1. Doug Ross. Leave a message.
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2. Doug, it's Mark. You there? Pick up.
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3. Hello, hello. You there?
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4. Listen, I left that sub-I paperwork
on the kitchen table and I need it.
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5. Doug...
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6. Doug.
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7. Shut up, man.
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8. - Oh, man.
- You little...
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9. Put this on your face.
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10. He was here in the ER.
They moved him up to Surgery.
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11. You have one thing to do,
I have 13 million.
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12. Dr. Weaver wants those films.
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13. She's not somebody
you wanna mess with.
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14. Hey, watch your mouth.
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15. I hope you're not Carol Hathaway.
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16. Do I look like a nurse?
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17. I'm very sorry, but...
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18. Just wait in the waiting room. I don't
have any information about your son.
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19. Wendy, can you help me
with Mrs. Valdez?
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20. They took her kid up to Surgery
about an hour ago.
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21. - Hey.
- Hey, Jerry, what's going on?
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22. Some serious gangbanging
in the wee hours.
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23. Cops did a sweep
right under our carpet.
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24. - Trauma 1 or 2?
- Take your pick.
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25. - That's your girl.
- Miss Hathaway?
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26. - Abraham Zimble, the mobile notary.
- Oh, thank you so much for coming.
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27. - Your escrow papers.
- I have to sign all of those?
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28. - By 5, or you won't get the house.
- Do you mind waiting?
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29. - Twenty dollars an hour. No problem.
- Great. Out there.
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30. BP's dropping to 80/40. Pulse 150.
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31. - Cap refill is slowing down.
- Resps 36, labored.
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32. - Need anything?
- Don't suppose you brought coffee?
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33. Done with that portable yet? Call O.R.,
let them do the x-rays up there.
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34. See if Susan needs help.
And tell her to stop hogging that x-ray!
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35. - You're supposed to stop hogging that.
- She's all theirs.
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36. - Too late. They took him. What's he got?
- GSW to the face and abdomen.
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37. He's a she. Couldn't tell
till we cut open his shirt.
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38. - Abdomen's distended, no bowel sounds.
- I'll prep for lavage.
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39. - You and Kerry the only ones on?
- Carter and Benton are in surgery.
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40. Paged Ross, no answer.
Mark's on the train from Milwaukee.
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41. - Just us womenfolk.
- What's up with that?
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42. Oh, yeah, Malik, see what's keeping
that O-neg, would you?
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43. Doug.
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44. What are you doing here?
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45. - You didn't get my message?
- Message?
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46. I left the sub-I paperwork here and
Morgenstern wants to review it today.
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47. - Hurry up and I'll ride in with you.
- No, I don't want to make you late.
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48. - No, I'm already late.
- No, I'm gonna run some errands.
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49. - It's okay.
- Your beeper's going...
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50. off.
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51. Morning.
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52. - Look, it's not what you think.
- But it's what I've seen, isn't it?
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53. - The hell's that supposed to mean?
- I've overlooked a lot of your behavior.
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54. - Now a medical student?
- All right, Mark, look, wait—
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55. There are rules. You can't go break them
all the time and expect me to do nothing.
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56. You don't get it, do you, Doug?
You could be out on your butt for this.
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57. - And I could be too for not reporting it.
- Mark, wait—
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58. Okay, that's fine.
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59. I told you, you're gonna have to wait.
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60. Don't make me say it again.
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61. - Have you seen Dr. Greene?
- He's busy.
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62. - Forever.
- My name is Jeanie Boulet.
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63. We haven't met.
I'm a new physician assistant.
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64. - I start my ER rotation today.
- Who died and gave you their bad luck?
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65. You'll need one of these.
They're a lousy fit, but it's all we've got.
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66. - Hey, next time you stay, I'll go to X-ray.
- Sorry.
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67. Hey, Jeanie. You starting this morning?
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68. Jerry, I need those films before the end
of the millennium.
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69. - Just came in.
- Thank you.
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70. - Jeanie Boulet, new physician assistant.
- Kerry Weaver, Chief Resident.
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71. First day? You'll find it's
a vaguely friendly crowd.
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72. My first day was certainly a bundle
of open arms. What do you think?
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73. Looks like a comminuted fracture
of the distal femur...
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74. - ... and a midshaft humerus—
- Excuse me.
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75. Fifty percent apposition,
30 degrees of angulation.
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76. - Know your way around an x-ray. Good.
- I was a physical therapist.
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77. All right, on my count. One, two, three.
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78. What have we got, Peter? Peter!
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79. Gunshot wound to the posterior neck.
Facial abrasions, scalp lacerations.
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80. - BP's 90/60. Pulse 92. Resps 24.
- Cap refill's poor.
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81. - All right, let's tube him.
- I'll do it.
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82. ET tray's on the counter. 7.0.
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83. This is Jeanie Boulet, Peter.
Physician assistant.
