1. Previously on ER:
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2. Students don't know anything.
It's your job to teach them.
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3. Are you against this girl?
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4. - You think I should talk to Carter?
- You don't want to be confrontational.
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5. You don't even hear me.
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6. Talk to me, not each other.
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7. One good thing about Lucy:
she's not here.
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8. Whatever this is, I can't fix it.
Work it out, both of you.
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9. Hook her up to the pulse ox.
Hang 500 of saline.
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10. BP's 120 over 30.
Pulse 80.
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11. - The second crit?
- Coming.
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12. - Daddy, it hurts.
- I know, honey, I know.
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13. They'll help.
It's gonna be all right.
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14. Can't you give her something?
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15. Carol, titrate another
two of morphine.
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16. - Dr. Greene?
- He's on his way.
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17. - Page Benton, it's a splenic injury.
- That bad?
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18. - Daddy, you're bleeding.
- Lucy, I thought you sutured him.
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19. - He wanted to go to CT with her.
- Crit's 24 after 600 cc's.
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20. - What was the last one?
- 33.
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21. Mr. Sawyer, we should suture that.
Come with me.
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22. - What's wrong with her?
- She is bleeding from her spleen.
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23. - My God!
- Splenic injuries this size...
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24. usually heal in children.
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25. - What do you do?
- If she's stable, transfer some blood.
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26. So let Ms. Knight suture that cut
and I'll—
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27. I want to be with her!
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28. First take care of the gash.
I want her clean.
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29. Corinna, I'm gonna be
right next door, okay?
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30. - 4-0 nylon, Lucy.
- I know.
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31. - I love you, sweetie.
- I love you.
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32. - Lucy, can you get consent?
- Yeah.
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33. Right through here.
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34. I never saw it. The van came
out of nowhere and just hit us.
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35. - You need to sign this. Sit down.
- Well, what is it?
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36. It authorizes blood transfusion
and emergency surgery.
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37. - I thought she didn't need surgery.
- It's just in case.
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38. How long? How long
will she have to stay?
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39. It's hard to tell.
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40. - Do you have insurance?
- What?
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41. Uh, yeah. But I left it
in my wallet...
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42. in the glove compartment.
I'm not sure I can get it.
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43. We can call. Which insurance
company is it?
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44. Blue Cross.
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45. Listen, can you do me a favor
and call her mother in CIeveland?
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46. - She should know about this.
- Want to use the phone?
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47. No. It's best that you
make the call. Please.
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48. A multivictim MVA, father/daughter.
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49. Daughter's CT shows
a grade-2 splenic Iac.
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50. Stable, but her crit dropped nine.
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51. - How's the father?
- A minor scalp Iac.
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52. Crit of 42. Awake, alert, oriented.
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53. - What's her name?
- Corinna.
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54. Can you take a breath for me?
Good.
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55. Hi, Corinna, I'm Dr. Greene.
How are you feeling?
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56. - My back hurts.
- Your back, not your tummy?
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57. - Where's my daddy?
- Right next door, sweetie.
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58. She has rigors. Warm to the touch.
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59. Probable febrile reaction
to the transfusion.
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60. - How many units are in?
- It's her first.
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61. I need saline.
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62. Rectal Tylenol, 500 mgs.
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63. Twenty-five IV, Benadryl.
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64. - BP's down to 60 palp.
- Corinna?
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65. - Blood's been cross-matched?
- No, it's type-specific.
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66. Pink urine.
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67. - Must be hemolyzing her blood cells.
- Could be blood from the spleen.
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68. Maybe both.
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69. 500 cc bolus of saline.
Stand by with epi.
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70. Mix a dopamine drip.
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71. - We're sure it's type-specific?
- Bag says B-positive.
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72. - That's her type.
- All right.
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73. Retype that blood and the patient.
Blood bank may have mislabeled it.
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74. Add a CBC, haptoglobin,
free hemoglobin...
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75. direct/indirect Coombs. PT, PTT.
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76. - What's going on?
- Hemolytic reaction.
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77. Her system's chewing blood cells.
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78. - Did you suture the father?
- He wants me to call the mother.
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79. Go ask him if Corinna has any
history of hematologic disease. Now!
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80. Mr. Sawyer?
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81. Hey, Dr. Ross.
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82. - Isn't it late for golf?
- Never too late.
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83. - It's November.
- What did I just say?
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84. - Crazy. Carter's going sailing—
- Hey, way to go, Carter!
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85. - You're rambling.
- His name's Nelson.
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86. He kidnapped her from
her mother's in CIeveland.
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87. - Her mother told you this?
- She's going to the airport now.
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88. So why would Nelson give
you her phone number?
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89. He freaked out when he heard
his daughter might need surgery.
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90. - Dr. Greene, we have a situation here.
- Just a second, Carter.
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91. - Are those her Iabs?
- UA shows one plus bilirubin.
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92. - You on?
- Passing through.
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93. - Was the blood mislabeled?
- No, reactions to minor antigens.
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94. - This is tough to match.
- None in the blood bank.
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95. Did you type the family?
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96. I drew a CBC on the father
but he's gone.
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97. - He kidnapped her.
- What?
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98. Bad custody case. The mother's
on her way from CIeveland.
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99. - Crit's dropping. We gotta go to O.R.
- There's no blood.
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100. Carter, type and screen dad's blood.
Then call all the other blood banks.
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101. - I'll try.
- Lucy, call his mother back.
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102. Get her records and
have mom's blood screened.
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103. - She went to the airport.
- Get to her.
