1. 17-year-old male.
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2. Multiple G.S.W.
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3. to the chest and abdomen.
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4. Pulse 140 and thready.
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5. B.P.'s 80 palp.
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6. Stop squirming around!
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7. This fool look familiar to you?
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8. Uh-huh, somebody shot
him a couple of months ago.
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9. Oh, man, it hurts!
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10. I hope so. Two
times in six months...
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11. You got yourself a real low
learning curve going here, boy.
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12. Unit 68's on the way.
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13. Drunk dove off the balcony
of the Westside Motor Lodge
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14. looking for the pool.
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15. Did he find it?
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16. Nope.
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17. Ouch.
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18. Hey, hey.
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19. Dr. Carter, I presume.
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20. Carter, what's up?
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21. So surgical interns are supposed
to meet down here someplace?
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22. Yes, yes. Your lemmings
are all over here.
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23. Hey, Jerry, that lead
poisoning come in?
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24. Yeah. Trauma two.
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25. Hey, are you going to make
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26. to the Fourth of July
picnic this afternoon?
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27. My bat and glove are in my car.
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28. I parked the guy with T.B.
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29. hocking up red
snappers in the fish tank.
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30. Hey, Dr. Lewis.
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31. Carter, your first day?
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32. Hey, Carter, if you
can't cut it in surgery
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33. there's always family medicine.
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34. Or Gerontology.
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35. Or Psychiatry.
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36. Don't forget: they
can't throw you out.
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37. Nope, they can make
your life so miserable
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38. you're going to beg
them to let you quit.
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39. Susan, we need you down here.
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40. Don't worry, It's only a year.
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41. You'll make it.
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42. Well, I guess I better
go join the group.
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43. Right. Good luck then.
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44. Yeah. Hey, try
not to kill anyone.
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45. Surgical interns?
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46. John, Dale Edson, Harvard Med.
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47. We met last year.
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48. Yeah, yeah. How you been?
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49. Great. Great, Just spent the
last six weeks down at Hopkins
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50. on a thoracic elective.
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51. The resident was a nazi,
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52. but they let me scrub in
on 20 valve replacements.
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53. Wow.
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54. This is Julie Dixon, Duke.
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55. Hi. Hello.
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56. This is Leung Joo Hua,
U.C. San Francisco. Hi.
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57. And Dennis Gant, ol' Miss.
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58. L.S.U., actually.
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59. They let us wear scrubs?
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60. Yeah, yeah. It's pretty
informal around here so...
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61. Oh, great. John
went to school here.
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62. He can show us the ins and outs.
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63. All I want to know at 6:00 a.m.
is where the hell is the coffee?
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64. Blue team surgical
interns, good morning.
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65. My name is Dr. Melvoin.
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66. Today is the last
day of my internship
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67. and the first day of yours,
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68. which means, in this great
game of medical education
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69. tag... you're it.
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70. House staff guidelines.
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71. This lists the
conferences and clinics
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72. that all interns are
required to attend.
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73. Miss one, and your evaluation
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74. will be degraded.
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75. Vascular conference:
Monday, 4:00 to 5:00.
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76. Monday, 5:00 to 7:00.
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77. Tuesday at 5:00.
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78. Wednesday, 7:00 a.m.
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79. Intern reports: Monday,
Thursday, Friday
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80. at 7:00 a.m.
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81. Vascular Journal
Club, Tuesday at 7:00.
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82. Chairman's Conference:
Friday, 7:00 a.m.
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83. Doesn't the chairman's conference
conflict with the intern report?
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84. Yep. You're on five days a week
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85. 5:00 a.m. till you
finish up after 7:00 p.m.
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86. You're on call every third
weekend and every third night.
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87. Which means, every
three days, you will be here
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88. from 5:00 a.m. the first day,
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89. till at least 7:00
p.m. the next.
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90. When do we get to sleep?
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91. You don't. You are wedges.
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92. The wedge is the most
primitive tool known to man.
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93. That is you.
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94. You think you know
what you're doing.
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95. Believe me, you don't.
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96. Breakfast with your senior
surgical resident, Dr. Benton
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97. will begin in 15 minutes.
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98. Dr. Benton is an
intern's worst nightmare.
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99. He's smarter than you.
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100. He never eats, he never sleeps,
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101. and he reads every medical
journal, no matter how obscure.
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102. He is the antichrist,
Beelzebub, Lucifer,
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103. a devourer of wedges.
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104. You will go to sleep at night
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105. wishing plague and pestilence
on his unborn children,
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106. and you will wake up
every morning praying
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107. for his approval.
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108. You won't get it.
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109. Welcome to hell,
ladies and gentlemen.
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110. Benton... he can't
be that bad, can he?
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111. Peter.
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112. Hey.
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113. Hi.
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114. I left a message last night.
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115. You never called me back.
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116. I was in surgery.
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117. I, um...
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118. I tested positive.
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119. Did you get your results back?
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120. No. I, uh...
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121. some time today.
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122. I'm going to have to talk
to Mark Greene about it.
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123. Yeah.
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124. I thought you'd want to know.
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125. I'm sorry.
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126. There you go.
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127. Now you're getting
the hang of it.
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128. All right, remind me
again why we're doing this.
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129. 'Cause it's fun.
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130. Oh, it's fun, right. I forgot.
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131. All right, 10-1.
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132. Here we go.
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133. Hey, how was
that date last night?
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134. Awful.
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135. Oh!
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136. You're supposed
to use your hands.
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137. Ha, ha, ha.
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138. Okay...
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139. Hey, did you call Alicia?
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140. The aerobics instructor?
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141. Yeah.
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142. What the hell are we
supposed to talk about?
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143. She's an aerobics instructor.
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144. Don't you want to talk
to someone before sex?
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145. Uh, not really, no.
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146. Shared experiences?
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147. Common interests?
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148. Are you suggesting
you and I date?
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149. No, I just...
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150. I'm looking for a
little more than that
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151. in a relationship.
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152. A relationship?
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153. You're 32 years old.
