1. ER
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2. Previously on ER:
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3. So four candidates, including me.
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4. Actually, you make it five.
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5. This hearing aid is expensive.
My insurance won't cover it.
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6. I said that we share everything
and I meant everything, okay?
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7. I practice my IVs on a mannequin.
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8. That's good.
But know when to ask for help.
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9. I want you to toast
the new Pedes ER Attending. Me.
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10. I have heard of foreign doctors who
were willing to start over as interns.
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11. If they amputate,
is it certain I'll live?
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12. "Vanishing Act"
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13. It looks like it's stopped two blocks.
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14. - Should we hoof it?
- I don't know.
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15. - Aren't you supposed to set policy?
- I'm here for the ride-along.
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16. - I hate one-way streets.
- This is nothing.
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17. I once responded to a call
from a Metallica concert.
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18. Try getting an anaphylactic headbanger
past "ten thousand maniacs. "
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19. The guy dropped some acid.
Started him "counting crows. "
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20. I have to live with this. You got
any pull with crew assignments?
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21. Can you get us assigned
to the med team at the Bears game?
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22. I don't do the scheduling, guys.
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23. You were almost my new best friend.
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24. Make way! Paramedics coming through!
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25. Hey, stand back! Stand back!
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26. Give us some room!
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27. Looks like a single-
Whoa! Whoa! Jeez!
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28. - It's Cujo!
- He's protecting his owner.
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29. - Okay, you open the door.
- Sir, can you hear me?
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30. - Is he breathing?
- His chest is moving.
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31. - You got any ideas?
- You're asking me?
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32. - Unit 57 to OCD, over.
- A little puppy Valium?
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33. We need Animal Control to 4th.
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34. A dog is barring access
to an MVA victim. Over.
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35. That'll take too long. Look.
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36. - He's right. We gotta get in.
- What do you suggest?
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37. - I've got a gun.
- I'll keep him busy.
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38. - You're kidding.
- We gotta assess him now.
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39. You're the boss.
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40. Hey, boy!
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41. Ready? One, two...
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42. three! Hey!
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43. - Got a pulse.
- Good breath sounds. Get a backboard.
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44. - You okay?
- Yeah, I just can't let go.
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45. - When was your last tetanus shot?
- 1992.
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46. - One booster coming right up.
- That's okay, I'll pass.
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47. - It could be worse, like rabies.
- I wouldn't rule it out.
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48. Think we'd notice the difference?
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49. - So how many interviews today?
- Two. You and one other.
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50. You know, I'm still interested...
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51. but I've decided just not to push
so hard. If I get it, I get it.
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52. - Good idea.
- What do you mean?
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53. I mean it's not a good idea
to get worked up over these things.
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54. - What happened?
- Long story.
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55. - Rachel's sleepover?
- Good guess. Thanks, Kerry.
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56. - What's going on?
- Graffiti guys went crazy last night.
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57. - You're on?
- I'm getting set up for tomorrow.
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58. Color-coordinated charts?
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59. Well, whoever said Doug Ross
isn't organized?
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60. - I did.
- Take it easy.
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61. Hey, Mark, don't Attendings pay
for Nurse's Night?
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62. Yeah. Now Doug can contribute.
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63. No, that's the ER.
I'm the Pedes ER.
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64. Well, Pedes needs nurses, right?
So I'm billing.
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65. Hey, get this, 19-year-old,
third pregnancy...
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66. says she doesn't know
how to use a condom.
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67. - So did you teach her?
- We're way past that.
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68. - I'm talking her into a Norplant.
- Are you sure?
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69. I'd tie her tubes myself if I could.
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70. If the drawbridge is up,
you can't storm the castle.
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71. - Excuse me?
- Try a diaphragm. They work.
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72. Oh, yeah? I wouldn't be too sure.
I'm three days late.
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73. What? What?
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74. These came from upstairs.
Letters of rec for chief.
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75. - Thank you.
- Okay, lift your sleeve.
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76. When did someone get tetanus
from a dog?
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77. Don't be a baby.
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78. - Nice suit, Dr. Weaver.
- Thank you.
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79. - I didn't know you read Cosmo.
- Excuse me?
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80. Last month's article
on the power suit.
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81. I guess I missed that one.
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82. Are you sure?
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83. I mean, you nailed it,
down to the accessories.
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84. - So how long have you been on?
- Oh, just now.
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85. - Who's your Resident?
- I suppose I'll find out in a minute.
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86. Why? Did you vie for me?
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87. You're too much for me to handle.
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88. Hopefully, whoever I get
feels the same way.
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89. No, I suspect I'll be sidelined
as a consultant more than anything.
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90. Hey, do me a favor.
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91. Reach in his bag and hand me
his hearing aid.
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92. It's in the black case.
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93. - Is he having trouble with these?
- No.
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94. - So why are you putting them on now?
- I was running late.
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95. - Peter, have you not told everyone?
- T old who?
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96. I don't have time for a whole bunch
of repetitive questions and sympathy.
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97. Are you sure that's it?
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98. - My son is deaf. I know that, okay?
- Okay. Okay.
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99. Wish me luck.
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100. Jeff Whitcher, 38-year-old magician,
inhaled flash powder.
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101. What happened? Trap door didn't open?
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102. More complicated.
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103. Short of breath and tachypneic,
respiratory rate is 28.
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104. No previous history
of respiratory illness...
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105. or inhalation of toxic substances.
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106. - What's in flash powder?
- Sorry. T rade secret.
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107. Lycopodium with potassium nitrate.
I looked it up on the Internet.
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108. Pulse ox is borderline, 91.