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104. - We don't have much time.
- The spleen could tamponade.
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105. - Not with crit falling.
- It's hemolysis.
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106. - Come on.
- Might not be her spleen.
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107. One thing at a time.
We need blood. Crits at 22?
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108. We have a cushion.
Let's give her steroids.
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109. - Carol, 500 mgs Solu-Medrol.
- That might not be enough.
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110. - Want me to look?
- Be my guest.
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111. - Peter, you sticking around?
- Sure.
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112. You'd page me in 15 minutes anyway.
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113. You called Doug, huh?
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114. - It seemed pretty complicated.
- No problem.
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115. That covers the entire state?
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116. Sorry I'm late.
Ready to go?
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117. Just a second.
And Indiana?
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118. Just give me two minutes,
I'm kind of tied up here.
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119. - Why are you going sailing?
- My uncle's boat is in the harbor.
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120. John offered to motor it to
dry dock while we have decent weather.
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121. I heard it was gonna rain.
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122. I caught the mother. She's faxing
a release for the records.
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123. Corinna had a transfusion
for hyperbilirubinemia as an infant.
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124. - Hi, Lucy.
- Hi.
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125. - But she has a different blood type.
- Figures, dad matches.
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126. - Exactly?
- To the antibody.
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127. - We gotta find him.
- I'm gonna leave you kids alone.
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128. I've got some phone calls to make.
You've got 15 minutes, mister.
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129. - You're leaving?
- Soon as I find this blood.
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130. - Great. So I can go?
- Yeah, sure, Lucy. Bail.
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131. - Blood Registry.
- I'm gonna find the father.
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132. - I got an address.
- Fugitives give false addresses.
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133. - You said I could go, so I'm going.
- Whatever.
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134. - Why be such an ass?
- Lucy, I don't care what you do.
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135. I'm gonna try and find
blood for his kid.
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136. So am I.
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137. - Crit's down to 19.
- Steroids aren't working.
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138. Let's go IV IG, 25 grams
over four hours.
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139. I gave you time to treat hemolysis.
We gotta stop the bleeding in O.R.
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140. - She's not hemodynamically stable.
- I'll use the cell saver.
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141. The serum you'd cycle would
keep destroying her cells.
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142. Any word on the blood?
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143. She has antibodies to
both Vel and Lan.
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144. One is found in four in 10,000 people,
the other in 25,000.
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145. She's got both, so do the math.
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146. - The father matched?
- Let's hope he comes back.
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147. - One in 50,000,000. The math.
- There's nothing in the Midwest.
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148. The Rare Donor Program is on it.
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149. - They're not optimistic.
- We can't wait.
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150. - They won't anesthetize with this crit.
- I wanted to operate earlier.
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151. Right now, donor blood is
her best chance.
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152. - We'll medicate until we get it.
- If we get it.
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153. - Did you reach the hematologist?
- He's on his way.
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154. - Why don't you go home?
- What?
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155. - You've been here since midnight.
- Yeah, but I took her.
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156. You know, we've handed off
patients before.
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157. You're covered.
You got three docs here.
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158. Okay, I'll call in Iater.
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159. - Hey, Mark?
- Sure.
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160. Can you use albumin to prime dialysis?
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161. - What are you thinking?
- PIasmapheresis.
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162. I don't know if that'll help.
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163. Couldn't hurt.
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164. You can arrange it to be
in addition to your pension.
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165. - Tax free?
- Okay.
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166. - You ready to go?
- That's him.
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167. - Dr. Carter?
- Yeah?
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168. James Middleton, Chicago PD.
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169. I ran that Iicense.
It's a dealer plate.
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170. - Used car lot on Western and Addison.
- What Iicense number?
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171. On the totaled Grand Am.
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172. - You guys called about a kidnapping.
- Jerry said this was your case.
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173. Oh, yeah. Did you
find the father?
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174. - Who?
- They were in the accident together.
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175. He had us call her mom and left.
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176. - A custody dispute?
- He stole her.
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177. - When?
- Two weeks ago.
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178. - Is the mom here?
- She's flying in.
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179. Tell you what. Have her give
me a call when she gets here.
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180. Might be too late.
We need to find this guy.
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181. These things are complicated.
He might have visitation rights.
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182. No, we need his blood.
His daughter could die without it.
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183. - Did he leave credit info?
- No.
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184. - Social security number?
- No.
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185. Just an address.
But I'm sure it's bogus.
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186. I'll try the lot. Maybe I
can come up with something.
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187. Hope so.
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188. Okay, line's in. Let me get
a heparin flush.
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189. - Where's the plasmapheresis unit?
- On the way down.
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190. Daddy?
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191. Hi, honey. Conni,
can you get Doug, please?
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192. Where's my daddy?
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193. You're in a hospital.
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194. You were in an accident, remember?
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195. Does your tummy hurt?
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196. - Where's my daddy?
- We're gonna take good care of you.
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197. My name is Carol.
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198. I want my daddy.
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199. Your mom's coming.
She'll be here soon.
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200. Daddy?
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201. Your daddy's fine. He's just...
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202. he's just not here right now.
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203. Why?
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204. You remember your dog, not me!
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205. - I'm sure it's only temporary.
- How's yours going?
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206. He's either suffering
short-term memory loss...
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207. or saw the accident as
a last chance to back out.
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208. - Any word from the Rare Donor Program?
- Two words: "Still Iooking."
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209. I got a blood-bank friend at NIH.
I'll call him.
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210. - Great, thanks!
- Dr. Greene, Carter left this.
