1. ER
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2. Previously on ER...
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3. Thank you. Thank you.
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4. - So, it's true?
- I've been trying to tell you.
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5. I'm not renewing my fellowship because
I'm applying for an Attending position.
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6. You should have had some sense.
Call your family!
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7. - It was not your decision, John.
- Sorry.
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8. - And here are some condoms. Use them.
- I will.
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9. The Bone Marrow Registry...
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10. found eight people who
preliminarily match your marrow type.
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11. - David!
- I've got something in my eye. Could you...?
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12. Who the hell was that?
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13. "Gut Reaction"
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14. Yosh, I need a hand!
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15. - What have you got?
- Boxes.
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16. Antibiotics, clinic expendables.
Right here, Jerry.
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17. Thank you. Right here. Thanks.
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18. Heavy lifting is not
in my job description.
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19. - Where are we gonna put this stuff?
- Put it in the lounge.
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20. - Delivery dude's waiting on a check.
- I'll be right there.
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21. Carol? What is all this?
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22. Mrs. Carter came through with another
donation for medical supplies.
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23. I thought I'd stash them in the lounge
until I find a storage space.
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24. Far be it for me to want to impede
the good work of the clinic.
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25. So tonight's the big night, huh?
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26. - Need help?
- Everything's under control.
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27. I'm impressed that you volunteered
to do this year's ER banquet.
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28. Jerry's been helping me out.
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29. What's on the menu?
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30. We have herb-roasted chicken.
We have scalloped potatoes...
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31. Dr. Greene, things didn't go
quite as planned.
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32. - What do you mean?
- I didn't want to worry you.
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33. You're worrying me.
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34. The caterer couldn't do the spread
for the money we had.
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35. So I had to make
alternate arrangements.
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36. - I hope it's not a buffet.
- It's not. It's a smorgasbord.
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37. - Mark, do you have a minute?
- Sure.
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38. - Smorgasbord?
- It'll be great.
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39. I got a great Swedish caterer,
a friend of my Aunt Gretta's.
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40. What was that strange memo
from the dean about?
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41. Apparently, he wants to explore hiring
a Pediatric Emergency Attending.
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42. - And whose dumb idea was that?
- Doug's.
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43. Doug? Doug Ross went to the dean?
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44. And the dean thought it was
worth investigating.
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45. You're telling me that Doug's actually
interested in such a position?
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46. He might be.
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47. We are trained to handle anyone
who comes through the door.
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48. We do not need
a Pediatric Attending here.
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49. Don't worry. It won't happen.
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50. They'll make a committee,
determine that it's not cost-effective.
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51. It'll all be history.
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52. Ms. Beavans, let us run some tests.
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53. - I don't have time.
- She's got a fever and she's vomiting.
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54. If I don't get to work now,
I'm gonna be fired.
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55. - Just a few minutes.
- The nurse said that an hour ago!
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56. She could have a kidney infection
or worse. Let us get a urine sample.
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57. - I'll bring her back.
- I can't let you leave.
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58. - You can't stop me!
- Police would say I can.
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59. - You'd call the cops on me?
- Absolutely. For endangering a child.
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60. - I'll call the cops for kidnapping.
- What's going on?
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61. 105 fever. She's been vomiting
for two days. No source of infection.
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62. He threatened to call the cops!
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63. - We can work this out without police.
- I'm sorry.
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64. I'm not letting you leave
without giving this child tests.
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65. Like hell you won't!
Bring her back or you're gonna be sorry!
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66. And he wants to be an Attending?
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67. Pedialyte. Make sure she gets plenty
of that. Ibuprofen for fever.
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68. We'll call you with the test results.
You don't want me to call your boss?
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69. - Don't bother.
- Okay. All right.
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70. Son of a bitch.
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71. I hope it doesn't rain tonight.
I'm wearing a new dress.
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72. Not to worry.
It is not going to rain.
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73. The Channel 2 news said
it was gonna storm.
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74. They don't know what they're talking
about. No bursitis, no rain.
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75. Can I grab a ride with you and Anna
to the banquet?
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76. - Doug's working late.
- I'm not going with Anna.
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77. Did you two break up?
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78. - We're just friends.
- I thought you were dating.
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79. No, no, no. I mean, we've gotten
really close, but no.
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80. - You thought we were dating?
- I thought I picked up on something.
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81. Something that she said?
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82. No. I thought I picked up on some
chemistry between the two of you.
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83. I mean, there's been moments...
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84. but you hate to screw up
a good friendship.
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85. That's lame, Carter. Ask her out.
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86. - I hope Romano doesn't page me.
- He keeps you on a short leash.
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87. I'd cut it in a heartbeat if I weren't
afraid of losing my visa.
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88. - Morgenstern might sponsor you.
- Out of the frying pan!
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89. - What do you mean?
- He's a strange fish, don't you think?
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90. No. Not really.
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91. - You respect him?
- Yes. Why?
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92. I heard he was cutting up cadavers
in the anatomy lab.
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93. - So?
- It's nothing.
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94. I suppose I'm looking for a convincing
reason not to go back home.
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95. Why? Is your fellowship up?
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96. No. I've been offered Senior Lecturer
at Gloucestershire Royal Hospital.
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97. Congratulations.
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98. I'm not sure I want to go back
into that old boys' network again.
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99. - Here a woman has a fighting chance.
- Ready? One, two...
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100. three. Gently.
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101. 71-year-old male, Lyle Swanson.
T- boned when a drunk ran a red.
