1. Previously on ER...
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2. Rejoice, lost man!
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3. Chaos is your destiny!
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4. You scare this baby,
he won't come out.
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5. Two of the best transplant
surgeons let us look...
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6. over their shoulders,
and you just leave?
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7. Is that a problem?
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8. - Okay, I'll stay on the couch.
- Me too.
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9. - I'm looking for a head doctor.
- Which one?
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10. Bald white guy, little glasses?
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11. Great! Just walk away!
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12. Is Dr. Benton done
with that thyroidectomy?
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13. So he's still in there?
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14. - Dr. Benton.
- Carter, what are you doing here?
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15. Let's get an ABG in 20 minutes.
I thought you were covering the ER.
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16. I'm on in a few.
We need to talk.
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17. Make it fast. I've got two
admissions, a clinic and an aneurysm.
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18. I've been thinking about
that kidney case...
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19. when I left to check on the
patients during the debriefing.
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20. Instead of listening to two of the
finest surgeons in the country?
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21. I guess so.
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22. And I've just been wondering.
Maybe I'm in the wrong place.
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23. If you're still here
in two minutes, you are.
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24. I mean surgery. Obviously, I love it,
and I feel challenged by it.
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25. But are you ever not quite satisfied?
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26. Carter, sometimes the patient dies.
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27. - I know. But otherwise.
- Otherwise what?
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28. Well, it just feels like sometimes
they exist for us to do procedures.
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29. That's why they're here.
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30. We don't need to know anything about
them? Like how worried they are...
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31. or where they went to high school
or whether they like cats or dogs?
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32. What are you talking about?
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33. I like to know the other stuff.
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34. What for? I mean, if you...
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35. Damn!
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36. Listen, we'll talk later.
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37. It was at least 50 questions
about my family background.
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38. Nothing like the head of Security
to make you feel insecure.
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39. He almost withheld my ID because I
didn't know my stepmom's maiden name.
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40. He didn't cut you slack
on that picture either.
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41. You'd think I was trying to enter
the White House.
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42. Which is easier. I've done it.
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43. - Can you get these over to Radiology?
- Now?
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44. Unless you're doing something urgent
that I can't quite see. Go.
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45. Dr. Ross, Pedes called.
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46. You're covering deliveries
for John Lavagnino. Broken kneecap.
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47. All right.
Good morning to you.
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48. Not for Anna. She just had her
security clearance interview.
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49. Did you get strip-searched?
Checked for track marks?
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50. Practically.
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51. They're cracking down
because of what happened to Mark.
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52. - He starts back today?
- I wish he'd take another week.
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53. Let's make sure we keep his load
light for the first few days.
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54. I want him helping me plan Carol's
surprise birthday party.
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55. - Doug!
- Happy birthday, Carol.
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56. I got vomiting and diarrhea in 4.
Happy birthday.
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57. And I'm taking the quadruple
bounce-back migraine in 5.
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58. Nothing like a little drug-seeking
behavior to start your day.
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59. You promised you wouldn't tell
anybody about my birthday.
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60. - That was last year.
- You told everybody then too.
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61. At least I'm consistent.
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62. All right, coffee...
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63. can wait.
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64. What's this?
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65. It's a coffeepot.
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66. That is not a coffeepot.
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67. - It's called a French press.
- No more aluminum percolator?
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68. We're gonna have great coffee.
Which can wait.
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69. - What's that?
- The microwave.
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70. - I'm heating up some cinnamon buns.
- The microwave.
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71. - I always wanted a microwave.
- I know.
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72. You wouldn't let me get one.
You said it broke down the vitamins.
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73. I know. I'm sorry. I was wrong.
Come back over here.
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74. This is nice.
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75. I mean, this is really nice.
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76. - What happened?
- It's getting close, 9 centimeters.
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77. - I'm all right.
- She failed tocolysis.
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78. Her contractions are strong.
They went from 4 to 9 in no time.
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79. Why didn't you call me?
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80. Last time they gave me that stuff,
and it was fine.
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81. - Couldn't you have done something else?
- This baby's coming.
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82. It's coming?
Two months early?
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83. - I know that.
- You should've called me.
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84. I just did, hoping you'd want
to participate in the birth.
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85. If that's what you'd like to do,
I suggest you gown up.
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86. - Dr. Greene, right? How are you?
- I'm fine, thank you. Who are you?
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87. Anna Del Amico. We met last week.
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88. We didn't actually meet.
I was there when you were attacked.
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89. - In the men's room?
- In the Trauma Room afterwards.
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90. I don't remember either room,
so I don't remember you either.
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91. I start my Emergency Residency
in July.
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92. I'm doing ER Pedes until then.
That was my first day.
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93. I'm sorry it had to be so exciting.
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94. I'm just glad you're okay.
So welcome back.
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95. Thank you.
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96. Where is everybody?
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97. - What you doing here?
- Getting back to work.