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211. He said a detective may
call about the father.
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212. - Is he still here?
- They left a while ago.
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213. - No, I meant the detective—
- Mark! She's seizing!
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214. - How long?
- A minute.
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215. - I got the phenobarbital.
- Try Ativan first.
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216. - Accu-Chek's 40.
- I need 50.
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217. - What's her crit?
- 17.
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218. - Get an H & H.
- She's hypoxic.
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219. - Her kidneys could go next.
- BP's 100 over 60.
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220. - Push the phenobarb?
- Not gonna do it.
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221. We need some damn blood.
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222. Doctor, hurry it up.
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223. All right. Thanks, Jerry.
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224. So there was this girl named Soup.
I don't know why they called her that.
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225. She was two years older than us,
so we thought she was really cool.
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226. And somehow she convinced us
to sunbathe topless...
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227. on this deck.
And I'm not kidding you...
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228. John, my breasts were purple.
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229. And there were blisters
all over these...
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230. Wow...
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231. Have you heard anything
I've just said?
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232. - Yeah.
- No, really.
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233. Really, what did I just say?
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234. Huh?
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235. I'm sorry. I was thinking
about that girl.
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236. - I should really follow up.
- You said they had that covered.
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237. There's just this one other
thing that I wanted to check.
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238. Can you handle it without me?
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239. No.
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240. Come on. It's no big deal.
Just powering it up the river.
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241. You're not the only one who's busy.
I made time for this too.
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242. I know. But I have to try
to find this guy.
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243. - Because Lucy's Iooking for him?
- Lucy's probably home by now.
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244. Right.
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245. Come on. Get on the boat.
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246. - I'm sorry. I'll call you Iater?
- What? I can't hear you.
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247. A Ioaner, the cars we Ioan to
customers to run errands and stuff.
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248. - The owner gave it out.
- Can I talk to him?
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249. He's in Vegas. If he wins,
we never hear from him.
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250. - And no paperwork on him?
- We're pretty Iax about that.
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251. Mort, leave that out.
The rain's passing.
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252. It's important that
we find the driver.
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253. Cop said the same.
Wish I could help.
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254. He was in the accident
with his daughter and she's dying.
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255. His blood may save her life.
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256. - There's no other way to find him?
- No.
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257. - Gee, that sucks.
- Yeah.
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258. - I'd help you if I could, man.
- Would you give me a call?
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259. I'll give you a call
if I hear anything.
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260. Hey, hold up.
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261. I'll deny anything you say
to the cops.
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262. - I Ioaned it to my bookie.
- What's his name?
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263. He's your guy. Nelson.
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264. I still owe some money. He's
been good about my payment plan.
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265. He wanted to borrow a car for a
few days while he had his daughter.
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266. - How do I reach him?
- I only met him one other time.
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267. - Then how—?
- I place my bets with the bellhop...
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268. at The Delaware.
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269. - There's no gambling on the premises.
- I didn't mean you.
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270. I was told there was
a bellboy who covers bets.
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271. I thought I told you, there's
no gambling on the premises.
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272. Not officially. Sure.
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273. Like there's no prostitutes.
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274. Excuse me!
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275. - I wonder— What are you doing here?
- Nothing.
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276. - I meant her.
- Just a minute.
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277. - You work for Nelson?
- I gotta get back to work.
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278. Just a second.
You said you knew a guy.
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279. - I didn't say that.
- Just a name.
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280. Hey, excuse me.
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281. - We got money.
- Let me go, man.
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282. - We need this guy.
- Get off me!
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283. I don't know what
you're talking about!
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284. - Thank you. Thank you very much.
- What?
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285. He was about to tell me about
the guy who runs bets for Nelson.
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286. - How did you know?
- Neighborhood gossip.
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287. The address wasn't fake.
It was old.
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288. I thought you had a date.
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289. We still haven't found
a blood match.
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290. - Thought I'd try.
- They operate?
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291. Crit's low, she had a seizure.
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292. What kind of action you want?
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293. - I can handle OTB, numbers, whatever.
- We're just Iooking for someone.
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294. Oh, okay. See you.
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295. No, wait! We want to bet!
We want to place a bet.
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296. It's just that Nelson told
us to talk to a bellhop boy.
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297. When, in the Ice Age?
Toby got fired.
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298. - Toby.
- He covers Nelson's action.
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299. - Where does he Iive?
- He's one of those ghetto boys...
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300. - ... the Butcher gets jobs for.
- The who?
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301. A "lost youth" guy. Works
at a meat-packing plant.
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302. Walk in and look at the nametags.
Jerry, can you answer that?
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303. - Chuny, you mind?
- Whoa! Jerry, what's this?
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304. We're not moving patients.
Triage is on me.
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305. Only emergent cases get on the
board until we have a free bed.
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306. - Anything?
- He hasn't answered.
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307. - I'm trying to find him.
- What do I do with these?
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308. - Where's Doyle?
- I'm doing my share.
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309. - She's been on the phone for an hour.
- I'll take the LP and migraine.
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310. You take the treat and streets.
And get Jerry some free beds.
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311. Benton wants to call Anspaugh.
Any blood?
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312. - No.
- Corinna's mother's at O'Hare.
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313. - She wants an update.
- I'll brief her in person.
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314. I got Lucy on line two.
She wants a status report.
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315. I'm holding for John Derby.
Derby. Yes.
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316. - Derby, the NIH guy?
- Yes.
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317. He returned your call, your page.
Left a mobile number.
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318. Jerry...
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319. - ... why didn't you tell me?
