1. Previously on ER:
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2. That was a great save.
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3. Actually, I meant
being your full-time P.A.
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4. Great. I'd love that.
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5. This is more of a formality
than anything else.
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6. For you, but you're
my only intern.
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7. I admire your fortitude, taking
orders from a weasel like Dale.
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8. Your presentation was everything
we expected.
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9. This is ridiculous.
Everyone thinks you can.
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10. I'll talk to Dr. Carter.
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11. I can't start an IV.
I don't know how, never have.
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12. If you ever lie to me again,
look for another rotation.
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13. Watch yourself.
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14. Sorry.
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15. She's in active labor.
Water broke in the rig.
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16. Got to play catch.
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17. Jerry, scarfing a little
early dinner back there?
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18. What? Oh, no.
Good one, Chuny.
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19. - Baby, baby!
- Our mother-to-be?
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20. Good guess. First name's Coco.
No last name or address.
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21. - Collapsed in a crosswalk.
- Don't walk, don't talk.
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22. Vitals are stable.
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23. I can feel the head!
Mr. Potato Head!
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24. We took a peek, she's not crowning.
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25. Crown me. I'm the queen.
The prince is coming.
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26. - What's your due date, Coco?
- I don't like dates. Too sweet.
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27. Big one! Big pain!
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28. Ever delivered a baby?
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29. - No delivery.
- Let's go to Curtain Area 3.
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30. B.O.A. Kit, fetal monitor
and baby warmer.
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31. - Hey, Jerry? Page OB for me.
- You got it.
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32. Dude, the eagle has landed.
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33. Oh, Lydia. I guess you didn't
get my memo.
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34. The p.m. Shift is not wearing
costumes this year.
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35. It scares the patients.
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36. Things have been said about this set
of gams, but scary isn't one of them.
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37. It isn't very professional,
so if you wouldn't mind changing...
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38. I actually got some of these
little jack-o'-lantern pins...
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39. if you want to
signify the holiday.
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40. Fun.
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41. I'm glad my "no costume" memo made it
to some people.
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42. This is my costume.
I'm dressed as a total stiff.
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43. Oh. Well, I guess I can make
an exception.
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44. Four-year-old child with
puncture wounds.
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45. - He's not in Trauma?
- You wanted the children...
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46. Get me an intubation tray now.
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47. And I want four units of your blood.
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48. What? Come on, this is funny.
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49. You, of all people,
should be able to joke.
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50. I didn't think it was appropriate.
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51. Surgilube on every
phone in the ER, that's okay?
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52. I'm not in charge of the whole ER,
just the Pedes ER.
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53. The joke was on you, Doug,
not on the Pedes ER.
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54. But that seems to be one and the same.
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55. What's that supposed to mean?
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56. - The memo in my box this morning.
- Yeah?
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57. I thought it was your
Halloween prank.
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58. What's wrong with this? What?
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59. Doug. "All pediatric patients
must be seen by Dr. Ross...
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60. prior to discharge.
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61. Dr. Ross will conduct a daily review
on all pediatric patients."
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62. What's wrong with that?
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63. It means you sign off on
Kerry Weaver's charts?
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64. - Yeah, and Mark.
- Yeah. So you're psyched.
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65. It's time for a change.
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66. Like me.
I was a Transylvanian bat.
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67. All right. Enough.
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68. - Good luck.
- Carol, could you come in here?
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69. What's up?
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70. Coco here claims to be
9 months pregnant.
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71. Try for fetal heart tones.
I couldn't find them.
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72. Find them. Don't lose them.
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73. Look in the Lost and Found.
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74. Cervix isn't dilated.
No adnexal masses.
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75. - She sure looks pregnant.
- I'm having a baby.
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76. I appreciate a normal uterus and two
liters of urine in her bladder.
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77. Coco, we'll give you a bedpan.
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78. Can you try and relax
and relieve yourself?
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79. Shallow breath.
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80. Nature's way.
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81. - Want a Foley?
- Yeah.
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82. And a urine tox screen.
Call Psych while you're at it.
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83. I can't believe you're wearing that.
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84. It has got itchy.
But it's my first Halloween.
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85. You were here last year.
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86. I was stuck in the O.R.
So no trick-or-treating...
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87. apple-bobbing, hayrides.
- Hayrides?
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88. Isn't that how you celebrate
Halloween?
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89. Riding in a cart full of hay with
your sweetie, under the stars?
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90. Elizabeth, there are no hay carts
in Chicago.
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91. You know what I mean.
Celebrating the night.
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92. Celebrating what?
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93. Kids rotting their teeth,
getting stomachaches.
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94. People wearing stupid...
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95. I have a thing against costumes,
you know?
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96. There must have been someone
you wanted to be.
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97. I'm a doctor.
That's who I wanted to be.
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98. Yes, but as a child.
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99. You must have wanted to be a spaceman
or a footballer?
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100. Nope.
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101. You really are extraordinary, Peter.
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102. How about a knight in shining armor?
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103. - No.
- A cowboy?
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104. No. Listen, let's go to Dempsey's.
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105. They've got great food,
and what is that? Swing dancing.
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106. Elizabeth, there you are.
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107. My sigmoid volvulus is red-lined
and the labs aren't on the chart.
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108. I checked the computer.
All but the electrolytes.
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109. Checking isn't good enough. The lab
said the specimen was hemolyzed.
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110. I'll call Phlebotomy.
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111. Takes too long. Redraw yourself
and hand-carry it to the lab.