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98. Doug and Carol are bringing in an MVA.
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99. - Hey, how are you doing?
- Welcome back.
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100. Nice to be back.
What do we got?
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101. - Bicycle versus tour bus.
- Don't worry. We got it.
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102. Just take it easy.
Settle in. Nice and easy.
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103. Here we go!
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104. Dr. Greene! You look great.
OB needs you for that delivery.
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105. Find Dr. Del Amico. See if she
can take it. I'll talk to you later.
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106. - She's at the desk.
- Who?
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107. - Dr. Del Amico. She's at the desk.
- Oh, right. Thanks.
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108. - Help me shift her down.
- Breathe, Carla.
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109. Come on, baby.
You can do it.
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110. - How much mag you give her?
- Six grams.
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111. I gave three an hour until
she hit 4 centimeters.
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112. Dorgan, scalp electrode.
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113. Keep breathing.
You're doing great.
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114. Dorgan? What kind of name is that?
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115. Irish, through and through.
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116. We've experience
having a lot of babies.
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117. Is she at risk for chorioamnionitis?
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118. Come on, breathe!
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119. Don't yell at me, damn it!
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120. - You give her antenatal steroids?
- Twelve milligrams betamethasone.
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121. And her blood sugar?
She's got gestational diabetes.
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122. You're doing great.
Hang in there.
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123. Not much longer.
You'll be able to push soon.
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124. What about a second dose?
This baby's gonna have RDS!
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125. What is RDS?
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126. It's okay. It just means the baby's
lungs haven't matured yet.
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127. - What?
- It's okay.
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128. Hold her hand! Help her breathe!
Help her focus!
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129. That's your only job here.
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130. Get over there and help
the mother of your child.
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131. There'll be two additional
security cameras here.
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132. - And two at the employees' entrance.
- Right.
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133. The ambulance-bay doors will be
changed to bulletproof glass...
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134. which we'll also add
to Triage.
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135. The hospital agreed to additional
armed security in your waiting room.
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136. And the bathrooms?
Any cameras in there?
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137. Unfortunately, privacy issues
won't allow us to do that.
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138. My assailant's privacy would've
definitely been violated.
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139. We can only do what we can do.
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140. Thank you, Mr. Biggers.
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141. It's nice to see you,
but what are you doing here?
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142. Working.
It's nice to see you too, Chuny.
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143. These additional security measures
may not help, but they can't hurt.
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144. Everyone's overreacting.
What we should change...
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145. is the way we deal with patients
and their families.
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146. - They're a pain in the ass.
- Your compassion knows no bounds.
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147. Detective Warrington called.
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148. Can't make it by till
later this afternoon.
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149. You think a patient or
family member did this?
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150. I think that gives them a good reason.
Look. Louise Pierson.
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151. Ankle x-ray. Three hours ago.
Where is it?
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152. Discharge orders written
almost 2 hours ago.
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153. Chart's still here,
so the guy's still here.
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154. Come on! Med-Surg admission,
5:30 this morning. Still here.
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155. Neuro consult,
ETA 7:15 this morning.
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156. Where are they?
We keep these people hanging around.
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157. I'd get pissed off enough
to clobber somebody.
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158. Before Records clobbers me,
I need you to sign off these charts.
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159. I got them.
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160. I'm fine.
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161. - Push! You're almost there!
- Come on. Keep going.
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162. - I'm Del Amico from Pedes.
- Janet Coburn.
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163. - I thought Ross was covering.
- He's got a teenager MVA.
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164. This is Carla Reece: Mother.
Peter Benton: Father.
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165. Hi. Just keep pushing so I
can take a look at your baby.
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166. - Mr. Benton, how are you doing?
- It's Dr. Benton, Surgical Resident.
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167. - You're new here?
- Yes, from Children's in Philadelphia.
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168. - Are you a Resident?
- Correct.
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169. How many deliveries did
you attend over there?
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170. I stopped counting around 200.
We've got a late decel here.
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171. - Carla's at 32 weeks.
- Any meconium?
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172. - Fluid's clear.
- Heart rate's dropping.
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173. - Where's the NICU nurse?
- On her way.
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174. - Down to 120.
- Why isn't he coming?
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175. - He's coming, baby.
- Let's get this baby out of here.
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176. - I need vacuum extraction.
- Why vacuum extraction?
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177. - We're at 100 here.
- That's why.
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178. - Number for Respiratory Therapy?
- Three-three-nine-four.
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179. I brought some stuff in today
because I knew you'd be starting back.
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180. What are you doing?
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181. I know you'll be
a little resistant to this...
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182. but you'll feel safer if you
carry something on you.
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183. What is this stuff?
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184. I've got cops in my family,
so I can get anything.
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185. Electronic stun gun, personal taser.
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186. - I don't think so.
- At least take the pepper spray.
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187. I appreciate it, really,
but it's not for me.
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188. I'm not suggesting you pack a gun,
although that's what I do.