- You've been on the phone.
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320. Okay. Thanks, Carol.
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321. I don't think this is the right way.
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322. - She said it's past the conveyor belt.
- What belt? All I see is beef.
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323. Here. Whoa! God!
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324. - Any Iuck?
- No. No match yet.
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325. - We're Iooking for the boning room.
- What exactly happens there?
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326. - This is the wrong way.
- I didn't see you Ieading.
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327. All right. I'll Iead then.
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328. - Hey! Where are you going?
- To find the boning room.
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329. - You said I could Iead.
- I didn't say I'd follow you.
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330. - I didn't ask you to come with me.
- I didn't either.
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331. - I'm not with you. I Iooked first.
- What does that mean?
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332. If you were right, you wouldn't
be walking around here.
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333. I wouldn't be walking around a meat
Iocker if you hadn't let the guy go.
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334. I knew it.
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335. I knew you blamed me.
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336. A Iittle girl's dying, Lucy.
You can relax about you.
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337. Hey!
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338. Hey!
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339. - What?
- Boning Room!
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340. This city builds detention centers
10 years before they're needed.
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341. But they can't start a job program
for kids. Prisons, yes. Jobs, no.
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342. Well, at this job, Toby took
bets for a man named Nelson.
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343. Not everybody's a success story.
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344. - Where can we find him?
- I don't snitch on my kids.
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345. Without trust, it's over.
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346. Want to save kids?
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347. I got one you can save!
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348. Crit's at 16. I think
we stopped the hemolysis.
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349. Her kidneys are failing.
She'll die if her spleen's bleeding.
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350. No one disagrees. She needs surgery.
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351. The question is, how long
can we wait for blood?
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352. It may never come.
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353. At some point, there
are desperate measures.
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354. We're not there yet.
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355. Oh, my God! Corinna?
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356. Can she hear me?
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357. - She's been drifting.
- We should type the mom.
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358. I did while I was briefing her.
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359. - A-positive.
- I can't give it anyway?
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360. - It's better than nothing.
- She needs a match.
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361. And Keith has it?
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362. How typical!
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363. He takes her, hurts her,
and runs away when she needs him.
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364. - Got it!
- What?
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365. NIH found a match. Two
frozen units in Nashville.
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366. - How long?
- It's in the air in 10 minutes.
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367. All right!
Let's get her up to preop.
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368. I want to be ready.
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369. - There's number eight.
- This is nuts.
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370. Toby might not even know Nelson.
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371. We're here. We might as well try.
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372. - Have a Iittle faith.
- Faith?
Copy !req
373. What, in our ability to find one guy?
Copy !req
374. - Then go home. I'll find him myself.
- Yeah, right.
Copy !req
375. - I'll be right back.
- Where are you going?
Copy !req
376. - Yeah?
- Hi. Is Toby here?
Copy !req
377. Who are you?
Copy !req
378. Hi.
Copy !req
379. You Iive here?
Copy !req
380. - Where are your clothes?
- He doesn't talk much.
Copy !req
381. Are you his sister?
Copy !req
382. - Who's that?
- His mom. She's sick.
Copy !req
383. That's a bad cough.
Has she had it for a long time?
Copy !req
384. - A while.
- What's her name?
Copy !req
385. Mrs. Price.
Copy !req
386. Maybe I should go in
and see if she's okay.
Copy !req
387. You shouldn't go in there.
That's not your house.
Copy !req
388. It's okay. I'm a doctor.
Copy !req
389. Would you watch him?
Copy !req
390. Yeah?
Copy !req
391. Hello?
Copy !req
392. Hello?
Copy !req
393. Mrs. Price?
Copy !req
394. Who's there?
Copy !req
395. My name is Dr. Carter.
I just saw your boy outside.
Copy !req
396. Don't be afraid. I came
in to see if you're okay.
Copy !req
397. - Who let you in?
- The door was open.
Copy !req
398. I heard you coughing.
Copy !req
399. It's bronchitis.
Copy !req
400. I've had it before.
Copy !req
401. Are you coughing up blood?
Is that blood you're coughing now?
Copy !req
402. - A Iittle.
- Any fever?
Copy !req
403. Has anyone ever done a
TB test on you?
Copy !req
404. Did they prick your arm?
Copy !req
405. You hold on, sweetheart.
We're gonna get some help.
Copy !req
406. What the hell you doing?
Copy !req
407. - Just trying to help.
- Right.
Copy !req
408. - I told you not to come in here!
- Ariel, go home and stay there!
Copy !req
409. - I need to call 911.
- If you're Iucky.
Copy !req
410. Look, I'm a doctor. If she has
tuberculosis, it's highly contagious.
Copy !req
411. 100% oxygen, AC 14. Tidal volume 250.
Set up two blood-Y's now.
Copy !req
412. - Who's on anesthesia?
- Babcock.
Copy !req
413. - Get him.
- Where we going?
Copy !req
414. - O.R. 3.
- Find me when the blood's here!
Copy !req
415. Ma'am, you can't go into the O.R.
Copy !req
416. - What do I do?
- Wait here.
Copy !req
417. - Someone will talk to you.
- Will she lose more blood?
Copy !req
418. - Her blood count was low.
- That's why we're waiting.
Copy !req
419. Hopefully we can raise it
and operate safely...
Copy !req
420. - ... and prevent further blood loss.
- She'll be okay until then?
Copy !req
421. Toby's sister says he hangs
out at a minimart up there.
Copy !req
422. - Let's wait for paramedics.
- What?
