1. ER
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2. Previously on ER:
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3. Do you want to catch a movie
tomorrow night?
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4. - You applied for the space program?
- My second year.
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5. Tonight's dinner is semi-formal.
So any slinky black number will do.
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6. You want me to conduct a study
at County General.
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7. And the drug is for the treatment
of fracture pain?
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8. Comparing it against
acetaminophen with codeine.
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9. - What's your son's medical condition?
- ALD, Adrenoleukodystrophy.
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10. - How old is he?
- Eight. Why?
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11. They usually don't make it past 10.
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12. This must be Ricky. I'm Carol.
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13. "Double Blind"
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14. I could have taken
Lucy out for a pizza.
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15. That's what my Residents did
when I finished a rotation.
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16. In my day, Residents always had
their students over for a meal.
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17. Makes for better mentoring.
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18. - That's why I invited Peter to join us.
- Dr. Benton's coming?
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19. He was your Resident.
Now Lucy's working with him.
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20. It's much more civilized.
John, don't! No, no, no.
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21. I thought peppers went in the blender.
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22. - We want separate colors for the sauce.
- Good save.
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23. You cool and peel them first.
Why don't you seed the Persian cukes?
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24. You know, it's funny. I'm actually
gonna miss having Lucy around.
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25. That's how it works. The instant
students know enough to be of use...
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26. they move to another rotation.
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27. Lengthwise. Lengthwise.
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28. And then you seed them. Okay?
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29. Emergency medicine may not be
a bad choice for Lucy.
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30. Well, she might feel differently
after she has her Surgical rotation.
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31. You know what? Why don't you...?
Why don't you chill the Pinot Grigio?
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32. In the freezer?
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33. Keep your day job, Carter.
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34. Well, let's see how you handle these.
Got it?
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35. All right, let's do it.
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36. Do you have inside information
on this drug?
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37. - This stuff really works?
- Amazing.
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38. Aaron broke his arm before,
the pain was excruciating.
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39. But this. I'd like to buy stock in this.
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40. This may be acetaminophen
with codeine.
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41. I know some patients in the study
aren't getting the wonder drug.
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42. - Aaron is, and it's remarkable stuff.
- Yeah.
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43. They keep docs in the dark?
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44. It's a double-blind study. Get your
"insider trading" elsewhere.
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45. See you in three weeks.
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46. - Jeanie's gonna be late.
- Probably stuck in the snow.
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47. - She overslept. Had a late night.
- I wish we'd overslept.
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48. We are going to kick-start the a. m.
with a wake-up call from my main men:
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49. - Hetfield and Hammett.
- It's coming down.
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50. I didn't expect to see you today.
The clinic's closed.
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51. I organized a seminar on STDs
and cervical cancer.
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52. A gab session
for the women in the community.
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53. - That's a great idea.
- Is that Metallica?
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54. You're a metalhead?
You know this tune?
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55. Yeah. Because it's banned
in my house.
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56. I thought women should know more
about screening and prevention.
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57. Absolutely.
I wish I could pay you overtime.
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58. Don't worry about it.
I scored some grant money to pay for it.
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59. Really? That'll run through the clinic?
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60. Yeah. I got lucky. I caught some
dribbles off the gravy train.
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61. Mark.
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62. I thought that was you.
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63. Listen, I got your memo
about the NASA offer.
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64. The opportunity came out of the blue.
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65. A full year of training in Houston?
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66. It could be 18 months
if they delay the launch.
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67. - Don't do it.
- What?
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68. Obviously do what you must.
I wish you wouldn't.
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69. - You kept me awake last night.
- I kept you awake?
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70. I do not want to run
the Emergency Department without you.
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71. What'll it take to get you to stay?
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72. Full tenure, effective today.
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73. Well, I probably can't swing that.
But I could push up your eligibility.
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74. Considering you in '02.
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75. - Two thousand two?
- Aught two.
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76. Will somebody tell us
what to call the future?
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77. You'd consider me for tenure
in three years?
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78. We need you. Think about it.
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79. - I think you have a flair for this.
- Yes, I found my niche. Pulling drains.
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80. Get the Penrose and not the T-tube.
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81. Pull that, it's not a pretty sight.
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82. Miss Knight, you found your way
to Dr. Corday.
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83. All the preop labs were
in the charts. I nearly kissed her.
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84. Oh, none of that.
Not unless I get to watch.
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85. I insisted you get a decent student.
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86. - You could use backup with the scut.
- I live for scut.
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87. I'd like you to assist this afternoon
on a choledochojejunostomy.
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88. - Choledochojejunostomy?
- Oh, you can say it.
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89. Would you like to do it?
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90. - I'm waiting for the other shoe to drop.
- No catch. You've suffered enough.
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91. I started the groundwork today
to get your fellowship reinstated.
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92. I'll be damned.
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93. Should I feel special,
or does he stare at everyone's breasts?
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94. No. Only the females...
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95. as far as I know.
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96. It's good for the clinic.
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97. You have the right to know what grants
are applied for.
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98. - Lynette does have some good ideas.
- And you are the boss.
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99. What the hell is that?
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100. - That is our new music program.
- You call that music?
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101. - I told you to start with Erykah Badu.
- It's for patients in Chairs.
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102. Music helps people handle stress.
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103. You're getting ready to DJ a party.
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104. That's just a coincidence.
