1. ER
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2. Previously on ER...
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3. It was really lovely last night.
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4. I would really like you
to consider a date.
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5. seeing as I do work for you...
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6. I don't think
it would be such a good idea.
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7. Oh, I see. You have a policy.
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8. - Yes, I do.
- No fraternizing with people at work.
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9. He's in heroin withdrawal.
The mother's stealing his methadone.
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10. So she split?
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11. "Suffer The Little Children"
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12. Have you heard of the Velvet Lounge?
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13. Of course.
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14. I saw in the Tribune
they' re having a jam session tonight.
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15. - You don't wanna go to the South Side.
- It's a rough area?
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16. I mean it's not a good idea.
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17. When I was in Belfast, I went
to the Bogside to hear Lick the Tins.
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18. It's an IRA stronghold.
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19. It's not the same thing.
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20. Plans for his discharge?
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21. Well, his vitals are stable.
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22. - Any vomiting or diarrhea?
- No.
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23. He's keeping down POs and is back
on regular doses of methadone.
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24. I'd like to start a course
of long-term withdrawal.
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25. - Mrs. Thorvaldsen from DCFS come up?
- Yes. We had a team meeting.
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26. He can't live with a mother
that steals his methadone.
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27. We all agree with your note.
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28. The home is unsuitable.
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29. And Social Services
has found a foster family.
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30. - Experienced with drug babies?
- The mother is a retired nurse.
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31. Yeah.
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32. Just making sure you don't slip
through the cracks, kiddo.
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33. Hi, Carter! I wanted to catch you
before you got in.
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34. - Anything wrong?
- No, everything's great.
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35. You met my friend the other night
from Philly?
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36. Max? You showing him the town?
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37. Remember I told you I was involved
with somebody and it wasn't over yet?
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38. - Yeah, I figured he was the guy.
- Yeah.
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39. - What about his heroin addiction?
- Not heroin, painkillers.
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40. Percoset.
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41. He's okay.
Actually, he's here for a job.
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42. He's coming in today
to do a feasibility study...
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43. on setting up a Pedes unit in the ER.
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44. That doesn't sound like a coincidence.
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45. Listen, Carter,
before you run into him...
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46. I've given you
a one-sided picture of Max.
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47. He's smart.
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48. He's very dedicated.
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49. He's a really good guy.
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50. Want me to like him?
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51. Just don't judge him
from things I've said in the past.
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52. Sounds like you're back together.
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53. I don't know about that.
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54. Honestly, I don't.
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55. - Where is he now?
- My place.
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56. Malik, who left this with my mail?
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57. Mr. Dougherty from Salutech.
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58. Yeah? See that it gets returned.
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59. A salesman from Salutech
left me a pen.
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60. I got mine right here.
He also left free samples.
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61. I won't be bribed
into using their products.
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62. Kerry, Mark, you know Dr. Keinholz...
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63. Chief of Pediatrics
and Dean of the Med School.
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64. This is Dr. Rosher.
Doctors Greene, Weaver.
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65. Nice to meet you.
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66. Dr. Rosher's a pediatrician
and assistant professor at CHoP.
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67. He's evaluating the need for
pediatric emergency centers at ERs.
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68. And we're fortunate he's responded
to our call for a study here.
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69. I thought this was under discussion.
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70. It happens that Dr. Rosher
is free at this time.
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71. I just finished a study
at Hennepin County.
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72. I have to scrub. But give
Dr. Rosher the support he needs.
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73. - Sure. No problem.
- Thank you, doctors.
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74. So...
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75. they sprung me on you. Sorry.
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76. No. It's fine.
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77. I'd be happy to review our pediatric
census statistics with you.
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78. First, I'd like to see the place.
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79. You can follow me, Dr. Rosher.
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80. I hate formality. I'm Max.
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81. - Mark.
- Kerry.
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82. Could I stash my things?
Get a cup of coffee?
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83. Randi, could you show him the lounge?
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84. Sure.
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85. This comes from Doug Ross
lobbying upstairs.
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86. - It's just a study.
- You think he doesn't have an agenda?
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87. It's to fault how we handle
pediatric patients.
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88. We have nothing to hide.
We take great care of kids.
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89. - Jeanie, do you have a busy morning?
- Not so bad. Why?
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90. Our talk on managing abdominal pain
is next week.
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91. - Could you get the slides?
- Sure.
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92. Thank you.
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93. I warn you, if you don't see me
making the coffee...
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94. I would avoid it.
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95. Mocha, vanilla, amaretto...
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96. It's my own very personal stock.
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97. Thanks. You're...?
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98. Randi,
acting Unit Service Coordinator.
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99. How's it going?
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100. Hi.
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101. Meeting everyone?
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102. Yeah.
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103. I encountered the usual dynamic.
The Attendings seeing me as the spy...
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104. sent to undermine their authority.
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105. How are you doing?
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106. It's awkward, seeing you here.
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107. Was it awkward last night?
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108. No.
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109. No.
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110. But now you're nervous.
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111. I don't know.
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112. You show up
and you're back in my life.
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113. And it's not how I planned it.
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114. I never planned it any other way.
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115. - Peter?
- Yeah?
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116. Have you got a presentation
for morning report?
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117. Should I wait outside?
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118. When have you waited outside?
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119. You don't see me as a shy
English rose?
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120. Elizabeth, I see you as many things.
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121. Shy is not one of them.
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122. Busy morning?
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123. A parathyroidectomy.
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124. I know you like jazz. So I was
thinking maybe we could...
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125. go to the Coq d'Or.
I hear the piano guy is pretty good.
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126. Sure. That'd be great.
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127. - Yeah?
- Yeah.
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128. Peter?
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129. Hi, Lizzie. Are we frequenting
the men's locker room?
