1. ER
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2. Previously on ER...
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3. - Are you firing me?
- Jeanie, I'm sorry.
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4. Oh, jeez! Your clinic proposal.
That's tonight, isn't it?
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5. Yeah, Oak Park, 7:00.
That's what we said.
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6. Your husband lied
to you about his condition!
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7. He's going to die!
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8. Peter Benton, Rocket Romano.
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9. Dr. Benton. Hey, Lizzie's
talked about you.
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10. I don't usually do this kind of thing.
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11. Sure. That's what they all say.
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12. My family has a few bucks
and everything changes?
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13. A few bucks? Is that what it is to you?
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14. Freak Show
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15. Carol!
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16. Man, look at you! I hardly sleep
a wink on the redeye...
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17. and you're jogging and smiling.
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18. There's nothing like a visit with the folks
to make you appreciate home.
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19. The staff will be thrilled.
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20. You haven't been too high
on the popularity list lately.
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21. - I've been kind of a jerk.
- Worse.
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22. - Pain in the ass?
- Keep going.
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23. - Total schmuck.
- Bingo.
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24. We all understood. It's just
we're glad you're getting over it.
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25. You know, that meant a lot to Doug,
you showing up like that.
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26. It meant a lot to me too.
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27. I almost forgot.
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28. I found this when I unpacked.
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29. - "CH"?
- Yeah. "Carol Hathaway. " It's from "DR. "
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30. - Did you read it?
- No. But I was tempted.
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31. Anna? Can you come in here
and give me a hand?
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32. - What have you got?
- A shoulder reduction on a boxer.
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33. Coach made him take ballet.
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34. I'll do traction.
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35. Then I will give you countertraction.
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36. Thanks, Lily.
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37. - So how have you been?
- Fine.
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38. On my count. One, two, three.
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39. - Seen any interesting cases?
- No. Not really.
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40. - Done any interesting procedures?
- Nope.
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41. - You wanna grab some breakfast?
- I'm not hungry. Thanks.
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42. - What? Are you still angry?
- I'm over it.
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43. You sure?
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44. Can we just focus
on the patient, please?
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45. - Hey! Cute little bugger.
- Thanks.
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46. I bet he keeps you pretty busy.
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47. Actually, he lives with his mother.
So I see him when I can.
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48. What about you? You got any kids?
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49. None they've been able to pin on me.
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50. You know, Peter, you've been
on my mind lately.
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51. You made the short list for my team.
You still interested?
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52. Sure.
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53. - I just have a couple of reservations.
- Reservations?
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54. Yeah.
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55. I need a team player. Someone who is
compatible with Lizzie Corday.
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56. Now, word has it you and she have had
a couple of run-ins.
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57. We've had our differences,
but we've worked them out.
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58. Differences can be healthy.
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59. Can you keep up with her?
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60. Absolutely.
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61. Do you have the time?
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62. Sure.
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63. Great.
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64. We'll do a trial run,
see if we're all compatible.
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65. And then I'll make my final decision.
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66. What's going on?
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67. Mark, when did you get back?
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68. Hi. Late last night.
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69. - What are these people doing here?
- They're patients for your new clinic.
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70. No. The clinic doesn't open
until next week.
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71. You said to put the announcement
in for today.
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72. No. I said next week.
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73. Oh, man!
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74. Oh, I'm really sorry.
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75. Is there anything that I can do?
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76. Start giving out numbers.
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77. Hey, everybody, listen up.
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78. I need volunteers
to come back next week.
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79. You'll get on the front of the line.
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80. No? Then everyone
has to be really patient.
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81. Tell that to my boss.
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82. - Bryan, baby.
- Oh, miss...
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83. I can't keep standing like this.
I've got the gout.
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84. Take a chair.
Anyone else need a chair?
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85. Stop jumping up and down.
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86. Wait over in Chairs.
Take a number.
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87. Twenty-seven? I might as well
be waiting six hours in the ER.
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88. Go ahead. That would
help me out a lot.
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89. Carol?
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90. Kerry, hi. Did Mark tell you
about the scheduling snafu?
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91. Very unfortunate.
I need to talk with you.
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92. I'm a little busy now.
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93. Weren't you scheduled
to work the ER?
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94. I had to take the day off
to run the clinic.
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95. - Could you spare anyone to help?
- When I signed off on the clinic...
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96. you promised to find
your own personnel...
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97. and it wouldn't impinge
on your regular duties.
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98. I could turf the runny noses,
BP checks over to the ER...
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99. and have your personnel
handle them.
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100. - Okay. I'll give you Yosh Takata.
- Who?
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101. Nursing Administration.
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102. Excuse me.
Transfer from upstairs.
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103. Why don't you talk to my friend
at the Gay and Lesbian Defense Fund?
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104. They represent people with HIV
and AIDS who have been fired.
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105. Maggie, thanks for your concern,
but that's not what happened.
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106. Sure.
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107. You're the best P.A. we have.
I just hate to see you give up.
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108. I'm not giving up. I'm moving on.
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109. Al's in Atlanta checking out leads
and a couple of construction jobs.
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110. But it's illegal for them to fire you
for being HIV-positive.
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111. - You think that's why they fired me?
- You don't?
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112. No. They could've done that last year.
It's because of the budget.
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113. - Hi.
- Hi.
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114. - I missed you.
- Me too.
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115. You did? Because you didn't call.
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116. Well, we were on the road
the whole time but...
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117. So I wasn't able to wrap it.
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118. What's this?
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119. Oh, it's beautiful! Thank you!
I love it!
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120. Oh, my-!
Would you latch it for me?
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121. Sure.
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122. The guy at the shop said that
it is a genuine diamond.
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123. A real diamond.
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124. No one has ever gotten me a real
diamond before, Mark. I love it.