Somebody signed off on this.
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105. - Who signed off on it?
- Dr. Lee.
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106. Jerry, there is no Dr. Lee.
There never was a Dr. Lee.
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107. - Is that siren in the music?
- It's in the music.
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108. Hey, we could use some extra muscle
out here!
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109. Jerry, turn the music down
and give Conni and me a hand.
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110. Oh, boy! Gird your loins.
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111. 36-year-old woman found
at the scene of a fire.
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112. - This is one big woman.
- Probable anaphylaxis.
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113. Her med alert bracelet
said peanut allergy.
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114. - Don't pull until we get a grip.
- Another gurney?
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115. Yeah. A double-wide and a winch.
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116. I hope the wheels don't snap.
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117. Trauma 1, I'll be right there.
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118. - Talk to me, Doris.
- Second victim is Fred Danziger.
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119. He singed his mustache
putting out the flame.
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120. It's the first call this week
where something was on fire.
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121. She drags me away for nothing.
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122. She could be right. Singed facial
hair could mean a burned airway.
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123. Chuny, let's put Fred on a pulse ox
and get a chest x-ray.
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124. I had to force him.
This new policy sucks.
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125. - Adding paramedics to fire trucks?
- Yeah. And the guys resent it.
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126. They blame me for having to answer
so many medical calls.
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127. Nobody likes change.
You did the right thing.
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128. So you passed out and took a fall?
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129. Angie found me.
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130. - Is Angie your home-health aide?
- She was.
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131. They burn out fast with me.
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132. You see my chart?
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133. Yes, sir. Pancreatic cancer
and mets to the liver.
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134. I keep hoping that "end-stage" means
it can't get any worse.
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135. Nausea pretty bad?
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136. We're gonna hydrate you,
see if that helps.
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137. Would you like me to put your own
robe back on? It can get chilly.
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138. - Did Angie call my son?
- I can find out.
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139. Is that yours?
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140. Ten years ago...
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141. I kicked my son out of the house
over this stuff.
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142. Now he gets it for me.
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143. Helps with the nausea?
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144. - Do you have to take it?
- Take what?
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145. - Can you open your eyes?
- Unresponsive since the Valium.
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146. Pulse ox is 99%. Can you imagine
lugging around all this fat?
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147. It didn't stop her from
eating noodles at 9 a. m.
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148. Does Radiology stock
extra-extra large?
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149. - Better call the vet school.
- Okay, everybody, settle down.
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150. Miss Meredith, you've had a bad
allergic reaction.
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151. - The tube is to help you breathe.
- BP's 90/60.
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152. Let's start dopamine
at five mics per kilo.
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153. - How many kilos?
- You want a calculator?
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154. - What do you think, 275 pounds?
- Oh, I'll take the over.
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155. - Hey, were you looking for me?
- Yeah.
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156. Conni, start her at 750 mics.
Let me know how she does.
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157. You're gonna be fine.
We got it under control.
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158. As part of your workload...
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159. you'll teach patient/doctor
class to second-years.
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160. Patient/doctor class?
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161. Students practice H & Ps
on simulated patients.
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162. I remember. Bad actors pretended
like they were sick. I hated it.
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163. Yeah? Why is that?
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164. Because it's fake.
Everybody knows it's fake.
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165. It's a waste of time.
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166. Yeah. Well, starting tomorrow, you're
gonna learn to hate it all over again.
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167. It'll sharpen your teaching skills.
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168. Did Lucy give me a bad evaluation?
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169. Lucy gave you a fair evaluation.
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170. - I'll put the teaching guide in your box.
- Patient collapsed push-starting a car.
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171. Slurred speech and right-side weakness.
Resolved in 30 minutes.
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172. - Suggesting...?
- A T.I.A.
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173. Dr. Corday ordered doppler
ultrasound in his carotid arteries.
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174. - Which demonstrates what?
- A 50% lesion on the left side.
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175. This is a surgical candidate?
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176. - He's pretty old.
- How old?
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177. - He was push-starting a car.
- He claims not to know his age.
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178. Well, wasn't your Civil War
in the 1860s?
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179. According to Mr. Barnes,
he's roughly 140.
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180. - Elizabeth, is now a good time?
- I'm not sure.
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181. Ms. Knight and I can handle this.
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182. - Peter, 8:00.
- I don't know if I can make it.
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183. We need to compile
our sternal saw data by tomorrow.
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184. Mr. Barnes,
what are you doing out of bed?
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185. I asked you to call me Charley.
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186. You have to stay in your gown
so Dr. Benton can examine you.
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187. Is that you?
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188. I don't mean no disrespect.
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189. But when you get to be my age
and you loll around in bed...
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190. them rheumatoids kick in.
And pretty soon you can't move at all.
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191. Unfortunately, you have blockage
in your neck artery.
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192. - It puts you at risk for a stroke.
- No, no.
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193. I can't have that.
Too many people counting on me.
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194. Charley helps the older people
in his neighborhood.
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195. And the children. They need sitters,
those people working all day.
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196. Are you...
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197. - ... her teacher?
- At the moment.
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198. Then you know, you and I,
we have the responsibility...
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199. to pass on what life has taught us.
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200. Can you fix me up?
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201. Well, there is a surgical option.
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202. But I hesitate to use it on someone,
well, your age.
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203. You ain't ever seen a patient my age.
