1. Previously on ER:
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2. We'd be better off as friends.
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3. Mark, thanks again for dinner.
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4. God forbid you listen to me and learn!
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5. Yes, I was engaged once.
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6. To a really lovely man.
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7. And he was killed in a freak
horseback riding accident.
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8. You bring a child into this world,
and you think they're helpless.
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9. But, actually, I think it's us.
We're the ones that are helpless.
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10. - What time's that big do at your mom's?
- Right after church.
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11. I promised her we'd be there for
Christmas caroling with Uncle Ted.
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12. That the old guy with the banjo?
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13. It's a family tradition, kind of
like going to Mass on Christmas Eve.
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14. If I go, I'll feel like a hypocrite.
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15. - Kneeling and standing and...
- You could just sit.
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16. Everybody gives me dirty looks.
Like I'm a pagan.
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17. You are a pagan.
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18. Oh, what a glorious day!
Did you see the sky?
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19. - It's like a painting.
- Makes you glad to be alive.
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20. - Unless you're being persecuted.
- What?
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21. - He doesn't like Dr. Lee's new system.
- What new system?
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22. Patients get two charts:
For docs and for nurses.
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23. We get to do our notes
at the same time.
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24. Orders get in quicker,
patients get meds faster.
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25. Docs don't waste time chasing charts.
So, what's the problem?
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26. "Someone" has to keep track
of twice as many charts as normal...
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27. doubling his workload.
Not that anyone cares.
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28. Good morning, gang.
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29. Oh, my God, Amanda!
What have you done?
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30. Christmas nibblies: Dried fruit,
mixed nuts, little chocolate reindeer.
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31. Don't mind if I do.
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32. Wait. First dibs should go to Jerry.
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33. It's only fair since he's bearing
the brunt of the new charting system.
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34. No, thank you. I'm not hungry.
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35. As you wish. Seriously, if you find
yourself in the weeds, call me.
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36. - I'll make sure you get support.
- Sure.
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37. Excuse me.
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38. That's a Christmas card image,
the sight of you wrapping a book.
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39. Something educational
for one of your nieces?
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40. No. Actually, it's for you.
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41. It's T.S. Eliot.
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42. I know you said you liked him,
so I got it last month...
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43. when we were still, you know...
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44. Peter, that's so sweet.
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45. I can't think of
a more thoughtful gift.
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46. Thank you.
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47. Oh, please, forget it.
Listen, I was wondering...
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48. if we could finish
our workups around noon.
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49. I need to get out of here
early tonight.
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50. Oh, you've got big
Christmas Eve plans.
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51. Yeah. My sister's hosting a dinner.
Carla's gonna bring Reece by.
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52. - I haven't seen him all week.
- I understand.
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53. I absolutely hate being away
from my family during the holidays.
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54. In fact, I'm so desperate not to be
alone this Christmas Eve...
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55. that I bought a ticket
to the Surgeons' Society Gala.
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56. Oh, golly.
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57. Yep. And you won't believe
who's sitting next to me.
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58. Hey, there she is!
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59. So I checked around.
We definitely have the coolest table.
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60. It's lucky we're both able to make it.
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61. A little trouble in paradise?
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62. Anyway, so tonight's dinner
is semiformal...
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63. so any slinky black number will do.
If I may voice my preference...
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64. something short
and off-the-shoulder would be ideal.
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65. Peter, by the way, that reminds me.
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66. I have a lot of charts
and I want to get out of here early.
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67. - I need you to cover my rounds.
- That'll mess up my morning.
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68. Look at it this way. I get a life...
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69. and you earn a special place
in my heart.
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70. Do you know a garage that's open?
My crappy car died on the Dan Ryan.
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71. On Christmas Eve? Good luck.
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72. - Lydia, is that...?
- Card from Jen.
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73. - My ex-wife sent you a Christmas card?
- No. She sent one to me.
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74. We've exchanged cards for years.
Christmas, birthdays...
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75. - I was reading the newsletter.
- "Merry Christmas from the Simons."
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76. - What?
- Their new house sounds amazing.
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77. - I know. 5000 square feet?
- Six bedrooms, three baths?
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78. That sounds just like Jen
to be bragging about her house.
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79. - I wouldn't call it bragging.
- She's sharing good news.
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80. - Yeah, Jen made partner.
- Jen made partner?
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81. - The firm even got her a new Beemer.
- I love those convertibles.
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82. Oh, you know what?
Mack's Garage on Wacker is open.
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83. - They'll tow your piece-of-crap car.
- Thanks, Jerry.
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84. "Dear Dr. Carter, I'm sure
you don't remember me.
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85. I wouldn't be around this Christmas
if not for you.
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86. You're a lifesaver.
The Lord's instrument on earth."
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87. - Pacer pads?
- Third drawer on the left.
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88. "May God bless you and keep you.
Merry Christmas. Emily Ropella."
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89. - Do you remember her?
- Not a clue.
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90. It's a nice card, though.
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91. Does it bother you
that God gets the credit?
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92. One can be called worse things
than "an instrument of God."
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93. So you believe in...?
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94. I give Him the benefit of the doubt.
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95. - You?
- I don't know.
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96. Sometimes I think that God
is just this comforting illusion.
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97. We want everything to have meaning,
so we create this puppet master...