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125. - Pardon us.
- Welcome back.
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126. There's no place like home.
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127. This coffee's terrible.
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128. I'm really awful in the kitchen.
Sorry.
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129. I think it tastes really good.
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130. - What do we got?
- Twelve-year-old boy.
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131. Hit-and-run on his way to school.
GCS 7. Got routine blood work.
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132. Chest and abdominal films, C-spine.
BP's funky, 80 palp.
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133. Gave him two units O-neg. The name
on this notebook says Rodney Price.
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134. There's a mass in the upper left
quadrant. Abdomen is distended.
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135. Crit's falling, 26.
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136. Bleeding internally. I'll hang
another unit on the rapid infuser.
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137. - He ruptured his spleen.
- Biggest spleen I've ever felt.
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138. - Got the wet reads.
- Great.
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139. Here's the shadow.
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140. That's the hematoma pressing down
on the splenic flexure.
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141. - Looks like a rupture.
- No, no.
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142. Wait a minute. Wait a minute.
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143. The film's mislabeled.
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144. The gastric bubble is under the right
diaphragm instead of the left.
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145. But with a splenic rupture,
the gastric bubble can be displaced.
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146. No, no, no.
Not that much it can't...
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147. Whoa, whoa, wait a minute!
That's not his spleen. That's his liver.
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148. The liver's in the wrong place.
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149. - Backwards?
- His abdominal organs are reversed.
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150. That's remarkable.
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151. Let's get him up to Surgery! Move!
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152. Ever do a case like this before?
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153. No. This is one in a million.
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154. All right, everybody. Page Romano!
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155. - You have previous clinic experience?
- A little.
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156. - Where would that have been?
- Chart Review.
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157. You don't see many patients
in Chart Review.
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158. No. But I know a lot about them.
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159. We'll have to double up
on patients in here.
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160. - Be with you in a minute.
- You said that an hour ago.
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161. Sign in patients, start a chart,
and check their vitals.
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162. - Where?
- Out here.
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163. If anyone seems the least bit emergent,
take them over to ER Triage.
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164. Can you handle that?
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165. - If I have any questions, I'll holler.
- Great. Mark!
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166. Oh, bring the kid out here, please.
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167. - Do you have a sec?
- I gotta get to Radiology.
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168. But I got a triple failure otitis media
that needs a scrip for Augmentin.
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169. All right. How's it going, Carol?
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170. You know, I would've been
organized by next week.
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171. You couldn't help me at all today?
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172. Well, it's a little busy
not having Doug here.
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173. - But I'll see what I can do.
- All right. I appreciate it.
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174. - I think Carol's mad at me.
- No. She's just got a lot on her mind.
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175. That hospital lawyer dropped off
these papers for you to sign.
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176. They're urgent,
about the civil rights case.
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177. - File them in my box.
- Along with the others?
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178. Yeah. I'm not gonna let
these bastards get to me.
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179. The man of the hour's arrived.
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180. - This is the situs inversus?
- It sure is.
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181. Fantastic case, Peter. I've never
seen one in the flesh before.
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182. It's worth considering a case report.
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183. I'm actually thinking of running
a literature review.
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184. I took the liberty. There's nothing
on abdominal situs inversus in Trauma.
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185. I can be the first to write about it.
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186. I just heard the good news.
You've got a nose for sniffing out zebras.
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187. I wish I could take credit,
but he landed it.
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188. - Finders, keepers.
- Peter won't mind you scrubbing in.
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189. - Give us a chance to work together.
- I think he might.
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190. No. No. Of course not.
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191. Great.
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192. You both can run it.
I'll hang out on the sidelines...
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193. in case I have to take one of you out.
Shall we scrub?
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194. So...
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195. Don't you think it's time
we called a truce?
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196. I am not at war.
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197. I feel terrible.
I didn't mean to mislead you...
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198. - ... about my family.
- It's not that big a deal, okay?
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199. - No hard feelings?
- No.
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200. Excuse me, John.
I hope I'm not interrupting.
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201. - Henry! What are you doing here?
- I wanna thank you...
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202. for giving me time
to finish my brain blots.
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203. - Grab the end of that, please.
- The end?
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204. The results are so promising, I got
a Howard Hughes Research Fellowship.
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205. - Glad I could help.
- You did.
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206. I was wondering if you might
do me one more favor here.
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207. - Favor, huh?
- See, I'm not able to- Excuse me.
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208. I can't start a new rotation until you
remove these UEs from my evaluation.
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209. So if you could just...
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210. "Unable to evaluate
physical examination.
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211. Unable to evaluate technical
and procedural skills.
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212. Unable to evaluate interactions
with the health care team. "
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213. Yeah. You can't just pass me?
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214. No. You barely showed up.
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215. Then the registrar says that I need
to repeat this clerkship until I pass.
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216. Anna, you don't have a student,
do you?
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217. Don't need one.
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218. Well, then, I guess
it's just you and me.
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219. Jeanie, I've been looking for you.
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220. Well, you found me.
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221. Good news.
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222. Atlanta Memorial called.
They're very interested in you.
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223. I faxed an excellent recommendation.
You should be a shoo-in for a position.
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224. Thank you.
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225. Jeanie, if there were any way I could
change things, believe me, I would.
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226. - I'm gonna miss you.
- I know.
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227. There is no way we can take
these people today.
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228. Come back next week,
they get priority.
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229. You refuse to give
the homeless physicals?
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230. I am not refusing. We don't
have any more appointments for today.
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231. But I called two hours ago and a lady
said that this was a walk-in clinic day.
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232. Cynthia!
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233. Did you give permission
to bring in these people?
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234. I figured it would be okay.
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235. Are you a complete idiot?
Can't you see we're swamped already?