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130. - Peter, interested in a pyloroplasty?
- I'm scrubbing in with Anspaugh.
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131. - Got it.
- Oh, I'm free.
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132. That's all right. I got a backup.
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133. Did he see us?
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134. I don't know.
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135. At least one exam room
with color murals and toys.
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136. And section chairs so kids
don't have to sit near a nut case.
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137. You favor setting up
a whole department?
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138. I'll get in trouble talking about
this in front of him...
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139. No need for caution on my account.
I'm keeping an open mind.
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140. A department would be great.
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141. But I'd settle
for a full-time Attending.
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142. That's the position Doug's out for.
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143. Who gets it isn't important.
I won't lie to you. I want the job.
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144. It's a problem?
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145. Set up Pedes and what's next?
Geriatric Emergency Medicine?
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146. Dr. Del Amico, meet Dr. Rosher.
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147. Stay on your toes.
He's doing a study.
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148. - I think she was born on her toes.
- Max was my Attending at CHoP.
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149. Another ally.
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150. I'm feeling outnumbered
by pediatricians.
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151. I'm double-boarded
in Emergency Medicine and Pedes.
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152. Dr. Rosher?
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153. I've got some charts that could be
relevant to your study.
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154. - Sure.
- I'll set you up in the lounge.
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155. Actually, I'm on a tour right now.
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156. I have time to go over them with you
right now.
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157. I'll see someone gets you
if any Pedes cases come in.
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158. One Tina-Marie Chambliss.
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159. Wouldn't give her age.
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160. Fever and facial erythema
following a face-lift.
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161. - She came by ambulance?
- It was a blepharo- and rhytidoplasty.
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162. A wound infection.
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163. Could she sign in under a
different name to avoid being mobbed?
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164. - Mobbed?
- Em, just let the doctors work.
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165. Ma'am, you're gonna have to
scoot on over here.
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166. - Em-
- Go on. You're in good hands.
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167. Ma'am, I am gonna have to examine
your face.
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168. I just look so awful.
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169. Emmet, stay by me. Don't leave me.
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170. I'm right here, sweetie.
Channeling my love to help you mend.
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171. - Temp's 102.
- Let's get a CBC...
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172. blood cultures, start a line.
Do you have any allergies?
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173. She's allergic to sulfa antibiotics.
And to the ACE inhibitors.
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174. Dr. Emmet Chambliss, husband.
Charged with her care.
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175. You're her physician?
Doctor of Divinities.
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176. I'm diabetic.
You probably should know that.
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177. Malik, add a Chem-7.
Give her a gram of Ancef.
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178. Do you take insulin?
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179. 24 of NPH with 10 of regular in the
morning. 12 of NPH, five at night.
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180. He gives me the shots.
I can't stand needles.
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181. - What're you putting on my face?
- Salt water.
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182. I hope it's not too harsh for my skin.
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183. This is the cleanser we normally use.
It's hypoallergenic.
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184. Dr. Del Amico,
you've got a handle on this.
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185. Yeah. Thanks.
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186. - What about our broadcast?
- Don't worry, honey.
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187. I can get a mobile truck and satellite
uplink with one phone call.
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188. But how long will I be sick?
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189. It's a serious infection.
You'll need IV antibiotics.
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190. Probably gonna be a couple of days.
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191. I've got a 2-year-old with rat bites.
Can we give him something for the pain?
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192. - I'll take a look at him.
- He's in Exam 2.
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193. - What's the weight?
- 14 kilos.
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194. Hey.
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195. - When did this happen?
- About 6 a. m. They heard him scream.
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196. There were rats this big
biting his fingers, eating him.
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197. They thought he was
fighting with his brother.
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198. He's current on his vaccines
and tetanus.
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199. She says they attack all the children.
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200. Okay. We'll start an IV,
titrate morphine for his pain.
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201. It's through the palmar fascia.
Plastics should do it in the OR.
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202. Let's irrigate this wound.
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203. I'll get the authorities to
make sure there are no more rats.
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204. - He says they never do anything.
- Well, this time they will.
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205. - Hi, Bob.
- Hey, Jeanie. What's up?
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206. I had the flu and
I can't seem to shake a cough.
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207. We're seeing viral pneumonia.
You talk to a doc?
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208. I didn't want a big workup
for nothing.
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209. - You want a quick chest film?
- Could you?
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210. You know, two weeks ago
I cut my hand.
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211. I just wanted a few stitches.
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212. Next thing, I'm on a gurney
hooked to an IV for 6 hours.
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213. Some of these docs overreact.
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214. Should I flash your name?
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215. No. That's okay.
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216. No problem. No paperwork.
That's what I like.
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217. Take a deep breath and hold.
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218. You seen Dr. Rosher?
I got a 6-year-old with pityriasis.
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219. Dr. Weaver's holding him hostage.
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220. I gave him some reading material.
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221. We don't need to worry
about occupying his time.
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222. I want him to see how we work.
I'll get him out of there.
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223. Lizzie, meet Tancred Baumgartner, 64.
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224. History of hypertension and vascular
disease. 80-pack-year smoker.
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225. 80-pack-years?
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226. - Two packs a day for 40 years.
- But I'm cutting back.
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227. I'm gonna get hypnotized.
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228. - So, what brought you in today?
- Terrible pain in my legs.
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229. How far can you walk?
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230. Six months ago I could walk two blocks
before I had to rest.
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231. Now he can't walk to the toilet.
He's scheduled for a fem-pop bypass.
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232. You should review his films.
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233. Don't worry, Mr. Baumgartner.
We'll put a spring back in your step.
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234. I've been meaning to ask you.
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235. Given more thought to that
impressive offer you got recently?
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236. - Which impressive offer?
- There's been more?
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237. The Senior Lecturer position
at the Gloucestershire Royal Hospital.