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154. Have some fun.
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155. Dixon, Charcot's triad?
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156. Um... hypercoagulability...
stasis...
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157. pain, fever, jaundice.
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158. Gant...
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159. the ducts of Luschka?
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160. Um, aberrant
ducts that drain bile
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161. but do not communicate
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162. with the gallbladder lumen.
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163. An intern who wasn't
asleep during med school.
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164. Thank you.
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165. Edson, this morning's patient
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166. is jaundiced but
no cholangiolitis.
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167. Now, should we
perform the surgery open
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168. or laparoscopically?
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169. Open. There may
be multiple stones.
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170. I'm going in laparoscopically.
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171. You get an E.R.C.P.?
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172. Hmm.
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173. Okay, Edson, you scrub in.
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174. Don't you want to
ask me something?
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175. Dixon, Leung, you
guys cover the ward.
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176. Gant, you're runner-up.
Take the S.I.C.U.
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177. The surgical I.C.U.?
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178. Don't worry, the nurses
won't let you kill anybody.
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179. Any questions?
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180. Dr. Benton?
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181. Oh. Carter.
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182. Help with the wards
and cover the E.R.
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183. The E.R.?
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184. Lastly, we need to discuss
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185. the on-call rotation
for the night shift.
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186. Dr. Benton, I was
kind of hoping...
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187. Good, Carter. Thank
you for volunteering.
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188. You can take the first
shift starting tonight.
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189. I'll set up the other schedules
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190. and post them in the
on-call room okay?
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191. Tonight?
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192. Surgical ward, four minutes.
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193. Better start looking.
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194. Ah, it's just a rumor.
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195. They're closing us down.
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196. They can't close down county.
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197. Where would the patients go?
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198. It was in the Trib.
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199. The mayor's setting
up a commission.
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200. What was in the Trib?
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201. They've got to squeeze
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202. a couple of hundred
million out of the budget
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203. so they're shutting us down.
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204. I read that article.
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205. They said closing county was one
of the options under consideration.
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206. They said that?
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207. We're all getting fired?
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208. Nobody's getting fired.
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209. Man, I just took a
second out on my house.
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210. So what's the union say?
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211. We got a contract.
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212. They've been talking about
closing us down for years
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213. but we're still here.
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214. Hey, uh, are all you
guys going to the picnic?
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215. Yeah, I'm going to stop
by on my way to work.
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216. Me, too. I'll see you all later.
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217. It was in the Tribune?
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218. Sun Times too.
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219. Oh, God.
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220. Hey, Carter, what are
you doing down here?
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221. Oh, Benton dumped
me back in the E.R.
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222. It's my first day as a surgeon
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223. and he ships me off to
do trauma assessments.
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224. Well, sounds to me
like he trusts you.
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225. Somebody beep for
a surgical consult?
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226. L.O.L. In two.
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227. 82 Years old, rule out
small bowel obstruction.
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228. Benton on his way?
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229. No, I'm the surgical consult.
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230. He'll be fine.
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231. God help the poor patients.
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232. Mark, I'm concerned
about the lack
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233. of direct communication
between attendings.
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234. I noticed last year as Chief.
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235. Biweekly meetings would give us
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236. a chance to get
on the same page...
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237. Improve patient care.
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238. Tuesdays and Thursdays
during lunch might work.
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239. That will be a little rough
on the night shift guys,
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240. having to be dragged down here
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241. in the middle of the afternoon.
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242. I also think we need to adhere
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243. to Jcaho Guidelines all the time
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244. not just when we're
expecting the committee.
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245. The nurses will hate that.
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246. The rules were
created for a reason.
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247. Take the board, for example.
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248. Patient confidentiality
is breached every day.
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249. Here, look at this entry.
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250. "Al Johnson
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251. Penile Discharge."
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252. How would you feel if
that were you up there?
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253. Not only are we risking lawsuits
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254. but we could lose
our accreditation.
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255. Unit 79's bringing in an
86-year-old male, altered L.O.C.
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256. I've created a diagnostic
code for the board.
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257. It's a list of a few hundred
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258. easy-to-remember
two-letter combinations
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259. of our most common
patient complaints.
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260. And we can use the patient's
social security numbers
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261. to protect
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262. their anonymity.
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263. "B.E." Uh...
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264. Barium Enema?
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265. Blunt Extremity Trauma.
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266. Some guy with a nasty bruise
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267. is going to get a
radioactive colon cleansing.
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268. Mark, can I talk to you later?
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269. Yeah, sure. This afternoon?
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270. And there's a conference
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271. on Saturday at Northwestern...
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272. "Modern Architecture for
Emergency Medicine Management."
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273. I definitely think we should go.
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274. Saturday? I got to
be with my daughter.
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275. Why don't you go
and fill me in later?
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276. Sure. I'll tape it.
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277. She's got to be kidding.
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278. What brings you in today, ma'am?
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279. I'm sick.
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280. What's wrong?
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281. My stomach hurts.
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282. Didn't you tell him?
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283. When did this pain start?
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284. I don't know.
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285. Early this morning maybe?
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286. I said I don't know.
What is he, an idiot?
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287. How old are you? Old enough.
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288. I want you to tell
me if this hurts.
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289. The abdomen
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290. is apparently tender.
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291. I gathered that.
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292. Let's go ahead
and order a C.B.C.,
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293. chem seven and
an abdominal series.
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294. They're done.
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295. I'm going to check
your tests, Mrs. Lukasi,
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296. but I'm afraid that you're
going to require surgery.
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297. You don't want to examine
her a little bit more, doctor?
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298. She's had previous
abdominal surgery.
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299. She probably has adhesions.
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300. You sure he's a doctor?
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301. You might consider,
uh, doing a rectal.
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302. Never let the sun set on the
small bowel obstruction, Nurse Rey.
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303. Dr. Carter, may I see
you for a moment, please?
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304. Excuse us, ma'am.
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305. What the hell is taking so long?
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306. I come down here, for an
API and all of a sudden I see
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307. you have four
patients on the board.