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236. - I'm sorry.
- What's going on?
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237. She invited the entire Hazelton Shelter
for free physicals.
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238. Carol, can I talk to you?
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239. So there was miscommunication.
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240. If you have a problem with Cynthia
or any employee in the future...
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241. speak to them privately. Don't dress
them down in front of the entire ER.
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242. - Anything else?
- No.
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243. Liver's lacerated.
Excise the left lateral aspect.
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244. - Which anatomically is the right lobe.
- Correct.
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245. I don't know about you,
but I'm getting dizzy.
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246. - We should put a mirror on the ceiling.
- We could operate from my bedroom.
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247. Get a photo from the other side.
Peter, expose the gallbladder.
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248. - Found any family on this kid yet?
- Not last I heard.
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249. Get on it. I wanna get
releases for these photos.
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250. Liver's still bleeding.
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251. - You ever use an argon beam coagulator?
- No.
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252. Why don't I do the Pringle maneuver?
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253. Go for it.
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254. My colleague would love to get
some blood samples from this kid.
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255. Suction, please.
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256. All right.
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257. Here we go. All right. Heads up.
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258. Have Pathology pickle this. Bet no one's
ever seen a backwards liver.
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259. - We can play "Stump the Med Students. "
- Not to mention publishing.
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260. - We discussed that.
- Are you up for it?
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261. - I'm game.
- So am I.
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262. Excellent. We'll fight over whose name
goes first on the papers later.
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263. It's a wrist.
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264. That's definitely
a fracture of the wrist.
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265. Yeah. But there are eight bones
in the wrist. Which one?
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266. What are the odds
of catching TB in this place?
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267. Henry, which bone is broken?
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268. - It's the lunate.
- No. That's over here.
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269. Here. Remember this, would you?
It's a mnemonic.
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270. Never Lower Tillie's Pants.
Mother May Come Home.
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271. Maybe you boys should talk privately.
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272. No, I'm just...
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273. teaching Henry
the bones in the wrist.
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274. Here.
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275. "M" for "Mother" is
the greater multangular.
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276. You call that the multangular?
I was taught it was the trapezium.
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277. - Really?
- I call that the scaphoid.
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278. - What do you call it?
- Navicular.
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279. So my little mnemonic
wouldn't work for you.
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280. - That's okay. I have my own.
- Really? Let's hear it.
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281. Okay.
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282. Scared Lovers...
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283. Try Positions That They Can't Handle.
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284. - Go with Anna's.
- He already learned yours.
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285. I like yours better.
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286. I don't think that I need either.
I'll just...
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287. memorize the names.
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288. Excuse me.
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289. If Dr. Anspaugh calls, tell him I'll
have this budget in his hands today.
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290. - Do you know who left this note?
- No.
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291. - "CH". That's me.
- Dr. Weaver?
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292. You drive a Plymouth?
Your lights are on.
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293. That's hard to believe.
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294. Herb Spivak, snakebite
to the upper left torso.
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295. - Know what the venom is?
- No.
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296. It has feet like a piranha,
and a head the size of a papaya.
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297. Can you take this non-venomous
snakebite to the left thorax?
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298. - I left my car lights on.
- Sure. Curtain Area 3.
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299. Can you sign off on this budget?
Anspaugh's expecting it.
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300. - Where?
- Below my signature. I'll be back.
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301. How did this happen?
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302. I was feeding his python. It bit me.
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303. What do you expect?
You spilled soup.
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304. - Who are you?
- Gary Lomax.
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305. Owner of Jungle Gary's Reptorium.
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306. - He spilled chicken soup on himself.
- What?
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307. Pythons love chicken,
so I dipped the rat in my soup.
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308. It spilled on my jacket.
Bingo! The guy got me.
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309. Python thought he was
the world's biggest chicken.
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310. Ellis?
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311. Fancy meeting you here!
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312. Security said my lights were on.
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313. A little ruse to get you out so I could
thank you for getting us the contract.
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314. - Anspaugh approved it?
- Ink's still wet.
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315. Synergix is now supplying extra
Attending coverage to County General.
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316. - All because of you.
- Why didn't you come into the hospital?
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317. I wanted to avoid suggestion
of preferential treatment.
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318. It's not preferential treatment.
It's good business.
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319. We have that in common. It's good
business for me to say thanks.
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320. - Thanks, Kerry.
- Phalaenopsis.
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321. Ellis, you shouldn't have.
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322. - You know phals?
- I love them.
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323. Something else we have in common.
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324. Great job. You really drained
the hell out of that liver.
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325. Once I got my bearings, it wasn't
difficult. I'm glad it came along.
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326. Me too. But a compass
would've been helpful.
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327. Check the crits and coags. Make sure
the Jackson Pratts don't clot off.
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328. Catalog the photos and dig up...
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329. every article you can find
on situs inversus viscerum.
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330. I'll watch the temp. If it drops below 35,
I'll use a warming blanket.
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331. I'll alert the Genetics Department,
if they want to consult.
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332. Dr. Romano, this is Mr. Price.
Rodney's father.
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333. The school called.
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334. Told me there was an accident,
to come right over.
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335. How is my boy doing?
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336. We removed part of his liver
to control the bleeding.
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337. He's in serious condition
but he came out of surgery well.
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338. Aren't you...
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339. Peter Benton?
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340. - From Collins High?
- Yeah.
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341. Isaac Price.
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342. You two were classmates?
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343. Yeah. Class of '83.
Peter was on that college track.
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344. Nose to the grindstone.
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345. It paid off. Your son had
an excellent surgeon.
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346. Isaac, is your son on any medication
or allergic to any drugs?
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347. I don't know.
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348. He lives at his mother's.
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349. Listen, is Rodney gonna be all right?
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350. You know, we're doing our best, man.