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98. when everything is just arbitrary:
Life, death, natural disasters...
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99. The Master is displeased.
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100. I'm so sorry. I can't believe
he foisted this on you.
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101. No use worrying about it now.
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102. I'll start the preops.
That'll save time.
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103. Whatever.
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104. Hello, Mr. Gardner.
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105. I have the results of your MRI.
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106. Good. So, how's it look?
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107. Good news. It appears the cancer
hasn't spread beyond the capsule.
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108. Great. So does this mean
I can hold on to my prostate?
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109. I'm afraid not.
Dr. Romano does want to continue...
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110. with the radical prostatectomy
tomorrow morning as scheduled.
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111. But with the surgery, you stand an
excellent chance of beating the cancer.
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112. It really is very good news.
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113. - Is Dr. Romano around?
- He's in surgery.
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114. Is it something I can help you with?
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115. He had mentioned the operation could
result in my losing sexual function.
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116. I take it that's still the case?
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117. We'll do our best to do
a nerve-sparing procedure.
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118. - But there is that possibility, yes.
- How strong a possibility?
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119. Well, according to Dr. Romano's notes,
as high as 75 to 80 percent.
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120. Eighty percent.
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121. Has Dr. Romano discussed
your options...
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122. about having children
in the future?
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123. No.
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124. Well, you might want to consider...
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125. paying a visit to a sperm bank.
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126. That way, if there's
a loss of function...
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127. you can still have children
through alternative means.
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128. Right.
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129. Dr. Lee?
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130. You startled me.
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131. Sorry. Dr. Anspaugh would
like you to call him.
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132. What's wrong with Dr. Greene's locker?
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133. I found it ajar. I shut it
before something walked away.
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134. - Thanks for the message.
- Sure.
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135. I've got supraventricular tachycardia.
It happens all the time.
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136. Rate's 160. BP's 100 palp.
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137. Just cardiovert me at 50
and I'm on my way.
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138. Let's put him on a monitor
and get a strip.
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139. I'm trying to tell you,
I've got SVTs.
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140. Just cardiovert me at 50.
It works every time.
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141. I appreciate the tip.
But I need to examine you myself.
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142. - I'm trying to save some time here.
- Stop talking.
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143. Would you tell him that I have SVTs?
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144. I've got SVTs!
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145. - Let go.
- I've got SVTs!
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146. I heard you!
I need to examine you myself.
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147. - I'm gonna be late for work!
- Let go!
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148. Are you one of Santa's helpers?
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149. The helpers just pass out the goody
bags. I'm an elf. A singing elf.
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150. - Oh, part of a choir?
- There's four of us.
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151. But thanks to "Super Doc," the
Elf Tones are gonna be a tenor short.
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152. - Here you go.
- It says I have SVTs, right?
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153. I knew it! You want to shock me
at 50 now, smart-ass?
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154. I got an 18-year-old, flatline!
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155. - How long down?
- Unknown. Mother found him.
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156. Gave him two rounds of epi,
two of atropine.
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157. - Got any signs of life?
- Got him back once.
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158. Get him on a monitor.
Carter, check ventilation.
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159. - What can I do?
- Rectal temp.
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160. - Great.
- All right.
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161. On my count. Watch your hand there.
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162. One, two, three, go.
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163. Any signs of drugs, suicide?
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164. Said he had a killer headache.
Took a nap and never woke up.
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165. - A subarachnoid hemorrhage.
- Killer headache is right.
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166. - Monitor's up.
- No femoral pulse.
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167. - Asystole.
- No spontaneous respirations.
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168. - No response to pain.
- Anybody got any good news?
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169. Pupils are...
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170. fixed and dilated.
No corneal reflex.
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171. He's only 18.
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172. Zadro got him back once, maybe we
can do it again. High dose of epi.
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173. Put him on a pulse ox.
An end-tidal CO-2 detector.
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174. - Paddles, please.
- Crank it to 50. Let's go!
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175. - Let's start at 20.
- Twenty? Why?
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176. Because I said so, that's why.
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177. Oh, that's mature.
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178. - Charged to 20.
- Clear.
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179. - How did we do?
- No change.
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180. Fifty? Do I hear 50?
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181. - Let's go to 30.
- Oh, for crying out loud!
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182. Why not just go to 50?
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183. Because he has a sensitive rhythm.
I don't want to overshock him.
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184. - Charge to 30.
- Clear.
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185. Anything?
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186. - Nothing.
- I don't want to question your genius.
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187. But can we go to 50 while I still
got some hair on my chest?
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188. - Let's go to 50.
- It's about time!
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189. - Charged.
- Clear.
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190. That did it.
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191. Back to normal sinus.
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192. Watch him for 15
and then let him go.
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193. Thanks for nothing, Dr. Mengele!
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194. Time?
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195. Twelve minutes.
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196. - Check his rhythm.
- Still no pulse.
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197. - Asystole.
- Keep at it.
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198. Ten of epi on board.
The boy's mother is in Chairs.
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199. - She wants to talk to someone.
- Carter, you want to do that?
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200. Don't get her hopes up.
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201. All right.
Give me another epi, 7 milligrams.
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202. - Mrs. Richards?
- My son?
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203. Hi. I'm Dr. Carter.