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112. Yes, sir.
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113. - Excuse me.
- You'll have to wait.
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114. - Yeah?
- I'm looking for Dr. Greene.
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115. Oh, damn! I needed to save that.
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116. So I can find Dr. Greene, where?
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117. You're gonna have to wait in Chairs.
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118. Okey-doke.
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119. Jerry, has the systems guy
taken a look at this yet?
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120. He looked, but he didn't touch.
The work order wasn't cosigned.
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121. Lily, what do you got there?
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122. This was sitting in the ambulance bay.
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123. Look. There's all kinds
of stuff in this bag too.
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124. Four-by-fours, Steri-Strips,
IV tubing.
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125. I'll take care of this.
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126. - Really? You sure?
- No worries.
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127. - Thanks.
- Sure.
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128. - Hey, Jerry.
- Hi.
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129. You can't blow it off?
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130. Don't get me wrong. I would love
to attend your shindig...
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131. but this is a Teamster party.
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132. Your eyes are aglow with
disability policies.
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133. It's rare that a policy
underwriter has an opportunity...
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134. with a roomful of drunken
manual laborers.
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135. Sounds better than chaperoning
a dorm party.
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136. Everybody knows the best part of
a bad party is sneaking out.
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137. Preferably not alone.
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138. So I might see you later?
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139. Or I'll make it up to you.
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140. Dr. Carter, hi. I got the elbow
films back on Mr...
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141. Lucy, can you give us
a second, please?
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142. Sure.
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143. What did you say?
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144. I got the elbow films back
on Mr. Cahan...
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145. and the CBC and chem panel
on Ms. Nicolara.
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146. Thanks. Looks good.
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147. I thought about you and realized
I left this in my car.
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148. For the party?
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149. No. You should start practicing
your IVs.
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150. I have been practicing.
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151. Then this should be old hat.
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152. Dr. Carter, good.
These suckers are heavy.
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153. - What are these?
- Tomorrow's conference:
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154. "The Acute Abdomen in the Elderly."
I pulled an ischemic bowel...
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155. you had a few months ago.
I was hoping you'd present.
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156. Never done that.
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157. It's great experience if you're
serious about being Chief Resident.
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158. - Oh, I'm serious.
- I look forward to your presentation.
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159. - Chief Resident. Pretty cool.
- Yeah, pretty cool.
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160. - Incoming.
- I got it!
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161. - What do we got?
- Joe Chattarowski, 40.
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162. Drank a quart of vodka. Called
911 when he was too drunk to walk.
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163. - I need help, doc.
- Exam 2.
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164. Drink every day, Mr. Chattarowski?
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165. Yeah. But I want to quit.
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166. Are you serious?
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167. I'm dead serious.
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168. - Not just looking for a place to sleep?
- On my mother's eyes.
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169. Can you admit me for detox, please?
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170. I think Miss Knight can help
you out with that.
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171. See if you can find him a detox bed.
Then practice on that arm.
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172. Let's transfer him. Ready?
One, two, three.
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173. Average daily census is 150.
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174. We see 275 a day at Bellevue.
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175. Impressive.
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176. We're the second largest emergency
department in the world.
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177. I'll show you the trauma rooms.
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178. Hey, Jerry?
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179. - Who's that?
- With Dr. Greene?
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180. That is Dr. Litvak from New York.
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181. Dan Litvak?
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182. Yeah. He's here
interviewing to be ER Chief.
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183. Oh, my God! Dan Litvak.
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184. He's national chair of the ACEP Panel
for Practice Guidelines.
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185. Lead article in last month's annals.
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186. That's good, right?
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187. Hey, buddy. I'm Dr. Ross.
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188. - What's your name?
- Jared.
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189. Pruritic rash from his makeup.
He's covered with hives.
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190. - Has he had hives before?
- No.
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191. All right, any swelling in your mouth?
Are you having trouble breathing?
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192. - My tongue feels big.
- Okay.
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193. BP's 90/60. Pulse 72.
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194. Let's give him.2 of sub-q epi,
Benadryl 25 IV.
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195. Is he going to be okay?
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196. He has a bad allergic reaction.
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197. We'll treat him with IV medication,
and watch him for a few hours.
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198. Can I still go trick-or-treating?
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199. I don't think so, sweetie.
We'll find some fun stuff to do.
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200. Fun stuff around here sucks.
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201. What did you do with my baby?
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202. What did you...?
Where is my baby?
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203. Should I ask?
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204. Twenty-two-hundred cc's out so far.
Belly's flat.
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205. I lost my baby.
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206. Haldol, five milligrams I.M.
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207. Mark, I'm looking for your charts
on last month's unscheduled returns.
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208. Yeah. I put them in your box.
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209. Kerry, this is Dr. Dan Litvak. This
is Dr. Kerry Weaver, Interim Chief.
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210. Nice to meet you.
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211. Where are you from, Dr. Litvak?
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212. New York. Bellevue.
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213. Just here to get a few tips?
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214. No, I just had my second interview
for the Chief position.
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215. Dr. Greene is being kind enough
to show me around.
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216. Second interview?
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217. They want to meet with Dr. Litvak
one more time before tonight's vote.
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218. I thought the vote wasn't
until next Wednesday.
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219. I have to hop a plane tonight.
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220. They thought it would be best
to know beforehand.
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221. That's great.
The sooner the better.
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222. I guess I'll just check my mailbox.
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223. That's the competition, huh?
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224. Did you get that detox bed?
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225. No one called me back yet.