No cyanosis.
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109. - Are you a smoker?
- Occasional.
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110. Occupational hazard.
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111. - You can't smoke that here!
- I wasn't planning to.
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112. - What do you want to do?
- Get a blood gas and check a PO2.
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113. You get to learn a new procedure.
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114. I happen to have
a blood gas kit here.
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115. - Hey, pretty good, doc.
- Trade secret.
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116. - Can you get a cup of ice, please?
- Sure.
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117. - We're out of gloves.
- Try your pocket.
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118. How did you do that?
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119. It's not what they see,
it's what they think they see.
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120. - You didn't even move.
- Lucy.
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121. The blood gas. This one you watch.
Next one you do.
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122. Don't panic. It's a couple of days.
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123. - You said three days.
- Two, three, whatever.
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124. You said you were regular
as a Swiss watch.
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125. Yeah. I'm regular, not a machine.
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126. You gonna do a pregnancy test?
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127. - You're really sweating this.
- Aren't you? A little?
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128. - I don't feel pregnant.
- Have you been pregnant before?
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129. I shouldn't have said anything.
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130. - What's up?
- Syncope. Fourth episode.
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131. - Seizure?
- I don't think so.
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132. You want to use the Pedes room?
No waiting.
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133. Here we go. Okay.
Hey, what's this? Hey!
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134. Could be Carter's.
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135. - Carter! Is this your body in here?
- Yeah, sorry.
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136. - Transport's slow. Need the room?
- Yeah.
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137. Give me a hand.
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138. - I thought the Pedes ER was closed.
- Don't leave your stiffs in here.
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139. Take him to the morgue. We've been
waiting on a transfer for hours.
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140. - This "the" Prince Albert?
- Who?
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141. His ding-dong's pierced.
He has a diamond.
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142. A diamond in his penis?
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143. Haleh said it was tricky getting
in the Foley.
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144. - Want to peek?
- I've seen one.
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145. - I bet.
- Hey, watch it.
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146. It's your lucky day.
It seems I'm your intern.
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147. - You missed rounds.
- It's the first day.
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148. I wasn't sure how this would work.
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149. You need to be here at 5 a. m. sharp.
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150. I hope you don't expect
special treatment.
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151. I don't know what you've been told.
This is more of a formality.
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152. Maybe for you.
You're the only intern I have.
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153. Finish pre-rounding before 6.
I need all the vitals.
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154. T- max, mental status, I's and O's.
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155. After rounds, check the labs
and run down all x-rays.
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156. Go over the x-rays yourself.
Don't trust the radiologist.
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157. Buff the electrolytes as needed.
You take all floor calls.
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158. If we have clinic that day,
you do H and P's.
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159. And, of course, all pre-op orders:
CBC, lytes, UA, EKG, PT.
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160. I know how to pre-op a patient,
thank you.
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161. Good. If surgery's canceled
because you miss a lab, it's your ass.
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162. We'll start with Mr. Anderson.
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163. I reduced his O2.
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164. Redraw an ABG in 30 minutes.
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165. Monitor urine output Q one hour.
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166. Advance drains on beds three and five.
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167. One, two and six need
wet-to-dry dressing changes.
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168. You're serious?
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169. This is how it works.
As third-year, I'm busy operating.
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170. This stuff is not my job. But the
scut has to be done, by an intern.
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171. I have three cases today. If you
finish, you can scrub in for one.
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172. Oh, and this is for you.
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173. Interns wear short coats.
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174. Hold the elevator! Hold it!
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175. - Are you all right?
- I said, hold the elevator!
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176. Where are we?
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177. We got multiple stab wounds
to the extremities.
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178. One in the forearm and chest.
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179. BP's 120/75. Pulse ox 99.
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180. - Did the guy have friends?
- Lungs are clear.
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181. Four plus right radial
and ulnar pulses.
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182. - What's your name?
- Bo.
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183. Bo, we'll take care of you.
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184. You're very lucky.
The chest wound is superficial.
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185. Bo, do this with your hand.
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186. How about a car, Bo?
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187. Spread your fingers.
Don't let me close them.
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188. I'm tired of this game.
Tell me who it was.
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189. - Does he have to be here?
- Can you wait outside?
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190. You were stabbed in daylight.
You didn't see anything?
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191. You know what? Wait outside.
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192. Okay, let's roll him.
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193. - He'll try to settle this on his own.
- Now we have to treat him.
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194. You know what? Forget it.
Have it your way.
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195. You could've pressed
that hold button.
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196. Damn, these elevators are slow.
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197. I'm gonna catch that lunch traffic.
I know it!
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198. - Do you drive?
- Do I?
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199. My son used to have one of those.
Gave him a heart attack.
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200. - Nothing but stress.
- Come on, come on.
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201. No, I didn't watch the whole thing.
The part I saw looked benign.
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202. It was my fault. Sorry.
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203. - Well, you did. Thanks.
- Problem?
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204. Did you know that Romeo and Juliet
is PG-13?
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205. - I wasn't aware of it.
- It is.
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206. I showed it at Rachel's slumber party.
Now all the mothers are calling me.
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207. Elizabeth. Elizabeth!
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208. Can you come take a look
at a pulseless foot?
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209. I've been waiting 40 minutes
for a surgical consult.
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210. Normally, I would.
But I'm only an intern.
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211. I can't believe it.
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212. I don't want to believe it.
I already have five admissions.
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213. Lab turnaround time is pathetic.
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214. And Radiology already lost
three of my films.
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215. Dale has me sitting
for a bleeding time...