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102. No LOC. BP, 150/98. Pulse, 90.
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103. - Resps 25. Minor lacs to-
- Allison?
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104. Look at you! How are you?
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105. I'm doing fine, Dr. Corday,
thanks to you.
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106. She's been on the job three days.
Wouldn't know she was a trainee.
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107. - How's your leg?
- I'm getting the strength back.
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108. - I'm thrilled for you.
- Can we finish the bullet, please?
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109. BP, 150/98. Pulse, 90. Resps, 25.
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110. Minor lacs to the head and lower
extremities. He noticed chest pains...
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111. - ... after hitting the steering wheel.
- Well done.
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112. Anytime. See you.
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113. No evidence of pneumo.
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114. Good peripheral pulse
without extremity tenderness.
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115. Pupils equal, disc margins clear.
What are you thinking?
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116. Worst-case scenario, cardiac contusion
or an aortic tear.
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117. - Start with a chest x-ray.
- Excuse me?
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118. Get a chest film.
I've got a paraesophageal hernia.
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119. Probably torsed my stomach.
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120. - Are you a doctor?
- Pathologist. Rule out a volvulus.
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121. Lydia, call for a portable chest.
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122. Peter, what do you think?
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123. I think Dr. Swanson just beat us
to the diagnosis.
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124. Are you going to this banquet tonight?
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125. It sounds kind of hokey.
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126. Actually, it was great fun last year.
It was a nice dinner. It's good wine.
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127. - Everybody ended up doing the limbo.
- I don't know.
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128. Come on.
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129. I guess. If you're gonna go.
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130. - Would you like to go together?
- Sure. Why not?
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131. - All right, I'll pick you up at 8:00.
- Great.
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132. Why didn't you say
there was a deposit?
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133. I thought you were taking care
of the band.
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134. If I had known there was a deposit,
I would've paid it.
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135. I've got 60 people showing up
there tonight. You cannot cancel-
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136. - Mark, telephone.
- Can you hold on?
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137. Is it important?
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138. It's the florist.
I'll say you're with a patient.
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139. What does she want?
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140. She tried to deliver your centerpieces
to the Shangri Lodge.
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141. Nobody was there to receive them.
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142. - Have them deliver it here.
- To the ER?
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143. Look, you've gotta be able to find
a band for me tonight.
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144. - I have a couple of buddies-
- Jerry, get back to work.
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145. What's that? The Machine?
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146. That sounds good. Fine. Book them.
I'll pay the late fee.
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147. Damn it!
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148. Labs are back on Quinesha Beavans.
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149. She's got Gram-negative rods in
her urine. Her CBC shows a left shift.
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150. - Urosepsis.
- Probably.
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151. It's good you had Mrs. Beavans
stick around so you could run tests.
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152. Tell Kerry Weaver about that.
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153. Want me to call her and make sure she
brings in Quinesha for IV antibiotics?
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154. I can be diplomatic, buddy.
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155. I know you can.
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156. Dr. Swanson made a correct
self-diagnosis.
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157. He's got a nasty-looking volvulus.
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158. He's gonna need a gastrectomy.
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159. Have you ever removed
the entire stomach?
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160. - No. What about you?
- In a frog.
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161. - Morning, folks.
- Good morning, Dr. Morgenstern.
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162. - So, what's on the agenda?
- A rather fascinating case.
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163. Pretty spiffy. Who is this?
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164. Lyle Swanson,
71-year-old physician who-
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165. Swanny?
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166. David Morgenstern, Dr. Swanson.
I took histology from you.
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167. You inspired me to become a surgeon.
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168. You made the most beautiful
axial slices of the brain.
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169. That means a great deal
coming from you, sir.
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170. Dr. Swanson is a world authority
on immunofluorescent tumor stains.
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171. I'm afraid you have a gastric torsion.
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172. I should've had that damned hernia
repaired years ago.
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173. Well, I had an Ml six months ago.
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174. I ignored the symptoms for weeks.
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175. What's your plan?
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176. We'll do an open procedure.
That way we can explore your belly.
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177. Can you operate laparoscopically?
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178. I believe your case is
too complicated for that.
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179. - Nonsense.
- A lap volvulus?
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180. It's less invasive.
The recovery time is quicker.
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181. What do you think?
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182. Well, it's worth a try. We can always
convert to an open procedure.
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183. Lily, book an O.R. in my name.
Which one of you would like to assist?
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184. Elizabeth...
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185. you're the skeptic. How about it?
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186. Terrific.
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187. - Isn't a smorgasbord old-fashioned?
- It's gonna be great.
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188. I'd like to see a menu.
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189. We are having pickled herring,
Swedish meatballs, limpa bread.
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190. And my mom's making
a tub of borscht.
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191. Wait. Your mother's
doing the cooking?
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192. She's doing it for free.
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193. - Did you page me?
- Yeah. Got a bowel obstruction in 2.
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194. - You sure it's not just constipation?
- Yes, I'm sure.
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195. Hell of a job you ER docs have.
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196. You scout out the territory and call
in the big boys to go in for the kill.
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197. - You got a minute?
- Sure.
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198. The National Bone Marrow Registry
called. You gave some blood last week?
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199. In the drive for Dr. Anspaugh's son.
Don't tell me that I matched.
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200. Unfortunately not for Scotty.
But you matched an out-of-state patient.
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201. Wow! That's great.
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202. - That's a tough procedure, isn't it?
- It's not too bad.
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203. And if I can arrange it for today,
would you be willing to do it?
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204. That soon?
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205. The patient needs the marrow.