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84. It's her first day and I know
we all wanna make her feel welcome.
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85. No guarding or rebound tenderness.
Normal bowel sounds.
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86. Let's find Radiology.
What do we need for x-rays?
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87. - Cross-table and—
- Jeanie.
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88. - Cross-table C-spine, chest and pelvis.
- Let's get a gram of Ancef.
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89. Good choice, Peter.
Everyone is so on their toes today.
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90. - Film's back on Trujillo.
- He's next door.
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91. Except for Wendy.
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92. - Chest, stomach, back.
- X-rays on Trujillo.
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93. - He's already gone up to the O.R.
- This is Rico Figueroa.
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94. If you could you get his films,
we'd appreciate it.
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95. - Is he gonna live?
- Yes.
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96. Trying a little rehabilitation there,
Chuny?
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97. - Mark? I gotta talk to you.
- This is not the time or place.
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98. - We need to talk.
- Could you ask him to squeeze my finger?
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99. - Come on.
- I said no, Doug. Get the hell out of here.
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100. Okay, Carter, sixth intercostal space
at midaxillary line.
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101. Then puncture the pleura.
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102. We got a cop, hurt,
pulling up to the back.
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103. - How bad?
- His hand.
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104. - Carol, why don't you check it out.
- Okay.
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105. Her son is up in the O.R.
She's been hysterical all morning.
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106. - Put her in the Surgery waiting room.
- And leave Randi alone? She'll kill me.
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107. Okay, okay. Mrs. Valdez...
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108. - Is it calming down a bit?
- Sort of.
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109. - Have you seen Mr. Zimble?
- Who?
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110. - Bald guy. A lot of papers.
- In the cafeteria. Have you seen Jerry?
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111. - He's upstairs.
- I'm gonna kill him.
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112. Whatever, but help me with this first.
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113. - Grabarsky, what happened?
- Dumb son of a bitch bit me.
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114. - Your stupid dog bit me first!
- That's what she's supposed to do, idiot!
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115. - Where do you want him?
- Nowhere near me.
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116. - Piss off, culera.
- What did you call me?
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117. Huh? What did you call me?
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118. What did you call me?
What did you call me?
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119. - What is the matter with you?
- Here, tough girl, hold the dog.
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120. You! Now, lie down and shut up!
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121. Grabarsky, I need to look at your hand.
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122. - Hold on to Peggy for me.
- I'd love to.
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123. - Randi, page Bernstein for me, please.
- Gee, I'd love to. Come on, Peggy.
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124. - AI? Al, are you all right?
- Yeah, some moron bit me.
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125. - I'll take him.
- Look out, look out.
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126. - Carter, you wanna take him up?
- I should check in with Benton.
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127. Dr. Greene.
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128. - Sorry. I need to talk to you.
- Lounge in 20 minutes.
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129. - So, what's it look like out there?
- I think the worst is over.
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130. Never say the worst is over.
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131. Oh, my God! Mr. Zimble?
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132. Went to get a doughnut and the cashier
was picking him up off the floor.
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133. I'll get Rico.
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134. Mr. Zimble?
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135. Passed out right into
his Cream of Wheat.
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136. - Who's Mr. Zimble?
- My mobile notary.
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137. What?
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138. My escrow closes today.
Have to sign by 5.
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139. - You bought a house?
- Well, I got a great deal. Mr. Zimble?
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140. I could never buy a house. It's too scary.
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141. It's not that bad. You get over it.
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142. - I didn't know you bought a house.
- I haven't—
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143. - Mark, shut up and help save this guy.
- Yes, thank you, Carol. I think I will.
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144. Mr. Zimble, there you go.
Come on. Hi.
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145. - Can I help with anything?
- We've managed.
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146. - Jeanie, how are you?
- Fine, thanks.
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147. - Pulse ox falling, 82 on 50 percent.
- Hang those two units.
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148. - I didn't realize you were starting.
- I finished.
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149. - BP!
- 91/50. Pulse 112.
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150. - Must be great to be done with classes.
- Definitely.
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151. - Are you gonna miss rehab—?
- What the hell you yapping for?
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152. All right, then assess
the patient, all right?
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153. Penetrating trauma to zone two
of the neck...
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154. can result in tracheal compression...
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155. secondary to hematoma formation
from subclavian...
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156. or internal carotid injury...
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157. which is probably why you're doing
a bronchoscopy.
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158. - Anything else I can help with?
- Yes, we've used the last blood gasket.
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159. It would be extremely helpful if you
would go and make some more.
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160. You mean actually go
and make them up?
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161. Syringe, label, alcohol wipes,
little plastic bags.
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162. Right.
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163. - Sorry. Sort of. Morning.
- Hi.
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164. What a day. Benton is in
the foulest mood I've ever seen...
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165. which is saying quite a lot.
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166. Greene yelled at Ross right in the middle
of a trauma, in front of everybody.
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167. - About what?