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216. on your Ewing's sarcoma amputation.
Waste of time.
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217. - Dana Ellis?
- She doesn't have a clotting problem.
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218. - Is that today?
- Yes, surgery's at 4 p. m.
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219. Five minutes. 54-year-old male,
peripheral vascular disease...
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220. calf pain at rest.
I'm thinking arterial thrombosis.
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221. - Did you get a Doppler pulse?
- Yeah.
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222. Mr. Darcy, this is Dr. Corday,
our Surgical Resident.
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223. How long will this keep me down?
I choreograph a video next week.
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224. Let me examine you,
and I'll have a clearer idea.
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225. - Are you a smoker?
- What's that got to do with my leg?
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226. - Is this the Vascular consult?
- I asked Dr. Corday to examine.
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227. I'll take over.
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228. Did you get the labs
on the perfed diverticulum?
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229. They're not ready yet.
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230. Better sit on them.
You know Romano. Gotta start on time.
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231. Of course.
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232. Come on.
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233. - Lucy?
- What?
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234. - Is something wrong?
- No.
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235. Can you work up
this guy with vertigo for me?
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236. You know how to check
for cerebellar function?
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237. Find me when you're done.
We'll discuss the differential.
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238. Got it.
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239. - What's the extension for the morgue?
- 5001. See this guy?
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240. He's looking for Dr. Carter.
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241. - Can I help you?
- Yeah. My brother died last night.
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242. They gave me his valuables.
Something's missing.
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243. - I need to get some jewelry off him.
- Oh, right! Right!
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244. - Your brother's down in the morgue.
- Last name Naughton?
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245. Definitely down in the morgue.
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246. - Can you tell me how to get there?
- Yeah. No.
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247. They don't allow family down there.
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248. It's... They make you wait.
It takes forever.
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249. It's chilly.
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250. You know what I'm gonna do?
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251. I'm gonna go down there and get it.
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252. Your brother. And bring
your brother up here.
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253. - Great. That'd be great. Thank you.
- Don't mention it.
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254. - What are you doing here?
- Checking in on you.
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255. How you feeling?
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256. Well, they're chopping my leg off.
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257. - Your decision?
- You could call it that.
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258. I wouldn't have had a say at all
if it wasn't for you.
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259. You gotta go with the odds, right?
You scared?
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260. I thought, "Okay, I'll just
get used to it. " But...
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261. In pain?
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262. A little.
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263. I'll tell them
to increase the dosage.
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264. That's okay.
I sort of like to feel it.
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265. It'll be gone in a few hours.
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266. - Hello, Mr. Ellis.
- What's going on?
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267. I came to check in on Dana.
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268. She's being taken care of. Thank you.
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269. I wanted to talk to you
about her pain.
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270. Dana's having surgery in a few hours.
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271. If you don't mind, Dr. Romano is gonna
handle everything from here.
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272. Okay.
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273. Excuse me.
Are you in charge of transport?
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274. Depends who's asking.
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275. I know this sounds weird.
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276. I was wondering if you
by any chance found a body?
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277. Transport!
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278. Yeah, what floor? Okay.
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279. I don't know. Half-hour.
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280. Damn!
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281. - What did you want?
- I lost a body.
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282. - Did you try to move it yourself?
- You guys were taking so long.
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283. - What was I supposed to do?
- It's our fault?
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284. No, it's not your fault.
I just want to find the body.
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285. I'll call the morgue.
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286. - I checked. He's not there.
- Yo, Gerald!
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287. Yo, it's Tony.
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288. Have any unclaimed bodies?
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289. Yeah, she's here now.
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290. Hold on, I'll ask. Would this body
fit down the incinerator chute?
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291. The incinerator?
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292. Yeah, that got her.
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293. Yo, thanks, G.
Okay, I'll be right down.
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294. You're in luck. Someone stuffed some
fat stiff in the closet of the ICU.
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295. - Why? Why do you have to go?
- I just gotta.
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296. Well, what's the hurry?
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297. - The doctor said it's okay.
- It will be okay.
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298. He has to stitch it up first.
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299. Besides, I like having you around.
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300. There's not very many interesting
people here today.
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301. So maybe I'll come back.
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302. You've gotta help me out.
You'll get me in trouble.
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303. I'll write you a note.
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304. Besides, you do not want
to get that infected.
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305. Just a few minutes. I'll get
a doctor. We'll take care of it.
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306. - All right.
- Good.
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307. - Lynette?
- Yeah?
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308. - Could you get his mother for me?
- He's 18.
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309. He got stabbed. I'm afraid
he'll bolt to settle the score.
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310. - Mark!
- Yeah. Hold on a minute.
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311. - You admitting that thrombosis?
- He's got a high-grade lesion.
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312. - You taking him up?
- I need to present him to Romano.
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313. We'll bring the team.
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314. - When?
- As soon as I can.
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315. Can you stitch Bo? He's antsy.
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316. I'll be right there.
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317. Can you clear this neck for me?
He looks okay.
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318. I ordered a trauma panel.
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319. - Sure. You got it.
- Thank you.
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320. - How are we doing?
- Vitals are normal.
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321. I'm fine.
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322. - Did you lose consciousness?
- No.
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323. This really isn't necessary.
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324. - Any chest or abdominal pain?
- Can I go home?
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325. We need to get an x-ray
of your neck first.
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326. - Have you ever had hepatitis?
- I don't think so. Why?
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327. Your eyes are a little yellow.
On any medication?
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328. - Prednisone, cyclosporine, Imuran.
- Those are transplant meds.
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329. Well, I had a new liver two years ago.
