1. Previously on ER...
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2. I told you I was pregnant weeks ago.
Then nothing.
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3. - Perform an embolectomy?
- You seem to know what you're doing.
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4. I think we should start
sleeping together.
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5. Why didn't you tell me I could be
a lawyer, pilot or astronaut?
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6. You wanted to be an astronaut?
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7. - Why doesn't she stay with me?
- How will you do that and work?
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8. Am I gonna be late again?
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9. No. And starting today,
we're both gonna be on time.
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10. - Who's picking me up?
- Tina's mom.
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11. You'll play there,
and I'll pick you up after dinner.
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12. - I hate Tina.
- Don't say that. She likes you.
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13. No, she doesn't.
Her mom's just doing you a favor.
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14. That's not true.
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15. - I'm sure the bell just rang.
- I hate going in late.
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16. I'm sorry, sweetheart.
This is the last time. I swear.
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17. I can't wait till Mommy gets back.
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18. Have a nice day.
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19. - Can I help you?
- I'm looking for Carla Reece.
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20. - She went home last night.
- Thank you.
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21. What are you doing?
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22. I was just going over
Carla Reece's discharge summary.
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23. - That's confidential.
- Yeah, I know.
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24. Dr. Coburn...
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25. - I'm the child's father.
- She told me.
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26. It's still confidential,
and you know it.
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27. Why did you order
a glucose-tolerance test?
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28. - I won't answer that question.
- Does she have diabetes?
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29. Goodbye, doctor.
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30. Diabetes can cause
heart problems, metabolic problems.
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31. I have a right to know.
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32. If you wanna know what's up with your
child, you should ask the mother.
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33. - I thought I'd find you here.
- Here I am.
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34. It's supposed to be a great weekend.
It'll get up in the 70s.
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35. - Damn it.
- You're in a good mood.
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36. I was doing fine until
I got my blood-test results.
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37. - My viral load's up to 1000.
- 1000 is not significant.
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38. - It is to me. Perfect timing.
- What do you mean?
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39. It's Al's and my anniversary.
Would've been nine years.
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40. Talk about the gift
that keeps on giving.
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41. You had the flu last week.
That's why your viral load went up.
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42. In two weeks, it'll be undetectable.
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43. - Think so?
- Yeah, and I'm the expert.
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44. And we should rechristen
this date in history.
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45. I propose April 17 be the anniversary
of our first weekend getaway.
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46. Keep talking.
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47. How does a suite at Indian Lake
Resort sound?
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48. Great restaurants, massages in the
room. Leave tonight. Back Sunday.
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49. - Sounds nice.
- It will be. I promise.
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50. Hey, stop worrying, okay?
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51. Come on, don't lie.
You did not buy this car.
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52. - Boxster, dude. I'm leasing it.
- How?
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53. To afford it,
you need to make doctor ducats.
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54. - Just call me Dr. Markovic.
- Okay, doc.
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55. - Attending meeting started?
- Anspaugh's looking for you.
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56. Don't bother.
It ended five minutes ago. Cat Woman?
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57. Rachel left it. I should call
the school to make sure they feed her.
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58. - We need to talk.
- Sorry about the meeting.
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59. The Search Committee received your
application for the teaching job...
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60. along with Kerry Weaver's.
- Wasn't she going for research?
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61. Teaching job's her fallback.
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62. Now, between us,
you're the better candidate.
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63. Kerry's intellect is superior, but she
doesn't have your people skills.
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64. The hitch is, you haven't published.
Kerry has written seven articles.
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65. Two in the Annals.
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66. You have to find an interesting case
and write it up...
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67. to show the committee
you're not illiterate.
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68. - A case.
- And soon.
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69. I went out on a limb to back you.
Don't make me look like an idiot.
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70. Damn it. Damn it. Damn it!
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71. Carol? What are you doing?
What is this?
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72. You're reading
Harrison's Interna/ Medicine?
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73. I'm checking the rate of oxygenated
metabolism in hypothyroidism.
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74. - This is important to you?
- It was on the medical-board exam.
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75. I put "above normal."
The answer's "below normal."
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76. Every day I think of another question.
I look it up, and I got it wrong.
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77. - I'm sure you did fine.
- No, Doug.
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78. I've looked up 30 questions,
and I missed them all.
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79. - I did not do fine.
- Okay, you're right.
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80. You do things for people, doctors
don't even think about doing.
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81. This guy in the hall needs a cleanup.
He did a major Code Brown.
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82. You're right. I wipe butts.
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83. And take orders
from 25-year-old interns.
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84. Whose the jockey on Goosebumps?
Is that turf or dirt?
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85. What's the conditions at the track?
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86. Easy.
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87. Listen, put me down for a double pop,
Goosebumps to win.