I'll give you some days off to recuperate.
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206. I can perform that procedure after
I check out this bowel obstruction.
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207. Yeah. And what exactly
does it involve?
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208. I'll drill about 50 small holes in
your pelvis and suck out the marrow.
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209. We'll give you an epidural.
You won't feel a thing.
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210. Piece of cake.
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211. - Think about it.
- Okay.
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212. Be honest with me. Do you think
I have what it takes to be an Attending?
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213. Of course you do.
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214. Think of me as diplomatic?
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215. - What does that have to do with it?
- Answer the question.
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216. It's not the first word
that springs to mind.
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217. What would the first word be?
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218. Stubborn.
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219. Opinionated.
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220. Insouciant.
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221. - Insouciant?
- Look it up.
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222. You know this one?
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223. We've only played it about a billion
times. Are you done eating this?
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224. - It's not very good.
- Yeah, I know.
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225. How about I order us a pizza?
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226. If you want.
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227. Maybe some rocky road for dessert?
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228. Is the pain getting worse?
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229. This thing isn't working
as good as it used to.
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230. I'll get Dr. Ross to adjust
it for you. Okay?
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231. Wait. Don't leave yet.
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232. This is the coolest part.
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233. Dr. Bad News.
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234. How are you feeling, son?
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235. Well, me and Jeanie
were gonna share a pizza.
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236. We...
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237. We need to talk.
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238. Your bone marrow failed to match
the last two potential donors.
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239. You win some, you lose some.
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240. Hey, we'll come up with Plan B.
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241. Okay? Your dad and I have
discussed some new therapies.
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242. There is something called...
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243. a Phase One chemotherapy trial.
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244. But it's highly experimental.
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245. At least it's still
a possibility, right?
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246. Yes.
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247. It couldn't be any worse than the nuke
juice they've already given me.
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248. There could be some
severe side effects.
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249. And the chemo could...
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250. Make me croak.
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251. We don't have to make a decision
right this minute.
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252. What do you think, Jeanie?
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253. I think it's a chance.
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254. Would you stay with me
if I got the new chemo?
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255. Of course I would.
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256. I wanna do it.
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257. You sure lucked out getting that lap.
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258. - Do you like working with Morgenstern?
- Of course. He's one of the best.
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259. Why is it I don't feel comfortable
around him?
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260. Can't imagine.
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261. Last week he bolted out midway
through a pericardiocentesis.
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262. - Claimed he had something in his eye.
- Then he must have.
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263. It seemed to me like he froze up.
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264. I can't believe that.
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265. Let me tell you something
about Dr. Morgenstern.
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266. He's taught me more than all
the other Attendings combined.
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267. Maybe I'm looking for an excuse
to get out of this.
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268. I don't have much experience
of laparoscopic procedures.
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269. See, that's it.
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270. Whenever you're nervous
you go after the Attendings.
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271. Do I really?
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272. Well, I guess I do.
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273. - Have you ever done a lap volvulus?
- No. But I'd love to.
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274. In that case, be my guest.
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275. Are you serious?
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276. Yeah. I'll do your biopsy
and then I'll come observe you.
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277. Perhaps I'll learn something.
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278. Well...
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279. Okay.
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280. I owe you.
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281. David?
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282. I hope I'm not disturbing you.
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283. Oh, heavens, Kerry,
you never disturb me.
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284. Is that a lap volvulus?
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285. Heard you're doing one
on Dr. Swanson.
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286. Yeah. Just looking at one
of my old teaching tapes.
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287. Never hurts to review the finer points
of establishing a pneumoperitoneum.
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288. He told me that you were one
of his brightest students.
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289. Good old Swanny.
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290. He's from the old school of medicine.
Cares about the science and the soul.
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291. I came up to bring you the minutes
of the Blood Utilization Committee.
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292. Thought you might be interested
now that you're back on staff.
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293. You're always looking out for me.
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294. Which reminds me, are you coming
to the ER banquet tonight?
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295. You're part of the family.
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296. It sounds like great fun.
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297. - Good. I'll see you there.
- Right-o.
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298. So I spoke to
the pain management team.
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299. Sorry.
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300. - Sorry.
- It's all right.
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301. We're gonna increase
your morphine dosage.
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302. Okay. Where's Jeanie?
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303. She's probably down in the ER working.
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304. No. She promised to stay with me
when I get the new chemo.
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305. I spoke to your dad about that.
He's worried that...
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306. you may not understand what it means
to be in a Phase One treatment study.
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307. I know. The chemo
could make me a lot sicker.
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308. Yeah, it can. You're willing
to go through with that?
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309. Hey, Jeanie. Where have you been?
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310. I was down in the gift shop.
I got you a little something.
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311. A new Hot Rod.
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312. You let me read that
when you're done, all right?
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313. Scott and I were just talking...
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314. about the pros and cons
of a Phase One study.
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315. And I was telling Dr. Ross
that we're gonna go for it.
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316. - He's a pretty brave guy.
- Yes, he is. Very brave.
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317. Yes, I'll hold.
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318. So I talked to Anna, and we're going
together. But don't call it a date.
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319. No, no. It's urgent. I have to
speak to Mrs. Carter immediately.
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320. Well, page her out
of her board meeting.
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321. - What's going on?
- Carol wrote a bad check.
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322. Her medical supplies
are getting repo'd.
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323. Your grandmother wrote me this.
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324. Could you please have her
call me back? Thank you.
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325. She put a stop payment
on her foundation check?
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326. What did you do?