- No clue. Hey, are you off tonight?
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168. I've got two tickets
to the Blues Traveler. It'll be great.
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169. No, it won't. I mean, I don't think...
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170. I need to talk to you privately.
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171. - What?
- Later.
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172. Wait. Wait. What?
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173. - Harper, wait a minute. What is it?
- Nothing.
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174. No, it's something. Yeah? So tell me.
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175. What's going on? Just tell me.
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176. Harper, just—
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177. I slept with Doug Ross.
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178. Last night.
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179. Let's move. Here we go.
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180. Carter, let's go.
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181. Hey, yo, señoritas, could I get a little
medical attention here, please?
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182. Hello? Hello?
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183. - What is his problem?
- Peggy had a little snack.
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184. You gonna let me go?
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185. - Give him to Benton.
- Just went up to Surgery.
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186. This is brutality and neglect.
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187. - He's young enough for a pediatrician.
- Ross is doing a consult with Bernstein.
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188. Jeanie...
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189. About time. I hate to bleed to death
all over your pretty floor.
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190. Gonna add another scar
to your collection there, Jorge.
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191. I have to clean these bites with peroxide.
It's gonna hurt.
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192. - Stop it!
- Come on, you're a big boy.
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193. Oh, my ear!
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194. - Nice work.
- Thanks.
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195. Just don't tell my parole officer.
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196. What kind of bicycle do you have?
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197. A mountain bike,
except now it's trashed.
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198. - He's not getting another one.
- Just flipped out from under you?
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199. - I hit a curb.
- He was unconscious for five minutes.
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200. Dr. Ross told me. Touch my finger.
Now touch your nose.
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201. Again. Good.
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202. He seems in pretty good shape.
You have nothing to worry about.
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203. - Dr. Ross.
- I'll be right back.
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204. - Kid's fine. No need to be admitted.
- Five minutes ago he was disoriented.
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205. - He's alert and oriented. CT's negative.
- He could go squirrelly again.
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206. He should have frequent neuro checks
for 24 hours.
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207. - His mother can wake him up.
- Family situation is questionable.
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208. Mr. O'Connor left his wife and child.
She's extremely distraught.
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209. I don't know that she would do it.
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210. There's no medical reason for this kid
to spend a full day in the ICU.
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211. Send him home. End of consult.
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212. - Where's Randi?
- She's on a break.
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213. - I bet it was assault.
- She's obviously good at it.
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214. - I bet she's good at murder too.
- Murder?
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215. - They would never have let her out.
- My money's on grand theft auto.
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216. - Assault.
- Theft.
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217. - Kidnapping.
- Have you seen Dr. Benton?
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218. He's with a patient in 2.
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219. Jerry, with all the commotion
you probably missed lunch.
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220. You should just order in a burger and
fries or something. Eat here at the desk.
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221. I got a 12-year-old, Joseph O'Connor,
in Curtain Area 2.
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222. I want you to admit him to Pedes ICU.
24-hour observation, please.
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223. Sure.
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224. The chest x-ray suggests that you may
have an aortic aneurysm.
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225. We need to do an arteriogram
to rule it out.
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226. I don't feel the pain
in my chest anymore.
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227. Well, that's because you're medicated,
but that could be deceiving.
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228. - How are you feeling, Mr. Lake?
- Much better.
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229. - BP's 150/90. Heart rate's 96.
- That's very good.
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230. We'll keep the drip
while we study your aortic arch.
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231. What about the surgery he's talking
about? This Dr. Vu...
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232. - Vucelich.
- Do you know him?
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233. No, Dr. Lewis isn't on the surgical team.
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234. Dr. Vucelich is one of the best
cardiovascular surgeons in the country.
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235. He's doing very advanced work
on aortic aneurysms.
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236. So he's the best one to help me?
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237. Well, we're not even sure that you're
going to need his help, Mr. Lake.
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238. Which is why I called Dr. Vucelich
for a second opinion.
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239. Well, you'll be going to X-ray
in a few minutes.
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240. It's premature to discuss your condition
before we've seen the films. Okay?
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241. Dr. Benton, could I speak to you
for a minute?
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242. - Why are you stepping in on my patient?
- Could be surgical.
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243. The chance to cut
is a chance to cure, right?
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244. Look at the arteriogram
and let Cardiology decide.
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245. And Vucelich. He's agreed to consult.
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246. What are you doing? Trying to use my
patient to get in on his research study?
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247. He's doing clamp-and-run surgeries
on aortic aneurysms.
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248. The big cheese has you jumping
through hoops to find one?
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249. - I've never even met him.
- Peter, Susan, is there a problem?
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250. - No.
- Good.
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251. Peter, if you don't mind,
I think I'm gonna need a few stitches.
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252. On my way to Radiology.
I'll meet you in the suture room.
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253. Anytime. It's just my ear.
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254. - How you doing?
- I'm fine.