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88. You want any action?
I got the lowdown on the miler.
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89. - You a gambler?
- Investor. If I wanna gamble...
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90. I play the stock market.
This is scientific. What about it?
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91. - No, thanks.
- Your loss. Doc?
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92. - Sure. Put me down for five bucks.
- Five bucks! A high roller.
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93. - You've been vomiting since yesterday?
- I think my cat gave me the flu.
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94. We'll run a few tests.
Let's get an x-ray of his abdomen.
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95. - Can I keep my hat on?
- Sure. Why?
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96. It's my thing. Once I make a bet,
I keep the hat on till the payoff.
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97. Scientific.
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98. Einstein wore brown socks for luck.
Now, who am I to argue with that?
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99. Jeanie, some guy dropped
this off for you.
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100. - Who?
- Your ex-husband, I think.
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101. - When?
- He just left.
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102. - AI.
- Hi. I see you got the flowers.
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103. - What's this about?
- Nothing.
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104. It's our anniversary, and I was
thinking like it says on the card.
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105. - It's inappropriate.
- It's no big deal.
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106. I don't wanna celebrate a marriage
that always was a disaster.
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107. - I didn't mean to upset you.
- Here.
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108. No. Keep them.
Give them to a patient or something.
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109. - Oh, God!
- Blinnder, 55, acute abdominal pain.
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110. - It's like my stomach's exploding.
- BP 100 over 70. Pulse 90.
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111. - I need surgery.
- Draw usual labs, amylase, LFTs.
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112. - Call a Surgical consult.
- Looks like a railroad yard.
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113. - I see you're no stranger to surgery.
- I've had five operations.
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114. - They never find anything.
- All of these for the same problem?
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115. It comes back.
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116. You ever suffer the loss
of sensation in arms and legs?
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117. - Yes. Yes, I do.
- Cancel the surgery.
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118. - Why? What's going on?
- A rare condition called porphyria.
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119. It's often misdiagnosed as surgical,
but it's a metabolic disease.
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120. She had five operations
she didn't need?
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121. This could be perfect
to write up for the journals.
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122. - Let's get a CBC and lytes.
- What's happening?
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123. Don't worry.
We'll get to the bottom of this.
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124. - Excuse me. A little help!
- Malik, get a gurney.
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125. I found her outside Grayson's
Cemetery, sitting there bleeding.
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126. - These your belts?
- All we had for a tourniquet.
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127. - How much blood has she lost?
- Not sure. The car was dark inside.
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128. Let's get her into Trauma.
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129. Take the belts off.
See if she has an arterial bleed.
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130. - No spurting on the side.
- Pulse below the cut?
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131. - Must have used a dull knife.
- Something ugly's going on.
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132. - Think she swallowed something?
- See any containers? Poisons?
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133. We just scooped and ran. No I.D.
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134. - Go back and check her car.
- Ewald tube and activated charcoal.
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135. We gotta pump her out.
Could you hold her head?
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136. Here it is.
"Unexplained abdominal crisis.
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137. Symptoms include absence of fever."
What's her temp?
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138. - Normal.
- Good. Porphobilinogen in the urine.
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139. Will you write this up
in the Annals?
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140. The New England Journa/
and The New York Times.
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141. Who knows how many needless
surgeries are done in such cases?
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142. - "The Hidden Tragedy."
- Absolutely no operation.
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143. - But I want an operation.
- Mrs. Blinnder, you don't understand.
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144. You don't need surgery.
You have porphyria.
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145. No. She is Psych. She enjoys
having surgery done on her.
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146. She's convinced five doctors
to cut her. She likes it.
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147. It's a lie. I do need surgery.
Oh, God. The pain.
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148. - Call Psych. Have them bring the net.
- And cancel The New York Times?
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149. Hey, Carla. It's Peter.
Are you there?
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150. When you get this, give me a call
either at the hospital or home...
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151. or page me. 555-0197, okay?
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152. I hope you get this,
and I hope you call. Bye.
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153. - What is it, Carter?
- I got a 68-year-old guy...
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154. with abdominal pain,
no focal tenderness, bowel edema...
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155. no acute obstruction and a history
of peripheral vascular disease.
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156. - I'd like to get an angiogram.
- Hand it off to Dixon.
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157. - We have to cover the wards.
- I'd rather stick with him.
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158. His temp's up. He's looking gray.
He could get lost in the shuffle.
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159. Stick with him. If he needs surgery,
Anspaugh's on call.
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160. - Heart rate's 40.
- Get two more atropine.
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161. Get stomach content
to lab for analysis.
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162. - Cops found pill vials in her car.
- What kind?
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163. - 3TC, ritonavir, AZT.
- She OD'd on her AIDS pills?
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164. There's more. Valium, desipramine,
Prozac and a jar with some mixture...
