.
Copy !req
569. Whoever's got gastrointestinal distress,
rise and shine.
Copy !req
570. - Loretta.
- Hi, Dr. Greene.
Copy !req
571. - These gurneys aren't bad.
- Are you all right?
Copy !req
572. Yeah, I'm fine. I mean, no.
You know, of course, I'm not.
Copy !req
573. It's Jimmy. He's got a fever.
He's been throwing up.
Copy !req
574. - Come on, baby. Wake up.
- Swing your feet over there.
Copy !req
575. - How are you doing there?
- I puked twice in the waiting room.
Copy !req
576. He's kind of embarrassed.
Copy !req
577. There were six other men
in line for the bathroom.
Copy !req
578. Yeah, it's a little crowded out there.
Sorry.
Copy !req
579. Your stomach feels okay?
Open your mouth.
Copy !req
580. There you go. Tongue out.
Copy !req
581. I don't think it's anything serious.
Your garden-variety 24-hour virus.
Copy !req
582. Nothing by mouth for six hours.
Then, sips of clear liquids.
Copy !req
583. If he keeps those down, you can try
a little toast and applesauce for dinner.
Copy !req
584. - Thanks, Dr. Greene.
- I'm sorry you had to wait so long.
Copy !req
585. It wasn't so bad. We got in
before a lot of the others did.
Copy !req
586. - You wanna help me grab some stuff?
- Sure. What do you need?
Copy !req
587. Gauze, syringes, Ace wraps...
Copy !req
588. saline, suture sets, eye patches.
Copy !req
589. - 4-0 nylon.
- Check.
Copy !req
590. - Skin staplers.
- Check.
Copy !req
591. - Tetanus boosters.
- Double check.
Copy !req
592. Haleh, Lydia, what are you doing
for the next couple of hours?
Copy !req
593. - He's kidding, right?
- Can we treat them without a chart?
Copy !req
594. - How's the hospital going to bill them?
- Does that metal detector work?
Copy !req
595. - You're not making an announcement?
- And start a stampede?
Copy !req
596. These are some
of the more minor cases.
Copy !req
597. Explain to them what we are doing.
No labs or x-rays without a chart.
Copy !req
598. Richard Tomco?
Copy !req
599. Anderson? Anderson?
Copy !req
600. Mark, we know this guy.
What do you want this time, Ricky?
Copy !req
601. Percocet? Demerol?
Copy !req
602. No. I'm telling you,
this time it really hurts.
Copy !req
603. Yeah, it's abscessed.
Pretty nasty in there.
Copy !req
604. Five cc's Marcaine, 27-gauge needle.
Copy !req
605. Have any allergies?
Copy !req
606. Open up.
Copy !req
607. You're gonna be numb
for about six hours.
Copy !req
608. Dental clinic's on the second floor.
Opens at 9.
Copy !req
609. - Do I need stitches?
- No. When was your last tetanus shot?
Copy !req
610. - Probably high school.
- Okay. We'll give you one now.
Copy !req
611. But I want you to come back...
Copy !req
612. if there's any redness
or swelling or red streaks, okay?
Copy !req
613. Impetigo. Write him for Keflex.
Copy !req
614. Uticaria, 0.2 Susphrine sub-Q.
Copy !req
615. Subungual hematoma. Drain it.
Copy !req
616. Do you think he's, you know,
lost his grip on reality?
Copy !req
617. No. I think he's having fun.
Copy !req
618. Vaginal bleeding. Haleh, do you think we
can do a pelvic in the waiting room?
Copy !req
619. Just kidding. Take her back,
spin a crit, dip a urine and do an ICON.
Copy !req
620. - Sudden-onset blindness.
- Woke up this morning...
Copy !req
621. couldn't see a thing.
Copy !req
622. Carter?
Copy !req
623. Differential includes retinal detachment,
central retinal artery occlusion, CVA.
Copy !req
624. Diabetic retinopathy,
retinitis, macular degeneration.
Copy !req
625. She's too calm.
I think it's psychogenic.
Copy !req
626. Lydia, try and find that optokinetic drum.
Copy !req
627. If the eyes move when
the drum spins, she's faking.
Copy !req
628. Molly and Sarah were roughhousing.
Don't buy bunk beds.
Copy !req
629. And Molly got pulled off the top.
Copy !req
630. Your arm hurts, Molly?
Did you hit your head or anything else?
Copy !req
631. - Want me to order an x-ray?
- No, we don't need it.
Copy !req
632. Ms. Taylor, one of the ligaments
in Molly's elbow slipped out of place.