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255. If we get a chance...
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256. I'm usually kind of glad to avoid
the morning-after stuff.
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257. - I'm sorry.
- You don't need to apologize.
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258. - I was there too.
- I know. If Mark hadn't come out—
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259. We would've already had this,
kind of, awkward...
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260. kind of, yikes-what-did-we-do
conversation.
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261. So I'll see you around. Okay?
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262. Okay. Yeah, I'll see you around.
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263. Maybe this job is too stressful.
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264. - Being a notary?
- If it's causing this heart attack.
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265. - You might have just fainted.
- I don't know.
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266. This business can be rough.
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267. Ninety-eight percent of my clients
are homebuyers, like you.
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268. So many papers to sign.
They never stop to read them.
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269. I tell them to, but they don't.
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270. It's so hard to watch.
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271. They get nervous,
frightened, tense...
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272. thinking about the mortgage
every month...
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273. and the down payment which just
wiped out their entire life savings.
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274. Little beads of sweat break out.
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275. Cheeks get flushed,
their fingers clammy.
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276. Any minute they could lose their job...
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277. or get disabled
in a horrifying industrial accident.
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278. Within five years there's
that balloon payment.
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279. Husbands and wives are screaming.
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280. Women are crying,
grown men throwing up.
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281. Very stressful.
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282. Can I have a glass of water?
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283. You had Radiology rush these up
to Dr. Vucelich, right?
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284. Yeah.
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285. Type III dissection,
by the DeBakey classification.
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286. Yeah, but— Gosh, that's only
four centimeters, right?
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287. No signs of pericardial tamponade.
Aortic valve is normal.
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288. When you examined him,
did you appreciate...
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289. the murmur of aortic insufficiency?
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290. - No.
- Neither did I.
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291. Looks like he doesn't need surgery
after all.
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292. Oh, well, I'm sure Vucelich won't mind
coming down anyway, will he?
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293. I heard he's a pretty easygoing guy.
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294. It's still a good time to meet him.
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295. Don't forget your charts.
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296. Dr. Vucelich, please.
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297. Dr. Benton.
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298. Hey.
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299. - Wanna talk?
- Sure it's the right time and place?
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300. - Fine, forget it.
- You don't have to worry...
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301. - ... about what you saw this morning.
- I worry about what I see every morning.
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302. You fight with Kerry Weaver
over half your cases...
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303. call in curbside consults,
fast-track patients.
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304. - What are you doing?
- The job.
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305. - That's not what Bernstein thinks.
- He doesn't know squat about ER.
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306. - He knows about your cases.
- Because you're telling him.
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307. He reads the charts.
He's head of Pediatrics.
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308. - I didn't seduce her, Mark.
- It doesn't matter how it happened.
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309. - Harper's third-year. There are rules.
- Stupid rule.
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310. What difference does it make?
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311. You get caught breaking them,
you're out.
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312. I get caught not reporting them, I'm out.
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313. - Report me. I don't care.
- You don't care about anyone, do you?
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314. I didn't do this alone, Mark.
She's 21 years old.
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315. What about Carter?
You care about him?
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316. He and Harper are going out,
or didn't you know?
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317. - It's got nothing to do with Carter.
- No, it's all about you.
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318. It's always all about you.
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319. Thanks for dropping by, Peter.
I was gonna have Jeanie do it.
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320. But seeing as you're here,
why don't you just talk her through it?
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321. Do a local block by depositing
one percent xylocaine...
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322. behind the auricle from
the inferior to the superior pole...
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323. knocking out the greater auricular
and lesser occipital nerve.
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324. Irrigate with normal saline, close
with interrupted 6-0 nylon suture...
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325. dress with antibiotic ointment,
wound check two days...
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326. suture removal four days,
update the tetanus.
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327. He's nothing if not thorough.
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328. - Gotta drop these off at Radiology.
- Okay, great. Thanks.
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329. - Breaking and entering.
- Give her more credit.
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330. I think she bashed in her boyfriend's car,
found a knife and carved him up.
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331. Do we have to be that specific?
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332. Wanna guess as to why
Randi was in jail?
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333. Do you think you should mock what
must have been a demoralizing...
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334. dehumanizing, debilitating experience?
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335. Excuse me, can someone direct me
to a Dr. Benton?
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336. - Yeah, who are you?
- I'm Carl Vucelich.
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337. And I was supposed to consult
on a patient of his. Harmon Lake.
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338. Dr. Vucelich, I'm Susan Lewis,
and Harmon Lake is actually my patient.
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339. Excellent, Dr. Lewis.
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340. Then perhaps you'll let me show you
what's on this film.
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341. So...
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342. You can see here that the aneurysm
is clearly four centimeters.
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343. Which is borderline.
It should be treated medically.
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344. Dr. Vucelich.
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345. - You're Benton.
- I don't think we had a chance to meet.
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346. Why the hell did you cancel my consult
on Harmon Lake?