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327. Nothing. Last week
we had some bad press.
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328. We gave out birth control to teens.
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329. Gamma isn't anti-birth control.
She does hate publicity, though.
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330. What should I do?
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331. You could promise that you won't
use her money for birth control.
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332. I would if I could reach her.
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333. Dr. C, eye exam in 1.
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334. I'm sure it's just
a big misunderstanding.
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335. - Is the patient ready?
- He's asleep.
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336. Okay. The monitor goes
at the head of the table.
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337. The endoscopic tower's
on the wrong side.
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338. Dr. Morgenstern requested it this way.
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339. - Are you sure?
- Yes, doctor. Quite sure.
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340. Shirley! How nice to see you!
You still collecting old 45s?
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341. Just picked up a rare Buddy Holly.
It's great to have you back.
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342. Well, it's good to be home.
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343. Peter? I thought your associate
was going to assist.
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344. She's doing a biopsy,
so she'll be by later to observe.
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345. So it's you and me!
Just like old times.
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346. Shirley, I left a CD of some Peruvian
panpipe music by the scrub sink.
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347. - Would you mind putting it on?
- Not at all, Dr. Morgenstern.
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348. You'll like this, Peter.
The music is mysterious...
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349. and yet soothing.
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350. You have a scratch
on your cornea, Mr. Bartlett.
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351. I'll be right back with some
antibiotic eye drops for you.
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352. - Carter, do you have a minute?
- Sure.
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353. - Is something wrong?
- No.
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354. I matched for a transplant candidate
from the blood we donated last week.
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355. - You're gonna donate bone marrow?
- Yeah.
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356. - That's great.
- Yeah.
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357. But I guess I won't make it
to the banquet tonight.
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358. Yeah. No. You should be sore
for a couple of days.
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359. Why? It's a simple procedure, right?
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360. Not much to it.
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361. - Have you ever done one?
- About 12 or so last year.
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362. Would you do mine?
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363. - Really?
- Yeah.
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364. I don't mean to sound like a wimp.
I just feel a little nervous about it.
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365. I've never even seen you flinch.
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366. - Not even in the bloodiest traumas.
- I'm serious.
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367. It's different when
you're the patient.
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368. Just a big chicken, huh?
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369. - Don't rub it in, please.
- No. Hey, it's just...
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370. - It's surprising.
- If you don't want to do it, fine.
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371. I'd be honored. I'll do it as soon as
I'm finished with my patient.
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372. Okay. Thanks. Appreciate it.
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373. Bye.
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374. Mark, did Romano see
that kid with the appy?
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375. Yeah. He's examining him now.
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376. - Is everything set for the banquet?
- Seems to be moving right along.
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377. The University Club put on
such a lovely banquet last year.
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378. It's too bad it wasn't available.
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379. It was. I just thought the Shangri
Lodge would be a different choice.
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380. You actually chose the Shangri Lodge
over the University Club?
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381. - A little less pretentious.
- Whatever you say.
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382. That appy kid's dry as a bone.
Buff him up.
Copy !req
383. Give him 200 cc's normal saline
every 15 minutes.
Copy !req
384. That's too much fluid for a kid.
I already gave him two 500 cc boluses.
Copy !req
385. I want you to give him
200 cc's every 15 minutes...
Copy !req
386. then send him up to the O.R.
Copy !req
387. - You fluid-overload these patients.
- Follow my orders on the chart.
Copy !req
388. In my ER, I'll manage the patients
the way I see fit!
Copy !req
389. Hey, Greene!
Copy !req
390. I guess you got some stones after all.
You're the boss.
Copy !req
391. We'll free up the esophagus
with a harmonic scalpel.
Copy !req
392. When I was a Resident,
we didn't have cautery.
Copy !req
393. We had to tie every vessel.
Copy !req
394. Tell me, Peter.
Copy !req
395. Where do you find the branches of the
vagus at this level of the esophagus?
Copy !req
396. They become the anterior and posterior.
You cut them, the stomach won't empty.
Copy !req
397. Right you are.
Copy !req
398. Speaking of "empty" and "stomach,"
anyone try that new Mexican restaurant?
Copy !req
399. I heard they make
a great chimichanga.
Copy !req
400. Shirley, turn down the thermostat.
Copy !req
401. Right away, sir.
Copy !req
402. - Are you okay?
- Of course.
Copy !req
403. I was doing laps back when those
monitors were still black-and-white.
Copy !req
404. - Dr. Morgenstern?
- What?
Copy !req
405. You're dissecting the edge
of the esophagus.
Copy !req
406. Thank you, doctor,
but I don't need instruction.
Copy !req
407. Boy, that phrenic ligament
is really fibrous.
Copy !req
408. Are you sure it's not mucosa?
Copy !req
409. Damn it!
Copy !req
410. Peter, your job is to assist me.
Anticipate my moves.
Copy !req
411. I am. But he's got varices.
You could nick one.
Copy !req
412. Turn the music off.
Copy !req
413. Don't pull so hard with the Babcock.
You'll tear the gastric artery.
Copy !req
414. - I'm not pulling.
- The hell you're not!
Copy !req
415. Dr. Morgenstern,
you're obscuring my field.
Copy !req
416. Oh, son of a bitch!
You tore the left gastric.
Copy !req
417. - I wasn't anywhere near it.
- Suction.
Copy !req
418. Give me a 10 mm sucker,
open-ended. Let's move.
Copy !req
419. - I can't see what I'm coagulating.
- All right. We have to open.