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204. You don't have to worry.
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205. I can't be killed
because I got a conjure on me.
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206. I don't know what that means.
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207. Of course you don't.
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208. Because you are a man of science.
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209. How else you gonna explain
my being alive at all?
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210. When every other body,
all the ones from slavery times...
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211. done died 50 and 60 years ago.
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212. Miss Knight, what would you suggest?
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213. I'd call a Psych consult.
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214. Is that the doc for loonies?
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215. Yes, sir. Yes, it is.
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216. He's outrageous. He can be tasteless.
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217. He certainly likes to throw
his weight around.
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218. So you can't corroborate
any instances of sexual harassment?
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219. It's a very American thing,
if I may say...
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220. this penchant for turning
personal issues into lawsuits.
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221. The hospital's hope, of course,
is for me as ombudsperson...
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222. to address problems
and avoid lawsuits.
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223. Look, one has to be thick-skinned
working around Dr. Romano.
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224. You roll with the punches, don't you?
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225. Whoever's complaining may be too
fragile to practice medicine at all.
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226. Her identity is confidential...
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227. until I can assess
if any action is warranted.
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228. It's a delicate business. Rarely do I hear
the kind of slam dunk...
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229. where Dr. So-and-So made
sexual advances. She declined.
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230. And then he either fired her
or cut her funds.
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231. Right.
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232. Kerry...
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233. is Robert aware of this complaint?
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234. He doesn't know who came to me.
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235. He could figure it out since I prevent
the parties from working together.
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236. I see.
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237. It's my fault.
I let it go on too long.
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238. It's not your fault.
I'm gonna start a line.
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239. - What's going on?
- Remember Ricky?
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240. He hasn't had a bowel movement
in three days. His temp spiked to 101.
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241. I let him get septic. I've always
been able to disimpact him.
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242. - You disimpact him at home?
- I usually use a glove and Vaseline.
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243. - The morphine's made him constipated.
- Why is he on morphine?
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244. He's having pain from contractures.
That's what I think.
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245. Ricky stopped speaking
about a week ago.
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246. - I'm sorry.
- He still opens his eyes sometimes.
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247. - Is the morphine working for the pain?
- I don't know.
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248. - Oh, God!
- It's all right. I've got it.
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249. I'm sorry.
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250. It's just...
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251. I know. I know.
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252. Everything he's been through...
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253. - ... I fall apart over this.
- It's okay.
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254. It's okay. I know.
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255. When we got to Michigan Avenue,
he just passed out.
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256. - How long ago did he hit his head?
- Four hours.
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257. He was fixing a floodlight over
our garage. The ladder slipped.
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258. But he seemed okay.
He just had a headache.
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259. When you have a head injury,
it's best to call the paramedics.
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260. - I did call.
- Paramedics didn't show up?
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261. No. They came, but Jim seemed okay.
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262. And then there was a fire somewhere
and they got called away.
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263. Jerry's gonna show you
where you can park your car.
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264. Jerry, I want you to call Dispatch.
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265. Find out which unit responded
to the Haggerty's call.
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266. Ricky's resting.
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267. His fever is due to an ear infection.
They're treating it with antibiotics.
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268. - Thank you, Carol, for everything.
- Oh, sure.
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269. Dr. Ross will be out to talk
to you about it.
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270. You always see me when I'm such
a wreck. I usually cope better.
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271. Well, sometimes coping too much
can drive you crazy.
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272. I meant to thank you.
The respite care has been wonderful.
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273. Oh, good. Did you get to your
daughter's recital?
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274. I had the worker come back another
time just so I could take a bath.
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275. - Good for you.
- Yeah. We had great news last week.
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276. My daughter's blood test came back.
She's not a carrier.
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277. - Oh, that's a relief.
- Thank God.
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278. She'll never do this to her kids.
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279. Joi.
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280. We'll keep him until
his fever comes down.
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281. I'll see you before you go, okay?
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282. Does this mean we have to reduce
Ricky's morphine to prevent this?
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283. That's one thing we could do.
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284. This was the hardest part
with Michael.
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285. I lost Ricky's older brother to ALD
three years ago.
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286. - Right.
- Now he can't tell me it hurts.
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287. Somehow it's worse
to see him suffering.
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288. I'll check. There may be something
we can do for the pain.
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289. - Okay.
- Okay.
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290. I'm in. Hyperventilate him.
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291. - BP 160/90. Pulse 60.
- Mannitol's in.
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292. Your husband has a blown pupil.
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293. I'm worried the bleeding in the skull
could be putting pressure on his brain.
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294. - CT's ready.
- We'll get a head CT to find out more.
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295. Take Mrs. Haggerty to Chairs.
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296. Chuny, call Neurosurgery down here
right away.
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297. - I was afraid you weren't joining us.
- I'm looking forward to it.
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298. You don't see a choledochojejunostomy
every day.
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299. When they shuffled the schedule,
I was afraid I was gonna miss out.
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300. Sorry about that. The Resident let
the patient eat, and we had to postpone.
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301. That's the problem sometimes
with Residents rotating in.
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302. They're not up to it or don't care.
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303. - Who was this Resident?
- Third-year from Emergency.
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304. - Doyle.
- Maggie Doyle?
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305. They think very highly of her. She's
being considered for Chief Resident.
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306. The pickings must be slim this year.