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347. Well, Dr. Lewis and I
looked at the arteriogram.
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348. It showed the aneurysm
to be at four centimeters.
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349. Yes?
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350. Which is within the limits
when you manage medically.
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351. I didn't want to waste your time.
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352. - Third-year resident?
- Yes.
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353. You better push those limits if you want
to remain invested in Surgery.
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354. Dr. Vucelich, I'm still responsible
for Mr. Lake.
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355. He should be admitted to ICU
and started on oral antihypertensives.
Copy !req
356. I talked to Mr. Lake and he agreed
that surgery was a better option...
Copy !req
357. which relieves you
of your responsibility.
Copy !req
358. Benton, you're coming up.
It's time you learned something.
Copy !req
359. - Should I come?
- John Carter.
Copy !req
360. Fourth-year Surgical sub-I.
He's my student.
Copy !req
361. Sure, why not? I like a crowd.
Copy !req
362. - Well, here a croup, there a croup.
- Ross!
Copy !req
363. Start her on a Vaponefrin nebulizer.
Copy !req
364. What the hell do you think you're doing
admitting Joseph O'Connor...
Copy !req
365. when I asked you not to?
Copy !req
366. - I feel he needed observation.
- I don't care what you feel!
Copy !req
367. He's not at risk
for intracranial hemorrhage.
Copy !req
368. We'll know in 24 hours.
Copy !req
369. - I sent them home.
- You don't have the right to do that.
Copy !req
370. I have every right.
I am the Chief of Pediatrics!
Copy !req
371. He's my patient and I will take
responsibility for him, Bernstein.
Copy !req
372. No, you won't. And I will no longer
take responsibility for you.
Copy !req
373. You harass my clinic,
you harass my residents.
Copy !req
374. You deliberately defy my orders.
Copy !req
375. Now, your Pediatric fellowship is up
as of December 31 st.
Copy !req
376. Well, let this serve as notice
you will not be renewed.
Copy !req
377. You're out of here.
Copy !req
378. - How long since we clamped him?
- 59 minutes.
Copy !req
379. I better hurry up, boys.
Under an hour and I got a new record.
Copy !req
380. Now, Dr. Benton, do you know
why we're in a hurry?
Copy !req
381. Prolonged lack of blood supply to
the spinal cord can lead to paraplegia.
Copy !req
382. Is that where the Lazerol comes in?
Copy !req
383. Mr. Carter, you've read
my research study.
Copy !req
384. - On the 21-aminosteroids, yes.
- You can tell Dr. Benton all about it.
Copy !req
385. I'm sure Dr. Benton already knows
all about it.
Copy !req
386. We could always hear it again.
Big part of learning.
Copy !req
387. Release the distal Statinsky
and backfill the graft. Mr. Carter?
Copy !req
388. Lazerol helps prevent transverse
myelopathy from lack of oxygen...
Copy !req
389. as well as preventing edema
of the neurotissue post-op.
Copy !req
390. - Assuming the drug is effective.
- Hopefully that's what my study will do.
Copy !req
391. We have perfusion. Time?
Copy !req
392. - 60 minutes, 28 seconds.
- Damn.
Copy !req
393. How do they come up
with these drug names?
Copy !req
394. Some guy walking around New Jersey
going, "Prolixin, Zoloft, Lazerol"?
Copy !req
395. Come on, I came up with that last one.
Copy !req
396. - And a darn fine one it is, Carl.
- Thank you.
Copy !req
397. Well, well, well...
Copy !req
398. These two to Cardiology,
this one to Ortho.
Copy !req
399. No problem.
Copy !req
400. - Miss Hathaway.
- Mr. Zimble, how are you?
Copy !req
401. You should not put this off forever.
I might have to leave.
Copy !req
402. I haven't been putting it off.
We've been pretty busy.
Copy !req
403. Perhaps you don't really
want this house.
Copy !req
404. Of course I want this house.
Copy !req
405. - Oh, dear, you need some help?
- Too late.
Copy !req
406. Here, let me get that.
Copy !req
407. - Stay put, Junior, I'll be right back.
- Oh, God.
Copy !req
408. Me too. I'll be right back.
Copy !req
409. I bet you're missing rehab
just about now.
Copy !req
410. Been missing it since I got here.
Copy !req
411. - There's extra scrubs in the lounge.
- I've still got stuff in my locker upstairs.
Copy !req
412. Hey, Doug. You okay?
Copy !req
413. - Yeah, I'm fine.
- Do you wanna talk?
Copy !req
414. I'd love to, but I've got sniffles in 7
and bed-wetting in 6.
Copy !req
415. - You got a second?
- Sorry, I'm on a break.
Copy !req
416. Can we at least talk about this?
Copy !req
417. Yeah, okay, sure, if you want.
If you need to.
Copy !req
418. I'm sorry, John.
Copy !req
419. It was an exceptionally bad day
and it just happened.