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226. Got a flash...
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227. and I am in.
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228. Yes, you are.
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229. I'm ready for the real thing.
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230. Let's find out. I'll talk you
through Mr. Chattarowski.
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231. Okay.
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232. Make sure we don't repeat our
last IV fiasco.
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233. Definitely won't happen again.
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234. - It was my fault as much as yours.
- I wouldn't say that.
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235. I should've supervised you
and not let you get to that place.
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236. From now on, we'll just take it
one step at a time.
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237. Carter, your drunk eloped.
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238. - Chattarowski?
- Does that mean he left?
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239. - Yep.
- Does anyone else need an IV?
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240. I've got it.
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241. You wanted to be a superhero.
Tights, cape.
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242. Yeah, wrong.
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243. There was someone, wasn't there?
Hey, look who's here.
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244. Bye-bye, cutie-pie.
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245. Hey, little bee.
Gosh, he's getting so big.
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246. I know. Eating me out
of house and home.
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247. - I didn't expect you.
- Just left Walt and Jackie's.
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248. The annual blowout?
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249. I told Walt he should
just put on one of his...
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250. super-duper fly outfits
he wore in the '70s.
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251. That brother thinks polyester's
gonna make a comeback.
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252. Speaking of costumes,
do you have any film left?
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253. Yes. We should have one
with his daddy.
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254. - Absolutely.
- Would you do it?
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255. Sure.
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256. Okay, ready?
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257. Feeling any better?
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258. All right, I guess.
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259. What did you...?
What did you give me?
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260. Haldol, to calm you down.
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261. I can't take that.
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262. It's not good for my baby.
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263. Coco, you don't have a baby.
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264. But I will, really.
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265. I'm in my first trimester.
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266. Coco, you're not pregnant.
You were just retaining urine.
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267. Carol.
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268. You did a pregnancy test,
didn't you?
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269. I'm starting to wish I had.
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270. I'm schizophrenic...
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271. and I had been taking respiradone.
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272. But when I found out I was pregnant,
I went off the medication...
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273. so that the baby would be okay.
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274. What will the Haldol do to the baby?
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275. If in fact you are pregnant...
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276. there are reports
of limb malformation.
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277. Oh, my God!
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278. I'm so sorry, baby.
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279. Aorta's clamped, pericardium's dry.
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280. It looks like the heart is still
empty. Get two more units.
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281. Chest tube's gushing.
It's over two liters.
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282. Could be a hilar injury.
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283. Let's set up for a right-sided
thoracotomy. Move!
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284. Ten blade. We'll do a clamshell.
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285. Call the blood bank for O-neg,
and type-specific.
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286. Rib-spreader. Peter, cut across
the sternum.
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287. - I need a Lebsche knife.
- A what?
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288. A Lebsche and a mallet. Move!
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289. Look. Top drawer by the sink.
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290. What you really need is a sternal saw.
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291. A sternal saw is a tool for the O.R.,
not the ER. You know that.
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292. Chest is full of blood.
Vascular clamp, more suction.
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293. All right.
Can you locate the source?
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294. Move your hand. Four units in.
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295. Come on, Peter. He's losing it
faster than we can put it in.
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296. - Damn!
- Type-specific's here.
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297. - Hang it on rapid infuser.
- I'm almost there.
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298. Looks like right atrium.
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299. Vicryl now! Move!
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300. There were faster ways to do that.
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301. I am pregnant.
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302. The test confirmed it.
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303. We don't know if the Haldol
affected the fetus.
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304. We'll monitor the pregnancy
with ultrasound.
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305. Maybe I shouldn't have a baby.
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306. Because of the Haldol?
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307. I didn't even tell my mom, you know?
It was like...
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308. she was so proud that I was
in a halfway house.
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309. I thought it would be okay.
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310. I thought I could go off my meds,
but I can't, can I?
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311. You'll probably have more incidents
like this one.
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312. I shouldn't go through with this.
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313. You've been through a lot
in a short amount of time.
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314. Maybe you should just wait.
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315. I shouldn't do this.
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316. I shouldn't do this.
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317. Think she'll terminate her pregnancy?
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318. That's the impression I got.
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319. Probably be the best for her,
and for you.
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320. Yeah, it gets me off the hook.
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321. Do you want to have a drink later?
Decompress?
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322. I would, but Jen's back in town, and
we have to have one of our "talks."
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323. It's not your day, Mark.
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324. You can go now, Lucy.
We're caught up around here.
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325. What about the Pedes ER?
It's standing room only.
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326. Doug Ross is in the groove, huh?
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327. No, you'd probably just slow him down.
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328. Great. It gives me more
time to prepare for the party.
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329. I'm sorry. I didn't mean to
upset the officer.
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330. Found him back with a bottle
of Night Train at Lucky's.
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331. You need a revolving door here.
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332. Well, well, well. Long time no see,
Mr. Chattarowski.
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333. So you know this guy?
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334. Yeah, had him in earlier.
Came in to get detoxed...
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335. then left before we were finished.
- Next time I'll call the cops.
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336. We can take it from here.
You're off anyway.
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337. - Thanks.
- Curtain Area 2.
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338. Mr. Chattarowski, I'm Dr. Greene.
This is Nurse Hathaway.
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339. We'd like to welcome you back.
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340. I know I screwed up, doc.
I'm a screwup by nature.
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341. I want to make a clean start.
I really do.
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342. You won't make a very clean start
with booze in your hand.
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343. That was my last drink.