Copy !req
423. Active TB. The whole
project could be infected.
Copy !req
424. - He might be there now.
- Wait.
Copy !req
425. - I'll go myself.
- We'll go together.
Copy !req
426. - I'm going now.
- God forbid...
Copy !req
427. you should Iearn something!
Copy !req
428. - I don't want to Iearn?
- Not from me!
Copy !req
429. - Because we disagree?
- At least respect my experience.
Copy !req
430. I'm just trying to find this guy—
Copy !req
431. - What?
- That's him.
Copy !req
432. Mr. Nelson!
Copy !req
433. Wait! Mr. Nelson!
Copy !req
434. Hey, wait!
Copy !req
435. Nelson!
Copy !req
436. Nelson!
Copy !req
437. - Sorry! Emergency!
- Hey!
Copy !req
438. - Where you going?
- I need to stop that guy!
Copy !req
439. - The fare is a buck-fifty!
- Nelson!
Copy !req
440. Wait! Nelson! Nelson!
Copy !req
441. Damn it!
Copy !req
442. - Go buy a fare.
- You just killed a Iittle girl!
Copy !req
443. The fare's a buck-fifty.
Copy !req
444. There's your buck-fifty.
Copy !req
445. Hey, you better back off, pal!
Copy !req
446. Son of a bitch!
Copy !req
447. It's deglycerolizing and thawing now.
It'll be 20 minutes.
Copy !req
448. - Her crit's down to 15.
- Put her under.
Copy !req
449. - Are you okay, Peter?
- Yeah, I'm fine.
Copy !req
450. Get Anspaugh in here.
Come on, let's move.
Copy !req
451. - Nelson has a daughter?
- She doesn't have much time.
Copy !req
452. - We need to find him.
- He got his money and said...
Copy !req
453. - ... he'd be out of town.
- You can't call?
Copy !req
454. - He pages me from different places.
- You were running numbers for the man!
Copy !req
455. We ain't friends!
What if I get pinched?
Copy !req
456. Better hope you don't.
Copy !req
457. - He'd want you to tell us.
- I am! I don't know how to find him!
Copy !req
458. If I did, I'd go myself!
Copy !req
459. What about other business contacts?
Copy !req
460. He has guys at ballparks
taking action.
Copy !req
461. Wait. He's got an uncle,
a grounds guy at Soldier Field.
Copy !req
462. Uncle Joey.
Copy !req
463. - Crit's down to 14.
- How long do we wait?
Copy !req
464. - Here she is.
- Is that it?
Copy !req
465. - Bad news.
- Come on.
Copy !req
466. Small holes in the bags.
We noticed when it thawed.
Copy !req
467. - Did it happen here?
- Or years ago.
Copy !req
468. We can't tell if it's
been exposed to bacteria.
Copy !req
469. - Damn!
- We should give it to her anyway.
Copy !req
470. - You want to make her septic?
- He's right, we can't transfuse.
Copy !req
471. So now what?
Copy !req
472. Peter, I think we've arrived
at your desperate measures.
Copy !req
473. I want to talk to Detective Middleton.
Copy !req
474. Maybe he left.
No, don't put me on hold.
Copy !req
475. - Cops wouldn't have gotten this far.
- How far have we gotten?
Copy !req
476. - These people don't talk to the cops.
- You Iearn that in detective school?
Copy !req
477. - We're close. We saw him.
- Yeah, but we should ask for help.
Copy !req
478. Hi. Yeah.
Copy !req
479. I don't know if it's considered
an active case. Hello?
Copy !req
480. - Hello?
- That might be him.
Copy !req
481. I said I don't know if it's— Hello?
Copy !req
482. Hello?
Copy !req
483. - I just charged this battery.
- Joey!
Copy !req
484. Joey?
Copy !req
485. - Who's asking?
- We're not the cops.
Copy !req
486. I already got you made for the FBI.
Copy !req
487. We need your nephew.
His daughter's in the hospital.
Copy !req
488. We need his blood.
Copy !req
489. - Whose blood?
- Keith, your nephew.
Copy !req
490. Keith Nelson's not my nephew.
Everyone calls me Uncle Joey.
Copy !req
491. - You know him?
- He's a good guy.
Copy !req
492. - Know where we can find him?
- No.
Copy !req
493. - When is the last time you saw him?
- Couple weeks ago, Rams game.
Copy !req
494. Do you have any idea where
he is? It's important.
Copy !req
495. Today's Thursday?
He could be at the cockfights.
Copy !req
496. - Cockfights?
- You know, two roosters...
Copy !req
497. - ... pecking each other to death?
- Where?
Copy !req
498. Used to be on the South Side.
Copy !req
499. - You got an address?
- No.
Copy !req
500. I could draw you a map.
Copy !req
501. - Okay. Linea alba is incised.
- Toothed forceps.
Copy !req
502. Metz.
Copy !req
503. - You ready, Peter?
- I hope so.
Copy !req
504. Think fast. She won't tolerate
more than 100 cc blood loss.
Copy !req
505. Go for the splenic artery.
Copy !req
506. - Stand by with Iap pads and suction.
- BP, 110 over 70.
Copy !req
507. Let's keep it that way.
Copy !req
508. All right.
Copy !req
509. Here we go.
Copy !req
510. Excellent.
Copy !req
511. Peritoneum looks dry.
Copy !req
512. Retractor.
Copy !req
513. Bovie.
Copy !req
514. Divide the gastrocolic Iigament.
Enter the Iesser sac.
Copy !req
515. Okay, got it.
Whoa! Suction!
