1. ER
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2. Previously on ER...
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3. Son of a bitch!
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4. I can be a competent surgeon.
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5. I can learn the techniques,
the mechanics.
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6. But I'll never be a great surgeon.
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7. I'm not writing you that prescription
for the Percodan. You need help.
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8. I'm fine.
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9. Your baby was deprived of oxygen
in the womb.
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10. So there's always the possibility
that there could be brain damage.
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11. ¡Back off! ¡Shut up!
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12. ¡Shut up! ¡Shut up!
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13. "Ambush"
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14. - Can we get this in one night?
- We have to.
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15. - Change batteries in the Lavaliers.
- He's getting more nine-volts.
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16. - It's got that smell.
- Rob, white balance that.
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17. Tony did it. And he laid down
bars and tones.
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18. Why do all hospitals have this smell?
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19. - Pork buns? Who went for food?
- I brought it.
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20. - Thanks a lot.
- Camera mount in Trauma is keystoning.
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21. Hasn't been leveled yet.
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22. Let's get ready to shoot.
Everybody on the same page?
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23. Worried about that iris?
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24. - It's fine.
- The tapes are numbered.
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25. Stuart and I will stick to the doctor.
Luis and Rob, follow our lead. Okay?
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26. This is still breaking up.
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27. We don't get a second chance here.
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28. - I hate hospitals.
- Is Dr. Greene here?
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29. I haven't seen him.
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30. - Are you set in the lounge?
- Just need tapes.
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31. - Where's the battery charger?
- It's in the X-ray room.
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32. Trim RF six. It's too hot.
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33. What is that?
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34. Oh, you know. It's backup footage.
Workplace stuff.
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35. Cubbies still losing?
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36. I haven't been watching.
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37. We put up other stationary cameras
at the desk...
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38. - ... and in that yellow room.
- Trauma 1?
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39. High-traffic areas. Get some wide
angles to cut with for pace, variety.
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40. Right.
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41. We just leave them running.
Get what we get.
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42. It's on?
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43. By the end of the day,
you'll forget we're here.
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44. See you.
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45. Excuse me.
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46. We'll start with him coming on.
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47. Too late. He's already in Trauma.
Careful.
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48. - He's the one with the glasses.
- I remember.
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49. Gave him 400 mgs
of morphine in the field.
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50. - How bad does the goal post look?
- I scored.
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51. Let's order pre-op labs. CBC, type
and screen, left lower extremity film.
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52. - Ancef?
- One gram IV piggyback...
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53. and 100 of gentamicin.
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54. - I really broke it, huh?
- No varsity this fall.
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55. - Varsity? I'm 24 years old.
- You're 24?
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56. - Guess I don't need a pediatrician.
- You'll be carded till you're 40.
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57. - You mind staying?
- You need me?
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58. I just wanna get Dr. Greene
discussing the orders.
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59. - You need the back of my head.
- Yeah.
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60. Dr. Greene, how's that pulse?
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61. Distal pulses are two plus and equal.
No arterial injury.
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62. Good evening.
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63. Dr. Carter, you're early.
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64. Open fracture?
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65. - You need me?
- Yes, actually.
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66. I'm sick of assisting Dr. Welby here.
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67. Why don't you finish the history?
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68. You have pain anywhere
besides your leg?
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69. I kind of jammed my stomach.
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70. Got any allergies?
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71. Just hay fever.
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72. Anything for me?
Oh, this is today?
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73. - Don't look in the lens.
- Right.
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74. - Possible surgical belly.
- You're still here?
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75. Thirty-six hours.
We're short a surgeon.
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76. Belly's benign. Call Ortho.
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77. How's it going?
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78. Pissed off about losing you?
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79. We haven't talked.
When was your last meal?
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80. I ate lunch around 1.
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81. - Cimetidine, 300 mgs IV.
- You got it.
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82. That'll cut the acidity
in your stomach.
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83. If you vomit in the O.R., you'd aspirate
your stomach contents into your lungs.
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84. That's more than he needed to hear.
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85. Whoa! We got a problem.
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86. - What?
- Sorry to interrupt.
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87. A doc says she wasn't
informed about our shoot.
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88. I'll be right there.
Stuart, are you okay?
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89. Dr. Carter, our mike will pick you up
at normal volume.
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90. You can relax and speak naturally.
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91. Carter wasn't acting.
He's really like that.
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92. They're focusing on Dr. Greene.
But their goal is to get a sense-
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93. Kerry, nice do.
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94. and portray it in a positive light.
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95. It says nothing about "positive light. "
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96. It only talks about their rights
to use my name and image.
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97. Why not take this in the lounge?
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98. Anspaugh and Morgenstern think this
will increase public awareness...
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99. - ... of the health care issues we face-
- I understand.
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100. - Sorry, what's your name?
- Luis.
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101. Luis. I'm not saying you're here
to ambush us or do an exposé...
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102. but there's nothing to stop them.
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103. - If I don't sign, you're wasting film.
- It's tape. It's cheap.
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104. Hi. My husband and I
are the directors.
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105. - Anna Del Amico.
- Do you have questions?
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106. If we could just speak in the lounge,
we'd get this straightened out.
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107. Dr. Del Amico is new here.
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108. If she doesn't sign,
we can shoot around her.
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109. If you're finished, Stuart needs you.
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110. Miss, is this gonna be on TV?
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111. Pre-sold to PBS.
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112. - PBS? Not network?
- No.
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113. Luis.
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114. It's something that Mark agreed to.
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115. - He's excited.
- Think he's up to it?
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116. Yeah, sure. Why not?
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117. Cameras all over, it makes me uptight.
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118. I know.
We'll all be hiding out here.
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119. Mark seems a little shaky right now.