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189. - You carry a gun?
- Under the front seat of my car.
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190. I was at the drive-in once,
waiting for fries...
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191. and this punk sticks a knife
in my face. He wants my wallet.
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192. So I reach under the seat,
grab the.357...
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193. stick it up his nose,
and could that kid run!
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194. - Dr. Greene, welcome back.
- Thanks.
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195. Listen, thanks, Maggie,
but I'll pass on the armaments.
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196. Are you in the ER all day?
Because I'll need your help.
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197. I don't have full mobility yet
for procedures.
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198. - What is all this stuff?
- I was trying to get Dr. Greene to...
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199. - Oh, my God!
- Sit down!
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200. Oh, my God! Maggie, help me!
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201. Just sit! Just sit!
I'll get a nurse!
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202. I'll be right back. Don't move.
Don't touch your eyes.
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203. That's it. Push! Push!
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204. - Come on. Breathe.
- We got him!
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205. It's okay, baby.
It's okay.
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206. Blue and floppy.
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207. Ready the liter.
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208. What is it? I can't hear him.
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209. - What's going on? What's wrong?
- DeLee suction.
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210. - Please tell me what's going on.
- I don't like his color.
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211. Come on, little guy.
Pick up for us. Let's go.
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212. - What's the Apgar?
- Zero for color.
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213. Peter, back off! Let her work!
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214. Muscle tone, zero. One for reflex.
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215. Two for heart rate.
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216. One-minute Apgar, 4 out of 10.
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217. You gotta do something!
Let's go!
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218. Tell me what's going on.
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219. It's okay, baby. It's okay.
They got him.
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220. - He's got retractions.
- I need to tube him.
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221. Two-point-five.
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222. Heart rate down. Eighty-five.
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223. Start compressions.
Draw.02 epi.
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224. Call the NICU.
Tell them we're on the way.
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225. I'm sorry.
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226. - I know it's not funny, but...
- No, it's funny.
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227. My whole life is just
one big funfest.
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228. Anspaugh hates me, Benton looks at me
like I'm some kind of an alien.
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229. Those things are in your favor.
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230. Right. Thank you.
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231. When you were thinking
about med school...
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232. you were willing to start over?
All that work?
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233. As opposed to the 6 more years
of Surgical Residency ahead of you?
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234. I see your point.
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235. - You back among the living?
- Absolutely.
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236. We've got an MVA coming in
six or seven minutes.
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237. It's not my place to say,
but he looks kind of bad.
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238. You okay there? I'm just going
to get everything ready for you.
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239. Be right back.
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240. Just hang in there.
You're almost there.
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241. What are we gonna do?
Have you seen him?
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242. I'll check on him as soon as
you're settled. Just take it easy.
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243. Just be a couple of more minutes.
Housekeeping hasn't finished.
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244. One, two, three.
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245. Rib?
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246. - We'll kick you out.
- I'm fine.
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247. Normal vital signs. Oxygen, 5 liters.
GCS, 11. Mind if I steal some saline?
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248. Help yourself.
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249. Pupils are equal and reactive.
No hemotympanum.
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250. Chest is clear.
Abdomen soft and flat.
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251. Pulse is 80. BP, 120 over 75.
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252. - What's his name?
- Harry Smith.
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253. Harry, can you hear me?
Do you know where you are?
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254. - Let's order something.
- CBC, Chem-7, type and screen.
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255. - You want to dip a urine?
- Get a C-spine, chest and pelvis.
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256. Police said it was a DUI?
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257. He was swerving on the Eisenhower,
going 35. He hit a light pole.
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258. - Get a blood alcohol level.
- No alcohol on his breath.
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259. Thanks for the supplies.
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260. Anytime!
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261. He's seizing!
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262. Get some Ativan, 2 mgs.
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263. Where's Tabash?
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264. He's with another patient.
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265. - What's he ordered?
- Everything.
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266. CBC, lytes, blood cultures, what?
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267. - Yes. All that.
- ABG, chest x-ray?
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268. - Yes.
- Dr. Benton.
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269. Your son is stable at the moment.
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270. What labs have you ordered?
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271. We've done a complete septic workup.
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272. I need to know exactly
what you've ordered.
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273. What labs, what antibiotics, what...
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274. Dr. Benton, your son's
heart rate is 170...
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275. and his pulse ox is 91
on 100 percent oxygen.
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276. We've taken a chest x-ray,
drawn blood for CBC, lytes and ABG...
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277. sent off blood, urine,
endotracheal aspirate and...
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278. spinal-fluid cultures and started
him on 100 milligrams of ampicillin...
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279. and 6 milligrams of gentamicin.
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280. He was hypotensive with
a blood pressure of 30/18...
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281. so he's received 5 percent
albumin, 10 cc's per kilo.
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282. And we've started dopamine,
5 mcgs per kilo per minute.
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283. And we'll titrate to a M.A.P. Of 40.