Copy !req
516. She's hemorrhaging!
Copy !req
517. - Lap pad!
- Tamponade released on the hematoma.
Copy !req
518. - BP's falling.
- Vascular clamp.
Copy !req
519. - Can you visualize the splenic artery?
- No.
Copy !req
520. - Don't clamp off the pancreas.
- Suction!
Copy !req
521. - Can't see a thing.
- Lose the clamp.
Copy !req
522. - Compress it with your finger.
- 150 cc blood loss.
Copy !req
523. - Pressure's down, 70 over 50.
- Come on.
Copy !req
524. Come on!
Copy !req
525. Damn, come on!
Copy !req
526. - Sure this is the place?
- Yeah, across the bridge...
Copy !req
527. and past the second
freight station.
Copy !req
528. There's no one here.
Copy !req
529. They probably don't advertise.
Copy !req
530. - There's a Iight on.
- We're breaking and entering?
Copy !req
531. - Got a better idea?
- Not if you brought bolt cutters.
Copy !req
532. No. I can give you a boost.
Copy !req
533. Like you said, we're here.
Might as well check it out.
Copy !req
534. - There you go.
- Okay.
Copy !req
535. - There you go.
- I can't.
Copy !req
536. Yeah, you can, I got you.
Go ahead.
Copy !req
537. Up and over.
Copy !req
538. You got it.
Copy !req
539. There you go. You did it.
Copy !req
540. - How many fences do they need?
- They gotta keep out the riffraff.
Copy !req
541. You want to go get your
jacket because it's raining?
Copy !req
542. No cars? Do these people
walk to their cockfights?
Copy !req
543. I don't know if I trust
Uncle Joey. He seemed too easy.
Copy !req
544. What? You quitting on me?
Copy !req
545. Hold up. Let's check this out.
Copy !req
546. - Can I ask you something?
- Sure.
Copy !req
547. - What made you decide to come Iooking?
- The girl needs help.
Copy !req
548. But you see a lot of
people who need help.
Copy !req
549. Why did you come here?
Copy !req
550. I don't know.
Copy !req
551. - I feel responsible.
- It's not your fault, Lucy.
Copy !req
552. That's easy to say
when things go wrong.
Copy !req
553. No. I shouldn't have
made you feel that way.
Copy !req
554. You're the only student
I've had that showed promise.
Copy !req
555. - Do you see anything?
- No. Just a lot of dirt.
Copy !req
556. I think I see something.
Copy !req
557. - Is that a ring?
- What kind of ring?
Copy !req
558. Carter!
Copy !req
559. Carter!
Copy !req
560. Oh, my God!
Copy !req
561. Are you okay?
Copy !req
562. Dr. Carter, are you okay?
Copy !req
563. - No.
- Can you tell me your name?
Copy !req
564. - Do you know your name?
- I know my name, Lucy.
Copy !req
565. - I think I...
- What?
Copy !req
566. - I think I dislocated my shoulder.
- Are you sure?
Copy !req
567. Yeah. Anterior dislocation.
I don't think it's broken.
Copy !req
568. - We gotta get you to the hospital.
- Sensation's intact.
Copy !req
569. - And I got a pulse.
- Stay there, I'll get help.
Copy !req
570. No! Wait, wait.
That'll take forever.
Copy !req
571. Can you move?
Copy !req
572. Can you get down?
Let's just do it here.
Copy !req
573. Okay. What?
Copy !req
574. - Did we go over reductions?
- No.
Copy !req
575. - We should have.
- You did one when we weren't talking.
Copy !req
576. You're gonna pull my arm...
Copy !req
577. - ... really hard...
- Yeah.
Copy !req
578. - ... until it pops.
- Just like that?
Copy !req
579. - I hope.
- Isn't that gonna hurt?
Copy !req
580. - Oh, yeah.
- Okay.
Copy !req
581. Ready?
Copy !req
582. - Just commit to it. Pull hard.
- One... two...
Copy !req
583. three!
Copy !req
584. - Stop!
- What? What did I do?
Copy !req
585. I'm sorry. I'm sorry. I'm sorry.
Copy !req
586. - We need countertraction.
- Okay.
Copy !req
587. All right. I know.
Copy !req
588. - Stick your foot in my pit.
- What?
Copy !req
589. - My armpit.
- Your armpit?
Copy !req
590. - Be very careful.
- You said, "Commit."
Copy !req
591. That's right.
Copy !req
592. You sure about this?
Copy !req
593. - One...
- Just do it!
Copy !req
594. two...
Copy !req
595. three!
Copy !req
596. BP's up to 100 over
80 with saline.
Copy !req
597. The distal clamp is on. Let go
with your finger, Peter, slowly.
Copy !req
598. - It's Iooking pretty good.
- Dry as a bone.
Copy !req
599. - Crit's down to 12.
- No further bleeding.
Copy !req
600. Kids can tolerate low crit.
Copy !req
601. - PVCs?
- What's her potassium?
Copy !req
602. 4.2, preop.
Copy !req
603. - Run of five.
- All right. Lidocaine, 30 mgs IV.
Copy !req
604. - What is it?
- Could be cardiac ischemia.
Copy !req
605. V-tach!
Copy !req
606. No pulse.
Copy !req
607. Bring in the crash cart.
Copy !req
608. - Charge it to 80.
- Crit's too low.
Copy !req
609. Her heart's not getting enough oxygen.
Copy !req
610. Here we go. Clear!
Copy !req
611. - Still V-tach.
- Charge to 160.