Copy !req
420. No, no, no.
We can control the bleeding.
Copy !req
421. Every time I suck, the abdominal wall
collapses. I can't see a thing.
Copy !req
422. Well, then stop sucking.
Copy !req
423. - What are you wearing?
- My velvet dress.
Copy !req
424. The one you wore last year?
Copy !req
425. I didn't pass out and rip mine in
the parking lot like someone I know.
Copy !req
426. Jeanie, you going to the banquet?
Copy !req
427. No, I'll finish some charts
and stay with Scott.
Copy !req
428. - No luck with a donor match?
- No.
Copy !req
429. Hey, Jeanie. Can I talk to you?
Copy !req
430. I'm concerned about Scott. You sure
he wants this experimental treatment?
Copy !req
431. - Why? Did he say he didn't?
- No.
Copy !req
432. - What are you concerned about?
- He's got this crush on you.
Copy !req
433. Doug, the boy is 12 years old.
Copy !req
434. 12-year-olds get bigtime crushes.
He'll do anything to please you.
Copy !req
435. He just wants a chance to get better.
Copy !req
436. - Have you seen how he looks at you?
- You overreact.
Copy !req
437. He lights up when you're around.
Copy !req
438. I think that he's taking the chemo
because he thinks you want him to.
Copy !req
439. No. I want him
to make his own decision.
Copy !req
440. I know that you do.
I don't know that he can.
Copy !req
441. Pressure's dropping.
Copy !req
442. - He's lost too much blood. Let's open.
- Let's do a midline.
Copy !req
443. Instrument tray. Two more units
of cross-matched. Let's move.
Copy !req
444. - Scalpel.
- Hemostat.
Copy !req
445. He's a bloody mess.
Copy !req
446. - Get that liver out of the way.
- Deaver retractor. Let's move.
Copy !req
447. - His varices are bleeding.
- Suction!
Copy !req
448. 3-0 silk on a pass.
Copy !req
449. - See the bleeder?
- Not yet.
Copy !req
450. - Bradying down.
- Two more units of blood.
Copy !req
451. - Okay, we gotta crack him.
- Let me suture.
Copy !req
452. - We've gotta stop the bleeding.
- Shove your hand in there and squeeze.
Copy !req
453. - We're losing him.
- I can't find the bleeder.
Copy !req
454. We've gotta crack him.
Copy !req
455. It's these damn varices.
Copy !req
456. Doctor, it's been three minutes.
Copy !req
457. Damn it! He's dying. Move!
Copy !req
458. Rib-spreader!
Copy !req
459. Damn it, I said rib-spreader!
Let's move, people!
Copy !req
460. Satinsky.
Copy !req
461. Okay, aorta's clamped.
Do we have a pulse?
Copy !req
462. No pulse. He's in V-fib.
Copy !req
463. All right.
I'm starting internal massage.
Copy !req
464. Still in V-fib.
Copy !req
465. The lungs aren't expanding.
Increase the volume.
Copy !req
466. Lap pad. I can't get a grip.
Copy !req
467. Still no pulse.
Copy !req
468. Give me the epi.
Copy !req
469. Come on! Let's move! Let's go!
Copy !req
470. The tray is ready.
Here are your gloves.
Copy !req
471. - Thanks, Kit.
- Call me if you need anything.
Copy !req
472. Carter, are you ready?
Copy !req
473. Epidural didn't hurt a bit.
Copy !req
474. I told you, you had absolutely
nothing to be nervous about.
Copy !req
475. Sure. That's what they told me
when I had my tonsils out.
Copy !req
476. I was 12.
Copy !req
477. I was in terrible pain after the operation,
so they gave me Dilaudid.
Copy !req
478. They gave me too much
and I couldn't wake up.
Copy !req
479. It was really weird, you know.
I could hear the nurses' voices.
Copy !req
480. And I couldn't speak or move.
Copy !req
481. I thought I was gonna die.
Copy !req
482. And then I made a promise to God.
Copy !req
483. And I said, "If you let me live...
Copy !req
484. I'll be a good person
for the rest of my life. "
Copy !req
485. And you came to and decided to devote
your life to medicine?
Copy !req
486. Something like that.
Copy !req
487. I'm really relieved
you're doing this. Thanks.
Copy !req
488. Don't tell me when you'll
stick the needle in.
Copy !req
489. I won't. I'll prep
with a little Betadine.
Copy !req
490. All right.
Copy !req
491. Your drape fell off a little bit.
Copy !req
492. All right. Here comes the Betadine.
Copy !req
493. I can't let you examine him
until after the autopsy.
Copy !req
494. I know. I just want
to review the anatomy.
Copy !req
495. That's quite an unusual request.
Why are you so interested?
Copy !req
496. Well, you know, it all happened
so unexpectedly. I just...
Copy !req
497. I've known Dr. Swanson for 20 years.
It's not easy for me either.
Copy !req
498. So do you think it would be possible
to sit in on the autopsy?
Copy !req
499. Sure. Tomorrow, 4 p. m.
Copy !req
500. Thanks.
Copy !req
501. You down here checking
on the Swanson autopsy?
Copy !req
502. Yeah. I assisted on the case.
Copy !req
503. I know. David Morgenstern
filled me in.
Copy !req
504. Alice, when do you expect
to have the report?
Copy !req
505. In a couple of days.
Copy !req
506. The sooner the better.
Copy !req
507. I'm sorry about what happened.
Copy !req
508. - Is there a problem?
- No. Not really.
Copy !req
509. I spoke to David about the argument
in the O.R. He downplayed it.