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238. - I decided to pass.
- Really?
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239. - Did you let them know?
- I wrote them.
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240. - Ouch!
- What?
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241. Well, it takes guts, Lizzie.
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242. You don't know if you have
a future here.
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243. And have him lay flat on his back
for the next two hours.
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244. - I'll hand-carry the specimens.
- Yeah, I'd appreciate that.
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245. - Kerry, would you take a look at this?
- Sure.
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246. Oh, and don't forget
to get a Gram's stain.
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247. What do you got?
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248. 31-year-old woman with a three-week
dry cough and intermittent fever.
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249. - Is she a smoker?
- No.
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250. - Any travel outside the country?
- I don't think so.
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251. Did you ask about her HIV status?
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252. I don't know if she's been tested.
Why?
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253. Might be an early infiltrate
at the right base.
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254. Or it may just be atelectasis.
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255. - Where's the lateral?
- That's all we have.
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256. Repeat the film and have her take
a deeper breath. And get a lateral.
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257. Also there's no name.
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258. Let the techs know that that's
really unacceptable.
Copy !req
259. - And Jeanie, the slides?
- Sorry?
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260. This morning I asked you
to get the slides. Did you forget?
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261. No, I haven't had the time.
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262. - Should someone else do it?
- I'll get them now.
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263. Okay.
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264. We need some help!
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265. We were visiting my folks in Saint
Lioba. Our son just passed out.
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266. - Gurney!
- Got it.
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267. Here, Malik.
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268. - We'll need high-flow oxygen in 2.
- I'll get it.
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269. - History of heart disease?
- No.
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270. - On any medications?
- He's perfectly healthy.
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271. He never gets sick. My God!
What's wrong with him?
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272. He's tachy at 150.
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273. Resps high at 28.
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274. Why is he breathing so fast?
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275. - Does he have asthma?
- No.
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276. All right, Conni.
Put him on a pulse ox and EKG.
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277. I want a CBC, Chem-7, blood gas,
chest film. I'll start a line.
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278. Sam? Sam, can you hear me?
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279. - What's wrong?
- He's cyanotic.
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280. See how blue his lips are?
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281. - He's not getting enough oxygen.
- Why?
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282. That's what we'll figure out.
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283. How are you doing?
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284. - Just trying to look decent again.
- I don't think that's a good idea.
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285. I can't be seen on TV
without my woolly bears and make-up.
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286. - You ever see us on the JGCN?
- No.
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287. Jesus Gospel Cable Network?
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288. Makeup'll make it worse,
Mrs. Chambliss.
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289. Oh, no.
Honey, you call me Tina-Marie.
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290. Hello, doctor. Isn't she an angel?
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291. I see the power of prayer
and modern medicine.
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292. Well, we have her blood test results.
And there is reason for concern.
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293. My face?
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294. Actually, your kidneys
are the problem.
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295. I'm passing water.
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296. Your BUN and creatinine are elevated,
indicating kidney problems.
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297. - Probably from your diabetes.
- Emmet?
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298. Doctor, what does this exactly mean?
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299. It could simply be dehydration.
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300. I'll give you IV fluids...
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301. and hope your renal function
improves.
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302. I'll also do a neuro exam for
sensation in your extremities.
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303. Whatever suits you, honey.
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304. Feel that?
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305. Little pricks of pain.
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306. That's good.
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307. That means you're not losing feeling
in your feet and toes.
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308. Look out, Emmet.
She might test your heart.
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309. I'm just kidding, sweetie.
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310. Just kidding.
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311. So if my kidneys fail...
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312. what then?
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313. If it progresses to renal failure,
you'll need dialysis.
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314. This means a full prayer vigil,
Emmet!
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315. Yes, we'll pray for those kidneys!
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316. Malik, know anyone in Public Health
to deal with a rat problem?
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317. - Office for Rodent Control.
- I got a contact there.
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318. - I'll put you through.
- They were eating this kid alive.
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319. In Philly, Animal Control was better
than Public Health.
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320. This woman, Miss Weldon,
is a real crusader.
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321. She'll get them in there. Poison,
traps, whatever they have to do.
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322. Dr. Greene? Dr. Carter wants
to see you in Trauma 2.
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323. Thanks, Yosh. Here.
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324. Mention my name.
I treated her son once.
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325. Come on. You picked a good day
for Pedes cases.
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326. He seems a little better.
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327. Why won't he wake up?
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328. - Isn't the oxygen helping?
- It's helping.
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329. And for now, he's stable.
I just haven't found what's wrong.
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330. - Dr. Carter, meet Dr. Rosher.
- We've met.
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331. - Yep. Hi.
- What do you got?
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332. This is Sam Adams, 11 years old,
altered.
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333. Presented with cyanosis,
tachypnea, tachycardia...
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334. driving back from the farm.
Still cyanotic despite O2, 10 liters.
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335. What are you thinking?
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336. Either a VQ mismatch or something...
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337. toxic-metabolic?
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338. - Pulse ox?
- 92. It's pretty good.
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339. - Was he in a camper or a pickup?
- He was in a car with us.
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340. - Chest and cardiac exam?
- No wheezing or rales.
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341. Regular without murmur, rub or gallop.
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342. - Blood gas?
- PCO2's 35. PO2's 380.
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343. - Suggesting...
- Oxygen in blood, but still cyanotic.
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344. - What kind of farm was it?
- My father raises tulips.
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345. - Greenhouses.
- I already asked about that.
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346. Some of the pesticides in a hothouse
contain cyanide.
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347. He'd have pinked up
with the oxygen.
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348. Besides, I've got good pulses
and there's no smell of almonds.
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349. So your best educated guess?
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350. Methemoglobinemia.
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351. Do another blood gas. Check that.