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165. smells like Sterno.
- She made sure.
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166. - What's the name?
- Suzanne Alner.
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167. See if she has a chart.
Tube's coming out.
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168. - Washcloth, please.
- Bicarb for that tricyclic...
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169. Romazicon for the benzos.
Narcan to cover the narcotics.
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170. If she's positive for methanol,
we need to dialyze.
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171. - And the AIDS pills?
- Don't know.
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172. I'll call Greg Fischer.
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173. Why would you want to
hurt yourself like this?
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174. We're talking 200 horses,
0 to 60 in 6.1 seconds.
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175. - ER.
- Yeah, I'll let you drive it.
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176. Jerry, someone from Cryogen Lab
is calling for Dr. Markovic.
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177. Let me call you back.
Hello? Yeah, speaking.
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178. Monday at 4:30 would be fine.
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179. - Isn't Cryogen Lab that sperm bank?
- Yeah.
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180. Are you representing yourself
as a doctor trying to sell your sperm?
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181. - Let's keep it down.
- That's reprehensible.
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182. What's in a title? Women pay top
dollar for the seed of a tall man...
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183. with an IQ of 150.
- Who took the test for you?
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184. - I took it.
- Your IQ isn't 150. Mine's only 145.
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185. Should I apologize
because I'm smarter than you?
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186. What?
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187. I'm gonna get an IQ test from Psych.
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188. If you don't score 150, I'll blow
the whistle on you Dr. Markovic.
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189. Tech brought these down.
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190. - She's positive for methanol?
- Yes. Dialysis is on the way.
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191. Pumping and charcoal
is all you can do for the HIV pills.
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192. Cops found pictures
of a little girl in her car.
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193. Her daughter?
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194. Pharmacy has her living in a motel.
I called. They say she lived alone.
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195. - She's got a wedding ring.
- Did you find an old chart?
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196. - Kid looks familiar. Last name?
- Patient's last name is Alner.
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197. - Suzanne.
- Where am I?
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198. - In the hospital.
- Oh, no.
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199. - Should we call someone? Husband?
- No.
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200. We found these pictures in your car.
Is she your daughter?
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201. - Where is she?
- I killed her.
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202. - How're you feeling, Mr. Bartok?
- Like after my second heart attack.
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203. What you're having is a lot like it,
except to your gut.
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204. This artery brings blood
into your small intestines.
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205. - It's completely blocked off.
- Sounds serious.
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206. - It's very serious.
- Can you fix it?
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207. Yeah. We need to get you
into surgery right away.
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208. What if we don't?
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209. - You'll be dead in 72 hours.
- Cripes!
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210. Relax. Chief of staff is on call.
You'll get the best care in Chicago.
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211. Let's take him to Pre-op,
and stat page Dr. Anspaugh.
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212. Where's my phone?
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213. It's around here somewhere.
You shouldn't call your bookie now.
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214. - I want to talk to my daughter.
- Yeah. Sure.
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215. The doctor ordered
a painkiller injection.
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216. - Take your best shot.
- Marine?
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217. - Master gunnery sergeant, 22 years.
- This might sting a little.
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218. I think I can handle it.
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219. - Carol, what are you doing?
- You ordered 30 mgs of keterolac.
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220. - He needs it IV.
- You didn't say that.
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221. He's got kidney stones and COPD.
He needs to be hydrated.
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222. - I'll start an IV.
- Sorry, we got to stick you again.
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223. What's another needle.
At Fort Bragg...
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224. my drill instructor hammered
my air-assault wings into my chest.
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225. - Heard about that on the news.
- Sounds awful.
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226. Proudest day of my life. If the
journalists left my corps alone...
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227. Caught me off guard there, cookie.
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228. Peanut butter and jelly.
And a plain doughnut.
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229. - Rachel forgot her lunch.
- Maybe it was on purpose.
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230. - I'm new at this.
- How's it going.
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231. It's great. I love having her around.
We haven't got the routines yet...
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232. but she seems happy.
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233. - I hear you have a Psych case for me.
- Yeah. Curtain Area 3.
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234. This lady has
a predilection for operations.
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235. She's had five surgeries,
all completely unnecessary.
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236. - Not Ida Blinnder?
- Is she one of yours?
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237. Total fruitcake.
Did you leave her alone?
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238. - Why?
- When she's rejected from surgery...
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239. she likes to force the issue.
She eats things: Batteries, pens...
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240. Then they have to be
surgically removed.
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241. Ida, what have you been doing?
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242. Oh, no. Haleh, did you take
all the instruments off this tray?
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243. - This was full when I left.
- Ida, did you swallow anything?
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244. Okay.
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245. - Excuse me, is Dr. Coburn around?
- She's at the clinic.