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351. Damn it. Damn it.
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352. - Can I help?
- No. You've done plenty. Thanks.
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353. Carol, move your patients
out of the Admit area.
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354. We could get cited
for blocking fire exits.
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355. Dr. Doyle, did you want
your December meal tickets?
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356. - Who has time to eat?
- I'll take them.
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357. - They're for the residents.
- You heard. Who has time to eat?
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358. You're going to need
a tetanus booster, antibiotics.
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359. And I'll have to extract
those python teeth.
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360. - Okay, doctor.
- Malik, can you get me some Betadine?
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361. I brought Flora along...
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362. - ... in case you wanted to swab her.
- Flora?
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363. - She's actually quite gentle-
- When she's not hungry.
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364. How do you know?
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365. - She's harmless except for mouth rot.
- You think we should get a culture?
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366. I love her dearly.
But her mouth's a cesspool.
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367. Malik...
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368. you wanna give him a hand?
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369. I don't think so.
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370. Just grab her middle. Don't let go.
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371. This next case of situs inversus...
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372. apparently shows
no cardiac involvement.
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373. Dr. Benton.
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374. This is a great teaching case.
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375. I discussed it with the residents
and students.
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376. Dr. Benton and Dr. Corday
performed the surgery.
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377. Photographs were taken.
Everybody would love to see them.
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378. We need to change
the patient's dressings.
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379. No problem. We'll come back later.
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380. This is great work, Peter.
Don't forget those photos.
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381. - Anspaugh's impressed.
- Yeah. Here.
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382. - How's the kid doing?
- He's stable. Here.
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383. Lucky break, the father knowing you.
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384. Should make it easier to consent him
for blood tests.
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385. Genetic breakthroughs are hovering in
the winds. You'll talk to the family?
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386. - Yeah.
- Yeah, great.
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387. - Peter, is something wrong?
- No.
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388. - I'd be happy to talk to the father.
- Why?
Copy !req
389. I thought it might be more comfortable
since you know him.
Copy !req
390. I don't know him.
What difference would it make?
Copy !req
391. It's tough if you have
a personal connection.
Copy !req
392. I don't have a personal connection.
Copy !req
393. I don't want him to think
we're using his kid.
Copy !req
394. We've treated him as best we can,
haven't we?
Copy !req
395. - Yeah.
- Then you've got nothing to worry about.
Copy !req
396. - Excuse me.
- My fault. I'm not used to the floor plan.
Copy !req
397. - I don't think we've met. I'm Jeanie.
- Yosh Takata. New R.N.
Copy !req
398. The new R.N.?
Copy !req
399. How'd you get past the hiring freeze?
Copy !req
400. I didn't know there was one.
I put in for a transfer to the ER.
Copy !req
401. - How long you been here? Do you like it?
- Two years. I do.
Copy !req
402. It's good to meet you. I gotta run.
Copy !req
403. - How did you get these scars?
- Defending a cave diver.
Copy !req
404. We got caught in a kelp forest.
Do you dive?
Copy !req
405. - No.
- Oh, spectacular.
Copy !req
406. When did you start handling snakes?
Copy !req
407. He's defending me in a lawsuit.
Copy !req
408. - Oh, you're an attorney.
- Yeah.
Copy !req
409. Flora ate his neighbor's
Jack Russell terrier.
Copy !req
410. Obviously, they have
no case whatsoever.
Copy !req
411. They're not recognized
by the American Kennel Association.
Copy !req
412. Gary offered to help me work with
snakes in exchange for legal counsel.
Copy !req
413. How could I refuse such an offer?
Copy !req
414. Sure, Al. I know.
Copy !req
415. I know. Okay. I love you too. Bye.
Copy !req
416. - You okay?
- Yeah.
Copy !req
417. Just Al. Foreman job
in Atlanta fell through.
Copy !req
418. I'm sorry. Does he have
other possibilities?
Copy !req
419. Al always does.
Let me give you a hand.
Copy !req
420. - Thanks.
- How's it going for you?
Copy !req
421. Lousy. I don't know why I thought
I could run a clinic with no supplies.
Copy !req
422. - I can't even write a scrip.
- P.A.'s can write them.
Copy !req
423. But Kerry Weaver won't let me
use any of the ER staff.
Copy !req
424. What's she gonna do? Fire me?
Copy !req
425. Mark.
Copy !req
426. You are so romantic.
Copy !req
427. I am?
Copy !req
428. Hiding that note under the charts.
Copy !req
429. My heart skipped a beat
when I saw my initials.
Copy !req
430. - What?
- On the envelope. "CH"?
Copy !req
431. What you wrote was really sexy.
Copy !req
432. - Did you mean it?
- Yeah, sure.
Copy !req
433. Well, then my answer is yes. I will.
Copy !req
434. Everything okay?
Copy !req
435. Well, we just got some labs back.
Copy !req
436. Rodney's crit is okay.
But his platelets are falling.
Copy !req
437. We're concerned that his blood
might not clot properly.
Copy !req
438. Is he gonna pull through?
Copy !req
439. Well, he...
Copy !req
440. He may need to have a transfusion. But
don't worry. I'll keep an eye on him.
Copy !req
441. Thanks, Peter.
Copy !req
442. I know you're doing
everything you can, man.
Copy !req
443. All the doctors have been in,
making sure he's all right.
Copy !req
444. Isaac, are you aware that Rodney
has a rare genetic syndrome...
Copy !req
445. that caused his abdominal organs
to be reversed?
Copy !req
446. Is that why he's so sick?
Copy !req
447. No. But when he was hit by the car,
his liver was severely injured.
Copy !req
448. See...
Copy !req
449. If it had been in the proper position,
the prognosis might be better.