Copy !req
633. I'm gonna fix it. She's gonna cry,
but it'll only hurt for a second.
Copy !req
634. Jeffrey fed his brother
a couple button batteries.
Copy !req
635. - You sure?
- Yeah.
Copy !req
636. - I saw the second one go down myself.
- Why'd you do that?
Copy !req
637. - Because he likes them.
- He likes them.
Copy !req
638. He's gonna need some x-rays.
Copy !req
639. If they're stuck in his esophagus,
there's potential for a perforation.
Copy !req
640. Carter? Carter, hold on for a second.
Copy !req
641. Can I borrow this?
Copy !req
642. Try that.
Copy !req
643. It's below the diaphragm.
No need to worry.
Copy !req
644. Check his stool.
They'll pass in a day or two.
Copy !req
645. That's great. Thank you.
Copy !req
646. He's right. Psychogenic.
Copy !req
647. Lois, I'll give you some eye drops.
Copy !req
648. I think they'll help your vision.
Just lean your head back.
Copy !req
649. Always give the patient a way out.
Copy !req
650. One more. Okay. That ought to do it.
Copy !req
651. Oh, yeah. I can see everything.
It's still a little blurry, though.
Copy !req
652. By the time you get home,
everything should be fine.
Copy !req
653. Mark, Mrs. Lipshultz,
83, flushed, headachy.
Copy !req
654. And nauseous.
Copy !req
655. Sorry.
Copy !req
656. That's all right. They're Doug's shoes.
Give her 10 of Compazine, I.M.
Copy !req
657. What's bothering you, Mr. Buchanan?
Copy !req
658. Where does it hurt?
Copy !req
659. Here.
Copy !req
660. How you doing, Mr. Buchanan?
Copy !req
661. My back is killing me.
Copy !req
662. - Not your shoulder?
- No, no. My back.
Copy !req
663. BP both arms. Don't worry.
We're gonna take care of everything.
Copy !req
664. Where can I get one of these things?
Copy !req
665. Her arm feels absolutely fine.
What do you say?
Copy !req
666. - Thank you.
- You're very welcome.
Copy !req
667. We still have an eye pain,
a neck pain, an abdominal pain...
Copy !req
668. - ... and a boil that needs to be lanced.
- Be there in a minute.
Copy !req
669. I know it's early,
but I knew you'd be up.
Copy !req
670. How did you know?
Copy !req
671. Because Bananas in Pajamas is on.
Copy !req
672. Don't turn it up, Rachel.
You'll wake up Mommy.
Copy !req
673. I'm glad you're feeling better, sweetie.
I'll see you next weekend.
Copy !req
674. - Love you.
- Love you too.
Copy !req
675. - Breakfast?
- Thanks.
Copy !req
676. - Breakfast?
- Thank you.
Copy !req
677. Be careful. It's ugly out there.
Copy !req
678. Not as ugly as it's been in here.
Good night.
Copy !req
679. Good night.
Copy !req
680. What a night! You ever have to
sleep in one of these things?
Copy !req
681. I'll put your shoes by your locker.
Mine are probably dry by now.
Copy !req
682. - Thanks for the great work, Carol.
- That's why they pay me the big bucks.
Copy !req
683. Hey, Peter. We're gonna have
to find some way to work together.
Copy !req
684. Yeah, I guess we are.
Copy !req
685. How was dinner?
Copy !req
686. - I fired him.
- What?
Copy !req
687. I need a new lawyer.
The guy was a lightweight.
Copy !req
688. He said that Chloe
could possibly have a case...
Copy !req
689. if in fact she does have a job...
Copy !req
690. What do you think?
Copy !req
691. I've seen her go through hundreds
of jobs. What am I supposed to think?
Copy !req
692. - Hey, Kerry.
- Hi, Mark.
Copy !req
693. I think I finally made sense
of that QA review.
Copy !req
694. But you're on your way out.
We can go over it later.
Copy !req
695. Thank you. I appreciate that.
Copy !req
696. Good night.
Copy !req
697. - I thought it would've stopped by now.
- Yeah.
Copy !req
698. Tonight was great. The waiting room.
Copy !req
699. When I started med school,
that's what I thought it would be like.
Copy !req
700. Really helping people.
Copy !req
701. At least, that's what I thought
it was supposed to be.
Copy !req
702. That is what it's supposed to be.
Copy !req
703. - What are you gonna do today, Carter?
- I don't know. What are you gonna do?
Copy !req
704. I don't know.
Copy !req