Copy !req
420. - It's not going to happen again.
- You don't owe me an explanation.
Copy !req
421. We only went out a few times.
Never even kissed.
Copy !req
422. - Once.
- You know, you didn't have to tell me.
Copy !req
423. - It's not that big of a deal.
- John.
Copy !req
424. John, wait.
Copy !req
425. Do you remember that little boy
with AIDS yesterday?
Copy !req
426. He was so small and helpless.
Copy !req
427. But I held him down,
listening to him cry...
Copy !req
428. squeezing out every last ounce of life
he might have had.
Copy !req
429. It was the worst day of my life.
I didn't know where to go with that.
Copy !req
430. Where I ended up...
Copy !req
431. Where I needed to be...
Copy !req
432. was with somebody
who'd been through that with me.
Copy !req
433. I hope you can understand that.
Copy !req
434. Grand mal seizure in the mall,
lasting about two minutes.
Copy !req
435. - Any ID?
- No, and no one with her.
Copy !req
436. Normal saline IV TKO, two of Narcan
and an amp of glucose on board.
Copy !req
437. Let's move her on the count.
One, two, three.
Copy !req
438. Vitals are stable. BP 100/70, pulse 110.
Copy !req
439. Resps 18. On our arrival she was
comatose, GCS 5. I'm out of here.
Copy !req
440. - Carpe diem.
- See you, Doris. CBC and Chem-7.
Copy !req
441. - She has gingival hypertrophy.
- Dilantin level?
Copy !req
442. - Yeah, she's probably epileptic.
- Babinski's downgoing.
Copy !req
443. Pupils equal, round, reactive.
Corneal reflex normal.
Copy !req
444. - DTRs 1-plus, equal bilaterally.
- Small occipital contusion.
Copy !req
445. - You want a CT?
- No, let's see how she responds.
Copy !req
446. Cross-table C-spine.
Copy !req
447. We should check if the police
have any identification.
Copy !req
448. I'll call Child and Family Services,
just in case.
Copy !req
449. Lydia, why don't you clear out
Curtain Area 2? Put her in there.
Copy !req
450. Busy day.
Copy !req
451. Peter. Peter!
Copy !req
452. Know that I didn't try
to come to County.
Copy !req
453. I applied to practically every other
hospital in the county.
Copy !req
454. This is the only ER rotation
that was open.
Copy !req
455. - Okay. Fine.
- Peter, stop.
Copy !req
456. You gonna be like this
the whole time I'm here?
Copy !req
457. Can we at least pretend to be civil?
Professional?
Copy !req
458. Okay, fine. I've got some post-op notes
to check on.
Copy !req
459. - You're cutting him off, just like that?
- It's hardly "just like that."
Copy !req
460. We've been dealing with
this Ross situation since last summer.
Copy !req
461. - He's a little bit more than a situation.
- Not to me.
Copy !req
462. Ross runs roughshod all over that ER.
Copy !req
463. He takes over the care of an outpatient.
Copy !req
464. Never shows up to the Pedes Clinic,
where I can at least supervise him.
Copy !req
465. - He's assigned to the ER.
- Where no one is supervising him.
Copy !req
466. - That's not true.
- Pediatrics is not gonna pay for him...
Copy !req
467. so much as one day into the new year.
Copy !req
468. You guys deal with his behavior.
He's off my service.
Copy !req
469. - He's a good doctor.
- But he's a loose cannon.
Copy !req
470. - Not sure I could handle him any better.
- He's a good doctor.
Copy !req
471. - I know it's personal, and you're friends.
- I'll supervise him.
Copy !req
472. His fellowship runs through December.
Gives him over a month to find a job.
Copy !req
473. - We need him in the ER.
- We need a lot of things in the ER, Mark.
Copy !req
474. But be realistic.
Have you looked at your budget?
Copy !req
475. I'm due in surgery.
Copy !req
476. - I got M&M in 10 minutes.
- This won't take that long.
Copy !req
477. What you saw this morning was private.
No one should've seen it.
Copy !req
478. Believe me, I wish I hadn't.
Copy !req
479. But you did, and I'm concerned
with what that means.
Copy !req
480. I know this is the '90s
and there are rules in medicine now.
Copy !req
481. They exist to protect a medical student
from feeling they have to comply...
Copy !req
482. with the suggestions
of one of their supervisors.
Copy !req
483. This wasn't a suggestion.
It was a choice, as much mine as his.
Copy !req
484. But I don't want my career defined
by having gone to bed with someone.
Copy !req
485. Especially since no one will care
about the reason.
Copy !req
486. You don't care
about the reason, do you?
Copy !req
487. No, I don't. My job demands
that I care about the ramifications.
Copy !req
488. If this were to get out, it would more
than likely be misinterpreted...
Copy !req
489. affect my recommendations,
possibly even my internship.
Copy !req
490. So I have no intention of discussing
this, either now or in the future.