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204. Your son's heart stopped beating.
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205. We're doing everything
to start it again.
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206. We're giving him medicine
and doing CPR.
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207. Why would his heart stop?
He's 18 years old.
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208. There's a sign that he had
a brain hemorrhage...
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209. which could've
caused the cardiac arrest.
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210. How? He's the picture of health.
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211. It could be a weak artery, possibly
something that's existed since birth.
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212. The thing is,
he's been down a long time.
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213. The longer he goes without oxygen,
the less likely we can bring him back.
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214. - We might need to have a conversation...
- Please don't give up on him.
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215. He's all that I have.
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216. Please.
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217. Okay.
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218. I'll be back.
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219. Hold it. Hold the compressions.
Any sign of a rhythm?
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220. - Flatline.
- Let's call it.
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221. Not yet. Keep bagging.
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222. You got a reason to keep flogging him?
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223. He's 18, his mother's only child.
And it's Christmas.
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224. Want a miracle?
He's been down for 40.
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225. - So, what's five more?
- Okay, doctor. Let's go.
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226. Resuming compressions. Keep bagging.
And another round of high-dose epi.
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227. Start a dopamine drip.
Get those paddles ready.
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228. - He's in asystole.
- He may be in fine V-fib.
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229. Charge to 300. No, 350.
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230. - Charging.
- Let's hold a really positive thought.
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231. - Ready.
- Clear!
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232. - Was that a beat?
- My God!
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233. - Two beats does not a rhythm make.
- Slap some pads on him.
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234. All right. Here you go.
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235. Can you roll him?
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236. - Set it at 80.
- You're on.
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237. - It's not capturing.
- Dial up the gain.
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238. Come on.
Just gotta get it to capture.
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239. - He's throwing PVCs.
- Hold that lidocaine.
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240. Maximum gain.
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241. Come on.
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242. Come on.
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243. - We got it!
- He's got a rhythm!
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244. - Take a carotid.
- Pulse?
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245. - Strong at 120.
- BP is 100.
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246. Send him to CT,
find out where he's bleeding.
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247. - How'd you...?
- I'm an instrument!
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248. - Way to go!
- Hope he's got some brain left.
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249. You want contrast?
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250. No, but call Respiratory.
Make sure they got a vent and scanner.
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251. Looks like we got our miracle.
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252. If he wakes up. Even if he does,
he'll probably have brain damage.
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253. Carter.
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254. Better prepare the mother.
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255. Yes, Ma.
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256. Of course we're coming.
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257. Uncle Ted wants Doug to play
"Silent Night" on the tambourine?
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258. I think he'd love it.
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259. Yeah. Hey, do you have
any videotape left in the videocam?
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260. Yep. Yes, I am coming to Mass.
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261. No, he is not. But, you know what?
We should probably respect his choice.
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262. It would be nice
if we all went together.
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263. If I'm needed,
I'll be out at the roach coach.
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264. I'll be here suffocating
under a mountain of charts.
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265. That's odd. I swear I had
my gloves in my pocket.
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266. Dr. Lee took them.
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267. What did you say?
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268. I saw her at your locker earlier.
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269. - That is ridiculous, Jerry.
- What's ridiculous?
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270. He's accusing Amanda
of stealing my gloves.
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271. I tell you she had your locker open,
and she was very suspicious.
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272. I know you're angry at Amanda
for the new chart system...
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273. but to accuse her of
being a thief...
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274. You didn't see how weird
she was acting.
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275. Can it, Jerry.
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276. I finished the work on Landis.
How are you?
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277. - Two more preops, then postops.
- You may make your dinner after all.
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278. What'll it be? Goose in
chestnut sauce or roast venison?
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279. We gotta call in our entr Áes.
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280. Dr. Romano, Mr. DeMisa is coming back
in with postoperative pain.
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281. What a pain in the ass!
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282. You assisted on his gastroplasty,
didn't you?
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283. - What? Yeah.
- Great! When he comes in, take him.
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284. I'm already busy.
I'm trying to get home for dinner.
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285. Sometimes being a Resident just sucks.
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286. So, what'll it be?
Mother Goose or Bambi?
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287. Are these leads on?
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288. The leads are on.
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289. Nothing in the alpha, theta or
delta frequencies. He's brain-dead.
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290. Well, maybe he can be an organ donor.
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291. Not too likely. He has type AB blood.
That's, what, 2% of the population?
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292. I doubt you'll find
many compatible candidates.
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293. - It's worth a try.
- Sure it is. Talk to the mother.
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294. If she won't go for it,
try to persuade her to pull the plug.
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295. So much for my miracle.
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296. Dr. Corday, the fertility
clinic just called.
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297. Your patient, David Gardner,
is having an MI.
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298. His EKG was normal this morning.
Is he upstairs?
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299. They're taking him to the ER.
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300. Okay.
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301. I just took an unusual complaint.
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302. An irate elf claims you tortured him
with the cardioversion paddles?
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303. We differed over treatment strategies.
I wouldn't quite call it torture.
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304. I know. I read the chart.
He's clearly a nut case.
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305. - I'm just making sure you're all right.
- I'm okay.
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306. Although, to be honest,
I could've handled it better.
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307. I'm a little off my game today.
Blame it on the holidays.