Copy !req
450. Listen, I...
Copy !req
451. I know it's not easy at times
like this to ask, but...
Copy !req
452. we'd like permission to draw
some of Rodney's blood...
Copy !req
453. along with yours and your ex-wife's
to do a genetic study.
Copy !req
454. Yeah, okay.
Copy !req
455. I'll do anything if it'll
help Rodney get better.
Copy !req
456. Here. You need to sign the consent.
Copy !req
457. On a scale of one to 10,
how would you rate your pain?
Copy !req
458. Oh, I don't know.
Copy !req
459. When you push like that,
it's a nine or an eight.
Copy !req
460. But it could be a six or a seven.
I'm not sure.
Copy !req
461. Ask him to describe
the quality of the pain.
Copy !req
462. Mr. Kottmeier, please describe
the quality of your pain.
Copy !req
463. Quality?
Copy !req
464. Is it dull? Is it sharp?
Is it crampy? Is it constant?
Copy !req
465. It's crampy, all right.
But sometimes it's sharp too.
Copy !req
466. When it's not dull. I'm not sure.
Copy !req
467. I'm a double Libra.
You know how that is.
Copy !req
468. Not that I believe in horoscopes.
Copy !req
469. That appears sharp to me.
Copy !req
470. We're dealing with diverticulitis.
What do you wanna do?
Copy !req
471. Well, that could be surgical or not.
Copy !req
472. Order an abdominal ultrasound
or maybe get a CT. I'm not sure.
Copy !req
473. Why don't we just start
with a history and a physical?
Copy !req
474. Can you write me a scrip
for erythromycin ointment?
Copy !req
475. I got a kid with conjunctivitis.
Copy !req
476. Having you here today has been
a saving grace to me.
Copy !req
477. Thanks.
Copy !req
478. You worked hard to get this
going. I wish I had your guts.
Copy !req
479. You gotta fight
for what you believe in.
Copy !req
480. What if you don't have
the ammunition?
Copy !req
481. Look for it.
Copy !req
482. - That won't hurt him, will it?
- No.
Copy !req
483. Give me 5 units of platelets and FFP.
500 units of heparin! Move!
Copy !req
484. - Peter, what's wrong?
- His blood's not clotting.
Copy !req
485. - What's going on?
- Oh, my God!
Copy !req
486. He went into DIC.
I'm bolusing 500 of heparin.
Copy !req
487. He's bradycardic.
Copy !req
488. Lungs are wet.
Put him on 100% oxygen.
Copy !req
489. His stats are falling!
Copy !req
490. - Pulmonary hemorrhage.
- Get him on his stomach.
Copy !req
491. Here we go, people. On my count.
Copy !req
492. One, two, three!
Copy !req
493. What's happening here?
Copy !req
494. His lungs are filling with blood.
Copy !req
495. - Jesus, please.
- Isaac, you gotta stand back.
Copy !req
496. You've gotta stand back, man.
Copy !req
497. Please.
Copy !req
498. He's in asystole! Amp of epi!
We gotta get him turned back over.
Copy !req
499. Here we go. On my count.
One, two, three, move!
Copy !req
500. Gotta start CPR.
Copy !req
501. - Connie, have you seen Cynthia?
- She's on a break.
Copy !req
502. - Do you know if she left her purse?
- I don't know.
Copy !req
503. She really likes you.
Copy !req
504. Oh, yeah. We're just having fun.
Copy !req
505. You gave her a diamond.
That's serious fun.
Copy !req
506. What are you doing?
Copy !req
507. - Nothing. I just lost my pen.
- Here.
Copy !req
508. - You sign off on the budget?
- I found an error.
Copy !req
509. - Really?
- Yeah.
Copy !req
510. Here it has your salary
500 dollars more a week than mine.
Copy !req
511. That's remuneration for my
taking over administrative duties...
Copy !req
512. until Morgenstern returns,
God willing.
Copy !req
513. $25,000 a year?
Copy !req
514. You signed off on this three months ago.
Why didn't you say something?
Copy !req
515. I guess I just wasn't paying attention.
Copy !req
516. Hey, Jeanie, have you seen
a chart for Kottmeier?
Copy !req
517. - No.
- Guess I'll start a new one.
Copy !req
518. And have you traveled
anywhere recently?
Copy !req
519. I just did.
Louisville, to visit the in-laws.
Copy !req
520. And then to...
Copy !req
521. Time to wrap up. History
and physical just took 90 minutes.
Copy !req
522. Shave an hour off, you'd be
in passing range for this clerkship.
Copy !req
523. There's a rectal abscess in 2
with your name on it.
Copy !req
524. Mr. Kottmeier,
someone will see you shortly.
Copy !req
525. - It would've gone faster if my allergies-
- Take an antihistamine.
Copy !req
526. Hi, Mr. Kottmeier.
Copy !req
527. I'm Dr. Del Amico.
I'm gonna examine you.
Copy !req
528. Boy, when they said shortly,
they mean shortly!
Copy !req
529. This new clinic's a godsend.
I work part-time. No benefits.
Copy !req
530. So thank you.
Copy !req
531. No. Thank you for saying that.
Copy !req
532. There you go, Hector.
Copy !req
533. That shot will keep you
from getting sick.
Copy !req
534. If it's not too much trouble,
could you look at his chin?
Copy !req
535. He crabs about it,
but I don't see anything wrong.
Copy !req
536. Sure.
Copy !req
537. Okay, Hector.
Does it hurt when I do this?
Copy !req
538. I can't feel it.
Copy !req
539. - You don't feel me pressing on it?
- No.
Copy !req
540. No?
Copy !req
541. Okay, I'm gonna go see
if I can find a doctor.
Copy !req
542. High-dose epi! Seven cc's, one to
a thousand! Another mg of atropine!