Copy !req
491. And I hope no one else will either.
Copy !req
492. Will you scream at Radiology?
I need those films.
Copy !req
493. Robert Potter Bradley. 10 years old.
Broken finger.
Copy !req
494. Thank you, Jerry.
Copy !req
495. There, there. You're okay.
Honey, just settle back down.
Copy !req
496. - We're right here with you.
- What happened?
Copy !req
497. She woke up agitated, disoriented,
trying to boot the side rails and...
Copy !req
498. - Doesn't seem to like the IVs.
- Can't say I blame her.
Copy !req
499. Can't say I do either. Who'd have
thought we'd ever agree on something?
Copy !req
500. Her labs just came back.
Copy !req
501. That's right. You're okay.
Just settle down.
Copy !req
502. Just settle down.
We're gonna take care of you.
Copy !req
503. We're gonna take care of you, honey.
You're all right.
Copy !req
504. CBC and lytes are normal,
but her Dilantin level is only five.
Copy !req
505. Sub-therapeutic.
Copy !req
506. Epileptic seizure caused by her
not taking her medication.
Copy !req
507. Let's give her Dilantin, seven mgs
per kilo at 50 mgs a minute IV.
Copy !req
508. - Coming up.
- Okay.
Copy !req
509. That's it. That's it. You're okay.
Copy !req
510. - You could've gone into Pediatrics.
- Thank you.
Copy !req
511. - I don't want a nurse.
- I'm not a nurse.
Copy !req
512. - I want a doctor.
- I work with doctors. Now, move along.
Copy !req
513. - You're a nurse?
- I'm a physician assistant.
Copy !req
514. - Is that better than a nurse?
- It's just different.
Copy !req
515. - I don't want a nurse.
- I'll examine you and take your history.
Copy !req
516. Now, let's march. Come on.
Copy !req
517. Is everything okay?
Copy !req
518. - Is he a doctor?
- No, he's a nurse.
Copy !req
519. Thanks, Malik. I got him.
Copy !req
520. Mr. Preston. Gunshot wound
to the right shoulder.
Copy !req
521. Distal pulses and sensation
in the right arm.
Copy !req
522. BP 100/60, pulse 120. Resps 24.
Copy !req
523. - And the wheelchair?
- Frank Davelle, nasty scalp lac.
Copy !req
524. - I thought this was a double MVA.
- Let Mr. Davelle wait in the suture room.
Copy !req
525. Harper! Get in here!
Copy !req
526. All right, on three. Here we go, people.
Copy !req
527. One, two, three.
Copy !req
528. - How you doing there, Mr. Preston?
- Hell, he shot me!
Copy !req
529. I can't believe he shot me!
Copy !req
530. Shouldn't we order a CBC, type
and cross four units packed cells?
Copy !req
531. Cross-table C-spine,
chest, shoulder x-rays?
Copy !req
532. Yes again.
Copy !req
533. - Does it hurt anywhere else?
- My neck. I'm gonna sue his ass.
Copy !req
534. - That's very American of you.
- Yeah, yeah. What's that?
Copy !req
535. - Your armpit.
- Fresh dressing.
Copy !req
536. - Can you feel this?
- Yeah.
Copy !req
537. Okay, squeeze my hand.
Copy !req
538. Carter, why don't you and Harper
go next door?
Copy !req
539. I can handle that on my own.
Copy !req
540. Whatever.
Copy !req
541. Excuse me.
Copy !req
542. Harper, I need your help.
Why don't you help me logroll him?
Copy !req
543. - Doug?
- Hey, Carol, what's going on?
Copy !req
544. Nice try, but the film's upside-down.
Copy !req
545. - Are you okay?
- Generally this has not been a good day.
Copy !req
546. Specifically, this has not been
a good day.
Copy !req
547. Although it felt so good
yelling at Bernstein.
Copy !req
548. For about five minutes there
I felt completely liberated.
Copy !req
549. - And now?
- And now, I've been here a few years.
Copy !req
550. It's the longest commitment I've ever
made to anything or anybody.
Copy !req
551. So...
Copy !req
552. It's time to move on.
Copy !req
553. Carol, Shep's on the phone.
Copy !req
554. Speaking of moving on...
Copy !req
555. - You call me if you wanna talk, okay?
- Okay. Okay.
Copy !req
556. - The pool was your idea. You should ask.
- She'd kill me.
Copy !req
557. - I think Wendy should ask her.
- Yeah, she'd never kill Wendy.
Copy !req
558. - What?
- What is wrong with all of you?
Copy !req
559. Can't put your mouth
where your money is?
Copy !req
560. Hey, Randi, what did you do time for?
Copy !req
561. Malicious mischief, assault, battery...
Copy !req
562. carrying a concealed weapon...
Copy !req
563. and aggravated mayhem.