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307. I've always found her
to be extremely capable.
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308. I hear she makes a lot
of women uncomfortable.
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309. This is gonna be nifty.
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310. Stones in the common bile duct
distal to the sphincter of Oddi.
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311. No kidding?
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312. My whole team is tied up in the O.R.
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313. Someone needs
to scrub out and join us.
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314. - That's why you have to wait.
- Look at the size of the clot.
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315. It's compressing his brain.
Every second counts.
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316. Chuny, shave the scalp.
Malik, open the burr hole tray.
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317. You can't do burr holes in the ER.
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318. You're not giving me any choice.
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319. What size gloves do you take?
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320. I am not comfortable with this.
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321. We can't wait without
risking brain damage.
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322. I'll try again to get someone down.
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323. - Twelve blade.
- Pulse is down to 55.
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324. - Self-retaining retractor.
- This is a mistake.
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325. Pressure's up to 180/95.
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326. That's the Cushing response.
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327. It'll herniate unless
we relieve the pressure.
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328. Periosteal elevator.
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329. - My Chief can be down in 20 minutes.
- Too long.
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330. Hudson brace and perforator.
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331. I can see the skull fracture line.
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332. pH 7.51, PCO-2's 25,
PO-2's 350.
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333. That's what we want.
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334. Okay, I'm ready for the burr hole.
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335. Can't you wait a few minutes?
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336. Keep the irrigation coming.
I need to see what I'm doing.
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337. Please, not too deep.
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338. That's okay.
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339. I'm through the inner table.
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340. Hey, there's the clot.
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341. I need a dural suction catheter.
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342. Pulse up to 170.
BP's 140/70.
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343. - Pupils are equal.
- That's more like it.
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344. Wet sterile gauze.
Let's get him to the O.R.
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345. I'll alert the team.
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346. Tell them to take their time.
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347. Hey, Dr. Greene.
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348. Nice job.
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349. - You got time for a quick question?
- Yeah, sure.
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350. How do I account for a broken container
in the study?
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351. - One of the vials busted?
- Yeah.
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352. The powder spilled into the envelope.
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353. I'd just make a note of it.
Shouldn't be a problem.
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354. We don't have as many patients
as anticipated.
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355. We won't use all the samples.
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356. That's all I wanted to know.
You gonna make your lecture?
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357. The guy from NASA at the med school?
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358. Oh, right. I almost forgot.
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359. Mrs. Haggerty, your husband's been
stabilized and sent up to the O.R.
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360. - What?
- Jerry.
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361. Your husband has been sent up to
Surgery. Someone will take you up.
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362. I'll take her up.
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363. Dr. Greene stabilized your husband.
He's doing fine.
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364. Did you find out which paramedic
unit left him with a brain bleed?
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365. It was an engine company that went out.
Doris Pickman was the paramedic.
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366. - Oh, boy.
- The deputy chief will handle it.
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367. No. Listen, call Dispatch back
and tell them that I'm gonna follow up.
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368. Oh, and Jerry, if you put
that music back on, you're fired.
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369. I'm sorry it's taking so long.
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370. We put my fingertip on ice.
It'll be okay, right?
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371. It's a possibility we won't be able
to reattach. The surgeon will decide.
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372. - Hey. You're still waiting on Plastics?
- Yep.
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373. I called again.
They swore he's on his way.
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374. Did you find another candidate
for that fracture study?
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375. No. Just recording a broken container.
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376. - Is he a plastic surgeon?
- No. Sorry.
Copy !req
377. You want something to drink?
Copy !req
378. - My dad's getting me a Coke.
- Okay.
Copy !req
379. It shouldn't be that much longer now.
Copy !req
380. Did you find my son?
Copy !req
381. His office said he was out
on a sales call.
Copy !req
382. He's not picking up his cell phone.
We'll keep trying.
Copy !req
383. Thank you.
Copy !req
384. - Is the Zofran helping the nausea?
- No.
Copy !req
385. I'm gonna ask the docs to add Reglan.
Copy !req
386. Don't bother. They don't work.
Copy !req
387. Any chance you could wheel me outside
for some fresh air?
Copy !req
388. Mr. Ackerman...
Copy !req
389. I can't take you to smoke marijuana.
Maybe your son can help you.
Copy !req
390. - I'm really sorry.
- Don't be.
Copy !req
391. I'm probably not able
to inhale anyway.
Copy !req
392. The neuromuscular response
can be studied since...
Copy !req
393. there's no gravitational force
in the usual Z axis from head to toe.
Copy !req
394. Gentleman in the back.
Copy !req
395. What are the applications
of this study?
Copy !req
396. A loss of muscle tone in microgravity
is an issue...
Copy !req
397. that sci-fi movies
have largely ignored.
Copy !req
398. Cosmonauts who spent months
on Mir mission...
Copy !req
399. had to be carried
from the spacecraft on return.
Copy !req
400. I'd like to kick off the Q and A
with a question to you:
Copy !req
401. What interested you
in the astronaut program?
Copy !req
402. I ask because a lot of candidates
admit to childhood dreams...
Copy !req
403. of adventure...
Copy !req
404. the adrenaline of takeoff,
the vastness of space.
Copy !req
405. The doctor who just walked in,
would you respond?
Copy !req
406. Well, for me, it was
pretty much adventure.