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330. Okay. Let's get a ProTime,
LFT s and a cyclosporine level.
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331. - Something's wrong?
- Doctor! Doctor!
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332. One minute. You're jaundiced.
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333. - I can go see my doctor.
- We need to do those tests now.
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334. I'll be back.
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335. - Here you go, Jeanie.
- Thanks.
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336. - This is her card.
- Rosa Munoz.
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337. That's social security card.
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338. She said her name was Carmen.
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339. - And your name?
- Luisa.
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340. - Her sister?
- Cousins.
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341. I understand you're concerned.
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342. This would be fraud.
It doesn't matter if he's illegal.
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343. No, that's her number.
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344. - This is your card.
- No.
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345. She say that he need a special doctor?
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346. There could be a problem
with Angel's heart.
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347. Please take this number.
Other hospital no take him-
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348. We're a county hospital.
We treat all emergencies.
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349. - True?
- True.
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350. When we're short on beds, we
stick the bodies in the storage room.
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351. - Why didn't you call us?
- We did.
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352. - Guys, I gotta get back.
- You want to take him back?
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353. - He's black.
- Is that a problem?
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354. Dana Ellis. What about her?
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355. - I'm worried about phantom limb pain.
- Don't be. She's on morphine.
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356. That won't do it. I want her
on a preemptive analgesia...
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357. to rewire the motor nerves.
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358. She's still your patient?
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359. Dr. Greene's on line 3, waiting
on a consult for an ischemic leg.
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360. - Does he have a pulse by Doppler?
- I'll check.
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361. It's a simple lumbar epidural.
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362. It'll put the surgery off a few days.
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363. One night course does not
a pain management specialist make.
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364. The patient has a Doppler pulse.
Dr. Greene wants an ET A.
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365. - When I get there!
- There's no reason not to try.
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366. I don't know that she's
psychologically ready.
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367. Three days won't make much difference.
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368. - How's that new intern working out?
- She'll get the hang of it.
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369. Let her scrub in.
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370. - I'm gonna talk to the family.
- No, you're not!
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371. That girl has a cancer
that could spread very rapidly.
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372. I won't sit idly by and watch you
experiment with a technique you read!
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373. - Dr. Romano?
- What?
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374. You should talk to Greene.
He wants something definitive.
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375. If the guy has calf pain, tell him
to do an ultrasound. Don't go!
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376. Rule out DVT. That'll shut him up.
Leave it alone!
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377. I have to go upstairs
to this interview.
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378. Will you page me when Romano
graces us with his presence?
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379. - Don't hold your breath.
- You'll tear your stitches!
Copy !req
380. Let me out! I gotta go!
Copy !req
381. So you can get the guy that did this?
Copy !req
382. - What's going on?
- Bo here wants to retaliate.
Copy !req
383. You said the doc would stitch me up
and I could go.
Copy !req
384. - We want you to be safe, Bo.
- Save it, lady.
Copy !req
385. Look, thanks for fixing me!
I'm going.
Copy !req
386. If you want me to sign, I'll sign.
Copy !req
387. You'll rip your vein open.
I don't want you bleeding.
Copy !req
388. - Then take it out.
- You want to leave that bad, fine.
Copy !req
389. Let me get the right instrument.
Copy !req
390. You can go about your business.
Copy !req
391. Please, wait here. Wait one minute.
I'll be right back.
Copy !req
392. - What's going on?
- He can't leave.
Copy !req
393. - When's the mother getting here?
- I haven't reached her.
Copy !req
394. - I'm calling Psych.
- He'll be gone by then.
Copy !req
395. - What is that?
- Versed.
Copy !req
396. I have to sedate him
until the mother gets here.
Copy !req
397. That might be an option
if it wasn't unethical.
Copy !req
398. - Not with someone's life at stake.
- You can't restrain him with drugs.
Copy !req
399. He was agitated. To finish
the treatment, we had to sedate him.
Copy !req
400. Security can keep him down here
until Psych puts him on a hold.
Copy !req
401. They'll have to prove
that he's a danger to others.
Copy !req
402. - He knows the system. He'll lie.
- Maybe we'll find his mother.
Copy !req
403. - I'm gonna make sure.
- Not with that.
Copy !req
404. - You have a better idea?
- I'll handle it.
Copy !req
405. You know what he'll do if you don't.
Copy !req
406. I understand your motive.
I know I asked for your help.
Copy !req
407. Why don't you stick with the clinic
patients? Leave the ER ones to me.
Copy !req
408. Good luck.
Copy !req
409. It don't matter what I do.
It's my business.
Copy !req
410. I don't want you here again,
maybe dead.
Copy !req
411. If it goes down like that, it does.
Wouldn't be the first time.
Copy !req
412. You don't mean that.
Copy !req
413. Yo, what's the rent-a-cop doing here?
Copy !req
414. So you can talk to somebody.
Copy !req
415. - I trusted you!
- I'm trying to help you.
Copy !req
416. Save it! I ain't talking to nobody.
Copy !req
417. We'll wait until your mom gets here.
Copy !req
418. - My mom? You called my mom?
- I'll be right back.
Copy !req
419. Don't let him leave.
Copy !req
420. Pay attention, Dale. Peter's one
of our fastest colon dissectors...
Copy !req
421. now that Lizzie's gun's
in the holster.
Copy !req
422. We've got an open abdomen, people.
Let's turn up the heat, please.
Copy !req
423. Elizabeth, would you retract
the descending colon?
Copy !req
424. My pleasure.
Copy !req
425. Actually, Dale, why don't you retract
and bovie and give Lizzie the sucker?