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284. Now, what you need to know.
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285. What you need to share
with this child's mother...
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286. is that at the moment, the baby
is stable but critically ill.
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287. Probably has a serious infection
in his blood.
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288. We don't know if his lungs can
provide enough oxygen to sustain life.
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289. Unfortunately, we have no choice
but to wait and see how he responds...
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290. to the present therapy.
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291. Let's see how he's doing in an hour.
And that's when we should talk again.
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292. What's your son's name?
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293. He doesn't have one.
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294. All right, I got some good news
and bad news.
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295. You're gonna tell me both.
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296. The bad news is, they're planning a
surprise birthday party for you.
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297. - You did this joke on me this morning.
- This one's real. I got invited.
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298. I'm not listening.
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299. The good news is, I know you hate your
birthday, so I got you out of it.
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300. I do not hate my birthday.
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301. So I told them you cannot make it...
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302. because you're having
dinner with me.
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303. I do not believe a word of this.
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304. How many people have wished you
happy birthday?
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305. Just Kerry, this morning.
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306. And how many people know
that it is your birthday?
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307. - You know theirs, right?
- We've worked together for years.
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308. What is the one reason why you don't
wish someone happy birthday...
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309. when it is their birthday?
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310. - They're planning a surprise party.
- That's all I'm saying.
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311. Why do I feel you've
trapped me into this?
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312. Trapped you? I saved you.
You should be buying me dinner.
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313. I'll pick you up anytime.
You name the place and...
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314. You got some gauze out here.
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315. I'm out of here as of an hour ago.
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316. Can you send that Carla Reece
chart up to OB, please?
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317. - Sure. I got it.
- Did you say Carla Reece?
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318. She just delivered her baby.
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319. - Carla?
- You know her?
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320. Not really. I remember her.
She came through the ER a month ago.
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321. She wasn't near being due.
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322. I know. The baby's only 32 weeks.
A little boy.
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323. - Was he okay?
- I don't know.
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324. He's in the NICU. Apgar was poor.
Had to intubate. It's touch-and-go.
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325. Is she doing all right?
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326. She had no other complications,
if that's what you mean.
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327. I don't know how many preemies
I've resuscitated...
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328. but I'm still not used to it.
See you tomorrow.
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329. See you.
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330. Is Maggie taking that woman
with the eye pain?
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331. No, I'm taking her.
I'm just heading in.
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332. Don't keep the patients waiting.
Dr. Greene's on a rampage about that.
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333. He'll settle back in.
He just needs a couple more days.
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334. - I keep missing you. How you doing?
- I'm fine. Feels good to be back.
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335. - Not too soon?
- It was nice having time with Rachel.
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336. But a week at home is about
all I could take.
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337. - Any word from the police?
- They're gonna come by this afternoon.
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338. I gave them a list of patients
and family members...
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339. who might have had a reason
to be that angry.
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340. The ones I could remember.
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341. - So you're okay with this?
- Yes and no.
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342. It hasn't been the most
pleasant experience...
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343. but it's a wake-up call.
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344. A reminder that I can be abrupt
with people, and it'll backfire.
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345. I don't know if that's...
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346. You've got a five-year-old
with a wrist fracture.
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347. A child in pain. Music to my ears.
Get some lunch later?
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348. I'm so sorry.
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349. The chest x-ray showed a diffuse,
patchy infiltrate...
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350. and the endotracheal aspirate...
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351. showed gram-negative bacteria.
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352. He's got pneumonia, sepsis,
premature lungs...
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353. Respiratory Distress Syndrome.
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354. They just gave him surfactant
to try to open up his lungs.
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355. How's Carla doing?
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356. She asked me to wait outside
in the hall.
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357. You probably haven't shared this
with anyone, have you?
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358. Your family, people you work with.
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359. You do have friends.
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360. A community.
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361. I hope everything will be all right.
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362. And you need to stop standing
in the hall.
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363. Just keep your hands at your sides.
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364. - It hurts!
- Yes, I think we know that.
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365. Pulse is 130. BP is 180 over 95.
Pre-op labs?
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366. You been taking a lot
of ibuprofen lately?
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367. About eight tablets a day.
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368. But that's because I twisted my knee,
not because of this stomachache.
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369. - You have a minute?
- Sure.
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370. Let's get an upright chest x-ray
and give 10 of morphine slow IV push.
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371. That'll help with your pain.
I'll be right back.
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372. I'm just checking.
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373. This is the groaning guy in Exam 2
that Dr. Greene was concerned about?
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374. He's concerned?
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375. He's worried the guy's waiting
too long for a Surgical consult.
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376. Mr. Lensky's got a board-like abdomen
and guarding in all four quadrants.
Copy !req
377. - A perfed ulcer?
- Sounds like it. I ordered a film.
Copy !req
378. Have Anspaugh check it out.
Copy !req
379. - Colles' fracture.
- Do a closed reduction?