Copy !req
407. The adrenaline of takeoff,
the vastness of outer space.
Copy !req
408. Thank you for your candor, Dr...?
Copy !req
409. - Mark Greene.
- Dr. Greene.
Copy !req
410. Doug Lowrey wanted me to look you up.
Copy !req
411. Dr. Greene may be joining us
as a payload specialist.
Copy !req
412. The real picture of your schedule,
should you make it...
Copy !req
413. is one of routine.
Copy !req
414. In training, you'll spend
a year repeating tasks...
Copy !req
415. following checklists,
adapting to a regimen.
Copy !req
416. Everything you do is dictated
by the ground crew.
Copy !req
417. You follow a precise
minute-to-minute itinerary.
Copy !req
418. I'm sorry to disturb you.
I didn't know what to do.
Copy !req
419. I screwed up bad. But the guy
seemed fine at the scene.
Copy !req
420. The engine got the fire call, the guys
were all so jazzed, I told the wife-
Copy !req
421. Doris, slow down.
Copy !req
422. - How's Mr. Haggerty?
- Epidural hematoma, but he's okay.
Copy !req
423. They pulled me off active duty.
They're doing an investigation.
Copy !req
424. He's worried about bad press.
Fire engine leaves an accident scene.
Copy !req
425. That's a medical error.
That's my call.
Copy !req
426. Maybe I was influenced by the
firefighters. They wanted to go.
Copy !req
427. That shouldn't cloud my judgment.
It'll ruin my record.
Copy !req
428. Doris, take a breath.
I'll see what I can do.
Copy !req
429. - Will you?
- I'll call the deputy chief now.
Copy !req
430. - Come on, doc.
- I'm not gonna do that.
Copy !req
431. You heard me. Roll up your sleeves.
Copy !req
432. I'm not gonna arm-wrestle
over surgery.
Copy !req
433. - Are you scared to?
- Yeah. Yeah. Yeah, I am.
Copy !req
434. Well, I want the surgery.
That's all there is to it.
Copy !req
435. And that one doctor calculated
that I was fit in the head.
Copy !req
436. Because you didn't mention
you thought you were at Appomattox.
Copy !req
437. But there was another doctor
who also said...
Copy !req
438. my FEV-1 was over 120 percent.
Copy !req
439. I think that's darn good.
Copy !req
440. They cleared you physically.
Copy !req
441. You're giving me that
second-rate pill idea.
Copy !req
442. You think the medical treatment
isn't convincing. I use my judgment.
Copy !req
443. Your judgment is to put your arm
next to mine, clasping my hand...
Copy !req
444. and we will arm-wrestle.
Copy !req
445. You will find out that old Charley's
not as weak and puny as you think.
Copy !req
446. I never said-
I don't think you're puny.
Copy !req
447. But you don't believe I can't die.
Copy !req
448. I don't believe that one either.
Copy !req
449. I'll give you something
you can believe.
Copy !req
450. - Put your elbow right here.
- Mr. Barnes, come on.
Copy !req
451. Listen, if you don't give a man
his measure of respect...
Copy !req
452. and you don't believe his history,
you're talking about a fight.
Copy !req
453. Oh, come on.
Don't make your elder beg.
Copy !req
454. Come on.
Copy !req
455. Go.
Copy !req
456. Dr. Benton?
Copy !req
457. There is an O.R. available.
Copy !req
458. Hey, don't humor me now.
Copy !req
459. Oh, boy.
Copy !req
460. You win.
Copy !req
461. You win. All right, go ahead.
Copy !req
462. Book the O.R.
Copy !req
463. It's a brand new policy
putting paramedics on fire trucks.
Copy !req
464. It'll take a while to work
the kinks out. I know Doris.
Copy !req
465. I work with her. She deserves
to be counseled, not put on a desk.
Copy !req
466. No, no, no. This is my job.
Copy !req
467. - Is Doug Ross around?
- Try Admit.
Copy !req
468. Deputy Chief Mead, please?
Mark Greene again.
Copy !req
469. - Doug.
- Heather, they let you out of the lab?
Copy !req
470. I make deliveries for some customers.
Copy !req
471. I got the toxicology results
on that powder you brought us.
Copy !req
472. Negative for codeine.
Copy !req
473. - Is that all you needed?
- That'll do it.
Copy !req
474. When I heard you hand-carried it,
I thought...
Copy !req
475. well, maybe you were back
on the market.
Copy !req
476. Me? No. I-
Copy !req
477. I called the HandiVan for the Abbotts.
Joi said you wanted a prescription.
Copy !req
478. - I'm on my way.
- Nice to see you.
Copy !req
479. - See you later.
- Ricky's temp is 98.8.
Copy !req
480. - Which is good.
- You know back there that was nothing?
Copy !req
481. Yeah, of course.
Copy !req
482. Hey, Kerry, I'm afraid Lynette
has appropriated the lounge.
Copy !req
483. The staff will have
to gossip someplace else.
Copy !req
484. You knew about it?
Copy !req
485. She showed me her proposal last week.
It's a good area for the clinic.
Copy !req
486. I know you can tell if he's cheating.
But some-
Copy !req
487. Your man don't take a shower
before he leaves...
Copy !req
488. but he does when he gets home?
Copy !req
489. He's cheating!
Copy !req
490. The number of partners you have...
Copy !req
491. and he has can put you
at risk for cervical cancer.