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308. - Is it a rough time of year for you?
- Not usually.
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309. My ex-wife, she sent out this
newsletter saying how happy she is.
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310. I can't help but see it as her saying,
"Look how well I traded up."
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311. - I got it.
- Thanks.
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312. - It's a tough time of year for me too.
- Really?
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313. This is the first Christmas
since my brother committed suicide.
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314. Oh, jeez! I'm sorry.
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315. Yeah.
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316. It was one of those apocalyptic cult
things. The guys with the sneakers?
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317. Oh, yeah. I thought that
was a couple of years ago.
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318. He missed the big event,
so he decided to follow on his own.
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319. Wow! Sorry. I gotta say you're
handling it better than I would've.
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320. I credit that to my Grandma Lee.
She always said:
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321. "Whatever life throws at you,
greet it with a smile.
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322. There's nothing as contagious
as a positive attitude."
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323. I think we'd all be better off
if we followed Grandma's advice.
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324. Here we go.
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325. Coming through.
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326. - Let's get him into Trauma 1.
- Mr. Gardner, how are you?
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327. My chest feels tight.
I can't breathe.
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328. Is he your patient?
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329. Yes, and he's hyperventilating
like crazy.
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330. Hook him up to a 12-lead EKG
and a pulse ox. Start a line.
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331. Get a mask on him.
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332. We need to get your breathing under
control. Concentrate on the breaths.
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333. Let the breath out slowly.
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334. Slowly.
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335. - Monitor's up.
- All right.
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336. Yep, pulse is up to 99.
That's a good sign.
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337. You're gonna be fine.
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338. Breathe in on the count of five.
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339. One.
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340. Two.
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341. Oh, my! You're David...
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342. You're David Gardner, right?
The trumpet soloist?
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343. I saw your guest performance
with the Chicago Symphony.
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344. I'm sorry. I'm Kerry Weaver,
season ticket holder.
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345. Breathe out.
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346. I just loved your featured
performance in Mahler 2.
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347. It gave me shivers.
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348. Slowly.
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349. - Where do you go next?
- Boston.
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350. - Breathe in.
- The BSO! Yes!
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351. - I got your 12-lead.
- Breathe out.
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352. David, your heart looks just fine.
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353. We'll run a few tests
just to make sure.
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354. But I think that you were
just having an anxiety attack.
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355. Are you a bit nervous
about playing for Ozawa?
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356. Breathe in.
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357. How long have you had the pain?
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358. Ever since the surgery.
I wish I'd never had it.
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359. I heard stapling my stomach would help
me reduce, but I haven't lost a pound.
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360. Have you been sticking
to the all-liquid diet?
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361. - What did you have today?
- A little blended tea.
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362. What was in it?
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363. Bacon and eggs.
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364. Mr. DeMisa!
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365. But I blended it up.
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366. - What else did you have?
- A smoothie.
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367. And what was in that?
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368. Low-fat milk...
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369. some butternut squash...
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370. sweet potato pancakes,
a honey-glazed ham...
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371. and a caramel-orange Buche de Noel.
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372. - That's a full Christmas dinner.
- Oh, also, I'm a little backed up.
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373. - What do you mean a little backed up?
- Constipated.
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374. Okay. He probably busted a staple.
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375. Set him up for a gastrograph
and give him a laxative.
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376. I like the chocolate ones.
If that's all right?
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377. Dr. Carter...
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378. I was talking to Steven
and he moved his arm.
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379. He's having involuntary muscle spasms.
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380. I think he was trying
to tell me something.
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381. I'm afraid that's not possible.
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382. We did a test on Steven to check for
brain activity. We didn't find any.
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383. Well, then...
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384. it'll take some time and...
Copy !req
385. Time isn't going to help.
Copy !req
386. Steven is brain-dead.
Copy !req
387. No possibility of recovery.
Copy !req
388. I know this is a really difficult
thing to think about right now.
Copy !req
389. One way to salvage something
positive out of this...
Copy !req
390. is to donate Steven's organs.
Copy !req
391. No, I...
Copy !req
392. I can't let you take out his organs
when his heart is still beating.
Copy !req
393. If that's the case, I'd ask you...
Copy !req
394. to consider signing
a "do not resuscitate" order.
Copy !req
395. That way, if Steven's heart
fails again...
Copy !req
396. we won't subject him
to overly aggressive procedures...
Copy !req
397. by prolonging his life
in a vegetative state.
Copy !req
398. I can hope for a miracle, can't I?
Copy !req
399. Well, who do we have here?
Copy !req
400. Mrs. Hutton fainted
while shopping at Lakewood Mall.
Copy !req
401. I'm sorry. Don't worry, we'll have
you back on your feet in a jiff.
Copy !req
402. All right.
Copy !req
403. You been hitting the nitrous?
Copy !req
404. You gotta greet life with a smile.
Copy !req
405. I do?
Copy !req
406. Yeah. A positive attitude
is contagious.
Copy !req
407. So why don't you
tell me what happened?
Copy !req
408. I went to Field's
Night Before Christmas sale.
Copy !req
409. It was crowded. It was hot.
It was stuffy. I passed out.
Copy !req
410. - Very nicely put.
- Thanks.
Copy !req
411. Why don't we order Mrs. Hutton some
cardiac enzymes, CBC and a Chem-7?