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246. - Wanna leave a message?
- No. Maybe you can help me.
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247. The ultrasound tape for Carla Reece.
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248. We only keep them a week or so
before they get recycled. Let's see.
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249. You're in luck.
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250. You're a surgeon, right?
Is she a surgical patient?
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251. - How's she doing?
- BP's down. Breathing's labored.
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252. - She's not responding to anything.
- Guess what I found?
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253. The chart on the girl. Katie Alner.
Roger. Suzanne.
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254. The girl in the picture.
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255. Father brought her in last year
for recurrent ear infection and flu.
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256. - I ran a CD4. She had AIDS.
- From her mother?
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257. Yeah. Girl died last month.
AIDS-related pneumonia.
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258. - So that's what she meant.
- So sad.
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259. - Her ex-husband is on his way.
- Soon I hope.
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260. His celiac is shot.
White count's 18,000.
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261. - Correct.
- He's had two Mls...
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262. peripheral vascular disease.
CO-214, fever 102, BP's 90?
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263. I thought we should get him
to O.R. Right away.
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264. He's going into shock. We open him up,
he won't get off the table.
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265. - Turf him to ICU.
- Wait. You're not gonna take him?
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266. - He's septic and grossly unstable.
- He's infarcting his bowel.
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267. - He won't get better in the ICU.
- It's his only shot.
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268. Doesn't he have a better shot
if we operate?
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269. There's nothing we can do for him.
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270. We operate,
all we get is a mortality statistic.
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271. I'm a surgeon,
not an executioner.
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272. Let's go, doc. I'm dying here.
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273. Mr. Bartok, Dr. Anspaugh feels that
you won't survive this surgery.
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274. - What does that mean?
- It means we'll move you to ICU.
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275. - The Intensive Care Unit.
- I don't understand.
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276. You said if I don't get the surgery
right away, I'm through.
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277. - That's true.
- So? What? Are you writing me off?
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278. - Send me to die like some animal?
- I am sorry.
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279. You're sorry.
What the hell is that?
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280. You told me I'd get the best care
in the city, for God's sake!
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281. Should I call transport
to come get him?
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282. You gave me your word.
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283. No, keep him here. Give him dopamine.
10 micrograms per minute.
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284. Let me have that.
I'll be right back.
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285. - Holy cow!
- Sorry.
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286. - Mother!
- Damn it! I'm sorry.
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287. - What are you doing?
- Blood gas, but he's a hard stick.
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288. - I take that as a compliment.
- I'll get an attending.
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289. No, I got it.
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290. Kerry, you should help Doyle.
She's using a patient as a pincushion.
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291. - Judas Priest!
- Sorry.
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292. - Gotta learn sometime.
- Why can't nurses do blood gases?
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293. As if we wouldn't do
a better job than her.
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294. - Sounds like she's got it.
- Holy Shih Tzu!
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295. I'd say his chances of surviving
an anastomosis is slim to none.
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296. His collaterals
may still be profusing his bowel.
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297. - I doubt it.
- His BP is up.
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298. - He's not a good risk.
- Dr. Hicks.
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299. Mr. Bartok knows he might not wake up.
He wants everything done...
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300. and I think we should
at least try to save his life.
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301. If we get in and out quickly,
then maybe.
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302. - That's all he wants.
- All right, let's take him.
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303. - Good news. You're going to Surgery.
- Thanks.
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304. My pen.
I was wondering where I left it.
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305. Scissors, tweezers.
She should be in the circus.
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306. It's all in her stomach. With a rat's
tooth and a scope, I can grab it.
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307. Looks like she's back
to being an ER case.
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308. "Woman Swallows Medical Instruments."
The journals would love this.
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309. - Didn't know you were into publishing.
- The fast track. Publish or perish.
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310. - She's throwing PVCs.
- Tricyclics, they're cardiotoxic.
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311. - Whose talking?
- My name is Jeanie.
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312. - Where are you?
- Can't you see me?
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313. No.
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314. You're experiencing blindness
because of the methanol you ingested.
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315. - Papilledema?
- Yeah.
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316. - Suzanne?
- Yeah?
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317. - Roger is on his way.
- My Roger?
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318. Yeah.
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319. No. God.
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320. What will they say?
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321. I don't know.
Is there anything you wanna tell him?
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322. That I'm sorry.
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323. Then that's what you should say.
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324. - Dr. Ross.
- Jerry! It's a test, not a survey.
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325. Doug, got a minute?
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326. These kids were going to the prom
when she had a gallstone attack.
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327. - No big deal. I've had them for years.
- Starting early. It's barely 2:00.
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328. We had a pre-prom party.
Betsy's folks are out of town.
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329. - Why would you tell him that?
- He's a doctor.
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330. - I just need antibiotics.