Copy !req
510. Right.
Copy !req
511. Understand Dr. Swanson had cirrhotic
liver, varices, secondary to hep B.
Copy !req
512. Yeah, he did have varices.
Copy !req
513. No wonder you couldn't
stop the hemorrhaging.
Copy !req
514. We'll run an M and M, see if we can
learn something from this tragedy.
Copy !req
515. Why don't you take charge?
Gather all the charts and the tape.
Copy !req
516. The tape?
Copy !req
517. We often tape laparoscopic procedures.
See if the operation was recorded.
Copy !req
518. If it was, you can take us all
through it step by step.
Copy !req
519. We shouldn't leave these here.
Copy !req
520. - What are these?
- It's a miniature stethoscope.
Copy !req
521. It's a theme. Dumb idea?
Copy !req
522. No. Just tacky.
Copy !req
523. - Did you talk to Gamma yet?
- She never returned my call.
Copy !req
524. - This might not be about you.
- What?
Copy !req
525. - I'll go talk to her after I get off.
- Thanks.
Copy !req
526. And by the way,
Anna said she'd call you later.
Copy !req
527. She was in a lot of pain,
took a taxi home.
Copy !req
528. Guess she's gonna miss the banquet.
Copy !req
529. Viper convertible.
Copy !req
530. It's pretty cool, huh?
Copy !req
531. Yeah. I'm gonna get one just like it.
Copy !req
532. Cobalt blue with a white racing stripe
down the middle.
Copy !req
533. Think you can handle it?
Copy !req
534. You'll see when I take you for a ride.
Copy !req
535. You haven't mentioned
your friends lately.
Copy !req
536. You want me to give them a call
and maybe have some guys come visit?
Copy !req
537. Not really.
Copy !req
538. They're...
Copy !req
539. I don't know, just kids.
Copy !req
540. I'd rather be with you.
Copy !req
541. Look at those wheels. Magnesium.
Copy !req
542. - What are you doing?
- Applying for a loan.
Copy !req
543. What?
Copy !req
544. If I can't depend on the foundation
and until I get some new grants...
Copy !req
545. I'm taking out a loan
to keep the clinic open.
Copy !req
546. - Am I losing my mind?
- Maybe.
Copy !req
547. Six-month-old twins
in respiratory distress!
Copy !req
548. Parents said they have the flu.
They're down in the waiting room.
Copy !req
549. Get me a Pediatric crash cart
and clear Trauma 2!
Copy !req
550. I got him. Come on. Come on.
Copy !req
551. I know.
Copy !req
552. Shirley, can you help me?
Copy !req
553. I gave the nursing notes
to Dr. Morgenstern.
Copy !req
554. Was there a tape made?
Copy !req
555. I didn't make one.
Copy !req
556. But if there was a tape made,
where would it be?
Copy !req
557. Try the O.R.
The equipment's still in there.
Copy !req
558. Thank you.
Copy !req
559. Check the video recorder.
Copy !req
560. Damn it!
Copy !req
561. - Draw a racemic epi.
- Yosh, help Doug. I'll help Mark.
Copy !req
562. - Need a hand?
- Yeah. Get the O-2.
Copy !req
563. - Carol, I need the line.
- This one is wheezing and retracting.
Copy !req
564. Pulse ox, 92.
Copy !req
565. Yosh, get me albuterol nebulizer,
0.5 cc's, and two of saline.
Copy !req
566. She's not breathing.
Copy !req
567. Lily, intubation tray.
Carol, I need that line.
Copy !req
568. - I can't get a vein.
- I'll go in interosseus.
Copy !req
569. All right. Let's move her up.
Copy !req
570. - How's the other one?
- Stable. Yosh, move her out of here.
Copy !req
571. I can't see the cords.
Copy !req
572. - Laryngeal edema.
- Probably syncytial virus.
Copy !req
573. She's cyanotic. Trach tray, suction.
Copy !req
574. - Hold the suction. Hang on.
- What?
Copy !req
575. Wait for an air bubble.
Follow it down with the tube.
Copy !req
576. - Okay.
- All right?
Copy !req
577. I see the bubble.
Copy !req
578. I'm in.
Copy !req
579. Bag her.
Copy !req
580. Peter...
Copy !req
581. I've been looking for you.
Copy !req
582. You're one of the finest Residents
I've ever worked with.
Copy !req
583. What happened today has no bearing
on those feelings whatsoever.
Copy !req
584. I plan to support you
in any way I possibly can.
Copy !req
585. Support me?
Copy !req
586. I'm prepared to review this case
strictly on medical facts.
Copy !req
587. Of course.
Copy !req
588. I believe Dr. Swanson died
from ruptured varices.
Copy !req
589. That's not what happened.
Copy !req
590. What do you think happened?
Copy !req
591. Well...
Copy !req
592. You accidentally cut
the gastric artery.
Copy !req
593. I've been a surgeon for 20 years.
I've never accidentally cut anything.
Copy !req
594. Then how did he bleed out?
Copy !req
595. You avulsed the left gastric
with your clamp.
Copy !req
596. No, I didn't.
Copy !req
597. The tape of the procedure
will show that.
Copy !req
598. What tape?
Copy !req
599. I was hoping you made one.
Copy !req
600. Sorry.
Copy !req
601. Let's not let this escalate, Peter.
Copy !req
602. I could make this an issue
of your insubordination.
Copy !req
603. I don't want to do that.
Copy !req
604. I would've never taken over if I-
Copy !req
605. You did more than that! You pushed
me away from the operating table!