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344. I'm not gonna poison myself no more.
I promise.
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345. Other than bloodshot, the eyes look
okay. Lean forward.
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346. I'm gonna get clean and sober, doc.
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347. You gotta be quiet
so I can hear your lungs.
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348. BP's 130 palp.
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349. Mr. Chattarowski, I'm gonna try
and get you a detox bed.
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350. But promise me you'll stay.
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351. I promise. I really do.
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352. I'm gonna get clean and sober.
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353. If you could just scoot over
to this bed for me.
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354. You think he'll stay?
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355. I was a cynic with Miss Coco
and we saw how that worked out.
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356. So karmically,
I have to believe this guy.
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357. Okay, Dr. Karma. But I'm gonna
lock up his clothes...
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358. so it's harder for him
to escape this time.
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359. Good idea.
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360. Amanda, you have to stay still.
It'll only hurt for a second.
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361. No, Daddy!
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362. - I'll give you some stickers.
- I don't want stickers, Daddy!
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363. - Is this really necessary?
- Unfortunately, it is.
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364. We have to take blood
to do the test.
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365. I want to go home.
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366. - Everything all right?
- Yes, fine.
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367. My little girl's afraid of needles.
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368. Is there a way to test her
without all this?
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369. Yes, there is.
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370. - What have we got?
- Barbie Kligman, 11 -year-old, MVA.
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371. Back-seat passenger with a lap belt.
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372. complains of abdominal pain.
BP 105/70. Pulse 95.
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373. Let's get a CBC, Chem-20,
type and hold and dip a urine.
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374. Barbie, does your neck hurt?
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375. No. Just my stomach.
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376. Pulse ox is 98 on room air.
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377. - Chest is clear.
- Okay.
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378. Dale okay with this?
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379. Shouldn't be a problem.
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380. Pupils are 5 mm and react to light.
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381. Will she be okay?
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382. We're taking care of her.
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383. - Pretty good seat-belt contusion.
- Yeah.
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384. - Bowel sounds are absent.
- Hemoglobin's 14.1.
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385. - Listen, does this hurt?
- Ow!
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386. - What?
- She has a bruise...
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387. that's often associated
with small bowel injuries.
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388. We'll do a CAT scan of the belly, but
she may need exploratory surgery.
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389. - Oh, my God.
- You'll be okay, Barbie.
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390. Mommy and Daddy are here
for you, okay?
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391. That's all it takes?
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392. The machine delivers lidocaine to the
skin by iontophoresis. No needles.
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393. Dr. Weaver, we meet again.
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394. I thought you had a plane to catch.
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395. Flight delay. Hanging out here beats
watered-down airport cocktails.
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396. Can I play fly on the wall?
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397. Dr. Ross' Pedes room.
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398. Sure. Hang out.
Here we go, sweetheart.
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399. How are you, Amanda?
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400. - Okay.
- You're okay?
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401. Now this pad puts your
skin to sleep.
Copy !req
402. You're not gonna feel anything.
Copy !req
403. Now, close your eyes, sweetheart.
Copy !req
404. You feel anything?
Copy !req
405. - No.
- Okay.
Copy !req
406. That's amazing.
Copy !req
407. We tried numbing it with cream but it
takes an hour. This is great.
Copy !req
408. It really is.
What's it called again?
Copy !req
409. Numby.
Copy !req
410. We did the phase-three clinical
trials at Bellevue.
Copy !req
411. We've been using it
for over a year now.
Copy !req
412. Hey, Dr. Carter.
Copy !req
413. Nice costume.
Copy !req
414. I feel kind of lame.
Nobody dressed up.
Copy !req
415. Well, it's early yet.
People may still show.
Copy !req
416. The flier said 8.
Copy !req
417. Remember, these are med students.
They're busy.
Copy !req
418. Want me to get you some punch?
Copy !req
419. Oh, later.
Copy !req
420. I gotta pull articles at the library
for this conference tomorrow.
Copy !req
421. Think this party can chaperone itself?
Copy !req
422. - I'll look after things for you.
- Why don't you do that?
Copy !req
423. - How old is this girl?
- 11.
Copy !req
424. - What's the glitter on her face?
- She's a princess.
Copy !req
425. - Dale, get a clamp on that.
- Babcock, please.
Copy !req
426. There's a little bleeding around
the duodenum.
Copy !req
427. Let's cauterize and explore
the retroperitoneum.
Copy !req
428. Bovie.
Copy !req
429. - What are you doing for Halloween?
- Nothing special.
Copy !req
430. I know a motel on Route 22.
Jungle-theme rooms.
Copy !req
431. - Metz.
- Ask for room 14. Hanging vines.
Copy !req
432. You Tarzan, she Jane.
Know what I mean?
Copy !req
433. I think we'll just stay in town.
Copy !req
434. - The pancreas looks good.
- No renal injuries here.
Copy !req
435. Hold on. There's infrarenal mass.
Copy !req
436. Looks like a lumbar node.
Copy !req
437. Doesn't feel right. Too rubbery.
Copy !req
438. There's one on this side too.
Could be lymphoma.
Copy !req
439. All right, let's send for a biopsy.
Number 15.
Copy !req
440. Everything okay on the wards?
Copy !req
441. - Yes. May I scrub in?
- We could use your help.
Copy !req
442. Wonderful.
Copy !req
443. We just biopsied an abnormal
lymph node on Barbie.
Copy !req
444. Why don't you take this specimen to
Pathology and wait on the results.