Copy !req
543. We got a blip!
Copy !req
544. - Was it a pulse?
- No pulse.
Copy !req
545. Maybe he's got fluid around the heart.
Pericardiocentesis needle.
Copy !req
546. Flatline. An epi can cause
a few transient heartbeats.
Copy !req
547. Damn! No blood.
Copy !req
548. All right. Epi drip wide open
and more platelets. Let's go!
Copy !req
549. Peter, it's been 20 minutes.
Copy !req
550. Peter!
Copy !req
551. Peter.
Copy !req
552. Time of death, 4:52.
Copy !req
553. Get him up to CT. Keep the C-collar on
until Radiology clears the C-spine.
Copy !req
554. - You want films?
- No. The neurosurgeon will take them.
Copy !req
555. - Kerry, I'd like a minute with you.
- Sure. Jeanie, what is it?
Copy !req
556. I wanna take a look at the budget.
Copy !req
557. - The ER budget?
- That's right. Yeah.
Copy !req
558. I've told you.
It's nothing personal.
Copy !req
559. I tried everything to try and keep you
here. The numbers don't support it.
Copy !req
560. If I'm being fired,
I wanna see the numbers...
Copy !req
561. not hear your interpretation of them.
Copy !req
562. I've gone over them
with a fine-tooth comb.
Copy !req
563. It's not fair,
but that's the way it is.
Copy !req
564. How do you justify
hiring a new nurse?
Copy !req
565. Yosh Takata was hired to replace
two nurses who've left.
Copy !req
566. What about giving yourself a raise?
Copy !req
567. Salaries are confidential.
Copy !req
568. I sure as hell know why.
Copy !req
569. - Jeanie, I'm sorry I can't help you.
- I'll find someone who can.
Copy !req
570. Hey, Carter.
Copy !req
571. Have you had a patient complain
about his chin falling asleep?
Copy !req
572. Heads up, Henry. No.
Copy !req
573. I'm sure if it's contagious,
he'll catch it.
Copy !req
574. - Where are you going?
- Mr. Kottmeier's my patient.
Copy !req
575. Then why did I do a physical on him?
Copy !req
576. I'm quite fond of all of you.
Copy !req
577. You did remember to sign him out
on the board, didn't you?
Copy !req
578. - Was I supposed to?
- Where are you taking him?
Copy !req
579. To the surgical ward. Mr. Kottmeier
has an inflamed diverticulum...
Copy !req
580. that perfed into his mesentery.
He needs a colectomy.
Copy !req
581. Hold on. Have you
considered medical management?
Copy !req
582. Treat the abscess with a course of Flagyl
and Cipro before jumping into surgery?
Copy !req
583. - I'm willing to give it a shot.
- No, no, no, wait.
Copy !req
584. Do you agree because
you think I wanna hear that?
Copy !req
585. Or do you really believe that?
Copy !req
586. What?
Copy !req
587. I don't want you agreeing with me
just to please me.
Copy !req
588. I'm not. I've already considered
several alternatives to surgery.
Copy !req
589. - You have?
- Shut up, Henry!
Copy !req
590. Mark.
Copy !req
591. If you have a problem
with my salary, come to me.
Copy !req
592. Don't bring it up with the staff.
Copy !req
593. Do you have any idea how many
hours I work every week?
Copy !req
594. What are you talking about?
Copy !req
595. - You disclosed our salaries to Jeanie.
- No, I didn't.
Copy !req
596. - You didn't?
- No.
Copy !req
597. What happened to all
the patients in your clinic?
Copy !req
598. I gave them meal tickets and
stashed them in the cafeteria.
Copy !req
599. Stressful day for you, huh?
Copy !req
600. - Tell me about it.
- Anything interesting in Doug's note?
Copy !req
601. I wish I knew.
Copy !req
602. - I lost it before I got to read it.
- That's too bad.
Copy !req
603. - How are you on Medline searches?
- Why?
Copy !req
604. I did one on submandibular
paralysis and I came up with zilch.
Copy !req
605. I'm not surprised.
I've never heard of it.
Copy !req
606. I've got this kid complaining
of a numb chin. What should I do?
Copy !req
607. Why don't you try "numb chin"?
Copy !req
608. "Numb chin. "
Copy !req
609. That sounds a little too,
you know, easy.
Copy !req
610. Hey.
Copy !req
611. There you go.
Copy !req
612. I'm sorry, Isaac.
Copy !req
613. Can we have a word with you
in the hall?
Copy !req
614. I don't wanna leave my boy.
Copy !req
615. We'd like your permission
to perform an autopsy.
Copy !req
616. Why?
Copy !req
617. Well, because it could be useful.
Copy !req
618. Did something go wrong?
Copy !req
619. He started bleeding when
you stuck him.
Copy !req
620. No. His blood wouldn't clot
because of the liver injury.
Copy !req
621. - Then why do you need to do an autopsy?
- For research.
Copy !req
622. It could be helpful.
Copy !req
623. That's why you're so interested.
Not because he was hurt.
Copy !req
624. No, no, no.
We were trying to save his life.
Copy !req
625. When you took his blood and mine,
were you trying to save his life?
Copy !req
626. - No-
- We'd like to study his condition.
Copy !req
627. I don't want him studied.
Copy !req
628. We understand how you-
Copy !req
629. Look at him! Don't you think
you cut him up enough?
Copy !req
630. - Isaac, I'm so sorry.
- No!
Copy !req
631. I don't want you cutting up my son!
Copy !req
632. You're right. I'm sorry.
Copy !req
633. I'll leave you alone.
Copy !req
634. Focus, Henry. What do you hear?
Copy !req
635. - I'm not- I'm not sure.
- What do you hear?
Copy !req
636. He has a pneumothorax.
We'll put in a chest tube.