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120. Oh, he's gonna be fine.
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121. I'd be shaky if I had the crap
beaten out of me.
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122. He wanted to do this. That's a good
sign. Maybe he's back on his game.
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123. - Maybe.
- They're here. They're shooting.
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124. There's nothing we can do
except stick up for Mark.
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125. Standing by him.
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126. You look like a star out there.
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127. I'm enjoying all the attention.
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128. Don't get used to everybody
taking orders.
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129. I was hoping for a sequel.
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130. Some of us are working stiffs.
Measles in 4.
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131. Later.
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132. Mr. Schoenberger's in sinus rhythm.
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133. BP's 110/70, pulse is 72, reps are-
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134. Resps- Sorry.
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135. - Should I start over?
- Sure.
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136. Next time you can just keep going.
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137. Well, his cardiogram is normal.
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138. His shortness of breath
was resolved with oxygen.
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139. He may have had indigestion.
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140. Today was all-you-can-eat at
my favorite Mexican place.
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141. Do you have history of heart disease?
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142. No. My relatives generally
prefer cancer.
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143. - Do you smoke?
- Not cigarettes.
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144. He recently took up cigars.
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145. I don't inhale.
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146. I started a cardiac work-up, ordered
a CBC, Chem-7, cardiac enzymes-
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147. That's a little gung-ho for a guy
who ate too many burritos.
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148. He was concerned enough to come in.
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149. That's no reason to order
a million tests.
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150. You can lie back now.
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151. You know where I can get ahold
of any Havanas?
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152. My taste is a little more pedestrian.
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153. I'm happy with one of these.
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154. No wonder you're short of breath.
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155. Seriously? You think it's the cigars?
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156. Those aren't fit to be called cigars.
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157. Lay off the cheapos for a few days
and I think you're gonna feel fine.
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158. - Give up the stogies?
- At least get something decent.
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159. You think this'll be in the movie?
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160. I just dropped by to thank you again
and see how things are going.
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161. You don't have to film this.
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162. - Everything under control?
- Yeah. Yeah, it is.
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163. It seems like a busy night.
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164. Oh, not too busy for a weeknight.
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165. Right. Pretty slow for a weeknight.
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166. - I'm sure it'll pick up later.
- Yeah, later. It should pick up.
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167. You'll get good stuff.
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168. Just making sure things are copacetic,
and thanks again for taking this on.
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169. Sure.
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170. - Stuart, come grab this.
- Excuse me. Who do I give this to?
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171. - You decided to sign?
- Just keep my face off Hard Copy.
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172. The nurses are cooking.
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173. Turn mike to channel three.
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174. The best one was the guy
with the transistor radio.
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175. He said he slipped in the shower
and he sat down.
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176. - Ouch!
- While it was still playing?
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177. "Oops! There it is! "
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178. I asked Mark- Dr. Greene, if he was
going to extract the foreign body.
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179. He said, "No. But I think I'll
tune it to the ball game. "
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180. I got a head lac for Carter.
Has anybody seen him?
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181. Seems like there's a camaraderie
between doctors and nurses.
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182. - What about dating?
- Who, Mark?
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183. You tell me.
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184. - Oh, I'm sorry. I-
- I'll get that.
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185. Actually, we do socialize,
but more as a group.
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186. Dr. Greene comes-
Well, he used to come-
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187. He's been taking it slow.
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188. Since he got beat down.
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189. I mean, beat up.
You know about that, right?
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190. It's a myth about doctors
and nurses dating so much.
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191. More nurses date cops, firemen,
paramedics. Now, that cliché is true.
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192. - Especially cops.
- Especially young cops.
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193. Getting back to Dr. Greene-
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194. I need a nurse in 3.
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195. Okay. Everybody, that was great.
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196. "Lucy, you got some 'splaining to do. "
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197. What?
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198. What about cops and firemen?
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199. - Stay with them. They're miked.
- Jealous?
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200. I just wanna know what you're doing
for them that you're not doing for me.
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201. I'll tell you later
if you bring the cuffs.
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202. - I was gonna get some sleep tonight.
- Don't count on that.
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203. Look at him. I bet he wishes
he could read lips.
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204. Hi there, dumb-ass!
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205. Doug, he's waving.
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206. You got a mike on?
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207. Do you think he could hear me?
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208. Turn it off.
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209. But that's the thing about the ER.
You got to stay on your toes.
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210. - Lily's looking for you.
- On my way.
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211. You're also more on your own.
When I was up in Surgery...
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212. there was someone looking over
my shoulder, critiquing every move.
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213. - Here the residents are responsible-
- Carter, help me!
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214. I can't get him rolled.
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215. - I think I'm gonna puke again!
- I know. I know.
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216. - I feel much better.
- Good, good.
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217. - Oh, yeah.
- I'm gonna change.
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218. Compazine for our friend, please.
Twenty-five milligrams, PR.
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219. - Excuse me.
- What does that mean? "PR"?
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220. Per rectum.
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221. Do you have to clean this up?
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222. Oh, no.
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223. Housekeeping to Suture Room.
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224. - I don't know what you're looking for.
- Just keep it conversational.
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225. Come and go normally.
Don't be afraid to interrupt.
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226. Talk right to me. I'll be right
next to the camera.
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227. First, explain how long you've been
here, what an Attending does.
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228. My name is Mark Greene
and I've been working here...
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229. since I finished med school.
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230. I've got the Gl bleeding
in Curtain 2 admitted.
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231. Thanks, Kerry.
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232. Describe how an emergency room
serves the public.
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233. For a lot of people, we're-
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234. The paramedics have a 37-year-old
in respiratory distress.
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235. The neighbor says he has cancer.
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236. Prep Trauma 1 and find Carter.