Copy !req
445. Signed in three more kids.
We're stacked.
Copy !req
446. - We're getting to them.
- We need the main ER for the overflow.
Copy !req
447. I have to see these kids.
You saw Kerry.
Copy !req
448. It's a busy night, Doug. You
can't see them all by yourself.
Copy !req
449. Send the overflow to the main ER,
but send me the kids' charts.
Copy !req
450. Of course.
Copy !req
451. The sickest ones, send them to me.
Copy !req
452. I wouldn't do it any other way.
Copy !req
453. What are you doing back so early?
Copy !req
454. Me and Ariel are sick of trick-or-
treating and Mom's running late.
Copy !req
455. - What are you watching?
- Family Love Triangles.
Copy !req
456. - Educational TV, huh?
- Yeah.
Copy !req
457. Mom says when we move to St. Louis...
Copy !req
458. she's only gonna let me watch
an hour of television a day.
Copy !req
459. When you move to St. Louis?
Copy !req
460. You didn't know?
Copy !req
461. I think that's why Mom wanted
to see you.
Copy !req
462. So it's a done deal then?
Copy !req
463. My room will be twice as big.
Copy !req
464. And there's a park across the street
for the dogs.
Copy !req
465. - Sounds nice.
- It's really pretty there.
Copy !req
466. Please don't tell her I told you, okay?
Copy !req
467. Hey, my lips are sealed.
Copy !req
468. Repair transversely with running
Vicryl 3-0.
Copy !req
469. Gentlemen, I have the results
of your biopsy.
Copy !req
470. Guess what we saw under
the microscope.
Copy !req
471. - Gotta be Hodgkin's.
- No.
Copy !req
472. - Metastatic adeno?
- Wrong again.
Copy !req
473. Seminiferous tubules.
Copy !req
474. - What?
- You're kidding?
Copy !req
475. You biopsied two testicles.
It seems that Barbie is a boy.
Copy !req
476. Who knew there were so many texts
on the bowel?
Copy !req
477. This is just what I could
get my hands on.
Copy !req
478. I suppose with all this
intense interest...
Copy !req
479. that means our bowels are in good
hands for many years to come, right?
Copy !req
480. That's a nice thought.
Copy !req
481. Hey, sounds like
the party's up and running.
Copy !req
482. Yeah!
Copy !req
483. Dr. Carter, the party picked up.
The beers are right there.
Copy !req
484. Nice aim, dude. You almost put out
the fire with that one.
Copy !req
485. Hey, Dr. Carter.
Copy !req
486. Thanks, dude.
Copy !req
487. Okay, kids, that's it. Party's over.
Copy !req
488. You can't stay here.
Copy !req
489. What's up? Were we too loud?
Copy !req
490. - No, the furniture was too on fire.
- Oh, really? I'm sorry.
Copy !req
491. I'll be in my room studying.
Copy !req
492. Happy Halloween!
Copy !req
493. She did it to me again.
Copy !req
494. She's in escrow and I heard
about it from Rachel.
Copy !req
495. Maybe she was gonna tell you tonight?
Copy !req
496. Maybe.
Copy !req
497. Or maybe she was just going to send
me a postcard from St. Louis.
Copy !req
498. You really had a good time
with Rachel?
Copy !req
499. Yeah. Yeah, I did.
Copy !req
500. How's Chattarowski's detox search?
Copy !req
501. They're all out of beds on Four East...
Copy !req
502. but I stood my ground and insisted
that he was a good detox candidate.
Copy !req
503. They finally gave him
a place on Four West.
Copy !req
504. You must owe them some favors.
Copy !req
505. A couple. But it was worth it.
Copy !req
506. Well, you tried, you know?
Copy !req
507. When we explored
the retroperitoneum...
Copy !req
508. we discovered two small masses.
Copy !req
509. Masses? What kind of masses?
Copy !req
510. We were concerned, so we sent down
a frozen section of the biopsy...
Copy !req
511. that revealed testicular tissue.
Copy !req
512. What does that mean?
Copy !req
513. Barbie has a condition called
testicular feminization.
Copy !req
514. Genetically, she's a male
with XY chromosomes.
Copy !req
515. During development, the fetal tissue
was resistant to testosterone...
Copy !req
516. and the external genitalia
developed as female.
Copy !req
517. There's gotta be a mistake.
Copy !req
518. No mistake. The vagina's nothing
but a blind pouch.
Copy !req
519. No uterus or ovaries.
Copy !req
520. She'll need to be on estrogen
replacement therapy.
Copy !req
521. My little girl has testicles?
Copy !req
522. We removed them because of the high
incidence of malignant transformation.
Copy !req
523. I don't understand.
Copy !req
524. I changed her diapers.
I know every inch of her.
Copy !req
525. She's a boy?
Copy !req
526. The genetics don't matter.
You've raised Barbie as a girl.
Copy !req
527. It's what she looks like. It's her
identity. Nothing will change that.
Copy !req
528. But you have to understand that she'll
never menstruate or bear children.
Copy !req
529. Obviously this has come as a shock.
Copy !req
530. You'll need time to adjust.
Copy !req
531. Barbie's recovering.
Copy !req
532. We'll refer you to
a genetic counselor.
Copy !req
533. They'll help you decide when
and how to tell her.
Copy !req
534. Thank you, doctor.
Copy !req
535. Nice job.
Copy !req
536. Thank you.
Copy !req
537. You forgot to mention they'll have to
change Barbie's name to Ken.
Copy !req
538. After the day I've had,
just line them up.