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308. Didn't you check it?
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309. I got beeped to
examine a patient.
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310. Always check the board first.
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311. How could you possibly tell
that this patient was emergent?
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312. Small bowel obstruction.
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313. She's going to need surgery.
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314. I'd like to scrub in on
this one, Dr. Benton.
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315. Carter, all surgical
abdomens require a rectal.
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316. Even first-years know that.
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317. She's impacted.
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318. Look, go check on
the rest of your patients
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319. and come back here
and disimpact this one.
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320. Isn't that a nurse's job?
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321. Not today, it isn't.
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322. 88-Year-old male, altered
L.O.C., hypotensive.
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323. B.P. 60 palp, sinus tach at 128.
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324. Resps shallow at 30.
Skin's warm and dry.
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325. Poor cap refill.
Couldn't get an I.V.
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326. O2 four liters, nasal canula.
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327. All right, let's go. Trauma one.
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328. What's the matter
with the board?
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329. What are all these
letters and numbers?
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330. Patient confidentiality system.
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331. How am I supposed to figure out
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332. who's surgical
and who's medical?
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333. I don't have time for this crap.
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334. Whose stupid idea is this?
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335. Mine. First day on the
surgical service, Dr. Carter?
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336. Nice to have you with us.
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337. Need a surgeon in
one. Is Benton in?
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338. It's you, right? Let's go.
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339. There's always a
first time, doctor.
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340. Might as well get it over with.
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341. Oh, God.
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342. Somebody call for a surgeon?
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343. Drop a central line.
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344. I'll intubate
after you get it in.
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345. Pulse ox is 85.
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346. Trendelenburg, please, nurse.
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347. Central line kit.
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348. One percent Lidocaine with Epi.
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349. Thank you, nurse.
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350. Intubation tray.
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351. Angle toward the sternal notch.
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352. I know.
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353. Foley's in.
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354. Come on.
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355. Come on.
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356. How you doing over there,
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357. Dr. Carter?
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358. Almost.
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359. Almost.
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360. I can't find it.
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361. Prep for a right
subclavian approach.
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362. Please.
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363. Try not to hit the lung.
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364. All right, what do we got?
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365. 88-Year-old male
needs a central line.
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366. I couldn't get the
internal jugular
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367. so I tried for a
subclavian approach.
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368. Set me up. I think I might
have nicked his lung.
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369. Oh, Damn! Decreased
breath sounds on the right side.
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370. He's getting dusky.
I need to intubate.
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371. His veins must have collapsed.
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372. I'm in. Stethoscope.
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373. Get respiratory down
here to set up the vent.
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374. Congratulations, Dr. Carter.
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375. Your patient now
needs a chest tube.
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376. Chest tube tray. 28 French.
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377. Ten blade.
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378. All right, let's go, hook me up.
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379. Hold still for the driver.
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380. Vaseline gauze will be next.
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381. Four by fours, how's
his pressure? 90 systolic.
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382. Two liters, wide open.
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383. Temps 103.
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384. 1.5 grams, Q.A.
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385. I'd check him for pseudomonas.
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386. Ceftazidime, two grams
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387. Q-8 plus gent.
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388. All right, people.
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389. Somebody call up radiology,
get a stat for the chest...
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390. Listen to this:
"Pearl white beaches
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391. "set against an azure
blue tropical sky.
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392. "Cool breezes that make
your semidetached bungalow
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393. your own little
piece of paradise."
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394. Where's that?
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395. Micronesia.
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396. Where's that?
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397. Who cares?
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398. It's a long, long
ways from here.
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399. Ooh! "Dive with Lenny
and Francis and the boys
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400. "at Fish 'n' Fins,
Palau's oldest
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401. and most experienced
charter operators."
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402. Is that a shark?
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403. Ooh, five or six of
them. Cool, huh?
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404. Oh, look! Hawaii.
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405. Have you ever been to Hawaii?
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406. Hawaii, South Pacific.
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407. Don't all these places require
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408. that you get on a plane
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409. and fly over water,
like, at great heights?
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410. Oh, I don't care. They
all look so beautiful.
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411. I'll just self-medicate
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412. and sleep through
the whole thing.
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413. I can't understand a
damn thing up here.
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414. What the hell is O.T.,
Occupational Therapy?
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415. I mean, half the patients
on the board need it.
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416. "Other." It's what you put
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417. when you don't know
what's wrong with them.
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418. Yeah, or you're too busy to look
at the abbreviations in the book.
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419. Give it time, people.
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420. Rome wasn't built in a day.
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421. And what is this P.U.?
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422. I can't find it in
the book anywhere.
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423. Pleuritic chest pain.
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424. E.H.?
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425. Behavioral problems and psych.
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426. How's he do that?
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427. I reviewed the notes at lunch.
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428. Hey, Dr. Benton,
some outside lab called
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429. with test results for you.
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430. How long ago?
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431. I don't know. A couple of hours.
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432. Why the hell didn't you tell me?
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433. Hello.
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434. Hi. You have an appointment?
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435. No, I thought this
was a walk-in day.
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436. Oh, normally, but
with the holiday
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437. things are pretty jammed up.
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438. You here for testing?
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439. No.
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440. You are HIV-Positive?
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441. Yes.
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442. When did you find out?
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443. Yesterday.
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444. I'll come back later all right?
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445. Wait, you're already here.
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446. Why don't you fill out a form,
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447. and I'll make sure you
get in to see somebody,
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448. okay?
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449. Top form is general information,
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450. next few pages
are for insurance.
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451. Thanks.
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452. You work here?
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453. In the E.R.
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454. HIV-Positive?
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455. You, uh...
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456. haven't told anyone
you work with, have you?
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457. Not really.
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458. You shouldn't be here.
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459. You need to go someplace
else for treatment;
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460. somewhere where
they don't know you.
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461. Look, I was a surgical tech
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462. over at Southside.
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463. Believe me, don't tell anyone
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464. you're HIV-Positive,
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465. especially not anyone
in management.
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466. They can't fire me.