Copy !req
637. I'll grab a tray.
Copy !req
638. - It hurts.
- Yeah. I bet it hurts.
Copy !req
639. Hang on there. Everything will
feel better in a minute.
Copy !req
640. Okay. Henry, the first thing that
you wanna do is feel for the ribs...
Copy !req
641. along the midaxillary line
locating the fifth interspace.
Copy !req
642. Can I get some Betadine?
Copy !req
643. Where you make the incision.
Copy !req
644. - I'm not feeling so good.
- What?
Copy !req
645. I'm not feeling so good.
Copy !req
646. Sit down.
Put your head between your knees.
Copy !req
647. Lily, give me the Kelly.
Copy !req
648. How are you doing, Henry?
Copy !req
649. Lydia, do me a favor and
slide Henry out of the way.
Copy !req
650. - Carter, he's a little cyanotic.
- What?
Copy !req
651. Can't get a pulse on the banger!
Copy !req
652. Lydia, call an Attending!
Copy !req
653. Change the dressing twice a day. Think
twice before defending any skydivers.
Copy !req
654. Thank you, doc.
Copy !req
655. We need you in Trauma 1.
Copy !req
656. Anna, Malik, we may need your help.
Copy !req
657. - What happened?
- Banger had a tension pneumo.
Copy !req
658. - Henry passed out.
- All right. I'll finish the chest tube.
Copy !req
659. Get your student into Trauma 2.
Copy !req
660. Okay. Henry, you're gonna be
just fine.
Copy !req
661. Everybody grab hold.
Copy !req
662. On my count. One, two, three.
Copy !req
663. - What happened?
- I don't know.
Copy !req
664. I showed him how to put in
a chest tube and he fainted.
Copy !req
665. - Go on the other side.
- Wheezes bilaterally.
Copy !req
666. Pulse ox is 86.
Copy !req
667. I need to intubate.
Get me a laryngoscope.
Copy !req
668. - Let's go!
- Did he complain of feeling sick?
Copy !req
669. He always does.
He's a hypochondriac.
Copy !req
670. - Is he on any meds?
- Not that I know of.
Copy !req
671. Okay. Let's get a CBC, Chem-20,
and a tox screen.
Copy !req
672. All right, I'm in.
Copy !req
673. - Bag him.
- Pulse ox is worse. Down to 82.
Copy !req
674. What? Get a blood gas.
Copy !req
675. - Pressure's crashing!
- What the hell is going on?
Copy !req
676. His wrist and his left hand
are red and edematous.
Copy !req
677. Right hand's also swollen.
Copy !req
678. Oh, my God!
He's allergic to latex. Okay.
Copy !req
679. He's in asystole!
Amp of epi, IV push!
Copy !req
680. ET tube cup has latex.
We've got to extubate.
Copy !req
681. Lily, get me an ET tube
from the latex-free cart.
Copy !req
682. Wash your hands first.
Copy !req
683. Chuny, get me a basin of water.
Copy !req
684. - Found a non-latex ET tube.
- A mg of atropine and 50 of Benadryl!
Copy !req
685. Laryngeal edema.
I'm having a hard time getting in.
Copy !req
686. - How long has he been down?
- 30 seconds.
Copy !req
687. - Watch his teeth. Can you see the cords?
- I know. Barely.
Copy !req
688. All right, Malik. Hi-dose epi.
Seven cc's.
Copy !req
689. You're doing great.
Just keep sliding it in very gently.
Copy !req
690. - I'm in.
- Great.
Copy !req
691. Good job.
Copy !req
692. Got a pulse.
Copy !req
693. Everything okay here?
Copy !req
694. Everything's under control.
Copy !req
695. Peter, I'd like to speak to you.
Copy !req
696. I'd like to speak to you as well.
Copy !req
697. I've been reconsidering the possibility
of joining your team.
Copy !req
698. I understand Mr. Price refused
an autopsy on his son.
Copy !req
699. Did you try to convince him?
Copy !req
700. He doesn't want us carving his boy.
Copy !req
701. Did you explain how research
might benefit others?
Copy !req
702. He doesn't want it.
Copy !req
703. Give him some time. He's emotional.
Copy !req
704. I don't feel comfortable doing that.
Copy !req
705. How do you think we made advances
in heart surgery, in transplantation?
Copy !req
706. By refining procedures on patients
and studying the results.
Copy !req
707. That kid was a freak of nature. And we
have a responsibility to do research.
Copy !req
708. That "freak" was a boy
named Rodney Price...
Copy !req
709. whose father doesn't understand
why he lost him.
Copy !req
710. All you want to do is cut him
despite his father's wishes.
Copy !req
711. We're scientists, Peter.
Copy !req
712. We're not allowed sentimentality.
Now, you go back and get consent.
Copy !req
713. - Because I want it.
- No. You get somebody else to do it.
Copy !req
714. I just got a lab report back on
one of my patients, a 7-year-old.
Copy !req
715. Turns out he's got
acute lymphocytic leukemia.
Copy !req
716. A doctor should speak to the mother.
Copy !req
717. - How did it present?
- Kid's complaint was a numb chin.
Copy !req
718. I checked in the computer,
ran some tests.
Copy !req
719. The mom knows you. Talk to her.
Copy !req
720. Call me if she has any questions.
Copy !req
721. And then I plea-bargained her down
to a misdemeanor...
Copy !req
722. not two weeks after
she shot a guy!
Copy !req
723. You could've saved yourself a whole
bunch of urgent phone messages...
Copy !req
724. if you'd told me Herb was on board.
Copy !req
725. - I didn't know you knew each other.
- Yeah.
Copy !req
726. I served on the Trial Lawyers'
Banquet Committee.