Copy !req
606. That's grounds for dismissal.
Copy !req
607. If a man's life wasn't at stake-
Copy !req
608. A man's life was at stake.
Copy !req
609. And that life was lost.
Copy !req
610. I'd appreciate it if your preparation
for M and M focused on the medicine...
Copy !req
611. and not hypotheticals
and accusations.
Copy !req
612. Dr. Swanson deserves at least
that measure of dignity.
Copy !req
613. The clinic's done a lot of good work
in the family's name.
Copy !req
614. I'm glad you feel that way.
Copy !req
615. So doesn't it make sense
to continue funding it?
Copy !req
616. I think it's time Carol Hathaway
looked for other funding sources.
Copy !req
617. She's worked very hard
to make a go of this clinic.
Copy !req
618. It's not fair to pull the rug
right out from underneath her.
Copy !req
619. I'm surprised at your interest
in the foundation.
Copy !req
620. How many years have I tried
to involve you...
Copy !req
621. in our family's
charitable activities?
Copy !req
622. This isn't about the foundation.
Copy !req
623. What is it about?
Copy !req
624. You're angry with me about Chase.
You're taking it out on the clinic.
Copy !req
625. I am angry that your cousin will be
debilitated for the rest of his life.
Copy !req
626. It's not something
I would take out on others.
Copy !req
627. Chase barely accepted my help!
Copy !req
628. He didn't want the family to know.
Copy !req
629. None of you wants the family
involved in your lives.
Copy !req
630. That's unfair.
I care about the family.
Copy !req
631. You certainly care about the money.
Copy !req
632. What?
Copy !req
633. You live off a family trust, John.
Copy !req
634. Gamma, if that is all you think of me,
then you can keep your money.
Copy !req
635. As you wish, John.
Copy !req
636. David?
Copy !req
637. Hi. You know,
I heard about Dr. Swanson.
Copy !req
638. Hard losing Swanny like that.
Copy !req
639. Why don't you come with me
to the banquet?
Copy !req
640. Thank you, Kerry.
I just want to go home.
Copy !req
641. Mark. You know,
I've been thinking all day...
Copy !req
642. about the proposal for a Pedes
Attending. I think we should fight it.
Copy !req
643. I'm a little torn. I just saw Doug Ross
save a 6-month-old's life.
Copy !req
644. Doug is a good pediatrician.
He's not management material.
Copy !req
645. He's never been interested before.
Copy !req
646. It's not just Doug. It's a policy change
that would undermine our authority.
Copy !req
647. I'm not worried about my authority.
Copy !req
648. I think ER Attendings run
the best emergency department.
Copy !req
649. I agree. Good.
Copy !req
650. All right, see, watch this.
Copy !req
651. Let me get you right on the...
Copy !req
652. I'll be right back.
Copy !req
653. Quinesha came back for IV antibiotics.
I was just entertaining her.
Copy !req
654. How's her mom's job?
Copy !req
655. - I called her work. She'll be fine.
- Good for you.
Copy !req
656. You would've done the same. Listen,
I'm serious about the Attending thing.
Copy !req
657. - You ought to give it a shot.
- Yeah?
Copy !req
658. Yeah. Here we go, kiddo.
Copy !req
659. Dr. Swanson taught half the Attendings
here. Everybody loved him.
Copy !req
660. I'd get all my ducks in a row
if I were you, Peter.
Copy !req
661. I did nothing wrong.
Copy !req
662. - Rumor has it you took over.
- I had no choice.
Copy !req
663. That's your opinion. But justified
or not, you're a Resident.
Copy !req
664. And Morgenstern's the Chief.
Copy !req
665. I'm sorry.
Copy !req
666. So much for your bursitis.
Copy !req
667. I'm sorry. Look, hot borscht will
be up in five minutes, all right?
Copy !req
668. - Has anybody seen the band?
- I don't see any food either.
Copy !req
669. Don't they usually
serve hors d'oeuvres?
Copy !req
670. Wouldn't wanna spoil your appetite
for the smorgasbord.
Copy !req
671. The bartender just asked me
for a drink ticket.
Copy !req
672. - I didn't bring any cash.
- Here.
Copy !req
673. - One each?
- Hey, buddy.
Copy !req
674. Hey! Come here. Come here.
Copy !req
675. Kind of an unusual place.
Copy !req
676. It's different, you know.
But it's great.
Copy !req
677. - It's a disaster.
- I wouldn't say that.
Copy !req
678. You want another drink?
Copy !req
679. It's really nice, Mark.
Copy !req
680. Mark Greene?
Copy !req
681. I'm The Machine.
Copy !req
682. - Band's here.
- Excellent. Great.
Copy !req
683. You guys need some help
bringing your stuff in?
Copy !req
684. No guys. Just me.
Copy !req
685. You're The Machine?
Copy !req
686. The whole Machine?
Copy !req
687. Hey! Carter!
Copy !req
688. Over by the moose!
Copy !req
689. I couldn't get my grandmother
to listen.
Copy !req
690. Somebody did.
Copy !req
691. She messengered over another check.
Whatever you said really worked.
Copy !req
692. Thank you so much.
Copy !req
693. - Come on.
- I'm coming.
Copy !req
694. Watch your head on the moose.
Copy !req
695. Why aren't you home in bed?
Copy !req
696. What? And miss my first ER banquet?
Copy !req
697. How's the pain?
Copy !req
698. It's okay now after
a couple of Percodan.