Copy !req
539. Word. That's how you gotta do it.
Work hard, play hard.
Copy !req
540. I deserve to play hard.
Copy !req
541. I had to check all the stool samples
for fecal leukocytes, dude.
Copy !req
542. You think that's bad?
Copy !req
543. My Resident had me give physical exams
to these homeless shelter guys.
Copy !req
544. One had maggots crawling
all over an abscess.
Copy !req
545. At least your Residents
acknowledge you.
Copy !req
546. Mine don't even know I'm here.
Copy !req
547. I get more respect from
this rubber arm.
Copy !req
548. We might have saved
this guy with the saw.
Copy !req
549. We could've cut
the sternum in two seconds...
Copy !req
550. instead of chiseling for a minute.
Copy !req
551. The guy was dead. A few
seconds wouldn't have saved him.
Copy !req
552. It would've given him a chance.
Copy !req
553. We are not going to waste
time training ER docs...
Copy !req
554. on equipment
they'll use once a year.
Copy !req
555. If we had the saw, we could give
midline thoracotomies...
Copy !req
556. for all penetrating chest traumas.
Copy !req
557. That's not the standard of care.
Copy !req
558. The standard of care
gives miserable results.
Copy !req
559. If they arrest in the ambulance,
10% survive.
Copy !req
560. If they arrest in the ER,
30% survive.
Copy !req
561. Midline thoracotomy gives us better
exposure to repair cardiac injuries.
Copy !req
562. If you're so damned interested
in this, do a study.
Copy !req
563. - I will.
- Good.
Copy !req
564. I know the guy from
Surgery to help you. Peter?
Copy !req
565. Kerry and I were discussing
a study between ER and Surgery.
Copy !req
566. - A study?
- Midline thoracotomy for chest trauma.
Copy !req
567. Is this because of today?
Copy !req
568. Draw up a proposal with a budget
and give it to me in two weeks.
Copy !req
569. - I will.
- Good. Okay.
Copy !req
570. I don't think ER docs should
play with a sternal saw.
Copy !req
571. - Neither do I.
- Then why support her?
Copy !req
572. I'm not. She'll spin her
wheels, write a proposal...
Copy !req
573. and it won't pass the Human
Subjects Committee in a million years.
Copy !req
574. - M&M?
- Oh, no, no.
Copy !req
575. Listen, I made reservations at
Dempsey's for 10.
Copy !req
576. Peter, I don't know.
I'm pretty swamped.
Copy !req
577. What? It's Halloween.
Copy !req
578. Yeah, but Dempsey's isn't really
Halloween-y. No, it'll keep.
Copy !req
579. Walt, what's up, man? It's me.
Copy !req
580. Listen, I need to ask you a favor.
Copy !req
581. See this one? That's the bull rider.
Copy !req
582. Oh, right. The cute cowboy.
Copy !req
583. Dad!
Copy !req
584. Rach, did I hear your order right?
You hate rhubarb and walnuts.
Copy !req
585. I like it now. Dad makes good pie.
Copy !req
586. - He always did.
- Jen, you trying to butter me up?
Copy !req
587. No. I just remember your mom's
famous rhubarb pie recipe.
Copy !req
588. Sorry you're working with a cold.
Are you holding up?
Copy !req
589. Yeah, it's just my sinuses.
Copy !req
590. Why don't you go wash your hands?
Copy !req
591. Okay.
Copy !req
592. St. Louis, huh?
Copy !req
593. - She told you?
- Slipped out.
Copy !req
594. It's a great job, Mark.
The schools are top-rate and...
Copy !req
595. It sounds good.
Copy !req
596. I was ready for a fight.
Copy !req
597. I think we've done enough fighting
for a lifetime, don't you?
Copy !req
598. Yeah.
Copy !req
599. In a perfect world...
Copy !req
600. we could both spend 365 days
a year with her. But we can't.
Copy !req
601. - St. Louis isn't very far.
- No.
Copy !req
602. And I'll have holidays and summers.
Copy !req
603. Spending time with her this summer
has made me think about how...
Copy !req
604. we've spent way too much time
thinking about ourselves.
Copy !req
605. She told me you guys got along
really well.
Copy !req
606. Yeah.
Copy !req
607. Yeah, it was...
Copy !req
608. It was a lot of fun.
Copy !req
609. Thank you.
Copy !req
610. Is it still Halloween?
Copy !req
611. Yes. You have a few more hours left.
Copy !req
612. I guess I won't be able to go
trick-or-treating.
Copy !req
613. Not this year. I'm sorry.
Copy !req
614. Some day, huh?
Copy !req
615. That's okay.
Copy !req
616. The best part was making
the costume anyway.
Copy !req
617. Me and my mom made it together.
Copy !req
618. Do you still have my tiara?
Copy !req
619. Yes.
Copy !req
620. Yes, right here.
Copy !req
621. Wait. Let me do that.
Copy !req
622. There.
Copy !req
623. How do I look?
Copy !req
624. Like a beautiful fairy princess.
Copy !req
625. No!
Copy !req
626. Drink up, Bernie.
Copy !req
627. Some people cannot hold their liquor!
Copy !req
628. We should mess with his mind.
Copy !req
629. You mean the hand in the warm
water trick?
Copy !req
630. Not on the couch, Lucy. Come on.
Copy !req
631. I got it. I got it.
Copy !req
632. Come on, stop it.
Copy !req
633. Do you think he's okay?
Copy !req
634. Yeah. He's just a lightweight,
that's all.