Copy !req
426. Right. Lizzie, suck out
this oozing area, would you?
Copy !req
427. If you don't mind, I don't care
for being called Lizzie.
Copy !req
428. Really? Dr. Romano calls you that.
Copy !req
429. - Dale, what structure am I dissecting?
- llioinguinal nerve.
Copy !req
430. Elizabeth, would you help him out?
Copy !req
431. Owing to the slight peristalsis,
it's obviously the left ureter.
Copy !req
432. Better get faster
with that suction, Lizzie.
Copy !req
433. I freed the sigmoid.
Copy !req
434. Elizabeth, ligate the proximal
side while I clamp the vessels.
Copy !req
435. - Certainly.
- Dale, move over and start irrigating.
Copy !req
436. I prefer Dale do any ligating.
Copy !req
437. Just as soon as we finish
the mesenteric vessels.
Copy !req
438. Sorry to bother you, Dr. Romano.
Dr. Greene is calling again.
Copy !req
439. Lizzie, I think you
just contaminated yourself.
Copy !req
440. - I did not.
- Better be safe. Change gowns.
Copy !req
441. - I didn't contaminate myself.
- I saw it. She's clean.
Copy !req
442. - Thank you.
- So don't pick on her.
Copy !req
443. Lizzie, scrub out
and go pacify Greene, would you?
Copy !req
444. - You're still here?
- Yeah.
Copy !req
445. You're putting a lot of effort into
this Pedes ER. I'll give you that.
Copy !req
446. - I'll take it.
- Hey, guys.
Copy !req
447. This is our new Pedes ER Attending
and full-time delivery boy, Doug Ross.
Copy !req
448. - What do you got for us?
- You're cut off.
Copy !req
449. This is Claudia Olson.
Copy !req
450. She's a candidate for the new
Chief of Emergency Medicine.
Copy !req
451. - A masochist?
- Y eah.
Copy !req
452. - Good luck.
- Thanks.
Copy !req
453. - Kerry Weaver.
- The Interim Chief?
Copy !req
454. Yeah. It's nice to meet you.
Copy !req
455. You're interviewing today as well?
Copy !req
456. How did you guess?
Copy !req
457. Well, at least I got to go first.
It was nice to meet you.
Copy !req
458. You too.
Copy !req
459. It could be hepatitis.
Copy !req
460. But our major concern is
that you're rejecting the liver.
Copy !req
461. Well, I feel fine. A little tired.
Copy !req
462. Do you ever forget to take your meds?
Copy !req
463. No. I set my watch daily.
Copy !req
464. My cyclosporine level's therapeutic,
isn't it?
Copy !req
465. We should arrange for a liver biopsy.
Copy !req
466. If it's all the same to you,
I would rather see my own doctor.
Copy !req
467. I understand. He hasn't said
anything about your abnormal LFT s?
Copy !req
468. I got busy, missed a couple
of checkups.
Copy !req
469. You know how important follow-ups
are after organ transplantation.
Copy !req
470. I think part of me always suspected
but didn't want to know for sure.
Copy !req
471. Now I do.
Copy !req
472. You can put yourself
on the UNOS list again.
Copy !req
473. I don't think so.
It's the second time around.
Copy !req
474. You qualified the first time.
You could get lucky again.
Copy !req
475. - Do you have the Munoz kid?
- I do, yes.
Copy !req
476. Excuse me one more time. Excuse me.
Copy !req
477. - Is it cardiomyopathy?
- He needs a full EP workup.
Copy !req
478. Did he have an ectopy?
Copy !req
479. The echo ruled out
an outlet obstruction.
Copy !req
480. The cause of his fainting?
Copy !req
481. - It's probably arrhythmia.
- Arrhythmia.
Copy !req
482. I'm going to try to induce it
in a cath lab.
Copy !req
483. If so, he'll need an internal
cardioverter defibrillator.
Copy !req
484. - I'm glad we caught it.
- I'll call the surgeon.
Copy !req
485. - Can you get consent?
- Sure. Thank you.
Copy !req
486. Don't thank me. The kid needs it.
Copy !req
487. - It's about time. Where's Romano?
- Just me, I'm afraid.
Copy !req
488. So can you admit him?
Copy !req
489. Based on my responsibilities,
I'd say no.
Copy !req
490. - So you're here to stall me.
- Something like that.
Copy !req
491. I'll pass him through Radiology.
He needs an angiogram.
Copy !req
492. Tell Romano you only bought
him 20 minutes.
Copy !req
493. Don't leave him long. Radiologists
have a way of snatching...
Copy !req
494. the procedures if the surgeons
are slow on the uptake.
Copy !req
495. Noted. Thank you. Jeanie.
Copy !req
496. - Here's the BA on your MVA.
- On who?
Copy !req
497. - Lipson, Trauma 2.
- I didn't order a BA.
Copy !req
498. I did. It's part of the trauma panel.
Randi put it in my box.
Copy !req
499. - Something wrong?
- Blood alcohol's. 04.
Copy !req
500. - That's below the limit.
- It means he drinks.
Copy !req
501. I finished my write-up on the vertigo.
Copy !req
502. - And I got you coffee.
- You don't need to do that.
Copy !req
503. I was in the cafeteria looking
for something.
Copy !req
504. All right, thanks.
Copy !req
505. Why don't you start the IV on the
4- year-old with the gastroenteritis.
Copy !req
506. 300 cc bolus of saline.
Be careful, she's dehydrated.
Copy !req
507. - Could be tricky.
- Right.
Copy !req
508. - Thanks a lot. I feel so much better.