Copy !req
380. His dad still too flipped
out to watch?
Copy !req
381. He's sacked out in Curtain 3,
having self-medicated with Valium.
Copy !req
382. That's helpful. Maybe we should
get a lollipop for Russell.
Copy !req
383. - Fentanyl Oralet?
- No. I'm out.
Copy !req
384. I'll have to order it.
It may take a while.
Copy !req
385. - We can try it without.
- All right.
Copy !req
386. I tell you what we're gonna do, buddy.
We're gonna...
Copy !req
387. - I'll get that lollipop.
- Get right on it.
Copy !req
388. I want to give it a little longer,
but the surfactant didn't do much.
Copy !req
389. He still requires 100 percent oxygen
with high pressures on the ventilator.
Copy !req
390. His mother's gonna want to know
everything that might happen.
Copy !req
391. Every parent in here
wants to know what might happen.
Copy !req
392. We just can't know for sure.
Copy !req
393. You know...
Copy !req
394. I did a Pedes Surgery elective
this year...
Copy !req
395. but I'm not up to speed
on all the sequelae.
Copy !req
396. Like retinopathy?
Copy !req
397. Exactly. Although, his eyesight
should be the least of our worries.
Copy !req
398. We need to be more concerned
about intraventricular hemorrhage...
Copy !req
399. periventricular leukomalacia,
necrotizing enterocolitis...
Copy !req
400. and in a few weeks,
bronchopulmonary dysplasia.
Copy !req
401. All right, what do we do?
Copy !req
402. I'm concerned about the high vent
pressure's causing lung damage.
Copy !req
403. So I want to switch him over to an
oscillating ventilator, and we wait.
Copy !req
404. - Dr. Greene, you got a second?
- What is it?
Copy !req
405. I got the head CT back
on Harry Smith.
Copy !req
406. - Harry Smith?
- The MVA from this morning?
Copy !req
407. It's negative. No bleed.
But I was talking to his mother.
Copy !req
408. She said Harry was on his way to a
pre-employment physical for a new job.
Copy !req
409. She also let it drop that she was...
Copy !req
410. relieved that the cops didn't
find marijuana on him.
Copy !req
411. Is this leading to helping
the patient?
Copy !req
412. His urine is like water.
Check this out.
Copy !req
413. "Specific gravity, 10.05."
Copy !req
414. I think we should give him Lasix
for hyponatremia.
Copy !req
415. Water intoxication?
Copy !req
416. If he's worried about
a urine drug test...
Copy !req
417. maybe he thinks he can dilute it
or wash out his system.
Copy !req
418. Transfer that LOL back to
her nursing home.
Copy !req
419. Did you hear from that
detective who said he was coming by?
Copy !req
420. Haven't heard, haven't seen.
Copy !req
421. That's a good thought.
Copy !req
422. Call the lab and see
if his lytes are back.
Copy !req
423. Does that hurt?
Copy !req
424. That's why Dr. Ross
gave you that shot.
Copy !req
425. Nurse Hathaway is gonna pull
down on your arm...
Copy !req
426. I'll push, and we'll pop that
bone right here right back in place.
Copy !req
427. - Ready to start?
- Where's my dad?
Copy !req
428. Taking a nap.
Copy !req
429. But he wanted us to be here with you.
Copy !req
430. He sings to me.
Copy !req
431. He sings to you, does he?
Copy !req
432. So you'll do it?
Copy !req
433. I think Dr. Ross would love
to sing to you.
Copy !req
434. You know, Nurse Hathaway
would like to join in...
Copy !req
435. but she doesn't know the words.
Copy !req
436. I believe I do too know the words...
Copy !req
437. to whatever it is Dr. Ross
is gonna sing to you.
Copy !req
438. He//o, Muddah
He//o, Faddah
Copy !req
439. Here I am at
Camp Grenada
Copy !req
440. It is very entertaining
Pop it right there.
Copy !req
441. And they say we'// have some fun
If it stops raining
Copy !req
442. Wrap that up.
Copy !req
443. I went hiking
With Joe Spivy
Copy !req
444. He did develop
Poison ivy
Copy !req
445. - You brought me here for this?
- I think he perfed his stomach ulcer.
Copy !req
446. Of course. It's free air
under the diaphragm.
Copy !req
447. It's a slam dunk, no-brainer.
Copy !req
448. All right, drop an NG, consent him
and redline him to the O.R.
Copy !req
449. I realize you needed backup, but any
Senior Resident could've handled this.
Copy !req
450. So please think twice next time.
Copy !req
451. Good news. We'll be able
to fix you up right away.
Copy !req
452. - What is it?
- You have an ulcer...
Copy !req
453. which has eaten through
the lining of your stomach...
Copy !req
454. but with surgery can be
easily repaired.
Copy !req
455. Surgery?
Copy !req
456. - It's a fairly routine procedure...
- I can't do surgery.
Copy !req
457. - It really is the only option.