Copy !req
635. He has a strong pulse
and he's still breathing.
Copy !req
636. You've been in the ER way too long.
Copy !req
637. Let's get this party started right!
Copy !req
638. Willie? Willie?
Copy !req
639. Shaving his head?
Copy !req
640. That would be cruel and unusual.
Copy !req
641. This is mean. This is mean!
Copy !req
642. You ain't seen nothing yet.
Copy !req
643. Even drunk, that should still work.
Copy !req
644. No. Stop, stop. Wait, wait.
Willie?
Copy !req
645. - Willie?
- Willie, wake up!
Copy !req
646. Someone needs to call 911,
and go get Carter.
Copy !req
647. Get real. If we call Carter,
he'll narc.
Copy !req
648. Willie's in trouble.
We need to do something.
Copy !req
649. Bernie's right. We can handle this.
Copy !req
650. This is not class, this is our friend.
Copy !req
651. You guys call 911.
I'm gonna go get Carter.
Copy !req
652. Dr. Carter?
Copy !req
653. Wake up, Dr. Carter!
Copy !req
654. Wake up!
Copy !req
655. Okay, everybody back off.
Give him some air.
Copy !req
656. - Anybody call 911?
- I did, Dr. Carter.
Copy !req
657. Come on, Willie, wake up.
Wake up!
Copy !req
658. A weak pulse,
but he's not breathing.
Copy !req
659. Oh, man.
Copy !req
660. Gross!
Copy !req
661. Can I do anything? What can I do?
Copy !req
662. He vomited. That's good, right?
Copy !req
663. No, that's bad.
Copy !req
664. If he vomits and it gets in his lungs,
he'll die of aspiration pneumonia.
Copy !req
665. His parents live in Downers Grove.
Give them a call.
Copy !req
666. We're up here! Second floor!
Copy !req
667. "X"? What's that?
Copy !req
668. - It's liquid Ecstasy.
- What is that?
Copy !req
669. It's a narcotic.
Anybody else take it?
Copy !req
670. I didn't know Willie took it.
Copy !req
671. - Branch took some earlier.
- I can't leave Willie.
Copy !req
672. I'll go.
Copy !req
673. It was clean. They showed the replay
a million times.
Copy !req
674. - It was a joke how offsides they were!
- Dreamer. Pay up.
Copy !req
675. - That was Lucky Liquor.
- A vagrant's best friend?
Copy !req
676. They have a guy in a county
patient gown trying to buy beer.
Copy !req
677. Whatever happened to
"No shirt, no shoes, no service"?
Copy !req
678. They'll stall him until someone
comes for him...
Copy !req
679. but they won't hang on all day.
Copy !req
680. Tell you what... Hey, Grabarsky.
Copy !req
681. You go and pick this guy up
and we're even.
Copy !req
682. - How's that?
- This drunk a friend?
Copy !req
683. No, but he owes me more than you.
Copy !req
684. Consider him admitted.
Copy !req
685. - Where is he?
- He went to take a shower.
Copy !req
686. - How's Willie?
- Paramedics intubated him.
Copy !req
687. Liquid Ecstasy. You'd think
med students would know better.
Copy !req
688. Yeah, you would.
Copy !req
689. Branch! Branch!
Copy !req
690. Branch, wake up!
Let's get him out of here.
Copy !req
691. - He's not moving air.
- No pulse.
Copy !req
692. - Damn it!
- I'll start chest compressions.
Copy !req
693. Where's the syringe?
Copy !req
694. - Find the paramedics. I'll do CPR.
- Okay.
Copy !req
695. Mr. Lubin just spiked to 101.4.
Go ahead and draw a fever workup.
Copy !req
696. Draw Setzer for a pre and post
gentamicin level with the 11:00 dose.
Copy !req
697. - How's it going?
- We're rather busy.
Copy !req
698. But I've got a great little
intern helping me out.
Copy !req
699. Dale, listen. It's 10:30
and you're not even on.
Copy !req
700. So sign out the scut. That's what
the on-call team is for.
Copy !req
701. Unless you have a problem with that?
Copy !req
702. That's fine.
Copy !req
703. You ready?
Copy !req
704. Give me 10 minutes to get back
into my costume.
Copy !req
705. - You're really gonna wear it?
- Of course.
Copy !req
706. Okay. When you're ready,
I'll be out front.
Copy !req
707. Tell me you wanted
to be an airline pilot.
Copy !req
708. I don't even like taking
the puddle-jumper to Cleveland.
Copy !req
709. Hurry up.
Copy !req
710. This is police harassment!
Remember Rodney King!
Copy !req
711. Dr. G, here's your man.
Put up quite a fight.
Copy !req
712. Said it's Halloween and he's
just playing dress up.
Copy !req
713. I am!
Copy !req
714. Grabarsky, it's the wrong guy.
Copy !req
715. Lucky Liquor. Big guy
in a hospital gown.
Copy !req
716. He kind of looks like...
Copy !req
717. Jerry!
Copy !req
718. Lloyd.
Copy !req
719. - What are you doing here?
- Who's Lloyd?
Copy !req
720. I'm that knucklehead's cousin.
Copy !req
721. Who knew they'd hit the genetic
Powerball twice?
Copy !req
722. Jerry?
Copy !req
723. See, he needed a costume...
Copy !req
724. and there's a contest at
the Elks Lodge...