Copy !req
467. Not legally, no.
Copy !req
468. But, uh... when I came
up positive four years ago
Copy !req
469. I told the chief of surgery.
Copy !req
470. First, they sent
me to Gerontology.
Copy !req
471. Wouldn't let me do
anything but take B.P.'s.
Copy !req
472. When that didn't
work, they stuck me
Copy !req
473. down in Pathology
working nights.
Copy !req
474. After six months of that
Copy !req
475. I-I finally quit.
Copy !req
476. I'd been there for eight years.
Copy !req
477. There's a real good clinic
Copy !req
478. up in Highland Park.
Copy !req
479. It's a long drive,
Copy !req
480. but it would be a lot safer.
Copy !req
481. I'm sorry if I'm scaring you.
Copy !req
482. Matthew.
Copy !req
483. I'm Matt Hyams.
Copy !req
484. What's your name?
Copy !req
485. Maybe I should
give you an alias.
Copy !req
486. Jeanie Boulet.
Copy !req
487. Get out of here, Jeanie.
Copy !req
488. Don't ever come back.
Copy !req
489. Uh... yeah. This is
Dr. Benton over at county.
Copy !req
490. Uh-huh. Um... you have
the results of an AIDS test
Copy !req
491. for a patient of mine.
Copy !req
492. Yeah, I-I-I know it's late.
Copy !req
493. Look, I don't want the patient
Copy !req
494. to have to agonize
over this thing
Copy !req
495. over the weekend, okay?
Copy !req
496. Uh, I-I'd really appreciate it.
Copy !req
497. The patient's name is Benjamin.
Copy !req
498. Peter Benjamin.
Copy !req
499. Yeah, thanks. Thanks.
Copy !req
500. Yeah. Yeah, I'm still here.
Copy !req
501. Okay. Uh...
Copy !req
502. Thank you.
Copy !req
503. Yeah, uh...
Copy !req
504. Thank you.
Copy !req
505. Dr. Benton, I'm all caught up
Copy !req
506. and my night shift doesn't start
Copy !req
507. for another half hour,
Copy !req
508. so should I get
something to eat?
Copy !req
509. Take ten minutes,
then find Melvoin
Copy !req
510. for the hand-off.
Copy !req
511. Ten minutes.
Copy !req
512. That's more than
you'll usually get.
Copy !req
513. Are you going to
be with me tonight?
Copy !req
514. No.
Copy !req
515. Karubian's the resident on-call.
Copy !req
516. You okay, Dr. Benton?
Copy !req
517. Yeah.
Copy !req
518. I'm fine, Carter.
Copy !req
519. You going to the picnic?
Copy !req
520. What, are you kidding?
Copy !req
521. Last year, six at
bats, 15 R.B.I.S.
Copy !req
522. I love to play the pedes unit.
Copy !req
523. We're playing
paramedics this year.
Copy !req
524. The firemen? Really?
Who set that up?
Copy !req
525. It was either that
or the Orthopods.
Copy !req
526. Looked rough either way.
Copy !req
527. Ortho's got two ex-all Americans
Copy !req
528. and one retired minor
league shortstop.
Copy !req
529. If y'all are going to the picnic
Copy !req
530. pick up some more
chicken and ribs.
Copy !req
531. Carol, Darcy
called. Her kid's sick.
Copy !req
532. She can't work tonight.
Copy !req
533. Oh. Anybody want
to pull a double?
Copy !req
534. On the Fourth of July?
Copy !req
535. Oh, come on, guys. Please.
Copy !req
536. Somebody?
Copy !req
537. Guys, I'm playing right field.
Copy !req
538. Ooh. It's tough being boss, huh?
Copy !req
539. You could always quit again.
Copy !req
540. I can cover for a few hours
Copy !req
541. if you come back by 10:00.
Copy !req
542. Thank you, Lily.
Copy !req
543. Where's everybody going?
Copy !req
544. Barbecue and softball
game over at Grant Park.
Copy !req
545. Everybody's going?
I'm coming back.
Copy !req
546. Bring me back some barbecue.
Copy !req
547. Anything else, Doctor?
Copy !req
548. Yeah. Chicken, no dark meat.
Copy !req
549. Beans if they're not too sweet
Copy !req
550. and coleslaw, lots of coleslaw.
Copy !req
551. Carter is getting
a little uppity.
Copy !req
552. Really.
Copy !req
553. He may need a little
midnight potty training.
Copy !req
554. I'd be delighted.
Copy !req
555. Carter.
Copy !req
556. Last day, huh?
Copy !req
557. My vacation begins
Copy !req
558. in 14 minutes and 24 seconds.
Copy !req
559. I set my watch.
Copy !req
560. Fourth of July.
Copy !req
561. You're in for a treat tonight.
Copy !req
562. Knife and Gun club
Copy !req
563. should really get going later.
Copy !req
564. Where are we going?
Copy !req
565. Surgical wards.
Copy !req
566. Why?
Copy !req
567. You're covering them tonight.
Copy !req
568. I thought I was
covering the E.R.
Copy !req
569. Well, that, too,
and the S.I.C.U.
Copy !req
570. O.R. Prep, if the
resident needs you,
Copy !req
571. trauma team, pre-op
and all the surgical admits.
Copy !req
572. Hey...
Copy !req
573. Hey!
Copy !req
574. Look what the cat dragged in.
Copy !req
575. You've got a good
turnout here. Damn.
Copy !req
576. Yeah, you know this
neighborhood, Peter.
Copy !req
577. Mention free food and
beer, and they come running.
Copy !req
578. I'm glad you came.
Copy !req
579. What do you mean? I
said I was going to come.
Copy !req
580. I figured you were lying,
Copy !req
581. like always.
Copy !req
582. What are you
Copy !req
583. so happy about?
Copy !req
584. I'm just happy.
Copy !req
585. I can't be happy?
Copy !req
586. Now, you knew she was coming
Copy !req
587. didn't you?
Copy !req
588. That's why you showed up.
Copy !req
589. Jackie, how many
times I got to tell you
Copy !req
590. we're just friends, all right?