- No. I feel better already.
Copy !req
458. That's the morphine.
Nothing's changed with your condition.
Copy !req
459. - Wait a second. Listen to me.
- You listen to me!
Copy !req
460. I will not have surgery!
And you can't make me!
Copy !req
461. Now leave me alone. I wanna go.
Copy !req
462. Can you tell me why
you feel so strongly?
Copy !req
463. Did something happen to you?
Copy !req
464. To somebody else?
Copy !req
465. I'm trying to help you here.
Copy !req
466. But I can't help you if you leave.
Copy !req
467. Or if you won't
tell me what the problem is.
Copy !req
468. Of all the stupid things.
Copy !req
469. Gallbladder.
Copy !req
470. My dad was such a believer...
Copy !req
471. in modern doctors,
modern medicines.
Copy !req
472. "They'll pop this thing out.
I'll be home tomorrow."
Copy !req
473. Fifty-eight years old, and he dies...
Copy !req
474. having his stupid
gallbladder taken out.
Copy !req
475. And the surgeon.
Copy !req
476. All he could talk about
was how simple it was, no big deal.
Copy !req
477. Afterwards, he couldn't even
look my mother in the eye.
Copy !req
478. He gave us the news and just
spouted some fancy medical words.
Copy !req
479. All I could think was,
"You lying son of a bitch!"
Copy !req
480. We shouldn't have believed him.
Copy !req
481. How can I believe you?
Copy !req
482. I talked to him about his father's
gallbladder operation.
Copy !req
483. I explained why his surgery
was different.
Copy !req
484. I couldn't get him to budge.
Copy !req
485. Not much you can do.
Copy !req
486. He needs to get to the O.R.
Copy !req
487. Not to mention, Anspaugh's gonna
take my head off one more time.
Copy !req
488. We can't override the consent
for emergency surgery.
Copy !req
489. No, we can't. But I read a paper
about forme fruste...
Copy !req
490. ulcers that spontaneously seal off.
Copy !req
491. Do a paper-chase search.
See what you find.
Copy !req
492. Maybe a Hypaque upper GI,
see what's going on.
Copy !req
493. Good idea.
Copy !req
494. These labs came back for you
on Harry Smith.
Copy !req
495. Sodium, 115?
Copy !req
496. I don't believe it. I was right.
He's been drinking buckets of water.
Copy !req
497. He's also waking up
if you want to talk to him.
Copy !req
498. Where's Dr. Greene?
Copy !req
499. Anything to drink?
Copy !req
500. Sure. I'll take a pop
if you've got one.
Copy !req
501. Good news. All the leads
you gave us came out clear.
Copy !req
502. - What?
- Yeah. Everyone checked out.
Copy !req
503. Patients? Families?
Copy !req
504. Everyone you gave us.
Copy !req
505. There wasn't anything on anyone?
Copy !req
506. Usually people are glad
to hear that.
Copy !req
507. They don't like things happening
in their own back yard.
Copy !req
508. Right. Right.
Copy !req
509. You okay?
Copy !req
510. Sure.
Copy !req
511. I see you made a pretty
quick recovery.
Copy !req
512. It wasn't as bad as I thought
it was gonna be.
Copy !req
513. We'll keep investigating, of course.
Copy !req
514. Gotta go.
Copy !req
515. - Dr. Greene.
- Later, Carter.
Copy !req
516. I was right about the
water-intoxication guy.
Copy !req
517. His sodium is 115.
He drank 3 gallons.
Copy !req
518. That's great. Great. Terrific.
Wonderful. Admit to Medicine.
Copy !req
519. It's not that it's a better
or a worse option.
Copy !req
520. It just may be the only other thing
to consider.
Copy !req
521. Babies can respond
to inhaled nitric oxide...
Copy !req
522. and it can improve
their oxygenation.
Copy !req
523. In full-term babies.
Copy !req
524. Correct. It's still being studied
in premature infants.
Copy !req
525. We're participating
in a national multicenter trial.
Copy !req
526. There is a small series which shows
that nitric improved oxygenation...
Copy !req
527. by 50 percent on average.
Copy !req
528. Now, half of those kids did develop
bleeding of the brain...
Copy !req
529. but no one knows
if the gas caused that.
Copy !req
530. Bleeding in the brain.
Copy !req
531. There would be a risk of retardation
and cerebral palsy.
Copy !req
532. But if we keep doing what we're doing
now, there's a risk of lung disease.
Copy !req
533. Yes. And possible brain damage
if the oxygen level falls too low.
Copy !req
534. That's a hell of a choice.
How do I make that decision?
Copy !req
535. I wish I could answer that question
for every parent I talk to every day.
Copy !req
536. Dr. Tabash?
I'm sorry.
Copy !req
537. Talk it over with the baby's mother,
and let me know soon.
Copy !req
538. Excuse me.
Copy !req
539. I'm an idiot, Kerry.
I'm a complete idiot.