Copy !req
412. Hold it!
How much do those things cost?
Copy !req
413. Gosh! I don't know.
Copy !req
414. - You won't tell me?
- No, I mean I really don't know.
Copy !req
415. - Please sit up.
- Oh, I got your number now.
Copy !req
416. - Excuse me?
- You think you're pretty smart, huh?
Copy !req
417. Sweet-talking me into buying all those
expensive tests I don't need.
Copy !req
418. Just trying to make a diagnosis.
Copy !req
419. I'm trying to survive
on Social Security.
Copy !req
420. We can't all make a doctor's salary.
Copy !req
421. Your insurance will pay for the tests.
Copy !req
422. Oh, so that's your racket!
Ripping off insurance companies.
Copy !req
423. It's crooks like you
that keep my premiums so high.
Copy !req
424. Get me another doctor!
Copy !req
425. He's the best doctor we have.
Copy !req
426. Well, I don't like the look of him.
The way he smiles and talks.
Copy !req
427. I want another doctor!
Any doctor as long as it isn't him!
Copy !req
428. Mr. Gardner, your labs look stunning.
Copy !req
429. We should probably wait on the cardiac
enzymes before letting you go.
Copy !req
430. At this rate, I should
check in for the night.
Copy !req
431. It would certainly save you
the drive in for surgery tomorrow.
Copy !req
432. No, the less time I spend here
the better. No offense.
Copy !req
433. None taken.
Copy !req
434. So how are you feeling?
Copy !req
435. Like an idiot. Here I thought
I was having this big heart attack...
Copy !req
436. turns out I'm just a nervous wreck.
Copy !req
437. If you want,
you could postpone surgery.
Copy !req
438. No. I have to be
recovered by January 15th.
Copy !req
439. I'm doing a televised special
with the Boston Symphony.
Copy !req
440. Oh, I'll have to mark my calendar.
Copy !req
441. Symphony fan?
Copy !req
442. I know very little
about orchestral music.
Copy !req
443. So, what do you like?
Copy !req
444. Well...
Copy !req
445. I'm embarrassed to say.
Copy !req
446. How bad can it be?
Copy !req
447. I'm in a disco phase at the moment.
Copy !req
448. Yes, well, I can see why
you would be embarrassed.
Copy !req
449. - You paged me?
- We've got a problem. He's stuck.
Copy !req
450. - Stuck?
- He's wedged in. I can't get him out.
Copy !req
451. - What do you expect me to do?
- Help me get him out?
Copy !req
452. I don't have time for that.
Copy !req
453. Have Maintenance
take the chair apart.
Copy !req
454. - What?
- I gotta go to the bathroom.
Copy !req
455. - You'll have to hold it.
- Help!
Copy !req
456. - Help me get him out, please?
- Please!
Copy !req
457. Okay, come on. Grab his arms.
Copy !req
458. Oh, man!
Copy !req
459. All right, on my count.
One, two, three.
Copy !req
460. What a waste.
Copy !req
461. Why did I do it? Why did I do it?
I know... I know better.
Copy !req
462. You tried to save a life.
Copy !req
463. I let that "instrument of God"
stuff go to my head.
Copy !req
464. Maybe it is all arbitrary.
Copy !req
465. Why does he deserve
a brain hemorrhage?
Copy !req
466. And why does it blow on Christmas Eve?
Copy !req
467. What's the point?
Copy !req
468. I got the tests back
on that teenager in 1.
Copy !req
469. A little Christmas present
from the stork.
Copy !req
470. Well, I'd better
go give the good news.
Copy !req
471. - Oh, my God!
- Here.
Copy !req
472. Oh, Dr. Weaver, you have to read this.
Copy !req
473. - Read what?
- A triple-X sex fantasy.
Copy !req
474. Excuse me?
Copy !req
475. I found it in Dr. Lee's charts.
It's her handwriting.
Copy !req
476. "I took M.G.'s gloved hand and placed
it on my heaving pink stippled breast."
Copy !req
477. Why am I reading this?
Copy !req
478. Don't you get it?
Copy !req
479. "M.G." is Mark Greene.
Copy !req
480. Come on!
Copy !req
481. What about the glove reference?
Copy !req
482. You have completely lost your mind.
Copy !req
483. You found my notes on Mrs. Condrell.
I've looked up and down.
Copy !req
484. - Mrs. Condrell?
- That psych patient? It's a sad case.
Copy !req
485. She's psychotic,
extremely hypersexual...
Copy !req
486. and has these obsessive fantasies
about Merv Griffin, of all people.
Copy !req
487. Anyway, thank you.
Copy !req
488. Next time you want to make an ass
out of yourself, leave me out of it.
Copy !req
489. - Could there be a mistake?
- No mistake, Laura. You're pregnant.
Copy !req
490. Oh, God!
Copy !req
491. What do I do?
Copy !req
492. - Can you talk to your mother?
- No way. She'll kill me.
Copy !req
493. Your dad?
Copy !req
494. - No.
- Thanks.
Copy !req
495. I had to sneak out even to come here.
Copy !req
496. Are you gonna tell them?
Copy !req
497. Not if you don't want me to.
Copy !req
498. I don't.
Copy !req
499. You have some choices:
You can have the baby, keep it...