Copy !req
727. Herb was our speaker.
Copy !req
728. I've been filling him in
on that Law family suit.
Copy !req
729. You got yourself
quite a little mess.
Copy !req
730. I've decided to ignore
the whole thing.
Copy !req
731. Oh, wrong impulse.
You'll get slaughtered.
Copy !req
732. You had better file this right
away to avoid a summary judgment.
Copy !req
733. Mark, the hospital's board of
directors is gonna be very relieved...
Copy !req
734. to hear that you have
such excellent representation.
Copy !req
735. You know, you came about
this close to losing your job.
Copy !req
736. Herb, if you have any questions
at all, please just give me a call.
Copy !req
737. I shall. I shall.
Copy !req
738. - Take care of yourself, Alan.
- You too. Mark.
Copy !req
739. Why did you let Alan believe
that you're representing me?
Copy !req
740. Honestly, doc, he's a lousy lawyer.
He jumps to conclusions.
Copy !req
741. Nevertheless, I could represent you.
Copy !req
742. Your fee would be a little
too steep for me.
Copy !req
743. 400 an hour with
$10,000 retainer fee.
Copy !req
744. - I figured.
- But, honestly, I don't need the money.
Copy !req
745. I'm bored.
Copy !req
746. I'm looking for new challenges.
Copy !req
747. Here's the deal.
Copy !req
748. Let me shadow you.
Copy !req
749. You throw in a few procedures.
Nothing big.
Copy !req
750. Maybe a couple of stitches
here and there.
Copy !req
751. And I'll make your little lawsuit
vanish just like that. Gratis.
Copy !req
752. I got an autopsy consent
on the Price boy.
Copy !req
753. The father just needed more time.
Copy !req
754. Why didn't Rocket send you?
Copy !req
755. I refused.
Copy !req
756. That was a ballsy move.
Copy !req
757. It wasn't a move.
I told him what I felt.
Copy !req
758. Well, it worked. Take a look
at tomorrow's surgery schedule.
Copy !req
759. You're scrubbing in on a lap
splenectomy at 7 a. m.
Copy !req
760. Rocket's team.
Copy !req
761. He's partial to residents
with backbone.
Copy !req
762. John?
Copy !req
763. Yes, Henry?
Copy !req
764. What happened?
Copy !req
765. You went into anaphylactic shock
from latex.
Copy !req
766. I was near death.
Copy !req
767. - Yes.
- And you were there.
Copy !req
768. Yes, Henry. I was there.
Copy !req
769. And so was Anna.
Copy !req
770. It was like a dream.
Copy !req
771. Anna!
Copy !req
772. Hey, Henry.
Copy !req
773. It was the most amazing thing.
Copy !req
774. I remember being drawn...
Copy !req
775. toward this bright light.
Copy !req
776. And then suddenly I was floating...
Copy !req
777. up above you...
Copy !req
778. over there in the corner...
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779. watching as the two of you...
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780. enveloped in a blue glow...
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781. worked together, united...
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782. to save my life.
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783. Thank you, John.
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784. Thank you, Anna.
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785. You are my angels.
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786. You brought me back to the living.
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787. Good night.
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788. Good night.
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789. Can't be a chart you're writing.
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790. No.
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791. And from the way
you're covering it up...
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792. I'd say it's something personal.
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793. Yeah. It's a...
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794. It's a love letter.
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795. The sentimental kind...
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796. or the "I'd like to
rip your pants off" kind?
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797. Definitely the latter.
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798. I'd like to be writing one of those.
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799. Pity I broke up with Jeremy.
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800. - Could've been more fun, long-distance.
- Someone from home?
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801. A self-possessed dermatologist.
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802. I'm afraid I broke his heart.
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803. Well, it's 9:00.
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804. And since you're writing rather
than living out your prose...
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805. - ... I'd venture to say you're alone.
- Yeah.
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806. Fancy grabbing a drink?
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807. I would love to.
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808. It is an unenviable job
running the ER...
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809. and making difficult
cost-cutting decisions.
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810. I got your message.
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811. Jeanie came in quite upset
about the budget.
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812. And I was just explaining that...
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813. it appears that you treated her
honestly and fairly.
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814. She gave herself a $25,000 raise.
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815. That's from the administrative budget.
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816. I understand that's your story.
But I don't buy it.
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817. Something else is going on.
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818. And what would that be?
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819. My HIV status.
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820. Jeanie!
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821. I believe that's why I'm being fired.
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822. I see.
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823. Well...
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824. Let's not do anything rash.
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825. I am late for a dinner at the moment.
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826. But tomorrow I can give the budget...
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827. another more thorough review.
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828. We've been over these figures
a dozen times.
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829. You told me we had to cut P.A.s.
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830. Why don't you give Kerry and me
another day to recheck our figures?
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831. Thank you, Dr. Anspaugh. I will.
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832. Jeanie, you're really gonna use
your HIV status like this?
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833. I call it as I see it.
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834. I tried everything to keep you here.
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835. Then I bent over backwards
to help you get a job in Atlanta.
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836. It just isn't fair, is it?
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837. I've never discriminated against
you because of your HIV status.
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838. I fought to keep you here.
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839. Kerry, like you said before,
it's nothing personal.
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840. - To your health!
- Thank you.
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841. Here.
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842. - What have we here?
- What have we here?
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843. Another present?
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844. It's beautiful. Should I try it on?
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845. You can try it on later.
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846. I dream of the taste of your neck and
the smell of your hair on my pillow.
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847. You do?
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848. No, silly. You do.
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849. Did you mean everything
you wrote?
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850. Yeah. Yeah, I did. It was...
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851. I was homesick.
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852. Do you remember this afternoon
when I said that I will?
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853. I changed my mind. I won't.
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854. You won't?
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855. Not unless you go first. Lie back.
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