Copy !req
540. Was that the detective
you were waiting for?
Copy !req
541. It wasn't an angry patient. It wasn't
a family member of an angry patient.
Copy !req
542. It wasn't Chris Law.
It wasn't Mr. Gunther.
Copy !req
543. It wasn't that crazy guy
who was yelling about Krishna.
Copy !req
544. They checked everybody out?
Copy !req
545. I thought I was remembering it like
a puzzle that would come together.
Copy !req
546. But the Chicago Police Department
was nice enough to inform me...
Copy !req
547. that I am simply the victim
of random violence.
Copy !req
548. Well, you knew that,
patient or no patient.
Copy !req
549. What I knew is that
everything I do...
Copy !req
550. I do because I am not
the victim.
Copy !req
551. I treat the victim.
I cure the victim.
Copy !req
552. I watch them roll the victim out
like a piece of meat.
Copy !req
553. But the truth is,
I'm the piece of meat.
Copy !req
554. We can't think about that. We're the
ones who see what goes on out there.
Copy !req
555. We know that every day some
child won't make it home from school.
Copy !req
556. Some father won't make it
home from work.
Copy !req
557. But if we allowed ourselves
to think that could be us...
Copy !req
558. we couldn't walk out
our front door.
Copy !req
559. The problem is, that is us.
Copy !req
560. No, the problem is,
it makes us like everyone else.
Copy !req
561. Dr. Anspaugh, I was just coming up
to see you.
Copy !req
562. Where's that perfed ulcer?
He should've been out two hours ago.
Copy !req
563. That's why I wanted to talk.
Mr. Lensky doesn't want surgery.
Copy !req
564. Well, nobody wants surgery.
Copy !req
565. So what?
Copy !req
566. But he doesn't need it.
Copy !req
567. Of course he does.
There's a hole in his stomach.
Copy !req
568. If we don't repair that perf, he's at
risk for peritonitis, sepsis, death.
Copy !req
569. If you look, there's the ulcer.
But there actually is no leak.
Copy !req
570. It sealed itself off
against the liver.
Copy !req
571. This patient was redlined to the O.R.
Who ordered an upper GI?
Copy !req
572. I did.
Copy !req
573. - You were supposed to consent him.
- He doesn't want surgery.
Copy !req
574. - He needs surgery.
- Maybe not.
Copy !req
575. I found an article that shows
he could be treated medically.
Copy !req
576. Which is what he wants.
Copy !req
577. You think this is about what he wants?
Copy !req
578. I guess. A little bit.
Copy !req
579. Well, you're wrong.
Copy !req
580. This job is about determining
what a patient needs...
Copy !req
581. and the best way for us,
as surgeons, to meet that need.
Copy !req
582. And as surgeons, we cut.
Copy !req
583. As a doctor, if I can find a way to do
what my patient wants...
Copy !req
584. that's medically acceptable,
that's what I should do.
Copy !req
585. I don't believe I should cut
somebody open just because I can.
Copy !req
586. It bothers me that this patient
is willing to risk death...
Copy !req
587. rather than undergo a simple
surgical procedure.
Copy !req
588. But it bothers me even more...
Copy !req
589. that you're so willing
to help him do that.
Copy !req
590. Sorry.
Copy !req
591. Mark, I still need you to sign off
on these QA reviews.
Copy !req
592. - I don't have time.
- But I'm off in five. I just...
Copy !req
593. Why don't you just leave them at
the desk for me? All right?
Copy !req
594. Done. Done. Done.
Copy !req
595. - You look very nice tonight.
- Thank you.
Copy !req
596. Can you file these for me?
Copy !req
597. I'll ask Miss Kelly.
Copy !req
598. - Miss Kelly?
- Our temp clerk tonight.
Copy !req
599. Why do we have a temp?
Copy !req
600. I'm sorry, but I don't think
that's any of your business.
Copy !req
601. Okay. Good night.
Copy !req
602. - Good night.
- Want to grab a burger?
Copy !req
603. He is so strange.
Where did we find him?
Copy !req
604. Nina, hi. Damn!
I was supposed to call you.
Copy !req
605. I hate having you
think of it that way.
Copy !req
606. It's been really busy.
Copy !req
607. - Good first day back?
- Completely fabulous.
Copy !req
608. Did you call Dr. Gillum?
Copy !req
609. That PTSD guy?
Copy !req
610. Well, you are post-trauma.
Copy !req
611. I know I need time
to settle in...
Copy !req
612. but it's not like I'm a postal
worker with an AK-47.
Copy !req
613. I know you're not.
Copy !req
614. I'm just trying to help any way I can.
Copy !req
615. I know, and I appreciate it.
I'm fine.
Copy !req
616. Everything's getting back to normal.
Copy !req
617. I don't like you trying
to cover with me.
Copy !req
618. I don't like you trying
to be a shrink with me.
Copy !req
619. How's Rachel doing?
Copy !req
620. She's sleeping over
at a friend's house tonight.