Copy !req
492. It can put you at risk
for being a damn fool too.
Copy !req
493. How young you were when you started
having sex and smoking are factors.
Copy !req
494. That's right. This is Carol Hathaway.
She runs the clinic here.
Copy !req
495. Nice to meet you all.
Copy !req
496. Oh, carry on. I think it's a really
important topic to be informed about.
Copy !req
497. Please feel free to come
see us at the clinic anytime.
Copy !req
498. Thanks, Carol.
Copy !req
499. My apologies. I'm Dr. Baker.
Copy !req
500. Jeanie Boulet. This is Donna.
Copy !req
501. - Her father should be back soon.
- This is the x-ray, Ms. Boulet?
Copy !req
502. I did a digital nerve block
with Marcaine.
Copy !req
503. Amputated the distal phalanx.
We'll rongeur and do a V-Yflap.
Copy !req
504. You can put it back on, right?
Copy !req
505. Not with a cut here. The blood vessels
are too small. Did you explain to her?
Copy !req
506. I told her it may be a possibility.
Copy !req
507. But you guys put arms
and stuff back on.
Copy !req
508. If you had cut your finger at
the base, we'd have bigger arteries.
Copy !req
509. We'll trim down the bone
and create a flap over the defect.
Copy !req
510. You mean I'll have a stump?
Copy !req
511. Maybe we should talk
to Donna's father.
Copy !req
512. Yes. If we can get a Trauma Room,
I'll do the procedure right away.
Copy !req
513. Don't worry. We'll make you
a small prosthetic tip.
Copy !req
514. I'm just saying oldies are played out.
Copy !req
515. - People like the classics.
- Not ones you can't dance to.
Copy !req
516. You're gonna lose them.
Copy !req
517. - Jerry, what is this?
- You wanted the rap turned off.
Copy !req
518. Actually, I said we need a desk
clerk here, not a DJ.
Copy !req
519. Fine. It's no more. Forever gone.
Copy !req
520. What possessed you to pick
that particular song?
Copy !req
521. I don't know. Just instinct.
I'm just going with the flow.
Copy !req
522. My mom used to play this album
when I was a kid.
Copy !req
523. It was always, like,
the ultimate freedom. You know?
Copy !req
524. Leave ground control behind
and float way.
Copy !req
525. - Escape.
- Yeah.
Copy !req
526. The folks in the Waiting Area wanna
know if you could put Bowie back on?
Copy !req
527. Jerry, do whatever you want, okay?
Just use your best judgment.
Copy !req
528. All right. Now, you give this to him
every six hours if needed.
Copy !req
529. You don't exceed four doses
in 24 hours.
Copy !req
530. Call me if it isn't working for him.
Watch your head.
Copy !req
531. Why didn't the genetics clinic
suggest this medication?
Copy !req
532. It's new. It's still part of a clinical trial
with kids with fractures.
Copy !req
533. Perfectly safe for Ricky.
It might give him some relief.
Copy !req
534. - Do I need to fill any of this out?
- I wouldn't bother.
Copy !req
535. He's not a candidate for the study.
Copy !req
536. Thank you.
Copy !req
537. Trauma 2 is open.
Can you assist me?
Copy !req
538. I insist on it. You blew by that
12-year-old girl...
Copy !req
539. like she was an annoyance
in your busy day.
Copy !req
540. You said there's a parent here
to give consent.
Copy !req
541. - Yes.
- Find him. I'll explain the procedure.
Copy !req
542. I'll do that.
Copy !req
543. I can't believe I get to scrub in
on my first day.
Copy !req
544. - That's the best way to learn.
- Masks?
Copy !req
545. Charley has a crowd
in the Waiting Room.
Copy !req
546. Does anyone know where he's from?
Copy !req
547. Been in the neighborhood for years.
Copy !req
548. That car he was push-starting?
Registration expired in 1956.
Copy !req
549. He had terrible stories.
Copy !req
550. The first two branches
of the internal carotid?
Copy !req
551. The ophthalmic artery
and the posterior communicating.
Copy !req
552. Okay, that's it. You're ready.
Let's go.
Copy !req
553. Gown and glove Miss Knight.
She doesn't know the ropes.
Copy !req
554. Just about to put him under.
Copy !req
555. Keep your hands in front of you. Don't
reach for anything unless you're told.
Copy !req
556. - What if I have an itch?
- Tell the nurse where it is.
Copy !req
557. What is that?
Copy !req
558. - Dr. Riggs?
- He's bradying down.
Copy !req
559. - Atropine.
- One milligram on board.
Copy !req
560. - Blood pressure's dropping.
- He's in V-fib.
Copy !req
561. - Grab the crash cart.
- I'm sterile!
Copy !req
562. It doesn't make a difference.
Copy !req
563. Amp of epi. Let's move.
Come on. Clear!
Copy !req
564. - Asystole.
- Start compressions.
Copy !req
565. - Epi and atropine on board.
- Right. What's the rhythm?
Copy !req
566. - Got an idioventricular rhythm.
- Faint pulse.
Copy !req
567. - Try to get a BP.
- Can he still have surgery?
Copy !req
568. No. Let's get him a room in the ICU.
Copy !req
569. Hey.
Copy !req
570. How long till spring?
Copy !req
571. - This is the shortest day of the year.
- That's December. We're past that.