Copy !req
591. Okay, okay, all right.
Copy !req
592. Can I get you
something to drink?
Copy !req
593. Uh, yeah. Some, uh, some juice.
Copy !req
594. Give me that one.
Copy !req
595. I know what I'm doing.
Copy !req
596. Hey, man, what's up,
doc? You come to save me?
Copy !req
597. This crazy woman thinks
she knows how to grill.
Copy !req
598. Get out of here.
Copy !req
599. Bald-headed men don't
know how to barbecue.
Copy !req
600. She's just mad
because I'm big, black,
Copy !req
601. bald, beautiful,
barbecue-cooking man.
Copy !req
602. I'm going to go in and get
some chicken and links, okay?
Copy !req
603. I'll be right back.
Copy !req
604. All right, Walter.
Copy !req
605. I want my place back!
Copy !req
606. How you doing?
Copy !req
607. Pass me that plate over there.
Copy !req
608. You look good.
Copy !req
609. You don't come around
the restaurant no more.
Copy !req
610. You know, I, um...
Copy !req
611. I gave up meat.
Copy !req
612. You know, I heard
that about you.
Copy !req
613. I did.
Copy !req
614. All those long hours
you been working, I bet.
Copy !req
615. Yeah. It keeps me
pretty busy, you know?
Copy !req
616. That's a shame.
Copy !req
617. No time for old friends.
Copy !req
618. Well, you know, I, uh...
Copy !req
619. I get an hour here and there.
Copy !req
620. Well, it only takes
an hour, Peter.
Copy !req
621. Or don't you remember?
Copy !req
622. Oh, man.
Copy !req
623. Jeanie. Hi.
Copy !req
624. Hi.
Copy !req
625. How are you feeling?
Copy !req
626. I'm fine.
Copy !req
627. How's your husband?
Copy !req
628. He's doing all right.
Copy !req
629. Good. That's great.
Copy !req
630. Yeah.
Copy !req
631. Uh, did...
Copy !req
632. Uh, did you ever get that test?
Copy !req
633. Yes.
Copy !req
634. It was negative.
Copy !req
635. Oh, that's great.
Copy !req
636. Mm-hmm.
Copy !req
637. I won't keep you any longer.
Copy !req
638. I'm glad the news was good.
Copy !req
639. Let's go, Jer. Put a lock
Copy !req
640. on the ball.
Copy !req
641. Safe!
Copy !req
642. Who told Jerry to pitch?
Copy !req
643. 17-3. Let's go.
Copy !req
644. Okay, why don't we just forfeit
Copy !req
645. so we can go get
back to drinking?
Copy !req
646. Jerry, come on!
Copy !req
647. 17-3. We're still in it.
Copy !req
648. Come on, let's go!
Copy !req
649. 17-3. We're still in this.
Copy !req
650. Jerry, come on!
Copy !req
651. Oh, we're in it.
Copy !req
652. I got it! I got it! I got it!
Copy !req
653. I got it! I got it!
Copy !req
654. All right, that's a
momentum swing.
Copy !req
655. This is our inning. Let's go!
Copy !req
656. Hi.
Copy !req
657. Hey.
Copy !req
658. You playing?
Copy !req
659. I don't know.
Copy !req
660. I just got off of work.
Copy !req
661. It seems like my guys
Copy !req
662. are doing okay without me.
Copy !req
663. Uh, your guys are
kicking our butts.
Copy !req
664. You left your boom
box at my house.
Copy !req
665. I got a new one.
Copy !req
666. Hey, my old one still have
Copy !req
667. my Best of Conway
Twitty tape in it?
Copy !req
668. If it did, I would
have burned it.
Copy !req
669. What happened to my beer?
Copy !req
670. Vicki Pastroni, this
is Carol Hathaway.
Copy !req
671. She's the head
nurse down at county.
Copy !req
672. Nice to meet you.
Copy !req
673. Oh.
Copy !req
674. Looks like Greene's going to try
Copy !req
675. to make a game of this one.
Copy !req
676. Maybe I better go warm up.
Copy !req
677. Hey.
Copy !req
678. You all right?
Copy !req
679. Yeah.
Copy !req
680. Fireworks!
Copy !req
681. Wow!
Copy !req
682. Whoa! Oh, I love fireworks!
Copy !req
683. Ah. Me too.
Copy !req
684. God, they're beautiful.
Copy !req
685. If we're all here
Copy !req
686. who's at work?
Copy !req
687. I don't know.
Copy !req
688. I don't care.
Copy !req
689. Tachycardiac at 180.
Copy !req
690. Get that o-neg
on a rapid infuser.
Copy !req
691. Step up here, Dr. Carter!
Copy !req
692. He's arrested.
Copy !req
693. Thoracotomy tray.
Copy !req
694. Make the incision deep and fast.
Copy !req
695. Spreader.
Copy !req
696. Vascular clamp.
Copy !req
697. Dr. Carter?
Copy !req
698. I'm up. I'm up.
Copy !req
699. What?
Copy !req
700. Mrs. Nupica's temp's up to 100.
Copy !req
701. Can we give her Tylenol?
Copy !req
702. How long have I been asleep?
Copy !req
703. About ten minutes. The Tylenol?
Copy !req
704. Yeah. Great.
Copy !req
705. Two?
Copy !req
706. Two. Right.
Copy !req
707. Dr. Carter?
Copy !req
708. Mm-hmm?
Copy !req
709. Can we give
Mr. Sifkin a little toast?
Copy !req
710. He's asking for
something to eat.
Copy !req
711. Sifkin?
Copy !req
712. Leg lac.
Copy !req
713. Yeah, yeah, yeah, right.
Copy !req
714. Toast okay?
Copy !req
715. Toast, oatmeal,
prime rib, whatever.
Copy !req
716. Thank you, Doctor.
Copy !req
717. Toast?
Copy !req
718. God.
Copy !req
719. Dr. Carter?
Copy !req
720. Mm-hmm?
Copy !req
721. Do you want a stool culture
Copy !req
722. on Mrs. Haney?