Copy !req
725. I won "Honorable Mention," cuz.
Copy !req
726. Congratulations.
Copy !req
727. Need anything else, Doug?
Copy !req
728. Other than a 48-hour day?
Copy !req
729. I'm leaving.
See you bright and early.
Copy !req
730. - Bright and early.
- Yep.
Copy !req
731. - Doug, you did a nice job today.
- Not bad for a rookie Attending.
Copy !req
732. Let's see how you do with these.
Copy !req
733. What's that?
Copy !req
734. Overflow charts for the pediatric
patients in the main ER.
Copy !req
735. According to policy,
you need to sign off on them.
Copy !req
736. You're loving this, aren't you?
Copy !req
737. This Pedes ER isn't such a bad
idea after all.
Copy !req
738. Happy Halloween, rookie.
Copy !req
739. Branch Crockett and Willie Goldman,
ages 22 and 23.
Copy !req
740. Mixed overdose of alcohol and GHB.
Copy !req
741. Willie's intubated from
a respiratory arrest.
Copy !req
742. Branch came back with epi
after a full arrest.
Copy !req
743. A little late-night club-hopping?
Copy !req
744. No, med school Halloween party.
Copy !req
745. All right, everybody. On my count:
Copy !req
746. One, two, three.
Copy !req
747. CBC, ABG, lytes, blood alcohol...
Copy !req
748. tox screen and a 12-lead.
Call Respiratory for a vent.
Copy !req
749. Someone call his parents.
Copy !req
750. - Lucy can do that.
- No, I'll help.
Copy !req
751. You're drunk.
You don't belong in here.
Copy !req
752. Now, get out.
Copy !req
753. Peter, have you gone
completely balmy?
Copy !req
754. Just getting funky.
Copy !req
755. Hey, meet my nephew, Peanut.
Copy !req
756. - Nice to meet you.
- Hello.
Copy !req
757. It's a hayride?
Copy !req
758. - It's a hayride.
- So where to, Uncle Pete?
Copy !req
759. Michigan Ave. Pop that 8-track in.
Copy !req
760. Solid.
Copy !req
761. You don't get it?
Copy !req
762. You never figured out
who I wanted to be as a kid.
Copy !req
763. Oh, my God!
Copy !req
764. Shaft!
Copy !req
765. John Shaft.
Copy !req
766. Hey, Dr. Weaver. Off to enjoy
All Hallows Eve?
Copy !req
767. Actually, I am. I just wanted
to give you this bill.
Copy !req
768. $289?
Copy !req
769. You're lucky the wheelchair wasn't
damaged. It could've been worse.
Copy !req
770. I don't have 300 bucks.
Copy !req
771. I've arranged to take it
out of your paycheck.
Copy !req
772. $28.90 a week for the next 10 weeks.
Copy !req
773. That'll run right into the holidays.
Copy !req
774. Kerry, got a second?
Copy !req
775. Yeah. What's going on?
Copy !req
776. I wanted to give you a heads-up
on the committee vote.
Copy !req
777. That won't be announced
until tomorrow.
Copy !req
778. Well, they've tallied it already,
and they voted for Litvak.
Copy !req
779. They're gonna have to widen the office
door for his swollen head.
Copy !req
780. Yeah, he's kind of an ass, isn't he?
Copy !req
781. Well, if it means anything,
I voted for you.
Copy !req
782. Thanks, Mark.
Copy !req
783. Which paycheck does this
become effective?
Copy !req
784. You know what?
Copy !req
785. It doesn't.
Copy !req
786. - Are you serious?
- I'm dead serious.
Copy !req
787. Give your cousin a wheelchair, give
your maiden aunt a rapid infuser.
Copy !req
788. I don't give a damn.
Copy !req
789. You're getting obsessive.
Copy !req
790. Did I hand you angiocaths?
Copy !req
791. - Yeah. A gross.
- What's a gross?
Copy !req
792. One-forty-four, and you did.
Are you listening?
Copy !req
793. Yes, I am. All work and no play
makes Doug a dull boy.
Copy !req
794. Look at this. I ordered three
cases of Pedialyte, not Pediazole.
Copy !req
795. Doug, you all right?
Copy !req
796. Oh, my God! Hold it!
Copy !req
797. Put pressure on it!
Copy !req
798. You bastard.
Copy !req
799. You can dish it out,
you can't take it.
Copy !req
800. - Payback is a bitch, isn't it?
- You suck.
Copy !req
801. Good evening.
I want to suck your blood.
Copy !req
802. No, I'm not kissing back.
Copy !req
803. Hey, Dr. Carter.
Copy !req
804. Lucy.
Copy !req
805. How are they?
Copy !req
806. They'll be fine.
Copy !req
807. I don't know what happened.
Copy !req
808. One second we were hanging out, then...
Copy !req
809. What happened was two of your
classmates almost died.
Copy !req
810. I didn't know they were doing GHB.
Copy !req
811. You were in charge of the party.
Copy !req
812. I broke it up when things got out of
hand. You continued to party.
Copy !req
813. Two guys rolled out of here
on gurneys.
Copy !req
814. Did I miss anything?
Copy !req
815. The part about me not being able
to police everyone.
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816. And about you being the Resident
Adviser and the one in charge.
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817. You're right, Lucy. I'm in charge.
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818. It was stupid of me to think you were
mature enough to take responsibility.
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819. I never knew you didn't have rhythm.
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820. You're messing up the greatest song.
Here we go.
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821. - What is that?
- It's my tambourine!
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822. That's a tambourine?
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823. Come on, come on, come on.
Get some rhythm in here.
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