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352. Go for it.
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353. Tough case, leaving it with an intern.
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354. Is it ill-advised?
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355. - You know Dr. Carter. I don't.
- He just figured it out.
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356. Diagnosis was correct.
But you didn't tell him.
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357. He's here to learn. Not to be told.
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358. Is that a mark against me?
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359. Not in my book.
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360. - 500 cc fluid bolus is on board.
- TKO the line.
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361. Okay. I got it.
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362. There it is.
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363. There's the answer.
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364. Look at that arterial blood.
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365. That's blood? Looks like chocolate.
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366. - It's methemoglobin.
- What?
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367. A form of hemoglobin
that can't carry oxygen into the body.
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368. How'd he get that?
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369. From a drug or toxin.
We can treat it.
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370. Take that to the lab
and bring back methylene blue.
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371. Peter.
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372. Hey. I thought you had a fem-pop?
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373. Done. I'm assisting on a lung
biopsy, then on a triple A.
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374. Look, I think Romano saw us.
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375. - What did he say?
- You know him.
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376. He didn't say it directly.
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377. But he told me I should've accepted
the position at the Royal.
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378. He was saying he wasn't going
to continue my sponsorship.
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379. I suppose it's a matter of insult
to injury.
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380. Because he came on to you?
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381. Peter, the man has an elephantine ego.
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382. I'm not going for that.
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383. Maybe it was inevitable.
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384. Being sponsored by him was difficult
at the best of times.
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385. Elizabeth, listen to me.
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386. He doesn't own you.
He can't do this, okay?
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387. We'll talk later. I have to scrub.
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388. Yeah.
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389. We'll explore to see
if there's flexor tendon injury.
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390. Chuny, take the parents
to the waiting room.
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391. See if Pedes
has a post-op bed assignment.
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392. - Doug, Dr. Nagarwala's here.
- All right.
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393. - What's up?
- Sorry to bother you...
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394. but a woman came from DCFS,
a Miss Neuman.
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395. She said the case status
had changed...
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396. and she's taking Josh
back to his mother.
Copy !req
397. - When?
- Just now.
Copy !req
398. I came down when she left.
Copy !req
399. None of the doctors agree.
We're going to make a formal appeal.
Copy !req
400. No, there's no time for that.
Copy !req
401. I need the County Health Department
in Saint Lioba.
Copy !req
402. Home of the White Corn Festival.
Copy !req
403. I went there with bikers once.
They had pig-calling. Ever see that?
Copy !req
404. Can't say I have.
Copy !req
405. When you get that number,
will you page me?
Copy !req
406. How's it going?
Copy !req
407. - I got a kid with methemoglobinemia.
- That's a great case.
Copy !req
408. What was the inducer?
Copy !req
409. Tox screen was negative.
Copy !req
410. But he was on a farm.
Copy !req
411. So I'm getting the local health
authorities to check it out.
Copy !req
412. - Are you taking care of Tina-Marie?
- Yes.
Copy !req
413. My mom watches them...
Copy !req
414. and she said they announced they're
broadcasting live and she's dying.
Copy !req
415. - No, that is not happening.
- She's not dying?
Copy !req
416. No, and they're not broadcasting
from here. Dr. Greene said no way.
Copy !req
417. She and my aunt are by the TV
with their credit cards.
Copy !req
418. Talking about those televangelists?
Copy !req
419. - Yeah, Dr. Emmet and Tina-Marie.
- They have some clout.
Copy !req
420. I just got a call from
Administration...
Copy !req
421. saying we're to let them
do a broadcast.
Copy !req
422. Adele?
Copy !req
423. Hey, Adele!
Copy !req
424. Hey, you're tough to catch up to.
Copy !req
425. - Josh is my patient.
- I read the report.
Copy !req
426. You know
the situation with his mother.
Copy !req
427. Sure, but there's been a change
in the environment.
Copy !req
428. His mother now lives with her aunt.
Copy !req
429. We feel that the aunt
can take care of Josh.
Copy !req
430. - He's addicted to methadone.
- I know his medical history.
Copy !req
431. But my obligation
is to return the child.
Copy !req
432. - Can you hold this?
- Yeah.
Copy !req
433. We'll carefully monitor his progress.
Copy !req
434. We understand the situation.
Copy !req
435. As long as he needs methadone,
she'll steal it from him.
Copy !req
436. I'm sorry. He has to go home.
Copy !req
437. Okay, how is the aunt
gonna pay for the meds?
Copy !req
438. - He's on Medicaid.
- Okay.
Copy !req
439. Some of the meds are formulary. I'll
have to fill out an authorization.
Copy !req
440. - Dr. Ross-
- We examine him...
Copy !req
441. and give him everything.
Copy !req
442. How long is this gonna take?
Copy !req
443. Just long enough
to fill out some forms.
Copy !req
444. - Here we go. Come on.
- Okay.
Copy !req
445. Okay, come here.
Copy !req
446. - I got him.
- All right.
Copy !req
447. Just give me a second
to lock up my car.
Copy !req
448. Here we go.
Copy !req
449. - Come on. Got it?
- Got everything.
Copy !req
450. Okay, here we go.
Copy !req
451. All right, Josh.
Deep breaths for me.
Copy !req
452. I'm hearing basilar rales on the left.
Copy !req
453. Get a CBC, blood culture
and a chest film.
Copy !req
454. - Why? What's wrong?
- Could be pneumonia.
Copy !req
455. - Pneumonia?
- Want to hear for yourself?
Copy !req
456. What do I say to the mother?
How long does he have to stay?