Copy !req
500. have the baby, put it up for adoption,
or have an abortion.
Copy !req
501. I can't have a baby.
Copy !req
502. There's no way.
Copy !req
503. Can you help me?
Copy !req
504. Yes, I can. I'll be right back.
Copy !req
505. Stephanie, can you...? Thanks.
Copy !req
506. Hey, Carol.
Copy !req
507. I got a pregnant
13-year-old in there...
Copy !req
508. who wants an abortion
on the holidays.
Copy !req
509. God! Thirteen.
Copy !req
510. Well, you think you can arrange that?
Copy !req
511. Merry Christmas. Yeah.
Copy !req
512. You can take it from here?
Copy !req
513. Sure.
Copy !req
514. Carla, I know his bedtime is at 8:00.
Copy !req
515. I might not be able
to make it until then.
Copy !req
516. Yeah, I know.
Listen, listen. Okay, okay.
Copy !req
517. It's Christmas Eve.
I just want see my son, okay?
Copy !req
518. Okay. Thank you so much.
I promise. I will. Yeah, bye.
Copy !req
519. - How's it going?
- Don't ask.
Copy !req
520. - You call the ER for DeMisa?
- He's still on the toilet.
Copy !req
521. Lizzie, if you're ready,
we can go together.
Copy !req
522. I have a couple of patients
to finish with.
Copy !req
523. - Is Peter trying to ruin our evening?
- No, not at all.
Copy !req
524. It was a joke.
Copy !req
525. Look, I'll see you there.
Copy !req
526. I left these unfinished
dictations for you.
Copy !req
527. They need to be in by 8.
Appreciate the help. See you later.
Copy !req
528. 16-year-old, unconscious,
history of biliary atresia.
Copy !req
529. - Hepatic coma?
- Looks like it.
Copy !req
530. - She was fine until six months ago.
- What medication is she on?
Copy !req
531. Ampicillin, tobramycin,
vitamins A, D and K.
Copy !req
532. The skin's jaundiced.
Copy !req
533. Same with sclera.
Her breath smells sweet.
Copy !req
534. - Fetor hepaticus?
- Yep.
Copy !req
535. - What's that?
- Liver's shut down. Dip a urine.
Copy !req
536. It's getting crowded in here.
Can you deal with the parents?
Copy !req
537. Start lactulose, 30 cc's per NG.
Copy !req
538. We're giving her medicine
to clean her blood.
Copy !req
539. - Blood in the urine.
- She's bleeding inside?
Copy !req
540. The liver failure's
causing her blood not to clot.
Copy !req
541. Oh, God!
Copy !req
542. Is she on the transplant list?
Copy !req
543. She's been Status 2A for six months.
But they haven't found a match.
Copy !req
544. - Why not? What's her blood type?
- AB.
Copy !req
545. What are you doing?
Are you hiding back here?
Copy !req
546. Exactly.
Copy !req
547. I tried your grandma's "greet with
a smile" approach on a patient...
Copy !req
548. and she threw me out.
- No!
Copy !req
549. Yep.
Copy !req
550. I've restricted myself to the
unconscious for the rest of the day.
Copy !req
551. Now, now.
Copy !req
552. There's something about me that
brings out the worst in people.
Copy !req
553. I've noticed that.
Copy !req
554. I'm like a magnet for negativity.
People get too close...
Copy !req
555. I'll pull the positive
right out of them.
Copy !req
556. - Oh, my God!
- What?
Copy !req
557. - I suddenly feel sad.
- Low blood sugar?
Copy !req
558. No. It's definitely you.
Copy !req
559. Hey, shut the hell up.
I'm trying to sleep here.
Copy !req
560. Another satisfied customer.
Copy !req
561. Two kids come in. One's brain-dead,
the other needs a liver.
Copy !req
562. They're both AB. A godsend!
Copy !req
563. - The mother won't consent.
- She will when I get through with her.
Copy !req
564. - Where's his mother?
- Not here.
Copy !req
565. - Is he throwing PVCs?
- Yeah.
Copy !req
566. Why didn't you call me?
Get the pacer...
Copy !req
567. - Can't. DNR.
- What?
Copy !req
568. - She said you talked her into it.
- There goes your godsend.
Copy !req
569. - She say where she's going?
- No.
Copy !req
570. If she comes back, keep her here.
Copy !req
571. Laura, Dr. Sarafini can take you.
Copy !req
572. What's wrong?
Copy !req
573. I just keep thinking.
Copy !req
574. It's a mortal sin.
Copy !req
575. Do you believe that?
Copy !req
576. It doesn't matter what I believe.
What do you think?
Copy !req
577. I don't know.
Copy !req
578. Anyone in your family you can talk to?
A sister maybe?
Copy !req
579. What about your mom?
Copy !req
580. She'll kill me.
Copy !req
581. Look, Laura, this isn't gonna be easy.
Copy !req
582. But it's a very big decision.
Copy !req
583. I don't think you know what to do.
You really need to talk to someone.
Copy !req
584. Can you call my mom?
Copy !req
585. Yeah. I can. I'll call her.
I'll call her.
Copy !req
586. - She's not back yet?
- No. He just went into V-tach.