- Let me check you out first.
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331. - Let's go to Exam 1.
- Now let me do the talking.
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332. - Excuse me, Mr. Alner?
- Yes.
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333. - Do you want to see her?
- I can see her.
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334. - She's dying.
- Yes.
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335. - Is she in pain?
- Some.
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336. Good.
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337. She cheated on me.
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338. Got herself infected with AIDS,
and gave it to our baby.
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339. I've been waiting for this
for a long time.
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340. Retract the omentum.
Let's see what we've got.
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341. - Is that gangrene?
- From the proximal jejunum...
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342. to the transverse colon. If we go
forward, we'll be here for hours.
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343. - He won't have any small bowel left.
- I think it's worth a shot.
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344. What is it, Carter?
He owes you money?
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345. All right, let's go. Hemostat and
a couple of Scudders for the bowel.
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346. - What's going on in here?
- What's the problem?
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347. I rejected this patient
as a poor surgical risk.
Copy !req
348. - Didn't Carter tell you that?
- No, he didn't.
Copy !req
349. I got a 23-year jump on you.
You trying to outflank me?
Copy !req
350. What makes you think
your judgment is superior to mine?
Copy !req
351. - I don't. I thought the patient...
- This has nothing to do with him!
Copy !req
352. In the practice of medicine,
interns do not make end runs...
Copy !req
353. on the chief of staff! I want you
in my office at 5:00 sharp...
Copy !req
354. to discuss your future as
a surgeon. If you have any hope...
Copy !req
355. of continuing in this program,
you'll explain your actions...
Copy !req
356. with the appropriate degree
of contrition and respect...
Copy !req
357. and the assurance that nothing
like this will ever happen again.
Copy !req
358. - Dr. Hicks.
- Scrub out, Carter.
Copy !req
359. - Sign so we can get back our property.
- No! I want surgery.
Copy !req
360. Have you ever had
an endoscopy before?
Copy !req
361. I don't think you know
what you're missing.
Copy !req
362. Endoscopy is an extremely traumatic
and invasive procedure.
Copy !req
363. I have to stick this tube
with a camera down your throat...
Copy !req
364. root around and grab
the items you've swallowed...
Copy !req
365. and yank them up to your gullet.
Copy !req
366. The best thing is,
you'll be conscious the whole time.
Copy !req
367. - You mean, I can watch?
- In living color.
Copy !req
368. They called from Rachel's school.
You need to pick her up now.
Copy !req
369. - Someone else was supposed to.
- They didn't.
Copy !req
370. - You wanna talk to them?
- No. I'll...
Copy !req
371. Tell them I'm on my way.
Copy !req
372. I'll be back in 45 minutes.
Don't leave her alone.
Copy !req
373. And don't let anybody else
do the endoscopy.
Copy !req
374. - Whose your wife's doctor?
- Janet Coburn.
Copy !req
375. - Why are you here?
- You're the expert on fetal anomalies.
Copy !req
376. Since Carla has diabetes,
I wanted you to take a look.
Copy !req
377. I can tell you right now,
he looks fine.
Copy !req
378. - No cardiac abnormalities?
- No.
Copy !req
379. - Macrosomia?
- No. How's Janet managing your wife?
Copy !req
380. - Through diet or insulin injections?
- I'm not sure.
Copy !req
381. You don't know
how your wife's being managed?
Copy !req
382. - Actually, we're not married.
- But you talk to her, one would hope.
Copy !req
383. - Well, we had a little falling out.
- I see.
Copy !req
384. I don't know you...
Copy !req
385. and I'm getting the feeling
I'm doing something I shouldn't be.
Copy !req
386. And I'm starting to resent it.
Copy !req
387. Bad news. Your gallbladder's
gotta come out right away.
Copy !req
388. - First thing tomorrow?
- Right away.
Copy !req
389. - I paid $400 for that dress.
- Sorry. You're in real trouble here.
Copy !req
390. - Listen to him, Bets.
- Shut up, Jeffrey.
Copy !req
391. - I'll come back right after the prom.
- No, you'll get septic and die...
Copy !req
392. by the end of the night.
- I'll risk it.
Copy !req
393. - Give me antibiotics.
- You're going to Surgery.
Copy !req
394. Oh, no. I'm 18. I know my rights.
Copy !req
395. I'm walking out of here, and you
can't do squat. Jeffrey, my dress.
Copy !req
396. - You'll be back by 10?
- They crown the king and queen at 10.
Copy !req
397. - 10:30 then.
- I could leave at 10:30.
Copy !req
398. - Where's the prom?
- The Drake.
Copy !req
399. - That's halfway across town. 10:00.
- Forget it. Jeffrey, zip me.