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237. The labs are back on Schoenberger.
Take a look.
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238. - The smoker?
- The CK-MB's are high.
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239. - Did he go home?
- He's getting ready to go.
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240. We have a respiratory distress
pulling up.
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241. I'm on it.
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242. Mr. Schoenberger,
we got your tests back...
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243. with a result we didn't expect,
indicating a possible problem.
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244. - What do you mean?
- Stick around for one more test.
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245. Troponin T. It's just for clarification.
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246. We can do it on the blood
we've drawn.
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247. - Better safe than sorry.
- While you're waiting...
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248. we're gonna stick you
back on a monitor.
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249. An elevated CK-MB indicates
heart muscle damage.
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250. - A heart attack?
- Right.
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251. I'll get another EKG.
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252. Can it mean something else?
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253. It's probably an Ml.
The other tests will confirm.
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254. And then what?
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255. Well, regardless
of the other results...
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256. an elevated CK-MB
means he's had an Ml.
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257. I'm just giving him a little time
to adjust to that possibility.
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258. And, of course, since I missed it...
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259. I'm buying some time
to cover my ass.
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260. A 37-year-old man
in respiratory distress!
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261. He was diagnosed with esophageal
cancer six months ago.
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262. I watched him while Krista
was at the store.
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263. - He hasn't been breathing that good-
- Out of the way!
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264. He's tachy at 120.
Pressure's 130/100.
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265. Resps increased.
He's got a lot of secretions!
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266. Let's get him on high-flow O-2.
Prep an intubation tray.
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267. On my count. One, two, three.
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268. Help him. He can't breathe.
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269. Stand back, sir, please!
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270. Suction these secretions.
Hang two liters of saline.
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271. - Pulse ox is 89.
- Should I intubate?
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272. With this mass,
we'd have to crike him.
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273. I don't want to use extraordinary
measures if he has a DNR.
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274. Do you know anything about his wishes?
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275. He's the best bass player ever.
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276. You can't light that in here.
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277. Chuny, keep suctioning.
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278. - Grab blood gas.
- Got it.
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279. Pulse ox down to 87.
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280. Prep a crike tray. Let's give him 600
of clindamycin, IV.
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281. Get the slate.
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282. - Excuse me.
- What's his name?
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283. - Boz.
- Boz, can you hear me?
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284. You're having trouble breathing.
Do you want help?
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285. - Antibiotics are up.
- I gotta get in here.
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286. I'm gonna hold up the slate,
and you write on it.
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287. Boz, do you want
a cricothyroidectomy?
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288. I can cut a hole in your neck to help
you breathe. Do you want that?
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289. If you can't write your answer,
I have to put the tube in.
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290. Do you want to be criked?
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291. Don't let him die!
Give him the crike!
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292. I can't get this!
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293. Okay. Crike tray!
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294. Do it! Do it!
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295. No, no. You do not want to know.
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296. I wouldn't ask if I didn't.
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297. I have done this too long
not to know.
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298. This job, people don't
wanna hear about.
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299. Why? Because of what you clean up?
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300. This is nothing.
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301. Believe me, this here
is just a little picnic.
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302. You ought to see
what some of them do.
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303. A body is only so big.
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304. You couldn't hardly believe
all that comes out if it.
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305. You get used to it, though.
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306. Like every mama and daddy
gets used to...
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307. changing a baby's diaper.
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308. But the blood and the gore...
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309. You know what the gore is, right?
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310. That's the part
you don't talk about...
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311. when you go home
and they ask you how your day was.
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312. No, no.
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313. It doesn't bother me.
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314. You see, I'm a religious person.
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315. And I believe human beings...
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316. were created in God's image.
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317. So whatever I'm cleaning up
must be just fine.
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318. You believe?
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319. I don't know.
You mean, believe in God?
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320. You couldn't do my job
if you didn't.
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321. You could maybe be a doctor
or a nurse or make a movie.
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322. Not my job.
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323. I'll tell you something else-
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324. We need you.
This guy stopped breathing.
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325. I'm on my way.
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326. I'll catch you later.
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327. Sure you will.
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328. The ones I can remember
are from my first year.
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329. After a while you get protective.
You don't let them get to you.
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330. What does it take these days
to break through your armor?
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331. Doesn't happen. But there was
this one girl my first year.
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332. I got used to this
as a county facility.
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333. I treated a lot of homeless people,
people from the projects.
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334. One day this girl came in,
traffic accident...
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335. in a coma, brain dead.
And I realized I knew her.
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336. She was the sister of a guy
I had gone to med school with.
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337. One night, she tried to show me how
to slam dance, just fooling around.
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338. I realized that trauma isn't something
that happens to other people.
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339. It could happen to you.
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340. That's right.
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341. - Does it change things when it is you?
- What do you mean?
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342. When you yourself are traumatized
as a doctor...
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343. You have a splint on your wrist.
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344. I heard that you had
an incident recently-
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345. Is that what you're doing here?
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346. - I'm sorry.
- I didn't agree-
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347. Everybody worries about safety.
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348. Is that why you picked me?
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349. - We don't want you uncomfortable.
- You don't have to talk about it.
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350. - Good.
- But we are here.
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351. We're committed to making this.
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352. We want you to say
what's on your mind.
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353. I have nothing to say. I agreed
to let you follow me around.
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354. No more comments or interviews.
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355. We are professionals.
We're not here to attack you.
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356. Agi.
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357. Damn!
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358. - That's his daughter?
- No, it's his wife.
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359. Esophageal cancer.
It's a horrible death.
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360. Dr. Greene criked him.
He's running out of surgical options.
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361. Are you sure you wanna speak
to the wife? She's young.
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362. It may be difficult to get her
to understand the situation.
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363. No, I'd like to try.