Copy !req
587. Damn it!
Copy !req
588. I got a faint pulse.
Copy !req
589. Give him 50 of lidocaine. Get the
paddles, I'll take responsibility.
Copy !req
590. Yeah, and I'll lose my license.
Copy !req
591. - What are you doing?
- I'll code him myself.
Copy !req
592. - You're crazy.
- You can't ignore her wishes.
Copy !req
593. You wanted a miracle?
Copy !req
594. These two kids arriving on
the same day is as close as it gets.
Copy !req
595. She may not see it the way you do.
Copy !req
596. I'll bet she does.
Copy !req
597. - You're only thinking of yourself.
- And a dying 16-year-old girl.
Copy !req
598. Charging at 200.
Copy !req
599. Move them. Move them!
Copy !req
600. - Clear!
- You're both crazy.
Copy !req
601. - Back in sinus.
- Oh, now you did it!
Copy !req
602. Page me if he goes south.
I'm going to find his mother.
Copy !req
603. So which section of the orchestra
are you going out with now?
Copy !req
604. I've been unattached since
I started the tour. Six months now.
Copy !req
605. - That's a long time to be on the road.
- Yeah. Sure is.
Copy !req
606. Swarms of groupies in every city?
Copy !req
607. Well, a classical soloist
doesn't quite...
Copy !req
608. lead the life of a Rolling Stone.
Copy !req
609. But if I'd known I was gonna
lose my prostate...
Copy !req
610. I would have made more
of an effort. Believe me.
Copy !req
611. Are you still anxious
about the surgery tomorrow?
Copy !req
612. I was never all that anxious about the
surgery, per se. It was more the...
Copy !req
613. What?
Copy !req
614. - You really want to know?
- Yes.
Copy !req
615. Well, I went up to your clinic
to deposit my...
Copy !req
616. DNA.
Copy !req
617. Of course, they directed me to
the cubicle where they'd set up...
Copy !req
618. the specimen jar and the...
Copy !req
619. men's magazine.
Copy !req
620. And l...
Copy !req
621. And I just kept thinking:
Copy !req
622. "Well, this is it.
This is my last sexual experience."
Copy !req
623. And l... Well, you know the rest.
Copy !req
624. First time in history somebody's had
performance anxiety while by himself.
Copy !req
625. David, would you like to grab
a bite to eat somewhere?
Copy !req
626. Yes, Elizabeth.
I would like that very much.
Copy !req
627. Mr. DeMisa, we got your x-rays back.
They're clear, so you are...
Copy !req
628. Mr. DeMisa?
Copy !req
629. Mr. DeMisa?
Copy !req
630. Takata, have you seen
our 400-pound patient?
Copy !req
631. - What?
- I'm missing five patient dinners.
Copy !req
632. Damn it!
Copy !req
633. - Over here.
- What is it?
Copy !req
634. Cake crumbs.
Looks like German chocolate.
Copy !req
635. Mr. DeMisa? Damn it!
Copy !req
636. He's unconscious.
Copy !req
637. He vomited. There's at least
a half a gallon here.
Copy !req
638. No bowel sounds, abdomen's rigid.
He really did it.
Copy !req
639. - He blew a staple?
- Yeah.
Copy !req
640. - Need a gurney!
- Prep an O.R., get an x-ray.
Copy !req
641. Get Romano's ass back here.
Copy !req
642. Mrs. Richards?
Copy !req
643. I'm sorry to bother you...
Copy !req
644. but an extraordinary
thing has happened.
Copy !req
645. A 16-year-old girl with the exact
same rare blood type as Steven's...
Copy !req
646. came into the ER in liver failure.
Copy !req
647. Now, I can't help but to think...
Copy !req
648. that if God meant
for Steven to die tonight...
Copy !req
649. at Christmas...
Copy !req
650. then it must be
so that this girl can live.
Copy !req
651. I'm sorry.
Copy !req
652. But I can't think about
another child's problems right now.
Copy !req
653. All I want is for my son
to die peacefully...
Copy !req
654. and to be buried whole.
Copy !req
655. Excuse me.
Copy !req
656. - Lots of free air under the diaphragm.
- Yeah, he's perfed his stomach.
Copy !req
657. - Romano?
- I paged him five times.
Copy !req
658. - Who's on call?
- Guthrie. Just started a Triple A.
Copy !req
659. BP's dropped to 80 palp.
We can't wait much longer.
Copy !req
660. He's got a fever.
Copy !req
661. Give him a gram of cefotaxime,
500 of Flagyl.
Copy !req
662. Hand me a scalpel.
Copy !req
663. - You're starting without an Attending?
- He's septic.
Copy !req
664. We keep him on the table, he'll die.
Copy !req
665. What the hell? Hey, Carol?
Copy !req
666. Hey, you see there's a priest
in there with that girl?
Copy !req
667. He'll pressure her
into having the kid.
Copy !req
668. - Maybe he'll counsel her too.
- How'd he find out?
Copy !req
669. She asked me to call her mom.
He came with her.
Copy !req
670. - I wish you'd told me about it.
- Why?
Copy !req
671. Because I would've tried
to keep him out.