Copy !req
400. Let's go.
Copy !req
401. Hang on. Wait. I've got an idea.
Copy !req
402. - Mr. Greene.
- Hi. Sorry about the mix-up.
Copy !req
403. - It happens.
- Where's Rach?
Copy !req
404. In the library. Got a minute?
I'd like to talk to you.
Copy !req
405. - Sure.
- I just wanna know if there's...
Copy !req
406. anything you need to be careful
about with Rachel these days.
Copy !req
407. - Restricted physical activities, diet?
- Why?
Copy !req
408. - Because of her leukemia.
- Rachel doesn't have leukemia.
Copy !req
409. - Where did you get that?
- Rachel.
Copy !req
410. She told some classmates
she's sick and not expected to live.
Copy !req
411. Why would she say
something like that?
Copy !req
412. She's been having problems socially.
You heard about the fight?
Copy !req
413. It was with one of
the more popular girls.
Copy !req
414. Since then,
she's been playing by herself.
Copy !req
415. Feigning an illness I'm sure
was just a way to get attention.
Copy !req
416. - Hey, Rach. Ready to go?
- Are we going home?
Copy !req
417. - I wish. Gotta go to the hospital.
- You can do your math homework.
Copy !req
418. - Big whoop!
- That's no way to talk to her.
Copy !req
419. - We'll see you tomorrow.
- Say goodbye.
Copy !req
420. - Bye.
- Bye-bye.
Copy !req
421. - What's the story?
- Keeled over while playing cards.
Copy !req
422. Must have gotten a bad hand.
One, two, three.
Copy !req
423. - BP's 80 over 50, heart rate's 130.
- You didn't start an IV?
Copy !req
424. - Blew two on the ride. Veins are shot.
- Try a stick on the hand.
Copy !req
425. - I'm hearing rales.
- 3-plus pitting edema.
Copy !req
426. - He's got congestive heart failure.
- Prep Lasix and dopamine.
Copy !req
427. We need to get the fluid off
his lungs. How's that IV coming?
Copy !req
428. - Forget it. His skin's like paper.
- I'll do a central line. I need a kit.
Copy !req
429. - Any Attending around?
- Greene left and Weaver's in Radiology.
Copy !req
430. - Betadine, please.
- Page Weaver and call Surgery.
Copy !req
431. - We need help with the central line.
- Cancel that. I've got it.
Copy !req
432. Give me an 8 French.
Copy !req
433. - Surgeons put in lines all the time.
- I said I got it.
Copy !req
434. - BP's down to 60.
- Standing by with dopamine.
Copy !req
435. - How long is it gonna be?
- Wanna help? Grab him a pillow.
Copy !req
436. I'm calling Surgery.
Copy !req
437. Line's in. Run the dopamine,
400 in 250. Titrate the BP to 90.
Copy !req
438. Hold the Lasix
until his pressure is back.
Copy !req
439. The ambulance takes you to the dance
and picks you up at 10:00.
Copy !req
440. - Take that.
- 10:15.
Copy !req
441. 10:00. No dancing around, keep that
IV in, nothing too wild. All right?
Copy !req
442. - Don't worry.
- And for her:
Copy !req
443. No food, alcohol or smoking.
Make sure she's back by 10:30.
Copy !req
444. - Not a minute later.
- You can count on me.
Copy !req
445. Bye. Have fun. Be good.
Copy !req
446. Close the door.
Copy !req
447. I have never seen
as devious, underhanded...
Copy !req
448. and self-destructive
a maneuver as you pulled.
Copy !req
449. What the hell were you thinking?
Copy !req
450. I thought the patient
deserved a chance.
Copy !req
451. I questioned his assessment that
the patient wasn't fit for surgery.
Copy !req
452. If I were a patient,
I would like a second opinion.
Copy !req
453. You led me to believe
that mine was the only opinion.
Copy !req
454. If I'd known,
it's unlikely I would've proceeded.
Copy !req
455. And not without consulting
Dr. Anspaugh first.
Copy !req
456. Before we decide whether or not
to terminate your Residency...
Copy !req
457. do you have anything to say?
- Yes.
Copy !req
458. I apologize...
Copy !req
459. for not being more forceful in
making my case when we spoke.
Copy !req
460. And to you for not telling
about Anspaugh's assessment.
Copy !req
461. I still believe we owed this patient
a chance in saving his life.
Copy !req
462. - I'm glad we gave it to him.
- Anything else?
Copy !req
463. - I have a question.
- What?
Copy !req
464. Did Mr. Bartok survive the surgery?
Copy !req
465. Yes, he did.
Copy !req
466. Labs are back.
BUN is 45. Creatine is 3.5.
Copy !req
467. - He's a renal failure.
- Anyone page Weaver?
Copy !req
468. - I did.
- BP's 50.