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364. Normally, we wouldn't have an intern
take this on. But Carter's been around.
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365. Technically, I'm not an intern.
I'm second-year.
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366. No, you're an intern.
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367. - I am?
- You can't switch your specialty...
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368. - ... without starting over.
- I've done a year.
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369. In Surgery. This is Emergency
Medicine. I thought you understood.
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370. We'll discuss this later when
we're not in the middle of all this.
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371. Where do you start?
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372. When you have to counsel family
about something like this?
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373. It's tricky. People are hearing
a lot of complex information.
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374. An Emergency resident, or intern, has
to establish a rapport with-
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375. - Excuse me, doctor.
- No, not at all.
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376. I was just coming in to see you.
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377. He's going to be admitted.
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378. You better call Transport.
They can take forever.
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379. We should talk about your husband's
condition. Excuse me.
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380. Chuny, can I see that chart
for a second?
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381. If I go too fast, or if you have
any questions, please stop me.
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382. I know he's had laser treatments to
enlarge the opening of the esophagus.
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383. For all the good it did.
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384. A feeding tube can be inserted-
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385. The cancer eats right through it.
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386. There's an option, the J-tube-
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387. We're not screwing around with that.
The sucker's on his aorta. He's dead.
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388. If you feel that way, you might want
to have your husband sign a DNR.
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389. - It's a "Do Not Resuscitate" order-
- Yeah.
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390. I got it.
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391. There was one by his bed,
but Rog sort of freaked.
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392. I'm sorry. I'm sorry.
We tried to ask him.
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393. I was just out buying garlic
and herbs. Boz's food.
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394. But all he can do now
is smell it anyways.
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395. I hold it under his nose
and he smells.
Copy !req
396. Wanna hear about our sex life?
Copy !req
397. If there's anything I can answer,
or if there's anything you need...
Copy !req
398. Yeah. I'm on Librium.
Can you write me a refill?
Copy !req
399. The mother wants
to call Animal Control.
Copy !req
400. Well, this ought to be fun.
Copy !req
401. - I've had JoJo for nine years.
- He's vicious.
Copy !req
402. - He's never bitten anyone.
- He hasn't been around children.
Copy !req
403. Could you give it a rest?
Copy !req
404. - See who's lying here?
- Did you call Animal Control?
Copy !req
405. Just take a breath.
Copy !req
406. This is our daughter!
Copy !req
407. Dr. Ross is just gonna take a look.
Copy !req
408. You're supposed to call
Animal Control with bites.
Copy !req
409. Can you pull that light over here?
Copy !req
410. I know, sweetheart. Hang on.
Copy !req
411. Did you see how the bite happened?
Copy !req
412. My son did. I'd run out to get
the phone, the dog just went for her.
Copy !req
413. - How bad does it look?
- It's deep.
Copy !req
414. She'll need intravenous antibiotics.
Copy !req
415. - Intravenous?
- Yeah. That's not a canine bite.
Copy !req
416. - What?
- It's from an immature Homo sapien.
Copy !req
417. That's one who still has
his primary incisors.
Copy !req
418. Todd?
Copy !req
419. Did you bite your sister?
Copy !req
420. - It's okay.
- Why would you do such a thing?
Copy !req
421. You know you love your sister.
Copy !req
422. - He gets a hug for this?
- Wait here.
Copy !req
423. If you and I can speak
out in the hallway...
Copy !req
424. How did you get burns on your
hands and lips?
Copy !req
425. - I already told her.
- She was making popcorn, it exploded.
Copy !req
426. Her resting pulse is 120
and she's tremulous.
Copy !req
427. You should lay off the crack.
Copy !req
428. I don't do that stuff.
Copy !req
429. - You want a tox screen?
- Do you wanna stop doing crack?
Copy !req
430. Go away, man.
Copy !req
431. I don't think taxpayers are interested
in buying Doris a tox screen.
Copy !req
432. Let's update her tetanus,
dress the burns...
Copy !req
433. and have her checked in
the surgical clinic in two days.
Copy !req
434. She also has an upset stomach.
Copy !req
435. - What have you eaten today?
- Nothing.
Copy !req
436. Nothing. Not even popcorn?
Copy !req
437. You gotta eat right
and stop the drugs.
Copy !req
438. - It's none of your business!
- See you next time.
Copy !req
439. You didn't see any reason
to confirm her drug use?
Copy !req
440. - Dr. Greene's a busy man.
- Yes.
Copy !req
441. - A lot of responsibility, pressure.
- He sure does. That's the chart.
Copy !req
442. How does he handle it?
Copy !req
443. You're gonna have to ask him that.
Copy !req
444. Sir? Sir, we have
a bed for you now.
Copy !req
445. We'll get to you
as soon as possible.
Copy !req
446. - Soul food.
- Ask Lydia. It's her birthday.
Copy !req
447. Did you see my doctor?
Where's the doctor?
Copy !req
448. The doctor will see you soon.
Copy !req
449. I need a doctor.
Copy !req
450. Peter! Hey! Peter!
Peter! Wake up!
Copy !req
451. Double trauma coming in.
Teenager, a victim of a gang beating.
Copy !req
452. And a bystander who tried to stop it.
They're both critical.
Copy !req
453. - Have you seen Mark?
- No. I'll meet him in Trauma 2.
Copy !req
454. So how did they find out?
Copy !req
455. I don't know. Police report, gossip.
Copy !req
456. It doesn't matter.
I'm not talking about it.
Copy !req
457. That's good policy, man.
Copy !req
458. - What's the score?
- It's 8-1.
Copy !req
459. Cubs behind, bottom of the seventh.
Copy !req
460. You can't get mad at them on camera.
They go for that stuff like sharks.