Copy !req
672. Are those baked beans?
Copy !req
673. Yeah.
Copy !req
674. And French fries.
Copy !req
675. That's rank!
Copy !req
676. What's this?
Copy !req
677. Coleslaw.
Copy !req
678. Here's a good one.
Copy !req
679. What's that, mystery meat?
Copy !req
680. What the hell are you doing
operating on him?
Copy !req
681. Saving his life.
You jerk.
Copy !req
682. Get me a gown and gloves now!
Copy !req
683. Peter, get your hands
out of my patient!
Copy !req
684. - Give me a little suction here.
- Sucker's clogged.
Copy !req
685. Yeah. It's a cranberry.
Copy !req
686. Let's go, Shirley, gloves!
Copy !req
687. - Where the hell is she?
- Who?
Copy !req
688. Who do you think?
What'd you do, give her extra work?
Copy !req
689. What are you talking about?
Copy !req
690. Step away.
Copy !req
691. - Fine.
- Who gave you permission to start?
Copy !req
692. - He was going into septic shock.
- You are a Resident.
Copy !req
693. You don't take a piss
without permission.
Copy !req
694. Where the hell's Lizzie?
Off doing your scut?
Copy !req
695. She left an hour ago.
Copy !req
696. What'd you use to make this incision?
A chain saw?
Copy !req
697. He's been drinking.
Copy !req
698. - What?
- He's drunk.
Copy !req
699. Go. Call Anspaugh now.
Copy !req
700. Retract the bowel.
Copy !req
701. Retract the bowel, please.
Copy !req
702. Have you been drinking?
Copy !req
703. Are you questioning
my surgical fitness?
Copy !req
704. - How many drinks have you had?
- Go to hell.
Copy !req
705. I'm gonna ask you
to step back, please.
Copy !req
706. - Sponge.
- Dr. Romano!
Copy !req
707. - Touch me again, I'll deck you.
- Look, you're drunk!
Copy !req
708. All right, Shirley.
Get me some clean gloves and a gown.
Copy !req
709. Coming right up.
Copy !req
710. - Who ordered all this stuff?
- What is it?
Copy !req
711. Pizza, beer, brandy,
whole bunch of spices...
Copy !req
712. The provisions have arrived.
How much do I owe?
Copy !req
713. $212, plus a tip.
Copy !req
714. - What's going on?
- Christmas party.
Copy !req
715. - I didn't know there was one.
- There is now. My treat.
Copy !req
716. It's really crowded. Can we take
this stuff into the lounge?
Copy !req
717. Grouch.
Copy !req
718. Thanks, guys.
Copy !req
719. Remember to punch out
before boozing. Thanks.
Copy !req
720. - Why do we need brandy and spices?
- Hot toddies.
Copy !req
721. - Sultan of Jahore's favorite.
- If it's good enough for him...
Copy !req
722. Yeah, make mine a double.
Copy !req
723. - Jerry, where's my lab coat?
- It was here a minute ago.
Copy !req
724. Where did it go?
Copy !req
725. - I don't even want to hazard a guess.
- That's a wise choice, Jerry.
Copy !req
726. I admit it.
There's no such thing as miracles.
Copy !req
727. You don't really believe that.
Copy !req
728. I don't know what I believe.
Copy !req
729. I was so sure that I was right.
Copy !req
730. That I had the Big Kahuna on my side.
Copy !req
731. - That's pretty arrogant, huh?
- Very.
Copy !req
732. What's going on?
Copy !req
733. Apparently, Mrs. Richards bumped
into the Mikamis in the hallway...
Copy !req
734. and they got to talking.
Copy !req
735. She consented to the liver transplant.
Copy !req
736. Oh, my God!
Copy !req
737. Before you give Him all the credit
you should know something.
Copy !req
738. - What?
- I introduced them.
Copy !req
739. What do you know?
You're an instrument of God.
Copy !req
740. Oh, please.
Copy !req
741. Sorry.
Copy !req
742. How sorry?
Copy !req
743. Well...
Copy !req
744. Not sorry enough to go to Mass
tonight, if that's what you mean.
Copy !req
745. What I don't understand is...
Copy !req
746. how I can care so much for a
hot-tempered, pig-headed heathen.
Copy !req
747. I'd prefer "pagan."
Copy !req
748. Heathen.
Copy !req
749. I'm finishing up
my disciplinary report...
Copy !req
750. recommending you be terminated...
Copy !req
751. for operating without an Attending.
Copy !req
752. - You turn that in, I'll defend myself.
- Well, good luck, Peter.
Copy !req
753. I'll have to turn in these labs
showing your blood alcohol was.12.
Copy !req
754. You shouldn't have been driving,
let alone operating.
Copy !req
755. Don't bluff me, Peter.
You didn't draw my blood.
Copy !req
756. Not from there.
Copy !req
757. Mark, look here!
Copy !req
758. - Gotcha.
- These hot toddies are delicious.
Copy !req
759. - I want the recipe.
- No problem.
Copy !req
760. Hey, Jerry. Want to try one
of Dr. Lee's hot toddies?
Copy !req
761. Just give me a beer.
Copy !req
762. - Christian soul out of this world.
Copy !req
763. In the name of God the Father
who created you.
Copy !req
764. In the name of Jesus Christ
who redeemed you.
Copy !req
765. In the name of the Holy Spirit
who sanctifies you...
Copy !req
766. Merry Christmas, Amanda.
Copy !req