Copy !req
457. Four hours for test results.
Copy !req
458. If it is, we'll put him on IV antibiotics.
Copy !req
459. That means he'll spend the night?
Copy !req
460. Could be, yeah.
Copy !req
461. Okay.
Copy !req
462. All right.
Copy !req
463. Kid looks pretty good. No fever.
Copy !req
464. You sure you heard rales?
Copy !req
465. There's no rales. I'm keeping him.
Copy !req
466. What's going on?
Copy !req
467. We got a 7-month-old baby
admitted twice for withdrawal.
Copy !req
468. I'm not sending him home to be a
methadone source for his mother.
Copy !req
469. - Can't Child Services take care of it?
- I'll do an ultrarapid detox...
Copy !req
470. and end his addiction today.
Copy !req
471. - Ultrarapid? What does that mean?
- Quick withdrawal under deep sedation.
Copy !req
472. He's going cold turkey right here?
Copy !req
473. I spoke to a pediatric anesthesiologist.
Copy !req
474. I know the procedure.
It can be done safely.
Copy !req
475. How long will it take?
Copy !req
476. 12 to 18 hours.
Copy !req
477. You're gonna hide him here
for 12 hours?
Copy !req
478. I don't have a choice.
Copy !req
479. - You can't do it alone.
- Yes, I can.
Copy !req
480. - No, you can't.
- Don't put anything at risk.
Copy !req
481. Yeah. Well, if we get caught...
Copy !req
482. we'll both help each other
through real-estate school.
Copy !req
483. Put him on cardiac monitor and
pulse ox. I'll do an arterial line.
Copy !req
484. We'll need a ventilator. Okay?
Copy !req
485. Okay.
Copy !req
486. Here's the second dose.
Copy !req
487. Let's run that over five minutes.
Copy !req
488. How you doing?
Copy !req
489. I feel a bit tired,
but otherwise I'm okay.
Copy !req
490. Are my mom and dad around?
Copy !req
491. Yeah. They went to go
make some phone calls.
Copy !req
492. I can go get them.
Copy !req
493. No hurry.
Copy !req
494. How is your patient?
Aside from his color?
Copy !req
495. He's improving.
Copy !req
496. Good call, John.
Copy !req
497. Gotta figure out its cause.
See who else is at risk.
Copy !req
498. I've heard a lot about you from Anna.
Copy !req
499. - Really?
- Yeah.
Copy !req
500. She told me you've become
close friends.
Copy !req
501. I heard about your cousin.
I'm sure she was a big help.
Copy !req
502. She told you about that?
Copy !req
503. - You know Anna doesn't keep secrets.
- Yeah.
Copy !req
504. I don't really see
how that concerns you, though.
Copy !req
505. Well, what she's learned
about drug addiction...
Copy !req
506. she had the misfortune to learn
through me, John.
Copy !req
507. I know it's private.
I meant no offense.
Copy !req
508. No, forget it.
Copy !req
509. - Dr. Romano.
- Peter.
Copy !req
510. You're a "dried fruits and nuts" guy.
Nothing healthy here.
Copy !req
511. I was looking for you.
Copy !req
512. You found me.
Copy !req
513. - You don't mind if I eat?
- No.
Copy !req
514. So, what's up?
Copy !req
515. What Elizabeth and I do
in our personal lives...
Copy !req
516. should not impact her career.
Copy !req
517. In your personal lives. What's that?
Copy !req
518. You saw us in the lockers,
then hinted...
Copy !req
519. that she won't receive
sponsorship next year.
Copy !req
520. Now, we both know that's not right.
Copy !req
521. Look, I had no idea you and Lizzie
were an item. I swear I didn't.
Copy !req
522. But don't worry.
I mean, I'm happy for you.
Copy !req
523. So you didn't see us?
Copy !req
524. No. But you're having an affair.
Terrific.
Copy !req
525. It puts things in perspective.
Copy !req
526. Hey.
Copy !req
527. Congratulations.
Copy !req
528. Excellent choice.
Copy !req
529. - Need help?
- No, I got it.
Copy !req
530. - Who needs a vent?
- Nobody.
Copy !req
531. Respiratory called.
They need it upstairs.
Copy !req
532. Mr. Chambliss.
Copy !req
533. Dr. Chambliss.
Copy !req
534. I want you to know I think
this broadcast is inappropriate.
Copy !req
535. I assure you, as I did Public Affairs,
you'll be referred to positively.
Copy !req
536. Dr. Del Amico? Stay in the room
during the broadcast...
Copy !req
537. and if you feel Mrs. Chambliss'
health is being compromised, call me.
Copy !req
538. No problem.
Copy !req
539. A little help here!
Copy !req
540. I got it.
Copy !req
541. What do we got?
Copy !req
542. Cylla Voliotis, age 12.
Copy !req
543. Blunt trauma to the right eye,
concussion, possible facial fracture.
Copy !req
544. Let's go to Trauma 1.
Copy !req
545. - You the mother?
- No, Phys Ed teacher.
Copy !req
546. She was running and hit a lamppost.
Copy !req
547. The school call the mother?
Copy !req
548. They're trying, but I have
an emergency consent form.
Copy !req
549. Good. Good. Okay, nice and easy.
Copy !req
550. On my count. One, two, three...
Copy !req
551. - It hurts so bad!
- I know. Don't worry.
Copy !req
552. - We'll take care of you.
- Morphine?
Copy !req
553. Let's start with four.
Copy !req
554. - Partially extruded globe.
- She have vision?
Copy !req
555. - Can you see, darling?
- It's all red and blurry.
Copy !req
556. - How many fingers am I holding up?
- Three.
Copy !req
557. Good. Good.
Copy !req
558. Iris and lens are intact.
Copy !req
559. No vitreous hemorrhage...
Copy !req
560. or detached retina.
Copy !req
561. Okay.
Let's get 1 percent lidocaine.