Copy !req
461. They wanna make a tearjerker with me
as the pathetic, victimized doctor.
Copy !req
462. That's not what I mean.
I was watching that director.
Copy !req
463. She was looking at you.
Copy !req
464. She's watching you.
Trying to get personal and stuff.
Copy !req
465. You go for that too, the intense,
kind of brainy type.
Copy !req
466. She's married to the camera guy.
Copy !req
467. - The old guy?
- Yeah. They're a pair.
Copy !req
468. May-Decembers. Never hold up.
Copy !req
469. You guys talking about the filmmakers?
Copy !req
470. We don't trust them.
Copy !req
471. They're bloodsuckers.
Copy !req
472. Should you be doing that
in front of the camera?
Copy !req
473. - Is that on?
- Doug, Mark! Got a double trauma!
Copy !req
474. Help my brother.
Copy !req
475. Fourteen-year-old, blunt trauma
from baseball bats.
Copy !req
476. - Bats?
- They jumped him.
Copy !req
477. Pulse 130. BP 100/60.
Copy !req
478. We got a 30-year-old victim of a
15-foot-fall onto a concrete surface.
Copy !req
479. Brief loss of consciousness
at scene, cleared en route.
Copy !req
480. Now alert and oriented.
Occipital hematoma.
Copy !req
481. BP 60 palp. Pulse 120.
Copy !req
482. Flaccid paralysis in all four
extremities with loss of sensation.
Copy !req
483. Call Neurology
and get X-ray down here.
Copy !req
484. On my count. One, two, three.
Copy !req
485. CBC, type and cross four units.
Copy !req
486. Lateral C-spine, chest
and pelvis. Let's move.
Copy !req
487. Can you feel anything anywhere?
Copy !req
488. No. Not a bit. Is that okay?
Copy !req
489. He's got good breath sounds,
diminished tidal volume.
Copy !req
490. - BP's 60 palp.
- We need a path here.
Copy !req
491. It could be spinal shock.
Copy !req
492. Let's rule out
intra-abdominal bleeding.
Copy !req
493. Let's set up.
Let's get a lap! Move!
Copy !req
494. What else should we order,
Dr. Del Amico?
Copy !req
495. - High-dose steroids.
- And why?
Copy !req
496. Improves motor function and sensation
after spinal cord injuries.
Copy !req
497. Spinal cord? Wait.
Copy !req
498. - Would somebody shut that guy up?
- We're trying to assess your injuries.
Copy !req
499. How much do you weigh?
Copy !req
500. Call me Theo, all right?
I'm 165.
Copy !req
501. It's negative.
I'm gonna go check on the kid.
Copy !req
502. All right. Start dopamine at 10 mcgs.
We're out of the woods.
Copy !req
503. Theo, we need to check your motor
responses. Okay, Dr. Del Amico?
Copy !req
504. Sir, can you squeeze my hand?
Copy !req
505. What's wrong with me?
Copy !req
506. Can you shrug
your shoulders, please?
Copy !req
507. We wanna talk to him.
See if he's okay.
Copy !req
508. Chairs. You have to sit in Chairs.
Copy !req
509. It ain't got nothing to do with you.
Copy !req
510. - They tailgated me all the way here.
- Where's Chico, huh?
Copy !req
511. I'll go see if your friend's okay.
Just wait here, okay?
Copy !req
512. - Is my brother gonna be okay?
- Mannitol, 75 grams.
Copy !req
513. Blown left pupil.
He's hyperventilating.
Copy !req
514. Intracranial hemorrhage.
Copy !req
515. - Call for a stat head CT.
- Decorticate posturing. GCS, 8.
Copy !req
516. It was 12 in the field.
Copy !req
517. Randi's got a situation at the desk.
Don't bring that kid to CT right now.
Copy !req
518. - Why not?
- His homeys are there.
Copy !req
519. They came here?
Copy !req
520. Those bastards!
Copy !req
521. You stay away from him, okay?
Copy !req
522. - Take it outside!
- Just stay away!
Copy !req
523. Your brother's a ranker.
Copy !req
524. You almost killed him!
What more do you want?
Copy !req
525. You know? Call the cops!
They're murderers!
Copy !req
526. They did it. You pushed that guy
right over the rail!
Copy !req
527. You didn't even know that man!
Copy !req
528. He was just trying to help,
and you pushed him over!
Copy !req
529. All he wanted was a chance!
Copy !req
530. At the moment, his
C-4 nerve, the one...
Copy !req
531. between the fourth and fifth
vertebrae, is still functioning.
Copy !req
532. Meaning he can move his diaphragm
and shrug his shoulders.
Copy !req
533. But if the swelling continues,
then he becomes a C-3.
Copy !req
534. He will lose the ability
to breathe on his own.
Copy !req
535. How is the shooting going?
Are you getting everything you need?
Copy !req
536. Yeah, I think so. It's been good.
Copy !req
537. I noticed that you might be missing
the importance of women-
Copy !req
538. Excuse me.
Copy !req
539. Women working in the ER.
Copy !req
540. It's changed dramatically over the last
few years. All kinds of diversity...
Copy !req
541. among medical workers. It's crucial
to how Emergency Medicine evolves.
Copy !req
542. I'll mention that to Agi and Stuart.
Copy !req
543. What was that you were pointing to?
Copy !req
544. - Here?
- Yeah.
Copy !req
545. This is a fracture of the fourth
and fifth cervical vertebrae.
Copy !req
546. What does that mean?
Copy !req
547. That Mr. Williams,
who tried to be a Good Samaritan...
Copy !req
548. and stop a young man he didn't know
from being beaten to death...
Copy !req
549. is now paralyzed
from the neck down.
Copy !req
550. - Kerry, may I interrupt?