Copy !req
612. Clear!
Copy !req
613. I should've just let you drive
the Jeep around.
Copy !req
614. Think Uncle Joey had
the wrong night...
Copy !req
615. - ... or was pulling our Ieg?
- I don't know. Let's go back.
Copy !req
616. There's a Iight up there.
Copy !req
617. John...
Copy !req
618. Dr. Carter...
Copy !req
619. I want you to know
that I do respect you.
Copy !req
620. I'm sorry...
I'm...
Copy !req
621. Sorry.
Copy !req
622. That I do respect you...
Copy !req
623. and that you're a good teacher.
Copy !req
624. And you're a good person, or
you wouldn't be out here.
Copy !req
625. And I'm sorry
I'm so stubborn sometimes.
Copy !req
626. - Stubborn can be good.
- Not when it's defensive.
Copy !req
627. - It got us out here.
- Is that good?
Copy !req
628. Most people would've
given up long ago.
Copy !req
629. Most people wouldn't
have gone Iooking.
Copy !req
630. I might have given up without you.
Thanks for coming.
Copy !req
631. I didn't come for you.
I came for the patient.
Copy !req
632. - I appreciate it. Very valiant.
- No, really.
Copy !req
633. - I wasn't needed at the hospital.
- You said you came...
Copy !req
634. because I was stubborn.
Copy !req
635. I meant we were stubborn.
Copy !req
636. - Oh, my God!
- What?
Copy !req
637. I am so sorry.
Copy !req
638. My Jeep!
Copy !req
639. It didn't look that far
from the bridge.
Copy !req
640. Indiana didn't look
that far either.
Copy !req
641. - Are you cold?
- I'm starving.
Copy !req
642. - Let's eat.
- I'm gonna call a cab first.
Copy !req
643. - They might take a while.
- If they come here.
Copy !req
644. Someone's on the phone.
We're in the middle of nowhere.
Copy !req
645. That's on the other
side of the Skyway.
Copy !req
646. - Sorry.
- I'm gonna order.
Copy !req
647. - Make it quick.
- Cheeseburger quick enough?
Copy !req
648. - Get it to go.
- Honey, everything's to go.
Copy !req
649. Let me have two cheeseburgers and...
Copy !req
650. - ... two orders of fries.
- No fries for me.
Copy !req
651. That's my order.
Do you want something?
Copy !req
652. - Yeah. A cheeseburger.
- Another cheeseburger.
Copy !req
653. - Long day?
- You might say that, yeah.
Copy !req
654. So, I'm gonna call a cab and
then check with the hospital.
Copy !req
655. - Then I thought we'd call Toby.
- Toby, yeah. He was real helpful.
Copy !req
656. - He said he'd think about it.
- He'll deny knowing him.
Copy !req
657. What should we do?
Copy !req
658. - You want me to say it first?
- What?
Copy !req
659. We'll never find the guy.
Copy !req
660. - There's other places we could try.
- Yeah, millions of places.
Copy !req
661. That's the problem.
Copy !req
662. Let's hope they found blood.
Copy !req
663. - I'm calling the hospital.
- Get a cab first.
Copy !req
664. You want anything to drink with that?
Copy !req
665. - Yeah, let me have a Coke.
- Anything for the boss?
Copy !req
666. - Who?
- The boss, the missus.
Copy !req
667. Your girlfriend?
Copy !req
668. No. Not my girlfriend.
Copy !req
669. John, come here.
Copy !req
670. - Come here.
- What?
Copy !req
671. Come here.
Copy !req
672. Whatever you say, pal.
Copy !req
673. - Toby got an address on Nelson.
- Toby?
Copy !req
674. - You called Toby? I thought—
- I wasn't gonna argue.
Copy !req
675. You got an address?
Copy !req
676. - I hear you had a scare in the O.R.
- I thought you'd be gone by now.
Copy !req
677. I wanted to check on her
before I left.
Copy !req
678. Well, she's going into renal failure.
But she's too unstable for dialysis.
Copy !req
679. She had arrhythmias on Iidocaine.
And she had a breakthrough seizure.
Copy !req
680. It's a miracle you
got her through surgery.
Copy !req
681. It won't do any good if she
can't have a blood transfusion.
Copy !req
682. Now I get to stand around
and watch her die.
Copy !req
683. You want me to talk to the mom?
Copy !req
684. - Yeah.
- Okay.
Copy !req
685. Good job, Peter.
Copy !req
686. Yeah.
Copy !req
687. - This is the address?
- Toby says he gets his mail here.
Copy !req
688. - What is he, a hobo?
- This must be his trailer.
Copy !req
689. - Do you see anything?
- Five minutes!
Copy !req
690. I'm done peeking through windows.
Copy !req
691. - Benton operated without blood?
- That's what the O.R. nurse said.
Copy !req
692. That's a good sign, right?
Copy !req
693. No, she still needs it.
Copy !req
694. Mr. Nelson!
Copy !req
695. Mr. Nelson, you in there?
Copy !req
696. Should we go in?
Copy !req
697. - Why would he leave it open?
- Depends on the kind of hurry he's in.
Copy !req
698. We should make sure
this is his place.
Copy !req
699. - They had eggs for breakfast.
- Are these racing forms?
Copy !req
700. These don't look like
construction plans.
Copy !req
701. - Who brings a kid to a train yard?
- Maybe there was nowhere else to go.
Copy !req
702. - What about her mother?
- We don't know the whole story.