Copy !req
564. What? No, Shep, I'm telling you. No.
Copy !req
565. Carol, quick, some guy
just crashed in 3.
Copy !req
566. - Defib. Set up for intubation.
- Oh, my God!
Copy !req
567. I was examining Mrs. Kerns
when this guy went south.
Copy !req
568. - I can't believe this. My mobile notary.
- A what?
Copy !req
569. - Notary. She's buying a house.
- He told me I shouldn't wait forever.
Copy !req
570. - I'm a big procrastinator myself.
- Maybe he knew he was gonna die.
Copy !req
571. He's not going to die.
Give him another amp of epi.
Copy !req
572. God, we were so close. Two pages left.
Copy !req
573. I need a 10-cc syringe.
Copy !req
574. Get the paddles ready, 200. Carol?
Copy !req
575. - Carol!
- These two!
Copy !req
576. - Pulse ox?
- 78.
Copy !req
577. - How's the compliance?
- He's in the bag.
Copy !req
578. - I can't believe I just did that.
- Neither could I.
Copy !req
579. Oh, it's a good thing I did.
Copy !req
580. Carter.
Copy !req
581. Carter, I gotta talk to you.
Copy !req
582. Carter.
Copy !req
583. I didn't know about you and Harper.
All right? I'm sorry.
Copy !req
584. Hey, hey, hey, nobody meant to—
Copy !req
585. Nobody meant to hurt you, Carter.
Nobody—
Copy !req
586. It happened because she was hurt.
It was a mistake.
Copy !req
587. It was a mistake. You understand that?
Copy !req
588. And if you were smart,
you little piece of—
Copy !req
589. If you were smart, you'd give her
another chance and you'd listen to her.
Copy !req
590. I have.
Copy !req
591. And now I'm having to listen to you?
Copy !req
592. I'm really happy that you both
have made your peace with this.
Copy !req
593. But I'm gonna need a little more time,
if that's okay with everybody.
Copy !req
594. - How is she doing?
- Pretty well. She's coming around.
Copy !req
595. Are you deaf?
Copy !req
596. Chuny, let's get these restraints off
and call for a sign language interpreter.
Copy !req
597. - You know how to sign?
- Oh, poorly.
Copy !req
598. You're going to be okay.
Copy !req
599. Yes, you had a seizure,
but you're fine...
Copy !req
600. Fine now.
Copy !req
601. I want to call your family.
What's your name?
Copy !req
602. Hi, Janie. I'm...
Copy !req
603. Kerry.
Copy !req
604. Okay.
Copy !req
605. - If they're itchy, why don't you shave?
- You kidding?
Copy !req
606. The Fire Department finally let us
grow this stuff. I can't give in yet.
Copy !req
607. Okay, we're almost there, so don't look.
Copy !req
608. I thought the point was for me to see it.
Copy !req
609. - Okay, but don't look. Step up.
- I can't look. What?
Copy !req
610. All right, we're almost there.
Copy !req
611. Okay.
Copy !req
612. Okay, now look.
Copy !req
613. Isn't it incredible?
Copy !req
614. - Yes, it is.
- I mean, I know it needs work.
Copy !req
615. Yes, it does.
Copy !req
616. I thought I'd paint it maybe gray
with a green trim, or yellow.
Copy !req
617. And I know there's no stairs,
because they're in the back yard...
Copy !req
618. but I can just nail those back on.
Copy !req
619. And also I can nail back on the shutters.
You should see the inside.
Copy !req
620. Sorry.
Copy !req
621. The bedroom is the biggest bedroom
I have ever had in my life.
Copy !req
622. Which isn't saying a lot, but still.
Copy !req
623. - What?
- You're beautiful when you're happy.
Copy !req
624. I am. I'm happy. I'm happy. Come on.
Copy !req
625. - Wait.
- What?
Copy !req
626. I don't want you to worry
that I'm rushing into anything here.
Copy !req
627. This is your first house...
Copy !req
628. and I think someone
should carry you over the threshold.
Copy !req
629. - Okay, no.
- I knew you would agree.
Copy !req
630. Put me down, you're gonna drop me.
Copy !req
631. What are you talking about?
I'm a fireman.
Copy !req
632. Oh, come on. Shep, put me down.
Copy !req
633. Must have changed the schedule.
I missed mine by five minutes.
Copy !req
634. So you didn't say anything
to Morgenstern?
Copy !req
635. No, I didn't.
Copy !req
636. Why are you doing this, Doug?
You're a good doctor.
Copy !req
637. Bernstein doesn't agree.
Copy !req
638. I looked at that kid's chart.
Joseph O'Connor.
Copy !req
639. No signs of intracranial bleeding.
Copy !req
640. You knew he didn't need
to get admitted.
Copy !req
641. You're pushing Bernstein
the same way you've been pushing me.
Copy !req
642. Why you doing this, Doug?
Copy !req
643. I don't know.
Copy !req
644. You'll miss your train.
Copy !req