Copy !req
723. She's got diarrhea.
Copy !req
724. Haney. That's
Weaver's patient, right?
Copy !req
725. Yes.
Copy !req
726. What does she say?
Copy !req
727. She's upstairs getting coffee.
Copy !req
728. What would you normally do?
Copy !req
729. Not bother.
Copy !req
730. Let's not bother then, okay?
Copy !req
731. Thank you, doctor.
Copy !req
732. Haleh, is it always like this
Copy !req
733. when somebody's
trying to get a little sleep?
Copy !req
734. I wouldn't know, Doctor.
Copy !req
735. Nurses aren't allowed
to sleep on shift.
Copy !req
736. Should I beep him again?
Copy !req
737. Only if he doesn't come out.
Copy !req
738. Ah, bingo!
Copy !req
739. Cops are bringing in a drunk.
Copy !req
740. Fell through a
plate glass window.
Copy !req
741. Yeah, well, find a bed.
Copy !req
742. This guy's growing roots.
Copy !req
743. Resident's sleeping.
Copy !req
744. Claims he doesn't
have space upstairs
Copy !req
745. because he doesn't
want to work anybody up.
Copy !req
746. Good morning, Dr. Carter.
Copy !req
747. Get any sleep?
Copy !req
748. Somebody beep me?
Copy !req
749. E-ray?
Copy !req
750. No. Maybe another floor.
Copy !req
751. Really? 6195.
Copy !req
752. 6195. That's the E.R., Isn't it?
Copy !req
753. Yes, but I didn't page you.
Copy !req
754. Must have been
some kind of mistake.
Copy !req
755. They can make your life easy
or they can make it miserable.
Copy !req
756. Whatever you did, I suggest
you apologize immediately.
Copy !req
757. I didn't do anything.
Copy !req
758. Apologize anyway.
Copy !req
759. Police are bringing in a drunk.
Copy !req
760. Went through a
plate glass window.
Copy !req
761. What? What?
Copy !req
762. Busting windows with his fist.
Copy !req
763. Trying to bust a display
window at the Gap,
Copy !req
764. but couldn't do it,
Copy !req
765. so he runs straight at it
from across the street.
Copy !req
766. Boom! Went right through.
Copy !req
767. We found him in
women's underwear.
Copy !req
768. I'm okay. I'm okay.
Copy !req
769. Hey!
Copy !req
770. Someone want to help me out?
Copy !req
771. No! No!
Copy !req
772. Hold on. Hold on. Wait.
Copy !req
773. He's not on yet.
Copy !req
774. I got him. I got him.
Copy !req
775. All right, clean it up.
Copy !req
776. Check his Tetanus, and
prepare him for suturing...
Copy !req
777. Lots of suturing.
Copy !req
778. That should take
the rest of the night.
Copy !req
779. Dr. Carter, Connie, I need you.
Copy !req
780. Malik, let me know
when he's ready.
Copy !req
781. Elderly man, found down.
Copy !req
782. Vomiting blood.
Copy !req
783. B.P. 100/70.
Copy !req
784. Pulse is thready at 145.
Copy !req
785. Two I.V.'s in the field.
Copy !req
786. He's kind of yellow.
Copy !req
787. Don't we know this guy?
Copy !req
788. Jim... he's a regular,
alcoholic, cirrhosis, seizures.
Copy !req
789. Oh, yeah, he's drunk.
Copy !req
790. Okay, let's move him.
Copy !req
791. Gently now.
Copy !req
792. One... two... three.
Copy !req
793. He's got a big scalp lac.
Copy !req
794. We found him in the gutter.
Copy !req
795. He may have hit his
head when he fell.
Copy !req
796. Whoo! What's that smell?
Copy !req
797. Code brown in the
shorts. Lots of blood, too.
Copy !req
798. C.B.C., type and
cross, four units.
Copy !req
799. Coag panel.
Copy !req
800. Dr. Carter, help us
with an N.G., please.
Copy !req
801. Hang a banana bag, wide open.
Copy !req
802. I'm ready for you, Dr. Carter.
Copy !req
803. Hold still, sir.
Copy !req
804. What's the surgical
plan, Dr. Carter?
Copy !req
805. Transfuse and take him
to the GI lab for endoscopy.
Copy !req
806. Cauterize the bleeding sites.
Copy !req
807. Sounds right to me.
Copy !req
808. Dr. Carter, did you hear me?
Copy !req
809. Damn it, Malik, I said
I'll be there as soon
Copy !req
810. as I can all right?
Copy !req
811. God!
Copy !req
812. Sure.
Copy !req
813. Take your time.
Copy !req
814. Multiple burn
victims on their way.
Copy !req
815. Set up one
Copy !req
816. and alert plastics.
Copy !req
817. I'll be right there.
Copy !req
818. Don't look at us.
Copy !req
819. We're working here.
Copy !req
820. Tube's in.
Copy !req
821. What's 1019?
Copy !req
822. Surgical I.C.U.
Copy !req
823. Yes. This is John Carter.
Copy !req
824. You just paged me?
Copy !req
825. How many days since the surgery?
Copy !req
826. All right, I'll be right up.
Copy !req
827. Post-op, day two.
Copy !req
828. Triple-A repair.
Copy !req
829. Guy's desatting.
Copy !req
830. Don't be gone long, doctor.
Copy !req
831. We're getting buried down here.
Copy !req
832. Can I help you?
Copy !req
833. I'm Dr. Carter.
Copy !req
834. 66-year-old male.
Copy !req
835. Abdominal aneurysm
repair two days ago.
Copy !req
836. Dropped his crit.
Copy !req
837. I don't know if he's leaking
Copy !req
838. or if he's hemodiluted.
Copy !req
839. What do you think?
Copy !req
840. Well, I hope he's
not bleeding out.
Copy !req
841. What should we do,
transfuse or diurese?
Copy !req
842. That's why I called you.
Copy !req
843. What's his crit?
Copy !req
844. 30. It was 33 an hour ago.