Copy !req
703. He walked out on her.
Copy !req
704. He left so she could get treatment.
Copy !req
705. - He didn't know how bad it was.
- I don't care.
Copy !req
706. - You stick around for your kids.
- Sometimes it's not that simple.
Copy !req
707. I never even met my dad. He was
19 years old when I was born.
Copy !req
708. Probably thought he'd screw it up.
Might've been for the best.
Copy !req
709. Sorry. I didn't mean to get personal.
Copy !req
710. - Sometimes love can be complicated.
- I'll give you that.
Copy !req
711. There's a message here.
Copy !req
712. Let's hope it's a good one.
Copy !req
713. Inga, you there? Pick up.
Copy !req
714. I don't know if you've
been to the hospital yet.
Copy !req
715. I'm across the street.
Call my cell phone.
Copy !req
716. - Leave the number.
- It's about Corinna.
Copy !req
717. Leave the number!
Copy !req
718. - Damn it!
- Who's Inga? His girlfriend?
Copy !req
719. Across the street? Across from where?
Copy !req
720. What's she doing at the hospital?
Copy !req
721. Checking on his daughter.
Copy !req
722. We find her, we find Nelson.
Copy !req
723. - You talked to Randi?
- She's gonna look for her.
Copy !req
724. - We'll be there in five minutes.
- More like eight.
Copy !req
725. - Take the ER. I'll take ICU.
- And page if you see her.
Copy !req
726. - Meet in the Iobby?
- Yes.
Copy !req
727. - You know, your fare's up to $84.
- Yeah?
Copy !req
728. You two got enough cash to cover this?
Copy !req
729. - What do you have?
- I've got 20.
Copy !req
730. - We need to stop at an ATM.
- Can't we get some petty cash?
Copy !req
731. Wait, there's one across
the street from County.
Copy !req
732. - Where?
- Across the street, by Doc Magoo's.
Copy !req
733. - Across the street.
- Like Nelson said.
Copy !req
734. - There was music in the background.
- Think he's there?
Copy !req
735. - Do you see him?
- No.
Copy !req
736. Excuse me.
Copy !req
737. Excuse me.
Copy !req
738. You see a guy here,
mid-30s, using a cell?
Copy !req
739. Every night.
Copy !req
740. - John?
- Yeah?
Copy !req
741. Men's room?
Copy !req
742. - Can I see her?
- Soon as we start.
Copy !req
743. - Just roll up both your sleeves.
- I can't believe you found me.
Copy !req
744. - No kidding, huh?
- Thank God. Thank you.
Copy !req
745. I wanted some news.
Copy !req
746. - I didn't know it was bad.
- Inga never called?
Copy !req
747. - How do you—?
- From your machine.
Copy !req
748. - You were in my trailer?
- Yes.
Copy !req
749. - I got the donor bags.
- Can you do this? I can't.
Copy !req
750. I thought she'd be okay.
Her mom could handle it.
Copy !req
751. Dr. Greene's waiting in SICU.
Copy !req
752. - Get a BP.
- I didn't know this could happen.
Copy !req
753. How could I have known?
Copy !req
754. - Got it.
- Hook it up.
Copy !req
755. - I thought I was helping her.
- Hey, you're here now.
Copy !req
756. - The blood will help, but—
- I'll kill him.
Copy !req
757. Take his blood and then I'll kill him.
Copy !req
758. Coming through! Move the gurney.
Copy !req
759. - Thank God!
- Talk to me.
Copy !req
760. We found Mr. Nelson at Doc Magoo's.
Copy !req
761. One unit donated.
Another one filling.
Copy !req
762. - Screened for viruses?
- They tested this morning.
Copy !req
763. - It's clean.
- If I knew there was a problem—
Copy !req
764. Someone page Benton.
Kit, get this hung.
Copy !req
765. Repeat crit in 30 minutes.
Check phenobarb Ievel.
Copy !req
766. Corinna? Corinna, I'm here, sweetie.
Copy !req
767. - ET cuff's Ieaking.
- I'll change it over a catheter.
Copy !req
768. She's gonna be okay now, right?
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769. It's hard to say.
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770. What she has is multiorgan
system failure.
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771. What's that?
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772. She's been deprived of oxygen.
She's in a coma.
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773. It's been hard to treat her seizures.
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774. She has three...
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775. intravenous medications...
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776. to stabilize her heart rate.
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777. And her kidneys have shut down.
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778. But his blood will make her better?
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779. A lot of damage has been done.
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780. Hey.
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781. Hey.
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782. - You look like hell.
- Thanks. So do you.
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783. - What is that? A clavicle fracture?
- Anterior dislocation.
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784. - Long story, right?
- Long story.
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785. I better get out. I'm on at 6.
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786. Hey, good job keeping her alive.
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787. BIoodless surgery.
That's a first, huh?
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788. You should put that shoulder
in an immobilizer.
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789. Hi.
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790. - I thought you went home.
- No.
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791. We're on in an hour.
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792. Better not to sleep if
you can't get three.
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793. I wouldn't sleep anyway.
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794. Her crit's up three points.
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795. But the renal failure
may be permanent.
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796. That's if she wakes up.
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797. I thought we were saving her.
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798. No.
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799. - We gave her a chance.
- It's not good enough.
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800. - It has to be.
- No.
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801. It doesn't.
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802. Some patients get to you
more than others. I know.
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803. But when you do
everything you can...
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804. sometimes even more than
you thought you could...
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805. you gotta walk away knowing
you fought the good fight.
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806. You fought the good fight, Lucy.
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807. Tomorrow you'll fight another one.
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