Copy !req
469. We gotta increase his output.
Prep some Vasotec.
Copy !req
470. - Ace inhibitors to a renal failure?
- Gotta get his heart pumping.
Copy !req
471. - Give him 1.25.
- It'll shut his kidneys down.
Copy !req
472. Improving cardiac output will help
his renal failure. Give the Vasotec.
Copy !req
473. - Here are the contraindications.
- I can read.
Copy !req
474. - We must get it pumping.
- It's a mistake.
Copy !req
475. - Load the Vasotec.
- What's going on?
Copy !req
476. He's in congestive heart
and renal failure. BP's crashing.
Copy !req
477. I've ordered 1.25 of Vasotec, but I
can't convince the nurses to do it.
Copy !req
478. - Give him Vasotec to start his heart.
- What about his kidneys?
Copy !req
479. Gotta get the heart going first.
Copy !req
480. Where is she? Why didn't you tell me?
Copy !req
481. - Still hanging on?
- She's delirious.
Copy !req
482. From organophosphates, methanol,
tricyclics. Take your pick.
Copy !req
483. - BP's falling. She's shocky.
- Better get Kerry.
Copy !req
484. Looks like impending respiratory
failure. You may need to intubate.
Copy !req
485. Roger, is that you?
Copy !req
486. She's blind from the methanol.
Copy !req
487. - Roger, I'm sorry.
- She thinks you're her husband.
Copy !req
488. Roger, I'm sorry. Forgive me.
Copy !req
489. - Roger's not here.
- Please forgive me, Roger.
Copy !req
490. Please. Please, Roger.
Please forgive me.
Copy !req
491. - Just say it.
- What?
Copy !req
492. - Tell her you forgive her.
- Please. Please.
Copy !req
493. - It's not my place to do that.
- Just say it. Greg, say it.
Copy !req
494. - Just say it.
- Please.
Copy !req
495. - It's okay.
- What's her rate?
Copy !req
496. - One-forty.
- Let's tube her.
Copy !req
497. Roger!
Copy !req
498. Hold her.
Copy !req
499. - Hold her.
- It's okay, sweetheart.
Copy !req
500. It's okay, sweetheart. It's okay.
Copy !req
501. Since the test was multiple choice
with a possible five answers...
Copy !req
502. you could guess randomly
and score 20 percent. You got 15.
Copy !req
503. - Your days as a sperm donor are over.
- But I was nervous.
Copy !req
504. - I don't perform under pressure.
- You wanna call, or should I?
Copy !req
505. - Kerry, I'm back on.
- Hey, Rachel.
Copy !req
506. Mark.
Copy !req
507. Mrs. Blinnder was complaining
of abdominal pains.
Copy !req
508. I had to scope out her stomach.
I believe this is yours.
Copy !req
509. Thank you.
Copy !req
510. I thought we could coauthor an
article and send it to the journals.
Copy !req
511. I've even got a title:
"The Woman Who Ate the ER."
Copy !req
512. Great.
Copy !req
513. 57, 58, 59, 60, 61...
Copy !req
514. - What's your problem? The attitude.
- Excuse me?
Copy !req
515. - What do you mean?
- You second-guess me.
Copy !req
516. - What is going on?
- Nothing's going on.
Copy !req
517. Don't ever disregard my orders
like you did in that trauma.
Copy !req
518. I may be younger, but I am the doctor...
Copy !req
519. and you are the nurse.
Keep that straight.
Copy !req
520. Sweetheart, you gotta do your
homework before you watch TV.
Copy !req
521. - I don't wanna.
- Those are the rules.
Copy !req
522. - Can you help me?
- I gotta help some sick people.
Copy !req
523. You're always taking
care of sick people.
Copy !req
524. Rach.
Copy !req
525. Mrs. Hilderbrand said you told
friends you were sick. Is that true?
Copy !req
526. - They're not my friends.
- You want them to be nice to you?
Copy !req
527. Quality Assurance would like you
to finish these charts by 6.
Copy !req
528. Just leave them.
Copy !req
529. People won't like you
because you're sick.
Copy !req
530. You help people who are sick.
Copy !req
531. You don't have to be sick
for me to love you.
Copy !req
532. I love you more than anything
in the world. You know that.
Copy !req
533. - Dr. Anspaugh is on the phone.
- I'll call him back.
Copy !req
534. - No, wait. I gotta take this.
- Please, Daddy!
Copy !req
535. Rachel, I have to do this, okay?
We'll talk more when we get home.
Copy !req
536. I'm sorry. I wasn't comfortable
pretending to be her husband.
Copy !req
537. You don't have to apologize.
Copy !req
538. It's getting late. If you're still up
for the lake, we have to leave soon.
Copy !req
539. - I don't think so.
- Because of what happened with her?