Copy !req
845. The senior resident,
he's asleep?
Copy !req
846. Mm-hmm.
Copy !req
847. What time does
he usually get up?
Copy !req
848. Some time after 5:00.
Copy !req
849. That's two hours.
Copy !req
850. Two hours.
Copy !req
851. Do you want to wait and
see how low his crit goes?
Copy !req
852. If I don't transfuse
and he's bleeding out,
Copy !req
853. he's going to go into shock,
and if I diurese and I'm wrong,
Copy !req
854. then he's going to
go into renal failure,
Copy !req
855. right?
Copy !req
856. It's the E.R. 911.
Copy !req
857. Where's Dr. Karubian sleeping?
Copy !req
858. Dr. Karubian?
Copy !req
859. This better be important
Copy !req
860. or you'll be draining
rectal abscesses
Copy !req
861. for the rest of your
surgical residency.
Copy !req
862. Post-op, day two.
Copy !req
863. Aneurysm repair.
Copy !req
864. Crit's 30. Sat's down to 90.
Copy !req
865. Is he on oxygen?
Copy !req
866. Nasal cannula. Yes, sir.
Copy !req
867. Try a mask.
Copy !req
868. Check his crit
again in half an hour.
Copy !req
869. Yes, sir. Thank
you. Thank you, sir.
Copy !req
870. It's Carter, right?
Copy !req
871. Yes. Right, sir. Yeah.
Copy !req
872. All right. Shut up,
Carter, and close the door.
Copy !req
873. 15 liters oxygen by mask
Copy !req
874. and call me in half an hour.
Copy !req
875. What's going on?
Copy !req
876. Third-degree burns.
Copy !req
877. Kid was playing with
fireworks in his apartment.
Copy !req
878. Sofa caught on fire.
Copy !req
879. Pulse ox is 65 on 100% O2.
Copy !req
880. Dr. Carter, nice
of you to join us.
Copy !req
881. Where the hell you been?
Copy !req
882. I was up in the S.I.C.U.
Copy !req
883. Acute pulmonary edema.
Copy !req
884. Six E.T. tube, Versed.
Copy !req
885. Guy next door's in trouble.
Copy !req
886. Go. Go.
Copy !req
887. When I page you 911
Copy !req
888. I want you out of breath
Copy !req
889. when you show up down here.
Copy !req
890. What's going on?
Copy !req
891. He's taching at 200.
Copy !req
892. What? No palpable BP.
Copy !req
893. Looks like S.V.T.
Copy !req
894. That's cardiovert, right?
Copy !req
895. How much?
Copy !req
896. I'd start at 50.
Copy !req
897. Hit the synch switch.
Copy !req
898. All right, everybody, off.
Copy !req
899. 100. Off!
Copy !req
900. Okay. Okay.
Copy !req
901. Okay, sinus?
Copy !req
902. B.P. 70 palp. Dopamine?
Copy !req
903. Do you want dopamine?
Copy !req
904. I don't know, I don't know!
Copy !req
905. Somebody call a doctor.
Copy !req
906. You are the doctor.
Copy !req
907. Yeah. Yeah, uh...
Copy !req
908. right, right. Dopamine.
Copy !req
909. Titrate to a...
Copy !req
910. systolic of 100.
Copy !req
911. I can do this. I can do this.
Copy !req
912. He's not breathing,
so we have to intubate.
Copy !req
913. 7.5 now.
Copy !req
914. I.V.'s blown.
Copy !req
915. That's okay. In a minute.
Copy !req
916. In a minute. I got it.
Copy !req
917. All right, let me get in there.
Copy !req
918. Hey.
Copy !req
919. Need any help in here?
Copy !req
920. Little early, aren't you?
Copy !req
921. Yeah, well I couldn't
get any sleep.
Copy !req
922. Figured you could use a hand.
Copy !req
923. Yeah, get a third line started.
Copy !req
924. I.V.'s blown.
Copy !req
925. Okay, bag him.
Copy !req
926. What's wrong with this guy?
Copy !req
927. Known alcoholic, G.I. bleed
Copy !req
928. history of cirrhosis.
Copy !req
929. Possible subdural hematoma.
Copy !req
930. I had to cardiovert.
Copy !req
931. You're kidding.
Copy !req
932. No. Zapped him twice,
Copy !req
933. got him back, then
he goes apneic on me
Copy !req
934. and I had to tube him.
Copy !req
935. On your first night?
Copy !req
936. I haven't even told you
Copy !req
937. about the guy who
desatted up in the S.I.C.U.
Copy !req
938. Benton's breakfast starts
in a couple of minutes.
Copy !req
939. Last ones.
Copy !req
940. Breakfast... right.
Copy !req
941. After this year,
Copy !req
942. I'll associate
omelets and oatmeal
Copy !req
943. with a deep sense of
personal inadequacy.
Copy !req
944. How many sutures
have we put in this guy?
Copy !req
945. I've lost count. Hundreds.
Copy !req
946. At least.
Copy !req
947. How you holding up?
Copy !req
948. Okay.
Copy !req
949. I'm really tired.
Copy !req
950. I can look on the
bright side, though.
Copy !req
951. I'm off in only 13 hours.
Copy !req
952. Whew.
Copy !req
953. I'm on tonight.
Copy !req
954. Thanks for coming in to help.
Copy !req
955. It's no problem.
Copy !req
956. Well, that's it.
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957. We're done.
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958. Well, then, guess it's time
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959. for our early
morning humiliation.
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960. Benton's breakfast it is.
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961. Just in time too.
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962. I was starting to feel
too good about myself.
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963. Hi.
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964. Hey.
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965. Did you get your test back?
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966. Uh...
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967. Yeah.
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968. It was negative.
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969. That's good. That's good.
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970. Yeah.
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971. I'm glad.
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972. Have you told anyone yet?
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973. About my test? No.
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974. About me.
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975. No.
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976. Good. I don't want you to.
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977. Uh... I've decided not
to tell anyone about it.