Copy !req
699. Makes for a very pleasant banquet.
I should pass them around.
Copy !req
700. Well, you look...
Copy !req
701. Thanks. So do you.
Copy !req
702. You know, we've kind of been dancing
around this thing a little bit.
Copy !req
703. And this afternoon
during the bone marrow...
Copy !req
704. A couple of points during the year
I kind of felt like we had chemistry.
Copy !req
705. - Or not.
- No.
Copy !req
706. No, you're right. I mean,
there's definitely been, you know...
Copy !req
707. All right. Well, let me say this.
Copy !req
708. I haven't made a move because I didn't
want to screw up our friendship.
Copy !req
709. Yeah. I know.
You've been a great friend.
Copy !req
710. The only real friend
I've made here, actually.
Copy !req
711. But?
Copy !req
712. But? But there's this other guy.
Copy !req
713. That guy you told me about in Philly?
Copy !req
714. The guy with the drug problem?
Copy !req
715. Well, I think that's past him now.
So I'm...
Copy !req
716. We were together for a long time.
We've not been together for a while.
Copy !req
717. So it's not completely over.
Copy !req
718. I guess I'm just not quite there yet.
You know?
Copy !req
719. - But...
- Hey, I understand.
Copy !req
720. - You do?
- Yeah.
Copy !req
721. Yeah, I understand.
Copy !req
722. What are friends for?
Copy !req
723. Dr. Greene, the crowd's
getting restless.
Copy !req
724. Give them some drink tickets
while The Machine is setting up.
Copy !req
725. Alrighty.
Copy !req
726. Saved by the smorgasbord!
Copy !req
727. Ladies and gentlemen,
dinner is served!
Copy !req
728. - What happened?
- He's arrested.
Copy !req
729. - Fever's 104.
- Is he septic?
Copy !req
730. That's what happens when
they get to this state.
Copy !req
731. - He was about to start a Phase One.
- Poor kid.
Copy !req
732. Let's give him two of epi.
Copy !req
733. Would you mind taking over
the bagging?
Copy !req
734. Somebody should call his father.
Copy !req
735. Why don't these parents
just let these poor kids go?
Copy !req
736. We've got a rhythm.
Copy !req
737. Okay, let's give him tobra and ceftaz.
Copy !req
738. - Do you want hydrocortisone?
- Yes, please.
Copy !req
739. Good work, everyone.
We have got him back.
Copy !req
740. Carol, are your meatballs frozen?
Copy !req
741. I think they' re just a little cold.
Copy !req
742. What is this?
Copy !req
743. Jerry says it's called pyttipanna.
Copy !req
744. - What's that?
- I have no idea.
Copy !req
745. Excuse me. Hello.
Copy !req
746. I just wanted to say
thank you for coming tonight.
Copy !req
747. I organized this event in hopes...
Copy !req
748. to show my appreciation
for all of your great work.
Copy !req
749. So try not to hold tonight against me.
Copy !req
750. Each day we work together
as a family.
Copy !req
751. Because we're a family, it's no secret
that it's been a rough year for me.
Copy !req
752. So I want to thank each of you
for helping me...
Copy !req
753. through some hard times.
Copy !req
754. You stuck by me when I needed you.
Copy !req
755. And you've given your best
to make our ER...
Copy !req
756. a place that we can all
be proud of.
Copy !req
757. So thanks for being my family.
Copy !req
758. I couldn't have made it without you.
Copy !req
759. Here we go!
Copy !req
760. I had the Babcock on the lesser
curvature of the stomach.
Copy !req
761. There's no way I could've been
near the left gastric.
Copy !req
762. Any way you could've
caught the artery?
Copy !req
763. No. Morgenstern was
dissecting the esophagus.
Copy !req
764. My clamp was on the stomach
the entire time.
Copy !req
765. Then it's your word against his.
Copy !req
766. So how much did you see
on the monitor?
Copy !req
767. I got there just before you
performed the thoracotomy.
Copy !req
768. - In time to see me push him?
- Yeah.
Copy !req
769. I'm willing to express my concern
about his competency.
Copy !req
770. No, no, no. I don't want you to
jeopardize your career over this.
Copy !req
771. I don't know.
Maybe my clamp did slip.
Copy !req
772. You just told me you had the clamp
on the stomach the entire time.
Copy !req
773. I'm sure I did.
Copy !req
774. Peter, if you're sure
that's what happened...
Copy !req
775. Yeah.
Copy !req
776. I'm sure.
Copy !req
777. The food was terrible.
The music stinks.
Copy !req
778. The drinks are watered down. But you
sure know how to throw a great party.
Copy !req
779. - Thank you.
- You're welcome.
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780. - Are you feeling better?
- Yeah.
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781. Good. The antibiotics are working.
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782. You got a big decision to make.
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783. I told you what I want to do.
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784. I know. Just hear me out.
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785. I'm gonna love you and respect you
no matter what you decide.
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786. And I'll always be there for you.
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787. So if you want to take this chemo,
you have to do it for yourself.
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788. Not for your dad or for your sister...
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789. or for me.
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790. - Understand?
- I think so.
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791. A man has to make decisions
for himself.
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792. I don't want any more chemo.
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793. Okay.
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794. You know what I want?
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795. I want to get in that Viper.
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796. Cobalt blue with the racing stripe.
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797. Put the top down and drive.
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798. And where would we go?
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799. California.
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800. Surfing?
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801. Ride the curl at Zuma Beach.
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802. Sounds like fun.
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803. And we'll stay for the sunset.
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804. Sure.
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