Copy !req
621. Great. Tell her I say hi.
Copy !req
622. Sure.
Copy !req
623. - How are you doing?
- How is she?
Copy !req
624. Remarkably well, considering.
She's pretty strong.
Copy !req
625. I wanted to apologize for my
behavior this morning in the delivery.
Copy !req
626. Thank you, but it's unnecessary.
Copy !req
627. I've never met a father who could
handle it sensibly, calmly, maturely.
Copy !req
628. If I ever do, that's the guy
I'm really gonna slap around.
Copy !req
629. Today was the first day
I was ever afraid.
Copy !req
630. Well, I'm glad to hear that.
Copy !req
631. - Better get back in here.
- I'll check on her before I leave.
Copy !req
632. I made the bed.
Copy !req
633. Isn't that the stupidest thing
you've ever seen?
Copy !req
634. I spoke to Dr. Tabash.
Copy !req
635. He presented another option
for the baby we should consider.
Copy !req
636. There are a lot of serious
risks involved.
Copy !req
637. So I'm going to try
to explain them to you.
Copy !req
638. Then we have a decision to make.
Copy !req
639. You don't have to change for me.
Copy !req
640. I'm not changing for you.
You said we were gonna grab a burger.
Copy !req
641. We can get some burgers
at the Pump Room.
Copy !req
642. I'm not wearing scrubs
to the Pump Room.
Copy !req
643. I don't know.
I think it'd be rather daring.
Copy !req
644. Surprise!
Copy !req
645. Happy birthday!
Copy !req
646. Oh, God!
I hate you for this.
Copy !req
647. It worked out well, don't you think?
Copy !req
648. Surprise, girl!
Copy !req
649. That was great.
Copy !req
650. - What are you doing?
- Waiting for you.
Copy !req
651. Come on.
Copy !req
652. Right this way.
Copy !req
653. - What are you doing?
- Come on.
Copy !req
654. Come on. Just come over here.
Have a seat.
Copy !req
655. Okay.
Copy !req
656. - What's this?
- A little something for you.
Copy !req
657. A garage-door opener!
Copy !req
658. Go ahead. Try it.
Copy !req
659. - I always wanted one of these.
- I know.
Copy !req
660. - You always said they were stupid.
- They are stupid.
Copy !req
661. I don't get why a person
can't just open the damn door.
Copy !req
662. This is the nicest thing
you've ever done for me.
Copy !req
663. That's pretty pathetic.
Copy !req
664. I love it.
Copy !req
665. I love it.
Copy !req
666. Let's have a beer.
Copy !req
667. Go ahead.
Copy !req
668. This is special.
I love having 20 people over...
Copy !req
669. especially when I have so much
to serve them. Peel an orange.
Copy !req
670. Would you lighten up?
They brought booze.
Copy !req
671. Okay. I'll lighten up.
Copy !req
672. I'll just have a sip of this milk.
Copy !req
673. You just drink that
right out of the carton?
Copy !req
674. What's wrong with that?
Copy !req
675. Well, it's just kind of
a guy thing to do.
Copy !req
676. You know.
Copy !req
677. So what is all this about?
Copy !req
678. What is what about?
Copy !req
679. This little dance you did today.
This party. You.
Copy !req
680. I know you haven't had very good
birthdays the last couple of years.
Copy !req
681. - The ones I spent with you?
- The ones I forgot.
Copy !req
682. I just thought it was time
for you to have a nice one.
Copy !req
683. You want a sip of milk?
Copy !req
684. Yes, I would love a sip
of this milk. Thank you.
Copy !req
685. Thank you.
Copy !req
686. Dr. Weaver.
Excuse me.
Copy !req
687. - Can I talk to you for a minute?
- Sure.
Copy !req
688. I know this isn't the right time
or place, but I was curious.
Copy !req
689. What would be involved with getting
into Emergency Medicine?
Copy !req
690. What do you mean?
Copy !req
691. To change one's Residency, would you
have to redo your intern year?
Copy !req
692. Has "one" talked to Dr. Greene
about this?
Copy !req
693. You saw how he was in the hall.
Copy !req
694. Happy birthday to you
Copy !req
695. Happy birthday to you
Copy !req
696. Happy birthday, dear Caro/
Copy !req
697. Happy birthday to you
Copy !req
698. Oh, my God!
Copy !req
699. Come on, blow them out!
Copy !req
700. There are so many candles
on this cake. What am I, 55?
Copy !req
701. Wait! Hold on!
One second.
Copy !req
702. Almost forgot.
Copy !req
703. Wait a minute!
Copy !req
704. Beautiful.
Copy !req
705. What's that?
Copy !req
706. It's so your wishes come true.
Copy !req
707. - Make it a good one.
- All right.
Copy !req
708. All right, Carol.
You go, girl!
Copy !req
709. Oh, my God.
You still look so young.
Copy !req