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