- Glad to hear it.
Copy !req
509. Call me if you'd like
some free tickets to my show.
Copy !req
510. - Are you okay?
- How'd that get there?
Copy !req
511. There you go. I didn't want
things disappearing on you.
Copy !req
512. Hey, you haven't by any chance
seen a body-
Copy !req
513. Carol, could you help me start an IV?
Copy !req
514. She's dehydrated.
I don't want to hurt her.
Copy !req
515. - Have you tried?
- Not yet.
Copy !req
516. - So you haven't even started an IV?
- Honestly, no.
Copy !req
517. This is ridiculous.
Everyone thinks you can.
Copy !req
518. - I'll talk to Dr. Carter today.
- If you don't, I will.
Copy !req
519. Hey! Hey!
Copy !req
520. - What happened?
- He took off.
Copy !req
521. - You were supposed to stop him.
- There was no talking him down.
Copy !req
522. You weren't supposed to negotiate,
just stop him.
Copy !req
523. - I can't keep him without the hold.
- He didn't know that!
Copy !req
524. - Sorry.
- Oh, God!
Copy !req
525. Hold still.
I'm gonna secure this catheter.
Copy !req
526. You're doing great.
Copy !req
527. - How much longer?
- A little bit. Just a second here.
Copy !req
528. Roll back over on your back, okay?
Nice and easy. There you go.
Copy !req
529. - How long does it take to work?
- 20 minutes for the full effect.
Copy !req
530. You'll start feeling things soon.
Copy !req
531. I'm gonna put you on a six-day cycle.
That's three days before the surgery.
Copy !req
532. And three days after for the drug.
Copy !req
533. - Dr. Romano.
- Dr. Ross. Hey, Dana.
Copy !req
534. - I decided I wanted the epidural.
- You did?
Copy !req
535. You were in surgery,
so I explained the protocol.
Copy !req
536. - The parents?
- They're on board.
Copy !req
537. - Terrific. You got a second?
- Sure.
Copy !req
538. Be right back. You did great.
Copy !req
539. Congratulations.
You postponed the surgery.
Copy !req
540. You didn't leave me any options.
Copy !req
541. Pedes Attending barely happened.
Copy !req
542. I thought, "The guy's a maverick.
Good to shake things up. "
Copy !req
543. If you want to play John Wayne,
do it in the ER, not with my patients.
Copy !req
544. This girl is
in a very vulnerable place.
Copy !req
545. This is not about being right.
Copy !req
546. Hell, we all think we're right.
Doesn't make you special.
Copy !req
547. Fine.
Copy !req
548. Did you give the kid the cheeseburger
before or after the parents agreed?
Copy !req
549. Thought I might need 24 hours
to talk them into it.
Copy !req
550. - Do you know what you're doing?
- Hold on. Let me get a smaller gauge.
Copy !req
551. - Oh, hey! You.
- Hi.
Copy !req
552. I have been looking for you.
You forget about me?
Copy !req
553. Well, no,
I didn't forget about you.
Copy !req
554. - I've been waiting for three hours.
- Okay, I went to the morgue.
Copy !req
555. - Me too. He's not there anymore.
- No, he isn't.
Copy !req
556. - So where did you put him?
- I don't know how to...
Copy !req
557. How to what?
Copy !req
558. How to tell you...
Copy !req
559. how sorry I am about your loss.
Copy !req
560. Thank you. But where did you put him?
Copy !req
561. - Where did I put him?
- You don't remember.
Copy !req
562. Of course I remember.
I couldn't find you.
Copy !req
563. I got very busy here.
So I put your brother...
Copy !req
564. Where did I put him?
Copy !req
565. Radiology. I put him in Radiology.
Copy !req
566. But he was kind of in the way there...
Copy !req
567. so I left him...
Copy !req
568. here in the hall. I'm sorry.
Copy !req
569. No problem. I can't believe
I didn't see him there.
Copy !req
570. He's easy to miss.
Copy !req
571. - What's wrong?
- There aren't any pregnancy tests.
Copy !req
572. - How could we be out of them?
- I don't do inventory.
Copy !req
573. It wasn't an accusation.
Copy !req
574. - What is that all about?
- What?
Copy !req
575. The scarf. Where'd you get it?
Copy !req
576. I got it at the gift shop.
You don't think it works?
Copy !req
577. - What about your jacket?
- I wanted something different.
Copy !req
578. Lose the earrings.
It throws the whole thing off.
Copy !req
579. - Carol. Carol.
- No, no. I can get it.
Copy !req
580. I can't have students
starting IVs on kids.
Copy !req
581. - Can you do it for me?
- Sure.
Copy !req
582. - Is there a problem?
- No.
Copy !req
583. I just want experienced staff
starting IVs on kids.
Copy !req
584. - This is a teaching hospital.
- Not when pain's inflicted on kids.
Copy !req
585. - Lucy's great.
- It's not about Lucy.
Copy !req
586. - It's a policy I'm setting.
- You're setting a policy.
Copy !req
587. Well, first time for everything.
Copy !req
588. I'd be in a hurry
to get out of here too.
Copy !req
589. What?
Copy !req
590. We found out why your liver's failing.
You've been drinking.
Copy !req
591. You're not gonna believe me.
Copy !req
592. One time.
Copy !req
593. I don't believe you.
I checked with UNOS.
Copy !req
594. You've been on the list
for another transplant for two months.
Copy !req
595. - Did you tell them?
- Did I tell them what?
Copy !req
596. That you drank through the first one
and you want another?