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978. Is that what Greene
told you to do?
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979. No. It's a personal decision
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980. and I'd appreciate
it if you'd honor it.
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981. Jeanie...
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982. Are you asking
me to lie for you?
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983. I'm not asking you to lie.
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984. I'm asking you to
keep your mouth shut.
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985. But I don't know
if I can do that.
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986. Fine. Thanks for
all your support.
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987. Hey, hey, hey. Jeanie,
come here, come here.
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988. Come here.
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989. So, what?
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990. Do you plan to
keep on practicing?
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991. I don't know what the hell I'm
doing, Peter. I just don't want
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992. my personal life spread
all over the hospital.
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993. Is that asking too much?
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994. I don't know, Jeanie.
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995. Right.
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996. Look, Jeanie, I'm...
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997. We really need to
formalize chart review.
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998. Why would we want to do that?
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999. Quality assurance.
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1000. The residents can't
improve their diagnostic skills
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1001. without monitoring and feedback.
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1002. Our residents' diagnostic skills
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1003. are pretty terrific the
way they are, Kerry.
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1004. They don't need
more supervision.
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1005. They need more vacation.
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1006. Good morning, everybody.
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1007. Mark, it was just a suggestion.
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1008. We can discuss it in depth
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1009. at the Tuesday
Attendings meeting.
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1010. What Tuesday Attendings meeting?
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1011. Memo in your box.
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1012. Mark, what's up with this board?
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1013. Is it going to stay
like this forever?
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1014. No, it's not.
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1015. Come on, Jerry.
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1016. Let's put the patients'
last names back up here,
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1017. and let's list their
complaints in English, please.
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1018. Yes, I promise I'll
give him the message.
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1019. I will.
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1020. Okay, bye.
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1021. Bye now. Bye-bye.
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1022. Ross in yet?
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1023. That girl called again.
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1024. What girl?
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1025. Every five minutes.
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1026. She's driving me crazy.
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1027. You crazy, Randy?
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1028. We can't have that.
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1029. Gretchen... she's
called 50 times.
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1030. It's not even 7:00 a.m.
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1031. Thank you.
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1032. Call her back. I'm
not your secretary.
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1033. I've got a lot of work to do.
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1034. Another stewardess? No.
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1035. Cocktail waitress?
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1036. Hat-check girl?
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1037. You all think you
know me so well.
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1038. Yes, that's because we do.
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1039. Gretchen's a mergers
and acquisitions specialist
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1040. at First National.
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1041. She went to Smith and Yale law.
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1042. She's a Rhodes scholar.
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1043. Smith. Wow.
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1044. Most of the women you
date can't even spell Smith.
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1045. I'm shocked.
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1046. Yeah, well, I'm
full of surprises.
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1047. Hey, when do we get to
meet this renaissance woman?
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1048. Uh...
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1049. a Rhodes scholar?
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1050. Carter have a nice
night? Oh, yeah.
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1051. Boy will fetch, heel,
roll over and play dead
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1052. if you ask him to.
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1053. Doughnuts. Lydia, donut?
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1054. I bought them for the nurses.
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1055. Chocolate. Why,
thank you, doctor.
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1056. Carter, come.
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1057. I need you.
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1058. Doughnut, Dr. Benton?
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1059. Dr. Karubian told me that
you woke him last night
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1060. asking him how to
work an oxygen mask.
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1061. It was a little bit more
complicated than that.
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1062. Carter, where's your tie?
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1063. Long story.
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1064. Uh-uh. No time for that.
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1065. Five flights?
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1066. I hope you had
plenty of rest last night.
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1067. Doug.
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1068. Gretchen, what
are you doing here?
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1069. Hey, I've been
calling you all morning.
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1070. Well, I've been busy.
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1071. They're doing inventory
at the store today
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1072. so I was hoping we
could have lunch.
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1073. Today, I can't. I'm sorry.
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1074. Um, uh...
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1075. but, uh... listen.
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1076. I've got to get back
to my patients, okay?
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1077. So, why don't you
come over later?
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1078. I don't want to come over later.
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1079. I want to meet your friends
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1080. go to dinner, go see a movie.
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1081. Okay, Gretchen, listen to
me. All that is going to happen
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1082. but right now, I've
got to get back to work.
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1083. When, Doug? When will it happen?
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1084. Tonight, we're going to go to
dinner, 7:00. I'll pick you up, all right?
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1085. Yeah?
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1086. Yeah. You pick the place, okay?
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1087. Okay.
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1088. Okay. But I now have
to go to work, okay?
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1089. Okay.
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1090. Okay, all right. I'll see you.
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1091. 7:00?
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1092. Yep, 7:00.
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1093. Gretchen?
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1094. No. She's just somebody
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1095. that I haven't seen
in a... in a long time.
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1096. Jerry, don't you have
some work to do?
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1097. Hi. This is Gretchen.
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1098. At the tone, leave your name,
number and message. Thanks.
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1099. Gretchen, hi. It's Doug.
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1100. Listen, you just left here.
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1101. Uh, I'm sorry.
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1102. I just realized I can't have
dinner with you tonight.
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1103. Uh, I'm swamped,
and I just forgot.
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1104. Uh, I'm sorry.
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1105. Uh... I'll talk to you in
a couple of days, okay?
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1106. Bye-bye.
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1107. Carter.
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1108. Uh, someone left some sparklers
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1109. in the trauma room.
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1110. You want them?
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1111. I heard you caught
another central line.
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1112. Any trouble?
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1113. No. I hit it the first time.
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1114. Yeah. That's the way it is.
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1115. You know, sometimes,
you can't find them.
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1116. Other times, they
are right there.
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1117. I haven't seen one of
these since I was a kid.
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1118. That's...
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1119. It's me, it's me, it's me.
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1120. You're a very popular guy.
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1121. It's the E.R.
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1122. I'll go check it out.
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1123. Get some more fresh air.
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1124. Thanks.
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1125. Carter, how much
longer are you on?
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1126. Two hours.
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1127. You're going to make it.
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