Copy !req
572. I made up my mind.
I'm not going to Houston.
Copy !req
573. - Really?
- It's an old dream.
Copy !req
574. You fooled me.
I thought you were ready to blast off.
Copy !req
575. I realized I didn't wanna go.
Copy !req
576. I don't wanna go anywhere.
Copy !req
577. This is what I do.
This is where I belong.
Copy !req
578. Yeah.
Copy !req
579. Lost that old restlessness, huh?
Copy !req
580. I guess.
Copy !req
581. - Coming in?
- Yeah.
Copy !req
582. Come on in! It's cold!
Copy !req
583. You went out of your way
not to involve me.
Copy !req
584. - Why would I?
- You knew I would object.
Copy !req
585. - Object to what?
- All the women were African-American.
Copy !req
586. - Yeah.
- The clinic's for everyone.
Copy !req
587. - I didn't exclude anyone.
- Where did you advertise?
Copy !req
588. I have a special interest
in an underserved population...
Copy !req
589. that is particularly at risk.
Copy !req
590. - Latinos are even more at risk.
- Our death rate is higher.
Copy !req
591. Vietnamese women
have worse statistics.
Copy !req
592. To get women to consider changing
sexual habits, they need to feel open.
Copy !req
593. Women talk more freely
among their own.
Copy !req
594. We'll have to hold seminars
that target other populations.
Copy !req
595. Look, I did this on my own time
out of my own interests.
Copy !req
596. I understand that. But I can't
have you pulling against me.
Copy !req
597. If you want to work in the clinic,
adjust your project to include others.
Copy !req
598. Well, I guess you've given me
something to think about.
Copy !req
599. Couple more stitches
and the Yis closed. See?
Copy !req
600. What kind of music do you play, Donna?
Copy !req
601. Folk and classical.
Copy !req
602. Some rock.
Copy !req
603. Well, Ms. Boulet is right.
More 5-0 nylon, please.
Copy !req
604. A prosthetic will take
some getting used to.
Copy !req
605. But with time,
you'll be able to play just fine.
Copy !req
606. - What about computer games?
- You'll never be able to touch them.
Copy !req
607. Your dad paid me to say that.
Copy !req
608. - Cut, please, Jenny.
- It's Jeanie.
Copy !req
609. Sorry, Ms. Boulet.
Copy !req
610. - Honest. I owe you my first born.
- You do that and you're on a desk.
Copy !req
611. - Really, you saved my career.
- I gave you a chance to turn it around.
Copy !req
612. We'll work out a counseling
schedule next week, okay?
Copy !req
613. - Thanks.
- Where's Jerry?
Copy !req
614. - We're in between sets.
- I was taking requests.
Copy !req
615. - Hey, you off?
- Yeah. Why?
Copy !req
616. That guy in Exam 2
wanted to say goodbye.
Copy !req
617. Mr. Ackerman? Pancreatic cancer?
Copy !req
618. He's gonna have to stay the night.
Nobody can come until tomorrow.
Copy !req
619. Are you waiting for the health bus?
Copy !req
620. We're all loaded up. I just had
another question for Dr. Ross.
Copy !req
621. - Dr. Ross is in a meeting.
- Is there something I can do?
Copy !req
622. He gave some new medication to us.
Copy !req
623. I forgot to ask if it's all right
to take with Robaxin. My son has ALD.
Copy !req
624. He has a fracture?
Copy !req
625. No. But he was in pain.
Dr. Ross thought this might help.
Copy !req
626. Where's your study envelope?
Copy !req
627. - He said we didn't need to bother.
- Dr. Ross did?
Copy !req
628. Since my son isn't actually
a candidate for the trial.
Copy !req
629. I see.
Copy !req
630. I heard your son couldn't make it.
Copy !req
631. Okay.
Copy !req
632. You need this?
Copy !req
633. Please.
Copy !req
634. Never mind.
Copy !req
635. Oh, God!
Copy !req
636. Again?
Copy !req
637. - Hey, is Doug still upstairs?
- I don't know.
Copy !req
638. Well, I'm headed home.
Copy !req
639. Mark, what are you doing?
Copy !req
640. - Do you know about a boy with ALD?
- Ricky Abbott?
Copy !req
641. Why was he given meds
for the clinical trial?
Copy !req
642. He wasn't. Doug wouldn't do that.
Copy !req
643. Looks like he did.
Copy !req
644. Mark, talk to Doug.
I'm sure there's an explanation.
Copy !req
645. Yeah.
Copy !req
646. Ms. Boulet, I wanted to thank you
for assisting on the finger flap.
Copy !req
647. Not at all.
Copy !req
648. And for reminding me to take time
with our young patient.
Copy !req
649. I don't do well when I get behind
schedule. But that's no excuse.
Copy !req
650. - You were right, and I thank you.
- You're welcome.
Copy !req
651. I was wondering, would you join me...
Copy !req
652. - ... for the Art Institute this evening?
- This evening?
Copy !req
653. I realize it's short notice.
It may be interesting:
Copy !req
654. Raghubir Singh,
an Indian photographer.
Copy !req
655. I don't know much about art.
Copy !req
656. I don't care about art. I promised
my wife, who died a few years ago...
Copy !req
657. I'd keep our membership and not
become a Philistine without her.