Copy !req
597. It wasn't like that. It was today.
Copy !req
598. My son passed his bar examination.
Copy !req
599. I knew I was rejecting,
so I figured what could it hurt?
Copy !req
600. We had champagne at brunch.
That's it.
Copy !req
601. You've been lying
ever since you came in here.
Copy !req
602. Please. You can't tell UNOS.
Copy !req
603. I don't have a choice.
Copy !req
604. You're doing this
to me over one glass of champagne?
Copy !req
605. There are people on that list
who haven't had any champagne.
Copy !req
606. If I lose my place,
I won't last six months.
Copy !req
607. You report me, I'm dead.
Copy !req
608. I'm begging you.
Copy !req
609. Sorry I'm late. There was traffic.
Copy !req
610. You take the El.
Copy !req
611. - Who's on?
- Weaver.
Copy !req
612. She's interviewing
for Chief of Emergency Medicine.
Copy !req
613. - I thought she was Chief.
- Where have you been?
Copy !req
614. - Dr. Greene?
- He's upstairs interviewing her.
Copy !req
615. - So we have no Attendings.
- Watch it, Jerry.
Copy !req
616. Sorry, Dr. Ross. Is he an Attending?
Copy !req
617. Normally I wouldn't say anything.
Copy !req
618. But don't you think that attire
is a little inappropriate?
Copy !req
619. It's business.
I was helping out Dr. Weaver.
Copy !req
620. Great job, Kerry.
We'd be lucky to have you.
Copy !req
621. It was a formality.
Thanks for coming.
Copy !req
622. I appreciate the opportunity.
Copy !req
623. Your presentation
was everything we expected.
Copy !req
624. - Thank you.
- I'll walk you down.
Copy !req
625. It went great, Kerry.
Copy !req
626. - The pie charts weren't too much?
- Charts are good.
Copy !req
627. - Did anybody else use them?
- You were the first.
Copy !req
628. - If I came across as too eager-
- No, it went terrific.
Copy !req
629. Thank you, Mark.
Copy !req
630. I never know how to answer
that question about my weaknesses.
Copy !req
631. I could've helped you out there.
Copy !req
632. That's a nice leather jacket.
Copy !req
633. I said I wanted to run some tests.
But I can't without Medicaid.
Copy !req
634. What's wrong?
Copy !req
635. - This patient is illegal.
- Yes, but it doesn't matter.
Copy !req
636. Oh, yes, it matters.
Copy !req
637. The state won't pay for thousands
of dollars worth of tests.
Copy !req
638. - You won't treat him?
- I'll give him beta blockers.
Copy !req
639. He could have a cardiac arrest.
Copy !req
640. - He's had no arrhythmias.
- That's why we need the EP studies.
Copy !req
641. His father died from this.
Copy !req
642. - Did you document an arrhythmia?
- No.
Copy !req
643. All right. Then there is nothing
else that I can do.
Copy !req
644. - Dr. Kayson!
- What?
Copy !req
645. This boy could drop dead.
Copy !req
646. Well, so could a lot of people.
He's not emergent.
Copy !req
647. I'm sorry.
Copy !req
648. You said he was stable.
Single GSW to the arm.
Copy !req
649. - He was.
- He's intubated and hypotensive.
Copy !req
650. - Things change.
- What's the problem?
Copy !req
651. Botched gang shooting.
They were ready.
Copy !req
652. - Is this the guy from this morning?
- Yeah. His name's Bo.
Copy !req
653. We thought it was his arm.
He crashed in the rig.
Copy !req
654. - Carter, we need your help.
- Come on.
Copy !req
655. Welcome back, Bo.
Okay, everybody, on my count.
Copy !req
656. One, two, three.
Copy !req
657. - Why didn't you recontact?
- Things got pretty crazy.
Copy !req
658. Carol, put him on the monitor.
Copy !req
659. - What do we got?
- GSW, mid-tricep area.
Copy !req
660. - Where's the probe?
- Run it, Carter.
Copy !req
661. Decreased breath sounds on the right.
Tracheal shift to the left.
Copy !req
662. - Tension pneumo.
- BP's down to 70.
Copy !req
663. Pulse ox 89. Damn it!
Copy !req
664. And then I'm gonna need
a 36 French.
Copy !req
665. I want to decompress...
Copy !req
666. into the second intercostal space,
mid-clavicular line.
Copy !req
667. Okay. Pulse is getting stronger.
Copy !req
668. - Lucy, get a blood gas.
- I'll do it.
Copy !req
669. It's okay. I showed her how.
Copy !req
670. - Ten blade.
- Get the pressure back on the line.
Copy !req
671. Entrance wound,
right mid-axillary line.
Copy !req
672. Bullet went through the arm
into the chest.
Copy !req
673. - Why couldn't you undress him?
- We had to run.
Copy !req
674. Where's that chest tube?
Copy !req
675. - You didn't see this chest wound?
- Not now, Carol.
Copy !req
676. - I can't get the blood gas.
- Move over. I'll do it.
Copy !req
677. Chest tube is in. That's okay, Lucy.
Those can be tough.
Copy !req
678. - Help me with the second line.
- Okay. 50 cc's out.
Copy !req
679. I need four by fours.
I need elastoplast.
Copy !req
680. I'm gonna call X-ray,
get a portable chest.
Copy !req
681. I got the blood gas.
BP's up to 100/70.
Copy !req
682. - How's that second line?
- I can't.
Copy !req
683. - Move the drape for room.
- I can't do it.
Copy !req
684. - Focus. We need the second line.
- I can't do it.
Copy !req
685. - It's like any other IV.
- I haven't started an IV. Never.