- David, come on in! Come in.
Copy !req
551. - I'd rather-
- This is Dr. Morgenstern...
Copy !req
552. our too-modest
Chief of Emergency Services.
Copy !req
553. If you're here about our little
altercation, it's settled.
Copy !req
554. - The police subdued the perpetrators-
- The police?
Copy !req
555. David, you're diaphoretic.
Copy !req
556. - Is something wrong?
- Chest pain.
Copy !req
557. - Radiating?
- To the jaw, started 20 minutes ago.
Copy !req
558. Oh, my God. Lie down. Lie down.
Let's get you on a monitor.
Copy !req
559. Here you go. Gently.
Copy !req
560. You get out. Out!
Get out! Out!
Copy !req
561. Lydia! Lydia! Grab me
some atropine, nitro...
Copy !req
562. - ... and a 12-lead EKG!
- Oh, my God!
Copy !req
563. Pulse ox monitor and start a line.
Copy !req
564. Here you go, David.
We're gonna take good care of you.
Copy !req
565. How about there?
Copy !req
566. No. Nothing.
Copy !req
567. Anything at all?
Copy !req
568. No, ma'am.
Copy !req
569. Will the feeling come back?
Copy !req
570. That's what the doctors
are trying to find out.
Copy !req
571. - Felt that.
- Good. Mark it.
Copy !req
572. Sir, we'll have to watch you
very closely.
Copy !req
573. If the swelling continues,
we'll have to put you on a ventilator.
Copy !req
574. I got a hold of a babysitter at your
house, your wife's at school.
Copy !req
575. Right. It's Thursday.
She won't get in until midnight.
Copy !req
576. We'll get a message to her.
Copy !req
577. Get that babysitter
on the phone, now.
Copy !req
578. Malik! Malik! Hold on!
Copy !req
579. - I'll bring it back!
- I need it now.
Copy !req
580. - Kerry, I was about to-
- It's David Morgenstern.
Copy !req
581. It's the kid that got
beat up earlier.
Copy !req
582. It may be his spleen.
Copy !req
583. Is it the kid with the head trauma?
Copy !req
584. You have to get in line.
Copy !req
585. - I need a CT.
- Drill the burrholes up in the O.R.
Copy !req
586. - Where are you going?
- I'm bagging him.
Copy !req
587. Not anymore. Go.
Copy !req
588. - Dr. Benton.
- Thank you.
Copy !req
589. He's a little disappointed
I left Surgery.
Copy !req
590. I'm Miss Corday. Could you
point me towards Casualty?
Copy !req
591. Sorry. "Trauma. "
I mean Trauma.
Copy !req
592. Trauma's that way.
You need help?
Copy !req
593. - I'll call out if I get lost.
- You okay?
Copy !req
594. Kid was trying to get out of a gang.
Copy !req
595. You're in the ER. Get them on the
elevator alive, you've done your job.
Copy !req
596. How do you think he'll do?
Copy !req
597. A blown left pupil, probably
means a chronic vegetative state.
Copy !req
598. If he doesn't bleed to death first.
Copy !req
599. How bad's he look?
Copy !req
600. His ST's are sky-high in two, three,
and F. His father had an Ml at 40.
Copy !req
601. Yeah, I'll hold.
Copy !req
602. - I wonder if we could talk now.
- Later.
Copy !req
603. He's throwing multifocal PVCs.
Should we give him lidocaine?
Copy !req
604. Cath lab's ready for us.
Let's get him up!
Copy !req
605. I wonder if you're aware
of my situation-
Copy !req
606. - I got the babysitter.
- Later, Carter.
Copy !req
607. Excuse me, Lily.
Copy !req
608. Is this the Williams' sitter?
Copy !req
609. This is Dr. Greene from the Emergency
Room at County General Hospital.
Copy !req
610. Do you understand me?
Copy !req
611. How far away are you from where
Mrs. Williams goes to school?
Copy !req
612. Good. Get a neighbor to watch
the baby and run there...
Copy !req
613. as fast as you can, and get her.
Copy !req
614. Tell her it's an emergency
and every minute counts.
Copy !req
615. Put her in a cab. We're about
a 10-minute ride away.
Copy !req
616. You got all that?
Copy !req
617. Any questions? Good. Go.
Copy !req
618. Is he losing his ability to breathe?
Copy !req
619. The rate his pulse ox is falling,
I'll need to intubate.
Copy !req
620. You need the wife here
to sign a consent?
Copy !req
621. He's paralyzed, probably
for the rest of his life.
Copy !req
622. Right now he can speak.
Copy !req
623. It would be nice if he and his wife
could talk, while he still can.
Copy !req
624. Theo, can you take
a deep breath for me?
Copy !req
625. - I'll go get Dr. Greene.
- Good idea.
Copy !req
626. Excuse me. I'm Miss Corday.
I was bleeped down for a consult.
Copy !req
627. Are you a doctor?
Copy !req
628. Oh, don't mind them.
Copy !req
629. These gentlemen are making a movie.
Copy !req
630. I'm a surgical lecturer
in Orthopedics and Trauma.
Copy !req
631. There was an adolescent
who decompensated?
Copy !req
632. Dr. Benton took him up.
Copy !req
633. Dr. Benton.
You call your surgeons "doctor. "
Copy !req
634. "Miss Corday" won't get
me very far around here.
Copy !req
635. Just to the Waiting Room.
I'm Carol Hathaway.
Copy !req
636. It's a pleasure.
Copy !req
637. How did he look?
The boy with the positive lavage?
Copy !req
638. Not good. Blown pupil, deep coma.
Copy !req
639. This is the kid I saved?
Copy !req
640. - Yeah.
- Oh, man!