Copy !req
562. With that, Betadine and a Steri-Drape.
Copy !req
563. No Ophtho consult?
Copy !req
564. No, we've done this before.
Copy !req
565. All right, he's out.
Copy !req
566. Let's tube him.
Copy !req
567. How do we know
when withdrawal's complete?
Copy !req
568. After 12 hours of the Narcan
blocking the narcotic...
Copy !req
569. about a 98 percent success rate.
Copy !req
570. When he wakes up, he shouldn't have
withdrawal symptoms. I'm in.
Copy !req
571. Pulse ox 98.
Copy !req
572. BP?
Copy !req
573. 110/70.
Copy !req
574. Good breath. Heart rate?
Copy !req
575. 120. He's a little tachy.
Copy !req
576. Let him settle down a bit.
Copy !req
577. How's it going, Cylla?
Copy !req
578. I'm scared.
Copy !req
579. Alcaine's in.
Copy !req
580. - You feel that?
- What?
Copy !req
581. I think we're about ready to go.
Copy !req
582. So, what kind of music do you like?
Copy !req
583. Spice Girls.
Copy !req
584. Who's your favorite Spice?
Copy !req
585. Yosh, methyl cellulose.
Copy !req
586. What is it? Sporty Spice,
All Spice...
Copy !req
587. Cylla Spice?
Copy !req
588. No, I like Posh.
Copy !req
589. Okay, good.
Copy !req
590. I need you just to hold still.
Copy !req
591. Okay, hold still.
Copy !req
592. - Sterile applicator.
- Here you go.
Copy !req
593. I'm just gonna evert the lashes.
Copy !req
594. There.
Copy !req
595. I can see a little better.
Copy !req
596. Yosh, eye shield.
Copy !req
597. It's gonna be a little blurry
for a while...
Copy !req
598. and a little sore.
Copy !req
599. Let me know when her parents arrive.
Copy !req
600. She'll need an orbital CT...
Copy !req
601. and Ophtho can see her.
Copy !req
602. Praise the Lord, yes!
Copy !req
603. Praise him for his blessing...
Copy !req
604. prompted by your prayers
and offerings.
Copy !req
605. It is only by your faith...
Copy !req
606. that I will survive my ordeal.
Copy !req
607. Only hours ago...
Copy !req
608. when pain coursed through me...
Copy !req
609. Emmet...
Copy !req
610. Emmet, you tell them.
Copy !req
611. Brothers and sisters, the Lord
has put another trial before us.
Copy !req
612. Tina-Marie just learned
from this lovely lady-
Copy !req
613. No, she's not a movie star.
Copy !req
614. This is Tina-Marie's doctor.
Copy !req
615. Will you tell us the nature
of her illness?
Copy !req
616. She has cellulitis
and renal insufficiency.
Copy !req
617. And what does that mean?
Copy !req
618. She has a problem with her kidneys.
Copy !req
619. - But she will survive?
- Yes.
Copy !req
620. Yes! She will survive
through the power of Christ Jesus...
Copy !req
621. and by your prayers and offerings.
Copy !req
622. Emmet, Emmet, Emmet!
Copy !req
623. I can feel the power of prayer
right now!
Copy !req
624. I can feel it! It has started!
Copy !req
625. We all feel it, honey.
Copy !req
626. Do you feel it, doctor?
Copy !req
627. - No.
- Well, come on.
Copy !req
628. Here, take Tina-Marie's hand.
Copy !req
629. We will have a prayer interface.
Copy !req
630. People are watching
and waiting for you, honey.
Copy !req
631. Yes?
Copy !req
632. Feel the power of the love
that courses through us.
Copy !req
633. God, through you...
Copy !req
634. will save my life!
Copy !req
635. Kerry?
Copy !req
636. Got another set of x-rays.
Copy !req
637. Let's have a look.
Copy !req
638. Is there a name on these?
Copy !req
639. They're mine.
Copy !req
640. These are much better images.
Copy !req
641. - Did you look at these?
- No.
Copy !req
642. Well, it looks clean.
Copy !req
643. - Why'd you order them? Cough? Fever?
- Yeah.
Copy !req
644. - Night sweats?
- No, but I have trouble sleeping.
Copy !req
645. Forgetfulness?
Copy !req
646. Those slides,
I put in your mailbox. But...
Copy !req
647. yeah, there's been forgetfulness.
Copy !req
648. I want you to know something.
Copy !req
649. Whatever your status, even if you have
a measurable viral count...
Copy !req
650. no one's going to overreact.
Copy !req
651. There's going to be a job for you here.
Copy !req
652. We should draw some blood.
Copy !req
653. - He didn't see us?
- That's what he claims.
Copy !req
654. I misread him,
and you told him about us.
Copy !req
655. I told him that nothing we do
should affect your standing here.
Copy !req
656. You got heavy with him?
Copy !req
657. Yeah.
Copy !req
658. Maybe I should've kept my mouth shut.
Copy !req
659. Taking up my cause
was very gallant of you, Peter.
Copy !req
660. But it seems we've gone public.
Copy !req
661. - Good breath sounds bilaterally.
- Heart rate's down to 100.
Copy !req
662. - Pulse ox 99.
- He's stable.
Copy !req
663. Start a second line and be ready
before we give him the Narcan.
Copy !req
664. - Are there gonna be side effects?
- It'll make him hypertensive.
Copy !req
665. We have Nipride, but no esmolol.
I want to have both ready on drips.
Copy !req
666. - I'll go get them.
- No. I'll do it.
Copy !req
667. Kerry Weaver might wonder
why you're here after your shift.
Copy !req
668. Suction.
Copy !req
669. Lizzie, can you retract distally?
Copy !req
670. Good. I got the room I need.
Copy !req
671. Now we can all settle back.
Shirley, let me ask you something.