Copy !req
658. I'm sorry to hear you lost your wife.
Copy !req
659. And my partner. Jenny and I had
a practice together for 15 years.
Copy !req
660. Her name was Jenny?
Copy !req
661. You're a sweet angel.
Copy !req
662. Called for a consult?
Copy !req
663. - Self-inflicted knife wounds.
- Quite a few of them.
Copy !req
664. - He gave me a suturing refresher.
- She's my angel.
Copy !req
665. That is not what he was calling me
before the Haldol.
Copy !req
666. No blood in the urine but these two
needed two-layer closures.
Copy !req
667. Good bowel sounds. Belly's soft.
Copy !req
668. I wanted to mention to you I have
been having a problem with Dr. Romano.
Copy !req
669. Yeah, Kerry spoke with me this morning
without actually saying it was you.
Copy !req
670. I'm sorry I didn't ask
before dragging your name in.
Copy !req
671. I don't think I can be of any help.
Copy !req
672. Well, no sign of any
intra-abdominal bleed.
Copy !req
673. He's got another one on his back.
We'll have to lift him.
Copy !req
674. I was hoping that Romano would cool it
if I confronted him.
Copy !req
675. Instead he threatened to blast me
on my evaluation.
Copy !req
676. - Got him?
- Yeah.
Copy !req
677. Dr. Romano can be volatile.
Copy !req
678. You mean he's a mean-spirited
little powermonger?
Copy !req
679. That too.
Well, the kidneys look fine as well.
Copy !req
680. Whores! Whores! I wanna die.
Copy !req
681. There's the Mr. Michaels
I know and love.
Copy !req
682. Look, Romano, he likes to push
things to the limit.
Copy !req
683. I guess he thought anything goes
with the gay chick.
Copy !req
684. I hope you're not going out
on a limb.
Copy !req
685. He's a star.
Copy !req
686. Self-respect's a bitch.
Copy !req
687. - Kerry, do you have a moment?
- Mark needs me. You're leaving?
Copy !req
688. - How about breakfast tomorrow?
- That's more than a minute.
Copy !req
689. I may have some things to add
to your inquiry.
Copy !req
690. - I'll call you. We'll set something up.
- Great.
Copy !req
691. There she is. Minnesota Fats.
Copy !req
692. - I was afraid I'd missed you.
- Hey, Reggie.
Copy !req
693. You'll give me a chance
to win my money back?
Copy !req
694. Playing pool two nights in a row
is bad luck.
Copy !req
695. It's bad luck to play against you.
Where'd you learn?
Copy !req
696. Signs of a misspent youth.
Copy !req
697. What do you say we go eat?
Copy !req
698. I already have plans for tonight.
Copy !req
699. Something a new friend
can barge in on?
Copy !req
700. Opening at the Art Institute.
Copy !req
701. Say no more.
I'll catch you on the weekend.
Copy !req
702. Okay.
Copy !req
703. I almost went straight to Anspaugh.
What the hell was Doug thinking?
Copy !req
704. If we were exposed for breaking
protocol on a federally funded trial-
Copy !req
705. They'd cut off research money
and Medicare payments for years.
Copy !req
706. Not to mention,
it's against the law.
Copy !req
707. They brought me the study.
Copy !req
708. I got him on board.
Copy !req
709. Mark, given the implications...
Copy !req
710. I don't think we have any choice
but to handle this internally.
Copy !req
711. Cover it up.
Copy !req
712. If Anspaugh finds out,
he has to react.
Copy !req
713. Nice position he put us in, huh?
Copy !req
714. Do you have the key
to the pain study cabinet?
Copy !req
715. Come in and take a seat.
Copy !req
716. Any changes?
Copy !req
717. Will he wake up?
Copy !req
718. What do you think?
Copy !req
719. His brain was deprived of a lot
of oxygen during the cardiac arrest.
Copy !req
720. Old folks don't usually come back with
full function after hypoxic insult.
Copy !req
721. It's a wait-and-see.
Copy !req
722. He could live like this for a while.
Copy !req
723. Forever. Well, according to him.
Copy !req
724. What's his Glasgow score?
Copy !req
725. An eight.
Copy !req
726. No spontaneous eye-opening.
Copy !req
727. No speaking.
Copy !req
728. Responds only to painful stimulus.
Copy !req
729. Excuse me.
Copy !req
730. I'm sorry. I just didn't expect this.
Copy !req
731. Well, neither did I.
Copy !req
732. Should I go tell his neighbors?
Copy !req
733. No. I'll do it.
Copy !req
734. Then to top it off, he goes...
Copy !req
735. to Kerry Weaver instead
of coming to me.
Copy !req
736. But you gave Joi the meds?
Copy !req
737. Mark said himself that he wasn't
gonna use all the samples.
Copy !req
738. - That's not the point, is it?
- What is the point?
Copy !req
739. That breaking research protocol
could damage the hospital's funding.
Copy !req
740. So you agree with them?
Copy !req
741. No, I see their point.
Copy !req
742. You know how sick he is?
Copy !req
743. Yeah, but that decision could have
a larger impact.
Copy !req
744. The hospital's only at risk if someone
goes out of their way to report me.
Copy !req
745. And believe me, it kills Kerry Weaver
not to be able to do that.
Copy !req
746. I don't know what to say.
Copy !req
747. Doug, don't walk away.
Copy !req
748. Doug.
Copy !req