Copy !req
686. I'm sorry.
Copy !req
687. - Whoa! He's bradying down!
- Okay!
Copy !req
688. His chest tube is pouring blood!
Copy !req
689. Let's get two units of O-neg in
and call the O.R.
Copy !req
690. - You cost me a procedure.
- Am I supposed to ask how?
Copy !req
691. You should've babysat
that pulseless foot.
Copy !req
692. Greene let the radiologist set him.
Copy !req
693. I didn't realize that was part
of my job description.
Copy !req
694. Well, you're still learning.
Copy !req
695. - How was your first day?
- As expected.
Copy !req
696. You are either a masochist
or the stubbornest woman I've met.
Copy !req
697. But I admire your fortitude.
Copy !req
698. I couldn't handle taking orders
from a weasel like Dale.
Copy !req
699. - Is that supposed to be a compliment?
- Sounded like one to me.
Copy !req
700. And you can wear the long coat.
It looks better on you.
Copy !req
701. - 700 cc's out the chest tube.
- Take him up, Carter.
Copy !req
702. - Do they know he needs a thoracotomy?
- Y eah. O.R. 3.
Copy !req
703. Have the blood bank send up
four units, type-specific.
Copy !req
704. We weren't prepared for a trauma.
You should've called.
Copy !req
705. Sorry. We were busy
protecting his airway.
Copy !req
706. - You guys should've called ahead.
- There was no way-
Copy !req
707. And we have to be prepared
for anything.
Copy !req
708. - I would've been prepared-
- Nobody's to blame.
Copy !req
709. We treated the patient.
Let's move on.
Copy !req
710. Do you want to review the run tape?
Copy !req
711. - No.
- No.
Copy !req
712. Doggy. Yeah!
You want to pet the doggy?
Copy !req
713. Oh, that is good.
Copy !req
714. You want him to respond in some way.
Copy !req
715. To point or to make
some kind of sound.
Copy !req
716. Kitty says...
Copy !req
717. Do you want to pet the kitty?
Copy !req
718. - Don't like the kitty?
- It's okay, man. That's okay.
Copy !req
719. One quick hug. Then back to work.
Copy !req
720. - What?
- He's gotta learn to focus.
Copy !req
721. Give him a break.
He's only a year old.
Copy !req
722. You can't give him a break.
He's not like other 1-year-olds.
Copy !req
723. He needs constant verbal stimuli.
Copy !req
724. You try.
Copy !req
725. All right, man. Here we go.
Doggy.
Copy !req
726. Doggy.
Copy !req
727. Hey, doggy.
Copy !req
728. I can't do this.
Copy !req
729. You're gonna have to learn.
Copy !req
730. Coming here twice a week
isn't gonna do it.
Copy !req
731. I might've been able to keep
that kid here this afternoon.
Copy !req
732. But he would've gone out
and done the same thing tomorrow.
Copy !req
733. His mom's in Chairs.
You want me to go talk to her?
Copy !req
734. No. No, I'll do it.
Copy !req
735. - Did you get a number?
- No. You still here?
Copy !req
736. Yeah. I got sidetracked.
Copy !req
737. - You could use some help.
- Okay, take rashes.
Copy !req
738. - No, something more permanent.
- Allergies?
Copy !req
739. Actually, I meant being
your full-time P.A.
Copy !req
740. I'd like to work with kids for a while.
Copy !req
741. I'm good at it.
Somehow it seems more worthwhile.
Copy !req
742. Well, I don't know about that.
Copy !req
743. At least you know whose side
you're on.
Copy !req
744. You know, I'd love to.
Copy !req
745. I think I've used up
all my chips with Anspaugh.
Copy !req
746. I've got some pull.
I could work it out.
Copy !req
747. - Great. I'd love that.
- Excellent.
Copy !req
748. Yeah, hi. May I have the transplant
coordinator for UNOS, please?
Copy !req
749. - I paged you twice.
- I don't want to talk yet.
Copy !req
750. That's too bad
because I deserve an explanation.
Copy !req
751. If you want me to feel bad, I do.
I'm really disappointed in myself.
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752. You should be.
That's not an explanation.
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753. I don't know how it started.
You thought I could do it.
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754. I wanted to impress you.
It spun out of control. I'm sorry.
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755. What did you think
you were going to accomplish?
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756. I don't know.
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757. - I thought I could learn on my own.
- You can learn on your own.
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758. You don't need to be here, then.
You endangered patients.
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759. You don't need to make me feel bad!
I feel horrible!
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760. That would work
if this was about you.
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761. But down there it's never about you.
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762. Go home. Don't come back
unless you're serious about learning.
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763. If you ever lie to me again,
you can look for another rotation.
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764. What are you doing back here?
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765. Waiting for the grill to heat up.
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766. I thought it was
fend-for-yourself night.
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767. No. I'm sick of fend-for-yourself.
I got us some steaks.
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768. Sounds good.
You got another one of those for me?
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769. What's in the bag?
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770. It's a pregnancy test.
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771. Just to be sure.
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772. No need. I started my period.
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773. Well, I guess I wasted $17.50.
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774. Save it for next time.
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775. I'm kidding. That was a joke.
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776. We dodged a bullet there, didn't we?
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777. - That's good, right?
- Yeah. Yeah.
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778. Although all day, I kept thinking,
"Wow, a kid. "
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779. You know, that would really...
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780. change my life.
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781. - Our life. It would change ours.
- Okay. Our lives.
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782. That would be bad, right?
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783. I changed my mind.
I don't want to joke about it.
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784. Maybe I'm not joking.
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