Copy !req
672. Suppose you asked someone on a date-
Copy !req
673. I'm married.
Copy !req
674. Hypothetically. It's a long procedure.
Copy !req
675. You ask them out and they beg off,
claiming they don't get involved...
Copy !req
676. with work colleagues.
Copy !req
677. - Got some oozing.
- Got it.
Copy !req
678. Then you find out they're having
an affair with a colleague.
Copy !req
679. Now, why do you suppose they lied?
Copy !req
680. The colleague is married.
Copy !req
681. Married person's response.
But say he's not married.
Copy !req
682. They didn't want to offend
an overblown ego.
Copy !req
683. It's a thought.
Copy !req
684. But suppose this person
made up that story...
Copy !req
685. about keeping sex and work
separate...
Copy !req
686. so they could continue
playing the field.
Copy !req
687. That's absurd. Clamp again.
Right here.
Copy !req
688. I don't know. Shirley?
Copy !req
689. I agree. They're probably
still shopping around.
Copy !req
690. - Your shift ended hours ago.
- I got involved.
Copy !req
691. - Esmolol?
- Teenager with a tachy arrhythmia.
Copy !req
692. - How about adenosine?
- I already tried it.
Copy !req
693. Lasted for a few seconds.
It's under control.
Copy !req
694. Dr. Carter, I just got this fax for you.
Copy !req
695. This is the explanation
for the methemoglobinemia.
Copy !req
696. Really?
Copy !req
697. It's from a local health service
near the farm.
Copy !req
698. "Ground water from several areas
has been found...
Copy !req
699. to have heavy nitrite concentration
from inorganic waste contamination. "
Copy !req
700. Test the parents.
They might be borderline.
Copy !req
701. Yeah. I did that already.
I'm just waiting on the test results.
Copy !req
702. - Are the labs back on Chambliss?
- Here.
Copy !req
703. Thank you.
Copy !req
704. Pedes case? I'll put it in my study.
Copy !req
705. Sorry. It's a repeat glucose
on the televangelist.
Copy !req
706. - I heard you look great on TV.
- Someone saw me?
Copy !req
707. - The nurses had it on in the lounge.
- What a nightmare! Total frauds.
Copy !req
708. Not serious?
But I phoned in a big pledge!
Copy !req
709. The woman used her disease...
Copy !req
710. to milk money out of poor people
who probably believe all of it.
Copy !req
711. It's a living.
At least they're not practicing law...
Copy !req
712. or polluting streams,
selling insurance...
Copy !req
713. What's the deal on getting
a genuine Philly cheese steak?
Copy !req
714. I've looked. They don't exist.
Copy !req
715. Italian?
I'm on a substantial per diem.
Copy !req
716. And I'm on call.
Copy !req
717. Chinese? How about
a candlelit dinner in the lounge?
Copy !req
718. I'd love to.
Copy !req
719. Jeanie, could I see you?
Copy !req
720. Sure, Kerry.
Copy !req
721. You can go. I'll bandage him.
Copy !req
722. Thanks, Yosh.
Copy !req
723. I got your labs back.
Copy !req
724. I'm very happy to say
it's all good news.
Copy !req
725. Your viral load remains
non-detectable...
Copy !req
726. your white count's normal
and you're not even anemic.
Copy !req
727. Guess I was worked up over nothing.
Copy !req
728. I can understand.
Copy !req
729. But I took responsibility
for monitoring your health.
Copy !req
730. You shouldn't be on your own
looking at x-rays.
Copy !req
731. Yeah, you're right.
That won't happen again.
Copy !req
732. What about the forgetfulness?
Copy !req
733. You complained of sleeplessness.
Copy !req
734. I haven't slept much this month.
Copy !req
735. - Are you taking anything?
- Lately I've been taking Halcion.
Copy !req
736. Which could explain... Okay.
Copy !req
737. The fact is, Jeanie-
Copy !req
738. I mean, you've had such a rough time.
Copy !req
739. With Al moving away and Scotty...
Copy !req
740. That alone
could explain your symptoms.
Copy !req
741. Yeah, you're right.
Copy !req
742. If you ever wanna talk...
Copy !req
743. Thanks, Kerry. I'd like that.
Copy !req
744. Good.
Copy !req
745. Figures are 10 percent
above projections.
Copy !req
746. I think there'll be real cassette sales.
Copy !req
747. Well, what about next time?
Copy !req
748. Do I die on the TV?
Copy !req
749. Don't make stupid jokes.
Copy !req
750. Your blood sugar's still elevated.
I need to give you more insulin.
Copy !req
751. I'm gonna make some phone calls,
sweetie.
Copy !req
752. How often do you test
your blood sugar at home?
Copy !req
753. What's that you're supposed to do?
Copy !req
754. Four times a day? I don't know.
Copy !req
755. To prevent complications, yes.
Copy !req
756. Well, what kind of complications?
Copy !req
757. Blindness, heart attack,
loss of peripheral circulation.
Copy !req
758. Those are all good prayer vigils.
Copy !req
759. I'm not joking.
Copy !req
760. Take responsibility for your health.
Take your problems seriously.
Copy !req
761. Honey, my problems are all I got.
Copy !req
762. You wouldn't
make a living without them.
Copy !req
763. Well, I sure as heck
wouldn't have Emmet.
Copy !req
764. You're a lovely thing.
Copy !req
765. - Are you married?
- No.
Copy !req
766. Emmet and I were married
when we were in high school.
Copy !req
767. Oh, we were crazy in love.
Copy !req
768. You'd never know it now, would you?
Copy !req
769. It's not for me
to make a judgment about that.
Copy !req
770. I'll tell you one thing.
Copy !req
771. Emmet won't leave me.
Copy !req
772. Ever.
Copy !req
773. God has...
Copy !req
774. given me the way to keep him close.