Copy !req
641. We're keeping our fingers crossed.
Copy !req
642. Are you still experiencing
the same amount of pain?
Copy !req
643. Okay, on a scale of one to 10,
how would you rate that pain?
Copy !req
644. Pardon? Eight. Okay, let's
get him on very gently.
Copy !req
645. They're set up for us
and know we're coming.
Copy !req
646. - Here we go.
- What the hell?
Copy !req
647. Hey, what are you doing?
Copy !req
648. No! I asked you not to.
Copy !req
649. - You going to the Cath Lab?
- Yes.
Copy !req
650. Isn't there another patient
who's been waiting?
Copy !req
651. What do you mean?
Copy !req
652. Do some patients get preferential
treatment in the ER?
Copy !req
653. Look at me.
Copy !req
654. I'm talking to you.
Is this recording?
Copy !req
655. Are you a doctor? Do you have
experience with myocardial infarctions?
Copy !req
656. - How is he doing?
- Sinus rhythm-
Copy !req
657. Then how can you make an
accusation about patient treatment?
Copy !req
658. Your camera sees a picture
of one man going to the Cath Lab...
Copy !req
659. so you assume
preferential treatment?
Copy !req
660. Do you know ST elevations? Is there
another patient who had V-tach?
Copy !req
661. - I don't know.
- How's the ectopy?
Copy !req
662. - Under five per minute.
- What do you want?
Copy !req
663. What can we tell you?
Copy !req
664. I'm sorry. I got carried away.
Copy !req
665. You did.
Copy !req
666. - What do you got?
- Eighty-two-year-old male.
Copy !req
667. Shocked twice without success.
Shall I defibrillate?
Copy !req
668. - Be my guest.
- Charge it to 360.
Copy !req
669. - Has he had epi?
- Three minutes ago.
Copy !req
670. - Go ahead.
- Juice it up.
Copy !req
671. - Three-sixty. Clear!
- Agi, I need a battery.
Copy !req
672. Another 50 of lidocaine.
Again, 360.
Copy !req
673. - Agi, my camera battery's dying.
- Keep shooting.
Copy !req
674. - Got a rhythm.
- Pulse?
Copy !req
675. Faint. But it's there.
Copy !req
676. - We gotta bag him.
- I'm losing power.
Copy !req
677. How does that feel, doctor?
Copy !req
678. To bring somebody back?
Oh, that's the... That's the...
Copy !req
679. - Dr. Benton?
- Yeah?
Copy !req
680. Elizabeth Corday. Visiting
surgical lecturer and your savior.
Copy !req
681. - Excuse me?
- You've been on call forever.
Copy !req
682. - You're free to go. I'm on now.
- I'm sorry.
Copy !req
683. Are you the doctor who was
taking care of my brother?
Copy !req
684. - You still down here?
- Yeah. I had to talk to the cops.
Copy !req
685. - How is he?
- They removed his spleen.
Copy !req
686. The neurosurgeons are still working.
Copy !req
687. Does he have brain damage?
Copy !req
688. Let's call and see if there's news.
Copy !req
689. Here we go.
Copy !req
690. I thought I was a goner.
Copy !req
691. Yeah? Me too.
Copy !req
692. You'll get a lot of thank-yous from
the female population at Riverview.
Copy !req
693. - I don't wanna brag, but...
- You a popular guy over there?
Copy !req
694. Well, I seem to be...
Copy !req
695. I never was much of a Casanova
in my day.
Copy !req
696. I didn't go in for all the wild
positions and so forth.
Copy !req
697. Ladies need that. All the positions.
Copy !req
698. So I've heard.
Copy !req
699. And the sweet talk.
I never was much for that either.
Copy !req
700. I was mostly meat and potatoes.
Copy !req
701. But now I'm 82. I'm a man.
I'm breathing.
Copy !req
702. The odds are 12-to-1 in my favor.
Copy !req
703. I'm getting it anytime I want.
Copy !req
704. Not too bad, old age.
Copy !req
705. I'm glad to hear it.
Glad to hear it.
Copy !req
706. It feels good to save a man who's
performing such a service to society.
Copy !req
707. Stud service.
Copy !req
708. Get that in.
Copy !req
709. He was found outside
the Stones concert.
Copy !req
710. It looked like he fell
through a sheet of plate glass.
Copy !req
711. - Easy.
- No, no, no.
Copy !req
712. - We're just gonna-
- No, no!
Copy !req
713. - It's okay.
- No! Don't touch me!
Copy !req
714. - Get Security.
- Security!
Copy !req
715. - Everything's okay.
- Get away from me.
Copy !req
716. It's all right. Just relax.
Copy !req
717. No! Stay away from me!
Copy !req
718. It's all right.
Copy !req
719. I'm sick, okay?
Just stay away from me.
Copy !req
720. - It's okay.
- No, it's not.
Copy !req
721. I'm sick! I'm HIV-positive.
Copy !req
722. I've got AIDS.
Just stay away from me!
Copy !req
723. - Please. No, no, no.
- It's okay. Okay.
Copy !req
724. Stop!
Copy !req
725. Okay. All right?
Copy !req
726. Just lay back and let us help.
Copy !req
727. - Don't.
- It's okay.
Copy !req
728. - It itches.
- I know it itches. All right.
Copy !req
729. Just take it away.
Copy !req
730. I'll take it away. Okay?
Lay back. It's okay.
Copy !req
731. Come on.
Copy !req
732. - We'll make it better.
- Help me.
Copy !req
733. I'll do what I can.
I'll do what I can.
Copy !req
734. So when did you decide
to become a surgeon?
Copy !req
735. Well, that gets into pleasing
my father, rattling my mother...
Copy !req
736. and all sorts of boring
family secrets.