Copy !req
540. No. I don't know.
Copy !req
541. - I guess I'm not ready.
- Okay.
Copy !req
542. No problem. If...
Copy !req
543. Call me if you wanna
get together this weekend.
Copy !req
544. - How did it go?
- Not bad.
Copy !req
545. We removed most
of your small intestine.
Copy !req
546. You won't be able
to eat salt food again.
Copy !req
547. - Can I drink?
- Yeah, actually.
Copy !req
548. - Smoke?
- If you must.
Copy !req
549. I'll be fine.
Copy !req
550. Your daughter is flying in tonight.
Copy !req
551. - Goosebumps.
- You want me to get you a blanket?
Copy !req
552. Goosebumps, our horse.
How did she do?
Copy !req
553. Oh, I don't know.
Copy !req
554. Never mind.
Copy !req
555. - Would you call the morgue?
- I already did.
Copy !req
556. - Who put those here?
- I did. I found them in the trash.
Copy !req
557. Yes, this is Dr. McGrath speaking.
Copy !req
558. - Tuesday at 3 would be splendid.
- Go for it, dude.
Copy !req
559. - Who's there?
- Hey, it's me. Peter.
Copy !req
560. - Peter who?
- Very funny, Carla.
Copy !req
561. What do you want, Peter?
Copy !req
562. - I wanna know how you're both doing.
- We're fine. See you.
Copy !req
563. Carla!
Copy !req
564. I know things haven't
been right between us.
Copy !req
565. But I'm here,
and I'm trying to do the right thing.
Copy !req
566. I wanna support you through this.
I wanna be a father to my kid.
Copy !req
567. Carla. Excuse me,
could you hold that door, please?
Copy !req
568. Thank you.
Copy !req
569. Come by Saturday morning. I could
use some help around the house.
Copy !req
570. All right, I'll be here.
Copy !req
571. - Hey.
- Hey. You know what I hate?
Copy !req
572. - Maggie Doyle?
- No, not her. Just that she's right.
Copy !req
573. - She's younger than me.
- Yes, you're right. She is.
Copy !req
574. We grew up in the same neighborhood,
and I gotta take orders from her.
Copy !req
575. - You're very competitive.
- I can't help it.
Copy !req
576. She got through medical school,
and I can't even get through the door.
Copy !req
577. - You can get through my door.
- Anything in a bra can do that.
Copy !req
578. No, I've reformed. Ask anyone.
Copy !req
579. All right, kids. Right on time.
Copy !req
580. She wanted to see the Best Dressed
Contest, but I said, "No, Bets.
Copy !req
581. - Your surgery is more important."
- Good man, Jeff.
Copy !req
582. Thanks, Dr. Ross.
This was the best night of my life.
Copy !req
583. Me too.
Copy !req
584. - I gotta go.
- Good night.
Copy !req
585. Rach, come on. It's time to go home.
Copy !req
586. - I'm tired.
- I know. It's late.
Copy !req
587. - Can you carry me?
- Yeah. Sure. Grab on.
Copy !req
588. We got a great case,
a guy with Takayasu's arteritis...
Copy !req
589. on a dual-chamber pacemaker.
Make a good article.
Copy !req
590. Tell Kerry to take it.
I'm going home.
Copy !req
591. Carter, you're on probation,
but you're still in the program.
Copy !req
592. - Thank you.
- Thank Anspaugh. I wanted you out.
Copy !req
593. John Carter's not a law unto himself.
I hope you've learned that.
Copy !req
594. You won't get another chance.
Copy !req
595. - Hi.
- Hi.
Copy !req
596. - Can I come in?
- Sure, come in.
Copy !req
597. - I was just finishing dinner. Hungry?
- No, thanks.
Copy !req
598. So...
Copy !req
599. you haven't been here.
What do you think?
Copy !req
600. Honestly, I'm glad I got the house.
Copy !req
601. - I'm sorry about this morning.
- You did a nice thing. I was rude.
Copy !req
602. I'm the one who should apologize.
Copy !req
603. It's okay.
Copy !req
604. You don't really think
our marriage was a disaster...
Copy !req
605. from start till finish, do you?
Copy !req
606. We had a good beginning.
Copy !req
607. - The middle wasn't bad.
- Yeah, we had a pretty good middle.
Copy !req
608. The end was my fault.
Copy !req
609. The more I think about it,
I don't blame you for hating me.
Copy !req
610. I don't hate you.
Copy !req
611. I don't wanna be angry anymore.
I don't wanna be that kind of person.
Copy !req
612. I never meant to hurt you.
Copy !req
613. Hey...
Copy !req
614. Come on. No tears, okay?
Because I'll start going.
Copy !req
615. I've missed you.
Copy !req
616. I miss you.
Copy !req