Copy !req
775. He may not love me.
Copy !req
776. But he loves the way caring for me
makes him look.
Copy !req
777. I wouldn't be in a marriage
without love.
Copy !req
778. Oh, honey, everyone thinks that.
Copy !req
779. But things change.
Copy !req
780. And you make do.
Copy !req
781. So be careful.
Copy !req
782. Thank you.
Copy !req
783. So I suppose the Coq d'Or's
a bit dressy?
Copy !req
784. Yeah. But actually,
I didn't make reservations there.
Copy !req
785. - Our date's off?
- No, no.
Copy !req
786. We're going to the Velvet Lounge.
Copy !req
787. That's fantastic.
Copy !req
788. - They'll look at us like we're crazy.
- You know that doesn't bother me.
Copy !req
789. Wish I could say the same.
Copy !req
790. Look, I can't change what I am
any more than you can.
Copy !req
791. Whatever feelings I have for you
are based on who you are...
Copy !req
792. not what I want you to be.
Copy !req
793. Elizabeth, you're not from here.
Copy !req
794. I mean, you didn't grow up
the way I did.
Copy !req
795. I wish I could say my feelings about
your skin color would disappear.
Copy !req
796. But it doesn't work like that.
Do you understand?
Copy !req
797. Yes. But I don't want to subject you
to something you're not ready for.
Copy !req
798. You know, I've never met anybody
that makes me laugh...
Copy !req
799. or blush, or whatever,
the way you do.
Copy !req
800. I'm trying to work through this.
You gotta trust me, all right?
Copy !req
801. Come on,
let's go to the Velvet Lounge.
Copy !req
802. Hey.
Copy !req
803. Philly cheese steaks.
Copy !req
804. I found them here. And they deliver.
Can you believe that?
Copy !req
805. Want one? More than enough.
Copy !req
806. No, thanks.
Copy !req
807. Oh, come on! You get a free
angioplasty with a small order.
Copy !req
808. Free quadruple bypass
with the dinner special?
Copy !req
809. No?
Copy !req
810. I was wondering. Maybe you'd like to
join Anna and I for dinner sometime.
Copy !req
811. You really want an ally.
Copy !req
812. No. It's about your friendship with her.
Copy !req
813. I don't want her to cut herself off
from people she likes.
Copy !req
814. Make it easier to go back to you.
Copy !req
815. Am I hearing jealousy?
Copy !req
816. Maybe once.
Copy !req
817. Not now.
Copy !req
818. I just think you're trouble.
Copy !req
819. Maybe I'm wrong.
Copy !req
820. I sort of hope I am.
Copy !req
821. But that's what I think.
Copy !req
822. I might laugh at your jokes, never
giving an indication of how I feel.
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823. But I wanted you to know that.
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824. Enjoy your dinner.
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825. Hey, Mark. I've been thinking.
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826. This storage area off the hallway...
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827. could be made
a pediatric exam room.
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828. - The janitor's closet?
- Children's beds are small.
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829. We could hang the IV bags
on the hooks used for brooms.
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830. This is a joke.
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831. Maybe I'm facing reality.
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832. You're obviously behind the idea.
You gave Rosher a grand tour.
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833. He was very impressed
at how we handle our Pedes cases.
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834. Doug's your friend.
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835. You think Rosher's report
will get him an Attending position.
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836. I appreciate loyalty, but not
at the expense of the ER.
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837. That has nothing to do with it.
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838. I don't believe a Pedes unit
or Attending is a big improvement.
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839. Dr. Greene, Jeanie wants you to sign
off on a suture job.
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840. Will you go on record with that?
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841. Absolutely. When the time's right.
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842. Where is she?
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843. - Pulse ox 89.
- What's going on?
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844. Decreased breath on the left.
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845. A collapsed lung?
Should I get a portable x-ray?
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846. Can't be. Pressure's not that high.
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847. I'll give him 100 percent oxygen.
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848. - Could be a mucus plug.
- I'll get a suction catheter.
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849. Looks good.
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850. - Infected abrasion?
- Here.
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851. She cleaned it good.
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852. I'll change it when you come back.
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853. Sure. On Thursday.
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854. - It's secretions. Hook up the vent.
- Pulse ox 98.
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855. What the hell is this?
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856. This boy is my patient-
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857. Ketamine? What're you doing?
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858. An ultrarapid detox.
Everything's under control.
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859. Like hell it is. Is this baby
even a registered patient?
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860. - He-
- Is he on the board?
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861. If you'll just let me explain-
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862. You don't have consent, do you?
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863. You've got an intubated kid
under deep sedation?
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864. - It's under control.
- We gotta move this kid.
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865. - Hear me out-
- No.
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866. - BP 190/100.
- Nipride, 0.3 mcgs per kilo...
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867. - ... per minute-
- Gina, bag him.
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868. - Let's get to the PICU.
- We can do it right here.
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869. - His chart?
- I don't have one.
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870. Is this how you practice medicine?
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871. - I wrote everything on that paper.
- Oh, that's great.
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872. Inga, call the PICU.
Critical patient coming up.
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873. - I need a name.
- Name?
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874. - We don't have to.
- What's the name?
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875. - Josh McNeal.
- Baby McNeal.
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876. About six months old. Ketamine drip.
Intubated.
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877. What's going on?
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878. I found Doug in Exam 4,
detoxing this baby.
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879. - What?
- I found him by accident.
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880. - Did you know?
- I was helping him.
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881. Helping him?
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882. - He was stable, Kerry.
- This is a violation of every policy.
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883. - Bed's ready.
- Tell them I'm bringing him up!
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884. - I'm going too.
- You're damn right!
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885. You're gonna explain
to the Administration...
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886. and the Executive Committee!
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887. Let's go!
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888. You lied to me.
You looked me in the face and lied.
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