Copy !req
737. The short answer is, my father
is a surgeon, as was his father.
Copy !req
738. And my father had no sons.
Copy !req
739. Are you a resident in the U.K.?
Copy !req
740. It's a different system altogether.
Copy !req
741. I'm an FRCS, a Fellow of the Royal
College of Surgeons, and a lecturer.
Copy !req
742. That's roughly the equivalent
of senior surgical residents.
Copy !req
743. But not really
because I have six...
Copy !req
744. I'm sorry. You can't possibly
be interested in this.
Copy !req
745. Dr. Benton, please rescue me
from these well-intentioned people.
Copy !req
746. We're talking about surgical service.
Copy !req
747. Have you seen that young lady
I was talking to?
Copy !req
748. - The sister of the boy up in Surgery?
- I got some news.
Copy !req
749. I'll keep my eyes open.
Copy !req
750. Paralyzed?
Copy !req
751. For good?
Copy !req
752. It's too early to say if he'll
have any recovery of function.
Copy !req
753. - What did he think he was doing?
- He was trying to save a boy's life.
Copy !req
754. - I know.
- He's very eager to talk to you.
Copy !req
755. I'm afraid it'll have to be brief.
Copy !req
756. Just give me a second.
Copy !req
757. I wouldn't wanna be in those shoes.
Copy !req
758. Whose? Mark's or the wife's?
Copy !req
759. Neither.
Copy !req
760. Sometimes I hesitate with a family
before I give the news.
Copy !req
761. I'm gonna say something
that will change their lives.
Copy !req
762. If you don't say it, it'll be okay
for a little while.
Copy !req
763. I told this one mother
that her son had been killed.
Copy !req
764. And she said, "Is it broken? "
Copy !req
765. I'm looking at her and I didn't
know what she was saying.
Copy !req
766. So she said, "His arm, is it broken?
It's his pitching arm. "
Copy !req
767. And she just walked away.
Copy !req
768. Did you just let her leave like that?
Copy !req
769. I called Carol.
I had her take care of it.
Copy !req
770. That's a true story.
Copy !req
771. At least...
At least we...
Copy !req
772. shot those videos of us
on the playground, me and him, huh?
Copy !req
773. I guess it's a good thing.
Copy !req
774. I mean, TG'll be able to see what his
daddy looked like or used to be like.
Copy !req
775. You're gonna be that way again.
You hear me, Theo?
Copy !req
776. We are not giving up that easy, okay?
Copy !req
777. His blood gas showed PO-2, 65
and PCA 250.
Copy !req
778. We're standing by with Versed.
Copy !req
779. Dr. Carter needs you now!
Copy !req
780. I'll be there in a minute.
I'm afraid we have to interrupt.
Copy !req
781. Just another minute?
Copy !req
782. Can you have somebody drive her home?
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783. Stop bossing me around.
I'm staying here.
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784. - Pulse ox is down to 89.
- He's getting dusky.
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785. Two of Versed.
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786. We can't wait any longer.
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787. Once this sedative takes effect,
I'll intubate your husband.
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788. When you wake up, you're gonna
have a tube helping you to breathe.
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789. Mind if we interrupt?
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790. Miss Cruz's brother
came out of surgery.
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791. The head CT showed no bleeding.
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792. That is really good news. Thanks.
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793. The boy? The boy's gonna be okay?
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794. Yes, sir. Thank you.
You saved my brother's life.
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795. That's good.
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796. Can you feel that, honey?
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797. I'm in.
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798. Is he breathing?
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799. We're breathing for him now.
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800. Dr. Greene, you need to come now!
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801. Excuse me.
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802. - What happened?
- He went into fib. Clear!
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803. He went into asystole.
I've given high-dose epi and atropine.
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804. - Charge, 360.
- Why didn't you call me?
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805. - I did!
- Two minutes ago.
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806. Clear!
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807. I was following ACLS algorithms.
I thought I could handle it.
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808. - Charge!
- Go ahead and call it.
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809. - Clear! Charge it again.
- Call it, Dr. Carter!
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810. Time of death is 9:56.
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811. Call an Attending when there's
a full arrest! You get help!
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812. - I've run them before.
- That was Surgery. You work here now.
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813. Did I miss anything?
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814. Not that I can see.
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815. Sorry, I didn't think
I was gonna lose him.
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816. - I'll sign the code sheet.
- I'll do it.
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817. Do you want that interview?
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818. - Do you?
- You'll answer our questions?
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819. - If you don't use what you just shot.
- The walk away?
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820. The whole thing. Him losing
the patient and me chewing him out.
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821. It wasn't bad.
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822. - Do you want the interview?
- Yes.
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823. Look, I need a death kit in here.
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824. Probably the best part of my job
is that sometimes working here...
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825. you can repair
some of the violence.
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826. Some of the bad things
that happen to people.
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827. Not always.
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828. We couldn't do much for that guy
who was paralyzed.
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829. Probably on a vent
for the rest of his life.
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830. I guess we did save the kid
that he was trying to help.
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831. So his sacrifice wasn't for nothing.
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832. And yes, I was attacked myself...
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833. right here in this hospital.
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834. They haven't been able
to catch the guy who did it.
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835. At least, they haven't been able
to charge anyone.
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836. The worst thing about it
isn't what it did to me.
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837. The worst thing is, it meant
that some of the world's violence...
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838. has leaked into our own ER.
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839. This is meant to be a safe place
for fixing people.
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840. Now it's vulnerable.
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841. And as an ER doctor,
that's hard to accept.
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842. It sounds frightening.
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843. Are you scared?
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844. Sure.
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845. Of losing control.
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846. Control of what's outside?
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847. And what's in me.
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848. - Is that enough?
- Yeah.
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849. Then turn it off.
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